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HomeMy WebLinkAbout0035 AUDUBON CIRCLE - Health 35 Audubon Circle Centerville F/R A = 191 184 OD S//// J�QECVC�OC Oyu UPC 10259 No. H1630R HASTINGS Mk a ' No. C V r _ FEE$5 0.00 COMMONWEALTH OF MASSAC14USETTS 1 Board of Health, Vn s�« �� MA. l Bql- APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair(rs.)-,U,'pgrade( ) Abandon( ) - ❑Complete System Bl'ndividual Components Location 35 A uPu R (J d it cLt_ ( , > . ® Owner's Name John Mckeon NTa—p/Parcel# ICj Ll Address Lot# Telephone# Installer's Name ,J.P.Macomber & Son Inc. Designer's Name Address Box 66 Centerville Mass Address'-/OA and/S 49 Telephone# 5 0 8-7 7 5-3 3 3 8 Telephone# goo- `/lei- 60 SS Type of Building Residential Lot Size f s, OG Cc! sq.ft. Dwelling-No.of Bedrooms 3 Garbage grinder k Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow(min.required) 33® gpd Calculated design flow 3 3 0 Design flow provided 3418 gpd Plan: Date ��-a6" 0 t Number of sheets a Revision Date Title S eidh C_ lj Description of Soil(s) Se c 4ec-✓4 P-1 4 Soil Evaluator Form No.P#' jol I/S Name of Soil Evaluatc&jCe M-'// `/ Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS Adding two 500 gallon leaching Chambers packed in 41 of stone. 25 'X1 2 ' 1 0"X2 ' Existing 1 Q00 tank box and. leaching pit. The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not t lac th s tem in opPatiji until a Certificate of Compliance has been issued by the Board of Health. Signed I G1 Date 12,1 U/ _ FEE$5 0.00 �t r Board of Health, �t.✓K Ste} / MA. t APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT - Application for a Permit to Construct( ) Repair(&; Upgrade O Abandon( ❑Complete System ©151vidual Components 1 .u. Location 3S AUPUfNoW Owner's Name John Mckeon Map/Parcel# Address Lot# Telephone# Installer's Name J.P.Macomber & Son Inc. Designer's Name �'ft SCR ue e&ASU C A/u7R.S Address Box' 66 Centerville Mass.02632 AddressLjOA �,,b,STg RI M RS1V4S P111/s ar Telephone# 508-775-333$ f Telephone# Sarf— yak-p¢S'S Type of Building.. Residential Lot Size 15, OG 7 sq.ft. Dwelling-No.of Bedrooms 3 Garbage grinder Other-Type of Building No.of persons Showers ( ),Cafeteria( ) Other Fixtures Design Flow (min.required) 33 gpd Calculated design flow 3 3 d Design flow prodded 3 118 gpd ' Plan: Date I a4 '0 ( Number of sheets " D. Revision Date Title SP�C— .00.s4 �j Description of Soil(s) Set 4ec t4 A--' Soil Evaluator Form No. 12-' 7011 I Is Name of Soil Evaluato Vi« Date of Evaluation DESCRIPTION OF,REPAIRS OR ALTERATIONS Adding two\500 gallon leachina chambers narked in A ' of gfana= 25 'X12' 10"X2' Existing loon 4-.ank boy and leaching pit. The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further afire s to not 11 place th. system in op rats until a Certificate of Compliance has been issued by the Board of Health. 10, ~Signed - J� Date 12111 / " "W No. FEE $5 0-0 COMMONWEALTH ( NW MASSAC14USETTS Board of Health, Sea ✓ C����� MA. CERTIFICATE OF COMPLIANCE Description of Work: Q'Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired (e ,,'Upgraded ( ),Abandoned ( ) by: J.P.Macomber & Son Inn_ at 3S- tqu-i,'>uPSWJ Ci RCC.0 Centerville;Mass. has been install d 'n acco d,�ce with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application N '� ` dated Approved Design Flow y� (gpd) Installer //�� A Designer: A,AC'C' �V� ✓C d&'U /�7A7dKtspector: i 1 A /1, n Date: /_7!//: �Ij or -� The issuance of this permit shall not be construed as a guarantee that the system will function as designed. FES 5 0.0 0 COMM ONWLALT14 OF MASSACH SETTS Board of Health, Ilea✓A /2 ' MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair(,• Upgrade( ) Abandon( ) an individual sewage disposal system at 3 S A,,1)u aoa C 1 e r— L b- Centerville;Mass, as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed wit n thtee years of the date of P�fse r local condi ' s must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date Board of Health TOWN OF BARNSTABLE EL LOCATIONC (R. SEWAGE # 60%' 73719 VILLAGE ASSESSOR'S MAP & LOT i INSTALLER'S NAME&PHONE NO._T ,e4- SJOJ d c e--) SEPTIC TANK CAPACITY LEACHING FACILITY: (type)sZ I,il pll y (size) NO. OF BEDROOMS_ BUILDER OR OWNER hn PERMITDATE: COMPLIANCE DATE: 01 0 a�0 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any swells exist on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility (If any wetlands exist Feet within 300 feet.of teaching facility) Furnished by Feet 0 ��6 ` ��\ bAp \ rem r \03 \ fVA Y TOWN OF BARNSTABLE E�- LOCATION 3 3 A U41,60AI C IR- SEWAGE # 60/ 73-0 VILLAGE C eAl e if V Off e°y- ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. J- )0./14 C 0,M P3 e R. t 5 oAl SEPTIC TANK CAPACITY /G DD 0 L%�- LEACHING FACILITY: (type)AZ' V R y Lt/e//s (size) /3 r .� NO. OF BEDROOMS 3 BUILDER OR OWNER _JJ r AM c Keo A PERMIT DATE: COMPLIANCE DATE: 01 0$ Separation Distance Between the: 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 ` 6a- \ e e \ FNn i s a 1 V II 11 VA A-y C1111OtCt MJl I. l" f // �(��• //� Department-of kiealth,Safety, and Environmental Services t oFTHEPublic Health Division Date �tz a u� 367 Main Street,Hyannis MA 02601 1 If+ nARNSTAUM s��y MUSS. $ 1639• �� ' AtfDIAA�A Date Scheduled �i)I boo Time dU rn, Fee Pd. J o u 0 Soil ,Suitability Assessment for Sewage Disposal. Performed By: E� rU Le- m yr& Witnessed By: �)IXV J S 1CA VA h .. VOCATION & GENERAL INE:ORMA:'* N - : . Location Address 3 � Owner's Name �`P n�P_rv� 11 Address Assessor's Map/Parcel: 1 el I t,&L/ / Engineer's Name NEW CONSTRUCTION REPAIR i/ Telephone H Land Use �`dtr n,� �. Slopes(%) '— Surface Stones '— Distances from: Open Water Body ft Possible Wet Area R Drinking Water Well n 'row a� t_t t i Drainage Way — ft Properly Line °0�1� ft Other "— n SKETCH: (Street name,dimensions of lot,exact locations of test holes&perc tests,locale wetlands in proximity to holes) �o AM o • n M V) Avio i%o • 4' Parent material(geologic) a rARyetA Depth to Bedrock Depth to Groundwater: Standing Water in Hole: N®AJ6; Weeping from Pit Face Estimated Seasonal High Groundwater <`'' Dix' T 11 I�A'TXO�I I+"{ 1t S ' 80M x GTZ VVA ' Y2 'Z'1A T3L Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: Depth to weeping from side of abs.hole- in. Groundwater Adjustment n, Index Well N __. _. Rradine Date:_ _ Index Well Icvel ____ Adj.factor _ Adj.Groundwater Levcl .... -. P ,;...:ECOJLATLO:N Observation Hole H Time at 9" Depth of Perc y-Vo,� �/ Time at 6" Start Pre-soak Time @ to Sly_ Time(9"-6") End Pre-soak A VS ,2 N galtr�s i `� I o Rate Min./Inch + Site Suitability Assessment: Sitc.Passed ✓. Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation hole Data To Be Completed on Back y Copy: Applicant b Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Doulderes. i, I FamisIcncy.°° ravel 'aIt tC„ s[o °YftG 3 IG�r—�� taste 6 I ,M e t vw ! R r AzD.tl .( "'�_y IQ Sew D N o r L4 O DEEP OBS�RVATIQN I1011 L.OG Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA). (Mansell) Mottling (Structure,Stones,Doulderes. tcn ° ravel l b OI3RVATION Ib 0G Depth from Soil Horizon Soil Texture SotLColor Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Doulderes. ' lc 6 °° ravel DEEP OBSERVTIOI HOIE LO;G Ho�e># .> Depth from Soil horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Doulderes. —Consistency. Qravch Flood Insurance Rate-Mai Above 500 year flood boundary No_ Yes t/ Within 500 year boundary No !i• Yes Within 100 year flood boundary No Yes. Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not, what is the depth of naturally occurring pervious material? ' :Ceti ication F5 a, '1. ertlly'tiat oJ�;,:�JUV �� (date)I have passed the soil evaluator exairiinafiolt approv ed.by.tlie, �.Depar'rne bt• tw4t:onmental Protection and that the above analysis was'•performed'by me.consistent with ° e.required' i itjg, expertise and experience described in 310 CMR 15.017.: • 'Signature Date /Add . BENChfMARK BARNSTABLE GA VAL VE / UTIL. ELEV.=9.5(ASSUMED) / ,BOX- 1 EST 3 3g � STR A.M. 1911185 DO 7 1 p NY, WEQUAQUET N1 I vj M � OLD x•o LAKE PAut A. N65.3 p, I b tft LOCUS o d IUD i o CIRCLE Q �o GREAT.VAWil RD. . N ROUTE 28 w_ o o 1 .6 ' RI�E `� C' LOCUS MAP 26•2 aspyALT D � US - �� d GARAGE Of ASSESSORS MAP- 191 BRUCE -PARCEL 184 rn �1'C �ruR Hr PLAN REF 272/58,LOT 18 1� 1 w w NO. ZONING: „RC» o 1 �.0' HSE 1 sC�S1ER FLOOD ZONE.• "C" �3 SUN If35 1 t� q >rAFI��'a COMMUNITY PANELf ROM 1 250001 0015 C \ � ti c9� o SONA DATED.• 6/19/85 C_ - TUBES TOP FND \ I y O VERLA Y DISTRICT "AP" low =100.0 \ I A.M 06> SYSTEM REPAIR SITE PLAN SEPTIC SYST � 191/186 �' � � \ � z NE DD 26.2 0 l LOCA TED AT 35 A UDUBON CIRCLE o �J� CENTER VILLE, MA. � �- TP — .° E � 1 I NO VEMBER 26, 2001 3.o 0 SER�0 1 � � I 0 \1�5' — 1 SCALE: 1 "=20' VENT� y { A. M. 1911184 S SURVEYED BY 15,069fS.F. \ \ YANKEE SURVEY CONSULTANTS 137.40 UNIT 1, 4 0B INDUSTRY ROAD ,36„W P. 0. BOX 265 s8 0 22 MARSTONS MILLS MASS. 02648 A.M. 1911183 9s TEL: 428-0055 FAX 420-5553 J,# 52952 EL. = 100_0' 719P OF FOUNDATION 20' MIN. 10' MIN. CONCRETE COVERS ; 4" SCHEDULE 40 P. V.C. MIN. PITCH 1/8 PER FT. 2"LAYER OF VENT EL—98.0 CONCRETE COVER 1/8"-1/2" 6" MA s" ,�Ax WASHED .S7YJNE f � . . � i � . EL=96.0' EL=95.0 4" CAST IRON PIPE !i , •1� ' �6 MA { (OR EQUAL MINIMUM Pl7L^H 1/4 PER FT W CLEANin SAND FLOW LINE "T" EL=91.5 INVERT 110" 14" o °o 97.33 'SIN �2.o' 14' o 0 0 0 0 0 0 EL.-___--- INVERT LEVEL ° o ° EXISTING avB F _ 96 75 INVERT AS 6 SUMP INVERT 0 0 0 0 0 0 0 ° o ° =88. 75 INVERT EL.—___ EL.= 97.0 EL.=_92.0_ EL.= 91. 75_ 4' INVERT DISTRIBUTION EL.=_90. 75 GALLONS BOX WITH T h EXISTING SEPTIC TANK TO BE WATER TESTED 12.8' X 25' TRENCH FORMATION IF MORE THAN ONE OUTLET O O PLACE ON 6" STONE 3/4" To 1-1/2" SOIL ABSORPTION PROFILE OF DOUBLE WASHED STONE S YSTEM (SAS) SEWAGE DISPOSAL SYSTEM BOTTOM OF TEST HOLE OR VSGS PROBABLE WATER TABLE ELEV.=_83.5— NOT TO SCALE NO OBSERVED WATER TABLE (11-20-01) ELEV.=_83.5_ OBSERVATION HOLE 1 ELEV.=_ 96.0" PERCOLATION RATE <,2 _ MIN./ INCH AT — _ INCHES DEPTH HORIZ TEXTURE COLOR NO TT OTHER �1 0"-12" FILL 12"-16" A SANDY LOAM 10YR 6-3 GENERAL NOTES 16"-42" B LOAMY SAND IOYR 5-6 2"-78" Cl MED. SAND & lOYR 5-4 PERK. CRA VEL 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. 78"-150' C2 MEDIUM SAND lOYR 6-4 TITLE 5 AND THE TOWN OF _DARXTL4&E____ RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. t NO WATER 2) ONE CO VER ON SEPTIC TANK SHALL BE BRO LIGHT TO WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12" 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF DATE OF SOIL TEST 11120101 SOIL TEST DONE BY BRUCE C. MURPHY , R.S. WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE WITNESSED BY: DA VID STANTON USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. P # 10,115 DESIGN CALCULA TIONS.' 4) ANY MASONARY UNITS USED TO BRING CO VERS TO GRADE SHALL 3 BE MORTERED IN PLACE. INSTALL 2—ACME 500CAL LEACHING NUMBER OF BEDROOMS 5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH CHAMBERS W/4' DOUBLE WASHED STONE GA RBA GE DISPOSAL . . . . . . . . . NO DEEDED OR ZONING REG ULA TIONS. O WNER/APPLICANT IS TO ON THE SIDES AND ENDS TOTAL ESTIMA TED Ft W `j OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 12.8' X 25' ( 110_—GAL/BR./DAY x —3--_ BR.) 330 GAL/DA Y 6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR EXISTING SEPTIC TANK CAPACITY 1000 GAL IS TO CALL "DIG— SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE. SOIL CLASSIFICATION . 1 7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS DESIGN PERCOLATION RATE � 74 MIN./IN. SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. EFFLUENT LOADING RATE . GAL/DA Y/S.F "C"____. LEACHING CAPACITY (AREA X RATE) 348 GAL/DAY 8) PARCEL IS IN FLOOD ZONE__ 9) LOT IS SHOWN ON ASSESSORS MAP __191 AS PARCEL _ 184 . RESERVE LEACHING CAPACITY . 348 GAL/DAY (25XI2.8X. 74)+(25+25+12.8+12.8)X 2 X 741 SHEET 2 OF 2 JOB NUMBER