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Home My WebLink About0088 STONEY CLIFF ROAD - Health 88 Stoney Cliff Road Centerville A = 190 040 lirl m ?Pi ad=. l/ll UPC 12543 NO. 53LOR HASTINGS, r•pr 1 TOWN OF BARNSTABLE LOCINnON x C SEWAGE �+ V LLAGE ��` '�( hI ASSESSOR'S MAP & LOT qO-Oqa INSTALLER'S NAME&PHONE NO. f l SEPTIC TANK CAPACITY SOD 00 :LEACHING FACII.=: (type) �l (size) c}- NO. OF BEDROOMS 3 BUILDER OR O R PERMTTDATE: q U 3 COMPLIANCE DATE: O �� 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 L within 300 feet of leaching facility) Feet Furnished by 1 (�d No. aQ 0 3 -30 ✓ FEE Board of Health, MA. APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) RepairX Upgrade( ) Abandon( ) /Complete System 0 Individual Components Location �I ,Owner's NameQ Map/Parcel# Address Lot# U Telephone# Installer's Name !RdtQK V_n. Designer's Name Address 6 Address V&�MOCWN# MA Telephone# Telephone# Sdg_5ye-o-+qG �Cfpa�s Type of Building /1�1U� Lot Size Dwelling-No.of Bedrooms �'�lC�e C30 Garbage grinder Other-Type of Building N o412 No.of persons_—Showers (1rCafeteria (V j Other Fixtures ICtT'C_VW J C)i iJ k- . L.AQ,.1QW Design Flow (min.required) gpd Calculated design flow 330 Design flow provided ,•S gpd Plan: Date LA �- 03 Number of sheets Revision Date �— Title �` tpOoSf. �2rPC clS UQd��QC�2 11 Description of Soil(s) Soil Evaluator Form No. 2 Name of Soil Evaluator S WW Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS52 s`7`O•(� The ersigned agrees to install the above described Individual Sewage Disposal System in accordance with the �gWRcMTrFL'E 5. ncf further e s to not to plac It ration until a Certificate I�C�o fiance has been issued by the. UE140iFy J; Signed Date l I� -L::M WAS INSTALLED IN go 14 � � `7 �y/v3 ,ANCETOPLAN. Inspections ��rr•.�.-y,.rv..•...'•-'^,.rr-�"L+"-``.�r.�yv't"'"-t/'".•r�•,:3...--•-wr F.-.�l.n.�,"...+`r'�'t.f''. n."j �•a^`�l�X-•_.1#_:/at�vr".��,f:;. •.> .. , No. 003 301 FEE Board of Health, w ('C CAS �,U�e iN1A. 4 APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERMIF Application for a Permit to Construct( ) Repair 'Upgrade( ) Abandon( ) Complete System ❑Individual Components � i Location C I t Owner's Name e— • c 1 Map/Parcel# n Address Lot# Telephone# Installer's Name ,�� Designer's Name ' Address Q7,.M1)04 A'ddressQX Telephone# �r '. _ Telephone# S()6.5y 8-o-+9 o off;5 Type of Building '�tx-,tAoc1-V 6\ Lot Size 2&5 Y,q.ft. Thc'ee. C3� • Dwelling-No.of Bedrooms Garbage grinder (/y' Other-Type of Building N one No.of persons 4 Showers ( Cafeteria (� Other Fixtures I-AVA-rML>r 115—iTct-1tA i5iwlk- (-,_AUt ok'e Design Flow (min.required) �_� gpd Calculated design flow ,��CD Design flow provided �,•CJ gpd LA ova-,(�3 Number of sheets ++ Plan: Date _ 1 Revision Date ". "Title r 0.,,„,.,;,f„�,,Desc ription of:Soil(s)/1) I k oAf4C' 40 ' Z� C) � Soil Evaluator Form No. � � � �2 Name of Soil Evaluator fA°f�.w1�►",1 � 1�1�' Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the'above described Individual Sewag Disposal System in accordance with the provisions of TITLE 5 and .further'agre s to not to placae-system' ration until a Certificate of C(oJm' fiance has been issued by the Boar&o"i Health. Signed �� ,+� -�� / Date So 11 Inspections l , r f No. ov 3 C®MMONK T14 OF C14USETIS FEE Board of Health, CERTIFICATE Of COMPLIANCE P �u Description of Work: ❑Individual Component(s) Complete System Thew'r�/er ignedfi5 ereby -eKttify t at/the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded��), Abandoned O by: K0 3 V #n � i / at I Pf V I I has beenlinstalled in accorda ce with the p ovissions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No.: /J� ;300 dated / /d 3 Approved �P ees�i n Flow . I (gpd) Installer _{ W -AG7 l .o 1 1 Designer: Inspector: Date: 316 Q 3 The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. cZ VV j'`I FEE COMMONWEALTH ® MASSACHUS ETTS Board of Health C �(� MA. DISPOSAL. SYSTEM CONSTRUCTION PERMIT Permis 'on is hereby granted C struct ) / epair( ) U`pgr de( Abandon( ) an individual sewage disposal system at , , b l�l ( I as described in the application for Disposal System Cons ruction Permit No. ;?003 3 DOI, dated 7 y 01 1-if Provided: Construction shall be completed within three years of the date of this p mit. All loc I conditions must be met. A/0?Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date 7 r Board of Health fv i i TOWN OF BARNS-TABLE C SEWAGE # LOCATION VILLAGE ASSESSOR'S MAP & LOT Y0'(A) INSTALLER'S NAME&PHONE NO. � l SEPTIC TANK CAPACITY t� LEACHING FACILITY: (tyype) 16�1 (size) NO.OF BEDROOMS ✓ BUILDER OR O R J PERMTTDATE: U 3 COMPLIANCE DATE: ® 0 3 Separation Distance Between the: Feet Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist Feet on site 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 • � G7 G - 4311 —a , r cv �a 3f i �d FORM 11 — SOIL EVALUATOR FORM Page 1 of 3 No.: Date: 5/30/03 COMMONWEALTH OF MASSACHUSETTS Barnstable , Massachusetts Performed By: Carmen E. Shay Date: 5/30/03 Witnessed By: Sam White—Yarmouth BOH Location Address or#88 Stoney Cliff Road Owners Name: Francis Broadhurst Centerville,MA Address and SAME Lot# Map 190,Parcel 040 Telephone Number: New Construction : Repair : X OFFICE REVIEW: Published Soil Survey Available: No ❑ Yes ❑ Year Published: Publication Scale: Soil Map Unit: Drainage Class: Soil Limitations: Surficial Geologic Report Available: No❑ Yes❑ Year Published: Publication Scale: Geologic Material: (Map Unit): Landform: Glacial Outwash Flood Insurance Rate Map: Above 500 Year Flood Boundary: No ❑ Yes ❑ Within 500 Year Flood Boundary: No F 7x Yes ❑ Within 100 Year Flood Boundary: No X❑ Yes ❑ Wetland Area: None National Wetland Inventory Map (map Unit): Wetlands Conservancy Program Map (map unit): Current Water Resource Conditions (USGS): Month Range: Above Normal ❑ Normal :1 Below Normal ❑ Other References Reviewed: USGS Topographic Map DEP APPROVED FORM 12/7/95 FORM 11 — SOIL EVALUATOR FORM Page 2 of 3 'Location Address or Lot No.: #88 Stonev Cliff Road, Centerville, MA On -Site Review Deep Hole Number: #1 Date: 5130103 Time: 10:00 AM Weather: Sunny, Warm 78 ° Location (identify on site plan): Refer to Sketch Landform: Outwash Plane Position on Landscape (sketch on back): Refer to Sketch Distances From: Open Water Body N/A feet Drainage Way N/A feet Possible Wet Area N/A feet Property Line 25' feet Drinking Water Well N/A feet Other DEEP OBSERVATION HOLE LOG Depth From soil Soil Soil Soil Other Surface Horizon Texture Color Mottling Structure, Stones, (inches) (USDA) (Munsel) Boulders, Consistency, % Gravel 0" — 7" AP Sandy 10 YR 3/2 None <5% Gravel, Friable Loam Friable 7" — 32" BW Sandy 10 YR 5/6 None <5% Gravel, Friable Loam Friable 329' — 60" C' Med- 2.5 Y 8/6 None Medium to Coarse Coarse Sand, 15-25% gravel, Sand Loose 60" — 126" Cs Med- 2.5 Y 7/4 None Medium to Coarse Coarse Sand, <5% gravel, Sand Loose Parent Material (Geologic): Glacial Outwash Depth to Bedrock: None encountered Depth to Groundwater: Standing Water in the Hole: N/A Weeping From Face: N/A Estimated Seasonal High Water Table None 126" assumed DEP APPROVED FORM 12/7/95 " FORM 11 - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No.: #88 Stoney Cliff Road, Centerville, MA Determination of Seasonal High Water Table Method Used: ❑ Depth observed standing in Observation Hole: 126" inches ❑ Depth weeping from side of Observation Hole: 126" inches (observed) F-1 Depth to Soil Mottles: None inches ❑ Groundwater Adjustment: feet Index Well Number: Reading Date: Index Well Level: Adjustment Factor: Adjusted Groundwater Level: DEPTH OF NATURALLY OCCURING 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: Yes CERTIFICATION: I Certify That on September 17, 2000, (date), I have passed the soil evaluators examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature: Date: �.�2JCL FORM 12 - PERCOLATION TEST Location Address or Lot No.: #88 Stoney Cliff Road COMMONWEALTH OF MASSACHUSETTS Centerville , Massachusetts Percolation Test Date: 5/30/03 Time: 10:30 AM Observation Hole #1 #:1 Depth of Perc 36" — 54" Start Pre-soak End Pre-soak Time at 12" Time at 9 Time at 6" Time (9-6") Rate Min./inch <2MPl Assumed * Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Performed By: Carmen E. Shay Witnessed By: Sam White Comments: Would Not Hold 24 Gallon Presoak - <2 MPI (Assumed) Site Passed X Site Failed DEP APPROVED FORM 12/7/95 CARMEN E. SHAY (508)-548-0796 ENVIRONMENTAL SERVICES, INC. P.O. Box 627,East Falmouth,MA 02536 July 30, 2003 RE: Certification of Title V Septic System Installation: Residential Property 88 Stoney Cliff Road, Centerville, MA Dear Sir or Madam: On July 15, 2003, Roger Roberts, Inc. was issued a permit to install a Title V Septic System at 88 Stoney Cliff Road Road, Centerville, MA, based on a design drawn by Shay Environmental Services on July 14, 2003. XX I Certify That The Septic System Referenced Was Installed Substantially According to the Plan I Certify That the Referenced Above Septic System Was Installed With Changes but in Accordance With State and Local Regulations, Revisions or As-Built Plans/Sketch will Follow. The Septic System Was Not Installed Per State and Local Regulations and Corrective Action is Required. If you have any questions, please do not hesitate to call the undersigned at (508)-548-0796. Sincerely, CARMEN E. SHAY ENVIRONMENTAL SERVICES,INC. �ZH OF MgSS 9 CARMEN �yGN E. y N Carmen Shay, R.S., C. o. 1181 0 President GISTS � S�NITARIPt, TOWN F STABLE LC+CATION SEWAGE # V I L L A G 1 f" / ASSESSOR'S MAP & LOT f/ INSTALLER'S NAME&PHONE N0: l�B� SEPTIC TANK CAPACITY LEACHING FACILITY: (type) �.`r OQ e —size) (9 NO. OF BEDROOMS BUILDER OR OWNER PERMIT DATE: 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 an_y wetlands e ' t within 300 fe t f leaching fac 9® Feet 'li Furnished b r { ?69 ,J . ALL OUILEr PIPES FROM THE 10' min. from *NOTE: ALL PIPES ARE TO BE 4' SCHEDULE 40 P.V.C. SECTION A -A SET LEVEL FOAT LE ST 2 n. -12' - _LtiF1Ga 1E COVER f h�Ph 3- s be Existing Foundation house to septic tank septic tank oo PROFILE VIEW OF LEACHING SYSTEM( �o`�to vars mug 'aullrr � `- ••�-� 1-SITE. r . \ - OU RET ) .�n,, a in. of rl�t.e ¢ne naos //NGrade over septic Tank - es d o. oBo - s .o < SAS - EEV- 90.00 ,� •r.ri a. ur ,�"- ,i+-reeked w..+w. S5_ 1Y �eETor 1,. BQhh S� S - 0.02 3 HOLE H-10 g 17 NEW 5�0.10 DIST. BOX S• 0010 per toot S Yodwen Cove Top of SAS-Elev.-%25 �� S 's s•- 4' - SCH. 40 T AME d GAL TER f�rOU#"r1i1/ SEP IPE TIC TANK 60 I C3 PLAN SECTION CROSS-SECTION WAY N. H-10 n 20' C3 o E,fectho Depth o 0 C3 0 0 0 0 ,Lg FO CONCRETE FULL fOUrlal, ~eat. to n 2 5.51 s 3. 3.5' sn 9 ' 9' s� 3 HOLE H-10 DISTRIBUTION BOX SYSTEM PROFILE comp compacted stone r b 12' 1 25, NOT TO SCALE LOCUS ` Not to Scats u u Effective Vldth i Effective LwVth L❑C M A P i i o S SOIL ABSORPTION SYSTEM (SAS) 6 In.of 3/4•-1 1/2- O compacted etono m 500 - C H-10 LE04CHING UNITS / WIGGINS PRECAST GENERAL NOTES Bs tm-S1L_IfaLli2it-I Otn&- Not to Scale 1. Contractor is responsible for Digsafe notification and protection of all underground utilities and pipes. 2. The septic tank anq distr ujion box shall be set 40 MIL Rubber Liner level on 6 of 3/4 -1 1p2 stone. 3. Bockfill should be clean sand or gravel with no 3--2e 0". AC=4A110Q ES FROM ELEV. 95.53 To Elev.91 .00 & 10 Feet stones over 3" in size. Beyond Each End of SAS 4. This system is subject to inspection during installation 10 -e• ROAD by Carmen E. Shay - Environmental Services, Inc. t ` -=,= :i' ':, •: E y G'L IF'Ft I 5. The contractor shall install this system in accordance 1 0 with Title V of the Massachusetts state code, the approved plan �`. (40 FOOT RIGHT OF WAY) I and Local Regulations. 6. If, during installation the contractor encounters any KKT `/ `/ / ou T j1; = 302.30' I soil conditions or site conditions that are different THE ACCESS COVERS FOR THE SEPTIC TANK, u from those shown on the soil log or in our design DISTRIBUTION BOX AND LEACHING COMPONENT A = c installation must halt & immediate notification be SHALL BE RAISED TO MTHIN 6' OF f made to Carmen E. Shay - Environmental Services, Inc. FINISHED GRADE. 0.5' 26JY S' > I W STEEL REJNFORCED PRECAST CONCRETE INSTALL TUF-TITE GAS BAFFLES OR EOUALS lam_ Q 7. No vehicle or heavy machinery shall drive over the PLAN VIEW ON ALL OUTLET TEE ENDS septic system unless noted as H-20 septic components. •I; w I 8. Install Tuf-rite gas baffles or equals on all outlet tee ends. 3 z4-r�o IAe<E co�xs \ f k.- AREA ':j �{ 0 9. All Distribution Lines shall be 4' diameter Schedule 40 NSF PVC pipes. 9(Ir I w 10. All solid piping, tees & fittings shall be 4" diameter a.ore�. Y 4' i D-Box I I Schedule 40 NSF PVC pipes with water tight joints. eiFT a• miaT�2'min. wet to outNt r = ( r eeEr - ' .` - M 1 1. Municipal Water is Connected to The Residence and Abutting OUTLET Gt1 I I r � Properties Within 200 Feet. E 3 - 4'-0'min. '''ai1d dipth _ EXISTING C7 NOTE: to O 3 BEDROOM THE PROPERTY LINES ARE APPROXIMATE AND _ COMPILED FROM THE SURVEY PLAN GENERATED BY _r .-Y. . • HOUSE ` 1a•-4' ' S -� O #88 ENTITLED CHARLES N PLAN OF LAND NO BARN TABLEE,,NIS MA- (DEC. 9, 1966) CROSS SECTION END-SECTION °' AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN PROJECT BENCH MARK IT SHOULD BE USED FOR NO PURPOSE OTHER THAN TYPICAL 1500 GALLON SEPTIC TANK 10• TOP OF FOUNDATION THE SEPTIC SYSTEM INSTALLATION. ELEV. = 100-00 (Assumed)NOT TO SCALE (H- 10 LOADING) NEW 1500 gal. 0 _ _-------__ - - - ` Septic Tank --__ DECK -_ 98 - ' LEGEND 98--_ Shed - 100' B RR - rJUFFER FROM CRANBEY BOGS DENOTES PROPOSED PERCOLATION TEST , 1 --------------------- ---96 104X1 SPOT GRADE Date of Percolation Test: MAY 30. 2003 ______-----Famed DENOTES EXISTING Test Performed By. CARMEN E. SHAY, R.S., C.S.E. 96- - Cesspool Failed ,, -------- ---94 X 104.46 SPOT GRADE Results Witnessed By SAM WHITE - Barnstable BOH - _-�- Excavator: Shay Environmental Services, Inc. Cesspool _ -" Percolation Rate: Less Than 2 min./inch PL PROPERTY LINE 94- - ------- ----- --- ----- ---92 L..oT F96P�- PROPOSED CONTOUR Test Hole __--- __ 90 - - - - - -97 EXISTING CONTOUR No. 1 92--- --- - --------- (" ,2es /-S ------------------------ DEPTH _ --- - SOILS ELEV.; - ---- - o �.� 88--- ------------ DEEP TES HOLE & ------------ Loamy - 86 PERCOLATION TEST LOCATION ; _- Sand86--- ------------------------------- -------- 10 YR 3/2 -------------- _ 84 0•-7• A 98.45 ------------- ----" 6 FOOT STOCKADE FENCE 82 Sandy " Loam -'---------------------- 10 YR 5/6 T- 32' B. 96.35 _ - S 61 d 49' 00- J/ _ ►fed-coarse - --- _____R-_______ PLOT P LAN l Sand t 90.64` 25 Y 7/4 56.41' 32•-60' C, 94.00 A 60.00' i MesY /6 PROPOSED SEPTIC SYSTEM UPGRADE Perc �t1 25 r e/s r Depth to Perc: 32" to 50" 60'-126' S ea50 '� OF M,48. PREPARED FOR Perc Rate=<2 min./inch Groundwater Eot Observed �o & NOS o� ILTE MR . F RA N C I S B R OA D H U R S T ADJUSTED H2O Elev. = None WT EDGE OF CRANBERRY BOG & WETLgNp ANgERRY BOG •1 y AT S EpGE OF CR #88 STONEY CLIFF ROAD 0 20 40 50 CENTERVILLE, MA Design Calculations � �"O VAS s�C PREPARED BY: Number of Bedrooms: 3 Equivalent to 330 Gal./Day (330 Gal./Day Min. per Title V) ? �ARI�AEN yG,r C�RLIl L� N L , ,SH�4 Y Garbage Grinder: No SCALE: 1 "=20' Leaching Capacity Proposed: 330 Gal./Day Minimum (Min. Per Title V) S I - Septic Tank - 2 x 330 Gal./Day = 660 USE 1,500 GAL. Septic Tank. y►� ENVIRONMENTAL SERVICES, INC. SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch _ _ _ l Bottom Area: 0.74 gal/sq. ft. x 300sq. ft. = 222.00 gallons VARIANCES REQUESTED: STE�� P.O. BOX 627 Sidewall Area: 0.74 gal./sq. ft. x 14-8 sq. ft. = 109.50 gallons EXISTING LEACH PIT TO BE PUMPED & FILLED IN PLACE rOTAR1�� FAST FALMOUTH, MA 02536 hI Providing: = 331.50 gallons 1. Request a variance to reduce the separation from the SAS to house OR REMOVED IF FOUND TO BE NECESSARY TO INSTALL NEW SAS. TEL/FAX : 508-548-0796 Use: (2) PRECAST 500-C UNITS, HAVING A 2' EFFECTIVE DEPTH, Foundation from 20 feet to 10 feet. A 40 mil Rubber Liner has NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE been Proposed. SCALE: 1 "=20' DRAWN BY: CES DATE: JUNE 22, 2003 TO BE USED MATH 3.5' OF WASHED STONE ON THE SIDES AND FROM THE EXISTING LEACH PITS/CESSPOOLS TO BE DISPOSED 3' OF WASHED STONE ON THE ENDS AND 2 FEET IN BETWEEN 2 UNITS OF AS PER BOARD OF HEALTH SPECIFICATIONS. PROJECT#SD412 FILENAME: SD412PP.DWG SHEET 1 OF 1