HomeMy WebLinkAbout0773 SHOOTFLYING HILL RD - Health (2) 773 Shootflying Hill Road
Centerville
Alai 92 015
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No. 42101/3 ORA
ESSELTE
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No. 40 C — O Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Zipplication for MIsp08al 6pstem Construction Permit
Application for a Permit to Construct( ) Repair(.1 Upgrade Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 19 3.5 OO7—Fly t N6 Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel -a UlCfoE ZP-060AJAS SUP`77S - 937
Installer's Name,Address,and Tel.4. Designer's Name,Address,and Tel.No.
,3-kg 6X6QVCd6,01 _69- M Ob,63 Flaheel Zw �T-/-5944-/t6�
Type of Building:
Dwelling No.of Bedrooms Lot Size 5 sq.ft. Garbage Grinder(Nb
Other Type of Building 5 c No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd De n flow provided gpd
Plan Date ca� aJr Number of sheets Revision Date
Title
Size of Septic Tank dV Type of S.A.S.
Description of Soil +
Nature of Repairs or Alterations(Answer when applicable) 1410 (,6C0C IC j 5T� 20 dbo fC Tl _(
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 Boar gh.
Signed Date
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. Date Issued 19L ZL&_
' I
No. 1�k L 09 / Fee
ti
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
0[pplicatlon for Disposal *pstem Construction Permit
Application for a Permit to Construct( ) Repair( Upgrid� ,'Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 993 ,5 hOOT FJy,d j Nrt Owner's Name,Address,and Tel.No.
� ' `"� VJcto2 JJeo vCIS SDg 7 75 — 937
Assessor's Map/Parcel 4 N
Installer's Name,Address,and Tel.do. Designer's Name,Address,and Tel.No.
-f,g &66VC0400 S69• 477-0(o_,5x3 Fla_fe2r Znu ')9y-994 //6�
Type of Building:
Dwelling No.of Bedrooms � Lot Size �T sq.ft. Garbage Grinder N
Other Type of Building 5��s , .M ( _ No.of Persons Showers( ) Cafeteria( )
Other Fixtures _
I
Design Flow(min.required) gpd Design flow provided gpd
Plan Date c?�a5�) Number of sheets Revision Date
Title
Size of Septic Tank 1500 Type of S.A.S. 3� �3, '" r,�f (^
r
Description of Soil
S'
Nature of Repairs or Alterations(Answer when applicable) 1 D 16GO Q0 _ I-4 2 Q
_ 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 Certificate of
Compliance has been issued by this Boar ea h. G
Signed Date
Application Approved by 1G Date
Application Disapproved by _ ` " Date
for the following reasons
Permit No. ( a--f94 -7 Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
r' BARNSTABLE,MASSACHUSETTS
} Certificate of Compliance
THIS IS TO CERTIFY,that the T-
)4,0 site Sewage Disposal system Constructed( ) Repaired( . ) Upgraded( )
Abandonned( )by t � 1 Inn
at_ I 3 O(� I\lam a I��L been constructed in accordance
with the prov. ons of Title 5 and the for Disposa System Construction Permit No. dated j
Installer 2 r 41,( Designer 1`10 ht2TQ I
#bedrooms 3 Approved design flow U gpd
The issuance of this permit all not be construed as a guarantee that the syste will fun Sig ed.
Date 1 �!i Inspecto
-----------``-------------------------------------------------------------- ------------------------------------
No. V(�y �' / Fee �L
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Disposal 6pstem construction J)ermit
Permission is hereby granted to Construct( ) Repair( Upgrade(" ) Abandon( )
System located at 993 � h6>o i -T-- H I' t --e L)ct-o
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:Construction must be completed within three years of the date of this permit.
Date Approved by
Town of Barnstable
0*1HE Tphy Regulatory Services
Thomas F. Geiler, Director
BARNSTABLE,
MASS. = Public Health Division
' ' Thomas McKean; Director
ArFD MAC
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Date: '3-5- 1$ Sewage Permit# Zole -.0y'1 Assessor's Map/Parcel iciz- IS
Installer & Designer Certification Form
Designer: F'1"cr1 4. CNv;ronenenisl Installer.: B 4e B EXCGUcX41'o&
l
Address: 1P p 80y, 81 Address: 1y Te.o&crru Lao
YmrmoLA1 % rori (nA 0c-cs-lda l
On Z - Z 8 - l 'R S3 io b CXGowcLA,'o^ was issued a permit to,install a
(date). (installer)
septic system at 1113 14,111 {,COL based on a design drawn by
-(address)
wave F'10.1,erk{ dated 2-2S• 1$
(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
distri4ution 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. t>v
DAVID
D.
staller's Sign ) tAHERTY,JR.
Ake. 121l
4
T
(Designer' Signatu } (Affix Desig 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:\office forms\designercertification fortn.doc
TOWN OF BARNSTABLE
LOCATION 1s13 51%001 J1�1y;o!RJ{;11 QcL SEWAGE# 20l g - oy,=
VILLAGE ASSESSOR'S MAP&PARCEL 19
INSTALLER'S NAME&PHONE NO. J3 4� Z EXCO�uo.-j�ot\
SEPTIC TANK CAPACITY (Sop q owl N 10
LEACHING FACILITY. (type) -Trr jNe kc s (--z) (size) Z x 3 x 3 3
NO.OF BEDROOMS 3
OWNER Uic--1or of aau(10.5
PERMIT DATE: Z-Z8 - 18 COMPLIANCE DATE: 3Ah 91
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
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33`8 „ I
AZ- V4 4
32' ZVI
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II
Town of Barnstable P# ra 5 go"1�
.: Department of Regulatory Services
Public Health Division Date rr
200 Main Street.Hyannis MA 02601.
Date Scheduled;' 9X) F( Time �. Fee Pd.- /a0
r-?
Soil Suitability Assessment for Sewage Disposal G
..Performed:By: gohl .. ., - .: Witnessed By:
LOCATION&GENERAIj INFORMATI N I a
Location Address . .� O / Owner's Name'V��� ��V' Af
Add. 5
Assessor'sMap/Parcel:9 , - Engineer's Name
NEW CONSTRUCTION' REPAIR Telephone f-Land Use G y, Slopes(%) .— Surface Stones N�
(�' �)
.Distances from' Open Water Body/a�V t/'. ff 'Possible Wet Are.�t/(/:ft :Drinking Water Well
Drainage Way,0� _ft .Property Line/ It Other It
SKETCH:(Street name,dimensions of lot,exact locations oftest holes&.pgctests,locate wetlands in proximity to holes)
Parent material(geologic), ��l C1 Depth to Bedrock
-Depth to Groundwater:Standing Water in Hole: Weeping from Pit Face
Estimated Seasonal High Groundwater
DETERMINATION.FOR SEASONAL HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: in. Depth to soil mottles: is
Depth to.weepmg from side.ofobs.hole: in.. Groundwater Adjustment. ft.
Index Well H. .Reading Date:.. Index Well level Adj..factor Adj.Groundwater:Level_
PERCOLATION TEST I)ntg
Observation
Hole k Time at 9"
rr
Depth of Perc � Time at 6''
Start Pre-soak Time(a) Time ff-V)
t ^'
End Pre-soak �
Rmelbiin./Inch .. G. .. .. .. .. ..
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed
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:ISEPTiC1PERCFORVI.DOC
:DEEP OBSERVATION, HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil'Color .Soil': Other
Surface(in:)-.. (USDA) (Munsell) 'Mottling (Structure,Stones,Boulders:
:30
DEEP.OBSERVATION HOLE LOG Hole
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) .. (USDA) (Muosell) Mottling (Structure,Stones;Boulders.
Conqi, v 1
26
o LS
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Mottling (Structure,Stones,Boulders,
Surface(in.) (USDA) -(Munsell): g
Consistency.%Graved _
DEEP OBSERVATION HOLE LOG Hole#
Depth from, Soil Honzon Soil:Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.W-rm 11q.
_
..... ..
Flood Insurance Rate Man:
Above:500 year flood boundary'_No 'Yes
Within 500 year boundary No_ Yes
Within 100 year flood boundary No Yes
Death of Naturally 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 tlot,;what is the depth of naturally occurring per7ous material?
Certification.
:I certify that on L(date)I have passed the soil evaluator examination approved bythe
Department of En o ental Protection and that the above analysis was performed by me consistent with.
the:required trai ,experti an. rien described in 310 CMR 15.017..
Signature' Date
Q LSEPTICIPERCFORM.DOC
' 0
0col
PROPOSED 15'DIA.
I
ABOVE-GROUND POOL
N04 4 i 40°E
100.1 _
O �
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VEM
a.r-
ORNEWAY
Ln
aLn
151Y. WD. FK
0
rn
2a.a
1
APN f 92-0 ! 5
� 12,573±SF
EMT'GQidG.�
ON VEWAY
l 00.0a
501"04.50`W
?j 5HOOT FLYING HILL KID.
(50' WIDE)
I HEREBY CERTIFY THAT,TO THE 5E5T OF MY KN DGE,
AND IN MY PROf"E55IONAL OPINION,THE LOCATIO 4 OF THE
PROP05ED 5WIMMiNG POOL,A5 SHOWN HFREON,GOt IFOFM5 WITH
THE HORIZONTAL 5ETBACK REQUIREMENT5 OF TH ZONING
BY-LAW OF THE TOWN OF 5ARN5TABL.E.
L-
PLOT PLAN JOB No.: 10156
IN DATE:.2GAUG 10
13ARN5TA13LE (CENTERVILLE), MA 5CAl.E:-I"= 20'
OF
PREPARED FOR
4 �, `' RICHARD
: . y
VICTO �RAGUNA5 HOOD
,tea
„No.35031
r,. hood 4 son, Inc_
�
land surveyors-"neers A,Fssio
18 route Ga -sandmcfi,ma 02563
Ph:508.833.7 t 00 Fax: 508.833.7101 Q�du
CaA_lna nnnu uu i r S C n i n7 TV gnu
j
TOP OF FOUNDATION COVERS TO BE WATERTIGHT AND SEPTIC SYSTEM PROFILE
EL. 100.0' EL. 98.0' BROUGHT TO WITHIN 6" OF FINAL GRADE (not to scale) Flaherty Environmental Services
INSP. PORT W I 3" OF GRADE, P.O. BOX 81
2" PEASTONE OR EL,98.0'f CLEAN SAND Yarmouth Port, MA 02675
GEOTEXTILE � � 774.994. 1166
4 CAST IRON or EQUIVALENT FILTER FABRIC VENT'(IF REQUIRED) n
MIN. PITCH 1 4" PER FOOT
4"SCHEDULE 40 PVC PIPE n ;. • '
4 SCHEDULE 40 PVC PIPE
FLOW LINE (fiist2'tobe/avet) \�
14"
EL.95.75' EL.95.5' 2'
if" EL.95.13' EL.93.0'
—�6' 2.5%MIN. Eii
GAS BAFFLE EL.95.3' 9t 1,/w (0 005%SLOPE` CLEAN, DOUBLE-
'% H-20DBOX SOIL ABSORPTION SYSTEM s�� ��
WASHED!" TO 1 STONE
6"CRUSHED STONE OR (2) TRENCHES 3'W X 331 X 2'D USING 6.0' —
"'S"•;:�q'�,,;•,� ': MECHANICALLY COMPACTED PERFORATED PIPE AND SURROUNDED
(DATUM: ASSUMED) ✓ BY DOUBLE-WASHED 3" TO 1 J"STONEJ EL. 87.0'
1500 GALLON SEPTIC TANK
(PROPOSED) BOTTOM OF TEST HOLE EL. 87.0'
USGS ADJUSTMENT: N/A LOCAT/ONMAP
GROUNDWATER ELEV: N/A
N TH
ServTlyingHlIlRd.
122.57'
96 L❑T 17
98 i
.BENCHMARK: 12,573 S F f
TOP OF FNDN
EL. 100.0' i
10, DECK I J
O EXISTING
NTS
3 BR A
DWELLING
J GARAGE ' �o DAVID
0� C` i C
D O
CD _1 20, \ U F H .+TY, :R.
PAVED DRIVEWAY ✓ G/STE
s4NIT/R)PN
10.00
128,89' } 96 Z DATE._212512018 REVISED:
10,12
98
SITE AND SEWAGE PLAN FOR
B & B EXCAVATION INC./
I VICTOR R. DRAGUNAS
i 773 SHOOT FLYING HILL ROAD
SCALE : 1 = 30' CENTERVILLE, MA
REF.,PB 130 PG 89
PAGE 1 OF2
....................................... .............................................................................................................................................................................................................................................................................................................................................................................................................................................................................. ................................................................................................................................... ...........................................................................................................................
GENERAL NOTES DESIGN CAL CULA TIONS S YS TEM DETAIL Flaherty Environmental Services
P. 0 . Box 81
1, ALL PRECAST COMPONENTS TO BE H-1 0 Yarmouth Port, MA 02675
RATED. ALL COMPONENTS WITH ANY NUMBER OFACTUAL BEDROOMS 3
774.994.1166
ANTICIPATED VEHICULAR TRAFFIC TO BE OBS, PORT
H-20 RATED, GARBAGE DISPOSAL UNIT NO — 3/
2. THE DESIGN OF THIS SYSTEM DOES NOT
TOTAL ESTIMATED FLOW
ALLOW FOR THE USE OF GARBAGE
(110 GAUBRIDA YX 3 BR) 330 GAL./DAY
GRINDER,
6/
3, MUNICIPAL WATER IS AVAILABLE,
REQUIRED SEPTIC TANK CAPACITY 660 GAL.
4. ALL CONSTRUCTION TO CONFORM WITH
310 CMR 15.000 AND ALL OTHER SIZE OF SEPTIC TANK 1500 GAL. (PROPOSED)
APPLICABLE LOCAL, STATE AND FEDERAL
CODES AND REGULATIONS. SOIL CLA SSIFICA TION 1 33'
5, INSTALLER/CONTRACTOR TO REVIEW&
DESIGN PERCOLATION RATE <5 MIN./INCH
VERIFY ALL ELEVATIONS AND DETAILS
AND REPORT ANY DISCREPANCIES TO EFFLUENT LOADING RATE 0.74 GAL.IDAYIF7-2
DESIGNER PRIOR TO CONSTRUCTION OR
ASSUME ALL RESPONSIBILITY, LEACHING AREA
6, INSTALLER/CONTRACTOR IS BOTTOM: (3'X33)X2= 198 FT2 9' MIN, OF SOIL
RESPONSIBLE FOR MAINTAINING SAFE SIDES: 2' PEASTONE OR FILTER FABRIC—'�
WORK AREA, VERIFYING ALL UTILITIES [(2'X33)X2 (2'X3)X2]X2= 288 FT-
AND NOTIFYING "DIG SAFE" TOTAL= 486 FT2
(1-888-344-7233) 72 HOURS PRIOR TO X0.74= 359 GALIDA Y
CONSTRUCTION,
7. ANY CHANGES TO OR DEVIATIONS FROM USE(2) TRENCHES OF PERFORATED PIPE SURROUNDED BY
THIS PLAN MUST BE APPROVED IN
j"TO I J"STONE, EACH TRENCH CONFIGURED AS
WRITING BY FLAHERTY ENVIRONMENTAL 3'WIDEX 33'LONG AND 2'DEEP
3/
SERVICES AND LOCAL BOARD OF
HEA L TH. RESERVE LEACHING CAPACITY NIA
8, FINISH COVER OVER COMPONENTS IS
NOT TO EXCEED 3'PER 310 CMR 15.000
(NTS) TRENCH END VIEW
UNLESS SHOWN PER PLAN
9. ALL ABANDONED SEPTIC SYSTEM
COMPONENTS TO BE PUMPED DRY AND
FILLED WITH CLEAN SAND OR REMOVED SOIL EVALUATION
AND REPLACED WITH CLEAN SAND,
TESTHOLE#1 P#15592 TEST HOLE#2 P#15592
10.ALL COMPONENTS TO BE PROVIDED
Evaluator., David D.Flaherty Jr.,RS,REHS Evaluator., David D.Flaherty Jr.,RS,REHS
WITH WATERTIGHT ACCESS PORTS SE#2755 SE#2755 NOF*
WITHIN 6"OF FINISH GRADE, BOH Witness. Don Desmarais,RS BOH Witness. Don Desmarais,RS
Date. February 22,2018 Date: February 22,2018
11.ALL SEPTIC TANKS, DISTRIBUTION D.
BOXES AND PIPING TO BE INSTALLED WATERTIGHT. I=LA
TH-I ELEV 98.0' TH-2 ELEV.98.0'
12.NO KNOWN WETLANDS OR WELLS 0'-8- A LS 10 YR 312 0.-8. A LS 10 YR 312
WITHIN 100 FEET OF PROPOSED 8.-30�
B LS IOYR516 8'-30- B LS 10YR 516 AN R\
LEACHING.
13.THIS IS NOT A CERTIFIED PLOT PLAN
95 PERC
AND UNDER NO CIRCUMSTANCES IS THIS
PLAN TO BE USED FOR ZONING OR 30"-132" C MS 2.5Y615
30"-120" C MS 2,5Y614
5%gravel 5%gravel
BUILDING PURPOSES.
14.LOT IS SHOWN AS ASSESSOR'S MAP 192
SITE AND SEWAGE PLAN FOR
"Iceriffy that on November 12,2002,1 have passed
PARCEL 15. 8 & B EXCA VA TZON INC./
— the examinadon approved by the Department of
15. LOCUS PROPERTrS PROPOSED SYSTEM Environmental Protection and that the above analysis VICTOR R. DRAGUNAS
has been performed by me consistent with the
APPEARS NOT TO BE WITHIN AN G.W.ELEV.NIA G.W ELEV.N/A required lialnIng,expertise,and experience desciffied 773 SHOOT FLYING HILL ROAD
AQUIFER PROTECTION DISTRICT(ZONE In 3 10 CMR 15.018(2).
CENTERVZLLE, NA
BOTTOM TH-I EL EV. 87.0' BOTTOM TH-2 ELEV. 88.01
U.
PAGE20F2
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