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HomeMy WebLinkAbout0050 TERN LANE - Health 50 TERN LANE CENTERVILLE A = 192 026 P III__l__-n® �J�,kECYLIFD�oT llll UPC 12534 No. 2"53LOR ��Sl•CONSJ� HASTINGS, MN f No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for Tkgoar *pttem Cowaruction Permit Application for a Permit to Construct( ) Repair(�d) Upgrade( ) Abandon( ) ❑ Complete System Individual Components Location Address or Lot No. Cj t) - /e v/t (.s0 Owner's Name,Address,and Tel.No. ed� N�; 2 /t'1;ch�/ yi�sCh Assessor's Map/Parcel 2_ (I 3° I�a�id S '�usgi P Installer's Name,Address,and Tel.NO3ll Designer's Name,Address and Tel.No. ri so-41' ChA14,-,M,"X 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(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) IZ�MO�/� ��aCe �. `ox .,:r Date last inspected: Agreement: . The undersigned agrees to ensure t onstruction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title of a Environmental e d not to place the system in operation until a Certificate of Compliance has been issued by this B rd Signed e Date Application Approved by _ Date 7 ( 1,-2_ Application Disapproved by: U Date for the following reasons Permit No. '� a �, Date Issued "3- -— -- —————————————— . No. � ( a c� — Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppricatiou for ;Dioofsar bpgtem Cow6tructiou Permit Application for a Permit to Construct( ) . Re air fO Upgrade(OAbandon y ` ❑Complete System X(Individual Components Location Address or Lot No. ej w r/i ��") Owner's Name,Address,and Tel.No. t /t?1cG�xz/ ,1-/�/5Ch Assessor's Map/Parcel192. _ - �' ' zf J 4/t./ IDAdid 3 C?a/.Ii� y )�,eo-f - Installer's Name,Address,and Tel.No.? '�y fON'�MfiC�p11e,K � Designer's Name,Address and Tel.No. 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(min.required),;. d Dest n.flow rovtded gpd . g-p ig P Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil . .a Nature of Repairs or Alterations(Answer when applicable) -J�t]X 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 Titlel of)he Environmental CadV,nd not to place the system in operation until a Certificate of Compliance has been issued by this Bp�la�66fHeSigned i�' vv� Date / ' /✓ "5,�-ram'.' Application Approved by YW Date 7�1 7b 2 , Application Disapproved by: l Date for the following reasons } Permit No. U I 1 a Date Issued ( / THE COMMONWEALTH OF MASSACHUSETTS jK VA y BARNSTABLE, MASSACHUSETTS�, P Certificate of Compliattce THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed O Repaired ( ) , Upgraded ( ) Abandoned_( )by at �U 7 F, ,, ��—� A has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit NoY a o/.) 2,Z.. dated �- Installer 6,r Designer' #bedrooms Approved design flow A - gpd z' -The issuance of this permit/shall not.be:construed as a.guarantee that„the system will function as designed DateInspector Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS Migpofsal 6psstem Cougtruction Permit Permission is hereby granted to Construct ( ) Repair (v) Upgrade ( ) Abandon ( ) -System-located at — --�­d:r. _ o- =a C' i and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Const 'ction ust be completed within three years of the date of tt s permit. Date 3 / �- Approved by+ 1 ff No. J 6J Fee IIOd THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 0[pplication for 33igozal *pmem Cow5truction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No�G..}- � o7 1 �/ Owner Address and IJ• ! �(�y sC�t! Assessor's Map/Parcel Installer ame,Address,and Tel.No. Designer's Name,Address and Tel.No. 1�0 C)� Type of Building: Dwelling No.of Bedrooms of Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) &-A2 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 issue by this Signed Date Application Approved by Date 8'--27.q�/ Application Disapproved forte following reasons I Permit No. Date Issued A. Fee A l7 G THE.CO.MMONWEALTH OF MASSACHUSETTS Entered in computer: } Yes ' PUBLIC HEALTH DIVISION -TO WN`OF BARNSTABLE., MASSACHUSETTS ,, ZIpprication for Miopozar *pgtem Con!6truction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon(_: ) ❑Complete System ❑Individual Compofients Location-Address or Lot No. / I _/Of Owner''ss'Name,Address and Tel.No. Assessor's MaplPazcel r� � � r , Installer's ame,Address,and Tel.No. 6 Designer's Name,Address and Tel.No. �0C16 Type of Building: Dwelling No.of Bedrooms of Size sq.ft. Garbage Grinder( ) Other Type of Building-,a No.of Persons Showers( ) Cafeteria( ) y Other Fixtures Design Flow gallons per day. Calculated daily flow �' gallons. Plan Date Number of sheets Revision Date #.� Title Size of Septic Tank Type of S.A.S. Description 4 1 Soil 1 1 � Nature of Repairs or Alterations(Answer when applicable) 47W Date fast,inspected: 1 t 4 a A! 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 issue by this Boardof Hea t Signed Date /110V a O k Application Approved by Date sT_' 92 Application Disapproved for the foll ing reasons - Permit No. �f ��"v Date Issued ———————————————————————————————— ------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS'� ' Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System nstructed( )Repaired( )Upgraded( ) Abandoned( )by at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.� '- ,�'h'_4 dated Installer Designer A The issuance of this permit shall not b7 construed as a guarantee that the s&ewfllunctio a s vDate Inspector v 1 ——————————————————————————————————————— No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mi5po5af bpgtem Con.5truction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( Abandon( ) System located at_ _ S`b 7f a-+- . . t4e...v `/f 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 P. rirut. $' Date: /Z�Z07� Approved by C �. is TOWN OF BARNSTABLE LOCATION So ✓CPN AEI F SEWAGE # / J_ VILLAGE CF-«T_F,oLi 11f ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. -SEPTIC TANK CAPACITY LEACHING FACILITY: (type) C(, ITT (size) NO.OF BEDROOMS 3 BUILDER OR OWNER � t`f. f I. • . , ..�i'in`i (C•l rT PERMITDATE: 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 leaching facility) Feet, Furnished by r7 Cl-;M BENCB IL"K 4' SCHEDULE 40 PVC PIPE TOP OF FOUNDATION 20 FT. MINIMUM MIN. PITCH 1 r PER FT. CLEAN SAND SOIL T S T 2' LAYER OF DAZE OF SOIL TEST � 7 7 ELEV. - 43,L 2 10 FT. MINIMUM PRESSURE PIPE ELEV. 2 p I \WASHED 1/8' TO 1/2' SOIL TEST DONE f,Y r y rt . � r?50 PSi MINIMUM Y. - STONE WITNESSED BY 5 S 9 �� ®•3� /vJs�x. ems " ^" VENT OBSERVATION HOLE 1 EUV.- G OBSERVATION HOLE 2 Ems- �NdGRETE VETS sp�� v Q i 1 Cu. FT. OF PERCOLATION RATE MIN. NCH A INCHES PERCOLATION RATE < 2 WIN./INCH AT 42 INCHES LtvELS �jIF i DEPTH HORiZ TEXTURE COLOR MOST. OTHER DEPTH HORIZ TEXTURE COLOR MOTT. OTHER • G o- ;i j 'N' ANCHOR LOG•-h �/ .!-y I p ^t oa,�•e y J./ S 4' CAST IRON PIPE G 9,IQ sa„OL ��/ NO G' 1A I ScL►^,c1 ` / v o (OR EQUAL, MINIMUM . . . . PITCH 1/4 PER FT. . .�� ELEV. - �} L oa rH y 2.X Y r/o<< M3 SUMP - G.SroO FLOW LINE �j0RA)tis �' M/FH c m oc�e- / ry 3O 3 So..,ct 418 ,�� G1.S 3� 8 EL 1. J.SO r AJ F, L r ALA r o T'n s w.r7an/.e t 04 rr•y 2.S Y L.c o.,,,y z.,s'y ELEV _ 4 e Z --�SIN DISTRIBUTION 83 )n/ N / J'. j4x' M'TRENCH F- WAT1 ON 5 WELL �'/ A•+e d•wr, �'� c•o• r L GAS CL 3 H�RILL BOX SOIL ABSORPTION b ZONE �� d y/3 z,0 ..rand ELEV. - 4O. 7s - BAD FLU TO BE WATER TESTED �' AM M e d v+�n ,, w/3- 4 '" co a e j e ' w� ELEV. sivsc� y i 3/4' TO 1 1/2• SYSTEM (SAS) \ C �'Coarjd - C Snnd ,' a•��`j CHECK WASHED STONE 2 S a r, Co bb/c s 2 �- 4 VALVE USGS PROBABLE WATER TABLE ELEV. 38 ro• O ID OUTLET (TO 8E PLACED ON FIRM BASE)r TH TEE H 2 Al �L`R S V.�Vv H V H i P p&J� OBSERVED WATER TABLE ( / / ) ELEV. - 3 / �i G ..tl /.32 Gro,ic/ F7 14 INCHES _ 1 5 0 0 GALLON w�s%2 ' i M JQJ� L E R BOTTOM C?F TEST HOLE ELEV. - --� 13d~ sr.T' / 3 2'" s3 5 FEET 19 INCHES PUMP C % PAC Ty 30:,�'l' NO WATER ENCOUNTERED AT ELEV. - M40 WATER ENCOUNTERED AT ELEV. - i T 29 INCHES SEPTIC TANK CHAMBER - /�a' Nr</-kt) (0rZ PUMP CHAMBER CALCULATIONS 8 T 34 INCHES / CD�U ELEV. AT INVERT iNLET L�CJti �, 40.33 REQUIRED FLOW PER CYCi 25 X 33O - 82 GAL/CYCLE <;► L. . ELEV. AT ALARM ON VOLUME PER CYCLE i i•f GAL/CYCLE / 7.48�AL./Cu. FT. - ii.cl cu. Fr./CYCLE DESIGN CALCULATIONS ELEV. AT PUMP ON VOLUME OF WATER IN PIPE 3.14 X 0.01S43 X FT. - CU. FT. J ELFV. AT PUMP OFFd TOTAL MINIMUM VOLUME PER CYCLE ! `4.{ CU. FT. NUMBER OF BEDROOMS SEWAGE DISPOSAL SYSTEM PROFILE _TBOTOM OF INSIDE PUMP CHAMBER '? 06 DISCHARGE _ . • CU. FT. / =-` CU. FT./FT. - Q = = FT. (1000 G.S.T.)► GARBAGE DISPOSAL UNIT /vo NOT TO SCALE BOTTOM OF OUTSIDE PUMP CHAMBER STORAGE CAPACITY 33c- GAL/DAY / 7.4a GAL/cu. FT. /37./4 cu. FT./FT. - FT. TOTAL ESTIMATED FLOW REQUIRED - PROVIDED (�GAL/BR./DAY X -3 BR.) 330 GAL/DAY LEGEND v) r L� 1 57//v(r Pf12k//u� : REQUIRED SEPTIC TANK CAPACITY GAL EXISTING SPOT ELEVATION 00,,0 ACTUAL SIZE OF SEPTIC TANK GAL. N N rR.A 7-01e Aelem AJerA r-o aE /�c*PLFiA1T� ' DUSTING CONTOUR ----00----- SOIL CLASSIFICATION �l FINAL SPOT ELEYAl1ON DESIGN PERCOLATION RATE MIN./!N. 2 G t `n• ,�, O Ib v N 0 0, v v " FINAL CONTOUR EFFLUENT LOADING RATE o Z GAL/DAY/SF. `� •� v J lo; h tl� It V. LOCATION!/ ^ V SOIL TEST LOCATION LEACHING AREA �� !x3q / (9a x 71 SQ. FT. UTILITY POLE __0_ Ar4s7tW-W TOWN WATER W LEACHING CAPACITY (A)REAn RATE) 3'32- GAL/DAY Al PAl�r/NG I CATCH BASIN { ` � 4 �j .f) � 3 4 d , GAS UNE G RESERVE LEACHING CAPACITY GAL/DAY 113 w f T A,A N D ,3O v,v D A e y — . _ . ' » r - .:. � � y NOTES: T Z L, - ` I 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. I ' ¢ RTLE S AND THE TOWN OF Q�Rr/s r^al 9 RULES AND \ 3 ;TAIcE_ _ r/�Ii S ' REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. T�' l��4_ts*'�_ Fq 4SRG /zOS io,�/- 2 ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO a4it a<Ms4 f w aivc LiowI r WITHIN V OF FINISHED GRADE. 0n G•�7L,L <D&J Cr L /-� 0A-5/,,J. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABiE OF +/. Wj G " Dv c P PC To a 'x?B',� 2' WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN (V1� ► Jr 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE Z_E�+c N 7.2.EA/4C N w/.f CU4rE USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. 74 4. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL sr&_t=t rz, BE MORTARED IN PLACE. I CAE rt ,Mo vEL' S. NO DETERMINATION HAS BEEN */aOE AS T^ r,OMPLIANCE WTI-4 DEEDED OR ZONING REGULATIONS. OWNER / APPUCANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 1• / ,.1 6. UTIUTIES SHOWN ARE APPROXIMATE ONLY EXCAVATIONCONTRACTOR G!2,�'� T P a N�� ExcA A / I //C, I IS TO CALL 'DIG-SAFE' AT 1-500-322-4844 AT LEAST 72 HOURS 8 e a / ' ` 1 S'f ��� I ,i PRIOR TO COMMENCING WORK ON SITE fND l / / ` �� ,c + 7- CONTRACTOR IS TO VERIFY GRADES ELEVATIONS A/ AD AND ELE ONS SWELL AS Iv, O SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE I / rA / t ;�' ` V \ �ZI I 8. PARCEL IS IN FLOOD ZONE 9. LOT IS SHOWN ON ASSESSORS MAP AS PARCEL �+ .see ova re 13 / / / �61 10. PUMP AND ALARM ARE TO BE ON SEPERATE CIRCUITS 11. ALARM IS TO BE BOTH AUDIO AND VISUAL 12. SEPTIC TANK AND PUMP CHAMBER ARE TO BE ASPHALT COATED AND HAVE 6 ML POLY ATTACHED. ✓/\ 13. ALL UNSUITABLE MATERIAL SHALL BEREMOVED FROM UNDER AND FOR / A MINIMUM OF 5' AROUND LEACHING FACILITY AND BE REPLACED WITH MATERIAL AS SPEORED IN 310 CMR 15.=(3).Ai !g. E x s r/�, �. c G . G s;s) C /A_' .. [ �t - �/ � / � re �--�--` ;. \ ��„�- s..._--� A JZ. � T Q J$� ��.rr't."�c�?'� our¢'"2 el r`s c✓d� IS 6t, RI�P� j i /o �-FL � T j G ' ` S \ VVCT� N D JS E.�/.STfn/G aLji ic- 'BEAD ON} TO A /LffMGv�� �E 4 �.;' \\ \ A S F A E �v w pA rcy ,L 4G D aY ro APPROVED: BOARD OF HEALTH nJ Cr 1 t DATE AGENT PROPOSED SEPTIC DESIGN 0 ` �. `. ,�G I FOR UR, k" M R5 M /C HAE L H I RSH FN LAP80 PROJECT LOCATION L.1 ,41f ���NCF4" �c WEOUAQUET SO TERN LANE Q Jr r P LL0 v L 0 ;,� LAKE CE TER � ,r 31341 " L,ocvs ` n�_,. .,., s r+✓� " P v P CRAIG R. SHORT I,S p/�°t+r ,s F J2 o nra R o o I� ©w.v �9'''0 Svav� PROFESSIONAL ENGINEER 508- P. 0. BOX 781 385-6530 DENNIS, LASS. 02638 0.4 sO� -0 s DATE G�(, 9 7SCALE 1" = 20 Q fl CIVIL -� / ,°� �o.27483 �` / �^ REVISED rl L y l JOB No. / - S Fc, T �� � ,C 7'ANL E y ALGE2, 112crJ/ ;E C_ 7- Q to I /�f 99 LOCATION MAP PLO"P DAr,,,,.3�se I SHEET i OF / ce d s re, ,'iv/ Li.e , MA oz.c.�S-�•4,�+ -- �RAlNAc� /�J2� 9N3 0I.kCH vPZAA/ 20 0 109E C.R. SHORT, P.E. Ji