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HomeMy WebLinkAbout0051 BIRCHILL ROAD - Health 51 BIRCHILL ROAD Centerville A= 189 -062 ESMEAD* KEEPING YOU ORGMIZED No. 1204 2-153WR WMausA QUO MMEADMI1 too No Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftpritation for Misposai bpstem Construction Permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 47 1 i f h;h �� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel `���' 'T` Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. c�slc s �k cr.3�•, �ltL'71 � r t�i ✓�cs Type of Building: Dwelling No.of Bedrooms Z Lot Size I GC;C) sq.ft. Garbage Grinder( ) Other Type of Building j`,— o e-F vc.. No.of Persons 2 Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided '2>Lf&,7 gpd Plan Date 5—2 ► Number of sheets Revision Date Title Size of Septic Tank i li'nr) Type of S.A.S. •2 Description of Soil Nature of Repairs or Alterations(Answer when applicable) N!)F t,) 15C C cr������ L. t t') S1,40+c tc," k) ��nc� _(.��c) y� n SCE �c�li�,�� ��Cr��F r�v� wifil rSdCvk,— 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. Sign Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. �� �� Date Issued ?PAR 7. r� No. �V I Fee II�V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 9pprication for bisposal *pstem Construction 3orrmit Application for a Permit to Construct( ) Repair Abandon( ) ❑Complete System ❑Individual Components t'; 1 Location Address or Lot No. �/ i3f s C�f(` R(� � Owner's Name,Address,and Tel.No, Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. >�. C�yslc.s Pt �ic�wRJT� 5a8-4CU'7lS�t`., �^�S►,✓rtr,•vl (�✓�lS Type of Building: v Dwelling No.of Bedrooms 2 Lot Size 1 5" 600 sq.ft. Garbage Grinder(; ) ti ,ram z. r Other Type of Building (t-,,i Q-i 1 tc.l No.of Persons Showers( ) Cafeteria(, ) Other Fixtures f Y d Design flow provided '5 c!25 '7 d ' Design Flow(min.required) •'Y,^;� gp g p gp Plan Date S - 2 1 ^ 1 Number of sheets °2• Revision Date Title Size of Septic Tank i S!°a'7 Type of S.A.S. 2 'S ocC l C,c,fl n nN Ln -m C) r� 6 S Description of Soil Nature of Repairs or Alterations(Answer when applicable) A-AJS T e 1� u, A?P c 1 SC-)C) C, Sw,a+tc fCr•-J rJ V►eI)C ("A/.1r) n %A - h ra ;r^ac,) c,4lI PL4r Apv5 Z71f� l( �S}Qnlu 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 r Application Disapproved by Date for the following reasons Permit No. (,g i . Date Issued q 2-0a �, j THE COMMONWEALTH OF MASSACHUSETTS f BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( -�) Upgraded( ) Abandoned( )by 1�=c,G,c 1< -P,(b,.,)" T IV(— at C 1 ��,u�n i _ -_.�F n �P Eli i' `e has been constructed in accordance with the provisions of Title 5 and the forDisposal System Construction Permit No.; ?- -Z dated 5�2� IWO' Installer A (rti.j nr nJC Designer F„sc �,�r v ,•r; t.J o dr S #bedrooms Approved design flow !7 end The issuance of this permit shalllnot be construed as a guarantee that the systemem will tio'aasedesigned. Date (i% ,tf/ Inspecto% -- -- --------- ----- ------------_---- - ----------"------------- ------------------------- ------------------- -----. NogN P) r Z- Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposal*pstertt Construction hermit Permission is hereby granted to Construct( ) Repair(�,a)'lr Upgrade( ) Abandon( ) System located at '1� "�,tr rt�1�� > ( (° ✓�,�� 1P and as described in the above Application for Disposal System Construction Permit. The applicant recognized his6her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this perms. i - Date �//Z4? 2AR = Approved by e Town of Barnstable oF,KKE r °wtio� Regulatory Services Richard V. Scali, Interim Director * BARNSTABLE, MASS. Q Public Health Division 9� 1639� `gym A Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer_& Designer Certification Form Date: Sewage Permit# �t()S�3.-1(, Assessor's MaplParcel L Designer: n ;tree�;�� Wo rjks, I,?C_ Installer: U Address: 1 Z W, C nc ss- ,e w i�!rj Address: �oresto��l2 i�� 626�y On .57-7 C1 -)V UA ,l 1r1X7t,),T__Lr was issued a permit to install a (date) (Installer) septic system at � `�Jt&C ) \�,C) � f�t�I based on a design drawn by (address) _vim inereci�C� LUbY-'LU C , dated 1` -2 1�7 (designer) 1 1 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. 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.c. greater than 1.0' 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 constructe nce with the terms of the Iu4 approval letters (if applicable) fit,►QF PETER T. .. CNI! .nstaller's Signature) NO.35109 �FQ�8TEP�� (Designer's Signature) (Affix Designer tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. 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. QAScptic\Dcsigner Certification Form Rev 8-14-13.doc of M Town of Barnstable r# Department of Regulatory Services t xt,SrABIX_ Public Health Division Hate `/ S" I 200 Main Street,Hyannis MA 02601 rFa:�t /1 Date Scheduled i / Time Fee Pd. � Soil Suitability AsSe.sSent for S eDoosal 'PerformedBy: Ak✓ Witnessed By: LOCATION & GENERAL INFORMATION Location Address Owner's Name. 7 fl-e V. Cell�ervl tl� {Mfg p address 5 r t'r�Cy Assessor's Map/Parcel 1 kCf—0 2 Engineer's Name NEW CONSTRUCTION aa REPAIR Telephone# Sd —'y77—5313 Land Use­—�5 t AAA L�Cl :Slopes(10) Surface Stones. Distances from: Open Water Body: ft Possible Wet Area -;;P' CVft Drinking Water Well ft Drainage Way_A/j A ft Property Lineh ft Other ft SKETCH:(s.treet name;dimensions of tot,exact locations of.test:holes&perc tests,locate wetlands'fn.proximity-:to holes) Zv Parent.material(geologic) V �'�T/�S� Depth to Bedrock; Depth to.Groundwater. Standing Water in Hole: Weeping frolp Pit F INC Estimated Seasonal High,Groundwater DETERNI[NATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing inobs.hole: ___ in. Depth to Soil Mottles: Depth to weeping from side of.obs.hole: in, Groundwater Adjustment fr. Index Well# Reading Date: Index Well level,,,,a,_.,,,�„ Adi,factdr Adj,Groundwater'Level_ PERCOLATION TEST ]Date m „ Thne Observation Hole# " �' Time at h" Depth of Perc Time at 6" rt. Start Pre-soak Time.@ A,r�-. ,"h Time(9"-6") End.Pre-soak Aak Rate Min./Inch. Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health,Division Observation Hole Data To Be Completed on Back----------- ***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:\SEPTl0PERCFORM.DOC DEEP OBSERVATION HOLE LOG Holey# -) Depth from 'Soil Horizon Soil Texture. Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure;Stones,Boulders.. Consistcn ravel) C�Y12`�tz �..13 M—e sit-► z�f`Y 6le, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color- Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones.-Boulders. Consistencv.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling .(Structure,Stones,Boulders. Consistency. Gravel) DEEP OBSERVATION HOLE LOG Hole.# ; Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface Om) (USDA) (Munsell)' Mottling (Structure,Stones,Boulders. • Con i n Flood Insurance Rate Map: Above 500 year flood boundary No— Yes __ Within.500,ycarboundary No 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? _ Certification I certify that on ' (date),I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was.performed by me consistent with . the required train' ;expertise and experience described in 3 10 CMR 15.017. Signature Date Z6 �. Q:ISBPTIC�PSRCFORM.DOC TOWN( OF1BARNSTABLE LOCATION ) 171 fC\I,\ SEWAGE# R© I G 2-- VILLAGE 'Q ASSESSOR'S MAP&PARCEL 'e --QG 2, INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: ^I � r V�L e-xcuoti-�t�(� Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply4Well and Leaching Facility(If any wells exist on r 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) n Feet FURNISHED BY :- A 26 13 ot Oe -6 i c orb Z'c 777 X- .2-7 s-'i ca l+ ( ——99 ——EXISTING CONTOUR Powderhorn way �o°a N x 100.98 EXISTING,SPOT GRADE EXISTING WATER SERVICE I 100,36 G EXISTING GAS SERVICE pee wood St°^ey —8 H. W--OVERHEAD WIRES Cir I TEST PIT ' a B`rCh BENCHMARK o $ 100,38 LEGEND LOCUS Route 28 C LOCUS MAP �a9 NOT TO SCALE 0 x 10 x 100,41 100.34 O GENERAL NOTES: x 100.4 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL x 100.20 BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS x �(f08 G OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE h hCO* + 100,09 / LOCAL RULES AND REGULATIONS. N . SPIKE / + 0.50 CB ,8 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 10 047100, 4100,27 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE EXISTING �� �. /�S 6 \\ DESIGN ENGINEER. HOUSE (#51) G � S 44,•� 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING M x 99 T .F.=1 .7f H: 100,45 30" FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN TB iFf j 00 / F ENGINEER BEFORE CONSTRUCTION CONTINUES. BULKEAD CORNER �Los�// -I- 00.45 / 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. EL.=100.67 B 9 sQ // 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 100.6 ' THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. EXISTING CESSPOOL _- - / 0 99.96 A GARAGE 40 // 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. PUMP, FILL WITH 98.9 / 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS SAND & ABANDON /. AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 99.18 O DIRECTED BY THE APPROVING AUTHORITIES. SEPTIICOSEDTANK N 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY � � _ 9 99,85 i THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 98,99 / CONSTRUCTION. \ / 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS LOT 15 .' � � x 99,47 IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND — Z-- 15,600±SF :; O REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). - --—------_---��/.,- • `� 0 ' •.•.i,�� � ;V / 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE C�` 100 98 N / INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. IV /// 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND TP-1 NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. + 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC 97,29 \ 2S• S SYSTEM COMPONENTS NOT SHOWN ON THE PLAN OF Mgss9� 0 PARCEL ID: 189-062 o PETER T. �, Eg36, PROPOSED SEPTIC SYSTEM UPGRADE PLAN McEN CIVIL N ma's°-1 F 51 BIRCHILL ROAD, CENTERVILLE, MA No. 35109 Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 fG/SSER �� I E� OWNER OF RECORD Engineering by: SCALE DRAWN JOB. N0. OW OW JANE Engineering Works, Inc. 1"=20' P.T.M. 146-18 VITI,Z, I P.O. BOX 672 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. J WEST HYANNISPORT, MA 02672 (508) 477-5313 5/21/18 P.T.M. 1 Of 2 Y NOTE: TO PREVENT BREAKOUT, FINAL GRADE SEPTIC TANK SHALL NOT BE AT, OR BELOW, EL.=94.0 INSTALL RISERS & COVERS OVER INLET & FOR A DISTANCE OF 15' FROM THE EDGE OUTLET AND SET TO 6" OF FINISH GRADE PROPOSED D—BOX OF THE PROPOSED S.A.S. INSTALL RISER & COVER PROPOSED S.A.S. SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND T.O.F=100.7t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT F.G. EL.=100.1 t F.G. EL.=99.8t F.G. EL.=99.4f F.G. EL.=99.3t /EX/STING VENT HOUSE (#51) MAINTAIN 2% SLOPE OVER S.A.S. T.O.F.=100.7f GARAGE L = 10' 3'(max.) L = 25' L 5' ® S=1% (MIN.) ® S=1� (MIN.) ® 5=1� (MIN.) 2" LAYER OF 1/8" TO 1/2" 30 0, 4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC 6" DOUBLE WASHED STONE 101 " 6" ��a�aB6 (OR APPROVED FILTER FABRIC) • N 14" 9a96aaa Q ro 1J INV.=97.00 48" UQUID Baaaaaa --3/4" TO 1-1/2" DOUBLE LEVEL ADD PROPOSED 4' 4.8' 4' WASHED STONE INV.=94.97 �N GAS BAFFLE INV.=94.80 <J �� h• INV.=96.75 BOX EFFECTIVE WIDTH = 12.8' �0� "0 5 ft C 3 OUTLETS INV.=93.50 4 S.P PROPOSED SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS ; PROP' SURROUNDED WITH STONE AS SHOWN CONNECT TO EXISTING SUITABLE SEWER PIPES ` 25 / H-20 RATED 3" LAYER OF 1/8" TO 1/2" AT HOUSE, AT OR ABOVE, INV.=97.5f verif DOUBLE WASHED STONE TOP CONC. ELEV.=94.6f IOR APPROVED FILTER FABRIC) NOTES: BREAKOUT ELEV.=94.00 INV. ELEv.=93.50 a®BBB SEPTIC LAYOUT 1 CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & aaBaaaaaaaa INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. aaaaaaaaaaa BOTTOM ELEV.=91.50 2 SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND 4' 2 x 8.5' = 17.0' 4' TRUE TO GRADE ON A MECHANICALLY COMPACTED 4 OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0' SIX INCH CRUSHED STONE BASE, AS SPECIFIED PERVIOUS MATERIAL IN 310 CMR 15.221(2). 5 (MIN.) ABOVE G.W. LEACHING SYSTEM SECTION , . . 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM OF TEST PIT EL=863 3/4" TO 1-1/2" DOUBLE 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE WASHED STONE ®Ea®®®Ea ® ®Ea®® 37•' AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. � W ® N Z ®LZ13®®® ® ®®®® SEPTIC SYSTEM PROFILE 102" DESIGN CRITERIA SOIL LOG 4" KNOCKOUT NUMBER OF BEDROOMS: 2 BEDROOMS DATE: APRIL 4, 2018 (REF#15,645 SOIL EVALUATOR: PETER McENTEE PE(SE# 20" DIA. COVER 1542) SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) WITNESS: DONALD DESMARAIS R.S.HEALTH AGENT DESIGN PERCOLATION RATE: <2 MIN/IN ELEv. TP—1 DEPTH ELEV. TP-2 DEPTH 4" KNOCKOUT 4" KNOCKOUT 58" DAILY FLOW: 220 GPD 97.8 A 0„ 98.5 A 0" 0 DESIGN FLOW: 330 GPD LOAMY SAND LOAMY SAND GARBAGE GRINDER: NO—not allowed with 97.0 design 10YR 4/2 1OYR 4/2 9 B 10" 97•8 B 10" 4" KNOCKOUT LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF LOAMY SAND LOAMY SAND .74 GPD/SF 93.8 10YR 5/4 48" 95.5 10YR 5/4 36 500 GALLON CAPACITY, H-20 LOADING PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY C C PERC CHAMBERS PROPOSED D—BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED 28'/34" N.T.S. USE 2-500 GALLON LEACHING CHAMBERS IN SERIES M—C SAND -C SAND 6/6 PROPOSED SEPTIC SYSTEM UPGRADE PLAN SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 2.5Y s/s 51 BIRCHILL ROAD, CENTERVILLE, MA SIDEWALL AREA: 2 12.8' + 25.0' X 2 = 151.2 S.F. BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 TOTAL AREA:....................... 471.2 S.F. Engineering by: SCALE DRAWN JOB. NO. ............................. 86.3 138" 87.0 138" Engineering Works, Inca N.T.S. P.T.M. 146-18 DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD PERC RATE <2 MIN/IN. "C" HORIZON 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. NO GROUNDWATER ENCOUNTERED (508) 477-5313 5/21/18 P.T.M. 2 Of 2