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HomeMy WebLinkAbout0322 MEGAN ROAD - Health 322. Megan Road Hyannis A = 291 290 t 4 S TOWN OF BAMSTABLE LOCATION SEWAGE # '"VILLAGE�l I ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. iz SEPTIC TANK CAPACITY J e�� LEACHING FACILITY: (type). �/ �.(�1��®. (size) -t NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: 51eZ C LIANCE DATE: C7�� 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 r L � � # � I�, � �•- �/ � � Y W �� �.� No. �-�`' r` i Fee s THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 1 ZIppfication for Mi000l *pgtem Congtruction Permit Application for a Permit to Construct( )Repair(L14pgrade( )Abandon( ) ❑Complete System 0 Individual Components Location Address or Lot No. '��?��g ,e,© Owner's Name,Address and Tel.No. Sy b �oogj(, Assessor's Map/Parcel �l �rs A"k_jC-nn lS� Installer's Name,Address,and fel.No. Designer's Name,Address and Tel.IX Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building S No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow `� gallons per day. Calculated daily flow ?i2z gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank F—Xk54-%.nL \toc(�C-T Type of S.A.S. S S wC_ Description of Soil ` STo S,(ADS Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintena a of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the j4nviromnental C e and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Bo f eat. Signed Date Application Approved by 2 Date ' Application Disapproved for the following reasons Permit No. Date Issued )No. A A Fee p 4}' " -s Entered in computer: d IV THE COMMONWEALTH OF MASSACHUSETTS Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS ^Zipprication for Miopogal A'potem Construction Permit s y Application for a Permit to Construct( )Repair(611rupgrade( �)Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. ��?/yjL/g y� �� Owner's Name,Address and Tel.No. ��� OQ•E �} Assessor's Map/Parcel J�� O�S.. ��.tQ (1(\ S �q p, Installer's Name,Address,and fel.No. Designer's Name,Address and Tel. Type of Building: , Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(N Other Type of Building f725 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 LX Type of S.A.S. Description of SoilI G ' STp►.�k Si S ' Nature of Repairs or Alterations(Answer when applicable) i 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 rFnvironmental C de and not to!place the system in operation until a Certfi- r t cate of Compliance has been issued by this Board f ealt Signed n Date Application Approved by C Date Is 102- Application Disapproved for the following reasons Permit No. d Date Issued .3 I d ---------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( aded( ) Abandoned( )by at �i�'2 ��CG Qc� ,C'nn s S has been constructe m accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.'2('a2-Z 7 dated "�2 l ?h o? Installer Designer The issuance of s permit shall not be construed as a guarantee that the syst will f fiction as d psi ned. Date G t) Inspector No. ��1.� L ---- -------Fee �V THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS ltgogal 6potem Construction Permit Permission is hereby granted to Construct( )Repair( <Pgrade( )Abandon( ) System located at 1_2 C. r\ C-cA c,ntM. 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 pe it. Date: C Approved by1�- I TOWN OF BARNSTABLE LOCATION SE SAGE # ® VILLAGE ASSESSOR'S MAP & LOT 21 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY �C�� �A LEACHING FACILITY:-(type) /� �� ��°�® (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: 4 C LIANCE DATE: {l: 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 Feet within 300 feet of leaching facility) Furnished by Ile .,LOCLI,TION ' Z®?" /n 5EW&GE PERMIT UO. VILLAGE - - - - - - IWST&LLER 5 U&ME ADDRESS BUILDER 5 Q &MF- ADDRESS DINE PER"IT ISSUED =- - ffi =:� - - D ATE COMPLI &I,. ICE ISSUED : 6-L/ Imo_ - p4C No.. ..... ._ . ~. F��..1.... ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTt+. ...... OF............ :... X ' Appliration -for Mapvottl Norks Tonotrurtion Prrntit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: �..� --------- ------- ----1 - ---------------••--................................ Locatio :Address j i or Lot No. .... -----�-1 r.... . . 1 C------------------- ------------------- ----- ----------------------------------------- Owner Ad 6-a.--� ------ --------------------- tom- ------ ................... Installer Address Q Type of Building Size Lot--.lU f ---Sq. feet Dwellin No. of Bedrooms............................................Expansion ttic ( �" Garbage Grinder ( ) Other—Type of Building ---------------------------- No. of persons.-______ ____---__-_--_ Showers (I ) — Cafeteria ( ) GW Other fixtures ------ ----------------------------------------------- W Design flow..... .. ........_-------- --gallons per person per day. Total daily flow........... .................gallons. WSeptic Tan Liquid capacity.1.._._....gallons Length....._.(A...... Width-....... Diameter---------------- Depth.--.----.------- x Disposal Trench-No. .................... Width-------------------- Total Length................... Total leaching area--------------------sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below 'nlet..._. __....._. . Total leaching area------------------sq. ft. z Other Distribution box ( ) Dosing tank 5-_76 a Percolation Test Results Performed by-------------------------------------------------------------------------- Date--------------------------------------- ,� Test Pit No. 1................minutes per inch Depth of "Pest Pit._..._.._........... Depth to ground water_.-__.-_-.-----_-. fXq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water............---._------. IYi .............. _. y _ O _ Des tion of Soil...___ .- �.___._ - -- -- - ---- �' - VW ---------LT------------ ---------------------------------------------------------------------------------------------------------------------------------------------------------------------........ Nature of Repairs or Alterations—Answer when applicable.----------------------------------------------------------------------------------------------- -------------------------------------------•------------------------------------------------------•--------------•--••--•--------•--------------------•---•------------------------------------•------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article \I of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued by the board of health. e Sign ... ......... ----------------------- ------- `�---- .............•..... -------------------------------- Date Application Approved By----- -- ---------------- Date Application Disapproved for the following reasons-----------------•-••-----•----------•-•-------_----.-.-----•-•-----------•--•--••-----------------•-•-•--------- --.......--•--------•....-•••----•---••------------------••--=-----.....--------------•------------------..----------•----.•----•----•--•----------------••--•------------------------------------------- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTh,+, - � Apphratintt -fur Bhip oal Works ( owitrurtion Pumit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Location}-Address 6 or Lot No ........................... yi____------"- -_________. tkA :_.__.._-__._._._-_-_ .................__..___.._______.___ _ ______...___.____........_.............................................. Owner _Ad Installer Address Q Type of BuildinLy Size Lot... Ulm._._Sq. feet Dwellin No. of Bedrooms---__-_-..2�..'._.'______________________-__-Expansion My y Garbage Grinder ( ) a Other—Type of Building ____________________________ No. of persolts--__.__.� .................... Showers Cafeteria ( ) a' Other fixtures ------_----------------------------------------------- ....................... -_Q'Y. ._....•-- •- allons. W Design Flow.___ gallons per person per day. Total daily flow___________ _ _ ____ g� WSeptic "I'tnk.Liquid capacity_+ __gallons Length______4..__._ Width------ Diameter---------------- Depth________________ x Disposal Trench—No_ ____________________ Width.................... Total Length-------------------- Total leaching area--------------------sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet_____ _____________. Total leaching area------------------sq. ft. z Other Distribution box ( ) Dosing tank ( ) v/} • /a c � - 1,1- / 5 76 Percolation Test Results Performed by___________________________________________________________ ___ Date..........................._--------._.. Test Pit No. 1----------------minutes per inch Depth of 'Pest Pit.................... Depth to ground water-__-_-___-___-___-__---- f=, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_-----__-___--_-____-__. P --------• ••----__--• -- -- ---------- Des fiption of Soil-----A. � - . R `. -�_. / 2 .. U ________________________ __ _.___________________________________________-__-________-_-________-_____. W _______________________________ ___________-_________.._-.-______________-_____-_____-------------------------------------------------------- V Nature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Agreement: ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•----- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued by the board of health. c Sign d ,------`---.. -` ------- ---------------------- /,. may,, �} Date Application Approved BY---- - (� '�'{ 1 �l' G Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------- ....................................................... -------------•-•---------------------------------------•--•-------•---------•-•------------------------•--------•------------------------------- Date PermitNo.................................................-....... Issued-------------------------------------------------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD 9,F HEALT , �.................OF......... �1�'� -:... ............... %;�.rrtif irate of Tomplitturr T L�IS 2:0 CERTIF ', That the Individual Sewage Disposal System constructed ) or Repaired ( ) by....Y�--(-�-i¢-! �------� ��_'-------`----------- / r� In/ Iler at. _ .....7.............. "/ /�� �,�,, has been installed in accordance wit be provisions of A i e�XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.1 __/,/,.._-`,�_____________ dated-_-4&1?4-__-_7.1�..___.____. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTI N SATISFACTORY. DATE ----�------------- Inspector -�. �--------•--••...-••-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.......!C�l--•-• r FEE--, ........... Bisvvfittl orkii Qlon,5. tt it Permission is hereby granted........ 1� to Cons$ tzct (or Repai� ) an Individu - Sewage isposal System at No. l u = �(�� %�tf�r� rrL - ---------------------------------------------------------------------•---- Street as shown on the application for Disposal Works Construction Pe ated---- "° ------7�__-_-____ ------- - ---------- /� DATE•-•ff-•--•-------�-`----- ................................... Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 0 1Y l O / e. A im?r { j 3 4?= 73.3z R= .3z4l.oo Q f4J ti � t 40 ge � v � CERTIFIED PLOT PLAN LocArloN� S C A L E: /"' D A T E /97� 1 REFERENCE. 3,4 11,1a ,nor1042 A6 D�A�TrE t HEREBY CERTIFY THAT THE B U I LD ! N G c G L AND SHOWN ON THIS PLAN 15 LOC ATE D O N THE GROUND AS SHOWN HEREON AND THAT I CO N t+ ORM TO THE OF Ws I ZONING BY - LAWS OF THE TOWN OF � WHE N C ONST RUCTE D. GNF�. 1 JOSEPH M. MONAHAN,JR. N BARNSTABLE SURVEY CONSULTANTS, ( NC . �`�c�sTE��o� 1i ! WEST YARMOUTH MASS . i` C�Nosup"4 _ i BENCH MARK: TOP OF FND. ELE. 334.25' LONG (SAS) SHA L BE it o c J�`iz° MANHOLE COVERS TO EXTEND TO 11.0' WIDEWITHIN 6" OF FINISH GRADE 10" DEEP 11 ITC A�!•l.S N. . c wAy BAFFLE REQ'D �` G o L EL= 3 3.0 Sr 3(o•O_ � EY151 -.75- .O D.B. -- _ -- _ _ _ 2" PEASTONE TOPPING 0 I� 000 k - --_ - _-- - �` 3Z„ _ CAP ENDS GENERAL NOTES: O SHED kT0NE 3 -- -- -- -- - -- - �3/4" DOUBLE WASHED — ELEVATIONS SHOWN BASED ON U.S.G.S. DATUM. EL ,L 7 STONE ALL AROUND SYSTEM PIPE SHALL BE EITHER C.I. OR 0w5 () SCHEDULE 40 P.V.C. 10 STo.3 E — THE BOARD OF HEALTH SHALL BE NOTIFIED 20' MIN. \ 11.5 31.25' .5 PRIOR TO BACKFILLING OF SEPTIC SYSTEM. USE FIVE (5) INFILTRATORS CI-t'VN GAaAGtTy ) — SEPTIC SYSTEM STRUCTURAL COMPONENTS / SHALL BE CAPABLE OF WITHSI(NDING A SOIL TEST LOG PROPOSED SEPTIC SYSTEM wrn+ •o' OF STONE o SIDES H-10 LOADING. UNLESS SPECIFIED. OTHERWISE PERC RATE=< 2 MIN/INCH NO SCALE & 1.5 OF STONE O ENDS — SEPTIC SYSTEM UNDER DRNEWAYS SHALL NO STONE AT BOTTOM COMPLY WITH A H-20 LOADING. n — THE DESIGN AND COMPONENTS OF THE SEPTIC DEPTHo A LO 3N ' 1R 3A � , SYSTEM SHALL BE IN COMPLIANCE. WITH THE A LMMY SAND toYR STATE OF MASSACHUSETTS SANITARY CODE �.� FJ LNWY SAND toYR 7/(. TITLE V. AND SHALL BE IN COMPLIANCE WITH I GO " THE LOCAL BOARD OF HEALTH RULES AND ct IImIUM SAND toyR 7 A R � �'� — THE CONTRACTOR ONNTRACTOR SHALL BE RESPONSIBLE FOR G o rJ M A O� Z'Io LOCATION OF ALL UNDERGROUND UTILITIES AND O D ` Z � I L SHALL NOTIFY DIG — SAFE PRIOR TO t -j48"°° —� CONSTRUCTION. ' NO GARBAGE GRINDER DESIGN CRITERIA: DESIGN FLOW L l 1 �!,V EXISTING CONTOUR 3 BEDROOMS AT 110 G.P.B. / DAY 330 G.P.D. — — — —— �►.� � � S C WATER SERVICE W—W— nh , +` ',�to t REQUIRED SEPTIC TANK: rEsr HOLE $ ` IX�STI'J�. .-I�QOO GAS SERVICE G—G cL �' ` / SEPTIC TANK PROVIDED NOSE BENCH MARK �dBN , ` ,`�� - ,. 1PaT �1 -� DESIGN PERC RATE <2 MIN/INCH 0\ t C'� SIZE OF REQ D (SAS) AREA = 330/0.74 = 446- S.F. o� SHOFlygssgcy BOTTOM SIDEWALL t�11�(34.25)4.25376?750.5 F(11)= 75.12 S.F. JPAvuK o� SIZE OF LEACHING FACILITY PROVIDED: CIVIL 376.75 S.F. + 75.12 S.F. = 451.87 S.F. NOTE: ��� , No. o = 334.4 GPD ,0 PRIOR TO INSTALLING THE NEW (SAS) THE CONTRACTOR SHALL PUMPOUT ALL v T' ss/ONAL G� EFFECTIVE DEPTH: 10" AND BACK FILL WITH CLEAN MEDIUM SAND ' EFFECTIVE LENGTH: 34.25' IF ARE ENCOUNTERED IN THE (SAS) AREA THEY SHALL BE REMOVED Z EFFECTIVE WIDTH: 1 1.0' - a OUTBACK ENGINEERING 106 WEST GROVE STREET _�-•' �� MIDDLEBORO, MA 02346 9,v 2S ' -- i ..... (508) 946-9231 a PROJECT: SEPTIC SYSTEM REPAIR ' 22. MEVA� (Lo Ap I P L r"3 AS SH WN °p"" er JP a� MAP Z�I I / LOT Z�On er 3 OWNER: [3E�JJ A I PE2 Q `J 3 4 o fJ o R'nA bT k