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Home My WebLink About0088 OLD STAGE ROAD - Health $8 Ofd Stage Road Centerville A = 208 037 , I (i No. 42101/3 ORA ESSELTE 10°l0 0 0 0 0 i i I 5 + 50.00 No. Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2pplirdtion for 30i6poot *p!tem Com6truction 3dermit Application for a Permit to Construct( . )Repair( X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No Owner's Name,Address and Tel.No. ; 88 Old Stage- Rd. Assessor'sMap/Parcel Centerville., MA Frank Gilchrist 208-37 Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 8 9 4 W.E. Robinson Eco-Tech PO Box 1089 Centerville, MA 43 Triangle Cr, Sandwich, MA. Type of Building: _ Dwelling No.of Bedrooms 2 Lot Size sq.ft. Garbage Grinder(nd e Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. 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) Install Title 5 system to plans of Eco-Tech plan #ETE-1536 Date last inspected: .c 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 h ie v'r mental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss s Board of Health. igned Date 1�' ZD`y t Application Approv Date It Application Disapproved for the following reasons Permit No. Q.oU 56 '7 Date Issued O , T . Fee $50.00 � z. . .1 COMMONWEALTH OF.MASSACHUSETTS Entered in computer: �` "• PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Yes ZIppYication for Migozal *pgtem Construction Permit Application for a Permit to Construct( . )Repair( X)Upgrade( )Abandon( ) Complete System El Individual Components Location Address or Lot No-8 8 Old Stage Rd. Owner's Name,Address and Tel.No. Assessor'sMap/Parcel Centerville, MA Frank Gilchrist 208-37 Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 8 9 4 W.E. Robinson Eco-Tech PO Box 1089 Centerville, 'MA 43 Triangle Cr, Sandwich, MA. Type of Building: Dwelling No.of Bedrooms 2 Lot Size sq.ft. Garbage Grinder(nc) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures { r Design Flow gallons per day. Calculated daily flow gallons. f 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) Install Title. 5 system to plans of Eco—Tech plan'#ETE-1536 * 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 o£.the-Etfvirntal Code and not to place the system in operation until a Certifi- cate of Compliance has bee�issh�,_ls Board of Health. Signed Date Zy -y Application Approved by _ Date it Application Disapproved for the following reasons f M Permit No. agg, 56 17 Date Issued It O c,5 Gilchrist THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( X)Upgraded( ) Aban ed( )b W.E. Robinson Septic Service at ft Old 5ytage oad Centervii1e, MA has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No..U 1 3 - .T i,7 dated 1 l I�° o Installer Designer The issuance of this permi�shall not be construed as a guarantee that the stem i func en.as de('gned. Date Inspector No. " 56 ( Fee$5 0.0D Gilchrist THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION . BARNSTABLE, MASSACHUSETTS Mtgossal *pgtem Construction Permit Permission is hereby ranted to Construct( )Re air X)Upgrade( )Abandon( ) System located at Old Stage Road Centerville, MA 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:Con tructio`n must be completed within three years of the to of p Date: lO 2 Approve2l`h TOWN OF BARNSTABLE �t— LOCATION , g. G �` / / ✓ SEWAGE # 63—S 6 VILLA C �" /v/ ASSESSOR'S MAP &LOT a0pf��03 GE INSTALLER'S NAME&PHONE NO. A 10 11 SEPTIC TANK CAPAEITY LEACHING FACILITY: (type) ma`s S (size) NO.OF BEDROOMS -7— J5 BUILDER OR OWNER PERMI`I;DATE: Z'Of � �0 7 COMPLIANCE DATE. —03 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Botto4f Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching faciut) Feet Edge of Wetland and Leaching Facility(V/any wetlands exist Feet within 300 feet of leaching facility) Furnished by -— —— --- -------- \J J TOWN OF BARNSTABLE LOCATION ZS G ��'� ' SEWAGE # 63 S'6 VILLIg.GE 4::�G^ I e/'vt ASSESSOR'S MAP & LOT 209'—0 3 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY " LEACHING FACILITY: (type)g—'C�L (size) ram'NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: -?—COMPLIANCE DATE "03 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 � � r`'�°'L�� /J ` l � ... 1 f � / . " ! J �, �� n ` / �� ..� l� ;,�J ,� t . r Fee$50 .00 Lfi THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0(pprication for ;Di_qpoga1 *patent Construction 3permit Application for a Permit to Construct( )Repair(x )Upgrade( )Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. 88 Old Stage Road Owner's Name,Address and Tel.No. 7750112 Centerville MA Frank Gilchrist Assessor'sMap/Parcel fit) K-o 3 88 Old Stage Rd, Centerville 02632 Installer's Name,Address,and Tel.No. 7 7 5-8 7 7 6 Designer's Name,Address and Tel.No. W E Robinson Septic Service PO Box - 1089 Centerville 02632 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(nd Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil sand Nature of Repairs or Alterations(Answer when applicable) Install Title 5, selat is system consisting of 1500g tank, d-box, and 2 precast concrete leaching chambers . 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 been issued b t ' B d of Hea Signed Date 6 91 Application Approved by Date Application Disapproved for a following reasons Permit No. Date Issued r r $50.00 No. - #(� ,� ,.. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Zlp� fication for Migoml �bp!tem Con5tructiou Permit Application for a Permit to Construct(' )Repair,(x )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 88 Old. Stage Road, Owner's Name,Address and Tel.No. 7750112 Centerville MA Frank Gilchrist Assessor'sMap/Parcel Z0 F`a 3 88 Old, Stage Rd., Centerville 02632 Installer's Name,Address,and Tel.No. 7 7 5—8'7 7 6 Designer's Name,Address and Tel.No. W E Robinson Septic Service PO Box 1089 Centerville 02632 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder(nd Other Type of Building li!fp€Persotfs Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil sand Nature of Repairs or Alterations(Answer when applicable) Install Title 5 septic system consisting of 15009 tank, d-box, and. 2 precast concrete leaching chambers . 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 been issued by jbig Bo d of Hea . Signed Date Application Approved by & �IUNDate Application Disapproved for e following reasons Permit No. Date Issued r t E-CMONWf,ALTH OF MASSACHUSETTS Gilchrist BARNSTABLE, MASSACHUSETTS Certificate of Compliance xx THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by at 88 O 1 d Stage R d., Centerville has been.constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ated Installer W E Robinson Septic Service Designer / L/ V/_7 The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date �' 02-•72— 12D Inspector i - -- No. ��,.� 1 I Fee v THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Gilchrist Miopozar *pztem Conotruction Permit Permission is hereby granted to Construct( )Repair(x )Upgrade( )Abandon( ) System located at 88 Old Stage Road. entervi e Ins a er : W E Robinson Septic Service 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:Construction must�co lete within three years of the date of thi / O' Date: Approved by J ' V NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) I, William E. Robinson, Sr. ,hereby certify that the application for disposal works construction permit signed by me dated /$— 9 y concerning the property located at 88 Old Stage Road, Centerville, meets all of the following criteria: * There are no wetlands within 100 feet of the proposed leaching facility. * There are no private wells within 150 feet of the proposed septic system. * There is no increase in flow and/or change in use proposed. * There are no variances requested or needed. * If the proposed leaching facility will be located with 250 feet of any wetlands,the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation. Please complete the following: A)To of Ground Elevation(according to the Engineering Division G.I.S. ma p ( g � g P) B)Observed Groundwater Table Evaluation(according to Health Division well map) SIGNED: - DATE /0~9— LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER 20-1998 (Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted). t �`.. r. r. � ,�• �. i � � 0 1'v� I TOWWN-OF BARNST�A/BLE LOCATION g l) J �B z' �`� SEWAGE # s VILLAGE ' / ASSESSOR'S MAP & LOT �7�. 8'�-63 7 INSTALLER'S NAME&PHONE NO. Ko �- �.. 7 J " 7 / SEPTIC TANK CAPACITY / d LEACHING FACILITY: (type) G (size) NO.OF BEDROOMS a / BUILDER OR OWNER O C 1 S PERMTTDATE: �(� 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 aay wetlands exist within 300 feet of leaching facility) Feet Furnished by l s ^,TOWN OF BARNST_A]BLE LOCATON S J�^ J / a �`� SEWAGE # VILLAGE ��'�� y�� ASSESSOR'S MAP & LOT .20?-63 7 INSTALLER'S NAME&PHONE NO. /C o : �-s' �✓ 7 �S 7 SEPTIC TANK CAPACrfY -07 LEACHING FACILr Y: (type) rt G (size) C NO.OF BEDROOMS 3/� BUELDER OR OWNER AV—C 1 S PERMITDATE: lb - 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 a.1y wetlands exist within 300 feet of leaching facility) Feet Furnished by a � � s 1 ... — LOCUS ` t 24ftx125ftx2ft Q `" k CLEANOUT +a 7- LEACHING GALLERY I � PLUG —� g a 50 �� 00 -c ft \ EX/ST/NG J b AREA �OT 37 I C.) A/� N 49 \ m3 UNPAVED N �11 N Q r.Qf DRIVEWAY CEA?ERV►LLE. MA - - - - LOCUS MAP 9 /88.55 ft 50 50 \ NOT TO SCALE BENCH MARK TOP OF' CONC BOUND ELEVATION - 48.00 PLAN REFERENCE USGS DATUM ASSUMED PLAN BOOK 458 PAGE 61 LEGEND 50 PLAN BOOK 150 PAGE 57 500 GALLON Fool ASSESSOR'S MAP: 208 SEPTIC TANK 9>4, r o c �wEL,6yc, ` LOT: 37 D-SOX ; TEST PIT I 3 S�i E b CONTOURS t(� EM EX STING a N CESSPOOL 00 EXISTI - 50 a M NIMAL GRADING PROPOSED UTLITY POLE TREE P PLAN � � a 4Xr2G?aIFIRS TO DAMETER SCALE. I in - 30 ft N DVOIES.LETTER DeJOTES TYPE - O-C•.AY. C-CEDAR P-PNE - - _ �+ DAVID O o COUGHANOWR • #1093�o qN A ,P� FLOW., PROFILE J TOP OF FOUNDATION RAISE COVERS TO WITHIN EL - 5OUN 6 in OF FINAL GRADE 3 �� v�1M Z L C�3 l �r GA7E '°6.°° ff SEWAGE DISPOSAL SYSTEM PLAN 2' LAYER OF 1/8' • D-BOX 1/2" STONE -TO SERVE EXISTING 2 BEDROOM GARAGE APARTMENT �3' DROP EDGE OF PAVE•t•ENT 10 -FLOW LINE 4 3/4--I I/4' OLD S T�1 GE ROAD FRANK & HELEN GILCHRIST PRECAST STONE 88 OLD STAGE ROAD CENTERVILLE. MA 48" GAS�� ORYWELL BAFFLE ECO-TECH ENVIRONMENTAL 46.80 !6MI in BOTTOM OF 4825 TO 46.38 LEACHING SYSTEM BASE BASE 43 TRIANGLE CIRCLE SANDWICH MA 0256 47.05 6 in STONE BASE 46.55 GALLERY 46.50 5.00 {„ 508' 364-0894 1500 GALLON (END VIEW) 44.so ETE-1536 FNOV 12. 2003 I/2 34.7 r, SEPTIC TANK n.5 r, o) �4 n �2s n o THS PLAN IS TO BE CONSIDERED A DRAFT PLAN UNLESS R bl 5 ri ESTIMATED BEARS THE STAMP AND SIGNATURE OF THE DESIGN ENGINEER GROUNDWATER ER ORIGNAL PLANS INTENDED FOR SUBMITTAL TO TFE BOARD;' GROUNDWATER OF HEALTH WILL BE SIGNED N BLUE AND STAMPED N RED.'' `_ SOIL TEST LOG NS `4 DATE OF TEST: NOVEMBER 11. 2003 SOIL EVALUATOR: DAVID D. COUGHANOWR. RS WITNESS REQUIREMENT WAIVED - NO VARIANCES SOUGHT DESIGN FLOW: 3 BEDROOMS X 110 GPD - 330 GPD NO OUMNDWATER ATE IAL: EPROGLACIALDOUTWASH SEPTIC TANK: 330 GPD X 2 DAYS - 660 GALLONS TEST PIT ( PARENT - PERC AT 52ft in : 2 MIN/INCH IN C SOILS / USE EXISTING 1000 GALLON SEPTIC TANK IF IS SOUND STRUCTURAL ELEVATION - 49.90 CONDITION. IF NOT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) DEPTH SOIL USDA SOIL SOL COLOR SOIL OTHER DISTRIBUTION BOX: USE 3 OUTLET D-BOX. MHES) HORIZON TEXTURE ("-MELL) MOTTLING 0-10 Ap LOAMY SAND 10 YR 4/3 NONE FRIABLE SOIL ABSORBTION SYSTEM: A 24 fi x 12.5 ft x 2 ft LEACHING GALLERY CAN . LEACH 10-32 B LOAMY SAND 10 YR 5/6 NONE FRIABLE A b O t - ( 24 x 12.5 ) - 300 of 32420 C COARSE SAND 10 YR 6/4 NONE LOOSE-25% STONES A s d w - ( 24 + 24 ; 12.5 + 12.5 ) x 2 - 146 of Atot - 446 of Vt 0.74 x 446 - 330.04 GPD USE A 24 fi x 12.5 ft x 2 ft GALLERY. Vt - 330.04 GPD > 330 GPD REQUIRED GROUNDWATER ADJUSTMENT LEACHING GALLERY AN INSTRUMENT SURVEY OF THE PROPERTY SHOWED A LOW CONSTRUCTION DETAIL SPOT OF 33.0 WHERE NO SURFACE WATER WAS EVIDENT. YWELL UNIT $'-6'x 4•-10-x 2'-9- STONE OBSERVED GW: BELOW 33.0 2 tf EFF. DEPTH INDEX WELL: MIW-29 24.0 ft . ;� .' ZONE: D READING: OCT 2003 LEVEL: 9.0 '- ADJUSTMENT: 5.5 fi ` o -,€ ADJUSTED GW: BELOW 38.5 to N0T-E-S,xf } N - 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN 2.5- 8.5' 2 ft 8.5' 2.5' 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. 24.0 ft NOT TO SCALE 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. 5) EXISTING CESSPOOL TO BE PUMPED. COLLAPSED. AND FILLED. OR REMOVED 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE 7) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0- BEFORE PITCHING DOWN SEWAGE DISPOtEOMSYSTEM PLAN 8) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES -TO SERVE EXISTIN 2 GARAGE APARTMENT AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK 9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT FRANK & HELEN GILCHRIST PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. 10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. 88 OLD STAGE ROAD CENTERVILLE. MA 11) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL ECO-TECH ENVIRONMENTAL STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING 43 TRIANGLE CIRCLE SANDWICH MA 02563 ETE-1536 I NOV 12. 2003 2/2