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HomeMy WebLinkAbout0263 OLD CRAIGVILLE ROAD - Health f. 263 OLD CRAIGVILLE ROAD CENTERVILLE A= 247 - 108 S M EA®® KEEPING YOU ORGANIZED No. 12M 2-IMWR WLRmiw o�e�rso� �psrft® UUMUSA GETOii MMATSYEMAIM No. aVl C � Fee V�• ✓ ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 21ppYication for Disposal *pstem Construction Vermit .Application for a Permit to Construct( ) Repair( ) Upgrade(a_�Abandon( ) &KOIMPlete System ❑Individual Components rN Location Address or Lot No.QC33 J Owner's Name,Address,and Tel.No. Assessor's Map/Parcel (perms �� rl Installer's Name,Address,and Tel.No.S57- "�� Designer's Name,Address,and Tel.No. $fig s—33G� Type of Building: © f'y Dwelling No.of Bedrooms Lot Size i sq.ft. Garbage Grinder( ) Other Type of Building 5 kr"-1L.V_ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ;> gpd Design flow provided t gpd Plan Date IK Number of sheets er;L_ Revision Date Title Size of Septic Tank \ C� �` Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. f� Signed Date V Application Approved by Date f Application Disapproved by Date for the following reasons Permit No.��` Date Issued r�t'$ ....«. .-.. ...;r t .,,.. F�nLsf`Y-,...-Sar'fSm...-r.:rrn vet.L.T ..., • . `' 'f✓* '.�'."'.v�'°�',-a"�r`F _ Y r ...•��.. No. aL- CXfO.G.� Fee l �. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION:`- TOWN OF BARNSTABLE, MASSACHUSETTS Yes y 2pplicatlon for lAposal 6pstem Construction Permit Application for a Permit to Construct( ) Repairgrade(��Abandon( ) Complete System El Individual Components Location Address or Lot No. QG Owner's Name,Address,and Tel.No.`W0 Assessor's Map/Parcel Installer's Name,Address,and Tel.No.Sk:!)7-TW'Q35 S— Designer's Name,Address,and Tel.No. St:5 L— �v..s-SZ�� R.ao-c�-� ���.✓...--� v'���rs.r-�Sc�,n.s �c . Y` A d S:?7 Type of Building: ® �Y Dwelling No.of Bedrooms Lot Size / i sq.ft. Garbage Grinder( ) Other Type of Building 'S kKSA No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) -7 gpd Design flow provided ,3y g3 gpd Plan Date �j Number of sheets e4_ Revision Date J Title ' Size of Septic Tank ��7J0 �` Type of S.A.S.�,Zc,, �P ��n.► .,`e,�.?� c..,( ' D'escription of Soil C,("py� Nature of Repairs or Alterations(Answer when applicable) .5C7 A'T" 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. t"V Signed - �� Date Application Approved by ti If Date Application Disapproved by Date for the following reasons Permit,No. � b15S" -'' . .t Date Issued - ----------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certifirate of Compliance THIS IS TO CERTIFY,that the n-site Sewage Disposal system Constructed(4, ) ;` Repaired( )F '- Upgraded(� Abandoned( )by .0 �=.1" has been constructed' accordance �. with the provisions of Title 5 and the for Disposal System Construction Permit No)U f — ated Installer R�.,er� c�c4-C'�]� � C.gL►.a�c'� r�� Designer V\^I@e1 r1- 4r _C'. A G #bedrooms Approved design flow -6 gpd The issuance of this permit sh 11 not be con trued as a guarantee that the system--will�func as esxeld. Date j 0 Inspector / -- o. -------------.- - - -- N v-� U 1 I/ � o� �pl► Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposar 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade(✓< Abandon( ) System located at 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:C nstruction must be completed within three years of the date of this permit. Date ' a, �. Approved by r V\\N QA� Q�� 7/16/2018 Print Page • Sales History - Map/Block/Lot: 247 / 108/- Use Code: 1.010 History: Owner: Sale Date Book/Page: Sale Price: FERGUSON, VERNA 2016-05-20 29666/34 $0 FERGUSON, LE ROY C & VERNA 1988-08-15 6407/115 $1 FERGUSON, VERNA 1988-08-15 6407/115 $0 FERGUSON, VERNA 1985-08-15 P0673-E 1 $1 • Photos 247 / 108/- Use Code: 1010 • Sketches - Map/Block/Lot: 247 / 108/- Use Code: 1010 Via," A YN N r �] Fay AsBuilt Card N/A • Constructions Details - Map/Block/Lot: 247 / 108/- Use Code: 1010 Building Details Land Building value $ 68,000 Bedrooms 3 Bedrooms USE CODE 1010 Replacement Cost $113,31.5 Bathrooms I Full-1 Half Lot Size (Acres) 0.14 Model Residential Total Rooms 6 Rooms Appraised Value $ 96,200 Style Ranch Heat Fuel Gas Assessed Value $ 96,200 Grade Average Minus Heat Type Hot Water Year Built 1941 AC Type None http://www.townofbarnstable.us/Assessing/printl8.asp?ap=0&searchparcel=247108 2/3 Town of Barnstable Regulatory Services Richard V.Scali,Interim Director • �tivarse�, P�:1 "AM Public Health Division Thomas McKean,Director (..04 200 Main Street,Hyannis,MA 02601 rx,� Office: 508-8624644 Fax: 508-790-6304 Installer&Designer Certification Form Date: Sewage Permit# Assessor's Map\Parcel Designer; S lyJLIpstaller: � ��\ova Address: PG Address: 'o� 0 �<37 On C Q -may.. as issued a permit to install a (date) •� (installer) 1 septic s stem at 2-L 7 0 L� C �� 7LL� 90 based on a design drawn by A (address) CA dated ( esi e�� �mS I certify that the s tic s stem referenced above was installed substantially according t eP Y y g 0 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 10' 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(inquired)was inspected and the soils were found satisfactory. I certify that the system referenced above was construct a with the terms of the RA approval letters(if applicable) _ M taller's Signature) 1D (Designer's Signatur (Affix Designer amp Here) PLEASE RETURN TO STABLE 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. Q:\Septic\Designer Certification Form Rev 8-14-13.doc — _mod TOWN OF BARNSTABLE LOCATION SEWAGE# Q-2)k 7- VILLAGEC�„�--� T,j�\V{ ASSESSOR' &PARCEL INSTALLER'S NAME&PHONE (;L;",_C—�-' SEPTIC TANK CAPACITY \�5 OK� C (type)e) �t�„�,•Ep, _ — (size) NO.OF BEDROOMS OWNER V le rVN ra cJ S c0./� PERMIT DATE: Q COMPLIANCE DATE: Separation Distance Between the: CS Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility P Feet ., Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) 1 Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY IFoy o � " ch el �. tit a `� t ,s Town of Barnstable . P# i E740 Department of Regulatory Services H F Public Health Division Date '7 1 1 200 Main Street,Hyannis MA 02601 ±"7 � ' Date Scheduled / • Time.—_L.— Fee Pd. _ , 14} -Soil S'uitabi>�ity Assessment for Se e ,Disposal Performed-By.- e-41 Witnessed By: LOCATION&.GENERAL INTORMATION Location Address e�63 � , C,ru v�r iL® f Wner'e Name Z%tzl_ Us O C/� Address Assessor's M ap/Parcel. ` r�/ `�� Engineer's Name ( -,C,6��,. NEW CONSTRUCTION REPAIR _� Tale hone 1I ' Land Use• �-�.+al����I�y Slopes(96) Surface Stones Distances from: Open Water Body 2,00R 1'osslble WetJhrea�aft Drinking Water Well, }) Dr�lhage Way 7 jf�d ft Property Line ft Other ft SIiETCHC(Street name,dimensions of lot,exact locations of teat holes&pero tests,locate wetlands in proximity to holes) Parent material(geologic) L1T� Depth to Bedrook Depth to Oroundwater. Standing Water In Hole: Weeping from Pit Foce Estimated Seasonal High Oroundwater D T AMN FOR SEASONAL-HMGH WATER TABLE Method Used: Depth Obsery standing in obs.hole: In. Depth t0 SON mottles) Depth to weeping from side of obs.(tole; In. .Oroundwater Adjustment , Index Well-# Reading Date;_ index Well level Adj4hotbr, ,_.r r Adj.GroundWitter-Laval,,,_ Observation PERCOLATION TEST bate Time Hole# Time at 9" �---i(•AW—.. —.r.__.�. {t Depth of Pero _ Time at 6" L� to Start Pro-soak Time @ Time(91141) End Pro-soak l _ Rate Min./Inch , f' 2— Site Suitability Assessment; Slid Passed Site Fulled: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on B ack---------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTIC1l'ERCF0RM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Sail Horizon Soil Texture Shcl Color Soil• Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Stoned;Boulders. a isistency,%'(]ravel) S„ 1 P� DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stoncs,Boulders. 3.L_ Ca 2•� C/ DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.. Consistency, . 1 DEEP OBSERVATION HOLE LOG Hole# A Depth from Soil Horizon Soil Texture Soil Color Boll Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Slopes;Boulders, 0 i Flood Insurance Rate Map: Above 500 year Mood boundary No— Yes X— Within500 year boundary No V\� Yes,:_... Within 100 year flood boundary No.-)(— Yes • )etath of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervio s mtiterlal exist in all areas observed thrpughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring p YIOW material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Enviro ental Protection and that the above analysis was performed by ma consistent with the required t ng,expertise nd experience described' 4 10 CMR 15.017 Signature �,�/^ Datb _1% Q:WBFrILVBRCPORM.DOC y r CEN TER M LLE �ST LOCUS ST / o 40 55.35 �'C TP-2 `40��`\ DRIVEWAY /Q O BE RD 39 CRA GVILLE � O , P-2 �� �'\ LOCUS MAP TP } � o '0 ft 777.2°, LOCUS INFORMATION J � PLAN REF: 062/145 TITLE REF: 29666/034 ?s PARCEL ID: MAP 247 PARCEL 108 PATIO� X 20 ftk�S ✓ O FLCOMMUNONITY PANEL 25001100564J DATED:07 1 4 3 9 e�OA <<�/VC �PGP� Q LOTS 15 & 21 01- SEPTIC SYSTEM 39 'ti AREA a REPAIR PLAN V PLAN EOOv PAGE 14$ . 6° f)2°°. StiFO 0 / \ ASSR MAP247 PCL,oj LOCATED AT: - 263 OLD CRAIGVILLE ROAD 38 CENTERVILLE, MA BENCH MARK y�9° ;/`� � PREPARED FOR ® '---- �F VERNA FERGUSON/ PAINT SPOT ON o BULKHEAD CORNER READY ROOTER EXC. �\ 3 9.0 5 \ ° c`" AUGUST 20, 2018 BARNSTABLE GIS DATU ti 4,j n' 38 PLAN Vl\\—\A'� E � SCALE: 1 in = 20 ft PAL o� DA E 0 20 40 „ 0 CHI TAR\�` SCALE: 1"=20' MEYER & SONS, INC. LEGEND P.O. BOX 981 - PROPOSED CONTOUR EAST SANDWICH, MA. 02537 ® PROPOSED SPOT GRADE PH: (508)360-3311 -- 98 -- EXISTING CONTOUR FAX: (774)413-9468 + 96.52 EXISTING SPOT GRADE meyerandsonsincogmaii.com W— EXISTING WATER SERVICE TEST PIT SHEET 1 OF 2 2027 ELEV. TOP r r FOUNDATION NOTE: PLACE MAGNETIC MARKING TAPE OVER ALL COVERS (Existing) BRING ALL COVERS TO WITHIN 3' OF FINISH GRADE FINISHED GRADE (39.50) = 39.36�.. -F.G.EL• 38.5 F.G.EL• 39.0 F.G. EL- 38.90 " MAINTAIN 2% MIN SLOPE OVER LEACHING AREA R F.G.EL 37.5 2' OF 3/8' DOUBLE WASHED 3/4' - 1-1/2' 0 '' STONE OR FILTER FABRIC DOUBLE WASHED STONE 6 4" SCH 40 PVC 17®aa tM ® S= 1 MI a®aaaaaaaTEE'S ARE TO BE 4 INV.36.07e N')4" SCH 40 PVC 2' EFF. DEPTH a®®a®a®aa® INV.36.19 er INV.35.90 4' 2 X 8.5' 4' BAFFLE ./ GAS PROPOSED DB-3 s A INV. 37.03 DISTRIBUTION BOX EFFECTIVE LENGTH = 25' B INV. 37.36 INV. 36.44 (H20) INV. ELEV.= 35.60 8 PRO POSED 1,500 GALLON SEPTIC TANK GAS BAFFLE TO BE INSTALLED ON ��� Uf ass OUTLET TEE AS MANUFACTURED BY BREAKOUT o ✓� TUF-TITE, ZABEL, OR EQUAL � R DARREN M. � TOP CONC. ELEV.= 36.60 ELEV.= 36.60 NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING c N . 1 INV. ELEV.= 35.6 `1111111110808183 as . PIPE INVERTS PRIOR TO CONSTRUCTION aaaaaaa 2) TANK AND D-BOX SHALL BE SET LEVEL AND TRUE TO aaaaaaa GRADE ON A MECHANICALLY COMPACTED SIX '�NITAR�A� BOTTOM EL.= 33.60 aaaaaaa INCH CRUSHED STONE BASE, AS SPECIFIED IN n ,� 1 3.75' 5 FT. i - 3.75' 310 CMR 15.221(2) L/ 1, 3) INSTALL INLET & OUTLET TEES W/ SEPARATION 5.10 FT. L EFFECTIVE WIDTH = 12.5' GAS RAFFLE AS REQUIRED SEPTIC SYSTEM PROFILE BOTTOM OF TESTHOLE EL. 28.50 SOIL ABSORPTION SYSTEM (SECTION (500 GALLON LEACH CHAMBER) GENERAL .NOTES: _ SOIL LOGS DESIGN CRITERIA I. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL NUMBER OF BEDROOMS: 3 BEDROOOM BOARD OF HEALTH AND THE DESIGN ENGINEER. DATE: JULY 19,,2018 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) OF THE STATE ENVIRONMENTAL CODE, TILE V, AND ANY APPLICABLE SOIL EVALUATOR: DARREN M. MEYER, RS, CSE LOCAL RULES AND REGULATIONS. WITNESS: BERNIE SULLIVAN, FALMOUTH HEALTH DEPT. DESIGN PERCOLATION RATE <2 MIN/IN 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR DAILY FLOW: 110 G.P.D. X 3 BR = DESIGN FLOW: 330 G.P.D. TOSIGN ENGIrN D APPROVAL 8Y THE BOARD OF HEALTH AND THE Elev. TP-1 Depth Elev. TP-1 GARBAGE GRINDER: NO (not designed for garbage grinder) 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 39.50 0' 1 40.10 A 0. SEPTIC TANK: 330 gpd x 200% = 660 gpd, USE PROPOSED 1.500 GAL. SEPTIC TANK FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN A ENGINEER BEFORE CONSTRUCTION CONTINUES. LOAMY SAND LOAMY SAND 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. IOYR 4/1 10YR 4/1 LEACHING AREA REQUIRED: (330) = 445.94 S.F. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 39.08 5' 39.60 6' .74 THE CONTRACTOR USE TWO (2) 500 GALLON PRECAST LEACH CHAMBERS W/ 4' HEALTH FOR PROPER OWNER TO NOTIFY THE LOCAL BOARD OF B B R INSPECTIONS DURING CONSTRUCTION. LOAMY SAND LOAMY SAND 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE 10YR 5/6 10YR 5/6 STONE ON ENDS & 3.75' STONE ON SIDES: 25' L x 12.5' W x 2'D ,t S.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED 36.92 C 31" 37.43 C 32' TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. BOTTOM AREA: 25 x 12.5= 312.5 SF 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE SIDE AREA 25 + 12.5 X 2 X 2 = 150 SF THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING PERC O MEDIUM MEDIUM ( ) CONSTRUCTION. / EL:- 36.20 SAND SAND TOTAL SQUARE FEET PROVIDED = 462 vs. 445.94 REQ'D 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND REMOVED PER TITLE 5. ✓ REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5. 2.SY 6/4 2.5Y 6/4 DESIGN FLOW PROVIDED: 0.74(462 S.F.) = 342.25 G.P.D. vs. 330 G.P.D. req'd 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 29.50 132' 2s.10 132' PROPOSED SEPTIC SYSTEM UPGRADE PLAN 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY PM RATE <2 MIN/IN (*Cl' HORIZON) 13. NO PRIVATE WELLS WITHIN 150' of PROPOSED LEACHING. NO GROUNDWATER OBSERVED 263 OLD CRAIGVILLE ROAD, CENTERVILLE, MA 14. No WETLANDS WITHIN 100' of PROPOSED LEACHING. Prepared for: Fer uson R ady Rooter Exc. 15. ALL PIPING TO BE 4' SCH 40 O 1/8/FT (UNLESS SPECIFIED) Design and Site Plan by. SCALE DRAWN DATE I, Darren M. Meyer, R.S., CSE. heresy certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 MEYER$SONS,INC. N.T.S. DMM 08/20/18 to conduct soil eraluatkns and that the above analysts has been performed by me consistent with the PO BOX 981 requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Eval. Exam In October, 1999. EAST SANDWICH,Ab4 02537 CHECKED SHEET NO. 508,W-2922 DMM 2 of 2