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HomeMy WebLinkAbout0005 FOX HILL ROAD - Health 5 Fox Hill Road Centerville A 189 040 No. 4210 1/3 ORA Pend"adlex' 10% TOWN OF BARN.STABLE LOCATION �O x ��l O ��� SEWAGE # VILLAGE � ASSESSOR'S MAP & LOT 1B0 INSTALLER'S NAME 8c PHONE NO. c) , ? '�� F*7 SEPTIC TANK CAPACITY FACILITY: ) ,f--- 'a. C- (size) LEACHING (type) NO. OF BEDROOMS BUILDER OR OWNER 2 A awn J S '"— PERMITDATE: /0 "''7'6 .%. COMPLIANCE DATE: Separation Distance Betwee-rvffi� Table to the Bottom of Leach' Facility Feet ed Groundwater Maximum Adjusted J Private Water Supply Well and Leashing Facility (If an ells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any w ands exist Feet within 300 feet of leaching facility) Furnished by I r i 'ems TOWN OF BARNSTABLE -�► 1 LOCATION �% 0 l j"t - �� SEWAGE # 0,3 'f C VILLAGE y t 16, ASSESSOR'S MAP & LOT/VC9- 0Y0 INSTALLER'S NAME&PHONE NO. 91, Q `� •�� -7 C, SEPTIC TANK CAPACITY LEACHING FACILITY: (type) �`'✓� �' (size) 13 -7--, NO. OF BEDROOMS BUILDER OR OWNER /—*N A tin x-* ^" PERMIT DATE: /6e - 7"&--3 COMPLIANCE DATE: lZi -A-3 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leach' Facility Feet Private Water Supply Well and Leaching Facility (If an ells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any w ands exist within 300 feet of leaching facility) Feet Furnished by a� L� .�.0 1 l No. 'p(303r-C11 I Fee 5$ 0.00 • THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Yes ZippYication for Miopooar *pztern Construction Permit Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) IJ Complete System El Individual Components Location Address or Lot No. Lot 1 , 5 Fox Hill R ,Owner's Name,Address and Tel.No. F r am s o n Centerville, MA 5 Fox Hill Rd Centerville Assessor's Map/Parcel 189-40 7 71 —5 8 9 5 Installer's Name,Address,and Tel.No. W.E. Robinson Designer's Name,Address and Tel.No. 3 9 8—8 31 1 Septic Service 775-8776 C:R Short PO Box 1089 Centerville PO Box 1044 S Dennis Type of Building: Dwelling No.of Bedrooms 3 Lot Size . 3s sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil; sand Nature of Repairs or Alterations(Answer when applicable) install title 5 system to plans of C.R. Short plan # 1 -992 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 this Board of Realthr � J Si Qhed ✓ v Date Application Approved b Date C1 Z O Application Disapproved for the following reasons Permit No. Q:20 f Date Issued O CJ f No. `_� I I {/ �= `F'ee$50.00 � � THE COMMONWEALTH OF, MAJSSACHUSETTS Entered in computer: ' -' Yes ' PUBLIC HEALTH DIVISION -TOWN OF-BARNSTABLE., MASSACHUSETTS ZIpplication for Miopogar bpotem Construction Permit Application for a Permit to Construct( , )Repair(X )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Lot 1 , 5 FOX hill Rd Owner's Name,Address and Tel.No. Framson Assessor'sMap/Parcel Centerville, MA 5 FOX Hill Rd Centerville 189-40 771-5895 Installer's Name,Address,and Tel.No. W.E. Robinson Designer's Name,Address and Tel.No. 3 9 8—8 31 1 §2ptic Service 775-8776 CRRH Short PO BOX 1089 Centerville PO Box 1044 S Dennis Type of Building: Dwelling No.of Bedrooms 3 Lot Size • 35 sq,ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow —,�>S gallons per day. Calculated daily-flow. / a gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. ` Description of Soil sand Nature of Repairs or Alterations(Answer when applicable) install title 5 s y sbem to plans of C.R. Short plan # 1 -993 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 this Board of hIealtt l Si nedd .-j Date f — ..../` — 3 Application Approved b� Date/ , -7 G Application Disapproved for the following reasons Permit No. -LOO 3 `1�� l Date Issued O 0 --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS Framson BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( X)Upgraded( ) Abandoned( )by W.E. Robinson Septic Service at 5 FhaxHill Rd, Centerville has been constructed it accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.Z.00 3-`-191 dated 10117 03 Installer Designer t The issuance of th's pe 't shall not be construed as a guarantee that the system un on as deli fd Date D 2.71 Inspector . ..J. --------------------------------------- No. (�rjj —L/C( ( Fee $5 0.0 0 THE COMMONWEALTH OF MASSACHUSETTS f PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Framson ligosar 6pstem Construction Permit Permission is hereby granted to Construct( )Repair( X)Upgrade( )Abandon( ) System located at 5 Fox 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 da of this t, Date: U Z 2 ko "3 Approved BENCHMARK SOIL TEST TOP OF FOUNDATION 20 FT. MINIMUM FROM CELLAR DATE OF SOIL TEST Q,�1� ________ SOIL TEST ELEV. = 100.00_ 10 FT. MINIMUM 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE CLEAN SAND WITNESSED DBNE BY . o (ASSUMED) CONCRETE _ COVERS LOAM AND SEED OBSERVATION HOLE 1 ELEv.=_�g•1 _ 4" SCHEDULE 40 PVC PIPE PERCOLATION RATE <�_ MIN./INCH AT _36=48�_ INCHES MIN. PITCH 1/8" PER FT. L " YER OF TO 1/2" DEPTH HORIZ TEXTURE COLOR MOTT. OTHER ED STONE INVERT #1 32y 6 MAX4" CAST IRON PIPE .� 99.33 MAX. g MIN. INVERT #2 22 10YR4 1 NO(OR EQUAL) MINIMUM - PITCH 1/4" PER FT. a z LOAMY SAND 0-8` A ZABEL FILTER FLOW LINE 96.50 INVERT #1 ELEV. = 97.33 10" 00000000000 b- B LOAMY SAND 10 8 NO PLUMBING TO BE RAISED INVERT 2 MIN• 2 °/-�O-� o AND RE-PIPED BY A ELEV. _# 98.17 ELEV. _ _96.50_ LEVEL ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ° °LICENSED PLUMBER AS ° COARSE SANDNEEDED N�.o ELEV. _ _96.75_ GAS ELEV. _ _96.20 6" SUMP ELEV. 96.00_ o ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ O ° 2' ° 27-68` Ct do GRAVEL 10YR7 4 NO BAFFLE DISTRIBUTION ° ° ° ELEV. _ ❑ ❑ opp ❑ ❑ o ❑ ❑ ❑ 93.75 LIQUID OUTLET BOX _��j� ° o° ° ° ELEV _ ______ DEPTH TEENO 4 FEET 14 INCHES (TO BE PLACED ON FIRM BASE) TO BE WATER TESTED -144` COARSE SAND+ 10YR7 4 5 FEET 19 INCHES IF MORE THAN ONE OUTLET 2-500 GALLON DRYWELLS WITH STONE 1500 GALLON 6 FEET 24 INCHES (TO BE PLACED ON FIRM BASE) IN AN 1.3' X 25' X 2'TRENCH FORMAT/ON Z WELL N/A NO WATER ENCOUNTERED AT ]2__ ELEV. 7 FEET 29 INCHES 2 6.58'ZONE_N/A _ 8 FEET 34 INCHES SEPTIC TANK 3/4" To 1 1/2" CLEAN SOIL ABSORPTION 0 INDEX DOUBLE WASHED STONE ADJUST �. DESIGN CALCULATIONS FREE OF FINES & SILT SYSTEM (SAS NUMBER OF BEDROOMS -3 _ USGS PROBABLE WATER TABLE ELEV. GARBAGE DISPOSAL UNIT NO, NIII�LLOVYED SEWAGE DISPOSAL SYSTEM PROFILE OBSERVED WATER TABLE ( / / ) ELEV. _ _ A_ TOTAL ESTIMATED FLOW OR) _ NOT TO SCALE BOTTOM OF TEST HOLE ELEV. _ _ mil__ REOUI RO£D SE� K CAP C17Y �_ GAL.�AY ACTUAL SEPTIC TANK CAPACITY _1 SM_ GAL. SOIL CLASS/FICA 710N _I - DES/GN PERCOLA 710N RA TE S5- MIN./INCH EFFL UEN T L OADING RA TE 0.74 GAL./DA Y/5:F. LEACHING AREA 477 SO. FT. LEACHING CAPAC'N GAL./DA Y 477 X 0.74 RESERVE LEACHING CAPACITY NN/A GAL./DA Y 97.9 NOTES: 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. • 98 0 2 ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 6" OF FINISHED GRADE. 3 THSTOANDINGNHS 10F THE LOADINGNITARY UN UNLESS THEM REALL BE UNDER CAPABLE OF OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE �O USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. 4. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED IN PLACE. - W) DETERMINATION HA-, AFFN MAnF AS TO COMPLIANCE WITH I cs- DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR 98.6 IS TO CALL "DIG-SAFE" AT 1-8$8-344-7233 AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE. 4 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION x 99 7 4 IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER IMMEDIATELY. 8. PARCEL IS IN FLOOD ZONE C --_180 AS PARCEL __�__. 9. LOT IS SHOWN ON ASSESSORS MAP _ _ 99.1 x 98.9 10. ALL UNSUITABLE MATERIAL SHALL BE REMOVED FROM UNDER, AND 4 LOT 1 99.4 -- FOR A MINIMUM OF 5 FEET FROM AROUND THE SOIL ABSORP71ON SYSTEM, AND BE REPLACED WITH SAND AS SPECIFIED IN 310 CMR 15.255: (3) 15,5470 f S.F. (I.E. TITLE 5) IF ENCOUNTERED BELOW S.A.S. PIPE INVERT. EX/STING 98.4 / DWELLING 0. 3 f AC. r g8 7 .; 11. EXISTING SEPTIC SYSTEM TO BE PUMPED AND FILLED WITH SAND OR REMOVED. IF 9.3 w GRAIL BEE' �� S. T. G x 98.5 SHO � 98.9 n(�S +� \� , CIVIL APPROVED: BOARD OF HEALTH -' � �✓ `� �� �� > No. 27483 (• 98.3 98,7 B.H n .. a, Z o3 J#2510 DATE AGENT 99.3 / c SEP77C 98. PROPOSED SEPTIC DESIGN TANK 98.5 x x 99.0 0 9- WM. E. ROBINSON SR. /FR"SON x 99.0 Loc. 5 FOX HILL RD, LOT 1 D.B. BARNSTABLE, MASS. Q JK0'` r, y/c CEN TER VILLE �s 34 97.6 ,moo+ CRHIG P. SHORT, P.E. A.S. CATCH , �5i\� 235 GREAT WESTERN R BASIN O 508- SOUTHODP. E�NIS�O44 MASS. LOCUS 398-8311 02660 °A�SEPT 25, 2003 SCALE 1 " = 20' 98.9 REV. JOB NO. 1 _992 `lClo 98.2 LOCATION MAP REV, SHEET 1 OF 1 01-0992 Robinson.dwg 02003 CRAIG R. SHORT, P.E.