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Home My WebLink About0066 BILTMORE PLACE - Health 66 Biltmore Place Centerville = 174 - 007 - 019 II I I S MEAD® No.2.153LOR UPC 1204 smeadootn - Made In USA . , THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH I�IJAJ OF APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct (X Repair ( ) Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components 010; 0— 3� r,�o ►�� (' Cor►�► SyshS = 3►w► $ns�l.� Lo ation Owner's ame �`)'yG� ��. � -6 �30K I200 �wcG6+ j4 Map/Parcel# I��f Address O Q� Lot# Telephone# r ,y�Inst Iler's Name a Designer's Nam 4� �P f2i1 Add Address Telephone# Telephone# Type of Building: J,=4 Lot Size C710 0 Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required)—�L gpd Calculated design flow gpd Design flow rovided .S:31S gpd Plan: Date h a I Number of sheets f Revision Date Title LW " Description of Soil(s)_ Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation V DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not ce th sy tem in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date (eI_lI to jWpMWns t2 Ao�' FORM I - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 r' TOWN OF BARNSTABLE LOCATION F% ,®// � J°�G ' Lc ,� SEWAGE # VILLAGE �� r�s�Q��e ASSESSOR'S MAP & LOT I l y-Ou�— 0/� INSTALLER'S NAME& PHONE NO. BQRJQ�G3``'—: 7 L— SEPTIC TANK CAPACITY 1_ LEACHING FACILITY: (type) 0,kOLM�g (size) bbt-) NO. OF BEDROQMS ��s-XI .�'2) BUII,DER R OWNER P PERMITDATE: COMPLIANCE DATE: 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 AroF i = r� A� � q(0 A4- q7 b7 q = -7 ,/NO.� L9 d THE COMMONWEALTHi OF MASSACHUSETTS FEE i. $ .l BOARD OF, HEALTH �� j 1 1 J Aj OF ei APPLICATION-FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT r Application for a Permit tom onstr"uct (- 'Repair ( ) Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components ,Lr v► '&44S i'gzlhs -- Tim �r�STDI 461 k- Lo ation Owner's Name ��V/^a7,4Zf �sr .WOK IQagaw �4- Map /Parcel# - Addr ^/ Lot# Telephone# t, T11iAr a�Jw�✓ C.sa�; �itG 4�n/f£2 cJGT` Installer's Name Designer's Nam Address " Ad&ess Telephone# r Telephone# 7- Type of Building: Lot Size y�0,.yg 0 Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( �, Cafeteria ( ) Other fixtures 1 ` ! 1 j Design Flow(min.required)_ gpd Calculated design flow W-0 - gpd Design flow rovided gpd ! Plan: Date Number of sheets — Revision Date Title Description of Soil(s)_ 3 Soil Evaluator Form'Rb. •,Name of Soil Evaluator d bate of Evaluation v DESCRIPTION ONREPAIRS OR TLTERATIONS ! , The undersigned agrees to install the abo a described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not ace th sjr „n1`in operation until a Certificate of Compliance has been issued by the Board of Health. j Signed Date )(IllG'tlfhs ,ram .► j FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 r No.2 l, 7,p0,9,a- THE COMMONWEALTH OF MASSACHUSETTS FEE B O A R D O F H E A LT H CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) Aleomplete System The undersigned hereby certify that the Sewage Disposal Sy tem;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) by: ' at has been nstalled in accorda e with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relatin to application o.2pof_ dated�� Approved Design Flow (gpd) r Installer ��' Designer: Inspector e�r� Date V The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 --- ——--_———— —_ _ _—_— No. THE COMMONWEALTH OF MASSACHUSETTS FEE t. 2 BOARD OF HEALTH r DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is here y ra td to Construe w �jRepair ( ) Upgrade. ( bandon ( an indi vidMa wage disposal system at S a..tr 114!� 41 f 'Cr es' rtbed I' in the application for Disposal System Construction Permit No. d dated rp r Y � — - Provided: Construction shall be completed within three years of the date of this per• it.All local conditions must be et. Date I/��r Board of HeaA FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W Homs&WARREN TM PUBLISHERS- BOSTON .. s Ili � s. p U I ® I i i 1 u - - 14 I ` N O\J - F q� Q I TOWN OF BARNSTABLE �L "LOCATION Y� //lz � ' ��l—� SEWAGE # 'VILLAGE ASSESSOR'S MAP & LOT 111-#QZ- 0J7 INSTALLER'S NAME&PHONE NO. BQ JK1�0 t 7 7 C' iS Lam( SEPTIC TANK CAPACITY 1 500 1_ l ,r LEACHING FACILITY: (type) �ILiQ(M1{�`��SN!��\ (size) l9 NO. OF BEDROOMS BUII,DER R OWNER.g t QZ, � PERMIT DATE: (0 " G t COMPLIANCE DATE: 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 A �= i � A4- H7 67 = -7!5 SYSTEM PROFILE TEST HOLE LOGS TOP FNDN = 80.0' ACCESS COVER TO WITHIN 6 OF FiN. GRADE (NOT TO SCALE) D.A. OJALA, SE ACCESS COVER (WATERTIGHT) TO ENGINEER: JERRY DUNNING 72.5 MINI MU 72.0 M .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM WITNESS: "'----.SEr V'CE RD, DATE: 5/26/98 RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE / FOR FIRST 2' PERC. RATE = < 2 MIN/INCH N MINroN 0 PROPOSED 1500 / 3 MAX. I 90 GALLON SEPTIC �_ CLASS SOILS p# 9162 � 69.0' mlLocus SLAB ® � 68.95' 68.70' -= o 72.0' TANK (H- 1 O ) GAS 68.36' BAFFLE 66.53 �"` O CI O O 0 C7 O O Cl og 6 9.15 68.1 7' O O [� CI [� O O [- O Q �' AROUND MIN _ �6" CRUSHED STONE OR MECHANICAL [� O [] [� [] O LO CJ P� 2 % SLOPE) COMPACTION, (15,221 [21) 8S o 66.17' o ( 4 MIN MIN �,�,$g 2' OOOO O 01� 00 DEPTH OF FLOW = 1 % SLOPE) ELEV. ELEV. ELEV. TEE SIZES: ( 1 % SLOPE) ( 3 4" TO 1 1 2" DOUBLE WASHED STONE 0" 4 71,8' 73 0" 73.5 LOCATION MAP NO SCALE INLET DEPTH � 10" OUTLET DEPTH z 14 0 0 0 2.. 2,. LEACHING y E E E ASSESSORS MAP 174 PARCEL 17' D' BOX 21' 8,47' LS LS LS FOUNDATION--- 10 SEPTIC TANK FACILITY " 2.5Y 6/ 42 4„ 2.5Y 6/2 4^ 2.5Y 6/2 ZONING DISTRICT: RF B B B YARD SETBACKS: LS LS Ls FRONT = 30' 30„ 10YR 5/6 69.3' 36" 10YR 5/6 70.0' 36" 10YR 5/6 70.5' SIDE = 10'* C1 Cl Cl REAR = 15' USE ADJ. WATER AT 57.7' LS (un�lt_) LS (Unsuit.) PLAN REF. - HYDRANT "2.5Y 7/2 2.5Y 7/2 TAG BOLT #1822 48" 67.8' so 68.0' M/F SAND FLOOD ZONE: G ELEV = 84,83' "'c C2 C2 2,5Y 6/4 M/F SAND M/F SAND *WAIVER GRANTED BY PLANNING 168" OBS WATER 57r8' 2.5Y 6/4 BOARD B�LTMORE PLAC 170" 2.5Y 6/4 57.6' 138" 61.5' 132" 62.5' WELL: AIW 247 / ZONE: B NO WATER ENCOUNTERED ADJ: 0.1' D ON UT ITY CLUSTER \\�O&\\ LE ,TEL,CAN NOTES: S. 1 ;--PTIC DESIGN: (GAREAGE DISPOSER Is NOT ALLOWED ) . DATUM IS ASSUMED 9L is 17 4 110 = 440 GPD 2. MUNICIPAL WATER IS AVAILABLE •�, _ [� SIGN FLOW: ._,._ SEC--ROOMS ( GPD) ---5� 79 \ �� SOT U`, E A 440 GPD DESIGN F LOW 5. MINWI0114 t-'I1-L riT li BE ,� �c o ter, , . ,_, SEPTIC TANK: 440 GPD ( 2) = 880 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 �� -• 5. PIPE JOINTS TO BE MADE WATERTIGHT. USE A 1500 GALLON SEPTIC TANK 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. 15. GAR LEACHING: -5ENVIRONMENTAL CODE TITLE V. PROP. DWELL. -- 2(33.5 + 12.83) 2 (.74) = 1_,7 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE TOP FNDN ��, SIDES: USED FOR LOT LINE STAKING. ,13 0 80.0' cv � �`�'`�,,, BJTTOM: 33.5 x 12.83 (.74) = 318 8, PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC, S.F.PEN T )TAL: GPD 614 455 9, COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT SPACE INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED o� _12 TH2 ,. IB-- USE (3) 500 GAL ACME OR EQUAL LEACHING FROM BOARD OF HEALTH. Cn Cl AMBERS WITH 4' STONE ALL AROUND 10, CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR 79-- TO COMMENCEMENT OF WORK. TH1 \ \ LEGEND TITLE 5 SITE PLAN \ �" 100.0 PROPOSED SPOT ELEVATION OF --Oz LOT 5 �,/ / LOT 5 BILTMORE PLACE 20, 90 Sf± 214.71' 100x0 EXISTING SPOT ELEVATION IN THE TOWN OF: 4 100 PROPOSED CONTOUR (CENTERVILLE) BARNSTABLE �� r �� ------ --- 100 EXISTING CONTOUR PREPARED FOR: MAINE POST AND BEAM \ 30 0 30 60 90 kv \ 5' REMOVAL OF UNSUITABLE SOIL REQUIRED AROUND PERIMETER OF LEACH FACILITY, DOWN TO SUITABLE SOIL LAYER, REPLACE BOARD OF HEALTH WITH CLEAN MED. SAND. MA SCALE: 1,. � 30' DATE: JUNE 16, 2001 APPROVED DATE off 508-362-4541 fox 508 362-9880 Dr M 1H OF ,yq down cape engineering, inc. o�� ARNE\��. �b� AORNEH. OJAl.a " CI u. CIVIL ENGINEERS No.26+4t1 N LAND SURVEYORS �36e sG, tdrmoutfi, ma 02'675 ARNE H. OJA , F.L.S. DATE 99-246-5