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HomeMy WebLinkAbout0006 OLD FARM ROAD - Health 6 OLD FARM RD. CENTERVILLE A = 250 121 ���, 2J�gECYC(��Com IN UPC 12534 No.2� 15� 3LOR HASTINGS,MN ' o 9 Fee No. A THE COMMC,?JWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pplication for Migpozal bp$tem Cow6truction Permit Application for a Permit to Construct()0 Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. p\`\ TrgriLM1 1'?,qI. Owner's Name,Address and Tel.No. MA, Vi TA l54lL0A/E Assessor'sMap/Parcel 2-50 SC•ws9NEvc" Av_0• i244 . Ile 3 -1 4S7 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. S+tc-vr bay LC A-6 A00C, HZ C,^rj+ER94X•Y L.i9N+E �iA1MO�rth o25,0Z 5410 L634 Type of Building: Dwelling No.of Bedrooms Lot Size Za,367— sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures . Design Flow 5 5 gallons per day. Calculated daily flow 330 gallons. Plan Date 'S.i 1v ZS lalcl5` Number of sheets Revision Date Title 5 Size of Septic Tank i 500 Type of S.A.S. Description of Soil tZ o— 18 a Top � 5U 13 t 'it�1—300 Fir�E 30"t0 ►o: M EDIO M 6431,—►OL n" N1£,1� - CI TM&YEj=X SALAD Nature of Repairs or Alterations(Answer when applicable) R-Pwiyt� u�'GGvY /�ja,ti,( q�!/� v 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 provisi Ti le f the nvironmental Code and not to place the system in operation until a Certifi- cate of Compliance has been i sued y o ealth Signed Date Application Approved by Date C L — Applicati n D}sapproved for the following reasons �,r Permit No. Date Issued3— f]{� No. (�'— > / / ` .fir ^^ n i:..`. Fee '{ w ' Try a.x+•.. 4, E - r� .. = THE COMMONWEALTH OF MFSACHUSETTS Entered in computer: ♦�r' �.l11� 4 vc. ;. , Yes PUBLIC HEALTH DIVISION ;.TOWN OF BARNSTABLE., MA'SSACHUSETTS 01pplication`for ;Digpogar *pgtem C On5truction Permit Application for a Permit to Construct()()Repair( )Upgrade( )Abandon( ) ❑Complete System O Individual Components Location Address or Lot No. t9�� �, Owner's Name,Address and Tel.No. t Assessor's Map/Parcel / ,2 AAA` gd/ 5 e w AAO e E AVC. ~. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. HZ C y I.rn 5t402_534 Type of Building: Dwelling No.of Bedrooms Lot Size 20, 34,7- sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 5 S gallons per day. Calculated daily flow Z"3 0 gallons. Plan Date Number of sheets Revision Date Title + t Size of Septic Tank \ S nh Type of S.A.S. t Description of Soil /i� to 0 , < , �_ 3 n't ,.�F, " r A i;l m '�,�!€'=i� � i �'_ %ltt e S rR o" �.23ri .�c S�t�\�i' zs=� Nature of Repairs or Alterations(Answer when applicable) `� t>-� t fGv Nl-zo -v 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 provisg425, the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been o Health' Signed ' Date Application Approved by Date----? ?- 9 g' Application Disapproved for the following reasons 001, t Permit No. �- / Date Issued--------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the�n-si�tej,�ewage Disposal System Constructed('( )Repaired ( )Upgraded( ) Abandoned( )by r�/lrrrt;� at has has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. g 7- / 9 dated /Z -3-9 Installer Designer The issuance of this pe 't shall not be construed as a guarantee that the syst ill funct' eds d;si xied Date 2 %� Inspector_ ,A ,. r --p —————————————— h..,.w —— --- — No. 7 'r CT Fee /Cr- a.1_ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mi!6pozat *pgtem Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at !6 � :2e ;_�g,�)4 c,Z_-6� 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 Date: 117 1 k _ Approved by v TOWN OF BARNSTABLE LOCAONl� /$�.' /C� SEWAGE # VILLAGE G&,I/ ASSESSOR'S MAP & LOT Z-5-0-1 Z/ INSTALLER'S NAME&PHONE NO. \/' j SEPTIC TANK CAPACITY LEACHING FACILITY: (type) — —30 NO. OF BEDROOMS 3 BUILDER OR OWNER 'Dot PERMITDATE: —2 Z� � corVlalvcE DATE: / Separation Distance Between the: Maximum Adjusted Groundwater Table and-Bottom of Leaching Facility Feet I Private Water Supply Well and Leaching Facility (If any wells exist on site.or within 200 feet of leaching facility) 70u7[rU 00eet Edge of Wetland and Leaching Facility(If any wetlands exist - within 300 feet of.leaching facility) _ �� Feet Furnished by i,. J. (z. R r C; :3-L Z1 %zr C34'= Z3 TOWN OF BARNSTABLE LOCATIONld kk 2ctP . SEWAGE # —�l/ VILLAGE ASSESSOR'S MAP & LOT 2.So-1 Z J INSTALLER'S NAME&PHONE NO. � SEPTIC TANK CAPACITY a LEACHING FACILITY: (type) 30 �7C �,2- < (siz '� Loll C NO.OF BEDROOMS 3 BUILDER OR OWNER PERMIT DATE: COMPLIANCE DATE: 2 Separation Distance Between the: Maximum Adjusted Groundwater Table and 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) �.t �uu>iy Ceet } Edge of Wetland and Leaching Facility(If any wetlands exist �- within 300 feet of leaching facility) _ Feet Furnished by 13 /z- r-tr +e•--� I 1 o 4 1 � - ��_++• 'ice '% ;, t.i b � - FAM��r Rmu Duck cd '-0' ram' �'d r-r.• T 446 �.,�. i •`� r .j (e i ( f 'e I � -; 01 .. r b ,'I F r. l •J - b' 'I Sit L�VI_NG FNJO ero�ar p •i B DR 04A 1 y' - q - _, i I L------------------------� 7 u .•7 ;a I I I I ; I I I 1 _---1►------ y.` f f r I t - I I I - I it I I I li I I i li I I I IJ. I i II , .,• I sue• �•_ � •t_a• I BATH f Cr r vir .Ra _ BEDROOM 2 F�,�BO��tvt - , i I L e � 4 ♦ M •i I I � r-Z• S'-'r' S'-s �-�' r_T• I = II :1. - 1 AS ff N ry ZONING DISTRICT. RD,• •.. , \ 1 OVERLAY DISTRICT: GP ASSESSORS MAP: -251/009 \ MUNICIPAL WATER: YES \ PROPOSED BEDROOMS: 3 \ FLOOD` ZONE: _C � a RECORD OWNER..DlANE B. GRIECO O� DEDD: 3105 146 '�� it► PROPOSED V ` CONCRETE RET./WALL \ 4+ \ \ a .......• EXISTING CONTOURS r E P140POSED 1500 to L-ON T'ANk � o , .•its � � 48 o r POPOSED D OX 0 9G B.M. TOP CB / rrz ti 1 \ t o 44 PROPOSED LEACHING TRENCH EL. 43:7 NGUD � 1 r. j Z 3Q -x 4 x 2 ;DEEP � ) y i 1 c7 1 1. . 0• PROPOSED . • . . . . �� . . . . • .• •, CONCRETE , RET./WALL • • r,r•• / 1 1f ....PROPOSED 1 � 1 CONTOURS � 1 i 9 20,362 s PRIVATE WELLS. LA : . T F -n �,.�" BEN PUBLIC WELLS OR WATER U ` .. d S PPLY. DISTRICT: ra LFp 1 e L � i.. BORDERING WETLAND WITHIN 200. � 1� �„ AN ._ 1 \ BORDERING VEG WETLAND • 1 4 WITHIN 150, SURFACE-1MA R WATERS WITHIN 150, _ I s ?- W 7"J SURFACE _S DRAINS ON SITE:. 000 / ol FOUNDATION DRAINS o / e - of AT .SITE.�1:.�1 ,. SH c•{ l Z VERNAL POOL WITHIN 1 Q0. t�10 / SITE :..PLAN 'OF ` LAND IN , CENTER VILLE, MASS. ,, OF ol LOT A PREPARED E RED FOR GRAPHIC SCALE 20 o is 20 •o so M x SCALE: • A 1 20 DATE: ri 3, 1995 IN FEET STEP HEN J., 1 inch — 20 !t, HE DOYLE AND ASSOCIATES 42 CANTERBURY LANE, FALMOLrM MASSACHUSETTS 02536 TELEPHONE:,_ 50 2534 - - - - — ------ - -- - -- _ - --. - - - j x 1 I j GENERAL CONSTRUCTION NOTES L ALL w r ORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 DISPOSAL �'� ! (� /''`� I AND THE TOWN OF �r�.��� t �.� RULES' AND REGULAl10NS' FOR TOP FOUND. EL. S�.p PROFILE O F SEWAGE D i S (� �._.1 S A L SYSTEM THE SUBSURFACE DISPOSAL OF SEWAGE. j •- .� ..�..��� - - �...�___..._.__._._...�.�_____,_._�....�.. 2. :AT LEAST ONE ACCESS PORT 0 _ ` VER TANK TEES SHALL BE ACCESSIBLE �//x _ NOT TO SCALE WITHIN SIX INCHES OF FINISH GRADE WITH ANY REMAINING ACCESS PORTS BROUGHT TO WITHIN TWELVE INCHES OF FINISH GRADE. 3. ALL COMPONENTS OF THE SANITARY A Y SYSTEM SHALL BE CAPABLE OF WITHSTANDING H--- LO LOADING UNLESS THEY ARE UNDER OR WITHIN 10' OF DRIVES :OR PARKING. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING UNLESS NOTED. <v 4. THE EXCAVATOR/CONTRACTOR SHALL VERIFY THE LOCATION OF ALL SITE UTILITIES PRIOR TO ANY EXCAVATION. 5. SEWER PIPES SHALL BE _4" SCHEDULE 40'PVC LAID AT 0.02 SLOPE. 10' MIN. - 6. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED IN PLACE. FLOW LINE ^--WATER TIGHT COVER 10" Ml - .,, 7. FINISH GRADE SHALL HAVE A MINIMUM SLOPE OF 0.02 FEET PER FOOT. 19 INV. EL 3q•i' 2' LEVEL ("- UCUID DEPTH INV. EL. k t�tr�. e• qc O � � 4 stagy. x X X X xx x x x X x x x x x x x x x x INV. EL 3a. x x x x x x x x x x x x .x x x x - I ' x x x x x x x x x x x x x x x .;:;4•:•:. .. . ,hh '•. h hh .. XXkXx % xX xxXx .. ' 1500 GALLON PRECAST,REINFORCED CONCRETE SEPTIC TANK ..;..:..:..: .:.:..:.....,...h:h h .h.. . INV. EL , .t ;.h.,......1........h... ..,.. hh '•:::;:::•.;..{.:::.... x X X X % x`X x X x IT z7F i>+�• x x x x x X x x PRECAST REINFORCED CONCRETEz.�" x x`x`x x x x MINIMUM CONSTRUCTION MATERIALS PER 310CMR 18.226(2) x x x x x -x DISTRIBUTION BOX .TEES SHALL BE CONSTRUCTED OF SCHEDULE 40 PVC AND A2' ' SHALL EXTEND A MINIMUM OF E" ABOVE THE FLOW LINE ti �► INSTALL ON A LEVEL BASE PE �trou5 $. OF THE SEPTIC TANK AND BE ON THE CENTERLINE OF THE r SEPTIC TANK LOCATED DIRECTLY UNDER THE CLEAN--OUT MINIMUM WALL THICKNESS - 2" i �` MANHOLE. .y e - �--' MINIMUM INSIDE DIMENSION a 12 THE INLET' PIPE ELEVATION SHALL BE N-O LESS MORE THAN 3 ABOVE THE INVERT ELEVATION'OF ? E OUTLET INVERTS SHALL BE EQUAL TO EACH OUTLET PIPE. „ OTHER AND AT 2" MINIMUM;.BELOkN°INLET:,INVERT.' THE DISTRIBUTION LINES R I 3 DIA. PERFORATED DIST. PIPE CAP END SEPTIC" TANK SHALL BE INSTALLED LEVEL AND TRUE TO GRADE TI L! E FROM THE DISTRIBUTION BOk ( ) ON A LEVEL STABLE BASE THAT HAS BEEN MECHANICALLY SHALL ALL HAVE EQUAL INVERTS AS DETERMINED BY FLOODING ( SLOPE m 0:005) COMPACTED AND ON TO WHICH SIX INCHES OF 'CRUSHED STONE THE DISTRIBUTION BOX TO THE. HEIGHT OF THE DISTRIBUTION HAS BEEN PLACED .TO ENSURE STABILITY AND TO PREVENT LINE INVERT AFTER ALL LINES HAVE BEEN SEALED IF PLACE, " INVERT ADJUSTMENTS SHALL BE MADE BY FILLING Wi TH DURABLE 9 MINIMUM BACKFILL SETTLING AND NON-DEFORMABLE MATEI?dAL PERMANENTLY FASTr"N •.. LD TO THE. LINE OR RECONSTRUCTING THE LINES UNTIL ALL RIVETS ARE OF 2"MIN. 18 TO 1/2" WASHED STONE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9, LINEAL ELEVATION. 34" _ 1 THREE 20" MANHOLES WITH READILY REMOVABLE IMPERMEABLE / 1/2 WASHED :STONE (2 .MAX. DEPTH) COVERS OF DURABLE MATERIAL SHALL BE PROVIDED WITH ACCESS PORTS BEING PLACED AT THE CENTER AND OVER THE INLET AND �545 W/►t�R Rssa ROE-.:.��,^ � , 1k 2 r'wL )l A c, -z. -� T ,Z 1 W, '?!b t�.4.�, Y! Y'tz R/sl`I Ca)< � Z�G`G '!'pco�SAtttt= 1•S�gH �ATp_t OUTLET 'TEES. THE OUTLET TEE SHALL BE EQUIPPED'WITH GAS BAFFLE. LEACHING TRENCH i : SOILOBSERVATION s DATA. �;� .z:a,.. r: DESIGN DATA. ������ � ., - f � w. w:t 1 r ...r-, a -l.,. . . _ STRUCTURE - TEST DATE. . - S JULY 25, 1995 °� ztZ TYPE NO. BEDROOMS � vy I�GARBAGE DISPOSAL �, ilwt~ .IsP S. DOYLE LIEEERMAN SOIL`EVALUATOR ____. .. DESIGN FLOW MR.. BARRY _ No. 21D B.O.H. AGENT.. EXCAVATOR 5 PERC/RATE < 2MIN. INCH >,' 8--z.-ate SEPTIC TANK v" - LEACHI«�G FACILITY a �, E _ 5>i�ET z oV 7- 'f mot.�z.t r p z mot. •az.o _� _�,`� x 3 ra >< 2 -r m r t_.TvcT'N H�- T oT ,.xorm. >f sum LOT A R A S P A N TE 0•74 = 3T6 tiP• ) - F».tt 3T8 » 330 = 49 c{1 v IN T2sss - >✓�He 'Sys'41©R.-c. _ .� saga Qk ze-a3 _ _-a - SCALE: AS NOTED e�u�►. 3 IQ►g5 3 •--� OTE DATE. '1'�t�c. ar M G 'lioRt2. MEv. -(RAyv_L CJILAVre %A)vb STEPHEN J. DOYLE AND ASSOCIATES `( 42 CANTERBURY LANE, FALMOUTH MA. 02536 -zr•.ta•p lo.o' A`�ao Et..3x.�'� lo' trio uzo � z, TELEPHONE: 508/540-2534