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HomeMy WebLinkAbout0270 WILLIMANTIC DRIVE - Health 270 Willimantic Drive Wrstons Mills A _ 103 081 TOWN OF BARNSTABLE 1/ LOCA710676 f ft e j ,e SEWAGE # vIE;I.AGE h Q1 fit/14SESSOR'S MAP & W1091 INSTALLER'S NAME&PHONE NO. 6Yl s 4?af/C�.���� SEPTIC TANK CAPACITY (`��6 e a l /e 'LEACHING FACILrr'Y: (type) � i.l . GU� ze) x '9 NO.OF BEDROOMS cBUILDER OR OWNER 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) Feet Furnished by i �r 1-1�s�__ g � � 3 R;s � . � �/3 � 3 ` � z/7 ' �o ' �� � 3 � � o ����� �� 3� � , � . . TOWN OF BARNSTABLE L®CATION,,?�'6 SEWAGE # VILLAGE Ad' r?�,k/,►cI 7J11� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. r SEPTIC TANK CAPACITY z"a©e/ Id en, 6-d-/ e d LEACHING FACILITY:(type) (size) NO. OF BEDROOMS rir PRIVATE WELL OR PUBLIC WATER ! v, G BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 'L vo 6 � f y f _ No. C;)Gos ., = Fee j' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pplitation for rJigpool bpgtem Cottgtrurtion Permit � Application for a Permit to Construct( _ )Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. 1 w l l A m ►k►' l t Owner's Name,Addres and Tel.].10. Assessor's Map/Parcel t O ,r/� G I c 7 L / 1-c er's Name,Address,and Tel.No. IM_p 1 Designer's Name,Address and Tel.Nq. G n /'hA �2cfe ( w Type of Building: Dwelling No.of Bedrooms Lot Size 0,6 6 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 N ture o�Repairs or Alterations(Answer when applicable) )Zti r4fa, S c- o c -Pvgc A ftir 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 is ed b is Bo of Health. Si e Date 2 A 7 0 Application Approved by Date Application Disapproved for the following reasons Permit No. DO 'S Date Issued 3 tD-3 _� No. Fee {{ 1 a ,t * THE COMMONWEALTH OF'MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS �ppYication for 30i. ppaar *pgtem Construction -permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components (� �\ Location Address or Lot No;� A lh r, k c_ t Owner's Name,Addressand Tel.No. 9RUC_e w � e(iit, Assessor's Map/Parcel / .� I G 7 tI taller' Name,Address,and Tell.No.f 7 7�—01 7�, Designer's Name,Address and Tel.NJ. , �,a 3�6 ` 61J S �kCva�4e'tt l � ,, I eN l�nlhRrr�q •� Type of Building: Dwelling No.of Bedrooms—? Lot Size U 6 0 0 sq.ft. Garbage Grinder( ) Other 'IIpe of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design.Flow 3 d gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. F Description of Soil N turr�f.Repairs or Alterations(Answer when applicable)ITti ion, i J O�' t C .�A- Q o K/ a S o �t o w -e A CA t( r'�i /� fit &.41 177 v T 3 "e 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 i ued is Bo of Health. /a IG� Slane Date / Application Approved bye_.. Date 3 o�3 0—.5 Application Disapproved for the following reasons Permit No. 00 y 1 Date Issued 3 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO C,)�RTIFT, that the On-site Sew�ge Disposal System Constructed( )Repaired(-�)Upgraded( ) Abandoned( )by KK o u 1<<h o ✓� w _ at o�7 U C, -ems `E' rt- n has been constructed in accordance with the visios of Titl 5 and the for DisposaLSystem Construction Permit No. a 5' dated 0 Installer 641 S Y C h I I --�1I Designer G )`e q NI rl `i k /U The issuance of this permit shall not a construed as a guarantee tl t_he sy-s' is l unction as designed. Date / /0 5 Inspector _._._ . No.t�-� '7 "'��Q --------------------—---=---Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS ;i5pozat*pgtem (Con.5truction 3permit Permission is hereby granted to Construct�(lv\ Repair Upgrades.( )Abandon( ) System located at "�J1 �,4 m C_ t^ m +� 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. t ` Provided:Construction must be completed within three years of the date of this prrnitl t o +;Date:-. Approved�b --- ' S/25/O1 Notice: This Form Is To-Be Used For the Repair OfFaited ` . Septic gystems-0oly TERCOIATION TEST AND-SOIL-EVALUATION EXEMPTION FORM hereby-certifl►that-the engineered plan signed by-me -_dated 'onceming the--property located at -2 7® &1e.1 f I0,tM d1 i)r -meets A of the following-criteria: '✓This7Med systearis-comecwd to-a-residenfial-dzt clling-only.--There ammo-comnaacW-,or business uws assoiated thc-.cling.== �-,h _soil is_claw&, as_CLASS.Laad-the-percolation-his ieas-than or equal to-5-minates-- per-inch. The-applicant may historical-data-to-eonelnde.this ormay conduct-- _preliminayte�-at-he site=withouta h resent . - ealtlragentp -- . ellTttere-is no incmase_in flaW.andtot_ - m_use- change-' proposed- �There.areno-Variances requested or-needed. The bottom of the proposed leaching facility wig be located no less than five feet above the maximun adjusted-groundwater_taWeL-vahm-[Adjust-die-groundwate-table using the F6mptor—nw*od_when.applicabisj-- Plem-complete the-following A)-Top-ofGwund-Sur&ce..Elevation(usi3ng_GI&iuformation)- -- 7 S -B) -G.W.Elevation Li S­ +adjustment for high G.W. DhEFERENCE_BETWEEN A-andB 2 S I}ATE: � Z� �✓ r- NOTICE= Basecl uP =won,a rqw permit wiht be issued for bedrooms_ maJILMIM No-additional bedrooms are-authorizedin tti _vkithout engiaeemd-septic systeea AMS. q. fDl-d :percftV � H a TOWN OF BARNSTABLE' p. LOCATION 70 LL / f!of !i SEWAGE # VILLAGE ' /J (11� ` SESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. ell 14.S C y eq(/�s 1ii�l SEPTIC TANK CAPACITY 5, 06 60,1 , LEACHING FACILITY: (type) Sod . (,�! ze)` /_� x NO.OF BEDROOMS BUILDER OR OWNER 13/V e C U), W h�e lei y r 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) Feet iFurnished by d _ , Ar eC 13. 1 ��' 3 Town of Barnstable J �FtHE 1p�, Regulatory Services r s Thomas F. Geiler,Director • t ■ + lARNSfABM 9 MASS. g Public Health Division i639• ♦� A'Fo►�'�° Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer &Designer Certification Form Date: Le, Designer: �r/ • F. t�,�-r�in��=-r, S• Installer: �e �r•�g c h+.' Address: Address: v26q On was issued a permit to install a (date) (installer) septic system at Z-70 L7>• 114 based on a design drawn by (address) 6" t, ofR,✓�c ;9•f'ti dated (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. / ZN QF A9gss9c HARRINGTON ;' (Install is ignature) No.1070 0 s�Gts•�E�```� 'All �P (Designer's i ture) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form N SITE PLAN SCALE: 1 "=20' Design Calculations e z y ev & BENCH MARKTop OFEpahD Number of Bedrooms: 3 FOUNDATION ELEV.=100.00 (ASSUMED) Garbage Grinder: NO, GRINDER NOT ALLOWED WITH THIS DESIGN �€ ��-'..N�" -`� �.•. Leaching Capacity Required: 330 Gal./Day 95.94' Leaching Area Required: 330 Gal./(0.74 Gal./Sq.Ft.)=446 Sq.Ft. I� f Proposed Leaching Structure: 1-25 L X 13t W X 2f D Leaching Trench Leaching Area Provided: 477 Sq.Ft. Vk' m >: Proposed Leaching Capacity: 353 gpd > 330 gpd. req'd. CIA\ Oe� AD3 1J "1 t�? 1�. Asa �\���F'� � sb• ��J� OP,and>4t;;�Y&i ���I ;RAJfEi F 2 1 ; IN >: GENERAL NOTES "MARSTONS MILLS"'"' > 1. ADDRESS: #270 WILLIMANTIC DRIVE 2. ASSESSORS NUMBER: 103-081 LOCUS O LO U S 3. DEVELOPER'S LOT: LOT 24 "It, x 4. TOPOGRAPHIC INFORMATION WAS COMPILED FROM AN ON THE GROUND INSTRUMENT SURVEY. NO SCALE 5. TOWN WATER IS PROVIDED TO SITE & SURROUNDING PROPERTIES. 6. REFERENCE PLAN: PLAN BOOK 157 PAGE 97 0 7. NO WETLANDS ARE LOCATED WITHIN 150 FEET OF SAS. 8. NO POTABLE WELLS ARE LOCATED WITHIN 150 FEET OF SAS. 0 m. CONSTRUCTION NOTES IM35' X .,° 1. Contractor is responsible for Digsafe notification q, and protection of all underground utilities and pipes. LOT 2 4 2. The septic"tank anj distribution box shall be set AREA = 20,000f SO-FT. level on 6 of 3/4 -11/2 stone. $'�' 98.99, O do 3. Backfill should be clean sand or gravel with no Q6 �y ? stones over 3 in size. B.M . q, F '0 4. This system is subject to inspection during installation by Glen E. Harrington, R.S. G� 5. The contractor shall install this system in accordance with Title V of the Massachusetts Environmental Code tel. ac `able and the Regulations of the Town of Barnstable. 99.t6' x Eby, $�, ovrrt,eod a1°6' 6. Provide an Acme Precast 1,500 GALLON H-10 SEPTIC TANK, A H-10 5-HOLE D-BOX AND 2 H-10 500 gal. chambers or equal. �s72' 7. No vehicle or heavy machinery shall drive over the septic system unless noted as H-20 septic components. O 'i- 8. Install gas baffle or equal on septic tank outlet tee end. m, 9. All existing inverts and site conditions; shall be verified by contractor. `rr6 98.65' er 10. Existing cesspools to be pumped and backfilled. 0 98.53' ab s �Cn Q 44' ° 91•72 97.68' X J t- /1ti r\`. I SOIL L-1,L".1 I I O N Date of Soil Evol.: MARCH 8, 2005 I� 1 .y� Soil Eval. Performed By. Glen E. Harrington, R.S. Excavated Perk <2 Rate:b m ROWS EXCAVATING; (ASSUMED N C1 h C2) 1-251 X 13 W X 2.0 D 00 leachingg trench using ��' Test Hole 2 H-10 500 gal. chambers with ��P Test 1 4' of stone alt around d S6w�,v* \� P DEPTH SOILS ELEV. 1-20'MAIL ACCESS MANHOLE 0" A 9.16' 4 sandy loam a' JR 10" 'M2/2 8.33' :<- . 5 Be 09 .741 eendy loam ro�y0� 36" 10rR5/e 6.16 To c1 O �J' bam Band 'qO2 4OX fine C3 F= 34" se t � "® C3 T med-2 son STEEL.REINMRCEO PRECAST CONCRETE 2.5Y7/4 PLAN VIEW 2 H-10 500 gal. chambers 89.16' END-SECTION no groundwater encountered H-10 500 GALLON CHAMBER NOT TO SCALE USE ACME PRECAST OR EQUAL A ICAOFMA�S PROPOSED SEPTIC SYSTEM UPGRADE �� PREPARED FOR LEGEND E; `�� BRUCE W. WHEELER EXISTING CESSPOOLS TO BE v H kRI d Q " AT (0 PUMPED & BACKFILLED 070 q ® #270 WILLIMANTIC DRIVE *NOTE: ALL PIPES ARE TO BE 4" OIA. SCHEDULE 40 P.V.C. *NOTE: INSTALL GAS BAFFLE OR EQUAL ON SEPTIC TANK OUTLET TEE. o o PROPOSED 1500 GAL. '9pV�TA���� BARNSTABLE (MARSTONS MILLS), MA Existing House 10' min. from H-10 SEPTIC TANK house to septic tank Septic tank covers must W DENOTES EXISTING wNMn 6'of Bnished grads Finished grade over system-2% elope away PREPARED BY: x 104.46 SPOT GRADE -FEE FI-100,171-1 EXISTI DE SL 80X Existing tirade Elev-99't GLEN E. H A R R I N G T O N, R.S. 95 EXISTING CONTOUR 9 LEDA ROSE LANE 0-Box cover must be Min. 2'-1/8"-1/2" 1 ehamber cove;.du st bs 2;mtn. t wn 6' of tslrod prods double ad atone within 8' finigrade max. TER LINE cellar llll 10, PROP SEDGAL. 14' Level for 2' S''a' Too -96'1' --- - --` AP STING LOCATION MARSTONS MILLS, MA 02648 d SEPTIC TANK/' m 13 55' ` ° = H C1,A0s 8 " N o 0 0 o 24"1eN rent ev.= 55' � STING WATER LINE APPROX. LOCATION TEL: 508-428-3862 OR EOUAL 9 FAX: 508-428-3862 LEACH TRENCH S.e*(s'REQUIRED) 6'OF 3/4'-11/2'STONE i H. /1 Elev.=s8.15' € N SCALE: 1"=20" DRAWN BY: GEH MARCH 21 , 2005 SYSTEM PROFILE 6" OF 3/4"-11/2'STONE DATUM: ASSUMED FILE: WHEELER SHEET 1 OF 1 Not to Scale 5 WV �V•G�•�� �UfS�Crf�- � ��VU 4 1�tiJlJYV ��1��HJY1 M M