HomeMy WebLinkAbout1283 SHOOTFLYING HILL RD - Health (2) 1283 Shootflying Hill Road
Centerville
A= 190 - 110
5 M E A D
KEEPING YOU ORGANIZED
No. 12534
2-153LOR
SUSTAINABLEFORE MIN.RECYCLED 19
INITIATIVE CONTENTION
Cer6fieoFiberSourcfng POST-CONSUMER
www-54rogre-rg
SR01290
MADE IN USA
GET ORGANIZED AT SMEANOM
TOWN OF BARNSTABLE
LOCATION SEWAGE# 2Q/�l 3q�o
VILLAGE �.�r( . ASSESSOR'S MAP;&PARCEL B U I 0
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INSTALLER'S NAME&PHONE NO. IT&US 6t`�
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) 6 ® (�,;,,t,�,f�)(size) /�
o
NO.OF BEDROOMS
y ...,
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OWNER p8
PERMIT DATE: COMPLIANCE DATE: D 21
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 leac ' i Feet
FURNISHED BY
o -
Ate'33,
E7
f - .
. / TOWN OF�B/ARNSTABLE
LOCATION /0��.3 �/l6OJie,//. �i /yi/f WO- SEWAGE #
ViLLAGE� ASSESSOR'S MAP & LOT/90-//O
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
NO. OF BEDROOMS .3
BUILDER OR OWNER Aignp,,e l /l/ldev
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 feelj,of leaching facility) � � Feet
Furnished by L igilS�iJe—/lam, =u�C_
- i Q
All
No. r % Il'" Fee /6/
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
Zipplitation for Disposal *pstrm Construction 3permit
Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.► `I j+� Owner's Name, dress,and Tel.No. 0
Assessor's Map
G�� ��'yj. l�3 �1b0 ,�N��` �. C¢ne�PK'a
Installe 's Name,Address, d el.No. EQQ%,C_ .)j� Desi is NaZf ddr d T 1.No. �h �'� -
P�� �dNvh2rs r„��WS x l ��cy, Axe,.
r d : OV-36o 331
Type of Building: �J
Dwelling No.of Bedrooms / Lot Size l�o� sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) qqo gpd Design flow provided 'IL gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature;R irs 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 Certificate of
Compliance has been issued by this Bo h.
-liq
gned Date
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. Date Issued t7
r/1Vo. � " Fee
s. THE COMMIAWE'ALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Y
e
ZippliYatlon for Misposal 6pstem Construttion Permit
Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ElComplete System ❑Individual Components
.Location Address or,Lot No.I 3kocA-Fi j 1v� ` ti Owner's Name,Address,and Tel.No. {-gyp IA fy1
Assessor's Map/Parr t pqr%I M✓�ys � {2�� �6A n�n:\� �. f� v ►\�
Installer's Name,Address,and Tel.No. Swios Desi is Name Address,and Tel.No. r^ k
•� 1'h`mil _ !q 50� 3
fA
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
i
Other Type of Building e No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided ( gpid
Plan Date 10� 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)I , 1 :V411
a d
PA &55 1 �
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 notjto place the system in operation until a Certificate of
Compliance has been issued by this Board oealth.
Si "ed - T_._ \. Date 1
Application Approved by Q_ ' Date
Application Disapproved by Date
for the following reasons
Permit No. Date Issued
___________________________________________________________________________________________________________________________________E___
,1
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( )
Abandoned( )by
at _ has been constructed in accordance
with the provisions of Title 5 and the to,Disposal System Construction Permit No. �p dated /
Installer Designer
#bedrooms Approved desi gpd
The issuance of this pe it sh 11 not be construed as a guarantee that the system wiluncti n as designed.
Date Inspector _
No. I v l 4� Fee f��J
/ THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS
MispoSal 6pstem Construction Permit
Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( )
System located at � �
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 pust be ompleted within three years of the date of this p rmit.
Date A—) Approved by` _
1�
+ i
L l � �
� t` -
Town of Barnstable
Regulatory Services
Richard V. Sca% Interim Director
ansxarA,
� Public Health Division
1639.
& Thomas-McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer& Desianer Certification Form
Date: U l Sewage Permit# loll
6 Assessor's Map\Parcel I
Designer: Me�jf/ ► In statler: � 3M&L,5 C415-MU T/04 tA-C
Address: f 0 _�sOY,q Address:
6-2;-314 (3 Z,6 1-118
On tb l`v f.iC 5�'�,�e� was issued a permit to install a
dat ) (installer)
septic system at ��� �Na� r�7 R-a - based on a design drawn by
(address) GLN`T-;_�; i LLB
�-S dated u 2
(designer)
Y
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. Strip out'(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. Strip out(if required) was inspected and the soils
were found satisfactory.
I certify that the system referenced above was constructed in compliance with the terms
IAA approval letters(if applicable)
twOFr
DARRER
nstaller s ature)
140
( igner's Signature) fix ere)
PLEASE RETURN TO B STABLE PUBLIC HEALTH D ON. 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:\Septic\Designer Certification Form Rev 8-14-13.doc
I LEGEND CENTERVILLE
r
BENCH MARK PROPOSED CONTOUR
TOP OF FOUNDATION ® PROPOSED SPOT GRADE LOCUS
63. 78 —— 98 —— EXISTING CONTOUR
s
BARNSTABLE GIS DATU + 96.52 EXISTING SPOT GRADE y, Q
s W— EXISTING WATER SERVICE cy�Np
` DI?TEST PIT 9GF
/ 70 f �O
/
\`\ ROUTE 28
62
LOCUS MAP
LOCUS INFORMATION
C TANK q
o SEP-f► ,---� PLAN REF: LCP 30545-A
c>0 TITLE/o / ?OOTP\�2 I PARCELS D:F. CMAP2190 PAR. 110
o
/ O o
, 70 f ' FLOOD ZONE: NOT IN FLOOD ZONE
/ i t
/ O /
10
O SEPTIC SYSTEM
REPAIR PLAN
/ G
/ 6 LOCATED AT:
� 1283 SHOOTFLYING HILL RD.
CENTERVILLE, MA
�L/NC o�, PREPARED FOR
LOT 22 °p o� 70 MAUREEN HOLDEN
AREA = 15000 sf+� �3.��nN / °
LAND COURT PLAN 30545-� /' OCTOBER 2, 2019
ASSR MAP190 PCL 110 \� '
63 _ --- r � ����H OF gs9�d
\ ' A 4E.7 ...
72S �NITAR�a� lb `G 00, \
r� °NpAVep °OA0, \` O MEYER & SONS, INC.
VEwAY O P.O. BOX 981
PLAN 62 EAST SANDWICH, MA. 02537
SCALE: '1 in = 20 ft V J PH: (508)360-3311
0 20 40
FAX: (774)413-9468
meyerandsonstitle50gm ail.com
0 10 20 40
SHEET 1 OF 2 J 2076
NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GENERAL NOTES:
TOP OF FND SEPTIC TANK GRADE SHALL NOT BE < EL:59.75 FOR A DISTANCE
PROPOSED D-BOX 15' AROUND THE PERIMETER OF THE S.A.S.
INSTALL RISERS & COVERS OVER INLET & 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL _
EL.=63.78t OUTS AND SET TO 6" OF FINISH GRADE ' INSTALL RISER & COVER PROPOSED S.A.S. BOARD of HEALTH AND THE DESIGN ENGINEER.
INSTALL LOCKING COVERS IF AT FINISH GRADE SET TO 6" OF GRADE INSTALL A RISER OVER ONE CHAMBER (MIIN) 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
F.G. EL=63.Of AND SET TO 3" OF F.G. oTHE STATE�ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE
. F.G. EL.=62.40t F.G. EL: 62.0t
f F.G. EL: 62.0(MAX.) D REGULATIONS.
3. O INSPECTIOAGE DISPOSAL
AND APPR SYSTEM SHALL
E BOARD OFCKIFILLED HEALTH AND
b5. 9" MIN COVER/ r DESIGN ENGINEER.
} 4. FROM THOSE HEREON
ENCOUNTERED
N EONDS ALLNBECREPORTTED TO TDN�ESIGN
ING
36" MAX COVER L = 5( L = IX (MIN.)
ENGINEER BEFORE CONSTRUCTION CONTINUES.
® SCH4 (MIN.) EL=100.31 ® SCH4 (MIN.) m SCH4 (MIN.) 2" OF 3/8" DOUBLE WASHED
4"SCH40 PVC - 4"SCH40 PVC 4"SCH40 PVC 3/4" - 1-1/2" 5. ALL ELEVATIONS BASED ON ASSUMED DATUM.
/ STONE OR FILTER FABRIC DOUBLE WASHED STONE
10" 6 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
LLj'• INV.=60.00 14 HEALTH FOUR PROPER INSPECTIO OWNER NS DURING CONO RUUCTTIION. OF
48"uoufo INV.=59.75 ®®®®• O ®®®®
LEVEL PROPOSED ®®®®®®®®®®® 7. DWELLING IS SERVICED BY TOWN WATER.
GAS BAFFLE ®®®®®®®®®®19 S.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED
D-BOX INV.=59.05 E3E3ER 3E3 311313191®® TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR.
INV.=59.25 DB-5 9. IT SHALL BE THE RESPONSIBIUTY OF THE CONTRACTOR TO VERIFY THE
PROAM Mk POSED 1.500 GALLON SEPTIC TANKflaw 3.2 ' 3 X 8.5' 3.25' LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO STARTING WORK.
10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND REMOVED PER TITLE S.
EFFECTIVE LENGTH = 32.0' 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION
EXIST. SEWER OUTLET 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY
FINV.=60.95 INV. ELEV.= 58.75 AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY
BREAKOUT 13. NO KNOWN ABUTTING PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING
EL. 59.75 14. ALL PIPING TO BE 4" SCH 40 ® 1/8"/FT (UNLESS SPEC. )
NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING TOP CONC. ELEV.= 59.75 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW
PIPE INVERTS PRIOR TO CONSTRUCTION INV. ELEV.= 58.75 as
FOR THE USE OF A GARBAGE GRINDER.
2) TANK AND D-BOX SHALL BE SET LEVEL AND B0BeBee 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING
TRUE TO GRADE ON A MECHANICALLY COMPACTED eeaaaaa
BOTTOM EL
SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN .= 56.75 4' 5 FT. 4'
310 CMR 15.221(2) EFFECTIVE WIDTH = 13'
3) INSTALL INLET & OUTLET TEES W/ SEPARATION 5.95 FT.
GAS BAFFLE AS REQUIRED SOIL ABSORPTION SYSTEM (SECTION
BOTTOM OF TESTHOLE EL: 50.80 (500 GALLON LEACH CHAMBER)
SEPTIC SYSTEM PROFILE SOIL LOGS
TPT: 19-149
N.T.S.
DATE: SEPTEMBER 27, 2019
SOIL EVALUATOR: DARREN MEYER, CSE 1614
OF 4ss9�y WITNESS: DAVID STANTON, BARNSTABLE HEALTH
FAR D E �,� Elev. TP-1 Depth Elev. TP-2 Depth
R 62.0 A 0" 61.80 A 0
4 --� t 0YR LOAMY SAY " LOAMY 1 OYR SAND "
61.42 B 7 61.22 B 7
DESIGN CRITERIA,
SAND
NUMBER OF BEDROOMS: 4 BEDROOM DESIGN 4NITAR�a� 10YR LOAMY 6/6 LOOOYYR 6/6
SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) 16
59.25 33" 59.13 32"
v PERC TEST C MEDIUM C MEDIUM
58.0 DESIGN PERCOLATION RATE: <2 MIN/IN O°" .67 2.5YY 6/6 76" 56.30 2.5Y 6/
556 78"
DAILY FLOW: 110 G.P.D. X 4 BR DESIGN FLOW: 440 G.P.D. C2 MEDIUM C2 MEDIUM
GARBAGE GRINDER:. NO not designed for garbage grinder) AND �D
( 9 9 9 9 ) 2.SY 7/3 2.5Y 7/3
SEPTIC TANK: 440 gpd x 200% = 880 gpd USE PROPOSED 1,500GAL TANK 51.0 132" 50.80 132"
LEACHING AREA REQUIRED: (440)/0.74 = 594.59 S.F. PERC RATE <2 MIN/IN. (-Cl- HORIZON)
NO GROUNDWATER OBSERVED
USE THREE (3) 500 GALLON PRECAST LEACH CHAMBERS PROPOSED SITE AND SEPTIC UPGRADE PLAN
W/ 3.25' STONE ON ENDS AND 4' ON SIDES: 32' L x 13' W x 2' D
1283 SHOOTFLYING HILL ROAD, CENTERVILLE, MA
BOTTOM AREA: 32 x 13 = 416 SF Prepared for: Holden
SIDE AREA: (32 + 13) X 2 X 2 = 180 SF System Design and
laINC. DMM SCALE DRAWN DATE
MEYER&SON
N.T.S. 10/02/19
TOTAL SQUARE FEET PROVIDED = 596 vs. 594.59 REQ'D • 1. Darren M. Meyer. Rs., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 PO BOX981 REV DATE CHECKED SHEET N0.
to conduct soil evaluations and that the above analysis has been performed by me consistent with the EAST SANDWICH,MA 02537
DESIGN FLOW PROVIDED: 0.74(596 S.F.) = 441 G.P.D. vs. 440 G.P.D. req'd requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Eval. Exam In October, 1999. 508-W-2922 DMM 2 Of 2