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HomeMy WebLinkAbout0115 STONEY CLIFF ROAD - Health 115 Stoney Cliff Road Centerville 190 012 UPC 12543 NO.53LOR ►� Mear�ya� yM 1 TOWN OF BARNSTABLE ,L �- LOCATION fJ SEWAGE #fib " Q� VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY O ` �— LEACHING FACILITY: (type) lam= °l��L � S (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: a O L COMPLIANCE DATE: G " Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet 1 Well and Leaching Facility wells exist Private Water Supply g ty (If any 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 f�rz Y Ito GC D® t No.,, Fee 0,-/ THE COMMONWEALTH OF MASSACH6ETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for �Digaaf *potem Construction Verna Application for a Permit to Construct( . )RepairXUpgrade( )Abandon( )Complete System ❑Individual Components Location Address or Lot No. I 1 r$ Owner's Name,Address and Tel.No. Ire Assessor's Map/Parcel � c - 1%la �c Installer's Name,Address,and Tel.No. I 64b 3\O Designer's Name,Address and Tel.No. �a ks gyp_"C_ SHAY qc)u+ Type of Building: 6 59_?mil cio Dwelling No.of Bedrooms Lot Size , 60 sq.ft. Garbage Grinder(/JW Other Type of Building {�e" _ No. of Persons cZ Showers( rj Cafeteria � ( !j Other Fixtures l[3. �ccx� k� d"o, `so in ���,)Z!) Design Flow �J3� gallons per day. Calculated daily flow gallons. Plan Date o�► OL� Number of sheets I Revision Date Title aj Size of Septic Tank t ype of S.A.S. 'S -1 T-3 V►t'Ty^Ti tQ OtKZ7,5 Description of Soil .Dlod\ Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees o ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisi ns of Title 5 of the Environmental Code and not to place the system in operation ntil a Certifi- cate of Compliance has been is ed by t ' d Si ed Date Application Approved b Date Application Disapproved for the following reasons Permit No. Date Issued �'$ ,n..rrr--. ,� .,.- .. T'• .....- ..p...,w a .,.d' y �... .. f .t•.+ ... y.r . `«+ .;-fig.,:,.-••�^" -tW. «-.. ..,- .. .. .« ,. No. �),Dc-) Fee "� ' , V✓ a THE COMM WEALTH OF MASSACH ETTS Entered in computer: Yes PUBLIC HEALTH DIVISION-TOWN OF BARNSTABLE, MASSACHUSETTS ZIppYication for-,_Mi!6po!ml *pztem Congtructton_Vermit Application for a Permit to Construct( )Repair�XUpgrade( )Abandon,( ),�Complete System ❑Individual Components Location Address or Lot No. 15 s4z 1"y C�. owner's I� e,Address and Tel.No. Assessor's Map/Parcel O Installer's lame,Address,and Te.No. ! �7 "S 3�O Desig 's Name,Address and Tel.No. � Ka S A� nerN A �J>u 1 -�C,\ ZCJt S. + 5 \c�'�cx� S'r 4 m W "�.o•`mix (o.?41 . FQ 6ajV t 1 m Type of Building: 2 } Dwelling No.of Bedrooms 3 Lot Size ra60 sq.ft. Garbage Grinder(t46p, Other Type of Building No.of Persons a- Showers( � Cafeteria Other Fixtures � "� t k��C�rQ,� ��h Design Flow 3 � � gallons per day. Cale lated daily flow aA%S 0 gallons. Plan Date bt-\ Number of sheets RevvisionPate Title ` 'cD �c . C ���'544:, � UPC'c Size of Septic Tank Type of S.A.S. 5 X 3-4,'5 Description of Soil •. 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 provisi ns of Title 5 of the Environmental Code and not to place the system in operation til a Certifi- cate of Compliance has been is e &bth11s­B-o­ d Mqthj��SignedDate q1016 V. Application Approved b Date qlqal Application Disapproved for the following reasons Permit No. e) f Date Issued a THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERT F ,,t at th On- 1 Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded( ) Abandoned( )by tt G���'�"/ /I at ( 0 V-00O---- / t7 Qh V• has been constructed in a'cord nce with the pro y:�sioris 9f Title d the for Disposal System Construction Permit No. d y dated_ 3 d Installer !/ F G Designer The issuance of�p,errruicsall nbt be construed as a guarantee that the sylin w'll function as ;esi ed/7 Date Q /� I LI Inspector A/V y No. O` --------------.-----------Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mitpotaf *potem Congtruction Permit Permission is hereby an ed o� onstruct /)(R ffr )Up de )Abandon( ) System located at granted 740 lJ� Ca 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 Oust be completed within three years of the date f this p it. Date:_ Approved by i TOWN OF BARNSTABLE � LOCATIONV/��� �� SEWAGE.#�D " VILLAGE ASSESSOR'S MAP &LOT �© INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:FACILITY: (type) ° t�-�� (size) td/L--:/ NO.OF BEDROOMS-. \ BUILDER OR OWNEa:2 , PERMITDATE: �, rCOMPLIANCE DATE: W�_714; Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 IP r � 1 ► b' Town of Barnstable Regulatory Services Thomas F. Geiler,Director * BARNSTABLE, MASS. �0� Public Health Division 'F1639' 61 Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 09/27/04 i Designer: Shay Environmental Services, Inc. Installer: Robert Septic Services. Address: P.O. Box 627 East Falmouth Address: 5 Trenton Street MA 02536 Yarmouth, MA On 9/22/04 Robert Septic Service was issued a permit to install a (date) (installer) septic system at #115 Stoney Cliff Road , Centerville, MA based on a design drawn by (address) Shay Environmental Services, Inc. dated 9/21/04 (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. SN OF Af,4 o� CARMEN cy� (Installe "Signature) o� E. SHAY No. 1181 . ( G�STF (Designer's Signature) (Affix Des ere) 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 SECTION A -A 10' min. from •NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. VENT PEE O Least 24 inches tall) ALL OUTLET PPfs�� t� Extsthp Foundation house to septic tank Schedule -0 PVC w/Charcoo► Oda. Filter PROFILE VIEW OF ADDITION TO LEACHING SYSTEM DISTRIBUTION sox sHAl1 TOP OF FUUNDAT IIIi ELEV. l00.00 CAss�ed> Septic tank covers must be SET LEVEL FOR AT LEAST 2 FT. 12` CONCRETE COVER within 6 in. of finished rode i y�-••- 1 9 3' of 1 8' - 1 2' Washed Peastone ( Gods over Sepik Tank - 99.00 Grade over D-Box - 99.00 ode over SAS - 99.00 I I - KNOOeOUTLET �> ° / /,y,•,rp ,,_/ '°a'b 3/4' to 1 1/2 Washed Crushed Stone (, t •t( 4 � S 0.02 3.5" 3 HOLE N-10 OUILET ,"^, 12' WLETR,e�,�tr 9!% - '----- DIST. BOX 3' Maximum Cover TOP t-°°d - Elev. �95.70 10' NEW S=0.01 or Greater Top of SAS - Elev. -95,25 i `•• -•` -,VR j N ";,A EXIST. FOUNDATION to � 1,500 GAL. S- 0.01' per foot or � �1 I FROM EXIST. FOUI/DATIW w SEPTIC TANK N 15` - P ��� , 0" Effective Depth -15.5•- 4` - $CH. 40 T• g 111. ui M 20 1.75' ~�� coNCRETE nAi a H_10 ''"' o I v; - PLAN SECTION CROSS-SECTION II - rn 5 Units 2 6.25' - 30' , a1 M ' 0.83' (10 inches) 3 I a SYSTEM PROFILE 6 „.ot 3/4"-t t/2' v ' 1110 -t--- 31.2.5' 3 in.ofc3/4'-1n1 > o 3 HOLE H-10 DISTRIBUTION BOX Not to Scale c L o _vJAJrn 37.25' NOT TO SCALE > m 4' f 4 II Effective Length ® * /' > C L _ RAYS t«.cx, w.N+wTw \` 10 d SOIL ABSORPTION SYSTEM (SAS) GENERAL NOTES 6 in.ot 3/4•- 1 1/2• � � - compacted stone EFFective Width d INFILTATROR HIGH CAPACITY (H-20 LOADING)/ GEORGE O'BRIEN p NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE_ "' 0 1. Contractor is responsible for Digsafe notification Bottom of Test Hole I E1ev.-87.00 (OR EOUIVALENT) Not to Scale and protection of all underground utilities and pipes. ♦Obs. Groundwater - Test Hole 1 Elev.= NONE OBSERVED NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18' /EFFECTIVE HEIGHT IS 10" 2. The septic tank and distribution box shall be set level on 6" of 3/4"-1 1/2" stone. 3. Backfill should be clean sand or gravel with no --- ------ -- __ -------- ------ - - --- - ---- stones over 3' In size. 4. This system is subject to inspection during installation by Carmen E. Shay - Environmental Services, Inc. PERCOLATION TEST LOT #34 5. The contractor shall install this system in accordance with Title V of the Massachusetts state code, the approved plan LOT #35 LOT #36 and Local Regulations. Dote of Percolation Test: SE E. SHAY, . 20 C. 6. If, during installation the contractor encounters any Test Performed By. CARMEN E. SHAY, R.S., C.S.E. soil conditions or site conditions that are different Results Witnessed By: WAIVER (per BARNSTABLE B.O.H.) �� from those shown on the soil log or a our design Excavated By SHAY ENVIRONMENTAL SERVICES, INC. installation must halt & immesoil log notification be design Percolation Rate: Less Than <2 MPI made to Carmen E. Shay - Environmental Services, Inc. 115.03' 7. No vehicle or heavy machinery shall drive over the ---------- --; septic system unless noted as H-20 septic components. Test Hole 1 8. Install Tuf-Tite gas baffles or equals on all outlet tee ends. No. 1 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. 26.4' 10. All solid piping, tees & fittings shall be 4" diameter DEPTH SOILS ELEV. 0 -_ 99.00 Schedule 40 NSF PVC pipes with water tight joints. Sandy ----22.5'-- ----37.2b' -- 11. Municipal Water is Connected to ALL OF The Residence and Abutting Loam -~ Failed-- 10 YR 3/2 ; >��tir ?;I; -'t.. a� i Cesspool Properties Within 150 F 0"-8' A, 98.25 ' _i4:+.., `Y` Feet. 7 Loamy VC 4" P `-� , ��n. _e ,�?� THE PROPERTY LINES ARE APPROXIMATE AND Sand VENT �' Ze=3;: +' �t �: � COMPILED FROM THE SURVEY PLAN 10 YR 5/6 ENTITLED - "PLAN OF LAND OF CENTERVILLE HIGHLANDS -SEC. 4, D-Box Br_ 96_50 BARNSTABLE, MA" DATED 1965, PLAN BOK 204 PAGE 117 30' 1 TEST HOLE. #1 Slit 0 AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN Loom I ELEV.= 99.00 - 1500 gal, IT SHOULD BE USED FOR NO PURPOSE OTHER THAN -- -zsr7/4 - Septrr ------ - - ----- -------,99 THE SEPTIC SYSTEM INSTALLATION. 30"- 48 C 95 00, -35' - Med. p 1 --- --- - SAND LOT #39 ---------PROJECT BENCH MARK EXISTING CESSPOOL TO BE PUMPED OUT AND 48'--144 87.00 2.5 Y 7/4 6 - TOP OF FOUNDATION FILLED IN PLACE OR REMOVED TO FACILITATE INSTALLATION OF NEW SAS. - ��-- � l ELEV. = 100.00 (Assumed) NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE FROM THE EXISTING CESSPOOL TO BE DISPOSED OF AS PER BOARD OF HEALTH SPECIFICATIONS. LOT # 317 ---- NO WETLANDS ARE PRESENT WITHIN 200' OF THE PROPERTY 1 EXISTING Perc #1 ASSESSORS MAP 190, PARCEL 012 3 BEDROOd! - - --- - ------- ---- -Depth -- to Perc: 48" to 66" EXIST. � L E G E N D Perc Rate_ Less Than 2 MPI GARAGE HOUSE M Observed ESHWT® - NONE OBS.- 144" Assumed ADJUSTED H2O Elev. NONE OBS. - 144" Assumed I mzsz � ZZZEZZ, 104X1 DENOTES PROPOSED =,Zkr � SPOT GRADE t � I I o i I x 104.46 DENOTES EXISTING 99 1- - ---- -1- - - I - -------- - 99 SPOT GRADE o I ASPHALT ' LOT #38 PL PROPERTY LINE I I 15,200 Square Feet + DRIVEWAfl q PROPOSED CONTOUR - I EXISTING CONTOUR I I 3-24* DIAM, ACCESS MANHOLES i 115.00' 1- - -- DEEP TEST HOLE & PERCOLATION TEST LOCATION •- ---• 6 FOOT STOCKADE: FENCE. INLET / ~ 1 / 1 J_ OA -�� INLET ,` \ W 7 a THE ACCESS COVERS FOR THE SEPTIC TANK, I., (40 FOOT RIGHT OF WAY) P.T DISTRIBUTION BOX AND LEACHING COMPONENT 0I PLAN SHALL BE RAISED TO WITHIN 6' OF -------�= ^-_;-5-_�- - - -- FINISHED GRADE. C . . STEEL REINFORCED PRECAST CONCRETE INSTALL TUT-TITS GAS BAFFLES OR EQUALS PLAN VIEW ON ALL OUTLET TEE ENDS OF PROPOSED SEPTIC SYSTEM U P C7 RA D E 3-24• REMOVABLE COVERS -\ - PREPARED FOR I .�4- 4. ,-�_ - MS . DOROTHY DOEBEARE -.. ri�__3 mn. dearance l t3• INIFI •Y I -- AT INLET e` ,_T., m�,. „let to outlet e., _ _ _ _ # 1 1 5 T 0 N F �' �_. �- I E E ROAD I I I Liquid level----- - OUn FT . Ett I 4'uid min. __ --____-_- CENTERVIL�__E , MA I N a.e.w [quid depth Design Calculations - I�A OF PREPARED BY-- ;:--,. .-_� .__....1. J=. Number of Bedrooms. 3 Equivalent to 330 Gal./Day (330 Gal./Day Min. per Title V) ..�• .^:^`10 0• - 5' e Garbage Grinder: No AR_�_IF, N_ � ���H_ 1� Y Leaching Capacity Proposed: 330 Gal./Day Minimum (Min. Per Title V) A M N CROSS SECTION END-SECTION Septic Tank : - 2 x 330 Gal./Day 660 NEW 1,500 GAL. Septic Tank 0 20 40 5 SH ENVIRONMENTAL SERVICES, INC. SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch TYPICAL 1500 NO. Bottom Area: 0.74 gal/sq. ft. x 370 sq. ft. = 273.8 gallons --_ -- P.O. BOX 627 GALLON _SEPTIC TANK Sidewall Area. 0.74 gal./sq. ft. x 78 sq. ft. = 58 gallons F �° NOT To SCALE ' Providing: = 331.80 gallon, --__-__- oIs IE EAST FAL_MOUTH, MA 02536 Sq ITA � � TEL FAX 508-539-7966 (H-_ 10 LOADING se. (5) INFILTRATOR HIGH CAPACITY H 20 UNITS, HAVING A 0.83' (10 INCHES) EFFECTIVE DEPTH, SCALE, 1 ' ==20 / TO BL USED WITH 4.0' OF WASHED STONE ON THE SIDES, ..ND 3.5' of WASHED STONE SCALE: 1 "-20' DRAWN BY: CES DATE: SEPT. 21 , 2004 ON ME ENDS. No STONE UNDER. PROJECT#SD636 FILENAME: SD636PP.DWG SHEET 1 OF 1