HomeMy WebLinkAbout0011 SOUTH PRECINCT ROAD - Health 11 SOUTH PRECINCT RD
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A = 148 - 140
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TOWN OF BARNSTABLE
LOCATION 5w�, BL iki �� SEWAGE#
VILLAGE 'C— Vo h — ASSESSOR'S MAP.&PARCEL 1
INSTALLER'S NAME&PHONE NO. � G
SEPTIC TANK CAPACITY I-5—C0 (�,:J—
LEACHING FACILITY:(type) $"oe L c.Q (size) A?—
NO.OF BEDROOMS 3
OWNER
PERMIT DATE: 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
vA- .
301
13 q - 3(, 3
3s/ CDR QS- �L -
A5- 3�` 4
No. Fee (�
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
ZiptJYitation for Nsposal *pstem Construction Permit
Application for a Permit to Construc Repair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components
Location Address or Lot No. %.k So ot\ P,'e a:,t,.Ct. Ad
Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel Vk(D
Insta ler's Name,Address,and Tel.No.'Fai+ C,1 i ��fJ Designer's Name,Address,and Tel.No.
Type of Building: 50s^ Z k—Qkltc�� `?
Dwelling No.of Bedrooms � Lot Size'�Q sq.ft. Garbage Grinder
Other Type of Building Co S ctx1A tA—w, No.of Persons /� Showers(� Cafeteria( )
Other Fixtures ��2 T U�d�.Y.Jl A 1�C y 1,.�
Design Flow(min.required) gpd sign flow provided gpd
Plan Date & o k Number of sheets Revision Date
Title
Size of Septic Tank i 'Sob p of S.A.S.
Description of Soil ,„e C-6 0
Nature of Repairs or Alterations(Answer when applicable) 't,,1.'@ W \kc! - n-4p,
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 gode and not t place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Date
Application Approved by Date o°Z
Application Disapproved by Date
for the following reasons
Permit No. (J I J� Date Issued �l
No.. �� k f. " Fee �J
THE COMMONVIFEAL OF MASSACHUSETTS Entered in computer: Yes
w PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
.,1'
ftplication for Bisposal *pstem CoAtruction Permit
Application for a Permit to Construe Repair( ) Upgrade( ) Abandon'( ) Complete System ❑Individual Components
Location Address or Lot No. \\ So o%-tV pq'e.e:_et Vc( Owner's Name,Address,and Tel.No.
�J
Assessor.'s Map/Parcel a- vkc) M °e
Installer's Name,Address,and Tel.No.sT`,,, Designer's Name,Address,and Tel.No.
Type of Building: 5CG5�Rl- -1Z k
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(-
Other Type of Building No.of Persons Showers Cafeteria( )
Other Fixtures Ac.p�%JJD
Design Flow(min.required) gpd sign flow provided '�`? �j gpd
Plan Date ��p-� '}0 1 Number of sheets Revision Date
Title
Size of Septic Tank a--sop p of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
1 The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in ~
A I
accordance with the provisions of Title 5 of the Environmental Oode and not t place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Date
Application Approved by t Date o2
Application Disapproved by Date
for the following reasons lx
f
Permit No. "ID f 44' Date Issued
----------------------------------------------------------- ----------- --------------------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CI�RTIFY,that the On-site Se ge-Disposal system Constructed Repaired( ) Upgraded( )
Abandoned( )by ~'
at Tee: �C�� has been constructed in accordance ✓
with the provisions of Title 5 and the for Disposal System Construction Permit No_-`�CA/ /5=�L dated r tl L4
Installer`�p rJ Designer`jet E c,-- ;gpd
bedrooms Approved desi /
The issuance of his rmit s all n t be construed as a guarantee that the system will do de igge C
Date• Inspector
No. /�� �j Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
miA sal *pAtpm Construction 3Permit
Permission is hereby granted to Construct ) Repair( ) Upgrade( ) Abandon( )
System located at v, Sa rl E'C �cse
.N�SS t
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 omplet d within three years of the date of this permit. r-
Date Approved by
Town Of Barnstable
��oFtHE ray Regulatory Services
Richard V. Scali, Interim Director
X '' MASS.
bq� � Public Health Division
9� s �
AjFD MA't A` Thomas McKean, Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date: i 'Lest�� Sewage Pernait-4 '�' Assessar's Map\Pareel IqO t 4o 4 C
Designer: 5"t P(-� � �k, H-AAS,P.r: Installer: TOt I.U_� t J U, 1 � �
O, 01 (a Address: �� �`�- S� �' J
Address: `P � 1 r'
On was issued a permit to install a
(date) installer)
it -Soot-\\ 01-11-c\
septic system at — based on a design drawn by
(address)
UA*5 , PC 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. 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 constructe nce with the terms of
the IAA approval letters (if applicable) q
k8r�• d�
staller's Signature)
��1.
(Designer's Signature) (Affix D ign '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.
QASeptic\Designer Certification Form Rev 8-14-1J.doc
Town of Barnstable Par
Department of Regulatory. Services
t arAe� ! Public Health Division
MA&I Date
2.00 Main Street,Hyannis MA 02601 111
rFlt Mhd � f�`f�
Date Scheduled Tlmt )<ee A'd. �
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Soil Uit ability As,sessnaent f®r° Sew e n �'
Performed By: 57 zrp/*6-�
Witnessed By:
LOCATION& GlCI�RAT,]1VT'®I�1VI�4,'?CI®l�T
Location Address _ Owner's Name 11
nnQ /A c �eA4-1 F.S Nr�le
&gout- - .SOGL F� Address
V
Assessor's Map/Parcel: � -�i.�j / Bn m 'eerx Name
!/ g� A.
NEW CONSTRUCTION 'V�REPAIR Telephone#
Land Use Az&sl Slopes(%) e'Z
Surface Stones
Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well — ft
Drainage Way ft Property Llne /�'� ft Other
ft
���TCII:(Street name,dimensions of lot,exact locations of test holes&Pere tests,locate wetlands fn proximity to bolts)
71
u�'1s Z 2 Z3
Parent material*(geologic) Depth to hadroclt Z��f
Depth to Groundwater. 51tinding Waterin Hole: Weeping fI'oln Pit Nee
Estimated Seasonal High Groundwater
Method Used: /Lbn-74F- �•�7-G—���
depth Observed standing in obs.hole:' In. Depth to soil tnottles: m ltt,
Depth to weeping frorn side of obs_hole: Ili. Groundwater AtlJustrnent ft.
Index Well
lf Reading Date: Index Well loyal _ Adj,factor � Adj.Of factor Fo
PERC®LAT1.0N TEST Data'
Observation
Hole# Z Tillie at 9" CJ .
Depth of Pero
Thne nt G'
Start Pre-soak Time @
Tima(9"-6")
End Pre-soak
Rate Min./Ioeb G Z G.1
Site Suitability Assessmcni: Site Passed ✓ SitP Palled: 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 most first notify the.
Barnstable Conservation Division at least one (1) week prior to beginning.
c2:\s EP'rlc\I'fSRCPO RM.1�OC
DEEP.0)BS-Il R VATION HOL f.LOG Hole# .. /
Depth from Soll Horizon Soil Texture Shcl Color 5oit. Other
Surface(Ili.) (USDA) (Munsell MOU1111 g •(Structure,Stones;Boulders-
3/3 46 Y3rave1l
z U .
!.L
r _
I zv C I'1-C s loY•� o/
Dr-4 P 013SER VVA.TION HOLE, LOG Hole# Z
Depth from Soil Horizon. Soil.Texture - Soil Color Soil 'Other
Surface(in.) (USDA) (Munsell) Mottling
(Structure,Stones,Boulders.
Consistency,% avel
L.S
Z 4 3 L S /oY,r_ +4-
s
DE,E,P,O BS)CARVATION HOLE LOG Hole#k 3
Depth from Sol Horizon Soil Texture Soil Color Soil Other
Surface(iu.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.96 Oraval)
Z U -
4 LS /oeL3
Z L S /o 1rx-'�/y
z� C tic- s 1 o Y�-`��
DEEP OBSERVATION HOLE LOG I-jole#1 T
Depth from Soil Horizon Soil Texture Soil Color Sail Other
Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders,
Co ten 6 u
Z—�
Flood Insurance Irate.Map:
Above 500 year flood boundnry No_ Yes
Witlun 500 year boundary No.✓ Yes '
Within t00 year flood boundary No_
Yeses
i0e.ntli 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? YES
If not, what is the depth of naturally occurring pervious matorlal?
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 trainingAxpcW80 and experience described in 10 CN M 15.017.
Signature Date `f Lz Zo�Y
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G4RAS.E ADDITION
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FIRST FLOOR PLAN
SCALE: I/4' = 1'-O'
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SHEET
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� DATE: 8/4/05
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ACCESS COVERS MUST BE WITHIN 9' MINIMUM. INVERT6' OF FINISH GRADE ELEVATIONS : DES. l GN CRITERIA : GENERAL NOTES
103.0 3 MAXIMUM COVER INVERT AT BUILDING: 99.5
FIRST 2' TO DESIGN FLOW:
BE LEVEL M1N 2' OF PEASTONE INVERT IN SEPTIC TANK: 99.0 3 BEDROOMS AT 110 G.P.D. PER I. THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION
OR FILTER FABRIC INVERT OUT SEPTIC TANK: 98.75 BEDROOM EQUALS 330 G.P.D. OF THE SEWAGE DISPOSAL SYSTEM AND PERMITTING
4 D/AM PIPE 3/4- - 1 1/2- DIA. INVERT IN DIST. BOX: 98.67
PURPOSES ONL Y.
NO GARBAGE GRINDER
INVERT OUT DIST: 80X: 98•5 2. VERTICAL DATUM IS ASSUMED. FOR BENCH MARKS
99.5 � CA S
�� 98.75 98.5 2' �' DOUBLE WASHED STONE INVERT IN LEACH CHAMBER: 9$.3 SET. SEE SITE PLAN.
99.D BAFFLE 98.67 ��� 98.3 °� 96.3
3 OUTLET 2-500 GAL LEACHING CHAMBERS BOTTOM OF LEACH CHAMBER: 96.3 SEPTIC TANK REQUIRED:
330 G.P.D. X 200x - 660 GAL.
D-BOX W/4' STONE AROUND. 12.8'r x 25'1 x 2'd ADJUSTED GROUND WATER: N/A
T 7 SEPTIC TANK PROVIDED: 1500 GAL. MIN. J. ALL CONSTRUCTION METHODS AND MATERIALS AND
\v' 1500 GAL H-20 OBSERVED GROUND WATER: N/A MAINTENANCE OF THE SEPTIC SYSTEM SHALL
SEPTIC TANK 6' CRUSHED STONE OR BOTTOM OF TEST HOLE #/: 90.6 SOIL ABSORPTION SYSTEM REQUIRED: CONFORM TO MASS: D.E.P. TITLE 5 AND- LOCAL
COMPACTED BASE DESIGN PERC RATE C 5 MIN/INCH BOARD OF HEALTH REGULATIONS.
P R OF l L E : NOT TO SCALE SOIL TEXTURAL CLASS - 1
_ EFFLUENT LOADING RATE - 0.74 GPD/SF 4. ALL SEP T 1 C SYSTEM COMPONENTS LOCATED UNDER
330 GPD / 0.74 GPD/SF - 446 S.F. REQUIRED AREAS SUBJECT TO VEHICULAR TRAFFIC OR GREATER
99.8 , �' THAN 3' IN DEPTH SHALL BE CAPABLE OF W l TH-
\o� PROVIDED: 2-500 GAL LEACHING CHAMBERS STANDING H-20 WHEEL LOADS.
D �CSIDH
W/4" STONE AROUND. A-471 S.F.
A / `'�>> \ 471 S.F. x 0.74 - 348 G.P.D. 5. ALL SEWER PIPE SHALL BE SCHEDULE 40 PVC OR
(�
V - APPROVED EQUAL.
\ SOIL TEST P l T DA TAs 6 SEPTIC TANK"AND D-BOX" SHALL BE)REINFORCED
T 2-500 GALLON i - / / \ INDICATES �_ INDICATES
�( V LEACHING CHAMBERS �' ~` / PERCOLATION - OBSERVED PRECAST CONCRETE OR APPROVED POLYETHYLENE.
/ \ TEST GROUNDWATER BOTH SHALL BE WATERTIGHT. D-BOX SHA� BE WATER
W/4' STONE AROUND i i , 1
TP sl P•1433I TP s2 TESTED FOR LEVEL WHEN THERE IS MORE MAIV-ONE
0 HORIZON TEXTURE COLOR /00.8 0 HORIZON TEXTURE COLOR /0/ 0 OUTLET.
P 98.3 ORGANIC o ORGANIC
7. BEFORE CONSTRUCTION CALL 'DIG-SAFE-.
A , 2 - - - - - - - - - - - - - - - 100.6 21 - - - - - - - - - - - - - - 100.8 /-888-DIG-SAFE AND THE LOCAL WATER DEPT.
V Z =% N CB/DH N I� Q LOAMY IOYR q LOAMY IOYR
5 • Ii 5 mom/ I \ SAND 3/3 H SAND 3/3 FOR L OCA T l ON OF UNDERGROUND UTILITIES.
v o
�® �� --Aa \ I .:::::: �., �. 7 0� B - - - - - - - - - - - - - - - 100.1 8 - - - - - - - - - - - - - - - 100.3
i i (,O 1 ' !' :. . \ LOAMY IOYR p LOAMY IOYR
\6y' ,f:'._. _:.'.• �g I \ SAND 4/6 O SAND 4/6 8. SEPTIC SYSTEM INSTALLER SHALL NOTIFY THE
BM. CATCH BASIN i / i , v� \ 26' - - - - - - - - - - - - - - - 98.6 26" - - - - - - - - - - - -- - - 98.8
RIM - 97.35 /f / +ss.s t� D-Box 1 DESIGN ENGINEER TWO DAYS PRIOR TO CONSTRUCTION
lX GALLO MED-COARSE IOYR MED-COARSE IOYR
/ 1 `I Q) C l SAND 6/4 Cl
SAND 6/4 OF THE SYSTEM TO ALLOW FOR SCHEDUL 1 NG OF THE
SEPTIC TANK \
46" 461 CONSTRUCTION INSPECTIONS.
I 0 1 s 1
b I 1 I TP*4 \TPa3 9. NO DETERMINATION HAS BEEN MADE AS TO
,S \ II
\ TP*2 \\ I COMPLIANCE W i TH DEED RESTRICTIONS OR ZON l NG
NO WATER NO WATER
rPml \ of r +rol.�.� / 120• 90.8 r2o• 9/.o REGULATIONS. IT SHALL REMAIN THE CLIENTS
\
GP Pp�p2• ------- TP TP •2
0 - "� RESPONSIBILITY TO OBTAIN ALL I PERMI TS, SPECIAL
63.3- ♦l
99.5 F o o PERMITS, VARIANCES ETC, FOR THIS PROJECT.
+ 1 /�E OD v = HOR I ZON TEXTURE COLOR HORIZON TEXTURE COLOR
I \\ I SEO/ �� 0 ORGANIC !0/.2 0" ORGANIC 101.4
\ \ I oeo �0 0 _0� -. O _O____ /0. IT-SHALL-REMAIN THE' CLIENT-S RESPONSIBILITY
R
\ \ j PB�QRoO ti°3 2" - - - - - - - - - - - - - - /0/.0 2 - - - - - - - - - - - - - 101.2 TO HAVE THE PROPOSED BUILDING FOUNDATION-
\\ ni ^ SAND 3/3/3 SAND $
13LOAMY A LOAMY IOYR
DESIGNED TO ACCOUNT FOR THE EXISTING GRADE
/ H /3
IQ61
_ _ _
cp - - - - - - - - 100.7 6- - - - - - - - - - - - -- - - 100.9 AND SOIL CONDITIONS AT THE LOCATION OF THE
\ \\ \ o Il OECD B LOAMY IOYR p LOAMY IOYR PROPOSED BUILDING.
SAND 4/6 D SAND - -4/b-
\ \ - ---- - 24" - - - - 99.2 24 -- - - - - - 99.4
c9 \ \\ g1 \\\ I I J^` - \\ C! MED-COARSE IOYR C l MED-COARSE IOYR
z \ \ \ 100.8 I SAND 6/4 SAND 6/4
\ \ 1 !Dl.7 I \
� +
NO WATER NO WATER # +
CB/OH FND 120" 91.2 /20' 91.4
UP 9A5/2
DATE: APR I L 16. 2014
TEST BY: STEPHEN HAAS
WITNESSED BY: DONNA M10RANDl �JI
PERC RATE: ! 2 MIN/INCH
S l TE FLAN 0 )= LAND
r \� 36 1 NYE ROAD . MAP 148 . PARCELS 140 14 1
/ 1,7 'A$ BARNS TABLE' . ( CENTERV / LLE ) MA
`\ LOTS 22\\ � 23 s 60
\ \ P1EPARED FOR
\ 30. 132+ S\F.
LEGEND
DEAP,I STANLEY
LOCUS � CB CONCRETE BOUND 350 CART L l .JAH READ . CENTER V l L L E . MA 02632
z�
-W WATER L 1 NE
10 SCALE- : 1 20 APR l L 22 , 2014
HYDRANT
rn "?A 4oy� -G- GAS LINE T R HEN A H A A S
y OHW- OVER HEAD WIRES
LIGHT POST ENGINEERING , INC
to eERr --f- UNDERGROUND ELECTRIC LINE 923 F2 o u t e 6 A
Po -T- UNDERGROUND TELEPHONE L INE // �`�
/ . 1 ,\: ��� Yarmouthpor t MA - 02675
'^ -CTV- UNDERGROUND CABL EV I S I ON L 1 NE
o ( SOB ) 362-8 1 32
+40.4 SPOT ELEVATION /�/ ( 508 ) 367- 1 6 J 1
_40------- EXISTING CONTOUR
LOCUS MAP 0 10 20 40 134-0-1 PROPOSED CONTOUR JOB NO: 14-016