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HomeMy WebLinkAbout0080 OLD JAIL LANE - Health r� W Old Jail Lane,Lot 4, Barnstable , A=278-057 1 � I 0 TOWN OF BA.RNSTABLE 'LOCATION ¢ / 6�1A-%/�i9YJ� SEWAGE # i VILLAGE � ` ASSESSOR'S MAP &LOT' INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACI r c�® TY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: COMPLIANCE DATE: 'Z'- /7 Separation Distance Between the: - r h Maximum Atdjusted 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 41V _ E aa . No—?/ THE COMMONWEALTH OF MASSACHUSETT$. y ,FEE EiT�• '� �/ BOAR ® 6F REALTH O F Y2&yW-51-A_R- Appliration for Biiipn,ittl -* stem TianiArnrttun rrrmit Ap lication is hereby made for a Permit to Insta or Repair Rep ( ) an Individual Sewage Disposal System at: JA,I� Loruion-Address or Lot ,. )tile, ® ®,. own r Address �O Y 540-3q 33 eAve— , ;4 Rner or Installer Address D 5 q0 Type of Building Size Lot 43 5-6 U Sq.feet Dwelling—No.of Bedrooms Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No.of persons _ Showers ( )—Cafeteria ( ) Other fixtures Design Flow gallons per person per day. Calculated d�ily flow 4444 gallons. Septic Tank—Liquid capacity r, ' 0 gallons Length ICJ Width_ D Diameter epth 41 Disposal gam-No. Width 7-40 t Total Length Total leaching area '7U(� sq.ft. Seepage Pit No. Diameter Depth below inlet Total leaching area sq.ft. Other Distribution box Dosing tank ( ) +�7 Percolation Test Results Performed by Oe !?SALL tZM }1� ((x,�L Date Test Pit No. 1 3 minutes per inch Depth of Test Pit d _ Depth to ground water -> h) Test Pit No.2 minutes per inch Depth of Test Pit Depth to ground water 7 Description of Soil 9C -C1? Tp � 6_QTIC. L'A N OV ACle- I r o A I a� � Nature of Repairs or Alterations—Answer when applicable Date Last Inspected '0 o GIs Agreement:—The undersigned agrees to install the aforedescribed Individual Sewage Dis s 1 System in accordance wit V r/ONAL t t� provisions of TITLE 5 of the State Environmental Code.The nde ' ned further agrees no to place the system in operat] n until a Certificate of Compliance has been issued bMadSignedDate Application Approved By jZ-3/- Date Application Disapproved for the following reasons: Date Permit No. 7 "7 t/z Issued ,Z - 3/- 7 Date jTOWN OF B//ARNSTABLE LOCATION i irr D/ i /�Yl SEWAGE# i ir>✓ /�//� ASSESSOR'S MAP 8z LOT VILLAGE I , INSTAL ER'S NAME&PHONE NO. SEP'TIC':TANK CAPACITY 20 i (size) LEACHING FACILITY: (type) No.OF BEDROOMS L YK BUILDER OR OWNER ftftM/I T�►^ COMPLIANCE DATE: PERMIT.DATE: , Separation Distance Between the: Feet 1 Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Private.' Vat' Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wedand and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by kh �dy k �. at Qz= Q r. o�ih �.. �y NO. THE COMMONWEALTH OF MASSACHUSETT ,- Cr B O A R D bF HEALTH ,Z V1i iration for �t� A ttl.. tPut Cnnu trurtinu Pruttt Application is hereb,y;tna&for a Permit to Instal or Repair Replace' ( ) an Individual Sewage Disposal System at: F' Location-Address l ,I /r—% °i i)r Lot �(� �+ ry eg/'�/� �(•(r (.J o �4,v"f� 1 Address YA001 l 11Ge�lC 0/ 306-P 33 S '1 Pg�w►e,. l�ve. 1=U1 Dcsigncr or Installer Address Type of Building Size Lot 4?>5_&U Sq.feet Dwelling—No.of Bedrooms 4 Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( )—Cafeteria ( ) Other fixtures Design Flow gallons per person per day.Calculated djily flow gallons. Septic Tank—Liquid capacity 15'40gallons Length 0 Width D Diameter epth Disposal ' No. I Width Zo t Total Length 357 Total leaching area -700 Sq.ft. Seepage Pit No. Diameter Depth below inlet Total leaching area sq.ft. Other Distribution box (VI) Dosing tank ( ) Percolation Test Results Performed by ©� p� gLh (hT r. Date 7 Test Pit No. 1 3 minutes per inch Depth of Test Pit /0r Depth to ground water h) Test Pit No.2 Z- minutes per inch Depth of Test Pit // Depth to ground water Description of Soil Cc. F't•- 'T'b (-_Q`j)C. t_Q N b1f p->JT,g IaGIG t�0 1 N Es f < � a Nature of Repairs or Alterations—Answer when applicable Date Last Inspected .o ter 1 S.V _ Agreement:—The undersigned agrees to install the aforedescribed Individual Sewage Disp sal System in accordance with t Stt>t�at provisions of TITLE 5 of the State Environmental Code.The unde ' ed further agrees not to place the system in operation until a Certificate of Compliance has been issued by he ar, of a h. r Signed Date ,., Application Approved By f�-3/- Date Application Disapproved for the following reasons: 1 Da(e Permit No. q 7 `7 y� Issued /2 - '/- 7 Date THE COMMONWEALTH OF MASSACHUSETTS BWQe,7G�I BOARD OF HEALTH (�PrttfirttfP of(�nm,plitturP ` THIS IS TO CERTIFY, That the On-Site Sewage Disposal System installed O or Repaired/Replaced ( ) on by 105epk) Nyr✓tom for &04;tr00 f1Otm - 7h at W c old )a� � L. Z,0-�/ has been constructed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal System Construction Permit No. 7�// dated f Z- El- L7 Use of this system is conditioned on compliance with the provisions set forth below: U,ATFR M tN l V STe fET A-v D S.EBVIGE -W Y/00 7 44Vsr /3F 1,-vJ7,41,6V P I D(Z � /SSViQ4zGj' &F G . 0. G , THE ISSUANCE OF THIS CERTIFICATE SHALL/NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION AS DESIGNED. This Certificate expires on Date DATE 2 1 za Inspector -- ----- ...--..------ - - ------------- -_--- - ------------d No. , �-7-01 THE COMMONWEALTH OF MASSACHUSETTS FEE dd. i y 6ZIr Hflo�"e BOARD OF HEALTH +�t,�,pn,�ttl ��,sfem (�nu,�trurfinu �Prmit Permission is hereby granted to to Construct. r Repair/Replace ( ) an On-Site Sewage Disposal yytem locased at street i as descri:bied on the 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. All construction must be completed within three years of the date below. DATE Board of Health ' ,1 FORM 1255 (REV.4/95) H&W HOBBS&WARREN TM PUBLISHERS - BOSTON ._. I THIS FORM APPROVED BY THE MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION 1. ELEVATIONS REFER TO N.G.V.D. 0'-6" 2. BENCH MARK CB AT THE SOUTHEAST CORNER (TOP CONC. FOUND.) EL.= 62.50 2� SLOPE (MIN.) A MINIMUM OF ONE COVER I-- -- - - - - - -I OF LOT 5 ELEV.=61.17 wA SHALL BE ACCESSIBLE WITHIN 6" OF FINAL GRADE 15' MIN. I I ��! 3. ESTIMATED DAILY FLOW EL.= 61.50 •, " TO _ _ 30.5 - 4 BEDROOMS X 110 GALLONS PER :4• FINISHED GRADE 2 OF 1/8 TO 1/2 BREAKOUT " 9" MIN. WASHED STONE - _ _ 5 _8 - _...._ PERBEDROOM DAY, PER DAY= 440 GALLONS pl-Y 3 I 36 MAX. 9 MIN. " 1 i i - - 4. SEPTIC TANK RED D CAPACITY = 1500 GALLONS �10) 4" SOLID PVC • ' (31 ) 4 SOLID PVC SCH 40 " " S=0.005 PIPE _SAP -- SCH 40 4 SOLID PVC SCH. 40 L " r p 5=0.02 GAS BAFFLE AT 15.5 �- + i 5. LEACHING AREA REQUIREMENTS: USE <5 M.P.I. OUTLET TEE S=0.02 EL= 58.50 -n w S=0.005 EL.=59.96 0 0 0✓-10-✓-�0 0 0 EL.= 59.51 „ 24 DIA. COVERS -��_�--�,-7 --T_��J (INV. AT HOUSE) _ EL= 58.72 ,3/4 TO 1-1/2 10 MIN. TOL EFFLUENT LOAD. RATE = 0.74 GPD/S.F. (CLASS I) EL.= 55.0 ' ' 1500 - GAL. _ WASHED CRUSHED STONE EL.= 59.76 PRECAST CONCRETE EL-58.68 v off-' o� o`�-' e P o PROPERTY LINE " I , 4 ,/ 7,5 3, 5 DIA. INLETS AREA REQ D= 440 GPD 0.74 GPD/S.F.=595 S.F. BASEMENT ` , SEPTIC TANK DISTRIBUTION 3" 2"- 10' MIN. TO BLDG. 6" CRUSHED BOX 5, 5 DIA. OUTLETS I STONE BASE " 2„ 6 CRUSHED EL.= 58.00 13 „ 6. LEACHING AREA PROVIDED -STONE BASE 14 P.V.C. SCH 40 TEES -� USE FIELD 35' L X 20' W = 700 SF 5 -0 MIN. 5'-4" �'r� -r�' 4-r CAP. PROV.= 700 SF X 0.74 GPD/SF==518 GPD 35 L X 20 W LEACHING FIELD 4'-6" 4'_0" -+GASl� � +-� •� 15" 20' MIN. TO BUILDING LIQUID DEPTH BAFFLE �„ } 809 6 7. HEAVY GRADING MACHINERY SHALL NOT BE PERMITTED TO PASS OVER LEACHING AREAS, BOTTOM OF TEST PIT 4-2 ELV.=49.50 3 2" 8. ALL CONSTRUCTION TO CONFORM TO THE SEPTIC SYSTEM PROFILE._ 'j' Q BOX REQUIREMENTS OF THE MASSACHl1SETTS D IS I RIUU'TION DEPT. OF ENVIRONMENTAL PROTECTION SANITARY NOT TO SCALE 1500 GAL. SEPTIC TANK CODE, TITLE 5, AND THE TOWN OF BARNSTABLE 6^ --�'`' f 4'� ,�. BOARD OF HEALTH. FINISHED GRADE 2% MIN. O y 9. PERCOLATION DATA LOAM & SEED PERC RATE DEPTH OF TEST DATE wj 2" OF 1/8" TO 1/2" 9" OF CLEAN BACKFILL FREE ' 1. 3 M.P.I. 4 TO 5 9/5/97 WASHED STONE OF 6" OR LARGER STONES , LOT 3 2. <2 M.P.I. 5 TO 6 9/5/97 (� .+ 1 4 10. THIS SYSTEM IS NOT DESIGNED TO ACCOMMODATE _O(�ffQ` \ 1 I I rlv- R 4" P.C. -3 f 4" TO 1-1/2" o 14 A GARBAGE GRINDER. oRO/'pSe ! �' WASHED 'STONEJa 11. THE FIRST TWO FEET OF EACH LINE EXITING �R/�E�qY S, `, FROM THE "D-BOX" SHALL BE LEVEL. 7 '�� TP �SEF 12. DESIGN ENGINEER TO BE NOTIFIED AT LEAST 3 LINES ® 6' INTERVALS 48 HOURS PRIOR TO REQUIRED INSPECTIONS. 684 ' ' i i / �:� 13. SEPTIC SYSTEM OWNER SHALL HAVE SEPTIC l , 8 TANK INSPECTED & PUMPED OUT AT LEAST �Eqc -� i TYPICAL LEACHING FIELD. ONCE EACH YEAR AFTER CONSTRUCTION. �1, ' ' 14. IN AREAS SHOWN ON THE PLAN, ALL E�0 �` TOPSOIL, PEAT AND OTHER IMPERVIOUS rn s� , , eat y ; .D� MATERIALS SHALL BE REMOVED AND cy / \ :cfl \ lf; f r • \ r REPLACED WITH A CLEAN GRANULAR i; ORGANIC MATTER l RES \ • o' `` , ° AND OTHERDELETERIOUS SUBSTANCES, N _ r s" ` "'° J 1. GRADED SUCH THAT; JPAw a a. NO MATERIAL IS LARGER Chk THAN 2 INCHES. / I � 1 No. 36488 b. NOT MORE THAN 45% BY WEIGHT t. '� ROP �4 ` �' �' ` ';, i I ' j ,- ' / ;,� c�� ° IS RETAINED ON THE #4 SIEVE; 1 SLAB EL D_GARAG `} ` �. �t i r 1 / 3 j 60'00 �' �• '� , \\ C. OF THE FRACTION PASSING G _ LOTI 4 '� ,'' - / / THE #4 SIEVE, THE MATERIAL FROppS 0 W 50 0, y ,, ; l ` i' l ti I I S:f �.._ ��.. \\ f�� I r I r 9 SHALL FALL WITHIN THE A T 1 0 GAL. c,.l ! r143,560 / ' 1 GRADATION LIMITS AS FOLLOWS; / I ER SEPTIC TANK I / f 'f l fI i ii J ;` .oo i r1C. _ - - - f L.I ! ,SIEVE SIZE PERCENT PASSING _ w. (SHAPE FACTOR 19.47) -- - - r - SCREEN - • � ! ' ..'; #50 10 100% r ( /, #1 - r" 00 0 20% yPORCH.. -'' f _ APPLICANT #200 0-5� ` / I i G., RO j - i d. MATERIAL SHALL - ,..^ - ;'' A SIEVE ANALYSIS OF THE a TQp��SFQ 4 BEpRpp'M -' - HAMILTON HOMES INC. ---- - r BASE QU�p, WELLING �' i _ _.. ._ - PO BOX 1224 TO ENSURE THAT IT MEETS ;'f / BE PERFORMED M EL _ ,2'S� ` . _ - - �" w / ' Y NNIS MA 02601 THE ABOVE REQUIREMENTS. THE INSTALLER coo ' r-- 6' ECK ' `�. `` f DEED BOOK 5385 PAGE 197 SHALL PROVIDE A COPY OF THE RESULTS TO o rn THE DESIGN ENGINEER PRIOR TO THE � .� LOT 7 PLAN BOOK 502 PAGE 11 -'` ASSESSORS MAP 279 LOT `50 AS-BUILT SURVEY. 15. PROPERTY LINE INFORMATION TAKEN FROM -�-- PROPOSED`WELL 00• 1 O ; ��tt PLAN OF LAND IN BARNSTABLE, MASS. DATED - . p ff -� ` w q / J c0 \ JANUARY 25, 1994 PREPARED FOR SUBON CO. LEGEND w ! 1 I ,_ - �^ cP `� BY YOUNGQUIST JAMES & ASSOCIATES INC. N 0�` i �'� `. a � - _ N `� '`� 16. TOPOGRAPHIC I FORMATION IS BASED N 69 EXISTING CONTOURS A PLAN BY ARROW ENGINEERING, INC. m ? PROPOSED CONTOURS / y' DATED MAY 23 1988 ��U"ID) SLOPE A , K NG w_ o i J P EA$ LIE (TY i --- _ - -_ _.___w_- -- - -.._.._------ . 128 EXISTING ELEVATIONS E EN T ~M f 1" , ! -' ~= -' (vr`'`J PROPOSED ELEVATIONS NO. DATE DESCRIPTION BY .� PROPOSE '' (` -.� - -_ _ ._. _ - STRATA TEST HOLE - tv D� 0 Wld ;. -_._ --�'_._ / TEST HOLE r ` 4 PERC r/•� _ _ .. ; W 1. ' W ,' E OOESS '. ..., 344•41 ' ,, 'f ,.%' _� --f-. _ .___ -- �" STONE WALL 1 Y --- __rw._ _.-- - - _ _ ■ EXISTING MONUMENTS / - ---------- SOIL STRATA LOGS. i AND S 81.17"31,. �'�fr / ( ^ / ' , E . GROUND WATER LEVEL UTILITY EASEMENT '�; f'' , �°`i �� a, T.P. 4-1 T.P. 4-2 _ LOT 4 HOR. EL= 60.00 HOR EL- 60.50 SUBSURFACE i ` , ! `,+ A LOAMY SAND A LOAMY SAND -'" f ' „ 10 YR 3/3 59.00 DISPOSAL SYSTEM 1 S 81'17'31» E ✓_ -.., r f;i ,1 ! �. 24' 10 YR 3/3 58.00 18 LOCUS _ _ r 33 7•36' _ =' ;-' � „ � `•, LOAMY SAND LOAMY SAND OLD JAIL LANE 1 30 WIDE SLOPE E f. r. _� O/ /f �` 48" B 10 YR 4/6 56.00 36" B 10 YR 4/6 57.50 >- I ! EASEMENT --� - �, ;' o/ � "�j 3 BARNSTABLE, MASS. so 6 j FINE LOAMY SAND FINE LOAMY SAND r �l - - ,�, ,. C. 52 00 72" 10 YR /6 50 50 v ..� ENGINEERING, INC. - .,.,�`"` , 96 10 YR 6/6 120 6 D \��, OUTBACK ENGI Q t % > Q 321 WEST GROVE STREET t C2 10NYRSAND � 1 ONYRSAND � MIDDLEBORO, MA 02346 �• \ _. .. •- r . � i'" �- ';::--°� .._,_ ,....� :•+ �,� / / ��, TEL:>-(508) 946-9231 �r / '+ ' ' _ / _._.._ r " NO GROUNDWATER 50.00 NO GROUNDWATER `9Z ��� p' t\ LOT 5 ''� -, 120 NO MOTTLES 132 NO MOTTLES 49.50 F 0 20 40 60 E 3 PI P RC RATE M 2 M P 1 DATE OF TEST : 9/5/97 9/5/97 B.O.H. AGENT JERRY DUNNING JERRY DUNNING ' � !�' `��g, DATE: 11/17/97 SCALE: . 1 =20 O.E. REP.: JIM PAVLIK JIM PAVLIK01 �! AAV NOT TO SCALE DRAWN: KMW CHECKED: J.A.P. 141 SD4.DWG PROJECT # 141