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HomeMy WebLinkAbout0031 FARM HILL ROAD - Health 31 Farm Hill Road Centerville A= 247 - 065 11/1 �atcvccroco 5` UPC 12543 No. 5.3LOR HASTINGS, MN TOWN OF BARNSTABLE LOCATION A to 1416 47 .0 SEWAGE # VILLAGE ASSESSOR'S bL4P & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY l S—o 0 LEACHING FACILITY: (type) S (size) J NV. UP t3hDRUUMS_�/ { BUILDER OR OWNER 1 PERMITDATE: COMPLIANCE DATE: I 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 r N f. i�''v//J-'✓i%"j/% /101114 ; r ;: 777%_A,//11./ . ..ii��'�//!r°"::iif`.`�i-i/:'"%%L•/,i,l . .:i"':.r�r..../l/.;, .�j..i :. r;;. Llu ;!• �r ��y. 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G y""✓"i,%:lr,;. i i I i � f! i No. 79T7EE COMMONWEALTH OF MASSACHUSETTS FEE //, BOARD OF HEALTH / OF /r�2�✓Sc APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct (A Repair ( ) Upgrade ( ) Abandon ( ) -%Complete System ❑Individual Components t Location Owner's Name Map/farce]# Address �7 ��)) Lot# Telephone# Installer's ame �r Designer's N e r��,l✓vz� r,� �. ,17"y �1 ,d e ` Address �� 0-_ 4 Telephone# Telephone Type of Building: Y !5:71 Ae-u LA-- Lot Size Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons_ Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) � gpd Calculated design flow '14L+d gpd Design flow provided ++gpd Plan: Date 1 Z�`{ De;, Number of sheets Revision Date Title —'Y i''Cl `7\"� Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator b : Date of Evaluation DESCRIPTION OF REPAIRS OR ALTER TIONS 14 The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in opera until a Certificate of Compliance has been issued by the Board of Health. Signed DGe Inspections V U FORM I - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 T --E COMMONWEALTH OF MASSACHUSETTS FEE- A BOARD OF H EALTK, OF APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct (A Repair-( ) Upgrade ( ) Abandon ( ) -` Complete System ❑Individual Components Location Owner's Name F Z`t-7 - Map! arcel# Address s Telephone# ,;.. h v✓ <!� tC [i�D-�r/� �s.JN� `'-+`W/L`... 1.4 E�..2t t�Ca' �V ,� V lS`t b15 Ins r's ame Designer's V S l<; �1 Ott. 72O de /(J L �" 454 /dress S i Telephone# Telephone t# ' { AeAA.L A, Lot Size ��O P S%Type of Building: �� q.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of+Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) 1 `';'� gpd Calculated design flow 14 Ltd gpd Design flow provided 4* 'gpd Plan: Date 1-9 DO Number of sheets �_ Revision Date Title 't�.AG Description of Soil(s) , Soil Evaluator Form No. Name of Soil Evaluator M• �Date of Evaluation P5124 Lnj DESCRIPTION OF REPAIRS OR ALTE TIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in opera until a Certificate of Compliance has been issued by the Board of Health. Signed v Date —I T Inspections [R FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 i i r L. —————- ' ..,,..--- ---- �..,.4 _..------- N ----s.®��-----. _ _ ate_ No. 'C - THE COMMONWEALTH OF MASSACHUSETTS FEE rL 3�-a BOARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Dis osal S stem;Constructed( ),Repaired( ),Upgraded(k/)Abandoned( ) by: X �4�'AV i ����P-/L ` I at Z, has been installed in accordance with the provisions of 310 CMR V00 (Title 5) and the approved design plans/as-built plans relating to application No.' dated Approved Design Flow (gpd) Installer © Designer: L41 Inspecto� / © ate 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 J � HE COMMONWALOF MASSACHUSETTS EEOK9 � ,N KT f)4POANgOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( ) RepairUpgrade ) Abandon ( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. / dated Provided: Construction all b ompleted within three years of the date of this per, ca aiitions t-be met. Date Board of Health - i FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBSB WARREN TM PUBLISHERS - BOSTON TOWN OF BARNSTABLE e `� LOCATIONA SEWAGE # 7J VILLAGE v e ASSESSOR'S MAP & LOT r IIISTALLER'S NAME W PHONE NO. 4110 C,#P e .S e SEPTIC TANK CAPACITY % 56 p J LEACHING FACILITY: (type) 1,V- ,,1r"%6-?-' (size) 4 NO. OF BEDROOMS BUILDER OR OWNER y PERM ITDATE: 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 'x Furnished by j E7O lit ,u I7 a i . ,q e:.i; TOP FNDN. AT EL. 1 �, SYSTEM PROFILE TEST HOLE LOGS 0 3 . ' CCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) M. FARIA, SE � ACCESS COVER (WATERTIGHT) TO ENGINEER: F31m4'. MINIMUM .75' OF COVER OVER PRECAST F FIN GRADE P REQUIRED OVER SYSTEM DONNA MIORANDI RS WITHIN 6 O 2y SLOPE 0 D 31.0 WITNESS: ' LOCUS 2" DOUBLE WASHED PEASTONE` DATE: AUG. 21, 2000 RUN PIPE LEVEL H HKLS 29.7 * FOR FIRST 2' H-20 HIGH CAPACITY INFILTRATORS 28.0' PERC. RATE = < 2 MIN/INCH s� PROPOSED GALLON SEPTIC 28.25' CLASS SOILS P# 28.50 TANK H- 10 ) 0 27.5 2' ® SIDES 27.5 .;:: .. { BAFFLE 27.67' o000 1.5' ID ENDS MIN 2' l 7 ELEV. ( 2 % SLOPE) \__6" CRUSHED STONE OR MECHANICAL 8a 0" 32.0' o COMPACTION. (15.221 12]) $ � 14„ 25.5' O/A CRAIGMLLE BEACH RD. DEPTH OF FLOW 4' SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE SL *EXIST, INVERT TO TEE SIZES ( 3 P.' 1 OYR 3/1 BE RE-ROUTED TO INLET DEPTH 10 10 COME OUT FRONT 14" LOCATION MAP NTS OF DWELLING OUTLET DEPTH .� B LEACHING FOUNDATION-- 11' SEPTIC TANK 17' D' BOX 2 5.5 LS ASSESSORS MAP 247 PARCEL 65 FACILIT' 36„ 1OYR 5/8 29.0' ZONING DISTRICT: RB YARD SETBACKS: C FRONT = 20' SIDE = 10' 20.0' MS REAR = 10' 1OYR 7/6 PLAN REF. - 118/133 FLOOD ZONE: C AP DISTRICT 32.8 CON"RACTOR TO CONFIRM SUITABLE SOILS IN AREA OF LEACH FACILITY PRIOR TO CONSTRUCTION OF ANY PORTION OF SEPTIC SYSTEM 144" 20.0' 2.1 © NO WATER ENCOUNTERED N T 0 0 ES• � o 2.3 TH 32.0 31.8 �RNOS 29.7 Rfr 32- cApW4 SEPTIC DESIGN: GARBAGE DISPOSER IS NOT ALLOWED ) 1. DATUM IS giN�H p E nF � APPROXIMATED FROM QUAD I 32 31.4 LOT, C( 32 31.7 7,500 s.f. 31. N DESIGN FLOW: 4 BEDROOMS ( 110 GPD) = 440 GPD 2, MUNICIPAL WATER IS EXISTING .- t:, / 3i:•t_ �a � /1' DES C" 1 - 3.--MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. 30 �Q `._/ -' =�, z o f ��� H - O GPD ��CE�,J FLnU �e '5 - SEPTIC TANK: 440 GPD (2) = 880 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10' n F EXISTING ?p' / 5. PIPE JOINTS TO BE MADE WATERTIGHT. O DWELLING USE A 1500 GALLON SEPTIC TANK -- 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. TOP FNDN � LEACHIN ENVIRONMENTAL CODE TITLE V. 2(53 + 6.83) 2 .74) - 177 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT b --- PROP. 31.7 f p.31. 29, / O SIDES: ADD'N� TO BE USED FOR ANY OTHER PURPOSE. L `\ � 53 x 6.83 (.74) = 267 31 BOTTOM: 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 'or 31.3 31 / TOTAL: 600 S.F. 444 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT 31 `�. INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 31.6 31.53 cn / USE (8) H-20 HIGH CAPACITY INFILTRATORS WITH 2' FROM BOARD OF HEALTH. C �� , -44. 31.3 �r STONE AT SIDES 1.5' AT ENDS AND 14" UNDER 10. PUMP do REMOVE (OR FILL W/CLEAN SAND) EXISTING SEPTIC SYSTEM 31 Op � �.�. 29 / ,�, LEGEND77 TLE 5 SITE PLAN 30.1 0.031 - ' / 100.0 PROPOSED SPOT ELEVATION OF 30 y 31 FARM HILL ROAD 10Ox0 EXISTING SPOT ELEVATION / IN THE TOWN OF: t� ' 100 PROPOSED CONTOUR H YA I v N I S ( PORT) . 29.8/ RE-ROUTE WATER LINE SO AS BENCHMARK - NAIL SET IN TO BE >10' FROM SEPTIC 100 EXISTING CONTOUR U TIL. POLE EL. = 31.54 SYSTEM COMPONENTS (OR PREPARED FOR: G A R Y & N AN C Y B R U S TA S SLEEVE-WHERE WITHIN 10' OF COMPONENTS) RE-ROUTE GASLINE AS 20 0 20 40 60 NECESSARY BOARD OF HEALTH APPROVED DATE MA SCALE: 1" = 20' DATE: DECEMBER 4, 2000 off 508-362-4541 fox 508 362-9E80 ' 9 I mown cape engineering, inc. ��`�" OF OF MgdJq < : CIVIL ENGINEERS ARNE H. ARNE �, �o� � oJAL�► �. o H. R OJALA CIVIL H LAND SURVEYORS N .30792 0. 26348 woe / 9 E0 Qa` < 939 main st. yarmouth, ma 02675 00--200 JALA, .S. DATE