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HomeMy WebLinkAbout0116 NOTTINGHAM DRIVE - Health 116 Nottingham Drive Centerville A = 172 018 SIII�____/J J�pECVCIFppo UPC 10259 No. H163OR N•$TI TOWN OF BARNSTABLE F C- LONCATION ��+� c/� �� SEWAGE # NTILLAGE �CT° ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO.6i" ���® 77T 7�? SEPTIC TANK CAPACITY LEACHING FACILITY: (size) :P � NO. OF BEDROOMS .� BUILDER OR OWNER PERMITDATE: `off=� COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility R Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) i Feet Edge of Wedand and Leaching Facility (If any wetlands exist withir.300 feet of leaching facility)_ Feet Furnished by 4 i o � ��+'� do Nikf--X I [_�J Fee _ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: s PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYicatfon for 30igpoml *pgtem Cow5truction 30ermit Application for a Permit to Construct( )Repair( )Upgrade Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. �Cy7. Owner's Name,Address and Tel. o. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow J 3<_11 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) 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 Board of Health. Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. 2es / — `17= C Date Issued 4 ��y� Not.G-�. I ! Fee ��« b Entered in computer: JJJ THE COMMONWEALTH OF MASSACF�USETTS Yes f PUBLIC EALTH.D.IVISION -TOWN OF BARNSTABLEs MASSACHUSETT$ Rpprfcation for Digooar *pztem (Construction Permit Application for a Permit to Construct( . )Repair( )Upgrade(4 Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. //6/vnlf/��(:�� D P.GCNT. Owner's Name,Address and Tel.rip. �Gp C/6 E'a P Assessor's Map/Parcel Installer's Name,Address,and Tel.No. 'Designer's Name,Address and Tel.No. C7-/�•., G F�p�vF �7 r0,7p 7 ' . J`!?ic�`ETJ"E� f�•��vFE'�E'��•,� - ,P. .ocrvv�f' .p9 P-19-Z.t Type of Building: Dwelling No.of Bedrooms Lot Size "' sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafete is( ) Other Fixtures Design Flow 3J<­' 0;4 gallons per day. Calculated daily flow .7,4'o gallons. Plan Date �-r'/7 10 Number of sheets / Revision Date Title Size of Septic Tank / o o FXWj-�-A5 Type of S.A.S. Description of Soil '. Nature of Repairs or Alterations(Answer when applicable) 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 Board of Health. Signed Date Application Approved by Date Z 7 Application Disapproved for the following reasons Permit No. 77 Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (tertificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded Abandoned( )by 4"/-*17 C at //!i 02• G e'7' -*.l• has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 2U0 i-%Sb dated 12 112o Installer Designer The issuance o this permit shall not be construed as a guarantee that the system will•unction as designed. Date I J I Doc)j InspectorCY No. Z Fee" C THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLEs MASSACHUSETTS--. ��W$b Migoal *pgtem Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade.'f Abandon( ) System located at 4 /o ado? . G-e"k-20' /*.4. 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 ction us be completed within three years of the date of this emit. /f Date: 1 Approved by i .i i' TOWN OF BARNSTABLE FE LOCATION ��� A'� / �' �¢ SEWAGE # 7 VILLAGE �� �` ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO.4Z'--'V ���® � �� 4p SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER PERMTTDATE: `� - COMPLIANCE DATE: a 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 (Z� L i 3 7 ' P �� 40 STiTi'EETSER- ENGINEERING P.O. BOX 713—SOUTH DENNIS—MASSACHUSETTS 02660 TEL (508) 398-3922 FAX (508) 398-3063 LAND SURVEYING— ENGINEERING—TITLE 5 SEPTIC SYSTEMS PROPERTY SURVEY AND FLOOR PLAN SKETCH Please fill out this foam, including the floor plan sketch, and return to us with the signed proposal and retainer. Total# of Rooms Year Round Home ' Seasonal Home y Owner Occupied Rental #Bedrooms Family Room/Den 1 Living Room Dining Room #Bathrooms Washer/Dryer Dishwasher yfs Garbage Disposal 1/ Gas Service Town Water In-ground Sprinkler Cellar: I/ Full Partial (Crawl) Slab Wells: Main Use Irrigation Only (please provide location of all wells) PLEASE USE THE SPACE BELOW AND/OR THE BACK OF THIS SHEET TO PROVIDE US WITH A ROUGH SEETCH OF THE EXISTING FLOOR PLAN(ALL FLOORS).this will be needed to complete the engineering design and is required by the Board of Health. zz a I Illow IP 444 �Q 1 \ r• t5urrowel':jean�Iluujt Case No.: Property Address:116 Nottingham Drive City:Centerville State:MA Zip:02632 Lender:Cape Cod Co-Operative Bank ,one 3 if p OiAj 13v1'1di'# Derl- /I",' 'Tzi 0/ /Ach-ret, A1041hed— c /1/4 .,4 16' 641A�05 A .,4d 4 OAJ woodDeck 12' (A) 1.6' l JbV 0 U c 6AXA 145: HalF C 3� f��� G' Bat Bedm 'X I-V A Bedroom .. k Bate -Bedroom A) euj 24 13 Ldpo/V 26' j 5' .Ae J"j r D-h-hg Lihig Room Kithen ¢ 16f .. 06) ..... -1 4.2' Fbo rplin N MID Scat No...%- .......... FEn.....�................... � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �I2 I.. 2' Town OF Barnstable .. .. .. ........................................................ Applirativit for Rapasal Wyarks Cniatuitru lion Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ...Lot 8 Nottingham Dr. Centerville. ,-..,(p ........ Locati Add.ess................................... Ashley..Dr,t....Cen` ��.11e ......_................. Normest Homes Inc. r�1 James Dollowa i caner Five Corners Rd�d` Interville ............................................. ..,... ................................................................................................. Installer Address 1 000 Type of Building Size Lot.............................Sq. feet �. Dwelling—No. of Bedrooms...........3..............................Expansion A9tic ( ) Garbage Grinder ( ) P4 Other—Type of Building X9Qd...f Ta.1Tte No. of persons............................ Showers ( ) — Cafeteria ( ) 0.i Other fi es .................•-•--•----•-•-••-••. ... d - ------•---. W Design Flow................................ gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width•--------------- Diameter................ Depth................. x Disposal Trench—No..................... W}dt� ...gt0��,.._Total Length.................... Total leaching area...... sq. ft. Seepage Pit No..................... Diamete ..x_.....PA epth below inlet.................... Total leaching area....3���._.....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed bY.......................................................................... Date.......................--------•------- ,� 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-_-_-________-_-____-__- -------------------------------•--•----....---................----•---------•••--------------------•--••---------- .......................................... 0 Description of Soil.............Sand 8c gravel ------ . W V Nature 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has tbleen is ed by the board of h lth. Sig d-- ----• ..................... / Datt Application Approved BY �� f.._.... .... 1-,2.1-- ---.�?-2--.... Application Disapproved for the following reasons---------------- +/ �D t ..---•••••--•-•-••••----••-•••--••--•••-•••••---•••••---•-••••--••-------••••••••--•••••-•••••-----....•.------•••...__....••---••••-•---••----••--•----------••---••••-•••••...............•-•......... Date Permit No......................................................... Issued...... ?cam�_ ... Date � I No..LoQ........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OR HEALTH Town Barnstable ..................................... OF . Appliration for Bigpviiai Works Tottstrurtion Urrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .....................................tNtgham Dr._. Centerville Locati Address .......... .......... .. .•....Norme s t Homes Ine Ashley Dr, Centf�'l lle Jame s D Yowner .................. ................e........ollowa ...ner...............I.......................... Five...Corners. Rd9 d terville........_......... . . Installer Address 1 5000 Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms...... ...3......................,....._.Expansion ttic ( ) Garbage Grinder ( ) aOther Other—Type of BuildingWOCj ..Tame No. of persons............................ Showers ( ) — Cafeteriad fi es ....---••-•-•-------••...--••-•.......--•--•......----- Design Flow.............. gallons per person per day. Total daily flow.__...............3fl�......._._......gallons. W Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... N ...5to e... Total Length.................... Total leaching area.....302 sq. ft. Seepage Pit No..................... Diameter..X�..PaC-Depth below inlet.................... Total leaching area.. .........sq. ft. Z Other Distribution box ( ) Dosing tank ( ) �4 Percolation Test Results Performed bY--••------••-•••-••••-•--•-•-..I..•...........................•••.------ Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit..._.._......__..... Depth to ground water........................ (� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 1:4 -• ----••--••---•----•---•----••-•--------•-------- O Description of Soil.----•-•-•--.SariC1•-�c---gP3V61...........-• --••-•-•-•----------•--•--•--•--•---------------••-- ...................................................•--•................................. V ........................-................................................................................................................................................................................ W x ----•-•••----------------•--.....-••-•--•.......-••••---•--•--•--•---•-•----•-....-•-•-•---•.._.........-----••----•--- --•--------•-••-----••-•-•••--------•---------••-----•---••-------........•--•-- U Nature 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is ed by the board of health. Si d ..! ............. �-? • ............. .................. Zat;e ' Application Approved By......... 4✓!� • � Application Disapproved for the following reasons:... '-,�,/------.._.. ---------------------------------•-----...........-•---•......--._........... ....................................•------------------------.....-•••-.......----•••••--•-•••••••-•........••-------•...---••-............••-•-••-••-----•--•....•••---•---•---•-••-•--••...._.......... Date PermitNo........................................................ Issued....... ...................... Date THE COMMONWEALTH.OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ..........................................OF..................................................................................... %Tntifirate of Tout liuttre THIS IAmTgSCF�f1fFYVaThat the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by.....................•--•---•--.....--••-•......-•••.....-•-••-•••-••----•-•-•---.....__.._...........---•--•--••-----...•••....._...............•---------••................- ....-- at...............Lot .8_..Nottingham Dr. 9 Cent:"`t_`"et has been installed in accordance with the provisions of Article XI of The State Sanitary Code s des '.bed in the application for Disposal Works Construction Permit No.............................iL�(.. . dated----�------,f'- -----�--`r---•------• THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL F NCTION SATISFACTORY. DATE ............................ Inspector... . Ar�� --- ------ ... ............. THE COMMONWEALTH OF MASSACHUSETTS ! BOARD OF HEALTH Town Barnstable 1 �! ........................ ............................ No.... ,:.............. a ............OF......................................................... FEE.. .............. lis AMON' pl pfdriulion Vitrmit Permissionis hereby granted.............. -----•-------••-•..............._...............-•-•-------..........-•----.........•---....................................... to Construct ( _) or ep r ( ) al Ind' 'dual S v Disposal System at No..................Lot Totting am `Br. tel Street as shown on the application for Disposal Works Construction P��lut No-::. .....,'.. ........ : - s s,K4 a � t �°"�f f 13uard of Iicaltli DATE..... . .a._ r , *� ........................... , FORM 1255 HOBBS BARREN, INC.. PIJSI..ISHERS �xcx�x TOP OF FOUNDATION 20 FT. MINIMUM FROM CELLAR SOIL TEST DATE OF SOIL TEST Q�,.�LZQQL ELEV. - 100•00 10 FT. MINIMUM 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE IN CLEAN SAND SOIL TEST DONE BY SWEETSER ENOEERhG S ITNESED BY (ASSUMED) CONCRETE WITNESSED -- COVERS LOAM AND SEED 4" SCHEDULE 40 PVC PIPE OBSERVATION HOLE 1 ELEV.- 96.50 MIN. PITCH 1/8" PER FT. 2" LAYER OF PERCOLATION RATE < 2 MIN./INCH AT 42 INCHES • 97.24 MAX WASHED STONE VENT LEGEND: DEPTH HORIZ TEXTURE COLOR MOTT. OTHER 37' 4" CAST IRON PIPE 94.99 MIN. NOT REQUIRED EXISTING SPOT ELEVATION 00„0 0 8 A LOAMY SAND 10YR4/1 NO ROOTS (OR EQUAL) MINIMUM EXISTING CONTOUR ----00---- _ FINAL SPOT ELEVATION 8-26 B LOAMY SAND 10YR7 PITCH 1/4" PER FT. Z 1 CU. FT. OF 6 ROOTS/ TEE CONCRETE FINAL CONTOUR ANCHOR SOIL TEST LOCATION 26-138 C COARSE SAND 2.5Y8/6 COBBLES FLOW LINE 94•24 S�0.005 �' UTILITY POLE -O- FeO 0 90" ELEV. _ : _ 10" TOWN WATER -W�W� MIN. 2 0 0 0 ° 0 0 0 0 ° o CATCH BASIN Ill ELEV. _�5.83 LEVEL o ° °o o °o o °o o °o 0 24 0 GAS LINE ELEV. _ _QQ44_ BAFFLES - 6" SUMP ELEV. _ ��� ° °° o ° o ° ° o °° °° ° °o ° CLEAN OUT C. ELEV. _ ��_ o 0 DISTRIBUTION ° ° ° ° ° ° b o 9,.50 ,,:..CESSPOOL C.P. O ELEV. a o o ° 0 0° 0 0 0° o 0 0 °° °o ° oo ° ELEV. _ 0 LIQUID OUTLET BOX -Q4- DEPTH TEE (EXISTING) 4 FEET 14 INCHES TO BE WATER TESTED „ 5 FEET 24 INCHES 1OOV VMLLON IF MORE THAN ONE OUTLET 48 L.F. 4 STONERAJED PIPE WITH " 7 FEET 24 INCHES (TO BE PLACED ON FIRM BASE) Z WELL N A NO WATER ENCOUNTERED AT 138 ELEV. 8 FEET 34 INCHES SEPTIC TANK 3/4• TO 1 1/2" CLEAN 5' X 48' X 2' TRENCH FORMATION '50 ZONE Zh INDEX DOUBLE WASHED STONE SOIL ABSORPTION ADJUST FREE OF FINES do SILT DESIGN CALCULATIONS u STEM (SAS) NUMBER OF BEDROOMS 3__ SEWAGE DISPOSAL SYSTEM PROFILE GARBAGE DISPOSAL UNIT TO BE_RWVW NOT TO SCALE TOTAL ESTIMATED FLOW USGS PROBABLE WATER TABLE ELEV. = ______ OBSERVED WATER TABLE ( / / ) ELEV. _ __ ( ,10 GAL/BR./bAY X �_ fit.) _�0_ GAL./DAY BOTTOM OF TEST HOLE ELEV. _ _ ,OQ_ REQUIRED SEPTIC TANK CAPACITY 160_ GAL. ACTUAL SIZE OF SEPTIC TANK _.],QQQ_ GAL(OST1NG) SOIL CLASSIFICATION I- v DESIGN PERCOLATION RATE Ste MIN./IN. EFFLUENT LOADING RATE AJ4_ GAL./DAY/S.F. LEACHING AREA ' UM SQ. FT. (5X48)+(53X2X2) x 99.0 LEACHING CAPACITY (AREA X RATE) 1H.0 GAL./DAY 452.00 X 0.74 RESERVE LEACHING CAPACITY M GAL./DAY NOTES: 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN OF _ 81$ftSZA= RULES AND ` 1 REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. \ x 99.6 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 6" OF FINISHED GRADE. Q 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF \ X 97.7 WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE x .6 J USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. X 97.5 4. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL x 98.1 BE MORTARED IN PLACE. s' 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH CEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS TO X 97.6 OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 6. UTIUTIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR X 97.6 IS TO CALL "DIG-SAFE" AT 1-888-344-7233 AT LEAST 72 HOURS 6 PRIOR TO COMMENCING WORK ON SITE. 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS ,(\ SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION \ 99.2 IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER IMMEDIATELY.\ X 9 8.5 8 PARCEL IS IN FLOOD ZONE _ C O 99:1 X°96.4 9. LOT-tS'SHOWN' ON'ASSESSORS'WAP _172 AS PARCEL _ 11 X 10. EXISTING LEACH PIT IS TO BE PUMPED AND REMOVED. ' wy 98.8- X 96.5 O. �Q97.2 7.0 \ / 96.6 SM OF Ix 96.8 SOIL OA x 97.8 y�sy TES o DUMAS \ x 97.0 °a�° oo No 61Ba% APPROVED: BOARD OF HEALTH x 96.1 cl?b96 -z� �4��^� 1000 GALL N G �` LOT 8 g SEPTIC �SMrI� - \ " I TAR%�`� 15, 001 S.F. 97.8 ' ;�- .. DATE AGENT DECK PROPOSED SEPTIC DESIGN X 97. D. Box 6� FOR JIM LEBO EUF 4 0�o sT LOG. LOT 8, NOTTINGHAM DRIVE Ate, 97.0 ��F CENTERVILLE, MASS 96.8 SHED Q' 0 SwsB7 ENG94WWG Z 235 GREAT WESTERN ROAD 508- P. 0. BOX 713 z LOCUS 398-3922 SOUTH DENNIS, MASS. 02660 LOCUS _ 96.6 DATE DEC 17, 2001 SCALE 1 " = 20' REVISED F56e "Q� 5305-00 LOCATION MAP REVISED SHEET 1 OF 1� C. S8 PROD 5JO5-00 dw 5505-00.DAC 0 2001 SWEETSER ENGINEERING