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HomeMy WebLinkAbout0115 BRISTOL AVENUE - Health 115-Bristol: ,,.venue � Hyannis ,J o � TOWN OF BARNSTABLE 6C LOCATION' Il l— fsfld e SEWAGE #•2GF�y' 5�7�/ VILLAGE f ASSESSOR,'S tMAP & LOT v 1 INSTALLER'S NAME&PHONE NO. &164111 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 300 0,t airwv G,j Ca� (size) /3 x-7r'X.' NO. OF BEDROOMS BUILDER O WNER L' PERMIT DATE: 9;�f oc/ COMPLIANCE DATE: `� 4 Separation Distance Between the: _ Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility s 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 Dmk- c . �^w `h S p� ,.D • r � w �� . n R r M 1 �� � ' No. /Jw Z / Fee o o - THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZIppYication for Migponl *pgtem Com9truction Vermtt Application for a Permit to Construct( )Repair(/Upgrade( )Abandon( ) O Complete System 01ndividual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's ap/Parcel �j � � OS GOC�7'� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. _ 7 Type of Building: Dwelling No.of Bedrooms Lot Size f 1 sq.ft. Garbage Grinder( O Other Type of Building ll o.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow / z 3310 gallons per day. Calculated daily flow ✓3 t12 gallons. Plan Date Number of sheets Revision Date Title 46,6> ` d /l S Size of Septic Tank Type of S.A.S. $—Dd 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 bee b Z => Signe Date l Application Approved by Date `1 110/0 U Application Disapproved for the following reasons Permit No. y �'{ Date Issued O OLf 4 ey 7 Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 1 Yes I PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Migogal *pgtem Con!6truction Permit Application for a Permit to Construct( )Repair Upgrade( )Abandon( ) El Complete System CJ Individual Components Location Address or Lot No. /�>! rls f0 Q o Owner's Name,Address and Tel.No. G 4/7`O Ass2oy' 1VIap/P Installer's Name,Add ss,,annd Tel.N . Designer's Name.Address and Tel.No. / !(�1 11 4 DIY✓`/ • g 4:: C� L�y�'. i -7 _jAj1Kz -41s-y Type of Building: Dwelling No.of Bedrooms Lot Size 11/1Z7 sq.ft. Garbage Grinder(�0 Other Type of Building lNo. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow X3 330 gallons per day. Calculated daily flow 3�o gallons. Plan Date Number of sheyts Rev}'sion Date Title S/ ae O �/J`� z611 Q'�' /Y Size of Septic Tank Type of S.A.S. Z ©d 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 beeMsue d Sign e Date Application Approved by Date �j O O L Application Disapproved for the following reasons Permit No. �GU Date Issued 1 U --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTI1', that t e O -sit ewage posal S gtvm Constructed ( ) Repaired ( ) Upgraded( ) Abandoj�ed )b c/�� � l e!;pco y. at / / 13707Q yePV// /S ha 14 en construct6d ip accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. b� dated Installer Designer The issuance oft 's pperms shall not be construed as a guarantee that the sus to will function�s designe Date �j J Inspector hti C � t i No. `7 ! -7� Fee /U THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migpogal *pgtem Construction Permit Permission is hereby gr nt d to Cons tact( ep it( rrade( )Abandon ) System located at 75i SO� GEC /� �ff/S i 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:Construct}n most b7 1ompleted within three years of the dat�this pe Date:_, fl Approved by i TOWN'OF BARNSTABLE ,�L LOCATION. SEWAGE #-?MV- 41'7// VILLAGE ASSESSOR'S MAP & LOT 2 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY �• LEACHING FACILITY: (type) .fba A-i. Ca� (size) /3 xo?S'X2 NO.OF BEDROOMS BUILDER O WNER L 4wIlgo PEItivITTDAI'E: ��O�o�/ COMPLIANCE DATE: /)-a' Separation Distance Between the: _ Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility s t 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 fget of leaching facility) Feet Furnished by 7s r4& Cori �s �B -7 OCT-12-2004 12 :03 PM DOWN CAPE ENGINEERING 508 362 9880 P. 02 Town of Barnstable 4 Regulatory Services t Thomas F. Geiler, Director RAM Public Health Division Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 ,t f ice: 508-862-4644 Fax: 508-790-6304 Installer& Desianer Certification Form Date: l � � Sewage Permit# 2W!f. `{ J± Assessor's MapTarcel A I 1 Designer: �.v••...... Installer: �_orb �e►�s��,...����.,,7 Address: ` I![ /1..�-.� L,r Address: s 4-.. ✓VIr )rt23em-1-4il— I tv 104 spn•r.L,.rt-i 401boSt was issued a permit to install a ( ) 22 (installer) -:t4)tic system at \1 y ( tUh" -A-J L,- based on a design drawn by (address) I 4-C6_ dated (designer) 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 designer to follow. _ 1N OF S� ARNH.E (Ins er'sSignature) O ALA H .e No,29348 -rc_� rs av (Designer's Signature) (Affix Deng tamp Here) 1't ASE RETITRN TO BARN TABLE PUBLICHEALTIJ DIJISION, CERTZEICATEF COMPLI,SNCE YKILL N01 BE 155VED UNTIL 80TIJTHIS FgRM V itt?CEIVFD BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THAN THANIS YOU i>: I•IealtfJSeptic/Designer Certiflcatioa Form 3-26-04-doc SYSTEM PROFILE TEST HOLE LOGS ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) PROVIDE INSPECTION PORT WITHIN f ACCESS COVER (WATERTIGHT) TO 6" OF FINISH GRADE ENGINEER: LISA LYONS, RS MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 34.0' DAVID STANTON, RS cEORGE ST. WITNESS: 2" DOUBLE WASHED PEASTONE 24 04 LOCUS $ u z ELEV 33.42' RUN PIPE LEVEL � DATE: / / FOR FIRST 2' z x EXISTING 1000 / 3 MAX. PERC. RATE - _ < 2 MlLI(INCH '� SLAB AT EL. GALLON SEPTIC * / , z BR15TOL AVE. 33.75' 32.0 t 31.83 CLASS I SOILS P 10786 W TANK (H- 10 ) GAS ;# 31.14' BAFFLE 31.31' ��, o a a o 0 ED o 0 F, _..I- F COUNTY SEAT ST. 1• 12� Cl CJ O Cl 0C) 0 C7 C7 o z 6" CRUSHED STONE OR MECHANICAL E1 0 C� CD E) C C7 C3 Q y O0Ma 0 ElEDC3E Q ELEV. COMPACTION. (15.221 [21) 0025`� 0 29.0 DEPTH OF FLOW = 4 (2•8 % SLOPE) ( 1 % SLOPE 34.0' TEE SIZES- INLET 3/4" .TO 1 1/2" DOUBLE WASHED STONE INLET DEPTH = 10" FILL OUTLET DEPTH = 14" 16" A LOCATION MAP NTS FOUNDATION- EXIST. SEPTIC TANK 24' D' BOX 16' LEACHING LS FACILITY 6' 19" 1OYR 3/2 ASSESSORS MAP 291 PARCEL 101 *THE INSTALLER SHALL VERIFY THE B LOCATIONS OF ALL UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS LS PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM 10YR 5/6 23.0' 32" 31.33' C PERC +41.36 MS QC� 2.5 Y 5/6 132" 23.0' q.59I NGWE 0135 NOTES: R'3 +40.50 SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED ) 3 , r,ATl l►, !c ASSl1MFD +39.78 LOT 4 ko� DESIGN FLOW: 3 BEDROOMS ( 110 GPD) = 330 GPD I . 1 ! _ EXISTIN -- 0� ` 11,129° SFt U'SE A '330 GPD `DESIGN` FLOW iviLINICIPAL WATLR 1S � 3. MINIMUM PIPE PITCH TO BE 1 8" PER FOOT.W SEPTIC TANK: 330 GPp ( 2 ) = 660 / 39.63 1000 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 4064 USE A __�_ GALLON SEPTIC TANK (RE-USE EXIST.) 5. PIPE JOINTS TO BE MADE WATERTIGHT. LEACHING:PAVED i PORCH o L 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. 1 DRIVEWAY CD SIDES: 2(30 + 9.83) 2 (.74) = 118 ENVIRONMENTAL CODE TITLE V. � 4 .30 6 0. 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT EXISTING � .I 30 x 9.83 (.74) = �. 8.97 DWELLING 9.74 BOTTOM: 218 TO BE USED FOR ANY OTHER PURPOSE. ' -] SLAB EL = 33.75' TOTAL: 454 S.F. 336 GPD 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 888 _ (WALK-OUT) ,04 USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR 9• COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED -�X 9.11 + 5 66 34 9 EQUAL) WITH 2.5' STONE AT SIDES, 4' AT ENDS AND 5' FROM BOARD OF HEALTH. +38. 3af 8 DECK 68 f C Pp,10 --,34.36 c EXIST. SEPTIC TANK BETWEEN UNITS 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) FAILED LEACH PIT CON 3 �,�, �.�,� 3.42 3972 (RE-USE IF IN SUITABLE a� +34.41 + 4 5 CONDITION) 3 X.1S �` frT"ll�' NOTE: PIT NOT FOUND 4.28 BENCHMARKS 88 4. 37.54 LEGEND TITLE 5 SITE PLAN COR CONC. SLAB (v/ PAL ELEV = 34.41' 25 cif 38.94 100.0 PROPOSED SPOT ELEVATION �- x +33.69 33.15 +34' +3 .82 3° OF-a - 115 B R I S TO L AVENUE Sfl �� ,.-_ X 9.88 100x0 EXISTING SPOT ELEVATION 2.95 66 � �D - 8.37 100 IN THE TOWN OF: +3 1 SHED •84 PROPOSED CONTOUR ( HYANNIS) B A R N S TA B L E .65 •9 100 EXISTING CONTOUR PREPARED FOR: BORTOLOTTI 3.93 CONSTRUCTION/COUTO .59 20 0 20 40 60 BOARD OF HEALTH APPROVED DATE ' MA SCALE: 1" = 20' DATE: AUGUST 25, 2004 off 508-362-4541 fox 508 362-9M �tH OF U4 down cape engineering, Inc. �t1'OF4(yscoe� ARNEyc�� AR NE H. CIVIL ENGINEERS 0.►ALA OJALA y LAND SURVEYORS N 0 1279 9 26348 04-- lot 939 main st. yarmouth, ma 02675 L.S. DATE