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HomeMy WebLinkAbout0079 FOREST HILLS ROAD - Health 79 FOREST HILLS b AD C(DT(k 1 A 025 007 009 TOWN OPIARNSTABLE `'� , LOCATION S SEWAGE # Zffr I03 k, VILLAGE ASSESSOR'S MAP & LOT0 W& INSTALLER'S NAME&PHONE NO.,K(;L G SEPTIC TANK CAPACITY Ism LEACHING FACILr Y: (type) CLW- auc'� (size) Z NO. OF BEDROOMS BUILDER OR OWNS �- 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 Yrv,n�" B3 i e s No. " � _ Fee P THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS Yes_ qG� 0[olication for �Digo!5al *pztem eongtruction Permit �eO_ DApplication for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ElComplete System ElIndividual Components Location Address or Lot No. o yN zSF //� Owner's Name,Address and Tel.No. SR' ►!" Assessor's Map/Parcel v (a U 'j 0 q Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures r Design Flow gallons per day. Calculated daily flow .5J gallons. Plan Date 'J.': Number of sheets Revision Date Title Size of Septic Tank y Type of S.A.S. c Col �.7 Description of Soil /��figg 1)l —41 r�,,d E e �6.`7.3 � � J 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 issu y—th'-Roar4 otliealth. Signed Zo Date Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued 3z2/?ee1r.,n �9 TOWN O BARNSTABLE - LOCATION S SEWAGE # �ff,r Xn IT VILLAGE_ `� ASSESSOR'S MAP & LOT1 GYJ INSTALLER'S NAME&PHONE NO. 26 SEPTIC TANK CAPACITY I SC�C' — i LEACHING FACILITY: (type) haw. r5 (size) NO. OF BEDROOMS BUILDER OR OWNS •�_ 1 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 Y bZ �g� � V z�,zz � L( ` z ! ZIP 61 , ►� 1 _ ,�v!o!-1 r jgN Z QaQ — �Z V jai . ram:`- I� , Fee 9 ^ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: /- � Ctv 3v.A.� PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Yes . 6 , , Vfication for Migogaf *p5tem Construction Permit Apphcdion for a Permit to Construct(�6 )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components R , �N ! Location Address or Lot No. ! ')9 =orrcJF iA//J Owner's Name,Address and Tel.No. t A SR Assessor's Map/Parcel Z 5 p O 1 O O M C Sh Qn°L (/_0t4 s� yag. SO Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel..No. M <J�i►O A e„ c6Y+ c.:, �A/4 C' ai L J�,0 A, L i+gi do E'.J CaV-, , /NA 1 Type of Building: „ Dwelling `}No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other $Type of Building $,n9/e 6,%;4, No.of Persons Showers( ) Cafeteria(. ) Other Fixtures Design Flow 3 c3 n gallons per day. Calculated daily flow gallons. Plan Date 2- I T - 60 Number of sheets I Revision Date Title Size of Septic Tank ! Sb 0 Type of S.A.S. 2 - d o col chfA. (&,s Description of Soil Mt7 do a yam, Tie d p q6 73 /3 Z-:' K 2 t Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issugTby t � oar of -ealth. Signed 1 Date Application Approved by . r Date t uz-p Application Disapproved for the following reasons Permit No. ` '�Z� Date Issued 3-e T4-& --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Comviiance THIS IS TO CERTIFY, that theOn-site Sewa$ Disposal System Constjructed,( l/)Repaired( )Upgraded( ) Abandoned( by _ _ 1l , J`; i at -7 9 Fc e Pe J Ai' /i '1�r. t�4 f� ) has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. /Z 3 dated 37.Jv� Installer Designer _ The issuance of this permit sha no/be constrikd as a guarantee that the(,ystem will function as dl esig eAd,l Date � � � Inspector �I�f/ ✓ 1� U,lr, I --------------------------------------- No. �Z-2 Fee 17, THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Migoaf Opgtem Construction permit Permission is hereby granted to Construct( Ll<epair( )Upgrade( )Abandon( ) System located at 7 o r r tJf ��f r tti.P CrJ �,�- 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:Con-st�ru"c`t"i�on must be completed within three years of the date of thi t. L7 Date: ,✓ � Approved b, z / I 3' 11' 2-3 /e- e•-1 S/e' 1 I l'-I' 3•-�• �•-I• y-�- Il'-1' \ I 1 117 SP STANDARD 3= MASTER 1 740 SP PROVIDED 1 v _ I e'M1 p 1 1 VAULTED CEILING TO 10•-b- Y P p I I � ' I F I7 O a� B I 1 ' 1 e 7 11 12-3- . .� N'-O I/ fV 1 n 1 ', \� IQ1 M '�,: H w H i y \ I ---- 4 1 I 1 IL. 3-4. ^ iu -- I �I inn -�-�4 iri ae a I I �°v 1 3._L• _ I I HALP ---- p- _r_ --------- OwQ_ II WALL _- _ i pC�W 3'_O' WIDE AREA �. s __-_- LINEN it in<aU 11 OF PLAT CEILING e - ---- -- BRKI=ST/ -GREAT-- -- ITE ------- I8 S V CATHED L ROOM- �@ RO P i 13) 13/ X II 1Y CATWEDRAI� w FIRE PRANCE O p °o '. IL IVL iP ORE .. CL - �• __-_-_-____ 1•_1 II N I O O �_ - ^ DN I c POST '-O I/7� 3 - P T �E POST \ e _ LO CS T - BEDC SET ROOM #2 z t 7 3 Ott L PAN M1 A J DINING RM , "P OTO _ 3 A C G Iz-Ir '-� _ •_T I/z_ � BATH 7i� M1 U 7)I 3/1'XII T/e' LVL (7I 1 3/1• X O T/Il• LVL I 9 7' T06 GARAGE ' 7•-Io S.-O. p o 1 SLOPED I SLOPE 9 LINEN !� N 1 I 4 B cr -, s 3 2*-1 I BEDROOM 3t� © mo 1 L� SET 0 TC s , OW/ O c� — � OA OVE '' 13•-o vz- q 13 O K OVER DOORS F ABOVE TRANSOM W/ 1_S 1'-S' r- Ln b•_0. L._O• 7•-0 1/7- e•-10' 2-1' 13'-2 1/2' II'—O" IL'—O" STONYBROOK MBR REAR FIR 'LAN SCALE: 1/8- I'-p• (919 PLAN) 1 19�5 SF �c�16 ` 0: J N/F TOWN OF BARNSTABLE ` . �.07 17t,289 4 L P Vv �` C y < O , C31 � •. lz A PEA S UMMA P Y LOTS UPLAND; 267, 713*S. F. 5. 15*AC. WETLAND; 0*S. F. 0*AC. , TOTAL; 267, 713�5. F. 6. 15*AC. 28.8 % _ N\bi ROADS 116, 189 -4S. F. 2. 67-4A C: 12.4%OPEN! SPACEUPLAND; 514, 558*S. F. 11 . 81*AC.WETLAND,- 32, 116-&S. F. . 0. 74*AC. L;TOTA 546, 684-*S: F. 1 .. 5AC. 58.8%TOTAL 930, 586 S. F. 21 - 37*A l00% - y ��- •' �G OPE,'V SPA CE ' P UPLAND=132. 818 S, f ,� • ��� WETLAND-O-* r. ' TOTAL=.132. i 594.71/ S;3o 58" fT'i N/F� N/•F 1 RAYMOND R. B /RENE ANTONE 1 RODGERS SOUZA 1 t u p S YS TEM PROFILE NOT TO SCALE TOP FNON. FINISH GRADE OVER FINISH GRADE 'EL . �'G,o FINISH GRADE Sys" FINISH GRADE l7VER DIST. BOX may. Q 0 VER TRENCHES ��' •c a 4'i i•a : SEPTIC TANK_y.� •d•a; �0 12" MAX. . o ob eo; '...e:;:�j: ;oa..ao.ay !::Q.gyre�:oadffi.b+eao�l.a••• .e tiv. 11.v.K. Gav �r 3„ OUTLET PIPE LEVEL TO TA LENGTH OF TRENCH 2 S FOR 2 FT. MIN. 40:OpQ p ,� :� O O 0� a. .o;• AP e o .y. ` ,e• b6r'OOOe o o. �;, .i C: 7/.30 G 17e �'.:na.:e:. •:b:..�:0•.. Op 'q'Q .y' e��� °da . C. I OR PVC TEES Eip 2 o g ® C1 [� c� 0 0 agog .a• n e o.o, e pe o ro �' 1500 GALLON DIS TRIBU7`IDN 80X .BSMT FL o o o q a o• INSTALL ON LEVEL BASE '�' ' • °°°°•' PRECAST CONCRETE A � "500 GALLON OR YWEL L S " a H= / 0 REINFORCED a a a '�ao�o.d,:bc?'.Gp'G'!na 6.:0-a•:p p•Q Q ti'Q' Vpp p'�•�'c'o •e.4P�' SEPTIC TANK TRENCH SEC TION INS TA L L ON L EVEL BA SE NO TE: EXCA VA TE TO EL EV V. �/.4 OR L OWER TO REMO VE AL L IMPERVIOUS MATERIAL BENEATH THE LEACHING AREA 4` DIAM. S2" MIN. REPLACE EXCA VA TED MA TERIAL NZ TH 3" OF 1/8"-1/2" `!...,......».. .r'..,1"H.f W / .f's'/�f' �w..fL.e/J __..._..l3A.M'/u,v_._,._./ _....-..- • off, 'p, 0'.D ;0 0: r }• WASHED PEASTONE CLEAN, CLAY FREE SAND •• ! �:.° v o�o i 4 '` F10, CRUSHED S TONE :a y GL° TH? s -z 0.00" ---- GENERAL : NOTES TRENCH WID TH sa A•s52, I. ALL EL EVA TIONS SHOWN ARE BASED ON ASSUMED NUMBER OF TRENCHES A''�? 2- ALL PIPES IN THE S YS TEM MUS T BE CAS T IRON �` NUMBER OF DRYWEL L S '4- o ----OR SCHEDULE 40 PVC. OBSER VA TION PIT 3. THE BOARD OF HEAL TH MUST BE NOTIFIED _ 'o WHEN CONSTRUCTION IS COMPLETE PRIOR P-9673 TO BA CKFIL L ING PERCOL A TION RATE., 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED <5MIN./IN. �cs BY THE BOARD OF HEAL TH AND CAPE 6 ISLANDS WITNESSED BY.• SURVEYING CO., INC. DONNA MIORANDI N - f 5. MATERIALS AND INSTALLATION SHALL BE IN BARNSTABLEBRD. OF HEAL TH 3� COMPLIANCE WITH THE STA TE SANITARY DESIGN DA TA o d. DA TE- FEB. 23, 2000 CODE - TITLE V - AND LOCAL APPLICABLE — — — — — — yy ° RULES AND REGULATIONS __. =s `._,_.,�,�.1•� ___ _ _ 3 ,� --- e NUMBER OF BEDROOMS 6. NORTH ARROW IS. FROM RECORD PLANS AND ��, �o��, �pY R �z e� NO IS I—J BE USED FOR SOLAR PURPOSES �'" a GARBAGE DISPOSAL 7. .FL"OOD HA ARD LONE C (NON-HAZARDS DAILY FL ON 330 GAL . _ _ �.c a...•._ _ a �' �!, •�, I �' a ~ 8. WA,TER SUPPL Y TOWN WA TER ' SEPTIC TANK REO D. .1500 GAL . eh ti3 Pro I SEPTIC TANK PROVIDED*01 1500 GAL ti=ti a � LEACHING REQUIRED 330 GPD. \Nmre m . SI OEYALL AROEA74 152 S.F. S.F.X G/S.F. - GPD. % —, BOTTOM AREA 329 S.F. LOT 9 0 ®' 1L EGEND 329S.F.X 0. F, s 243 GPD Ss, 31.4 SF. -8" LEACHING PROVIDED = 355 GPD �• �y PROPOSED EL EVA TION EXISTING CONTOUR SINGLE FAMILY RESIDENCE & OBSERVA TION PI T s e�•or •sz.E ❑ DISTRIBUTION BOX 70 PROPOSED SEPIA GE DISPOSAL S YS TEM TRENCH PREPARED FOR ` o o SEPTIC TANK MCSHANE CONSTRUCTION LOT 9 FOREST HILLS DRI VE. ! RESERVE AREA ,�---_., J-ft I o� BARNS TA BL E—CO TUI T—MA SS. rDAVID \ h 7> a PIPE INVERT EL EVA TION C41.�Eil�S SAN).Kl � DA TF• A'i, '�CIt35 CAPE 6 ISLANDS ENGINEERING 3e/ $' PLOT PLAN SCALE.• 9 \ ss# SCALE AS NOTED 800 FALMOUTH ROAD — SUITE 301 ,,,f �0 MAP SEC PCL LOT HSE % PL AIV NO so 200 MA SHPEE, MASS. G 7