Loading...
HomeMy WebLinkAbout0051 CAMP OPECHEE ROAD - Health 51 Camp Opechee Road Centerville A 210 001 I CIII o� UPC 12534 No.2113LOP � M&STANGAA,Ytl No. D j Fee o� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes .PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Rpplication for Migogal *p.5tem Construction Verna Application for a Permit to Construct( ) Repair(4 Upgrade( ) Abandon( ) 2/complete System ❑Individual Components Location Address or�of No. �� C�Ey (,�,�� Ow�noer';Name,Address,and Tel Np� Assessor's Mapiparcel !(/1 /'�G%� ��//�yC�i✓� e� �1e Installer's Name,Addres ,and Tel.Ng. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size , Z3 �7� sq.ft. Garbage Grinder (�� Other Type of Building &,:F e No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.require ) gpd Design flow provided J�3� gpd Plan Date �® Number of sheets l Revision Date Title ® e Size of Septic Tank 1;��� Type of S.A.S. � r Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 Healt c3! Sign ate Application Approved by ate Application Disapproved y: Date for the following reasons Permit No. Date Issued No. D/s i/►/ -- �; Fee AV 7 THE:COMMONWEALTH OF MASSACHUSETTS Entered in computer: -- F PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIppYication for Diocgat i§pgtem Cow6truction Permit, Application for a Permit to Construct( ) Repair(v( Upgrade( ) Abandon( ) ©Complete System Individual Components Location Address or Lot No. oor—1 COW Owner's Name,Address,and Tel.No. Assessor's Map/Parcel / ,-,U zl/ le �• Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 80� o Coy � �y� r/ q �� � �a JCS = � 36z -ors y Type of Building: Dwelling No.of Bedrooms Lot Size Z 3 17612 sq.ft. Garbage Grinder Other Type of Building Af 5//jl_ --n No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.require ) �, gpd Design flow provided J zjr-, gpd Plan Date �I,- Number of sheets / / Revision Date Title S l'ZY' D�c�� e9 Size of Septic Tank / 7�/�� Type of S.A.S. — GG"' _�y � C �//?°�t-;Of 5 Description of Soil _5151� ;2 r Nature of Repairs or Alterations(Answer when applicable) Date last inspected: 1 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 " ` / Signe �/ ate _3 ©( ,j , / 1 Application Approved by 111 1_) Date O► o Application Disapproved by: �. Date v for the following reasons Permit No. Date Issued , ——=——————————————————————==————7————————————— THE COMMONWEALTH OFIMASSACHUSETTS BARNSTABLE,MASSACHUSETTS XZertificate of Compliance THIS IS TO CERTIFY that the On-site Sewage Di os 1 System Constructed Repaired J Upgraded �j , g P/�, Y ( ) P ( ") Pik' ( ) Abandoned( )by /7 r�� // C.- 5) y�? � at �� �� e�' (�+� has been co structed in ac ordance �l with the provisions of Title 55 and the for Disposal System Construction Permit No. dated / ? InstallerG I' DIC�Jj`/' ©`/' J` Designer #bedrooms Approved design flow �i gpd The issuance of this permit shall no be c 'nsJtrued as a guarantee that the system will-function als�e grsyed. Date � (� Inspector, —————Q—————1AIT —————————— ——————————————————————— No. J Fee HE COMMONWEALTH OF MASSACHUSETTS O/C PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS iN/N1=i. o.5al � item �Con5tructiou Permit � p Permission is hereby granted to Construct ( ) Re air (- V/, Upgrade ( ) Abandon System located at S' / C a w� �/OL°e,- J p e, ie / and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construcf•on m,st be completed within three years of the date of thi Date / A roved b t ( PP Y v r r ti FROM :down cape engineering inc FAX NO. :15083629880 Apr. 11 2006 oe:17AM P1 Town of Barnstable Regulatory Services MUMABM $ Thomas F. Geiler,Director Public health Division " Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installler& Designer Certification Form Dater Sewage Permit# -7019'�Z/ Assessor's Ma \Parcel Designer: D c,�,� Ca Q. .�..aa n�. Installer: Address: ^� a. y V % Address: caT� J'y/ r� On lZ���j �/ �p ireAsF ` was issued a permit t to Install a (date) (installer) septic stem at`S a.� eC-p Y C 40- A,&�• based on a design drawn by (ad ess) J O-L dated (designer) v I certify that the septic system referenced above was installed substantial) according to the design, whicb may include minor approved changes such as lateral. relocation of he distribution box an.d/or septic tank. 1 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. OF hbgs59 ARNE H c� 4JALA (Installer's Signature) CiV►L No. 30792 Po PF .� G STE� �SS�oNA . Fta�, (Ueslgner's Signature) (Affix Designer's Staxnp.Here) PLEASE RETURN TO BARNSTABLE PUBLIC` HEALTH DIVISION CERTIFiCATF OF ' COMPLIANCE WILL NOT BE I'7SUED UNTIL BOTH THIS FORM AND AS BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. T11ANK YOU. Q:Health/Sepl.ic/Dcsigner Certification form 3-26-04.doc TOWN OF BARNSTABLE LOCATION .7/ &i4® AD SEWAGE # a0V6 /a VILLAGE ASSESSOR'S MAP & LOT,-3X I Q INSTALLER'S NAME&PHONE.NO. SEPTIC TANK CAPACITY /5 00 4!:51 L LEACHING FACILITY: (type) A,--J (size) /3 NO. OF BEDROOMS SS I f BUILDER OR O R PERMITDATE: 3-,2-9-&6 COMPLIANCE DATE: . I Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Teaching 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 7irr�r•� �� L�+ r4,+ ,n t a7i�� • /1V O TOWN OF BARNSTABLE LOCATION S/ :r,�1 GGo�cl.� RP SEWAGE # a aO6~ /a / VILLAGE ASSESSOR'S MAP & LOT A J C9 a®0 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /S'a® G<.C LEACHING FACM=: (type) Sacs .ext CWa,v A^J (size) 13 >Jr is.2' NO. OF BEDROOMS 3 BUILDER OR OWNER ,1611 PERMITDATE:___ 3-,2-9-476 COMPLIANCE DATE: '� `� I, 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 Dezy'o 64p�� �4^ a7°6° O SYSTEM PROFILE NOTES ` 006 TOP FNDN. AT EL. 56.67 a �aKe p< We ACCESS COVER TO WITHIN 6" OF FIN. GRADE (�T TO SCALE) o a Lake 1. DATUM IS APPROXIMATE NGVD / ACCESS COVER (WATERTIGHT) TO // 56.5 MINIMUM .75' OF COVER OVER PRECAST /` WITHIN 6" OF FIN. GRADE 2. MUNICIPAL WATER IS EXISTING " 2X SLOPE REQUIRED OVER SYSTEM 56.7' RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONP 3. MINIMUM PIPE PITCH TO BE 1/8": PER FOOT. �caoc 54.17 FOR FIRST 2 PROPOSED 1500 3' MAX. 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO GALLON SEPTIC 53.54' H- 10 53.79' TANK (H- 10 ) � 54.09' BAFFLE • �� �53.311 O 0 O5. PIPE JOINTS TO BE MADE WATERTIGHT.53.480 ( 2 X SLOPE) 6" CRUSHED STONE OR MECHANICAL rMi a a o 0 Cf 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH �coMPAcnON. (15.221 (2)) 0 0 0 0 0 b o MASS. ENVIRONMENTAL CODE TITLE V. 8 DEPTH OF FLOW = 4 ( 1 X SLOPES ( 1 % SLOPE) 51.26' Rote 2 3/4" TO 1 1/2" DOUBLE WASHED STC>NE 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO TEE SIZES. BE USED FOR LOT LINE STAKING. INLET DEPTH = 10_ OUTLET DEPTH a 14" 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. LOCUS MAP FOUNDATION 15' SEPTIC TANK 6' LEACHING 4.51' 9. COMPONENTS NOT TO BE BACKFILLED OR CO D BOX 50 17.26 NCEALED NOT TO SCALE FACILITY WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. ASSESSORS MAP 210 PARCEL 001 LEGEND *THE INSTALLER SHALL VERIFY THE 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING �\- 100.0 PROPOSED SPOT ELEVATION LOCATIONS OF ALL UTILITIES AND ALL BOTTOM TH 1 EL. 46.75' DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION \ BUILDING SEWER OUTLETS AND ELEVATIONS OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. +100.00 EXISTING SPOT ELEVATION PRIOR TO INSTALLING ANY PORTION OF EST. GROUNDWATER FROM LAKE WEQUAQUET SEPTIC SYSTEM ELEV. 34'(APF'R. NGVD) 11. PUMP AND REMOVE EXISTING SEPTIC SYSTEM. REMOVE PROPOSED CONTOUR �- 100 W ANY CONTAMINATED SOIL WITHIN 5' OF PROPOSED SAS. K' 100 EXISTING CONTOUR - __-- ---- 261.10' �' ; SEPTIC DESIGN: r- -- - -56- - - - - - / LOT 2 // / (GARBAGE DISPOSER IS NOT ALLOWED ) / 23,870f SQ. FT. / /BO / hh / m / DESIGN FLOW: 3 BEDROOMS ( 110 GPD) = 330 GPD \ bo / a USE A 330 GPD DESIGN FLOW HE SEPTIC TANK: 330 GPD ( 2 ) = 660 P O / /\ 1500 r / / USE A GALLON SEPTIC TANK \ O qP /l O 15 LEACHING: � Ry 2(30 + 9.83) 2 (.74) = 118 \ DECK XISTING `DWELLLVJG w� Boo ,/ / / o SIDES: T 1 BENCH MARK - CTR OF MAN HOLE / / 30 X 9.83 .74 21.g TOP FNDN= 56 (i7 COVER AT WATER METER PIT EL = 56.1 / / BOTTOM: ( ) = 218 w / / 454 336 -x _ _ . .�► . _ --TOTAL: _ S.F. GPD TH 2 I / // �/' USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR / EQUAL) WITH 2.5 STONE AT SIDES, 4' AT ENDS AND 5' I / / /h LS TIE LINED DECK = -� HEAD BRICK PATIO nL=/U 'x ' l 4 COq O BETWEEN UNITS y �� co / TITLE 5 SITE PLAN OF //GRAVEL DRIVE// / 51 CAMP OPECHEE ROAD / CENTERVILLE MA PREPARED FOR OBSERVATION HOLE DATA OBSERVATION HOLE DATA GRND ELEV.=57.0 TESTED BY: DAVID FLAHERTY R.S. TESTED BY: DAVID FLAHERTY R.S. OBSERVATION DON DESMARAIS R.S. OBSERVATION GRID ELEV.=57.5 BORTOLOTTI CONSTRUCTION/ WITNESSED BY: WITNESSED BY:DON DESMARAIS R.S. MA GW ELEV.= N.G.W.E. BARNSTABLE B.O.H. GW ELEV.= N.G.W.E. BARNSTABLE B.O.H. APPROVED DATE BOARD OF HEALTH HOLE # 1 HOLE # 2 DATE: 3 2 O6 MOTTLING ELEV.=N/A CERTIFIED BY: DAVID FLAHERTY R.S. DATE: 3 2 06 MOTTLING ELEV.=N/A CERTIFIED BY: DAVID FLAHERTY R.S. HELEN BRESNEHAN ELEV. SURFACE SOIL SOIL SOIL SOIL OTHER ELEV. SURFACE SOIL SOIL ISOIL SOIL OTHER 57.0 DEPTH HORIZON TEXTURE COLOR MOTTLING 57.5 DEPTH HORIZON TEXTURE COLOR MOTTLING DATE: MARCH 8, 2006 5- 0" 5" A LOAMYSAND 10YR 4/1 N 56.75 0" 9" A LOAMY SAND 10YR 4/1 N REVISED DATE: MARCH 21 , 2006 55.83 5"- 14" B LOAMY SAND 7.5YR 5/8 N 56.08 9"- 17" B LOAMY 7.5YR 5/8 N (G.W. SHOWN & O.S. REMOVED) SAND off 508-362-4541 MEDIUM 10YR 7/4 N 5% GRAVEL MEDIUM 5% GRAVEL fax 508-362-9880 46.75 14"-123" C TO COARSE 5% COBBLES 47 17"-126" C TO COARSE 10YR 7/4 N 5% COBBLES SAND SAND SOIL MOTTLES OBSERVED ® BOT OF PERC 41" PERC RATE SOIL MOTTLES OBSERVED @ _ - N A BOT OF PERC 42" PERC RATE down Cape eI1g111 eeT1I.1g; inc. (ELEV. / ) HOLE ® ELEV. 53.58 < 2_ MIN./INCH (ELEV.= N/A ) HOLE 0 ELEV. 53.58 < 2 MIN./INCHN of�yS ARNE H 9Oy o yam CIVIL ENGINEERS . � ARN N oJA V` o ^H LAND SURVEYORS Scale:1"= 20' CIv No. 6 8 DCE #06-031 0 10 20 30 40 50 FEET DATE I �� S T NG® (�, { of 939 main $t. `9aTmouthpol't, ma 02675 �0 ;.4t E E SURVE 06-031-SPP.DWG (DDF) i