HomeMy WebLinkAbout0148 POINT OF PINES AVENUE - Health 148 Point of Pines Avenue
Centerville
A = 230 — 066
S M E A D
Na z•1UM
UPC IM4
.m od aam • Una in m
No.-- ���> 3� Fee l'a
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
01pprication for Misposal *pstrm Co Lion 3oPfmit
Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) omplete System ❑Individual Components
Location Address or Lot No. 8 p i o t 6F Wes own
is Name,Address,and Tel N7917,9) 3710
Assessor's Map/Parcel wl 230 iDQ(-cel (,4 ' `�y Frl`shmce0. 91rg) 3710 - 1627
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
Q �kcavafton 50P-477-6653
Type of Building:
Dwelling No.of Bedrooms 1 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required gpd Design flow provided gpd
Plan Date r x 1 tp I Number of sheets Revision Date
Title
Size of Septic Tank , OC� Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) 500 2 Q 2Q k
2 N 26 500 q0j chc1mbP.0 c,
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 oMp
SignDate
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. )J - Date Issued
-_------------------------------------
1 \4�
9 t
' 4 No. � - L4 3b 1 i Z d t4xr Fee
THE COMMONWEALTH OF.MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
2pplication for Misposal �&psttm Construction permit
Application for a Permit to Construct( )f� Repair(✓Upgrade( ) Abandon( ) omplete System ❑Individual Componerits
Location Address or Lot No../ 8 D i 0i f or 1 he S on i s Name,Address,and Tel.No
Assessor'sMap/Parcel Wf Z30 Por6el (a to )ZoY Fr15h17)6o (9 70 376 - ►627
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
13- Q �xcava flon ,50�•4177-0653 V N-As50C.lC,1 P S 50k..Q3 - 60 Y1
1�pe of Building:
Dwelling No.of Bedrooms y Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required gpd Design flow provided gpd
Plan ,Date P Number of sheets Revision Date
1r Title
j Size of Septic Tank 1500 Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) 5Go Q, -H2-o jn H 20 d boy,
(2
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 off^ It .
Sign f W- 4Date
Application Approved by Date —
i
Application Disapproved by Date
F
for the following reasons
Permit No. v �- L Date Issued C,
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIF(_Y,that t e On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( )
Abandoned
�( )by � +� � Q
at l �5 Po( o lj, ( a's been constructed in accordance l
with the.provi ions of Title 5 and the for Disposal System Construction Permit No.2 d�) ' y>�dated 12-
Installer 1 LI L Designer
#bedrooms `13 Approved design flow 3 gpd
The issuance of this permitX;h5--
nt be construed as a guarantee that the system w'nfnct2, &egd.
Date /d Inspector
-------------------------------------------------------------------------- ------------------------------------------------------------
No. y ;)^ 13b Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Disposal 6pstem Construction Permit
Permission is hereby granted-to-Construct( ) Repair( ) Upgrade( ) Abandon( )
System located at 14 �(�I n t' 1 t1 elj J ('p—n i c k yi ll-C
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:Constructio must be completed within three years of the date of this permit.
Date 2/Gl � r- Approved by
Town of Barnstable
� - Regulatory Services
Thomas F.Geiler,Director
NAM Public health Division
®` Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer&Designer Certification Form
Date: Sewage Permit# .20/6---0 Assessor9s Map\Parcel Z�16
Designer: V// AScleevk5 Installer: 12 f
Address: �j / �� Address: l
On /2-9%5�_ 4'�Z)W- fiAvas issued a permit to install a
(date) (installer)
septic system at /�if�/�� f//jeJ based on a design drawn by
/ er,,' (address)
I/d/f5sv dated
(designer)
LII_ 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.
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.
:�T
Q,�.n^
(Installer's Sign a) J . gs>
(Designers Signature) (Affix Designer's Stamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DPASION. 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.
L: HealtWSeptic/Designer Certification Form 3-26-04.doe
TOWN OF BARNSTABLE
LOCATION 1 y$ Po,f11 Ofi' �►�n�5 SEWAGE# 20)S- y3C•
VILLAGE Ccf-jJ<<'y1 1 ASSESSOR'S MAP&PARCEL 23WGG
INSTALLER'S NAME&PHONE NO. B4B EXZcxVo.A►OA
SEPTIC TANK CAPACITY /S00 qCL I
LEACHING FACILITY:(type) 5b0gg 1 (�c Z) (size) 13 X ZS x-2-
NO.OF BEDROOMS�3
OWNER a„n
PERMIT DATE: 2-9 , IS 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 within
300 feet of leaching facility) Feet
FURNISHED BY
I '
AZ-,q3 "
A3-A7 '
y
i3 (�)
,y$'3`��
0 �
Town of Barnstable. P# 7
°o Department of RegWatory Services
g Public Heal Division Dace
KAM
200 Main Street;H�nnis MA 02601
bate Scheduled i Time "�' Fee Pd. !L ` bC?
Soil Suitability Assessment for Se ge Dasposal "'�
. .
C � 1:tn
Performed By. S Witnessed By
LOCATION& INFORMATION f
Location Address'. /0/�7 � Owner's Name /0 GC&°/
cegf d/ Address 2/
Assessor's Map/pwa: '� 6,C Engineer's Name V d155(f[, 0
NBW CONSTRUtLON REPAIR �_ Telephone#
rand Use Ll.}�_ Slopes(96) ` -o Surface Stones
Dkstarices from: Open Water Body 76 R Possible We i Area ft Drinking Water Well �ft
Drainage Way A. Property line __25L___ft Other fi
SKETCH:($treat name,dimensiods of lot.exact locations of tot holes&perc tests,locate wetlands in proxitnity to holes)
20 6 .
40
`r/
O�
ry
i
Parent material(geologic) �e5l Depth to Bedrock_ .... (p
Depth to GrowdwaRer: Standing Water in Hole: �d�l- Weeping fmm pit Face &a*t
a /ak 4 07 wo 19
Estimated Seasonal high Groundwater L_
D�'>'ERMIlv TION FOR SEASON OD +R L�
Method Used: G � �e fh to 11 ttlottlas: In.
Depth Cjbperved standing,in obs.hole: r p
Depth toiweeping from side of obs.hole: I in, owundwnter Adjustment ft.
Index Well#^r, Reading Date: index Well is . Adj.Actor,,,,,,. _. Adl,Croundwatrr Level..,,_.
PERCOLATION TEST Date / ti D
Observation i I Time at 9" JL...'G.Sd. ..-
Hole#
Depth of Pere
Start Pre-soak Time. lime W-rl
End Pro-soak '
.� �Rate MnJlnch
Site Suitability AsscBsment: Site Passed_Z
Site Failed; Additional Testing Needed(YRM
Original.Public Health Division .Obswvadot�Hole Data TO Re Completed Oti.$aCk- ---
***If percola ion test is to be conducted within 100' of wetland,,you must first notify the
Barnstable Ci�servation Division at least one(1)wedk prior to begin g.
Z� V5
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture soil Color Soil Other
.surface(in.) (USDA) (Munselq Mottling (Sautw;3tone5t Doulde15.
Consistency,% v
fl �/�
C k � ,7, S !� F &a l
DEEP OBSERVATION HOLE LOG Hole# Z—
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Molding (Structure,Stones,Boulders.
c
�9
. DEEP OBSERVATION HOL
E LOG
Hole#
Depth from• Soil Horizon Soil Texture
Soil Col
or soil
Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure.Stones,Boulders.
t
Flood Insurance hate Mali
Above 500 year flood boundary No— Yes
within 500 year boundary No
. Within 100 year flood boundary No.___ Yes
Death of Naturally Occurrins Pervious MaterlWa
Does at least four proposed absorption
feet of IpattuaUy occurring pervio m
e ' rial exist,in all areas observed throughout the
area ro osed for the soil abso lion system?
If not,what is the depth of naturally occurring pous material?
Certification
I certify that on Ally � (date)I have passed the soil evaluator examination approved by the
Department of Environmenta on an
l Protection that the above analysis was performed by the consistent with
.
' the required training, pe ' e and experience described in 3:10 CUR 15.017.
Signature V Date ��1; 4
g
i/i
// VI�/ SI P/ FND Wetland Flagged by VH GENERAL NOTES:
35 Associates on 11/21/2015. ASSESSORS MAP: 230
��, PARCEL: 66
1. VERTICAL DATUM:
/ETL AND W-2 REFERENCE: PL. BK. 232 PG.- 37
33, 2. MUNICIPAL WATER AVAILABLE.
/ FLOOD ZONE: X Town of Barnstable
W 3. SCHEDULE 40 PVC PIPE TO BE USED THROUGHOUT
et dnd FI
#2 #25001 C0562J (07/16/14) SYSTEM UNLESS OTHERWISE NOTED.
4. ALL PRECAST UNITS TO CONFORM TO
/ AASHTO: - H=20_____
//x' /// / a �%` / 5 PIPE PITCH-1/4" PER FOOT UNLESS OTHERWISE NOTED.
/j // /oc� 35.8y I 6• ALL CONSTRUCTION DETAILS TO BE IN CONFORMANCE
3 99 NOTE: Pump- WITH MA ENVIR. CODE TITLE 5 AND LOCAL
Cesspool and ( )
REGULATIONS.
/// ✓ o`` i� / / Backfill by Hand. 7. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES
IXPRIOR TO CONSTRUCTION.
i w' / , / ,
W-1 LEGEND:
/ \�E34ND // / x 38•69 // r�
/ �� �--ss�- PROPOSED CONTOUR
/ a
ILI W�tTand Flag36x5 4 j/ /o� 'S R0.93 / N —ss PROPOSED SPOT GRADE
o 40 - EXISTING CONTOUR
r'x 3 8.5 5 / 2� / X 30.23 EXISTING SPOT GRADE
*4OND p69, �,j 03 � TEST PIT
S E P a
® EXISTING WATER SERVICE
o X o WORK LIMIT LINE
66 \ /
fit- / /
x 4 4.15 ���* UF Mq f f9`yG �� OF Af'�9�yG
c:P �z AMY L. �, o TERRY
be\ck 148 VON HONE �, a ANN S'4
�p # � h C= WARNER y
�=44.44. � 43.�39 No. 1068 No. 38721
(NAvQ88)
� ST4 F�I
/ 44,12 Shed 44,51 °45,05
o
Qc 6 k
,`0, 2• ��• E 32 0
oG / °3 60 NN TH_ NOTE: This plan is to be used for septic
2' system purposes only and is not to be
2 0> Y P P Y
considered a property line survey.
O PST, 44.23r 0. 10, ... 45.65
MHC W METE qy 44, on
/ / / x 43.4� x pr:i.�; ` 148 POINT OF PINES AVENUE
{ q�e' ///// // 5 �``� 45 55
10 \ YWIRE V H CEN TER VI LLE, MA
45 �Y .45, T 5 J 4 PREPARED
x associates Frishman
hJ 6 1(�' / � sEPnC SYSTEM DESIGNS FOR:
6,46� 21 Stratford Road
S�7 pF F P 7 —7 320 Cotuit Road
6,45 45 9� Sandwich, MA 02563 Andover, MA
/// // x 4 5.0 4 3 2/ 508.833.0041
° / // o �i O and
/ / rLti1•/
Benchmark set: % ,h /` Surveying by.
tijor Q �Q �e� B Excavation
Magnetic Nail Set P Terry A. Warner.P.L.S.
EL.= 45.97 (NAVD88) / QO Na��MA 2645 DATE REVISED SCALE SHEET NO.
LOCUS MAP N.T.S - ' .a 45'9, SET (W8) 432-8309 12/06/2015 its = 20 1 of 2
94
d�
�
Provide Riser over D-box NOTE: All components to be marked with NOTE: To prevent breakout, final
T.O.F. (Partial Crawl Space) to within 6" of final grade magnetic tape or similar prior to final cover. grade of EL. 42.5 to be carried
EL. 44.44 -� (Cover to be watertight) out a minimum 15' beyond edge
F.G. EL: 42.9-44.3f F.G. EL: 44.3f F.G. EL: 447 Maintain Min. 2% slope over leach facility to of leach facility.
Existin . . .
i revent ondin F.G. EL: 45.5
Install risers w/covers over inlet and Min. 2" of 1/8" - 3/4" Washed Stone or Ins ection Port within 6" to grade
Proposed outlet to within 6" of final grade i Geotextile Fabric
EL. 42.4 L=30' (Access Covers min. 20" diam. per Code) Z. " "
4" SCH 0 P L=10 L=10' 3/4 - 1 1/2 Double Washed Stone
4" SCH 40 PVC 4" SCH 40 PVC Top of Peastone or Geotextile Fabric EL. 42.5
Re-route CAS=1.3% 1
to• ®S=1.5% 1 -a® a® „
Plumbing in '<' 12
e ®S=1.39' 0.59av11N 05M ®aa 24 Eff. Depth
Crawl Space EL. 41.75 a13ME30
to exit front. ri EL. 42.0 Install Gas Baffle EL. 41.6 EL. 41.43 39.3
Q. PROPOSED DB-3 EL. 41.3 Use 2 - 500 Gallon Precast Chambers
H-20 DISTRIBUTION BOX (H-20) with Double Washed Stone 4.5'
Install PVC Inlet & Outlet Tees Wotertest for levelness 4' Ends, 4' Sides
( PROPOSED 1500 GALLON ) if more than one SEPTIC SYSTEM PROFILE
(25' x 12.83 x 2')
H-20 SEPTIC TANK outlet EL. 34.8
N.T.S. Adjusted Water Set Lake Wequaquet
SOIL LOG ADDITIONAL NOTES DESIGN CRITERIA
1. Contractor to confirm soil suitability prior to installation. Contact BOH Number of Bedrooms: 3 Bedrooms
SOIL EVALUATOR: AMY VON HONE, R.S. S.E. #2517 and Design Sanitarian in the event of varying soils from original soil
INSPECTOR: DAVID STANTON, R.S., BOH test. Design Sanitarian to certify soils at time of installation.
DATE: NOVEMBER 20, 2015 10:00 AM g y Soil Type: Class I (Cl Horizon)
Percolation Rate:PERCOLATION RATE:<2 MIN/INCH IN Cl 2. Pump Failed Cesspool and backfill by hand. <5 min/Inch
PERMIT #: 14907
Daily Flow: 110 G.P.D./Bedrm x 3 =330 G.P.D.
3. Water line to be sleeved at any sewerline crossings and within 10' of Design Flow: 330 G.P.D. (Min. Required)
TH - 1 TH - 2 any septic components, as needed, per Water Department requirements.
EL. 44.72 EL. 44.72 Contractor to verify location of water line prior to construction. Garbage Grinder: Not Allowed
Sand Loam Sandy Loam 4. Septic Tank and Distribution Box to be placed on 6" crushed stone or Leaching Area
loll 10YR4 2 43.89 10" 10YR4 2 43.89 compacted, level base. Required: (330)/0.74 = 445.94 S.F.
Sandy Loam Sandy Loam Septic Tank Required: 330 G.P.D. x 200% = 660 G.P.D
30" 10YR5/8 42.22 30" 10YR5/8 42.22 SEPTIC TIES Minimum 1500 Gallon (Proposed)
Fine Sa d w/ Gr I Fine Sa d w/ Gravel N.T.S. Use 2 - 500 Gallon Precast Chambers with Double
2.5Y6/3 2.5Y6/3 Washed Stone: 25' x 12.83' x 2'
Per
c
-
47" B ttom zpeck-,#148 2(25' + 12.83')2= 151.32 S.F.
Sidewall Area:
66" 39.22 66" 39.22 25' x 12.83'= 320. 55 S.F.
1OF=44.44,.,' Bottom Area:
C2 C2 Total Area: 472.07 S.F.
Coarse Sand Coarse Sand (NAVD88) Desi n Flow Provided: 0.74 472.07 .F. = 349.33 G.P.D.
2.5Y6/6 2.5Y6/6
/Ayoe� V
148 POINT OF PINES AVENUE
37 H CENTERVILLE MA
�� G V associates PREPARED Frishman
120" 34.72 120" 34.72 26 %PnC SYSTEM DES! FOR:
2' o '?s,�� 21 Stratford Road
No Groundwater Observed No Groundwater Observed 22 320 Cotuit Road Andover, MA
Sandwich, MA 02563
PERC RATE: <5 MIN/IN. ( Cl Horizon) 12" - 9":10:16 minutes 21' O 508.833.0041
9" - 6 :12:15 minutes/ 3" = 4:05 min/inch 24' and
I, Amy L. von Hone, R.S., hereby certify that I am currently approved by Surveying by: B & B Excavation
the DEP pursuant to 310 CMR 15.017 to conduct soil evaluations and t ry Terry A. Warner.P.L.S.
that the above analysis has been performed by me consistent with the 22 long Rood
requirements of 310 CMR 15.017. 1 further certify that I have Vent w Filter Hammon, 2 o28as DATE REVISED SCALE SHEET N0.
successfully passed the Soil Evaluator's Exam on November, 1994. 12/06/2015 1 = 20 2 of 2