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HomeMy WebLinkAbout0075 HIGHLAND DRIVE - Health 75 Highland Drive Centerville A= 190-049 P S M E A D No. H1630R UPC 10259 smead.com • Made In USA 407 �'�tsr OL i Town of B hmstable. P# oft . Department of Regulatory Services -- ]Public Health Division Bate KAS&ETABILKI i6 p ems$ 200 Main,Street,Hyannis MA 02601 flfD µ)'1� i• Date Scheduled Time Fee Pd. 6b ,,foil Suitability Assess M"ent'fop Se age Disposal � ,�Performed By ]:�rry-M Witnessed By: 3 LOCATION & GENERAL INFORMATION Location Address'. t� �. �}17,6 V� ' Owner's Name I tip✓ 7S RIG" �)?V L U[ I Address Assessor's Map/P4rcel: 1 q b/V 7 1 I Engineer's Name NEW CONS1RUiION REPAIR Telephone# <,M 3(r�2 2Z 1 Land Use o✓Env / Slopes.(.'.) 6- ° b Surface Stones Distances from: Open Water Body 7 U ft Possible Wee Area 7�p6 ft Drinking Water Well 7� ft . y Drainage Way ft Property Lin!c �>/o ft Other ft 125.°° ft SKETCH:(S 'es) to 50 W , 1500 n• SNSQ ~ PRE w W�pic —W—'—'—W—' LL > o o ° z Z t r 01, h 0 w 1— w to p a Wo to ft II _ W C) ~w ° zo ft o Sa ---------- QPAVED DRIVEWAY 't1 / b y --------------------- [SH�ED L 125.00 ft `g ,(j� I Depth to Bedrock /•/� Parent material(geologic) 4 I Depth to GroundwaterStanding Water in Hole: Weeping from Pit Face. Estimated Seasonal;High Groundwater — DtTERMINATION FOR SEASONAL HIGH'WATER TALE Method Used: in. Depth to sall mottles: In Depth Observed standing in obs.hole: — it- Depth toweeping from side of obs.hole: itt. oroundwnter Adjustment Index Well# _ Reading Date index Well level ! _ A .fjetor.� _v. Adj.Oroundwaterlevel.,,,,e, I . PERCOLATION TEST ' DatpIme Observation I Time at 9" ..-- Hole# i 3� Time at 6" Depth of Perc / I Time(9"-6") Start Pre-soak Time.@ /6 End Pre-soak t - L 2MM lv1G� ! I Rate MinAnch Site Suitability Assessment' Site Passed Site Failed; Additional Testing Needed(Y/N) y Original:.Public r.-e;ilth Division Observatiot Hole Data To Be Completed on Back ***If percolafiidn test is to be conducted within 100' of wetland,you must first notify the Barnstable C40servation Division at least one (1) week prior to beginning. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other ,f .Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel v`t—��l A' f n� 'i 31'`' 6 to ma avid 2.5 Gll` DEEP OBSERVATION HOLE LOG Hole,# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) 3100 Ad d• 7 • l0 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consist encv.%Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consisten Gravel) Flood Insurance Rate Map: - - Above 500 year flood boundary No— Yes Within 500 year boundary No Yes Within 100 year flood boundary No I/ 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? G If not,what is the depth of naturally occurring pervious material? Certification / I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis-was performed by me consistent with the required tr 'nin ,expertise and experience described in 3,10 CMR;15.0117. Signature Date J �� 0:\.SEPTIC\PERCFORM.DOC TOWN OF BARNSTABLE LOCATION 125' SEWAGE# ,�O//"/3 > ,VILLAGE ASSESSOR'S M`AP&PARCEL /�10—Oy9 INSTALLER'S NAME&PHONE SEPTIC TANK CAPACITY /SOO LEACHING FACILITY:(type) 6W 66/C#Ae- rVi (size) oZS"V (0'1.'S NO.OF BEDROOMS 3 OWNER PERMIT DATE:. 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 I002 _ ell Li #9 3 • i No. '2-0 Fee UU THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: j PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zippfication for 30isposai 6,'stem Construction Permit Application for a Permit to Construct( ) Repair(K Upgrade( ) Abandon( ) KC omplete System ❑Individual Components Location Address or Lot No. rjs �S �n ��� Owner's Name,Address,and Tel.No. 6 ERv Assessor's Map/Parcel 1 Qo t4a6rtLa; b r. CcZ+ S 089 6 Installer's Name,Address,and Tel.No. 5 6%_ya g Designer' dame,Ad re s and Tel.No. 6�-a ZI—C-C (�0.Ca W b!d SS d Q ' F1MUt Z t ce .2%2ol 8" tb� Sl:. ObCeru,[L of o CO3� U<SAn aAS37 Type of Building: ► l u - 0^ 7 '^ e.s / zone, CG,,\ AK 3 ivu�j Dwelling No.of Bedrooms 3 Lot Size /SOo sq.ft. Garbage Grinder(,/, �S�PJ[t°Fl Other Type of Building No.of Persons Showers( ) Cafeteria( P s Other Fixtures eZ(B�Pt�x���� Design Flow(min.required) -23 O gpd Design flow provided gpd Plan Date A267- 6, oZ O / Number of sheets CZ Revision Date VV Title Size of Septic Tank 1500 67l Type of S.A.S. 5L 69I CHAM,( — 02 aSx ld�' Description of Soil 09,5 f: .61AA( Nature of Repairs or Alterations(Answer when applicable) &V-f F/lCy� CC.SSpoo/s `012glY11-'W d�74-1 bf 6n(. CtfAwt6a2S 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. Si t4,laDate jy D ?O/ Application Approved by Date Application Disapproved by Date for the following reasons — Permit No. 2° I /3 / Date Issued o � No. �� �� 7 '. '-- Fee UU THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Y es PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS .4pliration for Mispoed 06tem Construction permit Application for a Permit to Construct( ) Repair(kj Upgrade( ) Abandon( ) Complete System ❑Individual Components , Location Address or Lot No. S Owner s,Name,Address,and Tel.No. Assessor's Map/Parcel I qo _ U d Installer's Name,Address,and Tel.No. p 4_ 1 Designer's ame,Address and Tel.No. - - �,,,,�vcc `G°Z I�.•v�i :al. C�7�cr_+{�r � �� l"�.G CuY, ��� �:.�r��1 �L.:�4.� f,� ���� Type of'Building:YP g: �J u S l� (I' of y �° s �� �dnP Can �+hve 3 tia,HS. i Dwelling No.of Bedrooms Lot Size /.500 sq.ft. Garbage Grinder(gyp #55<I f-1) Other Type of Building No.of Persons Showers( ) Cafeteria( j S b C'IS Other Fixtures Design Flow(min.required) O gpd Design flow provided �/a7 , S gpd Plan Date /JA y 6, O// Number of sheets of Revision Date Title Size of Septic Tank 1 a rU0 6.1/. Type of S.A.S. p0 64 ('NArvIISr''2e — cR Description of Soil % . kAl Nature of Repairs or Alterations(Answer when applicable) 2 Vit)-i 1 � 1j t�vY t( --a- JGGGe1I. CH�li1+��c2s 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. Si `" r. 1. 'I. Date �% D 6 Application Approved by Date Application Disapproved by d, Date for the following reasons Permit No. d `/3. / Date Issued dV THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of (Eompliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by of i�r I , C CU V T at %S- //r it,//1A r tY hfr', - ce, Ile has been constructed in accordance with the provisions of Title 5 `and the for Disposal System Construction Permit No. 2 0//`/ ] dated Installer11 Z-(,Cc: 6C�CCM \,( Designer ,k-,A f—r k( h cj cjf #bedrooms 3 Approved design flow .3-//Jj.--�1 5 gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. 201(-137 Fee Ido THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal *pste�m Construction J)Prmit Permission is hereby granted to Construct( ) Repair(Y) Upgrade( ) Abandon( ) System located at �/J }Jj(H i N H d �rc C v IN/ 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 mus be c pleted within three years of the date of this permit n� Date S /o /r Approved by (j f i 'i Town of Barnstable Regulatory Services Themas,F.Geilier,Director ' Public Health Division Thomas McKean,)Director _ 200 NAIn Street;Hyannis,MA 02601 Office: 50"6246" Fax: SW790-6304 _ttstaDer& igaer C fi®II lrr 7 Date: 8 Sewage PermWr# 6o//--/37_ a rls�rApT rcei 90 OJ IDeAgner: ,1�22F rc/ rlEy�2 ,e S �-r Instalier- �Bryice 1 c co.t Address: ,/.D. �5o A. q8 Address: 8'? (moo rw( (ST EASI vAn MA QaS3°7 On_�f�O ao,,! Bmc`t(o..c�L-,a L�r was issued a permit to install a (dare) (installer) septic system at?� �6H`��,en %� based on a design drawn by (address) dated PIA-A 6 ao c c (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 andlor septic tank. I cern y that the septic system referenced above was installed with major changes (i.e, greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State& Local Re Plan revision or certified as-built by designer to fallow. �I A or MqS� DARKEN A A E`'E N (Installer's Simature) e sTER� IJAPOPa j signer's Sign ) (_Affi�s Designer's Stamp Here} f PLUS U TO S'd' LE__pjMg M1I T}t Y?dVDS10M. CETIF�C OF COMPLIANC& WILL NOT BE MEJERANTIL BOTH THIS At!® AS-OVILT CARD A IECEIVED BY THY BAIL^�5T.ABLE€'G'�AC HEALTH J3FVISI®4 TRANK 1 OU Q:H=IWStp kIDcsiSner Catif=ion Fe m 3-26OAac 7 TOWN OF BARNSTABLE / s LOCATION 6 14-�Lt l/4i4,�pp 9��t SEWAGE # VILLAGE �- �lz l ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY TA,,1fe(-, LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER I P,;J ���( � Ott:lie a ► PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist ��Nlv Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching f ili ) ©�J Feet Furnished by 1(X9 30 PoRCL-W I� 75 s" -- 4 C NTERVILLE LEGEND °6 � s PROPOSED CONTOUR 9cF F, E PROPOSED SPOT GRADIt SITE 51 � o —— gg —— EXISTING CONTOUR • + 96.52 EXISTING SPOT GRADE s h G W— EXISTING WATER SERVICE TEST PIT NF S EX15t. C655FOO15 J Xr 0 (see note 10) '—u ft R LOT 13 LOCUS MAP AREA = 15000 sf +— LOCUS INFORMATION WATER GATE TITLE REF: LCP 99572 --wl . a — PARCEL ID: MAP 190 PAR. 049 � o -_ �o IN ZONE II O � N ,.,_?,) 60 T Q 60 Z+ H-2 SEPTIC SYSTEM REPAIR PLAN J L,-co LOCATED AT: Lij 58 \\. x O�� -- q 75 HIGHLAND DRIVE ` °J '° ft CEN TER VI LLE, MA Q W PREPARED FOR q�ED DR/vcwAr 20 ft PHILIP H . FIELD Z r - �o ` MAY 6, 2011 o 0 N Q1 � 56 �\ � c�P�,` OF s`S9 No. 1140 S4NI TAR\Pa SHED BENCH MARK TOP OF CONCRETE ld 12S_ BULKHEAD CORNER PLAN ELEVATION = 61 .17 DARREN M. MEYER, R.S. ` BARNSTABLE GIS DATUM SCALE: 1 in = 20 ft 56 P.O. BOX 981 20 0 2a 40 � I 58 EAST SANDWICH, MA. 02537 ,0 2a PROP. I5000 (508)362-2922 SEPTIC TANK SHEET 1 OF 2 J 1317 ELEV. TOP ' FOUNDATION NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS (Existing) FINISHED GRADE (60.0) 61.11 F.G.EL: 60.50 F.G.EL: 60.50 F.G. EL: 60.00 A MAINTAIN 2% MIN SLOPE OVER LEACHING AREA «` M 2" OF 3/8" DOUBLE WASHED 3/4" - 1-1/2" STONE OR FILTER FABRIC DOUBLE WASHED STONE A 6„ 4" SCH 40 PVC LLI, 14, 6 MIN. ®®®®®®®®®®® S= 1% ®®®®®®®®®®® ' TEE'S ARE TO BE INV.57.20 :Y 4' SCH 40 PVC 2 E�F. DEPTH ®®®®®®®®®®® :.'r.::A :•: N I V.57.75 I NV.57.0 4' 2 X 8.5' .4' = EXISTING OUTLET BAFFLE PROPOSED DB-3 EL.58.61 "' H-10 DISTRIBUTION BOX EFFECTIVE LENGTH 25' INV. ELEV.= 56.75 INV. 58.0 PROPOSED 1,500 GALLON SEPTIC TANK GAS BAFFLE TO BE INSTALLED ONMgss9 BREAKOUT OUTLET TEE AS MANUFACTURED BY o DRJ TOP CONC. ELEV.= 57.25 ELEV.= 57.25 TUF-TITE, ZABEL, OR EQUAL ` EY -a " No. 1140 "' INV. ELEV.= 56.75 •®® O ®® NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING ®®®®®®® . ®®®®®®® PIPE INVERTS PRIOR TO CONSTRUCTION �PE�jt ®®®®®®® 2) TANK AND D-BOX SHALL BE SET LEVEL AND TRUE S4NITAR\P� BOTTOM EL.= 54.75 3.75'Eff®®5 FT.®® 3.75' TO GRADE ON A MECHANICALLY COMPACTED SIX �`1 INCH CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2) SEPARATION 6.08 FT. EFFECTIVE WIDTH = 12.5' 3) INSTALL INLET & OUTLET TEES AS REQUIRED SEPTIC SYSTEM PROFILE BOTTOM OF TESTHOLE EL: 48.67 _ SOIL ABSORPTION SYSTEM (SECTION) (500 GALLON LEACH CHAMBER (H-10) LOADING) DESIGN CRITERIA GENERAL NOTES: SOIL LOGS P#:,3262 NUMBER OF BEDROOMS: 3 BEDROOMM I. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) BOARD OF HEALTH AND THE DESIGN ENGINEER. DATE: MAY 6, 2011 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DESIGN PERCOLATION RATE: <2 MIN/IN OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE SOIL EVALUATOR: DARREN MEYER, R.S., CSE #1614 LOCAL RULES AND REGULATIONS. WITNESS: DONALD DESMARAIS, B.O.H. DAILY FLOW: 110 G.P.D. X 3 BR = DESIGN FLOW: 330 G.P.D. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR GARBAGE GRINDER: NO (not designed for garbage grinder) DESIGNPENGINEER DAPPROVAL BY THE BOARD OF HEALTH AND THE SEPTIC TANK: 330 gpd x 200% = 660 gpd USE PROP. 1,500 GALLON SEPTIC TANK 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING Elev. TP-1 Depth Elev. TP-2 Depth FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 330 = 445.94 S.F. A ENGINEER BEFORE CONSTRUCTION CONTINUES. 60.00 0" 60.10 0" (LEACHING AREA REQUIRED: ) 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. LOAMY SAND A LOAMY SAND .74 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 59.33 IOYR 3/2 8" 59.52 1OYR 3/2 7" THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF B B USE TWO (2) 500 GALLON PRECAST LEACH CHAMBERS W/ 4' STONE HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. SANDY LOAM SANDY LOAM + + + 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 10YR 6/8 10YR 6/8 ON SIDES & 3.75 STONE ON SIDES: 25 L x 12.5 W x 2 D 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED BOTTOM AREA: 25 x 12.5= 312.5 SF TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. SIDE AREA: (25 + 12.5) X 2 X 2 = 150 SF 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE 56.75 39" 56.94 38" THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING C ! C TOTAL SQUARE FEET PROVIDED = 462 vs. 445.94 REQ'D CONSTRUCTION. i DESIGN FLOW PROVIDED: 0.74(462 S.F.) = 342.25 G.P.D. vs. 330 G.P.D. req'd 10, EXISTING CESSPOOLS TO BE PUMPED, CRUSHED AND FILLED PER TITLE 5. PERC O EL 55.42 MEDIUM SAND MEDIUM SAND 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 2.5Y 6/4 2.5Y 6/4 PROPOSED SEPTIC SYSTEM UPGRADE P LA N 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY f AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY ' 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. 48.67 136„ 49.10 '32" 75 HIGHLAND DRIVE, CENTERVILLE, MA 14. NO WETLANDS WITHIN 150' OF PROPOSED LEACHING. PERC RATE <2 MIN/IN. ("Cl' HORIZON) Prepared for: Philip H. Field 15. ALL PIPING TO BE 4" SCH 40 0 1/8"/FT (UNLESS SPECIFIED) NO GROUNDWATER OBSERVED Engineering by: Surveying by: SCALE DRAWN DARREN M.MEYER,R.S. DM M I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 EcoTeCh 11nv. Survey N.T.S. to conduct soil evaluations and that the above analysis has been performed by me consistent with the PO Box981 (508) 367-8097 DATE SHEET NO. requirements of 310 CMR 15.017. 1 further certify that I have'passed the Soil Eval. Exam in October, 1999. EAST SANDWICH,MA 02537 CHECKED 508-3622922 05/06/11 DMM 2 of 2