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HomeMy WebLinkAbout0020 MARIE-ANN TERRACE - Health 20 MARIE ANN TERRACE CENTERVILLE A = 189 - 092 N SMEAD No.2.153LOR UPC 12534 amoad.com • Mad*In USA OA�t+iD Y lls 1a�DUCT1lE IFQF M S9 HKAW y r 1 No. '� � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ys PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppl Lation for Bispo8al 7Abandon 1'MCunstruttiun Permit Application for a Permit to Construct( ) Repair( ) Upgrade ( ) ❑Complete System ❑Individual Components I Location Address or Lot No..QQO MAW_iV-A(fJj1/ `j EV Owner's Name,Address,and Tel.No. Assessor's Map/Parcel ce�'je►�✓ plc/ P Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. (4,e\G��, dawsl­ d . 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) Q Yb gpd Design flow provided / gpd � - Plan Date�/- V: ZD S Number of sheets Revision Date Title 1 Size of Septic Tank y, z , Type of S.A.S. Qedl., Description of Soil `T 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 M Si 3 Date Application Approved by �7�� Date Application Disapproved by Date for the following reasons Permit No. Date Issued No. 0I5 1)9 Fee /00 v THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS 3018t109aY 6pstEtn CDICs1rUttIP-Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade((/) Abandon( ) System located at 0,10— _ �tt l 5 �o 1J � ( P `Tcr�/'hto 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 compleYed withiV three years of the date of this pe it. Date Approved by 4--4k- No. 3:�+. �'°�i4?+, Fee THE COMMONWEALTH OF MASSACHUSETTS Entered I computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS" Y s ZippYication for-Misposal p tetu Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.20 IANII/ j&C Owner's Name,Address,and Tel.No. Assessor's Map/Parcel CeK T "P� ��`*/UC' Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. coo Type of Building: 1 Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( � v . . Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures 1 Design Flow(min.required) Vb gpd Design flow provided gpd Plan Date V, U Number of sheets Revision Date Title , Size of Septic Tank `��v Type of S.A.S. Qc,)L. \ 1, 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 i Compliance has been issued by this Board ealth. Si Date Application Approved by _- .. _ Date Application Disapproved by Date for the following reasons 4 Permit No. Date Issued ------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certifirate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( Abandoned( )by -t,c GR at 2.d Vk J e 1 a�`994Nnstructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit NQ.. —ILM dated Installer �—lt\e�t�y �c�aS� Designer #bedrooms L! Approved design ft wA S gpd The issuance of this ermitshall not be construed as a guarantee that the system will (` cti }41as desip ed. Date �• Inspector 6 1 - Thomas F. •Ge¶ller,Director ems. Tablip. HeaItrh DhiSilon horn, as McKean,Director 2..0,0 Main 8tu•eet,HyTanns,IAA 026-0 L Office: 508-962-4644 Fax: 50 9-790-6304 $mtallller &Des cation Ji++ormi Date-cf,4 �' ewa e L�erMn �IS—�� _4,sesson's lei a�p1]Pa¶Dell ��1� d�J^. �.Cc Installiemo 1.Designero - a Ad Address- dress- YJ On was issued a pest to install a (date) (installer) septic system at �Q-✓1 Ct') '^ based on a design drawn.by (address)�I dated ?�✓� I n_ a, C2o . I (d igner) 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-she distribution box and/or septic tank. I certify that the septic system referenced above was iZstall_ed w LL 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. Flan revision or certified as-built by designer to follow. SH OF 4fgss9cy DANIELA. �N o OJALA CIVIL m (Installer's Signature) No.46502 �� �o�SS O,NAL wiper's Signature) I K (Affin esigaer's Stamp Here) T,rLEAb-E -PIETURN TO BARNSTABLE UIBLIC HEALTH DIVISION. T:F,>a_T.TF1OATh, OF COi ,CIANCl �L NOT �E e9g0�D !J!°d'R'H, BOTH '�S FORM ADD A B�'T' C \ A1� REC7E i +D R 1 THE BAT4STi'A,_BLZ PUBLIC BER ALAH DIVISION. THANK YOU. O: eel/Sept-ic/Designer Cer ficatio-a Fcnn.3-26-04.doc Tom of Barnstiable Department ofRtegulato y.Services Public Health Division Date MAM k.. 0 Main Street,Hyannis MA 02601 „ Date Scheduled • Time--�—r--- R+ee Pd. ! U� a � 4" 9 = Soil Su tabi40 ,Assessment far Sewage Pisposal �44.Pyl Performed-By.- GUr��a k/to Witnessed By: JI_O CA Jl IO t &G NFRAL INFO.Cl.LY A'JC-IO r" Location Addre s, �O M Q P ( Owners Name F MQ M p L C e t',, V t M Address �NEWAssessor's Map/Parcel: /(P / EnginCer's Namc Q % l �36a CONSTRUCTION REPAIR {Telephone# (J� Land Use: �'GI w� Slopes(°�) O_" Surface Stoacs Distance§from: Open Water Body ft Possible Wet Area ft Drinking Water Well Dralnage Way ft Property Line >�y ft Other ft SIMTCH.'(Street name,dimensions of lot,exact locations of test holes&pare tests,locate wetlands•1n proximity to holes) 10M •Q k '3 M a! N I&q,8g Parent material(geologic) �f L 047 a- Depth to Dedmak Depth to Groundwater. Standing Water in Dole: Weeping from Pit FnaO Bstimated Seasonal Higlt Groundwater AIX DETERWHNA7[ION FOR SEASONAL HIGH WATER TAKE Method Used: _A/6 w i _ Depth Observed standing in obs.hole: In. Depth to s411 moulas: hl, Depth to weeping from side of obs.hole: In, Groundwater AdJnstment . Index WeII# Reading Date: Index Well]eYel Adj,factor- Adj.droundwnter Levnl_ Observation PERCOLATION TEST bMie _ _�_ Thum Z . Hole# Thne at 9" Depth of Perk. Time at G" ` Start Pre-soak Time @ Time(9"-0) � - End Pre-soak Rate Min.fluch �Cfh.7�Z�1G h Sitc Sultabillty Assessment: Sitc Fassed Sitp Failed: Additional Testing Needcd(YfN) I Original: Public Health Division Observation Hole Data To Be Completed on Back------- Loje � I ***If percolation test is to be conducted within 100' of wetland,you must first notify the US Barnstable Consgvataon Division at least one(I)week prior to beginning. Q:1S EPTICTERCFORM.D O C DEEP•OBSER'VATYON HOLE LOG Hole# I Depth from Soil Horizon Soil Texture .Shcl Color Soil•. Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders, C, ),3-y�/• 10%6ra ell &(a-13Z C2 DEEP OBSERVATION HOLY LOG -Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsis en 1➢0 Grave 3/4 C1 l0 Yk (elK 6rave� fig- /3z C) DEEP OBSERVATION HOLE LOG Hole#. Depth from Soil Horizon Soil Texture Soil Color Soil Other' Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Co i tc c Or gVr 11 ]DEEP OBSFA V'A.TION HOVE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sall Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;boulders. Co si ton 'if a Flood Insurance-Rate Map: I / Above 500 year;flood boundary No— Yes .v__.. 'Within 500 year boundary No v' Yes ' Within 100 year flood boundary No. Yes Depth of 1VataraDy Occurring Pervious Material Does at least four feet of nafurally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption systeml Y e S If not,what is the depth of naturally occurring pervious matdriall I certify that on (date)T 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 training,expertise and experience described in�10 CMR 15.0117. Signature Datb r/7/15— ' Q:\S,BI'T1C11'g1tCp01tM.1)OC . NOTES _ o SYS1 EM PROFILE ALL SYSTEM COMPONENTS SHALL BE ASSUMED MARKED WITH MAGNETIC TAPE OR 1. DATUM IS v COMPARABLE MEANS FOR FUTURE LOCATION. (NOT TO SCALE) �� Locus 2. MUNICIPAL WATER IS EXISTING Rd• FIRST FLOOR EL. 57.0' ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" pEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE Syluio Pos 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. Rou{e 2 Fuller Rd. Old o FILTER FABRIC OVER STONE _ 2% SLOPE REQUIRED OVER SYSTEM 51.5 4. DESIGN LOADING FOR ALL PROPOSED PRECAST 52.3 MINIMUM .75 OF COVER OVER PRECAST BLOCKS OR UNITS TO BE AASHO H-M PRECAST H-10 NOTE: MIN. WALL THICKNESS 2" PRECAST RISERS Locus RISERS (TYP.) 5. PIPE JOINTS TO BE MADE WATERTIGHT. 2'm 4"0SCH40 PVC MORTAR ALL INVERT IN 47.8 PIPES LEVEL 1ST 2' COMPONENTS 4 (TYP.) r ENDs SIDES 48.63' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE 49.9't* 10" 1 GAL H-10 14" WITH 310 CMR 15.000 (TITLE 5.) pC T SEPTIC TANK °a F-1 P®�® ©mm0- ® 0000 Road :.< • 48.6' TEE 48.35jO7' >°oo D�D��O®�0 D���000��m ;00000000 000000000 6" MIN. SUMP o ° 7. THIS PLAN IS FOR PROPOSED WORK ONLY ANDo 0 12" MIN. iNT. DIM. �i ° 000 GAS BAFFLE::` o 0 000 o ° °°° ° � °°°°°° °�, 00®�F1=7M ° ° ° NOT TO BE USED FOR LOT LINE STAKING OR ANY47.9' 45.8' OTHER PURPOSE.4 °_o°o°° ° 4' LIQ. LEVEL (ACME OR EQUAL) Q o0 :: ,.._ •:::..,. :-.. WATERTEST D'BOX �000000000�000000000,000000000a0000a00000000� FOR LEVELNESS 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. o ::;O;o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o H-10 500 GAL. LEACHING CHAMBERS BY ACME PRECAST OR EQUAL �0000000�o�o�o1o�0000000000oeo�o�o„o,�0000000. 3�q."-1-1�2" DOUBLE WASHED STONE 4' MIN. (3) UNITS REQUIRED cudder y ALL AROUND PRECAST STRUCTURES 9. COMPONENTS NOT TO BE BACKFILLED OR ` 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 33.5 X 12.83' CONCEALED WITHOUT INSPECTION BY BOARD OF orseshoe Ln COMPACTION. (15.221 [2]) HEALTH AND PERMISSION OBTAINED FROM BOARD Ln OF�r �0U (5_7% SLOPE) ( % SLOPE) ( 1 % SLOPE) 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LEACHING CALLING DIGSAFE (1-888-344-7233) AND LOCUS MAP 23' SEPTIC TANK 28' D' BOX 12' 4O.a' BOTTOM TH-1 VERIFYING THE LOCATION OF ALL UNDERGROUND & FOUNDATION- FACILITY NO GROUNDWATER FOUND OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF NOT TO SCALE *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL WORK. UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 11. ANY UNSUITABLE MATERIAL ENCOUNTERED ASSESSORS MAP 189 PARCEL 92 PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM SHALL BE REMOVED 5' BENEATH AND AROUND THE NOTE: INTERIOR PLUMBING TO BE RE-ROUTED PROPOSED LEACHING FACILITY. 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. LEGEN D 99 - EXISTING CONTOUR 53.22 X 99 1 EXIST. SPOT ELEV. / / x 53.54 -[99]- PROPOSED CONTOUR / / 198.4] PROPOSED SPOT EL. / TH1 0_,424 / LOT 2 TEST HOLE ONE / 22,397 Sq. Ft. �88 4g SYSTEM DESIGN: 2% SLOPE OF GROUND / °HE GARBAGE DISPOSER IS NOT ALLOWED UTILITY POLE / 14" CjNIFER ej S3 FIRE HYDRANT x 2.9 EXISTING 4 BEDROOM DWELLING VIC7� . _ __" / \� % I - _ NOTE: NOT ALL SYMBOLSAPPEAR IN MAY APP IN DRAWING DESIGN FLOW: 4 BEDROOMS Co? 110 GPD = 440 GPD / 53 5? 73 89 7 USE ,A 440 GPD DESIGN FLOW 52.1 b O i EXIST. DWELL. 52 �76b 12" TREE 52..i 9 TEST HOLE LOGS �► / FIRST FL. EL. 57.0' �z 2 DE SEPTIC TANK: 440 GPD (2) = 880 / N Gy 56.95% DESK //GARDE 51.93 USE A 1500 GAL. SEPTIC TANK ENGINEER: DANIEL E. GONSALVES, SE #13587 Q / �� 67 BENCH MARK - CORNER OF / 52.64 CONCRETE PATIO. ELEV. = 52.6 LEACHING: WITNESS: DAVID STANTON, RS f 33.5 + 12.83) 2 (.74) = 137 G X ' ._4 x 52.65 SIDES: 2 ( PD `� j GAR. SLAB EL. CLEANOUT DATE: 4/7/15 @► // 52.9' 5207. BOTTOM 33.5 x 12.83 (.74) = 318 GPD PERC. RATE _ < 2 MIN/INCH Q 5 89 O O O ��- 52.20 �sHOD / I O 5� - TOTAL: 615 S.F. 455 GPD CLASS I SOILS P# 14618 / 89 ��_�; 52.75 / 88 5$�1 USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) ELEV. ELEV. 1 2 / 52.58 WITH 4' STONE ALL AROUND a„ 4 51 .8 0„ 51 .8 5 89 52.55 / 52.32 �. `2. 5 1�A A MA �51.64 LS LS PAVED DRIVE 52.22 / rH1 �'� APPROVED DATE BOARD OF HEALTH 10YR 3/2 10YR 3/2 �2.04 10" TREE �. 12„ 10» 8 s\ i ^� TITLE 5 SITE PLAN B B \ �� x 51.64 OF LS LS �E 51.90 6V 10YR 5 6 1.60 \ " TREE 22„ 10YR 5/6 50.0, 21 " / 50.1 20 MARIE ANN TERRACE 16988; �J ERVILLE MA �1 �, CENT , PERC M/CS M/CS AND GRAVEL AND GRAVEL ;n.67 s'\ PREPARED FOR 1 OYR 6/4 46.1 ' S� 5 .gg 66'0 � V& _ HICKEY CONSTRUCTION 2.5Y 6/4 46.3' 68" 86 ` ,� OF�rgss�cy F,wAs DATE: APRIL 7, 2015 Q DANIELA. G ',� v,, d DANIEL � DATE: MAY 20, 2015 (EXIST. SAS) 2 C 51.75 o OJALA C 2 CIVIL 10 OJALA �' off 508-362-4541 M/CS M/CS N No a o.4098() I fox 508-362-9880 4 2.5Y 7/4 �S� ��`` 0peS5 °" downcape.com 2.5Y 7 (318T / 'QALR�= down cape eft giaeeUng, Inc, 132" 40.8' 132" 40.8' ��. r) civil engineers land surveyors NO GROUNDWATER ENCOUNTERED Scale: 1"= 20 �� � --" 939 Main Street ( Rte 6A) 0 10 20 30 40 5o FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 LICE , 4_3 75 14-375HICKEY-MAM LOCK.DWG j