HomeMy WebLinkAbout0011 MIZZENTOP LANE - Health 11 Mizzentop Lane
Centerville -
Ak,= 227 070
No. 4210 1/3 ORS.
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No. ` 0 c"/ Y Fee 5 lesZ
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISIOk-TOWN OF BARNSTABLE., MASSACHUSETTS
ZIpprication for Mizpozal bpztem Congtruction Vermtt
Application for a Permit to Construct( , )Repair( grade( )Abandon( ) O Complete System O Individual Components
Location Address or Lot No. Owner's Name,Address and Tel.No.
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Assessor's Map/Pazcel 2� _ O r� ��"'^' " " f� 64 �X
—70
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
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Type of Building:
Dwelling No.of Bedrooms 3 Lot Size —Oy sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 1 3 d gallons per day. Calculated daily flow 3S3 gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S. 2 —5�°Y!!-4 GA44-
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) r� d tr�� C�1J��/ 6"w G A-1 ljZy
a/• f �iL lC !�— iS'• X ati. 2 - - d Toe ,a ca 44/ A4.?,6G,--j
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.
Si ned Date
Application Approved by t Date
Application Disapproved for the following reasons
Permit No. r9U' 14 —d-Li _,�F— Date Issued &..�
TOWN OF BARNSTABLE E t— N I
LOCATION M/Z-%,501'00 Z kl-7h' SEWAGE # 2 DD W— 0 9j 2
VILLAGE ASSESSOR'S MAP & LOT 2 2 7— 0 70
INSTALLER'S NAME&PHONE NO. 9752 v/05 rde y�
SEPTIC TANK CAPACITY LEACHING FACILITY: (type) - D 0 6�14*M4512 (size) l 3 x :�Ilr
NO. OF BEDROOMS _3
BUILDER OR OWNER_6 r4.1.1 IJ 19
PERMIT DATE: 2,1~ 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 leachin faci 'ty) Feet
Furnished by-
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8xel< `
No. L�,J Fee
`t►�' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF�BARNSTABLEs MASSACHUSETTS es
Application for Zi5pozal 6pgtem Construction Permit w
Application for a Permit to Construct( . )Repair(grade( )Abandon( )• -❑Complete System ❑Individual Components
Location Address or Lot No. ';1 Z.r � �, Owner's Name,Address
,and
,Tel.No. p.
Assessor's Map/Parcel C c—,
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Type of Building: `�.
Dwelling ,-No.of Bedrooms 3 Lot Size ��-�y sq.ft. Garbage Grinder
Other 'Iype of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 13 0 gallons per day. Calculated daily flow S 1 gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank /S-OlJ Iq a / s T '/U Type of S.A.S. 2 - n'y5
Description of Soil
t p
Nature of Repairs or Alterations(Answer when applicable) rt ��'Gc d� (flL� (�-lIN o o/ C,,,,•�-�n put,/
C�a � f�i�l� TQ.vr� y' �� AMO 2 /��/U ,VC 941 4y,-j
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 p operation until a Certifi-
cate of Compliance has been issued by this Board of Health.'
Signed Date
Application Approved by _ Date
Application Disapproved for the following reasons
Permit No. O�G 1-1 _0L) � p ' Date Issued
t
:- THE COMMONWEALTH OF MASSACHUSETTS
07 v BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( )
Abandoned( )by
at 44 1'1 t e K A�e L 6Z,4 yi /(.f has been constructed in ccordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. n n U-D y-1 dated l I a°1 O V
Installer J0,-4e9 �; /�e�vvo S' Designer ,tih rh off
The issuance of thisipermit shall not be construed as a guarantee that the syste wy fu dtion as es gried.
Date 2 I b y Inspector oX
I � -
No. ��` ^a L� Fee a
THE COMMONWEALTH OF MASSACHUSETTS
7 L 7-0 j 0 PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS
lisspool *pgtem Construction Permit f
Permission is hereby granted to Construct( )Repair( G-Upgrade( ),Abandon( )
System located at // ��' P�'�oy� L v' �4✓�//y
G
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:C nstructiJon must be completed within three years of the date of this pe it.
Date:_ I r q /G`� Approved by
i
I TOWN OF BARNSTABLE L .
LOCATION Z1,420rO/O SEWAGE # 200q
VILLAGE rh�iiYi//`l= ASSESSOR'S MAP & LOT 2 2 7- o/�70
i INSTALLER'S NAME& PHONE NO. Sb�-�zo-`�7�� ✓off rxN; � !�'oS
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) 0 G�lo,��/-'��s (size)
NO. OF BEDROOMS 3
BUILDER OR OWNER r I19f_ e<v1 / Fl�'
PERMIT DATE: 1^ 2 "` D y COMPLIANCE DATE: 2
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 leachin faci 'ty) Feet
Furnished bye
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"CENTERVILLE" N
NSITE PLAN Design Calculations SITE
SCALE. 1 =20 l d.
BENCH MARKON CORNER OF BOTTOM STEP Number of Bedrooms: 3
AT FRONT STOOP, ELEV.=100.00' SSUMED) Garbage Grinder: NO, GRINDER NOT ALLOWED WITH THIS DESIGN
Leaching Capacity Required: 330 Gal./Day Harbor Hi Is Rd
Leaching Area Required: 330 Gal./(0.74 Gal./Sq.Ft.)=446 Sq.Ft.
Proposed Leaching Structure: 1-25'L X 13'W X 2'D Leaching Trench
#los Nq Leaching Area Provided: 477 Sq.Ft.
s5.4s x RBOR'�,CCS R0g0 Proposed Leaching Capacity. 353 gpd > 330 gpd. req'd.
0'
'100 00• Le
O
R raigville Beach d.
a
88.80, X
95.
LOCUS
Z
ti
ti
o 91 0 96.47' NO SCALE
97.66'
N '
EXIST LOT 3 /
o l o' r,�;DWtQQ NG AREA = 7,500t SQ.FT.
NG
0 0 op Of .Be. o e GENERAL NOTES
fC.9g 00 9,.2 B B.M M.
Ts 1. ADDRESS: #11 MIZZENTOP LANE
9z. x 2. ASSESSORS NUMBER: MAP 227 PARCEL 070
90.60' x 0 3. DEVELOPER'S LOT: LOT 37
3 0 4. TOPOGRAPHIC INFORMATION WAS COMPILED FROM AN
98.60' ON THE GROUND INSTRUMENT SURVEY.
s a scr 5. TOWN WATER IS PROVIDED TO SITE & SURROUNDING PROPERTIES.
r t -Sr$C 98.8 11 2' 127
POr°h oPProJ to w F O 7. NO6. FWETLANDS ARE ERENCE PLAN: L LOCATED WITHIN LAN BOOK 103 100E FEET OF SAS.
m°
a a u er9ro", iOCOtions '� 8. NO POTABLE WELLS ARE LOCATED WITHIN 150 FEET OF SAS.
° d I les 9
CONSTRUCTION NOTES.
1-25'L X 13'W X 2.0' D 100 00, POved 0
leaching trench using dhVewoy 0 G 1. Contractor is responsible for Digsafe notification
2 H-10 500 gal. chambers with' 99:as and protection of all underground utilities and pipes.
4' of stone on sides & ends. o ��
� � / 2. The septic„tank and distribution box shall be set
eo V level on 6 of 3/4'-11/2' stone.
i00 3. Backfill should be clean sand or gravel with no
'r �s 100.34' \ stones over 3" in size.
`� 4. This system is subject to inspection during installation
too.e3' 1ot.3a 3 zo"DiAM."cuss MANHOLES by Glen E., Harrington, R.S.
#19 4
/�2fN TOP 10 -0' 5. The contractor shall install this system in accordance
with Title V of the Massachusetts Environmental Code
227089 ENE :,r' ~" '"" " "''' '_=`: and the Regulations of the Town of Barnstable.
100,76' >; 6. Provide an Acme Precast H-10, 1,500 gal. septic tank, 1 H-10 5-hole D-Box and
2 H-10 500 gal. chambers or equal.
INLET - 7. No vehicle or heavy machinery shall drive over the
SOIL EVALUATION septic system unless noted as H-20 septic components.
Date of Soil Eval.: November 22, 2003 ;• _ _8. Inst-11 gos,-baffle_c•r.r�qual_.on .septic tank _outlet +ea end.
Test Performed By: GLEN E. HARRINGTON, R.S., CSE ::•:• •.':-: '>.::-:• - . 9. All existing inverts and site conditions shall be verified by contractor.
Excavator: JOEY'S SEPTIC SERVICE STEEL REINFORCED PRECAST CONCRETE 10. Existing CESSPOOL to be pumped and removed.
PLAN VIEW
Test Hole 3-20'REMOVABLE COVERS
No. 1 I
DEPTH SOILS ELEV. a..T Fimiell.dsLkuTu�i l.•..�•...e .::
+
INE ' 8 in Flat to cutlet1 • OUTLET
1-2C DIAM.ACCESS MAHOLE0 3.57' tr
-
bam�sand
f: Ey$ l
9• 10-4/3 2.82' .: Se c"s BATTLE•. Liquid d.pth s ,
t s �....•: 5
Bw
in
24" 1045 d 91.5T
Lr. y i
c 1 CROSS SECTION END-SECTION
osand H=10 -1500 GALLON SEPTIC TANK ® ® ® ® ft24., 34"
ggravel NOT TO SCALE "'' "'
tOYR 7/6
STEEL REINFORCED PRECAST CONCRETE
NO GROUNDWATER ENCOUNTERED USE ACME PRECAST OR EQUAL PLAN VIEW 2 H-10 500 gal. chambers
USE PERK RATE t2 MPI FOR DESIGN PURPOSES END-SECTION
H-10 500 GALLON CHAMBER
NOT TO SCALE
USE ACME PRECAST OR EQUAL
OFl4ilss PROPOSED SEPTIC SYSTEM UPGRADE
PREPARED FOR
E ' FRANCINE A. GADOMSKI-GENTRY
a aRRi alv
6. 070 AT
Existing Dwelling LEGEND tS�FG1SI #1 1 MIZZENTOP LANE
First FI. EI.=101.86' N�TAR� BARNSTABLE (CENTERVILLE), MA
10 min. from *NOTE: ALL PIPES ARE TO BE 4" DIA. SCHEDULE 40 P.V.C. `}1 EXISTING CESSPOOL
' house to septic tank *NOTE: INSTALL GAS BAFFLE OR EQUAL ON SEPTIC TANK OUTLET TEE. 1�.
Septic tank covers must b
a
cellar within 6"of finished grade Finished grade over system-2x slope away - PREPARED BY:
wall EXiSV DE DST. BOX Existing Grade Elev._95-93't FEE O H-10 SEPTIC 50ANK N GLEN E. HA R R I N GTO N, R.S.
smt. Fl. EI.=93.16 O-Box cover must be Min. 2•-1/8"-1/2" 1 chamber cover must be 2"m�,. 9 LEDA ROSE LAN E
within 6"of fished grade double washed stone within 6" f finished grade 5�.02' MIN' Sa Level for 2 9 6"mo 70 Peas one Elev.=9D.5D' x 104.46 sPoOT�RAOEIsnNG M A R STO N S MILLS, M A 02648
10 PROPOSED 10 s-.01
1,500
C4 SEPTIC TANK , 13 = .00' _ 95 EXISTING CONTOUR
H-10 JLE �, 0 0 C2 00 0 24'"'" m f TEL: 508-428-3862
case 2 n a 25• rent ev.= oo' FAX: 508-428-3$62
AL io $ io CH EX ST NG WATER LINE LEACH TREN st MIN REQUIRED
-` 6"OF 3/4"-11/2"STONE .4 II
- - "EXISTING WATER LINE : 1 =20 DRAWN BY: GEH JAN. 13, 2004
y BOTTOM OF T.H. EL.=83.57' APPROX. LOCATION SCALE '
W SYSTEM PROFILE 6"OF 3/4"-11/2"STONE v ADJUSTED GW ELEV.=7Tf PER B.O.H. MAPS FILE: GENTRY
Not to Scale DATUM: 'ASSUMED SHEET 1 OF 1