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HomeMy WebLinkAbout0046 CROSSWAY PLACE - Health 46-CROSSWAY-FCXCE OSTERVILLE A '165 059 I i 1 I i � 1 c No. 4210 1/3 BGR ESS LTE gz 1 0°l 0 C ^ n TOWN OF BARNSTABLE 'C` LOCATION I,_ V V id 1" t 11dC�1 SEWAGE # ZADX t(O VILLAGE ASSESSOR'S MAP & LOT —� INSTALLER'S NAME&PHONE NO.W t� 1 .s� ���, �NO� SEPTIC TANK CAPACITY LEACHING FACILITY: (type)--q W QA S (size) t�' `° -NO: OF BEDROOMS —}� BUILDER OR OWNER PERMIT DATE: �A—7:�6 COMPLIANCE DATE: I` `-7"O n Sepa:ation Distance Between the: Maximum Adjusted Groundwater Table to the 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 '�Furn_shed by .� (01 o 0 q-to -z- 4 K . 0 O Soo wLws 0 w � spa No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH --- I� yww O1 APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct �t) Repair ( ) Upgrade (;4) Abandon ( ) - ❑Complete System ❑Individual Components Locat on Owner's ame # � ��` Add ss Li) � A ^t#/� ,` /r T�elephone# 6�1 J e / 1 R /" &�; ` Inst �sAame Designer's Name 11` �aA.l /ya%�d9ess Telephone# Telephone# Type of Building: Lot Size /.5���� Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other=Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) gpd Calculated design flow gpd Design flow provided A&Ogpd Plan: Date Number of sheets _� Revision Date IV Title z Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator /yf. � s/1 Date of Evaluation �e-7 DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned s to i II a ab a described Individual Sewage Disposal System in accordance with the provisions of TIT rthe a e t to pla e s in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 � ray ; No. � /,� THE COMMONWEALTH OF MASSACHUSETTS FEE w}� `� Y BOARD OF HEALTH , 01 P --APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Pe mit to Construct (gO Repair ( ) Upgrade (;d) Abandon ( ) - []Complete System ❑Individual Components Locat'on Owner's ame M p/Parcel# `� '"� Q / ` Add ss', Lot# i` ' Telephone/"?, Ins t s blame + .f Designer's Name / Address 1 Telephone# F` r� �l/i «^"'-"' Telephone# Type of Building: k ` f ? Lot,Size /.S'►3�� Sq.feet Dwelling—No.of Bedrooms �� j z ,� Garbage Grinder ( ) Other—Type of Building No.of persons—) Showers ( ), Cafeteria ( ) Other fixtures Design Flows(min. required) gpd Calculated design flow 6 &pd, ',Design flow provided Jt�gpd Plan: Date Number of sheets �% f Revtston-Date Title / Description of Soil(s)_ 1 e4f Soil Evaluator Form No. f Name of Soil Evaluator Date of Evaluation 7d Z.itav L DESCRIPTION OF REPAIRS OR ALTERATIONS r �. The undersigned g s to 1 II a above.described In-ividual Sewage Disposal System in accordance with the provisions of TITLE S a rthe a ee n t to pla e s in operation until a Certificate of Compliance has been iisjsued by the Board of Health. Signed / r Date O'�a Y/ Inspections i 0 FORM 1 - APPLICATION FOR DSCP . DEP APPROVED FORM 5/96 t No �'�L� �' � T—HEr COMMONWEALTH OF MASSACHUSETTS ` ' FEE ��� Ir/QI�I'�' I i BOARD OF HEALTH CERTIFICATE OF C6MPLIANCE Description of Work: ❑ Individual Component(s) ❑Complete System � • The undersigned hereby certify that the Sewage Disposal System;Constructed( Repaired( ,),Upgraded( ,Abandoned( ) �. by: / / \ A at l � � l has been installed in accordand with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to applicatiR —Q. dated P✓ MA AO*X A proved Design Flow (g d) Installer t^/ /� n'? t� Designer: specto Date _ ®� 'The issuance of this certificate s .111 not be cons rued as a guarantee that t e system will function as designed. r FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROV FORM 5/96 X i . No. X14 THE.COMMONWEALTH OF MASSACHUSETTS FEE . BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( Repair ( U grade ) Abandon ) an individual sewage disposal system at as described fin the application for Disposal System Construction Permit No.01We✓� dated 4V 'ram f Pi I Provided: Construction shall be completed within three years of the date of this per All local conditions must be met. 4 P�l �cJ Date Boar b'f Health FORM 2 - DSCP DEP APPROVED FORM 5/96 i r TM FORM 1255 (REV 5/96) H&W HOBBS&WARREN PUBLISHERS- BOSTON E. I I I ! I I Q I :DRICG G'IYP3 — i 12••O /- ". ON 0 I i �..__ _-� �I-ZI =I-I' I" 1 tl-�f �I-el -. a�e' •a.r ems. J I © I - Y I 5ECOND FLOOR Qq nl u S \ •" 0 •I II rae..c I I z�'.GsMMIR LADJ ID A61L n Fb- n -� eviiaer•�i►ou+•I 1 fzt wrb�t�r tea". � III LAtaAI.I7fLw5 i.enru w.l. .. �. u `rMCK orEpsD004Gjll I •; I I � I I G•lo I 5� �o: .. e�Icl I-a' aT1ECL ea..•t•mK a>t141.'/ �wtb rw1c. I - . ue.al a.L v+ ♦ewc u..o.c s��.+olerr _ --______ _ _ _ L' _—_J__ � .. 4� � GIGO• ____ O O �I - „ - �s eru.ui-.►"gym. i o J 4f1 �ea;u-<"LL 8 0 00 I I I Id {�'I fncTu.oa y;' II � ILA I I rs�cun>viilc T r _0 T�DK a.•i'er Q I �I — 1 1 I I a.. I I WCHEN ? �. I O O u�nvn I N T WI•�ER t J0161S I ` ,.J j PCp pm AEDROOM tf' Z D 3 i •(o e IS m 1P T FLOORFLOOR P�� i "PPYrieht 2000 . n ITOWN OF BARNSTABLE ` LOCATION SEWAGE # VILLAGE_ ASSESSOR'S MAP & LOT 5-77 `S INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (typo)�.� �'`�� . (size) 3'T+ + N0. OF BEDROOMS BUILDER OR OWNER PERMIT DATE: COMPLIANCE DATE: I r 7"00 Separation Distance Between the: Maximum Adjusted Groundwater Table to the 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 a1 T n vim► � ti . L S .' t! F T.O.F. AT EL. 50.26' SYSTEM PROFILE TEST HOLE LOGS ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) ACCESS COVER (WATERTIGHT) TO ENGINEER: M. FARIA, SE 49 p. WITHIN 6" OF FIN. GRADE MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM WITNESS: GLEN HARRINGTON, RS, SE ' — 48.5' FEB. 10, 2000 R ,* RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE DATE: 47.2 FOR FIRST 2' LRED 1500 — 3' MAX. PERC. RATE = < 2 MIN/INCH a a SEPTIC 46.55' 45 5� CLASS I SOILS P# 9665 N 46.8' - 1 O ) GAS CROSSWAY PL .....---- ' BAFFLE 46.5' �� 46.33' O O O O O O O 3O ag ( M2 % SLOPE) 6 CRUSHED STONE OR MECHANICAL `' 44.67' O O O O O O O C3 V Sou " O O O O 0 0 0 O O TH cWNTY ROAD ELEV. ELE COMPACTION. (15.221 [21) 8oQ� 2' O O O O O CIO O O d 42.67' 1 DEPTH OF FLOW = 4' MIN MIN oa25$ 019 48.3 Olt CP 49.0 1 TEE SIZES: 10„ % SLOPE)( 1 % SLOPE) ( 3/4" TO 1 1/2" DOUBLE WASHED STONE ---- INLET DEPTH = OUTLET DEPTH = 14" FILL FILL LOCATION MAP 7.37' 36„ FOUNDATION— 17' SEPTIC TANK 3' D' BOX 17' LEACHING 32't 30" B FACILITY LS B ASSESSORS MAP 165 PARCEL 59 42 10YR 5/8 44.8 LS ZONING DISTRICT: RC YARD SETBACKS: * NOTE: THIS IS A PROPOSED 35.3' 48" 10YR 5/8 45.0' FRONT. = 20' PUMP AND REMOVE/FILL WITH SAND INVERT OUT OF FOUNDATION EXISTING CESSPOOLS C SIDE = 10' GROUNDWATER EXPECTED AT EL. 10'f REAR = 10' SL PLAN REF. — 146/47 2.5Y 7/6 SL FLOOD ZONE: C / LOT 12A 2.5Y 7/6 HYDRANT UTILITY �15 TAG BOLT #151 POLE 5' REMOVAL OF UNSUITABLE SOIL REQUIRED AROUND ELEV = 52.63' PERIMETER OF LEACHING FACILITY, DOWN TO SUITABLE SOIL LAYER. REPLACE WITH CLEAN MED. SAND f - \9 156" DRY 35.3' 162" DAMP 35.5' 4 NOTES: y Y / PAVED S r DTIr^ r)�� I�ni• (� NOT 1 I.l OWFfI _ _ ASC1 IeFr1 _ . . �_('3 : GA7 i C DISPOSER IS ) I u;yT v w ij Lc1S DRIVE �� �: P �. itESIGN FLOW: 4 BEDROOMS ( 110 GPD) = 440 GPD 2. MUNICIPAL WATER IS EXISTING ' GAR PROP. A D'N , USE A 440 GPD DESIGN FLOW 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. uc -- RE-PLUMB TO EXIT /TH1 _.-EPTIC TANK: 440 GPD (2) = 880 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H— 10 U POST CESSPOOL s AS SHOWN -- 5. PIPE JOINTS TO BE MADE WATERTIGHT. P CP ) LISE A 1500 GALLON SEPTIC TANK / / 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. I r � 1p.3. 1s' I EACHING: ENVIRONMENTAL CODE TITLE V. r l l r 2(39 + 10.83) 2 (.74) 147.5 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE oYLY �� r z EXISTING SIDES: USED FOR LOT LINE STAKING. N TREE OLLY j p DWELL. - 39 x 10.83 (.74) = 312.5 T E t _ BOTTOM: 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 0 / 0 395 0 TF = 50.26' 13' TOTAL: 621 S.F. 460 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITH❑UT USE (4) 500 GAL LEACHING CHAMBERS WITH 21' INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED / �3' STONE AT SIDES AND 2.5' AT ENDS FROM BOARD OF HEALTH. 10, CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE /�/ LOT 13 TH2 j LOCATI❑N OF ALL UNDERGROUND & OVERHEAD UTILITIES PRI❑R � HOLLY 15,310 SFt TO COMMENCEMENT OF WORK. TREE RE-PLUMB TO EXIT AS SHOWN CPLEGEND TITLE 5 SITE PLAN HOLLPROP. ADD'N. 100.0 PROPOSED SPOT ELEVATION OF TREE Y� 46 CROSSWA Y PLACE 100x0 EXISTING SPOT ELEVATION 100 IN THE TOWN OF: HOLLYr PROP. BH o PROPOSED CONTOUR (OSTERVILLE) BARNSTABL.E � TREE ( r�� ^ 700' p i' UTILITY o Eo�e- -- 100 EXISTING CONTOUR PREPARED FOR: POLE ALBERT H. KRAPF � N it LOT AREA 0� )zA eo 15,310 SFf 20 0 20 40 60 Feet BOARD OF HEALTH �? 120.64' WETLAND ELEV. = 9.3't MA / �-aPpRovED DATE SCALE: 1" = 20' DATE: AUGUST 21, 2000 48 EXISTING J7 1 508-362-4541 5 HOUSE _4 4 � J -4 508 362-9880 tJ down cape engineering, inc. H Of MAS ��tH of LOT 14 r�� ARNE yc o�� ARNE H. CIVIL ENGINEERS �� H. OJALA LAND SURVEYORS J. 0.26 o¢ w3oi>�2 0�--01 1 93-9 main st. yarmouth, ma 02675 A OJALA, 1 aiEa DATE