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HomeMy WebLinkAbout0088 CONNERS ROAD - Health 88 Conners Road Centerville A = 251 021 I 1/9 A �y UPC 12543 N0. 53LOR g., �►�° '�pa'T�Y4Y YN No. 41 0 0 . ;el/ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pprication for �Dtgooar *pgtem Construction i3ermit Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 7 7 5—4 8 4 9 Assessor'slVl"P CeQnnors Rd, Centerville Elizabeth Eagan 251 /21 88 Connors Rd Centerville Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 2—4 5 41 Wm E Robinson Sr Septic Down Cape Engineering PO Box 1089, Centerville 939 Main Street, Yarmouth Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(no) 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) Install a new Title 5 septic system to plans of Down Cape Engineering, - . 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 En 'ronmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issu by Title and Health. ;/7 Signe J i Date �. Application Approved by t14 Date Application Disapproved for the following reas s Permit No. Date Issued v Feel O O.0 O THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes .''PUBLIC HEALTH.DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 1 0[ppfication for Migoar *potent Construction Vermtt Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 7 7 5—4 8 4 9 88 Conners IRd, Centerville Elizabeth Eagan Assessor's Map/Parcel 251 /21 88 Connors Rd, Centerville Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 2—4 5 41 Wm E Robinson Sr Septic Down Cape Engineering SO Box 1089, Centerville 939 Main Street, Yarmouth Type of Building: / Dwelling No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder(no) 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 Re airs orAlterati ns Answer w en a p t.able Install a new Title 5 septic s�'srem to plans ori ,l�'owr, �.ap� -Install r trig, #04-197. 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 ge Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss d by thi , oard ofHealth. 19176 Signed ( /) Date 9_ _/_ Application Approved by _ } ''��� � Date Application Disapproved for the following reasons Permit No. Date Issued r �� Eagan THE COMMONWEALTH OF MASSACHUSETTS ` BARNSTABLE; MASSACHUSETTS„ Certificate of CompItance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( ) Repaired ( X ) Upgraded( ) Abandoned( )by Wm E Robinson Sr Septic Service at 88 Connors Road, Centerville has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.,a t}D 5 r dated 7/Z7/ 6�l i o Installer Designer X The issuance of this pertrut shall not be construed as a guarantee that the s .stem``wrll function as dts Q �Date 101) b1oc/ � Inspector �_,__.���1! v16— I V No. f�-:: FL1 0 _007 0 Eagan THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS 1=t5po0af *pgtem Construction Vermit Permission is hereby granted to Construct( )Repair( X)Upgrade( )Abandon( ) System located at 88 Connors Road, Centerville i 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:Co s u-ZT/Wp pleted within three years of the date of this eDate: Approved by. - � � PP TOWN OF BARNSTABLE LOCATION �� COAAeis SEWAGE # o 0 VILLAGE Cen+v�'llt ASSESSOR'S MAP &LOT49-�—�( INSTALLER'S NAME&PHONE NO. WM-e-Ab".S., SeP".c 50fVk e 5 Z V- 77S S-"6 SEPTIC TANK CAPACITY LEACHING FACMITY: (type) i5t X SRO arya ells (size) o9S -V /3 x a NO.OF BEDROOMS BUMDER OR OWNER PERMIIDATE: 9 as 7_d y COMPLIANCE DATE: F�o7�/�`/ 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 c ^ F n i 31 ' 13sa �'3 . q3' -3 - a3' Town of Barnstable ,oFW tO"ytio Regulatory Services Thomas F. Geiler,Director BAMSras 9� 14 9 Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: /'6, Designer: . Down Cape Engineering . Installer: Wm E Robinson Sr Address: 939 Main Street Address: PO Box 1089 Yarmouth Centerville On 9-a —6 Wm E Robinson Sr Septicwas issued apermitto install a (date) (installer) septic system at 88 Connors Rd, Centerville based on a design drawn by (address) Down Cape Engineering dated 08-01 -04 (designer) L/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. i , (Installer's Signature) (Designer's Sign e) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLEPUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form TOWN OF BARNSTABLE , LOCATION SEWAGE # VILLAGE �en}ty�rlle ASSESSOR'S MAP & LOT T/ INSTALLER'S NAME&PHONE-.NO. ` Sefow 5-b d- ,?S g776 w SEPTIC TANK CAPACITY GG F LEACHING FACILITY: (type) 6 ry u,,d/_f (size) o?S x 3 X o1 NO.OF BEDROOMS BUILDER OR OWNER. PERMITDATE: 9 -o COMPLIANCE DATE: LC/2 /v Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet J 8 rY 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 II y' j Furnished by hT � I 1 i .. r F 'Gp: 0 oZ A-a " 31 ' 3v' v, .4r-3 \W . - - -- ----- -- __ - - ---- ---. . - - - -- -- - SYSTEM PROFILE TEST HOLE LOGS TOP FNDN. AT EL. 66.3' /;L57.70- CCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) PROVIDE INSPECTION PORT WITHIN ACCESS COVER (WATERTIGHT) TO 6" OF FINISH GRADE ENGINEER; LISA LYONS, R5 MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM DAVID STANTON IRS WEOUAOUET 57;5 WITNESS: E i ., 2" DOUBLE WASHED PRONE DATE: 7/23/04 T� RUN PIPE LEVEL FOR FIRST 2' PROPOSED 1500 3 MAX. PERC. RATE _ < 2 MIN/INCHL11 --- -t-* } ' 0 LOCUSGALLON SEPTIC 54.53 p#BASE SLAB 7 CLASS SOILS55.34 EL. 59.2' TANK (N- 10 GAS �� CC CBAFFLE 54.70 p LAI54.51 q O C7 171 1`7 0 0 1771 r-3 Cl 4' AROUND � 2 �6" CRUSHED STONE OR MECHANICAL a Cl O M C7 Cl C L� Ott ELEV. 6 �FF ,�� 2 C) 00CI C� OC7C] � 4 52.51' (Mz % SLOPE) COMPACTION. (15.221 [2]) c>r:�Y$ o A 9 DEPTH of FLOW 4' ( 2+ % SLOPE) ( 1 % SLOPE) 3/4 TO 1 1/2" DOUBLE WASHED STONE LS TEE SIZES: INLET DEPTH = 10" 4++ 1OYR 3/2 „ OUTLET DEPTH = 14 B LOCATION MAP. . NTS LEACHING FOUNDATION--- 30' SEPTIC TANK 2' D' BOX 4+ FAC'LITY 5.61' LS ASSESSORS MAP 251 PARCEL 21 10YR 5/6 19" THE INSTALLER SHALL VERIFY THE 56.0' LOCATIONS OF ALL UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF C 46.9 0 SEPTIC SYSTEM (SEPTIC PIPE LOCATION NOT FOUND) PERC WE -QUA QUET LAKE CS EL. 33.6 2.5Y 5/6 NOTE: SEPTIC SYSTEM IS NOT EDGE of WATER LOADING.5 DESIGNED FOR VEHICLE 128" 34 46.9' 35 5 , BVw 3 NGWE 3 36.3 NOTES: 7 s 6.a T 3 --- 37 389 1 . DATUM :IS WEQUAQUET LAKE DATUM SYSTEM 4O� 34 22 4+ 425 S;.PTIC 4 DESIGN: GARBAGE DISPOSER IS '"( ,Nn Ai I 4M ) 2. MUNICIPAL WATER IS . EXILING 42 'u ,SIGN FLOW. _3 BEDROOMS ( 110 GPD) - 330 GPD 3. MINIMUM PIPE PITCH TO BE 1/8 PER FOOT. 4 3 U"E A 3330-GPD DESIGN FLOW 4.. DESIGN LOADING FOR;:ALL PRECAST UNITS TO BE AASHO H- 10 5 r. 5. PIPE JOINT TO BE MADE WATERTiGHT. _ 4 44 SEPTIC TANK:; 330 GPD ( 2 ) = 660 a 45 + 6.5 PROP. 150o CAL sEPrlc 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. TANK. NOTE: POSSIBLE CESSPOOL U'�E A -15L Q. GALLON SEPTIC TANK ENVIRONMENTAL CODE TITLE V. IN AREA OF PROPOSED TANK 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT 46 a LIACHING: 4 TO BE USED FOR ANY OTHER PURPOSE. 47 2(25 + 12.83) 2, (.74) 112 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. � 47 q�8 SIDES:` ++ + 47. A9p 8.2 25 x 12.83 (.74) = 237 4 BOTTOM: 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT t TOTAL: 472 S.F. GPD INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 9. �g� - --- FROM BOARD OF HEALTH. 4 USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING SEPTIC SYSTEM 5 A s `,�, EQUAL) WITH 4' STONE ALL .AROUND 5 0 /* 58.9 + 1 12" K , LEGEND TITLE 4.5 SITE PLAN 10" K / 59.2 /�7 � \\� 100.0 PROPOSED SPOT ELEVATION OF 5 88 C6NNORS ROAD 14" o \\ Pam° 58.4� 62.0�`62.3 OVERHEAD WIRES ,,� 100x0 EXISTING SPOT ELEVATION „ rn \ EXIST. DWELL. IN THE TOWN OF: T. FNDN. _ " 100 PROPOSED CONTOUR (CENTER'VILLE) BARNSTABLE 66.3' C65.6 �� 61. O 58,365.1 a�� -.100 EXISTING CONTOUR PREPARED FOR: ELIZABETH EAGAN -, 65.7 BENCH MARK - TOP ]OF .I�66.2r� 30 30 60 90 N 1. 0 N E 6 CO NC. D L c+ �`B � 6 .1 ,A-'� -fi66,1 6:�66.7 �,p/ BOARD OF HEALTH �` 11665 �'k 68.7 MA 1 \ \ \ SCALE: +' 30' DATE: AUGUST 1, 2004 66.2 APPROVED DATE - - -- � -F 6 9 70.1 67.2 1 1 I508-362-4541 1,5 O fox 508 362-9880 .4 1?10 P I j a of l(�qs �tH OF ldgs�'0 ARNE r► 69s 6 93°A\��Z� do wr cape engineering, inC. o� oJALA H, •6 \v CIVIL OJALA W 0 CIVIL ENGINEERS No, 079 No •6 71.4 LAND SURVEYORS °�'s� �STE�� le 71.2 04-- 97 + 939 ruin st, yarrlouth, rya 02675 ARNE H. OJALA, P.E., P.L.S. DATE