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HomeMy WebLinkAbout0011 PHINNEY'S LANE - Health 11 Phinny's Lane Centervi lie A=209 -048 I All, toON UPC 12534 No.2__3LO�R •� MA�TIM9i MN a Town of Barnstable P.0 l SS�3 Department of Regulatory Services _ B , � k Public Health Division Date 2- We > z 200 Main Street,Hyannis MA 02601 t En� CD (9 O Date Scheduled Time / Fee Pd._ Soil Suitability Assessment for Sew M e Disposal 1x3 p M ' � • Performed-By:_J 2�Cr r"lL���•2.'Z._ S� - / yZ Witnessed By: . y LOCATION&.GENERAL INFORMATION Location Address t(3 F11 to K-eY'z f n Owner's Name T 1^ ve srt Ft rrcwo Cecile s v���C Address cF 3 P►, ,,teyi CK. 141/1, 0Z1�3Z Assessor's Map/Parcel: Engineer's Name EH,5'Kek i�G1�ar�S Tk c.. ll! I NEW CONSTRUCTION REPAIR �� Telephone# s"U$ - tj't7-S3/3 Land Use' L�Sl���•z^cL I Slopes(96) Surface Stones Distances from: Open Water Body Possible Wet Area 2f3 ft Drinking Water Well �/•�(ft Drainage Way /U,`il, ft Property Line IS ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands fn proximity to holes) � I • �$ fib''( � . Q�"'�,' '�6 Parent material(geologic) QCI tti1�2� Depth to Bedro k'" Depth to Groundwater. Standing Water in Hole: Weeping from Pit Fnea Estimated Seasonal High Groundwater L DETERMINATION FOR SEASONAL'HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: In. Depth to weeping from side of obs,hole: In, Groundwater Adjustment tt. Index Well-# Reading Datc: Index Well level ., Adj,fietor-,,' Adj.Ciroundwater Level,,v PERCOLATION TEST gate Time. Observation ,,,,�� Hole# �w Time at 9" Depth of Pere �Z Time at 6" c0c:'s Start Pre-soak Time @ Time(9"•6") End Pro-soak t `^ Rate Min./Inch Site Suitability Assessment: Site Passed ✓ Sito Palled: 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 c Barnstable Conservation Division at least one(I week prior to beginning. Q:ISEPTICU'ERCFORM.DOC .p DEEP-OBSERVATION HOLE LOG Hole# Depth from Soli Horizon Soil Texture .Shcl Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones;Boulders. ' rsistency.96 aravell ZZL—2'E, A W%L Z a-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. nslatency, d 2�-30 A Y12, o_ ";"'b 6 Lau tcs7 r2�� 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) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Boll Other Surface(in.) (USDA) , (Munsell) Mottling (Structure,Stones;Boulders, Consistency, Flood Insurance Rate Map: Above 500 year flood boundary No— Yes- Within 500 year boundary No 4 Yes.� Within 100 year flood boundary No.,� Yes _ Death 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? YA5 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 trai ' expertise and ex erience described in�10 CNM 15.017. • Signature Date , a Q:WEPTICVERCFORM.DOC TOWN OF BARNSTABLE LOCATION SEWAGE # AWJ— 17 J V�II.LAGE C'�... ��eot��1�o• _ASSESSOR'S MAP & LOTPUCq INSTALLER'S NAME&PHONE N0. `C— SEPTIC TANK CAPACITY LEACIUNG FACILITY: (type)_ (size) )5 NO. OF BEDROOMS BUILDER R:OW:N , -1-2-vi-04'; 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 ,r,T- on site or within 200 feet of leaching facility) ``fie"" Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of 4eachiqg facility) Feet Furnished by f f No. a OO Fee 1 ®� 1 THE COW4ONWEALTH OF MASSACHUSE=TTS � Entered in computer: PUBLIC HEALTH sDIVIS ON - TOWN.OF BAF NSTABLES MASSACHUSETTS es ZIppYication for lnigpool 6potem Conotruction Permit � Application for a Permit to Construct( . )Repair( grade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. S Owner's Na ne ddress and Tel N . is k Assessor's Map/Parcel �� e�.eShd P" � 1l 'rD�✓ Installer's Name,Address,and Tel.No. Designer' ame,Address and Tel.No. tot 0_6e?e dava[ v� 4 Type of Building: Dwelling No.of Bedrooms _ Lot Size -/,S"r/Ov sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design.Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. 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 Certifi- cate of Compliance has been iss by this Board of Health. Si ne Date W S Application Approved b Date ✓ Application Disapproved for the following reasons Permit No. �� Date Issued ' /� 0 Q No. �` �',� Fee o V TU00Entered in computer: §' 0 E. �MONWEALTH OF M ,SSAr rm S • p ayes 'sue,�`"�� �.w.. ' PUBLIC HEALTH�'D1VI'S'�'ON -TOWN OF BARNSTA LE., MASSACHUSETTS '� �p Yication for i� o�aY ip tem "notruction hermit Application fora Permit to Constnuct( , )Repair( ✓j Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No., Owner's Name Address and Tel N . Assessor's Map/Parcel m el e's-7d _ rT c l/f, ; Installer's Name,Address,and Tel.No. S Designer'kame,Address and Tel.No. V G v S G [.)/ Type of Building: d- Dwelling No.of Bedrooms Lot Size 15"/Ov sq.ft. Garbage Grinder(Al Other ',,Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures ' t Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil s Nature of Repairs or Alterations(Answer when applicable) -1 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 Certify- Cate of Compliance has been issued by this Board of Health. Si ne / Date V _S 16 Application Approved Date Application Disapproved for the following reasons Permit No. l �,``- Date Issued THE COMMONWEALTH'QF MASSAQ,USETTS 1 e BARNSTABLE, MASSACHUSETTS a Certificate of Compliance / THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired (✓)Upgraded( ) Abandoned( )by 1� cc.tl Qf c �,0:3 at C-1 t CewW_YVAC_ has been constructed in accord ce with the provisions of Title 5 and the for Disposal System Construction Pe t No. f�J /7-fdated Installer ���Lt ��..��C Designer s rl C`< rx— The issuance of this permit shall no be construed as a guarantee that the system i�u cti as designed. Date 'S ' InspectoY. —v— No. �� S � .._———— Fee. 00 _ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Miqual &pztem Congtruction Permit Permission is hereby granted to Construct( )Repair( W Upgrade( )Abando ( ) 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 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this pe Date:_ l I ` 110!5, Approved by - �" t�h STY L...EFR . G�Ct�sT11JG H�rnF, I L , _ REAR U� , ` - 1• , ......... -- • F . RAM1i�lC� DETAIL Fk)D-r" . AIv-+iov- $Ot 1 S RS L6QU1Q�� Jr.'ci CO&JC. WALL -jc CX"ISTL►.!G �DO� I.TTERS Ifo�� O.c.. W/ GOLLAC_ lES 7_4~X W -Fr6. 0 CAX �l✓h� Rao f SEGT 1 D" : - +vOT¢S S)LL .. �usULT A9�EQ�► - �.l �RopA VENT w/eNDGV Q 50 t ,ram veNTt.D GONORETE ^TxL>-rN ctz,�w�SpA !J " TO BS VtNTED pfi 2.'EQ -, T AS I>C 1 t-r-D - s .�JD VA-EW W� RF�K. SlibW W .(la..X.14' �- VIA CDx 30�r�sHiwa�.E t �0 so.CT. . �E¢�coD� � SST VE�lT I�NOEIZ 10' �x 10• 1(."ci `f cPAL em PC .� SoNOTVCE ' y LXt5T11`3.A�i v '�/• � . - •i � N G . . Tr x . ADDTN• ---- V e 1A ENT157:TNC� AAH-ou5E . C04 u � J` Town of Barnstable OF SHE 1p o �. y Regulatory Services �P o g r3' y � ' Thomas F.Geiler,Director • BARNSTABLE. MAS& Public Health Division TFo ;�A Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:.508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: u' uf� � Designer: (zr(tA A4. v"t Pi✓ Installer: ©,1 � Acx,.& 1di�e�e,�t Address: . �� �( �� Address: 3rr Vos— �w u 6 ZS37 On tA•e. '"Z 205► was issued a permit to install a (date) (installer) septic system at I I P I tJ N e y S L,,kN 6 based on a design drawn by (address) &Wpj dated (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. 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. OF 1 ego N tiN teller's Sig M-YERnature) 0. 1140 � f A G�STER� 1 � � ` SgNlTAR1PN (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNCABLE PUBLIC HEALTH DIVISION. 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. Q:Health/Septic/Designer Certification Form I STANDARD NOTES TOP OF 1) THIS PLAN IS FOR TEE INSTALLATION OF A SEPTIC SYSTEM. FOUNDATION Raise se c�-wets t� within 6„ o f 2) ALL INSTALLATION Ph'OCEDURES AND MATERIALS SHALL CONFORM TO 310 CMR 15,000, THE STATE ENVIRONMENTAL CODE, . ' - � a - . - finish_ grade install risers as needed o TITLE 5, AND THE 7V#N OF '" ___ SUBSURFACE DISPOSAL. REGULATIONS. -�! N,G. GROUND SURFACE EL_ ---- 3) NO DETERMINATION 1IAS BEE,A 12 fA OE AS TO COMPLIANCE OF AVAILABLE PROPERTY INFORMATION WITH RECORDED.DEEDS _- GROUND SURFACE EL _ " MIN OR ZONING REGULATION S. PLPr(;� f}ad (} OUTLET PIPE LEVEL 4) TOWN WATER DOES .SERVICE /HT5 PROPERTY ) 6�L.. N - ,a - FIRST TWO -FEET VENT REQUIRED 5) THERE ARE NO EXISTING .'WELDS' 'YiTHIN 2OO' Orr' THE PROPOSED SOIL ABSORPTION SYSTEM. _ 1 5 U M P M dR., D-8 TOP EL 3 7 6 ALL CO VE Z 2"MIN-3"MAX — ) RS OF SYSTEM COMP01A.., dTS SHALL BE BROUGHT TO WITHIN 6 OF FINISHED GRADE l _ INVERT EL a \ - ti- MIN 2' LATER DOUBLE WASHED Proposed Existing 10" „ tAL D-Box ! va•- ii2• STONE' 7) ALL SYSTEM COMPONENTS SHALL REMAIN ACCESSIBLE FOR INSPECTION. NO STRUCTURES SHALL E LOCATED DIRECTLY 14 v El-.Z�.y 7 UPON OR ABOVE THE C ........ .. EFFECTI6'L� OMP(7NEI,t7° ACCESS LOCATIONS, WHICH WOULD INTERFERE WITH THE PERFORMANCE; ACCESS, 'INSPECTION I q INSTALL / - -- .�a1J - 21 INVEIr%'- EL J __. S.)DE PUMPING OR REPAIR. GAS s STONE BASE < BAFFLE _ INVERT EL e v 8) NO DRIVEWAY, PARKING OR TURNhVG AREA, OR OTHER IMPERVIOUS-AREA SHALL BE LOCATED ABO A SOIL ABSORPTION • •-•----•-- INVERT EL pj3 77 h Tj 3/4'- 1 1/2' DOUBLE x x WASHED STONE SYSTEM, EXCEPT WHEN VENTING }.fIAS BEEN PRO VIDED. Proposed 5 er o INVERT EL D - Box o d 9) SEPTIC TANKS, GREASE'::"RAPS, I'C.'SING CHAMBERS AND DISTRIBUTION BOXES SHALL BE PLACED O A 6" STONE BAS 6 STONE BASE INVERT EL: L AGN 1 '4 I eL-Y) BOTTOM EL 2 Qj _I 7 (Typioal) TO ENSUI>?E STABILITY 1VD PREI.E:NT SETTLING. Proposed r U Gal Septic Tan ' �ZD (,(3 t l L S EL ADJUSTED GROUND WATER 10) OUTLET DISTRIBUTION L4LS SIIelILL REM4IN LEVEL FOR A MINIMUM OF THE FIRST TWO FEET OF EIR LENGTH. S = d ical S = _ { 11 ALL SYSTEM COMPONENT ,' SHALL ,3L' CAPABLE' OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHI 10' j� . �TYP J --- -- -- 1 S J EL ZI.7 7 EXISTING GROUND WATER AA OF DRIVEWAYS OR PARKT'�'G OR J'IIRNING AREAS, IN WHICH CASE H-20 COMPONENTS SHALL BE U ED. ` EL BOTTOM OF TEST HOLE 12) ALL BUILDING SEWER LIh.S SIIA.SL• HA VE AN INNER DIAMETER OF 4 AND �HALL BE CAST-IRON O SCHEDULE 40 PVC,. k { 1 vy �1 �IJM►o � - ' ._. I 13) THE DEPTH OF THE TOP F ALL SYSTEM COMPONENTS SHALL NOT EXCEED 36" UALES3 VENTING AS BEEN PROVIDED. 14) IN THE AREAS OF EXCA V�TION, t'AY STING GRADES SHALL BE REESTABLISHEfD UNLESS NOTED AS PROPOSED CONTOURS.' W HT /}-rJ 0 3� u `�o Ell£t)-2b t o� u ss� 15) IF SOILS ARE ENCO UNTElx D D U l VG THE EXCAVATION OF THE SOIL ABSORPTION SYS1 Fhb THAT DIFFER NOTABLY FRO1�I I. PUM�C 1•t�M'Pi�-'f?� P/G ��CfC),�'�_�'�1� �--M�p 'gyp •(�� _.._. _ IPr< s N 1' � ------ - i f, - �t THE DEEP OBSERVATION IDLE LC�1' CONTACT THE ENGINEER BEFORE PROCEEDING. S� v� T�k�'Ro -�A�. p,R.., __..._ __ � �j pc�-tA P'�Itur�." tt�� E_ `..o t�t�Rt�l,S ,, vo b�� � y, -- - ----— �� r \ Marl-in 6 6 a I,Sl l 16) CONTRACTOR TO VERIFY LQCATIO.I OF ALL UNDERGROUND UTILITIES 2. P`(..�C�M iICIZ�1 i�l-Q C�} CA1 � �Pi�6 _. ", __ n -`� 1- TO IF A-V O oJV150d/ �,0 o 1J s _�� __.__ _:- _c n_-. -__ ._ AL , , EL. z .-� I " PO Box �35 I �8 ,,�� I+.�I� - �q fi y, __--- - -- �k[ok 1/aly� 2c�.7s N LeL 3 ,� Centerville, MA U2� 3— - Bk.. 108 7 P 4 74 EXCA �A TYON NOTES z, Z(P SU b° 1 EXCA VA TE 'A T L �IATERIAL ABOVE SOIL HORIZON C' SL,L DEEP OBSER VA TION HOLE` LOG) AT_jkPPROXIMATE ELEVATION Z$,I -F FOR A LATERAL DISTANCE' OF 5' _ - Ma ,�o�- Pcl 5 � ry - 1� `� (WHERE POSSIB., F) IN ALL DIRM .�'IDNS BEYOND THE OUTER PERIMETER OF THE LEACHING AREA. BUOYANCY CALCULATIONS 1,500GAU NH10SFPi)LC x. ° 2) FILL MATERIAL '6HALL CONSIST OF CLEAN GRANULAR SAND, F_??EE FROM ORGANIC N 69 3316 E 136.00 2� _ UPLIi-r: - MATTER ANT 0 y'T-IER DELETERIOS SUBSTANCES, WHICH MEETS TH! TEXTURAL_ 11'x 6'x.87 x 62.4= 3,583# -- Exist RIJ? Tie Wa11 : 2 6' Stockade Fence on Top o all {2� 2�. CRITERIA PUT 1-'OI>?TH �N SECTION:15.255(3,) OF TITLE 5 GROUND COVER —� 8 0) ( 11'x 6'x.75 x 120 = 5,9404 t2 I 3) SCARIFY THE' 1 t�TTOM SURFAC.&I OF THE EXCA VA TION PRIOR TO PLACEMENT BMPTY TANK: 12,000# OF FILL IN."�'() AVE RETAINING STRUCTURE. R+E TANK>uPi.IFT _ -----_ / 4 PLA C FILL r GROUND COVE MrrY ) E OTC 1.Y WI.IEN BOTTOM SURFACE IS :DRY. 5,940+12,000 = 7,9401bs. >3,W1bs L'X1�'ting BUOYANCY CHECK O.K N MONOLrrfIIC PUMP CHAMBER 1 —Car I z 1,000 GALLON Garage D�C'� a` °IGN DA TA DEEP O_RSERVATION UPLIFT: - ___ HOLE L O G 8'x S.S'x 1.47'x 62.9= v,C•,.,,.. '� ` of � _ _ _ Number of Bedrooms: , 1'est Hole #t . GROUND COVER: • � � � 4 II 8'x D C x.75'x 120 = 3,960# 2) - I'� (FL �i.'�,� - x 2�. Garbage Grinder: ��� II >� � lev -soil soii ( I( n . ' EMPTYTANK: 8,000# �.9� -�..... �, �m fit) Honzon I " ature Color 2 c - �r � � Les?gn Flow: _ .. . !! D Tmse O ( , Gal/BR/Da,,,, 11�' x N h a � Y .1'�+L,.,i :i ...�.'V�i>�'I1J.1'1 "... ,.lJl\�...iL COVER + 000 11 lbs >"4 0361bs I ,e �:xc l arik. i ,� 3,960 8, ,960 I � � . BUOYANCY CHE CK O.K. 0 \ "� ,t 1 � t, Minimum De gn F:ow x 200% (' 88 61�'� `. I `► ►� �y /t1150 i {t r il eaching Area SUM _ s � 1 Deep Obs Hole Date: v� ,A�,) Soil 70co Sidewall: �j��� 2 Sidewalls c Ft x P� + Witnessed Bn.r. D. /T ��✓ } � Pere Rate: e_ h+)N/�IV014`- o r (2 Endwalls i _.— FT X ____Ft) Soil Survey Description: CARVER j — ---- Bottom: Depth to Standing Water: Geologic Material DUTTYASH u ( Depth to weeping Water: NA p g 27 FJ ,.' p Ft X ` Ft j Depth to Mottling(Color): NA �� o t ---- ------ ) Est &-eaanal High Gw: NA USES Observation Well: NA ` . 4) / Long Term Aceeptance Rate (LIAR): n. 74 Date of Last Measurement: NA 20 9) 1 Comments: N t f Leaching -rea Design Capacity: /�l, h� Sidewall Area Bottom Area x LTAR 2 LEval �-- s� I (fig. ) ) ��_(... /"i 'l�- I • � � 1 Boni to M. Leslie c -� 226 Main Sire e t Bldg 11 �� a q N 4 w cL Cen t er vlll e, 1vlA 1�2 -� � g� SITE AND SEWAGE PLAN c ,E,�,L w ��a r Clifford E. & Lois C. 1Vhn k Bk 9 758 278 p ) I III, TOF EL - t3'0. 6�3 � - FI��� _ d o 2�' P�11nI1 e� S' Lane PROJECT LOCATION 11 Phznneys Lane .� Cen teri lle, MA o E6 3 0.: I Centerville CIA 1" ASSESSORS MAP LOT ¢ 3k g o J� Ma 209 Pel 110 .- flit--. 55 �6 Pg. 9 , 02,9.6) - 2g l ( � APPLICANT 1 vYerPa�s� � ; Y a Thomas V. Walsh — 3 Sections of split Rail Fence -149 Chestnut Stre e t ' - Chn ton, MA 01510 • r� -( Ada 209 Pcl 4 9 I / P TBM Cen ter Cone Stoop / ° TBM EL = 31.00 W � I PREPARED BY. S RED 1,, 7•) EL Z S 16 k 15 10 P U 19� 9�' g o �; L, r/Yi4JIGff c�2 S`3 �v (2 y (2 � ��D(, f SCALE• 1„ = 10' DATE /�4k6,419 ZOO S- ; REV a Route 28 J I DWG. NO. -31B6 -SHEET I OF 1 yFnd ° ,r� „ CB DN EI = 29.41 O 0�a ��e °nd S 69 OB 0 W / 77.40 O JAn9 34.60' S 67°18 00 W Ex. UP/ Exist UP #38/2 �, ��t. N St main ?' �, � 1eC)hfitR.f� `sz` 2�� lie O {\ PL Bk 126 P 39 1 _ A. , Town Water Main _ 9 t qt g STQrJ� - 2ate al Plan Reference - -------------------=------------ Q 4 28'?U ; LOCUS 0 Title Reference --,�k eQ 7✓5 / 3 ------- V1 sgry s r�i��' V IiAR h ti d V c 15,100�- Sq. 1�'t. Flood Zone --------- Lot Size , i I PIIIN]VEY'S LA IVE TL)OLjS A;f P % 100, ozf W Wet.RVTani 0,ggr IR 1.7 4- Id - l �