HomeMy WebLinkAbout0175 BAXTERS NECK ROAD - Health -tAXTER NECKS l�oa,
A= 075-001.' O �Jrj,ct�S a�'S
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No. O o ,• Fee`F i Old
I O S THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
ZIppfication for Miopooar *pgtem Conotruction Permit
Application for a Permit to Construct(K)Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address and Tel.No.
7-k.eo c�NC.�F_V- �
Assessor's Map/Parcel 'T 5 /?WLrTOWOOT-or 1-Y�61 l 93q �Pe.Z J1 �j ��t{pt &C-0
Installer's Name,Address,and Teel.No. De ner's Name Address and Tel.N�j�—
Type of Building:
Dwelling No.of Bedrooms Lot Size t52� sq.ft. Garbage Grinder(N►�
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow_ gallons per day. Calculated daily flow gallons.
Plan Date _V5 Z3 g 1991B Number of sheets I Revision Date
Title '9ti-TMFLAvy QII C-2 'S CR"1 C,G '5Y5-%M,v4 -X6 i�kx'Ma-M 6c. - (*\(Z
Size of Septic Tank Type of S.A.S.
Description of Soil Zp'fir= ® b F_3" - �a�s,�vv Co�zs� J,�vtiO V- LZ." i z-- Z,"
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued this Board ofHeal
Signed Date
Application Approved by Date
Application Disapproved for the following reasons
Permit No. �2r7 Date Issued
----- ----------------- - ----------- -.—._ _ . o.
TOWN F B .N LE Q p�
:':;:':LOCATION SEWAGE#
`. YELLAGE ASS SOR'S MAP LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) / size) v V'
NO.OF BEDROOMS-
....., :BUILDER OR OWNER
PERMTTDATE: — COMPLIANCE DATE: /•JG �y�
ss..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 leaching facility) Feet
Furnished by
n3
i
O
9 - .a.o No. Fee 100
1 THE COMMONW ALH OF ASSY Yes
HUSETTS _ Entered in computer:
PUBLIC HEALTH DIVISION - TOWN�OF MRNSTABLE., MASSACHUSETTS
01pprication for �Digogar *p!Otm Construction Permit
Application for a Permit to Construct(K)Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 6 Co$A k L 1�
�G � Owner's Name,Address and Tel.No.
Assessor's MapMarcel "7 /Q0g-r10ry 00 V-0 r t.Y b j t 93y QC G/kvV S, f�t1-S tt i Ec..7
Installer's Name,Address,and Tel.No. DVr's Name Address and Tel.N _ ^"
'. '� i�AdL.K.-t✓:r2�J 06�Zi/t LL� '��"�
f t
Type of Building:Dwelling No.of Bedrooms Lot Size 9; t5Z75
.sq.ft. Garbage Grinder(4
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
fDesign Flow 5 SD f gallons per day. Calculated daily flow gallons.
r Plan-Date fE�5 Z5 1998 'Number of sheets Revision Date
>` Title S rm—?t.&" d Alzoeosec> `J y>r% G VA K TIC-IL �C.�C_ a>�
Size of Septic Tank Type of S.A.S. --'
Description of Soil ' Q' ���,. b "3 6,z4wrvCaA.2sG o 3"^ 29"
1320.1j ty C014"&G 8"-- L,Ut-v-r �Eu���y �w ry CyA�s� Farvp
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement: -
r
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
"m accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Co`mp'liance has been issued by-this Board of Heal
' Signed o Date
Application Approved by Date ! - -
Application Disapproved for Me following reasons
Permit No.� ' - -3-:�L 6 Date Issued
------------------------------ --------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS j
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( K) Repaired ( )Upgraded ( )
?,.-andoned( )by
at G.c T." xrtz-"6-r-r-- 22 has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated
Installer Designer
"'The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
Date j� ' (�� ' Inspector
---------------------------------------
No. 9 3-"C' Fee—b Oct!
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
Mi0p0ar *pgtem Construction Permit
Permission is hereby granted to Construct( K)Repair( )Upgrade( )Abandon( )
System located at �4 mLIL 10
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of this t.
Date: Approved bych
�
—��
TOWN F B rN LE -� J�V
LOCATIOV- r SEWAGE
17' _
VILLAGE ASS ,SOR'S MAP &LOT
INSTALLER'S NAME&PHONE NO. /e 49ce&4C!/
SEPTIC TANK CAPACITY 22/_yI�?
LEACHING FACILITY: (type) G / �' f size) w
NO.OF BEDROOMS ,57
BUILDER OR OWNER P�
PERMTTDATE: COMPLIANCE DATE: /�
Separation Distance Between the:
i
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 j
within 300 feet of leaching facility) Feet
Furnished by
'-� i
/ `� �-
�� `�I
0
/��-�
u , )
f
I --
10 1 a of i3�ruSl:�b►c � _""® __
Department of Health, Y+Safet and Environmental Services
Date
Public Health Division
d tw rq� 367 Main Street,Hyannis MA 02601 � Go
JPQ-7
I "Warr } 1 t Time
t p�"`^ Fee Yd.
PAM
i65 6 Date Scheduled
nent or Sewage Disposal ,
Soil Suitability Assess► f �NNI N�
S Err D
Performed By: P5TE S uL L1 VAN P
E Wltneaed�By:
1V 1+OTt1VIATION
LOCATION & OWN ItAL 1 owner,$Name FRED I-aNsBERG-
�xL�]EGtL0-O 1C{3q OCERN SI; OZOt
Location Address L 0-1- 13 Ivl qR5 N FI END I►1 A
Addeea! c
F I.X01 Bngirim'sName fir✓ � Ju�L�vAN
Assessor's Map�arcel: P&r-r"aN aLjt 0 q�^33 g
Telephone
_,__• tt not E
NEW CONSTRUC 10N � 4 REPAIR Surface Stone
Slope
Lend Use R prinking Wetet Well
R Possible Wet Area��— t�i A fl
Distances from: Open Water Body Di dam— O f It other
�/n R Property Line �.�-- .
Drainage Way��
dimensions of lot,exact locations of test holes do pare tests,locate wetlands in proximity to hole)
SKETCH:(Street name,dim ,
LO T 13
P9 q 8,5Z5 s l=
682=
t
1p 1 o P�
K
R
0
W Zen
b ® I
x o TH-1
a
G L G t A L Depth to Bedrock
S PLAIN
Parent material(geologic) -
Weeping ttom Pit Face
Depth to Groundwater: Standing Water In Hole:
El. 5
t N GV D '
Estimated Seasonal High Groun wa er .,.
........ .. _
ERNttNATION 1♦'C)It SEASO�NAL�G�I�A"I`Ema��L �
i I)CT rac6Np t jo
01=13A¢ds tt�t3�& At n ti E _in. Depth to soil mottle: R
Method Used: v N {nobs.hole: At N E in. Groundwater Adjustment
Depth Observed standing — Ad).factor _Adj.Groundwater Level
Depth to we from side of obs.hole:
Well level„•____
__.._._
Reading Date:
index Well N _ a+e e30
PERCOLATION'I' ST
gn/1�N•ZO. SCG/ZSGAL_: Times . . ,
Observation
Hole N 1 � Time at 6".
Depth of Perc Time(9"-6")
Start Pre-soak Time® .. -•-
End Pre-soak —�
LEss fihaN 2Mltj C14
Rate Min./inch
Site Failed: Additional Testing Needed(YIN)Site Suitability Assessment: Site Passed
Health Division Observation Hole Data To Be Completed on
Original. Pub
lic
.„. AnnliCAnt
LOG.
ION IIOLr soil giber
O(JS(%(i;V/�• Soil Color ' Mottling (Structure,Stones,noulderof.
Soil1'exlure (Munsell)
wolr from Soil Ilorizun (USDA)
Surface(in.)
PINt' N&t _
0 D Rrowiv 10,19, 3 �vN�
StraNG arm S vNc
ybLL. ,312wN , �
AND �
a �r.yE� aN is C.,V
€
2-q 120
# r.
Urc>r oIjSr', A'rt�N soil
Solt Color tling (Slrtrcture,Stones,l)ouldercs.
Soll Texture (Munsell) Mot
I)cplh from Soil llorizon (USDA)
Surface(in.)
It 2�— O �.
0-3
• 3„_ i Zit
—2;4 v
2
Ot;scJtvn'r(orr Soil
J)J'rillSoil Color Mottling (Structure,Stones,Ooulderq.
Soil Texture (Munsell) •i•r�" -�L--�
Ucpll,from Soil 11 rizon (USUA)
Surface(in.)
t OUSG(tV/�'I'I01V ��OLr'LOG Soil Other notrldercs.
llC ' Soil Color Mottling (Slrnclurc,Stones,
Soll'rexture (Munsell)
I)cpih from Soil Ilorizon (USUA)
Surface(in.)
• _ I
•� eC l�iw.M+ •
Yes
Above Soo year flood boundary NO, x_
Within 500 year boundary
No X Yes —
Within too year hood boundary No
Yes —
pervious materiel exist in all areas observed throughout the
Does at least four feet of naturally occu system?Ing
proposed for tine soil absorption
area p pervious material?
If not,what is the depth of naturally occurring
have passed the soil evaluator examination a roved by the lit
' ate)1 ha plysisper e sist O
I certify that on
cot of i nvironmenlaI Protection and tilal the,abon I OaCMR 15,017.
y
hcnarlm- . .,..—„ ;mnri,ricsc if.e • .
o 0 7
28 IC
0 Q)
;r-A^ TH- I Elev. 33.5 0CU
a) ao 3 ca
tl TH-2 Elev.27.0 � � E � e ° N
Pine Needles '`� a�i m 0 E rn c
0 cv c Z ° a`ai
It Organic Mat a) c .c
/L ,• ;�� / "�' O A Brown Coarse 'z L -v 3 0 0 Q
_�
3�1 Sand cow � Q) J E
N o Strong Brown o += ao 4- X
o o Q - • B1 Coarse Sand M. aci c
��
N
Yellow Brown a> — co n a�
n a „ B2 Coarse Sand \ 0 0 'ca +r co
p p ii<r.n 2 4 c E > aci N co)
I,O 0 0 /r o�r� �61 48�t Perk Test V \ '" s c c E
00 a �, 5t O- a) 0
o o •, � C Light Yel low Brown cri m o
E
120" Coarse Sand a) as a�i Q aa) o = c
NOTE Soil Profile is Same For j w W3 b'� N -' _ a Q a ai co 5-
T H-18► T H-2 /��/ / --�� h/ ,d --` \ m ca c a) o a) a) �
LOCUS PLAN No Water Encounted ���/// // �L �'` \ �� 3 o N "D H U
SCALE I- 2000' Date: 2/19/98
ASSESSORS No. P-9105 28 i // / / \ \ \ \ \ \ \ \ \ r c\i 6
MAP 75 PORTION OF PARCEL / .-. .-. .-.
Engineer Sullivan Engineering Inc.
J.
...Barnstable BOH : JDunning
I.X01
Percolation Test �\ \\ \\
Class I Material �� ^ / \ \
Depth of Perc.48 II / / _ / / ^ \ \ /\ � 9
Less Than 2 Min/Inch ai
( /
Pr
wio I .
S' mosed 20X�t
_.
n9 Poo(
\ / N
SO
�45' \ N M Proposed House / / t37' 4-1O � o,
/ N N ; 'q 3
� -S' NO O Q� C�
era
I
• / / ^\\ \ Septic \\ \ \\ �
\ Cn O
° Tank J N in
0
OD
NOTES DESIGN DATA / —
. Single Family-5 Bedroom
I.Water Supply ForThis Lot is Municipal Water. With no Garbage Grinder / my / \ \ \ \ \ \ — -' ,\ \
\ Q 4k
Q ,IL
2.Location of Utilities Shown on This Plan Are Approx. Daily Flow=110 x 5=550 GPD / / \' \ \ \ — — -' \ \\ \ W — E o
At Least 72 Hours Prior to Any Excavation ForThis Septic Tank:550 GPD x 200%=IIOOGPD / / \ — — \ � v Ct
Project The ContractorShall Make The Required Use 1500 Galion Septic Tank /
• Notification to Dig Safe(1-800-522-4844) LEACHING AREA N\ \ \ \ \ \
\ \ \ \ 1
• a The Contractor is Required to Secure Appropriate - -- - -
q � 550 GPD/0.74= 7�43�SF Required _ _ . . . . 1 /� ` 1` �a^o �o
Permits From Town Agencies For Construction Sidewall 2(12 +44'�2 = 224 S.F.
Defined by This Plan. / / N / ti \ \ \ \\ \ \ r. Cz
Bottom Area=12. x44 = 528 S.F. / \ \ \ x
4 Install Risers as Re uiredto Within 12'of 752'S.F.Total Provided / J / \ \ \ m 5 d
q
- Finished Glade. LEACHING CHAMBER DESIGN /,N �re 7 �� ^ \ \ \ \\ \ \ QQ.o o
5.All Structures Buried Four Feet or More or Subject All Pipes lobe Schedule 40.PVC Q a
to'Vehicular Traffic lobe H-20 Loading. Use 5-500 Gal. Leaching Chambers in a N / c c \ \ \ o k
Septic System to be Installed in Accordance With 12' x44� Washed Stone Field as Shown. / j\ / / JV
310 CMR 15.00 Latest Revision And The Town of / ° f' i" / I -
Barnstable Board of Health Regulations. /M�' °\° — J ti N O _� d
/ / / o 1 00 O o
7. All Piping to be Sch.40 PVC. / two
IN, CN
to
-- \ o (U °�O N8 to
3 \ J co a
- - _ _ _ - - Q �Z ypm�
a
0
Gade — _ _ ---- __ gZ _ SITS 11 � o` o
FG= - - - `��SE 0� Q
t �. ''�b `� o_ C01
/ 30 Lai
FG= 2L.5 J \ � — - - - - - - sZ _ Q �V � M
M Fabric --Compacted Fill SFilter , ee Note \ \ — o z oc a
4 \ — { s LU d
27 -Li \ \ \ _ rib a J @ o
175
\ \ �
N 1/8= 1&1 24.5 1500 Gallon 24.3 O
Pea Stone Septic Tank ` Bot.EL 15.5 '- —
20.3 v _
C•r•• •..••t.:r ti �l \ \ \ \ 9e
Leaching �� �� Bedding as 10.5 1/ a \ \\ \\ \ ` ` _ — — — — —_ ` \
Per Title 5 O \ \
3/4 - 1 1/2 Double t� t t t O o \ \ ✓ \ °'
a Chamber Washed 10 10.5 10 10 12
\ LIJf0
4'-10" Ground Water at Elev.5 \ \ \ \ \ 1 \ / \ \\ \ \ \ \ \ U) Q
Ir t� as Per T.O.B. Groundwater
12 -0 Contour Map. CO t
\ \ \ \
IN, \ \ \\\\\III/�/ \ \ \ \\ TS Q V U J
CROSS SECTION OF CHAMBER DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM �G \\ �\ \\\ �/ / \\ \ \ W J
- Not to Scale °`�° \
NOT TO SCALE '°o\ `\ \ \ \\��\I \ \ /J �' \ \ ` � *� J�''i� �- 0- Z
' in
Zoning District - RF `9 `^ I \ / `_ / \ 35 \ lu ''- 0
Front Setback — 30' ` — 36 - ° CL Q N
Side Setback - 15' a 0
,,..,� CO
Rear Setback - 15' � „N _ � bF�'` � � `� 3� — \ � F° X o
c �
CL
Me
b aUo�S �
t &31- XVg C.)
� o
Sheet 0f