HomeMy WebLinkAbout0595 OLD MILL ROAD - Health 7595 Old Mill Rl ►Osterville
RANBERRY KNOLL FARM
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TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
BOARD OF HEALTH Rr satisfactory 2.Printers
�j� 0 3.Auto Body Shops
/� /� unsatisfactory- 4.Manufacturers
COlVIPANY(ii lbw` ��,tZ' (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS `� �� laSS' ! 7.Miscellaneous
a.�� QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors)
MAJOR MATER—Mg —r_ Case lots Drums
Above Tanks Underground
-IN OUT IN OUT INj OUT #&gallons 777 Test
Fuels:
Gasoline � .
Diesel, Kerosene, #2 (B)
Heavy Oils:
waste motor oil (C)
new motor oil (C) /CS
transmission/hydraulic
Synthetic Organics:
degreasers
Miscellaneous:
DISPOSAURE(;LAMATION RE S:
14r1. Sanitary Sewage 2. Water Supply y
O Town Sewer tfPublic '
On-site OPrivate
3. Indoor Floor Drains YES NO I/
O Holding tank: MDC ,
.—
O Catch basin/Dry well
O On-site system
4. Outdoor Surface drains:YES NO ORDERS:
O Holding tank: MDC
O Catch basin/Dry well
O On-site system
5. Waste Transporter
i ' Destination
YES NO
00
2.
Person (s) Interviewed Inspector Date
FE........ ,..:: �
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
j1010
ApVtirtttion -fur Uispoiiat Workii Tomitrurtion Vrruift
Application is hereby made for a Permit to Construct ( ) or.Repair ( } an Individual Sewage Disposal
JSystem at: - —
.... !_�_�...__ dA---Os a._.v_.i_��.4.•_----- - ----------
- --------------------------------------------------------------------------------
o ation- Sess or Lot No.
--------------- ............... ...................................
Address
a - , .�
..........................
Installer Address _S
Q Type of Building Size Lot...... q. f6et
welling No. of Bedrooms_____________.-S-----------------------Expansion Attic ( - ) Garbage Grinder ( )
pa Other—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
Q' Othe;;-fixtures ----------------------------
W Design Flow______ __ __________________________)gallons per person per day. Total daily flow----------------------------------------...gallons.
WSeptic Tank—Liquid capacity_/A� allons Length---------------- Width................ Diameter_-.--. _ . _ Depth..-.._---.-._--
x Disposal Trench—No. ..,,_____�_5` �_���h____________________ Total Length.................... Total leaching area...._.--__--___-._-_sq. ft.
Seepage Pit No..__.14.O______ 13iameter______-------------- Depth below inlet......... ______ Total leaching,rea._ ----------sq. ft.
Z Other Distribution box ( ) Dosing tank ( ) e/ i
~" Percolation Test Results Performed by.-__--__--
a Date... -------------
Test Pit No. 1................minutes per inch Depth of "Pest Pit.................... Depth to ground water...------------._-._-__-
f14 Test Pit No. 2................minutes per inch Depth of -'est Pit.............
______ Depth to ground water------------------------
9 -------- --------- --
-------
Descri Description of Soil_____________________________
--- ---
U
----------- --- ----
------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------•-••------------------------------------------••------•••---------•-------••---------------------------------------------
U Nature of Repairs or Alterations—Answer when applicable------____--------___------------------------------------------------------________ _________.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article NI of the State Sanitary Code— The tndersigned further agrees not to place the system in
operation until a Certificate of Compliance has bee issu by the board of heal
vj�Signed Q g- - -—------------------
A Application Approved B , ate D f
PP PP y------- � -----------6 L-- ---- --------- ---- -- - - {
Date
Application Disapproved for the following reasons_______________________________________ ________________________________________--------------------------------
Da t e
PermitNo....... q--e---•---•---•-------------------•----_.. Issued------� „- ---- ------_....
• Date ,
------------------- --- -
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............ _....... --- .OF..........................................----- .......................
Appliration -fear Dig weal Worko Cnnnitrnrtion Vrrufit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
..
o ation- ess or Lot No.
1JQ ............................. ............................................................
W tj Owner Address
t Installer Address
d 4 Type of Building Size Lot.......�d_" q feet
welling No. of Bedrooms-------------A.. '--_______________--____-Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons-------- ----------------- Showers ( ) — Cafeteria ( )
dOtl3- flrtures ------------------------------------------------------------------------ -------------------------------------------------------------
W Design Flow............................................__________gallons per person per day. Total daily flow---------------------------------------.....gallons.
W /�u a ----_------ Depth----------------
Disposalx t ic `T ench igtNo capaclt5v.,d__,�gdtllns Length
Length� idth------------:_ Total leaching area-----.-..----.__-_sq. ft.
Seepage Pit No /Q;d __ I�aieter*0_______________ Depth below inlet... Total
z Other Distribution box ( ) Dosing tank ( ) d `�L
Performedb ------------------------------------------- ------------------------------ Date---------------------------------------
Test
a . ------
Percolation, Test Results y
Pit No. 1________________minutes per inch Depth of Test Pit-------------------- Eepth to ground water-----------------------
f14 Test•.Pit No. 2______ ________minutes per inch Depth of Test Pit.................... Depth to ground water._.-..---__--__.--_-_-
-------- -----------------------------------------------------------------•----------------------•--- -----------------------
Descriptionof foil -------------------------------------------------------- ------------ -----• -
W ,.••4 ..
c't, ---------------------------------------------------------------------------------------------------------------------------------------
W _____________'-_. _.___-._____-_______-__-_____.____-____________-_--_.--_____-________________________________----.-____________----__-•-----------_.--------"--------
V Nature of Repairs'or'�Alterations—Answer when applicable----------------------------------.-------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
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 untilV Certificate of Compliance has bee issu by the board of heal
Signed_A- ... _------ -• ( •---------------------------- .......
Date
ApplicationApproved By------------------------------------------------------------------------------------------------- -----------------------I----------__----
,I Date
Application Disapproved for the following reasons_________________________
____----•---•--•------••-------•---------•---------•---------------------------------------
' +0Date
Permit No.-------/e'-•-!t-•••--•-- •-•-•---- ....... Issued. ,' €,
a ate ..
THE COMMONWEALTH OF MASS
ACHUSETTS
BOARD OF HEALTH
swl ct+
.............. OF.......t .!P f. C /�r.i.c'............... ......
1011rrtif irate of T"amplianne ' �.
THIS IS TO CERTIFY, That. the Individual Sewage Disposal System constructed { or .Repaired ( )
Installer
r at 1
_ f f r` -----------------------------
has been installed in accordance with the provisions of Article XI of fih 'State Santt2ry Code as described in the
application for Disposal Works Construction Permit No......... ---------------
TIDE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTkUED AS'A G ARANTEE>THAIt THE
SYSTEM WILL FUNCTION SATISFACTORY. 4"
DATE--- +z Inspector---- •� -
THE COMMONWEALTH OF MASpACHUSETTS
BOARD OF HEALTH
�► ............... <<::........_......OF....... ............ ........... �=
N0... __ ,'a FEE--- ..............
/" Bi-ripaiiaii lVorkii (lnnlitrnrtion ramit
Permissionis hereby granted--------------------------------------•--------•------•----•---------••-------------------------------------------•------•----------••---------
-_ to Construct ( ) or Repair ( ) an Individual Sewage Disposal System
atNo..................................---•-------•-••---.................................................. ----------------------- ------- ----- ----------------•-
t. st eet
own on the application for Disposal Works Construction r it N ,. _ ...._ Dated___.__
y _
r Board of Health
DATE____ '.
-----------------------
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS :�.4'
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SYSTEM PROFILE NOTES
LEGEND SEPTIC DESIGN: TOP N. AT EL. 41.0' Accra co+e�ro wnlml FIX.ORCE (NOT TO SCAJO O
Aams OMM CMTOMOIM ro, 1.DATUM 1S ASSUMED
100.0 PROPOSED SPOT ELEVATION GARBAGE DISPOSER IS NOT ALLOWEDrtN61 a'aF FLI/.aRaoE, 2.MUNICIPAL WATER IS:AVAILABLE' AO'"
" W.O.' .7a'ar caul a+lx IiRttASF u SLOPE 11FAIAIED OIER S'SIIN .
DESIGN FLOW: 5 BEDROOMS O 110 GPD 550 GPD35.0
100x0 D115T1NG SPOT ELEVATION RUN Pwe /2,5oualr:1ralEK PFws,aKE + 3.MINIMUM PIPE PITCH TO BE 1/8'PER FOOT.PROPO ainWvr
USE A 650 GPD DESIGN FLOW 37.0' ��F +
100� pROPOSED CONTOUR - .y 1SO0 �3s.75. I 3•MAX 4.DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO N=10 ocv
-• SEPTIC TANK: 9,,�Q GPD(2) 11 / GNAx sOPc - .
100——EXISTING CONTOUR USE A TANK GAL SEPTIC TANK 38.0• / TAW� 10 1 � J32 - S.PIPE JOINTS TO BE MADE WATERTIGHT.
31.57• C3 0 C3 O n r3 C7 O C3 a,CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS.
LEACHING: 31.1T C7 C3 O E7 O O C7 C7 C3/0_x MAM r rJ0151KD SICK:ON MECKOWALL C7 O C7 C3 O C3 O C7 C3ENVIRONMENTAL CODE TITLE V.
SIDES: 2(57 t 8.83) 2(.74)- 194 GPD cawwnw.(mul(2D • 2' C7 O C7 C7 C3 O C7 C3 O 29,
BOTTOM 57 x 8.83(.74)- 372 GPO DIIPM OF FLOW �- CAAsLaPq. L t�l a _ 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE O°►
To Sam 3/4•TO 1 1/2'DOUBLE WASHED STONE USED FOR LOT LINE STAKING
TOTAL: 754 S.F. 565 GPD NLT Dwim. 1D• -
&PIPE FLIR'SEP11C SYSTEM TO SCH.40-4'PVC.
USE(6)500 GAL LEACHING CHAMBERS(ACME OR EQUAL) I11rW,KVIK 14• - - - -
9.COMPONENTS NOT TO BE BACKFlLLED OR CONCEALED WITHOUT
WITH 3 STONE AT ENDS AND 2'AT SIDES FOUNDATION— 12' —SEPTIC TANK-- 48' D' BOX 25' LEACHING 8.6r INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED
FACILITY FROM BOARD OF HEALTH. - .LOCUS MAP
. - 10. CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE NOT TO SCALE -
'... MA - - LOCATION OF ALL UNDERGROUND 6 OVERHEAD UTIU71ES PRIOR
APPROVED DATE BOARD OF HEALTH - BOTTOM TH 4 EL 22.8' TO COMMENCEMENT OF WORK. ASSESSORS MAP.144 PARCEL p/o 10
WORK IS WITHIN FEMA-FLOOD ZONE C
owe TEST HOLE LOGS
—
ewe
eweam r -
�'`W Vie'. - ENCKM DAVID FLAHERTY, RS
.+aas.: �1 _ - _ e WITNESS:D. DESNARAIS. RS
ew v �•ew a _ DATE, e/14/06
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w \ /� / / ew J a'W n �wnee / ELEV.3" 1 ELEV.. ELEV. EIkV.
111 -,.s: 04 E 38,0• �' KQ 37.0• KW E 34.0' K4 34.5'
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almrraNr s1RtAU ROIIS fAlOY IzcwFr IAOOr •// /./ / qb 12' 12'
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CIO \ / a-12 —_ // / / 1 ^ IOYR 5/8 33.3' 33' 2r IOYR 5/8 IOYR 5/8 �• 1 OYR5/8 312'
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\ �119— // ATOL s BA �,u2 Y` I - —, - 132' 26A• 120' 27.0' 132' 23_0' 1M• 42.a'
/ \ I 1 � NO GROUNDWATER F7KXXR4Iflim NO GROUNDWATER ENCOUNTERED '
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.OT 2 AS A PORTION O
595 OLD MILL ROAD
OSTERVILLE
CRAIG & DENISE COOMBS
JANUARY 25, 2007
Scale:1•=30'
0 75 30 45 so 75 FEET
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down cape engineering, inc-
ARNE H ARNE
CIVIL ENGINEERS
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939 mein at. yarmouthport, ma VA75
DA ARNE H.OJALA.P. P.L.S. _
06-093
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