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HomeMy WebLinkAbout0465 OLD CRAIGVILLE ROAD - Health .'465 Old Craigville Road Centerville A= 247 —`0 5 t I No. 42101/3 ORA ESSELTE 1o% (o 0 ® 0 0 i r I; �1/-39-5 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Application for ;Disposal 9ppstem Construction Permit Application for a Permit to Construct( ) Repair(A<'Upgrade( ) Abandon( ) omplete System ❑Individual Components Location Address or Lot No.W OLD CaR19/(y��/�/' Owner's Name,Address,and Tel.No. Assessor's Map/Pazce12 y7-3,S' Igstaller's�latnl�,Address,and Tel.No. 8�y2U'-��3 Designer's Name,Address and Tel.No.j OE-3ri 0-33!'/ Blimp �4rt^�5�, l- i�_r-,;,,S' r S,4,1XQ Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable)L19S'T1e-l` S 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 e2 Date -t', 6 Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 120 6— Z Date Issued No. y 01/_ 311,2_5 ti l V_ Fee. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:. v PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes implication for Misposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(!/)Upgrade( ) Abandon( ) omplete System ❑Individual Components Location Address or Lot No. pLL� (,,rQ/���9/�/;/�G'Q Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 2Y7-3s' C�t✓IG�/"✓/,/J J0644 rd//y Installer's Name,Address,and Tel.No.f'v "yZC'-17 d Designer's Name,Address and Tel.No.,J e� -3G 0-, 11 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Desc\ption df Soil Nature of Repairs or Alterations(Answer when applicable)145'/74/// j�'G� t/sue/ 7U i 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 4346 . _6 Application Approved by Date >/ Application Disapproved by Date s for the following reasons Permit No. 2o 16— Z Date Issued t, -------------------------------------------------------------------------------------------------------------------------- '----------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS , 4 Certifitate of Comp[iance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded Abandoned( )by,,/a s e`:�X; b� at s/° 7� )/,d i5fe 910 V,i!/ f/1-has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.CM6- W' dated Installer/u�c/% r Designer 0,17-5- bedrooms WS; Approved design flow Z gpd The issuance of this permitshall not be construed as a guarantee that the system will j 'tion dersigned. C Date b i I b Inspector `J 1 No. o Wq �� Ot)_ Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction 3permit Permission is hereby granted to Construct( ) Repair( ) Upgrade Abandon( ) System located at �' S G L [ '/1/C'✓i/�_ lac h f G- /�lY and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/heraocy with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit,— / Date -��7j_ Approved by ! 1 From: 10/19/2016 13:51 #379 P.001/001 Town of Barnstable `M►, Regulatory Services 1e� Richard V. Scali, Interim Director 9MAM. g Public Health Division � � Eoata+' Thomas PvIcKean,Director 200 LN-Wn Street, Hyannis,.NIA 02601 Office: 508-862-4644 Fax: 508-790-6304Cn 4A Installer& Designer Certification Form _ r�. Sewage Permit# Assessor's Ma 'Parcel Date: �� ; p s Designer: MeA�p .Installer: Address: j(. )n Address: / ( On / �c3 �!� Anh�/Ps ( �bas issued a permit to install a (date) .(installer) septic system at, of c 1 i - Z _ based on a design drawn by (address) dated ` 1 ? (designer} lv' �f 1 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. 1 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 desibner to follow. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructs ,�6 e wish the terms of the P,A approval letters-(if applicable) MEYER ln�taller's Signature) /f l; " Jo. 1140 {Designer's Signature} (Affix Designer amp-Here) PLEASE RETURN TO BARIANST. LE 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:''Saptic\Designer Certiticatior. Form Rev 3-i 4-!3.dtic TOWN OF BARNSTABLE LOCATION G G. " SEWAGE# ®f(o ' 32S VILLAGE S&rL-21/CLL ASSESSOR'S MAP&PARCEL 2H7-03.- INSTALLER'S NAME&PHONE NO. RAG B eti /!S'�e SEPTIC TANK CAPACITY S'O6 LEACHING FACILITY:(type) a-,-Gb(;t c-J W M&rrS- (size) NO.OF BEDROOMS OWNER --ru I PERMIT DATE. 3 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 A3- - � - C L can ® !sue° ®v( a I Town of BAIL-astable P# I GOBI oFTHE Department of.Rel ulatory Services ,s$ Public Health Division Date _ i639 �e 200 Main Street.Hyannis MA 02601 co Date Scheduled Time d 1"` Fee Pd. I V U V i a.o i rJ7 Soil Suitability Assessmentfor Seyv e isposal ►�: Performed E �/� ` M� Witnessed Ey: f YL "^ LOCATION & GENERAL INFORMATION Location Address .4(o,�; o L t) r(i P ,ati°t(i_,i.c � 1 Owner's Name Lti V,rJS/Fug l YC N Li A� � Address Q V 1 , `1 ' Assessor's Map/PArcel: / 7) I Engineer's Name NEW CONS1RUtION REPAIR j Telephone# Land Use RC 5 1��`y r �L Slopes(�o) Surface Stones Distances from: Open Water Body�ft Possible Wet Arcs ft Drinking Water Well ft Drainage Way �!1)� ft Property Linc ft Other ft SIMTCH:(Street name,dimensiotis'of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 14?Q- Tt?- & f pe" I j Parent material(geologic) G Depth to Bedrock Depth to Groundwater. Standing Water in Hole: i Weeping from Plt Free ' Estimated Seasonal4-jigh Groundwater 08/ DtT RMINATION FOR SEASONAL HIGH WAT'glY TAME Method Used: in. Depth td Sall mottles: In. Depth (7bservcd standing in obs.hole: p tt. Depth toiweeping from side of obs.hole: i iti. oroundwaier Adjustment Index Weil# Reading Date: Index Well levtil --- A .fai tor. _� AdJ.droundwater Level, e PEI RCOLATION TEST . Date Tluie . Observation j Ti me at 9" � - Hole# S !� Time at b" Depth of Pere Timeff'-V) Start Pre-soak Time@ 7 End Pre-soak Rate Min./Inch i Site Suitability Assessment: Site Passed ly_ Site Failed; Additional Testing Needed(YIN) bservatioti Hole Data To Tie Completed on Back Original Public `etlth Division O -----,--- ***If percolal;i0n testis to be coed* cted within 100' of wetland,you must first notify the Barnstable Cc�tiservation Division at beginning. least one (1) week prior to I DEEP OBSERVATION HOLE LOG Hole# Soil Other Depth from Soil Horizon Soil Texturere Soil Color Mottling (Structure,Stones,Boulders. Surface(in.) Consistenc %Gravel DEEP OBSERVATION HOLE LOG Soil Other # �er Depth from Soil Horizon Soil Texture Soil Color g Mottlin (Structure,Stones,Boulders. Surface(in.) (USDA) (Munsell) Consistency,%Gra el b" W4 p,� •�, e lQ � S DEEP OBSERVATION HOLE LOG Hole# Soil Other Depth from Soil Horizon Soil Texture Soil Color Mottling Structure,Stones,Boulders. Surface(in.) (USDA) (Munsell) g Consistency,9'o Gravel DEEP OBSERVATION HOLE LOG Hole# • Athe r Depth from Soil Horizon Soil Texture Soil Color Soil Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders. Consisten ra Flood Insurance Rate Map: / Above 500 year flood boundary No— Yes Within 500 year boundary No Yes Within 100 year flood boundary No!/ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervto s 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? Certification L I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required t g, pertise nd ex erience described in W CMR 15.017. Signature Date Q:\S EPTIC�PERCFORM.DOC LEGEND CENTER\ALLE LOT 41krCR PROPOSED CONTOUR i \® PROPOSED SPOT GRADE98 -- EXISTING CONTOUR NN+ 96.52 EXISTING SPOT GRADE W— EXISTING WATER SERVICELOCNTEST PIT N i 1d �\F�C' LOT 33FLOT 40 gy ' `� I CP �R-4ILLEH O + 19.2. ` I �• ` O �\ LOCUS MAP LOCUS INFORMATION 5 "1 ?'5�i N �� PLAN REF: 76/1 TITLE REF: 23580/333 + 19.1 TP-1 = __ OHW PARCEL ID: MAP 247 PAR. 35 CP #46 5 �� ZONING: "RB" FLOOD ZONE: "X" TP-2 � W �\ TOF=25.4' �\ '� - COMMUNITY PANEL: 25001CO564J DATED:07/16/14 � / � SEPTIC SYSTEM B.M.: COR. CONC. % W REPAIR PLAN EL=23.00 ►� �` �o LOCATED AT: �`�� ��F�,�, �s 465 OLD CRAIGVILLE ROAD LOT 34 W i CENTERVILLE, MA. PREPARED FOR s � JOHN & LAUREN LOT 35 �� \`\"� �� =� TU LLY SEPTEMBER 4, 2016 OF \ f� DA N A. LOT 36 \�`� ;�' PO N 1 4 'PECIsl �NI TA1190P� r' LOT 38 MEYER & SONS, INC. G ' GRAPHIC SCALE P.O. BOX 981 O�O 20 0 10 20 40 80 EAST SANDWICH, MA. 02537 PH: (508)360-3311 FAX: (774)413-9468 ( IN FEET ) meyerandsonstitle5@gmail.com 1 inch = 20 ft. f SHEET 1 OF 2 J 1838 ELEV. TOP NOTE: PLACE MAGNETIC MARKING TAPE OVER ALL COVERS , FOUNDATION BRING ALL COVERS TO WITHIN 3" OF FINISH GRADE (Existing) FINISHED GRADE (20.0) 25.4 F.G.EL: 23.0 F.G.EL: 22.5 F.G. EL: 21.0 a f- MAINTAIN 2% MIN SLOPE OVER LEACHING AREA rc 2" OF 3/8" DOUBLE WASHED 3/4" - 1-1/2" F.G.EL: 20.0 DOUBLE WASHED STONE .. , ,. STONE OR FILTER FABRIC A VC" w 4" SCH 40 PVC 10"I 14' 6 MIN. ®®®®®®®®®®® ?: TEE'S ARE TO BE 5= 1% ( ' ) ®®®®®®® 3000 4" scH 40 PVC INV.17.50 2 EFF. DEPTH ®®®®®®®®®®® :A INV.18.70 I INV.17.30 4' 2 X 8.5' 4' EXISTING OUTLET BAF LE PROPOSED DB-3 INV. 23.30 INV. 18.95 DISTRIBUTION BOX EFFECTIVE LENGTH = 25' (1-120) INV. ELEV.= 16.0 PROPOSED 1,500 GALLON SEPTIC TANK , GAS BAFFLE TO BE INSTALLED ON P��`� OF Mg , BREAKOUT OUTLET TEE AS MANUFACTURED BY DA E M. G ELEV.= 17.0 TUF-TITE, ZABEL, OR EQUAL TOP CONC. ELEV.= 17.0 \ No. 140 N INV. ELEV.= 16.0 ®®~ ®® NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR TO CONSTRUCTION p ®®®®®®® 2) TANK AND D-BOX SHALL BE SET LEVEL AND G/$TES ®®®®®®® TRUE TO GRADE ON A MECHANICALLY COMPACTED BOTTOM I BOTTOM EL.= 14.0 ®®®®®®® , SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN b R 5 FT. 3.75 310 CMR LET &(2) SEPARATION 5.10 FT. EFFECTIVE WIDTH = 12.5' 3) INSTALL INLET & OUTLET TEES W/ GAS BAFFLE AS REQUIRED SEPTIC SYSTEM PROFILE 4) ALL PLUMBING TO BE CONNECTED TO EXIT OUTLET SHOWN BOTTOM OF TESTHOLE EL: 8.90 4 SOIL ABSORPTION SYSTEM (SECTION) (500 GALLON H2O LEACH CHAMBER) GENERAL NOTES: SOIL LOGS P#:15081 DESIGN CRITERIA 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL NUMBER OF BEDROOMS: 3 SEDROOOM BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DATE: JUNE 22, 2016 SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE DESIGN PERCOLATION RATE: <2 MIN/IN LOCAL RULES AND REGULATIONS. SOIL EVALUATOR: DARREN MEYER, R.S., CSE #1614 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR WITNESS: DAVE STANTON, BARNSTABLE HEALTH DAILY FLOW: 110 G.P.D./BR DESIGN FLOW: 330 G.P.D. TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE GARBAGE GRINDER: NO (not designed for garbage grinder) DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 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 Elev. TP-1 Depth Elev. TP-2 Depth ENGINEER BEFORE CONSTRUCTION CONTINUES. 19.90 A 0" 19.95 A 0" (330) = 445.94 S.F. 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. LEACHING AREA REQUIRED: 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF LOAMY SAND LOAMY SAND .74 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 10YR 3/2 10YR 3/2 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 19.07 a loll19.12 a 1o" USE TWO (2) 500 GALLON H2O PRECAST LEACH CHAMBERS W/ 4 LOAM SANG LOAMY 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. STONE ON ENDS & 3.75' STONE ON SIDES: 25' L x 12.5' W x 2'D 8 TO ALL AREAS DITION AGREED DURING CONSTRUCTION SHALL UPONBETWEEN OWNERAAND M Y CONTRACTOR. 5/8 D SAND BOTTOM AREA: 25 x 12.5 = 312.5 SF 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE 16.98 35" 17.03 35" THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING C C SIDE AREA: (25 + 12.5) X 2 X 2 = 150 SF r, CONSTRUCTION. PERC ® TOTAL SQUARE FEET PROVIDED = 462 vs. 445.94 REQ'D 10. EXISTING CESSPOOL TO BE PUMPED, CRUSHED AND FILLED PER TITLE 5. MEDIUM SAND MEDIUM SAND LOCATIONS SHOWN ARE APPROXIMATE EL 15.70 2.5Y 7/4 2.5Y 7/3 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 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 8.90 132" 8.95 132" 465 OLD CRAIGVILLE ROAD, CENTERVILLE, MA 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. <2MIIN/INCH IN "C" SOILS 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. NO GROUNDWATER OBSERVED Prepared for: Tull 15. ALL PIPING TO BE 4" SCH 40 0 1/8"/FT (UNLESS SPECIFIED) Engineering and Survey by: SCALE DRAWN • 1, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 MEYER&SONS,INC. N.T.S. DMM to conduct soil evaluations and that the above analysis has been performed by me consistent with the PO BOX9Bf requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Eval. Exam in October, 1999. 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