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HomeMy WebLinkAbout0105 CAMELBACK ROAD - Health 105 CAMELBACK ROAD MARSTONS MILLS 1 1 TOWN OF BARNSTABLE LO&TION llr lae,11,Xi Q SEWAGE # �)00 y� VE,LAGE //I) ///,/� ASSESSOR'S MAP & LOT �� INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /,oaa e�G LEACHING FACILITY: (type) *o 00 (size) o?J �` NO.OF BEDROOMS BUILDER OR CWNER �/ 1 PERMITDATE: %O iy/D7 COMPLIANCE DATE: id 0 03 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility S t 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 r4s �Hwrs"N� s 33 6 No.A01 � _ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIpplication for Migogal bpgtem Congtructfon Permit Application for a Permit to Construct( . )Repair(t✓)Upgrade( )Abandon( ) O Complete System eIndividual Components Location Address or Lot No. Owner's Name,Address and Tel.N10 o. 0 Assessor's Map/Parcel Installer's Name,Address,and Tel.No. ` Designer's Name,Address and Tel.No. `f CD/��5 &46 dq Coat° 9 7 7/- Type of Building: Dwelling No.of Bedrooms 3 Lot Size �, 6ssq.ft. Garbage Grinder(AQ Other 'Type of Building a No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow ✓ gallons. Plan Date ® 3 Number of sheets Revision Date Title all D D C low, Size of Septic Tank / ©D �XJ�7`/�l9 Type of S.A.S. 7 Description of Soil /DZ- 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 b s Do o Health. �D 9/ 3 Signed Date Application Approved by Date Application Disapproved for the following reason Permit No. 2 D 0 3—�`� Date Issued 0 3 N0. 1 _-.3 _ Fee 11, o THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 2pprication for Migoizar *pztem Com6truction��0 ri�i3°t� Application for a Permit to Construct( )Repair( of upgrade( )Abandon( ) O Complete System @Individual Components Location Address or Lot No. / Owner's Name,Address and Tel.No. /d y CCU' /ram 51�Z'"G`PG�C/'`iiS Assessor's Map/Parcel ryr /v! /-/ fir' Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms 3 Lot Size—2.7 3,q.ft. Garbage Grinder(�� Other Type of Building I1 y �� No.of�Persons Showers( ) Cafeteria( ) Other Fixtures ) Design Flow_�/M gallons per day. Calculated daily flow 33IJ gallons. Plan Date 1,0�—b i Number of sheets / Revision Date Title Size of Septic Tank ` /l/'/'?r: ,CX/ /M�a Type of S.A.S. 7 — Id19 0e_7 X Description of Soil e Nature of Repairs or Alterations(Answer when applicable) Date last inspected: a 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 issue this Board of ealth. Signed i-� AXE_ T ,ia ._ Date /D Application Approved by - _°d r ' l f �/L' `�/i'i f� , f �'� Date Application Disapproved for�tfie following reason§,=�: l/ r Permit No. 7 t)0 201 Date Issued 101,aIO2 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( Upgraded( ) Abandoned( )by v- /21�X/i _ S at Z47``- A . ��` _� .�7/r has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. tor,'2.1-I4 dated 1 Installer Designer The issuance of this pe 1t sh f not be construed as a guarantee that the system wil. nc io, rd si ed, r Bate /. /i Inspector tv -----�—'} --------------------------------_— - -- NO �f//�o 3 —/— Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Migooal *p.5tem Construction Permit Permission is hereby granted to Construct( R/epair(/✓)Upgrade( )Abandon( ) System located at_ _Z4 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:Constru)o must l�e completed within three years of the date of this pef . Date. /� 4 Approved by 6A4 � r --� TOWN OF BARNSTABLE LOCATION 100 Cara,,Ae X 0Q SEWAGE # ©Q7 y o VILLAGE /� 9,/A ASSESSOR'S-MAP & LOT - 6 {a INSTALLER'S NAME&PHONE N-O. ,6i���: r4J>TitiCf/o✓ SEPTIC TANK CAPACITY LEACHING FACII.TTX: (type) *® 4,l 44valir i (size) 1;9,i- NO.OF BEDROOMS BUILDER OR WNER A PERMITDATE: . /O io�-7 COMPLIANCE DATE: d b 0 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility S f 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 I Furnished bye I aye 5-a' -- q31 6 II I I , I I ®s TOWN OF BARNSTABLEO LOCATION Q Live dlll$ClSEWAGE # VILLAGE �5 ✓ /�� ASSESSOR'S MAP LOT,„ INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY /0 O U 'ILEACHING FACILITY:(type) tNO. OF BEDROOMS PRIVATE WELL O rt::P:UB�LICATER BUILDER OR OWNER 06VAe' �/!v� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No (} o d.� ,. . ✓� ....� i � � �� i� �� � � �` _ . -�--_ No.- -•................ Fps............._............... 77 THE COMMONWEALTH OF MASSACHUSETTS BOAR® F' HEALTH, - �......OF.......... .... . Appliratiuu for Di ipaaal Works Cons rurtiou 1hrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal tem Sys �at: .. .......... t 1 � .. .... .... ..--- ocatio -Address r - L-w--- i- � 'x � _.,. _� ................ ... .l t z ........................... Own ddre.", Installer Address ��J Type of Building Size Lot. _ "..Sq. feet aDwelling—No. of Bedrooms........... . ......................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building No. of persons........6---------------- Showers (,?) — Cafeteria ( ) dOther fixture • - --------------_------------ -•-------•--_--_---------------- W Design Flow............. . .. .... ..gallons per person e day,. Total daisy 1 ns� ------------------ g g P P P '----••-• . . ••-•-•--•.'�h W Septic Tank—Liquid Li uid ca acit -_ allons Length-- Width.. Q-- Diameter________________ De th_. . P q P Y� g l� -- -�-� P --3-- x Disposal Trench—No ................... Width......._p........... Tita�l _ ength.._.........._.t__ Total leaching area___.._....._.......sq. ft. Seepage Pit --------I________- Diameter.......... ...... Depth below inlet..........._._. Total leaching area.._. _ .sq. ft. ZOther Distribution box (• -) Dosing t nk ) Percolation Test Results Performed by._.. ••,�,lsG��,,�5//_ �]��_......_. Date.....___... ...... .� aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water______-_---._----______ a -•-•--•--• ------ 0 Description of Soil------------------- V --------------------------------------------------------------------------------------------- -------- -------- •------------------------------------------ ...........----•------------------ W ••••---•-•-•----------------•--•--••••-••••••••-••••---------------••-•-•-•-•...•-•-•-•....._..•-••-----••-•-••------•-----------••.................................................................... UNature of Repairs or Alterations—Answer when applicable....................................................•__.._........................_.........._.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of h Ith. Sign d••• .... ApplicationApproved By.......__................... •-- . .--•-•• ................................... ......... - n�e ... Date Application Disapproved for the f ollowin easons---------------------------------------------------------------------------------•--------------------•---------- Permit No. .��.-:-----�-....-----•----------------•-.. Issued........ --- 4Xf 4-------- r No-,;, . -�- Fizs........ THE COMMONWEALTH OF FHEALTH MASSACHUSETTS �� 7 9f0'//jam%v 77 BOARD ..........{. .1��-.... ...OF.......r }.!.......... t t_:::; ...... . ppliration for Disposal Works Towitrurtion rmult Application is hereby made for a Permit to Construct Q�') or Repair ( ) an Individual Sewage Disposal System at: � Location-Address or Lot No. ••- •••�-•-- ................ ►W-a t� �� "C/, le owner ! sp Address . L�U Installer Address f? f UType of Building Size Lot. ....(__:.:..E� .___:__....Sq. feet ,-� Dwelling—No. of Bedrooms........... ________...................Expansiorttic ( ) Garbage Grinder ( ) Aq Other—Type of Building «�R a yp g ...:..........: ..:...A_ No. of persons_______ _____.__._..__ Showers �� ) — Cafeteria ( ) Otherfixtures ------------------------•--- •-••--•--• ----•-•--------•----•-•---•--------•----------• -... Design Flow_____________ __Wit_..___.______.__-_ _gallons per person pef day. Total daily flow______: j_, f _________._.___.__ gallons., tic TrenclLi uNido ca acrt � 1 adl�hns Length Ix SeP q P y„4 g gt Width__�� /?� .. Diameter7--- De th_ �.__------- Disposal _____________ Total Length............___.___ Total leaching area___.______.._.____.sq. ft. Seepage Pit No.........I.......... Diameter.........f___.._. Depth below inlet_______�_______. Total leaching area../ <'.2..sq. ft. Z Other Distribution box O Dosing tank ( ) a Percolation Test Results Performed by.___`:1-,�:_______t_�f _______________________________ __ Date....................... Test Pit No. 1________________minutes per inch Depth of Test Pit_______.__.___._____ Depth to ground water_..._.____...__.____.__. GLI Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_..................... O Description of Soil:__.f.............:� _7�....0)�//,; ,/____.: _ 'Al 0 .. -----•-------•--------------------•------------------------------------------••------•---•----•-•-- U •------------------•-._..__...----•---.._.._.._...------------.._...•-•-----•......-•-----••-•------••....•-•-•----•-----•--•--•--•------•-••---...-----•-•---•..........-•--...---......---------••---- W U Nature of Repairs or Alterations—Answer when applicable............................................................................................... •--------------------•-----•---•--•------...--------------•--••--------•-----------....__.....---•----..._..------------------------------•----------------------------=---•----••-....---........--•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health' �ff��� Date Application Approved By-•----•----•---•--••--•---• .7-1 ''••--..._ ............................................ ------••- Date Application Disapproved for the followin easons:--••-----------------------••-•----•-----•-----••---•-------•••---•--••----•-•-••--•---•----•------....-------- Date f ,Permit No...... _ ; ____.-- ........................... Issued_.... - _.._ ----•--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH t::.. ...OF.....` ..r:r.._.� � f.. .c ................... Trr#ifiratr of f ompituttrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) y . ............. .............................................................. ........................................................... =Installer at.---•-....-•--------•---•=------•----....-•-------•---- '- ,// 1_, rl I:%{1,_2 , ' X/ f ///./ C has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.. _____. dated___. ___ _. THE ISSUANCE OF�TO IS CERTIFICATE SHALL NOT BE CONSTRUE® AS A G ARNTEE TA`I THE SYSTEM WILL FUN ION SATISFACTORY. DATE_- `�� T ......................................... Inspectoi[ G� � _ %✓.. . THE COMMONWEALTH OF MASSACHUSETTS BOARD OFF HEALTH./ ' '. � r ...........�......O F......................:..:^ .r. NoFEE.... .{..[. "". --- Ramat Works Tonstrt ion anti# Permission is hereby granted.............................................. � = lel f ' to Construct ( ) or Repair ( ) an Individual Sewage Disposal System } at No - Street as shown on the application for Disposal Works Construction Permit No.... ..... Dated..... ._ ....... s .................................................. --••...... -- ......•----._.._......__... Boa aTEti DATE ...._.. d ..•'llo F�- -•-------•------------ FORM 1255 A. M. 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A L' i r Ov r '✓ C b � ? \�\ c \ _ f°W9 7 - C a k a s� ` / F r � .✓ LQT i ' �an .nv _ aah. aysM2ge�,nv .a>rvawnes:wm,,�vut�ea'..�tarrsuw'vw, ia.e,,#�.^.� d. . �, k 112 <�; r v t .4 C AF L► �'f 41 E P t0 AWO,,PV5, R Sr 7 6 4 ='<�tN 6,10 �` �n � t ' i t s� 2 u IT ion# ,41 HWY / : FAb �-- 7"1 TA NO.` 4 A :" 'i �C, .. `YMVAiWHRB'M*.,mwFY.�pv - s+aewprne�rv'•.-:.,alM awen'na�+ru„+uiw 5' s' in✓oemxnn✓i�•�artnme,!r�. ow+:wsn+,...aw I�w.awrex."q .. - - .:'..: '::Asa. sKe� N 1o7.s3' SYSTEM PROFILE TEST HGL. LOGS TOP F DN. NOT TO SCALE) ACCESS COVER TO WITHIN 6" OF Fv-N. GRADE PROP. INSPECTION PORT, ARROW ENGINEERING ACCESS COVER (WATERTIGHT) TO WITHIN 6" OF FIN, GRADE ENGINEER: �l MINIMUM .75' OF COVER OVER PRECAST /` WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM WITNESS: JAMES CON-ON _ 104.5 RACE LANE 104.64' RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE DATE: 9/17/$3 FOR FIRST 2' PERC. RATE _ < 2 M,N/INCH '' E`� EXISTING 1000 3' MAX. �w GALLON SEPTIC 't* ITEE CLASS SOILS P# y s --�/ TANK (H- 10 ) 102.3 ag 102.17' � -� a a o o O a a LOCUS ---- C' 101 .5' O Ci CI C 3 Cl LO � E:7-0. o 6" CRUSHED STONE OR MECHANICAL ED 0 m [] 0 a o 0 ED Q" IT--] E 05 2' Es COMPACTION. (15.221 [21) MIN �5oY�$ 2' 0 � 00 0 CD r-I 0 d� 99.5' DEPTH OF FLOW 4 ( 8 % SLOPE) ( 1 % SLOPE) TOP TEE' SIZES: 3/4" TO 1 1/2" DOUBLE WASHED STONE & 'INLET DEPTH = 10 ,r 36" SUB OUT DEPTH = 14 102.2' LOCATION MAP NO SCALE FOUNDATION-- EXIST. SEPTIC TANK 12' D' BOX 15' LEASHING MED ASSESSORS MAP 64 PARCEL 86 FACILITY SAND *THE INSTALLER SHALL VERIFY THE 6.3 84" LOCATIONS OF ALL UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF GRAVEL SEPTIC SYSTEM 96" 93.2' I MED -104.17 SAND Lg ACK R0 AD 105,88 C ANIE 1-104.31 ELEC HANDBOX 104,43- +1 CATV RISER -I-�o4 8�_ _ EDGE OF PAVEMENT _ _ -+10�57 144" 93.2' 59 in �_12 0 0o i INO WATER ENCOUNTERED 17 NOTES: _ 04.46 ELEC TRANS PAD ► PA o4.90 ;; PTIC SI N R I P R I NOT ALLOWED E DE G . (GA BAGE DS OSE S ) S APPROX. NGVD (TOWN GIS SPOT EL) TEL RISER I DRIVE ti 1. DATUM la 2 ELEC METERS ,0=22 :,I FLOW. -9EDROOMS GPD _ _• GPD -� iC5.43 11 Q _ r;N 3 .__._._..... 3'30 W** I 115E A 330 GPD DESIGN FLOW _ 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. "APPROX. WATERLINE ' +105.7 SEPTIC TANK: 330 GPD ( 2 ) = 660 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- =0 4.87 ' 901 I USE A 1000 GALLON SEPTIC TANK (RE-USE 5. PIPE JOINTS TO BE MADE WATERTIGHT. . o ; -105.38 EXIST) 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH, MASS. 107.06 I � LEACHING: 2(30 + 9.83) 2 (.74) EXIST. - 118 ENVIRONMENTAL CODE TITLE V. 14" N SIDES: 7, THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE +105.27 30 x 9.83 (.74) = 218 USED FOR LOT LINE STAKING. DWE 07.83' 130TTOM: $. PIPE FOR SEPTIC SYSTEM TO SCH. 43-4" PVC. BENCHMARK "OTAL: 454 S F 336 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONC _A.LED WITHOUT ECORL= BULKHEAD 13 PLANT BED 06.11 USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED EL=107.1' -. i 5OEECK +104.41 r � FROM BOARD OF HEALTH. 04,94 EQUAL) WITH 2.5 AT SIDES, 4 AT ENDS, AND 5 --j 04.87 E TWEEN UNITS 10. LEACH PIT TO BE PUMPED AND FILLED WITH CLEAN SAND OR 05.24TM E +104.7 � REMOVED AS NECESSARY. PROS. LP -J T 10" OAKS 104,55 LEGEND AKS -}-1 ,83 /'� -}-103.90 100.0 PROPOSED SPOT ELEVATION � -�103, 9 FaGF�` -}-1 ,53 �/ 104 - - TITLE 5 SITE PLAN CIVcq 100x0 EXISTING SPOT ELEVATION i 103.95 103.57 10o PROPOSED CONTOUR OF 105 CAMELBACK ROAD 100 EXISTING CONTOUR IN THE TOWN OF: +1° . 03.53-}-103.59 (MARSTONS MILLS) BARNSTABLE +103,91 PREPARED FOR: BORTOLOTTI CONSTRUCTION MacRIDIS LOT 16 BOARD OF WEALTH 27,365 SFt 30 0 30 60 90 MA APPROVED DATE ,500 SCALE: 1" = 30' DATE: OCTOBER 8, 2003 off 508-362-4541 fox 508 362-9880 down cape engineering, 1n C, of ,RAJ, ,���"�f ARNE 9�ti /off ARNE CIVIL ENGINEERS '�`' H. G� OJALA OJALfi r; CIVIL \ '" `rOo, LAND SURVEYORS s N . 26348 2 939 slain st. TE armouth, ma 02675 Fs /SR`°�Q, f q Y 03-278 AR H. 0JA , P.L.S. DATE