HomeMy WebLinkAbout0014 VALLEY BROOK ROAD - Health Centerville
A = 189 - 165
5 M E A®R
KEEPING YOU ORGANIZED
No. 12534
2-153LOR
FORESSTRY�� MIN. CYCL REED
INITIATIVE CONT ENT IO%
Cerofied Fiber
Sourcing POST-CONSUMER
®
www.sfiprocram.org
SR012M
MADE IN USA
GET ORGANIZED AT SMEAD.COM
I
TOWN OF BARNSTABLE
LOCATION ►c► l)ef,1�c�k SEWAGE# Z019 330
VILLAGE CgjX6Jy" (6SSESSOR'S MAP&PARCEL ►$q- S 65
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY.(type) SaOoa.1 lJ c�3� (size) X30 x Z
NO.OF BEDROOMS
OWNERCOP32as p
PERMIT DATE: $'301 E Q 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 wetlands exist within
any
300 feet of leaching facility) Feet
FURNISHED BY
81 " ZZ' Z "
AS' 44 O
C32• �L'9 "
A3" GS,z
83" 21 ➢ ��
G`,S „
��' p
2!SSe/ . B
W
oC
Q
�ron� A
Town of Barnstable
�VE'oi�aQm Inspectional Services
Public Health Division
BARNSTABLa r
HAS& Thomas McKean, Director
200 Main Street,Hyannis,MA 02601
Offim 508-862 4644 Fax: 508-740-6304
Installer & Designer Certification Form
Date. '.:i(<•-
-` Sewage Permit# Assessor's lMap\Parcel ' t j tom%=a
Designer: He,?t,z S:*n t "_G Installer: B {:,, r t ►= '-�
Address: ;? = j LQ Address:
On : 1? =x � ''+� was issued a permit to install a
(date) (installer)
septic system at ,+ V '`- based on a design drawn by
(address)
dated C?_)-
(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. Strip out (if required) was inspected and the soils
were found satisfactory.
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. Strip out (if required)-was inspected d-th -soils
were found satisfactory. t��
I certify that the system referenced above was constructed i � the terms of
comp�iaz3
the AA approval letters (if applicable)
i A c
r r y
(Installer's Sign r ) � �q.0 S- '
(Designer's Signature) (Affix Designer's Stamp Here)
PLEASE RETURN TO BA STABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED B Y THE l3ARNSTABLF I'U$LIC HEALTH DIVISION.
"THANK
AtodWeptAHEALTMSEWER connectZEP"ricoesigner Certification Form Rev S.14-13.D0C
4�
S
No. " '
Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in co uteri_V
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
- 2pplication for MisposaY *pstem Construction permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) [Complete System ❑Individual Components
Location Address or Lot No. W V oJt &e gco ok Rd• Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel I$g I to S 70► fA of AS �n O
Installer's Name,Address,and Tel.No.Sos• q 1'I.Otog 3 Designer's Name,Address,and Tel.No.
14 Teab`tru� l,n. (ht tr(�'} f3 �cx t,ava�;o n .4 otd H Sans'',nL Sanduv;oti+ New.
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(N9
Other Type of Building (�l Si dcr ic.� No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 33 0 gpd Design flow provided 3(o 0 gpd
Plan Date---I 29 ►q Number of sheets Revision Date
Title
Size of Septic Tank 1,500 gallon Type of S.A.S. (3) 500 gallon Chjojnb¢rs
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) 141m StI s4 uh
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 Certificate of
Compliance has been issued Board o ealth.
ign Date 8 2
Application Approved by Date
Application Disapproved by / Date W
for the following reasons
Permit No. Date Issued
'RIF
No. ��� ///// Fee ff
THE COMMONWEALTH OFFMASSACHUSETTS Entered in coputer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Wication for Misposaf 6pstem Construction 3pPrmit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) `Abandon( ) [Complete System ❑Individual Components
Location Address or Lot No.�4( Pic o ok R A. Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel 1 S d
Installer's Name,Address,and Tel.No. o . q-1 1. 0�0 g Designer's Name,Address,and Tel.No.
IN Teabcar,
�( Un a..� rnp jOr15 1('. Winne , 6, A..•
Type of Building:
Dwelling No.of Bedrooms '3 Lot Size sq.ft. Garbage Grinder(NJ
Other Type of Building _jhQ�, ►ram ; _\ No.of Persons Showers( ) Cafeteria( )
Other Fixtures
"Design Flow(min.required) �3() gpd Design flow provided 1(,o gpd
Plan df Date 1 T qT S Number of sheets ( Revision Date
Title
Size of Septic Tank
P l �Oc� nn\ton Type of S.A.S. 0 nnllon rhr,mbor ,
_50
a, Description of Soil So
Nature of Repairs or Alterations(Answer when applicable)
,
Date last inspected: "
i
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 Certificate of
Compliance has been issued y-this Board o ealth.
Signed �� ��• :,� Date
Application Approved by7W11 ,#� / /� Date 4 /
Application Disapprov6d_K Date
for the following reasons
MW
.ee� r
Permit No. Date Issueda
%.�
i
--------------------------- -- -- ------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
777
BARNSTABLE,MASSACHUSETTS
` Certificate of ComoYianc>e
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Const cted(,/) Repaired( ) Upgraded( )
Abandoned O by 9 � R �X r a a 1, n
at I(I Vr,e&nok Ed C-e R1-ec,,,itc has been cons to ' accord c
with the provisions of Title 5 and the for Disposal System Construction Permit No d ed 0
Installer Designer
#bedrooms 3 Approved design flow ? y gpd
The issuance of this permit shall not be construed as a guarantee that the system will9,hcti(1nJ3esigg_ne.jdj,,,Date / Inspector
----- --- --_ ---
No. Fee QX)
HE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal 6pstent Construction 'Prmit
Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( )
System located at IU \Jolley f�,000L Rirl LQ AI-g. k i
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Cons ction m st be mpleted within three years of the date of this permit. -
E Approved by ti l
4< ,.
N to INSTALL RI5ER5 �COVERS TO PIPE5 TO BE, LAID LEVEL FOP,
T.O.F. @ WITHIN 6" OF FINf511 GRADE 2' OUT OF DfSTRIBUTION BOX
2 LAYER OF DOUBLE WASHED PEA5TONE OVER
EL. 43.0 (SEE PLAN VIEW FOR LOCATIONS) INSTALL RISERS t COVER5 TO
w 3/4 f V2" DOUBLE WASHED STONE ALL AROUND
U WITHIN 3 OF FINISH GRADE
(SEE PLAN VIEW FOR LOCATIONS)
Lo BASEMENT FLOOR
LOCUS @ EL. 35.8 EL. 36_0 EL. 34.5 - _EL. 32.7 i _EL. 32.7 _
a BOTTOM OF FOOTING 4"5CH
J 4°scH 4o Pvc 0 PVC TOP @ EL 29.7
@ EL. 34.3 4"SCH 4o Pvc
t IO I4"
�32.Op 31 .25 (3) 500 GAL. PRECAST DRYWELLS
cm INSTALL GA5 BAFFLE G 0.00 29.53 BOTTOM @ EL. 27.00
QIN OUTLET TEE 3 1 .00 29.00
w DB-G (H-20)
(!7 IN5TALL TANK+E D-BOX 5'
v` ON 6"LAYER OF CRUSHED
Q 5TONE
1500 GALLON PRECAST
ZONING DISTRICT: RC (DWELLING) RD-I SEPTIC TANK
BOTTOM TH @ EL 22.0
WATER PROTECTION D15TRIC.T: 5ALTWATER ESTUARY
4I2 40 38 36 SEPTIC SYSTEM PROFILE
34
32
o 1 I TBM = EL. 33.0
TOP OF CONC. BND.
1 I m I PqNSoNTH I DEEP 055ERVATION HOLE LOGS
I I AAA #4 •
i
DATE: 07-22-201 9 TPT-19-75
I I N #s I TEST BY: D. MEYER, R5 * C5E
1 / •I • I WITNESS: D. 5TANTON, HEALTH AGENT DESIGN CALCULATIONS
0 PERC RATE: < 2 MIN. / INCH
• I T� 'O' I DAILY FLOW: (3) 5DRM5. x 110 GPD = 330 GPD
o Bp A4 ED (3) I eo' I1#2�TH II DEEP oeseRVAr1oN HOLE#i EL. 33,o SEPTIC TANK: 330 GPD x 200% = GGO GPD
m 1 T.O.P. , DwELLI 1 , - #' DEPTH 501L SOIL SOIL COLOR SOIL USE: 1 500 GALLON PRECA5T SEPTIC TANK
WELLING ! 1 I FROM HORIZON TEXTURE (MUNSELL) MOTTLING OTHER
e° EL. 43.0 i- I !' I 5UOFACE A LOAMY SAND IOYR4/i PERC @ 62" 5A5: (3) 500 GAL. PRECAST DRYWELL5 LINED
I
I8 I 7 -30" B LOAMY SAND IOYR5/8 <2MIN/IN WITH 3 OF DOUBLE WASHED STONE ON
44 91 GARAGE I I / 30"-78" c i LOAMY SAND I OYR6/6
\ 1 ; @ EL-3,5 58 I i �! f 75"- 1 20" C2 MEDIUM SAND 2.5YG/4 LOOSE GRANULAR SIDES * 2' ON THE ENDS
51DEWALL: 81 x 2 x 0.74 = 1 19.9 GPD
I I i I •, �`` BOTTOM: I I x 29.5 x 0.74 = 240. 1 GPD
DEEP OBSERVATION HOLE#2 EL. 33.0 TOTAL: 3GO.0 GPD
FDROM EPTH SOIL SOIL SOIL COLOR SOIL OTHER
''y? / HORIZON TEXTURE
I I ! M I SURFACE (MUNSELL) MOTTLING
0°-8" A LOAMY SAND 1 OYR4/1
m 8"-3 1 B LOAMY 5AN:^ 1 OYR5/8
! I 3 I"-76 c I LOAMY 5ANLi I OYR6/6
/! N I I 6"- 120" C2 MEDIUM 5AND 2.5Y6 4 L005E GRANULAR
44� __�_- ao.3p, ,l� 1
32 DEEP OBSERVATION HOLE#3 EL 33.0 GENERAL NOTE`
42 -�.`` ��� ; I DEPTH SOIL SOIL SOIL COLOR SOIL
-� suROF CE HORIZON TEXTURE (MUNSELL) MOTTLING OTHER 1 . SEPTIC SYSTEM 15 TO BE INSTALLED IN ACCORDANCE WITH
! ; i i oil- 1111 A LOAMY SAND I OYR4/I 3 10 CM R 1 5.00: TITLE V
I I"-34" B LOAMY SAND I OYR5/8
34"-5G" cl LOAMY 5AND IOYR6/6 2. TH15 SEPTIC 5Y5TEM 15 NOT DE51GNED FOR THE U5E OF
I 56"- 132" C2 I MEDIUM 5AND I 2.5Y64 I I L005E GRANULAR I
A GARBAGE DISPOSAL.
40 3 rl / �� I 3. TH15 PLAN 15 NOT TO BE U5ED FOR PROPERTY LINE DETERMINATION
4. CONTRACTOR SHALL PROVIDE 48 HOUR NOTICE TO DESIGN
DEEP OBSERVATION HOLE#4 EL. 33.0 ENGINEER FOR ANY REQUIRED IN5PECTION5
!! / 34 DEPTH SOIL SOIL SOIL COLOR 501E
n !a/ ! / FROM HORIZON TEXTURE (MUNSELL) MOTTLING OTHER 5. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION OF ANY
� SURFACE UTILITY, A50VE OR UNDERGROUND, PRIOR TO ANY EXCAVATION
0"- L 2" A LOAMY SAND I OYR4/1 PERC @ 64"
12" 36" B LOAMY SAND I OYR5/8 <2 MIN/IN OR CONSTRUCTION
/ eel ,/ 3G 36"-58" C I LOAMY 5AND I OYR6/G
! ! 55"- 132" C2 MEDIUM 5AND 2.5Y6 4 LOOSE GRANULAR
NOTE: NO GROUNDWATER ENCOUI\ITERED IN ANY OBSERVATION HOLE
SITE - SEWAGE PLAN
! �l !; qGE EAS�MENfOR
14 VALLEY BROOK RD., CENTERVILLE, MA
A,20•o8� 40 ti�� ����oF^�assq�, PREPARED FOR
ti JAY MALA5PINO
V ` CO O G
� N ma`s STEVEN W. � Pl �,
C`/ � /3084- N RUMBA8s� � SOAP I " = 30' DATE 07-24-201 9 DRAWNBV TMW
♦O JOB NUMBER REVISED SHEET A
�! TE� � 0. 114 SP-
OK
&OAD -2�°a� . �� LANa _ �' � T��� WELLER � ASSOCIATES
P�3� �JV/.TARr
P.O. BOX 417 CENTERVILLE, MA
1 - •r 7 TEL: (508) 328-4G92
EMAIL: trl5WCller@cgmall.com
SEPTIC SYSTEM DESIGN BY MEYER * SONS, INC. REG15TERED LAND 5URVEYOR5 * ENVIRONMENTAL CON5ULTANT5
Traverse PG