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HomeMy WebLinkAbout0007 TOMAHAWK DRIVE - Health 7 TOMAHAWK DRIVE, CENTERVILLE A=190 - 014 AY Ono Illl UPC 12534 No.2153LOR HASTINQO.YM fI I i _ Tb IW N�L'' (�R,N1 a4 `�*,y, = '. "�'�,,r� `` f `'L. �i S:% • ���t ar �p �r _ CATION 4 VII.LAGE Cf1` %L.�� ASSESSQR'S M LOT AP IlNSTALi.ER'S.NA,N1E,&PHONE NO SEPTIC TANK-CAPACITY_ t$Gp .P 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 ._. ,tn r � �1 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