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HomeMy WebLinkAbout0075 SHELL LANE - Health � � � ��of�S� � � C' rrcLe. �\ � � '� r -� 0 . _ _ - -- -- - --- alb � � �lo — - - --- - � -.� -- - �, i o i 4f -6 96 - P-,5- TOWN OF BARNSTABLE LOCATION ���5A? / c SEWAGE# 7 VILLAGE ASSESSOR'S MAP &LOT I�6 s, INSTALLER'S NAME&PHONE NO. A�12/ 7 ?,5 / E SEPTIC TANK CAPACITY LEACHING FACILITY: (type<}&� SQ�C" � /"`'����(size) - }C 3 ':re)Q, Z NO.OF BEDROOMS BUILDER OR OWNER ' �g�l ✓/ �'� �� PERMITDATE: 9 - `/ - `? -7 COMPLIANCE DATE: C4 _ 1 a, 9 :2 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 .;. n �. � � �; �� .-• P y1 � \ �• n ,. � � O. � (� R� "J � .� ,. - �" � \� y/v PL t n �, -� .i� �. C r s' No. Fee_ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pprtcatton for Mtzpooa[ *patent Com5tructton Vermtt Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 0 Owner's Name,A dress and Tel.No. Assessor's Map/Parcel � '(� Installer's Name,Address,and Tel.No. Designer's Karne,Address and Tel.No. CFO— / n Type of Building: Dwelling No.of Bedrooms _f2 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building 5 %�Nib o. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue t ' and of jiealth. Sign Date Application Approved by o ok a Date Application Disapproved for the following reasons6L— !f) Permit No. Date Issued TOWN OF BARNSTABLE c!'S�,� i �: 2 SEWAGE # ' Y`� LOCATION _ VILLAGE �� ' ' 3' ASSESSOR'S MAP&LOT I a ._II,L: INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (typ,4} NO.OF BEDROOMS / BUILDER OR OWNER PERMITDATE: a y - `� COMPLIANCE DATE: Z— 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 Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by M H v � c, t^ . ee THE COMMONWEALTH OF MASSACHUSETTS Entered in"computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 0(pprication for Diopooaf &pgtem Conotruction Permit Application fora Permit to Construct( )Repair( )Upgrade(t )Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. $�Q 5�/ Owner's Nayie,Address and jel.No. �d Assessor'sMap/Parcel `��� � 3 3 5 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. a l 7` Type of Building: Dwelling No.of Bedrooms _ Lot Size A --sq. ft. Garbage Grinder( ) Other Type of Building 5�n/4�/ moo.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 4 gallons. . Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) o;�" s`. Date last inspected: `f Agreement: The undersigned agrees to ensure the construction and maintenance of the'afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in,operation until a Certifi- cate of Compliance has been issued y thi of lth. Sgne Date Application Approved by e Date Application Disapproved for the following reasons00 Penmt No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( XR_qpaired( ) Upgraded( ) Abandoned( )by ° at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date' Inspector r No.---�— --------------------------—Fee--�� � THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Dizpozaf bpztem Construction Vermit Permission is hereby granted t Cons ct Repair( )U grade( )Aba don ) �� System located at 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 must be completed within three years of the date of this permit. Date: - Approved by '----ti ""'^"'•••,-. - <. «<. ,. ... .1 r,_,. cs:rrr r 5., . ,. ��m f-'.tt°aia ,..,. .r.. � P �`S q4 GENERAL NOTES S : INVERT EL E VA T I ONS DESIGN CR I TER I A : ACCESS COVERS MUST BE WITHIN ®- MINIMUM, INVERT AT BUILDING: 9215 - DESIGN FLOW: 6" OF FINISH GRADE J. THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION 3' MAXIMUM COVER INVERT IN SEPTIC TANK; 91 . 75 4 BEDROOMS AT_110 G. P. D. PER OF THE SEWAGE DISPOSAL SYSTEM ONLY. FIRST.2' TO BE LEVEL MIN 2. OF PEASTONE INVERT OUT SEPTIC TANK` 91 . 5 BEDROOM EQUALS 44�G. P. D. 2. ALL CONSTRUCTION METHODS AND MATERIALS AND INVERT IN DIST. BOX: 91 ,17 on 4" PVC NO GARBAGE GR I NDER ?. $,` - INVERT OUT DI ST. BOX:T 91 . 0 MAINTENANCE OF THE SEPTIC SYSTEM SHALL 3/4' 1 I/2' D1A. CONFORM TO MASS. D.E.P. TITLE S AND LOCAL SCHEDULE T'-"-' WASHED STONE T '� , BOARD of HEALTH REGULATIONS. ` 92.5 GAS 9 es•s INVERT IN LEACH CHAMBER: 87. 8 1 5 SAFFL SEPTIC TANK REQUIRED: J. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER OUTLET 3-500 GAL LEACHING CHAMBERS BOTTOM OF LEACH CHAMBER: B5. 8 440 G P. D. X 200x - 880 GAL , /0' MIN. D-BOX W/4' STONE AROUND. 12.,8*X 33.5*X 2' ADJUSTED GROUND WATER: N/A SEPTIC TANK PROVIDED: 1500 GAL . AREAS SUBJECT TO VEHICULAR TRAFFIC OR GREATER 1500 GAL THAN 3' IN DEPTH SHALL BE CAPABLE OF WITH- SEPTIC TANK 6" CRUSHED STONE BASE OBSERVED GROUND WATER: N/A STANDING H-20 WHEEL LOADS. BOTTOM OF TEST HOLE •2: ' 77. 1 SOIL ABSORPTION SYSTEM REQUIRED: 4. ALL SEWER PIPE SHALL BE SCHEDULE 40 OR PROF I L E : NOT TO SCALE DESIGN PERC RATE - -MIN/INCH ' h APPROVED EauAL. SOIL TEXTURAL CLASS - -L_ <; NEFFLUENT LOADING RATE - 0. 74 GPD/SF 5. BEFORE CONSTRUCTION CALL "DIG-SAFE'. 440 GP0 /�..Q,L4GPD/SF -��S. F. 1-800-322-4844 AND THE LOCAL WATER DEPT. FOR LOCATION OF UNDERGROUND UTILITIES, PROVIDED: �� GAL F.�1 CHI NG CHAMBERS 6. VERTICAL DATUM IS: ASSUMED' W/4 ' STONE AROUND A-614 S F, 7. FOR BENCH MARKS SET. SEE SITE PLAN. 8. NO DETERMINATION HAS BEEN MADE AS TO 8 �� _ _ -- - -- 9 �_` ' � SOIL TEST PlT DATA COMPLIANCE WITH DEED RESTRICTIONS OR ZONING 69. 93.1/ _ s- '/ REGULATIONS. IT SHALL REMAIN THE CLIENTS N 6� ,� y� INDICATES _g INDICATES -�"`"'��-.� � PERCOLATION OBSERVED RESPONSIBILITY TO OBTAIN ALL PERMITS. SPECIAL - 1 ,��' PERMITS. VARIANCES ETC. FOR THIS PROJECT. 01•� i TEST - GROUNDWATER `+•.,r 4.47 6 9. IT SHALL REMAIN THE CLIENT'S RESPONSIBILITY ,� N a9• ; \t?•i� ; tt;' ` r0 N/c GRND EL.97.0 GRND EL. 98,5 TO HAVE THE PROPOSED BUILDING FOUNDATION •a6 5 p `\ �a �` •�-�KF SO,yr R04 W.EL. N/A L 0 T 3 ;� � o N/A G• �. DESIGNED TO ACCOUNT FOR THE EXISTING GRADE ! 6 �b 1 \\ �\ \� Y `� "``--w NOR/ZON TEXTURE COLOR OTHER AND SOIL CONDITIONS AT THE LOCATION OF THE a 5 23. fi `\ �� - \ ti HORIZON TEXTURE COLOR OTHER 97.9 0' - ---------------� --- - 87. 1 49. 573 , S. F. o- PROPOSED BUILDING. � \�` �` i i a7.. --- _ � FILL y07.1+ '�. \\` 97.6 /O' .. .................................. ................. 86.3 ` 1p mat o . !N J UIII IOYR �►• t7a 6' \ , ^�: `�lr A/ /tr61I IOYR -... E`D ! ED \ , ,.. .,. ,. ..,... ... .h r. r W.`E.1. i. 1.. ,. x r r. .iw .-, r re Opt } .: 7 0 R 1 DYR A , d LOAMY B B SAND 5/8 \ COARSE $AND 5/e jw ?D" 96.2 30" 84.6 ............................ COARSE IOYR C COARSE IOYR SAND 7/8 SAND 7/8 481 17. r NO WATER 87,9 /20- NO WATER 77. 1 120* 3-300 ARIL �LEACHINO CHAMSEIIJ ,/ .' ; 3 l GATE: SEPTEMBER 26. 1996 1n s`oN� i �' S TEPHEN HA.4S ` TEST BY: o •�` so. 9/.S',, iAk h tiry ED BARRY \ • . 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