HomeMy WebLinkAbout0085 WATERS EDGE - Health 8 Waters Edge
Marstons Mills
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TOWN
sO,FBARNSTABLE
LOCATIO SEWAGE #�C�
VILLAGE S yv �� ASSESSOR'S MAP & LOT
INSTALLER'S�N &PHONE� N{
SEP ( U" CA AC 7 2
LEACHING FACILITY: (type) 3- Soc> (size) 3 3 6 x 13 2
NO.OF BEDROOMS
BUILDER OR OWNER g� t
PER?vIITDATE: � V t COMPLLANCE DATE:
0
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
t 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
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TOWNssOFBARNSTABLE
LOCATIO N 3 SEWAGE #20
VILLAGE �---J��
ASSESSOR'S MAP & LOT
INSTALLER'S A&PHONE N��'
SE C AN C AC
LEACHING FACILITY: (type) 3- sod (size) 3 6 13 2
NO.OFBEDROOMS
—4
BUILDER OR OWNER !g�
PERMITDATE: 1�' !U' � 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
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No.,:O&jl--739 THE COMMtONWEALTH OF MASSAC:HUSETTS FEE
-BOARD OF HEALTH £C, ,
` N-M, O F ,/
APPLICATION FOR,DISPOSAL SYSTEM CON TRUCTION PERMIT
Application for a Permit to Construct ( Repair ( ) Upgrade ( ) Abandon ( ) - IV Complete System ❑Individual Components
rat I S It U1 b bans
ocationOwner's N me
V ' Map/Parcel# Address
Lot# r Teleph ne#
�ati�T i
Installer' Na a Designer's Name
Sa �3 3-�1 ��► --- Te-®- 6 5�3 7?- e
Telephone# Telephone#
Type of Building: Lot Size Sq.feet
Dwelling—No.of Bedrooms Garbage Grinder ( )
Other—Type of Building No.of persons Showers ( ), Cafeteria ( )
Other fixtures
Design Flow(min.required) gpd Calculated design flow gpd Design flow provided gpd
Plan: Date ti Number of sheets Revision Date
Title
Description of Soil( ) 3(O" � b Cts w ,u'" I Y11
Soil Evaluator Form No. Name of Soil Evalu for Tom. 41,nAzAt Date of Evaluation I 0—a3-6
DESCRIPTION OF REPAIRS OR ALTERATIONS
The undersigned agrees to install the above describe#Andl idual Sewage Disposal System in accordance with the provisions of
TITLE 5 and furtheii agrees not to place the system in ape o ntil a Certificate of Compliance has been issued by the BoaZ�o.,,
Health.
Signed Date �` / ` 7
Inspections
FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96
.4 ,�•^ .� __... ''Ct^.
r> ,THE CO dU"'NWEALTH OF MASS-. HUSETTS FEE —
' ,80ARD OF HEALTH
OF'
W L'
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct ( Repair ( ) Upgrade ( ) Abandon ( ) - Fvc/-mplete System ❑Individual Components
t ocationOwner's N me
a O(P7, �
Map/Parcel# .n Address
V �t !1 _ .✓
Lot# i �- Teleph 6e#
T'
� ���a� Installer's Na e Designer's Name
Address / /e
.` Telephone# Telephone#
Type of Building: / Lot Size*_7 Sq.feet
Dwelling—No.of Bedrooms Garbage Grinder ( )
I Other—Type of Building ' No.of persons Showers ( ), Cafeteria ( )
j Other fixtures
Design Flow'(min.required) gpd Calculated design flow v gpd Design flow provided_gpd
I
j Plan: Date ( Number of sheets evision Date
Title L L ~Cl d� e /
Description of Soil( o= 3`t AM� N- A0 t6� 20" Qj
Soil Evaluator Form No. _ Name of Soil Evalu for P. 4.Wle" Date of Evaluation / 0-o-)3-d
i
DESCRIPTION OF REPAIRS OR ALTERATIONS n"
I
The undersigned agrees to install the above describe ndi`idual'Sewage Disposal System in accordance with the provisions of
TITLE 5 and furt�hee agrees not to place the system in ape o' nBl a Certificate of Compliance has been issued by the Board of Health.
Signed vY Date / -7/6i oa `• `ter'
Loll
4=,
Inspections at fvH, a� -?V` , io o
I' FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96
I '
No. '20d -' 731„�� �„ THE COMMONWEALTH OF MASSACHUSETTS FEE Od "
I ,
�or�sx1'JIe BOARD OF HEALTH
` CERTIFICATE OF COMPLIANCE
Description of Work: ❑ Individual Component(s) Complete System
The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned( )
by.
at
has been.installed in accordance with the provisions of 310 GMR 15.00 (Title 5) and the approved design plans/as-built
plans relating to application No. 1' Rj dated 12//d/b 1 Approved Design Flow (gpd)
Installer
I
Designer: Inspector - Date 1
The issuance of this certificate shall not be construed as a guarantee that the system will function as designed.
FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96
j
No. ')Uo 1 ` /31 THE COMMONWEALTH OF MASSACHUSETTS FEE loo —
r�s BOARD OF HEALTH
DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permission is hereby granted to Constrijct (L-J-R'epair ( ) Upgrade ( ) Abandon ( ) an individual sewage
disposal system at _1�i 5 b)0_-te 4 A 'sE as described
in the application for Disposal System Construction Permit No. 2w ' 7 —dated
Provided: Construction shall be completed within three years of the date of this permit.All local conditions must be met.
�Y /
I Date �� /o Board of Health Dej
FORM 2 - DSCP DEP APPROVED FORM 5/96
i
FORM 1255 (REV 5/96) H&W HOBBS&WARREN rM PUBLISHERS- BOSTON
! I
Town of 13arnsta ble P# j D, b9 1 V.
Department of Health,Safety,and Environmental Services
��► Public Health Division Date /0-ID -p
Sl, 367 Main Street,I lyannis MA 02601
BAMSMIX
MASS
Date Scheduled '( � 1, r�- �� Time Fee Pd. 1 b&CAD
Soil Suitability Assessment for Sewage Disposal
Performed By: \1U��t --�^�w�� Witnessed By:
LOCATION& GENEIZAL INFORMATION
Location Address` /, �n � r w,_ _ L_ _Owner's Name
06C2 O� J �'1UX(Q Address
Assessor's Map/Parcel:C SO Engineer's N=44 z E'fs-tat is 4�
NEW CONSTRUCTION REPAIR Telephone N 7
Land Use Ke J o r.,Er � Slopes(%) �/d Surface Stones_ Nl 4 _
Distances from: Open Water Body 0V It Possible Wet Area R Drinking Water Well R
Drainage Way R Property Line R Other R
SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes)
Vi
V
W
C
c
E
Parent material(geologic) Depth to Bedrock
Depth to Groundwater: Standing Water in I,lole: Weeping from Pit Face
Estimated Seasonal Fligh Groundwater
DETERMINATION FOR SEASONAL HIGH WATPk!AI3LE
Method Used: _
Depth Observed standing in obs.hole: in. Depth to soil mottles: in.
Dcpth'.o weeping from side of obs.!to!e: Gre iad gate;adjustment a.
Index Well N Reading Date: Index Well level Adj.factor_ Adj.Groundwater Level
PERCOLAT1( N TEST Hate Ttrttc
Observation yh
Hole N Time at 9"
Depth of Pere 91-hl11 "1 S Time at 6"
Start Pre-soak Time® �� ad Time(9"-6")
End Pre-soak
Rate Min./Inch ^ (n Gh
Site Suitability Assessment: Site Passed Site railed: Additional Testing Needed(YIN)
Original: Public Health Division Observation Hole Data To Be Completed on Back—�
Copy: Applicant
A.,
DEEP.OBSERVATION HOLE LOG Hole#
Depth from Soil I lorizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,°
0 - 3 Levi /d.y 2lz
3 - 34
o yof 7
DEEP OBSERVATION HOLE LOG -: " Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency.%Gravel)
�, 3 �v - g .i/x —
L S /D YR 6
5� — l 2 C /D Y9 7/
BEET' OBSEIWAVON`HOLE LOG Male#'
Depth from Soil Ilorizon Soil Texture Soil Color I Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,% ra el
0
.....
`DEEP OBSERVATION'HOLE LOG Hole#
Depth from Soil Ilorizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Moulin(; (Structure,Stones,Boulderes.
Cons istencv.° ravel
Flood Insurance Rate Mai.
Above 500 year flood boundary Ncr_ Yes
Within 500 year boundary No— Yes
Within 100 year flood boundary No— Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil absorption system?
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me consistent with
the required training,expertise and experience described in 310 CMR 15.017.
Signature Date
7l
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SYSTEM PROFILE
TOP OF NOT TO SCALE
FOUNDATION EL. 84.5 FINISH GRADE FINISH GRADE OVER FINISH GRADE OVER
EL: 83.0 SEPTIC TANK 82.6 DISTRIBUTION BOX 82.1 , GRADE
� FINISH
_ OVER TRENCHES 81.9 I
RISERS TO 6"
OF FINISH GRADE - ,o � r `- b PRECAST CONCRETE I
'1 s"; •:.:, o(o'•r �,.r _ ,�;, , ,r +•o. �•p ,. - SQQ GALLON DRYWELLS
3
- RISERS TO 6"
"MIN. OF FINISH GRADE OUTLET PIPE(S) LEVEL H-10 REINFORCED LOADING I
MIN.SLOPE 1% °0 31, FOR 2'( MIN.1% SLOPE TRENCH LENGTH = 33'-6"
6" .° MIN.SLOPE 1% ° ! �' BEYOND
O ;o MIN. i DRYWELL LENGTH = 8'-6" I
13"MIN.
81.00 80.70 MIN. 611 SUMP
- 80.45 80.29 :1 r T •,1 ,0:1 `4 — i 1 h,0 - :1 1 ei .L 4 1 +4 ,,,0 1 4 ^ '�l' `•1 .:/ , O r —' \
PVC OR CAST IRON TEES �., L °. 80.12 ,,'-'o: ,t'1� °; = °• C--�° o; a ,,
GAS BAFFLE �; ;brit ,Vl' �w• 'lo, 1 0� �b o°P� L'
DISTRIBUTION BOX 78.91}
1500 GALLON -� MINIMUM INSIDE B DLOW INIO TIINVERT 3/4"- 1-1/2" DOUBLE „
LL' -T INVERT 3/4 - 1-1/2 DOUBLE J ,
4 WASHED.CRUSHED WASHED CRUSHED 4
PRECAST CONCRETE ° MINIMUM CONCRETE WALL THICKNESS 2" STONE 5.7'
r_
INSTALL ON COMPACTED LEVEL BASE STONE
BSMT.FLR. ,o,_'o=;� "' H-10 REINFORCED
ELEV. 77.5 - o, -•_ 16- o -.:
NO GROUNDWATER BOTTOM TH 1 EL.70.4
.— :., oll - , °,1 TRENCH SECTION
ION
1. °• 1.• ,.• r, e'1 ,l '1 ',� Ir •/ 1,,. I \ 1.•°• 1.•
d,.1 :1 O,,On• 1.• O r. �' '1 -C
1 i 11'11• 'I c�
SEPTIC TANK
INSTALL ON COMPACTED LEVEL BASE 9" MIN. 3" OF 1/8" - 1/2"
4" DIAM. 36" MAX. DOUBLE WASHEID
PEASTONE
U Ulf
GENERAL NOTES: aril
1. ELEVATIONS SHOWN ARE BASED ON ASSUMED ° r
3/4 - 1-112 DOUIBLE
' 2. ALL PIPES 1N THE SYSTEM MUST BE CAST IRON -
- OR SCHEDULE 40 PVC. 48'� 5'-2° 4811 WASHED CRUSHED
� \ ,7g- ��T�/4►S, 3. HEALTH AGENT/CAPE & ISLANDS ENGINEERING STONE
EDG MUST BE NOTIFIED WHEN CONSTRUCTION IS TRENCH WIDTH i
COMPLETE PRIOR TO BACKFILLING. 13'-2"
4. ANY CHANGES !N THIS PLAN MUST BE APPROVED NUMBER OF TRENCHES 1
d BY CAPE & ISLANDS ENGINEERING AND THE BOARD NUMBER OF DRYWELLS 3
34" OF HEALTH.
R 270"��' ———-`78———__ 5. MATERIALS AND INSTALLATION SHALL BE IN OBSERVATION PIT
/ — ——— — COMPLIANCE WITH THE STATE SANITARY CODE P-10,094
[TITLE V]AND LOCAL APPLICABLE RULES AND PERCOLATION RATE: < 2 IViIF,./IK `p
<v h �� 0I °°o°ps�> �� 6. NORTH A RGW IREGULATIONS. S FROM RECORD PLANS AND IS BARNS �AE�L� BOA�(D O; -TONI -
/ �' T N LADED FOR SOLAR ENERGY PURPOSES. WITNESSED BY: D.STAN,E` L a
I �, ��;, / \ \ _ ?. WATER SUPPLY:I MIJNICIPAL WATER SYSTEM. DATE. OCT.23,2001 A
�� / w ,' \ $. FLOOD ZONE C ! TEST HOLE'#2 DESIGN DA ;�
QIo LEGEND 011 TEST HOLE#1 EL.80.4 0
i I I / �• l � / / J 52 PROPOSED CONTOUR E/0 W SAND 10 YR 3AND
I /
3" 3" NUMBER OF BEDROOMS 4_
o -—-52-—- EXISTING CONTOUR _ ,
1 I co i / / / =B= LOAMY SAND =B= LOAMY SAND GARBAGE DISPOSAL NO
^ 10YR 5/4 10YR 5/4 DAILY FLOW 440 GPD..
� / 87' #2 I / / OBSERVATION PIT 36'+ 36" SEPTIC TANK REQUIRED 1500'GAL_.
r I I /v o/ -- - ---------- I /
��� N. I--- SEPTIC TANK PROVIDED 1500 GAL'.
I \ N / I / / ❑ DISTRIBUTION BOX LEACHING REQUIRED 440 GPD.
o 0 o SEPTIC TANK =C= MEDIUM SAND =C= MEDIUM SAND SOIL ABSORPTION SYSTEM CALCULATIONS:
10YR 7/4 10YR 7/4
SOIL ABSORPTION SYSTEM SIDE'JVALL AREA = 186 SF.
o _ / , 186 SF. X .74 G/SF. = 137 GPD.
°' / BOTTOM AREA = 441 SF.
RESERVE AREA 441 SF. X 0.74 G/SF. = 326 GPD.
n j I I 120 NO GROUNDWATER 120" NO GROUNDWATER LEACHING PROVIDED = 463 GPD.
PIPE INVERT ELEVATION EL.70.4
SINGLE FAMILY RESIDENCE
® C.BASiN RIM
\ / ^`O i EL.70.32
Q , / ' /� �� � ^^Q*�, PROPOSED SEWAGE DISPOSAL SYSTEM
PREPARED FOR
DJµ
Lake ,reeler ,?�, I,a,;y MIARGARET FITZGIBBONS
rtleoa ;` LOT 41 [HSE.N0.55] WATER'S EDGE
/ LOT 41 / ,/ / ' w� " , o 0 1 a �.P_ , :°y " MARSTONS MILLS,MASS.
i 47,946 SF. ' / // / ' P °J r �m Whistleb 1 Nli�d\dle �jj
/ /, d` a err ,� �¢ �=�L
RIV o �� Pond �° PLAN NO 112701 SCALE- AS NOTED
aO atesFo Ham? _- -- ,
' 3 F� /lA`�H FILE NO. 259BA DATE: NOV.27,2001
210 Op W, / o m Av. 1;
°42'40' 1 3 �r« „� Middle Pond Pat P� 'off SEPTIC FILE NO. 70 PCS FILE: WATERSEDGE
/ S 79 W � ���� DAV,D 1?:
CVIARL-FS
J- = usury sAr085 CAPE & ISLANDS ENGINEERING
2�;0�5 �.
ASEMENT PLOT PLAN 62 50 41 55 �a ��, �Fci rE��° ,���'� ' 800 FALMOUTH ROAD, SUITE 301 C
CGESS E SCALE: 1" = 30' w w w /�Y.- LAND`�� 5' MASHPEE,MA 02649 (508) 477-7272
A MAP SEC PCL LOT HSE J. ww _