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HomeMy WebLinkAbout0822 BUMPS RIVER ROAD - Health 822 Bumps River Road Centerville A = 167 007 No. 4210 1/3 ORA Pendaflex' AUX 1000 No. of CJ 'a 3� ,�. Fee$5 0.0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: "'� es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Application for Migoof *p5tem Construction 3permit Application for a Permit to Construct( . )Repair(X)Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 91 4—2 3 2—5 9 8 0 �22 )3mslRiv.er Rd, Centerville Robert Mullane ssessors ap arce 10 Douglas Dr Katonah NY 1053 167-007 g 6 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, Centervile 143 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage GrinderTO ) Other Type of Building 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) Install new Title 5 septic system to plans of Eco—Tech #ETE-1654 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 bNAimsx0alrd of alth. Si e � Date�3 4 Application Approved by Date L t) Application Disapproved for the following reasons Permit No. [ a� Date Issued ems,. No. O�X>L� O 3(f Fee$5 0.0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ves PUBLIC HEAr7 (VISION -TOWN-OF BARNSTABLE,, MASSACHUSETTS 2pprication for Migpool *p!6tem Construction Permit Application for a Permit to Construct( . )Repair( X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 91 4-2 3 2-5 9 8 0 822 ,B�mr�s River Rd, Centerville kobert Mullane ssessors ap/Parcel 10 Douglas Dr Katonah NY 1053 167-007 g � r 6 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, Centervile 143 Triangle Cir, Sandwich - ` Type of Building: Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinderk10) Other Type of Building' 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, of Nature of Repairs or Alterations(Answer'when applicable) Install new Title 5 septic system to` :plans of Eco-Tech #ETE-1654 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 issue s oard of Health. Signe� � Date— /,0.�'� Application Approved by _ Date.... u Application Disapproved for the following reasons. Permit No. r�00 L� Date Issued Mullane THE COMMONWEALTH OF MASSACHUSETTS 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 'Septic Service at 822 Bumps River Road, Centerville has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer The issuance of thi pyrmit sh 1 not be construed as a guarantee that a syste - ill, nc 'on as designed. ,Date f/�/ � Inspector No. U —3 L' Fee 5 0.0 0 Mullane THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION . BARNSTABLE., MASSACHUSETTS Iigpozar *pg;tem Conwtruction Permit Permission is hereby granted to Construct( )Repair( X)Upgrade( )Abandon( ) System located at 822 Bumps River Road, 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:Constructio must Pe completed within three years of the datevof N's7praf L Date: 1 d'"1 C/Ir Approved�Y`�- Town of Barnstable Pam. o Regulatory Services • Thomas F. Geiler, Director BAM9rABM ""'SS' i679• Public Health Division ♦e plf�'AP�� Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Designer: Eco—Tech Installer: Wm E Robinson Sr Address: 43 Triangle Circle Address: PO Box 1089 Sandwich, MA Centervile, MA OnJ/,� Wm E Robinson Sr was issued a permit to install a (date) (installer) septic stem at822 Bumps River Rd, Centervill P Y based on a design drawn by (address) Eco Tech dated 05-08-04 (designer) 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 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. H op� DAVIp �9s (Installers Signature) 40 COUGyMojAlc C TER`�o �' J R1AN (Designer's Signature) (Affix Designer's Stamp 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. Q:Health/Septic/Designer Certification Form TOWN OF BARNSTABLE LOCATION a'C �.l .�m. 'c -'-t r>,Z/- SEWAGE #DOO VILLAGE a&70�g r V r L- ASSESSOR'S MAP'& LOT/6 2 ©O? .INSTALLER'S NAME&PHONE NO. �� N cn au ' e SEPTIC TANK CAPACITY LEACHING FACILITY: (type) x Sam (size) ��x .� NO.OF BEDROOMS BUILDER O WNER A",=; PERMIT DATE: S��c�-� COMPLIANCE DATE: 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 \ C it O O A � TOWN OF BARNSTABLE LOCATION 9 SEWAGE #QO0 3 VII.LAGE � ���� L' ASSESSOR'S MAP & LOT/G e 00 INSTALLER'S NAME&PHONE SEPTIC TANK CAPACITY �O LEACHING FACILITY: (ty _ X �� (size) v , S7X NO.OF BEDROOMS L BUILDER O WNER PERMITDATE: S���'O Y� COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility --- Teet 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 l Furnished by e f 2 R A z C E N T E R VL 1. v CONTOU �7 OURT� 2 L-M c �NC310 -',,-',EXlSTlNi3 46 -7 -ASSE F J Y, a LOT 7 o a> V)V) uJ:z 3: 4 125 42 40 36 J4 33.5 f t x 12.5 f i x 2 ft Locus w 4 V< .00 ff LEACHIVG GALLERY co MNow wooLOCUS MAP .LL NOT TO SCALE < J \ _j 44 34 w-j X W < u -36 w cc < LOT 28 iL d3 J < z U AREA 2340 af ja 40 LEGEND z 0 :E LLJ 4Z 0 500 GALLON 0 SEPTIC TAW Fo-cl < N 3�: 0� 0 LL D-Box 0 o(D EXISTING 40 EST PIT 4 BEDROOM 0 W_j *>: C! FE w DWELLING EXJSTM < -i in 42 z Z_j CESSPOOL o< Ln TOP OF FAVN W LL 46.84.- TREE > VW W11W RFSM TO UV*�*a_p LL cL9 w #4 000*M LETTM DEMTU TyFG o Iz,-vi z w "AK P-PPE < C>(f) w .s ujw Z_j < to U)an R 0 ow BENCH MARK TOP OF GARAGE SLAB NJ 4 WATER ELEVATION - 39.35 _.m 50.00 r, GATE - USGS DATLH ASSUMED If '1,4, Lu 44; L)t .7f K w Z w w 0 Z z Ui < _j < a D Cc ou ------ << H (Den ---SYSTEM -PLAN,��, o w SEWAGE DISPOSAL o _J Z (5 0 it LL I -TO SERVE EXISTING -DWELLING Q Bullips KA THE RlNE `7- ,A L LLEN; Lu + 4v> VER 'CENTER -ID -�MA VILLE! 822 BUMPS RIVER T A L�� ECOJECK7. VIRONMEN 0 (M .CIRCLE SA .0256 0 PLAN 'Ll 43 TRIANGLE . SANDWICH MA 0 -508.E_4[d :3 A4 SCALE: I in--7.30 rt . 2 ETE-1654 '1 W.4 q 7 w u L 0 0 RYE-, ab • THS PLAN ISJO BE"CONSIDE �WLESSJ 00 BEAR$ THE $TAW AND,SIGNATUREZOEAT�UDESIGN ENGNEER RED-`' �PL:M' JGNAL'PLMSINTENDED.',FOft,"SMiffTAttI OjHEj,BOARDvl OF -ANDSTAW EV�IN RE6 OF HEAL WLU BE SrNED'N BLUE z" w. -47 "'A x­tm­ T ---zt, Uk T�YIQRS 7, Z-1-11ictlli- -:1�2­14 —z, T, A�',:'-L ,CU.=L501L05 _ _ _ r D E . _ DAtlE' OF-LTEST:.'­ �-`-;MXAY-- 2 2004 VIb SOIL EVACUATOR:' D D PD 440,_­,9PD.'.. WITNESS R.EOUIREMENT,�(Al u DESIGN. FLO,W: ,4 .,PEDROOMS I!Qz��9 VED -­�R-,VARIANCES�:SO GHT,, - � 2� %,--- � X NO GROUNDWATER!-ENCOUNTERED , SEPTIC _TANK: -440 .GPD X 2 DAYS 880 GALLONS TEST PIT_: I- -PARENT MATERIAL: PROGLACIAL -OUTWASH ELEVATION ,37.2 PERC AT 52 in 2 .MIN/INCH IN C SOILS INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) - ; DISTRIBUTION BOX: USE 3 OUTLET D-BOX. DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER ONCHES) HORIZON TEXTURE (MUNSELL) MOTTLING SOIL ABSORBTION SYSTEM: A, 33.5 ft x 12.5 ft x 2 ft LEACHING GALLERY CAN LEACH 0-8 AP LOAMY SAND 10 YR 3/4 A6ot - (3 3.5 x 12.5 418.75 a . NONE FRIABLE Asdw. - ( 33.5 - 33.5 12.5 - 12.5 x 2 184.0 sf 8-34 B LOAMY SAND 10 YR 5/6 NONE LOOSE A t o t - 602.75 sf 34-142 C MEDIUM SAND 10 YR 6/3 NONE LOOSE Vt 0.74 x 602.75 - 446.03 GPD USE A 33.5 ft x 12.5 ft x 2 ft GALLERY. Vt 446.03 GPD > 440 GPD REQUIRED GROUNDWATER LEACHING GALLERY CONSTRUCTION ADJUSTMENT DETAIL EXISTING GROUNDWATER LEVEL WIGGINS CONCRETE .500 BASED ON BARNSTABLE GIS GALLON PRECAST DRYWELL DEPARTMENT RECORDS LEACHING UNIT OR - -INDICATED GW: 8.0 -EQUIVALENT STONE INDEX WELL: MIW-29 8'-S"x 4'-10'x 2*-9" ZONE: D 2 ft EFF. DEPTH 33.5 f READING: APRIL 2004 LEVEL: 7.8 in ADJUSTMENT: 2.8 f i ADJUSTED GW: 10.8 U) 0 0 0 0 , N 0 SE,' S . F. C4 7v 7K 1 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN 4.0 8.5, 8.5 8.5- 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. 33.5 tt 3) ALL COMPONENTS INSTALLED $HALL MEET THE MINIMUM REOUIREMENTS. OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. 5) EXISTING CESSPOOL TO BE PUMPED. COLLAPSED. AND FILLED. OR REMOVED 6) ALL STONE TO BE DOUBLE WASHED AND FREE . OF IRON. FINES AND DUST IN PLACE 7) LINES EXITING .D-BOX TO RUN. LEVEL-,FOR 2*-0' BEFORE PITCHING -DOWN 8) ECO-TECH ENVIRONMENTAL -RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES SEWAGE .DISPOSAL SYSTEMPLRN - AND APPLIANCES. AND "BIANNUAL PUMPING OF THE *SEPTIC TANK -TO SERVE EXISfl 4GzDWELLIN G - -9) SYSTEM 'IS' NOT DESIGNED TO WITHSTAND 'VEHICULAR LOADING. DO NOT ' . PARK OR DRIVE VEHICLES. OVER`SEPTIC ;SYSTEM.- KATHERINE T.'��'ALLEW 10) INSTALLER TO OBTAIN DISPOSAL- WORKS PERMIT BEFORE S-TARTING WORK: `. 822 BUMPS RIVER R.OW- TCENTE VI L 11) SEPTIC,-�;T,�NKS'-SHXLL BE INSTALLED 'IEVELAND-.1RUE TO--GRADE:.,ON. A`-LEVEL LEA M STABLE `BASE THAT ,HAS'BEEN MECHANICALLY --COMPACT ED `AND­ON TO .-WHICH �zj 01 -OF' CRUSHED 'STONE HAS BEEN PLACED TO MINIMIZE' UIN l 'SIX INCHES. EVEN 'SETTLING ECO' T H ��,FTAL . 43.,TRIANGLU IRC ic 2 - ETE 4 MA Y Q �V