HomeMy WebLinkAbout0038 WEQUAQUET LANE - Health i
38:Wequaquet`Lane
Centerville
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THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OYF BARNSTABLE, MASSACHUSETTS Yes
2pplication for Mis osal *,pstrm Construction permit
Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. ty�G(,wC` ,•Q LrV. O er's Name,Addres and Tel.No.
As Ass-s Map/ParceI CQAerq CNN
Installer's Name ddres and T � � �,I Designer's Name,Address,and Tel.No.
V,, \� �t� �O�jl�t S*e v-e..Wr 6i S f P,6 a 6
5
Type o Building:
Dwelling No.of Bedrooms Lot Size �j®.'�Ci ID sq.ft. Garbage Grinder(�)
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 2L gpd Design flow provided 3,0- gpd
Plan Date I I Number of sheets Revision Date
Title
Size of Septic Tank x�S� l t>s Vic,`_ Type of S.A.S. LC 1p t-i a.y C ti U,,,
Description of Soil t; 01?1 Foc Z up X I y A 1P�n
Nature of Repairs or Alterations(Answer when applicable) A A J �4 L C CV C..,A 6 to
Gcb�-Yj CuNj
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 of Health. CC
Signed Date V`
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. Date Issued
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�h ra'r' ti;+�-rci rr ...-x Y,n... - - �.,.r- ,«..lA._,f ,b �;xe. 4 r ✓ ..r+ s- ,� ':� ,� r r��i*... ". "r.+.e w.
No..lz G /[� Fee r/Q
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye
t PUBLIC HEALTH DIVISION - TOWN kQsf. BARNSTABLE, MASSACHUSETTS
Rpplication for -MispoB Y pBtPIU CDTCBtCULtIDYY 3permit
Application for a Permit to Construct( ) Repai (/Upgrade( ) Abandon( ) [:]Complete System ❑Individual Components
Location Address or Lot No. :3 1 W c"<� , L•W.Jt, Owner's Name Address,and Tel.No.
essor'As s Pap/Parcel CA,AwAkNX�
Installer's Name N ddress and e CMa �� Designer's Name,Address,and Tel.No.
rev',, \� ��� Skcvt 1�f�.�R's 9,0 la6X
1 %� cn 1Zcri o(>l�5 1
Type of Building:
Dwelling No.of Bedrooms Lot Size C 0 sq.ft. Garbage Grinder lav
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures ;
ra
Design Flow(min.required) y gpd Design flow.provided �~2 gpd I
Plan Date�" � 1 t„ Number of sheets '' f ? °' Revision Date
Title
Size of Septic Tanks Type of S.A.S.
Description of Soil w �(
I
Nature of Repairs or Alterations(Answer when applicable) bl t( !_ C( C_�, ,A £rS NI2fs k.3 3.V
�i
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 of Health.
Signed Date IS 11 /(p
Application Approved by Date h'
Application Disapproved by Date
for the following reasons
r
Permit No. }•lei/�P �Q �'— Date Issued
r
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
CPrtifirate of Compliance
' THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired V) Upgraded( )
Abandoned( )by Sc.pN\ C,,--V-
at as?. _,v-t 1 has been constructed in accordance
with the provisions o Title 5 and the for Disposal System Construction Permit No-/& —/1.,9-dated 5ZI
` 7
Installer SGa rti ��(.�/��/� DesigneraG�
#bedrooms Approved design flow 02 gpd
The issuance of this permit shall not be construed as a guarantee that the system wil�cti'o—n?a d signed.
Date ��/ �1�' Inspector
---------------.---- ---------.----. -------.------------------------------------------------------------
No. �C�(2 — K✓ r4>— Fee ,/`O C11
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
MispoSal 6pstem Construction Permit
Permission is hereby granted to Construct( ) Repair(L/ Upgrade( ) Abandon( )
System located at �P( P, � � �_ c \l,��`Q
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 compl ted within three years of the date of this permit.
Date Approved by
�' ,�/
i
Town of Barnstable
Regulatory Services
Richard V.Scali,Interim Director
t Public Health Division
Thomas McKean,Director
r 200 Main Street,Hyannis,MA 02601
7
Office: 508-862-4644 Fax: 508.790.6304 \
Installer&Designer Certification Form
Date: Sewage Permit# b*•Assessor's Map\P'arcei
Designer: %-MP RE1,3 A lk A 6 , a Installer: 5 T' �A.
Address: ®. `t6o'k, ti® Address: WS OGIN L?A Ott
Ont® ,was issued a permit to instal I a
(date) (installer)
septic system at based on design drawn by
address)
Sll=?tk6-3 k- - $�&.Vt7dated 112 la 01 b
/ (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.
1 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 i liartcc with the terms
of the I\A approval letters(if applicable)
c
r
(Installer's Signature)
got-
(Designer
z
's Signature) (Affix Designer's Stamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC_HEALTH DIVISION. CERTIFICATE
OF COMP LANCE `WILL NOT BE ISSUED-,UNTIL BOTH THIS FORM AND AS-
&MT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION
THANK YOU.
Q:\Septic\Designer Certification Form Rev 8-14-13.doc >"`
McKean, Thomas
From: McKean,Thomas on behalf of Realth
Sent: Thursday, May 26, 2016 7:49 AM
To: 'Deborah Schilling; '-
Subject: RE: 38 Wequaquet Lane Centerville
Good Morning,
On May 17, 2016, Scott Frank, a licensed septic system installer, replaced the old distribution box and old leaching
system with a brand new heavy duty distribution box(H20 loading) and a brand new leaching system consisting of four
leaching chambers with 3.5 feet of stone surrounding it.
The system was designed by Stephen A. Haas, professional engineer.
The disposal works construction permit was issue for two (2) bedrooms.
Sincerely,
Thomas McKean
-----Original Message-----
From: Deborah Schilling [mailto:deb@onestophomes.com]
Sent:Thursday, May 26, 2016 7:41 AM
To: Health
Subject: 38 Wequaquet Lane Centerville
Good morning Thomas
Thank you for you call in response to above Regards Deb
Deborah Schilling
LAER realty Partners
508.776.1872
Deb@onestophomes.com
Fax 508.428.3314
Selling Cape Cod Real Estate One Yard at a Time (tm)
1
TOWN OF BARNSTABLE
LOCATION L,,,�c yi a Gam` L",I, SEWAGE# 6 I 1 F
VILLAGE C �Cr'�6l `U�. ASSESSOR'S MAP&PARCEL'", = •. _
INSTALLER'S NAME&PHONE NO. ors„-• SD'r a-V4i0Dkq
SEPTIC TANK CAPACITY ly ou 0 c, , )A 10 V 19 CK
LEACHING FACILITY.(type) ;1® LC (size) t® U n.i)o
NO.OF BEDROOMS \.ec.c,�. « ®eef
OWNER d eA �\+k_ eV-A. \.
PERMIT DATE: \`1 \ COMPLIANCE DATE: `
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility e- G_l /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) f �� Feet
FURNISHED BY.. `��
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;: V3
, I =T.18
V
S► '�\� h. sag?a��
Town of Barnstable 1 6-0 4,
Department of Regulatory Services
rwu,8re0r4 Public Health Division Date
MA84 —VK /—�
re7D� 200 Main Street,Hyannis MA 02601
lEll �
//to
Date Scheduled JJJ Time IT Fee Pd,i
Soil Suitability Assessment for Sew e Dis os Z
Performed-By: s-lam e A, Witnessed By:
LOCATION&.GENERAL MFORMA ION
Locatlon Addross Owner's NameT1 It1
C Address C Assessor's Map/Parcel: 0 2 _--0o Engineer's
NEW CONSTRUCTION REPAIR Telephbne#
/2e:5 r� � �r L
' Land Use• Slopes(96) L L Surface Stones
Distances from: Open Water Body fl Possible Wet•Area ft Drinking Water Well ft
Drnihage Way : ft Property Line L ft Other ft
►SIMTCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands-in proximity to holes)
J DK
3
Parent material(geologic) Depth to Bedrock ZSa
Depth to Groundwater. Standing Water in Hole:_ N Weeping from Pit Pnee
Estimated Seasonal High Groundwater
DETE4MINATION FOR SEASONAL-HIGH WATER TABLE
Method Used: N A
Depth Observed standing in obs.hole: In, Depth to loll mottles: In,'
Doilth to weeping from side of obs,hole: 111, Groundwater AdJustment
Index Welt-# Reading Dato; Index Well level Adj hctor_Adj.Croundwater•-Lovel,,,,_,
PERCOLATION TEST ]bola 'rime l�'w
Observation I
Hole# Time at V .
Depth of Pero 4 q 1 j Time at 6"
Start Pro-soak Time @ U'�' Time(9"•6")
End Pro-soak
Rate Miit./Inch , 1-77
Site Sultabillty Assessment; Site Passed Site Failed: 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 must first notify the.
Barnstable Consa vation Division at least one(I) week prior to beginning.
Q:ISEPTl0P8RCPORM.DOC
�� V
DEEP.OBSERVATION HOLE LOG Hole# I
Depth from Sol Horizon Soil Texture Shcl Color Soil. Other
Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones,'Boulders.
• rsistency.96'Oravoll
Z
to v
DEEP OBSERVATION HOLE LOG Hole# Z—
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
3 L S 10 f,L ql(:
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Sall Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.,
Consistency.
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soli Horizon Soil Texture Soil Color 51311 Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Slopes;Boulders.
Flood Insurance Rate Map:
Above 500 year flood boundary No— Yes z_ µ
Within 500 year boundary No. Yes,_ r
Within 100 year flood boundary No. Yes
Depth of lYaturaRy Occurring Pervlous Materlal
Does at least four feet of naturally occurring pervious mitterial exist in all areas observed thrpughout 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 tralnin ,e e tise and experience described in 10 CMR 15.017.
UZ-Date . .
Signature
Q:1SEMC\PBRCP0RM.DOC
i
TOWN OF BARNSTABLE
LOCATION a( 6 We.c Ln!:vP:t' LGn o_ SEWAGE #
VILLNGE.0 o ASSESSOR'S MAP & LOT4L �-
INSTALLER'S NAME&PHONE NO. �vQ
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
NO. OF BEDROOMS Q
BUILDER OR OWNER E C 1 e'4 / DOd lth
PERMITDATE: 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 f et of leaching facility)` Feet
Furnished by _ e-CN�k J- (wog.icy
S
\�
i
ACCESS COVERS MUST BE WI THIN 9" MINIMUM. / N VER T ELEVATIONS : DES l GN CR l TER l A . GENERAL NO TES :
6" OF FINISH GRADE 3' MAXIMUM COVER
FIRST 2' TO INVERT OUT SEPTIC TANK: 99.4 DESIGN FLOW: 2 BEDROOM. DESIGN FOR
BE LEVEL MIN 2" OF PEASTONE INVERT IN DIST. BOX: 97.87 3 BEDROOMS MINIMUM AT 1/0 G.P.D. PER I. THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION
OR F I L TER FABRIC INVERT OUT DIST. BOX: 97.7 BEDROOM EQUALS 330 G.P.D. OF THE SEWAGE DISPOSAL SYSTEM ONLY,
4- DIAM PIPE 3/4" - l 1/2" DIA. INVERT IN LEACH CHAMBER: 97.6
DOUBLE WASHED STONE BOTTOM OF LEACH CHAMBER: 96.6 NO GARBAGE GRINDER 2. VERTICAL DATUM !S ASSUMED, FOR BENCH MARKS
99.4 97.7 I2" %o SET. SEE SITE PLAN.
°� 96.6 ADJUSTED GROUND WATER: N/A
BAFFLE 97.87 $X 1 97.6 SEPTIC TANK REQUIRED:
3 OUTLET 4 LC-6 LEACHING CHAMBERS OBSERVED GROUND WATER: NSA 330 G.P.D. X 200% - 660 GAL. J. ALL CONSTRUCTION METHODS AND MATERIALS AND
EXISTING D-BOX W/3.5' STONE AROUND. 10'w x 38.1 x 12-d BOTTOM OF TEST HOLE #!: 90•9 SEPTIC TANK PROVIDED: 1000 GAL. EXISTING MAINTENANCE OF THE SEPTIC SYSTEM SHALL
1000 GAL H-20 CONFORM TO MASS. D.E.P. TITLE 5 AND LOCAL
SEPTIC TANK 6" CRUSHED STONE OR SOIL ABSORPTION SYSTEM REQUIRED: BOARD OF HEALTH REGULAT IONS.
COMPACTED BASE
DESIGN PERC RATE � 5 MIN/INCH
N PROF l L E : NOT TO SCALE SOIL TEXTURAL CLASS - I 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-
STANDING H-20 WHEEL LOADS.
PROVIDED: 4 LC-6 LEACHING CHAMBERS
W/3.5' STONE AROUND. A-476 S.F. 5. ALL SEWER PIPE SHALL BE SCHEDULE 40 PVC OR
476 S.F. x 0.74 - 352 G.P.D. APPROVED EQUAL.
50 L TEST P i r DATA 6• SEPTIC TANK AND D-BOX SHALL BE REINFORCED
s PRECAST CONCRETE OR APPROVED POLYETHYLENE.
T�cf rnrolcarEs V /NDrcaTES BOTH SHALL BE WATERTIGHT. D-BOX SHALL BE WATER
qpF PERCOLATION = OBSERVED
o�yc TEST - GROUNDWATER TESTED FOR LEVEL WHEN THERE IS MORE THAN ONE
c`
TP •1 P*15018 TP .2 OUTLET.
HORIZON TEXTURE COLOR HORIZON TEXTURE COLOR
o• I01.1 0 101.1 7. BEFORE CONSTRUCTION CALL "DIG-SAFE".
40AMY IOYR LOAMY IOYR
101-8 A SAND 3/3 ASAND 3i3 1-888-DIG-SAFE AND THE LOCAL WATER DEPT. .
1 - - - - - - - - - - - - - - - loos 8" - - - - - - - - - - - - - - - ►00.4 FOR LOCATION OF UNDERGROUND UTILITIES\� 6" . x
/ 1 ` B LOAMY IOYR B LOAMY IOYR
SAND 4/6 SAND 4/6
O S 28 - - - - - - - - - - - - - - - 98.8 24" - - - - - - - - - - - - - - - 99.1 8• SEPTIC SYSTEM INSTALLER SHALL NOTIFY THE
MEDIUM IOYR MEDIUM IOYR
/8 /S• C l SAND AND IOYR
C l SAND AND IOY DES!GN ENGINEER TWO DAYS PRIOR TO CONSTRUCTION516\^�' �� °\'° syFp 8�pF`S0 F GRAVEL GRAVEL OF THE SYSTEM TO ALLOW FOR SCHEDULING OF THE
CONSTRUCTION INSPECTIONS.
I6'OAK �G� K� 44'
BM. ON WOOD GIRT, ORANGE Q/ 12 °AK �\ 9. EXISTING LEACH PIT TO BE PUMPED DRY AND
01.5 PAINT. EL"102.06
2"OAK BACKFlLLED.
16'OAK 12-OAK
TPv I i
���✓ 10I.5 TPs2 123- NO WATER 90.9 120" NO WATER 91.1
p�`' :.Q: /•••- ..:.: -'-.' `�B -- DATE: MAY J. 2016
VEp z TEST BY: STEPHEN HAAS
yin EXISTING WITNESSED BY: DAV/O STANTON
........ ...
SEPTIC TANK ,- Off. \ ���••� •.�.�..'-'--%•., �� PERC RATE: l 2 MIN/INCH -
+100.9
- � I
+101.6
p�F/ �N 4 LC-6 PRECAST CHAMBERS \�� CB FND
W/3.5 ST04E AROUND !
31.4 c, , +99.2 `pp
� I
/ 1
UP 38 DNyWPC
� \
i
F� O � y
C./ q
bt
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Z*4
SEPT l C SYSTEM DES i GN
AREA
36. 790t S.F. o 08 WE LANE . MAP 2SO . PAPCEL 22
�co BARNS TABLE CCENTERV I LLE ) MA .
P� 2� PREPARED FOR
a�a ry s�is s'o• LEGEND M C H L K Z_ E7 Y
o.
o� ■ CB CONCRETE BOUND
JQ +LOCUS W WATER L!NE
� R rE 28 - SCALE l ' � 2 O MAY 12 , 2016
'0 HYDRANT
GAS LINE STEPHEN A . HAAS
LOP�yq� _1- WIRES
LIGHT POST ENGINEERING , INC
sr�FF --E- UNDERGROUND ELECTRIC LINE / P . O . Box 16
,
-T- UNDERGROUND TELEPHONE LINE South Dennis MA 02660�„J �` n / n CTV- UNDERGROUND CABLEVISION LINE �� \ ( SOS ) 362-8 '1 32
Pf I +40.4 SPOT ELEVATION
........40------- EXISTING CONTOUR
LOCUS MAP 0 I0 20 40 40 PROPOSED CONTOUR JOB NO: 16-023