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HomeMy WebLinkAbout0313 TOWER HILL ROAD - Health 313 Tower Hill Road Osterville A = 1.18 097 4 1 I I Ills i UPC 10247No. H163G • ww*ora• oil TOWN OF BARNSTABLE LOCATION SEWAGE # S VILLAGE 1q �AASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. Qc�b � S� > SEPTIC TANK CAPACITY S' ` _ ie LEACHING FACILITY: (type) {, �<��L tCQ (size)11`t NO.OF BEDROOMS + BUILDER OR O R PERMIT DATE: Z COMPLIANCE DATE: b 3 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 ccxi P --3 3711 c� ob q_3 \ �No. � ' � FEE Board of Health, 1 MA. APPLICATION FOP, DISPOSAL SYSHM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ), Complete System ❑Individual Components Locationt`, r Owner's Name tc ` Map/Parcel# ` Address Lot# Telephone# Installer's Name ; Designer's Name Address . Address Telephone# Telephone# �� �b S Type of Building r Lot Size 13—sq.ft. Dwelling-No.of Bedrooms a Garbage grinder / Other-Type of Building t(brkQ- No.of persons _Showers Cafeteria Other Fixtures Design Flow (min.required) gpd Calculated design flow Design flow provided 33� - (!� gpd Plan: Date p Lv�� 3 Number of sheets Revision Date Title `` Description of Soil(s) �"CLcc.) Soil Evaluator Form No. Name of Soil Evaluator ravvyi.-I �to of Evaluation DESI - .n �^ENGINEER p GNING ENGINEER MUST SUPERVISE DESCRIPTION OF REPAIRS OR ALTERATIONS I I n rO N AND CE-K I 11-y IN WRITING THE SYSTEM ► AS INSTAL ACC0RJX. SE TO FLAN S-- The and rsigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further ees to of to plac M peration until a Certificate of Compliance has been issued by the Board of Health. Signed Date 9 - 7®3 .: _ .. �+ f n�.�••. .T•4-+.;�` cr) _..w� t�;,�'� ter, +.4.J i�,+wy A.n•.... a.::'.'!ti�• -_.i ,. .�.. _ ` No. l' 1= ate"' r, ,•' FEE COMMONWEALTH Of MASSACHUSETTS Board of Health APPLICATION FOP, ➢ ISPOSAL SYSTEM CONSTRUCTION PERMIT + � t� Applica�io f�r�Permit to Construct( Repair Upgrade( ) Abandon( ) Complete System OIndividuall Components Location s *� a l9 _ `� `�4 ,l�. Owner's Name r— tC`- ^�� ,► Map/Parcel# i � , Address �(�^ Lot# 3 Telephone# Installer's Name —�- Designer's Name 4 � Address_ \ S' Ycm(3��.Q Address Telephone# _ ��(� -J,-` Telephone# Type of Building \� Q6 ` jr, Lot Size � � � 91W sq.ft. Dwelling-No.'of$_edrooms '1 a Garbage grinder Other--Type of Building `` QR pp-� )1 1 ' No.of persons r7 Showers (K Cafeteria ( Other Fixtures oflow Flow(min.required) gpd Calculated design ` Design flow provided gpd Plan: Date Number of sheets Re-vision Date Title Description of Soil(s) i 1? �C 1 Soil Evaluator Form No. Name of Soil Evaluator C�'Qf1 ate of Evaluation tSt oZ0 d \ cA ( \ 1 DESCRIPTION OF REPAIRS OR ALTERATIONS 49—c -AM CX- i The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agreeess to not to place-the- teems• operation until a Certificate of Compliance has been issued,by the Board of Health. Signed t �� fl r r . , Date 0-0?7-63 1,e a €� ` 711r , 14,7103 f r -+m..r.+-+.,...^-.-+--�-..,--•.-^,---'^,+•=� .:,.''<,s.-.�-:-n=",t"" ..�.�..;.�,-=,-y:-��w.-.�ti v_,�;:=�^:--°�..'�M•�-:- .?'- _-_,-�_,. �� `zt�.a��--c.=��..� r- -j-. .",..�z.=.�. =>---_.._.:- No. � � FEE C®�'l[� ONW TH ®F MASSACHUS�ETTS Board.`of Healthy CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) Complete System q The u /dersigned hereby certify that the Sewage Dispo 1 ystem`; Constructed ( ),Repaired Upgraded ( ),Abandoned ( by: l �� 1� L �j. ���Lre,L t, a at �e l "i/ 1 L� I ! 0S 7 r,VV) 1 0, has been installed in accordance with the pr`vi'ions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to applicat\1 • No. �n�,3.. dated Approved Design Flow (gpd) Installer Designer: Inspector: (/ Date: / /S 3 The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. VV A( FEE COMMONWLALTH OF MASSACHUS ETTS f rn4� Imo. Nra.• Board of Health, , DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby grantfedto; Co struct( ) Repair.( Upgrade( ) Abandon( ) an individual sewage disposal system i�at �1 J O1�e ��! G Dskrvl f (L -• 4 as described in the application for Disposal System Construction Permit No.Cdated Provided: Construction shall be completed hin three years of the date f thisY �%M local conditions must be met.' Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date / Board of Health TOWN OF BARNSTABLE LOCATION � SEWAGE # -: ASSESSOR'S MAP &LOT VILLAGL��� INSTALLER'S NAME&PHONE NO. o SEPTIC TANK CAPACITY S LEACHING FACILITY: (type) �C�7����J�U (size) NO.OF BEDROOMS- % . BUILDER OR OWIR 1 63 PERMTTDATE: Z COMPLIANCE DATE: Separation Distance Between the: Feet Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist . Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist, Feet within 300 feet of leaching facility) Furnished by t 5epc- r 0 t-T5 � 0 ► , A3, �, ► Q3` - — 09/26/2013 20:59 FAX 16 001/001 CARME r Ei SHAY (508�548-0796 ENVIRONMENTAL SERVICES, INC. P.O. Box 627,East`1almouth,MA 02536 July 1, 2003 RE: Certification of Title V Septic System Installation: Residential Property 313 Tower Hill Road;Osterville,NU Dear Sir or Madam: On June 30, 20031.Roger Roberts,Inc. was issued a permit to install'a Title V Septic System at 313 Tower Hill Road, Osterville, MA, based on a design drawn by Shay Environmental Services, dated, June 27, 2003. XX I Certify That The Septic System Referenced Was Installed Substantially Acc®rding to the Plan I Certify That the Referenced Above Septic System Was. Installed With Changes but in Accordance With State and Local Regulations, Revisions or As-Built Plans/Sketch will Follow. The Septic System Was Not Installed Per State and Local Regulations and Corrective Action is Required. i If you have any questions,please do not hesitate to call the undersigned at (508)-548-0796. Sincerely, CARMEN E. SHAY ENVIRONMENTAL SERVICES,INC. �ZN OF 4US CARMEN E• SHAY No. 1181 Carmen E. Shay, R.S. S. � a,$j�� President �gNtrAR��� M JUL-1-2003 TUE 08:55AM ID: PACE:1 5eN - 20- 01 13 : 52 BARNSTABLE HEALTH DEPT 5087906304 • S2S;0! NOTICE: This Form Is To Be Used For tlae Repair Of Failed Septic Systems Only. PERCOLATION TEST AXD SOIL EVALUATION EXEMPTION FORM hereby certify that the engineered p.ian signed by me urtec concerning the property located at �CI'I�Frneets all of the This failed system is connected to a residential dwelling only. There are no :orrn--rzia.! cr business uses associated with the dwelling. • The soil is ciass:;:ed as CLASS l and the percolation rave is less than or equal to 5 -ri.nutes per !rich. The applicant may use histoncal data to conclude this f3c: or may. _Dr!duct Pre'.trn!:•.ar% tests at the site without a health agent present • T hero s no increase to flow and/or change in use proposed Then are no variances requested or needed. The bottom of the proposed leaching facility will nod be located less than founeen 14) '--et soove the maximum adjusted groundwater table elevation. fAdius( the —)Qndwa;er table using the Fhmptor method when applicable) Please complete the following: ?1 •jrouno Surface Elevation (using GIS information) 8; G W' 'E;rvat:on _ :d;us(men( for high G.W. -- .......-_.. = >77F..R..tNC F BETWEEN and B 29Qz0z S.G. rED -- 2` DATE: NOTICE 3as c j-oh t-e atov& information, a repair perrlit wil! be issued for :)edr^erns Ta1.,r:-,utr nal bedrooms :ue authorized to (he future wt:hout en,!neerec .ep plans. f -- - _ --- — gain!c:Oci �<iccam9 Permit Number: Date: r Completed by: 1 HIGH GROUND-WATER BEVEL COMPUTATION Site Location: ��3 1C � \`� �`1lZ Lot No. Owner: � �� 1� Address: : Contractor: 1_ 0�.S3nkVf_11s;RAAddress: C qa: , Iz: f9QZ.4 N , �! Notes: STEP 1 Measure depth to water table tonearest;1/10 ft. .............................................................................. .Date C�mon h/day/year STEP 2 Using Water-'Level Range Zone and IndexlWell Map locate site and determine: OAppropriate index well..............•...............•..................... © Water-level range zone ............•......•...•.•.........••.••....•........ STEP 3 Using monthly report "Current Water Resources Conditions" determine:current depth to e water levO for index well ................•.......... 5 �' month/year STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 26) determine water-level adjustment .....................................•........:.,.......... ................ STEP 5 Estimate depth to high water by subtracting the water• level adjustment (STEP 4) from measured depth to water levelat site (STEP.1) .•....................•...........................;...........................,............,................. k Figure 13,--Reproducible computation form, 15 LOCUS MAP 3-24'OIAM..AOCFSS MANHOLES > ,VENT PIPE (O least 24 Inches toll) 10' min. from Schedule 40 PVC w/Charcoal Odor Fit., 1a -e• house to septic tank *NOTE: ALL PIPES ARE TO BE 4 SCHEDULE 40 P.V.C.- j Existing Foundation �w Ower Septic tank covens must be '..• T.O.F. elev. - 100.00 within 6 In. of finished grade .figs �Q �• Grade ovw Septic Tank - 06.00 Grade over 0-Box - 92.50 a owr SAS K - 96.00 SECTION -A - 10 'r 5 .. ... PROFILE VIEW OF LEACHING SYSTEM ;� �T � I � O�,•p SIT y INLET S - 0.02 MOLE 5-0.01 tN-20�DIST. BOX 3• Maximum Cover TOP OF SAS 93.00 J INLET . l` `�/ :r OU S ; N 10, /4" to 1 1/2 " Washed Crushed Stone ,� �t THE ACCESS COVERS FOR-THE SEPTIC TANK, (ps C Q p FROM FOUNDATtoN L NEW 1,500 GAL 20, - • 10' ar toot �-r - 3' of 1/8' - 1/2` Washed Peastone ,;y ti; DISTRIBUTION BOX AND LEACHING COMPONENT Sp (LL to CL h_ - / {"r r y''+T-f'^r"v�. 1C 'rn".r�'T'„-�• r J SHALL BE RAISED TO WITHIN 6" OF rn SEPTIC TANK rn. EOUREp m �i 20' o o itT.er wwa FINISHED GRADE. SOU QPk CONCRETE FULL FouNOAno m > p To REDUCE STEEL REINFORCED PRECAST CONCRETE INSTALL TUF-TITE GAS BAFFLES OR EQUALS th St ,, m W�A�aVELOaTY rn 3.6, -6. 3.5, PLAN VIEW ON ALL OUTLET TEE ENDS SYSTEM PROFILE m p 12. ,-3-24•REM`E covERs- Not to Scale Effective Width CI O CM =3 C� - > C7 _ .....,g, P .. �, f • •.�,. 4' r•,., GENERAL NOTES c U�ts @ 8.5' w/2' Separation = 19' , NOTE: PIPE TO BE RELOCATED AS SHOWN AT ELEVATION SPECIFIED. 3 min. clearance e h.of 3/4•-, 1/Z" .� , e mih 2 min.inlet to outlet < tT NLET eompoatee,tone m 3 I INLET - �--- _e'�*�+ aU� 1, Contractor is responsible for Digsafe notification and protection of aft underground utilities and pipes. I 25' IN ift mn. Ltau�Tivet ,4• Y P 9 P P Bottom of Test Hole 1 Elev.-86.20 -------------------------- I EFFecttve.Length s• -r - ,•tr_r 2. The septic tank anc� distri ution box shall be set 5 level on 6` of 3/4'-1 1p2" stone. *: 4'-0' min. OIL ABSORPTION SYSTEM (SAS) s �� .-•••«i•• Y• Lkwld e.pu, 3. Bockfill should„be clean sand or graven with n0 stones ,over.3 in size. 500 - C (H-20) LEACHING UNITS / WIGGINS PRECAST + 4. This system is subject to inspection during In II ti,, •.. p g a a on Not to^Scale Y J t . ., by Carmen E. Shay Environmental Services,'inc. NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6' BELOW GRADE 10-0 • s' -e' 5. The contractor shall install this system in accordance CROSS SE�T�ON END-SECTION with Title V of the Massachusetts state code, the approved plan and Local Regulations. 6. If, during installation the contractor encounters any I TYPICAL rJ00 GALLON SEPTIC TANK soil conditions or site conditions that are different from those shown on the soil log or In our design NOT TO SCALE installation must halt & immediate notification be made to:Carmen E. Shay - Environmental Services, Inc. (H- 0 LOADING) 7. No vehicle or heavy machinery shall drive over the FOUNDATION 0' SEPTIC TANK ---�g2�---�- D-BOX P-----20'--� LEACHING FACILITY septic system unless noted cs H-20 septic components. I� 8. install Tuf-rite gas baffles or`equals on all outlet tee ends. 9. All Distribution Lines shall be 4". diameter Sch. 40 NSF PVC pipes. p 10. All solid piping, tees & fittings shall be 4" diameter PERCOLATION TEST Schedule 40 NSF PVC pipes with water tight joints. Date of Percolation Test: JUNE 20, 2003 1 11. SITE and Surrounding Properties are Connected to Municipal Water, II Test Performed By. CARMEN E. SHAY- R.S., C.S.E. P Results Witnessed By. WAIVER I Excavator: Shay Environmental Services, Inc. Percolation Rate: Less Than 2 min./Inch ® 63" BELOW GRADE. NOTE: Test Hole ` THE PROPERTY LINES ARE APPROXIMATE AND No. 1 COMPILED FROM THE SURVEY PLAN GENERATED BY DOMESTIC SEPTIC DESIGN OF OSTERVILLE,'MA, DATED 5/22/03 DEPTH SOILS ELEV. ENTITLED " SUBSURFACE SEWAGE DISPOSAL SYSTEM" 0 98.20 AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN IT SHOULD BE USED FOR NO PURPOSE OTHER THAN FILL THE SEPTIC SYSTEM INSTALLATION. �i 0"-36" 95.20 torR 4/3 WETLANDS LOCATED WITHIN A 200' RADIUS ARE SHOWN ON PLAN. 36'- 39` A 95.00 Loamy Sand T® WLE+ R .F3�ILL R 0- J� 7•s Y e/e NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE 39"-63" Be 93.00 FROM THE EXISTING SEPTIC SYSTEM TO BE DISPOSED (40 FOOT RIGHT OF WAY) Mod-Fine OF AS PER BOARD OF HEALTH SPECIFICATIONS. • - ------ Sand ______________________ EXISTING CESSPOOL TO BE PUMPED DRY & 630-144 C, 6.20 FILLED IN PLACE. 75.00' ` L�--------7---- --------'` I • ASSESSORS MAP - 118 PARCEL - 097 ' .• � ZON ING - RESIDENTIAL 2 Pere #1 FLOOD,ZONE C Depth to Pere:, 63" to 81" n • � � Pere Rate=<2 min./inch i Groundwater_Not Observed _ . >� - - -- _ THERE ARE-NO-"WETLANDS LOCATED WITHIN A 200' RADIUS Elev. 120" OF THE PROPERTY BOTTOM OF TEST BOLE _ -- --- _. ---- - - __._. r- (. •� •.r.C,° 13.75 p No Adjustment Required. LOT #3 (: ADJUSTED H2O Elev. � , 13,920 Square Feet t/- t yi '"; Cb D-BOX :; ;'if TEST HOLE #1 olsT eunoN�X LEGEND 4•" f _ SET UVVEL FOR AT LEAST 2 FT. tY CONCRETE COVER ELEV 98.20_ •` •It.,l i °.. 3-6'OUTLET . t xNoaxouTs 1 8XO DENOTES PROPOSED OUTLET 12" "'� , SPOT GRADE 1. O p 1500 ep Oic Tank , `w 4 "� .�A a 2 DENOTES EXISTING ,6.6• X 104.46 SPOT GRADE EXISTING PLAN SECTION ON ASS-SECTION 100 FOOT BUFFER FRO WETLAND --•_�_�`' j pL 2 BEDROOM _ PROPERTY LINE HOUSE ��0 FOOT 0 ER.,, 3 HOLE DISTRIBUTION BOX -- H--10 LOADING PROPOSED CONTOUR #3f3 PROM M NOT To SCALE Wk?�ND 97-= - ----97 EXISTING CONTOUR DEEP :TEST HOLE & 96-___ �� ,' I PERCOLATION TEST LOCATION 96 Qesign alcu�ations 94 Number of Bedrooms- 2 Equivalent to 220 Gal,/Day (330 Gat./Day Min l per Title V) FENCE ' Garbage Grinder: No i\ Fair - 92 Leaching Capacity Proposed: 330 Gal:/Day Mlnimum (Min. Per Title V)CES k ___ , 90 P / Y P PRIVATE DRINKING WATER WELL Septic Tank i; - 2 x 330 Gal. Da 660" USE 1,500 GAL. Septic Tank. ,88 SOIL ABSORPTION AREA. Using percolation rate of Q min./inch ------------------- Bottom Arta: 0.74 gal/sq. ft. x 300sq. ft. -; 222.00 gallons ! REVISIONS / - --- ,�,.- Sidewatl Area: 0.74 gal./sq: ft. x 148'sq. ft. 109.50 gallons EV ISIONS ------------- 84 _ _____- - Providing: _ 331.50 gallons � use: NO. DATE: DEFINITION _. (2) PRECAST 500-C UNITS, HAVING A 2' EFFECTIVE DEPTH, TO BE USED WITH 3.5' OF WASHED STONE ON THE SIDES AND 92 ,�` ��� i ' 84'�-�� -.8 3' OF WASHED STONE ON THE ENDS AND 2 FEET IN BETWEEN 2 UNITS. 9 80 - 86 PROJECT BENCH MARK _---'' -� TOP OF FOUNDATION _ 78 ELEV. = 100.00 (Assumed) - _ _ - 76 _- PROPOSED 7 P R E P A RE D FO R SUBSURFACE SEWAGE DISPOSAL `SYSTEM - 76 F LANDS I OF C ys'.,a °A, --- OF WEt� EDGE 74 _._- RICHARD E. HINCKLEY ..,Q F �T TOWER Hi L /� �r s#,313 L ROAD • Fp/ wR,T /s�C OSTERVI LLE, MA / #313 TOWER HILL ROAD sTR,tic 4 �T PREPARED BY: --�`' ONE OSTERVILLE MA 02655 S P SAM _ tN MA CARNEY E.: SffA Y EM " iVVIR0NAfENTAL ,SERVICES, INC. t 34 THATCHERS LANE 0 20 40 50 sTE� EAST FALMOUTH, MA 0253 6 N R\ P -, NIT , TELf FAX 508-548-0796 . , EC 1 0 DRAWN,.. : 2 BY. CES _ ,DATE. DUNE .24 .2003_ T D 438 FILENAME. .SD43$PP.DWG SHEET _t � SEE :OF 1 ,. ,