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HomeMy WebLinkAbout0006 WAGON TURN ROAD - Health 6 WAGON TURN ROAD WEST BARNSTABLE A = 108 - 024 R No. 4210 1/3 BLU LD a I m 8 . 100 ® 0 0 0 TOWN OF BARNSTABLE LOCATION l ���CT_ �� A? SEWAGE # 96o3 Ab VIILAGE k/.z ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) ���"GC C��r�t,.s ��l� (size) /y f TO.OF BEDROOMS 3 BUILDER 0 OWNER) G a PERMITDATE: ,,���103 COMPLIANCE DATE: U 3 Separation,Distance Between the: _ Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility g Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) �� f Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by ���.Nl' EO 3Y' , 12-v---J-LL i b�— i t , No. Fee 2003- ) 6 Y7 �s ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Z[ppfication for Ziopozar *potent Con0truction 3permit Application for a Permit to Construct( )Repair Upgrade( )Abandon( ) ❑Complete System C'Itidividual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Ma /Parcel �yy �2 kV/ &`_✓r/mot Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. �/'JW$6;�`� � D®� C��c ,���`�re,��may' AeZ Type of Building: c Dwelling No.of Bedrooms 3 Lot Size ,V/$L- sq.ft. Garbage Grinder(�O Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow c?r3 gallons. Plan Date Number of sheets Revision Date Title cc Cd 17,11; Size of Septic Tank limop pe of S.A.S. 2— Description of Soil, �.3e ,e 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 by glis B af H, th. jl�L J� Signed Date �® Application Approved by S. Date / 2 Application Disapproved or the following reasons Permit No. 200 Date Issued • ,r 2_4 ""-'' Fee •� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pplication for Ziopozaf *potem Construction Permit Application for a Permit to Construct( . )Repair Upgrade( )Abandon( ) ❑Complete System ❑r dividual Components Location Address or Lot No. �� j Owner's Name,Address and Tel.No. Assessor'sMap/Parcel Vva��� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ®g) /-� 0' Type of Building: Dwelling No.of Bedrooms Lot Size 5f>/ Z sq.ft. Garbage Grinder(�D Other Type of Building ,a�f r°5 i/. P/9f P No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow L? 3 a gallons. Plan Date //Z/ /o'T _Number of sheets Revision Date Title C5 i k-0 /l lf9 ze- .r/QticJ " Size of Septic Tank /-iA;2`/!P9 Type of S.A.S. 2. '5i®45`. !l C a �rrs Description of Soil, /l1�(' 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 by this B and 9f Health. / Signed f � .,- Date fJ14-11 ® Application Approved by Date // 2r; n Application Disapproved for the following reasons Permit No. 2 OO S—S 7 C Date Issued 1112616 3 THE COM MONWEALi K OF MASSACIHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( !/ Upgraded( ) Abandoned( )by at Zt/�11-120 :L/./ lre d l� S7l/ has been constructe in a cordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 2 an3-S A, dated 11126 02 Installer Designer The issuance o)this permit shall not be construed as a guarantee that the systemw'll function as destg d. Date l 7 l Sl Inspector ------ /--------------------------------- UU No. 2 — 5 b Fee �o THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS ig ogar *pgtem Construction Permit Permission is hereby granted to Construct( )Repair( PIrupgrade( )Abandon System located at 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 us't becompleted within three years of the date of this pe 't. Date: /I 2 ? - Approved by r TOWN OF BARN"STABLE �, ,� � SEWAG � LOCATION 1 �i.,..�s, �. . ,E# VILLAGE �d � ��c ASSESSOR'S MAP &LOT D E"© INSTALLER'S NAME&PHONE NO..- SEPTIC TANK CAPACITY. LEACHING FACILITY: (type) �L' C���� ^' � (size) ry NO.OF BEDROOMS 3 ' BUILDER O OWNER G PERMTI'DATE: /1,xe la COMPLIANCE DATE: 3 Separation Distance Between the: Feet Maximum Adjusted.Groundwater Table to the Bottom of Leaching Facility 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 Feet within 300 feet of leaching facility) Furnished by �'� ���� ��' �'�"`•"� 19 r t� I no lfi- 3Y` i L eC AT ION S E W A G PERMIT NO. . I-aT�T -P 4)- � — 7ser /L" LA6E INST LLER'S NA E i ADDRESS BUILDER OR OWNER DA T E PERMIT ISSUED DATE COMPLIANCE ISSUED c i T 7( � -v No.. Q�lj.. Fl�s ............. .._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH To.W/'J.. ...... OF.. .... ��-�►�: 1 .. ....................... Appliratiun -for i!ipwial Work.6 Towitrurtion Prrmit Application is hereby made for a Permit to Construxt (Xj or Repair ( ) an Individual Sewage Disposal System at: ------------------- ------R ---•-•------- ----------------------------------• cation-Address ^• or Lot Nye ' ® ,? _ a c ' ..__.._ei" `0�✓ :-- N p 44 y Owner /��if p� Address � Installer Address � U Type of Building Size Lot 5 Pp_!$;�'-___-Sq. feet �-, Dwelling—No. of Bedrooms-------3--------------------------------Expansion Attic ( ) Garbage Grinder per,, Other—Type of Building pd__r_r_r�WC No. of persons-----1.------------------- Showers ( ) — Cafeteria ( ) P4 Other fixtures ----- -------------------- ----- --- W Design Flow........._ _.......................gallons per persone/r dad. Total daily flow___-____���.�__._... ga llons. allons. +� y=i as 9 Septic Tank—Liquid capacity_00 .gallons Length. _._-•�.. Width.:/4. Diameter----- _-_--_ xDisposal Trench—No_____________________ Width.................... Total Length....._!:.......... Total leaching area--------------------sq. ft. Seepage Pit No.....Z........... Diameter/QK l t2--.-- Depth below inlet_4i._" . ;._.Total leaching area. _ ----sq. ft. z Other Distribution box ( ) Dosin tank,( ) Percolation Test Results Performed by. .� 0'.r,.L .LI %OL =- j•---------------- Date--T----- - ,/� _--------_.. l Test Pit No. 1----- _______minutes per inch Depth of Test Pit... C ...... Depth to ground water.11f22.dr-6 C0UC04 t�3 �14 Test Pit No. 2................minutes per inch Depth of Test Pit.-_____--.______-___ Depth to ground water---------------.-___.._. ..........................................' / ; rZ ------ esripion o � �� AxOD _ 5 ._ y . ---C ---- -y -- --------- V ... . ..."a W -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- UNature 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 Article NI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b en issued by the board of ealth Sig ....... --. .-------•------- ................................ Application Approved B Date Application Disapproved for the following reasons:....................................................................................................=............ ................................................................................................ y - ----------------------------- � ) C O �+ Date Permit No......................................................... (,v Issued....k` .°� &O.--•-- Date THE COMMONWEALTH OF MASSACHUSETTS a BOARD OF HEALTH , ppliration -for Dhipagal Eorkii Totw1rurttott Vrrmit Application is hereby made Jor a Permit to Construct ()Q or Repair ( } an Individual Sewage Disposal System at: ' .....---------------- 1 1 _�_B ..r , ./ur� Lpc --•-•-•----•----- ------------------------------------ --------------------------... Address 7-, o C_U "j'� P or Lot Nord ..; .�"` x .......................... ------- fif/14 41;`- 4 Owner Address a '� _ .. , t)(1 3'' `.� / w..c /....................... . h Installer Address d Type Dwelling f Building ui dingNo. of B Size Lot..��_--.®/_��Z-_-__Sq. feet — edrooms.__-.._ _________________ ___________•.Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building No. of persons------ Showers ( ) — Cafeteria ( ) Q Other xtures ----------- --------------------------:---------------------------------------------------------------------------------­---- ---------------------- Design Flow...._._.. ......................gallops per person ear dad. Total daily flow-____-----3_3__Q--._-.__-_-----..___gallons. ��� i W Septic Tank Liquid capacity_ a_gallons Length__ ..-`(..- Width_ ".'/_._.. Diameter_._._"'°__,__ Depth__ .._- . x kDisposal Trench=No..........:.......... Width-------------------- Total Length-__-___--__-____�_. Total leaching area------------- - ft. Seepage Pit No...._Z.----------- DiametetlJ /_�.---. Depth below inlet_.��___�d._._.__ Total leaching area.9.G.6_...sq. ft. z Other Distribution box ( ° ) „ r`" Dosing tank ( ) a Percolation Test Results Performed by_ :� F--f__ . c!Yl Date__'?' __7't/ ..._------ Test Pit No. 1_____4------- per inch Depth of Test Prt__.� __._.. Depth to ground water./V T`_jp1Ct?'eeE AJ fX4 Test Pit No. 2..._------------minutes per inch Depth of Test Pit..-._______________- Depth to ground water--_--.:--__------_--___. �� ---------------•----------�--------------�r ............ ...... y i; Desc,�ip>;ion of Soil p t Z rr'1",t` ��"C{ /� 1 ---- --r'- Gf, _ yJe w �a ...:"'j... .�_.. lri cr�r? Stvsg _�._Si/ .�... rl .�. x --------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------- V 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 Article \I 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. Sig ----------=31----------------------------------•--•-------••------------------------- { Da_tg Application Approved B 7 Date Application Disapproved for Elie"following reasons---------------------------------------------------------------------------------------------•-..................................... -----------------------------------------------------------------------------------------••••. ..........." ------. ._---------------------------------------- - Date PermitNo.......................................................... .Issued.............. ......................................... Date THE_COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1.......OF............. r .. f..................... W. rr#if iratr of f IMplitturr TIf IS TO CERTIFY-, That ,Individual Sewage Disposal' System constructed ( Repaired00-1 ( ) . by........ ' at... h «i �" / s A _-•- dIaller4.9 } 1 � s has been installed in accordande with the provisions of o�f Articof The Slate Sanitary Co as/desc i ed in the application for Disposal Works,Construction Permit No... .... .._ ..... dated...... ../._''_ ................... r. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................................. ---------------------------------- Inspector.........................................................-----------•-•••--••-••----•- THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALT ' .... .... .......OF........: ......G-1- ......................... No. t FEE------ ............... Bi-spot orkii To fit:!�eu rrtnt Permission t hereb ranted.. . to Construct or Repair ( ) an Indi idual Se e sposal Sys /`f street / as shown on the application for Disposall orks Construction Pe i No...... ed-_ii/ "" .............. Boar of ealth DATE...... �... a- FORM 1255 HOBBS & WARREN. INC.. PL'JBLISHERS t5 y = 96.8' SYSTEM PROFILE TEST HOLE LOGS TOP N DN. NOT TO SCALE) ACCESS COVER TO WITHIN 6" OF FIN. GRADE SMITH TER S ACCESS COVER (WATERTIGHT) To PROP INSPECTION PORT, WA . LM h WITHIN 6' OF FIN. GRADE ENGINEER: WITHIN 6" OF FIN. GRADE BARNSTABLE BOARD OF HEALTH MINIMUM .75' OF COVER OVER PRECAST /° 2% SLOPE REQUIRED OVER SYSTEM WITNESS: � 95.0 l 4. RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE DATE: MAY 1978 ,1 EXIST. _ 1000 FOR FIRST 2' \ 3 MAX. PERC. RATE = < 2 MIN/INCH °£o ifi I GALLON SEPTIC 93 2't* n / CLASS SOILS sr TANK (H- 10 "GAS SAMI ) oo 92.0 Q� '' RE-USE 91 .49' 0 1 'ice LOCUS 08 91 .17' a000 o aaoa o 1U, & [ ELEV. Rey 6" CRUSHED STONE OR MECHANICAL [� [� �] [] I� [] [� (� 0), COMPACTION. (15.221 [2]) �`� 2' 0 0 0 0_I� I� o 4, MIN 89.17 FOREST DEPTH OF FLOW = " TEE SIZES: ( SLOPE) ( 1 % SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE 12 DECAY INLET DEPTH 10" OUTLET DEPTH = 14" FINE SAND LOCATION MAP NO SCALE FOUNDATION- EXIST. SEPTIC TANK 11 D' BOX 17' LEAC!IING 48" 91 .0' ASSESSORS MAP 108 PARCEL 24 FACILITY *THE INSTALLER SHALL VERIFY THE 6.57' FINE WHITE LOCATIONS OF ALL UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS SAND/SOME PRIOR TO INSTALLING ANY PORTION OF _ SILT SEPTIC SYSTEM NOTE: PROBABLE REMOVAL OF UNSUITABLE SOIL FOR 5' AROUND PERIMETER OF LEACHING FACILITY REQUIRED, DOWN TO MED. SAND 68" 89.3' LAYER. REPLACE WITH CLEAN MED. SAND. CONFIRM WITH ENGINEER PRIOR TO REMOVAL 56.6' I AND ENGINEER TO CERTIFY REMOVAL, IF PERC NECESSARY SMALLS STONE, GRAVEL N jtox g / 168" 81 .0' + 88.2 NO WATER ENCOUNTERED °�o� �, 9� 88.8 / NOTES: ,gyp� + 9 .# SHED 9 8 -4 C + 93. ASSUMED 4 4.0 / NOT ALLOWED 1. DATUM IS . °P 4 2 SEPTIC DESIGN: (GARBAGE DISPOSER 1S ) -- b:,., ,�.(p. r, rrn NOT AVAILABLE 1o+lq / /1 . + 3. DESIGN FLOW: _3 BEDROOMS ( � GPD) = 3w�Gi�D �., "; _-- /+ / 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. � USE A 330 GPD DESIGN FLOW 0 9 �+ 94.8 95.0 GARAGE v'� 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 10 .2 Ir 94.3 / Q9 , SEPTIC TANK: 330 GPD ( 2 ) = 660 5. PIPE JOINTS TO BE MADE WATERTIGHT. �. 8i P5.0 .6 \"\ .0 93 TO ��SO' USE A 1000 GALLON SEPTIC TANK (RE-USE EXIST) 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. "o rn 95.8 01 --- LEACHING: ENVIRONMENTAL CODE TITLE V. 7.4 �/ EXIST. / \+ 2(30 + 983) 2 ( 74) = 118 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE 00' DWELL. SIDES: . . USED FOR LOT LINE STAKING, 91-1 4.9 TF = 5.1 \+ BOTTOM: 30 x 9.83 (.74) - 218 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. f 96.8' 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT / 94,6 98.7 TOTAL: 454 S F 336 GPD INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED .8 94.6 USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR FROM BOARD OF HEALTH. 95.4 EQUAL) WITH 2.5' AT SIDES, 4' AT ENDS, AND 5' 10. LEACH PITS TO BE PUMPED AND FILLED WITH CLEAN SAND OR BETWEEN UNITS REMOVED AS NECESSARY. REMOVE ANY CONTAMINATED SOILS BENCH MARK - CORNER OF 95.6 \ WITHIN 5' OF NEW FACILITY BULKHEAD EL. = 95.8 - TITLE 5 SITE PLAN �O. UNDER GROUND UTILITIES 97.4 ` OF 6 WAG 0 N TURN ROAD ....�� \ � _ IN THE TOWN OF: LOT 62 ����o `oo 0.0 (WEST) BARNSTABLE 50,182t SQ. FT. �, ��h �2618' °° PREPARED FOR: BORTOLOTTI CONSTRUCTION/WILCOX 9_2 ^" 8 � ,A\2S 00 COv� � i r n1 S y` 7 / y BOARD OF HEALTH / 98.6 30 0 30 60 90 ,.�-��- l��fi-C�� G✓2l( Oyu / MA /99.6 WAGON TURN ROAD APPROVED DATE ✓�it�YY� l S ( 1 SCALE: 1 " = 30' DATE: NOVEMBER 11 , 2003 99.7 off 508-362-4541 fax 508 362-9880880 O s� S/9-s 99.6 ro down cape engineering, inc, moo, 5�1 f CIVIL ENGINEERS d� °�;. RNs :�� ARNE H.H. LAND SURVEYORS � OJALa J� oJALA r,t �` I �� vIL v, 9:39 vain st, yarmouth, lea 02675 `� �l_� 03~-290 A NEi H, OJAA � P.L.S. DATE LL_I tJ Z 70- 7- -7 0 Ff ff VVA 5 E V so OL AA L) Sc-a c rimum :S&V, 1-7 4,o— -p— c,A �0_ 'RON MA 06L F c-P.0 0 fj S-0 OA t- AV_TH BACKPIL- _L3 it o -�4 D VT I i , 44) -7. r r6NE 3 3. 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