HomeMy WebLinkAbout0039 PRINCE HINCKLEY ROAD - Health FA3
PRINCE HINCKLEY RD., CENTERV
=170 - 167
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'y ❑Complete items 1 and/or 2 for additional services. irrg services(for an extra fee):
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UNITED STATES POSTAL SERVIGE,- First-Class Mail.
Postage&Fees Paid
USPS
Permit No.G-10
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.............................................our"i,�'iname,addrdss,and ZIP Code in this box
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BARNSPABLE.MASS.i639. REC. BY
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To S CHED. DATE:
Board of Heal
367 Main Street;Hyannis MA 02601
Office: 508-790-6265 Susan G.Rask,R.S.
FAX: 508-790-6304 Sumner Kaufman,M.S.P.H.
Ralph A.Murphy,M.D.
VARIANCE REQUEST FORM
LOCATION
Property Address: Lq Pn t,�(fz q
Assessor's Map and Parcel Number: I Size of Lot:_ I ®O J
Wetlands Within 300 Ft. Yes Subdivision Name:
No �—
Business Name:
APPLICANT ✓ �A CONTACT ERSON���
Name: Name:
�/� ad
Address: 0 Address: d2 fl3v
Phone: 7 e n Phone: /Q 7 J t( '
£':TR: FAX: / 7 JQ—
VARIANCE FROM REGULATION(List Reg.) R 4�SON I V,a ,IANCE(May attach if more space needed)
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Checklist(to be completed by office staff-person receiving variance request application)
Four(4)copies of plan submitted(including septic system plans and/or restaurant floor plans)
Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting
date at applicant's expense(for Title V and/or local sewage regulation variances only)
Full menu submitted(for grease trap variances only)
Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals(same owner/leasee onlyl.outside
dining variance renewals[same ownerileasee only),and variances to repair failed sewage disposal systems[only if no expansion to the building proposed])
Variance request submitted at least 15 days prior to meeting date
VARIANCE APPROVED Susan G. Rask, R.S., Chairman
NOT APPROVED Sumner Kauffman, M.S.P.H.
REASON FOR DISAPPROVAL Ralph A. Murphy, M.D.
Q:/WP/VARIREQ
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EL. = 100.5'
717P OF FVUNDATION
20' MIN.
10' MIN. CONCRETE CO COVERS
4" SCHEDULE 40 P. V.C.
EL= 99.5' MIN. Pl7CX 1/4" PER FT 2"LAYER OF
1/8"-1/2"
MAX ♦ i , CONCRETE COVER WASHED STONE
EL=99.0'
4" SCEDULE40PVCPlPE ' . , , , ,
i MUN
POI7C'1/41 PER f FT
CLEAN SAND 36"
_ MAX
16' FLOW LINE _ EL=976 +
INVERT 1 10"
98.2' AlIN. 14 12 0 0 0
-- GAS INVERT �6 SUM LEVEL 6 0 0`b 0 00
INVERT BAFFLE EL.= 97.55' INVERT INV�'RT o o . . t. i 2 i ° o°0
EL.= 97 8 EL.= 97.25 EL.=97 =95.8
-- 4' 4,
(719 BE PLACED ON NR f BASE) DISTRIBUTION INVERT I
MECHANICALLY COMPACTED OR 6" OF SMSE BOX EL.__9_6.8_
GALL ONS TO BE WATER TESTED 11 x38 xl,
TRENCH FORMATION
SEPTIC TANK IF MORE THAN ONE OUTLET
PLACE ON 6" S719NE V4. To _1 SOIL ABSORPTION
PROFILE OF WASHED S7CINE
SYSTEM (SAS
SEWAGE DISPOSAL SYSTEM
NOT TO SCALE NO OBSERVED WATER TABLE (10121197) ELEV.=_87
OBSERVATION HOLE I ELEV.__ 98 _
CROUNWATER PROTECTION PERCOLATION RATE �5 _ MIN./ INCH AT 60278"INCHES OBSERVATION HOLE 2 ELEV= 99
0 VERLA Y DISTRICT "GP" DEPTH HORIZ TEXTURE COLOR MOTT. OTHER DEPTH HORIZ TEXTURE COLOR MO TT OTHER
0"-8" AP LOAMY SAND 10YR3/2 NONE GRANULAR 0"_8" AP LOAMY SANDY 10YR3/2 NONE GRANULAR
8"-24" B SAND IOYR5/8 NONE I MED 8"-24" B SAND 10YR5/8 NONE ,QED
24'-132" CI SAND IOYR7/8 NONE MED SAN 24"-132" CI SAND IOYR7/8 NONE MED SAND
GENERAL NOTES W/GRA VEL W/GRA VEL
1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. NO WATER NO WATER
TITLE 5 AND THE TOWN OF _&4RNST 4RLE____ RULES AND
REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. SOIL TEST �P`tN OF,y,�
2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO XWILLIAM LIEBERMAN R P.E.
WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN "12" DATE OF SOIL TEST 10121197 SOIL TEST DONE BY or
C
3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITNESSED BY: JERRY DUNNING WILLIAM `
�
WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN AN LIEBERz3M
10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE DESIGN CALCULATIONS.' Ao1''No. /i
USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. NUMBER OF BEDROOMS . 2 '2ss� ST EN
4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL GARBAGE DISPOSAL . NO AL
BE MORTERED IN PLACE. TOTAL ESTIMATED FLOW
5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH SIDE LOAD 4 INFILTRATORS WITH ( 110__CAL/BR./DAY x _�__ BR.)
DEEDED OR ZONING REGULATIONS. 0 WNER/APPLICANT IS TO STONE SIDES AND ENDS
22o GAL/DA Y
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 11'X 38X I' REQUIRED SEPTIC TANK CAPACITY 1500 GAL
6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCA VATION CONTRACTOR SOIL CLASSIFICATION . . . . . . . . 1
IS TO CALL "DIC- SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS DESIGN PERCOLATION RATE . . . . . < 5 MIN./IN.
PRIOR TO COMMENCING WORK ON SITE. EFFLUENT LOADING RATE . • 74 GAL/DA Y/S.F.
7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS LEACHING CAPACITY (AREA X RATE) 381 GAL/DAY
SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. RESERVE LEACHING CAPACITY . 381 GAL/DA Y
k 8) PARCEL IS IN FLOOD ZONE___"'C" _ PERC TEST # 90,26'
(38xllx. 74)+(38+38+11+llx. 74)
9) LOT IS SHOWN ON ASSESSORS MAP _170 AS PARCEL _ 167 JOB NUMBER__ 51965C
SHEET 2 OF 2
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