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HomeMy WebLinkAbout0280 RACE LANE - Health 280 Race Lane Marstons Mills P i A 126 021 / J TOWN OF BA.RNSTABLE E L LOCATION d iO 1C4CK- Z41tL SEWAGE # -200 3'! 2 y VILLAGE ;?,1 r5Ls /,�7c`l.5 ASSESSOR'S MAP & LOT 0,2 [NSTALLER'S NAME&PHONE NO.1>z5sv�nc.e �rcAri� �n &-77i�7 y/y SEPTIC TANK CAPACITY :LEACHING FACILITY: (type) (size) a�-SrriCv¢!lti �Se•; NO.OF BEDROOMS Z BUILDER OR OWNER iI 6dI✓' Z PERMIT DATE: 3 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 O 1 �1 �G 0 s No. 3-/;Ly FEE Board of Health, NS THL'�CZ MA. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( Repair(kUpgrade( Abandon( ) - ❑Complete System Wndividual Components Location 7— Roke-EOwner's Name Map/Parcel# Address �M' M DVS MAP 1 _L w c L_o,.i Mot Lot# Telephone# Installer's Name SS' G A uw .t),,4 Designer's Name Address sip �,Q Address Telephone# �08_: ^� ,_ �.Q1 a Telephone# Type of Building f xxAes-,X-\c \ Lot Size l O sq.ft. Dwelling-No.of Bedrooms Garbage grinder (AYA Other-Type of Building Nh n1 F No.of persons CL Showers (vY Cafeteria (t� Other Fixtures 1,P>J A mxt e L4sd ,!DQlY Design Flow (min.required) 3bO gpd Calculated design flow Design flow provided 331. gpd Plan: Date 1 8 Number of sheets Revision Date o Title �� � Description of Soil(s) c GQ c .C9,,ue` Soil Evaluator Form No. Name of Soil Evaluator (�"njk y Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONSoG'�CCX The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further a ee to o place e Signed � m in operation until a Certificate of Comp pane has been issued by the Board of Health. Date '✓ Inspections , - �. �t� "1�• ` .. Mac. •--• �. � � ... - -. ., eNo. t/ ii 't _ FEE S0, f �" +.'• - Board of Health p_WeTAPA-E ' MA. ;I APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( .) Repair�k Upgrade( Abandon( - ❑Complete System Wndividual Components z, Location Z l�ZACE � , Owner's Name Map/Parcel# * Address +a���►\a 1�P %2te �1AQeEL ae) c�cle t _PNb. . MA Lot# T`} Telephone# Installer's Name A�aS�Ct�A1C F G R vp"rI DODesigner's Name < Y �nv�en�ne�nstn�G.'\ SJCS." Address Address �G�(110 MR 0��3b SSo t,a�\\tom ��. 4��+ tA 'C� MA �X eat Telephone# 500� Telephone# - 0-: - , Type of Building �5\�e��•�;e.,..� Lot Size o� O s 'ft. q. Dwelling-No.of Bedrooms Garbage grinder (r%M Other Type of Building Kk5t .E No.of persons OL Showers (Of,Cafeteria'( Other Fixtures , �_s.�a k�-Vc h S.Nk- LAUrvC1(ZY Design Flow(min.required) �J�J� +gpd Calculated design flow 33 D Design flow provided _Zi.S gpd Plan: Date Number of sheets Revision Date j ,Title- Nx�,A8[ c lu 4.r-c, U Do,CC 4,e. Description of Soil(s) -�c� C.�'C Soil Evaluator Form No. \\ ` V;L Name of Soil Evaluator Y Date of Evaluation 3 4 3 DESCRIPTION OF REPAIRS OR ALTERATIONS e—PNo Q AM G ,Coo cxs y' r. The undersigned'agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not t placefthfe system in operation until a Certificate of/Compliance has been issued by the Board of Health. Signed ��C �I e �._n /��/ ¢�. �r�l rz, Date 011100 Inspections y a i t .r No. 2 r o 3 ail COMMONWEALTH OF MASSACHUSETTS FEE Board of Health, 6rl fln f 4 e MA. { Jt -CERTIFICATE OP-tCO "s Description of Work: ❑Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned ( ) by: // has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. oP 00 7-1.2 y , dated ��/ U, Approved Design Flow (gpd) Installer �,`) ! Designer: Inspector: T '^U[/�• ' Date: 131 The issuance of this permit shall not be construed as a guarantee that the system will function as designed. t No. d V Q ���/ l . FEE COMMONWEALTH OF MASSACHUSETTS Board of Health, Ar,"n r/,-f /e , MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) RepairpQ Upgrade( ) Abandon( ) an indi-%ridual sewage disposal system at IC Ate L4-e f✓?. hn(W S // as described in the application for Disposal System Construction Permit No. a UO3-/,2 t/ , dated 313 Provided: Construction shall be completed within three years of the date of this permit. All local condi ions must be met. ? 22 7 Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date ��Ji/�J J Board of Health "(/"- - -11 Sep - 20-01 13 : 52 BARNSTABLE HEALTH DEPT 5087906304 P U2 Ir 5/25 oI :NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. PERCOLATIO:`! TEST AtYD SOIL EVALUATION EXEMPTION FORM hereby certify that the engineered plan signed by Me d�teC J �'j ©� concerning the property located at 280 -1Ge meets all of the fct'.ow,ng un'eria • This failed system is connected to a residential dwelling only. There are no :ommercia: or business uses associated with the dwelling. • T'.e soil is ciass:t;ed as CLASS l and the percolation rase is less than or equal to -n.nutes per inch. The applicant may use historical data to conclude this fsc: or may ,:onduct are!trrunary tests at the site without a health agent present • There :s no increase in now and/or change in use proposed • There are to variances requested or needed. • The- bottom of the proposed leaching facility will not be- located less than fourteen l L; f--et aoove the maximum adjusted goundwater table elevation. (Adjust 'he ;:-nuridwater table using the FHmptor method when applicable) Please complete the following: ,a -Fnp of Ground Surface Elevation (using GIS information) B' t3.w' E!cvat:or. �� adjustment for 'nigh G.W 4 > FTC RE`t F BETWEEN and B !B ° Leo S.(J'dED DATE. 1 ' 3asec u-On 'ne above information, a reoair permit wil! be issued for Bedrooms Tat r.0 n ,cditi��nal bedrooms tie authorized to t�e future without en,tneerec =,,y�tem plans. — __---- !r,:Ocf pcciccanp .l Permit Number: Date: Completed by: HIGH GROUND-WATER LEVEL COMPUTATION Site Location: Z60 1 Ace L44 ,�i1 MP,Q.s-MiIS M.IiS Lot No. Owner: ?— Address: �--- Contractor: JNFN Address: (off}T ►`Gti,tYl� ��A ��J�(o Notes: STEP 1 Measure depth to water table ��`�� tonearest 1/10 ft. .............................................................................. .Date month/day/year STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: S��J OAppropriate index well.................................................... @S3 © Water-level range zone ..................................................... STEP 3 Using monthly report "Current Water Resources Conditions" determine current depth to water level for index well ........................... month/year STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 213) e� determine water-level adjustment ..............................................:........................................... STEP 5 Estimate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water levelat site (STEP 1) ..................................................:.......................................................... 1, Figure 13.--Reproducible computation form. 15 Cape Cod Commission: USGS Well Data- January 2003 Page 1 of 2 United States Geological Survey Observation Wells As a service to Cape officials, engineers and other interested parties,the Cape Cod Commission publishes monthly groundwater data gathered by its Water Resources Office. The water level measurements shown below are taken monthly from United States Geological Survey (USGS) observation wells and compiled during the last week of each month. They are published as soon as possible thereafter. Listed below are nine out of the 61 wells measured across Cape Cod by the Commission's Water Resources Office. These nine are employed as index wells to be used with Technical Bulletin 92-001 to predict high groundwater levels. For your convenience, we've also provided links to USGS national and state data. See the last column in the table and the footnotes below. For further information, please contact Hydrologist_Gabrelle_Belfit at the Commission offices (508-362- 3828). January 2003 (JSGS Site Departure from dumber""'' Water Record Record Average" (links to USGS Location Well No. Level* High* Low* g Monthly Overall national water-level 11 database) Barnstable A�� 24.1 20.5 26.6 -0.5 -0.5 413956070164301 Barnstable A4w 25.8 20.5 28.6 -0.9 -1.2 414.1.54070165001 Brewster BMW 21 12.6 6.9 13.6 -2.0 -2.4 414518070020301 Chatham CGW138 23.6 20.9 26.6 0.6 0.3 41410007001.1101 Mashpee MIW 29 NA NA NAIF-NA NA 413525070291904 Sandwich SDW 47.0 45.9 48.2 0.4 0.3 4144.1_8070_.24.1601. 252 Sandwich SDW 53.2 45.8 55.1 -2.6 -3.1 4.141.240702659% Truro TSW 89 11.2 10.2 13.0 0.8 0.9 07 4202060045901 Wellfleet WNW 17 10.6 7.3 12.8 0.1 -0.1 415353069585401_ http://www.capecodcommission.org/wells.htm 2/25/2003 i t2 96 kA-CP-4 TOWN OF BARNSTABLE L LOCATION RfiCL Z41t c SEWAGE # VILLAGE ASSESSOR'S MAP& LOT f.2b- 021 j INSTALLER'S NAME&PHONE NO. Ssv�r,ce SEPTIC TANK CAPACITY Ono LEACHING FACILITY: (type) `qe"C L_ (size) NO. OF BEDROOMS 2 BUILDER OR OWNER Z PERMITDATE: 3/7/4 COMPLIANCE DATE: /S 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 FacilitX(If any wetlands exist ' within 300 feet of leaching facility) Feet Furnished by I f Q o° i a3 v I, s I 1 2000 / A RISERS TO WITHIN 6 BELOW.GRADE ALL OUTLET PIPES FRou'THE c: NOTE. ..ALL COMPONENTS MUST'HAVE VE R SE I- t>tSTMBUT10N Box.SHALL 8E rY `. CONCRETE COVER G� •` I ARE, TO BE 4 SCHEDULE 40 P.V.C. SECTION v� A SET LEVEL FOR AT LEAST 2 FT_ g , NOTE..ALL PIPES _ Q O f o � 10 min. rain _ . . _ q y.! .M..M•4. > �h;ouse I t'IEN OF LEACHING SYSTEhI s• Foundation to septic tank PROF LE Existing g ; � Krrai oo si WET trotonkcwers r+x,st be • .`:Sep , (< _o F ELEV_ 100.00 Assumed - :rL v- 98 00 TO (Assumed) w,inm 6 m: M finished grade oee over SAS _e , a G_ - S Geode over D 80: 98 00 ..�_ - ': ', INLET � Groh ova Sept+c Toni 98 2 r -'Y /eelud Mdowr 1S5 , � tt T►e�r�CMwMri S'taw� d fY- /t , .: -' OUTLET . .S $ @ / 6 c ti �-- . Q HOLE H-10 A\ 3 - ,, a 5 0. ::02 To of SAS Etev. %.00 4 • T, 7( 3 Maximum Cove. ` P ts.5 - 4 T - �.. Q � CNS 80 ,- 4 SCH. 0 tJs S� t w - Y e F � o. o s o ota per oat .. ExlsnNc a N 10 :,. GREATER - TI N F' w Ex,iT. PIPE � 1.000 GAL. I � ono PLAN S CTION CROSS SEC 0 SITE rRON FOUNDATION rn SEPTIC TANK u', t8 ' n 20' 2' Effective .i. . C7 sly O q W t0 co cn in v a • Men : ]9' J . w..n. c r 2 Unit 1 lane � e e RACE LANE C > � � � o . a P p ' o rn o, � HOLE H 10 DISTRIBUTION BOX CONCRETE FULL FOUNDAT _ 9 L B _ , n;' 3.5 3.5 � 3 3 a > 1 B p ,.11� rn sO NOT TO SCALE LOCUS MAP a 6 n.of 3 4-1 t m > / /2 u � t 2 a 25 SYSTEM PROFILE con, led :tone - n Effective Length Scale:. R T AROUND U .. Not to Sc ,F. > > 5 ST IPOU ALL > c c � (SAS) To ELEvaTION 90.50 `SOIL'ABSORPTION SYSTEM 6 in-of 3/4 1 1/2 H ACHING UNITS / VIGGINS PRECAST con oew stone m Soo c 20 LE GENERAL "NOTES n foyer & replace with p Note. Remove soil down to med sod aye ep Not to Scale I Bottom of Test-Hde t Elevr86.50 1. Contractor is responsible for;Dlgsofe notification -f (elev. 90.50 & replace with titan coarse sand w/pert. Certification of f�II Material Required- ( ) P Note- Cert KN1 and protection of all:underground utilities .and pipes. . n min. m. before 6c offer placement rote less than or equal to 2 / P Before and After Placement b Serve Analyses y 2. The.septic Monk and distribution box shall be set 'k level on 6 -of_3/4 -1: 1/2 stone. - Bockfili should be cleon sand or "grovel with no 3 LOT 10 :__- stones over 3" in size. 2-T8 DIAU. ACCESS MANHOLES t9 1 0 +' LOT #9 S 69d 36 - 4. This system is subject to inspection during installation 8, by Carmen E. Shay'- Environmental Services. Inc. S.`The 'contractor shaft install this .system in accordance with.Title V of the Massachusetts state code, the approved :plan :r - and Local .Regulations. I h contractor encounters an .-„ -... .. 6. If, during installation the co o Y + THE ACCESS COVERS FOR THE SEPTIC TANK, / / LEACHING COMPONENT �� - soil: conditions Or site conditions,that are-different INLET DISTRIBUTION BOX AND lE CH l OUT ET SET DEEPER THAN 6 INCHES BELOW FHSHEO ��\ 7 / r GRADE SHALL BE RAGE TO WITHIN 6 OF . LOT # from those Sf10w'n On the soil lag Or in our design FINISHED GRADE. �� installation must halt & immediate notification be .•l f 21,600 Square Feet t - Environmental Services Inc. .. INSTALL TUF-TITE GAS BAFFLES OR EQUALS ' q / made t0 Carmen E. Shay - smachinery, h it drive over the 7 7, 7.. No vehicle or.:heavy' shall * septic system unless noted as H-20 septic components. STEEL REINFORCED PRECAST CONCRETE \\ _ �\ 8. Install Tuf The gas baffles or equals on all outlet tee: ends. PLAN VIEW cc M 9. All Distribution Lines shall be 4" diameter .Schedule 40 NSF PVC pipes 3-z4- REMovAeLE covFits - C"� 10.' All solid piping, tees & fittings shall be 4 diameter . I 4 NSF PVC pipes with water tight joints. Schedule 0 S P p 9 J _ .. , , - 11. Municipal Water is Connected to The Residence. and Abutting _3 min. clearance t3 eaET min. Y inn,. +Weer to outlet - Properties .Within 200 Feet.. INLET B T--�------ 6 OUTLET �� LkWiO level ,,. .. ... � . •t ��\ f FJ 0- min. s -7 I-- w to el. 90.50 & re lace with s5 Note: Remove SOII d0 n P 1N ARE APPROXIMATE AND s r 4'-0 min: THE PROPERTY LINES •• •� �«» �' :. i depth Ian `coarst? ,sand w / arc. rate ass than or a» Liquid ep ., clean / P �-..� COMPILED FROM THE SURVEY PLAN GENERATED'BY 03: - T SURVEYORS. OF S. DENNIS MA •• .I or equal to 2 men, tn. before & after placement ` •. +.� , :. q / 9� scoTT ASSOCIATES, T ALL AROUND AS SHOWN - ENTITLED PLEASANT PLACE SUBDIVISION PLAN" (5 FOOT STRIPOU ) , .._�: �<.:..-. ,•.•-.:.......:T.....:- .. . :,. .. . .�.,. .. .- , DATED SEPTEMBER. 1965. ,'-'o Foiled t i AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN t`_�� - �.. Leach Pit IT .SHOULD BE USED FOR NO PURPOSE OTHER THAN END SECTION SHED TEST HOLE 1 CROSS `SECTION � # (Approx.} � THE SEPTIC SYSTEM INSTALLATION. ELEV, 98.00 -_--------- P THIN 2 0 OF THE PROPERTY. SEPTIC TANK I 25 t THERE ARE NO WETLANDS WI 0 USE EXISTING 1000GALLON H 10 SE C - _, L-r 8 NOT TO SCALE -I r.; EAcH �►.� LEGEND ,� •.. : '� ;:;I t LOT #6 LOT #8 t , PROJECT BENCH MARK Q-Box I ---88 DENOTES PROPOSED ` TOP OF FOUNDATION , ., zs L._---- --- =------u 104X1 ELEV. 100.00 . (Assumed), p W SPOT GRADE PERCOLATION TEST 2 DENOTES EXISTING t o,. X:104.46 t of Percolation Test: MARCH 4, 2003 EXIST, 000 9 Doe Septic TankSPOT, GRADE Test Performed By. CARMEN E. SHAY R.S., C.S.E. Results Witnessed By. WAIVER( Per Barnstable B.O.H,) �j EXCAVATOR: ShayEnvironmental Services, Inc. PL PROPERTY LINE " Percolation` Rate- Less Than 2 MPI 0 90-Below Land Surface »1 ` =, 3 DECK EXISTING 0 ---�96 r- PROPOSED CONTOUR Test Hoe 3 BEDROOM t EXISTING CONTOUR No. 1 t �_ t HOUSE � - - - - - -97 DEPTH SOILS ELEV.I 280 -;_- 98.00; ? > o Q DEEP TEST, HOLE & Loom � t Y S� Sand w PERCOLATION TEST LOCATION 10 YR 3/2 O , l 0 _8 A, 97.25 VZ I I _� a 6 FOOT STOCKADE FENCE Loomy N r i Sand T ! to YR s/tS 8 30" 2W 95501 i J Silt Loom 2.5Y8/6 i - P ACT P LAN Medium � � Sand 125.00 2.5Y1 , I SEPTIC SYSTEM UPGRADE / OF PROPOSED SE C . "' P rc 1 � 7-0o e # _ a - a4o s 8" PREPARED FOR ` Depth to Perr. 90 to 0 Pere Rate= Less'Tho 2 MPt Not Observed FRANK N I q, I BARTZ Groundwatert RA I V � CX. D�R R S ry SHWT No Observed E � F _ ,` AT ADJUSTED H2O Elev. - None ADJUS `9 s #280ACE LANE R - -- -- 1, ---- MA _ � MARSTON MILLS , EDGE OF PAVEMENT EDGE OF PAVEMENT I n r i fat o s // � ,,, ,.q - Destan Ca cu �•r= r,`A PREPARED BY. r If V S 0 Goi, Do Min. e Title e to 220 Gol. 0 33 Y P ) Number of Bedrooms. 2. Equivalent /D Y ( •�,„ is.,, Grinder: No. Garbage . _ :.L, LANE' � .� .I R��,� �'. A�� NOTE: MUNICIPAL WATER. PRESENT, :HOWEVER RAC _ Pr ed 330 GoL a Minimum (Min- Per Title V) o Leaching Capacity opos /D Y f E BASEMENT F`.H0 HOUSE,N BASE E OBSERVED ../ l.. I Tank. R ;M TER NOT OBSE i _ � SERVICES INC. - �, o - s60 USE 1,500 GAL. SepticWATER E ENVIRONMENTAL > Septic ..Tank 2 �c 330 Go /D y � ,z ' PF OT.:.RIGHT OF WAY. ,l - , 80 0 r of <2 min./inch P .�.t n toR E - ern erco alto oT OMM WATE D I31 SOIL ABSORPTION .AREA: U 9 PNO RECORD OF :WATER CONNECTiaN A C ,� No. 11 }� 7 _ P.O. eox 62 r 74 ' of s ft. x 300s : ft. 222.00 ' 8ottam A ea 0. 9 / 4 4We. �._ 4 F a > �o 20 p O c r ,. MA 02536 t4 ft., _109.50gallons 'EAST FALMOUTH t w 1' Area: 0.74 ot. ft. x 8 sq S de al9 /g4 FILLED I N LACE _ H PIT TO BE PUMPED & e ..z r ut In - -. 33L50 gallons EXISTING LEACH � S . a 48 .0796 , TEL` FAX 508 5 T E NECESSARY TO 'INSTALL NEWSAS. . OR REMOVED IF FOUND 0 B -,- .:--. •;.�u I T AViNG A 2 EFFECTIVE DEPTH, e. 2 ''PRECAST 500 C UNITS, HAVING , O _ _ 003 , AWN Y CES DATE. MARCH 6, 2 HATE SCALE: 1 0 DR B . T- 01L; CONTAINING LEAG SC E 2 NOTE._ ANY .STRIPPED. OU S i AND F ; WITH, .5 OF WASHED .STONE ON THE SIDES A 70 $E USED 3 ' P L Tfl' BE DISPOSED PIT ES Ofl S CH S C SF TWEEN UNITS. FROM THE EXISTING LEA _ -SHEET 1. 0 1 >` N THE ENDS AND ,2 FEET IN BE 2 F 0 IALE:.. . 1 20 FILENAME. SD395PP.©WG _S 3 OF WASHED STONE 0 $C PROJECT#5D395 OF N AS PER BOARD OF HEALTH.SPECIFICAT O S. ", _