HomeMy WebLinkAbout0430 OLD CRAIGVILLE ROAD - Health 430 ®id ,Crgigville Road
® Centerville
A = 247 - 210
UPC 12534 '
0.2-153L0R
1
No, c�r� J " Fee VS
l THE COMMONWEALTH OF MASSACHUSETTS ' Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE,s MASSACHUSETTS
ZIppYicatiott for Diopooal Opotem Cou5truction Permit
Application for a Permit to Construct( )Repair()o Upgrade( )Abandon( ) Complete System O Individual Components
Location Address or Lot No. 'Ik4j)b pt,p CP_A%d vtLL.6 Zo Owner's Name,Address and Tel.No.
C41 G�S FSQ-Ae -r�
Assessor's Map/Parcel ''��
o9 4 JAI o 5 ►�
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
RO%V Avs S$�c 5*1aY erju, secs,
S39 --+ Q("
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size Tj 6W sq.ft. Garbage Grinder( A%A-
Other Type of Building bc-w- No. of Persons Showers(l-' Cafeteria
Other Fixtures Imo. kor,
Design.Flow `�? gallons per day. Calculated daily flow 331.1°6 gallons.
Plan Date I D_—, Number of sheets Revision Date
Title ti10f� ..m QQ93,P
Size of Septic Tank /J.o u i i S a0 G a\�Gtl� Type of S.A.S. S
Description of Soiled
Nature of Repairs or Alterations(Answer when applicable) A Qj,2,�,
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with.the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has be ed b thi ar ealth. i
Si ned Date i p6
Application Approved by Date 6&1 C'5
Application Disapproved for the following reasons
Permit No. (°iC� `� 23- Ls Date Issued
No. r!�)_Ct5 s a 16 _n A. Fee /(J�
THE COMMONWEALTH 9F MAS$'ACHUSETTS.,"' Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OFJBARNSTABLEa MASSACHUSETTS s
2pplication for Miopooaf bpg;tem Cori.5truction_permit '
Application for a Permit to Construct( . )Repair(X Upgrade/( ')Abandon( ) r Complete System 0 Individual Components �
Location Address or Lot No.#47-4 pt,p Ceq t 4 V t LL •gyp Owner's Name,Address and Tel.No.
Assessor's Map/Parcel
Ce .fie,—�L,� C t4 e%S �E(L A e"
241 !o lSpME� 1
Installer's Name,Address,and Tel.No. .Designer's Name,Address and Tel.No.
ROoDQC\S 'S120C SvCS. �tiAY E,.►V, SVCS. '�^
Type of Building:
Dwelling No.of Bedrooms _ Lot Size ��M sq.ft. Garbage Grinder
Other Type of Building A) n No.of Persons Showers(L'') Cafeteria
Other Fixtures (..Gcar, T6 r 1y'r\
Design.Flow gallons per day. Calculated daily flow gallons.
Plan Date 1151 os Number of sheets I Revision Date ^-
Title
Size of Septic Tank !J 1.�Coo C�c�\ ' n k' Type of S.A.S. 1,.I ra.ra rz,2 TVANC 4
. Description of Soil
T�ir.'4 i c�•�+ I Nature of Repairs or Alterations(Answer when applicable) ' `a4
Date last inspected:
Agreemeni:
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 Certiti=
}" cate of Compliance has beeLi_iLued by this Board ofr. ealth.
S'gned ~ i Date �5
Application Approved b v Date
Application Disapproved for the following reasons
Permit No. _ Date Issued G
—' — Tom—-- ,
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 }�' �.04 4-1,1
at ! has been constructed in accordance .
with the provisions of Title 5 and the for Disposal System Construction Permit No. C '9'1"dated SRr�
Installer ! .I P I� Designer
The issuance of this pe t shall not be construed as a guarantee that th systemfwill n as designed.
Date InspeJor)-\
- - -------------------------------------
No. C?1� Fee )C' . .
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Iigpogaf *pgtem Congtruction Permit
Permission is hereby granted to Construct( )Repair( )Upgrade )Abandon( )
System located at �O �Ir- r r, t
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:Cons tru tion must be completed within three years of t(e date of 1`iis pe.it.
Date:_ _Approv�edb
TOWN OF EARNS ABLE
LOCATION � � v�� SEWAGE # 57'�:
VILLAGE ASSESSOR'S. MAP & LOTZN7
INSTALLER'S NAME&PHONE 0.
SEPTIC TANK CAPACITY _
LEACHING FACILITY:/(type) (size)��7jcl U
NO. OF BEDROOMS 7 _
BUILDER OR OWNER
PERMITDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private-Water Supply Well Leaching Facility (If any wells exist
og.site,or within 200 feet of leaching facility) Feet
Edge oftWetland and Leaching Facility(If any wetlands exist
WiLhin 300 feet of leaching facility) Feet
. t
Furnished by
I�. a
C Ll " NeTt
Town of Barnstable
cFTHE Toy, ' Regulatory Services ~ r
O
Thomas F. Geiler,Director
BARNSTABLE,
MASS.9q, 10� Public Health Division
1 A'F �9. 11%. Thomas McKean, Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date: 6/06/05
Designer: Shay Environmental Services, Inc. . Installer: Robert Septic Services.
Address: P.O. Box 627 East Falmouth Address: 5 Trenton Street
MA 02536 Yarmouth, MA
On 6/01/05 Robert Septic Service was issued a permit to install a
(date) (installer)
septic system at 430 Old Craigville Road, H ay nnisport, MA based on a design drawn by
(address)
Shay Environmental Services, Inc. dated Mqy 18, 2005
(designer)
_XX 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 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.
— �-W 0 MASS
nstaller's Signature CARMEN cy�
N
E. -A
SHAY U)
No. 1181
�F �a
(Designer's Signature) (A N
P$ mp H4 ere)
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
- 1
*NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. VENT PIPE ® Least 24 inches tall)— s =ON A—A
- - ( I ALL. OU RET PIPES FROM THE10' min. from
Schedule 40 PVC w/Chorcod Odor Filter DISTRfeurlaN BOx SNAu �
Existing Foundation house to septic tank PROFILE VIEW OF ADDITION TO LEACHING SYSTEM SET LEVEL rOR AT LEAST 2 FT. 12' IC014GRE1E COVER
Septic tank cabers must be D-BOX cover must be
TOP OF FOUNDATION = ELEV. 100.00 Assumedin. — ------ ----
( within 6 in. of finished grode w 6 of finished grade
`- ,----Grade over Septic lank - 93.00 ---Qade over D-Box - 92.00 - ,rode over SAS - 92.00 3" of 1/8" - 1/2" Washed Peaston , �� KNOCKOUTSOUTLET
---3/4" to 1 1/2 ` Washed Crushed Stone
S 0.02 3 HOLE H-10 4" PVC(CAPPED) INSPECTION PORT TO BE OUTLET I 1 '
' ST. 80X 3' Maximum Cove` INSTALLED AND TO BE VATHM 6" OF GRADE 6" N
NEW - -- S=o.01 or Greater jr-Top OF Sywtam- Oev. -tte.00 .- ...� •. _ _ �' ttrn�,.- Y
0 18' �.'-. 2
Exlsr, p V) 0 1.500 GAL. ---- -_ s� .
u7 f5' O.Ol. Per 4" - SCH. 40 Te 1,7g• v
FROM EXIST. FOUNDATION a, SEPTIC TANK n foot 10" EHecBve Depth
II rn POLYETHYLENE a PLAN SECTION CROSS-SECTION
1 5 Units B 6.25' - 30, e
CONCRETE F1xLFOUNDATION- h H-10 h. do co M 10.83' (10 inches I n
6Inof 3/4"--1 1/2' 1 r r In ) 3 —si.2s- - -` 3� 3 HOLE H-10 DISTRIBUTION BOX A
SYSTEM PROFILE `
compacted stone iu o m
c . 37.25'— __._. —.� NOT TO SCALE
Not to Scale - _ > 4' y I' I 4. p EfFective Length - -- ®" P"dkEA
13 v SOIL ABSORPTION SYSTEM (SAS) '~+e^ ®-ti+NMTEu
6 In.of 3/4"-1 1/2' o v GENERAL NOTES
compacted stone O Effective Width INFILTATROR HIGH CAPACITY (H-20 LOADING)/ GEORGE ❑'BRIEN
I NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE I 0 1. Contractor is responsible for Digsafe notification, Verification of Utilities
L— oM (OR EQUIVALENT) Not to Scale and protection of all underground utilities and pipes.
w Bottom of Test Hole I Elev.-81 5o NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18" FFECTIVE HEIGHT IS 10" 2. The septic tank and distribution box shall be set
Groundwater Observed - NONE OBSERVED level on 6" of 3/4"--1 1/2" stone.
3. Backfill should be clean sand or gravel with no
- ---- - -------- stones over 3 In size.
4. This system is subject to inspection during installation
PERCOLATION TEST by Carmen E. Shay - Environmental Services, Inc.
5. The contractor shall install this system in accordance
Date of Percolation Test: JANUARY 22, 2005 with Title V of the Massachusetts state code, the approved plan
Test Performed By LISA LYONS, R.S., C.S.E. and Local Regulations.
Results Witnessed By. Donald Desmaris(Barnstable B.O.H.) 6 If, during installation the contractor encounters any
i EXCAVATOR: Unknown soil conditions or site conditions that are different
Percolation Rote: Less Than 2 MPI ® 36" from those shown on the soil log or in our design
installation must halt & immediate notification be
Test Hole made to Carmen E. Shay - Environmental Services, Inc.
No. 1 7. No vehicle or heavy machinery shall drive over the
DEPTH SOILS ELEV.� septic system unless noted as H-20 septic components
- -- 8. Install Tuf--Tite gas baffles or equals on all outlet tee ends.
I -- o — --- ---- - 98.007
Sandy Loam 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes.
10. All solid piping, tees & fittings shall be 4" diameter
10 YR 3/2
Schedule 40 NSF PVC pipes with water tight joints.
0'-12' Ae 9 7.00
- - -- 11 Municipal Water is Connected to ALL OF The Residence and Abutting
i
and
Properties Within 150 Feet.
10 YR 5/6 THE PROPERTY LINES ARE APPROXIMATE AND
12"- 42" Be 94.50'
--- 9 TEST HOLE �1 COMPILED FROM THE SURVEY PLAN GENERATED BY
Medium 1 DOWN CAPE ENGINEERING of YARMOUTH, MA
Sand - - _ ELEV.= 91.75 ENTITLED "TITLE V SITE PLAN"
2 5 Y 7/4 _.--- _.-. _. _ ._ _._ _. ---------.._--_----- -- - -- ---_---_---- ------_------- DATED DATED FEBRUARY 22, 2005
_ 4
42"- 144 C, 75.00 --- _P AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN
19� ----- 37.25' Vent- f IT SHOULD BE USED FOR NO PURPOSE OTHER THAN
- _ - THE SEPTIC SYSTEM INSTALLATION. -
D-Box '--. 9
-_--_- — _ _- '.` e .e • _ EXISTING CESSPOOL TO BE PUMPED OUT AND FILLED IN PLACE
• `•�'<- _ ``'.r4 NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATF
y. 40'1 �� FROM THE EXISTING CESSPOOL TO BE DISPOSED
___ O - ----- __ NEW 1500 gal. OF AS PER BOARD OF HEALTH SPECIFICATIONS.
O 9 Po>eethylene Tank
Failed THERE ARE NO WETLANDS ARE PRESEN?
Perc1 9� WITHIN 200' OF THE PROPERTY
# CESSPOOL
Depth to Perc: 42" to 60" " _ p ASSESSORS MAP 247 PARCEL 210
Perc Rate= 2 MPI
Groundwater Not Observed 9s __ �O `� LEGEND
No Observed ESHWT
.�
ADJUSTED H2O Elev. = None -
-- ------ ----- --------- ---- ---- -----._ 96 _ Porch EXIST. \_
3-24" DIAM. ACCESS MANHOLES PROJECT BENCH MARK 1 �� On Posts Deck --gA 104X 1 DENOTES PROPOSED
-- TOP OF FOUNDATION -r SPOT GRADE
ELEV. — 100.00 (Assumed) DENOTES EXISTING
EXISTING S X 104.46 SPOT GRADE
1919 3 BEDROOM
HOUSE 96 PL PROPERTY LINE
INLET OU T C
THE ACCESS COVERS FOR THE SEPTIC TANK, #430 PROPOSED CONTOUR
L DISTRIBUTION BOX AND LEACHING COMPONENT e99` "\ ---�
SHALL BE RAISED TO WITHIN 6" OF _
FINISHED GRADE. ��� - 9y - -- - - - -97 EXISTING CONTOUR
STEEL REINFORCED PRECAST CONCRETE INSTALL TUF-TITS GAS BAFFLES OR EQUALS ` r��
ON ALL OUTLET TEE ENDS LOT # 16A -
PLAN VFW - ;g DEEP TEST HOLE &
3--24" REMOVABLE COVERS � i P_ 7,500 Square Feet +/- d PERCOLATION TEST LOCATION
I4, _ 75 00' `9 6 FOOT STOCKA f ht E
:. .3 mh. clearance I _ --'— ------ - -------- ---- ----- --- ---- _._--- --------- -- ------ -. —_-. ------ -'-
INLET- B"m1n_T_12-min. nbt to outlet a.mh. IlY AIIET � --
y _ T-- UquM Mvel I - OUTLET — ----------- ----- ------
trf Imin. I 14• '• III •:
5- _r a -'-JJ �-- I 5 -r ---
�$ P
j E g I 4'-0" mmin.wr
a o-e r Liquid depth LOT P LAN
os I -
oL n C�AIG ti'ILLE oAh OF PROPOSED SEPTIC SYSTEM UPGRADE
CROSS SECTION END—SECTION PREPARED FOR
(40 FOOT RIGHT OF WAY) C H R I S F E R RA R O
TYPICAL (H- 10 LOADING) 1500 GALLON SEPTIC TANK AT
NOT TO SCALE # 430 OLD CRAIGVILLE ROAD
I
May Substitute with 1500 Gallon H-10 Polyethylene Tank—George O'Brien Co. HYAN N I S PO RT, MA
Design Calculations PREPARED BY:
Number of Bedrooms: 3 Equivalent to 330 Gal./Day (330 Gal./Day Min. per Title V) �-y�R ' !EY Ee S 'T� 7 �
Garbage Grinder: No /y l,�l/J lHl ly
Leaching Capacity Proposed- 330 Gal /Day Minimum (Min. Per Title V)
Septic Tank : - 2 x 330 Gal./Day = 660 USE NEW 1,500 GAL. Septic Tank. ENVIRONMENTAL SERVICES, INC.
SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch
Bottom Area: 0.74 gal/sq. ft. x 370 sq. ft. = 273.8 gallons P.O. BOX 627
Sidewall Area: 0.74 gal./sq. ft. x 78 sq. ft. = 58 gallons 0 20 40 50
EAST FALMOUTH, MA 02536
Providing: = 331.80 gallons
TEL/FAX 508-539-7966
Use: (5) INFILTRATOR HIGH CAPACITY H-20 UNITS, HAVING A 0,83' (10 INCHES) EFFECTIVE DEPTH, SCALE: 1 "=20' DRAWN BY: CES DATE: MAY 18, 2005
TO BE USED WITH 4.0' OF WASHED STONE ON THE SIDES, AND 3.5' OF WASHED STONE --
ON THE ENDS. NO STONE UNDER. SCALE: 1 "=20' PROJECT#SD745 FILENAME: SD745PP.DWG SHEET 1 OF 1
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