HomeMy WebLinkAbout0057 GLENEAGLE DRIVE - Health 57 GLEN EAGLE DRV, CENTERVILLE
A —
{
UPC 12534
No.2.153L R .
MAKIN00.Vol
No. FEE
COMMONWEALTH Of MASSACHUSETTS
Board of Health,&le io,i-cJo Ve ,MA.
Q APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application fora ermit to Construct(tKRepairO Upgra eO Aban on ) - ❑Complete System ❑Individual Components
Location Owner's Name '� Ev f -r)
Map/Parcel# L p c� 1 q _ 3�, Address
Lot# `. Telephone# Sob- LA "- , `kZo
Installer's Name M$h Designer's Name �- h s • /T a
��- ,-)
Address P, D a X G Address �� ,1!L �3 ���� L-0,,
Telephone#S6 -3 S' OAS Telephone#
Type of Building ��\�1 SZ~ � Q�����a �(.1.%t? � ��. C Lot Size } C - sq.ft.
Dwelling-No.of Bedrooms Garbage grinder ( )
Other-Type of Building No.of persons Showers ( ),Cafeteria ( )
Other Fixtures s� � �
Design Flow (min.required) gpd Calculated de _ �isign flow Design flow provided 3� GQ gpd
Plan:-Date - L Number of sheets -1 Revisi Date
Title (� 1�
Description of So`Cl(s) � ' POIA
Soil Evaluator Form No. r - l ' Name of Soil Evaluator 0�&i,I4!.LC/rO Date of Evaluation
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 ajenes to not tc lace�e system in operation until a Certificate of CTpr--C�0.
e has been issued by a Bo d of Health.
Signed /I"4 d !J /r 1ol A ti.FJFfi- Date q v—
Inspectiow,:s 9
...
I
ro i y
.No. �>-�., �j _ J• 4 � FEE
n Board of Health; 'V) :e � MA:
�'\
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application fora ermit to Construct(i-yRepair( ) Upgra e( ) Abandon( - ❑Complete System ❑Individual Components
� 6o/d/a �vG-�+
Location �.��(''// t �C,�+J0 Owner's Name 1 ill�ow t ?,v f)
Map/Parcel# - } = !� i ,9 4 3�o Address rJ �3 L - Mmmt1► k
Lot# Telephone# Qb-*,L-n- I
Installer's Name a h w,s Designer's Name - , p d
Address D r Address
aX Ic �s t �--++
Telephone#S'0 5 tL-19f, - 3�!S 1 D ZS 4 Telephone#
Type of Building 9-- `-Qr .�,a �,1.�P�� ',1 Cs;�- Lot Size (jj sq.ft.
Dwelling-No.of Bedrooms _ Garbage grinder ( )
Other-Type of Building No.of pelsons Showers ( ),Cafeteria ( )
Other Fixtures _
Design Flow (min.required 0 3 1 gpd Calculated dejsign flow Design flow provided h s2r,gpd
Plan: Date Number of sheets 1 Revis' n Datey�
Title �IJ.Q S t1 � I
Description of Sol (s) tt --
Soil Evaluator Form No. i � 'W Name of Soil Evaluator -CkDate of Evaluation �- -
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 agees to n- - -ot to lace�e system in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed A'► -1,�l�i ,d t i Date ( ,�a. �`7
ov
Inspectitis�1
r •
No. � FEE /4OV,
COMMONWEALTH Of MASSACHUSETTS
Board of Health, C "Q4..
CERTIFICATE OF COMPLIANCE
Description of Work: ❑Individual Component(s) r Complete System
The undersigned hereby certify that the Sewage Disposal System; Constructed,4, ,Repaired ( ),Upgraded ( ),Abandoned ( )
le
has been installed in acc rdance wit the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to
application No. �d'a"ted x ''� `` Approved Design Flow (gpd)
Installer A 1 r -
Designer: Inspector: !!%? . _ /.�; i Date: /
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
No. C i'.kY3 �l` FEE
f C®MMONWEALTH OF MASSACHUSETTS r t\ h��l
` , F Board of HeaCCli` �� MA.
y Ar
DISPOSAL SY'�N'[(ONSTR CTION PERMIT
Permission is here�y nted to; Construct( Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system
at 't- -� �� �'I as described in the application for
Disposal System Construction Permit No. 4sated '� 4y �
Provided: Construction shall be completed within three years of the date of.this permit. All local conditions must be met.
Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date Board of Health
TOWN OF BARN STABLE ®��;�/��
LOCATION �/Ieh EaO4 SEWAGE # _'2a
VILLAGE (.�n,��2u��f CO ASSESSOR'S MAP & LOT IG7
INSTALLER'S NAME&PHONE NO. �(T(!U 9 �a(��®fu S
SEPTIC TANK CAPACITY i w6
LEACHING FACILITY: (type) Icn h ita NS (size) iJ
NO.OF BEDROOMS
BUILDER OR OWNE U
PERMIT DATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility A Feet
Private Water Supply Well and Leaching Facility (If any wells exist ei
on site or within 200 feet of leaching facility) hF Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) ,� Feet
Furnished by TNA"v-d.
° T. 0 W- N of 4 5 Tali 'e-
d
LOCAT16N �Ch
�—T
VILLAGE
•SEPTIC PERMIT NUMBER -1-1
DATE ISSUED
ENGINEER
APPROVED DISAPPROVED
SIGNATURE
DATE '
DATE COMPLIANCE SENT
a
$ah4h HARK 3.3 Gvtk4a V
�I�,fi y',o" Fo�,►�atioa Near _ �
O.Tl tD tot
�t •�" x f,l va{ors
� -FP,
L A. PLC
TOWN OF BA RNSTABLE
LOCATION e SEWAGE #
VILLAGE CD,011`¢.ul 19 ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. T rl aF1�e IDS Cal
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) : to 3�i J j hata 1'S (size) [J
NO.OF BEDROOMS 3
BUILDER OR OWNE ^Ua
PERMTTDATE: qoLcl COMPLIANCE DATE:
Separation Distance Between the:
1i 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�Ma n 0 d a E 4.>Q1 S
� �► b ly 01
�-
Zl
T•1- 491`1
'0
�;� 4�- vel S �'t.
11T4oH $'9'4 tTvpo, 01.
1774)MOD E C WIN 4'wag
'7 7' 7
7
�7
c
7,7
AREA
YS TEM !" POFI
'30
CALE: 17
' N0T.:,,7O-"SCAE
6
A el 6 Y X 04 T-XPM yol
�Fliv rADE
60V�OWA Mr0AAAVl TOW OF'BARNSTABLE. UHA VE
MARCH 30. 1999
0, .30 0,
OVER
TOP,FA(D
NO TES;
6r�, rRON I EES
CAST A
-7
14 .54�'
49sm
'T FL
J.� ELEVA TIONS,'BASED, OlV..ASSM'D 0
150 -, AL
TE�TOW EGUA L
_ 2 IV,WA TER i�* 4 FORCED,FL 000 ZONE "VC Ar'
DIS T'-WX
CONCRETE
A
�BAAFL
0 BE
rl INSTAL
E VEL rA BL E'��S
4
SEP TrC,�'TA
NK
OR
TO. BE.,rNSTALLED :ON A 92
VEL STABLE�,,�?ASE',LE' L
'.�`AQUAFrP PR0TECTX0Af,0VERLAY:DlSTRXCT
A BO VE�'OBSER VD
EgUrPMEIV 0 VE ,
A10 TE.-,DO WO T 'RUN HE4 V Y
TEM
XA ER
-SECT-10
L EA CHI NG -'INFIL TPA TOP
PER
COLI
NO �' AN
T, TO,�,,SCA L E
P,�6FL
FOP
9PA DE
SEE S YS TEM
lot
m IV 2 1/8" 12_�,
RC `RA E,
WA SPED $tOl4e
-A KE "B rA/
7
Ir rNESSED BY 41TOAA
'I rle
Avo
,-.D4 T
E
A
-4 'DIA PIPE
TEs r,P, EL Ev
r
EFFECTIVE
IVA TUPA L S011-
'47
40YR
AVY�iaw
LOT 13EP LOT 16 ,
L
3 4 �il, 112
4�
WA
SOV L OAk 10
y
�4A 10 SHED 5 TOINE
EFFECTIVE WIDTH y
TED IDEWA
EXCA VA LL
13-05'12-E
-4v
Ica
100.04 --------------
AV Z'Sy 616
D8 Se
TEIVCHES.`�l
NUHBER�VF,
c
�aan th�robbjv�,
d id &and mi th Cobb!_00Z
r�ve
NUMBER F INFIL TRA 5
LOT �5
0�74.t �20
PROPMED LEACHNO
QESIGN"DA
XAFrL MA MRS MX TH
TREWOV VIM f4)
41 MW ALL AA m f7.f ,,, S.''F. SIDENALL ', AREA 74,-'&A L.�91S,��, OALS� ` NO.�OF�
x -10' 2'
01 10
DrSPOSA L,
GA
�346 'SF, A90TTOM ARF_Ar �
s sp L S TO rA I-"'DAIL Yzkh�uE
'256
Iser PnaM IV /`
74:,,GAL
'i�S T4
&A L
RESERVE sEpTrcl,,7-A
AEA 'GALS
F. TOTAL, (GALS/S�r
4t
_-GENEPA L
00 NOTE.,
LOT '6 'AL:L�,-,SY.15;rEM-�COMPOIV,��'t.�; �:sjqA L-, AL BE IN,
0 L
LOT,�4
S
E :A CORDA WI TH TITLE'.5--OF.,,'.'4,��7-HE-"',�,��tA'7',�� -SAN. AP
SEP
rp 2 EXCA VA 7E TO EL V41.C) �OR L O)vtR' �qeaurRED
TED NA I 'A 'AN it'OCA PUL
E.5�,,APPLIeABLE:
�A
0 REMOVE� LL �LoAk�A CLA CON AIING
T, '
ANY CHANGE ;IN THIS,.'PLA
mA 7,6,qrA L,:BENEA TH, rw L EA cHrAts �A 4EA.REPL A N-. T7
Y
EXCAVA TED HA ��IAL P.7 TH Ct_'EAN,� A K REE`GRA VEL, _TWAND`I-FEPPEIP,� ',ASSOC."!
PA0P0SrD'(%j C4
F THE, 8 OA RD, "OF 'HEA L
�amnoa,4 House
BA G /vG
CONS T UC ION',:IS �'COMPL E TED'�)HECHA NICA L L Y COMPA C TED INPLACE'
34,; WHEN
_BOA PD 0j:" "H
AID.'EL V MUS T'.r E,:CHECKE, E COMPL
P6
Y
rp I
�167 EA L TH'FOR "INSPEC ON:,
r
TeD
5.� TPESE ,ELE V.:MUS T� NO T� 88,'�CHA N
LEGEND' '
T HE BGo T"
-0F, I 'D' 'WHEIV VA
PD E
H A L H -NSPECTON,,-RE0
6, BOA
EXIS T.GROUND ELEV.
50.
01PA
INISH GROUND ELEV.
EL. 50.0 ASSMID FA
'7V
SPO
"PLA
SEW
AGE 'DI SA,L' ��`SYSTEM,,
PIPE:.rAf VER 7' ELEV.
'100 00
PREPA RED. 'rop,
PrT L OCA TION
S 11 *31 40 IN TEST.
SEP
EV
F_0_0�
TIC, TA
EL�
TRIBUTrON BO, -78L ENEA
DIS
LO 4 PVC OR SCH 40
4*Br T.FrBER PIPE-TrGH
DA
A
7��EPEIRA', ��OCXA TES::�,�
AROPER T L .wf, w1v
CK 'AS
S 19A DS 4AICE �,SPP. NG; A 5,
.6 63
AP SEC PCL
M *ED TH,�:.,, 4A SS
N- '7 7
t %
%:
7
APEA PLAN,
PP6FIL�-
SYSTEM
LE* 30 ,'
SCA
�A
)VOT ' TO SCA L E'Z'
',FINISH GRADE
—P- 7iE
TXQ -flQ1
WORAMI
'INISH�,GRA
DONNA TOW OF BAWSTABLE
GRADE
FINISH
j�LA 1999
RCH 30, 'OVER TRENCHES
0 VER TANK
0!
WY,
F171k�7/11
TOP:FN0
lip
NO TES;,
SCH 40 PVC'�
OR
CA S r IRON I EES,
47.9
it
SED ON A SSM*D 4-
I.' -EL EVA TIONS BA BSM*r FLR v .
4.
SAL
EQUALIZERS.
2. TOWN .WA TER ON SITE 44-.o
REINFORCED
GA S DIST.80X
3. FL 000 ZONE "C �A
CONCRETE I 1� I P.,
A:F:��:E:
INS r
ro"BE ALLED A'
LEVEL-,,STABLE BASE
'T
' SEP TrC
TAW L
RENCH�
ENG
TO BE INS TA L L ED ON
LEVEL 'STABLE'-BASE
"A GUA FIR PROM0710H OVERLAY DISTRICT APR
. ' NOTE.' DO NO
'H
5'MIN. FIGH T
f uN HEA vy EourpmENT o vER Z YS TEM A BO VE OBSER�Eb
GROUND WATER.-
LEA CHING ' INFIL TPA TOP SEC TION
.............
Nor To SCALE. SOIL .; AND "PEPCOLATION -DA TA .,
FOP FINISH GRA DE
-9376
PMArraV AV. P
SEE S YS TEM 'PROFIL E
mi/v �P 115 -J 11'
WASNED S TONE PEC.:RA TE
oo
TA KEN 8
MI MESSED BY
MIAMAN21
DA fE
PEROD-A r 68
4!'D-tA.PIPE TEs r ess rmv 5 NJ
PIT ELEV.�:,
e
too TEST WE I
NA TUPAL SOIL EFFEC 77 VE TEST AX
DEP *0
Or 16 TH,
L LOT 15 S.
AAvyLa4N,,-J0YR512- :.,i
Amylaw '.fom
314"1-1 -112",
WASHED S TONE
SANDY La4M YOYR'518 SAAM
EFFECTIVE WIDTH ', LOAN''JOYR 5 8
FO SIDE:WA L L
EXCA VA 7 0 1-10 1 32,
_J3*05 8JR IVE 4'-0'
160.04 ---------------
NUMBER OF TRENCHES SAND 2,15Y 6/6,
ffledJUR - coarse medim— coarse
sand with cobbles
sand with cobb�as
stones 9 PDX oravel
202'of-evel
TRA TORS
NU ton" 9
SE :Or' 41�IL
LOT 5
18, 074.tSF
AV 19ROLMMA MR
PROM Acww
rprAcH rm mi
-QATA
DE IGN '
F SIDEWA
171 S -' 126:&ALS.
4' STONE ALL AROVAV L L' AOEA 74 GA L SISF
NO.OF BED�?OoAis,
32' x 101-10,x 2'
346 . S F. BO T TOM AREA" . �G ' ISF
, I �' '. DISPOSA
ALS
256 ,GALS-
''EST. TOTAL 'DAILr,,EFFLUENT�-MO
"SEP -'TA W Q-Q-� GAL,
-382
GA L SISF
517 : S. F. TOTAL AREA GALS'
NERAL
OE
"OX
00 NOTE.,
'LOT 6
-� BE' IN TALLEDA
LOT 4 - ALL S YS TEM, COMPONEIV TS SHA L L es IA
f5oo SAL
9EPTic
I I I I I I .I I - I I . I ,,, I, .1 .,
4 --lITLE 5, A Tt'-SAN TA R Y6�L OD
A CCODA Alet ,XI 7H ' T' E
YAW EXCA VA TE, TO EL EV. 41 6-OR LOWER A S REdurRED OF H ST I E'
TO REMOVE.ALL. tOAM AND CL A Y CON t4 11VIAtG DA TED, MARCH UL ES APPL IC,
19P5 �,ANY LDC AL ' P -
26 t--
HA TEPIAL BENEA TH.,THE L EA CHING A REA.REPL A CE 2.. ANY CHA NGE IN THIS L A IV MUS 7. BE- .A PPRO VED
EXCA VA TED -HA TERIA L W1 TH CL EA N,CL A Y FRtE
pnopasm 0) GRA VEL B Y: THE. BOA RO ' 6F, HEAL TH AND .)�:E�
SS
Aamwav msE
FUL ASK
HEN,,CONS'MUCTION "I .COMPLErED,�PPIOR. TO`HECHANICALL Y,compAcTEorA1(, PLACE
8A CKFIL L
OF-'HEA L TH FOR 'INSPECTI 06
4 COMPLETED
FAO,., 8L E V f 5. THESE, ELEV. MUST,-NOT-SE:"CHANGED WITHOUT.
L EGEND
PPR AL:� ' .
RO
-HE'
7 A OV
RE01
H 'D WHE ECA VA MD,
6, BOA RD OF,-HEA L T TION
EXIS T.GROUND EL E V.
-50................... 50
DEqCH NAW
W&60FPAV*T.
a. 50.0 ASSN'D -GRou ,7,ELEv.
FrlvrsH
5POSA L SYS TEM �'-PL A
SEP A GE
-LEV.
PIPE.,IAIVERT r-
'100.00
PREPARED
S 11 '31 140 NA/ rEs r Pr 4 oai Tim
CHA EVEN.".
'SEP TIC TANK
EL
DIS uTrolv aox ENEA GLE"',DRI,�'.GL EN V& 13 rRrb
4 ffC..t.OR:SCH 40 PVd
ABLE,'.� WASS
ii�- 4 0Br r.FER i;,.rpE-rrGH T ODI TS
-AP
PROPERTI LINE DESGkED:
S
DATE RU. 4 199-9
ER IRA�.,-ASSOCZ4'SET
BACK DISTANCE
:SCALE. AS-,SH0
I SPqIiVG
63
L U MO
n1
in
E
NO TjE%5
71 00�,-
CHECKED
MAP SEC�� Pa'� Lqr- IHSE DRA WING N,