HomeMy WebLinkAbout0160 CONNERS ROAD - Health 160 CONNERS ROAD
Centerville
A= 251 - 130
S M E A D
KEEPING VOU ORGANIUP
No. 12534
2-153LOR
okormw
GW--*NWNWM- I OMMSUMM 19
Wom
WISE W USA
QU ORMIM AT SIEMMU
r
No. n^ Fee
THE COMMONWEALTH OF MASSACHUSETTS
Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
4pliLation for Misposal 6pstem Construction i3ermit
Application for a Permit to Construct( ) Repair(1�Upgrade( ) Abandon( ) Vomplete System ❑Individual Components
Location Address or Lot No, to 6on n 0� Owner's ype,Address,and Tel.No. 30.? (o7�a ti�4�J
Assessor's Map/Parcel�I � Gt�In / KpnpS •
Installer's Name,Address,and T No.J5,04- X18 Designer's Name Address,and Tel.NO.�JZt' 3/1-7"(115V
QAI'1� � Lzmvn,Znc �D/,3K' ��$ s�"
Ad.,Ze Ad Ad 6ar.�
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(min.required) 440 gpd Design flow provided gpd
Plan Date'"0 &.-AD 1 j Number of sheets Revision Date
Title p_ Q� t -/ Onnwr5 W &n 1per�y-&AM
Size of Septic Tank 14V Type of S.A.S. )c�iUqlv /0.18
Description of Soil S
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 o place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed Date 316�6/19
Application Approved by Date
a
Application Disapproved by Date
for the following reasons
Permit No. O'O Date Issued ?j �� '( q
No. �o ! Fee / VV
III THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
9pplitatlon for Misposaf *pstrm Construction Permit
Application for a Permit to Construct( ) Repair(v)Upgrade( ) Abandon( ) Vomplete System ❑Individual Components
Location Address or Lot No./G o Conn P-rS R Owner's Name,Address,and Tel.No. p� �r)!1_ 4 I-OF
Assessor's Map/Parcel � Oj j o� �"
Installer's Name,Address,and Tel.No.3��. yo��— $ X,. Desiper's Name,Address,and Tel.No._;rj&- 3�,_-2— V-§V/
✓r rf ai/ rniI r
Type of Building:
DwellingNo.of Bedrooms 1� Lot Size /")�� sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 9440 gpd Design flow provided gpd
Plan Date4%AJI ,/ 61 Number of sheets / Revision Date
Titles f —k �, 1 /6
r
Size of Septic Tank i b4 L, rn Type of S.A.S.40 ti�� .p ,tir.l►�,....�..�. .�. / .SCE
1 7--....—j �
Description of Soil
Zk
;Y
Nature of Repairs,orAlterations(Answer when applicable)
Date last inspected: ,
V 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 Certificate of
Compliance has been issued by this Board of Health. /
Signed Date
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. 0�� I � Date Issued
-------------------------------------------Y-------------------------------------------------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
C ftificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( )
Abandoned( )by
t ta,,,�or�r��lo has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. —tS�dated '�"
Installer �,,r Cw.Ff{ l 'r>�, g �,c Designer ��,i,
#bedrooms ru Approved es' flow U gpd
The issuance of this permit shall not he construed as a guarantee that the sy ts�em will fu c ion desri! d.
Date 7 Inspecto
----- -------------j-------------------------- -----------------------------------------------------------------------------/------------
No. Fee i
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal *pstem Construction Permit
Permission is hereby granted to Construct( ) Repair(K)/ Upgrade( ) Abandon( )
System located at r'? „n}�n,.GC rd-! �c�, ite 0 en
and as described in the above Application for Disposal System Construction Permit. The applicant recognized 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.
Date G— Approved by '
-23-2019 21:51 From: To: 15087906304 Pa9e:1,'1
035 I
Town of Barnstable .
Reguhtory Services
TJXO SS F. Seiler,Director
3 Public Health DnVisuoan
"ens
Thomas 1VlcX�e2n,Director .
200 Ilfain Street,RYanmis,W&02601
office_ 08462-4644 Fax: 508-790-6304
Wgaller&DDesn er Cea-6fication]Foram.
jDe9gno_'k Sewage ll' mw 2-014- 10 Assessor's mapTared- l30
]�sta �0✓ 0 l�M i'uGa�.
Address- 93? M-, , St Address:
At
1�16_Aet± tw
CPA was issued a permit to baAall a
(date) (inst er)
septic syst=at C A n lam' based on a design drawn by
/ (address)
�a^i e I 'a dated
✓ X.cm*that the septic system referenced above was installed sabstanfially according to
the design,'which may include.minor approved can¢es such as lateral relocation of the
distribution box and/or septic tank.
Z ccr*that the septic system, referenced above was installed with major changes (ie.
. greater 11m 10' lateral relocation of the SAS or any veTt ical relocation of any component
of tb a septic system)but in accordance with State&Local Regulatlow. Ylan xewlon or
ceati�ied as- by designer to follow.
y14�11A OF AtgS`C9
DANIELA. Gs
OJALA
amstaller's igmature) CIVIL ^
No.46502
0
(Desigm
�I7''L/I� ASS/ONAI�aG
er s 8' `atare) Designer's Stamp Here)
U1r.M AV W A U1ti1V 7CQ�_�7[tN-SLAUM PMTC �19 IIDIL'�9 ON KIE
OF
CQN�gPL]fANCE '6 I.L NOT M YOUB D MTIL BOO TM lE A1vTD� 'I!CA"
RECF,IVIZD BY TX IE STAIB&E�TTIiT,TC HFA.TA&Y'VISIQX l TL
Q;Hea1W8rp1ie/AeAi9ftw CmfifiadonFoim3-26-04.doc
FLOORPLAN SKETCH
Client: MS GAIL HANNAN-GOODWIN File No.: R-051718-1
Property Address:160 CONNORS RD Case NO.:160 CONNORS RD 2018
City:CENTERMLLE State:MA ZIP:02632
Deck
22ft
32ft
Bedroom
Dining Room
16ft Bedroom
Living Room N N
Bedroom
Half Bath
lift Bath Kitchen
22R
18tt
Bedroom SECOND FLOOR
[Area:484 ftj
19ft
FIRST FLOOR
jkeo:1246 ftj
I
11---�12 ft 4
FIRST FLOOR 1246 f6 FIRST FLOOR x 1.00—1241i t
[SECONDfLOOR C84 ft'13b� ""'7flic
Q S2ftx 27Hx t.i}p= 8A
_,,,25tN
16A x. 1.*) 224le
SECOND FLOOR z 1.00=484 ft
22flx 22ff)1.00= 4849t
r
r
Town of Barnstable
o Department of Regulatory Services '
BARNSTABLE, : Public Health Division Date
y MASS.
�A 039. �0� 200 Main Street,Hyannis MA 02601
TFD N1D�a NO
fs,�Y
Date Scheduled � � "1 Time V� Fee Pd. � �Q- �(, -�
_K
Soil Suitability Assessment for Sewage Disposal
Performed By: r e On SalVe5 Witnessed By:
v
// LO.CATION&i'GENERALINFORMATION
Location Address �m 0 CO 0 n L°YS /� Owner's Name
L'2�f�rV eanIla�1 'Ga' U�wl�
Address Assessor's Map/Parcel: a�5113 v Engineer's Nam '\e �U a W- e
NEW CONSTRUCTION�y REPAIR I--- Telephone# SU
Land Use L-A Wry I Slopes(%) -r,, Surface Stones �"�✓� /�
Distances from: Open Water Body ��JG ft Possible Wet Area 7/Loft Drinking Water Well �I� ft
Drainage Way ;l a ft Property Line 7 + y ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
o-�
0
N
N
u
tut O
Ae
a
Parent material(geologic) _1A V tAIW a Depth to Bedrock
A-
D a
Depth to.Groundwater:.Standing Water in Hole; ���$ Weeping from Pit Face ,/'111 '
Estimated Seasonal High Groundwater A//t-
I IUE ATION FOR SEASONAL HIGH WATER TABLE
Method Used: G W
Depth Observed standing in obs.hole: in. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft.
Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_
PERCOLATION.TEST_ Date Time
Observation
I-Iole# Time at 9"
Depth of Perc Time at 6"
Start Pre-soak Time @ Time(9"-6")
End Pre-soak
Rate Min./inch Z"�7 ltgl
� Site Suitability Assessment: Site Passed V Site.Failed: Additional Testing Needed(YIN)
Original: Public Health Division Observation Hole Data To Be Completed on Back-----------
***If percolation test is to be conducted within 100' of wetland,you must first notify the
Barnstable Conservation Division at least one(1)week prior to beginning.
Q:\SEPTIC\PERCFORM.DOC
DEEP OBSERVATION HOLE LOG Hole#.•
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistenc %Gravel
g-2Z 14Y�E G
2�-icy C /� f5 z,�'/y I�aia GrwveJ
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,%Gravel
-Zl� f3 1 S i 0 Y k
3z C .�1/�5 �, �
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Graven
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravely
Flood Insurance Rate Mau:
Above 500 year flood boundary No Yes
Within 500 year boundary No Yes
i
Within 100 year flood boundary No_ Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring perviou material exist in all areas observed throughout the
area proposed for the soil absorption system? V P
If not,what is the depth of naturally occurring pervious material?
Certification /l
I certify that on S / (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was perfonned by me consistent with
the required training,
expertise and experience described in 310 CNM 15.0Z17.. /
Signature Date > /��I 0
Q:\SEPTIC\PERCFORM.DOC
DOWN OF BARNSTABLE
onne�-
�
LOCATION J(.0 SEWAGE#
VILLAGE e!�r_l✓'12..L/'l g ASSESSOR'S MAP&PARCEL d-5'i-1,3O
INSTALLER'S NAME&PHONE NO. _11 C ,
SEPTIC TANK CAPACITY (_50_0
LEACHING FACILITY: e l r r
(tYP ) + �ZL�tG�E-- (size) �3-S'ac-t�.: •o`3x�
NO.OF BEDROOMS `� 3r6�� CtiiAf`
�a
OWNER
PERMIT DATE: ,� - ; COMPLIANCE DATE: '7
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) h410}- Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) �-- (( � Feet
FURNISHED BY /���..,/ ��L L�M�iws rri•r 4
CUn�eff P6
a26�
00
ALL SYTE
LL
SYSTEM PROFILE MARK ED WITHC MAGNETIC TTAPEAOR BE NOTES
(NOT To SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. n
PROVIDE MIN. 20" DIAM. WATERTIGHT 1. DATUM IS NAVD 88
ACCESS COVERS TO WITHIN 6" of FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADES
2" PEASTONE OR GEOTEXTILE 2. MUNICIPAL WATER IS EXISTING
\ TOP FOUND. EL. 67.3' FILTER FABRIC OVER STONE
67.5' MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 165.1 '-67.3' �, �, �, 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT.
PRECAST H-10 NOTE: 2" MIN: WALL BLOCKS dR 4. DESIGN LOADING FOR ALL PROPOSED PRECAST
RISERS H-1 THICKNESS REQUIRED UNITS TO BE AASHO H-110
IS 4"mSCH40 PVC PRECAST RISERS a
65.2 MORTAR ALL H-10 0
s" MIN. SUMP PIPES LEVEL 1ST 2' �ENDS
COMPONENTS 4, 5. PIPE JOINTS TO BE MADE WATERTIGHT.
'.: ,•: :'•''.JTEE
12" MIN. INT. DIM. 4 (TYP.) �5*64. 10" 1500 GAL H-10 SIDES 64.33' 11w� ��
6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE
64.12 TEE SEPTIC TANK , a ° ° o ODoa o 000' O®O -o l�C7O '>o�o�o�o� 310 cMR 000 5.) �aq �� �° ° ° WITH 15 (TITLE Locus
63.87 ° o o `° o`o °°°°°°°° °
0000
° o o ° o WATERTEST D'BOX '°O°O°O00 D�DOD��I��C71� ��
GAS BAFFLE:; ° ° ° ° ° o 'O°O°O°O° 00000 � aaooa a � a � oo 0000 '°°°°o°o°
°o°°°°°°°°° FOR LEVELNESS N ;°p ���O�CIO�CI�i� D���DD��O�O 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND �C a
o°o°o°g° ®DO®D�L��00� MMI-�DD���000 °g°o°o° `►`
NOT TO BE USED FOR LOT LINE STAKING OR ANY
' 63.77' 63.60' ;°o°o°o°o . °a°o°o°0 61 .5
OTHER PURPOSE.
�: 4 UQ. LEVEL (ACME OR EQUAL) .';
00000°00000°°0000000°0000000000a00000000000a� L
8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
°, 00 ,° °, ° °o°,0000000�o,°o,°o,°,o9o,°,o,°,00000° H-10 500 COAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL.
*PLUMBING IS TO ° ^ ' - ' 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. (3) UNITS REQUIRED 9. COMPONENTS NOT TO BE BACKFILLED OR PhinneYs
BE RE-ROUTED TO ALL AROUND PRECAST STRUCTURES
LOCATION SHOWN. 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 33.50' X 12.83' HENCEALED WITHOUT EALTH AND PERMISSION POBTAINEDYFROMRD OF
BOARD Rote 28
PLUMBER TO VERIFY COMPACTION. (15.221 [2])
OF HEALTH.
FEASIBILITY"PRIOR ( 2.5% sLOPE
TO INSTALLATION OF ) ( 5 % SLOPE) ( 1 % SLOPE) 10. CONTRACTOR SHALL BE RESPONSIBLE FOR
CALLING DIGSAFE (1-888-344-7233) AND LOCUS MAP
ANY PORTION OF 13' 2' LEACHING 56.5' BOTTOM TH-1 VERIFYING THE LOCATION OF ALL UNDERGROUND & LOCUS
THE SEPTIC SYSTEM FOUNDATION SEPTIC TANK D BOX 12 OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF
FACILITY NO GROUNDWATER FOUND WORK. SCALE 1"=2000'f
*THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL
UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL ASSESSORS MAP 251 PARCEL 130
PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM VARIANCES FOR SEPTIC SYSTEM REPAIRS WHICH MAY BE REMOVED BENEATH AND 5' AROUND THE
BE IMMEDIATELY GRANTED BY THE BOARD OF PROPOSED LEACHING FACILITY.
HEALTH AGENT OR BY HEALTH INSPECTOR
PAPERWORK AND HEARING REDUCTION PROPOSALS 12. EXISTING LEACHING FACILITY SHALL BE PUMPED SITE IS LOCATED WITHIN A ZONE II
APPROVED BY THE BOARD OF HEALTH REVISED AND REMOVED OR PUMPED AND FILLED WITH CLEAN
L r D DUFFING A PUBLIC HEARING HELD ON DEC. 10, 2013 SAND.
C 1) ALL SYSTEMS THAT HAVE NO INCREASE IN
99- EXISTING CONTOUR FLOW - SEPTIC SYSTEM COMPONENT TO SYSTEM DESIGN.
X 99 EXIST. SPOT ELEv. C FOUNDATION SETBACK (NO MORE THAN 50%
REDUCTION IN REQUIRED SEPARATION DISTANCE) GARBAGE DISPOSER IS NOT ALLOWED
[991 PROPOSED CONTOUR
198 4] PROPOSED SPOT EL. EXISTING 4 BEDROOM DWELLING
v TH 1 DESIGN FLOW: 4 BEDROOMS @ 110 GPD = 440 GPD
� -
TEST HOLE ' USE A 440 GPD DESIGN FLOW
2".- SLOPE OF GROUND
-' of 51 SEPTIC TANK: 440 GPD (2) = 880
UTILITY POLE
USE A 1500 GAL. SEPTIC TANK
�?' FIRE HYDRANT k /
tiYo ,_,�- _� __. .� LEACHING:
NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING `� 5
SIDES: 2(33.5 + 12.83) 2 (.74) = 137 GPD
o BOTTOM 33.5 x 12.83 (.74) = 318 GPD
TEST HOLE LOGS B- A s E OVAL ON L SID F �, TOTAL: 615 S.F. 455 GPD
u
/ EACHING: 5' REMOVAL OF UNSUITABLE SOIL PROVIDE 30' OF 40 MIL LINER AT 5'_
REQUIRED AROUND PERIMETER of LEACHING OFF SAS IN AREA SHOWN. TOP AT
a FACILITY, DOWN TO SUITABLE SOIL LAYER. -59 ELEV. 63.5', BOTTOM AT EL. 59.5't USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL)
ENGINEER: DANIEL E. GONSALVES, SE #13587 36 REPLACE WITH CLEAN MED. SAND, TO MEET 1 WITH 4' STONE ALL AROUND
�g SPECIFICATIONS OF 310 CMR 15.255(3) 4
WITNESS: DON DESMARAIS, RS /
/ i
DATE: 3/4/19 h 62
PERC. RATE < 2 MIN/INCH
6 .. MA
CLASS I SOILS p# 15904 `' APPROVED DATE BOARD OF HEALTH
a p .p
9
ELEV.
ELEV. 1
NOTE: PLUMBING Is 723' T TH2 y�
0" 68.5 O" 8.5 k� TO BE RE-ROUTED 6
A A o hh
LS LS � � h
10YR 4/2 5k �° EXISTING I J �68]
8 8„ 10YR 4/2 J DWELLING .3 q TITLE 5 SITE PLAN
TOF B B 3 \ OF
LS LS
LOT 69 ' #160 CONNERS ROAD
1 OYR 5/6 10YR 5/6 68 17,483 s.Fa AD
22 66.7 26" 66.3' j�o CENTERVILLE, MA
61111 ° PREPARED FOR
PERC
BORTOLOTTI CONSTRUCTION/
HANNAN-GOODWIN
M/CS M/CS N
� PAVED
DRIVE DATE: MARCH 11, 2019
2.5Y 7/4 2.5Y 7/4
o
,
C 1,s\ , Y\f W "ll, _ off 508-362-4541
�,;.`,` • scy ;`;f iJ, fax 508-362-9880
h�0 c;jO� DANIELA
�r C)1fiLA downcope.com
BeAILR
K• p L e I •„ , 00r.\ 1`il�.t;�h�.'.'.�2I} �-� I\0: .7 . �wpMAG down AI.Pot engin«riIlg® ift
144 56.5 132 57.5 _ , r o <�f' \
70.8 NAvo88 t° �,57 civil engineers
, € y �,.,.
NO GROUNDWATER ENCOUNTERED Scale: 1 = 20 � `,�}� , s!ovH� �. ,� � surveyors
�'� _ land surve
939 Main Street ( Rte 6A)
DATE DANIEL A. OJALA, P.E., P.L.S.
SCE # 19-035 0 10 20 30 4d 5o FEET YARMOUTHPORT MA 02675
19-035