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HomeMy WebLinkAbout0495 RIVER ROAD - Health 495 RIVER ROAD, MARSTONS MILLS A=060-014-006 LOT 6 I i TOWN OF BARNSTABLE .G. OP LOCATION �✓ Jet ;)-t(L it-r? LT—) 6 SEWAGE # l�'� VILLAGE _ dVl.i I �� nASSESSOR'S MAP & LOT6�-©i+�c�p� INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY � LEACHING FACILITY: (type) �' kQ wi i�2'L/J (size) -00 (s-u L to ,, NO.OF BEDROOMS BUILDER OR OWNER > � PERMITDATE: �f- 16,�'� 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 i fi «, ,4--�_�-- � ?C ���:� �. �. ,i_� r r, • � � r • �l i� rc i � —/ � • _.�.s � - ���' ` . ' � - 3�-� �� k .. —k-- (�,D— 141 - 006 1. 1 No. �2A THE COMMONWEALTH OF MASSACHUSETTS FEES BOARD OF HEALTH 41 -mffl OF 4()-,� APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT li Ap 'o for a Permit to Construct (") Repair ( ) Upgrade ( ) Abandon ( ) ©/Complete System ❑Individual Components LorMon Owner's Name �LO PCA Map/Parcel# Address Lot# b Tcleph( # l I s al me Designer's Name e Q d c Address :)�-,v Telephone# Telephone# Type of Building: Lot Size C)C Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons G�? Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) S gpd Calculated design flow 5J gpd Design flow provided 3�pd Plan: Date 3—'1- '& Number of sheets �_ Revision Date Title Description of Soils) "— Soil Evaluator Form No. Name of Soil Eval for--m SCAM LJi'� Date of EvaluationS-7-0—S7 DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 an l further agrees n t to ace the�cperatiio, n erfificate of Compliance has been issued by the Board of Health. s Signed Date Inspections FORM t — APPLICATION FOR DSCP DEP APPROVED FORM 5/96 v, TOWN OF BIARNSTABLE LOCATION SEWAGE # `�k —a 37 1(IL; GE M L IM i I(< ASSESSOR'S MAP & LOT !�(e0 DI y oDfo INSTALLER'S NAME&PHONE NO. /7y AJLt SEPTIC TANK CAPACITY S 00 L'r�ll,5n LEACHING FACILITY: (type) �' �c�.wi f 2.!L (size) o/i NO:.:OF`BEDROOMS ,Q Bi1II.DER OR OWNER PERM-ITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Pciwate 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 wi hin 300 feet of leaching facility) Feet Ft Wished by i i O 91 it Z ej I Noj�?-23x THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH APPLICATION FOR DISPOSAL SYSTEM CO STRUCTION PERMIT Ap li of for a Permit to Construct (�) Repair ( ) Upgrade ( ) Abandon ( ) - Complete System ❑Individual Components - vu U.,O— L Ovation Owners Name -L Map/Parcel# Address Lot# f w .�-A Tcicpho�e# f jez C�/.Y.l it0i s tll e Designer's Name r0 a� 117 Address Telephone# Telephone# r , Type of Building: Lot Sizel 0 Ul 7 Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) i Other—Type of Building No.of persons Showers ( ), Cafeteria -( ) Other fixtures Design Flow(min. required) 5 5 gpd Calculated design flow- �J3 C7gpd Design flow provided 5J pd Plan: Date 3-LI—C, Number of sheets ( Revision Date i Title--' Descrio"ion6 fSoil(s) 3l "_ S� bsc� e G.� 6"- "'� u b �U"- ��'+1K�� Sc..i_4 Soil Evaluator Form No. Name of Soil Eval&YtorD Date of Evaluations-20-5-7 ' DESCRIPTION OF REPAIRS OR ALTERATIONS f The undersigned agrees to install the above described Individual Sewage Disposal System in accordancewitlyfhe provisions of .TITLE 5 and further agrees t to lace the system in operatio unti a ertificate of Compliance has been issued by the Board'of Health. Signed 1" - Date to Inspections }' FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 No. THE COMMONWEALTH OF MASSACHUSETTS y FEE I —BOARD OF HEALTH- CERTIFICATE OF COMPLIANCE Description of Work: ❑_.Individual Component(s) ❑Complete System The undersigned hereby certify that Sewage Disposal System;Constructed VI/Repaired aired Upgraded Abandoned g Y Y g P Y ( h, P ( ), Pg ( ), �p EUk!A - . �i at has been installed in accordance with the provisions of 310 CMR 15.00(Title 5) and the approved design plans/as-built plans relatin application No. dated' Approved Design Flow (gpd),,, r Installer -' Designer: Inspector Q �`? Date I. e ' The issuance of this certificate shall not be construed as a guar�a�ntee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 e • I,V I No. THE COMMONWEALTH OF MASSACHUSETTS FEE �c .{ "444 _BOARD OF HEALTH j DISPOSAL SYSTEM CONSTRUCTION PERMIT k Permission is hereby granted to Construct ( ) Repair ( ) grade ) Abandon ( ) agIndividual se a e disposal system at to ; in the application for Disposal Syst ,Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit.All local conditions must be met. j Date Board of Health i FORM 2 - DSCP DEP APPROVED FORM 5/96 I t i TM FORM 1255 (REV 5/96) H&W HOBBS&WARREN _ PUBLISHERS- BOSTON --- � )_ L5 YS T I f PF NOT TO SCALE TOP FNDN. FINISH GRADE EL . FINISH GRADE OVER FlAllSH GARDE /, o FINISH GRADE OVER DIST. BOX OVER TRENCHES '`•a o SEPTIC TANK 0 12" MAX. `1 p��•;: .Q.o.AJ.-I:b' �OC•;QLj:A.tti:c7,'::Q•o�Dp f.Q•0./.oP.e�p`�.�•. ,Q.b,V.•.:oso Q O.0'•. Q o .o•P° •e ,, OUTLET PIPE LEVEL TOTAL LENGTH OF TRENCH 3 ° FOR 2 FT. MIN. 0 a - C O s• ., o.• - .; •.D.• •e' ':d• b. .p , '.as• b� O�6 D i O O0 \ a•oA:' i/?_ 7� ',4 ��' a 6r � i/ 0• pD• • ~ .A +'�-Q .y' p�• O QO :►G.� yz, A CAP hi. •� y2 / ? ::ea C. I. OR P VC TEES ;$ �yz S o y2,o o -a° ' T. C Sir Lam+ v'•°. ro r A50n o4 RE'MOVE ALL A G B UNSUITABLE MATERIAL NI THIN 5 FT. y, � a n e ;• 1 V GALLON o. D S T', I TION DOS OF LEACHING FACILITY AND REPLACE KITH CLEAN SA NDBSMT FL . i EL . 500 GALLON DR YWEL L S a° INSTALL ON LEVEL BASE " " PRECAST CONCRETE i aoD.Q:ea.� pb. H REINFORCED I .�•I�.4k7.d,.b�'.0'd'A? '•6.:0-p.:Ct•G'•C.'�ti.�,••Dp p p.�ya.e • pa.�q.; .y, .•o.a . .o•o•• •o'o .D..o::e'. .: .�•p,:v,o�. •Q•b' .p.4. TRENCH SECTION SEPTIC TA NK INSTALL ON LEVEL BASE NO TE.- EXCA VA TE TO EL EV V. OR L OYER TO REMO VE A L L IMPERVIOUS ALL -A G •-B- UNSUITABLE MATERIAL MA TERIAL BENEA TH THE LEA CHlNG AREA I 4" DIAM. 12 MIN. PITHIN 5 FT. OF THE LEACHING FACILITY' IS TO REPLACE EXCA VA TED MA TERIAL PITH 3='- OF 1/8"-1/2" BE REMOVED AND REPLACED WITH CLEAN SAND CL ERN; CLAY FREE SAND o' d''o'.,v O b'p' b'� :b:6,4 '�j o°�ti - - I ; � me , 04� .e; ;•:,d•_..p o I✓ASH�ED PEA STONE Tom o� c 8 f�_�;oo �, • . D.O;•.• o��, 3/4 " - 1-1/2" WA SHED o m NZ.• C' s�r.r�q CRUSHED S TONE Q o� a ® o 0 o -c; 39. oc� S 77 _ i G a ,L, e�' �'E S r� TRENCH WlD TH �. . 1. AL L EL EVA TIONS SH00v ARE BASED ON ASSUMED NUMBER OF TRENCHES ? q �'r _ 2. ALL PIPES I)V THE SYSTEM MUST BE CAST IRON NUMBER OF DRYIIEL L S 2 OR SCHEDULE 40 PVC. �� `r` OBSER VA ,T�'O� P / 3. THE BOARD Oha }-,EA L TH MUS T BE NO TIFIED TION PRIOR P-6457 ,4��-lEP.+I,COt�/ST��,-'0 �ON IS" -COR'.S' /� _ z ,s �� TO BA CKFIL L ING PERCOL A TION RA TE.' e} 4. ANY CHANGES IN THIS PLANaUST BE APPROVED <2 MIN./IN. s7 0 8 Y THE BOA RE OF HEAL Tt0 AND CAPE 6 ISL ANDS 1�I TNESSED B Y.• 2 SURVEYING CO., INC. GERR Y DUNNING 5. MA TERIAL S -AND INSTAL LA TION SHAL L BE IN COMPL IANCE 9'yl TH THE S TA TE SA NI TARP BARNS. BRD. OF HEAL TH DESIGN DA TA CODE - TITLE' V;- AND L OPAL APPLICABLE DA TE.' MA Y 20, 1987 i RULES AND REGULA TIONS �/ 6. NORTH ARROP IS FROM RECORD PLANS AND o Ns NUMBER OF BEDROOMS v2,7 IS NO T TO BE USED FOR SOL AR PURPOSES '4- GA RBA GE DISPOSAL NO _ 330 GAL . 7. .FLOOD HAZARD ZONE NON-HAZARD To n s To�s�, � DAIL 9' FL D6s� 8. PIA TER SUPPLY_ _' TOPIN -PIA TER u b s e r 1500 GAL . SEPTIC TANK REO D. SEPTIC TANK PROVIDED 1500 GAL • - / 330 GPD. LEACHING REQUIRED SIDENALL AREA = 152 S.F. 152S.F.X 0. 74G/S.F. = 112 GPD. s 8`_^ ` - --� BOTTOM AREA = 329 S.F. LEGEND /iy„ yr.,���, ( - 329 S.F.X 0. 74G/S.F. = 243 GPD L EA CHING PRO VIDEO = 355 GPD PROPOSED EL EVA TION 80 - - --­18 -- EAIS TING CONTOUR O��sE�aVA TION PIT SINGLE FAMILY RESIDENCE. & 13 DISTRIBUTION BOX - -__ PROPOSED SEPIA GE DISPOSAL S YS TEM w / PREPARED FOR o o .5EPTIC TANK , � � ��� j TWO FLAGS L O T 6 (HOUSE NO. 445) RI VER ROAD RESER VE AREA MARS TONS MILLS — MASS. PIPE INVERT EL EVA TION f �= C 2 DA TE: Pl , / /, , 9,Q PLOT PLAN � � \ r,. r� , /� . CAPE ISLANDS ENGINEEPIN 7,3 a SCALE: 1 "= yo ' �. ,/�_ �, ,�y ',;�:•. e f ` : SCALE AS NO TED 133 FAL MOUTH ROAD — SUITE 2E • c ,., ' PLAN NU.-so�; 7 9� MA SHPEE, MA SS. -7 - ( MAP $ ..fEC , Pu � LOT I HSE ` - t DATAPRINT 605055 ,...._•, ;.- ...,...P,--,...,,,....>_ .. .. ..-. - 3 s _ _