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HomeMy WebLinkAbout0023 BREZNER LANE - Health 23 Brenner Lane - Centerville A = 210 118 r No. 42101/3 ORA ESSELTE 101y0 0 O 0 O 4 No L'y/_J`� ► Fee$5 0.0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pprtcatton for MtgposmY &psAem Con6truction Permit • C Application for a Permit to Construct( . )Repair( X)Upgrade( )Abandon( ) 0 Complete System ❑Individual Components Location Address or Lot No.2 3 B r e z n e r Lane Owner's Name,Address and Tel.No. 3 6 2—2 71 0 Centerville MA `` Shirley Christophers Assessor'sMap/Parcel 23 Brezner Ln. , Centerville, MA 210-118 Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No.3 9 8—8 31 1 Wm. E. Robinson Septic Craig R. Short, P.E. PO Box 1089, Centerville, MA PO Box 1044 S. Dennis, MA Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(no) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Install new Title 5 septic system to plans of Craig Short - 91 1-9 Q 6 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has be n issued s and OHealth. �p igned qq 4 44 U Date ✓d'Q Application Approvedby Date cad Application Disapproved for the following reasons Permit No. `s 3 fv �U Date Issued a 3� U 3 No.- 3 3 �- , �• �...! :^� - Fee 5 0.0,0 • .� / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes tv// _ , , PUBLIC HEALTH DIVISION -TOWN /OF BARNSTABLEs MASSACHUSETTS _:. 2pplicat4on for �Di$ ooar �b $tent Con.5truction Permit � Application for a Perrr it to Construct( . )Repair( X)Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 3 6 2—2 71 0 23 Brezner Lane Shirley Christophers Assessor'sMap/Parcel Centerville, MA 210-1 8 23 Brezner Ln. , Centerville,' MA Installer's Name,Address,and Tel.No. 7 7 5—0 7 7 6 Designer's Name,Address and Tel.No.3 9 8—8 31 1 Wm. E. Robinson Septic Craig R. Short, P.E. PO Box 1089, Centerville,MMA PO Box 1044 S. Dennis, MA Type of Building: 1 Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(no) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date f" Title Size of Septic Tank Type of S.A.S. Description of Soil, Nature of Repairs or Alterations(Answer when applicable)_I U-S-tA3J. new Title 5 septic system to plans of Craig Short Date last inspected: ,, t 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- t Cate of Compliance has been issued b.-this ioard Health. �,� / Signed — -�C.// Date j :1[P0 Application Approve d<by _ �J _ `� Date L2A 3 el j Application Disapproved for the following reasons Permit No. Date Issued_. !7 3!)A)3 --------------------------------------- Christophers THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERI IFY, that the On-site Sewage Disposal System Constructed( )Repaired(X )Upgraded( ) Abandoned( )by Wm. E. Robinson Septic Service at 23 Brezner Lane, Centerville, MA has been constructed m)accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.ZL 1107,- L_Z(o dated i la Installer Designer �. The issuance of this ermit`shall not be construed as a guarantee that the s stem w)ill function as designedr. Date Inspector /c. U A J• �! r _ --------------------------------------- No. Q��-5 b 36 Fee $5 o-0 0 Christophers THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION . BARNSTABLEs MASSACHUSETTS Mood *pztem Con$truction Permit Permission is hereby granted to Construct( )Repair( X)Upgrade( )Abandon( ) Systemlocatedat 23 Brezner Lane, Centerville, MA 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 iliis,permit. Date:_ / 3�/U / Approved by"�—i—�`J� TOWN OF BARNSTABLE: LOCATION 41 �2' s' /[;�� ., �� SEWAGE # VILLAG ASSESSOR'S MAP & LOT 0 —11 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY s' 7 LEACHING FACILITY: (type) �' (size) 3� •� NO.OF BEDROOMS � o BUILDER OR OWNER6`- PERMTTDATE: c� �s3 COMPLIANCE DATE:,f Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of eaching Facility Feet Private Water Supply Well and Leaching Facility "y wells exist Feet on site'or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any tlands exist Feet within 300 feet of leaching facility) /! Furnished by i� • f 2E w TOWN OF BARNSTABLE zo LOCATION �� p.12A,-t>>� A SEWAGE # 0 — VILLAGE tf 457 ASSESSOR'S MAP & LOT 0 - r . INSTALLER'S NAME&PHONE NO. r 4 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) e ) (size NO.OF BEDROOMS .5 BUILDER OR OWNER Jr . !" 5/� PERMITDATE: COMPLIANCE DATE--- 7—0 ,;Separation Distance Between the: r Maximum Adjusted.Groundwater Table to the Bottom of aching 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 t � t r.��- .. , � f .. � - ,L �� �. f � W �I ♦_' ij. } - � r f /j � *� ,. I�� �/. .., r� 7 �`� BENCHMARK _ SOIL TEST TOP OF FOUNDATION 20 FT. MINIMUM FROM CELLAR DATE OF SOIL TEST �3 JOO,© 10 FT. MINIMUM 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE SOIL, TEST DONE BY C►~ a 12 Lid�'�` ELEV. --- CLEAN SAND WITNESSED BY (ASSUMED) CONCRETE 'COVERS LOAM AND SEED OBSERVATION HOLE 1 ELEV.. 4" SCHEDULE 40 PVC PIPE PERCOLATION RATE __< 2 MIN./INCH AT G�'" 72 INCHES MIN. PITCH 1/8" PER FT. 2" LAYER OF DEPTH HORIZ TEXTURE COLOR MOTT. OTHER 1/8" TO 1/2" NL 9?- Oa MAX. WASHED STONE ,f 2S 4 CAST IRON PIPE MIN. (OR EQUAL) MINIMUM �$- p ` j•'1 �./� PITCH 1 j4" PER FT. L .�./o FLOW LINE £L 9�. ELEV. 9'7.92 10" ❑D ❑O ❑Q❑❑ ❑❑� PLUMBING " ° o ri dy. ' TO BE RAISED " i MIN. 9 L` TS 2 o I z f I ELEV. Y � 0 00000 ❑❑ ❑ ❑❑ ❑ ° ° i , �/ X AND RE-PIPED BY oz „ LEVEL o o ELEV. 97, . __ GAS ELEV. _ 9'4-4 6 SUMP ELEV: - 9t, Z.3" ° o 30 �� LICENSED PLUMBER S BAFFLE o o ❑ ❑ ❑❑❑❑❑❑ ❑ ❑ ❑ 0 2 0 2.s AS NEEDED o ° o o ✓" M e•Wia-►-� /�✓ �'l DISTRIBUTION 3_ E Ey. � ° O © COflCJC7fl ❑ ODCJ LIQUID OUTLET OG ° o° o n o a ELEV. _ _ �� Co+Q•-.3 eG DEPTH TEE B Ox �. sp sac (TO BE PLACED ON FIRM BASE) GALLON DRYWELLS WITH 4 FEET 14 INCHES TO BE WATER TESTED 5'FEET 19 INCHES STONE IN AN 1! 48 �O 150 GALLON IF MORE THAN ONE OUTLET , N� WATER ENCOUNTERED AT _._�r ELEV. _ .�•_.. 6 FEET 24 INCHES � � N A . 7 FEET 9 INCHES (TO BE PLACED ON FIRM 'BASE) -�c4 X?_X .2 TRENCH FORMATION x �* WELL�r 8 FEET 4 INCHESTANK $ ZONE X SEP Ti C 3 4- TO 1 1 2" CLEAN / / SOIL `ABSORPTION INDEX x DOUBLE WASHED STONE ADJUST_X_ F OF FINES do SIT DESIGN CALCULATIONS FREE F S L SYSTEM (SAS) , NUMBER OF BEDROOMS . USGS PROBABLE" WATER TABLE ELEV. _ _ _ 4 Ar10 7- 1Ci W. N GARBAGE UNIT --_1 SEWAGE DISPOSAL SYSTEM PROFILE OBSERVED WATER TABLE ELEV. . ( I f ) � TOTAL ESTIMATED FLOW NOT TO SCALE BOTTOM OF TEST HOLE ELEV. �. .3'30 GAL/DAY REQUIRED°SEPTIC TANK CAPACITY !�! GAL. . ACTUAL SIZE OF_SEPTIC TANK ��_p GAL: SOIL CLASSIFICATION DES PERCOLATION RATE DESIGN P R ATION RA < - IN. !N. _ M / EFFLUENT LOADING RATE , . •? _ GAL./DAY/S.F. i LEACHING AREA 71%36 ,L` 9a .:x SQ.`FT. LEACHING CAPACITY (AREA X RATE) GAL./DAY TITLE 5 & .O.H. VARIANC S R UIRED: `x c C`�152 MINIMUM 'UISTANCES: ��� CAPACITY ,'7� � RESERVE LEACHING CAPACITY-: �.� GAL./DAY 'DISTANCE BETWEEN S.A.S. AND CELLAR WALL A f`" VARIANCE REQUESTED ) NOTES: 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN RULES AND REGULATIONS FOR THE ;SUBSURFACE 1. DISPOSAL OF SEWAGE. A 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 6" OF FINISHED GRADE.,. 3. ALL COMPONENTS OF THE SANITARY.SYSTEM 'SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10 FT. OF DRIVES OR .PARKING AREAS.`H-20 LOADING SHALL BE 98.5 USED UNDER OR WITHIN 10 FT. OF DRIVES OR -PARKING-AREAS. 4. ANY"MASONRY-UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED IN PLACE. 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING'REGULATIONS. OWNER / APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM:APPROPRIATE AUTHORITY. 6. UTILITIES`SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR IS TO CALL "DIG-SAFE" AT 1-888-344--7233 AT LEAST 72 HOURS , 98.6 PRIOR TO COMMENCING WORK ON SITE. 7. CONTRACTOR IS TO VERIFY'GRADES AND ELEVATIONS AS WELL AS SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY :VARIATION w 98.6 / 1S TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER <7� IMMEDIATELY. 8. PARCEL IS IN FLOOD ZONE C 9. LOT IS SHOWN ON ASSESSORS. MAP _r210 AS PARCEL . 10. ALL UNSUITABLE MATERIAL SHALL BE REMOVED FROM UNDER, AND CRIV4- FOR A MINIMUM OF 5 FEET,FROM AROUND THE SOIL ABSORPTION SYSTEM, 099.0 f o AND BE REPLACED WITH SAND AS SPECIFIED IN 310 CMR 15.255: (3) / �- 99.2 (I.E. TITLE 5) IF-ENCOUNTERED"'BELOW S.A.S. PIPE INVERT. 11. SEPTIC SYSTEM TO BE PUMPED AND FILLED WITH SAND EXISTING S Q 9.2 ,; , F , �; 4 � b � h � a . ,<v,�.: �•�•,�� � ; OR REMOVED \ (} Y 9.2 43 dl>,G„ _car 53 a ). E :r.w `� fir, , APPROVED; BOARD -OF HEALTH 98.4 ;. s 96 9.000 f �F. , 99.2 -'� 99.4 2 l��b DATE AGENT x 95.4 lzz�l ,` PROPOSED SEPTIC DESIGN . " - DECK 99.2 f, FOR M ROBINSON, 5#- ./l ey I LOC. J 23 BREZNE.R LANE BARNSTABLE, .MASS. CEtN TER V I LLE 98.3. s CRAIG F 5. 10 'T, P.E. 98. .B "Z w� c 1. •�.,•�- ,/., r./t�Y 235 GREAT WESTERN. ROAD ,,j 508- P. 0. BOX 1044 • ' 98-8311 SOUTH DENNIS, MASS. 02660 DATE SCALE » ► o DEC 17, 2003 1 = 20 NO. REVISED ,X3I3 EViSEO " _LOCATION MAP.. � SHEET l OF R . "SHORT, P.E. ' - � •2002 C AIG R