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HomeMy WebLinkAbout0040 BAYBERRY LANE - Health L0140 Bayberry La.)e 9-122 Cotuit �6 TOWN OF BARNSTABLE 6% LOCATION I4 6A Z4r SEWAGE # VILLAGE ASSESSOR'S MAP &LOT A -� INSTALLER'S NAME&PHONE NO. A SEPTIC TANK CAPACITY 1"E"C-6 '10-1— LEACHING FACILITY: (type) �1 J Z)1QQSoe-5 X S- (size) 1 Z X 918 NO.OF BEDROOMS BUILDER OR OWNER l ►' � PERMITDATE: COMPLIANCE DATE: . ;} 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 aoo .3 UP �z � 1Se (o Sol 7 11 11a 46 £ r No. FEE t o o COMMONWEALTH OF MASSAC14USETTS Board o Health �'r SI Cilf — MA. a f n P CG APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT 69/�- lam, Application fora Per 't t Co str cct( ) Repair( ) Upgrade( ) Abandon( ) - ElComplete System ❑Individual Components Location 40-f t 7 l'r (J Owner's Name / e• Map/Parcel# iftAddress (90 o ep= Lot# S., L 2 Z Telephone# 14o/t J v V Installer's Name Designer's Name Address Address 46 -;X.;VA4S ✓✓G Telephone# ✓ Telephone# P 6 Type of Building Lot Size 6 sq.ft. Dwelling-No.of Bedrooms 4 Garbage grinder No Other-Type of Building No.of persons Showers ( ),Cafeteria( ) Other Fixtures Design Flow(min./required) gpd Calculated design flow .5 2.. Design flow provided Z Z gpd Plan: Date Number shee/ttss G- Revision Date Title N o A • r � jJ Description of Soil(s) c'' �/�7 9 P Soil Evaluator Form No. Name of Soil Evaluator. n n,Jer' at of Evaluation 144995 DESCRIPTION OF REPAIRS OR ALTERATIONS The undersi d agr es to install the bove described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further ees t to place the syste in opera',p until a ertificate o Com fiance h been issued by the Board of Health. t v^ f r Signe Date_ Inspections TOWN OF BARNSTABLE 1 LOCATION L CST !- 6,A SEWAGE # VILLAGE Groev I T ASSESSOR'S MAP&LOT D J4q LJ. INSTALLER'S NAME&PHONE NO. yZ6 -3�� SEPTIC TANK CAPACITY 1<00 die-L LEACHING FACMITY: (type) -z)IryuSoes X S (size) I X 5/g NO:'OF BEDROOMS t BUILDER OR OWNER ;C l nQ(em PERMITDATE: COMPLIANCE DATE: 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 4hS'� �34 • LL L L-� SLh Sze 2S Z E � —'-. .. _L, .t=•; •:.-. .!,x„.'t:.'v,cv,a.-:-,-.,r 3..i�'irc.�"'.r�..,.F.S'.v.4Fr >' Y :. +- ..«.,. No. FEE m o COMMON AV60fM 14USETTS Board of Health, 8 rhSf0161 e , MA. (C,7 U' t APPLICATION FOP, DISPGSA�,$Y; S-TE�'1[ CONSTRUCTION PERMIT M t l �. I'L Application for a Permit to Construct( ) Repair( ) Upgrade( Abandon( - ❑Complete System ❑Individual Components l ' Location Lot Q a4 &rC Owner's,Name k) e�re Map/Parcel# Address 80 Eca as�d w Lot# S S , L46t Z 2- Telephone# Installer's Name 0 Designer's Name tJ K6C (z V Address Address V4'-:k/S// Telephone# Telephone# 4Brstc h S A 6&4 Type of Building Lot Size /Z Q� V sq.ft. Dwelling-No.of Bedrooms Garbage grinder NO Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures ��((� Design Flow (min.required) 4TU gpd Calculated design flow SZ Z Design flow provided S 2 Z gpd Plan: Date /U 9 .S Number sheens Revision Date Title > G rI—,` r Description of Soil(s) V S-enz le S 7 / 1 /, Soil Evaluator Form No. Name of Soil Evaluator h h f�' �yatof Evaluation 95 i DESCRIPTION OF REPAIRS OR ALTERATIONS / The undersi d agr es to install the bove described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further grees t `place the syst� in opera'o until a` ertificate 9.4C ompsl}an--been issued by the Board of Health. Signe 600, Date i- . Inspections No. 9g-S'i FEE 00 COMMONWEALTH Of MASSAC14USETTS Board of Health, rnSta �-, MA.(C-0 fu 1 f r CERTIFI ATE Of COMPLIANCE ❑Description of Work: Individual Component(s) Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed Repaired ( ),Upgraded ( ),Abandoned ( ) by: r at OT 3 &1 G2e U has been installed in accordance with the provisions of 40 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow SZ Z (gpd) Installer \ Designer: Inspector: Date: 1 v 1 G The issuance of this permit shall not be construed as a guarantee that the sys em will function as designed. No.Jo FEE ©f� COMMONWEALTH OF Board of Health, �G''b /7s��' / MA. /if ! � DISPOSALSYSTEM CONSTRUCTION PERMIT , Permission is hereby granted to- Construct(✓/) Repair( Upgrade( ) Abandon( ) an individual sewage disposal system at r /3 T�y as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Board of Health t! , Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date rre.«w\ 1�Ar 1f LOT 13 AREA=25,562t tx ti� LOT 12 I l / r I LOT 14 I AREA=,e6,454± SF PLAN REF. 159/91 RES.. ZONE. RF'" FLOOD ZONE.• C" 0 , TOWN WATER AVAILABLE ASSESSORS MAP 19/122 j I �% � GRAPHIC SCALE ia 30 fl o u .+ 120 N W \ \` \`� \ \o As0 IN ti _ ET 10 \ as y \� \� 1 inchFE30 )tc. os ` / 1 �\ \� \� LOT 15 PROJECT LOCH T/ON •.. LCO 1 `� 14 BAYBERRY LANE . MA. APPLICANT , Ks ` .. JOHN F4'EIR C.6tNN`��y�t LAhD:'R.GU:EY,,::'r •V , a CX-IL , ,_L YANKEE- SURVEY CONSULTANTS �(\ L2�9 1 �... �(�. P.O. BOX 265 BENCHMARK s� � �F�'r r". ` --_ UNIT 5, 408 INDUSTRY ROAD 7 ppF TACBOLT � � / LL , Il o —~ �, EN� MARSTONS MILLS,S, MA. l ON fYRE XYDRANT �.�' \� c f< 02648 I E�e�=/oao•(ASSUMED) _ 9p- PH.(508)428-0055 - FAX(508)420-5553 >>> �"Of AqC SCALE- 1'=30' DA TE.• 10 12195 C a 32M H No. �� REV • � �,,; ' :�:,�y"��•:';., a • ' ' �: � REV READ JOB NO. 50820 SHEET 1 /7 _� • `Y..\. { •1 ..�MY•t ..1� J .M'Ki•.�:1� OF .G T ftEV.=�2,O PROPOSED 20' MIN. I4' cnsT IRON OR ( ELEV.= 1081 EXISTING SCHEDULE 40 P.V.C. CONCRETE COVERS` y, \` 12" MIN. 2' LAYER of LIST.=21.1_ SLP.=0.03 SLP.=0.01 1/8--1/2" INVERT CONCRETE COVER 1 FLOW LINE DIST.=2Q.3' DIST.=?8T_ WASHED STONE - EI.EV.= 101.52 _ SLP.=0.01_ INVERT ELEV.=1114 QB o0 ELEV.d0589 10" MIN. 19' o0= C=)= r-1 00 0000000 ELEV.= 105.64. 105.26 0 0000000 0000 0 0000000 01 4- TO 1_1 2- ELEV.=f05.43 -" ELEV.=_ o / / 4' CAST IRON OR 00vOu �O O O O O O O O O O O O O O O O 000C WASHED STONE SCHEDULE 40 P.V.C. 4" CAST IRON . n l 0 O O O O O O O O O O O O O O O O O,_.O,.•O ELEV.=11J�� SCHEDULE 40 P.V.C. DISTRIBUTION BOX f ' 1500 GALLON SEPTIC TANK TO BE WATER TESTED IF MORE 5 PRECAST FLOW DIFFUSORS PLACE ON s' OF STONE OR THAN ONE OUTLET. 11.5' I PLACE ON s" OF STONE OR C USE STONE TO LEVEL MECHANICALLY COMPACTED SOIL MECHANICALLY COMPACTED SOIL USE SEPTIC TANK 1YlTH3 COVEPS'. THE BED AS NEEDED _______________ __ _ ' BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV =� 0 T PROFILE OF SEWAGE DISPOSAL SYSTEM NOT TO SCALE LAN RSCAULE `* 3 GVtL i Ss�DALf OIL LOG C% ANESSED BY:_J_DUNNING_8 8LL9 _--__-- GENERAL NOTES: PERCOLATION RATE:— 2__MIN/INCH (TtPE !SOIL USE SMIN/IN.) DESIGN DATA: 1. THIN PLAN IS FOR THE CONSTRUCTION OF A NEW SEWAGE DISPOSAL SYSTEM. TEST HOLE 1 TEST HOLE 2 2. PLAIN REFERENCE 159191 LOT 14 BARNSTABLE REG. OF DEEDS. DATE: 10_05=95 DATE: 10=05_95 NUMBER OF BEDROOMS _EQ(1R14�__ 3. THIt PLAN IS FOR THE INSTALLATION /REPAIR OF SEPTIC SYSTEM ELEV._1Q7�__ ELEV_iQ4.Q__ ANb NOT TO BE USED FOR SURVEYING AND ZONING PURPOSES. GARBAGE DISPOSAL _1�IIQ�CQ -____ 4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS 3_ LOAMY SAND"A" TOTAL ESTIMATED FLOW __4-41L___ GPD F6k THE SUBSURFACE DISPOSAL OF SEWAGE. 5. AL COVER TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN GAL./BR./DAY X _g___ BR. ) 12� LE" HOR OF THE FINISHED GRADE. B' IZON SEPTIC TANK CAPACITY _160R_G6L_ 6. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE SAME, UNLESS NOTED BY FINAL CONTOURS. SOIL SAME AS LEACHING AREA REQUIREMENTS . 7. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE TEST NO.: I OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR LOAMY SAND WITHIN 10' OF 'DRIVES OR PARKING AREAS. H-20 LOADING B' SIDEWALL AREA _U7Q-_ GAL./S.F. SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING 38' BOTTOM AREA _�SZQ GAL./S.F. AREAS UNLESS NOTED. 8. A Y MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL LEACHING CAPACITY (BOTTOM & SIDEWALL) _ 72_ GAL. BI MORTARED IN PLACE. COARSE SAND 9. N DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH c' RESERVE LEACHING CAPACITY ____533___ GAL. D EDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO - TAIN SUCH DETERMINATION FROM APPROPIATE AUTHORITY. I32' APPLICANT: JOHN WIER DATE: OCT. 11. 1995 i 10. TF E EXCAVATOR/CONTRACTOR SHALL VERIFY THE LOCATION OF NO WATER ALL UNDERGROUND UTILITIES PRIOR TO ANY EXCAVATION. ENCOUNTERED SHEET 2 OF 2 JOB // 50820 I ire ..vy.t,ll 1�I <`Li[—rr �111 11