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HomeMy WebLinkAbout0030 BAYBERRY LANE - Health 4 30 Bayberry Lane �! . Centerville A= 190—061 S ME:A D® No. 53LOR UPC 12543 smead.com - Made In USA a �,1. TOWN OF ►BARiiSTABLE � LtJCATIG ® 3 /AQHWAGE it -00 VILLAGE C k1ler Vt: l A ° • ASSESSOR'S MAP 6: LOT U f INSTALLER^ NAME fii PHONE NO. CC4--r, SEPTIC TANK CAPACITY • LEACHING FACILITY:(type) ` L2(2 Q (size) �� NO. OF BEDROOMS_ PRIVATE WELL OR PUBLIC WATER,, ,A, BUILDER OR'OWNER ¢ v o`ol 5 e yI C,g '�� - DATE PERMIT ISSUED: j • DATE COLIPLkkNCE ISSUED:, VARIANCE GRANTED: Yes ,; No v 4 51 o�� 4-7 TOWN OF BARNSTABLE LOCATION L,A EWAGE#D®;2 c 0 \9 VILLAGE �� _ ASSE SOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO�,-c, u► ��-.ram '�k SEPTIC TANK CAPACITY \,S©® S®og, LEACHING FACILITY:(type)w '®w�� - - (size) NO.OF BEDROOMS OWNER 4-1 v c�6 ,�•.Q J'' PERMIT DATE: a, I COMPLIANCE DATE: 1 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 n FURNISHED BY �-A qg 30 �S�y r /ate Clie A ; 3 6 �r� LU 10 1'7 O PO 3 =y, CM Vj No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Rpplitatlon for Misposal 6psttm Construrtion Permit Application for a Permit to Construct( ) Repair( ) Upgrade(Abandon( ) Complete System ❑Individual Components Location Address or Lot No. Owner's N e,Address,and Tel.No. Assessor's Map/Parcel liZDd,6 D-SI<-•� ���•4�`�� �, \ s +�� Installer's Name,Address,and Tel.No. a�9 `8`�'S �QS`�� Designer's Name,Address,and Tel.No.�g 7 36��,r3.1 Type of Building: Dwelling No.of Bedrooms Lot Size J,Q F, -1 sq.ft. Garbage Grinder( ) Other Type of Building Cj No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 gpd Design flow provided 73, S cZ gpd Plan Date a r a�'Z 1 Number of sheets zl Revision Date Title Size of Septic Tank Type ofS.A.S.�c�,n�,�.�'G'� Description of Soil .Q�d Nature of Repairs or Alterations(Answer when applicable) ` .ns l t SO © 5 Lk_� © �13, ww� ,;'sue c)i 1:9 k e-A ( e.A w, cam, � .�.^,l„ �.rs �.., l 4' ` �`��•� . 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 $r Application Approved by Date - Application Disapproved by Date for the following reasons Permit No. Date Issued �- No. Fee Vj THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplicatIon for Misposal 6pstrut Construction Permit ; t .Application for a Permit to Construct( ) Repair( ) Upgrade(Abandon( ),. Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. 2_ S Y/s"Y Assessor's Ma /Parcel p c• t � �'35 Installer's Name,Address,and T 1.No. O -g 7$� 6p S S Designer's N me,Addres ,and Tel.No. 5c3 ��.a� O O �kGdv � vv\G.L c So�nS, 1 0 Type of Building: Dwelling No.of Bedrooms Z Lot Size ( �Q!S 71 sq.ft. Garbage Grinder( ) Other Type of Building ` No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date ;.? (.t%�c�-� t Number of sheets_ Revision Date Title Size ofjSe tic Tank { P ( �U� Type of S.A.S.<<-, n Description of Soil C� Nature of Repairs or Alterations(Answer whe app�llicable) 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. Signed /' i Date Application Approved by Date _ Application Disapproved by Date for the following re: ons Permit No', 4s U�" — 0"f -( Date Issued Yk ` THE COMMONWEALTH OF MASSACHUSETTS ` BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded Abandoned( )by ,.._ --' Y at has been constructed in accordance j with the provisions of Title 5 and the for D sposal System Construction Permit No.;U� b� dated 7 r r y Installers , Designer /l/1�. „ r_r— -4 .�. #bedrooms Approved design flow gpd The issuance of this permit hal not be construed as a guarantee that the syste wi 1, otio s de 'fined. e'x Date InspecA\ ----------------------------------C-�----- ------------------------------------------------------------------------------------------- No. ' -Ct i Fee I THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposal �ipstem Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( Abandon( ) System located at ��,� / �� � th O C r.. �.�d-•t l ' L and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. " I Provided:Construction must be completed within three years of the date of this permit. Date /3 Approved by�/` ` r Town of Barnstable Regulatory Services Richard V. Scali, Interim Director BABIWABM MM Public Health Division a39. �+ Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 ' (i Office: 508-8624644 Fax: 508-790-6304 Installer&Designer Certification Form ( 11 Date: J U Sewage Permit# Assessor's Map\ParcelILA l �v Designer: �G`Ft'•�/ 1 S 1Y1 Installer: - Address: �( �� Address: On 3(,3 , -�> ,- �,„ ;,,Awas issued a permit to install a (date) (installer) septic system at IJ GamPJL—based on a design drawn by `(address) I certify that the peptic 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. Strip out (if required) was inspected and the soils were found satisfactory. 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 Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was,constructed in compliance with the terms of the IAA approval letters (if applicable) (Installer's Signature) ` E Co NO. i94W 1 (Designer's Signature) (Affix ere) PLEASE RETURN TO BARNSTABLE_PUBLIC HEALTH D N. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QASepric\Designer Certification Form Rev 8-14-13.doc LEGEND CENTERVILLE - PROPOSED CONTOUR LOCUS o PROPOSED SPOT GRADE 3 54 — y —— $ - EXISTING CONTOUR � 2 56 9 + 96.52 EXISTING SPOT GRADE P C9 - W— EXISTING WATER SERVICE LOT//51 s TEST PIT �O oR s�gcF /AREA T 15257 sf+- SCALE: '1'=20' :pO 5 LAND COUF(T PLAN 30545-B PROP. 1500G / ASSR/MAP 1 JO PCL 161 •�, SEPTIC TANK I ,j ROUTE 28 � / 1 ao' i�?5* 28, 1 LOCUS MAP LOCUS INFORMATION PLAN REF: LCP 30545-B / 0 TITLE REF: LCC 182683 190 PARCEL ID: MAP .PAR. 061 O� PROPERTY IS NOT IN ZONE II, IS 1N ESTUARIES PROT. UO I h FLOOD ZONE: PROPERTY NOT IN FLOOD ZONE / 0 N \ SEPTIC SYSTEM ° REPAIR. PLAN 52 �-————� ,� O LOCATED AT:O58 30 BAYBERRY LANE 54- BENCH MARK CENTERVILLE, MA 56' -- `\p TOP OF FOUNDATION PREPARED FOR 00 60.24 DAVID SCHAFER/ ' BARNSTABLE GIS DATU READY ROOTER EXC. MARCH 23, 2021 . OFs 58 � y o DRENM. O O! O?� \o Lam° oy � 1 Q0 C �,I o 00�� 'COP �l ��L UTILITY6/5It�`" POLE `�NITAR��`� MEYER . & SONS, INC. 60 P.O. BOX 981 P L- A N �� EAST SANDWICH, MA. 02537 SCALE: 1 in = 20 ft PH: (508)360-3311 FAX: (774)413-9468 0 0 20 40 G� meyerandsonstitle,5@gmail.com erandsonstitle5 0 10 20 40 �I71aII:COm SHEET 1 OF 2 J 1894 ELEV. TOP NOTE: PLACE MAGNETIC MARKING TAPE OVER ALL COVERS -� FOUNDATION: BRING ALL COVERS TO WITHIN 3" OF FINISH GRADE (Existing) FINISHED GRADE (56.0) = 60.24 F.G.EL: 74.0 F.G.EL° 55.80 F.G. EL: 55.80 MAINTAIN 2% MIN SLOPE OVER LEACHING AREA 2" OF 3/8 DOUBLE WASHED j F.G.EL 54.0 `' '� STONE OR FILTER FABRIC 3 4 - 1-1/2", ••••• •• •� ` DOUBLE WASHED STONE " x 4" SCH 40. PVC 1o"I 14 _e ® S= 1% (MIOF. ®®®®®Ba®®®aa ' TEE'S ARE TO BE BBB®Bea®BBB .. 4" SCH 40 PVC INV.. 52.45 2 DEPTH BB®BBBB®BBB . ... .:: INV. 52.70 INV. 52.25 4' 2 X 8.5' 4' GAS PROPOSED DB-3 EXISTING OUTLET BAFFLE EFFECTIVE LENGTH = 25' . . DISTRIBUTION BOX�..• ••• .. ..• • � INV: 52.95 M& A Im (H20) INV. ELEV.= 52.0 PROP. 1,500 GALLON SEPTIC TANK GAS BAFFLE TO BE INSTALLED ON ����� �Fss�� BREAKOUT OUTLET TEE AS MANUFACTURED BY o DA BEN M. y� ELEV.= 53.0 TUF-TITE, ZABEL, OR EQUAL E TOP CONC. ELEV.= 53.0 " No 4 INV. ELEV.= 52.0 IM E3B® NOTES: BBB . 1) CONTRACTOR SHALL VERIFY ALL EXISTING �P��/ BBBB B B B PIPE INVERTS PRIOR TO CONSTRUCTION �NITAR�t'a ®BBB®B® BOTTOM EL.- 50.0 2) TANK AND D-BOX SHALL BE SET LEVEL AND TRUE 1r-• , 3.75 5 FT. 3.75' TO GRADE ON A MECHANICALLY COMPACTED SIX06 INCH CRUSHED STONE BASE, AS SPECIFIED IN SEPARATION 6.90 FT. EFFECTIVE WIDTH = 12.5' 310 OARINLET & OUTLET TEES W/3) INSTALL ( SEPTIC SYSTEM PROFILE SOIL ABSORPTION SYSTEM (SECTION)GAS BAFFLE AS REQUIRED BOTTOM OF TESTHOLE EL: 43.10 (500 GALLON LEACH CHAMBER) SOIL LOGS P#: 21-35 GENERAL NOTES: DESIGN CRITERIA **IN ESTUARIES PROT.** DATE: FEBRUARY 24, 2021 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL NUMBER OF BEDROOMS: 3 BEDROOM DESIGN SOIL EVALUATOR: DARREN MEYER, RS, CSE 1614 BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS SOIL TEXTURAL CLASS: CLASS I (0.74 GPD/SF) WITNESS: DAVE STANTON, BARNSTABLE HEALTH DEPT. OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE DESIGN PERCOLATION RATE: <2 MIN/IN LOCAL RULES AND REGULATIONS. DAILY FLOW: 110 G.P.D. X 3 BR = 330 G.P.D. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR B� TP-2 �Pth TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE GARBAGE GRINDER: NO (not designed for garbage grinder) TP-1 De th Bev. DESIGN ENGINEER. 54.10 A 0" 54.5 0" 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING SEPTIC TANK: 330 gpd x 200% = 660 gpd, USE EXISTING 1.000 GAL. SEPTIC TANK LOAMY SAND LOAMY SAND FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN LEACHING AREA REQUIRED: (330)/0.74 = 445.94 S.F. 1OYR 3/2 10YR 3/2 ENGINEER BEFORE CONSTRUCTION.CONTINUES. 54.43 B 8" 53.75 B 9" 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF USE TWO (2) 500 GALLON PRECAST LEACH CHAMBERS W/ 4' LOAMY SAND LOAMirD THE CONTRACTOR ER OWNER O NOTIFY THE LOCAL BOARD OF 51.43 33 51.68 34 STONE ON ENDS & 3.75' STONE ON SIDES: 25' L x 12.5' W x 2'D 10YR 5/S 10YR 5/B " HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. PERC TEST C C 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. BOTTOM AREA: 25 x 12.5= 312.5 SF 0 EL 49.85 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED MEDIUM MEDIUM TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. SIDE AREA ( )25 + 12.5 X 2 X 2 = 150 SF SAND SAND 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE , 2.5Y 7/4 2 5Y 7/4 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING TOTAL SQUARE FEET PROVIDED = 462 vs. 445.94 REQ D CONSTRUCTION. DESIGN FLOW PROVIDED: 0.74(462 S.F.) = 342.25 G.P.D. vs. 330 G.P.D. req'd 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND FILLED PER TITLE 5. 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 43.10 132" 43.50 132" 12. THIS 18 NOT ToTO BE BE USED FOR A PROPSYSTEM ERTY LINE PURPOSES ONLY PROPOSED SEPTIC SYSTEM UPGRADE P LA N ANDURVEY PERC RATE <2 MIN/IN. (•C2- HORIZON) 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. 30 BAYBERRY LANE, CENTERVILLE, MA NO GROUNDWATER OBSERVED 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. 15. ALL PIPING TO BE 4" SCH 40 O 1/8"/FT (UNLESS SPECIFIED) Prepared for: Schafer/Ready Rooter Exc. Design and Site Plan by: SCALE DRAWN DATE MEYER&SONS,INC. N.T.S. DMM 03/23/21 PO BOX 981 REV DATE EAST SANDWICH,MA 02537 CHECKED SHEET NO. 508-362-2922 DMM 2 of 2