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HomeMy WebLinkAbout0005 MINTON LANE - Health 5 Minton Lane Centerville A = 174 007017 r I p a r NO. 06THE COMMONWEALTH OF MASSACHUSETTS ?tiEe' f 0-0 BOARD OF HEALTH O ct1l�4 o F c6A-(94 J s—JA�_ APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( Repair ( ) Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components Location 's Name Oo? - o CAA' t'�.0 C;�� lad d p Map/Pa e* , /X Ss ✓t0 n_ /// V�r�.� U , f[�C t Lot � _ A I ` Tel one# lmyL U ylA�� If r A �Na > V� ,Are,, q Address VV��II Telephone# Telephone# Type of Building: re"s( Lot Size da, 11,5 Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures 2 Design Flow(min. equired) :J'0A0 gpd Calculated design flow O gpd Design flow provided gpd Plan: Date 3a Number of sheets ---� — Revision Date Title 0 S[T;L Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator 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 agr s n to pl the syste in o eration until a Certificate of Compliance has been issued by the Board of Health. Signed D r Z2 �l FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 19 v� TOWN/OF BARNSTABLE Ilk% LOCATION '�i�o SEWAGE # �� VILLAGE c _ ;cam- AS ESSOR S MAP & LOT 7 'U17-o17 INSTALLER'S NAME&PHONE NO. C 61-Z, f SEPTIC TANK CAPACITY LEACHING FACILITY: (type) C �l�tWlcr� (size) NO.OF BEDROOMS 3 BUILDER OR OWNERCam- PERMITDATE: �( I�� 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 14�3 lei TH COMMO N W ALTH OF MASSACHUSETTS FEE Mg", 46663OARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) Complete System The undersigned h eby certify that the Sewage Disposal System;Constructed( epaired( ),Upgraded( ),Abandoned( ) by: k '✓ V�BY 1�47s' at `U01Lyt . li✓ has been in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application NO.-lava 1-303 dated Approved Design Flow (gpd) Installer Designer: Inspector J/ i,,A, �� JLI n Date v 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 i No ''� THE COMMONW, A T OF MASSACHUSETTS FEE "Z"`J �, r fo�A 1 �OARD OF HEALTH r I , DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( "Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at 0 U/ Lo T /Q eol;dcft/` La V4 , /A/P,Jd' &Q '94 as described in the application for Disposal System Construction Permit No. ud T3 a 3 dated S "Z Z ,t Provided: Constructi n shall be completed within three years of the date of this pei All local. ditions ust be met. Date Z V�� Board of Health C FORM 2 - DSCP DEP APPROVED FORM 5/96 i V r TM FORM 1255 (REV 5/96) H&W HOBBSB WARREN PUBLISHERS- BOSTON �s a . i CO! MM.OIVVVALTH OF MASSAC UH SETTS E BOARD OF HEALTH I �`'' - Oa)" OF— APPLICATION FOWDISPOSAL SYSTEM CONSTRUCTION PERMIT r Application for a Permit to Construct (�t Repair ( ) Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components Location Qw 's Name av ©1 V.cc) • e01c 1�( Map/Pa el# � �• ' dd✓ ss / 7 +/// of4, "10 d�IGb4, 4/'T o.�-Z,5 1":i7 l Tele hone# a��cal. iCl �dv15 c.�U.J me# �t'� I`staxer s a e D� mesigner's Na /py"Aj AJ } 7 Q21�'C✓1�7 Address Telephone# e Telephone# � a Type of Building: VACS JV_6C- Lot Size da, 115 Sq.feet DwellingNo.of Bedrooms— Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures `, ��O d Desi n flow rovided �7 Design Flow(min. equired).' 'J�O gpd Calculated design flow gpd g p `�gpd Plan:. Date 30 re I Number of sheets r Revision Date i4lA T — — Title' ITure S 51T4- Description of Soil(s) K Soil Evaluator Form No. Name of Soil Evaluator 1A V 163A 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 agrees n to pla a the syste in operation until a Certificate of Compliance has been issued by the Board of Health. Signed - D. . 2 2 1 Insfleeti s , 1 !l// 1 r1( FORM 1 - APPLICATION-FOR DSCP DEP APPROVED FORM 5/96 t y TOWN OF BARNSTABLE 15 LOCATION 0..-0 Lm Cc':;;W��-ter/ JI VILLAGE ASSfESSOR'S & LOT � —(�7—U7 INSTALLER'S NAME&PHONE NO. e SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (Mr—� (size) No.OF BEDROOMS 3 BUILDER OR OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Feet Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) exist Edge of Wetland and Leaching Facility (If any Feet within 300 feet of leaching facility) Furnished by - - I i t fG ' �1 Jo -T� =2--7 611 i 3 0, � -------- -�-�__L:- v �'-- �-lam _G .�_' .--�'•c�. — —I��-Cr to-c-, -- 3�' -- lu -- =— — A ON 1010 cp 3x3 i o . � 1 - JG N •i/au�(� chi l.! I�T- w ly UI U _ o D i — Zzi — — ° :::��n�16� 7 : SCALE: 1' /� APPROVED BY: 1 / DRAWN BV DATE: ✓ V'�JIIG�V ( REVISED �.. LoT"t�10'L�2rl�'f�.0 �IG�O✓J ORAWIN�MBER a _ t r Ord-o' a('- 7' U J O I — l �1zi I I, I , 2:6 -o SCALE:�n� — APP�ROV,(ED BY: '1 DRAWN BY �.�. . 1 DATE: %lT/GO Lf ^I/ REVISED .. DRAWINGN MBER I ,r,-<••AID fi !� !.!•f-�!% t-:U(i:= SYSTEM PROFILE TEST HOLE LOGS TOP FNDN = 1O7S' ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) J ACCESS COVER (WATERTIGHT) TO D,A, QJALA, SE ( ENGINEER: WITHIN 6" OF FIN. GRADE I RTE 6 JERRY DUNNING pp MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 98 0, WITNESS: I sERy, z RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE DATE: 5/26/98 R° FOR FIRST 2' PERC. RATE _ < 2 MIN/INCH A�IN70N LOCUS PROPOSED 1500 v' MAX. - GALLON SEPTIC j d F D83 1 y m SLAB 97 0' 96.75' , �5.0' CLASS SOILS P# 9158 TEE EL. 100' TANK (H- 1 Q ) GAS r o .; BAFFLE95.17' «� �'9 .0` CO C� 0 O ClINVERT E98.0'� 6 SUMP <, 94.112' [] F-1 M M 0 0 M M [] � 4' AROUND o 1 MIN 6" CRUSHED STONE OR MECHANICAL E] E7 E] 0 � ClQ 71 0ELEV, ELEV. oP�y ( 2 7 SLOPE) 4` COMPACTION. (15.221 [21) MIN o CD M MID 0 on M M � 92.17' �, Q DEPTH OF. FLOW - 1 9: SLOPE) 0" 99.5 0 98.1 TEE SIZES: 10„ ( 19 q SLOPE) ( 3/4" TO 1 1/2" DOUBLE WASHED STONE INLET DEPTH = Q p LOCATION MAP NO SCALE OUTLET DEPTH . 14" 2" 2" E E FOUNDATION— 10' SEPTIC TANK 8' D' BOX 13' LEACHING 517' LS LSFACILITY ASSESSORS MAP 174 PARCEL 4„ 2.5Y 6/2 4 2.5Y 6/2 ZONING DISTRICT: RF B B YARD SETBACKS: LS LS FRONT = 30' 36" 2.5Y 6/6 96,5 36" 2.5Y 6/6 96.1' SIDE = 10'* 79.0' Cl REAR = 15' perc Cl PLAN REF. — N ( M/F SAND M/F SAND FLOOD ZONE: C VWA ,. SHUT-OFF AT EL.1106.1' 84" 2.5Y 6/4 92.5 96 2.5Y 6/4 90 1 *WAIVER GRANTED BY PLANNING C2 C2 BOARD - \ `` �� �� = MED SAND MED SAND .--108 20 \ � � ,/� 1/ OPEN SPACE 2.5Y 8/2 2 --ia7 INTON LANE 132" 2,5Y 8/88.5' 156" 85.1' '90I NO WATER ENCOUNTERED NOTES. SEPTIC DESIGN: (GARBAGE DISPOSER Is NOT ALLOWED ) 1 , DATUM IS ASSUMED 5 ' asp 910 DESIGN FLOW: S._ BEDROOMS (212GP"D) = L0 GPD 2. MUNICIPAL WATER IS AVAILABLE USE A 330 GPD DESIGN FLOW 3. MINIMUM PIPE Nl i CH 10 BE i `8" PER - 1, 0-1, ~eoI 3 SEPTIC TANK: 330 GPD ( 2 ) = 660 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H— 10 °rn rn 5, PIPE JOINTS TO BE MADE WATERTIGHT, �C-1pl o� 102 USE A 1500 GALLON SEPTIC TANK 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. LIACHIN ENVIRONMENTAL CODE TITLE V. ~`I 01 2(25 + 12.83) 2 (74) = 112�I SIDES: 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE co USED FOR LOT LINE STAKING. PROP 3 BR ` ? 25 x 12.83 (.74) = 237 �p DWELLING I °) DIRECT ALL BOTTOM: , 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. pI SLAB EL. 995' 00 RUN- OFF AWAY TF 107,5 100,p' FROM TOTAL: 472 S.F. 349 GPD 9, COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT I LOT 9 25 DWELLING/GARAGE USE (2) 500 GAL ACME OR EQUAL LEACHING INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 66 .6 � 61 r _ FROM BOARD OF HEALTH. �_ 10 CHAMBERS WITH 4' STONE ALL AROUND 10. CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE \&6 99 LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. ~�6 TH 2 � —► 106, L RE �, LEGEND TITLE 5 SITE PLAN __96 100,0 PROPOSED SPOT ELEVATION OF ------ LOT 10 M I N TO N LANE E - 96 0 � 100x0 EXISTING SPOT ELEVATION IN THE TOWN OF: l —t76 rn 1001 _C6 ' PROPOSED CONTOUR —26 T 10 100 ---- EXISTING CONTOUR PREPARED FOR: MINE POST AND �3EA --16 20115 sff --90---- ---� --89 1110 O 3Q 60 90 --88 BOARD OF HEALTli MA SCALE: 1" = 30, DATE: APRIL 30, 20 a1 APPROVED DATE off 508-362-4541 fox 508 362-9880 y,�ti�y{ OF Mqs OF A{q down cape engineering, inc. o� ARNE H. o� ARNE ti. u OJALA ::01 OJALA CIVIL ENGINEERS No.zs348 CIVIL `^ - --. LAND SURVEYORS �`ss��£C�51 �o`'Qy� o. o �� 939 main st. armouth, ma 02675 �r Y ARNE H. OJAL A.L.S. DATE