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HomeMy WebLinkAbout1005 OLD STAGE ROAD - Health (2) �a -� 1�,� 7 r- 1 No. `� ✓ — Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:___I= PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes AppYitation for Disposal �bpstem Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade()Q Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.1(1� � � r � OSwner ZI's ty,Address,and Tel.No. Assessor's Map/Parcel `-7 z i k&-L ""J 0 4n�� e"e\�e, Installer's Nam Address and Tel�NoS�y C�(,t/t� Designer's Name,Address, d Tel.No. E \gees ' OX ck� Cyr C>�Ll�-�`� 2 -k _ to Q Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �j gpd Design flow provided �3 gpd Plan Date �2 i (1 Z\ Number of sheets Revision Date Title� e�_, 5e15i,+c. S.I:Ae M_ UoacC,�,e n\C„r. =50\\S Arf Size of Septic Tank ` Type of S.A.S. Description of Soil '(25 — rn Nature of Repairs or Alterations(Answer when applicable) a \ \A-\G c, x 2` \ \e"- c \ 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. Si ed Date ZZ. Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued e}-`� e r ' t No. ry j i � �! � � Fee_ 4 � 5 � THE COMMQN:WEALTH OF MASSACHUSETTS Entered in computer ' - PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yew• application for Bisftsal 6pstem Construction Permit l� Application for a Permit to Construct( ) • Repair( )'Upgrade(�K) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No., i7 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel k-J 1 , Z (� C)�L ���iC,i�_\ A C,,kc Installer's Name,Address and Tel.No.i 1-Vz( �1(' Designer's.Name,Address ah?d Tel.No. �. J 7'C Ox `-� r�� \c \P f�Ca C�Z Cd 4L1 A2- ca�F Type of Building: Dwelling No.of Bedrooms '°`'Lot Size aq>ft. Garbage Grinder( ) } Other Type of Building No:of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date �7_ 1 i, �-, Number of sheets Z Revision Date ? Title e,� 5P. �C" 'S.i P _ scAe n\C„r\ T�.' �� �J �_�. ctc \-e clJ _ ,Size of Se tic Tank , p ,� Type of S.A.S. ��CnL:��'n -� ,c'°+t\C: Descriptionof Soil : Nature of Repairs or Alterations(Answer when applicable)`(V-An \e t^,c C'e- *oic�k P s C Cii \(\4c.\ c)( 3 < \ V \G c��-s r` CS r\t x \C1'S cam\ 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 / Application Disapproved by Date for the following reasons Permit No. 47}, `:/ " t) Date Issued / ) 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( )bybi j,(ltt1� CXI�a,�X_ 1C,Cl <--�rA�r \`C1r at�('J `D C;\c� GCn(' �1�• C�_��e {1�\��� has been constructed in accordance with the provisions of Title 5 aYd the for Disposal System Construction Permit Ntz. / 144- datedd, /�f 3)�b- - Installedr}ljic\r(1"`,C-- Ct%.0 A tCivN�-) )pt C Designer r\c �#bedrooms Approved design flow J C✓ gpd The issuance of this permit shall not be construed as a guarantee that the syste tf—wIIll'o__as designed. Date Insp etor - _ - . - _,.-_-. ,.-.- ................. .- - - - No. L_� Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS �. ti -Misposal *pstem Construction Permit � Permission is hereby granted to Construct( ) Repair( ) U grade\(V ) Abandon( ) System located at�l �� �► CCIl� _ ,C �'Ce l) \�P V 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 pe rt. - Date I // � Approved by y No. l/V� i (�j Fee �-� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftphtation for MispoBal *pstem Construction Permit Application for a Permit to Construct( ) Repair( )'Upgrade,( Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. \W!J C)\'—'.5c�p Owner's Name Address,and Tel.No. Assessor's Map/Parcel ` W05 C)Q Installer's Name,Address,and Tel.No. —11 3�Z—CX � esigner's Name,Addr' ,and Tel. . S0n U1-)-rj'j 15 %<\Cco Type of Building: Dwelling No.of Bedrooms ,� Lot Size sq.ft. Garbage Grinder g�, ( ) Other Type of Building w CG 5%�%Cn,\ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.re uired) 3� gpd Design flow provided �� gpd Plan Date ), t 112,\ Number of sheets \ 2- Revision Date Title Q O L V Cf d� \CJ \L e_ CQ \`le. Size of Septic Tank Type of S.A.S.Z a .. Description of Soilu �\ cnon \LA`-\� M-C, `�c.r� qi Ac Nature of Repairs or Alterations(Answer when applicable) e \L -� k \e4;,c"n') v 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 lth. -y Signed Date Application Approved by ��` Date Application Disapproved by Date for the following reasons Permit No.7,( Date Issued Z THE COMMONWEALTH OF MASSACHUSETTS �y S BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(14 Abandoned( )by `j \C at has been constructed in accordance with the provisions of Titl' and the for Disposal Sys_tem\,Construction Permit No. dated InstalletZ��(���XC�uC,� (1)m1n_) _ Designer #bedrooms 7 Approved des' flo 3 Q' gpd The issuance of this p rmi shall not be construed as a guarantee that the system it fiznc' n Ias�.desi d.. />� Date �- Inspector 4V Fe No. J# 1 J f Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -'TOWN OF BARNSTABLE, MASSACHUSETTS Yes ' 2ppYication for -Mispbsai 6Pstem (Construction joermit � Application for a Permit to Construct( ) Repair(^) Upgrade;,( Abandon,(�;-50 1 QQomplete�System ❑�i dividual Components Location Address or Lot No. \W�5 C)� � Owners Name;Address,and Tel.No. t �k C V \ �' ' CJc Assessor's Map/Pazcel ��� 46w ` a.• � Installer's Name,Address,and Tel.No..- 1L _341Z-,00C-tt . _Designer's Name,Address,and Tel.No.MO 5 V , f. Y-w\- XoC (�C G 6A4Ll Type of Building: Dwelling No.of Bedrooms —Lot;Size , sq.ft. Garbage Grinder Other Type of Building 9,e5\ �C,a��� No.of Persons Showers( Cafeteria( ) Other Fixtures - Design Flow(min.re uire �3® gpd Design flow provided gpd Plan Date Al Number of sheets 2— Revision Date r Title9wo 5Prr\i%( s,,vs\►ern yoacc., knin \005 b� tir���Cxr Type of S.A.S�\P.t Size of Septic Tank 06b .t a:A)C \C Description ofiSoHCT-i�),� ,1wh4�, Nature of Repairs orAlteration's(A�nswer.when applicable) < vc \CA wd �E' r�► c -" �Date1ast inspected: �•:.�crHI„« � Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in }:. i accordance,with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of r r � Compliance has been issued by this Board of Health. +, ' Si ned Date Application Approved b ` PP PP Y � r�`.Y, .~..N...�,�.r..��, Date Application Disapproved by Date C for the following reasons Permit No. �/;(J {. i� �rti,�> Date Issued r: eoTHE COMMONWEALTH OF MASSACHUSETTS �y BARNSTABLE,MASSACHUSETTS Certificate of Compliattre THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(� Abandoned( )by O:& � 7G c tiY 'a --j v Y�rdance has'been constructed m accordance 1, • E ` with the rovisions of Title and the for Disposal System Construction Permit No::'�) ;�y dated /'i f y'` Installer I � iC�L � Designer r •,, #bedrooms Approved de/s flo(� _) ( < gpd The issuance of this permit shall not.be construed as a guarantee that the system Willi, cn n'on as designed. vjKl'Date I h � � � Inspector . ----- - - - -- - ----------- -- - ' No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION.-BARNSTABLE,MASSACHUSETTS Disposal *Pstem Construction permit Permission is hereby granted to Construct( ) Repair( \) Upgrade(I/ Abandon( ,) ' System located at \C��l Ca\c� �1(iti[,'� �c 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. n " Date Z/ �d ,J Z-� Approved by % "' it i - - i Town-d BArl stable, Regiiiatory Services �• Richard v.Scab,Iiitirim DirectAr, Pubfie-:Hadth Division i ' Thomas"IYiGKeaia,Direcfior ' - .2010 Maras t' A+YA.0 '` Il stalter&1?esiauer Cerfifkai%on'Form 1?ate. r eel SPemit#�0Z iAssessos Ma \ r Designer: , +n r-:n 't. stt vlr,, , Address: i 1� Cn 1 cl J�'� Address ( e K?� l AKIQ Issued Ap6imtf4 aA se tiG s tem t p Ys • based aua desigzt drawn by (a44mss) o- I certify'that thE:septic system referenced above was iz aWled sub:stgiritiall :according to. the<`desgn which naay,include.tumor.approved'canges such as law, relacatian of the distrinutiaxl b, axidfa'r segue tank. "Strip out{if required}was inspected,acid the soils wem found satisfactory; . I certify that the septic system refEi�ericed abavE WAIL,irrstallecI wrtb .changes(t e. gfC&tEr tItBT! 10'Itel&l rtoGttaD+a t12E�'!�i ar s3rl VETCaI.FeQGatIQTI of aXt+CQlT3703E3�t of the septic"SystEa3}but in acGardartGe. rkth State&i�ocai Reulatiahs Plan'revsiak or certiftEd as-bunt'-by designer to"follow: Strip out. (if requued}was inspected and the soils vvee Fund satssfactory; i certify that the system xe£erenced-ab:o*e was constructEd to :wait the terms of thepproual letter>C.f applicable) M . nstsllEr.'s Signature) ��ti� - (D�gner's Sigoatkire}. ;( Design , � eie) � P, E.:RETURIV TQ::B TABLE PII uc,,7E�EAt,:TH. D SION CERT[FTCA`�E: OF +COI MIANCE s�?t�=Tt.°�.M'T>t� .I SUI3.:WILL :B�:`ffl,S':fF(}RM,AT BtJMT CARI3"'EkRERECE D l TIII `;13 R FST Rt,lC i'LtI3LiG'IIEk1 T DIVISION. T�K:YDU.: , Q`Sepz►.i[ grterCectficE0owform�tev-814-;13A oc Engineers Irate *-''—sriitCcation:is limited tg an joA,, 6(tk insp"ecf►oh of sysi0n cokr+poneMs-as+nstatled pA6r to badW.f he ee ii ee.iGti riot strpecvise:canstruction of the system.Tate Instauer assumes rsspakislh�tity for aU materials;vroritmei shTp,.backfllCmg to spsdfled grades wlkh pto-par,'dorilpaetldh 01ii-s'ettirsg mierstcavers as shm-on tk�a tlesl%i ti ta: (0T1pD o �O � . O x r� �� Zrrn r-o z x-0 G) Cn O n O mD` CAS DOS D O z �fNTt mm O)o N 00 mD 2 y (n <N c �0 � _• O y `D z r O v �D I'D nl FENCE S 56.24'44" W c x 150.00' x.D � OD ° x x MID (Jl Cn Cn ro 'AA N III r__ 1 Co, x . + u( p m `� O IDCA ro r CA II CD1 M :oo.,CD CO � O p rn o I I I 1 xLl co:) u'- x �, oi R7 III O`tO v Z + p 0 ,D x ' NNI+ � C) 00 m 0 Ibo co oJo 0D `D v O N A 00 cilW 'b U1 . D.r ru Z CJl �(� r A ID O o W ro x r :. +,,D + paver walk :: :_:. :> � A 4 �o �,D v` \D x 41 150.00'Pr ° z N 56.24'44" E D M cn �� k �n z� k � i o; i cn m o . 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SEPTIC TANK PROPOSED D—BOX INSTALL RISERS & COVERS OVER INLET & PROPOSED S.A.S. OUTLET AND SET TO 6" OF FINISH GRADE INSTALL WATERTIGHT RISER & INSTALL INSPECTION PORT SET TO 3" OF FINISH T.O.F. =99.4f COVER SET TO 6" OF GRADE GRADE & PLACE REBAR AGAINST CAP FOR LOCATING F.G. EL.=95.3t F.G. EL.=95.5t F.G. EL: 95.4t F.G. EL: 96.0t VENT EXISTING REBAR\ MAINTAIN 2% GRADE MIN. OVER S.A.S. L = 12' �a�. �m. ® S=1% (MIN.) L = 22' Ono L = 2' ONE 2'x3'x64' LEACHING TRENCH WITH 4"SCH40 PVC TOP OF TAN­WwwK=94.44 ® S=1% (MIN.) O S=1% (MIN.) SCH 40 PERF. PVC DISTRIBUTION LINE 4"SCH40 PVC 4"SCH40 PVC �" 13. - 6' GARAGE EXISTING 44" LIQUID LEVEL 14" 2' EFF. /HOUSE(#1 G GAS BAFFLE FFLE -DEPTH _ _ INV.=92.03 PROPOSED INV.=91.86 SLOPE OF PERF. PIPE = 0.5% FOEL.=100 f BOTT. OF TANK=89.90 INV.=93.58 D-BOX 64' EFFECTIVE LENGTH PROPOSED 1500 GALLON SEPTIC TANK INV.=91.82 3 OUTLETS (MIN.) INV. EL.=91.50(END) INFILTRATOR IM1530 GALLON PLASTIC TANK INV.=93.83 SOIL ABSORPTION SYSTEM (PROFILE) N.T.S CONNECT TO SEWER AT HOUSE HOUSE, INV.=94.19t MAINTAIN 2% GRADE (MIN.) OVER S.A.S. 2" LAYER OF DECK —1/8"-1/2" DOUBLE WASHED STONE NOTES: BREAKOUT ELEV.=92.32 (OR APPROVED FILTER FABRIC) O CV 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE LO INVERTS, PRIOR TO INSTALLATION. 2' 3/4"-1 1/2" DOUBLE 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND TRUE BOTTOM ELEV.=89.50 I WASHED STONE TO GRADE ON A MECHANICALLY COMPACTED STABLE BASE -I OR SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN r 3' 310 CMR 15.221(2). 5' MIN. ABOVE BOTTOM OF ONE 2'x3'x64' LEACHING TRENCH 3) INSTALL INLET & OUTLET TEES AS REQUIRED. T.P. EXCAVATION OR G.W. 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE NO G.W. EL: 83.5 z SOIL ABSORPTION SYSTEM (SECTION) AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. µT,s 6.81 SEPTIC SYSTEM PROFILE Ti--- - - - - — — 777 T64' I SHED DESIGN CRITERIA SOIL LOG DATE: DECEMBER 15, 2021 PERC# 21-314 NUMBER OF BEDROOMS: 3 BEDROOMS SOIL EVALUATOR: PETER NcENTEE PE, SE-1542 SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) WITNESS: DAVID STANTON IRS HEALTH AGENT SEPTIC LAYOUT DESIGN PERCOLATION RATE: <2 MIN/IN ELEV. TP— 1 DEPTH ELEV. TP—2 DEPTH DAILY FLOW: 330 GPD 96.0 A 0" 95.5 A 0" DESIGN FLOW: 330 GPD SANDY LOAM SANDY LOAM 953 10YR 4/2 10YR 4/2 GARBAGE GRINDER: NO—not allowed with design . B g" 95.0 B g" LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF SANDY LOAM SANDY LOAM 10YR 5/6 10YR 5/6 .74 GPD/SF 93.3 C 32" 93.3 C a 26" PROPOSED SEPTIC TANK: 1500 GALLON INFILTRATOR TANK PERC PROPOSED D—BOX: 1 INLET, 1 OUTLET (MINIMUM), H-10 RATED 30'/48" INSTALL ONE 2' x 3' x 64' LEACHING TRENCH WITH STONE PROPOSED . SEPTIC SYSTEM UPGRADE PLAN M-C SAND M-C SAND AND SCHEDULE 40 PERFORATED PVC DISTRIBUTION LINE F2 5Y 6/4ES F2 5Y 6/4ES 005 OLD STAGE ROAD, CENTERVILLE, MA SIDEWALL: 1 TRENCH x 2 SIDES/TRENCH x 2' x 64' = 256.0 SF Prepared for: Quinn's Excavation, P.O. Box 599, Forestdale, MA 02644 BOTTOM AREA: TRENCH x 3' x 64........................... = 192.0 SF Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:.............................................................................448,0 SF 84.0 144" 83.5 144" Engineering WWorb, Inc. N.T.S. P.T.M. 299-21 DESIGN FLOW PROVIDED: 0.74 GPD/SF(448.0 SF) = 331.5 G.P.D. NO GROUNDWATER ENCOUNTERED 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. PERC RATE: <2 MIN./IN. C HORIZON (508) 477-5313 12/1 1/21 P.T.M. 2 of 2