HomeMy WebLinkAbout1767 SERVICE ROAD - Health 1767 Service Road
W. Barnstable
A =. 194 009f
77
Fee-4- c------
60ARD OF HEALTH
TOWN OF BARNSTABLE
Application_*rlVell Con5tructionpermit
Ap i n is her y madg for a e it to Construct, Alter ( ), or Re air ( )an individual Well at:
Location — dress Assess r M p nd Pazcel
-- -�i�_____ ---_ —ter-' .t -- --------
O er Address
— D Installer nller Address
Type of Building
Dwelling '— -- - --- —-
Other - Type
,of�BBuilding—= ------ No. of Persons-------------- ___
of
Type of Well A ' Capacity------------.__—
Purpose of Well-
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to
place the well in operation until a Certificate of Complia a has been issued by the Board of Health.
Signed ' -- -
c date
Application Approved By --_— G d 2
Gate
Application Disapproved for the following reasons: - --- —-- ----- ______— —_
--———-- date ----
Permit No. wa v a—6 Issued 9 �-?_--
date
BOARD OF HEALTH
TOWN OF BARNSTABLEpARCEL
(Certificate Of (Compliance LOT
THIS IS TO CERTIFY, That the Individual Well Constructed (,V , Altered ( ), or Repaired ( )
by—_ --____--
jjlnstaller
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection
Regulation as described in the application for Well Construction Permit No. Dated--R/�--o �a_----
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE— Inspector
I
�, o a ,b�_ i t ti- 4-ly-S ------
No. •- Fee-
a ,.i'aa*�OARD OF HEALTH
TOWN--OF BARNSTABLE
application-for Vell Con5truct ion Permit i
Appli tion is hereby made for a pe it to Construct, Alter ( ), or Repair ( )an individual Well at:
Location — dress _ Asses r 11 Ma nd Parcel
— I �
Tess
O —.
er — — Address
- -�� ----------- - --_ moo--��"�
Installer — Driller Address ,z
Type of Building
Dwelling - -- ----- --
Other - Type of�Building---- ---- No. of Persons--
Type of Well--r�h [/ —_— --- Capacity------------—----
Purpose of Well-
,Agreement: '
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of Thee
Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to
place the well in operation until a Certificate Af Complia -e-has been issued by the Board of Health. ,
Signed --- -- - , — '
-.. date
D
�kt6_
Application Approved By S --_-- �r
- date
Application Disapproved for the following reasons: -------- _____— —_
- -- — -------------- --date
Permit No. tJc�UU.?- 6/ — Issued g �� Q�----- -- — _---- A
date --'
BOARD OF HEALTH
TOWN OF BARNSTABLE
(Certificate Of Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed �4 Altered ( ), or Repaired
by--- -- ——= -Installer -- -----—-------
— -- — -
at 7
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection 4
Regulation as described in the application for Well Construction Permit No. -� ?"�O -Dated -- ;
yt
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE Inspector------------ ----- ----
:r_
BOARD OF HEALTH
TOWN OF BARNSTABLE
Ivell con5tructiouPermit
No. uuZ--�_/ Fee
Permission is hereby granted ' C001 i4c-d—
I' - --- ---------------------
to Construct X, Alter ( ), or Repair ( ) an Individual Well at:
Street
ass own on the application for a Well Construction Permit
l
- �' U U'Z - 6 Dated 9/ /d
-- -- ---------------------_..-
J
DATE Board of Health
u/U�
I
PROPOSED
2-24 P90 COVERS (PROPOSED PROPOSED COVERS REVISIONS I
EL173.0t BROUGHT TO WITHIN 2 O� PVC SCH 40 BROUGHT TO WITHIN
I
ZONING DATA 6" OF FINISH GRADE INLET TEE 12" OF FINISH GRADE
T.O.F. EL.=176.00172.5± FINISH GRADIE +172.0 MAX COVER
ZONING DISTRICT: RF/RPOD MINIMUM FRONTAGE: 150 \y �y �� �n h +169.8 MIN COVER FINISH GRADE
SETBACKS
• „ PROIPOSED 4"0 4" 0 PVC 'SCH 40 PERF. 3" PEASTONE EL. 169.0f
FRONT. 3Q, 4 0 PVC SCH 40 3 s" PVC SICH 40 PIPE S=.005
LOCUS 1�� _
SIDE:- _ "
REAR: 15' E . S=.02 -� 413" 4" S = 0.05 - EL. 168.30
EL. 169.17 _L_ 168.5�
MINIMUM LOT AREA: 87,102 S,F, Z SLAB EL. EL.
BAFFLE 1 STONEX6 USHED " EL. 166.30 ,�,`t► OF �,
4
EL. 168.67 I 24"-3 4 TO 1 1 2 ROBEtt1' ,
10' MIN REIN. CONC. DIST. BOX WASHEDSTONE
TO BLDG TYP No. 4
:yr• •.;C..a t*.i+,.'.•r: r-.9{,f6:',;�.,:. ::3M?iP''-;f�77C•.i'.`r W 5 OUTLETS L�S Lyf
6" MECHANICALLY COMPACTED Z
CRUSHED STONE 40' z J
! At
PROPOSED
N j 1500 GAL. MIN. PRECAST CONCRETE o a
SEPTIC TANK W 2 PVC SCH 40 TEES v
• „ - p , , EL.- 169.8t 10' MIN. �-
SCALE. - 2083 LIMIT OF EXCAVATION (SEE NOTE #6)
GROUNDWATER EL=37f
DRAWN BY: DA
BARNSTABLE G.W. CONTOUR MAP
Af4
s SUBSURFACE SEWAGE DISPOSAL SYSTEM (NONE ENCOUNTERED)
�lJ ,
s DESIGNED BY: DA
< 1 � (NOT TO SCALE)
HL
G H �T SEPTIC DESIGN ( NOT DESIGNED FOR GARBAGE GRINDER ) I
wY
_1949 L.O CHECKED BY: RCM
_ 4
' VARIgQ1E
INI -D 1 . DESIGN DAILY : FLOW: "5 BR. x 110 GPD
ur
550 GPD
:
WIDTH ti
2. SEPTIC TANK: 550 GPD x 2 = 1100 GAL. USE: 1500 GAL (MIN)
• - IN SS 1 , ELR 0.74 GPD SF
3. LEACHING TRENCHES. . P.R. C2 MIN/ CLASS /
USE: 3 - 40' LONG x 2' WIDE x 2' DEEP TRENCHES
-..., TITLE V
166
. SERa
\ REQUIRED AREA: 550 GPD/(0.74 GPD/SF) = 744 SF (MIN)
a_ vircPROPOSED AREA: 3 x 40 LF x 6 SF/LF + (2 x 2) x 6= 744S.F. (MIN=744 S.F.)
/ CAPACITY: 744 S.F. x 0.74 GPD/S.F. 550 GPD(D.D.F.)
PUDLIC
LAYO
of _��. 1 oo S E PTI C NOTES
. /- OF pq /
`e '168� ^�VV�-LINE; -. �1 � 1 . PROPERTYLINE DATA ` AND TOPOGRAPHIC SURVEY BY MERRILL ASSOCIATES, INC.
W1455 U w O P7
-', CDNN `„` -- AUGUST 2002. w N i
162, . .,__ •.. 166 PER EXIST. - a N
�. �. ----- - 4 CO �4S TOPOGRAPHIC SURVEY BY MERRILL ASSOCIATES INC. MAY 2002.
�, •` \ \ MPgNY RE , Mq►N 2. j w in
� � °°
``�`--__� 170, 16� 3. SOILS TESTING BY JACK O'LEARY WITNESSED BY LEE MCCONNELL R.S. o co
-- - . .
`1.72 - fIll
� '``�--... ; -.. AUGUST 15, 2002.
-, -� - 16� -
158, v � � � t , `�176 '=-� - '' �. 4. CALL DIG SAFE 1 -800-322-4844 AT LEAST 3 DAYS PRIOR TO .COMMENCEMENT W � 0 w
i \ ^ 11
---'-----' � �... ``"_�.,���"�s, �'`� `�•'r^+..► ", � - _. � Z
,-
w
160 OF CONSTRUCTION. : 3 �- a
►56 ► , ' 1 ' , �\ `" `�. `--. `` 156 S,. NOTIFY TOWN AND MERRILL ASSOCIATES 'PRIOR TO BACKFILI-ING OF SYSTEM. - a °'
Q
I t _
i � ' a
,o c - - - to
61. EXCAVATE ALL MATERIAL AROUND SYSTEM TO SAND LAYER f EL 169.8t1. REPLACE WITH W,
`'� ! ! / '2J ► '� 17�} / / 170, --. ��, 1 CLEAN COARSE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255 TO TOP OF S.A.S. (n w o 0
178 r r ►70 r `, `` '`. �``` EL=169.Ot . EXCAVATION MUST BE INSPECTED "BY i HE `TOWN AND MERRILL ASSOCIATES, �
r , 168 .\ 168 + , / r , , (11'I'.) ( ) O N
y 166 16 \\ r / ! ! ! , w
6 \ 16 / ! / BEFORE SOIL PLACEMENT.
8 1 , \ga
\ r , ..� \ 1 166 16 1 1 / ,
176 ,� � 1 � � 1 , T. THE ACCURACY OF EXISTING UTILITY LOCATIONS, DIMENSIONS AND LINES IS FROM EXISTING
60. 1 r 162 ! ,
r , 160 INFORMATION OF RECORD AND IS NOT WARRANTED. CONTRACTOR TO VERIFY PRIOR TO
�15' I 1 `� ✓__. , , !1 �, JJ // \ `\ \\_-�, ' /l �' 1 J 156 INITIATING CONSTRUCTION.
�l� J ,! ,l 1. 1 ! .1 + 2 1 � -\ N•[/ ,�,.. JI. � � 11 ri' //r ram," '`.\ \\ \\ rJ J / J r, rr/' rr'
LEGEND
M
` N
d (� T`r EXISTING
�) /' o 1 34, \, \�C1�►YES►JORSJ' ,' ,r' ,r' rrr r/, PROPOSED
1 , / / / !/ w t ' �� _`_r .(.d/ or, err JJ 1 ! t + t , l�. .`\ /, rr lP 2 N
168 - >Qeti �-?AN o P l ► ! YVMA1',194 '9 ; - /- /' /' r\� -------- 01- _--_---- 2' corvrouR' 100
__=.�=•.S�QN e -_K_ RopoC J !t \\ \ r/ JJ r. r, ! '
J
166 , � �\3 �. 4 �_ �.„` � � N ` Du/ ED _ r/ � !l , ( ( : I 1 ,,. \ ' 1 �J ,rr ,.1' ,•'
_0 TR 10 •1 ELLING 2 ,� 99.8 SPOT ELEVATION +100.50
, t ,\ 0 / , + , , _ r, ,f , PROPERTY N O
1 16 ,I I Y�8- ' / l 1 , / �31 A RtS�r r rLIE �
i i 2 1' / I 'nt1Vr-- 34.0' ,,✓/ // / , 1 / / J '`l� �- / /✓ rr r'- /' I�
I 1 , / , / , / / , EDGE OF PAVEMENT
170
r I 15 MI TO �_ r `-----�o --1 - . / / l , . ,. ,. ,, 3 W WATER LINE W
I ._ _ 7 ,
il
I I I I BREAKOUT ---. ... ..- \ r
I I 168
IS 11 I I `\ EL=169.Of _ J �. M} TEST HOLE
-� uj
8~ ' _ /' / / // ' 17.9 r '- - _ -_ �'_ ✓// '++
66
d .. 1 .r r
-- 6 - ' I LOGS
!r�
--
r /
ILD
Lo
\ a ✓ ,. , /
T.H. 1 T.H. #2 w o 04
\ \ \ .,-- n
'`+.-``r -/r✓✓ /✓/.+ r/,/ t'{nn !// r,i r!! f, //✓ r yr,.. //r ' ,>\N [L. V r , 1 - ■/y■¢��■ V =
\ \ \ \ r,/ . . _. - _r. r' VVC ,rr rr /✓ //• ✓r {/✓ ✓ _V.. j , V L W
�\ ♦\ '�,` r ` J/r/ /-,✓ rr'" �/ /' ,/'' .. y,i" ,.•' Q.) G) I ft�. rT1 lL W U
--___ _ __ 15Fj-__- _ / c� ../ 'y `'l• I +2 -0 +2 -0 �1 z o
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r
-- --
1
Of Of � �• o-
\ \ A
q j r-.-I
". /r ✓' �r"✓ ✓''' ..^✓' �„✓ , i lJv
W (�2 FlBRIC FIBRIC W
__ __ ____ ,• r- _ ,- ,\�a ,�,� 2.5YR2.5 2 172.5 2.5YR 2.5 3 168.0
-15
2"".." " ✓'� / f�,✓ y/'I r/✓'^ r'r'- �,,/. r✓ O �[) 0"-8". 0
/ / `I
_ ' r�,✓/✓ ,�„''-. r' .� S E A Z (�
- r .6-
!g _ - __ __ �. 'fir '�L '� l0 (l LOAMY SAND
-_ ` _ / .' LOAMY SAND
6 _ - / r'yr� r ' .- r ,\eJ2 J4 I 6/5 PB 10YR 7 6 167.9 CL
------ -_ -__-_ __ r ✓ ✓ A4 //✓ r, !, �y 171.8 Q
7 -..._.._......J-- .-1_76"'_....--. -r //r"' r'r J .. A, AV ' ram' /�� O '_'25
__-_ ____ �� ,YS,`7 ry ."'�i' ,/''/ Bh/B Bw
- ------ r/r�c+' LOAMY SAND LOAMY SAND AUGUST 24, 2002
"-- - -- --- -------- --- -144- r �4)8 .0 ,. 10YR 7/6 f
- ^ r
o _-____-- - _--- ' '-r - \�. \ / ,.ylRF /r ��\ 170.4 166.0
c\j �O 10YR 7/6
cu 142-------------- �--------------------142 �a sJ ,'/ "' � SCALE: 1 =
CD
U /
Sp,r '
�1�jrM n
Cu _., PERC
1LIAp 19¢ z\yp_'--"'' - " 4
o " JOB NO. 02-150
�, BENCHMARK NiF'NAN �T 8 25 120 36 " " LATEST REvisloN:
Ef ClMED.SAND M N N 24 -152 PERC _
Cu TOP OF CONCRETE BOUND D Boc LUCI�N / C
ELEVATION=146.74 (UNI� �L�8P/gG�,76 N�7�21.5�,, 1 oYR 6/3 SAND a"
pED� �, w 10YR 6/3 PR=<2
PROPOSED
MIN/IN
CD
3-40' LONG x 2' WIDE`x 2' DEEP 20 _ 0 20 40 60 �"/S`rjNNO 162.5
� LEACHING TRENCHES W\100%
cn EXPANSION BETWEEN CB /y�N?.�S D=10.0
(FND)co
�0 NO WATER 155.3
0
SCALE: 1"=20' D=12.7'
NO WATER
SHEET 1 OF 1
p