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0030 DEER HOLLOW ROAD - Health
,r 30 DEER HOLLOW MARYTONS MILLS r A=030-041 L �� TOWN OF BARNSTABLE LOCATION 30 b 0 ��, 0 W 421 SEWAGE # VI LAGE . 7-0A0-3 N'C1•N ��l•�2 ASSESSOR'S MAP & LOT3�y� 'l INSTALLER"S NAME&PHONE NO.<,�yT Lf-,9 ` �` �-1/,!),> SEPTIC TANK CAPACITY 62-11 LEACHING FACILITY: (ttype)7#6 L l'1pi 3 �(size)I(f r 3 c NO.OF BEDROOMS BUILDER OR OWNER � PERMTTDATE: • ��Z�j COMPLIANCE_DATE: 15* 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 I q - 0 / 2) , No. ✓✓ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in co2,�� mputer: Yes �("�►\ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLEx MASSACHUSETTS Rpplication for ]Diopaal 6potem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components �© Location Address or Lot No. 31) DEJ=k �k DL_OW W Owner Na me,ame,Address and Tel.No. `Da LCT-4 m(+ 3o oP C_D1��21C� Assessor's Map/Parcell 3 Sm05S C M�.STDIJ5 rn l-LL5 42-0 - S8 2- Installer's Name,Air and Tel Designer's Name,Address and Tel.No. aW 94; � YR-ft,kr9 St)RV(54 oaMSUI_;7-1Ms /�—C��--C�-P4 r . A PO epic P-Gs UNITS L+04) 1 N►�U,s�N U V1)A'2 5 ni5 M I Lt.5 Lp ZR. CO--5 Type of Building: Dwelling 4*"No.of Bedrooms o�. Lot Size 3HM} sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow_ e gallons per day. Calculated daily flow gallons. Plan Date "/ __Number of sheets Revision Date Title Size of Septic Tank /��� CP4-(_. Type of S.A.S.ZftJV/L` Description of Soil 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 issuei �doH h Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued TOWN OF BARNSTABLE LOCATION�� D 46(L A:)V` O W 0) SEWAGE # qeP VILLAGE y'YL1tQ1 IUS b`Cl 0S* ASSESSOR'S MAP & LOT O INSTAL :ER'S NAME&PHONE NO. �h7�'M��ly'�1%►�l > SEP"MC:.TANK CAPACITY G'Y� LEACHING FACILITY: (type)f A( Jt (size) X^3.drX! NO`Ol~BEDROOMS BuiLb.ER OR OWNER C 0 P PERMIT DATE: Y�ZCOMPLIANCE DATE: —!EZ�- Separation Distance Between the: Mazim'um Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private'Water Supply Well and Leaching Facility (If any wells exist on,gite or within 200 feet of leaching facility) Feet Edge: f Wetland and Leaching Facility(If any wetlands exist :W.itwn 300 feet of leaching facility) Feet Furnished by -------------- i , i 11b12� Wit•.. • " .jNt„F r • .., . r- w- - ,S',..r.. A No. 6�0 C.. Fee�k� THE COMMONWEALTH OF MASSACHUSETTS -'Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLEs MASSACHUSETTS Zipplication for �Diooml 4p5tem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components (� 0 Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel L OT y m t=} 3 O }17 t rj. r J5 m 1 LL S Installer's Name,Address,and Tel..No: Designer's Name,Address and Tel.No. m r ► . COs5 \.Type of Building: J Dwelling 4-`'No.of Bedrooms _ Lot Size 3H8gD t sq. ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow d gallons per day. Calculated daily flow gallons. ..._..Pla�n-�Date—Z" Number of sheets 7 Revision Date Tine } ti Size of Septic Tank T e of S.A.S. yP Z r S Description of Soil - M ~ w 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 issue this Bo d of H lth. Signed 'a Date Application Approved by Date Application Disapproved for the following reasons Permit No. Et. Date Issued FA.. 3a',t THE-COMMONWEALTH OF MASSACHUSETTS :. BARNSTABLE, MASSACHUSETTS , Certificate of Compliance THIS IS TO C RT Y that t On-sit Sew ge Disposal System o ructed( )Repaired( ) U raded( ) Abandoned( ) en constructed in accordance kwiih the provisions of Title 5 and the for Disposal ys em 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 � ��� Inspector 0 —1-- — ----------—--------------------- No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLEs MASSACHUSETTS migozal pgtem Conotruction Permit Permission is hereby granted to Co truct( , Repair( )Upgrade( )Aba d ( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recogniz his/her"duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construc on m t be c mpleted within three years of the date of this p t. / l Date: Approved by / I RACE LANE z, o ASSESSORS /, 50011 LOT 14 R� SCREET � ASSESSORS LOT 7 s A A LOCUS RIVER 311. 01 106 N79044'30»E \ \ 4, SESSORS jest 1 A SQ. EA 30 T 41 FT. 4B40f LOCUS MAP \ 0 ------; 20.o 41 4' AR , ` o `� n i / PLAN REF. 2221157 \ ASSESSORS MAP 30 1 - ; H11 / 100.5 \ ' 0 1 I E-I1� < ., 1 i H lio FLOOD ZONE C 1 ' 000 0 5 0 H 11 RES. ZONE: "RF" Of / 4.0 o a, ---- D #' bn "' `3� X DESPOT ELEVATIONS g t �6. \� -- P Op. 0 30 11.0' ) PROJECT LOCA TION LOT 41 W o DEER HOLLOW RD. O 28.0 �' MARSTONS MILLS, MA.99.7 C` �� - ASSESSORS APPLICANT CD o ,�r�. LOT 4� JOSEPH DIETRICK 0 YA NKEE SUR l/E Y CONSUL TA N TS 99.4 P. O. BOX 265 h re. .4 a t - , ,^ UNI T 5' 40B INDUSTRY ROAD of � D MARS TONS MILLS, MA. 02648 PAUL �\ ® , 'f,� a A. PH. (508)428-0055 — FAX(508)420-5553` iL�ERrm ,N.o.743 1; No.:f�t)s8 4� SCALE. I " 30' DA TE 2ImI98 CATCH BASIN � zdqGISTE��� tE n f� r S '� S Q. BENCHMARK tiYo s.,4 \ tea rO�At LAi�p SJ EL=,98.5 ASSUMED RE V.' RE V.' i JOB NO. 5146 7S SHEET 1 OF 2 [ 7 ' EL. = 103"_ ,TOP OF FOUNDATION 2 0' MIN. 10' MIN. t CONCRETE COVERS 4" SCHEDULE 40 P. VC MIN. PITCH 1/8 PER FT. 2"LAYER OF 1/8"-1/2" VENT 6" MAx / � , , / CONCRETE COVER WASHED STONE ' EL.=103' =104 4" CAST IRON PIPE � .. � � (OR EQUAL) MINIMUM PITCH 114 " PER FT CLEAN SAND 9" MIN. FLO W LINE INVERT 1 10" EL=99.25' MIN. 14" �-20 � °° - 100 5' INVERT xx ----. GAS 6 SUM LEVEL o 0 0 0 0 INVERT BAFFLE EL.=100 INVERT INVERT 0 0 0 .0. .00 0° EL= 100.25' EL= 99. 75' EL.= 9_9.50' °°° EL.=97.50' -- ° O (TO BE PLACED ON FIRM BASE) DISTRIBUTION MECHANICALLY COMPACTED, OR 6" OF STONE BOX 1500 __GALLONS O TO BE WATER TESTED 11' X 38' TRENCH FORMATION SEPTIC TANK IF MORE THAN ONE OUTLET 06 PLACE ON 6" STONE 3 4" TO 1-112" SOIL ABSORPTION STONE PROFILE OF SHED SYSTEM (SAS SEWAGE DISPOSAL SYSTEM BOTTOM OF TEST HOLE OR USG.S PROBABLE WATER TABLE ELEV. =_89.5_ +° NOT TO SCALE ( 1 / - NO OBSERVED WATER TABLE 12 4 97 ELEV=_ 8_9.5 OBSERVATION HOLE I ELEV=- 101 _ PERCOLA TION RATE �5 - MIN./ INCH AT -3e" INCHES OBSER VA TION HOLE 2 ELEV=_ 101_75 DEPTH HORIZ TEXTURE COLOR MOTT. OTHER DEPTH HORIZ TEXTURE COLOR MOTT. OTHER 0-8" 0/A SANDY LOAM I0YR4-1 0-8" O/A SANYLOAM I0YR4-1 8"-30 B LOAMY SAND I0YR5-8 8"-30" B LOAMY SAND I0YR5-8 30"-138" Cl MEDIUM SAND IOYR 6-6 PERK 30"-138' CI MEDIUM SAND IOYR 6-6 GENERAL NO TES 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN OF -BARNSTABLE-_-_ RULES AND NO WATER ENCOUNTERED NO WATER ENCOUNTERED REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2) ONE CO VER ON SEPTIC TANK SHALL BE BRO UGHT TO SOIL TEST WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12" D ATE OF S O IL' TEST 1214197 SOIL TEST DONE BY BRUCE G. MURPHY R.S. 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN WITNESSED ' BY: JERRY DUNNING 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE DESIGN CAL C ULA TIONS.' USED UNDER OR WITHIN 10 FT , OF DRIVES OR PARKING AREAS. P# 9064 3 4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL NUMBER OF BEDROOMS . . . . . . . ># BE MORTERED IN PLACE. TOP LOAD 5 INFILTRATORS WITH GARBAGE DISPOSAL . . . . . . . . . NO 5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH - 4' STONE SIDES AND ENDS TOTAL ESTIMATED FLOW DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO 11' .X 38' X I' ( 110__GAL./BR./DAY x 3 BR.) 330 GAL/DA Y OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. I REQUIRED SEPTIC TANK CAPACITY 1500 GAL 6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCA VA TION CONTRACTOR SOIL CLASSIFICA TION . . . . . . . . I IS- TO CALL "DIG- SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS DESIGN PERCOLATION RATE . . � 5 MIN./IN. PRIOR TO COMMENCING WORK ON SITE. 7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS EFFLUENT LOADING RATE . . . . . . 74 GAL/DA Y/S.F. SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. x LEACHING CAPACITY (AREA X RATE) 381 GAL/DAY 8) PARCEL IS IN FLOOD ZONE __"C" . RESERVE LEACHING CAPACITY . . . 381 GAL/DAY 9) LOT IS SHOWN ON ASSESSORS MAP 30 AS PARCEL _41-_-. (38XIIX. 74)+(38+38+11*11X 74) SHEET 2 OF 2 JOB NUMBER__ 51467S _____