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HomeMy WebLinkAbout0265 SOUTH MAIN STREET - Health (2) 265 South Main Street Centerville A = 207 092004 SUPC 12543 u IN Ap—ft u No.5_3LOR H pSTINpSi i1N i • r Fee ffe") THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS u Yicatio-n for Migaal *pgtem Cott tructio,ri� emit' Application fora Permit to Construct( )Repair( )Upgrade Abandon( ) O Complete System �0 Individual Components Location Address or Lot No. s M Q S C Owner's Name,Address and Tel.No. � Assessor's M4 ap Installer's Name,Address,and Tel.No?6s-V6(?L XC pu.#ti1j Designer's Name,Address and Tel.No C�1 t�►ec c�r✓,y wcw�j 2,)S&P eoc Cr��,e 1 d 4c IM�9 6 rn� Type of Building: � Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 1 CIO gallons per day. Calculated daily flow Ct U gallons. Plan Date - - O�{ 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) 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 is Bo o He lth. Signed iDate - - O`1 Application Approved by Date Application Disapproved for the following reas"ons 6 Permit No. Date Issued TOWN OF BARNSTABLE LOCATION 2 t95 5a. k n io S / SEWAGE # VILLAG ASSESSOR'S MAP & LOT 207-0?7-CVY INSTALLER'S NAME&PHONE NO. PAa C'X��iJ I ✓ — SEPTIC TANK CAPACITY lQT -LEACHING FACILITY: (type) A HAS (size) ©Q NO.OF BEDROOMS _ t BUILDER OR OWNER PMUP w ce PERMITDATE: 90,10) y COMPLIANCE DATE: ! aJ0,L/ 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 tj "i Q t-4IZ �L;�. N - 2- A' 14 i 33 A?- ' z 2. A3 t A3 64 +3,.�-,�,...,..-��-..Fy* v..�,.--r..�.{a�--i..w 1.,....•..•+�. � ./� .� ..Y f .+r..y .. . y1. .�.-.,,,.r,.r..... S r•` �. .y q-7 Fee��- ,1 THE COMMONWE4LTH df MASSACHUSETTS Entered.in computer: Yes l PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZLpprication for Miopogal *pgtem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �(� .S INS Owner's Name,Address and Tel.No. ��r A,,J�-PG t/_ l FT?' rvd,3 t Assessors Map/P c I" Installer's,Name Address,aiid Tel No;-, `Designer's Name;Address"and Tel No cv,gs^�iq I1 �-� OW,c Uhl 56.E �,rP,��.�,�, w, ' Type of Building: Dwelling No.of Bedrooms Lot Size t '�6 sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow LA L 1 O gallons per day. Calculated daily flow y cI gallons. Plan Date 4 - �� " ot-I Number of sheets Q) Revision Date Title Size of Septic Tank 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 Certifi- cate of Compliance has been issued y is Bo of Hea Health. Signed A Date "��- `► Application Approved by Date Application Disapproved for the following reason v Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CE�TIFLLY, that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded( ) Abandoned( at 6 5 5 r-'(" ^ 54, has constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No dated �� l/ Installer Designer The issuance of this p'rm t shall not be construed as a guarantee that the syste well jfunctio s de gated. Date' �ho� Inspector 1 P . _... .... . No. _-----��-_�_.—.�-----—------Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS 7i!9po$at *potem (Construction Permit Permission is hereby Lyra d t onsuct)�( ) �pjf ) re( n o n System located at i.C/Dy / o �/C.V M.. 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: Const sVbe cp#ipleted within three years of the date of t PIZ Date:-- Approved by �a I TOWN OF B.AMSTABLE LOCATION 50 MA1 J/ . SEWAGE.# � � VII,LAGE ASSESSOR'S MAP & LOT �07—017-LVY INSTALLER'S NAME&PHONE NO. r 5 SEPTIC TANK CAPACITY •f .. LEACHING FACII.ITY: (type (size) ©� NO.OF BEDROOMS BUII DER OR OWNER PERMIT DATE: Qt COMPLIANCE DATE: d L Separation Distance Between the: Feet Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching F?cility(if any wetlands exist Feet within 300 feet of leaching facility) Furnished by P A i '1 t 1 Al �y 33 Al �.0 A 3 1- A 33 64 �s - TOWN OF BARNSTABLE LOCATION 265 so. Main street SEWAGE # 90-377 VILLAGE Centerville ASSESSOR'S MAP & LOT 207-97-4 INSTALLER'S NAME & PHONE NO. Vince Bros.- 398-5119 lie `SEPTIC TANK CAPACITY 1,000 q 6' x 6' LEACHING FACILITY:(type) precast (size) 593.7 gpd NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER public BUILDER OR OWNER Philip Michael Boudreau (Owner) DATE PERMIT ISSUED: 8-17-90 DATE COMPLIANCE ISSUED: j g- 9 VARIANCE GRANTED: Yes No xx Zr �Q6 N a AC 2' Town of Barnstable Regulatory Services Thomas F.Geiler,Director a�xsrasi8. I Public Health Division " Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer&Designer Certification Form Date: [2' 4 Sewage Permit# Assessor's Map\Parcel 00 7 -7 l Designer: (NoY &3 Installer: Address: )2- w. QQs 5-p 2t(A Address: ��r oA ( ¢`'(ii�{ QZ& fit- o z_& v On was issued a permit to install a (date) (installer) septic system at 2(� S� ��" �0�� S 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. 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. "OFk. G (Installer's Signature) � PETER T. m o McENTEE -a n " CIVIL fn � No.35109 /STEA�`���'o`�Q, (Designer's Signature) (Affix Desigflsr. . ' p 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 3-26-04_doc LEGEND o� ASSESSORS 99 J� PROPOSED CONTOUR � 0 P� LOT 94 yr g 99 PROPOSED SPOT GRADE f� EXISTING CONTOUR " x 24.7 EXISTING SPOT GRADE 9 q ��y TEST PIT �oka� - BENCHMARK W EXISTING WATER SERVICE 1� �' LOCUS BENCHMARK TOP OF CEN TER BRICK 5 _ _ - - _ BOTTOM STEP SD - EL: 24. 18 (ASSUMED) _ _..-" LOCUS MAP N.T.S. - ^ e ASSESSORS GENERAL NOTES: .f'" �^ �'� __ __ -- ~•_�1�'-,�,�� �.� _ '� ��" LOT 93 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. Z ------------- 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS �. CCAR - OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE GARAG ' _ I LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: —310 CMR 15.405(1)(b): Nl\ ; - _ - _ _ 1) A 10' variance, S.A.S. to.celllor wall, for a 10' setback. SHALL OT BE k ` _ 3 TOE SEWAGE INSPECTION DISPOSAL AND APPROVAL BY THE NBOARD OF HEALTHPRIOR AND THE j ` \� �\ = DESIGN ENGINEER. Z p 'A'Ap "'- , '� �`� _ 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING __ W CS y1 - FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN W = 'Q� - LOT B5 ENGINEER BEFORE CONSTRUCTION CONTINUES. I� ?~!NG`� `1 �i �`�`�° ASSL�'SS'ORS LOT 97-4 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. P. 40 MIL POLY ER _ AREA= 48,785� SQ. F?' 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF � � j� 1, EL:19.5 — .0 N _ 0 0 �' THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. gLb ���\ ���� '� '� "` _ _ 4 4 WATER SUPPLY PROVIDED BY,TOWN WATER SERVICE. �or;� b"�' =1 `� -- �` B. THERE ARE NO PRIVATE WELLS LOCATED WITHIN 150' OF THE S.A.S. �' `^� A�MINC 9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED S67 TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. .�� O ' �`� �`\�> �� ;' �� r+r��` •''�/ �``•�` �TF,?' - `. 10. ty IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE : r' " `'�� _ •� N. ,L THE LOCATION OF ALL. UNDERGROUND UTILITIES, PRIOR TO BEGINNING O '•H 1 i , ' / 7` - �'1 CONSTRUCTION. +Vyl tm % 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS "''''llllll IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). Leh r �/ , ., , ! 1St,5 p FauzaC P/T 12. PROERTY LINES, HOUSE LOCATION, WETLANDS AND TOPOGRAPHICAL SURVEY qs "_ "�. 'S'a6°¢G�� �� ';�VE T2�' (TQ BE PUMPED & HAVE BEEN TAKEN FROM "PLAN OF LAND FOR CONSERVATION COMMISSION PIECED W/ SAND) LOCATED IN BARNSTABLE (CENTERVILLE), MA", PREPARED FOR PHILIP BOUDREAU, DATED NOVEMBER 8, 1999. (SEE ALSO, NOTE 11) E=77NG SEP77C TANK Mgss9� SEPTIC SYSTEM REPAIR/UPGRADE TOP OF TANK EL: 20.87 I¢L�' 2`` yG INV(OUT) EL: 19.52.t PETER T. I o EE ASSESSORS oo� o McENT �, 265 SOUTH MAIN STREET, CENTERVILLE, MA LOT IDB REMOVE & REPLACE v CIVIL FENCE AS REQUIRED _ ' No. 35109 Prepared for: Philip Boudreau, 265 South Main Street, Centerville, MA ` R£G/SZE��� �� Engineering by: SCALE DRAWN JOB. NO. SS/0 Engineering Works - 1°=30' P.T.M. 47-04 d� 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 7/14/04 P.T.M. 1 of 2 t i NOTE: TO PREVENT BREAKOUT, THE PROPOSED ` TOP OF FOUNDATION F.G. EL: 22.9-25.0t FINISH GRADE SHALL NOT BE < EL:19.4 EL:24.2 � F.G. EL: 22.8t VENT FOR A PERIMETERTOFCTHEFS.A.S. AROUND THE F,G,EL: 23.3 (EXISTING) F.G. EL: 23.0 MAINTAIN 2% MIN SLOPE OVER S.A.S. INSTALL RISERS OVER INLET & OUTLET INSTALL RISER OVER D-BOX TO INSTALL RISER OVER CHAMBER/S 3-500 GALLON LEACHING QHAMBERS SHOWN ON PLAN AND SET COVER/S TO WITHIN 6" OF FINISH GRADE WITHIN 6" OF FINISH GRADE IN SERIES WITH STONE ALL SIDES WITHIN 6" OF FINISH GRADE L =20' L =23'(MAX) 4" SCH 40 PVC 4" SCH 4O PVC a �o„ -2" LAYER OF 1/8" TO 1/2" EXISTING: ia" ® S= 1% (MIN.) 6" ® S (MIN.1% ®®®$®a® DOUBLE WASHED STONE ) ExIsrlNc INV. ELEV.=19.32 INV. ELEV.=19.15 2' EFF: DEPTH ��® 3/4"-1 1/2" �•;•'•.•'•:•: SEPTIC TANK EXISTING 4' 5.2' 4' DOUBLE WASHED EFFECTIVE WIDTH = 13.2' STONE INSTALL INLET & OUTLET TEES GAS BAFFLE TO BE INSTALLED ON �_INV.EL: 19.52t INV. ELEV.=18.90 OUTLET TEE AS MANUFACTURED BY TUF-TITE, ZABEL, OR EQUAL TOP CONC. ELEV.=19.9 -BREAKOUT ELEV.=19.4 D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE 3 0 ON A MECHANICALLY COMPACTED SIX INCH CRUSHED INV. ELEV.=18.90 e�r�taE3 STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). r®NS 53MO��� BOTTOM ELEV.=16.90 "EF 3 x 8.5' = 25.5' 3' 5' MIN. ABOVE BOTTOM OFFECTIVE LENGTH = 31.5' SEPTIC SYSTEM PROFILE T.P. EXCAVATION OR G.W. NO G.W. ENCOUNTERED LEACHING SYSTEM SECTION DF S gA s WT,S. BOTTOM OF TP-1, EL: 11.3 (3) 5" DWOUTLETS �� PETER T. ' --� F�-1e-►1�2" w M EE CIVIL _ DESIGN CRITERIA No. 35109 15.5" F, , M all �G '�• \J ] SOIL LOG NUMBER OF BEDROOMS: 3 BEDROOMS Ip .1R H-10 LOADING 2 SOIL TYPE: CLASS I DESIGN PERCOLATION RATE: <2 MIN./IN. l -BOX - __. _ DATE: JUNE 10, 2004 N.T.S. - _ SOIL EVALUATOR: PETER MCENTEE PE, CSE DAILY FLOW: 330 G.P.D: INSPECTOR: NOT REQ'D-CLASS 1 SOILS DESIGN FLOW: 440 G.P.D (FOR EXTENDED LIFE) GARBAGE GRINDER: NO W# cs0' Z'� - TP-1 TP-2 LEACHING AREA REQUIRED: (440) = 594.6 S.F. 40`?a Elev. Depth Elev. Depth 74 wC�, 2• - 22.8 A 0" 23.3 0" SANDY LOAM FILL EXISTING SEPTIC TANK: 1000 GALLON CAPACITY ®®®® ® ®®®® 0�0�p �� 10YR 3/3 21.5 20„ ®®®®®®®®®®� 39° Qr 22.3 4" A SANDY LOAM N ®0000UM0000 T- // B LOAMY SAND 10YR 3/3 USE 3-500 GALLON LEACHING CHAMBERS IN SERIES _ ®h31�®®®®®®®® _ 10YR 5/8 21.3 24 B SIDEWALL AREA: 2(13.2' + 31.5') X 2 = 178.8 S.F. 102" a- 21.6 C 14" +, SANDY LOAM 13.2' x 31.5' = 415.8 S.F. 1e+- �15.7'l0,� �� 10YR 5/8 BOTTOM AREA: 19.8 42" TOTAL AREA: 594.6 S.F. � 4" KNOCKOUT AR `� 20" DLk COVER MED. SAND DESIGN FLOW PROVIDED: 0.74(594.6) = 440.0 G.P.D. S. � 2.5Y 6/3 I' 4" KNOCKOUT O�4" KNOCKOUT 62" `3 q 2E5 4A6° SEPTIC SYSTEM REPAIR UPGRADE 4" KNOCKOUT 265 SOUTH MAIN STREET, CENTERVILLE, MA 11.3 138" 11.8 138" Prepared for: Philip Boudreau, 265 South Main Street, Centerville, MA 500 GALLON CAPACITY, H-20 LOADING S.A.S. LAYOUT NO G.W. ENCOUNTERED d. NO G.W. ENCOUNTERED Engineering by: �,e SCALE DRAWN JOB. NO. CHAMBERS PERC RATE: <2 MIN/IN. PERC RATE: <2 MIN/IN. Engin®�''i�1119�Ut'�S' NTS P.T.M. 52-04 N.T.S i'I' N.T.s 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 7/14/04 P.T.M. 2 Of 2