HomeMy WebLinkAbout0915 SHOOTFLYING HILL RD - Health (2) 915 (AKA #901)
Shootfying Hill Road
Centerville
A= 191 -037
E A
No. H163OR
UPC 10259
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TOWN OF BARNSTABLE _
LOCATION q/S- /1::,//' e,�l SEWAGE#
VILLAGE 6n W l6 ASSESSOR'S MAP&PARCEL.
INSTALLERS NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) Sbr t LOSS ",3a� l ri u r ((/size) (Z X 3 y
NO.OF BEDROOMS !
OWNER 9i6tX+"
PERMIT DATE: 3 hz /mil COMPLIANCE DATE: j
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Nv / / 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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No.. � / o - Fee•
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: '
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Application for Migoal *pgtem Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade F .� Abandon( ) Complete System ❑Individual Components
Location Address or Lot No. ����1<q Ui� Owner's Name,Address,and Tel.No. Z i r C,(.,-(d S
Stlo�ri-lyiHf /��%I to
Assessor's Map/Parcel 14 1 3 7
Installer's Namee,,Address,and Tel.No. (�4ja&-,aL 11 sr/W�Jo�1?S Designer's Name,Address and Tel.No.
j0 fS Lilt4-I'dP-0. J,w_ ?b�.
Type of Building: 4-
Dwelling No.of Bedrooms Lot Size 2-3+ 1 7 — sq.ft. Garbage Grinder ( )
Other Type of Building 5'i;tj to hn. (e No.of Persons 3 Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) !4L(D gpd Design flow provided gpd
Plan Date 3--10- ?,Caj Number of sheets Revision Date
Title
Size of Septic Tank /SO0 Type of S.A.S.
Description of Soil r P�
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected: 2- 26- 7,00-
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 Health.
Signed Datej
Application Approved by -_ Date
Application Disapproved by: Date
for the following reasons
Permit No. 00 Date Issued
t 6* Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
t� PUBLIC HEALTH DIVISION --TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Application for W6po!6ar i§p.5tem Construction Permit
Rp.
Application for a Permit to Construct( ) Repair( ) Upgrade;(( Abandon( ) Complete System ❑Individual Components
r Location Address or Lot No. (4 KgjO) Owner's Name,Address,and Tel.No.
S 1�dot t/tyi� /f,,/l Ru
y
Assessor's Map/Parcel 1
G-1 c,{ il��
Installer's Name,Address,/and Tel.No. Qp ,� G`Nft✓�J 3 Designer's Name,Address and Tel.No.
P rl firr serf�f lr vefLl ;
�oSS �lZp �/vLd o- f�.x763 /L TCiJ» elc{ E
CoaTr✓�%/� i'!tN!/20L le -04
Type of Building:
Dwelling No.of Bedrooms L4 Lot Size Z 3; 1'{7 sq.ft. Garbage Grinder ( )
Other Type of Building S,n I<< /jhti t c No.of Persons Showers(s(l Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
?" Plan Date .3—1 J^ 2ov1 Number of sheets Revision Date
Title 1
Size of Septic Tank f 5,p0 Type of S.A.S. Si-one(esS
Description of Soil L!A= e144,n �j Z
Nature of Repairs or Alterations(Answer when applicable) C.PYV{ -fe
Date last inspected: Z- ZO 'Z 00-7
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 Health.
Signed Date — 13
Application Approved by Date 3
Application Disapproved by: Date
for the following reasons
Permit No. _ U q Date Issued _>
———————————————————————————— — ————————————
THE COMMONWEALTH/OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded (� )
y� Abandoned( )by �148Pi t)d �"l�t�,Q.(p(,7t'S LL C
at qQ 1 664 n 1 ) S 1 06r d,l k, V� IR.e,A d has been constructed in accordance
with the provisions of Title5 and the for Disposal System Construction Permit No. �02�U dated 3 /13h
Installer Designer /- ,ti- �✓� S
#bedrooms Approved design flow L1.110 gpd
The issuance of this permit shall not Pe construed as a guarantee that the syste�rfu 'etiot al, dbsigned.
Date / Q� Inspector ---�
----------------------------
No. _C--l.J� � � �J 1 Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS
Migpoal �&psstem Con!gtructi n Permit
Permission is hereby anted to Construct ( ) Repair ( ) . Upgrade ( ) Abandon ( )
System located at 7
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: Constniction must be completed within three years of the date of_this�.ltnit.
Date D Approved by
Town of Barnstable
Regulatory Services
Thomas F. Geiler,Director
awxxsrwet,e,
q.
Public Health Division
163
Fo ram+" Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer&Designer Certification Form
Date: Z G Sewage Permit# Assessor's Map\Parcel
P ref T, Mc Feet�-- e
Designer: F n a ta-eer, . "or Installer:
Address: IZ W t GZS Add J'�d Address: 0" 6. 36K 7G3,
F;-P�-dc,Le k"V�,fLQ M4
U ZG 32
On J'A)_0? �U�f Gi c 6 s,s-ex was issued a permit to install a
(date) (installer)
septic system at 91 4 tCa Rcrt 6 4 ,`n4 l� /�� based on)design drawn b
r� (address) V y
-ekl LE"\t dated I d 6 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
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.
oF�gss9
o
PETER T. y�u�
(Installer's Signature) a MCENTEE
CIVIL N
,0 9 No.35109 a
�Q/3TEP�
�ss/oNa�ENG�_�
esigner's Signature) (Affix Desi 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
ASSESSOR'S MAP NO. PARCEL 0�\7
lt- %; AT10� 1 �� �S� EW�A, GE PERMIT NO.
1:7H iv�q
VILLAGE'^
1 N S T A L L E-R'"�—�-fl� i A D D R E S S
e U I L D E R OR 4W N-IL R
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
\v
q Q
�C ✓ 7
C�
LEGEN-03-
Moon Penny LOCUS
�N Ln
g PROPOSED CONTOUR
71 ._ X 1.C 4-1.Fy 98 PROPOSED SPOT GRADE °� v x
1P/I" ND ° - -- EXISTING CONTOUR �' .
x 96.52 EXISTING SPOT GRADE
x 105,61 m 1�?3,53
VIF-- EXISTING WATER SERVICE
Benchmark Set ~ ' 11 $.H,W. OVERHEAD WIRES Woodvole Ln cor1e`0"
0 Right cor. bo t. step � TEST PIT
El.=105. 74 (Assumed) r -
104 `
BENCHMARK
—'y SEWER OUTLET -_
10.' L S 85 38'S3" E INV.=103.69t I Greof Marsh Rd
N X 11 ;1 210 95
N ' _. ... 1 E. l
1
104 CIJ
I \ ^ PROP. ; f LOCUS MAP N.T.S.
1
D-BOX \\ SEPTIC
` T f C � TANK lY1
T_! ; ,K, 0I'> 1 O 0. 0 /%'EXIS TING/;' ? :04 �., �� � �� 1"01,2"
P-2 i 7 ;+� , I
= r Y�rgCZ .r.. i TP-1 ` L � -I 1i_E r. HOUSE 915) j r T�J
(#
1J 1r .ham (a.k.a.#9'01) 11
I
rOF=105.69
'(Assumed) '�'�
� �F'TIC C-El V I L_:r�1 1 D _�� / /. is 11
x _0 � c i ~ E } i� 1 4:r; '/,/ /�//,�i % �' ,r approx.) 11 0
r,
j 7 J r� f , /,�i approx. G�- !1 Q
, 1 X" it j I LF r`)ond //
q 54 f
66 ,/ 1 :
ryt L 1 3 [,,
104
1 4
_ -
4 r` 1. J -. b = _•_ _.�,_.... ... ... _ .... .... .... _ :3 r Ef�arivc. r 1Ull1 - v!
Lu \ �PTIC� D 11J.::9 1 R=
el
- �
— O Y
Lot 2 e
CI 23 147f S.F. 1
1 o _ ` " ` EXISTING CESSPOOLS f I
,) C 0.53 AC.
p X 1.?6 '„ , TO BE PUMPED & f
FILLED WITH SAND 1 1 Map 191 J
,-n 1C. Parcel J7 f l
jJ Shcdj 1
N 86 23 55" W
THE DESIGNFAILURE
GENERAL NOTES: 7 THE CONTRACTOR NORROWNERTTOENOTIFYIBTHE LE FO CALH BOARD OF OF Ix
HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. '
1 ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 8, WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.
BOARD OF HEALTH AND THE DESIGN ENGINEER: 9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED ��P CyG
2- ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 1 o PETER T. s PROPOSED SEPTIC SYSTEM UPGRADE PLAN
OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE McENTEE
LOCAL RULES AND REGULATIONS. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE o CIVIL 915 (aka. . . 90i
3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLEU PRIOR THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING # )SHOOTFLYING HILL RD, CENTERVILLE, MA
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE CONSTRUCTION. NO. 35109
DESIGN ENGINEER. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS QFG/SZ�R�� Prepared for: Robert Childs, P.O. Box 61, Centerville, MA 02632
4. THERE ARE NO WELLS LOCATED WITHIN 150' OF THE PROPOSED S.A.S. IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. FF Engineering by: Surveying by; SCALE DRAWN JOB. NO.
5 ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). AL EngineeftWorks WARNER SURVEYING 1"=20' P.T.M. 125-07
FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 12. ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED BURIED 12 West Crossfield Road 22 Long Road
ENGINEER BEFORE CONSTRUCTION CONTINUES. SEPTIC SYSTEM COMPONENTS THAT MAY EXIST ON THE PROPERTY. 3 `��J`� Forestdole, MA 0Z644, Harwich, MA 02645 DATE CHECKED SHEET N0.
6. ALL ELEVATIONS BASED ON ASSUMED DATUM- 13. SUBJECT SITE DOES NOT LIE WITHIN A STATE REGULATED ZONE II. (508) 477-5313 (508) 432-8309 3110107 P.T.M. 1 of 2
4
D—BOX NOTE: TO PREVENT BREAKOUT, THE PROPOSED
PROPOSED TANK INSTALL RISER WITH COVER AND SET FINISH GRADE SHALL NOT BE < EL:101.3
INSTALL RISERS WITH COVERS OVER INLET TO WITHIN 6" OF FINISH GRADE FOR A DISTANCE OF 15' AROUND THE
I OF & OUTLET TO WITHIN 6" OF FINISH GRADE PERIMETER OF THE S.A.S.
FOUNDATION EL.105.2t F.G. EL: 105.2t F.G. EL.: 105.25 (MAX.)
(EXISTING) a 36 MAX. COVER OVER S.A.S. MAINTAIN 2% MIN SLOPE OVER LEACHING AREA
a. L = 30'
° L = 50' L 8'(MAX) INSPECTION RISER PIPE
4" SCH 40 PVC 4" SCH 40 PVC 4" SCH 40 PVC
6
e, ® S= 2% (MIN.) 10" 14" @ S= 1% (MIN.) W
0 S= 1%
48" LIQUID INVERT
v: LEVEL �NV.=102.75 fl
INV.=103.00 GAS
MODIFIED PLUMBING BAFFLE INV.=101.92 4 ROWS OF 8 UNITS AT 4'/UNIT + 2'(END CAPS)= 34.00'
TIE IN TO EXISTING 4" INV.=102.17INV.=102.00
C.I. SEWER OUTLET PROPOSED 1500 GALLON SEPTIC TANK(H-10) (USE SPEED LEVELERS) SOIL ABSORPTION SYSTEM (PROFILE)
C.I. SEWER
O N.T.S. ESTABLISH VEGETATIVE COVER
INVNOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR TO INSTALLATION. BA(NATIVE OR PERCE SAND)ND
2) SEPTIC TANK AND D—BOX SHALL BE SET LEVEL AND TRUE' TO GRADE ON A SIX INCH
MECHANICALLY COMPACTED CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). "
3) INSTALL INLET & OUTLET TEES AS REQUIRED.
4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE. TOP OF CHAMBER EL.=102.25
INV.ELEv.=101.92
SEPTIC SYSTEM PROFILE V ; , `•" BREAKOUT EL.=101.3
BOTTOM ELEV.=101.25 I EXISTING SUITABLE
2.8' MATERIAL
5-t4EAL.
" L OUTLETS N.T.S. 5' MIN. ABOVE BOTTOM OF
21 T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=11.4'
2" ° 1 INLETS \\` USE 4 ROWS OF 8—QUICK4 STANDARD INFILTRATOR CHAMBERS
;L„ `, \,` NO G.W., EL.=93.2 (TP-1) WITH NO SEPARATION BETWEEN EACH ROW & NO STONE
1
ILITYPICAL SECTION
0 t. 7 '' � ,.
Q SOIL LOG
4 DESIGN CRITERIA
00
DATE: MARCH 8, 2007 NUMBER OF BEDROOMS: 4 BEDROOMS
N Top View Section SOIL EVALUATOR: PETER T. MCENTEE P.E. SOIL TEXTURAL CLASS: CLASS I
D^BOX WITNESS: DON DESMARAIS DESIGN PERCOLATION RATE: <5 MIN/IN
(HEALTH AGENT) DAILY FLOW: 440 G.P.D.
16" REFERENCE NO. P-1 1,689 DESIGN FLOW: 440 G.P.D.
GARBAGE GRINDER: NO
8 � f Elev.. TP- 1 Depth EIe, TP-2 Depth PROPOSED SEPTIC TANK: 1500 GAL. CAPACITY
p " SIDE VIEW �� V) 105.2 A 0 105.5 011 LEACHING AREA REQUIRED: (440) = 594.6 S.F.
�• ^� SANDY LOAM SANDY LOAM 74
�
104.9 10YR 4/2 4„ 105.2 4 10YR 4/2
USE 4 ROWS OF 8—QUICK4 STANDARD CHAMBER UNITS WITH NO
INSPECTION PO i+') ' _
B B
TOF_VIE STONE FOR AN S.A.S. HAVING THE DIMENSIONS: 11 2' x 34.0'
OAY SAND 8'3lN'vERT 'IOYR 5/6 10YR 5/6 BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.72 SF/LF OF INFILTRATOR)
E D CAP 8 UNITS + 2 END CAPS PER ROW = 34.0 FT
EFFECTIVE LENGTH) PN: Q4STDE 102.5, 32" 103.5 24"
® VIEW C C 38" 4 ROWS x 34.0' x 4.72 SF/LF = 641.9 SF
MULTIPORT END CAP PERC DESIGN FLOW PROVIDED: 0.74(641.9 S.F.) = 475.0 G.P.D.
SIDE VIEW NOMINAL CHAMBER SPECIFICATIONS
50"
SIZE (w x L x H)............................34"x 48"x 12" M—C SAND M—C SAND
-} EFFECTIVE LEACHING AREA: 2.5Y 6/4 2.5Y 6/4 PROPOSED SEPTIC SYSTEM UPGRADE PLAN
BED.......................................................PER CODE ! `� I
TRENCH..............................................PER CODE ; ''-�_� " 915 (a.k.a.#901)SHOOTFLYING HILL RD, CENTERVILLE, MA
34 p INVERT ELEVATION..................................................8" j y 'I op £D Prepared for: Robert Childs, P.O. Box 61, Centerville, MA 02632
FRONT VIEW STORAGE CAPACITY PER UNIT....................44.4 GAL l
QUICK 4 STANDARD INFILTRATOR CHAMBER SAS i iv 93.21 144" 93.5 144" Engineering by: Surveying by: SCALE DRAWN JOB. NO.
_ EngineeringWorks WARNER SURVEYING N.T.S. P.T.M. 125-07
INFILTRATOR CHAMBERS 340,>> \�J� 1 NO GROUNDWATER OBSERVED 12 West Crossfield Road 22 Long Road
S.A.S. LAYOUT PERC RATE <2 MIN/IN. ("C" HORIZON) Forestdale, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO.
N.T.S. (508) 477-5313 (508) 432-8309 3/10/07 P.T.M. 2 Of 2