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HomeMy WebLinkAbout0035 STANLEY WAY - Health <35`{STANLEY WAYS.. yi �! t. t' r �' }aCenterville A =''f 228' — 123 I a a^ ri �llll aFcYctFo �S UPC 12534 No. 2-1553LOR HASTINGS, MN TOWN OF BARNSTABLE LOCATION SEWAGE# �-01 1— VILLAGE Cr�1�1 9 y,/�r ASSESSOR'S MAP&PARCEL =� -F- t-%•3 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 1!00 •Est / LEACHING FACILITY:(type) L.0 1 ize) ,bP X 1�- -�NO.OF BEDROOMS ol. OWNER t PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility -k—5-- Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Ar Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY ,/ ®yJ L��r ClaCiv�/rinr r ��� ��h yQ' � , ,. , d�� e. � �'b' � p O is No. Lam'1 J®`Y Fee ��✓a`F THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 21pplitation for Misposal *pstrm Const rtion Permit Application for a Permit to Construct( ) Repair(k� Upgrade(_) Abandon( ) .Complete System ❑Individual Components Location Address or Lot No. 3,6''53 (;Q Own spName Address,and Tel.1No. 61 --�' ✓�Q Assessor's Map/Parcel A;9 i� C q QO Installer's Name,Address,and T 1.No. 6U - o`iFS " �� Designer's ame,Address,and Tel.No. SGIR- 3K-,P (3 A-Otott� C'omS}'Y ,�nc P0.6oX r70V ZC ;W_n '?_6 AlaZI-r . L6dAf_66n_1 ►' 05 O � 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) fl gpd Design flow provided // gpd Plan Date AUACLa�,X. Ab VQ Number of sheets Revision Date la aDr� Title 1, - Size of Septic Tank. L111y� Type of S.A.S. o'?SA 1$1.5M° Ca /5��� (1141" Description of Soil 6&_ StAr-X /p Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and mainten f the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental e and o place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date - , Application Approved by Date 'J3 Application Disapproved by Date for the following reasons Permit No. -21017 — _Z01 Date Issued / 701 No.201 307 Fee A70 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for Disposal *pstem Construction 3permit Application for a Permit to Construct( ) Repair 06 Upgralde(,) Abandon( ) X IComplete System ❑Individual Components Location Address or Lot No.3 6-s4 "."A. t.¢retA :' , Z -1 �, Owner s Name,Address,and Tel.No. �y.�-$,3f�' Assessor's Map/Parcel .'ka$�j,�3 r C r� 9 y?0/ Installer's Name,Address,and Tel.No. 5l1 '65'c3k6l Designer's Name,Address,and Tel.No. r�oln` is C 1(Si-i�0-0.-T,-1C pv•13ox'?0V 'wPer 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) 01,01'0 gpd Design flow provided gpd Plan Date F#RA114.w A6 10 Number of sheets / Revision Date �u nI6 lyd Title 1; 1,�.5 5 4 Ak,,,a, A 3S- ��nit.:41 C(.&V (4- r1-a,11r!t-tA r � Size of Septic Tank l% �N Iy� J Type of S.A.S. e''X 1 vl.�j6 r C2� S�G���"(r �ltrlO1�c'��i Cr�� Description of Soil .5ye sn .v Ir✓Sr r j Nature of Repairs or Alterations(Answer when applicable) Date last inspected: f 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 _ Date Application Approved by Date /3 1 4 Application Disapproved by Date for the following reasons l 1. Permit No. 21011 '�U Date Issued rt � THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliante TIES IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) .Repaired(� Upgraded( ) Abandoned( )by OY5 r-t,(U �_�,�nC �'r t C c^.�v t t✓ G at has been constructed in accordance - with the provisions of Title 5 and the for Disposal System Construction Permit NoS*-39'� dated thilzet-4 Installer s �t, 0.)vnS ✓[aG 1-tc�Y�. -ink Designer Down (!.IPs3..t C111CZ - f #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector /-f�-�- - - - - - - ---- - ----- - --- --- --------------- - -- _ ------- ---- - - G . .: No. "( 3n � 7 Fee lc�09. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction 3permit Permission is hereby granted to Construct( ) 1Repair(� Upgrade( ) Abandon( ) System.located at 35 ,ertk-e�_� C.C.�ra, �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 within three years of the date of this permit. Date I ( !�1/ Z-O (�- Approved by -14-2017 02:48 From: To:15087906304 Pa9e:1/1 6 7-zyg Town of Barnstable Regulatory Services Thomas F.Geller,)[Director Public Health Division a ° Thomas Mc]Keaan,Director Zoo Main Street,Hyannis,MA 02601 Office: SOS-862-4644 lax: 508-790-6304 installer&Designer Certification Form Date.- D I Sewage Permit# �I`j� _Assessor's MaaplParcel� 1.z3 Designer: DaWA! ?t=V�'..WMTUtA Instaaller. F;;e2.rDkQT77 QN!k R, vN Address: Qapq MAIN 4r Address: P6. &K 110q On 1 /.Z"as issued a permit to install a '*to) septic system at 255 STAYLq WA4 COWTUV1 U.S based on a design drawn by (add ) av�el 0I,tfa dated �- I 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. I certify that the septic system.referenced above was installed with major choges (i.e. • greater than 10 lateral relocation of the SAS or any vertical relocation of any component Of the s ' )but in accordance with State&Local Regulations. Plan revision or ce as-b ' designer to follow. ZH OF baS DANIEL A. (Installer's Signature) OJALA CIVIL C^ No.46502 t �� "xF cr s�FIR S�roNnL (Designer's Signature) (Affix Desi s Stamp Here) PLEASE RBTORN TO BARN ABLE PUBLIC HEALTH MM ®N. CLRT C= OF' c0Np?LLkNcE WII,X. NOT BE ISSY.Wo UNTIL BOTH T)OS FORM AND M&BUII.T CARD ARE RECENED BY THE BARNSTABLE P'MUK HEALTH RM_ ON. M&MC YOU. Q:HeaiWSepdc/DesIgner Ccr ificadon Form 3-26-04.doo r /7- �y� Town of b�� . .. Depa;rtbioatofRegulatoay.Services 31 �r, risrnnwc Pubic Heaftb..D1,01sion Date s"� 11 200 Main Strcer,Hyanals MA 02601 h Date Scheduled l� ��Q �/ � T��e � / F+ e FdP 10kc/9•�1. v O� all Soil Suitability Assess. ent ar Sewage Disposal performed-By:-.6-0c oce c ,i WlwessedEy: �S L. RM Location Address Owner's Name Addz�ss .Assessor's Map/parcel: tV ,4)a 3 Englnoer's Namc j, e NEW C0NSTR.UCTl02\1 REPAIR 1" Telephone# 0 ��" dol Land Use: - ���� pj j Sloprs(96) �J'�d Surface Stones k • s Distances Flom: Open Wafer i3 ody �J© #t possible W�t•Area t fk Drinking Water Well�% ft Dralnage Way, r!V02 f ft .property Line Z f ft Other ft SIM'-TCJag(Street name,dimeasions of lot,exact locations of test holes&Pero tests;locate wetlands i�n pznxirnity to holes) Parent material(geologic) ✓t �t�i1'�. Depth to�adrga% Chi Depth•toGrouudwater: SlandingWalcrinHole: Waeping*oxnPltFA'Qjr Estimated Seasonal High Groundwater DE � . A`ION FOR SEASONAL EaG11 WATRR TABLE. Method Used: Depth Observed standing in obs.hole: Itt. :13epttl.tt7.59)]�1?QgIg5:- It1, Depth to weeping from side of obs.holm In; cjmundwnturAdjuelwoa fc. Index Weli heading Dake: Indox Well laYel ,: __, Ad J,fhatbil-Adj.A.-OU116watel Laval ]PERCOLAT-1,0N TEST Observation Hole# 'Plxnp•at.y„ , ._ �, ,M p _, /�/t/ Depth of pore. .1(-- 9 TlmaatV Start pre-soils lima @ ,lime(9»-G„) -- End pre-soak B Rate Min:/zucli ►"�' F _ SiC�SuitabilityAssessment; Site Passed Sits Failed:_____ `AdditionalTostingNeedrd(YIN)' /y Original: Public health DIvIslon Obse6a'tlaa Holy Data To B0 Comploted on Back--_------ ***l f porcolado' n test is to be coxaducted w tl i n 1009 of weda ad,you must first-aotlfy the Barnsfi bje Ccusgvatiola Division at-le2st one(1) week prior to begixMing. �:13E)xI'ICIPER.CPOI2lVl'.DOC i i Dcpthfrom LOG Role SallHarizon Soil.Toxturc ShclColor Soil•. dtYtar Surfaeo(in.) , (USbA) (munuall) Mottling (Structurc, Stones;Boulders, _ o i'rcn�y.9�'�rayoil Q— l L S LO 11A9 DEEI 0138,ER,V T,I—ON-]OE9 LOG ' -Role� Z Drpthfrom Sall color Soil Other Sarfaco(in.) (USDA.) (Munsoll) Mottling (5tructuro,Stones,Boulders. crisis on clo Grave , I Depth*oni 5oll.Horizon SailTexturo Sail Color Soil OLhcr Surface(in.) (USDA) (Munsell) mottang (Stmaturo)Stones,Boulders. Co i to c t9 e Depth from Sail Tdotizon SoilToxturc Sall Color 0"1311 Other Surface(in.} ('USDA) (Munsell) Mottling (Structure,Stoats,Boulders. • Ca si Enn 6 i • �'laod rnsrsranc'�f�.�.fe'1V1�.'p�. _ . - Abavc500ycar flood houndary No— Yes - - "Within 500'ycarbauudnry. No X Yes Within Inoymr flood boundary NO.X Yes . bel�¢'h�f�'u�it>•aY:IV�cc�.grxinsa-:I�e�vrYalss&1�.��r%aY • boos at least four feet of naturally occurring poIT o s WTIRl exist in all amm nbs6t,ved throughout the area proposed fbr the sail absorption systeml If not,What is thr,depth of naturally occurring pervious matertall - Cef mca iox� x certify that ott (date)r havepassad die soil evaluator mmmination approved by'the Depaltment E—nviroQ Protection and thartho above analysis Was perforaned by me consistent Wif[i . 'the required training,expertise and experience described in�10 CIAR 15.017. • Signature bafb V Q.1�",1?l''T'ICtP�IZ.CTtOT�M.nOC • • SYSTEM EM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES WITH MAGNETIC TAPE OR . � inner (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION �� Ph PROVIDE MIN. 20" DIAM. WATERTIGHT 1. DATUM IS NAVD 88 Grea orsh ,Q � Zg ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE 2. MUNICIPAL WATER IS EXISTING ROOte \ TOP FOUND. EL. 53.1' FILTER FABRIC OVER STONE 52.5 2q SLOPE REQUIRED OVER SYSTEM 52.0' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT.MINIMUM .75' OF COVER OVER PRECAST o� PRECAST H-10 NOTE: 2" MIN. WALL BLOCKS OR 4. DESIGN LOADING FOR ALL PROPOSED PRECAST s THICKNESS REQUIRED UNITS TO BE AASHO H-LQ RISERS (TYP.) PRECAST RISERS o 4� 2 0 cJ0 7' 4"OSCH40 PVC MORTAR ALL H-10 1Qr� ` 6" MIN. SUMP PIPES LEVEL 1ST 2' COMPONENTS 5. PIPE JOINTS TO BE MADE WATERTIGHT. ITH 4' 9 RE-ROUTE 12 MIN. INT. DIM. ENDS (NP') SIDES 49.53' ALL PLUMBING "y *51 .1 ' 1500 GAL H-10 P 6.. CONSTRUCTION DETAILS TO BE IN ACCORDANCE 10" 14" TO FRONT OF 49.53' TEE SEPTIC TANK TEE °°°°°°°° °�OO� � AE �411110�- 0 49.28 0000aa�aoMaaaE2a�o °°°°°°°° 310 CMR 15.000 (TITLE 5.) Locu nHOUSE �o�o�o�o�o�oWATERTEHT D'BOX ° ° ° °0 0 0 0 0 000° ° ° ° oaaaaa�oaoaoaao�o o ° o ° GAS BAFFLE;: �_o�o�o 0 0_ FOR LEVELNESS �i o0000000 0���000�0 ;0000gogo 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND pc • ' ' )O°O°O°O° "•°°°O°O°O° 46.7 NOT TO BE USED FOR LOT LINE STAKING OR ANY _ 4' LIQ. LEVEL (ACME OR EQUAL) .' 48.97 48.80 ° ° ° ° �o ` o o ° ° OTHER PURPOSE. Q °O�00O�OQO�ODO�O�O�0000000000 O�OD^�O�O�OD0 L11 �o0�o,,o„O_o_0_0_0_� o 0 0 0 0 0_�_9_ _n_o.o 0 _ H-10 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. $, PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. o� O 3/4"-1 1/2" DOUBLE WASHED STONE 4' MIN. (2) UNITS REQUIRED , ALL AROUND PRECAST STRUCTURES 9. COMPONENTS NOT TO BE BACKFILLED OR { 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 25.00' X 12.83' COMPACTION. (15.221 [2]) ^ CONCEALED WITHOUT INSPECTION BY BOARD OF �� Sri HEALTH AND PERMISSION OBTAINED FROM BOARD Q" OF HEALTH. 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LOCUS MAP 41.0' BOTTOM TH-1 CALLING DIGSAFE (1-888-344-7233) AND ( 1 1 % SLOPE) ( 1 7. SLOPE) ( 1 � SLOPE) NO GROUNDWATER FOUND VERIFYING THE LOCATION OF ALL UNDERGROUND & SCALE 1"=2000'f OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF FOUNDATION- 14' SEPTIC TANK 31 LEACHING WORK.D' BOX 12' FACILITY ASSESSORS MAP 228 PARCEL 123 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED BENEATH AND 5' AROUND THE *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL PROPOSED LEACHING FACILITY. UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM 12. EXISTING LEACHING FACILITY SHALL BE PUMPED E G E N D AND REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. 99 - EXISTING CONTOUR U x 99.1 EXIST. SPOT ELEV. SYSTEM DESIGN: -[99]-- PROPOSED CONTOUR 121.26' GARBAGE DISPOSER IS NOT ALLOWED 198.41 PROPOSED SPOT EL. TH1 DESIGN FLOW: 2 BEDROOMS © 110 GPD = 220 GPD TEST HOLE USE A 220 GPD DESIGN FLOW 2% SLOPE OF GROUND � , PAVED SEPTIC TANK: 220 GPD (2) = 330 FGARAGE DRIVE 710 UTILITY POLE h'IV USE A 1500 GAL. SEPTIC TANK r I � FIRE HYDRANT LOT LEACHING: NOTE: NOT ALL SYMBOLS MAY APPEAR IN "DRAWING 1 3,819 S.F. I � N SIDES: 2 (25 + 12.83) 2 (.74) = 112 GPD c6 _eel " o I `O '� BOTTOM 25 x 12.83 (.74) = 237 °GPD TEST HOLE LOGS 00 *RE-ROUTE AL _ _ _ I O 0 O 10.11 TOTAL: 472 S.F. 349 GPD L / PLUMBING TO USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) ENGINEER: CRAIG J. FERRARI, SE #13871 FRONT c/o o WITH 4' STONE ALL AROUND WITNESS: DONALD DESMARAIS RS DWELLING M DATE: 8/16/2017 � TOF =53.1 � MA CESSPOO 20.2' 10.0' PERC. RATE _ < 2 MIN/INCH U� APPROVED DATE BOARD OF HEALTH L - / / IN REAR CLASS I SOILS P# 15457 NOT FOUND TH'I H2 _ SLEEVE SEWER 0 o LINE WHERE ELEV. ELEV. �tio N WITHIN 10' OF 00 0» 4 52' 0" 52, N WATERLINE II II A A LS LS TITLE 5 SITE PLAN 10YR 4/4 10YR 4/4 o do OF 15" 12" B B s� #35 STANLEY WAY LS LS 120.60' „ 10YR 5/8 10YR 5/8 BENCHMARK: CENTERVILLE, MA 30 49.5 30 49.5 =53.5' NAVD88 PREPARED FOR 1 - BORTOLOTTI CONSTRUCTION/ PERC C JOHNSON MS MS DATE: AUGUST 24, 2017 REV. SEPTEMBER 12, 2017 OF kf4 4 10YR 7 4 � �,;a�' 10YR 7 / / , DANIELA ti q `Nm�;?� ANIEL �ti off 508-362-4541 o O,,Ai.A A �•\ fax 508-362-9880 <<�, No. 4��C�2 �I a downcape.com °� , 0, �%°,c` : `~ r °`�°Y down cape engineering inc. 11 , 11 s 132 41 132 41 ' /0 �9��Fss�o�J� SU _ civil engineers NO GROUNDWATER ENCOUNTERED Scale: 1"= 20' q, "L_ -.� land surveyors 939 Main Street ( Rte 6A) 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 �C� # ' �-��� 17-248 ,