Loading...
HomeMy WebLinkAbout0090 SACHEM DRIVE - Health 90 Sachem Drive Centerville A=209-073 i 5 M EAD® No.2-153LOR UPC 12M smeadoom • Made In USA .!Iwo ltv TOWN OF BARNSTABLE },LOCATION C, y` SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY k c L S-b LEACHING FACILITY:(type) ,® (size) 71, f�,L Ne f[�1' X NO.OF BEDROOMS Lt ���`, �c�rS f I•T �c,C� NO OWNER PERMIT DATE: `7 l/ 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) (10 Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY a kc i v o. 4% .� aa� A + 1 A A ,A A-o 1 Q .3 s G q TOWN OF BARNSTABLE LOCATION SEWAGE #��M gvwve wQr VILLAGE �� y' Y ASSESSOR'S MAP & LOT-262 s 6?.3 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY I doo gallo U w LEACHING FACILITY: (type) ,pTie, (size) ' ' = NO. OF BEDROOMS y BUELDER OR OWNER PERMITDATE: 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) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by � _ P 100� al W dow ��vs � J � ' No. Fee THE COMMONWEALTH OF'MASSACHUSETTS Entered in co pater: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes Iitation for ;Disposal Btrm Construction ermit Application for a Permit to Construct( ) Repair V<Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 0 SGLLI�M Owner's Name,A dres ,an el. o. Assessor's Map/Parcel t I taller' Nam Address,and Tel.No. Designer's Name,Address,and Tel.No. � � i k -j U k(J J e� lip c r aCil/� (J (`A c.C- t c7c� Type of Building: Dwelling No.of Bedrooms V-1 Lot Size 6 sq.ft. Garbage Grinder N(D Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures � Design Flow(min.required) y F(� gpd Design flow provided IS~S yV gpd Plan Date ��8\y Number of sheets I Revision Date Title l Size of Septic Tank P1�5��s y`C,�,\O SA -15-60 Type of S.A. ) C r,,./, r' Description of Soil " h r C,<- Sr.n [ l � ... o � 'g- L x L i,.S 5we Nature of Repairs or Alterations(Answer when applicable) �L Q,, , `�(Q �A 4S(p 6 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 this Board o alth. i d ��hh. in Date �� Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued t�. I No. �v r Fee _...�, THIrf OMMONWEALTH'OF`MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION —TOWN OF BARNSTABLE, MASSACHUSETTS 2pplicatlon for Misposal *pstetn Construction Permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. G C��Q �� Owner's Name,A dressc,an�jTel. o. Assessor's Map/Parcel wo. Ir)4�taller's Name Address,and Tel.No. Designer's Name,Address,and Tel.No. * o, Uk(j �k Type of Building: Dwelling No.of Bedrooms_� Lot Size cRO sq.ft. Garbage Grinder 0G) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �(�C) gpd Design flow provided S S� gpd Plan Dated �, tad\y Number of sheets I Revision Date Title on Size of Septic Tank P�G,S�� VC(,NC) 153OType of S.A. . \7 C "o `kcr,,kv(- Description of Soil M P C/ C I.-) foul ?/ zK L X LJ u Nature of Repairs or Alterations(Answer when applicable) �c \C,ck A s 5 -,-)p 6 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 o alth. r-gled Date 1 Application Approved by s / Date Application Disapproved by Date for the following reasons Permit No. ✓ Date Issued ------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CCERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by at �C) GC�n¢�\ ` (- C,\/1 "Q hasbeencons to inaccordance with the provisions of Title 5 and the for Disposal System Construction Permit No dated Installer Designer v #bedrooms L( Approved design flow gpd The issuance of is pe it shall not be construed as a guarantee that the system will frFrcf, designed. Date 1 / Inspector --------1./ ------ ---------------------- -------------- -----------------------------Feej ��_f_ - -_ No. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem -onstruction Permit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at !I —SQ< <J� �( C)�-' ,v-(� �y D 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:Cqnstpctio4 must be completed within three years of the date of this permit. Date Approved by "",_4m U /U Town of Barnstable Regulatory Services �. Thomas F.Geller,Director MAM_ Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: 1 Sewage Permit# 6 011sessor9s Map/Parcel Z©rf i) 73� Installer&Desiener Certification Form Designer: Installer. h k Address: Address: l/ o l,j 'C J r C-1 a U ) On crwas issued a permit to install a (date) —� (installer) r) septic system ate based on a design drawn by (address) �. -rrr:a--®h dated (desigr) 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. Stripout (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. Stripout(if required)was inspected and the soils were found satisfactory. ITN OF�1qS L N 9yGN (Installer's Signa ) , ERIC HARRINGTON � filo.1070 U)esign6?sPignatur0 (Affix re) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF C MPLIAN WILL OT BE ISSUED UNTIL BOTH THIS FORM AND AS- UILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoff a form Wesipercertifimflon fonmdoc h Town of Barnstable P# 1301 Department of Regulatory Services snttxarne Public Hea lth Division Date 200 Main Street,Hyannis MA 02601 Date Scheduled p� • ,,�', c,! < /j� ,"� Time--1= Fee Pd. U v C : ,. i_ \ y,y..-.<,...,...'� 5�.lk�.a� a_.4-'�,,•-•.a '")°''1`` �tR '� �, S t 4 Soil Suitability Assessment for Sewage isposal Performed By:e� / a����� ,h Q�' c. r-' Witnessed By:_ ��✓` d� ,Pr Location Address LOCATION& GENERAL INFORMATION (�Q� �j Owner's Name I\(CiAQCD R-7Z-- L ifgA,179i,,V),1 CL kill,p Address a , 0 63 ot, Assessor's Map/Parcel: O 3 Engineer's Name �( eV X�W% 0 NEW CONSTRUCTION REPAIR Telephone# Q Land Use l��t:(�` ✓,` y., �... ; Slopes(90) 7-'S Surface Stones /f/v �- F..i w u'�. s+-`Di stances from: Open Wa[er Body / ft Possible Wet Area >��� ft Drinking Water Well �ft Drainage Way o ft Property Line $�"0 0 ft Other ft SKETCH:(Street name,dimensions of-lot,exact locations of test holes&perc tests,locate wetlands(n proicimity to holes) MIME LAMA-1­3 l .t N i 1 1 V _ IS; �a Parent material(geologic) B L/-C-ttp 'Cl T J C)O Depth to Bedrock Depth to Groundwater. Standing Water in Hole: -(,v k e- Weeping from Pit Face 0 Estimated Seasonal High Groundwater > Method Used: DETERMINATION FOR SEASONAL HIGH WATER TABLE Depth Observed standing in obs.hole: N�h Depth to weeping from side of obs.hole: n. Depth to Boll mottles; In Index Well# Readin Date: In. Groundwater Adjustment ft. g Index Welt level Ad1.factor_ Adj.groundwater Uvel, Observation PERCOLATION TESL' bgtp Top Hole# Time at 9" Depth of Perc ZG- Time at 6" Start Pre-soak Time @ f7 3 e Time;(9"-6") End Pre-soak ♦r+ n Rate Min./Inch L Z Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- --r ***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:\.SEPTICIPERCFO RM.DOC DEEP.OBSERVATION HOLE LOG Hole# t Depth from Soil Horizon Soil Texture .Soil Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. on istenc % r vel 0-9 ,4 LS to y2 06 �41'( S'y 6 /v0 Z-S-"n e, , ^VIC DEEP OBSERVATION HOLE LOG Hole# -- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consi ten % ravel o - � '4 LS (0re3 � z N-i- o' C- / ih-�sa,"d Z,J-,y q a � ]DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Grave DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, I r R, r ✓ v FLA Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No= Yes WitLi.n 100 year flood boundary Na_ Yes Depth of Natura y 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 pervious material? Certificatio),i I certify that on /V 1 f�r (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required tra' ing,expertise ar experience described in 310 CMR 15.017. Signature_ �J , Date Z / Q.\.EPTICV'ERCFORM.DOC SYSTEM PROFILE N N _ _ _OU Not to Scale ROUTE 28 �'esr R�V Provide 4•dia.SCH 40 PVC Ma M 10'min.from *NOTE:ALL PIPES ARE TO BE 4"DIA.SCHEDULE 40 P.V.C. vent with carbon filter $SPCH A56 NCE house to septic tank ,C Sachem Dr. Srreer �FE USE WIGGIN Provide 4"SCH 40 PVC 'Matet 6 5(O�-KPH Existing House S HOLE -2 observation port 3"below gradeDIST X FF ELEV.112.36' EXISTING GRADE ELEV.=173'+ OREQUAL Existing Grade Elev.113'i Finished grade over system=2%slope away I T E X 114.26' Tank covers shall be D-Box cover shall be Main Sewerfrom SW septic to be within 6"offinished grade within 6"offi fished grade 12"min. tbacK connected to rear septic vla internal plumbing S-0.02 36"maX. 5e\`c5e PROPOSED S=.01 Level fort' S=.01 Elev.=108't j D fuf 22 1,500GAL. B' LONG PON cellar SEPTIC TANK 8, Invert Elev.107.56' . n GAS BAFFLE OR EQUAL i a . Bottom of Leach IND itR o 1 31�-8° Facility Elev.106.81' .I vent(see Note#12) LOCUS -�` 6"OF 3/4°-112"STONE 'c w > 5't(5'Min.required) '\ PROPOSED SAS �� �' _ #1 elev LEACHING FIELD �BottomofT.H. .101.45' �0 31'-8"L X 14'-2"W X 11.3"D `t-'�v `y, a 6"OF 3/4"-112"STONE NO SCALE v� leaching fiel6tsi1alq H-20 \OZ High CapatitYMRLTRATOR y`'\ `•\ APPROX. CATION 11222 X a chambers without stone. \ \ ;r-p \ \\EXI ING SAS 113.114 „3.os'x GENERAL NOTES 113. \ \ \ .. \\ R(GP, 11 �,`, 32'DIAhI.ACCESS MANHOLES /'•. '7 ° k P 1.ADDRESS:#90 SACHEM DRIVE,CENTERVILLE 2.ASSESSORS NUMBER:209-073 1 � i 3.DEVELOPER'S LOT:LOT 9 4.TOPOGRAPHIC INFORMATION WAS COMPILED FROM AN ON THE GROUND INSTRUMENT SURVEY. 5.TOWN WATER IS PROVIDED TO SITE&SURROUNDING PROPERTIES. o R OWN �o _-- THE ACCESS COVERS FORTHESEPTICTANK 6.REFERENCE PLAN:PLAN BOOK 198,PAGE 47 a tN GP MM\NG v ��`� , 19 Fi/ INIFT ` ' (-si _ DISTRIBUTION BOX AND LEACHING COMPONENT 7.NO WETLANDS ARE LOCATED WITHIN 150 FEET OF SAS. 4 O 7 oUREr SHALL BE WTHIN 6"OF FINISHED GRADE S�p00�' ��d °$ 4 O - I 8.NO POTABLE WELLS ARE LOCATED WITHIN 150 FEET OF SAS. o4- �° �iG 4.. INSTALLTUF-TTE GAS BAFFLES OR EQUALS 9.THE SITE IS NOT LOCATED WITHIN A ZONE II. 7 - �. ON ALL OUTLET TEE ENDS 10.UTILITIES WERE LOCATED BY DIGSAFE CONFIRMATION#20104502927. STEEL REINFORCED PRECAST CONCRETE�a oo°� Design Calculations 113 ya // � 109.11' p9 PLAN VIEW / 320•REMOVABLE COVERS Number of Bedrooms:4 6 / Garbage Grinder:NO,GRINDER NOT ALLOWED WITH THIS DESIGN Septic Tank Capacity Required:440 gpd X 200%=880 gpd. 1,500-GAL MIN.REQ'D. 3-min.dearanor Septic Tank Provided:1,500-GAL. SEE CONSTRUCTION NOTE#14. INLET B•m-� 3•mi Jett utlet 6• M "" OUTLET ------- Leaching Capacity Required:440 Gal./Day 1 � Liquid level Leaching Area Required:440 Gal./(0.74 Gal./Sq.Ft.)=595 Sq.Ft. Leaching Area Required:595 Sq.Ft./4.73 SF PER LF OF INFILTRATOR=127 LIN.FEET ugmddePm Proposed Leaching Area Provided: 5 ROWS OF 31'-8"CHAMBERS=1 58 LIN.FT. §q Total Leaching Capacity Provided:550 gpd>440 gpd.req'd. CONSTRUCTION NOTES x110.12' ,oy 1.ContractorisresponsibleforDigsafenotification CROSS-SECTION END-SECTION and protection of all underground utilities and pipes. //// �j �Q �`�• x1 TYPICAL 1500 GALLON H-20 SEPTIC TANK 2.The septic tank and distribution box shall beset NO level on 6"of 3/4"-1112"stone. NOTTO SCALE 3.Backfill should be clean sand or gravel with no stones over 3"in size. 104.W °°o USE WIGGIN PRECAST OR EQUAL-SEE CONSTRUCTION NOTE#14 4.This system is subject to inspection during installation Tt1#1 �O� by Glen E.Harrington,RS. �Py oa'O S.The contractor shall Install this system,in accordance with Title V of the Massachusetts Environmental Code 111.45'x \���� 103,65' C 91 and the Regulations of the Town oflBarnstable. ��P tLoj 6.Provide an Wiggin Precast H-20 1,500,gal septic tank H-20 DB-S D-Box and 25 H-20 HI Cap a�0 doe x97.3' Infiltrator chambers or equal. y�0 6 7.No vehicle or heavy machinery shall d rive over the septic system unless noted as H-20 septic components. TH#2 8.Install gas baffle or equal on septic tank outlet tee end. 99AX 9.All existing inverts and site conditions shall be verified by contractor. 10.The HI Cap Infiltrators shall be installed according to the DEP General Use Approval letter 95A9' ALLOUTLETPIPESFROMTHE and the Infiltrator Installation Guidelines. DISTRIBUTION BOX SHALL BE I I.The existing southwestern septicsystem shall be pumped and filled with clean sand. 110.3'xO BA3' SET LEVEL FOR ATLEAST2FT. 12' CONCRETE COVER 12.Provide manifolded 4"dia.vent with carbon filter,as shown. 10.79 x s-s ounEr 2' 13.Main sewer from southwestern septic system shall be connected to rear septic system O KNOCKOUTS 938 ass via internal plumbing change. _.._._-._..__.... (,1 Is 14- N we-prllll . '`.-- -- OUTLET n 12' INLET If Fra nct.a��{ .� t€e substitute withttfrioNowing 1•ar>�• 4z 6: B insnkrconf mvmcL fiubn61119 1 2. ARR80Kurh AQNdoned) 110.23'x EXISTING SEPTIC eaa �`' easq PLAN-SECTION CROSS-SECTION i QZ4 / 5 HOLE H-20 DISTRIBUTION BOX S� 1� n' Z NOTTO SCALE sI X0 LOCAL UPGRADE APPROVAL VARIANCE REQUESTED: 310 CMR405(1)(b):AVARIANCE IS REQUESTEDTO ALLOW THE PROPOSED SAS "o �• PERK TEST & SOIL EVALUATION P#13114 TO BE CONSTRUCTED APPROXIMATELY FIVE FEETFROM GRADE IN LIEU OFTHE 4- O x 107.32' >,h� �[ Date of Perc.Test&Soil Eval.:September 16,2003 REQUIRED THREE FEET.A VENTWITH CARBON FILTER AND H-20 SAS ARE PROPOSED. tL 1o8.4r J Test Performed By:Glen E.Harrington,R.S. LOCAL UPGRADE APPROVAL VARIANCE REQUESTED: tr` 1 cp xio1. Q� WITNESSED BY:DAVU)STANTON,R.S. \° d'o G1 L 9 O` EXCAVATOR:JESSE,JOYCE LANDSCAPING 310 CMR 405(1)(b):AVARIANCE IS REQUESTED TO ALLOW THE PROPOSED SEPTIC TANK PERK RATE:LESS THAN 2 MPI TO BE CONSTRUCTED APPROXIMATELY FOUR FEET FROM GRADE IN LIEU OFTHE ,06.45'x A=2 , 80 S T. p'\• REQUIRED THREE FEET. H-20 LOADING IS PROPOSED. Test Hole Test Hole �Qa No. 1 No.2 DEPTH SOILS ELEV. DEPTH SOILS ELEV. �(NOF�ASS PROPOSED SEPTIC SYSTEM REPAIR X 105.83' P E R K TEST PREPARED FOR °5 C / ° A 111.45' ° A n1.as' DEPTH: o H J. SITE PLAN Z lonmysand loamysand cy RICHARD PETZE ET UX 00 LEGEND 9. 10YR3/2 11079' 10YR3/2 11079' BEGIN SOAK:0 MINUTES 070 AT SCALE: 1 =20 BIN Bw END SOAK:8MINUTES /i'C 1p•t`ff11<r� (� ' ' 96.3V EXISTING CESSPOOLS loamy sand loamy and S t`�r 0 1 Lc` #90 SACHEM DRIVE BENCHMARK ON HYDRANT �0� O TO BE PUMPED AND REMOVED 26' 1OYR5/6 10928' 26" 10YRs/6 10928' TIME:8MIN.=UNABLE TO SOAK, ,q USE<2 MPI FOR DESIGN /T A. TAG BOLT#520ELEV.=100.00'(ASS UMED) B.M. BARNSTABLE (CENTERVILLE), MA got o O O PROPOSED 1500GAL H-20 SEPTIC TANK C, C1 mad.-cs sand med.-sand HARRINGTON GLEN E.DENOTES EXISTING 2.SY7/6 2.SY7/6 PREPARED BY' 99 X 104.46 SPOT GRADE CB find 98.22' 120" 101.45' 120° 101.45' , R.S. --------95------------- EXISTING CONTOUR NO GROUNDWATER ENCOUNTERED -� 9 L E DA ROSE LANE 16" � DEEP TEST HOLE MARSTONS MILLS, MA 02648 9�.,2' ,, Soil Evaluation Certification UNIVERSAL DCAP ____ ----_------W_------ hh I certify that on October,1995, 1 have passed the soil evaluator A rox. location � p TEL:508-428-3862 34" existing water line examination approved by the DEP and that the analysis was performed by me consistent with the r g required training,expertise an ri cede ribed : 508-428-3862 END SECTION HI CAPACITY INFILTRATOR _ Approx. location in 310 CMR 15.017. l -� existing gas service t SCALE: 1"=20' DRAWN BY' GEH DEC.3,2010 O.P. Glen E.Harrington,R.S. to o Observation Port DATUM:ASSUMED FILE: PETZE SHEET 1 OF 1