HomeMy WebLinkAbout2025 FALMOUTH ROAD/RTE 28 - Health 2025 FALMOUTH ROAD
CENTERVILLE
A= 189-005-001
[Ell, MEAD®
KEEPING YOU ORGANIZED
No. 12534
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THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
9pplitation for Misposal *pstrm Const union 3pPrmit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components
Location Address or Lot No. C)eV � V� Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel (99 -5 - i C ` , . Z-3-0ti,-, :�2 \4
Installer's Name Address,and Tel.No. �c �c�y _ Designer's Name,Address,and Tel.No.
�� SV-)--L6- 9yS`(9 a,-� Sv)� `f
13
Type of Building:
Dwelling No.of Bedrooms ' Lot Size Al-1 ats sq.ft. Garbage Grinder(tJ/A-
Other Type of Building No.of Persons Showers(d'Cafeteria(✓)
Other Fixtures LAa j �.. ,mac,, 1 kAcur, nk- t <_�,�..�A6!1K
Design Flow(min.required) gpd Design flow provided -T � ,A147 gpd
Plan Date - - L) Number of sheets Revision Date '—
Title
Size of Septic Tank (,Cc\ 2,( \Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) A V
Date last inspected:
Agreement:
The undersigned agrees to ensure the const ctio d m ntenat of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of t - nvir ntal Co e an of place the system in operation until a Certificate of
Compliance has been issued by this Boar o _
Signe Date
Application Approved b Date $'
Application Disapproved by Date
for the following reasons
Permit No. �� °" ®-3 J Date Issued
f No.� ..�. 1 �r Fees
C
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 1
PUBLIC J4EALTH"6IVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Application for ZigposaY*pstern , onstruction 3pPrmit
Application for a Permit to Construct( ) Repair( ) Up de( ) Abandon( ) Complete System ❑Individual Components
Location Address or Lot No. O a�C�� Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel ! -5 — Fi Qe0te'Ot
Installer's Namg,Address,and Tel.No. 50 �914 r Designer's Name,Address,and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size A 1 , —+t gS sq.ft. Garbage Grinder 04J f r'
Other Type of Building No.of Persons Showers!(L/Cafeteria(✓)
Other Fixtures
Design Flow(min.required) gpd Design flow provided T� .02L gpd
Z.
Plan Date - �y Number of sheets Revision Date
, •P- ` f
=* TitleL�
v A Size of Septic Tank c G,\ S;)Q,pr,j Type of S.A.S.
I Description,of Soil (A
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the coon°s�tra6llon n�;n�lce of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 oft/e`Environdrital Co a and t to place the system m operation until a Certificate of
' _4 Compliance has been issued by this Boardrot ealth.
Signe X r Date T .U3.0
Application Approved by,__ 1 Date &/C( Q
Application Disapproved by Date
for the following reasons
, w�
i Permit No. Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(X Upgraded( )
Abandoned( )by
at h s. has been constructed in accordance
with the provisions o aitle 5 and the for Disposal System Construction Permit Nc2-�-C 3/ dated
l �
Installer c1c� Designer
#bedrooms _ A-- Approved design flow/1 gpd
The issuance of this pernlit shall not be construed as a guarantee that the system will funotion as designed. ('
Date III, Inspector
------------------------------ ------------------------------------ ---------- ---- - -----------------------------,----'-"-']---------
--1
{ . 0 9D Fee _ C/.,r'
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION—BARNSTABLE,MASSACHUSETTS
r
Disposal *pstem Construction 3Permit E
Permission is'hereby granted to Construct( ) Repair Upgrade,( Abandon( )
System located at Q `'j IC,\1'"f l
G 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 com/p)eted within three years of the date of this permit. _�---
Date /���.. / Approved by
Ao
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SCALE P24000
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hi - THIS SURVEY AND PLAN WERE_PREPARED
L_OT 7 IN ACCORDANCE WITIA THE PROCEDURAL
ANOTECMNICAL STANDARDS:FORTH F
KESTU.T(S' ..PRACTICE-OELANO SURVEYING'IN THE
g[/uON/KA-5 COMMONWEALTH OF MASSACHUSEYfS BY•-
26.78. __ m w PLAA/S.C.2.43,
C.B. 199.61 FACE G9
for Q N79°S5'15"yy c REQ15 RED LAND. 30R E(OR
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APPROVAL UNDER'.THE E vs SUBDIVISION PLAN
�oR R� ST °-� C"/'y SUBDIVISION CONTROL LAW
IN
NOT REQUIRED. CENTERVILLE BARNSTABLE MASS.
BARNSTABLE PLANNING BOARD FOR
0 10ERTIFY THAT THIS PLAN HAS BEEN BAYSIDE BUILDING- COMPANY INC
/ -- PREPARED 1N CONFORMANCE TOTHL'
V DATE SEPTEMBER +
JAN.I,1976 RULES AND RE4ULATIONS LL�EVY
Y.PEM 24 1986 a
OF THE BARNSTABLE COUNTY REAISTPRS EOBY. - naw.a. c
of DP805 - SCAL 1 IN.=40 FT.. uv, -
OATR'
R6coao ow.vE'R: 6 ELDREDGEASSOCIATES INC
ar o wnb Riclmeo D.ORADA NEERS-LANOSCAPE ARCHITECTS.;.
DATE: 202 6RV/[4E MASsaCNu 6TTS o26S2 RE615,EkED LAND SORVE70 PLANNERS-LAND SURVEYORS 1095
V 869 WEST MAIN ST.CENTERVILL.E,MA02632
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Bath
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4 ' BR HOUSE FLOOR SCHEMATIC
(Description SITE WALK THROUGH )
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Town of Barnstable
°p11AE ti P
Ins ectional Services
% Public Health Division
Rnn>•tsraat.t..
v� MASS Thomas McKean, Director
i6gq. �
plfona't° 200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date: oaoSewage Permit# Apa'1,b— 3 L Assessor's Map\Parcel gam..—C`
Designer: ( Installer:
Address: Address:
On — ^c)bap Lwas issued a permit to install a
(date) (installer)
septic system at ` or2, based on a design drawn by
(address)
(fG'C'0AQC) dated <IC8=Q-b a .
(designer)
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. Strip out (if required) was inspected and the soils
were found satisfactory.
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. Strip out (if required) was inspected and the soils
were found satisfactory.
I certify that the system referenced above was constructed in c ce with the to rms of
the a / etters (if applicable) AR N
gs G
(Ins g tofu a�Y
„s 'W..
(Dent er's Signature) (Affix esig p Here)
PLEASE RETURN TO BARNSTABLE PUBLIC 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.
\\toa\depts\HEALTKSEWER connect\SEPTIC\Designer Certification Form Rev 8-14-13.DOC
:tR
TOWN OF BARNSTABLE
LOCATION O9OaS Vc&AQQTVt RJ SEWAGE#
VILLAGE anj tSl Ike ASSESSOR'S MAP&PARCEL PS?-O-,Y-aJ
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY 1 dC7 C_ (Q
LEACHING FACILITY:(type) 5 L Qo C V''.Y1 k[3(size) 3
NO.OF BEDROOMS 5 � � L)PJ%z4-
OWNER
PERMIT DATE: - o` a 0 COMPLIANCE DATE: c3 a.O o�0
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 154 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 ����
a e
c -3
o 150o SCA
4.za
A � ' '
d �R BE
S OWN OF B.A Pi
TA d
LQCATION �� kQ � CVW11) SEWAGE # '�6®('2-Gq
VILLAGE C.e� <��1� ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. �— OC e5( to` o �
SEPTIC TANK CAPACITY ( LOOO a-J &j
R LEACHING FACILITYAtype) LtacA, 2 4 (size)
NO. OF BEDROOMS�_PRIVATE WELL ORCPUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE .COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No �/
�Z9
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GENERAL NOTES
MAP 1. Contractor is responsible for Digsafe notification, Verification of Utilities
and protection of all underground utilities and pipes.
�� g0 // x ( h�J` (D 2. The septic tank and distri ution box shall be set
fl �M
level on 6" of 3/4 -1 1�2 stone.
�• '',. 1 pA "' V
� 3. Backfill should be clean sand or gravel with no
o�
\ a / 5�» 8 ,� c g�T »,�alO�y` stones over 3" in size.
O*rrj' pep /�f geD gs 0 4. This system is subject to inspection during installation
°C N As �s60p, by Carmen E. Shay - Environmental Services, Inc.
N
ALw \ -� \ �• 90.0dA y fz / 7g� ss' " w 5. The contractor shall install this system in accordance
F / '�• TIJD 6.00 / LOT as AP with Title V of the Massachusetts state code, the approved Ian
/ tl N P
1 7 2 2025'F'almouth,Rd
B ti and Local Regulations.
S9uv /reet ,►G +' 6. If, during installation the contractor encounters any
�m // '� \ \ \ ` �`• '� \ A� `\ // °P soil conditions or site conditions that are different
\� \\B » �, / 'Oo 1 PgP PL / { from those shown on the soil log or in our design
installation must halt & immediate notification be
6 b�6.7 — — — —PHA — y $ - made to Carmen E. Shay - Environmental Services, Inc.
16 \ AS T /
DRIVEW Y % �' ) --� { % 7. No vehicle or heavy machinery shall drive over the
\ — — �— -t- — �' t o�
'� / / ASPHALT\ (\ A R.637e septic system unless noted as H-20 septic components.
DRIVEWAY( \ ` t ,, x 8. Install Tuf-Fite gas baffles or equals on all outlet tee ends.
(9
9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes.
FAILED \�CESSPgOL \ 10. All solid piping, tees & fittings shall be 4„ diameter
3 $ G$5S lj /// \ \ 1 ` Schedule 40 NSF PVC pipes with water tight joints.
1500 GALLO TEST HOLE 41
SEPTIC TANK�New) ELEv= 9. ` 11. Municipal Water is Connected to ALL OF The Residence and Abutting
o FAILE`D 1 Properties.
p(ISTING o CE SPPOL ` \ HOUSE #2009 THE PROPERTY LINES ARE APPROXIMATE AND
4 BEDROOM TE.�jT, HOLEY\\ \ LOT #3 COMPILED FROM THE SURVEY PLAN BY DOWN CAPE ENGINEERING
ELF= 99
HOUSE DBO
(n i \ \ ENTITLED: "PLAN OF LAND IN CENTERVILLE, MA OF RICHARD PRADA"
�k2D25 I SHED �99 NOV NOVEMBER 1, 1988
s, "
AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN
,� 1 EC \ PROJECT BENCH MARK �f06
\ \ �- — � TOP OF FOUNDATION IT SHOULD BE USED FOR NO PURPOSE OTHER THAN
.—ELEyL 100:00 (ASSUMED) \ \104 THE SEPTIC SYSTEM INSTALLATION.
l 54�•. ' \ `"� \ _ ! -too roe EXISTING LEACH PIT TO BE PUMPED OUT AND FILLED IN PLACE
�• �. (° �— — -- —— _�_� �1�- NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE
FROM THE EXISTING CESSPOOL/LEACH PIT TO BE DISPOSED
`�9 OF AS PER BOARD OF HEALTH SPECIFICATIONS.
►. �q LOT #2A 9s
`I a 1 � \ -94 REV.: 1-31-2020 - Note 11
x`► 1 LOT #1 r 41,765 Square Feet +/-
`1 I 49,628 Square Feet Bg�'OssO• ` �I
UNDEVELOPED / 4e' PLOT PLAN
OF PROPOSED SEPTIC SYSTEM UPGRADE
! a x PREPARED FOR
J O H N ZAPALLA
a 1
2025 FALMOUTH ROAD - ROUTE 28
PARCEL ID: 189-005-001
�'�'8D
( CENTERVILLE MA
a
al R6.
Ae a . 1 1 $o _
e F PREPARED BY:
AR
' 1 80.00' a A ENVIRONMENTAL SERVICES
co N 79.0
N ga' 84" A 48,00' t 10 P.O. Box 1576
0 20 40 50 ; �' 7aD ss. s4b - ��s����� MASHPEE, MA 02649
TEL/FAX : 508-294-7498
SCALE: 1"=20' DRAWN BY: CES DATE: JANUARY 27, 2019
SCALE: 1"=20' PROJECT#2025 FALMOUTH FILENAME: 2025 FALMOUTH.DWG I SHEET 1 OF 2
SAS TO BE COVERED WITH
10' min. from *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. FILTER FABRIC SECTION A -A
EXISTING Foundation house to septic tank SAS cover must be
Septic tank covers must be D-BOX cover must must have riser and be wtthtn 6" of GRADE PROFILE VIEW OF LEACHING SYSTEM
a within 6 in. of finished grade within 6 in. of finished grade
Grade over Septic Tank — 99.00 Grade over D—Box— 99.00 ade over SAS— 99.00
r r/a • ramud a m"sera.. •of r/a•- r/a• it wud Pmwtww
S 0.02 3 HOLE H-10 INSPECTION cover must be
DIST. BOX TOP OF SAS _ 98•50 within 8 In, of finished grade
EXIST. PIPE ` 10 NEW 1500 GAL
FROM FOUNDATION n N SEPTIC TANK iO N
rn H-10 00.a no
75 0 0 0 o 0 C3 C3 C3 C3 C3
i o o r wawa. r.bae sees
-C3
CONCRETE FULL FOUNDATIO 11 } O o
II II II w
SYSTEM PROFILE a I 8 5 DvmED
c ; 4, I - o, 4, r 5 Units 6 ' 30'
Not to Scale - c c 3.5 3.5
6 in.of 3/4'-1 1/2' I > Effective Vne
NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE compacted stone flue dth .mow Effective Length
a
In S❑IL ABS❑RPTI❑N SYSTEM (SAS)
Bottom_ of Test Hole 1 Elev.= 89.00
— — —� LC-6 H-20 LEACHING UNITS / WIGGINS PRECAST
Not to Scale
2-18" D1AM. ACCESS MANHOLES
PERCOLATION TEST .i T- t9—c;zq1q ALL OUTLET PIPES FROM THE ,2' I aN�RETE
8' DISTRIBUTION BOX SHALL BE
SET LEVEL FOR AT LEAST 2 FT. COVER
Date of Percolation Test: JANUARY 9, 2020 r_.•:...1,,, 2
o Test Performed By: CARMEN E. SHAY, R.S., C.S.E. KNOCKOUTTS�
1 C' Results Witnessed By. DAVID STANTON (BARNSTABLE BOH) _
EXCAVATOR: CARMEN SHAY r a5" OUTLET 12• INLET
Percolation Rate: LESS THAN 2 MPI 0 24"
ou s•
2
p• Test Hole y's 5" 4" - SCH. 40 Te
THE ACCESS COVERS FOR THE SEPTIC TANK, Test Hole 1.75'
�'• DISTRIBUTION BOX AND LEACHING COMPONENT N O. 2
No. 1
,-� PLANCROSS—SECTION
.— >— . T-• SECTION
.,v ,:•,s ..,,:.. t •a, ••,. . SET DEEPER THAN 6 INCHES BELOW FINISHED
GRADE SHALL BE RAISED TO WITHIN 6" OF DEPTH SOILS ELEV.
FINISHED GRADE.
DEPTH SOILS ELEV.
STEEL REINFORCED PRECAST CONCRETE 3 HOLE H—10 DISTRIBUTION B O X
A 0 99.00
PLAN VIEW INSTALL TUF-71TE GAS BAFFLES OR EQUALS 0 Sandy 99.00 andy
Loam L Soam
3-24" REMOVABLE COVERS 10 YR 3/2
1f 10 YR 3/2
0"- 6" Ap 98.50 0•_ 6" Ar 98.50
: ..: .` mi.. ::.c ....:.. .� 4. T'r P SOT PLAN
3 min. clearance 13. INLET.1.,• B LAYER B LAYER
8' min. -�2' min. inlet to outlet 6"min. NOT NOT
,o.min. ,—j Liquid level 14. In
OUTLET PRESENT PRESENT O F PROPOSED SEPTIC SYSTEM UPGRADE
s -r �. -- �.5' -7" PREPARED FOR
e$ Med. Med.
Eo
- Liq�d depth Sand Sand
J c 25 Y 7/4 25 Y 7/4
Ci 89.00 6"_ ,20' 89.00 J O H N Z A P A L LA
6 120"
•T, •� AT
2025 FALMOUTH ROAD — ROUTE 28
4 CROSS SECTION END-SECTION PARCEL ID: 189-005-001
TYPICAL 1500 GALLON SEPTIC TANK CENTERVILLE MA
Design Calculations Number of Bedrooms: 4 Equivalent to 440 Gal. Day
9 Garbage Grinder: No ` PREPARED BY:
Leaching Capacity Proposed: 440 Gal./Day Minimum
Septic Tank - 2 x 440 Gal./Day = 880 USE NEW 1,500 GAL. Septic Tank. = �.
Perc Depth ,th to Perc 24 .SHAY ENVIRONMENTAL SERVICES
SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch # " to 42
Bottom Area: 0.74 gal/day/sq. ft. x 407 sq. ft. = 301,18 gallons/day Perc Rate= LESS THAN 2 MPI i o
Sidewall Area: -0.74 al./day/sq. ft. x 192 s ft. = 142.08 gallon/day da Groundwater Not Observed If;c� ��
9 q• 9 / y 10. ® P.O. BOX J�;j6
No Observed ESHWT 0 120" {-
Providing: =443.26 gallons/day " ''a, �t-
ADJUSTED H2O Elev. = None 0 120 �FGlsz�¢ MASHPEE, MA 02649
TEL FAX : 508-294-7498
• Use: (5) LC-6 H-20 CONCRETE CHAMBERS, HAVING A 1' EFFECTIVE DEPTH, ri t /
(3' W x 6' L) TO BE USED WITH 4' OF WASHED STONE ON THE SIDES AND SCALE: 1 =20 DRAWN BY: CES DATE: JANUARY 27, 2019
3.5' OF WASHED STONE ON THE ENDS AND 1 FOOT OF STONE UNDER ENTIRE SAS , rPROJECT#2025 FALMOUTH FILENAME: 2025 FALMOUTH.DWG SHEET 2 OF 2