HomeMy WebLinkAbout0184 GREAT MARSH ROAD - Health f
184 Great Marsh Road
Centerville
A=210 - 089
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UPC 12534 •
0.2-1S3L0 �,
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No. 6"10 -� Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE,, MASSACHUSETTS
01ppYication for �Digaar *pgtem Cori.5truction Permit
Application for a Permit to Construct( . )Repair( )Upgrade(X)Abandon( ) Complete System O Individual Components
Location Address or Lot No. 18 4 G R E AT NA AR S H R R Owner's Name,Address and Tel.No.
CEnrMRvt%-.LE, MK►Ss TZOM/9N CA-t-µaL.tc BtShoP C,1C FALL R11/5q
Assessor's Map/Parcel p o. Sao X 25 77 1='AL L r4%vER M ASS
/Yl 21 O P 089 oz77�3
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.NO.S'OB- L4 29-3 3 4`(
SULLI✓4/V ZE/✓GINi5 ER tNG.
-z, PARK-ER RD
7 lam' DS'TERV 11-L E S1
Type of Building: A c-
Dwelling No.of Bedrooms y Lot Size I 0.7b sg46 Garbage Grinder((V 1p
Other Type of Building No,of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 4 1-1 0 gallons per day. Calculated daily flow ''!L/6 gallons.
Plan Date Oct. 7, -ZOO S Number of sheets I Revision Date
Title S ITE PL A N — P 2 0 F'o S ED I MPI'Ul/GW16"TS
Size of Septic Tank 1 SOD C9-,4L_L0/V Type of S.A.S. I WX 43' L6AG4IIN�- T3 ED
Description of Soil a -G ORIrANIGf vem-, DRY_ MRN 10YR 3/z-0-, � ��// "G P Y4 t+ 92N L,-omY
SAND 'o`I R S�2- E—, 11-10" DR'icyL:or4-1 t3RNSK►ND�t ie4m IoYR Lij&' B-, tg�-22Y LT oL%V& RR'A,MED
5'4ND. A-V V. 2SY 916-C,-„ 2'z" LT. Y6L'isu QP_VFi#VG SWn/D 2-,TY Gro /1-f-12 79.2"
ca
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 Certifi-
cate of Compliance has been iss this Board H lth.
Signed" a Date Z-- -
Application Approved by 4 Date
Application Disapproved for the following r ns
Permit No. Date Issued
t
TOWN OF BARNSTABLE a
LOCATION ISI L'-r-45 1`\w Ak 47 Rfkel 24- SEWAGE # ^67
VILLAGE ASSESSOR'S MAP &LOT O
INSTALLER'S NAME&PHONE NO. . ;.
SEPTIC TANK CAPACITY Vier-6 14-10 400 PJA4 i l
ti
LEACHING FACILITY: (type) 4( 44 i `t, (size)
NO. OF BEDROOMS
BUILDER
BUILDER
PERMITDATE: 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
wiilun 300 feet of leaching facility) Feet
Furnished by .�. .
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e
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No. VV /`. r„ Fee
' t THE'COMMONWEALTH OF MASSACHUSETTS Entered in computer: 1
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Application for Mi5po5ar bpgtem Construction Permit
Application for a Permit to Construct( )Repair( )Upgrade(X )Abandon( ) Complete System ❑Individual Components
Location Address or Lot No.1 8 '•1 G R E AT I\/'AR S H R D Owner's Namg,Address and Tel.No.
CF_A/"r,RVk%_LE., MOST R4tM�N C<\Tl4v�-IC 015KVP cat" f=All. R�v� fit,
Assessor's Map/Parcel 1�o• 60 X 25-7'7 FP L L M vE R M AS5
r,
In Z10 P089 az-7z3
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No:S'oF-;`q Z e-3 3 4 y
SUL-L.l✓4A- L-=NG1Nt-t R !NG .
. j- o10E ('L RD
7 i( 0.5 1 L L E i41 �1
Type of Building:
Dwelling No.of Bedrooms y Lot Size 10.-6 �f4. Garbage Grinder(IV Q
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures 1
F
Design Flow 4 1-4 O gallons per day. Calculated daily flow '/y 6 gallons.
Plan Date O r-T. 7/ Z GU s- Number of sheets ( Revision Date
Title S ITC hl_A N — P 2 o PU.S E D I M-Prow--M E_"T S
Size of Septic Tank 1 SC)O Cs--,4 LLo A_ Type of S.A.S. 14'X 4 3 1_t;P,6W 1 Ne- 5 ED
" Description of Soil�0— G" 0RGNNIC.f V&av QQY_ RRN IoYR O-, G r�// rGRyisl{ BRNL(,Am I
SAWD 104R S/'t.- E—; 11- 18DR`Icy�Lis11 6RNSt�/liDY Le,41W 10YIZy/�-13-? 1�..-�i' LTaLlVe 13(Z'kWED
S/-7/VD. 3 Y 9/1,-C, - Zz- LT. YE:c.'isu 13P_A t=1fv r4tYD ZS Growr,Du1A1 7-72
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 Certifi-
cate of Compliance has been isst e• this Board of F lth.
Sign /1 o Date Z
Application Approved by (��/ �,� i Date
Application'Disapproved for the following r a ons
✓ ''1 1
Permit No. Date Issued
�—— ———————————
"o q0 5 HE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERT�FY, that the On site Sewage Disposal System Constructed(WO)Repaired ( )Upgraded(k )
Abandoned( )by �e" _0 NSA J
at ( y 6_ri_--AT Ajtj r,94 4D Ce1VT A✓i1rL& /14 SS has been constructed in acco dance
with the provisio`nsof Title 5 and the for Disposal System Construction Permit No "� dated :35
Installer Designer
The issuance of this permit shall not be construed as a guarr ntee that the-Syste Pwtll function as designed.
Date lr- - i► �'C-' �,9A,// 6Inspector\,�
_-_ �Y / / � � ------------------------ s-- - - -
N Fee
THE COMMONWEALTH OF MASSACHUSETTS
(�10� PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
I=iZpogar *pgtem QCon5truction Permit
Permission is hereby granted to Construct( )Repair( )Upgrade(x)Abandon( )
System located at 1 6- 9 G rE-14-T-.144/`s N R-D C�fv7 nVi L L t� / dY1/ 5 f
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 a co fete within three years of the date of thi a t!
4)11
Date: . Approved by
" V
Town of Barnstable
'"E'O5: Regulatory Services
Thomas F.Geiler,Director
' = e,uti�i�resc.e.
Public Health Division
ear` Thomas Mclean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-8 62-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date: S—
Designer: S LI L L t -/A i 4 E WG-IA-�52 I WR !NG. Installer: 1_117 d ke-',� C sq—
Address: -7 PA1R14.E=CL RD Address: `,?e
r2.V1L_LC4 ko455 1f 'hrl /S
On -z _� 14to was issued a permit to install.a
(date) - _ ( staller)
/ / �i�
septic system at (► ,� based on a design drawn by• -.`:.
(address)
S[1LG�l� /i E/V&-I -z ERyuc_- I NC• dated 0c,
(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.
this CERttryS CryMIrL►✓-�w�G r -rN TcME .+.
1h`S Do ES NoTCL-Rt1 -y CawiPLinf-,e- w�1 N f�LUMnp�w�pr�Lf=GI Ric/4L CODES
0 AN`I OT1461L 2�:(3ULI4fi IOWg ,
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.
N,3
OF
>' ",
IWVIW `�
taller's Signature) ' cn `
Gib. .
Affix Designer's
(Designers Signature} ( Sn Stamp p ere) co
PLEASE-RETURN TO BARNSTABLE PUBLIC_HEALTH DI_VISION. CERTIFICATE
OF COMPLLANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE B_4RNSTABLE PUBLIC HEALTH DIVISION
THANK YOU.
Q:Health/Septic/Designer. Certification Form
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V59. I Paianza Design, Inc.
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Joe �7 �A`fdA9 �9
I I Facility Consultant - Diocese of Fall River SHEET rio. PLA of
625 North Main Street CALCULATED BY DATE
\\CIS/lam Mansfield, MA 02048
(508) 339-7539, Fax (508) 337-9920 CHECKED BY DATE
SCALE off
NEBS Inc..To Reorder.t-800-225-6380 or www.nebs.com _ - J
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i,►%t� i'IVEQUAQUET LAKE on
LAKE LEV£L 33.79(9/23/05J •• � , I.� "�� Hayes 1 o
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LOCUS PLA„�V
'+RL`LEAGIH PIT O J
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EC.T N C i-MA►v u M PRp _ �
t-DINO, $eCo wp PING.-r, Z1gL,. Or Scale, lu= 2000'
a� N
/ / �.wc txigT m Assessors Map 210
o_ R C z Locq-r ION S) u° Parcel 089
It 0. i I
Exla-t 3 Groundwater Overlay
}ZEgIb CW_ROotv1
W L- District- AP
J 3 tz EL
V Ill A DD Po 51-1:,
N° '� I = ` U)� I T,O N(C H g p
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j PL AN BOOK 70
.PAGE /O/ l
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GREAT MARS111C__ ROAD_
y1
-.. � _ '1` 'F\NAL WGAT�ON OP•PROvos6.o 1 � `
�BACN FTI ELD Tp HE
bGT�RMINED �`XISY. ttUll
OVERALL JL 1 G `PLAI`I ATTNETIME O;r INS-rALL,&.TIoN GARAGE .p
PRM'bl E AS"ANY TRt_F s AS POSSIBLE 0
Not to Scale
,/20G: PLAN VIEWv._ _..
24'OCpening Above For M.H. _
- olv.Pipe Far Frame 8 Cover
Float Support $COIe'I 30
i
Pump Power a Float Control
With s Ins Dled 6Acc Codes. ( 0 _ To D Box
Cables Installed in Accordance � FF
41.64
a. 4"0 From Septic Precast Pump - F.G. 41.6 V n
Tank.Seh.40 PVC Chamber �� 0
10'-0.. a weed Fra Remeofi Note eaching`
; W 38.9 J i r >.. Bot.E1.39.8
_..._. s..__._ _.._.
B rnent. L-h
Go l.
S 39.4 1500Gallon�l 40.5 DIRECTIONS: FROM HYANNIS--TAKE ROUTE 28
IaLAN DESIGN DATA 34.22� 38.0 I Septic Tank ber 40.3 5' TOWARDS CENTERMLLE;TAKE A
Single Residence-4 RIGHT ONTO PHINNEY'S LANE,AND
g s ce Bedroom
ike level EI. 34.8 Per - THEN THE FIRST LEFT ONTO GREAT
4"0 Sch.40 PVC Finished No Garbage Grinder Bedding a
From Septic Tank Grade J.B. Board of Health MARSH ROAD; ACCESS TO THE SITE
Daily Flow, 4 x 110gal. =440 gpd Per Title IS VIA HAYES ROAD,WHICH IS THE
e THIRD RIGHT.
Useta 500Gallon septic rank seogpd DEVELOPED PROFILE OF PROPOSED SEPT;C SYSTEM
Not to Scale Waterproof/Seal Concrete Sept�r Tank
Conduit Thru Chamber LEACHING AREA 9 Pump Chamber With 2 Coats of
Emeraency Storage .i �C-.\rlb`11,
ower 8 Float Chayin To D-Box p
Vol.440,ga1. es Min.2'Cover 440gpd/0.74 595s.L Required
Approve Sealants
m n 36.4 76 I my
Use Bottom Area 0
Lao Pump on 35.9 0 2"0 Sch.40 PVC 14 x 43 a 602 s.f. Provided
Lead Pump on35.4 Mercury Float r Threaded Pipe
Switchs 4Req'd LEACHING BED DESIGN`
Pumps off 34.9 Check Valve All Pipes to be Schedule 40 PVC
Secure Pipeat Top B: Gate Valve _ H
Bottom of chamber Perforated With Ends to be Vented.Use
Bottcm El 33.6 I `' 6 - 4"0 Distribution Lines in a 14`x 43`
o ashned Leaching Bed as Shown. o -rEs r Ho�� - t o, -tEST t-1 ocC - Z EL�.v. 3q,3s 6 �
t • > >: O CS RK ®- OR6ANIGS VGQY DARIL PETER
SECTION 4 �7
(I OO GALLON SEPTIC TANK) Pumps to be l/2 HPby G
GR;Y15 N N Y R.'-1/MR .to 2- CoR R Cs 'YISIJ1, eoRN. 10Y '5/2-
R V I1 SHQRIV LOAM
G-R Y%SI4 tSRN LOAMY
E �
PUMP CHAMBER DETAIL Myers or Approved Equal NOTES SAND IOYR 512 SAND 10YR 572- CNIL
Not to Scale 1. Water Supply For This Lot is Municipal Water. I O DRFC YE1:IS14 BRN SANDY I 1 I` O'RK YEL'tsm tbRN SANDY
B .LOP.M IOYR 4�Cr n B LOAM IO YR y1L , . *�
2.Location of Utilities Shown on This Plan Are Approx.
At Least 72 Hours Prior to Any Excavation For This t v LT,
Prot oL1VE BRN Me-0. t® LT. OLIVkz DRIN IME-0.
Max. Finish Grade Notification to DIG SAFE-1-888-344-7233. 2a' c f.
3
9�Mln. Project The Contractor Shall Make The Required I SAND 2.5 Y y/ CA 3.The Contractor Is Required to Secure A L--r. yF_t_t SH GRN t=1 NS 22 l_T. -YEL!ISH 1=1NE Compacted Fill --J Filter 40 Perforated I q Appropriate N C2 t3AND 2,5 ✓,/*� C2 SAND 2.5 .BR3
. - 4.Fabric PVC Pipe Permits From Town Agencies For Construction t 2d "
Defined by This Plan. SITE PLAN
^I 1/8"-1/2 NO GROUNt3WATER GRC>IJNQWA'rLRC� K%_Q-4 32.•-76
Pea Stone 4.Install Risers as Required to Within 12 of Finished GLAsS I MATERIAL_ pelxC D1sPTH: '53 PROPOSED IMPROVEMENTS
i Grade. Pe.1sc_. No. 1 lit 1-7 2.5 M t4l1NCH
3/4"-1I/2" pA'TE: g/L3/OS AT
5.All Structures Buried Four Feet Load
or More or 84 GREAT�o Double Washed LESS -rUA.N '2_MIN/INCH
Subject to Vehicular to beH-20Loading. G T MARSH ROAD
Stone SY t SUL.t_IvAN E.NGINGERING 1 Ne
2'-O"J2'-eJ 6.Sept ic System to be Installed in Accordance With wITN�SS'• t7. DE9M�R\S�T�O.B
(Typ• (TYp) 14'-0 310 CMR 15.00 Latest Revision And The Town of bets CENTERVI LLE, MA
Barnstable Board of Health Regulations. BY
7. All Piping Lobe Sch,40 PVC:
CROSS SECTION OF LEACHING BED S.Depth of Inlet Tee Below Flow Line: 10"Mina SULLIVAN ENGINEERING, INC.
Not to Scale Depth of Outlet Tee Below Flow Line:14"Min.
OSTERVLLLE, MA
It Encounted Remove8�IjeploceAlt With Gas Baffle.
Unsuitable Soils Within 5 of The DCTDBER 7, 2005
Perimeter of The System.
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