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0155 KNOTTY PINE LANE - Health
155 Knotty Pine Lane Centerville A 191 084 I No. S 6 Fee` 5 0 . 0�/ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Zippfication for ]0i!gpoga1 *pgtem Conotruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) XXComplete System ❑Individual Components Location Address or Lot No. 155 Knotty Pine Lane Owner's Name,Address and Tel.No. R o b e r t E. F e 11 o w s Centerville ,Mass . 155 Knotty Pine Lane Assessor's Map/Parceln - C)�H C e n t e r v ille ,Mass . 0 2 6 3 Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No. 5 0 8—7 7 5—9 7 0 0 J.P.Macomber & Son Inc. Box 258 Box 66 Centerville ,Mass . 02632 West Yarmouth,Mass . 0273 Type of Building: Dwelling X X No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building s No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 4 5 5 gallons per day. Calculated daily flow 455 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. 3 �N S t j Description of Soil Sandy Loam to medium fine sand . Nature of Repairs or Alterations(Answer when applicable) A d d i n g 3-5 0 0 g a 11 o n l e a c h i n g chambers packed in 4 ' of 12" stone . 33 'X13 'X24 ' 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' B o Health. 117 Signed 1 Date 4/16/0 2 Application Approved by Q Date Application Disapproved tor the following reasons Permit No. Date Issued 1(41 O L LVo. 0c1 � S ES ..,' � Fee 5 0.0 ` THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION.- TOWN OF BARNSTABLE., MASSACHUSETTS .. ZippYication for Mt!9po.5al *pMem Construction Permit Application for a Permit to.,Construct( )Repair( )Upgrade( )Abandon( ) XXComplete System ❑Individual Components Location Address or Lot No. 155 Knotty Pine Lane Owner's Name,Address and Tel.No. Robert E. Fellows Centerville,Mass; 155 Knotty Pine Lane Assessor's Map/Parcel ^i _ bV`I Centerville,Mass.0263 Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No. 5 0 8—7 7 5—9 7 0 0 J.P.Macomber & Son Inc. Box 258 Box 66 Centerville,Mass.0263'2 West Yarmouth,Mass.0273 Type of Building: Dwelling XX No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building to(; . No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 4 5 5 gallons per day. Calculated daily flow 455 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. \=:�j 1,.,011 vti j, Description of Soil Sandy Loam to medium fine sand. Nature of Repairs or Alterations(Answer when applicable) Adding 3—5 0 0 gallon leaching chambers packed in 4' of 11" stone. 33'X13'X24' ,, 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 thisBard o Health. Signed d,. /4 Date 4/16/0 2 Application Approved by Date q{I I co Application Disapproved Aor the following reasons T Permit No. '7C Date Issued y U2 --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS _ Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded(XX)( Abandoned( )by J.P.MArnmbs:r R. Son TnC - at 15 5 Knotty Pine Lane C e n t e r v i l l e s M a s s. has been constructed in accordance � with the provisions of Title 5 and the for Disposal System Construction Permit No. t�- K�.,dated �///to/ --i Installer J.P.Macnmhar & Son Tnr . DesignerRonald J. Cadillac The issuance of this ermit shall not be construed as a guarantee that the sys ke will unction a desig ed. Date 7o l- Inspector 6W rY No. �)Cxk - - I <P, Fee $5 0.0 0 THE COMMONWEALTH OF MASSACHUSETTS k� PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS `t lwi5po5ar *p5tem Conotruction Permit Permission is hereby granted to Construct( )Repair( )Upgrade`(;X�j Abandon( ) Systemlocatedat 155 Knotty Pine Lane Centerville.Mass. 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 this permit. Date: ��/�P A. c7--."- Approved by TOWN OF BARNSTABLE r` 2 0o — j 5-00 LOCATION S_S AN Q THY RIAI e SEWAGE # VILLAGE c e Ai red t/di e p ASSESSOR'S MAP & LOT -© P' INSTALLER'S NAME&PHONE NO. / . , 4 A C"0,46 SEPTIC TANK CAPACITY D©6 6 L r✓ LEACHING FACILITY: (type) /Q R W PL1 S (size) /3 3 3 NO. OF BEDROOMS BUILDER OR OWNER Fe 11bWS PERMITDATE: t� U.2 COMPLIANCE DATE: —/Z/2 Uz 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(lf any wetlands exist. within 300 feet of leaching facility) Feet Furnished by l�r w � T �V' 0U /' TOWN OF BARNSTABL E a doa - IS8 i LOCATION L S_S �'l /1/(3T 7'Y P//1/ L/g< SEWAGE # VILLAGE—_C P Aj ref? U/LL e p ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. J./ . SEPTIC TANK CAPACITY / D 0,0 D L LEACHING FACILITY: (type) S " /V v 40 PLl 5 (size) / 3 I NO. OF BEDROOMS BUILDER OR OWNER Fe//ewS PERMITDATE: `I O.Z 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 r� t � 1 � l�r (V' \ G � � 7 C \ au ,u JOB N0. 802-05 NOTES Fellows.dwg 0) 1. LOCUS IS A.M. 191, PARCEL 84. o � 2. ELEVATIONS SHOWN ARE ASSIGNED. M 3. LOCUS IS IN FLOOD ZONE C ON FIRM DATED AUGUST 19, 1985. �5. a 4. ALL PIPES TO BE 4" SCH 40, AND PITCHED AT 1/4" PER FOOT. (UNLESS NOTED) v J 5. MUNICIPAL WATER IS AVAILABLE. LOTS WITHIN 100' ARE ON TOWN WATER. _ a. 6. COMPONENTS TO BE AASHTO H-10, UNLESS NOTED. Lane v 7. INLET TEE TO PROJECT DOWN 13", OUTLET TEE DOWN 14". o BENCH MARK--TOP OF WOOD 8. IF TWO OR MORE LINES, WATER TEST D-BOX FOR EQUAL FLOW Q J STAKE SET FLUSH=49.82 ASSIGNED D-BOX EXIT PIPES TO BE LEVEL FOR FIRST TWO FEET. 9. DEPTH OF COMPONENTS NOT TO EXCEED 3', OR VENTING MUST BE PROVIDED. NOT TO Great Marsh Rd N/F BUILD UP COVERS TO WITHIN 1' OF GRADE. MORTAR CHIMNEYS IN PLACE. SCALE ONE OF TANK TO BEO'BRIEN 10. STONEOVER TO BE DOUBLE WASHEDI THIN 3/4 TO O1F1/2" WITH 2" MIN. 1/8 TO 1/2" PEA STONE ON TOP. LOCATION MAP 11. IF UNSUITABLE SOILS, OR SOILS DIFFERING FROM THE SOIL LOG ARE FOUND, _ CONTACT THE BOARD OF HEALTH, OR R.J. CADILLAC. N/F BENCH MARK--TOP, CENTER OF 12. IF AN OVERDIG IS CALLED FOR BELOW, FILL MATERIAL FOR 5' AROUND AND UNDER LEACHING TEST HOLE 1 SEPTIC TANK= 48.89 ASSIGNED IS TO BE CLEAN GRANULAR SAND MEETING SPECIFICATIONS OF 310 CMR 15.255(3). BARSELOW (ABOVE INLET PIPE) 13. PUMP AND FILL ANY EXISTING CESSPOOLS. REMOVE ANY CLOGGED SOIL, BLOCK, AND STONE IN DEPTH (inches) ELEV.(feet) LEACH AREA, AND DISPOSE OF AS DIRECTED BY HEALTH AGENT. 14. ALL CONSTRUCTION TO MEET TITLE 5 AND LOCAL REGULATIONS. 9.9 O A/E layer 2.5y 3/2 49.0 9.9 ELECTRIC METER ELECTRIC BOX TEST HOLE DATE: March 21, 2002 2„ sandy loam �x NO GRADE CHANGES PERFORMED BY: Ron Cadillac, Soil Evaluator B layer 2.5y 5/6 f �99 ARE PROPOSED WITNESSED BY: ------- 30„ (�5�gravel) X �50.4 PERC RATE: <2'-00"/inch (C2 layer) C1 layer rave 5/6 LOT 15 782820„ SOIL SURVEY(1993): Eastchop loamy fine sand " loamysand �S8 84' W BENCH MARK--TOP, CENTER OF GEOLOGIC MAP(1986): Barnstable plain deposits 36 46.0 SEPTIC TANK= 4$.89 ASSIGNED (ABOVE INLET PIPE) a� C2 layer 2.5y 6/ ) 1 300± S. F. 51.3 48"� med. fine sand � � ' 48J � Invert 47.40 m 9 9 x 50,3 50,99 51,19 50.30 Use Gas Baffle Invert 45.98 3 DRY WELLS 78" (15% gravel) 50,8 42.5 x 49.5r , - 50,75 Q 50,78/ Proposed Top Conc.=46.6 C3 layer 2.5y 6/4 N F h9.0 \ 9.49 Gas Flag ,�51.2 -------___ -------- `c��J � � 1 S=1 3/8"/ft Top Peastone=46.3 med. coarse sand :3 missing ��1 2 x 51,2 S / -t1 Existing I S=1/8"/ft min. o 'p 48.4 91 -- :.:50.6 4511 TONE �y 50,q I 1000 Gal. G / [mot J/ 0 48. \\ \ E----------� - - - -- " " no water 047.E :SN£Q._: c) 51.3 \ 1,2 24 132 38.0 :� \ 9,48 S0,1 25 1 5 50.8 Invert 46.15 Invert 45.80 5 8, 43.8 I 9,3 _, i 49,E EX/Sj/NG 49,8 PAVED DR�V �6 � 50.23�� 6 Stone or compact Proposed Proposed I Bottom - � - :::� E �0,32 11, I I Iv I 3' � 9 3 20, HpUSE - I / ; 51, 49,6 �- I I - I 18' 8 7 W 49' CD No. 15Jr 51.8 0 5 Bottom TH1=38.0 4 CD DESIGN DATA 47, Dec 5L5 01 50,0 BEDROOMS: 4 0 fla.:... GARBAGE GRINDER: No TH 1 / i x 50.6 ® 50 0o LEACH AREA REQUIRED CAPACITY: 440 GPD 7 50.9 Og 9 8_ I �60 503 ....... " 51,3 51.2 2 / �� EXISTING SEPTIC TANK: 1000 GAL. USE 3 DRY WELLS WITH 4' OF STONE , -� _ �� BOTTOM LEACHING AREA: 429.8 SF ALL AROUND FOR A 33'-6" LONG BY o 9.6 49.6 [(33.5' X 12.83')] WIDE DE BY 2' DEEP LEACH AREA. � 9x3_ 50.8 SIDE LEACHING AREA: 185.3 SF x -x 0.0 / [2(12.83'+ 33.5') X 2' DEEP)] S 7 X 50.3 49'9 DESIGN CAPACITY: 455 GPD 82820" f 1476g, [(429.8 SF + 185.3 SF) X .74 GPD/SF] x 49.7 x 7 F9.58 / N/F VAUGHAN ELECTRIC TRANSFORMER CJ _g t SITE PLAN FOR THIS PLAN IS A VALID COPY ONLY IF IT BEARS AN ORIGINAL RED STAMP AND SIGNATURE. ROBERT E. FELLOWS OF^SASS a.P OF IygSs��;il LOT 15, 155 KNOTTY PINE LANE, CENTERVILLE, MA LEGEND 9 q �0� `Y ��0� N C LEGEND RO ALD yG� f� .� S i w M APRIL 8, 2002 SCALE. 1 =20 C � r. n �C �•�� TH 1 TEST HOLE LOCATION, NUMBER 106 #35779 W WATER LINE MARKINGS ,. �`�°rsTER�o '' o�Fss\0 G GAS LINE MARKINGS ` S"INITAR\N Mb 4 x 9.5 X 8,7 EXISTING & PROPOSED ELEVATIONS ('X' MARKS POINT) .q ` RONALD J. CADILLAC, PLS, RS ,- 6-- EXISTING CONTOUR Is (O-z' PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN 8-- PROPOSED CONTOUR P.O. BOX 258 ® EXISTING DRAINAGE CATCH BASIN WEST YARMOUTH, MA 02673 x - FENCE (IF SHOWN, NOT ALL SHOWN) O TREE (IF SHOWN, NOT ALL SHOWN) HEALTH AGENT APPROVAL DATE (508) 775-9700 C 2002 BY R.J. CADILLAC PAGE 1 OF 1