HomeMy WebLinkAbout0039 DAVID STREET - Health 39 DAVID STREET
Osterville
A = 141 — 121
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/ 1 TOWN OF BARNSTABLE
LOCATION SEWAGE #
VILLAGE ASSESSOR'S MAP 6z LOT
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) f�/� �0�(size) 6,w
NO. OF BEDROOMS PRIVATE WELL OR CBLIC�ATE
B LD R OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: U L",
VARIANCE GRANTED: Yes - No
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE. .
Allp-li tt#ion for Disposal War,ks Tea'n-gtrurtion ramit
Appllcatioiv> hereby..rnacie for a Permit to i onstruct (X j or Repair j an individual Sewage Disposal
System at 3
DAVID ST EET, OSTERVILLE
........................... ......... .......
•. LOT 8
.......-•---••-------------- •....................
ROS'S BU$1, CU�n.9dress or Lot No.
.........................................••........................................................
.....
W ROSS B'UIL.D� Address
a ..... . -••.........................................
(� ..Installer ... ......
Address
v, Type of Building Size Lot_.16, 50;0 ,,_,.Sq.Jeet
Dwelling No. of'�Bedrooms...7A........
Expansion Attic (NO) Garbage Gnnder0)
a4 Other—T e of Buildin
YP g •...........-•--••----••--• No. of persons::. ...........••--------- Showers .
a., ( ) - Cafeteria ,( )
Other fixtures ..._-...
Design Flow..5.5............. ... ..... gallons per person er da Total daily flow...-....
W •g P P P Y': ,: y ... .. ..gallons.
Septic Tank—Liquid'capacityy 1.0.Ugallons Length ::g..,�J� . Width 5,..?!!_-... Diameter _N./A:.. Depth 4-.1011
Disposal Trench—No. .....N ...A....-, Width.................... Total Length..........m....... Total leaching area.,.... sq. ft..
Seepage Pit No..................... Diameter....6.�.-�.'.'.-. Depth,:belowlfilet......�..'.-."._.. Total leachi%Area... 2.Z0....sq, ft.
a ) Dosing tank (
Z Other Distribution box..
Percolation Test Results Performed by.. -J e L �A]�,F.tX. Date:
a Test Pit No 1.................minutes. er inch De th of Nest P' ...::..
...
P p it �.3.*.Q.: Depth t� ground water.I�OSITE...........
t� Test.Pit No 2 N A...minutes.per inch. Depth of.'Test Pit .............. Depth to ground water................
............
O 0 FEET TO_ 3 FEET— ................................................ ......... ..
Description of Soil ...... •LOAM..SUBSOIL_(........FEET TO_ 13-.F.E.Ei�_I.._.SAND........
WM ....................... ................................................. .... ........ ....... .. .......• .........
�i --.. -. .- ...... ........ .....:. ......._.................... ...................•...
........ ..4...........................................
U Nature of Repairs or Alterations—Answer when applicable N/A
................•---...••................. .....................
....
Agreement
The, underslgned agrees to install the aforedescribed'Individual Sewage Disposal System in,accordance.with
the provisions of TI.TLE.5 of the`State Environment Code ° `The undersigned further agrees not to place:"the
system in operation until a Certificate of Compliant s` een ' su b th.
sidedg
.......................... A4,
tt
Application Approved By ... -
Application Disapproyed for the following reason ;
......... ...
�
Permit No. 9' w :,.Issued
....................
1 Dare
No..... Fzlsz.....AV .....
THE COMMONWEALTH .OF MASSACHUSETTS
BOARD, CIF. HEALTH
TOWN OF,BARNSTABLE
�r lirtt#tnn nr i n tt11 urkl Zono#rnr#iun Prrmi#
Application is hereby,made for a.Permit to Construct :(X) or Repair ( ) an Individual Sewage Disposal
System at;:
...............................DAVID STREET. •OSTERVILLE. .... ............ .LOT 18....... ......
ROSS BU'.�{pobIff Address or Lot No. ••••••••••••
W ...................ROBS. BU1IIL,UD�1{'Sg.......................................... ..........................................aaaTC3S...........................................
.................. .. ................-................... .................................. ...... ....
Iastaller Address
Type of Building ,. Size Lot.:16 500 ,,,•Sq feet
a .Dwelling—No. of Bedrooms �.....:................. ...gip E4p nszon Attic (NO) Ga)bage,Gt�,zzder,
04 Other—Type of Building N..:A:.............. No. of, erso . Showers.44 ( Cafeferia .(% )
Other fixtures..... .. . ..
..................... ----......------..........................................................
W Design Flow..5 5 .... gallons.per person per days Total daily flow....... :: ., ons.
N ,A ;$
p: Septic.Tank—Liquid capacity 1QQ(, allons Length g,.,�n �WidthS�.�!!..... Diameter ,11T,1A'x Depth 4 lII:=�-(
Disposal Trench—No. ........ .)...
x .... Width................ . Total Length. ....-........ Total leachmg.area.... .... sqs ft.
6' 0" '
Diameter........:.-........ Depth,,below inlet �2.�.-.".... Total leaching area 2.2A. .sq: ft.
Seepage Pit No................ _----
z Other Distribution.box ( ) g tank ( �:
Rosin ) x
aPercolation Test Results Performed.by. �rtaLax --------------.,
a Test Prt;'No l minutes:per inch De th o 'Bet . . Q.'. Depth to. grouridrwateir`b10N
Test Pit'No 2 P 1 � t��" .. 1;
N A mmiutes per inch Depth of tTest Plt ........ Depth to ground water s '
y fJ 2
.......................• Mx•Y•
O Description of Soil....0 {FEET TO... .. FEET LOAM SUBSO[L 3 FEET TO 13 F
. „•,
x
WA .•....................................... ... ti M •....
u ..'. ...... • ...... ....................................................S •.....• ..... • •
U Nature of Repairs or,Alterations ' Answer when applicable N A
Agreement:
The undersigned'agrees to install thetaforedescrtbed�Tndtvidual,Sewage Disposal System in,accordance�with:
the�provfsions of TITLE 5 of the State•Environmental.'C'I''i, ':The undersigned further agrees no'.t-4to!place the
System�,�:m operarton until a Ceruftcate of Coinphanc x end by:' e=board of ealth' t; '
• ..,r7 <�•F'%� "'tl'f` h} e' ,'t � ,'�„'•f�"� ,j •Y•'.., '
r t
*°SignedK.
Application Approved<By � 1
�.
411
j
Ann licatfon Pisa roved or the odlo'win reasons. f
.... .......... , t"�'• .iw? °3 t• - v t s.;•e, fi 1��.
.......:: ......... ......... ....................... .. ........:............................................. ..:.:: f....:.:.r
PermitNo. ............... .... ...... ....................... �. Issued ........................D..a.to...........
k ^' -'+ _ C`t3'..• `4;�P.>, _ _.. ..• es-F x�
s
HE COMMONWEAL,.TH'OF Mi117�9ACHUSETTS
4
•BOARD OF;HEIALTH
TOWN BA�ITI�+IT,IABLE
. .
THIS IS TO.CERTIFY, That the Individual Sewage Disposal;System constructed ( X ) or Repaired:( )
by .
......... ............................................
Installer',,,
.......
,•
at t 1I�' S�REE�T.: ...............:......... .: ° ; ...:................................. ..... ,,:
•-IaQT �$�•••DAV
has been fnstalled Ln accordance w>th;the provisions of TITLE5�,-' The State Environmentsl9Cod1;„as4descrtbed�tr y
the a lication for Dis �f. " `t
PP
posal Works.Construcuon PermitNo
THE ISSUANCE OF THIS qR. FICATE SHALL,NOT�BE C TR A GU A TES THAT THE
SYSTEM WILD FUNGTIO.N'SATI F;`.`CIO
..:
DATE p
......... .................. t .{Ins ector ............. .......
4
THE COMMONWEALTH`OF�MAS8ACHUSETTS `� `• 7�
F-
BOARD OF..1La.. Vok T_H
TOWN OF'BA �S STABLE
No... ...?01....//...
���
rho T, it
( is hereby anted
Permission i y granted „---13___ r
to Construct X ) or Repair ( ) an Ind v swage•Dis
L idual piisal System
at .No.....L.OT...lB...DAu.I,D...STp*,UT.......
. . . ..:..... .. ...,. ..Street
as shown on the application for Disposal Works Construction Permit No... ..�'f Dated.:...................
...........
...
DATE..........:......:..............................................................
............... ' of Health..................... . •,
,.
FORM 36508 HOBBS tt WARREN.INC..PUBLISHERS
No..... :..... ._....... ,: .: ...........
THE COMMONWEALTH OF MASSACHUSETTSX.
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliratiou for Bispaa al Works Tonstrur#ion , ami#
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an In4uidual Sewage Disposal
System at:
...................................•----•-•---------•------...................--------•........... ••--•---•----------•---••-----.............----••.................----•-------......-----.....--•-
Location-Address or Lot No.
......................—.......................................................................... .................--•-----•••-............................
Owner Address
a •-•-•.....-•--•-•---•..................••--•...---......._....-•-•--••----------.................. ..--••...-•••-••-••-------•-•---•------•--...-••---.........................--•----•-•---•-•......
Installer Address
Type of Building Size Lot...........................Sq. feet
U Dwelling—No. of Bedrooms................................ .....Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures ------------------------------------------------------•••••••-•-••-•-----••-•--------------------•-•---•-••-....................-••---...............
WDesign Flow............................................gallons per person per day. Total daily flow----::........................................gallons.
W Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter-___:._.___:... Depth................
x .Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.___---•_-_.-___--• Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by........................................................................... Date........................................
a Test Pit No. 1................minutes per inch Depth of Test Pit....................
Depth to ground water........................
fi, Test Pit No. 2...........:....minutes per inch Depth of.Test Pit.................... Depth to ground water........................
a •-•---•----••-••••-•-••---•----• ......••-•-•-•-••-••••..............•••-•--.......---••-......-•---•----...-•---......._.....-•---•-•-...........----.••....
�O Description of Soil...........................................................................................................................-............................................
e.---.;
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 TITLE 5 of the State Environmental 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 .........................................................-------------------------...................... ---.....................................
r Date
Application Approved By ....................................................
--'------------------------------------------------ .......................... ---------------------------------
Date
Application Disapproved for the following reasons: ---------------------------------------------------------------------------------------------------------------------------------------
----------------------------- ....................... -----.---- -- ------...--------..............---..............------...........------------------------------------------......-----...-- --......................................
Date
PermitNo. --- -- -- -- ----- -- -----...................-------..... Issued\------ ......`
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certifirate of (11a aptinurr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) Or Repaired ( )
by
........... ---------------------------- ------------------ -- -- ` .
Installer
at ---------------------------------------------------------------------------------------------------------------------------------------------------- - ------------------........................--------------------------------------
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction_ Permit No- ------------------------------------------------ dated ................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE ---------------------------------------------------------------------------------------------------- Inspector ---.........................--------.......:............-.....................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE r�
No......................... FEE:--,....................
Disposal Worko %'unnotrudivit. permit
Permission is hereby granted..............................................................................................................................................
to Construct ( ) or Repair ( ) an Individual Sewage Disposal System
atNo...............................................................................................................................................................................................
Street
as shown on the application for Disposal Works Construction Permit No..................... Dated..........................................
---•----- - ------
C�� ~ Board of Health
DATE............................................................`• ...............
FORM 36508 HOBBS✓!t WARREN,INC.,PUBLISHERS
EL. =_50.1 20' lidvv --
YOP OF MUNDAI70N
CONCRETE COVERS
zAYER OF
(PROPOSED) "L/ /
GROUND EL.=-42 0'
i i / CONCRETE COVERS WAS MD STONE
EL-- 50. 0'
4" CAST DaON � � • • • � � � � / i � 7 . � �
P1IL^H 1/4" PER FT. OR SCMMULE 40
P.V G PIPE 5 0, 4" SCHEDULE' 40 P. V.C.D15T. 47
PIPE - IN.
,�0�I• P1ICH 1/B" PER FT �x 15. D' If INVERT 110. 19" _
CHIIVG
6 83' 111I11V
DJVERT CRUS�n :: s 1T OR
46.25 smm : :2:1:Sun s�T f o AVUIVALSNT
APPROVED- BOARD O HALT �T EL.__- - , I q
F HEALTH
EL.= 46.5 EL.= 45.83 °
.SEPTIC TA" EL,= 46. 0' EL.= 45. 0' ° oc
° : - A►As�v sIr�NE
11. 1000 _GALL ONs - o : o
DA TE A GENT 0 -- ° . EL=39. 0
6 0' --�
' LEACH PIT
loolyo-� 10. 0' d
BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE EL-- 35. 0'
OBSERVED WATER TABLE ( / / ) EL---_ X-ZA _
PROFILE OF
SEWAGE DISPOSAL SYSTEM
� I NOT TO SCALE
LEGEND
40 0 `moo � ALL ELEVATIONS ASSUMED
�•fj0 , 0.0 45P=PROPOSED CONTOURS
�5
45P N SOIL LOG P13 7
C:) WITNESSED BY: DONNA MIORANDI
To DATE HEAL TH OFFICER
G e' �, ' � 1 )- TOWN OF _._ BARNSTABLE
off° G; / i �° L O T 19 TEST HOLE' 1
A ( 100 ql, 11 49.5'
N + 0 ¢6, ` EL= 48. 0' PERCOLATION RATE _ MIN./ INCH
�p LOAM
o v$ L » » DESIGN DA TA.'
y 0 49.5' sr� A HORIZON 3
49.5' 3 EL--45. 0' SOIL NUMBER OF BEDROOMS
" K 0' N 45 0, GARBAGE DISPOSAL NONE
rry =�98 \ SAD TOTAL ESTIMATED FLOW 330 GPD
_ \ (110 -GAL/BIB/DAY x 3 BR.)
&� 49.5' Q EL-_35. 0 1000' SEPTIC TANK CAPACITY
LOT 17 �o \ LEACHING AREA REQUIREMENTS
N \ o NO WA TER ENCOUNTERED SIDEWALL AREA 188. 4 GAL/S.F DAY (4- 7/ G.P.D)
\ o o_ BOTTOM AREA M� GAL./S/F DA Y (7 8.s G.P P)
\ \ 1 LEACHING CAPACITY ( BOTTOM & SIDEWALL) 549__ GAL
RESERVE LEACHING CAPACITY 549_ GAL
GENERAL NOTES LOT 18
1. THIS PLAN IS FOR INSTALLATION OF NEW SEPTIC 0 16, 500 S. F JOSS HUA'S PROJECT LOCATION LOT 18
DAVID 2. PLAN REFERENCE 18366 E, SHEET 2 o- 51 00 q�' OSTERi�T.T.F'ET
3. THIS PLAN IS FOR INSTALLATION/ REPAIR OF SEPTIC SYSTEM 110
AND NOT TO BE USED FOR SURVEYING OR ZONING PURPOSES. /
/Ili Of ; APPLICANT DICK SCHRAEDER
4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E P. E ��'� ROSS BUILDERS z
TITLE 5 AND THE' TOWN OF BARNSTABLE RULES AND REGULATIONS - p0 �� LANDLRS.cajxEY
FOR THE SUBSURFACE DISPOSAL OF SEWAGE. •50 L us
5. ALL COVER TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 5� No 35101 N �o OC
12" OF FINISHED GRADE. �tM �`�`?� 1 YANKEE SURVEY CONSULTANTS
6. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE �Si0sAI E�C��� r P. O. BOX 265, 143 ROUTE 149
SAME, UNLESS NOTED BY FINAL CONTOURS. �. MARSTONS MILLS; MA. 02648
7ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE GENERAL NOTES 428-0055 - 4 -
555
OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER A „ EELST
OR WITHIN 10' of DRIVES OR PARKING AREAS. H-20 LOADING a DATE.SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING. 10 GRADE IN FRONT OF GARAGE TO BE cn BAY [SCALE 1 = 20 1-28-92
UNLESS NOTED. DETERMINED BY CONTRACTOR.
8. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL �� �q �O� REV. REV
BE MORTARED IN PLACE. 11. TOWN WATER IS AVAILABLE & THERE
9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH ARE NO KNO WN WELLS ON THE
DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO ADJACENT LOTS. LOCATION MAP JOB NO. 50108 -� SHEET 1 OF I
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY.