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HomeMy WebLinkAbout0040 LAUREL ROAD - Health 40 Laurel Road Centerville A = 230 - 168 i TOWN OF BARNSTABLE LOCATION L U L exac e 1 � SEWAGE# an (5 -0&6 VILLAGE Ce J-ref i9%�J+e ASSESSOR'S MAP&PARCEL 3p INSTALLER'S NAME&PHONE NO. ?Arow',a INC- SEPTIC TANK CAPACITY ! 5©O LEACHING FACILITY:(type) A(C_ J (size) 14 . L )( ;Z 6- NO.OF BEDROOMS LA \ OWNER N e3o S�%Mrxa PERMIT DATE:� `j COMPLIANCE DATE: :51 to 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 leachig,facility) Feet FURNISHED BY h-ac-h sel"�L �.v-Z No. aU IO—6(O Fee 1(TC THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpYication for Disposal *pstem Construction Permit Application for a Permit to Construct( ) Repair(-400/upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 4/0, LUG,e� �J Owner'�N4a� e,Address,and Tel No. Cev4cavi IT�t sJ t} l�C3O5�mc�C� Assessor's Map/Parcel 230 -/69 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. S0 —4 AD -715-1 works rce-H'77- 5"7i7 Type of Building: Dwelling No.of Bedrooms 4 Lot Size 13 5'C) sq.ft. Garbage Grinder( ) Other Type of Building INcis`e— No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 440 gpd Design flow provided gpd Plan Date I 0 I I'd 0 CL Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S.4 f C � Description of Soil Nature of Repairs or Alterations(Answer when applicable) t k)s.'tCe)� N e o +f jC 'D 'WIC 5,A 15 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 It . Signed Date 3jj r 1,10 l� Application Approved by -S Date ,3 �/ ^�0 Application Disapproved by Date for the following reasons Permit No. golo - 66(o Date Issued 3` S_l o --_-------- -_----------- . Y'�.'i'...�,ny,wY,Mtid,.h�vy;4Kyi:r+�i'w"-Y+'"'•IC.I\}.J(.I,. 4.. ._ .r ...-,.. -.-.-_....��...-. -.r-w•v.-..� �,. ..., .-�-.�._,.. ..,-.. ..---.._.. ......_.,..-,a"IY�rnG,. +a-r+.p...i4..-ni'i'^w^.ww..w.-. .. .... No. aU 16—O((o Fee (TC t THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes Y 2ppliration for Vsposar *pstrm Construction Permit Application for a Permit to Construct( ) Repair(vrIoUpgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. jV0 LGil,.f, �L/ Owner's Name,Address,and Tel iNo. e&v4-r"✓vrif - YoNtlN t}oos�mc�C! Assessor's Map/Parcel 2 30 _/(, Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. g1Gsn —)�1'owN t,�c )=nu�r�e co�NS Ujc"ilcs SO8—LEoo -71 S5 fir$-�r7y- 5-7)*7 Type of Building: Dwelling No.of Bedrooms Lot Size c/3 SCE sq.ft. Garbage Grinder( ) Other Type of Building h\W 5 v---_ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) w,�I o gpd Design flow provided /l/ gpd i w Plan Date 1 Q hy 10 e( Number of sheets Z Revision Date Title Size of Septic Tank I SILO Type of S.A.S. Aar �c I4 c Description of Soil i Nature of Repairs or Alterations(Answer when applicable) +r It V 17,OX 'S S.A 5 ,4 r a 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. Signed Date ,/9 / Application Approved by r ( - S Date 3 Application Disapproved by Date for the following reasons Permit No. a O I U "- b 6 6 Date Issued 3- S' U THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certifitate of CompUante THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(►-r Upgraded( ) Abandoned at lI() cl .t"1 [� &J"01 11?- has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.r�U/U- 6(dated Installer ,a r a, Aa 111 I1'J ,,n) I Nr Designer ;t, #bedrooms N Approved design flow 1-1 L-11-I gpd The issuance oft his permit shall not be construed as a guarantee that the system will function as designed. Date 3 I t K r` Inspector 1 J No.c2-O AU— 066 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION=BARNSTABLE,MASSACHUSETTS V.Sposal *pstrm Construttion 3pPrmit Permission is hereby granted to Construct( ) Repair(If) Upgrade( ) Abandon( ) System located at 1-1 n / ,,,•�. 17�/ f / ✓v i �� 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 be completed within three years of the date of this permit Date , / 5_. / O Approved by ::Qiz v 03/18/2010 13:25 5084775313 ENGINEERING WORKS PAGE 01 p Town of Barnstable Regulatory Services Thomas F.Geiler,Director 1 Public& Health DivisionMAW, Thomas McKean,Director 200 Main Street, Hysnnls,MA 02601 office: 508-862-4644 Fax: 508-790-6304 Date: Sewage Permit# Assessor's Map/Parcel 2_�L 4 8 Installer&Designer Certif cation Form L.G"t e'e ieX4�rm c.�aYW , Jn C. • Installer: �A`a rbW^� �rx L Designer: �.1 Address: P- W. Cre,.1 sit1&( 0-6 Address: Lf o. 00K� 14-5 p A , ry-"4 'h L, was issued a permit to install a (date) (insta er) septic system at 4d �xv�e� (ZA f �,� based on a design drawn by (address) M C_& -cA i f - dated I U 1 q o g (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 and/or septic tank. Stripout (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. Stripout(if required)was inspected and the soils were found satisfactory. . N of PETER T. G sta �effrrs Signature) WENTEE CIVIL No.35109 �jL signer's Signature) (A ix /b ) PLEASE ItE TO S ABLE MU9 DIVIS N. CE C OF C M&L NOTIS F BY-THEM 2- RECEIVED T PUBLIC MANUM q:bffce fmm Waipwastification form.doc Town of Barnstable P# 7) 5 Department of Regulatory Services tst� jPublic Health Division Date i639: ��C . •200 Main Street,Hyannis MA U2601 , Date Scheduled Time _ Fee Pd. -� Soil Suitability Assessment for Sewage Disposal Performed By: 0 e �`e� t�C_C.•.'tC Witnessed By: 6V ti✓�,�Lll, fGir, TD^r �f �. LOCATION& GENERAL INFORMATION L Location Address L4 j r�-- ( 12W Owner's Name �j J/IMCI JS k e- "`✓k N f o`er` ✓ir. rLC / ,4 Address Assessor's Map/Parcel: 2 3 Q �� (� Engineer's Name /_'j-e,ih2c 4--c,e NEW CONSTRUCTION REPAIR Telephone# SQ g'7�✓�—y? (e Land Use Slopes(%) Surface Stones Distance§from: Open Water Body 0 ft Possible Wet Area ft Drinking Water Wed Drainage Way..�ft Property Line `J ft .Other` ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands is proximity to holes) _ c) t a � c �o Alt � a s Parent material(geologic, � Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face_ V Estimated Seasonal High Groundwater DETERMINATION FOR.SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: _ in, Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment it. Index Well# Reading Date: Index Well level— Adj,factor Adj.Groundwater Level PERCOLATION TEST Date Vie, Observation Hole# Time at 9" Depftof Perc 3 Z 2'� 5CI Time at 6" Start Pre-soak Time @ d �� 'Time(911•611) End Pre-soak n � iSwi• � Rate MinlInch, Z Site Suitability Assessment: Site Passes] �C� Site Failed: Additional Testing Needed(Y/N) . Original: Public Health Division Observtition Hole Data To Be Completed on Back----------- ***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:\SEPTIMERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# A Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders: i vl 2 13 L M-c 2= ' 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. Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Flood 11f9urAnce Rate Man: Above'560 year flood boundary No_ Yes Within 500 year boundary No p Yes Within 100 year flood boundary No Yes Depth ofNaturally Occurring Pervious Material Does at least four feet of naturally occurring pervious aterial exist in all areas.observed throughout the area proposed forthe soil absorption system? S.— If,no What is the de th of naturally occurring pervi us material? k p Certification I certify that on 0 (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 train' ,expertise and experience described in 310 CMR 15.011711. �'� %.� ZCIG� Signature Date V Q kSEVnMERCFORM.DOC LEGEND N Wequaquet EXISTING CONTOUR ® Lake X 100.98 EXISTING SPOT GRADE —W EXISTING WATER SERVICE m --eHW OVERHEAD WIRES myP, 41,29 N 54°51'20" W TEST PIT °`Q m LOCUS C P BENCHMARK ° a e S 4 ,03 ,° picket fence 85.00 41,39 14 41,13 1 a `P o ' TP-1 1 °°0 s q Z�r _2.5 = x�41.4 0 I Great Marsh Rd g ` Route Z$ PROPOSED SEPTIC TANK 41,32 i -►� + I r`c�ei ��� 4--�TP��2 C Route 2 Q west Moin S EXISTING CESSPOOL— TO I t BE REMOVED � LOCUS MAP( ,O O Q - t _ - t- "S ,0° i } 42,3�3 , o CESSPDO+v _i - z i i < %� ` NOT TO SCALE 42.10 x 42.40 2,95 f x 42,8 2 1 L �l Lj Ben chm ark Set R �, I 4141 LEFT COR. BOTT. STEP E PAT/ON I o' �i d0 EL.=43.72 (NGVD) , 1 o� 0I}� GENERAL NOTES: LJ x ,%WA 1 .- O[I s 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL / I � BOARD OF HEALTH AND THE DESIGN ENGINEER. W I EXIST SEWERS x ,10 r b INVS.=41.97f I I 2• ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 410,44 Z I OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE O O EXISTNG I j LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: 00 I 1 w 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR p HOUSE(, 40) GARAGE I I TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE - � - T.O.F.=43.97± B i ABUTTING DESIGN ENGINEER. 1 tox 42,85 i I HOUSE 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING Z FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN x �Q � 410 ENGINEER BEFORE CONSTRUCTION CONTINUES. 43,08 x 1 5. ALL ELEVATIONS BASED ON NGVD. LOT 31 42,98\ 1 I 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 9J5 f S. WALK - _J,J i THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF Mapx 41,70 / HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. i Parcel 1�68-42 42.54 ' S- 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. - / 1.36 1 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. i v ` //39181 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 41.78 78x �RUVO l AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE /v Z DIRECTED BY THE APPROVING AUTHORITIES. 42,12 42,03 85 00' 40, 6 _ 0 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY - 39,57 x°39 26 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING }N 54°5 '20" W� P LE CONSTRUCTION. HYD ± 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS edge of povemen Mgs t- 40 39.30 39.06 38,85 OF IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND 40,87 ��P��� s9�tio REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3), t CL LAUREL ROAD - PETER T. s 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE � EN TEE INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. Mc BED RM. a ENT. o� CIVIL "' 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND 00 ENT. ENT. No. 35109 IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. BED RM. � cL. KITCH. DINING BRZ.WY P� G STFR�`� a RM. PROPOSED SEPTIC SYSTEM UPGRADE PLAN CL.JCL HALL GARAGE ' 16 l a`s 40* LAUREL ROAD, CENTERVI LLE, MA BED RM BED R LIVING , Prepared for: Judith Hooshmand, 1'9 Farm Street, Dover, MA 02030 RM. .OWNER OF RECORD HOOSHMAND, JUDITH A TR Engineering by: SCALE DRAWN JOB. NO. cL. JAH MASSACHUSETT REALTY TRUST TR Engineering Works, Inc. 1"=20' P.T.M. 207-09 ENT' 19 .FARM STREET FLOOR PLAN 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0. • r. DOVER, MA 02030, ' (508) 477-5313 10/19/09 P.T.M. 1 of 2 NOTE: TO PREVENT BREAKOUT, THE PROPOSED G R E FINISH GRADE SHALL NOT BE < EL.40.88 s FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. K F O J SEPTIC TANK PROPOSED D—BOX PROPOSED S.A.S. , INSTALL RISERS & COVERS OVER INLET & INSTALL INSPECTION PORT OVER END UNIT OUTLET AND SET TO 6" OF FINISH GRADE INSTALL RISER & WATERTIGHT T.O.F. COVER SET TO 6" OF GRADE F.G. EL: 42.0E EXISTING F.G. EL.=43.0t F.G. EL: 42.7t MAINTAIN 2% GRADE (MIN.) OVER S.A.S. �p bo L = 14' , L = 5' L = 8, r IN PORT TION �A� ® S=1% (MIN.) ® S-1% (MIN.) ® S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC 6? 6., 1. LL io"I 74" 6 7" (0.5g� a PS• \IN40.91 48" LIQUID INV.=40.�f3NN8 i— LEVEL GAS BAFFLEINV.=40.61 PROPOSED INV.=40.46 5 ROWS OF 5 UNITS AT 5.0'/UNIT = 25.0' `�, '' .�� INV.=40.66 D—BOX % '00. 25 SOIL ABSORPTION SYSTEM (PROFILE) PROPOSED SEPTIC TANK S.A.S.LAYOUT ESTABLISH VEGETATIVE COVER TIE IN TO EXISTING SEWER PIPES BACKFILL WITH CLEAN NATIVE OR AT, OR ABOVE, INV.=41.05E PERC SAND TO TOP OF CHAMBERS 21„ 6-4" POLYSEAL OUTLETS MODIFY PLUMBING AS REQUIRED 2" 2" 1-4"POLYSEAL INLETS BREAKOUT=TOP NOTES: TOP ELEV.=40.88 ` INV. ELEV.=40.38 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE N 0 INVERTS, PRIOR TO INSTALLATION. BOTTOM ELEV.=39.80 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND 2.83 o y O0 TRUE TO GRADE ON A MECHANICALLY COMPACTED 5` MIN. ABOVE BOTTOM OF T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=14.2' SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN iv Top View Section 310 CMR 15.221(2). # EXISTING SUITABLE D-BOX 3) INSTALL INLET & OUTLET TEES AS REQUIRED. MAX.G.W., EL=34.8 = i MATERIAL 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE SEPTIC SYSTEM PROFILE USE 5 ROWS OF 5-ADS Arc 36 UNITS WITH NO 63.5" AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. SEPARATION BETWEEN EACH ROW & NO STONE N.T.S. TYPICAL SECTION ?• 13 DESIGN CRITERIA SOIL LOG 33.8" DATE: OCTOBBER 15, 2009 (REF#12,729) NUMBER OF BEDROOMS: 4 BEDROOMS SOIL EVALUATOR: PETER McENTEE (SE#1542) WITNESS: DAVID STANTON R.S. SOIL TEXTURAL CLASS: CLASS I HEALTH AGENT TOP VIEW DESIGN PERCOLATION RATE: <2 MIN/IN ELEV. TP— 1 DEPTH ELEV. TP-2 DEPTH X1 DAILY FLOW: 440 G.P.D. 421 A o'j 41.9 A END CAP END CAP so" SANDY LOAM � SANDY LOAM FRONT VIEW SIDE VIEW DESIGN FLOW: 440 G.P.D. 41.4 10YR 4/2 L 41 2 10YR 4/2 END CAP 8 8" REAR/TOP VIEW GARBAGE GRINDER: NO BSANDY LOAM ]� BSANDY LOAM 7.5YR 5/8 # 7.5YR 5/8 TO TE: UNIT CHANGE INITHOUTRATION AND NOTICE. PRODUCT IABILITY DETAIL MAY SIDE VIEW EXISTING SEPTIC TANK: 1500 GALLON CAPACITY 39.8 28 39.8 24" DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. r C 30" C PROPOSED DISTRIBUTION BOX: 5 OUTLETS MINIMUM PERC asao TRUEMAN t3LVD HILLIARD, OHIO.43026, Arc '36, 'DETAIL LEACHING AREA REQUIRED: (440) = 594.6 S.F. 42" ADVANCED DRAINAGE SYSTEMS.INC. .74 M-C SAND M-C SAND PROPOSED SEPTIC SYSTEM UPGRADE PLAN 2.5Y 6/4 2.5Y 6/4 USE 5 ROWS OF 5—ADS Arc 36 UNITS WITH No 40 LAUREL ROAD, CENTERVIL`LE, MA t SEPARATION BETWEEN EACH ROW & NO STONE P Prepared for: Judith Hooshmand, 19 Farm Street, Dover, MA 02030 BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.80 SF/LF OF UNIT) 3'1 1 132" 30.9 132'; Engineering by: SCALE DRAWN JOB. NO. (Arc36HC Units) 25 UNITS x 5.0 LF x 4.80 SF/LF = 600.0 SF PERC RATE <2 MIN/IN. ("C" HORIZON) Engineering Works Inc. NTS P.T.M. 207-09 j ". NO GROUNDWATER ENCOUNTERED ,12 West Crossfield Road, forestdale, MA 02644 DATE CHECKED SHEET N0. DESIGN FLOW PROVIDED: 0.74(600 S.F.) = 444 G.P.D. MSHGW EL. 34.8 AT LAKE RECORD WATER SURFACE ELEVATION (508) 477-5313 10/19/09 P.T.M. 2 of 2