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HomeMy WebLinkAbout531, 535 OLD CRAIGVILLE ROAD - Health 531 & 535 Old Craigville Road Centerville ` A=226 102 001 UPC 12534 NS-2.153L0 ` No. ( Fee- THE COMMONWEALTH OF MASSACHUSETTS Entered in comp ufer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Ye application for 3h5pozal �§Paemc cow5tructiou permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) Complete Syst6nj,�Individual Components Location Address or Lot No. 531 1 S 35 DLA Owner's Name,Address,and Tel.No. Cz��S���� ` d Assessor's Map/Parcel 24,11Q. I Ceti-�U t 11' 1 PA}1 �Sfl�M 0�' Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 5 A — Type of Building: rr�� Dwelling No.of Bedrooms L Lot Size 12,900 sq.ft. Garbage Grinder ( 6h Other Type of Building d l n OQ No.of Persons U 1`7; Showers(1✓ Cafeteria Other Fixtures Design Flow(min.required) 22a gpd Design flow provided 30 gpd Plan Date 4 q(O Number of sheets Revision Date Title Size of Septic Tank Q 3 ►.ScO Gc,♦ Type of S.A.S. 69t5T►N G — 3 CHF�-cWpr-V_5 Description of Soil 9jr,T I?00k3,r\-,A -\Z orrr, Nature of Repairs or Alterations(Answer when ap licable) L QG6 iS \ k_ f 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 tS Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. 0 W —Date Issued - -----___--- ----��———— --------— ——————— Y �✓ No..� Fee D d 4 '` Entered in computer: (THE COMMONWEALTH OF MASSACHUSETTS Ye PUBLIC HEALTHwDIVISION - TOWN OF BARNSTABLE,UASSACHUSETTS Tippfication for JMigogat 6pgtem Congtructfon Permit Application for a Permit to Construct Repair Upgrade , ` Abandon( j ❑Complete SystemIndividual Components Location Address or Lot No. ��1 $35 Q�� Owner's Name,Address,and Tel`.'No. Assessor's Map/Parcel 22G j.b2 p l COS H 10F 1 M p LSO M 'M1hi.Hk�! Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. H ZCN' Cor► C-3u. S3,,3cs Type of Building: Dwelling No.of Bedrooms 2 Lot Size 2 1 8CX,) sq.ft. Garbage Grinder Other Type of Building r'l pne No.of Persons U Showers(i/ Cafeteria( 0 j, Other Fixtures Design Flow(min.required) 22a gpd Design flow provided gpd ,.. . Plan Date 412,G j U Co Number of sheets I Revision Date Title 1' Size of Septic Tank lJQ1-21 15C ) GCA Type of S.A.S. &(ST)N<;� 3 CF1anaP��ctS v i Description of Soil Nature of Repairs or Alterations(Answer when ap licable) p)QCo- c, �Bd C)2,0 1 S o0 '210' o-c\ -4QG,�1c 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. f.. / Signed Date r. Application Approved by Date �a-- Application Disapproved by: Date ifor the following reasons Permit No. Date Issued �- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS t Certificate of Compliance "r THIS IS TO CERTIFY,that the On-sit Sewage Disposal System Constructed ( ) Repaired (�4) Upgraded ( ) r Abandoned( )by A 02 � at 5-3-5- O 1615�) r/t .a/� vi P /? ' has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer /Z !( Designer._ #bedrooms C Approved design flow cl-;2 1Q-0 gpd The issuance of this permit shal 41t bbe�bns/r aed as a g uarantee that the system will fu ct on as es 'r Date p P`� / Inspector g \ -------------------------------------------- No. w Fee ! Q THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS lwigpogat,6pgtem Congtruction Permit Permission is hereby granted to Construct ) Repair ( �'" Upgrade ( ) Abandon ( ) System located at S-3 S' O� r/2 L and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special condi�tipns`. Provided: Construct'ocn--��must b completed within three years of the darf�e of this pert. Date�O�1U Approved b 1 TOWN OF BARNSTAB E LOCATION O � �3 /� ��P SEWAGE #z©0d�►►t v i VILLAGE %r a v% Wtl ASSESSOR'S MAP & LOTZ 1 C0 INSTALLER'S NAME&PHONE NO.AfZeAl (rP—Sr s4X SEPTIC TANK CAPACITY 3 ®!2 LEACHING FACILITY: (type) Jr S % (size) NO. OF BEDROOMS 2- BUILDER OR OWNER ®-z E PERMITDATE: 7 D COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 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) Feet Furnished by Mpj�'�vv 5L �91 ------------------- Town of Barnstable �FtHE Tph, Regulatory Services �0 Thomas F. Geiler, Director M BARNSTABLE, 9�A 1639. ' Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 I Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 22 It) Designer: Shay Environmental Services, Inc. Installer: e)e-C W Address: P.O. Box 627 . Address: 6% East Falmouth, MA 02536 � 5 ►N�.Q On 2-11 O P�ectk.. was issued a permit to install a (date) (installer) t septic system at 5 31 F 533 01 d G(Y%s.J; l , based on a design drawn by (address) �aa��S {� Shay Environmental Services, Inc. dated 41,7—q ID c (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. 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. op �1H of r \fir o CARMEN E. Installer's Signature) SHAY 1Vo. 11$1 0 ��GISTEC�� SANITAR\Pa (Designer'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. Q:Health/Septic/Designer Certification Form *NOTE. INSTALL TUF-TITS GAS BAFFLES OR EQUALS ON ALL OUTLET TEE ENDS. I 1 t rk°'yaaR:may Finished grade over system= 13.25 10' min. from Provide Risers '> EXIST. House house to septic tank Provide Risers if necessary to bring INLET Pump Chamber cover p xi Cliri . to bring Septic tank covers to grade and outlet cover to within o within 6" of finished grade 6" of finished grodek�P w ( -. • .a 5,,; sx. P.gd wy �� `Aop+,y�a Au.. s S_ y ur a` J1 +11. � Cattd�triYE a 1/4"Per EXISTING FIELD-3 CHAMBERS W/1 F T STONE ALL AROUND EMT. PIPE , roof S' 1/8•per too FORCE < N 2 FOOT EFFECTIVE DEPTH ZA FROM EXIST. ae 25 , 12' x 14' x 2' .nrpFS ntarctl{ye A ci FULUMTIW C 55 .#qua ?as, N 4' seA 40 1500 GALLON 5 to EIST.500 GALLON s" seL 40 S do PUMP CONCRETE FOUNDATION p H-20 0 oS H-20 o FULL FOUNDA71ON j h 1501mif) do ' ftun OCli� _ ._ - I>• •' o .._ - ... - N @I�G06 Fiand'tic.�iy.d p y 1®2aD6 r r 6" OF 3/4"-11/2" STONE am m GENERAL NOTES � 6" OF 3/4"-11/2" STONE 4D o CHAMBER 5 > 1. Contractor is responsible for Digsafe notification, Verification of Utilities SYSTEM PROF/LE C and protection of all underground utilities and pipes. 2. The septic tank and distribution box shall be set level on 6" of 3/4"-1 1/2" stone. 3. Backfill should be clean sand or gravel with no stones over 3" in size. GROUNDWATER DATA 4. This system is subject to inspection during installation Note' THIS PLAN IS FOR A TANK REPLACEMENT ONLY �rD by Carmen E. Shay - Environmental Services, Inc. Date of Percolation Test: SEPT. 9, 1986 L � 5. The contractor shall install this system in accordance Test Performed By. BRUCE MURPHY-YANKEE SURVEY EXISTING TANK DETERMINED TO BE LEAKING p 0 with Title V of the Massachusetts state code, the approved plan y ( ) DURING TITLE V INSPECTION. ALL OTHER and Local Regulations. Results Witnessed B . NANCY t.EITHIER Barnstable B.O.H. L wP�E tion the contractor encounters any If, during installation Percolation Rate: Less Than 2 MPI 0 36" COMPONENTS EXISTING AND FUNCTIONING �L OF/ 6. soil conditions la site conditions that are different Test / S from those shown on the soil log or in our design e t Hole R / N� Installation must halt & immediate notification be No. 1 �P(� ��� ��(�` made to Carmen E. Shay - Environmental Services, Inc. DEPTH SOILS ELEV. OFF /OF 7. No vehicle or heavy machinery shall drive over the o 13.24 8. Installl TuftTitesysmunless gas baffles or equals onnoted as H-20ptic all outletotee ts.ends. Sandy Loom / LOT #1 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. —� Feet �/ 10. All solid piping, tees & fittings shall be 4" diameter o"-s' A. 12 12,800 S 74 q: � Schedule 40 NSF PVC pipes with water tight joints. Loamy '� �� 11. Municipal Water is Connected to ALL OF The Residence and Abutting Nos ' Properties Within 150 Feet. s"- 20"1 B. 11s7 ,,,� THE PROPERTY LINES ARE APPROXIMATE AND Mediumd 7 ---- / QF COMPILED FROM THE SURVEY PLAN GENERATED BY QG� ----1 YANKEE SURVEY OF M. MILLS, MA $ ---- / ENTITLED "CERTIFIED PLOT PLAN OF #531 & #533 OLD CRAIGVILE ROAD, C 20"- 80 , 5 '---- ��' CENTERVILLE, MA, DATED JUNE 8, 1990 EXISTING AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN 2 BEDROOM IT SHOULD BE USED FOR NO PURPOSE OTHER THAN 9__ COTTAGE THE SEPTIC SYSTEM INSTALLATION. EDGE OF WETLA D __---' #531 1� 10- ---_CB D.H.-- DOUBLE STAKED HAY FND ,>- BAILS & SILT FENCE ---------- Perc #1 1 1 Depth to Perc: 36" to 54" EXISTING O 00 WETLANDS ARE PRESENT WITHIN 200' OF THE PROPERTY ARE AS SHOWN Perc Rates PUMP CHAMBER FN ASSESSORS MAP 226 PARCEL 102/2 MPI D.H. 001 Groundwater Not Observed EW MONOLITHIC POUR FND I Observed ESHWT = ELEV 6.99 or 80" 1500 GALLON -',� LEGEND ADJUSTED H2O Elev. = ELEV 7.24 Or 75" H-20 SEPTIC TANK ----------------- TYPICAL 1500 GALLON MONOLITHIC H-20 SEPTIC TANK 1000 GALLON - •1� PO4x1 DENOTES PROPOSED SEPTIC TANK � PROJECT BENCH MARK SPOT GRADE NOTE: SEPTIC TANK TO BE FACTORY WATERPROOFED PRIOR TO SHIPPING. EXISTING �' TOP OF FOUNDATION DENOTES EXISTING NOT TO SCALE 3 BEDROOM i ELEV. 14.40 (NGVD) X 104.46 SPOT GRADE 3-24'DUM.ACCESS MANHOLES SEPTIC TANK SHALL BE FACTORY CONSTRUCTED OFSOUND j HOUSE PORCH ' DURABLE WATERTIGHT MATERIAL AS PER TITLE V CODE 15.226. , I 533 ' PL PROPERTY LINE I l� o CENTER ACCESS COVER OF SEPTIC TANK TO BE I 1 I I _---� 1 �' PROPOSED CONTOUR RAISED WITH THE APPROPRIATE RISER TO WITHIN I 1 ___--- b "6 OF THE EXISTING GRADE AS PER TITLE V. �_ ►- ----- 1 I EXISTING CONTOUR ou THE ACCESS COVERS FOR THE SEPTIC TANK, pp DISTRIBUTION BOX AND LEACHING COMPONENT I 1 0 1 I SET DEEPER THAN 1 FOOT BELOW FINISHED 1 I p » ► I ® DEEP TEST HOLE & GRADE SHALL BE RAISED TO WITHIN 1r OF FINISHED GRADE I �, i i I PERCOLATION TEST LOCATION - STEEL REINFORCED PRECAST CONCRETE INSTALL TUF-TITE GAS BAFFLES OR EQUALS 1 I m 01 1 r- ?' I EXIST. I I ON ALL OUTLET TEE ENDS I r7 16 FOOT STOCKADE FENCE PLAN VIEW 1 1 cn�5Z 1 0_1 1 EXISTING' iDRIVEWAY I I w ul a l I SAS (2 BR) r I I (APPROX.) r�1 3-24'REMOVABLE CD%0tSL-----1 I m I I I I DRIVEWAY P COT P LAN • :. a;: • --�... . _ 4. - .r.�, I DRIVEWAY ` TEST HOLE #1 � I I y 3'nd.e.�K. ' ,r .atr i �� ELEV.= 13.24 I I I mom,- rm`` MW to°" OF SEPTIC TANK REPLACEMENT s-rquU;evei OUTLET : s•-r 1 �'c,� = `� PREPARED FOR ¢ .. 4• ran ----*0LquM eqM � --------------�-L-- ---- --------------- MR. A LA N H . G 0 R 0 L L Y+ o.rr ' ",�-w s- - AT o.L� C.R-AIGTTILLE _ROA.I� #531 & #533 OLD CRAIGVILLE ROAD CROSS SECTION END—SECTION CENTERVILLE, MA (40 FOOT RIGHT OF WAY) 4 , P EPARED BY: Design Calculations- TANK REPLACEMENT ONLY B U OAN CY CALCULATIONS �RM�''N E. ,.5�1tI� Y Number of Bedrooms: 2 Bedroom EXISTING Weight of Tank 21,230 lbs. Garbage Grinder. No Weight of Soil Above Tank 3.333 lbs. I" col t , ` ENVIRONMENTAL SERVICES, INC. Leaching Capacity Required: 220 Gal./Day (MIN. PER TITLE V) Total Weight Down: 17,833 lbs. 0 20 40 50 �� o Septic Tank - 2 x 220 Gal./Day = 440 USE NEW 1.500 GAL Septic Tank k � i P.O. BOX 627 ' EAST FALMOUTH, MA 02536 Weight of Water Displaced: 3,500 tbs. �. f� F; SAS FOR BOTH BUILDINGS ARE EXISTING AND FUNCTIONING 6 TEL/FAX : 508-539-7966 * No Ballast Required For SEPTIC TANK SCALE: 1"=20' SCALE: 1"=20' DRAWN BY: CES DATE: APRIL 26, 2006 PROJECT#SD907 FILENAME: SD907PP.DWG SHEET 1 OF 1 g