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HomeMy WebLinkAbout0046 MEADOW FARM ROAD - Health (3) Ce17 j I ,L �` S��T: ...T�"d 'm"C ����_ ,� b / r No. 0?,0P® Fee T ! THE COMMONWEALTH OF MASSACHUSETTS Entered in corn uter: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS — ftplitation for MispoSal *pstem Construction 3permIt Application for a Permit to Construct Repair( ) Upgrade( ) Abandon( ) omplete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Qkv�\\� �, /nC�•(0. Install Name,Address,an `Tel.No. Designer's Name,Address,and Tel.No. S d�i�C✓ -1�0f�1 C �1,1 Type of Building. Dwelling No.of Bedrooms 1 Lot Size96: sq.ft. Garbage Grinder( ) 1/1 Other Type of Building lk No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date h Number of sheets Revision Date Al Title / 1 Size of Septic Tank I�� Type of S.A.S. Description of Soil Nature of Repairs or Alteratio s( s er when applicable) - Date last inspected: Agreement: �f�� The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system i I accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of or Compliance has been issued by this Board of Health. Signed / 7, Date Application Approved by ZLZ. l.w+ Date Application Disapproved by J Date for the following reasons Permit No. Date Issued `� �J r`„ ,'�,:+ �e, stT..;-' .. g it.v,, I Y:i .. _ .,,.�5�`. _ .*....._,�.AF fi.�Ri. '".:.«w- ^^ . .-y.t^^.•iy`7, Yr ..y .,,t;. Jt 4-- r ` �; 1.• Jy < No. s Fee F THE COMMONWEALTH OF MASSACHUSETTS'. Entered m computer: ` � � ere es PUBLIC HEALTH DIVISION- TOW 'OF BARNSTABLE, MASSACHUSETTS ;2 .11 RpWication for 'bi8t sal 6pstPlY >�oll�tCULtioYY PTIYIIt N) Application for a Permit to ConstructK Repair( ) Upgrade(. ) Abandon( ) ©'Complete System ❑Individual Components Location Address or Lot /'QG Owner's Name, ��Address,and Tel.No. a Assessor's Map/Parcel �ff`� 3�"I� Installe�r'ss Name,'Address,_anc `Tel.No. Designer's Name,Address,and Tel.No. 4 , Type of Building Dwelling No.of Bedrooms y,,�l Lot Size L s( p sq.ft. Garbage Grinder( }� . Other, Type of Building l\> ��A No.of Persons Showers(„ )e Cafeteria << . O.ther Fixtures v w Design Flow(min.required) L/46 gp g p o 'd ; C f gpd d Design flow rovidedl , a Plan'" Date+^ (�/ [� Number of sheets Revision Date Size of Septic Tank—, /1�t� Type of S.A.S'�� fl11'W�RE Description of Soil _ F . f Repairs sNatura o (Answer when en a Date last inspected: Agreement. The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system i (d or ti accordance with the provisions of Title 5 of the Environmental-Code and not to place the system in operation until a Certificate of f� i' "tH Compliance has been issued by this Board of Health. Signed Date �� Application Approved by 1 1 / _Q C�w. Date c+ Application Disapproved by cl �,� )� / Date + for'$e following reasons r II Permit No 31a � ,Z..d Date Issued w r THE COMMONWEALTH OF MASSACHUSETTS '.{ BARNSTABLE,MASSACHUSETTS r' Certificate of Compliance THIS IS TO CERTIFY,that the,On site Sewage Disposal system Constructed( C� Repaired( . ) Upgraded( ) Abandoned by:.. _has beenconstructed in-accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. O,av_ .o ;bated -7. y Installer Zoe,t/ cLf^�;2 5 Designer T" #bedrooms Approved�design flow;n 0�`)�� gpd The issuance of this pe iitt ss all not be construed as a guarantee that the system wilh"�fZictt o las designed. f� Date 1 i� Inspector t // �,./ 1e%,—/ No. �� '?d.7 Fee 4; THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,-MASSACHUSETTS jo vsposal 6pstem Construction permit Permission is hereby granted to CConstrucX Repai ) Upgrade ) Abandon( ) System located at C�l p G7�/�L e) ,-,Y"}'y1 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 y b f / A roved .N'' �1,1 ( t�ye +�f ✓ // 1l pp Town of Barnstable , ti Inspectional Services Public Health Division • YAMSTABLF, MASS. Thomas McKean, Director 16g9. ♦� 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 a k Installer & Designer Certification Form Date: 11- •22 20L0 Sewage Permit# Assessor's Map\Parcel Designer: Tx)W ill We Ehaj n�'�12�: i rl C Installer: �J�{'r�5 L x c a VCR Address: 01 Gj . _o Uk Address: On s 1^.c, was issued a permit to install a (date) _ (installer) , . W I l it., based on a design drawn b septic system at �� MAGI G(�t�J P�i1`IZ'I IZc1 C��yL� g y (address) 4 A r� tL;(Dsr dated Q 5 -ao9.0 (designer) J 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 c M ^ with the to rms of the IAA approval letters (if applicable) �a DANIELA. OJALA CIVIL:: No.46502 ( nstaller,s Signature) mow: A�T� �rsTS?- � � 1 esigner's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE 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. 1\toa`deptMEALMSEWER connecASEPTIODesigner Certification Form Rev&14-13.DOC I SYSTEM DESIGN: f ALL SYSTEM COMPONENTS SHALL BE SYSTEM PROFILE NOTES LEGEND MARKED WITH MAGNETIC TAPE OR NOTE: SITE NOT IN NITROGEN SENSITIVE AREA (ZONE 2) COMPARABLE MEANS FOR FUTURE LOCAInI PROVIDE MIN. 20" DIAM. WATERTIGHT (kOT TO SCALE) EXISTING CONTOUR SITE IS WITHIN SALTWATER ESTUARINE OVERLAY- 4 BR/AC. O.K. ACCESS COVERS TO WITHIN 6" OF FIN. GRADE PROVIDE MIN. 24* DIAM. WATERTIGHT.H-20 C.I. COVERS GRADE 1. VERTICAL DATUM IS NAVD 88 �4 2" PEASTONE OR GEOTEXTILE 2. MUNICIPAL WATER IS EXISTING RO X EXIST. SPOT ELEV. GARBAGE DISPOSER IS NOT ALLOWED TOP FOUND. EL. 39.0' FILTER FABRIC OVER STONE 51 38.2' M 3. MINIMUM PIPE PITCH ,TO BE 1/8" PER FOOT. -[991-- PROPOSED CONTOUR DESIGN FLOW: 4 BEDROOMS 0 110 GPD 440 GPD INNUM .7 OF COVER OVER PRECAST H-20 2% SLOPE REQUIREDOVER SYSTEM BLOCKS OR 71' 4. DESIGN LOADING FOR D'BOX AND,CHAMBERS PRECAST H-10 BLOCKS OR 0 PROPOSED SPOT EL.� USE A 440 GPD DESIGN FLOW TO BE AASHO H-2.Q RECA T RISERS RISERS (TYP.) NOTE: 2" MIN. WALL PRECAST.RISERS LOCU TH1 24 PVC MORTAR ALL THICKNESS REQUIRED PIPES LEVEL 1ST 2' COMPONENTS H-20 6* MIN. SUMP 5. PIPE JOINTS TO BE MADE WATERTIGHT. 12" MIN. INT. DIM. S EL. 34,17 TEST HOLE SEPTIC TANK: 440 GPD (2) 880 4 INV' 4 �ENDS (TYP.) �_SIDES 35,17' 6. CONSTRUC e: 6,-,og 6 310 CMR 15.00 (TI TLE 5.) m m r= 0 M-0 00 rm TIC TANK .­\*35.55 'IN 10" 14* SLOPE OF GROUND USE A 1500 GAL. SEP 35.1j7' TEE 1500 GAL H-10 TEE _L0 SEPTIC TANK 34.92# 4' LIQ LEVEL WAILKIESI D'BOX UTILITY POLE BAFFLE .LEACHING: Eg g 0 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO FOR LEVELNESS RIMERREM m I ACME OR EQUAL loll PON 0 0 ISE USED FOR LOT LINE STAKING OR ANY OTHER SIDES: 2 (33.5 + 12.8) 2 (.74) = 137 GPD 0 010,0, 00000000( PURPOSE. FIRE HYDRANT A_ 34.27' - - - 32.17' NOT ALL SYMBOLS MAY APPEAR IN DAAWIt0j 130TTOM 33.5 x 12.8 (.74) = 315 GPD 00 6: 0 0 060 0 :60 :ig Va 6ozo NOTE ieTo 01. 18. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 15C 0000 0 0 6 6 60 010;0 0? , 0 0 Acoo ..60 00,0 --TH-20 500 GAL. LEACHING CHAMBER BY ACME PR:.CAST OR EQUAL. 0 0*0 3/4--1-1/2" DOUBLE WASLED STONE 4' :N (3) UNITS REQUIRED TOTAL: 615 S.F. 455 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED ALL AROUND PRECAST STRUCTURES CTION BY BOARD OF HEALTH AND ........ ....... 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 33.5' X 12-83' WITHOUT INSIDE PERMISSION OBTAINED FROM BOARD OF HEALTH. COMPACTION. (15.221 (2)) 2 00' USE (3) 500 GAL. H-20 LEACHING CHAMBERS (ACME OR EQUAL) i LOCUS MAP SCALE 1 " wo *THE INSTALLER SHALL VERIFY THE 06 WITH 4 STONE AT ENDS AND 4' AT SIDES 0. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING LOCATIONS OF ALL UTILITIES AND ALL DIGSAFE (1-888-344-7233) AND VERIFYING THE BUILDING SEWER OUTLETS AN D CATION OF ALL IUNDERGROUND & OVERHEAD UTIU11ES �O LOCUS MAP ELEVATIONS PRIOR TO INSTALLING ANY 24.0' Borr�,M TH-1 RIOR TO COMMENCEMENT OF WORK. PORTION OF SEPTIC SYSTEM -.0% SLOPE) SLOPE) SLOPE) NO GROUN WATER FOUND SCALE 1"=2000'± ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE MA H-20 FEMOVED BENEATH AND 5'�AROUND THE PROPOSED LEACHING P 189 PARCEL 118005 SEPTIC TANK "'�j i APPROVED DATE BOARD OF HEALTH- FOUNDATION- 19' 48' D' BOX 12' ACHING FACILITY. ASSESSORS MA FACILITY_ -OWNER: ANNE I., SEMINARA POB 1219 SO. DENNIS EROSION CONTROL NETTING TO BE STAPLED TO ALL SLOPES TITLE REF. DB 13594 ,PG 81 PB 558 PG 78 ��GREATER THAN 107% OR ALTERNATELY SOD MAY BE PLACED I�TO PREVENT EROSION OF SLOPES. PROVIDE SILT FENCE TO PREVENT CONSTRUCTION SILT FROM ENTERING ABUTTING LOTS. LOCUS IS WITHIN FEMA FLOOD ZONE XI STONE CONSTRUCTION APRON (AREA OF MINIMAL FLOOD HAZARD) AS N 13.�ROVIDE 12" TIHICK 3/47-1.5 SHOWN ON COMMUNITY PANEL #25001C, 0583J It DRIVEWAY AREA, REPAIR ANY DAMAGE TO SIDEWALK/PAVEMENT. DATED 7/16/2014 IN 100' OF LOT. 14. 1`0 WETLANDS EXIST NTH 15. ONTRACTOR TO COORDINATE all UTILITY CONNECTIONS WITH z IATE 'VENDORS ui APROPIR ZONING DISTRICT: RD- it'I"" �, C___ 1 1 (RPOD*, AP)11 00 REQUIRED PROVIDED 45,667 SF LOT AREA: 43,560* SF If if FRONTAGE. 20' / 1 00 If SETBACKS: / I zo K_q I TEST. HOL� LOGS 11 Ezz. 1 -.3 FRONT:' 30' 76 13' �Q (5) SIDE: 10, 2�.V DANIEL A. )JALA, PEI, PLS, SE 0 REAR: 10' 15"1 ENGINEER: BUILDING HT 30' PLATE i DONNA APPR AB. HSE WITNESS: MIO�ANDI, RS BLDG STORIES 2.5' MAX. 2** JULY 11, 2000 *LOT PREDATES RPOD, EXEMPTFROM 2 AC. DATE: PER ORDINANCE < 2�i MIN/INCH PERC. RATE **COUNTING WALKOUT AS "STORY", HOME 6.57' L IS A ONE STORY RANCH STYLE WITH ji i 9802 CLASS SOILS Pyr WALKOUT FOUNDATION. i ��jj "7 C_�LE � 10 .99, 0 358.72 - ELEV. ELEV. ELEV. ;;0 VENT ELEV. of �11 14.1 off opt 35.5' 35.5' 38. 38.0' O� 0" ORGANIC, ORGANIC ORGANIC ORGANIC 2#1 2- 1 2- 1 26' BEN A A A -A NE 42.7 NAVD8 �O LS LS 4/2 10YR 4/2 10YR 4/2 OYR 4/2 491 400 410 4" DRIVOWAY rn 0 42' B B B B 0 0) LS LS LS LS 0 HYDRANT ...... LOT 6 ............ FT. m co 1 OYR 5/6 33.2' 1 OYR 5/6 33.2' 1 OYR 5/6 9 1 OYR 5/6 35.8' re-1 ... ....... 45,667 SQ. CIV 28" 28" 261' 35.8 26. ...... (1.05 ACRES) w,z 4�1 .... .... . ... ................... 0 < ............ . . ... ..... ....... C\j 76_3 BENCHMARK: C C C C R P CE TER CATCH P C ERC B 11, ELE 6' 0) 410 NAVD55, IVIS IVIS IVIS IVIS I 00 110 1 OYR 7/4 1 OYR 7/4 1 OYR 7/4 1 OYR 7/4 W/4 1\17 w ul 01 0 47 "77 24' 24' L6 138" 138" 144" 144" .0, WA Tf: H IF\ �A CE o NO GROUNDWATER ENCOUNTERED 2 7 41 J, 26-27' Z 0) TH 1 '2 4 A) Z C5 68-0 Aj (0 ?6' :4. 0 -V* %" I'm E ' P L AN TITLE 5 DRAIN SO EASE. OF Im 68- 00 -46' ..-MEADOW FARM- - ROAD CENTERVILLE MA 9. DRAIN EASE. PREPARED FOR LOT 8 APPROX. AB, HSE L. SEMINARA DATE: 6-25-2020 Scale: 1 20' AA N OFAIA 0 10 20 30 40 50 FEET DANIEL. _P" A IEL A A. CIVIL OJAI. No 46502 No,40980 off 508-362-4541 44 IS T fox 508-362-9880 G A downcope.com 0 10NAl- ski wo Icape efriftf, 14C. r civil engineers Ian d surveyors et ( Rte 6A) 9J9 Moln Stre DATE DANIEL A. OJALA, P.E., P.L.S. YARA40U THPOR T MA 026 75 17-260 17-260 �SEIVIINARA-DWG TO T'- \34.9 I A ER 110, 06; F:WRT ET 0 L 47, "; 34.27