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HomeMy WebLinkAbout0019 GUILDFORD ROAD - Health 19 Guildford Road Centerville SAW llll � UPC 12534 No.215�3LOR YAiil1loi.YY TOWN OF BARNSTABLE LOCATION 19 SEWAGE# ZO20. 0-70 6 VILLAGE Ccna cr u:11 L ASSESSOR'S MAP&PARCEL 1`7 2-g3 INSTALLER'S NAME&PHONE NO. i3 Q ExcA.yo,��o� -1'1'1- OL53 ' SEPTIC TANK CAPACITY /Opp qa 1 I4y LEACHING FACILITY:(type) 2-�SOO oc_l l_Ic- (size) NO.OF BEDROOMS 3 OWNER K� fiwt PERMIT DATE: `j-9 .20 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 Al- AV Tz n Ay- A p © 3 No. /o Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: UBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4pliLatlon for Misposar OpBtem Construction 3pPrmit Application for a Permit to Construct( ) Repair(v4 Upgrade( ) Abandon( ) ❑Complete System glindividual Components Location Address or Lot No. `cI 0; (� 6 5 0( P—a q c{ Owner's Name,Address,ano Tel.No. Assessor'sMap/Parcel KfprwirI t1 %n I> 3'4L ,3� ihe (a2l,r. afery Installer's Name,Address,and Tel.No. Dee Csigner's Name,Address,and Tel.No. ofd9M� !1 0. covV4,1140,vi- � t tSs 6ev R.3,der RA �,00441 1� 4 Type of Building: Dwelling No.of Bedrooms Lot Size t J z 04 sq.ft. Garbage Grinder(no) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided 3 3® gpd Plan Date (R A q, 202.0 Number of sheets Revision Date Title115UM PM pt-gh // Size of Septic Tank I('Q(,tltl Type of S.A.S. yj�[Qf'V Description of Soil I oge'l �U fAS D`i l h 4 Nature of Repairs or Alterations(Answer when applicable) ��b�� ��)S1t1 yIG/' S j�S j 1 hSf ti�i "e AK s00 e91 Cygm pr5l� 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 Board of Health. ' .IS&ned Date Application Approved by p G1 Date Application Disapproved by Date for the following reasons Permit No. '� Date Issued iJ k F. 0 Y. J 1. No. Fee w THE COMMONWEALTH OF MASSACHUSETTS Entered in compute: l UBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes / 1 litation for Disposal �& strm Constructiott permit Application for a Permit to Construct( ) Repair(v4 Upgrade( ) Abandon( ) ❑Complete System VVindividual Components Location Address or Lot No. %q �U� p� p(1Qp[ P,d 4.4 Owner's Name,Address,and Tel.No. ,Y Assessor'sMap/Parcel trd r32 +P�PAV1�l� Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Rf jt �'► � J 1 r 4 364 5 R d R So Type of Building: a., DwellingNo.of Bedrooms { �' V 4 l t t ' Lot Size sq.ft. Garbage Grinder(no) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min. required) X 3 O gpd Design flow provided 3 3 Q . 4 gpd Plan Date Number of sheets Z. Revision Date Titlesewqe ul quqr n 5yyet" Y 1 qh Size of Septic Tank 10d o • Type of S.A.S. fMll ph V Description of Soil Tw i'l 1 Wn ' s •b `•+w-- T �r f � l li t F J J ..:i-..� _ / Nature of Repairs or Alterations(Answer when applicable) Abl o da h l'Sill h J 1` fJil s� 1� : eW 3. w►-ey rev5e. S00 8gl C �l ��rs a � S rvc ire(( ovh r,r n /. Date last inspected: t � E� a �t f� 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 Board of Health. @ �� J 'f�' �. _ �1.. r/� r- Date Application Approved by��R li v4 ts U/Al� ,1�.�C_� `-�• Date�°t J Application Disapproved by y t` l Date / for the following reasons l./ Permit No. / / � Date Issued • -------------------------------.------- _ - - - - - - - ---------------------------- - --- =--- --------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of,.Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( V� Upgraded( ) Abandoned( r)byM at 14 G II A?9i'd RA has been cost cte)d/in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No /Al t.! Ir2ed = Installer" pc( Q Designer QqV!(� 0• #bedrooms Approved design flow • gpd The issuance of this permit shall not be construed as a guarantee that the system will functidn as,rdesigneda Date 1411 C4_;k/C)_ff Inspector - --•- ---- ----_- -- -- - - ------ - -------- ---•-- --- -- - -- - - - -- - - - --}-�*-� - No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal *pstera Construction Permit Permission is hereby granted to Construct( ) 'epair(� Upgrade( ) Abandon( ) System located at I q CV i l d A to . �W I and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction-mustfst be completed within three years of the date of this permit. Date / /, ,� Approved b Town of Barnstable P _ r- r � �,� Inspec d o n a I Sea vices t�lsrai>W=sl Public Health ,Urvisiort 14{ MASS pcbA 1619 ��11f Thomas McKean,Director y"^rFO j 200 Main Streat;Hya..nnis,It1A 02601 Iiist.3!!Cr &JP. cylL�tact'Ctr ti ficatirin Fn�•m, Sewugc l ermit!4 Assessor's Nln il'ar`cel r Ucsi};ne.r: ;i�'�' 'i:i` _ '..._��d� i�fr9��•�'.--._ Lrlstiiiler.: ;,�-t. �Jec�e Address; i o F. r e ` r i . Address: On was maied a to s,rlsr:il.l a i'Cttl ij'StC t't at L t de#S r.a vt lj i(;tz.C`,1'.fi desilo'n c c wth D", �(iPST�1IE.T} lhat the see" C vslells r t S'GI .1 1G i1 7itl i 4tl5 41:St't1lle'U SLiJStr".11t'r£!lS r zee'; t ti.l tl r li`ign, 'Which may irt'dtiele r;71 T=)r :C t}r®'I� S 51i.,i7 .`t.� IfitCLF3) ,(.Ct,,ltiVt? i)t tl?' dt tril loon ho ,, andl/or iidptii ,.1nk. Strip Writ JI,r ouire i) i'c1 tPt$t)�GttCi u?It,tg ciie soi)S were found sa;sf~actcry, crr'Illy thitt the scpl iC S1'steni rt j x+ :te l:i 2.10ove t as in7sml ed with T77al:Ui Ct:+laures.(Lc gfeatcll rha 10' lateral l', oc,`a6,,(.: o" th-I SAS ill a:r y 1 .r'tic lI TC'luca!;On of ary <on.'I)olleat: cli the sepliq sys.terri; but in d t a1°lrtn v„th Red ilatioras. Pft>a; l'tili C a? Ibui,t by desif1,1 e t,a rCll ( i'. Strip out tali rN'q Ytfj i4ESS 'TtSI)CS3iE(i and th :5•:)t1; leer fraud satisfactory. i cr ITY thn't the Systen"I -- . i e `1 CV1 °tC , 9 1 C It7?s C c (\A ap rial ettots fllt, 7 t _ S � 4 i V< t likv["'vco t' t iU J} to (t Calt?,T'76P5 St wic) t;lJfr.< DG.si4 a >taMU Yttr�«} t'i } r1SI ).ZtTC RN 'ro..,f3A}'MS'I"AB E M 91 1C RE�;t�.I.,TH DIVISI��:r°sl. CE'R I'.II+T.t t�T t3Ct .CUt�2:PL:rT���?CF� WILL L T t�I 'SSUED UNTIL BOTH _TRI FORM, A T3 Ao-. DI.JMj C:&rW AXZE RECET 11Y •L FUE I>'ARNS"E'ABLE I?ItUL:IC HEALTHMANK YOU. tri,.vl',ts MI:AI.i'C�i!S},tt�Ch,rnnrr.cl�SCI' rC'�.().^sitar r�`cr�:�icn ���7'i:tm �t s iti-?;:;C1i)G' r TOWN OF BARNSTABLE LOCATION SEWAGE 577_ VILLAGE Con ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. .AL ZQ "15e t/1 ` SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 'Zi'��1741g h hof a (size)JZ,G X'2z, _e NO.OF BEDROOMS BUILDER OR OWNER PER MITDATE: _� _� 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 y' ED, CT' TO F BARNSTABLE OCATION I �Lj I RogJ— SEWAGE# 2-605 VILLAGE GA-WIL ASSESSOR'S MAP&PARCEL (T 2 83 INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) NO.OF BEDROOMS OWNER, n�e. �✓�`/ PERMIT DATE:12m L COMPLIANCE DATE: i'112 i S 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 ay +y,s v THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplicat.ion for 3h5poeal *pgtem Cow9truction 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. 4 2 0—21 6 3 19 Guildford Rd, Centerville Ken Perry., Assessor'sMap/parcel 172/83 19 Guildford Rd, Centerville Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 8 9 4 Wm E Robinson Sr Septic Eco-Tech PQ Box 1089 ., Centerville 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder (no) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 leach system to plans of Eco-Tech, #ETE-2224 . Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in Code accordance with the provisions of Title 5 of the EnvironmeffE and not to place the system in operation until a Certificate of Compliance has been issued by this Board of TJ alth. S' a Date Application Approved b�l Date I Application Disapproved by: Date for the following reasons Permit No. C;100 5 59 .� Date Issued No. �4q(li e ' _ (1 , �� THE COMMONWEALTH OFMASSA HUSETTS Entered in computer: w ,e Yes PUBLIC HEALTH DIVISION _-`TOWN OF -BARNSTABLE, MASSACHUSETTS j ZtVpYication'for'Bi5pogoY *p!tem Cou5truction 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. 4 2 0-21 6 3 19 Guildford Rd, Centerville Ken Perry Assessor'sMap/Parcel 172/83 19 Guildford Rd, Centerville t Installer's Name,Address,and Tel.No. 7 7 5-8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4-0 8 9 4 �. Wm E Robinson Sr Septic Eco-Tech PO Box 1089 Centerville 1 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder (ng Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided and r Plan Date Number of sheets Revision Date i Title Size of Septic Tank Type of S.A.S. Description of Soil . y ~ Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 leach system to plan.s -bf Eco-Tech, #ETE-2224. Date last inspected: Agreement: The undersigned agrees to ensure theconstruction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Envirotamenta- Cl`- and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Heal ,l S ed Date <�- L 05 _ Application Approved b ` Date 1 ( . W l .•' J Application Disapproved by: - Date for`the following reasons ; Permit No. C_�)_00 J 59 Date Issued - -------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS Perry BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( X) Upgraded ( ) Abandoned( )by Wm E Robinson Sr Septic Service at 19 Guildtord Road, Centerville has been constructed in accordance with the provis ons of Title 5 and the for Disposal System Construction Permit No. �.00 5 51.=:] dated I ' Installer bll� eJ`(1 Designer Gtt�l'�A�l�tw� f #bedrooms Approved design-flow _ gpd The issuance of this permit shall notjbe construed as a guarantee that the system will funct on as designed. Date Inspector No. '� / _ Fee$1 0 0.0 0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION —BARNSTABLE, MASSACHUSETTS . Perry igpo!aY:*p!6tem Cow5truction Permit Permission is hereby granted to Construct ( ) Repair ( X ) Upgrade ( ) Abandon ( ) System located at 19 Guildford Droad, 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 complete within three years of the date�if th si pemit: �^ Date I\ Approvedlbyr r Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I, 1J�vi d C�J�Vight)Lvr , hereby certify that the engineered plan signed by me dated 1)00 ��j, ���, concerning the property located at t meets all of the following criteria: • Two soil evaluations excavated for detailed examination(no hand augering) and two percolation tests shall be conducted. • This failed system is connected 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. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] Please complete the following: �7 A) Top of Ground Surface Elevation (using GIS information) / 0 r• 0 B) G.W. Elevation 3*0 +adjustment for high G.W. ° = 4 Z^ DIFFERENCE BETWEEN A and B Z,Z -2- SIGNED : �� r�. � DATE: �,Jov 11 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. q:\Septic\percexemp.doc TO F BA STABLE LOCATION I C a r � � SEWAGE# VILLAGE ��� r1 t't�� ASSESSOR'S MAP&PARCEL 1`7 , S INSTALLERS NAME&PHONE NO. ' SEPTIC TANK CAPACITY LEACHING FACILITY:(type) �� �l CC(si � NO.OF BEDROOMS OWNER___ 1' >,,�.�: � P•ti PERMIT DATE: I v�� r COMPLIANCE DATE: .'2 f 2 ;L s 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 f f ' 3 r II `2z � T . � y..S f Torn of Barnstable Op ZHE Tp� Regulatory Services 93 • "I'llotnas F. Geiler, Director ' BARNSTABLE, 7� 169. r Public health Division 0 Thomas McKean, Director 200 Main Street, 11yannis,PIA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer && Designer Certification Form Date: Designer: Eco-Tech lnstaller:Wnt E Robinson Sr Septic Address: 43 Triangle Circle Address:PO Box 1 089 Sandwich Centerville On Wm E Robinson Sr Sept;kqs issued a permit to install a (date) (installer) septic system at 19 Guildford Rd, Centerville based on a design drawn by (address) /Eco-Tech dated 1 1 -23-05 (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 di.siribution box and/or septic. tatlk. I. certify that the septic system referenced above was installed with major changes (Le. greater than 10' lateral relocation of the SAS or any vertical relocation of any compow-,rnt of the septic system) but in accordance with State & Local Regulations. Plan revision or certifled, as-built by desi ne• -----•-- - 9 qg DAVID cyG� (Installer's Signature) D. COUGHANOWR N No. 1093 C O �FGISTE�� S�NITAR\PN (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC 11EALTII DIVISION. CERTIPICAIT' OF COINIPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FOIINI AND AS- BUILT CARD ARE RI CEWED BY THE BARNSTABLE' PUBLIC ILEALTII. DIVISION. TIIANK YOU. Q: I-iealthiSeptic/Designer Certification Form L__ �-OCAT10 SEWAGE PERMIT NO. VILLAGE I N S T A LLER'S NAME i ADDRESS R UILDER OR OWNER r--) LJ LC) DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 75 a s� C� i 34 A� 1. ,L O C,A T ON SEWAGE PERMIT NO. PILLAGE I N S T A LLER'S NAME ADDRESS B U I L D E R OR OWlI ER DATE PERMIT ISSUED �� � 5 84 DATE COMPLIANCE ISSUED `� �� � ,r a q3` f r V No. ...................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..........................................O F.......................................................................................... Apptiration for Dispoiial Marks Tumitrnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: . ............................................... ........................................ ion-A ress or Lot No Addr� .� � � . .._... yem..� • Installer Address Type of Building Size Lot...� .. a.._Y..S . feet 0-4 Dwelling—'No. of Bedrooms..........3............................Expansion Attic °( ) Garbage Grin per., Other—Type of Building �� No. of persons............................ Showers ( ) — Cafeterl Q, Other res ----- ------------ W Design Flow...................................gallons per person per day. Total daily flow....... _. ._.12_:...................gallons. WSeptic Tank—Liquid capacity/ lions Length................ Width................ Diameter................ Depth•_--______--_--- x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area_._.;.___ - sq. ft. Seepage Pit No....../........... Diameter....�.�........ Depth-_below inlet................... Total leaching area�J`,...sq. ft. Z Other Distribution box ( ) Dosing tank ( ). Percolation Test Results Performed by----------------------- ................................................. Date........................................ _ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (z, •Ti'st,Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W •---•-•••••--•-------------•--••-••-•-•--••-•-•---••••--............•----•-••--••---•-••...--.---.-•......................................................... 0 Description of Soil..............................................................................................................................................................-------•-- x W ••-•--••--•-------•-----•------------------••---•-•------•-•-•------••-•-•----------•---•----•-•--•------••••----------------------••--•-----•••---•-••--•-••••--••••••-••••••-••-••-••---•--•------•-•. U Nature of Repairs or Alterations—Answer when applicable.-____.......................................................................................__. ---------------------------------•-------------------------------------------------------....--•-----•---------------------------------------------------------------------------------........•--•••--. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL- 5 of the State Sanitary Code—The undersigned further agrees not to place the stem in operation until a Certificate of Compliance has been fissu�, by,the board of health. Signed . ✓t-� / L " --- .......... �` '' _ ApplicationApproved B ....... -- •--••••-•--.••......-••--•----•---••----••••.....................•--- = - --- -�=........ Date Application Disapprov for a following reasons---------------------------------------------------------------------------------•---------............---•....-- A l_ -••-....•----•-------•-••-------•......----•---•-•--••••----•-•---------•--•-•--•--•-••-•----------•-----------•--•-------------- Permit No.......�7 ..........••--•-•------------------- Date � -5�, Issued- ` 40 "--------- Ys Nofl. FmA..................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH,ji�" ,:f­ ;-. ...........................................OF.............................. Appliration for Bispoiial Works Tonstrurtion JIrrutit Application is.hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ............ .................. ............................................................................. .................. Ij�tion-Address Lot No.or ........... . .... ... ..... Owner Address ..... ................................................................................................. ............................................................................................. Installer Address Type of Building Size Lo .......................... . feet U Dwelling—:No. of. Bedrooms.- .......... ...... .................Expansion Attic Garbage Grin er er a Other—Type of, Building ...... No. of persons............................ Showers —'Cafeta 'bther'_'fiyt6r-es ................................... .........................................................................................................= 0- Design Flow____._ -----__------..........gallons per person per day. Total daily flow_.__:.3 ........................gallons. Septic Tank—Liquid'capacity/ei flons Length................ Width___________-;___;--- Diameter________________ Depth______________.. Disposal Trench—No_..................... Width_.__.___._.___._____ Total Length...__._____.________ Total leaching area--,---. _---sq. ft. Seepage Pit No....../ inlet_____._...._.______ . i -------------- Diameter...ZT--------- Depth below* . Total leaching area;.'_Ai� sq..ft. z Other Distribution box Dosing tank Percolation Test Results Performed by._1 ........................................ .Date______................................... ---------------------------- Test Pit-No. 1.11---_---------minutes per inch Depth of Test Pit_.__________________ Depth to ground water_______________________. (� Test Pit No. 2................minutes per inch Depth of Test Pit__.______________,._ Depth to ground water_.__:_..___.____.__:___:~ ................................ .......................................................................................................................... 0 Description of ..."Soil..................................................................................................................................................................... .................w........................................................................................................................................ ................................................. --------------------------------------------------------if--- .......................................................................................................................................... U Nature of Repairs or,Alteratiofis Answer when applicable............................................................................................... ..................... ------ ..................................................................................... A gfeement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordan with L L the provisions of IE 5 of the State Sanitary Code— The undersigned furtber agrees not to place the stem in 'operation until a Certificate of Compliance has been issu d by-the board of health. ol Signe��,;, X . .... ....... .......... ............ Si �7- Appro, :.................................................. . ...... ............... A roved B ................. • Date v Application Disapprov .f9rar Ae following reasons:.......... for .................................................. . ...... ....... ... ...................... 4. may .......................................................................................................................I.......................... ............. ........ DatL Permit No...... A-L.-a.................... Issued_------. . ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..........................I Tertif tratr jaf (giant fiattrr THIS IS TO CERTIFY, That the Individual Sewage,Disposal System constructed (Wel or Repaired ...................................................................................................... by ....................... .... ... .... Installer at. ....... ............................................. 'has been installed in accordan with the,provisi6lis"64 TITLEF':�" 5'� ------------------- 4"The State Sanitary 'Co te as e *bed in the Yi�� 1� 491X1­X__1dated' application for Disposal Wor Const' ctigr .......................... --.0---y7_ ............................ IP I THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM wiLL FUNCTION SATISFACTORY. .DATE._... a ........... Inspecto r . .. .................. 7 4 THE COMMONWEALTH..OF,MASSACHUSETTS B b _iVHEALTH 04R 0 NO .... ....................... ................................ ............................................. A ' .. ................ . FEEr ................ (I_041notrudiatt runtit Permissionis hereby granted.................... ....e...................... ....................................................................................... to Construct an 1 wa osal Systemr,au - atNo........I-,-, ...... .......... ............... . .. .... ...... .......................................................... Street as shown on the application plication for Disposal 7or ks Construction Per .........p .........ZDated.......................... ............ ---- ------------- -------------------------------- .......................... Board of Health DATE....�.1*11_��AAS FORM 1255 A. M. SULKIN. INC.. BOSTON �jl►.IGt-L FAMt►-Y - � BCOR�oM NO GARBAGE �jR�NDE2 _�-. DAII,�( Ft-over - IIU x 3 - Z3o6.PP rjEPTIG TAr•JK�'= 330x15U'/. = �491F6.P. � ��•Z use. l o0o GAL. �- - - - /�' �9�97•a �° , . .s/.�FW41-L AREA = /ems 7a �Tq� awe y��o - 33o G.,�� � � •� ; ��° • �;� f>E,S/G.c/ �'E�G ,e,47�:/ '%�✓Z,cq/,d..e5 2 n� STCl,%/"!5-i:;�,2 8-o•W, .- - .Cam• v 9y. L OF "'�q `"OF M�s�q 9''.3 n,.p DAVID �9G WILLIAM yGJ r C. i43 C. THULIN o N Y E H 0 No. 29974 H `cU Nu. 19334 O .0 9 ►d/L � ,o t� '/STEv OF 1ST h�ta SO �Z/ = TOP FNu = 7 , 1000 INJ. .fuQSOiL_ D►6T. a" ' But{ INS' S6P-rIC. ,:�LvtJ 1 000 r17 GP4 �. GAt--Xl7ZAC.,E Le Ar-T- PITY. INV. 1 G 21/3/9•I�i r CG6M� WASNGD 670 H K. � E2TIFIGD PI-07 PLA-W BS7 PRUFIL� o44-TIoN Lam- No SGAI.E SCALE /'_ya' DP.Ta P A N I'Z E F -ZS t4 C.E - G E tt? tr Y ?H AT 'f N E �T-o►��t"'�� 7`No�rYN NE.REo►J GOtvlPl-`(5 1�ITN'CHE S t D6LItJ � ��-�--- O 7 ,� Aug SE't5.GK R-6QUIR.EMENT� z 'To W N O r- 0,&Z�TA�� A N D 1 S �\ 7 /�(57• f3 T LOGp.T D WITVAIW T1-i G\-ooD L DATE +'"t"" 6AXTEQ e WYE INC. `c oZ'S I 6D �.AuUS R-V u `( t -Tuts P t_D.IQ ► 5 N oT g to 5 F--a D o►d A N O ST E 2.V I Lt.E - I�AS 5. ,; Iu'5TR-UMaNT 5V2v�Y -T KE 01=5'SE-r5 'SLt0UL. OG�✓,SI Y+ NoT DE VSED'�o C�E7ER1�11�1� � cT t-I1-lE5 APPLICA►.IT' I�,�I✓/� CENTEERRVILLE, MA K EXISTING LEACHING CHAMBERS MAY BE REUSED WITH NEW STONE IF IN SOUND STRUCTURAL 4 "'6 `4 "In' t CONDITION. IF THE EXISTING SAS IS TO BE ���° ABANDONED IN PLACE, CHAMBERS ARE TO BE o�aFa0 PUMPED & FILLED WITH SAND PER BARNSTABLE TOWN REGULATIONS. WATER uIN GAS LINE — � .PathP a a a i ; s OVERHEAD WIR off UTILITY -P:�p.�p xs�",d•, a ea $ t i POLE ` $;��tea,ff.`�'Ca o c"Q•r. s � baa i ►. Ulf► BB 6 ��o f n�1 • GARB ' G R - -- OT �g 0 OWED PN4pgLE GIs pq TU eELEVATION ♦ r 70.47 ♦ °P I Of FOUND Pj�O i L OO l� 92 7° _ _ , AREA = 15204 sf+— PLAN BOOK 247 PAGE 8� ' ASSR MAP 172 PCL 83 ♦♦/24 9 / �� \��� ♦♦ PROPOSED SOIL ABSORPTION SYSTEM �� 9G TG9 —SEE DETAIL G'9F IO5 ft �, ON BACK / �. 69 e 5 0 OQ / /AL v JA, �. D401 "O 'C »a ... tv.... MINIMAL GRADING 70 y '' '9/ A TON 4�'Jv PROPOSED C' \ 'cstL , ce r ; O 0MT- -�M Am X 9,E♦ \ A-_ -9 - Ft °y * z� e O , ♦♦ / Am, aPLQ I SCALE: I in = 20 ft °y LEGEND ` SEPTIC COMPONENTS 20 40 69 z EXISTING 0 10 20 1000 GAL SEPTIC TANK PRINT ON 11 x 17 in Af PAPER FOR PROPER SCALE S DISTRIBUTION BIOXE TEST PIT OF DAVID Ss9 THIS IS A `yG o ��DAVID SS9OyG D. �, D. COLOR -5COUGHANOWR 5 COUGHANOWR QQ �� SEWAGE DISPOSAL No. 1093 No. 461 PLAN : �� cy SYSTEM PLAN USE COLOR PLAN ONLY FOR INSTALLATION EST. -TO SERVE EXISTING DWELLING gPPROVE° FULL DETAIL IS BEST K E N N E T H A N D sq E ALU VIEWED IN JACOUELINE PERRY FULL COLOR �� •• �� OWNER(S) OF RECORD THIS PLAN IS INTENDED SOLELY THE SEPTIC SYSTEM DEPICTED ON IT. FOR ANY OTHERO CHANGES LTOOTHEOPROPERTY INCLUDING /O CS 19 GUILDFORD ROAD PLACEMENT OF ADDITIONS. SHEDS. FENCES OR SWIMMING POOLS. OWNER C E N T E R V I L L E. MA SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. 155 GAO Ryder Rd S PROPERTY ADDRESS Chothom, MA 02633 DovidcouOHotmoil.com DATE: MARCH 9, 2020 508 364 894 PG.lI2 JOE3tt ETE-22248 AE3 i SOIL TEST LOG PER 2020 MIGN ESIGN CALLS SOIL EVALUATOR: DAVID D. COUGHANOWR, ASE #461 FLOW: 3 BEDROOMS X 110 GPD = 330 GPD WITNESSED BY: DAVID STANTON, HEALTH DEPT. TEST PIT 1 NO GROUNDWATER ENCOUNTERED SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS PERC AT 56 to - 2 MIN/INCH IN C SOILS USE EXISTING 1000 GALLON SEPTIC TANK IF IN ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER SOUND STRUCTURAL CONDITION. IF NOT, INSTALL INCHES HORIZON -TEXTURE (MUNSELL) MOTTLES NEW 1500 GALLON SEPTIC TANK. 69.40 0-8 Ap LOAMY SAND 10 YR 3/2 NONE FRIABLE DISTRIBUTION BOX: INSTALL UNIT DEPICTED BELOW. 66.56 8-34 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE SOIL ABSORBTION SYSTEM: 57.90 34-138 C MEDIUM SAND 10 YR 5/4 NONE LOOSE THE LONG TERM ACCEPTANCE RATE FOR A CLASS ONE NO GROUNDWATER ENCOUNTERED SOIL WITH A PERCOLATION RATE BELOW 5 MINUTES C SOILS PER INCH = 0.74 GALLONS PER DAY PER SQUARE FOOT. TEST PIT 2 2 MIN/INCH ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER THE LEACHING GALLERY DEPICTED CAN LEACH: INCHES HORIZON TEXTURE (MUNSELL) MOTTLES 69.60 BOTTOM AREA = 16.5 x 21.33 0-10 Ap LOAMY SAND 10 YR 3/2 NONE FRIABLE -1/2 (14.83 x 6.3) = 305.23 sq. ft. 66,60 10-36 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE SIDEWALL AREA = (16.5+6.5+16.12+ 36-132 C MEDIUM SAND 10 YR 5/4 NONE LOOSE 58.60 10.20+21.33)x2 = 141.30 sq. ft. TOTAL AREA = 446.53 sq. ft. FLOW CAPACITY = 0.74 x 446.5 = 330.4 gal/day INSTALL THE LEACHING GALLERY AS CONFIGURED BELOW. FLOW CAPACITY = 330.4 gal/day WHICH EXCEEDS THE 330 gal/dog REQUIRED FOR A THREE BEDROOM DESIGN. MOOD 00 GQ L L ONl' SEP §C =§=Q N/G , EXISTING UNIT DIMENSIONS & DETAIL no o p n �p BOX USE SHOREY TANK TO BE PUMPED DRY AT TIME OF INSTALLATION �05�U1T��V ��OUV QOW 08-3 H2O AND EXAMINED FOR STRUCTURAL INTEGRITY. INSTALL DIMENSIONS PIPES EXITING D-8OX .TO RUN LEVEL, NEW PVC OUTLET TEE EQUIPPED WITH A GAS BAFFLE. AND DETAIL FOR .2 FEET BEFORE PITCHING DOWN REPLACE WITH A NEW I in 1500 GALLON TANK TAPER IF CRACKED, ROTTED 12 In OR OTHERWISE c MIN AN COMPROMISED. N FROM `Ly TANK U) TO f f rm a (� SAS poi NOT � 1 �b�ab6d�C@ 6 In STONE BASE Ln SCALE 21 in CROSS SECTION VIEW 8 ft-6 in a o �DU1T� §0N INLET OUTLET SYS:7I EM CONSTRUCTION DETAIL COVER COVER USE SHOREY PRECAST 500 .GALLON LEACHING DRYWELL 3 IN DROP INSTALL TWO DRYWELL 6.50 ft 14.83 ft Al FLOW LINE _ UNITS AS SHOWN BU�DING P 10 inA WITH UP TO 4 FEET 14 TO STONE ALL A ROUND. OF 16 i2 ft M I D-BOXY 10 48 in LIQUID GAS MARK INSPECTION O f ;'°�, "" " RISER WITH U) BAFFLE I MAGNETIC TAPE. o ft '' 0 LEVEL � ' � .. ; o (V O b in STONE BASE IF NEW DRYWELL UNIT 21.33 ft SEPARATION BETWEEN INLET & OUTLET TEES NO LESS THAN LIQUID DEPTH 500 GALLON DRYWELL CROSS SECTION VIEW DIMENSIONS � INSTALL ONE INSPECTION RISER & DETAIL TO WITHIN THREE INCHES OF FINAL GRADE & INDICATE LOCATION ON AS-BUILT N -INSTALLER TO OBTAIN DISPOSAL WORKS USE PERMIT BEFORE STARTING WORK. De 33 0 -ALL COMPONENTS INSTALLED SHALL MEET �500'I in UNI THE MINIMUM REQUIREMENTS OF DyDDD� u5E MASSACHUSETTS TITLE 5 SEPTIC ��� H-2o CODE (310 CMR 15). -INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE 1021, T EXCAVATING FOR SYSTEM. -ECO-TECH RAPID RESPONSE RECOMMENDS CROSS SECTION VIEW E THE INSTALLATION OF LOW FLOW INSTALL AN APPROVED GEOTEXTILE-\ FIXTURES & APPLIANCES, AND PERIODIC FABRIC OVER STONE PUMPING OF THE SEPTIC TANK. -SYSTEM IS NOT DESIGNED TO WITHSTAND . ■ S VEHICULAR LOADING. DO NOT PARK OR 28 f 314 In TO�■ 24 in ■ ... 314 In TOEFFECTIVENEI : DRIVE VEHICLES OVER SEPTIC SYSTEM. in t1-1/2In GRAVEL1;� DEPTH 011 1 1/2In GRAVED! ?££ . 48 in MAX 58 in 48 in MAX IF L O TOP OF FOUNDATION RAISE COVERS TO WITHIN ALL PIPE TO BE 4 in SCH. 40 PVC EL = 70.47 +- 6 in OF FINAL GRADE AND TO PITCH AT 1/8 in/ MIN 7 j j 69.75 USE H-20 MAX EXISTpNG�p 66.75 0o0o EXISTING 1 OAL�L�ON °000��oo�o'o PRECAST p000000 SEP= T K 67.00 ao o°0000O .0 000o aaoo 66.13 °��� �� °� DRYWELL °0000 ooa° EXISTING REFER TO DETAIL BOX STONEinSOL A°- BSORPT�ON 66.30 BASE 66.00 SYSTEM -REFER TO EXISTING b In STONE BASE IF NEW 20 ft 4-14 ft DETAIL BOX O 64.00 NO GROUNDWATER BELOW MOTTLING OBSERVED _ 57.90 SEWAGE DISPOSAL SYSTEM PLAN 19 GUILDFORD ROAD CENTERVILLE, MA MARCH 9. 2020 ETE-22326 PG 2/2 FLOW PROFILE ALL PIPE ELEVATIONS SPECIFIED ARE INVERT ELEVATIONS TOP OF FOUNDATION RAISE COVERS TO WITHIN EL - 70.47 +— 6 in OF FINAL GRADE ONE INSPECTION RISER FOR LEACHING GALLERY 2- LAYER OF 1/8' DROP f D-BOX 1/2- STONE 3' FLOW LINE 10" - 14 48" GAS PREC/1ST 3/4'-I I/4' BAFFLE DRYWELL STONE 67.05+- 6 in ' "�'`� BOTTOM OF STONE \656.48 LEACHING SYSTEM SORPTjON Ewsnnw BASE E704TN6 EXISTING 66.65 GALLERY Ewsnra 66.35 1000 GALLON s.00 r, . (END VIEW) 6a.3s Exisnrw SEPTIC TANK lz IS f, e) 5 f, 125 f, 6) 14f, ADJUSTED �_ 42.80 SEASONAL HIGH GROUNDWATER 0, t} LL'601 V GAS LINE p \ N I > Q PAV VRIVEWAY M-1 dwn, ., 0. WATER LINE On r - - olmA vz � OG� 1 �� --am Q � I z mZ 3 (A �m p� 0 0 $ zm� m ` oti SLAB N� m �1 FOUNDA TION r 3 - 3 1l 4>> n -4 0-F = z 14.s n ��" m mZZ O ~ o wnvi� z m n v o)o > a N M DPD T1 CND 3 it S'bl A !1 D w �} bl'bzl 3 m V ?� ° r-Iv 3(n 0 Rl n Z p G) Z zx > , o zti Z , c 0 Ln G) , To�N � wm `O m m � x oz ' -1 m -1 p cn-m m=e7Oi5 r m --d ,n Z = r N o Z C �0 r x m m°k z Dl "gy m m �� -I O _1 ra'0 �SEm p r >o —� OT m T a q =Zxn z0 r ITl � _ p -, amm> -, m m p —1 (1 �a� N 00 � = Q � m � C co (,.1 C m D X 0 ,,� 'o Fy v m 2 0� mZ O pG) v `i nzy3 Z Ao cn v 0 .p —� r �nv� o mm z Q ca Ln o I cnC fJ z Am oz c� v m p ca O o = 3 Z m m sli�s�� y ° � to�ORo ROAD z �.? 00 z m < m 3 0 7 sHE.1l��ER ROAD ' A W m r Z T Z m J NO T T/NGH A h =c z m p ---I m G7 f �N ORNE m A�zr, Z Lrl N 3 vv�� N 0) r— D { t DATE OF TEST: NO ME7. 20O ' D'ESIGN SOIL CALCULATION -SOIL TEST LJV EVALUATOR: VDD NOWR. RS WITNESS REQUIREMENT WAIVED NO VARIANCES SOl GHT �. A NO GROUNDATER TEST PIT I PARENT MATERIAL: E ROGLACIALDOUTWASH DESIGN FLOW: 3 BEDROOMS X 110 GPD - 330 GPD ELEVATION - 69.85 +- PERC AT 62 in 2 MIN/INCH IN C SOILS SEPTIC TANK: 330 GPD X 2 DAYS - 660 GALLONS DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER USE EXISTING 1000 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 69.85 CONDITION. IF NOT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) 0-8 AP LOAMY SAND 10 YR 3/2 NONE FRIABLE DISTRIBUTION BOX: USE 3 OUTLET D-BOX, 8-38 B LOAMY SAND 10 YR 5/6 NONE FRIABLE 66.68 38-132 C MEDIUM SAND 10 YR 5/4 NONE LOOSE SOIL ABSORSTION SYSTEM: A 24 ft x 12.5 ft x 2 ft LEACHING GALLERY CAN LEACH Abot - ( 24 x 12.5 ) - 300 sf 58.85 Asdw - ( 24 + 24 + 12.5 + 12.5 ) x 2 - 146 sf Atot - 446 sf NO GROUNDWATER ENCOUNTERED Vt 0.74 x 446 - 330.04 GPD TEST PIT 2 PARENT MATERIAL: PROGLACIAL OUTWASH ELEVATION - 70.15 +- PERC AT 62 in : 2 MIN/INCH IN C SOILS USE A 24 ft x 12.5 ft x 2 ft GALLERY. Vt - 330.04 GPD > 330 GPD REQUIRED DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 70.5 0-8 AP LOAMY SAND 10 YR 2/2 NONE FRIABLE 8-36 B LOAMY SAND 10 YR 5/6 NONE FRIABLE 157.15 36-126 C MEDIUM SAND 10 YR 5/4 NONE LOOSE LEACHING GALLERY 500 GALLON DRYWELL 59.65 tW ENSlON3 AND DETAL CONSTRUCTION DETAIL Uw H-AD LNT DRYWELL UNIT INSTALL ONE INSPECTION 8'-O'x 4'-10'x 2'-9' STONE RISER TO WITHIN SIX O 2 ft EFF. DEPTH INCHES OF FINAL ;GRADE AND INDICATE LOCATION 24.0 fr ON AS-BUILT PLAN O i ,... o Q 33 ut N gopo 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN �' oo��o0 moo 00000 2) ALL LINES .TO BE `SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. ° ooa0000000o OQQ 0000000no QQ 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC CODE (3I0 CMR 15) 3.5' 8.5' 8-_5 3.5' 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES 24 NOT TO 102 .0 ft in BEFORE EXCAVATING FOR SYSTEM. SCALE 5) EXISTING LEACH PIT TO BE PUMPED. COLLAPSED. AND REMOVED 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE 7) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0' BEFORE PITCHING DOWN GROUNDWATER ADJUSTMENT SEWAGE DISPOSAL SYSTEM PLAN 8) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK EXISTING GROUNDWATER LEVEL -TO SERVE EXISTING DWELLING BASED ON TOWN OF BARBSTA.BLE 9) SYSTEM DESIGNED T WITHSTAND VEHICULAR LOADING. DO NOT GIS DEPARTMENT RECORDS. PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. KENNETH & JACQUELINE PERRY 10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. INDICATED GW 38.0 19 GUILDFORD ROAD CENTERVILLE. MA INDEX WELL SDW-253 11) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL ZONE C STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH READING DATE OCT. 2005 ECO-TECH ENVIRONMENTAL SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING READING 49.4 1 2) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED ADJUSTMENT 4.8 43 TRIANGLE CIRCLE SANDWICH.MA 02563 FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET 'TEE`FITTED WITH GAS BAFFLE. ADJUSTED GW 42.8 ETE-2224 NOV 23. 2005 2/2