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HomeMy WebLinkAbout0287 BEARSE'S WAY - Health � . 287'BEARSESMAY` Hyanni's - - ----- A� 310.._ 007 Lij i; f e o a a v I F � o TOWN OF BARNSTABLE LOCATION SEWAGE#a�/q—C711X-�� VILLAGE /-/„�_r, v,i S ASSESSOR'S MAP&PARCEL ?/D �Oa� INSTALLER'S NAME&PHONE NO. To e V 1 S S'�P T l C SEPTIC TANK CAPACITY / o LEACHING FACILITY:(type) .2-Soo 6 L (siie) / 3 S NO.OF BEDROOMS i OWNER PERMIT DATE:3 /I^ /9 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 GG2�L0� ' � �4) N ,. O O :T: .. _ � ,� �i•� - i •�-- .. W N ._. �� . W c�,J kl �..N -- W ,. �� ov Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpflration for Misposal.*pstem ConstrULtion 3pErmit Application for a Permit to Construct(/Repair(Z>-Vp­gad,( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.2 87 & why Owner's Name,Address,and Tel.No. ,ate-- P� 'l LOP-S Assessor's Map/Parcel3/d—GO 1 �t In taper's N e,Address,and Tel.No. p$—�/20_c773$' Designer's Name,Address,and Tel.No.j D$-3,-0—33 _ % i s Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs orAlterations(Answer when applicable) JAI511411 IV4F4Li 12- _'S40 [�Al 141 20 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. �gned Date Application Approved by Date ��— Application Disapproved by Date for the following reasons Permit No. Date Issued a— .r't` ,Y •i..• ♦' Kip�:' .�-.er.,S%�' :, - ` .,� i t..Sirr '!�,"ti�✓ .-, f1'n%b,."i-'F,'-'gR-''Rg"'.r,•R�,i�i±'�%:iTt.�.,/F-�'' K.-.r.t' .+ . n'i►76-'� .ti.Jri,+�- �Y.-J ..-a•i....:�:r.��...i�.Wt'�*w_`^,�. .. r:3� - r U Fee computer:Entered in r: THE COMMONWEALTH OF MASSACHUSETTS p e\ Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 1 application for ;M14posal.,pstem Construction i9ermit Application for a Permit to Construct(/,)—'Repair( g ade,( ) Abandon( ) El Complete System ❑Individual Components ; .,.:, . Location Address or Lot No.j S 7 I?r�hs/_ Owner's Name,Address,and Tel.No. Assessor's Map/Parcel3/0-G o ,y/S Installer's Name,Address,and Tel.No. -spa_cr/-3F Designer's Name,Address,and Tel.No.S Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ,. gpd Design flow provided gpd Plan Date ~Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil ! 1 Nature of Repairs or Alterations(Answer when applicable) (A15 rl.1/l /UF_ui /2 O lo IT-:5,U Date last inspected: ' r 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 -) 1c)-h - Application Disapproved by ! DateA. i for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( .. Upgraded(�)_ Abandoned( )by 4 S _ i Rk?lr."/.)S' at. //i has been constructed in accordance h with the provisions of Title 5 and the forlDisposal System Construction Permit N�1te AS 5 dated 3//-a-h q Installer J s�-�� 1i?� ld'd i�S Designer /,14s v 1r 5 0e'5- /Al C. #bedrooms ? Approved design flow 33 0 gpd The issuance of this permit shall not b/e�construed as a guarantee that the system(.Will i�i tctc io as designed. Date J 1�/ � I Inspector --------------------------------------------------------------- No. ram"!_.f 0 Fee / THE COMMONWEALTH OF MASSACHUSETTS T PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposaf *pstem Construction j3ermit Permission is hereby granted to Construct( ) Repair(4)_ Upgrade Abandon( ) System located at 2 f( _ 43150 r'56 5 11-'/146,1 ,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 `//.- / 9 Approved by Town of Barnstable Regulatory Services Richard V. Scali, Interim Director 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: i� Sewage Permit# ���f DES— Assessor's Map\Parcel U 009 Designer: /V i(ON,e,t", oti5 1w".. Installer: ��,s� z� le y T Address: {vo scrx I Address: PA on _'� /�-/y o f'����� /�yS' was issued a permit to install a (date) (installer) septic system at &,0� Pj � based on a design drawn by (address) bn- 2. A1`e.X*,Jt,[dated 3 (d signer) I certi ate the pep system r eferenced 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. Strip out (if required) was inspected and the soils were found satisfactory. 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. Strip out (if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compliance with the terms of the IAA approval letters(if applicable) {NOF_ stMSie) No. 99�D Zt�\- ` (Designer's Signature (Affix n ere) PLEASE RETURN TO B31 TABLE PUBLIC HEALTH D ON. 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:\Septic\Designer Certification Form Rev 8-14-13.doc P# Town of B -testable. Department of Regulatory Services Public Health IDivision Date - ,16.7 � 200 Main Strect.Hyannis MA 02601 (a:? rM Date Scheduled f/ JG ' Time Gv Fee Pd. I Soil Suitability Assessment for° aige Disposal r� Performed By. Yv vt Witnessed B . r � r LOCATION& GENERAL INFORMATION Location Address .2�7'. ��A�2SCS wAy Owners Name 4 P1�e.5 V" HYA-N N)S Address SkAIVC— .j Assessor's Map/P�tcel: 31e --o� I Engineer's Nam '_ le E 7 t a- p 30 r,� X S69 3G6 - 37/ NEW CONSIRU�'1lON REPAIR Telephone# `Q �t, ° land Use �•� 1 ��T 11' Slopes(96) Q 0 Surface Stones Distances from: Open Water Body ZD0 ft Possible Wet Area, Z O ft Drinking Water Well> / eft Drainage Way>I v ft Property Linc ® ft Other ft SKETCH:(Street name,dimensiods%f lot,exact locations of test holes&pert tests.locate wetlands in proximity to holes) PY 0 D S� 0\,I_r �1fA j i . i Parent material(geologic) �I C� V 1 ►"'.Cl S�.i Depth tb Bedrock I. �n Depth to GroundwaterStanding Water in Hole:' I Weeping from Pit Face /fit-• Estimated Seasonal?1jigh Groundwater DtTERMINtTION FOR SEASO�AL HIGH WATER TABLE Method Used: I Depth Gbperved standinglin obs.hole: ` id. Depth to soli mottles: 1n. Depth toiweeping from side of obs.hole: I in. Groundwater AdJuetlnent tt• Indcx Well# Reading Date Index Well levdl-_I Adj.Ac.tor_ _ AcU.Groundwater Level ,,.,s i PERCOLATION TEST • Date 'Close Observation l I Trout tit 9" Hole# Depth of Pere Time at G", Start Pre-soak Time.@ 1 S I 'lime(9"-19 End Pre-soak i Rate lvfinilnch P� S1 TS Site Suitability Assessment: Site Passed_:_�( Site Failed: 'Additional Testing Needed(Y/N) Original:.Public kIe'lth Division! Observatiori Hole Data To Be Completed on Back— ***If percolaliOn test is to be conducted within 100' of wetland,.-you must first notify the Barnstable C64servation Division at least one (1)weik plior to beginning. i I DEEP OBSERVATION HOLE LOG Hole# Soil . Other Depth from Soil Horizon Soil Texture Sail Color M ttlin (Structure,Stones,Boulders. .Surface(in.) (USDA) (Munsell) B onsistenc 9b Grave Ti L4z'' �O 'S -I j-✓ �z'--•fig'' -71 73 DEEJ?,OBSERVATION HOLE LOG, Hole# Other Depth from Soil Horizon Soil Texture Soil Color Soi1 Structure,Stones,Boulders. Surface(in.) (USDA) (Munsell) Mottling onsis enc 96 Gra el Ste° ' o �31z • ��'' jLl y'' G �� �- .� 71 DEEP OBSERVATION HOLE,LOG Hole# 4 Depth from' Soil Horizon Soil Texture -:Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consiste c o Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture -Soil Color Soil Othei Surface(in.) (USDA) (Munsell) Mottling (Structure.Stones.Boulders. C nsi to Flood Insurance Rate Map: r' 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 pervi us material exist,in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pe viou material? Certification I certify that on (date)I have passed the soifevaluatbr examination approved by the Department of Enviro ental Protection and that the above analysis was performed by me consistent with the requir n exp^erUse a d experience described in 3.10 CMR 15.017 �y Date U Signature Da . O:\.SEPTIQPERCFORM.DOC I I down cape engineering, inc. SIEVE SOILS ANALYSIS 287 BEARSES WAY HYANNIS, MA DATE OF REPORT: 2/27119 JOB : GRAIN SIZE ANALYSIS-SIEVE TEST SITE: 287 BEARSES WAY, HYANNIS LOCATION: DARREN MEYER TEST HOLE I . r SIEVE ANALYSIS Weight Sample(Grams): 155.8 I I SIZE :WEIGHT RETAINED : % RETAINED € % PASSED i ' ...........(sum) I..................................... .. r 1" 0.0: 0.0%� 100.0% -------------......................................................:---------------------i------------------ 3/4" 0.0: 0.0%: 100.0% i ................. ------------------o-----------------o- l 1/2" 0.0: 0.0 : 100.0% -------------i......................................................>---------------------r---------------- -- 3/8" 0.0: 0.0% 100.0% 1 -------------:......................................................:-------------------------------------o- #4 0.0� 0.0%` 100.0% --------------......................................................>--------------------y..................................... #10 12.9: 8.3%: 91.7% -------------:......................................................---------------------...................................... #20 49.0: 31.5%: 68.5% -------------i......................................................,---------------------,..................................... #40 94.21 60.5%: 39.5% -------------:......................................................:------------------- -:...................I................ #50 121 91 78.2/°� 21 8/o --------==---I......................................................>---------------------......................I.............. #80 i........................................144.6: ----92 8...........................7:2% ------------- ......------ --- #100 148.5: 95.3%: 4.7% 1 -------------,......................................................>---------------------}------------------ #200 153.3: 98.4%: 1.6% ------------ .......................................................---------------------------------------- r PAN: 154.0: 100.0%: 0.0% ------------------- ;--------------------- -*--------------------- ---------------- ------------ ------- -- SAMPLE: 155.81 NOTE:TEST ON PASSING#4 ONLY, 4.7% RETAINED ON#4 <45% OX _ r RESULTS: SOIL CLASSIFIED AS AASHTO A-1-b(SAND AND GRAVEL)(UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING #4 SIEVE : #4 100% (TEST ONLY MATERIAL PASSING#4) OK #5010%-100% OK #100 0%-20% OK #200 0%-5% OK SAMPLE MEETS TITLE 5 FILL SPECIFICATION >98%SAND ovk Or RESULTS: PERMEABLE MATERIAL-CLASS 1 <2 MIN./IN. MATERIAL °; DANIEL� y� NONCOMPACTED CI CIVIL SOIL DESCRIPTION: MEDIUM/COARSE SAND ° No.46502 Q �SSIo,vAL Z/z'7 r r No. / �L Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ftpYication for disposal 6pstrm Construction 3permit Application for a Permit to Construct( ) Repair(%4 Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. Z 66-1 5 'S w A,( Owner's Name,Address,and Tel.No. 1-1'J'A A^i S Assessor's Map/Parcel 310 p a-1 Installer's Name,Address,and Tel.No. ��� Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size i y, 0— sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank lQgo Type of S.A.S. k4lt-111 ell— Description of Soil Nature of Repairs or Alterations(Answer when applicable) T`i e— Date last inspected: U Aj1A r oUAn 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. ign Q Date (- Z Z-Z,0 �� Application Approved by I<D Date Application Disapproved by Date for the following reasons Permit No. Date Issued ----------- - - - --- ---------------------------------------- ------------------------ No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4 ZippIication for -Misposar *pstent Construction Permit, , Application n for a Permit to Construct Repair U rade Abandon Complete System Individual Components PP � ( ) P (� Pg ( ) ( ) ❑ P Y j P Location Address or Lot No. Z S 1 3e A r 5 e'5 way- Owner's Name,Address,and Tel.No. 1-i.IA.1n;S � l Assessor's Map/Parcel 3 1 17n v� LoQe Installer:'s Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. - `1 . .3 Coon nee r C,A 1. S r. ryy> n 4 1 Type of Building: jDwelling No.of Bedrooms Lot Size (y. UJJ�- sq:ft.- Garbage Grinder( ) 'r-''"1'Other Type of Building No.of Persons Showers( ) Cafeteria( ) `,"Other Fixtures t Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic'Tank (COD cp,,li, Type of S.A.S. .•�, Q v . Description of Soil A, Nature of Repairs or Alterations(Answer`when applicable) Ti 2 7-.1(e) —(74�k 4 r,�✓, i Date last inspected: t\iLAA.Owin Agreement: t 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 b4en issued by this Board of Health. 1 Y ign /I a Date - Z 2- Z o Application Approved by Date Application Disapproved by Date for the following reasons ~`' Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS .BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(yO Upgraded( ) Abandoned( )by <�ter p 5 c 3 LLL at has been con ucte i acco a with the provisions of Title 5 and the for Disposal System Construction Permit ND toted Installer��T, �,�Q� �((�u>>�sC � _ Designer .41 #bedrooms // Approved desi"o�w gpd The issuance of this"permit sh a'c n trded as a guarantee that the system wile ctio /esi tied. Date Inspector (� i No. �-,---.•->---. Fee �, . .. k- 7,1 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS disposal &pstem Construction Permit Permission is hereby granted to Construct( ) Repair(�p Upgrade( ) Abandon( ) System located at cj5-7 _2)o 4�a e s i a �(,� 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:Co (tuction rrX4st b4 completed within three years of the date of this permit. Date Approved by p• i h C zi\ 1� �, • 1155 L i � Q N TOWN OF BARNSTABLE LOCATION ER- '7 �XT�cr�s Vll•1A'—j SEWAGE # 4( �I r VILLAGES F(�c�} S ASSESSOR'S MAP & LOT 3/Q " Qd INSTALLER'S NAME & PHONE NO. C(Pc Pr,— SEPTIC TANK CAPACITY LEACHING FACILITY:(type) Fruc-Co-c'r ��(size) ol,6(�• a C �I NO. OF BEDROOMS 3 PRIVATE WELL O BLIC WA R------------- 1/ BUILDER OR OWNER `� C 1�G�A- DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No I t�i1 _ _ � .� _- V -�. a o � v• �,, _' '� i •� '_ �� rl �' e ,r �� �, l No... ...(..'•.../® Flcs..... . ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Di_gpag al Mirkii Tnnotrnrtiun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (kf an Individual Sewage Disposal System at: Y 0��7 . .lA _ t' Location-Address or Lot No. .................. .6 1. +! .. ............. -... .............. ...-----•--- Owner � Address a �-+to Q -�•- fD .�e�J -1/..................... ...-----------0`-4 0.1...��;52_r..... .................................. Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms......3................................Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Building ............... No. of ersons..........--................ Showers Other—Type g -`-;-------- p ( ) — Cafeteria ( ) Otherfixtures ........•-----------------------------•-••---•--------------•-----•------------....----------•-------....... ------•---.....---------.......-•-•---- . W Design Flow...... "�.........................gallons per person per day. Total daily flow........ �........................gallons. WSeptic Tank--Liquid capacityl.C.M..gallons Length...0........ Width...5........ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..--.I-------------- Diameter.....1.C1........ Depth below inlet...fo.F........... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-, Percolation Test Results Performed by........................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.--................. Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of.Test Pit..._................ Depth to ground water........................ a ---•-----------------•------------------....•-•------------...---------......---.........----•....-•........................................................ 0 Description of Soil........................................................................................... --------•-----------------------------------------•-•-•--•-•---------------- W U --------------------------•----•----------•-•--...---------------------•--....-----•...........------•-------•--•----------------------••---•-----------•-••-----------...--------------••-------------- W U Nature of Repairs or Alterations—//A__nswer when applicable...-- ...�' � �. ----L-4 la....se .--�liv.ok ......40•�0�........t[J� ��.L ..t,,c1�f��-�bl`F�---------------------•------------------------------------.-..-.------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Com liance has b n issued by the b rd of health. Signed ........ ............ .. ....... .... .. ... ...................... ... .`. �... ApplicationApproved BY . .. .. .... ... .:� ......................................... ./. -.. .. T'......ie..;.�........ Application Disapproved for the following reasons: .................................................................................................................................I...... .................................................... < . .. J/ ...................................................................................................... . Date..... ................................. n Date Permit No. ...:�.... ..0.................... Issued - .... . . -- f. ............ a / i N S_x ........................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ApplirFatiun for DispusFai Works To"Mitrairtiun Famit Application is hereby made for a Permit to Construct ( ) or Repair ( kf an Individual Sewage Disposal System at: oZ�7 n Y (S .................................. , Q ...Location-A ress .or Lot No ................... .................. ......� cuwc S '!'l"e ._. ................ Owner Address a < <-� _b b.......-••-----------•-•••--••... a Installer Address Type of Building Size Lot............................Sq. feet t-, Dwelling—No. of Bedrooms--- .....................................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons............................ Showers — Cafeteria 04 d Other fixtures ---------------------------------------•--------------.-------------------------------------------•-----------------•---------....................._.. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank 4 iq'$d capacity............gallons Length................ Width................ DiaYr er r .......:._. Depth................ x Disposal Trench—No. .........I.M.- Width....................total Length.....:�!........... Total leaching area....................sq. ft. 3 Seepage'Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distributioh box ( ) I asing tank ( ) �t aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water......................... L% Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ------------------------------------------------•-••---•----......--......----------.........................---•----•-•----•----------................-•---- 0 Description of Soil-----------------------------------------------------------------------•-----------------------•-------------------------------------------------------............._ . M V ....---•-------------------•------------------------••--------------.....--------------.........---------•-----------------------------------------------•----.....--------------.........-----•--------- W U Nature of Repairs or Alterations—Answer when applicable__`........................................................................................... SQ ja The undersigned agrees to install th e'atoredescrib�d Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sane- .. .. ............ • ... ...... .... ......... .. ....Q... .. ...... ...... .. ... Application-Approved By .... ....... .... --- . ... ............................. Application Disapproved for the following reasons: ........... ............................................................... ........ .............................. ... ........ ................ n ] I?ate Permit No. - ............... .. Issued 7 �-- 1 Due... .... .......................... f THE COMMONWEALTH OF MASSACHUSETTS r BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Complianre THIS IS TO CERTIFY, That the Individual Sewage Dis oral System constructed ( ) or Repaired ( ) by.............................................:C... ..qf�....t-..i4 ..N.(D..S.�.P.P.��.................. ...... :.. o �7 Installer at ..................................� 7 6 ........'z�� �S�_s.....W.°9� � `r ..----........---- ---.. .G.fYc��....................... has been installed in accordance with the provisions of TITLE f The .ate Environmental a as c ibed in the application for Disposal Works Construction Permit No. /� dated ........�}..,�. PP P f .......--5.,................ �!� 7........... . . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED— S A GUARANTEE THAT THE SYSTEM W LL FUN TION SATISFACTORY. DATE.................... ........ -- .... ... ................ Inspector ............................................ --........---...--... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 0 TOWN OF BARNSTABLE � 1 O No.. J ..v..t............ !- FEE........................ BiupuuA1 grk Tom tnution� rrmit Permission is hereby granted-------------------------------------------- .... to Construct ( mac .�epair_ ) an�ndi�dual SewMe Disposal System atNo..........................................•. t` .. y ........... r;1 (/-- Street as shown on the applicn for Disposal Works Construction Per ,it No.._!................ D 't[e/...... _.'.�./...�A....:- ................. .. .--� ._--- --•-------•-•-----•----.....----- q / Board of Health DATE......................7_7,/- 1-•-1 FORM 36508 HOBBS&WARREN.INC..PUBLISHERS i I LEGEND HYANNIS C m� R0� 28 PROPOSED CONTOUR ® PROPOSED SPOT GRADE EXISTING CONTOUR + 96.52, EXISTING SPOT GRADE R0 28 �o `4 AUCIA RD. f W= EXISTING WATER cERVICE 3 TEST PIT iu a ,... - o [y 71L J LOCUS A6 , LOT 1 • I GENERAL N DRIVE AREA = 15121 sf+— I LOCUS MAP LAND COURT PLAN '1 7201 -E 45 ASSR MAPJIO PCL 7 LOCUS INFORMATION \\ \\ PLAN REF: 17201-E \ TITLE REF: C122033 \ PARCEL ID: MAP 310 PAR. 007 \ I FLOOD ZONE: PROPERTY NOT IN FLOOD ZONE PROPERTY NOT IN ZONE II I SEPTIC SYSTEM `\ I { REPAIR PLAN LOCATED AT: 44,\ _ --------------- �\ 287 BEARSE'S WAY 20 ft \ f45 HYANNIS, MA PREPARED FOR 2yo o PAMELA M. LOPES L w� T -1 F- _I I w MARCH 8, 2019 43\ � -1 LLd I m Q � \ W a I o _ OF TP- �I DARNM. "SIXR11 O N o EXIST. 1,000G G ? ��( \ SEPTIC TANK 44 �rST t. I- W P � \ \ A VED DRIVEWAY MEYER & SONS, INC. P.O. BOX 981 BENCH MARK 9\ T ` W PLAN EAST SANDWICH, MA. 02537 TOP OF FOUNDATION \ l SCALE: 1 in = 20 ft PH: (508)360-3311 44. 12 , `\ I 0 20 40 FAX: (774)413-9468 ' { meyerandsonstitle5@gmail.com BARNSTABLE GIS •DATU 43 O 10 20 40 SHEET 1 OF 2 J 1894 f ELEV. TOP DROP FND. NOTE: PLACE MAGNETIC MARKING TAPE OVER ALL COVERS (Existing) - BRING ALL COVERS TO WITHIN 3" OF FINISH GRADE FINISHED GRADE (43.80) = 44.12�. �F.G.EL: 43.50 F.G.EL: 43.29 F.G. EL: 43.0 � VENT a MAINTAIN 27. MIN SLOPE OVER LEACHING AREA a X 2" OF•3/8 DOUBLE WASHED " F.G.EU 41.59 �• 3/4" - 1-1/2" lit .. ,• . STONE OR FILTER FABRIC 6 � r DOUBLE WASHED STONE 4" SCH 40 PVC 10 I 14 0.0 6 @ S= 1% (MIN. EMEMir�®EM®®EM®®M TEES ARE TO BE INV.4 ®®®®®®®®®®® 4" SCH 40 PVC 2 E F. DEPTH ®®®®®®®®®®® INV.40.30 INV. 39.80 4' 2 X 8.5' j 4' EXISTING OUTLET B PROPOSED DB-3 AFFE ....•. „ .. ..... . . . DISTRIBUTION BOX EFFECTIVE LENGTH = 25' INV. 40.55 49A9 (H20) INV. ELEV.= 39.50 EXISTING 1,000 GALLON SEPTIC TANK GAS BAFFLE TO BE INSTALLED ON ���`� OFss9 BREAKOUT OUTLET TEE AS MANUFACTURED BY ELEV.= 40.50 NOTES: o DA REN M. �n 1) CONTRACTOR SHALL VERIFY ALL EXISTING TUF-TITE, ZABEL, OR EQUAL (� M TOP CONC. ELEV.= 40.50 PIPE INVERTS PRIOR TO CONSTRUCTION ` ado. 114 "' INV. ELEV.= 39.50 ®� ®® 2) D-BOX SHALL BE SET LEVEL AND TRUE TO p MMEMEM®®® GRADE ON A MECHANICALLY COMPACTED SIX RED/$(tt<y f ®®®®®®® INCH CRUSHED STONE BASE, AS SPECIFIED IN RNITAR\a� I , BOTTOM EL.= 37.50 ®®®®MEMO 310 CMR 15.221(2) L� 3.75' 5 FT. 3.75' 3) REPLACE EXISTING 1,000 GALLON SEPTIC TANK WITH 1500 GALLON SEPTIC TANK IF FAILED, EFFECTIVE WIDTH = 12.5' DAMAGED OR UNDERSIZED. SEPARATION 5.64 FT. 4) INSTALL INLET & OUTLET TEES W/ SEPTIC SYSTEM PROFILE SOIL ABSORPTION SYSTEM (SECTION) GAS BAFFLE AS REQUIRED BOTTOM OF TESTHOLE EL: 31 .86 (500 GALLON H2O LEACH CHAMBER) GENERAL NOTES: SAIL LOGS P# 15887 DESIGN CRITERIA I. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. NUMBER OF BEDROOMS: 3 BEDROOM DESIGN 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DATE: JANUARY 30, 2019 OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE SOIL EVALUATOR: DARREN MEYER, R.S., CSE #1614 SOIL TEXTURAL CLASS: CLASS I (0.74 GPD/SF) LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: DESIGN PERCOLATION RATE: <2 MIN/IN - 310 CMR 15.405 (1) (8): WITNESS: DON DESMARAIS, BARNSTABLE HEALTH DEPT. DAILY FLOW: 110 G.P.D. X 3 BR = 330 G.P.D. 1) A 0.30 Fr. VARWNCE FROM 310CMR15.221(7) TO ALLOW LEACHING TO BE 3.30 Fr (MAX) BELOW GRADE VS REO'D 3 FT. (H20/VENT PROVIDED) Elev. TP-1 Depth aev. TP-2 Depth GARBAGE GRINDER: NO (not designed for garbage grinder) 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 43.08 0" 42.86 0" SEPTIC TANK: 330 gpd x 200% = 660 gpd, USE EXIST. 1,000 GAL SEPTIC TANK TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE FILL FILL DESIGN 4. ANY CONDITIONS DURING CONSTRUCTION DIFFERING �•08 A 36" 39.86 A 36" LEACHING AREA REQUIRED: (330)/0.74 = 445.94 S.F. FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN S3A/P12D LOAMY SAND 3%2D USE TWO (2) 500 GALLON H2O PRECAST LEACH CHAMBERS W/ 4' ENGINEER BEFORE CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 39.58 B 42" 39.36 B 42" STONE ON ENDS & 3.75' STONE ON SIDES: 25' L x 12.5' W x 2'D 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF LOAMY SAND LOAMY SAND �Ca THE CONTRACTOR N R PROPER INSPECTIONS oNSNOTIFY THE DURING CONSTRUCTION. BOARD OF 1OYR 5/8 1� 5/8 BOTTOM AREA: 25 x 12.5 = 312.5 SF HEA7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 36.58 _ 78" 35.86 84" SIDE AREA: (25 + 12.5) X 2 X 2 = 150 SF 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED SIEVE TEST C MEDIUM C MEDIUM TOTAL SQUARE FEET PROVIDED = 462 vs. 445.94 REQ'D TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. O M 36.08 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE SAND SAND DESIGN FLOW PROVIDED: 0.74(462 S.F.) = 342.25 G.P.D. vs. 330 G.P.D. req'd THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 2.SY 7/4 2.5Y 7/4 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND FILLED PER TITLE 5. 32.08 132" 31.86 144" PROPOSED SEPTIC SYSTEM UPGRADE P LA N 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY PERC RATE <2 MIN/IN. (-C` HORIZON) PER SIEVE ANALYSIS 287 BEARSE�S WAY, HYANNIS, MA AND IS NOT To BE CONSIDERED A PROPERTY LINE SURVEY NO GROUNDWATER OBSERVED 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. I` Prepared for: LO es 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. Design and Site Plan by: SCALE DRAWN DATE 15. ALL PIPING TO BE 4" SCH 40 0 1/8"/FT (UNLESS SPECIFIED) • I, Darren M. Meyer, R.S., CSE, hereby certify exit I am currently approved by MADEP pursuant to 310 CMR 15.017 MEYER&SONS,INC. N.T.S. DMM 03/0$/19 16. REMOVE UNSUITABLE SOIL 5 FT AROUND PROPOSED LEACHING TO EL. 35.86 OR to conduct soil evaluations and that the above onalysis'lhas been performed by me consistent with the PO BOX981 REV DATE TOP OF "C" LAYER AND REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5 REQUIREMENTS. of 310 CMR 15.017. 1 further c EASTSANDWICH,MA02537 CHECKED SHEET N0. requirements certify that I have passed the Soil Eval. Exam in October, 1999. 508-362--2922 DMM 2 of 2 J NOTES: 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS & DIMENSIONS IN THE FIELD 42'-0° 2.) CONTRACTOR TO VERIFY ALL INTERIOR & EXTERIOR MATERIALS, DETAILS, & FINISHES IN THE FIELD WITH OWNER 3.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS STATE BUILDING CODE, 8TH EDITION AMENDEMENT & IRC2009 4.) VERIFY ALL PLUMBING & ELECTRICAL DETAILS W/ OWNERS ON THE SITE DURING FRAMING CONSTRUCTION I o I SEPTIC I I I I UP p SEPTIC BASEMENT LINE I LINE WINDOW SO 3'-2" t O UPQcqF I m Uj BASEMENT WINDOW N x /� 5'-0" Q VENT FAN TO �3'ux,^4'�' I HALL r OUTSIDE 't'VYT� X ® O — co 3'-0 EXIST. / _ BEDROOM EGRESS / WINDOW WELL `"' O BATH I I Q 2'6"DOOR N - N ^ r 2'8"DOOR INSTALL NEW 2 x 4 WALLS W/(R13)BATT INSUALTION OFFICE _ f WHERE NEEDED. n HVAV I INSTALL NEW 9"BATT INSULATION IN THE FIRST -- I FLOOR JOISTS FOR SOUND &CODE PURPOSES 10'-0" 32'-0" BASEMENT PLAN- LEGEND: 0 EXISTING WALLS CONSTRUCTION TO BE REMOVED NEW CONSTRUCTION Q SMOKE DETECTOR © CARBON MONOXIDE DETECTOR BAY DESIGN, THE DESIGNER SHALL BE NOTIFIED IF ANY ERRORS OR OMISSIONS ARE FOUND ON SCALE : D RAW I N G NO. : C OT U I T V A 1 C/E S'G N, L L C NEW REMODELING FOR: THESE DRAWINGS PRIOR TO START OF CONSTRUCTION.THE BUILDING CONTRACTOR 1/4" - 1 1-0" /f 3 B REWSTE R ROAD WILL BE RESPONSIBLE FOR ONST CONTENT —T Y 1I RESIDENCE IN THESE DRAWINGS IF CONSTRUCTION f� (� L O.P E S COMMENCES WITHOUT NOTIFYING THE .MASHPEE ,MA. OZ64DESIGNER OF ANY ERRORS OR OMISSIONS. DATE 1 (� THESE DRAWINGS ARE SOLELY FOR THE USE P H. (508 274— 1 1 O OF THE OWNER NOTED.ANY OTHER USE OF ' THESE DRAWINGS REQUIRES THE WRITTEN 1/7/2014 FAX (50 ) 539-9402 2 8 7 B EA RS E S WAY H YA N N I S M A CONSENT OF THE DESIGNER U All NDER ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 1990.