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Home My WebLink About0048 LINDA LANE - Health 48 Linda. Lane - Hyannis A = 248 062 TOWN OF BARNSTABLE LaCATION SEWAGE # -`00,7 D 9i/ VILLAGE /T1a04/S ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. av Z25w4 51� S�i'1G SEPTIC TANK CAPACITY LEACHING FACILITY: (type) Sod (size) /-?,0s .� NO.OF BEDROOMS BUILDER O OWNE a�itr- PERMITDATE: 3 (0/07 COMPLIANCE DATE: .3 12 b3 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. --Lg ' �- �o c �• O � � � � � �, u, � l No.�Q�" � THE COMMONWEALTH OF MASSACHUSETTS' FEE J� BOARD OF HEALTH OF APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) - Complete System ❑Individual Components 2 y,��F% Location Owner's Name Map/Parcel# Address �O�fOl0 ! CDd/5 L/'CI'�9 vrDh�T [nst ler's Name Desi ners Name � Ll5` . hips r-i v ✓ Z3�'�r�� l �r�r� r� 7 7 A dress 'Itle6hone# Telephone# Type of Building: ke:!� Lot Size 144 0 Sq.feet Dwelling—No.of Bedrooms Garbage Grinder vVe9 Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.require ) l/&4 gpd Calculated design flow 330 gpd Design flow provided ! : Zgpd Plan: Date r7, Number of sheets �� Revision Date Title Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. SignedA,�:aDate 43 `0 .Ius�estietrs r&Jge 3(o K7 FORM I - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 THE COMMONWEALTH OF MASSACHUSi-mTise 4 FEE -15 BOARD OF HEALTH aGv� OF APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair ( ) Upgrade / ( ) � p t y ❑Individual Components 2 Location Owner's Name y��OG Z SMap/Parcel# Address .g Installer's Name / Desi ner's Name n/V 7 7 t 3lq sS 3 ge Telephone# Telephone# Type of Building: � / ��/�tr' ,Lot Size Sgjeet Dwelling—No.of Bed.ms' 3 Garbage Grinder Other—Type of Building No.of persons Shower's ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) gpd Calculated design flow 33G gpd Design flow provided Y5-2gpd Plan: Date /�/7, Number of sheets / Revision Date Title plot -sea' se '42-ic &/P /904 � Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS ` ,The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date �7 -,nspleaww A Py Y-o e ' 01oe FORM 1 - APPLICATION FOR SCP DEP APPROVED FORM 5/96 No.2t� �D/� { THECOMMON/WEALTHOF MASSACHUSETTS FEE ✓ U .BOARD OF HEALTH 1 CERTIFICAT: t"OF COMPLIANCE Description of Work: ❑ Individual Co'mponent(s) dComplete System The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded(w<Abandoned( ) by: '!J/ ►O� C/ at 4/ � G�llGlC �i9 , /!' has been installed in accordance with the provisions of 310 C R 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. 2W.3—09Vated 3 Approved Design Flow (gpd) Installer - - Designer: Inspector - Date 3 o The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 No. ZOO--ygq THE COMMONWEALTH OF MASSACHUSETTS FEE r� 4*/If-.s�,;�/e BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( ) Repair ( ) Upgrade (V' Abandon ( ) an individual sewage disposal system at C- 1f `- . . / as described in the application for Disposal System Construction Permit No. Zws---n I L-1r ,dated Lc 3 Provided: Cons ruc ion shall be completed within three years of the date of this permit. cal o n must be met. Date 3 Board of Health t FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBS&WARREN rM PUBLISHERS- BOSTON l'w, TOWN OF BARNSTABLE ' LOCATION yg �� l� _SEWAGE # ��3� ASSESSOR'S MAP &LOT VILLAGOr E /}�anrllS INSTALLER'S NAME&PHONE NO.�ar � � "��" ir'g G SEPTIC TA NK CAPACITY S C` s , LEACHING FACILITY: (type) ' r_C / �dr-� /�?� (size) /�� 2 NO.OF BEDROOMS BUILDER O K0NW:N::E:;-' 3/6 COMPLIANCE DATE: PERMIT DATE: . Separation Distance Between the: Jr� Feet Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist /^ Feet on site or within 200 feet of leaching facility) Edge of Wetland and Le hing Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by + ®r� N s'1 r� I I p i i k SOIL TEST ` o TOP OF FOUNDATION 20 FT. MINIMUM FROM CELLAR DATE OF SOIL TEST I ELEV. = 100-W 10 FT. MINIMUM 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE SOIL TEST DONE BY 0.�4_ ��s+ r• rt CLEAN SAND WITNESSED BY (ASSUMED) CONCRETE Cl COVERS OBSERVATION HOLE ELEV.-�.- a" SCHEDULE 40 PVC PIPE LOAM AND SEED Z MIN PITCH 1/8" PER FT. 2" LAYER OF DEPTH HORIZ ATETEYT RE MICOLORH, MOTT A. `OTHER INCHES Za 1/8" TO 1/2" Z ZLy 4" CAST IRON PIPE �L 99.45 . ,�r wASHEO STONE VENT •� L va""Y /0 YR Z �P n/o EL 98,7M� NOT REQUIRED / Sn h d 3 L (OR EQUAL) MINIMUM PITCH 1/4" PER FT. Z ,� �O Y f ir Q ; S/8 FLOW LINE EC, 9G.4S rn V. P[UMBING ELEV. _ �7. LC IN O ❑ ❑ ❑ ❑ 0 ❑ ❑ ❑ 00 TO BE RAISED 9 7.2 ? �M'N Z0" ° / a Coar�t• 7� AND RE-PIPED BY LEv. LEVEL ° ° O O ❑ ❑ ❑ O ❑ D O ❑ ❑ ° °° C cd vt ELEV. = 9G,7S GAS - Z7 S.- 5" SUMP G ° r., FLEV - 9�.. e °°/, LICENSED PLUMBER --- BAFFLE ELEV. _ --- ° /° ❑ D D D ❑ D ❑ D O ❑ ❑ ° 2' AS NEEDED DISTRIBUTION FI ° -5 ., Fv °°° DD ❑ ❑ ❑ ❑ ❑ ❑ a ❑ ❑ ° ° 9'3" 7DEPTH TEE ,� LIQUID OUTLET 9.�70 ° ° ° ° ELEV. I 4 FEET 14 INCHES (TO RE PLACED ON FIRM BASE) TO BE OATEP BOX TESTED ,i? - 500 GALLON DRYWELLS WITH 6 FEET 24 INCHES i 1500 GALLON F MORE THAN ONE OUTLET I STONE IN AN �s NO WATER ENCOUNTERED AT _��• ELEV. _ 8 FEET 34 INCHES SEPTIC TANK (TO BE PLACED ON FIRM BASE) la'-wai-rA 2 TRENCH FORMATION ZONE 3/4" TO 1 1/2" CLEAN SOIL ABSORPTION i INDEX DOUBLE WASHED STONE ADJUST--_ DESIGN CALCULATIONS FREE OF FINES do SILT SYSTEM (SAS) 3 ,�/? NUMBER OF BEDROOMS SEWAGE DISPOSAL SYSTEM PROFILE USGS PROBABLE WATER TABLE ELEV = GARBAGE DISPOSAL UNIT �(O NOT TO SCALE OBSERVED WATER TABLE ( / } ELEV, _ 33Q GAL./DAY TOTAL ESTIMATED FLOW BOTTOM OF TEST HOLE ELEV _ REQUIRED SEPTIC TANK CAPACITY ja GAL. ACTUAL SIZE OF SEPTIC TANK Lam- GAL. SOIL CLASSIFICATION DESIGN PERCOLATION RATE MIN./IN. EFFLUENT LOADING RATE • 7 GAL./DAY/S F. LEACHING AREA /.3 J(lS o. 1'X 74- SO. FT, LEACHING CAPACITY (AREA X RATE `3fZ GAL./DA`! 4»,^ .7 RESERVE LEACHING CAPACITY GAL./DAY ALL WORKMANSHIP ANO MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2 ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 6" OF FINISHED GRADE. 3 ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR I WITHIN 10 FT. OF DRIVES OR PARKING AREAS H-20 LOADING i SHALL. BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. 4 ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED IN PLACE. 3. NO Dr_TERt A,NA4 iuri nA5 BEEN MAUL AS TO COMPLIANCE W1 tH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION �~ CONTRACTOR IS TO CALL "DIG-SAFE" AT 1-888-344-7233 AT LEAST 72 HOURS PRIOR. TO COMMENCING WORK ON SITE. 4 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL �+ • a : l AS SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. 710.00 01,5T I1.1 - ANY VARIATION IS TO BE BROUGHT TO THE ATTENTION OF ox THE DESIGN ENGINEER IMMEDIATELY. S EPrK o 9 .6 1 �- I� D ZONE -C A 9. LOT IiS8. L SH IS OWN FONOASSESSORS MAP .4S PARCEL 62_. _ _ 10. ALL UNSUITABLE MATERIAL SHALL BE REMOVED FROM UNDER, AND . 983 100.0 •� R�99.2 g1� FOR A MINIMUM OF 5 FEET FROM AROUND THE SOIL ABSORPTION 1LY / SYSTEM, AND BE REPLACED WITH SAND AS SPECIFIED IN 310 CMR 15.255: (3)(I.E. TITLE 5) IF ENCOUNTERED BELOW S.A.S. CONC AAD PIPE INVERT. 99.8 '99 �' ,��• 1 CRAIG`'` ', 11. EXISTING SEPTIC SYSTEM TO BE PUMPED AND FILLED WITH SAND ` 100.0 • 99.1 SHORT �., OR REMOVED. 99.8 n �� `y P 3 APPROVED: BOARD OF HEALTH O• Y . _ a.N 1 C,�a�r� , 4 440 E _ 10.3' 103.0 r q7 E` PINE PROPOSED SEPTIC DESIGN N� g (102) F J`4- 2 98.9 C01^1/S n� �0�- UNOA W I Z IA P-1 I"I A H E R 99. I -(ge)-, 98� / --- ------- _-__ IOC. LOT59 48 LINDA LANE 8 99.2 � BARA (T(ANNE Cor s V i MA S/r-DRI vE 11,000± S cal _ I � 98.6 98. ,(96) ��, P� 235 GREAT WESTERN ROAD` • 98.5 98.6 / -- 508- P. 0. BOx 1044 a0 M 96-+ ' 93.9 I ¢� 398-8311 SOUTH DENNIS, MASS. 02660 r10 � � 9 96.7 *-�6.� DATE 1�AN 17, 20Q1 1 SCALE 1 „ = 20' �9e1 p ; , I " -Q7 I F-R! `�1501-094��LINOA LANE1 j LOCATION MAP RASED SET 1 OF 1 II a SB`PpO,J 2404-00�dw9 12404-00 0WG 0 2003 CRAIG R. SHORT, P.E. '