HomeMy WebLinkAbout0465 OLD TOWN ROAD - Health 465 Old Town Road
Centerville
A = 248 — 1'30
S M EA®®
No.2r153LOR
UPC 12M
mnead com • Us&6n USA
TOWN OF BARNSTABLE
LOCATION t65 n 1 6 .P-,a SEWAGE#
VILLAGE ° ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. ern SV45
SEPTIC TANK CAPACITY ACN
LEACHING FACILITY: (type) 4l-5i, C_ (size) A
NO.OF BEDROOMS
OWNER
PERMIT DATE: 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) *t Feet
Edge of Wetland and Leaching Facility If an wetlands exist within C
300 feet of leaching facility) /V i Feet
FURNISHED BY
G'Qs�c' o F N5 Ci-`c�^bec s
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eta I� 4:3,,5
335 (o 9 �s
Cam, 3
vent
No. � Fee Oro
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ftplitation for Disposal 6pstem Construction permit
Application for a Permit to Construct( ) Repair X Upgrade( ) Abandon( ) Acomplete System ❑Individual Components
Location Address or Lot No. t;(c,} UiaC'Tosi, 9Zl Owner's Name,Address,and Tel.No.
LAJ J 111C.m �A4-
Assessor's Map/Parcel SrA
Installer's Name,Address and Tel No. Designer's Name,Address,and Tel.No.
sob - X-A,' ` gt3 you- -1-`� o
Type of Building:
Dwelling No.of Bedrooms Lot Size V L sq.ft. Garbage Grinder(,>.i A
Other Type of Building N 1 f., No.of Persons Showers(v-)- Cafeteria
Other Fixtures L_Cwc, K—t
Design Flow(min.required) 2) gpd Design flow provided .'7j gpd
Plan Date 5 ' L-? Number of sheets 13 Revision Date
TitleCt�'��y
Size of Septic Tank L,C-Qb ac0., Type of S.A.S. y Z e CkY(11�`y� 5
Description of Soil .
Nature of Repairs or Alterations(Answer when applicable) N4 C�.s- _-\,, p�«
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 Environment Code and not to place the system in operation until a Certificate of
.t
Compliance has been issued by this Board of He th
Signed Date
Application Approved by ` Date
Application Disapproved by Date
for the following reasons
Permit No. e;2oL 6 Date Issued
J l
No Fee t /
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ftplicatlon for- sal *pstrm Construction Permit
Application for a Permit to Construct( ) Repair) Upgrade( ) Abandon( ) Xcomplete System ❑Individual Components
Location Address or Lot No. y S Owner's Name,Address,and Tel.No.
!� Old.Tt��,„
(,vill�am
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. F
Type of Building:
Dwelling No.of Bedrooms Lot Size 1'.1 , sq.ft. Garbage Grinder(44
Other Type of Building r., No.of Persons Showers(✓) Cafeteria(✓) '
i Other Fixtures
Design Flow(min.required) ?:)a gpd Design flow provided gpd
Plan Date 1 a-S - ��^lpP V Number of sheets 3L, Revision Date
Title
Size of Septic Tank 0*t,_3 ( qx r ct\ Type of S.A.S. y (,CCa C`l�•(l1 •J�C`j t,S r n e
Description of Soil `
Nature of Repairs or Alterations(Answer when applicable)
A:
f r
106ate 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 Environment Code•and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of He �.
` Signed!� Date
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. c2 D 1 b Date Issued
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 n "
at has been constructed in accor ance
with the provisions o Title 5 and the for Disposal System Construction Permit No.as 6 .- dated a _
Installer s J�-s2_.n �j� Designer (N SN)
#bedrooms Approved design flow ,3 c" gpd
The issuance of this permit shall of be construed as a guarantee that the system w 1 func i n si ned.
,Date � A �,L Inspector
------------------------`-------
No. �6I( t 2-
Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
;Disposat *pstem Construction Permit
Permission is hereby granted to Construct( ) Repair(� Upgrade( ) Abandon( )
System located at "(o 5 O�cS - Wn �A
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty 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 permit.`—c
Date ( � - '(k� Approved by
Town of Barnstable
Regulatory Services
Richard V. Scali,Interim Director
* anxivsrnace,
MASS. Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer&Designer Certification Form
Date: -j�, Sewage Permit# b 1(g-9Q Assessor's Map\Parcel
Designer: S Installer: 0-,0_0
Address: � Address: SDfS'
On o�L—�'' 40 was issued a permit to install a
(date) (installer)
septic system at 1(a j W 7�(,)N based on a design drawn by
(address)
dated
(designer)
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. Strip out (if required) was inspected and the soils
were found satisfactory.
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. Strip out(if required)was inspected and the soils
were found satisfactory.
I certify that the system referenced above was constructed in compliance with the terms
of the I\A approval letters (if applicable)
t'7 f., V
(Installer's S natur
(Designer's Signatur (Affix Desi r3r'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:\Septic\Designer Certification Form Rev 8-14-13.doc ,�
TO: BARNSTABLE HEALTH DEPARTMENT
RE: CERTIFICATION OF BEDROOMS:
I William Mezzetti, certify to the Town Of Barnstable Health Department
that I have owned the property at 465 Old Town Road in Centerville, MA
since 1985 and that the dwelling has always had three bedrooms.
It was three bedrooms when purchased and no alterations have been made
to change the number of existing bedrooms.
William Mezzetti
Town of Barnstable P# S�
Department of Regulatory Services 1
Public Health Division Date
MASK.
200 Main Street,Hyannis MA 02601 .'
w J
Date Scheduled Time Fee Pd. I ba `bo'I 1 i 00 r ,
- Soil Suitability Assessment for Sewage Disposal
�.. .
Performed By: p Sh.QLA ,Witnessed By: 'D Q>v
LOCATION&GENERAL INFORMATION
Location Address P t �1,----Q••\S ..T,o Owner's Name W 1 1)1
Address `SCJ(^rIQ s+
Assessor's Map/Parcel: �'1�8\j I _ Engineer's Name C3•t` Qt�
NEW CONSTRUCTION REPAIR Telephone# '. 'p,�q Lt— 4"9
Land Use .-�51\ o.V .Slopes(%) Surface Stones, .N t io.
Distances from: Open Water Body ni l A ft Possible•Wet Areaft Drinking Well i4_ ft
• et.x ti 7T
Drainage Way ``.. I} ft Property Line ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes)
old .1 Q�
-riff JSA-
-Te Z .�
CAi
Parent material(geologic) l J Depth to Bedrock
Depth to Groundwater: Standing Water in Hole: __ Weeping from Pit Face r ny��� r�lp$
Estimated Seasonal High Groundwater IL}y it {�SSut�C�i
Method Used: DETERMINATION FOR SEASONAL HIGH WATER TABLE
Depth Observed standing in obs.hole: in. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: I in. Groundwater Adjustment ft.
Index Well# Reading Date: index Well level Adj.factor Adj.Groundwater Level
PERCOLATION TEST Date Time
Observation
Hole# Time at 9" l0
rr
Depth of Pere' Time at 6"
Start Pre-soak Time @ :O n _ Time(9"-6")
End Pre-soak ',.h
s Rate Min./Inch M I? .
Site Suitability Assessment: Site Passed Site Failed: r Additional Testing Needed(Y/N)
Original: Public Health Division I r t Observation Hole Data;,To Be Completed on Back-----------
***If percolation test is to be conducted within 100'of wetland,you must first notify the
Barnstable Conservation Division at least one(1)week prior to beginning.
Q:\SEPTIC\PERCFORM.DOC Mp //(J
�V Y
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders.
Consistency.%Graven
t b'Pie-
�4 2 S`�� •se
w150
DEEP OBSERVATION HOLE LOG Hole#
Dcpih from Soil Honzon Soil Texture Soil Color Soil Qther
Surface(in.) (USDA) (Munsell) t Mottling (Structu e,Stones,Boulders.
L� 7�+'y ~' - ✓,4 Consistency.%Gravel)
2 �: FAO S �-• l'b'eQ-3�a,;` % E7(' C
Ile
es
9
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA)• .. (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel)
s
r 4
t t
DEEP OBSERVATION HOLE LOG f Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil , t Other
Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel)
C
Flood Insurance Rate Map:
Above 500 year flood boundary No_ Yes V
Within 500 year boundary No t/ Yes
Within 100 year flood boundary No Yes
Depth of 1VaturallV Occurring Pervious Material
Does at leasj[16 r.`feet of naturally occurring pervious,,((��aterial`existrin all areas observed throughout the
area proposed for the soil absorption system? ��IZ
If not;what is the depth of naturally occurring pervious material?
Certification
I certify that on ]�^ _(date)I have passed the soil evaluator`examination approved by the
Department of Enviro tal ction and that the above analysis was performed by me consistent with
the required training xpe al p rience described in 310 CMR 15.017.
Signature Date `1(P
Q:\SEPTIC\PERCFORM.DOC
r GENERAL NOTES
1. Contractor is responsible for Digsafe notification, Verification of Utilities
® T ® TAT
and protection of all underground utilities and pipes.
Bedroom
.L s'`' Dining 2. The septic tank on j distri ution box shall be set
®.A level on 6" of 3/4 —1 1�2" stone.
° 3. Egackfill`should be clean sand or gravel with no
CO
(40 FOOT RIGHT OF WAY) p� 00 00 stones over 3" in size.
— 3 as 3 4. This system is subject to inspection during installation
_ ° b Carmen E. Shay — Environmental Services.
----------------------- J. Ij Y Y
------ ------------------------ -� Kitchen
��—� 5. The contractor shall install this system in accordance
R = 548.55' �,� ` � W with Title V of the Massachusetts state code, the approved plan
S 4>D 53' 30"E t m and Local Regulations.
% ° 6. If, during installation the contractor encounters any
L 5000 JJ
'� ► t o
¢�.67i . o soil conditions or site conditions that are different
LOT #14 %) iI 3 from those shown on the soil log or in our design
installation must halt & immediate notification be
/ 12_270 Square
—Feet—+/J� made to Carmen E. Shay — Environmental Services.
PROJECT BENCH MARK �+- -^•'• I 3 BR HOUSE FLOOR SCHEMATIC 7. No vehicle or heavy machinery shall drive over the
TOP OF FOUNDATION ���� o (Description Provided By Owner) septic system unless noted as H-20 septic components.
ELEV. = 100.00 (Assumed) r� 8. Install Tuf—rite gas baffles or equals on all outlet tee ends.
' 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes.
EXISTING t O d 0 10. All solid piping, tees & fittings shall be 4" diameter
t O Schedule 40 NSF PVC pipes with water tight joints.
S
BEDROOM
=HOUSE t O o SITE LOCUE 11. Municipal Water is Connected to ALL OF The Residence and Abutting
Properties Within 150 Feet.
96 b #465 t' DGravelRIVEWAY cc
O THE PROPERTY LINES ARE APPROXIMATE AND
ti COMPILED FROM THE SURVEY PLAN BY BEARSE & KELLOGG ENGINEERS
D `�Ef1 ENTITLED: "Subdivision Plan of Land of "EDGWOOD"—CENTERVILLE, MA
v O 96 �J DATED SEPT. 1, 1949. PLAN BOOK 133 PAGE 59
LOT #9 AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN
IT SHOULD BE USED FOR NO PURPOSE OTHER THAN
PATIO i ; ' THE SEPTIC SYSTEM INSTALLATION.
t 1 EXISTING Leach Pit TO BE PUMPED OUT AND FILLED IN PLACE
NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE
_ _______L —_____________ —� i b ���*�"^�� �► FROM THE EXISTING CESSPOOL/LEACH PIT TO BE DISPOSED
NEW FAILED 'r �%� ��� OF AS PER BOARD OF HEALTH SPECIFICATIONS.
1500 gal. O Z 5� CESSPOOL
6�'' SHED Septic Tank O �//
9 FA[LEDO TEST HOLE #2 P �A (�PLOT
CESSPOOL ELEv.= 94.00 ______________ O F PROPOSED SEPTIC SYSTEM UPGRADE
f 1' �V
8, r PREPARED FOR
Ven Y` .. WILLIAM MEZZETTI
P)oe v
O Y 7' ( AT
G
� J rE
OL
. 3
0
465 D TOWN ROAD
3
ASSESSORS PL
AT 248 PARCE
L
-' TEST HOLE #1 1 roo CENTERVILLE MA
9 ELEV.= 94.00 ��
LOT #13
PREPARED BY:
T SHAY ENVIRONMENTAL SERVICES
P.O. Box 1576
0 20 40 50 �. `1 '. MASHPEE, MA 02649
F TEL/FAX : 508-294-7498
SCALE: 1"=20' DRAWN BY: CES DATE: DECEMBER 5 2016
SCALE: 1 "=20' PROJECT#465 OLD TOWN FILENAME: 465 OLD TOW .dwg SHEET 1 OF 2
SAS TO BE COVERED WITH
VENT PIPE ®Least 24 inches toll)
10' min. from *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. Schedule PVC w/Charcoal Odor Filter FILTER FABRIC. SECTION A -A
EXISTING Foundation [house to septic tank SAS cover must be
Septic tank covers must be D-BOX cover must must have riser and be within 6' of GRADE PROFILE VIEW OF LEACHING SYSTEM
°. within AT finished, grade within a in. of finished grade Q
Grade over Septic Tank - 95.00 Grade over D-Box- 94.00 r
T
do over SAS- 94.00
V. to r 1/2- rawa C"Nftd Sean. •al r/e•- f/a• ►awd v aebnr
"- 101.02 Tee to be placed in dbox 3 HOLE H-,0 cover mustDIST. BOX TOP OF SAS- 90.00within 8 in. of finished gradeS-0.01
EXIST. PIPE Z"OFNEW 1,500 GAL. 1h 11
FROM FOUNDATIONSEPTIC TANK 20 (V N 20. r r>� _ _ = 0 = = oH-10 om«nr. o�i of c c = �— __ = _Q r3 Q C3 a C3
CONCRETE FULLFOUNDATI it ; c
d y 11 II
d m II
SYSTEM PROFILE > �� 51 PF OVIDES 4 Units 6 ' 24,
Not to Scale J d 4' �, 4' 2' 24 2'
6 in-of
3/4-1 1/2" - Effective Vtalth 6 28'
NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE compacted atone I Effective Length
t o SOIL ABSORPTION SYSTEM (SAS)
m
lfoffom-6i-9"esi•NaTe-i-�fe7: 8 .00 LC-6 H-20 LEACHING UNITS / WIGGINS PRECAST
Not to Scale
3-24" EXAM. ACCESS MANHOLES ALL OUTLET PIPES FROM THE
NEW TANK P E R C 0 LAT I O N TEST DISTRIBUTION R A LEAS BE
SET LEVEL FOR X LEAST 2 FT. 72' CONCRETE COVER
+ •'` �:�'. ' ':::'•�. a:�... •.:.; -j 3- 5'OUTLET :. 'dr•w,g..r:+. 2
f ,�. Date of Percolation Test: NOVEMBER 2, 2016 I(Nm��
Test Performed By. CARMEN E. SHAY, R.S., C.S.E. `
TLET
UTLET
Results Witnessed BY.DAVID STANTON (BARNSTABLE BOH) ou
- — - s.s• I ,z• INLET
EXCAVATOR: CARMEN SHAY r
INLET / / Percolation Rate: Less Than 2 MPI ® 54" �' a• e
INLET ` `` ` OU T
THE ACCESS COVERS FOR THE SEPTIC TANK, SCH. 40 Te ,
q DISTRIBUTION BOX AND LEACHING COMPONENT Test Hole Test Hole PLAN SECTION CROSS—SECTION
;J^,^•r-.•T. •T% 'T,,a—�.•.�,. SHALL BE RAISED TO WITHIN 6" OF No. 'I No. 2
•• ••• FINISHED GRADE. DEPTH SOILS ELEV. DEPTH SOILS ELEV. 3 HOLE H—10 DISTRIBUTION B 0 X
STEEL REINFORCED PRECAST CONCRETE INSTALL TUF-TITE GAS BAFFLES OR EQUALS
PLAN VIEW ON ALL OUTLET TEE ENDS 0 94.00 0 94.00
NOT TO SCALE
�-3-24"REMOVABLE COVERS/ F rt FILL ILL
. 4• ,.:, 91.00 91.00
3 mM•deoranee ta• esET. Sandy Sand
tNl e' n.-T 1_ min. tote! to outlet s. Loam LoomY
P LOT P LAN
INLE U4�d level OU
10"min. u• �� UU TLET 10 YR 3/2 10 YR 3/2
s' -7" --- .95 -- s'-7" 38"- 42 As 90.50 36"- 42 A. 90.50 OF PROPOSED SEPTIC SYSTEM UPGRADE
ZABEL FILTER ' 4'-0"min. Loom
Y loamy
:; bo :• Llautd sand sandPREPARED FOR
WILL ETTI
,a YR s/B ,G IAM EZZYR s/s42" 54" 42"- 54" B+ 89.50
L ,o'-0" "dw_MIUN
Med. Med. AT
ZABEL. FILTER END—SECTION sand Sand 465 OLD TOWN ROAD
2.5 Y 7/4 2.3 Y 7/4 ASSESSORS PLAT 248 PARCEL 130
TYPICAL (H-10 LOADING) 1500 GALLON SEPTIC TANK "- ' 82'0° 54"- 144 g2'00
i CENTERVILLE MA
Number of Bedrooms: 3 Equivalent to 330 Gal. boy 330 Gal. oy per Title V ,Design Calculations Garbage Grinder: No i /��•" '� _
Leaching Capacity Proposed: 330 Gal./Day Minimum (Min. Per Title V) rt ,,.•• PREPARED BY:
Septic Tank : - 2 x330 Gat./Day = 660 USE NEW 1,500 GAL. Septic Tank. Per 1 SHAY ENVIRONMENTAL SERVICES
I,
SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch Depth#to Perc:54, to 72" C�
Bottom Area: 0.74 gat/day/sq. ft. x 30 sq. ft. 227.92 gallons/day Perc Rate= 2 MPI Y n. �' r, t ! P.O. BOX 1 576
Sidewall Area: 0.74gal./day/sq. ft. x 156 s ft. = 115.44 gallon/day da Groundwater Not Observed w MASHPEE MA 02649
4 9 / Y
Providing: =343.36 gallons/doy gallons/do No Observed ESHWT ,
ADJUSTED H2O Elev. = None
TEL/FAX 508-294-7498
Use: (4) LC-6 H-20 CONCRETE CHAMBERS, HAVING A 1' EFFECTIVE DEPTH, SCALE: 1"=20' DRAWN BY: CES DATE: DECEMBER 5 2016
(3' W x 6' L) TO BE USED WiTH 4' OF WASHED STONE ON THE SIDES AND
2' OF WASHED STONE ON THE ENDS AND 1 FOOT OF STONE UNDER . PROJECT#465 OLD TOWN FILENAME: 465 OLD TOW .dwg SHEET 2 OF 2