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HomeMy WebLinkAbout0029 POPLAR DRIVE - Health 29 POPLAR DRIVE, OSTERVILLE A=120.061 i 01-19-1999 12:44PM CENT DST FIREDEPT 5087902385 P.02 mane appucauon io iocai rtre uepanment Fire Department retains original application and issues duplicate as Permit. 77 APPLICATION and PERMIT I Fee: 10.00 for storage tank rerrcveJ and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148. Section 38A, 527 CMR 9.00, application is hereby mc6e by: • Tank Owner Name(piease print) Dorothy Monroe X �gna,u,� it apxymg!p�pepaMJ Address 29 Poplar Drive, Osterville, MA street Crty stare to • t.r Advanced Environmental Company Name Co.or Individual advansg,�,2� xonmental Print Prrn! Address P.O. Boy: 472, S. Dennis, MA Address Pniw POW Signature(if apptyinc ,.r- it) Signature(if applyinc mr--ermit) IE= er IFCI Certif' a Other . , . M. Tank Location 29 Poplar Drive, Osterville, MA steetAaares �� Tank Capacity(galiens 1,000 Substance Last Store: #2 Fuel Oil Tank Dimensions(diaxretef x length) Remarks: Firm transporting wasm Advanced Environmental State Lic.# MV5083856100 Hazardous waste mar??e= E.P.A.# Approved tank dispcs;_;j vs.-d J.G. Grant _ Tank yard# 03501 Type of inert gas Tank yard address Readville, MA Ci or Town Centerville 01920 ty FDIO# Permit# Date of issue January• 19, . 1999 Date of expiration February"'.2, 1.1999 Dig safe approval nurnbe— 1999020076 ig e Ta 21.Number-800-322-4844 Signature/Title of Offfc:r ranting permit After removal(s)send Fs.-7 =7•29OR signed by Local Fire Dept.to UST Regulatory Complies Unit,One Ashburton Place, Room 1310,Boston. !MA .c::8-1618. TOTAL P.02 TOW OF BARNSTABLE LOCATION 4�-J SEWAGE# 175—U VILLAGE (�_=� i ASSESSOR'S MAP&PARCEL — Q INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO.OF BEDROOMS Z f OWNER ? PERMIT DATE: 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 o '3 i e Ld (,--E - g �4 ob? astefe SS . ISr� LLe� L-4 e we 4, ; ' � ST y> D U� � �✓ f- r . L « � 0 h r - e� � er � • -1� ah�e�P• 4s r J 1 z No........ F�s......as.. ....✓A J� THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH �UW k �ilhkSf1�G+— ............................... .....O F.................:.........--Td•---.........._..............-----------..................... Applirtt#inn -for Disposal Works Tonstrnr#inn rnmit VZ Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at .....? 9 Pa .... 3 Loc i n Ad ess or Lot No. .©. C�.!. . . -•. --C hd .. ............•--...---------•-------•-•--- ....................................... Ow er � Address W ... �.. 1.... --------•................................................................••••-............__-----= Installer Address UTy e of ilding Size Lot............................Sq. feet Dwelling—No. of Bedrooms...........................................Expansion Attic Garbage Grinder p-, Other—Type of Building ............................ No, of persons......... ._......_..__.. Showers ( ) — Cafeteria ( ) a' Other fixtures .................................. W Design Flow..:__._//0_____________------------ gallons per person per day. Total.daily flow.......... ...................gallons. WSeptic Tank—Liquid capacityf!&P(.gallons Length................ Width................. Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total.Length.................... Total leaching area...................sq. ft. 3 Seepage Pit No.......I------------ Diameter...Cif._ _._ Depth below inlet..... :L:-�__.-__ Total leaching area..................sq. ft. Z Other Distribution box (.✓S Dosing tank ( ) '~ Percolation Test Results Performed by.......................................................::_. ._ Date........................................ � ,,•a Test Pit No. l.KZ___.minutes per inch Depth of Test Pit-----40......... Depth to ground water________________________ fT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ............ ............ .. ---------•• •--- ..._... 0 Description of Soil-•---------E� �;�?1 � �..��J.�� 1�' ©�-3��P. '•-=,�So/�-` �i56 � -� lye} �U �� � n 7pe.- � C'-�Q �� x ------------•----•-----------•--•---• w . ---------------- .. _.fir U Nature of Repairs or Alterations—Answer when applicable-------- ......................................................Y ...••--................................................. Agreement: �- The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in' accordance with the provisions of iI T E 5 of the State Sanitary Code—The undersigned further agrees not to place the systerE.in operation until a Certificate of Compliance has be issued b e board of health. ILSigned--- ••--•-- ..................... DY-..� Application Approved B --------------------------------......................... Date Application Disapproved for the following reasons---------------•-----•-••---•--.-•------------------------------•---------------------------------•••••----------- .......................................•--------------•••••...-•-•---••---------...••-••-------._......... Date Permit No............. --------------------------------- Issued._.... ...1�-_6.:_.. •••-----•--•-_... Daze ..............*............ THE COMMONWEALTH OF MASSACHUSETTS BOARJ?,fQFh*.FrALTH .............. ..........................OF...................................................................................... Appliration for Disposal Works Tonstrurtion rrrmff. .,�r! T* Disposal pp �y made for a Permit to Construct ) or Repair an Individual Sewage A bahil is here System at: .... ..................... ............................................... e ...........W...y e on-6�iak-,�p dj� or No. . . .......... ........................................................................................ r Address .......... ....... .................................................................................................. Address Type of Building Size Lot--- .........................Sq. feet Dwelling—No. of Bedrooms............. . Garbage Grinder----------------------------Expansion Attic 04 Other Th� oft-Builll. 9 ......................... .No of persons_....__.... ............. Showers Cafeteria 44 Other fixtures .................................................................................................................................................... Design Flow ......... -& -----gallons per person per day. Total daily flow........... ...................gallons. W—1:4 Septic Tank—v&i uld capacity f..��gallons, Length................ Width................ Diameter..._.. .._..._. Depth.......--....... Disposal Trench I No..................... Width... Total Length..................._ Total leaching area....................sq. f t. .......... Seepage Pit No...................... Diameter....46...:!' .. Depth,below inlet......''. ..... Total leaching area..................sq. ft. Other Distribution box Dosing tank Percolation Test Results, Performed by........................................................................... Date........................................ Test Pit No. 1.4.Ze....minute's per inch Depth of Test Pit....#g..e..... Depth to ground water........................ Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water.........._ ._. 'y ..40 0 Description of Soil-... �/4 v-------- .............................................................................. .. ...... . .... U ------------------- -- ---- ..................................... ..................................................................... .. ................................................ ... ...... - ----------- U Nature of Repairs or .................................................... r Alterations—Answer when applicable---- ........................................................................................................................................................................................................ Agreement: The undersigned" agrees to install the aforedescribed Individual Sewage.Disposal System in accordance with T L-E, 5 of the State Sanitary Code—The undersigned further agrees not to place the system in the provisions of L operation until a Certificate of Compliance has be issued bvt-he'board of health. . .................. Signed.. Date. Application Approved BY-.-----------------................7............................................................. . ........... . ..........Da.t.e.............. Application Disapproved for-the following reasons:............................................................ 7------------------------------- ....................................... ............................................................................................. ...... 7 atp, 7;7; PermitNo.......................................................... Issued-....................................................... Date THE GOMMONWEACTH.. OF MASSACHUSETTS BOARD OF HEALTH 6 F .......... ... .40. .....1 ' kk-, s .............................................. . 0**A THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired by--------------------------------------------------------------------------------------------------------------------------------------------------------------- .................................... .. . ............t*11,I& ....... Installer at............. .. .... ................................ .................. . ........... ---------------------- �We----------------------- //: has been in P/ 7' 'Aita,4a e nA 4s d d E�with t ions of TITi, -�%0949a 1 ry o e A 1��*d, in the sa �. _ -%�j qj of The N Z - date ................ ..................application br Disp sa V r onstruction Permit No......................................... d------------- THE ISSUANCE OF THIS>CERTIFICATE SHALL`i,NOTV�ONST ED AS A GUAJANTEE THAT THE 'X'SYSTEM WILL FUNCTION i ITi�ikCTORY. DATE.........Z—-�.2L — 79, ......................41..................................... Inspector..... ......... .••. r,. G......... .. ........ T I H'E,,.COMMQNWEALTH OF MASSACHUSETTS ' BOARD OF HEALTH 4- ..........ef Aj 0 F........ ........ ................................................ No..................�$74 FEE......................... Disposal Vorks Tonstrudiatt VarAft Permission is hereby granted......................//.,6.e-: 'y.......4. ..../?1...1 . .'k/ .. ... ............................................................................ to Construct oLAepair an Individual Sewage Disposal System 1-t&es at No.................... .7. /&P1 . ... ............................qj......................................... ...... .. ......... as shown on the application for Disposaf',Wor'ks Construction,':'Per"mii-1--N'o......................46ated.......................................... ........................................................................................................ Board of Health DATE------. ..7-f............................................. FORM 1255 HOBBS& WARREN. INC.. PUBLISHERS 4 TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION C OWNER AND INSTALLER INFORMATION i r� I ADDRESS: 1 �1 �fI1� t.,,.�`r ,, MAP NO. PARCEL NO. y 1 OWNER NAME: �Q. 1 ►t E Y1 t")O'_ VILLAGE: i s- r 1110, i// 1 W, I NSTALLAT I ON DATE: t�v 19 BY: to d "�'A h%D rf-r / ADDRESS: � �:S CE�f h . r rti-I t)cJ 1 '1 CERT. NO. �-� o TANK s I NFORMAT I ON LOCATION OF TANK* Llmdcrorlimft CAPACITY I1>t^/�i' 'TYPE 'x AGE 7 FUEL/CHEMICAL , 't' s?"- TESTING CERTIFICATION C ] PASS C ] FAIL DATE LEAK DETECTION C ]� CHECK IF N/A TYPE/BRAND / J ZONE OF CONTRIBUTION C YES C ] NO _ DATE TO BE' RE'MOVED �qq FIRE DEPT. PERMIT ISSUED C ] YES C y] NO - DATE CUNSERVATION I -CHECK 'IF N/A DATE BOARD OF HEALTH TAG NO. Cr C ]C ]C ]C ] DATE le fit �$�� PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD _- � \ . II cc ll � , ICJ --�, _ \\ � II ` ��`�. C� l .� � ./ PLOT PLAN PROFILE OF SYSTEM GENERAL NOTES SCALE r} _ MANHOLE 13 COVER -- MIN. DIA. 24" LOT AREA= — _ __-- -- _-- \ BROUGHT UP TO WITHIN 6" OF FINISHED GRADE I . Elevations refer to 10 �{,1�1�1t�.S� ' \ See Bench Mark on Plot Plan located ,` F[2c+.xT �rF- t_.c-sr 18'1 DIAMETER MANHOLE WITH CONCRETE COVER 2. Finished \ BROUGHT UP TO WITHIN 6'' OF FINISHED GRADE grading to be done in accordance with plot plan. ��- F.G.- FG _ ,, � �� FINISHED GRADE 3. Percolation tests performed in accordance with the Instructions in Title 5 of the Z -� FG.- C.�'`' ` Massachusetts State Environmental Code. INV.-4L1a _ _ _ - - _ - _ = 11 4. All construction to conform to Title 5 of the Massachusetts State Environmental m c- _ II-(II � !'_ . 1 =11(-1 ,=il == � =_ �i - �l/= 11 !�= 1 =111=111 = =i = ��._ = n•- =� = - = t = „ _ c. - rfNV.= `�) ���' ,4 PVC. TIGHT JOINT PIPE Code, and the Board of Health requirements for the Town of F. IlI 'fiAia�C.t'c INV.= _ 1� �! 3" MIN. 3" MIN.- 5- All topsoil, subsoil and deleterious material, if an must be excavated and removed a fi MIN. 6" MIN . .,.,. r Y, �_-_ _ ° 2" > below the leaching pit and to a distance ofl�feet from all sides of the leaching 0 0 0 0 0 0 0 0 0 0 0 p O, ��. FLOW LINE 1 : 0 0 0 0 0 0 0 0 0 0 e Pit Excavate down to IO inches below the surface of the natural permeable soil, 4 PVC + �2 fU , INV.= ,1 6" , o° < oo Backfill as required with a clean ravel or sandfill material free from fines clay,C7 _ o 0 0 0 0 0 0 0 0 0 0 0 0 q 9 , , y, Z TIGHT JOINT PIPE INLET 1 v 0 0 0 0 0 0 0 0 0 0 0 0 0 �� organic matter, and large boulders, having a percolation rate in its original '�I,1 00 0 0 0 0 0 0 0 0 0 0 0 location and after placement of 2 minutes per inch or faster. Construct pit INV.=-- o ... oG OUTLET — _--- -- / pf 0 0 0 0 0 0 0 o c o 0 0 0 ��� in this material . -SANITARY TEE-O ' INV. l (-)e o° . 00 0 0 0 0 0 0 0 0 0 0 0 0 4" E HC.I OR 4' PVC o0 0 0 0 0 0 0 0 0 0 0 0 6. All washed stone in the leaching field must have less than 0.2 percent material m IU. ' is DISTRIBUTION BOX o __ — — - op 0 0 0 0 0 0 0 0 0 0 0 0 0 finer than a number 200 sieve as determined by the A. A. S. H.O. Test Methods T-I I OR PRECAST CONCRETE 00 . 0 0 0 0 0 0 0 0 0 0 0 0 0 "' o° and T- 27 ( latest edition ). �. BROUGHT TO CENTERLINE ' ?_ OUTLETS o `` 0 0 0 0 0 0 0 0 0 0 0 0 0 °0 7- Tight joint pipingto consist of Polyvinyl Chloride Pipe P.V.C. Schedule 40 - - - OF TANK- -- ° _.. 10 0 0 0 0 0 0 0 0 0 0 4 �o P ( ), u e , INVERT ELEVATIONS OF ALL 04 ° unless otherwise noted. e 0 0 0 0 0 0 0 0 0 0 o e .,. OUTLETS TO BE THE SAME o':. 00 0 0 0 0 0 0 0 0 0 0 0 00 8. In cases where ledge or boulders are present, Schofield Brothers, Inc. will not be op., ea o 0 0 0 0 0 0 0 0 0 e '.SEPTIC TANK ..OUTLETS TO BE PLUGGED responsible for assuring the amount of rock to be encountered. FOR FUTURE EXPANSION PURPOSES 9. Schofield Brothers, Inc. will not be responsible for the performance of this system CAPACITY= iL;t�r GALLONS (SEE PLOT PLAN FOR LOCATION ) LEACHING _- PIT unless constructed as shown. Any alterations must be approved in writing by PRECAST REINFORCED CONCRETE Schofield Brothers, Inc. OUTLET PIPES SHALL BE LEVEL FOR AT LEAST TWO FEET 10. Heavy machinery shall not be permitted to pass over the leaching pit . ( NO SCALE) 1 1 . The Board of Health shall require Inspection of al I construction by the design engineer or by an agent of the Board of Health, and require such person to certify in writing that all work has been completed in accordance with the terms of the PLAN VIEW OF SYSTEM permit and the approved plans. \ MANHOLE FRAME 8k COVER 12. No permanent structure may be constructed over the 100 % expansion area. MIN. DIA. 24 o��p�oo.o o 13. For proper performance, septic tank should be inspected at least once a year and �On°O oo��po when the total depth of scum and solids exceeds 3 the liquid depth of the tank, T0. 4 P.V.0 �n� oho the tank .should be pumped. �_- - - 4 PVC TIGH -- TIGHT JOINT PIPE 0� . " JOINT P!PE -�_ ' 4 E H C.I. OR 4 PVC. / b �� o.. �r_' Z - (SCH. 40) OR i a p n0 �`�`, p ° PRECAST CONCRETE/ '. o0 17 SANITARY TEE ^• �ti a / BROUGHT TO \ _ pc, t+ m •- � CENTERLINE OF TANK , o o° p Oo O4�"ooc oc> SEPTIC TANK DISTRIBUTION BOX OC> PRECAST REINFORCED CONCRETE PRECAST REINFORCED CONCRETE ( NO SCALE ) DESIGN DATA I. Estimated Hydraulic Loading TYPICAL LEACHING PIT CROSS - SECTION ___ Bedrooms at 110 gallons per day per bedroom = �2p G.P. D• I! FINISHED GRADE ( ELEV. 1 -%) - ,� Garbage disposal Is_� ` allowed with this design. s a CLEAN BACKFILL - --- - 18 DIAMETER MANHOLE WITH CONCRETE COVER AND i C t l L�1►` .. FRAME BROUGHT UP TO WITHIN 6 OF FINISHED GRADE . 2. Septic Tank Size .-. - , I „ - '� t �_�12" MINIMUM Average daily flow = �,2� X Zv0 °�Cp = � � gallons ( minimum) 2 LAYER - 2 - R WASHED STONE -- I Septic tank provided = 1'SQ4:2 ., 4'' TIGHT J01NT PIPE - -= pv pa 3. Design percolation rate = M.P. I. Sidewa l l l oad i n al G�1. 40 I o� 9= gallons / S. F. � .. t, � } INi___ i INVERT ( ELEV._ g - gallons / S. F. , . Q - I o „ „ Bottom loading - \ . O o ---- - 1 WASHED STONE 4i Area EFFc.. I ,VE HEIGHT = 4 2 . Leaching_--- ,,. � 9 r<'�'"� ✓ \ �•+.E •* _ . o� o Total sidewall area provided - � S 07; S.F. X 2�� _ gal./ S.F. 3�ga1. I + o - PRECAST CONCRETE LEACHING PIT LINER OR MASONRY �-.-� �� INSIDE DIAMETER = _�_ I ° BLOCKS ( 8"x 8"x 16" ) LAID IDEWAYS. a Pro = 4� G• S.F. gal./�.F = gal. S Total bottom are vided tom' , - - -- ---- _ Maximum allowoble loading (under Title5) gallons %, b`9J►� � 1 } 1 EFFECTIVE DIAMETER = �1 �� - I � �. — Actual hydraulic loading 'z2o gallons _ BOTTOM OF PIT- ELEV. = ( NO SCALE ) Minimum size leaching area allowed under the Town of of Health requirements 1`_ Y �% b f p�.�E f t.* .�. ►.,, I 1 !L t " ,lz: Board -- SCHEDULE OF ELEVATIONS FINISHED GRADE FINISHED GRADE ABOVE STRUCTURE ABOVE STRUCTURE G-T Top of foundation = " ` - Invert at distribution box inlet = 1• raj ._ 1 WSW& .i Basement floor = Invert at distribution box outlet = �I. Invert of pipe at foundation = -AL C; — 45 -' Invert at leaching pit inlet Elevation of leaching pit bottom F •� I Invert at septic tank inlet = tii .�;',a LEGEND t �^ Finished !Invert at septic tank outlet grade over leaching pit - See Pot Plan _X X— Denotes proposed contour t ' ��✓� �"""" _• � .` •�--'�-_---- -- �� � A��' FG. = XX .X Denotes proposed finished grade r -XX- -- Denotes existing contour XX .X Denotes existing spot elevation 6 Denotes test hole location SOIL TEST DATA 4 -,.,� ---; � y PV.C. Denotes polyvinyl chloride pipe (see Note # 7 above) ` DEEP TEST PIT I (SURFACE ELEVATION �� ? ` ) DEEP TEST PIT 2(SURFACE ELEVATION) PERCOLATION TEST DATA V,C.B. a S. Denotes vitrified clay bell and spigot DATE ) fi, DATE OF TEST L>C..:i OF TEST 7�`-= < �" °; 4 _ 2,� �R'"� �► TEST TOP OF 12 ' OF WATER RATE E.H.C.I. Denotes extra heavy Cast iron I ' I DEPTH SOIL DESCRIPTION DEPTH SOIL DESCRIPTION NO. DATE DEPTH FROM 0• ELEVATION MINUTES W Denotes water service - OP OF PIT PER INCH �I �, Denotesapproximate property line G�t:4 k.�_. 4,V4 ��-�r'a O.W. Denotes overhead wires _ D Denotes storm drain pipe ] '[ �+�• ® Denotes catch basin �-• _ r�=7'^�-,��_;•, `�'' �°'�^-...�� tom' ''�. PROPOSED SEWAGE DISPOSAL SYSTEM L�Q GROUND W TIER WAS ENCOUNTERED AT A f2 GROUND WATER WAS ENCOUNTERED AT A DEPTH OF I4l_ (ELEVATION -_2,1 S ) DEPTH OF R([2 a - (ELEVATION 32s.2a DEEP TEST PIT 3 (SURFACE ELEVATION ) DEEP TEST PIT 4 (SURFACE ELEVATION ) DEEP TEST PIT 5(SURFACE ELEVATION _- __) DATE OF TEST DATE OF TEST DATE OF TEST •.`c'i•l.'��'( �-�� "�-�1�--�- �1 M�"� DEPTH SOIL DESCRIPTION DEPTH SOIL DESCRIPTION DEPTH SOIL DESCRIPTION APPLICANT: TEL. NO. °"'° `!4+e� DATE h .ace( 1 III�j SCALE: AS NOTED ,P DESIGNED BY: DRAWN BY., CHECKED BY: - ---- -- --- - --- - - --- -� - SCHO_ FIELD BROTHERS, HNC., PROFESSIONAL CIVIL ENGINEERS GROUND WATER W9S ENCOUNTERED AT A - GROUND WATER WAS ENCOUNTERED AT A - GROUND WATER WAS ENCOUNTERED AT A DEPTH OF ( ELEVATION -_ ) DEPTH OF _ (ELEVATION ) DEPTH OF (ELEVATION -_) ^,,fir+ , � �• ' � - " �_ Ems► t ����`� � -" ' f�l.L'.`�S. , 255-2. � MAKEPEACE P27.55 JOB NO.42—S4_1_1