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HomeMy WebLinkAbout0120 PEPPERCORN LANE - Health PeppercornLane.WLC0tuit= 004 :009002 !r P i TOWN OF BARNSTABLE LOCATION I ?C- C�e�P� CO�n ICLY) SEWAGE #00 VILLAGE ASSESSOR'S MAP & LOT �'� -00 0" INSTALLER'S NAME&PHONE NO. 00,-�I0 K� (r) tw c� O SEPTIC TANK CAPACITY �S0 O C6\0 A S 'LEACHING FACILITY: (type)U5 SUlac� �)am (size) NO.OF BEDROOMS a BUILDER OR OWNER5�� PERMITDATE: c o COMPLIANCE DATE: 121�Id 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 N O � � I S UZI'lb rl cm CCP Vi CI? N N a (I —Ea c)gzl — y NO. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH OF APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( Repair ( ) Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components { Loc 'one — a� 0a ap/Parcel# d ss C)y fn — I�ot# Telephone# ` J Installer's ame Designer's Name �/ �d 3 ^ �y Address Telephone# Telephone# Type of Building: i wx Lot Size 3 �a Sq.feet Dwelling—No.of Bedrooms ✓r Garbage rinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required gpd Calculated design flow gpd Design flow provided gpd Plan: Date Yy "Z� Number of sheets Revision Date Title Description of Soil(s)_ CAP;;' Soil Evaluator Form No.J Name of Soil Evaluator Date of Evaluation f0`P 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 a es not to the sys m in o eration until a Certificate of Compliance has been issued by the Board of Health. Signed Date its FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 No> �"� ,$/�! THE COMMONWEALTH OF MASSACHUSETTS FEE -�1 BOXRD� OF'_ HEALTH �✓ OF L� t APPLICATION FOR DISPOSAL SYSTEM-CONSTRUCTION PERMIT Application for a7Permit to Construct ( Repair ( ) Upgrade ( ) Abandon ( ) - (]Complete System ❑Individual Components Loc 'on Owner's'Na AQ 00 - pip A by we. e. oF ap/Parcel# w" dr ss r J Loot# ter'' Telephone# I"' U Installer's ame Designer's Name I Add re Address ``7 7� ' 3 1- '�_� Telephone Telephone# ^ * Type of Building: ew%/11"4 Lot Size S-;a Sq.feet ' Dwelling—No.of Bedrooms Garbage rinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other"fixtures Design Flow(min:xequired) gpd Calculated design flow J'�S-Pgpd Design flow provided gpd Plan: Date Z-*4 Number of sheets _ Revision Date Title / Description of Soil(s)_ `AW Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation to DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance With the provisions of r' TITLE 5 and further a es not to pl ce the sys m in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date r, FORM t - APPLICATION FOR DSCP - DEP APPROVED FORM 5/96 No. ;1:r_Z_THE COMMONW LTH OF MASSACHUSETTSt FEE BOARD OF HEALTH - I CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) Complete System The undersigned hereby certify that the Sewa e Disposal System;Constructed(I/�Repaired( ),Upgraded( ),Abandoned( ) by: 127 at �✓' G,°_�r� i� has been installed i �a�ordance with the provisions of 310 CMk 15.00 Title 5) and the approved design plans/as-built plans relating to application - ted �^ d?7�approved Design Flow S� (gpd) w Installer Designer: Inspector C� A� Date 1.2/3/a 2 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 ..A t __---__.__gym.•-a—�.--- . . :�:-_--��. �.�:,�c�.�.-_.r,�_., _ ..�:.�. _moo...,-... ,.-..•—,-��,.. �:,r,. No.` -C �ZHE COMMONWEALTH OF MASSACHUSETTS FEE 14:0-40W n B0ARD OF HEALTH . DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby ranted to nstruct ( ie Re air ( ) Upgr e ( ) Abando ( ) an ind' 'dual sewage disposal system at as described IV in the application for Disposal System Construction Permit No. 2 000 -- 3 dated / 0 2 Provided: Construction shall be completed within three years of the date of this permit.All cal c ondit'on'-�be f��et. ! Date 1) 1 3) 1 Board of Health FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBS&WARREN Tm PUBLISHERS- BOSTON, �c f --- TOWN OF BARNSTABLE C. Apo _ SE AGE # �Z . et LOCATION 4 c�.-���C n ASSESSOR'S MAP &LOT VILLAGE d INSTALLER S NAM> & PHONE NO. k e 0 ��5� 1 1-9 3 1 50O SEPTIC TANK CAPACITY �.�5 �-� aS)C �Q LEACHING FACILITY: (ty ) 5 SG (size) NO OF BEDROOMS . BUILDER OR OWNER �� B a go COMPLIANCE DATE: 4l2/0 PERMITDATE: Separation Distance Between the: Feet Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facilityWedan�exist Feet Edge of Wetland and Leaching Facility(If any within 300 feet of leaching facility) Furnished by F;v,� l 06 O 2- GSea n 3 Z Z. 31 -Z11 „ p h3 -35' -,&3 Z311 b" TOP FNDN. = 24.3' SEPTIC PROFILE TEST HOLE LOGS ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) ACCESS COVER (WATERTIGHT) TO ENGINEER: MICHAEL S. FARIA, SE 22.8' MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE D. MIORANDI, RS 2% SLOPE REQUIRED OVER SYSTEM 22 8 WITNESS. RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE DATE: 6/6/00 21.3' FOR FIRST 2' PERC. RATE _ < 2 MIN/INCH \ I$ y /L2n2 3 MAX. I \ t 0.50' N-20 CLASS SOILS P 20:75 Zo, �. AS19.73' AFFLE 19.90, 000a o a o a0 c3 0 o I71 MIN a 19.50 oaoa o aEDoa 3' 0SIDES (�_% SLOPE) �6" CRUSHED STONE OR MECHANICAL 2' 0,.C7 E] p C� C] Cl 2 5' AT END ELEV. ELEV. DEPTH OF FLOW 4' COMPACTION. (15.221 [2)) $ Q [3 0 M 0 G3 0 © 0 0 17.50 0" " 21.8'� 22.8' 0 � �� = ( � J OREGON BEACH 2 % SLOPE) TEE SIZES: 3/4" TO 1 1/2" DOUBLE WASHED STONE O/A O/A Locus INLET DEPTH 10" SL SL OUTLET DEPTH 14„ H-20 LEACHING CHAMBERS 12" 1OYR 3/1 12" 1OYR 3/1 LOCATION MAP NO SCALE FOUNDATION---- 23' SEPTIC TANK 30' D' BOX 22' LEACHING B B FACILITY 7 7' LS LS ASSESSORS MAP 4 PARCEL 9-2 30" 10YR 5/8 20.3' 300, 10YR 5/8 19 3' ZONING DISTRICT: RIF YARD SETBACKS: N FRONT = 30' PERC C C SIDE = 15' 9.8' MS REAR = 15' LOT 32 MS PLAN REF. - 16194 -f-21a4 2.5Y 7/6 2.5Y 7/6 FLOOD ZONE: C NOTE: SEPTIC TANK I:.NOT DESIGNED FOR KNICIE LOADING -},23.44 1 .30 194.361 -}el.07 .86i .00 1 LOT 33 144" 10.8' 144" 9.8' `I 43,560 SFt TH1 NO WATER ENCOUNTERED NOTES: -}e2.ao SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED.�..23,19 � ) 1 . DATUM IS APPROXIMATED FROM COTUIT QUAD , o -Y-23.12 DESIGN FLOW: 5 BEDROOMS (110 GPD) = 550 GPD 2. MUNICIPAL WATER IS AVAILABLE I ti , USE A 5Jv VF D DE.S GiN r LOW 3-. {n��AAI►p.� PipF PITCH TO BE .1 /$" PFR FOOT. z 4 I� SEPTIC TANK: 550 GPD (2) = 1100 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 & 20 I> 5. PIPE JOINTS TO BE MADE WATERTIGHT. ,a, USE A 1 GALLON SEPTIC TANK 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. +el-96 +E32 3.02 I 500$ LEACHING: ENVIRONMENTAL CODE TITLE V. 4 Iw 2(47.5 + 10.83) 2 (.74) = 172.6 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE {-22 6 N to SIDES: 47 5 x 10.83 (.74) = 380.E USED FOR LOT LINE STAKING. }-e0.51 BOTTOM: 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 'V W � Z TOTAL: 747 S F 553.3 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT 4s' J USE (5) 500 GAL. ACME OR EQUAL LEACHING INSPECTION BY BOARD OF HEALTH AND PERMISSION ❑BTAINED FROM BOARD OF HEALTH. 95 -}eu- ( CHAMBERS (H-20) WITH 2.5' STONE AT ENDS AND 3' AT 10. CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE ` 2' I � SIDES LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR 291 (� 0 TO COMMENCEMENT OF WORK. i-23.33 PROP 5 BR \ 1 I DWELLING ' Li cV TF _ I LEGEND G E N D ?a.3 BENCHMARK( NAIL TITLE 5 SITE PLAN 21 17 Li.l ELEV = 20.00 Q; , ' , I i 00.0 PROPOSED SPOT ELEVATION OF ^ 2. I 120 PEPPERCORN LANE �w I 100x0 EXISTING SPOT ELEVATION IN THE TOWN OF: +e3.0i ( 100 0--o PROPOSED CONTOUR (COTUIT) BARNSTABLE -�-22.85 -F22.44 GAR $G, 100 EXISTING CONTOUR PREPARED FOR: 9,90 +e2 46` l o �TH 2 i 30 0 30 60 90 1 __j ------' BOARD OF HEALTH 1.07 APPROVED DATE MA SCALE: 1" = 30' DATE: JUNE 22, 2000 1 2as 194.36' 00I +e , 4 13 �a2 I off 508-362-4541 fox 508 362-9880 1% OF I _ Fe2.65 12--- 0.9 49.55 I � 11� °f MgfSy` �C•L►� ARNE K down cape engineering, inc. o� ARNE sG OJALA CML v h-v .v LOT 34 - ;; CIVIL ENGINEERS LAND SURVEYORS ss�oNclsr sJ�, �L 00-- 135 939 main st. yarmouth, ma 02675 ARNE H. OJALA, P.E., P.L.S. DATE