HomeMy WebLinkAbout0267 SHOOTFLYING HILL RD - Health 267 Shootflying Hill Rd
Centerville
214 014002
UPC
llll ��,
r
43
No. 53LOR
S
HASTINGS, !IN
No. �. a r - Fee
THE COMMONWEALTH OF�AHU§ETTS Entered in computer: /
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
appuratiou for Mi onl *p!tem Construction 3permit
Application for a Permit to Construct( . )Repair T&�grad ( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. W 61 Owner's Name,Addr s and Tel.No. IQ
p 1 /ti
Assessor's Map/Parcel
bl ao2 Ce VI/Tr +'rgA
Installer's Name Address,and Tel.No. Des' ner's Name,Address and Tel.No.
e9 Za 6eo-®`f_
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 gallons per day. C culated daily flow 00 gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank ��d Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) A�V—
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 E onmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issu�-byn�isoard KVealth.
Signed Date 6
Application Approved by Date
Application Disapproved for the following reasons
Permit No.;� rn — T Date Issued 6
No. !*�� . ,6 Fee
11�+ v J -
THE Ct MMONWEALTH OF ETTS Entered in computer: ✓
..� Yes
PUBLIC HEALTH, DIVISION,- TOWN OF BARNSTABLE., MASSACHUSETTS
ZIpprication for dig ogal OV.5tem Con.5truction Permit
Application for a Permit to Construct( )Repair( )Upgrade(�)Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. tX4 .'Ownef's Name,Addr s(f d`el.No. /V
1 p ) 1� v 4fS
Assessor'sMap/Parcel 21(� o+t' Gp� - ryeyI/_ /J �5 a� 3�f�' �7`�
Installer's Name Address,and Tel.No. ! De�er's�R Name,,Address
d Tel.No.4,re '^`t S �y HZV
t
c O I'A•.SI>�.c Owsl. &� ��� 0��1, M
Type of Building:, .1 i
Dwelling No.of Bedrooms Lot Size S �` y q. ft. Garbage G 'nder( )
Other Type of Building \A No.of Persons Showers( .) Cafgteria( )
Other Fixtures U�'
Design Flow �+�b - t1b q m gallons per day. C culated daily flow yyo gallons.
Plan Date ri I� b� Number of sheets Revision Date QS
Title
Size of Septic Tank QQ It Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) On of Q_A�Q{V a Vn
Date last inspected:
ti
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 E onmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issu M this oard of ealth.
Signed , - Date S 6
l Application Approved by ✓W. � � Date � / G /
Application Disapproved for the following reasons
Permit No. U L� ' I Date Issued 6 do L
THE COMMONWEALTH OF MASSACHUSETTS
_ BARNSTABLE, MASSACHUSETTS
(Certificate of Compliance
THIS IS TO CE TJFY, that the On-site Sewage Disposal System Constructed ( ) Repaired ( )Upgraded(x)
Abandoned ).by L 5�kvn n.1
at - 6- bu �'� 1 ��Y has been construe ed)n accordance
with the provisions of Title 5 and We for Disposal System Construction Permit No. Uu`�` a6 dated (o //0
Installer Designer /
The issuance of this Pe t shall not be construed as a guarantee that the sys Pinit unction s designed.
Date / `I _ Inspectors
No.—2ooq=aG y-----------------------��— Fee /00 T ,
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
jBigogal *p$tem Congtruction Permit
Permission is herebU ranted to Consturyct( )Repair( )Upgrade�f)'Abandon( )
System located at &7 S��>�, ^ _
a
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
`comply with Title 5 and the following local provisions or special conditions. -
Provided: Construction must be completed within three years of the date of th; ermit.
Date:_. o�0 d - �6 / Approved by s -
9�Q-0c)! �i r 2Uot� -rn�,
TOWN OF BARNSTABLE
LOCATION �o �m . - ��` Yt'�, SEWAGE # Oy_2 61
VILLAGE1
ASSESSORS MAP& LOT 0yJ t1:1
INSTALLER'S NAME&PHONE NO. '�t ' G
i �� �L� C�daA-vZs 3�1
SEPTIC TANK CAPACITY
A
LEACHING FACILITY: (type) �j11�vi ,;,prc Spy
size)
NO. OF BEDROOMS
BUILDER OR OWNER L eon
PERMITDA TE:_ 64L `/ COMPLIANCE DATE: U
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) + Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
i
gar-k
d �ou� e/)
1„
8 l
AZ_
t �y
A3
e ,.
TOWN,tOF BARNSTABLE
LOCATION ui"A- 'SEWAGE # Oy"'2-61
VILLAGE aA4ewC\\e ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. 5 x' k__ 5 C�del'�lz�'(o3Sl
SEPTIC TANK CAPACITY SbU.
LEACHING FACILITY: (type) 5'IhZYiMi7-eh dMi6size)$;j q
NO.OF BEDROOMS 66
BUILDER OR OWNER
PERMITDATE: ,I l�U`� COMPLIANCE DATE: -74 U
Separation Distance Between the: i
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 -
Az=
B3
i
Town'of Barnstable
t Regulatory Services
Thomas F. Geiler, Director
Public Health Division
Thomas McKean, Director
200 Main Street,Hyannis,?VIA 02601
Office: 508-8624644 Fax: 508-790-6304
Installer & Designer Certification Form
Date: _ 1(s 04 Sewage Permit# 04 7G Assessor's MaplParcel I_t If
Designer: ��"''� — Installer: r Q '�Vycn,'_S
Address: -�n S� Address: O ;b1L \VJ.
On was issued a permit to.install a
(date) (installer)
septic system at 0 based on a design drawn by
(addr Ss)
4—, dated
(design r) —T
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.yertical relocation o any component
of the septic system) but in accordance with State & Local Regulations. Plan revision or
certified as-built by designer to follow.
�ZH OF MqS
moo`' ARNE
H.
(Inst Signature) OJALA H
No.26348 y
t °pessto P
9M ��
�Sl9Ry�
(Designer's Signature) (Affix Design amp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DMSION. CERTIFICATE OF
COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE
RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DMSION. THANK YOU.
Q:Health/SeptidDesigner Certification Form 3-26-04.doc
No. Fee
p O THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
01ppricatiou for Otgaar *p9tem Cougtruction Vermtt
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System O Individual Components
Location Address or Lot No. 4 a F 20 /! .5�4 V-0 E Owne 's Name,Addresr-16 d Tel.No.
Assessor's Map 1 I
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.,y
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size S 9 y s sq. ft. Garbage Grinder(,4 )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date 1/3 14-1 Number of sheets Revision Date
Title
Size of Septic Tank 1 S 00 Type of S.A.S. Z.! %!Fra Furs
Description of Soil // _n/a ti
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 issup#by this B,6 d o ealth.
Signed ]-(yc t'0 �L Date �' � ' s7
Application Approved by - Date a,—--Le, —
Application Disapproved for Re following reasons
Permit No. — Date Issued
.r. "s..� r n � .. a. wry. ^.�. tltr- .,W ..� '+'^i." 1. ^ .*-,•"'r.Y vv .
w
No. •'""'" Fee•
P $�p 141 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION— TOWN OF BARNSTABLE., MASSACHUSETTS b
ZIppricatiott for Mioogal *rmem Corigtruction"Permit
A li f Permit C catibn or a ermt to Construct( x)'Repair( )Upgrade( )Abandon ❑Complete System O Individual Components
PP. (r7 r_,.,t P Y P
Location Address or Lot No. ,t 6, zo A d E Abwner's Name;Address�f d Tel.No.
//
Assessor's Map/ r l� y ry S ( !
Installer's Name,Address,and Tel.No. i Designer's Name,Address and Tel.No. {
8ert6/a(3 toe, �&w
Type of Building: f
Dwelling No.of Bedrooms 3 Lot Size 5 9 y s 9 sq. ft. Garbage Grinder(n/ )
Other Type of Building No.of Persons "' Showers( ) Cafeteria( )
Other Fixtures
i
Design Flow gallons per day. Calculated daily flow gallons. j
Plan Date //s /9-1 Number of sheets' I Revision Date
Title
Size of Septic Tank 16 o v Type of S.A.S. 5- of a x•w •�_•- 3 •/!e l s
i
Description of Soil i
Nature of Repairs or Alterations(Answer when applicable)
;i
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-
cateof Compliance has been issued,by this Board of Bealth.
Signed Dates7
Application Approved by Date
Application Disapproved for e following reasons
Permit No. �?_ 9t, Date Issued
1
- — —————————————————————————-———-————
THE COMMONWEALTH�OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS,
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( x_)Repaired( )Upgraded( )
Abandoned( )by -;o ie r fi( (,r1 f c(ti s i 0 L f r c c'i
at /o/ 7 o a 51 -0 -7/. /! 17 d. P has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. !77--F 6 —dated
Installer R 1-0 f;co 4 Designer h a w N c tW G!N((--A d L
The issuance of this permit shall not be construed as a guarantee that the s i .function as d e
Date 4!!:L. F`Z Inspecto
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION BARNSTABLES MASSACHUSETTS
&5pogar 6pgtent clCongtructiou Permit a..
Permission is hereby granted to Construct( x )Repair( )Upgrade( )A`'bandon(V )
System located at to 1 ro A 54 w o( l :" r -'71 / led . �-� f•��, /L,
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 permit.
Date: 1 _2.& - Approved by '�
EXISTING SEPTIC SYSTEM:
REF. P#8801
SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED i
DESIGN FLOW: 3 BEDROOMS (110 GPD) = 330 GPD
USE A 330 GPD DESIGN FLOW RouT¢6
SEPTIC TANK: 330 GPD ( 2 ) = 660
USE A 1500 GALLON SEPTIC TANK 2% SLOPE REQUIRED OVER SYSTEM
LEACHING: 2' DOUBLE WASHED PEASTONE LOCUS
SIDES: 2(40.25 +6.83) 2 (.74) = 139.4
BOTTOM: 40.25 x 6.83 (.74) = 203.4 �NG�ny
TOTAL: 463 S.F. 342.8 GPD 0 0 O Gl O O O ED ClAA
`
EXISTING SAS CONSISTS OF 5 MAXIMIZERS WITH 2' 0 0 0 0 0 0 0 0 0
STONE ALL AROUND ED ED C3 O O C3 ED O ED
2' 0000 0 0000 0
PROPOSED ALTERATION OF EXISTING 3/4" TO 1 1/2" DOUBLE WASHED STONE
SEPTIC SYSTEM: PROFILE OF PROPOSED 500 GAL. CHAMBER
ADD 1 BEDROOM CAPACITY TO SYSTEM: INSTALL SUCH THAT INVERT IS AT SAME ELEVATION AS LOCATION MAP (NO SCALE)
RE-USE EXISTING 1500 GAL. SEPTIC TANK INVERT OF MAXIMIZERS.
ADD NEW D'BOX AND PIPE TO SAS AS SHOWN
(TOP FEED MAXIMIZERS)
FOR LEACHING FACILITY: BOARD OF HEALTH
AREA OF BASE OF SAS: 386 SF (.74) = 285 GPD
APPROVED DATE MA
PERIMETER OF SAS: 121 FT. (2) (.74) = 179 N
TOTALS: 628 SF 464 GPD
REMOVE STONE FROM END OF SAS AND ADD (1) 500 GAL
CHAMBER (ACME OR EQUAL) WITH 3' STONE AT SIDES, AN
END (SEE HATCHED AREA).
LOT 20A
59,459 sf
(1.37 ac)
0
148 82,
w
Z'� N
NOTE: NO PART OF SEPTIC SYSTEM OR FILL FROM EXCAVATION —•
SHALL BE PLACED IN EASEMENT AREA ��� PROP. VENT WITH CHARCOAL FILTER cl
2 AND BUGSCREEN (FINAL PLACEMENT BY
CONTRACTOR WITH HOMEOWNER
CONSULTATION)
REFERENCE PREVIOUSL`�' AFPR^)VE3-SITE"'.�NG SEWAGE-PLAN
PREPARED FOR PRESTIGE PROPERTIES, DATED 1/3/97
SHED
EXIST. SAS OF 5
O MAXIMIZERS WITH
STONE IN 40' x 7'
/ CONFIGURATION
'NUrk 6A 1� �V / ADD NEW D'BOx AND
PIPE TO SAS AS SHOWN -
(TOP FEED MAXIMIZERS)
+ I"`� �J ��` !DECKS - EXIST. 1500 GAL.
.T' he V. SEPTIC 4NK
r w ---
55.4't EXIST. ?
/ N , PROPOSED DWELL. k`
�7 7 J�� ��ADDITION
r y
20.1'f
—
WATER
ENTERS I
FRONT .L
off 508-362-4541
fox 508 362-9880
down cape engineering, inc.
CIVIL ENGINEERS
LAND SURVEYORS
939 main St. yarmouth, ma 02675 1-=120 .2g 3 29.71
7
R=527 AD
SffOOT FLYING gIL
L ROAD ,
S I Xf PLAN
SHOWING PROP. ADDITION AND MODIFICATION TO SEPTIC SYSTEM
"�j>•10F Atgs OF OF
ARNE H.s9°tip �`� 9� 267 SHOOT FLYINC HILL ROAD
a� OJALA �� AR
U CIVI tiN IN THE TOWN OF:
Na' 3 CENTER VILLE
� LA ( ) DARNSTABLE
PREPARED FOR:
LEONARD LEON
AR °� - LA, P-. av�°� DATE
MAY 11, 2004
SCALE: 1" = 40' DATE:
04-098 _
REV 5/28/04
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SEPTIC PROFILE TEST HOLE LOGS
T.O.F. AT EL.
�'� ACCESS COVER TO WITHIN Ir OF FIN. GRADE (W)T TO SCA4
ACCESS COWER (WATERTIGHT) TO ENGINEER:
WITHIN Ir OF AN. GRADE f,.44a4„r 0 1 - '
50 O MINIMUM .75' OF COVER OVER PRECAST /� 2% SLOPE REQUIRED OVER SYSTEM WITNESS:
f DOUBLE WASHED PEASTONE DATE:
RUN PIPE LEVEL i sI 3
FOR FIRST 2' / \ 3' MAX. PERC. RATE = L �'''� ` °''J ► '`a i 4--
PROPOSEDrp Lr 1 s e \.
s� 4 GALLON SEPTIC 41 SS \� CLASS — SOILS P
TANK (H- (0 GAS V v / Nis
BAFFLE ---
4(p.S Z ' G —
( f� SLOPE) �8' CRUSHED STONE OR MECHANICAL
COMPACTION. (15.221 [2n 2 2' _ o O Q ELEV.
Q
DEPTH OF FLOW -} "
TEE SIZES: (.LX SLOPE) ( 5 x SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE -'
INLET DEPTH 1 O' A I ��
OUTLET DEPTH LOCATION MAP SCALE 1" = Zo�►ts
r ! I / - - LEACHING ` a �ti l0,.r2 3 ' " S�.Q$ �o v 5 �1.5
FOUNDATION— 0 SEPTIC TANK D' BOX -4 FACILITY j ' --�- --�-- } ASSESSORS MAP �14PARCEL
G i ZONING DISTRICT:
1`'' `j� ' I
YARD SETBACKS:
FRONT = moo'
��`����l r%a-� �►� w,.�r.c.�,y,,� c' ; SIDE _
, . REAR - S
ty� t�1p. cry a� r�o1�►.+ To x v` ! L 15 YQ 4 A. PLAN REF.
""- -' �1 .� a�` r�fr �'�' +►�y'�i.:. - 2.5 'f v �k.. �, FLOOD ZONE:
wat + 0�
�0 f
NOTES:
� ! SEPTIC DESIGN: (GARBAGE DISPOSER IS avc . 1 . DATUM IS 6 t:> A l : t✓Oti r✓' ;X..r� ►.:i�
DESIGN FLOW: _f BEDROOMS ( {'' GPD) - ___GNU 2. MUNICIPAL WATER IS �'rfi ► ° `'_
o USE A 1 � %GPD DESIGN FLOW 3. MINIMUM PIPE PITCH TO BE 1/8" PER F00T.
4g- gr N ,✓ F SEPTIC TANK: �'2,'GPD ( '' ) _ 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- !�
-- 5. PIPE JOINTS TO BE MADE WATERTIGHT.
N +,
USE A 1500 GALLON SEPTIC TANK 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS.
LEACHING: ENVIRONMENTAL CODE TITLE V.
_ qG 2_5 t v .g�,> z G .� - ;�;1 1} 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE
{ SIDES: — USED FOR LOT LINE STAKING.
o BOTTOM: —�a ' `� '�3- z� - 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
TOTAL: ._ 4�' - S.F. t$GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT
INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED
FROM BOARD OF HEALTH.
R
r4�i {�
LEGEND SITE AND SEWAGE _PLAN
L_100.OJ PROPOSED SPOT ELEVATION OF0,4 -
100x0 EXISTING SPOT ELEVATION '
IN THE TOWN OF:
A
PROPOSED CONTOUR
-- -- ?00 -- - EXISTING CONTOUR PREPARED FOR:
(GIZ ? �b•►1 - A G7" 0 17.ia
m 1 �— 1 BOARD OF HEALTH
: �t 1 ___ F .A
SCALE: ; -••ta DATE: _ A. �. `i�
APPROVED DATE
off 508-362-4541
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down cape engineering, Inc. 0_IA►A IA �J=
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�j�pQ� � CIVIL ENGINEERS `�\ E 30n2 ft.
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LAND SURVEYORS �� E d► t0 — '
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fQB ii CA� 939 main st. yarmouth, ma 02675 ————
ARNE H. OJALA, P.E., P.L.S. DATE