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HomeMy WebLinkAbout0046 FARM HILL ROAD - Health 46 Farm Hill Road Centerville A= 247 - 079 �Abse/te 1521/3 ORA 10% P2 5 x �o. . ^�'^^.�'r1".. .-....,a..:..: ,r.,..a.:.t..4ailw..•....w44e-.�.ak.�iSm�.�a�tial..�E1e'91Y1� .�isiraaii. 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 0o 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