Loading...
HomeMy WebLinkAbout0406 OLD MILL ROAD - Health 406 OLD MILL R �OSTEFtVILLE 1 I TOWN OF BARNS'TA$-LE r�,C, LOCATION S'0 Dl ��liG/ �� SEWAGE # VILLAGE , �ST,5�eV/`11 ASSESSOR'S MAP&LO'1 INSTALLER'S NAME&PHONE NO. q7 7—03 Y9 5 SEPTIC TANK CAPACITY /5-0 0 LEACHING FACILITY: (type) 2—500 Dry (size) .2,5 X13 NO.OF BEDROOMS 3 BUILDER OR OWNER J6-5 /,w w PERMTTDATE: ;f ._�9` �/% COMPLIANCE DATE: 40 2 G fy 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 facilityty)/� Feet Furnished by t ' i M pONo. Fee + y , ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: e PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 0(pprication for Migpozar bpztem Construction Permit Application for a Permit Gstruc )Upgrade( )Abandon( ) ,Complete System ❑Individual Components Location Address or Lot No. �:p ice,�� Owner's Name,Address and Tel.No. �,w�A1 GIZ��,� 40(o CLr� q) 01 Mill W e�� Lima *�rl c.aYc1 Assessor's ap/Pazcel /_ e®� '� M��� �• 1�1 b Installer's Name,Address,and Tell..No. Designer'Is'N1ame,Address and Tel.No. {8 Type of Building: 1 Dwelling No.of Bedrooms - Lot Size�sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons `z Showers( ) Cafeteria( ) ' Other Fixtures P Design Flow gallons per day. Calculated daily flow gallons. Plan Date '5) Number of sheets Revision Date Title Size of Septic Tank CCjbd wall Type of S.A.S. Description of Soil 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 Title 5 of the Environmental Code d not to place the system in operation until a Certifi- cate of Compliance has been ' s this Board f Healt . Sin en Date Application Approved by rt� Date Application Disapproved for th�611owiingg Permit No. � Date Issued 'JNo% c,: i' Fee THE COMMONWEALTH OF MASSACHUSETTS ' — ,Entered in computer: e�Y s PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE MASSAC USETTS J/ t S V a., Application for Migogal *pMem Congtruction Permit Application fora Permit o Construc )Upgrade( )Abandon(. ) Complete System El Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. �o� (►.�q� o1G� Mii1 . OSK—V!b - 0 Lena Job �' � " 94� Assessor slGlap/Parce f _ — f �v(o ©0 Z�sk. out Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No. of Persons 2. Showers( ) Cafeteria( ) Other Fixtures ISesign Flow _JCJ'y gallons per day. Calculated daily flows' gallons. -Plin Date 2•\'5-1�2 9 Number of sheets ' Revision Date a_ Title - Size of Septic Tank 1 c�ok2 mall Type of S.A.S. Description of Soil' :i Nature of Repairs�or Alterations(Answer when applicable) t 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 d not to place the system in operation until a Certifi- cate of Compliance has be**sslew this Board f flealt .Signe Date Application Approved byDate Application Disapproved wing reaso s Permit No. Date Issued ---------�—L--------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site wage Dis ' m Constructed Repaired Upgraded Abandone )by c g ( ) P ( ) ( ) at / h0A bg6n constructed in accordance with the provisions of Title and the for Disposal System Construction Permit No. dated Installer Designer The issuance of thi&RI sh no b �c n ed as a guarantee that the systetiftunction as design•Date Inspector )Wk- ! . 0 — � — -------- No. ,}.-------------------- Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS 1 Migogal pgtem Congtruction Permit _o Permission is hereby gran d to Construct( Repaid( Upgrade( )Abandon j System located, z 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:Construction inst be c m le d within three years of the date of this permit. 1 Date: Approved by d c s� 2� i 1. � S ,4 1 i J _ '� ING I MO Arb '41 y , 1,P f P� 1 TOWN OF BARNSTABLE LOCATION zi'G �1�� �G/��� SEWAGE # VILLAGE �L ASSESSOR'S MAP & LOiQ' //-/ I INSTALLER'S NAME&PHONE NO. 4/7 I SEPTIC TANK CAPACITY /Sl90 ��/ X1 I LEACHING FACILM: (type) �-$p4 arm �r/� (size) ,-s i NO.OF BEDROOMS ? BUILDER OR OWNER y45 L PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: i 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 facili�ty)/� Feet Furnished by I I' > i I I I No.--- ---9--?----7 Fee--- ---------------- BOARD OF HEALTH TOWN OF BARNSTABLE application Ar well Construction'Vermit Application is hereby made fora ermit r Construct (P17 Alter ( ), or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel Owner Address Installer — Driller Address Type of Building Dwelling----------------------------------------------------- Other - Type of Building------------------------- No. of Persons----------------------------------------- Type of Well��" --o - ,-- ------ Capacity - - -- - - - --- YP P Y-------------- ----- Purpose of WellAgreement: The The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of.Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate of ompliance has been issued by the Board of Health. Sign q 3`g date Application Approved By 77- l -------- date Application Disapproved for the following reaso :--------- ---------------- ------- --- -------- - ----- --------------------------- date Permit No. —--- Issued--=-- - - ------ ---- - date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (-1, Altered ( ), or Repaired ( ) by-------- D A Sck sv 1— ----- -- - ---------------------- -------- -- // Installer / at- -— '!O r. 1 r( JA A r l l J c�S 7�e� u_ll --- -- ----- -------- -- has been installed in accordance with the provisions of the Town of Barnstable Boa o He �'vate Well Protection Regulation as described in the application for Well Construction Permit No.Ky � Dated-- ---- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE---- - -- Inspector-- -------- --- —----- No.-0----- -- ----- Fee---- ---------------- BOARD OF HEALTH TOWN OF BARNSTABLE 0(pphcat ion'-*r V ell Contruct ion Permit Application is hereb made for a permit to Construct(s­f, Alter ( ), or Repair ( )an individual Well at: s"Location L: Address, r Assessors Map and Parcel r.. ------ -------------------- ----- nn Owner 0n Address ---U_�Stu wr._,_/! ----- - ---------=- --- Join-,A 9 h 0 r!&_ / ff L --------- Installer — Driller Address Type of:Building Dwelling —--------- -------- ----- --------- ---- Other Type of Building - No. of Persons---- ---------- ------=------------- Type of Well --- Purpose of Agreement: The undersigned agrees to install the-aforedescribed individual well in accordance with,the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate .of ompliance has been issued by the Board of Health. Signeu�ve��/ ci ,./4 f' date Application Approved By �J�✓I/ ___-_ date Application Disapproved for the following reaso -- - - ----- ------------------------------------------ date Permit No. =--- Issued---== ----------- — --- - - ---- date :���:>@u3e@a@i.r@oeceo4q±ef'. e+_iocTe+p•P$tliTiVi4iCi0a6.:!lGO:r4T3S:M!.a@d@o@aei1«�ti.®c@a@o@6!b ti8ilnlofo OilS4SYt%!a!e@Nm4elS@il.:lrn9�9bYo!I�aa9'elu4e.oTelv@eew@a?a!e!L@.bN@M1:+fti�a't�l BOARD OF HEALTH TOWN OF BARNSTABLE eft ifitatr ®f compliance THIS IS TO CERTIFY, Thai the Individual Well Constructed ( —Y, Altered ( ), or Repaired ( ) -- - 0 A_S� / Installer At 9 0 G Ul AA,i�l ij c7S�.. / has been installed in accordance with the provisions of the Town of Barnstable B ar Hea vate Well Protection Regulation as described in the application for Well Construction Permit No. --- —Dated--- ----- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE ., '. . . - Inspector--------=- -- ---- mtda4:@iyilE:l.lsQi4i@i!:@i±ra@G�sla93li!FvliaatieiwlaA6.ioilw!a@i@aliNilalii/ela0ilaV a!ala±seala@s!asatiT�ti4Y.ti@itGNilG!is�R:9a43@i4i@Ya:.rioi�7.Wi!�.@a!i4oTfY9iei la±i±a±sl:�3@ BOARD OF. HEALTH TOWN OF BARNSTABLE Well Contruct ion permit � No.Wy Fee- - ---- l�Permission is hereby granted oASCb­vP,f —�_—_ —_____ to Construct ( Alter ( ), or Repair ( ) an Individual Well at: / No. cLb� h/,4 --------------------------------- Street as shown on the application for a Well Construction Permit No.- -- Dates --- -- -------- 0 Boar f Health DATE I oil a ul bial"ISUIDI C Pit 909 2 -- Department of Health,Safety,and Environmental Services Date Public Health Division dYl 367 Main Street,Hyannis MA 02601 I suanerests Fee Pd. ►= ' L toy 1� Time lba`^�` ` I% Date Scheduled �` �3 isposal Soil Suitabi y Assessmentfor Sewage D Performed By: � Witnessed By: 6tE2 S u�uv�� - LOCATION c GENERAL.Io i•OsRMA Name J Dd L t vw Location Address Qp(p O L 9 A tll Address o713 Mla.t�S i QS(-melt L..Lt� t7srgevt ALE CO CO ►l—oc7l Englncer's Name �BTE LS uLta v r.n� Assessor's Map/Pareel: 1 h. REPAIR Telephone A st,2$-3�hQi NEW CONST t ICnON _ __ e l ampej rzPW Slopes 0) S tb /o_ Surrece Stones oOf�Sr----- ►io ft Lend Use �— - kj�& ft Possible Wet Area 6 ft Drinking Water well Distances from: Open Water Body' ft ft Property Line ft Odw Drainage Way , locate wetlands in proximity to hula) SKETCH.(street na me,dimensions of lot,exact locations of test holes dt pert tests, v n9 ' `A 2 M4.2 Q EaG S o� `A b i Parent material(geologic) QuT-.N t Depth to Bedrock 45 Ek �4Pt Depth to Groundwater: Standing Water in Hole: a 665aft 7 Weeping from Pit Face Estimated Seasonal High Groundwater Ec.ts.rsa�nn� fo,o tiOCxV`>7 DETERMINATION FOR SE SAS o C' � =M'� I'E Method Used. I o`N�OF�Pd�N I�Le U E in. Depth to soil mottles: E In. Depth Observed standing in obs.hole: in. Groundwater Adjustment EwetcFtL�evel ft. Depth to weeping from side of obs.hole. d ►t= _Ad,Groun Reading Date:_ Index Well level,,,N Adj.factor j Index Well q__.._._ , PERCOLATION TEST ' ' ' le Da Tlntt!: t�AM Observation t4 M�wut6 Time at 9" Hole/ 1 • Time at V — • Depth of Pere .� Time ir-V) Start Pre-soak Time 1 O 1 O End Pre-soak 10 Zq L05S IMAM 2MtA) Lr..tGl1 Rate MinJlnch — Site Suitability Assessment: Site Paced _ Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back----� r• v Annl,CRnt • • llole# 1)11,C1' 011sr"I VATION HOLE L06 Soil other x Soil Texture Soil Color Mottling (Structure,Stones,Douldetes. � = , o pilr from Soil I lorizon (USDA) (Munsell) • Surface(in.) � a'er -2 O va aTt� '4s!'t' AAS Z-C7 . wa ��St.bt• i n`(K.41 �t Cc7 `1 GUA N►st� 10`�2(o tdtLSow,t� FEL S•° TIt�N lIOLC LOG :: ..... : Nolc#'>. . (���Np�►aA D mr OI3S�ItVA Soii Uther Solt Texture soil Color Mottling (structure. Stones,Douldercs. Qi� � N Depth from Soil I lorizon (USDA) (Munsell) Go.ucou� ArP Surface(in.) p to>r 3_2 (�G N Egvc:fs5 orrA���T. 2-o (fie l l o_� a 7 ? u, tZ6 tz-?.� $2 Q z - L K•�l$ b yo•-tzo �y Ilbie# Urrr 0I3SCItVA'1.101Y HOLE Ltd+ Soil Other Soil Texture _ Soli Color Mottling (Structure,Slopes,Douldercs. Ilcpth from Soilllorizon (USDA) (Munsell) • Surface(In.) 1101@# llCCP OBSERVATION IIOL o LOG sou other Soll'fexlure soil Color Mottling (Structure.Stones,Doulderes. Depth from Soil Ilorizon (USDA) (Munsell) • Surface(in.) t Above soo year flood boundary No Yes Within 500 year boundary No Yes Within 100 year flood boundary No Yes . ••- rain Pervfous�tlgl Does at least four ery feet of naturally occurring pi us material exist in all areas observed throughout the area proposed for the soil absorption system? E 5 -' if not,what is the depth of naturally occurring pervious material? e I have --------- passed the soil evaluator examination approved by the h I certify that on aQ2t t_ 967 (dal ) p nr f'nVlfnttmental Protection and that the above nnalys$s�was p 7fotmed by me consistent with LEGEND NOT TO NO 1 50.3 SCALE Tfi 1 TEST HO LOCATION, NUMBER Fr/s=l P FOUND. 1. LOCUS IS A.M. 166, PARCEL 11-1. x 9.5 x 11.0 EXIST. '& ROP. ELEV. ('X' MARKS POINT) 2. ELEVATIONS SHOWN ARE ASSIGNED. �p 6 3. LOCUS IS IN FLOOD ZONE C ON FIRM DATED J.ULY 2, 1992. /' EXISTING.CONTOUR 60 4. ALL PIPES TO BE 4" SCH 40, AND PITCHED AT 1/4" PER FOOT. (UNLESS NOTED) PROPOSED`CONTOUR Invert 46.14 8``- 5. MUNICIPAL WATER IS AVANLABLE. LOTS WITHIN 150' OF SEPTIC ARE ON TOWN WATER. UTILITY POLE (IF SHOWN) Use Gas Baffle 2 pRY WELLS 6. COMPONENTS TO BE AASHTO H-10, UNLESS NOTED. y v .y Invert 44.86 7. .INLET TEE TO PROJECT DOWN 13", OU11LET TEE DOWN 14"• - L TREE (IF SHOWN, NOT ALL SHOWN) Proposed 8. IF TWO OR MORE LINES, WATER TEST D-BOX FOR EQUAL FLOW W PROPOSED WATER SERVICE rovide 9" cover 45.2 D-BOX EXIT PIPES TO BE LEVEL FOR FIRST TWO FEET. {' S=3/16"/ft TOP PEA STONE 9. DEPTH OF COMPONENTS NOT TO EXCEED 3', OR VENTING MUST BE PROVIDED. © Magri S S=1/4"/f BUILD UP COVEIRS TO WITHIN 1' OF GRADE, MORTOR CHIMNEYS IN PLACE. S 1500 Gall. T ONE COVER OF TANK TO BE WITHIN 6' OF GRADE. LOOiATION MAP Proposed 4„ 10. STONE TO BE DOUBLE WASHED 3/4 TO 1 1/2" WITH 2" MIN, 1/8 TO 1/2" PEASTONE ON TOP.11. IF UNSUITABLE SOILS, OR SOILS DIFFERING FROM THE SOIL LOG ARE FOUND, Invert 44.72 CONTACT THE BOARD OF HEALTH, OR R.J. CADILLAC, Invert 45.03 12. IF AN OVERDIG IS CALLED FOR BELOW, FILL MATERIAL FOR 5' AROUND AND UNDER LEACHING TEST HOLE 1 50.0Use 6" Stone under Proposed Proposed Iom IS TO BE CLEAN GRANDULAR SAND MEETING SPECIFICATIONS OF 310CMR 15.255(3). I 1 I I , 13. PUMP AND FILL ANY EXISTING CESSPOOLS. REMOVE ANY CLOGGED 'SOIL, BLOCK, AND STONE IN r---- 20 ----1 �---74 I j 7 i LEACH AREA, AND DISPOSE OF AS DIRECTED BY HEALTH AGENT. DEPTH (inches) ELEV.(feet) �q Bottom TH 2=37.4 14. ALL CONSTRUCTION TO MEET TITLE 5 AND LOCAL REGULATIONS. 0 50.0 0 layers / DESIGN DATA TEST 10 HOLE DATE: Feb. 3, 1998 10" A layers BENCH MARK--TOP/CENTER LEACH AREA PERFORMED BY: Peter Sullivan, PE S1 g CONC. BOUND = 510.04 ASSIGNED BEDROOMS: 3 WITNESSED BY: Jerry Dunning, RS B layers GARBAGE GRINDER: No USE 2 SHOREY DRY WELLS WITH 4' PERC RATE: <2' 00"/inch (C layer) 27' 47.7 �+ REQUIRED CAPACITY: 330 GPD OF STONE ALL AROUND, FOR A SOIL SURVEY(1993): Carver coarse sand C1 layer 10yr 7/1 51.4 SEPTIC TANK: 1500 GAL. 25' LONG BY 12'-10" 'WIDE BY 2' GEOLOGIC MAP(1986): Nantucket S. Ice Contact deposits u coarse sand �q DEEP LEACH AREA. 43"° 43" C2 layer 10yr 5/$ v / 51.o BOTTOM LEACHING AREA: 320.7 SF / [(25' X 12.83')] coarse sand �52/� 51.4 so 2 SIDE LEACHING AREA- 151.3 SF LOCUS APPEARS TO BE IN RC AND i [2(12.83'+ 25') X 2' DEEP)] AP ZONING DISTRICTS,, AND SUBJECT x i4 50.8 51 s DESIGN CAPACITY: 349 GPD TO CONSTRUCTION YARDS OF: = 50.2 q 48,2 [(320.7 SF + 151.3 SF) X .74 GPD/SF] FRONT YARD 20' 123" 39.8 50.8 SIDE YARD 10' l YARD ' x �.7 x 51.0 /J� 8. MAX. HEIGHT, 30, � 49.8 TEST HOLE 2 ACTUAL ZONING DETERMINATIONS MUST O� 46 x 47.6 S LOT DEPTH (inches) ELEV.(feet) BE MADE BY TOWN ZONING OFFICAL. - 5 , r 0 47.6 ; � 0 layers 3" 51, / x 4 BENCH MARK--TOP WOOD t0" 51.2 A layers \ LOT 5 STAKE = 45.42 ASSIGNED x 49.4 ��L�`' .. a.. _ .�_ B layers cq 50. h� 27" 45.3 r- x BENCH MARK--TOP WOOD •ryD �(o Cx�J S` C1 layer 10yr 7/1 a x 49.2 9 STAKE = 53.76 ASSIGNED �A co J t5 coarse sand '� 5T 45,7 43" 53.0 q `�is'� 2�J 9S� C2 layer 10yr 5/8 h > coarse sand x 0.3 9.5 x 52. $ 3 J bb LOT 2 x 1.4 54.2 PROPOSED .9 ' IBLUESTONE (3 4 x 40.7 123" 37.4 9 PARKING x \ x 52.8 } TH 2 48 H 1 W ::.:... 40.6 54. 0..D 53.E •\ � � •2 514 „_ •:5$�� �=' -� ~ 53..6 x 53- l 0 3 OOPOS&O O.SF' 45. r0 2 l 0 ROOM 6c: 6 f ''ToP F f'CING < d.. 44.1 5 `Q� x oO�d= `� 53.2 x / 8 x cr / 5q' 44 d ` 5 x 45.4 4 3 LOT � �.0 � 0 � x 5.3 LOT 445.5 x45.3 46 x 45, 50.6 48 , 520 ± S . F. SITE PLAN �'' °° �"� � 49. J x 45.5 x 46.9 x o 66,9288• x 44. FOR ¢? ,. �' 5-2 --`� THIS PLAN IS A VALID COPY ONLY IF IT BEARS �Y ��aJOSE LIMA & JOHN PICARD AN ORIGINAL RED STAMP AND SIGNATURE. x 4 a o 48, x 50.8 LOT 4, 406 OLD MILL ROAD, 4STERVi LLE, MA -;„ x 45.2 1 x 50.5 rr► ��N OFMAS » f /tom' IaONI;,J J'=� o•� R0f9(AALD G x 5.2 FEBRUARY 18 1999 SCALE. 1 =30 �o J �, f JA E CAD; y C t'G o #35 % �� y � � cQ 4. * x 47.9 RONALD J. CADILLAC, PLS, RS `��'�- ",TAR�� o ,42.53 51.0 3 Z��'ta1 PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN � P.O. BOX 25$ WEST YARMOUTH, MA 02573 x 43.4 (508) 775-9700 REV. 3/2/99-LEACH AREA HEALTH AGENT APPROVAL DATE C 1999 BY R.J. CADILLAC PAGE 1 OF 1