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HomeMy WebLinkAbout0080 JILLIANNS WAY - Health #80,WV31JILLIANS WAY;COTUIT A= ado -i,37 - I I l l r , TOWN OF BARNSTABLE . c -706.. LOCATION . ® �c/�.'��y S ttN v SEWAGE # %Yo VILLAGE C(i yy J U f'' AfSSESSOR'S MAP& .� INSTALLER'S NAME&PHONE NO. f cy✓, %Cg od Z ' SEPTIC TANK CAPACITY 11"C�d LEACHING FAC1L=: (type) S (size) NO.OF•BEDROOMS UII,DE OR OWNER_ "\1O-/ PERMTTDATE: COMPLIANCE DATE: Sepaiation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility _ Feet Private Water Supply Welland Leaching.Facility (If any wells exist on site or.within 200 feet of leaching facility) , `" r `,- - Feet Edge of Wetland and Leaching'Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by �. $`7rr 00 S w��� „TOWN OF,BARNSTABLE ®w ®©o m/Oro LOCATION �"c�ilii�2r�5 LL)a.Lr SEWAGE#9 7-6 9 T VILLAGE 004 r ;—4 ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NO.B ar to i o'll; C ons-I 41d g-9 92 4 SEPTIC TANK CAPACITY LEACHING FACU-ITY: (type) Ir-aCk ll9 dtamAerS(size) L-?9 f X i8 i NO.OF BEDROOMS I BUILDER,OROWNER c.S4;!aC. Properli cS' PERMUDATE: PZ-1- 9 COMPLIANCE DATE: 'Cs 7 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 A "JV A jq L - 4 ofi i400 c- g C'3 C'l .tea a No. THE COMMONWEALTH OF MASSACHUSETTS FEE jgq BOARD OF HEALTH OFF' APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) ❑Complete System ❑Individual Components Pei-r3 . I I i a c, S W,a� Location Owner's Name ,/d - Iz)!? / 1 3 Map/Pa ccl# Address o Lot# Telephone# Instal r's_Name Desner's Na '�, Address � Address Teleph ne# —�— Telephone# Type of Building: `Y1�i��t L_ Lot Size /0, '.30 7 Sq.feet Dwelling—No.of Bedrooms _ Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) `fo gpd Calculated design flow gpd Design flo provided_gpd Plan: Date /1/i3/5R Number of sheets Revision Date Title CS/ T L f-��s✓iq cci P p�r9 e�0 /� yr �3 �/i�i.�c¢�t� ri`��► Description of Soil(s) SL� 57 Soil Evaluator Form No. ti Name of Soil Evaluator Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS I The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees t to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Ayr Inspections FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 4 No. THE COMMONWEALTH OF MASSACHUSETTS .acc FEE /od BOARD OF HEALTHr,F - � 15Z,9.0 o F APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) 0 Complete System ❑Individual Components Location Owner's Name Pa cel# Address _ Lot# F Telephone N 6eLjS q -� sInstaller'sc Name Designers Name a K s c�,� s Address Address o_ Teleph ne# t Telephone# i Type of Building: *e'7/J4111-c-f- ' 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) Y)�o gpd Calculated design flow Y.P gpd Design flow provided y _gpd i Plan: Date ���/3/5X Number of sheets"s: Revision Date Title' / T f 14 c,�.a 6, .�t-yv�/ �n f�-" v� 3 i�-s .,4 .�r.�.'1 !�A Description of Soil(s) 5,p F <�4ill 1 ` Soil Evaluator Form No. Name of Soil Evaluator !' Date of Evaluation ;r DESCRIPTION OF REPAIRS OR ALTERATIONS j ?The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees t to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. i 7 � Signed Date /,2 � �`' y y; t Inspections tV i wY`: L, F16RM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 ,-•�"` No. 779 - THE COMMONWEALTH OF MASSACHUSETTS FEE rock BOARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System;Constructed N,Repaired( ),Upgraded( ),Abandoned( ) at has been installed in accordaUe with the provision of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application N dated Approved Design Flow (gpd) Installers Designer: v I y Inspector ( fA Date l� I The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 a4 'r i d _ No. d"7G.��' THE COMMONWEALTH OF MASSACHUSETTS FEE m� — BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at 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 permii.kIl local conditions must be met. Date Board of Health FORM 2 -.DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBS&WARREN TM PUBLISHERS- BOSTON TOWN OF BARNSTABLE _766 LOCATION �O ra II.Div S iw a SEWAGE # VILLAGE Co v v ASSESSOR'S MAP & INSTALLER'S NAME&PHONE NO. GnSN✓; %G r°i/i� / �ii SEPTIC TANK CAPACITY I1 Q•d i ' LEACHING FACELrrY: (type &-cheS (size) 36.Y ,ice NO.OF BEDROOMS _S UILDE OR OWNER \1O^✓_ i P PERMTTDATE: 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 �i V✓�/ `�4,�� � I/ � � -39 -� z -�y 0 I � �� � � y S �/ �'i i 6 � T.O.F. AT El.. 57.5' SEPTIC PROFILE TEST HOLE LOGS ACCESS COVER TO WITHIN 6" OF FIN, GRADE FNor TO SCALE) A.H. OJALA, PE ACCESS COVER (WATERTIGHT) TO ENGINEER: JERRY DUNNING WITHIN s" of FIN. GRADE I 7i� MINIMUM .75' OF COVER OVER PRECAST /� 2% SLOPE REQUIRED OVER SYSTEM WITNESS: RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE DATE; 11/5/97 \53.�� FOR FIRST 2' \ PERC. RATE _ < 2 MIN/INCH PROPOSED 15 3 MAX. COVER GALLON SEPTIC 52.0 SLOPE PIPE AT .005 FT/FT CLASS SOILS P# 9044 0 '` TANK (H- 10 ) GAS 51.0' f3 51. BAFFLE ' �� TRENCH 1 17 48.5' 2' 46.5' Qa ( 9 % SLOPE) �6" CRUSHED STONE OR MECHANfCAL COMPACTION. (15.221 (2]) 4 ELEV. Q 4 As �� 0" 54.5' 0" 50.8' DEPTH OF FLOW = ( 5 % SLOPE) I I TRENCH 2 TEE SIZES: >, 46.5' 0 12' � 44.5 2�� 0 & A 0 & A INLET DEPTH = 10 OUTLET DEPTH 1 4 " 3/4" TO 1 1/2" DOUBLE WASHED STONE L5 3" E LOCATION MAP SCALE 1 LEACHING LS FOUNDATION- 13' SEPTIC TANK 17' D' BOX 5' TRENCH 1' 6'' LS 5/2 7" 10YR 5/2 ASSESSORS MAP 57 PARCEL 1-3 LEACHING B ZONING DISTRICT: RF (OPEN SPACE) B\ 18 YARD SETBACKS:TRENCH 2 19.5' LS LS 4 FRONT = 30' 7.5YR 5/6 24.. 52.5' 7.5YR 5/6 28 48.5' SIDE = 15' " REAR = 15' C C PLAN REF. - 533/41 MED/COS MED/COS FLOOD ZONE: C 10YR 5/6 10YR 5/6 40.5 00 1 S GROUNDWATER EST. AT EL. 25 t fp I WATER EASEMENT \ t nor 3 63' 120 44.5 120 40.5 i I \ NO WATER ENCOUNTERED NOTES: 18,307 SF - I 1 . DATUM IS ASSUMED FROM COTUIT. QUAD �' SFPTIC D.ESIGN� ecARgaGE"•DISPOSER IS . NGT-ALLOWED ) r✓ ► DESIGN FLOW: 4_ BEDROOMS ( 110 GPD) = 440 GPD 2. MUNICIPAL WATER IS AVAILABLE \ I USE A 440 GPD DESIGN FLOW 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. I I 440 GPD ( 2 _ 880 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 SEPTIC TANK: ) - 5. PIPE JOINTS TO BE MADE WATERTIGHT. USE A 500- GALLON SEPTIC TANK 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. ` r LEACHING: ENVIRONMENTAL CO% L TITLE V. co 2 36 + 4 2 2 .74 = 236.8 GPD 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE I / ';IDES: [ ( ) ( ) USED FOR LOT LINES STAKING. GAR / 36 4 (.74) = 213.1 GPD \ � / g(?T?�OM: x $. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. I / TCTAL'( 608 S.F. 449.9 GPD 9. COMPONENTS NOT\ ZlIO BE BACKFILLED OR CONCEALED WITHOUTU3E (2) 36' LONG x 4' WIDE x 2' DEEP LEACH INSPECTION BY BOD OF HEALTH AND PERMISSION OBTAINED TRENCHES FROM BOARD OF h'EALTH. 1I` W >� PROP. DWELLING f `� T.F. = 57.5' TH1 LEGEND S/TE AND SEWAGE PLAN ? E \ 0.0 PROPOSED SPOT ELEVATION OF ,I N S W A Y LOT 3 �ILUA N sl�ewALK 100x0 EXISTING SPOT ELEVATION IN THE TOWN OF: \ 1 100 PROPOSED CONTOUR A R N S TA B L E 5 4 ( COTUIT) B Q- H 2 _ , h� 5 100 - - EXISTING CONTOUR PREPARED FOR: / DuNALD PIRES Li 12' JILLIANN S 10 O WAY MA SCALE: 1 BOARD OF HEALTH J .44 ems' / = 20 DATE: NOVEMBER 13, 1.998 � / 1 52 20' APPROVED DATE REV. „/25/98 / 57 / 55 4 50 TRENCH 2 59 58 56 5 53 1 off. 508-362-4541 TRENCH 1 48 fax 508-362-9680 OF BENCHMARK: CATCH BASIN down Cape dngi 1eeri11g, inc. �►� �lM Of M,IJJ AT INNER PORTION OF CUL DE SAC(AT BEGINNING)' . c ARNE ��yc \ _ ELEVATION 46.0' CIVIL ENGINEERS CIVIL 11 H J�1 LAND SURVEYORS o.33M2 A e / 939 main st. yarmouth, ma 02675 ��Q ►S1E�`w 4a� �(�Z 98-437 A ALA S. DATE , �a . ._ , T.O.F. AT EL. 57.5' SEPTIC PROFILE TEST HOLE LOGS ACCESS COVER TO WITHIN 6' OF FIN. GRADE (NOT TO SCALE) A.H. OJALA, PE ;. ACCESS COVER (WATERTIGHT) TO ENGINEER: MINIMUM .75' OF COVER OVER PRECAST WITHIN 6° OF FIN. GRADE JERRY DUNNING 2% SLOPE REQUIRED OVER SYSTEM WITNESS: RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE\ DAT 53.5' FOR FIRST L E; 11/5/97 PROPOSED 1500 3' MAX. COVER PERC. RATE _ < 2 MIN/INCH h GALLON SEPTIC 52 Q SLOPE PIPE AT .005 FT/FT CLASS 1 SOILS p# 9044 52.25' TANK (H- 1 O ) GAS «, 1 Cr �� $�as BAFFLE 51.17' "�"Q TRENCH 1 o 48.5 12' Q , ( 9 % SLOPE) \_6' CRUSHED STONE OR MECHANICAL "" o c. 46.5 COMPACTION. (15.221 [2]) 4 ELEV. 4 DEPTH OF FLOW = 4 ( 5 % SLOPE) �� �� TRENCH 2 Olt54.5' 0" 50.8' TEE SIZES: 46.5 INLET ' NSIZ DEPTH = 10" 0 12' W�p 44.5 2„ 0 & A 0 & A 3/4 TO 1 1/2 DOUBLE WASHED STONE 3' E „ OUTLET DEPTH = 14 „ „ E LOCATION MAP SCALE 1 " — LS LEACHING LS FOUNDATION— 13 SEPTIC TANK 17' D' BOX 5 TRENCH 1 6„ 10YR 5/2 7" 10YR 5/2 ASSESSORS MAP 57 PARCEL 1-3 LEACHING B B ZONING DISTRICT: RF (OPEN SPACE) \ 18' TRENCH 2 19.5' LS LS YARD SETBACKS: (51 4 7.5YR 5/6 52.5' 7.5YR 5/6 FRONT = 30' 24 28" 48.5' SIDE = 15' \ \ REAR = 15' \ ,CollC G PLAN REF. 533/41 '\ MED/COS MED/COS FLOOD ZONE: C \ I 40.5' 10YR 5/6 10YR 5/6 GROUNDWATER EST. AT EL. 25 t I WATER EASEMENT cs� L O T 3 I 120" 44.5' 120 40.5' 63'V ' ( NO WATER ENCOUNTERED NOTES: 18,307 SF \ N `n Cn SEPlIC DESIGN- (GARBAGE DISPOSER lS NOT ALLOWED I.- DATUM IS ASSUMED FROM COTUIT QUAD W ` ) DESIGN FLOW: 4- BEDROOMS ( 110 GPD) = 440 GPD 2. MUNICIPAL WATER IS AVAILABLE \ 1 I \ I o USE A 440 GPD DESIGN FLOW 3. MINIMUM PIPE PI IJUH TO BE 1/8" PER FOOT. 1 � SEPTIC TANK: 440 GPD ( 2 ) = 880 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H_ 10 1500 5. PIPE JOINTS TO BE MADE WATERTIGHT. USE A --__ GALLON SEPTIC TANK 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. I ^ I LEACHING: ENVIRONMENTAL CODE TITLE V. 00 PROPOSED _ 7. THIS PLAN IS FOR PR W Y tl SIDES: [2(36 + 4)2] 2 (.74) - 236.8 GPD fl ED WORK ONLY AND NOT TO BE USED FOR LOT LINE STAKING. \ \ GAR I �"" ' / /� BOTTOM: 36 x 4 (.74) = 213.1 GPD 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. TOTAL: 608 S.F. 449.9 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT No \ / i USE (2) 36' LONG x 4' WIDE x 2' DEEP LEACH INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED \ ' TRENCHES FROM BOARD OF HEALTH. PROP. DWELLING T.F. = 57.5' \ / TH 1 LEGEND SITE AND SEWAGE PLAN �\ 1 1'7 100.0 PROPOSED SPOT ELEVATION OF N11LOT 3 JI LLI AN N S WAY I 100x0 EXISTING SPOT ELEVATION \ SIDEWALK IN THE TOWN OF:. 5 4 \ MO PROPOSEDCONTOUR ( COTUIT) B A R N S TA B L E 5 H2 — 100 — — EXISTING CONTOUR PREPARED FOR: DONALD PIRES 12' JI LLI AN N S f � '°, WAY BOARD OF HEALTH .44 S' / NOVEMBER 13, 1998 °c� MA SCALE: 1" = 20' DATE: I 52 0. APPROVED DATE REV. 11/25/98 57 / I TRENCH 2 59 58 56 55 54 53 1 50 TRENCH 1 48 off. 508-362-454i fox 508-362-9880 OF �H BENCHMARK: CATCH BASIN down cape engineering, inc. �� � lH 01 MqjJqC. AT INNER PORTION OF CUL DE SAC(AT BEGINNING) ARNE H. G tA� NE ELEVATION 46.0' CIVIL ENGINEERS WALA n AH. LAND SURVEYORS CIVIL A Nl 939 main st. yarmouth, ma 02675 ISi 6 /4� E��',J�� 98--437 A ALA, t LA .S. DATE