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HomeMy WebLinkAbout0044 LONGBOAT DRIVE - Health 44 Longboat Drive Centerville A=193-151 r� S M EAD® No.2153LOR UPC 12534 owd com • Made in USA 1 L! I TOW/N OF BARNSTABLE LO ATION i / lona ac, SEWAGE# 206 I ? 1 V11 LAGE CP(1�P-L(il lie ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. I aj /-IMP t(1 (J��� 7ZS -7�?✓� SEPTIC TANK CAPACITY /``boo /� LEACHING FACILITY:(type) �b (ap, (-1�(� fQ��S(size) NO.OF BEDROOMS BUILDER OR OWNER PA I I ay PERMIT DATE: Z—V COMPLIANCE DATE: (� Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 leachingfacility) Feet Furnished by r 4qq Low 60J .Dr',V . No. l Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION-- TOWN OF BARNSTABLE, MASSACHUSETTS Nplitation for Mispoeial *pstcm ConstCULtion Permit Application for a Permit to Construct( ) Repair(&-)-*,,Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's N e,A dress,and Tel.No.f� �� Assessor's Map/Parcel jQ7 ,r Installer's Name,Address,and Tel.No./Qkl-���'r�''�1 Des er's Name,Address,and Tel.No.-.� f/7t,7 - T9/--"3 /Z Type of Building: Dwelling No.of Bedrooms Lot Size ! 3; r-o�a sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided cf c" gpd Plan Date I3/��f' Number of sheets Revision Date Title - Size of Septic Tank Type of S.A.S. ,2 - j-er,, Description of Soil C. Nature of Repairs or Alterations(Answer when applicable) Corp/P// ,lJj�— wort or,z C- o �— ?o d�3 �.r' �f 3� `X /� �' f/roar f�✓^. 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 c5— Application Approved by Date Application Disapproved by Date for the following reasons Permit No. , /7 Date Issued �j Fee © ! THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: j PUBLIC HEALTH DIVISION`---ITG I�/N OF BARNSTABLE, MASSACHUSETTS Yes - 4plicatlon for Misposal 0pstem Construction vermit f S. Application for a Permit to Construct( ) Repair(v�Upgrade() Abandon( ) El Complete System El Individual Components Location Address or Lot No. y�, Owner's Name,Address,and Tel.No./4,Z/F' a'r-w K CentP✓�,•//,G �d�.Z i fc��•,t u�ay Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No..f o,,1- �s O Lli a .t—,o 77. -Z 8:?.3� 1 /2 CvPs i o. s 'i' eecl arrr Type of Building: Dwelling No.of Bedrooms Lot Size / 3; f-oo sq.,ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 40/p gpd Design flow provided C3`:;1 o, gpd Plan Date _� i,?�/� Number of sheets Revision Date Title / /o,v-1 f�®r�ii� S�sf Size of Septic Tank ` l +� p �©moo Type.ofSAS.,-'� Description of Soil C' /�r a Nature of Repairs or Alterations(Answer when /applicable) ' � / �C•rs'/�l.r dT i4��a� �h��� �i d� �O� /7 �Q �iYi rJ'�s'a c ,X 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 3-// _ Application Approved by Date 5,/.-5 3 4, Application Disapproved by Date for the following reasons Permit No. ((p /7 Date Issued � P_3 '-------------------- -------------------------------------------------------------- --------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Comp lance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( Upgraded( ) 'I Abandoned( )by at d has been constructed in accordance ZXo v with the provisions of it�and the for Disposal System Construction Permit No; >OA dated 5/a`,3//(� Installer /� -'`J� Designer #bedrooms y Approved design flow L/y/Q gpd The issuance of this permit shall not be construed as a guarantee that the system will ctio as designed. Date/7 14, Inspector i , h, e ln� `N THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS 30isposal *pstrm Construction i3ermit Permission is hereby granted to Construct( ) Repair(� Upgrade( ) Abandon( ) System located at 6Z 4" 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 Pe comp eted within three years of the date of this permit. j Date la3 Y Approved ---_� J, 1 Town of Barnstable Regulatory Services °M Richard V. Scali, Interim Director 1 B ABIM. « Public Health Division v Mnss. g Thomas McKean, Director t D MP't 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Homeowner Certification Form for Alternative Systems Prope qy Address: �Assessor's Map\Parcel: i q 3 I J 1 �Prope Owners Name: In accordance with Massachusetts DEP alternative system approval letters, the following certification inforrration is required by the Owner of record. The Owner of record must place an 'Y' in the applicable box next to each line certifying the information. Yes T\A es� ll� I have been provided a copy of the Title 5 I/A technology Approvdl,letters. (15 page Standard Conditions letter and the specific technology letter). ❑ I I have been provided with the Owner's Manual ❑ 11il I have been provided with the Operation and Maintenance Manual ❑ V For Systems installed under a Remedial Use Approval, I agree to fulfill my responsibilities to provide a'Deed Notice as required by 310 CMR 15.287(10) and the Approval ❑ For Systems installed under a Remedial Use Approval, I agree to fulfill my responsibilities to provide written notification of the Approval to any new Owner, as required by 310 CMR 15.287(5) ( — If the design does not provide for the use of garbage grinders,the restriction is understood and accepted Whether or not covered by a warranty, I understand the requirement to repair, replace, modify or take any other action as required by the Department or the LAA, if the Department or the LAA determines the System to be failing to protect public health and safety and the environment, as defined in 310 CMR 15.303 ao 1 agree to comply with all terms and conditions above. Properly O e ` Pro Owners Signature Date No This :form must be submitted along with the septic system disposal works permit application for all I\A systems includinf, new construction, repairs\upgrades, with and without aggregate (stone) and with conventional design criteria or credited desi u criteria. QASept e\IA homeowner certification.doe Town of Barnstable Regulatory Services Richard V.Scab,Interim Director HAM Public Health Division 16 " Thomas McKean,Director 200 Main Street,Hyannis,MA 0260.1 Office- SM-86246" Fax: 508-790-63(9 Installer&Designer Certification Form Date: !t G/ Sewage Permit# iO 1(- f 7 I Assessor's Map%Pareel i 9 3 — 57/ Resigner: r►cT:+n r i-uc r-Lg 1., 4,, Installer: �� .Sew I,c -S .c-&S Address: i Z W, Cam-.i�- l t"c i Address: 'a S`d M AK S1- �.���-�.4a 11J, YaAnka✓>&-A /'la d Z(v-73 on a0Ito (�a/ SWh c- eras issued a permit to instal l a (date) (installer) septic system at y C CI!F1+0 4� a - et-i t". based on a design drawn by (address) L O t-e�. P t.= dated (designer) I certify that the septic system referenced above was installed substantially according to the desigr4 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 Mound 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 w found satisfactory. I certify that the system referenced above was constructed in co liance with the terms of the AA approval letters(if appEicable) q �s'r9c PETER T. (I_'tSll�II, Slifltlattlre} McENTEE MAL No. 351:09 (Designers Signature) (Affix Des i Here) PLEASE RETURN TO BARNSTABLE PUBLIC II€EALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BiJILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION THANK YOU. Q:Septic\Desi;nerC'ertificationForm Rev 8-14-13.doc oF•►+r? Town of Barnstable P#_ j 7 )- Department of Regulatory Services BARNBPABM : Public Health Division Date t � MASS p i6J9 ,e� 200 Main Street,Hyannis MA 02601 . . rfD MA't M Date Scheduled 3 11 ` Time l t Fee Pd. 6 C,+ ©d Soil Suitability Assessment for Sew e Disposal Performed By: V e.- -e," 5 t •4 15-iq Z Witnessed By: fit✓� �jj� �� LOCATION & GENERAL INFORMATION Location Address Owner's Name c'�✓��'�rJ, I l p Address 1 8? 'Pi 4-c,l-Ne CY V-cy Assessor's Map/Parcel: G `1 v1 S M A OZ 6 c,1 3`1 5 Engineer's Name. CYt� V t eiC f.7 r'ly NEW CONSTRUUC`T,ION REPAIR .x Telephone# 5-C�8—N 77 Land Use Cal � Slopes(8'0) l.� Surface Stones Aj d�� Distances from: Open Water Body> 2xej ft Possible Wet Area 1�`� ft Drinking Water Well Is—a ft Drainage Way �A, ft Property Line Z f Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands In proximity to holes) LvV CF7e)A f- Diz► vC Parent material(geologic) 0 I—c�.1 C�( � Depth to Bedrock Depth to Groundwater. Standing Water in Hole: N d -"k- Weeping from Pit Face Estimated Seasonal High Groundwater > f 3 �' 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 Index Well# Reading Date: Index Well level— Adj,factor— Adj.drvundwater 1xvel PERCOLATION TEST bate Thne.�� Observation g. Hole# dr Y z` _ Time at 4" Depth of Perc C f Time at 6" '3S� v Start Pre-soak Time @ Time(9"-6") End Pre-soak S/ Rate Min./Inch. Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N)_ ,Original:!;Public Health Division Observation 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:\SEPTIC\PERCFORM.DOC I DEEP.OBSERVATION HOLE:LOG Hole# i Depth from Soil Horizon Soil Texture .Soil Color Soil Other Mottling (Structure,Stones;Boulders. Surface in. (USDA) (Munselt) g Surf ( ) Consistency, ravel -(a. j ct DEEP OBSERVATION HOLE LOG Hole# 'Z Depth from Soil Horizon Soil Texture Soil Color Soil " Other Surface(in.) (USDA) (Munselq Mottling (Structure,Stones,Boulders. Consistency.% rave -57 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. consistencv.%Grav e DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon ' Soil Texture Soil Color Soil Other Surface(in.) 1 (USDA) (Munselq Mottling (Structure,Stones',Boulders. • Consi ten l J- Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes .: Within 500 year boundary No Yes Within 100 year flood boundary No Yes . Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification I certify that on � 1. \ e(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 tr ' ing,expertise and experience described in 310 CMR 15.017. Cr�---•-- Date 1 ,Signature , Q:\$EMCVERCFORM.DOC 1 1 COMPLETE •N COMPLETE THIS SECTIONON ■ Complete items 1,2,and 3. A. t , � • Print your name and address on the reverse X /J� O Agent so that we can return the card to you. Addressee ■ Attach this card to the back of the mallpiece, B. Received y(Printed Name)_ C.bate of Delivery or on the front if space permits. 1._Article Addressed to:_ D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No Philip Deveraux 7 Job's Fishing Road Apt 41 I ;1VMashpee, MA 02649 3. Service it I IIII'I I'll I'I I I I I I II I III lI I I I II I II I III)I III 13 O Adult Sign tureeRestricted Delivery ❑Registered ed Mail 0 Priority Mail RRestrriicted ❑Cerdfi d Mail® Delivery 9590 9403 0424 5163 7488 61 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise ❑Collect on Delivery Restricted Delivery. 0 Signature ConfirmtionTm ❑Insured Mail ElSignature Confirmation 114 1200 0 0`01` 03.5 r 3 5 6 8 ;1 s ❑Insured Mail Restricted Delivery Restricted Delivery over$500) Ps Form 3811,April 2015 PSN 7530-02-000-9053 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 Sender: Please print your name, address, and ZIP+4®in this box• Town of Barnstable Os Health Division "6 200 Main Street Hyannis,MA 02601 I USPS TRACKING# 9590 94�3 �424 � 63 4' 61l,it}t:'s'sl`i.i I I Town of Barnstable Barnstable Regulatory Services Department rIaI j + fARNSCABLE, � MASS ,�� Public Health Division ArFD hA°�s 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL 7014 1200 0001 0358 3568 October 20, 2015 Philip Deveraux 7 Job's Fishing Road Apt#1 V~ Mashpee, MA 02649 4�z C NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property owned by you located at 44 Longboat Drive, Centerville, MA�.was inspected on October 16, 2015 by Timothy B. O'Connell, R. S., Health Inspector for the Town of Barnstable on the basis of a complaint received by the Town of Barnstable. The following violations of the State Sanitary Code were observed: 105 CMR 410.482—Smoke Detectors and Carbon Monoxide Alarms: Smoke Detectors and Carbon Monoxide detectors not present within dwelling unit 105 CMR 410.351- Owner's installation and Maintenance responsibilities: Observed multiple electrical outlets throughout dwelling unit that were missing face plates. You are directed to correct the violations listed above within twenty-four(24) hours of your receipt of this notice by installing Smoke Detectors and Carbon Monoxide Detectors in accordance with 527 CMR of state fire codes; by making all electrical repairs to missing face plates. You may request a hearing before the Board of Health if written petition requesting same is received within ten(10) days after the date the order is served. Non-compliance will result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations,please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER 0 9,F THE BOARD OF HEALTH as A. McKean, R.S., CHO Director of Public Health Town of Barnstable Citizen Web Request Page 1 of 3 h.r f y k , V. W CL El N5TALLE,�� • //�� \',Tfo Mp`#ai•'fw "°w.w C_..../�,!' LAG'"E��i�� {f" �a„ =;�, , a Logged In As: }. p } p�y►p�^y} hursday October 15 2015 TOWN\oconnelt Citizen Request Management �, Route to Users Search Requests Create Requests 1.01? I Request Information VVV Request ID: 54384 Created: 10/13/2015 4:05:19 PM Status: Assigned To Staff Assigned To: O'Connell,timothy Health Ofyce Anonymous: Yes Request Category: Chapter : Housing Substandard edit Routine work: No Estimate: No edit Date scheduled: edit Estimated 10/2�7/2015 � ,�Eh�arfgTE§t mated Set October 2015 Nov Completion ...� tl Comple•'on Date: D Sun Mon Tue Wed Thu Fri Sat ` - 27 28 29 30 1 2 3 44A 4 5 6 7 8 9 10 11 12 13 14 15 16 17 A) 18 19 20 21 22 23 24 25 26 127 1 28 29 130 31 C VAI, 1 2 3 4 5 6 7 Created By: Sousa, Vanessa Priority: Medium edit Health Office Citation Numbers: edit _4S b Requestor Information Requestor Request DETAILS: LOCATION: 44 LONGBOAT DRIVE Centerville, Ma 02632 k� Request Parcel Number The complainant thought the Map: 193 ,-j Block: 1 1 7�Lot: 000 house had been foreclosed upon. There are tenants in the house but Parcel Lookup the landlord/or bank is not maintaining the residence. Complainant says there is interior �~ mold causing illness to tenant and exterior general lack of maintenance. ` Email: Edit Requestor Information http://issgl2/internalwrs/WRequest.aspx?I0=543 84 10/15/2015 ACitizen Web Request Page 2 of 3 Track Request Progress Request Work History: Internal Note History: Entered on 10/13/2015 4:05:19 PM by Sousa,Vanessa Ruth Weil told Ann Canedy there is no evidence of bank foreclosure at the Registry. Please CC results to R. Scali. Email sent by VP, Barnstable Town Council. System entry on 10/13/2015 4:05:19 PM: Assigned to O'Connell,Timothy Enter work progress: Enter internal note: (Viewed by everybody) (Viewed internally only) i� bya�' iy4S;y� .. rSpell Cfieck SpeIl�CheckJ Add document or image link: * You can also type in a folder name to see everything in the folder Current Links: Time worked on request: Iv Response time: 0,_---_ *Time entries are in hours. Examples of time entries: 1.25, 0.5, 0.75, 1, 3.5, 0.25, 0.10 * Response time: Measured from the creation date to your first actions on the request. * Do not include nights, weekends, and holidays in response time for most departments. c Save changes 177, Check to notify town employee below to review this request. Save changes and notify Health Office f�=' citizen* Crocker, Sharon C Close request .. _.. c', Close request and notify citizen* Brief message to reviewer: *notify works if email address was given http://issgl2/intemalwrs/WRequest.aspx?ID=54384 10/15/2015 I10/14/2015 Health Master Detail Logged In As: TOWN\heaith Health Master Detail Wednesday, October 14 2015 Application Center Parcel Lookup Selection Items Parcel Septic Perc Well Fuel Tank Parcel: 193-151 Location: 44 LONGBOAT DRIVE, CENTERVILLE Owner: DEVEREAUX, PHILIP M & LORETTA Business name: Business phone: Rental property: O Deed restricted: Number of bedrooms i Contaminant released: Fuel storage tank permit: Save Parcel Changej Return to Lookup Parcel Info Parcel ID: 193-151 Developer lot:LOT 4A&4 Location:44 LONGBOAT DRIVE Primary frontage: 100 Secondary road:OAK STREET (CENT./W.BARN) Secondary frontage:100 village:CENTERVILLE Fire district:C-O-MM Town sewer exists at this address:No Road index:0915 Asbuilt Septic Scan: 1931511 Interactive map'. Town zone of contribution:AP (Aquifer Protection Overlay District) state zone of contribution:OUT Owner Info Owner: DEVEREAUX, PHILIP M & LORETTA Co-Owner: Streetl:7 JOB'S FISHING RD, APT 1 Street2: City:MASH PEE state:MA zip: 02649 Country: Deed date: 12/2/1991 Deed reference:C125027 F Land Info Acres: 0.36 use: Single Fam MDL-01 zoning:RC Neighborhood: 0105 Topography: Level Road:Paved Utilities: Public Water,Gas,Septic Location: Construction Info Building No ear Buil Gross Area Living Area Bedrooms lBathrooms 1 11978 4140 11206 12Bedroorns2 Full-1 Half Buildings value:$91,500.00 Extra features: $39,700.00 Land value: $105,700.00 http://issq 12/i ntranet/healthM aster/H ealthM asterDetai I.aspx?lD=193151 1/1 LOCATION J SEWAG ERMIT NO._ _ G y / 7 '^ V I'l LAG E 1 K S T A LLER'S NAMES & ADDRESS 7 G' B U I'L D E R OR OW ER � ZZ �a� loor or DATE PERMIT ISSUED y f� _ 7P OAT E C.OMPLIANCE ISSUED `7� IN l!� No.._.......7 `r Fl$.............................. TH1= COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ................. ........................OF............................•............ ----------........... 44 ApplirFation for Ehs' p a al Worse Tnntitrnrtinn rumit Application is hereby made for a Permit to Construct ( or WRepa. ( ) an Individual Sewage Disposal System at:, ................_. p S..... .......u 9 1; ".t U -••--.......-•• - - ..... Loca67,� Addres - or Lot No. a! ( -•-• ... ��(o .... .....................................................•............................................ r wfier Address --- ................................................. ................................................ nstaller Address d _Type of Building Size Lot-J_6.'y_.q-1.7.....Sq. feet U Dwelling—No. of Bedrooms.......•� ...._..... ...___._._Expansion Attic ( ) Garbage Grinder PL4 —Type g -__- _'. Oa No. of persons._.....,� 1 ( ) Cafeteria ( ) Other—T e of Building __._.__._ .__.__.__.. Showers — a' Other fixtures ............................ ---------------------------------------------------------------------•--•----------------••---.......... •---------------- w Design Flow..... �_ gallons per person per day. Total daily flow__._... �.:.Sl-......__gallons. WSeptic Tank—Liquid capacitylo`?4gallons Length. F6T 1. Width. _ Diameter.*...G___- Depth.+._4...... x Disposal Trench—No. .................... Widt ................... Total Length.................... Total leaching area---4gL.a./.....sq. ft. See e Pit No..... .?'4. .._ Diameters __ .. Depth below inlet..... j . Total leaching area._ ft. P� P g ------ q• Z Other Distribution box (k osing tank ( ) /0- -2�--7 " Percolation Test Results Performed ��..................--. Date..../,d'--2Z'-7-7.............. Test Pit No. 1................minutes per inch Depth of Test Pit-____-__-_-____.____ Depth to ground water........................ f.%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ...../4-•----------------------- --------------------- - - --•---- -- ------------- O Description of Soil 11_-...3.�'� ------.... ' x c, .............................. w UNature of Repairs or Alterations—Answer when applicable-------------------------------.............................._................................. ------------------------------------- -----------------------------------------------------•--•------------••-------------------------------------------------------------------------------------_-•---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI'iU 5 of the State Sanitary Code—The undersigned further agrees not to place the system in r3 operati•' ntil a Certificate of Compliance has been issued by thelbo rd of health. Sig d 7 �,J Date Application Approved BY-----... ,- =/ �Z ..................... ............... Date Application Disapproved for the following reasons:...................... ........................................................................................ •..............................................•--------•-....--------.--•...---------------•------.....---•-----....--••-------------•--•--••------....-------------•---------------•-----•-------•--- /^ -Date Permit No......................................................... Issued........`l-•-•- `--'-•-[ -? -•---- Date No Fiza............................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -------------- ....................0 F......................................................................................... Appfiration for Bioposal Works Tonstrurtion Permit Application is hereby made for a Permit to Construct ,)-or Repal an Individual 'Sewage Disposal System at: . A ....................t.aj C',................ .. .. ................................... ........ . . ...... .................................................................. 1 4&al-� 0/t/ , a /< Location-Addresn T or Lot No. 2.... ......... ............................................. ---------------"-------*----­---------­----Owner Address .................. ....................... ................................................................................................... ;7V7 7*....... s;aller Address Type of Building Size Lot._.. ....Sq. feet U Dwelling—No.,,,of Bedrooms._... ..........................Expansion Attic Garbage Grinder Oth.er—Type of Building .... ...... No. of persons...._..° ............. Showers Cafeteria Otherfixtures ............................................................................................................................... Design ...............gallons per person per day. Total daily flow____ ' i F ....V, ............ ....... -gallons. 9 Septic Tank—Liquid capacitylg.!2Agallons Width.-CZ"T.. Diameter-_�4-:--l... Depth_.,:L,...(..... Disposal Trench—No..................... Width.,,.................. Total> Length___............ . Total leaching area...4&.4p..A....sq. f t. Seepage Pit No...... Diameter. Aftak. Depth below inlet___. Total leaching area.... ��sq. ft. Z Other Distribution box osing tank 1,0- .2 ....................... Date.... .............Percolation Test Results by.-- ....Y--.-,- Test :Pit No. I.................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......................... d...............4: ........................... ....... ........I----- ------------ 0 Descriptiowof-Soil..........4 .............. ........................................................................................................................................................................................................ ........................ ---------------------------------............................................................................................................................................ U Nature of Repairs or Alteiations—Answer whenlapplicable..""'----------------------.................................................................. 7......................... ------------------------------------------ ------------------------- ------------ ---------------------------------------------------------- ..............A eement: The undersigned agrees to install the aforedescribed Individual.Sewage Disposal System"ifi,accordance with the provisions of TIT Sanitary Code—The undersigned further agrees not to place the system in *7E 5 of the State operation`�iuh it a Certificate of Compliance has been issued by the�bo rd,of health. t . ......................------------------------ ...... ............... _7 Sig .:.d.... I/ . Da te Application Approved By . ......... );V Date o Apcatidn.p Disapprovedfor the following reasons:...................... .....I..........................ti ....................................................... . ................................................................................................................................................................................................... Date �?� C PermitNo'.t�.................... ................................. Issued.... ...........................V..... Date THE COMMONWEA LTH OF MASSACHUSETTS BOARD OF HEALTH J, .......... .4i.. . ................OF......... I.................................................... Tntifiratr of Tompftaltrr' TH IS TO RTkFY, That the Individual Sewage Disposal System constructed or Repaired 1� by... .14C ................ ................................ .. ..... ...... --------- ----------------- ♦ ... ..... _Z-------- ....... ..... iw'ii.11er at....... .... ... - . A............. .......74� ith the provisions of 5 of The State Sanitary a has been, installed in accordancoo0w C s described in t application"for Disposal.Works Construction Permit No----- ........ 'r dated-.---1p�t./A­11P.............. J, THE.JSSUANCE OF THIS, CERTIFICATE SHALLNOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEIVIVILL FUNCTION.'SATISFACTORY. DA TE................. .... .... ..... inspector.. ....-------�..._.................................................. ......................... IS -- ------THE COMMONWEALTH OF MASSACHUSETTS BOARD OF""HEALTH' - 7 ........ ........OF............ ......t............ . . . FEE..;2 r 4&_ ............ .................... Disposa Workii Tonstritqw- n Permit PJ * 1�t1944 ve ............................................................... Permission;s hereby granted...... to Constr ct or RepaA ,a IndivWual/Sewage Disp Sy0fV3 C 0 ..........................P.,04t s as shown on the application forDisposal Works Construction Perm' ....... ......... ated--- .................. n Pe rm ------- 2A4 V. Z-- ............... ................................. --Board of Healt 17 DATE.. ✓............ ....................................... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS 6 i --99--EXISTING CONTOUR x 100.98 EXISTING SPOT GRADE N �� 100 PROPOSED CONTOUR ® ora< W EXISTING WATER SERVICE Longboot LOCUS G EXISTING GAS SERVICE Copn Crosby Rd -OHW OVERHEAD WIRES e° Pen Ln TEST PIT $ BENCHMARK m°PLI h;n �fP 9 c o° o kn o� LEGEND e a °f o 3 � 6 r°� �o �o. 000µ�e1� �OF. Qo 'Ce sthep Cn .o d c ry ce F o Q<° °Q c, Qz LOCUoS SCALES NOT TOAK STREET , 85.78 PK SET 86.95 edge of pavement 88,06 88,86 RESERVE AREA 88.56 - N 59'33'36" E 88.787 100.00' CONVENTIONAL S.A.S. N ILLUSTRATION ONLY-DO NOT INSTALL A-- LEACH FIELD: LENGTH=30', WIDTH=20' `�18BENCHMARK BOTTOM AREA ONLY = 600 SF ----= J�_-CAPACITY = 0.74 GPD/SF(600 SF) -- --------� - MAGNETIC NAIL SET = 444 GPO91.10 x x 90,90EL.=88.36 -43_8'__ -4--- 90.73 Ji==T=-r -r�=i _ -� -I__1�-.�� 1 I-_J -- _ rT g�. 1 1_ J. r� I r 92 -r Ili 92- I_I--J �_I-_J _ I TP-1 I 18' 0 - -' L ___ --------� x 94, --44- - PROPOSED S.A.S. Jul- 94.76 x T� - _g4 2 TRENCHES WITH 7-16" _9r0_0 chain link fence (H-20) BIODIFFUSERS IN EACH TRENCH _ - x 5 (A egg-Z 9818 99.82 PROPOSED SEWER CONNECTION o_- to _ �0�---- - 01. 7I€ RET-W9LL �_ 96.54 _Z - N 0 �� � � 101.25 � x� 0) (A6- .70 1 x 103.69 _i O 0) m \ 0 .� chain link fenc _ EXISTING S.A.S \ ,. PATIO TO BE PUMPED, FILLED 105.42 WRLK (below),. WITH SAND & ABANDONED 101,60 �____ DECK 1 7 (above) J x WALKOUT BA x 10�3� -I04 SEMENT 108.34 GARAGE EXlSI7NG SEP71C TANK EXISTING - (TO REMAIN) HOUSE( 44, IN OUTO=101.0t PORCH / �06V. T.0.F.=110.3f 109.3 x 109,15 = x 109.86 109.58 x 10 9.2 9 708 G S ?� ` 109.77 LOT 4A N1<6110.49 15,500 SF 109.55 PARCEL ID: 193-151 _ __11-2 l 100.00' i- IP FNPI 108,67 . x 110,49S 59'33'36" W �� x 113.41 -114,31 107.63 109.03 110.21 edge of pavement 113.01 114.61 ��P��� OF Mgss9�yG ok X�kl o PETER T. f, LONGBOA T DRIVE McENTEE o CIVIL No. 35109 1 IS1_ PROPOSED SEPTIC SYSTEM UPGRADE PLAN � � 44 LONGBOAT DRIVE, CENTERVILLE, MA Prepared for: Philip Devereaux, 182 Pitcher's Way, Hyannis, MA 02601 OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. DEVEREAUX, PHILIP M & LORETTA Engineering Works, Inc. 1"=20' P.T.M. 120-16 182 PITCHERS WAY 9 9 HYANNIS, MA 02601 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. % MOURA PROPERTY ACQUISITIONS LLC (508) 477-5313 3/13/16 P.T.M. 1 Of Ij NOTE: TO PREVENT BREAKOUT, THE PROPOSED T.O.F.=110.33t FINISH GRADE SHALL NOT BE < EL:89.3 FOR A DISTANCE OF 15' AROUND THE SEPTIC TANK PROPOSED D-BOX PERIMETER OF THE S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT PROPOSED S.A.S. OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE INSTALL INSPECTION PORT OVER END UNIT F.G. EL.=103.0t F.G. EL.=90.8 to 92.3f EXISTING F.G. EL.=103.Ot � F.G. EL.=92.3t MAINTAIN 2% GRADE (MIN.) OVER S.A.S. L = 66' L = 12' INSPECTION ® S=1% (MIN.) ® S=1% (MIN.) PORT 4"SCH40 PVC 4"SCH40 PVC 11 10"I 6 t 4" 7.13" TO EXISTING 48" LIQUID INVERT LEVEL ADD L� I GAS BAFFLE INV.=89.27 PROPOSED INV.=89.10 7 UNITS AT 6.25'/UNIT = 43.8' �� INV.=88.94 2 TRENCHES INSTALL SOIL ABSORPTION SYSTEM (PROFILE) EXISTING SEPTIC TANK INLET TEE CONNECT TO EXISTING SEWER AT INLET END ESTABLISH VEGETATIVE COVER OF OLD D-X AT, OR ABOVE, INV.=90.0 BACKFlLL WITH CLEAN NATIVE OR PERC SAND TO TOP OF CHAMBERS NOTES: BREAKOUT EL.=TOP EL. ~ -. 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE TOP ELEV.=89.33 INVERTS, PRIOR TO INSTALLATION. INV. ELEV.=88.94 2) D-BOX SHALL BE SET LEVEL AND TRUE TO BOTTOM ELEV.=88.00 TWICE THE GRADE ON A MECHANICALLY COMPACTED SIX EFFECTIVE WIDTH INCH CRUSHED STONE BASE, AS SPECIFIED IN 4' MIN. ABOVE BOTTOM OF 2.83' �5.7' 12.83' 310 CMR 15.221(2). T.P. EXCAVATION OR G.W. 3) INSTALL INLET & OUTLET TEES AS REQUIRED. EXISTING SUITABLE 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE NO G.W., EL=80.3 = MATERIAL AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. 2 TRENCHES WITH 7 - 16" BIODIFFUSER SEPTIC SYSTEM PROFILE UNITS IN A STONELESS CONFIGURATION TYPICAL SECTION N.T.S N.T.S. 75"- GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL .fi- wi- BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 76" - OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE PROFILE LOCAL RULES AND REGULATIONS. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE _ 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 16" FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 11.2 ENGINEER BEFORE CONSTRUCTION CONTINUES. 1+� 5. ALL ELEVATIONS BASED ON NAVD88.. I- 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF f 34 ► THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF SECTION END CAP HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 16" HIGH CAPACITY (H-20) BIODIFFUSER UNIT 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS MODEL 16" HICAP AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE LENGTH 76" NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT DIRECTED BY THE APPROVING AUTHORITIES. TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY EFFECTIVE LENGTH 75 DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING SIDE WALL HEIGHT 11.2" CONSTRUCTION. OVERALL HEIGHT 16" 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS OVERALL WIDTH 34" 4640 TRUEMAN BLVD IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND HILLIARD, OHIO 43026 REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). CAPACITY 13.6 CF moq:b. 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE (101.7 GAL) ADVANCED DRAINAGE SYSTEMS, INC. INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND DESIGN CRITERIA IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. NUMBER OF BEDROOMS: 3 EXISTING, DESIGN FOR 4 SOIL LOG SOIL TEXTURAL CLASS: CLASS I DESIGN PERCOLATION RATE: <5 MIN/IN DATE: MARCH 3, 2016 (REF#14,972) DAILY FLOW: 440 GPD SOIL EVALUATOR: PETER Mc ENTEE SE-1542 DESIGN FLOW: 440 GPD WITNESS: DAVID STANTON R.S. GARBAGE GRINDER: NO-NOT ALLOWED WITH DESIGN HEALTH AGENT LEACHING AREA REQUIRED: (440 GPD) = 594.6 SF ELEv. TP-1 DEPTH ELEV. TP-2 DEPTH .74 GPD/SF 92.5 A 0 91.8 A 0 EXISTING SEPTIC TANK: 1000 GALLON CAPACITY LOAMY SAND LOAMY SAND PROPOSED D-BOX: 1 INLET, 6 OUTLET (MINIMUM), H-20 RATED 91.4 10YR 4/2 13" 90.8 10YR 4/2 12> USE 2 TRENCHES WITH 7 (H-20) BIODIFFUSER UNITS B B IN A STONELESS TRENCH CONFIGURATION LOAMY SAND LOAMY SAND 10YR 5/8 10YR 5/8 BOTTOM AREA: (GENERAL USE APPROVAL FOR 7.88 SF/LF OF UNIT) 90.0 30" 89.3 30" 14 UNITS x 6.25'/UNIT x 7.88 SF/LF = 689.5 SF Cl Cl PERC DESIGN FLOW PROVIDED: 0.74 GPD/SF(689.5 SF) = 510.2 GPD LOAMY SAND LOAMY SAND 30"/48" 10YR 5/6 10YR 5/6 NOMINAL AREA OF TRENCHES = 2(2.83'+0.94'+0.94') x 43.8' = 412.6 SF 86.5 72 85.5 76" C2 C2 PROPOSED SEPTIC SYSTEM UPGRADE PLAN D. SAND 2EDY SAND 6/6 2E5Y 6/6 44 LONGBOAT DRIVE, CENTERVILLE, MA 81.0 138" 80.3 138" Prepared for: Philip Devereaux, 182 Pitcher's Way, Hyannis, MA 02601 Engineering by: SCALE DRAWN JOB. NO. NO GROUNDWATTERER ENCOUNTERED PERC RATE 4 MIN ("Cl" HORIZON) Engineering Works, Inc. N.T.S. P.T.M. 120-16 E 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. SOILS TO BE VERIFIED AT RESERVE AREA LOCATION DURING INSTALL. (508) 477-5313 3/13/16 P.T.M. 2 Of 2