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HomeMy WebLinkAbout0043 ELLIOTT ROAD - Health 43 ELLIOTT ROAD Centerville 00T JE:,�t A = 248 - 243 s+ 5 M E A D No.2-153LOR UPC 12534 amaad.com • Made in USA Oro Ia uSWNM9PQOD=Lm 01H ' No. �y l i l 0 p Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ; Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftpliLation for ]Disposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(l/Upgrade( ) Abandon( ) ❑Complete System ndividual Components Location Address o4ot No. y3 i5,lbo ' g Owner's Name,Address,and Tel.No. Assessor's Map/Parcel a L (NA✓C�a Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size 100 sq.ft. Garbage Grinder( ) Other Type of Building %e-wele 4-)a) No.of Persons > Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) D 3 CD gpd Design flow provided g y 3. VV gpd Plan Date $ fly �/ ,� Number of sheets 2 Revision Date Title Size of Septic Tank 4X'ey%/-jam` Type of S.A.S. fg-;go Description of Soil Nature of Repairs or Alterations(Answer when applicable) ���n151-61 J� Zf A&GJ d�cx � � Z C 5' - D z G 6 l k z✓-,hr4s 6s(•'//1'l��(iNP //✓ G 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 Certificate of Compliance has been issued by this Board of Health. Si Date Application Approved by DatePi V_ Application Disapproved by Date for the following reasons Permit No. 2 cn L Date Issued ��t(��(J p 1No. i 1 / �� �� ��U Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zpplitation for Disposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(l�/Upgrade( ) Abandon( ) ❑Complete System LJ ndividual Components Location Address or.Lot No. Gol p f� 9cl/ Owner's Name,Address,and Tel.No. Assessor's Map/Parcel a LieL �✓ !na Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of I uilding: Dwelling No.of Bedrooms '; Lot Size /C� sq.ft. Garbage Grinder( ) Other Type of Building j✓sir P,✓{.a No.of Persons / Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided y b/ gpd Plan Date J,- - Number of sheets 2 Revision Date Title Size of Septic Tank �xl�f;,,/ Type of S.A.S. 2 0 Description of Soil Nature of Repairs or Alterations(Answer when applicable) �s ��� 1, ��,-r.J�� b ox C2 t,"' FI '7 e2 / A irM he/3 64-4/--q �1y,N P /�J ✓� //X �!'�I tic: Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in w 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. Si Date Application Approved by /J Date Application Disapproved by Date for the following reasons Permit No. o f� �L� Date Issued (F� t��(J --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( Upgraded( ) Abandoned( )by C le,3 A —i?-(6zd,ra m at G� [ ,40 f.j- �/Z CZ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 2 Or j dated Installer^�_ e"a 2,)/,,e-A , - p I C Designer F�< i.�. ,-v G✓a //✓S #bedrooms _ Approved design floc v gpd The issuance of this permit shall not be construed as a guarantee that the system wil�ctio as desired. Date T- ; -/ S- Inspector �� k/ ------------------------------f-,-------------------------------------------------------------------------------------------------------- No. 20 �� — '�(U Fee /W_ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *pstrm Construction Permit Permission is hereby granted to Construct( ) Repair(� Upgrade( ) Abandon( ) System located at t7 j Re/ c r L/,I)?- - 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:Constructi n mus be completed within three years of the date of this permit. Date ( Approved by 14L, O Town f Barnstable Regul*ory Services R.%chard V, ali, ):ntci•iM Director � annxsrABU. Pubhc .B�afth Division Thomas �!IcXean, Director } 200 Main Street,Hyannis, MA 02601 ` / 0 s: 508-862-4644 ax: 508-790-6304 Installer & Desinne.. Certification Form � Da'e: �� t Sewage Permit-4Assessor's MaplPstrcel ?�__Z�1 —t� VQ•b�r A'1 �d ► •ewe ` .0 De igner; i � b � Installer, Ad Address: k3carc r) was issued a pe.rmit to install a (date) (installer) sep,;�c system at �3 t�1 t�`6+r 126,X c�lVt. �(�e based on a design cLrawn oy (address) dated (designer) 1 I certify that the septic system referenc d above was installed substantially acgoxciing to the design, which may include minor al proved changes such as lateral relocation of-the distribution box and/or septic tank, St ip out (if required) was inspected and, th(� soils were found satisfactory. o I certify that the septic system referent-d above was installed with imajor chang(;s (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 rt{vision or certified as-built by designer to follow. 3trip out (if required) was inspected and the soils were found satisfactory,, � P " r" i I certify that the system referenced abov was constru t '�' with-the terms of the IAA approval letters (if applicable) PETER T, J11 McENTEE a c C,IVIL c No,331( ) �} � . al.ler s Signature) Iu n !, (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE P LIC HEALTH DIVISION,;wCERTEF:ta+:DATE 01i1COMPLIANCE MILL NOT_BE�ISSVED.I�I�ITTT� BOTH TIES ::FORM AIM) ASS B LT CARD ARE RECEIVED BY TIIE Btl�Rl i> rl'ABLE PTIBLIC T��-�I,T�3 }�:1 V�I5I01�(, T..t. 'rKYU. t ' 9ASiepticTesigner Certification Form Rev 8-14-13.doc DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Soii Color Soil Other Surface(in,) (USDA) I(Munsell) Mottling (Structure,Stones,,Boulders. Consistencv.%'Gmy0l)__ z— a DEEP OBSERVATION HOLE LOG Hole# 2i Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ns' ancy,%Gray ,® y0�Z (y DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Sotl Color Soil Other Surface(in.) (USDA) (Munseli) Mottling (Structure,Stones,Boulders. Consistengy. Gravel) i i . � f f i DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other S rface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders, o . ' f i { r I Flood Insurance Rate Mau: AbOVe 500 yeaf flood boundary No.— YeX____ I ' i- Within 500:)ear boundary 'No_ Yes.. Within 100 year flood boundary No Yes_;.._,_ De th of Naturally Occurring Pervious Material oes a(ieast four feet of naturally occurring pervious material exist in all areas observed throughout the a-ea proposed for the soil absorption system? T7-7- If not,what is the depth of naturally occurring pervious material? ertitcation t I_llmrtify that on 'l (date)I have passed the soil evaluator examination approved by the E epartment of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise and experience described in 1 CMR 15f.017. Signature �� Date r' c --�— 6.\SBPIMI,WERCPORM-DOC I_ IKE Town of Barnstable P# 8. tio* Department of Regulatory Services x BARNSTABLE, Public Health Division Date y MASS. 1639. 200 Main Street,Hyannis MA 02601 plf0 MAt a Date Scheduled 5f(I Time / I Fee Pd. 4 1 0O aL Soil Suitability Assessment for Sewa e D'sposal ., 2S Performed By: Fewz me"'I'tQ L t sE i Pt�Gtessed By: f ' LOCATION & GENERAL INFORMATION 1 Location Address /,t. �1��0��� . Owner's N,me e�'Qy;,� � m,e_�` C (✓w=� Address 43- 1, I W- � Cen YL I Assessor's�p4 reel: 2� �� Z�3 Engineer's Name ��� ! NEW CONSTRUCTIO EP- z'AI�2' Telephone# 5dg-7�7-9-769 Land Use _ f S Ca � Slopes(%) Z Surface Stones Ak v-k Distances from: Open Water Body 7� ft Possible Wet Area /Jf'4 ft Drinking Water Well cs-__6ft Drainage Way 7 10rj ft Property Line L� o ft Other ft I t in proximity to holes) SKETCH:(street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands pt y o ) » r Ll p,T i2P i t Parent material(geologic) Depth to Bedrock Depth to Groundwater: Standing Water in Hole'Ai` Weeping from Pit Face Estimated Seasonal High Groundwater I DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: 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 //�� Hole# /°-7 Time at 9" Depth of Pere `� Zyq l Time at 6" � J Start Pre-soak Time @ L (�MJ Time(9"-6") I � End Pre-soak 'I Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) i Original: Public Health Division Observation Hole Data To Be Completed,on Back----------- It ***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. ro Q:\SEPTIC\PERCFORM.DOC TOWN OF BARNSTABLE 1 LOCATION SEWAGE# d,©� VILLAGE.�Ana}�E 1�p ASSESSOR'S MAP.&PARCEL ;L� �{ 3 INSTALLER'S NAME&PHONE NO.��,3r c�Mi o ij t3 l�"C_ --- SEPTIC TANK CAPACITY LEACHING FACILITY.(type) 1`c_ Cc H '),n (size) NO.OF BEDROOMS '3 OWNER PERMIT DATE: S-I ^-) 5`- COMPLIANCE DATE: S--2 I S— Separation Distance Between the: NO/)e 0-r Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility p erc Feet Private Water Supply Well and Leaching Facility(If any wells exist orr 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 — - '-�— 3 6C �- 15 - o o out - 2 S +30vr'-25;5 R►ser -39 3b K� TOWN OF BARNSTABLE C— G '� LOCATION Zdl, k SEWAGE # �— VILLAGE &4Z?� ASSESSOR'S MAP & INSTALLER'S NAME & PHONE NO.,,gbtW0�V7 SEPTIC TANK CAPACITY ® aj1 LEACHING FACILITY:(type) (size) NO. OF BEDROOMS 3 PRIVATE WELL O UBLIC WATE BUILDER OR OWNERLfd7�� , ✓ , �iA�?�/ �� � DATE PERMIT ISSUED: i / DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes Now '1 ...a I ,. ���« r,�.�.rc � �� � �� ���� �� ��u�r� �;� �sr qj LEGEND a N ; t � - 100 -- EXISTING CONTOUR N v to x 100.98 EXISTING SPOT GRADE U m Pine St _ W EXISTING WATER SERVICE a LO pB 227 pG 1 r CATCH BASIN G EXISTING GAS SERVICE U O EXISTING LEACH PIT EXISTING SEPTIC TANKI 48.66 H.W.-OVERHEAD WIRES -CL° _ (APPROXIMATE) TOP OF TANK=50.97 I DRAINAGE TEST PIT TO BE PUMPED, FILLED WITH INV.(OUT)=49.64f I EASEMENT SAND AND ABANDONED ~ o 48,98 -� BENCHMARK - w 48.12 I ° 4811 X X N[12-50'36" E X 48. 5 0 100.00' 48.70 X i BENCHMARK LOCUS MAP X 47,7 OUTSIDE COR./STEP NOT TO SCALE '0 U16 EL.=53.48 ' TP-1 - GENERAL NOTES: x 51,88 N 50,00 50,99 �.--- _ SHED 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 12' x 8 35 BOARD OF HEALTH AND THE DESIGN ENGINEER. 51.98 i 52,26 5 2.3 3 11' 49.63 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS TP-2 N OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 2.69 / LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: n� 52.80 Q 'v p o� -310 CMR 15.405(1)(b): �> 52,83 tip 1 A 2' variance, S.A.S. to cellar wall bulkhead , for an 18' setback. / •0. w cn ) ( ) PATIO 1 I I: •-a. 9 05 N -A 2) A 3' variance to the maximum cover requirement of 3', for up 4 X 52,09 BM .00 W 00 - to 6' of cover over the S.A.S. •4 53,48 I i Q 4N. C 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR Z - 52 55 31 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 00 O DESIGN ENGINEER. X O r 52'30 5 ,17 I ..',•� N•.� I ` 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 50,70 EX/STING :• ` 11 I o �'�.{ FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN can HOUSE/ 43 " + ,J ENGINEER BEFORE CONSTRUCTION CONTINUES. s I t 52.51 '';;: `•r : a '_J 3 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. T.O.F.=53.38f Z VEN x '� 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 51,35 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 50.30 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. / y 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE G) 8. THERE ARE NO ABUTTING WELLS WITHIN 150' OF THE PROPOSED S.A.S. 5STt2.75 5 ,58' :•;; ,';:..•';;. 52.11 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS o .' 'PAVED.;:•,; , I AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 10,100±SF X I DIRECTED BY THE APPROVING AUTHORITIES. pp o '? DI?IVEWAI',: 52.00 Mpl. 248-243 a K C5 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 52,35 73 28' I ;'s'; :. 52.19 1 1. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 3 y IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND S 12-05'36' W 52.33 REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). U,P• 52.45 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE i INSPECTED BY-+ �T PRIOR TO BACKFILL. 52.54 edge of pavement 4 13. THIS PLAN IS TO 'USED FOR SEPTIC SYSTEM PURPOSES ONLY AND 52.71 52.60 OF IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. �c�Q��� MASs9CyG 14. SYSTEMTHE GCOMPONENTINEER IS OST NOT RESPSOHOWN ONNSIBLE O HE PLAN.R ANY DOCUMENTED SEPTIC ELLIOTT ROAD o PETER T. PROPOSED SEPTIC SYSTEM UPGRADE PLAN I McENTEE o VIL NoC135109 N 43 ELLIOTT ROAD, CENTERVILLE, MA OWNER OF RECORD i of /S1 Prepared for: D.A. Brown, Inc. P.O. Box 145, Centerville, MA 02632 WARCHAL JOAN D F FS ON Engineering by: SCALE DRAWN JOB. NO. RR1 BOX 65B1 1"=20' P.T.M. 145-15 46 BOLD ROAD D MEADOW D 1/ Engineering Works, Inc. OLOWN, MA OA J 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. EDGART (508) 477-5313 5/12/15 P.T.M. 1 Of 2 NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL: 47.0 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D—BOX PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL WATERTIGHT RISER INSTALL A WATERTIGHT RISER & COVER OVER ONE SHED 2`;O' OUTLET AND SET TO 6' OF FINISH GRADE & COVER TO WITHIN 6" OF CHAMBER(MIN.),AND SET TO WITHIN 6" OF FINISH FINISH GRADE GRADE TO SERVE AS AN INSPECTION MANHOLE. T.O.F.=53.38 •,fF.G. EL.=52.8f F.G. EL.=52.7t F.G. .= .Ot F.G. EL.=52.3(MAX.) 12,2' I--11'—� � EL51 CHARCOAL VENT I L = 53' L = 30'(MAX) PATIO 2 I O ' ® S=1% (MIN.) ® S=1% (MIN.) I N 4"SCH40 PVC 4"SCH40 PVC I� 2" LAYER OF 1/8" I o ,o ®0® TO 1/2 DOUBLE I N 14" i 6" 12" WASHED STONE EXISTING 48" LIQUID INV.=49.64t (OR APPROVED FILTER FABRIC) I v LEVEL INV.=48.83 4' 3' 4' EX/STING `3S 1 gS I N (VERIFY) PROPOSED 3/4"-1 1 2"/ i GAS BAFFLE INV.=49.00D—BO� EFFECTIVE WIDTH = 11' DOUBLE WASHED HOUSE(#43) INV.=46.50 STONE — H-10 O E T.O.F.-53.38f EXISTING SEPTIC TANK USE 5 LC-6 GALLON LEACHING CHAMBERS IN SERIES WITH 4' OF DOUBLE WASHED STONE—ALL SIDES NOTES: H-20 RATED 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE TOP CONC. ELEV.=47.33 _ INVERTS, PRIOR TO INSTALLATION. INV. ELEV.=46.50 ®E3 EM O®® t ELBEV 407U0 SEPTIC LAYOUT 2) D—BOX SHALL BE SET LEVEL AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX BOTTOM ELEV.=45.50 INCH CRUSHED STONE BASE, AS SPECIFIED IN 2' 1 5 x 6' = 30' 2' 310 CMR 15.221(2). 4' OF NATURALLY OCCURRING — — 3) INSTALL INLET & OUTLET TEES AS REQUIRED, PERVIOUS MATERIAL L EFFECTIVE LENGTH 34' (— —4" KNOCKOUT —I 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 5' (MIN.) ABOVE G.W. 1 20 OLA. COVER AS MANUFACTURED BY TUF—TITE, ZABEL OR EQUAL. LEACHING SYSTEM SECTION NO GROUNDWATER EL=40.3 — v 4' KNOCKOUr 4 KNOCKOUT M SEPTIC SYSTEM PROFILE I L. 4" KNOCKOUT J N.T.S. SOIL LOG PLANZA DATE: MAY 11, 2015 (REF. P#14,681) — SOIL EVALUATOR: PETER McENTEE PE, (SE#1542) — — - — — DESIGN CRITERIA WITNESS: DAVID STANTON R.S. HEALTH AGENT ® ® ® 0 E3 22" Elev. TP- 1 Depth Elev. TP-2 Depth 51.8 INVERT 1 FILL NUMBER OF BEDROOMS: 3 BEDROOMS 0" 52.2 FILL o" 12" SOIL TEXTURAL CLASS: CLASS I DESIGN PERCOLATION RATE: <2 MIN/IN 49.8 A SANDY LOAM 24 50.7 A SANDY LOAM 18 72" r 36" DAILY FLOW: 330 GPD 49.3 10YR 4/2 30„ 50.4 10YR 4/2 SIDE VIEW END VIEW DESIGN FLOW: 330 GPD B SANDY LOAM B 22" SANDY LOAM WIGGIN LC-6, H-20 LOADING GARBAGE GRINDER: NO—AND NOT PERMITTED WITH THIS DESIGN 468 10YR 5/4 60" 46.9 10YR 5/4 64„ LEACHING CHAMBER EXISTING SEPTIC TANK: 1000 GALLON CAPACITY C PERC C LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF 60 /78 N.T.S. .74 GPD/SF MED. SAND MED. SAND PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 5 LC-6 GALLON LEACHING CHAMBERS IN SERIES 2.5Y 6/4 2.5Y 6/4 WITH DOUBLE WASHED STONE—ALL SIDES AS SHOWN 43 ELLIOTT ROAD, CENTERVILLE, MA SIDEWALL AREA: (11.0' + 34.0') x 2 x 1' = 90.0 SF ! Prepared for: D.A. Brown, Inc. P.O. Box 145, Centerville, MA 02632 BOTTOM AREA: 11.0' x 34.0' = 374.0 SF 40.3 138" 40.7 138" Engineering by: SCALE DRAWN JOB. NO. „•.... 464.0 SF NO GROUNDWATER OBSERVED Engineering Works, N.T.S. P.T.M. 145-15s, TOTAL AREA:........................................•.......•..• I PERC RATE <2 MIN/IN. ("C" HORIZON) 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(464.0 SF) = 343.4 GPD (508) 477-5313 5/12/15 P.T.M. 2 Of 2 zi