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Home My WebLink About0015 LORRAINE CIRCLE - Health 15 LORRAINE CIRCLE COTUIT A = 010 010 4 -- � TOWN OF BARNSTABLE t LOCATION S -ch - 1A e SEWAGE#2d6rs•-S 7 If VILLAGE ASSESSOR'S MAP & LOT D-y INSTALLER'S NAME&PHONE NO. ana:yj ��Ng�,y 5�R' S 418 SEPTIC TANK CAPACITY ) 50a O n_ LEACHING FACILITY: (type) 1n�i 1 +ka-a 9 (size)�-)" o i 3 NO.OF BEDROOMS BUILDER OR OWNER P$i• �_iL PERMITDATE: G -_�01 10 a c COMPLIANCE DATE: Separation Distance Between the: I Maximum.Adjusted Groundwater Table and Bottom of Leaching Facility A Feet .(IfaPrivate Water SuPP1 Well and-Leachin Facility wells exist. on site or within 200 feet of leaching facility) _(� Feet Edge of Wetland.and Leaching Facility_(If any wetlands exist- within 100 feet of leaching facility) N A Feet Furnished by _.:_.. - _<..; £A: i S . fl p a J AJ 9g5 - -SV' •� o , l 1� 9 oS LJV • 1 I . TOWN OF BARNSTABLE5�, LOCATION LaphaInr- dole.e SEWAGE # VILLAGE C o±u i ASSESSOR'S MAP & LOT INSTALLER'S NAME.&PHONE NO. 00uJ paN wUZ SOR-514 `is 1 SEPTIC TANK CAPACITY S06 �a I n LEACHING FACII.I'I'Y: (type) In-el � +Va'�,hr 8 (size)d n"7` ,Cft_at 4 NO. OF BEDROOMS • 3 BUILDER OR OWNER P 41• ]c Au�e, kloin /in h PERMIT DATE: G -I --10 a a COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility ( A Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility). A Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) " N A Feet Furnished by ii 7 71 Ai - z4'1 ' 1 AJ- �tS 6 `Ba. { 1 � 61 (3q - 63 13, 80 D? No. 'THE COMMONWEALTH dF MASSACHUSETTS FEE BOARD OF HEALTH I OCO OF APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( Repair ( ) Upgrade ( ) Abandon ( ) - M<omplete System ❑Individual Components Lo"Va lnc Onc1E., PAPS �v2� l��ve%P E�crC'o,er� O D Location aa0X.3(,—/ �P� wner'Y Ia�f�i VVL/l Map/Parcel# f Address I A v Lot# Installer's Name / f �n r'-n D�sUign(�er's a 'e Address I !' +�/) qq Address U 71� o/tP Telephone# , Telephone# Type of Building: 31�fe- e w/I U 61j)e 11l h is Lot Size '�`"///856 Sq.feet Dwelling—No.of Bedrooms .3 Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) 33 o gpd Calculated design flow gpd Design flow provided 28 gpd Plan: Date AL I Number of sheets Revision Title r UJ Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation q. 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 agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date ICA ns i 49 FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 No.' J THE COMMONWEALTH OF MASSACHUSETTS FEE•. _T B0ARD�t.OFF H EALTH OF APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION,PERMIT i Application for a Permit to Construct ( Repair ( ) Upgrade O Abandon ( ) - [9<'omplete System []Individual Components LV►'X,,czlnE C.IRClc �1c i� � /��ve%�n►��rr�� ' Location wner's Na e �Ps71��f ��7!P, l�t t Map/Parcel# Address Lot# elephone# 1 �tra G�SS��uh1 s f Installer's Name Designer's/Name { / 3/ S�1ei/�ti� l8t�Rs ; y Address a Address Telephone# Telephone# { Type of Building: .31� fe r(7 �Ot' 0 Lot Size ��Q Sq.feet { Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) .330 gpd Calculated design flow god Design flow provided 282 gpd j Plan: Date M4161!11 Number of sheets Revision Date /�, Title i . Q4! % (/ C IJ t —, Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS j The undersigned cigrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE-5 and further'lagrees,not to place•the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed .. Date ?� InsP ectio / FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 .-_.._. No. 20'u + 77 THE MMONWE 4TH OF MASSACHUSETTS FEE J BOARD OF HEALTH CERTIFICATE OF CO-� PLIANCE Description of Work: ❑ Individual Component(s) jn Complete System The undersigned hereby certify that the Sewage Disposal System;Con�t ucted( ),Repaired( ),Upgraded( ),Abandoned( ) at has been installed in accordance with the provisions of'3JO CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No: dated qi'. Approved Design Flow (gpd) Installer G Designer: Inspector 101 n/1 //Date w l �� j The issuance of this certificate shall not be construedas a_guaran tee th6t th�r;y;f�m fw I-"��co�as desigrned. �r FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 No. THE COMMONWEALTH OF MASSACHUSETTS FEE _ 'ARA) S BOARD OF HEALTH` /0d' DISPOSA-*W94 ((CONSTRUCTION PERMIT Permission is hereby granted to Coast uct ( )) Re '.rr( )' Upgrade ( ) Abandon ( ) an individual sewage disposal system at >> �S �r��I"� }Wt t,:,�i,,, �d � as described in the application for l�I'sliosall stem Construction Permit No. A��' dated Z , ti Provided: Construction shall;be completed within three years of the date of this permit.All local•eond-ttions must beret.-- q�. y Date Board of Health FORM 2 - DSCP DEP APPROVED FORM 5/96 l i tt FOR aj255 (REV 5/96) H&W s.HOBBS&WARREN TM PUBLISHERS- BOSTON 4 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) m /FlF�-, , DATA --- , • / a 5 - 9: c. -------------- CJI ell 1-7 IX : 1 •r _ AREA PLAN S YS TEM PPOFIL E SCALE.' 1 "= 50 ' -- FINISH GRADE NOT TO SCALE FINISH GRADE FINISH GRADE �„^►., �- - t� C.�° OVER TANK OVER TRENCHES 0 NOTES• T, FND :T;` • �/ r ` r /, / /w' ► a /, n.• �— •. t I. EL EVA TIONS BASED ON ASSM 'D - scH 40 PVC OR y _ 2. TOWN WA TER ON SI TE :`�► `" c,a s r IRON I EES�, vi — .C4 G3.34 — 3. FLOOD ZONE M M -:1 , � 8SM'T FL R ' r' �s 1500 GAL . EOUALIZERS 3 j -I iy REINFORCED ° CONCRETE `•4 GAS DIS T.BOX BAFFLE •�.:. S� - TO BE INSTALLED ON A ;s,•': ; . , , ., =t:. ;3. .,.:r .T''.0.�•:• r - •i_ �.0 -. ,��" -- fir. -- -i L E VEL STABLE BASE SEP TIC TANK c'1 O TRENCH L F_NG TH TO BE INSTALLED ON A 42, _ 0, LEVEL STABLE BASE 5 'MIN.HEIGHT NO TE; DO N_ O T RUN HEA V Y EQUIPMENT O VER S YS TEM ABOVE OBSERVED GROUND WA TER NOTE.• i NOTE• I TO INSTALLA A A STRIPOUT REQUIRED TO A SO L EA CHING INFIL TPA TOR SECTION SOILL RE EVALUATION IS REQUIRED NININUM DEPTHTH ND OF 60'. A TO VERIFY SOIL COWITIANS 5' AROLM TIC LEACHING AWA.i NOT TO SCALE SOIL AND PEPCOLA TION DATA AT THE LEACHING AREA.INSTAL LEA REPLACE EXCAVATED MATERIALS ---- -- —•-- TO CONTACT FERWIRA ASSOC. l KITH CLEAN CLAY-FREE SAAV. It FOR FINISH GRADE APPLICATION NO. P-9457 SEE SYSTEM PROFILE -- - - -- MIN.2" - 1/8"-1/2" j ,�" ^rr�y ,� iA' �,,ca 'i �u ii,��ri l'��q/ y� /c•"'�. �/` ,6�1 - WASHED STONE PERC. RA TE -< 5 MIN/IN. /k (12"MIA' > TAKEN BY RICHARD FERMIRA 3 WITNESSED BY ED BAMY :' ;:' ,•.. s DATE MAR.2.41995 4"DIA. PIPE a TEST PIT ELEV. 64.2 t _ NATURAL SOIL -� ;�1.� ;.�• 2 EFFECTIVE _.-- e +iuAr_ e°�.�. �-- DEPTH I row c.s. y "� TOPSOIL—S[IBSOIL 314 -1 1/2' ,0;. I�;'i�1,'vo •�'.. MELISSA s _ r50.00 MIDEJ LANE WASHED STONE ;• ' ° °o: '' '.:''•�• :;.';: '. ';�. :." �. . 0' -- '. i• ro. FFFE"TI VE` WIL -�i I S 89*33'43PE / ,�,,� -_- - EXCAVATED SIDEWALL 140. 73 �, .` i 3.-0. 3.-0. MrEDI�iM-fI/VE 17. _. # i vUl► bE R U- TRENCHES` -- 1 SAND 70'� Ag000/ov L E tOCAV MACN AWN AV �s--•�" r --- STOW ALL ARO&M NUMBER OF INFIL TPA TORS 6 NO GROLWDNA TER DESIGN DA TA 203 S. F. SI13EWAL L AREA . 74 GAL S/SF 150 GALS.•+ �: NO. OF BEDROOMS 9 LOT ' �, ~ r 74 GAL S/SF 274 GALS. DISPOSAL ,,.� �` f-' ,• &.. , ,�� " v 371 S. F. BO; TOM AREA s_ EST. TOTAL DAIL Y EFFLUENT_,$W GALS. 'AW 574 S. F. TO'AL AREA GALS/SF 424 GALS. SEPTIC TANK lSOO GAL .......1 \ GENEPA L NO TES ICU ," i g'' NOTE.' 1 . ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN 1 ci 1 LOT 4 y L—` i EXCA VA TE TO EL E V.. ' OR LOWER A S REOUIREO A CCORDA NCE WI TH T I TL E 5 OF THE S TA TE SA NI TA R Y CODE TO REMOVE ALL LOAM AND CLAY CONTgINING DATED MARCH 1995 AND ANY LOCAL RULES A PPL I CA BL E ,- J � s`• 44 B✓r'O"S. F° _.1 � / MA TERI4 L BENEATH THE LEACHING AREA.REPLACE 2. ANY CHANGE IN THIS PL AA,' MUST BE APPROVED I �u EXCA VA TED MA TERIA L WI TH CL EAN, CL A Y FREE GRA VEL BY THE BOARD OF HEALTH AND FEREIRA ASSOC. ` \ Z MECHAN.CALLY COMPACTED IN PLACE 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING NOTE.' NOTIFY BOARD OF HEAL TH FOR INSPECTION REVISED .IANUARY 30. 2001 4. FND. EL E V. MUS T BE CHECKED WHEN COMPL E TED SHOWING NEW HOUSE 5. THESE EL E V. MUS T NO T BE CHA NGEO WI THOU T boy ,�, LEGEND GARAGE LOCATION, AND r •+,�t— '� ` THE BOARD OF HEAL TH APPRO VA - i RELOCATED SEPTIC SYSTEM 6. BOARD OF HEAL TH INSPECTION REO 'C WHEN EXCA VA TED �14-9y — f DRAAI 'SE EXIST, GROUND ELEV. (NOTE.• THIS IS A REVISION OF PLAN DATED MARCH 29, 1995) 1(o FINISH GROUND 5L EV. tih SEWA GE DI SPOSA L S YS TEM PL A N PIPE INVERT EL,-V. LAVE BEARING DISTANCE � TEST PIT LOCATION PREPARED FOR 1 S 70'3' '040 W 27.60 P S 27'44'02'N 25. 76 ' p 0 SEPTIC TANK J t PARK A VE. DE VEL OPMEN T CORP. p DISTRIBUTION B�7X ` f LOT 4 MEL ISSA LANE-L OPRA INE CIPCL E CU9VE RADIUS ARC LOT 6 ___ _ ._ 1 25.00 34. 14 4•c. I. OR SCH 4,� PVc BA PNS TA BL E (CO TUI T) MASSJ. . 0, �.. 4'BIT.FIBER PioE-TIGHT JOINTS s'E:.' ~ ',✓ PROPER T; L INES DESIGNED: SAP DA TE �. MAR. 5, 1999 FERREIRA ASSOCIA TES 10 10-4 4 SETBACK DISTANCE r1 DRAWN: /p SCALE.'AS SHOWN 131 SPRING BARS ROAD �J CHECKED : GS DRAWING NO., 099gO3 FALMOUTH — MASS MAP SEC PCL LOT HSE f