HomeMy WebLinkAbout0060 BIRCHILL ROAD - Health 60 Birchill Road
Centerville
A = 189 025
0)xfford NO. 1521/3 ORA
c. 10%
No. aooa l G
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
t/
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE. MASSACHUSETTS
01pprication for Oigpooaf *potem Cow6tructiou Permit
Application for a Permit to Construct( )Repair(x)�Upgrade( )Abandon( ) 0 Complete System ❑Individual Components
Location Address or Lot No. 60 B i r c h i l l Rd. Owner's Name,Address and Tel.No.
Assessor's Map/p 1 Centerville Kim Holmes
M 1 P 025
Installer's e,A ss d Tel.No. Designer's Name,Address and Tel.No.
"`m. `. I�°obinson Septic Servic Craig R. Short, PE
P.O. Box 1089 P.O. Box 1044
Centerville, MA 02632 S. Dennis, MA 02660
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building res i den t a_i_L No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
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) we will install a new Title-5
septic system to the plans of Craig R.. Short #1 -937 dated 10/16/0
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 Certifi-
cate of Compliance has been issued by this Boar Health. > �✓
Signed Date/ — Y—-5 �Z--
Application Approved by Date l0 a2 5y
Application Disapproved for the following reasons
Permit No. a ocg —q .7,? Date Issued
•�..r ,,,�. . fir,.. _ _ .. _. _. i � _1« �� � � ,_-�`_ T� w,... ..
ee50 00
No. �O .�F
` THE COMMONWEALTH OF MASSACHUSETTS. Entered in computer:
Yes
PUBLIC HEALTH DIVISION-TOWN OF BARNSTABLES MASSACHUSETTS "--
"
2pprication for Mtopooal OpItem Conotruction Permit. -
Application for a Permit to Construct( )Repair(x*Upgrade( )Abandon( ) ®Complete System El Individual Components
Location Address or Lot No. 60 B i rch i l l Rd. Owner's Name,Address and Tel.No.
Assessor's ap cel Centerville Kim Holmes
�lry-P 025 ,-
Installer's , e,Address, d No. _Designer's Name,Address and Tel.No.
Nwh"'m. n,. k0el.nson Septic Seraic Craig R. Short, PE
P.O. Box 1089 P.O. B& 1044
Centerville, MA 02532 S. Dennis, MA 02660
Type of Building:
Dwelling No.of Bedrooms Lot Size sq,ft. Garbage Grinder( )
Other Type of Building rp.Gi r1Pni-a i 1 No.of Persons 1` `'� 'Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Dates Number of sheets Revision Date
Title z
Size of Septic Tank Type of S.A.S.
Description of Soil A '
•• �� we will int;tall, anew Title-5
Nature of Repairs or Alt e ations(Answer when applicable)
septic sye3n to the plans of Craig Rk.Short #1 -937 dated 10/16 02. ,
Date last inspected:
Agreement:
The undersigned agrees10 ensure the construction and maintenance of the afore described on-site sewage disposal system
µ, in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
4. of Compliance has beenissued by this Boaz Health.
Date/
Signed ` aZ-
Application Approved byF. 1E— ZDate 14 d 5`_
Application Disapproved for the following reasons t
Permit No. 00 )off y .7,? Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
Homes BARNSTABLE, MASSACHUSETTS
Certificate of (Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(xx)Upgraded( )
Abandoned( )by Wm. E. Robinson Septic Sesti&me
at 60 lkirehill Rd. , Centerville has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.a00'9'W dated a 5
Installer Wm. E. Robinson Sr- Designer �_
The issuance oft//
pe t shall not be construed as a guarantee that the system i c 'o deli
Date F 6 3 Inspector
No. o oog` FJ50 .00
Holmes THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
Miopogar *paem (Con5trurtton Permit
Permission is hereby granted to Construct( )Repair( x*Upgrade( )Abandon( )
System located at 60 Birehlhll Rd. , Centerville
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her 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 permit.Date: /D ' a 5--0C;1) Approved by Da--taco-
TOWN OF BARNSTABLE�
LOCATION e,'V f X G 44d) )ecll SEWAGE #r
VILLAGE "'"����y l�Ls ASSESSOR'S MAP & LOT —6 Z
INSTALLER'S NAME&PHONE NO. �g s a z.- -9-7 97-2 �.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) J`'—4 v'L ' �`�' (size)
NO.OF BEDROOMS ._
BUILDER OR OWNERS
J
PERMTTDATE: '2— ___COMPLIANCE DATE: -
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility. Feet
Private Water Supply Welland 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 Feet
within 300 feet of leaching facility).
Furnished by
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0
TOWN OF BARNSTABLE �
LOCATION G U SEWAGE #(.�aL G/-7
VILLAGE � -`�-u v�J JL` ASSESSOR'S MAP &LOT -6 Z
INSTALLER'S NAME&PHONE NO. G a s z--- `'3 7 81 V Z
SEPTIC TANK CAPACITY J 9-0-0
LEACHING FACILITY: (type) /,4- (size)
NO. OF BEDROOMS 3
BUILDER OR OWNER AVA .4 f/Z,;4,e.s
PERMIT DATE: 16 S°'G 2— . COMPLIANCE DATE: 4-/%""ej 3
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
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0
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TOWN OF BARNSTABLE
LOCATION Ls d � � t .� SEWAGE #
VILLAGE C:ems, ASSESSOR'S MAP&LOT 6 - LI
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) t (size)
NO.OF BEDROOMS t
BUILDER OR OWNER I II t A
PERMITDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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
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SOIL TEST
TOP OF FOUNDATION
20 FT �.41NIMUM FROM CELLAR DATE OF SOIL TEST - 1. 0/9-
ELEV. = ZO�'O 10 FT. MINIMUM 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE SOIL TEST DONE BY _ 6 �St7o�
_ ___ CLEAN SAND WITNESSED BY _w^^ •__ '?��� 's'r•
(ASSUMED) CONCRETE OBSERVATION HOLE 1 ELEV.-_
COVERS LOAM AND SEED
a" SCHEDULE 40 PVC PIPE PERCOLATION RATE _��-_ MIN./INCH AT INCHES
MIN. PITCH 1/8" PER FT 2" LAYER OF DEPTH HORIZ TEXTURE COLOR MOTT. OTHER
/ LEGEND: a_ ~- ,412
WASHED STONE �y �
3. 9 9.",.��+ -17-t _ VENT EXISTING SPOT ELEVATION 00„0
4" CAST IRON PIPE 99,GM..� NOT REQUIRED EXISTING CONTOUR - --00---- 3L'' 03 ` r
(OR EQUAL) MINIMUM FINAL SPOT ELEVATION
PITCH 1/4" PER FT FINAL\ SOIL TESOT LOCATION --cp .(z C.1 C o �-/ /
FLOW LINE �- � 9G. 7S °i UTILITY POLE -�-
_ 2-7-9-9- 10" ❑ ❑ ❑ ❑ ❑ O ❑ ❑ ❑ ❑ ❑ TOWN WATER =W W- r C �.-reab41-. / GyA
PLUMBING ELEV. - MIN
TO BE RAISED % / ELEV. 9 L••4z_ LEVEL °°° ° ° CATCH BASIN `®, L O i i � 7/`
❑ ❑ ppp ❑ C„� pp ❑ ° GAS LINE
AND RE-PIPED BY p 6" SUMP L. 7 ° CLEAN OUT C �.
LICENSED PLUMBER ELEV. 9G-'�_7 GAS ELEV pL 33 ELEV. _ __� ° q °
BAFFLE = L____ 9 ° /° ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ O ❑ ❑ ° 2' ° C31 Cvas Q
AS NEEDED DISTRIBUTION LEv = °°° ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ° q CESSPOOL C.P I s4�d
(QUID OUTLET BOXG_Oc�/ ° /O ° ° ELEV = 141�� 3Z.
4 FEET 14 INCHES (TO BE PLACED ON FIRM BASE) 2 - 500 GALLON DRYWELLS WITH
E TO BE WATER TESTED i '
5 FEET 19 INCH S IF MORE THAN ONE OUTLET STi,NE IN AN LL /`/cwATER ENCOUNTERED AT _�_�__ ELEV. _ �'8_ G
6 FEET 24 INCHES 1500 GALLON TO BE PLACED ON FIRM BASE) l3 X 2Sx 2� TRENCH FORMA ION ST WELL N/p`Ii1`
8 FEET 34 INCHES SEPTIC TANK
SOIL ABSORPTION ZONE
3/4" TO 1 1/2 .;LEAN INDEX ^.'
DOUBLE WASHED STONE ADJUST DESIGN GN CALCULATIONS
FREE OF FINES do SILT SYSTEM (SAS)SJ� SAS
PROBABLE
USGS ^1 R TABLE ELEV. � _ � NUMBER OF BEDROOMS 3
GARBAGE DISPOSAL UNIT ti�G
SEWAGE DISPOSAL SYSTEM PROFILE OBSERVED WATER TABLE ( ; / ) ELEV. = _ Z TOTAL ESTIMATED FLOW
NOT TO SCALE BOTTOM OF TEST HOLE ELEV. _ GAL./DAY
REQUIRED SEPTIC TANK CAPACITY
a GAL.
ACTUAL SIZE OF SEPTIC TANK 24___bjO GAL.
SOIL CLASSIFICATION
DESIGN PERCOLATION RATE �Z_ MIN./IN.
EFFLUENT LOADING RATE , GAL /DAY/S.F.
< oU, LEACHING AREA /,3�jc P.S f 7G A z �7 SO. FT.
LEACHING CAPACITY (AREA X RA.TF GAL./DAY
RESERVE LEACHING CAPACITY _/ GAL. DAY
00
NOTES:
1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D E.P
TITLE 5 AND THE TOWN RULES AND REGULATIONS FOR THE SUBSURFACE
/ DISPOSAL OF SEWAGE.
2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO
WITHIN 6" OF FiN,SrED GRADE.
^sh£D I / 3. ALL COMPONENTS OF THE SNNITAR" SYSTEM SHALL BE C4PAEL.L OF
/ WITHSTANDING H-10 LOADIN,, UNLESS THEY ARE UNDER OR WITHIN
10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE
USED UNDER OR WITHIN 10 FT. OV DRIVES OR PARKING AREAb.
,F 4. ANY MASONRY UNITS USED TO BkING COVERS TO GRADE SHALL
BE MORTARED IN PLACE.
0 E, rev 5 NO CETLRMINATIO+: !-SAS BEEN MAIDE AS TO COMPLIANCE WITH
�`, r DEEDED OR ZONING REGULATIONS. OWNER ; APPLICANT IS TO
LOT 6 OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY
/sr AREA 16, 700� SF 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR
IS TO CALL "DIG-SAFE" AT 1-888-344-7233 AT LEAST 72 HOURS
PRIOR TO COMMENCING WORK ON SITE.
7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS
���• SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION
N., IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER
^'� ` ■ 95.44 IMMEDIATELY.
\ '
8. PARCEL IS IN FLOOD ZONE C -
D£CK 9. LOT IS SHOWN ON ASSESSORS MAP _ ��_ AS PARCEL __ 25 _.
10. ALL UNSUITABLE MATERIAL SHALL BE REMOVED FROM UNDER, AND
FOR A MINIMUM OF 5 FEET FROM AROUND THE SOIL ABSORPTION SYSTEM,
AND BE REPLACED WITH SAND AS SPECIFIED IN 310 CMR 15.255: (3)
(I.E. TITLE 5) IF ENCOUNTERED BELOW S.A.S. PIPE INVERT.
FENc'E «,.L:` 11. EXISTING SEPTIC SYSTEM TO BE PUMPED AND FILLED WITH SAND
OR REMOVED
�"/ APPROVED: BOARD OF HEALTH
No. 27483 `=` ��•'
f ,
3/ 94 l �� ./• DATE AGENT I
/ 99 4
M' PROPOSED SEPTIC DESIGN
FOR
'41 / ROU lE 6A
�� , •� E Wm. Robinson/ Holmes
fy, 9
� 98b
LOC. LOT R
97.8
\ 60 BIRCH HILL RD, BARNSTABLE
OHO 2 R WESTERN MW oAD
A X
P. 0. BOX 1044
398�831I SOUTH DENNIS, MASS. 02660
' cocas
I e'er s ,,,,� ��ti� DATE OCT 16, 2002 scALE 1 „ = 20'
gee 97.0 o
REVISED JOB N0. 1_937
- LOCATION MAP REVISED _ [SHEET 1 OF 1-1
FB 190/44 C• �58\PRO.1�2.J75 00 'd,r 2J75-00.DNU 0 2002 CRAIG R. SHORT, P.E.