HomeMy WebLinkAbout0046 FARM HILL ROAD - Health 46 Farm Hill Road
Centerville
A= 247 - 079
�Abse/te
1521/3 ORA 10% P2
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TOWN OF BARNSTABLE
LOCATION `��� 1� �'� ? /�•d� 1Q� SEWAGE #�J
YMLAG �✓>� j ASSESSOR'S MAP & LOT
INSTALLER'S N PHONE NO. dI �.
SEPTIC TANK CAPACITY /Cr' f�
LEACHING FACILITY: (type) 3- DW (size)/e)—
NO. OF BEDROOMS
BUILDER OR OWNERC�'iI
PERMITDATE: G s ✓ COMPLIANCE DATE:
Separation Distance Between the: h
Maximum Adjusted Groundw/cility
e Bottom of Leaching Facility Feet
Private Water Supply Well aacility (If any wells exist
on site or within 200 feet ility) Feet
Edge of Wetland and Leachiany wetlands exist
within 300 feet of leachin Feet
Furnished by
fir
N TOWN OF BARNSTABLE
'LOCATION LAL, `A`,ZV'A V �,A SEWAGI? #_
VILLAGE_ _ ASSESSOR'S MAP & LOT 9 C
INSTALLER'S NAME & PHONE NO. ��J C'
SEPTIC 'TANK CAPACITY_ 6-`T�_ 6,-gf!!�S 0gtb
LEACHING FACII_1TY:(type)_ e_ G q— 1 �Jsize)__,(, IJ
NO. OF BEDROOMS�PRIVATE WELL UALIC WATE �-
BUILDER RJR OWNERS--�
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: �
VARIANCE GRANTEt?: Yes �__1,d9
' ����.
�a`
��
r
��
No. Fee $5 0 ��
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
21ppYication for ]Diopooar *pltern Con5truction Vertnit
Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) O Complete System 0 Individual Components
Location Address or Lot No. Owner's Name,Address and Tel.No.
46 F III Hill Rd. , Centerville Harold Philbrick
Assessor's ap arce
Installer's Name,Address,and Tel.No. , Designer's Name,Address and Tel.No.
Wm. E. Robinson Septic Service Daniel Johnson
P O Box 1089, Centerville 804 Main St. , Osterville
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( )
Other Type of Buildingig P c; dent; a> No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 330 gallons per day. Calculated daily flow gallons.
Plan Date 1 0-3 0-01 Number of sheets l Revision Date
Title Subsurfart- qL-wACjt- Disposal System
Size of Septic Tank Type of S.A.S. S
Description of Soil medium-course sandy �X Z f
Nature of Repairs or Alterations(Answer when applicable) rQn 1 a r P r P-,G p nn 1 with 1T5 0 0 gal.
tank, and 3 dry wells ( 30 'L X10"W X2 ' H )
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-
cate of Compliance has been issued by th s Bo d of Heal
Signed - —!� Date
Application Approved by Date
Application Disapproved for the following reasons
Permit No. Date Issued
s r � z' Y
t'yc •t,„s,. "v n°•t 4'y '' w�"St�3� fit,= y{}.. •{ a t rYs"' kr r lcc ',
a rM's,^•u "'r sa..r. �x. .�; "�'r r '�C" z
L- _
� ACATION ��:� Jd' !•'2 w9;. %/ /`°'� � r
SEWAGE #'�
YlI.LAGE ASSESSOR S MAP & LOT r
r� )
INSTALLER'S.NAME&.PHO,NE N0, hCG6 i,�-So.r`'. �I 7• �. 7 7. �i ~
SEPTIC TANK CAPACITY
LEACHING FACILTTY: (type) (size)/41 30
'NO:OF BEDROOMS
BUILDER OR OWNER *C- ;
PERMTTDA'TE: Lf—G O j COMPLIANCE DATE: -
ttotr Dd taii`
•
p the:
Se ara ce Between ,,.
Maximtm Adjusted Groundwater Table to a Bottom of Leaching Facility Feet
— .
Private Water.Supply„Well and Leac g,Facility (If any wells exist ! � `
Feet . N
Ed e'bf Wetland: d Leachin c b (If an ty)
on site or within 200,feet of lea ng facility)
KT
8 g ty, y,wetlands,ezisc
within 300 feet o£leachin acihty) :. Feet
Fiirnished by -
:
'i
LO
' [
,
� 'ra`"~�,•gar
M
No. Fee $5 0
q, / THE COMMONWEALTH OF MASSACHUSETTS Yes
r Entered in computer:
PUBLIC HEALTH DIVISION —TOWN OF BARNSTABLES MASSACHUSETTS
0[pprication for &sSpozaf 6p5tem Conotruction Permit
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.
46 F�I'II
Assess � J11 Rd. , Centerville Harold Philbrick
or's Map arce
Installer's Narne,Address,and Tel.No. Designer's Name,Address and Tel.No.
Wm. E. Robinson Septic Service Daniel Johnson
P O Box 1-089, Centerville 804 Main St. , Osterville
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building R e G i d An t i a-1 No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 330 gallons per day. Calculated daily flow gallons.
Plan Date 1 0—3 0—0 2 Number of sheets 1 Revision Date
' Title Subsurface Sewagp Di -,p Ga 1 gN4St=W
Size of Septic Tank Type of S.A.S.�Z��(,hCo
Description of Soil medium-course sand y �(:j X-2
Nature of Repairs or Alterations(Answer when applicable) r e c 1 ac a ce s s rock 1 w i i-h 1 0 500 gal—
tank, and 3 dry wells ( 30'L X10"W X21H )
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-
cate of Compliance has been issued by th' Bo d of Healt/
Signed .:L Date
Application Approved by Date I (P
Application Disapproved for the following reasons
Permit No. �1 Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Philbrick
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( X)Upgraded( )
Abandoned( )by Wm. R. Robinson Septic Service
at ' 46 Farm Hill Rd. , Centerville has been constructed in a ccordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated
Installer Wm. E. Robinson Sr. Designer Daniel Johnson
The issuance of this permit shall not be construed as a guarantee that the fsystem will function as designed.
Date Inspector
——————————————————— - ——_ ———
a No. ————————� ��7,�7Al
Fee$50
THE COMMONWEALTH OF MASSACHUSE S
PUBLIC HEALTH DIVISION - BARNSTABLES MASS'ACHUSETTS
Philbrick
ig oar *pgrrY te Congtru tOn Permit
Permission is hereby granted to Construct( )Repair(X )Upgrade( )Abandon( )
System located at 46 Farm Hill Rd. , Centerville
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:Construction must be completed within three years of the date of�this
�permit.
Date: �C roved A b
PP Y ,
5MI01
NOTICE: This Form Is To Be Used For the Repair Of Failed
Septic Systems Only.
PERCOLATION TEST AND SOIL EVALUATION EXEMPTION
FORM
hereby certify that the engineered plan signed by me
- s
dated t'o -� o , concerning the property located at
qG rA,t 41( c If-O (_CN ;•cV/cte
meets all of the
following criteria:
• This failed system.isconnected to a residential dwelling only. There are no
commercial or business uses associated with the dwelling.
• The soil is classified as.CLASS I and the percolation rate is less than or equal to 5
minutes per inch. The applicant may use historical data to conclude this fact or may
conduct preliminary tests at the site without a health agent present.
• There is no increase in flow and/or change in use proposed
• There are no variances requested or needed. v42.. 54s 7-0 -CL,44 ba_ P *,,I)
• The bottom of the proposed leaching facility will not be located less than fourteen
(14) feet above the maximum adjusted groundwater table elevation. [Adjust the
groundwater table using the Frimptor method when applicable)-
Please complete the following:
A) Top of Ground Surface,Elevation (using GIS information) 4
B) G.W. Elevation I`� +adjustment for high G.W.4�~�'�- a
DIFFERENCE BETWEEN A and B j Q Y - TeST rr
SIGNED : DATE: IQ/3-�o r
NOTICE
Based upon the above information, a repair permit will be issued for bedrooms
maximum. No additional bedrooms are authorized in the future without engineered
septic system plans. a
q:health folder.percexmp
see 5 Y-Etn
%
PLAN
1500 GALLON SEPTIC TANK
kA
15M(SHEA CONCAETE) (OREQUIVALENT)
MODEL:TK
L 0,+1)
FINISHED GRADE
tPerformed By: Daniel B. Johnson 24"DLA 9TMIN)- 24"DIA
24,,Dik
D6te: Octoberl7, 2001
H-10
_Fz
SCH 40
V.S FLOW LINE -
CH 40 14" Z48
71' At 10YR4/4 Loamy sand EL FILTER A-100
0
TANK TO MEET
VSCH 40 TEE
7" , - 23,1 Bw, 10YR5/8 Loamy sand
41 UQUID LEVEL REQUIREMENTS Of
23*1 -144- CIt 2. 5Y7/3 Medium-coarse sand GAS BAFFLE 310 CMA 15.226 FOR
No Observed ESHWT 41,SCH 40 WATER TIGHTNESS,
TEE ETC_
No Observed Groundwater
ALL WALL SLEEVES/GASKETS
URCOU'rZON TZST DATA 'SHALL 91 CAST IN PLACE 1111 (MIN.) MECHANICALLY
14SEFITED AT FACTORY, COMPACTED
CRUSHED STONE
Date: October 17, 2001 S TAB LE LEVEL BAS E
SEPTIC TANK DIMENSIONS: 1116% X 6 8**W X 5VI4
Soil Class: ClaSS 1 (0. 74 G/SF)
3
AU Perc Rate : < 2 MPI (TP-1)
>
5 H441 DISTNOUTION BOX
)�epth of rerc Test -, 23�0 41 Of H 10
SCRUMM 0jr ZtXVATIOIRS ArMOVAeLE COVtn
4"SCH 40 OUTLET LATERALS
DISTAIRUTION IOY TO Mtft $HALL OF SET LEVEL FDA A
AtoulArMCN3 OF 310 CMA MINIMUM OF THE FIAST TWO
6 e�IS71N,�,' Inv, Out Found6tlon (Oxistinq) �0 2 1ECTAN
15LP3" ATCATIGHtNtlltj D CONNECTED To
Inv. In Septic TAnk C , UCTIONJIt) CH DISTRIBUTION UNE
WItH SOLID SCH 40 PYt NK
Inv. OutSoptic Tonk 11)7 !)�i
/,�,i% �93,�q NO 4*1$CH 40
Tnv. In Diitributfon tiox
Inv. Out Dintriburion Box MM1,14NICALLY Mtnitiro
SPACE et.0
Inv. In Ory Wells 1(-3/4"DIA�j
Bottom of Dry Welln (St(,)no TAIIII tf.,Vft,40f.,
C#�, AAk %
80ttomf (TP-1 ) -No Oj)e (;W/F;3fjwj,
6;-4 k A 0 7
L
/ �I(se 1+1) 4�
4 Y OOP
Lamm
ovrp
IrAO*10 DM UA W,GAU-0NO
Existing Contoor - - - 90 - - -
IJ
NJ
�ropoAed C
ontour 98
MODFLT SHOMfY PIAECAST CONMETE
+ FINAt,ampr TO Of %TAA1tqTD
00,6
Test Pit
Finished Floor Elevation FFE TTF ITF
1 V,MIN I
H -10
Basement Floor Elevation BFE
LEACHING DRY WF LL$ 3 **"1/4"-1 1Z DOUBLE
Ir 6"L X 41 WW X?V H WASH P�A STONE
WaterLine W 2,25'
OVERALL LEACHING ARE* 3/4"-1 1/7'DOUBLE
3(Y L X 1(Y W X 7 H
560ric. Gas Line _ G WASHED STONE
412= AZ
loo*3
C> 0
<=> 0 LEACHING CHAMBERS
17
TO MEET THE
.4 REQUIREMTNETS OF
310 CMR 15252
L 0(,.Js
47
eA Ot y wuis 4A ' A
At 3
0
"t -1'14 ce
A
AV
a.0 ldYALE' NOTES
0.. 0 It
1 4
ry-99 LA toy
I All construction ethods shall conform to the Title V (310
tot C,Ot m
CMR 15) and the Barnstable Board of Health Regulations.
x
00
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2 . There are no known private or public wells within 100
from the proposed leaching
CH feet/400 feet, respectively,
WICK
14 cAA1$V1Lk area..
PP-0 F:: LE 01�
4 04 3. Existing cosspool.s to be pumped and removed prior to
lot HYAN N 15
6(-,4 L r AS SWOwf4 installing the new septic tank.
PORT
01J 4 . No changeS are to be made in the field
ot,0 0 without the appro
Val
of the Board of Health and the degign engineer.
t
A OA
Proposod 108chtnq Aroa is not desiqned for use with
ArbAge disposal .
-td 6. COntrOctOt t0liotify Dig SAfo 72 hours priorlto
10 conntruction , (eOO) 344-7233.
6 IL I r I IV& rg-*0 e
4
�*4
7 . Proporty line
information takon from Rp,-Subdivision of Block
"D" - "Craiqv1,1lv Beach Estates", prepAred by Bearse 4
Kellogg, dated Marc,11 1952 .SePtIC Plan nottobe uged as a
17
property line survey,
j'a t VARXANCIt. VIA LOCAL UPGRADZ APPROVAL
evsr-l* 60
Requomt variAnce to reduce the offset of the Proposed
7,00
96 leaching area to the slab foundation from 10 feet to 5 f0p_t,
310 CMR 15 . 405 ( j ) (b) . Note that the slab foundation is
higher than the elevation of Cho peastone "bronkout" of''the
leaching brea .
CALCULATIONS
6 rle"- 91_9
94
3 Bodrooms (Existing)
11.0 GPD/Bedroom X 3 Bodrooms 330 (3P0
t.CACAIIV6� Da-V VeLl-S
e P-ri 4- r,4,-j K
Porcoleition Rato 2 MPI (TP-1 )
e e
3oL-t. 14 Soil CIASS : Class 1 (0 . 74 C,/Sr)
PROPOSXD LZACRrNG APXA:
Leaching Dry Wells: 3 at 301L x 101W x 21H (Overall )
Side Area : 160 SF X 0.74 G/SF 1,18 . 4 GPD
Bottom Area: 300 SF X 0.74 G/SF 22211-D-=
Total Loaching Capacity: 340. 4 GPD
0
A SXMSMtPA= SEWAGE DISPOSAL SYSTEM
46 Fam 'Hill Road#
c4
go r-1-0 TP-I Cert,z s-�, 6
cc
SCALE. As Sho., APPROVED BY DRAA*N BY
6
10/30/01
Daniel a jobnaon jobason
DATE:
/40 Dts. ej#vr
ftqpaxod Harold Phtlhriak $97S
(508) 775-
46 Hill P&", C4mt*rv1U*, N& 02422
4
ox
T— r4l
r
(MINI
0+00 a 0 000 0*40 0#,Sv PrePared DCUWZSVXC UPTIC DUSIM, 1W. (S0) 420-1904 DRAWING NUMIWR
0 j#40 14-a 30 0245S
0"o 0+40 to/ by: 904 main str*at, suit* S, *a
f4oa, I it to