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HomeMy WebLinkAbout0297 ARROWHEAD DRIVE - Health 297. Arrowhead Drive ... �.�.e .� _ Hyannis + tA=270 068 n a l p l I I Town of Barnstable P# Department of Regulatory Services_- ? r Public Health Division Date 200 Main Street,Hyannis MA 02601 Date Scheduled Time Fee Pd. Soil Suitability Assessment for age Disp t Performed By: 'J�U�D �3 UG f jPr�t/I-J fZ Witnessed By: LOCATION& GENERAL INFORMATION / J Location Address 2-q 7 A-P�wke4d I�(. Owner's Name WaTI ce �606e T 1C11Pf ��vITC/. .� Address Z A 7/7t f 8 c Jh j^ Assessor's Map/Parce1: 2�Vs�G �( Engineer's Name bprVlp D Cd vG HAWw NEW CONSTRUCTION REPAIR V Telephone# 0544- Land Use e54( �t t a� Slopes(%) Surface Stones Distances from: Open Water Body 1,0+ ft Possible Wet Area ff���O ft Drinking Water Well CUd t ft Drainage Way l�_ft Property Line eft Other ft jj SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands to proximity to holes) i GROUNDWATER ADJUSTMENT; EXISTING GROUNDWATER LEVEL ' ® !BASED ON TOWN OF BARNSTABLE ® T" I O GIS DEPARTMENT RECORDS. TP-2 �� W INDICATED GW 25.00 INDEX WELL M1W-29 ZONE D READING DATE MAY. 2006 READING 7.5 _ 1 ADJUSTMENT 3.0 ADJUSTED GW 28.0 Parent material(geologic) t/ofwo f Depth to Bedrock e- Depth to Groundwater. Standing Water in Hole: h A e, tt Weeping from Pit Fee Estimated Estimated Seasonal High Groundwater e a 6 o U e DETERMINATION FOR SEASONAL HIGH WATER TABLE '-S ee BZe Method Used: Depth Observed standing in obs.hole: YN _— —in.`,,Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment Index Well# Reading Date: Index Well level .a Adj.f'aetor Adj.Groundwater Level 04 �fM PERCOLATION TEST' Date Z TIMVIAb ��_✓ Observation Hole# I Time at 9" �dG Depth of Pere t t'1 Time at 6" Start Pre-soak Time @ Time(9"-67) End Pre-soak Rate MinAnch IMP i Site Suitability Assessment: Site Passed Site•Failed: Additional Testing Needed(Y/N) ,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. QISEPTICVERCFORM.DOC NO GROUNDWATER ENCOUNTERED TEST PIT 1 -PARENT MATERIAL: PROGLACIAL OUTWASH PERC AT` 76- In 2 MIN/INCH IN C SOILS ELEVATION = 50.30 DEPTH SOIL-- USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 50.30 - " 0-5-- -- -FILL-- 5-8 -• -O - LOAMY SAND 10 YR 2/3 NONE__ _ FRIABLE.. I 8-14 A LOAMY SAND 10 YR 4/3 _.NONE.__ _ FRIABLE- 47.05 14-39 B _LOAMY SAND _10._YR_4/6 NONE LOOSE 40.30 39-120 C MEDIUM SAND 10 YR 5/4 NONE LOOSE ` NOGROUNDWATER ENCOUNTERED r TEST PIT 2 PARENT MATERIAL: PROGLACIAL OUTWASH ELEVATION = 50-25 +- 2 MIN/INCH IN C__SOILS :. DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER j (INCHES) HORIZON TEXTURE (MUNSELL)- MOTTLING _ C 50.25 _ -- 1 I 0-8 O SANDY LOAM -10 YR 3/2 NONE FRIABLE - 8-14 'A - LOAMY SAND 10 YR 4/2- NONE FRIABLE 14-40 B LOAMY SAND 10 YR 4/4 NONE- LOOSE- - 46.92 39.75 40-126 C - - - - MEDIUM SAND 10-YR 5/4- NONE LOOSE - _ ....__.._ ��-- - 1/L'-.er VD�JL7LCyti11V1�tiVLL�•'LVh�"`"�"`t101C iF --�' _ ' —I Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Foni p lxJ t..n I raven 1 C'7 Lo ZD DEEP OBSERVATION HOLE LOG Hole# [D:epth from Soil Horizon Soil Texture Soil Color Soil Other face(in.) (USDA) (Munsell) Mottling (Structure,Stones:Boulders. _consistency, s Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes . Within 500 year boundary No V' 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? ((o S I If not,what is the depth of naturally occurring pervious material? - Certification + I certify that on 4�bv �qt (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performid by me consistent with . the required training,expertise a d xperience described in 310 CMR 15.017: Signature Date �� e 2.7. Ili Q WEPTICNPERCFORM.DOC n j TOWN OF BARNSTABLE d LOCATION z�'� 1'f/Ye7�hr ft SEWAGE# VILLAGE Rf&4*6 ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. i-/r,AAcnso� SEPTIC TANK CAPACITY LEACHING FACILITY: (type) L°;Dffo ,Ny"A6lu (size)Lef X 14, NO. OF BEDROOMS OWNER PERMIT DATE: 1 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 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 Y ' . ..'> 4 C1 0 oz) "C) °fie �_s_ «) No. .- 206 - li 3 ee00.00 � THE COO.MONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARI(STABLE, MASSACHUSETTS Yes ZIpphratiou for Migoar *pgtem Conztructtott Vermtt Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. Owner's Name;Address,and Tel.No. 7 9 0—0 9 2 4 297 Arrowhead Dr HYannis Mary Allsopp Assessor'sMap/parcel 270— 297 Arrowhead Dr, HYannis Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4-0 8 9 4 Wm E Robinson Sr Eco—Tech PO Box 1089 Centerville 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder P0) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures { Design Flow(min.required gpd Design flow provided �0 U% gpd Plan Date �16 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) Install a new Title 5 septic system to plans of Eco-Tech, #ETE-2389 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 I Date — 6 Application Approved by V Date Application Disapproved by: Date for the following reasons Permit No. Date Issued No: �borc'1Pn - P100..00 l� ee v '" Entered in computer: THE C,O.'MMPNWEALTH OF MASSACH�USETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTARLE, MASSACHUSETTS Yes , 01ppYication for � gpogal �&pgtem Cougtruction Permit Application for a Permit to Construct( ) Repair(X) Upgrade O Abandon O XComplete System ❑Individual Components I Location Address or Lot No: Owner's Name,Address,and Tel.No. 7 9 0—0 9 2 4 297 Arrowhead Dr HYannis Mary A1lsopp } ., Assessor'sMap/parcel 270- (,6 297 Arrowhead Dr, HYannis Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 8 9 4 Wm E Robinson Sr Eco—Tech PO Box 1089 Centerville 1 43 Triangle Cir, Sandwich Type of Building: - .10 Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder (n0) Other Type of Building No.of Persons, I Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required �7CJ 'gpd Design flow provided �0 U gpd - Plan Date (��.��IU6 Number of sheets Revision Date -! Title Size of Septic Tank Type of S.A.S. + r Description of Soil > Nature of Repairs or Alterations(Answer when applicable) Install a new 'Title 5 septic + system to plans 4)(Eco-Tech, ETE-2389 Date last inspected: - Agreement:, t —The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance avith 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 1AA Date ) Application7Disapproved by: Jd r Date for the following reasons d Permit No.• �O�i�= Date Issued 7 l,- e �, THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Allsopp Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (X ) Upgraded ( ) Abandoned( )by Wm E Robinson Sr Septic Service at 297 Arrownead Drive, HYannis has been constructed in accordance with the provisions.of,Title.5-a`n_d the for Disposal System Construction Permit No. 2 0 66— 3/3 dated Installer - Designer rryi( 1 #bedrooms 3 Approved design flow gpd The issuance of this permit shall n t be con trued as a guarantee that the syste+w ill functio de 'gned. --�: Date )e F, Inspectol No. Q�� - Fe$100.00 Allso p THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION —BARNSTABLE, MASSACHUSETTS ti 1=igpogal:i§pgtern Construction Permit ` Permission is hereby granted to Construct.( ) Repair (X ) Upgrade ( ) Abandon ( ) System located at 297 Arrowhead Drive, Hyannis and as described in the above Application for Disposal System Construction Permit.The a plicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Constructon must be completed within three years of the date of th s perm' Date d 4 Approved by !C Town of Barnstable— ' °�;1E1E:rp y Regulatory Services •,. Thomas F.Geiler,Director + sAI{1VSTikBF:E. Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Of6ce:.508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: 0� Designer: "GL® L&0 1,o U614kt46Wk Installer: Address: . `�/i 1`��L ����i�,i� Address: y�1 C �,Uit�J Ac' On VWbW4 r— was issued a permit to install a (date) (installer) P septic system at 7 t�-yWkJ1 E � g based on a design drawn by (address) C060PEJ6 Ili K, dated "1'7)' `D C 1! .. (designer) �-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 c ed as-built by designer to follow. H OF AR EYER taller's Signature) ` No. 1140 (� /STE�� �, T • qN/rARIAN TECi " (Designer's Signature) _ (Affix Designer's Stamp Here) PLEASE RETURN TO BA,RNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT.4CARD ARE RECEIVED BY THE.BARNSTABLE PUBLIC HEALTH DIVISION. I THANK YOU. Q:Health/SepticMesigner Certification Form r. t�4 {� CONTOURS o EXISTING - - - - - - - 50 N o LOCUS a al MINIMAL GRADINCs'PRGPOSED oO ( 3 �co 24 FL I x 12.5 FL x 2 FL z OJ LEACHING GALLERY O o r '� ao t n ' o �z Lr1 / — _ 14g 94 V M1,'/V Sr 10 ,,� ' 4 �;�_= HYANNIS. MA RFET (n � —_ m =w � ocUS MAP � / � 51 m oJ< —_ �_zo NOT TO SCALE w w O :,:i'a;r;:;r;:: O :,,:;:::r;:;:;::co }� :;::,; ;: owe a L EGEND 1500 GAL L ON W iv N_ z [y ]i l 0 15-M �- SEPTIC TANK J U U 3 Lij = W > / 26.1 I,t O v Z I I D-BOX ❑ � wz Ill U _j o I I / C, a_ "x ❑ N ' � Z O / Z TEST PIT < 0 < (� TP-1 IIO' '' lL I O EXISTING lU W m ;;:::i>: W —j O - ; CESSPOOL • e v ::7�:i7: 1 LOT 48 TP-2 O -dj o� I m HYDRANT O �. I EE ' O / / O O NRUMBER REFERS TO ? L AREA = 11168 s f+- / n� (fl +� DIAMETER IN INCHES. DENOTES TYPE ILl Lij L- O O O (0 � _ ' r�/Q < I O O-OAKRM--MAPLE H-HOLLY 18 P v o� — -� VED l z u n} gRIVEI,y� Y z rw _ _ WATER W zZ J i -- °< `0 BENCH MARK /GATE y,��H OFMgss9C j " z u o . cD W m �_ o`er DAVID W o = wc� PK NAIL IN DRIVE O D. wcwn ~ �Z ELEVATION = 50.91 3 z= 51 COUGHANOWR o ww BARNSTABLE GIS DATUM I No. 1093 J X �(If ZOJ (0 t ��GISTE��O e w'o ° N CONVERSION SgNi CHART DISTANCES �' U PLAN w INCHES TO v K e 2$ 2001. � DECIMAL FEET TO LEACHING Gfi L L ER Y •� < ALL DISTANCES ARE IN DECIMAL w z V In f L FEET NOT IN FEET AND INCHES. ® o T� SEWAGE DISPOSAL SYSTEM PLAN J \ -i m < SCALE. 1 in = 20 f L 0 0 4 5 �� �s4 -TO SERVE EXISTING DWELLING o cn w —1 ~ 20 0 20 40 1 08 A EST. MAURICE & LOUISE PICHETTE a0 C�m Z Q U 2 1 OWNERS OF RECORD J O ►--� o ° `` I� 0 1b 2b 4 33 3 B a� o0 297 ARROWHEAD DRIVE m � O_LLJ 5 41 ' �� 1995 �"' HYANNIS. MA z + Lcn, 6 .50 C ®9ON PROPERTY ADDRESS u� e ANY ADDITIONAL CESSPOOLS NOT 58 ASSESSORS MAP 270 PARCEL 68 `� DEPICTED ON THIS PLAN ARE TO BE 8 67 A B C 43 TRIANGLE CIRCLE O PUMPED. COLLAPSED AND FILLED. SANDWICH MA 02563 PLAN BOOK I5J PAGE 4I g • 75 1 36.5 21.1 23.2 Z Ln `` 9 1 .83 2 34.1 21.1 29.7 508 364-O894 DATE: JUNE 2B. 2006 W e N Q 3 58.4 43.2 44.9 JOB # E T E-2 3 6 9 IRAGE I OF 2 VERSION: L w ° m �� Igo 4 55.5 47.7 56.5 THIS PLAN IS BASED ON AN INSTRUMENT SURVEY AND IS INTENDED 5 430 36.7 147.7 DEOLELY ICTEDFHOEREON. FOR ANYO THOER CHANGESOT OSPROPERT SEPTIC Y INCLUDING PLACEMENT OF ADDITIONS. SHEDS. FENCES OR SWIMMING POOLS. OWNER SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. f OIL TEST LOG S ES DESIGN CALCuLATIONS .� -�• Qum Nltv �Clt� DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GP DATE OF TEST: JUNE 27. 2006 SOIL EVALUATOR: DAVID D. COUGHANOWR. R.S. SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS WITNESSED BY: DONALD DESMARAIS. HEALTH DEPT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) DISTRIBUTION BOX: USE 3 OUTLET D-BOX. NO GROUNDWATER ENCOUNTERED SOIL ABSORBTION SYSTEM: A 24 Ft x 12.5 ft x 2 ft LEACHING GALLERY CAN LEACH TEST PIT 1 PARENT MATERIAL: PROGLACIAL OUTWASH PERC AT 76 �n 2 MIN/INCH IN C SOILS AboL = ( 24 x 12.5 ) = 300 sF ELEVATION = 50.30 +- Asdw = ( 24 + 24 + 12.5 + 12.5 ) x 2 = 146 sf Atot. = 446 sf DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER Vt 0.74 x 446 = 330.04 GPD (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING USE A 24 FL x 12.5 ft x 2 ft GALLERY. Vt = 330.04 GPD > 330 GPD REOUIRED 50.30 0-5 FILL 5-6 O LOAMY SAND 10 YR 2/3 NONE FRIABLE L EA CHILI G GA L L ER 1' NOT TO 8-14 A LOAMY SAND 10 YR 4/3 NONE FRIABLE SCALE USE SHOREY PRECAST 500 GALLON LEACHING DRYWELL (H-10 LOADING) 47.05 14-39 B LOAMY SAND 10 YR 4/6 NONE LOOSE 39-120 C MEDIUM SAND 10 YR 5/4 NONE LOOSE CONSTRUCTION DETAIL 500 GALLON DRYWELL 40.30 DIMENSIONS AND DETAIL DRYWELL UNIT 8'-G'x 4'-10'x 2'-9' STON USE H-10 !_UNIT NO GROUNDWATER ENCOUNTERED 2 f! EFF. DEPTH INSTALL ONE INSPECTION PARENT MATERIAL: PROGLACIAL OUTWASH 24.0 ft INCHESTOF FINAL GRADE TEST PIT 2 2 MIN/INCH IN C SOILS to AND INDICATE LOCATION ELEVATION = 50.25 +- m� ON AS-BUILT PLAN 4J 6 ` DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER �? IEU m-- v t` N (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING N m 00 33 50.25 - m� ooa000aaaoo O���p In 0 8 O SANDY LOAM 10 YR 3/2 NONE FRIABLE s.s ft 8.5 F't 8.5 Ft_ .s ft oo�"_ cB-14 A LOAMY SAND 10 YR 4/2 NONE FRIABLE 24.0 'FL14-AOs ` "B 1.. LOAMY SAND 10 YR 4/4 NONE LOOSE , 46.92 ,� ..�. ;« .r ",f ;4.'0-126 C ,='�4 MEDIUM SAND 10 YR 5/4 NONE LOOSE 39.75 ` CROSS SECTION VIEW 2 in PEASTONE 2 PEASTONE N a; T.�E24 , a 28 3/4 in T EFFECTIVEJ! 'n34 in26 GRAVEL DEPTH in GIn 1) GAR BALE*G;RIN®ER NOT .=ALLOWED WITH THIS DESIGN 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. 3) ALL• COMPONENTS .INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS 46 in 58 in 46 In OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) 150 1n 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. 5) EXISTING CESSPOOL TO BE PUMPED. COLLAPSED. AND FILLED. OR REMOVED 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE Zl LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0- BEFORE PITCHING DOWN 8) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES GROUNDWATER ADJUSTMENT SEWAGE DISPOSAL SYSTEM PLAN AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK 9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT EXISTING GROUNDWATER LEVEL PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. BASED A TOWN OF CORDSTABLE -TO SERVE EXISTING DWELLING 101 INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. GIS DEPARTMENT 5.00 S. 2 INDICATED GW 5.00 MAURICE AND LOUISE PICHETTE 11) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL INDEX WELL M1W-29 297 ARROWHEAD DRIVE HYANNIS. MA STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH ZONE D SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING READING DATE MAY. 2006 READING 7.5 ECO-TECH ENVIRONMENTAL ADJUSTMENT 3.0 43 TRIANGLE CIRCLE SANDWICH MA 02563 ADJUSTED GW 28.0 ETE-2373 JUNE 28, 2006 2/2