The URL can be used to link to this page

Home My WebLink About0121 HIGHLAND DRIVE - Health LA HLGHLAND DR. TERVILLE 190 055 No. 4210 1/3 ORA C� 10 �.�; 0 0 0 0 i TOWN OF BARNSTABLE Lf LOCATION SEWAGE # VILLAGE �`6�-pal` l�rt�F. ASSESSOR'S MAP & LOT- f-- , 1CL INSTALLER'S NAME&PHONE NO. Clime— SEPTIC TANK CAPACITY �� yc� 5 3 3, y LEACHING FACILITY: (type) (size) �`X S'.7-Xor NO.OF BEDROOMS BUILDER OR OWNER y � PERMITDATE: d'' ' �" �''� COMPLIANCE DATE: 9 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 G P G- 3 3 G 1/ C. 3 l Oft G 17 N -7 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for Oi5ponl *p.5tem Construction Vermit Application for a Permit to Construct( )Repair( )Upgrade( Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. /off/ /y�/L 4✓4�,j Owner's Name,Address and Tel.No. Assessor's Map/Parcel 0 1:5 � ts'� �?/� j�-�� a►y ,��e^�-O(//f Installer's Name,Address,and Tel.No. ��® r> Designer's Name,Address and Tel.No. G �/ �c�1 / �' �y •Q" J'��"��-.r5`et/�`�` 1+'�.rs --oze -4---r,rid Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building�'!�'/��'� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date �+✓�� , ®o.< Number of sheets ,1 Revision Date Title � �o Size of Septic Tank ��"®�• ��"� Type of S.A.S. Description of Soil _ ( S 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 by this Board of Health. Signed _ Date `.,w®� Application Approved Date 4? Application Disapproved for the following reasons Permit No. �24Q — 67 7 Date Issued ^SJP , TOWN O)~BARNS]TA�LE y �` LOCATION " � VILLAGE G C'sL�l�G'�t�c�' -ASSESSOR'S_MAP& LOT -<-- j INSTALLER'S NAME&PHONE NO. 6;r; SEPTW TANK CAPACITY LEACHING:FACILITY: (type) ' v (size) r F, NO.OF BEDROOMS BUILDER OR.OWNER :/ycfi✓� oJ'J' PERM':ITDATE C,OMP.I,IANCE;;DATE:; Separation Distance Between the:: 1Vlum AdJ.usted Groundwater Table to the:Bottotn of Leaching Facility Feet Pnvate'Watei Supply Well and Leaching Facility:,(If any wells exist. o- z bn site or.wt:thin 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 i>'iw, �rcCG� :. t - E z ' O ^V 7-7 lqO 1 F} Y _ F 4 _'� / No. Fee '*�✓ t` C THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ,_ ; j Yes . PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0[ppYication for Msspogal *pztem Construction permit Application for a Permit to Construct( )Repair( )Upgrade(,)Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. /aZ/ /v 11Z d b.0 Q� Owner's Name,Address and Tel.No. Assessor's Map/Parcel /9� � fs ��y�-�q �y C.�/� �/j�0�y-ti/f' Installer's Name,Address,and Tel.No. �,s—O ,G,ry Designer's?Name,Address and Tel.No. f .v �Y,!'� /�j..4. .7 2� r 13 -. 16 -OZAW.v% h 9.Z..�_ Type of Building: Dwelling No.of Bedrooms — Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date -"d,oa oco/ Number of sheets Revision Date Title Size of Septic Tank i'�``"'y C�c^i Type of S.A.S. //�4 "e 7*A00'rr a-,CoA Description of Soil t Nature of Repairs or Alterations(Answer when applicable) a 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 by this Board of Health. x ' Signed.d. �' Date`' !� { Application Approved b J' ✓ Date ' ^ 4 Application Disapproved for the following reasons Permit No. 4?OPd/ Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded(,') Abandoned( )by l'�//:wi Z r 4.4• has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit N7A0/—•4;_700 dated J'--Z;"e 0/ . Installer Designer The issuance of this pe it shall not be construed as a guarantee that the[system, will functio as de i ned. Date /! 'STD) g Inspector4 Y ---------------------------------------- No. /.+ Fee arm.' THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mi5po5ar *pgtem Con.5tructton 3permit Permission is hereby granted to Construct( )Repair( )Upgrade Py5)Abandon( ) System located at GC!`IA 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 thisy it. Date: 4?- .Fe �/ Approved b ,e .' Z �, �, 4 ,• d S WEETSER ENGINEERING ,5 P.O:.BOX.TtZ—SOUTH-DENNIS—MASSACHUSETTS 02660 TEL(508) 398=3922 FAX'-(508) 398-3063` LAND SURVEYING ENGINEERING—TITLE 5 SEPTIC SYSTEMS. PROPERTY SURVEY ANDIFLOOR PLAN SKETCH Please fill out this form,including the,f loor plain sketch; and return to us with the signedproposal and retainer. Total#-of Rooms Year.Round Home Seasonal.Homey ✓ Owner.Occupied Rental' � #Bedrooms ✓ Family Room/Den Living Room Dining Room: _ #Bathrooms Washer/Dryer ✓ Dishwasher ✓ Garbage:Disposal Gas Service Town.Water In-ground.Sprinkler Cellar. ✓ Full Partial(Crawl) Slab- Wells: Main Use. Irrigation Only (please provide location of all wells) PLEASE.USE THE SPACE BELOW AND/OR.THE BACK OF THIS-SHEET TO PROVIDE US WITH A ROUGH:`SKETCH:OF THE:EXISTING FLOOR PLAN(ALL FLOORS)this will be needed,to complete the.engineering design and is required by the Board.of Health. Me to n c7� D el U e eelt4e-A c �o0 TOP OF FOUNDATION 20 FT. MINIMUM FROM CELLAR SOIL TEST P#1 0j032 10 FT. MINIMUM FROM S_AB OR CRAWL SPACE DATE OF SOIL TESTlQl____ ELEV - 100.00_ 10 FT. MINIMUM -- CLEAN SAND SOIL TEST DONE BY SwEFTSER EN,�E RING (AjSUMED) CONCRETE WITNESSED BY _�L_HA$Rll1=iN--____- COVERS a" SCHEDULE aG PVC PIPE 1 7LOAM ANG SEEL OBSERVATION HOLE 1 ELEV.- 99.00 7- j MIN PITCH '/8" PER FT. -'1 L"4k*N ' AYER OF PERCOLATION RATE < 2 MIN./INCH AT ` 60 __ INCHES \ 1 ' C/'►�N�� DEPTH HORIZ TEXTURE COLOR MOTT. OTHER ______ __ i W LEGS II9.SO MAX. \ T EXISTING SPOT ELEVATION o0xu 0-6 A LOAMY SAND j 10YR4 1 NO ROOTS 4" CAST IRON PIPE I --�- - P % (OR EQUAL) MINIMUMREQUIRED _ _ �, - ---"�" EXISTING CONTOUR -FINAL SPOT ELEVATIONPITCH 1/4" PER FT ; CU FT OF 6-26 B LOAMY SAND i0YR6/6 ROOTS ONCRETE FINAL CONTOURFLOW uNE -- _._ ANCHOR SOIL TEST LOCATION 26-132 C MEDIUM SAND 2.5Y8/4 1 UTILITY POLE -0-10"LEV - 97.05 '"7MIN TOWN WATER =W1 0 0 17ELEV 96_SS �~ - CATCH BASIN° I = i95.17 GAS LINEELE'v - Q J GAS ELEV. _ __ .40_ - LMPELEV - �¢ _ o o ° CLEAN OUT C BAFFLE Q ° o ° ° ° ° CESSPOOL C.P. 0 -_ DISTRIBUTION - ° o ° o o ° °o 00 ° ° o 0 0 4� °° o ' ELEV. 04�00_ ( LIQUID OUTLET - - - - -- TEE (TO BE PLACED ON iDEPTHFIRM BASE) T BOX I 6 HIGH CAPACITY INFILTRATORS WITH j 4 FEET 14 INCHES o BE WATER TESTED STONE IN AN j 5 FEET 19 INCHES 1500 GALLON IF MORE THAN ONE OUTL. ( z 6 FEET 24 INCHES f •00 Nu WATER ENCOUNTERED AT 132„_ ELE'v. " FEET 29 INCHES TO BE PLACED ON FIRM BASE) 6' X 45S X 2 TRENCH FOK 'ATiON WELL N A L8 FEET 34 INCHES ; SEPTIC TANK " TO , ,/r CLEAN 6n ZONE 3/4 SOIL ABSORPTION INDEX DOUBLE WASHED STONE ADJUST FREE OF FINES & SILT SYSTEM SAS DESIGN CALCULATIONS USGS PROBABLE WATER ' ,BLE ELEV. = ______ NUMBER OF BEDROOMS _3__ SEWAGE DISPOSAL SYSTEM PROFILE OBSERVED WATER TABLE ( / ) ELEV = GARBAGE DISPOSAL UNIT r BOTTOM OF TEST �iOLE ELEV $ _m,QQ_ TOTAL ESTIMATED FLOW ( 110 GAL/BR./DAY X 3 _ BR.) _ Q_ GAL./DAY REQUIRED SEPTIC TANK CAPACiTl _ Q_ GAL. ACTUAL OF SEPTIC TIC TANK Y1� GAL, SOIL CLASSIFIC DESIGN PERCOLATION RATE Ste MIN./IN. EFFLUENT LOADING RATE _ _ GAL./DAY/S.F. LEACHING AREA SQ. FT. (605)+(51=2) LEACHING CAPACITY (AREA X RATE) AN-74 GAL./DAY' 474.00 X 0.74 RESERVE LEACHING CAPACITY NONE GAL./DAY NOTES: ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN OF _ BARNSTA=___ RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. ` 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 USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. E 4. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED IN PLACE NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH t 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 x 97.0 `a PRIOR TO COMMENCING WORK ON SITE. 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS x 86.9 SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER _ IMMEDIATELY. x 86. 8. PARCEL IS IN FLOOD ZONE C 96. 9. LOT IS SHOWN ON ASSESSORS MAP _ t60 _ AS PARCEL 10. EXISTING CESSPOOL IS TO BE PUMPED AND BACKFILLED. x 97.1 11. INTERIOR PIPING IS TO BE REPLUMBED TO EXIT AS SHOWN. 12. WATER SERVICE IS TO BE RELOCATED AS SHOWN. 98.1 D x 1 1.6ZN M�SSq 78.0 �6.5 `�'" �y� c. X 95.8 T A_DUMA APPROVED: BOARD OF HEALTH < <� � N U NO y i ' SIEP LPL x 100.1 tiNITA�'' DATE AGENT t oo.0 EXISTING DWELLING PROPOSED SEPTIC DESIGN X 86.3 g4•5 3 BEDROOMS r �n'� 100.1 \� o J NANCYR 0 S KR S SOIL ' LOC. ,ems �93 \ TEST D. BOX x 1 t d �z� i LOT 8, L.C. PL. 30545A 121 MGHLAND DR, C. V VE ILLE x 92.2 1500 GALLON � SEPTIC TANK x 100.5 L ��i /n �; ��,7 I 235 GREAT 0. WESTERN 7R N ROAD �✓ i 508 SOUTH DENNIS, MASS. I �L 398-3922 02660 U X 99.7 x 1 DATE JULY 16, 2001 SCALE 1 1/ _ 20' 99.3 �oX 99.9 REVISED JOB N0. 5159-00 i i LOCATION MAP I REVISED -� SHEET 1 OF 1 I C: S8 PROD 5159-00 DWG 5159-OO.DWG 0 2001 SWEETSER ENGINEERING