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Home My WebLink About0010 ATWOOD ROAD - Health 10 Atwood Road Hyannis A= 289—093 001 i 1 a i a�.. No. /� Fee�L 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:" Y Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplication for Migo.5af *p6tem CCOn5truction Permit Application for a Permit to Construct( , )Repair(Upgrade( )Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 16 P,,Z- C& Owner's Name,Address and Tel.No. Assessor's Map/Parcel !�\� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size j s sq.ft. Garbage Grinder Other Type of Building &10r)P_ No. of Persons c Showers(t/Cafeteria( 1,,� Other Fixtures lvVa' rirorye k•ireg� Design Flow gallons per day. Calculated daily flow a i S gallons. Plan Date Ct l t�`i�� Number of sheets Revision Date Title - - -t Size of Septic Tank Type of S.A.S. f/l\J i -IN, � 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 issued b is •oard of He------------ �--- Sig ed . Date Application Approved by Date Application Disapproved for the following reasons Permit No. `�--C�� g� Date Issued No. 6 2 Fee 4 THE _OMMONWEALTH OF MASSACHUSETTS Entered in copputer: Yes - PUBLIC. HEALTH DIVISION -TOWN!OF BARNSTABLE., MASSACHUSETTS Rpprication for Migoo ar-*potem Cougtruction Permit Application for a Permit to Construct( ),RepairxUpgrade(` ')Abandon( )/Complete System ElIndividual Components Location Address or Lot No. ( N,ZP Owner's Name, ddress and Tgl.No k�cnCi�S l ..�dl 9 � Assessor' ap/Parcel ^ p�/M' Co ac. _/ J Installer's Name,Ad ss and Tel No.� .' Designer's Name,A'cadre apd lTeL J-Nc s Type of Building: p/ Dwelling No.of Bedrooms Lot Size j?_sq.ft. Garbage Grinder(� or Other Type of B tlding NOne No. of Persons ad�C Showers(t�) Cafeteria Other Fixtures NUATZa y, ` trCN 64 5 Wk 1 MY Design Flow `"1`"C� gallons,per day. C Iculated daily flow gallons. ' Plan Date 1 (1�5 umber of she t9 Revision Date Titled Size of Septic Tank Type of S.A.S. ~-. X Description of Soil fig.&- ✓ t e ` , Nature of Repairs or Alterations(Answer when applicable) 'Q 3V ' 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 bete issued_bithis B Signed Date ~"Alp—lication Approved by Date Application Disapproved for the following reasons r 3. Permit No. �S z Date Issued t THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Comptiauce THIS IS TO CERTIF at e//�'�On-sit Sewap�-Dispo al System Constructed( )Repaired ( )Upgraded _ Abandoned( )t� d e-,4( aYat 4711�bv60 Ate, R h been constructe in�acoor ance with the provisions of Title and ,e for Disposal System Construction Permit No. L� dated � Installer � Designer The issuance of this perlE}t all/ t be construed as a guarantee that th yste �tt ction as designed. Date Inspector �/'----ram n ,_.... . , No. &�--SrtI --------------------------Fee /Vo - r . ... THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Moont *pztem Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade Abandon( ) System located at10 U 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 condition Provided: Construction must be completed within three years of the ate of t e Date:__ C-�}` J � S Approved by Town of Barnstable °pt"E r Regulatory Services s Thomas F. Geiler, Director 1639 Public Health Division A'ED 10"�A Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: t o l 3I as Designer: ShM Environmental Services Inc. Installer: L_:NC., Address: P.O. Box 627 Address: East Falmouth, MA 02536 r{�R�,,�� - , M p� On CS C was issued a permit to install a date) (installer) septic system at \l) i-)N-.'�oad A � � ,QiNc��S based on a design drawn by (address) kJ Shay Environmental Services, Inc. dated q I (designer) -T- ,ZVN 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. g 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. �y-�N OF 4t ss. ��o�� CARMEN N (I er s Signature) - E. SHAY N No. '1181 G/STER�O SANI TAR\P� esigner s Signature) (Affix De i tamp 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:Health/Septic/Designer Certification Form ' ,9/16/03 Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems. Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM hereby certify that the engineered plan signed by me dated Q5S concerning the property located at {ar m. • _ gx,,-LD(MS meets all 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. • The 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 present. • 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 GIS information) 51 e U� B) G.W.Elevation 5 +adjustment for high G.W. 3 e(- _ �a DIFFERENCE BETWEEN A and SIGNFD : DATE: NOTICE 4 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. M . gASeptic\percexemp.doc — �✓/ TOWN OF BARNSTABLEA LOCATION ID 4 t GUd 0 d d SEWAGE # ;260S 6_05 VILLAGE &4�0 —5 ASSESSOR'S MAP & LOT.9W 93001 INSTALLER'S NAME&PHONE NO. o e N ft .Sep t c- SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO. OF BEDROOMS B-U I OR OWNER I PERMTTDATE: 9 ��os� COMPLIANCE DATE: Separation Distance Between the: I 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 6 Furnished by TOWN OF BARNSTAj3LE E LOCATION &V SEWAGt VILLAGE_tP�—��+ '^��_ SESSOR'S MAP & LOT -I q3 INSTALLER'S NAME&PHONE NO. 4 SEPTIC TANK CAPACITY 1 �� LEACHING FACILITY: (type' ' ��r `^'�L-- (size) NO. OF BEDROOMS ? _ /BUILDER OR OWNER J PERMIT DATE: V / 5 COMPLIANCE DATE:10,1�1-5 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 - ' � � ' � � �� o � � 1 \ (� �C/� � _ V �,C,,� � �� --� C _r W i w 10 � -� � �` ^� � �. . . �� `�. �� . .. . � �_.i �_ -------------- •NOTE. ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. VENT PIPE (O Least ?4 inches toll) - SECTION A _-A ALL OUTLET PIPES FROM r1E 10' min. from ---- Schedule 40 PVC w/Charcoal Odor Filter C txSTltlBtnclN BOX SHALL BE FE0.sting Foundation house to septic tank PROFILE VIEiIP OF ADDITION TO I.EACHINC .7YSTFM SET LEVEL FOR AT MAST 2 FT 'Z' CONCRETE COVEN Septic tank covers must be -U BOk cover moat be OF FOUNDATION= ELEV. 100.00 (Assumed) within 6 m. of finished grode 3 5' OUTLET within 6 in of finished grade , _ ' m ---(',rode over Septr Tank - 98.50 --Gods over D-Bo. - 9e.50 '�� over SAS - 98.50 3" Of 1/8" 1/2" Washed Peostone I KNOCKOUTS - - . 3/4" to 1 1/2 Washed Crushed Stone 4 __ \- I •` - 5.5' OUTLET_-- I 12' INLET • 5 002 3 H11 L 11 -10 4" PVC(CAPPED) INSPECTION PORT TO BE ;L O 10• W _ reat Ger UISi t10x S' Narimum Cover NE El INSTALLED AND TO •ITHRI 8' OF GRADE Y K 5=0.01 a Top OF System Elev. =95.50 10IA"mW Ad Z' Fxtc_T. PIPE 1.500 GAL. 0.01' -- / 4" - SC 40 Te 1 75'� cD aD O 30' Per foot ' ---10" Etfecbve Depth 1 FRON EXIST, FouNnATtaN o, SFP TIC TANK Lo 10►�7// Ln m --__-- PLAN SECTION CROSS-SECTION I> II H-10 N ri 5' Jnits = 4 . ' CONCRETE FTA-L FOUNDAT N If Ui at - -\0.83' (10 inches) "iv > 0 _ SYSTEM PROFILE �;"„p°'aat�'gt'a„�/2 " o - -I-1 3 HOLE H-10 DISTRIBUTION BOX y _ _ m A o r c > _ NOT TO SCALE f 4 -�15,75'--- wo e Not to Scale - c u 1 Effective Length PA at+aMv S +er.➢:::=NATEG ' > 3.5 - 3-` ` Z 10'' SOIL ABS❑RPTI❑N SYSTEM (SAS) GENERAL NOTES 6 in.of 3/4'-1 1/2' a -- - - - -- - - - compacted stone Q EFFtctive WW-' INF ILTATROR NIGH CAPACITY (H-20 L❑ADING)/ GE❑RGE O'BRIEN NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6` BELOW GRADE 1 Im - --- --- 1. Contractor is responsible for Digsafe notification, Verification of Utilities o (OR EQUIVALENT) Not to Scale and protection of all underground utilities and pipes. j w NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18" /EFFECTIVE HEIGHT IS 10" 2. The septic tank and distribution box shall be set Bottom of Test Pit = Elevation 86-50 level on 6" of 3/4"- 1 1/2" stone. vObs. Groundwater - Test Hole 1& 2 Elev.= None Observed 3. Bockfill should be clean sand or gravel with no - -_. -- - - --- - - ----- -- - -- --- - --- ------ - - ------- ---- ------- -- ------- - --- -.. - -- - - - - 4. y Carmen Ice stones over 3 in size. This system is subject to inspection during installation b a men E. Shay - Serv' s, nc. I Design Calculations 4� 5. The contractor shall install this system in accordance with Title V of the Massachusetts state code, the approved plan and Local Regulations. Number of Bedrooms: 4 Equivalent to 440 Gal./Day �1 6 If, during installation the contractor encounters any Garbage Grinder: No �P Leaching Capacity Proposed: 440 Gal./Day Minimum soil conditions or site conditions that are different Septic Tank - 2 x 440 Gal./Day = 880 USE NEW 1500 GAL Septic Tank. V, O� from those shown on the soil log or in our design installation must halt & immediate notification be SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch \O� made to Carmen E. Shay - Environmental Services, Inc. Bottom Area: 0.74 gal/sq. ft. x 500 sq. ft. = 370 gallons LOT #2 7. No vehicle or heavy machinery shall drive over the Sidewall Area: 0.74 gal./sq. ft. x 99.6 sq. ft. = 73.7 gallons OOP O septic system unless noted as H-20 septic components. Providing: = 443.70 gallons F O 8. Install Tuf-Tite gas baffles or equals on all outlet tee ends. O Use: (7) INFILTRATOR HIGH CAPACITY H-20 UNITS, HAVING A 0.83' (10 INCHES) EFFECTIVE DEPTH, �� °j0 Cal All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. TO BE USED WITH 4.0' OF WASHED STONE ON THE SIDES, AND 3' OF WASHED STONE C/ // �O 10. All solid piping, tees & fittings shall be 4" diameter ON THE ENDS. NO STONE UNDER. 4 / Schedule 40 NSF PVC pipes with water tight joints. ti 11. Municipal Water is Connected to ALL OF The Residence and Abutting LOT #5 Properties Within 150 Feet. 13,7.56 Square Feet +/- - THE PROPERTY LINES ARE APPROXIMATE AND PERCOLATION TEST _ ___ COMPILED FROM THE SURVEY PLAN GENERATED BY ROBERT RICHARDSON, RLS OF HYANNIS, MA Date of Percolation Test: SEPTEMBER 6, 2005 /s ENTITLED "CERTIFIED PLOT PLAN OF LOT 5 ATWOOD AVENUE, Test Performed By: CARMEN E. SHAY, R.S., C.S.E. TEST HOLE #1. 8 -96 HYANNIS, MA" DATED DATED APRiL 22, 1940 Results Witnessed By WAIVER (per Barnstable B.O.H.) ELEV.= 97.50 `s AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN EXCAVATOR: Shay Env. Svcs. 96 --------- ---- --- ---__. IT SHOULD BE USED FOR NO PURPOSE OTHER THAN Percolation Rate: Less Than 2 MPI ® 38" - THE SEPTIC SYSTEM INSTALLATION. Test Hole j Test Hole , r f --97 EXISTING CESSPOOLS TO BE PUMPED OUT AND REMOVED No. 1 -- No. 2 � _ yc DEPTH SOILS ELEV. I DEPTH SOILS ELEV. _ - NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE �t_• Q �7 / FROM THE EXISTING CESSPOOLS TO BE DISPOSED O 97.50 1 0 98.00 _ Failed "Y - • � ::`•. Cess OF AS PER BOARD OF HEALTH SPECIFICATIONS. Sandy Loam Sandy Loam - ------ -- ll �c,. �a EXIST. 0 t"-• ' '. 10 YR s/2 10 YR 3/2 `� t _ THERE ARE NO WETLANDS ARE PRESENT WITHIN 200' OF THE PROPERTY r- - - - -- �Ardar�P ,� . :� TEST HOLE #1 0 9 A. 96 75 � 0"-9' As 97.25, - Loom Loamy EX�S�WP� -t_�s• FLEV.= 98.00 ASSESSORS MAP 289 PARCEL 093/001 -- - - 1 oR\\ti o -s �• LEGEND o YR 5/e to YR 5/6 c0 ":"i • `<< 9"- 30" Be 95.00 9'- B 36" . ' -' •; • = w. 95.00 ® / - Medium Failed \13, DENOTES PROPOSED Medium i /� �. � / Sand Sand p / Cesspool ;� ` I 2-5 Y e/4 2.5 Y e/4 0 - 104X 1 SPOT GRADE / ,, EXISTING -Box 30" 132 G 36"- 132 C, ��' g8; 4 BEDROOM `\ LOT #3 x 104.46 DENOTES EXISTING SPOT GRADE HOUSE O y \VOO'0%em #93 NEW 1500 GAL\\ PL PROPERTY LINE -- O\ \ SEPTIC TANK \\ I ® (FULL FOUNDATION) \ 96P - PROPOSED CONTOUR -- J -97 EXISTING CONTOUR Perc #1 _ �y V \ \ Depth to Perc: 48" to 66" Sc.(e& t1 DEEP TEST HOLE & Perc Rate= 2 MPI Qp� ' PERCOLATION TEST • LOCATION OBSERVED H2O Elev. = None Observed 9 `�\ 1 �- 9 � 6 FOOT STOCKADE FENCE 3-24' DIAM. ACCESS MANHOLES \ n. \\ Y CO �O' oo ----- - 10' l LOT #4 � LO T PLAN INLET n \\ ft �, OF PROPOSED SEPTIC SYSTEM UPGRADE k` THE ACCESS COVERS FOR THE SEPTIC TANK, PREPARED FOR DISTRIBUTION BOX AND LEACHING COMPONENT \\ _ cfl T. s SHALL BE RAISED 70 WITHIN 6' OF \\ Ctp DAV I D K U P R 15` 7` T * FINISHED GRADE. STEEL REINFORCED PRECAST CONCRETE INSTALL TUF-T1TE GAS BAFFLES OR EQUALS \ PLAN VIEW ON ALL OUTLET TEE ENDS r� o \ PROJECT BENCH MARK 10 ATW O O D AVENUE 3-24' REMOVABLE COVERS TOP OF FOUNDATION I ELEV. = 100.00 (Assumed) HYAN N I S , MA 3 min•clearance INLET S' mY,_T-,�2'-mx,. ink-2 to outlet-11 a. OUST �(�.\-N s�, PREPARED BY: t7 mh. I Lqu d k-vel O E. c�, CA RHEY E. S'HA Y s� R E� I 4'-0' min. v o.e.ie. '� =• Liq id depth < U ov AY I ; VIRONMENTAL SERVICES, INC. `° 0 20 40 50 N . 11 I j 51 -or- . ., . ... .... :. � . , _. . . -�•.: ' ' �' �o .0. BOX 627 .r. .. Mimis STERN EAST FALMOUTH, MA 02536 CROSS SECTION NOT TO SCALE END-SECTIONINNE gN/TAR\P TEL/FAX 508-539-7966 TYPICAL (H- 10 LOADING) 1500 GALLON SEPTIC TANK SCALE: 1 "=20' _ SCALE: 1 "=20' DRAWN BY: CES DATE: SEPT. 27, 2005 May Substitute with 1500 gallon H-10 Polyethylene Tank-George O'Brien Co. PROJECT#SD808 FILENAME: SD808PP.DWG SHEET 1 OF 1