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0088 OLD JAIL LANE - Health
88 Old Jail Lane 278-060 Barnstable a a F 0 I� n TOWN OF BARNSTABLE OP 11/0171000 LOCATION �X 9 /1,49 J �ii.e SEWAGE # A, VILLAGE j Ae'�b/�i ASSESSOR'S MAP & LOT.�NIJXY' INSTALLER'S NAME&PHONE NO. AO?�4171 4kLfS 4. SEPTIC TANK CAPACITY 1 00 LEACHING FACILITY: (type) tGS (size) /J= qX NO.OF BEDROOMS —3 BUILDER OR OWNER _ __I3Xr �5 PERMITDATE: COMPLIANCE DATE: �Z G Separation Distance Between the: Maximum Adjusted Groundwater,Table to the Bottom of Leaching Facility.j: 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 x V w s � um1 M No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for Migpogaf *p5tem Construction Permit Application for a Permit to Construct()c )Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. 86 61;0 1, 1 L (,A-0 Owners Name,Address and Tel.No. $r/ap 6�rgdy ssAa+C-11 vlc,,q�Rc1. Assessor's Map/Parcel 278/aQ AIQfY,�D.0 J lI A` I 4 d 0UP1 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. /r`/T g f1' caw+rcc.h0A) P4(A/ ' S t GkR &�06-11J6W91<4— '/SY lu4r_WJ1. d7' ." mars*7VS Nl 1/1, A4 vita r 7i 4) M+ Type of Building: _ Dwelling No.of Bedrooms 3 Lot Size�Q^� sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow '33 O gallons. Plan Date Number of sheets / Revision Date Title 2wds e Dtrooml S- N �1 Size of Septic Yank J.Sb6 Q 4 Type of S.A.S. C Description of Soil Sze a& ja I" Answer when applicable)Nature of Repairs or Alterations( pp ) 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 issued by this Board of Health. Signed Date / !� Application Approved by Date �'�' Application Disapproved for the following reasons Permit No. t�3 Date Issued r '� 1;; fir• 99No. 1 / _.. d . Fee THE COMMONWEALTH OF MASSACHUSETTS }' Entered in computer: '7WI,.. PUBLIC;HEALTH DIVISION TOWN OOF--BARNSTABLEs MASSACHUSETTS ' C, i rication for Woozal *vztem Construction Permit Application fdr a,Petmit to Const uct(>)Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Indiv dual Components Location Address or Lot No. J,j &AU& owner's Name,Address and Tel No. u-r��ady >s�L Q"�C�iA/ (�L7lL(�ill/Ro r Assessors`Map/Pazcel / /�iit� 1r►Sdul ✓�,((� /i!1A /0-2 v%, Installer's Name,.Address,and Tel.No. . Designer's Name,Address and Tel.No. Y,r^ �-rtf CUuS-l-ru_�4-1d a P (()✓rfG✓ 3. MAar Type of Building: Dwelling No.of Bedrooms 3 Lot Size 64 c sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures f Design Flow 3 3 C) gallons per day. Calculated daily flow 3 O gallons. J` -Plan,Date '61Z 3/yi Number of sheets Revision Date Title `,SPie)a '�' %> � Cv +C't+- Size of Septic Yank bJ 4 `J Type of S.A.S. COAAR' �� l~iP Id DE6 Lt, P7,ir�r� f Description of Soil See C4 40 (`t+.M n/0-,i i NatZkre of Repairs or Alterations(Answer when applicable) ' .e ' 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- pate of Compliance has been issued by this Board of Health. s a Signed Eallax, klCZ,,_41u�1-iL, 72 n.�-A, r'U_A ..r � J Date Application Approved by ( °�' Date Application Disapproved for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS G Certificate of Compliance x THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( k)Repaired-( )Upgraded(' ) Abandoned( )by +t4 wti i at 08- 6)lct r! L_,?,4Xr G has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer k+ C .�.i t�Cee i `, Designer &" v�'r -?P/rt 'T The issuance oft ' *,17 be construed as a guarantee that the sy unctio as desiDateInspector eD f — —� — —————————————e ———-----------�=�—� _• No. / / r Fee �� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS 1wigpogar *raem Construction Permit Permission is hereby granted to Construct( >e)Repair( )Upgrade( )Abandon( ) System located at I / L u-L)-te 13ey; w y 5'i�`9 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 com leted within three years of the date of this t. �y Date: Approved b TOWN OF BARNSTABLE - --- - LOCATION r olo .l,4,--1 , SEWAGE # VII-CAGE !3 s /� ASSESSOR'S MAP & LOT.27X 60 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY =.S i EACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: COMPLIANCE DATE: zZ G Separation Distance Between the: Maximum Adjusted Groundwater Table to the 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*eaching facility) Feet Furnished by y e- C- a�'•0 4 a c Y R- �= 3Y 0 -- ,8 3Y.,0 PROVIDE PRECAST CONCRETE EXTENSION C)F' OF FOi)NDATION - RISER WITH CONCRETE COVER TO WITHIN _-___.,,_ LATER OF " DOUBLE GENERAL NOTES REMAIfiLr f- /8" 0 /2 — � '✓ _ JQ �_____ 6" OF FINISH GRADE WHEN NECESSARY. WASHED STONE FINISH GRADE= OVER D -BOX= q r �/ 3/4" TO 1 1/2" DOUBLE - =!NISH GRADE C� END. EL = _- � FINISH GRADE OVER TA04 EL.= �w _ WASHED STONE - - - - -- - - - - - - - % 4" 1 . UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION __ _20" MIN. ACCESS COVER INV - -- -- �c� WFTHODS SHALL_ BE IN ACCORDANC-E WITH TITLE 5 OF THE STATE (TYPICAL FOR 3j 36' MAX 36"MAX - END PLATES REQUIRED _- -SPLASH GUARD I Ems; F20NMENTAL CODE AND ANY APPLICABLE LOCAL RULES. --- CUT INLET OPENINGS I� ll 12 PLATE I _._ _.-______ _____ ________ _ I Z 2. ANY CHANGES TO THIS r'f A.N Ml_I=T PE APPROVED BY THE BOARD , AS REQUIRED - _- �D L� E_ l „ L - I OF HEALTH AND 'HE DESIGN ENGINE ER _ PROVIDE WATERTIGHT - 6" 3 � =_ _--3" DROP MIN. �' I ,JOINTS (TYP.) PROFILE OF PANEL SCHEDULE 4G PVC — 1 r 4" PVC IN FROM 3. 4" SCHEDULE 4o Pv�: PIPE WITH WATER TI! ,JOINTS SHALL i, 10" 1 .. SEPTIC TANK 4" PVC OUT TO 3/4' TO 1 1/2" DOUBLE WASHED STONE BE USED IN DISPOSAL SYSTEM UNLESS (')THFPVVISE NOTED. 4 \_ 9 'QU �� \J LEACHING FACILIT'i ) 2" OF 1/8" TO 1/2" DOUBLE WASHED STONE FINISH GRADE OVER CHAMBERS --- --� 4. 4" SCHEDULE 40 PVC PERFORATED PVC PIPE SHALL BE USED I ' , � INSIDE LEACHING TRENCHES OR LEACHING FIELDS. 48„ - _� 12" MIN. INSPECTION PORT -- 10' MIN GAS BAFFLE 6" CRUSHED STONE 36" MAX. _ 5. SLOPE ALL SOLID PIPE AT 1 .0% MINIMUM. OVER MECHANICALLY ° o o° ° ° o o° ° ° 0 I 6" CRUSHED STONE COMPACTED BASE � C7 0 Cf'� �� 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. OVER MECHANICALLY INV. = �-� g� <=� oo O - - -� COMPACTED BASF p �' �I ��"____ _____._ 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO Br NOTIFIED TO BE INSTALL�EDEON,IATL LEVEL B E o p _j O / 0 �J �� 91 4" PRIOR TO BACKFILLING WHEN SYSTEM IS NEARLY COMPLETE AND _BASE. FIRST TWO FEET OF OUTLET ' READY FOR INSPECTION. SYSTEM IS NOT TO BE BACKFILLED ' WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH PIPES TO RE I AID I FVFI �/ _.�.F.__ __.__�_ ___ _-_.._ 12� -.- ---�-_ �-- AND DESIGN ENGINEER. GALLON CONCRETE SEP Tl(, I ANK _ S 12 CRO'_,.� SECTIc:)N VIEW LENGTH -_1LQ _ WIDTH _- DEPTH I ,_+ -- 8. ELEVATIONS BASED ON � ""-' LU M GROSS SECTION OF PANEL (,ROUND WATER �__ TANK SHALL BE INSTALLED ON A LEVEL STABLE BASE L_LEVAIION - ,4 �. MIN DISTRIBUTION BOX DETAIL CONTACTOR FIELD DRAIN PANEL �► IeIATFk'_ �I`L/, �krli 9. CONTRACTOR SHALL VERIFY AI !._ UTILITY LOCATIONS PRIOR TO SEPTIC TANK PROFILE CONSTRUCTION THROUGH DIG -SAFE AND ANY OTHER APPLICABLE NOT TO SCALL No T I Cj t At L NOT TO SCALE /TYF'I4�4,L FQFZ_ AGFNCIF S REPORT ANY DISCREPANCIES TO THE DESIGN ENGINEER 10 NON-SHRINK. GROjJT Tf_1 BF '.': r_D AT ALL POINTS WHERE PIPES ENTER OR TEST PIT DATA LEAVE ALL CONCRETE. STRU(JURES IN ORDER TO PROVIDE WATER TIGHT SEALS • V: ®; IN(-,i-)E c TOR: PIW 1.l A "' - DATE: -i-' 1`="-� 1 1 . ALL TANKS SHALL BE WATERTIGHT TROUGH MANUFACTURERS SPECIFICATIONS .M sr.:.r.�t°r .� .� � �_�'�, OR APPLICATION OF ASPHALT OR SYNTHETIC POLYMER SEALER. + SOIL EVALUATOR �ZL?L > .1�_ G"y -- -- CERT. - --- " 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS L TEST PIT #:—A I TEST PI T # _ 'fi TEST PIT #:_ LOCATED UNDER PAVEMENT, DRIVES OR TRAVELLED WAYS IN WHICH ELEV TOP = ELEV TOP = ELEV TOP o =- CASE THEY SHALL WITHSTAND H-20 LOADING. •1 ' �'� - 13. DOUBLE WASHED CRUSHED STONE SHALL BE I fREL C?F ALL DIRT, DUST AND o ELEV WATER = ELEV WATER = � _ ELEV WATER = FINES. i v o PERC RATE _�_ MIN jIN PERC RATE a' 3 MIN/IN PERC RATE = MIN/IN 1 4. WHERE REQUIRED, CONTRACTOR SHALL REMOVE AL[., LOAM, SUBSOIL AND DEPTH OF PERC= DEPTH OF PERC= DEPTH nF PERC= ON ALL SIDES UNSUITABLE MATERIAL IN AREA BENEATH AND FOR FT-_ OF LEACHING FACILITti. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN - COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN °I =,� TEXTURAL CLASS TEXTURAL CLASS TEXTURAL CLASS -0 ACCORDANCE WITH 310 (-MR 15.255(3). 01\ �"" `--�-- ~~ -�..,� �`� _ �� ' S a 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES ol'I, �, / " �_ "•. .. "! j �, + o o l U�M - --- -- FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO SANVy LOAM CONTINUATION OF WORK. qCK ' , ' - A1D-. �- T © t �� ��rT DY LOAM , �j/NN.vv'�L-a,6 1 16. PROPOSED PROJECT IS LOCATED WITHIN: �7 e o��`w` } v', ��:����� U LI7FrK I Gut313LE , r3�UU�E f' ASSESSORS MAP # _ 27`� LOT # �ya plhT�I VLl"(I fl N r'GX y �uYa /(o ZONING DISTRICT SAY L4�i4M (,uAF1Y I BUILDING SETBACKS F_ ft. S 171�1t-1++J -lUI 1a,,^•', - �� I n- 1 I ft-.- R EMA F C0DZONE ELEVATION 15 -1,WL VETPANEL r AS SHOWN ON CtJMMUN!?i MANE 1 # OWNER OF s M rvI L1 NI EDIUNI ADDF s s A L ` - ---T--- � hLATCI". E:► If r I�'' (�11�'_i�lf�i .L h I'�Z ii 41 L �� r '� DESIGN DATA B . NAI r_ IN -rRil b� / 9�0 9Z LEGEND NUMBER OF BFDROOMS — — 100 EXISTING CONTOURS 9,2 -- NUMBER OF PERSONS _ r>>plr PROPOSED CONTOURS DESIGN FLOW IIo GAL/DAY/BEDROOM G GAS LINE. -E&T ELECTRIC/TELEPHONE LINE 447�3 =`� ` • \ TOTAL DESIGN FLOW w WATER LINE 33� GAL/DAY 4" SOLID SCHEDULE--40 PVC PIPE — — — — — 4" PERFORATED SCHEDULE 40 PVC PIPE - - - - - - - - - LIMITS OF OVERDiG \ SEPTIC TANK.- - - LIMITS OF WETLAND':. GAL. X 2007 = lo�'� GALS. DESIGN CAPACITY O WELL LOCATION USE 1G1 2 GALLON SEPTIC TANK. (MIN. SIZE PER REG�) TEST PIT LOCATION ,j�'� ' ' loco SEPTIC TANK O DISTRIBUTION BOX LEACHING FIELD: EROSION CONTROL Ft BOTTOM CAPACITY f Rp PE�Ty L I I E N� �`LI (LENGTH) X- 12 (WIDTH)= SO FT SQ.FT X GAL/SU FT ... 7 GAL. LEACHING/DAY TOTALS: TOTAL N(JMRFR OF PANELS TOTA1 LEACHING AREA _- 5� _ SOFT ___ 7 9R 5 0 ST_A M_h_ \` \ TOTAL LEACHING CAPACITY !j..,-/ GAL./DAY REV, DATE BY DESCRIPTI N -- - APPROVED BY ,E_ WAGE DISPOSAL Y`..) T M � T `,I C.aN �NnF�, RESERVE© FOR, BOARD OF HEAL TH i i-1F �.� PREPARED F-;aPM. �y "ADY LOCATED AT � � �'y ALP TAIL LA I \J� 4 1 ,,, <�APPROVED B y I I I DATE (� . G. A. F. ENGINEERING, INC. PROFESSIONAL ENUNEERS & LANL SIURVIE rORI S I T E P �_ A tis ,y���P ¢,� "" 454 WAREHAM STREET, P.O. BOX 95 '�, V ARION, MA ? >8 PLAN SCALE: 1" 'Aa`'`�r f (508)-748-0252 o + DRN BY V, I CHK. BY I DVG No 40e No.