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HomeMy WebLinkAbout0260 RIVERVIEW LANE - Health 260. Riverview Lane Centervilie A = 228 101 �'l1/I aEC'c�fo �,Iwad,, �� c UPC 12543 NO �scoNs'�� "ASTINGS,6SN TOWN OF BARNSTABI L LOGATION d , V iwtl 11r1iU SEWAGN .Z _ /d� VILLA E < l if. ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. �. y„sa 7 SEPTIC TANK CAPACITY d--0 LEACHING FACILITY: (type) �`� 61 Dom' L-L (size) NO,OF BEDROOMS BUILDER OR OWNER A4- t- ✓i✓� 1 , � PERMTTDATE: COMPLIANCE DATE:2 0 ' Separation Distance Between the: Maximum Adjusted Groundwater Table to the Botto of Leaching Facility Feet Private Water Supply Well and Leaching Facili (If any wells exist on site or within 200 feet of leaching faci ) Feet Edge of Wetland and Leaching Facility(If y wetlands exist within 300 feet of leaching facility) Feet Furnished by �-- � , 1.� ..,,.,> C �. d Y � .' ���'� �� �� Reur 'tP�1 �ver�r� No. U ; F($Sn 00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: i) PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS es Rpplication for &!5paaf *potem Construction Permit Application for a Permit to Construct( _ )Repair(x4 Upgrade( )Abandon( ) :Fr-]Complete System ❑Individual Components Location Address or Lot No. 260 Riverview Ln. Owner's Name,Address and Tel.No. Assessor'sMap/Parcel Centerville, MA Thomas McNulty Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Servi e Daniel Johnson P.O. Box 1089 804 Main St. , Suite B Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building rP G i d _nt a i 1 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repair$or Alterations(Answer when applicable) We will install a new Title-5 septic system to the plans of Daniel Johnson J-803 dated 9 3 02. 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 provision$of Title 5 of th nvironme 1 Code and not to place the system in operation until a Certifi- cate of Compliance has been issu d b d of Heal Signed Date Application Approved by Aa 440t= Date f::42-122 Application Disapproved for the following reasons Permit No. 2 oV aYO.S— Date Issued�/�-02 Fee 5 fl 0n THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: " °Yes "• PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE.,'MASSACHUSETTS. ' -Application, for Digogal *pgtem Congtruction Permit Application for a Permit to Construct( . )Repair(X4 Upgrade( )Abandon( ) :�]Compiete System ❑Individual Components Location Address or Lot No. B 6 0, Riverview Ln. Owner's Name,Address and Tel.No. Assessor'sMap/Parcel Centerville, MA Thomas McNulty Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service Daniel Johnson P.O. BOx 1089 804 Main St. , SSite B rs _ dA 02655 Type of Building: - Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building res identa i 1 No.of Persons Showers( ) Cafeteria( ) `* 1ti Other Fixtures '%•Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Size of Septic Tank Type of S.A.S. Description of Soil 1 Nature of Reepa rS orAltertions(Answer when applicable) We will install a new Title-5 s p systemi6. to the plans of Danieiotinson #J-803 date 9 3 02. Date last inspected: Agreement: , . •;.;i; Y 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 nvironme dal Code and not to place the system in operation until a Certifi- }' Cate of Compliance has been issu d byi4iAgd of He Signed 1 L Date •frQ . Application Approved by /L t Date —1,2_0? Application Disapproved for the following reasons - - -- - Permit No. a.ud a - V os Date Issued la -(/2 THE COMMONWEALTH OF MASSACHUSETTS McNulty BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(xX) Upgraded( ) Abandoned(( )by .Wm. E. Robinson SeptiltsSeraice at 206 RiVerview Ln. , Centerville, MA 02632 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. a00-2'V 63 dated Installer Wm.E. Robinson Sr. Designer Daniel Johlhson The issuance of thins permit shall not be construed as a guarantee that the syst will,f nction as a tgned. Date t ) 00� Inspector aj 4v, S No. Fee`$5 0.0 0 McNulty THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS 'Wigpogal *pgtem Congtruction Permit Permission is hereby granted to Construct( )Repair�X)Upgrade( )Abandon( System located at 206 Riverview L;a. , enterville, MA 02 32 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 be completed within three years of the date of this t. Date: 0_ 0 _0 e 1 Approved by I/,/ Akld S NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. PERCOLATION TEST AND SOIL EVALUATION EXElY1PTION FORM g- hereby certify that the engineered plan signed by me dated concerning the property located at LL meets all of the - following criteria: • This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as.CIASS I and the percolation iaie is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or may conduct preliminary tests at the site without a health agent present. • There is no increase in flow and/or change in use proposed There are no variances requested or needed'. • The bottom of the proposed leaching facility will not be located less than fourteen (14) feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable]* Please complete the following: A) Top of Ground Surface Tlevation (using GIS information) B) G.W. Elevation ! +adjustment for high G.W. g DIFFERENCE BETWEEN-A and B 23 ),�-7Zf1 T fir DATE: NOTICE Based upon the above information, a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. q:health folder:percavnp TOWN OF BARNSTABLEL. LOCATION a SEWAGE#I VILLAGE �p�" 1 f ASSESSOR'S MAP & LOT i 2 --0 INSTALL$R'S NAME&PHONE NO. �� �a'J ? SEPTIC TANK CAPACITY A�U LEACHING FACILITY: (type) '�,.s �-� �+ �- �L� (size) NO.OF BEDROOMS BUILDER OR OWNER L✓�� J ,�� PERMITDATE: 1 �—o'a`. COMPLIANCE DATE: �'i " . Separation Distance Between the: Feet Maximum Adjusted Groundwater Table to the Botto of Leaching Facility Private Water Supply Well and Leaching Facili (lf any wells exist Feet on site or within 200 feet of leaching faci ) Edge of Wetland and Leaching Facility(If y wetlands exist Feet within 300 feet of leaching facility) Furnished by 7t --� 1 -t8�°1 i TOWN OF B.ARNSTA LE LOCATION Z�,C� �\��y�Evv EWAGE VILLAGE �6�TjE ,�I 1 �, ASSESSOR'S MAP & LOT a�J INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY B5(&P N16 S�4S.-MM R LEACHING FACILITY:(type) +X/ Fk-CP&T ^Pt'- (sue) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER_ BUILDER:.OR OWNER DATE PERMIT ISSUED: DATE .COMPLIANCE ISSUED: ..1�= 7 VARIANCE GRANTED: Yes N N_ No r !x5tSTIA& 5PiDOL sQvEQFta,,,) ?J'*� - w f a'o� 1�b�►.tiE V'VWV ka28 (� �Yt�•c ` col THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1.-- ..W.V.......OF...... Application for Disposal Works Tonstrudiun V erntit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal system at: t •---. ..�(�__....... :�-c_ .v. w.._...rl. .--- --... - t YvA—V--------------------------------...... ---• --- - Locatio.n• dress 1 or Lot No. ....... ......... .. .. v.1..... _--- .......... .�.... .............-•--•-••--•---•••-....-..._.......: Owne\, �1{3dress W .L.....�C?c[_.. .. Y �! _. a .... ..._. ,�.......... ----•- -•............. - ....................•.............•--•-•...... �. Installer A r Type of Building Size Lot.........:..................Sq. feet ,.., Dwelling—No. of Bedrooms......... ...............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons............................ Showers — Cafeteria Pa Other fixtures d -•--------------------------•------- WW Design Flow.......... . ...........gallons per person per day: Total daily flow...........:...................gallons. W Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width....................Total Length.................... Total leaching area....................sq. ft. . Depth below inlet._....- ..�_..... Total leaching area.................s ft. � Seepage Pit No..__.�............. Diameter_:__1 p � g q. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by........................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ------------------------------- ---••------------....._._....... ............................................................................. 0 Description of Soil......................... V .•-----------------•--•-•••••... . ----•••••- -------------------------------------------------••-•---------------•-- -----------.._._.._..: U Nature of Repairs or Alterations-Answer when applicable........14 l�l/1 ........... ---...... Y. -.---�� ---------- 5 � 1 CQ - -------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with, the provisions of iI'A 12 . 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Comp issued by the board of heal . Signed... ... :......... -• ••----...----•-•-- ...... --•- - ? K n Date Application Approved B Date Application Disapproved for the following reasons:---=••--------•-----••-•-••---•..................................•------......:........._..._......_....._.... .....•-•---•-----....-••-...----•..................••-•------•....-------••--•--••-•-•----........•...._.-----•---------•-••----....------......-------------••--••.......----•-----.......•••........_ . Date PermitNo.....22.c-..2L-7.!:�..............__._.. Issued......................................................_ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....T-D..w..� ....0'F.......... .�.... s... , Appliratiun for Disposal Works Tonstrurtiun f rrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Location•A dress O or Lot No. i:�'... -�-�� / wner / L__ � y�� �Xd-dress a ......--»'__'_•.:..li t�l--:_,._c Ltd ..L.........!�.::::5.1!....,2......... ...................E. ..��.(_:.!e:.? .:•4«�-------------------------------•------•---- Installer r Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.•....-�------------------- -Expansion Attic ( ) Garbage Grinder ( ) .............. No. of ersons................._.......... Showers — Cafeteria Other—Type of Building ______________ p ( ) ( ) WOther fixtures ..------•---•---•---•-•--•-•........-•-•----......._._.... WW Design Flow........... _ -------------gallons per person per day. Total daily flow......... _�'?............gallons. WSeptic Tank—Liquid'capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width....................Total Length.................... Total leaching area...................sq. ft. 3 Seepage Pit No....../--:--_-____.- Diameter.....� Depth below inlet.......... Total leaching area.................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY...................................................................a...._. Date........................................ 1.4 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water....................... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x ------k---------------•--•-•-----•..........._..._...........---------------•----------------------------------------------....._ ._............ 0 Description of Soil------------------------ ----------•-••-•--•----•--••------•--•---••--••--•--•-----------•---'...............----•----•---•--............._...............--------•--- W V ••••---------------- ---------------- ----------- •------ ------------------------- ....................... ----------- ....... --------------- •-------- ... ---------- -......... --------------- W -----•------------------------------------------'--------------------------------------------------------------------------------- ........----------------------- ... ....----.-------•------ UNature of Repairs or Alterations-Answer when applicable.........��A s ./1��....._.._•1�7 ........ �- ....- . T --......--1� :.�... .....<.f i?/:u--c.:�----'.�T-.?---- ..�`1 T_�rc ...1 r- r�r; --. ....................... �. ; Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Comp1, has-been issued by the board of health. Signed � --tea ... Date Application Approved BY......... Z:7--- — •` a �� =7............................. ....................Date - ----•--•--- Application Disapproved for the following reasons---------------•-••----••----•------•--....-------•-----•----••.......-•----------........_..._............_.... ..............•---------••-...---•--.................._......----••--•----•------•--.....----•---:-...._......--•--•--•-•-----...------......------------------•-----------------......---------......» Date Permit No.__._ Y -« Issued.................... . -�•---.. .---7----------------------- Dom.......----•--.....»..._....« � -- ---------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................................-.OF.......... Trr#ifirate of Tuntplianrr THIS ISZO CERTIFY, That-the Ia3&vidual e��'age Dis osal System constructed ( ) or Repaired (t )� Installer l at........... ::. a.l.�............... .........Q. ............................................ ........... .`.. . ......... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No....9--7'--�-.?.t7e--------.- dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......................... - l r. ' � . -•--- Inspector---N- -. '�,` _ram.= - -•----........... .... U THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH` 0F.......r4......... 4-:?�l.`.u`: -0.LA ��.....................•--• ,.Ln Diupusnl urku�[Tunutrudi att lirrutit Permission is hereby granted.............. ... �.._ _ .......................................................... � -to Construct ( ) or Repair ( `)an-Individual Sewage Disposal System I... = =�' •-- / at No................................... +:..- --2..-•----. _ ....ti:� -- ........... Street as shown on the application for Disposal Works Construction .Permit Nod.7:9-7. •_.. D'ated.......................................... ------ •------- -- Board of Health DATE----•--•-•---------------------------------••-= •-----......-•------• ...... 7 7 I 7, 777 .4 11.4,11 "', , , ' r 7 .". 1 11 I'll 7�77` J, p y� �4i i47 500 CIALL VALENTI MODEL 1 Ok'§tk[C TANK TK-15M(SHEA CONCRETE) 10A EQUt z DJATA ISHED FIN PrT TZST- DIA. J. S'NIN) 2�"DIA to d By: Dan el B. 7ohnson 24"DIA 24 Per rme 4.� 311 - H-10 August 23, 2002 .. . .... Date. 4"SCH 40 99.6) TP (EL. FLOW LINE 4"SCH 40 14-1 - EL FILTER A-1no ZAS 28 A/Fill Sandy loam —SEPTIC TANK TO MEEI 28 -120" Ci 2 . 5�5/6 Medium sand 4"SCH 40 TEE 4'LIQU ID LEWL REQUIREMENTS OF e : GAS BAFFLE 310 CMA 15.226 FOR 4"SCH 40' WAT P IGHTNESS, No 'Observed Groundwater 'ETC TEE T bATA ALL WALL SLEEVES/GASKETS PERCOLATT.ON TZS MECHANICALLY 6- (MINI) SHALI BE CAST IN PLACE 01; COMPACTED INSERTED AT FACTORY. CRUSHED STONE STABLE LEVEL BASE Nt TRATION SEAL <-34'DIA. APPROVED PE METHOD REQUIRED SEPTIC TANK DIMENSIONS: 1V E7'L X 5' &'W X 5" 3 0,eY wELLS 3;,S't, 13'vv s ;04 Rato, 2 MPI (TP-1 ) DISTMOUTION BOX Depth 4611 REM(VPLE COVES let Or ZLMTXON8 4"Sai 40 OUTLET LATERALS SCRIMULZ SHALL BE SET LEVEL FOS A DISTSMUTION BOX TO MFCT MINIMUM OF THE FIRST TWO REQUIFItMENTS OF 310CMA cc�f POOL fTET AND CONNECTED TO 15,232 fWATES TIOH T NESS, EACH DISTAIDUYION UNE UCTION,rTC1 CONSM VATH SOLID SU440 WC ME Ifiv. Oil t Torik 4"SCH 41n7 NO,OF OUTLEM I Inv. oull, D I r i b i o 90 1tiv In 84 , prit4, Txnk STONC jo 3/4"DLkj N I 100 S TAM f LEW,,L PArir 0 W H Wr 9 LFAD Df1'e%1LL01 40 "END11 CnOSS SECTION n q Co ri t r + Oki r. 0.4 Propo.,,5ed, Cont FINA1.ANAII)f M A Ouse:', Tet Vit n FFE d Floor Elevatio JAMN(74 D WWWELIS :3 . B FE 1.11 r7l I X 4+1 rr,W X EA STONE WAS14 P 4 4' OVf WL VAWNI AnrA 1 I/Z'DOUBLE W ,,,/3/4" D&L X 1TWX 214 WASHED STONE Gas' Line G LEACH ING.DRY WELL$, Overh OHW TO COMPLY WTH THE 614. SEQUIREMENTS OF , 310 CMn 15,252 PA OVANCY3 AD OR &j V oe- _,4A/E 0 CS �JACA PC N NOTES 2 All construc orm ns. 2 . There are no kno �W15D respectiely, fro the proposed la'chinl' v m a etl6nd eet ofthe 0 b -4 e X o leaching ,area, s d leaching ar 'a 4t tA AV e n A 4 rova 1 r�r4 y 4 . app ineer. �,A of the Board of Health and the de-slgn -eng ojA IA 14 4A k 11 --ield is not. designed for use with hing L flux ......... '72 hours prior to -)ntractor to notify Dig Safe C4 Property line. inform d te c embo r 14 8(�ptic Plan riot', to be' u.,;Pd as, d Do rvoy. 4's -4 4 0-1 E7$' yb,if A I V el,r i.r y 1,1 p 1 umb i n 9 from existinq Atrklctur(� W1. 1 I ho connoctod to. the nqw yitom prior to ooroqt ruct tot) lr ony oxJ ,.itjnq plumlAtiq "xitit 7, J to bo, (11 f tho. thAt ihowti (in tho PlArl, tht� t ho t)(") 'Continctold Row yt;t om, I% �1 ot ho r-W i so tooe I t)is rp-I AV rl'D t4 CALC=TXONS PXy &ELL 4 Rodroomti 4 Be-droorms GPD zj PROPOSZD LEACHING AM: Dry Wells: 3 at 33. 51L x 131W x 21H —sottom Area : 435 . 5 .SF X 0. 74 G/SF 322 .2 LPQ 70 - 4 Total Leachinq Capac�ty: 59. 9 GPD At 0 0 ri 0 09� SUBSURFACE SEWAGE DISPOSAL SYSTEM 260 Riverview Lan DRAW SCALE: � k sy 9/3/02 Daniel B Johnson DATE: repared Tom McNaulty IL 0 0" rot 260 Riverview Lane, Centerville, NX �02632 0+40 T. �(500) 420-1904 DRAW Prepared DCMSTXC SEPTIC DZST=, INC. ING NUMBER By: 904 main street, suit* a, Os Lile, bM 02655 tot""