HomeMy WebLinkAbout0434 OLD MILL ROAD - Health 434 Oldimin Road
Osterville
166 064
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TOWN OF/BARNSTABLE .
LOCATION � � /%` X-C/' SEWAGE�QS,
VILLAGE K>- 1 // ASSESSOR'S MAP& LOT —06
INSTALLER'S NAME&PHONE NO. Kc),, 4c? ;2 k-7 7 G
SEPTIC TANK CAPACITY /.
LEACHING FACILITY:(typed / f (size) %3 '.2._
NO.OF BEDROOMS S
BUILDER OR OWNER A AA ti-clA a
PERMTTDATE: 0 —:70 ._63 COMPLIANCE DATE: Ay 6 L�
Separation Distance Between the:
Maximum Adjusted Groundwater T-ible to t ' Bottom of Leaching Facility Feet
Private Water Supply Well and D achi;g,Facility (If any wells exist
on site or within 200 feet of leaching cility) Feet_
Edge of Wetland and Leaching Facility(Itany wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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• No. , 3 Fee$5 0.00
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Z�
es
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
2pprication for Zigozar *potem Conotruction 3permit
Application for a Permit to Construct( . )Repair( X)Upgrade( )Abandon( ) ❑Complete System 0 Individual Components
Location Address or Lot No. Owner's Name,Address and Tel.No. 4 2 8—5 4 6 8
434 Old Mill Road Dennis Brandao
—064 Assessor'sMap/Parcel ille, MA 434 Old Mill Rd. , Osterville, . M
Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No.3 9 8—8 31 1
Wm. E. Robinson Septic Craig R. Short
PO Box 1089 Centerville, MA PO Box 1044 S. Dennis, MA
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(ng
Other 'Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank iJ Type of S.A.S. a O C PII rZ r
Description of Soil,
Nature of Repairs or Alterations(Answer when applicable) Install new Title 5 septic
system to plans of Craig Short # 01 -1007
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has br4n issued Bjglrrdof Heal
S ned Date 6�
Application Approved by Date
Application Disapproved for the following reasons
Permit No. oc 3�6 3 '7 Date Issued f � �
No. 4 .��.. Fee$SO 00
V
esTHE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLEs MASSACHUSETTS
.y R
2pphration for Mtgool *pztem Con!5truction Permit
Application for a Permit to Construct( )Repair( X)Upgrade( )Abandon( ) O Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address and Tel.No. 4 2 8—5 4 6 8
434 Old Mill Road Dennis Brandao
Assessor'sMap/Parcel Osterville, MA 1ti _ ,
434 Old Mill Rd. Osterville M F
Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 9 8—8 31 1
Wm. E. Robinson Septic Craig R. Short }.
PO Box 1089 Centerville, MA PO :Box 1044 S. Dennis, MA
Type of Building: j
i Dwelling No.of Bedrooms #3 Lot Size sq.ft. Garbage Grinder( ng
4�T Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures d
.w
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. C�,,6 rs
I
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) Install new Title 5 s en_ t i c
system to plans of Craig Short # 01 -1007
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 th Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by o Bo d.of Health
SA�ned i Date
Application Approved by--1 Date
Application Disapproved for the following reasons
Permit No. Qoo 3---6 3 -7 Date Issued
---------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
Brandao BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( X)Upgraded( )
Abandoned( )by Wm. E. Robinson Septic Service
at 434 Old Mill Road, Osterville, MA has been constructe in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. 2,tm Z- 3 7 dated 12 3 a 3
Installer Designer
The issuance of s permit shall not be construed as a guarantee that the system will'function as designed.
Date ► I U h Ll Inspector � _
�j _
---------------------------------------
No. `1Ct '>72 Fee$5 0.03
Brandao THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLEs MASSACHUSETTS
Mi0po0al *p0tem Construction Permit
Permission is hereby granted to Construct( )Repair(X )Upgrade( )Abandon
System located at 434 Old Mill Road, Osterville MA
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 must be completed within three years of the da et-of this perms.
Date: / /3� Z Approved by
TOWN OF//BARNSTABLE
LOCATION •+ .l xe/' SEWAGE #
7T
VILLAGE (5- 1 ASSESSOR'S MAP& LOT
INSTALLER'S NAME&PHONE NO. ►Czti,�.,..5'� 17 S-'I7 Lr
SEPTIC TANK CAPACITY / r
LEACHING FACILITY: (type} (size) /3 ".�
NO. OF BEDROOMS
BUILDER OR OWNER A A x A-clA o
PERMIT DATE: ..,��� COMPLIANCE DATE: /—
Separation Distance Betwe
Maximum Adjusted Groundwater Ta le to tb--Bottom of Leaching Facility Feet
Private Water Supply Well and UacNisF Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland znd Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished.by
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�- 11 `)
BENCHMARK
DESIGN CALCULATIONS TOP OF FOUNDATION 20 FT. MINIMUM FROM CELLAR
�_ 10 FT. MINIMUM 10 FT MINIMUM FROM SLAB OR CRAWL- SPACE
ELEV. _ ��
NUMBER OF BEDROOMS CLEAN SANG
GARBAGE DISPOSAL UNIT �/o nloT i91�C:> (ASSUMED) CONCRETE
TOTAL ESTIMATED FLOW 330 COVERS LOAM AND SEED
/DAY 4" SCHEDULE 40 PVC PIPE
GAL.
REQUIRED SEPTIC TANK CAPACITY /S_0o GAL. ! MIN. PITCH 1/8" PER FT.
2" LAYER OF
ACTUAL SIZE OF SEPTIC TANK /,�a� GAL. 1
_ WASHED STONE
SOIL CLASSIFICATION MA LQ� 99, 7.S
_ FAIN.
< .� MIN.
MAX
DESIGN PERCOLATION RATE MIN./IN. 3Z 4" CAST IRON PIPE MAX.A e! � I
EFFLUENT LOADING RATE • 7jC GAL./DAY/S.F. (OR EQUAL) MINIMUM I _.
LEACHING APEA /jr is 76 SQ. FT, PITCH 1/4" PER FT.
LEACHING CAPACITY (9REA X RATE" `3S� GAL./DAY -
�f77x �� -- FLOW LINE F_L. 74•.
RESERVE LEACHING CAPACITY R_ GAL./DAti ELEV y7 3j 10 ❑ ❑ ❑ ❑ ❑ O ❑ ❑ ❑ ❑ ❑
PLUMBING -- -- -7 MIN. G ` 2,� .. o o °
TO BE RAISED I i LEV _ 4 y o °
AND RE-PIPED BY I ELEV = qG 83 �/ GASU qG J'"�' 6" SUMP ELE'v. = 94...E �e o o ° °
LICENSED PLUMBER '- -- BAFFLE ELEV. _ ° 00000000000 o 2' o
AS NEEDED DISTRIBUTION °
LIQUID OUTLET ELEV. _ ° ° ° ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ° y,4 n_ c-
9G 00
° ° ° ° ELEV.
j DEPTH TEE (TO BE PLACED ON FIRM BASE) BOX ? • 900 GALLON DRYWELLS WITH
95 0 T TO BE WATER TESTED
1 4 FEE t a INCHES
5 FEET 19 INCHES IF MORE THAN ONE OUTLET
IN(HES 6 FEET 24 1500 GALLON STONE IN AN WELL N/A
! 7 FEET 29 INCHES (TO BE PLACED ON FIRM BASE) /,3 X2•S X = TRENCH FORMATION
l8 FEET 34 INCHES � SEPTIC TANK TO 1 1/2 ZONE x
3/4" " CLEAN J SOIL ABSORPTION INDEX Y
DOUBLE WASHED STONE I ADJUST X
�� • 95.5 / FREE OF FINES & SILT SYSTEM (SAS) _
6h USGS PROBABLE WATER TABLE ELEV
SEWAGE DISPOSAL SYSTEM PROFILE OBSERVED WATER TABLE ( / ) ELEV
NOT TO SCALE BOTTOM OF TEST HOLE ELEV
94.5 // 97-5
• 94.6
• 95.7 /
3'WDEQ95.3 1�161 DATE OF SOSOEL TEIL - 3 _
HOLE /
SOIL TEST DONE BYs"4
"`' _ o . 2sm s-
PARCEL 1 NOTES:
/ � �, WITNESSED BY -++__
32,827 f SF i 97'0 / 98.7 OBSERVATION HOLE 1 ELEV.=_98.8 1. ALL WORKMANSHIP AND MATEPIALS SHALL CONFORM TO E.P.
� • - i
/ PERCOLATION RATE Z_ MIN./INCH AT 4z's INCHES TITLE 5 AND THE TOWN RULES AND REGULATIONS FOR THE SUBSURFACE
Q4 �95 r q0 DEPTH HORIZ TEXTURE COLOR MOTT. OTHER DISPOSAL OF SEWAGE.
= o I l ! 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO
WITHIN 6" OF FINISHED GRADE.
/ / o- �, LOar+•y / w 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF
Q4 7 / / L �4 r�OC 4 2 ! WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN
10 FT OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE
USED UNDER OR WITHIN 10 FT OF DRIVES OR PARKING AREAS.
97.4 / i / '' 'e (,�� 4 ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL
��J� / • 98.8 �Z �� �/ 33 BE MORTARED IN PLACF
5. NO DETERMINATION I,. TO COMPLIANCE WITH
nFFDFO OR ZONING REGULAIIUN'_� OWNER / APPLICANT IS TO
p $ 1 ! OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY
99,1 C sah 71 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR
I
IS TO CALL "DIG-SAFE" AT 1-888-344-7233 AT LEAST 72 HOURS
O i
i 1 PRIOR TO COMMENCING WORK ON SITE.
f 9 1 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS
98.1 500 - 101.4 .,9 SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION
/ IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER
98 3 98.5 S. A • 5, n(�j WATER ENCOUNTERED AT f 2--_ ELEV. _ _8_G_�_ IMMEDIATELY.
�� C!� \ K 98 a $ T 8. PARCEL IS IN FLOOD ZONE __ C--_
i r �•1
9. LOT IS SHOWN ON ASSESSORS MAP AS PARCEL
10. ALL UNSUITABLE MATERIAL SHALL BE REMOVED FROM UNDER AND
98.6 \ FOR A MINIMUM OF 5 FEET FROM AROUND THE SOIL ABSORPTION SYSTEM,
98.8 98.8 �� 100.5 AND BE REPLACED WITH SAND AS SPECIFIED IN 310 CMR 15.255: (3)
ti 98.4
98.9 � / (I.E. TITLE 5) IF ENCOUNTERED BELOW S.A.S. PIPE INVERT.
97 98.7 11, EXISTING SEPTIC SYSTEM TO BE PUMPED AND FILLED MATH SAND
/ OR REMOVED
96.5
,I
9 .499.6 / • 102.2 APPROVED: BOARD OF HEALTH
98.0 • �I
98.5
DATE AGENT
1' w. 99.5
I
/ 101.2 PROPOSED SEPTIC DESIGN
100.4
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1 Q1 R
s�, w M ROBINSON
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LOC. 434 OLD MILL RD.
98.4 I o BARNS TABLE, MASS.
0 �` - (OS TER VILLE)
I 9ShYD 98.6 I ti6�
ono C 2GR R. 5HORT,WESTERNRo.E.AD
508- F. 0. BOX 1044 �
/ �A�yf LOCUS q 398-8311 SOUTH DENNIS, MASS. 02660
/ a �g� OF'�,, � - , � �¢�� DATE DEC 17, 2003 SCALE _ 20'
q9 C A10
00 3 SHO T
ir-' CIVIL � � 3134L� �P\ I REVISED � JOB N0. 01 _1 007
No. 27483 I ��`
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LOCATION MAP i REVISED SHEET 1 OF 1
0 2002 CRAIG R. SHORT, P.E.