HomeMy WebLinkAbout0102 PINE RIDGE ROAD - Health T
102 Pine Ridge Road
018-014 Cotuit l
I
TOWN OF BARNSTABLE
LOCATION D 6 E SEWAGE# g s J
VILLAGE Co T v�' 7— ASSESSOR'S MAP&LOT 61 S'
INSTALLER'S NAME&PHONE NO. Bo B /h•¢�T^r✓ w
SEPTIC TANK CAPACITY
LEACHING FACILITY: L as c A4'^v G 72 f-, 9.
� (h'Pe)
`t,'NO.OF BEDROOMS 3
'\BUILDER OR OWNER ,L.,N o' C o 2 2 D at A—
RMTTDATE: /a 3 / COMPLIANCE DATE: 3 7.1 S
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
Vol
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a
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R � DGjL ,2cAD
n _ v IV 5453
P ds90
No.... 5- /7 9� Fins.......1 °
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
, pplirativit for Di-nVa ial Work,i Toustrurtion Prrmit
Application is hereby made for a Permit to Construct (.e'j'%r Repair ( ) an Individual Sewage Disposal
S stem at
Location-Address or Lot No.
0
.....-.-.-•-,�:•'•w.D---..... ,+�K�.-��-•�-------•--•----•---•-------•----------------- 3-����.tD�._p2t✓.r:.......C-uMA£I�L�A!�s?,...15.:�...
owner Address
TA, ------------------------------•-------------Add--dress••--•-
Iriscaller ...................................
ress �
UType of Building Size Lot------ feet
.-� Dwelling—No. of Bedro Is...._.....3________________________-_Expansion Attic (?Jo) Garbage Grinder Wv)
04 Other—Type of Building _-_ -_- _�A....... No. of ersons---------n1/A---------- Showers ( ) Cafeteria ( )
Q' Other fixtures ----------ti/----------------------'---••--.d ------------- ---------------------------------------------•-..------.---
WDesign Flow.............5.,75..----------------------gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity_l5o�_gallons Length-_-11_'-G." Width._.! Diameter_----'/A--- Depth...`.*.1Y_ 1.
x Disposal Trench—No. .......�-------- Width................. Total Len�th------r.Z._...... Total leaching area....................sq. ft.
Seepage Pit No J../A..._. Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......... ..._........ Date.....-Lb.-Z¢-5S
I ..............
a Test Pit No. I..._...4....minutes per inch Depth of Test Pit.-.---_(1___......_ Depth to ground water_.. jAjQ.0j..e......
G=. Test Pit No. 2........Z....minutes per inch Depth of Test Pit------11_......... Depth to ground water..�Ml.�,aJaJT €+�
r� ........ .....
•-
0 Description of Soil-••-•--1---•-•--0'!- 3 i 16.1<x�'?�s.el.rv4.�.._:�.`.. 5...0--= 5-N• 24 ........__.
V - ...._..
W .._ ....... --_.�Aht,F__Jas--:�?tJ----------------
UNature of Repairs or Alterations—Answer when applicable............... ................................................................................
----••----•-------------------------•---•-------•-•------•--------••-•-•----------------------...... ---•--•----------------------------•---------•--•---•-------------------•--•--.......--•.....-•----
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliawq has been issued by the board of health.
Signed ..�/ V �..
/�� - r - -- ------- --- .......------.. ....-...........----- ----...---..----
// '��� `r-��' �/ Dare /'
Application Approved BY ................ Cf........ � ....,�U�!/..�,.� I
Application Disapproved for the following reasons: ......................................... ... ................................. ........... ..............
........ .......................... .........
................................... .........1...... - ..................
Permit No. .......
.......... = �� /o��/�f'�re
Issued
Dare
FEs.. (,
THt COMMONWEALTH OF MASSACHWSETTS
BOARD OF HEALTH
�_ ;,
r �
TOWN OF BARNSTAB.I..E
Allpliratiun for Di-lipwiul Works Cnnntrurt"inn Prrmit
Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal
System at: � ................. ..,,..:=-�!------------.....
ZZe..._..�A=).......................... ` '.__..�._ _ - - ------------------....._.......--•---.........----
Location-Address or Lot No.
............ .Z% e , .aiz.4,.....------------........---------------- ..F,�r��.p� . iiv�.;�
Owner
- dttress
... T h�r •r�...T 5....................... .......................... .........
Installer Address
UType of Building Size Lot......igT:Ibtx ..Sq. feet
Dwelling— No. of BedrocQ n .... Attic (lio), Garbage Grinder (?.to)
aOther—Type of Building .._ _ ...A,�,/�r___._.. No. of persons---------n1 fA:.__._... howers ( �) — Cafeteria ( )
Other fixtures 'u ......--
Desi n Flow.............. S.. allons er erson er da Total dail flow.._................___........
W Design ••........_--••- g P P P Y Y gallons.
WSeptic Tank—Liquid capacity.lSQft.gallons Length... Width....G.'.O.:.- Diameter._... LSept i_..4:,H,n►.
x Disposal Trench—No........2 ........ Width....."........... Total Length-------52...... Total leaching area....................sq. ft.
3 Seepage Pit No.......N..IA..... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by............ ... _.._. ��xS.r,Cau�.rt..y............ Date...... :_`► .Zr
Test Pit No. I........Z....minutes per inch Depth of Test Pit.......//._,....... Depth to ground water.....,va�t._._..
Gt� Test Pit No. 2........ per inch Depth of Test Pit.._...��.:._._... Depth to ground water.. jur e.,2j'a£
1:4 .......................•--•-....._....._....--------•-•--------•.........................................---------....---.........................-_.......
D Description of Soil....... .......cS:=._3."r L-�0��P ���= '�.".��.:.__S..—.
...........................................................•-----•--....---•--------••--•-...........----••-------•--••-•-------•--..........................
UW ............ .Z_.--..._�'.Atii �� .i-----------------•-•----•----------------------------•---------------------.......---•--.....--------------....------•--••--•-----•------
Nature of Repairs or Alterations—Answer when applicable...............................................................................................
-•----------------------------------•--•--------------------------------------------•-----------•••.----•-•--••-----•----•-•--•-•----........_..•--•••---•••••-•----•---•-••-----------•--........-•--•-
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Complia has been issued by the board of health.
Signed __ ... .,u- ..,y.l_...� .x,� -. ........... ........................................
Due
Application Approved BY (. .'..v....- ,���� =... .........
...
Date
Application Disapproved for the following reasons- --------------------------- --------------------------•---..................................................................
....................... ----- --------- ---:
' .• Date �-
Permit No. ...............................I. ued ��fa?l��'�.. .
,---
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Tertifirate of Compliance
TrI_jIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
n n n _...
at ..........Ll ........ .rl�.......1�.�.�'Y......, t ...../ Oc ,taller... .1[.. ..................... ....................................
has been installed in accordance with the provisions of ITLE 5Q f The State Environmental Code a!,descri ed in
the application for Disposal Works Construction Permit No. ._..Y.s= ��f'6 .._ _.../G.....3
PP P _. _ dated �. ....��
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE . __ _. _.. _ /'�
gel
.__... ........ ..._ __._ _._...... Inspectd,...... .
----------------------------------- ---------------------------------,_..
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
ps 1�9G TOWN OF BARNSTABLE /ov
No..............-. .._._ FICE........................
Disposal Workii Tonstrudinn tirrmit
Permissionis hereby granted..............................................................................................................................................
to Construct ( '?Kj or Repair ( 4n IndrviHl 1 Sewag Dispo Sys em
at No.......1�?4........W 4/......
ZV..._.l ii +r�-�✓ � ?................
Strtfit
as shown on the application for Disposal Works Construed
it No.2�� t7 Dated....._.t�
DATE --� alth
-.:..-- ' ...........................................
FORM 36508 HOBBS&WARREN.INC..PUBLISHERS
APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS
LOCATION Dv`'' _ _ NO.� rll
VILLAGE DATE
APPLICANT FEE9� �
ADDRESS TELEPHONE N0. (Non-refundable)
ENGINEER -�,, �, � AtZ TELEPHONE NO. -
DATE SCHEDULED ,-�
(Applicant' s signature)
. 7S§H96 . . . 00 . o . 00aoeo . 00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ASSESSOR'S 2tiAP � LOT NO: � "
SOIL LOG /`
SUB-DIVISION NAME DATE ,�°— TIME G l ,'Z.5;
----r
_
EXPANSION AREA: YE5 ® ENGINEER
�N0 _ �),�C'l,tlG�c'�V'S,- �x,�d�tr,,
TOWN WATER RIVATE WELL r2rAwwA Gam- BOARD OF HEALTH
u,yta EXCAVATOR
SKETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and
percolation tests, locate wetlands in proximity to test holes)
NOTES:
2_4
PERCOLATION RATE:
i
TEST HOLE NO: ' ELEVATION: TEST HOLE NO: ELEVATION:
- ------------- .
4 4
c tt 5 oa Sa►0 �bYl2 if 5 G�
6 ... g � � , 6.
7 7
8 '
24 s I�JZ 10 e (01 G 10
11
12 12
13 _ ao w enC-0U0 13
14 14
15 . 15tn� 2��
16 16
SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD VLEACHING PITS
LEACHING TRENCHES
UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS:
NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST- APPLICATION
ORIGINAL: COMPLETED IN ENTIRETY BY P. E. AND RETURNED_ TO BOARD OF HEALTH
COPY: RETAINED BY APPLICANT
HSE COTUIT
+ = gCFI00L STREET
t COTUIT
I
DECK PLAN REF 191143 pinE DCE ROB
RES, ZONE "RF"
ASSESSORS MAP 181-14
LOCUS BAY j
106 TO WN WATER A VA ILA ELE j
ASS. LOT 25
AREA
ASS LOT 24 LOCUS MAP
S71 40�20'E' 80. 00' `
( ASS. LOT 14
AREA=8,000 SF o i {
L TP RESERVE F_ - - - - - �1 105 - -
— ; RE_SER VET,
D-BOX i6
n 10.5' h
10.5' 26 x 4',
i min. _ p
1 GRAPHIC SCALE
1500
t 1 ¢ — !' j
GAL
CS / ti 20 p 10 20 40 80 i
SEPTIC
ti
I PROD.
ASS. LOT 13 DECK
( IN FEET )
. 1 1 1 1 1 1 1 1 36. �,,,,�„ 103 - 1 inch = 20 ft..
i14
IV '� , PRO OSED o , ASS. LOT 15
joQ U �S 0 ,
,,, �',,, 12 I" OF I
SHED q o any I I
PROPOSED F.F 106 i PAUL' � PROJECT L OCA TION
w 18�of ' 10ti !? o ASSESSORS LOT 14
MEeTN PI11TE RIDGE ROAD
j HSE No. . @ C
i QO ���i 9EGISTE����@a O T UIT, MA.
APPLICANT.- i
0
LINO CORREDOR_'
OF
S714�?Q"� _
80. 00'/ / LANDE O�L;AULEY Y,�1/VKEE SUR VEY CONSUL TA IV TS
1� — — ---—_ — __U.POE _ " �� �� U No s5io P. O. BOX 265
I 97 UNIT 5, 403 INDUSTRY 'ROAD
\ '. EDGE — — —pF/ AF� T G��`�Q MARS TONS MILLS, MA. 02648
PA VEMENT �� PH (508)428—0055 — FA X(508)420—5553
1 BENCHMARK.
SINE RID CE
TOP OF C.B. SCALE. 1 "=20' 10 19 95ELE U= 99.35' (ASSUMED) ROADFDATE: l 1
REV. 316196 REV. 31. 2 96
7TCB
/
JOB NO.- 50833 SHEET 1 OF 2==.
- A
F.F. ELEV.= 106 P
ELEV.= 104.5 P 20' MIN.
i
ELEV.= 104. 0+
4" CAST IRON OR CONCRETE COVERS
SCHEDULE 40 P.V.C. pp 4" DIA. SCHEDULE 40 PERFORATED PLASTIC PIPE
F; END CAPS ON ALL PIPES
DIST.=_II'_ SLP.=0.. 02 SLP.- 0.0_0 3' ON_CE ER li" MIN. A i�$AYE 2 of I
INVERT CONCRETE COVER DIST-10.5_ WASHED STONE
FLOW LINE DIST.= 0 4_-,SLP.= 0. - o"o"o"o' o 0 0 0 'o 0 0 0 0"0 0 0"0 0"0 0"0 ELEV.=10=_50 ELEV.=102_�8 =01 INVERT 101. 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00000000 000000000000000000000�
10" MIN. 19" ELEV.=____ 000000001000-0-0- -0- 0-0- -0-0- -0-0-0-0-0°0°o°off °000000000000000000o?.<
ELEV.= 102 03 ELEV.=101.94 ELEV.=101_77 - - o v p O v v v v V V v U (� U U C� O O U U U U U (� O 0 c" /4" c o 1-1/2"
4" CAST IRON OR O O O O O O O O O O O O { p p WASHED STONE
SCHEDULE 40 P.V.C. 4" CAST IRON OR n �0�0 O O O O O O�O�O� OnO� OHO O�O�O�o-0�<c ELEV:=99 �2
SCHEDULE 40 P.V.C.
i DISTRIBUTION BOX A f ----
1500 GALLON SEPTIC TANK To BE PLACED 02v; 6" 'OF,
TOA'E OR MECH.AA IC ALL Y 7.
i TO BE PLACED OA� 6" OF `' • - USE STONE TO LEVEL
.STO.IVE 0R .1IECn:4 \IC4LLY COMPACTED SOIL.
CO41P4CTED .SOIL. To BE T ET TESTED IF TWO _F THE BED AS NE_ED_ED _ - _ _ _ _ _
THAA-AT O14'E OUTLET. BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV
LSE SEPTIC 7_4_\! I;TTH 3 CO T,27, PS - ---
SOIL TEST DONE BY: JE. LAA%DERS-C_4ULEY P-E
��I WITNESSED BY: EDIfARD HARP, )'-------_=-
t'- !-� OI PERCOLATION RATE: _�__MIN;INCH P8590
SDA;'nGC DIJOS,�L S�'� i %�`� TEST HOLE 1 DATE 10 ??;'95 ELEV._105_5 - - i
�." K 0=
o` c -1/2"
DEPTH ( HORIZON I TEXTURE COLOR 1\10 TIT. OTHER � J � `7 WASHED STOW-
NOT -0 �CALE ��
! ! Jet l O 1-1/2..
0„-3„ 0 TIFOOD-70-4ji_ i _ v <.SLi D STON'-
3"-5" E _70 'S'R 6%1
5'_�4" S�Ci!ON A;-.A
-D 10 5.1? 4,%21
24"-132:' C COARSE _
\D 7.5 R 6jv VO i",�TL1.
ERED
GENERAL NOTES:
r 1 DESIGN DA.
1. THIS PLAN IS r r OR THE ONSTRUCTION_OF_A_NtVJ S EVJ AGE DISPOSAL SYSTEM:
2. PLAN REFERENCE -19/143 LOT T14 BARNSTABLE REG. OF DEEDS,
3. THIS PLAN IS FOR THE INSTALLATION /REPAIR OF SEPTIC SYSTEM _ NUI,/,BER OF BEDROOMS _ 3
AND NOT TO BE USED FOR SURVEYING AND ZONING PURPOSES. TEST HOLE 2 DATE:, 10/24/.9� ELEV. 105__ --
4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. DEPTH HORIZON TEXTURE COLOR MOTT. OTHER GARBAGE DISPOSAL
TITLE 5 AND THE TOWN OF FALMOUTH RULES AND REGULATIONS TOTAL ESTIMATED FLOW 0 __ G?p
FOR THE SUBSURFACE DISPOSAL OF SEWAGE.
5. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 0"-3" 0 TNOODLOAM ( _110 _ GAL./BR./DAY X -_3__ BR:')
12" OF THE FINISHED GRADE. _ ' 3"-5" . E 10 YR 61111
6. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE 5"-24" B LOAAfY SEPTIC TANK CAPACITY _I_5_00 _GAL._
SAME, UNLESS NOTED BY FINAL CONTOURS. ? SAND 10 YR 414
7. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE 24 -132 C ,COARSE LEACHING AREA REQUIREMENTS
"'. OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER- OR SAND 7.5 YR 6/6' NO WATER > SIDEWALL AREA 240 _
WITHIN 10 OF DRIVES OR PARKING AREAS. H-20 LOADING ENCOUNT- --- GAL./S.F.
SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING ERED BOTTOM AREA _208.__ GAL./S.F.
AREAS UNLESS NOTED.
8. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL LEACHING CAP. (BOT. Sc SIDEWALL)' 336 _ GAL.
BE MORTARED IN PLACE: -
9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH 9 RESERVE LEACHING CAPACITY 336 GAL
DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO y =-
OBTAIN SUCH DETERMINATION FROM APPROPIATE AUTHORITY.
10. THE EXCAVATOR/CONTRACTOR-SHALL VERIFY THE LOCATION OF _ APPLICANT:. LINO CORREDORA DATE:.OCTOBER 26,: 1995
ALL UNDERGROUND UTILITIES PRIOR- TO -ANY EXCAVATION.
REV�♦ry3/696 JOB. ..,
.. SHEET 2 OF 2 ._ ,. #50833A
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