HomeMy WebLinkAbout0103 CHILDS STREET - Health 103 Childs Street
Centerville
A __249 .004
Sim
ur
UPC 10259 '
No.H—.�0
HASTINGS, YH
T 'No. 0,00;L— 57(o Fee 5��✓
! THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
01pp[ication for )Diopogal *potent Construction Permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( )X$5,Complete System ❑Individual Components
Location Address or Lot No. 1 0 3 Childs Street Owner's Name,Address and Tel.No.M i c h a e l A. Kelly
Centerul,117,Mass. 02632 103 Childs Street
Assessor's Map arce laq 1_60y Centerville,Mass. 02632
Lot 10 �C'1
Installer's Name,Address,and Tel.No.5 0 8-7 7 5-3 3 3 8 Designer's Name,Address and Tel.No.5 0 8—7 7 5—9 7 0 0
J.P.Macomber & Son inc. Ronald J. Cadillac P.O.Box 258
Box 66 Centerville Mass 02632 West Yarmouth,Mass. 02673
Type of Building:
Dwelling XX No.of Bedrooms 3 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 Type of S.A.S.
Description of Soil Sandy loam to medium coarse sand.
Nature of Repairs or Alterations(Answer when applicable) Omitting cesspool, Installing
1 -1500 gallon septic tank. 1 -distribution box and two 500 gallon
leaching chambers packed in 4 ' of 1 " stone. 25 'X12. 83X2 ' 349 GPD
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 thp Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been iss d by !deal
t
Signed Date 1 2/7/0 2
Application Approved by U } C Date
Application Disapproved f the following reasons
Permit No. Q.00 vZ— 5-76 Date Issued `02—�0—
�t "No. a00a- S / ( - Fee$50.00� '//
4..1j V F
Entered in computer:
�; THE COMMONWEALTH OF Mt. ASSACHUSETTS
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
2pprication for Migozal *pstem Construction Permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( )X�_3_tComplete,System ❑Individual Components
Location Address or Lot No. 103 Ch i6il s Street Owner's Name,Address and Tel.No.M i chae 1 A. 'Kelly
Centernpjl ,Mass.02632 1'03 Childs Street
T.Assseesssor'sOMap arce a� y-0111-I tenterville,Mass.026132
r � Installer's Name,Address,and Tel.No.5 0 8—7 7 5-3 3 3 8 9 Designer's Name,Address and Tel.No.5 0 8—7 7 5—9 7 0 0
J.P.Macomber & Son inc. Ronald J. Cadillac P.O.Box 258
Box 66 CentervillgeMass.02632 West Yarmouth,Mass.02673
Type of-Building:
Dwelling XX No.of Bedrooms 'A Lot Size sq.ft. Garbage Grinder
t
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 Sandy loam to medium coarse sand..
Nature of Repairs or Alterations(Answer when applicable) Omitting cesspool. Inns to l l i ncr
1-1500 gallon septic tank. 1 -distribution box and two 560 gallon
leaching chambers packed in 4' of 1 " stone. 25 'X12.83X2 '�, 349 GPD
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 thug Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by this �oaard f ealth
Signed /. Date 1 2/7/0 2
Application Approved by ! a....� e _ Date
Application Disapproved M the following reasons
X
Permit No. a 00 a - 5-76 \Datelssued
r ——— -----------------------— ————————————
— .
THE COMMONWEALTH OF,MASSACHUSETTS
t
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
TI4IS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired.((XX)Upgraded( )
Abandoned( )by J.P.hlaeomber & Son Inc.
at 103 Childs Street Centerville,Ma§ll, has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. :Z o,)?-57 6 dated f.?-
Installer J..P_Macomber & Son inc_ Designer Ronald J. Cadillac,PLS,RS
The issuance of this permit shall not be construed as a guarantee that the systemC`s t11 function as designed.
Date i�1 !710 2-- Inspector 'tom� �^'• A
No. a0�`a�- S 7/ — —----------------------Fee$50.00
_ t�QJ THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLEi MASSACHUSETTS
'XIM.5pogar *pgtem Congtruction Permit
Permission is hereby granted to Construct( )Repair(X.X)Upgrade( )Abandon( )
Systemlocatedat 103 Childs Street
Centerville,Mass.
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 this
permit` n
Date: I a— 0— Ua Approved by ` ,ems. -c!/ L o
G
j TOWN OF BARNSTABLE
LOCATION / b 3 C /` d s '� SEWAGE # yoa
VILLAGE C 7 e f' 10/ le . ASSESSOR'S MAP & LOT d y
INSTALLER'S NAME&PHONE NO. T /V A C ® mot e t� a eV
SEPTIC TANK CAP�CITY
LEACHING FACILITY: (type) -' R y �' L S (size) f "
NO. OF BEDROOMS .A
BUILDER OR OWNER +dn U
t PERMITDATE: 0 CO LIANCE DATE: 12 0 2
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 Feet
on site or within 200 feet of leaching facility)
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
%0 ,
V
� I
ICJ`
s
s
3t
e0 _"®'
�. o 7— TOWN OF BARNSTABLE Fc-
LOCATION / ® C N/1. D S 51' SEWAGE # ;�o0a—S76
F
VILLAGE C e/t/ V 1//e ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. J 41 A C 0 44 ,6 e t� t S o.,V
SEPTIC TANK CAPACITY O Jr CIO
LEACHING FACILITY: (type) P A y Ly e L L S (size) /3 f A,�- �
NO. OF BEDROOMS 3
BUILDER OR OWNER i" U
PERMITDATE: LJ--0 CO LIANCE DATE: 12
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
NO
e
1
s
3F
i
l
JOB NO. B02-09
NOTES Kelley4.dwg
We
s
U) 1. LOCUS IS A.M. 249, PARCEL 004. t MOin t
N 2. ELEVATIONS SHOWN ARE ASSIGNED. S.
6 N/F 3. LOCUS IS IN FLOOD ZONE C ON FIRM DATED AUGUST 19, 1985. Long
°- 4. ALL PIPES TO BE 4" SCH 40, AND PITCHED AT 1/4" PER FOOT. (UNLESS NOTED)
co THAYER & LYONS 51:0 . MUNICIPAL WATER IS AVAILABLE. LOTS WITHIN 100' ARE ON TOWN WATER. Pond s `,
6. COMPONENTS TO BE AASHTO H-10, UNLESS NOTED. 6
m 7. INLET TEE TO PROJECT DOWN 13", OUTLET TEE DOWN 14". ° o m
8. IF TWO OR MORE LINES, WATER TEST D-BOX FOR EQUAL FLOW N o `4
29.68 D-BOX EXIT PIPES TO BE LEVEL FOR FIRST TWO FEET. NOT TO rt
30.0 9. DEPTH OF COMPONENTS NOT TO EXCEED 3', OR VENTING MUST BE PROVIDED. SCALE i'irn)
BUILD UP COVERS TO WITHIN 1' OF GRADE. MORTAR CHIMNEYS IN PLACE. e St.
ONE COVER OF TANK TO BE WITHIN 6" OF GRADE. LOCATION MAP
N 85'42'10" E 10. STONE TO BE DOUBLE WASHED 3/4 TO 1 1/2" WITH 2" MIN. 1/8 TO 1/2" PEA STONE ON TOP.
142.80' 11. IF UNSUITABLE SOILS, OR SOILS DIFFERING FROM THE SOIL LOG ARE FOUND,
CONTACT THE BOARD OF HEALTH, OR R.J. CADILLAC.
L 0 T 10 12. IF AN OVERDIG IS CALLED FOR BELOW, FILL MATERIAL FOR 5' AROUND AND UNDER LEACHING TEST HOLE 1
c IS TO BE CLEAN GRANULAR SAND MEETING SPECIFICATIONS OF 310 CMR 15.255(3).
28 1 21 2 0 0± S. I 13. PUMP AND FILL ANY EXISTING CESSPOOLS. REMOVE ANY CLOGGED SOIL, BLOCK, AND STONE IN
LEACH AREA, AND DISPOSE OF AS DIRECTED BY HEALTH AGENT. DEPTH (inches) ELEV.(29.5
14. ALL CONSTRUCTION TO MEET TITLE 5 AND LOCAL REGULATIONS.
BENCH MARK--CORNER OF 0 A layer 10yr 3/3 9.5
MIDDLE STEP = 30.52 ASSIGNED _ TEST HOLE DATE: June 24, 2002 7" sandy loam
ate-� NO GRADE CHANGES PERFORMED BY: Ron Cadillac, Soil Evaluator
1 ARE PROPOSED WITNESSED BY: Not required B layer 10yr 5/6
PERC RATE: <2'-00"/inch (C layer) sandy loam
SOIL SURVEY(1993): Carver coarse sand (10% gravel)
29.3
PAVED DRIVE GEOLOGIC MAP(1986): Barnstable plain deposits 34" 26.7
X lJ / C layer 2.5y 5/4
Z 29 Invert A 28.36f Invert 26.75 52"�
c� 2 DRY WELLS m d. coarse sand
Invert B 28.28f e n
o :: Z -x 'fl- T- Proposed
Invert 26.33 15� ravel
ry 29o. .5 \ Exist. Cast Iron P ( gravel)
30.7 r3o 5 Proposed
o ao ' 30.0 S=3/8' 9" min. cover 27.0=Top Conc.
I 30,21
30.38 I Proposed S=3/16"eft 26.7=Top Peastone
�J C W it t I I Invert 27.007 1500 Gal. -�
30.3 GO I Ln I I Proposed - - - -
30 35
v, I � I � 24" no water
z 30.24 I 126" 19.0
3 3 r rn
12 Invert 26.50 24.2
Invert 26.20
N/F B I ( 6" Stone Or compact Proposed Proposed 5.2 Bottom
clean out p I 14 A-48 I ( _
::
30O '� 1 1NI 6'
TOWN OF w �� I C 4' B_43' -16 1 1 6' Bottom TH1=19.0
BARNSTABLE C) If rn <
DESIGN DATA
.. ...... 0.may,'_ 30.00
BEDROOMS: 3
.....
® �8.'y , A / + ���LF GARBAGE GRINDER: No LEACH AREA
T /
0.01 REQUIRED CAPACITY: 330 GPD
-
0 SEPTIC TANK: 1500 GAL. USE 2 DRY WELLS WITH 4' OF STONE
29.76 BOTTOM LEACHING AREA: 320.7 SF ALL AROUND FOR A 25 LONG BY
1 h + 12'-10" WIDE BY 2' DEEP LEACH AREA.
z p� [(25' X 12.83')]
0`� �$ - clean out 9.8 SIDE LEACHING AREA: 151.3 SF
LA TH 1 [2(12.83'+ 25') X 2' DEEP)]
N CO. O 0 29 DESIGN CAPACITY: 349 GPD
� F
I [(320.7 SF + 151.3 SF) X .74 GPD/SF]
10, 0 9.79
136.97'
O
S 85-42'10" W
BENCH MARK--TOP & CENTER OF N/F CAUTION--UNDERGROUND ELECTRIC!
WOOD STAKE= 28.89 ASSIGNED KNIGHTS
(31'-4" OFF CORNER HOUSE) SITE PLAN
FOR
THIS PLAN A VALID COPY ONLY IF IT BEARS MICHAEL A. KELLEY & PEGGY A. KELLEY
AN ORIGINALL RED STAMP AND SIGNATURE.
�LEGEND I III jNOFMgSsgc \5NOFMgS61 LOT 109 103 CHILDS STREET, CENTERVILLE, MA
ti
TEST HOLE LOCATION, NUMBER R s °� NALD �s
W WATER LINE MARKINGS 0 C 0 ES N SEPTEMBER 24, 2002 SCALE. 1 "=20'
T-- UNDERGROUND TELEPHONE LINE MARKINGS
-6 GAS LINE MARKINGS ��# 1060 35
0#
G Al
x 9.5 x 8.7 EXISTING & PROPOSED ELEVATIONS ('X' MARKS POINT) S'gNITAR P (q�0 SUR\J
EXISTING CONTOUR RONALD J. CADILLAC, PLS, RS
g- PROPOSED CONTOUR 2� 6 PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN
0 UTILITY POLE (IF SHOWN) P.O. BOX 258
® EXISTING DRAINAGE CATCH BASIN WEST YARMOUTH, MA 02673
FENCE (IF SHOWN, NOT ALL SHOWN)
0 TREE (IF SHOWN, NOT ALL SHOWN) HEALTH AGENT AP ROVAL DATE (508) 775-9700
C 2002 BY R.J. CADILLAC PAGE 1 OF 1