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HomeMy WebLinkAbout0009 MARIE-ANN TERRACE - Health (2) 9 Marie-Ann Terrace Centerville A= 189 - 100 S M E A D KEEPING YOU ORGANIZED No. 12534 2-153L©R o- OSUSTAINABLE FWM INRWIVE CONTENT 10�9G G0od Fiber Sourcing pWT.CONSUMER® www.Afipropnm.brp M1299 MADE IN USA No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplitation for Misposal 6pstem Construction jhrmit Application for a Permit to Construct( ) Repair(r�Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. C1 nmr 1 c-ANiJ Tcr rme-r- Owner's Name,Address,and Tel.No.V Lr•c n CPoCF�cP . Assessor's Map/Parcel 1$9- )00 G�i�,�-trvill� 9 /r)mr;C. A00 Tcrr,*cc_ Installer's Name,Address,and Tel.No.g 4.8 S—X OLUCI-A 0A Designer's Name,Address,and Tel.No.r6KCACt irovira r 14 C.O-Scrrm L..J Fccsq.A .l'c t4n l• 01521 P O..Q331 dcrWick Type of Building: LL Dwelling No.of Bedrooms y Lot Size . Jo� ,{ {,�sq.ft. Garbage Grinder( ) Other Type of Building RCS ijcn_A i cuj No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 44 O gpd Design flow provided y 713 gpd Plan Date :9.11- 19 Number of sheets Z Revision Date Title Size of Septic Tank 7-000 octal 'z e0 T Type of S.A.S. Tr•ct"G5 Description of Soil Nature of Repairs orAlterations(Answer when applicable)) S-T - 14 20 _D BOX • Z 2A3A Q. u sine Dc.c-C f!oc Sul-r octiatcci La Wa.sVNccf S,4on c- 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 8-1y-11q Application Approved by Date Application Disapproved by 67 Date for the following reasons Permit No. � � �j 12 'Zj Date Issued--------------- it Cf T TOWN OF BARNSTABLE LOCATION Q /r]nric.-AyuN-TE RRAcE SEWAGE# ZDIg - 303 VILLAGE ASSESSOR'S MAP&PARCEL /QC) INSTALLER'S NAME&PHONE NO. $ EXggQo-A i Ox\ LL`Y?- OC,S3 SEPTIC TANK CAPACITY Z000 Q a J LEACHING FACILITY:(type) Trr-nchC S (Z) (size) ZA3 x 4t4 NO.OF BEDROOMS q OWNER oarcrN Crockr-- r- PERMIT DATE: R-I.4-)9 COMPLIANCE DATE: 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 c I" IWL, 1 --3s ' Z2' A C3' 3�G D3- y3 B C REAR C4. 3Z ZM �o 77V �5- Z4 ' Z- Za' Al $�S„ E 10 ' 87 . 1.) a� Nor (/ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC.HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppYitation for'MispoBal 6pstrm ConstCUttion permit 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. 9 t�lcir�� A�n1 Ter rack, katcn CP0 'cr �Assessor's,Map/Parcel S 00 �"` ' �l�i 4 t'nOir'e. A 0 0 -rcrracc Installer's Name,Address,and Tel.No.(� XCa.Uc.�1►O Designer's Name,Address,and Tel.No.T' 3,k r4L, rAjv j r-onnr 14 TcaSccry L,,3 wi,). 0153 P-0.3 331 d,rwic� `jjq.99q- IILG Type of Building: Dwelling No.of Bedrooms y Lot Size �a � sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) l.�y Q gpd Design flow provided !4 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank 'Z ,I '7 t,, ni Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) !Z0W9,,aj Sa 14 20 D B 0,X Z "I"('en cue S t j<i n c� prrjC p 4p S� t'r's��s f(r r4 ��sty)-5 In C=2 si o n 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 1AS Date . "Application Approved by Date Application Disapproved by Date for the following reasons Permit No.. J / Date Issued 411 ;h 4on k f or THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(►/y Upgraded( ) Abandoned( )by,B i a at 9 /1 a P;e a/y^/Tr rro,e e_ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No)-Lb) zj_73 dated E/ LJ//Gj Installer F7 Xr a t Li as O A. Designer 'Da pa 6 C�a r #bedrooms Approved desiggn'-fl'o�w and The issuance of this pe it shall not be construed as a guarantee that the system will`functi'\ as desig ed. Date '� Inspector No. 22 t? Fee,/THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair(„/)' Upgrade( ) Abandon( ) System located at q d�sLes p 1 ti� "re r f-r,c 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 �����9 Approved by 1 VLL b Town of Barnstable �OF'THE Tp�y Regulatory Services Thomas F. Geiler, Director �AB�• = Public Health Division Muss. �Alf039. � Thomas McKean, Director -200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: SUS-790-6304 Date: 3 21- 19 Sewage Permit# 201q -3p3 Assessor's Map/Parcel VZ3-)00 Installer & Designer Certification Form .Designer: e,�er3c�F v�ro.►�er,�a-� Installer: { �rQ E�c�, -�►o✓� Address: PO BOX 33I Address: 14 L1,3 a►J'W c� M►b► F�2 r'cs9oloAr— f9 A On S-jt.�' —� �3 excay 0r\ was issued a pen-nit to install a. (date) (installer) septic system at based on a design drawn by (address) dated $-11- 19 (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 d1stri4ution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certifythat the septic system referenced above was installed with major changes (i.e. greater than 10' lateraf 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 weree found satisfactory. ov , ')AV 1) (;Inst4er) Sign irl") 1211 Jai (Desigrier'�Signatu�)/ (Affix Desig p Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK.YOU. -:\office forms\dcsignerceruficauon fonn.doc 4 4r COVERS BE TOP OF FOUNDATION EL. 98.0' BROUGHTOTO WITHIN6"O WATERTIGHT AND GRADE SEPTIC SYSTEM PROFILE / Flaherty Environmental Services EL. 100.0 ( to scale) INSP. PORT W I 3" OF GRADE `� P.O. Box 331 2" PEASTONE OR EL.98.0't CLEAN SAND Harwich, MA 02645 4" CAST IRON or EQUIVALENT GEOTEXTILE MIN. PITCH 1 4" PER FOOT FILTER FABRIC ENT (IF REQUIRED) 774.994. 1166 4"SCHEDULE 40 PVC PIPE .•• .. 4" SCHEDULE 40 PVC PIPE FLOW LINE ' (first 2'to be ;'. LINE"A": EL.97.3' — _L.1 EL. 95.0 f �;.'•; NE 18":EL.97.5' 0 14" �:. LINE"C":EL.98.4' _ Y. EL.95.0' EL 94.75' _—� 2' EL.94.23' 2.5%MIN. EL.94.4' o EL.92.0' ,'e f "A":7T .�4.2' (0 005/o SLOPE �. CLEAN, DOUBLE- LINEG SAFFL H-20 DBOX +--� SOIL ABSORPTION SYSTEM 3 LINE"B":16' WASHED 3" TO 1 2" STONE •; 3500 c,ALLONSt 500 GALLONS* 6"CRUSHED STONE OR (2) TRENCHES 3 W X 44 L X 2 D USING •.••S.'•;.'a j,..:•a�'': LINE"C":73' MECHANICALLY COMPACTED 5.0 _ PERFORATED PIPE AND SURROUNDED BY DOUBLE-WASHED a" TO 1 "STONE EL. 87.0' (DATUM: ASSUMED) 2000 GALLON TWO-COMPARTMENT SEPTIC TANK (PROPOSED) L=74.93' BOTTOM OF TEST HOLE EL. 87.0' FULLED �O�t� R'178,78 USGS ADJUSTMENT: N/A LOCAT/ONMAP 328$ R �s GROUNDWATER ELEV: N/A EXISTING �,� ✓ CAUTIONCESSPOOL .N N TH SEE NOTE #61 © LOT 12A LA R� ✓ SLEEVE SEWER LINE MAP 189 W/I 10' OF W ER LINE LOT 100 Rt.28 CIO. 0.52 ACRES± 10.5, FuiiwRa. C.O. PATIO / Locus INE A a ^O 2 •5 BENCHMARK: TOP OF FNDN / -2 EXISTING EL. 100.0' V NTS BR OF Md TH-1 DWELLING / �SH Q D I sc ; 14.6' LINE B i 21 STD 41.1' DRIVEWAY d ITA BREEZEWAY /EXISTING / / DATE.&1112019 REVISED: 1 1 BR 'V GARDE DECK APARTMENT / gV AREA LINE C 161,39, C.O. C.O. SITE AND SEWAGE PLAN FOR CIO. B & B EXCAVATION INC./ KAREN CROCKER y 9 MARIE-ANN TERRACE r SCALE : 1 = 3 0� BARNSTABLE(CENTERVILLE), MA REF.'PB 169 PG 133 r PAGE 1 OF2 4 :............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. GENERAL NOTES DESIGN CALCULATIONS SYSTEM DETAIL Flaherty Environmental Services P. 0. Box 331 1. ALL PRECAST COMPONENTS TO BE H-10 Harwich, MA 02645 RATED. ALL COMPONENTS WITH ANY NUMBER OFACTUAL BEDROOMS 4 774.994. 1166 ANTICIPATED VEHICULAR TRAFFIC TO BE (3 BR MAIN HOUSE, 1 BR ATTACHED APARTMENT) ❑B S, PORT H-20 RATED. GARBAGE DISPOSAL UNIT NO 3r 2, THE DESIGN OF THIS SYSTEM DOES NOT TOTAL EST/MATED FLOW ""' '''~' `" "' ''' " " ALLOW FOR THE USE OF A GARBAGE (1>0 GAL/BR/DAYX 4 BR) 440 GAL./DAY GRINDER. 6, 3. MUNICIPAL WATER IS AVAILABLE. REQUIRED SEPTIC TANK CAPACITY 880 GAL. 4. ALL CONSTRUCTION TO CONFORM WITH — 310 CMR 15.000 AND ALL OTHER SIZE OF SEPTIC TANK 2000 GAL.2 COMP. (PROP.) , APPLICABLE LOCAL, STATE AND FEDERAL (1500 GALS FIRST SIDE;500 GALS SECOND) CODES AND REGULATIONS. SOIL CLASSIFICATION 1 44' 5, INSTALLER/CONTRACTOR TO REVIEW& DESIGN PERCOLATION RATE <2 MIN./INCH VERIFY ALL ELEVATIONS AND DETAILS AND REPORT ANY DISCREPANCIES TO EFFLUENT LOADING RATE 0.74 GAL./DAY/FTZ DESIGNER PRIOR TO CONSTRUCTION OR — — — ASSUME ALL RESPONSIBILITY, LEACHING AREA 6. INSTALLER/CONTRACTOR IS BOTTOM.• (3'X44)X2= 264 FT2 9' MIN, OF S❑IL RESPONSIBLE FOR MAINTAINING SAFE SIDES: 2' PEAST❑NE OR FILTER FABRIC-"'� WORK AREA, VERIFYING ALL UTILITIES [(2'X44)X2+(2'X3)X2]X2= 376FTz AND NOTIFYING DIG SAFE TOTAL= 640 FTZ } (1-888-344-7233) 72 HOURS PRIOR TO X 0.74= 473 GAL/DAY CONSTRUCTION. Z 7, ANY CHANGES TO OR DEVIATIONS FROM USE(2)TRENCHES OF PERFORATED PIPE SURROUNDED BY 1 THIS PLAN MUST BE APPROVED IN PTO 1 J"STONE,EACH TRENCH CONFIGURED AS WRITING BY FLAHERTY ENVIRONMENTAL 3'WIDE X 44'LONG AND 2'DEEP 3' SERVICES AND LOCAL BOARD OF HEALTH. RESERVE LEACHING CAPACITY N/A 8, FINISH COVER OVER COMPONENTS IS TRENCH END VIEW NOT TO EXCEED 3'PER 310 CMR 15.000 (NTS) UNLESS SHOWN PER PLAN. 9, ALL ABANDONED SEPTIC SYSTEM COMPONENTS TO BE PUMPED DRY AND FILLED WITH CLEAN SAND OR REMOVED SOIL EVAL UA TION AND REPLACED WITH CLEAN SAND, TESTHOLE#1 TPT#19-90 TESTHOLE#2 TPT#19-90 "OF 10,ALL COMPONENTS TO BE PROVIDED Evaluator.• DavidD.Flaherty Jr,RS,REHS Evaluator. DavidD.Flaherty Jr.,RS,REHS WITH WATERTIGHT ACCESS PORTS SE#2755 SE#2755 n BOH Witness: David Stanton,RS BOH Witness: David Stanton,RS WITHIN 6 OF FINISH GRADE. D. Date. July31,2019 Date: Ju/y31,2019 FLA J 11 ALL SEPTIC TANKS, DISTRIBUTION 1 BOXES AND PIPING TO BE INSTALLED TH-1 ELEV.98.0' TH Z ELEV.98.0' 9 WATERTIGHT, etsTea / 12,NO KNOWN WETLANDS OR WELLS o s" A LS 10 YR 312 0•-s^ A LS 10 YR 312 B�NtTAR� WITHIN 100 FEET OF PROPOSED 9"-27" B LS IOYR5/6 9'-27^ B LS 10YR5/6 ( I I LEACHING. 13.THIS IS NOT A CERTIFIED PLOT PLAN AND UNDER NO CIRCUMSTANCES IS THIS PLAN TO BE USED FOR ZONING OR ��i 27"-132" C MCS 2.5Y6/4 27"-120" C MS 2.5Y6/4 BUILDING PURPOSES, P117 Z' m 471 SITE AND SEWAGE PLAN FOR 14,LOT IS SHOWN AS ASSESSOR'S MAP 189 certify that on November 12,2002,l have passed B & B EXCAVATION INC./ PARCEL 100. 15. LOCUS PROPERTY'S PROPOSED SYSTEM the exam/nation approved the Deparb of h5 KAREN CROCKER APPEARS IS NOT WITHIN AN AQUIFER Env/ronmental Protection and that the aboveove ana /s has been performed by me oonsistant With the 9 MARIE ANN TERRACE /G.W.ELEV.N/A G.W.ELEV.N/A requ/red train/ng,expertise,and experience described BARNSTABLE(CENTERVILLE), MA -J PROTECTION DISTRICT(ZONE /E II , In 310 CMR 15.018(2)." ( ) BOTTOM T - BOTTOM TH-1 ELE . 87.0' H V 2 ELEV. 88.0' PAGE2 0F2 DATE.•811112019 ..............................-.........................................................................................................................................:...:..........................__........................................................................................................................................_............................._......................: ............................................................................................................................................................................................................ .............................................................................................. ............... ...................................................................