HomeMy WebLinkAbout0053 PRINCE HINCKLEY ROAD - Health (3) KL
l_ 17
C
.sK..
TOWN OF BARNSTABLE
LOCATION "Ate—
1 n L to SEWAGE#
VILLAGE L°el1.�aV, to - ASSESSOR'S MAP&LOT
INSTAULER'S NAME&PHONE NO. COPe-Ccx� Sey%�,eS 'jbE7z5n,2-M
SEPTIC TANK CAPACITY 1000 4,
LEACHING FACILITY:(type)'fujo �(��1®1 lP.ac or size S la's X J5 '
NO.OF BEDROOMS
BUILDER OR OWNER SCAt
PERMIT DATE: /qbl COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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 Facilit (If y wetlands exist
within 300 feet of eac g faci' A Feet
Furnished by
�5,
a 3o a
j
VA l'y"c e')
No. ?-( " Fee (OD
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ftpfiration for Disposal *pstem Construction Permit
Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System ndividual Components
Location Address or Lot No, /6�4,4_- f11;W/e ."-K Owner's Name,Address,and Tel.No.���s�' y716
Assessor's Map/Parcel
InsWlerls Name,Address,and Tel.No.•S oX 7,-J Designer's Name,Address,and Tel.No.<sdt01—el r r' S%l 7
���diifil G.e/�B �o�f gsfS�r� s P ✓cc�s ,E;�yia
e,41 cvur 2 p
Type of Building:
Dwelling No.of Bedrooms 73, Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 3 6 gpd Design flow provided _7 7 gpd
Plan Date ������/ Number of sheets -5-2- Revision Date
Title
Size of Septic Tank /o Type of S.A.S. �` -"to S
Description of Soil 30 `/
-2,-s�.-Zl 2—Soo Ge e-�
1y.k30 0,?6PVe. /2.8 '.k Z5_�&Z ,
Nature of Repairs or Alterations(Answer when applicable)
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 Heniffi-
Signed Date
Application Approved by Date Z ) 2
Application Disapproved by Date
for the following reasons
Permit No. Li � )ate Issued L
�.�1.,. .t, `:S�-h -`'rn...?i9iNr•�,a -.R `i.r r , t �.ra: � .. ,� � s �' z �r:m;>ti;-ii' .. ;..::,,; i
n +.rC.fi ..w . �(`�'� `m'";+K k t. 1 . +t i` r+'^• .�.r� 'se, j „..a'.:.s*..'rT4:i'..:. J. Y'N'. i,`�' .£``" ti.^,' '�'*^S,�.w.• +.�r�tr,;�„f'irY"�•'�'f*"
., `'((o {
No. t Fee
P.g+
r ' Entered in computer: ter•,_/ 4
THE COMMONWEALTH OF MASSACHUSETTS
�, Yes
PUBLIC HEALTH<DIVISION =,,TOWN OF BARNSTABLE, MASSACHUSETTS
Zipplicatlon forAk8t osaf #Opstetn Construction Permit
Application for a Permit to Construct( ) pair(,Upgrade Abandon Abandon( ) ❑Complete System / ndividual Components
Location Address or Lot No.3"3 ��� fi�i��/e .�.f, Owner's Name,Address,and Tel.No.S� y✓`-�' y /6rfj
Assessor's Map/Parcel
Inst ler�'s Name Address,and Tel.No.S"�77f ��y Designer's Name Address and Tel.No.
%Y�/sJ �e.✓f/e r Gw�/ys�'S�i�. rs�i✓�r/c•-S ,�.ayi�te- �scll�• G.t,�e✓Y��
... �1�11�! - - 4':t r,V`ara� � ,L�r^. A.%�•s�Y..YG /""� .2 Lvm1 r'e'f S ,Ci-..�/. ./I� ./�c./r..S�c��P_.
Type of Building:
Dwelling. No.of Bedrooms o'j Lot Size /F-/ sq.ft. Garbage Grinder
' Other Type of Bdilding No.of Persons Showers( ) Cafeteria( ) r
Other Fixtures
Design Flow(min.required) gpd Design flow provided '7ty'ge, 7 gpd
Plan Date A-/ i Number of sheets Revision Date
Title
Size of Septic Tank ooa vcn Type of S.A.S. C
Description of Soil 30 " ,•? "
Nature of Repairs orAltecations(Answer when applicable) l� ,,o y, g �,�r oe,<I,�,.,
i
may"
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 slued by this Board of Health,
Signed Date
Application Approved by Date
Application Disapprovedby Date +
ti
for the following reasons
Permit Nod I "t Date Issued �� r
-- - - - - - --- -- -
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( )byr.�
at 5�`. , � i;Y% has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. -I" q`1' /dated
,r �
Installer ® - Designer 'd
#bedrooms Approved design flow 33 Q gpd
The issuance of this permit shall not be construed as a guarantee that the system wil function�as designed. ry
ff ,
i' Date 1 Z L I, Inspector
j THE COMMONWEALTH OF MASSACHUSETTS
PUBLIe'HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS
ID,YsuosaY 6pstrm Construction Permit
Yf
=,Permission is hereby granted to Construct( ) Repair( ,) Upgrade( �) r Abandon(- )
r
' �. System located 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 ospecial conditions. {
Provided:Construction must be`complete�d within ree years-,of the daty�f this permit.
Date
I � 1� �
"ail 1�I 7, .Appro ed by
� .
., . Town of Barnstable
Regulatory Services
Richard V.Scali,Interim Director
• BARNSfAB[.&
;639� Public Health-DivWon
A �0
Thomas McKean,.Director
ZOO Main Street,Hyannisi`A 02601
Office: 508-862-4644 Fax: 508490-6304
Installer&Designer Certification Form
Dater l z 1 Sewage Permit# 46'Assessor's 1 p\Parcel
Designer: n Cr .cs IylC Installer: CaP?. 60A �+?llr4,1Q,
Address: I Z VJ Criss -e Icl g,4 r Address: '36-6 �-
l re�r lzdct,Le M A .Q Z 6/-/ NM, ya 01 aid it, > 1
On
Skwas'issued a permit to install a
(date) (installer)
septic system at 2, sa.C-t � yt t_L,4,q S'M based on a design drawn by
(address)
r�2er,'✓1 .. tV c✓1Js Jk( dated
(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. 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 th
an 10 lateral relocatio
n 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 i- quired) was inspected and the.soils.
were found satisfactory.
I certify that the system,referenced above was constructed in with the terms
f o the I\A approval letters (if applicable)
�pcE��E�
(Installer s Signature) CN►�
35108
(Designer's Signature) (Affix,Designe ere)
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.'.Septic't.'uesi-.ner Certification Form Rev 8-14-13.doe
I Engineers note:This certification is limited to an as-built inspection of system components as installed prior to backfill.The
engineer did not supervise construction of the system.The installer assumes responsibility for all materials,workmanship,backfilling
to specified grades with proper compaction and setting risers/covers as shown an the design plan.`
-- EXISTING CONTOUR `-
98
x 100.98 EXISTING SPOT GRADE
H( PROPOSED WATER SVC.
G EXISTING GAS SERVICE
- dG*- UNDERGROUND WIRES
01.
TEST PIT `^ _'d J.2' C CPA-
BENCHMARK
�`:�
ti
LEGEND �\! CemmMetua2saz
•� :,�
4" v
0�
LOCUS MAP'
S 56°24'44" W
112.86'
LOT 96
18,151±S.F. I z
w
w
EXIS77NG LEACH PIT ivv cw-n
TO BE PUMPED, FILLED WOODED ' x 102,72 C
W/SAND & ABANDONED AREA `
x 101. 1
v j 2.21
N ,+
Ar
UL+o. + HOLL25 TP-1' 02.31
100,26+ '
101.3 4
100.79 0 bo
EXIS77NG SEP77C TANK 0 101.39
x T�
1OL68
TO REMAIN) \
TOP OF TANK, EL.=100.03f 101.27 p 41102.00
INV.(OUT)=98.70f x SPK \
01,25 PATIO
B H 101.26 x 102.32
BENCHMARK + OM,90
x
COR./BULKHEAD 100.46 101,66
EL.=f01.90
z
EXISTING w
HOUSE(#53) 0 a
T.O.F.=101.9t + 101.37 w cn
GARAGE o rn
x 100.71 101.81 I
101,16 't: 101.58 :`` 101A9 x
101,13
101.05
x 100.52 `PAVED;_-.
1 0.60 '
-'1D0,49. 77777: .. x 100.85
DRIVEWAY, 100,61
R=562. 29' w 0 Sl 56'24'44"
jUUAU
0.50 A=42. 13'
99.76 99.76 99.61 PK SET 99.55
99.55 99.73
INCKLEY ROAD
PRINCE H
OF �ss9
o�P PETER T. �yr'� PARCEL ID: 172-188
M CIVIL y PROPOSED SEPTIC SYSTEM UPGRADE PLAN
No. 35109 53 PRINCE HINCKLEY ROAD, CENTERVILLE, MA
REGISI��
Prepared for: Cape Cod Septic Services, 350 Main St, W. Yarmouth, MA 02673
OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO.
JENKINS, ROLAND E & EVELYN M Engineering Works, Inc. 1"=20' P.T.M. 275-21
53 PRINCE HINCKLEY ROAD 12 West Crossfield Road, Forestdole, MA 02644 DATE CH=CKED SHEET N0.
CENTER VILLE, MA 02632
(508) 477-5313 1 1/2/21 P.T.M. 1 Of 2
• NOTE: TO PREVENT BREAKOUT, FINAL GRADE
SEPTIC TANK SHALL NOT BE AT, OR BELOW, EL.=97.0
INSTALL RISERS & COVERS OVER INLET & FOR A DISTANCE OF 15' FROM THE EDGE
OUTLET AND SET TO 6" OF FINISH GRADE PROPOSED D-BOX OF THE PROPOSED S.A.S.
INSTALL RISER & COVER PROPOSED S.A.S.
SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND
T.O.F=101.9t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT
F.G. EL.=100.3t F.G. EL.=101.2f F.G. EL.=100.3f F.G. EL.=100.5t
MAINTAIN 2% SLOPE OVER S.A.S.
L = 16'
® S=1% (MIN.) L = 5'
4"SCH40 PVC S=1% (MIN.) 2" LAYER OF 1 8" TO 1 2°
8" � 4"SCH40 PVC / /
DOUBLE WASHED STONE
10"I n e (OR APPROVED FILTER FABRIC)
t4' 2' EFF. #;;i!!
EXISTING 48' UQUID DEPTH -3/4" TO 1-1/2" DOUBLE
LEVEL WASHED STONE
.ADD INV.=97.47 PROPOSED GAS BAFFLE D BOX INV.=97.30INV.=98.70
(VERIFY) 3 OUTLETS INV.=97.00
EXISTING SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS
SURROUNDED WITH STONE AS SHOWN
H-10 RATED
TOP CONC. ELEV.=97.8t
NOTES: BREAKOUT ELEV.=97.50 aBaa
INV. ELEV.=97.00 eases
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE aaaaaaaaaaa
aaaaaaaaaaa
INVERTS, PRIOR TO INSTALLATION. BOTTOM ELEV.=95.00
2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE 4' 2 x 8.5' = 17.0' 4'
ON A MECHANICALLY COMPACTED STABLE BASE OR 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0'
SIX INCH AGGREGATE BASE, AS SPECIFIED IN 310 / PERVIOUS MATERIAL
CMR 15.221(2). ,/ 4' (MIN.) ABOVE G.W.
3) INSTALL INLET & OUTLET TEES AS REQUIRED. LEACHING SYSTEM SECTION
BOTTOM OF TEST PIT, EL.=90.6 =_
4) A GAS BAFFLE SHALL BE INSTALLED ON OUTLET TEE
AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL.
SEPTIC SYSTEM PROFILE
SOIL LOG
GENERAL NOTES: DATE: NOVEMBER 1, 2021 (PERC# 21-283)
SOIL EVALUATOR: PETER McENTEE SE#1542
1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL WITNESS: DAVID STANTON R.S. HEALTH AGENT
BOARD OF HEALTH AND THE DESIGN ENGINEER. ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH
2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 102.0 A 0 101.6 A 0"
OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE
LOCAL RULES AND REGULATIONS. LOOAMRY SAND
D LOOAMRY SAND
D
3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 101.5 6" 101.1 6"
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE B B
_DESIGN ENGINEER._
_ ... �, - LOAMY SAND LOAMY SAND ._
4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 10YR 5/8 10YR 5/8
FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 99.5 30" 99.1 30"
ENGINEER BEFORE CONSTRUCTION CONTINUES. C1 C1 PERC
F 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. F-C SAND F-C SAND 36"/54"
6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 2.5Y 6/4 2.5Y 6/4
94 0 g6" 93:1 102"
THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF C2 C2
HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. MED. SAND MED. SAND
2.5Y 7/4 2.5Y 7/4
8. THERE ARE NO WELLS WITHIN 100' OF THE PROPOSED S.A.S.
9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS
AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 91.0 132" 90.6 132"
DIRECTED BY THE APPROVING AUTHORITIES. PERC RATE 5 MIN/IN. "Cl" HORIZON
10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY NO GROUNDWATER ENCOUNTERED
THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
CONSTRUCTION.
11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND
REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3).
12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE
INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL.
GARAGE
EXISTING
HOUSE(#53)
DESIGN CRITERIA BACK of HousE
NUMBER OF BEDROOMS: 3 36.0' BH
SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF)
DESIGN PERCOLATION RATE: <.2-AAt ZtN� L S W N_ Qs . ���� No
DAILY FLOW: 330 GPD A
LA
DESIGN FLOW: 330 GPD Lp . --T ---
GARBAGE GRINDER: NO-not allowed with design 1
LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF i PROP. S.A.S.
.74 GPD/SF ---,--� SEPTIC LAYOUT
EXISTING SEPTIC TANK: 1000 GALLON CAPACITY
PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED
USE 2-500 GALLON LEACHING CHAMBERS IN SERIES PROPOSED SEPTIC SYSTEM UPGRADE PLAN
SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 53 PRINCE HINCKLEY ROAD, CENTERVILLE, MA
SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. / Prepared for: Cape Cod Septic Services, 350 Main St, W. Yarmouth, MA 02673
BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. ✓ Engineering by: SCALE DRAWN JOB. NO.
TOTAL AREA:.............................................................. 471.2 S.F. Engineering Works, Inc. N.T.S. P.T.M. 275-21
DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED, SHEET NO.
(508) 477-5313 11/2/21 P.T.M. 2 of 2