HomeMy WebLinkAbout0062 THREE PONDS DRIVE - Health (2) 62 THREE PONDS RD.
CENTERVILLE
A = 173 050
Ovirford, NO. 1521/3 ORA
WN OF BARNSTABLE 2-CO
LOCATION SEWAGE # I
VILLAGE ��Ul Y U I�`� ASSESSOR'S MAP & LOT l
r
INNSSTALLERR''S NAME qq&PHONE NO. S j
SEPTICAN CCITY
LEACHING FACILITY: (type)s (size) ��� X
NO.OF BEDROOMS
BUILDER OR-OWNER Q I(/1,11�O�C�
PERMTTDATE: 2 1 e y I COMPLIANCE DATE: l0 0
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) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
IA 13
1\ 1 - 31 ' -7,'
2 5.-Z�'
5 - .41 ' ,2
No. !J <Ah� Fee V
THE COMMONWEALTH OF MASSACHUSETTS Entered in omputer:
es
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
Application for Migozal 6p.5tem Construction Permit
Application for a Permit to Construct(o/)Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot N . Owner' A r s an Name, d Te. o.
-jam n
Assessor's Map/Parcel �77 ( M; Iu I IL) pMt �) �1 1I (/) / `,fy�� Artie/
Installer' ress, d Tel.No �T3 Designer's Name Address anj Tel.tN� Ylc[— s—r� V!/w
dw) OUMA a"r
Type of Building:
Dwelling No.of Bedrooms 3 Lot Sizedl.cXal sq.ft. Garbage Grinder Q✓(�
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 330 gallons per day. Calculated daily flow 330 gallons.
Plan Date --J/ _ ON -Numb r sheets e7 Revision D to off'Title s► C. n �� Tt► t�
Size of Septic Tank Type of S.A.S.
Description of Soil �fC. Gn
Nature of Repairs or Alterations(Answer when applicable)
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 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issu Mts oard of Health. �_���/
Signed Date
Application Approved b Date 2--"6 -01
Application Disapproved for the following reas_ons
Permit No. d' Date Issued `��-
No. f 4 ¢/`iGF FIB f 9 y' rrLee
Entered in omputer:
��� T. E"COMMONWEALTH OF MASSACHUSETTS " �S
PUBLIC HEALTH'DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
µ.y , 01ppli ratio tt-for Mi5poear *pztem Con5truction Permit
Application for a Permit to Construct(V)Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or��J/L��ot N '�7 /� J I�{/' � p � Owner' Name,Ad ress�lan�d/Tefl N1o. 7 'U7
V[cM zU71`&.,lt k l). �3 cd G�"� hG IC,ICf3CJS)C
Assessor's Map/Parcel
Installer' Ia ress,���U4No ��3-�� 5 Designer's Name Address an Tel.
((�S nn ' � �Lv�s
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(11)4
Other Type of Building No.of Persons Showers( ) Cafeteria( )
' Other Fixtures l
Design Flow 3 gallons per day. Calculated daily'flow 1�3(� gallons.
Plan Date -a'-0/ Nu b r sheets .2 Revision D to 02'
Title S f �«� r�►'�c, c�
Size of Septic Tank I Szv L Type of S.A.S. Self
Description of Soil SCC c
4 r
Nature of Repairs or Alterations(Answer when applicable)
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 of he Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issu y 4ts oard of Health.
Signed Date C�"
Application Approved by _ Date "0
Application Disapproved for he following reasons `
_-------------------------- ---------- :�—
...,.Permit No. . d"6 Date Issued,4-,
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
(Certificate of (Compliance
THIS IS TO CET ,;hat the On-site Se age qisposal System Constructed(x )Repaired( )Upgraded( )
Aband ned( )by . I G �;
at v 0 ( has been constructed in accordance
with he provisions of Title 5 and the kor Disposal System Construction Pe ,0 Z4$4 dated 0
Installer Designer
The issuance of this permit shall not be construed as a guarantee that the s te3n''� ill function as-designed.
Date 4< Inspector/ f�_
✓� V
---------------------------------------
No. 200A0 Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Misspooal Op5tem Cott!5truction Permit
Permission is hereby granted to Construct , Repair )Upgrade( )Abandon( )
System located atZ
and as described in he above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
comply with Title 5 and he following local provisions or special conditions.
Provided: Construction must be completed within three years of the date of thisT,QM It.
Date: "''-'ti� Approved b
®i -
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TOWN OFBARNSTABLE
LOCATION �r SEWAGE.#
ll'� "" t 1
VII LAGS_ ASSESSOR'S MAP & LOT l
INSTALLERS NAME&PHONE NO. r
SEPTIC CAW
ITY S i
rr
LEACHING FACILITY. (ty (size) X 1' ,:A
NO. OF BEDROOMS
BUII DER OR OWNERPERMTTDATE: I (fctLIANCE:DATE:._
Separation Distance Between the: ..
Maumum Adjusted Groundwater.Table:and Bottom of Leaching Facility Feet
Private Water Supply Well'and Le
achin Facility ty (If any wells exist
on site or within.200.feet,of leachingfac'ili .
_ .Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within_300 feet:of.leaching facility) Feet
Furnished by
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AS LOT 178 cl L
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AS LOT 69 S ,ram •wft
CONANr b
CTF. REF` / 101060 �vr.�c AM- naw: .yR
ASSESSORS MAP- 173
PARCEL 50 4�' o,,, "�►`+� AS LOT 179 �o�'
ZONING: "RC" ` � \ �'♦.
FLOOD ZONE' "C" (!nd) �� \\: LOCUS MAP
PLAN REF` 38507 B 98 �2 \ ` `\� : r4:`
OVERLAY DISTRICT' AP" JOO 4?
!02
JO*
SITE & SE'WA GE' PLAN
r, JOe h \ PREPARED FOR
„ 110 \ .� \\ 0 f o4*' �— `� # �ccao dr.
112 \ , 9�' tio e � , ►SM JOHN GREEN
tr'�s`�, LOCATED
116 At o .. 0 9� �• '
,tiz s •► ► 1162 THREE PONDS ROAD
lip�? , ti o o ' /� � �\ NOTE' INSTALL ,600 Be% DRY 11'ELL
ARNSTABLE (CENTERVILLE), tt�A.
.tb4� ? � �� 117TN I !:, OF S?t7NE
IrO�K 0 / � ��\� USE 24' 'ffAFFLE' CRATE , DEICEMBER 8. 2000
o; 7,�_ ^ \ -N-Zo' ,oAD/NC a REVISED.- FEBRUARY 2. 2001
0 110 a� jig* (rex! AS GOT 5. ,��° °` ��ssi YANKEE SURVEY CONSUL TANTS
�wwr co
, wer WIL `:� P. O. BOX 265
lt�INos 3 LIESEfiFJIAM UNI T 5, 408 INDUSTRY ROAD
• ►� (� 9No. '73971yo N MARSTONS MILLS, MA. 02648
112 �r o a PAui f ,s I t �' PH.(508)428—0055 — FAX(508)420—555J
l {b, uMo LEGEND GRAPHIC SCALE
.0 0 20 40
/ CERT)FY TNAT 1N/S SURVEY ANO PLAN N£Rf NA Of cB - PROPOSED CONMURS
/N ACCORDANCE W N THE PROCEDURAL ANO XCHN/CAC •�� I! dl = .
STANOAROS FOR INC PRACAC£ Or LANO SURVEMC /N ` t6i ——lOL�' - —- EX/ST/NC CONTt7URS
THE Ad IWAL TH OF MASSACHUSU7S ` ,e*/i9 ( IN FEET ) rc.
[ LZ,u.�� 1. A4. o Z 6 O 5 i �� f inch
PAUL A. AICRI Nfw. P L.S. O If (/d JOB/ 52545 CS
n„"renl -
EL. = lo8_
719P OF MUNDATION.-
20' MIN.
10' MIN. CONCRETE COVERS 4" SCHEDULE 40 P. VC
EL- 106• MIN. PITCH 118 PER FT. 2"LA YER OF
1/8'-112"
CONCRETE COVER WASHED STONE
�- 6"MAX. / / / i i / / / / / / ✓/ i i / / / / / / / i i / / / / / / i i / / EL.= 106,
t 4" CAST IRON PIPE 6" MAX
MR EQUAL) MINIMUM 6"
PITCH 114 PER FT. CLEAN SAND A6•
10
FLOW LINE 103.8'
oo INVERT 11O" 14" �0' _ _ _ = O = _ _ _
EL.= 104.3� INVERT `Z O� 8' o 00 = _ _ _ _ _ _ _ = _ = ogoo 0
L£VFL op0 0 0 = = 0 = = = 0 = 0 = 80
INVERT GAS EL. 103.85 IN�, ,�6 SUMP INVERT °000° _ _ _ _ _ _ _ = o = = O00 0 ,
BAFFLE ___ oo = o = o = = o = = = = oS =101
EL.= 104.1 EL.= 103.45' EL•= 103.20' f• 4
64
(TO BE PLACED ON FIRM BASE) DISTRIBUTION (2) SOD GAL. LEACHING CHAMBERS
MECHANICALLY COMPACTED OR 6" OAF STONE BOX EL•c 103
--If GO__GALLONS TO BE WATER TESTED 12.8'x 2.5' TRENCH FOIRMAT/0V Z �
/71 SEPTIC TANK /F MORE THAN ONE OUTLET
PLACE ON 6" STONE
" SAIL ABSORPTION
3/4" M 1-1/2
DOUBLE MASHED SMNE S YS TEM (SA S>
PROFILE OF
SEWAGE DISPOSAL SYSTEM eorroM of TEST HOLE ELEV=_
(ADI VT EL = 92'
NOT TO SCALE SEa 2W CAPN Chaser ROAD)
OBSERVA T/ON HOLE 1 ELEV.
PERGOLA T/ON RA TE _S�_ MIN./ /NCH A T __ "'______ OBSERVA T/ON HOLE 2 ELEV.=---
DEPTH HORIZ TEXTURE COL OR MOTT. I OTHER DEPTH HORIZ TEXTURE COL OR MO TT. OTHER
I 0—4" O SA 7.5 YR. ,3/1 0—4" O SA 7.5 YR. ,3/1
4"-6" A L/S 7.5YR. 4/1 NED. 4"-6" A L/S 7.5YR. 4/1 MED.
SAND
GENERAL NO TES " " SAND 6"-28" B SAND HIED.
6 —28 B SAND 7.5 YR 5/6 MED. 7.5 YR 5/6 SAND
SAND
' 28"-144 C SAND 10 YR 6/6 MED. 8 -144 C SAND 10 YR 6/6 MED.
SAND
1) ALL WORKMANSHIP AND MA TER/AL S SHALL CONFORM TO D.E.P. SAND
TITLE 5 AND THE TOWN OF ___6A ___ RULES AND NO WATER ENCOUNTERED NO WATER ENCOUNTERED
REGULA r/ONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE.
2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO r SOIL TEST PERCf 9869
WITHIN 6" OF FINISHED GRADE, OTHERS W/TH/N 12" DATE OF SOIL TEST 1116/00 SOIL TEST DONE BY WILL/AM LIEBERMAN (SOIL EVAL UA TOR)
J) ALL COMPONENTS OF THE SANI TAR Y SYSTEM SHALL BE CAPABLE OF
WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WI THIN WITNESSED BY: DONNA M(ORANDI B.H.D.
10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE DESIGN CALCULA TIONS.'
USED UNDER OR WI THIN 10 FT. OF DRIVES OR PARKING AREAS. INSTALL:
4) ANY MASONAR Y UNITS USED TO BRING COVERS TO GRADE SHALL (2) 500 GAL. LEACHING CHAMBERS NUMBER OF BEDROOMS . . . . . . . .
BE MORTERED IN PLACE. WITH 4 STONE ALL A ND ` GARBAGE DISPOSAL . . . . . . . . . NO
5) NO DETERM/NA r/ON HAS BEEN MADE AS TO COMPLIANCE WITH 12.8' X 2 � TOTAL ESTIMA TED FLOW GALIDA Y
DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO ''1� ( _110-=GAL./BR/DAY x _ _ BR) .��o
OB TA IN SUCH DETERM/NA T/ON FROM APPROPR/A TE AUTHOR/T Y, e� �4 REOU/RED SEPTIC TANK CAPACITY 1500 GAL
6) UT/L/T/ES SHOWN ARE APPROX/MA TE ONL Y, EXCA VA T/ON CONTRACTOR s�° SOIL CLASS/F/CA T/ON . 1
/S TO CALL "DIG— SAFE AT 1-800—.322-4844 AT LEAST 72 HOURS / LIEBEfi DESIGN PERCOLA r/ON RA TE . . . . . 2 M/N.111V
~ O
PR/OR TO COMMENCING WORK ON SITE: L h0. 13971 74 GAL DAY S F.
7) CON TRA CTOR /S TO VERIFY GRADES AND ELEVA TONS AS WELL AS 0 M EFFL DENT L OADING RA TE . . . . . I
SI TE COND/r7ONS PR/OR TO COMMENCING WORK ON S(TF 9�� 5 T E�'�'��� LEACHING CA PA Cl TY (AREA X RA TE) 347 GAL/DA Y
8) PARCEL /S IN FLOOD ZONE__-C_=_ 'ss�Q,y,�Eat` RESERVE LEACHING CAPACITY . .347 GALIDA Y
9) LOT IS SHOWN ON ASSESSORS MAP _19_3 AS PARCELS _ 50 __, (25X12.8X.74)+(25+25+12.8+12.8)X2X.74)
SHEET 2 OF 2 JOB NUMBER___52545______
Rote 6
ROAD
o
ACC
�°581 0C`js
Q AS LOT 178 .� G L
s o c
� 4 � gy •� , s, xft
�, Rio 0
\ 13 A AS LOT 50 '
AS LOT 69 \ 5 t •:a �0sm" 4�. �
CTF. REP / 101060 _ \ ��� l� cures.w�- mow: ,q/R ��. CONANT O �
ASSESSORS MAP.- 173
PARCEL' 50 4e► c� •� `�Ac�•
AS LOT 179
ZONING: "RC"
FLOOD ZONE "C" (Ind) LOCUS MAP
PLAN REP 38507 B " 1b2� ��
0 VERLA Y DISTRICT. AP !Oo g
106 ' -$� - --o _ G -7 PLAN
,Oe �6. 1 SITE & k-)L ' A
f0 PREPARED FOR
ir.�ccao �r.
112 , •�9�' 20'0�0 �, ' ARMS MMIMM JOHN GREEN
LOCATED
116 A
��, �`�� .tie°, o. •►9 , �� #62 THREE PONDS ROAD
Nb
.�
1 f� ? • ti o o • �� ' �\ NOTE• INSTALL 600 Bal. DRY ffELL
• :' ` NTHi! F S'7t7NE ARNSTABLE (CENTER VILLE), tVIA.
1 I 0
G `IIO�C 0 / / �\ \ USE 24 1 VAFFLE CRATE DLICEMBER B, 2000
�^ \ v off-ZOO LOADING /1�� REVISED• FEBRUARY 2. 2001
0� u Y CONSUL TANTS
11or' �cvmv�e1�� AS LOT 5,.( ,�M 4s,��� YANKEE S. O.
WILUAM P. O. BOX 265
� � % o� 3 UESERFAM uNI r 5, 408 INDUSTRY ROAD
No. ' 7%, H MARSTONS MILLS, MA. 02648
112 w o PAUL 9 f P �• _ 420—555.3
mewrNEW
A. #s i tom► PH.(508�428—0055 FAX(508�
W0. 3=W N Fs1,pA�q•
LEICEND GRAPHIC SCALE
w o so
40 so too
/ CERAFY THAT THIS SURVEY ANO PLAN ►WR£ NAO£ �rndl �— PRoposED CONMURS
IN ACCORDANCE INTH THE PROCEDURAL ANO /ECNN/CAL 04 ——100 - —- EXISTING CONMURS
STANOAROS FQR /HE PRAC17CE OF LAND SURVEYING /N IN FEET
TH£ MONN£AL TH or.�/ASSACHUSETT� ♦ 2Z�9
I inch 40 tL
PAUL-•• 4. A/ERI MCW. P. .S D IF•
(!nd !OB/ SZS�S C9
breken) s
. 7VP OF AMUNDATION
..
20' M/N.
10' MIN. CONCRETE COVERS 1 4" SCHEDULE 40 P. VC
EL-- 106' MIN. PITCH 118 PER FT. 21 A YER OF
,I 1/8'-112"
L^ 'e / / / CONCRETE COVER WASHED STONE
6'MAX. / / i i i i i i / / i 47ZN,
108,
4" CAST IRON PIPE(OR AVUAQ MINIMUM B" AlAK
Pl7CX 114 PER .57 w CLEAN SAND J6"
10 FLOW LINE 1038 MAX.
"
INVERT ! 10
M/N. 14"0 20' 000o O o000
EL.= 104.3-- INVERT `?0'' 000 000000c0000 ag°oo°
LEVEL 8 pOo 00000000000 8
CAS 6 SUM op' 0 o000000000o p0o o ,
INVERT BAIZE EL.=1Q3.85 INVERT INVERT 0°0° 0 00000000000 ° 8 =101
= 104.1 EL.= 103.45_ EL.= l03.20' *•0
EL. -- � J ----- (?) 500 CAL LEACH/NC CHAMBERS
(fn BE PLACM aV FIRM BASE) DISTRIBUTION
IIECHAN/CALL Y CUIIPACIE'D OR 6"Or STAVE BOY EL,= 103. �
GALLONS "
TO BE WATER TESTED 1?.8'x?s' fRENCN Fcw,vA nav � Q
SEPTIC TANK PLACE ON 6 MORE N oNr UTLET
STONE
3i4" ,n ,_,�. SOIL ABSORPTION
D WASHED SXED smNE S YS/EM (SA S>
PROFILE OF
SEWAGE DISPOSAL BOTTOM OF TEST HOLE ELEV.
SYSTEM (AQI Vr E = 92'
NOT TO SCALE OBSERVA T/ON HOLE 1 ELEV.=_l04__ ssa zaa c,�H cRaser�ao�o!
rI PERGOLA 77ON RA TE _S.�_ MIN./ INCH A T __,�f=______ OBSERVA T/ON HOLE 2 ELEV.= 103__
DEPTH HOR/Z TEXTURE COL OR MOTT. OTHER DEPTH HORIZ TEXTURE COL OR MO TT. OTHER
0—4" 0 SA 7 5YR. J11 0—4" O S/L 75YR .�/1
4=6" A L/S 7.5YR. 4/1 MED. 4"-6" A L/S 7 5� 4/1 NESAND
GENERAL NO TES " " SAND 6"-28" B SANG MED.
6 —28 B SAND 7.5 YR 5/6 MED. 7.5 YR 5/6 SAND
SAND
28"-144 C SAND 10 YR 6/6 MED. —144 C SAND 10 YR 6/6 SAND
1) ALL WORKMANSHIP AND MA TER/AL S SHALL CONFORM TO D.E.P. SAND
TITLE 5 AND THE TOWN OF —_ 8MYSIABLE___ RULES AND NO WATER ENCOUNTERED NO WATER ENCOUNTERED
REGULA TONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE.
2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO SOIL TEST PERCI 9869
WITHIN 6" OF FINISHED GRADE. OTHERS WITHIN 12" DATE OF SOIL `'EST 1116100 SOIL TEST DONE BY WILL/AM LIE-BERMAN (SOIL EVALUATOR)
J) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITNESSED BY:, DONNA M/ORAND/ B.H.D.
WITHSTAND/NG H-10 LOADING UNLESS THEY ARE UNDER OR WITH/N DESIGN CALCULA TIONS.'
10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE
USED UNDER OR W1 THIN 10 FT. OF DRIVES OR PARKING AREAS INSTALL:• j
4) ANY MASONAR Y UNITS USED TO BRING COVERS TO GRADE SHALL (2) 500 GAL. LEACHING CHAMBERS NUMBER OF BEDROOMS . . . . . . .
BE MORTERED IN PLACE. WITH 4' STONE ALL A ND ` GARBAGE DISPOSAL . . . . . . . . NO
5) NO D£TERM/NA 110N HAS BEEN MADE AS TO COMPLIANCE W7 TH 12 8' X `� TO TA ES77MA TED FL OW —GA LIDA Y
DEEDED OR ZONING REGULA TONS. OWNER/APPL/CANT /S TO ( 110__GAL.118R.11bA Y x --.I— BR.) -
OB TA/N SUCH DET£RM/NA T/ON FROM APPROPR/A TE AUTHOR/TY. �
\�\ , M cl REQU/RED SEPTIC TANK CAPAC/TY 1500 GAL
6) UTIL/TIES SHOWN ARE APPROX/MA TE ONL Y, EXCA VA T/ON CONTRACTOR VU `^_�` s''•.
l�A!i
+. /S TO CALL "DIG— SAFE" A T 1-800—:322-4844 A T LEAST 72 HOURS /S' o
SOIL CLASS/F/CA T/ON . . . . . . . . 1
.� (� UESERMAN : DESIGN PERCOLA 710N RA TE . . . • • < 2 GAL DAY S.F.
PR/OR TO COMMENCING WORK ON SITE
h0. ?3971 .74
�) CONTRACTOR /S TO VERIFY GRADES AND ELEVA TONS AS WELL AS s M EFFL UENT L OADING RA TE . . . . . .
=A SI TE COND/TONS PR/OR TO COMMENCING WORK ON S/TE. let ,Sit P�'�.� LEACH/NG CAPAC/TY (AREA X RA TE) J47 GAL/DA Y
8) PARCEL /S /N FLOOD ZONE___C `ss,OmAk t �~ RESERVE LEACHING CAPACITY . -j47 GAL/DA Y
9) L 0 T IS SHOWN ON ASSESSORS MAP _193 AS PARCELS _ 50 (25X12.8X.74)+(25+25+12 8+12.8)X2X.74)
SHEET 2 OF 2 JOB NUMBEER fZ545______
f.