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HomeMy WebLinkAbout0333 GLENEAGLE DRIVE - Health 333 Gleneagle Drive Centerville A= 192 - 136 No. H163OR UPC 10259 smead.com • Made in USA GYCl J 2 m `aT� No. a�) Fee leeV THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipprication for Di.5pool 6p5tem Cow5truction Per it Application for a Permit to Construct( ) Repair q l Upgrade( Abandon( ) ❑Complete System Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. ���� �r ✓s"�y e>w� ✓���y it1f9 :7.5y G Jcs .fit �/L Assessor's Map/Parcel // C"7k'w A ow aa6 y 2-- Installer's Name,Address,and 'Tel.N`o./ / /j 461i � °� Designer's Name,Address and Tel.No. A(s p a�'y/y1C�`� 6' ` p--17 -7 12 0,iyli// f't)S-?F,a -Wy �mcv� / erd19 Type of Building: Dwelling No.of Bedrooms f Lot Size �2,(� sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) o gpd Design flow provided y5— gpd Plan Date //�14 J04'7 Number of sheets f Revision Date •7 Title f T,)t e/40) Size of Septic Tank 11 4d0C..C LTA•)A I Type of S.A.S. 1w414A4_ 3oS-0 L�••/) Description of Soil Sr / ��*d! Nature of Repairs or Alterations(Answer when applicable) w".^ L.'vc 4-M /mow_ i6/�,rl 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 this Bo f alt . Signed Boa, Date Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. Date Issued No. _ Fee loa f Entered in computer: (/ _. _. 4HE COMMONWEALTH OF MASSACHUSETTS Yes PUBLIC HEALTH DIVISION - TOWN,;OF BARNSTABLE, MASSACHUSETTS ZIppYication for aigpogar *r5f/P' Y Congtruction Per , it Application for a Permit to Construct( ) Repair VI Upgrade( ) Abandon( ) ❑ Complete System ©Individual Components Location Address or Lot No. j Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 7� fby ' '790 -b P.14 Installer's Name,Address,and Tel.Noil"",/J, C Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size %2 sq.ft. Garbage Grinder ( )d Other Type of Building ° No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 41%a gpd Design flow provided y7i gpd Plan Date 414 -:9.7,Aoc % Number of sheets f Revision Date Titlef-Tlk 10/47 Q/ 73,7 G���s/,. )/', l.g��✓,✓/t vJi�� Size of Septic Tank It Gc o ce,/ �'c•},�„�.t Type of S.A.S. Description of Soil S+ ' Iola"7 Nature of Repairs or Alterations(Answer when applicable) 0�1�24- Datete 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 o'f Compliance has been issued by this Board of ,ealth. /1�1 Signed Date 7 7 Application Approved by Date . U • Application Disapproved by: Date for the following reasons Permit Noel2M37 I Date Issued 14 -- ———— _ _------- ---- --, ., THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance .. s THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( I/) Upgraded ( ) Abandoned( )by t at 124 6�,,��`�s& has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No,, 7�� � dated y-//44h�L-. Installer &-//fit e-, '.,,-",1 Designer 4z, J lg p-r #bedrooms q Approved design flow d/-3 gpd The issuance of this permit shall not be construed as a guarantee that the system will f n t on-a d 91gned. Date 1)3` ? Inspector No? ' Fee /0 C) THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS lwigpont *pgtem Coou.5truction Permit Permission is hereby granted to Construct ( ) Repair (J) Upgrade ( ) Abandon System located at 333 D9, and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title Sand the following local provisions or special conditions. Provided: Co'strAtion must be completed within three years of the date of th Date 4141 Approved by 'is eq i TOWN OF BARNSTABLE -LOCATION Z3& GAen L Jr. SEWAGE# &C7 VILLAGE ASSESSOR'S MAP&PARCELM 1, INSTALLERS NAME&PHONE NO. "\Co k k (�rj6�r,.C"- SEPTIC TANK CAPACITY an LEACHING FACILITY:(type)s d I. �� s (size) t®1( NO.OF BEDROOMS Q OWNER M efeue►o PERMIT DATE: 14-LI ej'7 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the 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 ®acv(s gt5� �� I��� � B A - 5�` 2 � 0 B3- 2.5 . o . 0 Town of Barnstable Regulatory Services Thomas F. Geiler,Director 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: Sewage Permit# �2oo-7- /30 Assessor's Map\Parcel *3� Designer: Installer. Address: / 3� 1 S�- / Address: qT On � y® � J���� /�f�," was issued a permit to install a (date) (installer) G&tt;� septic system at 3 53 f,N rA based on a design drawn by A�*V�_ 'l (add s) v dated o7. (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. , 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. H OF ry4ss9c ARNE H. yG� o OJALA U CIVIL Cn (I stay er's Signature) No. 30792 STE��O���� �SS�ONAL ECG\ (De04Wsigner's tgnature) (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 3-26-04.doc SYSTEM PROFILE NOTES LEGEND TOP FNDN. AT EL. 70.0' ACCESS COVER TO WITHIN 6" OF FIN. GRADE SNOT m sc� � LOCUS ' 1. DATUM IS NGVD ACCESS COVER (WATERTIGHT) TO " APPROXIMATE 0.0 PROPOSED SPOT ELEVATION PROVIDE INSPECTION PORT TO WITHIN 3 OF FINAL GRADE o o, 1 Q WITHIN 6" OF FIN. GRADE • 66.0' MINIMUM .75' OF COVER OVER PRECAST 2. MUNICIPAL WATER IS ' EXISTING o o SLOPE REQUIRtD OVER SYSTEM A 10OX0 EXISTING SPOT ELEVATION 66.0 64.5' RUN PIPE LEVEL 3. MINIM'UM PIPE PITCH TO BE 1/8" PER FOOT. ` ��°°d We t I *EXISTING -' i FOR FIRST 2 \10 p 100 PROPOSER CONTOUR " DOUBLE WASHED PEASTONE 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO � o ,� s#EXISTING 1000 0 LL H- 10 �o A *63.1 OR GE TEA E FABRIC 2 DOU 1 Qp -- EXISTING CONTOUR *EXISTING GALLON SEPTIC TANK GAS 6",SUMP , oesoo 62.89' 63.29 c o eAFFLE 63.06 5. PIPE JOINTS TO BE ,MADE WATERTIGHT. c 62.88, 0 3.0' AT SIDES WITH 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE 6" CRUSHED STONE OR MECHANICAL MASS. ENVIRONMENTAL COMPACTION. (15.221 [21) go 2.0' 2.25 AT ENDS COPE TITLE V. a DEPTH OF FLOW 4g' 60.88 TEE slzEs: 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO J_ INLET DEPTH a 10" BE USED FOR LOT LINE SLAKING OR ANY OTHER PU,, p$E. OUTLET DEPTH a 14" ( 1 X SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE ( 1 X SLOPE) 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. Route 28 FOUNDATION EXISTING SEPTIC TANK 4' D' BOX 3' LEACHING 9. COMPONENTS NOT TO EE BACKFILLED OR CONCEALED FACILITY 6'88� WITHOUT INSPECTION BY BARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. LOGS MAP * **THE INSTALLER SHALL CONFIRM MIN. 10. CONTRACTOR SHALL BE RESPONSIBLE .FOR .CALLING SCALE: 1" = 2,0.00't THE INSTALLER SHALL VERIFY THE DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION ALL UTILITIES AND ALL SEPTIC TANK SIZE AT 1000 GALLONS AND LOCATIONS OF BOTTOM TH-1 EL. 54.0' OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO ASSESSORS MAP 192 PARCEL 136 BUILDING SEWER OUTLETS AND ELEVATIONS ITS SUITABILITY FOR RE-USE PRIOR TO INSTALLING ANY PORTION OF COMMENCEMENT OF WORD LOCUS IS` WITHIN AP OVERLAY- DISTRICT SEPTIC SYSTEM 11. EXISTING LEACHING F;CILITY SHALL BE PUMPED AND REMOVED OR PUMPED ANC FILLED WITH CLEAN SAND. c 12. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE TEST HOLE LOGS REMOVED 5' BENEATH AN) AROUND THE PROPOSED LEACHING FACILITY. ENGINEER: DAVID FLAHERTY, R.S. 23.35 WITNESS: DON DESMARAIS, R.S.. I DATE: MARCH 19, 2007 i _ < 2 MIN/INCH PERC. RATE - I CLASS 1 SOILS P# 11657 VARIANCES: SYSTEM DESIGN: �� VARIANCES FOR SEPTIC SYSTEM REPAIRS � � GARBAGE DISPOSER IS NOT ALLOWED � ELEV. � ELEV. WHICH MAY BE IMMEDIATELY p" 66.0' p" 'V" 65.8' •O GRANTED BY THE BOARD OF HEALTH AGENT DESIGN FLOW: 4 BEDROOMS 0 110 GPD = 440 GPD A A O, OR BY HEALTH INSPECTOR s0 PAPERWORK AND HEARING REDUCTION USE A 440 GPD DESIGN FLOW LS LS L PROPOSALS APPROVED BY THE 10YR 3/3 10YR 3/3 BOARD OF HEALTH SEPTIC TANK: 440 GPD (2) = 880 12" 65.0' 8" 65.1' REVN NOVISED EMBERUR5, 2 05 ING A PUBLIC HEARING HELD ON **RE-USE EXISTING 1000 GAL. SEPTIC TANK B B LS LS LOT 30 ' < LEACHING: 2 FAILED SYSTEMS ONLY - SEPTIC SYSTEM 22,660 SFf R`� , COMPONENT TO FOUNDATION SETBACK, IF AN SIDES: 2 (40 + 10.3) 2 (.74) = 149 GPD 29" 10YR 6/8 63.6' 27" 10YR 6/8 63.5' v' ��(� IMPERVIOUS LINER IS DESIGNED AND BOTTOM 40 x 10.3 (.74) = 304 GPD ' INSTALLED. \ 1 c V' • � • TOTAL: 612 S.F. 453 GP{) _ C 1 C 1 " " PERC M FS M FS USE 5 3050 INFILTRATORS IN A TRENCH cONFIGURATION ., _ 1 ., ,,, 2 5Y 5 .5 _ _ . N ..T--ENDS A D A,.. _. h , IMF. -�.� -STONE ..,� 2,� 75 , 597 70 . 60.0 N C2 F:C2 „ MA u� �r, APPROVED DATE BOARD OF HEALTH MS MS �� � 10YR 6/6 10YR 6/6 DECK 144'' 54.0' 120" 55.8' NO GROUNDWATER ENCOUNTERED CONC. f P VED ALL F= 1 , VE b DECK XISTING 4 BR w '" I DWELLING i �'-� L_ TOP OF FNDN .- �2r-- J Lu TITLE a / .TH- OF a W o i � � i , 333 GL EN= ALE DR. t o � APPROXIMATE AREA OF 6' (CENTERVILLE) BAFN, STABLE, MA EXISTING. GAS SERVICE. USE EXTREME CAUTION PREPARED FOR DURING CONSTRUCTION! , G ' BENCHMARK: DOORSILL BORTOLOTTI CONziTRUCTION/ r^ 9 ELEV. 66.0 JOAI MEHRRCURIO GOY DATE: MARCH 22, 2007 -_ o WIRE REEVISED DATE: APR'IL 4, 2007 (MOVE SAS) 1� - / off 508-362-4541 TEL fax 508 362-9880 RISER HOFi�ssyc boa ARNE H. ctiG �� ARNE y� �l I � OALA c d o wry cape engineering, in c. No. 30792 No.26348 �w Cl VIL ENGINEERS Scale:1"= 20' ss ON T t9Ho SURVE ' LAND SUR VE YORS 0 10 20 30 40 50 FEET 9,39 Maim Street YARMOU THPOR T, MASS. DATE ARNE H. OJALA, P.E., P.L.S. DCE #07-023 07-02.3 BORTOLOTTI_MERCURIO.DWG (DDF) -- - -