HomeMy WebLinkAbout0053 CLIFTON LANE - Health 53 CLIFTON LANE, CENTERVILLE
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UPC 12534
No. 2�153LOR
HASTINGS. UN
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44
` Fee
No. r
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
ZIppYication. for Migpog *p5tem Con6truction Permit
Application for a Permit to Construct( )Repair( Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. Owner's e,Address and Tel.
- C t �
Assessor's Map/Parcel n r, f57 S► A.)-T 1,
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
C� -V ���V lZ$
�� s�
Type of Building:
Dwelling No.of Bedrooms 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
Nature of Repairs or Alteratio s(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 isqued by this B and Heal
Signe Date �Z—/ 1/4 5
Application Approved by Date
Application Disapproved for the following reason
ad
Permit No. Date Issued
w Nn .. r _ r, N_ E tereFee
^ '� d in computer:
{ THE COMMONWEALTH OF MASSACHUSETTS := yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS.
;
01pprication for Miopool *pgtem Congtruction Permit _.
Application for a Permit to Construct( )Repair( Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. PMox L � o.Owner's Name,Address and Tel.
. -� ,c �2o plp
Assessor's Map/Parcel
SAp, L
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
3 Fs
Type of Building:
Dwelling No.of Bedrooms�_ Lot Size sq.ft. Garbage Grinder
Other Type of Building C 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 o R i f pairs or Alterations(Answer when applicable) i v.s 4k l�a e ,�u w e e%
V
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 Board Health.
Signe Date
Application Approved by U � Date
Application Disapproved for the following reason
a.
Permit No. Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
(Certificate of compriante
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( yy"Upgraded( )
Abandoned( )by 14,e\��
at en constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated
Installer Designer �/ v 1 C.
The issuance of this per* s.all not be co`nistrued as a guarantee that the syste` ill function as deF ned� ` �J/ /Q 1
Date t Inspector � 1A ffrl t
u t j
J
- -i-------------------------------
No. - Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
Miopotaf 6pgtem Conztruction Permit
Permission is hereby granted to Construct( )Repair( Kul-p--grade( )Abandon( )
System located at 5_'�
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 mufstt bel�plleted within three years of the date of this,pehiut.J q
Date: �-l' + Approved by � I s
TOWN OF BA.RNSTA.BLE u
LOCATION �, �f� 17• SEWAGE # ,7'6—
VILLAGE_r_ of jej 11,116 ASSESSOR'S MAP & LOTO%I�E�
INSTALLER'S NAME&PHONE NO. a t�'C C` tl-llee
i
SEPTIC TANK CAPACITY
LEACHING FACILITY: (ty (size)
NO. OF BEDROOMS
BUILDER OR OWNER
I PERMITDATE: COMPLIANCE DATE: /1
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
j Private Water Supply Well and Leaching Facility (If any wells exist
i on site or within 200 feet of leaching facility) Feet
i Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
j Furnished by
ir t
Ilk
e �
s oy 410y
TOWN OF BARNSTABLE to
LOCATION ,,C� i f�� �l° SEWAGE # e"Y
ll
VILLAGE_��`T /'i�`fC° ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. �
SEPTIC TANK CAPACITY
LEACHING FACILITY: ( pe) �`� (size)
NO. OF BEDROOMS
. a
BUILDER OR OWNER
PERMITDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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
r JJ
L
SECTION A -A 11 = 2000'
ALL OUTLET PIPES FROM THE
house' in. from
tIc took 'NOTE: ALL PIPES ARE TO 13E 4' SCHEDULE 40 P.V.C. r " DISSET LEVEL FOR X SHALL 12. _ co�FF
PROFILE VIEW OF ADDITION TO LrH'AC81NC SYSTEM orsltdeullal sox I
Existing Foundation tank covers rnwt W 3 of 1/8 1/2 Washed Peastoa t tF�44r 2 FT.
6 in. of finished gross SAS- as.ao /4" to 1 1/2 ' Noshed crushed stone 3- Or OUTLET 2 ROUTE 28
• Graded.arse Septic Tank- 90 80 Grade o- as de over so:- oo
wwcxouTs
over
-- , as• otnLET tr WET
s . 0.02 3 HOLE H-20 3 wmar,>um cover ,e6• °•. SIT a 4�PS�
44
NEW s-arn DIST. Box Tap of SAS- rev. -Qe.Oo
EXI T. PIPE �' 1,500 GAL. s•- solo' per root • 4' - SCH. 40 T t.78' �1Q�h
FROM EXIST, FOUNDATMN N SEPTICITANK
35' EHectiv�Depth
PLAN SECTION CRO55-SECTION ro s�hPP
0.ft inh vj
CONCRETE FULL FaUNDA 'u i °f ��, 1 PINE STREET h
o a' M 4 STONE e D = z4- 3 HOLE H-10 DISTRIBUTION BOX a
SYSTEM PROFILE 6 In.of 3/4•-1 1/2` 11 a A 1' �, 3, 1 STONE LIMBER CHAMBERS 3'
> compacted Stan. o i M 4• NOT TO SCALE
Not to Scale _ 4' 4' o 10- LOCUS MAP
Effective Length
6 In of 3/4--1 1/2` - 10
aotw stun. EPPectivr vidth m° SOIL ABSORPTION SYSTEM (SAS)
GENERAL NOTES
Bp�pms(Test y� 1_Elves-tt4.25 _ CULTEC MODEL 125 (H-20 LQADING)/ $H[]REY PRECASTE �
(OR EQUIVALENT)Not to Scale 1. Contractor is responsible for Digsafe notification
NOTE: OVERALL HEIGHT Of INFILTRATOR is 1 a /EFFECTIVE HEIGHT IS 12"
and protection of all underground utilities and pipes.
2. The septic"tank a I diWi ution box shall be set
O O
level on 6 of 3�4 -1 1/2" stone.
O S 87d 52' 10" li w 3. Backfill should be clean sand or gravel with no
stones over 3" in size.
130.00' i 4. This system is subject to inspection during installation
3-2e DIM+. ACCESS MANHOLES � i j by Carmen E. Shay - Environmental Services, Inc.
I 1 I 5. The contractor shall install this system in accordance
i PROJECT BENCH MARK i with Title V of the Massachusetts state code, the approved pion I
TOP OF FOUNDATION and Local Regulations.
ELEV. = 100.00 1(Assumed) 1 6. If, during installation the contractor encounters any
1r- �•\ `R „ I soil conditions or site conditions that are different
e = 1 1 from those shown on the soil log or in our design
nscr _ /FF i< �l;: CUT ; I i installation must halt & immediate notification be
INLETsees
THE ACCESS COVERS FOR THE SEPTIC TANK, I 1 made to Carmen E. Shay - Environmental Services, Inc.
DISTRIBUTION Brno AND LEACHING COMPONENT ice- I 1 7. No vehicle or heavy machinery shall drive over the
SHALL BE RAISED TO VATHIN 8' OF
r•- i I p p
•�"-"--.^ FINISHED GRADE. septic system unless noted as H-20 septic components.
STEEL REINFORCED PRECAST CONCRETE INSTALL TUF-TTTE GAS BAFFLES OR EQUALS i I EXISTiNc 8. Install Tuf-Tito gas baffles or equals On all outlet tee ends.
ON ALL OUTLET TEE ENDS C I 1 Joao gal. 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes.
PLAN VIEW I BXISTINC Septic Tank '�
1 10. All solid piping, tees dt fittings shall be 4" diameter
8 BEDROOM
3-24'REMOVABLE co�Rs \ I I PROPOSED W Schedule 40 NSF PVC pipes with water tight joints.
1 I HOUSE INSTALL CLEAN-OUT
4• r': s i 20 ADDITION To GRADE O 11. Municipal Water is Connected to The Residence and Abutting
3 min. deoranw •+ / N
• 2•nil,. kdst to outlet r - ,r .aaT i i tqtAl
Properties Within 150 Feet.
CUTLET
ft Isr
ut 5 -r i PROPOSED
v' 4_a" ruin 1 1 DECK 1.72 THE PROPERTY LINES ARE APPROXIMATE AND
,�sr,,, � , I L�r+e �� "C3 COMPILED FROM THE SURVEY PLAN GENERATED BY
. b " :. . ..-MtxrreiPal-allote1° I ; o CHARLES N. SAVERY, SURVEYORS. OF HYANNIS, MA '
Failed ENTITLED " RESUBDIVISION PLAN OF LOTS IN BARNSTABLE, MA"
j I Leach Pit DATED AUG. 8, 1973, PLAN BOOK 279.PAGE 66
ASPHALT DRIVEWAY I I AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN
CROSS SECTIQN END-SECTION i i i iT SFFOULD PE USED FOR NO PURPOSE OTHER THAN
i I i THE SEPTIC SYSTEM INSTALLATION. I
r
1
TYPICAL 1500 GALLON SEPTIC TANK c
O ,
NOT TO SCALE
• (H-10 LOADING) ; ; NEW 1500 gal. LEGEND
i , LOT #2A 1 Septic Tank •
1" 19,406 Square Feet •/•� ' ,;
PERCOLATION TEST I 1 i 104X1 DENOTES PROPOSED
a it SPOT GRADE
Date of Percolation Test: MARCH 13, 2002 3 1 1 1
Test Performed By. CARMEN E. SHAY, R.S., C.S.E. >z i I O X 104.46 DENOTES EXISTING
Results Witnessed B)r DAVID STANTON ( for Barnstable B.O.H.) 0 1 90.00 I p� O SPOT GRADE
Excavator: Roberts Septic Services 1 S 87d 52 10 1P I 6
f I i. n
Percolation Rate: Less Than 2 MPI - 1 _ ; c3 w *�, PL PROPERTY LINE
e� en O LATEST LE #1 a •a. ►t
O ELEV.- 99.25 Ir cD�
'� --1��rr PROPOSED CONTOUR
Test Hole Test Hole - 0
s "� 97- - -- -97 EXISTING CONTOUR
No. 1 No. 2
DEPTH saLs ELEV. a ::�
DEPTH saLs ELEV. DEPTH --- DEEP TEST HOLE &
0 99.25 0 98.78
Loamy sand Loamy s«,a S' PERCOLATION TEST LOCATION
to YR 3/2 to YR 3/2 V
LOT #2B --- -s' -_ -99 .-- 6 FOOT STOCKADE FENCE
0'-10" Ar 99.00 0'-14" Ar 97.80 _�.-
Loamy Loamy -----
Sand Sand 9 9_ -
10 Y 6^e 10 Y s/e NIF PHILIP H. GOULDINC TE HOLE2
10'- 34' Be 98.35 14'- 38' Be 95.78 = 98.7$ QQ
W
Coarse
�� San Q P 26 C, 2 6 T 7/4 P LOT LAN
38"-1 0" C, 89.25� 36"-120' 88.78
s
W
0 OPOSED SEPTIC SYSTEM UPGRADE
Perc #1 " �Wof'VAss' PREPARED FOR
Depth to Perc: 48 to 66 s' GiLSERT
Perc Rate Less Tha 2 MPI R . J A M E S S. S C 0 V I L
Groundwater Not Observed
ADJUSTED H2ONo Observed SElev. None fil AT
20 CHILDS STREET
Design Calculations 0 20 40 50 98--- --------
----
PREPARED----- -98 CENTERVILLE, MA
Number of Bedrooms: 3 Equivalent to 330 Gol./Day (330 Gal./Day Min. per Title V) ti . PREPARED BY:
Garbage Grinder No CA R E ►' lei �l H l
Leaching Capacity Proposed: .330 Gal./Day Minimum (Min. Per Title V) c� ,�; ; „-�` i J.'.
Septic Tank : 3 x 330 Gol./Doy = 660 USE 1,500 GAL. Septic Tank. SCALE: 1 =20 !" 1 ENVIRONMENTAL SERVICES, INC.
SOIL ABSORPTION AREA: Using percolation rate of Q min finch
� r ciC
Bottom Area: 0.74 gal/sq. ft. x 300 sq. ft. a 222 gallons -G�r T r P.O. BOX 627
Sidewall Area: 0.74 gal./sq. ft. x 160 sq. ft. - 118.40 gallons EXISTING SEPTIC TANK TO BE REMOVED do LEACH PIT TO BE PUMPED �,4rTr Ejl�cjT FALMOl1TH, MA 02536
Providing: - 340.40 gallons DRY do FILLED IN PLACE WITH CLEAN SANDY FILL.
DEPTH, 52' 10� 40.00' TEL/FAX 508-548-0796 i
Use: ` (4) CULTEC MODEL 135 UNITS, HAVING A 1 EFFECTIVE DEP , NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE S 87d
To BE USED WITH 4.0' OF WASHED STONE ON THE SIDES, 3' OF WASHED STONE T7�T �-•. c �-+ SCALE: 1"=20' DRAWN BY: CES DATE: MARCH 16, 2002
FROM THE EXISTING LEACH PIT TO BE DISPOSED pl �+' ,.7
ON THE ENDS AND 1' OF WASHED STONE BENEATH THE ENTIRE SAS. OF AS PER BOARD OF HEALTH SPECIFICATIONS. PROJECT#SD299 FILENAME: SD299PP.DWG SHEET 1 OF 1