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0540 OLD POST ROAD (CT & MM) - Health
540 Old Post Road. i Cotuit — A = 054 024004 r i r �.r L PARCELPJQ,. © � �,� �� E,o -' ��J` Fait............._............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratitut hir D!,jimiial 1 11rlir, Tomitrartintt f amit Application is hereby made for a Permit to Construct (" ) or Repair ( ) an Individual Sewage Disposal System_0 0 ��°- ................ ......L. ..2 P' .••....................................... -�.. A .................. ....................... .............. Owner Address , W ..........................................'.......`................. ............-•---.s............................................ ... ........... ainstaller Address F¢� Type of Building - Size L 7.......��..�..6A....Sq. �egt U Dwelling— No. of fiedroonls... .. .. ... ............Expansion Attic (do Garbage Grinder ., Other—Type of Building No. of persons............................ Showers ( ) — Cafeteria ( ) MOther fixtures ......................................................-...........---•--.....•-•...................................._................................ d W Design Flow..............�.���......... ..gallons per persol frff��y. Total kil ,flow... —�... . ........_......ga ons. Septic 'Tank-- l,iquicl c- acitv..� �*alluns Length.. '42-.. Width ..... Diameter...-IU. .A.. Depth..... l L.M W x Di tench-- No. .................... 1�'idth.................... 'Total Length..............i..... Total leaching tea....•---•--..__...sq. it. 3 .epage Pit No..................... Diameter.................... Depth below i let...: ID._...... Total leaching area.... Z..sq.,ft. Z ther llistrihution box ( ), Dosing tank ( ) �,,1 PI�Date q Percolation Test Result Performed b J UY.&.Vj:'--•ULL. ••-• .......1.1...9.1........if y...................:.. t Test, Pit No. 1................minutes per inch Depth of Test Pit........ 11.. epth to ground water... .. 7n.t7�.... ZV... Test,Pit No. 2........Z'..mintltes per inch Depth of Test Pit........1........... Depth to ground water... ......GYI1CULl(���UYG1 411 .............•--.....----- .....•--::--••......•-•••-•- Description of Soil....•--....--•..jo.Q.... � (' LAI-rus.-- . .... Lp1.. 1�.2...... lm.> 2.. b...1Z1.! ... V ......................................1� �.n............� ..... �CJ..-.310� .�..©)..�.1.-Pj ..... �. :...7.fpj1.--.1 4 ._.Cr1F� W ..........................................�..---.Pl.1,JL...ISAIX;......................................................-.............................1.............................. Uure of Re air or Alterat�iQns—Answer when i pplicabl .......................................... .......................�.ot�p.F.....4'6 �T.......47..catn... .44f.--..........--•----•-•-•--....................--•---.....---•--•.................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Cade— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed ............................................ ............................................................ ........................................ Application Approved By . :�........ ..... .t��t/l G ...... .............. ..... .................................................,................ .. .......... ..o;��.. Application Disapproved for the following rea.ron.r: .......................................................................:............................................................... ................................................................. ........................................ � 1/D'8 - �� PermitNo. ..............................................I..................... Issued ..............r... «............... --------------- ----------- ------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Ter#ifirate of Cgomplittnre THIS IS TO Cl ?TIFY, That the Individual Selvage Disposal System constructed ( Z/)!or Repaired ( ) .......................................................................................................................... h.wlk.' at .. �:r. 11 U .C' ... z. . ..................................... .. ..... '� ...._ _�. .. �/j has been installed in accordance with the provisions of TITLE 5,of T State Environmental Code as des ribed in the application for Disposal Works Construction Permit No. 1.. ..,/�Lf. dated .. .".�. ... ,,-Z TH E ISSUANCE OF THIS CERTIFICATE SHAH NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........................................................:...................:.......................... Inspector ................................................................................................. ------- -- --- ------ - - - ------------- --- - - ------------ --- - ----- _ THE COMMONWEALTH OF MASSACHUSETTS <. •- _ f'a; an '1 BOARD OF HEALTH C `�. TOWN OF BARNSTABLE DiiiVasttl Vork.o C�I�ttl #r�tr#inn rant# Permission is hereby granted................. .t? ..d.T--._,/................................................................ to Construe or Rep it ( ) incl'virlual9w ge Disposal System at No.....:�-� ....0. � .,?!YG.��//,G ^.. ... :�............. ..... Street �y t as shown on the application for Disposal Works Construction Permit N ?L�' ���ted...�'��...' �Lc7...... .......................................................................................................» Board of Health DATE....................•--..................................... ' roRM.39509 HO9t89&WARREN.INC..PUBLISHER9 03/08/96 14:35 '0508 428 9399 BORTOLOTTI CONST 1�j001 TOWN OF BARNSTABLB LOCATION to-'" O������ SEWAGE# VII.LAGE QJ�S ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO.r,BDfT��J�j c�/l9Sj`i'yG�,�r �y yC, SEPTIC TANK CAPACITY LEACUNG FACILPTY: (type} ,� 5 (size)y� /� •X D NO,OF BEDROOMS 11LMDER OR OWNER—-ea5l PERMITDATE: �'�/OLC: COMPLIANCE DATE: � y� Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feat Private Water Supply Well and Leaching Facility (If any wells exist. a� on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within Sod fett of 1 hi g f% ili ) — Feet Furnished by �� b 'qh j 5h fi r - , 1 1 i r - - , r 4 lew 1?4. 0' 104.OP 104.OP , _ 0' . 104.OP l — � ' �1500 CAL � � ��' �;• , n1 / �PR� S�IT JOHN G HOUSE — �-3 TANK ® LANDERS-CAULEVIL 33.7 NO 5101 . 16.3' � VE LOT 2B / 16.Oo �� —� O Ea�g s NA �l 43561-- sf TP 40.0' '� / 23.4 O! w PROJEC T L OCA T/ON 15.5"/ .W LOT 28, O D POST ROAD y `O o, pRS / CO TVI T, MA _ � IFFY �E �, APPLICANT• RUSSELL V. DENNIS OF 2 OLD TOWN ROAD WELL ESL EY, MA n /1 ►O PAULA. lG, V Y MERITHEW m 132 315 No.32098 � YANKEE SUR VEY CONSUL TAN TS 2 ess, P. O. BOX 265 suRVE�°P UNIT 5, 403 INDUSTRY ROAD O MARSTONS MILLS MA. 02648 128.17', —0055 — FAX 508 420—5553 MARK S88 31 45 EE PH. ( )428 508 BECBHW NAIL \ ` NOTES. » a EL=100. 77 O GRO UND WA TER ZONE.- AP SCALE. I " 30 DA TE. 07-21—95 —ASSESSORS NO.: 54—,24-1 (NEW) —PTAN REF 4 73-75 REV.' 08�24�95 RE V l JOB NO.: 50745 SHEET .� OF 2. r { tof". .e:s ....-......-._..___-._._..-- t---_w _„ _. _ _ _ .._.. .. __ — w. _--,—^"Ttip•e .. ._. -._. -... .. .. .. _ . _....... _. _.. - _104_5 PROPOSED f TOP OF FOUNDATION 20' MIN. yy{ CONCRETE COVERS( BRING TO WITHIN 1 10' min I; 4'" SCH._ 40 P[�C PIPE 6" OF FINISHED GRADE.-MIN. OF 20" DIA.) `) MIN. PITCH 1/8" PER FOOT . .I 103.5 EXISTING z" LAYER OF i / / CONCRETE COVERS 104.0E EXISTING WASHED STONE 4" CAST IRON 12"min. / ✓- i / i i i i i / / i / / OR SCHEDULE 40 4" SCHEDULE 40 P. V.C. P. V.C. PIPE S�0.+010�)�-r 27.2' DIST S=0.01, D=23.4 FLOW LINE BOX S=0.015, D=15.5 CLEAN FILL ABO VE SYS MIN. INVERT- S=0.02, D=33. 7' 110" 19„ 5=0.03, D=7.3' - MIN. ELEV=100.5E 101.56 INVERT C 0 000000000 ' 0 0 _100.63 0 go000000000 0 0 0 O D D . o 0 INVERT EL..-__- o 00000000000o LEVEL1-4 0 o O O O O ° -100 88 INVERT 4' EL.. ° 4 00000000000000 00000000000°goo INVERT EL = 99. 9 7 0000000000000 000000000000000 EL=99 000000000000 000000000000000, 000000000000000 000000000000000 000000000000000 jLrj1ERT ------ o00000000000000 00000000000000 000000000000000 000000000000000 000000000000000 00000000000000o I 00000000000000 000000000000000 000000000000000 000000000000000 000000000000000 _000000000000000 - 10019 000000000000g g0000000000og g000gog000g0000 L-98 1500 GALLONS I EL.=_100_36 EL.-___-_ 12' x 48' E - SEPTIC TANK BOTH THE SEPTIC TANK AND DIST. BOX SHALL 3/4"-1 1/2" WASHED STONE FIVE FLO W DIFFUSERS WITH 4' HAVE THE FOLLOWING. ON SIDES AND 4' OF STONE ON ENDS 5.0' -6" BED OF NATIVE STONE BELOW THE STRUCTURES PROFILE OF AND WITHIN I' ARU UND THEIR PERIMETERS. -SET LEVEL, WATER TIGHT AND TESTED FOR, EQUAL DISTRIBUTION. SEWAGE DISPOSAL ' SYSTEM -MAXIMUM OF THREE FEET OF COVER. LONG POND"EL=52f NOT TO SCALE BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE EL= 93. 0 _ �c ALL ELEVATIONS ARE ASSIGNED +� SOIL LOG WITNESSED BY: J. LANDERS-CA ULEY, PE ED BARRY ESN OF A�4`y�,: . P/ 8801 JOHN v -. PERCOLATION RA 5 2 MIN./ INCH (o LANDERS- T E CAULEY GENERAL . NOTES _ CIVIL No, 1 1. THIS PLAN IS FOR CONSTRUCTION OF A NEW SEWERAGE DISPOSAL SYSTEM. DATE 11-11 94 DATE 11=1-94 2. THIS PLAN IS FOR INSTALLATION/ REPAIR OF SEPTIC SYSTEM - S AL EN�� AND NOT TO BE USED FOR SURVEYING OR ZONING PURPOSES. TEST HOLE 1 TEST HOLE 2 DESIGN DATA.' ` EL. = 104.5 EL. =103.5 - 3. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS 5 FOR THE SUBSURFACE DISPOSAL OF SEWAGE. _ NUMBER OF BEDROOMS . 4. ALL COVER TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 0,E,BW LA YERS', 0,E,BW LAYERS 12" OF FINISHED GRADE. EL. =102 30" �. GARBAGE DISPOSAL NO 5. -EXISTING AND .FINAL. GRADES SHALL REMAIN ESSENTIALLY THE r EL. =100. 5 36 SAME, UNLESS NOTED BY FINAL CONTOURS. TOTAL ESTIMATED FLOW 550 GPD 6. ALL COMPONENTS OF THE. SANITARY SYSTEM SHALL BE CAPABLE MEDIUM TO ( 110 GAL./BR./DA Y x _5__ BR. OF WITHSTANDING H-10- LOADING UNLESS THEY ARE UNDER FINE SAND OR WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING MEDIUM TO SEPTIC TANK CAPACITY _1500 _ SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING FINE SAND UNLESS NOTED. LEACHING AREA REQUIREMENTS 7. ANY MASONRY UNITS USED TO BRING COVERS, TO GRADE SHALL EL. =93.5 132" BE MORTARED IN PLACE. EL. =91.5 14 4" SIDEWALL AREA _0. 74 GAL./S.F. 0. 74*256= 189 8. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH BOTTOM AREA 0. 74 GAL./S/F 0. 74*576= 426 Ij DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO LEACHING CAPACITY (BOTTOM & SIDEWALL)615_GAL. OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. NO WATER NO WATER 9. THE EXCA VA TOR�CONTRACTOR SHALL VERIFY THE LOCATION OF ALL UNDERGRO UND j . . DATE.' 07-20-95 UTILITIES PRIOR TO ANY EXCA VA TION THE WA TERGA TE WAS NOT FOUND, THE GENERAL RESERVE LEACHING CAPACITY 615 _ GAL. CONTRACTOR SHALL VERIFY LOCATION WITH WATER DEPARTMENT. JOB NO.: 50745 SHEET 2 OF 2. J REVISED: 08-24-95