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HomeMy WebLinkAbout0021 REDWING LANE - Health 21 Redwing Lane �\ : Barnstable AF A= 318 -001 u , .V TOWN OF BARNSTABLE LOCATION &Z A,/' d✓ SEWAGE #ZOO VILLAGE ���N Sr.9���P ASSESSOR'S MAP & LOT STALLER'S NAME&PHONE NO. S—o if' 77 Y i34 _ c SEPTIC TANK CAPACITY l LEACHING FACILITY: (type (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater.Table and Bottom of Leaching Facility S 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 522 1. Z_', Cy GA4 A G g o -0 ®�G = 37,z s' 0 r F6Pa= 35 No. �,U`�� p Fee l®© THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppfication for Miopoar 6potem Conotruction Permit Application for a Permit to Construct( , )Repair(grade( )Abandon( ) ❑Complete System ❑Individual Components Location Address Lot No, ` 2 i Owner's Name,Address and Tel.No. J ��'s..e j' G�w'f (>/9/t ws 3Tti •S � V o/�.✓ j�h-l►/t !f .�/i O�'�i s9 .� Assessor's Map/Parcel 73i Al Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 4 4-,-& (:�, N S j C,,Rs- g& 5—v %t b �; % Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder e� Other Type of Building O No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow �/ gallons per day. Calculated daily flow y�s�j gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank €,, J l %--o Type of S.A.S. s�✓Fi �rlgy7vcjs' 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 iss his d of Health. Sig Date Application Approved b Date Application Disapproved for the following reasons Permit No. Date Issued lD O ,.pr, .,...._ ... .. - ' --.::.... -. ,.....L_�a -._ _}.�.. _ ..r. ,y.J'�-ram,....-.n;_ t`_.+K.yw"-.r.•ram..-+'^r-+.-v--+w,:.:+.^n _a. .,- . --• -•- .- . No. (J\J �/ `r Fee 4 Entered in computer: , THE COMMONWEALTH OF MASSACHUSETTS Yes PUBLIC HEALTH'DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIpplication for Migpaal &pgtem Congtrt tion Permit AV Application for a Permit to Construct( )Repair <Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Are pr Lot No ' / Owner's Name,Address and Tel.No. / 2 / y ee rJ'W, r f L.�..�F (��► n,s:.� �f Ii Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No." A 2 Z_ C--,og see' Sv z j ` Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building TL S No. of Persons Showers( ) Cafeteria Other Fixtures Design Flow C!/ __7/ y gallons per day.,Calculated daily flow S� gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 's ! o © Type.of S.A.S. Description'of Soil "" ? j / . 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 tbis_Board of Health. • //, / U Sig e i - Date Application Approved by Date U s Application Disapproved for the following reasons Permit No. 0qW5 Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Comphance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( ) Repaired (NUpgraded( ) Abandoned( )by A "`e, /7' at / 4 Z 4Z��, L r has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Pen-nit No. � a`f dated � ��--5 Installer c f Designer The issuance of this��e itasl}a�l�,not be construed as a guarantee that the sy tem "ll t'on as esigag Date lJ� -7 Inspector No.�" ------------------ = . ---.-Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS 1Wigpoga1 *pgtem Congtruction Permit Permission is hereby granted to Construct( )Repair(Upgrade( )Abandon( ) System located at `f 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 rsust be completed within three years of the date ff this f� Ci Date:_ / -5 Approved by f 06/09/2005 14:03 5083628506 EAGLE SURVEYING INC PAGE 01 Town of Barnstable Regulatory Services Thomas F.Geiler,Director .ef9. Public Health Division Thomas McKean,Director 200 Main Street,Hyanni.9,MA 02601 011la: 508-862-4644 Fax: 508-790-6304 Installer & D� 9812ner,Cer lcadon Forte Date: G 9 e Designer: �f . . � � �'S Installer. Address: 9 t3 /LL?st Co A Address: 'PaX / � a A -H� c2G�►� yam^-�404 . Onj�zq 0 -i— was issued a permit to install a (Crai installer septic cyst DO ;2 b6sed on a design drawn by (addresky dated �' r (dose@nor) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such 28 lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical.relocation of any component of the septic system)but in accordance with State & Local Re ations. Plan revision or certified as-built by designer to follow. Vk OF er's ignature No. _(Designer's, tgaaturie esigner s StaMp ere) n.&ASE RETURN TO B ARNS AHLE PUBLIC AL D . C R C E WILL NOT BE ISSUEDUNT BOT S FORM' AND AS- MAXQU CE E D B ST P ALTH DM IO . THANK�COU. Q.HealMcOoT eeipw C rtmatlo®Form TOWN OF BARNSTABLE LOCATION ;����-��: -SEWAGE # VILLAGE . ASSESSOR'S MAP & LOT3 U a / F. 'KENNIZED Y TpU (Ni INSTALLER'S NAME &•PHONE NO. A �+ ap I! SEPTIC TANK CAPACITY fj ae , LEACHING FACILITY:(type) Tb at- (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLI WATER BUILDER OR OWNER ' DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes l Air '` p 4 \ w. _mot s • 'M 4'• A'.7.>" _ . 1 • :a` No..� :.......... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Disposal Iforks Tunitrnritun rri ntit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal systemat• - .��-- .............. ------ - ............. �:4 _ Location-Address or Lot No. .. .. - - - --•-...................................... .....•-----•----------------------•---•--. ----------...---......._.....-----------. -••---- caner - ddr •------------- .5.. ... ....r - -....... Installer Address e of uilding Size Lot............................Sq. feet U Dwelling—No. of Bedrooms________________________________ _Expansion Attic ( ) Garbage Grinder ( ) F + '4 Other—T e of Building No. of persons____________________________ Showers — Cafeteria P4 Other fixtures ------------------------------•--- -- - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length---_----------- Width--_----------- Diameter................ Depth................ Disposal Trench—No_____________________ Width_________._______,__ Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---_---------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Q+' .....................................•......................................................................................................................... 0 Description of Soil..............................................................................---------------------------------------------------------------------------.........-•--- x V •---------------=-------•-------------------•---------------------------------------------- __-------------------------------- •--------------------------------------------------------------------------- W •--------------- -------------------------•--------------------•---------------------------------------------- - --------- ------ - VNature of Repairs or Alterations—Answer when applicable--- / -�--4. ----------------------------•------------•---------------------•----•---•--_._...----...............--••------------------------------------------------------------••-•-•-------------...-----......--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia has been issued by the board Qf health. Signed ---- -- -- - - ---------------< ............................ Date ApplicationApproved By ------------- --' -----�---- ----.......... ------ ------------------------------------------------------ --- = ell C1 Application Disapproved for the following reasons- -------- -- ---- ------------------------- -------------------------------------------------------------------------------- ------------------- ------------------------------------------------------- --------------- ..: �� F / f ......... Date Permit No- ---------- - ----------- --�------------------ Issued -.--.-.... ---------.Y-..----------------------------.....------ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Applirativit for Biipnsal Works Tonstrurtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ..... ..¢� ..7 ................... ...................... t...--•-------------- ------ Location-Address or Lot No. �.............M ...... ..........--•----.cf�..........................7-. /i::r��5_�!� ���- r 1 Owner Address Installer�/ V f Address U :](Weof ;Z'lding U Size Lot...........................Sq. feet t-t Dwelling—No. of Bedrooms........... ...........................Expansion Attic ( ) Garbage Grinder ( ) a Other—Type T e of Building No. of ersons.......__ ' ._.._....._ Showers — Pa YP g P ( ) Cafeteria ( ) dOther fixtures ------------------------------------------------------••----------•--••-•---•--•••••-------••----•------•-....----.........--------------...--------- WDesign Flow.........2.... ..._ .._._`f�..gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid'capacity./___s.rj lions Length............... Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width_.._._r....._...... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No.J--�{�--__-._-- Diameter.......i!�_.__..... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1.4 Percolation Test Results Performed by---•----•---•--------•................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water_-___---_____-__---_---. LX, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 Description of Soil....� -- ` 1 !/, _ . . __.... _ --- ----------------------------- ------- ................................ W ----••----••... . ........................................................................................... ....-••---....... - --- --- U Nature of Repairs or Alterations—Answer when applicable.-II., 5f ? - r- ' �7 i.�._../f)91, S S f--,Lr C /:,�-'!�. '-` " * /L1 /trA act ,e/I Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliances has been issued by the board of health. / Signed ..... _1 Jf /'e7 Date ApplicationApproved By ..... ..... .... ....lb �. .-------- -----......__. ...................................... Date Application Disapproved for the following reasons- ------------------------------------------------------------------------------------------------------- ---- ---------------------- ..................................................................................................................... ...............................•---------•------------------------------------------ ...........----- ----------- 3 q L ------Dare Permi= No. / - .. ............. Issued .......-.........-.. ............ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF-HEALTH TOWN OF BARNSTABLE (9.erttftra#.e of (fanyltttnce THIS TO (CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by------- ' ' (.�c-..-�2- c - r1 l/ Instdler at e �?. •f,� ^..................................... . ...........: �p ---------- - has been installed in accordance with th4rovisions of TITLES of The State Environmental Code as described in the application for Disposal Works Construction Permit No. .......?el........ �f..�a.... dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-.. ................................................ ......................................... Inspector .................................................................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No..•-C?I^L+��� TOWN OF BARNSTABLE FEE..:. ur��• Cni �#r�.t�rtilan �rrutit Permission is hereby granted. rQ:._....4h'a.�...............----•................................................................................... to Construct ( ) or epair (,&-,) an `individual Sewage Dis�osal System at No. - ®r ,lax :...... + ...................•---•---...............---••---...----....._ . _ v..... Street as shown on the application for Disposal Works Construction Permit N010.tY.... Dated.......................................... -------------. .r ...................................................... Board of Health DATE.......... .....r d................................ FORM 36508 HOBBS at WARREN.INC.,PUBLISHERS 18' MINIMUM COVER INSPECTION PORT INVERT ELEVATIONS : DES I GN CR I TER I A / FIRST 2 ' TO INVERT AT BUILDING: 46. 3 ( ROAO i ACCESS COVERS MUST BE WITHIN BE LEVEL 'VENT MIN. 2' OF DESIGN FLOW: ` TEE PEAS TONE INVERT IN SEPTIC TANK: 47. 3 4 BEDROOMS AT l 10 G. P.D. PER 51 . 9 6 ' OF FINISH GRADE INVERT OUT SEPTIC TANK: 47. 0 BEDROOM EQUALS 440 G. P.D. >_ le• MIN M/N 2x-_..� �r INVERT IN PUMP CHAMBER: 46. 9 i _l3/4" 1 I/2' D I A. NO GARBAGE GR/NDER LOCUS 1 10" H-20 DOUBLE WASHED STONE INVERT OUT PUMP CHAMBER: 46.65 49. 7211[ ,- 4 / INVERT IN DIST. BOX: 49. 72 : 2" SCH 40 PVC ° • 5 SEPTIC TANK REQUIRED: INVERT OUT DIST. BOX: 49. 55 46.25 49. 53 " " 6 H/uH CAPACITY/ TY INFILTRATOR 440 G.P.D. X 20OX - 880 GAL . 3 OUTLET CHAMBERS W/4 ' STONE AROUND INVERT IN LEACH CHAMBER. 49.53 SEPTIC TANK PROVIDED: 1000 GAL. EXISTING I D-BOX / I r X 46 ' 1 X 10"d '5 BOTTOM LEACH CHAMBER: 48. 7 `- �- SOIL ABSORPTION SYSTEM REQUIRED: RAILR AAl � I o ADJUSTED GROUND WATER: 43. 7 EXISTING 1000 GAL Hip PUMP CHAMBER '� ; ; OBSERVED GROUND WATER: 42.4 DESIGN PERC RATE ( 5 MIN/INCH 1 1 SEPTIC TANK WATERTIGHT AND v �� ! I BOTTOM OF TEST HOLE �l : 38-4 SOIL TEXTURAL CLASS - l �t h FACTORY WATERPROOFED INDEX WELL SDW 252. ZONE A EFFLUENT LOADING RATE - 0. 74 GPD/SF 440 GPO / 0. 74 GPO/SF - 595 S.F. REQUIRED 6" CRUSHED STONE OR t , APRIL 04 READING-47.2 '. ADJ-1 . 3 ' LOCUS MAP COMPACTED BASE ; ; PROVIDED: 6 HIGH CAPACITY INFILTRATOR IVW 2 PROF I L E NOT TO SCALE I i CHAMBERS W/4 ' STONE AROUND. A-601 S.F. GENERAL NO TES i I T 60/ S.F. x 0. 74 - 445 GPD S 88*50 "40'E l93. 23 1 ' ' I VWa '1 . THIS PLAN 1S FOR THE DESIGN AND CONSTRUCTION SO I L TEST PI T DA TA 6 HIGH CAPACITY r .+50•L / OF THE SEWAGE DISPOSAL SYSTEM ONLY. INFILTRATOR CHAMBERS Fo i , I \Q l ND I CA TES _� I ND I CA TES W/4' STONE AROUND 4"MAPL PERCOLATION OBSERVED TEST - GROUNDWATER 2. VERTICAL DATUM IS ASSUMED, FOR BENCH MARKS SET. SEE SITE PLAN MH, t I P:I0718 7 3. ALL CONSTRUCTION METHODS AND MA TER I AL S AND L O T �J `� `PENTvw 4 0, HORIZON TEXTURE COLOR 50.4 MAINTENANCE OF THE SEPTIC SYSTEM SHALL 24. 300' S. F. \ �� �` SOIL REMOVAL I LOAMY IOYR CONFORM TO MASS. D.E. P. TITLE 5 AND LOCAL TP, SEE MOTE Io. A SAND 2/2 BOARD OF HEALTH REGULATIONS. � ' -'S° \ � l2" 49. 4 LOAMY IOYR 4. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER D SAND 4/6 AREAS SUBJECT TO VEHICULAR TRAFFIC OR GREATER ;� ;, `� / 27. + 30• 47. 9 THAN 3 IN DEPTH SHALL BE CAPABLE OF WITH- BM CENTER FLAGS TON i - `\ , ; It SILT LOAM IOYR STANDING H-20 WHEEL LOADS. L-52.�9 C\�� T i I CB/DH FN COMPACT 5/2 72' 44. 4 5 ALL SEWER PIPE SHALL BE SCHEDULE 40 OR � C2 4R.y MEDIUM IOYR APPROVED EQUAL . oV) oo ��� 1� e��e 0a 84 SAND 6/8 h ♦p h q � Q. ,'-,,_EX I S T I NG' 6 SEPTIC TANK. PUMP CHAMBER AND D-BOX SHALL BE o v +pl �p TRENCH - - - ; ks� ; ~ REINFORCED PRECAST CONCRETE. WATERTIGHT AND42 4 WATERPROOF. O-BOX SHALL BE WATER TESTED TO Z \ 96 = 1 I ! _ CHECK FOR LEVEL WHEN THERE IS MORE THAN ONE OUTLET. pc3` o ,Y`lv ����� ; 144' 38. 4 7. BEFORE CONSTRUCTION CALL 'DIG-SAFE'. �` � DATE: MAY 5. 2004 1 -888-OIG-SAFE AND THE LOCAL WATER DEPT. Fy EXISTING - PUMP CHAMBR I ; TEST BY: STEPHEN HAAS FOR LOCATION OF UNDERGROUND UTILITIES. sb�s� sEPrrc TANK a _ p� op WITNESSED BY. DAVE STANTON PERC RATE: ( 2 M!N/l NCH 8. SEPTIC SYSTEM INSTALLER SHALL NOTIFY THE DESIGN ENGINEER TWO DAYS PRIOR TO CONSTRUCTION OF THE SYSTEM TO ALLOW FOR SCHEDULING OF THE 0-,ES �i� SECOND FLOOR PLAN CONSTRUCTION INSPECTIONS. �. �i 9. EX/S T 1 NG LEACH TRENCH TO BE ABANDONED. 'C ALL UNSUITABLE MATERIAL (A 6 B HORIZONS. Cl LAYS ENCOUNTERED BELOW THE INVERT OF THE LEACHING N 89°43 •W FAC/L I TY TO BE REMOVED FOR A DISTANCE OF 5 ' 15 6 AROUND AND REPLACED WITH SAND /N ACCORDANCE �4� I WITH TITLE 5. a / + �l IJ S ZE T C 5 YS 7E/ V/ 02S S O/ V I 1 WHERE THE WATER AND SEWER L 1 NE CROSS, THE SEWER �' - I 2 / R EO W / /V G L A /VEE "A P 3 / 8 PA R CE-L O O / LINE IS TO BE SLEEVED WITH A LARGER DIAMETER PIPE FOR TEN FEET EITHER SIDE OF THE WATER LINE AND SEALED AT BOTH ENDS. Ivw s - &A R /V S TA S L E . "A _ B 0 U YA NC Y CALCULATIONS : I rw , pGE OF 11ETLAND � PREP,q RED FOR PUMP CHAMBER DISPLACEMENT - (43. 7-42. 0) x 8. 5 x 4. 83 - 70 C.F. �2D'D1'Y� IYw 6 70 C F x 62. 4 +/C.F. - 4355•. H- 10 TANK - 8240• OK O H /V A/�,4 R K T f--H C M,4 S PUMP SYSTEM NOTES : \ 88 Lei WTO/V ROAD . /VEED"AM . MA 02492 I. PUMP TO BE MYERS RESIDENTIAL SEWAGE PUMP MODEL SRM4 4• PVC /NLErl COUPLING PVC OUTLET OR EOUAL. WEP SCALE MERCURY FLOAT HOLE C9/DH FND 2. THE PUMP SHALL START AND STOP AT THE ELEVATIONS SHOWN. I SWITCHES aCCKALVE E A ^ L E S LJ R ` / E \ / I ^ O ' I ^ � C ALARM ON YACVE L�cY (v- \v/ Y i THE PUMP SHALL BE INSTALLED IN STRICT CONFORMANCE WITH I PUHP ON 7r IYw 7 THE MANUFACTURER'S SPECIFICATIONS AND TITLE V REGULATIONS. 923 R O u t e PUMP DISCHARGE SHALL BE 2 INCHES. PUMP SHOULD BE ABLE TO ( Puy OFFS RAW 1UMP CB7DH FN \ -` Y a rtY10 lJ t h p O T t M A 02675 BE DISCONNECTED AND LIFTED OUT OF THE PUMP CHAMBER WITHOUT C' I//1/ ( j O 8 ) 3 6 2-8 1 3 2 HAVING TO ENTER THE PUMP CHAMBER. ( 5 O 8 ) -3 2-5 3 3 3 4. THE ALARM SHALL START AT THE ELEVATION SHOWN AND BE PUMP DETAIL :Nor TO SCALE POWERED BY A CIRCUIT SEPARATE FROM THE PUMP POWER. USING /000 GAL. PUMP CHAMBER 5. AN ELECTRICAL PERMIT MUST BE OBTAINED FOR THIS INSTALLATION WATERTIGHT AND WATERPROOF O !O 20 4C JOB .ND O4-O?O ELD l FW%EEK CALL: SAH/CFW CHECK -FW DRN KPK