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HomeMy WebLinkAbout0520 COTUIT BAY DRIVE - Health (2) . 179 Clamshell Cove Road 055-038 Cotuit ' ICI 3Y THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF \HEALTH. ' a"�'"'.........O ,....:......................................... Amifiratiun for Diupuual Works Tonstrurtiun ramit Application is hereby made for a Permit to Const ct (�or Repair ( ) an Individual Sewage Disposal System at: 1' ...1.7 _ �. :!h S�' ��.. .. �,mot:Q....V:j:............ ....... ....... .................. rJ-.b. ........... LocatioAdd e ss � Add 7•............... �.5 �_ ... t ... ................................. .•.........r . •.............. ................................... ........................................................... ........................... .......... .......Installer Addriss Type of Building IS7 Size Lot.P916\2 Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( Garbage Grinder (0) Other—Type of Building ...P. A................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures .....AV. ..--•..............................:..................................-.-.........-...-..........-•----................................. Design Flow......-...--!';5!S........... .. gallons per person PPfr 4�y. Total daiv flow........ o........................ Ions. Septic Tank—Liquid'capac' y..l�..WIons Length.-�.1." .... Width..... Diameter...A?.�.... Depth. ?`. . Disposal Trench—No. !� Width. Total Length...... q.p ....... .t_--*.**•••••••. �._o��.. Total leaching/area area..-.rib.. ....s ft. Seepage Pit No...._--2.......... Diameter...... °.... Depth below inlet...�.i........::... Total leaching area._.--.---........sq. ft. Other Distribution box ( ) Dosing tank ( ) t•� Percolation Test Results Performed by..........- c.. l .-..... 1.-_.. Date....' .-� �.....`� ............ Test Pit No. I..-..P ......minutes per inch Depth of Test Pit......1.?..5. De - ...o ground water.. ..rkQ.nC....... d Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to round water. -..� w.n. o��` ��xh.-4!�d..S 4�_sA,,-1 '1..1�.5: 5�...t.,rn � w,_.... nd� Description of Soil...............�...Ca...r..1 :Ct.1.... r?rr.Sec.rnd.et.-..---•-----..........-----........................................................•.. , .............................................-.......-...--•--•--...---...............................-..........................................................................................._...-. 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 TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance-has been ue by the a of health. Signed ey` ApplicationApproved By..... ... .. .. . .... .. ...: . . ... . ........ ..... ...................... ...... .......... Da e Application Disapproved for the following reasons:.......................................................................................................... //. .................1.........................................: -. ',Date...........-•- Permit No... l ......... .. ........... .. Issued.-• ...................... ate Pi ............ =- 11tl , .�`- Fas .. 1 :�...`� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH :................�.. �.........of.. �,r..ns. sus .............. Allp ration for Disposal Works Ton.strnrtinn Prrntit Application is hereby made for a Permit to Construct (�or Repair ( ) an Individual Sewage Disposal System at: r .................Ll�:!M ��.. .-�.��c� �`---- �..---...... ...... /� ....... ............. .�.. ........................ ...... Loca .tloa...... .c1. !"` \o Yl ....1... y Address S�V;� Q1� Y�nstaEc/. ......................................... ...................-----................_.....................---•.............:�...`.'...:...... - Address , Type of Building Size Lot.�C)t2% •........Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( Garbage Grinder a, Other—Type of Building ...P. A................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures Design Flow._...._.._..�j.�............ ....gallons per person $ r Total daily flow........ gallon'. W Septic —Liquid* p ' yA .. -..talons Length..�.lf ...Width.... ^..... Diameter...0. ... Depth...-�-r-{.?.`... x Disposal Trench 1 No .9.! ....... Width..j.....**--........ Tot lLLength.......I._.....�DTotal leachir area............. ..sq. ft. p 3 Seepage Pit No........�...: ...... Diameter...... fl.... Depth below inlet... ............. Total leaching area..fL .......sq. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by........,. ,: -eAhdl4rre�.:.....1...4�er�....... ... Date....` .-1 .....`�.............. Test Pit No. I.....o��......minutes per inch Depth of Test Pit......I.z....... Depf;o ground water.. ..K un ....... f4 Test Pit No. 2................minutes per inch Depth of Test Pit....... Depth to round water. ...��!�c-sy��y.��• td O .........�... .. ,...'.. :¢:^ :1..Q1.`: ...�71/i.X.s►�7�.: ...... 1.�:.. \�.....'. 11rLY1�1.... ,"J.Q....."n � . Description of Soil...............'L.0...-. :G. U .........................................................•--.............. ...............................'..............................................................................----- w ............ ...••..._...........•••............ .....••••----..........._.......................... ............... ........... ..._........ ........... ........... ................ -...... V 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 TITLE 5 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 ',aboard of health. _ #, Signed. ',, 'S t /ter ... ........................ �� Application Approved By., �� %i . 1jl�i � J�a� .... 1 t ' :.................. ....�.� .. D .............. � y -Date Application Disapproved for the following reasons:.......................................................................................................... ......................................... ......._ ._....................... ...................................�.'.... ....... ..........Date.............. Permit No .. ........ ................... Issued_2,t....•• Dte .........................._ j f a THE COMMONWEALTH OF MASSACHUSETTS r BOARD OF HEALTH ; l . .............OF..................................................................................... Trr#if irab of Tuntpliatu e THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by............ .............................. ...... ................................... k ..................... has been installed in accordance with the provisions of TITLE 5 of The tate Sanitary Code as described in the application for Disposal Works Construction Permit No. ' :.:r.:k y .. dated................................................ THE ISSUANCE OF THIS CERTIFICATE-SHALL NT BE�C NSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. _ x DATE........ .�. ..................2�.............. ;3&pecto � 2'2.:: .. :..... THE COMMONWEALTH OF MASSACHUSETTS BOARD O` F HEALTH N �..Lj�i .........OF....... l I. � 11,r `'`.................. c... ........, "v r 'v FEE....1. ............. Disposal Works T.unstrnr#ion ,prrutit Permissionis hereby granted................................................................................:......................................................._.... to ConstructX or Repair ( ) an Individual Sewage Disposal Systems f. � o atNo..... ,Ft'...- .... . ......1................................. Street z as shown on the application for Disposal Works Constructiongrmit Ny ..... ........�Da�ted........................................... r ..... irk:Y�t ............ ..,1. ................................. Br of Health .a _ DATE........ . ............. ... .................................. FORM 1255 A. M. SULKIN, INC., BOSTON LOCATION SEWAGE # VILLAGE (i® r7— ASSESSOR'S MAP & LOT 46.E—d<?F INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY 16-60 , LEACHING FACILITY:(type) �/� ��-� (sue) NO. OF BEDROOMS 5'�- PRIVATE WELL OR UBLIC WINTER. BUILDER OR OWNERj DATE PERMIT ISSUED: �"y/�� DATE COMPLIANCE ISSUED• VARIANCE GRANTED: Yes No J i t �vl H�k U.POLE BENCHMARK TOP OF TAGEOLT LOT 36 0 #265 ON F.HYDRANT ELEV.=50.00' O ��tiW OF (ASSIGNED) c� � PAdDI 1 8 3 Yv MERIT'6.9Eb�! I I � N0. 320Ss3 ets" O FJS, �ISTE 1) OO I �Obac LAWD yJ 48. 0 \ / \ 48. 0 PLAN REF• 216139 ZONING: "RF" 4 7. 5 3��- � o � � � TOWN R A VAILABLE y - \ ���" OF Ams,�sy� V JOHN P yf , % '� '� '(�• g LANCn 7 d Q 2Q- 48. 0 Q2 CIVIL No. 35101 y �0 LOT 61 \� PROJECT LOCATION 20,8121- S. F. �� LOT -61 , CLAMSHELL COVE ROAD COTUIT, MA. ASSESSORS NO.:5-38 UPOLE APPLICANT MARY & RICHARD VENERI CV A2 COLONIAL DRIVE, UNIT 4 46 �� I" 4 1 ANDO VER, MA 01801 \ ��' YANKEE SURVEY CONSULTANTS 11-1 46. 5 S�8 j3, 2 ,�0 UNIT 5, P. B INDUSTRY S RY ROAD 265 MARSTONS MILLS, MA. 02648 46. 0 � � � �� . TEL. 428-0055, FAX 420-5553 Is SCALE: 1 "=20' FDA TE: 717194 LOT 62 REV REV. JOB NO.: 50490 SHEET 1 OF 2 4 EL. —• 4 9.1 PROPOSED TOP OF F U ONDATI_ON 20' MIN. CONCRETE CO VERS 48.5 PROPOSED 4 7.2E EXISTING 2' CONCRETE COVERS / / . , � / / . . � / / • T� / / . , , . / / / � � LEVEL 47.3E EXISTING 4., CAST IRON 12 OR SCHEDULE 40 S=0.02, D=10' P. VC PIPE 4"" SCHEDULE 40 P. V.C.DIS 12" 2"LAYER OF — S=0.01, D=7' PIPE MIN. BOX S=O. 01, D=24' WASHED STONE FLOW LINE S=0. 005, D=46' 110" 19 PRECAST LEACHING PIT EL.= 45.93 MIN. CRUSHED o8 00 Tf OR EQUIVALENT. EL. 4_5_4f� STONE o oogsosOno s I q o EL.— 45 73 EL.=_45.24 o c o c • : 6.� p 14" TO 1-112" EL.= 4_5_41 EL.= 45.0 0 . v WASHED STONE 1500 GALLONS — oc C SEPTIC TANK• i �0 W o � � 39.0 2'I LEACH PIT I z, PROFILE OF 10'DIAM.-- �6 SEWAGE DISPOSAL SYSTEM NOT TO SCALE BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE EL=_35.0 ALL ELEVATIONS ARE ASSIGNED J. LANDERS—CA ULEY,PE ..' + WITNESSED BY: EDWARD BARRY HEALTH OFFICER " TOWN OF BARNSTABLE �A GENERAL NOTES sorL LOG ® aoHr� -> P NO. 8225 PERCOLATION RATE 2 _ MIN./ INCH LAN®LRS-CAJLEY CIVIL cAt 1. THIS PLAN IS FOR INSTALLATION OF NEW SEWERAGE DISPOSAL SYSTEM. DATE _05-17-94 No. 35101 2 PLAN REFERENCE BOOK 216 PAGE 39. s/o� 3THIS PLAN IS FOR INSTALLATION/ REPAIR OF SEPTIC SYSTEM TEST HOLE ? TEST HOLE 1 AND NOT TO BE USED FOR SURVEYING OR ZONING PURPOSES. DESIGN DA TA: ' 4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. EL. = 475 EL- _ 4 7.0 TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS FIVE, 2 FOR THE SUBSURFACE DISPOSAL OF SEWAGE. TOPSOIL and TOPSOIL and NUMBER OF BEDROOMS 5. ALL COVER TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN SUBSOIL , 12" OF FINISHED GRADE. 2.5' SUBSOIL GARBAGE DISPOSAL NONE 6. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE MEDIUM TO MEDIUM TO TOTAL ESTIMATED FLOW 550 GPD SAME, UNLESS NOTED BY FINAL CONTOURS. FINE SAND FINE SAND 7. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE ( 110 _—GAL./BR./DAY x _ 5 _ BR.) OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER 7' 7' OR WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING FINE FINE SEPTIC TANK CAPACITY _1500 _ SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING: o UNLESS NOTED. SAND SAND LEACHING AREA REQUIREMENTS 8. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL ' 12 BE MORTARED IN PLACE. SIDEWALL AREA 188.5 GAL S.F. 188.5x2.5=4 71 12 `9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH BOTTOM AREA 7_8.5 GAL.ISIF 78.5x1.0= 78.5 DEEDED OR ZONING.,REGULATIONS. OWNER/APPLICANT IS TO LEACHING CAPACITY (BOTTOM & SIDEWALL) 549*GAL OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. TOTAL CAPACITY OF SYSTEM= 1098GPD NO WATER ENCOUNTERED 10. THE EXCA VATOR\CONTRACTOR SHALL VERIFY THE LOCATION OF ALL RESERVE LEACHING CAPACITY 549* UNDERGROUND UTILITIES PRIOR TO ANY EXCAVATION GAL. *CAPACITY PER PIT SHEET 2 OF 2. JOB NO.: 50490 t