HomeMy WebLinkAbout1054 RIVER ROAD - Health 1054 River Road
Marstons Milli
045 029
TOWN OF BARNSTABLE e/e
LOCA'00N /aP;I' y�� �e� SEWAGE # o7G�3- Ons 6
VILLAGE- � ASSESSOR'S MAP &LOT UUi
INSTALLER'S NAME&PHONE NO. L6a/,/a// liruS7htY/o�✓ ��� �J`
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type)S`cyC (size)
NO. OF BEDROOMS
BUILDER O WNER
PERMIT DATE:_ 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) SOD Feet
Furnished by ao- C�M5 r
Fi* v
y�
t
No. �V Y�Sb Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
Zipprtcation for Mioozar *pztem Cott!5truction Permit
Application for a Permit to Construct( )Repair( )Upgrade(►/)Abandon( ) O Complete System 2Ittdividual Components
Locatior�ddress or Lot No. Owner's Name,Address and Tel.No10-Y �Ijler Aw,
Assessor's Map/Parcel
® ,5-- o 29 A&/-5719 e5 /y Z
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size Zl sq.ft. Garbage Grinder( �
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow 1-5-30 gallons.
Plan Date Number of sheets f Revision Date
Title CY D !Q 1
Size of Septic Tank `G O 9 Type of S.A.S. Q _412:�9 G'
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 issued this Bo of Health.
Signed Date
Application Approved by Date 03
Application Disapproved for the following reasons
Permit No. 100 3—6S 6 Date Issued a 3
�'``.• No. �W r dS b _ �;r �. Fee V �-
Entered in computer:
THE COMMONWEALTH OF MASSACHUSETTS p
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
01ppYication for Migool *pgtem Congtruction Permit
Application for a Permit to Construct( )Repair( )Upgrade(Abandon( ) El Complete System CIrtdividual Components
Location Address or Lot No. /� //� /� Owner's Name,Address and Tel.No.
Assessor's Map/Parcel /D5 " �/" ",r 1 � '.
o S- 029 �C'/STOrlS /y A,
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size Z/207 sq.ft. Garbage Grinder(-4&
Other Type of Building X�(Y. 1,C e No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow Jr gallons.
Plan Date Z M20 Number of sheets / Revision Date
Title ,S/ "C f/aw D
Size of Septic Tank / -;o Type of S.A.S.
Description of Soil
s,
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 issued.h this Bo d of Health.
Signed i Date
Application Approved by Date y 03
Application Disapproved for the following reasons
Permit No. 2 6U 3-65 Date Issued
———————— —
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of (Compliance
THIS IS TO CERT Y, that the On-site Sewage Dis osal System Constructed( )Repaired ( )Upgraded(t/)
Abandoned( )by /T �b1S
at y l , /� l!S O -`{; -- has been construct d ifi accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. 200 3-0 1p dated 2 1 0 3
Installer Designer ►
The issuance of this permit s all not be con trued as a guarantee that the 05�M#A
Ifunction ass�esignejd/. e
Date it ,.� Inspector A
------! ---------------------------------
No. SQ03-65-(, Fee �U
reeds THE COMMONWEALTH OF MASSACHUSETTS
V9- J PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
aY6uvtAw° �' Oigpogar *pgtem Construction Permit
J Permission is hereby granted to Construct( Repair( i Upgrad ll Abandon
System located at /dS y �G�ry r `
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: Cons •uct'on must be completed within three years of the date of this
Date:_ -L e4 0 3 Approved by \
TOWN OF BARNSTABLE °
lap �f �� SEWAGE # r2G�3- �sL
LOCATION r /GPI
VILLAGE � � f ASSESSOR'S MAP & LOT
D4�-g
INSTALLER'S NAME&PHONE NO.�i�r�il/Cr�i� �irsys��u�a✓ �%�d' �`
SEPTIC TANK CAPACY dQo
IT
LEACHING FACII.TI Y: (type) �j•-A�^3 �� (size) /a ,- 360�
NO.OF BEDROOMS
BUILDER O WNER
PERMTTDATE: d 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 !__
Feet
on site or within 200 feet of leaching facility)
Edge of Wetland and Leaching Facility(If any wetlands exist lz ®& Feet
within 00 feelo#WWng facility)
Furnished by
f
L
i
I
i
i
i
a 44 -7 q q
LO C A T ION �n ; E.W A_G E PERMIT NO.
VI `IAGE
1NSTAILER'S NAME i, ; ADDRESS
orc)
9UILDEIt OR (OWNER
\ DATE PERMIT ISSUED
DA,T. E COMPLIANCE ISSUED 71,
- � 3
4 � ✓ J
��
�� ,� '.
� ,!
-� /�"
�.
�..��,�
R
I`Itrt4
I'�
�/ � ! \
( c1C��.
•t
il`o.r�_a':1yy.. Fps..............................
THE COMMONWEALTH OF MASSACHUSETTS 5 co
BOARD
OA R® OF HEALTH / �(�e*_ 3- 7/y
....---....... O . ........OF..................... ✓.L_L L ---------
Appliration for Bi-spomal Work,i Tontruction Vamit
Application is hereby made for a Permit to Construct X) or Repair ( } an Individual Sewage Disposal
System at:
dee.- -,,.�� M�L � ...........
/• Location-A r o f,o
. ...............................
.................. •---.... s� ` / /7- .... ...... ✓4!. � � 7,
1.4 /._.P!'iC an... ✓? ,1l!'L• L// ��1J Addr�s�......--.�.. s ......._
� Installer Address �
U Type of Building / Size Lot.... ,1,__0 ��Sq. feet
Dwelling—No. of Bedrooms................•.._........................Expansion Attic Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers — Cafeteria
P Other fixtures -------------------------------- .
W sign Flow............................................gallons per person per day. Total daily flow............................................gallons.
Oy /Septic Tank—Liquid capacity............gallons Length------ ....... Width_____________ Diameter---------------- Depth... _-_--__-.
xj,,__�isposal Trench—No. .................... Width... ........... Total Length........._.......... Total leaching area..-------._.........sq. ft.
Seepage-Pit No--_----------------- Diameter....10._D_.... Depth below inlet.......6......... Total leaching area..... �a0.sq. ft.
Other Distribution box ( ) Dosing tank ( )
percolation Test Results Performed by.......................................................................... Date-----..................................
l Test Pit No. I................minutes per inch Depth of Test Pit_________.__________ Depth to ground water--------------
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
----------------------------------------
-----------------------------------------------------
-------
------------------
.-...
-......
•••.....
• *..........
......
0) -Description of Soil...............
-- ------------•---------------------•----------- -------•---------------•-------••-----------------------------------------------------------------................................
----------------------------------------------------------------------------------------------------------------------------------------------------•-----------------------------------...............
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 iiTl .' y g g p y
5 of the State Sanitary Code— The undersigned further agrees not to lace the system in
operation until a Certificate of Compliance has been i�s d y the board of he th Ae
/ne
d_._.....`.�.s%�t'' ...............•---%j.... ... -•----•---Application Approved B •- - --- --------•----.........------.._........------------------....._..---•-- ...-
Date
Application Disapp ve f o the following reasons:-------•-------•------------•--------------------------------------------------------------••-•-••--------•••--
..................................... .....-••---.._...__..........••....-•---•-......................I-----•-•----•----•-----•---
-- - - --- - -- -- ----------- ---------
Date
PermitNo..........................-.............................. Issued.......................................................
Date — --m
� w ro f
Nb. ".. A.L. FE$...... ...............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH , r 7�y
.."......... --- ---.....OF......................................
AllplirFatiun for Biipuual Workii Tongtrurtion Frrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
j ......--•-•---•.........:...........................................•--•---•------................ -•--------......-----.........----------••---------•--•----..........---••-----------
Location-Address or Lot No.
......................----.....................--..........r--•--..._.....................--•.... ........_--•--•-•-•----••-•-••-................_..........................................._.----•
Owner Address
W
Installer Address
Type of Building Size Lot............................Sq. feet
�.. Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
PL, Other—T e of Building No. of persons............................ Showers — Cafeteria
Q' Other fixtures ----------------•--•---••-----•• -
W Design Flow............................................gallons per person per day. Total daily flow.......................-....................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.----__---_-____-- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
a Test Pit No. l................minutes per inch Depth of Test Pit.................... Depth to ground water_-___-_----___------_--.
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
--•-•------•.......................................---•---------__................................._.......................................................
ODescription of Soil........................................................................................................................................................................
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 A ITL p of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed------------------------------------------------------------------------- ...... •---- -- ..
Application Approved By j,�t�`== ----------------------------•----•---------------•-•----••---•--•-----.. ...
j Date
Application Disapprove f�or4he following reasons---- ------------------------------------------------------------------------------------------------------------
j
Date
PermitNo......................................................... Issued--•----•---•--------------------.......---------------
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH "id
....................................OF....................................................................................
C9rrtifiratr of Tumpliunrr
59 O CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by
�- - Installer
at......-- -.. ................. -- ---------------------•-----------•------------------------------------.--••---------------------------
has been installed in accordance with the rovisions of TIT�r' > of The State Sanitary Codes d c_ribed in the
application for Disposal Works Construction Permit No---- .. . ,�............. dated__ t�Z: -.'. ..__. 2""
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® S A GUARANTEE THAT THE SYSTEM WIL FUN TION SATISFACTORY.
DATE.....722.11D ..••-•-•-•-••-••...............•-•-----•-•--.. Inspector.....- -•-•-•-•••----•---•-••••-•---•••-•-•---••-•-••-•--•-----••---------•-.--•--
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No. 7._ .....................................OF..................................................................................... FEE.. .. ....
�iu�r�a��l for �onutrnrtuan rranit
Permission is hereb granted.......-• ....... ..... ••-•-...............................................................................................
to Construct ep r ( ) Indi e ge Disposal System
atNo..........................................-
St ee rr
as shown on the ap do for Disposal ��Works Construction er t-No' __.__._._ Dated./�..
r
y"f'.•P
fBoard of Health
DATE. ..•• -•-- •••••-••••-•-•--•--••-••-••••............•..--•--- f
FORM 1 5 HOBBS & WARREN. INC.. PUBLISHERS J f
�, II
-A-rL
L
ELF-V, 2,
LL
L6T-
LUC-. 1�
AJ
711
3 1
T7j ni
wol U04 MLD%
I
3> 9#tli0
Pzc p
11 04-%fL
5NOKIL
�wo
IL
r 5 SA,5 F—U) 0
?Ao wAk it VL�
P L
C)
<-. I-Me#
sva sate, I-C)T z
S-
v 0 0 0
L L 12 p - I Z
.-IOU t Sot
�-
-S,5
wv6LA A
LJE9k4A
�r�T-m = GIz
L C-
7= A-Lz y
70
sir f A�(g
>or
Zoo Yk, �,1,5
05 w
tk)\/
use t.I"L
a��To perp
tool
-Tr->-T4 L PW,--W,- Q C-1 "P V 4e Ilk
75-
-2,VJ -= G� <, F.
t5 TE,
xvvi ky)
4-jao
-Tin Tx IL- ws 16" 4 6,<5
r7
Lyp
?tA I Vyx�
N 1cC -STr.,)to
v
r7 4f. 07
4t
-rOTAI-L VeS V&U �, f
Ste-. 14 1 I—E
ATGK f c to—
GITE
!\A F-WT(D\,A/ t-A
Fo
M E S a M L A,. N 0
ok"s -1-k o T
Ak
A,t-Av
-AN
to
v% v E
193?4
N t Oct
AL Eti
TOP FNDN. AT EL. 45.80' SYSTEM PROFILE TEST HOLE LOGS- ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE)
ACCESS COVER (WATERTIGHT) TO ENGINEER:
ARNE H: OJALA, PE
MINIMUM .75' OF COVER OVER PRECAST /� WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM DAVID STANTON
' WITNESS:
2" DOUBLE WASHED PEASTONE DATE: 1 1/18/02
EL. 43.7' RUN PIPE LEVEL
FOR FIRST 2' PERC. RATE _ < 2 MIN/INCH o
EXIST. _1000
GALLON SEPTIC ' * / 42.6' I LOCUS o
42.3 f + CLASS SOILS P# /
TANKE 10 ) GAS 41 .83 � 00 0 � � m
(RE-USE) BAFFLE 42 Cr o 00 0 41.74' O O Cl f� O 0 O O F2.25'
z
� � � � � ED � a TAT ENDS u
6" CRUSHED STONE OR MECHANICAL CD CD M ELEV.
COMPACTION. (15.221 (2]) � $ 2' 0 39.74' 0" Q 4� 0+ RISER RO�o
DEPTH OF FLOW = 4' 1 ) ( 1 � SLOPE) A
TEE SIZES: ( % SLOPE 3/4" TO 1 1/2" DOUBLE WASHED STONE SL
INLET DEPTH = 10 2" 1OYR 2/1
OUTLET DEPTH = 14"
LOCATION MAP NTS
FOUNDATION - EXIST. SEPTIC TANK 28' D' BOX 11 ' LEACHING B
FACILITY
4.74' SL ASSESSORS MAP 45 PARCEL 29
* THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL UTILITIES AND ALL
BUILDING SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING ANY $„ 2.5Y 6/4
PORTION OF THE SEPTIC SYSTEM, 44.3'
35.0' C
PERC
MED/COS
I
2 .1. 2.5Y 7/4
' 28.3
29.9 POND ELEV. = 27.9 27.8
120" 35.0'
NO WATER ENCOUNTERED
29 8 27.9 WETLAND 27.9 NOTES:
8 R, EDGE OF
' �4 ASSUMED
LOT 2 5, 00 SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED ) 1 . DATUM IS
' 21,202f SQ. FT. DESIGN FLOW: 3 BEDROOMS ( 110 GPD) = 330 GPD 2. MUNICIPAL WATER IS EXISTING
0.49i -ACRES SE a 330 C�Pp nFSIGN FLOW _ 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. '
30.2 _SEPTIC TANK: 330 GPD (?) = 660 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- J
5. PIPE JOINTS TO BE MADE WATERTIGHT.
USE A _1000 GALLON SEPTIC TANK (RE-USE EXIST.) 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS.
^� 3 32 -_..32 o LEACHING: ENVIRONMENTAL CODE TITLE V.
3 33 0 2(30 + 9.83) 2 (.74) = 1117 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT
3 34 33 SIDES: TO BE USED FOR ANY OTHER PURPOSE.
3 30 x 9.83 (.74) = 218
35 34 E;OTTOM: 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
+ 34.5
3 36 TOTAL: 452 S.F. 335 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT
3 37 �s USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED
4 39. _ FROM BOARD OF HEALTH,
3? 8.2 /` y )EQUAL WITH 2.5' AT SIDES AND 2.25' AT ENDS
_ _ 10. PUMP & REMOVE EXISTING FAILED LEACHING FACILITY
rn REMOVE ALL CONTAMINATED SOIL WITHIN 5 OF NEW LEACH FACILITY
EXIST. P9 + 7.3
AND REPLACE WITH CLEAN MED. SAND
43.9 DWELL. /Ao
3 43.9 LEGEND TITLE S SITE PLAN
+ .8 45. 4 7
e 100.0 PROPOSED SPOT ELEVATION OF
4 EXIST, S 3 1054 RIVER ROAD
5 N (RE-USE) �3 3.1 100x0 EXISTING SPOT ELEVATION
IN THE TOWN OF.
,,o8s + 4 0 10o PROPOSED CONTOUR ( MARSTONS MILLS) BARNSTABLE
`Q 4.7 _ 100 EXISTING CONTOUR
PREPARED FOR: CHARLES GIRARD
8.7 ?
O �� + 46.
9lj 30 0 30 60 90
BENCH MARK - NAIL SET 4 +�16. AREA OF EXISTING FAILED
IN UTILITY POLE \\ LEACHING FACILITY (SEE BOARD OF HEALTH
" ELEVATION = 52.2 9•6 NOTE 10)
MA SCALE: 1 " = 30' DATE: NOVEMBER 23, 2002
522 � 0.4 � APPROVED DATE
R�� + 48.9
ss off 508-362-4541
50.0 _ fox 508 362-9880
�`�N OF
down cape engineering, Inc. �� 143i_f`l
ARNE H. •�G �s� ARNE
LA
✓ H. ��
CIVIL ENGINEERS � NCfV y � oJALA
LAND SURVEYORS
rrn th ma 02675 �
0,2-366 939 .modn st. ya ou , 0JALA, _ P.L.S. DATE