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HomeMy WebLinkAbout0108 WHITE OAK TRAIL - Health 108 White Oak Trail Centerville A= 192-197 n/// s M E A 0 No.63LOR UPC 12543 smead.com - Made in USA S i 0 V �V V V T S J Y I No. , Fee GJv r THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: IL PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01p prication for 3k6 pont *p5tem Cow5truction Permit Application for a Permit to ConstructyRepair( ) Upgrade( ) .Abandon( ) ❑Complete System ❑Individual Components (�Location A dress or Loon No. /Q Y 14111 e 6 Own j��l er's Name,Address,and Tel.N Ass Map/Parc �� f /U Z y7 c Installer's Name,Address,and Tel.No,. � f� Designer's Name,Address and Tel.Noses C/ j All 07 Alle�k ZACj o 'ce-)o wle Type of ing: Dwelling No.of Bedrooms `7 Lot Size J sq.ft. Garbage Grinder ( ) Other Type of Building i 1 601 No.of Persons �° Showers( ) Cafeteria( ) Other Fixtures Design Flow(mien.required) �V gpd Design flow provided _ [/6� �/ gpd Plan Date 7 L 6 Nu ber of sheets / Revision Date Title Size of Septic Tank /�'Q (r Type of S.A.S. O Uc C . Description of Soil 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 Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si ed Date �i r Application Approved by - Date ®� Application Disapproved by: Date for the following reasons Permit No. Date Issued � � v .... wry...,.,c-" +._..x.r�•,:'.-... ,..�..�.r,..y,,,,�..V..' _. .n. ,_­; 7.... «...,..<.•--""e._.«...r-.,:�.. �•'.-„+`....',...-....-. -No. !V a Fee ' THE C.OMMONVVEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -.TOWN OF BARNSTABLE, MASSACHUSETTS Yes x 2pprication for Mis;pont *Pztem (Cott.5truction Permit Application for a Permit to Construct Repair( ) . Upgrade( ) Abandon( ). ❑ Complete System ❑Individual Components Location Address or Lot No./Q � P Owner's Name,Address,and Tel. o. Assessor's Map/Parcel a Installer's Name,Address,and Tel.No. ��� f� Designer's Name,Address and Tel.No. fir` 6Cc�/Ct' h)cj—& n o 0 P . Type of i thing: s Dwelling No.of Bedrooms L� Lot Size 2 sq.ft. Garbage Grinder ( ) Other Type of Building " 1 6;1 No.of Persons Showers( ) Cafeteria( ) r" Other Fixtures 1. jDesign Flow(min.required) / gpd Design flow provided gP d ~ Plan Date Z CA, N ber of sheets / Revision Date Title Size of Septic Tank Type of S.A.S. f O y C� Description of Soil Nature of Repairs or Alterations(Answer when applicable) ' k 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�oflth. ' S' ned / Date Application Approved by Is Date Application Disapproved by: Date r. for the following reasons . . x< ,x Permit No. '� � Date Issued ©� r THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-sit Sewa e 7rl osal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( )by i at / U k xj.J ,A 20.1k has been constructed in accordance p with the provisions f Title 5 and the{for DM ystem Construction Permit No. ' dated S YInstaller ,-r A to � Designer 10 #bedrooms Approved design flv C, G. gpd The issuance of this permit shall not be construed as a guarantee that the system ill function as designed. 1 Date 1 w Inspector�� t— --7 ———————————————— Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS wi5po!gar * 6tem Construction Permit Permission is hereby granted o Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special Zate t�ion . Provided: Construction m st be ompleted within three years of the of thi. Date �� Approv by Town of Barnstable �. Regulatory Services Thomas F. Geiler,Director >> MAW * Public Health Division 9. Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Date: %/`/7 0 Sewage Permit# D g'/ 7,PAssessor's Map/Parcel 7 Installer& Designer Certification Form Designer: Jib,1L E 4-IS 0C 119� _5 Installer: IIA4 / %U/G:/CV 4,4-s Address: f 7o Cl.a►/E/Lj/�U D /��� • Address: p® .96, .3_6 7 On was issued a permit to install a (date) (installer) septic system at /08 41/1/ 7-LG 04K �i�, based on a design drawn by (address) - Ti,,l� A So C 14;rC S dated `4 / (designer) V 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. Stripout (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. Stripout(if required) was inspected and the soils were 7,d satisf toy. OF (I talle s Signature) ��` uo►�l P. ooYLE,III ?4(Desi e s Signature) (Affix here) WD . PLEASE RETURN TO BARNSTABLE PUBLIC HEALTHERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUH.T CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. q koffice fonnsWesignercertification fonn.doc �l TOWN OF BARNSTAR LO fATION A0 2 e A� �..� 04,7SEWAGE tt. 200 . VILLAGE � nr,'��� ASSESSOR'S MAP&PARCEL / b INSTALLER'S NAME&PHONE NO. / / C ✓ U� SEPTIC TANK CAPACITY LEACHING FACILITY: (typ(3) _ dd 94 (size) G _ � — NO.OF-BEDROOMS ' OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Ktween 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). �yv feet .,04" �FURNISHED BY �/(_, �C f / ! f1' n I TOWN OF BARNSTABLE F LOCATION X.- �G / SEWAGE# G VILLAGEy ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. le,-Are 2 J &Y d SEPTIC TANK CAPACITY /J=0 O LEACHING FACILITY.(type) � (—�(r� 961 (size) G f NO. OF BEDROOMS OWNER � �� PERMIT DATE: B COMPLIANCE DATE: C Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility feet Priy. to 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 s J A ,� Town of Barnstable P', 0 Department of Regulatory Services wexsreet,e. � Public Health Division Date 039. �s� 200 Main Street,Hyannis MA 02601 Date Scheduled Af,ra Time Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: _ U� aYL f�L Witnessed By: X1,O)UM l LOCATION & GENERAL INFORMATION Location Address YD// /J (,7 Owner's Name Address Assessor's Map/Parcel: - Y/� Z //9 Engineer's NamedL7 NEW CONSTRUCTION _] REPAIR Telephone# cs r r Land Use 09C:,I/li' G � Slopes(%)_ Surface Stones /y0 T � ✓`t��'j C Z ft Drinking Water Well ft Distances from: Open Water Body ,L'`L° ft Possible Wet Area U � g TUEGfk' Drainage Way �L�z) ft Property Line 2,0 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Ai / _- , S, SZ _l � 01 ` � I N 19D ' I�g3 i4ec61__ /97 i /y7 I � I D I Parent.material(geologic)fII Depth to Bedrock. Al 67— Q'e 5. " Depth to Groundwater: Standing Water in Hole: IW'N� Weeping from Pit Puce /,� Estimated Seasonal High Groundwater 3 3 &4 6&f_4q&r J DETERMINATION FOR SEASONAL HIGH WATER_ ELK Method Used: 5 Depth Observed standing in obs.hole: in, Depth to soil mottles: _ __ _ In, Depth to weeping from side of obs.hole: in, Groundwater Adjustment Index Well# Reading Date: Index Well level _ Adj.factor _�� Adj.Oroundwater tAvel PERCOLATION TEST IDate ' S xltne Il '; Observation i Hole# 7P"� Time at 9" — L Depth of Perc Time at 6" Start Pre-soak Time @ ` Z 'I e ;I Time(9"-6") End Pre-soak (vrr t—• 1 J i `' I!i 3 ° /✓` z0 ` Rate Min./Inch 1A) Site Suitability Assessment: Site Passed_ Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- I i ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one (1) week prior to beginning. Q:\SEPTIC\PERCFORM.DOC i s t DEEP OBSERVATION HOLE LOG Hole#T? Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel i g" -3,0 '' d �-0/0 y S.�7vrl 7,s yl� �•� 30 -Ott C, DEEP OBSERVATION HOLE LOG Hole#' - Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel In, 5AIA /Dy2 DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel o --7" 514. X/ 7`36 ,, s 7syes/� 36 i41 �-y C, . s�9 z2 CZ14Y. s;v� ,✓vyr DEEP OBSERVATION HOLE:LOG Hole#! - Depth from Soil Horizon Soil Texture Soil Color Soil . Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consisten r Gravel) CZ a _ _ wFlood Insurance Rate Map: Above 500 year flood boundary No_ Yes Within 500 year boundary No_ Yes- �. Within 100 year flood boundary No Yes- Depth 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? —! If not,what is the depth of naturally occurring pervious material? r Certification i I certify that on y (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 trainin ,expertise and experience described in 310 CMR 15.017. , Signature -�` � Date /'9 Q:\.SEPTIC\PERCFORM.DOC oA� r I p i - - ------------ + _ - _ }_ _ Z........_.. _. -' '\.�'..-__ ... ...y .-.._L .sv.'m�•w•.mrtc��a:gy�Tts'a•'ens�er__ i � -- -__ �- �- � --f � t--� -•-��r- �_r_.-,i�ry.'�7}'___� —S.I -A. ��_ ._.-_,._ �xaam�.•w.- ✓✓ f L — I ; ____ '•.- ----::� __._.....�_ [�_..._- _ ��- �---- �.-u_ --- ) D - ) .w -•.....- . , i I + I fit.&.,'G.�i'.�sy - !� aw a•:/ --�.: r - • k4� µ�t 1 \\ r a v. _ R - Nile __. � -,-�,;�, ►I � . +' - �_, __ /� C3 � `� t ,. .___—. Mitt$:�._t=.�UM;�.SLttA•lt�l.-r•7.�7�Let .�` —`_.w. . . ... .j .. {�; _`_.._'_ ------�-- ----------- -ii ............ 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Yt!.df',77t�(�✓tid7 Ci' Jtyd�;f {'D"d�`.•L�,.'S' Notes The aspect ratio and story level of the building require 5/8 dia_anchor bolts spared 20 in oc and,6 to 12 in_from ends of plates.Anchor bolt washers are square 3 in.x 3 in.x 1.4 in.thick- �s�+p��j�+ g� `, t�, For wall sheathing,nailing of the CDX plywood will be with 8d common nails,3 in.edge and I a f I''- 1 i CT ORS f'l S R E tl I E Y r 5 D �lditlt\� i` 6 in.field.All other frame nailing for roof and walls,and sheathing for ceilings and floors will be at least as required by Table 2 of WFCM.End wall connections for 16 in.stud spacing will kP be with two 16d cotnmon nails according to table 8 of section 42 of WFCM 'S A L E I LDI N T. DATE General Notes • End support posts for second floor flush beam to main beam,5 V.x 5 V.Parallam PSLs FIRE DEPARTMENT DATE • End support posts for 3'J floor beam to second floor beam,3%x 5'/.Paiallam PSLs 130 T H SIGNATURES ARE REQUIRED FOR PERMITTING • All second and third floor joists should go in same direction. • Garage floor requires a construction joint in the middle from front to back_ • Garage beam post to header,3'/.x 7 Patallam PSL.Connect with Simpson BC46- Garage header end posts to foundation,3%x 5'/.PSL,Connect with Simpson CC44 at top,and'AB44 connectors into foundation • Use a 6 in.x 6 in-x%,in.thick steel plate on footings under each column Anchor the - steel plate with 4 in.Timberlock screws or equivalent,centered in opposite comers. ,="_--- • Connect tops of columns to the main beam with Simpson LCC4.5-4 connectors and shim as required. •. For the second floor beam column supports,connect the columns to the main beam _ with Simpson BC6 connectors and shim as required ^ Where posts meet steel I beams,use steel angles 4 x 4 x'/, x 6 in.long on opposite t sides of posts,and apply a 118 in-fillet weld connecting the 6 inch edges of the angles to the beam.Then connect the angles to the posts with two 4 in.Timberlock screws or equivalent,on each side,equally spaced and centered q " uFc� :S _ w',�;till e+•�U d.a.,.••w �,.-...�.o... ..,o.....•...•,,;� . 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'•F,A�Y/.-nr'�.L�.^v�A1 DATE: REVISE, f- -- h�-"ti_ !'':�!s�- /� ��'-�. •--- - - l V%"/��•/(��r9 �.. .— ,. _ Dii/iWINGJI WIBEN t I 1 ... f LEWle 1BE - :� �ry � _4 r�� t ri• � t.;f' p �� %err'-:.� Y t j _. L ; 1 — P ED Ey. r . s-rh - � DATE: REVISED t ..DF : " pp IN ..r.-. >r'tz-•a.< ._;,`I,?,•f' '�' " 1 x'�,. : A. �M-, nJ} r • - .. ....A-..,,..,.Yi....� � ^^.•=�e+.- r•-.t/_.._r..._ ...<. er .. ._._ .. ,. �:\: - '!-r7Ga�..4.. :.)_',+`.;-•+w:+s!i•�•--,��..— _..__.. i "JJ ' ' .r.. ....-:.. .. ....w,a-.:,..�-... .- .: :�• � ,. .lam••- �:r.. _ .1:-. r - /J(�+ h`I lC S' 7't�.:[�l�A .�—._-- •' '�cwrr-....� .+....w..J,....+.._ .. '�{'r �� �µ• ,- F 7 ... ..,. .,.. t -.....- ...... - /•'_,�.: _. .' �.._... ..- '- ;�.:.. �;°.. - _ .:..r-,:�.:zr --'�-_'-- _..—.;,._•ea�f��,. Sr.:7:�%:_".,�ca}u,�i$:-..=7�LQ=�_s_:F-`._._:._......_. ..... ...... ._ AHDER30 "" _ffµ{. .. 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No...19778 J :�a� APPRDV EU BY: A,V 9Y,n DATE: ''gEVISE� NUIJBEPaw i—4- /. iC•r-c+' i I x ��+. ✓4#, ,_ E GAS ;� ' x _ z j 3 l3 0 Ti `� r • r. _lat �--- �>SL.i�;e�`a��. ta� art'��'•.�;af' r .1 - - � j �,�'•*•,,. a � - t - a 16.I Jf ..-_- �--•----. ...._ — �,�� ems_ f ( 1 +I Fr r... E APPROVED BY: 'DRAWN BY . 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