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HomeMy WebLinkAbout0051 DROMOLAND LANE - Health 51 DROMOLAND, BARNSTABLE A=334-019 r 3 f 3 �I r t 4 a _ TOWN OF BARNSTABLE LOCATION ZP7 4 ' 52 'or"27"I SEWAGE # �7"`�✓� VILLAGE 2e±r 5&Y-/e ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. ���� � ©��T 7 71 ��� SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS___//. BUILDER OR OWNER � e/!� PERMITDATE: Sw� 7 COMPLIANCE DATE: -7 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 -- -� r / ~� r 1 � ® �. v �L - S�/ �3 GSA �3 - 73 �,� 3 Y o/ q No. / / / 9-3 ^ t Fee f q6 7 V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Application for 30i5po.5ar *potem Construction 3permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. 'T/ r/f/c)/(?tw TV. Owner's Name,Address and Tel.No. Assessor's Map/Parcelf?�/� f Installer's Name,Address,and Tel.No. v Designer's N Address and Tel.No. ARI71 / / �SffZl�> �GJdx r/���rr05 /IITT Type of Building: n , Dwelling No.of Bedrooms Lot Size /7 tfsq.ft. Garbage Grinder( ) Other Type of Buildin No. of Persons Showers(6/) Cafeteria( ) Other Fixtureesign Flow 'AlAA& gallons per day. Calculated daily flow Jraa gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank X_j✓1(), 6.1Q&n_S Type of S.A.S. Description of Soil 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 issue y t ' of H Signed �dQ Date r7 <Y Application Approved by Date Application Disapproved for th following reasons Permit No. % 7— 16 2) Date Issued TOWN OF BARNSSTABLE LOCATION 1,4f 5-1p/©�19 �Gt SEWAGE # p7"!�3 VILLAGE Qv'�'5 le ASSESSOR'S MAP &LOT 3341 INSTALLER'S NAME&PHONE NO. �O/j'd L97f`% �D757 7 7�—�•31�� SEPTIC TANK CAPACITY /✓ADD LEACHING FACMITY: (type) (size) NO OF BEDROOMS BUILDER OR OWNER PEWIT DATE: S��—�� COMPLIANCE DATE: -7 Separation Distance Between the: azimum Adjusted Groundwater Table and Bottom of Leaching Facility Feet MJ Privafe 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 Q # - -3 Fee 03 416 / � No. • i � 7 9 .r:a•u. - Tr THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes .. ..� PUBLIC HEALTH-DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for Migogar *pMem Cougtructiou-hermit Application for a Permit to Construct( )Repair(``)-Upgrade( )Abandon( ) El Complete System El Individual Components _.. Location Address or Lot No. 1(71 ^/ Owner's Name,Address and Tel.No. �'Crrh�7y4 cfid �y� 4d ��✓✓. `� Assessor's Map/Parcel �r1e/1�Ur�C../t.0�£//,g, 37, G(Z O/ / r s..3/,a Fk Installer's Name,Address,and Tel.No. . Designer's N Address and Tel.No. &RTalOrTl l / Sff� TO�x 7�ln�5 Type of Building: Dwelling No.of Bedrooms Lot Size lkeAE lsq.,ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers(►-) Cafeteria( ! Other Fixtures Design Flow "7 '7t'/ gallons per day. Calculated daily flow Ara gallons. Plan Date 17Co Number of sheets Revision Date Title Size of Septic Tank�1 I-A Type of S.A.S. Description of Soil !!P`` Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the a describ'ed on-site sewage disposal system in accordance with the provisions of Title"5 of the Environmental Code-and not,to lace thelsystem in operation until a Certifi- cate of Compliance has been issue y t 'sBoar 4of Signed a -1: Date, "Ge� t Application Approved by Date Application Disapproved for th following reasons Permit No. 7— Date Issued THE COMMONWEALTH OF MASSACHUSETTS 40-T -g / BARNSTABLE, MASSACHUSETTS si J�am0 6/�0( /pan , certificate of COrrY riauce p THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed(/)Repaired ( )Upgraded( ) Abandoned( )by i at 4 f / has-been constructed in accordance ` with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date `7 - St 77 Inspector No. � � (J � — ������----------Fee o� THE COMMONWEALTH OF MASSA',CH SETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS migpogar 6pgtem Congtructiou Permit jPermission is hereby ranted to Construct( )Repa )Upgrade( `) bandon( ) System located atAZT' �o l�/X./ Acme 70 i 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:Constructio mus a e completed within three years of the date of thi p t. o Date: / / Approved by r 1 . Town of Barnstable P# Department of Health,Safety,and Environmental Services Public Health Division Date°.. —1 7 367 Main Street,Hyannis MA 02601 - rFnMa+" Date Scheduled 1 -q7 Time ' Fee Pd. 14: V"5 Soil Suitability.Assessment for Sewage Disposal Performed By: `r1� - __ Witnessed By: LOCATION & GENERAL INFORMATION" Location Address '% OF ® � �� wncr's Name i}Na/Efb'I�1 lZ/� 12vTEs t k. y,/ a4 RA1, ZOAD AVM'. ,l�/ Address Y,,%y mOuTI�J'Po12Pa;�M'/4 ®ZG'7S Assessor's Map/Parcel: ` Engineer's Name L. 7�`, 1`yQ'� INEW CONSTRUCTION <If REPAIR Telephone# Land Use 2 k Slopes(%) G /D Surface Stones ye s Distances from: Open Water Body /4 y ft Possible Wet Area J o a ♦ ft. Drinking Water Well 2.00.0 ft Drainage Way 42 6'0 t ft Property Line ft Other y f4m,A-5 r ft t SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) .f0.48' _ •49 S5 `4 ----- _ i b V _ `il�'pM1 Jj�—=�rl�'^-10 Ce. RC y,\7="�%—'��BZ o s �44;'LjBst1oil / " Parent material(geologic) P 1YM 0 4JT f-pA RNSTA4.4E- Depth to Bedrock A✓V I MAAjrvcxa- T ti Depth to Groundwater: Standing Water in Hole: � Weeping from Pit Face Estimated Seasonal High Groundwater DTIE]CvINA'I'IOIt Ii~0R SLR COMA .DIGIT WATER FTABTE �, Method Used: Depth Observed standing in obs.hole: y in. Depth to soil mottles: in. Depth to weeping from side of obs:hole: in. Groundwater Adjustment ft. Index Well#_ Reading Date:_ Index Well level Adj.factor Adj.Groundwater Level_ PERCOLATION TEST pate Time ]t t Observation Hole# k" Time at 9" j Depth of Perc AOr. 7 2 Time at'6" Start Pre-soak Time @ lO.'.99%9� Time,(9"-6") End Pre-soak 1 t O g 7`r►o I - Rate Min./inch Site Suitability Assessment: Site Passed ✓ Site Failed: Additional Testing Needed(YM) Original: Public Health Division Observation Hole Data To Be Completed on Back--� Copy: Applicant DEEP OBSERVATION:H 0 LE LOG :Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.° t G A L.o cnt..,y �•3X2 n/o wlsta ti es ye f Z,e CaF,eu+ erJrmnrJ DEEP OBSERVATION HOLE LOG Hole Depth from I Soil Horizon Soil Texture Soil Color I a Soil I Other Surface(m.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. C nsist nc °o Gravel) Na w .clones ! Z'� O/A1 Lo4� 4,42 40 j 44 c Z row�r sto„4s DEEP OHSERVATION HOLE LOG Hole# "' Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistencv.° r I , DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.°° ravel Flood Insurance Rate Map_ Above 500 year flood boundary No_ Yes Vol Within 500 year boundary No_ Yes Within 100 year flood boundary No_ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? yes If not,what is the depth of naturally occurring pervious material? Certification I certify that on IV& V 9- (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature (l G�.. Date .S / 9 7 BENCHMARK T p q 9 �? c, TOP OF FOUNDATION 20 FT. MINIMUM FROM CELLAR SOIL TES ELEV. -4 .7 10 FT. MINIMUM 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE DATE OF SOIL TEST 4, 2S 9 7 CLEAN SAND SOIL TEST DONE BY c .' ,E S —pPr P E. (ASSUMED) CONCRETE WI TNESSED BY .?e_R R / 0 J ,v 1 _ sr COVERS 4' SCHEDULE 40 PVC PIPE --LOAM AND SEEL OBSERVA TIOI`� HOLE 1 ELEV.- $�. o _Ls HOLE OBSERVATION HOWL 2 ELEv.= MIN. PITCH 1/8' PER FT. \ PERCOLATION RATE 7 MIN./INCH AT 7z INCHES PERCOLATION RATE MIN./INCH AT 72 r INCHES 7 �• � �� 2' '�A YER OF _ _ 1/8' TO t/2 DEP�Ii HORIZ TEXTURE COLOR MOTT. OTHER DEPTH HORIZ TEXTURE COLOR MOTT. OTHER --- r i. e a O M Am WASHc'D STONE w O S a n d 7.,� 4' CAST IRON PIPE ¢ -- _ _ \' N' (, ' �eO _._� No -lSlbncs �Jx -_--. REQUIRED yR M A�( I (OR EQUAL) MINIMUM �• �'• '^ - -- - - - _ A ------- _ .3 2 ,.- �/A � Loa .-,., 'r r,�' --� PITCH 1/4' PER FT. - - - - -z 1 CU. FT. OF .� 10 `t I �- CONCRETE - FLOW LINE --- a, G C c.- ANCHOR `O" C it L,S�` .. ., B S s/ � 8q 00 10" ELEV. _ -TMIN. / a ` - T oo EL ELEV. _ 2S 2.0. - _ f " F IAY- ----- ----- ''/ 3i LEVEL o a ELEV. = 7 .4 /o2+r j �� .'fI a" S y_ J �` 11 ELEV. _ GAS 6 3.C 6" 7S P -ELEV b c $3 - - L" -1 - --- 7�,S " ELE V. !" BAFFLE -- -"- __ - ------ - --- - - GO- _ I 7�4 E 4 BO.J" DISTRIBUTION 5 t.,, �,, <. ( M1div-r, _ -- -- ---- r�,,.r- LIQUID OUTLET BOX • � ' - 2U INFILTRATORS WITH STONE IN A � i C3 Jan44 L�2 � 3 Car,�s DEPTIJ TEE (TO BE PLACED ON FIRM BASE) �� 4 FEET 14 INCHES TO BE WATER TESTED ;J'x ;v"{ .. c7 ��CCu TRENCH FORM A. � -� 5RET 19 INCHES IF MORE THAN ONE OUTLET 7ET 24 INCHES 500 GALLON SOIL ABSORPTIOf. WELL—� - f,/x, WATER ENCOUNTERED A isa ELEV. n/c WATER ENCOUNTERED AT / � ELEV. _7ET 29 INCHES (TO BE PLACED ON FIRM BASE) U` �f� - "9•`r � 7 3 •.S 8 FEET 34 INCHES SEPTIC TANK 1/4' TO 1 1/2"-il ZONE jvSTEti1 (SAS) INDEX _-_. WASHED STONE ADJUST_ LEGEI�,V'D: DESIGN CALCULATIONS SEWAGE DISPOSAL SYSTEM PROFILE BOTTOM OF TEST HOLE ELEV. _ - EXISTING SPOT ELEVATION 00,0 NUMBER OF BEDROOMS NOT TO SCALE OBSERVED WATER TABLE ( / / ELEV. = � EXISTING (,ONTOUR ----00---- GARBAGE DISPOSAL UNIT FINAL-- O FINAL CONTOUR- - -- 0000.Oj — TOTAL ESTIMATED A FL OW X BR.) GAL./DAY SOIL TEST LOCATION ti REQUIRED SEPTIC TANK CAPACITY GAL UTIL!TY POLE -O- ACTUAL SIZE OF SEPTIC TANK GAL. TOWN WA TER CATCH �W W SOIL L BASIN �® DESIGN PERCOLATION RATE < ' MIN. N. j GAS LINE - -G�"/ ---- EFFLUENT LOADINQ RATE �p • _ _ GAL./DAY/S.F. i 7 \\. �• LEACHING AREA '/I b'¢. ISO 1 8:-"' SQ. FT. LEACHING CAPACITY (AREA X RATE 2 GAI /DAY RESERVE LEACHING CAPACITY /inet GAL./DAY NOTES: C• ' ems`• , b/ % /; -- 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. �� TITLE 5 AND THE TOWN OF '�' _ - RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO ``c � `� / WITHIN 6" OF FINISHED GRADE. 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN r 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE r USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. ,. ` a 4. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL r A BE MORTARED IN PLACE. r \ \ A r) rr ruw r •„n. DLL',' MAD- A; 10 tiUlvlrLlAm_L m I}i DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS TO `• OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 3 •` r� , �� �Y J '`- � �� �� 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR IS TO CALL "DIG-SAFE' AT 1-800-322-4844 AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE. �E R V �q,.S, .; f. -=f� /vu _ - _` \ 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS 44 % / l _ `� - } -` ,�f O q SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. "�, `S- 8. PARCEL IS IN FLOOD ZONE AREA - `3 : �h , �� \ ,r , ✓ �y. ! 11 / 0 JI - 9. LOT IS SHOWN ON ASSESSORS MAP _J " 4 AS PARCEL Z 4. -- -- - - � '` p. �"ol 4q 'sir Q f APPROVED : BOARD F F 0 -HEALTH D TE AGENT ; PROPOSED SEPTIC DESIGN FOR � PROJECT LOCATION CRAIG R. SHORT PROFESSIONAL ENGINEER 508— P. 0. BOX 781 d •kP DENNIS, MASS. �. �`• 385-6530 02638 eF-� ` Q'` � T DATE-- ---- - - ----- ALE ►, _ ,--- -- Q CRAIG REVISED 0.• Isf CIVkL LO (i4. No274 -- -- ----- -- _ - --- --- -- - ! LOC.ATIC,r` ',' AP REVISED �J3 //97 — � SHEE OF J I -- -. .....� - - -- - - ------ - -- --- -- - -- -- - S F P 7-,( 4 G C r 1. ---i --- p ,PNr• •<AIG R. SHORT, P.E. i