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HomeMy WebLinkAbout0085 EBEN SMITH ROAD - Health (2) -- -�, .. _ _ i ��_r �-e � T-e r ,�.�>� � � / �l _ ,� �� / - - _ - _ i TOWN OF BARNSTABLE LOCATION 2S VfX, SEWAGE.# VILLAGE ,A,i ASSESSOR'S MAP&PARCEL �Il INSTALLER'S NAME&PHONE NO.�O,tN�S 1�LbU4 SCb-"l�I I a165 SEPTIC TANK CAPACITY J QX Ga\((fin LEACHING FACILITY:(type) (size) J 0 6A ec� NO.OF BEDROOMS � OWNER F\kQx11 _ o a 7-16kn T)cLsc6l` PERMIT DATE: a COMPLIANCE DATE: 1 a r Separation Distance Between the: gyp `-- Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility�t1GC3. ` '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) QA Feet FURNISHED BY <` Ac �►� L L� O _V-: Lio LT-- PN F Lv LN c. D S r No. = � Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS application for Disposal 6pstent (Construction j3Ermit Application for a Permit to Construct( ) Repair( ) Upgrade V) Abandon( ) ❑Complete System Vlndividual'Components Location Address or Lot NAG _tZ& Owner's Name,Address,and Tel.No..F4 l0N tacde_ 'Dr6qA\ Ce 0rw1VL Mfl dc`2�3�. 'ate Lli l.Cw.(a Assessor's Map/Parcel 1-11 � � a%Ct ��bc3fi1L�� Installer s, ame,Ad4ress,and T_el.No. Designer's� Designer's Name,Address,and Tel.No. A411 30 j `X 'Al1 Cs�� l -9+ `�_wT601n Ak k (� t v� a Type of Building: �•,Ct&A t 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) 3C gpd Design flow provided '�-1� gpd Plan Date 1 ]if�j (�� Number of sheets 1,� Revision Date a Title ilfc �J C}� �l_9�C K9 v-\ �55— E'CA Size of Septic Tank i�)m\ Type of S.A.S. (in 5zn r4ciw cx�Gxoj as Description of Soil ` t-i Nature of Repairs or Alterations(Answer when applicable) 1 1r1 „JTYA- q5 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 �j Date L( , © Application Approved by A Date on Application Disapproved by Date for the following reasons Permit No. �.` t l Date Issued q y- . meµ. No. 4TG7" 4 Fee ® j THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ,. PUBLIC HEALTH DIVISION - TO VI 'OF*BARNSTABLE, MASSACHUSETTS 111"tlYication for Disposal 6pstim Construction 3dermit Application for a Permit to Construct( ) Repair( ) Upgrade(a/ Abandon(f ) Complete System ®Individual Components Location Address or Lot No.'0'5 55�beq-x 5rnyl n 1Z6, Owner's Name,Address,and Tel'.No."Fi lCA t:jaC1C C�Ktle�t�•11Q M A & a,& C.l Assessor's Map/Parcel 1-11 c F^! 3t%q tgQtilh�t'4 5�6_�41�� " Installer's,Game,,kdi-vdress,and Tel.No.'a,� , �� }� Designer's Name,Address,and Tel.No. ft C_TA�C X1eK�, i7 t •z fan t `�c�c `�Y� ^A n Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafete-ia( ) Other Fixtures Design Flow(min.grequired) ^� gpd Design flow provided gpd Plan Date ! };l��,,,\\ _ Number of sheets ], ABC. Revision GDate _ L4 I t,l r*4^rYK_ ,Title f C� 9 1 e �C\, ep It(`� 1C9 J� �t� Eb� Jet Ali t" - W Size of Septic Tank 4C'(`j,�GC�t�(�r1 ' JS1K�c Type of S.A.S. tn Description of Soil G?k\~ Lilt Nature of Repairs or Alterations(Answer when applicable) V�G� t \ G — �(. •� � �5 Date last inspected: 5 �1 Agreement: ,} s i The undersigned agrees ensure the construction and maintenance of the afore described on-site sewagedisposal system in � � P Y S 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 ���'".1G—. U sftliQ_ �t e 30 e�,(k c Date Application Approved byr1IfAA A400.^ A v/�% Date Application Disapproved by Date for the following reasons Permit No. Date Issued t-1 �- • •- --------- ---------- . . 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 C-) at -,1 � � ��C_ CO ��.1�1t� has een constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit Now /(-I dated Installer Designer #bedrooms Z Approved design flow -� gpd The issuance of this permit,shall,not be construed as a guarantee that the system will fdr ion>as designed. Date h-/ Inspectors _ ----------------------------- No. Fee 00 < THE COMMONWEALTH OF MASSACHUSETTS iP.UBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstetn Construction Vermit Permission is hereby granted to Construct( } -Repair( -)� �U^pgrade(1/) Abandon ) Systenilocated at 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 bbe completed within three years of the date of this permit. Date '� 1 f aL� Approved by ,(jl ✓ V Town of Barnstable Inspectional Services Public Health Division • auwsTa>�, • t Thomas McKean,Director 200 Main.Street,Hyannis,MA 02601. Office: 508-8624644 Fax: 508-790-6304 Installer&Designer Certification Form Date: Sewage Permit# 610aa —I XCt Assessor's Map\Parcel II n Designer: t0� ► J Installer: �om_b Rub Address: Address: ® �cJ( �l, ,,, �l ! was issued a permit to install a � On I �� �0�� � ��(� (d te) (installer) -Q septic system at 8 S 6be �/'`'� id AAA" based on a design drawn by (address) JJ � ZAP t d D, F4 h�r J r dated `, -1 (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. Stnip 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 ofany 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. fiance with the.terms of s the RA approval letters (ifOJ applicable) A f ler's Si-RhatpreY �ttrzr 4� Ax:Desi a s`Stam Here (Deslgr 's Si nature ( l P PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE z OF COMPLIANCE WILL NOT BE ISSUED NTIL-•BOTH THIS FORM, AND AS- BUILT,CARD ARE-RECEIVED-By THE BARNSTABLE PUBLIC HEALTR DIVISION. k THANK YOU ftAdepisTEALTIASEWER connecASEPT[CUksigmr Certification Form R ev&t4t3.DQC , { S M a p -71 Parcel 198 a Rona a J a 149.98 ` . / 0 1 v Ur r , Q Yr fo 2-7 0 AV Den F E Rood Smith co •` .p 50 o �s o. 1>� Locus'" — — — — , ^ GISTe Dolor po 0 / ff V 1 SANITARY Rood vis ( - - - � Paved D/W / - - A1 �J a - _ Q 6l Z; Wooded ✓ Centerville; MA Areo 18" L 1 -O SITE LOCUS N° Tree / "` U use 85 NOT TO SCALE 3 Bedroom �, ' o`_ rn 0 1.) Assessor's Map 171 Parcel 289 TOF EL - 51.3 0 N y Q 2.). Book 32256 Page 22 Note #19 e .� '� 1 ✓ 16" 0- 3.) PI Bk 403 Pg 27 Lot 4 �, rn 4.) This property is in the Ground S T �c — 1 — Deck , Lot 4 �n Water Protection District Perc r — `� 5.) This property is in the Saltwater • \�' 15,383f Sq. Ft. kk �-- — DB x ` r,< Estuary Protection District o TP #2 x x x x x Top Deck 6.) This property is in Flood Zone X (J' x • TBM EL = 52.0 Firm Map 25001 CO561 J 7/16/14 o TP #�49.3) x • x x x 0 x x x x x x See Map 171 qO= / Note #19 SAS 8'-74 Proposed Site and Septic Plan Parcel 289 4 Map 171 85 Eben Smith Road Centerville, MA 50 °43,14, W Parcel 287 Prepared by: S Z� Prepared for: All; Cape Septic and Survey Bed Ellen & John Driscoll, Trs 618 Route 28 #3 22 Clipper Lane West Yarmouth, MA 02673 Falmouth, MA (508) 7.71.-4200 olicapesepticOgmail.com Bth Open Bth Kiti -� Living Bed March 31, 2022 Sheet 1 of 2 By. MA Check: SM Dwg. #429 Bed Dining #2 Rev. April 11, 2022 GRAPHIC SCALE NOTE: #1 20 0 10 20 40 8o LOCATION OF UTILITIES IS APPROXIMATE AND ALL 2nd Floor Plan", UNDERGROUND AND OVERHEAD UTILITIES MUST BE 1st Floor Plan NOT TO SCALE DETERMINED IN THE. FIELD PRIOR TO COMMENCEMENT NOT TO SCALE OF ANY WORK, THIS INCLUDES; BUT NOT LIMITED TO, ( IN FEET ) REQUESTS TO DIGSAFE, ANY PRIVATE UTILITY COMPANIES AND THE LOCAL WATER DEPARTMENT. 1 inch = 20 ft. I RAISE MIN. 20" DIAMETER COVER RAISE. MIN. 20" DIAMETER COVER CONSTRUCTION NOTES EL=5t.3t TO WITHIN 6" OF FINISH GRADE TO WITHIN 6" OF FINISH GRADE _4 1.) ALL WORK SHALL CONFORM TO THE STATE ENVIRONMENTAL CODE, TITLE 5 (310 CMR 15.000): 50.3 EL=49.5t STANDARD REQUIREMENTS FOR THE SITING, CONSTRUCTION, INSPECTION, UPGRADE. AND EXPANSION OF ON-SITE SEWAGE TREATMENT AND DISPOSAL SYSTEMS AND FOR THE TRANSPORT X/ AND DISPOSAL OF SEPTAGE, AND THE LOCAL BOARD OF HEALTH REGULATIONS. ` 2.) ANY SEPTIC SYSTEM COMPONENT INSTALLED IN A LOCATION WHERE HERE IS POTENTIAL FOR VEHICLES OR HEAVY EQUIPMENT TO PASS OVER IT,SHALL BE DESIGNED TO WITHSTAND AN H-20 LOADING. IF UNDER AN IMPERVIOUS SURFACE, SYSTEM SHALL BE VENTED TO THE ATMOSPHERE. 3.) TO MINIMIZE UNEVEN SETTLING, SEPTIC TANKS AND D-BOX SHALL BE INSTALLED ON A STABLE 49.Ot Overhang MECHANICALLY-COMPACTED BASE ON SIX INCHES OF CRUSHED STONE- g L46.9 Geotextile 4,) COVERS OVER THE INLET'AND OUTLET ZEES OF THE SEPTIC TANK, THE DISTR18UT1ON BOX, AND3 4 t0 THE SOIL ABSORPTION SYSTEM SHALL BE RAISED TO WITHIN 6" OF FINAL GRADE. LEACHING 49.5t n M Fabric 1-1/2",STONE FIELDS, TRENCHES,_AND OTHER SOIL ABSORPTION SYSTEMS WITHOUT ACCESS MANHOLES SHALL Existing (Double wash) HAVE AT LEAST ONE (1).INSPECTION PORT CONSISTING OF PERFORATED 4" PVC PIPE PLACED VERTICALLY TO HE BOTTOM OF THE SOIL ABSORPTION SYSTEM WITH A CAP, TIED WITH MAGNETIC a J MARKING TAPE, ACCESSIBLE TO WITHIN 3" OF FINAL GRADE. a 47.6t .85t 0o 46.57 46.4 47 5.) PIPING SHALL CONSIST OF 4" SCHEDULE 40 PVC OR EQUIVALENT. PIPE SHALL BE LAID ON A e Existing 4 MINIMUM CONTINUOUS GRADE OF NOT LESS THAN 2%;FROM THE BUILDING TO THE SEPTIC TANK, Existing � See Note #3/41, H 45.9 AND NOT LESS THAN 1%OTHERWISE. GAS GAS BAFFLE DB-3 H-20 6.) DISTRIBUTION LINES FOR THE SOIL ABSORPTION SYSTEM SHALL BE 4" DIAMETER SCHEDULE 40 PVC (OR EQUIVALENT) LAID AT 0.005 FT/FT. UNLESS OTHERWISE NOTED, LINES SHALL BE CAPPED D -BOX TWO (2) 500 GALLON H2O PRECAST AT END OR AS NOTED. 43:9 7.) LINES FROM THE DISTRIBUTION BOX TO BE LEVEL FOR.THE FIRST TWo (2) FEET BEFORE CONCRETE LEACH CHAMBERS WITH 4 OF PITCHING TO THE SOIL ABSORPTION SYSTEM, DISTRIBUTION BOX SHALL BE WATER TESTED TO EXISTING STONE ON ENDS AND 4' ON SIDES ASSURE EVEN DISTRIBUTION. -12't --� 1,0.00 GALLON 20'±- iO't --� 8.) GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR LEAVE ALL CONCRETE STRUCTURES 5,t 1N ORDER TO PROVIDE'A WATERTIGHT SEAL. SEPTIC TANK LEACH CHAMBERS 9.)'HEAVY EQUIPMENT SHALL NOT.BE ALLOWED TO OPERATE OVER THE LIMITS OF THE SEWAGE (TO Remain) (END VIEW) DISPOSAL FIELD DURING THE COURSE OF CONSTRUCTION OF THE SYSTEM. FLOW PROFILE 10.) IN ACCORDANCE WITH 310 CMR 15.221. ALL SYSTEM.COMPONENTS SHALL BE MARKED WITH MAGNETIC MARKING TAPE. NOT TO SCALE EL=38.8 Bottom Test Hole 11.) THERE ARE NO KNOWN WELLS OR WETLANDS WITHIN 150' OF HE PROPOSED SOIL ABSORPTION SYSTEM. Test Hole 1 (EL=49.3t) TEST 'HOLE LOGS 12.) FROM THE DATE OF THE INSTALLATION OF THE SOIL ABSORPTION SYSTEM UNTIL RECEIPT OF THE CERTIFICATE MAY CAUSE DAMAGE TO THE SYST EM. AND FLAGGED TO PREVENT USE OF THE AREA THAT Depth Elev. Layer Soil Class Soil Color SYSTEM DESIGN CALCULATIONS 13.) THE DESIGNER' WILL NOT BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UNLESS CONSTRUCTED AS SHOWN ON PLAN. ANY CHANGES SHALL BE APPROVED IN WRITING BY THE ENGINEER. 0' , --4" 49.0 A Sandy Loom 1 OYR3/1 SEWAGE DESIGN FLOW: THREE BEDROOM DWELLING 0 110 GPD/BEDROOM = 330 GPD 14.) THE BOARD OF HEALTH REQUIRES INSPECTION OF ALL CONSTRUCTION BY AN AGENT OF THE B Loom Sand (MINIMUM DESIGN REQUIRED 330 GPD) BOARD OF HEALTH AND THE DESIGNER. THE DESIGNER SHALL CERTIFY IN WRITING THAT THE 4"-29" 46.9 y 10YR3/4 SEWAGE DESIGN FLOW PROVIDED: TWO (2) 500 GALLON CHAMBERS SEWAGE AND HE AP ROVED P ANS,WA48 HOURS EADVANCE ONOTICE IS REQUESTED. WITH OF THE PERMIT WITH 4' STONE ON THE ENDS AND 4' STONE ON THE SIDES 15.) LOCATION OF UTILITIES IS APPROXIMATE AND CONTRACTOR SHALL BE RESPONSIBLE FOR 29"-126" 38.8 C Mediu.m. Sand 10YR4/4 DETERMINING THE LOCATION OF ALL UNDERGROUND AND OVERHEAD UTILITIES PRIOR TO Vt [(25.0 x 12.83) + 2(25.0 + 12.83) (2) x .74 = 349 GPD PROVIDED COMMENCEMENT OF ANY WORK. THIS INCLUDES, BUT 15 NOT LIMITED TO, REQUESTS TO DIGSAFE, 349 GPD PROVIDED > 330 GPD REQUIRED ANY PRIVATE UTILITY COMPANIES, AND THE LOCAL WATER DEPARTMENT. 16.) CONTRACTOR SHALL VERIFY THAT ALL WASTELINES ARE CONNECTED BY WATER TESTING SEPTIC TANK CAPACITY .REQUIRED: 330 GPD X .200 = 660 (MINIMUM) WITHIN' THE DWELLING PRIOR TO INSTALLATION OF ANY SEPTIC COMPONENTS. DATE OF TESTING: 03/29/22 SEPTIC TANK CAPACITY PROVIDED: 1,000 GALLON SEPTIC TANK 17.) CONTRACTOR SHALL VERIFY EXISTING INVERT ELEVATIONS PRIOR TO INSTALLATION OF ANY SOIL EVALUATOR: MARK POLSELLI (EXISTING) 8.)TEST T STEMHOLE COMPONENTS. A GARBAGE DISPOSAL IS NOT PERMITTED WITH THIS DESIGN FLOW 18.) TEST HOLES COMPLETED PER STATE ENVIRONMENTAL CODE, TITLE 5. SOILS CAN 8E WITNESS: DAVID STANTON, BARNSTABLE HEALTH AGENT VARIABLE AND TEST HOLE DATA IS NO GUARANTEE OF SOIL CONDITIONS IN OTHER AREAS. IF PERCOLATION RATE: LESS THAN < 2 MIN/INCH SOILS DIFFER FROM THOSE SHOWN IN THE SOILS LOGS, DESIGN:ENGINEER IS TO INSPECT THE PERC ® 44" C Layer)SOILS PRIOR TO PROCEEDING WITH INSTALLATION OF ANY SEPTIC COMPONENTS. ( 1 NO GROUNDWATER ENCOUNTERED Proposed O 9. n o sed Sew EXISTING SEPTIC COMPONENTS TO BE LOCATED PUMPED DRY FILLED WITH Sewage Disposal System CLEAN SAND AND P 9 ABANDONED IN PLACE OR.REMOVED AS REQUIRED. AREA TO P �BE COMPACTED TO MINIMIZE SETTLING. NO MOTTLING ENCOUNTERED 85 Ebe-n Smith Road Centerville MA Test Hole 2 (EL=49.3t TEST HOLE LOGS Prepared for: Depth Elev. Layer Soil Class Soil.Color LtHOFsq Ellen. & John Driscoll, Trs 0"-4" 49.0 A Sandy Loom 10YR3/1 D D 22 Clipper Lane 4"-28" 46.8 B Loamy Sand 10YR3/4 F H Falmouth MA No. 1 28"-126" 38.8 C Medium Sand 10YR4/4 G�STER� Prepared by: S41ViTAR PN All Cape Septic and Survey 618 Route 28 West Yarmouth, MA 02673 508 771-4200 olicopesepticOgmoil.com Dote: 03/31/22 Sheet 2 of 2 Rev. Dote: 04/11/22 Project No. AC-429-2