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HomeMy WebLinkAbout0098 TIMBER LANE - Health 98 TIMBER L:�:(\ e-- MARSONS MILLS A = 149 059 / \ i i J _ TOWN OF BARNSTABLE L ' LOCATION Z 9'32 p SEWAGE # OO — 'II.LAGE �� /'��/�d ASSESSOR'S MAP & LOT &YfD INSTALLER'S NAME&PHONE NO. it6 i eLS 6 2 777--177 4 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) ���o C (size) 42- NO.OF BEDROOMS BUILDER OR OWNER" S l04 A-Cs PERMTTDATE: V ?'6-�0 COMPLIANCE DATE: ,Separation Distance Between.the: Maximum Adjusted Groundwater Table to the Bottom of Le ng Facility Feet Private Water Supply Well and Leaching Facility (If any,, ells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetl s exist within 300 feet of leaching facility) Feet Furnished by , `, "° iy : . � � � V\ � d r� f i ,p �� I /L" V . No. Fee .— THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0(ppfication for Migool *potent Construction Permit Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 98 Timber Ln. , Marstons Mills Peter Spang Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service P 0 box 1089, Centerville Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil S and. Nature of Repairs or Alterations(Answer when applicable) t i t l e—K leach system consisting of a D-box and 3 H 20 concrete leach chambers with storp all around.. 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 by this o of Hea h. Sign— Date Application Approved by Date Application Disapproved for the following rea n Permit No. Date Issued _ TOWN OF BARNSTABLE LOCATION A SEWAGE # 6 " �Ojv VILLAGE i'�'' ' � ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO.��6 �-�6 °"'� �li�T-7 7 4 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) y '/y�o ' G (size) NO.OF BEDROOMS `/ I, BUILDER OR OWNER PERMIT DATE: — _COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leac ng Facility Feet Private Water Supply Well and Leaching Facility (If any' ells exist _ Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility (If any well sexist Feet within 300 feet of leaching facility) Furnished by .--- - = 0 c. ' �[n No. � 7, S� S .. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,, MASSACHUSETTS application for 30igpoot braem (Construction Permit Application for a Permit to Construct( )Repair($ )Upgrade( )Abandon( ) D Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 98 Timber Ln. , Marstons Mills "" Peter Spang '. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service P 0 box 1089, Centerville Type of Building: Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Sand. i, r, Nature of Repairs or Alterations(Answer when applicable) Title-5 leach system consisting of a D-box',and. 3 H 20 conerete leach chambers with stone all around.. Date last inspected: I 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 by thi BoFd of He th. / Signe Date U � Application Approved by Al / Date Application Disapproved for the following rea } Permit No.W= Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS S pang BARNSTABLE, MASSACHUSETTS Certificate of Compliance , THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( X )Upgraded( ) Wm. E. Robinson Septic Service Abandoned( )by , at 98 Timber Lane, Marstons Mills has been construct d in accordance with the provisions of Title qnd the for Disposal System Construction Permit No. dated Installer Wm. E. R of ins on Sr,f Designer ' The issuance of tlu pe ,t shal of be construed as a guarantee that the ate i�h�� 'ft}�ct ri` �des�gned. Date / tJ Inspector t� v � No:/L/�✓�—" �------------------------Fee $50 ' THE COMMONWEALTH OF MASSACHUSETTS Spans PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS 1wigpo5a[ *p!gtem Construction permit Permission is hereb anted to Construct( )Repair )Up Toe( )Abandon( ) System located at � Timber Lane, MaMons Mills 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 tion dius be completed within three years of the date fps rmi Date: A rowed b - PP Y � , NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. " CERTIIE'ICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WTTHOUT DESIGNED PLANS) i, W i 11 iain E. R ob ins on,5�eby certify that the application for disposal works construction pertnit signed by me dated of �— �--� , concerning the property located at 98 Timber Lane , Marstons Mills meets all of the following criteria: , • The failed system is connected to a residential dwelling only. There are no comrgercial or business uses associated with/the dwelling. The soil-is classi�ed as CLASS i and the percolation rate is less than or equal to 5 minutes per inch. There are no wetlands within 100 feet of the ro c s•sten► — proposed� � • There are no private well,within 150 feet of the proposed septic system There is na/increase in flow and/or change in use proposed • There are variances requested or needed. • The boL of the proposed leaching facility will got be located less than five feet above the ma.)i16 adjusted groundwater table elevation: f Adjust the groundwater table using the Frimptor me god when appiicablel • the .A.S.will be located with 250 feet of any vegetated wetlands.the bottom of the proposed l�.tc Shinb facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation, Please complete the following. A) Top of Ground Surface Elevation(using GIS information) B) G.W.Elevation +the MAX High G.W. Adjustment DIFFERENCE.BETWEEN A and B � c SIGNED :_ie` DATE: {Sketch proposed plan of system on backl. y:health folds cen V �r-L h) M �v l © CATION; a� A G E PERMIT N0. VILLAGE t INSTALLER'S NAM i ADDRESS (.J c. Ice �-s R U I L D E R OR OWNER OAJ E PERMIT ISSU E D DATE COMPl1ANCE ISSUED L3/. h � � r _ r Fz�s....�0..� THE COMMONWEALTH OF MASSACHUSETTS BOAR® PF HEALTH ,q� .............................3�� �3 ` Appliration for Uiipuma1 Works Tomitrnrtiun ranfit Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal System at• 1 �sl � ! -: ............../__../7?.�. - ... .................................. F Lo atio Address or Lot N r Owner Ad--------------------------------- dre 4........ . . ... ...... .... ... ....4........ .... a Inst ................................... aller Address d Type of Building Size Lot____�d .Sq. feet U Dwelling—No. of Bedrooms...........3........................_...Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons____________________________ Showers — Cafeteria Other fixtures `;�ti Design Flow____________ ____.......................gallons e n per day. Total Bail flow._..__.__._.__ .__:.._____................gallgns. 1:W4 Septic Tank—Liquid capacityfOMagallons Length.8_ _4____ Width_'4_/v._ Diameter________________ Depth.... ____ Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..... ________ Diameter....IV_......... Depth below inlet.......��.......... Total leaching area___ ...sq. ft. Z Other Distribution box V) Dosing-tank ( ) '-' Percolation Test Results Performed by. -.t �I eS Q�`l � _�__________________ Date__Z_l/ `4 ,,a Test Pit No. 1...L ...minutes per inch Depth of Test Pit_..f_.4 ¢__ Depth to ground -•-------- water_.____.._�__..____- (i, Test Pit No. 2..._!�.L....minutes per inch Depth of Test Pit./IV.. "." Depth to ground water..................... Description of ....... U -------------------------- �i�- ,•_. / t .. QA .d_-- � ------------------------------------------------------ ----------------------------------•-------------------------------------------------------•--•-------------------•-•-•------•-------•-- 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 HLTY,: 5 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 f h I lth. ' e ApplicationApproved B ... .... .........................................................--•-•------•----- B �!_'_..__...-•--- Date Application Disappro or a following reasons------------------------••-------.._..-----------------••------------------------•--------------•-----....__...-- ........................................ ............................................................................................................................................................ Date PermitNo................................................... - ---------------- --••------••------. r Fis.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH ........ OF............ `-ZNs719f�G ..� Appilratiou for DigpuuFal Works Toustrurtiou Vrrutit Application is hereby made for a Permit to Construct (,( ) or Repair ( ) an Individual Sewage Disposal System at:-- / ............./�!.C..71 i 1=`1 _Cr/vti i.....................----•-•. ...................`�7. ( ...----------- -- e - Location Address /'l�t Owner Addres W Installer Address Type of Building Size Lot-��_ �r�a ...Sq. feet U Dwelling—No. of Bedrooms..........��.............................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria t Q Other fixtures --------------•--------------------- w: { ........ W Design Flow..........1112 ........................gallons per•meson per day. Total daily flow............... .................gallons. Septic Tank—Liquid capacity/ gallons Length.$.<G.____ Width�.C4!:. Diameter---------------- Depth•.. . .. W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area...................sq. ft. Seepage Pit No..../.............. Diameter..�j%....1_..... Depth below inlet......d;_.......... Total leaching area...?....sq. ft. Z Other Distribution box ke" Dosin tanks(� ) ` '~ Percolation Test Results Performed by....:i:_.rl.. ..f�`�:�!Q01.�.._. (.t................... Date.�G......./S_... ... aTest Pit No. 1..�•.Z-_....minutes per inch ,Depth of Test Pit..l._ -_•- Depth to ground water........................ Test Pit No. 2............minutes per inch Depth of Test Pitl��/........ Depth to ground water........`......._._. pa' .............................................. . ... O Description of Soil. r Z".. Asti .. ......-'ry I v.. ••--•-------•----•. ............ -----•------------------------------------------•------------ W -••------••----------------•---•••-•••••••••--•••••--•••-------------------•----------------•-•-•--------••-•-•--------••--------•------•--•-------•--•--•--•---•-•••••---•....._...--•-•-••--.....---- V 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 TITLE 5 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. ( gned ---------`--• ate .._...------ Application Approved \ ._. C: ....Application Disapploueld r the following reasons:.............................................................................................................. _ L --------------•--- Date PermitNo.......................................................... Issued_........................................................ Date ;wb THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HELACTH ..........................................OF.......................... I.................................................... (Err#ifiratr of Tootpliattrr THIS .I�S» TO CERTIFY, Tha the Individual Sewage Disposal System constructed�or Repaired ( ) I taller ----- at. i._. ......7j5.4--------4..b-..'r.........3---- has been installed in accordance with the provisions of TImTyr. . 5 of The State Sanitary Co : as d -cribed in the .. - application for Disposal Works Construction Permit���___._----------------------------------- datedf__t.?.. .:. .,-:. .....oe......._._.__._... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTI H SATISFACTORY. DATE.-•-•-..//.. .. _.. ... p Inspector -----•--•--.--------•.---..... ti. THE COMMONWEALTH OF MASSACHUSETTS" BOARD OF HEALTH I� ..................... F ................. Mupoutt lurk Gandrud it rrutit Permission is hereby granted......... 1._. .... � •• � 1 ^��� ' ... ...... to Construct ( ) or Repair ( an Inds id wage PO stem atNo.....k--A--�... . ... .__•-•• -- ..................... Street ` as shown on the application for Disposal Works Construction Permit0~ 4�-...._..__ DaY` _. _��/✓........................ -•--•-• Board of health DATE............. ..................................................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS �t?M,at� : 4� { dot s s �r��ra f kk r 5 l s 3 - Vy r q, t ,^3 a+ r" s o�{':; r r t` #_,.y,`-fr,� 1'�,� v��i' J'Y If i 1t T v S sr L t r .r f w $ rt n r.-'t //sry M. i, car n 4„ x- : .�, } f "'.: 1 t•iJ r Tf e §lh. >Yp�r a",. I rq".s �ry, k },111 ,t st r r,.. i; iifir+� es. t s # k' kF, '' r:rI M + '' 1t}ffi i rt`f }`_, --�•+# �. lA f� i i t�i P,j:�,.,.,4 a �t`4 Qx r b .':'� I k: �.F 5'oop r rf{� tffog ? I�7 !C t r 1 �' 1 } I t 1" r M. .t. }'l' x 1 f 43 t '` tl f # eA{�i4z Van f4�rttyT. °ry cn M mf�'.f s i se"Il '' nt xa ¢ 1 ct' °>_ A{ rt t?�r;, e aza1.+ ar 3r ey ..) x 1 ri .+. t'+ 6 s 4 � ty X : } t 1 rll f V x' # - �! - � "Y d ,�. Oki y r r t f :. t s� {re 'skt i ri�, y Jli rtT' Jr + t,as'`r 1 ; ' r1'4' f,t, t tA. 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FINISHED SPOT ELEVATIONS 0.0 FINISHED CONTOURI . ��F G � i D DLO i PLA" ' QPPRVE = BOARD 'Ot= HEALTH - .:z. lf/�P/vv r7 99f�,� ASS, - .. y .._ —,— DAT'E AGENT 07 G.....__ ._�i>Vl f�rjr- ,�,,4 CERTIFY, THAT E i � RRC,..,,:SEE ,, R. r by 6, .Vp a.; r .;, I. j.7. I. C�UILDING SHC�W'N ON i i4lS FLAiJ 134 ROUTE . a34 s' ,CONFORM TO THE ZONING LAWS t=Asr DecvrJl ti1Ass . ,_ , ,�, i4 0 \TI f;' 61- TE F?F D_ A N[), ` II��Vk Y;)ftr x � I� t�"r / Z � � f I �a .t 1' L 4 „'.a.._e:' ,;' r* r . i "{' 1 E SOIL TEST INVERT ELEVATIONS NOTES: ` ( DATE OF SOIL TEST �'�=-%' =' ALL WORKMANSHIP AND MATERIALS„ I INVERT AT BUILDING FT. WITNESSED BYE INLET SEPTIC TANK % FT. SHALL CONFORM TO D E Q E TITLE -� OUTLET SEPTIC TANK '' AND THE TOWN OF L-, r :2,-RULES PERCOLATION RAT' .�� MIN./INCH = . FT I � AND REGULATIONS FOR SUBSURFACE OBSERVATION HOLE I OBSERVATION HOLE 2 INNLET DISTRIBUTION BOX 2E FT DISPOSAL Oy SANITARY SEWAGE ELEVATION = - ELEVATION= JOUTLET DISTRIBUTION BOX , _ INLET LEACHING PIT FT. BOTTOM LEACHING PIT '')2, FT. y _ DESIGN - CALCULATIONS NUMBER OF BEDROOMS .. . . . . . . . . . . . . . . . . . . . . . . . . . . GARBAGE DISPOSAL UNIT... . (1LGAL./BR./DAY x= BR.)... - GAL./DAY TOTAL ESTIMATED FLOW REQUIRED SEPTIC TANK CAPACITY. . . . . GAL. ACTUAL SIZE OF SEPTIC TANK TO BE INSTALLED... . GAL. LEACHING AREA REQUIREMENTS SIDE WALL AREA,: �GAL./S.F. BOTTOM AREA_ GAL./S. LEACHiiG CAPACITY ( BOTTCM SIDEWALL^).. ... . . . . . . . GAL., = ; } RESERVE LEACHING CAPACITY. . .... . . . G L. �- ` 70P OF -- � L CONCRETE 4" SCH. 40 CLEAN SAND �- J. _ �,,�;.,. : PVC P.I P E COVERS ,t.i•,� —CONCRETE ,.... �� a �\ MlgIr PEIR.CFT. ,1 \ COVER xa Of 1 2% MIN. PITCH E. I i 12" MAX. =ifs% S' RICHARD ! \ JAME Z v n n u v 0'4c f ' FLOW LINE- Ej LAYER OF 1/8- I/2 ne. 27971;v WASHED STONE -o z o -3/4- 1 1/21' 4" CAST IRON PIPE - MIN. PITCH o' WASHED STONE o W .1 1/4 PER FT. DI-ST. o n. ��_- r --7 PRECAST LEACHING 6ax 0- a BASIN OR EQUIV. GAL . J ' SEPTIC R. J. 0 HEARN INC. RLS, RS TANK � 134.8 ROUT �f34 EAST DENNI` , 'MASS. PROFILE OF GROUND WATER TABLE SEVIAGE DISPOSAL SYSTEM JOB NO. . jtt`s NOT TO SCALE DATE /�/ S'r'_� r_T