HomeMy WebLinkAbout0377 BUCKSKIN PATH - Health .577 Buckskin Path
Centerville
A= 040-063
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S M E A D
No.2-153LOR
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No.
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(� THE COMMONWEALTH OF MASSACHUSETTS Entered in com ter:
Z' 1 YesPUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
0(pplifation for Misposal *pstrm Construction j3prinit
Application for a Permit to Construct( ) Repair(4-Upgrade(abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.377 le.A-Sk/�J P,*r1l Owner's IJame,Address Ad and Tel.No.
111 eae 11 soh nW i. ,ro
Assessor's Map/Parcel/9/-/ X s
In taller's Name Address,and Tel.No.Sa-284-'77,Sz Designer's N e Address,and Tel.No,,$OS-142' -Q 92
�a 4s
Type of Building:
Dwelling No.of Bedrooms,3 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) ZV5t & zxwa 6,eoZ.s4yzj- ,T&&k
�llkaz ,d 13o x 2-� ao !�'�/ L�� CL,�,,ff
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 0 Date
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. s Date Issued
"' / �.. a:.._._.._:r'� .���,�.-.•lu. '` Fee
" No. V V
THE COMMONWEALTH OF MASSACHUSETTS Entered incom ter:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
,
V01pplitation for Veiposal 6pstem Construction permit
Application for a Permit to Construct( ) Repair Upgrade(4)--Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.:?77 13,/6X-5A / TGI Owner's Name,Address,and Tel.No.
CIF,,-/r/;/'l/i//i, L. C32i1'a
Assessor's Map/Parcel/y/-//g y«his
Installer's Name,Address,and Tel.No. 9 0 77S 2 Designer's Name,Address,and Tel.No.SD E-36 2
Jo.-C pk U-e &,4rr'v s W/5// v s j Tvc.
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
i
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
j
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
. /Il/ai /2- /3 a x
Date last inspected"'—
f Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sew�ge disposal system in
c
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 d1� - P Date
Application Approved by (.,' '�Ux� / Date
Application Disapproved by r / / , Date
for the following reasons
Permit No. s Date IssuedIN it
t
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE MASSACHUSETTS ,
Certificate of Cornpiiatwe
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(Z--)- Upgraded(�—)-
Abandoned( )by„A ,r _�/, ,0, L���r� S
at /�,�,_/� .��i�i �w'r/� c_Gd�Ti=y(/���i has been constructed in accord e
with the provisions of Title 5 and the for Disposal System Construction Permit N . d ted
Installer Designer5, 1_/Vl,
#bedrooms Approved design flow d
PP � gP
The issuance of thisyermit shall of be construed as a guarantee that the systemwill filn�tion as des gned.
Date / Inspecto�`__
---------------------------------------------------------------------------------------------------------------------------------------
go/
No. Fee V It" '—THE COMMONWEALTH OF MASSACHUSETTS
—
PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS
Misposal 6pstrm Construction 3permit
i
Permission is hereby granted to Construct( ) Repair(z--)- Upgrade Abandon( )
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 or special conditions. {
Provided:Cons �tion ust be completed within three years of the date of this permit.
Date ' roved A
PP b Y i
A
02/07/2013 02:33PM 17744139468 MEYER AND. SONS PAGE 01/01
To" of Barnstable
Regulatory Services
Thomas F. Geiler,Director
MAM
Public Health Division
Thomas McKean,Director
200 fain Street,Hyannis,MA02601
Off ce: 508-362-4644
Fax: 503-790-6304
Installer & Designer Certification Form
Aate: f Sewage Permit#CPO-�_(!Y3A.ssessor's kN1a \Farcel-0-1 �IS
P
Aesi ner- �S IV,(
g - Installer:
Address: �1C Address:
- � NA Od
On_ was ue tss d a P ennit to install a
(date) (installer)
y
septic system at � t 11 bused on a design drawn bv
(address)
dated 1 1
(designer)
k I certify that the septic system referenced above was installed substantially according to
the design)•, which may include minor approved charges such as lateral reiocaf,on o`thz
distribution box andloa Septic tank.
I certify that the septic system referenced above was installed with major changes (Le,
gzeater tharz 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State& Local Regulatioas. Ilan revision or
certified as-built by designer to follow.
of �Asfa
p E
(In-taller's Signature) ` N 114
V
a
' NI TAR11`�
(Designer's Signature) (Affix Desig,ie:'s Stamp Mere)
PLEASE RETURN TO BAR`iSTADLE PUBLIC HEALTH DIYI ION. CERTIFICATE OF
CO,ti1PL1ANCE WILL i`IOT BE ISSUIEA UNTIL B TH THIS F0121M AND -I3L�lI T CARD AItE
RECEIVED BY THE 3ARtiSTABLE PUBLIC HEALTH DIVISION, TigANK YOU.
Q: HtnItIVSeptic/Designer Certitic3tioin Form 3=26-adoc
TOWN OF B/ARNSTABLE
LOCATION 3 77leve-ksk«'1 PwrI4 SEWAGE# _2 0/3— 007
VILLAGE C_r-e25�Vi71r- ASSESSOR'S MAP&PARCEL S 0
INSTALLER'S NAME&PH.ONE NO._S0$—wo-9y38 ✓115,WVe,9*Ae0s_
SEPTIC TANK CAPACITY . /SOD L
LEACHING FACILITY.(type) a;$"OD C�7i4�//J'A�� (size) �SX 13
NO.OF BEDROOMS 3
OWNER
PERMIT DATE: - C/ 13 COMPLIANCE DATE:
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
I� f3,, 1k Sklh Pali
41
13- 3
r t p�%ck
i
3 e �.
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistenc %Gravel
0tl- to'I R-3lV rt
Sew► LoAM l
5.�.�
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistenc %Gravel)
Lb IbYl23/y /�
I011_
DEEP OBSERVATION HOLE LOG Hole# N
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consist ency,9b Gravel
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure.Stones.Boulders.
Consisten Gravel)
Flood Insurance Rate Man:
Above 500 year flood boundary No_ Yes
Within 500 year boundary No Yes.
Within 100 year flood boundary No Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist.in all areas observed throughout the
area proposed for the`soil absorption system? .Ct
�S
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me consistent with
the required training,expertise and experience described in 3,10 CUR 15.017.
Signature n Date
Q:\SEPTIC\PERCFORM.DOC
Town of Barnstable. r#
3
Department of Regulatory Services / >
,tom. M& : Public health
D1VI51UD Bate /`� ✓ /
,L q, ems$ 200 Main Street,Hyannis MA 02601
Date Scheduled w 1 i ty C Time Fee Pd.
i
I
Soil Suitability Assessm"ent for �'
•Y Disposal
Performed B • I y"' Witnessed By:
j
LOCATION & GENERAL INFORMATION
Location Address"'3-7`� ' ( .( (� � (�„1 Pj //_1 Owner's 4
vl_e/ l t i@- Address
Assessor's Map/Prcel: (� .l I Engineer's Name
NEW CONSTRU I ION REPAIR Telephone# CV (0 ✓ 1
Land Use V Y//�1 ���/ Slopes(30) V Surface Stones
Distances from: Open Water Body ZOO ft Possible Wee Area 7 ft Drinking Water Well Z�ft
i
prainage Way ? 00 ft. . Property Line ft Other ft
SKETCH:(Street name,dimensiods of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
JCAG P n q0S-(—o SITE+ u�wl�(yb
�
I
VLAT�
i
i
i •
� I
Parent material(geOlogic) Q � I Depth to Bedrock N
Depth to Groundwater. Standing Water in Hole:' • NIA Weeping from Pit Face —
i '
Estimated SeasonaMigh Groundwater r4 /fl i
DtTERHNATION FOR SEASONAL HIGH WATER TADLE
Method Used: I In,
Depth obperved standing in obs.hole: ., Depth td ate Adjustn ft
Depth to�weeping from side of obs.hole: -777: i in. Groundwater AdJu Adj. t
Index Well# _ Reading Date Index Well lev�.l
! A .faetor„�._,r� Adj.�raundwnterL.evel.,,,,e,
PERCOLATION TEST . Dille 'xln e
Observation ` Time at 9" ..-.-----
Hole# 4L
Time at 6" -----
Depth of Perc
10° I Time(9"-6")
Start Pre-soak Time"@ to tl
End Pre-soak
Rate Min./Inch
Site Suitability Assessment• Site Passed Site Faileds_____--_—
Additional Testing Needed(Y/N)
Original:.Public 1?e'atth Division Observation Hole Data To Be Completed on Back—
***If percola#6n test is to be cond,icted within 100' of wetland,.you must first notify the
Barnstable 6 servationt Division at least one (1) wedk prior to beginning.
M' CENTERVILLE
0
I
PARCEL ID:
191/113
0
orN o r o
PARCEL IFD: o� QQ o
191/119 z a
y
�A N
U �0
PROP. 1 ,500
GAL o m va
S7 S8 SEPTIC TANK t LOCUS
4 t
PARCEL ID: _ 30 E
191 112 56.6 - - + LOCUS MAP
- F
o - - 190. 78 LOCUS INFORMATION
PLAN REF: 244/67
Ott EX15T. CE55POOL TBM: ,�/ 1 r TITLE REF: 8751/053
(SEE NOTE 10) COR BLHD`,/ 1 U! PARCEL ID: MAP 191 PAR. 118
PARCEL ID: EL=58.00 �?! �� ZONING: "RC"
e ; FLOOD ZONE: "C"
191/118 I COMMUNITY PANEL: 250001-0015— C DATED:08/19/85
AREA=17,676f S.F. ~
SEPTIC SYSTEM
REPAIR PLAN
Lo
56.2 _ = TH-'�' ��SBp• - _ I LOCATED AT:
377 BUCKSKIN PATH
CEN TER VI LLE MA.
56.4 ,?N<� �Q =
- � _ � i ; PREPARED FOR
o 377 _ SANDRA L. BRITO
s
JANUARY 1, 2013
`33p,. -;i,- ��2.,5• GRAVEL K _- = W I F�
AREA CAS
OF ,ygssq
56.6 - D
co No. 1140
sl
PARCEL ID:
� � i S —` SANI TOO'� I ( ) 1 3
191/117 ?96 _ �Ewq y
- - MEYER & SONS, INC.
GRAPHIC SCALE P.O. BOX 981
f '
20 0 10 20 40 80 EAST SANDWICH, MA. 02537
'z
(508)362- 2922
( IN FEET )
1 inch = 20 ft.
SHEET 1 OF 2
r:
ELEV. TOP
FOUNDATION NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS
(Existing) FINISHED GRADE (56.0)
58.0 F.G.EL: 57.0 F.G.EL: 56.0 F.G. EL: 56.0
A l MAINTAIN 2% MIN SLOPE OVER LEACHING AREA
:a
:v 2" OF 3/8" DOUBLE WASHED 3/4" - 1-1/2"
. . `' STONE OR FILTER FABRIC DOUBLE WASHED STONE
6 4" SCH 40 PVC
to"I (MIN. ®®®®®®®®®®®
A TEE'S ARE TO BE 6 ) ®®®®®®E®®®®
4' SCH 40 PVC 14 INV.53.10 @ S 1% 2 EFF. DEPTH ®®®®®®®®®®®
INV.53.25
INV.52.90 4' 2 X 8.5' 4'
GAS "
PROPOSED DB 3 EFFECTIVE LENGTH = 25'
ExIsrlNc ourLET BAFFLE
INV. 55.33 DISTRIBUTION BOX
INV. 53.5 a INV. ELEV.= 52.70
PROPOSED 1 ,500 GALLON SEPTIC TANK
OF GAS BAFFLE TO BE INSTALLED ON ���` MAssq BREAKOUT
OUTLET TEE AS MANUFACTURED BY A E M.
TUF-TITE, ZABEL, OR EQUAL FD TOP CONC. ELEV.= 53.70 ELEV.- 53.70
NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING
114o INV. ELEV.= 52.70 ®® ®®®®
PIPE INVERTS PRIOR TO CONSTRUCTION ®®®®®®®
2) TANK AND D-BOX SHALL BE SET LEVEL AND G�STt ®®®®®®®
TRUE TO GRADE ON A MECHANICALL COMPACTED �4NITAR��`� BOTTOM EL.= 50.70 ®®®®®®®
SIX INCH CRUSHED STONE BASE, AS SPECIFIED �3 3.75' 5 FT. 3.75'
IN 310 CMR 15.221(2) SEPARATION 5.70 FT. EFFECTIVE WIDTH = 12.5'
3) INSTALL INLET & OUTLET TEES W/OUTLET GAS BAFFLE AS REQUIRED SEPTIC SYSTEM PROFILE
BOTTOM OF TESTHOLE EL: 45.00 t SOIL ABSORPTION SYSTEM (SECTION)
(500 GALLON LEACH CHAMBER)
GENERAL NOTES:
SOIL LOGS DESIGN CRITERIA
1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL P#: 13820 NUMBER OF BEDROOMS: 2 BEDROOM DWELLING/3 BEDROOOM DESIGN
BOARD OF HEALTH AND THE .DESIGN ENGINEER.
2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DATE: DECEMBER 14, 2012 SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF)
OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE DESIGN PERCOLATION RATE: <2 MIN/IN
LOCAL RULES SOIL EVALUATOR: DARKEN MEYER, R.S
AND.REGULATIONS. ., CSE #1614 DAILY FLOW: 110 G.P.D. X 3 BR = DESIGN FLOW: 330 G.P.D.
3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR WITNESS: DONALD DESMARAIS, BARNSTABLE B.O.H.
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE GARBAGE GRINDER: NO (not designed for garbage grinder)
DESIGN ENGINEER. SEPTIC TANK: 330 gpd x 200% = 660 gpd, USE NEW 1,500 GAL. SEPTIC TANK
4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING Elev. TP- 1 Depth Elev. TP-2 Depth
FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN -
ENGINEER BEFORE CONSTRUCTION CONTINUES. 56.00 A 0" 56.00 0" (330) = 445.94 S.F.
5. ALL ELEVATIONS BASED ON ASSUMED DATUM. SANDY LOAM A SANDY LOAM LEACHING AREA REQUIRED:
6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 55.17 10YR 3/2 10" 55.17 10YR 3/2 loll .74 '
THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. B e USE TWO (2) 500 GALLON PRECAST LEACH CHAMBERS W/ 4'
SANDY LOAM SANDY LOAM , , , ,
7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 52 84 10YR 6/8 3s" 52.84 10YR 6/8 38" STONE .ON SIDES & 3.75 STONE ON SIDES: 25 L x 12.5 W x 2 D
8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED
TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. C C BOTTOM AREA: 25 x 12.5= 312.5 SF
9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY.THE MEDIUM- MEDIUM- SIDE AREA: (25 t 12.5) X 2 X 2 = 150 SF
THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING COARSE COARSE
CONSTRUCTION. PERC 0 EL. 51.0 SAND TOTAL SQUARE FEET PROVIDED = 462 vs. 445.94 REQ'D
10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND REMOVED PER TITLE 5. SAND
REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5 SPECIFICATIONS. 2.5Y 6/4 2.5Y 6/4
DESIGN FLOW PROVIDED: 0.74(462 S.F.) = 342.25 G.P.D. vs. 330 G.P.D. req'd
11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION PROPOSED SEPTIC SYSTEM UPGRADE PLAN
12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY 132" 132"
AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 45.00 45.00 377 BUCKSKIN PATH, CENTERVILLE, MA
13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING.
14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. PERC RATE <2 MIN/IN. ('Cl' HORIZON) Prepared for: Brito
15. ALL PIPING TO BE 4".SCH 40 0 1 8" FT UNLESS SPECIFIED NO GROUNDWATER OBSERVED Engineering b : Surveying b
/ / ( ) 9� 9 Y Y 9 Y: SCALE DRAWN
• I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 MEYER&SONS, INC. MacDougall Survey N.T.S. DMM
to conduct soil evaluations and that the above analysis has been performed by me consistent with the PO BOX 981 requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Eval. Exam in October, 1999. EAST SANDWICH,MA 02537 1 508) 419-1086 DATE CHECKED SHEET NO.
508362-2922 01/01/13 DMM 2 of 2