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HomeMy WebLinkAbout0033 CHAPPAQUIDDICK ROAD - Health 33 -hapaquiddick Road Centerville A = 170 025 Ali 1Ql � jn12'14 2.153L � wso�,rr No. �©//�� ^ / tS7 Fee L T14E COMMONWEALTH OF MASSACHUSEfrs ` ` Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplication for ;Di000l *patent Construction Permit Application for a Permit to Construct( . )Repair O Upgrade( )Abandon( ) ❑Complete System O Individual Components Location Address or Lot No. Owners Name,Address and Tel.No. �.1�_ < . ' (),C9-GQ:r aUts..{iJAtJ Assessor's Map/Parcel CUJ-1-69—v sU�6 Installer's Name,Address,and Tel.No. ; Designer's Name,Address and Tel.No. -� f,, P®sZE5r'Oi9 LT:;, M W —p8 (4 Type of Building: Dwelling No.of Bedrooms Lot Size I,�C>®l sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow °'D3 gallons. Plan Date MYa`d I(B 2.007o Number of sheets Revision Date Title Size of Septic Tank i.5 Type of S.A.S. oc'»I e_1AAM0":> Description of Soil. `^ al "' i O �, Nature of Repairs or Alterations(Answer when applicable) ` 4_'>G ADZ Date last inspected: Agreement: The undersigned agrees to ensure the con ction and maintenance of the afore described on-site sewage disposal system in accordance with the provisi of ' 5 o the vironmental Code and not to place the system in operation until a Certifi- cate of Compliance has been ssu y t 's oard o Health. Signed Date - �-(3 Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued r No. ©� �F «t Fee ` d "*'_!' +. Entered in computer: '�. TIilE(C-flft�IfAONWEALTH'OF MASSACHUSE�`TTS Yes PUBLIC HEALTH DIVISION - TOWN-OF BARNSTABLE, MASSACHUSETTS Application for Mi!5oo9;af *pgtem CCongtructfori Vermft ' Application fora Permit to Constnict( )Repair 4)Upgrade( )Abandon( ) O Complete Systet ❑Individual Components o Location Address or Lot No. Owner's Name,Address and Tel.No. . , 33 U-i�1vAa�,oo,c.� a..n. R ��T Suw vA� Assessor's Map/Parcel 00 Z. Installer's Name,Address,and Tel.No.afjk�rMZ Designer's Name,Address and Tel.No. ec o o $ems- I Z Por�rT» CT:. 3(0 Ig-089q Type of Building: Dwelling No. of Bedrobms Lot Size 5001 sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures ((!!//� Design Flow 7 7 gallons per day. Calculated daily flow yTtD'ta3 gallons. Plan Date MAY 66 Z.00Zv Number of sheets ( Revision Date Title Size of Septic Tank 150-0 Type of S.A.S. 3 1500!41 GHAMMZ� Description of Soil i F? Z b "-1Z.o11 M Nature of Repairs or Alterations(Answer when applicable) UPGRADF, OT 5 P'I L Sy5T Date last inspected: Agreement: The undersigned agrees to ensure the c �uction and maintenance of the afore described on-site sewage disposal system in accordance with the provis' n of ' e 5 , the nvironmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss y 's card o Health. r Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( )Repaired (A/)Upgraded ( ) Abandoned( )by PASTc �lC�1V1�i�enl� at}' 3 3 e—O G 1y i 1 UD, has been constructed in a'c rdance with the provisions of Title 5 and the for Disposal System Construction Permit No. -'31"dated liistaller p �JlGAVA'1�) t?rj Designer The issuance of this pe it sha 1 not be construed as a guarantee that the system will fun c�on�as',��lesigried. Date Inspector ( ' No. oo(J Fee /00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Migoar *p5tem CCon.5truction Vermi� { Permission is hereby granted to Construct( )Repair )Upgrade( )Abandon( ) System located at 33 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 e completed within three years of the date of this p 'I . Date:_.__ Approved b Town of Barnstable Regulatory Services Thomas F. Geiler, Director • sxnrtsrest.�, • 9. Public Health Division 'E0N'0�� Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 6,vs-r Designer: _41 lJ. �,(?f �(�� 1 ��� Installer: Address: 4-3 C12 Address: On was issued a permit to install a (date) (installer) septic system at i C�� based on a design drawn by (address) 11t J dated IW '1 t , Wo (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. tH OFMgs� DAVID �yGN o D. COUGHANOWR N (Installer's Signature) No. 1093 018TB�v sgNITAR% (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- o BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form TOWN OF F BARNSTABLE LOCATION �5 C# 4Q,—, s7tA-; SEWAGE # OW/ `3�y VILLAGE "e. ASSESSOR'S MAP & LOT�7D INSTALLER'S NAME&PHONE NO. A� SEPTIC TANK CAPACITY C -'9'0' LEACHING FACILITY: (type) 9���''7r7Jj (size) NO. OF BEDROOMS BUMDER OR OWNER PERMIT DATE: 7— 0 COMPLIANCE DATE:VP-,,P'Ve 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 . 33 OA&K Li 3 cx f 3 7s F-L_O W PROFILE ALL PIPE ELEVATIONS SPECIFIED ARE INVERT ELEVATIONS TOP OF FOUNDATION RAISE COVERS TO WITHIN 6 in OF FINAL GRADE EL = 45.34+- ONE INSPECTION RISER FOR LEACHING GALLERY Qp �/ 44.00 OF �3" DROP ZD-Bo MAX 2 112YSTONE 1/8' FLOW LINE 41.75 10• = II 14 46" �As� PRECAST 3/4"-11/4" BAFFLE DRYWELL STONE 42.00 6 in SOIL OM OF ABSORPTION L42. STONE 41.13 ' LEACHINGSYSTEM BASEG 42.25 6 in STONE BASE 41.30 GALLERY 4 Lo-o 5.00 FL + 1500 GALLON (END VIEW) 39.00 22.25 f E SEPTIC TANK 12.6 fE o1 5 f t 12.5 f t b) 13 Ft ADJUSTED Q 3 2.3 0 SEASONAL HIGH GROUNDWATER 6 o-1nZ9 z>F-O >m� rnoorno z oO� >� mn ���� ��� N 0o o F-. (31 rn om0 ��� \ m -0�0�< COO � \ �x �D-Drn� /,i cr)cnrn3 N �C O G7 f >2: o -I'4Z 0 z 1 � � �3 0 0 co \ z=> n 1 \ -ocn- 1 >3Mr z 0 2: o O C)MZ m � -0 m n W cs� 0 1 ` >- ' 1� cn F- N1 � 00 17) o 0o z c V�o.� �coyM �� M Zo � Z, 1 �rn Z a o = n o 1 \ O� ��/ CD O F— '/ Q Csli�s� x 1 z- =r-ocn= �cn (� oc r>>n n o c i qpT ��` �� Lv Z7 rn '� /' r z O mmmo-<r- ® rn 0 _ cl) 1 1 / O coM�- rn o G� V rn o �>ozm �oZ�u>i �� p —� =ooro m F-1-1 C ,u0 3cnz>z m n O M f)CD - 0 c>n2 )s> N n � �l� Z�Z� WNW- o� UI 9m�ZZ co � � xQ O 2O�y Wdd r- W CD Is c m Uo cn d z F71 O I�l cn C1� m Q� Loo ul N m D >D �' m a i z (mm� i� CU0 � C� > or yam acne mz==C 3 � � � � Z(— orn°zy C nn y O O� Dr6) Nmrn� zrn m z m A > I (� G7 a s 3 y rn ti rn rn m Z-T1 a m(D� SKUNKNETT �6 ;co M uom�� -< CT) = Z m z �mymm r (n� (n O �t9 m omm >N ro ROAD m���o � � Z n Z �� 3CDo Cny X �O • NPgoo j � O mp a u�`"i o o oo y M C rn (Tl f�Tl' a Z Z m 'yC O Z n y I rn t�cn m � zp o -,� cn� Z (f) �o�� OO r -4 (� �3oxo-< Nm t9n �7 F--{ mmn� y �r " ' F- M m CD fV M NIA O n o-;-o z < C fTl �0 11 �Z W o o S z zo,� c � 3 3 a Cn 0E— n(nC. rn rn f- �m EM _ -D � O rn zo -< -�z 3 'L O;O zi m ro N TI Aa 3 L 3p z z V ,y a SOIL TEST LOG DESIGN CALCULATION S . , DESIGN FLOW: 4 BEDROOMS X 110 GPD = 440 GPD DATE OF TEST: APRIL 21. 2006 SOIL EVALUATOR: DAVID D. COUGHANOWR. R.S. SEPTIC TANK: 440 GPD X 2 DAYS = 860 GALLONS WITNESS REQUIREMENT WAIVED - NO VARIANCES SOUGHT INS-TALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) NO PAARENOTUMAATERIARL:EPROGLACNCOUNTERED OUTWASH DISTRIBUTION BOX: USE 3 OUTLET D-BOX. TEST PIT 1 ELEVATION = 42.40 PERC AT 56 to 2 MIN/INCH IN C SOILS +- SOIL ABSORBTION SYSTEM: A 33.5 Ft x 12.5 Ft- x 2 Ft LEACHING GALLERY CAN LEACH A b o L = (33.5 x 12.5 ) = 418.Z5 sf DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER A s d w = ( 33.5 + 33.5 + 12.5 + 12.5 ) x 2 = 18 4.0 sf (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING Atot = 602.75 s- 42.40 Vt 0.74 x 602.75 = 446.03 GPD 0-12 Ap SANDY LOAM 10 YR 3/2 NONE FRIABLE USE A 33.5 f t x 12.5 Ft x 2 Ft GALLERY. Vt = 446.03 GPD > 440 GPD REQUIRED 12-32 B LOAMY SAND 10 YR 5/4 NONE FRIABLE 39.73 32-120 C MEDIUM SAND 10 YR 6/4 NONE LOOSE 32.40 LEA CHI NG GALLERY CROSS SECTION VIEW NO GROUNDWATER ENCOUNTERED USE SHOREY PRECAST 500 GALLON LEACHING DRYWELL IH-10 LOADING) TEST PIT 2 PARENT MATERIAL: P R O G L A C I A L O U T W A S H ELEVATION = 42.00 +- PERC AT 60 in 2 MIN/INCH IN C SOILS 2 i PEASTONE 2 in PEASTONE DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 28 2 42.00 inIMEEFAFECTI3/4 in TO 26 D2 in GRAVEL 1n 0-10 AR SANDY LOAM 10 YR 2/2 NONE FRIABLE 10-30 B LOAMY SAND 10 YR 5/4 NONE FRIABLE 58 in 46 in 39.50 46 in 30-120 C MEDIUM SAND 10 YR 6/4 NONE LOOSE 32.00 150 1n LEACHING GALLERY CONSTRUCTION DETAIL 500 GALLON DRYWELL SHOREY PRECAST CONCRETE DIMENSIONS AND DETAIL 500 GALLON DRYWELL USE.H-IB UNIT LEACHING UNIT OR EQUIVALENT NOTES S T O N INSTALL ONE INSPECTION RISER TO WITHIN SIX INCHES OF FINAL GRADE 3 3.5 F�t UIL TECARDATION m 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN m 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/B INCH PER FOOT MINIMUM. 0 33 In O O O 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS ni N oo�i4A0"NLjA'S In OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) 0004) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. 4.0 6.5' 8.5' 8.5' m �g 5) EXISTING CESSPOOLS TO BE PUMPED. COLLAPSED. AND FILLED. OR REMOVED 33.5 f t 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 8l ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES GROUNDWATER ADJUSTMENT SEWAGE DISPOSAL SYSTEM PLAN AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK-„ 9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR,.LOADI.NG. DO";NOT EXISTING GROUNDWATER LEVEL -TO SERVE EXISTING DWELLING PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. " BASED ON TOWN OF BARNSTABLE GIS DEPARTMENT RECORDS. ROBERT & ROSE ANNE SULLIVAN 10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE•.STARTING WORK. INDICATED GW 31.00 33 CHAPPAOUIDDICK ROAD CENTERVILLE. MA I SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO G.R. ADE�- ON A LEVEL INDEX WELL SDW-252 STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH ZONE D ECO-TECH ENVIRONMENTAL SIX INCHES OF CRUSHED STONE HAS BEEN PL'A`CED TO `MINIMIZE UNEVEN SETTLING READING DATE MARCH, 2006 = READING 46.5 J ,, ADJUSTMENT 1.3 43 TRIANGLE CIRCLE SANDWICH MA 02563 r: ADJUSTED GW 32.3 ETE-2331 MAY 18. 2006 212