HomeMy WebLinkAbout0635 PHINNEY'S LANE - Health (2) 635 Phinney's Lane
Centerville
A = 251 - 161
TOWN OF BARNSTABLE
LOCATION SEWAGE # 0008-3SS
VILLAGE ASSESSOR'S MAP & LOT tPS
INSTALLER'S NAME&PHONE NO. Q g S EXCAVA-Tmoki . 1411- D4S3
SEPTIC TANK CAPACITY f 000 qcd
LEACHING FACILITY: (type)Soo 42)c)%a.n3 Ir8) (size) 13 x 33 X 2-
.NO. OF BEDROOMS N
BUILDER OR OWNER -T)'torn 4 earo) Fu* ilr.r•
PERMITDATE: 312910,g COMPLIANCE DATE: 9•/.&-O8
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
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AZ
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83. 4-1 y
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(SEAR Dwctl i ncl.
OF,BARNSTAALE
LOCATION `� �` � '� 717 SEWAGE #
VILLAGE �rU��// ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS
BUILDER OR OWNER
PERMTTDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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 fee Ufle hin faci ' ) Feet
Furnished byt�
to
t4 -
Fee_Jao
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
aV"pYfcation for �Biopozal i§potem Con.5truction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑.Complete System ❑Individual Components
Location Address or Lot No. 635�'`1(1(1e 5 Lon n� Owner's Name,Address'and Tel.No. 5!O$�7 9 Q -3 7 23
Ce_nA --ry tLLb CClrbl� W �v11e2
Assessor's Map/Pamel lr 251 a rce. i l to l t 3 5 'Ph I n n 5 Lau- (fin e'er v ILer
Sa k -4_77-OG53 g 509 3 to 2-45 4
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
—R9be_ZT 61 t LFo Y -3-r(3 Ex cq ton 9 3q MC4p_ Oil ree.�c q
Type of Building:
Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures u
Design Flow(min.required) 'l I U gpd Design flow provided gpd
Plan Date g ` ,O Number of sheets Revision Date
Title _1S S _P Qfl
Size of Septic Tank I O 0 (a R` Type of S.A.S.
Description of Soil
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 Certificate of
Compliance has been issued b is Board of Health. i
Sign % ro 0 ate g Zq
Application Approved by Date
Application Disapproved by: Date
for the following reasons
Permit No. Date Issued
i , ye :
No. Fee
THE COMM�O.NWEALTH OF MASSACHUSETTS Entered in computer: Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
Application for �Bigoal 6p5tetn ion,5tructton Permit
Application for a Permit to Construct O Repair O Vpgrade O Abandon O E_Complete System ❑Individual Components.
Location Address or Lot No. 6 3 Fj Th I i1 f e 5 Lcl n e Owner's Name,Address,and Tel.No. 509 7 q Q .31�3
Cf-()iervIGL� CC1r0LyK1 TvIIeZ
Assessor's Map/Parcel M- 2 rj 1 CI r e C' I 161 (_3 5 _?hint %EL 5 ALL Rom. (e C) I Ct 1 L1,
Installer's Name,Address,and Tel.No. 50&• .LI I? L.6,5 3Designer's Name,Address and Tel.No. 5 09 .3 6,2,
`PObtezi - ((33-I 8 ExCn\4cGAi&r) DowoCc9Q. r��et1n
1"�i T Ct > ( P l c �cj /V1 G
Type of Building: ' uu 'p
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) 1'� - 1 C) gpd Design flow provided gpd
P1anm,,Date 1 U Number of sheets Revision Date
Title �I 1 �&LF �Tn
Size of Septic Tank l Q()O Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)Al
, `
. �Date last inspected: •``
Agreement: 1.
t The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
t 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 is Board of Health.
Sign @ ate( 19,1
Application Approved by ate
Application Disapproved by: ,Date
for the following reasons
r
Permit No. "� Date Issued
——————————————.——————————————— � — —————————--
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the Ori site Sewage Disposal System Constructed ( ) Repaired(4<Upgraded ( )
Abandoned( )by �l � (Cl\//"I 1(),n
at l0 15 :Ph i t 1 nPT l r1 D P. has)been
/constructed in a ccoor`dance 411
�7�J /yS7
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated
Installer�� �� ( (�\/ Designer I ( "
#bedrooms Approved design flow gp
The issuance of this permit shal Qt b construed as uarantee that the system 1 fu tion as designed.
Date Inspector Al
----- -------�j�-- ------------.-------------
No. `~X��. / Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS
=i!6po$a1 *p5tem CCongtruction Vermit
Permission is hereby granted to Construct ( ) Repair Upgrade ( ) Abandon ( )
System located at (0�ri pf')l (1r\F� �(►1��� �P( Q( �� 1 ,_�1%
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 mjAt be c mpleted within three years of the date of this a it.
r, -
Date Approved by _r"
FROM :down cape engineering inc FAX NO. :15083629880 Sep. 19 2008 09:52AM P1
Town of Barnstable
Regulatory Services
Thomas F. Gcilcr,Director
* eunari3r,wat e, g
MAW Public Health .Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Offcc: 508-862-4644 Pax: 508-700=6304
Installer& Desigger Certification Form
Date: -f 1 0 F Sewage Permit# Assessor's MapWareel
'Designer: �0 W v` __. �.. .1_.1?��� Installer: � CGt.tfG(.1 f D ►�
Address: V Address:
Ya,,-m �K 0' :_t"t
-...._-,
On. __ 6-'- qc 'Zi&C V-1 Was issued a permit to install a
(date) - /I(installer)
septic system at_ 1� .� IN PI f 4t based on a design drawn by
(address
Do%-�N C-ta Q v+ I` �14^.�- 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.
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.relocuti,on.M."any component
of the septic system) but in accordance With State & Local Regulations. Plan revision or
certified as-built by designer to (allow.
DANIE1„A. G
- MALA
(In.tal,ler's Signa c) _ r-,
CIVIL `^
Nq.�16502 �
()A'GrSTfQ�G��>��
�4b�DNA1.C'-a
(Designer's Signature) (A!`lix Designer's Stamp Here)
PLEASE RETURN TO. BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF
COMPLIANCE WILL NOT DIN I;tiSU1 D ''UNTIL W)TI1 T1�11S FORM AND AS-BUILT CARD ARE
RECEIVED HY'1THE BARNSTABLE PUBLIC.HEALTH DIVISION. T1UNKY U.
(�:HCAIthISCpt1C'Ih(:91�PCT Cert.111catim 1?orni 3-26-04.doe
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ALL SYSTE
SHALL
SYSTEM PROFILE MARKED WITHCMAGNETICTTAPE OR BE NOTES
(NOT TO SCALE) COMF"ARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS
APPROXIMATE NGVD
ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE
2. MUNICIPAL WATER IS EXISTING
TOP FOUND. EL. 57.9' FILTER FABRIC OVER STONE
\ � I I f1/8" PER FOOT.
56.0 MINIMUM .75' OF COVER OVER PRECAST 2% SLOP' 56
:: REQUIRED OVER SYSTEM .8 3. MINIMUM PIPE PITCH TO BE W W Vi
PRECAST H-10 BLOCKS OR 4. DESIGN LOADING FOR ALL PROPOSED PRECAST
RISERS (TYP.) PRECA°l RISERS UNITS TO BE AASHO H-11
2'0 H-10 TOP SYSTEM EL. 53.8't o
..•• 4"SCH40 PVC 54.8 f 4"OSCH40 PVC MORTAF ALL o�
PIPES LEVEL 1 ST 2' 5. PIPE JOINTS TO BE MADE WATERTIGHT. yYequaquet
• '�� 4' COMPONENTS INV'S EL 52.95' 4'—
**EXISTING**EXISTING 1000 GAL ENDS ri(TYP.) SIDESa, 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE' Lake O
*EXISTING " P °�- > - 0;0 0 e. WITH 310 CMR 15.000 (TITLE V.)
° ° ° ° Locus
10" SEPTIC TANK 14 0 o ° ° ° °
EXISTING TEE TEE r *53.4'f ;°o°o°o°o ®®®® ®C7®[� qEn
0°0°0°0°°°°°°° ° ®®®®®®®�O®� ®®®®®®®®� '>o0000o00
g000goa00000 o "0°0°0°0° i o 0 o °°°°°°°° 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND GAS BAFFLE::: o 0 0 0 0 ° ° ° ° ®®®®®®®®®®C� ®®0®0�®� ° ° ° °,_o°o°o o,o_ `� >°o°o°o°o ®®®®®®®���[� ®o�aa®®o '°°°°O°°° � hin Route2
° ° ° ° o o o o 0 00°0°0°0° NOT TO BE USED FOR LOT LINE STAKING OR ANY ney 8
53.22' 53.05' >00�0�0°0 °0°0°0°0 OTHER PURPOSE.
8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
LH-10
500 GAL. LEACHING CHAMBERS BY ACME PRECAST P �
DEPTH OF FLOW = 4' 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. (2) UNITS REQUIRED (OR EQUAL)
9. COMPONENTS NOT TO BE BACKFILLED OR
ALL AROUND PRECAST STRUCTURES o
CONCEALED WITHOUT INSPECTION
TEE SIZES: 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: �3•S X 12.83' 10 D BOARD OF
INLET DEPTH = 10„ COMPACTION. (15.221. [2]) o HEALTH AND PERMISSION OBTAINED FROM BOARD o sc
Ln OF HEALTH.
OUTLET DEPTH = 14" 10. CONTRACTOR SHALL BE RESPONSIBLE FOR
CALLING DIGSAFE (1-888-344-7233) AND LOCUS MAP
45.9' BOTTOM TH-1 VERIFYING THE LOCATION OF ALL UNDERGROUND &
( 1 SLOPE) ( 1 % SLOPE) NO GROUNDWATER FOUND OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF SCALE 1"=2000'f
WORK.
FOUNDATION EXISTING SEPTIC TANK 18' LEACHING D' BOX 12' FACILITY x 11. ANY UNSUITABLE MATERIAL ENCOUNTERED ASSESSORS MAP 251 PARCEL 161
SHALL BE REMOVED 5' BENEATH AND AROUND THE
*THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL **THE INSTALLER SHALL CONFIRM MIN. PROPOSED LEACHING FACILITY. LOCUS IS WITHIN ESTUARINE
UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS SEPTIC TANK SIZE AT 1000 GALLONS 12. EXISTING LEACHING FACILITY SHALL BE PUMPED WATERSHED PROTECTION DISTRICT
PRIOR TO INSTALLING ANY PORTION OF SEPTIC 'SYSTEM AND ITS SUITABILITY FOR RE—USE AND REMOVED OR PUMPED AND FILLED WITH CLEAN
SAND. - LOCUS IS WITHIN GROUNDWATER
PROTECTION OVERLAY DISTRICT
LEGEND /
99— EXISTING CONTOUR / 4
X 99.1 EXIST. SPOT ELEV. / \
ss PROPOSED CONTOUR BENCH MARK — CORNER
OF CONCRETE PAD EL.=55.9'
198.41 PROPOSED SPOT EL.
TH, SYSTEM DESIGN:
• TEST HOLE ,�'�� �� � �\�� GARBAGE DISPOSER IS NOT ALLOWED
2� SLOPE OF GROUND
�Q> UTILITY POLE \ \ \ —
$ 57 \ � DESIGN FLOW: 4 BEDROOMS ® 110 GPD = 440 GPD
1 � \
FIRE HYD! AP:T USE A 440 GPD DESIGN FLOW _
1 \ _
NOTE: MCFr ALL SYMBOLS MAY APPEAR IN DRONING
' SEPTIC TANK: 440 GPD (2) = 880
T -z �,K RE—USE EXISTING 1000 GAL. SEPTIC TANK
TEST HOLE LOGS LP \
o TH-1 s: \ LEACHING:
DAVIb FLAHERTY, R.S., SE2755 SIDES: (33.5 + 12.83) 2 (.74) = 137 GPD
ENGINEER.
WITNESS: DONNA MIORANDI, R.S. °� / \�\ p \ BOTTOM 33.5 x 12.83 (.74) = 318 GPD
DATE: AUGUST 15, 2008 \\ �'' p TOTAL: 615 S.F. 455 GPD
1
PERC. RATE -_ < 2 MIN/INCH �1�0 USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL)
SHE DECK �� . \ WITH 4' STONE ALL AROUND
CLASS I SOILS P# 12326 o
1 ELEV. 2 ELEV. �, cc
G tkLO
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099 4 57.0' 0» 57.0' �\����F MA
F. Q � o
A A �� yF APPROVED DATE BOARD OF HEALTH
LS LS \ I I \oy
891 10YR 3/2 10" 10YR 3/2 / �' LOT 6 F TITLE 5 SITE PLAN
\ OF
B B �' \ 19,858E SF y _ OF
�' \ \�oyF 635 PHINNEY'S LANE
LS LS o �� \, �
30" 10YR 5/6 54.5, „ 10YR 5/6 o, \ (CENTERVILLE) BARNSTABLE, MA
29 54.6 \ PREPARED FOR
\ \ B & B EXC./
\\ \\ THOMAS & CAROLYN FULLER
C C \ PAVED DRIVE \
PERC \\ \\ / ��,`L' DATE: AUGUST 18, 2008
MS MS
\\ \� O off 508-362-4541
2.5Y 6/3 2.5Y 6/3 \ \ N y fax 508-362-9880
V �t�oFMq ���taFry�s I downcape.com
5% COBBLES 5% COBBLES A IELAs9`ti , � DA,NIEP_sgP 110WO C4 a en keer% 8�
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CIVIL
OJALA 9 civil engineers
133" 45.9' 120" 47.0' �' � •-O N0. Q7
Noi 40 land surveyors
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NO GROUNDWATER ENCOUNTERED Scale: 1"= 20' $ /� `�� &TE 939 Main Street MA 60
/ / �S "` � ` '' �� YARMOU THPOR T MA 02675
o �o zo 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S.
LICE #08— > 92 08-192 B&B_FULLER.DWG (DDF)