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HomeMy WebLinkAbout0394 OLD MILL ROAD - Health 394 OLD MILL RD&STERVILLE A=1.43-021.002 o a � e V e„ TOWN OF BARNSTABLE LOCATION Q /�ZL4 AX- SEWAGE # � VILLAGE- cQQ =.SSESSOR'S MAP,& LOT /Y 3 d;B- 'P4 INSTALLER'S NAME&PHONE NO. M -- SEPTIC TANK CAPACITY 9, LEACHING FACILITY: �� � CA ,60 (size) �°'®51BA' . (type) �, size NO.OF BEDROOMS BUILDER OR OWNER LLU l G f! PERMITDATE: — id - 2-9—COMPL ANCE DATE: / "7 YY 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 if' � 6e 6' izx� 61,1� s . F No. / Fee ��• THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: _1Z1 Yes / PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS +� 01pprication for Zi5po!6ar *p5tem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 1 Ij,�� k 1.Z Owner's Name,Address and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: !� -� 1 Dwelling No.of Bedrooms Lot Size T sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow ® gallons per day. Calculated daily flow ���— allons. Plan Date Number of sheets Revision Date 1✓ Title Size of Septic Tank J 0 V Type of S.A.S. Description of Soil A.5 Nature of Repairs or Alterations(Answer when applicable) 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 TW of the Envy' mVital Code nd'not to place the system in operation until a Certifi- cate of Compliance has been issue is Board of"1I4 tfi� Signed Date Application Approved by o Date �® Application Disapproved for the following reasons Permit No. `47r Date Issued l d --------------------------------------- Y No. S( O _ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: M. Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for Migpogar *p! tern Congtruction°Vermit Application for a Permit to Con struct( )Repair( )Upgrade( )Abandon( ) O Complete System El Individual Components Location Address or Lot No. ]?<jq D�� 1 Owner's Name,Address and Tel.No. Assessor's Map/Parcel J I -)3 Installer's Name,Address,and Tel.No. �— Desi ner's Name,Address and Tel.No. A Ye;,77[= 14 VI x L _ 5 UPI/ Type of Building:Dwelling NNo.of Bedrooms Lot Size4> 5 l sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) ' Other Fixtures Design Flow gallons per day. Calculated daily flow Z - llons. Plan Date Number of sheets Revision Date Al e- _Title Size"of Septic Tank _'S__0 D Type:bf S.A.S. Description of Soil /'L- .1 oF �r Nature of Repairs or Alterations(Answer when applicable) 4 N Date last inspected: ' Agreement: g` The undersigned agrees to ensure the construction and maintenance of the afore descrilzed on-site sewage disposal system in accordance with the provisions of Title'S of the Environmental Code andnot to place the system in operation until a Certifi- caterof Com y`. ipliance has been issue s Board of Health. Signed :� Date Application Approved by '_l ,- Date e Application Disapproved6for the following reasons ' f p , Permit No. S�f- Date Issued / ld THE COMMONWEALTH OF MASSACHUSETTS,----- - ---- - BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( Repaired ( )Upgraded( ) Abandoned( )by at 3 C7y z v�� 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 this permit-shall not be construed as a guarantee that the system will function as designed. Date Inspector 9 ——————— ---=--=------------------------- No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS e Mtgpogal 6 gtem� ,�Congtructton Permit Permission is hereby granted to C nstruct Re ( )'Upgrade( )Abandon( ) System located at_ 9 �/�' '11 po (9 f " '16L 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 r i p y g p s o special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: Approved by \� I No. FEE COMMONWEALTH OF MASSAC14USETTS Board of Health, B&AgeTff 13),re MA. APPLICATION FOP DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair( ) Upgrade( Abandon( ) - ❑Complete System Vindividual Components Location 3'9q 040 M y L 0 05- Owner's Name Map/Parcel# f 3--0Z/_ 00 Address Lot# Telephone# Installer's Name Designer's Name Address Address LD Telephone# Telephone# 9190-1 Type of Building Lot Size 4 3 5 61 sq.ft. Dwelling-No.of Bedrooms 4- Garbage grinder (4AO Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures ,�yy Design Flow (min.requi ed) 4 gpd Calculated design flow Design flow provided gpd Plan: Date Zge Number of r sheets� I „ Revision Date I 1 •`6,•,�0 0 Title P/_Aaj g `' �"M6 T W rVSA&XS 6�ff PK,206SP.P 51_15tS�.�A49 SEV70 i Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator ,}fi A t1nM1-3 Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS 1 f)1 ZQ (�£i— S`r' ) Z1.S S •A.5 . o The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date r Inspections No. FEE COMMONWEALTH OF 1` ASSAC14USETTS Board of Health, MA. CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned ( ) by: at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow (gpd) Installer Designer: Inspector: Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. FEE COMMONWEALT14 OF MASSAC14USETTS Board of Health, MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at 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 local conditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date Board of Health No. FEE COMMONWEALTH OF MASSACHUSETTS Board of Health, V�A ►.1 j a V31 e MA. APP`] 1CATION FOP DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct O RepairO Upgrade Abandon O - ❑Complete System Vindividual Components .01 Location ') 9 L O M LL 9,© loet.61 Owner's Name Map/Parcel# (jQ Addresiri Lot# Teleph�ne# Installer's Name Designer's Name Cpt Address. Address L•v PL'(Pl1/ouT,4 RD` Telephone# Telephone# Type of Building `tf Lot Size 435 Q! sq.ft. Dwelling-No.of Bedrooms Garbage grinder ( () Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min.required) 4 gpd Calculated design flow Design flow provided gpd Plan: Date 9 �- Number of C6ets—] Revision Date I • G €! Title �i At �) ti , Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator Date-of Evaluation g DESCRIPTION OF REPAIRS OR ALTERATIONS 1 1-Ar Rg 4 The undersigned agrees to install the;above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. w Signed Date Inspections No. FEE COMMONWEALTH OF MASSACHUS�ETTS ' Board df Health, MA. CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( );Upgraded ( ),Abandoned ( ) by. at ter; has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow a (gpd) Installer Designer: / Inspector: Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed. r _ No. FEE COMMONWEALTH OF MASSACHUSETTS ' Board of Health, MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. dated r Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date Board of Health i uo Nsra-L�. GA-S ��-c.>c L TEST PIT D, T,9 GENERAL NOTES.' Toy o� �ou�� r�o+ t� ou-2e-r TEz SOI !. THIS PLAN IS FOR THE DESIGN AND g L , 0 1,0 0 INVERT ELEVATIONS.• r.P. -! ,� T.P. -R c CONSTRUCTION OF THE SEWAGE DISPOSAL G.h'. ELL E�,• GRNO. EL EV. FACILITY ONLY. INVERT AT BUILDING ►d G. W. ELL'{ . R. ALL CONSTRUCTION METHODS MATERIALS AND INVERT IN A r SEPTIC TANK . MAINTENANCE FOR THE SEP7IC SYSTEM SHALL p p , CONFORM TO MASS. 0.E.0.E. TITLE 5 AND LOCAL INVERT DUT AT SEPTIC TANK _�36.�� ACCESS COVERS MUST BE l✓ITHIN 6 ' OF FINISH GRADE. BOARD OF HEAL TH REGULATIONS. INVERT IN AT DIST. BOX ° 6 67 ova INDICATES ,D� g•�'�`.g. 3. VLL SEPTIC SYSTEM COMPONENTS SUBJECT TO INVERr OUT AT Mr. BOX p1 :7 0 70 L g4.00 PERC. TEST EHICLE LOADING (I.E. UNDER DRIVENAYS, ETC.J INVERr IN A r S.A.S. 0 SHALL BE DESIGNED TO YlTHSTAND H 20 LOADING. - --- MIN. 2' OF 5 6S $ BOTTOM OF S.A. S, a 3 •�O 4 MIN. J/B'-!/2' DIA. L IOUID *ASHED STONE INDICATES 4. ALL SEWER PIPE SHALL BE SCHEDULE 40 OR OBSERVED GROUNDIVATER OBSERVED APPROVED EQUAL. ADJUSTED GROUN9,YA TER !0 ' ti DEPTH DIST. ti GROUNDMA TER 00 GAL• BOX N W 3/4 -! !/2 DIA. p 5, BEFORE STARTING CONSTRUCTION CALL DIG SAFE = WSHED STONE _ l-B00-322-4844 FOR LOCATION OF SEPTIC TANK •H-)O j UNDERGROUND3 p INDICATES UTILITIES. SEPTIC Ti(MC cs' D-BOX Td BE SET ON A TEST PIT 6. DATUM IS A-55 V 1`)f,.-V 6 BED OF COMPACTED CRUV ED STONE. PROP. S.A.S. CONTRACTOR TO MATER TEST D-BOX TD 7, NO DETERMINArIOV HAS BEEN MADE AS TO COMPLLANCE SHON LEVEZNESS. WITH DEED RESTRICTIONS OR ZONING REGULATIONS. IT SHALL REMAIN THE OMNER'S RESPONSIBILITY TO OBTAIN ALL REOUIREO PERMITS, SPECIAL PERMITS, g VARIANCES, ETC. FOR THIS PRO✓ECr. DATE.' f"'he,-soA►K 1 "" 'r� - �?t-� �1'L Lfl-r- D �V Iz.v� > >--s B. IT SHALL REMAIN THE Of✓NER S RESPONSIBILITY TEST BY.• y • �} L L1 a) y,A-L ,1'a-'T'o Q TO HAVE THE PROPOSED DWELLING FOUNDATION DESIGNED TO ACCOUNT FOR THE EXISTING GRADE c I�� ' '� �"�` '' '� D U �}� _ (0 l !t -- ' Bad WITNESSED BY.• T. J� iU 6 �(9 AND SOIL CONDITIONS AT THE LOCATION OF THE _ 11 �% , PROPOSED DY&L LING. ; � 1 °a• 4 Avrf + -�1 • ��(A ai-� PERC. RATE __!LE_ MIN./ IN. 11--s C) S-r"�A Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other �� ��• ' !" (Inches) (USDA) >> � DESIGN CRI TERIA: ra ) tMunee111 (Structure. Stolle, Baddere. .(L � -r ' o ' FLOk �' __'we '�'- 5 ' ��= c`�ip '° '` BEDROOM DYMING B 110 GAL/DAY PEA BEDROOM J�_Q p F SY 3 , / ��t 1', � > N y 3 �a C.����• ��� .��,������ ,:� � � EQUALS GALS. PER DAY. . ,,`tie; 4 ( �►.,� t,� by / t/ S � �� /Y `�J�iv', SEPTIC TANK REGUIRED.• 3� GPD � a :�.� � � , 0 T X Z00,r GAL. "30 Kw!v,� ,�T a _ pfCs l 3 6l 3 "US ►„� SEPTIC TANK PROVIDED.' -1� GAL. �� // �' d / 3G P rzoPo r rG D S . • S SIZE OF LEACHING FACILITY REOUIRED . DESIGN PERC. RA TE a MINUT S N S E /I CH �� '.�A' 30-" �1 ,�,� _. . �� .� fD Yf� , a_�r 3G 37 33 o GALLONS PER DAY 7rG l/ LEGEND M SIZE OF LEACHING FACILITY PRO ED.' m a� � o_ •r° G`1'R G�PAG t Lf C'�t�sGFL'F'�'Ir EXISTING CONTOUR L � u� s vc. u2s14 S'i'o�E SIDEWALL S.F. X 0 •-7'4 - 1 1 2. GPO PROPOSED CONTOUR BOTTOM 3 2 5 S.F. X 4-0 GPD 9 0, ' TOTALS S.F. `L GPD �� ' 50 = PROPOSED SPOT GRADE B. "d. DIRECT1_01 OF ST0RMf✓,4 TER TOP OF dAf7/`✓STABL F` F�OAO B0U)✓DT _ EL_._ ..- "4 00..00 (45SUA1ED) RUNOFF 223. 00 \ REVISIONS.• N0. DATE REVISION OF M�� �`t `'• OGER N R - — j:;11CHN EWICZ � 042 0 1994 v`Y'Q CIVIL O Rk s.A.S \0 -7 '27 AT 8, 0 1 t7A 7E PFROf ONAL EiU I R CI6'IL ( 99. PROP. 'P¢o�7. I DECK h,nA� A t 132f OF 4 P uL PZ-AN SHO.WING THE JESITOI OF A PROPOSED R'),1 SUBSURFACE SEPTIC 015POSALl- SYSTEM Z-0/T 2, 394 OL B XIL L ROAD BARNSTABL E MA �s_► SCALE 1 " = d0 ' IUI Y 2� 1998 SOT 2 � 1d CAN4L Z-AA0 SURVEYING 306 OL,O P! YYOUTf,' ROAD, BUL?4RJS S/ r; YA Da Tf_' PR0rc�aSlO�"✓QL � I c o 223. 00 PROJECT MAIRER 98-106 i 4� a14 FSENERAL NOTES.' u e`t'�; N 9r,4-�L G qrs .� SOIL TEST PIT DATA mac'o P ®t. �ou>`••bA�sf)�*-� t+.s ���'2�'t I r�IS PLAN IS FOR THE DESIGN AND INVERT ELEVA TIONS.' L"' "0 T.P. -1 T.P. -2 CONSTRUCTION OF THE SEWAGE DISPOSAL GRND. ELEV. GRND. ELEV. FACILITY ONLY. INVERT AT BUILDING ►00 G.W. ELEV. G. W. ELEV. 2. ALL CONSTRUCTION METHODS MATERIALS AND INVERT M A T SEPTIC TANK 9 r..� MAINTENANCE FOR THE SEPTIC SYSTEM SHALL 06 to ACCESS COVERS MUST BE WITHIN 6 OF FINISH GRADE. CONFORM TO MASS. D.E.O.E. TITLE 5 AND LOCAL INVERT OUT AT SEPTIC TANK Fir•-��S+-� � D� BOARD OF HEAL TH REGULA TIONS. INVERT IN A T DIST. BOX °!5 ov ,., ,g. INDICA TES 0 PERC. TEST 3. ALL SEPTIC SYSTEM COMPONENTS SUBJECT TO INVERT OUT A T DIST. BOX •�d ��O •OQ VEHICLE LOADING (I.E. UNDER DRIVEWAYS, ETC.) INVERT IN AT S.A.S. QQ ff SHALL BE DESIGNS TO WITHSTAND H-20 LOADING. BOTTOM OF S.A, S, ©t 3 ' 0 :L°' 4' MIN. ` 1/6I-1/2' DIA. MASHED STONE INDICA TES. 4. ALL SEWER PIPE SHALL BE SCHEDULE 40 OR OBSERVED GROUNDWATER o LIQUID �" OBSERVED APPROVED EQUAL. ADJUSTED GROUNDWATER 10" ' DEPTH DIST, t� GROUNDWA TER N lk 3/4"-1 1/2' DIA. p 5. BEFORE STARTING CONSTRUCTION CALL DIG SAFE = ��OO GAL. BOX W WASHED STONE 1-800-322-4844 FOR LOCA TION OF SEPTIC TANK •H-)O Oj 3, O INDICA TES UNDERGROUND UTILITIES. TEST PIT SEPTIC TANK 6 D�-BOX TO BE SET ON A �- �� � 6. DATUM IS A-55V me,V CONTRACTOR ED OF COMTO PACTED c€ -BSUVED T TO PROP. 'S.A.S• 7. NO DETERMINA TION HAS BEEN MADE AS TO COMPL LANCE SHOM LEVELNESS. WITH DEED RESTRICTIONS OR ZONING REGULATIONS. -Z d IT SHALL REMAIN THE OWNER'S RESPONSIBILITY TO g OBTAIN ALL REOUIRED PERMITS, SPECIAL PERMITS, DATE.• VARIANCES, ETC, FOR THIS PROJECT _ I -7 A3/q 4;'r r-•s -Pr L Lfli- D � 8. IT SHALL REMAIN THE OWNER'S RESPONSIBILITY f•' oAK 1 �^ TEST BY* TO HA VE THE PROPOSED DWELL ING FOUNDATION DESIGNED TO ACCOUNT FOR THE EXISTING GRADE ~ - II •-- aa� j WITNF.ssED BY.• D J". V Nu)A3 6V ��� AND SOIL CONDITIONS AT THE LOCATION OF THE T l� (�' � G PROPOSED DWELLING. &**,v f fang l )�+ �\ \ PERC. RATE 'C MIN./ IN. IV-' Ci 5I-KA-TA (o r,, 1 Depth from Surface Soil Hodson Soil Texture Soil Color Soil Moto" Other (Inc Mg) •1. L�. �r� `: o1(� a. DESIGN Cl TERIA.• #a (USDA) (Mums") (structure. Stones, ®oulaer:, „�.. '� ,� to= BEDROOM DWEL L ING 110 GAL/DA Y PER BEDROOM Q p ,,./� p� C „�,` EQUAL S A4 0 GALS. PER DAY. �!/� S � 3 3� �� �'��� .IJ�f ;�'� a '''� /.;.:' � � y � � IZA + � /�1 (1 l \ f�r_ 11% ..�//I r SEPTIC TANK REQUIRED.• , 1` a / 11f� T CP 4'6C GPD X 2OO,r _ C' GAL. Q' ". M S 3 35� 4 � -` ��- SEPTIC TANK PROVIDED.' = 150Q GAL a 30 ��a,.3 lwr� fo - �� t/.— 6l .�a '�S-M► 3b . S d 34 (�r�o Pa r�G D ; • s SIZE OF LEACHING FACILITY REQUIRED : la- /! f( + DESIGN PERC. RA TE a SS MINUTFs!.TNGN ` X 30w 9 (r,� GI/¢l�e f 0 /Q G /l l I-'"" `�3fi C" GALLONS PER DA Y Y � LEG /Y s D IZE-Do7r##/affwor— 96> E OF LEACHING FACILITY PROM ED.• -50 u K ¢d�0�7� EXISTING CONTOUR L�}.�-, u� vc- 'u'�s SIDE•WALL 1 ` S.F. 'S � = PROPOSED CONTOUR BOTTOM �3 s.F. GPD � GPD �'' � '� - � TOTA LS S.F. ��- � � ��' MIA l 50 - POPOSED SPOT GRADE j �"`-- _ �, ► DIRECTION OF STORMWA TER B.M. -TOP OF t3AANSTABLE I?OAD BOUND; RUNOFF i _.. . .:_EL 400. 00_ (A$$01,5D) - i <t'g q 41 223. 00 _ l REVISIONS.• t� l; NO. DA TE REVISION Of M.qq _ � l I•�O .00 �s�.V t S� sit C.ppUL t�INN ��QM 3•$��y o MICHNIEW� + ca No.304- P. 1 I �,� clvl��o t ® 99. 4 3 � 1 4 p O\S£.p i 9$ t ' � o � 4�'Arr►�1t�{ Rbb� � Ri 6° 4Y L:TnZ Qo M '"+ �A 7c PROFro,1�;�L EN l F , 52 gyp' ? o bV1Z. �.J ' s Q k o lr 9 w� sue¢ �✓ G THE DESIGN OF A PROPOSED + PLAN SHO IN i LL; P r SUr3SURr CE SEPTIC DISPOSAL SYSTEN F l � T x 10T112, .�94' OLD MILL ROAD, t�ARr,�S hr3� A4 4 5 �,,J `s,�� SC�;LE" 1 '° - 0 ' ll/ Y ?_4 1998 +1 LOT 2 ` CANAL LAND SURVEYING ,. 49 1'zy'�8' __ 3060, D P! yNOU?H ROAD, BU2�.-RDS B' Y, AA ' 0,4 rE PPf?r SI ON L fA D 'URG' r r too 223. 00 PAOJEC� /'JUz 07 98 06 I 9� aq