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HomeMy WebLinkAbout0055 BILTMORE PLACE - Health LOT 3 BILTMORE PLACE CENTERVILLE A = 174 007 021 /// =J�RE(:YCtfpCOym UPC 12534 No. 2-115533LOR gOOST.GONSJ� HASTINGS, MN „ � O D N .�rS> > P 1 ' r 7 •yam. �• L .G` I 4 •Q r / No. J0-A10-je?'1 4;1 THE COMMONWEALTH OF MASSACHUSETTS FEE ,Wb BOARD OF HEALTH � p F A V AP LICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Per it to Construct (2 Repair ( ) Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components Location Owner's Na e 4 Y� Map/parc # ddg,s L r Telephone# E— G�LG�iCJ Installer's�m� , esi ner's Name A _ Address 7 2 1 ` � Telephone Telephone ft Type of Building: l Lot Size Sq.feet Dwelling—No.of Bedrooms 1 3 Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.requir d) gpd Calculated desigji flow gpd Design flow provide� gpd Plan: Date 1112 Number of sheets Revision Date Title Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS The unde ' ed agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 an �th r a es no to i the Sys m i operation until a Certificate of Compliance has been issued by the Board of Health. Signed Datelo-0 FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 No. F6a 'r THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH i OF APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT e Application for a Per it to Construct Repair ( ) Upgrade,( ) Abandon ( ) - ❑Complete System ❑Individual Components 7 1 .2 •�� `.' >wA Pam, �A.{��1.. A � Location t Owner's Na //�� Map/Pare ..m,,,,,, ddress 1 Lo � Telep� Installers j esi ner's Name __ Address hT Address Telephone# Telephone# Type of Building: �//erse Lot Size 27 1,3e­ Sq.feet Dwelling—No.of Bedrooms _25) Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria' (" ) t .. Other fixtures 14 ' -Design Flow(min.re uir d) gpd Calculated design flow gpd Design flow pro d'e 14gpd } Plan: Date' / Number of sheets Revision Date Title Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS C The unFpujed agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 an ag es no to p� the sys m i operation until a Certificate of Compliance has been issued by the Board of Health. _ � Signed _711 Date 00 IatS,��eT,gi�t .P ' n FORM t - APPLICATION FOR DSCP DEP APPROVED FORM,5/96 No. v !f THE COMMONWEALTH OF MASSACHUSETTS FEE 40el— '"" At/1/lf �i1 BOARD OF H E A LT H CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) Complete System The under igned hereby certify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) by: ©&rf�/ at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No2 A ated �' /pprooved Desig Flow (gpd) Installer L e� / ' d Designer: ~Inspector Date �D The issuance of this certificate shall not be construed as a guarantee that thhesystem will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 {� r t' No. l�d*�-��y,� THE COMMONWEALTH OF MASSACHUSETTS FEE /400;,s✓y �.. BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT ' Permission is hereb granted to Construct Re air ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at --� 'L mil as described in the application for Disposal System Construction Permit No. WZY"� dated 40 a� � Provided: Constructio sha be completed within three years of the date of this p it. 111 1, c3-it'ons njot b`(5meet. Date Board of Health FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255t(REV 5/96) H&W HOBBS&WARRENrrn ',PUBLISHERS- BOSTON TOWN OF BARNSTABLE LOCATION La: OS 13tc-rma,6 Nc.RGv- SEWAGE ## 2ccx� — G30 VILLAGE CEiVTC/Lvi u.- ASSESSOR'S MAP & LOT i INSTALLER'S NAME& PHONE NO. Baizrbt_6-r-r1 (� SEPTIC TANK CAPACITY 1 SO b (�/4 a ON LEACHING FACILITY: (type) -�t��/ Lakcl,�,, L�/� h(size) /244 NO. OF BEDROOMS -3 BUILDER OR OWNER MACA,,g �osr r 8E�►vr PERMITDA T EE: COMPLIANCE DATE:_/2-11 f el(--' 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 Y within 300 feet of leaching facility) Feet Furnished 6y` _ . tiYO� a�j{32tH JN�vo -i I\ L—A 7 loo ril QO il: I 1� II_ i p I , 1 ? I V� � t 5,C) O L _ rf iIT ii � ►� 1 ( y � �jnl � n 1 ' i IN (1 �, G TOWN OF BARNSTABLE o r '"S 13IL`rma-p- IOLRC,E W (� (� LOCATION _ SEWAGE # �CU�— VILLAGE. ASSESSOR'S MAP & LOTIV--OQI—. INSTALLER'S NAME& PHONE NO. J30/Z7-6L6'fTl SEPTIC TANK CAPACITY /SUG 64(CON LEACHING FACILITY: (type) a-S00�0/ L,?ccA,j,, .(size) 12.'SL'WX L 1( 4i NO.OF BEDROOMS BUILDER OR OWNER M-41a >°--'sr r E PERMITDA:c: COMPLIANCE DATE: 12-16Z Oy 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 -3a&T qAtm i FRoN7 4/ '... ' 1-10 4, '' ,. v _ 4 y , TOP FNDN 81.5' H SYSTEM PROFILE TEST HOLE LOGS - . ,r ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) ACCESS COVER (WATERTIGHT) TO ENGINEER; D.A. OJALA, SE 79•5 MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE JERRY DUNNING i RTE 6 2% SLOPE RE4UIRED OVER SYSTEM 80.0' WITNESS. � --__ �RhCE Rp " WASHED PEASTON WA H RUN PIPE LEVEL 2 DOUBLE S E DATE: 5/26/98 PROPOSED FOR FIRST 2' PERC. RATE - < 2 MIN/INCH MINTON o 1500 3' MAX. y GALLON SEPTIC I Q °-,-° 7GAS CLASS SOILS P# 9160 - 77,50' TANK (H- 1O ) GAS - 77.•0' s 76.50' AA r,• BAFFLE 76.67' 4\ _ a raoror� aoao y MIN o 76.17' = M M C M E-I 0 17-1 4' AROUND LOCUS CA,• ( 2 % SLOPE) 6" CRUSHED STONE OR MECHANICAL 80 0 0 CI M _O C] CO L7 is ELEV. ELEV. oP� COMPACTION. (15.221 [23) 1 2 4 MIN MIN o-oZ5� 2 L� 0 0 }� Q 74.17 w w DEPTH OF FLOW = - 1 ( 1 % SLOPE) 0 81.0 80.0 SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE TEE SIZES: 10" 0 0 LOCATION MAP No SCALE INLET DEPTH , OUTLET DEPTH = 14„ 2„ 2„ E E FOUNDATION- 21' SEPTIC TANK 18' LEACHING LS LS D BOAC 14 FACILITY 5,17 ASSESSORS MAP 174 PARCEL 2.5Y 6/2 4�, 2.5Y 6/4 4" ZONING DISTRICT: RF B B YARD SETBACKS: LS LS FRONT 30' n I 34„ 2.5Y 6/6 78.2' 34" 2.5Y 6/4 77.2' SIDE 10'* Cl Cl REAR 15' TH 2 "EL. $9.0' Mfg pert ® M/F PLAN REF. - 2.5Y 7/3 „ 2.5Y 7/3 _ 84 74.0 90 72.5 FLOOD ZONE. C C2 C2 *WAIVER GRANTED BY PLANNING SWALE AS NECESSARY TO DIRECT M/C SAND M/C SAND BOARD 2.5Y RUN-OFF AWAY FROM FOUNDATION BENCHMARK: C. BASIN 7/4 AT ELEV.-84.4' 108" 2.5Y 7/4 114 J C3 C3 M/F M/F 132„ 2.5Y 7/3 70.0' 132" 2.5Y 7/3 6910' © NOTES. NO WATER ENCOUNTERED OPE O w SP CE .32 < ASSUMED _ 220 o � SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED ) 1 . DATUM IS DESIGN, � 110 3 U A�rAILHtILt [,LSIGN :FLOW. __ BEDROOMS ( GPD) � GPO 2. MUNICIPAL_WATER.• 1S w \ USE A 330 GPD DESIGN FLOW 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. LOT 3 a SEPTIC TANK: 330 GPO 2 = 660 4. DESIGN LOADING . FOR ALL PRECAST UNITS TO BE AASHO H- 10 21 ,136 5f-}-� � � ;� p ! 1, 5. PIPE JOINTS TO BE MADE WATERTIGHT. (.SE A _50_Q_ GALLON SEPTIC TANK 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. LEACHING: ENVIRONMENTAL CODE TITLE V. �LrTH2�.. _� 2(25 + 12.83 2 .74 = 112 / __ .�` SIDES: ) ( ) 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND ,NOT TO BE 62. SLAB ® --' ' THt 7 USED FOR LOT LINE STAKING. so.o' 25 x 12.83 ,,74) = 23 .OTTOM: 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC., TOTAL: 472 S.F. 349 GPD 9. ' COMPONENTS NOT TO BE BACKFILLED OR CONGEALED WITHOUT �2 0' INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 9 USE (2)` 500 GAL ACME OR EQUAL LEACHING / PROP. o - FROM BOARD OF HEALTH. 3 BR --'- CHAMBERS WITH 4' 'STONE ALL AROUND DWELLING \ 10. CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE, 'v TF - 81.5' LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. LEGEND TITLE 5 SITE PLAN 100.0 PROPOSED SPOT ELEVATION OF LOT 3 BILTMORE PLACE �Qy 100x0 EXISTING SPOT ELEVATION IN THE TOWN OF: 1°0 PROPOSED CONTOUR BARNSTABLE 'i� ----- 100 EXISTING CONTOUR PREPARED FOR: MAINE POST AND BEAM LOT 4 30 0 30 60 90 BOARD OF HEALTH MA 1„ 30' APPROVED DATE SCALE: DATE: OCTOBER 9, 200b off 508-362-4541 fax 508 362-9880 down cape engineering, inc. `� M q `�P`�N �F MAssq P � �� Q�� `rl' o ARNE �yG �,`N OF qs o OJNALA y� a H. �, CIVIL ENGINEERS VIL y No�ALA LAND SURVEYORS ,$ N sms� ,• o �Q S to y G 939 main st. yarmouth, ma 02675 - 99--246--3 OJALA, P.E., P.L.S. DATk