HomeMy WebLinkAbout0168 STONEY CLIFF ROAD - Health 168 Stoney Cliff Road
Centerville
A = 190 031
ffy
UPC 10259
No.H.�,�OR
HAST11148 YM
TOWN OF BARNSTABLE
LOCATION&f f 0/',I "``7 SEWAGE #
VILLA'G �'d`� ASSESSOR'S MAP,&-LOT
INSTALLER'S NAME&PHONE NO. R6
SEPTIC TANK CAPACITY 46
LEACHING FACILITY: (type).;L—Ss 7 Kc (size) �
NO. OF BEDROOMS
BUILDER OR OWNER
PERMIT DATE: COMPLIANCE DATE:��V
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
�- � L � . ►�
�a`' � 6 ,,
I �' a
1 .,� ... ....�
iiisss
�� � ��
/f`
/ V�
i
��� ,7
� 1,, , �
s
o�
,�.;2✓
10. :20Oa 02- .% Fee 50.00
THE COMMON
' ~R• teWEALTH OF iNASSACHUSETTS Entered in compu r:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
01ppYication for Mi000al Opotem Cougtruction Permit
Application for a Permit to Construct( . )Repair( x)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 168 Stoney Cliff Rd Owner's Name,Address and Tel.No.
Assessor'sMap/Parcel Centerville Stephanie Yingling
Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No.
W.E. Robinson Septoc Eco Tech
Box 1089 Centerville 43 Triangle Circle Sandwich
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(nd
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: sand
Nature of Repairs or Alterations(Anr7stwer when applicable) Title 5 leach system
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 by this ar of Health.
Signed Date ) G�- "—
Application Approved by Date
Application Disapproved for the following reasons
Permit No. DLO d aZ- g02 Date Issued P—,y-0'2-
:2Ud-A - 60 ✓` ''' : Fee 50.00
{ THE COMMONWEALTH OF MASSACHUSETTS, 7 1 Entered in computer:
Yes
PUBLIC HEALTH DIVISION-TOWN OF BARNSTABLE, MASSACHUSETTS
ZippYicatiou for Mi�po�af' ip�teru �Cor�gtructiott Permit
Application for a Permit to Construct( )Repair( x)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 168 Stoney Cliff Rd Owner's Name,Address and Tel.No.
Assessor's Map/Parcel
Centerville Stephanie ,Yingling
,
Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No.
W.E. Robinson Septoc Eco Tech
Box 1089 Centerville 43 Triangle Circle Sandwich
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(nd ,
Other Type of Building J No.of Persons Showers( ) Cafeteria( )
r. Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets i Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil sand
Nature of Repairs or Alterations(Answer when applicable) Title 5 leach system .
P, y
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 by this DoaEO of Health.
Signed L Date —1 2.-
Application Approved by _S . Date 0
Application Disapproved for the following reasons
Permit No. 2 n 4 a- 402 Date Issued 0
THE COMMONWEALTH OF MASSACHUSETTS
yingling BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
x
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded( )
Abandoned( )by W.E. Robinson Septic Service
at d Soney Cliff Rd Centerville has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated
Installer Designer
The issuance oft 's pe t shall not be construed as a guarantee that the system wi fu ion - esigned.
Date Z 3 U 6 Z- Inspector
d
No. oZOdZ bU 2 --- Fee 50.00 _.
THE COMMONWEALTH OF MASSACHUSETTS
yingl.OU,BLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
lwi5pooar *pgtem Corgi.5truction Permit
Permission is hereby gra ted to Construct( )Reair( x)Upgrade( )Abandon( )
System located at 168 Stoney C1i af d Centerville
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:Construct.on must be completed within three years of the date of thik ermit.A S
Date: Approved by
i
TOWN OF BARNSTABLE
LOCATION�� ,� Jd a��� ) �%I "``�► SEWAGE# ^
VILLAGE d`✓ ASSESSOR'S MAP,&-LOT
�
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPAC= �---
LEACHING FACILITY: (type)2= S K°t" (size)
NO.OF BEDROOMS
BUILDER OR OWNER-VL
PERMTTDATE:
i'-2-��-V r d 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 feet of leaching facility) Feet
Furnished by
�� 16
A y'
l 1�
C, ji�. ��rt
THE COMMONWEALTH OF MASSACHUSETTS
'BOAR® OF HEALTH
TOWN OF BARNSTABLE
Appliratiun for Di1ipuuul Wurlo Chun itrurtiun jJamit
Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal
System at:
................�. $... :N._._... Via_ . ------- ---... ...-.....
at ion-:\dcir�ys or Lot No.
_..... 5_..... - ----------------------------_------ ----------------�._ rv�.{............................................................
a s
------- ....-------- -----
Installer Address
Type of Building Size Lot............................Sq. feet
., Dwelling— No. of Bedrooms.-_.. ................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons---------------------.------ Showers ( ) — Cafeteria ( )
a' Other fixtures ......................................................
W Design Flow........... ..................gallons per person Der day. Total daily flow...5�. .......................gallons.
WSeptic Tanks Liquid capacity/.(Mallons . Length----�.-__- Width.......... Diameter................ Depth
x Disposal Trench--No. .................... Width.................... Total Length_-___--:.........__• Total leaching area....................sq. ft.
� ®Seepage Pit No..__-_- . Diameter._-- (. C r
......._.... `(�.____._. Depth below inlet.... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I................mmutes per Inch Depth of Test Pit-------------------- Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
0+ •-------•......................•--•----••--•----•-••----•---••-------•-•-•-------------------...---.......-•---••---•-------------------...............•---•-
0 Description of Soil........................................................................................................................................................................
V ..........--•••---------•-----------------------------------------------------•-----•-••-••-----------•-------•-•-----•----•-•----•--------...-------------------•--•..................----------•-......
------------------------------------------------------------ --------------------------------------------- -------------------------
U Nature of Repairs or Alterations—Answer when applicable._tea—(�-�� ......
=_____ ____ __ _____ �-Zi.U,__.
�- R� cr.� s� - :.-------------------------------------------------------------------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Com fiance has been 'ssu the boar of health.
Signed --- ----....
C-�,........ ........... .....�.....�.� 3
Application Approved B `
Application Disapproved for the following reasons: ................................................................................................ .................. .....
....................................................................................................................... ................. ..................
Date
PermitNo. ..-----7� ....,..o�..f..?........................... Issued ....................................................................
Dare
w._.-y..wy-•u..z.1/-t,�r..--�y.�-�.-.r.•��..y......:,,.. ,�, �-.�ti,.,...-�—.._,.,��..r�»•�....„,.Ws. ..._ -� .. .. ,. � -_ .. - _ - +.� y,. -_ -v... > ..� _ _
,,,j: „ =j 70 — �� r C< C, -No-" . 'mac...
H •THE COMMONWEALTH OF MASSACHUSETTS
'BOARD OF HEALTH
TOWN OF BARNSTABLE,
Appliration. for. Diripmial World TiiBtitrurthitt ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( L an Individual Sewage Disposal
System at:
�� � a ,� ,
•-•----•-•-•---•-•. ... --........
_Lo......-----................... Y--------••--•------ ------•------------------------'-------------•------•---------•------------------•-----------
�.Lso stion-A 9dress or Lot No.
^. _................ ............... •(----•----------------•-------•----..-------------.-.--------
o',
a ........ ----------•-------.............................
> ...................................
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling— No. of Bedrooms------- --------------------------------Expansion Attic ( ) r -Garbage Grinder ( )
aOther—Type of Building ......................_.___ No. of persons.........._................. Showers ( ) — Cafeteria ( )
Otherfixtures -------------------------------------------------------------------------------------- ..._......
W Design Flow........... _ ' ................gallons per person per ` � �?_day. Total daily flow---
WSeptic Tank Liquid capacitylgallons Length-_.)r-------- Width................ Diameter__............ Depth................
x Disposal Trench--No. --------------------
Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No-------/......_.._-- Diameter._-- ------ Depth below inlet..__( ...._....... Total leaching area..................sq. ft.
z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I________________minutes per inch Depth of Test Pit.................... Depth to ground water........................
0-4
f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
0+ -•--••....•-•-•................•-•-••---•'•-----•--•-•••••-•'----••---...-•-••-•-•-...........-•--•-.........................................................
0 Description of Soil....................................................................................................................................................:...................
V .....••••-•-••--•-••-••••-•----••-•........-••-••••........•••-•••.......•--•••---•...............•••••---•-•---••-----•----------••-•••-••-•'---•-•••-•--•-•--•••-•••-••---••---•••......••-•••----•-•--
W
U Nature of Repairs or Alterations—Answer when applicable.___'�f-:_S�.°,-\`__-._-L(.M... �:?..1... .k KIL
................
i -•---• -------------------•-•----•--•---••--•-•-•-•-•••-
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal. System in accordance with
the provisions of TITLE 5 of the State Environmental 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.
Signed .... ..�7 <�V �- `{ .
...� -�...........................`...........+�....------------......... Dare
Application Approved BY �..�..� '. .. ...: . ..../.4....�.�j....
-----------------------------------------------------------
J Dace
Application Disapproved for the following reasonr: ... .............. .................................................. ....... ............................................
................................................... ....................... ........................... ..............................................................----............... . ................................
Uate
PermitNo. --------T------..D,.(.--.7---------_-_--------- Issued ................................................ .................
Date
THE COMMONWEALTH OF MASSACHUSETTS .
BOARD OF HEALTH
TOWN OF BARNSTABLE
/
Vl ertifirate of Tomplianre /
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
by .............. 0 .. .. �.d. -------------------------------------------------....._.............................. .
..... ......... .. ...
( �fie:_RaJ��`r,t:u ( tom
at ....................... ..... .. ._n .... ✓ ........................ ( r .....................
has been installed in accordance with the provisions of TITI:E 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ----./q.:3-..P_f 7...._....... ,_dated .......................................
.....
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTIONcSATISFACTORY.
DATE.............. .....................---------- Inspector ............ ..
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
FEE........2.............
Disuttlrp �na� trrtinrrmit
Permission is hereby granted................. - '::- := _._ ?'a`r 1 ......................................................
to Construct ( ) or Repair ((,) an IIndividual Sewage Disposal System
at No.. t
_- street
as shown on the application for Disposal Works Construction Permit No.-���-a��<-,1---- Dated.................................................. .
c� _ f.. .Board -- Health .. .-.-
DATE-------•-•--... '1=- --------------------•-•-•-------•-•
I
FORM 36508 HOBBS A WARREN,INC..PUBLISHERS
ASSESSOR'S MAP NO. ` 6 3 / PARCEL
-'�I) CATION SEWAGE PERMIT NO.
PILLAGE
INSTA LLER' NAME i ADDRESS
v G�C(�
S U I L D E R OR OWNER
DATE PERMIT. ISSUED
DATE COMPLIANCE ' ISSUED
9
�k �
P
FLOW PROFILE
TOP OF FOUNDATION RAISE COVERS TO WITHIN
EL - 5315 6 in OF FINAL GRADE
/��p/�� 2' LAYER OP 1/8-
�3" DROP
f D_BOX 1/2-Iii
N
FLOW LINE
3/4--I 1/4-
IO' = I4 STONE
PRECAST
48- GAS DRYWELL
BAFFLE 'was 7
it 48.80 6 in SOIL ABSORPTION
EXIS TWO EXISTING STONE \47.00 LEACHING SYSTEM
BASE
Ex+sTWG EXISTING 47.17 46.80 GALLERY r
s.00 rt
1000 GALLON (END VIEW1 44.80
EXISTING SEPTIC TANK 27 rt 0) 5 rt
81 14 f t p
ESTIMATED
SEASONAL HGH
GROUNDWATER
3 X
Z
�fmn� m 3�
C7<� z rZ C)
T n 0
cO-n
3Z0 0 r
D I Z z ' O
x
��y 3 c' ;
co yo („ W y to
s1
Ul
l30�ft +- N
� � Y
I� k
rr
O -{
w
c) o
O
y ice .
(14
m (o
_ )
6 G'
i
O
mZ
O 14g 69 Fr — coN oo Z
OO
rTjO Tcn
C r" N T „y m .t, I
=c)A a Oo m n ao .n
M2�p
-4 cn � �I y C r rn y p cn�rn Z ` v A
w � o -4 b X1 y X m I rn k
_�f_ W a , o f Tl o mrri r= n1 cf, cn 00 o Z ry w m
o r m -� = m �- m `� T Z k Z III G) _ Z
cn M> n DD n = r- m O b� y �r� I I I r k `I
r —I Ci m
qU z 71 Z m �Q� m XO rN
vTC)� -L. W m m x 0 m0� Z m � z r� aQayc,
z °, ry 01 m Z o t!> y m
r-c p t/> �_ Dv Z r O Z
t7 ZZI �.
= 3 mini r3
r— >
qu z Z r Z
p0o z rn p --� r" G� m 3
:71m ^Z > o
v�M:q N 3a n Z
i_.
SOIL TEST Loy ' DESIGN CALCULATIONS
DATE OF TEST: DECEMBER 18.2002 DESIGN FLOW: 3 BEDROOMS X 110 GPD - 330 GPD
SOIL EVALUATOR: DAVID D. COUGHANOWR, RS
WITNESS REQUIREMENT WAIVED - SEPTIC TANK: 330 GPD X 2 DAYS - 660 GALLONS
TEST PIT ( NO
RGROUNDWATERATERIAL ENCOUNTERED PROG OUTWASH USE EXISTING 1000 GALLON SEPTIC TANK IF IS SOUND STRUCTURAL
NT
ELEVATION
PERE AT 58 in 2 MIN/INCH IN C SOILS CONDITION. IF NOT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED)
DISTRIBUTION BOX: USE 3 OUTLET D-BOX.
DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER
(INCHES) HORIZON TEXTURE WLMELL) MOTTLI%* SOIL ABSORBTION SYSTEM: A 24 ft' x 12.5 ft x 2 ft LEACHING GALLERY CAN LEACH
50,25
0-1 1 A SANDY LOAM 10 YR 2/1 NONE FRIABLE A b o t - ( 24 x 12.5 ) - 300 s f
49.33 Aadw - ( 24 + 24 + 12.5 + 12.5 ) x 2 - 146 of _
1 1-40 B LOAMY SAND 10 YR 5/8 NONE FRIABLE A t o t - 446 o f
46.92
40-144 C COARSE SAND 25 Y 0/3 NONE LOOSE V t 0,74 x 446 - 330.04 G P D
38.25
USE A 24 ft x 12.5 ft x 2 ft GALLERY. Vt - 330.04 GPD > 330 GPD REQUIRED
TOWN OF BARNSTABLE GIS DEPARTMENT RECORDS INDICATE
GROUNDWATER TO BE AT ELEVATION 31.00
GROUNDWATER
ADJUSTMENT LEACHING GALLERY
OBSERVED GW: 31.00 CONSTRUCTION DETAIL
INDEX WELL: SDW-252
ZONE: D DRYWELL UNIT STONE
READING: DEC 2002 s'E
EFF. DEPTH
EFF. DEPTH
LEVEL: 47.8 24.0 fr
ADJUSTMENT: 4.8 ft
ADJUSTED GW: 35.8
ih
'o
to
N NOTES
N
O
1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN 2,5 8.5' 2 fT 8.5' 2.5'
2) ALL . LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM.
TO
3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS 24.0 ft SNOT SCALEE
OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15)
4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES
BEFORE EXCAVATING FOR SYSTEM.
5) EXISTING LEACH PIT TO BE PUMPED. COLLAPSED, AND FILLED. OR REMOVED
6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE
7) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0" BEFORE PITCHING DOWN
8) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW .FIXTURES SEWAGE DISPOSAL SYSTEM PLAN
AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK
-TO SERVE EXISTING DWELLING
9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT
PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. STEPHANIE YINGLING
10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. 168 STONEY CLIFF ROAD CENTERVILLE MA
11) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL
STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH _ ECO-TECH ENVIRONMENTAL
SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING
12) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED
FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE. 43 TRIANGLE CIRCLE SANDWICH MA 02563
ETE-1335 DEC 18. 2002 2/2