HomeMy WebLinkAbout0133 NOTTINGHAM DRIVE - Health (2) J 33
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No �, Fee `QO
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Zipplitation for Misposar 6pstrin Construction Vermit
Application for a Permit to Construct( ) Repair Ubpgr ade( ) Abandon( ) ❑Complete System ®Individual Components
Location Address or Lot No. 133 W 64 i n9h p�, Owner's Name,Address,and Tel.No.
. Assessor'sMap/Parcel C..ocr't�tut\\Q' l'}Z yg 1�3 Noon 1r1an. (Je. CQ �\1�
Installer's Name,Address,and Tel.No. e>M lix ta\wvo n Inc. Designer's Name,Address,and Tel.No. v t ogho(*, SC.nv c d.
'SIA R a%Art- t 50 Sah6w'%0rN Soa• 4_;L•O(.SS PO (, x 331 I o.cW►ch 1`�IA: ��N a1a1t11 1lbb
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size 19.000 sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min..required) 33 O gpd Design flow provided 5y$ gpd
Plan Date 101 4( 2k Number of sheets L Revision Date
Title
Size of Septic Tank u at:RO/ t000 aeon. Type of S.A.S. (%) SO O OLCAQ
Description of Soil Sg¢,
Nature of Repairs or Alterations(Answer when applicable) WkAO 'On e F N-0 d-6u An4 S_A_S (1- SOU
C yw^w Dt%!) Go nnx chxq -�-o uY;sk%n o. WOO OUXAo m -tork
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.
Signe Date 10 '} ZI
Application Approved by Date �--j
Application Disapproved by Date
for the following reasons
Permit No. c-,)e�)`-) I 1 Date Issued I —�
No. "�r / µ Iv Fee: �00
' /e . Entered in computer:
w THE COMMONWEALTH OF MASSACHUSETTS t,
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE,:MASSACHUSETTS
4plicotlon for *pstpm Construction Permit
Application for a Permit to Construct( ) Repair. Upgrade( ) Abandon( ) ❑Complete System ®Individual Components
Location Address or Lot No. 1,?j3 N n ha,v, £ r• ' Owner's Name,Address,and Tel.No. Y Qt �, "�"0 Uje
Assessor's Map/1'arcel 1 Z cti S�`a c C �`l�r v,',l
Installer's Name,Address,and Tel.No. •'vt c c,,SA o 'me. Designer's Name,Address,and Tel.No.
-t`1 (•;u., c 1�a0 rjcnc�i� c1, a'o tV� , oCe�g �G �' ux ` 3l Tla�uJ t.� C�• "���( `�l�' 1l�,(p ,
Type of Building:
Dwelling No.of Bedrooms Lot Size GVU sq.ft+� Garbage Grinder( )
a +
Other Type,of Building i Ak .42 No:of.Persons, Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 33 O gpdj 2psign flo w provided "�� gpd
Plan Date !0 4( 2 E Number of sheets L Revision Date
r
Title
Size of Septic Tank t),Ak't,V fto (A t n. Type of S.A.S. (Z,) So a ac k!o`l 6_V_f„4x cc,
u
Description of Soil c-,Q e plan;
Nature of Repairs or Alterations(Answer when applicable) 1 nsk k cA io, ( F nu) A-66k a co
\000 (,c,\ko , nk .
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
w Compliance has been issued by this Board of Health.
Signed--' -- Date t0 -4. :{.
Application Approved by - — Date /) e?/ -
Application Disapproved by Date A
for the following reasons
y t �
Permit No. C� -
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance }
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( )
Abandoned( )by �A t 0,Qr., u-, 1 tic..
at has been constructed in accordance
•J
with the provisions of Title 5 and the for Disposal System Construction Permit No w/'z } f dated j rs "�-
Installer Designerlc.�;oc .y .nUsor�4n�e l
#bedrooms Approved designfi�w gpd
The issuance of this permit shall' ot construed as a guarantee that the system will fimction s designed.
Date Inspectors-�_ _ '"✓
No f Fee ' "
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION=BARNSTABLE,.MASSACHUSETTS
Misposal *pstem Construction Vermit
Permission is hereby granted to Construct( ) Repair(k) Upgrade(~ ) Abandon(' )
System located at �j G n7r>m �jt
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 ermit. <.
Date I 1 Approved`yam
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Town of Barnstable
WE O Inspectional Services
Public Health Division
taetrrvsraet.e,
v MASSI Thomas McKean, Director
039. �0
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer& Designer Certification Form
Date: -111-Z I Sewage Permit# Zoz i - 4 i I Assessor's MapTarcel ►2g- 106
Designer: n.,)6cr Aso Cr\u1ror,ncn4a.1 Installer: Q 4t 8 EXCOlUaAtD V\
Address: Po. Qo)e 331 Address: id -rcaSct-r•u >r�
N
Qr uj IG3, 1 o rcC 04--_
On J 1-8-21 2�3 Exeayo.-1 i o�1\ was issued a permit to install a
(date) (installer)
septic system at 133 r o44 ,n-, k<xy , .DR based on a design drawn by
(address)
_D_a.,je, Flo.h-_rAs4 dated„ fo-q-Zl
(designer)
L,/ 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 incompliance with the to rms of
the AA approval letters (if applicable) s��y��o� "gqssyc
0AVID y�N
FL AHERTY,JR. N
(I staller's Sign e No. 1211
(Designer's Signature) (Affix Designers 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.
\\toa\depts\HEALTMSEWER connecl\SEPTIaDesigner Certification Form Rev 8-14-13.DOC
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J Flatiert En vironmental Services P o. Box 331
TOP OF FOUNDATION COVERS TO BE WATERTIGHT AND SEPTIC SYSTEM PROFILE y Harwich, MA 02645
BROUGHT TO WITHIN 6" of FINAL GRADE INSP. PORT W 13„ OF GRADE
EL. 23.5' EL. 21.0' (not to scale)
CLEAN SAND 774.994. 1166
2" of 8" to?" DOUBLE WASHED EL. 19.0'
Tt4" CAST IRON or EQUIVALENT t PEASTONE OR GEOTEXTILE
N. PITCH 1 4" PER FOOT 4" SCHEDULE 40 PVC PIPE FILTER FABRIC
4"SCHEDULE 40 PVC PIPE R
VENT IF REQUIRED
FLOW LINE '•
20' 16.5�k first 2'(o be level
i
L. EXIST. •• + '. .w: •.,,
�; o o°o 0
EL. EXIST —� 000 000000° ° °o°
1 14" "'���
\EL. 18.5' —�— 0000000 0 0 °000 ��U p°p°p°p°C
O°000 O 0000000'0 p t� ® pppOpOpOC
EL 15.2' L.15.03' ° o 0000000000000 �® ® 1 0 °ono°eoco�c 2=��
EL. 15.0' po°0000°oo 0°000000 �0� 0 0 0 0.. 00°000°O°O OOOOOo •a• ,' q �OppoOpOpC
H-20 DBOX o 0 0 0 0 0 0 •• a °o°o°o°o° EL. 13.0'
SOIL ABSORPTION SYSTEM
1000 GALLON SEPTIC TANK " INSTALL INLET TEE (,2) 500 GALLON H-20 CHAMBERS
6 CRUSHED STONE OR 1"ABOVE OUTLET INVERTj•Q'
(DATUM: ASSUMED MECHANICALLY COMPACTED WITH 4'STONE AROUND IN A
(EXISTING) " to 11" DOUBLE WASHED STONE 12.83'X± 1S•'X 2' CONFIGURATION
• BOTTOM OF TEST HOLE EL. 8.5' EL. 8.5'
a
USGS ADJUSTMENT: N/A LOCATION MAP
GROUNDWATER ELEV: N/A N TH
SOIL SUITABILITY MUST BE oaxstrget
VERIFIED BY HEALTH AGENT Race Lane
AND/OR DESIGN ENGINEER
000 LOT 106 AT TIME OF INSTALLATION
do 15,000 SF* TO EL. 5.5
Ros
a
MAP 172 '
SHED
PLOT 48 tso a
LOCUS
DECK 6' NTS
21 Al,
\
EXISTING \ \ g6.9f ��OF
MA.S
3 DR
DWELLING 0 D
\ \
L-
EXIST. T, \ NC
1
1sOOO' O EXI T, L.P. ��f 111fR•F►��`�
`O V(
BENCHMARK. "'
O� O� DATE:1014/2021 REVISED.
TOP OF FNDN
EL. 23.5'
19
SITE AND SEWAGE PLAN FOR
LEGEND
B & B EXCAVATION, INC./
6 6—y —o— GAS LINE —� O
1� 1,F MI_--;r WATER LINE SARAH TOUET
-E € EXIST. ELECTRIC �1133 NOTTZNGHAM DRIVE
E E E SCALE : I " = 3 0' CENTERVILLE, MA
99 EXIST. CONTOURS
----------RB PROP. CONTOURS
REF.'PB 247 PG 84
U46 U 16 N FE UNDERGROUND UTIL•
- PAGE 1 OF2
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GENERAL NOTES DESIGN CAL CULATIONS Flaherty Environmental Services
R 0 . Box 331
1. ALL PRECAST COMPONENTS TO BE H-10 SYSTEM DETAIL Harwich, MA 02645
RATED. ALL COMPONENTS WITH ANY 774.994. 1166
ANTICIPATED VEHICULAR TRAFFIC TO BE y
H-20 RATED. NUMBER OFACTUAL BEDROOMS 3
2. THE DESIGN OF THIS SYSTEM DOES NOT
ALLOW FOR THE USE OF A GARBAGE GARBAGE DISPOSAL UNIT NO '
GRINDER.
3. MUNICIPAL WATER IS AVAILABLE. TOTAL ESTIMATED FLOW
4. ALL CONSTRUCTION TO CONFORM WITH (110 GAL/BR/DAYX 3 BR) 330 GAL./DAY
310 CMR 15.000 AND ALL OTHER REQUIRED SEPTIC TANK CAPACITY 660 GAL. 5' REMOVAL
APPLICABLE LOCAL, STATE AND FEDERAL — 25'
CODES AND REGULATIONS. SIZE OF SEPTIC TANK 1000 GAL. (EXISTING)
5. INSTALLER/CONTRACTOR TO REVIEW&
VERIFY ALL ELEVATIONS AND DETAILS AND SOIL CLASSIFICATION 1
REPORT ANY DISCREPANCIES TO
DESIGNER PRIOR TO CONSTRUCTION OR DESIGN PERCOLATION RATE <2 MIN./INCH
ASSUME ALL RESPONSIBILITY EFFLUENT LOADING RATE 0.74 GAL./DAY/FTZ
6. INSTALLER/CONTRACTOR IS RESPONSIBLE Q 0 12.83'
FOR MAINTAINING SAFE WORK AREA, LEACHING AREA
VERIFYING ALL UTILITIES AND NOTIFYING (2)x(25.0'+ 12.83)(2) = 151 SF
"DIG SAFE" (1-888-344-7233) 72 HOURS 25.0'x 12.83' =320 SF
PRIOR TO CONSTRUCTION. 471 SF 0.74 =348 GPD
7. ANY CHANGES TO OR DEVIATIONS FROM
THIS PLAN MUST BE APPROVED IN USE(2)500 GALLON H-20 CHAMBERS WITH 4'STONE
WRITING BY FLAHERTY ENVIRONMENTAL /NA 12.83'X25.0'CONFIGURATIONAS DIAGRAMMED
SERVICES AND LOCAL BOARD OF HEALTH.
8. FINISH COVER OVER COMPONENTS IS NOT RESERVE LEACHING CAPACITY N/A
TO EXCEED 3'PER 310 CMR 15.000 UNLESS t
SHOWN PER PLAN. E
9. ALL ABANDONED SEPTIC SYSTEM (NTS)
COMPONENTS TO BE PUMPED DRY AND
FILLED WITH CLEAN SAND OR REMOVED
AND REPLACED WITH CLEAN SAND.
10.ALL COMPONENTS TO BE PROVIDED WITH SOIL EVALUATION "l certify that on November 20D2,/have passed
the examination approved byy the Department of
WATERTIGHT ACCESS-PORTS WITHIN 6" OF Environmental Protection and that the above analysis tN OF hfAhas been prformed by me consistent Kih the
FINISH GRADE. TEST HOLE#1 TEST HOLE#2 required traening,expertise,and expedentce described
Evaluator- David D.Flaherty Jr,RS,REHS Evaluator., David D.Flaherty Jr.,RS,REHS
11.ALL SEPTIC TANKS, DISTRIBUTION BOXES SE#2755 SE#2755 in 310 CMR 15.018(2)."
BOH Witness. Don Desmarais RS BOH Witness. Don Desmarais RS
L
AND �Y
AN PIPING TO BE INSTALLED ,r~
a..
Dat . ..
Date. October 1 2021 a October 1 2 021
t.
s'
WATERTIGHT. .
12.N0 KNOWN WETLANDS OR WELLS WITHIN TH-1 ELEV. 19.0' TH-2ELEV. 19.0'
150 FEET OF PROPOSED LEACHING.
0"-12" A LS 10YR3/3 0"-12" A LS 10YR3/3 ''KftSIt
13.THIS IS NOT A CERTIFIED PLOT PLAN AND r�
UNDER NO CIRCUMSTANCES IS THIS PLAN 12"-34" B LS 10 YR 5/6 12"-34" 8 LS 10 YR 5/6 l
TO BE USED FOR ZONING OR BUILDING 34^-105" c1 Ms 205Y6/5 34"-105" C1 MS 205Y6/5
PURPOSES. 4'minirrmum ofsuitable material to be
14.LOT IS SHOWN AS ASSESSOR'S MAP 172 verified at time of installation by the
PARCEL 48 . 105"- 113" C2 A 10YR 5/6 105"-113" C2 SL 10YR 5/6 Board of Health and/or the design
15. LOCUS PROPERTY'S PROPOSED SYSTEM engineer.
pockets of silt pockets of silt
APPEARS TO BE WITHIN AN AQUIFER 113"- 126" C3 MS 2.5Y6/5 113"-126" C3 MS 2.5Y6/5 SITE AND SEWAGE PLAN FOR
PROTECTION DISTRICT(ZONE II). B & B EXCAVATION, INC./
SARAH TOUET
ESIEVE SAMPLE 133 NOTTINGHAM DRIVE
G.W.ELEV.N/A G.W.ELEV.N/A CENTERVILLE, MA
BOTTOM TH1 ELEV.8_5' BOTTOM TH-2 ELEV.8_5'
PAGE 2 OF 2 DATE:101412021
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