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HomeMy WebLinkAbout0012 SAIL-A-WAY - Health (3) 12 Sail-A-Way Lane Centerville A=230-094 - 001 No. -153LOR HASTINGS,HN TOWN OF BARNSTABLE LOCATION SEWAGE# (g VILLAGE �1J��.��(� , ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY !j�fC�1 LEACHING FACILITY:(type)=/ -kQAC (size) NO. OF BEDROOMS OWNER 'rGV�Lit �, PERMIT DATE: COMPLIANCE DATE: J�a CQ 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 4 1 �0-z a � i o a 'N •.j' 2 1 0A 00.00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZippYication for Di5po5al 6p5tem Congtructfon Permit Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. 12 Sail-a-Way, Centerville Harold & Elaine Renzi Assessor'sMap/parcel 230 94 12 Sail-a-Way, Centerville Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 8 9 4 Wm E Robinson Sr Septic ��� Eco-Tech PO Box 1089, Centerivl' �%� 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder pn Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd ¢` Plan Date 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) . Install a new Title 5 septic system to plans of Eco-Tech, #ETE-2285 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 He lth. Signed Z4 v Date Application Approved by Date '"Z_ j156 Application Disapproved by: Date for the following reasons Permit No. ���(� �.j Date Issued 2 139 VIA00 00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: � L_) PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Xe ZIppYication for Migo.5ar *V,tem Construction -permit Application for a Permit toConstruct O Repair(X) Upgrade O `Abandon O ❑ Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. 12 Sail-a-Way, Centerville Harold & Elaine Renzi Assessor'sMap/Parcel 230 94 12 Sail-a-Way, Centerville Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 8 9 4 . .Wm E Robinson Sr Septic Eco-Tech PO Box 1089, Centerivll F 43 Triangle Cir, Sanclwi.ch Type of Building: uh h` r. Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder (nq Other Type of Building No.of Persons Showers(---+..,Cafeteria( ) Other Fixtures ^ �h ar Design Flow(min.required) gpd Design flow provided / V gpd �E�_ Plan Date Number of sheets Revision Date Title t Size of Septic Tank `. Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) install a new Title 5 septic}" system to plans of Eco-Tech, ETE-22,$ 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 He Ith. Sj Signed Date 02 S`6 C.• Application Approved by Date 6 Application Disapproved by: Date for the following reasons _ Permit No. 6- _6�Ln 2.3 / Date Issued ———————————————————————————— —/———————— - — THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS A.` Renzi Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( X) Upgraded ( ) Abandoned( )by Wm E Robinson Sr Septic Service 12 Sail-a-Way, Centerville at has been constructed in accordance 'E/with the provisions of Title 5 and the for Disposal System Construction Permit No. �� 2 3 dated 2 dG. Installer it 1111"N Designer #bedrooms 14 ) Approved design flow gpd The issuance of this permit s 11 not gel!construed as a guarantee that the syst m will c n �Jlirhre�d. ��� Date � / (o Inspector No. 23 fj 00.00 THE COMMONWEALTH OF MASSACHUSETTS RenVUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Di.5 pool;*pgtem Con5tructton Fermat Permission is hereby granted to Construct ( ) Repair (X ) Upgrade ( ) Abandon System located at 1 2=-Sail-a-Way, Centerville 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: Constructign must be completed within three years of the date of this permit, Date n Approved by ❑ �i 1 Town of Barnstable OF THE 1p� 'P� .o• Regulatory Services 1,Lomas F. Geiler, Director • BARNSTABLE, 9�A b9. � Public Health Division lfDMAiA Thomas McKean, Director 200 plain Street, Hyannis, 11A 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: (e-11-6(, Sewage Permit# Assessor's 1\'lap\11arcel 230 Designer: Ecn-TPrh Installer: Wm E Rnhi nGc)n Sr c;ctic Address: Tr ax�glpAddress: pp Box 1 089 --_---- SaMdwl-c-h Centerville On Win E Robinson Sr Septvigissued a permit to install a (date) (installer) septic system at 12 Sail-a—Way, Centerville based on a design drawn by (address) co—Tech dated 05-16-06 (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 Nvitli State & Local Regulations. Plan revision Or �! certified as-built by designer to folloxv. SH OF Mgss 9 �o� DAVID—W:: oyG� lstaller's Signature) D COUGHANOWR N No. '1093 GIs 6 SgAl rAM (Designer's Signature) (Affix Destjn is Stamp Here) PLEASE RETUIUN TO BzW-NSLABL.E PUBLIC HEALTH DIVISION. CERTIFIC VIE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM :U1ND AS-BUILT CARD ARE RECEIVED BY TILE BAK STABIJ PUBLIC HEALTH DIVISION. THA;NK YOt:, Q. Healtn;Septic,Desiener CerUl-ication Forn-,t-26-(U.doc ,l Department of Regulatory Servlcm Public Health Division ass� 200 Main Street,.Hyannis MA 02601 Date Date Scheduled 3�2� D� Time_ Fee Pd. 00 Soil Suitability Assessment for Sewa Performed BY: �f4vl Q �. ge Disposal CpOC- H+NO&vp` (Z5 : Dlv}}�0 r Location Address l� LOCATIONt�& Witnessed B GENERAL INFORMATION ��i L^�- W A l �.i 1V� Owner's Name Fl�2oc.o �. EL�IUL R��1�1 Address Assessor's MaP/>'>trcel: �_I Nr � M 11 ()z6J�ZNEW CONSTlUC70N23� 0 Name REPAIR 04VID Z5 R G,51 Telephone# v f� 36c( 0 � Land Use Q r-1�T I I i}U /� Slopes(gib) V Surface Stones W D'�J E Distances from:. Open Water Bod 1 0 0 4 r--__ft Possible Wet Area C00 I DO+ ft f o p� r ---- ft Drinking Water Well Drainage Way ft Property I D t Pe Y Line ��ft Other ft SKETCHS(Street name,dimensions of lot,exact locations of test holes& in -- - plc tests locate Wetlands '— — Proximity to holes) %,- -- ►NEOUAOL�T ------— LAKE ^ CONTROLLED ELEVATION LZ��/ ELEVATION LAKE Fti / O = 34.41 5A • gym. �t am ej \\TP® A 0 m f Parent material(geologic) ��0 P r !a G17�>NtiS�I m Ic Depth to Bedrock NOh Depth to Groundwater. Standing Water in Hole: A�D 11 e Weeping from Pit Rgce Estimated Seasonal High Groundwater 3`C.4I �lev Method Used: DETERMINATION FOR SEASONAL HIGH WATER TABLE }Pt'_ �b C✓E Depth Observed standing in obs.hole: Depth to weeping from side of obs.hole: in. Depth to SO mottles: Index Well# _- ReadingDate: m, Groundwater Adjustment Index Well level—, Adj.factor ft' r Adj.t°lraundWutetVCI Q� r PERCOLATION TEST EMinJInchbi Da 3I2�! d 11 - � ( xYme-Time at 9" Cl rc 60 Time at 6" 0 lei k Time @ ((� S 7 Time(9"-6") k I(,ch bi P i Site Suitability Assessment: Site Passed Stte Fail ed:-- Additional Testing Needed(Y/N) Original:Public Health Division Observation Hole Data To Be Completed on Back-------_-- ***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:ISEPTICIPERCFORM.DOC NO GROUNDWATER ENCOUNTERED TEST PIT I PARENT MATERIAL: PROGLACIAL OUTWASH ELEVATION = 41.65 PERC AT 60 to 2 MIN/INCH IN C SOILS DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 41.65 8-4 O WOOD LOAM 10 YR 2/1 NONE FRIABLE 4-16 A LOAMY SAND 18 YR 2/2 NONE FRIABLE 16-36 B LOAMY SAND 10 YR 5/4 NONE FRIABLE 36.85 36-128 1 C MEDIUM SAND 1 10 YR 6/3 1 NONE LOOSE. 10% STONES 3L18 NO GROUNDWATER ENCOUNTERED TEST PIT 2 PARENT MATERIAL: PROGLACIAL OUTWASH ELEVATION = 41.70 +- 2 MIN/INCH IN C SOILS DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 41.70 6-4 O WOOD LOAM 18 YR 2/1 NONE FRIABLE 4-12 A LOAMY SAND 10 YR 3/2 NONE FRIABLE 12-36 B LOAMY SAND 18 YR 5/4 NONE FRIABLE 38.53 36-120 C MEDIUM SAND 10 YR 6/3 NONE LOOSE, 10% STONES 31.70 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color. Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consiste c G ,i -ti DEEP OBSERVATION HOLE LOG Hole# x 4. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones Boulders. Consistency, I C) -- Flood Insurance Rate Map: / Above 500 year flood boundary No_ Yes ✓____ Within 500 year boundary No V Yes Within 100 year flood boundary No '✓ Yes Depth of Naturally Occurrine 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? e S If not,what is the depth of naturally occurring pervious material? - Certification I certify that on ��� (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 training,expertise and experience described in 310 CMR 15.017. Signature S Date Zq ��� SOIL_ TEST LOG DESIGN CALCULATIONS � DATE OF TEST: MARCH 29. 2006 + DESIGN FLOW: 4 BEDROOMS X 110 GPD = 440 GPD SOIL EVALUATOR: DAVID D. COUGHANOWR. RS WITNESSED BY: DONAL.D DESMARAIS. HEALTH DEPT. SEPTIC TANK: 440 GPD X 2 DAYS = 880 GALLONS NO R TEST PIT 1 PARENT UMAATERIARL:ENCOUNTE PROGLACA LD OUTWASH INSTALL 1500 GALLON SEPTIC TANK (MINIMUM . ALLOWED) ELEVATION = 4LB5 +- PERC . AT 60 in : 2 MIN/INCH IN C SOILS DISTRIBUTION BOX: USE 3 OUTLET D-BOX. DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER � SOIL ABSORBTION SYSTEM: A 30 FL x 20 FL LEACHING FIELD CAN LEACH (INCHES) HORIZON TEXTURE 0`1UNSEi_L) MOTTLING 41.85 Abo-. = ( 30 x 20 ) = 300 sf 0-4 O WOOD LOAM 10 1'R 2/1 NONE FRIABLE A = ALoL = 600 sf 4-10 A LOAMY SAND 10 Y"R 2/2 NONE FRIABLE V t 0.74 x 600 = 444 G P D 10-36 B LOAMY SAND 10 YR 5/4 NONE FRIABLE USE A 3 f t x 20 FL LEACHING FIELD Vt = 444 GPD > 440 GPD REOUIRED 38.85 36-126 C MEDIUM SAND 10 YR 6/3 NONE LOOSE. 10% STONES 31.18 NO GRR TEST PIT 2 PAARENOTUNDWATER MAATER AL:ENCOUNTE PROGLACALD OUTWASH ELEVATION = 41.70 +- 2 MIN/INCH IN. C SOILS L EA CHING FIELD DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER CROSS SECTION VIEW (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING USE SCHEDULE 40 PVC PERFORATED PIPE AND SLOPE AT .005 ft/ft. 41.70 0-4 O WOOD LOAM 10 YR 2/1 NONE FRIABLE CAP ENDS OF PIPE 4-12 A LOAMY SAND 10 YR 3/2 NONE FRIABLE 2 in PEASTONE LAYER 127-38 B LOAMY SAND 10 YR 5/4 NONE FRIABLE 38.53 - 2 in 31.70 38-120 C MEDIUM SAND 10 YR 6/3 NONE LOOSE. 10/ STONES 6 inMon 314 In TO 1-112 in GRAVEL MIN 4 ft 6 ft 6 ft 4 ft NOTES + 20 ft 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN ' 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. 3) ALL COMPONENTS INSTALLED .SHALL MEET THE MINIMUM REOUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) i 4) INSTALLER TO VERIFY LOCATIONS OF, ALL UNDERGROUND UTILITIES J BEFORE EXCAVATING FOR SYSTEM. 5) EXIS'rING CESSPOOLS TO BE PUMPED. COLLAPSED, AND FILLED. OR REMOVED 6) ALL STONE TO BE DOUBLE WASHED i'.ND FREE OF IRON. FINES AND DUST IN PLACE 7) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0" BEFORE PITCHING DOWN SEWAGE DISPOSAL SYSTEM PLAN 6) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES -TO SERVE EXISTING DWELLING AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK 9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT HAROLD AND ELAINE RENZI PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. 12 SAIL-A-WAY LANE CENTERVILLE, MA 10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. 11) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL ECO-TECH ENVIRONMENTAL STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING 43 TRIANGLE CIRCLE SANDWICH MA 02563 ETE=2285 MAY 16. 20061 1212 CENTERVILLE MA z CONTOURS w�C1uf�QUET wE0UA0UET o = LAKE o J< EXISTING - - - - - - - 50 / LAKE P WPC oN <3 FINAL 50 S , zmj: z❑ / o<w of A CONTROLLED ELEVATION LAKE �J� <o ,, �� ELEVATION 34.49 LOCUS N t m mom m o� 12a f / , zz W u�i ' m S a-a � ��' r LOT 5 U LL o m AREA = 37000 sF t+m / LOCUS MAP w NOT TO SCALE s �LIJ z o dex / PLAN REFERENCE �ch o z /� / -� _� P��\ / PLAN BOOK 140 PAGE 79 N J / PLAN BOOK 149 PAGE 7 Co wN v PLAN BOOK 321 PAGE 69 o Q o <- � ��ti �Q / 36 ASSESSOR'S MAP: 230 J~ O FW m a0$0 fit'' „ / 4X' /, LOT: 94-1 N J / ��ti kwx PROPERTY IS NOT IN A W m �x WELLHEAD OR GROUNDWATER PROTECTION DISTRICT. z r zw oQ°a3 NOTES ~ -� SEWER LINE B IS TO BE REROUTED 3� X 4 \ A / INSIDE DWELLING TO MEET SEWER LINE 0 o 0 m N \ A OUTSIDE DWELLING AS INDICATED ON W ~J m I I m m 36 JN66' v �'Ic / PLAN AT ELEVATION .41.05.. Ul r� v r _ I �j` \ e\ �5'0 �. r''U`� \PLUG F< -` \ / ANY ADDITIONAL CESSPOOLS NOT oIL zw s ` <jti� 40 SHOWN ON THIS PLAN ARE TO BE (n u o c o m \ < \ \ / LOCATED AND PUMPED, COLLAPSED Z w c �m �'�� AND FILLED. co cn - LEGEND jr� >� CO v\ ' \ \gyp 41 x. f W 1500 GALLON E , m SEPTIC TANK m D-BOXLd TEST PIT ® BENCH (HARK m m m 40 \ s P e \ PK NAIL IN DRIVE N m EXISTING ELEVATION - 41.23 J� CESSPOOL \ R a-o 10 \41 BARNSTABLE GIS DATUM W z I j~ UTILITY POLE $ 30 f t x 20 Ft` W �z \ Z � 0 z U TREE LEACH FIELD —J J m J 2' eP \� Zp so << a N -NUMBER REFERS TO DIAMETER SOIL REMOVAL ARE) A Lim W ,� IN INCHES.LETTER DENOTES TYPE - S EW AG I D I S P O S 1 L S I S T E I 1 L I \N 3 �� O >- O-OAK M-MAPLE P-PINE - oLL pCULli Of 1 `� 1.. o 11. m _ \ �\ \ -TO SERVE EXISTING DWELLING w �'`�' , 4° �� HAROLD & ELAINE RENZI . ry oEl cn w PLAN n z N L 4 (I) "~ `. \ 12 SAIL-A-WAY LANE CENTERVILLE, MA l _ .0 N m SCALE: 1 to = 30 Ft ` \ -- 30 0 30 60 a� EEO_TECH ENVIRONMENTAL -� w m m Lo e 10 ze 3B �\ e. 43 TRIANGLE CIRCLE SANDWICH MA 02563 Lo 0 0 0 \ Fw /i 508 364-0894 ETE-22B5 I MAY 16, 20- 06T ft 1/2 40 ci�m �1 Yx THIS PLAN IS BASED ON AN INSTRUMENT SURVEY AND IS L r l l �r INTENDED SOLELY FOR INSTALLATION OF THE PROPOSED / (/) SEPTIC SYSTEM. FOR ANY OTHER CHANGES TO PROPERTY OWNER SHOULD CONSULT WITH A REGISTERED LAND SURVEYOR.