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HomeMy WebLinkAbout0130 HIGHLAND DRIVE - Health r' - 130 Highland Drive Centerville A= 190-- 135 ill � UPC 12634 .2.153E I IL TOWN OF BARNSTABLE LOCATION 130 % /�r � � SEWAGE# Zo P ZF/ ;L VI AGE C���V&rAe ASSESSOR'S MAP&PARCEL/—%® A J INSTALLER'S NAME&PHONE NO. EyIdA00t Y SEPTIC TANK CAPACITY d LEACHING FACILITY:(type) 2 s- NO:OF BEDROOMS 3 - OWNER ew—eC,IJ G� M1 PERMIT DATE: /7 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 pyy���Z qZn ,dl . .. 1Ay , 33 S's AS" 3`1 �" ® (D �a . s3' 4 No. L l 1 1 Fee THE COMMUNWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIpplicatiou for Disposal *pstem Construction Permit Application for a Permit to Construct( ) Repair(grade( ) Abandon( ) [:]Complete System ❑Individual Components Location Address or Lot No. 4�`� P4^� er's Name,Address,�d Tel.No. (�0 FAQ Key Assessor's Map/Parcel ,56—lg, — Install 's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. lj✓�w fC p rr ,y S-cam . /- a..,.� D rc. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures a �a Design Flow(min.required) y� .5 o gpd Design flow provided_ 7 3�►� gpd Plan Date —3 f( Number of sheets Revision Date Title Size of Septic Tank f T _Type of S.A.S. Description of Soil v Nature of Repairs or Alterations(Answer when applicable) �✓j 6./ - h lil / Aey 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 1 e the system in operation until a Certificate of Compliance has been issued by this Board of Health r� Signed— Date T'ZZ'1/ Application Approved by Date Application Disapproved by Date for the following reasons Permit No. ( ✓ � � Date Issued �• >,,•,,...s.p. "sd,rw.i'*••.,•St .,.,..rt'�,e. -:s avi ,.:WV No t , : No. Fee 00 i\ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 4 ' 0[pplication for Misposaf *pstem Construction Permit /F 14-1- vt Application for a Permit to Construct( ) Repair grade( ) Abandon( ) ❑Complete System ❑Individual Components ` Location Address or Lot No. 1�° •V PS"' ,a Q er's Name,Address and Tel No. \4qQ e� k Assessor's Map/Parcelf 5(j--f�5 MA (Aeh.7"kh Instal�lljjer's Name,Address,and Tel No. 1 Designer's Name,Address,and Tel No-- 5ok 361/ °�C-e7 Type of Building: Dwelling No.of Bedrooms �3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building .No.of Persons Showers( ) Cafeteria( ) Other Fixtures / Design Flow(min.required) 3a gpd Design flow provided �d 3Ng o `er' gpd Plan Date �~3 l Number of sheets 2.- Revision Date Title Size of Septic Tank L 7 ^Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answ&when applicable) �.� rj*{l r// �G� JX y i 4 k t-,4, go OL st -2 ly✓L f Date last inspected: Agreement: i 4,Z 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 Healt Signed Date Application Approved by A-, Date Application Disapproved by Date for the following reasons Permit No. fl.-o Date Issued �'�.(`7 �— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS k Certificate of Compliance -..Anvw, THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(✓� Upgraded( ) Abandoned( )�b/y V e 136—Q✓1 0 •"' a I.- ,f(ot re, /X at �3 , �ow � D 9 has been constructed in accordance with the provisions�f Title/5 and the1 fo�isposal System Construction Permit No. dated Installer r-�^'`?R r/ �l'� !`"� p Designer s �H of #bedrgoms Approved design flow gpd The'issuance of this permit shhll not be construed as a guarantee that the system ill func'on as dai ed. - ' Date - Inspector ------------------------------------------------------------------------------------------------------------ No. o Fee (oD l .. .—�..� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposal *pste (Construction Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at Z_2>0 /' .A 40111 �d 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. M Provided:Construction must be completed within three years of the date of this permit. /�,� Date / l Approved by J '` I/ s Town of Barnstalaale s regulatory Services Richard V. Scali, Interim Director' * * snaxsTaaLE, MASS. Public Health Division Thomas McKean, Director 200 Main Street,Hyannis,MA02601. Office: 508-862-4644 Fax: 508-79M304 8 Installer& Designer Certification Form 1 Date: 1 Z 3[i 7 Sewage Permit# Assessor's,Map�Parcel J�O—i �� `T r Designer: � War-�ts� n Installer: �, # Address: !Z W, C rb ss-p, fZ4 Address: I>> 4— T-o e s Vgka Q5-- 0 On PA,/e,c `r �'Gw as issued a permit to install a (date) (installer) t septicsystem at 136 PC'S h[gnd s' < vO t✓ f� based on a design drawn by ei e ►, IM C G�+ 2 i(, (address) j (fir Lu /ti C , dated (designer) I certify that the septic system referenced above was installed.substantially according to the .design, which may inc.lude.minor approved-changes!such as lateral.relocation of the distribution box and/or septic tank. Strip out (if required) was. inspected. and the soils were found satisfactory. r T certify 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 Regulations. Plan revision or certified as-built by designer to follow, Strip out (if required) was inspected and the soils were found satisfactory.. a I certify that:the system referenced above was constructe nce with the terries. of the IAA approval letters (if applicable) �►�►+ PETER.T. Mc(EgIV�T1EE. w CML (Installer's Signature) NO-'a51% AFC/STER (Designer's Signature) (Affix Designer tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE' OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QASeptic\Designcr Certification Form Rev 8-14-13.doc Town of Barnstable P# �.� �C Department of Regulatory Services Public Health Division Date -7 � # ,f7 wSTABLE,• w - � MA89, i A 16J9. �e� 200 Main Street,Hyannis MA 02601 i Date Scheduled /3,////' oo � 4 c �` Time Fee Pd. ••��_ „0 0 Soil Suitability Assessment for Se e Di.posai "• ^J-e / t 4 Peiforrtted 13y: � ��c tom'''` t �- � �� Witnessed By LOCATION& GENERAI,INFORMATION r, Location Address ® ( /C�r�41 r� Owner's Name Address �lv K:"aj-f CVCa �-- f--f y c 1 n ,!z /mil 4 ( 6 0 LAssescr's t,tap;Parce l qQ 1 � Engineer's Name q i NEW'CONSTRUCTlON _REPAIR 1)4, Telephone# S-C?-'7',3 Land Use 1�QS i j-k Vt-jJ q(� *a ��' �'3 iAe Slopes(4'0) � Surface Stones �_ Distances from: Open Water Body N �- ft Possible Wet Area�f a ft Drinking Water Well / v�� g �ft. Drainage Way A-)j ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) e Parent material(geologic) tJ fojc{f Depth to Bedrock. Depth to Groundwater. Standing Water in Hole: A40AA, Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: _ Depth Observed standing in obs.hole: __- __ in, Depth to still mottlus: in, Depth to weeping from side of obs.hole: ._in, Clrnlmdwntzr Ad;!tstment:z�_- _�.e €. `[ndez`61!4 " Reading Date: Index Weell level! Atli•factor Adj.Groundwater Uvel =o PERCOLATION TEST bgtg 'Plnitt o�, Observation Hole# `Z Time at 9" Depth of Perc �✓ �� Time at 6" Start Pre-soak Time @ �. J. f� Time(V-0) End Pre-soak Rate Min./Inch. Site Suitability Assessment: Site Passed 0-C — Site Failed: Additional Testing Needed(Y/N)' Original: Public Health Division Observation Hole Data'ro Be Completed on Back----------- i ***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:kS EPTICIPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. _ Consistency.% ravel 16 DEEP OBSERVATION HOLE LOG Hole# �° Z Depth from Soil Horizon Soil Texture Soil Color Soil , Ot her Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%gravel) -3tr Q . C15 e ylZ*-g � 6 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) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,% m Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes -� Within 500 year boundary No All Yes Within 100 year flood boundary No Yes .„ Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pery ous material exist in all areas observed throughout the area proposed for the soil absorption system? es If not,what is the depth of naturally occurring pervious material? _...,. Certification I certify that on /I' (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 training,expertise and experience described in 3 10 CMR 15.017. Signature._ a=-y Date.-?-43Vl Q:\SEPTIC\PFiRCFORM.DOC TOWN OF BARNSTABLE m LOCATION )2c, L,'�A ) SEWAGE # SZZ. VILLAGE P h / 11111 e ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. HA SEPTIC TANK CAPACITY LEACHING FACILITY:(type) %; (size)--4 6rllcl NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER DO BUILDER O WN�ER 41 DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 0- 7- VARIANCE GRANTED: Yes No r .. ,. .. � `iy� �� - 0 =q .�� �� _ � _� � Q a� � � ��' �� . . � `. .. f � . 76 Fes$......... . : .... THE COMMONWEALTH OF MASSACHUSETTS BOARD -OF HEALTH TOWN OF BARNSTABLE Appliratiun for Uivi-Vu!3Ml Murky Tunitrnrtiun Prrmi# Application is hereby made for a Permit to Construct ( ) or Repair (o/j an Individual Sewage Disposal System at: .....1 ® 1 .. 9�✓ ....... ------------•...........................•---- Location-Address or Lot No. ............................................. ------------------------------••-----•---••--•---=---•---•-------••---•-----------....---...•..._. • . Owner Addres Installer Address UType of Building Size Lot............................Sq. feet � Dwelling— No. of Bedrooms-------------3-_____._----..__-----. ....Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons-------------------------- Showers ( ) — Cafeteria ( ) Q Other fixtures -------------------------- W Design Flow------------------/./.O-...................gallons per person per day. Total daily flow--------------33-D...................gallons. WSeptic Tank—Liquid capacity_jana-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 ( ) 0.4 Percolation Test Results Performed by.......................................................................... Date........................................ Test—Pit--No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water-----------i0''0'' „ GZq Test Pit-No.2................minutes per inch Depth of Test Pit.................... Depth to ground water.-..__---__________-__. •-----•-----------------------------------------------------•----__---•----•-----•--___-____________---------------------- _---------------••-•--------------- 0 Description of Soil...............................................................................................................-........................................................ ` x U x --------- --------- U Nature of pairs or Alterations—Answer when applicable--_� ,SY I� a� o.FA--_,maa..G I-__���i ..TA,Jk- Ayit.,&x__..:.i......H akl,,I) ------i�o....r c, -J �_t�s G.2.sr_LFay. LP---�..2_stZJE 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 been issued by the b and of health. Signed SiDp ------ ...... - - --- --- .................. ......5... . ....9. :...... �yre Application Approved By .............6efolloJilng , 'Application Disapproved for the reasons: ........................:.......................................................:. - ---------------- ----------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- ----------------------------------- Dare PermitNo- -------------------------------------- ----------------------- Issued --------------------------.......- Dvt Fmc THE COMMONWEALTH OF MASSACHUSETTS BOARD- OF HEALTH TOWN OF BARNSTABLE AVV irtt#iott for Uht-,Vostti Worlm Tonitrur#ion Perini# , Application is hereby made for a Permit to Construct ( ) or Repair (yr an Individual Sewage Disposal System at K ......�. © r .1_ ..._. .. C�tl �. ur1 I. ...... .............................................. . - --- ---- Location-Address or Lot No. ............................................a 4-------------�- ---------•-•------••-------_--------- . ---•----------......---.......--•--- � � 1r Owner Addre ..:.---------------------------------------------------- ..... 9--- .m PR ?:,!e Installer Address UType of Building Size Lot................ Sq. feet .., Dwelling—No. of Bedrooms-------------3----_-_-._____-___--_..__--Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers Cafeteria ( ) Other fixtures .... -------------------•------------------- W Design Flow-.•_______________110...................gallons per person per day. Total daily flow-------------.33-47-___--_-_____-__---gallons. WSeptic Tank—Liquid capacity./oao..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 ( ) Percolation Test Results Performed by.------------------------------------------------------------------------- Date........................................ W Test Pit No. 1----------------minutes per inch Depth of Test Pit..._...___---------- Depth to ground water...........:o .......... fZ4 Te'st Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R; ...........................................••-•----------------•-...._...---•-••-----.........................------------------ ------ •--....... .------ 0 Description of Soil.................................................................................. ------------.-----•-•--------------...------------------ ........................ k4 V ....................•--•---------•----------•---------•--•-•••---••-------•----•------------•-- •-•---•-----•----------••---••-----•---••-----•-•-••----------•...-------•-------------•--......----•---- W x •••-••-•--••---------------------------•----------•--------•--------•---•-------------••------•---------••---------------------------••••------•---••-------------•••-•-•--•-------•......------•. ---- U Nature of Repairs or Alterations—Answer when applicable._. ,zsYA.tt �c. _...c�F_�4_....!oc?!?---i&4...: 9:.6 C.. �o0.....r...... 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 been issued by the board of health. Signed ...... l t� n�)... ' t..... --------- -- ----- -------------- ....,51--- - Date Application Approved BY ./.r�r1a�.�,,,- - -------------------------------------------------.. . = .. Application Disapproved for the following reasons- ------------------------------_..........----------------------------------------------------------..._ e__------._------ r Date PermitNo- ------------------------------ ---------------------------- Issued ------------------------------......------------------------------- Dare _____---._--_ ...._`—__ ....., — __---_—--- ---__..___ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE u- Prtilfi ate of compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by .........................................-------.....---------------------------------------- ..........._.... ........... . ........._........ - .......... -- at ----------------------------------------------------------------1..3.o /1l .Js 1 �1.--. ��...g....... E.ec,!f1u.l�-.t1.1.1.� ---------- ---------------- ------------------------------ has been installed in accordance with the provisions of TITLE 5 f The State Environmental Code as described in application for Disposal Works Construction'Permit No. .....L K......_.s�3.f�....... dated ----------------------------------------------- the THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE----- %.. "... .�.'�....�/�----G-�--------------------- Inspect r _........ .....------------------------ ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE / �io�nsttl ork� ��it�#ri�r#ilan Perini# Permission is hereby granted.......... .................I•�� c•:.._....._.... ... f--------••-•----•--••--------••-----------•---••---•••-•----•............. . to Construct ( ) or Repair an Individual Sewage�isposal System l3a �1/I �. -vr�. .44�.. _.C'�"�:I_ .5kyi l .................................... at No. :! r .. Street q as shown on the application for Disposal Works Construction Permit No._7Y:::a3.0_ Dated-------6__'__ ........ .......... ......------------- ...____•______. F ............................................. e, B d o of Health DATE........................�--`---I--^---�y........................... FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS Fizs..�....30.00............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Diipuuai Works Tunstrnrtiun Vamit Application is hereby made for a Permit to Construct ( ) or Repair (X)) an Individual Sewage Disposal System at: 130 Highland Drive Centerville ..............................•------•--•-----------------•- - ...... ...- --..... - - - .._..............- B lume t t e Location-Address or Lot No. __.................. ... -------------------------------------------_--•---•---------------------........... wne Address w �a �1N1,1► c Installer - Address d feet Type of Building Size Lot___________________________S q. U DwellinjT No. of Bedrooms................3..........................Expansion Attic ( ) Garbage Grinder ( ) P4 Other—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) fs, 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 ( ) Percolation Test Results Performed by--------------------------------------............................-------- Date........................................ a Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water_•-__--------__---._--- fr4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_-.___-----_---___------ f:4 ...............................................-.......-.........................................................•.................. ODescription of Soil........................Smut'-•&---C Y avl=_i--•-•-•-----•----•--•••-••----•-----•------••••••-•-•--------•....--•-•-•-•--••-•-••---•-•---------------- V ...........................-........-........................................... W U Nature of Repairs or Alteratio — wery na in ; 1t;- AA c l plTeV ..•-_.. 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 be i ued b the boar f hea Signed .. . . . . ------ ..11/2 /�0......- . r�.�x Date Application Approved By ........ ------ � c1 ----- --- ........... ................................................... Date Application Disapproved for the following reasons- --------.........................................................------------ .....................................-------------- --------------------------------- c� PermitNo. ......... Q--'.. ag,---------------------- Issued ........................................................ ti No.--; G F�$... ...30.00 THE COMMONWEALTH'O�'"MASSACHUSETTS ; t BOARD .OF 'HEALTH TOWN OF BARNSTABLE AR iration for Dtiputia1 Works Tnnitrnrtion Prrnnt Application is hereby made for a Permit to Construct ( ) or Repair (X.)o an Individual Sewage Disposal System at: - 1 .............Highland - ---- ......................4.... .....•-------------•••--------••••......•--•-•----•---...-••-•------......._._-•-•-•_.......•••... B lute t to Location-Address or Lot No. - �; _... . ............ •••.....J.-------•--•---- --------..... -.--......_ -------•-------•----..............-- I �'�'" ,�Owyner l Address Installer Address S feet d Type of Building � --'� --- -" Size Lot__1..................._,__ q. U Dwellinxx�No. of Bedrooms .....Ex Expansion Attic a g' -------------------- p ( ) Garbage Grinder ( ) Pk Other—Type of Building ---------------------------- No. of persons............................ Showers+( ) — Cafeteria ( ) Otherfixtures ------------------------------------------------------------------•----•----------•---- ............................................................. 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 ( ) " Percolation Test Results Performed by------. ----•-----•----- Date........................................ Test Pit No. 1................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........................ =--------•........................0......•......................................................... 0 Description of Soil-------------------------- x ,aIT6..hC- GraOyu:t------------•----- _ V .--------------•--•-•---------•-----------•-----......--•-----•-•---._....----------......----•--•-------•••••----•---------•---------•••-------•--------......------....------------•...........-------- W ------------------------------------------------•-------------------------------------------•--1-I----------------------------------------------------•--------------------------------------------------- U Nature of Repairs or Alterations l 1000Answer er W n app cable--rid---p t----•-•-----------------•----------------------------�--------•••--- -------------------------------•---------------•--- --....------------......--=-------•-•--•---------•---.....-----------------•-------------•-------•--------------------------. d 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 Compiianceihas bee iS ued b�theoard,of health., . J Signed ... ..-- r........-,1._/_.................... --7 1�28� 0-------- �r -- ITace Application Approved By ----- -------- �,, ... c.. -r. .. ............ ............................ 1/-. g . ---- Dace Application Disapproved for the following reasons- -------------- ---------------------------------------------------------------------•--------...............-----------------_-_-- ------------- -- ------------------ -------- --------.............................. ------....................................................................................... ..........- 1.......................... k d Dace PermitNo. ........,9��1........�.ao ....................... Issued .......-----------.................-.-----------....------------- Dare THE COMMONWEALTH OF MASSACHUSETTS *a BOARD OF HEALTH TOWN OF BARNSTABLE Certift ate of Tompltanve 'T-H-IS/I T CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XX ) by �, at ---------- ------------------------------------------- -------------.......----......... ...---------------...... ---------------- 130 Hi ,hland Drive Centerville Installer ..................... ---- . .....------...........-----.....--------.....--------------------..........................................................._.... ----......--------------.......--...------------. ---- --- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ......., £. r 7,;_.-.)......... dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU Dr-A-S A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-------- ....-.-1...-". - ---------- ---- -------------------------------- Inspector ..........V..............................tI ................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH qq No.... TOWN OF BARNSTABLE FEE.......--30-•........0.0 d f2.:���... ..... i3topogatAiVorks $11q,, s#r ivn PermitPermission is hereby granted. t.K.W.4� ���-tV. - .--••........................................................... to Const�ru3c (H�ggilaNgir(� )ve ," n'tderv- yage Disposal System atNo.. ........... .................... Street as shown on the application for Disposal Works Construction Permit No..yA\.fj 0,:.1... Dated.......................................... .................................`\�\V `LOY-)......................................................... e� �} DATE.....................I../..:. :!1.._"..(1.......i ........................ Board of Health FORM 36508 HOBBS&WARREN,INC..PUBLISHERS i LEGEND N Woodvole Ln °oa\etOn V 44 -_ e / P - EXISTING CONTOUR to s • Go / � a EXISTING SPOT GRADE coot." 99,18 99,68 � .• x 100.98 � R_75.00 100,08 W EXISTING WATER SERVICE o 1-7 - - I G EXISTING GAS SERVICE LOCUS $ Greot Marsh Rd Z $H.W. OVERHEAD WIRES Y / & TEST PIT / LOT 35 / 100•21 ti BENCHMARK `a+ h% / 17,414±SF r PARCEL ID: 190 135 o, r `� DRIVEWAY. 100,69 r o'e / x �� \ P i . ::.... Z ;�''•:.: 100.89 Crl Q G S x 101,30 \\y�00 Ll ° /� :w w s gyp,, LOCUS MAP ease ) 101.36 NOT TO SCALE 100.36 101.41.••. 101.13 �y x /EXISTING - +� Ir � . HOUSE 130V 100.25 T.O.F.=10 .44f 101.77vd� �P GENERAL NOTES: \ DRIVEWAY 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL C'� // \\ \\ H.*'101.38 BOARD OF HEALTH AND THE DESIGN ENGINEER. 101.01 + 2• ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS EXIST. OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE \\SA.. \\ BM LOCAL RULES AND REGULATIONS. / VbPP ) \ 101.13 x + 101.7 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR x / \ \ 101.10 101.21 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE \ DECK x 101.03 DESIGN ENGINEER. 100.44 shr. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING \ x x 100J FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 0,00 ENGINEER BEFORE CONSTRUCTION CONTINUES. I 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. / � shrub 0 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 0 y x 10 4 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF x 100.60 I HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. BENCHMARK 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. x I LEFT OUTSIDE-CORNER 8• THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. \ _ ,,,,,,.. TP-1 BOTT. STEP EL.=101.13 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 99,85 "1 O AGRE0ED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE \ -7- :•:, i :. • AO O DIRECTED BY THE APPROVING AUTHORITIES. EXISTING S.A.S. \ N�;',': O / '� ,�h 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY TO BE ABANDONED \ THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING SAND & ABANDONED. \ �1 I PROP; S.A.S:::': / TP-2 X01.53 tO CONSTRUCTIO�J. J- '+ram,"_' j 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 17 \ 0 I---�-25��� / IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND EXISTING SEPTIC TANK \ 2 REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). TOP OF TANK, EL.=99.32 A. 1 '� + 100.58 / ���� �F MgsS,��, 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE INV.(OUT), EL.=97.99f �Ap•. > , �� yr INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. i �L o PETER T. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND McENTEE NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. CIVIL "' 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY.UNDOCUMENTED SEPTIC 100,06 o.CIVIL I � SYSTEM COMPONENTS NOT SHOWN ON THE PLAN x 10 9Y PROPOSED SEPTIC SYSTEM UPGRADE PLAN t �1�� 130 HIGHLAND DRIVE, CENTERVILLE, MA Prepared for: DiBuono, Sewer & Drain, 35 Content LAne, Cotuit, MA 02635 Engineering by: SCALE DRAWN JOB. NO. OWNER OF RECORD 1"=20' P.T.M. 227-17 COWAP, KENNETH E & JANE B Engineering Works, Inca 16 KINGS WAY 12 West Crossfield Road, Forestdole, MA 02644 GATE CHECKED SHEET NO. HYANNIS, MA 02601 (508) 477-5313 8/3/17 P.T.M. 1 Of 2 ,; NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=98.0 FOR A DISTANCE OF 15' FROM THE EDGE SEPTIC TANK PROPOSED D—BOX OF THE PROPOSED S.A.S. EXISTING/ INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER HOUSE 130 / DRIVEWAY OUTLET AND SET TO 6" ,OF FINISH GRADE SET TO 6" OF GRADE PROPOSED S.A.S. INSTALL RISER & COVER OVER ONE CHAMBER AND T.O.F.=101.44t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT F.G. EL.=100.9t F.G. EL.=100.4t F.G. EL.=100.5t F.G. EL.=100.3t MAINTAIN 2% SLOPE OVER S.A.S. shy. DECK L = 17' L = 5, I ® S=1% (MIN.) ® S=1% (MIN.) 2" LAYER OF 1/8" TO 1/2" , DK 4"SCH40 PVC 4"SCH40 PVC 6„ DOUBLE WASHED STONE to"I as $ as (OR APPROVED FILTER FABRIC) 14" t 8 6aa 96a �?Q• O aamaaaa EXISTING 48" LIQUID aaaaaaa �'3/4" TO 1-1/2" DOUBLE � vO' LEVEL/ ADD PROPOSED M 5.2' 4' WASHED STONE,/ INV.=97.82 INV.=97.65 GAS BAFFLE �� IVE WIDTH = 12.8' 3 OUTLETS INV.=97.50 f EXISTING SEPTIC TANK FAT IN TO EXISTING SEWER ?--500 GALLON LEACHING CHAMBERS TANK, INV.=97.99t ,•� SURROUNDED WITH STONE AS SHOWN PR S.A. OD H-10 RATED l 0 Vi• 1 �' TOP CONC. ELEV.=98.3t L ')j J—L_---25'--'—'� BREAKOUT ELEV.=98.00 INV. ELEV.=97.50 aaaaa _ NOTES: aaaa aaBaa SEPTIC LAYOUT aaaaaaaaaaa 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & BOTTOM ELEV.=95.50 ME INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. 4' 2 x 8.5' = 17.0' 4' 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH 25.0' ON A MECHANICALLY COMPACTED SIX INCH CRUSHED PERVIOUS MATERIAL STONE BASE, AS SPECIFIED 310 CMR 15.405(2). 4' (MIN.) ABOVE G.W. LEACHING SYSTEM SECTION E3®®E3 0 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM OF TEST PIT, EL.=90.7 4 ®®®®®® ® ®®®® 330'4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE F- AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. N Ld> EaZ E3 L3-® SEPTIC SYSTEM PROFILE 102„ DESIGN CRITERIA SOIL LOG 4" KNOCKOUT DATE: JULY 31, 2617 (REF#15,426) 20" DIA. COVER NUMBER OF BEDROOMS: 3 BEDROOMS SOIL EVALUATOR: PETER McENTEE PE(SE#1542) „ SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) WITNESS: DONALD DESMARAIS R.S.HEALTH AGENT �ELEV. TP— 1 DEPTH ELEy. TP-2 DEPTH ` 4" KNOCKOUT 4" KNOCKOUT 58 DESIGN PERCOLATION RATE: <2 MIN IN 0 101.2 q O 101.2 q O DAILY FLOW: 330 GPD LOAMY SAND LOAMY SAND DESIGN FLOW: 330 GPD 100.9 B 10YR 4/2 4„ 100.9 .B 1 OYR 4/2 4„ 4" KNOCKOUT GARBAGE GRINDER: NO-not allowed with design LOAMY SAND LOAMY SAND 10YR 5/8 10YR 5/8 500 GALLON CAPACITY, H-10 LOADING LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF gg,2 36" 98:4 34" CHAMBERS .74 GPD SF C��( 1 PERC C1 Ll EXISTING SEPTIC TANK: 1000 GALLON CAPACITY LOAMY SAND ,32'/50" ( LOAMY SAND N.T.S. PROPOSED D—BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED 2.5Y 6/4 2.5Y 6/4 USE 2-500 GALLON LEACHING CHAMBERS IN SERIES 92.2 108" 92t2a 108" \,`,� PROPOSED SEPTIC SYSTEM UPGRADE PLAN SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES C2 i c2 130 HIGHLAND DRIVE, CENTERVILLE, MA MED. SAND I MED. SAND SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. 2.5Y 6/6 } 2.5Y 6/6 �, • Prepared for: DiBuono, Sewer & Drain, 35 Content LAne, Cotuit, MA 02635 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. I v Engineering by: SCALE DRAWN JOB. NO. 90.7 126" 90.7 126' N.T.S. P.T.M. 227-17 TOTAL AREA:.............................................................. 471.2 S.F. Engineering Works, Inc. PERC RATE <2 MIN/IN. C" HORIZON 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 034 GPD/SF(471.2 SF) = 348.7 GPD NO GROUNDWATER' ENCOUNTERED (508) 477-5313 8/3/17 P.T.M. 2 Of 2