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HomeMy WebLinkAbout0314 BAY LANE - Health "Centerville A = 186 019 5 M E A D No. H163OR UPC 10259 smead.com Made in USA �CYc/, S Q2 n�f�RK TOWN OF BARNSTABLE LOCATION SEWAGE# VILLAGE CUN } ASSESSOR'S MAP&PARCEL Q —0 J-A, INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) �.. 5 I r , M h,"4 (size) NO.OF BEDROOMS OWNER PERMIT DATE: 40 COMPLIANCE DATE: Separation Distance Between the: I 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 ' � � __ � �; q 'Z� / .� rat �- .�� � � � � �1� � n � � � No. F$,l 0 0.0 0 �! THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: l PUBLIC HEALTH DIVISION- TOWN OF BARNSTABLE, MASSACHUSETTS Ye t 1ZIpplication for i offal �b item Cou5tructiou permit t Application for a Permit to Construct Repair Upgrade Abandon pp ( ) p (� pg ( ) ( ) El Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. 7 7 5—6 4 6 4 314 Ba� Ln, Cen e ville Alton Sherman Assessor'sMap/Parce J314 Bay Ln, Centerville Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 8 9 4 Wm E Robinson Sr Septic Eco—Tech PO Box 1089 Centerivlle 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder �LD) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 leach system to plans of Eco-Tech, ETE-2437 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. Sig 1 . or Date Iv 3 6 `'✓ Application Approved by -Date Application Disapproved by: ._Date. for the following reasons 64 Permit No. Date Issued No. 666 l Feel 0 0.O 0 Entered in computer: THE COMMONWEALTH OF MASSACHUSETTS Yet II PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS � l > ZIppYccation for MigpogaY *p!5tem Construction Permit _h Application for a Permit to Construct( ) Repair(N Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components r Location Address or Lot No. fl Owner's Name,Address,and Tel.No, 7 7 5-6 4 6 4 } 314 Bay Ln, Cen gv `lle Alton Sherman Assessor'sMap/Parcel --� 314 Bay Ln, Centerville 5� Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4-0 8 9 4 Wm E Robinson Sr Septic Eco—Tech PO Box 1089, Centerivlle 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder 1�0) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided {gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when ap�licable) Install a new Title 5 leach system to plans of co—Tech, #ETE-2437 a 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 -Y Compliance has been issued by this Board of Health. I - S-_ir Sig> !//'��/"1 l� D Date /��'�/31 ` d7 1 Application Approvedbye ,�r' llx, v� Date Application Disapproved by: Z12Date for the following reasons i i 1� Permit No. XV6Date Issued 0i r r THE COMMONWEALTH OF MASSACHUSETTS Sherman BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (X ) Upgraded ( ) Abandoned.( )by Wm E Robinson Sr Septic 314 Bay Lane, Centerville at has been c9nstructed in accordance / / with the provisions off Title-5 and the for Disposal System Construction Permit No. dated (U`3] A Installer �K�-�' i 1�C� Designer C4)��^+ti� "" #bedrooms Approved design,flown. �(\-a gpd The issuance of this permit shall not be construed as a guarantee that the system will function as des fined. Date �` Ok l le. Inspectors. —————--—————==— —=———=——--=—————————— —————— a=7d No. _70 Feel 00.0 0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Sherman 'Mi!6pont *pgtem Construction Permit � Permission is hereby��ggranted to Construct ( Renair-L�.._1 Upgrade ( ) Abandon ( ) System located at 31 4 Bay Lane, and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Cons ctiordmus be completed within three years of the date of th s pe it. ' Date Approved by ) Town of Barnstable Regulatory Services Thomas F. Geiler, Director • HARNSTAHLE. 9�A ;b S. Public Health Division Thomas McKean, Director 2OU Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Sewage Permit# Assessor's Map\Parcel Designer: Eco-Tech Installer: Wm E Robinson Sr Septic Address: 43 Triangle Circle Address: PO Box 1089 Sandwich Centerville On Wm E Robinson Sr SePOSissued a permit to install a (date) (installer) septic system at31 4 Bay Lane, Centerville based on a design drawn by (address) Eco-Tech dated 09-28-06 (designer) tI I 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 and/or septic tank. I certify that the septic system ce above was installed with major changes (i.e. greater than 10' lateral a ion of the SAS or any vertical relocation of any component of the septic s but in accordance with State & Local Regulations. Plan revision or certifie - uilt by designer to follow. 11A OF A%q. moo`' DAVID yG� o D. (1, ler's Signature) U COUGHANOWR N No. 1093 GISTEa�O L/ SANITAR\P� (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARINSTABLE PUBLIC HEALTH DIVISIO`. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORA-1 AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q: Health)'Septic/Designer Certification Form 3-26-04.doc . Town of Barnstable Department of Regulatory Services &AWWASM i Public Health Division Date K . 200 Main Street,Hyannis MA 02601 OIW�� Date Scheduled 9 )&ae4; T• w lme Fee Pd. Soil Suitability Assessment for ewiage Dis sal - Performed By: �9 VID �J ()GH��(�(mil�; V Witnessed By. �Q LOCATION& GENERAL INFORMATION Loca /ti �o Ln Address Owner's �, 3 i"I B�/"1 �'Wc Owner's Name �y�0y tie f{,ylgvj t 'A7T��VcL� � Address 3l¢ �qy Lt� Assessor's Map/Parcel: t� v QG'f�U v i f le, i/M 0 26-3L ��/ Engineer's Name -I NEW CONtS�TRUC770N 11 REPAJ t D� Telephone# S d S 136,4 Land Use R e$lcQLi�l`I dI 46 Slopes � �O P ( ) Surface Stones Distances from: Open Water Body � ft Possible Wet Area 50 i ft Drinking Water Well � ♦ ft Drainage Way go ft Property Line 1 It Other It SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands�n proximity to holes) i ice/ /f I / iROUNDWATER ADJUSTMENT . EXI'STING GROUNDWATER LEVE'1:7 " f'OBSERVED IN NEARBY STREAM ; -AND MEASURED DURING SURVEY. OBSERVED GW 3.10 INDEX WELL M1W-29 ZONE C READING DATE AUGUST 2006 -- - �_ READING 7.3 ADJUSTMENT 2.1ej� ' ADJUSTED GW 5.20 to Bedrockth Parent material(geologic) yyn rT p CCG I DeVo tf P Depth to Groundwater. Standing Water in Hole: Weeping from Pit RpCc Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER'TABLE Method Used: S,ee ot bod Depth Observed standing in obs.hole: in. Depth to soil mottles: Depth to weeping from side of obs.hole: in. Groundwater Adjustment Index Well# Reading Date: Index Well level _ Adj.factor, '�_ Adj.Otwundwatervel: ; PERCOLATION TEST )ogle 2-W 06 fh�e' 'if I}M Observation Hole# — - Time at h" C _ Depth of Perc Time at 6" (�l[/ t] �" rrlr Start Pre-soak Time @ I ©� Time(9"-6") _ End Pre-soak Rate MinJlnch 00 t Site Suitability Assessment: Site Passed V Site Failed: Additional Testing Needed(Y/N) _ Original: Public Health Division Observation Hole Data To Be Completed on Back----------- a ***If percolation test is to be conducted within 100'of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning... Q:XSEPTICIPERCFORM.DOC SOIL TEST LOG DATE OF TEST: SEPTEMBER 20. 2006 SOIL EVALUATOR: DAVID D. COUGHANOWR. R.S. WITNESSED BY: DONALD DESMARAIS. HEALTH DEPT. NO TEST PIT I PAARENTUMAATERIARL:ENCOUNTE PROGLACA LED OUTWASH ELEVATION = 21.00 +- PERC AT 64 in : 2 MIN/INCH IN C SOILS DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 21.00 0-12 Ap LOAMY SAND 10 YR 3/2 NONE FRIABLE 12-36 B LOAMY SAND 10 YR 4/6 NONE LOOSE 18.00 36-108 Cl MEDIUM SAND 10 YR 6/4 NONE LOOSE 108-125 C2 FINE SAND 10 YR 6/4 NONE LOOSE 10.58 NO TEST PIT 2 PARENTUNDWATEMAATERIAL:EPROGLAC ALD OUTWASH ELEVATION = 16.90 +- PERC AT 64 in : 2 MIN/INCH IN C SOILS DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 18.90 0-6 Ap LOAMY SAND 10 YR 3/1 NONE FRIABLE 15.90 6-36 B LOAMY SAND 10 YR 4/6 NONE LOOSE 36-132 Cl MEDIUM SAND 10 YR 6/4 NONE LOOSE I 132-150 C2 FINE SAND 10 YR 6/4 NONE LOOSE 6.40 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones:Boulders. Consistency, Flood Insurance Rate May: Above 500 year flood boundary No_ 'Yes �_ Within 500 year boundary No X 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 th ion system? `�N 5 _— If not,what is th lit q occurring pervious material? DAVID �yG� Certification - I certify that o � I have passed the soil.evaluator examination approved by the Department o n 'ronmenta ro and that the above analysis was performed by me consistent with . the required tra' ' x�� erience described in 310 CMR 15.017. Signature A I`S Date 41 2N Q:4SEvnC\PERCF0RM.D0C i Z CONT,.OUPS NOTE 24 �t X 125 f tY X 2 t EXISTING - - - - - - - 50 LEACHING G�,LLERY EXISTING LEACHING PIT IS TO 8E IN �F�rT�`y d MINIMAL GRADING PROPOSED REMOVED. REMOVE ALL CONTAMINATED 8A Y LL 0o a I SOILS IN VICINITY AND REPLACE WITH 4, m /—u� CLEAN MEDIUM SAND PER TITLE 5. — Locus o<w I 0 J>_ � m / mum r m EDGE DF LIN / EMENT / V I _ E BENCH MARK 0� O P Off 28 A=184.22 FL /26 24 PK NAIL IN DRIVE GQ�P CENTERVILLE. MA =W — BARNSTABLLE GIS DATUM ❑_j< ---= -- - ___22 LOCUS MAP m u)oo / i / x} -� 20 NOT TO SCALE N w _)<o /�. z B cn ❑W cD / �/ / /® TP-1 4 � Q(!)C� 0 W ( TP-2 16 CONVERSION �.J z 3 m 28� �� / { 1s-o �15-0 \ 14 CHART W In J f--i _ c` V 12 INCHES TO W T Z � � DECIMAL FEET J U U I W w 0 / O J 18-0 / i� Z w lJ JI > J LCl /V✓ �� In {�{ 41 X J N X X �/ _ / 08 j m m< W i w 0 Q I O� 1s� ��P / 10 2 .17 Z W cn v ° O a'a, p�ZJ / —� 3 25 Lu ❑ w M 4 .33 O�LcW W � Elw /O\ '� / 5 .41 B N 15-0 / 8 6 .50 0 0 26 �j ��/�/ F�6x' P PJ _ e .sg Ll Lu �` m X N �� 244 2 _ � / 10 .83 wo ° O °' N `�r, / O aP ' t �_-�- / f 4 11 .92 w m m " LOT C2 ��� _ / /� 12 La J W (n ct� 1 o (.0� � m} O 22 AREA = 10810 s�' +- I i o w Z W % _ — / X- DI S T LACES e 0 �� Z W — / k, z UCD O / / k TO LEACHING GALLERY Q FZ- u Z M m 20 �` Q ALL DISTANCES ARE IN DECIMAL / / 1 / FEET NOT IN FEET AND INCHES. 3 ?u 18 � F�( <:> _ �i Li >! _P/�RCEL-2 F 5� 0 ww w 1 eW � of + Z N 14i� AREA = 6371 sf+-/ pG A e Wx 0 1 39.6 120*1 OU x `�\ / 2 35.6 26.3 Ld LEGEND 3 59.4 46.9 � � z � EXISTING 10 �\ �'' � ti h w J O Z 1000 GALLON 0 8 �� �0 e peg SEWAGE DISPOSAL SYSTEM PLAN ? J < SEPTIC TANK t TO SERVE EXISTING DWELLING 0 3 le Cn 0 CDm _ ~ O-BOX ❑ � 4 \/ EST. ALTON AND MARGARET SHERMAN � �_ (� U TEST PIT ® III OWNERS OF RECORD w �'' m X [� ~ PERC TEST ���tw OF MAssgc �ZK of Mgss d 314 BAY LANE ►- W Q ® oa DAVID tiG �y � � CENTERVILLE. MA ED LLI LOCATION FLAN - �o DAVID ON m .--a EXISTING SCALE: 1 In = 20 F " COUGHANOWR N � D. � ASSESSORS MAP 1B6 PARCEL 1J 00 m O 7 No. 1093 COUGHANOWR 43 TRIANGLE CIR O LEACH PI T 20 0 2 9 o SANDWICH MA 172563 SO � LL N z z �GISTE�� / � E E:NS �pQ' 506 364-0694 J F ; TREE 1� I0 0 s RAP Fu LAP DATE: SEPTEMBER 2B. 2006 Ln -NUMBER REFERS TO E T E- 2 4 3 PAGE 1 OF 2 VERSION: W N x W DIAMETER IN INCHES. JOB IL11_ W W LETTER DENOTES TYPE. *13-P , O-OAK M-MAPLE P-PINE THIS PLAN IS BASED ON AN INSTRUMENT SURVEY AND IS INTENDED `S( P f'Qp1 be✓ G, 2066 SOLELY FOR INSTALLATION OF THE PROPOSED SEPTIC SYSTEM DEPICTED HEREON. FOR ANY OTHER CHANGES TO PROPERTY INCLUDING PLACEMENT OF ADDITIONS. SHEDS. FENCES OR SWIMMING POOLS. OWNER SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. SOIL TEST LOG 3 DESIGN CALCULATIONS DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD DATE OF TEST: SEPTEMBER 20. 2006 w SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS SOIL EVALUATOR: DAVID D. COUGHANOWR. R.S. USE EXISTING 1000 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL WITNESSED BY: DONALD DESMARAIS. HEALTH DEPT. r. CONDITION. IF NOT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) PARENT MATERIAL: PROGLACUMAD AL OUTWASH ENCOUNTERED DISTRIBUTION BOX: USE 3 OUTLET D-BOX. TEST PIT 1 SOIL ABSORBTION SYSTEM: A 24 Ft x 12.5 ft x 2 ft LEACHING GALLERY CAN LEACH ELEVATION = 21.00 +- PERC AT 64 in : 2 MIN/INCH IN C SOILS Abot = ( 24 x 12.5 ) = 300 a Asdw = ( 24 + 24 + 12.5 + 12.5 ) x 2 = 146 sf ALot = 446 sf DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER Vt 0.74 x 446 = 330.04 GPD (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING USE A 24 FL x 12.5 ft. x 2 ft GALLERY. Vt = 330.04 GPD > 330 GPD REQUIRED 21.00 0-12 Ap LOAMY SAND 10 YR 3/2 NONE FRIABLE 12-36 B LOAMY SAND 10 YR 4/6 NONE LOOSE LEACHING GALLERY SCT TO 18.00 CALE 36-106 Cl MEDIUM SAND 10 YR 6/4 NONE LOOSE USE SHOREY PRECAST 500 GALLON LEACHING DRYWELL (H-10 LOADING) 10.58 108-125 C2 FINE SAND 10 YR 6/4 NONE LOOSE CONSTRUCTION DETAIL 500 GALLON DRYWELL DIMENSIONS AND DETAIL NO GROUNDWATER ENCOUNTERED DRYWELL UNIT STON USE H-10 UNIT TEST PIT 2 PARENT MATERIAL: PROGLACIAL OUTWASH INSTALL ONE INSPECTION 7 . RISER TO WITHIN SIX ELEVATION = 16.90 PERC AT 64 in : 2 MIN/INCH IN C SOILS+- 24.0 FL m INCHES FINAL GRADE AND INDICATE LOCATION m ON AS-BUILT PLAN DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER Lq �p m uo (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 33 18.90 m 000� o0 c 0 000� In 0-6 Ap LOAMY SAND 10 YR 3/1 NONE FRIABLE 3 5 f-t 6.5 FL 8.5 F_ 5 Ft m C--:3 C:�0000ao 6-36 B LOAMY SAND 10 YR 4/6 NONE LOOSE 24.0 f t 15.90 36-132 Cl MEDIUM SAND 10 YR 6/4 NONE LOOSE 132-150 C2 FINE SAND 10 YR 6/4 NONE LOOSE 6.40 CROSS SECTION VIEW 2 g2r PEASTONE 2 to PEASTONE NOTES 2824 to3/4 in TO 26 In EFFECTIVEDEPTH 1-1/2 in GRAVEL In 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/B INCH PER FOOT MINIMUM. 46 In 58 in 46 In 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) 150 In 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. 5) EXISTING LEACH PIT TO BE PUMPED. COLLAPSED. AND REMOVED 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE GROUNDWATER ADJUSTMENT Z) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0" BEFORE -PITCHING DOWN EXISTING GROUNDWATER LEVEL 6) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES OBSERVED IN NEARBY STREAM SEWAGE DISPOSAL SYSTEM PLAN AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANrK AND MEASURED DURING SURVEY. 9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT OBSERVED GW 3.10 -TO SERVE EXISTING DWELLING PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. INDEX WELL MIW-29 10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING, WORK. ZONE C ALTON & MARGARET SHERMAN READING DATE AUGUST 2006 111 SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE_ TO GRADE ON "A LEVEL READING 7.3 314 BAY LANE CENTERVILLE. MA ASTABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED .AND ON, TO 'WHICH ADJUSTMENT 2.1 SIX INCHES OF CRUSHED STONE HAS BEEN PLACED, TO MINIMIZE UNEVEN SETTLING ADJUSTED GW 5.20 ECO-TECH ENVIRONMENTAL 12) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM .REPAIR -AND CHE-CKED 43 TRIANGLE CIRCLE SANDWICH MA 02563 FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE. ETE-2437 SEPT 26, 2006 2/2