HomeMy WebLinkAbout0042 BLUEBERRY HILL ROAD - Health 42 Blue Berry Mill Road
Hyannis
A=249 -068
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TOYVN OF BARNSTABLE f `N'
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q;�:cL3CAPION I`� — -�/,� r�' SEWAGE # �17��
VILLAGE ASSESSOR'S MAP & LO'T .?gg7X
'INSTALLER'S NAME&PHONE NO. ''��
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) �t�� TeS (sine)
NO. OF BEDROOMS
BUILDER OR OWNER �D fTly �� VV\- ML V1—
PERMITDATE: 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 Wedand and Leaching Facility (If any wetlands exist
within 300 feet of leaching facility) Feet
Fumished by
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Zji . iI N SEWAGE FisAMIT No
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INST R LLEIT'S NAME & ADDRESS
P UILDE. H Q;t OWNER
DA T E ? E R M I T ISSU D
D -AT E C0KPLIAHCE IaSUED
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\ G1 _ v l� OWN OF BARNSTABLE
��` � � BOARD OF HEALTH
E 1
ARTt :MINIMUM STANDARDS FOR HUMAN HABITATION
Date �tl � �
4� e U l 11n u h S°'1
Owner S V� `� �� Tenant
Address v `v� Address
Complionce Remarks or
Regulation# Yes No Recommendations
2. Kitchen Facilities
3. Bathroom Facilities
4. Water Supply
5. Hot Water Facilities
6. Heating Facilities
7. Lighting and Electrical Facilities
8. Ventilation
9. Installation and Maintenance of Facilities
10. Curtailment of Service
11. Space and Use
12. Exits C.(� kSor<u�C2f rt� Hjv✓y'-c' wow
13. Installation and Maintenance of Structural
Elements rr}} �A cC
4.
14. Insects and Rodents
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15. Garbage and Rubbish Storage and Disposal �p� L
16. Sewage Disposal
17. Temporary Housing (j
PART 11
I
37. Placarding of Condemned Dwelling;
Removal of Occupants; Demolition
cL.�n l8 0°-7in��
Person(s)Interviewed �� Inspector 1nJ"
If Public Building such as Store or Hotel/Motel specify here
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
01ppfication for ;Digpogal *pgtem Con5tructton Permit
Application for a Permit to Construct( )Repair Upgrade( )Abandon( ) ,Complete System ❑Individual Components
Location Address or Lot No.42 31\)e bEQA? V"It `,1• Owner's Name,Address and Tel.No.
Assessor's Map/Parcel
Z49 JOCogSAN►>E
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
�248- ,5 aw s 3a- li b
Type of Building: (,4 P copn
Dwelling No.of Bedrooms_I �Lot Size-2 sq.ft. Garbage Grinder()J�A,
Other Type of Building fAdXl2_. No.of Persons 4- Showers(✓5 Cafeteria(✓)
Other Fixtures L4 o,%-mVre% ETC 4nA '54Nk \_A�mp��
Design Flow gallons per day. Calculated daily flow gallons.
gallons.
Plan Date 101 Number of sheets { Revision Date
Title ra
Size of Septic Tank 0 SOO Qn\ -rPrr4K ype of S.A.S. _+ /N�r�LTILA�P..S
Description of Soil; 17�._�Ri' c)k=,
10'X SO'IX I'
Nature of Repairs or Alterations(Answer when applicable) ��t1
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 Env' ental Code and not to place the system in operation until a Certifi-
cate of Compliance has bee Bo �Rfrke�a . �
Signe Date l0
Application Approved by B Date
Application Disapproved for the following re s
Permit No. 61 UN5 71— Date Issued
A
1 No. t o :... 1 Fee AD
t,l THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
0[pp ration for Migool *p5tem Conotruction Vermtt
Application for a Permit to Construct( )Repair)Upgrade( )Abandon( ) ,Complete System O Individual Components
Location Address or Lot No.(� `, , F o�( y 1.. "�1 'ZC\, Owner's Name,Address and Tel.No.
Assessor's Map/Parcel �Aq;to ra 1 5 ! M CC,M rr�,
.Z49 oc,,
Installer's Name,Address,and Tel.No. ^ Designer's Name,Address and Tel.No.
!� Type of Building: _ (..et T'cur,0`_R > ,,,,�� -
Dwelling No. of Bedrooms Lot Size 7_0 a sq.ft. Garbage:Grinder
Other Type of Building K ncl(, No. of Persons 4- Showers(ol) Cafeteria
Other Fixtures VA�J
Design Flow� ��-Z 1 gallons per day. Calculated daily flow s r [ �a gallons.
Plan Date I C) I I Z�1 r�.5 Number of sheets I Revision Date
y.. Title k . . i c S - ? ) Q m
Size of-Septic Tank C)Q cac-A C" rc ype of S.A.S. -4 /NV7,L T-1?f-ibP_5
Description of Soil: �' C� t,�\ WX 50 1X
5 1 ``
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 beep-is u_Y3 th�s Be of Health. /" C^
_.= .
�p Sign 1 i.e'� ! A 47 .. Date ��' `Y�)
Application Approved by v / ✓' / V� Date ffX
Application Disapproved for the following re s r ns
i
t ,
Permit No >1 f7 ',� Date Issued 0 ( 11` I(D
THE COMMONWEALTH OF MASSACHUSETTS `ti
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERT- , that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded (L�
Abandoned( )by r/ `
at _ 60, 1 r .1 C has been constructed iri accordance
with the provisions of Title 5 and the�for Dis osal System Construction Perfrut No. 'a,OC S SZ-94ated 10,1"t 15
Installer Designer <7'
The issuance of this permit shall not be construed as a guarantee that the y to�fflfdn as designed.
Date If) )nL& _`a Inspector
f
,__ � —---,—�t/ 4-Q—/ ------------------------ —
No.
f THE COMMONWEALTH OF MAISSACHUSETTS Fee
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
It5pomt *p5tem Construction Verna
Permission is hereby granted to Construct( r)-R ag( Upgrade( 1 andr )
System located at _
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: Constru�ctioft must be completed within three years of the date of thisZbermi•t. /1
fVL
Date:__ 1 Approved by > i
1 9/16/03
4 Notice: This Form Is To Be Used For the Repair Of Failed
Septic Systems. Only
PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM
I, C6Z.ML-t4F hereby certify that the engineered plan signed by me
dated ID11,
3 106 concerning the property located at
4-Z L�1.►e�r cM.�1i 1\ or,ni�.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 requestedor 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) O
B) G.W. Elevation +adjustment for high G.W. O
DIFFERENCE BETWEEN A and B o
SIGNIrD : DATE:
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.
Mew — �9
qAS-eptic\percexemp.doc
*NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. ® M
VENT PIPE (a Least 24 inches test) SECTION A -A ALL ounET PIPES FROM THE ,
[house
min. from Schedule 4A PVC w/Charcoal Odor Filter DISTRt9tITtoN Box STALL 8E pt 1 earnrtaeie 3
Existing Foundation I house to septic tank PROFILE VIEW OF ADDITION TO LEACHING SYSTEM DET IEVEl FOR AT LEAST 2 FT. 12• CONCRETE COVER �.
tank covers must be D-BOX cover must be 4,1 4 .aeficoi"
TOP OF FOUNDATION= ELEV. 100.00 (Assumed) �6 In. of finished 9�e within 6 In. of rinWwd grade
a 3-5'OUiLEi .�'>���-•:s-• r j ,r
Grade over Sepik Tank - 98.00 Grade ever D-Box- 95.S0 war SAS- 95.50 3" of 1/8" - 1/2":Washed Peost j KNadCWTS
3/4" to 1 1/2 ' Washed Crushed Stone j
i f ss' 1s- INLET
S OUTLET
OLE _ 4•PVC(CAPPED)INSPECTION PORT To BE
0.02 3 HST OX10 3' Maximum Cover Top OF S*om- Elw. -92.00 INSTALLED AND TO BE wTHIN 6"Or.GRADE
0 20' NEW sa0.01 or Greater 15 �` i Jf
EXIST, PIPE N g1,500 GAL n 0.01- per foot 10"Eff•ethe Depth - 4" - SCH. 40 Tf 1.75• See a,Rt .� j ratr�
FROM EXIST. F�M�
rn SEPTIC TANK ------- ° df
CONCRETE nu v n H-10 S VP 6.25' = PLAN SECTION CROSS-SECTION
> _ 0.83' (10 inches) a
1
PROFILE 6 In.of 3/4--1 1/2- w `" 3,75' 3 HOLE H-10 DISTRIBUTION BOX
SYSTEMIL
compacted stone > u u 0) 5.75 NOT TO SCALE Et�a+'• l ' ea,rvrlahtr
Not to Scale - - o > > 3.5' I 3.5' b Effective Length omosw�iibtrtLryaca.��em6�
cr
6 10, SOIL ABSORPTION SYSTEM (SAS) GENERAL NOTES
6 Imof 3/4•-1 1/2" p
compacted stone ao Effective vldth INFILTATROR HIGH CAPACITY (H-20 LOADING)/ GEORGE ❑'BRIEN
NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE -A m 1. Contractor is responsible for Digsafe notification, Verification of Utilities
o (OR EQUIVALENT) Not to Scale and protection of all underground utilities and pipes.
w NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18' FFECTIVE HEIGHT IS 10" 2. The septic tank and distribution box shall be set
Bottom of Test Pit = Elevation 84.00 level on 6" of 3/4"-1 1/2" stone.
v Obs. Groundwater - Test Hole 1& 2 Elev. None Observed 3. Backfill should be clean sand or gravel with no -
stones over 3" in size.
4. This system is subject to inspection during installation
-Design Ca UIOtiO S by Carmen E. Shay - Environmental Services, Inc.
5. The contractor shall install this system in accordance
I with Title V of the Massachusetts state code, the approved plan
��� I and Local Regulations.
Number of 8edro 3 E ivalent to 330 Gal./Day ,,�„� r s
Garbage Grinder: I 6. If, during installation the contractor encounters any
Leaching Capacity Propo d: 440 Gal./Day (AT CUENT's REQUEST) 1 soil conditions or site conditions that are different
Septic Tonk - 2 40 Gal./Day = 880 ,USE NEW 1500 GAL. Septic Tank. from those shown on the soil log or in our design
1 installation must halt & immediate notification be
SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch LOT,• 4 + j mode to Carmen E. Shay - Environmental Services, Inc.
Bottom Area: 0.74 gal/sq. ft. x 500 sq. ft. = 370 gallons
Sidewall Area: 0.74 gal./sq. ft. x 99.6 sq. ft. 73.7 gallons 7. No vehicle or heavy machinery shall drive over the
Providing: = 443.70 gallons -
septic system unless noted as H 20 septic components.u
94 8. Install Tuf-rite gas baffles or equals on all outlet tee ends.
Use: (7) INFILTRATOR HIGH CAPACITY H-20 UNITS, HAVING A 0.83' (10 INCHES) EFFECTIVE DEPTH, 9. A JI Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes.
TO BE USED WITH 3.5' OF WASHED STONE ON THE SIDES, AND 1' OF WASHED STONE i 10. All solid piping, tees & fittings shall be 4" diameter
ON THE ENDS. NO STONE UNDER. 12.00' j Schedule 40 NSF PVC pipes with water tight joints.
11. Municipal Water :is Connected to ALL OF The Residence and Abutting
11W1 Properties Within 150 Feet.
PERCOLATION
C p O l ^T I O^I TEST
1 THE PROPERTY LINES ARE APPROXIMATE AND
f- L_I\ LA I 'V L J II � COMPILED FROM ,THE SURVEY PLAN GENERATED BY
CHARLES SAVARY, RLS OF FALMOUTH, MA
Date of Percolation Test: OCTOBER 10, 2005 TEST HOLE #2 li ENTITLED "CBLUEBERRY HILL SUBDIVISION, CENTERVILLE, MA
Test Performed By. CARMEN E. SHAY, R.S., C.S.E. ,, '' ELEV:= 95.00 i (, DATED DATED JUNE 18, 1964.
Results Witnessed By. WAIVER (per Barnstable B.O.H.) ,-' 1 1 AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN
EXCAVATOR: Shay Env. Svcs. IT SHOULD BE USED FOR NO PURPOSE OTHER THAN
Percolation Rate: Less Than 2 MPI ® 40" TEST HOLE #1 101.
`' Failed " � O THE SEPTIC SYSTEM INSTALLATION.
_ ELEV.= 95.50 4" PVC
Test Hole Test Hole 9 36.5 0 , Vent c i EXISTING CESSPOOLS TO BE`PUMPED OUT AND REMOVED
Cesspool
No. 1 No. 2
_ o
DEPTH SOILS ELEv. DEPTH SOILS ELEV. Failed D-Box ,i ce, :a ;1 ;ham%: i1 -+ NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE
0 95.50 i 0 95.00 Cesspool • • • . . . • sy 1
� FROM THE EXISTING CESSPOOLS TO BE DISPOSED
Y Sandy Loam -
Sand Loam y i '1rfi- :±- r 2.5 1 46
OF AS PER BOARD OF HEALTH SPECIFICATIONS.
- t
_ 10'YR 3/2 - 10 YR 3/2 y- THERE ARE NO WETLANDS ARE PRESENT WITHIN 200. OF THE PROPERTY
PROJECT BENCH MARK
0'-9" A, 94.751 D"-s' Ae 94.25 TOP OF FOUNDATION
y sandy ELEV. = 100.00 (Assumed) \ II ,9$ ASSESSORS MAP 249 PARCEL 068
I Loam �
Q \ N� 1500;GAL. k
10 YR S/6 I ,D YR 5/8 �, O\\ S PT1C TANK 30.5' - - LEGEND
9"- 40" Ba 92.171 9" 38' Bs 91.83 \ /
Medium Medium LOT Jr O
Sand Sand h -' '� 104X 1 DENOTES PROPOSED
zs Y 6/4 25 Y e/4 ? SPOT GRADE
i
40"- 132 G 1 38"- 132 c, -� ''1 X 104.46 DENOTES EXISTING
,9
--- �__- 98 SPOT GRADE
i1 PL PROPERTY LINE
i DECK EXISTING of
I s BEDROOM 1 9t,J PROPOSED CONTOUR
HOUSE ' - - -- - 97 EXISTING CONTOUR
1
#42
Perc #1 / 1
Depth to Perc: 48" to 66" f _ s DEEP TEST 'HOLE &
Perc Rate= 2 MPI _ PERCOLATION TEST LOCATION
OBSERVED H2O Elev. = None Observed
6 FOOT STOCKADE FENCE
3-24-D1AM. ACCESS MANHOLES _ /// �.�\S��P� \�
P LOIT P LAN
LOT #6 \��
INLET
C.
/1 / 1 /-� 20,280 S are Feet + - \�
�`, ``, :, «� OF PROPOSED SEPTIC SYSTEM UPGRADE
THE ACCESS COVERS FOR THE SEPTIC TANK, % 1 I 9 \
OISTRIBU110N Box AND LEACHING COMPONENT co / I I \\ PREPARED FOR
,r.�.• SHALL BE RAISED TO WITHIN 6" OF , I ; ;` , 5 , . M R . J 0 H N H . GAMMONS
FINISHED GRADE / . I 1 y / 1,\ >
STEEL REINFORCED PRECAST CONCRETE INSTALL TUF-TITE GAS BAFFLES OR EQUALS
PLAN VIEW ON ALL OUTLET TEE ENDS f00. 17' \�-_-��� I / \ / � AT
3-24-REMOVABLE COVES i .-' 42 BLUEBERRY HILL ROAD
T: LL HYAN N I S , MA
3"mi�reke7rance } e' 4• ------------------------ ---'' �...------
INLET O I2'mine Inkt to outlet 6-, '� tr aeET
,� m,,, r-� CUTLET - B L UEB ER R Y HILL R OA D �,tN OF/�gsJgc PREPARED BY:
5' _r E o_ * r 4•-G-min. •'S -r p�O. r �� .; CARHEN E. SHAY
1ipuid depth = (40 FOOT RIGHT OF WAY) S A E SERVICES, INC.
B ENVIRONMENTAL S VI
0 20 40 50 No.
t .• _ -:�: - '�- F �' P.O. BOX 627
CROSS SECTION NOT TO SCALE END-SECTION Sti � EAST FALMOUTH, MA 02536
TEL/FAX : 508-539-7966
TYPICAL (H--10 LOADING) 1500 GALLON SEPTIC TANK SCALE: 1"=20' SCALE: 1 "=20' DRAWN BY: CES ATE: OCTOBER -13, 2005
PROJECT#SD813 FILENAME: SD813PP.DWG SHEET 1 OF 1
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