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HomeMy WebLinkAbout0003 FIVE CORNERS ROAD - Health 3 :Five Corners Road " ; L nteevilleF`3167 0 f OPendafime a sselte 4210113 ORA 100/9 M ..a..:ns.c.m» ';..,::.i.�.L r..�..........':ay.8�:e(i6L:�::l� .:..eY.m.. �� •.u. ''A'. .'� ..: �JW'u..�u.WYe.w�Oh' L�iNIIYW4y .4, '.YieS'J�u4L1W.'llC+uxwSen�.4uw�e:u:..w�t�eiuuma.•,J•�.;'�...�f �. No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZippYication for ;h5pont dip.5tem ConztrUCtiOtt Permit Application for a Permit to Construct( ) Repair(V4 Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 1 .3 Ckuis Cq(2ASttZ5 SRO Owner's Name,Address,and Tel.No.EC,wAQ&Gil >J Ate; �" cFI,TE2vetke MA �{l9 �'��(TMbEvs tzd --Ao.'L VQ-kxl Assessor'sMap/Pazcel Ild1C[ t OASir4 l" CT 0(o03'3 $60-&Sq-4g01 Installer's Name,Address,and Tel.No. c we U.11a eR_ Designer's Name,Address and Tel.No. �i9,eRC*j .ME'Yc tk 3s a Mn l l3 S"�. w.y 4�t�c�.,-6 b sob-�-lr�fi � go.6W .t Type of Building: Dwelling No.of Bedrooms 5 Lot Size /SFrf 0-0 sq.ft. Garbage Grinder ( ) Other Type of Building Ke5�GePTIA_k No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) J�-�J gpd Design flow provided 1*1 a gpd Plan Date -6-ol Number of sheets - Revision Date Title Size of Septic Tank /5'00 � Type of S.A.S. ' 3t a 12-110 Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by thi d of H Ith. Signe m 0 ate Application Approved by ? ate Application Disapproved by: Date for the following reasons Permit No. Date Issued .Ws.y°�.+. � ..,_ ..,;.,. _ ...- ....... r. r ..� ..`� :,�,,,P'•.; �'tn ::oai'y'x�,,..! _ '_`_Y-:.�' "'a..''' ..... -�..R-++a, rae'.-.::i`r,, ,r JxNo. J t ..Y Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pprtcation for,Zi5po!9ar *pgtem (Construction permit Application for a Permit to Construct( ) Repair(14 Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. i 3 Cwt::. C6Rl,k"dZ3 ftO Owner's Name,Address,and Tel.No.IE8 WAS WI ►-Y: 4' Assessor'sMap/Pazcel ilo11Gx3t �� (�tqS{otJ CT"Ut9o33 �S(no"(os9-�4�{o'T d \\� Installer's Name,Address,and Tel.No. Lie W ATC F— Designer's Name,Address and Tel.No. 0,44M I) MC yc A - �� ,,,,,�I►�sr. w•y 1�e2>�c� r�d� 5�-�-1s'3� �a 8�c 9c�r ��- Type of Building: Dwelling No.of Bedrooms Lot Size (3 D sq.ft. Garbage Grinder ( ) Other Type of Building ee$OePTf�-k No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ��J O gpd Design flow provided AS 7 gpd Plan Date �' "'�'� Number of sheets Revision Date Title r I Size of Septic Tank 544 Type of S.A.S. 6- /A)C(TRATbg- 305'O ��j Zs I Zlt�f Z Description of Soil t iir f i, In Nature of Repairs or Alterations(Answer when applicable) w 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 issuAth* dof H ]th. eSig '�7 ate Application Approved byf ate Application Disapproved by: Date for the following reasons , Permit No. i Date Issued ———————————— ————— ———— ————— ———————————— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Seefw'ag Abandoned b e Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) ° ) y / i / 1 . " at r rtl� has been con t ucted in 4ccordance with the provisions of Title 5 and the for Disposal System Construction Permit No. s dated Instal ler Designer #bedrooms Approved design flow , gpd The issuance of this permit hall of b construed as a guarantee that the systems unction,as designed. Date Inspector / s 7 No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE, MASSACHUSETTS =1igpoga1 �&p!5tem (Con!5tructton permit Permission is hereby granted to Coonstruct ) Re air ( ) U gr e ( ) Abandon ) System located at I(� 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: Constructio mus be completed within three years of the date of this pe t Date / D Approved by r � Town of Barnstable �pVE Regulatory Services Thomas F. Geiler, Director &UL- PABLE. 9�ATMAS& Public Health Division ' Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 1) '10 -0? Sewage Permit# —J 48Assessor's MaplParcel Designer: .C`�"1nTC W L• �/� Installer: Address: P�� O�C Address: f �2�37 On l�' 3 was issued a permit to install a (date) (installer) septic system at _ Fh/iL based on a design drawn by (address) I 0' MJAdated /Q, Co 0 7 (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved chanaes'such as lateral relocation of the distribution boa and,'or septic tank. I certify that the septic system referenced abode was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or anv vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or c ified as-built b de-'a to foil.w. OF MgV DAR N M. M (Install igna No. 1140 i 1 . SANI TARP l Z.l 0. (Designer's Signature) (Affix Designer's Stamp 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. Q: Health/Septic/Designer Certification Form 3-267a.ldoc TOWN OF BARNSTABLE LOCATION 77 r 1t-E SEWAGE# � 1" ,73 VILLAGE C et�Vl��Cr"' ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. j SEPTIC TANK CAPACITY , � !a4 LEACHING FACILITY:(type) -l �Tt ►t'a� NO.OF BEDROOMS BUILDER OR OWNER &47 Wf911J PERMIT DATE: - j" COMPLIANCE DATE: f rL Separation Distance Between the: I i Maximum Adjusted Groundwater Table and 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 1 1 jj j ' It 0 4 ♦ 4 Ir P i MAY-02-2007 15:09 H ; & T GROUP INC. 508 752 8895 P.01i01 R . !JORAN & MVNAN MUM I UAW= I ILAN rE-MIN REGISTERED LAND SURVEYORS NAME JANE KELLY © . 75 HAMMOND $TREET - FLOOR 2 WORCESTER, MA 01610-1723 LOCATION 3 FIVE CORNERS RD. a ' 0 PHONE: 508-752-8885 FAX: 508-752-8895 CENTERVILLE, MA RMT®CONVERSENT.NET A Dlvlalon of H. S. & T. Group, Inc. SCALE 1 " = 1 00' DATE 5—02--07 REGISTRY BARNSTABLE 19$98/97 BASED VKN GgC�HEHTATION PROV O. RE NINE- /p 554/1 1 ; MOft,WIM MDRTW 9 Or THE FRO T �DMKi� IIU ����OF A4iQS,{+J PLAN BOOK LAN VISE EASEL�ENJS 4HOWN AND THERE ARE NO VIOLATIONS �� ' •+ `� / A". OF ZONMG REOIRREiw�GARDRIC STRU ARE N TO PROPERTY O +r ry. WE CERTIFY THAT THE BU1LdNG(S)ARE NOT WITHIN THE LINE CT`VM (UNLESS OTHERWISE NOTED IN DRANK BELOW). '. aA;�'!�L r�rjl 1 SPECIALFLOOD HAM AREA SEE HUD MAP: t kr NOW.NOT OE ARE ABOVEGROUND POOL o _.� - 1NIS IS'A d. i. OR sKDs rlrnl r o T,orLs VNAI 15 C. DTD$ 19 85 INSPECTM PLAN: NTR AN N6TkUMENT BUIiViY.DO NOT USE TO U v� ERECT'FENCE5 OTHETT DOUNDARY BIRUCTTIREB,,OR TO PLANT ,� 40047�� hOOD HA7ARD 20NE WS BEEN DETERMINED By SCALE ANO SHRUB$. LOCA'IIDN OF THE STRUMIRE(5)VUM HEREON D; EITHER ,p s',du IN ccoKUIICE'NRH LOCAL iONTIG FOOIRL RROPERIY LNE OFFSET �' IS NOT NECESSMLY ACCURATE, UNTIL M'MIT rE PAWS;ARE. REOUEiEAlE1iT5. OR EIIEYPT FROM VIOLATION ETIOAGEYENT i k7 ISSUED BY HUD AND/OR A VERTICAL CONIROL SURVEY IS /AC�fTppt�l� L*XR nAS$. G;. TIRE NI. CHAP. 4M SEC.7. UNLESS OTMERIIYSE NOTED. T,IIS CERTIf1CATI0N IS NON-TROMWEAABLE. PERFORMED, PRECISE ELEVATIONS C"OT BE OL'Y MMED. INC AMC C£RTIMAIDNS ARE HACC WITH THE PRO10M THAT THE%W&V ATION PROVMED 15 ACCURATE AND THAT THE MMME- MYS, JS ONES, ACWMATELY LOCATED IN RELATION TO THE r ti';i r •i F Alp HOUSE#3 110 Illy 12-00/ - � -9.op� `� p hIp •h. ", Off- b 1pGa2(r �o,,� ,4 dry• '�` pry A F 3 yM�i ,,,v a UQQNMG olR m, U5 REI+ODUP4 y DRAWN.BY-AS } RRIDUR W RX: CREME BY; TOTAL P.01 TOWN OF BARNSTABLE LOCATION �1 WfR+ �.S ��7 SEWAGE#�r3 1' 3 VILLAGE C1�VlC ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY IT6b � Q LEACHING FACILITY-(type) J`•1 « -3C6y 01-1-(size) rD- NO.OF BEDROOMS BUILDER OR OWNER Ce-4WP94J WY fJ NC PERMIT DATE: I COMPLIANCE DATE: -' Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 cwswT11 4 _ LEGEND4 ! ' 0* \ - PROPOSED CONTOUR ® PROPOSED SPOT GRADE ,, 4 EXISTING CONTOUR FAIR 0 S 98 —— RD oc1 I - , + 96.52 EXISTING SPOT GRADE W— EXISTING WATER SERVICE I. 434 6 7 Ft ® TEST PIT U �p GO coM Mo N le { _ DR/�EVV Y ;I o o o _ _ ` - °cq E _ ® NIPS R s ! E 7 C C -I- - ra A - 3 9 LOCUS MAP N.T.S. ---------- NCH TION / I TOP OF FOUNDA 20 22 24 27.24 i 26 I ELEVATION OIS DATUM I / z 6 2� ---- BARNSTABLE I _ / ° I NTH-� \�� ! �\ o 1 o° / 1 28 / I, 1, Existing Cesspool I (See Note 10 ` 10 It LL o `\ a EXI 20 ft o S TI N / I c�QO D WELLIN;- i Q ZC sD�£'�z .9z i + I \\ I \ -------24 o OF MAss 22 6Z Z % i �\6'LL `� d00 II DAME \ ; PROPOSED SEPTIC SYSTEM UPGRADE PLAN 1140 3 FIVE CORNERS ROAD, CENTERVILLE MA ` SgNITAR\p� Prepared for: Edward C. Wynne SURVEY REFERENCE: Engineering by: Surveying by: SCALE DRAWN J08. NO. )DtOZ DARRENM.MEYER,R.S. 8'co-Tech Fav*vamental 1"=30' DMM PLAN OF LAND 8Y BAXTER, NYE & HOLMGREN, INC. V { MAP.• 167 PO BOX981 (508) 364-0894 • EASTSANDW/CH,MA02537 DATE CHECKED SHEET NO. DATED: NOVEMBER 29, 1999 LOT.001 508-W2922 09/08/07 DMM 1 of 2 ' } i i ELEV. TOP FOUNDATION vent required (Existing) 27.24 F.G.EL: 24.0-22.0 FINISH GRADE= 23.0-24.5 F.G.EL: 240 F.G. EL: 23.0 k f MAINTAIN 2% MIN SLOPE OVER LEACHING AREA A' COVERS TO WITHIN 6 OF GRADE.� - 6" INSPECTION PORT ' L _ 20 W/IN 6" OF FINISH GRADE rf A 6" 4" SCH 40 PVC a� L = 5' to"I ° ° ° ° ° ° ° ° ° ° ° ° ° ® S= 1% MIN.) (MIN.) t4" ( s © S= 1% MIN. TEES ARE TO BE 4 SCH 40 PVC INV.21 .25 IN INV.21 .05 ° ° ° ° ° ° ° ° ° ° ° ° EXISTING OUTLET BAF�EJ PROPOSED DB-3 If 1.HO H H- 0 0 EL: 23.58 _•. .. H-10 DISTRIBUTION BOX - 45.25' INV. 22.5 PROPOSED 1 ,500 GALLON SEPTIC TANK FEMR F 9» MIN. NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING 3) INSTALL INLET & OUTLET TEES AS REQUIRED. PER TITLE 5 PIPE INVERTS PRIOR TO CONSTRUCTION. 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 2) SEPTIC TANK, PUMP CHAMBER AND D-BOX SHALL BE AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. BREAKOUT EL. - 20.0 SET LEVEL AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED STONE BASE, AS SPECIFIED INV. ELEV.=19.45 IN 310 CMR 15.221(2). OF J/,,_ r_r�. 24» 5» SEPTIC SYSTEM PROFILE ,�� " WAS IN DER T D M. BOTTOM EL.= 17.45 1 I ER I---48" 50» 8» l No. 1140 "' I 146 SEPARATION 5.10 FT.. GENERAL NOTES: ,iST QMITAR 1Io7 BOTTOM OF TH-1 EL: 12.35 SOIL ABSORPTION SYSTEM (SECTION 1- ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 6 (H20 LOADING) BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS SOIL LOGS DESIGN CRITERIA OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: NUMBER OF BEDROOMS: 5 BEDROOOM (no proposed increase in flow) 1) A 1.5 FT. VARIANCE TO ALLOW LEACHING TO BE 4.5 FT. BELOW GRADE Q SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) VS. THE REQUIRED 3.0 FT. (H20 LOADING AND VENTING PROVIDED) DATE: AUGUST 30, 2007 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR DESIGN PERCOLATION RATE: <2 MIN/IN TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE SOIL EVALUATOR: DARREN MEYER, R.S., CSE DAILY FLOW: 110 G.P.D. DESIGN ENGINEER. WITNESS: ;,DONNA MIORANDI DESIGN FLOW: 550 G.P.D. *4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING HEALTH AGENT GARBAGE GRINDER: NO (not designed for garbage grinder) FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. Elev. TH- 1 Depth Elev. TH-2 Depth SEPTIC TANK: 550 gpd x 2 = 1100 gpd USE NEW 1,500 GALLON SEPTIC TANK 5. ALL ELEVATIONS BASED ON ASSSUMED DATUM. 25.11 A 0" 23.35 A 0" LEACHING AREA REQUIRED: (550) = 743.24 S.F.. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF LOAMY SAND LOAMY SAND 74 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 10YR 3/2 10YR 3/2 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 24.36 B 9" I 22.6 B 9" USE FIVE (5) INFILTRATOR 3050 UNITS WITH 4 FT. STONE 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. LOAMY SAND LOAMY SAND ON ALL SIDES : 45.25' L. x 12.16' W x 2'D 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED tOYR 6/8 10YR 6/8 BOTTOM AREA: 45.25 x 12.16 = 550.24 SF TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE 22.36 33" 20.6 33 SIDE AREA: (45.25 + 12.16) X 2 X 2 = 229.64 SF THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING C1 C1 TOTAL SQUARE FEET PROVIDED = 779.88 vs. 743.24 REWD CONSTRUCTION. � DESIGN FLOW PROVIDED: 0.74(779.88 S.F.) = 577.11 G.P.D. vs. 550 G.P.D. req'd 10. EXISTING CESSPOOL(S) TO BE PUMPED, CRUSHED AND REMOVED MEDIUM PERC 0 19.35 MEDIUM N MEDIUM SA 11. 48R HOUR ENOTCEPFOR ENI NEERECERTIFICATIONND SAND SANG 2.SY 7/4 2.5Y 7/4 PROPOSED SEPTIC SYSTEM UPGRADE PLAN 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY 3 FIVE CORNERS ROAD, CENTERVILLE, MA AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 13. NO PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING Prepared for: Edward C. Wynne 14. NO WETLANDS WITHIN 150 FT. OF PROPOSED LEACHING Engineering. by: Surveying by: SCALE DRAWN JOB. NO. 14. PROPOSED LEACHING TO BE H2O LOADING. 14.11 132" 12.35 132" DARRENM.MEYER,R.S. Eco-Tech BhvYmnmem&d N.T.S. DMM PO BOX 981 (508) 364-0894 PERC RATE <2 MIN/IN. (' HORIZON) EASTSANDWICH,MA02587 DATE CHECKED SHEET.NO. NO GROUNDWATER OBSERVED 508-3822922 09/08/07 DMM 2 Of 2 x