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HomeMy WebLinkAbout0022 LONGFELLOW DRIVE - Health 22 Longfellow Dr Centerville A= 188 - 041 �lll aE�Y���v UPC 12534 No, 2.153 pR �°cSr.pp�5�'�� H48TINQ0, MN No. . ® Fe Al O 0.0 0 • THE'COMMONWEALTH OF MASSAMUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplication for �igpogal 6pgtem Conotructiou Verrait Application for a Permit to Construct( ) Repair()) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. 7 7 5—O 5 2 O 22 Longfellow Dr, Centerville William/Alan Jackson Assessor'sMap/Parcel 188/41 22 1 Longfellow Dr Centerville Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4——8 9 4 Wm E Robinson Sr Septic Eco-Tech Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder (no Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 septic system to plans of Eco—Tech, #ETE-2552 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. s S ed Date Application Approved Date Application Disapproved by: Date for the following reasons Permit No. / 76 Date Issued _ —————————————————— No. .�0?--Z?O »' �', �( Feel 00.00 14 TH COMMONN WEALTH OF MSS'AG5iUSETTS Entered in computer: Y— PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pprication for Migponl *pztem Cou.5tructiou Permit Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) ❑Complete System F1 Individual Components $.Location Address or Lot No. Owner's Name,Address,and Tel.No. 7 7 5—0 5 2 0 22 Longfellow Dr; Centerville. William/Alan Jackson Assessor'sMap/Parcel 188/41 222Longfellow Dr Centerville Installer's Name,Address,and Tel.No. 7 7 5—8 7 7( Designer's Name,Address and Tel.No. 3 6 4—-8 9 4 Wm E Robinson Sr Septic , Eco-Tech nAQ a Triangle G -- -- --- - .. �... , .gym:1 e a Type of Building: .Dwelling No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder (no) Other Type of Building ,r No.of Persons Showers( ) Cafeteria( ) Other Fixtures ' Design Flow(min.required) °rr gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 septic system to plans of Eco-Tec , ETE-2552 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. i ned DateIN l�j L "� Application Approved y Date Application Disapproved by: Date for the following reasons Permit No. -/7W 7 "` l -?d Date Issued (J� ----------------- ----------------- ----------- THE COMMONWEALTH OF MASSACHUSETTS Jackson BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ) Upgraded ( ) Abandoned(( ))by Wm E Robinson Sr ,Septic 2- Longte ow Drive, Centerville at - has been constructed in accordance with the provisions( Titles and the for Disposal System Construction Permit No.;9X 7 120 dated Installer Designer #bedrooms _� Approved design flow gpd , � b The issuance of this permit shall not be constr/ued as�}a guarantee that the system will'function•,as designed, �r�{��/ / Date / ,/ Inspector1� 1 G �t/,!f fC No. IFV 0.0 0 Jackson THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS WigpO!9al *patent Cow6truction Permit Permission is hereby granted to Construct ( ) Repair ) Upgrade ( ) Abandon ( ) System located at 22 Longfellow Drive; Ceni-ervi 1 1 a and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction m "t be completed within three years of the d to of this it. Date � ��/'� Approved b_y_ �i ,,t Town of Barnstable r Regulatory.Services _ t Thomas , Geiler,_Director 9 .. g. Public Health.Division Thomas McKean,Director 200 Main.Street,Hyannis,MA 02601 Office: 508-8624644- Fax: 508-790-6304 . Installer&Designer Certification Form Date: 07 Sewage Permit# CCU? , 1 0 . Assessor's Map\Parcel t Yt . Designer: Eco=Tech Installer: Wm E Robinson Sr Septic Address: 43 g Address: Trian le. Circle PO Box 1089 Sandwich Centerville on �S 0'� Wm. E Robinson Sr Sep14 issued a permit to install a (date) (installer) septic system at22 Longfellow Dr, Centerville based on a design drawnb (address) - Edo-Tech dated 04-20.-07:. (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: ..:. I.certifythat the septic system referenced above was nstalled.with major changes (i.e. er than_10' lateral.relocation of the SAS or an vertical relocation of an component. great the Y Y of the septic system)`but m accordance with State &Local-Regulations_ Plan revision or. certified as-built by designer to follow. I - F3aSN OF 4f q G _ oy � DAVID D. (Installer's Signature) COUG ANOWR No.. 1093 GfSTOL sgNI TAR\P� Signature), (Designer's gn ) (Affix Designer's Stamp Here) PLEASE `..RETURN. TO BARNSTABLE PUBLIC HEALTH.. DIVISION. CERTIFICATE OF. . COMPLIANCE..WILL.NOT.BE ISSUED UNM BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 3-26-04.doc TOWN OF BARNSTABLE LOCATION 62d L,19ie/lo, 61- SEWAGE# 09DO7` 00 VILLAGE Ctn+crw,ke- ASSESSOR'S MAP&PARCEL l ' q INSTALLERS NAME&PHONE NO.t vw�• ('a.. .n c, NoC C' _ SEPTIC TANK CAPACITY /5bc� E:k--/tons V776 A � LEACHING FACILITY:(type) 6-04CA (size) qS X /O x fo" ®vt_t NO.OF BEDROOMS OWNER of sCAJ PERMIT DATE: i'� m-7 COMPLIANCE DATE: ;-�� -ft07 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) �p'� Feet FURNISHED BY'Tbt' p9ple- D F �(DUSE PC o i 3 ©4 TA D-BOA �' o� Porgy A-r jP A-3 3/ Ate -" Ad lgl,3" Town of Barnstable r# ldvl) _ of _ Department of Regulatory Services Public Health Division Date' Et1A3A�Ath�� 200 Main Street,Hyannis MA 02601 Date Scheduled Time_/ Fee Pd. Soil Suitability Assessment for Sewa e Disposal Performed By: D jyip �. CovG �(�FYIDOW 1Z t-) Witnessed By: LOCATION& GENERAL INFORMATION _ Location Address �� l� Owner's Name eqm ��J /� � Address y1 ����'e�l®�✓ �r Assessor's Map/Parcel: Engineer's Name D�Vi p. D. NEW CONSTRUCTION REPAIR i Telephone# ��¢ Land Use �SI de.AfI al Slopes(4'0) �� Surface Stones Distances from: Open Water Body 100 ft possible Wet Area �u-F MR Drinking Water Well 110_ft Drainage Way S--+ _ft Property Line t D t ---__ft Other ft -- —� SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands In proximity to_ P y holes) -- 11339 ft LOT 60 — —� AREA = 10827 OF +- I k . �-z N 0 Q GROUNDWATER ADJUSTMENT WJ I i EXISTING GROUNDWATER LEVEL _ I + BASED_ON WATER ELEVATION 'OBSERVED IN ADJACENT �r� t CRANBERRY BOG DURING INSTRUMENT SURVEY ON 7/17/05 j� INDICATED GW 16.20 4 INDEX WELL M1W-29 O D M _ e i ZONE 11 J 10P.11 Ft -- READING DATE DUNE. 2005 READING 6.9 ADJUSTMENT 2.0 ADJUSTED GW 16.20 Parent material(geologic) Depth to Bedrock one- Depth to Groundwater: Standing Water in Hole:_ 100 TPA t j7p_ 1'1 Li h-� Weeping from Pit pace_ e Estimated Seasonal High Groundwater ce— abeVe Method Used: DETERMINATION FOR SEASONAL HIGH WATER TABLE ` � Ct p N e Depth Observed standing in obs.hole: Depth to weeping from side of obs.hole: In. Depth to soil mottles: In Index Well# Reading Date: Index Well level tn. Groundwater Adjustment Ad1,factor m- Adj.aroundwater level PERCOLATION TEST bate Thne ZP/V) `w Observation Hole# Time at 9" Depth of Perc �2 j h Time at 6" Start Pre-soak Time @ Z'oo� -� Timc(9"-6") End Pre-soak Z 2 Z — Rate M- .11 ch Zkp I j Site Suitability Assessment: Site Passed y Site Failed Add : ** ,, z' itio al.Testin Needrd-(Y/N) 'V� �✓ 1 i r'. i . Original: Public Health Division Observation Hole Data To Be,Completed on Back---- -, r,� "�r ***If percolation test is.to be conducted within 10 'of wetland,you must first notify'the Barnstable Conservation Division at least one(1)week'pridr to beginning.` Q:ISEPTICIPERCFORM.DOC .� DATE OF TEST: � MARCH 21. 2007SOIL : _ I D. COUGHANOWR. .S. SOIL TEST L O WITNESSED BY:OR DONADLD DESSMARAIS HEAL H DEPT. 1 W PERC NUMBER: 11660 1 AT 66 in j TEST PIT PARENTTMATERIIAOBSERVED L: ROGE OLACIAL OUTWASH PERC AT 70 in - 2 MIN/INCH IN C SOILS i ELEVATION DEPTH SOIL, USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 23.50 0-6 O LOAMY SAND 10 YR 3/2 NONE FRIABLE 8-12 A LOAMY SAND 10 YR 3/4 NONE FRIABLE I 12-42 B LOAMY SAND 10 YR 5/4 NONE LOOSE t 22.00 j OBS 16.17 GW7 42-120 C MEDUIM SAND 10 YR 5/6 NONE LOOSE 13.50 GROUNDWATER OBSERVED AT 100 in TEST PIT I PARENT MATERIAL: PROGLACIAL OUTWASH PERC AT 70 in - 2 MIN/INCH IN C SOILS - { I ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 24.55 0-7 Ap LOAMY SAND 10 YR 3/2 NONE FRIABLE 22.72 7-22 B LOAMY SAND 10 YR 4/4 - NONE LOOSE CBS 1 16.22 OWy 22-120 C MEDUIM SAND 10 YR 5/6 NONE LOOSE 14.55 Surface(in.) (USDA) v (Mansell) Mottling (Structure,Stones,Boulders. C nsi to c 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, ra i VU Flood Insurance Rate Map: Above 500 year flood boundary No— Yes __ v y U within 500 year boundary No V, Yes within too year flood boundary No Z Yes Depth of Naturally Occurring Pervious Material Does at least four feet o a L' urring pervious material exist in all areas observed throughout the area proposed for th c temp _V�e�------- If not,what is the n' ngj V yb°� ing pervious material? 1 Certification A R `n I certify tht ota nv' A ` (dt I passed the soil evaluator examination approved by the E o� nd that the ab Department of ove analysis was performed by me consistent with the required trainingi, r ience desribed in 10 CMR 15.017. Date Marc; 2.1 1 Z00 7 Signature Q:\S131`71 PERCFORM.DOC CENTERVILLE. MA CONTOURS '� �' BOP OF FOUNDATENCH RIO _ 113.39 �� 25 _ _ _ _ _ r --�__ 24 + EXISTING - - 50 ELEVATION = 27.62 p,' WMyRSOrV I I — 23 FINAL 50 BARNSTABLE GIS DATUM N �v LOT 60 ----- �__— _ J I AREA = 10827 s f+— 1 LOCUS -4J N 18-P TP-2/ \ O �I 11A L EGEND �o�o N m I 1 w / LOCUS MAP TP-1 1 SEPTIC TANK NOT TO SCALE IGAS GAS INE 10 D-BOX B GAT 1 Z O j TEST PIT ® DISTANCES O Zcv �c� EXISTING TO SYSTEM COMPONENTS IWAT E ` O 20 f t 1 U ALL DISTANCES ARE IN DECIMAL J GAT WA rR LINE v 1 CESSPOOL • FEET NOT IN FEET AND INCHES. n WZ UTILITY POLE V A 0 _ � L j 1 — 45 Ff x 10 FL 0 1 LEACHING GALLERY TREE-NUMBER //\EFERS TD ;�1(�)�� 3 4 DIAMETER N INCHES.. c" V o �X" !�nn :SOIL REMOVAL AREA LETTER DENOTES TYPE. 18-P 2 PA�ED ' \ vJ D-OAK M-MAPLE P-PINE r l� i DRI VEWA Y v 1 REMOVE EXISTING CESSPOOLS ALONG C 4 WITH ANY ASSOCIATED CONTAMINATED 1 / SOLIS. REMOVE ANY UNSUITABLE SOILS 1 ENCOUNTERED WITHIN THE SOIL REMOVAL 1 AREA DOWN TO THE MEDIUM SAND STRATUM. 1 +I O REPLACE REMOVED MATERIAL WITH CLEAN 1 14.3 21. - 5 MEDIUM SAND PER TITLE 5 rS 2 22.9 11.3 _ 3 25.3 19.4 32.4 NOT TO 7G 106 4 34.0 25.5 36.4 SCALE 26 26 107.11 { � -- _—� t t 5 67.0 33.5 23.3 -•- 25 24 23 VZNof MgSs9 ZH OF MqsS cy � 9c o DAVID GJ, o�' DAVID y� o) D. �, o� D a PLAN 0 COUGHANOWR �' � � No. 1093 COUGHANOWR EL O W PROFILE ALL PIPE ELEVATIONS SPECIFIED ARE INVERT ELEVATIONS SCALE. 1 1n = 20 f t y�G�sTE�� o� EXPRESSED IN DECIMAL FEET NOT FEET AND INCHES. 8 AtlTA N /4 V L&_ TOP OF FOUNDATION RAISE COVERS TO WITHIN SIX INCHES OF FINAL GRADE 20 0 20 40 EL = 27.62 +— INSTALL INSPECTION PORT IN LEACHING FIELD mmommmmi I r;I zo I 2 0 O 7 TO WITHIN 3 INCHES OF FINAL GRADE 0 10 20 A P AND INDICATE LOCATION ON AS BUILT. rp 25.25 o Tg� SEWAGE DISPOSAL SYSTEM PLAN 26.00 I -TO SERVE EXISTING DWELLING /3" DROP D—BOX MIN 2" LAYER OF lie.. EST. WILLIAM AND JEAN JACKSON g FLOW LINE TO 1/2" STONE OWNERS OF RECORD 10" - I4E d CAP ENDS 1995 22 LONGFELLOW DRIVE -- � mod' 48 GAS�� 3/4" TO 1 1/2" STONE OF PIPE /� CENTERVILLE. MA BAFFLE 24.21 6 in BOTTOM OF �RON� PROPERTY ADDRESS WEXISTING, STONE SEE DETAIL ON REVERSE SOSTEM IL SORPTION ASSESSORS MAP 18S PARCEL 41 BASE LEACHING 43 TRIANGLE CIRCLE 24.10 23.93 3 70 SANDWICH MA 02563 LAND COURT PLAN 2 4 614-D 6 in STONE BASE FIELD GARBAGE GRINDER 1500 GALLON 23.93 23.20 5.00 f L IS NOT ALLOWED 50B 364-0694 DATE APRIL 20. 2007 45 ft WITH THIS DESIGN. JOB #ETE-2552 PAGE 1 OF 2 VERSION. SEPTIC TANK 11.1 ft 2 ft THIS PLAN IS BASED ON AN INSTRUMENT SURVEY AND IS INTENDED 10 ft r SOLELY FOR INSTALLATION OF THE PROPOSED SEPTIC SYSTEM 18.20 -{ Y ADJUSTED DEPICTED HEREON. FOR ANY OTHER CHANGES TO PROPERTY INCLUDING - SEASONAL HIGH PLACEMENT OF ADDITIONS. SHEDS. FENCES OR SWIMMING POOLS. OWNER GROUNDWATER SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. r DATE OF TEST: MARCH 21. 2007 LOSOIL EVALUATOR: OR S OSOIL TEST VWNESSEDBY: DONALD DEMARIS HEALTH DEPT. PERC NUMBER: 116.60 LEACHIN.0 FIELD GROUNDWATER OBSERVED AT 88 in USE 4 to DIAMETER SCHEDULE I TEST PIT PARENT MATERIAL: PROGLACIAL OUTWASH 40 PVC PERFORATED PIPE AND NOT TO PERC AT 70 in - 2 MIN/INCH IN C SOILS SLOPE AT 0.05 Ft/FL SCALE INSTALLER MAY ELECT TO ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER SUBSTITUTE AN APPROVED f'3 4A�FT (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING GEOTEXTILE FABRIC IN PLACE OF THE PEASTONE v 23.50 LAYER SPECIFIED. f 0-6 O LOAMY SAND 10 YR 3/2 NONE FRIABLE 3 8-12 A LOAMY SAND 10 YR 3/4 NONE FRIABLE t " 6 0.83 12-42 B LOAMY SAND 10 YR 5/4 NONE LOOSE �� ,^ t 20.00 OBS OBE �PJ 16.17 cWQ 42-120 C MEDUIM SAND 10 YR 5/6 NONE LOOSE 1.06 2`" 13.50 i t eft TEST PIT 2 GROUNDWATER OBSERVED AT 100 in PARENT MATERIAL: PROGLACIAL OUTWASH Iti 10 PERC AT 70 to - 2 MIN/INCH IN C SOILS �R�FT f INSTALL INSPECTION PORT IN LEACHING FIELD STONE ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER e 1 INDICAOTE LOCATION ON (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING AS BUILT CARD. 24.55 0-7 Ap LOAMY SAND 10 YR 3/2 NONE FRIABLE 22.72 7-22 B LOAMY SAND 10 YR 4/4 NONE LOOSE OBS INSPECTION PORT 16.22 GW7 22-120 C MEDUIM SAND 10 YR 5/6 NONE LOOSE DIMENSIONS5AL ON SEPTIC TANK DETAIL DETAIL 14.55 NOT TO USE SHOREY ST-1500-H-10 SCALE 3 1n PVC CA- MAX DESIGN CALCULATIONS PERFPIPE� DESIGN FLOW: 3 BEDROOMS X HO GPD = 330 GPD SEPTIC .TANK: 330 GPD X 2 DAYS = 660 GALLONS TAPER�� INSTALL H-10 1500..GALLON,SEPTIC TANK (MINIMUM ALLOWED) DISTRIBUTION BOX: USE' 3 OUTLET' H-10 D-BOX. 0 5 FL ABSORBTION SYSTEM:• A 45 f`t_ x 10 Ft LEACHING FIELD CAN LEACH O 8 In GROUNDWATER ADJUSTMENT A6ot = ( 45 x `10 ) 450 �sf Asdw = 0 EXISTING GROUNDWATER LEVEL Atot = 450 sf BASED ON WATER ELEVATION Vt 0.74 .x 450 = 333i GPD OBSERVED IN ADJACENT 0 CRANBERRY BOG DURING USE A 45 ft X 10';f`t;='FIELD Vt = 333 GPD > 330 GPD REQUIRED _ 10 INSTRUMENT SURVEY ON 7/17/05 INDICATED GW 16.20 NOTES INDEX WELL M1W-29 ZONE D READING DATE JUNE. 2005 READING 6.9 1) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL INLET CENTER OUTLET ADJUSTMENT 2.0 STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH END COVER END ADJUSTED GW 16.20 SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. 2 ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS 31n DROP FLOW LINE OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). BUILDING SEWAGE DISPOSAL SYSTEM PLAN 31 INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BUILDING 10 in 1n o Box BEFORE EXCAVATING FOR SYSTEM. 48 in -TO SERVE EXISTING DWELLING 4) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE. LrouiD GAS 5) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0" BEFORE PITCHING DOWN. LEVEL BAFFLE WILLIAM AND JEAN JACKSON 6) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES 22 LONGFELLOW DRIVE CENTERVILLE. MA AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK. ECO-TECH ENVIRONMENTAL Zl SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. CROSS SECTION VIEW 43 TRIANGLE CIRCLE SANDWICH MA 02563 8) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. ETE-2552 APRIL 20, 2007 1 F2/21