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HomeMy WebLinkAbout0422 OLD CRAIGVILLE ROAD - Health 422 Old Craigville Road Centerville A�= 247 026 i Si lll UPC 12534 No.2.153 OR _NASTINaa.YN., I No. C7`�� l 'yam Fee /0 V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01 pphratton for of 5 pool *p5tern Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( V<Abandon( ) L"Complete System ❑Individual Components Location Address or Lot No. 6 �Z cg f J� Owner's Name,Address and Tel.No/ Assessor M /Parcg,�z ` Installer's Name,Address,and'el.No. Designer's Name,Address and Tel.No. AO/ fDl�l�i C0�5 ` i oww GQ/D� �" • 3617 �ll� Type of Building: Dwelling No.of Bedrooms ;3 Lot Size 73-00 sq.ft. Garbage Grinder( � Other Type of Building ?�9/ i°#2V No.of Persons Showers( ) Cafeteria( ) Other Fixtures / Design Flow gallons per day. Calculated daily flow 3 31�, ( gallons. Plan Date 2. Number of sheets Revision ate Title SSl e `f Z Z / G/'�1 WIlle- Size of Septic Tank ®� Type of S.A.S. 3— 15 Description of Soil G 11elky_s 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 beerUssued b t ' of ealth. / Signet Date Application Approved by Date Application Disapproved for the following reasons Permit No. �ad 0 l Date Issued TOWN OF BARNSTABLE i' LOCATION 7 Cow?f AD SEWAGE # ef'00-r-/30 VILLAGE Tom-----�.� ''' � '�. ASSESSOR'S MAP & LOT 9 `b — INSTALLER'S NAME&PHONE NO. 'SEPTId TANK CAPACrIt /fOd CAL LEACHING FACILITY:Vpe) Sao 6G CAarhobj (size) ,x. � NO.OF BEDROOMS f BUILDER 0 WNER r . PERMTTDATE: y-6-,V. COMPLIANCE DATE: A I UY Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 5.01 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 [ ~y e or L'U;t f 4.��p ti y ii I Sr?a I i a 3 yo 10 No. ,�%,,..----�--t r #* Fee v 1 - ! ` THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS j \'\01pplica"tion for Ztgonl *paten.Con!6truction-pertuit Application for a Permit to Construct( )Repair( )Upgrade( ")Abandon( ) 41 Complete System El Individual Components Location Address or Lot No. k/?,Z 6)/�2 Owner's Name,Address and Tel.No. Assessor:,s 4a%fV 2 �n l Installer's Name,Address,7an Tel.No. Designer's Name,Address and Tel.No. tooth 4 Ci e C �. Type of Building: Dwelling No.of Bedrooms 3 Lot Size 75®© sq.ft. Garbage Grinder(_0 Other Type of Building X e-7� No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3d gallons per day. Calculated daily flow 3 gallons. Plan Date 2 7.5_ �95_ Number of sheets Revision.Date Title vl' S/Ye C/f? Lf Z Z /? C Size of Septic Tank Type of S.A.S. Description of Soil - sa,Y3�a-z 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 bee is, ued by t ' and f Health. 1. g /�l Si ne Date Application Approved by Date lI 6D G Application Disapproved for the following reasons Y Permit No. -;DC:)0 6 Date Issued S �Xti, �j /fig THE COMMONWEALTH OF MASSACHUSETTS ! BARNSTABLE, MASSACHUSETTS i (Certificate of (Compliance THIS IS TO CE IFY,that th On- it Se age Dispoysal System Constructed( )Repaired ( )Upgraded Abandoned( )by �O�O1/ 7��15/ at y Z 7 I l�/9�l �01� )6_11111ell-,has e n construe %i arccordance with the provisions of Title 5 and d for Disposal System Construction Permit No. t�`� dated 7t" Installer ��e- r'l Designer The issuance of this s p'e shall not be construed as a guarantee that t e syst it unc 'on as designed. Date 1 L Inspector or —-------.--- No. ---Fee /OV THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mi5pogar *pgtem Congtruuction Permit Permission is hereby granted to Construct( )Rep ' ( )Upgrade/j )Aban�do�''( ) System located at y Z d�� `� 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:Conrstfru tiQn ust be completed within three years of the datCbo, s pe Date:_ cT �� Approved Town of Barnstable Regulatory Services Thomas F. Geiler,Director URN"ABLEMASS. Public Health Division �i6; �e' En Mai' Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Sewage Permit# ZOaL:�_`/,Assessor's Map\Parcel 09(9 0a� Designer: O,,J n Installer: Y✓G i- I °/ Address: /`��i r Address: On xor'y/./j� 60e�51`w7as issued a permit to install a (date) (installer) septic system at �a16 V1 based on a design drawn by (address) �V, D` eAZ& dated OaJ (desi er) 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. I certify that septic tic system referenced above was installed with major changes (i.e. P 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. �o ARNE H c�N nstaller's gnature) OJALA CIVIL No. 30792 ST0'<1 � �SSlpN 41 LNG. (Designer's Signature) (Affix ZMWgW s Stamp 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. Q:Health/Septic/Designer Certification Form 3-26-04.doc TOWN OF BAR.NSTABLE LOCATION ITO SEWAGE # .-tD0J''/,30 VILLAGE `" ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. Amcl�o/ti/ CoriJtitc�i�c1 �/1 F-��2� SEPTIC TANK CAPACITY /fob 64L LEACHING FACILITY: (type) Sad 6W Cad e,J (size) NO.OF BEDROOMS BUILDER OWNER e PERMITDATE: 5�-G'r�3' COMPLIANCE DATE: I U� 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 L7o�r� t���t Liu, »..,r../tis 3 � air�, 13� yo, i X 34.35 C7&,314.46 11 433.87 X 33.94O X 33.7 PO 0.00 X33.521- APPROX. WATERLINE O W 33.gY '��• X 33.07 �- �c3 - 3 LOT 17A Op 32.94 7,500 SFt O 11-1XX.85 °32�59 31.15 X32.98 O- � X 30.16 X 30.28 X 2.44 X .11 \Oy `�F 32.77 \\ PAfs \` EXISTING X26.23 O 31.24( - RIVE WA �� DWELLING s TF=32.8' 26.93 X 23.61 X30. 30.36 �- 0.16 X 23.34 EXIST. 1500 GAL, X 30.72 23 SEPTIC TANK X 28.9 GAS 24.38 �p METER �o�� 61 p 22.82 X 22.36 0.00 X 27.60 O 4 .22 X 24.3 TH� 1� X 21.61 BENCHMARK 1 COR PATIO EXIST. SAS (3 500 GAL. LEACHING ELEV = 27.75' CHAMBERS WITH 2.25' STONE AT ENDS 7 AND 2.5' AT SIDES) 0.00 05-005 1.65 S'EP TI C AS-BUILT LOCATION : 422 OLD CRAIGVILLE ROAD (HYANNISPORT) BARNSTABLE PREPARED FOR: SCALE : 1"= 20' DATE : MAY 12, 2005 G. MALLET REFERENCE ASSESSORS MAP 247 PCL 026 1 HEREBY CERTIFY THAT THE SEPTIC SYSTEM ,SH OF MqS SHOWN ON THIS PLAN IS LOCATED `icy AS SHOWN HEREON. ARNE GJ, H. off 508-362-4541 ®JALA y fax 508 362-9880 �' No.26S48 down cape engineering, inc. /L C�a CIVIL ENGINEERS __ ______ LAND SURVEYORS a 19 main st. yarmouth, ma DATE REG. LAND SURVEYOR SYSTEM PROFILE TEST HOLE LOGS TOP FNDN, AT EL, 32.8' ACCESS COVER TO WITHIN 6" OF FIN, GRADE NOT To SCALE) PROVIDE INSPECTION PORT WITHIN --- ACCESS COVER (WATERTIGHT) TO 6" OF FINISH GRADE ENGINEER: LISA LYONS, RS /F2-670' MINIMUM J5' OF COVER OVER PRECAST /` WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 24.0' - 25.0' DON DESMARAIS LOCUS WITNESS: RUN PIPE LEVEL 2" DOUBLE WASHED P ONE DATE: 2�22/05 HARBOR HILLS '� I • 26.34 fROPOSED 1FOR FIRST 2 3 MAX, PERC. RATE _ < 2 MINfINCH(EXIST.) 500 ALLON SEPTIC '•24,0' NK (H- GAS 5� &ITE1 M 22.0 CLASS I SOILS P# 10,929 SOUND VIBAFFLE 21.43' � 21.26' [ O C7 Cl 0 [D m 0 C7 0 21.17' 0000 El 01� E1C� (19 % SLOPE) �6" CRUSHED STONE OR MECHANICAL go O C7 Q ELEV. COMPACTION. (15.221 (21) `� 2 E3 0E� Q C� o� 19.17' 0p, 24.5' DEPTH OF FLOW = 4 ( 33 7. SLOPE) ( 1 % SLOPE) 3/4„ TO 1 1/2„ DOUBLE WASHED STONE FILL ��` �,�,►uE e�,CH Ro"° TEE SIZES: INLET DEPTH = 10" 7" C OUTLET DEPTH = 14 A LOCATION MAP NTS LS "1OYR 2 2 FOUNDATION LEACHING 12' SEPTIC TANK 7' D' BOX 11' » / FACILITY5.01' 13 ASSESSORS MAP 247 PARCEL 26 *THE INSTALLER SHALL VERIFY THE g LOCATIONS OF ALL UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS LS PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM 10YR 5/6 x34,35 14.16' 20 22.$' �,34.46 / C ���C33.8 PERC X 33.94OPO ,i' /7C 33 0.00 .7 _ M/CS �33.52r' 2.5Y 6/6 \r_V .'G APPROX.P��!' WATERLINE 124" 14,16' NGWE QP o0 NOTES: 61- 3 X 32.94 3. i•'' 3 3 LOT 17A 5'I, 33.07 SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED 1. DATUM IS APPROX. NGVD 32.94 ' . 7,500 SFt °32� s 3'' E ESlGN FLOW 3 BECQOn, c i � 1G rPD) _ z� 'PD „„��+r�n�i ,�;.r ,,'>(32.85 5 5 X32. i - 3�;, wi -- 1♦ V� � J VI 1../ .•i VI,Iv11 f\L. ill�I -.♦ J .Lhi.•JIiiVV -;. 3 t 30.28 USE A 330 GPD DESIGN FLOW 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. SEPTIC TANK: 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 x 32.44 9 330 GPD (2 ) = 660 x .11 v Dy `� .77 2s- 5. PIPE JOINTS TO BE MADE WATERTIGHT. `� Hip a USE A 1500 GALLON SEPTIC TANK FS �. EXISTING > ?ems 6, CONSTRUCTION DETAILS 10 BE IN ACCORDANCE WITH MASS. _LEACHING: ENVIRONMENTAL CODE TITLE V. 31.24 {�� PA DWELLING �) _ s , TF=32.8 6.9 2(30 + 9.83) 2 (.74) - 117.9 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT 2s�, SIDES: . . o.ts TO BE USED FOR ANY OTHER PURPOSE. N X30. 30.3i0� X23. 2s 30` x 9.$3 . o. `.�\ E30TTOM: (,74) 218.2 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. x3o.72 29 cP 2� TOTAL: 454 S.F. 336.1 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT X2 9 GAS 438INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED -` p METER _ USE (3) 500 GAL LEACHING CHAMBERS (ACME OR o ��o X22.36 0.0 FROM BOARD OF HEALTH. -2$ oeP X EQUAL) WITH 2.25 STONE AT ENDS AND 2.5 AT SIDES 0 40 •22 . 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING SEPTIC SYSTEM X 27.60 1 X 24.36 hod I � LEGEND TH 6, X 2,.6, TITLE 5 SITE PLAN BENCHMARK 100.0 PROPOSED SPOT ELEVATION OF COR PATIO 2,--ELEV 27.75' 422 OLD CRAI GVI LLE ROAD = 10OX0 EXISTING SPOT ELEVATION 20- IN THE TOWN OF: .0 0 100 0 PROPOSED CONTOUR- H ,. ,9 ( WEST) YA N N I S P 0 R T E X18.58 -- 100 EXISTING CONTOUR PREPARED FOR: GRAHAM MALLET ! X 18.22 20 0 20 40 60 BOARD OF HEALTH 7771 - MA SCALE: 1" = 20' DATE: FEBRUARY 25, 2005 APPROVED DATE ' off 508-362-4541 fax 508 362-9880 JH of hfqss� fAq � down Gape engineering-, inc. moo`' ARNE H cyG� ©�' ARNE °yam I OJALA H. CIVIL ENGINEERS CIVIL OJALA y No.A0792 LAND SURVEYORS 05--005 939 main st. yarmouth, ma 02675 - o-� s0V 25"7.d� ARN H. 0JALA, P. P.L.S. DATE .