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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 13 o � - 3 t7l 0/0 ,t 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 Ai.t�,� , --r-.-��, ---_ - e, - ---1-1 , - - - ---- - - ,,�T,�---,- - ----- -7- 77'! -4 A�- 7",w 0 4, 4 41 .......... Al '4 n 5, g�' 4, SITE, PLAN a 0 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. 0 b F Proposed Leaching Capacity 460 gpd > 440 gpd. re"d. 0 0 STREET C-1 92.51' -%Z Q, "'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. C V� 16 "�3 pa I ved w0y drivewoy 9- Ck J CD 0 e c g6.72' b 0 1-20-WAM.ACCESS MANHOLE 0 Sh 0 0 8/, (to 30 5' 0 PD, �ON hn 34, J: F 24 C3 C3 I= STEEL RUNFORCED PRECAST CONCRETE -10 500'gol. chambers PLAN VIE 3 H N -SECTIO END _711� j"I", H 10: 500'� ALLON N T, TO SCALE. 0 ...... OR EQUAC`�, U CAST P, ''A i�'Aitivli- ORE S �,v A OF kA 6 t* it ?1- E 4, g 2", OW.... ...... '�,�EXSTING-LEACHING PIT::;TO BE,,,�'� W g, BACKFILLED AD .110M 4�Q PUMPED �3 00---�,,TOW E R"A I L L` R 0' A, 1�6 4"- �Kv �A 7, N".7 F 0. d'-DO AL ........ A "C' d"",- HE ALL�PiPES.-ARE "a ,��,,-, k-�PROPOSED 1500_G T BI E",,40STERVILLE e W.SeptitlanK �LE 2, GAS,'BArFJ �1;11`114`�`1'6Z&%". 1A IQU H��10 SEP �IC��A' ANK OUTLt jtt�,,, d, ACiON SEF�,PC 'T d z�,ti 7 ... ........... EXISTII� 'OkEPARED DENOTES JG system pe,�6 -,SPOT,- ;W ------------- ------ LEW ��U E, - , 'Z,-g X m =7 TON 0 mw G :-,77, 10 be -f, k6 OSED CAL --g .6 $EPT I 4 k U i�, $ A _g_ X W., -T�`?,,�J xi� j "M :g 'Z 1ey te, SO-,,v 4��-' 5 !ONE c-4- w A d�-�-,4: '6------- ?84,3862,�,5,`7 w;i o "P 'Ni, 'S, iNrr�g�,1�y, �V, t* J/4-11/ R EN t A. V R, M4 41 7�7" 2 -"�4u A I VV w g Rt ft "Ir �iQl-*'-R, � � - -r 6ii, --- !11 -ga-er vgg ��S T r4.'J-IL 3* 4 Q J D RN & A h g 2 [�A W 10 Z,;4 N' 7, ,417737-