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HomeMy WebLinkAbout0140 FOREST HILLS ROAD - Health 140 FOREST HILLS DR. COTUIT -- --- - A = 025 '007 '017 ... rr 60 .x kN .47 Ao- F2 C! i k .. TLueo . 1'u 8 )-( -LirC,JHLi- Lss 32 ko p 267k2 Lt Nc y 0 MfN Poc.u.,e1- _.. _ TOWN OF BARNSTABLE LOCATION /q-6 SEWAGE #. 7,eA7'- / 1 VILLAGE ASSESSOR'S MAP & LOT U 2S- 7- /7 INSTALLER'S.NAME&PHONE NO. Q:s �� Pam. 77Co'�SU SEPTIC TANK CAPACITY /5p0 LEACHING FACILITY: (type) C\y%a".erS 2 (size) `7 5 Y 1'3%,z NO. OF BEDROOMS BUILDER OR OWNER 51.zx-e cz\'4�. PERMIT DATE: 3� COMPLIANCE DATE: / d 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 13, yZ Z A,-zt ' 3 B3� �9 ' A4 ;, �S� No. - 1 THE COMMONWEALTH OF MASSACHUSETTS FEE / BOARD OF HEALTH OF iY J U-- APPLICATION FOR "ISPOSAL SYSTEM CO STRUCTION PERMIT Application for a Permit to Construct ( Repair ( ) Upgrade ( ) Abandon ( ) - ®/complete System ❑Individual Components Location Owner's Name Map/Parcel# A ress Lot# Tele h ne# 4T 1 stall Name agfev„ , f Designer's Name I f s ddress ess �¢? f? Telephone# 'Telephone# Type of Building: Lot Size Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons � Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required)_G S gpd Calculated design flow-3�gpd Design flow provided-JS Sgpd Plan: Date O 1 Number of sheets Re ision Date QA Title I' //� Description of Soil(S)0",Il4((-�4,_ _ � to CL_t r2`f _S,C.L",- Soil Evaluator Form No. Name of Soil Evaluator.Sa Y L/ kzG ) Date of Evaluation 6? 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 snot plat system in opera' unti a Certify ate of Compliance has been issued by the Board of Health. - t i Signed Date `, /12A_1 0/ —11isppsons t ►�e y�r (-�.c �� .MrP� 3 Z9i16 FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 o. r� _TA_HE,CO•MMO'NWEALTH OF MASSACHUS -FT """"�^,{ FEE / BOARD OF -HtALTHJ,�--1 j OF APPLICATION FOR ISPOSALSYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( Repair ( ) Upgrade. ( ) Abandon ( ) - [/Complete System . Individual Components NO 7RW M C- Yv�6LIvu— CW+ _ Location Owner's Name UU1^O 1 A cs ..v Map/Parcel# Ad ress 11 Lot# Teleph ne# 1A 1 stall s Name Designer's Name i' V •^Y re/. �ddress, V 411 le�s�� I Telephone# Telephone# Type of Building: ot Size k: Q Sq.feet Dwelling—No.of Bedrooms Ni Garbage Grinder ( ) Other—Type of Building `'J 1` \ i No.of persons CoShowers ( ), Cafeteria ( )Other fixtures Design Flow(min.required)CAS gpd Calculated design flow__ gpd Design flow provided5$gpd Plan: Date t \G O t Number of sheets t Revision Date ! Title Description of Soil(s)0",1-(( -r. _ =� �cu� ✓1 (0 -� n��f�- ��4? d SG-� Soil Evaluator Form No. Name of Soil Date of Evaluation S?-Q 1 DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE S,and further;gtees not plat_, a system in opera' nti a Certificate of Compliance has been issued by the Board of Health. - Signed;' --I spti ecfto s `KSOLC bN ILQILt:� I , FORM I APPLICATION FOR DSCP D. P'APPR 'VED'`FORM,5/9 ,f z ,.., e•.,�e��� .��aE+..— �...�, • — —tires— .— ti,---.-------,--.— -----M.. -- —_.. No.1�qz1 _I THE COMMONWEALTH OF MASSACHUSETTS FEE f 4', •BOARD O.F,:'HE.ALTH ��, ./ CERTIFICATE OF COMPLIANCE Description of Work: ❑.Individual Component(s)- ❑Complete System _ The undersigned hereby certify that the Sewage Disposal System;Con ct strued(` Repa ed( ),Upgraded( ),Abandoned ( ) : R"C r at Ho Pn c r e s'� H 1 ) ) S, r-N, cco+u ,4- has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design la s/as-built plans relating f pli on N )'LO dated �� Approved Design Flow TJ (gpd) Installer ' i Designer: Inspector Date / f.1 'It The issuance of this certificate shall not be construed as a guarantee tat the system will function as design. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 No. (qu-0)— / THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct (f) Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at j k1 b F n r r e,+ (-i l l S as described in the application for Disposal System Construction Permit No. ( CD LP dated 9 r' ?J�) Provided: Construction shall be completed within three years of the date of this permit.All local conditions must be met. Date ) Q Board of Health V_.<)11;1 .�!�1 R FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBS&WARREN TM .PUBLISHERS- BOSTON, " Lr NQ WN - - - �. 4 TOFF BARNSTABLE ,� [A y LOCATION /yt r©rz,C • �t��r. SEWAGE # 7,N✓/ %toy # ' VILLAGE C_n�u r ASSESSOR'S MAP.& LOT. U ZS-;7 / T INSTALLER'S NAME&PHONE NO SEPTIC TANK'CAPACITY. SOD LEACIENG FACILITY: (type) C�,an��,�r l Z� (size) 2'7) y� NO. OF BEDROOMS BUILDER OR OWNER IY�r 51 a �.ti-e „ ` PERMITDATE: 3 I9— COMPLIANCE DATE.. �—/s 6 Separation Distance Between the Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility. Feet Private Watef Supply V✓ell and Leaching Facility (If any wells exist on site or within 201of ieaetun facili g ty) Feet'' Edge of Wetland and Leachng,Fatility(If any wetlands.exist. - within 300 feet of leach ing.facility) Feet_ :: s Furmsihe"d by . n 116uSZ 1 T J Z �3 Y2 ' Z A,2� � 3 B3 S`1 i1«sX3lSAo r-4 yr ! p) A Ir f ) DO r,-O Vp ,T-� T-r I-•r- 2'-ar• I * 1 Movroo ri a 04 r i G � v 'r ie+t .aria =fhC b -, 1 v� F-- t 1 TO 1; o C 1 O. Ew. r�t K _ I , y� �•� I%Jmt" r rr-4 Vr t i _ Iu 11 • . G I I • r," 11 � � � 1 IN il- L of S,*L 'r 0 11 CLO. n j 41AL r0!Y Q� I LAST ►/7- P CN LA l O t , rs3 1 T✓r 4 b zml L � IiLAJIp 0 POST !Eb LA1 L AMMWU I MOTTs - � i 11 • 1 i I I ® a 1 r-O• I-0- OLK /mot VP O Ts © d ! Co�oc, A►q _ ® -a yr O A .' I �► ZT�• T-1 1/r i t-O j/r F $T �LQQR FIRST FLOOR IIV 1392 SP vt r o- fAMT ROGA ` 55 O"D PLOOIR sp L TOTAL LIVMG AREA 2043 SF - r I > 0040 30,74 1!Z". 10'-1• a - - - � L - - - - - - - - - - - - - - - - - - - - - - - - - - - - = - �„- - - - - � 1 I i � ► 0 JOISTS 0 Ir O� I n Olt Atwva 11 il1AT u A I C= I a yr ccxw_ ! ►a I }i - - - - -�J - - - - - - III I 1 91 I — — -f I;--s v?• I c-1 C-1 Ii2• Y-3 3i4- 3•-1O v I - r • ica 1-mo CiRT v 1 1 i n Zl Vr ON1, %Al1T COlu17M I i 0An& 1 I rTO QdAiM T CCKAM �so" rrypn 0 I I b Pr 110WORCUI co..c- SLAB 1 I --- -- 11 I I ►QaniG rr ►-91f i I O I ------------� 1p! OP CAMTILS�IlpldD OAOr "MR 43 W-a' OJl W►tA&R DOOR 1 AIwOM { 14'-O' ®� FAlPLAN- SCALE. �J �AT1 OA! Vr-r-o•! Rr Kt 001/<Alt? OQ Q rr r L � rF .T-o- s -s yr s-r r-4 yr n--♦ yr r-4 yr _� r-+c• T!.!1 OM SE:GTIOM O►T101tAL TV qq _ _ SEOROCM e2lei e LGW �T ' IY-S' X xr-r LPLit a-• yr - ,• i s• ►uv uwtL A T H O r-r �sswc� o LOFT. Ub O - Zw.-.�sL ;. _ � ! r-s v ® � N ir Llr-r s - -- - - 'J NF 1 N1Sla CIJ G ATTVC ATrIC LL TOR. '- -_ ---- ___-- T r � lams-a-KMUMALL rpwoll ACC Or7n + s ' L r l ATTIC i GARAGE ROOF a I - - _ - - - - - - _ - - - - - - - - - - - L •� �14 • i r-s yr s.��- - r-s sir .r-0- V d i0KD M-008 PLAN 64J SF (OrT'L LOFT 211 $F) sc^LL V! - I-cr OO O0 r r t SYSTEM PROFILE NOT TO SCALE 'i TOP FNDN FINISH GRADE OVER. FINISH GRADE FINISH GRADE OVER FINISH GRADE OVER EL. 69.5 SEPTIC TANK _67.5 TRENCH 67.8 EL. . 68.5 DST. BOX 67.7 9" MAX. a- 311 OUTLET PIPE LEVEL FOR 2 FT. MIN. TOAL LENGTH OF TRENCH = 25' C = •!' % 81-611 6_7 _ t - " 65.25 E n.99 64.82 '., C.I. OR PVC TEES �-- 64.64 0 0 0 0 0 0 0 f• - _- .+ GAS BAFFLE DISTRIBUTION BOX 4' 4 BSMT FL. 1,500 GALLON IN"rTALL ON LEVEL BASE EL. 62.0 �� -;.; ,. PRECAST CONCRETE TRENCH SECTION -� H 10 REINFORCED SEPTIC TANK TOTE: I' MIN. INSTALL ON -LEVEL BASE EXCAVr>TE TO DESIGN ELEVATION OR LOWER TO 3' MAX. 3" OF 1/8" - 1/2" REMOVE r'.LL IMPERVIOUS MATERIAL BENEATH THE 4" DIA. COVER WASHED PEASTONE LOT 15 LEACHIIV AREA. REPLACE EXCAVATED MATERIAL If WITH CLEAN, CLAY-FREE, SAND. t - 3/4" - 1- 1/2" WASHED o o GENER,-�L NOTES EL. 62.6' CRUSHED STONE 4 5 2 4 'y (02- 1. ALL ELEVATIONS SHOWN ARE BASED ON_ASSUMED ' - ' OPEN 2. ALL PIP> :7 IN THE SYSTEM MUST BE CAST IRON OR 13' -2" 00 SPACE SCHEDU._E 40 P4 C. TRENCH WIDTH 3. THE BOr .D OF HEALTH MUST BE NOTIFIED WHEN CONSTR- TOiV IS COMPLETE PRIOR TO BACKFILLING. 'NUMBER OF �l P FINY FFS , F- _ 4 '`jY CH,- sa_.i .'av . , if'u�i _ i` J.i Lji. �� him.t J t THE BOA _D Gk HEALTH AND CAPE& ISLANDS ' I S � � 3 \ ENGINE :JNG. WETLAND EL. 43.'J' w OBSERVATION PIT sr\ 5. MATER' : —S AI�'D I\iSTALLAT.bN SHALL BE IN G� 9TER SFI�v �Q�6, COMPr IE ;JCE WIT THE STATE SANITARY CODE PERCOLATION RATE: 2 MIN./iN. \ � (TIT�L E 'v AND LOCAL APPLICABLE RULES AND WITNESSED BY: DONNA MIORANDI LOT 14 1 , REGU�.A ' ONS. RNSTABLE BOARD OF HEALTH �. �0 c ti 6 I 6.1 6._NORTH /l.._ROR� IS FROM RECORD PLANS AND IS NOT DATE: _FEB. 28, 200o DESIGN DATA 4 TO BE U` 'D FOR SOLAR PURPOSES. NUMBER OF BEDROOMS 3 ~�, 4 7. WATER ,, PPLY. TOWN WATER 0 TEST PIT #1 0 TEST PIT #2 GARBAGE DISPOSAL NO BENCH RK 0 2 4.. 8. FLOOD , .ZARD ZONE: C DAILY FLOW 330 GAL. RIM OF C. BAS r,j� S � � W LOAM LOAM ',L. 71. 0' /\~ W � 0� FLOOD P,�:NEL: 250001-_0021 D , REVISED: 07/02/92 411 _B- 10 YR 2/2 4t1 -B- 10 YR 2/2 SEPTIC TANK REQUIRED _1500 GAL. q(D SEPTIC TANK PROVIDED 1500 G,":L. W / \,ry 4 � SANDY LOAM SANDY LOAM = ,72 q \ 24" 10 YR 5/4 3611 10 YR 5/4 LEACHING REQUIRED 330 GPD LO 17 -C _C_ SIDEWALL AREA=_152 S.F. 21, �\ 125177+ S. \� 152 S.F. x 0.74 G/S.F. = 112 GPD N w w� / GC BOTTOM AREA = 329 SF. 4 e/ MEDIUM SAND MEDIUM SAND 329 S.F. X 0.74 G/S.F. = 243 GPD 14, \ 13f 10 YR 6/6 10 YR 6/6 LEACHING PROVIDED = 355 GPD 13, I , G4 G z_ PIT #1 20' ,`9- /' 0 ` LEGEND 120 NO GROUNDWATER 120t1 NO GROUNDWATER �w �N 68 — PROPOSED CONTOUR SINGLE ]FAMILY RESIDENCE N J4� PIT #2 w� �' G P5 �3 14;04 ® ,� N� 68 EXISTING CONTOURqff �, r p PROPOSED SEWAGE DISPOSAL SYSTEM C7 Y 70 OBSERVATION PIT ^, t f` PREPARED FOR r \ 7Z o McSI-IANE CONSTRUCTION L OT 16 -14 '-� G DISTRIBUTION BOX � �,, \w\\ ,-�` LOT 17 FOREST HILLS ROAD l W 4�f.•�� 1. , 72 SEPTIC TANK ,l t bin,,,,;,L BARNSTABLE, MA f--t— : LEACHING TRENCH \ Q PLAN NO.: 031601 SCALE: AS NOTED FILE NAME.: Septic Lot 17 Forest Hills DATE: MAR. 16,2001 EER:N RESERVE AREA ^i, DISK NO.. DRAWN BY: E.L.Y. OPEN 65 26'- PIPE INVERT ELEVATION v C 111'r?1 SPACE z z z J 1� � � 'r. Cape & Islands Engineering PLOT PLAN i o 0 o N s �. ` v� u 25 I 007-17 17 j j j `�� � "� 800 Falmouth Road, Suite 301 C SCALE: 1" _ . 20' �vsi ;`�, ^ 361 BA MAP SEC PCL LOT HSE — wv��I; Mashpee, MA 02649 (508) 477-7272 69