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HomeMy WebLinkAbout0034 J.B. DRIVE - Health 34 J.B. Drive i Marstons Mills �- 4 r__ -- TOWN OF BARNSTABLE LOCATION �� �f"1 V/7� SEWAGE # 2—,o&,5 —ZZ7 7 VILLAGE �1,�+�5?o�s ���r ASSESSOR'S JMAP & LOT /D/—4/3 INSTALLER'S NAME&PHONE NO. S"DS- L'2z9— 9'13�"),95 1,5 / g"t"'o,S SEPTIC TANK CAPACITY le iM / LEACHING FACILITY: (type) SdD�G�s�r �i/,�"� (site) NO.OF BEDROOMS BUILDER OR OWNERr PERMITDATE: 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 leachin facili ) Feet Furnished by f 7 -� svli • .gyp, h S,s- , No. 0003—3/ / Fee 5 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 21ppYtcation for Zigozaf bpgtem Con.5truction Permit Application for a Permit to Construct( )Repair(/i)-'?pgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3y PI V'5/ Owner's N e,Address and Tel.No. low,-sr®�.s w .� Assessor's Map/Parcel Installer's Name,Ad ss,an Tel.No. S'O8—z/'10——7 Y9 Des- ner's Name,Address Tel.No.-fa9--f qq-4 72 e /c%S Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answe when applicable) jCjf, lz 2 ^S'ad G.AI 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 by this oard f Health. Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. S003 379 Date Issued --03 4No 3 Zoo 3 -3 / / Fee �.:. ., THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 1 Yes PUBLIC HEALTH DIVISION-TOWN OF BARNSTABLE., MASSACHUSETTS G 0[ppYication for Migpogar *pgtem Congtructfon Permit Application for a Permit to Construct( )Repair(A..o [fipgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. Owner's Najne,Address and Tel.No. .$ a h S !.�/.l�s FF p�wS Assessor's Map/Parcel d - c ! h' . W/AS t Installer's Name,Address,an Tel.No. sue$-4�49-f rf'yo Desi era's Name,Address Tel.No.��9'.� Jos'a py t?s 900PH05 �,.?� 4A0,01 � �l Gro ry! � ,tsr' 0�1 �i% /.t'.3'vNSCT �r►V/= 1� ar v�' :. , Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revisiori Date Title Size of Septic Tank Type of S.A.S. Description of Soil - Nature of Repairs or Alterations(Answe}when applicable) ZH. ' "S aU 6,4 R Date last inspected: IN 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 by thi Board of Health. Signed Date Application Approved by , ' Date Application Disapproved for the following reasons Permit No. 2.003 `3'19 Date Issued x " 63 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired(C-.)-Upgraded( ) Abandoned( )by ,,Ids r d/ �i f�.4s�.�a S at jq ✓. �/)In/I= lZltarfl'oyS AV//�-S has been constructed in accordance with the pro/visions of Title 5 and the for Disposal System Construction Permit No. 2C0 3`371 dated Installer ✓�s 5 Designer The issuance of this permit shall not be construed as a guarantee that the sy tem will unction . e ' nedej. Date Q— 21-o Inspector No. 2063 -W / Fee—� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS xigpogar *pgtem Congtruction Permit Permission is hereby granted to Construct( jj )R�eair(v)t'Jpgrade( _)Abandon( ) System located at u/,d W. ,a in V/= 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 pe Date:_ g' <<` o 3 Approved by ,.3 r 314' TOWN OF BARNSTABLE LOCATION �� i �j^11//f SEWAGE # 2 2a5 -24Z VI LLAGE ASSESSOR'S JMAP & LOT /yD�/'�/3 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY L269 / LEACHING FACILITY: (type). S f �l',� �i%! (size) NO.OF BEDROOMS BUILDER OR OWNERr� PERMIT DATE: //"O 3 COMPLIANCE DATE: l 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 Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leachin facili Y,) 1 Furnished by I a i � sy LI I!i .� s.k_....�.. Fps.--.. ................. o. -- THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEAL H ..............OF....... ' ` Appilra#iun for Ropcoal Workti Tonotrixrtinn Vrrutit Application is hereby made for ermit to Construct or Rep it ( ) an Individual Sewage .Disposal Syk - -- -- ------- ------- ------ st e r --------- ' ----�-- \� w Loca o -Address �_�,orjlot No. Owner ress W ......... ......•.... .... •.. ........................... ` - ---•--------------•--------- Install Address A Q Type of Buildin Z� Size Lot._.2.. _V.,�_Sq. feet U Dwelling No. of Bedrooms____________________________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria P4 Other fixtures -------------------------------- - . Design Flow.........................kg. _4) -._gallons per person per day. Total daily WSeptic Tank-�Liquid capacity_: gallons Length................ Width---------------- Diameter---------------- Depth____-_---_.---- ' x Disposal Trench—No- ____________________ Wi th----- _._ _ �__ Total Length_________._ Total leaching area....................sq. ft. Seepage Pit No_____ ______________ Diamete _�-Depth below inle __._._.._.. Total leaching area_ _�. "�sq. ft. Z Other Distribution box ( ) Dosing tank ( ) , aPercolation Test Results Performed by-•----------------------••--------------------------------•...._......_.. Date.................................... Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water------------------------- 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ P4 ------ 0 Description of Soil-------------------- * •• cZ x V --•---•-------•-----------•-------------------•---•------•-------------------------------------------------------------------------•-------------------------------------------------------------------- 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 Article XI of the State Sanitary Co —The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been sue by th oard health. Signe ...... • --• ••• .--- --•----• .- Date Application Approved By._.... .. -- ___- __ �__7__f 7'�'—� 1 . --11-- - Date Application Disapproved for the following reasons:................................................................................................................ .........-•--------•-----•---•-----•-•-------•-•-•----------•---•----•--•--•----•----•-------••-•-•-••-...•--•---•••--••-••-•-------••----•--------------------------------••--------------------------- Date d Permit No......................................................... Issued.-/-•� 's � Date A .a —No....� �� Fimic ..et.................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® E HEAL. H- a . ----....OF.......f .? t, ,. Appliration for 4%ipooal Works Tomitrurtiou Permit Application is hereby-made for ermit to Construct O or Rep it ( ) an Individual Sewage Disposal Syst m Jy " �`. •- --- a � ....----- .:" ....._ `ee:�,,kT kg}w4 d_ 9d'�ar'L♦-fS �.g..�.. e:qSI C•-y . _r- _ •---- tLoca o -Address r Io N .._. .. o. -._ b ....... ......................... Owner AAress W Installer Address U Type of Buildinz, Size Lot__ __l _ _ _Sq. feet DwellingNo. of Bedrooms.............................---------------Expansion Attic ( ) Garbage Grinder ( ) _•-••-_______ No. of persons.......................... Showers — Cafeteria p-, Other—Type of Building'_______________ p ._ (` ) ( ) PLI Other fixtures =----------------------------------------- W Design Flow......................... _C.I.--gallons per person per day. Total daily flow___________.-__-- - -_gallons. ;4 Septic Tank-�Liquid capacity_/_0 gallons Length................ Width---------------- Diameter------.--------- Depth-.--._--:--.--. x Disposal Trench—No_____________________ Wkdth____. ._ _i__ Total Length........ _____... Total leaching area--- ______ --------sq. ft. Seepage Pit No_____ ______________ Diamete�_ '-_=___ _ Depth below inlet___________.... Total leaching area_ _' "_sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by--------------------------------------------------------------------------- Date.................................... Test Pit No. 1................minutes per inch, Depth of.Test-Pit.................... Depth to ground water-..---_---__--_--.--.. f= Test Pit No. 2................minutes.per inch Depth of Test Pit............. Depth to ground water----_--__-____-___-_---. Q+' -----•-•--- ----- ... ................ ----- D Description of Soil---------------------�� v'�x - `�%'... . = x r -------------------------------------------------------------------------------- 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 Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance.has been'tssuedtby thg:boardof health, Signal .� ._. '}{"° :-- -- ----� •----- l�1 Date .--•-----•--•---•------- 'Application Approved BY A .. L- _.. /_2 Date Application Disapproved for the following reasons---------------------------------------------------------------------------------------------------------------- i ....-•-----------------------------------------------------------------------------------•--------------...-----------------------------------•---------------------------------------------•------------ Date Permit No.......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH : �,....... ............... T' rrlifirate of Toutphanre THIS IS TO CERTIFY, That.the Individual Sewage Disposal System constructed ( or Repaired ( ) by- Instal of tF 4 at=--- °' ` -$•----- .� ! ` Cta�.� o _r'� � d! �s�a — ` M- has been installed in ac ordance with the provisions of Article X�°°f The State Sanitary Code as desc ibed in the application for Disposal Works Construction Permit No...............�?...._ '........... dated-----_,/ ..t ,d ----------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................................................................... Inspector.................................................................................... n. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF IHEALTH J q y}; ,� ...... ....O F.......f..w.eP. t'. ..Y!".'ry.` e.'." < i*C�... ::�. x............. #pR No.......... ------------- FEE. .................. Permission is hereby granted-_--...-:-------------------------••--•_ to Constr.Vt (' )�or Repair ) Indivl Itial Sewage D spbsal� yske�tf at N O. g s �� c 3"o :.P.a_ ' e '� �'K � i - d fi ` Street ,� { as shown on the application for Disposal Works.Constructi,- - Permit ,o •_: __._. 3t� Dated.._ _ " o.. '! - _.•-"":--- h} f . 21. f r Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - _ .I .� . . -- ,�bi1UL s �T�o G CoS��, /SSvG� . TOP OF FOUNDATION EL ► OD ,v© TAND RD NO TES GROUND SURFACE El, GROUND SURFACE EI'_ 9-7' " AlLY 1) THIS PLAN IS FOR THE INSTALLATION OF A SEPTIC SYSTEM. OUTLET PIPE LEVEL 2) ALL INSTALLATlION PROCEDURES AND MATERMLS SHALL CONFORM TO 310 CMR 15.000, TriE Sr4>"€ GrNURONMENTAL CODE, FIRST TWO FEET N v VENT REQUIRED 0) y (o TOP EL TITLE 5, AND THE TOWN OF _, �f�.1115 r'�1. SUBSURFACE DISPOSAL REGULATIONS. - LIQUID LET'FI 3) NO DETERMINATION HAS BEEN MADE' AS TO COMPLIANCE OF A YALz•AALF PROPERTY INFORMATION WITH RECORDED DEEDS t MIN 2' LAYER DOUBLE WASHED (' 2 I D" D-BOX v+a�•yi z• STONE OR ZONING RE�'GULATIONS. INVERT EL 14 r'1 `� ' �`�- — — -_ — -- -.- = 4) TOWN WATER .SERVICES THIS PROPERTY `� EFFECTIVE GAS BAFF7.E' AT OUTLET / �1 'R- �• — — — - i — `` -i SIDEWALL 5) THERE ARE NO KNOWN PRIVATE WELLS ON THIS PROPERTY OR WITHIN OF THE PROPOSED SOIL ABSORPTION SYSTEM. INVERT EL ' 7i e� ' gAs MANNE INVERT EL r 6) ALL COVERS ON SYSTEM COMPONENTS.SHALL BE BROUGHT TO WITHIN 12" OF FINISHED GRADE, WITH ONE COVER OF THE INVERT EL F2,pu !C'� /W C� SEPTIC TANK BROUGHT WITHIN 6" OF GRADE. D - Box � �'{ �3 � G�-�h� � 3/.4'- 1 1/2' DOUBLE INVERT EL (7�ptcsi) Z C WASHED STONE 7) ALL SYSTEM COMPONENTS' SHALL REMAIN ACCESSIBLE FOR INSPECTION. NO STRUCTURES SHALL BE LOCATED DIRECTLY 6' STONE BASE INVERT EL 1 -� 1(o6o Gal Septic Tank IN I �,c-o G �1 c� Z UPON OR ABO WE THE COMPONENT ACCESS LOCATIONS, WHICH WOULD INTERFERE WITH THE PERFORMANCE, ACCESS, INSPECTION B07717M EL PUMPING OR REPAIR. ' + (Typical) _ /O EL S Jr- O 8) NO DRIVEWAY, PARKING OR TURNING AREA, OR OTHER IMPERVIOUS AREA SHALL BE LOCATED ABOVE A SOIL ABSORPTION BO �I OF TEST HOLE SYSTEM, EXCEPT WHEN VENTING HAS BEEN PRO VIDEO. ' 9) SEPTIC TANKS, GREASE TRAPS, DOSING CHAMBERS AND DISTRIBUTION BOXES SHALL BE PLACED ON A 6" STONE BASE Z S TO ENSURE STABILITY AND PREVENT SE77ZING. 10) OUTLET DISTRIIBUTION LINES SHALL REMAIN LEVEL FOR A MIMMUM OF THE FIRST TWO FEET OF THEIR LENGTH. 11) ALL SYSTEM COMPONENTS SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10' OF DRIVEWAYS OR PARKING OR TURMNG AREAS, IN WHICH CASE H-20 COMPONENTS SHALL BE USED. i 12) ALL BUILDING ,SEWER LINES SHALL HAVE AN INNER DIAMETER OF 4" AND SHALL BE CAST-IRON OR SCHEDULE 40 PVC. 13) THE DEPTH OF' THE TOP OF .ALL SYSTEM COMPONENTS SHALL NOT EXCEED.36" UNLESS VENTING HAS BEEN PROVIDED. I 14) IN THE AREAS OF EXCAVATION, EMSTING GRADES SHALL BE REESTABLISHED UNLESS NOTED AS PROPOSED CONTOURS: I I 15) IF SOILS ARE ENCOUNTERED DURING THE EXCA VATION OF THE SOIL ABSORPTION SYSTEM, THAT DIFFER NOTABLY FROM i THE DEEP OBSERVATION HOLE LOG, CONTACT THE ENGINEER BEFORE PROCEEDING. r 5 84 04 r 16) CONTRACTOR TO VERIFY LOCATION OF ALL UNDERGROUND U.THffI 'S: r _ 198, 60 r � II Exis 1, 000 Gal j Bldg , �34 Septic Tank DESIGN TA r Bed a '1: .� �; DA ,"5 r TOF EL = 100 C � - c� Pump and Fill o •�+ Ex Water - _ - - - -1 0 ^0 1 existing xisttin upred 2 DEEP ` OBSERVATION q - - - - - - 1,2 6' ( required) Number of Bedrooms: HOLE LOG Ex Gas 30'f rG�.u� Garbage Grinder: N0 Test Rote #>! - _ _ _ _ - � Deck 20 Min (EL c Design Flow pp �fn n-)) Horizon Tez�tI. Color ` ` ` — - - — — — _ Test Pit (110 Gal/BR/Day x Number of BR) 9b (�' /(Munson) - _ /W TBM EL = 97.9 Location U _ 6 -" S �/G L 0A �I Prop Septic Tank: /,d o 0 ��Ord is Y,a 5/r —BOX r, (Minimum = Design Flow x 200 ) (, - Z`F ci 5,v �? UU It LpIr SA ,� J� r W v o LeachingArea: S.o �� g� �ow IKI�d GOk9- ID ,Rblb Sidewalll 5�t��1 I b p (Z Sidewalls x Z� Ft x �. __F`t) + beep obe Hole to 7 / �! d 3 I Wooded �qL ts> t _ �� � '�, � rj� loll evaluator. �� S�NC I o Area Wooded (Z Endwalls x —Ft x ---__Ft) Witnessed ey _ y-� Pero Rate: 'j.YNA ,-,J r PROPOSED LEACHING -1�ACI�IT�Y Area „ Bottom: w,:,>pfo„,, soll Survey Description CARYB'R I Two . 4. 6'' x 8. 5 x 24 deep ; ��LL �^ Geologic llates3aL• oU77IASH r 2 5 ' Z�(a ) LRO5 Depth to Standing hater. NA % _�__Ft Depth to Weeping Water: NA concrete chambers (or similar, I • Long Term Acceptance Rate (LTAR): 0. 74 Depth to xottiingccoior): Na with 4 stone het Seasonalsere High el NA (To to 1 Area ,25 x 1,2. 6" �sobservation Well NA ' ' � Leaching Area Design Capacity: •�jc.��{- Date or test Measurement NA Comments: I b (Sidewall Area + Bottom Area) x LTAR I r I N 84V4'55" W I i 225. 70' _ r 1 1iN 1 I6B4s q . NSko $1b3fiy �� �OfVAL PROJECT LOCATION 3 y J "D(Z.� 0e' M AR-S7or45 M A15 NA ` ,� ASSESSORS MAP /0 / LOT 3 APPLICANT. l•vv{ I1 S �a � LOCH Drr v'L� AO S rf1ti� 1( 9 PREPARED BY of A & M Land Services 15 Sunset Drive South Yarmouth, MA 02664 a (508) 394-2723 " SCALE / � � � � DATE. ti REV. LOCUS MAP 9 51 �R► v f`rl P �- s-Cv� S fY1,1 � L D WWG. NO, 3 b SHEET 1 OF t