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HomeMy WebLinkAbout0273 OLD CRAIGVILLE ROAD - Health 273 Old Craigville Rd Centerville A=247 - 107 INISMEA D No. 2-153LOR U°'C 12534 smead.com - Made in USA J`s�cvc� No. V 3 16 Fee �. THt COMMONWEALTH OF MASSACHUSETTS Entered in computer: ;� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZippYication for 3Dizpozar �§pgtpm Congtructton Perron Application for a Permit to Construct( ) RepairgI Upgrade( ) Abandon( ) Xomplete System ❑Individual Components Location Address or Lot No.cP7 3 �' �!�/ f/� Owner's Name,Address,and Tel.No./4 jXA CL 07, L.+/ee Assessor's Map/Parcel Q q-) /t a," n,: Installer's Name,Address,and Tel.No. . Designer's Name,Address and Tel.No. RMQC X �� Ge� � Ca �a-n Cpw2 j F•S>aaY ENut�o.+t��>`,t�t S, CeG Type of Building: 644A Dwelling No.of Bedrooms 3 Lot Size a I (�Q6 sq.ft. Garbage Grinder Other Type of Building (�®t12 No.of Persons Showers( Cafeteria(10) Other Fixtures (. V �C. swv, 2 Design Flow(min.required) �� gpd Design flow provided !�%�,.�( gpd Plan Date 1 1�.2)1'0 - Number of sheets I Revision Date Title Troi>crnad S 4�Cpm U:P9r TC1R Size of Septic Tank /52)O a a\ �e�n l� m Typ f S.A.S. 3^ 30 s, �S Description of Soil {� _-- j Qxc\p Nature of Repairs or Alterations(Answer when applicable) ' No p\nn 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 Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. DJJP� j�( Date Issued 7—�Z L/'d-7 No. /. (O Fee / t Entered in computer: N T# f °yCOMMONWEALTH OF MAS ACFIUSETTS �C PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppricatton for biopogal *Vmem Cootructton i I Permit Application for a Permit to Construct O Repair( Upgrade( ) Abandon O Complete System ❑Individual Components p Location Address or Lot No.a7 3 o' Ga�yU"�1//s _ Owner's Name,Address;and Tel.No. Assessor's Map/Parcel vc A -T //a} �GC� ' � :S-AA4 g Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 'I R�ec�tu Z)(CG c"��►�c� 4• SWRy EauiciaacaC),SiAL SQL 1'ck-t or, Soot^ 444-56(e 539 79 teG Type of Building: }�q Dwelling No.of Bedrooms 3 Lot Size ICo(26 sq.ft. Garbage Grinder ('kip Other Type of Building t C(Dn e- No.of Persons Showers( Vle Cafeteria(✓) Other Fixtures Design Flow(min.required) 7j gpd Design flow provided L gpd Plan Date 191-9)l'D Number of sheets Revision Date Title TtCODCGR< \ s^ Su�1�2m L}fit CtC Size of Tank Septic /SCE r� p G G\ -�c�n� T�S.A.S. �� .�O SO 'S it Description of Soil \� Nature of Repairs or Alterations(Answer when applicable) {7�Qcar -Im (�\�,� Ij I f 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. i Signed Date Application Approved by dos Date ".2 Y--a 7 A lication Disapproved by: I PP PPDate for the following reasons Permit No. a;wP7 Date Issued 77-2 1-/07 ——————————————————————————————-———————————-- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance ' THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( )by m•p,� Ili at �',� to(r.V r/x-.u�.�� has been constructed in accordance y i! with the provis' s of Title 5 and the for Disposal System Construction Permit No. �2 )7" 3V dated 7 't Installer M e,-C,C_p-,f\, Designer #bedrooms 3 Approved des' ow s J gpd The issuance of this permit shall not be onstrue as a guarantee that the system wi 1 fun, on a de ' ne 'i Date Inspector f r V .�✓ ------------ —��——--- No. 7. 311 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS lizpo$al *pztem Cow5tructton Permit I( Permission is hereby granted to Construct ( ) Repair O Upgrade ( ) Abandon ( ) System located at 3 (c/ r n,. I ,I and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty 'I to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this pe t. r 1 t/►� Date �J 2 �j� -7 Approved by r 10,122I2017 1`,. 32 rAY [MOC.11001 _ Town of Barnstable Regulatory Services ; s3 Thomas F. Geiler,Director i P;.VKA1ILE. b `WAA �' ta;�y. Public Health Division v Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 )f;ice: 50rj-362-4644 Fax: 508- 190-6304 Installer& Designer Certification Form Date. 7/26/07 th;signer. Shay Environmental Services. Inc. Installer: American Excavation A""dress' P.O. Box 627 Address: Carriage Shop Road East Falmouth, MA 02536 _® Falmouth,MA _ 911 -_ 7/16/07 American Excavation(Jason Souza) was issued a permit to install a (date) (installer) ',;e-!Aic: system at 273 Old Crai ville Road Centerville MA based on a design drawn b3' (address) _�5h�.y 'Environmental Services. Inc. _ dated 7/14/07 (designer) � T I certify that the septic system referenced above was installed substantially according t) the design, which may include minor approved changes such as lateral relocation of tin distribution box and/or septic tank. J certify that the septic system referenced above was installed with major changes greater than 10' lateral relocation of the SAS or any vertical relocation of any componer t of the septic system) but in accordance with State & Local Regulations. Plan revision c r certified as-built by designer to follow. OF*To CAWEN r st Sl na re) E. SHAY e No. 1181 q �o �GI$TEF` �signe s Signature) (Affix Desi tamp Here) U&ASE .ETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILT, NOT BE ISSUED UNTIL BOTH THIS FORM AND A5 BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION, THANK YOU. - �: Health/Septic/Designer Certification Form _ ;11 TOWN OF BARNSTABLE LOCATION J 7 - SEWAGE# .)00*?-318 VILLAGE ASSESSOR'S MAP&PARCEL /0_-'�- INSTALLERS NAME&PHONE NO. J-4 OI? e4� So u ? .e, SEPTIC TANK CAPACITY 1500 6�0tv'k Coy—/0 " LEACHING FACILITY:(type) &-1 (size) J(� X I NO.OF BEDROOMS OWNER 10A4,L LeL k e PERMIT DATE: 7f� ��© — COMPLIANCE DATE: 7/ A 7-- 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 fee Ching facil Feet FURNISHED BY �_ 1 B f v 3 a7 /o t9Pcf,' Port Town of Barnstable P# Department of Regulatory Services Public Health,Division Date •413P 200 Main Street,Hyannis MA 02601 Date Scheduled Time Fee Pd. C/ R . " Soil Su ability Assessment for Sewage Disposal Performed By: Witnessed By: LOCATION& GENERAL INFORMATION Location Address �� � ;�+ �\�e Owner's Name f:� 6,ej-)O, LQY�Q Address ` SeA`nsL Assessor's Map/Parcel: vo 7V Engineer's Name Cac� s6ck6 NEW CONSTRUCTION ,, �-- \\..-.REPAIR � Telephone# Land Use \G�P�I CL\ Slopes(%) 59, Surface Stones 1AgYEvzlhJ 40 vec k�cr c>e� Distances from: Open Water Body N R ft Possible Wet Area ft Drinking Water Well ft Drainage Way" ft Property Line J'd/ ft Other it SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands?n proximity to holes) LM Tpt a C) J C- C, N W © p. Ln Parent material(geologic) �Vh Depth to Bedrock Depth to Groundwater. Standing Water in Hole: _ t 1Si_C)bS. Weeping from pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in., Depth to soil mottles: in, Depth to weeping from side of obs.hole: In. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adl.factor,,,,r__,T Adj.droundwater level PERCOLATION TEST Matte 4LThne Observation Hole# Time at 4" 5' Depth of Perc g a Time at 6" p ^ S 2 `y`'��5 Mtn• Start Pre-soak Time @ Time J ,2 End Pre-soak. ' l7 Rate Min./Inch L�2MP1 Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN)_ Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstab le Conservation Division at least one (1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC I DEEP.OBSERVATION HOLE LOG Hole# ! Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Co isten % ravel to-ye3 L N1 a Fr�cb DEEP OBSERVATION HOLE LOG Hole# _ Depth from Soil Horizon Soil Texture Soil Color Soil Surface(in.) Other (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consis enc %Gray S L.. o 231 ,rI,g �G L5 o ¢.s. LG DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Surface(in.) Soil Color. Soil Other (USDA) (Munsell) Mottling (Structure,Stones,Boulders. C nsi to c Orrve DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Surface(in.) Other (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsi to Flood Insurance Rate Map. Above 500 year flood boundary No_ Yes_._. within 500 year boundary No Z Yes _ Within 106 year flood boundary No✓ Yes Depth of Naturall-Occurrine Pervious Material ( Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is.the-depth of naturally occurring pervious material? c � Certification I certify that on (date)I have passed the soil evaluator examination approved by the ',Department of Enviro mental Protection and that the above analysis was performed by me consistent with . the required training x e ex p 'ence described in 310 CMR 15.017. ��11 Signature Date Q%SEPTIOPERCFORM.DOC SECTION A -A VENT PIPE (O Lea 24 inches tall) a *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. PROFILE VIEW OF LEACHING SYSTEM � 1.-7 � "•� �� _� _ �h.se 10' mM. fromSchedule 40 PVC w/Charcoal Odor Fllter Existi Foundation to tic tank F,,�� � r g^� �P tank „„� ,. _ Not to Scale.:. _� y� ' TOP OF FOUNDATION = ELEV. 100.00 Assumed a M. of fhdw w� e'tw to GRADE w 3" 0 1 8 1 2" Iaahed Psoistone ' (Assumed) Grade over Septic rank- OB.30 (rode over D-9ee - Oftoo over SAS-9d00 f / " - / - 3 HOLE -/0 e;';x s/4 to f 1/2 Wa shed ca =Md Stone 0.02 Maximum cbvw 4- PVC (CAPPED) INSPECTION PORT TO BE n ,ti NEW S�OOI or Greater Top of ei'- °" `�'� INSTALLED AND TO BE WITHIN 6" OF GRADE Extsr. PIPE n 1,500 GAL001. _ l I" E=T. FuiMIM►rtot � � SEPTIC TANK $ '0 per rO°t *.ere. � � S , ooMGx+F►E n>tt FaetoAlaR- o M H-10 i + 2' EFFECTIVE DEPTH �. =•'y 1 24 Effective -. ........ ..v-��:.,� . . SYSTEM PROFILE .cam + Not to scale °°"'"°�`ed e ; 4. ,� 4 �Sidezuctlt GENERAL NOTES Effective Mdth 3 Units a 7' = 21' 1. Contractor is responsible z ponsible for Digsafe notification, Verification of Utilities e hof 3/4'-1 1/2' o 's 5, 1 5, and protection of all underground utilities and pipes. ca Vcctad .tan. 2. The septic tank and distri u$iGxn box shall be set NOTE: ALL COMPONENTS MUST HAVE RISERS TO "THIN 6- BELOW GRADE � Gn Effective Length level on 6" of 3/4 -1 1/2 stone. 26 3. Backfill should be clean sand or gravel with no 6 Bottom of Test Hole 2 (- ,M mli; stones over 3" in size. PERCOLATION TEST S❑IL ABSORPTION SYSTEM (SAS) 4. This system is subject E inspection during installation Groundwater Observed - by Carmen E. Shay - Environmental Services, Inc. 5. The contractor shall install this system in accordance Date of Percolation Test- JULY 16. 2007 CULTEC 3050 INFILTRATOR CHAMBER H-20 (OR EQUIVALENT) with Title V of the Massachusetts state code, the approved plan Test Performed By. CARMEN E. SHAY, R.S., C.S.E. NOTE: OVERALL HEIGHT OF INFILTRATOR IS 30" /EFF-ECTIVE HEIGHT IS 24" and Local Regulations. Results Witnessed By. DONNA MORANDI (BARNSTABLE BOH) 6. If, during installation the contractor encounters any EXCAVATOR: Shay Env. Svcs. ALL OUTLET PIPES MINI UE soil conditions or site conditions that are different Percolation Rate: Less Than 2 MPI O 36" u"M Brno SHALL K tY fret from those shown on the soil log or in our design sEr tE.a FOR AT LEAST 2 FT. installation must halt & immediate notification be _ Kitchen Wing Room made to Carmen E. Shay - Environmental Services, Inc. Test Hole Test Hole ''-' � �~r No. 1 No. 2 7. No vehicle or heavy machinery shall drive over the DEPTH SOILS ELEV. DEPTH SOILS ELEV. - ss- OUTLET I NeXT septic system unless noted as H-20 septic components. Dining Bedroom 8. Install Tuf-rite gas baffles or equals on all outlet tee ends. 0 9&00 0 9ft 00 sand sand 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. Loamy m Loo '�°' 4- - SCH. 40 T• ,rs- 10. All solid piping, tees & fittings shall be 4" diameter 10 1R 3/2 10 1R 3/2 L 0'-6' A, 97.50 0'-6' A, 97.50 PLAN SECTION CROSS-SECTION Bedroom Bedroom m Schedule 40 NSF PVC pipes with water tight joints. Loam11. Municipal Water is Connected to ALL OF The Residence and Abutting Swaney Sand Properties 3 HOLE H-10 DISTRIBUTION BOX Properties Within 150 Feet. ,o rR 5/6 10 rR 5/6 95.00 3 BR HOUSE FLOOR SCHEMATIC THE PROPERTY LINES ARE APPROXIMATE AND 95.00 6-- 36" Be 0. (Description Provided By Owner) COMPILED FROM THE SURVEY PLAN BY HAROLD S. CROCKER, ENTITLED Mod. Mod PLAN OF LOTS AT CRAIGVILLE, CENT., MA ne sa Sand � zs r 7/4 36"- 132 C, 8700 36'- t3 G 87.00 c 135.00' AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN to N IT SHOULD BE USED FOR NO PURPOSE OTHER THAN 00 , THE SEPTIC SYSTEM INSTALLATION. I � �� EXISTING Cesspool/LEACH PIT TO BE PUMPED OUT AND FILLED IN PLACE o � _ NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE \� --- --- FROM THE EXISTING CESSPOOL/LEACH PIT TO BE DISPOSED ��102 OF AS PER BOARD OF HEALTH SPECIFICATIONS. Perc #1 �� ------ , THERE ARE NO WETLANDS ARE PRESENT WITHIN 200' OF THE PROPERTY Depth to Perc: 40" to 58' I Perc Rate= 2 MPI ASSESSORS M:AP 247, PARCEL 107 Groundwater Not Observed ----- No Observed ESHWT 1 ��� -100 LEGEND ADJUSTED H2O Elev. = None PROJECT BENCH MARK I �� TOP OF FOUNDATION I --'------------- ELEV. = 100.00 (Assumed) ; 104X1 DENOTES PROPOSED 3-24-MAX ACCESS MPM*X s SPOT GRADE DENOTES C.5 X 104.46 SPOT GRADE ISTING NEW 1500 gal. \�� Foiled I PL PROPERTY LINE Septic Tank Leach Pit`� w .SET l` l` OUT ET PROPOSED CONTOUR THE ACCESS COVERS FOR THE SEPTIC TANK, C° TEST HOLE #1 D-Box - � DISTRIBUTION BOX AND LEACHING COMPONENT Vent r •,, _,.r-�': SHALL BE RAISED TO wnt,IN 6- of ELE\/•= 9e•00 • • _ ' �e;pe - - - - - -g7 EXISTING CONTOUR FINISHED GRADE. O � STEEL REINFORCED PRECAST CONCRETE INSTALL TUF-TITE GAS BAFFLES OR EQUALS ENCLOSED PLAN VIEW oN ALL OUTLET TEE ENDS PORCH ro- O ts' e' DEEP TEST HOLE & 3-2r REIAMA E CONM TEST HOLE �2 I '� PERCOLATION TEST LOCATION I � EL.EV.= 98.00 6 FOOT STOCKADE FENCE 4- I KET- e-,an r yak, to eels r ,r MET --------- Failed wnET CesspoolTJ i w eeti E$ 4.�,� PAT,O a P LOT P LAN �o �.rr = :• td bP� `� E�IST7NG �`. i 9 eEDRooer - OF PROPOSED SEPTIC SYSTEM UPGRADE -• - =- `� HOUSE I -------i PREPARED FOR CROSS SECTION END-SECTION 156 _ MS. ADENA LAKE l TYPICAL H-10 LOADING LOT #f 7, 1500 GALLON SEPTIC TANK -�� 22,23 � 24 ' i I >- ; AT � NOT TO SCALE 21,600 Sty Feet +/_ I z a '� #2 7 3 O L D C R A I G V I L L E ROAD May Substitute with 1500 gallon H-10 Polyethylene Tank-George O'Brien Co. �� i R C E N T E RV I L L E M A ` I Gn o I , Design Calculations I � � a��H°F c,\�,; Number of Bedrooms: 3 Bedroom EXISTING 135.00 I z PREPARED BY: Leaching Garbage Grinder: Na ------ -------- ---- ---___�_J 7--------------------- ,. CARM�'N E. SHA Y Leaching Capacity Required: 330 Gal./Day (MIN. PER TITLE V) --_------ - ------ ASPHALT SIDEWAI.ii---- ASPHALT SIDEWALK Septic Tank : - 2 x 330 Gol./Doy = 660 USE NEW 1,500 GAL. Septic Tank -- ------___ .i �- i .,ENVIRONMENTAL SERVICES, INC. f00----------- ------------- -= -- ------------------ ----- SOIL ABSORPTION AREA: Using percolation rate of Q min. inch --------- ---- ----------------- 0 N, Bottom Area: 0.74 gal/sq. ft. x 312 sq. fL = 230.88 gallons --10 �� �o P.O. BOX 627 Sidewall Area: 0.74 gal./sq. ft. x 152sq. f = 312.36 gallons 0 20 40 50 SC1ST0-' EAST FALMOUTH, MA 02536 Providing: OLD CR.AIG VILLE' R OA-,D NIT AR", - ( ) HAVING A 2' EFFECTIVE DEPTH, (40 FOOT RIGHT OF WAY) TEL/FAX 508-539-7966 Use: 3 3050 H-20 INFILTRATOR CHAMBERS, „ (4' W x 7' L) To BE USED WITH 4' OF WASHED STONE ON THE SIDES AND SCALE: 1 =20 DRAWN BY: CES DATE: JULY 23, 2007 2.5' OF WASHED STONE ON THE ENDS. SCALE: 1"=20' PROJECT#SD1042 FILENAME: SD1042PP.DWG SHEET 1 OF 1