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0042 STANLEY WAY - Health
42 Stanivey Way Centervil. e A=228 - 156 e k ' s UPC 12534 (S- o 2.153E �nwtm TOWN OF BARNSTABLE LOCATION L(Z .,�e_� �..IGv SEWAGE# VILLAGE Cu, y,l�G. ASSE``SSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. ec}o�o SEPTIC TANK CAPACITY LEACHING FACILITY: (type)Soo Q,1 Le, C umL,, (sine)\Q�,, x Pik'L r 2 p NO. OF BEDROOMS 4I OWNER .c: a {.a. PERMIT DATE: \\I21/nS COMPLIANCE DATE: c� 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 Al-- 320 A3--35 ® O 0Q51 ,t � r 'W-i No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,. MASSACHUSETTS 0[pplication for 33iopoal *Pztem Conotruction Permit Application for a Permit to Construct( . )Repair( )Upgrade(v)Abandon( ) Complete System ❑Individual Components Location Address or Lot No. z ���v G(f�1/ Owner's Name,Address and Tel.No. Assessor's /Parcel Installer's Name,Adress d Tel. o. Designer's Name,Address and Tel.No. 6J /! /�/ Type of Building: Dwelling No. of Bedrooms Lot Size q.ft. Garbage Grinder(16� Other Type of Building C No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow ® gallons per day. Calculated daily flow `�� gallons. Plan Date O Number of sheets Revision Date Title S 6)1-&- A101YO Z &1Z?&1O &/4' Size of Septic Tank ! '� ype of S.A.S. /�-• 4Agrl Description of Soil el, S 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 issued b his oar f H lth. _.. Signe Date Application Approved by7YM��114 Date Application Disapproved for the following rea Permit No. Date Issued s . r4 L No. 1 .�. ' . t Fee k/20-___1 . THE COMMONWEALTH OF-MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION =TOWN OF BARNSTABLE., MASSACHUSETTS Yes ZIppliration for Mi!5po$al,*pgtem Con!5truction Permit r Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) leComplete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. y Z s y`o/a�E' l�rJ�t p Assessor's ap/Pazcel G� vie/ Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Ll Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures x• Design Flow a gallons per day. Calculated daily flow xl eI3 gallons. Plan Date i7 A Number of sheets ✓ Revision Date Title �.5/Tfi y7 SJ`c �9�t� S/ GlJ4 t/ Size of Septic Tank f 4` Z,k i ° t�'fype of S.A.S. Description of Soil �- � t i 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 issued by7thiss Boa da.•f He lth, / Sign e �i� -a' y . A � Date Application Approved by Date e7� Application Disapproved fot r the following ream s Permit No, 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(� Abandoned( )by 4- '/ .n at _ N. J \ �% !/% has ben constructed in accordance with the provisions of Title 5 af d the�,f�°r L)isposal System Construction Permit No, /_�� �ated I. . Installer ./Q:Pi !C� Xt f Designer The issuance of this permit sha ,n• be cons ed as a guarantee that the ysem wilunct s de gried. Date Inspector �,- — ' f3—•.►—�———————————————————————— No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mizpooi *pgtem Con5truction 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 recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction/mt be com le d within three years of the date of this pe ) // Date:_. Approved by FROM :down cape engineering inc ,FAX NO,, :15083629880 May. 25 2006 07:39AM P1 Town of Barnstable Regulatory Services os ThomasF. Geiier,Director Public Health Division Thomas Mclean,Director 200 Main Street,Hyannis,M.A 02601 Office: 508-862-4644 Fax: 508-740-6304 Installer& Designer Certification Form Date: - '( Sewage Permit# Z019 fj—f Assessor's MapTarcel Desi er: �,b 0 L.) 6 met-6 Installer: Aqrxop!,�� Address: q,3 Y /% oti i. Address: �c t On ��! 7-j1� �W�17 was issued a permit to install a (date) / ftt, (installer) septic system at J-~ - based on a design drawn by (address) ,-Q., dated (dell . ) 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 certit, 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. � �t�Of lq�ss9e ARNE H OJALA 1` Star Signature) CIVIL �� .• No. 30792 ssION+AL (Designer's Signat ) (Affix Designer's Stamp Here) PLEASE RETURN TO B N TABLE P IC HEALTH DIVISION, CERTIFICATF, OF COMPLIAN E WILL N(Yr BE IS l ED UNTIL 130TH THIS FARM AND AS-RJ71LT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU, Q;Health/Septic/Designer Ccrdfiminn Form 3.26-04.doc DA-05075 oF� r Massachusetts Department of Environmenta; Protection 4� .' Bureau of Resource Protection - Wetlands n + BARNSTABLE, 1 PA Form 2 — Determination of Applicahilityr M� i6 Q Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 And Chapter 237 of the Code of the Town of Barnstable A. General Information Important: When filling out From: forms on the Barnstable computer, use Conservation Commission only the tab key to move To: Applicant Property Owner (if different from applicant):, your cursor- do not use the Bortolotti Construction Richard Rougeau return key. Name Name P.O. Box 704 174 Lowell Road, Unit 108 vs-12L�lMailing Address Mailing Address Marstons Mills MA 02648 Mashpee MA 02649 » City/Town State Zip Code City/Town State Zip Code 1. Title and Date (or Revised Date if applicable) of Final Plans and Other Documents: Title 5 Site Plan of 42 Stanley Way, Centerville by Arne H. Ojala, PE July 12, 2005 Title Date Title Date Title Date 2. Date Request.Filed: AUG 26, 2005 B. Determination Pursuant to the authority of M.G.L. c. 131, §40 and Chapter 237 of the Code of the Town of Barnstable,the Conservation Commission considered your Request for Determination of Applicability, with its supporting documentation, and made the following Determination. Project Description (if applicable): The applicant proposes the upgrade of an existing septic system within the buffer zone to an inland bank, adjacent to an intermittent stream. Project Location: 42 Stanley Way Centerville Street Address Village 228 156 Assessors Map Number Parcel Number wpaform2.doc•Appendix E•rev.2/00 - Page 1 of 5 L DA-05075 PaFtr+E, � N Massachusetts Department of Environmental Protection - ` Bureau of Resource Protection - Wetlands BAWISTABLE, _ WPA Form 2 — Determination of Applicability J Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 And Chapter 237 of the Code of the Town of Barnstable B. Determination (cont.) The following Determination(s) is/are applicable to the proposed site and/or project relative to the Wetlands Protection Act and regulations: Positive Determination Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of Conditions (issued following submittal of a Notice of Intent or Abbreviated Notice of Intent) has been received from the issuing authority(i.e., Conservation Commission or the Department of Environmental Protection). ❑ 1. The area described on the referenced plan(s) is an area subject to protection under the Act. Removing,filling, dredging, or altering of the area requires the filing of a Notice of Intent. ❑ 2a. The boundary delineations of the following resource areas described on the referenced plan(s) are confirmed as accurate.Therefore, the resource area boundaries confirmed in this Determination are binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations regarding such boundaries for as long as this Determination is valid. + ❑ 2b.The boundaries of resource areas listed below are not confirmed by this Determination, regardless of whether such boundaries are contained on the plans attached to this Determination or to the Request for Determination. ❑ 3.The work.described on referenced plan(s) and document(s) is within an area subject to protection under the Act and will remove,fill, dredge, or alter that area.Therefore, said work requires the filing of a Notice of Intent. ❑ 4.The work described on referenced plan(s) and document(s) is within the Buffer Zone and will alter an Area subject to protection under the Act.Therefore, said work requires the filing of a Notice of Intent. ❑ 5.The area and/or work described on referenced plan(s) and document(s) is subject to review and approval by: Town of Barnstable Name of Municipality Pursuant to the following municipal wetland ordinance or bylaw: Name Ordinance or Bylaw Citation. wpaform2.doc•Appendix E•rev.2/00 Page 2 of 5 :> t DA-05075 ,. Massachusetts Department of Environmental Protection P o� Bureau of Resource Protection - Wetlands : BARNSTABLE, y MKS& g w_ WPA Farm 2 — Determination of Applicability wpT ° Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 And Chapter 237 of the Code of the Town of Barnstable B. Determination (cont.) ❑ 6.The following area and/or work,if any, is subject to Chapter 237 of the Code of the Town of Barnstable but not subject to the Massachusetts Wetlands Protection Act: ❑ 7. If a Notice of Intent is filed for the work in the Riverfront Area described on referenced plan(s) and document(s),.which includes all or part of the work described in the Request,the applicant must consider the following alternatives. (Refer to the wetland regulations at 1.0.58(4)c. for more information about the scope of alternatives requirements): ❑ Alternatives limited,to the lot on which the project is located. ❑ Alternatives limited to the lot on which the project is located, the subdivided lots, and any, adjacent.lots formerly or presently owned by the same owner. ❑ Alternatives limited to the original parcel on which the project is located, the subdivided parcels, any adjacent parcels, and any other land which can reasonably be obtained within the municipality. ` ❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate region of the state. Negative Determination Note: No further action under the Wetlands Protection Act is required-by the applicant. However, if the Department is requested to issue a Superseding Determination of Applicability, work may not proceed on this project unless the Department fails to act on such request within 35 days of the date the request is post-marked for certified mail or hand delivered to the Department.Work may then proceed at the owner's risk only upon notice to the Department and to the Conservation Commission. Requirements for requests for Superseding Determinations are listed at the end of this document. ❑ 1.The area described in the Request is not an area subject to protection under the Act or the Buffer Zone. ❑ 2.The work described in the Request is within an area subject to protection under the Act, but will not remove, fill, dredge, or alter that area.Therefore, said work does not require the filing of a Notice of Intent. ® 3.The work described in the Request is within the Buffer Zone, as defined in the regulations, but will not alter an Area subject to protection under the Act.Therefore, said work does not require the filing of a Notice of Intent, subject to the following conditions (if any). sediment controls shall be installed prior to work prompt foaming and seeding to follow system installation ❑ 4. The work described in the Request is not within an Area subject to protection under the Act (including the Buffer Zone).Therefore, said work does not require the filing of a Notice of Intent, unless and until said work alters an Area subject to protection under the Act. v+paform2.doc•Appendix E•rev.2/00 Pape 3 of 5 Massachusetts Department of Environmental Protection .�E`"E,O�y Bureau of Resource Protection - Wetlands , WPA Form 2 - Determination of Applicability 9�A>MASS. MASS. Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and Chapter 237 of the Code of the Town of Barnstable DA-05075 B. Determination (cont.) ❑ 5. The area described in the Request is subject to protection under the Act. Since the work described therein meets the requirements for the following exemption, as specified in the Act and the regulations, no Notice of Intent is required: Exempt Activity(site applicable statuatory/regulatory provisions) ❑ 6. The area and/or work described in the Request is not subject to review and approval by: Name of Municipality Pursuant to a municipal wetlands ordinance or bylaw. Name Ordinance or Bylaw Citation C. Authorization " This Determination is issued to the applicant and delivered as follows: ❑ by hand delivery on ® by certified mail, return receipt requested on October 20, 2005 Date Date This Determination is valid for three years from the date of issuance (except Determinations for Vegetation Management Plans which are valid for the duration of the Plan).This Determination does not relieve the applicant from complying with all other applicable federal, state, or local statutes, ordinances, bylaws, or regulations. This Determination must be signed by a majority of the Conservation Commission. A copy must be sent to the appropriate DEP Regional Office (see Attachment) and the property owner(if different from the applicant). Qign�- On this 6da of_ oC 2oos before me personally appeared tome known to be the person described in and who executed the foregoing instrument and acknowledged that he/she exec ted the same as his/her free act and deed y i Notary Public My commission expires T wpaform2.doc•Request for Departmental Action Fee Transmittal Form•';ev.`10/6/04 Page 4 of 5 ,',.'.;',,''.;mot\•. . DA-05075 oFs r *` Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands ( _ BARNSIABLE, MASS� WPA Form 2 — Determination of Applicability ��A : TEn�ta 1639 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 And Chapter 237 of the Code of the Town of Barnstable D. Appeals The applicant, owner, any person aggrieved by this Determination, any owner of land abutting the land upon which the proposed work is to be done, or any ten residents of the city or town in which such land.is located, are hereby notified of their right to request the Department of Environmental Protection Southeast Regional Office to issue a Superseding Determination of Applicability. The request must be made by certified mail or hand delivery to the Department, with the appropriate filing fee and Fee Transmittal Form (see Appendix E: Request for Departmental Action Fee Transmittal Form) as provided in 310 CMR 10.03(7) within ten business days from the date of issuance of this Determination. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant if he/she is not the appellant. The request shall state clearly and concisely the objections to the Determination which is being appealed. To the extent that the Determination is based on a-municipal ordinance or bylaw and not on the Massachusetts Wetlands Protection Act or regulations, the Department of Environmental Protection has no appellate jurisdiction. I' i ' . i j. l_ l wpatorm2.doc Appendix E-rev.2/00 Pape 5 of 5 SYSTEM PROFILE TEST HOLE LOGS TOP FN D N. AT EL. 51.7' NOT TO SCALE) ACCESS COVER TO WITHIN 6" OF FIN. GRADE ( PROVIDE INSPECTION PORT WITHIN ACCESS COVER (WATERTIGHT) TO 6" OF FINISH GRADE ENGINEER: RICK JUDD, RS /�51.0' MINIMUM .75' OF COVER OVER PRECAST /� WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM D. DESMARAIS, RS 51.0 WITNESS: MAIN ST. PINE 2" DOUBLE WASHED PEASTONE DATE: 6/29/05 I- RUN PIPE LEVEL �/ I LOCUS PROP. NEW SEWER FOR FIRST 2' 3' MAX. PERC. RATE _ < 2 MIN/INCH 5� LINE OUT PROPOSED 1500 r INVERT ELEV.: LEV. GALLON SEPTIC 48'0 CLASS I SOILS P# � 5 48.40' MIN. 48.04' 47.79 of TANK (H- 1O ) GAS " <=K=) 47.31' pED0 0aaa ©47.48BAFFLEo 47.17' 0 0 0 0 0 0 0 CI o PIPES UNDER SLAB" O ED 0 0 ED � O 0 �6" CRUSHED STONE OR MECHANICAL $o MIN COMPACTION (15.221 [2]) �0 2 0 0 0 0 0 45.17 Q ELEV. Q ( 2 .% SLOPE) O,. 51.0' 0" 50.5' DEPTH OF FLOW = 4 ( 2 % SLOPE) ( 1 % SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE TEE SIZES: FILL FILL INLET DEPTH = 10» 56" 11 " 9 LOCATION MAP NTS OUTLET DEPTH 14 A/E LEACHING LS A/E FOUNDATION- 17' ST 31' D' BOX 16' LS FACILITY 5.17 14 2 62" 10YR 3/2 10YR 3 / ASSESSORS MAP 228 PARCEL 156 *THE INSTALLER SHALL VERIFY THE Bw Bw VARIANCES REQUESTED UNDER MAX. FEASIBLE COMPLIANCE 15.405(1): LOCATIONS OF ALL UTILITIES AND ALL LMS BUILDING SEWER OUTLETS AND ELEVATIONS LMS (IN-HOUSE VARIANCE) PRIOR TO INSTALLING ANY PORTION OF 84" 10YR 4/6 b: REDUCTION IN SETBACK, SAS TO 44.0' 24" 10YR 5/6 49.5' FOUNDATION (20' TO 16') SEPTIC SYSTEM Cl Cl 40.0' PERcX M-C SAND PERc M-C SAND - _ 7.5YR 5/6 102» 80» 7.5YR 6/6 C2 CS C2 I N Cs P 2.5Y 6/4 132" 40.0' 126 2.5Y 6/3 40.0' NO GROUNDWATER ENCOUNTERED NOTES- 1. DATUM IS APPROX. NGVD (GIS SPOT ELEV.) EXIT SEWER LINE(S) WHICH -. X CANNOT BE GRAVITY TANKFED SHALL SLP fIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED ) 2. MUr1:CiPAL WATER IS L 't) 'l' G NOTE: PLUMBING PROPOSED PROPOSED SEPTIC TO BE RE-ROUTED TO EXIT BE CONNECTED TO A PUMP FL 4 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. DESIGN OW: BEDROOMS 110 GPD) .= 440 GPD 4 DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- FRONT OF DWELLING IN SYSTEM WITHIN THE DWELLING, e ( 10 APPROX. AREA SHOWN. TO BE HANDLED BY A PLUMBER U, SE A 440 GPD DESIGN FLOW PROPOSED MINIMUM INVERT (PLUMBER HAS STATED THAT 5. PIPE JOINTS TO BE MADE WATERTIGHT. ELEVATION OUT 48.40' THIS CAN BE DONE) SEPTIC TANK: 440 GPD (2) = 880 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. ENVIRONMENTAL CODE TITLE V. a 52- JSE A 1500_ GALLON SEPTIC TANK -- 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY. AND IS NOT � LEACHING: TO BE USED FOR ANY OTHER PURPOSE. ol 115.74 �21 boo, o SIDES: 2(40.5 + 9.83) 2 (.74) = 149 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. PAVED 4p 40.5 x 9.83 (.74) = 294 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT 1 `DRIVEWAY �� BOTTOM: N _ V INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED H>MREs ,°�° �� 5 1 TOTAL: 598 S.F.F 443 GPD FROM BOARD OF HEALTH. Q REROUTED / a3 n2 �� o� 0- USE 3) 500 GAL. H-10 CHAMBERS (ACME OR 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING SEPTIC SYSTEM WATERLINE - 36 EQUAL) WITH 2.5' STONE AT SIDES, 3.5' AT ENDS )\ND 4' BETWEEN UNITS / _j EXISTING s TH, o DWELLING LEGEND ° TITLE 5 SITE PLAN I- 11' C' 6' PIPES B 100.0 PROPOSED SPOT ELEVATION OF LIGHTPCST ' s� 4 2 S T A N L E Y W A Y NOTE: PROBABLE IN eusr+ i ° �' O ' a �_ �a-e�.r 100x0 EXISTING SPOT ELEVATION UNSUOTABLOEFSOIL W °"EALX aq ^ SILL A suo� FL/S 100 IN THE TOWN OF: REQUIRED FOR 5' ,r PATIO O PROPOSED CONTOUR AROUND ( CENTERVILLE) BARNSTABLE NORTHERLY j '' PREPARED FOR: BORTOLOTTI i PORTION OF SAS, � -- 100 EXISTING CONTOUR DOWN TO Cl LAYER CONSTRUCTION/ROUGEAU (SEE TEST HOLE LOGS) o 'w �°' m S of 30 0 30 60 90 1 `' " 'c► Rl BOARD OF HEALTH I I I I P BENCHMARK APPROVED DATE MA SCALE: 1" = 30' DATE: JULY 12, 2005 COR CONC. STOOP TOP STEP ELEV = 52.2' REV. 10/4/05 off 508-362-4541 fax 508 362-9880 NOTE: GASLINE IN AREA OF PROP. SAS RE-ROUTE AS PROP. WORK LIMIT LINE �F3��HOFr��Ssgc °FMgss9 pengineering, o ARNE H. ti down cape Inc. � ti � o AR G NECESSARY) �� OJALA �� H �� F CIVIL ENGINEERS CIVIL OJALA LAND SURVEYORS � `tee oo, 26348 o N 30792 E FESS\0 939 main st. yarmouth, ma 02675 AR JALA P.E., vE'� 05- 133 DATE L I I