HomeMy WebLinkAbout0047 WINTERGREEN CIRCLE - Health 47 Wintergreen Circle
osterville
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/T�yVIV77 BARNSTABLE
LOCATION llw��c��tt�3S roe� C�� SEWAGE # 04 '— 4-3
VILLAGE 01W ASSESSOR'S MAP & LOT C ' 6 C�
INSTALLER'S NAME&PHONE NO. k±)�
SEPTIC TANK CAPACITY t
LEACHING FACILITY: ) O Y kA-% S (size)
, NO.OF BEDROOMS Q\ /°�
• BUILDER OWNER lh4-,rA �.e�'
PERMUDATE: '�'dy COMPLIANCE DATE: tl
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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 I achi facility) Feet
i Furnished by (J,
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TOWN OF BARNSTABLE
LOCATION �✓1 "f �`�(� Ci P SEWAGE #
VILLAGE 0 W,`(� ASSESSOR'S MAP & LOT q-0
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS
BUILDER OR OWNER
PERMTTDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 100 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet o leaching facility) Feet
Furnished by "—Q 0V1,4
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No. J 1 V_►_Z l� FEE O
COMMONWEALTH OF MASSAC14USETTS
f Board of Health, V S `l-( i MA
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) - Q< mplete System ❑Individual Components
Location 1--A-97 W}&1Y'e0e6wYe"e.b, CUQ Owner's Name tL L a 2
Map/Parcel# — Address 3 .7 U4.,-(eoIr�'�v�
Lot# Telephone#
Installer's Name t GIC� O� Designer's Name .UN&-ee VL1YV ej 0,1 vGr-4-v
Address Address ,/U cj
Telephone# Telephone# �p�-• �j' 8�S
Type of Building �j Lot Size 2 Z/` sq.ft.
Dwelling-No.of Bedrooms 7 Garbage grinder v4p
T
4/lustle�
Other-Type of Building No.of persons Showers ( ),Cafeteria ( )
Other Fixtures [� ,r
Design Flow(min.required) 9 L� gpd Calculated design flow `/ !0 Design flow provided gpd
Plan: Date E— 1 7—d 41 Number of sheets Revision Date
Title S i1je P L 4 A J
Description of Soil(s) t`e LAN
14-ASoil Evaluator Form No. ®� •7 68 Name of Soil Evaluato C •02'�I ate 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 agrees ton o place the m operation until a Certificate of Com lian a has been issued by the Board of Health.
Signed Date g ��
Inspections
No. 1, 93
FEE f(JU
(� y� e
Board of Health, :�J Gt.J S i�- , , MA. .1
APPLICATION FOP, DISP05AL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct( Repair( Upgrade( ) Abandon( .-.FW-6omplete System ❑Individual Components
Location kw37 Clie Owner's NameMtC ,QL �.„gR-DN62
Map/Parcel# --.. 3 Address 3 l,V, .1�G��y'��vq C reC�.e.
Lot# Telephone#
Installer's Name 14 1 Gke V Designer's Name A/V&- e SU V V C Un S o C-t 4 n '
Address , Address 47v �a � ���5•tr R l�I�S�°uS �`l
t -
Telephone# Telephhone# SOFT" yj-160 sS p
Type of Building �j I# Lot Size �9 / �� t sq.ft.
Dwelling-No.of Bedrooms 7 ! Garbage grinder Aor
Uw
Other-Type of Building ' No.of persons Showers ( ),Cafeteria/), C�
Other Fixturesi
Irk
Design Flow(min.required) u�L� "gpd Calculated design flow /0 Design flow provided-� gPd
Plan: Date B' R-'•Q ( Number of sheets Revision Date Y
Title 5 tit (''4 "
1 Description of Soils f{ r iLJ
Soil Evaluator Form No. Name of Soil Evaluato fLjC .rh-/ ate of Evaluation
Z'DESCRIPTION OF REPAIRS OR ALTERATIONS
s
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
further agrees to Nqt4.o place the s m in operation until a Certificate of Com lian a has been issued by the Board of Health.
Signed Date g 4Cl
Inspections
No.Dooq 3' FEE
Board of Health, �3�L/r'C��-b n�P' ALL.
�T
CERTIFICATE OF COMPLIANCE
Description of Work: ❑Individual Component(s) QoComplete System
The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned ( )
by: t L�C-t Cr3ti►� d f
at t h-FrA&--eey► d t ,ec e
has been installed inacco Glance with the ovi ions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating tp
application No.tad` 9 5' dated Approved D ign Flow '� (gpd)
Installer 14 t c--k-f e c"0— {{
Designer: Inspector: a„ tv Y Date: /a / tJ
^-11
The issuance of this permit shall not be construed as a guaraift-te that the system will function as designed.
No. �V� q 3 ( FEE V V
Board of Health, 'JQ./NSq-`��e MA.
DISPOSAL SYSTEM'CONSTRUCTION PERMIT
'i
Permission is,hereby granted to; Constt�c,t(/j Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system
at as described in the application for
Disposal System Construction Permit No.a� :' , dated 4 0�
Provided: Construction shall be completede J't4hin tyhree years of the dateVthiSsrmit. local conditions must be met.
Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Datea I ` u / Board of Health
(AT 170iF BARNSTABLE
LOCATION , I A_ T tt_sS�n+ JJr@e Gr SEWAGE#
VILLAGE OS�' ASSESSOR'S MAP &LOT — 6 6
INSTALLER'S NAME&PHONE NO. � �Ce�
SEPTIC TANK CAPACITY-
% r
LEACHING FACILITY: ) (size) �.
NO.OF BEDROOMS
BUILDER OWNER r
PERMITDATE: OMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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 1 achi facility) Feet
Furnished by
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FROM HICKEY CONSTRUCTION CO INC FAX NO, 508771221E Sap, 21 2004 10;51AM ?1
".down of Bamstable
Replat'ary lees
1 Tama F.caw,Dhow
Pabst Hesub Dives"
�'baats>s lawn.Dltrec0a�
".•.""""'",.� 200 Main S&oe;lyaosk%MA 01601
affloo: 50846r-4d44 P a48�? 63g4
Tn�atler!k�.1eed�ner ��
Date: ' .. Aaseeeor'e 1plPaal
Ater: iO.Vi s'�' US&VAI
Asia A6.
o$�
- ' ' b was issncd a perarf t w iastor a
(date) o ler)
septic sysm�a� - "�' re�aJ �r�. based a dosi�dat�va by
a s)
&A j .
I owdf�III=des septic systm refararead above was tfaoned subgwdsily woo to
tha doisn,whlch may twwo mi=approved c2ages such lateral relaaatiae the
diatn'to4on box m&or septic teak.
I certify that the tic rysbcm toheomd above war ioa"ed vtriitli taa'or daaiges(i.e.
gMktw than 14'iaeeral relocod=of the Skill at any YwOml rolooatian of alr w"'.
Of t W WOO ey, ba i) n SCINWsnce w#s StW&L
oodfed as-bwlt by daaipa to Wow.
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CATI O F P LI N Y Is1 T a E Ccu RA►T STANDARD LEGEND
'� ---— --- NOTE:not all symbols will appear on a map
• �J______.----'"'""-�J _ � GOLF COURSE FAIRWAY
t '" —" �� J EDGE OF DECIDUOUS TREES
EDGE OF BRUSH
43 ❑ 1
, . ---- ORCHARD OR NURSERY
EDGE OF CONIFEROUS TREES
MARSH AREA
EDGE OF WATER
DIRT ROAD
_ DRIVEWAY
PARKING LOT
r , 4 4..... ; E—PAVED ROAD
If ------- DRAINAGE DITCH
'i --——— PATH/TRAIL
j } i
i **
PARCEL LINE
MAP 1 19 676 OUSE NNUMBER
UMBER
f MAP 119 ' '��� � ' _..__._..._.._............062
2 FOOT CONTOUR LINE
`� . A # 3 3 �— 10 FOOT CONTOUR LINE
� JicU Elevation based on NGVD29
j U X 4.9 SPOT ELEVATION
# 55 STONE WALL
_X___._X_ FENCE
43 ❑ 4
RETAINING WALL.
N
RAILROAD TRACK
4 3 ❑ 1 STONE JETTY
\ ' Po°L SWIMMING POOL
PORCH/DECK
� BUILDING/STRUCTURE
M 0 9 may`=y DOCK/PIER
A p
HYDRANT
e VALVE O MANHOLE
0 POST 0'P FLAG POLE
T O W N O F B A R N S T A B L E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T .o SIGN ® STORM DRAIN
M PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a E,,.t,
arcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James ❑ TOWER
1°=100 scale map and may NOT meet daries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE
w ° Q 20 40 National Map Accuracy Standards at this actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet National Map Accuracy Standards
: 1 INCH=40 FEET* enlarged scale. at a scale of 1"=100'. Parcel lines were digitized from FY2004 Town of Barnstable Assessors tax maps. LIGHT POLE O ELECTRIC BOX
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OSTERVILLE
NOTE. NO INCREASE IN AMOUNT OF BEDROOMS
C.
a
w rc A.M. 119
PAR. 37 a Locus--
x WINTERGREEN
_ CB a CIRCLE
* CESSPOOL LOCATIONS PER OWNER - •\ �� � Q�� !as aD
CESSPOOLS 73' PLAN 20619) a
71'J BE PUMPED 191• '(PLAN
AND FILLED 19 O
W/ CLEAN SANDTP
_ ..
CB O� 2e 42'1 RA VEL LOCUS MAP
�
•••••• RA'INC
CAR' / PA VED ��-\ ASSESSORS MAP 119 PARCEL 36
�V
DRIV
- • ET!',q y PLAN REF` 20619, 1661107 395117 & 280117
BENCHMARK ////,/ .
""""'
7YJP OF N ZONING.• "RC"
CESSPOO CON�( �
I CONC. PATIO PAD ,,,,,,,,,,, Z`
GJ
�' �j SETBACKS: 20-10-10
ASSUMED) O- OVERLAY DISTRICT "WP"
IPOOL
CEOPOOL BLHD """"""' A.M. 119
°o° I ° USE%% PAR. 36 SITE PLAN OF LAND
AREA=19,941f S.F.
LOCATED AT
�`8p, 0 ,,,,,,,,,.c� i
' �, ""%"" f37 WINTERGREEN CIRCLE
PROPOSED
����������"�� � OSTERVILLE; MA.
ADDITION ~
9 �� r _ (A. KA. �4'7)
L_( ) ,,,,,,,,,,,,
CRANZSPACE
b td
(MVN,0AT/ON) IO , o PREPARED FOR:
1,24'3':.:is w
MICHAEL GARDNER
4 m CB t h SCALE:' 1"-20'
ba l0. _ - - 11 ° p
°
�
' I RESERVE 11_ - . A UGUST 17, '2004
33 g' o s.e •.a REi!
O (DEED) t xae �� rcplSH S f
w �� 0 193 1 e �� �� PIr- EF, Fs9y r REV
I CB o 280/ ) , ; � � o , V REV.
r 58 (PLAN � �.\ : srEpHEN
w \ 199. �� e G�E r=,� J.
DOYLE
r cs NIURPHY y 1 -13
#37 N
' A.M. 119 ��No.749 ! : no P • YANKEE SURVEY CONSULTANTS
, �9 s r
y \ �`c�r�.�o '►� suRVE'�° UNIT 1, 40B INDUSTRY ROAD
PAR. 62 ��,,`, ' ��.� ' P. O. BOX 265
MARSTONS MILLS, MASS. 02648
sillc9 TEL 428—005 4 —5 FAX. 20 5553
sz NOTE: LOT LINE INFORMATION COMPILED FROM DEED DISTANCES AND ABUTTING PLANS,
ITS RECOMMENDED THAT A PLAN SUITABLE FOR RECORDING AT THE'REGISTRY OF DEEDS BE MADE. SHEET 1 OF 0 JOB #53703.�P GM
i
20' MIN.
fV bWOAT/ON ELEV.= 101.I• 10' MIN. .
4." SCHEDULE 40 P.V.C.
(EX/ST.) CONCRETE COVERS MIN. PITCH 1/8 PER FT. 2"LAYER OF
1/8"-1/2"
CONCRETE COVER, WASHED STONE'
B".MAX EL=98 5
4" CAST IRON PIPE".. B"MAX B" MAX
�8" MAX ' ' i / / / i . . . i
(OR EQUAL, MINIMUM
w
PITCH 1 4 PER FT. CLEAN SAND s
Z. _ FLOW LINE '^
vJ F _
95.8
(EXIST.) • 1 10" 14" =L=5= = O = _ = o --
INVERT MIN. »; `EVEL o°o o° 0 0 0 m = m m m = M = o°g°o
ADD CAS /NVERT } LEVEL 00 0 00
EL.= 972 DAPPER 8 SUM °0 0 0 = _ CO _ = o 0 0 0 = = o o —
.. ,
INVERT EL.=9B O INVERT INVERT o° o _ = CO = _ _ _ _ = o ° 8 —
EL.=98 2 E '5 as EL.= 95.5'-- L.=95.25 — 4•. (3)
--- 500 CAL LEACHING CHAMBERS
1500 GALLON t, DISTRIBUTION 12.8' X 33.5• TRENCH FORMATION
D BOX EL.= � x§.
F SE!-TIC TANl1T� TO BE WATER TESTED
IF MORE THAN ONE OUTLET" SOIL ABSORPTION
r PLACE ON 8" S719NE
PROFILE , OF 314" 71� 1-1/2" SYSTE'M (SAS)
r DOUBLE' WASHED S717NV
SEWAGE - DISPOSAL SYSTEM
NO OBSERVED WATER TABLE (11/0412003) EL= 88 5__
NOT TO SCALE
OBSERVATION HOLE 1 ELEV.
PERCOLATION RATE SB MIN./ INCH AT —4Z!_ INCHES
` . DEPTH HORIZ TEXTURE COLOR MOTT OTHER
. .
J .. 0-6" FILL
ry `- 6-12" A SANDY LOAM 10YR 411
12"-36 B LOAMY SAND 10YR 616
g r 36"-156 C MEDIUM SAND 10YR 816 PERC.
NO WATER ENCOUNTERED
SOIL TEST
# GENERAL NOTES DATE OF-SOIL TEST 8/11/2004 SOIL TEST DONE BY BRUCE C. MURPHY• RS. 3
WITNESSED BY: DAVE STANTON 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM
T AND P
AL s . P 10768
TITLE 5 AND THE TON OF —BARYsLi E--__
REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE.
2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO "
WITHIN 6 OF FINISHED GRADE, OTHERS WITHIN 12 A a 4- ' _ DESIGN CALCULA TIO S:
3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF y EXISTING 4
WITHSTANDING H-10 LOADING UNLESS THEY ARE 'UNDER OR WITHIN NUMBER OF BEDROOMS (.
10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE GARBAGE DISPOSAL . . . . . . . . . NO
USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. INSTALLTOTAL ESTIMATED FLOW
4) ANY MASONARY UNITS USED TO BRING. COVERS TO GRADE SHALL " '(3) 500 CAL LEACHINC"CHAMBERS 110__GAL BR./DAY x __ 4 BR.) 440 GALj DA Y'
BE MORTERED IN PLACE. WITH 4' STONE ALL AROl'/1VD 12.8' X 33.5' PROPOSED SEPTIC TANK CAPACITY 1500
5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH GAL
DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO N SOIL CLASSIFICATION . . . . . . . 1
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. DESIGN PERCOLATION RATE 2 MIN./IN.
6 UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR
g -INSPECTION NOTIFY YANKEE SURVEY 24 HOURS BEFORE . EFFLUENT LOADING RATE . • 74 GAL DAY S F.
IS TO CALL "DIG— SAFE" AT 1-800-322-4844 AT LEAST 72HOURS * - SPECTION LEACHING CAPACITY (AREA X RATE 454 /
PRIOR TO COMMENCING WORK ON SITE. CAL DAY
7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS ,AS—WELL AS (33.5XI2.8X. 74)+(33.5+33.5+12.8+1,?8)X2X. 74) 454 GAL/DAY.
SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. -
; ". R
8) PARCEL IS IN FLOOD ZONE---"C"----- 5*P . Y 5
9) LOT IS SHOWN ON ASSESSORS MAP _119 AS PARCEL: 36__-_• ` y' SHEET 2 OF 2 J '53703SP