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HomeMy WebLinkAbout0095 PHINNEY'S LANE - Health (2) r HINNEY'S LANE erville 209 — 052 — 006 4 4 d i I uu 3 UPC 17534 No.2 IIASTINOS.YN TOWN OF BARNSTABLE LOCATION 55 Ph;i)'O .S L r�. SEWAGE# 2 f3- 1129 VILLAGE C@.4er-Vi 162 ASSESSOR'S MAP&PARCEL 2®9® 0.5 6i76 INSTALLER'S NAME&PHONE NO. �QtaT $,019('&,,rf\C, 6-09- t13Z-C4530 SEPTIC TANK CAPACITY I0Se0 qal loin LEACHING FACILITY:(type) 2,5_001 ctl Gw ze)]Z.$X 4,1 X 2' NO. OF BEDROOMS OWNER''fos"\+,T,ev\v%i (- I nc k PERMIT DATE: 11-S-I,3 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility -AIA Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) A/G Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) ,J.A Feet FURNISHED BY - � r�[j, J r 3 2 A.?-^30'3" A-31 q3' B-3 - A_y :y3`6 /3-`/ : y2 ��o n Y\ 'S L a^e— No. V !� ✓ v Fee 100 c THE COMMONWeALTH'OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARN STABLE, MASSACHUSETTS Yes ftpliLAtion for Misposal 6pstem Construction j3PrMit Application for a Permit to Construct( ) Repair( ) Upgrade(\/j Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.Cj_,T' f$�%i nn ej 1,5 /Ln Owner's Name,Address,and Tel.No.'s" ^*--Z J Ter,^ife- Ack Assessor'sMap/Parcel '2oq�05Z.O®�j �'f 1-�tn ���`5 LA ` 1�I�1 .7 S 3 L Installer's Name,Address,and Tel.No. rbEuttr� g,PAS f C0 Designer's Name,Address,and Tel.No..6 �},i�aQs �?p, 3� N ,,a►ci., f�2GYS T23 44e 02� 69- 2- a5_3 =36�- Sw3 Type of Building: Dwelling No.of Bedrooms 3 Lot Size 2g O c 60 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ® gpd Design flow provided 3 I?_ gpd Plan Date 9-I q- Zo)J Number of sheets ` Revision Date Title -&N Size of Septic Tank Type.of S.A.S. 60 ` C" �, Lf�cjjhe Description of Soil A;/" L 4aL"sdc t t;- l /He 4%n_ P 4fr.Z.Ve/ 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 Envir ental de and not to place the system in operation until a Certificate of Compliance has been issued by this Board AHeal Signedb Date -13 Application Approved by—�Y �/� � �; Date ((. Application Disapproved by Date for the following reasons Permit No. t V l Date Issued 1 77 No. V / qw,� A {,,.� .� Fee /00 9 THE COMMONWtALT+016F MASS_AC_HUSETTS y Entered in computer: L/ PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes x 01pplicatlou for Disposal 6p6\t fi Construction 3permit r Application for a Permit to Construct( ) Repair( ) Upgrade(IV<Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. qs P k)nn 4,5 Ln. Owners Name,Address,and Tel.No.Tn� Inc p 2o�/d5ZOdl, e�l R� pain `S �/� : Cu.�C'cViI1E'� - 7 3 Assessor's Ma /Parcel 1- �-O 7 �'_� y Installer's Name Add ess,and Tel.No. j3.@ U r_C0, Designer's Name,Address,and Tel.No.S l°ken f 0V5 v,� �13 1C1•., . OuyS q23 rQ-�e 6A /i4ot �^v�br�� oz.G7S 69- 132- 000 n Sob=342- 9432 Type of Building: pp Dwelling No.of Bedrooms Lot Size C 0j �OO sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures 7 a p Design Flow(min 1e.required) 0 gpd Design flow provided gpd Plan Date /�7�"�9� ZO �.3 C Number of sheets i Revision Date Title %J �n 4� �J LA• '�7�' SUM 1 / Size of Septic Tank �l�[O'C� ��Q :+. Type of S.A`.S. Z` Q 't/Z l �QQG �I�Q Ckx-t-b � 0� s lY� Description of Soil A=G" �-E�A.'u y Sao t tY �'� Zo",Lm '"1�U e 6- ! /t'l f'A' eO(?t� ,5j� T i 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 Envirgr mental 6de and not to place the system in operation until a Certificate of Compliance has been issued by this Board ofjHeahn. Signed L� r ' rt'i'lilC' Date �/-y 13 Application Approved byi. /L.� Z�� Date r Application Disapproved by Date for the following reasons Permit No. a �! —a- g 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(A) Abandoned( )by IeO z. t9 o :oc , at 9 5 ► A gy's L J.\ • has been constructed in accordance J with the provisions of Title 5 and the for Disposal System Construction Permit No� 3 y,.Fdated Installer k2er-" • 0 V r 66- yr-,e-• Designer ��aa #bedrooms 3 Approved design flow -3 3 d gpd The issuance of this per7/,3 t shall 'ot be construed as a guarantee that the system�fa{tctio,d'esigned. Date_� �/� Inspector � 4 ---------------- ----- --------------- ---------------------- ----------------------- ----------------------` ------------------- No. 3 — llco ls� Fee ( 0 d, THE,COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposal *#stem.Construction 3permit Permission is hereby granted to Construct( ) Repair!( Upgrade(K) Abandon( ) A System located at q,�- Pk,nne y:S Lp. • [�.�/V�—�j1N( ( '�- and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with F 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 t �j `' 1 ? Approved'7by J Town of Barnstable 4�oFI"E Regulatory Services Richard V. Scali, Interim Director &MAS Public Health Division 9� .i639 �� a?F0 39 Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form „ Date: 3 Sewage Permit# 2v13 -Ll g Assessor's M.ap\Parcel Z09 05200(o Designer: 5)D° 6r4 ZytC, Installer: �p , ���.r C® �►'`C. Address: 123 P+e. �A Address: P,0. r30V 1539 1, 04, a c 5 M�. 0 2(0�5� �-�a c c 9 �'c.�. / O 2(� C/S On 8 0, 0(—(o._Tne, was issued a permit to install a (date) 11 (installer) septic system at gE pV�i nn"'S �� &-e-rwJle) based on a design drawn by (address) Jr "4n A . 4«o.s [nA .-,C. dated 9—1 q- ZyC (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 certi at t e system referenced above was constructed in compliance with the terms of the apppQval letters (if applicable) A. r� PAS alleys Signature) C/ (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTA.BLE 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. QASepticTesigner Certification Form Rev 8-14-13.doc DEEP OBSERVATIQN HOLE LAG H,ic _ Depth"Prom Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) . (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.% ravel Z 4 " L S 14.6 DEEP OBSERVATION HOLE L�pG Hose 2 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.%Gravel) A Y3 DEEP OBSEW.,ATION.HOLE LOG Hole#i# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. rConsistency,%Gravel _. DEEP OBSERVATION HOLE LOGoXe#€ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,%Gravel `Flood Insurance Rate Map: Above 500 year flood boundary No Yes Within 500 year boundary No Yes Within 100 year flood boundary No v Yes Depth of Naturally Occurring Pervious'Material Does at least four feet of naturally cccurring 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 training,expertise and experience described in 310 CMR 15.017. Signature Z-- Date Town of Barnstable P# P Department of Health,Safety,and Environmental Services �t►+E' Public Health Division Date O� 367 Main Street Hyannis MA 02601 BAMSTASM l�J tw►ss. (/O/ pr i659 Date Scheduled ® Time Fee Pd. Eb pM't — Soil Suitability Assessment for S age Diso 0 c , Performed By: � Witnessed By: _ r LOCATION& ENERAL;INFQRM ON Location Address (�� ��+S (i/t,� Owner's Name eW j-7&-1A"Fr�L y AJe-N !e, V Address Assessor's Map/Parcel: go /O�LI(�Q(p Engineer's Name 1f6,J H,+-4S NEW CONSTRUCTION REPAIR Telephone# qi 8 36z 6!3 Z Land Use 965v Z)e-►-j7- 4 L Slopes(%) JG� Surface Stones Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way "'� ft Property Line ' %G `' ft Other ft SKETCH: Street name dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) v Parent material(geologic) lr� y,... Depth to Bedrock `s Depth to Groundwater: Standing Water in Hole: + /�-'l Weeping from Pit Face 'L �t Bstimaied Seasonal High Groundwater DTINAm +DR SEASOl�I.ATf 'VA'PEfiI TI > -IV, rod Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment -ft. Index Well#__-., -. Reading Date:._..__ Index Well level.-_ Adi.factor Adj..Groundwater Level .. >, < ::>P�R MATIO�1 TES' > '::;. ';: Hate . In l w Observation Hole# 'Time at 9" . Depth of Perc y e Time at 6" Start Pre-soak Time rQ 0` Time(9"-6' End Pre-soak ' Rate Min./Inch Z- Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back - j Copy: Applicant ACCESS COVERS MUST BE WITHIN 9" MINIMUM. MIN 2" OF PEASTONE INVERT ELEVATIONS : DESIGN CR I TER I A : GENERAL NO TES : 6" OF FINISH GRADE OR FILTER FABRIC 3' MAXIMUM COVER !02.5 INVERT AT BUILDING: DESIGN FLOW: 105.06 FIRST 2' TO 3/4" - ! 1/2 DIA. INVERT IN SEPTIC TANK: 101.75 3 BEDROOMS AT l!0 G.P.D. PER I. THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION BE LEVEL DOUBLE WASHED STONE INVERT OUT SEPTIC TANK: 101.5 BEDROOM EQUALS 330 G.P.D. OF THE SEWAGE DISPOSAL SYSTEM ONLY. 4- DIAM PIPE 102.0 INVERT IN DIST. BOX: 101,37 NO GARBAGE GRINDER 2. VERTICAL DATUM IS ASSUMED. FOR BENCH MARKS 102._5 101.5 101.2 2- �qe s 40 MILL POLY INVERT OUT DIST. BOX: 101.2 SET. SEE SITE PLAN. /O/.75 GAS �✓ 101.3 7 v /0/,p °� 99.0 VAPOR BARB l ER 1 LAVER T IN LEACH CHAMBER: I D l.0 6AFFLESEPTIC TANK REQUIRED: 3 OUTLET 2-500 GAL LEACHING CHAMBERS 'BOTTOM OF LEACH CHAMBER: 99.D 330 G.P.D. X 200% - 660 GAL. J. ALL CONSTRUCTION METHODS AND MATERIALS AND D-BOX W/4' STONE AROUND. 12.8'w x 25'1 x 2'd ,° 100.0 ADJUSTED GROUND WATER: N/A SEPTIC TANK PROVIDED: 1500 GAL. MIN. MAINTENANCE OF THE SEPTIC SYSTEM SHALL 1500 GAL OBSERVED GROUND WATER: N/A CONFORM TO MASS. D.E.P. TITLE 5 AND LOCAL SEPTIC TANK 6" CRUSHED STONE OR BOTTOM OF TEST HOLE *1 92.2 SOIL ABSORPTION SYSTEM REQUIRED: BOARD dF HEALTH REGULATIONS. COMPACTED BASE DESIGN PERC RATE C 5 MIN/INCH PROFILE : 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- CBlDH froa STANDING H-20 WHEEL LOADS. PROVIDED: 2-500 GAL LEACHING CHAMBERS _ W/4' STONE AROUND. A-471 S.F. 5. ALL SEWER PIPE SHALL BE SCHEDULE 40 PVC OR 471 S.F. x 0.74 - 348 G.P.D. APPROVED EQUAL. 14 © SOIL TEST PIT DA TA e 6. SEPTIC TANK AND D-BOX SHALL BE REINFORCED i e o14 PRECAST CONCRETE OR APPROVED POLYETHYLENE. INDICATES INDICATES PERCOLATION OBSERVED BOTH SHALL BE WATERTIGHT. D-BOX SHALL BE WATER TEST = GROUNDWATER TESTED FOR LEVEL WHEN THERE IS MORE THAN ONE / TP .l TP #2 OUTLET. 1 ?2 HORIZON TEXTURE COLOR106.2 HORIZON TEXTURE COLOR 107.5 l r 6p /sr• SECOND FLOOR PLAN LOAMY IOYR LOAMY IOYR 7. BEFORE CONSTRUCTION CALL 'DIG-SAFE / / r A SAND 3/3 A SAND aij 1-888-DIG SAFE AND THE LOCAL WATER DEPT. / - - - - - - - - - - - - - - - 106.a s" - - - - - - - - - - - - - - - 105.7 8" FOR LOCATION OF UNDERGROUND UTILITIES. LOAMY IOYR LOAMY IOYR SAND 4/6 SAND 4/6 j o/r / 2s- - - - - - - - - - - - - - - - 104.0 24' - -- - - - - - - - 105.5 8. SEPTIC SYSTEM INSTALLER SHALL NOTIFY THE l 1 L O T G 1 - Cl MED-COARSE IOYR Cl MED-COARSE IOYR SAND AND 776 SAND AND 716 DES l GN ENGINEER TWO DAYS PR J OR TO CONSTRUCTION l 1 28. 800f S. F. /l ,' -' r /r GRAVEL GRAVEL OF THE SYSTEM TO ALLOW FOR SCHEDULING OF THE CONSTRUCTION INSPECTIONS. 48' 9. EXISTING CESSPOOL TO BE PUMPED DRY AND "� • l I /�_ ! !/ '�%�' ---- '_� "� // ! l / r BACKFILLED. NO WATER NO WATER � �q• 1 / / / // // // r/ /l � o� / Isa' 922 120" 97,5 !D. ALL UNSUITABLE MATERIAL /A d B HORIZONS) DATE: SEPTEMBER 4. 201J ENCOUNTERED BELOW THE INVERT OF THE LEACHING TEST BY: STEPHEN HAAS FACT L I TY TO BE REMOVED FOR A D I STANCE OF 5' WITNESSED BY: DONNA MIORANDi AROUND AND REPLACED WITH SAND IN ACCORDANCE PERC RATE: l 2 MINIINCH WI TH TITLE 5. ' R / 1 • A / / / �; 00'1° 1 / t � / /04�3 1 1 \ \ 1 \ J BM./CORNER BRICK Jti, / / YYY /) G SP. EL-I04.871 D f0 108,0 I54 (iALLmN \ \ \ SEP(IC TA \ 2-56 GALLON \ \I LEACI;I NG CHAA7BERS ,,\ D-$OX / W/4' IS TONE ARbUND ' 1 : -1 .� , ' �� / /// S E /Q !""]� I C S Y S T E M D E' S / G N ' / /� /' 9S PH l NNEY S LANE MAP 209 PARCEL OS2006 ESSP00L 05, '�1 �, / TAB E ( CENTER V I L L E ) MA . /fie. d /'40 ilILL POLYi' BARNS L • I0 1� r / VAPOR BARB fER / r s, / / / , UP �a PREPARED FOR : ' / LEGEND - ,00.8 ,' , -� TOM c , J E' N N l �' E R L Y N C H ROUTE 28 F o� • /� r / 0 CB CONCRETE BOUND / / � r ROAV AADFvo / // / // // /r ��� �r _W WATER LINE o�o POST O HYDRANT SCALE : I _ 20 S E P T E M B E R l 9 20 l 3 LOCU -'--G GAS LINE OHW- OVER HEAD WIRES T E P H E N A H A A # LIGHT POST ENGINEERING , INC \ --E UNDERGROUND ELECTRIC LINE sT \ / ,� � 923 Route 6A \ -T-- UNDERGROUND TELEPHONE LINE _ Y c� r mo u t h\ --� pco r t , MA 02675 -CTV- UNDERGROUND CABLEVISION LINE � /%'�/�11/�iI ( 508 ) 362-8 "1 32 (� l +40.4 SPOT ELEVATION /j�w 1 i /J c MAP ..---40------- EXISTING CONTOUR LOCUS P (401. PROPOSED CONTOUR o l 0 20 4o JOB NO: 13-077