HomeMy WebLinkAbout0300 TOWER HILL ROAD - Health 300 Tower Hill Road
Osterville
A = 142 037
TOWN OF BARNSTABLE
LOCATION 300 SEWAGE
VII,LAGES �c ASSESSOR'S MAP & LOT t
INSTALLER'S NAME&PHONE NO. �
SEPTIC TANK CAPACITY
LEACHING!FACILITY: (type) 26 1 ,Vr7cc�1/ � (size)3.S
NO.OF BEDROOMSn<,�_
BUILDER OR OWNER ~ 141yonol-W
PERMIT DATE: Q '02 ""43 ,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 p
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
104
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FEE J`�
SOMM®N .11-1 OF MASSAC14USETTS
Board of Health, �''w)Lai C C MA.
APPLICATION FOP, ➢ ISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct( ) Repair(l�grade( ) Abandon( ) complete System ❑Individual Components
Location 00 '7C)U/P„- klZIZX. Err Owner's Name -Tt, dt, G-,
Map/Parcel# y Z - ® 3 '7 Address 3 O d Qf
Lot# '�- Telephone#
Installer's Name �A"t G GI�C✓ ✓C t Designer's Named r r t C+ S
r
Address ? S/�, �� Address
Telephone# Telephone# S-V y 96 Zc�
Type of Building 2 6f Lot Size j /f s sq.ft.
Dwelling-No.of Bedrooms Garbage grinder (�v°
Other-Type of Building No.of persons Showers ( ),Cafeteria ( )
Other Fixtures
Design Flow (min.required) U gpd Calculated design flow y y Design flow provided T,0 d gpd
Plan: Date / D Number of sheets Revision Date
Title
Description of Soil(s)
Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation
DESCRIPTION OF REPAIRS OR ALTERATIONS
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
further agre to not to pla the
e systeV1 uWperation until a Certificate of Compliance has been issued by the Board of Health.
Signed Date 003
6L4-2 J- 1,J
Inspections
kNo. ti �. FEE "
Board of Health, �Gt-✓ d+)f a�[.� MA.
APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct( ) Repair grade( ) Abandon( ) - complete System ❑Individual Components
Location 00 __F0(,,.e,,- A11AX,6ST Owner's Name
Map/Parcel# 3 '7 Address d;„ O f{per,
Lot# Telephone#
Designer's Name Desi Installer's Name �.` �C� /<`1��� g
Address�c., S Address a F
Telephone# S Telephone#
n V
Type of Building _ 2 Ef 1,00FA1CF-_ Lot Size / qq-� ", sq.ft.
Dwelling-No.of Bedrooms Garbage grinder,(
Other-Type.of Building No.of persor-s Showers ( ),Cafeteria ( )
Other Fixtures //
Design Flow (min.required) 4 y O gpd Calculated design flow y Y Design flow provided el[O gpd
Plan: Date 6 ���/103 Number of sheets Revision Date
Title
Description of Soil(s)
0
,
Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation
DESCRIPTION OF REPAIRS OR ALTERATIONS
3F .... -
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
further agreps to not to play a the systelp operation until a Certificate of Compliance has been issued by the Board of Health.
Signed !�I ,�- Date
Inspections
No. FEE
/q Z -O 3 / Board of Health, �a^' MA
t
CERTIFICATE OF COMPLIANCE
Description of Work: ❑Individual Component(s) Complete System
The undersigned ereb certify that the Sewage Disposal System; Constructed ( ),Repaired Graded ( ),Abandoned ( )
at 3 UO 7A..W-,-' 411 4 . 0174- 1-14
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
i
application No. 2 003 ��U dated i"y} Approved Design Flow (gpd)
Installer z2zv
Designer: Inspector: Date:
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
No. ..L l%U NO I FEE
141 03 / Board of Health, /'�Lh 1 '�( MA.
DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permission is hereby granted to; Construct( ) Repair(V<Upgrade( ) Abandon( ) an individual sewage disposal system
at 700 f�e— IX-1/4� C�2f*,-vI1 as described in the application for
Disposal System Construction Permit No. 2U0!3 401 , dated
Provided: 'Construction shall be completed within three years of the date/96 ofWit. All localc ditions must be met.
Form 1255 Rev.5 A.M.Sulkin Co.Boston,MA Date
Board of Health
-� 5/25/01
Not ce 4-his Is-To-Be-Used-For-the-Rep it Of Failed-
Septic Systems Only
PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM
I, Y^r l n5�T=,hereby certify that the engineered plan signed by me
dated y O 3 concerning the property located at
?0 meets all of the
following criteria:
• This failed-system is connected to a residential dwelling-only. There are no commercial or
business-uses associated with the-dwelling._.
• The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes
per inch. The applicant may use historical data to conclude_this fact or may conduct
preliminary tests at the site without a health agent present.
• There is no increase in flow and/or change in use,proposed
_s_•.—There are now-ariancessrequested-or needed,_— -- - — -_ -
• The bottom of the proposed leaching facility will be located no less than five feet above the
maximum adjusted groundwater table elevation. [Adjust the groundwater table using the
Frimptor method when applicable]
Please complete.the following:
A) Top of Ground Surface Elevation(using GIS information) ZS Zol, v on d1 r1 J
B) G.W.Elevation +adjustment for high G.W. 3• = l�•
DEFERENCE BETWEEN A and B
SIGNED : DATE: l d
NOTICE
Based upon the above information,a repair-permit will be-issued for bedrooms
maximum. No additional bedrooms-are authorized in the future without engineered-septic system
Plans.
q:health folder.percexmp
T�O���OF BARNSTABLE
LOCATION
OO /0 T/"J SEWAGE #��r'
VII LAGS ASSESSOR'S MAP & LOT
�2 -03�
INSTALLER'S NAME&PHONE NO. � �`� �J��
SEPTIC TANK CAPACITY
LEACHING:FACILITY:
(size)3.5�C E3� t �P`s
NO.OF BEDROOMS—�1
BUILDER OR OWNER ell�"
PERMTTDATE: !2 l-� .COMPLIANCE DATE; _03
Separation Distance Between the: Feet
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility
Private Water Supply Well and Leaching Facility (If any wells exist
Feet
on site or within 200 feet of leaching facility)
exist
Edge of Wetland and Leaching Facility(If any Feet
within 300 feet of leaching facility)
Furnished by
Alb t 10
f sr
�•` �eel � I
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77'! -4
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SITE, PLAN
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SCALE- 1 "=20' Icul ' tions .1
R coR
BtNCH M4 'K OF CONCRETE Joshua's
Num6er a f Pond
SONO TUBE ELEV.-100.06 (ASSUMED) Bedrooms: 4',
7. D
Cbrbd Gri ITH' THIS DESIGN
ge nder: ' NO, GRINDER NOT ALLOWED W
I T
Elf
Lioching, Copdcity,Req 'ired: 440 Gal./Day
u
eaching Area Required: ' 440''Gal./(O�74 Gal./Sq.FQ=-595 ,,Sq.Ft
Pro g
posed 'Leaching Structure: 1-33.5'L:-X 1 3'VV' X 2D Le"chin Trench
3;
LE'aching Area Provided: 621.5 Sq.Ft.
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b
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Proposed Leaching Capacity 460 gpd > 440 gpd. re"d. 0
0 STREET
C-1 92.51' -%Z
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"'OSTERVILLE"
e
GENERAL NOTES
�Q3
LOCUS
1 ADDRESS: 300 TOWER HILL ROAD
96.55' :51 13*W 2. D
ing rench 2. ASSESSORS NUMBER: 142037 NO SCALE
sin A
H-1 500 1. 1h mber th 3. DEVELOPER'S LOT: LOT,A
0 -ORM AN
4 of stone 0 sid CIS, 4. TOPOGRAPHIC INFORMATION ,WAS COMPLIED f
& ON THE GROUND INSTRUMENT SURVEY.
5 TOWN WATER IS PROVIDED TO SITE & SURROUNDING PROPERTIES.
PAGE1 23
6. REFERENCE PLAN: PLAN BOOK 164
7. NO WETLANDS ARE LOCATED WITHIN
cp 100 FEET OF SAS.
8. NO POTABLE WELLS ARE LOCATED WITHIN 150 FEET OF
'A
97.92' X
CONSTRUCTION NOTES
1. Contractor is responsible for Digsafe notification
and pipes.
and protection of all underground utilities
hall be set
75 2. The septic,,tank and distribution box s
level on 6 of 3/4"-�11/2" stone.�.
DECIK X I I MJ31 1 12111 3. Bockfill should be clean sand or gravel with no I
LOT
AR 19.500± Q.FT. 0 0 1 stones over 3" in size.
4. This�systern is subject to inspection during installation
by Glen E, Harrington, R.S. I
system in accordance
5. The contractor sholl install this
with Title V of the Mossochuse ts Environmental Code,
�AG
\S1 and the Regulations.of the Town of�Bornst,able.
9%51' -10 s ptic tank, I H-10 5-hole D-Box and
6. Provide on Acme Precast 1,500 gal. H
3 H-10 500 901. chambers or equal.
7. No vehicle or heavy machinery shall 'drive over the
iss noted - nts.
septic system unIc as H
102.91'
8. Install gas baffle or equal on septic tank outlet tee end.
by contractor.
9. All existing inverts and site conditions shall be verified
ackfilled..
b 10. Existing leoch pit to be pumped and b
11. Clothes washer to be connected to main building sewer.
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drivewoy
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1-20-WAM.ACCESS MANHOLE
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5'
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STEEL RUNFORCED PRECAST CONCRETE
-10 500'gol. chambers
PLAN VIE 3 H
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-SECTIO
END
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ALLON
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BACKFILLED AD
.110M
4�Q PUMPED
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