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HomeMy WebLinkAbout0010 YEARLING LANE - Health 10 YEARLING LANE, MARSTONS MILLS - 1=151-092 1 h TOWN OF BARNSTABLE LOCATION /® / �/'�� �� SEWAGE# 17407 VIIJLAGE 1 01'S1 4�1�✓�/��✓ ASSESSOR'S MAP&LOT A4E/ INSTALLER'S NAME&PHONE NO. �4�8 /� t /IcS7:�``/�✓?�� SEPTIC TANK CAPACITY / ar 6 L LEACHING FACILITY: (type) — (size) NO.OF BEDROOMS 3 BUILDER O R ����cr PERMTTDATE: �30 s9 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 t it 9 Le ov4 _� Ile No. 7-6 2 ( Fee _ 00/e THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes / PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0[ppfication for Mitpool *p4tem Con!gtruction Permit Application for a Permit to Construct( )Repair Upgrade( )Abandon( ) 0 Complete System T'lndividual Components Location Address or Lot No. ,o Yearli ✓ Z-Q/f6 Owne✓✓r�Name,Address and Tel.No. A� Assessor's Map/Parcel gelg ®`fjr Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 6or�aG��1 Cmr�6� 7.71-�.� Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(/ Other Type of Building f Se No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow ��® gallons per day. Calculated daily flow 3.3Gp gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1 dOD94l ��f%s�`��tC� Type of S.A.S. Description of Soil �QX/IB�Ju�`5 Nature of Repairs or Alterations(Answer when applicable) 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 b his Bo o ealth. L Signed Date Application Approved by �- Date /0--TG-7 7 Application Disapproved for the following reasons Permit No. 17-& Z- -7 Date Issued 10-3 0- -7 2 No. ��� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BAR1VSTABLES MASSACHUSETTS ZIPPYication for M.5pogal *pgtem Congtruction Permit Application for a Permit to Construct( )Repair( i')Upgrade( )Abandon( ) ❑Complete System E97 vidual Components Location Address or Lot No. /0 eafll hg 1,op/fe owner_'s Name,Address and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. - dorl'vG��`i CarrSr: -- 7 7/-93�V Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building lee5l e11G e No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 330 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. /D.Y dXZ Description of Soil f Nature of Repairs or Alterations(Answer when applicable) _Jr/e J?- Date last inspected: 1 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 issue%b ** Bo o ealth. . Signed Date Application Approved by Date /d'S°"'7 Application Disapproved for the following reasons Permit No. 7"& Z 7 Date Issued 0 r 3 O- 1-7 --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS -7 BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CER FY, that the On-site Sewage Disposal System Constructed( )Repaired(Upgraded( ) Abandoned( by at /I Zel�i_' r has been constructed in accordance with the provisions of Ti e 5 d the for Disposal System Construction Permit No. 97-6 Z dated Installer ��Ot�. �G % Designer The issuance of this permit shall not be construed as a guarantee that the s tll fuun^c '.n.ds designed. Date //- /d—� `l g Inspector�� 7 . --------------------------------- 7------ No. /�y 7-6 Z -71 ��L FeeyI�V' CC/ c� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Zigogal *pgtem Congtruction Permit Permission is hereby granted to Construct( )Repair Upgrade( )Abandon( ) System located at �� eel-,11'r cif I nd 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:Construction must be completed within three years of the date of thi •ermit. Date: /o"3e- 9 7 Approved by I r /J—/lQ�Z 10/9/97 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) te-f J`�,jep1' 1'01/, hereby certify that the application for disposal works construction permit signed by me dated /0 ILA!97 , concerning the property located at "ell'/l meets all of the following criteria: /T ere are no wetlands located within 100 feet of the proposed leaching facility /There are no private wells within 150 feet of the proposed septic system 4/There is no increase in flow and/or change in use proposed There are no variances requested or needed. it If the proposed leaching facility will be located within 250 feet of any wetlands,the bottom of the proposed leaching facility will=be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation. Please complete the following: A)Top of Ground Elevation(according to the Engineering Division G.I.S.map) f B)Observed Groundwater Table Elevation(according to Health Division well map) r7�� SIGNED : DATE: lP!y LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system.Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. q:health folder:cert -. � .4 �V �� �� w �� ��x v � � _ �N' �,� � =—� � �s �, �� 1 � S �`'� O ��� � ��� Q `�� �- emu. � � i� `� �� 1y � � � � D � �� �� TOWN OF BARNSTABLE .;LOCATION �� ,��r";V Z-4 SEWAGE# f7i6z7 ViI,LAGE /01'5710 Al ASSESSOR'S MAP & TOT t/l f2 :;<t INSTALLER'S NAME&PHONE NO. / l^ C-O/Ic��-�� -315; :SEPTIC TANK CAPACITY / 00a Z1,C_ <':;:LEACHING FACILITY: (type) .f Led-_(size) /o oe Je SC.Z j ..:.:::..NO.OF BEDROOMS 3 ' 1 O R ja rl c/r `.PERMITDATE: '✓�0—9 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) 4 'L— Feet -Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet :<Furnished by -- -- /o � d1 21 ck.t�. JA4 d0 TOWN OF BARNSTABLE LOCATION SEWAGE # 7 r51 -o42 . VILLAGE - �M�M ASSESSOR'S MAP LOT U INSTALLER'S NAME & PHONE NO. K , :Gee X SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) 6.d0 NO. OF BEDROOMS PRIVATE WELL OR UB ATE BUILDER OR OWNER DATE PERMIT ISSUED: DATE -COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No L4 O r� 4 yrLf11 r YE31 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. ......OF.................. .... ........ .............................................. All,phration for Disposal Murky Tonstrurtion Vautit Application is hereby made for a Permit to Construct ( kf'O-r Repair an Individual Sewage Disposal System at: V— C, • 0—^T—C ... ..... ................. ............................................................. ............................. Location-Address 7Z _C..I,/ 11 No. ............................... ..?..2. ------ ................... Owner Ad ress -44--e__- Installer Address Type of Building Size Lot_L-91-2­01...Sq. feet Dwelling—No. of Bedrooms................Z3 .........................Expansion Attic..(--y— Garbage Grinder-(-� Other—Type of Building No. of persons........(o-------­------- Showers Cafeteria,(--j PL4 Other fixtures .... --------,-'Design Flow....................& -- ga i i-''-ons---p"-,.er..person....p*'e'r""d...a'y.......Total....da"il-y'---flow.__.._._____---- 3-------._0.....................g'�`a`1-1,on"s. Septic Tank—Liquid capacityl.9 P.4gallons Length... Width.#--'­/-.T-f!Diameter- ------------ Deptl .5.....IF-"/ W Disposal Trench—No..................... Width....._...._...._.... Total Length.................... Total leaching area..........--:.......sq. f t. Seepage Pit No.........I.......... Diameter.......L4-(----- Depth below inlet... Total leaching area­.3.29ASsq. ft. Z Other Distribution box ( 1r Dosing tanj-­.(-�j'"' Percolation Test Results Performed by..._ I.E.—=.....#^� Date.........4011---c� 0, Test Pit No. ....minutesperinch Depth of Test Pit_._ Depth to ground water---- ...............J,I. Test Pit No. 2­<..:!-...minutesper inch Depth of Test Pit... Depth to ground water..... P1 .....;;;;;4................................................. ................................................................7?....:51CC 0 Description of Soil...............17--L.--77...e......7:�­<L.n.4------...................................................................................... W U ........................................................................................................................................................................................................ W ................. ...................................................................................................................................................................................... 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 TL ITL U 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certifi_^,ate of Compliance has been iissu�ed =y of health. Signe ­JZ�m._ ­ ­ ---------- ---- ---- .!f/ V/Ak-7 Date ........................................ Application Approved By----------- ----------------------------------- Date Application Disapproved for the following reasons:...............................................................................................................w .....................................................................................................4ZR----�w----------*----------------*---------------------------------Date Permit No.... ------------- Issued....................................................... . ........................g= Date --------------A-------------- --------- No.z °�r Fss.... :.:...... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .............................. .......OF....G ....-------•........................................... Appliratilan for Disposal Works Tongtrurtiou ramit Application is hereby made for a Permit to Construct (l/) or Repair ( ) an Individual Sewage Disposal System at: Location•Address _ _ or Lot No. ~ o .... .=' _—��. '. .. ... :.tom. `!. ... �� ----- J' ! p f", ?:r?. .•?. r...r Owner _ Address � Installer Address - d Type of Building Size Lod._....:..z_.0_.._...Sq. feet V Dwelling—No. of Bedrooms......................... ....Expansion Attic<-( Garbage Grinder " a .... aOther—Type of Building 1.... .a......... No. of persons.......2�?................. Showers (--)= Cafeterias `) dOther fixtures -----•-----------------••------•-•---------------------••••••-•--••••-•-----••-•--•---------•---......-••--•--••---••--••-•--.......-----•---••-•••-- DesiFlow-----•----•••--•-•`_-� ` ........... •gn ..._ gallons per person pqr day. Total daily flow........................Q..._........._..gallons. _ , , WSeptic Tank—Liquid'capacity i `).?gallons Length..:......_. Width_l_.`.1.° `Diameter................ Depth•••........_.. x Disposal Trench—No. .................... Width.................... Total Length....................�Total leaching area....................sq. ft. Seepage Pit No._......_f........... Diameter......Ll..:..... Depth below inlet._- .:.*?_..... Total leaching area.Z.0.8sq. ft. Z Other Distribution box ( 1<'`f` Dosing tank-(--T— Percolation Test Results Performed by.... _ _ ` ...Gi:.'` ._..' Date........ 1_.. ' ._G._. a Test Pit No. L ..�-----minutes per inch Depth of Test Pit... Depth to ground water........................ fs, Test Pit No. 2........ -__._minutes per inch Depth of Test Pit... Depth to ground water------ p+ ''.......--••-•--•--•-------------------------------•--------••---�---=...--...........-- D Description of Soil.............. ............ � r"1 �- x ......---•-•--•--•--•-------••----------------------•---...--------...----------•----------------------•-•--•-------- V .....--•-•••--•---•••-••-•---••••••---•..............•---•-••-••-----•----•-••--•-_...., W -------•••••----•--_._...-••------••......••-•-•.............••••-••-•-•-•-----•...•••--•-••-••-•••---•----•••---------•-•------•--•-••---•-••••----•-•-•-•-----••••-•-•-••-•-••-••......----••----•-•- 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 TITI.1 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. Date Application li Approved. a--- A " o'=' =?;•...........•.....................— --•------•--......--D_at............... PP BY----------- - •- � �- Application Disapproved for the following reasons--------------------------------•---------------------•-•-------••-•-----....................................... •---------•----------------•-----•----------•------------•--•-----------•--•----------.......-------•--�---- ----- --------------------------------------•---------------•------------•--•-------- Permit No....;3.. ::::_ L-. �---------------------- "-...,. Issued..............................................u - Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE,A/LTH ?..''' ........OF.. .`. '.................................................• Trrtifiratr of Tnntpliatta THIS IS TO CERTIFY, That the Individual Sewage Di§posal_.�jystem constructed (T`"�or Repaired ( ) Installer ---....�. .....--•-•-•-----•--------....•• ••-•--......•••=-•....-• . . •••--•-•••-•-••-•••••...........•-••--••••-- has been installed in accordance with the provisions of TITLE, 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.__ °._ ___;r, ..__� '._....... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE COSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................. Inspector...................................................................................... ------- THE COMMONWEALTH OF MASSACHUSETTS / BOARD OF HEALTH �� No...� -.!'.:: :*'7 FEE........................ Disposal Morkii %Tontrnrtiorn VIrmit Permissionis hereby granted..../,...........................>:..................................................................................................... to Construct ( t'j or Re air (\ ) an Individual Sewage Disposal S}�stem at No.. 4 0••... .a- ................ a -/_V G.c; - /�r------------------ --------Street--------------------------------------------------------------------- as shown on the application for Disposal Works Construction Permit Nod Z._ -'_: :'. Dated.......................................... Board of Health DATE_....------•-•-•..................•-•----------................................ FORK 1255 A. M. SULKIN, INC., BOSTON BENCH MARK : L- ,► 'r= oz,,,ice j # TEST HOLE RESULTS DATE : WI TN E SS E D BY 7 ` ) E`19 IV /rn . m c D o N o v(Z H D o wr,/ j .---� _ TEST HOLE TEST HOLE G co L o A/mot ��12 . .-.... ._ )5 L l 13 Sfl"Jo y _ IL lz o4 NZ v 7- -- GROUND WATER A� GROUND WATER v a �° oo?�'� ENCOUNTERED ENCOUNTERED ` �fp P v ' ' Z ELEV. TOP OF MANHOLES AND COVER TO BE BUILT TO o` � / FOUNDATION WITHIN 12 OF FINISHED GRADE o FINISHED GRADE MIN, 2 /o SLOPE / 4" DIA. 4" DIA. PIPE FIRS 2ME ` nn� ;' -= MIN. 2' LAYER OF Ca P I P E �2 LE V E-.--. N wi%'.�. : M I N.PITCH 1 F T. _ I� P E A S T O N E (V MIN. PITCH r.►•a+ „ t4r' t I/4%F T N INVERT s o"p INVERT • INVERT GALLON u) cr Q DIST, .� �Q , t � �4'♦ 1Y2 DIA. P TIC TANK INVERT V E RT r;�/ C7 .. i qx ,� , .- -------� FOOTING TO 8E PLACED INVERT - . 8Ox. ' 3. © WASHED STONE �„ ,..• r---''� ` ON' A MINIMUM OF I8- OF :• INVERT, . ;� Wa ©,'t ALL AR-DUNG PiL A C E ON - x". �� VIRGIN OR COMPACTED `f �1a• FIRM BASE . � -- �� . � � a �:' BOTTOM AT ELEV. /07,�.5' SAND - I o M I N. -- GARBAGE ( 2D• MIN.) '.`2��, �►: - GRINDER NZ, ELEV. PROFILE OF GROUND ) WATER TABLE E,.wtUv;/4erc _ SANITA-RY DISPOSAL SYSTEM _- ( NOT TO SCALE ) DESIGN DATA J� • CONSTRUCTION OF SANITARY DISPOSAL 3 BEDROOMS SYSTEM SHALL CONFORM TO THE MASS. DESIGN FLOW GAL./DAY ENVIRONMENTAL CODE TITLE SC LEACH RATE MIN./INCH (REVISED 7- 1-77) AND THE TOWN 30 HEALTH DEPARTMENT REGULATIONS REQUIRED LEACHING CAPACITY 3 0 SEPTIC TANK, DISTRIBUTION BOX AND LEACH- PROPOSED " ,S 36GAL/DAY ING UNIT TO BE OF REINFORCED CONCRETE , 2. 6 (3 .,-57 /`r I -f + 1,0 (7) MIN. CONCRETE STRENGTH 3000PS.i. REQUIRED SEPTIC TANK /o©O GAL. MIN. STEEL STRENGTH a 20,000 PS. I. MIN. DESIGN LOADING : A-f� PROPOSED SEPTIC TANK : /000GAL. • DRIVEWAYS NOT TO BE LOCATED OVER SYSTEM UNLESS H2O DESIGNf LOADING IS USED ALL PIPES AND FITTINGS TO BE WATERTIGHT AND TO BE OF CAST ]IRON OR APPROVED P.V.C.- HEALTH AGENT APPROVAL DATE SITE PLAN SHOWING PROPOSED CONSTRUCTION ZONING DATA LEG EN D LOCATION BARNSTABLE , (cffJV - 7` ; Vj J_ L - FOR LE S EL- S O LLOWS D EV. CORP. DATE 4 , � ZON E : oPWN SPgc� //,i 1 � Z©" TEST HOLE LOCATION 4- LOT . 88 AS SHOWN ON • . REFERENCE • L REVISIONS : REQUIRED AREA • .__ 143,S60) /0e90" EXISTING SPOT ELEVATION 17.6 PLAN B001< ��C) PAGE / C) C2 REQUIRED FRONTAGE _ /S'0) 37.5 EXISTING CONTOUR 16 �.���P`t� OF `��ss� �a /3 , Y /REG, r0f-" -D,=-- k= , 5 IG REQUIRED FRONT SETBACK : �3©� 7.S c R PROPOSED CONTOUR 16 ��•�� H �T �� IV SCALE ' REQUIRED SIDE SETBACK : (�s) 7S' PROPOSED WATER SERVICE W-- Kom27483 !S 7S PROPOSED GAS SERVICE G '�©�� �. REQUIRED . REAR SETBACK : � �RNa�``� .,SSjQN,al E 6 PROPOSED ELEC. 19 TELE E e T Z CRAIG. R . SHORT , P. E . ' PROFESSIONAL CIVIL EN 01 N E E R . BUILDING INSPECTOR APPROVAL DATE 131 OLD ROUTE 132 HYANNIS , MA. 02601 FILENO.. ` - 643 ( T.ELE. '(617 ) 362 - 9411 ) SHEET / 0F / •