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HomeMy WebLinkAbout0069 BARNICLE DRIVE - Health 69 Barnicle Drive Marstons Mills A= 057 - 059' - /TOWN OF BARNSTABLE eX-,/ LOCATION ����/GGt� 0/�� SEWAGE # 211pa iys-O VILLAGE / rS�s /�1/��//5�� ASSESSOR'S MAP & LOT69S7-7'0,,5-w INSTALLER'S NAME&PHONE NO. CJD/�7`i�1�/^ G�lss�`: 771-0! SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 3`S�4 gd/G`IQA7b• (size) NO.OF BEDROOMS / BUILDER OR OWNER PERMIT DATE: 7-1 y'Z�ea-v 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 t L4 3j� 2 H 3Z 6 �3 y No. mow..._ .___. FEE COMMONWEALTH OF MASSAC14USETIS Board of Health, BOQCY 15 . Q E, MA. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct(d) Repair( ) Upgrade( ) Abandon( ) - a Complete System ❑Individual Components Location a (�arnide r r Owner's Name ) Map/Parcel *5`7 5 X�& Address Lot# Telephone# Installer's Name Designer's Name �� Snn�v Address ( /t L\S Address PC) )G to '�1 1 Telephone# 1 Telephone# Type of Building k��Y1Q Lot Size Q. ,43 1 ±sq.ft. Dwelling-No.of Bedrooms 4= Garbage grinder �fj® Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min.required) 4' o gpd Calculated design flow Design flow provided 46 4- gpd Plan: Date ( 1 �6 Q Number of sheets_� Revision Date Title ( � -� l-'f' Description of Soil(s)Soil Evaluator Form No. Name of Soil Evaluator Lt 6 P. D lAkO-M Date of Evaluation o1 1 DESCRIPTION OF REPAIRS OR ALTERATIONS The upeigne $r ie ab v de i d Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and furtho t th t u ra til a Certificate of Compliance has been issued by the Board of Health. Signe Date �� L? Inspections TOWN OF BARNSTABLE LOCATION y ����/fit�' ��� SEWAGE# VILLAGE / l9Td/ S /Gl//Is ASSESSOR'S MAP & LOT -Z 2 `eS 71 INSTALLER'S NAME&PHONE N0. SEPTIC TANK CAPACITY 1 LEACHING FACILITY: (type) 3`Sd4 gd(G�t17/Lfb .(size) NO.OF BEDROOMS BUILDER OR OWNER100 fd PERMITDATE: COMPLIANCE DATE: Jo 00 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private.Water Supply Welland 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 r4L - R�>►e 0 L ys 3� 2 CS) 1 0 ryy No. FEE Q 4 COMMONWEALTH OF MASSACHUSETTS Board of Health, ���r15��� MA. L/ ` APPLICATION FOP DISPOSAL SYSTEM CONSTRUCTION PERM- IT Application for a Permit to Construct( Repair( Upgrade( Abandon( 6/complete System ❑Individual Components Location l `Li r 1 V ��, f S Owner's Name Map/Parcel# ; 5 Address Lot# f Telephone# Installer's Name (� f c Designer's,Name Address 1'Y+ M r l c,'��' �` Address P e1 o x Oi 1 to 5 s tiJ Telephone# 44 C I(© Telephone# -. Type'of Building re`J 1��y� C�`• �'1O M Lot Size 0 .3 sq.ft. Dwelling k No.of Bedrooms_�— Garbage grip/der WD Other-Type ot7Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min.required) gpd Calculated design flow Design flow provided 45 4- gpd Plan: Date —7 14 1 1 60 Number of.sheets Revision Date Title 5 1 -4 �v--� Description of Soil(s) J t V 1' Soil Evaluator Form No. t .� f 'Name of Soil-Evaluator'�A1 �. U IJ I C�W) Date of Evaluation oZ I 1 C( DESCRIPTION OF REPAIRS OR ALTERATIONS p. . r r tf The u;ndersign6, ins` "the a ve de cribed Individual Sewage Disposal System in accordance withthe provisions of TITLE5 and furthat pja e t era til a Certificate of Compliance has been issued by the Board of Health Signe Date Inspections M i No:- COMMONWLAIT14 Of MASSAC14USETTS FEE Board of Health, B u (1 S + b k , MA. CERTIFICATE Of COMPLIANCE Description of Work: ❑Individual Component(s) &(Complete System The undersigned hereby certify that the Sewage Disposal System- Constructed Repaired ( ),Upgraded ( ),Abandoned ( ) by: T 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 application No. dated Approved Design Fl, �(gpd) Installer J1 % �/�:J . les /� �} / / y Designer: Inspector: .1` 1�1,'' 1 ate: I b ( �0 The issuance of this permit shall not be construed as a guarantee that the system will function as designed. / No. OD" �'I E �7 FEE COMMONWEALT14 Of MASSAC14USETTS Board of Health, l-t� 'n 5 4-6(��e— ,MA. DISPOSAL. SYSHM CONSTRUCTION PERMIT 'Permission is hereby granted to; Construct(V/)"Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at 6 /JQ��rc` e�ri _ as described in.the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date 8-1 I-461 Board of Health r - MARSTONS MILLS I CERTIFY THAT THIS SURVEY AND PLAN WERE MADE IN ACCORDANCE WITH THE PROCEDURAL AND TECHNICAL NOTE- STANDARDS FOR THE PRACTICE OF LAND SURVEYING IN ALL ABUTTERS TH MMONWEALTH OF MASSACHUSMS: ��� �,c� ON TO WN WA TER 28 PA A. MERITHEW, P.L S. AD TE/ Q��E �y f R o LOCUS i J -_HOUSE _ ` 01 or __ \ __ \ \o 1' id, ' S1 A.M. 57158 pRop BENCHMARK TOP OF CA TCH BASIN LOCUS MAP s6q.'35 �� \ \\ ELEV. =100'(ASSUMED) / \ 0.01 \ PLAN REF 272130 A.M. 57 50 60.0�. ZONING: "RF" ASSESSORS MAP 57 PAR. 59 2 GRO UND WA TER 0 VERLA Y A. M. 57159 /�l \`'' i�/ \\\ DISTRICT AP AREA=23,431E S.F. / ,� PROPOSED \ i 102 20 3 4-BEDROOM T.O.F. 51 2.� \ ` SITE & SEWAGE' PLAN N 12,6 0 1 N rn \ occ C) 1 \ \ .,0 0 o j y `\ PROJECT L OCA T/ON w 6 69 BARNICLE DRIVE A.M. 57151 ° 26 0 do MARSTONS MILLS f . o ` 12 \ �_ 160 00 APPLICANT.- N CL0CAN RESIDENCE 55 3 0 \ --- = �� YANKEE SURVEY CONSULTANTS \� 1 P.O. BOX 265 UNIT 5, 408 INDUSTRY ROAD ____- _ =` 'Ak• �'/ :q� ¢ �%H OF'vAs MARSTONS MILLS, MA. 02648 ar r�r 3` y — PH. 428 _s 508 0055 FAX 508 420 5553 - HOUSE a ,��;:./ #�I.�.6�.. oa � � J � A.M. 57/60 A. w��uAM , v 5��'€ittHLW �' UESERMAN SCALE. 1 =30 DA TE.• 7 17 00 A.M. 5 7152 a ;; , ' N;, 0 ` 'rudSTE� �'o9FGisT P�t4 REV REV r'f3i l FSS/ONAI ✓OB NO. 52413 SHEET 1 OF 2 r — 104.5' f MP OF FVUNDATION + f� 20' MIN. r 10 MIN. CONCRETE COVERS 4' SCHEDULE 40 P. VC MIN. P17rH 1/8 PER FT. 2"LAYER OF ` EL=103' 1/8"-1/2" -102 6 CONCRETE COVER WASHED S71'JNE B" MAX EL=102.4 SCH. 40 PVC MUM PO/7L^ /4'�PER FT CLEAN SAND 36„ MAX ' 2' LONGES 14' FLOW LINE 2 D EL=99.6 INVERT 110 RUN o00o O o0007-0*0-.00 MIN. 14" �zO• o 00 0 0 0 0 0 0 0 0 0 0 o 100p0o 0BAFFLE INVERT 99 5' 6 SUM LEVEL ° pO co 0 0 0 0 0 0 0 0 0 o/NVERT EL.- - INVERT /NVERT o o° o 0 0 0 0 0 0 0 0 0 0 EL.= 99. 75' EL.= ---- EL.=99�-- 4" 4 (7t7 BE PLACED ON FIRM BASE) DISTRIBUTION (3) 50o GAL LEACHING CHAMBERS MLL"HANICALLY COMPACTED OR B' OF S717NE BOX EL. GALLONS Y19 BE WATER TESTED 12.8' X 335' TRENCH MRMA77ON SEPTIC TANK IF MORE THAN ONE OUTLET PLACE ON 6" S71DNE SOIL ABSORPTION 3/4" 7t7 1-I/2" DOUBLE WASHED SMNE SYSTEM (SAS) PROFILE 0 F EL=103 OLD GROUND 0„ LOAM & SEWAGE DISPOSAL SYSTEM BOTTOM OF TEST HOLE ELEV.__ 91 _ NOT TO SCALE SUBSOIL 36" OBSER VA TION HOLE I f PERCOLATION RATE __2__ MIN./ INCH MEDIUM COARSE SAND GENERAL NOTES ' EL=91 144"' I r � I) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO DER NO GROUNDWATER ENCOUNTERS `�N of D SOIL TEST o��� TITLE 5 AND THE TOWN OF _BARN,FLlRL2____ RULES AND HOS ENGR ASSOC. INC. WILLIAM REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. DATE OF SOIL.. TEST DEC. 18, 1979 SOIL TEST DONE BY o LIERMAN 2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO B.WITNESSED BY: O.H. AGENT W P. OLDHAM `� ��. 239?: WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12" 9� 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF 10 FT.T OFDDRI HE—1OR PARKING AREAS TH-20 LOA INGESHLLwBEIN DESIGN CALCULA TIONS.' o�Iu USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. 4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL NUMBER OF BEDROOMS . . . . . . . . 4 BE MORTERED IN PLACE. GARBAGE DISPOSAL . . . . . . . . . NO NO NATION HAS BEEN MADE AS TO STIMATED 5) DEEDED OR I ZONING REGULATIONS. OWNER/APPLICANTCIS TO H (3) 500 CAL.INSTALL.- LEACHING CHAMBERS ( 110 E GAL/BR/DAOY x 4___ BR.) 440 GAL/DA Y ' OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. WITH 4' STONE;ALL AROUND REQUIRED SEPTIC TANK CAPACITY 1500 CAL 6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCA VA TION CONTRACTOR 12.8' X 33.5' IS TO CALL "DIC— SAFE" AT 1—800—322—4844 AT LEAST 72 HOURS SOIL CLASSIFICA TION . . . . . . . . 1 PRIOR TO COMMENCING WORK ON SITE. DESIGN PERCOLATION RATE 5 MIN./IN. 7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS EFFLUENT LOADING RATE . . . . . < • 74 GAL/DAY/S.F. SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. LEACHING CAPACITY (AREA X RATE) 454 CAL/DAY 8) PARCEL IS IN FLOOD ZONE____C" . C RESERVE LEACHING CAPACITY . . . 454 CAL/DAY 9) LOT IS SHOWN ON ASSESSORS MAP _57_ AS PARCEL _59 (33.5X12.8X 74)+(33.5+33.5+12.8+12.8)MX 74) SHEET 2 OF 2 JOB NUMBER__ 52413-------