HomeMy WebLinkAbout0078 HELMSMAN DRIVE - Health 78 H,el" er+, Drive
Centerville
A = 194 089
lllt � Z
UPC 12543
No.531 or t
HASTINGS,MN
&22,�At"
No.
Fee on-
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
Zippfication for �Bigozar bpetem Construction 3permit
Application for a Permit to Construct( . )Repair(X)Upgrade( )Abandon( ) ❑Complete System El Individual Components
Location Address or Lot No. Owner's Name,Address and Tel.No.
78 Helmsman Drive Centerville Bob and Virgie Wakefield
Assessor's Map/Parcel
194-89
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
W.E. Robinson Septic Service Eco—Tech 508-364-0894
PO Box 1089 Centerville 43 Triangle Circle Sandwich
Type of Building:
Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder(N )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil sand
Nature of Repairs or Alterations(Answer when applicable) Install new title 5 leach system
for 4 bedrooms to the plans of Eco—Tech.
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 vironmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been i d y thi ar of Heal
Signed ' ✓ • • Date l
Application Approved by Date
Application Disapproved for the following reasons
Permit No. Date Issued
TOWN OF BARNSTABLE
TjJCATION �� -' �" SEWAGE #
VILLAGE �i � ASSESSOR'S MAP& LOT
INSTALLER'S NAME&PHONE NO. , �t� r�^' �3� 77
SEPTIC TANK CAPACITY _ i
LEACHING FACILITY: (type) "' (size)
NO.OF BEDROOMS ���
BUILDER OR OWNER /�,/� �l�
PERMIT DATE: �'� ®� COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the B' tom of Leaching Facility Feet
Private Water Supply Well and Leaching F ty (If any wells exist
on site or within 200 feet of leaching f ility) Feet
Edge of Wetland and Leaching Facility any wetlands exist
within 300 feet of leaching facili Feet
Furnished by
�1
�� ��
'�
;��
�'
No. �` Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
01ppfication for �hgpozal *p6tem Congtructfon 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.
78 Helmsman Drive Centerville Bob and Virgie Wakefield
Assessor's Ma /Parcel
19p4-89
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
W.E. Robinson Septic Service Eco-Tech 508-364-0894 "
PO Box 1089 Centerville 43 Triangle Circle Sandwich
Type of Building:
Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder(N )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil sand
�a
t;
Nature of Repairs or Alterations(Answer when applicable) Install new title 5 leach system
for 4 bedrooms to the plans of Eco-Tech.
., 1
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 issued by th •i 5 f Heal h. n
Signed ` ° Date
Application Approved by ,! 1�1 a !�,y / Date /
Application Disapproved for the following reasons/' ( v r
�t
i
1 r7
Permit No. ! r.L.r"t Date Issued
Wakefield THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of (Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded(K )
Abandoned( )by W.E. Robinson Septic dervice
at 78 Helmsman Drive Centerville 4 has b n constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit N _ at'd
Installer Designer
The issuance qfAfis p rmit shall not be construed as a guarantee that the syste? n i e,'
Date yj/(0 ja Inspector
Wakefield THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
1wigpooal *pgtem Construction Permit
Permission is hereby granted to Construct( )Repair( )Upgrade(X )Abandon( )
System located at 78 Helmsman Drive 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: Cons, ction st be completed within three years of the date of pe, /
Date:_ / Approved by vil
9 TOWN OF BARNSTABLE
LOCATION ✓I' / ''`'� 1 SEWAGE # t "
VILLAGE,.—_C, °— ASSESSOR'S MAP& LOT
INSTALLER'S NAME&PHONE NO. 174 iryo, ` 7
SEPTIC TANK CAPACITY
to
LEACHING FACILITY: (type) IC (size) 1�$-
NO.OF BEDROOMS 4
BUILDER OR OWNER • A-1/4 �� f
PERMITDATE: �"�J COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted,Groundwater Ta/theom of Leaching Facility Feet
Private Water Supply Well and Lea (If any wells exist
on site or within 200 feet of leac Feet
Edge of Wetland and Leaching Facietlands exist
within 300 feet of leaching facili Feet
Furnished by
I
�1
d
-79 &�
�eLOCAlTION SEWAGE PERMIT N0.
' VILLAGE
1-'a-/�&/, j/l L L
INSTA LLER'S NAME A ADDRESS
B U I L D E R OR OWN ER
0
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
4
1
fit' 4 � � ►� �
ji
3
3 �
r
60
Fmic..S�.............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD ,9F HEALTH
. . ... ... ... . .. :,
. . . .....
Application is hereby made for a Permit to Construct (ix
SY.Lse,m�lt: or Repair -an Individual Sewage Disposal
Z Other Distribution box Dosing t
1.4 Percolation Test Results Performed by_ Date./C�. ......................
0-4
W .......... ?_Z' 4----- ---= -------------*----------------------------------------------
------------------------------ .... V.....�! ..........7171 ................................................................................................
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TI IT U 5 of the State Sanitary Code—The undersigned furtheragrees not to place the system in
operation ti a 9Artifi ate of Compliance has been issued by the board of heal
...................... -------:�).ef 7
Date
Application Disapproved
for the following reasons:................................................................................................................
............ .... ........ —______'
Date
Permit Nn.................. ______________
Date
--------------------------------
r
No ...........
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® E HEALTH
...'ass..--......OF...- '------------------•----
Annliration for Disposal Works Tonstrn.rtion 1hrutit
Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal
Sys t:
r- .................
Locatio Address
or o.
..../F ... .. .*.......... + -........g........ ..... .........................................
O Add
w
-..-- -c ...... ----
ss
'� ........................................
Installer Address o
Type of Building �� Size Lg ( f! _. S feet
,, q
aDwelling—No. of Bedrooms............ _____________________________Expansion Attic 010) Garbage Grinder
aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
Other fixtures -•-----•--....._-----------------------
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----------------_--- p g
._-.__ Diameter____________________ Depth below inlet_______...__.__._._. Total leaching area,.................s . ft.q
Z Other Distribution box ( ) Dosing
~" Percolation Test Results Performed by... _ �. !-.__._ ...__ -r` ______.
a
4 Test Pit No. 1................minutes per inch Dep h of Test Pit--: .....___. Depth to ground water.........................
fT Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
O Description of Soil...... ._._.��_.__f --_: ------------
.._ ,
w
x
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 TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
ope?'-- tion
'1 a eni•sate of Compliance has been issued by the board of hea Ii.
_Signed__..:_ `_:. '? ' :... _X.&:1 -
AP Approved By---•-'�.'��"w'�� .........
--- -------•-•---......---...-•--•---••--
Date
Application Disapproved for the following reasons----------------•---...:..._..-----------•--------------•---------..............................................
........--•---•-•.................................•----...__...---•-•---•---------•----.........----...--------•--------•-------••-•------------•-•-----------------------------------------••-••-----•-
�• .. ..
Date
PermitNo............. .... Issued----------------------------------------------
._...
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
0F ;2 .......................
(9rrtif irate of Tougllittnrr
THI�FIIS TO CERTIFY, Th t the Individual Sew Disposal Syste co structed (f'" ) or Repaired ( )
by........... :. . -F...... ... : : -------------------------------------------------
Insta
at................ ...... ..... �Zzx�
......................
has been installed in accordance with the provisions of TI ` of Thff__State Sanitary Code as escribed in the
application for Disposal Works Construction Permit No..... .____ "___�. J_:�' dated_. _ ________________
THE-�ISSUANCE OF THIS CERTIFICATE SHALL NOT BECONSTRUE® AS A GUARA TEE THAT THE
SYSTEM WILL F NCTION SATISFACTORY.
,DATE............ f ......................................... Inspector.. ________-_----------•-----------•---•--•----•------••---•--•----
THE COMMONWEALTH OF MASSACHUSETTS,`
BOARD OF HEALTH
�'`� ........OFs + ._.._. ....................
No......... U
`�'......6... FE .....
Disposal Works Tonstrttrtion,: rrutit
Permission is ereby granted.............. Ar-le........V.i v_! _!.!v_C7_..._____________......__-__.....___........--__....__..................
to Consttrru ) or�Rep ( ) an Individual Sew ge Disposal Syst m
atat
..... ... :1.... r� .r' ,c �
��` I'Street
as shown on,the application for Disposal Works Construction Permit N .. - Dated.`_41f_) ..................
..................... 'r.. ................................................
iUBoard of Health
DATE.._::.; = '�' -•••-••---•-
FORM 1255 A. M. SULKIN, INC., BOSTON
x
DES I.0 DST/-\ s ,v
:SINGLE FAM I L_1Y 3 BEDtZna l`'� I
No frA1Z13ACrE Gt2t1.1 DEtz.. i � �
OA I L-y ;F l-ovJ = l t o x 3 6-33 0 G.P. D. qL I
SEMC TANIL = 330 xISojo % 44s -C-G.P. D• �� ���- ►-z � nor ►3
UbE %00o GAL. -mtu..
b8.-IZZ
DISPOSAL PIT vGC (I) lQoo GAI... N ` ��o eo.B gas
SIDE WALL APLEA S'o S. F. A 841y � I..oT �1 �Q ? �.-"'.7
ISo S:F 2 .S 37S tsP. 0. tS,
�[ 90 S.F.
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FLOW PROFILE v PIPEPE
TOP of FOUNDATION RAISE COVERS TO WITHIN
j -L - 81.90 +- 6 'n OF FINAL GRADE
ONE INSPECTION RISER FOR
LEACHING GALLERY
2- LAYER OF 1/8-
D-BOX 1/2" STONE
3- DROP H-20
FLOW LINE TEE
10" = 14 -
H-20
48' GAS=`� ; ;�::: PRECAST 3/4'-I I/a-
BAFFLE ;,.;.,'d .'3 .:�s DRYWELL STONE
6 in BOTTOM OF
6ISTING STONE \64.18LEACHING SOIL ABSORPTION
EXISTING BASE SYSTEM
EXISTWG
EXISTING 64.35 64.00 GALLERY
Ewsnr� 5.00 fr
IOOO GALLON (END VIEW) J62.00
lz EXISTING SEPTIC TANK 26.a fr al 5 fr k12.5 fr
61 13 f r
ESTIMATED 38.20
SEASONAL HIGH
. GROUNDWATER
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30.56 f t
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SOIL TEST LOG, �. DESIGN CALCULATIONS
DATE OF TEST: JUNE 9. 2003
SOIL EVALUATOR: DAVID D. COUGHANOWR. RS
WITNESSED REQUIREMENT WAIVED - NO VARIANCES SOUGHT DESIGN FLOW: 4 BEDROOMS X 110 GPD - 440 GPD
NO GROUNDWATER E ROGLACIALDOUTWASH SEPTIC TANK: 440 GPD X 2 DAYS - 880 GALLONS
TEST PIT I PARENT MATERIAL:
ELEVATION - 67.50 +- PERC AT 56 in : 4 MIN/INCH IN Cl SOILS USE EXISTING 1000 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL
CONDITION. IF NOT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED)
DEPTH SOIL USDA SOIL SOL COLOR SOL OTHER
INCHES) HORIZON TEXTURE (MUNISELL) MOTTLING DISTRIBUTION BOX:a USE 3 OUTLET .D-BOX.
0-6 O LOAMY SAND 10 YR 5/2 NONE FRIABLE SOIL ABSORBTION SYSTEM: A 33,5 ft x- 12.5 ft x 2 ft LEACHING GALLERY CAN LEACH
6-8 E LOAMY SAND 10 YR 4/4 NODE FRIABLE A b O t - (33.5 x 12.5 ) - 418.75 s f
8-13 A LOAMY SAND 10 YR 4/1 NONE FRIABLE A s d w - ( 3 3.5 + 33.5 + 12.5 + 12.5 ) x 2 - 184.0 s f
13-4$ B LOAMY SAND IO YR 4/4 NONE FRIABLE
Atot - 602.75 sf
48-78 CI MEDIUM SAND 10 YR 5/8 NONE LOOSE V t 0.74 x 602.75 - 446,03 G P D
-WITH TR,4,CE5 USE A 33,5 ft x 12.5 ft x 2 ft GALLERY, Vt - 446.03 GPD > 440 GPD REQUIRED
OF SILT
78-140 C2 MEDIUM SAND 10 YR 6/4 NONE LOOSE
LEACHING GALLERY CONSTRUCTION
DETAIL
GROUNDWATER
—
WIGGINS CONCRETE 500
ADJUSTMENT
� GALLON PRECAST DRYWELL
\\ LEACHING UNPT OR EQUIVALENT
EXISTING GROUNDWATER LEVEL \ - USE H-20 UNITS STONE
BASED ON BARNSTABLE GIS
DEPARTMENT RECORDS 8'-s-X a'-la'X DEPTH
•\ 2 ft EFF. CEPTH 33.5 ft
OBSERVED GW: 35.0
INDEX WELL: AIW-247 N
ZONE: C
READING: MAY 2003
LEVEL: 23.1 Ln rG oLn
ADJUSTMENT: 3.2 f t
NO I C J T C C ADJUSTED GW: 38.2
4.0 8.5' 8.5 8.5' O•
I) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN 11
2) ALL LINES TO BE SCH 40 PVC AND PITCH AT- 1/8 INCH PER FOOT MINIMUM. 33.5 ft 71
3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS
OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15)
4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES
BEFORE EXCAVATING FOR SYSTEM.
5) EXISTING LEACH PIT TO BE PUMPED. COLLAPSED. AND FILLED. OR 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 SEWAGE DISPOSAL SYSTEM PLAN
$) E AND APPLIANCES.N AND BIANNUAL PUMPING MENTAL RECOMMENDS HOFi THE SEPTIC TOANK OW FLOW F1xTUREs �° -TO SERVE EXISTING DWELLING
9) SYSTEM
DESIGNED
TWITHSTAND
VEHICULAR LOADING. DO NOT
PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. ROBERT, & VERGIE WAKEFIELD ..
10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. 78 HELMSMAN DRIVE CENTERVILLE. MA
II) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL
STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH ECO-TECH ENVIRONMENTAL
SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING
1 2) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED 43 TRIANGLE CIRCLE SANDWICH _MA 02563 a Fr=
FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE. "�"- " `
ETE-1424 JUNE 12. 2003 2/2