HomeMy WebLinkAbout0054 PALOMINO DRIVE - Health i 54 • • • Drive
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TOWN OF BARNSTABLE t
i3OCA.-, ON �`y A//ylir/ Pie— SEWAGE #g,�- JIS�
.Vr-LAGE bal.,5 leASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO:
SEPTIC TANK CAPACITY /GDD G414
LEACHING FACILITY: (type) S'610 Gi K Zeal 66 C�(size) 13�Kxf;C-71
NO.OF BEDROOMS 3 _
BUILDER O OWNE ��..
PERMIT DATE: -2-1-O'0 COMPLIANCE DATE: i U
Separation Distance Between the: r
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
�� s
f
No. OD i')^A!> _ ! T Fee �r
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: �V
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
ZippYication for �Digonl 6potem Construction Permit
Application for a Permit to Construct( )Repair( )Upgrade(J)Abandon( ) ❑Complete System ID4ividual Components
Location Address or Lot NoSY / Owner's Name,Address and Tel.No.
Assessor's Map/Parcel '��sQ
31 ORYp!G
Installer's Name,Address,and Tel.No. Designer's Nam ,Address and Tel.No.
'���sy` , Ile l' );v
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size y sq.ft. Garbage Grinder( �d
Other Type of Building l ,&r - o.of Persons Showers( ) Cafeteria( )
Other Fixtures Design Flow Ila gallons per day. Calculated daily flow 3341 gallons.
Plan Date ez 7�110 Z_ Number of sheets Revision Date
Title O' P071if0 D r
Size of Septic fank Me, 41 Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) J? /^ d '���€'
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 thi Bo of HealtL
Signed Date �l
Application Approved by f Date 0 2
Application Disapproved for the following reasons
Permit No. 96- Date Issued
40
No. of 315 Fee
Entered in computer:
MASSACHUSETTS COMMONWEALTH OF MASSACqUSES
Yes
PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE,-.MASSACHUSETTS
t
Zipplicatibn for ig ogar patent ConsAructton Permit
Application for a Permit 1to Construct( )Repair( Upgrade Abandon El Complete,Sy(tern L&Kdividual,Components
Location Addressor Lot No Owner's Name,Address and Tel.No
As 31 tosessor's Map/Parcpl
Installer's Name,Address,and Tel.No. Designer's N Address and Tel.No.
-7 71-
Type of Building:
Dwelling No.of Bedrooms Lot Size P,44157f`sq.ft. Garbage Grind6r
Other Type of Building oetf_ eA(FN Showds Cafeteria o.of Persons
Other Fixtures
Design Flow gallons per day. Calculated daily flow 33t,2 —gallons.
Plan Date 7/P 7, Number of sheets Revision Date
Title sz.,q ir ov
Size of Septic Tank /Ml) —Type of Sk's. Z 0'el e-
Description of Soil
A, _4
Nature ofkRepairs or Alterations(Answer when applicable)
Date last inspected:
Agreetnerite) \
e'utinaerkgned 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 is us this Bo of ealt sued
Signed Date X/x/t
Application Approved by Date 02
V
Application Disapproved for the:following reasons
Permit No. Date Issued
----—————————————————————---—— ————————
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CER , that theZ On si a Sewage Disposal System Construd I ted Repaired Upgraded
Abandoned by J
at eS/` P'116 has been constructed in accordance
with the provisions of Tide 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 syst D wilf, nction a dsigned.
Date I Inspector � S .
---------------------------------------
No. 3 IT Fee,
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
jBi5po5al *p5tem Construction Permit
Permission is hereby granted to Con Repair Upgrade Abandon
System located at
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:Construotion must be completed within three years of the date of thi
Date: Approved by IM jll�
r
y
TOWN OF BARNSTABLE :
LOCATION r`� R� �� SEWAGE # 0 � �
VILLAGE
rg'S� ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.'
SEPTIC TANKCAPACITY
• LEACHING FACILITY: (type)
S"da Cu Ltd r (size)
NO.OF BEDROOMS
BUILDER O OWNE r ; 12,
PERMIT DATE: �'�l-O 2 COMPLIANCE DATE:
Separation Distance Between the: r
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility J Feet
Private 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
within 300 feet of leaching facility) Feet
Furnished by srw
9 6" /y,
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0
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5
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LOCATION SEWAGE PERMIT NO.
� /
V-1LLAGE
I N S T A LLER'S NAME & ADDRESS
B U I l D E R OR OWNER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED c3_a -79
� S
Ni
No......:t1� `.�._...... = Fps. . . ..............
THE COMMONWEALTH OF MASSACHUSETTS
_ BOAR® OF 9�HEALTH
...........{oI/w................OF.....BAR.W7TA .............------------....----------
Appliration for Uispniial Marks Tongtrurtinn Vantit
Application is,hereby made for a Permit to Construct (� or Repair an Individual Sewage Disposal
System at
.........1- ... .�41 Ai'1 � ------•--------- •........................................
. Location-Address r Lot No.
a = Ow er Address
a Installer Address
f�
d Type of Building Size Lot---
-----Sq. feet
U Dwelling—No. of Bedrooms..................._ Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ ( ) ( )_.__._ Showers — Cafeteria
a Other fixtures ......................................................
W Design Flow................ ......................gallons per person er day. Total daily flow--------------- .._..._......._..gallons.,
WSeptic Tank—Liquid capacity. .gallons Length ..&".. Width. `:d6". Diameter-___-__.___-•__- Depth.._ `T$
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No---------I.......... Diameter........id...... Depth below �gt-__�_��P�_ Total leaching area.-_2 61i�+..sq. ft.
Z Other Distribution box (� Dosing tank ( ) v-
'~ Percolation Test Results Performed b ..._. � __ _a..""A_°_...®'j __P Date___..____g__� ............
aTest Pit No. 1.....4.:.....minutes per inch Depth of Test Pit-------M........ Depth to ground water......
/= Test Pit No. 2_.6AOVE,__minutes per inch Depth of Test Pit.................... Depth to ground water........................
a -------------------------------------------------------•••-•--------------------•-------------:------- `
Descriptionof Soil------------------------------------ -----•----------------•------•-•-•-----f..... _- * . .. .............._...---•--...
/ ' `"
W -----•------•----------------------------------------- ------------------------------------------------------ -..__
-- -
UNature of Repairs or Alterations—Answer when applicable_-__- �t_
�;4................$...............................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the rovisions of TIT?.td.
p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has bee issued by the board of health.
Sed... ---------------------• e� ��
'Dat
Application Approved BY = ( --- ---------- 'L 7
Date
Application Disapproved for the following reasons:............ --•--------------- ----•--------•--------••----•-•--------......................................
...............................................................................................
Date
PermitNo......................................................... Issued_ L ............................
Date
Fizz
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
- otrt ................OF.... - .......................................
Appliration' for Uwpoii a1 Works Tontitrnr�ion rrmit
f:M
Application is hereby made roi"a+Permit"to Construct (-V� or Repair ( ) an Individual Sewage Disposal`
System at: '
- Location-Address or Lot No.
RD
ner
w Address
.. ... •. C. .' .a;/I.1._lL........--•-•--------------------
,�
� Installer Address ,`,
Type of Building Size Lot..___.�r.&.__.9.._..Sq. feet
Dwelling—No. of Bedrooms....................... ..........._.__.....Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of .Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
a+ Other fixtures ------------------------------------------------------ --
w Design Flow..............!�6.......................gallons per person pier day. Total daily flow............... ?p..................gallons.
WSeptic Tank—Liquid capacity_noy.gallons Length_..'�`?;�._ Width_ _'1.�?.._ Diameter................ llepth_.' '..~ _.
x Disposal Trench—No..................... Width.................... Total Length_.____..._...�.... Total leaching area....................sq. ft.
Seepage Pit No________ ___________ Diameter........!0_...... Depth below inl t....._ Total leaching area...�:_f4(c..sq. ft.
z Other Distribution box (� Dosingtank ( ) 0&& G Z, 4 14r
Percolation Test Results Performed b ._ A:� e _. �. ..." . _.:_ �'r _ Date_.__...•� .....1 .
y
Test Pit No. 1..._.-�►�_'........minutes per inch Depth of Test Pit------� -.,.___._ Depth to ground water......"°_".'.............
44 Test Pit No. 2.'5 9_,1 _..minutes per inch Depth of Test Pit.................... Depth to ground water........................
P4 . .
ODescription of Soil.........................................................................................'
w ----••---------------•--..__....-•------••-•----•--•--•-------••-------•--•-•-----------------••-•---•--•-----.-----•-------------------•---••--•--••••••......•-----•--•--••-••-•----................
U Nature of Repairs or Alterations—Answer when applicable................................................................................................
--
Agreement:
The undersigned agrees"to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Sig
ned -1� `/.
Date
Application Approved By............... .....-• --- .. -. .!. •-- -----...--
Date
Application Disapproved for the following reasons: •.................• ...................................... .....................................
....................••---••-=-------•--------------•----------•--•---------•----••-•-----...--------•---.------------....-------------------------------------------------------------------•••........_
Date
PermitNo................ ...............•--------.......................................... Issued-------------------•---- ......................
ans* Date
Y
THE COM O NWNEALTH OF MASSACHUSETT$,,,,,,, hd
BOARD OF"- HEALTH
.........�!O F.......:.: yj.................y.............................
Trrtifiratr of (tomptf anre
T I TO C FY, -t the Individual Sewagq:Disposal System constructed ( r Repaired ( )
by....... . ............... :.: - ---
all M J' �
at- l ................ y---- --- -- • ..... 1 i-- 14. r�_.-------•----------------
has been installed in accordance with the provisions of F ph'e State Sanitary arcl escriPef e�ie
application for Disposal Works C'on4ruction Permit N ............. ................. date _-_;.._._.._.....____...._._.(.---.
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS GUARANTEE THAT THE
SYSTEM 19+/ILL" FUNCTION SATISFACTORY.
DATE................................................................................ <Inspector.........._..------------------------------........................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F HEAL ;�1 '
3 ..... ...........OF....... . ....... '. :`: ............................... ... ........ } FEE . -- ..............
1 n �n .5uan rrnti�
Permissio i ereby granted.• d ...... ------•---•-••-----•---.._..... -----•-•---•--•--- .
to Constr ct ( r Replai�'( n In I Se g ps"osal System
/ /.. Q..._�}►
Street i- .� l�- "' // 7/
as shown on the application for Disposal Works Construction P it o__.___ Dated.__ ----------------------••• .._...
-
._._.. ...1.............. ____ ___.__aMt..................................
/ Board of H I
DATE. �(
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINAL (S)
I A , -
m / �C(:�J LI
DATA
I•,�tL� �L..f�W z \fib � 3 = 33C� G.RL7. - - -
� -tc: -r�►� = S. cov t5o % .495 6-P.O. I b f 3e,4 N
U Ste.- l V✓� aS is t.: LN
i a
GAL.. 4ITW To
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�'l;i5 t7t,A►,.1 t UOT 0" A+tiJ o� cE�vtt,lE_ o Ma•Sy,
T►AG rJt~s 'S� fir, fit.{�wtr� �Pt'�t-1 1_A.t,l
•�r u�,Gt? t",, DFt.VL.t r�tt41� 1-ca'C" {_two��
OVER MUST BE WITHIN ACCESS C S •
_9 ..MINIMUM.
• INVERT EL EVA T l DNS_. -- DES l GN CR L TER,/ A . GENERAL NOTES
OF FINISH GRAD 6 FI ,
3 MAXIMUM COVER TO
INVERT OUT SEPTIC TANK 104.0 DESIGN FLOW:
FIRST 2
INVERT IN DIST. BOX. 101.35 ; 3 BEDROOMS ;AT 1//0 G.P.D. PER THIS PLAN l S FOR THE DESIGN AND CONSTRUCTION
BE LEVEL MIN 2* OF.PEASTONE
INVERT•OUT `DIST. BOXr l0/. l8 BEDROOM EQUALS 330 G.P.D. OF THE SEWAGE D1SP0SAL SYSTEM ONLY.
4' DIAM PIPE
3/4- ' INVERT "IN LEACH CHAMBER: 101. i
_ I !/2- DIA.
• l04•pt 8 . DOUBLE WASHED STONE BOTTOM OF LEACH CHAMBER: 99:l NO GARBAGE GRINDER . 2. VERTICAL DATUM IS ASSUMED. FOR BENCH MARKS
101. ! 2 �e SET. SEE SITE PLAN.
GAS !01.35 •� D f ADJUSTED GROUND WATER: N/A
BaFFLE 1 1. SEPTIC TANK REQUIRED: -. .
2-500 GAL LEACHING CHAMBERS 06SERVED GROUND WATER. N/A
3 OUTLET 330 G.P.D. X 200x - 660 GAL. 3. ALL CONSTRUCTION METHODS AND .MA TER IALS AND •
1000 GAL D-BOX W/4 STONE AROUND. 12.8 X 25 X 2 BOTTOM OF TEST HOLE 4. SEPTIC TANK PROVIDED: 'l000 GAL, EXISTING MAINTENANCE OF THE SEPTIC SYSTEM SHALL
SEPTIC TANK
CONFORM TO MASS. D.E.P. T1TLE;'S AND LOCAL
! H N OR(EXISTING) 6 CRUSHED STONE SOIL ABSORPTION SYSTEM REOUIRED:_ BOARD OF HEALTH REGULATIONS.
COMPACTED BASE
DESIGN PERC RATE ,l 5 MIN/INCH
PROFILE . NOT TO SCALE
SOIL -TEXTURAL CLASS " ! 4. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER
EFFLUENT LOADING RATE 0.74 GPD/SF AREAS SUBJECT TO VEHICULAR TRAFFIC ,OR'GREATER
330 GPD / 0.74 GPD/SF 446 S.F. REOUIRED
THAN 3• IN DEPTH SHALL BE- PABLE OF WITH
STANDING H-20 'WHEEL LOADS.
PROVIDED: 2-500 GAL LEACHING CHAMBERS '
D
1 �
W/4' STONE AROUND. A-471 S.F. 5. ALL SEWER PIPE'SHALL' BE SCHEDULE 40 OR
1 / 471 S.F. x 0.74 348 G.P.D. APPROVED EOUAL
1 j r
1 e
EXISTING TEES/BAFFLES IN THE SEPTIC TANK ARE
TO BE INSPECTED AND REPLACED IF NECCESSARY.
11 1 t S 89°40.30'E
1� ► J / / /' 161.35 '
7. BEFORE CONSTRUCTION CALL .D I G=SAFE'
7-888-DIG-SAFE AND THE LOCAL WATER DEPT.
FOR' LOCATION OF UNDERGROUND UTILITIES.
1 t
9. EXISTING LEACH P i T TO BE PUMPED DRY AND
BACKFILLED.
q /
x
LOT ' 84
10. ALL UNSUI TABLE MATERIAL (A A B HORIZONS)
43. 645 f S. F. ENCOUNTERED BELOW THE ;INVERT OF THE LEACHING
f t ! 1 +107.2 FACILITY TO BE REMOVED FOR A DISTANCE OF 5'
t :" I +104 ` �\ �,\ �.w \\ • " AROUND AND REPLACED WITH SAND IN ACCORDANCE
1 M [] l �♦ �� �� \� WITH T/TLE 5.
SOIL TEST PIT DATA
1 Q \\ \ ♦ �� TP*? �\ \\ /1 O o INDICATES y INDICATES
1 �� �� \ / p PERCOLATION OBSERVED
Lt�O. 20 TP+4 \ \ 1 TEST = GROUNDWATER
^ GAS T ti, i 1 : 2-500 GALLON\ \� \\ `1 ,1 TP *i TP #2 TP •3 TP •4
LEACHING CHAMBERS ✓
1 / / HORIZON TEXTURE COLOR HORIZON TEXTURE COLOR HORIZON TEXTURE COLOR NORIZON TEXTURE COLOR
W/4' STONE AROUND TPA/ 1 i / , 0' 105.7 0' 107.4 0' 707.8 0' 104.1
•} G 1 1 ! l I 1 , A LOAMY IOYR A LOAMY IOYR 0 ORGANIC
D•BOX ! / l 1 1 { / SAND 4/2 SAND 412
.......................... :..................
7. _...:...... 706.E 8' 107.1 2' 103.9
( / LOAMY IOYR LOAMY IOYR LOAMY IOYR
ltl3.3 l i / TP#3 B B A
r I _'Y SAND 4/6 SAND 4/6 SAND 4/3
Y6• ......I.......... ............. 105.2 28' 105.5 8' ....... 103.4
--_ ( STUMPS C/ MED-COARSE IOYR C/ . MED-COARSE -IOYR B LOAMY IOYR
EASTONE -- __-_ L'T`I BM SiT NL 14P�1N£ ( /
DRIVE 't" � ✓ / SAND AND 5/6 SAND AND 5/6 SAND 6/6 f
106.5 ............... IOYR
/EXISTING 1 1 p ! �i /r' { / FINE-MED
1 l w / / i 1 601 ...............I............... 102.4 C SAND 7/4
4 { { } PIT 1 1 / ! I COMPACT
EXISTING �/ �/ CG SANDY LOAM
TANK I l / �' / 78• .. .... 100.9 64. ...... .. 100.8
1 _ 106.2 r i m r/ r C3 MEO-COARSE C2 COMPACT:
SAND SANDY LOAM
NO WATER NO HATER NO WATER NO WATER
GAS METERS �� 108' 96.7 12 97.4 /20' 97.8 120' 94.1
CATCH BASIN
DATE: JULY'9, 2002 DATE: AUGUST 7. 2002
TEST BY: STEPHEN HAAS TEST BY: STEPHEN HAAS
WITNESSED BY: DAVID STANTON PERC RATE: ! 2 M/N/INCH
PERC RATES 7 2 MIN/INCH .
S T i c S Y S TEn OE- 5 iN
r $ Z P 88
S4 PAL OM DR I, VE . M,4P .3l6 . .4RCEL
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