HomeMy WebLinkAbout0045 PATRICIA STREET - Health I
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I.OWN OF BARNSTABLE
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i,QCATION- `f 5SEWAGI
VILLAGE. ASSESSOR'S MAP LOT _
„INSTALLER'S NAME PHONE NO.
SEPTICYTANK CAPACITY ! C) ` 0
LEACIiING FACILITY:(type) /0 _ (size)
%NCO, Of; BEDROOMS_ ` _F �= ^R PUB LE"- WATER
BUILDER OR OWNER_�� �`�-� �:: k,)
DATE PERMIT ISSUED: Ll o _
DATE COMPLIANCE ISSUED_
VARIANCE GRANTED: Yes No
O \
TOWN OF BARNSTABLE
, -bCATION " _ ' � ' " SEWAGE #
VILLAGE ASSESSOR'S MAP & LOT 2L/e- qg
INSTALLER'S NAME & PHONE NO. QQ
SEPTIC TANK CAPACITY ligoo ` ;5
LEACHING FACILITY:(type) (size)
NO. OF BEDROOMS PRIVATE WELL OR UBLIC WAT
BUILDER OR OWNE:R
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: !/ �� ��•�,f/Z.
VARIANCE GRANTED: Yes No
�r�,4 OXIe l'a,�
d
0
r
TOWN OF BARNSTABLE
;.00ATION 4 S 'Po-A�i c i o� S-1. SEWAGE# ZO 1 ' OS G
VILLAGE ASSESSOR'S MAP&PARCEL 241, • 048
INSTALLER'S NAME&PHONE NO. 2 4, Q ExcayaA o^, 4 1'1. OLa.S3
SEPTIC TANK CAPACITY 1 SOO 4o.1 Am S'- j 000 ao.) d I O P.Ic-
LEACHING FACILITY. (type) r%zlc4• perC p%pG(size)
NO.OF BEDROOMS S -.
OWNER ELEA n>O i2 Sar Kc r
PERMIT DATE: 3-j,- 1' COMPLIANCE DATE: $3 X 23X .5
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
At- A�k'
81 - a�°
6"
A3- ;�6° A
Ay- a�
�8q. 3a` 6'' O®
ASS- �t g
AL - 6l � �„
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ftPlitation r migosal *pstpm Co=stem.
permit
Application for a Permit to Construct( Repair( ) Upgrade( ) Abandon( ) ❑Individual Components
Location Addre s or Lot No. ,6 POfr i Ua ST Ow er's Name,Address,and Tel.No.
CQ� ��1 Par S>rnps r n
Assessor's Map/Parcel ( 4 —
Installer's Nam ,Address,and Tel.No. Desi er' Name,Add s and Thl.No.
4
09
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) 55 gpd Design flow provided gpd
Plan Date _I_� 1 ( < 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)
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 H It .
Si ed Date 3-b-1
Application Approved by Date lB .
Application Disapproved by Date
for the following reasons p� /
Permit No. �-�v Date Issued lA
No. ✓ % Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
�! PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
2pplication far 'i oral 6pstettt Construction i3ermit
Application for a Permit to Construct(Repair( ) U ra , Abandon( ) mplete System ❑Individual Components
Location Addre s or Lot No. I y 6 Aa f r l ua ST Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel
�..�1 ��& Purce �4� �'g PS°n t
Installer's Name,Address,and Tel.No. Desi er' Name,Addre s and Tel.No.
843 tXCOVOJion .Sa9- 07- 0663 vp, _55v6/0 _5 09-3 2. 6293L4
Type of Building:
Dwelling No.of Bedrooms 5 Lot Size sq.ft. Garbage Grinder
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) J�5 gpd Design flow provided gpd
Plan Date 1 ( (' Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
1
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 . H It .
Sig eed Date—3 -
Application Approved by Date (O
Application Disapproved by Date
for the following reasons
j F
..J Permit No. Date Issued (p
---------------------------------------------------------------------------------------------------------------------------------------
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 [i\I o-t t U n
at lJ Q ('l t _ Ce.n _r Al I IJ s been constructed in accordance
with the,pro ' ions of Title 5 d the for Disposal System Construction Permit No / —QS dated
Installer o T (rlj Designer I �� Go L I G e S
#bedrooms Approved design flow ) gpd
The issuance of t is pe it shall not be construed as a guarantee that the system w'1n funnet10 as dT
' ed.
Date L ► Inspector \ l
----------- -------- --------------------------------------------------------------------------------------------------
No. D,C" Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS
Misposal 6pstem Construction Permit
Permission is hereby granted-t. Construct( ) Repair( ) Upgrade( ) Abandon( )
System located at �� I'0 i Gt.G7
J
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 w'thin three years of the date of this permit.
Date Approved b
=T— PP Y
Town of Barnstable
Regulatory Services
Richard V. Scali, Interim Director
x x
+ BAMSTABM x
i6396
Public Health Division
1� '
°i Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-8624644 Fax: 508-790-6304
Installer& Designer Certification Form
Date: J /17 Sewage Permit# Assessor's Map\Parcel
Designer: YA$ern/�i)klInstaller: � � ®
Address: - � � /� t� Address:
& 2
On 14? was issued a permit to install a
(date) (installer)
septic system at /� � based on a design drawn by
(address)
dated Z
(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 in compliance with the terms
of the I\A approval letters (if applicable)
Asa OF
A
(Installer's Sign re o VON HONE 'j
1068 0 `�
(Designer's Signature) (Affix DesijffVVWWmp 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:\Septic\Designer Certification Form Rev 8-14-13.doc
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Install risers w/covers over inlet and Maintain Min. 2% slope over leach NOTE: A minimum of 9" of fill
[7EL.18.1
(Full/Crawl) Provide Riser over Pump to � NOTE: All components to be
outlet to within 6 of.final ,grade facility, to prevent ponding required over leach field. Breakout
Assumed final grade. (Cover to be marked with maghetic tape or q
(Access Covers min. 20 diam. per Code) elevation 17.72 to be maintained a
watertight and secured.) Riser and cover within 6 of rode. similar prior to final cover.
F.G. EL:15.6-17.3f F.G. EL: g minimum 15' beyond edge of stone.
ExistingF.G. EL:17.Ot F.G. EL: F.G. EL:18.5t Use 40 ml Liner along easterly
Invert A C.I. outer edge of soil removal.
Lift Chain uick Disconnect & Gate Valve 1 ,� Double Washed Stone
EL. 14.93 `' (Option:route pressure line �4" Inspection Port (Min. 1)
to remain L=15' . Check Valve '. through Riser EC 16t) 2" Tee /within 3" to grade
Invert B C.I. 4" SCH 40 P : - L=3'
Minimum 2" Peastone or
• 4" SCH 40 2" PRESSURE PVC L=10' L"varies 2' - 6'SCH 40 1 0.005 % sloe Filter Fabric EL.=17.72 Breakout
EL. 16.02 OS .2 2 ry io• rain cc o um Ca ends EL. 17.22
reroute to Inv. EL. 14.6 14• S=1.6%(1%' ) ALARM p am er 6 >,@S=0.5% 0.5%.MIN p
internal) EL. 14.35 24• PUMP ON 1/4" WEEP HOLE 12 6" EFF. DEPTH
Y bandon Exter 1 I EL. 17.57 EL.17.4
Pipe Install Gas Baffle EL. 14.3 is- EL. 14.05 BOTTOM EL.=16.72
and Effluent Filter Pu►�' �F PROPOSED DB-5 EL.=17.39
Invert C C.I. L=53' 1 Use Leach Field with 4 Laterals (4"
EL. 16.1 (Prop. SCH 40 PVC EL. 10.0 EL. 9.75 i', H-10 DISTRIBUTION BOX ) p p 5'
Sch. 40 PVC spaced 4 & 5 apart
reroute to rear II PVC Inlet & Outlet Tees) PROPOSED 1000 GALLON H-10 PUMP CHAMBER ` Watertest for levelness if 33' x 23' x 6"
internally 2.8%(27..MIN) PROPOSED 1500 GALLON WATERPROOFED/WATERTIGHT more than one outlet
EL. 11.72
f .:a... H-10 SEPTIC TANK with ZOELLER 264 0.4 HP SERIES OR MYERS ADJUSTED GROUNDWATER
SOIL L O G WATERPROOF/WATERTIGHT SRM4 0.4 HP PUMP OR EQUAL DESIGN C R I TE R I A
SEPTIC SYSTEM .PROFILE
SOIL EVALUATOR: AMY VON HONE, R.S. S.E. #2517 N.T.S. Number of Bedrooms: Existing 5 Bedrooms
INSPECTOR: DAVID STANTON, R.S., BOH
DATE: JANUARY 5, 2017 10:00 AM Soil Type: Class I
PERCOLATION RATE: <2 MIN/INCH IN C1 (MEDIUM SAND) PUMP /ALARM NOTES Design Percolation Rate: <2 min/Inch
PERMIT #: 15242
1. Alarm to be on 'separate circuit from pump. Daily Flow: 110 G.P.D./ Bedroom x 5 =550 G.P.D.
TH - 1 TH - 2 2. Control panel for pump/alarm to be located inside dwelling. Alarm to be Design Flow: 550 G.P.D. (Min. Required)
EL. 18.0 EL. 18.0 oudio/visual. Contractor to confirm suitability of existing electrical panel for
Garbage Grinder: Not Allowed
proposed work.
Fill Fill 3. ALARM: EL. 12.05 (24" from the bottom) Leaching Area Required:
PUMP ON: EL. 11.55 (18" from the bottom) (550)/0.74 = 743.24 S.F.
31" 15.42 26" 15.83 PUMP OFF: EL. 11.05 (12" from the bottom) Septic Tank Required: 550 G.P.D. x 200% = 1100 G.P.D Minimum
A 4. Septic tank (1500 gal)/Pump chamber (1000 gal) to be waterproof and H-10. Proposed 1500 Gallon Septic Tank
Loamy Sand B 5. Pump to be capable of 50 GPM with 9.47' TDH. Proposed 1000 Gallon Pump Chamber
32" 10YR3/2 15.33 Loamy Sand
B '°YR5/8 BUOYANCY CALCULATIONS
Loamy Sand Use Leach Field: 33' x 23' x 6"with 4 Sch. 40 4" Laterals
10YR5/8 spaced 4'and 5' apart with ends capped
39" 14.75 32" 15.33 H-10 1500 GAL Septic Tank : 11,700 LBS.
C1 Perc C1 1.34' Soil Cover : (1.34' x 10.5' x 5.67' x 110 LB/CU. FT. ) 8,775.45 LBS. Sidewall Area: NOT ALLOWED
Medium Sand ® Medium Sand TOTAL Septic Tank and Soil Cover: 20,475.45 LBS. Bottom Area: 33' X 23 = 759.0 S.F.
2.5Y7/4 55" Bo :am 2.5Y7/4 I Total Area: 759.0 S.F.Ad
Water Weight: ([11.72'-10.0'] x 10.5' x 5.67' x 62.4 LB./ CU. FT. ).
75" Water11.72 75" Water11.72 TOTAL Water Weight: 6,389.77 LBS. < 20,475.45 LBS. ok Design Flow Provided: 0.74 759.0 S.F. = 561.66 G.P.D.
D
H-10 1000 GAL Pump Chamber : 8,380 LBS.
2.0' Soil Cover : (2.0' x 8.0' x 5.17' x 110 LB/CU. FT. ) 9,099.2 Les. 45 PATRICIA STREET
139" 6.42 139" 6.42 TOTAL Septic Tank and Soil Cover: 17,479.2 LBS. CEN TER VI LLE MA
144" 6.0 144" 16.0 Water Weight: ([11.72'-9.75'] x 8.0' x 5.17' x 62.4 LB./ CU. FT. ). V It PREPARED
Perc Rate: <2 minutes/inch TOTAL Water Weight: 5,084.3 LBS. < 17,479.2 LBS. ok associates FOR: Eleanor Simpson Barker
24 gallons in 7:00 minutes I I c/o Skip Simpson
Groundwater Adjustment: C.C. Commission Well MIW-29, F L 0 FLOOR PLAN ; 320 cotuit Road
Zone C Bah Sandwich, MA 02563 75 Northwinds - Lane
December, 2016 (Level = 9.73') = 5.3 Adjustment Bed4 '�`o Bed3 Bed2 (o)508.833.0041
Observed Water: 139" EL.6.42 Adjusted Water: 73.36" EL.11.72 Dining ho (c>5as.274.aa74 West Barnstable, MA
( ) 1 ( ) N.T.S.
I, Amy L. von Hone. R.S., hereby certify that I am currently approved by the DEP . I Living Bedl surveying by 02668
pursuant to 310 CMR 15.017 to conduct soil evaluations and that the above Bed5 3 AHOjala Surveying
analysis has been performed by me consistent with the requirements of 310 CMR Room at Arne HOjala,P.L.S. DATE REVISED SCALE SHEET NO
15.017. 1 further certify that I have successfully passed the Soil Evaluator's Exam 211 Maple Street
on November, 1994. west Barnstable. MA 02668 01/07/1 7
5W-362-0934 1 "=2 0' 2 of 2
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Locu a Putter n. ASSESSOR'S MAP: 246 GENERAL NOTES:
Adrena Ave. PARCEL: 048 NOTE: 5' removal of unsuitable soils
around and below leach field to an
i O -1 REFERENCE: PL. BK. 116 PG. 73 a 1. VERTICAL DATUM: __Assumed-_-____-_
v approximate depth of 39 (Fill, A & B 2. MUNICIPAL WATER IS AVAILABLE.
° ° FLOOD ZONEr • X Town of Barnstable horizons). Replace with clean fill per 3. SCHEDULE 40 PVC PIPE TO BE USED THROUGHOUT
3 `-'
#25001 C0564J(07/16/14) Title 5 specifications. Place 40 ml SYSTEM UNLESS OTHERWISE NOTED.
Polyvinyl Liner along outer edge of 5 4. ALL' PRECAST UNITS TO CONFORM TO
Ave. removal of easterly side of Leach Field. AASHTO: H_10 & H_20
Chad`"ick Top EL. 17.72, Bottom EL. 15.72. 5. PIPE PITCH-1/4" PER FOOT UNLESS OTHERWISE NOTED.
�i 6• ALL CONSTRUCTION DETAILS TO BE IN CONFORMANCE
Craigville Beach Road
WITH MA ENVIR. CODE (TITLE 5) AND LOCAL
20.18 Benchmark REGULATIONS.
LOCUS MAP N.T.S �- Exist. Dwell. Top 'of Sonotube 7. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES
2... .... EL. 17.7 Assumed PRIOR TO CONSTRUCTION.
/ 8, N
,,-22 9 Maximum Feasible Compliance:
6' Board Title 5 15.405:
Fence
.0 18.44
0 o 1. 3 variance, proposed 17
Qol. 4' S' s 27 18 ° separation between leach field
rs ` 5'
,. .. . }� and bulkhead.
° x
1
19.40 "` 23
^'? co 33
/1 a 2 F (Crawl) ' 17.U1°"��. x 1 l7
r 16.34
EL. foe iamb C•" + fy
�—r 2 ry
' + I .a ` 16.14 AMY L. G
EL t 93. o d+
p ;c)l VON HONE
no
Tube °/ (Full) \ �1/7.21
O Waterline 9 "..`: ;B EL.16.02 / Q) No. 1068
17 :,BH` .. _ _ p
,$ 8 ,• 3 xis t. 7 a
y1,e/
I / a To ling �1 o P� o Ali
NOTE: All cesspools � '� ec Sa,d EC. l8 1' / L Io trunk ow —/ �
to be located, � I ' �xa .20—' ° ,=` 16.5& /
pumped, and
backfilled. (� I 6' A
14.93(Full) ��a NOTE: This plan is to be used for septic
/ 10 U system purposes only and is not to be
12.90
C17.08 1 ee
2,79
I� i.. • used for any other purpose.
-
Lot 18 1 •78':+ , 1
11,389f sf X1 s
Drip
7.88 x :8H ts. i °� - 45 PATRICIA STREET
LEGEND: Wire F k Spruce
\ �`°o Q' CEN TER VI LLE, M A
en e p
(CO ce .40 .'�
�- (Con on PREPARED
ss PROPOSED CONTOUR hues dot r associates Eleanor Simpson Barker
) �.s1
o S s
� P
N ` nC SYSTEM DESIGNS
FOR.
99 PROPOSED SPOT GRAD ne N 11.60 C/O Skip Simpson -
0 5j 320 Cotuit Road
— 40 - EXISTING CONTOUR Sandwich, MA 02563 75 N o rt h w i n d s Lane
X 30.23 EXISTING SPOT GRADE NOTE: Sleeve sewer lines 4" line from (o)508.833.0041
( (c)508.274.0074 West Barnstable, MA
TEST PIT Invert C to Septic Tank and 2" line from 1 2. 11 02668
Pump Chamber to DBox) over Water Line ' U.P. .84 Surveying by-
® EXISTING WATER SERVICE AHOjala Surveying
Crossing with flexible ADS Pipe 10 on AmeH.Oja1a,P.L.S.
E'er. X E WORK LIMIT LINE either side of Water Line. i, 21 r�ap,e �„ DATE REVISED SCALE SHEET NO.
SarWest 506 362-0934 02666 01/07/17 1' = 20' 1 of 2
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