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HomeMy WebLinkAbout0062 MILLSTONE WAY - Health 62 Millstone Way Centerville A = 251 158 No. 4210 1/3 ORA 1000 O No. 0() 2s6 3 Fee U THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0.pprication for Mi.5pooal 6potem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade(}O Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. (02 M I L.L S f 0"C_ W i9 Y Owner's Name,Address and Tel.No. cE/V72'rzVILLE, 1'IAS-5 OCVI�/V I . IVEEDHAM Assessor's Map/Parcel &2 MIL-LS-r01VE U/4 4 In 2J/ P /68 4 E&A1 "E)zV1 LLE /YIAS'S Installer's Name,Address and Tel N(p. _ Designer's Name,Address and Tel.No.6-0F- 142-0' 4 �*0S ERv L_6 X Ass Type of Building: G Dwelling No.of Bedrooms 3 Lot Size 0, 66 Garbage Grinder(Nc� Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 3 Q gallons per day. Calculated daily flow 3 3/ gallons. Plan Date -37u►vE I I , '2_001- Number of sheets i Revision Date Title PLOIV FroFos&—D 3E'P'l I C U ParA DS- Size of Septic Tank X i ST• 1000 G/01-La/1--' Type of S.A.S. 12'X 25 Description of Soil ©I< <I I 10 Y 12 16 , '1"-9 S41VI)Y LoAIN l D y 2 3Lq, , 9 — 3 G I S I Lfi L0/3 M (30P0 GrAllgl.) 'z•s y -6-A ► al."- 1 3 2" LGAM`I Cr 4rse S41110 s Y s�B 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 issu by this B of He lth. Signed Date CS i7 Application Approved by Date Application Disapproved for the following reasons Permit No. .200 a— 2st; Date Issued TOWN OF BARNSTA.BLE Fc �? LOCATION SEWAGE # VILLAGE ASSESSOR'S MAP & LOT25/-�Jj INSTALLER'S NAME& PHONE NO. SEPTIC TANK CAPACITY e i LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER 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 facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by r T D96 s/j�r�s S1�he 0 z `e. �i j No. Fee I - THE COMMONWEALTH°OF MASSACHUSETTS Entered in computer: e � PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETT$ Ztppricatton*for Mtopogar bpotem Congtructiou Permit Application for a Permit to Construct( . )Repair( )Upgrade(X)Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. (,-L (b11Lt.St 0P ' Ul q y Owner's Name,Address and Tel.No. f CCArr4FIZV,IL.L.C, MASS OWS&I i=, IV-SEDHAM Assessor's MapTarcel '"&-Z M Ii-LS-rgM5 LVq y Installer's Name,4.re� �`��and Tel N,g. � Designer's Name,Address and Tel.No.6p 8- ZS'a 3 M�{ SUL.LIVAIV !sM610lesalp ING -7 PArK&R R©A(7 Type of Building: taE,y iawry /1xEtsce C Dwelling No.of Bedrooms a Lot Size O. 4 8 Garbage Grinder(ft.# Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow -8 3 gallons per day. Calculated daily flow 3 3 I gallons. Plan Date ZUIVE 11 , 2.001- Number of sheets I Revision Date Title Sl re PL 9A,1 PrOP,056Q S&PT(G Ll PGrA 0 Size of Septic Tank IF Y. 15T• 1 000 CrAG LAN Type of S.A.S. 12'X 2.5 1_,CA4l W*, e7h,001A. t of t-* i Description of Soil D - q` i'0 YR ?/�-, '1�—9�� S/a/YD Y L0.41 I IO Y IL 3/ , 7"- 3 G �► SIL.t L.o/dM �30'o GrAv6�l -Z,sY S 4 . ''3 G'�- 13'Z" La,�4M 11 Cc�Ar E S,Q V6 ' Y 5/,8 V. ` Nature of Repairs or Alterations(Answer when applicable) i 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 issue by this Board of He lth. Signed d.J r� 9�. t-s-\ Date 17 Application Approved by �1_ Date I 4,. Application Disapproved for the following reasons Permit No. .200 a- 2.t-4 Date Issued L --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded(x) Abandoned( )by &2 ILL STOA/6 AY CC- IL.LE MASS. at .e\l-- �N %V- . has been constructed in ccordance with the prod sion o Title 5 and the for Disposal System Construction Permit No. ')00d-d.S-6i dated ? Installer i ►/I Designer SLILLI VAP A:R/Gt/VGE2 IAIOI (/VG The issuance of this 1 r ermit shall not be construed as a guarantee that the syst- ill fun•tion as designed. Date_�� Inspector k --------------------------------------- f No. o2 0 0 2"2S6 Fee . THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS Migozal *pztem Couttruction Permit Permission is hereby granted to Construct( )Repair( )Upgrade(x)Abandon( ) System located at 6 2- /Yll W14Y CA;-1YTERV(L-l..b MA5S c 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 this permit. Date: I 1 I7/0 2 Approved by 1 I1 _ TOWN OF BARNSTABLE Fc- � LOCATION 4 4 SEWAGE # ,Gl✓I, 'o�J(i Va LAGE 6- ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY « e ,flw LEACHING FACILITY: (type) (size) . /'Ii�z as NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: U�- 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 � vc a.. ro — DESIGN DATA NOTES 1 iy TEST HOLE DATE: January 25, 2001 Gooseberry �� '• w PERFORMED BY: Ron Cadillac, Soil Evaluator 0151a id Single Family 3 Bedroom WITNE5SED BY: Am Von Hone, IRS, CHO I 9 y I. Water Supply For This Lot is Municipal Water. PERC RATE: <2 Y 00" Inch C layer) uller 9I;' ( �� •'• No Garbage Grinder / ( 2.Location of Utilities Shown on This Plan Are Approx. SOIL SURVEY(1993): Carver coarse sand Daily Flow: I10 x 3 = 330 gpd P •,• a 660 At Least 72 Hours Prior to Any CIxcavotion For This GEOLOGIC MAP(1986): Harwich outwash plain deposits on Septic Tank 330 gpd x 200 /a= gpd. T C Make The R Project The Shall equired "f Pt a�•' Use a 1000 Gallon Septic Tank.(Existing) Notification to DIG SAFE-1-888-344-7233. .:` .0,.��`' _ •� LEACHING AREA RE 3.The Contractor is Required to Secure A 4 q Appropriate F '� ` `�•: 330 gpd/C.74= 416 s.f. Required Permits From Town Agencies For Construction DEPTH (inches) ELEv.(529 �''o' •.,•,. LOCUS Defined b This Plan. o layer 10yr 2/2 �" r J 1L •I�•1'•.� Sidewo11:2(12'+25 )2= 148 s.f. Y A _- .•�• ?'• 45 p h Bottom Area:12' x 2 5 = 300 s.f. 4.Install Risers as Required to Within`12"of Finished 4" Ala r 10 37 a — 448 s.f.Total Provided. Grade. p 9" sod loom :�� �• ' o' ' LEACHING CHAMBER DESIGN 5.All Structures Buried Four Feet (4') or More or B layer 2.5y 5/4 ,• ;�' *:•b' t st t loam ° All Pipes to be Schedule 40 PVC. Use 2 Subject to Vehicular to be H-20 Lo6cing. ax gravel) ' ° ,.I rr /.,•` Q'� - 500 Gallon Leaching Chambers in a 36 —' as.s J � 9 6.S.,Otic System tab.. Installed ir.A�c�rdOnce with � :�' '��� •} n` . �-�� rl / 12 x 25' Washed Stone Field as Shown. 310 CMR 15.00 Latest Revision Ana.The Town of n C layer 5y 5/8 • trr �i /' I 1 \3 Barnstable Board of Health Regulations. 54" loamy coarse sand —0 u r ©' '�.;• ~ scy�/ 7. All Piping tube Sch.40 PVC wF \ \� . LOCUS PLAN ! 1= 2000 132. Scale: 1 no water 419 Assessors Map 251 i Parcel 158 Ground Water Overlay A t Connect New Pipe District GP to Exist.Septic Tank I '• i �� � F G. 55.0 - � �� _ I I 1 r{ 51.6 IlExist.1000 galII e Top El.52.6 I1 Septic Tank ;ye 5'a I l I Bot.E l.49.6 52.0 \�\, 5 Bedding as T O Per Title 5 Bottom of Test Hole El. 41.9 i E _ c F'tT E x l s-T• Lam'' N `g,p w t'�'F+ -- � e No G round Watert F — 5 LAnn PE O � �^ GI-EAtV MAT6f1 /\ DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM I \ Not to Scale �7 ,.—, .'• t Finish yt r J +i \.�,,•7.-f c�- G�i�� � ram' G�'46 r- �r �,�•;a.. ,i,_ f e �C PSy Fabric '�--'Compacted FIII g G �R a �1 / {\S •�O� 5 O� ' �GL; �� s Pea Stone �• 9"S,50 Leaching Chamber 3/4°-1 1/2"Doable { T r r•v�rl►we�+i Washed /J 12-0, t j t_GT AR` i CROSS SECTION OFCHAMBER O' to a AG �V: NOT TO SCALE `J SITE PLAN PROPOSED SEPTIC UPGRADE ----b 9 - — - �_.----'�� 62 MILLSTONE WAY y� WAY CENTERVILLE , MASS. --- M/L L STONE 1 FOR OWEN F NEEDHAM PLAN VIEW SCALE U E 11 ) 2002 LL VAN ENGIINEERINGINC. Scale I = 30 OSTERVILLE , MASS.