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HomeMy WebLinkAbout0067 DONEGAL CIRCLE - Health 67 DONEGAL CIRCLE .; Centerville A = 169 - 027 m i vlo, NO. 152 1/3 ORA �� _ --- 0%:--- No. CJ�o �C/`�� t t Fee THE COMMONWEALTH OF MASSACHUSETTS Entered incomputer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ftpYitation for Misposal 6pstem ConstCuttion i3ermit Application for a Permit to Construct( )` Repair/Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Locatif Addr s�,o--r��Lot No.AP 1000&/,g, cl, Owner's Name,Address,and Tel.No. Assessor's Map/Parcel cee Installer's Name,Address,and Tel.No. '7 7`L�f3Q9 Designer's Name,Address,and Tel.No. 6or nC / 4� Type of Building: 01 Dwelling No.of Bedrooms Z- Lot Size �® sq.ft. Garbage Grinder Other Type of Building iqep, CWC e No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) w gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank- l���' G.�'�S� Type of S.A.S. �' _ ,��y �� l/�✓Q>j�/S Description of Soil /®iZ 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 o �ea Sign %' Date ;7//. 255 Application Approved by Date 7 o Application Disapproved by Date for the following reasons Permit No. "— c��j Date Issued l No. - ''�0 i++ � Fee 1 �(/V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, M4S.SAGHUSETTS 21ppfiration for Disp sal,6pstem Construction J3,ermit Application for a Permit to Const uct( ) �'Repair/Upgrade( ) Abandon( ) ❑Com l to System ❑Individual Components Loggtigg Add�ss�oot No (�f�e ,� ��C Owner's Name,Address,and Tel.No. lip Assessor's Map/Parcel C.e1/ / V1, e `�y r,• Installer's Name,Address,and Tel.No. 7 7/�3p(> Designe"r s Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size / ✓� sq.ft. Garbage Grinder Other Type of Buildinglve_3il�ercwcr No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided ' gpd Plan Date b`/ ,tom/� Number of sheets f Revision Date Title }1' ✓t'//t L�� C��C�.�� G� /�' Size of Septic Tank �d®j/ C✓i�"!'SJ Type of S.A.S. Description of Soil /©iZ S �'r�j,7• y"K G 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 1.h. Sign Date Application Approved by Date 7 7-11 d Application Disapproved by Date for the following reasons a ^- Permit No. DO/0 i d CJ� Date Issued / THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CE TIFY,that th/e n-site Sewa e Disposal system Constructed( ) Repaired(41� Upgraded( ) Abandoned(J )by A �T !G' / ��✓/ at 6 7 0A1 �� G'/re � f • has been constructed in accordance with the provisions of Title 5 and he for DisposalSystem Construction Permit No4)J_ld—1-) 5dated Installer Designer r N #bedrooms Approved desi n flow gpd The issuance of tills p / it shall not be construed as a guarantee that the system 1 fun t' as desi ed. 44 Date / /6 Inspector ' No. (?� ( ----------- ------------------- Fee C) - P"CG5 //00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Disposal 6pBteT,IC Construction �ermit Permission is hereby gr ted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located a d� ©/d / [� 0�,�^✓�`/ 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 1 7 J� i7on ust b completed within three years of the date of this�ermit. /Date V} Approved b FROM :down cape engineering inc FAX NO. :150836213880 Jul. 13 2010 08:36AM P1 OMNSTA MAUS r, DWislon .1,40mi'm McKmul,T)h cibmi 700 Mmim Street,Hymmmi.-�,'MIA,02601 OfHcc: 50PI.-R01-4644 i''ax: 508-790-6304 lustaflelr_&Dqim.eir CelctificAfflun Fomi -7-v5-10 R016 .D�Dtc. Designer. 'A V) r\ Addresm: A 4 cl irem evtv L'A n") On 7 b.f- V A 1 was issned a pemit to iWLafl Ll (date) sep tic:ay stema 6� .-DJ .tD"v_ SdO (��yc(A -(_'iLW b,-iscd un a design drawn by c h1cd (de'sig e.r) ......... I certify that tho se. fi1.c syste.m. referenced renced abova wag jhsta dled substariffially according to Lhe design, which. ii i.a.y iiicRide milim- appoved chan9cs such as lateral xelocation of the distAnitimi boxand/o r septiv.lank. (US-k� (Fy) A� rws) I certify that the Septic syNtt.-n rencod dh0ve was installed with major cjI.alips geal"'r lhaT.i 10' .1-ateral relocation Ol'the SAAS or any vertical.i-el ouatio-n.of any cotxapolicllt of the septic Systcmll)bat U-I".I.Ccordance with. State & Local Rogulatiolls. Ph-m revision QI certified as-built by designer to follow. ;7 6F Y 0ANIELAA.. I)ANIE[' 0,JALA Sipuqftu.c�) A L) CIVIL (A OJALA No 46502 No,40980.1 T ii>1 A J_r s Stantip Hei-t) PLEASE rtBTUR T TO RAIRTU31AYSD PUBLIC DIVISION. i, C'.F.Tt'ru 012, wvj, NOT *(�Y, 1,13.91K(p UN 7ijj, F10'j'ja 'J'J.U.S FORM. AN.I) CAJID ARE 711,UNKY01- Crrtificatioti Fo.iii 3-26-04-Am; �. !( / Town of Barnstable I 1Depart.mcnt of Regulatory Services ✓f Public Heafth Divi5i®I<>< Date ' °n 13AfUlaTAHLE, ° •• 200 Main Street,Hyannis MA 02601 pFLt pAR�p f iY�!(T�SJk Date Scheduled 0 Tine nee Pd. Aav D� Soil Suitability Assessment for Sewage 'i osal � MOO i'crfonncd 13y: Witnessed B Z Cr�7[][O &!�s�ClE][ A L Ill�[�OJ�I�/.�E�7[I N C Location Address 6 7 6�lX, Owner's Name��wwe��� Address 666 /ll /� e Assessor's Map/Parcel: .��/ / Cnbincer'sNamc D,lL NEW CONSTRUCTION REPAIR Telephone If Laud Use Slopes(%) Surface Stones Distances from: Open'rVater l3ody Possible Wel.Areu? _2.0"2 fl Drinking Waler Weil _ _ft ` l Draihage Way y�� ft Property Line Z-� Ft Other tt SKE'TC]H., (StrooL came,dimension of lot,exact locations of test holes&pert tests,locate wctlands In pronindly to holes) 40 e 53 u '01 cl�_ U/ �3?y n Parent material(geologic)_ Dcpth to Qecboek Depth to Groundwatcr. Slanding Water in Hole: 1`� k, Weeplhg from ,it Pate T Estimated Seasonal High Groundwater cyO D]CTERMINATION FOR SEASONAL HIGH VWA71 E,R TABLE Method USCCI: Depth Observed standing in obs.hole: In, Depth to spll moltf.S3; Depth to weeping from side of obs.hold Ili, Oroullrlwuler AdJuellTlent,u, ft. Index Well if Reading Date: Index Well level Adl•flietar __ Adi.dYtlundwuteY 1 eVel JPERCOLATION TES"aC' �1atu 'll'iinat -- - Observation hole#p Time at 9" `t Depth of Perc _ 1'Ime at 6" Start Pre-soak Time @ Time(9"-6") End Pre-soak Q KO Rate Min./Inch 7. V-4w (10 Site Suitability Assessment, Site Passed— _ SiLg-Failed: Additional Telling Needed(Y/N) Original: Public Flealth Division Observation Hole Data To lie Completed on Back----------- **,,If percolation test.is to be conductect rvitlnin IOQ' of Weiland, you must first Uotify We Barnstable Conservation TAvision sat least ofie (I) weelc plricir to beginuinog. QAS CPTfCTCRCPORM.DOC Depth from E. 06 Sail Horizon Soil Texlure Hole Surface(in,) ;Soil Color Soil (USDA)`, (Munsell Other Mottling (Stricture,Stoncs;Boulders, Con isle e % ravel )+. r ell Depth from Texture Sail Color GRE RVATI®N H®�,][t LOG SurFace(in.) Soil Horizon Soil I-Tole' # (USDA) ( Soil Other --�-- Mans") k Mottling (Structure,Stones, Boulders• Consis enc %C avel 10 ff S , _ t `A u b( DE EIP O-BS ERV TIT S �i®Y LOGG Depth from, 5ojl Horizon 1F�[®Y�# Surface(in.) Soil Texhrre (USDA) Soil Color Soil (Munsell) Mottlln Other P (Structure,Stones,Boulders. C90sistrl]cy. O vel , 4 I��LlL�l1D OIIDSJL'R '• a ' Depth from VATION HOLF L Soil Horizon �� Y _ sate �# _ Surface(in.) Texture Soil Color S'ofi ' (USDA) (Munsell OtherMottlinP (Structure,Stones;Boulders, Cons' ten a I Ls cy l foodl Ifnsul'ance State Ma : Above 500"ynarflood boundary No Yes Within 500 year boundary No_k Yes within 100 year flood boundary No ]DePth ®� fPiTtsiUira➢➢y�jngpe VIOUSMHter➢g➢ Does It least four feot of naturally occurring;pervious material exist in all areas observed throw hout t al ea proposed for the soil absorption system? he If not, what is the depth of naturally occurl•ing pervious matoria'f7 �uiuuyu_ �a�tion r '. A certify that on (\/UV . � (date)I have passed the soil evaluator examination y tilt Department of Environmental PI•otectjon'and that the above analysjs,was performed byProved me cons stent with 9Pte tegtlired trainin expertise and experience criUed in CIO CMR 15.017. Signature_ �- Date Q.%S.P-PTICTEi2CrORM.DOC SYSTEM PROFILE COMPONENTSALL SYSTEM M RKED WTHMAGNETICT BE NOTES APE OR 6 COMPARABLE MEANS FOR FUTURE LOCATION. h PROVIDE MIN. 20" WATERTIGHT (NOT TO SCALE) 1. DATUM IS APPROX. NGVD o ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE 2. MUNICIPAL WATER IS EXISTING Cl_ ° o° P FOUND. 42.8' FILTER FABRIC OVER STONE PROVIDE INSPECTION PORT TO WITHIN 3" OF FINAL GRADE Q \ 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. MINIMUM J5' OF COVER OVER PRECAST 2% SLOPE REQUIRE OVER SYSTEM 41.0' 4. DESIGN LOADING FOR ALL PROPOSED PRECAST ISE RSr H-io RISERS (TYP.) n/ UNITS TO BE AASHO H-j � R 2'0 41.4' 4"OSCH40 PVC 2" DOUBLE WASHED PEASTONE PIPES LEVEL 1ST 2' i 5. PIPE JOINTS TO BE MADE WATERTIGHT. OR GEOTEXTILE �ABRIG 38.5' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE Locus y. TEE SEPTIC1 Olt NTANK** TEE 40.Of' 6" MIN. SUMP o - o .29 WITH 310 CMR 15.000 (TITLE V.) y o GAS BAFFLE:: 12" MIN. INT. DIM. 0 38.0 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND °tee°°°°° NOT TO BE USED FOR LOT LINE STAKING OR ANY 38.17' 38.0' �� 2' o� OTHER PURPOSE. SCD o o 0 36.0 toy°m/c o ' H-20 3050 INFILTRATORS 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 9. COMPONENTS NOT TO BE BACKFILLED OR 6" CRUSHED STONE OR MECHANICAL 3/4" TO 1 1/2" DOUBLE WASHED STONE CONCEALED WITHOUT INSPECTION BY BOARD OF Rou{e 28 COMPACTION. (15.221 [2]) ( 7 % SLOPE) 5.8' HEALTH AND PERMISSION OBTAINED FROM BOARD OVERALL DIMENSIONS TO OUTSIDE OF STONE: 30.4' X 10.25' OF HEALTH. 10. CONTRACTOR SHALL BE RESPONSIBLE FOR EXIST. LEACHING CALLING DIGSAFE (1-888-344-7233) AND LOCUS MAP P FOUNDATION SEPTIC TANK 26' D' BOX 2' FACILITY VERIFYING THE LOCATION OF ALL UNDERGROUND & y�+y 'y'^ OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF NOT TO SCALE *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT WORK. UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE BOTTOM TH-2 , PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM WITH 1500 GALLON H-10 SEPTIC TANK IF NOT SUITABLE (OR H-20 NO GROUNDWATER FOUND 30.2 ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL ASSESSORS MAP 169 PARCEL 27 SEPTIC TANK IF IT WILL BE SUBJECT TO VEHICLE LOADING). SHALL BE REMOVED 5 BENEATH AND AROUND THE PROPOSED LEACHING FACILITY. 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND REMOVED OR PUMPED AND FILLED WITH CLEAN LEGENDSAND. 99- EXISTING CONTOUR X 99.1 EXIST. SPOT ELEV. 99 PROPOSED CONTOUR 40.91 198.4] PROPOSED SPOT EL. BENCH MARK - CORNER OF SYSTEM DESIGN. TH 1 CONC. BULKHEAD EL. 42.0 TEST HOLE x 40. GARBAGE DISPOSER IS NOT ALLOWED 2� SLOPE OF GROUND SHED 1 40.67 .72 DESIGN FLOW: 2 BEDROOMS @ 110 GPD = 220 GPD UTILITY POLE '3 USE A 220 GPD DESIGN FLOW .10 ° ti FIRE HYDRANT �Op 41.30 _ SEPTIC NOTE NOT ALL sYMDOLS MAY APPEAR IIN DRAWING .��P ,IC -TANK:,.220_ GPD-(2) _ 440 0 x 41.90 RE-USE EXISTING SEPTIC TANK** ' TH 1 x4 ' 41.70 LEACHING: TEST HOLE LOGS X o 1� \ SIDES:2(30.4 +10.25) 1.85 (.74) = 111.3 GPD EXIST. 41.82 ENGINEER: DANIEL A. OJALA, PE, SE .68 2 / 0ST BOTTOM 30.4 x 10.25 (.74) = 230 GPD WITNESS: DONNA MIORANDI, IRS E - © 47 x 4 6 TOTAL: 461 S.F. 341.3 GPD PINES DATE: JUNE 11, 2010 41.81 USE (4) H-20 3050 INFILTRATORS, PERC. RATE = < 2 MIN/INCH X .0 EXIST: 2 BR 42.73 WITH 1' STONE AT ENDS AND 3' AT SIDES 40.41 DWELL. LOT 9 CLASS I SOILS P# 12953 39.8 G X 3 TOP4F$DN. = V 15,070 t SF / 42.1 7 40.34 SHED 0.85 x 1.4 / ELEV. ELEV. 40.32 40.69 C DECK / 0„ 4 40.9' 0" 4 40.7' - 41.95 42.o'h /42.47 40.86 41.94 \FILL FILL x 41.05 41.97 MA p o 6" 8" 40.76 APPROVED DATE BOARD OF HEALTH 9/i�CO s 40 7 41.39 \� o �� 698 �p TITLE 5 SITE PLAN G 10YR 3/2 10YR 3/2 3�°0 41.37 �y1F� \ 2. 2 G OF 12 12 2. B Bo �rti0 Qv 67 DONEGAL CIRCLE LS LS 26 \ \ 42.14 dip CENTERVILLE 22 2 / p� 30" 10YR 6/8 38.4' " 10YR 6/8 42.43 \ .85 30 38.2 Z+ . 7 Q TH OFM PREPARED FOR 41. ��� 48sX \ X 2 7 0�����NOFh/Ass9�y�� ��o� DANIEL °y� � BORTOLOTTI CONSTRUCTION/HUNT 41.71 DANIELA. GN o A. 88 / o OJALA `,`' " OJALA C C CIVIL N ` o No. 0 PERC X 1.74 JUNE 14, 2010 v No. 40 �P M C M CS �41.s4 off 508_362_4541 / S / vAi E �y., e ' �� w�rge t I fax 508 362 9880 DANIE N downcape.com o OJALA A. 2.5Y 7/4 2.5Y 7/4 CIVIL ,`, . OJALA own Cope engineering, MC. 126" 30.4' 126" 30.2' No.46502 No.4 a �0 �F �° ' �� civil engineers T o.fr ! FF sv° NO GROUNDWATER ENCOUNTERED Scale: 1 = 20' ��_��, �4 �_ s7 Svo land surveyors 939 Main Street ( R to 6A) 10- 114 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 10-114.DWG ,