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0015 ROUND POND ROAD - Health
15 ROUND POND � MARSTONS MILLSn��L - --- A = 124 01.2 008 � J TOWN OF BARNSTABLE LOCATION kl-,I�Z 112d � jt//,P,���sl SEWAGE #ZaO/—" VILLAGE AW" ASSESSOR'S MAP f0'Fzl '"6&g INSTALLER'S NAME&PHONE NO. MP� ' ,,z .�• SEPTIC TANK CAPACITY LEACHING FACILITY: (type) . (size) — NO.OF BEDROOMS 9 BUILDER OR OWNER ,!d PERMIT DATE:_ g'' ��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) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by ��� If 5 Z el. . . 3/ No. �C�e-�UQrf FEE COMMONWEALTH OF `MASSACHUSETTS Board of Health, 5A9 N STA I J 1-Z-- ,MA. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct(L)-Iepair ) U fir deO A"- 3<,mplete System ❑Individual Components i Location l S Kai n- R Po oV 0 4:17 Owner's Name Rrqw PH V®S Map/Parcel# 4 r-6 Address Lot# ! a— Telephone# Installer's Name - t/1�7 LJ Designer's Name yj4"kec So ye CCSv( ,9,1n Address Address y0 a TN'b LIST Li 6,1, malzm"S Mil Telephone# Telephone# Yta --OQ ss- Type of Building Lot Size v 6J 377 -+sq.ft. Dwelling-No.of Bedrooms 3 Garbage grindewo Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow(min.required) 33 gpd Calculated design flow 3 3 o Design flow provided gpd Plan: Date )L — Ll—O 1 Number of sheets iR Revision Date Title < f If- +S.ejg-h C. /P LA N Description of Soil(s) Se4 dev LA N' Soil Evaluator Form No. Name of Soil Evaluatoij5rVCe V6.1 of Evaluation OO 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 and further afire o not to pl e e system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date k nOle 7e �� < No. t.0 i` °A i FEE O 40 COMMONWFA��lt#-'�'t4MASSAC14USETTS ((�A(Z.N�STA�,L� Board of Health, MA. APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct(Lrlepair( ) Upgr deO A . ot - C9'Complete.System z❑Individual Components Location 1 5 RU-jv, O rUAl> R O A Owner's Name R rq L PH Vo S Map/Parcel# ' ayro6 /:2—�OF Address Lot# ' a S Telephone# Installer's Name f 1 Designer's Name pjN k« SV y Ve e^Soc7q nn 9 ,c Address Addressl�� -�-N� (��'Q� �Gv¢ M►42SlaNS M�` Telephone# Telephone# /.. 8`00 S S- Type of Building \ r, Lot Size 16, 377 sq.ft. Dwelling-No.of Bedrooms + Garbage grinde Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) i Other Fixtures '� Design Flow (min.�required) 330 gpd Calculated design flow 3 3 0 Design flow provided J�gpd Plan: Date a ;�- :4 O I Number of sheets Revision Date Title S tje PS-e/ "t ca /P LA Description of Soil(5) SPA 69 N' Soil Evaluator Form No. Name of Soil Evaluato "" ' M u!n y Date of Evaluation 9 1 d O© 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 and further afire o not to pl e e system in operation until a Certificate of C mpli ce has been issued by the Board of Health. Signed /�— ' Date AW 01 /fig :•; //� /'�� No. /,..A �" FEE COMMONWEALTH OF MASS AC14USETTS l Board of Health, ��t./�t S � MA. CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) &Complete System The undersigned hereby certib�t at the Sewage Dis�osal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned(' ) at '' SK Ovv117 Po"-P F,d v9T> l 7 has been installed in accorda with the�p ovisions of 310 CMR 15.00 (Title 5) a approved design plans/as-built plans relating to application B 0 0 dated �*X ' ! oved Design Flow I& (gpd) Installer / Designer: tV k tZ l�✓V� S U C�'q specto !I ' 7 Date: �X/�'' "'��•"' The issuance of this permit shall not be construed as a guarantee that the system will function/as designed. FEE �OMMO WEALTH Of MASSAC14US ETTS i3a,VA Stag le' ivrA:Board of Health, , DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct(Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at S Ram r� S P`t"~ r �o`'9 Y as described Al application for Disposal System Construction Permit No4Z/-- ,dated d in ree ears of the date of is t. hloc o" n must be met. Provided: Construction shall be complete y r/}},��' �1, / �� Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date Board of Health G I 4 _ i ' Cf h' f .r ,�, 'a4:- w- .•�J'^ - y_ c.Y e ,x 't -i °1• r _ _r: 'y :A f -4.. TOWN OF BARNSTABLE LOCATION .I �<l� ��`� � st/,P �fl SEWAGE # Gy 1 VIi.I:AGE r e ASSESSOR'S MAP &_ Ofl � ✓�.. INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITYev _ _ LEACHING FACILITY,::(type) (size) .._ NO.OF BEDROOMS BUILDER OR OWNER. ��,� PERMIT DATE: COMPLIANCE DATE: -Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet . 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(l1- -rir li rIN . o �2 -7 is to. 8 1�21.4% - i �!i ii 2A.f0 AND . 111, ...: r_ k, -:. - :.. it { it'll r1. �''. F 1, : ri r AND. �;, ;,,, . AN APFri�16Q4 A>`�V . r .i l'. r I': r [ ,{ I - _.. 4 '1'�k r !,: . . }:,.}' r t i j i {� i I A- -- ila(. �' — - — BENCHMARK E CATCH TO WN WA TER A VA ILA EL RAC eA(SUMS" i G 9NE (fnd)j " / , \ �OAD, �.p� LOCUS JOZ f� \� POND Q3 a SHUBAEL 1 — p 1y. P A V E M E T _ L-39�0� N POND -_ - - — T02 C.B. — — _ _ L _ _ 103 (!nd) / / �\ �-� FLINT _ R--34 = — — / \ ROUND 1 — L PONDO o y, I I � �,t!► y�' -104 � \ � B I I II \ 0LD I / I / / I I 153. LOCUS / '- \ ASSESSORS MAP 124 l\ 36.0 W L.C. 42121-42, lot 9' � } o \\ o PROPOSEp 3—BDRA 26.0' — / ` r RES. ZONE. "RF" l. � / \ HOUSE GARAGE PROPOSED l '[�` FLOOD ZONE: "C" AS/LOT 7bF=ros' � � DRIVE 12-9 I I 7p#2 ��' ' i i GROUNDWATER PROTECTION TOWN WATER 0 62.000 2.0 — � \ OVERLAY DISTRICT WP I 63.7 O O p C0o o ' RESERVE AS/LOT 12-8 o w C E I I Z l AREA= 56,399�SQ.,FT W i - J SITE & SEPTIC PLAN OF LAND cB LOCATED AT (!nd) 150' 3757 S6612'30"E 15 ROUND POND ROAD TO EXISTING WELL AS/LOT 10 ' ��o / > MARSTONS MILLS, MA. / 9 PREPARED FOR I CERTIFY THAT THIS SURVEY AND PLAN WERE MADE / 0 IN ACCORDANCE WITH THE PROCEDURAL AND TECHNICAL RALPH H. VOS STANDARDS FOR THE PRACTICE OF LAND SURVEYING IN TI4OMMON O WEALT�Y F MASSACHUSE �� �1 Qf , S�'��� \ 4 +�i� FEBRUARY 20, 2001 PAUL A. MERITHEW, P.LS. ATE , EPUCE �` p; YANKEE SURVEY CONSULTANTS 1} , G UNIT 1, 40B INDUSTRY ROAD GRAPHIC SCALE muamy 9 6 a. No.749 P. 0. BOX 265 so o is ao so g 120 AS/LOT 10 _ ., ,,, MARSTONS MILLS, MASS. 02648 TEL• 428-0055 FAX 420-5553 TOWN WATER LT r�► ( IN FEET ) J,# 52482 DE 1 inch = 30 ft. EL. =_106'_ TOP OF FOUNDATION 20 MIN. 10' MIN. CONCRETE COVERS 4" SCHEDULE 40 P. VC MIN. PITCH 118 PER FT. 2"LA YER OF 1/8"-1/2" CONCRETE COVER WASHED STONE 6" MAX / EL=104 4" CAST IRON PIPE PITCH EQ A ) PER FT. 12 CLEAN SAND 9 FLOW LINE EL=101.5 MIN. 10" � INVERT 14" 1MIN. —20•� EL.= 103___ CAS INVERT LEVEL ° ° o° 0000 ° INVERT BAFFLE EL =102.50 INVERT 6 SUM INVERT 000 0 ° 0 0° o EL.= 102, 75 EL.= 102.25 EL.= 102.0_ °°0 0° Oo°°° EL.=100.0Z. (TO BE PLACED ON FIRM BASE) DISTRIBUTION MECHANICALLY COMPACTED OR 6" OF STONE BOX 1500 --GALLONS TO BE WATER TESTED 11' X 38' TRENCH FORMATION co SEPTIC TANK IF MORE THAN ONE OUTLET PLACE ON 6" STONE 314" To 1-112" SOIL ABSORPTION PROFILE OF DOUBLE WASHED STONE SYSTEM (SAS) SEWAGE DISPOSAL SYSTEM p #9$38 BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV.=_92.4_ NOT TO SCALE NO OBSERVED WATER TABLE (12107199) ELEV.=_92.4 _ OBSERVATION HOLE 1 ELEV.=_ 104' PERCOLA TION RA TE G2 MIN/ INCH AT _48_ INCHES OBSERVA TION HOLE 2 ELEV.=_104.4' DEPTH HORIZ TEXTURE COLOR M077 OTHER DEPTH HORIZ TEXTURE COLOR M07T. OTHER 0-12" A SANDY LOAM IOYR 4-4 0-12" A SANDY LOAM IOYR 4-4 B LOAMY SAND IOYR 7-2 12"-3' B LOAMY SAND IOYR 7-2 GENERAL NOTES COMPACTED COMPACTED 3 -8 Cl MEDIUM SAND 10 YR 6-6 PERK. 3 -8p CI MEDIUM SAND IOYR 6-6 8'-11' C2 MEDIUM SAND IO YR 6-6 8'-12, C2 MEDIUM SAND IOYR 6-6 1) ALL WORKMANSHIP AND MA TERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TO WN OF _HARNSLIRLE____ RULES AND NO WATER ENCOUNTERED NO WATER ENCOUNTERED REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO SOIL TEST WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12" DATE OF SOIL TEST 911212000 SOIL TEST DONE BY BRUCE G. MURPHY, R.S. 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITNESSED BY: DONNA MIORANDI WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE DESIGN CALCULA TIONS.' USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. 3 r 4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL TOP LOAD NUMBER OF BEDROOMS . . . . . . . . BE MORTERED IN PLACE. 5 INFILTRATORS WITH GARBAGE DISPOSAL . . . . . . . . NO 5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH 4' STONE SIDES AND ENDS TOTAL ESTIMATED FLOW DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO 11' X 38' ( 110_-GAL/BR./DAY x 1___ BR.) 330 GAL/DA Y OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. REQUIRED SEPTIC TANK CAPACITY 1500 GAL 6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCA VA TION CONTRACTOR IS TO CALL "DIG- SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS NOTE. SOIL CLASSIFICA TION . . . . . . . . 1 PRIOR TO COMMENCING WORK ON SITE. EXCA VA TE BELO W LEACHING DESIGN PERCOLATION RATE . . . . . < 2 MIN./IN. 7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS TO C2 ,HORIZON OF MED. SAND EFFLUENT LOADING RATE . . . . . . • 74 GAL/DA Y/S.F. SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. APPROX 8 & REPLACE W/ MED. SAND LEACHING CAPACITY (AREA X RATE) 369 GAL/DAY 8) PARCEL IS IN FLOOD ZONE __"C" 13 X 40 RESERVE LEACHING CAPACITY . . . 369 GAL/DAY 9) LOT IS SHOWN ON ASSESSORS MAP 124 AS PARCEL _12=8_, (38XIIX. 74)+(38+38+11+IIX .83 X . 74) S E 2 OF 2 JOB NUMBER 52482