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HomeMy WebLinkAbout0063 HUCKINS NECK ROAD - Health 03 Huckins Neck Road Centerville A = 252. 009 i 4 S I //I! �gEtYClf0�0 UPC 12534 No.2�153�LOR `bsrco `'� HASTINGS,MN i e 4C r rw" No. U U :A �ZC�C. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF,BARNSTABLE., MASSACHUSETTS Yes Zipplication for �Bigpooar 6potem Con!5truction Permit Application for a Permit to Construct(4,Mepair(grade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. /l f/GL! , /�C k Rd, Owner's Name,Address and Tel.No. Assessor's Map/Parcel , ,Zr2—ao ,/"7 InsYler's Name,Address,and Tel.No.S"OS—e/20- g7.38 Designer's Name,Address and Tel.No. Jas'��✓�i /�..� /3J4d,�t9f �'1�19'ldlla��°�' G!/df^/< Type of Building: Dwelling No.of Bedrooms 2,7 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow -3 3 y gallons per day. Calculated daily flow a;y gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank o Aie,,,j Type of S.A.S. e2—S70 o C Description of Soil 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 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been is ued by this Board of H alth. Signed Date Application Approved by Date o Application Disapproved fo a following reasons Permit No, ea Q S— j -- Date Issued -17 p No 1V i ✓1 Z UC. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS —ZIpplfcat on for 30i!5po5a1 *p5tem ConMruction Permit Application for a Permit to Construct(411epair(6-1U0'P'grade( )Abandon( ) ❑Complete System ❑Individual Components . Location Address or Lot No. 61 A/a<;-11!e 1, l�C k Owner's Name,9ddress and el.No. an Assessor's Map/Parcel Installer's Name,/Adldress,and Tel.No.soZ - V2-O- 7_19 Designer's,Name,Address and Tel N6. ✓oS�,�'� Ua ��f9iFImo- -,-PH�N'A 337/ ��4lzl�r/-e,// /2J f'LI, .1�i/i fs /2 �i'f- S�' �= 'fJSS /--/J k/ /vri S�rilkt/ice Type of Building: ..t Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) ! Other Type of Building No. of Persons Showers( . ) Cafeteria'( ) Other Fixtures Design Flow -2>3 U gallons per day. Calculated daily flow °?�� gallons., Plan Date Number of sheets Revision Date Title Size of Septic Tank pe of S.A.S. ;i 00 Description of Soil Nature of Repairs or Alterations(Answer w en applicable) •;lST/4�/ /S"ao G.��°• ✓i4 TJG / /-!!C ; 2 - "e-04 &64r //we �j .�sy.' ',�i " &!1''_�'i Date last inspected: Agreement: Y� 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 t is Board of Elvalth. Signed y Date I Application Approved by V q, ` Date L/Ty�a Application Disapproved for following reasons Permit No. 0 Date Issued 1 'S' THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS p, y Certificate of (Compliance THIS IS TO CERTIFY, tP.at the On-site Sewage Disposal System Constructed ( -)-Repaired(4::�-"j Upgraded( ) Abandoned( )by ves c --2 at 6 5 uG I,�13 /l l-G 47 AW 6�W/51_s struct in)accordance with the provisions of Title /and th for Disposal System Construction Permit No. 203— /S3 dated L/ `�l f! Installer. f=� �� ..� Designer?_6� � The issuance of t 's pe t shall not be construed as a guarantee that the syste All 1) It. )n as designed- Date I �� © Inspector Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Migogal *pgtem Construction Permit Permission is hereby granted to Construct ee,pair )Upgrade( )Abandon( ) System located at and as described in the above Application-forDisposal System Construction Permit. The applicant recognizes.his/her dtlty 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 this" p�ranit. Date:_. �� f! 0 Approved by i / J �✓f f - f TOWN-OF BARNSTAPIX LOCATION G eelcK SEWAGE# ZOOS-- 0S-- VILLAGE �F�'I?�/'��/ �' ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHORE NO. �'D8 i2U 9738 - SEPTIC TANK CAPAC 0 O // fJ LEACHING FACILITY: (type) 2-SDD G'a� 'li��.f9 e/ (size) 13 X 2 NO,OF BEDROOMS Z BUILDER OR OWNER PERMITDATE: �/-/q-OS CO LANCE DATE: Separation Distance Between the: Feet Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility (If any wetlands exist . Feet within 300 feet of leaching facility) Furnished by Y6e, lb1S Ivac lamas• i Garp05, n n k 5W/01 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM Mu -hereby certify that the engineered plan signed by me dated Z.�Z �� , concerning the property located at fe3 Hy IV A-S kJk 9-J (�Jeok�L( meets all of the following criteria: • This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or may conduct preliminary tests at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. The bottom of the proposed leaching facility will not be located less than fourteen (14) feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicabler Please complete the following: A-k vJ —eZ4-7 1 A) Top of Ground Surface Elevation (using GIS information) $ S� B) G.W. Elevation '34" + adjustment for high G.W. ( _ 40 DIFFERENCE BETWEEN A and B ` SIGNED : DATE: l �— NOTICE Based upon the above information, a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. q:health folder:percexmp • Town of Barnstable Regulatory Services Thomas F.Geller, Director i s t�satver,�, $ Public Health Division I R Thomas McKean,Director -- 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 _ Fax: 508-790-6304 Installer& Designer Certification Form Date: ! � Sewage Permit# OO 5 � 5-3 Assessor's MaplParcei 2`'__ -)0�� Designer: Fed r r�C �1 g Installer: Address:: ..: .).2, c C12�S.S )1�q Address: On (49 — 05 r/-6,5 e 4 issued a permit to install a (date} (installer) septic system at based on a design drawn 6y (address) �►'� � C til�� 1�� �..-- .- -dated. (designer) 1 . _ �11 "C 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: 1 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. Of,MgSUlf PETER T. (Installers Signature) o McENTEE -4 c� CIVIL No.35109 ��� q'Pp 9FGIStEQ'�O�`cv�'� (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO >$ARNSTABLE PUBLIC HEALTH DIVISION CERTIIaICATE OF CQNPLIANCE WILL NQT BE ISSUED UNTIL BOTH THIS FOl[M Alva AS B11ILT CARD ARE RECEIVED BV TIIE BARNSTAIILE PUBLIC HEALTH DIVISION. THANK YQU. Q;Health;'Septic/Nsigner Certification Form 3-26-04.doe TOWN OF BARNS�TABLE LOCATION G'S f7`v S cKl M Gl� /�a/ SEWAGE # LOOS-- /�30 VILLAGE ASSESSOR'S MAP & LOT,tS7- 0 b 1 INSTALLER'S NAME&PHONE NO. .�D� SEPTIC TANK CAPACITY /SOO LEACHING FACILITY: (type)`2—Va 6A01 (size) NO,OF BEDROOMS Z �. BUILDER OR OWNER PERMITDATE: '—�-DS CO IANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Welland 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 AW o LEGEND BENCHMARK: 99 PROPOSED CONTOUR q� " TOP OF CONCRETE LCP 2o23s c 9) 99 PROPOSED SPOT GRADE AT BULKHEAD CORNER 110 _ EXISTING CONTOUR 0 1 Lakeview Ave EL.= 107.54 (A55UMED) ::5 � 110 EXISTING SPOT GRADE % ,/i I }fall Lakeside Dr Ca TEST PIT (� pant Rv �^ 4 BENCHMARK \\\� �--- C m S ` L \ LOCUS W EXISTING WATER SERVICE Z m 1 00 � _ cenee la ` a �. 'Sp�e'S �4� Wequaquet Lake •o G � � �� 0 %yolob� vJ LOCUS MAP N.T.S. u GENERAL NOTES: 1, 41 s! { 1. ALL CHANGES T0. THIS PLAN MUST BE APPROVED BY THE LOCAL y BOARD OF HEALTH AND THE DESIGN ENGINEER. f ` 0 SEPTIC ram 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS TANK OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE `�L LOCAL RULES AND REGULATIONS. N �, , \ 3. THE SEWAGE DISPOSAL SYSTEM SHALL, NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE p'Qp.9� DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN Fig / ENGINEER BEFORE CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. �Qer f�5 \ 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 0 �. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO PRIVATE WELLS LOCATED WITHIN 150' OF THE S.A.S. A�'N 2 5 2_009 `(,(� 9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED EXI<`JTING CEJ�J"POOL T�C 1 4,714±5F N u ' TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. (TO BE PUMPED, FILLED UN/ JJ 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE SAND, AND ABANDONED) ~ cA 0) THEa LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING �``/o�'"� ti CONSTRUCTION. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS cjQ 1WW — / IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. '103— AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). 12. SUBJECT SITE LIES WITHIN A ZONE 2. G PLAN REVISION MgSJ���� 4/19/05 — REVISE H-20 CHAMBERS TO H-10 CHAMBERS H U KC!N 5 NECK RUAQ PETER T. PROPOSED SEPTIC SYSTEM UPGRADE Mc I CIVIL 63 HUCKINS NECK ROAD, CENTERVILLE, MA o CIVIL No. 35109 OWNER OF RECORD Prepared for: Alice Casey, 61 Franklin Street, Milton, MA 02186 h'Fo/$lE�F ��� Rose & Alice Casey Engineering by: Surveying by: SCALE DRAWN JOB. NO. FSS/0 ECG\ Natholie Fultz 4�61 Franklin Street ERglt18@�I1gWorks HOOD SURVEY GROUP 1"_20' P.T.M. 112-04 12 West Crossfieid Road 18 Route 6A Milton, MA 02186 Forestdale, MA 02644 Sandwich, MA 02563 DATE CHECKED SHEET NO. //� (508) 477-5313 (508) 888-1090 12/24/04 P.T.M. 1 Of 2 4�r TOP OF FOUNDATION NOTE: TO PREVENT BREAKOUT, THE PROPOSED (EXISTING) F.G. EL: 105.5t FINISH GRADE SHALL NOT BE < EL:102.5 F.G. EL: 107tEXISTING) FOR A DISTANCE OF 15' AROUND THE (EXISTING) . I F.G.FG EL: 106.2 PERIMETER OF THE S.A.S. (EXISTING) (EXISTING) MAINTAIN 2% MIN SLOPE OVER S.A.S. 36" MAX. COVER INSTALL RISERS OVER INLET & OUTLET INSTALL RISER OVER D—BOX TO 2-500 GALLON LEACHING CHAMBERS IN SERIFS INSTALL RISER OVER CHAMBER/S L =12'(SEWER NQ.1) TO WITHIN 6" OF FINISH GRADE WITHIN 6" OF FINISH GRADE SURROUNDED WITH STONE — ALI SInES SHOWN ON PLAN AND SET COVER/S WITHIN 6' OF FINISH GRADE L =16'(SEWER NQ.2) a 4" SCH 40 PVC L -29' L =13"(MAX) 6' 4" SCH 40 PVC 4" SCH 40 PVC ® S= 2% (MIN.) io' 2" LAYER OF 1/8' TO 1/2" g ®® a� DOUBLE WASHED STONE PROPOSED MIN' (MIN.} EMMME �W® ° 1500 GALLON 2' EFF. DEPTH ®®e3®063® r:::::: INV. ELEV.=104..0 INV. EV.=102.50 4' S.2' 4' 3/4"-1 1/2" SEPTIC TANKD—BOX ' INV. ELEV.=102.33 W/ RISER DOUBLE WASHED . LEV.=103.75 EFFECTIVE WIDTH = 13.2' STONE INSTALL INLET & OUTLET TEES INV. ELEV.=102.20 GAS BAFFLE TO BE INSTALLED ON OUTLET TEE AS MANUFACTURED BY TOP CONC. ELEV.=103.00 TUF—TITE, ZABEL, OR EQUAL —BREAKOUT ELEV.=102.50 TIE IN TO SEWER OUTLETS 1 & 2 INV. ELEV.=102.201513 ®®®® OUTSIDE OF HOUSE—INV.=104.5t E30_ EN®®®®®®®a®®® BOTTOM ELEV.=100.20 SEPTIC TANK & D—BOX SHALL BE SET LEVEL AND TRUE TO 3' 2 x 8.5' = 17.0' 3` GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). 5' MIN. ABOVE BOTTOM OF EFFECTIVE LENGTH = 23.0' T.P. EXCAVATION OR G.W. LEACHING SYSTEM SECTION (3) 5" DIA.oUTLETS SEPTIC SYSTEM PROFILE BOTTOM OF TIPEL.=94.5 PETER McENTE . N.T.S. ' DESIGN CRITERIA v CIVIL 1 No. 35109 1ss" 6 O s" NUMBER OF BEDROOMS: 2 BEDROOMS R /S1 £CE 1o`-s" SOIL LOG SOIL TYPE: CLASS I FSS p E H-10 LOADING 2 DESIGN PERCOLATION RATE: 2 MIN./IN. — — DATE: DECEMBER 16, 2004 DAILY FLOW: 220 G.P.D. A•, 1°� I 0 DISTRIBUTION BOX 3 - 20" Dio. Covers SOIL EVALUATOR: PETER MCENTEE C.S.E. DESIGN FLOW: 330 G.P.D. INSPECTOR: NOT REQ'D GARBAGE GRINDER: YES—SHALL BE REMOVED NT5 5'-8" 0') CI CLASS 1 SOILS LEACHING AREA REQUIRED: (330) = 445.9 S.F. Elev. TP Depth .74 105.5 A SANDY LOAM 0 PROPOSED SEPTIC TANK: 1500 GALLON E a Ea ® ®®®® Top View 104.7 10YR 3/3®®®®®®®® 33" B SANDY LOAM USE2-500 GALLON LEACHING CHAMBERS IN SERIES INVERT ®®®®®®®® 10YR 5/824" E3 E2®®EM E 4" Dia. Inlets 4" 4" Dio. Outlets '102.2 C1 40" SIDEWALL AREA: 2(13.2' + 23.0 ) X 2 = 144.8 S.F. . BOTTOM AREA: 13.2' x 23.0' = 303.6 S.F. 1oz" � � • TOTAL AREA: 448.4 S.F. 4" KNOCKOUT DESIGN FLOW PROVIDED: 0.74(448.4) = 331.8 G.P.D. 20" DIA. COVER 5'-8" 4'-7' 48" Liquid Level 4'-4" 4" KNOCKOUT 4" KNOCKOUT .` PLAN REVISION O,./ ! M—C SAND -� � 62" 4•• 3„ �."� tOYR 5/8 4/19/05 — REVISE H-20 CHAMBERS TO H-10 CHAMBERS s 4" KNOCKOUT PROPOSED SEPTIC SYSTEM UPGRADE Section 63 HUCKINS .NECK ROAD, CENTERVILLE, MA 500 GALLON CAPACITY, H-10 LOADING 1500 GALLON CAPACITY, H-10 LOADING 94.5 132" Prepared for: Alice Casey, 61 Franklin Street, Milton, MA 02186 SEPTIC TANK NO G.W. ENCOUNTERED Engineering by: Surveying by: SCALE DRAWN JOB. NO. CHAMBERS I Engineering Works HOOD SURVEY GROUP N.T.S. P.T.M. 112-04 N.T.S. KT8 12 West Crossfield Road 18 Route 6A h NO GROUNDWATER ENCOUNTERED PERC RATE: <2 MIN/IN. ("C" HORIZON) Forestdole, MA 02644 Sandwich, MA 02563 DATE CHECKED SHEET NO. (508) 477-5313 (508) 888-1090 12/24/04 P.T.M. 2 of 2 i. _