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Home My WebLink About0095 OLD KINGS ROAD - Health 95 Old Kings Road Uotuit { ' -— - A'� 022, 003', - - �I 7� ,I 4 TOWN OF BARNSTABLE LOCATION G 4 011� SEWAGE #,-2�3 3�`�/ `VILLAGE C"o / !ii i ASSESSOR'S MAP & LOT — 03 INSTALLER'S NAME&PHONE NO. PO-57-04-F SEPTIC TANK CAPACITY f rO-;7 LEACHING FACILITY: (type) ;L' p,466 (size) NO. OF.BEDROOMS 3 v BUILDER OR OWNER PERMITDATE: 7 :-� i COMPLIANCE DATE: 1-32-0--a3 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 4 -3 8 - 3 3.2- Y TOWN OF BARNSTABLE LOCATION 614 )�r"Ic504SEWAGE # VILLAGE --- CC�`�-�c� t ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LL LEACHING FACILITY:(type) (size) NO. OF BEDROOMS _PRIVATE WELL OR PUBLIC WATER ' II � BUILDER OR OWNER gl5ir ljfLh `lnaAO DATE PERMIT ISSUED: DATE . COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No S+ Ott 1 �i d�acsP oo�s 7 - &CL NO. d -� '- 3 !J THE COMMONWEALTH OF MASSACHUSETTS FEE �® BOARD OF HEALTH OF h(0,VVD4-0-)bU--- APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to ConstrucRepair (Vr-ulllpgrade ( ) Abandon ( ) - D-C/-mplete System ❑Individual Components S DA kV, �-J, M , i��-Qkt%, r —LL Map/Parcel# Address 'Telephone# jL Installer's Na I Designer's Name lie Se any z/fo€�9.?� 7- Telephone# Telephone# ll Type of Building: Lot Size�a 441 Sq.feet Dwelling—No.of Bedrooms Garbage Grinder'( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow min.required) S gpd Calculated design flow 50 gpd Design flow provided�356 gpd Plan: D to �' ��1'� Number of s Vets Revision Date 7-Z$-03 Title Description of Soil(s) Q--(�� ,CLIV -12'^ �(4 , IZ � 5.,,�� - ZO"� V�-ud Soil Evaluator Form No. Name of Soil Evaluator c,� q Date of Evaluation 'J-7,W-03 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 -�� Inspectio 7 3 FORM I - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 tr t I Z j NO. THE COMMONWEALTH OF MASSACHUSETTS FE- So � BOARD OF HEALTH wo OF 2zha& APPLICATION FOR PISPOSAL SYSTEM CONSTRUCTION PERMIT { Application for a Permit to.Constru Repair 411�upgrade ( ) Abandon ( ) -.E Complete System ❑Individual Components Location O er's me M& nOZZ OG` (56� coiUi� �CD/G� 'e(ny 0� �Of�.i>/� « Map/Parcel# s Address U4 r/-� �,(V � ephone# Installer's Na a 11 Designer's Name �Zn�DLC-Yrs'3Address Aht /cam ,,{{ Telephone# Telephone# i ! Type of Building: Lot Sizo';) C Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of,persons Showers ( ), Cafeteria ( ) Other fixtures -f' ! ., Design Flow(min.required) gpd Calculated de�tsign flow 330 gpd Design flow provided355 gpd Plan: D� tt Number of s}1.,eets Revision Date Title Ar--'y 0—e R- r Lt r� It Description of Soil(s) C7^-co„�� t "-12" �! t 1 Z .o" (Oa- a Soil Evaluator Form No. Name of Soil Evaluator 17•`xtm.c-(w Date:of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS f f , The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE S and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Y Date jInspecting i j Ir j FORM t APPLICATION FOR DSCP DEP APPROVED FORM 5/96 I No. TtkE COMMONWEALTH OF MASSACHUSETTS FEE If 1 ✓+�S`{&V BOARD OF HEALTH G; CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) Complete System The under yed hereby certify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) by' at S v has been installed in accordanc ith the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No.2�3- y�j dated 7 �9'O 3 Approved Design Flow (gpd) Installer. I Designer: Inspector Date �� C The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. I FORM 3 - CERTIFICATE OF COMPLIANCE DEP-APPROVED FORM 5/96 ip I rr No. �� 3 3 � 1 THE COMMONWEALTH OF MASSACHUSETTS FEE 5 0 . BOARD OF HEALTH DISPOSAL SYSTEM CONST CTION PERMIT Permission is hereb granted Construct ( epair Upgr de ( ) Abandon ( ) an individual sewage disposal system at s k noS V e as described in the application for Disposal System Construction Permit No. Q 3 -3 9 dated -7 Provided: Construction shall be completed within three years of the date of t fs pe t ' . '1 cal conditions must be met. r Date 1,7 Board of Health f. FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBS&WARREN TM PUBLISHERS- BOSTON I TOWN OF BARNSTABLE i LOCATION A'r SEWAGE #r,2�3 3�q VILLAGE �o / yy ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /' p� LEACHING FACILITY: (type) 21'$moo (�,B L �,,,�.GLs (size) NO.OF BEDROOMS 3 BUILDER OR OWNER - PERMITDATE: 7 f� 9 —43 . 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 Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by l.. 16L Q.� A 1 3� /3 - 3 SYSTEM PROFILE m; 1ST FLR. NOT TO SCALE EL.84.9 FINISH GRADE FINISH GRADE OVER FINISH GRADE OVER EL. 83.5 SEPTIC TANK 83.3 DISTRIBUTION BOX 82.6 FINISH GRADE __ ro 1 i - . - . o - OVER TRENCHES 82.5 _ N-�RISERS TO 6" 71 °'- o' OF FINISH GRAD PRECAST CONCRETE Q ' 11 p 500 GALLON DRYWELLS - 3 MIN. - RISERS TO 6 0' \� MIN.SLOPE 1% OF FINISH GRADE OUTLET PIPE(S) LEVEL H-10 REINFORCED LOADING 3" MIKSo FOR 2'( MIN.1% SLOPE TRENCH LENGTH = 25'-0" MIN. BEYOND YWE _ - ° �o - 13"MTN. ( O - - DR LL LENGTH 8 6' 81.8 81.00 MIN. 16-SUMP q,oa +1 9,t?:1 o;o•1 o 'o EXISTING _ PVC OR CAST IRON TEE; �y :;'�: o,o:' 79.00 � '� ", r= ` " ,'dot GAS BAFFLE 6 � .�� bo a o• Ip „'r,•1 �.o.•�.�b b� o.l " 1;� �•p,:p°', ,t .ro „ - DISTRIBUTION BOX �o�� `o J I°' v , ' �'••a Opp•r �0,:1 10.1 rG,: •, 1500 GALLON W MINIMUM INSIDE DIMENSION 12" 3/4"-1-1/2" DOUBLE 3/4 1-1/2" DOUBLE o< o o :a OUTLET INVERTS 2 BELOW INLET INVERT 4' WASHED CRUSHED WASHED CRUSHED 4' PRECAST CONCRETE — MINIMUM CONCRETE WALL THICKNESS 2 STONE I' <; STONE INSTALL ON COMPACTED LEVEL BASE H-10 REINFORCED - ,, TRENCH SECTION . _ SEPTIC TANK NOTE: EXCAVATE TO =C= S DATUM IN ORDER TO REMOVE ALL =A= & =6= IMPERVIOUS MATERIAL INSTALL ON COMPACTED LEVEL. BASE WITHIN 5' OF THE SAS. REPLACE WITH CLEAN; ° 9 MIN. 3 OF 1/8 - 1/2 CLAY-FREE SAND _ e ° <_ 4" DIAM. 36" MAX. DOUBLE WASHED D S � z� ';C PEASTONE 10 °: o;ol 3/4"- 1-1/2" DOUBLE " I 1 11 WASHED CRUSHED OLD KINGS ROAD �� o STONE \ O D h - TRENCHWIDTH _ 13'-211 ------------------- ------- --- ------_— --- �� ti . NUMBER OF TRENCHES 1 , ------ -? ,. I_ ---- --� . . .- _ .. - ,.�. �..- ,�, „� NUMBER OF DRYWELLS 2 .30 ------�-------76 ORSI RVATION PIT S 55°06'301'W � � �� ' GENERAL NOTES: __... i C�dNc.BD. 1. ELEVATIONS SHOWN ARE BASED ON ASSUMED EL 8 �:� ��' ALL PIPES IN THE SYSTEM MUST BE CAST IRON PERCOLATION RATE: < 2 MIN./IN .-o�-•,/w., ��r /�c;o�r�. o-� map •� �e �� I, OR SCHEDULE 40 PVC. ' r , I 3. HEALTH AGENT/CAPE & ISLANDS ENGINEERING DATE: JULY 28,2003 FILL C'ESSPC�D I 1.-———\ I - - MUST BE NOTIFIED WHEN CONSTRUCTION IS Qj i / I RESER \ I ,� -8 COMPLETE PRIOR TO BACKFILLING. _ ___ DESIGN DATA I 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED o" 25' ��' �� C_6! BY CAPE & ISLANDS ENGINEERING AND THE BOARD - - i OF HEALTH. 10 YR02/2_ - 5. MATERIALS AND INSTALLATION SHALL BE IN 611 NUMBER OF BEDROOMS 3 COMPLIANCE WITH THE STATE SANITARY CODE GARBAGE DISPOSAL NO' [TITLE V]AND LOCAL APPLICABLE RULES AND FILL DAILY FLOW 330 GPD. 000 HI REGULATIONS. 12' DRIVEWAY SEPTIC TANK REQUIRED 1500 GAL. C? 6. NORTH ARROW IS FROM RECORD PLANS AND IS - SEPTIC TANK PROVIDED 1500 GAL. j NOT INTENDED FOR SOLAR ENERGY PURPOSES. =B= LOAMY SAND 7. WATER SUPPLY: MUNICIPAL WATER SYSTEM. 10YR 5/6 LEACHING REQUIRED 330 GPD. v, w 8. FLOOD ZONE C [NON-HAZARD] , 9. FLOOD PANEL: 250009-0007 F DATED: JULY 2,1992 36 SOIL ABSORPTION SYSTEM CALCULATIONS: 10. THIS PROJECT DOES NOT INVOLVE ANY PHYSICAL =C MEDIUM SAND GROUND DISTURBANCE OR VEGETATION REMOVAL 1oYR 7/4 SIDEWALL AREA = 152 SF. EXISTING W WITHIN 100' OF WETLANDSINLAND OR COASTAL 152 SF. X .74 G/SF. = 112 GPD. W o 3 BDRM.HSE. —_ BANKS OR FLOOD HAZARD ZONES. o — BOTTOM AREA = 329 SF. 00 - = NO GROUNDWATER 329 SF. X 0.74 G/SF: = 243 GPD. i LEGEND 120" LEACHING PROVIDED = 355 GPD. 52 PROPOSED CONTOUR -52--- EXISTING CONTOUR �,►•, •.� •''��" °Fss9`:� PROPOSED SEWAGE DISPOSAL SYSTEM OBSERVATION PIT : RICNA 1 JANAi- `;, PREPARED FOR - HSE.I�0.95 BcRT(?A�D y 'L 22,498 SF. ❑ DISTRIBUTION BOX i� ,� 9296194 9 s�o 4Q MARILYN WRIGHTMAN •,FPsroNn�. HSE.NO. 95 OLD KING'S ROAD 0 0 o SEPTIC TANK , COTUIT,MASS. - � 0 SOIL ABSORPTION SYSTEM w " PLAN NO. 061903 SCALE: AS NOTED ��\ RESERVE RESERVE AREA N ��tH og A( 1 FILE NO. 158BA DATE-.- JUNE 19,2003 00 "��y SEPTIC FILE NO. 72 PCS FILE: old king's rd #95 �� 150.00' 22.26 PIPE INVERT ELEVATION �" oo CHARILDEs ' SANICKI y N 55005'10"E z z z 28095 CAPE & ISLANDS ENGINEERING 0 0 0 9 .. F c� R 800 FALMOUTH ROAD SUITE 301C PLOT PLAN 22 3 95 v� � � TE .`Q_'{1,�,{`�p�/ 5 5 5 LAND MASHPEE,MA 02649 (508) 477-7272 SCALE: 1 - 20 - MAP SEC PCL LOT HSE ` --�