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Home My WebLink About0015 HAYWARD ROAD - Health 15 HAYWARD ROAD, CENTERVILLE A=186-058 I UPC 12543 �a No. HASTINGS, MN No. �G /� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pphration for loi-4pool broem Construction Vermtt Application for a Permit to Construct( )Repair( )Upgrade(>'-�Abandon( ) Xomplete System ❑Individual Components Location Address or Lot No. \S (.�iA �QQt'^ Owner'sf Name,Address and Tel.No. �/ c�axe v `f' otrU✓�1 t N K� Assessor's Map/Parcel cel /js S-8 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No, 11D-GW Qe�S 1� A—WI L%(S-.SLi v V 0-<,-.s p`�d-Z��e o ��S 33 0/n /tile;�. 5F .40- Type of Building: Dwelling No.of Bedrooms 7 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 5 gallons.per day. Calculated daily flow 7 ZC gallons. Plan Date - 6- q Number of sheets Revision Date Title L aA P-!g, C_vJ Size of Septic Tank I S QV <---3(aL-*f-- Type of S.A.S. 1A% �\Cu120r# C.T✓4`Tf Description of Soil L-0WM wo 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 oft Environmen 1 Co nd not to place the system in operation until a Certifi- cate of Compliance has essu o Hea Signed Date Application Approved by Date '7 Application Disapproved for the following reasons Permit No. Date Issued �� TOWN OF BARNSTABLE LOCATION /- d qZ Aad SEWAGE # VILLAGE ceh-lo-ptl/lle- ASSESSOR'S MAP & LOT 645? INSTALLER'S NAME&PHONE NO. le,20AaZZ .c SEPTIC TANK CAPACITY ftQO LEACHING FACILITY: (type) _Ly AA . 7,10 ,, (size) g NO.OF BEDROOMS BUILDER OR OWNER CA_a� '��Q7�, PERMPTDATE: -3 f -918 COMPLIANCE DATE: -�l 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 i I � i -71 �C. 13 13,2 � �3 162L 0 TOWN OF BAMSTABLE LOCATION _ " 17 UZAP�� SEWAGE # - VILLAG ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 1-;-60 LEACHING FACILITY: (type) ..l y -'/I Z ZA i (size) NO. OF BEDROOMS �7 BUILDER OR OWNER C'lez-�� , PERMTr DATE: - ,3/ -r/R 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 No. Fee Fee J "t THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: YVeSf PUBLICfHEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0(pphrattou for Mtoogal *raem Congtructton i3eriutt Application fora-Permit to Construct( )Repair( )Upgrade(>'-�Abandon( ) Xomplete System ❑Individual Components Location Address or Lot No. \S (A Avw 6` f 1 „ Owner's Name,Address and Tel.No. Assessor's Map/Parcel /�cel 8 fw)i �`'� Lx ot"1 Inst ler's Name,Address,and Tel.No. Designer's Name,Address and Tel.No, C -61;v.. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures hh Design Flow S V gallons per day. Calculated daily flow !�L-:�5 7 gallons. Plan Date ` Lq` Number of sheets Revision Date Title L c-rP-c,-, c-r,� Size of Septic Tank 15 0D "S-a(>`�'c--?J(00\-K-- Type of S.A.S. 1a 6 Cup�`�T v� 1 IC ACT�°TP Description of Soil (A- `"� I at "`e- `Sio w y Nature of Repairs or Alterations(Answer when applicable) Date last inspected: ti 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 t Envir nme 1 C and not to place the system in operation until a Certifi- cate of Compliance has of He Signed Date �� `� Application Approved by Date -7—3/_?JjV0'- Application Disapproved for the following reasons- r Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS 1 Certtftcate of Comphauce THIS IS TO CERTIFY.,/�that the On-site Sewage Di osal System Constructed( )Repaired ( )Upgraded(X ) Abandoned( )by CERTIFY, r 4 i 0 C 6 P F S y� at fi Y W14 O AQ (f 6IYT 0 E has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. TI /, dated Installer Designer r The issuance of this permit shall nj be construed as a guarantee that the syste :ilj function as designed. Date Inspector --------------------------------------- No. Fee �- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE: MASSACHUSETTS Xt5p0ai *pgtem Cougtructtou Vermtt Permission is hereby granted to Construct( )Repair( )Upgrade ) don System located at S 1-4 ft WA r C Loy...Et,vi 'P and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of thi ermit. Date: 7- 31 r 5� x Approved by ` �7 T STANDARD NOTES ON OR R&PAN EPTIC SISTEW AND N NOT BffENDED MR SURVEYING OR ZONBVG 1) THLS' PLAN IS PVR ,7H?-MSTALLAT1 OF A S PURPOSES.,:�TOP OF ,- :, 2) ALL hVSTALZAT?OtV PROCWURES AND MATMUALS SHALL CONFO" TO 310, CAD? J5,000, TBE STATE ENVIROAWMAL CODN POUNDA27ON T= 5,, AJW TOWN OF Bazmtable suusvRFAcE msposAL REGmATnoNs............. 3) NO ETMUaVATION HAS.BEAW MADE AS TO COMPHANCE OF AVALUBLE PROPEPTY BUORMA77ON W= RECORDED DKEDS OR ZONNG REGMATMM.GROVM SURFACE GROVND SURFACE EZ 4) TOWN WATER,SERVICIN TLW PROPERTY `)P Sr M 5) THERE ARE NO'"OWN PRMATE WELLS' ON PRL WRTY OR YFFHW 100' OF THE PROPOSED SOIL ABSORP77ON SY E OUTLET PIPE.LEM OF VMVT )NQUIRAD 6) ALL CO MRS OF SYST" COMPONENTS SHALL:BE BRO UGRT TO WFnYW 12' OF FLVNHED GRADE, A77H ONE, OVER TJM FMT TWO FMT I Z. C)1� 0 MP ZZ SEPTIC TANK BROUGRT NTrMV 8 OF GRADE UM LEW MIN V LAYER MUDLE VASHED -SS 7) ALL SYST"'COMPONENTS 5M4LL ,R"" ACCESSIBLE POR BVSPEC.77OX. NO STRUCTURA HALL BE LOCATED DD?EC27;Y,a40X UPON,OR AL90VE TEE A fool 13 0 0 0 0, 0 0 0 0 0 0 0 0 E3 M; 4 .8ryZSt;j]F VE PUPING OR REPAIR 13 EZI 13 C]0 13 El 1:1 13 SMEVALL'GAS.BAFffW AT OUTLET jNMT EL " Y JNVERT AE 8) NO DRIVERA , PAR=G OR TUMWG AREA OR 0725WR A&ERVIOUS AREA SHALL BE LOCATED ABOVE A 301L ABSOAPT1ON Higb Capacjt7 Infiltrators - SYSTEA4 EYCEPT WBEV VMVTWG HAS BEENPROYMED ILA ,0 3/4'- 1 1/2' DOUBLE 0) 9) smyc wry, GREAsE mps, osw cm"Ew AND mnniv Bows sAALL BE PLACED ON A '8N STOAW BASE(2)pical) WASHED STONE,8 STOAW BASE INVERT ZZ TO Fd`6SVRE STAB&JTY.AM,PREVEM,SETTZMG.L AT MOO Get SeptJo Tan BOMM E 16) OUTLET DISYRIBU770N Lill ShALL,R&A1AJW LEVEL YVR A k7AWUM OF TBE FBST TWO FEET OF THM LENGTY OF 27R"CH EAV -10 LOl UNLESS TH 11) ALL SYSTEM 001TO.AWAS SHALL BE CAPABLE OF IFITHSTANDING H EY ARE UNDER OR WrTLW 10'" OF DRMEWA IS OR PARILWG OR TURNMG AREAS, 12V fiH?Cff CASE H-20 CORPOWENTS SHALL BE USED.L 7 12) ALL BU7l SEWER LnVES SHALL HAVE AN INNAR Dffl&TER OF 4" AND SHALL BE CAST R?0N OR SCHEDULE 40 PVC 13) 2HU DEPTH OF T6W.TOP OF ALL I SYSTEM.001POMEAlill SHALL NOT EXCEED 36 UNLESS VEN72YG HAS BEEN.PRO VLORD.D llY NOTED AS PROPOSED CONMVRS.14) IV THE AREAS OF EXCAVATION, EMTLVG GRADES SHALL BE REESTABEl 4(_ orj 145) F S09S ARE ENCODNTERED DURVVG TRE EXCAVA17ON OF THE SOIL ABSORP7YdN SYSTEM, THAT DIFFER NOTABLY FROM 01i ef o t- BE DEEP OBSERVATION HOLE LOG, CONTACT TBE ENOLVEER BOVRE PROCEEDNG.T IUNDERGROLill CONTRACIVR 2V VERIFY LOCAT?ON OF ALL UTffl=. OVA TION DEEP OBSERVATION DEEP, OBS-PL-ill-I U 00� HOLE LOG ,A,% Test Hole #1 Test Hole #2(EL (EL. = 9 9 ,10 _L D son son soil son Soil Son(96. 7) fPnr . Horizon Texture Color Horizon Texture Color(97 rf tT rftT (USDA) (Munsell)(USDA) (Munsell)TBjV'EL 100.01 AP Loamy Sand IOYR314 0* - 16" AP Loamy Sand 10 YR314(101.0 0 21(700 8). (914.1) B Loamy San-d YOYR518 6 B , Loamy Sand IOYR416 DESIGN DATA 21" - 40 16 32 Eidst. (94- 7)00 14 '2.5Y.R613 Fine Sand 2.6YR6113 I 0 .2) , 40" 4"'es Number of Bed C Fi7w 'Sand C C sp to be 'Pumped rooms:and filled Exist Garbage Grinder: NO Design Flow. so P8.0 98.0 BLD (110 Gal/BR/Day x Number of BR) f,500 TOF�EZ .== 100.00 Septic Tank:5,Bedrooms, Design Flow x 200%)(Minimum 93-5) In v = 98.1 lc� Leaching Area:Prop. New SidewaM 5925 t El �7,5 +2 Sidevallis x Deep Obs Hole Date: J�UV 28., 1998 Deep Obs Hole Date. j1dy 28. 1998 83 10.8 x-L. --ft x --------n rd Learned 2 Endwalls Soil Evaluator. Richard Leatvwd Son Evaluator. Richa'Witnessed By-Wittnessed By. GERRY DUNING GERRY DUNMNC 639 Bottom: Perc Rate- 2 MINIIN 0 74 Per Rate:59.25ft fo.8 t Soil Survey Descripi CARVER Soil Survey Description: CARVER Geologic Material: OUTWASH Geologic Material. OUTWASH 0 Long ,Term Acceptance Rate (LTAR): 0. 74 0 .00 Depth to Standing Water. Depth to Standing Water. 53- c8c)-i!)Prop. Proix ff Leac ng Area Design Capacit�r 557 Depth to Weeping Water. NA Depth to Weeping Water. NA I : D-B6x Depth to Mottling(Colol NA � Depth to 'Mottling(Color): NA S (sidewan Area 4 Bottom Area) x LTAR �96 E:L) Est Seasonal High GW: 45- �,e9.7 EL)S-Tank Ext Seasonal High GV. 124' 63 8, q USGS Observation Well: mnr USGS Observation WelL Jay Juilile 1998 Date of last Measurement- June 1998 Date of rAst Measurement Comments- Comments-L EXCAVATION NOTES .4� 1) EWCA VA TE ALL VA TERIA L ABOVE SOIL HORMON C (SEE DEEP OBSAR VA T1ON Proposed Leaching Facflit7 r\T k 0(-) HOLE LOG) AT APPRO"ATE ELEM770N 95.7, FOR A LATERAL DISTANCE OF 5'Nine Higb Capacit7 Infilitrator (MNRE POSS1BLE) EV ALL D1RECTIONS BEYOND THE OUTER PERZVETER OF THE RETALVMG IFALL"7'tb 4 ,ston Units (10" depth) 1'^n (.98.0)on en 2) FILL MA MYAL SHALL CONSIST OF CLEAN GRANULAR SAND, FREE FROM ORGANIC ,on sides and 1.5' stone nn en KAYTER AND OYHER ELETERrOUS SURSTANCAS, WMCHMEETS TRE TEXYVRAL 96.iii =E 5 CRITERrA PUT FVR771 JN SWY70N 15-255(3) OF T 3 SC) AR1FY TBE BO T70M SURFA CE OF THE EXCA VA TION PRIOR Y19 PLA CEMENT OF FILL INTO THE REZ4flVLVG STRUCTURE 4) PLACE KU ONLY WM BOTTOA( SURFACE IS DRY PROdECT LOCATION 15 Haywood Road CIO 16 CenterTille, AL4 186 58 ASSESSORS MAP LOT 0) 19 APPUCANT Z, Charlie Lanahan 15 Haywood Road Cen terTdlle, MA 0 PREPARED BY.A & M Land serTices 33 Old Main Street South Yarmoutb, MA 02664(508) 398-2121 Fax 394-9642 Julyr 29, 1998 SCALE 1 20 DA TE OF �WINSLOW IREV M. H. *4 WOFFORD, S&PPOFFORD LOCUS MAP Y"WO 15 Ha Old Road D MG. NO, 9 8 02 9 SHEET OF I Cen ter idlle, MA