HomeMy WebLinkAbout0025 MINTON LANE - Health PLOT 8 MINTON LANE
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LOCATION
/L7 SEWAGE
VILLAGE k-BsT ASSESSOR'S MAP.& LOT `y
INSTALLER'S NAME&PHONE No
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) -:2�;do
GEC (size)/.Z.rf :r s
NO. OF BEDROOMS 3. (✓I Sf � ad
BUIL-DER OR OWNER CO
PERMITI) 713— Zbb I COMPLIANCE DATE
Separation Distance Between the:
>3
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well and LeachingFacility ty .(If any wells-
exist
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 Feet
s +
9 r,Pj-
9 ,re Y4, _
No. THE COMMONWEALTH OF MASSAC'HUSETTS FEEe �—
,� BOARD OF HEALTH
J LICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct (X Repair ( ) Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components
�o�` � / `'iN/'yjd.J IL,r.I� (� a ��ac""yt�� �� �Vtl►�1/���`"���.CI�� `—a/IC�
Location
cation Owner's Name p y�
M p/Part I Address
Lot# Telephone#
Lot# 0'9 '—
n taper's Name Des�ner's Name
PAAi,�✓
/F)1 r ✓ 1 Address Address a � ��°l
Telephone# Telephone#
Type of Building: &4fi Lot Size 4:A r7 0,0�j Sq.feet
Dwelling—No.of Bedrooms Garbage Grinder ( )
Other—Type of Building No.of persons Showers ( ), Cafeteria ( )
Other fixtures
Design Flow(min.re wired) 33o gpd Calculated design ow j��� gpd Design flow rovided3 gpd
Plan: Date �'� 1� d Nu ber.of shee/ Revision Date /�
Title t°
Description of Soil(s)
Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation
DESCRIPTION OF REPAIRS OR ALTERATIONS
The undVer
agrees to ns I the above described Individual Sewage Disposal System in accordance with the provisions of
TITLE 5 andrees not �sy ,ipn until a Certificate of Compliance has been issued b the Board of Health.
Signed 00 Date
Inspection
FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96
as
i .� ;,S ' �.tiUl� F,� r, ✓,...:,,,, . .+f"xrrrl.,n -.i,• .� ...« [T T'"y , p7 _.i � _ _
.THE COMMONWEALTH OF M/%SS/kC:1iUSETTS FEE
0.
BOARD OF HEALTHIT�k
} " .0 OF -
LICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct % Repair ( ) Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components
&-h'1i FAM
Location Owne's Name
/-7'1 X �
kt p re 1 I Address I
.��� Lot# Telephone#
'1`�_�t��11�� ��1t1� f,s�9,rf�� ,�.Z/L��_.�i�./.�/l,�" •
n taller's Name Designer's Name
Address Address 1
4 '70 1-•R 5<s /
} Telephone# Telephone# i
Type of Building: aw-440 . Lot Size evIP D Ostoo Sq.feet
j Dwelling—r No.of Bedrooms Garbage Grinder
Other—Type of Building ' No.of persons Showers ( ), Cafeteria
i
Odier.fixtures
Design Flow(min. required) gpd I Calculated design f w 1�a gpd Design flow rovided3 4ef gpd
} Plan: Date A .d 101 Nu ber of sheets i Revision Date aIA—
Title'
Description of Soil(s)
Soil Evaluator Form No. Name of Soil Evaluator yk-Ar Date of Evaluation 6 g
DESCRIPTION OF REPAIRS OR ALTERATIONS .. 1
The undUer
agrees to'ns II the above des gibed Individual Sewage Disposal System in accordance with the provisions of
TITLE 5 andrees not la a sy to ino eration.until a Certificate of Compliance has been issued by the Board of Health.
�Signed t, Date
Inspection
FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96
No.ZO'?9 I'ZZZ' THE COMMONWEALTH OF MASSACHUSETTS FEE
. gat, BOARD OF H E A LT H
CERTIFICATE OF COMPLIANCE
Description of Work: ❑ Individual Component(s) omplete System
The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned
rt ( )
at L �. -Z /Y/6r1 �h �I/, IY�01 d�
has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built
plans relating to application No.?,9V /_272dated ••- 13- 0 1 . Approved Design Flow (gpd)
f U`c� i'f Installer A C�-� •
Designer: 1 ,^� -QQV nspector 4 '�� ate a "
it The issuance of this certificate shall not be constr ed as a guarantee that the system will function as designed.
I FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96
l
No. 4eV1 Z22— THE COMMONWEALTH OF MASSACHUSETTS FEE
�� ,in 1t�ly BOARD OF HEALTH
DISPOSAL SYSTEM NSTRUCTION PERMIT
Permission is hereby granted to Construct ( ,Repair ( ) Upgrade ( Abandon ( ) an individual sewage
f s disposal system at _ Z ;W 14 ?' -01 L-*I �i , as described
in the application for Disposal System Construction Permit No. 7AOV/- 2 Z Z-- dated
Provided: Construction shall be completed within three years of the date of this permit.All local cZdi 'ons mus be met.
Date 41/3// Board of Healt <
FORM 2 - DSCP DEP APPROVED FORM 5/96 0441
._,
FORM 1255 (REV 5/96) H&W HOBBS&WARREN PUBLISHERS- BOSTON
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SYSTEM PROFILE TEST HOLE LOGS
TOP FN D N = 9 9.0' NOT TO SCALE)
ACCESS COVER TO WITHIN 6" OF FIN. GRADE (
ACCESS COVER (WATERTIGHT) TO ENGINEER: D.A. OJALA, SE
gp WITHIN 6" OF FIN. GRADE r JERRY DUNNING i RTE s
MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED 0V` wcrFA� 89 WI;NESS ( RD,
.>
., DATE:
RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE -
?
PROPOSED
1500 FOR FIRST 2' 3' MAX. PERC. RATE _ < 2 MIN/INCH N Mil TON o
GALLON SEPTIC 86.75' DB3 I 9158 po W
87.0 86.0 CLASS SOILS P# s
TANK (H- 10 ) GAS
___---lCil BAFFLE 86.5' 86.33' o rrn
89.0' 0 85.17' a F7 O M C7 F-1 C a M Q 4' AROUND
MIN \_6" CRUSHED STONE OR MECHANICAL [] a 0 O 17 0 ED L EO
COMPACTION. (15.221 [21) E$Q 0 1 ELEV. 2 ELEV. oP�
( 2 % SLOPE) DEPTH OF FLOW = 4 MIN MIN SoZS� 2' C� C� CI C� CI CJ CJ [� o00 83.17' p„ Q 98 0' �" 99.0'
TEE SIZES: 10„ ( 1 % SLOPE) ( % SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE ,-
INLET DEPTH 0 O LOCATION MAP NO SCALE
OUTLET DEPTH =
14" 2„ 2„
E E
FOUNDATION- 14' SEPTIC TANK 6' D' BOX 12' LEACHING g 17' LS LS ASSESSORS MAP 174 PARCEL -7 - !S
FACILITY 2.5Y 6/2 4" 2.5Y 6/2
_ ZONING DISTRICT: RF
B B YARD SETBACKS:
LS LS FRONT = 30'
. ,
36 25Y 76/ 95.0 30 2.5Y 7/6 96.50 SIDE = 10'*
BOTTOM TH2, LOT 7 EL, 74.0' Perc REAR 15'
=
n PLAN REF. -
l VNN �O Cl Cl FLOOD ZONE: C,ED OF / < MED/COS MED/COS *WAIVER GRANTED BY PLANNING
p VE,y� �` V� BENCHMARK': , C. BASIN BOARD
O, AT EL. 103.6 2.5Y 7/4 /
2.5Y 7 4
ERM
_
87.0' 126"
DRAIIy
ESMT. 10
x NO WATER ENCOUNTERED NOTES:
PROP. ROCK RET, WALL SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED ) 1 . DATUM 1S ASSUMED
✓£6 �� I C:-SIG W: .3_ BF['R04MS (____ GPDI N:-FI.O 110 330_GPD 2. MUNICIPAL WATER IS AVAILABLE
USE A 3,30 GPD DES1 ,N FLOW 3. MlC IMUM PIPE PITCH TO BE 1/8" PER F00T.
8 ELEC. TRANS PAD ' c 10
LOT 7 i`�2 s �r� UTILITY CLUSTER S_PTIC TANK: 330 GPD (2) = 1660 4. DE'�IGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H-
ELEC,TEL,CATV
1 - 5. PIPE JOINTS TO BE MADE WATERTIGHT.
PROP. DWELL. �Oj USE A _!50CL GALLON SEPTIC TANK 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS.
�g1 22 6' TOP FNDN = ss:o' / SWALE/DIREcr warER as LEACHING: ENVIRONMENTAL CODE TITLE V.
/ 4 ,9 NECESSARY AWAY FROM =
/ GAR SLAB 0 �f DWELLING/GARAGE 2(25 + 12.83) 2 (.74) 112
ELEV. 98.5' SIDES: 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE
p h`DECK USED FOR LOT LINE 'STAKING.
x
25 12.83 74) = 237 .'
BOTTOM: �. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC.
TOTAL: 472 S.F. 349 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT
fz.�o.s' USE (2) 500 GAL ACME OR EQUAL LEACHING INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED
1 `--�- FROM BOARD OF HEALTH.
NOTE: WATCH FOR POSSIBLE SANDY LOAM �O/--_ CHAMBERS WITH 4' STONE ALL AROUND
S
LAYER IN AREA OF PROPOSED SYSTEM (SEE fag, �
TEST HOLE LOG FOR LOT 7). IF ENCOUNTERED, LOT 9 10. CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE ,
REMOVE FOR 5' AROUND LEACHING FACILITY ,� DI- LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR
AND REPLACE WITH CLEAN MED. SAND. .- I TO COMMENCEMENT OF WORK.
Al 2
TH1 6TH2 ELEV. LEGEND E 5 SITE PLAN
d' 6 LOT 7
0„ 85.0 100.0 PROPOSED SPOT ELEVATION
rH2 0 OT 8 MINTON LANE
�S8 � � '
\ 100x0 EXISTING SPOT ELEVATION
6 2 TOWN OF:
e OT H 9� 1
LS 00 PROPOSED CONTOUR (WEST) B A R N S TA B LE
20,00 sf I
4„ 2.5Y 6/2 100 EXISTING CONTOUR PREPARED FOR: MAINE POST AND BEAM
S6,
B
1 0 1 LS 30 0 30 60 90
s 24„ 10YR 6/3 83.0'
BOARD OF HEALTH
0 N Cl SL UNSUIT. APPROVED DATE ' MA SCALE: 1" 30' DATE: APRIL 10, 2001
PA E 2.5Y 7/1
48 81.0
C2 fox 5508 3sa 9880
M/F SAND
108" 2.5Y 7/3 ��1H of Mqs� ��P`�� OF I�AeJ9c
down cape engineering, inc. o� ARNE
C3 oN H. yG� p H.
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CIVIL ENGINEERS � IL 10
LS 0792 4
132" 2.5Y 7 2 LAND SURVEYORS ,�
74.0' FS G� ° aJ ' a �Lel(�
939 main st. yarmouth, ma 02575 � -
99-246-8 NO WATER ENCOUNTERED OJALA, P.E., P.L.S. DATE
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