HomeMy WebLinkAbout0022 ASHLEY DRIVE - Health .shley Drive
Centerville
A= 172 —092 '; s
I
S M E A D
No.H163OR
UPC 10259
smead.com • Made to USA
1 �
No. c;00 ! Fee 160
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
application for �BizponY *p!5tem Cow5truction Permit
Application for a Permit to Construct( ) Repair(Upgrade O Abandon( ) ❑ Complete System U Individual Components
Location Address or Lot No. e2 a ASj4ley JW,1/oe' Owner's Name,Address,and Tel.No. 9.6 csf G rAy
CZ.,ftiretty,-tt-e 9 zL 4514iey orz;vc
Assessor's Map/Parcel a-12 o qZ 6_4jev"4 1(G m 4 02k03 L
Installer's Name,Address,and Tel.No. �qP�" �nf�P�'4`s Designer's Name,Address and Tel.No. T L,
P c. 13gx Tb3
('Ly►1-tivi ale. , aha
Type of Building: p
• Dwelling No.of Bedrooms Lot Size Z500 sq. ft. Garbage Grinder ( )
Other Type of Building - 'e_ a No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 330 gpd Design flow provided gpd
Plan Date 4— - 21007 Number of sheets_ � Revision Date
Title 'Z& ASt tj►r
Size of Septic Tank 1000 Type of S.A.S.
Description of Soil 5W, 2 14'y`
Nature of Repairs orr�Alter tions(Answer when applicable) eS4,i�1 ti., Tlorti''t MW t- Sao rc
i1+�tJ {Q1dP�, lr t�
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 Certificate of
Compliance has been issued by this Board of Health.
S' ne Date
Application Approved b Date Ll
Application Disapproved by.: Date
for the following reasons
Permit No. ! �� Date Issued
No. G i!J� c>• :. Fee /OO
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
{ Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
Rpprication for Mi!5po!9a1 `dip,5tem (Con.5truction Permit
Application for a Permit to Construct( ) Repair(U!Upgrade( ) Abandon( ) ❑ Complete System '!(Individual Components
Location Address or Lot No. Q P ASH/ yy i�/r'dG� Owner's Name,Address,and Tel.No. Z(t/I 16 fA y
Ge.�Tcf2v�tlr ��1 zZ Asa�eY82+vF
Assessor's Map/Parcel I-IV 6 41. "'
Installer's Name,Address,and Tel.No. CQF'�"''� E"{eiP�.�as Designer's Name,Address and Tel.No.
-�
Type of Building: �^ 4
Dwelling No.of Bedrooms Lot Size aS��b0 sq.ft. Garbage Grinder ( )
Other Type of Building J`i�tV C i w No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 330 gpd Design flow provided gpd
! Plan Date -1" ZOO ] Number of sheets Revision Date i
Title Z Z IA51�
Size of Septic Tank 1000 Type of S.A.S.
Description of Soil 6m, j214..,
r Nature of Repairs or Alter tions(Answer when applicable) 4X) 1-4m, „) b- 80,(.
' 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 Certificate of
Compliance has been issued by this Board of Health.
Signed { Date
Application Approved by. Date Z J
Application Disapproved by: Date
for the following reasons
PermitwNo. 3 C-) "— Date Issued d Q le)7•
s THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
(Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( 1/) Upgraded ( )
Abandoned( )by C"•tie �11' ��p'�S�S �.•(.�.
at 2 AS Jq)e4-i b(,V F. (e,44U�'d e has been constructed in accordance /
with the provisions of Title 5 and the for Disposal System Construction Permit No. OCya? S dated 1/
Installer ei4,Qwlk 9v(kv-Q✓/des LU'L Designer 64k f rle.,fcrt-
#bedrooms w Approved design flow 3 a gpd
%�
The issuance of this permit shall
/n/ot`bee construed asa guarantee that the system,41111 Action as desigrI6 ,�'
Pn
Date `-?'!,91,A/()e Inspector /L✓�[r'11111 11 �61AZ49QAA,1111_�
No. 7 5 Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS
=iq&gat �&p!tem C5truchorl permit
Permission is hereby granted to Construct ( ) Repair (If)) Upgrade ( ) Abandon ( )
System located at Z�L t c/�,t 4�
and as described in the above Application for Disposal System Construction Perm.The applicant recognizes his/her duty
to comply with Title S and the following local provisions or special conditions:
Provided: Construcctio must 1 760
completed within three years of the da e of this permit.
Date
A roved�b_
/ P]?
02/28/1934 02:26 508-730-1578 .J.P.MACOMEM & 50N PAGE 03
Town of Barnstable
Regulatory Services
i E Thomas F.Geller,Director
' Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
office: 509462.4644 Fax: 508-790-6304
Installer& Desiauer Certification Form
Date: y-26-0 7
Designer: 7:YC. Eng�neeCCnS ., Toc. Installer: C ae2.wkdLe-
Addreas: 29SLI Crolaoerr.y N—� Address: 1/507-- h F-ai0000tv, Rj
E . wcr&-,crr KA- 0752,8 (fOkL)A I rL
On C a C e"' �c1 e. was issued a permit to install a
(date) (installer)
septic system at 2 2 RsW e -DC(u based on a design drawn by
s)
SG Enb(oe-ecinol v1.c . dated Oe(- 1 l9 , 2007
designer)
Z11'certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box aad/or septic tank.
I certify that the septic system referenced above was installed with major changes (i.e.
greater then 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic systext)but in accordance with State&Local Regulations. Plan revision or
certified as-built by designer to follow.
OR
�► s
JOHN L.
CHURCHILL
JR.
18 1gnRtllrC) CML
41507
4esrgner s rgna
(A Desig;rslco- TH
tamp Here)
LE 3 RETURN .O BARNSTABLE.PTIB3 � AX, DN. CER InCATE
F COWILANCE 5YA& NOT BE ISSUED UNTUj JQTH MMS FORM AND AS-
IMI K :ARE RECEIVED BY THE BAl2NSTABLE PUBLIC HEA,)L.TD DIVISIOIRQN
Q:HadtNsepUdDesisner CeItfication Form
TOWN OF BARNSTABLE J�
LOCATION ASA &c. SEWAGE#
VILLAGE ASSESSOR'S MAP&PARCEL Q.?
INSTALLERS NAME&PHONE NO. �'4,�, 4a,4 -',,1 y�C_y��
SEPTIC TANK CAPACITY /OOU Ili U
LEACHING FACILITY:(type) (S) GG (!ZS gs/(size) 7 X 3,',,J�
NO.OF BEDROOMS
OWNER ell
r^
PERMIT DATE: COMPLIANCE DATE:
r �
Separation Distance Between the: = "
i
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility O 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
�3
At Y7• y
All-k
AS
Prli
as a yo
3/4"TO 1-112"DOUBLE WASHED
TOP OF FOUNDATION = 70.1'± PROVIDE PRECAST CONCRETE EXTENSION FINISH GRADE OVER D-BOX= 68.9 ±
STONE TO CROWN OF PIPE
RISER OVER INLET&OUTLET COVER TO REMOVABLE CONCRETE COVER
2"OF 1/8"TO 1/2"DOUBLE
WITHIN 6" OF FINISHED GRADE ! TO WITHIN 6" OF FINISHED GRADE FINISH GRADE OVER CHAMBERS = 68.8' - 68.3' WASHED STONE GENERAL NOTES
FINISH GRADE @ FND. EL.= VARIES FINISH GRADE OVER TANK EL.= 69.3' ± 5" DIA. OUTLET(S) SLOPE @ 2% MIN. OVER SYSTEM
ACCESS BOX WITH COVER TO GRADE
4"SCHEDULE 40 PVC MIN SLOPE 1% (SEE NOTE#21) 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION
METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE
1 ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES.
TOP OF SAS 2.
12" MIN. = ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD
"
' e---- - 9"MIN. PLACE RISERS ON 65.83' OF HEALTH AND THE DESIGN ENGINEER.
1
EXISTING 4" SEWER PIPE 6�3" 2�" DROP MIN. F 9_ JrIN
IPROPOSED 4" PVC PROVIDE WATERTIGHT 65.00' 36" MAX. CHAMBERS W/PIPED 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL
INLETS TO 6"OF BREAKOUT EL = BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED.
_- 3 DROP MAX. .s�oPE�,� JOINTS (TYP.) 65.50'
\ 10" " FINISHED GRADE
4 PVC IN FROM 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN
J_ 14" *66.5 ± SEPTIC TANK 4" PVC OUT TO ELEVATION =65.50' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS
*67.0� ' LEACir
HING FACILITY 00 A 40 MIL GEOMEMBRANE LINER IS PLACED AT LEAST FIVE FEET FROM S.A.S. AND THE TOP
-� p O p O op OF THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION.
*66,8'± �� OUTLET TEE 12' o o
48" 65.47' M NI 65.30' 1' op 0 0 0 0 Lck>(Z�'
00 D 0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM.
CONTRACTOR CONTRACTOR SHALL + p °° 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL.
SHALL VERIFY SIZE VERIFY CONDITION OF V22"ZABEL FILTER 6" CRUSHED STONE �- o 0 0 0 0 o p o 00 0 0 0 op 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO
AND CONDITION OF EXISTING TEES MODEL#A1801-4x22 OVER MECHANICALLY 1' poop o 00 0 o p o0 00 0 00 0 00o po o °° ao p o p opo 00 00 4"PVC TEE COMPACTED BASE + o0 op °° op po 00 0oBACK FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR
EXISTING SEPTIC AND REPLACE AS poo INSPECTION. SYSTEM IS NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING
(GAS BAFFLE ON BOTTOM) -
TANK NECESSARY 5 4.0' 4.0 APPROVAL FROM BOARD OF HEALTH AND DESIGN ENGINEER.
_ OUTLET DISTRIBUTION BOX 6.1 (�rp) 2.0 2.0
TO BE INSTALLED ON A LEVEL STABLE 3.0' 8. ELEVATIONS BASED ON APPROXIMATE M.S.L DATUM OF 70.00'
38.5' TYP.) ESTABLISHED ON A NAIL IN 13"OAK TREE AS SHOWN ON PLAN.
EXISTING 1000 GALLON CONCRETE SEPTIC TANK BASE. FIRST TWO FEET OF OUTLET < 56.67' (7.0' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION
LENGTH 8•5' WIDTH 4.83' DEPTH 5.58, PIPES TO BE LAID LEVEL. zr3.00� GROUND WATER ELEV= THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE
*CONTRACTOR CROSS SECTION VIEW 5 - LC-6 CHAMBERS 5' MIN. AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY
SEPTIC TANK PROFILE TO VERIFY DISTRIBUTION BOX DETAIL CHAMBER DETAILS DISCREPANCIES TO THE DESIGN ENGINEER.
NOT TO SCALE NOT TO SCALE
TYPICAL CHAMBER PROFILE NOT TO SCALE CHAMBER END VIEW 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE
STRUCTURES SHALL BE MADE WATERTIGHT.
G #h` �" TEST PIT DATA 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR
ratnbe" + • ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH
�' o DETERMINATION FROM APPROPRIATE AUTHORITY.
A, ` ` s • + + INSPECTOR: Donald DesMarais
•• 1 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS
•• �� w w SOIL EVALUATOR: Michael Pimentel, E.I.T.i LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE
• --�7 � DATE: April 18, 2007 THEY SHALL WITHSTAND H-20 LOADING.
w •
w+ • Q + w • w , TEST PIT#: 1 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND
SSO° r • " �' * + + M * .4 • ELEV TOP= 68.50' FINES.
°O� DO / rE�e /2 Sd'g �: ; 4 • . 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND
�hSz)' / � .9 �>, ELEV WATER= < 57.00, UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF
r MAP 172 + e LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN
PARCEL 237 ���� II +# • • * + w r PERC RATE _ <2 MIN/IN COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN
E
MAP 172 \ \ r +� tl • + •w • • r' " ACCORDANCE WITH 310 CMR 15.255(3).
\ E i,, / , . + DEPTH OF PERC = 38"-56 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN
PARCEL 91 <c, 6,g \ +• * +� w w �' TEXTURAL CLASS: 1 SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK.
�. 11 r . • n t /"�'BH J ° + + + + w '� ✓ 16. PROPOSED PROJECT IS LOCATED WITHIN:
�� `� �" w • w • r' 0 68.50
/ F • +► ASSESSORS MAP 172 PARCEL 92
i
aq ll ` FILL OWNER OF RECORD: ROBERT E & DORNA C GRAY
a' CB/DH (FND DIST)� `�, ,/ . 24 66.50 ADDRESS: 22 ASHLEY DRIVE
/ Benchmark g Loamy Sand CENTERVILLE, MA 02632
rr7 Nail in Oak Tree j 1� �` • • , 10YR 5/6
l 3g" 65.33' FEMA FLOOD ZONE C
Approx. M.S.L. .Gran rry Perc - AS SHOWN ON COMMUNITY PANEL# 250001 0015 C
j
e,,\Bo6 l� �� 56" _r Coarse Sand 63.83' 17. PLAN REFERENCE:
# 2.5Y 6/6 1. ASHLEY DRIVE LAYOUT(PLAN BOOK 334, PAGE 79)
/ -r / ' •HC-1 ,' (15-20% Gravel) 2. PLAN BOOK 247, PAGE 84
#22 C1 (Cobbles)
/ EXISTING EXISTING 1. 18. DEED REFERENCE:
1. BOOK 6954, PAGE 313
/ I 3-BEDROOM CONCRETE PAD
I� DWELLING * 61.00'
90„ 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION.
20. PROPERTY LINE INFORMATION IS APPROXIMATE, ONLY. THIS PLAN IS TO BE USED ONLY
}� w ,�"�� / .. '��! +•,� Medium Sand
* e�-_� . ____ _ S• C2 2.5Y 6/6 FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY
�I 69 GAS �/ coo / - - - - - -- - - FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE.
}/ I I / - Loose ,
+ / 21. A 4" PERFORATED SCH. 40, PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION, TO A
EXISTING BIT. � MAP 172 I 138 57.00 DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3" OF FINISH GRADE. A
DRIVE LOCUS PLAN
PARCEL 92 ( �� No Standing, Weeping, or REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS.
d SCALE: 1" = 1000'
6�\ \ 18,845±S.F. \ /� �, / Mottling Observed
+ , TEST PIT DATA LEGEND
10OX00 EXISTING SPOT GRADES
\ \ (2) �\ /+/ EXISTING STONE / / DESIGN DATA INSPECTOR: Donald DesMarais - - 100 - - EXISTING CONTOURS
/ °, SOIL EVALUATOR. Michael Pimentel, E.I.T.
DRIVE °o� �� / DATE: April 18, 2007 i�0� PROPOSED CONTOURS
(1) s TP 1\.
68x50 O HC-2 / �` _ TEST PIT#: 2 102 PROPOSED SPOT GRADE
NUMBER OF BEDROOMS 3 ELEV TOP- 68.00'
0'co �68 Q EXISTING 1000 /y a // J DESIGN FLOW 110 GAUDAY/BEDROOM - -X-X-X-X-X-X EXISTING FENCE LINE
TP 2 GALLON SEPTIC TANK TOTAL DESIGN FLOW 330 GAUDAY ELEV WATER < 56.67
F� 65. *00 \ PROPOSED ate` % / / O� ° = 660 PERC RATE _ <2 MIN/IN ❑/H/W -- EXISTING OVERHEAD WIRES
T -I'� ! a �� DESIGN FLOW X 200 /° GAUDAY
�TyA DISTRIBUTION BOX _�- j ��O GAS - EXISTING GASLINE
` USE EXISTING 1000 GALLON SEPTIC TANK DEPTH OF PERC= N/A
J \ \\'�� - -- -6`�� /✓ h� W W-- EXISTING WATERLINE
TEXTURAL CLASS: 1
9 S8\ , ; _ TES ` EXISTING UNDERGROUND TELEPHONE LINE
• ' 3) Q INSTALL 5 LC-6 LEACHING CHAMBERS 0" 68.00'
I TEST PIT LOCATION
'T � Fill '
(OA C�� SIDEWALL CAPACITY 20" 66.33' -
/'o(/e 5.0 \ \ -' �� B Loamy Sand O; EXISTING 1000 GALLON SEPTIC TANK
z/0 �,QO \ (4) 41 6�' '� (LENGTH +WIDTH)(2)(2' HIGH) (0.74 GPD/S.F.) = GAUDAY ,� 10YR 5/6 PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE
�' '+ .74 PD .F = 1 4.7 GAUDAY 36 65.00
Vol '9\\ � `� -PROPOSED 5 LC-6 � (38.5 7.0) (2)(2) (0 G /S .) 3 G UD Y
LEACHING CHAMBERS PROPOSED DISTRIBUTION BOX
\5 x / BOTTOM CAPACITY Coarse Sand
\ \ / C1 2.5Y 6/6 0 PROPOSED LC-6 LEACHING CHAMBER
, � ( LENGTH x WIDTH ) (.74 GPD/S.F.) = GAUDAY (15 -20% Gravel)
(Cobbles)
38.5'x 7.0') (.74 GPD/S.F.) = 199.4 GAUDAY REV. DATE BY APP'D DESCRIPTION
\ s� ' 92" 60.33' PROPOSED SEPTIC SYSTEM UPGRADE
H (FND DIST)/ /
-EXISTING LEACHING 64.2 CB/DH (Fnl�) _-- TOTALS: PREPARED FOR:
/ Medium Sand ';
PIT TO BE PUMPED �'? / / C2 2.5Y 6/6 ROBERT E & DORNA C GRAY
AND FILLED WITH � `� � � / � '� Loose
__ / TOTAL NUMBER OF CHAMBERS: 5 LOCATED AT
CLEAN SAND. - -
\ \ L=42 / TOTAL LEACHING AREA: 451.5 SQ.FT.
R=30.001 TOTAL LEACHING CAPACITY: 334.1 GAL./DAY 22 ASHLEY DRIVE
No Standing, Weeping, or
CENTERVILLE, MA 02632
Mottling Observed
-64 _
SWING TIES -_
RESERVED FOR BOARD OF HEALTH USE SCALE: 1 INCH = 10 FT. DATE: APRIL 19, 2007
0 5 10 20 40 FEET
DESCRIPTION HC 1 HC 2
N L. I PREPARED BY:
LEACHING CORNER(1) 37.1' 47.1' JRRCHILL W JC ENGINEERING INC.
NOTE: '
LEACHING CORNER(2) 32.4' 43.5' MARKING TAP c 1W7 2854 CRANBERRY HIGHWAY
1 ) MAGNETIC MA NG E SHALL BE EAST WAREHAM MA 02538
LEACHING CORNER(3) 67.0' 20.0'
LEACHING CORNER(4) 69.5' 27.0' SITE PLAN PLACED ALONG THE TOP EDGE OF EACH
3.0377
SEPTIC SYSTEM COMPONENT. -
5 .
SCALE: 1" = 10' Drawn By: MN Designed By:MCP Checked By: JLC JOB No.1177