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HomeMy WebLinkAbout0083 INWOOD LANE - Health EOOD LANE RVILLE 6 ,148 001 I s % � r No Rd �' � ` : � FEE /07,&d COMMONWEALTH OF MASSACHUSETTS Board of Health, 54,9-05T'A,l'bLie , MA. APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct>(Repair( ) Upgrade( ) Abandon( ) - Xomplete System ❑Individual Components Location *63 10VJC0Q L,A 06 wner's Name Map/Parcel# '22-6 Address Lot# 2 Telephone# ,� Installer's Name g� Designer's Name QOR&O'0 G(L©5$YI AP3 P 67; Address. P 0 s-/ I ✓�It, YA, Address 10 M��4V IG"> � 6, F�10 Telephone# �0 -����/ Telephone# r'�}8 • 19?JD Type of Building ( s L I Lot Size S 3 I-1:L sq.ft. Dwelling-No.of Bedrooms e' Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures 01 Design Flow(min.required) C gpd Calculated design flow C Design flow provided 4p'�J' f gpd Plan: Date Z000 Number of sheets Revision Date Title 51 rS t SGW046e� pspo-A-L- i0(,AQ3 L-or Z,0 )OW000 l..A►t l� Description of Soil(s) ?J/at..)0 4 6(ZAQl' k— _\ Soil Evaluator Form No. Name of Soil Evaluator F.15(. U.1�-/AC Date of Evaluation 03/ r7/,:!>& DESCRIPTION OF REPAIRS OR ALTERATIONS The ndersigned afireNtall the jabdescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and f flier ees t t peration until a Certificate of Co" pli a has been issued by the Board of Health. Si Date /P )A0 �s 6 �2 �ZLO-725 Al A FEE I ,Gra4 -COMMONWEALTH Of MASSAC14USETTS Board of Health, ILL MA. APPLICATION FOR ➢ ISPOSAL SYSTEM CONSTRUCTION PERMIT a Application for a Permit tcgConstruct Repair( ) Upgrade( Abandon}( mplete System ❑Individual Components wner's Name Map/Parcel# 2,ZtD �$+� Address Lot# Telephone# Installer's Name / Designer's Name 00q.MO-0 6(ZOSSW1Ar3 (,1-; �Address Q 8 O -� r �. Address k 0 M fte5 4 V(6 t t� — 6► e4,L1V1 lephone# �j .5 Q j t Telephone# T46 . 1CDZ0 T:yp,11 of Building LL I J Lot Size 'S -3 I L sq.Jft. Dwelling-No.of Bedrooms " 6 c Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow(min.required) gpd Calculated design flow Design flow provided gpd Plan: Date A.QG 1 Zcx)O Number of sheets Revision Date Title 51M cGER t AGFE EASPOQAL PL,A.o.J T" Z, 65 wwooto L..A4jC Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator s�'ULJ­1 t-/Al1 Date of Evaluation t DESCRIPTION OF REPAIRS OR ALTERATIONS y r �•, The undersigned agree tall the abo described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further ees to to c e to operation until a Certificate of Con plian a has been issued by the Board of Health. Sign .. Date 1 p r -12 -� No." w ^ - - — ¶ FEE «{ '� OF MASSACHUSETTS Board of Health, �,(„ ,a9 �,�1VlA. CERTIFIC TE OF COMPLIANCE\1. Description of Work: ❑Individual Com onent(s) Com Complete System , P P ys The undersigned hereb certtiify that the Sewage Disp`sal Syste ,Co t ucted ( )_,Repaired ( ),Upgraded( ),Abandoned ( ) by: A t 1 r V 1 at has been installed in accordance with the provisions of 310 CMR 15.00 (Title-5•)'"and-t"e a proved design plans/as-built plans relating to application N dated d' r 2 Approved D sign Flow (gpd) f / r f 1 Installer III' / ' � f`'�. t� h) � Designer: IIAOW&��"�,14/Inspector: /dot/� ' V/�V,"��/,i+ Date: /Lf //rt The issuance of this permit shall not be construed as a guarantee that the sys i m�3ill function as designed. No. .' r��a.� G S9 m .,., i FEE 6 . COMMONWEALTH OF MASSACHUSETTS Board of Health, 5V40Al? �44MA. DISPOSAL SYSTEM CONSTRUCTION PEEP T Permission is hereby granted to; Construct( K Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system =.°,L..�{J at� � . G e"'d .4e2 �a&-5?;g- >4,C„/oo as described in the application for Disposal System Construction Permit No.; ,0 ,6-wated If-a&,Zoria 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 ..•.-y....uuvx�.:va.:�.::.�.�s���.r_.-.s _,..it..vAw<.:�b...._ wXass..:u,_�.n+..i. � TOWN OF BARNSTABLE LOCATION ri� 1 �)tr` ] - L an L SEWAGE A .. . VILLAGE LrG it 4t/Il�� - ASSESSOR'S MAP &`LOT' .' INSTALLER'S NAME-&PHONE NO: SEPnC.T. ANK CAPACITY. LEACHING FACIL= (type) _ r��.::ir fc,U.� -:C (size) (0 NO.OFBEDROOMS V BUILDER OR OWNE PERMITDATE: 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 faci'Lty) - Feet } 2r h Edge of WEtland and',Leaching Facility(If.any wetlands cost i within 300eecof leaching facility feet I r ftuiushed by P - r 1W^ Ijjp j 1 a s TOWN OF BARNSTA.BLEG� LOCATION t k)(. M h 1 ent; a s SEWAGE# a f VILLAGE IP7�77 '��Cer ASSES O'S MAP & LOTS VILLAGE— INSTALLER'S NAME&,PHONE NO. SEPTIC TANK CAPACITY 02(SJ A(50h LEACHING FACILITY: (type) " l ra 'd � (size) �021 NO. OF BEDROOMS ��>> _ BUILDER OR OWNE V.L1 3'�Lq p0 —2—/7 c QI / PERMTTDATE: �/ ®� 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 { r �� , -- � � � ---- -� S � . -.- ------ �.� .• _ � 7 �" - el i Q �4' � I / II II II I , , I I I I I I I I.. V�� pTi ti O�* = i I 1.. X N cp j ? II �T? N y C I t CD � II I r II ,I II II II It tt II II II 9000P .14QI ,PLAIN,. srtr D 9 ta�oaD 11ob ttttttsctttttsa�radt� "°� I Fp SAMPr WOM _ Q 'Ebliem alth Divi n Town of Barnstable PO Box 534 Hyannis, Massachusetts 02601 Fax(508)775-3344 ! � _` , • ; SEPTIC S ST N PROFILE . , , FIRST FLOOR , ­SOILS LOG & :3 0.2 -FIN. GRADE OVER G OVER FIN. GRADE OVER _ ELEVATION FIN, GRADE , FIN. BADE ;- PERCOL ATION TES _ DIST. BOX SEPTIC,TANK SOIL:ABSORPTION SYSTEM _ AT HOUSE of ,TOP .{ .. .. ... fop �.-'.: `. ,.:`, 27. .....;_ ...° 2 -; ,,. .r. 26.0 � .:�: .. 28.0 FOUNDATION : _ ._..... ;- ,:. ,, _ TEST HOLE 1 , `:: U , ... . _ _ ' .� :TEST HOLE 2 2 9 , ... « ELEVATION _ 25 . ,s 2/. MIN GRADE ,< 2 ELEV. _ .8 r : 25.8 SE S . LEAF MULCH ; , LEAF MULCH AD « 6 OF FIN GR E 0 ; 10YR 3/2 ..10 3 INVERT dl' „ . 7. __ _ '� ,. 0 YR /2 t0 0. •. t`. r•. • a . �, t FOUNDAT N .. - . :. .. .SAND.W/SILT -_ SAND W/SILT 24.0 ,. _ T Z MIN.00tl8L£WASHED i!e —t f2 STONE -�_ •• , ELEVATION 3 , 2 ..� ..� �� _.. . ._ .• .. � 2 A 7. YR 571 2 A 7.5YR 5/1 :. _. AND.SOME SIL AND .. J SOME SILT a . ,a m v ,► " IOYR 5/6- 3 50 -�^•, 3 3 t...•.• lOYR 5/6 •. . . _ 23.75 o .> 2 2340 .. 2 ,2 23.00 ....,,.t ✓� �.w . _ Ld IT . . , aoveL wasH oN .. .,. ... E WASHED ST E1.50 ,. n _r __J .. Gn.� BAFFLE ON OUTLET TEE_ 0 ,. . A S.. .. .,p AND. SOME SfL . a a`6 25 « 3 5 3-O AND SOME SIL .�.. .. . _ DIST eox w (OYR 7/3 3 3725 TOT.EFF.LENGTH IO . �. . 2000 GALLON _ GRAVEL ». TRACE GRAVEL :•. .4, - .. — 30 B2 TRACE GRA E SEPTIC TANK H IO LOADING 3o B2 FLOOR q — 4 TO BE SET ON A BASEMENT. H. 10 LOADING �� ELEVATION �, • . SHED STONE - --fi 20.0 . .. BASE 6 CRUSHED STONE BASE --- .• -. ._ ACME OB 3 OR F pox SAND a GRAVEL AND S GRAVEL �� APPROVED EQUAL ) lOYR 7/6 ` 10Y R 7/6 SOME COBBLES SOME COBBLES SEPTIC TANK SET LEVEL AND TRUE TO GRADE. N CRUSHED STONE BASE ON Profile not to scale 1 •I ,;,MECHANICALLY COMPACTED NATURAL MATERIAL 144" C 13,6 1 144 C 1 13.8 OBSERVED R. GROUND WATE Nn F INFILTRATOR DETAIL, ADJUSTED GROUND WATER: >20 PERCOLATION RATE.NOT TO SCALE . . MIN./INCH I SOIL CLASS: 07 EFFLUENT'LOADING RATE: ._. ._4 ._. GPD/SF SOIL EVALUATOR. PETER SULLIVAN, P.E. CERTIFICATION NUMBER. :WITNESS. J. DUNNING , .. HEALTH, TOWN 0 BOARD OF- A W F%AARNSTABLE P=91 R - , �.. .. DATE OF TEST. MA 7 99 DESIGN DATA �. 1 . I r l - . . JACKSO N VTR E N .t' NUMBER OF BEDROOMS . t UNDEVELO 110 3p PE y G.P.D./BEDROOM G.P.D. N ?. 00 56.. , TOTAL DAILY FLOW � ,,: $0 G.P.D. GENERALNOTEs _ . -49- _ 227.5z _. GARBAGE LEACHING REQUIRED _ G P D. i. ELEVATIONS BASED UPON NG D DATUM. .: 91; I LEACHING PROVIDED G G.P,D.. 2 ELEVATIONS AND LOCATIONS SHOWN 0 THIS PLAN N , _ N 24xs I ti SEPTIC TANK REQUIRED 1500 GALLONS ARE NOT TO CHANGE °WITHOUT WRITTEN 'APPROVAL , 1 .8 26 SEPTIC TANK PROVIDED GALLONS2000 OF ,THE ENGINEER AND ,IT HE TOWN HEALTH AGENT. , - SI DEWALL AREA I38.2 S.F. 3. ALL SYSTEM COMPONENTS ARE TO BE INSTALLED IN _ 80TTOM'AREA - 3 89 S.F ACCORDANCE WIT H S.E.C. TITLE V ND OCAL'HEALTH ' h _` x G.P.D. z �Y TOTAL PROVIDED 467•! S.F. 0 4 . RULES AND REGULATIONS. . - 'Q': �. , .�_ 345.Tom, 4 ro 3 5,7 � . . G.P.D./TRENCH 2 _ 69 4. ALL PIPES ARE TO BE-CAST 'IRON OR PVC SCH.: 40. _ x TRENCHES _ !.4 G.P.D. tv PROP.POOL 5. THE-BOARD OF HEALTH AND/OR ENGINEER TO BE 20 x 40 / NOTIFIED WHEN SYSTEM IS COMPLETELY INSTALLED NOTE. EXCAVATE TO EL. OR LOWER AS SOIL . tD J .rr - , r o . AND READY FOR INSPECTION. u� _ 6 : . t�,a CONDITIONS REQUIRE TO REMOVE ALL TOPSOIL, SUBSOIL , • — ! / �� "ARROW IS NOT TO BE USED FOR SOLAR �o ,a. CLAY OR ,OTHER UNSUITABLE MATERIAL. BENEATH THE 6. NORTH " co O - _ _ o INLET INVERT OF THE SOIL ABSORPTION SYS FO SYSTEM R ORIENTATION. 2 - o o A DISTANCE OF 5 MIN.. , AND BACKFILL WITH CLEAN _ \,✓ / �': a 28 DECK' cD Q r•;� — 2 4 — • SAND, PER 310CMR 15.255:3. co 1 , PROPOSED • 1 6g �'8FAR06T GARAGE . DWELLING .HOUSE #83 zB y 73'+ -PORCH I 28.0 r CD tV i t +t th I 08/12/00 C 1 a RELOCATE SEPTIC SYSTEM, ADD POOL . REV W 1 B A . ► .�. . ' � �• �� 0 �'"iyt Y DATE DESCRIPTION 4L7 _ M -�--- O G I -- --- Nora�a,k , ROAD S/ R R H �2 \ p GsiOSSMAN b r> No. 1"7 cn � �' 246.64 � • . .. ( , W :, �Ra SITE 8t SEWAGE DISPOSAL PLA- S 00•-42- c vr< 30 W 1 I ti _ l J EGr TEgF.5 Js� a LOT $3 INWOOD LANE 25x4 EDGE OF PAVEMENT 27x2 27x7 nN4 o N1�1/0 D O LANE • - • � �,� of� BAR S L . N TAB E MA. 6 aF NORMAN CENTERVIL.LE APPLICANT: HARBOR QW)SSMA� r„ OR 3 I ADDRESS: Cc _ No. 12775 - * (C/STE4� f � ENGINEER: t L1X�o NORMAN GROSSMANR.P.E.._� R.P. , LOCUS MAP -•-r SCALE: _ LE. I 2000; MARSH VIEW ROAD ZONING GIST. F LOOD ZONE . ELEVATION MAP NO EAST FALMOU H A RDa ..w _ T , M . C 250- ' 00f0008D `508-5484920 MAP PLAN REFERENCE. SEC PCL LOT HSE • BARNST. CNTY. REG. PLAN BK PG '76, " _ SCALE DATE DWN, 8Y ! CK D BY PLAN NO. .ass SITE PLAN---SCALE . I . -30 - 226 -• - _ 148 I ! #83 AS NOTED AUG. I 2000 JTN / NG H- G54 16-7 17 ��IIIMM 7 7 '��yrPy'/��M�( {��,Yam,`yr/� �, bwWrYurY•. 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