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HomeMy WebLinkAbout0007 CARDINAL LANE - Health 7 Cardinal La.n Marstons Mills A = 014 024. `\ l J TOWN OF BAl'NSTABLE LOCATION Card•n / Lv� SEWAGE # a?�4S- p3 .L VrLLAGE_zYA r qua S /���S ASSESSOR'S MAP & LOT / ' aZ �— INSTALLER'S NAME&PHONE NO. C Af //0 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR � PERMITDATE: / I OS 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 1 ' A No. 5 FEE C O0 r COMMONWEALTH Of MASSACHUSETTS r Board of Health, o 6a:29 ;u—ti . , PJA. APPLICATION FOR ICI P®SAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) - ❑Complete System ❑Individual Components Location Owner's Name Map/Parcel# �� Address Lot# \ Telephone# Installer's Name 10�4/Y7 Designer's HEN J.DOYLE AND ASSOCIATFS Address �v 3 �� ��t i/�S Address 42 CANTERBURY LANE Telephone# �ak ?3-167 Telephone# 508/540-2534 Type of Building Lot Size sq.ft. wel -No.of Bedrooms `Z� Garbage grinder ( ) er-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (inin.required) `ZZo—gpd Calculated design flow 'ZZO Design flow provided _gpd Plan: Date o j— j—®' Number of sheets % Revision Date l Title �M c r �� J�.►VR` l.A ��J� 7' �1 ,pikk1,A- '�- DescriptionofSoil(s) 52 ,E S�f vAd.� r�9oL. e� Soil Evaluator Form No. Name of Soil Evaluator r-' 7 L_Date of Evaluation DESCRIPTION OF REPAIRS O ALTERATIONS lls R%L' iosD zr a.ti. �p i y►�L l�b t o J.y L 6 The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further afire o t to place the syste in operation until a Certificate of Compliance has been issued by the Board of Health. Signe Date 0 5— r� �I Inspections FEE COMMONWEALTH OF M SSA-CHUSLTTS Board of Health, J:S-m ,, 62CNatr, ,MA. APPLICAII®N FOP ICI P®SAL SYSTEM CONSTRUCTION PERMIT O Application for a Permit to Construct Repair( UpgradeO Abandon( - ❑Complete System OIndividual Components Locationtz L Owner's Name ,die r Map/Parcel# ' -ti► Address Lot# Telephone# Installer's Name IT 11914//1? Designer' DOILE AND Address ,7Q 1 3 3 a,� �+�/�r S��ti s / s Address 42 CANTERBURY LANE /�I� Telephone# O� yd� y ,r Telephone# 508/540-2534 Type of Building Lot Size sq.ft. well' -No.of Bedrooms Garbage grinder( ) er-Type of Building , No.of persons Showers ( ( ),Cafeteria ( ) Other Fixtures Design Flow (inin.required) S7-D gpd Calculated design flow ZZo Design flow provided { _gpd Plan: Date D1.T17_-0i, Number of sheets Revision Date Title SA';'t►> moun ;Z1UkA 77 ��lt1�t�►4As LA�.Yi't= Description of Soil(s)._ �t'`�^c_ 5��-yam, 7LA--w Lc-,, Soil Evaluator Form No. Name of Soil Evaluator 'S _ .Q1�t_1"a Date of Evaluation a DESCRIPTION OF REPAIRS OR ALTERATIONS loero Q _� i�,lr.��L yb t 1J ,A►Vd1,L� � L The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further afire s to of to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed /r Date Inspections No. QLOO 5.0 3-) FEE D� COMMONWEALTH OF MASSACHUSETTS Board of Health, f fG 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: �C- / Ji 1-7—Q at 7 �r��r4 / Zan /3'la,•�51�rt� �'Illl� has been installed in accordance with the pro 'sion of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No.c9oo!5 -"G337, dated the . Approved Design Flow Qg270 (gpd) Installer `I r- /76/0 Designer: L/ P/&./'irc4?!'1 Inspector: Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. S _G 3 FEE O4 COMMONWLALT14 OF MASSACHUSETTS Board of Health, %T�Y\ I`Q MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( )_ Repair Upgrade( ) Abandon( ) an individual sewage disposal system at a I'D!010, O S d�`C�s m t S as described in the application for Disposal System Construction Permit No.,'200 5 0 37 ,dated I /G Provided: Construction shall be completed within three years of the dat of th`sep rmi. All local conditions must be met. iI Form 1255 Rev.5/96 A.M.Sulkfn Co.Boston,MA Date 'Board of Health t r TOWN OF BARNSTABLE 7 ��rd,n�. 003- L� LOCATION SEWAGE# o? 03 VE,LAGE ,44a K qfa°' S /�-�lS ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. � �- AI 11/0 SEPTIC TANK CAPACITYx.'s9.' LEACHING FACILITY: (type),5 4: (size) NO. OF BEDROOMS BUILDER OR ==`�' PERMITDATE: l P o2 I �� COMPLIANCE DATE: =Ift 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 O 0 �.,jr 4 e . 3 t O p `� s Town of Barnstable P R.egulat6ry Services Thomas F.Geiler,Director Public Health Division �Ep �a Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Designer: Installer: STEPHEN J.DOYLE AND ASSOCIATES Address: ,00.4,r( V y Address: 42 rANTcRINRYW4E _ EAST FALMOUTH,MASSACHUSETTS 0253g 2534 508 ur tT,� ��f "VA f�?GY� 540- v f/ ./'9 /"" On was issued a permit to install.a (date) (installer) septic system at -1 Lt�,\tAp. i- L r- based on a design drawn by (address) dated (designer) I certify that the septic system referenced above was installed substantially according to e design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical.relocation of any component of the septic system)but in accordance with State&Local Regulations. Plan revision or certified as-built by designer to follow. ►► A�� s P►P���OF AIASS4c,�. �G�S�ERFv Gs� i P STEP v+ 0h9 ' er's Signature) 3' ► 00� ► 037 ♦ S' (Desi er's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTIA THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:HeaWSeptic/Desiper Certification Forth L6"CATION SEWAGE PERMIT NO. V I-4L L A D E �-A ��� �11 //,5 -- 6YU4, POYUTkb. -6(A PT))NA l 4_0r INSTA LLER'S NAME i ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED 7 7dcj — DAT E COMPLIANCE ISSUED 7/ T 1 .*. { S � > � � �t� � ,� •� ��f �> �1�, �,� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ OF....... Bi9.R.f�1.�J�4. 3. . .. Appliration for Uisposaal Workii Tonotrnrtion .unfit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: N.e.. :-..Mhfi ,5. .A)5...,1!;�/441. ........1-0 ......... -./..-------•-•----------------------------•...•..---•--......... Loc ion- ress or Lot No. .... - .... ... .............. .. O r Address WI •-ff`�/•- -• staller Address d Typ of Building Size Lot.Z .O..6.&S..Sq. feet U Dwelling—No. of Bedrooms........_ .Expansion Attic Oo) Garbage Grinder (*10 `4 Other—Type T e of Building 1Q__ _ P ( ) — ( ) p� yp g .. /�............. No. of ersons.._...._.._.._.__..._..._._. Showers Cafeteria P4 Other fixtures -------------------------------- ® W Design Flow........11-D.........................gallons per jOn�peMi day. Total daily flow........_3_L?_-..................gallons. WSeptic Tank—Liquid ca.pacityJOO.O.gallons LengthJ9.___6.`'.. Width_4.�/. ..e"_ Diameter________________ Depth..a..A.." x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........./--_____-_ Diameter-----a--�---__ Depth below inlet.....6.......... Total leaching area.a.0.0....sq. ft. Z Other Distribution box (L,4 Dosing tank ( ) '-' Percolation Test Results Performed by... -Q_N.A.(,;i?...A...6r1. 0c.:;P?xb---&5. Date_qV._N jF..... ,.1_ �f3 Wa Test Pit No. 1__4.c2----minutes.perinch Depth of Test/Pit----Ll_........ Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R+' ----------------------------------------••-•-•...•--------------...-•-••--------•--•-•-•-••--......... ....--••-•----•--•----.........._............-•••--. Description of Soil....�?--�-•��--••-----�-��/��---�-�+$�A_ _ ��G.�4.X.-----'��--...-e-1��--------C.G.4�A.NI......... VC,Q,e&.! .e--------5!A4V--A........•----.... ........1u A.TkA1..-•-- ............................................ 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 TH'I U 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. Signed.,.................................................................................. Application Approved By........___ �� e �i_ s -/......Date ............. Application Disapproved for the following reasons:............................................ - ..----••--------•----•...........................•--•--•------.............----------.......-------••---......----------•-........................--...........................Date............ ..... ....... .-Da......--'....... Permit No......................................................... Issued- r Y ...... �1........... Date No.. --��/d-1�-.. FEv........................... THE COMMONWEALTHOF MASSACHUSETTS BOARD Off` • HEALTH C3 'J ...................OF...... Appliratiou for Disposal Works Tonstrurtion Prrutit Application is hereby made for a Permit to Construct O or Repair ( ) an Individual Sewage Disposal System at: R 1?JI►I�:4.::..ZAj M .� --N ...�./_ .... ....g.... ------------------------•--••-----------•--......---....---- _.._ - _..... Lo tion- ress / / or Lot No. r Address W ...= :...._... . nstallerAddress UT e of Building Expansion Attic Size Lot ��_ C S...Sq. feet ,., Dwelling—No. of Bedrooms---: _---. p 0 Garbage Grinder (4-0) aOther—Type"of Building -NIA............. No. of persons--.--_-_-__•_•--.•--_-.-.-. ;Showers ( ) — Cafeteria ( ) Otherfixtures •• •--•- --•••-••---•....-•••--•---- ...............................................d � 01"4Ris6l�' Design. Flow....... ____gallons per Tryon er day Total daily flow_-._._. �....•............... Ions. . (xl ..� rs /� r> � ev W . Septic Tank�=Iaquid:capac>tyl�:Q..gallons. Length............. Width'.__.O_..__. Diameter................ llepth___.._A...-. x Disposal. Trench—No ...............-._.—Width s Total Length................... Total leaching area....................sq. ft. Seepage Pit No......../......... Diameter ........... Depth Uelow'm-let_._.$__ ........ Total leaching area: ga'.....sq. ft. Z Other Distribution box (V) Dosin tank t Results "Performed b tJ 1}�t ..........................................r/P •S Date��+�►f..... IS . a _ Y - - �► Test Pit No. 1± a'. ..._.minutes per inch Depth of Test Pit---/"`f.....___. Depth to ground water........................ Lr4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x •---•-•-••-•---•• ------...-- ..'.. �� Gd�it,, S�tS+ .�1-r L4 , " "` i� .� O Description of Soil-- .......... C.d�fZ��- ..__�.t�AV .........••.....�_..... . t�V 9 I+�1�----•- !t?eo�ryretz jg�A.................................................... W UNature of Repairs or Alterations—Answer when applicable................................................................................................ ------------------------•--•••...................... Agreement: The undersigned agrees to install the af"orede"scribed 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. igned . ............................................. ................................ Application Approved By............ � ' Date Application Disapproved for the following reasons------------------- -=------------------------------- ---------------------------------------------------- -•-----•-•-----------•....................•-•---...-•-------•----•--••--•------------........-------------•----------•-•-•-•--•--•-••---•-•••--••••-•--•-----------•------•----•-----•-••-•----••-•-•--- Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF ALTH rL ..............OF........ .... ........................................ Trrtifirate of Tomplittnrr T IS TO C R IFY T e Individual age D' osal S stem constructed or Repaired ( ) ler ......- at f has been installed in accordance with the provisions of 5 T e State Sanitary Co e as descri ed in the application for Disposal Works Construction Permit N ..-_ _ ....... dated_-_.' '-. �'? ....•..... f :'; . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATIS ACTORY. Inspector._..:_ DATE...... :�... .... ..... ........................_ THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH "................OF.... . .. No. ..... ............ FEE...... .... �i fro 1 orks-ions it &mft Permission hereby granted !�r ............... to Const c ) or parr an '-eal Sev� sp .S F Street �� VOW as shown on the application for Disposal Works Construction Permit ......... _:..._AofHealth ed.._._.._- .:.....................:.... Boar DATE................................................................................ t. . FORM 1255 HOBBS & WARREN, INC., PUBLISHERS - � . _ � � gl � � �. .3.. ,. s .; M' S f' r F t. - ,�a, t'` - 4 .r ti 3 v, t _. JY•y 4 a, A x � t 1k'.',� -+i ,�+:' >• f k` 1 ,r _ 'a �'¢.�+ ,S'._ a � ... ! J�:J' �, ,3-T a. z a 'I.- , III _ ., -Y fi r�/ ��s'i�{' ,,.;ti �^} ��+re'4'x� 4 °'f'�A�L• il'�t1 R��tX. � � �.. - ^�+ �-.. ..x' .L��7/ "axt'.�� ,�... z-Cr.1..G Y! µ'i'J4� ��� j � T ;:,`.?'o.p a; .a: ri✓ c.'-, o- '7, _ - ! i'� Y k.•+' ,pt F- `<- > �� .a -n, T a, at 'yc, _ ,� W .., •-c fY �t q �`J Y,r`: 5 .�rl ,i •�r� d*�� .L. - �L+1•'s. 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Doyle BW EL Date: January 12, 0005 Exist to Remain o Dia o Dia. REMR l I 6" / Pere Rate: <2 Min/Inch 97= El. 103.33' min. 6" � a o00 00o TH El 106.5' INV EL s—p NV EL INV EL °' a ___ _ o o e o El. 100.50, 0" INV EL INV EL 102. 70' 102.50' s/4" - 1 1/2" bashed stone „O„ Exist to Remain 104.5' 102.90 6"stone 4, 4, ' - � SL 1Oyr 3/2 (Existing) 4 HOLE DISTRIBUTION BOX „ 00 25' 4 PROPOSED LEACH TRENCH � " 1000 GALLON SEPTIC TANK TO REMAIN `� B L5 IOyr 4/4 (EL 103.5}--3 " Bo t tom of Deep Observation Hole El. 95.5' "C" Design Da ta: \ FINE Two Existing Bedrooms } \p CB Rim dj High Ground Water <El. 10.0' (Long Pond) 1Oyr 5�4 _ TO Proposed System: '�� -- lev. 103.29' Two Bedrooms = 2 X 110 gpd = 220 gpd Required Flow �' � � - �p`oBe tum: NGVDf MED. �. L_3�y ` i 12.83 SAND No Garbage Disposal pave ��'/ � `�` .zy - \`\\ �.\• " Use: Chamber Trench 25L x 12.83 W x 2 Eff/Depth � 34 a '" �• 13,2 [25' + 25' + 12.83 f 12.83] x 2 0 = 151 f --- \ \`w d e e b' 24 , o .,' _ 105 \\ � 4' . : 4 El. 95.5 25' x 12.83 = 320 �'�/ 00 \,.,%�\ \\ —� 58" �-�- 471 x 0. 74 = 348 GPD Total Design Flow for New System ode ' ' 105' �'� \\ \ ��.' Number of Trenches - 1 / 3 Number of Chambers - 2 15 , Existing ` \ 6 ' \ ` PROPOSED LEACH TRENCH - END VIEW N.T.S. Drive Install Two 500 Gallon Units with Four Feet of Stone at Sides and Ends. 104- ------ , ,1. - `106 \ \� 104 or 0 ------------ utillpo le rA PRECAST REINFORCED CONCRETE DISTRIBUTION BOX Install on a level base \ '' �. Minimum wall thickness = 2 \ _ `\ \ Minimum inside = ` �lsz` \ \ `1 e dimension 12 j� b �\ \ \� as ............ ::::::::::::::::::::::::... .............. Outlet inverts shall bee equal to each other and at \104 ?> \c ........ .. q . \ b 0 2 minimum vl cr 0 m below inlet invert. - Q' a Mockingbird • b ockzn r \ ` M 0 o \ g a. o �. The distribution lines from the distribution box shall all have o Lane rn equal inverts as determined b flooding the distribution box to w ` � ........ v g W , the o h height of the h distribution line invert after all lines have \ 6� Stockade \ � -- LOT 81 •\ been sealed in place. \\ Fence \ \ 1 Invert adjustments shall be made b fillip with durable and \ o = 20,665fsq.ft. `\ \. nondeforma ble material permanently fastened to the line or , "' \ \. reconstructing the lines until all inverts are of equal elevation. \\ 27 106 89�'. i �`. \� 105 12' ti E�sting 1000 Gall(z?I, 106 ' Talk to Remain ' 13' :.. � d/b Sewage System Repair Plan ;:;;:•;: Prop�sed SAS 107 Prepared For. ..;;. Charr>rber Trench ,� �,A 1-�A L LA�� GENERAL CONSTRUCTION NOTES _ 9 1. All the workmanshipand materials shall conform to D.E.P Title 5 '' 30'00 . In and the of � 1 2� WiLLIAM cy�: disposal of wsewage.Barnstable rules and regulations for the subsurface i S61'S3 a LNE ERM,gN ASSESSORS DATA. r MarstOl1S Mills, 1�IaSsa C11 ZISe t tS 2. At least one access port over tank tees shall be accessible ' ;-o �39j �: 14 - 24 within 6" of finish grade, with an remaining access ports brought 30 �o . , ��; Scale: 1" = 20' Date: January 12, 2005 6o Y b° ba 107 �a'<':5: E� •► to within 6" of finish grade. g Pump and F3t1 REFERENCE DEED. Prepared By 3. All components of the sanitary system shall be capable of �� ,p� 5285 - E Stephen J. Doyle and Associates Exist' L.P. V� � E. Falmouth MA 02536 withstanding H-10 loading unless they are under or within 10 ft I (� 42 Canterbury Lane, , of drives or parking. H-20 loading shall be used under or within ✓"'���fAgS FEMA DATA- ZONE "C" Telephone: 508/540-2534 '► �`ZH OF I�7�SS40 t� _R v� i o z .�- c 10 ft of drives or parking unless noted. Plastic equals may be . �,� G�STE,R // used in lieu of all precast units + °� P� �10 `�� : ZONING DISTRICT- RF 4. The excavator/contractor shall verify the location of all site GRAPHIC SCALE .4 sr�JH�N ,; OVERLAY DISTRICT utilities prior to any exca va tion, and shall be responsible for , a�'� y ; GP & RPOD all matters relating to electric easements 20 0 10 20 40 : ��o ^? : BUILDING SETBACKS- 5. Sewer pipes shall be 4" Schedule 40 PVC laid at a min. 0. 02 slope. FRONT 30' 6. Any masonry units used to bring covers to grade shall be � SIDE AND REAR 15' mortared in place. ( IN FEET ) 7. Finish grade shall have a minimum slope of 0. 02 ft per foot i inch = 20 ft. NO. DATE DESCRIPTION BY