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HomeMy WebLinkAbout0008 BRIAR PATCH ROAD - Health 8 BRIAR PATCH ROAD OSTERVILLE \ A = `144 938 _ L-0-7- ,r3- 5� $17 L 0 C AAT 10N 0-.a� pa SEWAGE PERMIT NO. •Go� Y v �3 — '7 0 VILLAGE v� cc. = 144 ® 3 STD E IN STA LLER'S NAME i A DID RESS a, kr 44 t c.Ice c1 ' L D E R OR OWNER R U 1 ' 0 1,e /Ws DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED �Y ♦S .J��..�/ . ` � '�:'�ii',•' � m �14� f° �o ��` $ 50.000 Fee No. `t THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zipplication for Diopogal Opotem (Conotruction 3permit Application for a Permit to Construct( )Repair IK X)Upgrade( )Abandon( ) O Complete System O Individual Components Location Address or Lot No. 8 Briar Patch Road Owner's Name,Address and Tel.No. 781 -9 6 3—91 0 6 Osterville,Mass. , Steve Fisher Assessor'sMap/Parcel/ `/ ,�® 73 Fernandes Circle Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No.5 0 8—7 7 5—3 3 3 8 J.P.Macomber & Son Inc. J.P.Macomber & Son Inc. Box 66 Centerville,Mass.02632 Box 66 Centerville,Mass.0263.2 Type of Building: DwellingXXXNo.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 5.5 gallons per day. Calculated daily flow 3 X 1 1 0=3 3 0 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Loamy sand to medium fine Gann Nature of Repairs or Alterations(Answer when applicable) Addi nCl two 500 cla 1 1 nn nhambers with 4 ' of 1 '-z" stone all around. Presently there is 1000 gallon tank,Distribution box and 1 -1000 gallon precast leachingi2it_ 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 issq6d by this PoarAf Health. Signed to 6/2 0/ 1 Application Approved by e Application Disapproved for the following reasons Permit No. Date Date Issued TOWN OF BAM, STAB1 LOCATION. �/ _� 'SEWAGE # ZGy /... q7G € t . . VILLAGE—_ ,e& , ,e� V 1 Z L .Q. ;t - -- ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE N0.��� ji/1 A CD /��S'eR t SOA SEPTIC TANK CAPACITY .l o yQ ybI LEACHING FACILITY: (type) (Size), . I. .x.Z-..1..X.Z A NO,OF BEDROOMS 3 BUILDER OR OWNER PERMIT DATE �—.C,OMP P - — LIANCE.;:DATE Separation Distance Betweenahe - Maximum Adjusted Groundwa[eTble to.the;Bottom of Leaching Facility Feet t, Pnyate Water Supply,Well anii.Leaching facility, (If'any-wells exist on site or within 200 feet of leaching facility) ,.. . Edge of Wetland..and.Leaching Facility(If anywetlands exist • :4 f within 300;feet of leaching facility) a Feet .' urnished by,:: .. . OF v— -- rx N - 50.00` No. '� �'1'/ :. Fee I . / t + 4 / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUB DIVISION'-TOWN-OF BARNSTABLE., MASSACHUSETTS Yes CICHEALT' H 0(ppYicatiOTC for i$ l0$aY �p$tenY �On$trurti � twit, . . ` Application for a Permit to Construct( )Repair ZKX)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 8 Briar Patch Road Owner's Name,Address and Tel.No. 7 81 —9 6 3—91 0 6 '. Osterville,Mass. StevetFisher Assessor'sMap/Parcel 73 Fernandes Circle Installer's Name,Address,and�Tel.No. 5 0 8-7 7 5-3 3 3 8 Designer's Name Address and Tel.No. 5 0 8—7 7 5-0 3 3 8 J.P.Macomber & Son. Inc. J.P.Macomber & Son Inc. Box 66 Centerville,Mass.02632 Box 66 Centerville,Mass.02632 Type of Building: _* DwellingXXXNo.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 5 5 gallons per day. Calculated daily flow 3 X 1 1 0=3 3 0 gallons. Plan Date Number of sheets Revision Date Title Size of.Septic Tank Type of S.A.S. Description of Soil: Loamy sand to medium f ine sane] f Nature of Repairs or Alterations(Answer when applicable) Adding two 500 gallon chambers with 4 ', of 11" stQne ',all around. Presently there is 1000 gallon tank,DistributiorY box and 1-1000 gallon precast leaching pit. 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 pl ace°the system in operation until a Certifi- cate of Compliance has been iss 6d byVthis oard°f Health. Signed A 4 .. 6/2 0/0�1 Application Approved by V U /)' �D e Application Disapproved for the following reasons r d U / Permit No. .�iJ'�11/ Date Issued 46 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS ' Certifirate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )'RepaireiK Upgraded( ) Abandoned( )by J.P.Macomber & Son Inc- at 8 Briarpateh Road Osterville r Mass. has been constructed in accordance � Gl dated with the provisions of Title 5 and the for Disposal System Construction Permits 1�Io:�f/ Installer J.P.Macomber & Son Inc. Designer J.P.MaeomSe7& Son Inc. I The issuance of this peymit sh 1 not be construed as a guarantee that the syste 11 fund r,,a gned. Date 2� D cons, Inspector No. r '` .sr f 4f Fee $ 50.00 ,,THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTArBLE., MASSACHUSE7ST ;igpo$ar bp$tem Con$truction 3permit Permission is hereby granted to Construct( )Repair(XX))(Tpgrade( )Abandon( ) Systemlocatedat 8 Briaroateh Road (�ctArvi l la nnaa and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 land the following local provisions or special conditions. Provided:Co struction must e c m leted within three years of the date of thf pe t. Date: / v Approved by r 4 1/&99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. l4MMORS MAP M.Z e PAN&) C3 CERTIFICATION OF SKETCH AND APPLICA"TTON FOR A DISPOSA WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) PARCLNO- );Joseph P.Macomber Jr. , hereby certify that the application for disposal works construction permit signed by me dated 6/2 0/01 concerning the property located at 8 Briarpatch Road Osterville,Mass. meets all of the following criteria: t The failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. The soil is classified as CLASS I and the percolation rate is less than or equal to S minutes per inch. There are no wetlands within 100 feet of the proposed septic system 4 There are no private wells within 150 feet of the proposed septic system l 1 There is no increase in flow and/or change in use proposed { There are no variances requested or needed. V The bottom of the proposed leaching facility will Abe located less than five feet above the V um adjusted groundwater table elevation. (Adjust the groundwater table Cuing the Frimptor ethod when applicable) If the S.A.S. will be located with 250 feet of any vegetated wetlands, the bottom of the proposed leaching facility will nZ be located less than founcen(14) feet above the maximum adjusted groundwater table elevation, Please complete the following: . I -, -11 A) Top of Ground Surface Elevation(using GIS information) B) G.W. Elevation '`0 + the MAX. High G.W. Adjustment.l6' a �� DIFFERENCE BETWEEN A and B SIGNED : DATE: 6/20/01 (Sketch oposed plan of system on back]. Q:health folder,ccn i Existing 1000 LP _ r Existing 1000 gallon tank r New 2-500 gallon Leaching chambers Packed in 4 ' of j 11-2" stone. z� CO tc T � THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A , m / � LI DATA �/+ No-t�k __7l._.. F�s...��................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH (....D.....1Aa.1.J..........OF........... �s�.. Appliratinn for UhipasFal Workii Tomitxnrtiun rnmit Application is hereby ad fora Perm' to Const� ct (V/ or Repair ( ) an Individual Sewage Disposal System at: `1 6-f' �- . ....'o 61-.... ................................................... Location-Address o Lot No. ----_ � -P......................................... �. - ._...A.q N N t ... .............. Owner — dress �� .� ...... , -� _g� ............................................. Installer Address U Type of Building Size Lot... !----Sq. feet Dwelling—No. of Bedrooms............ ............................Expansion Attic ( ) Garbage Grinder ( ) aa Other—T e of Building .___.... No. of persons............................ Showers YP g ------���-'- P ( ) — Cafeteria (. ) dOther fixtures ..---•------------------------------•-••---•--------......---------------------------------------- ------•-------.....- = :.. w Design Flow............r2...l.........................gallons per person per day. Total daily flow---......_....1....._........._::__..gallons. WSeptic Tank—Liquid ca.pacity.1Pe!!.gallons Length_.h._r br•.. Width................ Diameter.............--- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 1 Seepage Pit No.---______I_____-__. Diameter.._...tZ.1....... Depth below inlet.._._1?_........... Total leaching area�o1.%59.sq. ft. z Other Distribution box (�) Dosing tank ( ) aPercolation Test Results Performed by._....J4f 1J._.-i Ll_`1..................................... Date.................................... Test Pit No. 1------- ...minutes per inch Depth.of Test Pit.......(z_.._____ Depth to ground,water..__Ph?bN _____. rX4 Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water........................ P' O Description of Soil ........Tdr..? ...`.z�Jl �t.P!.... t 1 YJ N 6r l t!!M.(? �P SRN...Q x w 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:ITS 5 of the State Sanitary Code—ThlApndersigned further agrees not to place the systP ' operation until a Certificate of Compliance has b 'issu b and of health. Signed.. ................... -------•••-•- ApplicationApproved By........-------------------------------•-•----------------•---------------...........•---•--••-•- Application Disapproved for the following reasons:........................................................................ --------------------------•-•------•----....-•-----------------------•-•-•-----...-----......------....--•••-•••-•-•••••••••••••--••------••-----••--------•-••-- Permit No................ ...............•--••-------•-•---••------ Issued.............. --_.w ,w 6 THE COMMONWEALTH OF MASSACHUSETTS tY•:t BOARD OF HEALTH F ..!= .,. (. ...........OF.......... ... %-1-....�`J Appliration for Disposal Works Tomdrurtiun Prrmit Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal System at: F' -r-,— lL. /f�iZIA(Z P<�i Cf �� \ ILL l%G�f2/JF>.1.A iL r- ..... ................`...... / .... G......_ 1..t_ ....................... ........................................................ AA Location-Address or Lot No. ....! ..... -'- n-�.-••..............••-......"-•'••••----. ............................... Owner Address W Installer Address Type of Building Size Lot... ....Sq. feet .-, Dwelling—No. of Bedrooms............/.............................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building e-%`> No. of persons............................ Showers a �'P g ------•--------------------- P ( ) — Cafeteria ( ) W Design Flow.Other fixtures _- •--- ___gallons per person per day. Total daily flow.......__. %_©.....................gallons. WSeptic Tank—Liquid capacity.LG'�L gallons Length__!._.I .,... Width................ Diameter................ Depth................ I x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit N ........... _ Diameter....... ......... Depth below inlet................ Total leaching areal�.�_. `1_sq. ft. 1 Z Other Distribution box (, ) Dosing tank ( ) Percolation Test Results_ Performed by..... �::yl_ .. ��.1. .................................... ` ' ��=' `"Date ............1 ,Wl Test Pit No. I.......v_._minutes per inch Depth of Test Pit......t........ Depth to ground water...f"Jk-.��...... F(i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R+' •---•---•--•-----•----•--------•-•..........-••-•------•---------------•-----...........----'•'................._...-••"......•••'--•..............:-•'----- Q ✓��� .... � c t� % '. . pi'.C. iU i� — :'i 1 ! tjr'_ G. 0 1;LjE Description of Soll- ' •---- --.... 1 1 .......... M.�' ........................J•' W ------------------------------------------------•-•-----------------------------------------------•-------------------._...-------------------------•---------------------------•------•-----........._. U 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 TITTLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed...........•••..............•-•-•-..••-•-•••----••--•-•'-•--•--.......--•-•-----_.... Date ApplicationApproved By.................................................................................................. ........................................ Date Application Disapproved for the following reasons----------------•-----.....--•-••----•-•---------------....----------------...---------.._..-----••---........... -----------------------------•-------•--......---••-------------••----........------....'•-••-------•--....---------------------------------------------------------------------------------•--......--'- °Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Trr#ifiratr of Tnntplittnrr THIS IS TO RTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by --.�....... .fT ..... s -sue .... �,� ...-•-•--------------••--Installer has been installed in accordance with the provisions of TITiZ 5 o�LjT;he State Sanitary Code as described in the application for Disposal Works Construction Permit No..___� _--_l.. .f?....... dated......................................:......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................................. ..'...z........� '`... Inspector........A-..................................................................... THE COMMONWEALTH OF MASSACHUSETTS gg BOARD OF HEALTH CW..A. 9"706 ...........................................OF..................................................................................... No......................... FEE........................ Disposal Works Tontrnrtion rrnti# Permissi s iereby granted.................... ....... to Corwr( 4 or I jko_S) agzAtoi-t* S(FLge Dispop2l gat No...................................................................................................................... Street as shown 'jo�n the application for Disposal Works Construction Permit No..................... Dated.......................................... ...................................................................................... Board of Health DATE Lj ---••---•-•------------------------------ FORM 1255 HOBBS,& WARREN, INC., PUBLISHERS - S/TE PL A N TYPICAL PROFIL E NOT TO SCALE SCA L E 18"-sm L T. WG r C.I. MH CO I/El'i 7 t 4"C PIPE 4 81 r FIBER PIPE TIGHT T 101N TS -7 OUTLET ZEV,�!L FLOW L INE TO FIRST JOIN 0 0 0 1 oz LING c.l. TEE C. TEE -7 STANDARD PRECAST W -2- CONCRErE)_i'_."r GALLON SEPTIC TANK 0/5 TRIBU TION BOX TO BE INSTALLED ON T �,T 9, r 9-e./-A tJ I— LEVEL , STABLE BASE. SEPTIC TANK 44 TO BE INS 7A L L ED ON LEVEL , STABLE BASE 2 !18 TO 112 WASHED PEAS TONE LC,4t,-H1NG PIT ALL AROUND FREE OF IRONS, FINES BASE TO BE LEVEL AND DUST IN PLACE BRICKS MORTAR COURES 314" TO I-112" WASHED C PUSHEO AS REOUIRED TO BRING STONE ALL AROUND FREE OF S COVER TO GRADE. 24"C. MH COVER IRONS, FINES A ND OUST IN Pl-4 CE AND FRAME Vk L-,12'T S, lAr -1791 TA 4 L EA CHING P1 T SEC T/0/V LINE' /Ni-Er f 81 PIPF TO BE 4000 PSI I. CONCRETE 28 DAYS 2. REINFORCED WITH 6'' x 6" N�' 6 GA, W.W.M. 3. 2' AND 4' SECrIONS ARE AVAIL4>EILE FOR GREATER yo a DEPTH REQUIREMENTS. OPENING WITH 4-118 4. NUMBER OF PITS REQUIRED OBEOUTER DIAMETER 8 I NOTE: EXCAVATE TO ELEVATION Z72FOR LOWER AS I-314" PVSIDE DIAMETER 3" REQUIRED TO REMOVE ALL LOAM AND CLAY BENEATH PIT. REPLACE EXCAVATED MATERIAL WITH CLEAN GRAVEL TO DESIGNED GRADE OR qf, 6'- 0 4'-0 EFFECTIVE- DIAMETER L (NOT TO EXCEED 3 TlAfES EFFECTIVE DEPTHJ lz WATER rA B L E T I r­ 17 , 0 AND 1 EHC. L?A TA GENERA L NO TES -, PERC. RATE : 11 -� I MIN. 11N . NO HEAVY EQUIPMENT TO RUN OVER SYSTEM TEST BY: _j 12 "A N� e L�L i It) SEPTIC TANK, CISTRIBUTION BOX , LEACHING PITS TO BE STANDARD PRECAST REINFORCED CONCRETE UNITS WITNr-SSED BY: �_j ALL SYSTEM COMPONFNTS SHALL BE INSTALLED IN ACCORDANCE TO REVISED TITLE t) JF THE STATE ENVIRONMENTAL CODE , TEST PIT GR. EL,: DATE : MINIMUM REQUIREMENTS FOR THE SUBSUFACE DISPOSAL OF TEST P;T NO. IP TEST PIT NO- 2 SANITARY SEWAGE EFFECTIVE I JULY 1977 0 0 ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE Tar BOARD OF HEALTH AT COMPLETION OF CONSTR!J('T;ION , PRIOR TO BACKFILLING, THE � GO�A PA.C TgTo Fi�4RPI OF HEALTH SHALL HE NOTIFIED FOR INSPECTION. L A- T'_H i�L L _',EIvli'ER: 1 iNES 1/4" / FT UNI-ESS INDICATED '� OTH F RW I S E DESI DATA BEORCGMS DISPOSAL EST. TOTAL DAILY EFF ._—_GALS LEGEND SEPTi(l TANK - GAL SIDEWALL AREA //So FT BOTTOM AREA --GAL /S(1 FT oxoo EXISTING GRADE SEWAGE DISPOSAL SYSTEM"? LEACHING REQUIRED 5Q vT ZONE ACT LEACHING AREA FT. F OR FINISHED GRACE DOMESTIC C WAT E R SOURCE INVERT ELEVATION PROPERTY LINE F;_AN REFERENCE ---4''' E : Z 7-- lif-, S MEAN HIGH WATER CALE' AS INDICATED DA, BENCH MARK DATUM! v *� -0 C/,j'rE t'_ "ji- MARSH WM, M WAR WICK 0 A 5..) BOX 801 - NORTH FALMOcT;l 1W HU 5 E r r,,- 025 K6 A