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HomeMy WebLinkAbout0215 CONNERS ROAD - Health 215 Conners Road Centerville A = 251 59 part I No. 42101/3 ORA 10°/0 r `Cl. 0 r 0 s No. -&V/— 3 Z , Fee k V ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: n Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,, MASSACHUSETTS S 01pprication for Migposml *pgtem Congtruction Permit Application for a Permit to Construct(l/Repair( )Upgrade( )Abandon( ) L'SComplete System ❑Individual Components Location Address or Lot No.�t/'S 60X1kfZSt� Owner's Name,Address and Tel.No. 7�/—�D�L6 Assessor's Map/Parcel t51 //` S /� Installer's Name,Address,and Tel.No. 36a - des­ Designer's Name,Address and Tel.No. PK Type of Building: ��f`��/ Dwelling No.of Bedrooms -3 Lot Size 7 (D sq.ft. Garbage Grinder evo Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3® gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 150VType of S.A.S. Description of Soil l� ,� Nature of Repairs or Alterations(Answer when applicable) Date last inspected: L� �L Agreement: VOL To 11-)(/* OK7&RIWMV% 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 issued 4yjbi&Board Of ealth. Signed Date Application Approved by Date �— 2)'Z-ro/ Application Disapproved for the following reasons Permit No. `,0-d / — Z ZI Date Issued ��. No. Fee TH COMMO_>NWEALTH OF MASSACHUSETTS Entered in computer: Yes r ._ PUBLIC HEALTH DI�/ISION-TOWN OF BARNSTABLE., MASSACHUSETTS ,.q 5 2ppfication for Digpogal *pgtem Congtructton Permit Application for a Permit to Construct( V�Repair( )Upgrade:( ).Abandon( ) LJ'Complete System El Individual Components �x� Location Address or Lot No.�./.S CoXI/U P\�, Ow.ner's Name,Address and Tel.No. �. Assessor's Map/Parcel 5 Installer's Name,Address,and Tel.No. s Add �} Designers Name, res and Tel .No. / 7 l 3(� (/ ' ; r t d Type of Building: Dwelling No.of Bedrooms -3 Lot Size 7 7r aM !� sq,ft. _ Garbag6,Grinder�(� l�k No.of Persons '`"Y `� �r Showers €Cafeteria Other Type of Building ## ( = )' ( ) Other Fixtures 1 Design Flow 3 Q gallons per day Calculated dailylflow gallons. III Plan Date Number of sheets + , Revision Date Title _ t � Size of Septic Tank /7 Type of S.A.S. Description of Soil 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 and not to place the system in operation until a Certifi j, cate of Compliance has been issued by this-Board o ealth. ,, Signed , Date Application Approved by Date Application Disapproved for the following reasons r Permit No. ?.rid ! g Date Issued —5"--ZJ —7Vd THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed(V )Repaired( )Upgraded( ) Abandoned( )by /OM KE-AxvEdy at d/S C 0/yAl r e 5 f2 A Ct'N 7oE2 v l,LLe has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.Zoo s dated ��' 7- — O Installer Designer The issuance f thisipernift shall not be construed as a guarantee that the syst ill\f nction as de/ ij ed. Date ) InspectorW�'1 /�.lvt� U — �CJ�/� y 3 ---------------------- -----Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS =igogaf pgtem CongtrUction Permit— Permission is herebyranted to Co strucfRe air Upgrade Abandon g ( ) p ( ) Pg ) ( ) System located at r^2 1 S L� itl� ieal 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 n struction must be completed within three years of the date of thii^permit. '` Date: Approved by a TOWN OF BARNSTABLE lrL 1 _ LOCATION t'+b 2 GbYlYtotS � � '21S_A1Wf StWAGE # VILLAGE�ICJ M om_ASSESSOR'S MAP & LOT I-on Soar INSTALLER'S NAME&PHONE NO.�1h3'L SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 3/1�oc aer L?ht 4; (size) A& 7% 14 NO.OF BEDROOMS 3 BUILDER OR OWNER 0 e PERMTTDATE: 1��'•ZtL^!C COMPLIANCE DATE: C� U 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 Feet within 300 feet of leaching facility) i Furnished by 17 i f a t i Town of Blinistable P# Department of Health,Safety,and Environmental Services WE Public Health Division Date //G - 9 9 Q, 367 Main Street,Hyannis MA 02601 11 HARNRTA13M MA99. �'prEDMAI�`� Date Scheduled ( � ' qy Time— Fee Pd. /Oa Soil Suitability Assessment for Sewage Disposal Performed By: 5;/Zl li1I Witnested By: / l-,e LO:CATION &:GENERAL INFORMATION n ,M ro `�i - Location Address ! _T I- �_��� D A, Owner's Name v `� IS re.n,I�JG �- Address Assessor's Map/Parcel: ZSI 5G ��,�1 Engineer's Name�,Q ��6 ��c NEW CONSTRUCTION REPAIR / Telephone N Land Use Slopes(%) Surface Stones I7 r// Distances from: Open Water Body ft Possible Wet Area R Drinking Water Well R Drainage Way (t Property Line R Other R SKETCH: (Street name,dimensions of lot,exact locations of lest holes&perc tests,locate wetlands in proximity to holes) Fr VILT ZBS o¢ -rtlr 2 l O'L N G o V M Parent material(geologic) 6;fIlla.../ Uu-sa<r Depth to Bedrock Depth to Groundwater: Standing Water in Bole: Weeping from Pit Face Estimated Seasons I idi Groundwater � TC1tMXNA't TOTS EOn SEASONAL UGH �VATIJn TABLE .......... ......... Method Used: -.:.:.::...:.......:_<.... , Deph Obsorved standing in obs.hole: in. Depth to soil mottles: Depth to weeping from side of obs.hole: in. Groundwater Adjustment R. Inflex Well H_ ._. Reading Dale: ._ Index Well level __ _ Adj.factor Adj.Groundwater Level_. vl PEI2CUI,ATION TE..... Observation Hole H 1— Time at 9" Depth of Pcrc Time at 6" Start Pre-soafrime a Time(9"-6") End Pre-soa 174e Rate Min./tch 2 Site SuArility Assessment: Site Passed _ Site Failed: Additional Testing Needed(YIN) Origina Public Ilealth Division Observation Hole Data To Be Completed on Back j Copy: Applicant I)EEP<Q.BSI RVATIOI �I9Ll; LO.G II0Ic Depth from Soil llorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.%Gravel) O 3 - /d t Ilole DEEP ::OBSERVA,TI I ON -IOLL LQ(� # 2. Depth from Soil Ilonzon Soil Texture Soil Color I Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. C msistcncy.%Graven � O .' „ /t C✓tea rry�vv�n. /v / .7 It CU It_ C , G,��QN DEE OBSERVATION IIOLELOO HOW .. _ Depth Gorr Soil Horizon Soil Texture Soil Color Sail Other Surface(in.) (USDA) (Mansell) Nlicmling (Structure,Stones,Boulderes. n istcncy.%Gravel) UTP OBSEItVATIO,N IIO;LI;I;.OG Dole _ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell). Mottling (5tylvurc,Stones,Boulderes. a - -2�L4;tcncy.%Graven Flood Insurance Rate Map Above 500 year flood boundary No_ Yes Within 500 year boundary No A,"*' Yes Within 100 year flood boundary No l/ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throlgll(ut the area proposes, for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification I certify that on 4 .�3 (date) I have passed the soil evalualo.r examination approved byAlc: Department of Environmental Protection and that the above analysis Was performed by me consist:nt With the required training, expertise and experience described in 310 CMR 15.017. Signat tire D ate TOWN OF BARNSTABLE LOCA O L;fh, C,&Kho11 1106Y) "0*2/5'1404f SWAGE # ©1- VILLAGE Cajil ry'AAL ASSESSOR'S MAP & LOT OS INSTALLER'S NAME&PHONE NO. MM/RiM KCYII'1,t�1/ SEPTIC TANK CAPACITY I, OQ 6AI i LEACHING FACILITY: (type) .3�t�ec.�arAe✓ yhi! (size) 2(y Y !X NO.OF BEDROOMS-3 BUILDER OR OWNER dftWOC v; C-- PERMIT DATE: f AQ-,Z CC=> COMPLIANCE DATE: 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 t t6 17 t I� Tl . I i '2'u'-W -------- --13'_On--_----�— 7i_6o 5_b b'_o' >i O Cd s � 07 9/4'r8S 9/A' ell a �q - I I z � pp w ❑ J it �`"., W 67 6/4'x56 5/4' PCG RAGS-S 2046 1 2iia I - - - II I III I I 2 it �! I 25 a/4'x25 3/4' me 2626 ( w I CC1 m 26 3/4'46 3/4' 2S 9/4'z2i5 5/4' Kc 2526 �I ( 4 Ii1 II li � ; I I ; I - . .5.-p JOB LOCATION: THE HE McL.AUr.,HLIN RESIDENCE L-OT #2 CONNERS ROAD a HLq.'4 ISARRY 8QUARS., CENTERVOL LE9 MA 02699 01 s F 9 FLOOR FLAN MON198 woo—M-4 040 FAX: 906-775-0 9 wo A 20 S N j D sa a/a'x89 a/a' � D � 2as6 ti m 11 PDN 2939 L r r C N q f� Pcc2g59-9 67 3/4'x" $/4' o O . -U D w PaN 2559 _26 , D 29 340449&/A' y 1 �IJ j - O ur '2id0 PKT - . I .- � :5 �qi1 J ❑ i. p -- a � ill d w /-L"E qy r ;\ FCC�'i q N `$ 0 029 3/4'49 3/4' w AI ® MICRO - `q ib 3/4'x71 3/4' 101-01 k4l U71-2 TEMP I — w N i s � s Q (4)9 1/4' LVL'ei pC62ibq-4 4 -- -- ------ w I w mm Ili 8.4'xPi9 8/4' Q W A'-01 _._ W A 1 P 29 3/4'x47 3/4' 14'-0' a: wP'C112447 p i 'I( N y�► li 10 Z L I � � 4 ; x 29 8/4'x17 8/4' it � rW f1 2,-6„ 2'-6' .it - w- ---- -O" O it 1p 0 29 8/41x47 8/4' 2 PDN 1240 STUL 94411 Ai50V9.�.� 29 9/4'x47 3/4' PDN 2947 I, m VIA j� (8)-9 I/4' LYL N94DEft9 9-CITE N' x 7' oVJrkI4 iAD DOOR lip W x 7' Wit1U4dAD PCKM`--------.. __-.------..._..._------------ C*r-9(bT9 AP' -- -- -J- - - - p-b' 25'-0" M""p- p JOd LOCATION, 7NE McL.AUGHL:IN RESIDENCE ' *,915' LOT #2 CONNERS ROAD __. . .�:. 3 BAYBERRY SQQ.DAREj, CGInI`1PC1RWILLEq Mk U9,fi&2 SAS FLOOR PLAN 9 ; C�'�1ONEO' 808-I771-g(OAS¢o FAX.- �GG�7777W=o11 jtgW LEGEND EXISTING PROPOSED LOT NOTES ZONES Design Schedule ELEVATION Leaching Area Requirements Edge of Pavement Sewer Pipe ALLOWABLE DAILY FLOW ON THIS LOT ZONING DISTRICT RD-1 TOP OF FOUNDATION 69.0' 3 BEDROOMS AT 110 GPDIBEDROOM 330 �GPD Water Pipe w 330 GPD/AC X 1.02 AC 336, GPD FINISHED WEMENT FLOOR .61.3' ZONING DISTRICT GP FINISHED GARAGE 'FLOOR 67.0' k'.) Leach Pit MINIMUMS ADDITIONAL 50/. FOR GARBAGE DISPOSAL N.A. LOCUS 3k @ SEWER INVERT AT FOUNDATI AREA = 43,560 S.F. ON 64.0' WEQUAQUET 0 Catch Basins SLVER INVERT INTO SEPTIC TANK 63.8' PERC,RATE = 2'1/1 MIN. INCH (CLASS I LAKE 0 Septis Tank FRONTAGE = 20' ­j SEWER INVERT OUT Or SEPTIC,TANK 0 Distribution Box 0 WIDTH 125' LTAR 0.74 IN$ .1 1� Si GPblS.F. Water Gate INVERT INTO DISTRIBUTION BOX 63.3' FRONT SETBACK i30' I? 0, Light Pole SEWER INVERT OUT OF DISTRIBUTION BOX 63.11 ' SIDE SETBACKS 10' B - - Utility Pole MIN;. LEACHING AREA OF S.A.S. 2.00 REAR SETBACK 10' SEWER INVERT INTO LEACHING SYSTEM 62.9' Contours �_2�00 � U F,. ,r MIN. Spot Grade 1200.0 8070M OF LEACHWG SYSTEM 60.9, 350 GPD1 0.74 GpblS.'P. 446 S.' Test Pit WATER TABLE PROPOSED SYSTEM SIDEWALL (12+26)(2)(2) 152 S F. LONG POND BOTTOM 1�' X126' 312 S�1. TOTAL 464 S.'F. LOC8TION MAP HYANNIt QUADRANGLE SCALE: 1:25,000 AjSESSORS MAP 251 PARCELS 11 GENERAL NOTES : ALL systEM, COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITI4 TITLE V OF: THE STATE SANITARY CODE DATED LOT I MARCH ,31, 1995 ANY LOCAL RULES APPLICABLE. ......................... S 37*30'25" W ANY CHANGt',,TO THIS PLAN MUST BE APPROVED IN ',WRITING _/1-1.5- WASHED STONE (0 BY THE,,DESIGNING ENGINEER. 109.68 12' 0 FOOT WHEN COINsTRIJ06N IS COMPLE7ED, PRIOR TO BACKFILLING, 2 NOT CONPiJCTED) ROADWAY NOTIFY THE ENGINEER & BOARD OF`�HEALTH AGENT N 37:030 25 E 26 FOR INSPECTION. 285.04 PLAN OF LEACH CHAMERS FOUNDATION. ELEVATION MUST BE CHECKED WHEN COMPLETED. PROPO','ED NO SCALE THESE ELEVATIONS MUST NOT BE CHANGED WITHOUT WRITTEN PROPOSED SE PTIC S','STE M CA DWELLING APPROVAL BY THE: DESIGNING ENGINEER. L=22.26' R=15.00' 20 MIN. 12' ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4 Pvc. FINISHED GRADE 67 . 4 K UNSUITABLE MATERIAL.SURROUNDING "�z COMPACTED FILL ,mx � EXCAVATE AND REPLACE ALL 36"MAX MIN. SURROUNDING THE' LEACHING FIELD 'rOR A DISTANCE OF 5 , TP4E 2 ............ PEASTONE PER 310 CMR 15.255. 4, ..A L=117.24 7t R=290,00 2�14 TO 1 112 30150' 0. 66 , RESERVE AREA C/) DOUBLE PRIMARY ,BENCHMARK N.G.V.D. .4- PROJEC T BENCHMARK SEE PLAN WASHED STONE L:A 703 + 0 10.0ft C)l MIN. LOCATION OF UNDERGROUND UTILITIES ARE APPROXIMATE AND + A P SHOULD, BE%VERIFIED IN THE FIELD BY THE APPROPRIATE Lt4 SECnON UTILITY COMPANY PRIOR TO ANY CONSTRUCTION. CR 6 53 NO SCALE M W W - W W - W 1. BOUNDARY,INFORMATION FROM PLAN TITLED OPLAN OF,LAND AT COONORS ROAD -PHINNEY'$ LANE V LLL, _­ 1 ' i E N`1 MASS. F6i� iy;RS. JAME BY BAXTER & NYE, INC.,"DATED,SEPTEMBER­27,' 1999,� LOT 2 I P#1 44, 286 S., F. 1 . 02Acres LEACH SYSTEMAM NMTRATOR DESIGN 2. TOPOGRAPHIC I'NFORMATION BASED, ON G.I.S. C) shape factor 7.33 ALL PIPES TO BE, SCHEDULE 40 PVC FROM THE TOWN�OF BARNSTABLE , 24",0' USE 1 4" DISTRIBUTION LINE IN 3 RECHARGER UNITS % IN 'A 12'X 26' WASHED STONE TRENCH AS SHOWN 8 HYD. #63 HYDRANT SPINDLE a) EL 67.03' '30'25 W CP S 37 279.78 LOT 3 7 0; 1 CERTIFY TO THE BEST OF'MY KNOWLEDGE THAT THE PROPOSED FOUNDATION SHOWN, IS Septic Design IN COMPLIANCE WITH LOCAL 'ZONING BY-LAWS :(WITH :RESPECT TO SETBACK REQUIREMENTS ONLY) AND DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD AREA. LOT 20 :CONNORS ROAD CENTERVILLE HUSE THIS PLAN IS NOT TO BE .RECORDED OR USED To ESTABLISH PROPERTY LINES. LjO/T 4 SCALE: 1 20' PREPARED FOR PROFESSIONAL LAND SURVEYOR DATE 0/ 20' 40' 60' SAYSIDE BUILDERS TITLE SANITARY DISPOSAL SYSTEM JK HOLMGREN & ASSOCIAMS TYPICAL SYSTEM PROFILF SOIL LOGS P R.5 9.!r. DATE:11/6/99 90AM z NOT TO SCALE ENCY)NEER BOARD OFHEALTH AGENT: Proposed V I CONSTRUCT ACCESS Top of MANHOLE OVER INLET Stephen A. Willson,P.E. Edward Bany, Biuns. Health Dept. N INC. TO TANK TO AT LEAST BAXTER, NYE & HOLMGRE Foundation 69.0' WITHIN 6' FINISH GRADE FINISHED GRADE OVER TANK 66'± TEST PIT 1 'TEST PIT 2 TEST PIT 3 Registered Nofe'ssiowd FINISHED GRADE I -OVER D. BOX 66 G.S.E. =64.2 G.S.E. 65.0' G.S.E. Engineers and Land Surveyors FINISHED GRADE OVER LEACHING TRENCH 66'± Stre6t,'Osterville, Ma. 02655 0" A A 812 Maw SANDY LOAM 4" SCH. 40'PVC SANDY LOAM I (TYPICAL) FIRST 2' (TO BE LEVEL) off 10YR 516 7" 10YR 4/4 Phone (508)428-9131 Fax (508)428-3750 ,, -7-6- �4" SCH. 40 PVC 12" (min) Cover OL2* (min) (max) Cover PVC or Proposed Cl tees 4" SCH .40 PVC SANDY LOAM -o,or 044 Finished GAS BAFFLE 6" sump SANDY LOAM X, 10YR 616 Basement 2"Layer 1/8"tol/2" 10YR 718 22 Floor 61.3' 22" Peastone CHING CHAMBERS Slope 0.005 (min C11 Cl Lis rReinforced ncrete 6" CRUSHED Co MEDIUM SAND, I STONE BASE -7 SAND & GRAVEL FOOTING 4" PVC GRAVEL, COBBLE 2.5YR 613 L LM 0 76" 84" 2.5YR 7/5 ------ DATE: 1/1012000 -N C2 1 1101 STEPHE C2 I SAND, GRAVEL N SAND & GRAVEL L REV. DATE: & COBBLES EMARKS BOTTOM ELEV 60.9' 13291 1 OYR 614 132" 1 OYR 618 0.30216 NO WATER ENCOU�TERED N 1500 GALLON SEPTIC TANK DISTRIBUTION BOX 10.8, PERC 0 60" `_/01"Ak 0" TO BE INSTALLED ON A LEVEL STABLE BASE TO BE INSTALLED ON A LEVEL STABLE BASE RATE= >2 MINIIN J SEPTIC TANK TO BE INSPECTED & CLEANED ANNUALLY Sz No Groundwater at Elevation 50.1' 'NUMBER LEACHING SYSTEM a H:\ 1999,\99125-lots\99125-l 'ot2.dwg '0110gz 99125-lot2.d Wq J�