HomeMy WebLinkAbout0315 SHOOTFLYING HILL RD - Health Ceriteiviile ,
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UPC 12534 0 ��
No. 2153LOR
HASTINGS. UN
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No.2DD 2_ .. ( Frts.......... .....
THE COMMONWEALTH OF MASSACHUSETTS V ~
BOAR® OF HEALTH
TOWN OF BARNSTABLE
Appliratiult for Diupu!3al Wurkii Tomitrurtiun Prrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ✓) an Individual Sewage Disposal
System at
1 1 l / .......c a/-------------------------- `fl 3
---...
Locatio -\ddre Lo
ss or t No.
4......... -�/Z_V v--------------------------
W Owner
,a -------- =�1. .......113.�° C"A,---C -----5.3---��-h_I.I.—
Installer r Address/t�/1
• ... .
Address
UType of Building Size Lot............................Sq. feet
�-, Dwelling— No. of Bedrooms-----q-----------------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building --------------------_----- No. of persons___-__-__--------_-_-----. Showers Cafeteria ( )
Q' Other fixtures .
d -•---•-----•--•---•--------
W
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.
3 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. I________________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........................
Description of Soil...".4-!!./.--..LV$_
U -----------------------------------------•------•---------••---•---------.•.
x -------------- ---------•• ------------------------------------------------------------------------------------------------ - ------------------------ ............................................
U Nature of Repairs or Alterations—Answer when applicable---------- ..sf `t ./ ,19.Fj...................................
---•-------------------------------------•----------•--•--•-----...-------•-•---•------.....---......-------•-•-------------••-------•--- ....-----...---------------------------••-----......----
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State EnviAlnce
mental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Com has be iss board of health.
1
g O 11
. ... .... ... .. .. ..........._...............-...--..-... Date
Application.Approved By .................. ................ ...
Dace
Application.Disapproved for the following reasons: --------------------------------------------------------------------------------------------------------------------------------------
.......... . ........................... ............... ... ..................... .......---------------- ------------------- ---------------------------- -- ----........... ------..------------------------------
Permit No. ......�O-Z.-'�.� ......... a .Issued (�-�.(S o'L
l
te..........................Date......
f
a�
C Fxs........
-i THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliratinn for Disposal Works Tnnstrnr#inn Permit
P
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
Location- lddr/e�ss or Lot No.
owner Address
i -� Installer Addressss V C/
UType of Building ; ! Size Lot............................Sq. feet
Dwelling—No. of Redrooms.-_-_ .!-------------------------------.----Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of •Building _-------------------_--__- No. of persons--------------.------------- Showers ( ) — Cafeteria ( )
Otherfixtures ......................................................................................................................................................
W Design Flow... ..................... ". 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 ( )
0.4 Percolation Test Results . Performed by........ -•------•-----•----•-•-••••----------•---•---•-••---•-•-•••-..... Date........................................
Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................
f�l Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
----------------------------------------------•-•--------•-•------•-------•------•-••--•--•....--•--......................---•-•---
Description of Soil--- -••------------•-•----------------------------
V .....•-••----••••----...-•-••----••------•-•----•---••-••-•-•---•---•-----------•--•-------------------•-----------------••---------.....
x .................--------- -------------------------------------------------------------------------------------------- -•------------•-------•-----•-•-------....----•----•---•--•-••••................
U Nature of Repairs or Alterations—Answer when applicable------------ !' ._1' r_<.. _ lz_ .�i...................................
.....................•--••----•....••---••------•----••-•-•-•---...----•---••--•-•-...-•-••-....•-- --•--•----•------------------•--•-------------•----...........---------------•-••--•---•--.........
Agreement: 11
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Envirpn mental Code=The undersigned further agrees not to place the
system in operation until a Certificate of Com hance has been issued by t e board of health.
t
Signed .;l......... ` --- .......- W.'` � . �:.�1..
— Dare
Application.Approved By ............... ...........................
........................................
Dare
Application Disapproved for the following reasons: ..- ........ - ... ............... .-. - .......... .............. ........ ......... .
......... . . ............ ........... ............... ................ ........ ... ............... . . ..................... ............... ........................................
- Dare
Permit No. ....-.ZDD 2.. ................ Issued .........l.l. 1 �?.z-
draw, are
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
k0lErtifirate of ('J umlatianre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ✓ )
by ------------------------------------------------------------------------------------------------------------- ------------------- ---------------------------- ---------------------------------_-_........-----------.------------.-------
1
_ Installer
at ---------------- ............1..::.... -......{,........ ..:.-.-... L.'_ -`
---------------------------------------------------------------------------------
' has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ..._� �'�.'.. _ ---- dated ....--_.!_�'-�.f.'S. Z?. ......
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
.. `� i E
DATE.... ... �._�--J------�----------_..........._._----------------- Inspector s-/--...�ti��. f w_.� --�:-..'.
THE COMMONWEALTH OF MASSACHUSETTS
-BOARD OF HEALTH
fi TOWN OF BARNSTABLE_.
.. FEE........................
Disposal Works Tnntrudinn "rrmit
Permission is hereby granted----. _%........................ t C
to Construct ( ) or Repair ( ) an Individual Sewage Disposal System
at No.....1Z.5 :.. `�r t ... :._(._. .l ------- ----------
� 'Street
as shown on the application for Disposal Works Construction it N 2�7���7�Dated..........a1i U 2
PP P ; d.._.0................
s
Board of Health
DATE ----------------------------------------------------
FORM 36508 HOBBS&WARREN,INC.,PUBLISHERS
TOWN OF BARNSTABLE
LOCATION -?/ J cc �' %/I/f iz1- A/c(L SEWAGE #
VILLAGE ASSESSOR'S MAP & LOT arc/U/3
INSTALLER'S NAME& PHONE NO. Z-�-1 C/
SEPTIC TANK CAPACITY /-ra C
�
LEACHING FACILITY: (type) —5 Q 6 :6 , A g,2e/-'Xsize) �c•r—,/Q• —t
NO.OF BEDROOMS_
BUILDER OR OWNER R4 U ' - U
PERMIT DATE: J V't COMPLIANCE DATE: 1 a 0
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
a
AV2/ t3 /
A2,jZ
A3—Zl— i3i 4
G 'ti
TOWN OF BARNSTABLE
Ec
LOCATION �/ 1/LL_C..SEWAGE # o2oU�� 7T_
VILLAGE C ASSESSOR'S MAP & LOT
INSTALLER'S NAME& PHONE NO. 11, 0
SEPTIC TANK CAPACITY.
SQ d t�it�
LEACHING FACILITY: (type) `3size) 2_
NO. OF BEDROOMS
BUILDER OR OWNER /�U L �l d v
PERMITDATE: U COMPLIANCE DATE: 1 D
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 Feet
within 300 feet of leaching facility)
Furnished by
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p Al -
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A3-Z3- 13 3�
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TOP FNDN EL, 89.3' SYSTEM PROFILE TEST HOLE LOGS
ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) AH OJALA, PE
ACCESS COVER (WATERTIGHT) TO ENGINEER-
WITHIN MINIMUM ,75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE DAVID STANTON
2% SLOPE REQUIRED OVER SYSTEM 76 a' WITNESS:
_ _ 9/12/02 -1
RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE
DATE:
\86.9IL_ -= --` FOR FIRST 2' PERC. RATE = < 2 MIN/�tH
LOCUS
LITA2NK (H-
D 1500 3' MAX.
85.0>� SEPTIC FZ
84.75' TEE CLASS I SOILS P# 10325 HILL ROAD
10 ) GAS
BAFFLE 73.67' �� 73.5' �ARiNpS
IF- p c� ol� aC al� Or.��og WPY
73.a' r� 0or� �� Oo7
SLOPE) �6" CRUSHED STONE OR MECHANICAL = 0 m 171 r ) m CJ = [] , 0" 4 76 0'
COMPACTION. (15.22t [2]) t�•^ ` ELEV.
$$ 2' E� E� 0 C-1 C7 E� E7 Cl 0 .fL o 7 1 .a' LAKEVI --
rW AVE.
DEPTH OF FLOW = 4 ( 30 � SLOPE) O/A
TEE SIZES: 3/4" TO 1 1/2" DOUBLE WASHED STONE SL
INLET DEPTH = 1 a 2" 1 OYR 2/2
OUTLET DEPTH = 14"
E LOCATION MAP NOT TO SCALE
FOUNDATION- 30' SEPTIC TANK 36' D' BOX 20' LEACHING FSFACILIT" 14„ 10YR 6/2 ASSESSORS MAP 214 PARCEL 13
5' B w
/�,t 81.72 MS ,
SEPTIC _DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED )
� I
DESIGN FLOW: 4 BEDROOMS ( 110 GPD) = 440 GPD
USE A 440 GPD DESIGN FLOWB06 10YR 5/8� 32 73 33'
t
SEPTIC TANK: 440 GPD ( 2 = 880 t {80.i%
t � 66.0'
USE A 1500 GALLON SEPTIC TANK t �` z91 C
k 79.40-k79.27
LEACHING: `%F_7
SIDE ( 1 MS
S: 2 39 +- 10.83) 2 .74) 147 �� �= `
BOTTOM: 39 x 10.83 (.74) 312 �\ 475.94 2.5Y 5/6
j
TOTAL: 620 S.F. 459 GPD
a -"76.47 120 66.0'
USE (4) 500 GAL. LEACHING CHAMBERS (ACME OR ���/ ��\7 7 1�76�2 NO WATER ENCOUNTERED
EQUAL) WITH 3 STONE AT SIDES AND 2.5 AT ENDS NO ( ES:
i >.68 -
76. �Ic 75.70 �
1 . DATUM IS ASSUMED
W Wuo
k,75.14
5.5 2. MUNICIPAL WATER IS EXISTING
3. MINIMUM PIPE PITCH TO BE 1/8 ' PER L 00T.
\�\74. 99s \',73.86 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H-�� _.
/ , 5. PIPE JOINTS TO BE MADE WATERTIGHT,
7 7/ 3.98 72.>38T
4 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS.
87.0 t 1 26 4-74:07 73.
/ •2t72,88 ENVIRONMENTAL_ CODE TITLE V.
+ �c"c�� 7�.33
/ ` \ 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE
/ +8857 / ���1 �32 3.� USED FOR LOT LINE STAKING.
8.83 ( 8.18 + .56 T 15 d r� --- + 94
Ij 5.47- �I 72.82 ,
/ / m + 6. 3 31 IQ 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC.
P GAR 7 41 7 I 9. COMPONENTS NOT TO BE BACKFII-LED OR CONCEALED WITHOUT
INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED
+ s. J +75.42 FROM BOARD OF HEALTH.
/RNc To s
RE-ROUTED TO a6.72 �9, 10, PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING CESSPOOLS.
/ RE-RO
PARCEL 13 / EXIT AS SHOWN +B .4
40,500t SF 88
/ +7 .45
EXIST. 3 BR .5 + 4 / + &m8 '
DWELL i +76.63
TF = 89.3' 21 / / / ��
+76.31 O LEGEND
no Fm� 00.0 1 PROPOSED SPOT ELEVATION OF
>38.46 grFR eR� � 315 SHOOT FLYING HILL ROAD
BENCHMARK: 1 0ax0 EXISTING SPOT ELEVATION
SOUTHEAST \� IN• THE TOWN OF: p
CORNER
BRICK ��\ 100 PROPOSED CONTOUR ( CENTERVILLE) U A R N S T A U L E
STEP = 89.2'
100 EXISTING CONTOUR
AllPREPARED FOR: PAUL AND ALICE SORVO
OQ
C� 30 0 30 60 90
may. BOARD OF HEALTH
MA SCALE: 1" 30' DATE: OCTOBER 2, 2002
THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL UTILITIES AND ALL
APPROVED DATE
'BUILDING SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING ANY
PORTION OF THE SEPTIC SYSTEM.
off 508-362-4541
fox 508 362-9880
/�H Of
down cape engineering, inc, ARNE �
o� OJALA dN H.
CIVIL ENGINEERS � � � OJAtJ+
CIVIL -
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. - LAND SURVEYORS 2
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,2.-270 939 -rain st. yarmouth, no 02675 ,IALA, P. ', P.L.S. ,F -DATE