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HomeMy WebLinkAbout0488 SOUTH MAIN STREET - Health 483 South Main Street Centerville A = 207 003001 llnlllElll� � may' UPC 10259 No. H_ 1630R ,.�o„s� HASTINGS.MN No. () �� Fee$5 000 THE CO10AILTH OF MASSACHUSETTS Entered in computer:- Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zfppliration for Mig aal *ps�tem C on5truction Permit Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( )QXComplete System El Individual Components Location Address or Lot No.4 8 8 S o u.t h N a i n St r e e t .Owner's Name,Address and Tel.No. a o 4 e 12 h K z e m e 2 Cente v ' e, Na,3.6. 02632 488 South Main S.t2eet Assessor's apkarcel ftw XV 1 — OCR 3 . Cen Lea vl e te, Na,6,3. 02632 Installer's Name,Address,and Tel.No. 5 0 8-7 7 5—3 3 3 8 Designer's Name,Address and Tel.No. 5 0 8—2 7 3—0 3 7 7 a. P. Nacomge2 9 Son Inc. ;C .Eng.ineezing, Inc. 2854 CAangezay Box 66 Centezv.ieie, Na-6,3. 02632 Highway Cant lda zeham, Na,3.6. 02538 Type of Building: Dwelling XXXNo.of Bedrooms 6 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. 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) 1-K 2 0 1500 ga teon t a nle. 11120 D i z t it.i&u t .ion eox. l-.eeachlie ecl 20'X40' Did out 2equi zed 30'X50'X5 ' 7hnoo OnfeacLQA 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 issu by this B d He Of 0/2 2/0 3 Signe Date Application Approved by /Ij- Date U Application Disapproved r the foll ing reasons Permit No. ?0 0 3 - Date Issued a 3 ° TOWN OF BARNSTABLE N S C V tll 4fl4 //L 57- SEWAGE #A o o -� VILLAGE C eZV ZW V111 P ASSESSOR'S MAP & LOTP 1 OU3-oo/ INSTALLER'S NAME&PHONE NO. T, /YI /9 C ,A ,G3 fR T 62,y SEPTIC TANK CAPACITY S O O "LEACHING FACIL=: (type) L Q A 6111A/ G A R (size) .2 4 r SAS 6 ' NO.OF BEDROOMS BUILDER OR OWNE PERMITDATE: l� Z3 D3 COMPLIANCE DATE. 03 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 ' V t R C O '9 CA PAC. e cam; 1 10 ' f � n C . 0, �/ g g S U L/ A /,v S l- 2O d3 ?t-/'7 Fee$5 0. 00 r` , d �-�.."�„r +f! Entered in computer: HUSETT S b s THE COMMONWEALTH OF MASSAC PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes i ZIpprication for.Mizpooar 6potem QCon.5truction Permit Application'for a Permit to Construct( )Repair( )Upgrade( )Abandon( )02Complete System O Individual Components Location Addressor Lot No.4 8 8 South N c.i n S t 2 e a''Owner's Name,Address and Tel.No. j O,6 e/1 h K a e m e a Ceate,zv-iiie, Plab.b. 02632 48'8 South Main Stzeet Assessor's Map/Parcel nf_1ZViP , Ma s.6. 026 32' ao-1 a43 - ©o Installer's Name,Address,and Tel.No. 5 0 8-7 7 5-3 3 3 8 Designer's Name,Address and Tel.No. 5 0 8-2 7 3-0 3 7 7 ;. ?. Nacom9ea 9 Son Inc. �C Cng.in-eeaing, lac. 2854 Cnangeaay Box 66 Centeay.i2P_e, Ma,3.s. 02632 fl.ighway East' lVazeham, /Ia-6z. 02538 Type of Building: DwellingXXXNo.of Bedrooms 6 Lot Size sq.ft. Garbage Grinder( ) Other 'Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision'Date Title a- Size of Septic Tank Type of S.A.S. Description of Soil, . S • Nature of Repairs or Alterations(Answer when applicable) 1-112 0 15 0,0/r ga.P.V o n tan.f. 11120 D i'3t a-i g u t .ion &ox. 1-.Peachlieid, 20'X�0' Did out Aequ.iaed 30'X50'X5' - 7h2oa Xe7, 0aRoA.l 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 issue by a�/� f� H�i��, �c�Signed.-'- _ dam% Date 10122103 . Application Approved by� Al i ,.�� ^'- r > Date /° : 71b A lication Disa roved4foi the followin reasons PP PP g y Permit No. 0 o 0 3 _ _�'/ Date Issued 3/a ? --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance , THIS IS TO CERTIFY,that the On-site Sewage Disposal System ConstructedX(XXj,'Repaired ( )Upgraded( ) Abandoned( )by 7. /). Nacom&ea X Son Inc, at 488 South Na.i n S t 2 e e t C e n t e 2 v i P P e, I'l a.s a. - has been.i F constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No..2003 -.-/7 dated./0/.2310 ? n neelt.in Installer .7. %. /7acomgea Son on Inc. Designer �C g 9 Inc. The issuance of this � �r 'e ' 't shall not be construed as a guarantee that the systemr�wi'h uncti�b>n asfdesigned. Date :1111-I163 Inspector- --------------------------------------- No. 2 oo 3—S/7 Fee $5 0. 0 0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Itgo0ar bpgtem Conttruction Permit Permission is hereby granted to Construc4X� Repair( )Upgrade( )Abandon( ) System located at488 South /Va.in St2eet Centezvieee, Na.6.6. 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:Con truction must be completed within three years of the date of aItDate: is 3/�3 Approved by � e Barnstable Assessing Search Results Page 1 of 2 to W{Sb. ng,y Y Home: Departments:Assessors Division: Property Assessment Search Results 488 SOUTH MAIN STREET Owner: KREMER,JOSEPH D& LAURA A Property Sketch Legend Map/Parcel/Parcel Extension 207 /003/001 , Mailing Address KREMER,JOSEPH D&LAURA A %COUNTRYWIDE HOME LOANS-TAX DEPT P0 BOX 10211 VAN NUYS, CA. 91410-0211 Assessed Values: ` Appraised Value Assessed Value Is"j'"{'3 d'' #Il' fis 3 � Building Value: $270,800 $270,800 Extra Features: $6,800 $6,800 Outbuildings: $41,100 $41,100 Land Value: $ 130,100 $ 130,100 Interactive Property Map: lug in: Totals:$448,800 $448,800 1 have visited the maps before E Show Me The Man April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: KREMER,JOSEPH D& LAURA A 7/15/1994 9280/153 $343,000 KNIGHT, RONALD F& LINDA H 4/15/1985 4474/300 $ 148,000 CARROLL, RAYMOND F SR ETAL 1448/494 $0 Tax Information: Tax Rates: (per$1,000 of valuation) Town Tax $4,218.72 Town Fire District Rates Other Rates 9.40 Barnstable 2.88 Land Bank 3%of Town Tax C.O.M.M. FD Tax $691.15 C.O.M.M. 1.54 Cotuit 1.88 Land Bank Tax $ 126.56 Hyannis 2.89 West Barnstable 1.96 http://www.town.barnstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing/A... 6/9/2003 i Barnstable Assessing Search Results Page 2 of 2 Total: $5,036.43 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 0.53 Year Built 1870 Appraised Value $ 130,100 Living Area 3411 Assessed Value $ 130,100 Replacement Cost$300,930 Depreciation 25 Building Value 270,800 Construction Details Style Conventional Interior Floors Quarry Tile Model Residential Interior Walls Typical Grade Custom Grade Heat Fuel Oil Stories 2 Stories Heat Type Typical Exterior Walls Wood ShingleClapboard AC Type None Roof Structure Gable/Hip Bedrooms 5 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 3 Bathrooms Total Rooms 12 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL2 Fireplace 3 $6,800 $6,800 SHED Shed 140 $800 $800 SPL2 Pool Vinyl 576 $ 13,300 $ 13,300 FGR7 Gar w/Lft Good 780 $27,000 $27,000 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area (Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) i http:Hwww.town.barnstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing/A... 6/9/2003 TOWN OF BARNSTABLE LOCATION S g S G' 14 /y. Sr SEWAGE #AD o 2 — 117 VILLAGE, C e,�17,e R V/// P ASSESSOR'S MAP & LOTS -003-00I INSTALLER'S NAME&PHONE NO. �, 4y /I C 0,M13 eR s d N SEPTIC 'TANK CAPACITY O O LEACHING FACILITY: (type) L•2 A C'&Z41�G A Reiff(size) 2 -0 NO.OF BEDROOMS BUILDER-OR OWNS PERMITDATE: I� Z 3 D3 COMPLIANCE DATE: D� Separation Distance Between the: Maximum Adjusted Groundwater Ta a to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist Feet on sitt or within 200 feet of leaching facility) Edge of Wetland-and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by i i oQ _ 30 7 M V Y D C Off. �I TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE C e w�p� L 2 ASSESSOR'S MAP LOT �o 7- 603 INSTALLER'S NAME & PHONE NO. r SEPTIC TANK CAPACITY l &U—U I , LEACHING FACILITY:(type)V"-r (size) NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC.WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No z ` t �i �� �� U '� G .�' i A � � �� 4� �� �� ��. s: THE COMMONWEALTH F OF HEALTH SETTS 71 3 m,,,, , �.. ................................... Appliration for Disposal Works Tontrur#ion rrrmi# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal sya ....�....LY -..1!� !_ ......... ......................_.........._......... ..................................._............. L ati Address r Lot No. ...7!� !. ., .............................................. ...0 N...' l?u.c:.l��e,..._.....................__._..................... � Owner Address -----.J �__--•--��--�'/K..... n .............................. ---------/ �2 Gc��cw- --•-• •------------------•-•-----......................._.. Installer Address Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms.._--er?.................................Expansion Attic ( ) Garbage Grinder (Y P aOther—Type of Building ______ ____________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ........................ ------•---------•--•----_..............................................................................................._gal WDesign Flow............................................gallons per person per day. Total daily flow_--_._-__________..____.__..____........... lons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. it. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by____________________•___•______.......___-_........._.._-_________._..... Date........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit......._.......----- Depth to ground water........................ LL, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ,y� - ODescription of Soil_...�_•-------------•--....._._......---•-•-••••-••-----•----••-•--•--••••••••-----•---•• V -•---•---•---•--------------- ••••--•-•....._............ •------ •---------------------------------- ... -------------- ------- --------------- -----•- ..._._...._......... U�1 ...-•--•----•-----------------------=----------------- -•---------•-----•-----•..-._..._•---------•----•- Nature of Repairs or lter tions—Answgr whe ap licable.. !`��! _s� `�k�__. J�p �. ��b Soy1c 5. G,,,.-e _ � _ l-s'7' 0 -- •••- ------------------ .... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iI A IE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been isssu—ed�b the board of health. Signed. ------ ---_-•--•--••.............•-••-- Date Application Approved By...................04 ate .................. D . Application Disapproved for the following reasons________________________________________________________________________________________________________________ ..........................•---••----_....---.....-----•-------...-----••-•---•------.........-------•-----••••-•-•.............---••----......__......-•---•---•---•---.....__....•-•-----•--••-•-.._..._ Date PermitNo......... _' ��.................------ Issued....................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH rz xz Tertif iratr of Tomplianrr THIS IS TOR-TIFY, That the In iyidual Sewage Disposal System constructed ( ) or Repaired (ti)� l . by - a _:( ... ................••----------•--........................... ._......._••---•--•-••.._._._.._..•-•••---.._..---••••-......_..- L Installer at..... �5 `S ... -------...ram ti /t•(i-.--•-. .e ----•--•-------------------------••---------•-•--•--------- has been installed in accordance with the provisions of TITLE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No-----------9_--_l44....... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFA TORY. Lam-^ �-' �� T; � Ii�=� DATE..............�............. _ ..r............... � -• -•------.. Inspector.......... ......._.._.........- •-•--••--•-- ...'.................y THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .o ---.F�-VAj�! ,p`' �e_.................................... ,30 — �i000 � orb Tonstrurtion trrmit Permissionis hereby granted........../.........._0_(1 /;�...... �................•..............._.._........._.............---........................... to Construct ( ) or Repair jj, an Individual Sewage Disposal_System / at No.:.` .. ...... ".% i'�...K'1� � -f......_. _ .7.�?"?"..b.//.A Street q as shown on the application for Disposal Works Construction Permit No.l- IZl 1,1... Dated.... 7—... 1 -------------------------••-•••-a,-fs�� •••_---•_---•••--•-----__.........._..---------- Board of Health DATE.............. --- L� r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliratiun for Disposal Ifurks Tonutrvtiolt Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at• -� ....._.....---.�1_ :...:S� � fir......... ...... --� ----:_ ....._.. .. L atio 'Address o',Lot-No. •-•------- a ..... 0 � Addr ess I1..........................2 v _f •---•----- ..._..._...............•-------------...-- .............Ij ._. ^..................... - Installer Address Type of Building �� Size Lot............................Sq. feet U Dwelling—No.- of Bedrooms.....-3..................................Expansion Attic ( ) Garbage Grinder (fit/P 04 Other—Type of Building ...........K............. No. of persons............................ Showers ( ) Cafeteria ( ) aOther fixtures .-•--....--•--f•----------------------------•--•--...---..._..---------•.._...-••----.._._..-----...----... Design Flow.:_..__..__,_�___________________________gallons per person per day: Total daily flow-.__._-.____.__. ._..___.__.....__.__.___._gallons: Septic Tank-Liquid capacity............gallons Length................ Width................ Diameter................ Depth................. Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area...................sq. ft. 3 Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by......................................................................... Date........................................ 14 Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water........................ (� Test Pit No. 2................ per inch Depth of Test I Pit.................... Depth to ground water........................ i O Description of Soil----iV.- V ..................................... - . •- --_---- .....- . - -----•... --••------- --- -,.--••-•--- -------- U Nature of Repairs or Alterations—Answer whet applicable-�e_*....�1 ._-.�'r!r-rx-``5,'-��X G .�i� .....................................�� ` 'T-G,ti-e ='=�' - 'cam,.').5, /� aJ Wk - Agreement: i �. �/ The undersigned agrees to install the aforedescribed Individual Sewagee Disposal System in accordance with the provisions of,A ITA L; 5 of the State Sanitary Code— The undersigned further agrees/not to place the system in operation until a Certificate of Compliance has been issued by the board of health. 001 Signed-.. r - Date Application Approved BY ... -�� x�_-:— --•------••-------- ----- .- ^ Date Application Disapproved for the following reasons:--•--=--•--•-----------•------------------------------•-•-•:--•--------•-----•-..._....._....------------•-•-- t ........ ............................../.............................._..._----- ----•-•----.....------------------.........---- ,....... Date PermitNo......... ----------��.._.. Issued-................--..................................... Date d 1 09, iA T c H SEWAGE PERMIT % Q. Vi L L A G F- ASSESSORS MAP NO: ---,—b7" I �. i - PARCEL NO.: (Do m L Lr'S NA E � RESS PA wl-T lo L D E R 03 0 W H E.R 6—&—f—EF6 "ll-F-IT-55T DAT r C OMPLI A NC I I S S U IL 4 �y QIG ol L _ i vb� 4SSESSORS MAP NO. THE COMMONWEALTH OF MASSACHUSETTS // E®AR® f -HEALTH /O. .................OF......................... .............. Appliratinn for UhiposFal lgurkii Tomitrnrtaun thrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: -- ;. .. --- y -----5.-.....W�..A, L c do es-Addr r Lot No. _ ...s,!-_... ._I ---- ..... �h..._. :�LT............ -------------•---_-_----o-_................------•-•---------.........--•--.. W ` Owner Address �... .1P-•\--K.`. ........................... .... Installer Address Q Type of Building /� Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.......... ................................Expansion Attic ( ) Garbage Grinder .F--�-- Other—Type e of Building No. of persons............................ Showers � yP g ---------------------------- P ( ) — Cafeteria ( ) QOther fixtures .---.....-•----•-•-----•------•----------------••--...-----•-----•-•--------------....._......_-----------••-•---••-- ------ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity/02.!gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Widtl ,---------.-------. Total Length..........y.-------- Total leaching area.....................sq. ft. Seepage Pit No--------------------- Diameter.....6__.....__._. Depth below inlet....y............ Total leaching area..................sq. ft. z Other Distribution box ( L<_ Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water-----------------___---. fi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -- - --- ...................................................................... Description of Soil_ ......._@�lt�......,< ?.._.._... A-_G_V_.jr.-e.._._..._ . ._ --- - ---------- - --- --------- U -----------------------------------------•-•-----•--------------------------...--•----------------•-------•---------------•••--------.... x ------------------------•--------------------.....-•----••----......----•---••--------------•--••-•------- ----------t---U eture of epairs or Alterations—AnsNyer 6 '%, 7hen a livable. :..4__ ..___ ._._�Q_ __.t?...._: ---(:dam__._...... Agreement t� The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of L i I.i; p 5 of the State Sanitary Code—The unde signed f er agrees not to place t system in operation until a Certificate of Compliance has n 'ssued by t rd of th.OF Q e --- --- ......... ---- - ------- .-•••---------------------------- !----------•-_ at Application Approved By----------------------------- - ........ .......... ................. .......... Date Application Disapproved for the following reasons:................................................................................................................ -------------------•-........------------••--•----------•-••---------------------•---------._......-----------------------•.._._..----- ---------------------------••------------------................ qDate PermitNo......... .---•----------5--.� Issued-....................................................... Date t lV0.. .� .?.`'r..��' �. Fins THE COMMONWEALTH OF MASSACHUSETTS r . BOARD OF HEALTH /• r..�- j�.. -- OF.......... :::"I!�....�.�.......--------..........--•-------.............---•--... Apliliration for Dhipaii al Works Tomitratrtwtt 1hrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: `,,^ �., ..............._.......-I..:_I.1�.I.....--- -- .................. ... .. ..._... ........._.. NL ti -Addre or Lo. s Owner Address a . _. ..... c�-.c:&_ .�I. ............................ ............................................. � Instalier Address Type of Building �,,-•� Size Lot----------------------------Sq. feet Dwelling—No. of Bedrooms......__.1.................................Expansion Attic ( ) Garbage Grinder ��...�..- aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------------------•--•--....--------.•----•••-••---••••-------------------•-------------••••-••--•---••---•--....-•--••••••--.-•---• W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacit/,V.Q.!�.gallons Length................ Width................ Diameter•_--_._•-___-__ Depth................ x Disposal Trench—No_____________________ Widt T......... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter....t..._.___.._. Depth below inlet...L. ............ Total leaching area..................sq. ft. Z Other Distribution box (Gr Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-----------------____--. r%4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ . .. .........- . ---•-•-...-..................................................... D Description of Soil ....___ .9-1a....... -.__ _ O..Ca_1/-- - ---------- &.0 x �?........ _ ._ V -----•--•-•----•••---••-•--....................•-•-•---------•---•••••-•--•--•---•---•......................•-----------------...-••------•----•-•................................................... ...................--....................................................................................--- .� .....y.................................. t V �etnre of epairs or Alterations—Ansyver hen a plicable,.�.t�...�._.(.__ _._ .-_(___. 4_S2... l _ _ .._ "� H.0&� -�- -01/....x7""' ._C....--...-•---• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TTL p }of the State Sanitary Code— The unde signed f • 1 er agrees not to place t e system in operation until a Certificate of Compliance has n issued by t and of lth. - 2 __....�.�..-lgtie _._. ....----•-••--- --•----- - --------•-------•---•----.......--- - -----------. ..,,.ram-'_�•.-- f� Da e Application Approved By................ --K=_-: air.. . .�---------- ----- -•------� {/ �I' �-- -� — �- --- �/ atE -�----- Application Disapproved for the following reasons-.............................................--•---------•---•--•---•-•-------------((-------------............__ .................................•....................................................................................................................................................................... -- Date Permit No.------. - �-�-Z" Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH c r.... ✓1.....................OF...... ..................................... kdrf.�rrtifirztlr of (glimpliFattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) bye "^ :.�. f ' . - --- •-•-•-----•---------------------------------••---•--------•••........._...-- jt C"^' Installer' has been installed in accordance with the provisions of TITLE j of The State Sanitary Code s des ribed in the application for Disposal Works Construction Permit No _.__��t . "__.. dated_-..____ "' PP 1 . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUA ANTEE THAT YHE SYSTEM WILL FUNCTIO SFACTORY. DATE.................................0 ..................... Inspector................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ��-,- �N rc ' c"_ ...........................................0F. N0........................ �i��n�at1 �rk� ��att�#rt�Uan �erttti� ; 4 .- Permission is hereby granted---l='='-- -------------------- •-- . . -----;? ��--- � ....................................................... to Construc ) or Repjx, ( ) . n Individual Sewage Disposal System at i�TO .•- ,1 Street as shown on the application for Disposal Works Construction Permit N _ `7- Dated-"`�E d _ .___.... -.� Board of Health "44 DATE FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS i� - r . � �� ' ���_. 4 S �. t � TOP OF FOUNDATION = 16.40' PROVIDE CAST IRON MANHOLE FRAME 5"DIA. OUTLET(S) GENERAL NOTE S &COVERS TO GRADE OVER OUTLET REMOVABLE COVER CHARCOAL FILTER FINISH GRADE OVER LEACHING FIELD= 14.5' - 15.5' AND INLET COVERS FINISH GRADE OVER D-BOX= 15.5' 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION 4"SCHEDULE 40 PVC MIN. SLOPE 1% SLOPE @ 2% MIN. OVER SYSTEM METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. FINISH GRADE @FND. EL.= 14.9�-16.0� FINISH GRADE OVER TANK EL.= 15.3�-15.5� FRAME PROVID&COVER TE CAST OO GRADEMANHOLE 3/4"TO 1-1/2" DOUBLE WASHED STONE TO CROWN OF PIPE 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. 20" MIN. ACCESS COVER 12" MIN. 2"OF 1/8"TO 1/2" DOUBLE WASHED STONE(TYPICAL FOR 3) 36"MAX. 36"MAX. 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL PROPOSED 4" BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. 11 4" PVC PERFORATED PIPE 4. TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE LESS THAN SCHEDULE 40 PVCX SLOPE AT.5 % ' ' 2 DROP MIN. PROVIDE WATERTIGHT TOP OF S.A.S. = 12.50 - 12.73 9"MIN. ELEVATION = 12.73' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS Mw.sLoPe@2� tW3" 3"DROP MAX. 3" 9" JOINTS (TYP.) 12.00� 36"MAX. A 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF 4" PVC IN FROM THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. END CAPS 14" r7A SEPTIC TANK 4" PVC OUT TO + 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 12.$1 LEACHING FACILITY i!^ • i i �< _ I 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. SEE PLAN � 12" � - j- � `'�''� 7. LOCAL BOARD OF HEALTH TO BE NOTIFIED PRIOR TO BACK FILLING WHEN 12.52 MIN. 12.35' 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 I 1 Y " / 48 I � SYSTEM S NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS NOT TO 6"CRUSHED STONE BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH. OVER MECHANICALLY ! _ _ _ - 1 I 16 E DEPTH E 8. ELEVATIONS BASED ON ASSUMED DATUM OF 15.00' MSL OBTAINED MODEL#A1801 HIP(GAS COMPACTED BASE �- I ' FROM A NAIL IN A TREE AS SHOWN ON PLAN. BAFFLE ON BOTTOM) 12.23 BOTTOM OF TRENCH TO BE LEVEL EL. = 1 1 .50' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION 13.1' rj THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE 6"CRUSHED STONE OUTLET DISTRIBUTION BOX OVER MECHANICALLY A BE INSTALLED FEET A LEVEL STABLE 45.0' 4' 6' 6' 4' AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY COMPACTED BASE BASE. FIRST TWO FEET OF OUTLET PIPES TO BE LAID LEVEL. 20.0' DISCREPANCIES TO THE DESIGN ENGINEER. GROUND WATER ELEV.- 5.93' 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE PROPOSED 1500 GALLON CONCRETE SEPTIC TANK CROSS SECTION VIEW - STRUCTURES SHALL BE MADE WATERTIGHT. LENGTH 6�-0�� WIDTH 11�-0�� DEPTH 6'-2„ 5' MIN! 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR TYPICAL FIELD PROFILE FIELD END VIE' ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH *NOTE: SEPTIC TANK PROFILE (H-20) DISTRIBUTION BOX DETAIL (H-20) FIELD DETAILS DETERMINATION FROM APPROPRIATE AUTHORITY. TANK DIMENSION AS PER ACME 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS PRECAST CO. INC., TEATICKET, MA. NOT TO SCALE NOT TO SCALE NOT TO SCALE LOCATED UNDER PAVEMENT,DRiXES OR TRAVELED WAYS IN WHICH CASE - - - THEY SHALL WITHSTAN�H-20 LOADING. ?/ r • '. TEST PIT DATA 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND . • • FINES. *NOTE: t r K901 • 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND V �,. �'�. INSPECTOR: Samuel White 1. WETLANDS FLAGGED BY DAVID PICHETTE ON ; • • .�f + • r UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF AUGUST 3, 2003. . . •. r • • • SOIL EVALUATOR: Samuel Philos Jensen LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN i» DATE: August ust 12, 2003 COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN • # • MAP 2 7 r ACCORDANCE WITH 310 CMR 15.255(3). .. -._, TEST PIT#: 1 (10,526) 0 ''•- �1 ' • :: �'_w. -' 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN PARCEL 3-2 • ELEV TOP= 14.60' SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. ELEV WATER- 5.93 16. PROPOSED PROJECT IS LOCATED WITHIN: N t - X-X- ' X- x p '''"-''� PERC RATE = See Sieve Analysis ASSESSORS MAP 207 PARCEL 003-001 0 17. OWNER OF RECORD: JOSEPH D& LAURA A KREMER a� w -' DEPTH OF PERC = N.A. oO�O� X. m d µ/ `-�r� COUNTRYWIDE HOME LOANS-TAX DEPT I `�-- TEXTURAL CLASS. 1 Ba '" ' ADDRESS: PO BOX 10211 HIED j �� � / '`a / I j • • 0 14.60' VAN NUYS, CA 91410-0211 1 CB/DH I "="fr X } ,.. r FEMA FLOOD ZONE B-C (FND) i ; , / 1 � ''"" =� • Fill AS SHOWN ON COMMUNITY PANEL# 250001 0016 D % MAP 297 � � • �� r• �_ ��. '( I f - wu '; ♦ `' 420." 60" 9.60' 18. PLAN REFERENCE: CB/DH / / / J PARCEL 3-1 X W '` �� • _ Loamy Sand 1. PLAN ENTITLED"PLAN OF LAND IN CENTERVILLE BARNSTABLE MASS. AS PREPARED (FND/HELD) 25 AREA=23,300 1 SQ.FT. I w • • 1 .yn. .• A 10YR 4/4 FOR RAYMOND F., SR., & EDERINA A. CARROLL" DATED APRIL 27, 1984, SCALED AT / / ( ) + !( EXISTING RETAINING 20 FEET TO AN INCH. BOOK 383 PAGE 98. CV / �` _� 12'OAK WALL TYP. -0 ,y " / �q� 24 X ► .���� C} 4f`�"` +� r 65 9 18 19. DEED BOOK 9280 PAGE 153 +r `� f 7 °° �+.'% ' � �...,� �, ,v,., � B Loamy Sand MAPLE , ��, • � • . •s, .� 10YR 4/6 / X 20. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. MAP 207 1 l '�a X MAP 207 r , :-••• 84 7.60' / f,- Q r1► ,, jigs" 21. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY PARCEL 1-2 Z�e POOL �l. PARCEL 4 Loamy Sand FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. `L x cn _� 1� f - - _ r2- _ ' �J�-X�n � 2.5Y 6/4 tz) PROPOSED H-20 1500 GALLON LOCUS PLAN 104" _ 5.93' m SEPTIC TANK Groundwater @ 104 SCALE: 1" = 1000' S / 132" 3.60' PROPOSED PIPE TO BE 1 24� EXISTING PROPOSED H-20 CAPPED FOR FUTURE EXTENSION / GARAGE W/ DISTRIBUTION BOX / 1-BEDROOM _ SIEVE ANALYSIS RESULTS: LEGEND EXISTING LEACHING PIT TO BE J �/ ABOVE PROPOSED 45.0'x 20.0' DESIGN DATA EXISTING SPOT GRADES PUMPED AND FILLED WITH CLEAN LEACHING FIELD SAND CB/DH I 23--- % SAND 90.0 EXISTING CONTOURS (FND/HELD _ /� 61 o C REMOVE AND REPLACE UNSUITABLE o% SILT 10.0 _ 102 PROPOSED CONTOURS 21�- / �� MATERIAL 5'AROUND AND BENEATH /o CLAY 0.0 102 j _20- % LEACHING FACILITY TO ELEV. 7.60'WITH NUMBER OF BEDROOMS (DESIGN) 6 UNDER POLICY BRP/DWM/PeP-P00-4 PROPOSED SPOT GRADE CLEAN, COARSE SAND Z �19` _ DESIGN FLOW 110 GAUDAY/BEDROOM GAS EXISTING GAS LINE rn PROPOSED WENT(TO BE TOTAL DESIGN FLOW 660 GAUDAY EFFLUENT LOADING RATE FOR 0' 0 17 = FIELD VERIFRED BY OWNER) CLASS I, >85% SAND=0.74 GDP/SF E/T/C EXISTING ELEC/TELEPHONE/CABLE LINE PERC RATE ASSUMED <5 MIN/IN W -- EXISTING WATER LINE MAP 206 ­'DEC1-5 K .:. .... :::.:.: _: SEPTIC TANK ! 3� B.M. TEST PIT LOCATION PARCEL 62 "� _ -- - -.` ` Nail in Tree DESIGN FLOW X 200 % = 1320 GALLON SEPTIC TANK \ . t:.= Elev. = 15.00' #488 n .A------`-- _N.-==_. ` Assumed USE PROPOSED 1500 GALLON SEPTIC TANK O EXISTING 1000 SEPTIC TANK PROPOSED CLEAN-OUT TO GRADE (TYP.) EXISTING < "= == = INSTALL A 20' BY 45' LEACHING FIELD O O O PROPOSED 1500 SEPTIC TANK(H-20) 2 - == EXISTING 1000 GALLON SEPTIC 1 5-BEDROOM a�`t'-o ,p 14. TANK TO BE PUMPED, FILLED O DWELLING � C� _ O`er �O 2� SIDEWALL CAPACITY 4"SOLID SCHEDULE 40 PVC PIPE WITH CLEAN SAND AND � 2 y N I' TOF= 16.40' ` mod'" ❑ DISTRIBUTION BOX H-20 BOTTOM TO BE PUNCTURED IN 1�I lZ � 0, NO SIDEWALL AREA CREDIT TAKEN ACCORDANCE WITH TITLE V. 1' << 3'STATl7E ` ( ) INTERIOR PIPING TO ` 4" PERFORATED SCHEDULE 40 PVC PIPE BE REPLUMBED 6'GARDEN ` -� (INV. = 13.70') PAVE O RIVE L �''-� BOTTOM CAPACITY - 0 (LENGTH x GAUDAY (20.0'x 45.0') (74D GPD/S F.GPD/S.F.) _ 666.0 GAUDAY 1 10/10/03 DS JLC 6-BEDROOM DESIGN \ OOT REV. DATE BY APP'D. DESCRIPTION TOTALS: PROPOSED SEPTIC SYSTEM UPGRADE INTERIOR PIPING TO -_�� TOTAL LEACHING AREA 900.0 SQ.FT. PREPARED FOR: BE REPLUMBED w r TOTAL LEACHING CAPACITY 666.0 GAL./DAY JOSEPH KREMER o �O LOCATED AT 488 SOUTH MAIN STREET RESERVED FOR BOARD OF HEALTH USE CENTERVILLE, MA 02632 00�� AO / EXISTING CESSPOOL TO BE / `v,��1� SCALE: 1 INCH = 20 FT. DATE: SEPTEMBER 6, 2003 PUMPED AND FILLED WITH CLEAN � -�` o io 20 40 so FEET SAND 0V��G PATH OF�{ 000 ✓'�� J s PREPARED BY: t bHN L, �� ILL a JC ENGINEERING, INC. JH, No 1 p�17 2854 CRANBERRY HIGHWAY +7 SITE PLAN ' ' EAST WAREHAM MA 02538 508-273-0377 SCALE: 1"=20' r Drawn By: DS Designed By: DS Checked By:JLC Job No.:485