Loading...
HomeMy WebLinkAbout0031 HAWSER BEND - Health 31 Hawser Bend Centerville A= 192-085 S M E L D No.2-153LOR UPC 12SU amaad.com • Made In USA SFIummsoundummWims OFDESR POOMM CfR17HE0 SOIWUX' M WW-WQDG MAW TOWN OF BARNSTABLE LOCATION SEWAGE# 20 lc) —1I j'� VILLAGE C- u dIVt ASSESSOR'S MAP&PARCEL o S S INSTALLER'S NAME&PHONE NO. OaQ 2w P n�v��a) �(2g (-/u?-E SEPTIC TANK CAPACITY ,©pp l4 to St, Ir istwt LEACHING FACILITY:(type) (Q) (size) NO.OF BEDROOMS 3 OWNER PERMIT DATE: L (1Z 2.c to COMPLIANCE DATE: l ( Z2 'Lot-z, Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility il 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 L,aching Facility(if any wetlands exist within 300 feet of �leaching facility). feet FURNISHED BY K�ken�2s-LuL- 17F-L_ C 4 Af 8,d a31 i1.S`� 0- 3 ,cos 3 sr.n q 43a.S— CS 5t , 0 0S `19•0 No. ?C)lo '7 Jeem THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for Misposal bpBtent Construction Permit Application for a Permit to Construct( ) Repair K) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. '31 t1 Aw 5oa' Ge,4 Owner's Name,Address,and Tel.No. A14,oL d tar 11,%z A Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. / 477,F31 3�nc G et•L°CCe �y � ocwdt Y l&,, C�,ssi�-i'�Gc� Type of Building: Dwelling No.of Bedrooms 3 Lot Size 2 5� fy 30 1 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 319 gpd Design flow provided 3D, j gpd Plan Date I - ` 2c)IO Number of sheets Revision Date Title 3/ /h't,.�5ag ,,) Size of Septic Tank 1 Ooc") Type of S.A.S. sf �J %,�errccl�ti Description of Soil Nature of Repairs or Alterations(Answer when applicable) CX13AVI, Jkjjw 1� 5 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. Signed Date —Zo"J Application Approved by Date Application Disapproved by Date for the following reasons Permit No.Zv(O Y5 5 Date Issued /jam/,a No.2010 - '7 5-:3 Fee 1 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIPPlication for Disposal *pstem Construction permit Application for a Permit to Construct( ) Repair K Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. '31 P q 3 5-e f GQ�4 Owner's Name,Address,and Tel.No. /-4a d ,V e Lc7 I(,Z Z A Gey ¢t I\1 Z i {�trkcjZ{jah�J Assessor's Map/Parcel 1 cI 1_O Z e- r << < Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. q 7,)S31 f Crgpew;r,(o Ek-�er�,,)a s t�C Igo 3oK C-.=1t.<< (fir �nS1u4e at,4 /L w GwssP c l�Ya�r r Type of Building: Dwelling No.of Bedrooms Lot Size 2 S 630 !sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided L�?jkj. gpd Plan Date /f- (o - Zo to Number of sheets Z Revision Date Title r Wgid.rcef Pa.) Size of Septic Tank /poy Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) L.t 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. Signed ( Date l 1 Z - Zof Application Approved by Date / - /Z - Zwo Application Disapproved y Date for the following reasons Permit No. 7O/0 ys Zj Date Issued /—���7 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by (�,,d�' �� �� ,1 C i L t at ..,�a �--� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 0 SZ dated /( 0-j 10 Installer Q (� c � ��C� t lL Designer�����i #bedrooms Approved design flow O, 5� gpd The issuance of this permit shall not b construed as a guarantee that the system will func)o�}�a,de)igned. Date 1 � - C/ Inspect``----�la � --- - - - -- - -- - - _ - -- - - ---- = --�---- No.2U/0 - Ll53 Fe,A THE COMMONWEALTH OF MASSACHUSETTS _ PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Mispo$at 6pstem Construction 3pPrmit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at d e 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:C nstruction must be completed within three years of the date of this permit. Date Z / 0 Approved by = 11/22/2010 15: 44 5084775313 ENGINEERING WORKS PAGE 01 Towle of Barnstable Regulatory Services Thomas F. Ceder,Director # Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862 4644 Fax: 508-7904304 Date: _ Sewage Permit# 2oto -`(5 3 Assessor's Map/Parcel 19Z _Q 4? Installer 8t Desianer Certification.Form Designer: Pc+e-cT-- Installer: -wl(�e Ff14- Kje4tS�q-f Address: " `w s Ot Inc, Address; A75c 7 6 3� r—a�s +rkco r`t►� oz� �t�1 On t 1 l al la ro ��p �H+�. was issued a permit to install a ( ) rr 11 (in er septic system at ' 1 /4A W S-e--' f` based on a design drawn by (address) dated i (d (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. Stripout (if required) was inspected and the soils were found satisfactory. l 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 coulpoanent of the septic system) but in accordance with State & Local Regulations, Plan revision or certified as-built by designer to follow. Stripout (if re ' inspected and the soils were found satisfactory. 11K OF� PETf-t 'T McENTEE �fns er's Sip ) civil- No'35109 0 SIONiL � signer's Signature) (Affix tamp Hera) UE&U RETURN TO BARNSTAILLE PUBLIC HEALTH VMSION CERTl�'I:CATE OF COMWLL4NCE WILL NOT BE ISSUED MIL BOTH THIS FORM AND AS- T CARD ARE RECEMD BY THE BARNSTABLE PUBLIC HEALTH DMSION. MANX YQL- gAoffice atttrm\dc3igneroeTd6cenon fonmdoc AsBuilt Page 1 of 1 TOWN OF BARNSTABLE LOCATION 3 i 1�1e K-e J ��_ SEWAGE# Zc;to VILLAGE C t ASSESSOR'S MAP&PARCEL l cj Z; U$ _ INSTALLER'S NAME&PHONE N0. SEPTIC TANK CAPACITY �O.CX� 1a t(� �, ►sl'vu LEACHING FACILITY:(type) a) 1A7y (size) —Q 3 n 367 NO.OF BEDROOMS 3 OWNER PERMIT DATE: COMPLIANCE DATE: I ( ZZ Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility iylu 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 L aching Facility(if any wetlands exist within 300 feet of leaching facility). ( i feet FURNISHED BY L.AA�c J cQQ D,�(�{ a-t ye S Lu— I ti . i 4 AI $,o 0- 3 3 �q 43's �14 L[o, u http://issgl2/intranet/propdata/prebuilt.aspx?mappdr=l 92085&seq=2 7/12/2011 Town of Barnstable P# w Mci Department of Regulatory Services Public Health Division Date S� \ 200 Main Street,Hyannis MA 02601 Date Scheduled 4o Time Fee I'd. \OCS � Soil SuitabilityAs sessment for Sewagei Dsposal Performed By: R�-t_ y , Z,vl�-�� Witnessed By: Location Address LOCATION& GENERAL INFOR1ylATION Yt p- ghwser fens/ Owner's Name gr,yLee/ #/ IrCI C e Ak" j je Address �A N C� Assessor's Map/Parcel: `` 1 1 a ^offs- Engineer's Name NEW CONSTRUCTION REPAIR ��jj Telephone# .�Q�S—�3'�—t�'7 �g= Land Use PLCI i'y,{y Slopes(%) 1 Z ^- Surface Stones OW Distances from: Open Water Body 7t Su ft possible Wet Area tS� ft Drinking Water Well t^U ft Drainage Way t CSv ft Property Line =ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes 8c pert tests,locate wetlands In proximity to holes) F„dtl l� 20 o S , �o Q Parent material(geologic) Depth to Bedrock / Depth to Groundwater. Standing Water in Hole: /I /14" Weeping from Pit Fnee_ tkfl"� Estimated Seasonal High Groundwater ZL Method Used: DETERMINATION FOR SEASONAL HIGH WATER TABLE Depth Observed standing in obs.hole: —in. Depth to soil mottles: Depth to weeping from side of obs,hole: in. Index Well# Groundwater Adjustment fr. Reading Date: Index Well Level „ Groundwater faetor— Adj.Groundwater Level,, PERCOLATION TEST' Date Time— Hole Observation Hole# --f1--- Time at 9" Depth of Perc Time at 6" Start Pre-soak Time @ I M f-0 f Time(9"-6") End Pre-soak Z I Rate MinJlnch C2 g q(l0'S Site Suitability Assessment: Site Passed�_ Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil_ Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. o i ten M- 96 Qravell F-3Z / DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsi to 96 ravel �0 343 . S L Vy ti • 4 ' DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ConsistencL%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell)o Mottling (Structure,Stones;Boulders. Consi ten 1 Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No.�, Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? e� If not,what is the depth of naturally occurring pervious material? Certification I certify that on 9�. (date)I have passed the soil evaluator examination approved by the Department of Envir nmental Protection and that the above analysis was performed by me consistent with the required trami pertise and experience described in 310 CMR 15.017. Signature Date 1 U Q:\S.EPTIC\PERCFORM.DOC TOWN OF B�A�RNSSTABLE �► LQCATION 3/ 11191 sea. -8iF. ( '�--P SEWAGE #9 7'Ll- � VALLAGE Ck'wT, 2 w/ %C' ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. b SEPTIC TANK CAPACITY 1000d::�/ LEACHING FACILITY:(type) ?,a c e-,4 r (size) 1.0ao NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER 13k V A' - le- DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: f _i VARIANCE GRANTED: Yes No N �� T No. :J.. - Fss 3 0..0 0............. .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Bi_npwial Wnrk.6 Towitrurtiun Frrinit Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: 31 Hawser Bend Centerville .....-•-•---••-•............................•--------.......-----------------------...--•------... ...---------------------------•-•-------••---...-•••--------------•-••-•---•-•----••----•----••••. a'on• r s or Lot No. Harold -------------------•---•-----•....-------- -- ------ ........---- ----•-................................................. W.E. Robinson S°�"�eEic Service P.O. Box 1089 C6tgrville Installer Address Type of Building 3 Size Lot----------------------------Sq. feet Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) C4 Other fixtures ...................................................... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity.....•------gallons 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..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. I................minutes per inch Depth of Test Pit------------------. Depth to ground water..---.-.--.--.-.-- -.. 44 Test Pit No. 2........:......minutes per inch Depth of Test Pit.-.-------------.--. Depth to ground water.....------............. x -----•-•---•--------------•---------------.......•••••------.....---------•--------------....................--------..........-----••--------.....----•---- 0 Description of Soil.............sand................................................................................................................................................ W ----••-----------------------------------------------------------------------------------••-•-•-••-• -----•...------------------...------------•--••-------•----------•-------------- v U Nature of Repairs or Alterations—Answer when applicable._-install a s-tonepacked overflow__ ...•---------•---------------•••-•-•--•-•-----••-•-------------------•--•-•-••-••-•-•-•-•--..........--------•----------------------------- ....................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee iss d by the board health. Signed - - U..........1..... .... Date Application Approved By -- --- ----- ------------------ ----- ..... ................. .. .. .................... ................ .................. Date Application Disapproved for the following reaso s: .. ....... ............ --------- . - 9 Permit No. Issued . Date...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certifi ate of Cfumplianee THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( x ) W E. Robinson Septic....Servi-ce... -........------- ------------ ...--------------------------------------------------- by .... .......- ............ ........ 31 Hawser Bend Centerville I°"" ----------------------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in _ -L '` / the application for Disposal Works Construction Permit No. .. -- ' '.�-1-3 dated .............--------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. C� DATE....................................0 /C Inspector -`G - - ------------------------------------------- ----THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � .� TOWN OF BARNSTABLE 30.00 �. No-is....,....----•- --•• FEE --••. .....- Permission is hereby granted.. 1 A....LD91. 1.33_So-L__9 p ry, - e----------------------------------------••-------- to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at No. 31 Hawser B roc cegbtuatrv-�.1- e-----•--------------- ----- r`y-...................................................... .e f` - - 9a streetC,� as shown on the application for Disposal Works Construction Permit N�o�.��l............... Dated-_ -'?_/.! .!.�:.d:................ f L Board of Health DATE.---•--....._..._.._L..;--r--- _____________________________ FORM 36508 HOBBS&WARREN.INC..PUBLISHERS 30.00 No... :!_._.�_...... Fizs.............................. !, r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Mvjipoottl Hfork,i Towitrnrtion rrrntit Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: 31 Hawser Bend Centerville ................................................•-•---------•-------....--•••---------------...•-- -----•---•--------------------------------....------....---.........-•------•---............---•-- oea ion•-A�ddress or Lot No. Harold .�-� ,-- - ................... ?:�------•-�-�= -- - ----------------------.----------------------....... W W.E. Robinson S�"fer_ic Service P.O. Box 1089 C('Pid @rville Installer Address Type of Building 3 Size Lot............................Sq. feet ,., Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------_---- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures ----------------------•-------------....----------------------------------------------- ---•---•-•-••-------•-------•-......------•-----------------. W Design Flow--------------------------------------------gallons per person per day. Total daily flow............................................gallons. W Septic Tank—Liquid capacity............gallons -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..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1.4 Percolation Test Results Performed by-------------------------------------------------------------------------- Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ fZ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.................. M ...........................................................•-----•-------------•---------.................................................................... 0 Description of Soil.............sand................................................................................................................................................ x U -------------------------------------•--------------•-----------------------------•-----------•--------------------•--------•-------------------------•-------•-•--•------...-•--••------------....-•-- w -- ------------------------------------------------------------- .......---------------•--•-------•-------------------•----------------------------------•---------------------. ---•---•---- 0 install a stone packed overflow U Nature of Repairs or Alterations—Answer when applicable.-..install ..............� ....----•-------------••----•-•------------------•------------------••-------------------------•--•----------------•------------------•-•------•---•-••-•------------------•---------•..._...---•-V— Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee iss d by the board '{)health. L L Signed .... A.. ^--�--......... -- �.._�.. 1Date Application Approved B !. ./t<... :. ............ / !. ? � .X....: -- .......................n...... ..._....�............ ................Date Application Disapproved for the following reasons---_....__-------`---------------------------------------------------------..............-------------------------------------- :............................................---------------------..............................................................� _ -- --_✓� / �J/ Dare Permit No. .- - / " - Issued ---- `f. •-./....(.�. ..... Date -.-.--.-.-.- j _ 9 // 3 73 No.............. ...................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA TH , ppliration for 11Wpofint Worho Tonstrurtion Frrutit 1 Application is hyrea('e for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Dispos 7J System at'. e ` n-Address /� or Lot N. AV .� v � 1 �� ...................... fie T tom .Q��� -W .................. �Nba. :_..: t ......... ............. .... ....................................................................... Address Installer Address QType of Building, - Size Lot./,7(._ /33 3._....Sq. feet aDwellings L No. of Bedrooms........... .........................Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P-' Other fixtures ...................................................... - ----- .._..ar _...........gallons per person per day. Total daily flow...............!`....._...__..__ gallons. W Design Flow------•---..... � _ ��� - -------- WSeptic Tank Liquid capactty).�.�_. -gallons Length................ Width................ Diameter................ Depth............... x Disposal Trench—No. .................... `��idth...........- .--Tot Lengt � Total leaching area....................sq. ft. �( � f �..... T 1 leachin ar s ft. Seepage Pit No._...._ - ...._. Diameter. ! .__.. t�✓/b�elow inl ____________ __ q. 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........................ (� Test Pit No. 2................minutes per inch Depth of Test'Pit.............._.._.. Depth to ground water........................ 04 --•------------------------------------------- -- - - ---------------•-------._..._._... ------------ -••••- O Description of Soil........................................................... _���a U = W ............................................. UNature of Repairs or Alterations—Answer when applicable................................................................................................ ------------------------•-----•----••--------------------------•-------------------•------•-•--•----------------------------------------------------------------------------------.............-•------- Agreement: The undersigned agrees to install the aforedescr5gg-"d---LndivilitaaI Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary o' —The unders: ned further agrees not to place the system in operation until a Certificate of Compliance has bee ;,j e h the board f he igned---- ---- ..... ................. -•--•--••----•----•-•---._..._ ...--- Da--�-----... Application Approved By....... ,.✓--- . --.... � �✓ �� �_fc.... / ate Application Disapproved for the folio ng reasons:....................................... ... !..._._^_......._ ...............•-•---•-•••-••--- 12.:S �s_ 1-c...`l-•,� -,1�. / = = . � %. + _ —Hate PermitNo......................................................... Issued........................................................ Date . ... .. .. ....... . ..........r. . .... ,....r.................... ......................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD 9f HEALTH ' ...�� .........OF.... C�prtif irate of Toutphaurr T IS Ia.. CERTIFY at the Individual Sewage Disposal System constructed ( or Repaired ( ) by --- .dl' t •......!,-----�:�_--off_ -. .._. .----- 1 -..at ---- -- -------- ! � s-` j' has been installed in accor ance with the provisions of Article XI of tate Sanitary VARANT;E cr' ed in the application for Disposal Works Construction Permit No.____-__-__--_:-�--�. ....._. dated._: � __� ~. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A G THAT TIE SYSTEM WILL FUNCTION SATISFACTORY. DATE------d -�.,�2-,/ 7. .. P -- - •--------- ----------—------------------------ I-----t T--- ------- ------- ...----- . - ns .a .. .. _ . ..... .. � No......................... Fsim THE COMMONWEALTH OF MASSACHUSETTS p ®OA OF H A T Appliratiaan for Dispasal Works Tonstrurtion ramit Application is hereby ade for a Permit to Construct I or Re it ( ) an Individual Sewage Disp Syst at ation-Address or Lot N 4 �+ >..... Address - "►+• .. - a • ..............................................................-----•-•- Installer Address Type of Buildin , Size Lotee . _ � _____Sq. feet ` DwellingNo'. of Bedrooms____._____- ________________________Expansion Attie ( ) Garbage Grinder ( ) Other—Type T e of Building _ No. of ersons_________________-_________ Showers — � YP g -------------------•------- P - ( ) Cafeteria ( ) dOther fixtures, . .....-............-----------•-••- -----•. ---=-----------------------•- W Design Flo* gallons gallons per person per day. Total daily flow__-_._ ' ��:._.__gallons. L�' Septic Tank{—Liquid capacityl ___gallons Length_____________ Width___., _._._____ Diameter............... Depth_______......... W x Disposal Trench N ._ Width_ __ of ePin, Total leaching area....._..............sq. ft. r Seepage Pit No ._._; ___._. Diameter_/�___ ep e --- Total leaching area__ _____________sq. ft. Z 'Other Distribution box ( )a; Dosing tank ( ) r Percolation Test Results Performed by ---------------------------------- _ .. Date...................................... --t '10 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water...................... 44 Test Pit No. 2.................miiiutes.;per inch Depth of Test Pit..................... Depth to ground water.......................... a ••. .................. ..................................................f ---•- '..................•_-•- 0 Description of Soil_______ .____ U Nature of Repairs or Alterations—Answer when applicable.___________________, ; ,........... ------------------------------------------------------------------------------------ ............................-.............=--------------------------------- ................................. Agreement TBV undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the °mate Sanitary Code— The undersigned further agrees not to place the system in. operation until a Certificate of Compliance has been issued by the board of health. 'Signed '`� �" •• ,g �' r sJ t�s"/t f"/�rX ! Date Application Approved Byr...... .._••••• -•_----•-- ••_.... .___..•- -••••--•••-_..._ �.y... D ate Application Disapproved for the following reasons:......................................c-•-• �•-••-•-------•-•--••••---•---••••••---••-•---•••-•••••-•-•----- 'r Date PermitNo.............................................. ....... Issued.........................--••-•..._......- Date THE"COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH t.......-..OF..........._:....fC- • .� -.. .. ...... d" ......... T IS I 0 CF,RTIFY. at,,the In�'idual Sewage*Disposal System constructed ( or Repaired ( ) •-- ,� L y at wG I '` 7 J , Instrpaller w'...................................._ = ��. has been installed in accordance with the provisions of Article XI of *The State Sanitary Code as described in the application for Disposal Works Construction Permit No---_----------- dated- THE ---------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL F NCTION SATISFACTORY. �� ,!�—el _o DATE......./'•'•�• ___J?'=_/`_ _ -___•------------------••---•---..... .' Inspector---•--• r � r . V 4: THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No..... - - ' r'�.'" FEE........................ t as 1 rkg Tons r Ilan tr gt 4d" Permisslon 's"hereby granted_____ , ____,_t?-- --� .............................................. to Constrict 4�) or Repair ( ), n Individual S(; age Disposal System at Noa .!...... .__-1 j..... 1 •r: .""`"" �.t>2 �` r I ...........�.� �.r f.. .. ... AF`"`Street K.1, .......... tu74t, � r as shown on the application for Disposal Works Construction Permit No____________________ Dated___ __ Board of Healtl DATE....... A. ......................... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS a t f� i ? t =� �� f e i � • ; c � �� � � +� � i � !�� � � � � � l ,. �, �, � y r {�� � , ; �� � '�` _., �4 e � � �� + ' ��' iJ l f ° Ca n Crosb Rd N Benchmark Set BULKHEAD COR/TOP CONC. x 98.88 cP Fa o° oPOst Pen Ln EL.=101.85 (Assumed) G� M,� pLgN of p f(2 e6 r°`c a sr(n m / \ �qN BK 3j 6 pC , �aMoseneOd Cn Sp(1-p °022�� Qu �c �`° c�E o�g m�`a °D LOCUS N 73� r .00. F r x 9811 LOCUS MAP NOT TO SCALE O � EXISTING LEACH PITS 00O SHED �� LOT 21 TO BE PUMPED, FILLED W/ q� �99,08 + 9Q.35 SAND & ABANDONED _ + 98.29 1 \ PROPOSED S.A.S. e' o{ .IOWn//^9'� 73• \ 2 TRENCHES PROVIDE INSPECTION 99.21 ed9 S `30"F PORT ON EACH TRENCH � 98.78 + gar C--�'9----- + 98.48 EXISTING SEPTIC TANK �`� �\ LOT 22A X 98.32 (TO REMAIN) TOP OF TANK, EL.=99.77 IN (OUT)=98.44t(VERIFY) �J - ' v .� 99.72 ........... . . + 98.90 98, 4 10fl--- edge of i '99--- `\ - SHED t t.•1 100.24 i \1 \`.\ 99.14 + Lb � 1 � : 100,83 �... ...... ..... ' SHRUBS 100.77 \`� o x 99 1 I 1 I 100,54 3- 100.54 100.33 �i in H ~ SHR. 101.03 x. ;v Tp 1 iri DECK HOLLY: 1 1 v, Ld TREES: 1 34'�- TFH2 M 99,A- N I I I N cn 100.30 0®E 1 1 M .. EXISTING = FLAGP\ULE r-1 n 000 HOUSE (#31) 'GARAGE - ; - 1 IUZI �_. - 15' Z N G) T.0.F.=101.85f' DECK I ,\ •N� 5.7 101.08 1 I.12 ` f � / �y0 J100,99 ----- � x 101,13 ' � �� 100.43 i 101.14 �� PA VED ^ 7 � 100.12 � 1 i v�v DRIVEWAY x 99,99 S NE L LO S 21 & 22A DRIV WAY j 1 AP 192-085 t 25,630±S.F. L=92 71 ' I _ - - R=521 .81 ' --� L==;50.02' I ca 100,59 FENCE R=521.81 ' - t x of Pavement 100.32 100.2dI edge 100.50 100.28 100.58 100,19 GENERAL NOTES: OWNER OF RECORD HA WSER BEND 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BRUNELLE, HAROLD S BOARD OF HEALTH AND THE DESIGN ENGINEER. & DEBRA 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 31 HAWSER BEND OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS. �� 0f MqS CENTERVILLE, MA 02632 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR �� s9� LEGEND TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE �� yG DESIGN ENGINEER. o PETER T. s EXISTING CONTOUR 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING - 98 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN o McENTEE -N ENGINEER BEFORE CONSTRUCTION CONTINUES. v CIVIL x 100.98 EXISTING SPOT GRADE 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. No. 35109 W EXISTING WATER SERVICE 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF A SAC �`�� EXISTING GAS SERVICE THE EALTH FOR PROPERINSPECTIONS DTOR OR OWNER TO TURING CONSTRUCTION.IFY THE LOCAL OF H /IfSS o LNG�� C TEST PIT 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 1 / I l o 10 BENCHMARK 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS uG AGREED UPON BYOWNER AND CONTRACTOR OR AS OTHERWISE PROPOSED SEPTIC SYSTEM UPGRADE PLAN DIRECTED BY THEE APPROVING AUTHORITIES. 10. IT SHALL BE THE RESPONSIBILITY THE CONTRACTOR TO VERIFY 31 HAWSER BEND, CENTERVILLE. MA ' THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS Prepared for: Capewide Enterprises, P.O. Box 763, Centerville, MA 02632 IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). Engineering by: SCALE DRAWN JOB. NO. 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE Engineering Works Inc. 1"=20' P.T.M. 235-10 INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. IS NOT TO SE CONSIDERED A PROPERTY LINE SURVEY. (508) 477-5313 11/6/10 P.T.M. 1 Of 2 NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL.99.3 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D—BOX PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT INSTALL INSPECTION PORT OVER END UNIT(EACH TRENCH) T.O.F. OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE EXISTING F.G. EL.=100.5t F.G. EL: 99.3t F.G. EL: 99.3(MAX.) MAINTAIN 2% GRADE (MIN.) OVER S.A.S. _ .I�"ey. , . ate. , INSPECTION L = 87' L = 6'(MAX) PORT ® S=1% (MIN.) ® S=1% (MIN.) 4-SCH40 PVC 4"SCH40 PVC 6" LL-i10"1 14" 6 10.75" TOIWXft/ EXISTING 48" UQUID INVERT III I � I �.ff. . . . . .", . LEVEL ADD INV.=95.90 I -; GAS SALE INV.=96.17 PROPOSED INV.=96.00 2 ROWS OF 7 UNITS AT 5.0'/UNIT)= 35' INV.=98.44 D—BOX EXISTING SOIL ABSORPTION SYSTEM (PROFILE) EXISTING SEPTIC TANK ESTABLISH VEGETATIVE COVER BACKFILL WITH CLEAN NATIVE OR PERC SAND TO TOP OF CHAMBERS NOTES: 1) D—BOX SHALL BE SET LEVEL AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED TOP ELEV.=96.33 STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). INV. ELEV.=95.90 2) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM ELEV.=95.00 3) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 2.83' 2.83' AS MANUFACTURED BY TUF—TITE, ZABEL OR EQUAL. 5' MIN. ABOVE BOTTOM OF 4) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE T.P. EXCAVATION OR G.W. 5.7' INVERTS PRIOR TO CONSTRUCTION. EXISTING SUITABLE NO G.W., EL=88.5 MATERIAL USE 2 ROWS OF 7—ADS Arc 36HC UNITS SEPTIC SYSTEM PROFILE IN TRENCH CONFIGURATION WITH NO STONE TYPICAL SECTION N.T.S. S.A.S.LAYOUT SHED SOIL LOG o moo. 206 ,� 14' DATE: NOVEMBER 5, 2010 (REF#13,129 SOIL EVALUATOR: PETER McENTEE PE (SE1542) WITNESS: DAVID STANTON R.S. I 1 I I I I I 1 HEALTH AGENTwl I I ELEV. TP— 1 DEPTH ELEV. TP-2 DEPTH 1ml i w 171 (31 99.3 A 0 99.3 A 0 In1 S1 _ I SANDY .LOAM SANDY LOAM_. ` 98.6 10YR 4/2 98.5 10YR 4/2 1N1 I I B 8.. B 10" 44 SANDY LOAM SANDY LOAM 3g �. '6� 10YR 5/6 10YR 5/6 GARAGE I 1 1 96.6 32" 96.5 34" C1 34" C1 40.1 PERC 48.5' 46" M—C SAND M—C SAND 2.5Y 6/4 2.5Y 6/4 15 5• (3) 5" DLkOUTLEfS ��I 2 >10% GRAVEL >10% GRAVEL ��i . 115.5- 112 6' 8" 88.5 126" 88.5 126" J PERC RATE <2 MIN/IN. ("Cl" HORIZON) Top View Section 2" NO GROUNDWATER ENCOUNTERED D LOADING D—BOX 63.25" 16" e 34.5" DESIGN CRITERIA NUMBER OF BEDROOMS: 3 BEDROOMS TOP VIEW SOIL TEXTURAL CLASS: CLASS 1 so" DESIGN PERCOLATION RATE: <2 MIN/IN END CAP END CAP DAILY FLOW: 330 G.P.D. FRONT VIEW SIDE VIEW END CAP DESIGN FLOW: 330 G.P.D. REAR/TOP VIEW GARBAGE GRINDER: NO NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT SIDE VIEW LEACHING AREA REQUIRED: (330) = 445.9 S.F. TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. .74 4640 TRUEMAN BLVD UAMEXISTING SEPTIC TANK: 1000 GALLON CAPACITYLLLLL ;M,HILLIARD, OHIO 43026 Are 36HC DETAIL ak PROPOSED D—BOX:: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED ADVANCED DI NAf.E SYSMUS.INC. USE 2 ROWS OF 7—ADS Arc 36HC UNITS IN PROPOSED SEPTIC SYSTEM UPGRADE PLAN TRENCH CONFIGURATION WITH NO STONE 31 HAWSER BEND, CENTERVILLE. MA (GENERAL USE APPROVAL FOR 7.79 SF/LF IN TRENCH CONFIGUATION) Prepared for: Capewide Enterprises, P.O. Box 763, Centerville, MA 02632 2 x 35' TRENCHES = 70' Engineering by: SCALE DRAWN JOB. NO. 70' x 7.79 SF/LF = 545.3 SF Engineering Works, Inc. NTS P.T.M. 235-10 DESIGN FLOW PROVIDED: 0.74(545.3 S.F.) = 403.5 G.P.D. 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 1 1/6/10 P.T.M. 2 Of 2