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HomeMy WebLinkAbout0061 WEDGEWOOD DRIVE - Health L= 189 gewoo#c+ Drive 143 1- ef—zd,,^ UPC 12543 ,• No HASTINGS,MN i No. 00-3 —50 F Fee�— J is l/ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION'-TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for Migoal *p5tem Cone;truction Permit - Application for a Permit to Construct(X)Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.`p Z Owner's�}vv e,A ss and Tel.No. 77��73� 1 ,mod hr. Cu,�crr,;fl„ 1-uis adn►kQs Assessor's Map/Parcel /91q N_? 4 csi3,At J fJl Or tl 9J �(�+ Installer's NT,Address,and Tel.No. ��y Designer's Name, ddress d Tel No. Zo7-HS I I V P&A"(atete , h$. CW6W 1 4.39144,.; Type of Building: Dwelling No.of Bedrooms -3 Lot Size i ve?o sq.ft. Garbage Grinder( 1J� Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow '3 3O gallons per day. Calculated daily flow _?3o gallons. Plan Date -I CXV Number of shergiss�l Revision Date Title T f/-S !�G �1 b L.-JLC x..d W �tn e Size of Septic Tank Type of S.A.S. Description of Soil /�. Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees-o ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 f the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b i o of Health. Si ed Date 0�" J Application Approved b Date Application Disapproved for the following reasons . Permit No. c -� "—w�C> Date Issued No, ; ©c 3 ` !?'c D w.1, --=�-"' > Fee THE COMMONWEALTH OF MASSACHUSETTS % Entered in computer: _ a PUB' -IC HEALTH DIVISION `TOWN OF BARNSTABLE, MASSACHUSETTS . 1 .yes , ZppYication for 33igpogal *pgtem Congtruction Permit V qI , Application for a Permit to Construct(x)Repair( )Upgrade( ` )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.'1p 7 'I Owner's a�`rfp'e,A ress and TeLl.No. 770C-U'71Y �p ` I,�d�,c.c�tx,d �r. Ccn vli �. KcSuT"IS ���U�i'►�IGGS Assessor's Map/Parcel /� /ka Installer's N�J Address,and Tel.No. (s /� /� Designer's Name,Address d Tel.No. t('6kx���' vr�.s��t,P� PO4, CVOY q.9 PICW West- Pf19. C�IG 7S" Type of Building: ,Dwelling No.of Bedrooms Lot Size �S: 0dQ sq.ft. Garbage Grinder( lop Other Type of Building No.of Persons Showers( ) Cafeteria( } Other Fixtures Design FloNX 330 gallons per day. Calculated daily flow _?30 gallons. Plan Date Number of sheets J Revision Date --- Title 7, S'—<i 6e (v1 6� t&f 7 0�J,,, ..X_ �/X• �c,� rr r Size of Septic Tank AUD / Type of S.A.S. Description of Soil n ` Nature of Repairs or Alterations(Answer when applicable) ~: Date last inspected: s %j Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the.provisidns of Title 5- f the�'Environmental Code and not to place the system.inroperation until a Certifi- cate of Compliance has been issued by s o � of Health..%~"" Si ed ' Date Application Approved b Date 7_ ) Application Disapproved for the foll'owirig reasons r i Permit No. � �.—CJ 70 Date Issued 7 O 3 , a THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that.,the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by at W o 1/Vu� r,I Al je l has been constructd in accordance oZ with the provisions of itle 5 and the for Disposal System Construction Permit No. 003— �yQ dated !(77/0 3 Installer Designer j The issuance of 'g permi sh 1 not be construed as a guarantee that the s ftem_wil�lulcti.on a dA gned. Date Inspector /� - 1 No. �.rN 3 ----------------------------Feed THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Migpool *pgtem Congtruction Permit Permission is hereby granted to Cos c Repair )U e( Abandon( ) System located at 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: Constructio must be completed within three years of the date o this pe i _ Date: ��/7�� Approved by . (p T° WN OF B ABLEL. N.LP V6. SEWAGE # u�3 VILLAGE Ff r ASSESSOR'S MAP OT INSTALLER'S NM,. �PHONE NO :J71NDI�(Ilq- SEPPTICTIC T APAC °° K—� TTY AN C LEACHING FACILITY: (type) (size) 3 x. S X� NO. OF BEDROOMS 3 BUILDER OR OWNER 0 PERNiTTDATE: U 3 COMPLIANCE DATE: I Lo 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 3 - 6 0 Z - a.1 ' a� ��� TV�[ WN OF B ABLE �� , LOCATION SEWAGE W # Au03 , c VILLAGE ASSESSOR'S MAP `�.OT Vr SEPTIC T�INSTALLER'S N�- &PHONE NO. ' AWL w, G � . t- iNK CAPAC�4Y �s"vJ LEACHING FACILITY: (type) Soo r 4 (size) l 1 x;t S xaC NO. OF BEDROOMS 3 BUILDER OR OWNER _ V(� Lrpof—OJI v PERMIT DATE: 3 COMPLIANCE DATE: 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 3 61,' � Z - dA C�. 30 6 L 3E.p,• Z'10": 5'G FPS•' , t , i II ;ro _...�•.1�.. j (� �-+-{ REF. Ic 01 i I ICI r� t I < , Y• I s F. � I f• p i , I , i 1 4 T -,•11'• 1, 6 L1. i'l,. f--.0.. g:p.. 1•.1q,.1 ct.-7 �1 ._ : i i � • L IZ.o•. i r ; IT C, Hid ._. I ' F III•I tv p N 61 y - O o i u'G i�r• I I ^ n � i M n _ f b n 2o'.O.14n.F17—< . o ] D O ] n c v O O - 2 rj 10 r� TOP FNDN. AT EL, 42.75' SYSTEM PROFILE TEST HOLE LOGS ACCESS COVER TO WITHIN 6' OF FIN. GRADE (NOT TO SCALE) ACCESS COVER (WATERTIGHT) TO ENGINEER: A.H. OJALA, PE 40.0' MINIMUM .75' OF COVER OVER PRECAST /� WITHIN 6' OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 36.0' WITNESS: DAVID STANTON 2' DOUBLE WASHED PEASTON 5/14/02 RUN PIPE LEVEL DATE: 2$ • ��� _ < 5 MIN/INCH z ' FOR FIRST 2' 3' MAX. PROPOSED 15QQ PERC, RATE GALLON SEPTIC 37.75' 10242 TEE H-20 500 GAL. CHAMBERS 33.3' CLASS I SOILS P## 90 R TANK (H- 10 ) GAS ' BAFFLE 32.92' ��' 32.75 0 5' Cl 0 [� 0 0 0 0 C C7F- 4' A LOCUS oc`�hQp� 4V�LE H-20Z 32 [� 0 0 0 0 0 0 0 QROUNDMIN CJL� C7Cl Cl ID0CIO' 2 % SLOPE) L6' CRUSHED STONE OR MECHANICAL 8COMPACTION. (15.221 123) MIN 2' 0 0 0 0 0 0 0 CJ 0, 0 30.5' Q ELEV. [� DEPTH OF FLOW = ( 10 V SLOPE) ( % SLOPE> 3/4' TO 1 1/2' DOUBLE WASHED STONE 0^ 35.4' 0' TEE SIZES, 10,o LS 0&A A INLET DEPTH = „ 3" 10YR 2/1 LS OUTLET DEPTH = 14 4" 10YR 2/1 LOCATION MAP NTS 6 B 13' FACILITY ING LS ASSESSORS MAP 189 PARCEL 143 FOUNDATION- 10 SEPTIC TANK 21 D' BOX FACILITY 5,5' LS 10" 10YR 4/4 34.5' 10" 10YR 4/4 34.67' ZONING DISTRICT: RC YARD SETBACKS: FRONT = 20' C SIDE = 10' C REAR = 10' 25.0' MED/COS PLAN REF. - 243/69 o t MED/COS \ k (4 2.5Y 6/6 FLOOD ZONE C 2.5Y 6/6 LOT LIES WITHIN AP DISTRICT 1_ �3I S ,2 1' ED, OF LAWN 3 .4 + 38.3 -I- , . / - 39.9 126" 25.4, ;26„ - NOTES V01 j ;�% NO WATER ENCOUNTERED r' \� /'P,ROF, VE T /' _ _ - - - - - -- 39.8 v \ �' ;% 0•0 SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLY-,WF`: ) 1. JA1UM IS APPROXIMATED FROM QUAD ._ _ _ - AVAILABLE -Ins'i �1� (;PT)) P. IUr iCIPAL WATER IS -- + 41. -. 'h ,� 36.9 USE A 330 GPD DESIGN F-C',d 3. 4II\IMUM PIPE 'ITCH TU 3E 1/ - l Ek r Llui . _ �"- 39.6 WEDGE WOOD DRIVE TH2 /' , 2 r �.! '' SEPTIC TANK: 330 GPD ( 2 ? = 660 4. DE::,IGN `LOADING FOR ALL PRECAS UNITS TO BE AASHO H- 10. 5. PIF E JOINTS TO BE MADE WATERTIGHT. & H-20 ► 40.o USE A 15QQ GALLON SEPTIC TANK 42 y 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. 36.2 - !�� �' LEACHING. ENVIRONMENTAL CODE TITLE V. s�- 00 + 41,7 397 2(25 + 12.83) 2 (.74) = 112 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT + 1 / SIDES` a, TO BE USED FOR ANY OTHER PURPOSE. 5 �• / BOTTOM: 25 x 12.83 (.74) = 237 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4' PVC. / a 40.0 9.6 _ TOTAL: 471 -S.F. 349 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT 39.5 INSPECTION BY BOARD OF HEALTH AND PERMISSION ❑BTAINED USE !,2) 50 GAL G LEACHIN CHAMBERS WITH FROM BOARD OF HEALTH. PROP O� PROP DRIVEWAY STONE ALL AROUND SECONDARY 39.8 p �_.._.. .., . ., DRIVE. + 6•6 + 4 . / Slj W v 40.5 + 36.2 \ 34.8 ti� 2 S0. LEC.,TEL. & CATV PROP DWELL. // LEGEND TITLE S SITE PLAN 23.6' TF = 42.75' \ Q / �/��� / `400 100,0 PROPOSED SPOT ELEVATION OF LOT 7 WE D G E W00 D DRIVE 100x0 EXISTING SPOT ELEVATION IN THE TOWN OF: PROPOSED CONTOUR + 35 PROP ( CENTERVILLE) BARNSTABLE � .4 .6 J� l . / 0 100 EXISTING CONTOUR PREPARED FOR: TIM PEARSON NOTE: RESERVE, IF NECESSARY, �9.0 / + 39.4 / SHALL BE CAPABLE OF \\ PROP. GARAGE J / 39.9 WITHSTANDING H-20 LOADING 20 0 20 40 60 \ / BOARD OF HEALTH \\ /+\38.0 APPROVED DATE MA SCALE: 1 = 20' DATE: JUNE 1, 2002 3 \ / 10 \ / n/ / off 5 --362-4541 + 38.6 8.8 08 m` / fox 508 362-9" v+ 9.5 BENCH MARK - TOP OF ���'w OF ,y�.s,� ��"�`r U1 A� ti CONCRETE BOUND clown cape engineering, Inc. �o� ARNE H. cS� �� A HNE ELEV. = 38.8 o OVA �, �+o�A N \�¢ 39.0 CIVIL ENGINEERS U CIVIL ti J No. gq LAND SURVEYORS No 792 o ' 939 rain st, arrlouth, ma 02675 02- 124 Y A 4JALA, P.E., P.L.S. DATE