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HomeMy WebLinkAbout0096 HOLLINGSWORTH ROAD - Health 96 Hollingsworth Road Osterville A= 140-078 / .i ' I I I Fee 5 0.0 0 No. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zlppficatton for IDiop0af Opotem Comaruction 30ermit Application for a Permit to Construct( . )Repair( Upgrade( )Abandon( ) ❑Complete System O Individual Components Location Address or Lot No. O e;' Name,Address and Tel.No. 96 Hollingsworth Rd Osterville Gaisl Nemetz Assessor's Map/Parcel 140-78 Installer's Name Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. W.E. Robinson Septic Service Eco-Tech P.O. Box 1089 Centerville 43 Triangle Circle Sandwich Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder 0o) Other Type of Building No.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 Re airs o Alteratio (Answer when applicable) Install a new Title 5 leach system �o plans of Eco Tech ETE1411 — 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 issued by this Board ofHealth. Signed v1 Date,�J���`�. Application Approved by Date Application Disapproved or the following re Permit No. r Date Issued ' Fee u 50.00 1Vo. � a� computer: ' Iq THE COMMONWEALTH OF MASSACHUSETTS (.Entered Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0(ppYication for 3Bitpozar *pgtem Construction Permit Application for a Permit to Construct( . )Repair( Upgrade( )Abandon( ) El Complete.System ❑Individual Components Location Address or Lot No. O ne ' ame,Add ss and Tel.No. 96 Hollingsworth Rd Ostervillea i�emetz Assessor's Map/Parcel 140-78 Installer's Name,Address,and Tel.No. 7 7 5 8 7 7 6 Designer's Name,Address and Tel.No. W.E. Robinson Septic Service Eco-Tech ` P.O. Box 1089 Centerville 43 Triangle Circle Sandwich Type of Building: 3 Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(no) Other Type of Building No.of Persons Showers.( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow i ` gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil A �� Install a new Title 5 leach Ns set°eM Toi plans t'o°' (Eco e Ce iappl' T1E= 1411 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 Compl,i 1 ce'has`"been issued by this B and oPfle4lth. Signed 4/+ Date Application Approved by ® Date Application Disapproved for the following rea I F Permit No. .r d Date Issued -- Nemetz THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(X )Upgraded( ) Abandoned( )by W.E. Robinson Septic Service at 96 Holylingsworth Rd Osterville 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 s rmit shall not be construed as a guarantee that the system wil iu �es . Date S Zo3 Inspector d \ No. Fee 50.00 NEMETZ THE'COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS li,5pozaf *pgtem Construction Permit Permission is hereby gr ed to Construct( )Repair(( )Upgrade( )Abandon( ) System located at Hollingsworth Rd OSTERVILLE 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:Construct' /n must completed within three years of the date of this rmi ., Date: / Approved by r / TOWN OF BARNSTABLE !•' LOCATION 96 P61I6 Na,1q WQ t?tL Ro-S O SEWAGE # .=�ao3��f 4kss VILLAGE- o �C-t?iJ c Il�� ASSESSOR'S MAP`& LOT-a-ON INSTALLER'S NAME&PHONE NO. t 6 i�5Q(1J SEPTIC TANK CAPACITY 11606 LEACHING FACILITY: (type) 0`1 D Q_!we 0 5 (size) 2 X 0 A 2 NO.OF BEDROOMS 3 BUILDER OR OWNER CAd NeflAet-2L PERMIT DATE: 5 11-4 I O-3 COMPLIANCE DATE: S lj cf to 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 7 qi 1 Q/1 � f x TOWN OF BARNSTABLE LOCATION 96 NCI/i;yo, wo t ' �� (2eeCA0 SEWAGE# ,iCld3�ra l VILLAGE O'S¢H 0 y c (� ASSESSOR'S MAP & LOT ©� INSTALLER'S NAME&PHONE NO. 1`26 e'J 5©" 5e"P+iC 50V- 2-5, SEPTIC TANK CAPACITY 1 .606 LEACHING FACILITY: (type) a 'D Q�l w6 5 (size) ]t(3 NO.OF BEDROOMS H BUILDER OR OWNER PERMIT DATE: 1,5 1 1 1O 1 COMPLIANCE DATE:T51/ 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 b. o- 3� L v.0 AT_I O.N _VILLAG►- _ — __ 9 ' D R $U I_Lep E R S�tJ�Aal�l-1 E��_A_D(�R-E_S.S __O.ATE_CO:N_�P_l_LQ►1`ICE.-.ISS.UEQ_,�_��_—_ _ ; f IJT.l-. Ficx.-21� THE C&MMONWEALTH OF MASSACHUSETTS BOARDZPF H L - ------OF... ........ ................... .... ..................... ..... ..... ............. . pphra#inn -for :41ii niitt1 Workii Tonstrnr#inn Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ' ocation- ress or Lot No. •- .... .............................................................. ......... =- ------ Installer Address Q Type of Building Size Lot.. _.__SDo.J..__._.___0----Sq. feet U Dwelling-VNo. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons----------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures ------------------------------- -- W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. 9 Septic Tank—Liquid capacity------------gallons Length................ Width--------.------- Diameter---------------- Depth----- xDisposal 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---------------------------------------- Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water..-.-_---.-_--_.--._-.-. Test Pit No. 2...._-----------minutes per inch Depth of Test Pit-------------------- Depth to ground water------------------------ ------------------- -----------------------------------•----•-----------•-•--------'--------------•---'------------'-----•-••-----....----------------------- 0 Description of Soil.................................................................................................................................--------------------------------------- x V• --------------------------------------- ---------------------------------- ---------'---•---'--------- -------------�Xv � ---------------i--- .......................... ----.. U Nature of irs or Alterations—Answer he a livable..V _____ __ _ _______ ----- ® :_ ----- --- k.(_d._---- - O ....... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issue by t boa d of th. Sign ...................... . / Date Application Approved BY ------ -- = .7..- 7- Date ± Application Disapproved for the following reasons______________________________ -----•-•-•-------------------•-•--•--•-•------------•--••---. --•----------- ----------------------------------'------------------------------------------------------------'------------------------------------•-'•............-................................................. / f Date PermitNo......................................................... Issued------- d-- !--• --------- Date No.....Ar_.....• F:as.,�-'............... THE COMMONWEALTH OF MASSACHUSETTS BOARD F H L .... OF... . .... ......... ............................... .----.- -- -------- Applira#ion -fear Biipuiitt1 Workfi Tons#rur#ion Prruti# ' Application is,hereby, made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at• t a. �R .•-- .•_•• -----------------------------------------------.............................................. ocation dress or Lot No. Installer A dress d Type of Building Size Lot_./_ _Q0 a___Sq. feet Dwelling-POS7o. of Bedrooms___________________________________________Expansion Attic ( ) Garbage :Grinder ( ) a; Other—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Other fixtures -----------........................................... W Design Flow............................................gallons per person per day. Total daily flow-__________,;_______________________------_-gallons. WSeptic Tank—Liquid capaciey___________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---------------------------------------- ,� Test Pit No. l_:______________minutes per inch Depth of Test Pit-------------------- Depth to ground water_--_____.____-___-_- Li, Test Pit No. 2................minutes per inch Depth of Test Pit____________________ Depth to ground water........................ .� Description of,Soil - -- -- •-•• --------•-•-- - - -- --- - w W. # 1 U Nature of Xi j rs or Alterations—Answer he alivable Agreement: ' /The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary.Code—The undersigned further agrees not to place the system in '. operation until a Certificate of Compliance has been is ue by t board of "th. • Sign - -- --------- ------- --- •-• - - -•--- ----•--=•------------- ----- ---•----- ` S f Date Application Approved By.._. : .. f�,�' � ......................... . Jt� Date '''-Application Disapproved for the following reasons::____________________________ Date PermitNo.......................................................... Issued........................................................ Date TH,E COMMONWEALTH OF MASSACHUSETTS �t • BOARD O HEAL gyp/} ................OF....., .................... (Irr#if ira' of TlIntphaurr T IS O V2ERTIF 1 e Individual Sewage Disposal System constructed ( ) or Repaired V ----------------------- Installer ._ __ _.__.____ '.. has been installed in accorda ce with the provisions of Article XI of The State Sanitary Co e as described in the `application for Disposal Works Construction Permit No........... 7-. .............. dated-.w._:'_. elC_:*__._- ____. THE,ISSUANCE OF THIS CERTIFICATE SHALL NOT BE--CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE Inspector y • h` C THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH - OF ........-.-. No /s---f -......._ .... FEE --- -•-••--- � Permission is hereV grante ; W . ..................................... ------ •=------•--- to Con '( ) air ( Indivi u}1 e a isposal' Sy at Nb. f' O .. . .-- . lam- --• - Str as shown on the application for Disposal Works Construction P meet w �..,, � � Boa d of -Hea � lffi DATE... /' ----------==- FORM I255 HOBBS & WARREN'•: 1-NC>,,,PUBLISH ER3 - '' j . r 63 �l , 6591 : r , - ' ,I -� � 't V'. I it ...a _ _ S• , r i • o 1 tfaL1. t N, I , r • r, - b W°Li�-� 1 C71T 0�-j� N-1L T2 C tt �,�,LLOD owwwN�r_a„a:__; � '1 Z l4`15. '6v aewwmo reo . Awrpoti1S F-6 I Ot-IS/ IZL LELqPfl) ol— II 3 l5rlr-1Cq �ot-w�T[o�1s. 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' �tFtp � a,ks j� iL i2 ,�i��� i'V-t" - R,mF-t�MAf 6� � ��' 2 L,p� �•�.�xp . vi a'M"*'-cu•,p 6�� --�"�' f- '�2'sat�---•----y,\- ---:W.Ir r�rtRe-<�dt-`?PaM-fo t� Ask- �- - , - - _ Zx��NPS � Ihv /L •li _ - W/�sw� P��-Nw� D MopF'P1a- CAR (�a'"� - -�'•�P� ` � 2wio Leoc�ER. w �'B'��4r�a� -co-a•u ��s�,,-�y �a�►c,ano.�,`�i`rdt$�c1 �}'' t�°/i -- few ra Q Itc98— wl wr"�-� CA. 'r PT - _ I .�--- bF�'.R1-4�C.c�b Ft�-►dui rn..S-'1�.8__ _ '-:'a' c I O C • 1 I �p•�- SCALE: �/ l-I 0�' A►t•NOVE°NY: LQy fMAwM ByRavmw pN(i a ... _ �y__ 7'�l�-�Q ( +��. FOtX.s06'710rJ o�-.I � ! owre: L+ '; —L ---- ---__-= q� of u G j o R o44> MAW*"NUNSER �TERV2L MA • . _771�` PLAN REFERENCE CONTOURS '' €' WNNNO ROAD PLAN BOOK 46 PAGE II EXISTING - - - - - - - 30 ►? o � ! ASSESSOR'S MAP: 140 MINIMAL GRADING PROPOSED 3 o� I LOT: 78 d F< FWO Z Q w oar N g LW> �< 2 Z co - T O V; "l—LOCVS fh \ LOCUS MAP LLZ o NOT TO SCALE 00 '^ w N Q N 34 56.27 ft N Z u 7 J\ e I `v < w = W U J in LOT S W1 .35N . d p Q -1 Z �' AREA - 19421 of +- \ JAW _ o a14 4 ct z I 24'ftxf2.5ftXzfr LEGEND 2 LU LEACHWG GALLERY I EXISTM p I \ SEP GALLON Q W � I � SEPTIC TANK Ell CD e NT �} D-BOX o TEST Pff 0 Q MLn ` ,> 9 EXISTING Z 34 Z z I LEACH PIT O Ft Q;1 W LL GAS LNE LLJ,J > t� J, cMp j-LJ 4O6, TREE O LL w ,� L�• /fJ F- AV NOES.LETTER rDAJOT� . U y =z w I W^tER LNE �' "AK Rom+ v�►E c e -0� WATER $� I - tp cn m GA TE pI z C ,��CIF ` C PA VED MVEWAY "eAGE / � � J 3� DpD1D �� Nn M I g GOUGNANOWR o #1093 0 x p � w Z t _ ` .�. � �FG/S'� . Sq N W 35 64.47 ft �m�dL /'Z H J LL zJ � 0 o J ; SEWAGE DISPOSAL SYSTEM PLAN o LL n. X I BENCH MARK -TO SERVE EXISTING DWELLING Z w CL TOP OF FOUNDATION r) Ov L A N ELEVATION - 37.10 G A I L N E M E T Z Q — SCALE: I in36 ft USM DATUM Assur® o Q b 96 HOLLINGSWORTH ROAD OSTERVILLE. MA p 3 ECO—TECH ENVIRONMENTALwsR H y y 43 TRIANGLE CIRCLE SANDWICH -MA'-0256 CL W j 508 364-0894 ETE-1411 I MAY 8. 2003 1 4 1 1/2 . THS PLAN IS TO BE CONSIDERED'A DRAFT PLAN.UNLESS IT �^ BEARS THE STAMP AND SIGNATURE OF-THE'DESIGN ENGNEER g ORIGNAL PLANS WENDED FOR SUBMITTAL TO THE BOARD ;; OF HEALTH WILL BE SIGNED N BLUE AND STAMPED N RED. 771. SOIL ' TEST ' LOG DESIGN CALCULATIONS z✓ DATE OF TEST: MAY 3. 2003 SOIL EVALUATOR: DAVID. D. COUGHANOWR. RS WITNESS REQUIREMENT WAIVED - NO VARIANCES SOUGHT DESIGN FLOW: 3 BEDROOMS X 110 GPD - 330 GPD x NO GROUNDWATER E ROGLACIALDOUTWASH SEPTIC TANK: 330 GPD X 2 DAYS - 660 GALLONS TEST PIT .1 PARENT MATERIAL: ELEVATION - 35.72 +- PERC AT 62 in 2 MIN/INCH IN C SOILS USE EXISTING 1000 GALLON SEPTIC TANK IF IS SOUND STRUCTURAL CONDITION. IF NOT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) DEPTH SOIL USDA SOIL SOIL COLOR SOL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING DISTRIBUTION BOX: USE 3 OUTLET D-BOX. 0-4 0 LOAMY SAND 10 YR 3/2 NONE FRIABLE SOIL ABSORBTION SYSTEM: A 24 ft x 12.5 ft x 2 ft LEACHING GALLERY CAN LEACH 4-5. E LOAMY SAND 10 YR 4/2 NONE FRIABLE A b o t - ( 24 x 12.5 ) - 3 0 0 ' s f 5-10 A LOAMY SAND 10 YR"3/4 NONE FRIABLE A s d w - ( 24 + 24 + 12.5 + 12.5 ) x 2 - 146 s f 10-38 B LOAMSAND 10 YR 5/6 NONE FRIABLE A t o 1 - 446 s f 38-144 C MEDIUM SAND IO YR 6/2 NONE LOOSE V t 0.7 4 x 446 - 330.04 G P D USE A 24 ft x 12.5 ft x 2 ft GALLERY. Vt - 330.04 GPD > 330 GPD REQUIRED GROUNDWATER ADJUSTMENT LEACHING GALLERY EXISTING WATER BASED ONGROUN BARNSTABLE .G SVEL CONSTRUCTION DETAIL DEPARTMENT RECORDS -- DRYWELL UNIT OBSERVED GW: 3.0 8•-6•x 4•-10'X 2'-9- STONE INDEX WELL: MIW-29 2 h EFF. DEPTH ZONE: B 24.0 ft READING: APRIL 2003 \ o LEVEL: 6.2 \�.1 ADJUSTMENT: -0.5 ft M ` ADJUSTED GW: 3.5 0 NOTES `l " N O 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN 2.5- 8.5' 2 ft 8.5' 2.5' 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. 24.0 ft NOT TO 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS SCALE OF MASSACHUSETTS TITLE 5. SEPTIC CODE (310 CMR 15) 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM, 5) EXISTING LEACH PIT TO BE PUMPED. COLLAPSED. AND FILLED. OR REMOVED 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON, FINES AND DUST IN PLACE 7) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0' BEFORE PITCHING DOWN SEWAGE DISPOSAL SYSTEM PLAN 8) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK ` -TO. SERVE EXISTING DWELLING 9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT GAIL NEMETZ PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. 10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. 96 HOLLINGSWORTH ROAD OSTERVILLE, MA 11) SEPTIC TANKS. SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH ECO-TECH ENVIRONMENTAL y.P SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING 1 2) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED 43 TRIANGLE ;CIRCLE SANDWICH MA 02563? FOR STRUCTURAL INTEGRITY:-INSTALL PVC OUTLET .TEE •FITTED. WITH .GAS BAFFLE. ETE-1411 MAY 8. 2003 1.2/2