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HomeMy WebLinkAbout0028 POND VIEW DRIVE - Health 28 Pondv'ew Dive ' Centerville A= 228'-03 � c, l/U ® fi No .216 3LOR HASTINGS,MN 8. r v Fee No. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplication for TDizpont 6pgtem Con truction Permit Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) ❑.Complete System ❑Individual Components Location Address or Lot No. a �V i60 Owner's Name,Address;and Tel.No. Assessor's Map/Parcel a Q-g —0"6 V Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms y�. Lot Size nP,`$ L sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons , Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 n gpd Design flow provided 0 A gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. :3450 1„�LI�yG dnr� Z aZ:2, Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1 `1� to �, S[��i N c,S yG ma 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:bythis B Wofalth. Signe Date 8 _5-- Application Approved by Date 2/wl Application Disapproved by: Date for the following reasons Permit No. T Date Issued TOWN OF BARNSTABLE t LOCATION a SEWAGE # VILLAGE Or-,I+eA V•illt- ASSESSOR'S MAP dz LOT 1- INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY 00 LEACHING FA ILITY:(type) cc-is g2 cj o V (size) i as w ► NO. OF BEDROOMS'- �, PRIVATE WELL,OR PUBLIC WATER 4 BUILDER OR OWNER R,G¢�-G,2� (�o�e.w► � DATE PERMIT ISSUED: DATE "COMPLIANCE ISSUED: w VARIANCE GRANTED: Yes No t' r �v k 1.'v�K�. 1 f '',.a, s � ,. y r C' "+- _ _ '�'1 �� s TOWN OF BARNSTABLE LOCATION S �nas��9�:,J��iV SEWAGE # 9401-3q 7 VILLAGE Ce--�t('_f i)��ICJ ASSESSOR'S MAP & LOT / INSTALLER'S NAME&PHONE NO. �cS SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 30SO C (size) :3 7, 8N "I4.16�X2� NO. OF BEDROOMS BUILDER OR OWNER 1�s1uCQ��1 i PERMITDATE: P6 �0—0'7 COMPLIANCE DATE: 11 lU`7 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). r"i Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) (w_�Feet Furnished by glue wck < - > Er No. Fee hr THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIpprication for Mio o9al 6ps;tem Cow9truction Permit Application for a Permit to Construct( ) Repair(,S(j Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components L'oeation-Address or Lot No. a �U Owner's Name,Address,and Tel.No. Assessor's Map/Parcel `� �, —C'j"`��/ / "i V / a Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms . Lot Size , `fie Cyr sq.ft. Garbage Grinder ( ) Other Type of Building )r--e No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided _-y gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil t i Nature of Repairs or Alterations(Answer when applicable) c A C,, S� c sl!�4�y� 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. Signe Date 6 ``r-0 Application Approved by ell TA Date Application Disapproved by: i, Date } for the following reasons , Permit No. 31 Date Issued s,— -- 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 at �', ,CN, �rJ dv has been constructed in accordance, with the provisions of Title 5 and the for Disposal System Construction Permit No. QV 3�' dated Installer u C_ j� c a yl.l Desi ner ! #bedrooms Approved design flow �/ J gpd The issuance of this permit1s 11 not be onstrued as a guarantee that the system Sl fit ct_ion as designed Date' p Inspector 1/,I�J✓,�J1), , r No. \ Fee _ THE COMMONWEALTH OF MASSACHUSETTS r PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS r 1wigP02al �§Potem Co truction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at AS �+,rlc) l y2t,z �N U �A I P r and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or,special conditions. Provided: Construction must be completed within three years of the date of i e Date Approved by t 1 Town of Barnstable Regulatory Services Thomas F. Geiler, Director " BA&NUABLL HAS& Public Health Division Thomas McKean, Director 200 plain Street,Hyannis,MA 02601 Office: 508-862-4644 Fa.x: 508-790-6304 Installer & Designer Certification Form Date: �*00 Sewage Permit# Assessor's Map\Parcel Designer: rio,Yr�v,, Installer: �tyt�sdr ) Address: (/ / D Address: © , �cx, 1115— E, CCU ye (`Q� go C)9,( J -I-- On as issued a permit to install a ( ate) p� 4 ( septic system at �D r6NY3V1f_,VJ VUV�_ based on,a design drawn by (address) TL�dated (designer) J — 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 andjor septic tank. I certify that the septic system referenced abode 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. OF MAs�9�ti YE —� Instailer's Signature) No. 1140 '�FGISTE � t I' (Designer's Signature). (Affix Designer'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: Health/Septic/Designer Certification Form 116-a.1doc i . Town of Barnstable Pit 1 oF� Department of Regulatory Services • ' = Public Health Division Date /0 -5 ,►sty, • i Miss t63 e$ 20o Main Street,.Hpaanis MA 02601 4. Date Scheduled Time Fee Pd. `oil Suitability Assessment for Sewage Disposal Performed By: �, Witnessed By. LOCATION &GENERAL INFORMATI.. Location Address'. Pb N 0 1�vJ p,�v Owner's Name CE 1J_W_KV i L"LZ M Address 2$ PO r4 yl E/�w ���pp�-- Assessor's Map/P4tcel: da s / 0 3 f Engineer's Name 'vl !"t P f f NEW CONSTRU0171ON !!REPAIR Telephone# S©g 3&X;i-a9 as �� Land Use Slopes(%) ' {� Surface Stones Distances from: Open Water Body, 5W ft Possible,Wee Area>��`� ft Drinking Water Well sue'�®ft Drainage Way ft Property Line 100 `® ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands in proximity to holes) �Ee PP-0 pqS&V Sl`I i -&1" 6 0310?l®7 I i r i ; fJ P. � _� Eau`�" & 5�`) Depth to Bedrock Parent material.(geologic) p '-— i°i, in from Pit Face RIA Depth to Groundwater. Standing Water in Hole: Weep g !V � I J Estimated Seasonal tjigh Groundwater A/ D#TERNIIN TION FOR SEASO"L HIGH`CATER TADLE Depth Cibserved standing in obs.hole: - _In. Depti�td splx mutti��:�, .�._,^i..o}k1 i•. i ill, Groundwater Adjustment Depth toiweeping from side of obs.hole A�,Groundwater l Vol—,e L Index Well# _� Reading Date Index Well leyel d v..A Adj.ActoC,,,,,__,. TU i Ev PERCOLATI, MST ' Date Tluse Observation - l � Time at 9" �.J�.�... Hole# Depth of Perc 3( /��'; 16 —p/ Time at 6" 8 i „-6,! I Start Pre-soak Time.@ Time 9 ) 3*3 End Pre-soak Rate MinJlnch Site Suitability Assessment: Site Passed Site Failed:_ Additional Testing Needed(Y/N) Original:.Public H41th.Division Observatiot Hole Data To Be Completed on Back---------- ***If percolation test is to be conducted within 100' of wetland,,-You must first notify the Barnstable C44servation Division at least one(1) Week prior to beginning. 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 0#j �n LOA 31't-13'f A601VM 2.5y 6 DEEP OBSERVATION HOLE-LOG Hole# 2— Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsistenc %Gravel) 0 it 5"'-32tt' h*t o ?''- 2 ev: DEEP OBSERVATION HOLE LOG Hole# 3 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, o Gravel t'— loll A ioyR S1Y DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. nsistency.Mravel) b�� t 30- 3 Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes_ D _ Within 500 year boundary No Yes Within 100 year flood boundary No X Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist.in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring per ous material? 1W Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environ ental Protection and that the above analysis was performed by me consistent with the required tra ing,expertise and experience described in 3:10 CMR 15.017. d Signature r Date �0 Q:\.SEPTICtPERCFORM.DOC BENCH MARK TOP OF BARNSTABLE LEGEND 4,011 S `= : 10 g�UE ROAD BOUND SAGA-1 u 1 PROPOSED CONTOUR AD qtF ELEVATION = 42. 94 v � PROPOSED SPOT GRADE. ®� �' BARNSTABLE GIS DATUM DRIVE _ THER'S � _ EXISTING CONTOUR „ar P DGE OF PAVEMENT # - 98 P RKRD s N # + 96.52 EXISTING SPOT GRADE sa 4p� m m 20.0o ft T SERVICE - I W EXISTING WATER - R DR ����E - - - - - - - --,- - - - - - - - - - - - - - - -- - - - - - - - - -I o TEST PIT PINE Z w �� sr 11 ft I ®® N ��� 37.Fs' $ CiS w LW Existing Cesspool �H�3 \ j LOCUS MAP N.T.S. / (See Note 10) I j GENERAL NOTES: 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL I I RESERVE AREA I BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS \ OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR j I / I TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 20 ft I DESIGN ENGINEER. I }. / 143 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 44 Q FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER.BEFORE CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. R I � / �.� 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF O v / i I THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. n \NPEER I Wq T_ 7- I ,/ 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. DIN. R M I / I 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED GP 43 /� j TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY �� \\ KITCHEN I // i I THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 10. EXISTING CESSPOOL TO BE PUMPED, CRUSHED AND REMOVED 00 B R Z WAY I dd� 11.. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION I I 0) 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY \ / �O� I 13. NO PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING o ; PA I I // / � I 14. ALL PIPING TO BE 4" SCH)40 ® 1/8"/FT (UNLESS SPECIFIED OTHERWISE) o i VEp i D R I VE W�Y GARAGE 44/ 15. THE DESIGN -OF THIS SYSTEM DOES NOT ALLOW O I FOR THE USE. OF A GARBAGE GRINDER OF ,( 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING 17. PROPERTY IS NOT LOCATED IN A ZONE OF CONTRIBUTION. D R E ------------- 1 g LcistE 22300 I SANIloo I. P 51 . 10? PROPOSED SEPTIC SYSTEM UPGRADE PLAN 28 PONDVIEW DRIVE, CENTERVILLE, MA - - - - - - --- - - - - - --- --- --- --= - - - - ------- - ---- --- - - - - Prepared Richard Murphy I P p d for: Richa -------------------------------- MAP: 228 SURVEY REFERENCE: 100.47 ft 49 5'z ft Engineering by: Surveying by: SCALE DRAWN JOB. NO. L0T.•034 DARREN M.MEYER,R.S. Eoo-Tech Environmental "=20' DMM RSE DATED: FEBRUARY 294 PLAN OF LAND BY 6, 1947& KELLOGG, CE DEED BOOK: 21156 POBOX961 (508) 364-0894 DATE; CHECKED SHEET NO. f. DEED PAGE.• 036 EASTSANDW/CH,MA02537 508-3622922 08/07/07 DMM 1 of 2 Fey-s "1 07 i ELEV. TOP FOUNDATION (Existing) 44.95 F.G.EL: 44.50 F.G.EL: 44.50 F.G. EL: 44.25 FINISH GRADE= 43.5 A ,• r MAINTAIN 2% MIN SLOPE OVER LEACHING AREA COVERS TO WITHIN 6 OF GRADE :r 6" INSPECTION PORT . • L 27 W/IN 6".OF FINISH GRADE A 6,> 4" SCH 40 P ' _ L 5' VC 1o"I ° 0 ° ° ° ° ° 0 ° 0 ° 0 'IL(MIN. ° 14„ ® S= 1% (MIN.) e A, ) TEES ARE TO BE @ S= 1% (MIN.) 4" SCH 40 PVC wE.E.I.:.: INV.41 .50 INV.41 .30 INV. 41 .10 ° PROP. OUTLET GAS PROPOSED DB-3 HO I- L ° 0 BAFFLE ELEV. 41 .95 :.• ••• •., .. . .• :. • H-10 DISTRIBUTION BOX �- 25' I INV. 41 .75 PROPOSED 1,500 GALLON SEPTIC TANK NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR TO CONSTRUCTION 9" MIN. 2) D-BOX SHALL BE SET LEVEL AND TRUE TO say PER TITLE 5 OF ,yq GRADE ON A MECHANICALL COMPACTED SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN BREAKOUT EL. = 40.80 3` DAR M 'N ER ` _ 3 INS) INS CMR 15.221(2) • INV. ELEV.=40.05 �', TALL INLET & OUTLET TEES AS REQUIRED 24" 30.5." to ASNIM S�£ No. ,,4o DOUBLE SEPTIC SYSTEM PROFILE INVERT '�EG�SfE� BOTTOM EL.= 38.05 XNI TAR�a� 9 48 50 8 y SEPARATION 5.10 Fr. 146" INFILTRATOR 3050 SPECIFICATIONS BOTTOM OF TH-, EL: 32.95 SOIL ABSORPTION SYSTEM (SECTION) SOIL LOGS P#: 11888 DESIGN CRITERIA NUMBER OF BEDROOMS: EXIST. 2 BEDROOOM/4 BEDROOM DESIGN (NOT IN ZONE 11) DATE: AUGUST 2, 2007 SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) SOIL EVALUATOR:. DARREN MEYER, R.S., CSE DESIGN PERCOLATION RATE: <2 MIN/IN ° WITNESS: DON DESMARAIS HEALTH AGENT DAILY FLOW: 110 G.P.D. DESIGN FLOW: 440 G.P.D. INLET END TH-1 & TH-2 TH-3 & TH-4 _ GARBAGE GRINDER: NO (not designed for garbage grinder) (OPEN) Elev. Depth Elev. Depth SEPTIC TANK: 440 gpd x 2 = 880 gpd USE NEW 1,500 GALLON SEPTIC TANK 43.95 A LOAMY SAND 0„ I 44.51 A LOAMY SAND 0" LEACHING AREA REQUIRED: (440) = 594.59 S.F. 10YR 3/2 , 10YR 5/2 .74 4s"Du ACCESS PORT FOR INSPECTION. 43.53 B 5" F 43.68 B 10" USE FOUR (4) INFILTRATOR 3050 UNITS WITH 4 FT. STONE LOAMY SAND LOAMY SAND 10YR 5/8 10YR 6/8 ON ALL SIDES: 37.8' L x 12.16' W x 2'D 41.28 BOTTOM AREA: 37.8 x 12.16 = 459.64 SF C7 32" 41.51 C1 36" SIDE AREA: (37.8 + 12.16) X 2 X 2 = 199.84 SF TOTAL SQUARE FEET PROVIDED = 659.48 vs. 594.59 REQ'D e " O O O O O 0 0 0 " O DESIGN FLOW PROVIDED: 0.74(659.48 S.F.) = 488 G.P.D. vs. 440 G.P.D. req d 0 0 " " 0 0 e o 0 r> FINE- MEDIUM MEDIUM PROPOSED SEPTIC SYSTEM UPGRADE PLAN SAND SAND INFILTRATOR 3050 25Y7/4 25Y6/6 28 PONDVIEW DRIVE, CENTERVILLE, MA NOMINAL CHAMBER SPECIFICATIONS Prepared for: RichaM Murphy Engineering by: Surveying by: SCALE DRAWN JOB. NO. » » » 32.95 132" 33.51 132" DARREAw MEYER,R.S. Eco-Tech Environments! N.T.S. DMM SIZE (W x H x L) 51 x 30 x 85.4 „ „ POBoxse1 (508) 364-0894 {'WEIGHT 80.0 LBS, PERC RATE <2 MIN IN. C HORIZON) PERC RATE <2 MIN IN. ) F4STSANDWICH,MA02537 DATE CHECKED SHEET NO. / ( / ("C" HORIZON NO GROUNDWATER OBSERVED NO GROUNDWATER OBSERVED 508-3622922 08/07/07 DMM 2 Of 2 4 13'4r U � rn NOTES: Q C) o N > 04 . (118,v. 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS , NEW & DIMENSIONS IN THE FIELD pqIcno Lo BEDROOM #3 2.) CONTRACTOR TO VERIFY ALL INTERIOR & EXTERIOR MATERIALS, E—* V) W N zo DETAILS, & FINISHES 1N THE FIELD WITH OWNER a 00°Oo W xo� 3.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS STATE BUILDING CODE SIXTH EDITION U dM a w 31'-0"t -d1 C LO S. (EXISTING) ---- SEX S��NGI �1.nNGI l R EMOD. 41 EXIST. BEDROOM #2 N N PATIOS II (Ap W © A B �- NEW A4 A PLATFORM A�-0"� i tt EXIST. i EXIST. 0 0 e° -� GARAGE • • EXIST. EXIST. RANGE EXIST. �, © � © KITCHEN , >* BATH #2 O Efj DN. { O REF ISLAND M� � I y EXIST. © Q Q I— EXIST. DINING 10 BATH 41 j EXIST. I I ►.—+ J. 0I R Os LIVING ACCESS ta PANhL coosui — Li CLOS ,yx� 5, � o6 EXIST. lo N FAMILY x� ROOM 3'-o"t w (DO ! ! N I I ,z�- �NG� CV co ��Xs FIRST FLOOR PLAN N SCALE : EXIST. b 1/4 EXIST. © SMOKE DETECTOR " = 1'-0" BEDROOM #1 Z © CARBON MONOXIDE DETECTOR la F DATE : ai X THE DESIGNER SHALL BE NOTIFIED IF ANY 8/12/GU0 1 A ERRORS OR OMISSIONS ARE FOUND ON A THESE DRAWINGS PRIOR TO START OF CONSTRUCTION.THE BUILDING CONTRACTOR EXIST. LEGEND" WILL BE RESPONSIBLE FOR THE CONTENT DRAWING NO. IN THESE DRAWINGS IF CONSTRUCTION B COMMENCES WITHOUT NOTIFYING THE A Q EXISTING WALLS DESIGNER OF ANY ERRORS OMISSIONS. THESE DRAWINGS ARE SOLELY FOR THE USE r , CONSTRUCTION TO BE REMOVED THESE DRAWINGS EQUIRESTEWRITTEN OF OTHER USE EXIST. �-_--� 14`-d'f 19'-d't 1740t CONSENT OF THNEW CONSTRUCTION ARE PROTECT DE ND RNTHEARCHI DESIGER.THESE DRAWINGS ql CM(EXISTING) (EXISTING) (EXISTING) COPYRIGHT PROTECTION ACT OF 1990.