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HomeMy WebLinkAbout0019 MANNI CIRCLE - Health --_- _ - 19 Manni Circle Centerville 169 122 µ�SIlNGS,!dN No. o*)W c/ ` Fo l 00 Ves "� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARhSTABLEa MASSACHUSETTS Zipprication for Migogal *potem Cou.gtruction Permit ..-Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) El Complete System O Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 4 2 8—1 8 2 3 19 AA n Cir, Centerville % Matthew Sances Assessors a arce 19 Manni Cir, Centerville 1 -12 Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 8 9 4 Wm E Robinson Sr Septic Eco-Tech PO Box 1089, Centerville 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinderr4o ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. 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 new Title 5 leach system to plans of Eco-Tech, #ETE-1739 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 this ar Heal j/ SiAed Date !v -0 e Application Approved Date Application Disapproved for the following reasons r Permit No. �o�-o��C �Y Date Issued 4 0 _ ,,n TOWN OF BARNSTABLE LOCATION 1 7c� /��I IU dV t t r C I C= SEWAGE # a®-0 V,20 VILLAGE 01 G—N f/ t ASSESSOR'S MAP & LOT O 9� � INSTALLER'S NAME&PHONE NO. V® � 1 13�0 IU Ste- C D 15- M 2 6 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) a X Sod (size) a- a C NO.OF BEDROOMS BUILDER O OWNER C NCE PERMTTDATE. "16 "0 `/ COMPLIA �DATE-�-8 -�/ 7 O S'� 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 V) �� No. Fee 1 0 0 -00 `THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS es ZIpplication for Mioogal *pztem Construction Permit Application for a Permit to Construct( . )Repair(X )Upgrade( )Abandon( ) O Complete System O Individual Components kAsses)o9r,M1PVjC1;T ation Address or Lot No. Owner's Name,Address and Tel.No. 4 2 8—1 8 2 3 Cir, Centerville " Matthew Sances 19 Manni Cir, Centerville 169-122 ller's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 8 9 4 Wm E Robinson Sr Septic Eco—Tech PO Box 1089, Centerville 43 Triangle Cir, Sandwich Type of Building: / Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder*o ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. 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 new Title 5 leach system to plans of Eco-Tech, #ETE-1739 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 this -tsard Health // Signe'd^� � 4`1_ Date �J/e/ o C Application Approved by Date r'�l l c- Application Disapproved for the following reasons 1 Permit No. C'C `� "" �Pc'�.� t Date Issued ---------- .�II.J- THE COMMONWEALTH OF MASSACHUSETTS Sances BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired(X )Upgraded( ) Abandoned( )by Wm E Robinson Sr Septic Service at 19 Marini Circle, Centerville hasjbeeenn constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No ^t1''rl't stated Installer Designer ) / The issuance of this permit shall not be cons 'ed as a guarantee that the syste ill function as delignedU��, Dater• 4C � U Inspector �1/�-1.4'1 �� ���"t . rrV—�,,, 7 --------------------------------------- Sances THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION . BARNSTABLE., MASSACHUSETTS MiOpog;al bp!6tern Construction Permit Permission is hereby granted to Construct( )Repair( X)Upgrade( )Abandon( ) System located at 19 Manni Circle, Centerville 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:Constr�u/cti n must be completed within three years of the datpof this pe t. Date: b' ,L(a�� Approved by TOWN OF BARNSTABLE Q A�-iV r C C= SEWAGE # ®a LOCATION / VILLAGE ASSESSOR'S MAP & LOT\ .INSTALLER'S NAME&PHONE NOS .. SEPTIC TANK CAPACITY . LEACHING FACILITY: (type) ay- S ©d _(size)-` a" NO.OF BEDROOMS_,.._ I .BUILDER O O R cc PERMTTDATE: ^16 "O COMPLIANCE DATE: / 7 -O Separation Distance Between the: i Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Welband 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 Q . C ! I ,D� <./� Town of Barnstable �p1HE 3 Regulatory Services 'I'ht►nlas F. Geiler, Director~ • BARNSTABLE, 163 M . `0m Public Health Division AlEDMAIa 'I llonlas MCKCan, Director 200 tMain Street, llyannis, 02001 Office: 508-862-4644 Fax: 50S-790-6104 Installer & Designer Certification Form Date: `� ✓�� Designer: _ Eco-Tech _ Installer: Wm E Robi nSnn Sr pep Address: _ 43 Triangle Circle_ Address: p0 B0X_1Q$q Sandwich Qen-Leryi.l.Ie On Will E Robinson_S�Septi(�vas issued a permit to install a (slate) (installer) septic system at1 9 Manni Cir, Centerville based on a design llrawri by (address) Eco-Tech dated 08-12_04 ((Iesigner) _ 1 Certifv that the septiC system rC'FCI-CI1CCll above was installed substantially according to the design, which may 111CILICIC Illmor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (Le. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) hul in accordance with State & Local RCgLILIt1o11S. Plan revision or certified as-built by do pier to follow. �SN OF,k4d` o DAVIDD. �y ' o q COUGHAfJoV, N (lilsf llers Simature) -- � .� t093 s,��`rAasP� (Designer's Signature) (Affix Designer's Stanlp Flere) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTLI THIS FORA AND AS- BUILT C:-kRD ARE UTFIVE-D BY THE KWNSTABL,E PUBLIC IIEALTII DIVISION. TlIANK YOL . Q IIcafthuSepticDesi,ner Certification Form —x TOWN OF I3ARNSTABLE LQCATION '(\�,I\�l� SEWAGE VILLAGE V\) Z -, ASSESSOR'S MAP & LOT INSTALLER'S NAME St PHONE NO. I�SEPTIC TANK CAPACITY0( P 1 0,LEACHING FACILITY:{type)- ��i (size) 0001 qL�) . NO. OF BEDROOMS PRIVATE WELL OR UBLIC�WAR F�) BUILDER OR OWNER (�?-V� C � DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED__ -- VARIANCE GRANTED: Yes No �9 L r` n No...A_&::L-Li 7 Fxs. .. 5 .......... THE COMMONWEALTH OF MASSACHUSETTS " BOARD OF HEALTH `1---------------------OF..... Aplifiration for Big uiia1 lgorkii Tomitrnr$iun Vamit Application is hereby made for a Permit to Construct (t/' or Repair ( ) an Individual Sewage Disposal System at _... ..-_.-_w►� ---- .---�'---.-.-..- '----- ...---------'•....._-.--- �------------------------------------- P - L cati ddr s a P J - ��� ........ •••-• •--•---- Owner Address W Installer Address Type of Building Size Lot...� �..Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (� aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures .....-------•----•-------------------------•-----------•'••-••--••-•--•-••--'•-•--•-•... W Design Flow............ ......................gallons per person e dray. Total daily flow.._....... _......__.........gallons. _i s WSeptic Tank—Liquid capacity gallons Length....... ...- Width..�LO...._ Diameter________________ Depth.��..z..__.. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......./------------ Diameter.__... ......... Depth below inlet....&........... Total leaching area .......sq. ft. Z Other Distribution box (p� Dosing tank V& fI ' - / ,/ �" Percolation Test Results Performed by.........................`:'"(:-WI—J9!_M6941�D ate......-��--_:t Test Pit No. 1------7-___-__minutes per inch Depth of Test Pit.../Z.°....... Depth to ground water_/ --------------- rs., Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_________-.---______-__. �y Description of Soil....... ........-•-•'•........•--•--.•• �- -- ----- x .Ze —L?-.-`......... "---�.�IVAY.----`A^v...............................••.-------•................------........ (� G.v ,W�, ••-------------- -------------------- ----•-- ---------- �,,4`-.......------------•-------------------------...---------------------------------------------------------...-- V Nature of Repairs or Alterations—Answer when applicable._______________________________________________________________________________________________ ------------------- ---------------------------------------------------------'•-••-•....•-•--•''....--•-••-••-•••••••••-••---••--•--••-•----••----••---•-------•----•-•-••-•-----•--••...---•-•...••---- Agreement: The undersigned agrees to install the aforedescribed Ind' id 1 Sewage Disposal System in accordance with the provisions of I::. S of the State Sanitary Code—T e signed further agrees not to place the system in operation until a Certificate of Compliance has been issued e oard of health. Signed...................issued •.... -•••••.....- --- Date Application Approved By......... -- 1` �► --•'---- Date Application Disapproved for the following reasons:................................................................................................................ •.................................•---------------------------------------------••-----•....-------"----I•••.......••--•'••--'-•-•-----••-•-•---'••'--••-••---------------------•----••-•-•--'••-...._.. Date Permit No.......... .- -7............. Issu s Fiz$..... 6.......... THE COMMONWEALTH OF MASSACHUSETTS �f---> BOARD OF HEALTH ...............................---------_OF....f-'......................... � Appliration for Uhipos ai Works Tom4rnrtiun Vamit Application is hereby made for a Permit to Construct (-,-or Repair ( ) an Individual Sewage Disposal System at: - ............ .....---•••-•--•--------•----------------- ------•-----------.....----•--•-••----....------...........----- . - L cati n Ad dr ss or-Iw ?7.0. ......... ...:'--------•---------.... .......----------------------•-•------------- ------------------------...... --- Owner Address W Installer Address 7 Q Type of Building Size Lot____..'Cr -_.S feet, UDwelling—No. of Bedrooms............ ...........................Expansion Attic ( ) Garbage Grinder /� aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) QOther fixtures ...........................................••---..................................................................................................... W Design Flow...........�� ........................gallons per person per day. Total daily, flow___---_.��:'�- ....................gallons. WSeptic Tank—Liquid capacit/6 gallons Length. _..._ Width./�C Diameter................ Depth1�- �..___. Disposal Trench—No. .................... Width_...;.............. Total Length..........,--------- Total leaching area--------------------sq. ft. Seepage Pit No------I_____________ Diameter...... Depth below inlet......._...._.._... Total leaching area .........sq. ft. Z Other Distribution box Dosing tank Percolation Test Results Performed by________________________� ..- ...................... Date...._ '_�_r''_^ '' �..__.- �_l Test Pit No. I......1:_.......minutes per inch Depth of Test Pit..J. .......... Depth to ground waterr'Zr_'-------------- Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..__-_____-_-----_-____- Q+° ,•-••---•--•---------- ......-....................... - Descriptionof Soil ..................................•--•---------•-••--•--------------------------------------------------------------------------------••-----•------ ................................Z....... ....:.................... ............-_/........ .... ./................-•------------------................................... W /\A1 I.-(4-TYc-/P -------------- ----------------------------------------------------------------------------------------•---------------....-------------------------------------- ..................................... U Nature of Repairs or Alterations—Answer when applicable._______________________________________________________________________________________________ ---------•-•------........••-••-•-••-•---•--•-•----------•---•--.......•-•----------•---------•--•-----•---•--•---------------•-••-•-••-------...-•-•-...--•---•--•--•-•--•--••••-•--••-----------•--- Agreement: The undersigned agrees to install the aforedescribed I ivi tal Sewage Disposal System in accordance with the provisions of T?T LE 5 of the State Sanitary Code—T ersigned further agrees not to place the system in operation until a Certificate of Compliance has been issue board of health. Signed................ ..........................•-------•---••-••--•-•----. •. Y r �'�`�'' Date Application Approved By........ .J--- ----","�..`"1---.-.----•------------•-•------- --...../G= ............................. Date••--•-......-- Applieation Disapproved for the following reasons:......................................... ---•-•-•--•---•------•--------------•---......--•------•-•------.......---------••------•-•-•-------...--•----••.....---•-••-••••------••------•---...•------•--------•--•--•-•-----•--•--•--------••-.. Date l Permit No. ....� - 7 Issued ------ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �/ ...............................O F..................................................................................... Tatifiratr of Tomplianrr THIS IS T CERJJnnT^,�IFY, That the Individual Sewage Disposal System constructed (� or Repaired ( ) . `c -----•_ - -----------------------------------•------------------- at..............L.,v.. -•---.. ! c� �I "`P !/1 ems-"t(' r _. `__...---•--"----------------------------�._. Installer �. . --------••-------------------------------------- has been installed in accordance with the provisions of TITIE 5 0 Thtate Sanitary Code as described in the application for Disposal Works Construction Permit No........ .... '.+-�...... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH G /� ��..... r...`. O F.................... �'' cc. , ... �-�r........ .. C� r .... r ................. 9 /G NO............ .. ...... FEE........................ Dispolia1 ark Cann rnriUan �ernti# Permissionis hereby granted.........-----------------------••-•------•--.---...---•------------------------•----•-•......----•-------......•••--......................... to Construct ( L r fepa� L ) lA Inddivlidduuaal Segg Disposal�sy�t�� V��U�/ atNo.............................................................................................................. 7 Street as shown on the application for Disposal Works Construction Permit No... ---_--- ated.......................................... •...............•---•---•--•-•.......----------------------------------------------------------------- G Board of Health DATE /J•--.v - .. •-•--------------- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS A8 o _ eel; IE T� L .EGG. �' •-� �����.,/j-=�e���.�c,�arm:-�/ z-�-T-c /c Z. -, ,. 7r—^Ir sum dL ��p ✓7i /�./. � ?�) /AA/. ///V. 7 �`/-y 74A/,-- ���-.� fir- ��✓ cry MARTIN cy�, �)T FLOW PROFILE TOP OF FOUNDATION RAISE COVERS TO WITHIN j EL - 39.25 +— 6 in OF FINAL GRADE ONE INSPECTION RISER FOR LEACHING GALLERY ��Q�V 2" LAYER OF 1/8- DROP ./D-BOX 1/2� STONE 3" FLOW LINE 10" = 14- PRECAST 48" cUAS'' > %?;i .=ts, 3/4--1 1/4' BAFFLE =:✓'s,;rr DRYWELL ,Yy STONE 35.65 +- 6 In — BOTTOM OF EXISTING ?TONE 35.18 LEACHING SOIL ABSORPTION EwsnNp BASE SYSTEM 35.35 EXISTING 3505 GALLERY EXISTING . 5.00 fr 1000 GALLON (END VIEW) 33.05_ EXISTING / SEPTIC TANK 8 Fr a) 5 Fr / 13 fr bl 14 Fr ESTIMATED Q 29A SEASONAL HIGH GROUNDWATER R1 A r k � / m rn z Fn 3/ST �� cm-4 pv L1 � x� Owi. l� N kA(a > m Z a % O��^7/� j�I� �o � o a Z (4 o w m D M N0)> m M m C� c,.I v N Q) N Z cn / Y� r Z O Z ® a � O x r} sbl z ' C T22 i m m 3 cn c1> >H —1 I a�N� m W 3 I _�A� Z —� O a' mo - 4 _ �,a o G) n m M tTl 0m �, 2T m m D r-rn n < Q ry ►•, dT�- N w m r— x < -� a m c C m> p I Cn � Z 1 " 9� .,9 w Z O i ^ O� b> Z S C c v a m-+ Z cn > ^ -4,ow r ; m mm o � f- C) a� o I3 z a Z rr- �' z -n '� a Z 0 Ir vvm� NLn Y m Z �, Cn sKUWNEr RoAD SOIL TEST LOG DESIGN CALCULATIONS DATE OF TEST:. AUGUST 10. 2004 _ SOIL EVALUATOR: DAVID D. COUGHAI OWR, RS WITNESS REQUIREMENT WAIVED - NO VARIANCES SOUGHT DESIGN FLOW: 3 BEDROOMS X 110 GPD - 330 GPD PAORENTOUMNDWATER ATE IAL: EPROGLACIALDOUTWASH SEPTIC TANK: 330 GPD X 2 DAYS - 660 GALLONS TEST PIT I ELEVATION - 38.0 PERC AT 62 in : 2 MIN/INCH IN C SOILS USE EXISTING 1000 GALLON SEPTIC TANK IF IS SOUND STRUCTURAL CONDITION. IF NOT, INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER DISTRIBUTION BOX: USE 3 OUTLET D-BOX. (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING SOIL ABSORBTION SYSTEM: A 24 ft x 12.5 f t x 2 ft LEACHING GALLERY CAN LEACH 0-10 AP LOAMY SAND 10 YR 4/4 --NONE FRIABLE A 6 o t - ( 24 x 12.5 ) - 300 s f Asdw - ( 24 + 24 + 12.5 + 12.5 ) x 2 - 146 sf 10-36 B LOAMY SAND 10 YR 5/8 NONE FRIABLE A t o t - 446 s f Vt 0 36-144 C MEDIUM SAND 10 YR 6/3 NONE LOOSE .74 x 446 - 330.04 GPD USE A 24 ft x 12.5 ft x 2 ft GALLERY. Vt - 330.04 GPD > 330 GPD REQUIRED GROUNDWATER ADJUSTMENT LEACHING GALLERY EXISTING GROUNDWATER LEVEL BASED ON BARNSTABLE GIS CONSTRUCTION DETAIL DEPARTMENT RECORDS "w INDICATED GW: 25.0 �DRYWELL UNIT STONE 2 f INDEX WELL: SDW-252 s— a -i a 2 ft EFF. DEPTH ZONE: D. READING: SEPT 2002 24.0 f t L•, LEVEL: 47.5 `c,y. s -,;, ADJUSTMENT: 4.0 ft o6 ` ,`!' ;. ' t ADJUSTED GW: 29.0 v M .rt t N O TE S° � _ N_ N 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN M 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. 3 5 I, 8.IS 8.5' 3.5' 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS 24.0 ft NOT TO OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) SCALE 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. 5) EXISTING LEACH PIT TO BE PUMPED, COLLAPSED. AND FILLED. OR REMOVED , 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE 7) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0' BEFORE PITCHING DOWN SEWAGE DISPOSAL SYSTEM .PLAN 8) ECO—TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK -TO SERVE EXISTING DWELLING 9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT PARK OR DRIVE VEHICLES OVER. SEPTIC SYSTEM. MATTHEW & LORRAINE SANCES 10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. 19 MANNI CIRCLE CENTERVILLE. MA II) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH ECO-TECH ENVIRONMENTAL SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING 12) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED a !43 TRIANGLE CIRCLE SANDWICH MA 02563 FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTFD WITH GAS BAFFLE. ETE-1739 AUG 12 2004 12/2