HomeMy WebLinkAbout0930 PUTNAM AVENUE - Health 930 Putnam Avenue
A= 057—001 —004
Marstons Mills
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No. '16-V b / ` Fee !O(�' 0-6
�-�-' THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
0[pplication for �M,5po5at *p$tem Cutotruction Permit
Application is hereby made for a Pertru struct( )or Repair( )an On-site Sewage Disposal System at:
Location Address oQLNV`. Owner's Narne,AAddress and Tel.N .
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
�►� i q 3 S
o �
Type of Building: 1 r Ts+
Dwelling No.of Bedrooms 0 Garbage Grinder(4p)
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures 2 ,y
Design Flow -197_250 gallons per day. Calculated daily flow '/`i3/ gallons.
Plan Date— '2—.—� 4— 144. Number of sheets Revision Date
Title `["U .k" �+f..���i f__-- Pi. w... ®� �T! Q..�i lr A"
Description of Soil
a
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 le 5 of th vironmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issue y t)us 496d 4f He�
Signed a F� Date
Application Approved by
Application Disapproved for the following reasons
Permit No. 96— �� Date Issued Z. ��
No. 96 - , f ; `. Fee /Q 0-
{HEOMMONWEALTH O T 'C F bASSACHUSETTS
PUBLI6HEALTH DIVISION - TOWN OF BARNSTABLE. MASSACHUSETTS
l(Wication forMf!6Po!5A Op5tem Conttructiou Permit
Application is hereby made for a Permit to Construct O or Repair( )an On-site Sewage Disposal System at:
Location Address or Lot No. A 6wner'ss a9e,Address and Tel.N .
t4T 1,,.1 A_ s..a 7 1 Pr2 !,7(.�� ��=�
Installer's Name,Address,and Tel:`No. Designer's Name.Address and Tel.No.
,or EUIct1
3
,o ram-
Type of Building:
Dwelling No. of Bedrooms Garbage Grinder(�p)
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 415 6,c) gallons per day. Calculated daily flow— gallons.
Plan Date 12 - 9-1 Ca Number of sheets Revision Date
Title I'i7 A- ..ate-c - (°�R,E�r .e c� i� !0 .,n" A—,
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
in1accordance with the provisions of/ le 5 of th vironmental Code and not to place the system in operation;until a Certifi-
cate of Compliance has been issue y t)" B�c� d f He
,iwl Signed 6 jr G t D Date 11-
Application Approved byI
Application Disapproved for the following reasons h `"
Permits~No. 9�' r 7 - , Date Issued 1 *j s
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Certificate of Compliance ^
THIS IS TO CERTIFY,that the On-site Sewage Disposal System install d(X )or rep at�d/replaced( )on
Y
b for +
as L0-'t 'hu-1 h e W, Ayt has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. 96—G'7 do dated
Use of this system is conditioned on compliance with the provisions set forth below: m
No. 19b— 0 (,l , Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSEETTSd d-76
lwi5poMl *pgtem Construction Permit
Permission is hereby granted to `" Fo�e C- s t,t/r !•.`�
to construct(x )repair( )an On-site Sewage System located at t°r It'( p,,r n w•
and as described to the-above.. p' cation if isposal System Construction Permit.The apflicant recognizes his/her duty..to
comply with Title 5 an '>h' follow ftfg ilcal provisions or special conditions.
w. ��- VIP,
All construction musttbe completed wiN two years of the date below.
.1,
Date: —' ��—Approved by
TOWN OF BARNSTABLE
LOCATION Lo y ����'��" �o� SEWAGE # - % 7
VELLAG ASSESSOR'S MAP & LOT a2 7. Oe I
INSTALLER'S NAME&PHONE NO. !>o,�o%�f�
SEPTIC TANK CAPACITY l rO d Ga L
LEACHING FACM=: (type) (size) -7
NO.OF BEDROOMS
UII DER OWNER Pr°r3 ,r�r �nr�Jr��rS
PERMUDATE: ��- ._ 1 ?- " yG COMPLIANCE DATE:
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) /I1 Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
A14
�C RCAr
00
D
j 10- Y
131-
T�J�WN OF. BARNSTABLE
'TU 4 9 I
LOCATION 67' V Pur alarm a/,je , SEWAGE
VILLAGE @ `dp /O�// ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO...� j>1Vrefk1 IfY6W`
SEPTIC TANK CAPACITY 116VO
LEACHING FACILITY:(type) fe&ul� PJ % (size) l 60
NO. OF BEDROOMS 3' PRIVATE WELL OR
BUILDER OR OWNER 1-'1?,w ,t)e-/t ateu cam.
DATE PERMIT ISSUED: J i u
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No L/
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�c���31tJ !'YIAP NO:
No.r PARCEL NO.-. — Fni-7.rSIZ--
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...._.._.-7Q w.�.......OF.......... /9 ' 5%/9BL ..........................
Allp iration for Uhipmal Works Tnnitrartion Vautit
Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal
System at:
..... .l5 L r-•• ....................
../ o�•..............p..........................
Loc tiuAddress sor Lt
. .................... �. . .....
- N�fir`-
A�ress.................
Installer Address L1�? �i a
Type of Building Size Lot...... . ,--------.---...Sq. feet
U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building .... ......... No. of persons............................ Showers ( ) — Cafeteria ( )
44 Other fixtures ...--•.----_.....................
W Design Flow........................
................... per person per day. Total daily flow............. 2.0......•............gallons.
WSeptic Tank—Liquid capacity.`geU_gallons Length..T ..... Width................ Diameter.-.--.--.---.._- Depth................
x Disposal Trench—No. .................... Width.................... Total Length.--........�....... Total leaching area..--................sq. ft.
Seepage Pit No--------------_-t... Diameter.......1.[?-------- Depth below inlet.... ?-........... Total leaching area...ZI&. ....sq. ft.
Z Other Distribution box (✓) Dosing tank )
Percolation Test Results Performed by-Om..Sl1 !.._ ..... 5 ............... Date.....�...2.7'�....
a -
Test Pit No. 1.....��-.....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 ••-•-•••---- ............,---..---o•--- ---•---- ----•-------------------•----•-------•-----.--.----...-.---•------••-•---•-----------------••----
ODescription of oil............................. ...... l v 5 ...................................................................................
v . ....... ---------..•--------------------------------------------------------------
UNature of Repairs or Alterations—Answer when applicable...............................................................................................
----------------------------•--.......-•--•---------•---••-•--------•---.•-•-•-•-••••---•-•-•--•••••--......-•-•••••-•--••-•-••--••-•••••-••-•-•----•-•••-••-----••-••••..............•---.........-•---
Agreement:
The undersigned agrees to install the 30redescribed Individual Sewage Disposal System.in accordance with
the provisions of TITU 5 of the State • ary Code—.The undersigned further agrees not to place the system in
o ANation until ertifi of Complia as been issued b the board of health.
I ------------------------------------------- --
---- -----
A lication Approved By............ - :.. YV t'- ...
Date
Application Disapproved for the following reasons:-------•--------------•--------•----•-------------------------....-•--------------•-•-•----•••-••--•......-•---
................................•-•--•••••....••-•---•-------...--•......-••••-•------••--•-••••--•..••--
Date
Permit No. -------L ..�`q....... Issued.......................................................
Data
5..7
No..`=- 1 •-'`� Fps...�a
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
- - -7",-)W ti'.-.....oF.......... f�. ...........................................................
Appliratiun fur 11iupuuttl arks Tonutrurtion ramit
Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal
System at:
.... :. __ d�........ v
�A/14 4/
/-----.r .....---••---..... !/J31 41X/I d?xl5 /A /L C
Lo }t
........
-Address
w r Lot}60
�A17- GL ...................................................
.. .........«.«.....
Of
n r _ Address
a - — .............................................. .................Installer ..........
Address ,,.
-� Type of Building Size Lot...__. .��. ...Sq. feet
Dwelling—No. of Bedrooms._��....��/.._..•3.:....................Expansion Attic ( ) Garbage Grinder ( )
`4 Other—T e of Building ......... No. of
a YP g --------•--...-'-------------••-•----•---•.persons---._...----------•--------Showers-•(--- > — Cafeteria ( )
d Other fixtures ._-- ....
W Design Flow........................:..:....5......_..gallons per person per day. Total daily flow.............__-3 c. .................
WSeptic Tank—Liquid capacity_ ��'.gallons Length_":!..'_!_.... Width................ Diameter................ Depth................
Disposal Trench
tal
3 Seepage Pit No..................�.. Diameter idth....................Dept obelow inlet.............. Tootallleaching area....2 E7.,q. ft.
Z Other Distribution box ( ✓) Dosing tank SS )
'-' Percolation Test Results Performed by.<<_ A,_1_ 1`..Z:4..!.. f.. :
Date........................................
.a minutes per inch Depth of Test Pit..............%...... Depth to ground water...._. ..........
_..
Test Pit No. l..__..�_._... ��
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ............................................................. -------------
Description of Soil........................ ---..... --•-�------------------•---•-----..............-----
�..... ---•---•---•.................•-••---•-•.-_...- ••---•-•-----•--•---•-----•••----------•-......._...
..........-.............................................................................................................................................................................................
V Nature of Repairs or Alterations—Answer when applicable.........................................................:.....................................
-•--.....-----•-•--------------------•----•---•--••-•--•------------.....---•--••---•-•--------••---•--•----.....-•-------•-•----••----............----.....---................----•-•-•............-•--
Agreement:
The undersigned agrees to install the afflredescribed Individual Sewage Disposal System.in accordance with
the provisions of TITLE 5 of the State S • ry Code—.The undersigned further agrees not to place the system in
o tion until ertihcat of Complia as been issued by the board of health. f
.. .. .............•-------•---.....----------- -•
jication Approved By.-.-.'-.'.'._-......-.-' s -- df?
Date
Application Disapproved for the following reasons:..........................................................................................................__-
-•-•-•.................•---•-•---••-•--------...-•----•-----.........--•---Date__......---._
Permit No... :� .......1.L....,.�'�._«.. Issued....................................................._
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
................I G I,rJ OF...........f'
Trrtif irate of Tontphanrr
THIS IS TO C TIFY, That the Individual Sewage Disposal System constructed ( � or Repairedby
( )
// / �+ .....q ..... .._.
all
..........
•----------•-------•----------------------------------------------------
•-•----•--- -•--•--•----------•-
has been installed in accordance with the provisions of TIT F 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.__c ...jj. _y...... dated.........(.? -_:1 9j. ��`.Z�........
�� ^
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE............................,. .. .1f........-----•----------•...... - Inspector.................... ................................................
THE COMMONWEALTH OF MASSACHUSETTS
_ BOARD OF HEALTH
ai111r,auttl Work Tons#rnr#iun Vamit
Permission is hereby granted......... ..J.--.../ / '16---•.........................
to Construct ( t,) or Rep it an Individual Sewage Dis osal System •--••-««««
atNo..... -" ! .f ........................... .......f-........----...-'..------.....---•----._..._..... ......
Street e., r 0�,/
as shown on the application for Disposal Works Construction Permit No. .�� Dated.......... .......... ...................
................... ........ .........._� Hea ha" ...............
Board o
DATE....... �..:` ,... .... ........
FORM 1255 A. M. SULKIN. INC., BOSTON"
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' SITE PLAN sHEEr I of 2
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a .WILLIAM T
`3 WARWIC r
No..19771 4�0
0 sit
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FOR RA
. REGISTERED LAND SURVEYOR P(.)T'I,,J A r,4 A v r--,
. 2b`N E 2q M A Ez to ,v S M I I,L h, M A .
PLAN .REF, M Al 57 PA—V 7 DATE
AS5•c„IM�I� �
BENCH MARK DATUM WM. M. WARWICK 8 ASSOC., INC.
DOMESTIC WATER SOURCE'T2Wt-4 -rff (I- 80X 80I — NORTH FAL MOUTH
FLOOD ZONE. NON— �A ���IJ IL�a MASS. 02556 — (6/7) 563 -2638
•r i ,•
LEACHING SAS/N SECTION Nor TO SCALE shce,� 2 e f 2
24C.1MN COVER
EARTH F/L L BRICK AND MORTAR COURSES AS REO'D• TO BRING
i 4"' -ti-r= w•� _ COVER TO GRADE
INLET +B FLOW L/NE TO
" / "
P/pE :T ' ` -' i B �2 WA SH ED PEA STONE FREE Of IRONS,
k I FINES AND, •DUST /N PLACE
' 6 '
7
� •~'.'(�1 OPENING WITH 4!18" L ,• 44' " TO I%?•WASHED CRUSHED STONE• FREE Of
OUTER DIAMETER IRONS, FINES AND DUST IN PLACE
. . AND 1414"INS/DE
DIAMETER
• I. CONCRETE TO BE 4000 PSI 28 DAYS
2. REINFORCED WITH 611x 611 NO. 6 GA. W.W.M.
3. 21 AND 41 SECTIONS ARE AVAILABLE FOR
} 40 I x Z I�`6 0„ _ I GREATER DEPTH REQUIREMENTS
t— I �I z --� 4. NUMBER OF PITS REQUIRED 0�
MIN. NOTE: EXCAVATE TO ELEVATION
OR
Nor To EXCEEo aETIMES°EFFECT DIAMETER
DEPTH) LOWER AS REQUIRED'!TO REMOVE AL-L
w.arER TABLE-
LOAM LOAM AND CLAY BENEATH PIT. REPLACE
T1'P/CAL PROF/LE EXCAVATED MATERIAL WITH CLEAN
rv�J•o
GRAVEL TO DESIGNED GRADE.
/B'STD. LT. WGr. C.I.MH COVER
4"C.I.P/PE 4"B/T.FIBER PIPE
DWELLING FLOW_LINE T/GHr JOINT OUTLET LEVEL
00,
p TO FIRST ✓0/NT
/4 (0 1 10 00 1
C.I. TEE � l pV ` 110 00 1
If 000100 1 1 11
. D. PRECAST CONC. lO�.I �039� 1 1( 0 00 0 0 1 1 1 1
D GAL.SEPT/C TANK•. 0/ST. BOX T I BE 11 1 O 0 O 0 0 0 I I I INSTAL LED ON LEVEL,
STABLE BASE 1 11100 00 I,1 I I
_B'}. ..• .•:J. -•. III 100100 1 I I
SEPTIC TANK TO Be 1 1 1 0 0 0100
1
/NSTALLEO 0 LEVtt, III (QO10 / 1 1 1 1
STABLE BASE. 1 1 1 10 0 0 0 1 1 1 1
i 1 I I IQO 1 I '
M 0 0 1 1
ACH/NG BASIN r 11( 1 O I O 0 D 1 1 1
BASE TO BE LEVEL O O
I
SOIL AND P£RC. DATA P 6;Co 70
PERC. RATE �' MIN. /IN. , 011 TEST PIT N0. I 11 TEST PIT NO. 2
0-
TEST BY:
p�aolc,/s�13�o�L,
I WITNESSED. BY: 94,tj ;
M
TEST PIT OR. EL. 6-4
DATE:-- -0-7-Z6:7 IV �PrhlD
nro ,NA<T�I�
DESIGN DATA GENERAL NOTES .
BEDROOMS
NO HEAVY EQUIPMENT TO RUN OVER SYSTEM.
DISPOSAL iy`O
SEPTIC TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD
�. EST. TOTAL DAILY EFFL3�GPD. PRECAST REINFORCED CONCRETE UNITS.
SEPTIC TANK tc'eO GAL. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE
STATE ENVIRONMENTAL CODE
SI OEWALL AREA Z'SGAL./SQ.FT. TO REVISED TITLE 5 OF THE ,
BOTTOM
MIN.•A'REA GAL./SQ.FT. SANIITARY, SEWAGE MUM MEFFECTIIVE ON JUENTS FOR THE BLYURFA9 701SPOSAL OF
I ,
LEACHING REQUIRED Z SQ.FT., ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD
ACTUAL LEACHING AREA
OF HEALTH.
2.L�7_SQ.FT. .;: AT COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING, THE
I -
BOARD OF HEALTH SHALL,BE NOTIFIED FOR INSPECTION.
PITCH ALL SEWER LINES 1/4l / FT UNLESS INDICATED OTHERWISE.
' �!tN 0 5 ,
MARTIN 'S SEWAGE D/SPOSA L SYSTEM
E.MORN N N f0i4'
f 3417 UT N�' yV--.
IAL
+jam SCALE AS INDICATED
! " WM• M. WARW/CK 8 ASSOC., INC. .
' 80X 80'1 - •NORTH fAL MOUTH .
! PROFESSIONAL ENGINEER MASS. 0255.6 - (6/7) 563-2638
i ' i •
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SEPTIC PROFILE TEST HOLE LOGS
T.O.F. AT EL. ?
w (NOT TO SCALD
ACCESS COVER TO WITHIN G" OF FIN. GRADE �!
/ ACCESS COVER (WATERTIGHT) TO L N G I N E E R:.-___D At.
` WITHIN 6' OF FIN. GRADE
MINIMUM .75' OF COVER OVER PRECAST 2X SLOPE REQUIRED OVER SYSTEM z-
J
--- -------------- --- WITNESS: ----- — -�'
RUN -,
FOR PIPE
2,/EL / 2 �r.ti=r 1- " y DATE:
PROPOSED LPL_ i 1- ` i•3
GALLON sEPTIc - PERC. RATE = —!' Z
r to G r✓`j 4 I - -- y^ - - e
coo.3 TANK (H 4.L J
pm— - S�•2I CLASS SOILS p#
(�X SLOPE) R` g" CRUSHED STONE OR MECHANICAL -r j
DEPTH OF FLOW COMPACTION. (15.221 [2))
TEE SIZES: (_% SLOPE) (max SLOPE` V vt 4- z- y j a
INLET DEPTH --
OUTLET DEPTH -1 — A -- -- - LOCATION MAP ,- _ .z..•o-a
�r� �GRT.•Ohl Or
A-LEACHING -_- ASSESSORS MAP 5 —f PARCEL
g
FOUNDATION-- -- -- SEPTIC TANK - los D' BOX 4 - FACILITY T y 61
hbTTau Sa � � L FLOOD ZONE _
l<
T •_�� 1 N Z
HUILuING ZONE:- - __._.___
P3D 59 b
( - _ -�� o -'1� (✓-- SETBACKS: FRONT - �J
-- E SIDE
C coo SZ Si:
.� C w-1 R. REAR - A I
PLAN REFERENCE:
r -
56 4-
J 0 T E S:
I t _ Ifi
_ I 1. DATUM IS -►-�r%D_ ���t� l�� J?:.1lAi _
I SEPTIC DESIGN_ (GARaAGE DISPOSER Is _H w� v✓.,l� ) 2. MUNICIPAL WATER IS
I 3. MINIMUM PIPE PITCH TO BE 1 /8" PER F00T.
DESIGN FLOW: BEDROOMS (,'> GPD) GPD
USE A DESIGN FLOW 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO- t'I_ _:f__-_
I
5. PIPE JOINTS TO BE MADE WATERTIGHT.
j i�li SEPTIC TANK: ~moo GPD (=_) _ ��� GALLONS 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS.
J� USE A GALLON SEPTIC TANK
ENVIRONMENTAL CODE TITLE V.L-'�c2
r4 7• THIS PLAN iS FOR PROPOSED WORK ONLY AND NOT TO BE
LEACHING: USED FOR LOT LINE STAKING.
SIDES: �-' ��• - �.8��� ,i �� � I ��!_ GPD
i -��( -) -- 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
t ' F3OTTOM: ' a5 ;' c�_t33 (a ) _ �� 1 GPD 9, COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT
� �,
�� 0 ' � E 'UTAL: '`*� Z r S.F. -GPD INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED
l _ FROM BOARD OF HEALTH.
i
SITE AND SEWAGE PLAN 01
i / d IN THE TOWN OF:
I I HOARD OF HEALTH --
IMA PREPARED FOR: c` f:: ,�.� �t
( / ! OPPROVED DATE0 Feat
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y I III t-.__.. - SCALE: DATE:
ju
-- down cape engineering, Inc. r �N Of
I CIVIL ENGINEERS , N
LAND SURVEYORS 4" � MIL H
PHONE 508-362-4541 & +8 0 +L/ U
FAX 508-362-9880 - .4 t
939 main st. armouth, ma Ic4� —
�----- Y .a JALA, $rcyr�a DATE
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