HomeMy WebLinkAbout0112 AUGUSTA NATIONAL DR - Health 112 Augusta National Drive
f Barnstable
_ 15 t
TOWN/OF BARN/STABLE
LOCATION. �� /�(oG�U�/�G-Ml3/�'►4,s7/ SEWAGE # ����� 770
VILLAGE fti fnf.ALIu 1043 ASS SSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.:</ kko_ I/ — I/ � �rl
SEPTIC TANK CAPACITY \ L-
LEACHING FACILITY: (type)
NO.OF BEDROOMS
BUILDER OR OWNER �Ay`
PERMIT DATE: COMPLIANCE DATE:_ 16 IS d s
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
� t
7Dcu/v L�
0
0
, q
Liir
t)��" I�. r ' -
No Fee 0D—
''
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
ZIpprication for ;Dtgpo.5al *pgtem Con!6truction Permit
y Application for a Permit to Construct( )Repair( { Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. //, vG fi d 74/MTI-n,l DP, Owner��v/Address Tel.No.
Cv M/Y/1qwld. /c 6
Assessor'sMap/Parcel 4v6cj7-o Tan�,��Q
3 5 Q f CV
Installer's Nape,Address, d Tel.No. Desi ner's Name,Address and Tel.No. T
8� 1a.cc/%a%� 9 3C �v2Vc7?n c, -5 e HAGS
Qs l FvtY`G /�l�row��ti '( 5�8-3601'$130�
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(0(/*
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow ! D gallons.
Plan Date w 6 1 t- d00-f— Number of sheets I Revision Date
Nj
Title _
Size of Septic Tank /5 0 O G rO Type of S.A.S. c2- So 0 G
Description of Soil:135 Pam. P`PI-k.
Nature of Repairs or Alterations(Answer when applicable) Zv &JI LSD0661T� 1
l>oao Gq�- c t�r.yy%3N Z 3' _B Q%�— a- S60 Gftl,'D L_C lu J� Ia A x N3- r,eL
Date last inspected: LQa`c 4
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 issW by this Bo of Heal
Signed Date_511171 0. cus—
Application Approved by Date
Application Disapproved forPefollowing reasons
Permit No. y Y b Date Issued
Fee No. 4
? , ' `, �.,� Entered in computer:, �• THE COMMONWEALTH OF MASSACHUSETTS uteri Yes
- PUBLIC—HEALTH DIVISION - TOWN OF BARNSTABLE MASSACHUSETTS
01pplication for ;W.5poof4p5tem CCon.5truction Permit
! Application for a Permit to Construct( )Repair(,,//�Upgrade( )Abandon( ) O Complete System O Individual Components
Location Address or Lot No. uC)u S PP Owner's Name,Address and Tel.No.
Assessor's Map/Parcel j/ F{'✓Gv s%a f�rl�` '' t
��� �Sr/0 t � Cv�t � •
Installer's Name,Address,and Tel.No. w " Designer's Name,Address and Tel.No. �/ p
�. <
Ti
Type of Building: .)
Dwelling No.of Bedrooms 4/ Lot Size a.25 0 sq.ft. Garbage Grinder(114
Other Type of Building No. of Persons Showers( ) Cafeteria( )
/ Other Fixtures
Design F.L t/ T 4/ gallons per day. Calculated daily flow L;. L' 0 gallons.
"•-plan Date '7`ij r)(-) S Number of sheets 1 Revision Date
Title
Size of Septic Tank /_'7O0 G o� I Type of S.A.S. ' S OO G,:, fir, �,�c k S
i
Descri tion,of Soil to 7« t�,to
Nature of,,Repairs or Alterations(Answer when applicable) -7�t s 1 a/,���O C�G,a 5 .�/, T..,
110GV V. C h1Nt��i�,�^? \�5.�� x CLUCj��1, l�r� l�� l�l, i'� n 1� .�i X �,3,a
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 t&,place the system in operation until'a Certifi-
cate of Compliance has been issu d by this Bo of Heal h
Signed -:tiG< J Date /,Z
Application Approved by ,.VLiN ` Date ; '
Application Disapproved for t llowing reasons
Permit No. �,r6'<.— O b Date Issued. 9 /a
THE COMMONWEALTH OF MASSACHUSETTS ��
BARNSTABLE, MASSACHUSETTS
Certificate of (Compliance
THIS IS"TO CERTIFY, that the On-site Sewage Disposal System Constructed,,( Repaired('V111upgraded( )
Abandoned )by .��1� c �..: (. ,
at A�(,, i r-� X/_�i n,,i'a t J)i ,hJa�/bbeen constructe m fgccordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. rZ ou S—7 $ dated III z/
Installer__;�..r, Designer N-- l^L �i L��� (•
The issuance of this permit shall of be construed as a guarantee that th ~y�yste�r:!&n
tion as �sighe
Date /dInspector
No. L/6 Fee )60
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Migpozar *p5tem Conotruction Permit
Permission is hereby granted to Construct( )Repair(Upgrade( )Abandon( )
System located at 1 �- �a4 U T\t" r�.��C�t,.�v7 _De.
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 tl is rmi .
� nr
Date: _ � Approved by 4`J
or
G, �� F,����P�/so q.
Town of Rangtabip
Regulatory Services
a Thomas F.Geller,Director
,�. Public Hea.ith Division
Thomas McKean,Director
Z00 Main Street,Elyannb,MA 02601
Offioc 508-8624644 Fax; 508-790-6304
&stalier&Des�Ce cation Foam.
Date: / 7
beslper: PG installer:
EAGCL— Sry�z�•�y�'�diy , ipc-
Address. x &,A Address:
Or, SETZ,i s aoos C e a�L;,(Cr was issuers a permit to install.a.
to "` ins ler -.tf'a -y�16
1 oo�s
septic system at It gas ,u Arno r�rt- a.c r vC based on a design drawn by
� s _.
, .
dated 7 a/ o f A.cn-v l s" 9 I z 4o r
estgacr �'
_ZI certify that-the septic system referenced above was installed substantially accordia to
oin
the desip, which may include nor approved changes such as lateral relocation We
distribution box and/or septic tank.
I certify that the septic system referenced above was installed with major chanzes (i.e.
greater ttiaa 10' latcxal relocation of the SAS or any vertical relocation of any component
Of the septic system)but in accordance with State& Loca1 Itegulations. Plan revision or
certified as-built by designer to follow.
tW 6
' I
(LwtaIler'sSignature)
gnat s tgn at:rre) ( .15 s Stamp MT70
O� 7CY?'Rr1 TO $ARN ' 'ABLF KWIC, PtTpSt CE
RTMCAi1
L NOT SSVEI)
S RM ,AND AS-
AY21 r _ .B•y_ TFM BARILI 'TABL,1✓p T$D S ON.
YOU,
Q:fIaarttb/5eptlUDCW$ncf CrrdSc d=Form
I
- ACCESS COVERS MUST BE WITHIN
6- OF FINISH GRADE 9' MINIMUM, INVERT EL E V A T 10/V S : DESIGN CR I TER IA :
r� �•-r'' FIRST 2 TO 3' MAX/MUM COVER INVERT 1N SEPTIC TANK: 30.0 DESIGN FLOW:
ACCESS COVERS MUST 8E WITHIN
✓�I _, �, BE LEVEL INVERT OUT SEPTIC TANK: 29.75 4 BEDROOMS AT 1/0 G.P.D. PER
/ 6' OF F l N I S�J GRADE
TEE �M/N 2` OF PEAS TONEINVERT IN
INVERT OUTPPUMPCCHAMBER: 29.45 BEDROOM EQUALS 440 G.P.D.
�a( /�` • 3/4' - 1 I/2• D I A. NO GARBAGE GR/NDER
• / �� } o INVERT IN DIST. BOX: 36.77
J DOUBLE WASHED STONE
INVERT OUT DIST. BOX: 36.6
36. 77 2 �� 34,5 SEPTIC TANK REQUIRED:
�., 2' SCH 40 PVC � 36.6
L;OCU� � ���}��;t� � 4• o/AM P
INVERT 1N LEACH CHAMBER: 36.5
29.4 2-500 GAL LEACHING CHAMBERS 440 G,P.D. X 200V - 880 GAL.
29,75
GA s W/4 ' STONE AROUND, 12. 8'W x 33..5'1 x 2'd BOTTOM LEACH CHAMBER: 34.5
30.0 29.65 3 OUTLET SEPTIC TANK PROVIDED: I500 GAL. MIN.
BAFFLEJ
D-BOX ADJUSTED GROUND WATER: N/A
o ; OBSERVED GROUND WATER: N/A SOIL ABSORPTION SYSTEM REQUIRED:
1500 GAL H- 10 /000 GAL H-10 �k BOTTOM OF TEST HOLE •l : 25.4 DESIGN PERC RATE C 5 MIN/INCH
SEPTIC TANK
PUMP CHAMBER SOIL TEXTURAL CLASS - I
EFFLUENT LOADING RATE - 0. 74 GPD/SF
_ „ _•�ourE s " i a `� 440 GPD / 0.74 GPD/SF - 595 S.F. REOUI RED
+ -- 6' CRUSHED STONE OR a °y
L OcJ S MA P COMPACTED BASE PROVIDED: 2-500 GAL LEACHING CHAMBERS
W/4 ' STONE AROUND. A-614 S.F.
PROF I L E : NOT TO SCALE 614 S.F. x 0.74 454 G.P.D.
GENERAL NOTES :
N SOIL TEST P I T DA TA
1. THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION
OF THE SEWAGE DISPOSAL SYSTEM ONLY.
I ND I CA TES _S_ INDICATES
PERCOLAT/ON OBSERVED
TEST GROUNDWA TER
2. VERTICAL DATUM IS ASSUMED, FOR BENCH MARKS
SET, SEE SITE PLAN. 1 i TP ,�I P#l 0967 TP *2
? b`
3. ALL CONSTRUCTION METHODS AND MATERIALS AND
/ c�T�} HORIZON TEXTURE COLOR HORIZON TEXTURE COLOR
MAINTENANCE F THE SEPTIC SYSTEM SHALL �I u 0' 35.4 0" 36.5
Nr o
CONFORM TO MASS. D.E.P. TITLE 5 AND LOCAL1 a LOAMY IOYR LOAMY IOYR
®� Y ` A SAND 2/2 '4 SAND 2/2
BOARD OF HEALTH REGULATIONS. 6• 34.9 6' 36.0
LOAMY IOYR f� LOAMY IOYR
4: ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER co !` 1 D SAND 5/8 D SAND 5/8
AREAS SUBJECT TO VEHICULAR TRAFFIC OR GREATER �`ti _ �l �T Iq o ¢- `� 20- ....... ...... 33. 7 22' ............. .......... ......... ...... 34. 7
THAN 3" !N DEPTH SHALL BE CAPABLE OF WITH- �Ucr C / MEDIUM IOYR
C MEDIUM IOYR
CATCH BASIN -. -- - q o` r SAND 7/4 SAND 7/4
STANDING H-20 WHEEL LOADS. IPkND , ` -- _ m h�7 / �cc r. ,(2S �.ofeS 40" 42'
RIM - 40.60
5. ALL SEWER PIPE SHALL BE SCHEDULE 40 OR
BY.HYD TAG 80L
APPROVED EQUAL. EL - 43,13 1ro
K Ack..
30 40' '�e"m, L,v c✓ Trrny� 108' ............ 26.4 96' ..................................... 28.5
6. SEPTIC TANK, PUMP CHAMBER AND D-BOX SHALL BE
REINFORCED PRECAST CONCRETE. WATERTIGHT AND l f - 'SE'�ENT sto e� U C2 SILT C2 SILT
,, f ; TPf2 - -'�,-L- o,': f IPgL LOAM LOAM
WATERPROOF. D-BOX SHALL BE WATER TESTED TO c_ �0
CHECK FOR LEVEL WHEN THERE /S MORE THAN ONE r20 25.4 120' 26.5
OUTLET. ` eox f I r--- r f % ' - _ �, ��L� f� ��d,�ei, NO WATER NO WATER
r _
7. BEFORE CONSTRUCTION CALL 'DIG-SAFE'. o4�y� cl
rP.I I J r' --__yt i� �✓ � ��Ic� DATE: DUNE 9. 2045
TEST 8Y. STEPNEN HAAS
1-888-DIG-SAFE AND THE LOCAL WATER DEPT. _ f = t
' * W/TNESSED BY: DON DESMARA/S
FOR LOCATION OF UNDERGROUND UTILITIES. --a
�• PER C RATE ! 2 MIN/INCH
00 2-500 GAL y
8. SEPTIC SYSTEM INSTALLER SHALL NOTIFY THE Qoa� , LEA04ING CHAMBERS PU CHAM86jt I
1500 GALL
DESIGN ENGINEER TWO DAYS PRIOR TO CONSTRUCTION
Wi4 TONE AROUND'
sEPrrc r1aNx j
OF THE SYSTEM TO ALLOW FOR SCHEDULING OF THE
CONSTRUCTION INSPECTIONS,
9. EXISTING CESSPOOL TO BE PUMPED DRY AND f j i _- �. evw 6 CONSER VA T I O NOTES :
BACKF I L L ED,
{ r
� ) �, PAVEa �! ✓T ! r , l. THE WORK LIMIT SHOWN SHALL BE FITTED W/TH A SILT
Y bRlvFegy I FENCE A REQUIRED BY THE CONSERVATION COMMISSION.
10. ALL UNSUITABLE MATERIAL (A B HORIZONS)
t 1 GARAGE E CE S
BASEMENT FLOOR PLAN `
OW INVERT OF THE LEACHING f `t 1rn ENCOUNTERED BELOW THE IN '� THE FFNCFD WORK LIMIT SHE!,+L CONSIST OF A Cf�fl'7'tt' 1�r,'S t �«,.
FACILITY TO BE REMOVED FOR A DISTANCE OF 5 �-- ros ),A TER ei�o os "'
O r
> EL-24.o STAKED. DUG JN FABRIC SILT FENCE. THE FENCE. SNGi.t.
AROUND AND REPLACED WITH SAND 1 N ACCORDANCE r\� . rt tt 1 CE3SPo0t ? REMAIN IN PLACE UNTIL THE DISTURBED GROUND IS
WITH TITLE 5.
r 1 w 1J 11 UT/4
� , `NOEL�a ' STAB!L I ZED COMPLETELY. PROVIDE ALTERNATE SILT FENCE
SUCH AS STAKED HAYBALES /F NEEDED AS DIRECTED BY THE
a t t / t � `I BvW 5 CONSERVATION COMMISSION.
' I1. CONNECTION AT THE DWELLING TO BE MADE TO THE � f t ; } ! � � `
EXISTING CAST IRON OUTLET.PIPE. CONTRACTOR TO
2. NO CONSTRUCTION RELATED ACTIVITY SHALL OCCUR ON THE
VERIFY THE ELEVATION OF THE END OF THE CAST IRON
PIPE PRIOR TO INSTALLATION OF THE SEPTIC TANK. �, ! f i I ;� WETLAND SIDE OF THE WORK LIMIT.
A PLUMBING PERMIT IS REQUIRED FOR ANY PLUMBING
WITHIN 10' OF THE DWELLING. ! ! ' �`' �o o i ! ! i /! J. INITIAL SOIL STABILIZATION WITHIN THE WORK LIMIT
�� o o SHALL BE ACCOMPL/SHED BY APPL/CA T/ON OF MULCH AND/OR
LOAM AND SEED WEATHER PERM/T T I NG.
•; ; V.
�G
Oq J dy Jr f � r
Ji
f f J / r
r
t i J IBVW 4
1 � !
• LOT 136
38. 750± S. F.
i t Bvw 3
J 1 l
4 I r it i'
SEPTIC S YS TE/1r�1 O E S / G'/V
/ 2 A UGUS TA /VA T / O/VA L OR / VE
BAR/VS TABL E` ASSESSORS MAP / O.3 . PARCEL 20
F 18VW ? 1'ARMOUTH ASSESSORS MAP 05.5 . PARCEL
C t,,a' - / , l / Y O U T f--'P U T
B vW t
PREPARED FOR
n:
LEGEND �..�
�4 �
CB CONCRETE BOUND c" f l 112 A U G U S TA /V A - i O!V A L LO R ! V E . YA R M O L/ T I-H P OR T . MA 0 2 45 T 5
PUMP SYSTEM NOTES: Iry
couPt INo' -W WATER L I NE `
I, PUMP TO BE Ah'ERS RESIDENTIAL SEWAGE P1AItP MODEL SRM4
4 PVC INLET PVC OUTLET O HYDRANT f ,,., g 4: ' ." 4 SCALE / 2 O J UL Y O O S
,/
OR EQUAL. WEEP - `• ,.;:, ,},.. •9:, is. ".' ,";++1" „ ' ,"rv.`*J".
MERCURY FLOAT HOLE ^'-�--G GAS LINE d.4�+ .,e. e
$wlrcHES CHECK EAGLE S U R V E= Y I NO
I N G
2. THE PUMP SHALL START AND STOP AT THE ELEVATIONS SHOWN. VALVE OHW OVER HEAD WIRES r �
ALARM ON ............ ,�„•f'� `* . f f L �. � ,',,.'""
LIGHT POST 923 Route 6 A
J. THE PUMP SHALL BE INSTALLED IN STRICT CONFORMANCE WITH PUMP ON /
T r R R' SP I CATIONS• ND rI T E V REGULATIONS. E UNDERGROUND ELECTRIC LINE ti e Y a r mo u t h p c> r t MA 02675
HE MANU ACTU C S EC F! A L S AN Pf/AfP -"�.
PLW OFF
PUMP aISCHARGE SHALL Be ? INCHES. PUMP SHOULD BE ABLE TO S ___ / 5 J 8 3 6 2 8 1 3 2
T UNDERGROUND TELEPHONE LINE r Z,3 ��, . , 7 • I �. < .
BE DtSCONNEcro AND LIFrEO OUT OF THE PIMP CHAmsER WITHOUT a P ���
-CT V-- UNDERGROUND CABL EV I S I ON LINE f
HAYING To ENTER THE Pump CHAMBER. ' t;�/ ( `��fl 8 ' 4 3 2-5 3 3 3
+40.4 SPOT ELEVATION
4. THE ALARM SHALL START AT.THE arvArtoN SHOWN AND BE ,.QD-...
UM D TA I . NOVTD SCALE EXISTING CONTOUR
t SEPARATE FROM THE PUMP POWER,
PUMP E L
POWERED BY A ClRCU T SE R E
r
PROPOSED CONTOUR
. UStNv 1000 GAL. PUMP CHAMBER
s
FiELD CFWrEEK CF ORN S AHB NO: 05036AN ELECTRICAL PERMIT MUST 8E 0 AINED FOR 'THIS INSTALLATION. o l0 2Q 40 SAa1WCHECKCFWCA CJO,