Loading...
HomeMy WebLinkAbout0402 PRINCE HINCKLEY ROAD - Health L402nce Hinckley Roae 161 v TOWN OF BARNSTABLE LOCATION SEWAGE # 200a -<<l6 MLAGE z°wrT�yr� ASSESSOR'S MAP & LOT I U' Al INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) , C� Ty er—,CM!!C'O (size) NO. OF BEDROOMS BUILDER OR OWNER OD PERMITDATE: 4,10110 COMPLIANCE DATE: Li ;Z 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 G V , � o �7c1 STt� 7( t boo 47 a 3 Z �a� �6 No. auo a ��� Fee S� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓� Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01pplication for Mi.5poe al 6p$tem Conotruction V ermit Application for a Permit to Construct( )Repair( )Upgrade(V-'�Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.�rt1� �j���C 4np�i)cy Owner's N e,Address and Tel.No.`-`-�+ �rs.�ia��e. Assessor's Map/Parcel � Inst ler's Name,Ad ssr and&Tel No. Designer's Name,Address and Tel.No. mte oz& v r� Type of Building: Dwelling No.of Bedrooms] Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow �3 3 a gallons. Plan Date Qe_-'Z c Number of sheets l Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when app 'cab)e (.� 1S �d S.T tcJ INEER MUST Date last inspected: INSTALLATION AND SUPERVISE THE SYSTEM Vy CERTIFY IN WRITING Agreement: ACCORD fETALLED IN The undersigned agrees to ensure the construction and maintenance of theeNa ore on-site sewagRe Wposal system in accordance with the provisions o Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue y this oard of H t 1 Signed ` Date "Application Approved by 4,/_ Date U Application Disapproved for the following reasons Permit No. 2 O 1 , I'A Date Issued q U .x77a i No. aCJ U —l���b , , _ _„. -Fee 4, THE COMMONWEALTH OF MASS CHUSETTS Entered in computer: ✓L Yes PUBLIC HEALTH DIVISION -TOWN OF�BARNSTABLE., MASSACHUSETTS 2pplication for Migposaf *ipgtem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade'(Abandon( ) ElComplete System ❑Individual Components N Location Address or Lot No.L�(�����n�o �� [i f C� Owner's Name,Address and Tel.No. lnC�7 h U (fr16 /fll�<�. Assessor's Mapq'arcelL7,0 — S Inst ler's Name,Ad sand Tel No. Desi ner's Name,Address and Tel.No.0. n �C/C �S �j�lxfcl�. � ��Q ryu j Type of Building: Dwelling No.of Bedrooms— Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures �1 Design Flow . gallons per day. Calculated daily flow 3 3 7 gallons. _ Plan Date !L, 0 *- Number of sheets l Revision Date Title Size of Septic Tank-Lo(if)-hna I Go09 Type of S.A.S. Description of Soil i ti Nature of Repairs or Alterations(Answer when applicable) ( I S )r7 ) Sf l ,,�o.s �,t)/ scone ,5" �n - 4 ()dJ-c n6142 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 o�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 HeMt Signed .Y' / Date i - Application Approved by Date Ma !! Application Disapproved for the following reasons Permit No.?Dv 1 ��G Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO C TIFY hat the On-site ewage Dis osal System Constructed( )Repaired( )Upgraded(Lll � Abandoned )'�-� `L E'_ , at 7 ti4h Ar k e 0- 011 k9as been constru t.d .1p accordance with the pr visio of Title 5 th for Dis.osal Sy tem Construction Permit No. a - .� dated / b Installer .,�171P� �� � Designer f The issu nce f this,pe .I hall ri t be co trued as a guarantee that the syst willfunction as signed. Dater � Inspector ' --------------------------------------- No. f/U,Z, — I Llb Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS Mioogal *pgmem Construction Permit Permission is hereby ra ted )Construct( )Repair( r de 1 Annd n YS � � ( ) P ( )UPg (y) Q ( ) System located © / C( 1'. l S j 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. Provide :Cons cti must be completed within three years of the date of this permit Dat . 'U Approved by _,Aj n E � i I f TOWN OF BARNSTABLE LOCATION IN 40—J �17SEWAGE # "� VILLAGE C z k,-7-eyy}f 1F— ASSESSOR'S MAP & LOT U—4 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 5 G LEACHING FACILITY: (type) ,Zz(f. .T1zr,C?l!!lO0size) NO.OF BEDROOMS S 2S7i7H� oZ BUILDER OR OWNER 00 PERMITDATE: U U;�- COMPLIANCE DATE: a LO 12-- 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 -0 0 two S,T� 1, 47 C;Z/ 0. i OUTBACK 106 West Grove Street Middleboro, MA 02346 ENGINEERING, INC. Tel.: 508 946-9231 Fax: 508 947-8873 April 12,2002 Town of Barnstable Health Department 367 Main Street Hyannis, MA 02601 Subject: 402 Prince Hinckley Road,Septic Repair Inspection To whom it may concern: An inspection of the newly installed Title V septic system for the subject property was conducted. I hereby certify that the new septic system has been installed in compliance with the approved plan, dated 4/4/02. Very truly yours, Ja s A. Pavlik, P.E. 1:0 CAT ION SEW A G E PERMIT NU. Lot 303 Prince Hinckley Rd. 84-50 V•1LLAGE Centerville, Mass. NSTA LLER'S NAME i ADDRESS - ._._ Robert B. Our Co. Inc. Great Western Rd. North Harwich, Mass. 02645 I UILDER OR OWNER Alan Small „ 'DATE PERMIT ISSUED i DAT E COMPLIANCE ISSUED t : - c�c4` � ... _. . �— alp 197 , �' �3, �;°� `r o. -• ? 'G( Fss..: ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH L..........OF..... ... .......... ... ... -_------------------- qua- ,� lirtt iou for Uhipoiial Workii Toufftrnrtion,prrmi# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atL�:e✓! _ L anon-Address -.QL-Lot No A . ..................... ..... ......._............ _.... ...... �/e...rsl+( ............. wner Address ........... ` `.............................. ............------...__....... ............................................... Installer Address Type of Building 3 Size Lot._-_eA/__��..Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( At o aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures -_...--_ �--- W Design Flow.......... _�................gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid capacity/-&t-'dgallons Length________________ Width................ Diameter................ Depth................ W Disposal Trench—No. .................. Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ . Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... Gz., Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P1 ..................................7.......................................................................................................................... Descriptionof Soil :------•----------•-----------------------------------•-------------------------------------.._._.............._•-•-••- x V W ------•---------------------•-----••----------•--•-•--••-•-•--------•---•-•--•••--•••••••-•-••--•--•-•-••-••--•••••--•-----------•-----•-••--•••--•--••••••--•••••-••-•••---•-••--------•-__-_•--•...._. UNature of Repairs or Alterations—Answer when applicable.......................................................................•--.-:-..._..._......._.. A reement: The undersigned agrees to install the aforedescribed, Individual Sewage Disposal System in accordance with t pro isio ' o iIT 5 of the State Sanitary Code—The undersigned urther agrees not to place the s stem in er Cate of Compliance has been is wed by the bard of ealth. GS ned ---'•••-•• ...... pa' te 1- ion Approved •-•- ••••••-••-•-•••-•••---•._.......•-•...--•--•-•-•••--••-••............... -•--------• -1 ..y-�......•---•--- Date.. ..... Application Disapproved r th ollowing reasons---------------------------------------------------------------•----------------•----------.....•------....-•_... ------------•-------------------------------------------------------------•---------------...........-•----•...__...._...-•••-••---••••-••-••--•...-••••••-•••-•••--•••--•-••••••-------•••--•••••_-•--- Date PermitNo......................................................... Issued_.................................. .: Date —__-_-,— ---------------•------------- r , No�� . ..... FIna...1 ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD 9F HEALTH }}e .� ' 't Appliratiun for Uhipo,ittl Workii Tomitrnrtion .unfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at �a:f .� .1�::�.._rJ'`::1.�._t.il_ �It '�(t../. 3�•'_ ..... ......... Location•Address _ r_ LO t No.,. .._.........5_ -- _8.......... .... ......:-__..._. _......._.....__.... ........._._______-__'. .__.......:..... ...... O r. *t r Address Owner - F ........................................ ...............'__' _.... ........................... Installer Address Q Type of Building Size Lot.....e'=_:..!.:_ :'__.Sq. feet U Dwelling—No. of Bedrooms.........:^________________________________Expansion Attic ( ) Garbage Grinder ( i ) Other—Type of Building ............................ No. of persons............................ Showers ( ) - Cafeteria ( ) Q' Other fixtures ---------------------------------------------------------••-••-•-----•-----•••--------------•-•-•-••--•._........ ---------------•---..---- Design Flow........... ................gallons per person per day. Total daily flow..............................................gallons. WSeptic Tank—Liquid capacity.............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.-_------_-------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date......................................... a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ r Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ C4 ................................. -••••-•-•••- -•-----•-•-•.........--•----•------------------------........................................................ 0 Description of Soil........................................................................................................................................................................ x U ---------------------------------------•-------•---••------------......._..-•---••-------......_...........-------------•--•----••--•------•-- ......................................................... UNature of Repairs or Alterations—Answer when applicable............................................................................................... --------------------------------------------------------•-••••-•••••--••-•--------------••••---•-----•-•----....------------•...--------•••--------•---•-•---------------••-••--•---••••-•-------•...._. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with t proovisioi of iIT 5 of the State Sanitary Code— The undersigned further agrees not to place the system in oertlo er. ate of Compliance has been issued by the board of health. ff t ....................... ..................................... .... !� ..,.... 1;;71 Date-: - pph� ion Approved ---- ----- .../ ---�-•..... Date Application Disapproved th ollowing reasons-..............................................--...----------•----••------------•--------=-••-•----•••-•----. .......--••--•-•-•---------------•--. ..__. ..---.._.-.---•------•-•---.•..--•-------........----••......-•-•---------•-•-----•--------------------•••-•••----•-•--•-....._...---- ..__......--- Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS t BOARD OF HEALTH ..........................................OF.................................................... (Irdifiratr of TomplUtnrr TH Tj CERTIFY That the Individual Sewage Disposal System constructed ( v or Repaired by------- t at.. •-•• --_.......:4 .D... ----• �` _ --...----y ........--• ....... ......... ......... has been installed in accordance with the provisions of TI 5 o The State Sanitary Co . as es�J�'bed in the application for Disposal Works Construction Permit No....._____ ............... dated---.C...�f---( 7._---____-,.-.-.......- THE ISSU NCE F THIS CERTIFICATE SHALL NOT BE CONSTRUE® S A GUARANTEE THAT THE SYSTEM Wl / FU C ON SATISFACTORY. DATE.... .. ........ . -------•---.._..----..........._........_•-_... Inspector----- _..--------------•......----•-•-----•-----..........••- { THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i ...........................................OF..................................................................................... No. .Y ............ FEE........................ iorottl'l orks Tonulinr#ion rrntit Permissionis hereby granted....... r..... --- ..%�------------- ---------------------- --•------••----•----_-_------•---•------------__-.__-____--_--------- to Construct or R an Indi, 'd 1 ys osal Sys atNo...................... d_ . .......... .._ i.9r c •=!-•-•--- .. Street as shown on the application for Disposal Works Construction Permit N ................... Dated.......................................... ----•-•------•------- ------ .......................................................................... DATE........... -�--...._..------- ....... Board of Health FORM 1255 A. M. SULKIN, INC., BOSTON SINGS FAMi�Y 1.1G G,a.asAGE �jiLND6iZ. - ; ". Ito 3 - .630G•Pp SEPTIG -r A► K USE- l000 GAL. { `a'• ' I vo0 10%5Po-4A1_ PIT vbE t -; DG,H/AlL 150 5.t= X �•5 = . 3?5 G.P R 0 pp OP iffxJ' ': 50TTOM A9F-Ar'., piT 5p S.F x I. 0 0 ' -ToTAI- pfi51GN A25 G.P. D. � 4 ' •�oTAL T>A I k-`( 33O G•PD• . Z TAiJJL. A + � 4 pt~RGOLATION RATE , I"IN ZMIN A i• + r .; I RICHARD G„ t or ALAN100, 'r A. i+0.2:v 8O 0 251Q� (op,e09p + r 4 evIr i. Top F wic) orS- „�1,, �.� rJv. r I ^ Yam• loon INV- !.oAwl Qr D16T. INS. GoL. SV,PTiC INS• Gat,.. y3,o i � L6AGtd �'• «.. INV. INY. -Fr _• P IT 53,Z 63.4- i W/ITW II 6•TO NG ; SJSJa� CEI2TIFIGD PLoT Pl_AIJ .• � 1.o C 4'T 10 N 71�.Rv I L.[..C3 � t,1 O . 5 CA LL' �j CA L E i�Ga ATE (�•IZ.• d VJA'��- �• p L.p,N REP 6 2E N GE<..,v { GE RT%FY Z NAT NERSO►•t GOMFv- 6 1^JITN"TN� SIo�L1N � I..cP A►JD 56TC4.GK R-6GQJIQ•6MEN`f> 'To W N Or- -f31APf-�TI 6Le3 ANC 1 Nd► �L � '31��/ �v ' LO` t_OCp.TED WITN1Ij THE GLGoD PLAIN IS, _Y wt��i� �+ E o f DATE 1 .. "-^ti BAxTE2e NY INC• REG I S57>cQ6.v ►.AN D 5 u R.v tcY es -TIt15 PLo.N I�j NOrT t3l��jC D pld AN 03TEQ-NIECE • S• ' , I� IN5-rzuM6NT SV9-V Y #,� -TAS o}-FSETS 6uou� APP�ICP.►-IT' ►Io t^ ' EDTO 0eTEFc!^►NE -T t. V 5 l-4-13 M' ,4-4; BENCH MARK: TOP OF FND. v ELE.=61.0 -(SAS) SHALL BE - 34.25' LONG OLO J MANHOLE COVERS TO EXTEND TO 11.0' WIDE Z S Tam WITHIN 6' OF FINISH GRADE 2D 10' p( p -T y BAFFLE REQ'D 7 LoLvg zx EL=,.S 7.4 4 5 ,3p t-4I5T 2X -- - -- - - - 2' PEASTONE TOPPING 1000 W SPi.Oj 1 D.B. _ - _ -- vA� G2`� _ __ CAP ENDS GENERAL NOTES: TA►J K 38� 6 TOW3' -- -- -- -- -- -- - 3/4" DOUBLE WASHED — ELEVATIONS SHOWN BASED ON U.S.G.S. DATUM. STONE ALL AROUND SYSTEM PIPE SHALL BE EITHER C.I. OR SCHEDULE 40 P.V.C. — THE BOARD OF HEALTH SHALL BE NOTIFIED 1.5 31 25• .5L PRIOR TO BACKFILLING OF SEPTIC SYSTEM. 20' MIN. — SEPTIC SYSTEM STRUCTURAL COMPONENTS USE FIVE (5) INFILTRATORS SHALL BE CAPABLE OF WITHSIXNDING A SOIL TEST LOG PROPOSED SEPTIC SYSTEM WITH 4.0' OF STONE 0 SIDES H-10 LOADING. UNLESS SPECIFIED OTHERWISE PERC RATE=< 2 MIN/INCH NO SCALE do 1.5' OF STONE O ENDS 0 SEPTIC SYSTEM UNDER DRIVEWAYS SHALL NO STONE AT BOTTOM COMPLY WITH A H-20 LOADING. DEPTH ELEV.= 60.0 3 I �O V N VJ N-T-c, Is+ THE DESIGN AND DEC INPONENTS SEPTICOF THE COOMPUANCE WITH THE O A LOAMY SAND 10YR 8 'CE12. �a^) � STATE OF MASSACHUSETTS SANITARY CODE 9 LOAMY SAND 10YR Z � I ���� TITLE V. AND SHALL BE IN COMPLIANCE WITH 30 ( oc> + I)EE P ( NI 5 THE LOCAL BOARD OF HEALTH RULES AND REGULATIONS. Cl MEDIUM SAND IOYR THE CONTRACTOR SHALL BE RESPONSIBLE FOR t3, LOCATION OF ALL UNDERGROUND UTILITIES AND SHALL NOTIFY DIG — SAFE PRIOR TO 1 � �'0° CONSTRUCTION. N© !�A►ems ��S eAvtYo / — NO GARBAGE GRINDER DESIGN CRITERIA: LEGEND: E-A,s-r. SNED �J V DESIGN FLOW — — — — — Ijoco vR�• 3 BEDROOMS AT 110 G.P.B. / DAY 330 G.P.D. EXISTING CONTOUR WATER SERVICE W—W— TA,J K O REQUIRED SEPTIC TANK: TEST HOLE +I o C I, a s a) b A c o�) GAS SERVICE G—G } SSE-t_x t�T.._.�T9 K SEPTIC TANK PROVIDED NOA/. BENCH MARK QBM O GrC DESIGN PERC RATE <2 MIN/INCH l(1 SIZE OF REQ'D (SAS) AREA = 330/0.74 = 446 S.F. TOT SIDEWALL ffl�0.83)(34.25)+(2)(O.83)(l 1 = 75.12 S.F T-O-1r. _ toI,0 BOTTOM (34.25) = 376.75 S.F. ro _ SIZE OF LEACHING FACILITY PROVIDED: O 376.75 S.F. + 75.12 S.F. = 451.87 S.F. M NOTE: = 334.4 GP PRIOR TO INSTALLING THE NEW (SAS) THE 21 CONTRACTOR SHALL PUMPOUT EXIST LEACH PIT P 11 EFFECTIVE DEPTH: 10" AND BACK FILL WITH CLEAN MEDIUM SAND r� �� ' EFFECTIVE LENGTH: 34.25' IF A (SAS) LEACH HITPIT IS NCOUNTERED D IN THE LO-T ( � EFFECTIVE WIDTH: 1 1.0' AREAI OUTBACK ENGINEERING 106 WEST GROVE STREET MIDDLEBORO, MA 02346 �,��LtW`�c ygssq (508) 946-9231 ' ) 0 0 I -.- �gQ`� JAMES oyG� PROJECT: SEPTIC SYSTEM REPAIR pAv a FOR CI L 4oz PRIt NIr4.CV�C RaRu PRINCE HINCKLEY ROAD SHOWNB* ,� `00 �'/gT oae - -Q MAP 170/ LOT I(p I non er OWNS : MAIZ`i E. MooAE PLAN 402 Ps -ics to,aC.KLF_-q fZc7 .t c�aT��v �l.L ISS 1» _ 30'