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HomeMy WebLinkAbout0055 ARROWHEAD DRIVE - Health 55 Arrowhead Drive Hyannis . - A= 271-060 � 1' ° , ° 6 ° a r. L ° , , � ♦ °- y ° 4 ii . ° n .o P , W g e n n u � '_` �� � " ,. .�° . a �,Y9° O • _ .1 a ° e � n ° a °C Y ., .� a, r n 9 � .a � � ° " C e � e � ° 7 ,� .. n TOWN'OF BARNSTABLE i LOCATION S A((- 0't-Nerj VP SEWAGE# VILLAGE \A _ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. -_�(d0 r�..r��. �k SEPTIC TANK CAPACITY Q O LEACHING FACILITY: type) Z®W S C>� C (size) 62 NO.OF BEDROOMS OWNER PERMIT DATE: 0I �'a,Z 1 ��'ol COMPLIANCE DATE: t Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom'of Leaching Facility Feei Private Water Supply Well and Leaching Facility(If any wells exist on ; site or within 200 feet of leaching facility) - ,�V/'� Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY C @ [; .C' c^ UJ v L+ ' No.Z Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 0[pplitation for ]Disposal *pBtem Construction 30ermit Application for a Permit to Construct( ) Repair(+Upgrade( ) Abandon( ) [:]Complete System ❑Individual Components Location Address or Lot No. sr�-A«O L.W 1.4e,4 Owner's Name,Address and Tel.No. Assessor's Map/Parcel7 I_ 1AYC�\ s SU n M,. S ac- - �GJv�Os Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. ki Skf_Q.(_ �kc cr jWy3Gd 13� 1 Type of Building:.S'W k4t4 C)016ci Dwelling No.of Bedrooms Lot Size 5 cd 7 a sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided XQ gpd Plan Date Number of sheets \ Revision Date Title Size of Septic Tank Type of S.A.S. C.CC e \A a U l a\ Fr�ku Description of Soil (M a lows S V Nature of Repairs or Alterations(Answer when applicable) ��� ,:P o•\kr-rAiY S )m eX\ V -P�(, GIS-VL 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. Signed Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. L>02)"a- Date Issued ------------- = -- ------------------------------------------------------------------------------- - No ' (D P #' Fee sec TK&6OMMONWEALTH OF MASSACHUS'EX�TS . Entered in computer: YeWe s PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 9ppliLation for ]Disposal Opstem (Construction Permit ✓ fi, Application for a Permit to Construct( ) Repair( ) Upgrade( )�+ Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel No. Assessor's Map/Parcel a 71_ �C.C�( SU Sw•�oS Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. l�1 c,rM� - CZ� SW �3� Type of Building:-S-W a"4 VO(A Dwelling No.of Bedrooms rLot Size 1 7 a sq.ft. Garbage Grinder( ) Other Type of Building MNo.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 gpd 'Design flow provided J12 gpd Plan Date 9 S 1 Number of sheets Revision Date +' Title Size of Septic Tank \000 Type of S.A.S. \A( LQ+V \a a U r;��� �rc•�1 Ur Description of Soil (M e c) S GJ\d G m i-CA. a R VATS S U y Sion Nature of Repairs or Alterations(Answer when applicable) C.0 C, r��o-�krTi�S'R�S; �r O e AN$ SQ c GJ_U1_ li Date last inspected: t 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. Signed Date \a3 1 1 Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 0 / Date Issued -•-------------------- --------------------•------- i------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY d,that the On-site Sewage Disposal system Constructed( ) Repaire Upgraded( ) Abandoned( )by SCo_k\ I;r CnnVL at �`� A r r o s e- H�/C\nN*S has been constructed in accordance I ,�,.� with the provisions of Title 5 and the for Disposal System Construction Permit No.o2Grl 3 `dated !' Installer �Ld (`� rz.J.�. Designer \��y�..(nJ f, #bedrooms Approved designo.� qF gpd The issuance of this permit shall not be construed as a guarantee that the system will'function ' des e Date -(; o�-� i l Inspector ---------------------------------------------------------------------- No. ZO I I — 3-2-0 Fee�/W• •� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS IDisposaf �pstep CDnStCULtiDn hermit I Permission is hereby granted to Construct( ) Repair(\4 Upgrade( ) Abandon( ) System located at SS A r r UvJ \.N G ti n)[C_ ti%S t 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 completed within three years of the date of this permit. Date Z I Zo i I Approved by i Town of Barnstable Regulatory Services Thomas V_Geiler, Director XAMSTABM � MASS.: �e� Public Health Division AjFp^" ° Thomas McKean,Director 200.Main Street,,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Sewage Permit# 26\\ -3dD Assessor's MaplPareel I ba Designer: !z�p Ke-�,3 k "AN!s,1 Installer: SC�stT +•t. � ��- Address: 9ZI Rcz zm e A Address: 113 c)Lb YA-Zk6-679 Rb. On ( a 3 1 1 35C F�F—A4-DV - was issued a permit to install a (date) (installer) septic system at�j ov{�13�.-�lr-GFe! N4y n(\r*'�based on a design drawn by (address) 1R�P Hc6► A- P46= dated 1.2 1 (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. r PR,q �n .._-(lnsta e gnature) ; AL. (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE 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. n•\CrnlirlTlrcianrr('orfifiratinn 17(\ i R°viepd tine. Town of Barnstable pit Department of Regulatory Services MUMaTABLM j Public Health Division MA Date—a 200 Main Street,Hyannis MA 02601 Date Scheduled / ' Time Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: �r�v PE Q Witnessed By; LOCATION& GENERAL INFORMATION Location Address SS A r ( ©C- Owner's Name O Address S'5, �cC9�J �eCn Assessor's Map/Parcel: ', �/r_r� �`G� Engineer's Name �, 2.v Q, !'�c�A� NEW CONSTRUCTION REPAIR Telephone# Land Use- lets/b&-S!/4-L d Slopes(%) Surface Stones A.JU Distances from: Open Water Body Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line ly ' ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) @) A E 4 -71 Parent material(geologic) 45%y ASH Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face i Estimated Seasonal High Groundwater DETERARNATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in.' Depth to soil mottles: ln. Depth to weeping from side of obs.hole: In, Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj,factor- Adj.droundwater Level PERCOLATION TEST Time /! Observation Hole# Time'at 9" n Depth of Perez Time at 6" Start Pre-soak Time Time(9'!•6") End Pre-soak °-c-, Rate MinJInch Site Suitability Assessment: Site Passed Site Failed: 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 Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTIC\PERCFORM-DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consist ra e .� " A i'S o�%z DEEP OBSERVATION HOLE LOG Hole* Z Depth from Soil Horizon Soil Texture '. Soil Color. Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ` Co i 0 ve rt Z� 5 L5 '/ DEEP OBSERVATION HOLE LOG , Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ConsistenM%0 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) Mottling . )(Munsell g (Structure,Stones;Boulders. Co i to Flood Insurance hate 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 pervio s material exist in all area-observed throughout the area proposed for the soil absorption system? .� If not,what is the depth of naturally occurring pervious material? Certification �/ ��/ I certify that on r (date)I have passed the soil evaluator examination approved by the • Department of Environ Ptise tal Protection and that the above analysis was performed by me consistent withthe required tr ' ' xp and experience described in 310 CMR 15.01-7. Signature Date Q:\SBPTIC1%PERCFORM.DOC ACCESS COVERS MUST BE WITHIN INSPECTION 9" MINIMUM. " INVERT ELEVATIONS : DESIGN CRITERIA : GENERAL NOTES : 6" OF FINISH GRAD PORT 3 ' MAXIMUM COVER '- FIRST 2' TO INVERT OUT SEPTIC TANK: 96.5 DESIGN FLOW: BE LEVEL INVERT IN D1ST. BOX: �96. 17 3 BEDROOMS AT 1 !0 G. P.D. PER I. THIS PLAN /S FOR THE DESfGN AND CONSTRUCTION INVERT OUT DIST. BOX: 96.0 BEDROOM EQUALS 330 G.P.D. OF THE SEWAGE DISPOSAL SYSTEM ONLY. DIAM PIPE INVERT IN LEACH CHAMBER: 95.92 CLEAN SAND BACKFlLL NO GARBAGE GRINDER 2. VERTICAL DATUM IS ASSUMED. FOR BENCH MARKS o�- 96 5 9 T/I - AROUND AND 2- OVER CHAMBERS BOTTOM OF LEACH CHAMBER: 95.0 SET. SEE SITE PLAN. GAS 17 9 2 95.0 ADJUS TED GROUND WATER: N/A BAFFLE SEPTIC TANK REQUIRED: 3 OUTLET 10 HIGH CAPACITY /NFITRATOR OBSERVED GROUND WATER: N/A 330 G. P.D. X 200% - 660 GAL. J. ALL CONSTRUCTION METHODS AND MATERIALS AND EXISTING D-BOX CHAMBERS /N TRENCH FORMATION BOTTOM OF TEST HOLE *1 : 89. 7 SEPTIC TANK PROVIDED: 1000 GALLON EXISTING MAINTENANCE OF THE SEPTIC SYSTEM SHALL 1000 GAL CONFORM TO MASS. D.E. P. TITLE 5 AND LOCAL SEPTIC TANK 6" CRUSHED STONE OR SOIL ABSORPTION SYSTEM REQUIRED: BOARD OF HEALTH REGULATIONS. COMPACTED BASE DESIGN PERC RATE l 5 MIN/INCH PROF I L E : NOT TO SCALE SOIL TEXTURAL CLASS • l ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER EFFLUENT LOADING RATE - 0. 74 GPD/SF AREAS SUBJECT TO VEHICULAR TRAFFIC OR GREATER N 330 GPD / 0. 74 GPD/SF - 446 S.F. REQUIRED THAN 3 ' IN DEPTH SHALL BE CAPABLE OF WITH- STANDING H-20 WHEEL LOADS. PROVIDED: 10 HIGH CAPACITY INFILTRATOR CHAMBERS IN TRENCH. 62 LF x 7. 79 SF/LF 5. ALL SEWER PIPE SHALL BE SCHEDULE 40 OR - 483 SF x . 74 GPD/SF - 357 GPD APPROVED EQUAL. 6. SEPTIC TANK AND D-BOX SHALL BE REINFORCED SOIL TEST PIT DA TA & PRECAST CONCRETE AND WATERTIGHT. D-BOX SHALL I ND/CA TES INDICATES BE WATER TESTED TO CHECK FOR LEVEL WHEN THERE PERCOLATION OBSERVED 1S MORE THAN ONE OUTLET. • 1 �_------"-- - TEST - GROUNDWATER FENCE 160.68' ' CNAIN-Ll� 7. BEFORE CONSTRUCTION CALL "DIG-SAFE'. TP *l P*13378 TP *2 1-888-DIO-SAFE AND THE LOCAL WATER DEPT. !PINE FND _ � _ __--- --- L E E A S EOE N T J -- 0' 99. 7 0' 99. 7 FOR LOCATION OF UNDERGROUND UTILITIES. 30 �E OR/ZON TEXTURE COLOR HORIZON TEXTURE COLOR ,' ^ L OAMY I O YR ^ LOAMY /O YR H SAND 2/2 H SAND 2/2 99.2 p LOAMY IOYR p LOAMY /oYR --r TP�I • SAND 4/6 SAND 4/6 y , 9- L 0 T 80 97.2 28 97. 4 EXISTING_ /9. 872+ S. F. C / I 0 YR c / MED/UM l 0 YR LEACH PIT � 6/6 SAND 6/6 x, D'sox �� y� �/ GRAVEL EXISTING 10 HIGH CAPACITY i SEPTIC TANK 42 h INFILTRATOR CHAMBERS / N O + BM. CORNER STEP EL-100.53 ' / h NO WATER NO WATER 120' 89. 7 /20' 89. 7 I / h DATE: AUGUST 19, 201 / I TEST BY: STEPHEN HAAS FXISTINC DWELL I WI TNESSED BY: DONALD DESMARA IS OF PERC RATE: ! 2 MIN/INCH � N EN A O ST HEM EX/STI,yG `p �1�4� 4 2/ CIVIL Tj I PAYED DRIVEWAY SEPTIC SYSTEM DES / GN SS ARR0W/—/EAD DR / VE . MAP 27 / PARCEL 60 PRE-PA RED FOR R0„TF ze a LOCUS LEGEND C K S O N S 17 O S - tr0 CB CONCRETE BOUND _ a —w WATER LINE SCAL E : / 20 SEEP TEMBER 2 / . 2011 'o O HYDRANT —G GAS LINE EAGLE SLJRVEY I NO 1 NC !' OHW— OVER HEAD WIRES LIGHT POST 923 Route 6A —E— UNDERGROUND ELECTRIC LINE / ` Y a r mo u t In p o r t MA . 02675 `` —T— UNDERGROUND TELEPHONE L /NE // � I�`�11\�� ( 5 O 8 ) 3 6 2—8 1 3 2 —CTV— UNDERGROUND CABLEVIS/ON LINE ''" �t 1\ 508 432-5333 a { + 40.4 SPOT ELEVATION _,_40-- EXISTING CONTOUR pm__ PROPOSED CONTOUR LOCUS MAP 0 10 20 40 JOB NO: / / -095T FIELD:CFW/D TW CAL C: SAH/CFW --CHECK: CFW DRN: SAH