HomeMy WebLinkAbout0025 PATRICIA STREET - Health 25 Patricia Street
Centerville
A=246-050
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No.2-153LOR
UPC 12534
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_JQWN OF BARN TABLE
LOCATION e� e 4 SEWAGE#
L�
VILLAGE w A ESSOR'S MAP&PARCEL (O VS-0
INSTALLER'S NAME&PHONE NO. Vo
SEPTIC TANK CAPACITY I 06 Qa
LEACHING FACILITY:(type) 4:ZL ':5LW, (size)
NO.OF BEDROOMS
OWNER �`!e>•na, `b" pt,
PERMIT DATE: IaS7 1;b1a COMPLIANCE DATE: �� Z
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
q e'
' f �✓ ii
y
9019-�l0 ,OCR
No. � Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF•BARMSTABLE, MASSACHUSETTS
9pplitation for Misposaf *pMem Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade(Abandon( ) ❑Complete System ❑Individual Components
Loca' Address of No. 5 /��. .a-;t � wner's N dd and Tel.No.
- �
Assessor's p tGg1 p( b . Q 50
In tal s Name,Address,�s Tel.No. -�f a8=330® Designer's Name,Address, Tel..No. S09'1 J S3 /,3
V
� l
Type of Building:
Dwelling No.of Bedrooms �j Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures �7
Design Flow(min.required) :7 3 Q gpd Design flow provided is a ' gpd
Plan Date 02 $ / Number of sheets o2 Revision Date ;((/A
Title /�y e,Q S 5 o2 s6cx-
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
i
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
r—
Signed Date f�
r
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. �t7�1. OW O Date Issued
No. Cl� Fee - tJ
il
IQI„V,W THE COMMEAL'TH OF MASSACHUSETTS Entered in computer:
"y v.s, .a• ..�:PUBLIC HEALTH DIVISION -TOWN OF°BARN-STABLE, MASSACHUSETTS.; Yes
implication for Misposa l-6pMe n Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade(Abandon Complete System ❑Individual Components
Loca Address o of No.,2� �' � .Q.�` aJ� Ow• er'.s N Addr and Tel.No.
Assessor's p' cel�.1 p� (0 Q 550 Q�
f
Instal Name,Address,and Tel.No. g-*j,?`f 300 Designer's Name,Address,.Ad Tel.No. ,spg-177 5_3 /3
�y
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 gpd Design flow provided a , gpd
Plan Date Number of sheets o2- Revision Date ,//A
Title A 5
Size of Septic Tank /_1;,�/� Type of,S.A.S. A X? S 7 e—
Description of Soil r�� ����
i.
i
1
Natures 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
Signed /' j� Date
Application Approved by Date G�
Application Disapproved by Date
for the following reasons
Permit No.C—o/ — �� Date Issued
.--- -
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
at �.
a,trr.� �`�- �1���s^�., �4as been constructed in accordance 1
with the provisions of Title,5 and the for Disposal System Construction Permit Now/a- -9 10 dated (P / 1
Installer Designer
ti.
#bedrooms Approved design flow
3 3 �� gpd
The issuance o this p rmit shall not be construed as a guarantee that the system 1^Ra ctt as design
------------------------------------------------------------------------------------------------------
-, - - - - = -- =
No. " d Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS
Misposa[ *pstem Construction hermit
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. i
Provided:Constru/�tio usstt�be corp`leted within three years of the date of this permit.
Date 111 r7`e� d`--' Approved by
a
Town of Barnstable
• Regulatory Services
Thomas F. Geiler,Director
MAN ` Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Date: 1�--Sewage Permit#20I2-21 b Assessor's Map/Parcel lO
' o
Installer&Designer Certification Form
Designer: 1✓,-, ; n Q,Q,,,� Vyo r lc sc Inc . Installer:
Address: lz W. Crb S S lrl 1_4. Address: x 1 Z�rj
dz(0`t`/
On as s ued a permit to install a
(date) (installer)
septic system at 2.� �`� �-` �- Ste_, Y Q 14"'1 r based on a design drawn by
CC (address)
k f- 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. Stripout (if required) was inspected and the soils
were found satisfactory. Jr Cess,.,o Po I s%, `„e4,.
0-c- a&,10 e a A-0 tc w G 5,vj-4-e0-1
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. Stripout (if required) was ' cted and the soils
wer found satisfactory.
OFMgss9c
PETER T. �N
(I °er's Sign e) McENTEE CIVIL
�
,0 9 No.35109 O
�40ST �
e - er'sSignature) (Affix Design re)
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 Y.OU.
i
q:\office forms\designercertification fonn.doc
Town of;Barnstable P# /3 677 j
i �
Department of Regulatory Services
s; str�►st _ Public Health Division Hate. Z
200 Main Street,Hyannis MA.02601
f h
JDate Scfieduled (� �/ .� — Time Fee Pd. 1 U
Soil Suitability Assessment or S e s' osal
Performed B . 1 � `��
Y' Witnessed By:
LOCATION&GENERAL INFORMATION
Location Address Z s � � C i C, !
// - Owner's Name
cev.i'-er ILL Address Z- .1G
Assessor'sMa v N
Map/Parcel: Engineer's Name
NEW CONS7R�UCTCION1n REPAIR �_. Telephone# ,50?--73�—L(-7(o F
Land Use 1 �?t�U` �-ti q I Slopes(%) .Surface Stones rJ/A-
Distances from: Open Water Body"> Possible Wet Area_72-00 ft Drinking Water Well>ZSU ft
Drainage Way 7 � ft Property Line A U ft .•Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands?n proximity to holes)
2
t
Parent material(geologic) Depth to Bedrock
Depth to Groundwater. Standing Water in Hole: v"/ Weeping from Pit FAce ,,, A— T
Estimated Seasonal High Groundwater
DETERNUNATION FOR SEASONAL HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: _ r in, Death to soil mottles: i t:
Depth to weeping from side of obs.hole: In, Groundwater Adjustment ft.
Index Well# Reading Date: Index Well level „ Adj,factor, ,q,�_ Adj.Orou'fldwater Level,,.m
PERCOLATION TEST Date , Tltne
Observation .
Hole# 2i Time at 9"
Depth of Perc �Z 1 Time at 6'
Start Pre-soak Time @ Tim(9"41)
End Pre-soak
Rate Min./lnch 2,
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:ISEPTICIPERCFORM.DOC
DEEP-OBSERVATION HOLE LOG Hole# _
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) .(USDA) (Munsell) Mottling (Structure;Stones.'Boulders.
Gravel)Consistency,%
71
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil „ Other
Surface fin.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
ons' a W,
Z. -Y 7
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color, Soil Other
Surface(in.) (USDA) _ (Munsell) Mottling (Structure,Stones,Boulders.
'i to e
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soli Other
Mottling (Structure,Stones;Boulders.
Surface(in.) (USDA) (Munsell)
Flood Insurance Rate Man: ,�/
Above 500 year flood boundary No Yes r/�_---
Within 500 year'boundary No A. Yes
within 100 year flood boundary No j!!S, yes
Depth of Naturally Oeeurri Pervious Material
Does at leastfour 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 l t�A (date)I have passed the soil evaluator examination approved by3he
=6fThvironmental Protection and that the.above analysis was performed by me consistent wi training;.expertise and experience described in l0 CN R 15.017:
Signature 1 Date
Q.\SBPT[CIPBRCFORM.DOC
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NOTE: TOI PREVENT BREAKOUT, THE PROPOSED =� 155" (3) 5" DIA.OUTLETS 16" ;�Z"
FINISH GRADE SHALL NOT BE < EL.97.8
FOR A DISTANCE OF 15' AROUND THE
PERIMETER OF THE S.A.S. 1
SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. 15.5" 6 i 8. 12"
INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT INSTALL 2 INSPECTION PORTS(MIN.) CHARCOAL VENT
OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE (CONNECT ALL LINES)
H-10 LOADINGT Z"
T.O.F. F.G. EL.=102.8t(MAX.) D-BOX
'l
F.G. EL.=EXISTING F.G. EL.=100.4f F.G. EL.=102.Ot
f f MAINTAIN 2% GRADE (MIN.) OVER S.A.S.
L 23' L = 32' L = 5'(MAX) INSPECTION PORTS
® S=1% (MIN.) p S=1% (MIN.) O S=1% (MIN.) TWO (MIN.)
4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC
Y
6"
10
"1 14„ 6 10.75" TO
INV.=98.25 48" LIQUID INVERT I I
LEVEL ADO
GAS BAFFLE INV.=97.67 PROPOSED INV.=97.50 (3 ROWS OF 6 UNITS AT 5.0'/UNIT) + 1.2' (1 COUPLER) = 31.2' --{ 1 1e
INV.=98.00 D-BOX SOIL ABSORPTION SYSTEM (PROFILE) 11N "Au E"ro�
INV.-97.40 9.45°
PROPOSED SEPTIC TANK
1500 GALLON CAPACITY ESTABLISH VEGETATIVE COVER 16 12.37"
BACKFILL WITH CLEAN NATIVE OR
TIE IN TO EXISTING 4" C.I. PIPE AT HOUSE. INV.=99.30f PERC SAND TO TOP OF CHAMBERS
1o.3R DOME END
OR PROVIDE NEW SEWER OUTLET AT, OR ABOVE, INV.=98.65 ,. INVERT
BREAKOUT=TOP ' HEIGHT
NOTES: TOP ELEV.=97.83 .'. POST END CINV. ELEV.=97.40
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE5"
INVERTS, PRIOR TO INSTALLATION. BOTTOM ELEV.=96.50- NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT
2 SEPTIC TQANK & D-BOX SHALL BE SET LEVEL AND 2.83 TO CHANGE WITHOUT NOTICE, PRODUCT DETAIL MAY
TRUE TO GRADE ON A MECHANICALLY COMPACTED 5' MIN. ABOVE BOTTOM OF DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE.
SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=8.5' 4640 TRUEMAN BLVD
310 CMR 15.221(2). EXISTING SUITABLE HILLIARD, OHIO 43026 UNITS MUST BE STAMPED H-20
LLLLLL?Awml66
3) INSTALL INLET & OUTLET TEES AS REQUIRED. NO G.W., EL=90.7 = MATERIAL ADVANCED DRAINAGE SYSTEMS,INC. Are 36HC SIDE PORT COUPLER
4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE
AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. USE 3 ROWS OF 6-ADS Arc 36HC UNITS + 1 COUPLER PER 63.25"
5) ALL SEWAGE FLOW SHALL BE DIRECTED TO THE NEW ROW WITH NO SEPARATION BETWEEN EACH ROW & NO STONE
PROPOSED SEPTIC SYSTEM. PLUMBING TO REAR CESSPOOL TYPICAL SECTION
SHALL BE REDIRECTED TO EXIT FRONT. SEPTIC SYSTEM PROFILE ,6"
34.5"
N.T.S.
DESIGN CRITERIA SOIL LOG
NUMBER OF BEDROOMS: 3 BEDROOMS
DATE: JUNE 18, 2012 (REF# P-13,673) TOP VIEW
SOIL EVALUATOR: PETER McENTEE (SE#1542) so"
SOIL TEXTURAL CLASS: CLASS I WITNESS: DAVID STANTON-HEALTH AGENT END CAP END CAP
DESIGN PERCOLATION RATE: <2 MIN/IN Elev. TP- 1 Depth ` EIeV. TP-2 Depth FRONT VIEW SIDE VIEW
DAILY FLOW: 330 GPD END CAP
103.E q 0" 101.7 q 0., REAR/TOP VIEW
wi
DESIGN FLOW: 330 GPD SANDY LOAM SANDY LOAM
NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT SIDE VIEW
GARBAGE GRINDER: NO 1OYR 4/2 1OYR 4/2 TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY
103.1 6' 101.5 2" DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE.
LEACHING AREA REQUIRED: (330) = 445.9 SF B B 4640 TRUEMAN BLVD
74 SANDY LOAM I SANDY LOAM HILLIARD, OHIO 43026 Are 36HC DETAIL
.1 10YR 5/8 30" 100.2 1OYR 5/8 18„
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PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY Cl Cl ADVANCED DRAINAGE SYSTEMS. INC. UNITS MUST BE STAMPED H-20
0 /3
M-C SAND M-C SAND 2 2 PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED " PROPOSED SEPTIC SYSTEM UPGRADE PLAN
USE 3 ROWS OF 6-ADS Arc 36HC UNITS + 1 COUPLER PER 2.5Y 6/4 2.5Y 6/4
ROW WITH NO SEPARATION BETWEEN EACH ROW & NO STONE 25 PATRICIA STREET, HYANNIS, MA
BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.80 SF/LF OF UNIT) 96 6 E2.5Y7/3
84" 95.7 02 72 Prepared for: Pastore Excavation, P.O. Box 1289, Forestdale, MA 02644
(Arc36HC Units) 18 UNITS x 5.0 LF x 4.80 SF/LF = 432.0 SF FINE SAND Engineering by: SCALE DRAWN JOB. NO.
(COUPLERS) 3 COUPLERS x 1.17' x 4.80 SF/LF = 16.8 SF 2.5Y 7/3P.T.M. 187-12
TOTAL AREA = 448.8 SF En ineerin Works', Inc. N.T.S.90.7155" j 90.7 132" Engineering
ATE CHECKED SHEET NO.
DESIGN FLOW PROVIDED: 0.74 GPD/SF(448.8 SF) = 332.1 GPD PERC RATE <2 MIN1/IN. ("C" HORIZONS) 12 West Crossfield Road, Forestdale, MA 02644 6 25 12 P.T.M. 2 of 2
NO GROUNDWATER OBSERVED (508) 477-5313