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HomeMy WebLinkAbout0025 LAKE DRIVE - Health 25 LAKE DRIVE Centerville A = 230 - 053 r No. ' f r ' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS application for 30iBpOSa.Y ,6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade(,Pr Abandon( ) ❑Complete System ❑Individual Components Locatio Address or Lot No. 1 Owner's Name,Address,and Tel.No. )a,; � s or s v '/ ssessor's Map/Parcel v7-r L,0*,r jo of e-- Ci� 1)/^&/I X^/7 Installer's Name,Address,and Tel.No.,�or e/.? s'y' Designer's Name,Address,and Tel.No. ����(,,j' 1!/ l�a/ �./✓e�"ry i,®e�/ r✓� ��� �'�q S"�'1 ald&/it/ C eO "e Type of Building: Dwelling No.of Bedrooms Lot Size �j Yf9 sq.ft. Garbage Grinder( ) Other Type of Building E'f' No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ,S j`® gpd Design flow provided 11�d'r gpd Plan Date IeA% 1147 Number of sheets / Revision Date A/,} ke Title Size of Septic Tank Type of S.A.S. ra 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 Certificate of Compliance has been issued by this Boar of Health. Signe Date Application Approved by Date Application Disapproved by V Date for the following reasons Permit No. , r, 33 Date Issued �rg� -s''J f-09, r"r�0 " No. / 3 /e!� � n r Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: I PUBLIC HEALTH DIVISION - TOWN F BARNSTABLE, MASSACHUSETTS Yes 01pplication for Misposal Mein Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade(,Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. •Z .1'0 �.� Owner's Nanie,Address,and Tel.No. ssessor?'s'Map`/Parcel n�r L *IF 1/►011K' 1;V &xa�tl Installer's Name,Address,and Tel.No.,5 or%p,2 /` T t' Designer's Name,Address,and Tel.No. ' 4/, �vic k��fo.d �.✓G rer-p Cog S- 94 A e Type of Building: Dwelling No.of Bedrooms Lot Size �,�/ �9 sq.ft. Garbage Grinder( ) Other Type of Building / e f No.of Persons Showers( ) Cafeteria( ) y Other Fixtures Design Flow(min.required) _.ro gpd Design flow provided gpd Plan Date /ehl /9 Number of sheets / Revision Date Title Size of Septic Tank 1 f Off' Type of S.A.S. 015�/101 Description of Soil r, 1 Nature of Repairs or Alterations(Answer when applicable)\ t ' Date last inspected: w 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 Boar�of Health. Signe Date , - 6 Application Approved by Date a� Application Disapproved by Date for the following reasons I Permit No. 3 3 Date Issued 51'2 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by at L- ,q N )I has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit Nq_.! '33 dated 7 Installer t ,� Designer #bedrooms Approved design flo gpd The issuance of this permit shall not be co strued as a guarantee that the system wilt n�gne . Date p�/ � Inspector - - - - -- - - - - No. 4J 3 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS -Misposal 6pstem Construction i9ermit Permission is hereby granted to Construct( ) Repa ( ) Up ye( ) Abandon( ) System located at (^ J 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 must b'co .p�leted within three years of the date oft is permit. Date 771 DO Approved �� Town of Barnstable Inspectional Services Public Health Division BARNSrABLF, MASS' $ Thomas McKean, Director 039.p�ct9+0, 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Sewage Permit# Assessor's Map\Parcel Designer: _D0WntMFnQjftffrJfta,JrJC. Installer: -r-eYrI4 1W FX(Qra*W_,, Address: q3q KbUI` W Address: 611 �w �Unty 141 r+, M.4 oux S. 'DenYU S , MA 02, o On ,4116kerroAlzlC was issued a permit to install a (date) (installer) septic system at 25 WK& Dr! WIterville, MA based on a design drawn by (address) *bMitl A. 0141a P£ dated 10-'2.1 - 2olR (designer) 1/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. Strip out (if required) was inspected and the soils were found satisfactory. I 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. I certify that the system referenced above was constructed i m ce with.the to rms of the IAA approval letters (if applicable) p�.s"OF MASS DANIELA. Gr o CJALA CIVIL (n (Installer's Signature) A No.46502 f P0F 1P O �SS/ONAL ENG esigner's Signatur ^ v (Affix Designer's Stamp 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. \\toa\depts\HEALTBSEWER connect\SEPTIODesigner Certification Form Rev&14-13.DOC TOWN OF BARNSTABLE LOCATION h PA SEWAGE# VILLAGE VIe ASSESSOR'S MAP&PARCEL. INSTALLER'S NAME&PHONE NO. Vzx /d rS' SEPTIC TANK CAPACITY /f®d LEACHING FACILITY.(type) fie/� (size) /1`5t Ve NO.OF BEDROOMS .OWNER. lStUN S°s''dJ7'�Li PERMIT DATE: .Y�TJ4 COMPLIANCE DATE: T� 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 paJ/� _ SYSTEM PROFILE NOTES LEGEND ALL SYSTEM COMPONENTS SHALL BE PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT TO SCALE) MARKED WITH MAGNETIC TAPE OR 1. DATUM IS NAVD 88 Wee et 99- EXISTING CONTOUR ACCESS COVERS TO WITHIN 6" OF FIN. GRADE COMPARABLE MEANS FOR FUTURE LOCATION. 2. MUNICIPAL WATER IS EXISTING X 99•1 EXIST, SPOT ELEV. \ TOP FOUND. EL. 40.7' 2% SLOPE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. [99] PROPOSED CONTOUR 39.7' 39 $' FILTER FABRIC c MINIMUM Cocos 198 4 PRECAST H-10 40,$ FINISHED GRADE- 4" LOAM & SEED PROPOSED SPOT EL. RISERS (TYP.) • � INSPECTION PORT TO BE AASHO H-1Q \fie 2'0 38.5' 4"OSCH40 PVC % d �Q TH1 37.8' 6" MIN. SUMP PIPES LEVEL 1ST 2' CLEAN FILL 5. PIPE JOINTS TO BE MADE WATERTIGHT. TEST HOLE 12" MIN. INT. DIM. GreO Q % 7 \*39.0± 1500 GAL H-10 2" SCH 40 PVC 4" PERFORMED PVC 5' o.c. S=0.005-� 06: CONSTRUCTION DETAILc TO BE IN ACCORDANCE WITHSLOPE OF GROUND . 10 PROPOSED EE' 310 CMR 15.000 (TITLE 5.) TEE SEPTIC TANK 1000 GAL. H-10 S = 0.005 SLOPE BACK ° 6"DEPTH 37.2 37.1' PUMP CHAMBER TO PUMP CHAMBER °o°o°°°°°o°° WATERTEHT D'BOX 3/4"-1-1/2" DOUBLE WASHED Route 28 ° ° ° ° ° ° o MIN BELOW INV. 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO Route 28 �> UTILITY POLE Y" °°°o°°°°°o° FOR LEVELNESS 8" STONE LEACHING FIELD L 37.45' ^ BE USED FOR LOT LINE STAKING OR ANY OTHER Rd• FIRE HYDRANT :;':: 4' LIQ. LEVEL (ACME OR EQUAL) FILTER 39.75' 39.5$' 39.55' % o ° 39,3' PURPOSE. 5 Via pos ' LEVEL BOTTOM o " Old o 4 NOTE NOT ALL SYMBOLS MAY APPEAR IN DRAWING •:, •.•, 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. •J00°°°O°O°O°O°O°O°O°O°O°O°O°O°O°O°O°O°O°O°O°{. N °°°°°°°°°°°°°°°°°°°°°O°°°O°°°°°°°°°°°°°°°°°°' 50.0' v °^°^ ^ ' 00,00000000 ° ° ° " 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED o� i �� of o �� . 6" CRUSHED STONE OR MECHANICAL 38,8' WITHOUT INSPECTION BY BOARD OF HEALTH AND THERE ARE 3 SEPTIC PIPES THAT EXIT Pine HOUSE AT EL. SEPTIC AND ARE COMPACTION. (15.221 [2]) PERMISSION OBTAINED FROM BOARD OF HEALTH. *THE INSTALLER SHALL VERIFY THE 0 PROPOSED TO CONNECT TO PROPOSED LOCATIONS OF ALL UTILITIES AND ALL 5. 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING BUILDING SEWER OUTLETS AND SEPTIC TANK (SEE PLAN FOR LOCATION) LOCATIODIGSAFEN (1 F ALL UNDERGROUND AND VERIFYING THE LOCUS MAP ELEVATIONS PRIOR TO INSTALLING ANY (CONTRACTOR TO CONFIRM) LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES - PRIOR TO COMMENCEMENT OF WORK. 33.8' WEQUAQUET LAKE ELEVATION SCALE 1"=2000'f PORTION OF SEPTIC SYSTEM 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED BENEATH AND 5' AROUND THE PROPOSED ASSESSORS MAP 230 PARCEL 53 61' (2.5x SLOPE) ( 5 % SLOPE) ( 1 % SLOPE) LEACHING FACILITY. LOW PROFILE 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND LOCUS IS WITHIN FEMA FLOOD ZONE X © 4 ' (3.8 SLOPE) SEPTIC TANK 2' PUMP CHAMBER 27' D' BOX 5' LEACHING REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. (AREA OF MINIMAL FLOOD HAZARD) AS FOUNDATION FACILITY © 46' ( 3 3� sLOPE) 13. INSTALLER To CONFIRM SUITABILITY of SHOWN ON COMMUNITY PANEL #25001 CO562J OWNER OF RECORD ELECTRICAL SYSTEM FOR PUMP INSTALLATION. DATED 7/16/2014 ELECTRICAL PERMIT REQUIRED. TIMOTHY E. SMITH LOCUS IS WITHIN THE ESTUARINE WATERSHED DISTRICT 183 EAST STREET HINGHAM, MA 02043 REFERENCES SYSTEM DESIGN. DEED BOOK 30630 PAGE 339 DEED BOOK 30630 PAGE 341 TEST HOLE LOGS [91 GARBAGE DISPOSER IS NOT ALLOWED - PLAN BOOK 122 PAGE 89 (LOT 22 AND 29) EXISTING 5 BEDROOM DWELLING 36 ENGINEER: DANIEL E. GONSALVES, SE #13587 DESIGN FLOW: 5 BEDROOMS @ 110 GPD = 550 GPD i ZONING SUMMARY WITNESS: DAVID STANTON, RS USE A 550 GPD DESIGN FLOW ZONING DISTRICT: RD-1 RESIDENTIAL DISTRICT DATE: 10/18/19 SEPTIC TANK: 550 GPD (2) = 1100 MIN. LOT SIZE 43,560 S.F. PERC. RATE <_ 2 MIN/ CHAMBER BENCHMARK: INCH (1) 1500 GAL. SEPTIC TANK AND (1) 1000 GAL. PUMP MIN. LOT FRONTAGE 20' CORNER BULKHEAD = gyp` MIN. LOT WIDTH 125' CLASS I SOILS P# 19-159 40.1' NAVD88 �° MIN. FRONT SETBACK 30' LEACHING: �' ' 550 GPD / (.74) = 744 SF REQUIRED MIN. SIDE SETBACK 10� 0o ELEV. ELEV. 'T 22 MIN. REAR SETBACK 10; Opt 4 39.7' 0" 4 39.7' MAX. BUILDING HEIGHT 30 15' X 50' = 750 SF OK 39 ; 1,0 ,1,.'S F, - - 750 SF X .74 = 555 GPD OK USE A 15' X 50' PIPE .AND STONE LEACHING FIELD FILL FILL J NIN, PRO ED CLOSET v��� CO EXP SION 15 14" O. CPOSED,51• ^� A A F C / 39 PROP. WATERTIGHT COVER TO GRADE LS LS PROVIDE 86' OF 40 MIL ALARM AND CONTROL PANEL M A LINER AT 5' OFF SAS IN �. ,. , APPROVED DATE BOARD OF HEALTH AREA SHOWN. TOP AT ELEV. FO TO BE INSTALLED INSIDE- - - F. 1 OYR 3/2 _ _ „ 1 OYR_3/2 f BUILDING. ALARM TO BE ON PROVIDE QUICK DISCONNECT FOR PUMP 17 38.3 1$ 38.2 39.8% BOTTOM AT EL. 35.8't �� BH EXISTING 38 p / i SEPARATE CIRCUIT FROM PUMP B B DWELLING TOF=40.7 0�� 39.8 SL SL TH 1 B ��y y i ����y''' ' y v�ii��i ii� i ,,� TH2 �� v �'' T�'%�%'� . ���o " 10YR 4/6 37.5' 28" 10YR 4/6 37.4' INV. IN .37,1 . {l�� NO LOW POINTS 30 PROP SIO PORCH 1000 GAL. H-10 S/T " PRESSURE LINEEXPAN -�- • O 550 GAL.+ SLOPE TO DRAIN BACK TO PC C C c A S �v \ �0 �� ` A FLOAT SWITCH ALARM ON RESERVE SETTINGS: PUMP ON 0.25" WEEP HOLES SIEVE M/CS M/CS 41 PROPOSED \\ S h 5" WORKING RANGE 8 CHECK VALVE'f TREELINE \ Q) MYERS SRM 4 2.5Y 6/6 2.5Y 6/6 r 5ff SUBMERSIBLE 4/10 HP PUMP PUMP OFF 8" SYSTEM (OR EQUAL) \ P�\� o00 00000 0 132" 28.7' 132" 28.7' 41 �o Q PUMP o 0 0000 5' OVAL OF U UITABLE SOIL B L R) \\ • 1 lJ Mp CHAMBER GROUNDWATER ENCOUNTERED AT 1 14" EL. 30.2 EQUIR AROUND PERIMETER OF LE HIN \ / FACILITY, OWN ITABLE SOIL LAYER. 62 (NOT TO SCALE) \ `S REPLA WI CLEAN ED. SAND, TO MEET \�// 5 E IC TIDNS F 31 CMR 15.255(3) 4 j 02),, WATERPROOF/WATERTIGHT 2 g, BUOYANCY CALCS: COMBINED AREA= H-10 1000 GAL. PC WEIGHS 8,380 LBS 6, 21 ,499±S.F. 42 1.35 x 8.3 x 5.2 X 62.4 = 3,635 LBS UP (OK) �s� TITLET E P L A N tx OF #25 LAKE DRIVE CENTERVILLE, MA PREPARED FOR TIM & MARY-DIXON SMITH iP�1HOFhq\ ZHOFA,t� DATE: OCTOBER 21 , 2019 OJALA 0 �I REV. FEBRUARY 3, 2020 (MOVE TANKS) r INSPECTION PORT �' C ff f Scale: 1 = 20 P s iiim EF ors ' Zt\OF MqON 0 10 20 30 40 50 FEET SAS TAIL '' Af;iE!_A. G� nor DANIEL ti<% i OJALA �', 0.� A. off 508-362-4541 NOT TO SCALE CI`/IL OJALA ' fax 508-362-9880 A N0.46502 sa. ° No.40980 I downcape.com TONAL E qNp SUR`1E�° ROW# cope ellgidee"N't, inc. DISTRIBUTION BOX civil engineers land surveyors 2-"�•�� l 939 Main Street ( R to 6A) DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 LICE ## 19-324 19-324 SMITH.DWG