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HomeMy WebLinkAbout0006 VISTA CIRCLE - Health 6 VISTA CIRCLE CENTERVILLE A= 193 - 260 L i NoC / Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4pUration for Misposai *pstem Construction permit Application for a Permit to Construct Repair( ) Upgrade( ) Abandon( ) M Complete System ❑Individual Components Location Address or Lot No.k,V(, -rA- AP_ Owner's Name,Adolress,and Tel.No.'TO/KA S t A-,I Qe,A4-L­1((0- bJUIGe. 6a.1/ev.� Assessor's Map/Parcel 3 2(,o Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.WWL 61`(���e ast a,6 Zj%3 �So 9Z9 C, -o S-'l CA-Pe L✓�� a!3 R ✓h�.� sr go k( ;�k✓v�✓t��Foi� � 3uz- 4� 1 Type of Building: Dwelling No.of Bedrooms ,,/n� Lot Size sq.ft. Garbage Grinder( ) Other Type of Building Ae 51 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 1 1 U gpd Design flow provided 3 % gpd Plan Date ':5' ( �2,0 Z-( Number of sheets Revision Date 011,0_ Title Size of Septic Tank 600 Type of S.A.S. C--1n.A m(E1Z✓$ Description of Soil Yee- q 1 Ay1 ,D-e sC 3—(O ZO Z( Nature of Repairs or Alterations(Answer when applicable)_ (�2-W it 5;✓�Cr-ln�a�! j�� 7L{-,,t K_ 1 &6a )e 2-1 S_o O Get((0„ c(,A-114(d'-S 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 by this BoardPL44ealth. Signed( Date 4'1 o z_f Application Approved by Date ✓ c Application Disapproved by Date for the following reasons Permit No. C�aoa/— -a Date Issued �— L } a tp-- 1 No / °' Fee i THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye PUBLIC HEALTH DIVISION -JOWN,OF BARNSTABLE, MASSACHUSETTS Zipplication for ]DI8tJ08al 6pstent;CDnstruction permit �. Application for a Permit to Construct Repair( ) Upgrade( ) Abandon.( ) Complete System ❑Individual Components ' Location Address or Lot No.!~ i/(J14-C(/< (e Owner's Name,Address,and Tel.No.'TOM AS t p 1 Assessor's Map/Parcel 19 3 Lion lvvi cLn V14 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. one C_ x c c �A470�1 ' ?p-`j�err✓ate} DOw A PP 40/1C1 9 34 ^A-n S? Arrrv�o✓(41�uf °k/oLSSMc+��c(rG251,3 �0$ 8�$ Zr{oo 15vol- 3b2 45Vi Type of Building: i Dwelling No.of Bedrooms {, ! AI Lot Size i sq.ft. Garbage Grinder( ) Other Type of Bui lding tAf S 1}1�Apn•4' No.of Persons Showers( ) Cafeteria( ) Other Fixtures a% I Design Flow(min.required) (f.�C? r` t + gpd Design flow provided 3 y q gpd - Plan Date 3 3 0-2 4-21 0 f `N,umber of sheets Revision Date No Q- Title 1(` l/ V V w - Q Size of Septic Tank 15001 1 Type of S.A.S. � 1/1 A v1��e.✓S Description of Soil Sept I Ay1 *� y�3 Q✓C f U - ?o L I Nature of Repairs or Alterations(Answer when applicable) 1\e L,,) C4/1 ►/«C-1'1�(1�? " t r S-2)0 714/1 {C , Date last inspected: ' Agreement:}« . The undersigned agrees to ensure the construction and maintenance of the afore d cribed on-site sewage disposlysystem 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 by this Board of,uealth. Signed Date T`1 "Zo Z. I Application Approved by Date p Application Disapproved by Date for the following reasons Permit No. chi- Date Issued a THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS,TO CERTIFY,that the On-site Sewage Disposal system Constructed O Repaired( ) Upgraded( ) Abandoned( )by 0 b AJ eA(Cl 04 E:k (,A.v A-h0n `J SP{ t� 1 Cl. yt C.A.S —Iyv C at `& U 137Q ( (,r c f 2 CeI0<1✓1 t1t has been constructed in accordance with the'provisions of Title 5 and the for Disposal System.Construction Permit No_.-c L'_!)OT dated t Installer ✓�T ( ( .S Designer bw,/1 (r � c�r Cj #bedrooms Approved desigaflo(w- "\ gpd The issuance of this permit shall not be construed as a guarantee that the system functi as desi �ed. Date � � � i Inspector\__� �,,�, v No. :-)!�Q Fee/ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS w Misposar 6pstem Construction Vermlt Permission is hereby granted to Construct(y) Repair( ) Upgrade( ) Abandon( ) System located at (0 (Jl 5 1 A C J�/C_ 1. =C y1 ✓J/tt�l 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:Construction must be completed within three years of the date of this;permit.. Date lJ 1.r✓ Approvedlby � v Bk 34218 Pgll #40962 06-17-2021 @ 03 : 49p DEED RESTRICTION WHEREAS, Tomasian Homes Corp., a Massachusetts corporation of (owner's name) 16 Duke Ballen Road, Harwich, MA 02645 (address) is the owner of 6 located (address) at 6 Vista Circle, Centerville, MA 02632, and being shown as Lot 22 on a plan entitled "Plan of Land in BARNSTABLE (Centerville, MA) Mass. For R. Arthur & Betty L. Williams, dated June 2, 1984; Scale 1' = 40', prepared by Baxter& Nye, Inc., Registered Land Surveyors, Osterville, Mass.", said Plan is duly recorded at the Barnstable County Registry of Deeds in Plan Book 386 Pages 27 & 28. WHEREAS, Tomasian Homes Corp. as the owner of said lot has agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, NOW, THEREFORE, Tomasian Homes Corp. does hereby place the following restriction on his above-referenced land in accordance with his agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 1. 6 Vista Circle may have constructed upon the lot a house containing no more than One ( 1 ) bedroom. Tomasian Homes Corp. agrees that this shall be permanent deed restriction affecting the property located on Vista Circle, "Centerville, MA, and being shown on the plan recorded in Plan Book 386, Page 27 & 28. CAcache\Temporary Internet Fi1es10LK4EQA0FFICE FORMSMEED Restrict Sample.DOC Bk 34218 Pg12 #40962 fih Executed as a sealed instrument l day of June, 2021. Kenneth Tomasian, President and Treasurer COMMONWEALTH OF MASSACHUSETTS lq&k Barnstable, ss June , 2021 Then personally appeared the above-named Kenneth Tomasian known to me to be the person who executed the foregoing instrument and acknowledged the same to be his free act and deed as President and Treasurer of Tomasian Homes Corp., before me, 4yj Notary Public My commission expires: 3 Z�- 1 ZO 2-9 ,n ANCA NEMES WNotary Public Commonwealth of Massachum"s MY Commission Expires March 24, 2028 f C:lcachc\Temporary Intemet Files1OLMEQAOFFICE FOR;NSIDEED Restrict Sample.DOC JOHN F. MEADE, REGISTER BARNSTABLE COUNTY REGISTRY OF DEEDS RECEIVED 6 RECORDED ELECTRONICALLY NOTES: -ALL ENT WALLS ARE CONTINUOUS SHEATHED BRACED WALLS w/MIN.7116"STRUCTURAL PANEL(MEETING DOC PSI or P32)FASTENED w/16 GA.STAPLES @ 3"o.c.EDGES AND 6"o.c. D"a FIELD OR ALT 8d NAILS @ 6"o.c.EDGES AND 12"o.c.FIELD U.N.O. < M -EXT WALL TO WALL(CORNERS)ARE FAST.w/10d(3"4.131")NAILS @ 12"o.c.MIN. P s -EXT&INT WALL TOP PLATE LAPS @ INTERSECTIONS USE SIMPSON TP39 w/(6)8d NAILS PERol °'2 WALL IN COMPLIANCE WITH IRC R602.3.2 ":_.. � m'o a 5112" 3 1,2" 3 1!2° 51 F-5 114" TA 3/4' 14'0" 1112' 6-119l16' 12 55116' - -12 758 - -12'-0'--- Q Q o 2821 SG 2821 SG 30 1 - N p BATH 1 RADON VENT BATH 2 a w2,as vao,z 3 ry9�o q p z R�A(t y 42 Sy:� O m \\ JJ ... ' I 1136R323 RCR�J,? w Z ❑O --i v w y I sot,4D _. .... __ _ _ __ _ _I Z of Q m I 46 sgft x; f KITCHEN Y m = pf 4 0 /"'�i`I. 97 sgft BOX"A" s 1 f .;,».., 2 I _ (OAIIT C TOP x .� m l'� (OMIT C TOP, 476 sqft ^cam o SINK&FAUCET)a. \,y (OMITCTOP "'� DINING ROOM SINKBFAUCET) SINK 8 FAUCCT) .. 92 g _ 3'-6" r tlO°to S ft... _ CID _ 2_ t O c I 1 DOWN h r o2 CATHEDRAL i , o - I s Tlc , HALL 1� .3-0•. ._�`-- 3-0'---�` ` _ ;� _ access i It K .. m--- r Y m Y co ?X3D of 34 sgft to I . __ _. _.' f = r In Q a 2 0 o SIZE OF ON-SITE TABLE.X 11.2Y LVL CLG RIMEA.SIDE 1 �2 ap NSmooth Trans[°n ❑n - - (1)1.5"X 14 LVL CLG RIM EA.SIDE w f .._....- _ - -. _ _... - - --- -- - - - (2)2X6'S (3)2X4'S O Pantry u"= (4)2X4 S MLB2 (4)2X4'S 1? O EA.SIDE EA SIDE EA.SIDE EA.SIDE p z U DEN L) = w BOX"B" � � `° I u 94 sgft 476 sgft — BEDROOM 1 ? N z 0 150 sgft I 3 L)J r LL CATHEDRAL v Z'o w U LIVING ROOM ° �Q < m 192 sgftr�i=m H m 3;1.5'X 9.25-LVL HEADER _1 Z "' 30410 FRESS 3 04 0 GRE S 18-504 -18 SG O_ 5'-5 VT 12'-2" 6'-8314" T-6314° 8'-1° a O r6.�. 0 5112 5I/2" 31i2" 3112' 3 V2" ��ma.A..ome J " ua. ixaas,a OOdktO,'a _ LL 17'-.V2" .a. .YFq GFRYE' ".o«a.�� ,5T19(LSURRL O ❑ THIRD PARTY LABELS /21 P 3 Q STATE LABELS 0 DATA PLATE SCALE: 1/4"=V-0" i r I TRANS. NO.: CITY/TOWN: Cer4e r—y`a Ile APPLICANT: rrK2n ADDRESS: C i r C DESIGN FLOW: l f y gpd REVIEWED BY: DATE: i N/A OIL NO r. • ,(�..(�+�7��..q p,...r-.:.....r .,:•.0 ..vs..r.:..v,.. "'i Legal boundaries denoted [310 CMR 15.220(4)(a)] Street, Lot, tax parcel mmnber and lot number noted on plan[310 CMR 15.220(4)(u)] j Locus Provided [310 CMR 15.2204(t)] Plan proper scale? (1"=40' for plot plans, 1"=20' or fewer for components) [310 CMR 15.220(4)] f Easements shown [310 CMR 15.220(4)(b)] I System located totally on lot served [310 CMR 15.405(1)(a) for upgrades]- if not, a variance is required [310 CMR 15.412(4)] Location of impervious surfaces (driveways,parking areas etc.) [310 CMR 15220(4)(d)] Location all buildings existing and proposed 310 CMR 15.220(4)(c)] Location and dimensions of system components and reserve areas. [310 CMR 15.220(4)(e)] System Calculations [310 CMR 15.220(4)(f)] 1 daily flow septic tank capacity(required and provided) soil absorption system(required and provided) whether system designed for garbage grinder North arrow [310 CMR 15.220(4)(g)] i Existing and proposed contours [310 CMR 15.220(4)(g)] Location and log of deep observation holes (existing grade el. on each test) [310 CMR 15.220(4)0-1)] Names of soil evaluator and BOH representative [310 CMR i 15.220(4)(h) and(i)] Location and date of percolation tests (performed at proper elevation?) [310 CMR 15.220(4)(i)] Percolation test results match loading rate? [310 CMR 15.242] V Certification statement by Soil Evaluator [310 CMR 15.220(4)0)] i Observed and Adjusted groundwater (method for adjustment given or indicated) [310 CMR 15.103(3) and 310 ChM 15.220(4)(11)] i Address Sheet 1 of 7 L I I f ! I N/A ® NO Location of every water supply,public and private, [310 CMR 15.220(4)(k)] witivn 400 feet of the proposed system location i11 the case l { of surface water supplies and gravel packed public water supply V f j within 250 feet of the proposed system location in the case within 150 feet of the proposed system location in the case ! of private water supply wells I . Location of all surface waters and wetlands located up to 100 ft. j beyond setbacks listed in 310 CMR 15.211 and any catch basins j ! located within 50 ft. [310 CMR 15.220(4)(1)] Water lines and other subsurface utilities located[310 CMR I 15.220(4)(in)] (if water line cross see 310 CMR 15.211(1)[11) Profile of system showing invert elevations of all system components and the bottom of the SAS [310 CMR15.220(4)(o)] j Stamp of designer[310 CMR 15.220(1) and 310 CMR 15.220(2)] j Stamp of Registered Land Surveyor(required if construction j activities within 5 ft. of lot line) [310 CMR 15.220(3)] Test Holes adequate (two in each of the primary and reserve unless trenches as permitted in 310 CMR 15.102(2) or as approved for an upgrade under LUA at 310 CMR 15.405(1)(k)] Test hole adequate to demonstrate four feet of suitable material? i [310 CMR 15.103(4)] I Test Holes adequate to confirm adequate groundwater separation? [310 CMR 15.103(3)] Benchmark within 50-75' of system[310 CMR 15.220(4)(q)] Materials specifications noted? [various sections of 310 CMR 15.0001 System components not>36" deep (unless Local Upgrade Approval or LUA requested) [310 CMR 15.405 1 ( Cb)] i I I I I I i i Sheet 2 of 7 j Address I i i i i i I N/A OK NO s., r i}a a .,.f L yr `7 }s t sz• sc a'i-..d - � s� FY xi're,S� Size OK? [310 CMR 15.223(1)] I i j Inlet tee located ten inches below flow line [310 CMR 15.227(6)] I Outlet tee 14" or 14" + 5" per foot for increase ft depth[310 CMR I 15.227(6)] Outlet tee with gas baffle or approved filter [310 CMR 15.227(4)] Note regarding installation on stable compacted base [310 CMR 15.228(1)] Separation between inlet and outlet tees (no less than liquid f depth) [310 CMR 15.227(2)] Inlet/Outlet elevations at least 12" above high groundwater (except as described 310 CMMR 15.227(5)) or permitted for upgrades under LUA[310 CMR 15.405(1)(k)] Miru'murn cover 9" (Tanks buried more than 9" must have risers j on all openings and on the d-box) [310 CMR 15.2228(1) and 310 I i j CMR 15.232(3)(f)] Three access covers (inlet and outlet must be 20" or greater)- middle access at least 8" (by 7/07) [310 CI\6R 15.228(2)] Access to within 6 " of grade - one port for systems<1000gpd, two for systems>1000 gpd[310 CMR 15.228(2)] All at-grade covers secured to unauthorized access? [310 CMR 1p 15.228(2)] > 10 ft fiom building foundation [310 CMR 15.211(1)] i Buoyancy calculation Required/Done, [310 CMR 15.221(8)] I' H-20 Where appropriate? [310 CMR 15.226(3)] Setbacks from resources [310 CMR 15.211] •;,;x-•�.r.:Fa'.'yfi9'ci.�w:ratt.,•yri^:st<'4+ii•"+" y'..t �.��;;T'Y 'L"� �3i..r�rw.�� a:t Jr'.e MEMO kzJA°Ytj sa,� l'�'s2�d� uli+ oxaapa�tzne�t` ��rlcs ..•.^7,��`,fE�Yr� ``'%.sY fF�i�3.'$i'.-�'� �3�'�'„_�'.i1:.�-u�.t•�7L�:,?� ' ;r:a.�ff 7's' . r,'1•:>�7:-F; :..r.. .a-; I Required when other than single-family dwelling or flow>1000 gpd[310 CMR 15.223(1)(b)] I First compartment 200%daily flow- Second compartment 100% F daily flow [310 CMR 15.224(2) and(3)] i "U"pipe through or over baffle, outlet of each compartment with gas baffle or approved filter [310 CMR 15.224(4)] I i I i i i I i I ' i j Address Sheet 3 of 7 i i I ! cA II I N/A OK NO � t d3 Tt TIf W� .t [�_t 1 �� ) ��JIT �S7C +� al�tDOli? ]P�YiVs , E � fy'`;. � �;�. , ` {_ R Located at least ten feet nom any water line? [310 CMR 15.222(2)] Disposal piping at least 18"below water line(when water and sewer cross, see 310 CMR 15.211(1)[1]) Cleanouts required/provided? [310 CMR 15.222(8)] Thrust blocks specified in force mauls? 310 CMR 15.221(6)(c)] Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable i [310 CMR 15.222(6)] I Proper pitch on all runs? (.005 within gravity-distributed trenches and beds) [310 CMR 15.251(9) and 310 CMR 15.252(2)(c)] f Siphon problem/(leachfield below pump chamber) I i Endcaps or vent manifold specified? Size and orientation of discharge holes specified? (not smaller A than 3/8" not larger than 5/8") [310 CMR 15.251(8) and 310 CMR 15.252(2)(h)] j Materials specified (310 CMR 15.251(5) specifies various pipe types allowed) p -�� �Cr0,l� '`h-e�. 5s k f`*;t �j'te� 'vr-w+lr- t"x,Cr,+ , xy arE•cGr�?)S '~u71�I€k.� ! �i.i' {, ,11�l y.NsB u,a i`l s,�a>S`. Stable compacted base [310 CMR 15.221(2) and 310 CMR 15.232(2)(a)] Splash plate or baffle tee required on inlet/provided? (when pressure sewer to d-box or steep pitch of gravity sewer) [310 ' CMR 15.323(3)(a)] Riser if deeper than 9" [310 CMR 15.232(3)(f)] Inside minimum dimension 12" [310 CMR 15.232(2)(b)] I Minimum sump 6" [310 CMR15.232(3)(e)] I Watertight cover if<2000gpd); waterproof manhole if>2000gpd [310 CMR 15.232(3)(d)] v h/'S-t" ..,F ZK' z=4.N' i'`ti'h� ) `!a-4*• (i- �+ 6 .. i n4 f, r .Ml: . x?` �..t,4.,,.f.F.fiwr,t• x7 x+,a,.Sa t• i Capacity(emergency storage above working--design flow)? [310 CMR 231(2)1 Proper setbacks [310 CMR 15.211 (same as septic taiAhs)] Watertight 20-in mizuum access manhole at least 20"MUST BE � TO GRADE [310 CMR 15.231(5)1 Service components accessible (not too deep with piping, i i disconnects accessible) bt [ Alarm floats- alarm on circuit separate fioin pumps specified? Exceeds two units must have two pumps operating in lead-lag t mode. [310 CMR 15.231(6) and(8)] Stable Compacted Base [310 CMR 15.221(2)] i Buoyancy calculations needed? Provided? [310 CMR 15.221(8)] 1 Address Sheet 4 of 7 i I s i I i N/A OK NO Calculations correct? 4 feet of naturally occurri-Ig material demonstrated? [310 CMR 15.240(1)] Required separation to groundwater? [310 CMR 15.212)] Aggregate specified as double washed [310 CMR 15.247(2)] !� System Venting required/provided? (system under driveway or >36" deep) [310 CMR 15.241] � . Inspection ports specified and within 3"final grade? [310 CMR 15.240(13)] i Breakout requirements met? (No violation of breakout elevation i within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and Guidance Document] r7� ,ry ............ Chambers and Gal. in trench configuration supplied with inlet every 20 ft. [310 CMR 15.253(6)] fEach structure with one inspection manhole(if>2000 gpd must i j be to grade) [310 CMR 15.253(2)] t Aggregate I'minimum-4'maximum. [310 CMR 15.253(1)(b)] 2' sidewall credit maximum[310 CMR 15.253(1)(a)] la bed configuration, inlet every 40 sq. ft. [310 CMR 15.253(6)] Width 2'minimum 3'maximum [310 CMR 15.251(1)(b)] e 100 feet-maximum length [310 CMR 15.251(1)(a)] Minimum separation 2x effective depth or width whichever I, greater(3x if reserve between trenches) [310 CMR 251(1)(d)] j Situated along contours [310 CMR 15.251(2)] Breakout OK? [310 CMR 15.211(1)[4] and Guidance Document] 'v E° °(riVaiznuzz��oibe�ofae9d ® gl1,d)� �s �� � �tUu ? kc- minimum 2 distribution lines [310 CMR 15.252(2)(a)] Maximum separation between lines 6' [310 CM RI5.252(2)(d)] Maximum separation between lines and outside of bed 4' [310 I CMR 15.252(2)(e)]' I Aggregate depth below discharge pipes 6"minim-urn, 12" j maximum. [310 CMR 15.252(2)(g)] Separation between beds 10'ininunum. [310 CMR 15.252(2)(f)] Bottom area used it calculations only[310 CMR 15.252(2)(i)] i i Address Sheet 5 of 7 i i i i I • N/A OK NO Pressure Dosed 45'ystein ? ^Provided pump and piping calculations as required [310 CMR 15.220(4)(r)] Pressure dosing required on all systems>2000gpd or alternative systems tinder remedial approval [310 CNR 15.254(2) and IIA Remedial Use Approvals] If used in gravelless system-make sure jet is directed as not to d scour soil interface [Guidance Document] Inspections once per year(systems<2000 gpd) or quarterly (>2000 d) good to note on plan[310 CMR 15.254(2)(d)] I Construction in fill -Did the plan specify that the fill shall meet � the specification of 310 CMR 15.255(3)? Impervious barrier and/or retaining wall? [Guidance Document] i Impervious barrier installation must be supervised by designer [310 CMR 15.255(2)(b)] Retaining wall must be designed by Registered Professional Engineer [310 CNIR 15.255(2)(a)] i Side slope not exceed 3:1 ? [310 MIR 15.255(2)] � Breakout requirements met? [310 CMR 15.252(2) and Guidance Document] At least 5 ft. from impervious barrier to edge of SAS (10 ft. recommended) [310 CMR 15.255 (2)(e)] � ak _ y �t a li�Y€ Gaa e�ss� s eTn IPr.o .e tetV _ K Check DEP Approval_letters for credits and design conditions , If used with pressure dosing do not allow pressure discharge to scour soil interface x., df rfe1,72�'C I z G' L� i�J�sIETT1F 1 ` IaOYCI��Y L'yt2YS:pYY k 1 wa a N W ��i Was DEP Approval Letter provided and/or have you i reviewed the letter for conditions? Is the technology being properly applied and does it meet all DEP Approval Conditions? Is there a note on the plan regarding the requirement for perpetual maintenance agreement? Any alarms involved on separate circuits Did the applicant submit an operation and maintenance manual. Has applicant submitted a copy of a maintenance FA1 i "1. C8 n .. }�.e the variances listed on the plan? [310 CMR 15.220] e/ I RLS Stamp necessary on plan if a component is within five I feet of property line [310 CMR 15.412(4)] I New construction or increased flow proposed- [Refer to 310 CMR 15.414] I I Address Sheet 6 of 7 I j j i i i j N/A V'X> 1"i® NLtYO,?e71�EPtSLrELl?L"�z32Cl,S � ,r �• 7 ;,, � '.:.s.r' `' x .Y_ f ;.:u:, � Is the system in a Designated Nitrogen Sensitive Area(Zone II for a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and 310 CMR 15.216 - also refer to Policy regarding upgrades of such existing systems] Is the system proposed on the same lot as served by private well ? [310 CMR 15.214(2)] Are the nitrogen loads proposed in compliance? [310 CMR 15 216(1)] k ya. S..,u=±,:.,..rf,� Pumping to septic tank? [310 CMR 15.229] . � Shared System [310 CMR 15.290] V I I i i j i i i i I i I f I t i f I Address Sheet 7 of 7 • ' Town of Barnstable °SIRE Inspectional Services w�rAB , i Public Health Division i6" Thomas McKean, Director Aria ' °r 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-190-6304 Installer& Designer Certification Form Date: e, Sewage Permit## 2Da j 2 B Assessor's Map\Parcel Designer: � �-V��. Installer: ��tJ 2l�tE7'F � ✓ fda r I W C. Address: t1 9 ko u+C A Address: �{ c••r t f`I 1RU. On 692( R-E� E j-L i S was issued a.permit to install a (date) (installer) s , septic system at i" t l rdt" "tVuf(ev -� - based on a designdrawn by (address) '" a�k, dated -7 " 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 and the soils were found satisfactory. I certify that the system referenced above was constructed iRl pupce with the to rms of the RA approval letters (if applicable) Q IkA !' L A !7 (Inst ller's Signature) ` �N 4(3 502 �';T� c? ✓' > � . p �Mr " (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLEE 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. WoMdeptAHEALTIMEWER connecASEPTIaDesigner CO fication Forrn Rev&1443MOC i ifs .APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS LOCATION LAKEVIEW 1'T r OT NO.-�U VILLAGE CENTERVILLE _ DATE APPLICANT R. ARTHUR WILLIAMS, INC. FEE_ ADDRESS # 2 OAK STREET. CENTERVILLE TELEPHONE NO. 428-5717 (Non-refundable) ENGINEER BAXTER & NYE _TELEPHONE NO. 428-9131 DATE SCHEDULED JANUARY 8, 1986 0930 11 (Applicant' s signature) . . O . O . . O . . . . . O . . . . . . . . O O O . . . . . . O . . . O . . . . . . . . O O . O . . . . . . . O . O . . . O O . O . . . . SOIL LOG 3UB-DIVISION NAME LAKEVIEW DATE JANUARY 8. 1986 TIME)',W ZXPANS ION AREA: YES__NO uc c VA" 0,4 _ _ENGINEER DOWN WATER-PRIVATE WELL Mc BOARD OF HEALTH AT.FRED F 1T.T FR EXCAVATOR SKETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes) NOTES: Lniz � oT ' -fit-( t �50 AS' 1 ez` —�Z 'ERGOLATION RATE• L-Zwt "'J T E INJ �I CEST HOLE NO: - � ELEVATION: TEST HOLE NO: ELEVATION: 1 l.oaw� �ssol C.. 1 2 2 2 3 3 4 4 . 5 c0 D4- t, 5 6 6 7 6 "D 7 8 8 9 9 10 10 11 11 12 �2 12 13 _ 13 14 K�o ko 14 - 15 (.-��c—L.��� �-o 15 16 1k� —\-2-4G l k 16 SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD__&_LEACHING PITS p( LEACHING TRENCHES_ JNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS:_�i :DOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION )RIGINAL: COMPLETED IN ENTIRETY BY P. E. AND RETURNED TO BOARD OF HEALTH .OPY: RETAINED BY APPLICANT ' LEGEND SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES MARKED WITH MAGNETIC TAPE OR (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS NAVD 88 99 - EXISTING CONTOUR SYSTEM DESIGN. ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE 2. MUNICIPAL WATER IS PROPOSED 2" PEASTONE X -99-1 EXIST. SPOT ELEV. TOP FOUND. EL. 110.6' FILTER FABR COOVER O TONE E Ser nce Rd GARBAGE DISPOSER IS NOT ALLOWED \ 3. MINIMUM PIPE PITCH TO BE 1/8 PER FOOT. -[99]- PROPOSED CONTOUR 110.0 MINIMUM .75' OF COVER OVER PRECAST F2% SLOPE REQUIRED OVER SYSTEM 108-109 • 198.4 PROPOSED 1 BEDROOM DWELLING PRECAST H-10 WATERTEST D'BOX FOR LEVELNESS BLOCKS OR 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS 5��ee� ] PROPOSED SPOT EL. RISERS (TYP.) MIN. 2" WALL THICKNESS MORTAR ALL TO BE AASHO H-]Q 0k Locus 2'� 4"0SCH40 PVC COMPONENTS PRECAST RISERS 0 TH1 DESIGN FLOW: 1 BEDROOMS © 110 GPD = 110 GPD PIPES LEVEL 1ST 2' H-10 5. PIPE JOINTS TO BE MADE WATERTIGHT. �oQ TEST HOLE USE A 110 GPD DESIGN FLOW �8ET. ( ) 4' 108.17' 10" 1500 GAL H-10 14" ENDS NP' 17, SIDES 106.0' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH % SLOPE OF GROUND TEE ° o ° o .es= oo o.o. 310 CMR 15.000 (TITLE 5.) 2 TEE SEPTIC TANK i o00 0 00 02'0 0 0 0 �. 107.89 107.64 s" MIN. SUMP ��OO® ��00 0o°0 0 =Irn -®®®® >00000°a° °o°°°°°°°°°° °o° o °° 000®®®®®®o� °°°°°° ®®®®®®®�®o� ° Wequaquet 0 0 0 0 0 0 o 0 0 o CJ O O O o O > o 0 0 0 SEPTIC TANK: 11O GPD (2) = 220 GAS BAFFLE °gogo�°^ 12" MIN. INT. DIM. o °°o°°°°° °oo°°o 0o00000° 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO b UTILITY POLE �: o 0 0 0 ®®®®®®®®®®® o0 0 0 ®®I�I�I�I�I��I�®® o 0 0 0 > 0 0 0 0 0 0 , o o 0 0 Q_ 105.5W 105.42' �' '°°°°°°°° Do�0000000®O °°o°oo ®��OOOOO���OC� ;°o°o°o°o BE USED FOR LOT LINE STAKING OR ANY OTHER Lake I USE A 1500 GAL. SEPTIC TANK 4' LIQ. LEVEL (ACME OR EQUAL) >°o°o°o °°°°°° °°°°°°°° 103.17' PURPOSE. �� FIRE HYDRANT o ° ° o 00 0 o o 0 0 0 ,.�,.,.. .. > o 0 0 o moo°o' o 0 0 .o .p yY 000000a000000000 00000000000000a00000e00000000 O u NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING LEACHING: ^°°°°°° "°" ^''�^°°°°°°°°°°°°°^°^°^°^�'�°°°°' 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. LH-10 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. SIDES: 2 (30 + 9.83) 2 (.74) = 118 GPD 6" CRUSHED STONE OR MECHANICAL 3/4"-1-1/2" DOUBLE WASHED STONE (2) UNITS REQUIRED 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED v 00 COMPACTION. (15.221 [2]) OVERALL DIMENSIONS TO OUTSIDE OF STONE: 30' X 9.83' WITHOUT INSPECTION BY BOARD OF HEALTH AND ake� 1 BOTTOM 30 X 9.83 (.74) = 218 GPD PERMISSION OBTAINED FROM BOARD OF HEALTH. (2•5% SLOPE) ( 5 % SLOPE) (2.5 % SLOPE) *THE INSTALLER SHALL VERIFY THE i TOTAL: 454 S.F. 336 GPD 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING LOCATIONS OF ALL UTILITIES AND ALL FOUNDATION- 11 SEPTIC TANK 41 D' BOX 12' LEACHING DIGSAFE (1-888-344-7233) AND VERIFYING THE BUILDING SEWER OUTLETS AND USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) FACILITY LOCATION 'COMMENCEMENT OF woRK•ovERHEAD UTILITIES LOCUS MAP ELEVATIONS PRIOR TO INSTALLING ANY WITH 2.5' STONE AT SIDES, 4' AT ENDS AND 5' SCALE 1"=2000'f PORTION OF SEPTIC SYSTEM 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE BETWEEN UNITS *THE INSTALLER SHALL VERIFY THE - ss.o' BOTTOM TH-4 LOCATIONS OF ALL UTILITIES AND ALL NO GROUNDWATER FOUND LEACH REACHING EMOVED BENEATHFACILITY AND 5' AROUND THE PROPOSED ASSESSORS MAP 193 PARCEL 260 BUILDING SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING ANY SITE IS LOCATED WITHIN A ZONE II PORTION OF SEPTIC SYSTEM 1 BEDROOM/ 10,000 S.F. MA APPROVED DATE BOARD OF HEALTH ZONING SUMMARY ZONING DISTRICT: RC DISTRICT MIN. LOT-SIZE 43,560 S.F. TEST HOLE LOGS MIN. LOT FRONTAGE 20' o MIN. FRONT SETBACK 20' ENGINEER: CRAIG J. FERRARI, SE #13871 MIN. SIDE SETBACK 10' c� MIN. REAR SETBACK 10' z B. _ WITNESS: DAVE STANTON MAX. BUILDING HEIGHT 30' S80� 9'3$ W _ p 1 DATE: 3/10/21 Ljj \ SITE IS LOCATED WITHIN THE RESOURCE ° _j PERC. RATE _ < 2 MIN/INCH PROTECTION OVERLAY DISTRICT l � 3 ' Ov TH �' CLASS I SOILS P# 21 -45 SITE IS LOCATED WITHIN THE GROUND T EVE .� - WATER PROTECTION OVERLAY DISTRICT 411, T 2 1 _ O SITE IS LOCATED WITHIN THE ESTUARINE TH3 ELEV. ELEV: ELEV. ELEV. WATERSHEDS FOR POPPONESSET BAY, 0" 110.1' 0" 110.0' 0°' 109.5' 0" 108.0' THREE BAYS, RUSHY MARSH AND cV ® Q 5' REMOVAL OF SU E SOIL REQ IRED CENTERVILLE RIVER 770 3<O AROUND PE F LE CHING FACIL A A A A DOWN TO SUI E S I L REPLA LS LS LS LS co WITH CLEAN MED. TO EET BENC CONCHM-B-OUND SPECIFICATIONS OF 31 MR 1 .255(3) 1OYR 3/2 1 OYR 3/2 1 OYR 3/2 10YR 3/2 EL. = 11�6 14 12 9 12 tp 3 B B B B RQ S LS LS LS LS �10 PW 24. 1OYR 5/8 1OYR 5/8 1OYR 5/8 3 TOF 110' \ 10YR •5/8 y 42" 106.6' 36" 07.0' 24" 107.5' 30" 05.5' J DW 1 rn p a 3 / ^ C C C C 70 PERC PERC MS MS MS MS w �, � � 10 mom <` 0 1O 2.5Y 7/4 2.5Y 7/4 2.5Y 7/4 2.5Y 7/4 �0 3 ^d �1\6 3 c, 1 6 0 132" 99.1' 132"' 99.0' 120" 99.5' 120" 98.0' ti NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED 8 . 102 PLANI 01 TITLE 5 SITE 96 OF 99 ^ 3 w 6 VISTA CIRCLE 1q. M � 94 CENTERVILLE, MA 9 7 J rn 96 9S PREPARED FOR 93 94-\ q 92 KEN TOMASIAN C� '�. a �No M ` `vF � M s DATE MARCH 31 , 2021 N ) 4� C� �\ Asper �F S 2021 REMOVE DEED RESTRICTION NOTE `1 S ) DANIEL REV.: MAY 6, `s�qz 90 ;K DANIELA. �' A \' REV.: JULY 7, 2021 (HOUSE AND SEPTIC) o a to oivlL 1 o O ALA 2 rn U11 No.46502 h N '101 , 9 a � . ,� �Q Scale: 1 = 20 90 0 10 20 30 40 50 FEET A. �1'o O,iALA CIVIL No.40960 off 508-362-4541 iNo.46502 P fax 508-362-9880 \o�Sa�sTs Nv� `9NDSUR downcape.com �L down cope e7gi7eefh7,f MC. civil engineers - _ land surveyors -7f 7�1.1 c__ ~ 939 Main Street Rte 6A DICE #20-325 DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 20-324 TOMASIAN.DWG