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HomeMy WebLinkAbout0023 CARLETON LANE - Health 23 Carleton Lane Centerville A= 190 233 i UPC 12534 No.2�1_53LOFi � No. S—3 L. Fee—� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS application for Mig;pool *p5tem Con!Aructton Permit Application for a Permit to Construct( . )Repair( grade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.a.3 IV I,A" own 's Name,Address and Tel.No. Assessor's Map/Parcel 7 00. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. �S la L O iv lA<e ��sr l�y��rs �wv, Type of Building: Dwelling No.of Bedrooms Lot Size o sq..ft. Gazbage 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.. Type of S.A.S. 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 Certifi- cate of Compliance has been is ed by this Boaz f Healtli. Sign Date Q-19^'06- Application Approved by Date ti y 5 Application Disapproved for the following reasons Permit No. ®S 3 Date Issued IS . Fv. No. /J�� ! ',.' �.'� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIppYicat.ion for Mizpozar *potem Construction Permit Application for a Permit to Construct( )Repair( 4rade( )Abandon-( ) O Complete System []Individual Components Location Address or Lot No. Own ' Name,Address and Tel.No. 't CeKT--r✓�I(e, CJeJ.er5 Assessor's Map/Parcel M\S0 Q Saws Installer's Name,Address, d Tj�l.No. Designer's Name,Address and Tel.No. S � �°L1Lo/y �vJSC� (AXC_�v-,-,S �t1A, Type of Building: Dwelling No.of Bedrooms Lot Size o 3 / 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;.k{ x Type,of.S:�A"S. Description of Soil; 1" ' r 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 Certifi- cate of Compliance has been is d by this B ar ealt Signed - Date Application Approved by Date 15 5 Application Disapproved for the following reasons i Permit No. Date Issued ————————————————————— '—---------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Comptiance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )✓ Upgraded( ) Abandoned( )by ? C.0"Q.l.,_­_T0oJ L_Ay-/g- at u jq has been constructed in acc rdance with the provisions of Title 5 and the for Disposal System Construction Permit-To. r)M.5 3q,4-7 dated Installer IC.VLoy N N 8c Designer lS A N S. The issuance of this permit shall not be construed as a guarantee that Ghe system wi �f ctI n as signed. Date 110 Inspector 1 , No. ' '`��".• ----------------------------Fee 00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE: MASSACHUSETTS Migo$ar *pztem Cl- n$truction permit Permission is hereby granted to Construct( )Repair( )� U grade( )Abandon( ) I System located at o'_s C fl.�QL [!Ao-,17 CrNQL t�iLl. 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 d`to of this it Date:_.. C �� Approved'by_ Town of Barnstable Regulatory Services Thomas F. Geller,Director Public Health )Division Thomas McKean,Director 200 Main Street,Ry Ws,NIA 02601 Office: 508-862-4644 Fax: 508-790-6304 �staUer de lUes%�ner�ertic�tx�n ll;orsn IDnte: designer: ��- � l Lyb� S .. Installer: Address: puKt 6irCL Address: was issued a permit to install a (date)` " _ installer) septic system at CC-Ar-r based on a design drawn by (address) dated_ JUN1; (designer) I certify that the septic system reference 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 i<n accordance with State& Local Regulations. Plau revision or certified as-built by designer to follow. xv of met s ignatur e) L 1 S A N. �S LrsNS ; y_ Lic. #ttas� _ Cow TIR.S _& .MU _U -BOTH Q:Hesl&'8dPti& "iPer Certificadon Fom 1 TOWN OF BARNSTABLE 'SOCATION CA'A 7 k) I- Aa✓LL SEWAGE #J&5`12�- w VILLAGE ASSESSOR'S MAP & LOT 15iU gx.T SINSTALLER'S NAME&PHONE NO. Xekey, AdeJ-W— SEPTIC TANK CAPACITY f B 0 O LEACHING FACILITY: (type) /h lf12 Gdr�S (size) Cl NO.OF BEDROOMS BUILDER O OWNE Qed ttr�- PERMTTDATE: e b6— 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 le ac it `) Feet Furnished by ` L / ® -- ua No. y-/ 1,:_ �.� FjmR.../.. ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _ ..._ ..... ..........OF................................................................ ....................... Appliratioo -for 4%ipoiitt1 Vo&a Tonitrortion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ........................7.f —-----_---------------or� L 'on- dress Owner Address a � 4�._r1 Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms____._._.- Expansion Attic ( ) Garbage Grinder --_--•- //__ p, Other—Type of Building ____________________________ No. of persons-- �P. Showers ( ) — Cafeteria ( ) Q' Other fixturous ---------------------------- - w Design Flow w �. .........gallons per person per day. Total daily flow....0. _::c_....................gallons. W Septic Tank Liquid capacity/,6� _ _ -_gallons Length________________ Width_......_.._.. . Diameter___-_._.-_...._. Depth__---____-_-- . x Disposal Trench—No. .................... Width-------------------- Total Length------------_....... Total leaching area....................sq. ft. Seepage Pit No ------------ Diameter/".MA?F Depth below, inlet ______ ________ Total leachingarea......._ ........sq. ft. z Other Distribution box ( ) Dosing tan l ( ) "�` ��4--� a Percolation Test Results Performed b n,---- __. ._ �....... Date__ _. s-- y ..4 1 ground wetter----+------------------- ,.� Test Pit No. 1................minutes per inch Depth of est Pit.-__________..____-_ epth to a f� Test Pit No. Z................minutes per inch Depth of Test it-___________________ Depth to ground water------------------------ P4 o O �' _ .. -"`. --` ` -----ps------------------ Description ` .._ . of Soil :: w vNature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------------------_------___--------.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code Od igned further agrees not to place the system in operation until a Certificate of Compliance has been issu of health. igned � - ------- DateApplication Approved By---------- - - - ------------ -- ' ...... Date Application Disapproved for the following reasons:...............................•-•---•--------•-------•----------------•-----------•-------------•------•--•--- ----••••-•......................•---._...-__...-----------••---------------------•-•--•-•.--------------•---•-----------•••-----••--------------------------------------------------- ................. Date PermitNo......................................................... Issued....................................................... Date No......................... FIER_....�Gl.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ ... .......... .. -OF..................................... .... -..._._........----------............... Appiiratiun -fur BioVuutti Marko Tot utrurtiou Vrrniit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: r) ( � 17 . 6 '?-- - .�- �. ........................... ..............................................-------•---------------------------•------- --- L on- dress �.� �[ or I,o� �Q Owner Address ...............X ----------------------- Installer Address UType of Building Size Lot----------------------------Sq. feet .-I Dwelling—No. of Bedrooms..-------- ____________________________Expansion Attic ( ) Garbage Grinder ( �O aOther—Type of Building __________________________ No. of persons......... -------------- Showers ( ) — Cafeteria ( ) a' Other fixture Q ---------------•---•-----------------•----•--•-- ----------•------------------------------•-------•---------------- W Design Flow..../ 7 �f-'. ._ .........gallons per person per day. Total daily flow..... -..-----------------_-gallons. WSeptic •1•cttik 4 Liquid capacity-t AM-gallons Length................ Width................ Diameter_---__------__ Depth................ x Disposal Trench—No_ ____________________ Width.................... Total Len th_-_.-_-___-_--.--:--'°Total leaching area--------------------sq. ft. Seepage Pit No........t----------- Diameter_IML� /_ Depth below nlet. ...... ....... Total leachin area------- __----sd. ft z Other Distribution box ( ) Dosing tank ( Q ) D C. 7 'w �'.Z G- 7 G '- Percolation Test Results Performed b � .--•- - -- -- ---.�` '._... Date / a Test Pit No. 1................minutes per inch Depth of est Pit.-.---�___-___-.- Depth to ground water------------------------ (Z4 Test Pit No. 2___-•-_______-minutes per inch Depth of Test it____________________ Depth to ground water_..__._..__..__.__.__... / ,,t----f O Description of Soil - '� fj7 = 'V; �2 ---`'` 'u 1�/ lu ,Gt-�_ . -- ------- -- w --------------------------------- :- s . '----------------------------------------------------------------------------------------------------------------..----- VNature of Repairs or Alterations—Answer when applicable._---------------------------------------------------------------------------------------------- -------------------------------------------------------------- •---••---••-•-•--••-•----•-•••----- ------------------------------------------.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The under igned further agrees not to place the system in operation until a Certificate of Compliance has been issued b e and of health. igned_._ ' - Date Application Approved BY r' � �•• Date -- Application Disapproved for the following reasons:._. —........................ -----•-----------........................................... ....••------- ---------------•-----•----------•----•-------•--------------------•--.......................................................... -------------•-----.-•------------ -------------------•----.----- Date PermitNo....................................--................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH e � .OF.............`. ... ...� ............. 6'ri"Ifiratr of Offl.,ontpiittnrr THIS TO CERTIFY That he Individual Sewage Disposal System constructed Repaired . -• -- ............................................. by ' tO J. ----- ------ Installer at 4 Get --------------------------------------------- has been installed in accordance with the provisions of Ar iTe NI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No___________---�ZS__°l------------ dated__.' ------- ........... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL, FUNCTION SATIS ACTORY. DATE. c � Inspectors .. THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH 3 � �� " OF.......... ......C4 /Q •� No.•--------2•-----7 FEE......-. ---....... Biripoiitti Norkfi Tonitrurtiun Vrrmit Permission tiss hereby granted----------------- �/e,�Ntage =....... -----------------------------------........... to Construct v or Rep 'r ( ) an ndivid Disp S - _ , y� �0.1.� i_i l at No...- . ..� .fi4. Street as shown on the application for Disposal Works Construction Permi No..__ �___%_ Dated---L/B.....k ......... ............ - Board of Health DATE-------------------------------------------------------------------------------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS LOCUTION SEW&C,E PERMIT UO. C-Q- At«��� VILLAGE Low l j - - 9 � U 9,3Z — INSTALLERS W&DIME ADDRESS �t-- aPIL c �,� � � BUILDERS tJ &MF- t, ADDRESS DATE PER"VT 155UED :- — — L D ATE COMPLI &KICE ISSUED . = =/= �. �tif`.' � �� �� i �� a`� // SOIL L08 \Xy l%l ll i.V��y•,•v-,:IK er�,i.�µti Jwy.,i`Ni.�.L l/U —'--�—� _ A, 2"PEAS TONE L04M 9 FILL 12"MG+ 17. g(�;3 �� GP-AVC- t /5/S IT - - T ff ° ,1 ??•33 C:I. DIST. BOX I° ; °° ° •, Medium -I C 24"MIN 0 5'MIN. 1000 , D °°� 1000— GAL. GAL. o e o PRECAST OR ° SEPTIC 61° 0° °° o BLOCK TAMV K ° ° . ' DI ( lUf (N Ip SEEPAGE PIT o ° Or(OSI0Aa : 0 i 32" 20' MINIMUM o ° '• °o ° '� °� ° o _q FOUNDATION i,G e• ' ° ,° o o 2' 1 , • ��°•1 %2 ° WASHED STONE SCALE1,� 1" 4' ELEVATION SKETCH 10' PERC. RATE ��ss��uhZl r�rl SCALE I"= 4' TEST BY WATE Q TOWN INSPECTOR; PaW M tJrr4 BACKHOE OPERATOR I rt SS! TEST MADE ON : 4 9 '4 (2LGT0N LJ� 'v6 x96•�6 3I $I /V630- orp'- /o " E -9 /SU't V-o 0iP� STAGE eo 4 /G0,00 Lo T-/Q Ioo�11 l Ptt ' 362 1'IZ 4� GAQ V o ri3ax � /0��;fix c o sTo�r v�►oi. s )x N TVR` l000 6AL. sEPTrCTANIeFo ba lrlfreb X4a 5 bSSAowA d e,*A APPROVED BY BOARD OF HEALTH 1 Vft � 4,74ef, ,,vpa*`• ;r` DATE Is— ow Et ELEVATION SCHEDULE PROPOSED SITE PLAN I. INV. AT FOUNDATION = 98.00 all SEWAGE SYSTEM OESIGN 2. 1 NV. INTO SEPTIC TANK = 1N /(� 3. 1 NV. OUT OF SEPTIC TANK = 9 7.00 �A2NSTti �C-GJ MA• ,s 4. INV. INTO DISTRIBUTION BOX = 9(.,5'o SCALE: I' - 4U q� �2 �- /QPQ+L Is 5 INV OUT OF DISTRIBUTION BOX = 9(1133 C J�-Zo 6. INV . INTO SEEPAGE PIT = 96•oo CAPE COD SURVEY CONSULTANTS ROUTE 132 7. BOTTOM OF PIT = 9o'Oo HYANNIS, MASS. A DIVISION BOSTON SURVEY CONSULTANTS, INC- B. BOTTOM OF STONE LAYER = 88.00 I - EXISTING 1000 GALLON TANK DISTRIBUTION BOX HIGH CAPACITY INFILTRATORS CROSS SECTION LOCUS PLAN NOT TO SCALE NOT TO SCALE NOT TO SCALE i NOT TO SCALE NOT To SCALE eM MIN2° L PE•--> 98.8' COVER TO BE WITHIN 6"OF GRADE �\ 4"sCH:40P.v.C. 3"MINLMLIM MIN. 12"COVER. INSPECTION PORT TO,I BE WITHIN 6" OF GRADE ^ 4" CH.40 P.V. 4"SCH.40 P.V.0 " "_ LIED S 1 ONE �� -0.0 " =0.01 MIN. W EXISTING to l 3 " 7 Irr VI 3 1/8 1/ WAS 4 96. 9 A u�.�. 97.04 5' \ \ o H CARLET❑N 4.0' 96.3 96.0 0' .92 / ��O I0.0 94,0 ..3/4';1.V2"DOMLE WASNEDSTONI 1,08' MIN :.;::�.'• ' 6n OF.ST.ONE UNDER TANiG. , 8.0 1.�,1 25.0' _L 1.5 4' 2.8 4' I 28.0' OTTOM OBS 86.52' 10.83, -� SITE SPECIFIC NOTES DESIGN CALCULATIONS GENERAL NOTES FLOOR PLAN GAS BAFFLE 70 BE INSTALLED ALL PIPING TO BE SCHEDULE 40 P.V.C. NOT TO SCALE EXISTING BEDROOMS 3 ® 110 G.P.D. ALL LOCATIONS OF UTILITIES SHOWN ARE AS INSTALLER TO N❑TIFY DESIGNER 24 HOURS 330 G.P.D. MARKED BY DIG-SAFE AND ARE TO BE PRI❑R TO BEGINNING OF JOB TO CO❑RDINATE VERIFIED BY INSTALLER PRIOR TO INSPECTIONS NO. OF UNITS 4 CONSTRUCTION DEPTH BELOW INV. 2' THERE ARE NO KNOWN WETLANDS WITHIN WIDTH 10.83' 150' OF THE PROPOSED LEACHING FACILITY LENGTH 28' UNLESS SHOWN. M1 o P2 9 3Q SIDEWALL AREA 155.32 SF THERE ARE N0 KNOWN POTABLE WELLS WY. ! V P BOTTOM AREA 303.24 SF 150' OF THE PROPOSED LEACHING FACILITY. P#..�/�/,, ♦ FIRST FLOOR TOTAL SQUARE FEET 606.86 SF THERE ARE NO KNOWN IRRIGATION WELLS IL19024. WITHIN 50' OF THE PROPOSED LEACHING qH THIS FACI PROPERTY DOES NOT FALL WITHIN A a CAPACITY BOT OM LITY CAPACITY L® 0.74 224 4 00.74 4 G.P.D. CAPACITY TOTAL 339.34 G.P.D. FLOOD ZONE AS SHOWN ON FIRM MAP THIS DESIGN DOES NOT REQUIRE VARIANCES • acres TO TITLE 5 (310 C.M.R. 15.00) OR BARNSTABLE �� BEDROOM/OFFICE THIS SYSTEM NOT DESIGNED TO SUPPLEMENTAL`REGULATIONS. BATH BEDROOM ACCOMODATE A GARBAGE xrrCrlErr ALL CONSTRUCTION SHALL BE IN ACCORDANCE TAIRS DISPOSAL WITH TITLE 5 AND BARNSTABLE SUPPLEMENTAL REGULATIONSro SMNT IN-LINE ELEVATIONS PROPOSED AS-BUILT SURVEY INFORMATION .BEDROOM INV. 0 HOUSE (EXISTING) PROPERTY LINE DATA FROM , f PORCH ROOM G INV INTO TANK 97.04 CERTIFIED SITE PLAN APRIL 26, 1976 INV OUT OF TANK 96.79 INV INTO D-BOX 96.5 PLAN TO BE USED FOR INSTALLATION INV OUT OF D-BOX 96.3 OF SEPTIC SYSTEM ONLY EXISTING 1000 INV INTO INFILTRATOR 96.0 GAL TANK TO NOT FOR DETERMINING PROPERTY LINES }};� BOTTOM OF INFILTRATOR 95.08 I 1 REMAIN, ,! BnTTs)M hG crS'�F.�_.. aA.n _... INSTALL �.:.: _ . . _ j INS I ALL. �GAJ. BOTTOM OF OBS HOLE 86.52 FIRST'FRONT STEP 100.0 (ASSUMED) BAFFLE WATER TABLE NONE ENCOUNTERED DATE: OBSERVED BY: WITNESSED BY: t SOIL LOGS June 8, 2005, LISA C. LYONS DON DESM�ARAAITH I SOIL EVALUATOR BOARD 0 HEALTH L OBS. HOLE #1 OBS. HOLE #2 ELEV. DEPTH' ELEV. DEPTH 98.7 O" 98.5 0, SHED LEACH PIT FILL FILL T❑ BE j DECK + REMOVED ! 93.07 0" 95.8 2 TP 2 C 9879 C GARAGE #23 PROPOSED MEDIUM SAND MEDICTM SAND 52" 4 INFILTRATOR 2.5Y 6/3 2.5Y 6/3 64" IN A 2' X 10.83' X 28' c G TRENCH TP 1 88.79 20" 86.52 44e REMOVAL OF FILL TO C LAYER 0 GROUNDWATER''ENCOUNTERE J ©98.79 SOIL DAMP AT BOTTOM I I (� PERC RATE<2 MINS./INCH CAIZLETON LANE BM - ASSUMED 100.0 C❑RNER OF FIRST $TEP �Z•��� ��c'`�= PLAN SHOWING: N PROPOSED SEPTIC SYSTEM REPAIR IN BARNSTABLE FOR: = DRAWN BY: LISA C. LYONS 'sue . �� �� �3� �' LESLIE AND RAY WATERS DESIGNED & CHECKED eY: i i < ?� LISA C. LYONS '�I'9•�i• AE E�FO•�Q�?`� LOCATION: REVISIONS: DESCRIPTION: DATE: iv F •..;;5;..• 23 CARLETON LANE,CENTERVILLE r � LOT . I E S --["DATE. n R ii � M190P233 J 4,2005 ♦ ISA C. ONS. R.S. SCALE 1 . 30 08 0- a 0 I CERTIFY THAT THIS PLAN CONFORMS TO LISA C� LYONS ,N S ,-R � � . (5 ) '79 9 7 TITLE 5 AND BARNSTABLE B.O.H. REGULATIONS f (//4) 48'7-1638 (EXCLUDING WAIVERS SPECIFIED) HYANNIS, MASSACHUSETTS