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HomeMy WebLinkAbout0031 SHUBAEL GORHAM ROAD - Health (3) _5 / sh u b 4 C7' Cco ie V , TOWN OF BARNSTABLE LOCATION ,31 Shubecj Gorl%atvn Rdl. SEWAGE# ZO2a- 01`1 VILLAGE Ctnrlct'u 11c ASSESSOR'S MAP&PARCEL 1'1.1 - 133 INSTALLER'S NAME&PHONE NO. [', ;eB EXCc«J�1�o✓� 4`1'1. OL53 SEPTIC TANK CAPACITY /OOOoo.) LEACHING FACILITY: (type) S�I t 1c(z) (size) Me 211!9 X Z NO.OF BEDROOMS OWNER�( i i - 14cg-11.cr QOuJC t PERMIT DATE: 1- )9. 2 Z COMPLIANCE DATE: 2• • ZZ— 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 Al - 2$ AZ. 49 0 G o v �C.oN. B'L" �}5'y " REA R A:3, Si ' 3 LAA4' 54y� Na �/�"' ._ ./D Fee i V THE COMMONWEALTH OF MASSACHUSETTS Entered in mputed6 r: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes RpPliLatlon for MispoBal 6pstem Construction permit Application for a Permit to Construct( ) Repair(✓j Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.31 ShaSo-r-) Go r ha.v% RcL Owners Name,Address,and Tel.No.' Q i 11 -QouJcl 1 Assessor's Map/Parcel I I I — 33 a A/trll I/e 31 1 - Installer's Name,Address,and Tel.No. Qr (3 EXcaJa'j;o Designer's Name,Address,and Tel.No.F'jakc4tA 6Aju i raa e+c Ito Tc_.bcrr%-{ LrJ F'ores-I4vLlc q77. 01,53 p,o. Box 331 Harw'ic_� -I,)y-99LI• I ILL Type of Building: Dwelling No.of Bedrooms 1 Lot Size ,`/S Ac tc 5 sQ- t. Garbage Grinder( ) Other Type of Building RCS tcA f-,4 1 cL No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided _ y$ gpd Plan Date 1-// - Z Z. Number of sheets Z. Revision Date Title Size of Septic Tank 1000 92 I Type of S.A.S. SpOTI Lic �Z) Description of Soil Nature of Repairs or Alterations(Answer when applicable) H Z O—D Box • Z Hzo Soa 90.1 L)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 Date ) Z Z Application Approved by Date Application Disapproved by Date for the following reasons Permit No. � �fJ Date Issued �i No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered inc6inputer: L PUBLIC HEALTH DIVISION TOWN OF'°BARNSTABLE, MASSACHUSETTS Yes 0[ppYitation for Disposal *pstrm Construction joermit Application for a Permit to Construct( ) Repair(-,f Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components 5 Location Address or Lot No. 31 Shw`car.j 1-0'h z• % R?-. Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 17 i • )33 ,0/1 `trv,1 tJ< 31 1sbu ha c( Installer's Name,Address,and Tel.No. G�Ja EACco-�,o A Designer's Name,Address,and Tel.No. Fxkeri#A Eau r'a mr 1'd 'tt�5�t°r•� G� F"oresi,4«lc [�'?'l OL53 •o•-30x "t`)Li•9914 • fIL - 3.31 f��rWrc� � Type of Building: g DwellingNo.of Bedrooms `/S` A 5 � Lot size c rc sq.f�. Garbage Grinder( ) Other Type of Building Rc5 iAt r-,4 t aj No.of Persons Showers( ) Cafeteria( ) Other Fixtures i Design Flow(min.required) 3 3 Q gpd Design flow provided I q,8 gpd Plan Date /-/1 - Z Z_ Number of sheets , Revision Date Title Size of Septic Tank 1000 qk-x_ Type of S.A.S. .JAI aQ c?,_-,, j L.I C l Z.) Description of Soil Nature of Repairs or Alterations(Answer when applicable) t12 U_D -RC))( Z gZ0 ,Te)C) I 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 / - ��• Z� Application Approved by Date Application Disapproved by Date for the following reasons Permit No. (/ /r/ Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( #01 Upgraded( ) Abandoned( )by _(3 4 JB EX Q-4 U<�L-1 r 0 r1€ � at '.�j Scz�,u�ac I 6o C has been constructed in accordance 1/ with the provisions of Title 5 and the for Disposal System Construction Permit No -'Q/ dated Installer E x C,-t.o-A 10 Designer Flo,ke in 4,•, E fi #bedrooms Approved design flow r? /'y gpd The issuance of this permit shall not be construed as a guarantee that the system willffu ction 1as designed. Date K, �'�` Inspector (ail! ,eyJ-tn"e -" ----- No. �.�'', �� � �` -----fJ r'- -- -�----- ------------ ---=-----.--- - Fee v���------y.- THE.COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstrut Construction permit Permission is hereby granted to Construct( ) Repair( ✓yo Upgrade( ) Abandon( ) System located at 31 S k uS c j n rK x 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 Date l , �� Approved by� ,>„ Town of Barnstable VIE r o Inspectional Services Public Health Division BAMSMIA 9� MAM. � Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644. Fax: 508-790-6304 Installer& Designer Certification Form Date: Z•Z-Z Z Sewage Permit# Zozi-,0I'l Assessor's Map\Parcel t'1I - 133 Designer: F10h<rAl4 Installer: Address: O. 00X 331 Address: Iq?'c.a.Serrta L+J N4cc..i�clti Fores-tda.l.�- - On /i- 19- ZZ S3i,13 Cxca0a,A►o'^ was issued a permit to install a (date) (installer) septic system at 31 Sht1ScLe1 Gori+a--A A-L based on a design drawn by (address) dated I - it -ZZ (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 than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State &LocaI 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 cbinpli ce with the terms of the AA approval letters(if applicable) ��of ' a DAVID Qn D. CeL --,_2f FLAHERTY,JR. � (I staller's Sign r ) No. 1211 s`INITARtI`� (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. \\toa\dep1s\HEALTMSEWER connecASEPTIC\Designer Certification Form Rev&14-13.DOC f SEPTIC SYSTEM PROFILE Flaherty Environmental Services P o. Box 339 COVERS TO BE WATERTIGHT AND Harwich., MA 02645 TOP OF FOUNDATION BROUGHT TO WITHIN 6" OF FINAL GRADE (not to scale) INSP. PORT W I 3" OF GRADE TO 2 EL. 19.0' CLEAN SAND 774.994. 1166 EL. 2" of to Z" DOUBLE WASHED EL. 19.0' PEASTONE OR GEOTEXTILE 4" CAST IRON or EQUIVALENT FILTER FABRIC LIU] MIN. PITCH 1/4" PER FOOT 4" SCHEDULE 40 PVC PIPE 4"SCHEDULE 40 PVC PIPE VENT IF REQUIRED_ FLOW LINE d. EL, 16101 20' 6.5% �(&st 2'to be le vet) •., . ,•.,. ... , a.'•; L. EXIST. 1 0000000o°°1111D oo°o °o0c . •. 14' --�.- o°000°o o o°o .'O�LJLJp 0 0 p °o°o°oo0-EL EXIST EL. 16.5' oo0 0 o p ®® Q o 0 0 00 0°0° 00° o000000oe 2:0'L. 15.03' 0 0°0°0°000°o p•t� © OQQp p p 000000000— ' EL. 15.2 EL. 15.0 °000000000 000000 � A ;°o°o°o°o 0000000000 °°Oo0° �4. E .. .. °0°°°°00C EL. 13.0' 0 0 0 0 0 0 0 •' H 20 DBOX s L SOIL ABSORPTION SYSTEM ,•„ (2) 500 GALLON H-20 CHAMBERS 5.0' •S. •:: ° •: •a.` 6"CRUSHED STONE OR 1000 GALLON SEPTIC TANK MECHANICALLY COMPACTED WITH 4 STONE AROUND IN A (DATUM: ASSUMED) (EXISTING) " to 12" DOUBLE WASHED STONE 12.83'X 25.0'X 2' CONFIGURATION EL8.5' BOTTOM OF TEST HOLE EL. 8.5' LOCATION MAP USGS ADJUSTMENT: N/A S / GROUNDWATER ELEV: N/A N TH Ra Q- • 43.4' c� / 27.3' / LOT 134 '� YH_"I Qc / _2 Locus / 0.75 ACRES± N� a / MAP 171 40.7' Gotr9�f� LOT 133 _ BENCHMARK: TOP OF FNDN 9r�p90 EL. 20.25' EXIST. S.T. o NTS SHED W LP �tN OF MqS PATIO ; �O D I EXISTING i. 3 BR F F ,eY .1 DWELLING 1G sL� _ 4T �s GISTE.. 9 DATE:111112022 REVISED: DRIVEWAY P SITE AND SEWAGE PLAN FOR - P`v, B & B EXCAVATZON, INC./ LEGEND �� BILL & HEATHER POWELL - G 6—G GAS LINE ` GO 31 SHUBAEL GORHAM ROAD W W ti,r—yF WATER LINE V� SCALE : 1 " =3 0' CENTERVILLE, MA -� E E E E EXIST. ELECTRIC V 99 EXIST, CONTOURS . `�� ----------® PROP. CONTOURS v REF.PS 306 PG 22 PAGE 1 OF 2 11:6 U IS UNDERGROUND UTIL. �� ... ..... ... ...... .. ....... ............... .... ..... ............ ...... ......... GENERAL NOTES DESIGN CALCULATIONS Flaherty Environmental Services P. 0 . Box 331 1. ALL PRECAST COMPONENTS TO BE H-10 SYSTEM DETAIL Harwich, MA 02645 RATED. ALL COMPONENTS WITH ANY 774.994. 1166 ANTICIPATED VEHICULAR TRAFFIC TO BE H-20 RATED. NUMBER OFACTUAL BEDROOMS 3 2. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A GARBAGE GARBAGE DISPOSAL UNIT NO GRINDER. 3. MUNICIPAL WATER IS AVAILABLE. TOTAL ESTIMATED FLOW 4. ALL CONSTRUCTION TO CONFORM WITH (110 GAL/BR/DAYX 3 BR) 330 GAL./DAY 310 CMR 15,000 AND ALL OTHER REQUIRED SEPTIC TANK CAPACITY 660 GAL. APPLICABLE LOCAL, STATE AND FEDERAL 25' CODES AND REGULATIONS. SIZE OF SEPTIC TANK 1000 GAL. (EXISTING) 5. INSTALLER/CONTRACTOR TO REVIEW& VERIFY ALL ELEVATIONS AND DETAILS AND SOIL CLASSIFICATION 1 REPORT ANY DISCREPANCIES TO DESIGNER PRIOR TO CONSTRUCTION OR DESIGN PERCOLATION RATE <2 MINANCH ASSUME ALL RESPONSIBILITY EFFLUENT LOADING RATE 0,74 GAL./DAY/FTZ 6. INSTALLER/CONTRACTOR IS RESPONSIBLE O O 12,83' FOR MAINTAINING SAFE WORK AREA, LEACHINGAREA VERIFYING ALL UTILITIES AND NOTIFYING (2)x(25.0'+ 12.83)(2) = 151 SF 777777 "DIG SAFE" (1-888-344-7233) 72 HOURS 25.O'x 12.83' =320 SF PRIOR TO CONSTRUCTION. 471 SFx 0.74 =348 GPD 7. ANY CHANGES TO OR DEVIATIONS FROM THIS PLAN MUST BE APPROVED IN USE(2)500 GALLON H-20 CHAMBERS WITH 4'STONE WRITING BY FLAHERTY ENVIRONMENTAL INA 12.83'X25.0'CONFIGURATIONAS DIAGRAMMED SERVICES AND LOCAL BOARD OF HEALTH. 8. FINISH COVER OVER COMPONENTS IS NOT RESERVE LEACHING CAPACITY N/A TO EXCEED 3'PER 310 CMR 15.000 UNLESS SHOWN PER PLAN. 9. ALL ABANDONED SEPTIC SYSTEM (NTS) COMPONENTS TO BE PUMPED DRY AND FILLED WITH CLEAN SAND OR REMOVED AND REPLACED WITH CLEAN SAND. 10.ALL COMPONENTS TO BE PROVIDED WITH SOIL EVALUATION 7 certify that on November 2002,/have passed the examination approved by the Department of WATERTIGHT ACCESS PORTS WITHIN 6" OF Environmental Protection and that the above analysis TEST HOLE#1 PERC 21-347 TEST HOLE#2 PERC 21-347 has been performed by me consistant with the FINISH GRADE, required training,expertise,and experience described (M1 OF Evaluator David D.Flaherty Jr.,RS Evaluator David D.Flaherty Jr.,RS in 310 CMR 15.018(2)." k� O 11.ALL SEPTIC TANKS, DISTRIBUTION BOXES SE#2755 SE#2755 AND PIPING TO BE INSTALLED BOH Witness: Mr.Don Desmarais,RS BOH Witness: Mr.Don Desmarais,RS , ' t Date: January 3,2022 Date: January 3,2022 . WATERTIGHT. 12.NO KNOWN WETLANDS OR WELLS WITHIN TH-1 ELEV. 19.0' TH-2ELEV. 19.0' 150 FEET OF PROPOSED LEACHING. 13.THIS IS NOT A CERTIFIED PLOT PLAN AND o°-4^ A LS 10YR 3/2 0"-4" A LS 10YR 3/2r�, UNDER NO CIRCUMSTANCES IS THIS PLAN 4°-28" B LS 10 YR 5/6 4 26" B LS 10 YR 5/6 i f ZZ TO BE USED FOR ZONING OR BUILDING PURPOSES. 14.LOT IS SHOWN AS ASSESSOR'S MAP 171 28^-81" C1 MCS 25Y6/4 EPERC 55' 26^-80" C1 MCS 2.5Y6/4 PARCEL 133 . 15. LOCUS PROPERTY'S PROPOSED SYSTEM SITE AND SEWAGE PLAN FOR APPEARS TO BE WITHIN AN AQUIFER B & B EXCAVATION, INC./ PROTECTION DISTRICT(ZONE II). 8l"-i26" cz Mrs z.SYs/4 80^-1�0° c2 Wars 2.5Ys<a BILL & HEATHER POWELL 31 SHUBAEL GORHAM ROAD G.W.ELEV.N/A G.W.ELEV.N/A CENTERVILLE, MA BOTTOM TH-1 ELEV.8.5' BOTTOM TH-2 ELEV.9.0' PAGE 2 OF 2 DATE: 111112022