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HomeMy WebLinkAbout0164 ARROWHEAD DRIVE - Health A_rnow.head,Drives Hyannis A 270 .151. 1 0 i TOWN OF BARNSTABLE LOCATION 4# &WZL SEWAGE # 00S-43 9 VILLAGE `li ASSESSO ' MAP& T r INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY OL> _ LEACHING FACILITY: (type)" `la 4;ze ia.li�� (size) NO.OF BEDROOMS„ BUILDER OR OWNE PERMItDATE: L� l COMPLIANCE DATE: �? Separation Distance Between the: Maximum Adjusted Groundwater Table to.the Bottom ofLeaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 1 Wrz, 61 � U i _- �' 2z) 'No. � � Fee THE COMMONWEALTH OF MASSACHUSETTS . Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZippYication for Mizpool *pgtem Construction Permit Application for a Permit to Construct(. )Repair( Upgrade( )Abandon( )Xomplete System O Individual Components Location Address or Lot No. O AQQoQW HEAQ D Q-.V e Owner's Name,Address and Tel.No. +t 22't- HYANNIS t Mft raocc,5�cct�01Q V\4ZjStnC6 'i Assessor's Map/Parcel 1�(P- 5. )'79-EFTS • VVl'Rn4-rJ%51 M.A Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 53q—_+01 G MAiN Jt N6�(ZV�•CN t Ntf} �.fox (o2'+1 � �w�r,ar►N, tMA cras3� Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder Q3 M Other Type of Building CAE No.of Persons 3 Showers( VS Cafeteria(✓) Other Fixtures Laywrn 9,V k►Tn-t crJ St rJ k . t_¢►,):NMR,? Design Flow �30 gallons per day. Calculated daily flow 33%.g0 gallons. Plan Date 9 I l i l 04 Number of sheets ' Revision Date Title ?,eQn---iQA �c Su SAA-n Q P9g 'o,& Size of Septic Tank IQety I /e Type of S.A.S. /NF'tl_T2/�Toe3 "rReH Description of Soil ►QC -�M a1n,Q Nature of Repairs or Alterations(Answer when applicable) r-�?n 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 nvironmental Code not to place the system in operation until a Certifi- cate of Compliance has been issued by this BoZ f alth. Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. '' Date Issued C�JS -1 �"'lYlo. � � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓� I Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for Mi!5potar 6potem Construction Permit Application for a Permit to Construct( )RepairAUpgrade( )Abandon( ) Xomplete System ❑Individual Components Location Address or Lot No. (G L4 A w 9.pW H C1c)() D W E Own Name,Addregs and Tel NQ 1 Z 7 2 NYtANNIS , PtPt riS'cG �e t—tvvSrn� l�lv,�h�<� Assessor's Map/Parcel V a //151 Installer's Nye,Address,and Tel.No. —Z� Designer's Name,Address and Tel.No. � Env,c�r�i .--1C� Mtzi r4 ST. t }�w1 V��Cv� - Type of Building: Dwelling No.of Bedrooms 3 Lot Size S 33 q.ft. Garbage Grin er(0 4A Other Type of Building ONE No.of Persons Showers( VCaffeteria'( ✓) Other Fixtures -A�A?l,�►� kiiC+lE� �,iNk 3 L.�UIJo�� Design Flow 330 gallons per day. Calculated daily flow 3�, 0 gallons. Plan Date I(} O 4 Number of sheets Revision Date Title �c�C� f� -,C SyS UGC e Size of Septic Tank WE-to I SLb Type of S.A.S. X Description of Soil t`V' AL -4Ck(', Nature of Repairs or Alterations(Answer when applicable) R.rg- -�o �lG� Date last irected: Agreement: J,. 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 issued bv this B ardlf I d Ith. y> _ Signed Date V//114 <:' Application Approved by '`-. Date G Application Disapproved for the following reasons Permit No. Cs 1 Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIBY that the On-site Sewage Disposal System Constructed ( ) Repaired (X Upgraded ( ) Aband ed�( )_by atpeen constructTgn�cprdance with the provis ons of Title 5 and the for Disposal System Construction Permit No. dated `"� �I!! Installer Designer The issuance of et hall not be construed as a guarantee that the syste ill ion as de* g»d� Date / °'' Inspecto�,_ —————— t————————————————————————————————— �.r- ,�; f No. -l Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS 1=igpoga1 *proem Congtructton Permit Permission is hereby granted to Cons uct( )Repair( Z-j Upgrade( )Abandon( ) System located at ' �` .'Ir,"t�� ✓/ .r ;. �a E.r, . 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 mus be completed within three years of the date of this pe infix. Date:_ ` B i ` Approved by {t , TOWN OF BARNSTABLE - SEWAGE # yu,��l3�1 LOCATION _1,, . VILLAGE `l/ ASSESSO&S MAP & T OL 70'-� INSTALLF,R'S NAME&PH.0t;E NO., SEPTIC TANK CAPACITY\\ LEACHING FACILITY; (type)„�:�/ *44W Zae5 (size) NO.OF BEDROOMSMOP ` BUILDER OR OWNS PERMTT DATE: t f I �UK COMPLIANCE DATE: ks Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Welland Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist = iwithin 300 feet of leaching facility) Feet Furnished by �z- 07/18/2015 21 :22 FAX IA 002/003 f. 9/1"3 Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems.Only r PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FO]ltNi hereby certify that the engineered plan signed by me !; dated D4 concerning the property located at meets _awl of the following criteria: • This failed system is connected to a residential dwelling only. There are,no,commercial or business uses associated with the dwelling. • Mw soil is classified as,CLASS I and the percolation rate is less than or equal to 5 minutes Per inch. The applicant may use historical data to conclude this fact or,may conduct deep test holes and percolation tests at the site without a health agent presort. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The,bottom of the proposed leaching facility will be located no less than five feet above the . maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation(using PIS information). B) G.W.Elevation r C� +adjustment for high G.W.—a,3, _ 3 DIFFF.RRE=RTWEEN A and B SIGNFD : DAZE: 10110 NOTICE Based upon the above information; a repair permit will be issued for bedrooms maximum.. No additional Bedrooms are authorized in the future without engineered septic system Plans. gASe0C\percexerP.d0e 07/18/2015 21 :22 FAX 003/003 `J h i� Permit Number; Date: Completed by: HIGH GROUNDWATER LEVEL COMPUTATION Site Location, I La YA �\-A r,.A Q Lot No. Owner, Address; Contractor: Address: Notes: -��-,1 STEP i Measure depth to water table L1I ' ,ter tonearest 1/10 ft. ................................................ ............................ Date 0a10 ' mont /day/year STEP 2 Using Water-Level Range Zone and Index Well Map locate site end determine: OAppropriate index well........................................... © Water level range zone ..................... STEP 3 Using monthly report "Current Water Resources Conditions" determine current depth to water level for Index well month/veer STEP a Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 2B) determine water level adjustment ......... �3 STEP 5 Estimate depth to high water by subtracting the water• level adjustment (STEP 4) from measured depth to water a • level at site (STEP l) � a� I1 Figure 13.—Reproducible computation form, 15 07/18/2015 21 :23 FAX 1a 001/001 a; Town of Barnstable Regulatory Services Thomas F. Geiler,Director KAS& Public Health Division Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 4/19/05 I Designer: Shay Environmental Services Inc. Installer: Rodney Fisher Address: P.O. Box 627 East Falmouth Address: 476 Main Street MA 02536 Harwich, MA On 4/11/05 Rodney Fisher was issued a permit to install a (date) (installer) septic system at 164 Arrowhead Drive, Hyannis MA based on a design drawn by (address) Shay Environmental Services, Inc. dated 09/10/04 (designer) NZV \/\-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 d sig-eWto follow. f 1 �.`. • - �tSN OF MASs9 ✓ Install s ignature) o CARMEN 8. SHAD y No. 1181 �Ddgi-g-ner's Signature) (Affix OV p 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. Q:Hcalth/Septic/Designer Certification Form ti z, SECTION A A ✓'" t I ALL OUTLET WE5 FROM THE Bfi� 10' min from ''NOTE:'ALL PIPES ARE TO BE 4 SCHEDULE 40 P.V.C. VENT PIPS o Least 24 u,d,es tall) PROFILE YIE1P.C1F ADDITION :TQ,LEACHING SYSTEM xsmeunoN BOX SHAM eE 12• a yea € o Existing Foundation I house to septic tank Schedule 40 PVC w/Charcoal Odor Fetter SET�vn roN AT LEAST z r r. ��R =� >n fl TOP OF FOUNDATION ELEV. 100.00 (Assumed) Septic tank covers mud be r of 1/8' - 1/2 Washed Peaston within 6 M. of flnlshsd 4" to 1 1/2 " Washed Crushed Stop ..- KNOCKOUTS ;r..- `' j \\ - 9� dads over Septic Tank - 9e.00 Grade over 0-Box- 99.00 over SAS- o9.Nx) 3/ �- ! �. d t r 5.5' ' i 1Y .DIET q g S•• 0.02 3 HOLE H-10 Tap Load- Elev.s96.25 L4 f, k 1NY NEW s=o.rn or cheater DIST. Box 3' Maximum Cover . 1M Mww11.N 1t NEV PIpE w to 1,500 GAL. p s- 0.01" per foot 0 Effective Depth -155• 4" - SCH. 40 T` FROM EXIST. FOUNDATION W: N SEPTIC TANK S H-10 CO 5 units a 0.25' = 30' PLAN SECTION `' CROSS-SECTION � m o 3, 31 n CONCRETE FULL FouNa o >> i °' 0.83' (10 inches) e In.of 3J4"-1 1/2' - 1. e ^ 37.25' 3 HOLE H-10 DISTRIBUTION BOX / e SYSTEM PROFILE compacted stone o o rn Effective Length NOT TO SCALE soft f 14y�� / *`� Not to Scale - c o o /( 4' �--- 4' 0 SOIL ABSORPTION SYSTEM (SAS) ®roerner,kxatytce+e�r®tocsN,�aEo " c a 1 2g '5' H APA ITY (H-20 OADING)/ GEORGE ❑'BRIEN GENERAL NOTES d 10 INFILTATROR HIGH CAPACITY L compacted done Effective vats, OR EOUNALE Not to Seale NOTE ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE w ( 1. Contractor is responsible for Digsafe notification e Bottom of Test Hale 1 Oev.-88.00 m NOTE: OVERALL. HEIGHT OF INFILTRATOR IS 18" /EFFECTIVE HEIGHT IS 10' and protection of all underground utilities and pipes. No Groundwater Observed O 132 -- 2. The septic"tank and distribution box shall be set level on 6 of 3/4"-1 1/2" stone. 3. Backfill should be clean sand or gravel with no stones over 3" in size. 4. This system is subject to inspection during installation by Carmen` E. Shay - Environmental Services, Inc. 5. The contractor shall install this system in accordance with Title V of the Massachusetts state code, the approved plan PERCOLATION TEST and Local Regulations. 6. If, during installation the contractor encounters any Date of Percolation Test: SEPT. 7, 2004 soil conditions or site conditions that are different Test Performed By. CARMEN E. SHAY, R.S., C.S.E. from those shown on the soil log or in our design Results Witnessed By. WAIVER ( per Barnstable B.O.H.) installation must halt & immediate notification be SHAY ENVIRONMENTAL SERVICES, INC. made to `Carmen E. Shay - Environmental Services, Inca Percolation Rate: Less Than 2 MPI ® 36" N F DAYID WINKLEY 7. No vehicle'.or heavy machinery shalt drive over the Op septic system unless noted as H-20 septic components. ►� 8. Install Tuf-rite gas baffles or equals on all outlet tee ends. j 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. PL 10. All solid piping, tees & fittings shall be 4" diameter Test Hole 77.50' Schedule 40 NSF PVC pipes with water tight joints. No, 1 Failed DEPTH SOILS ELEV. /� 4' Leach Pit 11, Municipal Water ''1s Connected to ALL OF The Residence and Abutting o_ 99.00 37.''5' - Properties Within 150 Feet. Sandy �27.65' 13.5' Loam :.t{>1{'•rr itk�. t . �,* ~�.4,�. THE PROPERTY LINES ARE 'APPROXIMATE AND 10 Y s/2 COMPILED FROM THE SURVEY PLAN GENERATED BY 0"-t2' A 98� _ CHARLES S. KENNEDY OF DENNIS. MA t• . �'.t�: : >; ' = �T 4" PVC ENTITLED " PLAN OF LAND 1N'HYANNIS MA, Sandy VENT DATED JUNE 21, 1960, & PLAN BOOK 159, PAGE 41 Loan' TEST HOLE #1 AND IS NOT INTENDED To BE A SURVEY PLOT PLAN 10 rR 5/6 ELEV= 99.00 D-Box IT SHOULD BE USED FOR NO PURPOSE OTHER THAN 12'- 36' Be 96.00 Med. ' 98___ ____ __________ THE SEPTIC SYSTEM INSTALLATION. Sand 0' _ -------- Sand Y 7/4 3 EXISTING LEACH PITS TO BE PUMPED OUT AND 36"-132" C, 88.00 O O O REMOVED TO FACILITATE NEW SEPTIC SYSTEM INSTALLATION 1500 gOIL �� � Septic Tank �� C ' NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE Provide Cleanout Within nt f �� FROM THE EXISTING LEACH PITS TO BE DISPOSED 6"- of Grade .. OF AS PER BOARD OF HEALTH SPECIFICATIONS. - \ -- NO WETLANDS.ARE``-PRESENT-WITHIN 200' OF -THE-PROPERLY- _ LOT #19 EXISTING I I LOT #21 i �\ I ASSESSORS MAP 270, PARCEL 151 3 BEDROOM I � O HOUSELEGEND . I #f64 Perc #1 Failed I �1 DENOTES PROPOSED Depth to Perc: 38" to 56" Cesspool I 104X1 Perc Rate- Less Tho 2 MPI i a 1\� SPOT GRADE Groundwater Not observed I w 3 No Observed ESHWT I DENOTES EXISTING ADJUSTED H2O Elev. = None X 104.46 GRADE t PROJECT BENCH MARK b ( II I SPOT TOP OF FOUNDATION { � + PL PROPERTY LINE ELEV. = 100.00 (Assumed) -�96P PROPOSED CONTOUR LOT #20 97 EXISTING CONTOUR 9,633 Square Feet +/-¢ i 11 3-24•IMAM. ACCESS MAN+oLEs 1 i DEEP TEST HOLE & fo .-e• T 77.50 i 11 PERCOLATION TEST LOCATION :,• :.�' y y :_-� f 11 •----.. 6,.FOOT STOCKADE FENCE INLET -1 1 ----------- ---------- -- ' -- - INLET `./ �•., i OUT (THE ACCESS COVERS FOR THE SEPTIC TANK. P LOT PLAN DISTRIBUTION BOX AND LEACHING COMPONENT A.R R O TV"EA D .D ',,T,- : ^z -•E �:-r,:�, c�': SHALL BE RAISED TO WITHIN 6" OF FINISHED GRADE O F- PROPOSED SEPTIC SYSTEM 'UPGRADE STEEL'REINFORCED PRECAST CONCRETE INSTALL TUF-TITE GAS BAFFLES OR EQUALS (40 FOOT RIGHT OF WAY) PLAN VIEW ON ALL OUTLET TEE ENDS PREPARED FOR 3-24'RINOVABLE COVERS BARNSTABLE HOUSING AUTHORITY AT # 1 64 ARROWHEAD DRIVE 6'mh 2'min. k1w to outlet e- S NET OUTLET - lN1_Xr e_.. T-� ,� HYAN N I S, MA s-r : 5.-r es E 4 r _ 4'-0• mF. .' b _ Liquid depth Design Calculations v of MASs�c PREPARED BY: �, •.• i. �1_, _ �.- '.• _ 1 Number of Bedrooms: 3 Equivalent to 330 Gal./Day (330 Gal./Day Mir. per Title t0-o, s _a. Garbage Grinder. No � ��RN EAT li 1 1 E. /J l l l Leaching Capacity Proposed: 330 Gol./Day,Minimum (Min. Per Title V) t u, CROSS SECTION END'--SECTION` Septic rank : - 2 x 330 Gal./Day = 660 NEW 1,500 GAL Septic Tank. 0 20 40 50 " SH. I ENVIRONMENTAL SERVICES, INC. t' SOIL ABSORPTION AREA. . Using percolation rate of <2 min./inch, 0 Bottom Area: 0.74 gal/sq. ft. x -370 sq. ft. -` ,273.8 gallons �� P.O. BOX 627 TYPICAL 1`500 GALLON SEPTIC TANK Sidewall' Area: 0.74 gal./sq. ft.' x 78 sq. ft. = 58 gallons ISTE�a ST FALMOUTH, 'MA` 02536 Providing: = 331.80 gallons SAN1TAR0P NOT To SCALE ., TEL/FAX : 508--548--0796 Use: INFILTRATOR HIGH H-20 UNITS, HAVING A 0.83 10 INCHES) EFFECTIVE DEPTH. »- .. _ H 10 LOADING (5) ( SCAL SCALE. 1 -20 DRAWN BY: CES DATE: .SEPT. 10, 2004 To BE1 USED WITH 4.0' OF,WASHED STONE ON THE SIDES. AND'3.5' Or WASHED STONE . , ON THE ENDS. No,STONE UNDER. _ � �,. `, ; . PROJECT#SD631 FILENAME•.,SD631 PP DWG' SHEET. -1 OF 1 `