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HomeMy WebLinkAbout2412 MEETINGHOUSE WAY/RTE 149 - Health 2412 Route 149 W. Barnstable A = 155 031 t �No. Fee_� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Mio=pgrade p!tem Cougtructiou Permit Application for a Permit to Construct( )Repair( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. ,y 12 4P 94dT_ 141 Owner's 1 ne Address an eel. Assessor's Map/Parcel VA Installer's Name,Address,and Tel.No. Design Name,Address and Tel.No. �,-�-� �W S� Type of Building: Dwelling No.of Bedrooms _ Lot Size (ZL�(_sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow �J� gallons per day. Calculated daily flow gallons. Plan Date l.b -Z-7-a-L Number of sheets / Revision Date (/ Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date as p 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 Board of ealth. Signed -�- Date f 2 /'7 Application Approved by�a�-�X �. e I��oaJvr�..t Date /;)L -/ o� Application Disapproved for the following reasons Permit No. 02��- s� Date Issued ---------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( _<uIp"'graded( ) Abandoned( )by Vk%.C- +u 4V- at 'Z,1 1'L I 20 k`A 9 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit XoQ.00Q-5 dated Vic;)-?2? Installer 4\. d-_�a w Designer o w%.a. The issuancq of Ws permi shall not be construed as a guarantee that the system o e igned. Date �3 Inspector ———————————————————————————————— _ f ' o. Fee r THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS 2pprication for �Diopogar pztem Construction Permit Application for a Permit to Construct( )Repair( pgrade( )Abandon( ) O Compl�stem ❑Individual Components Location Address or Lot No. P.y rL 41�9p,Jn, 1 y Owner's R Address an el.No Assessor's Map/Parcel _ j� QC Installer's Name,Address,and Tel.No. Iesignar,s Name,Address and Tel.No. do Q Type of Building: Dwelling No.of Bedrooms Lot Size 63(,sq.ft. Garbage Grinder(� Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow S gallons per day. Calculated daily flow Jam.$-�. gallons. Plan Date Vb -2?- O-L Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) � 1 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 gbeen issued lr this Board of nealth.�� Signed cc o.� 4 ��--t-- Date / Z /1 1_ Application Approved by �/n�t C .14-K Date la Application Disapproved for the following reason Permit No. � .�—.J Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance r THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( graded( ) Abandoned( )by �'� ��y 0,0 a3 o7 at 'L�l 'L. 4 Qo o\�%_ \ -k 9 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.Q.00 "5 q dated /a'��`ant . Installer t4 \�tAL-v d o w ' Designer a W The issuanc' of this permi shall not be construed as a guarantee that the system a esigned. Date 3 y D� Inspector No. Q.QCQ" S 1 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS liopozal *pgtem Construction Permit Permission is hereby granted to Construct( )Repair( VUpgrade( )Abandon( ) System located at 2\. %1— 0.1-�V_ I-,I W 7-R, 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:Construction must be completed within three years of the date of this permit. Date:_ la-1 ?—Oa Approved by ---� �• G/ TOWN OFQSTABL6 LOCATION .��/o`Z ZP&4&le SEWAGE # VILLAGE zg` ASSESSOR'S MAP & LOT jNSTALLER'S NAME& PHONE NO. SEPTIC TANK CAPACITY v7SDD // LEACHING FACILITY: (type) 4� J��P (size) NO. OF BEDROOMS J— ,� BUILDER OR OWNER fed / TT4'162 i/�'� 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— r� f i �, r TOWN OF BARNSTABLE r p .• � ` SEWAGE # � ''G'L��'�J:`7Pf' LOCATION �G" 4-• /�/ VILLAGE f% ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) �, ,v/�� (size) NO. OF BEDROOMS, BUILDER OR OWNER _% PERMIT DATE: /- % C vC 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 Feet on site or within 200 feet of leaching facility) Edge of Wedand and Leaching Facility (If any wetlands exist Feet within 300 feet of leaching facility) Furnished by_ TOP FNDN• AT EL 56.5' SYSTEM PROFILE TEST HOLE LOGS ACCESS COVER TO WITHIN 6' OF FIN. GRADE (NOT TO SCALE) Rom' sA f ACCESS COVER (WATERTIGHT) TO ENGINEER: ARNE H. OJALA, PE 53.1 MINIMUM •75' OF COVER OVER PRECAST /` WITHIN 6' OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 50.0' WITNESS DAVID STANTON 2' DOUBLE WASHED PEASTONE RUN PIPE LEVEL DATE: 10/25/02 rj3,j' FOR FIRST 2' _ tj ~ /� 3' MAX. PERC• RATE - __ < 5 MIN/INCH t (PROP) PROPOSED 1500 �! GALLON SEPTIC 47•83' I 10357 LOCUS GALLON 51.15 TANK (H- 10 > CLASS SOILS P# F o o o r� r LO"ARD AVE ~' BA LE 47.42' �"� 0 47.0 MIN 0 0 1 0 0 o 0 o r7 3' 9 SIDES C 2 % SLOPE) \_6' CRUSHED STONE OR MECHANICAL L7 C� L� I� L� O 0 1� C1 2.5' ENDS 2' m0E-10 o mom a ELEV. DEPTH OF FLOW 4 COMPACTION. (15.221 121) MIN 45.0 ON 49.1' l , TEE SIZES= ( 2.7% SLOPE) ( 1 Y SLOPE) 3/4' TO 1 1/2' DOUBLE WASHED STONE Ap ' INLET DEPTH = 10" LS OUTLET DEPTH = 14 ., LEACHING 14„ 1OYR 5/4 LOCATION MAP NTS J FOUNDATION-- 38' SEPTIC TANK 126' D' BOX 21' FACILITY 6.9' BW ASSESSORS MAP 155 PARCEL 31 LS s1.9 10YR 6/8 YARD SETBACKS: -�- / I EXIST. WELL 32" 46 4' FRONT = 30' SIDE = 15' A 1 38.1 PLAN REF. - 385/18 . C FLOOD ZONE: C 0� 52.6 F-M / LOT 1 SAND 3.7 / D� 126,636 SO. FT, 2.91 ACRES 10YR 5/8 / 9 BENCHMARK: USE TOP OF FOUNDATION 45 HERE AT ELEVATION 56.5' 132" 38.1' / NOTE: STONE FOUNDATION NO WATER ENCOUNTERED_ _ NOTES: -4(53.7 + 53.6 ELEVATION VARIABLE - - 4 554 SHED ( TO 6 EXIST. DWELL. to BE RELOCATED) - - 1. DATUM IS ASSUMED O�f? �� I SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED ) SS a 55'9 - ?Q , 2. MUNICIPAL WATER IS . NOT AVAILABLE 5 + -3• DESIGN FLOW: 5 BEDROOMS 110 GPL) = 550 rPn g6 C a, USE A 550 GPD-DESIGN FLOW 1. Mli•fl viUivi PIPE PI•�CH TO BE ,/8" PER F 0-101 5 3 529 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 20 SEPTIC TANK: 550 GPD ( 2 ) = 1100 5. PIPE JOINTS TO BE MADE WATERTIGHT. P EXIST. WELL --- + 54.7 53 53.7 USE A 1500 GALLON SEPTIC TANK 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. ENVIRONMENTAL CODE TITLE V. + 51.6 LEACHING: ENVIRONMENTAL THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT + s 543 3'7 SIDES. 2(47.5 + 10.83) 2 (.74) = 172 TO BE USED FOR ANY OTHER PURPOSE. EXIST. WELL BARN 52.0 47.5 x 10.83 (.74) - 380 8• PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC, o o BOTTOM: 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT 52.5 `� � TOTAL: 747 S•F• 552 GPD INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED USE (5) H-20 500 GAL. LEACHING CHAMBERS WITH FROM BOARD OF HEALTH. + 5 a s + 50.4 10. PUMP & REMOVE OR FILL W CLEAN SAND EXISTING CESSPOOLS Cq �o s3.1 3 STONE AT SIDES AND 2,5 AT ENDS ( / ) 36" MAP 1.� TH SNP + LEGEND � + a5.a E + 49.1 100.0 PROPOSED SPOT ELEVATION TITLE 5 SITE PLAN 55. 100x0 EXISTING SPOT ELEVATION of 2412 ROUTE 149 + 5 , ep v `� 00 - PROPOSED CONTOUR IN THE TOWN OF: + 49.7 - �,� + + 46.6 100 EXISTING CONTOUR ( WEST) BARNSTABLE BENCH MARK NAIL SET IN 36" MAPLE. ELEV. = 55.4 .�� CP EXISTING CESSPOOL PREPARED FOR: D. PERKINS + 4 7 BOARD OF HEALTH 30 0 30 60 90 +�48.3 MA t996, APPROVED DATE + 49.6 SCALE: 1 = 30' DATE: OCTOBER 27, 2002 I I off 508-362-4541 fax 508 362-9890 D M �H CF Mq � S d AAown cape engineering, inc. ^� �� ARNE H. � a NC sgcy g � � OJALA ram^ H. H OJ�ibO <. CIVIL ENGINEERS CIVILN . so7s2 N a LAND SURVEYORSA�o� '� /STER �`� 939 main st. yarmouth, ma 02675 02--3 3 9 AR H. OJALA, P.E., P.L.S. DA TE