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HomeMy WebLinkAbout0016 BAIRD WAY - Health 16 Baird Way Centerville A = 171 086 No. 4210 1/3 ORA e0�4 10%,u o d 0 0 TOWN OF BARNSTABLE LOCATION / r4,ii "` Z SEWAGE # W�`�z? VILLAGE c .Pin_ °�jrtl 4'y ASSESSOR'S MAP& LOT l71 9b INSTALLER'S NAME&PHONE NO. Fit&kow ed?ssa SEPTIC TANK CAPACITY 11.000 LEACHING FACILITY: (type) 2 ST1a &weL (size) NO.OF BEDROO��M--S--��=�'� BUILDER OIYOWNERJ Qv1OI 1C.aJ L� PERMIT DATE: 1 D 1 Z( OMPLIANCE DATE: 16 J.z-da 7- Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility Feet Furnished by all 26 o c r TOWN OF BARNSTABLE 6 C° LOCATION €� i res ii SEWAGE # a' V-" ? VILLAGE ('.p�..�a r ��l ASSESSOR'S MAP& LOTE!2 P-96 INSTALLER'S NAME&PHONE NO. Ot Lkow Wle SEPTIC TANK CAPACITY It000 LEACHIlVG FACILITY: (type) 2 SDa &Vwe.L (size) i NO.OF BEDROOMS BUILDER WNER� PERMIT DATE I a z t'dZ COMPLIANCE DATE: 10 24-Z d 7- Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching.Facility(If any wetlands exist within 300 feet of leaching facility. Feet Furnished by �d)\ t 3Y ) ic, No. yLS y 3 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYitation for �Diopo!5a[ bp5temc Con!tructiou Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. I(� C�1r ,r" Owner's Name,Address and No Assessor's Map/P cel Installer's Name,Alldress,and Tel. Desig s Name,Address and Tel.No. cif,sy Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type o Building No.of Pers ns Showers( ) Cafeteria( ) Other Fixtures Design Flow !30 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank CV) A /000 _ Type of S.A.S. Description of Soil Nature of Repairs or Alte tions(A�}swer when applicable) e '- L,/21 9e f Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by Board of He th Signed Date 14161 Application Approved by _ r . Date % .71 d I-- Application Disapproved for the following reasons Permit No. 2 00 -q�5 Date Issued /G 17��n "a- No. DU;t j1'3 _ Fee 53 _. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 2pplication for �Digooal Opgtem Congtruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )'Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. ! Owner' Name,{.Address and Tel.No. Assessor's Map/P cel �.e•t�. trJ�L� Q�� . ICY ! � lit Ate-(—, Installer's Name,Address,and Tel. o. Design 'ssNName,Address and Tel.No. j F I Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( Wo Other Type of Building No. of Pers ns Showers.( ) Cafeteria( ) Other Fixtures Design FlowO • gallons per day. Calculated daily flow 'gallons. Plan Date-r Number of sheets Revision Date Title Size of Septic Tank QueA • Joao . Type of S.A.S. Description of'Soil Nature of Repairs or Alterations(A swer when applicable) oe 61 r . cam l ��-� /c 0 Z 77ej.,c / / �►� s Date last inspected- Agreement: ~ t Ac undersigned agrees to,nsuretthe construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Corn_ liance has been issued b t : Board of He th (? p Signed cam,. 10�j Date 'I Application Approved by ��w�.<' /h._ �_ Date p � Application Disapproved for the following reasons Permit No. �?���a' � Date Issued 1 u 17 1A t / THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Cfi�su Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( Vrulpgraded1,3 ( ) Abandoned(> `)'bye Wt-62v 60 a Sir at /6 G.*)wr Cf_10e-Aw Mars been constructed i accordance with the provisions of Title 5 and the for Disposal System Cons ction Permit No. 20d 'yg� dated odd U;l. Installer Designer Al r A fA The issuance of this permit shall %tfybe-co s�j ed as a guarantee that the syste t will function as/desigged )) o Date �(7( (� Inspector � �! Io I� _...- No. .2 uo."�' "!3 Fee V v THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Misspoar *p5tem u5truction Permit Permission is herebyranted to Construct a air 'U rade g ( ) P Pg Abandon( ) System located at �- 4r �P�?�v � and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this ermit. i110Date: I n a 2 Approved by Gwt FROM :AOJAL_A FAX NO. 20767e2073 Dot. 18 2002 06:04AM P2 5/25101 Notice: This Form Is To Be Used For the Repair 4f Failed Septic: Systems Only t PERCOLATION TEST ASD SOIL EVALUATION EXEMPTION FORM I, J6r"t* 4f- a9At.,,A hereby certify that the engineered plan signed by nee dated io 't -� ,concerning the property located at t 4 6^s o u W ati meets all of the following criteria: • This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data,to conclude this fact or may conduct prelirninmy tests at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed_ • The bottorr,of the proposed leaching facility will be located no less than five feet above the maximum adjusted groundwater table elevation.(Adjust the groundwater table using the Frimptor method when applicable) Please complete the followng: A) Top of Ground Surface Elevation(using GIS Information) B) G.W.Elevation �?�' +adjustment for high.G.W.- DIFFERENCE BETWEEN A and B d f. SIGNED : DATE. /rlr NOTICE Based upon the above information,a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plow, health folder:percexm 9 P TOP FNDN AT EL. 58,8' SYSTEM PROFILE TEST HOLE LOGS rm�lkE'S)S . COVER TO WITHIN 6" OF FIN, GRADE (Nor To SCALE) A.N. OJALA, PE ACCESS COVER (WATERTIGHT) TO ENGINEER: _ MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM NONE ------ -- __ - _ WITNESS: I 2" DOUBLE WASHED PEASTONE DATE: 10/7/02 _ RUN PIPE LEVEL ^ L7-1_ FOR FIRST 2' 3' MAX. PERC. RATE - C 5 MIN/INCH EXISTING 1(�0(Zs_ Op, GALLON SEPTIC 55.0 S 4.6 I TANK (H- �;G CLASS SOILS P r e BAFFLE oc�o 5g.78 � E3 � Cl © 0 E] Q 0 M_ 0 [] 0 0 �� 4' AROUND to LOCUS Cl O © 00—1 C7QC� � ELEV. 6" CRUSHED STONE OR MECHANICAL . 0" 57.0' c,R COMPACTIMOIN (15,221 [2]) MIN 4 r� 2 0 ED 0 © 0 ® 0 :0 � bca 51.77 A Q�PgO �f DEPTH OF FLOW - 4 (-T-� SLOPE) ( SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE SL TEE SIZES, �P 10YR 3/2 INLET DEPTH = 10" OUTLET DEPTH 14" B LOCATION MAP N T5 LS FOUNDATION---- EXISTING SEPTIC TANK 2' D' BOX 22' LEACHING 34„ 10YR 5/6 54.2' ASSESSORS MAP 171 PARCEL 86 FACILITY 4.8 VARIANCES REQUESTED UNDER MAX. FEASIBLE COMPLIANCE 15,405: la: REDUCTION IN SETBACK, SAS TO LOT LINE (10' TO 5') C 1b: REDUCTION IN SETBACK, SAS TO FOUNDATION (20' TO 15') 47.0' F-M SAND 2.5Y 6/4 7.8 A HED 57.3 ?4 t�� BENCH MARK - CORNER OF 120" 47,0' BULKHEAD. EL. = 58.0 (ASSMD) WATERENCOUNTERED '- 57,3 ATE NO � �. s � o NOTES: v �. PROPOSED \ . DATUM IS ASSUMED 1 / LEACHING �`""�\ \ x 41 FACILITY \ k SEPTIC 'DESIGN: GARBAGE DISPOSER IS NOT AlI OWED ) 2. MUNICIPAL WATER IS _EXISTING ._..iXIS IN —_�.. \ TH DESIGN "FLOW: _ t�EDR00MS ( ,�OS>` 'Ci) - : 3gzPD 3. MiNIMI.IM FIFE PITCH TO BE 1/8 PER� FOOT. USE A !330 GPD DESIGN FLOW 4. DESIGN LOADING FOR ALI_ PRECAST UNITS TO BE AA SHO I -_ I0 + 57.4 r1 / � 5. PIPE JOINTS TO DE MADE. WATERTIGHT. SEPTIC TANK: 2660 5E C A P DECK 57.a n 6• CONSTRUCTION DETAILS T 0 BE IN ACCORDANCE WITH MAS17 F � `� , DECK 0 rr1 USE A _1IlQQ GALLON SEPTIC TANK. (RE-USE EXISTING) ENVIRONMENTAL CODE TITLE" V. G� ! 0 LEACHII,IG: 7, THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS N0 1 I' �,s 57.E SIDES: 2(25 + 12.83) 2 (,74) _ l_12� TO B: USED FOR ANY OTHER PURPOSE. 56,6 _- __ _ 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. EXIST. DWELL.. BOTTOM`: - 25 x 12,83 •74) = �� 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT TOP FNDN = ".8' 57,8 INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED TOTAL: 472 S.F. _, GPD FROM BOARD OF HEALTH. U 500 GAL. LEACHING CHAMBERS (ACME OR - 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING LOT 26 EQUAL) WITH 4' STONE ALL AROUND SEPTIC SYSTEM 16,547t SO. FT. 0.38t ACRES LEGEN a T1 TL E 5 S1 If t FLAN WATERLINE IN FRONT OF 100.0 PROPOSED SPOT ELEVATION OF DWELLING #16 BAIRD WAY 100x0 EXISTING SPOT ELEVATION IN THE TOWN OF: PROPOSED CONTOUR ( CENTERVILLE ) B A R N S TA B L E ?�r y 100 EXISTING CONTOUR PREPARED FOR: HICKEY CONSTRUCTION L-1 1 4. 96. 000, 20 0 20 40 60 S�s BOARD OF HEALTH 0 - �� OQ MA SCALE: 1" = 20' DATE: dCTOBER 7, 2002 0, 71 ' R,30- APPROVED DATE Off 508-362-4541 fqx 508 362-9880 town Cape engineering, Inc. � t,�or M43.� f CIVIL. ARNE H. ENGINES—RS �F OJALA r ;.ARNF aJIL v,�JAI G ' LAND SURVEYORS Al T �� ` N � - E GISTEf 2 (� ��{y 939 main st. yarmoluth, ma 02675 rq Ary_�y+ l t�t'..1 A Z — n/.11.I.+,r'1ir^I" ..�'Y�i�'w •7r��. �.,1'i X.f�