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Home My WebLink About0072 DUNASKIN ROAD - Health 72 Dunaskin Road Centerville Hyannis A = 229 — 005 /// SMEAD No.2-153LOR UPC 12534 smead.com • Made In USA ti NW OwuSmwrrmLw ;Fl mmmsmommmumm WWW-SAPOOPAWOM V��VNO.' \ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in eo uteri Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Rpphration for Disposal *pstem Construction permit Application for a Permit to Construct( ) Repair(/Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. a Nr rwSk% \ Ro Owner's Name,Address,and Tel.No. Assessor's Map/Parcel t,- ✓ Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 'So- -6 gLcif C>6foot VV CVS �- Type of Building: Dwelling No.of Bedrooms 13 Lot Size sq.ft. Garbage GrinderOro Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required). 3,3® gpd Design flow provided 1313-6 gpd Plan Date \3 Number of sheets Revision Date Title Size of Septic Tank k 516(� Type of S.A.S. JL Description of Soil Nature of Repairs or Alterations(Answer when applicable)9e)CA CA,c,Z C45 b,(\w 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. ig ed b Date 3-4)V 2 1 Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued V4 R�74 t,-•. `No: nI — _ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 1 ftpYitatioii for M18pD8aY 6pstettt C0)iBtrUttioTY Permit w Application for a Permit to Construct( ) Repair(/Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. "7 a Owner's Name,Address,and Tel.No. � Assessor's Map/Parcel Installer's Name,Address,and Tel.No. _ p�L-E=-� Designer's Name,Address,and Tel.No. tiS Type of 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 3D gpd Design flow provided ?�� gpd Plan Date '<:7' bi '3 Number of sheets Revision Date Title Size of Septic Tank \ . () Type of S.A.S. PA I CGS n.�� R Description of Soil t 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 of Health. Aigde�d _ G „ Date Application Approved by // , Date Application Disapproved'by Date for the following reasons / Permit No. Date Issued I . TH'J' COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certifitate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by -- t/ at /c (Z has been const cted in a • ance with the provisions of Title 5 and the for Disposal System Construction Permit N . �' ated Installer Cp �rc�Ul Designer S XX #bedrooms �3 Approved design flow �] / gpd The issuance of this pe it shall q6t be construed as a guarantee that the system will fiffie tion as designed. C Date S Inspector �/11 l� !�. 1/��t �• � ..._..; f - L v t J✓ C J No. Fee (� /// THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem ConstrUttion Permit Permission is hereby granted to Construct( ) Repair(L/ Upgrade( ) Abandon( ) System located atT Q C . \J► ��Q 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 mu f b co m leted within three years of the date of this permit. Date /I Approved by 4YI kk Town of Barnstable ` QFZHE Tp� yP� ti� Regulatoe y_,Services Thomas F,_Geiler,Director �wtwsrwst.E, SS" 6;9. Public Health Division � t'b . A jE0 MAC Thomas McKean, Director 200.Al2in Street,Hyannis,AIA 02601 Office: 509-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 1 ' �3 Sewage Permit* )�)�-L —I �(gAssessoi-'s maplParcel Designer: � ty- �, Si PE Installer: �T Address: q z3 u iZ LA Address. 113 C-,L > YAq-jA-- ?e. c. On_5 a `` e iT jam; ._ was issued a ern (date) (installer) p pit to install a septic system at cal �.i��,.S��/, CL)\At4' lVbased on a design drawn by (address) S_K P H-E- A. 1- -p4e- dated \y (desigiaer) I eertifv 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 boa and/or septic tank. I certify that the septic system referenced above was installed with ma-for changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of anycomponent of the septic system) but in accordance -,A?ith State Local Regulation}s. Plan revision or certified as-built bydesigner to follow. (Installer's re) � ' (7' s F_ L (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. ° QAScptic\JA,signer Certification Form Rcvised.dc.,: TOWN OF BARNSTABLE LOCATION I ). SEWAGE# 02 Q I VILLAGE Ce,NY,\ kk-O!, ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. JGo�ck !3nK�X J V 06 6 f SEPTIC TANK CAPACITY �. V (-� 10 14 cO f 69 6 Dy LEACHING FACILITY.(type) 1 L W\ c 30 (size) 14 X a�5-X f i NO. OF BEDROOMS OWNER G�Jr�S C.,3 Do PERMIT DATE: ., /�C/ I K3 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 withini, 300 feet of leaching facility) Feet FURNISHED BY. 'S C, l� �s ►� � 'IA as rye t� Ll ? o �t to 0 r Oak. v Town.of Barnstable P 0 - ,, Department of Regulatory Services / Public Health Division Date ��/� ✓/ 3 200 Main Street,Hyannis MA 02601 Date Scheduled Time Fee Pd. er� Soil Suitability Assessment for Sewage Disposal Performed By: STC—pm Witnessed By: LOCATION& GENERAL INFORMATION / Location Address Owner's Name j,0\c. co G [,S�.� CIO 6D � C X/`.� Address Assessor's Map/Parcel: a ^-� o(�� Engineer's Name NEW CONSTRUCTION REPAIR Telephone-# Land Use ' "' "` -e— Slopes(g'o) 4__ Surface Stones Distances from: Open Water Body 130 ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line 1� ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) .21 Parent material(geologic) fi- Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Nf A- Weeping from Pit Face Estimated.Seasonal High Groundwater 44 _ DETERMINATION FOR SEASONAL 41IGH WATER TABLE Method Used: wcX-'c. CuC' ,��-r�-� .) -- Depth Observed standing in obs.hole: _ _ ___In, Depth to soli mottles: in, Depth to weeping from side of obs.hole: in, Groundwater Adjustment ft. Index Well# Reading Date: Index Well level „ Adj.factor— Adj,Groundwater Level,,n PERCOLATION TESL' Datt: Thne.�.' Observation Hole# Time at 9" , Depth of Perc _ Time at 6" Start Pre-soak Time @ 'Time(9"- " End Pre-soak Rate Min./Inch G Site Suitability Assessment: Site Passed ✓ Site Failed: Additional Testing Needed(Y/N) Original: Public 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. Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTICIPERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones;Boulders. onsistency.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consiatency,% ra 6 ArU y� 3 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.% e 1 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sail Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. Flood Insurance Rate Map: 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? _— 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 trai ' xpertise and experience described in 3 10 CMR 15.017. Signature �—' Date 5 y Q:WBP'n0PERCFORM.DOC ACCESS COVERS MUST BE WITHIN INSPECTION 9 MINIMUM. INVERT ELEVATIONS DESIGN CRITERIA : GENERAL NO TES : „ 6. OF F t N i SH GRADE .. ..r. PORT 3' MAXIMUM COVER 101.6 FIRST 2" TO INVERT AT BUILDING: 98. 1 DESIGN FLOW: BE LEVEL` Nam^ 'INVERT IN SEPTIC TANK: 97.9 3 BEDROOMS AT 110 G.P.D. PER I. THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION 'I NVERT OUT SEPTIC TANK: 97.65 BEDROOM EQUALS 330 G.P.D. OF THE SEWAGE DISPOSAL SYSTEM ONLY. I, 4' DIAM PIPE CLEAN SAND BACKFILL INVERT IN DIST. BOX: 97.47 96. / 1-6 97.6 97.3 // ' H-20 AROUND AND 2' OVER CHAMBERS INVERT OUT D/S T. BOX: 97.3 NO GARBAGE GR l NDER 2. VER T t CAL DATUM /S ASSUMED. FOR BENCH MARKS SET. SEE SITE PLAN. ,7✓ 96.3 /NVERT I N LEACH CHAMBER: 97.22 97.9 � BAFFLED 7.47 ° 97.22 SEPTIC TANK REQUIRED 16 HIGH CAPACITY INFILTRATOR BOTTOM OF LEACH CHAMBER: 96.3 3. ALL CONSTRUCTION METHODS AND MATERIALS AND 5 OUTLET 330 G.P.D. X 200% - 660 GAL. 1p D-BOX CHAMBERS IN BED FORMATION ADJUSTED GROUND WATER: N/A SEPTIC TANK PROVIDED: 1500 GAL. MIN. MAINTENANCE OF THE SEPTIC SYSTEM SHALL 1500 GAL PBSERVEO GROUND WATER: N/A SEPTIC TANK 6" CRUSHED STONE OR CONFORM TO MASS. D.E.P. TITLE 5 AND LOCAL BOTTOM OF TEST HOLE *1: 90.5 SOIL ABSORPTION SYSTEM REQUIRED: BOARD OF HEALTH REGULATIONS. COMPACTED BASE p DES l GN PERC RATE C 5 M/N/l NCH / RDF I L E : NOT TO SCALE SOIL TEXTURAL CLASS - / 4. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER EFFLUENT LOADING RATE - 0.74 GPD/SF AREAS SUBJECT TO VEHICULAR TRAFFIC OR GREATER 330 GPD / 0.74 GPD/SF - 446 S.F. REQUIRED THAN 3' IN DEPTH SHALL BE CAPABLE OF WITH- STANDING H-20 WHEEL LOADS. VARIANCES REQUIRED : PROVIDED: l6 HIGH CAPACITY INFILTRATOR CHAMBERS, 100'x 4.73 SF/FT - 473 S.F. 5. ALL SEWER PIPE SHALL BE SCHEDULE 40 PVC OR T,TL E 5. MAX I MUM FEAS I BL E COMPL I ANCE 473 S.F. x 0.74 - 350 GPD APPROVED EQUAL. / SECTION 15.211:(1) MINIMUM SETBACK DISTANCES 6. SEPTIC TANK AND D-BOX SHALL BE REINFORCED 20' IS REOUIRED BETWEEN THE SAS AND THE FOUNDATION. /0' IS PROVIDED, SOIL TEST PIT DA TA & PRECAST CONCRETE OR APPROVED POLYETHYLENE. A l0' VARIANCE IS REQUESTED. /0' IS REQUIRED BETWEEN THE SEPTIC TANK BOTH SHALL BE WATERTIGHT. D-BOX SHALL BE WATER INDICATES V _ INDICATES AND THE FOUNDATION. 8' IS PROVIDED. A 2' VARIANCE /S REQUESTED. PERCOLATION OBSERVED TESTED FOR LEVEL WHEN THERE /S MORE THAN ONE TEST _ GROUNDWATER OUTLET. TP ;�l P#13913 TP *2 T. BEFORE CONSTRUCTION CALL 'DIG-SAFE". O i �� / // // // /y rr HORIZON TEXTURE COLOR HORIZON TEXTURE COLOR 1-888-DIG-SAFE AND THE LOCAL WATER DEPT. / FOR L OCA T l ON OF UNDERGROUND UTILITIES. LOAMY IOYR Q LOAMY IOYR / / / / / / / / / r` r �• r SAND 3/3 SAND 3/3 r96 Sp. 8. SEPTIC SYSTEM INSTALLERSHALL NOTIFY THE 6" -- - - - - - - - - - - - - - - - - - - - - - 100.0 6" - - - - - - - - - - - - - - - - - - - - 100.0 /9k/ /// / -/ 'r r r r r DESIGN ENGINEER TWO DAYS PRIOR TO CONSTRUCTION LOAMY IOYR LOAMY IOYR L 0 7 7 r B SAND 5/8 B SAND 518 OF THE SYSTEM TO ALLOW FOR SCHEDULING OF THE / r / r / / / / / / / i` .r r r CONSTRUCTION l NSPECT I ON$. - - - - - - - - - - - - - - - - - - - - / / f/ rr / // l�!500+r S.F. rr rr \ _ _ 18" - - - - - - - - - - - 99.0 /8" 99.0 98r MED-COARSE IOYR C / MED-COARSE IOYR SAND AND 5/6 SAND AND 516 9. EXISTING CESSPOOL TO BE PUMPED DRY AND GRAVEL GRAVEL BACKFILLED. 100'A \ up 52" fS, RELOCATEDl*,,. WATER LINE\ 98.5 99.45 � o I . 120_ NO WATER 90.5 120. NO WATER 90.5 DATE: APR I L 8. 2013 I6 HIGH CAPACITY TEST BY: STEPHEN HAAS I I � ' :•:�� INFILTRATOR CHAMBERS' WITNESSED BY: DONALD DESMARA I S I I I I i A . PERC RATE: C 2 MIN/INCH D-BOX p, I O 'u �. TPs21 on 99 2 p 40 MILL POL I ( - I VAPOR BARRIER TPsI l \r y 1 I �l 100. 1 I500 GALLON /0• / � • � SEPTIC TANK , - - S EP T / C S YS TEM DES l ON \ 99.8 \ BM. CB/DN FND \ EL-9s.Br 72 DUNASK l N ROACH MAP 220 , PARCEL S NE BAF? NS TA EL E ( CEN TER V l LLE ) M#4 Y PRE*FARE0 FOR ROUTE 2 LEGEND C H R 1 S WOOD LONG Po 0CB CONCRETE BOUND / 0 COVE ISLAND ROAD . CENTERV l LLE . MA 02632 S --W WATER L INE V HYDRANT SCALE l - 20 MA Y 14 , 2013 gym PINf TR ET -G GAS LINE T OHW-- OVER HEAD WIRES .c"S, � T E P H E 1 V A . H A A S -0 LIGHT POST ENGINEERING , INC --E- UNDERGROUND ELECTRIC LINE-T--- UNDERGROUND TELEPHONE LINE / �' r 9 2 3 F2 o u t e 6 A -CTV- UNDERGROUND CABLEV I5lON LINE // ,, i � I � �.�•�. Ya rmo u t h p ort MA 02675 ( 508 ) 362-8 1 32 +40.4 SPOT ELEVATION _qT .40------- EXISTING CONTOUR 40 PROPOSED CONTOUR LOCUS MAP o !0 20 40 JOB NO: 13-018 j