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HomeMy WebLinkAbout0006 MINTON LANE - Health 6-Minton Lane A-174-007-004 I { i I i i c. STABLE I�� Af LOCATION /SEWAGE # VILLAGE 1,�_ a rns4cL,51 c _ ASSESSOR'S MAP & LOT L 7 ti b7 INSTALLER'S NAME&PHONE NO. .Rnr-iala d; Coral SEPTIC TANK CAPACITY 1:5' � ocs,l LEACHING FACILITY: (type) S (size) x V' 9 'X 3 7 f NO.OF BEDROOMS 3 BUILDER OR OWNER P-C e s4 s Q e `fro De r4;C S PERMITDATE: 3 - t i ^ 4 2 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 GgC4 F�an4 or Hoc)s� 81 • �� ' C3 A2- y3' j A3- SG' 63 = yy' A4 = I-y a Bq t y TOWN OF BARNSTABLE LOCATION L SEWAGE #�J od VILLAGE .Rarns�a,SJ�. ASSESSOR'S MAP & LOT 7y� a�- INSTALLER'S NAME&PHONE NO. n :i o I o n: 00-24 SEPTIC TANK CAPACITY /:5y n QM LEACHING FACILITY: (type) ;rr,4 14rc►de r S (size) .? x 9 �K 37! NO.OF BEDROOMS 3 BUILDER OR OWNER PERMIT DATE: 3 - I� — 4 7 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 Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by F�ar,4 o-C t-005C AI = 3a' A A2. y3- 6;1 r 3q, A3= SG� 63 yyr a t3y - 1,1 y r ` No. ✓�>� Fee /f/✓r THE COMMONWEALTH OF MASSACHUSETTS �'ntered in computer:' • Ve PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppfication for �Digpogal *r6tem Construction Vermtt Application for a Permit to Construct(Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. C or �`/y /,►fM$,a /p'.�v(e Owner's Name,Address and Tel.No. Assessor's Map/Parcel 11q — 661. 46 q --7 1— rTild3 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. °A-rrLafrX )°a„✓ ('0/* b -7-1 y3sf re - vrr-1I Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(^�) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 ; 0 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank z Ste' Type of S.A.S. /'�0"�'t r'' �"� c r�A r�►-f Description of Soil s aw f cam) nt ter" 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 o Title 5 of th n ironmental Code and not to place the system in operation until a Certifi- cate of Compliance has been is b th^is 040 W Pe Signed u `� � Date Application Approved b Date ,7r'l�'�� Application Disapproved for the following reasons Permit No. �'� Date Issued !�'' :. 9 No. — i Fee .� ' � r't.rH � --entered in computer:• THEC'b�lA NWEALTH O MASSACHUSETTS 6 ; -_ p { 7es PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Zfppfication for MigpOgal &Pgtem 'Congtructi0.1i Permit Application for a Permit to Construct(Repair( )Upgrade( )Abandon{ ) El Complete System O Individual Components Location Address or Lot No. C t; Y �t r ti r t 9 r ti r' Owner's.Name,Address and Tel.No. Assesso's Map/Parcel Q a r ,f I"77 -.GL•L � r Installer's Name,Address,and Tel.No. � °'/''` Designer's Name,Address and Tel:No. 1 tw rc i OtT r 6 If Type of Building: Dwelling No.of Bedrooms Lot Size t/3 (C sq. ft. Garbage Grinder(�) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3. 1.0 gallons per day. Calculated daily flow gallons. Plan Date ` Number of sheets Revision Date Title Size of Septic Tank s C 1, Type of S.A.S. Description of Soil Nature of Repairs or Alterations p a ons(Answer when applicable) 07, 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 o£,Title 5 of the n irogmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of ealt'� Signed 6 C-- ( _ . Date Application Approved b Date Application Disapproved for the following reasons ti oll- Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,.MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed Repaired( ) Upgraded( ) Abandoned( )by at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.o9z=ZZ 4< dated'? Installer Designer The issuance of this permit shall not be construed as a guarantee that the sys em�will function as dessii,gned. Date_ t1 --------------------------------------- No. f Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE., MASSACHUSETTS W"igpogaf 6potem Construction Permit Permission is hereby granted to Construq.K )Repair( )Upgrade( )Abando ( ) System located at Z '7� / !!L��i 44,46 ��92 h1 and as described in the above A,pplicatio for Disposal System Construction Pe t. The applicant recognizes his/her duty to comply with? itl and the foilowin oaf provisions or special conditions.' �� Provided Construction must be completed within three years of the date of tthhiis� ermit. Date: I9 Approved by T.O.F. AT E�. �� �� SEPTIC PROFILE " FES KOLA, LOGS __._.----_.--------___ _ __�-- --- ".T EL. ACCESS COVER TO WITHIN 6" OF FIN. GRADE NOT TO SCALE)- ACCESS COVER (WATERTIGHT) TO k, ENGIfdEER:- --________,'.�______...__�. .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE r� 2% SLOPE REQUIRED OVER SYSTEM 4i -' _x WITNESS: �,c_;MINIMUM � • ��t-�1�CY+. W RUN PIPE LEVEL DOUBLE WASHED PEASTUNE ° � -__— FOR FIRST 2• PARC. RATEPROPOSED !spa -- L 12' 3' MAX. GALLON SEPTIC - CLASS �_ __- SOILS - � TANK (H- i� ) GAS BAFFLE _R SLOPE) 5' CRUSHED STONE OR MECHANICAL COMPACTION. (15.221 [21) - 8 2� ., `�f ELEV. DEPTH OF FLOW _=1-_ ( 7 X SLOPE) " - - TEE SIZES: 3/4 TO 1 1/2' DOUBLE WASH _D STONE y :. INLET DEPTH OUTLET DEPTH m !•` � `� { ,�,�_ _ LOCATION MAP SCALE 1" I -�. LE kC H I N G o FOUNDATION—- 1 _______ SEPTIC TANK -- - D' E30X ----_________ _-.---- Y f� I ASSESSORS MAP PARCEL `T- x \ FA(;ILIT, � �,- ( � �-•`� 1 ZONING DISTRICT: P; Ito la _ 3co ( ! 5` YARD SETBACKS: G► z ( FRONT = � o �. SIDE = i5 REAR PLAN REF. - r�y�f$A- FLOOD ZONE: It t t NOTES:- SEPTIC DESIGN:- (GAREsAC�E DISPOSER Is._ 1. DATUM IS 7ESIGI� FLOW: _�.�. BECROOMS (. f l o G-'G .n . .r^ s 2. MUNICIPAL WATER IS r USE A � GPD DESIGN FLOW 3. MINIMUM PIPE PITCH TO BE 1 /8 PER FOOT. ` \ \\\ \ SEPTIC TANK: 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- I cl ( _'��} - C.(,�.� S. PIPE JOINTS �O BE MADE WATERTIGHT. \ ' USE A ?50a GALLO^. SEPTIC TANK 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. I LEACHING ENVIRONMENTAL "ODE TITLE V. 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE SIDES: — - - -0. ' -- - -- USED FOR LOT LINE STAKING. i' __. ._'(4 - 8. PIPE FOR SEPTIC SYSTEM TO SOH. 40- 4' PVC. TOTAL: ` ``v S.F. ` yGPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT �\ INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. i r OD Lot r ,� EG EN D SITE AND SEWAGE FLAN ' f r 100.0 ] PROPOSED SPCT ELEVATION OF r 4 � I �, 10Ox0 EXISTING SPOT ELEVATION ` t p `", IN THE TOWN OF: PROr'CSED CONTOUR •.---. r - - 10Q — EXISTING CONTOUR PREPARED FOR: 01 0IF 3 ► �t BOARD OF HEALTH -_-__.__.-..._ _.,__.___.._.__. - � Mrs SCALE: t = ''lc�' _ DATE: --M,ta.. ,�.,=.�-I APPROVED DATE - - tL/i a• t tt f �% ( f✓ off 606--Sti2—+b4 i tax 508 382-988i;7' r ARNE 7 f , down cape engineering, 7 �+.f - - _n c. 0jA!R OJAlA140 �. LAND SURVEYORS , � �` - / 939 main st. y arm0uth, rr�a 675 JOB, /� p i + �: ---- -- ARNE H. ©JAL-4 f'. . . S. DATE SEPTIC -PROFILE_ ` 'EST HOLE LOGS _ _-- --- -- --- -, T.O.F. AT EL. Jc6 © --- f_ ACCESS COVER TO WITHIN 6' OF RN. GRADE (NOT TO SCALE') A ACCESS COVER (WATERTIGHT) TO E NGINEE?:__..k1' Fes• ' .�i t�+Vp• Gs ' WITHIN 6" OF FIN. GRADE �j��x. AdfNIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM ✓ - ' i t 4 I `ems dJITNESS: Y� a-�t I�{s� DATE: RUN PIPE LEVEL 2" DOUBLE WASHED PEA,C?ONE DA h - � �z�"`"'^•,,...^-�._ --i~'� FOR FIRST r PERC. RATE PROPOSED I �G' — 3' MAX. GALLON SEPTIC ! 3 j �•c 17: MASS _ .____-.__ SOILS P Ll TANK (N— ;:� ) GAS __ ----� BAFFLE ------ 1 SLOPE) 6. CRUSHED STONE OR MECHANICAL I �� COMPACTION. (15.221 [21) -- 2' V�- �-- C,4 Q^ ^ `Yl" ELEV. DEPTH OF FLOW �" ____ 0- (—_-% SLOPE) --- TEE SIZES: 3/4 TO 1 1 2' DOUBLE WAS HE STONE Z ; I INLET DEPTH OUTLET DEPTH __ All LOCATION MAP SCALE 1" = Z•ora,3` ; FOUNDATION___._ --_ SEPTIC TANK -- i to D' BOX —_ _ �__�_ _ LE}a hJG — y t FA( �' ip p �, i ASSESSORS MAP 4 PARCEL `T-- t ZONING DISTRICT: ,2 F 6 fji� YARD SETBACKS: ! FRONT - 'jlo SIDE = I t�7 C9 REAR = (5 ' /f PLAN REF. _. FLOOD ZONE: NOTES:. I - �' Sr PTiC DESIGN: (GAREAGE DISPOSER rs rao� p-�. a.s �.._ _) 1 . DATUM IS DESIGN FLOW: BEDROOMS (�1.0 GPD) = '�G_ GPD 2. MUNICIPAL WATER IS ��✓d ��-��-�+- d � e USE A ' .'?S.�GHD DES!(JN FLv 1 �3. MINIMUM PIPE i�'lTChi TO 8E ;/E3" PER FOOT. SEPTIC TANK: '3�o GPD ( ) ( 4. DESIGN LOADING FOR ALL PRECAST UNITS To BE AASHO H- 1® _. f b. PIPE JOINTS TO BE MADE WATERTIGHT. USE A 1500--- GALLON SEPTIC TANK r - C. CONS t RUCTION DE�AILS TO BE IN ACCORDANCE WITH MASS. LEACHING: : _ ENVIRONMENTAL CODE TITLE V. v gip. -p 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE SIDES: __- . -- _ �r,�3:)__._ . . .. __ ____ . USED FOR LOT LINE STAKING. \ r s L3OT OM: ___.. _.' Y1"?._ ..'{'4 ) B. PIPE FOR SEPTIC SYS 1 EM TO SCH. 40--4" PVC. \ �.... TOTAL: v S.F. �D, 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOU'�_--- ��;�GF t� INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD O. HEALTH. _yLL,jtND SITE AND SEWAGE PLAN I /I - r 100.0 PROPOSED SPOT ELEVATION OF IW�; JE ,2�I� r�A i 10Ox0 EXISTING SPOT ELEVATION IN THE SOWN OF: _ T PROPOSED CONTOUR en- 1 00 — -- EXISTING CONTOUR PREPARED FOR: rl,k-T-.;(_.t.t i•t'4,Gr j„1'.' �„)!b'"t 1" `I� I �d ` j r !�r t .. 3 0 r r BOARD OF HEALTH _._ ----- ____.__ -. _ _..- -_ MA SCALE: t ' ca' DATE: APPROV" D DA'3'F; —... Ott 506-362-4541 ray 5M sBs-aBBo OF 4 down cape engineering, Inc. APNE .� 04AL *� No 30792 LAND SURVEYORS {7� + - 939 main st. y�armauth, ma 0 675 ARNE H. OJALA, P. ; ' S. DATE JOB# ��_ � r:1 � =�- ti�.�,T T E� -..,._ I