HomeMy WebLinkAbout0084 WATERS EDGE - Health CIL
TOWN Olq&iTll
LOCATION SEWAGE # !I I- "T 14
VILLAGE -12116 ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.,9fd'1& 1 i
SEPTIC TANK CAPACITY v5tro �r A-L_
.saa .
LEACHING FACILrrY: (type)' ��Qzi -�-r4G�(size)
NO.OFBED ! _. S
BUELDE OR O
PERM TDATE: COMPLIANCE DATE:__yS
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
O GAP r
i
TOWN OF BAAR��NSTABLE
.LOCATION �D1`�O Gr/o7�/'S �'9G SEWAGE # .97. 114
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO, 1 �-ice
'SEPTIC TANK CAPACITY IS20 4G.4rL,
3at7-E*L.
LEACHING FACILITY: (typeyz ,nIU-a— size) t
BUILDE OR OWNED)
P.ERMITDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
J 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
f
UW_
No. l�. TA COMMONWEALTH OF MASSACHUSETTS ' F;E
BOARD OF HEALTH
OF
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application fora Permit to Construct (14epair ( ) Upgrade ( ) Abandon ( ) -ti-Ic'emplete System ❑Individual Components
V�1�J1L�
Owner's Name
Map/Parcel# Address
Lot# Tcic one#
Installer's Name Designer's N• is
Address Address
Telephone# Telephone#
Type of Building: Lot Size ,Qq au-es sl t
Dwelling—No.of Bedrooms 4 Garbage Grinder ( )
Other—Type of Building No.of persons Cam— Showers ( ), Cafeteria
Other fixtures
Design Flow(min.required) gpd Calculated design flow q4Q gpd Design flow provided _4(g:�)gpd
Plan: Date Number of sheets Revision Date
Title '
Description of Soil(s) O
Soil Evaluator Form No. Name of Soil Evaluator`s ; Date of Evaluation 1 b-Z1-cjq_ P$21 O
DESCRIPTION OF REPAIRS OR ALTERATIONS
The undersigned agrees to instal the ove Oescribed Individual Sewage Disposal System in accordance with the provisions of
TITLE 5 a4frurthhrres t to pl e esys n opero6on until Certificate ofCompliance has been issued by the Board of Health.
Signed r !2"
Aw-
�! o
FORM t - APPLICATION FOR DSCP DEP APPROVED FORM SJ,i6
No. », ::,., COMMONWEALTH OF MASSACHUSETTS �E j
n BOARD OF HEALTH
4" r O F
_ APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct ( ,)/Repair ( ) Upgrade ( ) Abandon ( ) -`ff,Complete System ❑Individual Components
,es
L alien Owncrs Name
r,ma(�t�Z GI
f _! Map/Parcel# Address
LJ �o
Lot# 11 Tcic one#
` Installer's Name `` T— Designer~Nine
1
Address Addres {
Telephone P Telephone#
fl Type of Building: Lot Size ,D�;(ALCeSt
GDwelling—No.of Bedrooms l.E Garbage Grinder
Other—Type of Building ;,No.of persons Showers ( ); Cafeteria ( )
{ Other fixtures
Design Flow(min.re aired) Sh gpd Calculated des>gn flow ( gpd Destg�n lyw pro. ded pd 1
Plan. Date Number of sheets _ Revision Date
Title
Description of Soil(s) 04-\p`�Ctp c3tx�sai.( , 1g`'-(mU4
i
Soil Evaluator Form No. Name of Soil Evaluator`R•S0_t%_L-c.� Date of Evaluation 1 b-7_�_�1�
DESCRIPTION OF REPAIRS OR ALTERATIONS
The undersigned agrees to install the a ove escribed Individual Sewage Disposal System in accordance with the provisions of
TITLE 5 and furth a s t to pla the sys n operation until a Certificate of Compliance has been issued by the Board of Health.
°'\Signed
FORM I - APPLICATION FOR DSCP DEP APPROVED FORM 5/96
A .
.
No FEE THE COMMONWEALTH OF MASSACHUSETTS jl�
f 71ZI t
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
Description of Work: ❑ Individual Component(s) ❑Complete System i
The undersigned hereby certify that the Sewage Disposal System;Constructed'(,Repaired( ),Upgraded( ),Abando eels(•)
by: t
r
at 'e.
4,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. dated Approved Design Flow (gpd)
_ Installer
Designer: Inspector Q-1:SD Date
The issuance of this certificate shall not be construed as a guarcm hat the system will function as designed.
�
FORMK 3t- CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 t
f
h r No. THE COMMONWEALTH OF MASSACHUSETTS FEE
BOARD OF HEALTH
DISPOSAL SYSTE CONSTRUCTION PERMIT
Permission is hereby t str t ) Re i grade ( Abandon ( an individual sewage
disposal system at as described
in the application for Disposal System 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
' FORM 2 - DSCP DEP APPROVED FORM 5/96
FORM 1255 (REV 5/96) H&W HOBBS&WARREN TM PUBLISHERS- BOSTON
S YS TEM PPOFILE
NOT :TO SCAL E
TOP FNDN. FINISH GRADE
EL . 76.7 __. FINISH G'f�AOE �" �'I N�'Sf,+ GR,q D�' O VE'R FINISH GRAD'�O VFR 0 YER TRENCHES 74. 15
DIS T. BOX /'"
SEPTIC TANK 7^ :
�G I. '�.
12" MAX.
�-2.0
C o.4Q. A....e:i.u.. .O�r4Q.ad q'::Q.o�p��.gainR:p+6gp�!.�b,• ! bV':aw0
;a'o o.'. A OUTLET PIPE LEVEL I °d_ TOTAL L NGTH OF TRENCH 33' 4
o.'o•P, Q 3 ,
FOR 2 FT. MIN.
® ® 03 • ~ :V' "DioP a �. .. . e o• d'br C"
p 0,473. 0•
ry D 1 n ? v.. aP ,►. .� p O
60
C. I. OR P VC TEES O
e:•o h ti �P
°a a a bfl 1500 GALLON b. D.I'S TRIOU TION BOX
BSMT FL .
EL . INSTALL ON LEVEL BASE g-500 GALLON ORY`VELLS
PRECAST CONCRETE b
�•6.�PPr:P.bd4 oR a4.4bta:
SEP TIC TA R NS Wh stlehen a J�J�w' TRENCH SEC TION
�Mid dleHilll
INS TALL ON LEVEL BASE o ,o LaG �ond °a NOTE.' EXCAVATE TO ELEV. 'r OR
ate' Hambli; LOWER TO REMOVE ALL IMPERVIOUS rVNI
JID1J(E fir^ ` _ o / m ay. MA TERIAL BENEATH THE LEACHING AREA •
12" MIN.
Pond 4 DPRi
Middle Pond at REPLACE EXCA VA TED MA TERIAL WITH _. oa 3" OF 1/8"—.Y/2"
I 1 _
ue�lc 4ntl'a ; � CLEAN, CLA Y-•.FREE SAND o ao• ®,°n.eiA. WASHED PEASTONE
,.;..•a. ,.;. ,-:r,�y... .. ,„ns...n� _... _ r. . ..,__e......,........... ,.,..,,,......, _..,....._. ..,.n•, . . _.___. - „",pp , i o•� •qo0�
liF� w�
. ,:
ti 1 Gl' CPP � ° Dr. 3/4" — ?—1/2" WASHED • , n .� •
aters �F D CRUSHED STONE =�$ •
s, d� i ,` n r
J GENERAL L T "S TRENCH WID TH
1 i
1. ALL EL EVA TIONS SHOWN ARE BASED ON ASSUMED NUMBER OF, TRENCHES ?
• T•��,y� 2. ALL PIPES IN THE- SYSTEM MU S T BE, CAST .IRON NUMBER OF DRYNELL.s 3
�, ®R SCHEDULE .� PVC.
SER VA TION' '.�'T
s��.�� 3. THE BOARD OF ZEAL TH MUST BE NOTIFIED
J.H.MILNE P—B2?0
WHEN CONSTRUCTION IS COMPLETE PRIOR PERCOLATION RATE)
TO BA CKFIL L ING
4. ANY CHANGES IN THIS PLAN RUST BE APPROVED <2 MIN./IN.
LOT 60 BY THE BOARD OF HEALTH AND CAPE 6 ISLANDS W?TNESSED BY.•
1. 09 ACRES i SURVEYING CO., INC. ED BARRY
5. MATERIALS AND, INSTALLATION SHALL BE IN BARNS. , OF HEALTH DESIGN DA TA
� COMPL LANCE WI TH THE S TA TE SA NI TARY ,4PR. 2?, ?994
CODE — TITLE V — AND LOCAL APPLICABLE DA TE.'
— -- -�
RULES AND REGULATIONS 4
6. NORTH ARROW IS FROM RECORD PLANS AND " _. ._.____._.__.______� �_
NUMBER OF BEDROOMS
Is NOT TO BE USED FOR SOLAR PURPOSES 0 — GARBAGE DISPOSAL NO
7. FLOOD HAZARD .ZONE C (NON—HAZARD) ?B�r TOPSOIL sUBsol�: DAILY FLOW 440 GAL .
l �a ®. WA TER SVPPL Y_• TOWN WATER COARSE SA S , SEPTIC TANK REO 'D. 1500 GAL
_ 66" GRA VEL SEPTIC TANK PRO VIDED 1500 .GAL.
k LEA CHING REQUIRED
'440 GPD.
MEDIUM 1 B6
SAND SIDEWALL AREA S.F.
,� a o° 2° CO A - 186 S.F.X 0. 74G/S.F. ?37 GPD
a BOTTOM AREA - 441 S.F.
90• 200 Sao LEGEND 44?S.F.X 0. 7�S.F. s 326 GPD
/ LEACHING PROVIDED - 463 GPD
7
PROPOSED ELEVATION 1561 NO (7.e00/,/,DW,976�
o — "� ---- EXISTING CONTOUR
\ o SI GL E FA MIL Y RESIDENCE
a t,
� ; Iq OBSERVA TION PI T
DISTRIBUTION BOX
OF � a PROPO ED SEi✓A GE DISPOSAL S YS TEM
Rise'9Ansa PREPARED FOR
® prsr•,,: MICHAEL & KA THY DAY
o o SEPTIC TANK Fa 4
L O T 60 WA TERS EDGE
'000.a� '-�- `` _ —._ VE AREA
• - N ®R•a7•,2o.E t _. .: -- �F �;9 BA RN, TA BL E—MARS TONS MIL L S-MASS.
� DAVID
NA TERS EDGE') PIPE INVERT EL EVA TION �� cr�ARLEs, DA TE.' �7�'
J/ 2aoss �' /�� » ! CAPE 6 ISLANDS ENGINEERING
PLOT PLAN n
SCALE °AS NO TED 133 FALMOUTH ROAD — SUITE 2E
SCALE:• ? �� �� s���1
MASHPEE, MASS.
!:A�� t^�e-n . !^w.a•a R e ^g Via^ j,!'+n}-• !' •.i, .'_ /�.� PL 1`f N NO. V -:��C✓.� /'
S YS TEM PROFILE
NOT TO SCALE �
TOP FNDN. FINISH GRADE OVER FINISH GRADE
EL . 74.7 FINISH GRADE FINISH GRADE OVER DIST. BOX 74.
OVER TRENCHES
.. .:
e P•o SEPTIC TANK %�'f. 4
•q,o;
o�aiQpVi�
12 MAX.
a o: �. •o....o,..'p••. .0. .•Q'.., .. i..D'o•, a.i.+ ..b. •.v• •-A'. V•'.: .:� e
=a.o o;�: ,Q 06. TOTAL L NGTH OF TRENCH 33
a OUTLET PIPE LEVEL
3 0 FOR 2 FT. MIN. ,
Q•�'I 0 O its, . • .. i. •.. .p •e ':O• b' • 'O A' bbr 00(1'.'
6" � o• p�• � r ° :Q•P r. ,:,•St' o��o
.0 •�'4v• / 3. / 7,,..JQ f: :U:' .'.o: •:b7:l:O.•:
C. I. OR PVC TEES b"n 7'3, s ir? .�'.✓ ' / ee^�•1
by 1� —' O O'Op :i doa�
• 'dbo .D o. ,
.1500 GALLON b: DIST I UTION BOX
BSMT� FL Q o 9s INSTALL ON LEVEL BASE x 500 GALLON DRYWELLS "
EL �w-� ��py ���e -/�- /�^/� T p/
di iA°e.ri.Q 9Q a o0 PW / RECA1�' / CVNCRE/ 4
H-- /0 REINFORCE
a• 8® _
•4ia:o.i?.tPi:,c?'Q�' .as''tr.:Pyi.:ia'L9J>'4dd7'.®ys'® p'�`°o'c•°.p4.. .
TRENCH SEC TION
Whistleherr �� Middle H I
SEP TIC TA N �� a�� ,
INSTALL ON LEVEL BASE a ,o U ( Pond NOTE' EXCAVATE TO ELEV. �� ORWAY—
I�
_ o
at' Hamblin LOYER TO REMOVE ALL IMPERVIOUS
/ Flom a�. MATERIAL BENEATH THE LEACHING AREA I 4" DIAM. 12" MIN.
,' �-a Middle Pond Path Pond - REPLACE EXCA VA TED MATERIAL WITH a. , 3"' OF 1/8"-1/2�"
Noy. 1' •
o`• !ueLlc CLEAN, CLAY FREE SA , MA i�N% SHED P' ' � � � ° EASTOIWE
3/4 - 1-
�- a u
1/2 YASHED
06 •: r �®
satersRd,,-
h
, CRUSHED STONE
Lou
T GENERAL T S TRENCH WID TH
i
1. ALL EL EVA TIONS SHOWN ARE BASED ON ASSUMED NUMBER OF TRENCHES 1
2. ALL PIPES IN THE SYSTEM MUST BE CAST IRON NUMBER OF DRYWEL L S 3
D o2'47•,20"Y y , OR SCHEDULE 40 PVC. O,�SE�V.��.�ON „ I T
r
173.74 � ,r� 3. THE BOARD OF. PEAL TH MUST BE A1OTIF.TE D ------ -
MHEN CONSTRUCTION ISn COMPLETE`PRIOR ✓.H.MILNE P-8210
PERCOL A TION RA TE.
TO BA CKFIL LING <2
MIN./IN.
4. ANY CHANGES IN THIS PLAN MUST BE APPROVED
LOT 60 BY THE BOARD OF 'HEALTH AND CAPE 9 ISLANDS MI TNESSED BY.•.
1. 09 ACRES SURVEYING CO:; INC. ED BARRY
5. MATERIALS AND INSTALLATION SHALL BE IN BARNS.
!. . COMPLIANCE WITH THE STATE SANITARY �4�D. of HEALTH DESIGN DA TA
CODE - TITLE V - AND LOCAL APPLICABLE
DA TE. — ,.., 21_199.4
RULES AND REGULA TIONS NUMBER OF BEDROOMS 4
6. NORTH ARROW IS FROM RECORD PLANS AND _
0 u GARBAGE DISPOSAL NO
IS NOT TO .BE USED FOR SOLAR PURPOSES e® TOPSOIL 6 SUBSOI� ' 440 GAL .
f 7. FL OOD HAZARD'ZONE C (NON-HAZARDS ��� DA IL Y FL ON
8. MA TER SUPPL Y TOWN WA TER 18 COARSE SA _ SEPTIC TANK REG 'D. 1500 GAL .
`'— ------- �... __.. -- a?ao � � ss,j GRAVEL 4`' SEPTIC TANK PROVIDED
1500 GAL .
W ti2°° L EA CHING REGUIRED
440 GPD.
a
MEDIUM
5�o J5� oo iv —
m Nev / oo ,, ePo O`' oo `Q \ n SAND .°IDEMAL L AREA .. 186 S.F.
22 1 , , �►x: 186 S.F.X 0. 74G/S.F. = 137 GPD
A
Z BOTTOM AREA = 441 S.F.
90 �2LEGEND 441 S.F.X0. W . 326 GPDG .
/ L EA CHING PROVIDED = 463 GPD
7�J a
�000 �6°o t0 /r �'; PROPOSED ELEVATION 1561 //o
c 1001VDW,9 6f ,
ExrsrrNG conrouRo S 1 GL E FAMIL Y RESIDENCE C
OBSERVA TION PIT
® DISTRIBUTION BOX �
OFPROPO ED SEPIA GE DISPOSAL S YS TEM
RICHAP� m
J A _ PREPARED FOR
BER i R AND
o o SEPTIC TANK �P0, MICHAEL cg KA THY DAY
LOT 60 WA TERS EDGE
Roo.oo-- -.`�-� ' _._o RESERVE AREA ell --
-.. N 02'47'20"E _.__.. . �» —'— /a,� 1A OF � BARN-S TABLE—MARS TONS MIL L S—MASS.
ctDAVI s
WATERS EDGE)�'� �'� fi . lS PIPE INVERT ELEVATION a SAi,!Ic P
r'!'•/ t 260155 DATE: ,��; � g CAPE 6 ISLANDS ENGINEERING
PLOT PLAN \ �FriS1E�`� SCALE AS NOTED 133 FALMOUTH ROAD — SUITE 2E
SCALE. 1r «,� 3�' <��,���' ' •�� ��� HH9,9-
�s%)�� �a��� Y'
r IL Ll�At1
OT
PLAN N® MASHPEE MASSMAP SEC PCL �.