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HomeMy WebLinkAbout0033 EBEN SMITH ROAD - Health 33 Eben Smith Road Centerville A = 171 206 Omrford, NO. 1521/3 ORA 1 10% s • Z0 No. 2 Fee J d ?" THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Mtzpponl *pgtem Congtruction Permit Application for a Permit to Construct( )Repair(V)Upgrade( )Abandon( ) ❑Complete System Andividual Components Location Address or Lot No. Owner's Name,Address and T N . 33 k� .eli 5oi,4r �f � Assessor's Map/Parcel g (1 ��/ e Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms 3 Lot Size /S?Z3 sq.ft. Garbage Grinder(-'e Other Type of Building o.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date N her of sheets Revtss°n Date Title 5 S Q 3 � eW S I I ,>`" I`O'/- / Size of Septic Tank Type of S.A.S. Description of Soili�'lZ,g3X 2 Nature of Repairs or Alterations(Answer when applicable) 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 b is Wla5rl f�lf���3 Signed Date Application Approved by Date I&L63 Application Disapproved for the following reasons Permit No. 2-CO,3— nt Z Date Issued I I IF 6 3 ' Uor0I2 r No. iZ i Fee ;, THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: / r Yes ~PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZIppfication for Migogar bpgtem Congtruction Permit Application for a Permit to Construct( . )Repair(V )Upgrade( )Abandon( ) ❑Complete System Adividual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor'sMap/Parcel Cr e 'rl s� aline Installer's Name,Address,and Tel.No. /G Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms i Lot Size / Z Z 3 sq.ft. Garbage Grinder( � Other Type of Building f,94_�s'lq No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow /M, gallons per day. Calculated daily flow 'J` © gallons. Plan Date / Z Number of sheets Reviswn Date - Title S S%fC Hl © '� > �' /�l"`1 _5 l�li'T !l✓/. Size of Septic Tank Type of S.A.S. �L' � C4,P� Description of Soili� Nature of Repairs or Alterations(Answer when applicable) 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 b. s oard-of He / Signed ��l "��"" Date 1 7 Application Approved by Date / D,7 Application Disapproved for the following reasons Permit No. 2-X 3^ nt Date Issued 163 r THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS certificate of (Compliance THIS IS TO CERTIFY, that t e On-site Se%age Disposal System Constructed( )Repaired( ✓)Upgraded( ) Abandoned( )byDl at 3-3 - ,Zf-ff'I been constructe in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 20 o 3 01 2- dated 11103 Installer Designer The issuance of this permit shall not be construed as a guarantee that the syste • Will function as desighed. Date I S I Inspector --------------------------------------- No. 2 UD3 O( Z / 7 / ` ?_0 / Fee S-U THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS ligpoga[ *pgtem (Construction Permit Permission is hereby granted to Construct( )Repair U pgr de( )Abandon( ) System located at �✓� J� /1/�r/ �1 C r�� 124el 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: Cons ctio 'must be completed within three years of the date of this pe Date:_ � C 3 Approved by 1 v� ITOWN OF BARNSTABLE LOCATION .73 S ,�S /D C i SE AGE # �oF-'0/.� VILLAGE ASSESSOR'S MAP & LOT /7 INSTALLER'S NAME&PHONE NO. SEPTIC TANK'CAPACITY 4Dom s9� LEACHING FACILITY:(type) roo G L �!� � (size) lv'3';c.2rx p l NO.OF BEDROO BUILDER O 'OWNE PERMTTDATE; COMPLIANCE DATE: /, 3 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 �oai,✓ /'TNg,v��.7�z} 3s �1y� TOWN OF BA.RNSTABLE l LOCATION 3.7 AD SE AGE # -&v7-10-IX VILLAGE ef.,;6Lnu ASSESSOR'S MAP & LOT /76: / INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY woe cs9� LEACHING FACILITY: (type) Soo Cyrs,7600 (size) /�•S ��� NO.OF BEDROO BUILDER O 'OWME PERMITDATE: /-5'07 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 7ov✓ �/�t /Tn9/�i�nrti� 4 � �33 ,moo �S \fir^, �� 27 0 L0 CAT 10-14� �� 144113 _ SEWAGE PERMIT NO. � VILLAGE INSTA LLER'S NAME & ADDRESS ram. 1=1v4W1�'lf. /�1y B UItDE R OR OWNER n DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED q � 2 _ r /6709C K s 17' A5C V TOPS FNDN. _ SYSTEM PROFILE TEST HOLE LOGS ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) RICHARD E3AXTER j* \ ACCESS COVER (WATERTIGHT) TO ENGINEER: WITHIN 6" OF FIN. GRADE MINIMUM _N MUM ,7�,' OF COVER R 0 E OVER PRECAST 2 SLOPE REQUIRED OVER SYSTEM r WITNESS: BOARD OF HEALTH EL. 56.4' RUN PIPE LEVEL 2 DOUBLE WASHED PEASTONE DATE:.. 1 Z _z 55,98, FOR FIRST 2' EXISTING 1000 \\ PERC. RATE = < 2 MIN�INCH p ** �' MAX. GALLON SEPTIC Locus w \ 54.8 CLASS T SOILS P# z TANK (H- 1O ) Z - -- . GAFr r 54.08' 53.97' __._ 0 0 0 CP [:--1 Cl 4 AROUND _�. I; EBEN SMITH z T HA ICA V cn 6" N R M EC N L _ CRUSHED STONE E 0 El E COMPACTION. (15,221 [21) P� CI �) E� 0" 57,4' DEPTH OF FLOW y �' 2 C] [ l� E = 0 ED �;� 7' _ a (�% SLOPE) ( 1 % SLOPE) 51 , w TEE SIZES: a 3/q" TO 1 1/2 DOUBLE WASHED S_.ONE INLET DEPTH = `10" LOAM AND OUTLET DEPTH - 14 , SUBSOIL 2, LOCATION MAP NO SCALE FOUNDATION---- EXIST SEPTIC TANK 33' -- ------ D' PDX 13, _ LEACHING FACILITY ASSESSORS MAP 171 PARCEL 201 INSTALLER SHALL VERIFY THE LOCATIONS OF ALL DENSE UTILITIES AND ALL BUILDING SEWER OUTLETS AND PERC 0 5' SANDY i ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF 6.57 GRAVEL SEPTIC SYSTEM I 8' V 56.99 45,4' MED. SAND +56.32 1-57,20 S V t56.87 r i -1-56.70 ' I * NOTE: UTILITIES HAD NOT BCEN DIG--SAFER AT TIME OF SURVEY / *: 6.62 �� ( •.98 � � AND ARE: SI-IOWt`l AS APPROXIMATE ONLY MUST BE FORMALLY DIG ,SATYR 72 HOURS • PRIOR TO EXCAVATION) 12 45.4' / / \ 6.71 /��/� BENCHMARK: � C� FIRE HYDRANTNO WATER ENCOUNTERED NOTES: , T� ; '' 1 0�{ ON TAG BOLT #823 ..� ELEV - 58.1Fa' -43.30 `~ 8,16 SEPTIC DESIGN: (GARBAGE DISPOSER Is NOT ALLOWED ASSUMED r �03 y ) 1 . DATUM IS LOT 168A & 1688 j ` . _ DE$IC; 1 I"i... )UV. 3 _ ) MS � ,P GPD 9EDRC O 11 15,223 SF± PAVFD 0 Q} �30 , 7 M!1)NlIC".I' WATE IS EXISTING 4c DRIVE \ �r �� USE A 330 GPQ DESIGN FLOW �77a \ \\\ 3. MINIMUM PIPE PITCH TO BE 1/8 PER FOOT. SEPTIC TANK: 330 GPD ( ) = 660 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 PIPE E JOINTS S TO BE MADE WATERTIGHT. USE A �500_ GALLON SEPTIC TANK 6. CONSTRUCT ION DETAILS TO BE IN ACCORDANCE WITH MASS. LEACHING: ENVIRONMENTAL CODE TITLE V. I!58.44 ``� SIDES: 25 + 12.83 2 .74 = 112 7, THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE 58,26 �. • \\\� �-k`�5.94 25 x 12.33_.._(_.7�#-) - 237 USED FOR LOT LINE STAKING. BOTTOM: _w _ __ __ 83 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40--4 ' PVC. 9 TOTAL: 472 S.F. 349 GPD 9, COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT INSPECTION BY BOARD OF- HEALTH AND PERMISSION OBTAINED r/r APP v� R � +57.3r USE (2) 500 GAL, LEACHING CHAMBERS ACME OROlv FROM BOARD OF' HEALTH. GAS EXISTING 5 ATV, TEL RISERS EQUAL) WITH 4 STONE ALL AROUND 10, LEACH PIT TO BE PUMPED AND REMOVED. DWELLING r' GAS g aAETER , s ELEC HANDBOX' TF 58.83' �" E,TER t(�$' 7.21 1 1 , CALL DIG-SAFE 72 HOURS PRIOR TO ANY EXCAVATION. 57.79 tt. LEGEND / INV OUT AC UNIT BUSH 1 95 .� EL = 55,98' s" oAKS�DECK 100.0 PROPOSED SPOT ELEVATION 5 L AIN f 10OX0 EXISTING SPOT ELEVATION 7.75 8.04 �*.Toc�ao 100 � PROPOSED CONTOUR OF 33 E B E N SMITH ROAD 7 FeNce I-H I . p (q J55 J7,49 ExisT. IN THE TOWN OF: \ X SAS � TWIN OAKS DWELL: 100 ------ EXISTING CONTOUR EXIST ( CENTERVILLE ) BARNSTABLE (REMOVE) r3, r.60 PREPARED FOR: ,JOIN TIPF'ETT 7.65 EXIST. ST ! BOARD OF HEALTH 20 0 20 40 60 Feet 57.15 _ MA APPROVED DATE PUMP AND 5 ti._6,97 SCALE: �" = 20' DATE; IANUARY 3, 2003 REMOVE LEACH } $56.84 \ - _ PIT +56,89 CONFIRM SUITABLE SOILS IN off $08-362-4541 AREA OF LEACHING FACILITY fax 508 362-9(ft PRIOR TO INSTALLATION. I � REMOVE ALL CONTAMINATED a , " �`�) o� 41 SOILS WITHIN 5' OF N1 W LEACH gown cape engineering, inc, ' r, 1lll �'� ti .r g ,� AANR H. FACILITY AND REPLACE WITH CIVIL.. ENGINEERS CLEAN MED. SAND. ��41� tiv !tA.4&� No,�;F�� s ' LAND SI.JRVEYORS � for 939 main st, yarrlouth, mo, _0267502-438 AR NE H. 0J _ _P.E., P..L.S. IAA T F,