HomeMy WebLinkAbout0007 TOMAHAWK DRIVE - Health 7 TOMAHAWK DRIVE, CENTERVILLE
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UPC 12534
No.2153LOR
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VII.LAGE Cf1` %L.��
ASSESSQR'S M LOT
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IlNSTALi.ER'S.NA,N1E,&PHONE NO
SEPTIC TANK-CAPACITY_ t$Gp
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LEACHING FACILITY: (type) l7RV WL(lam (six ) L 3 X. k' .
e
NO.OF BEDROOMS G
BUILDER OR OWNER I
PERMTTDATE: COMPLIANCE DATE: v
Cal
•:! , i ,,
Separation Distance Between the.
Maximum Adjusted GroundwaterTable.to the Bottoin.ofLeacliing Facility Feet`
Private Water'Su ly Well and Leachin Facili PP Y g ty (If any wells exisC
on.site,or within 200 feet of'leaching.facility). Feet
m`
Edge of Wetland and Leaching Facility.(If any:wetlands exist
within 300 feet of.leaclung;faciLty) ;
Feet
Furnished b ='
ti7 `
,
Qe r r
� - t
TOWN OF BARNSTABLE
LOCATION '7 �-16YV\ k 6 AJAt L 060C� SEWAGE #
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO._R06 i P.SoiJ 5662 f i eL
SEPTIC TANK CAPACITY (SOO
LEACHING FACILITY: (type) 3 DQ�V tiJ� � _ (size) 13 3Fle-
NO. OF BEDROOMS /!
BUILDER OR'OWNER C 1/ k-12tC�
PERMIT DATE:A/eZ/ /U ( COMPLIANCE DATE: J 0
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
If
f
Cli—
e.
No. G�`W\ Fee 5 0
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓�
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
ZippYication for Mi!6po!5al *p6tem Conelruction Permit
Application for a Permit to Construct( )Repair( N Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address and Tel.No.
7 Tomahawk Dr. , Centerville Wess Fries
Assessor's Map/Parcel
l�
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Wm. E. Robinson Septic Service Craig R Short
P O Box 1089, Centerville P O Box 1044, S Dennis
Type of Building:
Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building 6Sk. No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow LD gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank 61- Type of S.A.S.
I
Description of Soil Sand I� .X� X �-
Nature of Repairs or Alterations(Answer when applicable) Title-5 septic system to
the plans of Craig R Short.
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 Env' nmental Co and not to place the system in operation until a Certifi-
cate of Compliance has been issued by t d eSU.'
Signed _ 1r '" Date
Application Approved by Date /U
Application Disapproved for the following reasons
Permit No. :DC7J\— Date Issued 9 2
f
No. L `- \i `_-�'� Fee $50
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓�
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
ZIppYication for rkgoar *pgtem Construction Permit
Application for a Permit to Construct( )Repair( Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address and Tel.No.
7 Tomahawk Dr. , Centerville Wess Fries
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Wm. E. Robinson Septic Service Craig R Short
P O Box 1089, Centerville P O Box 1044, S Dennis
Type of Building:
Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder( )
r Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow � gallons per day. Calculated daily flow �D gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S. ( Z1 `,i (`
d '
Description of Soil San �� ,1C 2� "X 2 �
Nature of Repairs or Alterations(Answer when applicable) Title-5 septic system to
the plans of Crad)g R Short.
4
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal sys em°�
in accordance with the provisions of Title 5 of the EnWonmental Code and not to place the system in operation until a rt -,
cate of Compliance has been issued by this armed o "Health.
Signed r! `r >..•Date
Application Approved by C c ��-�- .� � x Date �U
Application Disapproved for the following reasons
Permit No. Date Issued c! 2
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Fries t Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( X )Upgraded( )
Abandoned( )by Wm. E. Robinson Septic Service
at 7 Tomahawk Dr. , Centerville has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit Nod t.7\- is'?Z, dated I
Installer Wm. E. Robinson Sr. Designer Craig R Short
The issuance of this pf rmit m all not be construed as a guarantee that the syst wtll unction as d\esiged-.
Date l71 3� C)( Inspector �\
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE: MASSACHUSETTS
Fries Dfopozat braem Couttruction Permit
Permission is hereby granted to Construct( )Repair )Upgrade( )Abandon( )
System located at 7 Tomahawk Dr. , Cen erville
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 must be completed within three years of the date of th's permit.
Date: I Approved by Y��_(
Oe-26-2001 09:39AM FROM SWEETSER ENGINEERI Z TO 5067901E'94 P.02
srZsro�
NOTICE:. This Form Is To Be Used For the Repair Of Failed
Septic Systems Only.
PERCOLATION TEST AND SOIL EVALUATION EXEMPTION
F0PNN1
94
I, ereby certify that the engineered plan signed by me
dated a 0 t, concerning the property located at
2' i �*r <z L7 .�./� ,i r, meets all of the
following criteria:
This failed system is connected to a residential dwelling only. There are no
commercial or business uses associated with the dwelling.
The soil is classified as CLASS I and the percolation rate is less than or equal to 5
minutes per inch. The applicant may use historical data to conclude this fact or may
conduct preliminary tests at the site without a health agent present.
There is no increase in flow and/or change in use proposed
4 There are no variances requested or needed
• The bottom of the proposed leaching facility will not be located less than fourteen
(14) feet above the maximum adjusted groundwater table elevation. [Adjust the
groundwater table using the Frimptor method when applicable]
Please complete the following:
,so w Z r4 z �=A,r4' n .4 7.3- y)
A) Top of Ground Surface Elevation (using GIS information) So 3,
8) G,W. Elevation d O +adjustment for high G.W. 4_ •0
fie►M/ �. a Q/��C. 4't u�,.�e r �.-�...o� �e... �/ �b.,d a��.,j i.� C' / 9$ G
DIFFERENCE BETWEEN A and B /e.
SIGNED : DATE:
NOTICE
Based upon the above information, a repair permit will be issued for 4 bedrooms
.maximum, No additional bedrooms are ;authorized in the future without engineered
septic system plans.
q:hcallh fvl&r.puccxmp ._.
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c ...Wr.... F r .. ... . ..� . r ':YW:"'D..FAF.......,. J. UG:.._ i:u►.....;D PnF. ,. OF :.i,BOn s INDUS:F.:E,i
NOTIFICATION OF DELEADING WORK
All sections of this form must be completed in order to comply with
the notification requirements of K.G.L. C. 111 S197
/ FILE NUMBER
Lead Paint Inspector Date of Inspection
U D005G?)
Contractor performing project N�//4'�,Q/l, License tX.
Address of Project
Building Name (if any) Floor
Street Address !®bd 4 � _ Apt. No. —
City lam+%- a- Zip
'T
Deleading Method: DRY SCRAPING BEAT GUN ENCAPSULATION DEMOLITION
(circle all that apply)
POWER SANDING CAUSTICS REPLACHT OTBER
If "Other" selected, please explain
Check ones dwelling is Multi-family _ single family_
Start date 1 , 19F Completion Date 14 6im4
When will work "one:'
__ poa_ weekends? t�
Project Supervisor Name (1w `� License #X , ®00SCO/
Property Owner
ti
Address
_.Ia q JaZudJ,
" U ,
City State Zip
Ti lephon 7 7 b -
In case of emergency, contact what person:
Phone: Area code required day (50� Z evening ( )
(OVER)
0034B/5 rev 11/16/89
Zn ac=o:tars" v:_.. _:,a: _e: _. tn-• AC:Z c= i9£', massa=nus�-_. Gene:a: Law.,
C. ill 5197 , 454 CMA ii.00 and 105 C`�F% 460.000, notice of the date and me=nod.4si cf
removal o: covering of paint, plaster soil or other accessible material containing
dangerous levels of 1-!ad, is to be provided to the followinq persons at least five
days prior to the beginning of deleading.
1. occupants of the dwelling unit
2. All other occupants of the residential premises, if any -
3. Director, Childhood Lead Poisoning Prevention Program
Department of Public Health, 305 South Street, Jamaica Plain, MA 02130
4. Lead Removal Program, Bureau of Technical Services
Department of Labor and Industries, Division of Industrial Safety
100 Cambridge Street, Room 1101, Boston, MA 02202
5. Loral Board of Health/Code Enforcement Agency
6. Massachusetts Historical Commission
(if premises is listed on the State Register of Historic Places)
The undersigned hereby states, under the penalties of perjury, that s/he has nerd
and understood the Commonwealth of Massachusetts Deleading Regulations, 454 CMR
2.2.00, and Lead Poisoning Prevention and Control Regulations, 105 CMR 460.00, and
that the information contained in this notification is true and correct to the best
of his/her knowledge and belief.//
Date CO 3 Signed:
Title:
Company
_ — — — — — — — — — - - - - -- --- - - - - -
Of.ice use Only
0034B/6 :ev 11/:6/99
BZNCHM K - SOIL TEST
TOP OF FOUNDATION 20 F1_. MIN!MVM FROM CEL:.AR DATE OF SOIL TEST 08_09_-01
52.7 1G FT MINIMUM 10 FT MINIMUM FROM SLAB OR CRAWL SPACE SOIL TEST DONE BY CRAIG R. SHORT`P.E_
ELEV. _ _ -j a Cyr� WITNESSED BY -VA--------------
CIS NGVD
CONCRETE LOMlw2�S8FsD OBSERVATION HOLE 1 ELEV.=__SG•2
4" SCHEDULE 40 PVC PIPEPERCOLATION RATE _ < _
MIN PITCH 1/8" PER FT 2* _ Z__ MIN /INCH AT --0----
ix 34Q INCHES
m1/2*rw m DEPTHI HORIZ TEXTURE COLOR MOTT OTHER
wi
WA�� LEGEND:41" a" CAST IRON PIPE ^ X El" ' r _m ` ��� -JEXISTING SPOT ELEVATION 00,00'7" AP LOAMY SAND t0YR5/3 NO
I EXIST (OR EQUAL) MINIMUMEXISTING CONTOUR -00-
PITCH 1/4" PER FT 6' FINAL SPOT ELEVATION 00 0 7-21 B LOAMY SAND 2.5Y7/4 NO ELEV. 48.45
3'MAX -�- � FINAL CONTOUR
UTILITY- 9.7, �` SOIL TEST
POT LOCATION 1-132 � C MEDIUM SAND 2.5Y7/4 NO
FLOW LINE ELEV
49. e 10" - TOWN WATER =W=—=W
PLUMBING ELEV. _ ____-_ MIN. - ;o a o 0 0 0 Cl o c�
TO BE RAISED_ / ¢B.G 3 2 0' �° CATCH BASIN ®�
ELE LEVEL . o c c c o c o
AND RE-PIPE$' 8Y - GAS LINE G
LICENSED PLUMBi j ELEV 7F�.8� J GAS ELE. �_5� �" 51jMP -EIEv F":_� o C C O o 0 0 � CLEAN OUT C.O
BAFFLE �° c c c c C o o �� _ 4 CESSPOOL C P O
DISTRIBUTION _
I
ELE Vo 300 GAL DJLYWEL.S(OR EQUAL)
iDEPLiQuID OUTLET BOX =�--- / -
T T TO BE PLACED ON FIRM EASE) ` WTIHSTOi� ��1�
IN A
4 FEET 14 INCHES TO BE WATER TESTED (/ -
L7F
T 19 INCHES F MORE THAN ONE OUTLET T a NO WATER ENCOUNTERED AT 1L' ELEv
T 29 INCHES 1500 GALLON �' SOIL ABSORPTIONSEPTIC TANK To BE PLA ED ON FIRM BASE) �' 34 INCHES , 3/4' TO 1 112" CLEAN J Qo 24DEX
DOUBLE WASHED STONE SYSTEM (SAS) V ADJUST
FREE OF FINES & SILT �-r��, �• Y ,.: 3 9. DESIGN CALCULATIONS
SEWAGE DISPOSAL SYSTEM PROFILE CJS p>�wst WATER TABU EUv GARBAGE DISPOSAL UNIT
I 3 NUMBER of BEDROOMS _ _4_
US _
08SF1iNm WATER TAJiU( ! / )ELF '
�[� TOTAL ESTIMATED FLOW
�GT TO ( 110 GAL./BR./IDAY X 4 _ BR.) _-44Q_ GAL.jDAY
REQUIRED SEPTIC TANK CAPACITY GAL.
ACTUAL SIZE OF SEPTIC TANK GAL.
SOIL CLASSIFICATION _ I
DESIGN PERCOLATION RATE < 5 MIN /IN.
EFFLUENT LOADING RATE _Q 74_ GAL /DAY/S.F
LEACHING AffA 13' x ( 2s-f I Z. G8ti- SO FT
2 x ( 13',- 2S.S'''LStlit/2r«r=i
LEACHING CAPACITY (AREA X RATE) V O GAL /DAY
I
O NOTES:
1 ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D E P.
TITLE 5 AND THE TOWN RULES AND REGULATIONS FOR THE SUBSURFACE
DISPOSAL OF SEWAGE
2 ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO
WITHIN 6" OF FINISHL GRADE.
2 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF
WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN
M 10 FT OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE
USED UNDER OR WITHIN 10 FT OF DRIVES OR PARKING AREAS.
x 'p a. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL
BE MORTARED IN PLACE
x rO 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH
O Da t:'ED OR ZONING REGULATIONS OWNER / APPLICANT IS TO
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY
P
36"W.P 6, UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR EXISTING WATER L.INE IS TO CALL "DIG SAFE" AT 1-888-344-7233 AT LEAST 72 HOURS
_ / 9 TO BE RELOCATED PRIOR TO COMMENCING WORK ON SITE
AS SHOWN 7 CONTRACTOR �S TO VERIFY GRADES AND ELEVATIONS AS WELL A5
SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION
IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER
0 �-2. BASIN �O IMMEDIATELY
R=98.53'O �,�
� CKIVL'+'vA ' � '� 'S E 8. PARCEL IS IN FLOOD ZONE C-___-1�_ AS PARCEL _ 14
, Ir►/ 9. LOT IS SHOWN ON ASSESSORS MAP� __ _ _____
�O \ 10 ALL UNSUITABLE MATERIAL SHALL BE REMOVED FROM UNDER, AND
` ►�• ___-__—. __ FOR A MINIMUM OF 5 FEET FROM AROUND THE SOIL ABSORPTION SYSTEM,
` AND BE REPLACED WITH SAND AS SPECIFIED IN 310 CMR 15 255: (3)
(I E TITLE 5) IF ENCOUNTERED BELOW S A.S PIPE INVERT
11 EXISTING SEPTIC SYSTEM TO BE PUMPED AND FILLED WITH SAND
OR REMOVED
CRAI
y aS SHORT G�, i.!) L/ APPROVED: BOARD OF HEALTH
.�
/ 7 � CIVIL N
No. 27481
O
ST �2 2 0 5 -- —Cj H ---- ------ AGENT --
EXISTING DWELLING �
0. PROPOSED SEPTIC DESIGN
P 33 FOR
SJ
o�
WESLEY FRIES
- h --
41
�.. PROJECT L --------- �
' alp r Ah1t'� !vr 1P� °fTI° 'OMAHAWK DRIVE
BARNSTABLE, MA SHED CRAIG P. SHORT, P.X
235 GREAT WESTERN ROAD
508- P. 0. BOX 1044
RuuTE a 398-3922 SOUTH DENNIS, MASS 0266C j
DA�IGUST 20, 2001 SCALE �0,
REVISED 1 -895
• LOCATION MAP
L --- REVISED SHEET 1 OF 1
0 2001 CRAIG R- SHORT, P.E 1