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Home My WebLink About0180 SANTUIT ROAD - Health Santuit Ko.q A �020 138) TOWN OF BARNSTABLE � LOCATION /'BD _JVo rr// ' ZOoe SEWAGE# 1 dd:z VILLAGE L ow7- ASSESSOR'S MAP & LOT2®� INSTALLER'S NAME&PHONE NO. Vr - yea-g738 s//P.s i L4 & 9,4h.las SEPTIC TANK CAPACITY If00 LEACHING FACILITY: (type)3-40a dra cv/As (size) NO.OF BEDROOMS. BUILDER OR OWNER Ku/^f b9L' ilSi2m 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 leachingfa�ili ) Feet Furnished by l�ti r ah 'N 1 f . v S No. l 'THE COMMONWEALTH OF MASSACHUSETTS FEE BOARP OF .HEALTH OF APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct (\�/Rcpair ( ) Upgrade ( ) Abandon ( ) - Complete System ❑Individual Components o n Owner's Name Aap/Parcel# Address �C�l VC Lct# r lephone ��" I staller's Name Designer's Name Add Telephone# Telephone# Type of Building: Lot Size Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) 5/ gpd Calculated design flow gpd Design flow provided gpd Plan: Date �_= Nu_mber of sheets Revision Date Title V nnAA II � ,f( Description of l il(s) Soil Evaluator Form No. Name of Soil Evaluator41 LAii Date of Evaluation DESCRIPTION OF REPAIRS rR ALTERA IONS - O® cL = q SU® S W 5 The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date FORM t — APPLICATION FOR DSCP DEP APPROVED FORM 5/96 1 T fn, x.-W-,. '^.Y7 4'[:.R - ., �: �tAr .. �.. i,.+--• +r .'<�-....p, .{��...:, .ac •.s:r ....... ,..t ..;< 1 t 'A1 '" '•"""�6' No/ d -THE COMMONWEALTH OF MASSACHUSES FEE,�— '° f t :BOAR OF HEALTH I - "<I. , / ( • I.i 1 .Kr@, �,:� -'�'"Yam' . ,� CC OF APPLJICATIO�,,;FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Constr ct ( Repair ( ) Upgrade ( ) Abandon ( ) -Complete System D Individual Components r. + V oca non a Owner's Name ZV p/Parcel# Address oe Lot# /� Telephone staller's Name (`�'��- Designer's Name 9173Address � Add jre I, Telephone# t Telephone# Type of Building: Lot Size'A5,5(� Sq.feet Dwelling—No.of Bedrooms Garbage"Grinder ( ) -,-Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures y / —! 4jL3gpdDesign Flow(min.required) gpd Calculated design flow gpd Design flow provided Plan: Date Number of sheets _� Revision Date Title MAO Description of oils) t 4 41 t'fl- 3� - 1 S Soil Evaluator Form No. Name of Soil Evaluator I. !t/tLl Date of Evaluation DESCRIffPTION OF REPAIRS YR ALTER ONS ,(Fk• S µ � SUO G �_ 5 d Individual Sewage Disposal System in accordance with the provisions The undersigned agrees to install the above describe TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed CJ E,_ Date'; pe FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 NO. L067-3L( THE COMMONWEALTH OF MASSACHUSETTS �mFEE=t00 BOARD OF HEALTH CERTIFICATE OF CO PLIANCE Description of Work: ❑ Individual Component(s) Complete System" The undersigne hereby certify thh t the Se gee}Dispoossal System;Constructed( ),Repaired( ),Upgraded.:(...);Abandoned( •)' .1 at I Th a"I has been installed in accordance with the provisions of.310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No.UO2-3 qg dated f'f 3-0 Z Approved Design Flow (gpd) r Installer /An W�' (✓ J l Designer: Inspector 2 0 AWfoate / 1 The issuance of this certificate shall not be construed as a guarantee the the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 No. 2D02 -3�p THE COMMONWEALTH OF MASSACHUSETTS FEE (� S-�e-Ste BOARD OF HEALTH DISPOSAL• SYSTE CONSTRUCTION PERMIT u Permission is hereby granted--to Construct ( ) Repair ( ) U grade ( )'Abandon ( ) an'individual sewage disposal system at (fib -S _ ,'Iu ;'� �.,-`Q �s r as described in the application for Disposal System Construction Permit No. Z 00 2 3 q dated Provided: Construction shall be completed within three years of the date of this per 't.All local conditions must be met. Date "'1 av Board of Health FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H,gW H013BS&WARREN TM PUBLISHERS- BOSTON z�'n � 1, n TOWN OF BARNSTABLE LOCATION /80 _J Yff AV/ - _ 00 re' SEWAGE # T 00 2 VILLAGE i'av?T ASSESSOR'S MAP & LOT20 INSTALLER'S NAME&PHONE NO._10 - y20-I ASS �/fl.S r!0 t4d�rOS SEPTIC'TANK CAPACITY IfA9 LEACHING FACILITY: (type)-?-400lot® ullYllS (size) If X 15 NO.,OF BEDROOMS 41 BUILDER OR OWNER I<urff?C��pI.S'e2 PERMITDATE: 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 fa ili ) Feet Furnished by 4- hlo,5,� C4 c bt y ? T e • Na b n)� I� I �,. plMla�IOIr l F :m-T7 ISTAND2ND �"a � FLOOR PLANS BEDRBATH CARACARPET CARPET °Bb rm� rowo u. r� x i � Y�• BEDROOM A CARPET T - � , b-�• BEDROOM J ]�• _ . - pp CARPET i tI -Ji i� F Y 2ND FLOOR PLAN SCALE 1/4'-1' 1 cu KITOIEN PANTRY a• t2' t• YA� S'-0j' 6'ity' y to.zovY r.Y M.vatva ,� S T ' WOOD OR ,dam y__. b� y HARDWOOD - 1 'I o� Ib. PwMIw�/I�wN Oab BATH ri vai MWYLa,,,,,, ISLAlID noa�.w,ron� Brrwwr. Ol) cARACE OBRffiHDRRAI WGGSIRtVIOE L NEBr7NGHOU91 ROAD EAST SANDWI(ZK MA.02M 1ra�• T3's• rs ram• n-r r�. f � y t3� 4 Ii I 'at wyr r..w irk LMNGROOM DINING ROOM :.• } CARPET SARDVIVW MR AND MRS.KVRTENGELSEN LOT1 180 SANTUI"'AD 1 COTV IT,MA. u � - zowt �� ivma I Ste. n�. 34• A� D 1ST FLOOR PLAN �" 4~�O2 SCALE 1/4•=1' too } i t SYSTEM PROFILE TOP OF NOT TO SCALE FOUNDATION FINISH GRADE FINISH GRADE OVER EL. 79.5 FINISH GRADE OVER EL. 78.0 SEPTIC TANK 77.5 DISTRIBUTION BOX 77.0 = . �_ • FINISH GRADE OVER TRENCHES 77.0 - o =:,_. , •:,A. RISERS TO 6„ ' •:.A OF FINISH PRECAST CONCRETE 500 GALLON DRYWELLS 3' MIN. RISERS TO 6 b, OUTLET PIPES LEVEL ��_:o MIN-SLOPE 1% '° OF FINISH GRADE O H-10 REINFORCED LOADING 13" FOR 2'( MIN.1% SLOPE TRENCH LENGTH =33'-6" 6" °� MIN.SLOPE 1% ° 9 BEYOND MIN. 0- DRYWELL LENGTH = 8'-6" r•U Y\o� ''a 13"MIN _I .' ` ,. r.r-G. oo _ r-r ., - .,. �• o- =•� 75.20 75.00 �• - S UMP -,, o, •.,• •.f �,v:f ,� "�, �,o _ o �- 74.75 74.67 • . *+ ,�. •� � n°'' '= -a - �,� r_ ;° PVC OR CAST IRON TEES .f o,o:, ° o:f" of o .r 74 60 `� ' o m: GAS IAFFLE �6,�� .4'b � DISTRIBUTION BOX ; o� . .,, ., \� 5OO GALLON MINIMUM INSIDE DIMENSION 12" 3/4"- 1-1/2"DOUBLE 3/4"- 1-4 2" DOUBLE , o a A' OUTLET INVERTS 2 BELOW INLET INVERT 0 0 o i A 4 4� WASHED CRUSHED 4 PRECAST CONCRETE MINIMUM CONCRETE WALL THICKNESS 2 STONE 51 WASHED CRUSHED _4- ;i: STONE BSMT.FLR. ` ' :.y H-�O REINFORCED d INSTALL ON COMPACTED LEVEL BASE �0:=0 �. G .a :'1 ELEV. 72.0 1 - o NO GROUNDWATER BOTTOM TH#2 - IZ �. e - � ± N� i l4 NOTE: EXCAVATE TO =C= :.ITRATUM IN ORDER TO TRENCH SECTION q o ,. ,r.r ,: o o , o,. .: ° • '•. REMOVE ALL =A= &=B= Ihr PERVIOUS MATERIAL WITHIN 5'OF THE SAS. REPLACE WITH CLEAN, SEPTIC TANK S - k a CLAY-FREE SAND INSTALL ON COMPACTED LEVEL BASE „ „- „ o_ fb 4 MIN. 3 OF 1/8 1/2 4" DIAM. 6„MAX- DOUBLE WASHED if PEASTONE. • IT RO GE of pA�• .� � �'_=-; .:`=' 16 (j4• O 2, gyp,, , ; 4"- 1-1/2" �,• 3/ 11/ DOUBLE 48" 5'-211 „ WASHED CRUSHED STONE 9�3� / _-- _ /t,� ; ••' ••. ,• TRENCH WIDTH NUMBER OF TRENCHES 1 / ' "''• ° NUMBER OF DRYWELLS 3 �, OBSERVATION PIT . ...�,:.....w.._.� 0,10 / _ �� / 444• __ �`�� •O�� PERCOLATION WITN SS D BY: DESTANTONIN BARNSTABLE BOARD OF HEALTH DATE: JULY 3 2002 GENERAL NOTES: TEST HOLE#2 r ,; TEST HOLE#1 o DESIGN DATA . 1. ELEVATIONS SHOWN ARE BASED ON ASSUMED o - , C � ti5 2.ALL PIPES IN THE SYSTEM MUST BE CAST IRON I AW SAND AW SAND � °*b �° �� OR SCHEDULE 40 PVC. 10 YR 3/1 ' 10 YR 3/1 dp,�s�^ �' 3. HEALTH AGENT/CAPE& ISLANDS ENGINEERING 6" �. 6" _ NUMBER OF BEDROOMS 4 =B= LOAMY SAND MUST BE NOTIFIED WHEN CONSTRUCTION IS =6= LOAMY SAND GARBAGE DISPOSAL NO �V�� '� o� ti� v<� �� .�'�/ COMPLETE PRIOR TO BACKFILLING.- 10YR 5/4 10YR 5/4 4.ANY CHANGES IN THIS PLAN MUST BE APPROVED 30" 30 DAILY FLOW 440 GPD. • SEPTIC-TANK REQUIRED 1500 GAL. BY CAPE& ISLANDS ENGINEERING AND THE BOARD OF HEALTH. SEPTIC TANK PROVIDED 1500 GAL. 9g, X� i� �� 5. MATERIALS AND INSTALLATION SHALL BE IN LEACHING REQUIRED 440 GPD. COMPLIANCE WITH THE STATE SANITARY CODE [TITLE V]AND LOCAL APPLICABLE RULES AND =C= MEDIUM SAND =C= MEDIUM SAND SOIL ABSORPTION SYSTEM CALCULATIONS: REGULATIONS. 10YR 7/4 10YR 7/4 6. NORTH ARROW IS FROM RECORD PLANS AND IS �/ SIDEWALL AREA= 186 SF. NOT INTENDED FOR SOLAR ENERGY PURPOSES. 186 SF. X .74 G/SF. = 137 GPD. 7.WATER SUPPLY: MUNICIPAL WATER SYSTEM. _ / 8. FLOOD ZONE C[NON-HAZARD] BOTTOM AREA= 441 SF. ---76 „ NO GROUNDWATER 120" NO GROUNDWATER 441 SF. X 0.74 G/SF. = 326 GPD. _————— LEGEND 12o LEACHING PROVIDED =463 GPD. 52 PROPOSED CONTOUR SINGLE FAMILY RESI DENCE LOT l _ -—-52-—- EXISTING CONTOUR , • 43,567 SF. a r � �' PROPOSED SEWAGE DISPOSAL SYSTEM / OBSERVATION PIT PREPARED FOR ❑ DISTRIBUTION BOX 2 l KURT ENGELSON S o o 0 SEPTIC TANK �� "��s�lor,, u� �t� LOT1 [HSE.NO.180 SANTUIT LANE] �� - COTUIT,MASS. SOIL ABSORPTION SYSTEM PLAN NO. 072502 SCALE:AS NOTED EA s FILE N0. 337BA DATE: JULY 25,2002 RESERVE RESERVE AREA o�� tsyl DAV►p �� SEPTIC FILE NO. 71 PCS FILE: TRUDY CHARLES " 22.26 PIPE INVERT ELEVATION SANICKi . 28035 CAPE & ISLANDS ENGINEERING 138 O O 0 pF� 9F�Is [E �% P`� PLOT PLAN 20 1 180 � s�Nti� „, s�'4� 800 FALMOUTH ROAD, SUITE 301C 5 5 5 r MASHPEE,MA 02649 (508)477-7272 SCALE: 1"= 30' MAP - SEC PCL LOT HSE