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HomeMy WebLinkAbout0242 OLD MILL ROAD - Health 242 OLD MILL.ROO,OSTERV.ILLE A = 142 130 t i 0 0 a TOWN OF BARNS TABLE ° LOCATION L O g Old Will RJ. SEWAGE # VILLAGE O Strr V 1 I I e , M 0. ASSESSOR'S MAP& LOT INSTALLER'S.NAME&PHONE NO. C(U C GQ VO S S 0- SEPTIC TANK CAPACITY. I5 OCR b LEACHING FACILITY: ( .type)5 1 f1 Pi��Y O rS (size) NO.OF BEDROOMS 3 BUILDER OR OWNER U YYl PERMTTDATE: COMPLIANCE DATE: 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 �a = 35 ` ` 3'1 53l/ll I ,' a ._.0 x� . � I t No. FEE / 0) COMMONWEALTH Of MASSACHUSETTS Board of Health, (seyAS*1 �� MA. APPLICATION FOP DISPOSAL SYSKM CONSTRUCTION PERMIT t � - pplication for a Permit to Construct(4-)�epair( ) Upgrade( ) Abandon( ) - O<o'-mplete System ❑Individual Components Location r Owner's Name T S , �UZ7 MIIL oA1 ©S Hovti(4S /�l t L1jS Map/Parcel / Addressfo ND Lot# I Cam. o 5 ` Telephone# t 0 Installer's Name Designer's Name �� t,f� tcV SJCT ju-,�s Address Address yCj j3, „`�u%,Iv' R� M b-k%'Ib tjS µ l"-( Telephone# Telephone# La S- I3S45- Type of Building �J1 l�1(t�l.L �,� © � Lot Size i f sq.ft. Dwelling-No.of Bedrooms 3 Garbage grinde/VC° Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min.required) 3 3 gpd Calculated design flow 3 0 Design flow provided I gpd Plan: Date 8-I - 9 10/ Number of sheets Revision Date Title S e i t t Se a,C AJ Description of Soils) P J, �P3 0 Soil Evaluator Form No. Name of Soil Evaluato%01CIL& y y ate of Evaluation 3 '-oZ 3`ctcr- 7 DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further a es to not to p e t tem in operation until a Certificat not Compliance has been issued by the Board of Health. nn ll�l�Signed VV 11,/4. . ,� � GAi.rtb Date IP E MIR f W No. /� ... FEE � "" V Board of Health; (J�2,l hS�� �' 1►�q, APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERMIT �( pplicatipn for a Permit to Construct(L)-'Itepair( ) Upgrade( Abandon( &complete System ❑Individual Components{ . Location �Q L ,J L O A Owner's Name T Hv m tq S S /i 1 r L b S Map/Parcel �F3 Address O Lot# $ IfoLvassA Telephone# t C)(:�CD Installer's Name + Designer's Name A cpe, S C,,/v 4 U UC7 ,y N Address U Address '/(j Telephone# e Telephone# I-P$- 33S -- "" Type of Building 51 N G LL,,-t�(�11 l.y -Lot Size �1 oo 1 sq.ft. Dwelling-No.of Bedrooms Garbage{grindevvo Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) ' x Other Fixtures Design Flow (min.required) 3 3 gpd Calculated design flow 3 o Design flow provided J V gpd Plan: Date V-q- 9 Number of sheets Revision Date Title S (-)t+ S-C/27'1 C ,pj g AJ' Description of Soil(s) //__,, V . cy Soil Evaluator Form No. Name of Soil EvaluatogrVC¢-V' � ate of Evaluation 3 'a 3- r. 44' DESCRIPTION OF REPAIRS OR ALTERATIONS " • r, The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions 6f TITLE 5 and further a es to not to pjace system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed M Iaaspec-ems474 r 16,1&P j No. COMMONWEALTH OF MASSAC14USETTS FEE�t� . Board of Health,_ C&-r w 0ctL /-Q - , M. x CERTIFICATE OF COMP ,IAN�E Y Description of Work: ❑Individual Component(s) complete System The undersigned hereby certify that the Sewage Disposal Sy Co struct�( R aired ( ),Upgraded ( ),Abandoned by -'! i. at O L D M /L.L.. QO 01� 1 has been installed 1 accordance with the pr visio of 310 CMR 15.00 (Title 5) arid the approved design plans/as-built plans relating to application No. / '�� dated/I /G 1 Approved Design Flow I ' (gpd) Installer Vj Act- SJ�j J, F Designer.\IANiel-SuJV 6u'\So(TAN7--�* Inspector: Date: The issuance of this permit shall not be construed as a guarantee that the sytem will function as designed. No. 9 N a FEE COMMONWEALTH OF MASSAC14USETTS 7 Z/,T 0 'Board of Health, i to% DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct(W Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at "'' 2 'C�.� O C 1� 2"e�- R d A as described in the application for Disposal System Construction Permit No. (, dated Provided: Construction shall be completed within three years of the date of this permit. All loc conditions must be met. � Form 1255 Rev.,5196 A.M.Sulkin Co.Boston,MA Date !! / i Board of Health '� l �i % TOWN OF BARNSTABLE LOCATION L O 1 $ 0 RJ. SEWAGE # viZ LAGS S er v i I J e- M 0- ASSESSOR'S MA P& LO0 INSTALLER'S NAME&PHONE NO. C GL J F C Q VO S S a Tr, x Ca v a i n9, v SEPTIC TANK CAPACITY 1500 O LEACHING FACILITY: (type)S in Pi I r O r S (size) NO.OF BEDROOMS 3 BUILDER OR OWNER Th tD rn 00 1 e— I OI S PERMITDATE: COMPLIANCE DATE: 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 3a � -- Aa = 35 ' 53V 4a= 6,,/�' i , o 3 g3 I� r: . . OL p 'VX44 I Adw 45 98. 75 '90440 LOT � S.F J3. 00J s . N •N i * tip PLAN REFERENT. L OT B2 41 ILAAV COwT c. TOAw REFEREMCEN r;_.Iv ti ASSESSOR'S MAP J42 V) RCEI J30 Loral a ONE.• 'RC" W SETBACKS. W a a FRONT 20 t CAR: � o o SIDE JO :,. 52• ., Z REAR 10 127.24 _ S .9510 Q LOT so -41 'TO THE BEST ac- MY KNOIVLE06E, THE FDUNDA TION PLOT PLAN OF SHOMAf ON THIS PLAN IS AS ST ACT, rh Y EXISTS AND LAND THAT I T CONFORMS TO THE TOMN OF BARNSTABL E ����" �' s., L OCA TED IN ZONrN6 RE6uLA TIONS, AE6ARDIN6 YARD SETBACKS" BARN.- —OSTE�q,V,j'L L E— M RICHARD %: A oA rE NE 1. 2000 PREPARED FOR � FERREIRA :� PARK ' No. 31309 — — ' P.L:S, �f o o� A VE. CUSTOM HOMES F4 OW ZOME C (,VaV-HAZARDI > ` DA TE•a fAVE J• 2000 SCALE: 0/�UyOC/PSCALE: J 90 FEf7REIRA ASSOC.IA TES f �^ 1_a 4 Qen r.... - - 5 �J J I I Y a t J' a• i d i - ; J. h' i •Io aECIt_I � � � � �.. II: j 5 _ .I_�_. "��•aC. �ftoy�! KITCHEN ➢I KING i i 1➢ t. W. I •t�tl QI. . n I 6Md MI".I%' EN dust All 6) o. • � j a o� 1 a o ........�:o'..j a:o' � FIRST FLOOR FR/yt\IV ��. . Ia.o I . .. ��AitT�tWMl 4LIYlTTIwLL aa.tll a.0�'• �i �- �o Ycitt♦s tcpulaap p , A FIRST BOOR PLAN A2 `� ey o<O. —Y—yllthef wit jssfi4g, /q 30 old'14,// 2rl Town of Barnstable lea V Department of Health,Safety, and Environmental Services �VV Public Health Division Date 314 Z9 Si. 367 Main Street,Hyannis MA 02601 . � 6 RT ARNA91l. . MASKP ' 1619. .� Date Scheduled 3 — Time Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: v rUCc Witnessed By: IX0Y A— . YIA 10 LOCATION . : GENERAL INFORMATION ',t Location Address OL b Ala, 2QA Q Owner's Name T`Ioyr'•J?.J' ��C L[�U S r6)e Vi L--L E Address Assessor's Map/Parcel, ¢Z, //3 Engineer's Name reuc NEW CONSTRUCTION REPAIR Telephone N Land Use (hJoc�� e�' Slopes(%) Surface Stone; Distances from: Open Water.Body _ft Possible Wet A.�a ft Drinking Water Well '—' ft Drainage Way ft Property Line ft Other ft SKETCH: (Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) u Parent material(geologic) K4CUC 0- Depth to Bedrock _ Depth to Groundwater: Standing Water in hole: NO IJ L Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment . _Q. Index Well N Reading Date: Inde. W level Actj.factor Adj.Groundwater Level PERCOLATION TEST Dah3 a�Time /0 A Observation Hole N. Time a!9" Depth of Perc Time at 6" Start Presoak Time® 10-` J—/ _I Time(9%6") _ End Pre-soak V1 /0•SY At` Ike c4o�q-�Z '10m,�i ��Ilw.s Rate h1in./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y" Original: Public Health Division Observation Hoi: Data To Be Completed on Back--.� Copy! Applicant DEEP OBSERVATION HOLE LOG Hole # J Depth from Soil Horizon Soil Tcxturc Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulderes. % Id ��� r3 S /°M S- L DEEP OBSERVATION HOLE LOG Hole # a I)cn!h from I Soil 1161izon I Soil'fcxture Soil Color i Soil. I. Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulderes: . % o - r 0h s L a4S 7 y-a i0YS"-(8 a�Sy 7` 1 JtrO ro�r'� � �G6G DEEP OBSERVATION HOLE LOG Hole # Depth from Soil Ilurizon Soil Tcxturc Soil Color Soil Other Surface(in.) (USDA) (Munsell). Mottling Structure,Stones,Boulderes. % DEEP OBSERVATION MOLE LOG Hole # Depth from Soil I lorizon Soil Texture Soil Color Soil Other ;Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes, % DEEP OBSERVATION BOLE LOG Hole # Dep:h from Soil Hc.izon Soil Texture Soil Color Soil Other Su—v„ e(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. 'Insistency.%C)raYel) .c i APPLICATION FOR PERCOLATION TEST- AND .OBSERVATION PITS :,OCATZQN. DATE V�e IILLA ;—A i� C_v r %PPLz T, �v2�1 ���=L;�s �;s-' „FEE �DDRE TELEPHONE NO. " (�1on--refundable, SNGINFEF =r_%. C.a-r'v I-=.�G�!� al /4'1i�,/✓� TELEPHONE N0. JJG✓� S 8 1 DATEApplicant' s signature , ASSESSOR'S UP& .OT NO. . . .. . . o. . . o . . . . . . . . . . . . . . .. .a . . . . . . . . . . . . .. . . . . . .. . . . . . . . 411/1 3 SOIL LOG SUB DIVISION NAME" /�3�,/_, ,DATE TIME 3XPANSION-AREA: YES --'NO ENGINEER . rowa`WATER ✓PRIVATE WELL E z> . BOARD OF HEAL•TI EXCAVATOR SKETt�'percolation .Street name,etc. ,dimens.ions of lot, exact location of test holes and tests, locate wetlands in proximity to test holes) NOTES: aG , o . - " r �I .4 ?ERCOI+I '- IT,-RATE: L z we .� �� ( `( VEST VIOL �64N0:. ELEVATION: TEST HOLE NO: ELEVATION: ,. _ P`a 2 2 g 3 .� 11 ��b�✓r-1 5 - i 8 g 9 9 io - 10 12 2 1 13 13 . 14 14 15 ; is 16 3UITABJP,E, FOR SUB' SURFACE SEWAGE:- LEACHING FIELD LEACHING PITS 1/ LEACHING TRENCHES 1NSUITABLE. FOR SUB-SURFACE SEWAGE. REASONS: IOTE:- ? ENGINE2RING PLANS MUST SHOW NUMBER ASSIGNED ON. PERC TEST APPLICATION )RIGINAL: COMPLETED -IN ENTIRETf PY P AN ETURNED TO BOARD OF HEALTH ::OPY: RETAINED BY APPLICANT — i OSTER VILLE PLAN REF. 18366 J / ASSESSORS MAP 142 BENCHMARK / \ RES. ZONE.• "RC" TOP OF CONCRETE BOUND \ � SETBACKS.• SEAPUIT y EL=100.0 (ASSUMED) \ \ FRONT 20 ROAD 1 LOCUS - / \ SIDE 10 cn _ CB. REAR 10' (fnd) R \ FLOOD ZONE.• C O EE / L 62.45 EAST B . LOT 81 �, ZS' ��os �2o BAY .4 fnd ASSESSORS CA LOT130 y >/A �, ogAREA=13,001f S.F. o � W cS J .. LOCUS MAP � � �W . — 4J � � a 04 No.749 9/ f00 - - PROP. 3 BEDROOM HOUSE I \ _ _ tK- i DECK =_7L. _ SITE & SEPTIC PLAN tK TP ti ,ti o o r �� PROJEC T L OCA T/ON LOT 81 lb ° o ti° ��' - OLD MILL ROAD o = o --- OSTER VILLE; MA. �ti \ -___ Q \ �.0 APPLICANT- , THOMAS SHIELDS BENCHMARK. TAG BOLT ON HYDRANT \EL. ,—�100. 0 (ASSUMED) _ ONS UL TAN TS HOUSE YANKEE SUR VEY C o P. O. BOX 265 tiYo = UNIT 5, 408 INDUSTRY ROAD 1p \ o MARSTONS MILLS, MA. 02648 ASSESSORS LCT)515SORS 76 =-= PH.(508)428-0055 — FAX(508)420-5553 LOT 131 SCALE: 1 "=20' 1 FDA TE. 819 99 STK&NAIL (fnd) REV.• 9s ) JOB NO, 51852 SHEET 1 OF 2 t E�. = 104_50' ' TOP OF FV UNDATION 20' MIN. 10' MIN. CONCRETE COVERS 4" SCHEDULE 40 P. VC ti " MIN. PI7rH 1/8 PER FT. 2"LA YER OF / CONCRETE CO VER WASHED STONE MAX � / / �7i. .. , . . � / EL,=101.50 EL=101,0 ` 4" CAST IRON PIPE (OR EQUAL MINIMUM PI7rH 1/4 PER F7 CLEAN SAND 9" + FLOW LINE 5'. MIN. EL=9 8 0'. INVERT 1 10" 14" — 100 50' MIN EL.----' CAS INVERT' LEVEL ° ' 001 °°uo 0 aG 6 . SUM o 00 0 o 0 o INVERT BAFFLE EL.—100.0_ INVERT INVERT,:- oo °0 0 000 EL.= 100.25' + EL.=_99.50 EL.= 9_9. 25_ °°° . = ° EL.=96.5' (7V BE PLACED ON F/Re, BASE) DISTRIBUTION , MFs1CHAN/CALLY COMPACTED OR s" OF S7t7N!' - - BOX _15p1L—_GALLONS TO BE WATER TESTED 11' X 38' TRENCH FORMATION . +SEPTIC TANK IF MORE THAN ONE OUTLET qj PLACE ON 6 STONE 314" SOIL ABSORPTION PROFILE O F • DOUBLE WASHED STONE SYSTEM (SAS) i SEWAGE DISPOSAL SYSTEM _ y BOTTOM OF TEST HOLE OR USES PROBABLE WATER TABLE ELEV. =_88.0 _ NOT TO SCALE NO OBSERVED WATER TABLE (3123199) ELEV.=_ 88.0 OBSERVATION THOLE 1 . ELEV.=_IOI- PERCOLATION RATE 2_ MIN./ INCH AT _48." INCHES s OBSER VA TION HOLE 2 E'LEV.=_l03 _ ' DEPTH HORIZ TEXTURE COLOR OTT. OTHER DEPTH HORIZ TEXTURE COLOR OTT. OTHER 0"-10" A SANDY.LOAM 2.5Y4/2 - O"-10" A SANDY LOAM 2.5Y412' 10"-36" B LOAMY SAND 10YR5/8 10",—36" B_ LOAMY SAND 10YR5/8 GENERAL NO TES 36"-156". C MEDIUM SAND 2.5Y7/4 PERC 6'"-13"2" C MEDIUM SAND 2.5Y7/4 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P.. TITLE 5 AND THE TOWN OF _BARNSLIBLE____ RULES AND C REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. NO 'WATER ENCOUNTERED I I-NO WATER ENCOUNTERED 2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO SOIL TEST SOIL TEST WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12" DATE OF SOIL TTEST 3/23/99- SOIL TEST, DONE BY BRUCE G. MURPHY, R.S. 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITNESSED BY: DONNA MIORANDI WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN DESIGN CALCULATIONS.' 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. P # 9380 NUMBER OF BEDROOMS . . . . . . . . 3 4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL GARBAGE DISPOSAL . . . . . . . . . NO BE MORTERED IN PLACE. - TOTAL ESTIMATED FLOW GAL/DA Y 5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH ( 110__CAL/BIB/DAY x 3_-- BIB) 330 DEEDED OR ZONING REGULATIONS. A OWNER PPLICANT IS TO TOP : OAD / REQUIRED SEPTIC TANK CAPACITY 1500 _ GAL OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 5 INFILTRA TORS WITH STONE SOIL CLASSIFICATION . . . . . . . . I 6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR 11' X, 38' DESIGN PERCOLATION RATE . . . . . < 2 MIN./IN. IS TO CALL "DIG— SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS 74 GAL/DAY/S.F. PRIOR TO COMMENCING WORK ON SITE. "ClEFFL DENT LOADING RA TE . . . . . . 7 CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS INSTALL L1 ACHING IN LEACHING CAPACITY (AREA X RATE) 381 GAL/DAY SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. HORIZON OF. 'MEDIUM SAND, RESERVE LEACHING CAPACITY . . . 381 (,AL/DAY 8) PARCEL IS IN FLOOD ZONE __"C"_____. " (38 X 11 X . 74)+(38+38+11+11 X . 74) 9) LOT IS SHOWN ON ASSESSORS MAP 142 AS PARCEL _130 _ SHEET 2 OF 2 JOB NUMBER____51B52_____