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HomeMy WebLinkAbout0894 BUMPS RIVER ROAD - Health 894 Bumps River Road Centerville A = 167 - 012 S M E A D No.2-153LOR UPC 12534 snwd can • Nab In M +.� V e No. / l��� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2ppfication for Misposal 6pstent Construction 3permit Application for a Permit to Construct( ) Repair(-,,TUpg`a ( ) Abandon( ) ❑Complete System El Individual Components cation Address or Lo N L�� �. Owner's Name,Ad ress,and Tel.No. Ack LisA ssessor's ap/Parcel R0M4-t'lZ elvev-1,J Cek3,jrerV111fA'.90Q(o tal er's Name ddress,and Tel No. 57�' 3a-L De igner's Name, ddress,and Tel.No. GreATW4-,C.YQAJ2 rLd fWwla.]"l 0 - 2,04 /1 IF,A"A ISli a6a 0'a e of Building: l� Dwelling No.of Bedrooms J Lot Size aG. ODD sq.ft. Garbage Grinder( ) Y Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 CJ gpd Design flow provided ��(� gpd Plan Date (ol 17 Number of sheets Li Revision Date Title Size of Septic Tank t (QUO Type of S.A.S. 3 sco G 1�YW rs . Description of S il P���tw r i- .O N S —Lo g m-q r 140T-1ZO N -w-ea)u ylll Nature of Repairs or Alterations(Answer when applicable) �J40 ©/J 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 0VIE-/, Application Approved by Date TR 17,1 00/5 Application Disapproved b Date for the following reasons Permit No. a/7� ?�-?j/j Date Issued 9-1,2I ------_----_--_---_--_ -- -=Y==_ra--aYts_y_s_ =_�d�_t.Ys�_ _- _ _-_----_LL_aa_rs__a ._Y_vs__.�_.���.__. _� AIL, No. !/`' l �/h Fee- THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: IN Yes . `PUBLICAEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS application for Vsposaf 6pstPm Construction Permit - Application for a Permit to Construct( ) Repair(II/Upgrrad' ( ) Abandon( ) ❑Complete System ❑Individual Components c tion Address or N a �t Owner's N e,Address, d Tel.No.'S a ��, �mPS 1ve(" Rc �� C.►SH Zinn C Assessor's Ma /Parcel p VII r'R� �� r 1 e _P � U � P 2 tat er's Name ddress,and Tel.-io. Sv '" 3a-"t�s30 D ner's Name dpe and Tel.No. 'P r-7'�,O U r CO a 0 C_ g SS R .,% 1 1 a`-I G m A T rLd tjARwiL. 0 • zvy' e' .A►is,,AA';' Oa 6V �14f'i�f Building: 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) 3 3 0 gpd Design flow provided R30 Plan Date (0 l)? 1 { Number of sheets Revision Date Title cc''____ Size of Septic Tank UV U Type of S.A.S. 3 5op q/, 'Am r`S Description of it �I U('12 O l-�s �l..0 A Mom] /Q sp2 Nature of Repairs or Alterat*ons(Answer when applicable) ( SS q . Q—�304 3 500 Q I 10�j 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. a ? l S71 S�Si Date Application Approved by � Date Application Disapproved Date for the following reasons Permit No. ��DI7 ?i�h Date Issued 11/7V/y --------------------------------------------------------------------------------------------------------------------------------------- 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 1`O T O u c- C U 7 e at Xej KURiver R has been constructed in accordance with the provisions of Ale 5pand the for Disposal System Construction Permit No.7015 `2n3 C dated 9l Installer O�2 1'I p� OU r• CO ,T r�C Designer S 1`l UCtj q( A,G #bedrooms 3 Approved design flo 36 gpd The issuance of this perms sha�l not .e construed as a guarantee that the system wil functtnc i 'ntas designed. Date L 1 ' Inspector V �` � yl ----------------------- ------------- -=--------- -----------------r-------------��r?y-- ------ No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair ) 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:Construction must be completed within three years of the date of this permit Date I�i ' ZO I Approved by i i Town of Barnstable Regulatory Services Richard V. Scali,Interim Director F M"� Public Health 1639. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 8-5- 17 Sewage Permit#a0I S-a3. Assessor's Map\Parcel 1 1 z Designer: THoMA S M C_LZL-t.An3 Re. Installer: \`C 6Ve - Address: B6,x 1163 Address: 1 • C)- SA I S] �C E. DEuluis MA 0Uq t ���ls�ti�� cr. 0A(0q� On (R a,1 1 S �,(�oei 1 R, OU�_. CO was issued a permit to install a (date) (installer) septic system at 01q 150/►P..S IJAV- tzCAQ based on a design drawn by (address) _F MA S PA CLT LLA N P•C , 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 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 c©. 1. lance with the terms f the IAA approval letters(if applicable) Of l lrtl.�� (Installer's Signature) (Designer's S' ature) (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. Q:\SepticMesigner Certification Form Rev 8-14-13.doc Q TOWN OFBARNSTABLE LOCATION 1��`l'�� S "IVer' ItJEWAGE# VILLAGE C20TV-rV tl1-e- ASSESSOR'S tM��AP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY J a©p a q L- LEACHING FACILITY: (type) j G�CbNN1R r5 size) 39$�yq,%" A I_ NO. OF BEDROOMS pp OWNER U 5 A PERMIT DATE: / )a)l 1 COMPLIANCE DATE: y Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility to� Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) (,)liq Feet Edge of Wetland and Leaching Facility(If any wetlands exist within t n 300 feet of leaching facility)�n /J b ire Feet FURNISHED BY Lq 10 a a l� 3� 13"1 ilia Town of Barnstable • Q} . Departinent of Regulatory Services Public Health Division Date MAea Aid 200 Main Street,Hyannis MA 02601 ' FFph�a Date Scheduled �a�oJQ11 Time_. 1 V Fee PdI!/ ,N ' Soil Suitability Assessment for Se age ,Disposal Performed.By!-T l6 MIA �Gltl.�klj,.P j' ' Witnessed By: �/�� r LOCATION& GENERAL, Location Address n . INFORMATION 001 &rhos 1`lVti�� t'�✓ Owner's Name l�•WWO CeNy15P_V j LI.0 Address �� svm Fj (zt Vl`P-P Assessor's Map/Parcel: •14-7/1 2 TH OMAS �n Ui,UAN. / Engineer's Name !v NEW CONSTRUCTION REPAIR Telephone# og` 3.�-Irl q�q Land Use•_/l E? Slopes(%) Surface Slopes- FUI�N� Dletances fFom: Open Water Body'-_6/Ay___ft possible Wet•AreaN ft Drinking Wafer Well .NA ft Dralhage Way fit Property Line t _It Other ft SIM'TCH:(Street name,dimensions of lot,exact ioeatiOns of test holes&perc tests,locate wetlands in proximity to holes) �'S~� Vj P:0 Parent material(geologic) QU Ylnl/J S lA �J ^�n " '� Depth to Bedrock /V A Depth to Groundwater. Standing Water In Hole: IU�(v p r weeping fl'om Pit pnee I�QL"E Estimated Seasonal High Groundwater— N A• DETERMINATION FOR SEASQNAL•HIGH WATER TABU Method Used: -N0/� Depth Observed standing In obs.hole: Dellth to weeping from side of obs-hole: In. Depol to soil mottles: Index Weil#t bt. Groundwater Adjustment In. Reading Dato: lndox Well leYol •• AcU,thetor_ AsQ,ptountlwaterLevel,, _ Observatio PERCOLATION TEST pale,_ �rinr�n � , Hole# �. Time at 9" - — Depth of Pero � ' Time at G" Start Prc-soak Time @ A P_ t. AfER_ End Pro-soak �&TE A`t Rate Min./inch t 3 Z Site suitability Assessment: Site Passed 'Site Palled: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back-- ***Yf percolation test is to be conducted within 100' of wetland,you must first notify tile.Barnstable Conservation Division at least one(1)week prior to beginning. Q:ISEPTICkPERCPORM.DOC �� DEEP.OBSERVATION HOLE LOG Hole it Depth from Soil Horizon Soil Texture Shcl Color Sol[• Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stonat;Boulders. • r sl a cy %'Oravell ®M L5 lb Z 13�— M DEEP OBSERVATION HOLE LOG Hole# Z Depth from Solt Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stonca,Boulders. Consistency. a 6 LS to 21— e,s (64vL 6 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistancv. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color .8011 Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stan"'.Boulders. C li Flood Insurnnce'RfttP Maps L / Above 500 year f lood boundary No_ Yes Within 500 year boundary No Yes ' Within 100 year flood boundary No.-,— Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious mtiterial exist in all areas observed thrpughout the area proposed for the soil absorption system? If not,what is the depth of haturally 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 tra ing,expertise and experience described in�10 CMR 15.017. Signature Dato FU QAS.RPT1CkPBRCPORM.D0C N o �� ExsrlNGcoNTouR: ---- SEPTIC SYSTEM DESIGN SEPTIC SYSTEM SECTION 4 x �6 PROPOSED CONTOUR: ............. c �'QT EXISTING SPOT ELEVATION: 25.5 FLOW ESTIMATE: (3 BEDROOM MINIMUM DESIGN) 2"PEASTONE OR FILTER FABRIC W �/ PROPOSED SPOT ELEVATION: 25.5 COVERS WITHIN 6" 3/4"-1 1/2" Z �� 3 BEDROOMS AT 110 GAL/DAY= 330 GAL/DAY 103.22 OF FINISHED GRADE WASHED STONE � 'P� TEST HOLE:* TOP OF \ �, O UTILITY POLE: -p FOUNDATION »% ,. �, INSPECTION PORT U SEPTIC TANK: Lu M FENCE LINE: PJ(v HYDRANT: 330 GAL/DAY x 2 DAYS= 660 GAL ELEV.=98.0 RETAINING WALL: © T MAX' m- USE 1000 GALLON SEPTIC TANK (EXISTING) 99.8 COVER 1 MIN BUMPS ELEV. ( ) 98.85 -------- A BPS LOCUS LEACHING AREA: EXISTING ELEV. USE 3-500 GALLON CHAMBERS 8.5'x 4.8'x 2'EFF.DEPTH WITH 99.1 98.69 98.52 . . . . . . o . . . . . . ( ) . . . . . . . LOCATION MAP ELEV. ELEV. ELEV. 95.1 LOT 23 (20,000 SF) a. D-BOX H H ELEV. 2'OF STONE AROUND SIDES AND 4'AT ENDS (8.8'x 33.5'x 2') (6"STONE UNDER) 2'-4' 2'4' ASSESSORS MAP:167 PARCEL:12 1000 GAL < 8.8'x 33.5' 3 LAND COURT CASE 31043A SIDE AREA: (8.8'+33.5')x 2 x 2= 169 SF (0.74)= 125 GAL/DAY SEPTIC TANK TH TEE SIZES: (TO BE CONFIRMED) 97.17 2'OF STONE AROUND SIDES A-500 GALLON CHAMBERS ND BOTTOM AREA: 8.8'x 33.5'=295 SF (0.74)=218 GAL/DAY INLET:6"UP, 13"DOWN OUTLET:6"UP, 14"DOWN ELEV. 4'AT ENDS (8.8'x 33.5'x 2'DEEP) CAPACITY=343 GAL/DAY GAS BAFFLE AT OUTLET TEE N TH-1 99.0 TH-2 100.0 TEST HOLE LOGS O/AHORIZON ELEV. O/AHORIZON ELEV. ENGINEER: THOMAS McLELLAN,P.E. LOAMY SAND LOAMY SAND deck 10YR 4/2 10YR 4/2 bh 11" 98.1 9" 99.3 ...-....-..r WITNESS: DAVID STANTON,R.S. g HORIZON B HORIZON kitchen bed screen bath room DATE: 6-5-15 LOAMY SAND LOAMY SAND porch 24" 10YR 6/8 97.0 22" 10YR 6/8 98.2 PERCOLATION RATE: <2 MIN/IN C HORIZON C HORIZON MEDIUM SAND MEDIUM SAND garage living 2.5Y 7/4 2.5Y 7/4 room bed room 132" 88.0 132" 89.0 R1��p EXISTING FLOOR PLAN NO GROUND WATER ENCOUNTERED 96 96 NOTES: ---97 1.VERTICAL DATUM: ASSUMED -98 2.MUNICAPAL WATER IS AVAILABLE. �Qa 99 3.SCHEDULE 40-4"PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. -100-- / d, 4.ALL PRECAST UNITS SUBJECT TO TRAFFIC LOADS TO CONFORM WITH AASHTO H-20 SPECIFICATIONS. �1 101 do0 5.PIPE PITCH= 1/4" PER FOOT(UNLESS NOTED OTHERWISE). � �r1��� `0000� V 97 S� d� ��1\ , o o� 6.FIRST 2'OF PIPE OUT OF D-BOX TO BE SET LEVEL. 7.THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE USE OF A GARBAGE DISPOSAL. � / 0 8.ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE STATE OF MASS.ENVIRONMENTAL 98 �� �� o �n� CODE(TITLE FIVE)AND LOCAL HEALTH REGULATIONS. aec� ����� 32L ) \ 9.CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR TO CONSTRUCTION. 99 J 2O� 10.GROUND COVER OVER ALL SEPTIC SYSTEM COMPONENTS NOT TO EXCEED 31. / tioQ BENCHMARK AT / ' \ 11.FIELD SURVEY PROVIDED BY TERRY A.WARNER,P.L.S.,HARWICH,MA. RIGHT OF BU KHHEADR 100 / e O i \ 12.THIS PLAN REQUIRES THE REVIEW AND APPROVAL OF ONE OR MORE TOWN DEPARTMENTS AND ELEVATION= 102.51 ca° i IS SUBJECT TO CHANGE UNTIL SUCH TIME. 101 �Q 9a i W 102 101 13.EXISTING LEACH PIT IS TO BE PUMPED AND FILLED WITH SAND OR REMOVED. i 14.D-BOX TO BE WATER TESTED TO ENSURE LEVELNESS AND EQUAL FLOW. 15.THIS DESIGN REQUIRES THE APPROVAL OF A VARIANCE FROM TITLE 5,SECTION 15.211 (1): 102 �� \ LEACH AREA TO BE LESS THAN 20'FROM BULKHEAD,(VARIANCE OF 6'). e /! 16.THIS LOT IS WITHIN THE TOWN OF BARNSTABLE SALTWATER ESTUARY PROTECTION ZONE. Coo ; 101 \� SITE PLAN 125;�3� = S60 LOCATION: O ._.. O P,O �- _ 0' `` 894 BUMPS RIVER RD., CENTERVILLE, MA 1000 PREPARED FOR: LISA RIMBACH 100'" �QS DATE:6-17-15 SCALE: 1"=30' BASS RIVER ENGINEERING THOMAS J. McLELLAN, P.E. P.O.BOX 1163, EAST DENNIS,MA 02641 M15-15 508-385-3426 OR 508-364-9048