Loading...
HomeMy WebLinkAbout0196 POPONESSETT ROAD - Health 196 POPONESSETT t � COTUIT r ~ A = TOWN OF BARNSTABLE LOCATION 69"In t e ✓ SEWAGE # ;4% VILLAGE G®�L/% ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. a � SEPTIC TANK CAPACITY `JUDOu LEACHING FACIL.ITY:'(type).G�J `7� f�J f!�� (size) NO. OF BEDROOMS J BUILDER OR WNER 5 I PERMUDATE: / COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility,, `S� 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) /&1/, 3 Feet Furnished by 7��1 ire Scrv�y I 1 ,hh, 1.90 lot JO -aa'C� Nb. FEE COMMONWEALTH OF'MASSACHUSETTS Board of Health, RA t1V t-�P�&E, MA. APPLICATION FOP DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) - C0'Complete System ❑Individual Components Location 6 O rd 'T'r Owner's Name �C Map/Parcel# 9 7 Z Address /9 6, Q P 0AA T1 C Lot# Telephone# Installer's Name " � � Designer's Name llyqAjktc J ) vc Address ��` '� Address .40 H, & Telephone# Telephone# 4-79_prjs� Type of Building Lot Size sq.ft. Dwelling-No.of Bedrooms 4- Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow(min.re uired) `t"�r0 gpd Calculated design flow� Design flow provided gpd Plan: Date O 9 9 Number of sheets Revision Date Title S Description of Soil(s) L A Q Soil Evaluator Form No. 9 353 Name of Soil Evaluator LASUG at�of Evaluation / 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 to 4pt to pl a tem in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date l��� Nip. -� �� - FEE COMMONWEAL H.-r- tf MASSACH SETTS i -f Board of Health, A IR W l.�T h&E, MA. APPLICATION FOP DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) - ®'Complete System ❑Individual Components Location O rO�J&S S E TT_ Owner's Name Zyc2"' �L Map/Parcel# Address /196 1040POAXISCrX y Lot# Telephone# Installer's Name �� ��-�' �D��j Designer's Name Address c,`' - l f . `. /� Address �9 �✓ Telephone# Telephone# Type of Building Lot Size sq.ft. Dwelling-No.of Bedrooms 4- Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria( ) Other Fixtures // ,/�1�� ,�-�Design Flow (min.re uired) 440 gpd Calculated design flow "7"1'�� Design flow providedfir—gpd' Plan: Date' o/99 Number of sheets Revision Date Title ! e tGEL AJQ Description of Soil(s) PLArV 9Soil Evaluator Form No. 9 3 53 Name of Soil Evaluator Tle UCt 4 of Evaluation Z DESCRIPTION OF REPAIRS OR ALTERATIONS 1 The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to of to pl a th system in operation until a Certificate of Compliaqce has been issued by the Board of Health. Signed Date r No. / /� �/ / , FEE COMMONWEALTH Of MASSACHUSETTS Board of Health, �D A S-J413/--G, MA. CERTIFI ATE OF COMPLIANCE Description of Work: ❑Individual Com onent s ldJ Com Complete System P P ( ). P Ys The undersi ned hereby,certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned ( ) by: at l9�+ O'�ON�SS'E' COT T has been installed in accordance with the provisions f 310 CMR 15.00 (Title 5) and the approved design plans/as- uilt plans relating to application No. @"/ dated6,51' .�' A pr'ooved Design Fl�o(w (gpd) r Installe .L--�c /1 IA40, /)C, n Designer: Inspector: "I /3i 1 0 Date: it'll ! ( -1 The issuance of this permit shall not be construed as a guarantee that the syste will function as designed. t No./ °' / / FEE COMMONWEALTH OF MASSAC14USE TS Board of Health, /3���J TI`ll� �� , MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair( ) Upgrade(/) Abandon( ) an individual sewage disposal system at /96"o !,? 6SstrT T_ as described in the application for Disposal System Construction Permit No. ,dated V Provided: Construction shall be completed within three years of the date of th;s permit. All to ra con itions rltust be meet. k Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date Board of Health��IVI .11�4 s ° ' y Town of Barnstable P 9 Department of Health, Safety, and Environmental Services TIM Public Health Division Date 367 Main Street,Hyannis MA 02601 S BARMABUL - .. KAM 'rF ►�� Date Scheduled I Time j6A'M Fee Pd. Soil Suitability Assessment for Sewage Disposal c� �- � 1R� Qo\-S. Witnessed B D I ' R t'9' Performed By: iJ►'V Y� LOCATION & GENERAL INFORMATION Location Address I 9 (S 0 SQ tt I Owner's Name {�U Co+v; U Address i A-5 '\i t �50,) 5fO� � v3cz� Assessor's Map/Parcel: i (- Engineer's Name k ee NEW CONSTRUCTION REPAIR Telephone rY a8 Land Use _ Slopes(%) Surface Stones Distances from: Open Water.Body A Possible Wet Area 00 ft Drinking Water Well "— ft Drainage Way ft Property Line A Other ft SKETCH: (Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity o holes) . f 9- Parent material(geologic) L U�2VP_(1� Depth to Bedrock Q Depth to Groundwater: Standing Water in Ilole: �' �' Weeping from Pit Face �•fT Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in ohs hole: in. Depth to soil mottles: in, Depth to weeping from side of obs.hole: IV I in. Groundwater Adjustment ft, Index Well# Reading Date: Index 14ell level Adj. factor Adj.Groundwater Level_ PERCOLATION TEST Date dt �3 Time Observation Hole N Time at 9" ,p U Depth of Perc �a l J� Time at 6" Start Pre-soak Time© to to Time(9%6") End Pre-soak "on�j�g �axa Rate MinAnch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YM) Orginal: Public tlealth Division Observation Hole Data To Be Completed on Back—� Copy: Applicant DEEP OBSERVATION HOLE LOG ,Hole # _�-- Depth from Soil Horizon Soil Texture Soil Color Soil" Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulderes. %Grayell sf 10,-30 r, i3 ,o S «`A' evlL 5iA'v"-' 0 W DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulderes. . % DEEP OBSERVATION HOLE LOG Hole # Depth from Soil I lorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell.) Mottling Structure,Stones,Boulderes. % 1 a ' 1 i DEEP OBSERVATION HOLE LOG Hole # Depth from Soil Ilorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Co sistency.% DEEP OBSERVATION HOLE LOG Hole # Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % TOWN OF BARNSTABLE p� LOCATION Ili Ae,e '`/2-/ SEWAGE # <f—Z n f^ VILLAGE — ASSESSOR'S MAP& LOT DI INSTALLER'S NAME&PHONE NO. ,�di�Y7��J1' SEPTIC TANK CAPACITY LEACHING FACILITY: (type).7•'/�,s,14 s [_�) (size) /.1 ,zz;' _;2 NO.OF BEDROOMS l BUILDER OR WNER J�/ PERMITDAT i. / COMPLIANCE DATE: C Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility s 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 I '\ 071 DFH LOT 45 s. ' ' 93.15 \ l c.a 182. 68 ` `'cad j Scx001, I(FND) N86 50 40 E (C.AFNQ ��s ear • °j / LOCUS LANE a ASSESSORS 11' o 1 p1.3' 0 LOT 72 c \ AREA=44,251 f SQ. FT. p ~ ° In {� CESSPOO cp I LOCUS MAP LOT 71 _ 11 0 �O o 4? o TP 11B ASSESSORS MAP 19 LOT 72 -- - 115.E• � ~ PLAN REF. 191143 .� 116 uur EUSTING HFUD d, UPO 47.2' RES. ZONE. "RF" 114 r•' � 2 FLOOD ZONE.- "C" 112 CHIMNEY LOT 110 73 IOB i C.R. ff2 w PROJEC T L OCA T/ON (fnd) 1 os HOUSE #, 196 POPONESSETT \ UPOLE ` � I04 ( COTUIT) BARNSTABLE MA. cl APPLICANT.• A 102 ROBERT SILK 14 YAWS - SUR VEY CONSUL TAN TS P. O. BOX 265 UNIT 5, 40B INDUSTRY ROAD BENCHMA MARSTONS MILLS, MA. 02648 CATCH ASIN — p 9 �1,y�, c.B PH.(508)428—0055 — FAX(508)420—555J ---:;t EL=100.0'(ASSUMED) v�, \, L ,(fnd) �� �'\ `� tiY SCALE. 1 "=30 FT. DA TE. 3/10/99 '! � Gca ieR — V. MURPH Nca. s� REV 33199 [RE/ / E, No.749 JOB NO. 51832 SHEET I OF 2 i EL. = 115. 7 TOP OF F9UNDATION 20' MIN. 10' MIN. a CONCRETE COVERS 4" SCHEDULE 40 P. VC V XMIN. P17CH 118 PER FT EL=114.4' 118""Y112" VENT i CONCRETE COVER WASHED STONE EL=113.0 6' MAX � � � i .� � . , . . � � . � . . i EL=110.0 4" CAST IRON PIPE r 6" MAX (OR EQUAL) MINIMUM PFFCH 114 PER FT. RISER CLEAN SAND 9�� MIN. FLOW LINE INVERT 1 10" EL=106.25 MIN. 14" '_ EL.= 108 0'— GAS INVERT 6 SUM LEVEL a o INVERT BAFFLE EL.=107:25 INVERT INVERT 0 0 0° • I 0°0 0 EL.= 107.5' EL.= 106. 75 EL.= 106.50 � ° °° • ° 0 (7V BE PLACED ON FIRM BASE) DISTRIBUTION 75 , a o o°°°0 0°0 o° 14"o°°o°°o°�0 do o°°°°o° MECHANICALLY COMPACTED OR 6" OF STONE BOX EL.=LO_5_75 °00000 00%o00 1 0 cpoo°00 00o°080�° =10- __1500 __GALLONS 7YI BE WATER TESTED 11 X 38 TRENCH FORMATION SEPTIC TANK IF MORE THAN ONE OUTLET PLACE ON 6" S719NE 314" To ,_1i2" SOIL ABSORPTION PROFILE OF DOUBLE WASHED STONE SYSTEM (SAS SEWAGE DISPOSAL SYSTEM BOTTOM OF TEST HOLE OR USCS PROBABLE WATER TABLE ELEV.=_97.5_ NOT TO SCALE NO OBSERVED WATER TABLE (2123199) ELEV. =_ 9_7.5 OBSERVATION HOLE I ELEV.=_ 109.0 PERCOLATION RATE —jL2__ MINI INCH AT _3Fi"_ INCHES DEPTH HORIZ TEXTURE COLOR MOTT. OTHER 0-10" A SANDY LOAM I0YR4-1 10"-30' B LOAMY SAND I0YR6-6 0"-138 ' Cl MEDD, SAND I0YR7—4 PERK. GENERAL NOTES 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN OF BARNBTABLE____ RULES AND P 9353 NO WATER REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO SOIL TEST WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12" DATE OF SOIL TEST 2125199 SOIL TEST DONE BY BRUCE G. MURPHY, R.S. 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITNESSED BY: DONNA MIORANDI WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H 20 LOADING SHALL BE DESIGN CALCULA TIONS.' USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. 4 4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL TOP LOAD 5 INFILTRATORS WITH NUMBER OF BEDROOMS . . . . . . . . BE MORTERED IN PLACE. 4' DOUBLE WISHED STONE GARBAGE DISPOSAL . . . . . . . . . NO 5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH SIDES AND ENDS TOTAL ESTIMATED FLOW GALIDAY DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO WITH 14" STONE UNDER. ( 110__GAL/BR./DA Y x _4__ BR.) 440 OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 11' X 38' REQUIRED SEPTIC TANK CAPACITY 1500 GAL 6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCA VA TION CONTRACTOR SOIL CLASSIFICA TION . . . . 1 IS TO CALL "DIC— SAFE" AT 1—800—322—4844 AT LEAST 72 HOURS DESIGN PERCOLATION RATE < 5 MIN.11N. PRIOR TO COMMENCING WORK ON SITE. 7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS EFFLUENT LOADING RATE . . . . . . 74 CALIDAYIS.F. SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. LEACHING CAPACITY (AREA X RATE) 454 GALIDA Y 8) PARCEL IS IN FLOOD ZONE—__"C" __. RESERVE LEACHING CAPACITY . . . 454 GALIDA Y 9) LOT IS SHOWN ON ASSESSORS MAP 19 AS PARCEL _72 ___, (38XIIX 74)+(38+38+II+IIX 74 X 2) SHEET 2 OF 2 JOB NUMBER__51832_______ i JVA as rr 9� 1� 5J r lil � _ �� .N � i �.• LiL! 1,Vi 44 7-7 N - , f '� 8§!:zvr<. 3��nt!rw4<c•M� �7 r " ..`>a't [;, :'- � •_ [� � }3 N E--llt-7 �Aif •i. �a��. N, r 9 I r �� 7, �' � 1 � i t e f±•qJ I :4 ' f t I _- -:3<r 1- t '�� }- q 1r+.r �. k�lc�",>: F Y�..} r.'y t S -<- J;,• 1 C.�y.. Y �.;��t Sit:� r j,1cfi) r,�i1^l;t '7Z;' F '^'*!_ -��,rS.•, ,;r,.y-,{. yr.:; :r�r;.4.,y,,^'ti•' p•s:4c„r.•t;�: "=9'C;'� r ..;m- �: r.' ,.ra''r .f r1 t. .�Y^ f_,ar0�e: s....r. •1'�, .I it 3+;,;�.;,R;•,+j;•.r:��d. ,..,,J'r� ''x3.pc:✓- ��,.r,i w .,.H. � , � "#Y Y .w{ N '•'',r} °x id•�f+ 1y. `iiv�: 1 t ! ;. a r r ��'>7 -.fry+• ..a Fd' a- V. WIT co + ,7•r s ' E • r NpI 1 ! ca o Xo s G CoCl 3 O T 11 ( 1'I of i + I °�{I"}- {w#, t•.,. +I•t N1.. 3k t#r'�^' k t i ! t rwi 'fir: , +~ s { .. •:-r,� �.1� �+x ,I,. # il #x 4,.,; Vol j i tsF cal s;' ern_I y:., •.ri . r S !6. � { �t3'%� k7�4 t�{,u'�y 4� �r 1ti �°.{ +,. E i i r r,. 1 N 2 t .. ;1 �' �� i. t ,. r. ` , .. ! ,�,t• it d� �t 1 I r r 11f i 1 � zi 1 ( N y , � t ,k I r t, -.nf+Fak�'e�+i:*'.a�ssxtt dNfBJt�.afmvd�ro nn�++tv�re �+hx�+;!»'R t dM�i�nrac.0 v}ddY.r•'. � .e , ,�, v t" j �• F i { # f 1 i P 3 k