HomeMy WebLinkAbout0108 JENNIFER LANE - Health i ills J enniier Lane
Hyaiuiis
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TOWN OF BARNSTABLE
LOCATION �D 1} �/�� � � /VSEWAGE
kVILL.9.GE ASSESSOR'S MAP&PARCEL p2=—
INSTALLERS N ME&PHONE NO. WILL
SEPTIC TANK CAPACITY �/'j�J 0
LEACHING FACILITY:(type),.,2 JVO 4AL &C fsize)
NO:OF BEDROOMS
i
OWNER S c o
PERMIT DATE: E I N d. COMPLIANCE DATE: 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
"within 300 feet of leaching facility) IN Feet
FURNISHED BY
t
TOWN OF BARNSTABLE
LOCATION ���i��1VJI�1��i ��� SEWAGE # , O06' /2J
VILLAGE ASSESSOR'S & LOT A
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) : (size)
NO.OF BEDROOMS
BUILDER OR OWNER
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 9-4 1mn
_3
O-N �
s .
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes s
PUBLIC HEALTH [ iVIS ON -TOWN OF BARNSTABLE., MASSACHUSETTS
application for izpooar *p5tem Con!5truction Permit
Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.too Owner's Name,Address and Tel.No.
�t�U�rY✓
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No Designer's s WON(�/lC�c /�►j� � 'J`.aBO�'LT'A D ASSOCIATES
42 CANTERBURY LANE
EAST FALMOUTH,MASSACHUSEM 02534
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 -10 gallons per day. Calculated daily flow 3 gallons.
Plan Date Number of sheets Revision Date O 1-r- y
Title NTR. toe)
Size of Septic Tank 1�O Gr t�L Type of S.A.S. ��t%z-a
Description of Soil 5;r=r- .- Luq S.
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 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 Heal
Signedr. Date
Application Approved by Date
Application Disapproved for the following reas s
Permit No. Date Issued
-----------------------------------------
• „�• No. ( I l / Fee
_ /
THE COMMONWEAL H OuF MASSACHUSETTS Entered in computer: v
PUBLIC HEALTH-90009N - TOWN OF BARNSTABLE., MASSACHUSETTS Yes
'1 apphratton for igpogal *pgtem Congtrurtton V.er.mit
Application for a Permit.to Construct( Repair( )Upgrade( )Abandon t ) El Complete System ❑Individual Components
+ Location Address or Lot No. Owner's Name;Address and Tel.No.
- Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. ,—� Designer's,ri � s 5'0#-'i°E AND ASSOCLXTES
42 CANTERBURY LANE
EAST FALMOUTH,MASSACHUSETTS 02536
Type of Building:
Dwelling No.of Bedrooms Lot Size 0_sq.ft. Garbage Grinder(' )
`� Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow -14 3 D gallons per day. Calculated daily flow :5,4 36 gallons.
Plan Date Number of sheets 1 Revision Date f} `-r_ 2
Title 4> — Ig L&_��2�„ l o e 00
k' Size of Septic Tank 1 5s G �.�6,�1�1� S Type of S.A.S. Cj�s t-sM
Description of Soil ` okX_ 1—.o4 S
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 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 Health.
Signe r Date /
_ Application Approved by r a Date
�.
Applicationor t Disapproved he following re s
Permit No. Date Issued
------------------------
�a
THE COMMONWEALTH OF MASSACHUSETTS ;
BARNSTABLE, MASSACHUSETTS
Certif Irate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( lj• epaired ( )Upgraded( )
kf)andoned( )by A�
at 10 R zy ► " i has ee constructed in accordance
with the provision\o-f Title 5 and the for Disposal System onstruction Permit No. dated 1!) /q 1,
Installer y i�ArQ�✓ Designer
The issuance of this pe }'t s all be construed as a guarantee that fie system i f cti n as de igried.
Date Inspec
- .�..-> —— --------------- -- ------- ---
No.N--AQ25Fee
� rt
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE. MASSACHUSETTS
eum Mi$ ogaf ermtt Congtruchon
� p �
Permission is hereby glra to o Construct )R pair( )U 'grade( Abandon I )
System located at I / I/_A )�.0 i/ 9" . �/"H/V/VJ
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 mus)be completed within three years of the date of this
Date:_ ! Approved by
� y
•
Town of Barnstable
°�`"�r°'►,c Regulatory Services
Thomas F. Geiler,Director
* EM MSTAOM
9�pMASS. �0g Public Health Division
16390.
lecn�+° Thomas McKean;Director
200 Main Street,Hyannis,MA 02601
Office:.508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date: (o - -o(P Sew-'age Permit# o - 16 Assessor's Map\Parcel -Viz-Z`Vct,
Designer: :,; ,s Installer:
- bIfMTES
"'42 CANTERBURY LANE
Address: .c ilMO H, C Address: S1
608/540.2534
• y �o�/Isi S i��
e, `> �•
On 10 \ "-�d ti t✓Ll�� \ �►vt,u as issued a`permit to install a
(date) (installer)
septic system at. t 0 J 9
P Y �No �'� l� sedbri a design drawn by
(address)
dated
(design r) k I I
, ' >?
ZI certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or,septic tank. Stripout (if required) was inspected and the soils
were found satisfactory.
I certify that the septic system refergrled above was installed with major changes (i.e.
greater than 10' lateral relocation of thc.�SAS or any"verttgalrelocation of any component
of the septic system) but in accordance with State & revision or
certified-as-built by designer to follow. Stripout (if required as inspect d"arid the-soils
were found,satisfactory.
ty 0�
•�1 c BRUCEG.
sta er s Signature), MURPHY v,
No.749
4.AJIT p
�7 (Designer's 994ture) (Affix Designer's Stamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARDD, ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU:
QASeptic\DesignerrCertification Form Rev 03-09-06.doc
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Top Foundation Mer 55.5'
�e Vi IV, 7 As r
F}'nish Grade AZ 541LIL
„ 1/8" to 1/2' Washed Stone ®8" Thick
hwEL S"//f /��//�/ �� RAM Grade EL M a
Foundation 51.45' 0 Di RLSER 0" liislR 6» Route 28 d
Design Bp others ® 'b R b
8.5' El. 51.00' Dunns
e,
_. 6 o0o L.l- lam Pond a
. p NV EL INV EL ° a• m e e m o ®o m m El 48.17' Locus
EL 46.o' . ... 10'Aft 14'A IN EL eCb INV EL �\Beloir Flo Line/�- INV ELF 50.57' • •s"stone- : *: • 50.37' 50.17' 3/4' - 1 1/2' bashed stone b A
51.02 50. 77 4
:..........: Liquid Level 48" 4
4 HOLE DISTRIBUTION BOX
25' �� o
F
I500 GALLON SEPTIC TANK PRECAST REINFORCED CONCRETE DISTRIBUTION BOX
PROPOSED LEACH TRENCH. �¢�
P
Install on a level base USGS Ground Water Adjustment = 3.9
Minimum wall thickness = 2" s
Minimum inside dimension = 12" USGS Adj. High Ground Water El 32.1' `
Outlet inverts shall be equal to each other and at
1500 GALLON REINFORCED CONCRETE SEPTIC TANK 2" minimum below inlet invert. Bottom of Deep Observation Hole El. 42.0' -TIC) C " LTs MAP
Minimum Construction Materials Per 310CMR 15.226(2) The distribution lines from the distribution box shall all have PROPOSED LEACH TRENCH - END VIEW N.T.S.
Tees shall be constructed of Schedule 40 PVC and shall extend a
» equal inverts as determined by flooding the distribution box to Install Two 500 Gallon Units
minimum of 6 above the flow line of the septic tank and be on the height of the distribution line inver,i after all lines have 'with Four Feet of Stone at Sides and Ends
the centerline of the septic tank located directly under .the been sealed in place.
clean-out manhole. � 1 83 -►
The inlet pipe elevation shall be no less than 2 nor more than 3" Invert adjustments shall be made by filling with durable and
nondeformable material permanently fastened to the line or
above the invert elevation of the outlet pipe. �,.,, 34 " ..
�°P reconstructing the lines until .all inverts are of equal elevation. ' � m � °'•' z4
Septic tank shall be installed level and true to grade on a level, `� 4 4
stable base that has been mechanically compacted and on which t, --� 58- [-•--
6 of crushed stone has been placed to ensure stability and Design Data: _
to prevent t settling.tlin Three Bedroom 3 X 110 d = 330 d Required Flow Number of ?benches - 1
P gh°P 6°P 4 �� � � Number of Chambers - 2
Septic tank shall have a minimum cover of 9" No Garbage Disposal 4.
s
Two 20" manholes with readily removable impermeable covers ASSESSORS DATA:
of durable material shall be provided with access ports
Use. Chamber Trench 251 x 12.83 W x 2 Eff/Depth
The outlet tee shall be equipped with gas baffle. [25' + 25' + 12.83 + 12.83] x 2.0 = 151 '300'08 x MAP 292 PAR 299
25 x 10.83 = 320 142
471 x 0. 74 348 GPD Total Design Flow / � � FEMA DATA: ZONE "C"
SUBDIVISION LOT 22A
TPl - El. 54. 0 » TP2 - El. 54. 0'
54 / `� � ZONING DISTRICT.• RB
„0„ Organic- „- O Organic - _ �, _� _ .� _, 32' 7 / l OVERLAY DISTRICT WP
» 3 „ 3 l BUILDING SETBACKS-
"A
A SL 10yr 612 81, A SL 1Oyr 6/,2 8„ Ns5 129 E 2y ° o �111 54 FRONT SIDE AND,REAR 10'
O I//`
$ 1Oy.r 516 » B 10yr 5/6 r� „4 ro
36 36
42 / eseT�',cn 16 LOT 22A ? STEPNEN \�
perc / / S g g .. �+ 43560fsg.ft. O 91) � DOYLE N.
/ 108' 54 d Deck
AND. AND.
SAND I Oyr 714 SAND 1 Oyr 714 d pro
aad�aEa�e e 1.0.
__ ' 9 /
;tY SoF'F'
/ L 1'
144" 144" N \ ' No C.o , o 9S, 4 p / / , c� a w
El. 42. 0 El. 42, 0
B RUSE
No Water Encountered No Water Encountered \ 4�04 • acted r�<1t;;. G
0 50
tri Cot>5 No. lag
P t �
Soil Log �` 10, °743 USGS Groundwater Adjustment: 158
Performed By. Bruce Murphy Zone - D Elev 51. 6set Si E.' Pl
BOH IW Dave Stanton Well - A 230 ig.o�-^� ! Datum: NGVDf Z '
Date: August 27, 2004 Adjustment - 3.9'= El. 32.1' 8 00 Prepared Far.
Pere Ra te. <2 Min/Inch 1 '�
See Lots 4 and 5 for Water �j', HOUSE 108 JENNIFER LANE
Adjustment-Pere Date 01/30104 �\ C \ 22,00:-N / ,y0°� �Y 50
\ age o / Sg 1 `� In
GENERAL CONSTRUCTION NOTES �� �yra �e¢ 1'
1. All the workmanship and materials shall conform to D.E.P Title 5 `� �� Eas_� Hyannis,nis, Massachusetts
and the Town of Barnstable rules and regulations for the subsurface
disposal of sewage. ��\ 2 69 Scale: I" = 30' Date: August 15, 2005
2. At least one access port over tank tees shall be accessible
within 6" of finish grade, with any remaining access ports brought \ REFERENCE PLANS.• Prepared By.-
to within 6
1, of finish grade. BOOK 293 PAGE ,28 Stephen J. Doyle and Associates
� 42 Canterbur Lane, E. Falmouth, MA 02536
3 All components of the sanitary system shall be capable of SUBDIVISION A[WH7CA770N PLAN j'
P Y T's' P / OF JEA0 IFER LANE PVR Telephone: 5081540-2534
withstanding H-10 loading unless they are under or within 10 ft JEFFREY PEPE AND KEMPTON NICAERSON
of drives or parking. H-20 loading shall be used under or within ( SCALE I" = 60'
10 ft of drives or parking unless noted. Plastic equals may. be ( DATE' II/18/04 REV 07/25/05
used in lieu of all precast units. pv
4. The excavator/contractor shall verify the location of all site p
.utilities prior to any excavation, and shall be responsible for -� GRAPHIC SCALE
all matters relating to electric easements 30 0 15 30 60 120
5. Sewer pipes shall be 4" Schedule 40 PVC laid at a min. 0.02 slope.
6 Any masonry units used to bring covers to grade shall be I I 1 1 10-12-05 Revise Ilse Numbers
mortared in place. ( M FEET )
7 Finish grade shall have a minimum slope of 0.02 ft per foot. I inch = 30 ft. NO. DATE DESCRIPTION