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HomeMy WebLinkAbout0100 ANGUS WAY - Health ii Angus Way Centerville IN ME MEN MEN MEN EMEMEMME MEMEM 1■■■■■■MEN■■■ ��■■ �■�■■■■�■■■■■■■�����■■■E■N■■ MENNEN 1■■■■■■■■■ ■■ ■■■■ ■■■■■■■■■■■■■■■■■■■ ■���■�■■ 1■■■■■■■■■■■■■■�E■■■■O■M■NE■■■OME■E■O MEMM■■■U■ IMMENEEMMEEM IMMMEMMEM No ME MEN mommommomm MENNEN 1M■■■i■■■■■M■■■■NONE■ME■■■■■■■■■■m■■o■m■■ M■N■M INN■■E■■■■■N■■■■■■■■■■■■■M■M■■M■MMM■■■MM■ M■■■■ INEMEM 1■■■■■■■■■■■■■■■■■■Yi�ii �`■■■■■■OMEN■■ MEM■■■M 1■■■■�■■�■■■■■■�■■■■■� �■■■■■■■■E■■_ENO■■M■M■■ i t I a J M 7 ^�—` yy / -4 ]� .^^ 1 1 i a ti 9 1 I ■■■■■■�■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■MEN■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■ ■■■■■■■■■■■ ■■■■■■■ ■■■■■■■■■■■■■■■ ■■■■■■■■■■ NOMINEE,■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■ �■■■■■■■■■■■■■■■■■■■■■■ No. Z10I6 ( Fee ( THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppliCAtion for Misposal *pBtrm Construction 30Prmit Application for a Permit to Construct( ) Repair j Upgrade( ) A don( ) ❑Complete System El Individual Components Location Address or Lot No. (� A n�u a W N Owner's Name,Address,and Tel.No. Assessor's Map/Parcel a� I Installer's Name,Address,and Tel.No. i4 -T*, C.- Designer's Name,Address,and Tel.No. `07 G r 4 o%t h Type of Building: S—a - 4-7-1 -01 Dwelling No.of Bedrooms I Lot Size l�, Qd y sq.ft. Garbage Grinder(�) Other Type of Building (LB ( e fi t'011 44'au"o-ko.of Persons © Showers( ) Cafeteria( ) Other Fixtures / Design Flow(min.�required) 440 gpd Design flow provided qt(�• O gpd Plan Date V•(�� 1 I Number of sheets L Revision Date Title 1�gW 4fre Off';pBS.0 (V5Ie M P/4✓)Size of Septic Tank �j(� U Type of S.A.S._e4e Description of Soil Top S of i S D SC + , + �� a I Nature of Repairs or Alterations(Answer when applicable) y 11 Y-911 Sa S 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 TitlXdealth. vironmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this B Signed Date Application A � - PP Approved b Y ' Date J f�' 1-r2' +6, Application Disapprove y Date for the following reasons Permit No. zot(p — 1 40 Date Issued _ 1-20 f 23b 16 r�-y.s«�'�r Amy=..ae.. . .;r . tir.w ..Y"-. , ?��., m � .�; ._r .. ....s� •. M .. �,a^,.:. h No. (iCJrC/ ' C7 j' t Fee O t , Entered in computer: THE > COM MO�NWEALTH OF MASSACHUSETTS --�C PUBLIC HEALTH DIVISION- TOWN OF BARNSTABLE, MASSACHUSETTS Yes apphration for .is osaY �pstern Construction 3perrnit Application for a Permit to Construct( ) Repair(j/Upgrade( ') I aft don.( ) ❑Complete System ❑ P Individual Components 1 f- Location Address or Lot No. V 5 W c, - Owner's Name,Address,and Tel.No. !Q1�.^ZS(6 O Assessor's Map/Parcel eZS� (1 — p!" (rdt� r Installer's Name,Address,and Tel.No. 14 (•-e a r r Designer's Name,Address,and Tel.No. �� �GXcAva}�vn � �� Dg04 '�' �o aho�•Y, (z5 Sag 3G9- Fn�end�4s �..�. �5- R �o r _a ,,*h 0994 Type of Building: G 3 Dwelling No.of Bedrooms Lot Size , OD 0 sq.ft. Garbage Grinder(N ) ,Other Type of Building P_e*4 e H'r i g 6f w Flo.of Persons Showers( ) Cafeteria,( ) Other Fixtures i Design Flow(min.required) 440 gpd Design flow provided 0 3 gpd Plan Date Number of sheets Revision Date `1 Title >e W S po g 46 In PAI 0 Size of Septic Tank ( Ej o Type of S.A.S. �lfp f,t� Description of Soil To S 1 TT i Nature of Repairs or Alterations(Answer when applicable) fm l��H �(�j 71 c 1,71,< box, I Sa s 3 t ,Date last inspected: I 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 tivironmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this B arm ,/Health. _.. .. Signed Date i{ Application Approved by Date i Application Disapprove y Date for the following reasons Permit No. Date issued S 1-20 -7,0►6 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned at t f7� i�a/S 11f k has been constructed in accordance i with the provisions of Title 5 and the for Disposal System Construction Permit No& dated rj /?-,a Installer ll _�7 r(ac C�J�E d"� Designer #bedrooms \ 'Approved design y © gpd The issuance of'his�ert�ttit shall not be construed as a guarantee that the system wil functlo as design . P Date ' Inspector g �- I --------------- - i I - _. . ._ .. . .. , _ i No2_V U0 Fee J 1 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem (Construction permit Permission is hereby granted to Construct( ) Repair(�) Upgrade( ) Abandon( ) System located at 00 A lass,S Wol y 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:CP nstruction must be completed.within three years of the date of this permit/Date J Zo 1 Approved by (� r Town of Barnstable . " ' .� Regulatory.Services Richard V. Scali,Interim.Director « saxxseABM '6 � Public Health Division �Eo A Thom-as McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: g-Zq Sewage Permit# ZOIG - 11 O Assessor's Map\Parcel ZSI - 67-7— Designer: 6CO -'fEChI Installer: BLS EXCAyA1-_XpA r Address: ASS Geer9c Rualer RA. Address: N —1-eqSc.T-f-W LpJ cho'lka►rti On �' 20-I L J 3�r .R EX c_mo i i�was issued a permit to install a (date) (installer) septic system at DD ^"?u S (.Jc�y based on a design drawn by (address) LL3 CJglnn�,c� .3T dated OQaTT20/4 . (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 & 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 compliance with the terms of the IAA approval letters (if applicable) XlN et _ 02 DAVID _ y B. (Installer's Sig a) SON 9 NO.1066 0 �� sc�sFS�`� (Designer's Signature) (Affix Desi 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\Designer Certification Form Rev 8-14-13.doc l NocrES THNDEPI PLAN IS INTENDED SOLELY FOR INSTALLATION OF THE SEPTIC SYSTEM � DEPICTED ON IT. FOR ANY OTHER CHANGES TO THE PROPERTY INCLUDING PLACEMENT OF ADDITIONS. SHEDS, FENCES OR SWIMMING POOLS, OWNER !f!I SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. &ROUTE SEWER PIPE TO EXIT FRONT OF DWELLING AS DEPICTED. PUMP, COLLAPSE AND FILL EXISTING CESSPOOL AS WELL AS ANY OTHERS NOT SHOWN ON THIS PLAN. e o� 0S� OG°SOq n ELEVATION D 68. 66 TOP OF WATER GP 69 D DV BEM goo G NG ,EDE PROPOSED SOIL ABSORPTIQN ® SYSTEM -SEE DEttA1L y \ ® ON BACK \ m 2 \ 9 G lA ft 14 ft \ 1 O / 7o r REROUTE / o \ \ GARB 6 9 _1 PEA G R HERE \ OT � / �� 0� � OWED o , O '� oil ®F As �®F0 ji. - 70 V T§LSD u #ES `� \ EXISTING / WATER LINE CONTOUR (TYP)_� WATER GATE O MINIMAL \ / OVERHEAD WIRE OH GRADING UTILIT Y PROPOSED POLE \ L O T 56 AREA = 15000 sf+- loo PLAN BOOK 47 PAGE 119 LEGEND ASSR MAP 251 PCL 57-2 SEPTIC COMPONENTS 40 d ft 1500 GAL SEPTIC TANK do PLAN • EXISTING b 9 CESSPOOL SCALE: I in = 20 f t 69 THIS IS A 0 20 40 DISTRIBUTION BOX® lviOL�O� TEST PIT PLAN uo o l0 20 USE COLOR PLAN ONLY PRINT ON 8—1/2 x 14 in FOR INSTALLATION PAPER FOR PROPER SCALE FULL DETAIL IS BEST VIEWED IN FULL COLOR o cFNI �� tq� . SEWAGE DISPOSAL O y9 l4NF Q� 4VFq � DAVID SS9CyG �P�ZN OF MASSq�9 ✓'J \ -TO SERVE EXIST ING DWELLING kn OJ D. o DAVID �s Q gv9pAq u COUGHANOWR N COUGHANOWR N SCOTT MANLEY 90 4VF No. 1093 No. 461 CAPE COD HOMES LLC OWNER(S) OF RECORD y5 o N NOT o E 100 ANGUS WAY Q SC S,q t, �4 - I, Q EVAL CENTERVILLE, MA 0�j 155 Geo Ryder Rd S PROPERTY ADDRESS S' CENTERVILLE, MA I Chatham, MA 02633 L O U 5 M A P Davidcou@HotmaiLcom DATE: MAY 18. 2016 508 364 0894 PG.U2 JOE9,' ETE-4055 SUL CST LOG PERC* 20�a ` � ' DESIGN CALCULATIONS SOIL EVALUATOR: DAVID D. COUGHANOWR. ASE #461 DESIGN FLOW: 4 BEDROOMS X 110 GPD = 440 GPD WITNESSED BY: DAVID STANTON. HEALTH DEPT. NO GROUNDWATER ENCOUNTERED SEPTIC TANK: 440 GPD X 2 DAYS = 880 GALLONS TEST PIT PERC AT 60 in - 2 MIN/INCH IN C SOILS INSTALL NEW 1500 GALLON SEPTIC TANK. ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER DISTRIBUTION BOX: INSTALL UNIT DEPICTED BELOW. INCHES HORIZON TEXTURE (MUNSELL) MOTTLES 68.60 0-6 Ap LOAMY SAND 10 YR 2/2 NONE FRIABLE SOIL ABSORBTION SYSTEM: 65.85 6-33 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE THE LONG TERM ACCEPTANCE RATE FOR A CLASS ONE 33-132 C MEDIUM SAND 10 YR 6/3 NONE LOOSE SOIL WITH A PERCOLATION RATE BELOW 5 MINUTES 57.60 PER INCH = 0.74 GALLONS PER DAY PER SQUARE FOOT. r� NO GROUNDWATER ENCOUNTERED THE 33.5 ft x 12.5 ft x 2 ft LEACHING GALLERY TEST PIT 2 PERC AT 60 In - 2 MIN/INCH IN C SOILS DEPICTED BELOW CAN LEACH: ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER BOTTOM AREA = (33.5 x 12.5) =418.75 sq. ft. INCHES HORIZON TEXTURE (MUNSELL) MOTTLES 68.55 0-8 Ap LOAMY SAND 10 YR 2J2 NONE FRIABLE SIDEWALL AREA = [2x(33.5+12.5)] x2 = 184 sq. ft. 8-32 Bw LOAMY SAND 10 YR 4/6 NONE FRIABLE TOTAL AREA = 602.75 65.88 FLOW CAPACITY = 0.74 x 602.75 = 446.03 gal/day 32-126 C MEDIUM SAND 10 YR 6/3 NONE LOOSE 58.05 INSTALL A 33.5 ft x 12.5 ft x 2 ft GALLERY AS CONFIGURED BELOW. FLOW CAPACITY = 446.03 gal/day WHICH EXCEEDS THE 440 gal/dog REQUIRED FOR A FOUR BEDROOM DESIGN. 1500 GALLON SEPTIC TANK DIMENSIONS ' DETAIL SOIL A = SORPTION USE OR 00 S YS rEMCONSTRUCTION 1 in ^ NOT USE SHO; REY PRECAST 00 GALLON LEACHING DRYWELL TAPER TO ��. SCALE DRYWELL 33.5 ft UNIT � co o "0 5 ft co - 0 8 in Ln -� v N 3� N co m STONE t� 4 ft 8.5 ft 8.5 ft 8.5 ft 4 ft ,O ft_6.. /n 500 GALLON DRYWELL INLET OUTLET DIMENSIONS & DETAIL INSTALL ONE INSPECTION RISER TO WITHIN THREE COVER COVER INCHES OF FINAL GRADE USE & INDICATE LOCATION s.,.. H-10 ON AS-BUILT �3 IN DROP FLOW LINE UNIT FROM 10 In BUILDING = Iq TO �0 33 �. D-BOX oc�" ., Opp in 48 in LIQUID GAS BAFFLE LEVEL 5� 102 !n 6 in STONE BASE CROSS SECTION VIEW SEPARATION BETWEEN INLET & OUTLET INSTALL AN APPROVED GEOTEXTILE-\ TEES NO LESS THAN LIQUID DEPTH FABRIC OVER STONE CROSS SECTION VIEW Tn Y =314 28 LEFFEiVE■ 1-►1n TO 2 inl GRAAVEL■ 46 in 58 in 46 in 750 in 12 in ALL STONE TO BE DOUBLE WASHED AND c MIN FREE OF IRONS, DUST AND FINES IN PLACE Lo FROM -INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE N TANK TO N STARTING WORK. O p ^ SAS O -ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR IS). -INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND 6 in STONE BASE T UTILITIES BEFORE EXCAVATING FOR SYSTEM. 21 - 2� CROSS SECTION VIEW C -ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION I- OF LOW FLOW FIXTURES & APPLIANCES. AND PERIODIC -- PUMPING OF THE SEPTIC TANK. S -SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. F L O W p G�3 O F TOP OF FOUNDATION RAISE COVERS TO WITHIN ALL PIPE TO BE SCH. 40 PVC EL = 71.46 +- b in OF FINAL GRADE AND TO PITCH AT 1/8 in/ft MIN 68.50 NST��( 65.5 USE H-20 M A X � 66.7s 15000 MkLL oN o4Do4o0p0 0. PRECAST �° o 44 ti p0o O�°p4��3O p REPLUMB 0 o 99Z DRYWELL o4o�OD�oOoa 0' SEP= TANK 65.50 6 in 64.88 Q o 65.75 REFER TO DETAIL BOX STONE SM ABSORPT ON + 65.05 BASE 64.75 24 ft 6 In STONE BASE I6 ft 5-12 ft SYSTIEM DETAIL TO � 62.75 NO GROUNDWATER (n BELOW MOTTLING OBSERVED _ 57.60 SEWAGE DISPOSAL SYSTEM PLAN 1100 ANGUS WAY CENTERVILLE. MA MAY 18. 2016 ETE-405 PG 2/2 TOWN OF BARNSTABLE LOCATION 164> A nQ S [ALdy SEWAGE# ZO)[. - `7 O VILLAGE ASSESSOR'S MAP&PARCEL Z5.1 - S 11- INSTALLER'S NAME&PHONE NO. �(� !3 EXCrLyo_A 1 Oh 17' OG53 SEPTIC TANK CAPACITY 1500 9 m I LEACHING FACILITY:(type) SOO!RcL I (size) 13 x 33 x 7- NO.OF BEDROOMS 4 OWNER fnGI 1.S5S . LjJ4L nA►3 PERMIT DATE: S'• ZO • J G COMPLIANCE DATE: $•Z q-I G 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 AZ• 36 A3• y► 33- 31 AW y3�� 4100 3 `�� wa y Town of Barnstable P#_ ! 5-9 6z,G Department of Regulatory Services H aanrtarAnr�a F Public Healih Division Date M4\ 3, 2v MAM 1.71v. 200 Main Street,Hyannis MA 02601 Date Scheduled S ( q- `l /V Time-'--t'f—� Fee Pd._ ya CD j�Soil Suitability Assessment for S�t�Disposal Performed•Hy:_r/�AVtG� 1J• �jU �t�tfw`� q ( Witnessed By: LOCATION&.GENERAL INFORMATION Location Address Lot) ,0 . Owner's Name . • �n��5 w'wy S'�st+ iM1 4.ley \ Address ' C eel.+e l� ,r,l(e Assessor's Map/Parcel:- 251 ( 7- 2 Engineer's Name i� v,d �dy vl,uhdwv- NEW CONST R UCTIO N REPAIR Telaphbne# 6 3 G $a Lnnd Uso RCVS tc(p v(f of Slopes(9G) Surface Stones Distances from: Open Water Body �,�q� ft Possible Wet•Area Drinking Water Well GAD+ ft Drathage Way 2'l/ ft Property Line L0 + ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&Pere tests,locate wetlands-in proximity to holes) • �NGV S �JA� too eTP-1 OU-Z too' Parent material(geologic) `�U\°I L qqS Depth to Bedrock Depth to Oroundwater. Standing Water In Hole: vL n�..-. Weeping from Pit Fnea d n Estimated Seasonal High Oroundwater A0 re tl°t h ti p t )VI Tv DETERMINATION FOR SEA ASONAL-HIGH WATER TABLE Method Used: ✓VLD livid Depth Observed standing In obs.hole: la, Depth to soil mottles; Depth to weeping from side of obs,bole: ln, Ornundwater Adjustment tt. Index Well•ir Reading Dato: Index Well level Adj4actor-Adj.Groundwater•Level PERCOLATION TEST Date S i 7 16 Time t, Observation 'i Hole# l Time at 9" /� Depth of Pero '•6 0 h Time at 6" H`g Start Pro-soak Time @ � � Time(9"-6") End Pro-soak ` 7 _0,of Rite MIh.[In ch V�P l TML. /Slte Suitaliillty`Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) ,y orlginal:.,Publib health Division. Observation Hole Data To Be Completed on Back--- "***If percolation test Is to be conducted within 100' of wetland,you must first notify the 6d•, - ati, . I3ernstabie'Conse>�vation Division at least one (1)week prior to beginning. _ -• Wiz... "Q:1SBPTtC1PHRCFORM.DOC `� DEEP.OBSERVATION HOLE LOG Hole# l Depth from Soil Horizon Soil Texture Shcl Color Soil. Other Surface(In.) (USDA) (Munsell) Mottling (Stnucture,Stoned;Boulders. • Consistency,96't3raven ' (� P Loy 7 �ro�� to qtR2/'Z Non tr�a�le. 3 3 B y loony 5'o,q 10""k =-� 13— t3 G DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. -8 P LgYx tii4 t tQoKP C 4 `� 3 Z w Loctvn, �gnd to DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, conslatency. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color 8011 Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders, 0 Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No✓//, Yes Within 100 year flood boundary No. YEsF AS H oM sy Depth of Naturally Occurring Pervious Material DAVID eyG� Does at least four feet of naturally occurring pervious materlal exist in all areas observed thrpughou tTi D. area proposed for the soil absorption system? k es COUGHANOWR If not,what is the depth of naturally occurring pervious material? ,.. SO e'C!_NS�� Q ro Cei ti._ f~ication 14 E VA f I,cerdfy that on u a`. _ (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consist the required training,expertise and experiepce``described in�110 CMR 15.0^A17. �a3��D s�qc Darts Mow l 7, . 2 o D pID Signature "' �' Cdnr�`� 'f , -� � COUGHAN4WR � No.1328 s SST pPROV�G(O� FM INSP- Q;1S13pT►C\PBRCPORM.DOC