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0143 NOTTINGHAM DRIVE - Health
� �J A/2 S M E A D KEEPING YOU ORGANIZED No. 12534 2-153LOR SUSTAINABLE FORESTRY MIN.RECYCLED INITIATIVE CONTENT IO°/9 Certified Flier Sourcing POST-CONSUMER wl»vsfiprogram.org SFI-01290 MADE IN USA GET ORGANIZED AT SMEAD.COM TOWN OF BARNSTABLE LOCATION !L{3 .)i� SEWAGE# } — l VILLAGE ASSESSOR'S MAP&PARCEL t INSTALLER'S NAME&PHONE NO. �J C J. °';:;�-d4�7 '7"T 1 -139 d SEPTIC TANK CAPACITY (' LEACHING FACILITY:(type) (size) 0 1�`?-in NO.OF BEDROOMS OWNER PERMIT DATE: .3-I t•,�4 COMPLIANCE DATE: k d 2 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 i Jo 30,E TOWN OF BARNSTABLE LOCATION 3 9 orri N 0 Om-x Rb 4-b SEWAGE# VILLAGE NK TMh air ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO.OF BEDROOMS kj OWNER (A-?.vL 1Zb W*-a PERMIT DATE: 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 zi No. _ / r��t Fee led THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 21ppfication for Misposal *pstrm Construction permit Application for a Permit to Construct( ) Repair(/A�fUpgrade,( ) Abandon( ) ❑Complete System [individual Components Location Address or Lot No. 13 �� Pr Owner's Name,Address, Tel.No. i5oa- 11) •��27.� `jt�,_ � (2U"4"01 Oelgl M�t Ze�s'»er Assessor's Map/Parcel J)J. !�(�� c-u�rG'J17F fj 0016 pa(o39;1 Installer's Name Address,an Tel.No. Sofa 1` ��yF Designer's Nam ,Address,and Tel.No. So g.3&;` iWirbIbttL �vvts 'i6n,-c�ic _ cAiVI 9 Ge�ol T-�Ic�vyah ��w LvnhGrS d?� Type of Building: 4- DwellingNo.of Bedrooms .Lot Size .066 — sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 33 y gpd Design flow provided 3,3(o gpd Plan Date Q4 ig, lo-2.0 Number of sheets 7 Revision Date Title i o ,' l ' p� Size of Septic Tank a f.)$ ' i al Type of S.A.S.�p, 4 ©? &dA Description of Soil �QPi � ZA - Nature of Repairs or Alterations(Answer when applicable) Z�L - / 1 fi0.05 abd�� %-�e`40 ` 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 Co t to place the system in operation until a Certificate of Compliance has been issued by this Board Ith. - Sign Date Application Approved by Date -" Application Disapproved by Date for the following reasons Permit No. '� �l Date Issued ' .....,•..� .�r- .-.nr'+.y......•-......-P. ....-ry�. � r•-•-... _ ,^ "��� .t.�:......f..�._... ^.".^^'T-w-. -,_mac..rr:, .K-f.%r^+.-'iN.•:.,y'� ,_...- , �,.-.....✓--•..,, .-ti No. ' 6 0L_ Fee '' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer PUBLIC HEALTH DIVISION -;TOWN OF BARNSTABLE, MASSACHUSETTS appligtiq for 3Disposal 6pstem Construction Permit Application for a Permit to Construct(`) Repair.(_ I Jp rade„("ti); Abandon( ) .❑Complete System ❑.G 1'Tnndividual Components Location Address or Lot No. Nf� Owner's Name,Address,and Tel.No. Aa 1)5- e,)fcnri f 1+e Cta*01 r�ld�t �a y � tJir+�v` Assessor's Map/Parcel M a,�DWL 174,Qonn6x-;,k) Installer's Name,Address,and Tel.No. ,Sv$�'�hi ` �/ /� Designer's Name,Address,and Tel.No. ,5'jA-X,of fxs�+/I ( U � QA d�+D r'U 6�i, A v on ne s /?cp e Type of Building: Dwelling _ No.of Bedrooms Lot Size / O .-- sq.fr. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow,(min.required) �� gpd Design flow provided 3 gpd i Plan Date M 19 _Ao' j - Numbe�r_�off�sheets 1 Revision Date Title l,{.��,,S—�G P 6X� 4 14,3 1VUTt1 r,, n t�fVllk° AA Size of Septic Tank<AiS9.M l cc! Type of S.A.S.' 1 arcr�C la (,a AA Description of Soil 4 - Nature of Repairs or Alterations(Answer when applicable) (g�,t j /y lQ �.p k, �,�-y`yp ,� Nlb 5,".} 00-� f MCP IV..IM i�V7J2:C1 t dt Ct P 'L..X J'-�.c�� Cw) r•, O% s�'�.[4'tw. r`�!'n t It C< �� 1� yh�✓.$:t5 0��C t 6+" 7�) ''T Pkl, '1'c�•�� fliMr 9! !)Cr:P.F637 J?. `�'/�✓ { /srr,10 ' 2 A *9 !XISJ 41X, dW196 � �i*14> 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 35 of the Environmental Code and not to place the system in operation until a Certificate of ` _, 'Compliance has been issued by this Board ofHealth. Signed Date / Application Approved by _ s ;Date Application Disapproved by 'Date. , for the following reasons r t Permit No. -)/�Q ��Q om- " Date Issued �' 1 THE,COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS , s Certificate of Compliance _ THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(e/) Upgraded( ) Abandoned( )by,A'4/1 at / /�a /� Al f. rpy;�,Ql /,�j has been constructed in accordance with the"provisions of Title 5 and the for Disposal System Construction Permit No=) J/4 adated Installer 'r�/Aa f�r,cf r�r/. n�'J L,�. Designer�c/r r,7 (� r! �►^�.tdra�s,a, i/Yibtf� e #bedrooms �. ` ^ Approved design flow ' d gpd The'issuance of this permit shall not be construed as a guarantee that the system will function as designed. �/� Date Ll h I I ( Inspector"7V+./'�a•..'C/1,,,4_1_, �.� /+ C;l - -----•-----•-------- No.,z� —/Q Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS ;Disposal *psttm,ConstrUctiDn Permit Permission is hereby granted tJo Construct( ), ,Repair(A " Upgr ajde(. ) Abandon( ) System located at/ 3 IIJn� '1r3.� 7 lr�,1ra�iVP►r11iA /� •� 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 co pleted within three years of the date of this permit. y' / Date _ �� ` Approved by`� . APR-27-2021 22:08 From: To:15087906304 Pa9e:1,'1 � I Town of Barnstable Inspectional Services a' Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: SOB-790-6304 Installer&Designer Certification Form Date: Z 3 I Sewage Permit# a0AI - l6 a Assessor's MapTarcel 17 2- 4 7 Designer: I)0 W 11 e0jL 5-0 �gIL-Ot ►�1 Installer: &AI Address: 11301 Ro Ult (o pr _ Address: .qS��) On 9131 191 4vr o CGn r Tic• was issued a permit to install'a (date) installer) septic system at 143 AfpA f1ed by, CLMAVvilli based on a design drawn by address) b V L1 ZI A � 0;,akal KPLSdated o 3—I cl —20z I esigner 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. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than I d' 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 were found satisfactory. I certify that t in referenced above was constructed',,�Cd>vriplia0ce with the to rms of the rov�rs(if applicable) ��ey yG•�T DANIELA. OJA °' CIVIL W (Installer's Sig ature) No' 46502o f FSr�Npl (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO.BARNSTABLE PUBLIC HEALTH DIVISION CERTIFICATE OFCOMPLIANCE WILL NOT BE ISSUED UNTIL BOTH T FORM AND AS- BUILT CARD ARE RECEIVED JJY THE BARN TABLE-PUBLIC HEALTH DIVISION. THANK YOU. WooldeplMrSALTMEWER conucNEPTIODeaigner Cea ifloollon Form Rev&14.13.DOC �iup�r�h oo i 76yvA- -e� YV\- �d, Vo U - I J x }� ` y man w 1};I 3 0 SYSTEM PROFILE EKED WITH MAGNETIC TAE OR SHALL BE NOTES (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. porlds 1. DATUM IS NAVD 88 Race ane Three ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE 2. MUNICIPAL WATER IS X y��o\ TOP FOUND. EL. 58.5' FILTER FABRIC OVER STONE �--L$.IIZLCz 57.0' MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 56.0 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. � ° ' PRECAST H-10 WATERTEST D'BOX FOR LEVELNESS BLOCKS OR 0 Vj RISERS (TYP.) , MIN. 2" WALL THICKNESS I PRECAST RISERS 4. DESIGN LOADING FOR ALL PROPOSED PRECAST 2's 55.75 4"OSCH40 PVC COMPONENTS H-10 UNITS TO BE AASHO H-10 PIPES LEVEL 1ST 2' 4' (TYP.) 7' ENDS 54.0' S. PIPE JOINTS TO BE MADE WATERTIGHT. r° �d5 °wtEXISTING- � SIDES Locus v ° 10" 14" Q o 0 0°0�So' >oog00000c r G o TEE SEPTIC TANK TEE ®000 ®®® oo°'°°o ���� -���� °00000° 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE or ac 54.42 * ° ° ° ° ° o 6" MIN. SUMP °°°°°°°° . ooaaaooa®®® 00000° ° ° ° ° ° ° ° ° °° ° WITH 310 CMR 15.000 (TITLE 5.) �° a o°00000°,.°,.° �o°o°o°o° O O O O O O O oo°o°o o 0 0 0 GAS BAFFLE ° o ° ° ° ° 12" MIN. INT. DIM. o 0 0 0 00���0�0®®® ° ° ° ° °+ o�000„o�o_ N o°00000° oo°000 'o°o°o°o° \� O 00000000 ®®�®���0®�® 00000,. ®®��®®����� o0000000 , L D J LO 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND 4' uQ. LEVEL (ACME OR EQUAL) .': 53.84 53.67 °°°°°°°° 00000° °°°°°°°° 51.17 o Da c> o o ° o o ° o ° NOT TO BE USED FOR LOT LINE STAKING OR ANY ego s 000°00000000000000°00000000000000000000 OTHER PURPOSE. het °'°°°°°°°° "° °°'�''°°°° LH-10 500 GAL. LEACHING CHAMBER BY ACME PRECAST 0 EQUAL 6" CRUSHED STONE OR MECHANICAL 3/4"-1-1/2" DOUBLE WASHED STONE (2) UNITS REQUIRED 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 5e� COMPACTION. (15.221 [23) OVERALL DIMENSIONS TO OUTSIDE OF STONE: 30' X 9.83' _ 9. COMPONENTS NOT TO BE BACKFILLED OR �� D (4.8% SLOPE) (�2 `O CONCEALED WITHOUT INSPECTION BY BOARD OF �6�� , o n -% SLOPE) HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. �a FOUNDATION EXIST. SEPTIC TANK 12' D' BOX 12' LEACHING 44.8' BOTTOM TH-1 FACILITY NO GROUNDWATER FOUND = 10. CONTRACTOR SHALL BE RESPONSIBLE FOR TO BOTTOM VERIFYING ITHEFLOCATION OF ALL233 UNDERGROUND & LOCUS MAP *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL SUITABLE SOIL OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS WORK. SCALE 1"=2000'f PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL ASSESSORS MAP 172 PARCEL 042 BE REMOVED BENEATH AND 5' AROUND THE LEGEND- **INSTALLER SHALL CONFIRM MINIMUM SEPTIC \' PROPOSED LEACHING FACILITY. LOCUS IS WITHIN FEMA FLOOD ZONE X TANK SIZE AT 1000 GALLONS AND ITS SUITABILITY 12. EXISTING LEACHING FACILITY SHALL BE PUMPED (AREA OF MINIMAL FLOOD HAZARD) AS 99- ` EXISTING CONTOUR FOR RE-USE. REPLACE WITH 1500 GALLON ^ AND REMOVED OR PUMPED AND FILLED WITH CLEAN SHOWN ON COMMUNITY PANEL #25001 CO561 J X ss.� SEPTIC TANK APPROPRIATE TO SITE CONDITIONS IF SAND. DATED 7/16/2014 EXIST. SPOT ELEV. NOT SUITABLE PROPOSED CONTOUR Tog �O rod SYSTEM DESIGN. 198.41 PROPOSED SPOT EL. 5' OVAL OF ABL S REQUIRED TH1 �J CATV OUND PE IME R OF LEACHIN FACILITY, GARBAGE DISPOSER IS NOT ALLOWED C-)TEST HOLE , \ OWN TO IT, T BILE SOIL LAYER REPLACE TH CL N M D. SAND, TO M ET PECIFIC ONS 10 CMR 5.255(3) DESIGN FLOW: 3 BEDROOMS @ 110 GPD = 330 GPD SLOPE OF GROUND USE A 330 GPD DESIGN FLOW UTILITY POLE FIRE HYDRANT ham' PA ED SEPTIC TANK: 330 GPD (2) = 660 0 **RE-USE EXISTING 1000 GAL. SEPTIC TANK NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING DRI E Cp p ,N In o LEACHING: TEST HOLE LOGS 0 0 Co2 .0 /r h •C o SIDES: 2 (30 + 9.83) 2 (.74) = 118 GPD _ h / BOTTOM 30 x 9.83 (.74) = 218 GPD ENGINEER:DANIEL E. GONSALVES, SE #13587 OT 107 6' 15,000+ S.F. Q \ 'cam c, / TOTAL: 454 S.F. 336 GPD WITNESS DON DESMARIS a DATE: 3/5/21 �� / TH USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) PERC. RATE _ < 2 MIN/INCH WITH 2.5' STONE AT SIDES, 4' AT ENDS AND 5' ,l v j, BETWEEN UNITS CLASS I SOILS P# 21 -26 UNSUITABLE SOIL Op w ,� APPROVED DATE BOARD OF HEALTH MA n ELEV. � ELEV. _ o„ 55.6' o» 55.5' 0\ �� TITLE 5 SITE PLAN y 10" FILL g" FILL BENCHMARK � � Q OF WATERGATE A A EL. = 55.44' 54 /LS /LS o 143 NOTTINGHAM DRIVE 18" 10YR 3/2 54 1 ' 20„ 10YR 3/2 3 83' CENTERVILLE, MA B B oy a PREPARED FOR LS LS 32„ 1OYR 4/4 293' 33„ 1OYR 4/4 275' BORTOLOTTI CONSTRUCTION JOYCE WINER & CAROL P FELDMAN C, C, PERC FS FS DATE: MARCH. 19, 2021 2.5Y 6/4 2.5Y 6/4 s . 102 47.1 102 47.0 �N n�,9c> 'r�N°' �s� '-- 77 � cf' A. ALC C 0 t1I �� a a O Q <c \ - �SiL /S L LsuR i°�( a \'0, 80 I �'2a � off 508-362-4541 G \� < �`✓a I fax 508-362-9880 °Aso ova 2.5Y 6/3 2.5Y 6/3 � ` e tiCs 10 yC''�4 a $,�� d downcope.com SUF�'� ,v 132" 120" 45.5' town cape ea meerav, iac. 44.6' Scale: 1"= 20' civil engineers � --� � ' NO GROUNDWATER ENCOUNTERED - ��.Zcz� land Surveyors 939 Main Street ( Rte 6A) DCE #2 1-026 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 21-026 BORTOLOTTI-WIINER.DWG