HomeMy WebLinkAbout0180 GREEN DUNES DRIVE - Health (2) e J7
No. C O d 3 Fee / / v
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
Z(ppYi>ration for i3isposa10pstem Construction Permit
Application for a Permit to Construct Re air( Upgrade( Abandon �Com lete System ❑Individual Components
Location Address or Lot No./�.J �^, Owner's Name,Address and Tel. o
t /) r it t 1, 1.e fISC�C»e l�t�
Assessor's ap/ParcelJ99 o2/
Installer's N e; ddress,and Te.No. es n 's Name Address,an Tel.No�0
Type of Building:
Dwelling, No.of Bedrooms Lot Size y3 e(J sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures K
Design Flow(min.required) 7�C� gpd Design flow provided 77`a- gpd
Plan Date aooq.J N;timber of sheets aZ Revision Date
Title o GCS n 6/ l ,
Size of Septic Tank o`000 4,Z Type of S.A.S.(Q -SXJ i X
Description of Soil S
Na re//
1�of Repai s
Coffi
or Alterations(Answer when^applicable) / iyj /�{do
� n .O ev e .Z S
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 Cod t to place the system in operation until a Certificate of
Compliance has been issued.by this Board of Health.
S Date
Application Approved by Date O
Application'Disapproved by Date
for the following reasons
Permit No. Date Issued �- '
'`•, � ��,arc �• �,�n >,� � ,� _
No. t,. Fee f
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer
M
PUBLIC HEALTH DIVISION - TOWN 6F'BARNSTABLE, MASSACHUSETTS YesCn
-�
4plication for 30ispo$aY.6pstem Construction Permit
: Application fora Permit to Construci Repair( ) Upgrade( ) i Abandon( ) ®C plete System ❑Individual Components
Location address or Lot No. ` Owner's Name,Address,and Tel.No.
:�r, •r+ Yi. { 1Nr1 �7.%Cyy/IE' _T6ffllCl^✓15 iy !a
l
- Assessor s Map/Parcel;aZ�S ,�/ /3�7.h��'z.r..('�.�% e'�.U� �
s Installer's Name;Address,and Tel.No. / Designer's Name;Address,and Tel.No.3Z*1
���ut,• ��Gr'"'S�i"7-�,i:{�'��,-��7C' S��'T��x�Z��,c�,!/i'�Ct' ems,` '��c zL+et !p/�,�?�c�..��£• ""`
F�{' l r'C'(r'a•t;� ,,•'i+�l/s t/YI ' l7�l�tl � � ra�"r!^r�7 J4, A
Type of Buflding:
Dwelling No.of Bedrooms Lot Size Y-3,,4 :> sq.ft. Garbage Grinder( )
" Other Type of Building No.of Persons Showers( ) Cafeteria( ) 3
Other Fixtures
Design Flow(min.required) ")Q 0 gpd Design flow provided r) gpd
Plan Date Qj_,, „j( , -AO-a) Number of sheets -t C2 / 1Revision Date j n
Title n xa5t� `7L. G �- '�!_ /.P. }�!✓Ul t /cJ��C /E? / r{ lie�: ,'i t}E' �CL!i/t r�l�t si 0(�(�
YP itar/ l �
Size of Septic Tank G>L17Cry T e of S.A.S.to - �G(1S!�f 16116 : Y.
//,� V o Sft 3
Description of Soil &t- 1',4 lowS }
Nature of`pairs or Alterations(Answer when applicable)Ae./ty 614 )P}rI *
' 'r
i -. /'6/�.�rt.�' t ar1Y)r�L•�• �-v �'�I�� G'<.[,�/�� �/�C_Lf' ,
Date last inspected'
Agreement:",' t -
The undersigned agrees to ensure the construction and maintenance of the afore described on-site"sewage disposal system in,4..
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 n (1.. . 1 ._ _ e - Date 1 t /6,/C2
MApplication Approved,by �-- `.. Date )0
Application Disapproved by Date
# for the following reasons
PermitNo 'r Date Issued
THE COMMONWEALTH OF MASSACHUSETTS-
BARNS-TABLE, ----•-- ------�---"- ---------"--- --«.. a
MASSACHUSETTS
'Certificate of Compliance 7
41 f` THIS IS TO CERTIFY,that the Off-site Sewage Disposal system Constructed( �)f Repaired( ) Upgraded( )
Abandoned( )by 13o,-Ix..,(off
at I Al k.11 if. has been constructed in accordance
r ' with the provisions of Title 5`and the'for Disposal System Construction Permit No. - dated
Installer r ;t l} C) A t,0'4 t t 1 11"� " -- e Designer t kl P t
#bedrooms �"] "= Approyedd design flow Q gpd
The issuanee;of this permit shall not he construed as a guarantee that the system will function as design�e_jdd.
Date � - '� t� Inspector -
'LOO
No.. '" Fee '56
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal 6pstem Construction 3permit
Permission is"_hereby granted to Construct(p. r Repair( ) Upgrade( ) Abandon( _)
4
System located at
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 com leted within three years of the date of this permit.
Date 9 " ! Approved by
..
rJ
DEC-14-2021 00:12 From: To:15087906304 Pa9e:1/1
I '
Town of Barnstable
$ Inspectional Services
;i t! Public Health Division
- °dA® Thomas McKean,Director
.ado s
200 Main Street,Hyannis,MA 02601
8-862-4644 Once: 50 Fax: 508-990-6304
Installer Designer Certification-Form
Date: /a/4 Sewage Permits!�0121- 370 Assessorls MaplPareel ZyS 2
Designer: R&J
-- Installer: Oor..� jglu (��Sh�t earl 'C
Address: 6 8 . i�o_!t_� Address:
Ur►,%Di/z.7-X was issued a permit to install a
(date) (installer)
....
Septis system at l 95D �a r-e�� iMP !a based on a design drawn by
�� dated 9 9 a
(designer)
/11 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.
Beater 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 ferenced above was constructed in com liance with the terms of
the �Ietters" ble)
ttst let's Signature) '� A.
s o
i�- J
, +�M,. n "s Signature)J 7
(Affix De§i'pe?g Stamp Here
� es..
PLEASE'RETURN TO'B RNSTABLE P LTC HEALTH DIVISION. C TIFICATE
OF 'COMPLIAN IBE ISSUED UNTIL 80TH TII ORM 6M AS-
gIjUia CARI)ARE RECEIVED BY THE BARN ALE PUBLIC HEALTH DIVISION.
THANK Y
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air eta aew !feat of taaabm�f�lity) '< Poet
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Map 245 I �� HYANNIS, MA
Parcel 20 Zone: RD-1 �� = a
Proposed 'Pool va Cr
43,560 S Ft. C, o�or o ek
Existing Code Fence 1.93,84 q
20 Concrete Bound 20 Frontage ��e ey• ood
TBM EL 20.5 ,
S 72`44'05" E 125 Width �e. e eeoc
1 ` J Grot9�t\\e MCI1e Woy
Setbacks Ln T
.a� Front 30' r, _—_Qi_
1 �, ei8ea TP #JTp +« .+ o _ ► — Reserve --y' s — < < v
�__ Area Side 1 0 p tp N
,'::. i 1 _✓—Removed— TP # , 0 ++ �' ' See Note #19 `' -� —_ __ l �0 Rear 1 0' .. p `� •� j C
1 1 aD o
0 ++ J0,* Building Height m
20 Min. Proposed Proposed . Max 30' c
1 , a- TP #3 « o c„ I Terrace j• x Tip eo Mop .245 fi m
1 I A 'k, Dg Proposed Spo N Parcel 25
z 1\ TP #4 • « 20' X 50' --1 Remove 21 Ln Lot Coverage Locus
\ + + Pool Shed, - Maximum 20%
1 o / ♦ -
_� 22 ` Existing 7.9% Centerville Horbor
1 EKE + ,y�\wft sed --� 1 g Proposed 18.5%
Rto e
emoved + • + T `° '% WoodoQec P SITE LOCUS
1 _ Above
++ « O / / e • _ 21 NOT TO SCALE
1 10 Min. yabk —
Existing 1 SAS � i Pro osed=; Existing ► Proposed Pool
Catch eosin 1 W / °' I Screened Pro osed House I 11.0' Code Fence Notes
TBM Elev. = 20.3 1 21/ 1 I Porch Deck to .be
1 `n Razed I Proposed
1 ;r, Proposed 4ol 22 16.0 as_o. T- _ 1 Gdrog 1 .) Assessors Map 245 Parcel 21
Code .Fence _�a — sloe k; 2st
11 /proposed o ,�__ '" 2 ° " N 2.) Cert 192389
1 Pool Code 3.) LC Plan 15694-D Sht 2 Lot 21
Gate Proposed L,,
11 �. 7 Bedroom' House I i - �; 4.) This property is not in a
\\ R.
TOF = 23.2 I "' I ,
FF = 24.6 ----� I N '21J Groundwater Protection District
Proposed rs,o• , Proposed a
\ Water Lin , a �'Z0' I Pool Code G/STEE ` 5.) This property is. in Flood Zone X
a 16.0 I Gate 1/ ! SgNIT -
21 UP
\� YDM�.\ Propse
o ? c eo \� � � 2�
Proposed Site and Septic Planc Z Drivw L = 90.4
R = 77,01 . Lot 21 e' F
33,665t SF , , �,^, 21 1. 80 Green Dunes Drive Hyannis, MA
r
`i�• i 22 �d� \ Prepared by:
" , Prepared for:
R - 13g7S5 All Cape Septic and Survey
�' , Kate Ascione 618 Route 28
Note: Green QU - - _ 149.35, 21 West Yarmouth,
$)771 4,2ooA 02673
See Lan
dscape e Plan from neS �r% _ — 13oX allca esept.ic@ mail.com
P ve _ p g
Matthew Cunningham '
t
a
Landscape Design,, LLC
September 9, 2021 Sheet 1 of 2 By. MA Check: SM Dwg. #356
t
NOTE: ` '
GRAPHIC SCALE
LOCATION OF UTILITIES IS APPROXIMATE AND ALL 1
UNDERGROUND AND OVERHEAD UTILITIES MUST BE i 30 o is 3o so 150
DETERMINED IN THE FIELD PRIOR TO COMMENCEMENT
OF ANY WORK; THIS INCLUDES; BUT NOT LIMITED TO, '
REQUESTS TO.DIGSAF£, ANY PRIVATE UTILITY COMPANIES ( IN FEET )
AND THE LOCAL WATER DEPARTMENT. '
1 inch = 30 ft.
CONSTRUCTION NOTES TOP OF FOUNDATION MINIMUM 20" DIAMETER COVERS
RAISED TO WITHIN 6" OF FINISH
1.) ALL WORK SHALL CONFORM TO THE STATE ENVIRONMENTAL CODE, TITLE 5 (310 CMR 15.000): EL = 23.5
STANDARD REQUIREMENTS FOR THE SITING, CONSTRUCTION, INSPECTION, UPGRADE, AND GRADE (OR AS NOTED)
EXPANSION OF ON-SITE SEWAGE TREATMENT AND DISPOSAL SYSTEMS AND FOR THE TRANSPORT m EL = 22.0 EL = 21.Ot
AND DISPOSAL OF SEPTAGE, AND THE LOCAL BOARD OF HEALTH REGULATIONS.
2.) x
ANY SEPTIC SYSTEM COMPONENT INSTALLED IN A LOCATION WHERE THERE IS POTENTIAL FOR
VEHICLES OR HEAVY'EQUIPMENT TO PASS OVER IT SHALL BE DESIGNED TO WITHSTAND AN H-20 ,/�, % i %�`\,'r \ \
LOADING: IF UNDER AN IMPERVIOUS SURFACE, SYSTEM SHALL BE VENTED TO THE ATMOSPHERE. /, /,•
3.).TO MINIMIZE UNEVEN SETTLING,SEPTIC TANKS AND D•-BOX SHALL BE INSTALLED ON A STABLE -
MECHANICALLY-COMPACTED BASE ON SIX INCHES OF CRUSHED STONE. GEOTEXTILE
4.) COVERS OVER THE INLET .AND OUTLET TEES OF THE SEPTIC TANK, THE DISTRIBUTION BOX, AND
i9.8 18 0 M ° FABRIC
THE SOIL ABSORPTION SYSTEM SHALL BE.RAISED TO WITHIN 6" OF FINAL GRADE. LEACHING
FIELDS, TRENCHES; AND OTHER SOIL ABSORPTION SYSTEMS WITHOUT ACCESS MANHOLES SHALL i
HAVE AT.LEAST ONE'(1) INSPECTION PORT CONSISTING OF PERFORATED 4" PVC PIPE PLACED ih
VERTICALLY TO THE BOTTOM OF THE SOIL ABSORPTION SYSTEM WITH A CAP, TIED WITH MAGNETIC {
MARKING TAPE, ACCESSIBLE TO WITHIN 3" OF FINAL GRADE. t9 2 a
5.)'PIPING SHALL CONSIST OF 4" SCHEDULE 40 PVC OR EQUIVALENT, PIPE SHALL BE LAID ON A 18.6 _ i 7'8 3/4" to
18.4 1-1/2" STONE
MINIMUM CONTINUOUS GRADE OF NOT LESS THAN 2% FROM THE BUILDING TO THE SEPTIC TANK, O rt 17.5 N
AND NOT LESS THAN 1% OTHERWISE. _ t8.0 (Double wash)
DB-3
6.) DISTRIBUTION LINES FOR THE SOIL ABSORPTION SYSTEM SHALL BE 4" DIAMETER SCHEDULE 40 GAS BAFFLE H-20 Rated SIX (6) 500 GALLON H-20 PRECAST
PVC (OR EQUIVALENT) LAID AT 0.005 FT/FT. UNLESS OTHERWISE NOTED. LINES SHALL BE CAPPED
AT END OR A5 NOTED. D-BOX 15.5 CONCRETE LEACH CHAMBERS WITH 4' OF
7.) LINES FROM THE DISTRIBUTION BOX TO BE LEVEL FOR THE FIRST TWO (2) FEET BEFORE STONE ON ENDS AND 4' ON SIDES
PITCHING TO THE SOIL ABSORPTION SYSTEM: DISTRIBUTION BOX SHALL BE WATER TESTED TO 20't
ASSURE EVEN DISTRIBUTION. 20't'--} (PROPOSED �`- 1st -�
7
8.) GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR LEAVE ALL CONCRETE STRUCTURES 2,000 GALLON LEACH CHAMBERS
IN ORDER TO PROVIDE A WATERTIGHT SEAL. FLOW PROFILE (END VIEW)
9.) HEAVY EQUIPMENT SHALL NOT. BE ALLOWED TO OPERATE OVER THE LIMITS OF THE SEWAGE SEPTIC TANK
DISPOSAL FIELD DURING THE COURSE OF CONSTRUCTION OF THE SYSTEM. NOT TO SCALE
10.) IN ACCORDANCE WITH 310 CMR 15.221, ALL SYSTEM COMPONENTS SHALL BE MARKED WITH EL= 8.5 Bottom Test Hole
MAGNETIC MARKING TAPE. Test Hole 1 (EL=20.5t) TEST HOLE LOGS Test Hole 3 (EL=21.5t)
11.) THERE ARE'NO KNOWN WELLS OR WETLANDS WITHIN 150' OF THE PROPOSED SOIL ABSORPTION SYSTEM. Layer Soil Class Soil Color Layer Soil Class Soil Color
12.) FROM THE DATE OF THE INSTALLATION OF THE SOIL ABSORPTION SYSTEM UNTIL RECEIPT OF Depth Elev.
Ye Depth Elev. Ye
THE CERTIFICATE OF COMPLIANCE; THE PERIMETER SHALL BE STAKED AND FLAGGED TO PREVENT SYSTEM DESIGN CALCULATIONS
USE Of THE AREA.THAT MAY CAUSE DAMAGE TO THE SYSTEM. 0-12" 19.5 A Loomy;Sond 10YR3/2 0-10" 20.7 A Loamy Send 10YR3/2
13.) ..THE DESIGNER WILL NOT:BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UNLESS Loamy.Sand 10 -26" 19.3 B Loamy Sand t0YR5 6
12"-22" 18.7 B ' t0YR5/6 / EXISTING SEWAGE DESIGN FLOW: 4 BEDROOM DWELLING 0110 GPD
(4564Z)RUCTEO AS SHOWN ON PLAN, ANY CHANGES SHALL BE APPROVED IN WRITING BY THE ENGINEER. Medium 26 Medium PROPOSED SEWAGE DESIGN FLOW: 7 BEDROOM DWELLING 0110 GPD
14.) THE BOARD OF HEALTH REQUIRES INSPECTION OF ALL CONSTRUCTION BY AN AGENT OF THE 22"-72" 14.5 C1 Sand 2.5Y6/6 "-77" 15•1 Ct Sand 2.5Y6/5 MINIMUM SEWAGE DESIGN FLOW: 7 BEDROOMS 0110 GPD = 770 GPD
BOARD. OF HEALTH AND THE DESIGNER• THE.DESIGNER SHALL CERTIFY IN WRITING THAT THE Fine 11.0 Fine 2.5Y6 4 SEWAGE DESIGN FLOW PROVIDED: SIX.(6) 5O0 GALLON LEACH
SEWAGE DISPOSAL SYSTEM WAS INSTALLED IN ACCORDANCE WITH THE TERMS OF THE PERMIT 72"-144" 8.5 G2 2.5Y6/4 77"-126 C2 Sand / CHAMBERS WITH 4.0' STONE ON THE ENDS AND 4.0' STONE ON
Sand,
AND THE APPROVED PLANS. 48 HOURS ADVANCE NOTICE IS REQUESTED. ) THE SIDES
15.) LOCATION OF.UTIUTIES IS APPROXIMATE AND CONTRACTOR SHALL BE RESPONSIBLE FOR Test Hole.2 (EL=20.5t { Test Hole 4 (EL=21.5t) Vt = [(59.0 x 12.83) + 2(59.0' + 12.83') (2) x .74 = 772 GPD
DETERMINING THE LOCATION OF ALL UNDERGROUND AND OVERHEAD UTILITIES PRIOR TO Layer Soil Class
Soil Color PROVIDED
COMMENCEMENT OF ANY WORK. THIS INCLUDES, BUT IS NOT LIMITED TO, REQUESTS TO DIGSAFE, Depth Elev. Layer Soil Class Soil Color Depth Elev. Y
ANY PRIVATE UTILITY COMPANIES,. AND THE LOCAL WATER DEPARTMENT. 772 GPD PROVIDED > 770 GPD REQUIRED
16.) CONTRACTOR SHALL VERIFY THAT ALL WASTELINES ARE CONNECTED BY WATER TESTING 0-12" 19.5 A Loamy Sand 10YR3/2 0-10 20.7 p Loamy Sand 10YR3/2
WITHIN THE DWELLING PRIOR TO INSTALLATION OF ANY SEPTIC COMPONENTS. 12"-24" 18..5 B Loamy Sand 10YR5/6 10"-24" 19.5 B Loamy Sand IOYR5/6 SEPTIC TANK CAPACITY REQUIRED: 770 GPD X 200 = 1540 GPD
17,) CONTRACTOR SHALL VERIFY EXISTING INVERT ELEVATIONS PRIOR TO INSTALLATION OF ANY SEPTIC TANK CAPACITY PROVIDED: TTED GALLON SEPTIC TANK
SEPTIC SYSTEM COMPONENTS. 14 3 Medium 2.5Y6 6 24"-74" 15.3 C1 Medium 2.5Y6/5 A GARBAGE DISPOSAL IS NOT PERMITTED.WITH THIS DESIGN FLOW
E74144-
4 C1 Sond / Sand
18.) TEST HOLES COMPLETED PER STATE ENVIRONMENTAL CODE; TITLE 5. SOILS CAN BE
VARIABLE AND TEST HOLE DATA IS NO GUARANTEE OF SOIL CONDITIONS 1N OTHER AREAS. IFr Fine 2.5Y6 4
8.5 C2 Fine 2.SY6/4 74"-126" 11.0
SOILS DIFFER FROM THOSE SHOWN IN THE SOILS LOGS, DESIGN ENGINEER IS TO INSPECT THE Sand C2 Send /
SOILS PRIOR TO PROCEEDING WITH INSTALLATION OF ANY SEPTIC COMPONENTS. DATE OF TESTING: 07/21/21 DATE OF TESTING: 07/21/21
19.) EXISTING SEPTIC COMPONENTS TO BE LOCATED, PUMPED DRY AND REMOVED. SOIL EVALUATOR: DAVID FLAHERTY JR SOIL EVALUATOR: DAVID FLAHERTY JR
HEALTH WITNESS: DONALD .DESMARAIS, BARNSTABLE HEALTH WITNESS: DONALD DESMARAIS, BARNSTABLE
PERCOLATION RATE: LESS THAN < 2 MIN/INCH PERCOLATION RATE: LESS THAN < 2 MIN/INCH
NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED
Proposed Site' and Septic Plan
I CERTIFY,THAT I AM CURRENTLY APPROVED BY THE DEPARTMENT OF g Q Green D.0 n e s D r l ve Hyannis, M A
ENVIRONMENTAL PROTECTION PURSUANT TO 310 CMR 15.017 TO CONDUCT
SOIL EVALUATIONS AND THAT THE ABOVE. ANALYSIS HAS BEEN PERFORMED ERIENCE 1, ,. Prepared for: Prepared by:
BY ME CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE, AND EXP
DESCRIBED IN 310 CMR 15.01.7. I. FURTHER CERTIFY THAT THE RESULTS OF MY NOTE: o� D , Kate. Ascione All Cape Septic and Survey
SOIL EVALUATION AS INDICATED ON THE ATTACHED SOIL EVALUATION FORM, Proposed, Building Plans o� � p P r
ARE ACCURATE AND IN ACCORDANCE WITH 310 CMR 15.100 THROUGH 15.107 t0 be submitted
0 F 618 Route :28
N z West Yarmouth, MA 02673
�Fc,STE�`�� (508) 771 -4200
SgNITAR`P alicapeseptic@gmOil.COm
DAVID L ERTY JR, CERTIFIED S IL E ALUATOR
f September. 9, 2021
Sht. 2 Of 2