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HomeMy WebLinkAbout0032 RIDGE TOP ROAD - Health 32 RIDGE �- - A = 027142 001 I�r i 1� j TOWN OF BARNSTABLE LOCATION / SEWAGE # .. VILLAGE (fb U I ASSESSOR'S MAP & LOT INSTALLER'S NAME.&-PHONE NO.Jr-0' ggk / e '7 /L.9 f �. SEPTIC TANK CAPACITY All24 5 .. LEACHING FACILITY: (type)3 -5m ota- /�RCI� (size) �� 'e l.3 � i� � NO.OF BED .S EUIDER :ZWN 3 PERMTTDATE: COMPLIANCE DATE: 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 r. ch F 1 i ,I Aq i r. No. �(7 f Fee �e/ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIppYication for Migaal *p5tem Construction Permit Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) omplete System O Individual Components Location Address or Lot No. Owner's N e,Address and Tel. Assessor's Map/Parcel.02 7 _ �,+7—_00 2 s, O - Z9 Installer's Name,Address,and Teel.No. Designer's Name,Address and Tel.No. aw�/J V"zeeG, Y- �e. Type of Building: Dwelling No.of Bedrooms Lot Size.S? 3r-57 .ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow— 1Z/1V® gallons per day. Calculated daily flow /r gallons. Plan Date S Z� — 9 Num er of sheets Revision Date Title S/ li°"� 4,- eaV- / 0 S"2- Size of Septic Tank Type of S.A.S. — S7 S' S Description of Soil Nature of Repairs or Alterations(Answer when applicable) N ems✓ S�' Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions o itl 5 of the Env onmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss y is oar alth Signed Date Application Approved by y Date Application Disapproved for the following reasons Permit No. Date Issued �" . r r 4-" .: " x �.ivo. �9 ya� � , _. Fee joi THE COMMONWEALTH OF MASSACHUSETTS `Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIpprication for )k6pozar *pgtem Construction Permit Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) A< mplete System ❑Individual Components Location Address or Lot No. 3?'Z lu-0� eoO' Owner's N e,Address and Tel.Ap. _ Assessor's Map/Parcel _ooI 120 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. f 1 Type of Building: r , Dwelling No.of Bedrooms Lot Size .ScE 3s9 eft. Garbage Grinder( ) Other .Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures" q Design Flow ��0 gallons per day. Calculated daily flow / gallons. Plan Date Z 7— Number of sheets /� Revision Date Title Ld v, / S Z kde&± led, ,94 Size of Septic Tank lb�Q Type of S.A.S. 7— N Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: 4 The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions o itl 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss y s B ar alth. Signed Date -7/r Application Approved by r Date Application Disapproved for the following reasons Permit No. D Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERT ,that the -site Sew e s s y tem Constructed( )Repaired ( )Upgraded( ) Abandoned( )by at L v,4 Z r 2 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 9 9 dated 7,��,� . Installer Designer 4A The issuance of this e s all t construed as a guarantee that the s t m will ncX /i de✓, ed. 7, Date Inspector v / { !� r --------------------------------------- No. 9'l 0 6 Fee Ice, THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS OiZpotar �$'�-em Construction Permit Permission is hereby granted to Construct( \,Tfepair( )Upgrade( )Abandon System located at L a vZ /' 3 Z- or.o�I.G t7TG� /20P i�ti•(7�-- and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction musgbe completed within three years of the date of this p "t. Date: / Approved by - se'd p C• p'�' Yam• �.•T td. 7 4 i a 7tn b ------------------------------------------------------------------------ + L,:4 — — — — — — — — — — — — — — — — — B@§ ,gCLP3 vewt � -- C� Yi• s40' Yam' 't r rr r.• i.r<r .w� t � O -------------------------------- - Y{• s'o• Y+ SECOND FLOOR PLAN aYo• SCALE —1'-0. BUILDER: scoTTcARni JOB NAME= �sm DESIGN DATE REVISION DRAWN BY JB DESIGNS 0 LOT w jz CAR c os-area �t JB i �•o• ,py r'4• r'ah' 7. ra• a MAMI EMMY ------------- L OMM AREA Y YORW -raoV' ra• �r�• 3 „P yf P"v y tfa• � i a pew 3 I MOM FAMLY ROOM § 7 EMT Nmm y b ti f-W • rw a'd ! i2 CAR GARAGE y e I ,r,•eeeadb , Q ar e� r+• so ♦r ro• ka• do• .a s W-0 FIRST- oR e�,d SCALE�14,0" JOB NAME MPOSEURE�o+cE DESIGN DATE REV 551ON DRAWN BY JB DESIGNS BUILDER soon cA u FOR MR do►M CtiSTOM HMSE os-a�-� # JB ` 0 LOT yy/2 CAR GARAGE � 44TOWN OF BARNSTABLE :LOCATION f7� ! lev. SEWAGE # :VILLAGE C,o_h IASSESSOR'S MAP & LOT INSTALLER'S NAME&-PHONE NO.' dl SEPTIC TANK CAPACITY" LEACHING FACILITY .:(type)3 32b1:go/• _ G,�.'r (size) 3<1 NO 'OF BED UILDE PERMTTDATE: COMPLIANCE'DATE: 7 l C R:. .. Separation,Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility' Feet Private Water Supply Welland Leaching Facility'(If any wells exist' on site of within 200 feet of Teaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by r� t �, : .. ,, � , � , � . , , � .,. .. ",p �:> o jr' ��, - � ��r '. -t -�. TEST HOLE LOG qe DATE: 8� SOIL EVALUATOR. WITNESS:-.-- Ea R4 PERC RATE: . ._c _._.--.-- SP � Y oop O 0 L O O _ % ti y Imp cll � s ,8w 5, 7 - O LDA.QS oe Go.9RS� Est .o. DESIGN DATA ' \ DAILY FLOW:(j )BDRMS.z 110 GPD=33o GPD SEPTIC TANK: 3.3a GPD z 200%= 4,6-o GPD USE: lSoo GALLON PRECAST SEPTIC TANK LEACHING FACILITY:, 7-:7- _1z.9--off CAPACITY: SIDEWALL: - ,� BOTTOM: /3'X �3,:5'Xo, -y__ TOTAL: o� �� -- �'Zak oz G,B•, NOTES: � 1. ALL PIPE TO BE 4"DIA.SCH 40 PVC. /OTfj�L f�QCf1f _ T. 2..PIPE TO BE LAID LEVEL FOR 2'OUT OF DISTRIBUTION BOX. --------_ - - -. ..---.-_- ------____ 3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN 6"OF FINISH GRADE. 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A35��� GARBAGE DISPOSAL o 5. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED v -ON A 6"LAYER OF STONE. i4G.0 iP C J43 D, 6. INSTALL GAS BAFFLE IN OUTLET TEE r LAYER OF 3/8•PEASTONE OVER 3/4•-1 In•WASHED STONE ALL AROUND . TOP OF FOUND. @ EL 65,v u • o • 8t,3z e/3z el,/S 790 z. _ y SEPTIC SYSTEM PROFILElee pko SITE SEWAGE PLAN GENERAL NOTES j FOR 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION OF ALL UTILITIES,ABOVE AND UNDERGROUND,PRIOR TOfO 7— TO ANY EXCAVATION OR CONSTRUCTION. .�L.�.�', �.30,��. �• /��M, Z7 2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH PREPARED FOR 310 CMR 1&00:TITLE V. 3. THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE _......... ..... _ f _ DETERMINATION. w 4. ALL DISTURBED AREAS TO LOAMED AND SEEDED. DATE: Nl.9f'Z, SCALE:--/ =30 ' S. CONTRACTOR TO PROVIDE 24 HOUR NOTICE FOR ANY REQUIRE PECTIONS. '% e of M o� � o oANta L UAMAM c wt RUMBA u"et AIL WELLER & ASSOCIATES FTIF646FALMOUTH ROADCENTERVILLE, MA. 02632 EL: (508)7754735 FAX: (508)775-0754 APPROVED BY: