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0078 HELMSMAN DRIVE - Health (2)
- �1 i I i i ` No. � � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS , Yes ftplitatlon for Bisposal 6pstem Construction 3pPrmit Application for a Permit to Construct( ) Repair( ) Upgrade(X Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.,J C-.1 LPA WWY ( ,%k V 0® Owner's Name,Address,and Tel.No. Assessor's Map/Parcel �q� P�i`b %8 VO-"A DO dY1C�. Installer's Name,Address,and Tel.No. SW-q77-J577 Designer's Name,Address,and Tel.No.s09-36q-%g9 Due- 1 © 63 wk;1.4b DA Y" Rioea 7i_- ,nen - 'b 6ox Jfb3 02AA Type of Building: .,er.7 Dwelling No.of Bedrooms 3 Lot Size J(4,qqj3 sq.ft. Garbage Grinder( ) Other Type of Building Kai d t^�,O No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) _F550 gpd Design flow provided 33D gpd Plan Date. Number of sheets I Revision Date T Title Size of Septic Tank loon ��.i�`0 Type of S.A.S. Description of Soil rV)td 1L;cys Nature of Repairs or Alterations(Answer when applicable) nP_Ui7 s �6X 3� 610 bcd l®n P� t-i c wn bete ►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 Environm Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board o ealth [� Sig Date -1 3 Y-o�Oo� Application Approved by Date Application Disapproved by Date for the following reasons Permit No. ! —1 Date Issued IJ e tk No. t � Fee f. �• t`'r a'1 THE COMMONWEALTH OF MASSACHUSETTS Entered in compu PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE-, MASSACHUSETTS Yes fppl icatlon .for MI6 os-AaL.6pstem Cone-trUttlon Permit A lication for a Permit to Construct Repair. U rald e Abandon pp ( ) p ("") pg O ( ) ❑Complete System ❑Individual Components Location Address oar Lot No. �-q{tAC (,AN' +fQ+�t•y��Q `Owner's Name,Address,and Tel.No �? Assessor's Map/Parcel �pQft� pQ� � Installer's Name,Address,and Tel.No. W-g7'7 j0;F7 Designer's Name,Address,and Tel.No.J_09-3V4_ P Oup- I f;a O'133 W4;i-g .R6 sox jib �fkrr+n Type of Building: e,�A/,1f I Dwelling No.of Bedrooms 1 Lot Size J4/ " sq.ft. Garbage Grinder( ) Other Type of Building RZsdj n�e O No.of Persons• Showers( ) Cafeteria( ); Other Fixtures `. Design Flow(min.required) gpd Design flow'provided 3 30 gpd Plan - Date ~ M Number of sheets Revision Date Title Size of Septic Tank 4: 10 r► Type of S.A.S. , Description of Soil 1r1"'1 ad bAty� !'"Ar o4to Nature of Repairs or Alterations(A 1ry f�(Answer when applicable) V) :LO &X S00 bC.1)do l4VC4,��-A 4.0 Q*t��)n� IaC� �jan L J( (sae 6Jk Date last inspected: f Agreement: l 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 Environmenlal`Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board oft ealth.p / ' p Si A i' l Date Application Apprc ved by y �'" Date Application Disapproved by Date for the following reasons _ Permit No. r � `"', d ai Date Issued r 4. THE COMMONWEALTH OF MASSACHUSETTS ` BARNSTABLE, MASSACHUSETTS Certificate of Compliance �. THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(`� ) Abandoned( )by RObe,4 R 0 Ve -Tr( at A-'Y cr-1�1 has been constructed in accordance Y with the provisions of Title 5 and the for Disposal System Construction Permit No: /->! 'dated Jt /r'',,/ Il 1,`'•. Installer R.6. b ®V2 Designer Re&<� k1Ve.1Z EnAi nee r lr%&_ #bedrooms Approved design flow �gpd The issuance of this permit shall not be construed as a guarantee that the systems m wilY funcfiwas designed. ~' Date Inspecto"r�--., - - Nol „ Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS t M18posal *pstem Construction Vermit Permission is hereby granted to Construct( ) Repair( ) Upgrade( "�) Abandon( ) System located at 7Z ACCi` VC..r@� WO-4 Cf e4ero t e and as described in the above Application for Disposal System Construction Permit: The applicant recognized his/her duty to comply with a Title 5 and:the following local provisions or special conditions. Pcovtded Construction must be cfompleted�ithin three years of the date of this�ermrt. Date Approved by.-A �.._ _h,ES/G/V O.4 .,VO CAR,6AGE SEAT/G' T.4Ns� = .33aX/Soo=5�9SG'.P.O. 1-4 L7/S�S.4L P/T---USE /,000 �S'.�1L .• � a �9. sloEWaZL A,e-4 41 pcp BO7TotilA.eF�I = S! 5..�: • . �Nc�° V �� . � ,r ,. Av NTH OF MQS / 1N Of4s S ' �o :PETER o` q�yG�. i;I3 RicAA�D : �, y SULLIVAPJ v No.2aoae N { No.29733 gold 7 TEST f/o�-E � 3°r�00 To m I+A c.:V—ezr, 344-�U sl NYE,Tl-1 c.. fG, s ,�3 � - 72pl-" (zu. �14•.o F6• = l l Z, Z��, a ' o ' • . 6,aL, /y�/ BOX /rV✓. GAL. IIo� ,,�• � LEdc�/P/T /JO.O. lIO�Ga SEor�'G ,pL.4,O✓ . .'.' �1 Scats l ' Go r7 g 4;7 , No WAtt`R. / GE.eriFy 7;11,4T T/�/E FVWA)4'4r10,t1 S.y4"Al P 6IL 370. ;yE•�EaN GOMPL•Y.S !�/T/�THE'S/O��it/E B,eX7F,e€NYE /.yC. ,4A1,9.SETI�/aL� ,�E4V/�'E�1�NrS O� Th'E ,2E6isT�ec=p;L�ivo.Sv,2r2=y&Q�: ToJ•s�.v OF,8,g/L.t1 S 173/3 GE QN�' /,S NoT- G�S�.eV///r d• �l•�5..� LOG.�TE.O /i1//T////�/ Ti�✓E �L�opPG.4/�/, ; J- Sal f�i!/,�E.E�E4N.Si�G!/GI>�f/OT l�iE USEp Ta E.sT��G/.Sy Lar-L./N�r Town of Barnstable �"E .� Inspectional Services Public Health Division tAvsrnst.e, MASS. Thomas McKean, Director 16sq. �0 °i 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 11'4`1t Sewage Permit# 'ZDV -312 Assessor's Map\ParcelA `_ Designer: ��� � �a��,) , Installer: RdW � '�Co• Address: fit . @4�� �'_ Address: On 10 1 1 Z� &gar was issued a permit to install a (date) (installer) a� based on a design drawn b septic system at � 9�A �A � ��� g Y (address) �_ dated •2 °21 (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 e ify that the system referenced above was constructed in compliance with the to rms of t I\A approval left s (if applicable) a THOMAU yv iWoLELLAt m (Inst e S a ure) ® ,oivi►, vv 9 W,o.36471�r� Designer's gnature) Affix Designerrs am ere) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISIO 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. \\toa\depts\HEALTMSEWER connect\SEPTIC\Designer Certification Form Rev&14-13.DOC SERVICERD exsTwGcoNTouR: --- SEPTIC SYSTEM DESIGN SEPTIC SYSTEM SECTION N PROPOSED CONTOUR: ••••••-•-•••• 2"PEASTONE OR FILTER FABRIC J� EXISTING SPOT ELEVATION: 25.5 FLOW ESTIMATE: FIRST FLOOR COVERS WITHIN 6" /�' gPp PROPOSED SPOT ELEVATION: 5.5 104.45 OF FINISHED GRADE 3/4"-1 1/2"DOUBLE C, _�BEDROOMS AT 110 GAL/DAY= 330 GAL!DAY WASHED STONE PN JP TEST HOLE:E: TOP D m FINISHED GRADE GP UTILITY POLE: -O- a FOUNDATION INSPECTION PORT FENCE LINE: SEPTIC TANK: HYDRANT:-� 330 GAL/DAY x 2 DAYS= 660 GAL 3 MAX. ELEV.=94.18 QO RETAINING WALL: ® 1/4"per ft- COVER LOCUS ��P USE 1000 GALLON SEPTIC TANK (EXISTING) (1 MIN) P LEACHING AREA: Q EXISTING. ELEV. 1/8 gerft. • USE 3-500 GALLON CHAMBERS(8.F x 4.8'x 2'EFF.DEPTH)WITH 93.65 . . . . . . . . . . • ELEV. ELEV. . . . . . . . a . . ° . . . . 91.1 8 LOCATION MAP 97.23 ELEV. D-BOX LOT 44 (14,993 SF) SLAB ELEV (6"OF STONE UNDER OR 2 2 5' -2*;ELEV. 2.5'OF STONE AROUND SIDES AND 2 AT ENDS (29.5 x 9.8 x 2'DEEP) 1000 GAL MECHANICALLY COMPACTED) ASSESSORS MAP:194 PARCEL:82 SEPTIC TANK LLY C 29.5'x 9.8' PLAN BOOK:379, PAGE:70 SIDE AREA: (29.5'+9.8')x 2 x 2=157 SF (0.74)=116 GAUDAY BOTTOM AREA: 29.5'x 9.8'=289 SF 0.74 =214 GAUDAY OUTLET PIPE UNDER TEE SIZES: (TO BE CONFIRMED) 3-500 GALLON CHAMBERS WITH INLET:6"UP i3"DOWN 2.5'OF STONE AROUND SIDES { ) BASEMENT SLAB.PIPE » , ELEV. AND 2'AT ENDS ELEV.INTO EXISTING OUTLET.6 UP,14"DOWN CAPACITY=330 GAUDAY SEPTIC TANK=94.1 GAS BAFFLE (29.5'x 9.8'x 2'DEEP) AT OUTLET TEE (H-20) N Lu 29.5' _ TH-t 9 TH-2 c� --- --- 6.5 TEST HOLE LOGS o/AHORIZON � - O/A+IOR!ZON 9 96 BATH ENGINEER: 7HOMAS McLELLAN,P.E. LOAMY SAND LOAMY :AND 2 3" 10YR 4/1 WITNESS: DAVID STANTON,R.S. 96.2 5" 10YR- 96.1 LEACH AREA DETAIL BED B HORIZON B HO,�ZON ROOM ROOF DATE: 7-30-21 22" 10YR 5/8�D 7 20" 100YR 5/8 AND 8 BED PERCOLATION RATE: <2 MINAN 94 ROOM C HORIZON C HORIZON I j`9c�a BENCHMARKA EFT CORNER T MEDIUM SAND MEDIUM SAD 2.5Y 7/4 PERC AT 36" 2.5Y 7!4 OF A.C.PAD ELEVATION=97.02 2nd FLOOR � � � 132"1 185.5 120" 1 86.5 \ �%` �2 O�pP � � NO GROUND WATER ENCOUNTERED '(G �\o:' o� `°cP.� DECK NOTES: KITCHEN 1.VERTICAL DATUM: ASSUMED OFFICE[BATH] DINING 2.MUNICAPAL WATER IS AVAILABLE. 3.SCHEDULE 40-4"PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. 4.ALL PRECAST UNITS SUBJECT TO TRAFFIC LOADS TO CONFORM WITH AASHTO H-20 SPECIFICATIONS. ' LIVING 5.PIPE PITCH= 1/4" PER FOOT UNLESS NOTED OTHERWISE `a LP i' ,,�� �� 9 BED ROOM { ) 20"tree ���'` \ ROOM QARAGE 6.FIRST 2'OF PIPE OUT OF D-BOX TO BE SET LEVEL. 7.THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE USE OF A GARBAGE DISPOSAL. 1�(5 '/►� 1st FLOOR th-2 CO�Qo j y �1 - \ S.ALL CO(T TLE TR CTION AND RE OH E IN CONFORMANCE WITH THE STATE OF MASS.ENVIRONMENTAL t s.(S � % - 9.CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR TO CONSTRUCTION. 96.5 � _ WALK-OUT 10.GROUND COVER OVER ALL SEPTIC SYSTEM COMPONENTS NOT TO EXCEED T WITHOUT VARIANCE. 96.9 16"pine 11.FIELD SURVEY PROVIDED BY TERRY A.WARNER,P.L.S.,HARWICH,MA. -s UTILITIES Q?� \ \ \ AND STORAGE 12.THIS PLAN REQUIRES THE REVIEW AND APPROVAL OF ONE OR MORE TOWN DEPARTMENTS AND IS SUBJECT TO CHANGE UNTIL SUCH TIME. THIS PLAN HAS BEEN PREPARED FOR THE SOLE kP \ ROOM PURPOSE OF CONSTRUCTION OF A NEW SEPTIC SYSTEM AND DOES NOT NECESSARILY �V O \ 96 REPRESENT A FULL DETAILED PROPERTY SURVEY. Q � w 2 � -40 13.EXISTING LEACH PIT IS TO BE PUMPED AND FILLED WITH SAD OR REMOVED. y ® OQ \ ----98 14.D-BOX TO BE WATER TESTED TO ENSURE LEVELNESS AND EQUAL FLOW. 104 ~ ~ \ BASEMENT \�100 A, a (V AVFp�` \ ZROOM IN BASEMENT TO BE REMOVED X'0 ��Q� ���8�� � F SITE PLAN Co // O.Y � EXISTING FLOOR PLAN �102 LOCATION: 96.4 G OF hlgS 3 HALYARD WAY,CENTERVILLE,MA E C W // \\\ \ Y ® THOMAS J. cyw, PREPARED FOR: 01 / \ ° MOLELLAI� 48"3-oaks f J '-0H i b -t DANILO & VERA DELIMA / W \ ca CIVIL c„ No.36471 DATE:8-12-20 y 104 REVISED:9-21-21 3 BEDROOM DESIGN) SCALE: 1"=20' 98 Q �' �OO, �RISTI~Q`� C \ m 1 U \ s/ONAL 120 00' �P BASS RIVER ENGINEERING 0048'57»W �- THOMAS J. McLELLAN, P.E. P.O.BOX 1163, EAST DENNIS,MA 02641 M21-25 508-364-9048