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0109 HARBOR HILLS ROAD - Health
109 Harbor Hills Drive Centerville A=227 071 S ICI E A D KEEPING YOU ORGANIZED No. 12534 2-153L©R �SUSTAINABLE FOREM M RECYCLM WITMVE CONTENTM6 Cer fed Fiber Sourcing POST-CONSLWER wwvAtiDrogrunorg 1rMao WADE IN USA QT ORGANIZED AT WEAD= f 0 �2 1 No. i Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS application' for Misposal *pstpm Construction VPrmit Application for a Permit to Construct( ) Repair( ) Upgrade(Abandon( ) [Volmplete System ❑Individual Components Location Address or Lot No. \(p\ wale w- kA',\k!S VP A_Q Owner's Name Address and Tel.No. Assessor's Map/Parcel Q:�4 Installer's Name,Address,and Tel.No. S"a�'8' `6�SS Designer's Name,Address,and Tel.No. ww"N oa Type of Building: Dwelling No.of Bedrooms Lot Size Q sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 CD gpd Design flow provided '7 ya gpd Plan Date °aC`� Number of sheets Revision Date Title S Y.L4�v G tines, Size of Septic Tank `,SCD0 Type of S.A.S. $--QV P Description of Soil Nature of Repairs or Alterations(Answer when applicable) oZ, �l- �O �©� ��, \...,-c.��yv �%�na,r•�.�'� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed - Date Application Approved by ' Date `C Application Disapproved by Date for the following reasons Permit No._2 0l Date Issued 1W _ 0— f7 TOWN OF BARNnnSTABLE LOCATION t C �'ice,� �- `;��� �c ,„ SEWAGE# _ VILLAGE �,,���L,"�\\� ASSESSOR'S MAP&PARCEL 21 Q7 INSTALLER'S NAME&PHONE SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) oZS"c X l MS�x o? t NO.OF BEDROOMS OWNERvar-�_f— ���5 PERMIT DATE: COMPLIANCE DATE: g a, Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 1 Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) l Feet FURNISHED BY r I � I+v 30 o�,d �l � . �eqj -3o�- No. r x u:.- i Fee r- )/ `6 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION-- TOWN`OF BARNSTABLE, MASSACHUSETTS Yes L 4plicatlon for,]Dl$tlosa1 6pstem Construction Vermit Application for a Permit to Construct( ) Repair( ) Upgrade(%4 Abandon( ) 1916omplete System ❑Individual Components Location Address or Lot No. �k,&.A4 or- Vk*Ak$ Owner's Name,Address,and Tel.No. ,-/7)"- 1 S" ,e c.� ��� > �. iG -bo�tir�t N',�\ �'�.P� Fermi L»C..G Assessor's Map/Parcel Qa') / Jr- IZ:)t- 1,. Installer's Name,Address,and Tel.No. SCR,F-6T-605-5 Designer's Name,Address,and Tel.No. `I �Z R r „` \� �0.►-K'_Sees t i nG Type of Building: Dwelling No.of Bedrooms Lot Size "� ST-2 cQ sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures f r R jDesign Flow(min.required) 7 3 CD gpd Design flow provided r ;.gpd Plan Date ` �C`3« Number of sheets Revision Date �- Title Size of Septic Tank Type of S.A.S. Description of Soil c' +•r Nature of Repairs or Alterations(Answer when applicable)-M t 9 `� l �c'7 �'c�c3 -,.611,cy.,� t_��+a�y. �.\►.w,,r, J` 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 Board of Health.. q �j Signed C '. _ '� Date Application Approved by MakA& Date tf Application Disapproved by w'' Date for the following reasons y Permit No. :2 OII Date Issued 7I f 3- / THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(✓y Abandoned(t )by Q�t ,ac^�•�c-�„+ JtG,p V \1,,� at �<L-JR ty,,� �.�,�,,-- �� � r,�x.�Q has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. a2 -30�-dated .f Installer1;;�Zl cam`Cat- cc a�1.s\ Designer V-4\x--\I� #bedrooms Approved design flow S30 gpd The issuance of this g'ermit shall not be construed as a guarantee that the system will con designed. Date/�/� Inspector /�t ------------- --- - - --------------- -------------------- No. V I r��Z Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal 6pstent Construction 3permit - Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at ]� r�„ ��\ c 1 �,.• C� C,Air-.t• 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. r Provided:Construction must be completed within three years of the date of this permit.1.--"'7" Date r Approved by Va Town of Barnstable Regulatory Services Richard V. Scali, Interim Director BAR MAMaX .� Public Health Division 03� Thomas,McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: i14 Sewage Permit# :)®N\- 30'-� Assessor's MaP\Parcel Designer: tV�� 5*S ` G Installer:VA Address: U Address: On<7t3 Q�aq � � was issued a permit to install a (date) l /� (installer) septic system at r�-I 0"OY& I� �i 15 VO based on a design drawn by (address) p �I. IAIYYYM N e/ k� dated I desi r) 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 in compliance with the terms of the IAA approval letters(if applicable) EN (Installer's Signature) Kk. No. 1140 $ lq (Designer's Signature) (Affix ere) PLEASE RETURN TO BA STABLE PUBLIC HEALTH WON. ERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc LEGEND CENTERVILLE UPOLE PROPOSED CONTOUR p � / ® PROPOSED SPOT GRADE / U UPOLE %/ —— 98 —— EXISTING CONTOUR / + 96.52 EXISTING SPOT GRADE PINE T. W— EXISTING WATER SERVICE y TEST PIT / LOCUS 16 t_=51.20 SCALE: 1" = 20' r / OP / S16 70" CRAIGvlLLE R 0ND OT572t S.F. 6? LOCUS MAP AREA C. 00 oad , /�= r LOCUS INFORMATION PLAN REF: 103/127 -- / 2� TITLE REF: 21544/232 PARCEL ID: MAP 227 PAR. 71 �O � 4 / i/ 0� _ SILL - - /W f �� ZONING: FLOOD ZONE:NE: "X" -E� _ COMMUNITY PANEL: 25001CO564J DATED:07/16/14 \ -o BM. EL= SEPTIC SYSTEM 26.5 #109 (0 REPAIR PLAN vent LOCATED AT: 109 HARBOR HILLS ROAD '`° syFo �,� p CENTERVILLE, MA. P-1 gTjO - PREPARED FOR � T Pr2 I cqs� ( HARBOR HILLS PROPERTY LLC 0 PR P. 1, G e S NK �o READY ROOTER EXC. co AUGUST 9, 2019 OAK G, LOT 26 ,� / o qs � / of �ss9cy L 3 W ,1 �5 ^ o A R 5� , 700.00 ' No. 1140 LOT 37NITAR�a� <e MEYER & SONS, INC. GRAPHIC SCALE P.O. BOX 981 20 0 10 20 40 8o EAST SANDWICH, MA. 02537 PH: (508)360-3311 FAX: (774)413-9468 ( INSET ) meyerandsonsinc@gmail.com 1 inch = 20 ft. SHEET 1 OF 2 J 2118 NOTE: PLACE MAGNETIC MARKING TAPE OVER ALL COVERS ° BRING ALL COVERS TO WITHIN 3" OF FINISH GRADE FINISHED GRADE (26.0) F.G.EL: 30.0 F.G.EL: 29.50 F.G. EL: 27.50 VENT A MAINTAIN 2% MIN SLOPE OVER LEACHING AREA A' X F.G.EL: 27.50 2" OF 3/8" DOUBLE WASHED 3/4" - 1-1/2" .• . STONE OR FILTER FABRIC DOUBLE WASHED STONE 4" SCH 40 PVC 10"I MIN. ®®®®• 0 ®®®® 14H 6 @ S= 1% MorE3®®®®®®®®®®A' TEE'S ARE TO BE ( )) 4" SCH 40 PVC INV. 25.75 2 EFF. DEPTH ®®®®Ia®®®®® INV.26.20 INV. 25.55 4' 2 X 8.5' 4' EXISTING BAF LE PROPOSED DB-3 EFFECTIVE LENGTH = 25' -•. '., '• .. •' DISTRIBUTION BOX INV. 27.75 INV. 26.45 AW am (1-120) INV. ELEV.= 21 .25 PROPOSED 1,500 GALLON SEPTIC TANK GAS BAFFLE TO BE INSTALLED ON ���`A OF MAPIP BREAKOUT OUTLET TEE AS MANUFACTURED BY �`� �y o DARREN M. Gn ELEV.= 22.25 NOTES: TUF-TITE, ZABEL, OR EQUAL MEYE --4 TOP CONC. ELEV.= 22.25 1) CONTRACTOR SHALL VERIFY ALL EXISTING -o. 1 INV. ELEV.- 21 .25 •®® ®® PIPE INVERTS PRIOR TO CONSTRUCTION ®®10 10®®® 2) TANK AND D-BOX SHALL BE SET LEVEL AND cisr ° ®®®®®®® TRUE TO GRADE ON A MECHANICALLY COMPACTED tR` _ ®®®®®®® SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN QNITA?0 BOTTOM EL.= 19.25 rE ®®®®®®® , 310 CMR 15.221(2) O' 5 FT. 3.75 3) INSTALL INLET & OUTLET TEES W/ ` 4' SUITABLE SOIL PROV. TIVE WIDTH = 12.5' GAS BAFFLE AS REQUIRED APPROX. 5.28' TO GW SEPTIC SYSTEM PROFILE BOTTOM OF TESTHOLE EL: 13.97 SOIL ABSORPTION SYSTEM (SECTION) (500 GALLON H-20 LEACH CHAMBER) GENERAL NOTES: DESIGN CRITERIA 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL SOIL LOGS TPT: 19-86 BOARD OF HEALTH AND THE DESIGN ENGINEER. NUMBER OF BEDROOMS: 3 BEDROOM DESIGN 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DATE: JULY 30, 2019 SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE SOIL EVALUATOR: DARREN MEYER, R.S., CSE #1614- LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: DESIGN PERCOLATION RATE: <2 MIN/IN - 310 CMR 15.405 (1) (B): WITNESS: DAVE STANTON, BARNSTABLE HEALTH DEPT. DAILY FLOW: 110 G.P.D. X 3 BR = 330 G.P.D. 1) A 0.75 FT. VARIANCE FROM 310CMR15.221(7) TO ALLOW LEACHING TO BE 3.75 FT (MAX) BELOW GRADE VS REWD 3 FT. (H2O/VENT PROVIDED) Elev. TP-1 Depth Elev. TP-2 Depth GARBAGE GRINDER: NO (not designed for garbage grinder) 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 25.30 0" 25.80 0" SEPTIC TANK: 330 gpd x 200% = 660 gpd, USE PROP. 1,500 GAL. SEPTIC TANK DESIGNPENGINEER DAPPROVAL BY THE BOARD OF HEALTH AND THE FILL FILL LEACHING AREA REQUIRED: (330)/0.74 = 445.94 S.F. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 23.63 20" 24.05 21" FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN A LOAMY SAND , A LOAMY SAND USE TWO (2) 500 GALLON H-20 PRECAST LEACH CHAMBERS W/ 4' ENGINEER BEFORE CONSTRUCTION CONTINUES. 10YR 4/1 10YR 4/1 , , , , 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 22•80 B 30" 23.13 g 32" STONE ON ENDS & 3.75 STONE ON SIDES: 25 L x 12.5 W x 2 D 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF LOAMY 10YRS/D LOAMY D 6/6 BOTTOM AREA: 25 x 12.5 = 312.5 SF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 21.30 48" 21.80 ¢$" 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. C C SIDE AREA: (25 + 12.5) X 2 X 2 = 150 SF re 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED PERC TEST MEDIUM MEDIUM TOTAL SQUARE FEET PROVIDED = 462 vs. 445.94 REQ'D TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. O EL.. 19.97 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE 2.5YN6/4 f 2.5 N6/4 DESIGN FLOW PROVIDED: 0.74(462 S.F.) = 342.25 G.P.D. vs. 330 G.P.D. req'd THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING' CONSTRUCTION. 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND REMOVED PER TITLE 5. 13.97 135" 14.47 135" PROPOSED SEPTIC SYSTEM UPGRADE P LA N 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY PERC RATE <2 MIN/IN. ('C" HORIZON) 109 HARBOR HILLS ROAD, CENTERVILLE, MA AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY NO GROUNDWATER OBSERVED 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. Prepared for: Harbor Hills Property LLC Ready Rooter Exc. 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. Design and Site Plan by: SCALE DRAWN DATE 15. ALL PIPING TO BE 4" SCH 40 O 1/8-/FT (UNLESS SPECIFIED) • I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 MEYER&SONS,INC. N.T.S. DMM 08/09/19 to conduct soil evaluations and that the above analysis has been performed by me consistent with the PO BOX98f REV DATE requirements of 310 CMR 15.017. 1 further certify that•I have passed the Soil Eval. Exam In October, 1999. EAST SANDWICH,MA 02537 CHECKED SHEET NO. 508-362-2922 DMM 2 of 2