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Home My WebLink About0006 BUTLER AVENUE - Health . 6 Butler Avenue-, Centerville A = 226 020 a,7 0 UPC 1 534 • . .� WOR R No. Q � Fee ct 5 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zippiicatioit for Conotruction Permit Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components i7s nAddress or Lot No. G.�C�I`y�rYL V 1 t,,u� Owner's Name,Address and Tel.No. r,, ap7P`areceFAve. C John Danforth 68 Ferry Lane, Barrington, RI Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Dan Johnson Wm. . E. Robinson Septic Service 804 Main st. , Osterville P 0 Box 1089, Centerville Type of Building: Dwelling No.of Bedrooms 5 Lot Size sq.ft. Garbage Grinder( ) 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 V �llb Type of S.A.S. fe. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Title-5 septic system f o r 5 bedrooms to plans of Dan Johnson. 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 o of Health Signed / Date d O�---- Application Approved by ill- Date 3 o G - Application Disapproved for tlYe following reasons Permit No. ari 0 Date Issued U Fee Entered in computer: y THE COMMONWEALTH OF MASSACHUSETTS Yes i PUBLIC HEALTH DIVISION - TOWN OF�BARNSTABLE,, MASSACHUSETTS � 01ppfication for �Dtgaal 6pgtem Contruction Permit ,Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) O Complete System ❑Individual Components 17e 'on Address or Lot No. Owner's Name,Address and Tel.No. > t4err Ave. , Craigville ` `,.� John Danforth or's ap arce 68 Ferry Lane, Barrington, RI Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Dan Johnson W . E. Robinson Septic Service 804 Main st. , Osterville P Box 1089, Centerville Type of Building: - Dwelling No.of Bedrooms 5 Lot Size sq.ft. Garbage Grinder( ) Otlier 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—T b Type of S.A.S. 6 aA `J f I ,Af Description of Soil Nature of Repairs or Alterations(Answer when applicable) Title-5 s eAt i c system for 5 bedrooms to plans of Dan Johnson. 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_Bo of Health. _ n Signed / Date Applicati n Approved by �^' Date -T n G Application Disapproved forte following reasons Y ; Permit No. `�6 0,2 Date Issued �� U --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS •—Danforth BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(X )Upgraded( ) Abandoned( )by Wm. E. Robison Septic Service at Butler Ave. , Craigville has been constructeo in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ?OVP-02 0 f dated 5 /0 0 � Installer Wm. E. Robinson Sr. Designer Dan Johnson The issuance of this permit shall not be construed as a guarantee that the cyst will i fiction as esagned Date `� �) Inspector_ .q No. Fee 5 0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Danforth 1=i!5po5a1 *pgtem Con.5trurtion Permit Permission is hereby ranted to Construct( )Repair( X)Upgrade( )Abandon( ) System located at granted Ave. , Craigville 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 thi ermit. Date: S_b D/0,2 Approved by 1 s TOWN OF BA.RNSTABLE LOCATION '�� `'d fie- SEWAGE # iZl— "AO I VILLAGE ASSESSOR'S MAP & LOT 2��—020 INSTALLER'S NAME&PHONE NO. D SEPTIC TANK CAPACITY LEACHING FACILITY: (type) ��` �" p (size) 9-7— .`, NO. OF BEDROOMS _ BUILDER OR OWNER PERMIT DATE: S✓�tl ` COMPLIANCE DATE: cS --o -- Separation Distance Between the: Maximum Adjusted Groundwater Table to the Botto f Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facili Feet Edge of Wetland and Leaching Facility (If wetlands exist within 300 feet of leaching facility) i Feet Furnished by i I i � III P 4 ( ._ SM/01 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I, ��L B• J°�+�iD"' , hereby certify that the engineered plan-signed by me dated Sl dloA , concerning the property located at trA g"` �`" 4.1 e� CZ""' �`/"� meets all of the _. following criteria: This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and'the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or may conduct preliminary tests at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will not be located less than fourteen (14) feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable) Please complete the following: A) Top of Ground Surface Tlevation (using GIS information) 30 B) G.W. Elevation _+adjustment for high G.W. 8( � = .9 DIFFERENCE BETWEEN-A, and B 4-1 x SIGNED : DATE: J/8/o;l. NOTICE Based upon the above information, a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future-without engineered septic system plans. q:health folder.perceamp TOWN OF BARNSTABLE �� 9 LOCATION / . SEWAGE # VILLAGE (f "" ASSESSOR'S MAP & LOT�a6—OZO INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 115�0 I2 LEACHING FACILITY: (type) 41 C, (size) NO. OF BEDROOMS _ BUILDER OR OWNER PERMITDATE: SV�tl `U COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Botto f Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facili - Feet Edge of Wetland and Leaching Facility (If wetlands exist within 300 feet of leaclung facility) Feet Furnished by c i . r J1' Fv i ..-,�, T £%4X"},...j:Vx a.F"<u•X++o m t+'i.`;e vn yp ^:Y":: _.. b 1500 GALLON LLO SEPTIC TANK ,. 15fl0�SHEA CONCRETE) R EGUIYALE NT 1MODEL TK Flr�ist�E D GFIADE 5 , TEST PIT DATA .4 G� SC 24 DtA 24 Q!A 9' IN - 'CM 1 24 DtA Performed By: Daniel B. Johnson 71 H•10 Date~ April 1 2002 614 — - -- 4 SCH 40 xP �. (��. 98.9) PLOWLINE ., 4 SCH 40 10' 14 ZABEL FILTER A-100 I ,. —SEPTIC TANK T MEET n ,,, n T � 0 16 A 10YR4 3 4 SCH 40 TEE � / Sandy loam � d LIQUID LEVEL REQUIREMENTS OF I 16 2rr Y Bw, 5R5/8 Loam sand GAS BAFFLE 310 CMR 15,226 FOR 32" « 13.2" C11 2.5Y8/2 Medium 4 SCH 40 WATER TIGHTNESS, . sand � TEE ETC No Observed ESHWT � E�rSTAnrfr N<3 Observed Groundwater ALL WALL SLEEVES/GASKETS ,c Po�al �»..... .«.�. ;. ..�_,...__,. ,.... ... 5t�1A1 E� CAST IN R ,. C� ra _,» .. CC.1 ,. .._..,..._... ..."_.� L E CA PLACE O 6 (MIN MECHANICALLY I INSERTED AT FACTORY. ` « ' c� COMPACTED PZACOLA TIt1>rY TEST DATA ob9 CRUSHED ST ONE p € STABLE LEVEL BASE <•3!A'"DIA. or+ t3 rtw T Date: Aril 16 2002 ItL 97 ,r~a VFJ� r °1 ,� .•-''" SEPTIC TANK DIMENSIONS: 117' S'L X 5 8*'W X 5'B"H a Soil bJr/ f - - GGA I DISTRIBUTION 9C3X p. ... ... -.:: kC:`M:W G71a. « '< Ib A, +�. r fYl� � et•9, A scE) 9 74 � s;o! AE'M A A M W « t� f3V fl LE Ct7YER , ,{ ) jyq�y� �q �•q 7g Pero Y}M {.. ,y{ t) / SCH ry' � :. '. 1Jv vwl' �k.1 W da «e 9r'R al.i 4w ,3 4 4 /:.� i *1 V 4,.,� ( r � R C a � .��9 Q OUT LET LATERALS t: /� S B T � , ER t�iS fi31fi� Tl N T 54iAll C 5E LEVEL � aA t _. T � O E� q MEET «.,.«.. ri 7 � MINIMUM E T. d THE FIRS TWO I fiE tIII�EMIENT t1F 1t! M 9 ., Q S S C R $C per X „< ` i.�, •� �, , Ti NWT FCC CONNECTED"�f} �' TER �` NFSa. . i EACH DISTRIBUTION N N N TLI tI T Eu�` tl E O � � C ON.� � k , . 1 � , r O , wIT \ rig. �,� -.... 5 �q��y� vs .. « W, jf �. 1 i i n e' 1 a 4 .. _. < . � 1 N I` tT T C1 Ci �. Lfu � T , S E iS 0o x . 1 « «�, � MGC;�I,�NI yl+tt.'t"Cf11�SNCD canA O ! � (MINI ,, u . Aa '�� "' fit#� Fk . .�,.,»....., STONE N 4 4A: Pr�G S� y 1, k" TifN K 9 g� ` S . � tt v kl �n Out, Distribution S.�oi� 9.: . I T ty'««'g� q ye q �« r3, k.� - N ,#, 71Y « In Dry W4�1,.l. 9M« . •".) R5 a S ao _ � Aa r t� Gt Dry W1� � . i � ltA II1 C G YWEL13 Od{(.UNr A ? K M �t AbS �i��; c�tTi('� '�• � N � a� « Ltd/�,.,,,�l1W�, 1 « ,I , ,, B�S�' � rotr4RK ,'C:� NC) MOSS S�`CTIOhl CP w + � MOM, Sb1�11T _C . fi �� EI• I .� '�� FYr't1E.,A, GGINCxIfTf, FINA�I.rit'R t fi T A i�t' .t � t,'t, r.�,'w y:I.�Pl � t1 tIE �a A t __I" as r,,,o,b � Ab � P riD O rINI'`>1 PO GFIAOC, SL(� -J)1 rar�+t� ff Existing Contour 9� I ri CA ... ey, i F t + s dContour 'hest Pit � r , . l4 11 k13,J �a 0E� IkAITPWXa T ! w. WASH PEA S TUNE • � Q q 'Finished Floor Elevation� in � � OVE �Al.l LEACHING ARCA _k., 3!4 •1 1f2" DOtlOtln } 4E S L N W " H 21 1' � WASHED STONE r r fA+A N 3r E . � Basement Floor Elevation BFE �0Awtr Sr-4C -v 01Z(Pf « t P �----�--� ., '',,Water Line W LEACHING DAY WELLS 1 TO COMPLY WITH THE , REQUIREMENTS OF Ir _ to .a. „ '• .. PJ �, , a ., p { r Lp ER )1~ : 'k.R i ut'7`J!,K to 71 P I , o « t« w qr M x NOTES r1« d e4 RE a r I 4 �+ w Y q r. yr A W c R 1 _. 1 construction K str tian methods shall aF s a 1 conform rm o ' the Title t 1 e V 1 s { GMR 1 �5 and the Barnstable B,_ ., and, o o f HRegulations.ea 1 1h 't ; 4 °LR � W; �y' r r . , CK c v ' j .L N �S ., w 2 Ther e are known priv ate to or public c we lls wi thin hinN � Ar o t . u (50 . f ee 4 �� tI 0 fee e«, 0 t respectively,� v c x 1 from r .. ,. ., am he r t proposed l�achi p Y n r i 7► a , P P ' y area. �h • ah v1 rA a ► c r A to k tt .c IM► .. ►... cesspool. � 3 Existing to be PumP ed and removed rear to r installing w 9 the new septic tank. {� AV k U AK .. K 4 ~ Nochanges-� �� are to be made in the field d without the approval , ~, of the Board of H s Health and the design engineer. ` 1 •: �, , �a 5 .i Proposed leaching area. is not designed far use with � � h garbage disposal , > i f c 2 n C T .. Iltdfi. I),I III W.. )«. hours. q j 14 ,Cot .t,�t. t"u ,t. ton. (800) 34 i 1?33. 1l� W 9 � t tr T r r,,.ir«►t S d t, . r a k n_Tl f r TC 1 n f o�mr�t o r pt . � 4,h� f. I�tryt �tl � thY Town �ngitl `itt,,� :�.� i , I l ratr t�. t t c t��:. ta;�t•�c� �.�;� ;� ,1�� irl. 1 �.n • �E� �a®•5t - T � S' too - CALCVLATX0Nq. 1 810 • r 1; , „,, :. ----^'""'" .:..,::.,_ /y !�l C,v � 1 L7 (':F �>/tl��+`:11"r«9t'�tti �: a ��P�r�K r:)k 3Ett*� � €r t, (.) r.,l't.) O _ ••"`••* . ,,,w...+...•.W.r'«v r.• ' '~ --_.._ 'A�1(7 1 f�-+ G r�"f✓ ',: �.. y ,y, q.o �, : '. '._ .. ,:,k ... ,, .. on 98xo 9 / I PROPOSED LEACHING AREA: Dr Wells: 5 at 46. 511, X 121 W 21 7v Side Area . 234 SF X 0. 74 G/SIB - 173.2 GPD `"s o Bottom Area: 558 F X 0 . 74 S - r a za b,2 .p i;��.� h.�na Capacity: aBC, . GFD ;r 95r3+ $ a� i rt l ,. i l7i�'TRAE�✓Ti onl AAA Y uoiELG$ +� W 9 /$00 &Atxont Qj,a li. Y. 1*1 W Sep77/c, r4Nk I I A�O 1 1 I I z SUBSURFACE SEWAGE DISPOSAL SYSTEM O T C o i,�G t gJ y� g APPROVED BY �_r, i• n k "Jadf StE DRAWN BY . , SCALE. � ShcKn a 6/B/O2 Danial a Sohn*on h t, !7 .F DATE; Q , SIS rJ�l� I � �„ 1 C+ o Pz aced Sohn Danforth a rl �',, 1tor. Du ax 1►wnw Cente Ile 02632 ,cc + 0 4 t a rl b 9 A f oD 0 t0 0 Qt3a g 1� S dv�tf �- �"�t+ : 'S , di �a� - 'fro f rr �ti"3 z 8 20 19a4 • ;' µA e'F'+► , ) DRAWING NUMBER /_ $ tL'M , Suit* IS, !llter^It'il3.kY `liil 102 m 3 3.... - :