HomeMy WebLinkAbout0201 BRISTOL AVENUE - Health 201 Bristol Ave
A-291 = 108 '
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TOWN OF BARNSTABLE
LOCATION Z0% SEWAGE# Zol`I - ZZq
VILLAGE �T nn,s ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. (� $ ExQog Lc.tA; ors.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) �993.J J c, z� (size) 13 x 2S x Z-
NO.OF BEDROOMS !3
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
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kWEALTH
No. ��� FeeTHE CO OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ftpfication for 33isposai 6pstern Construction permit
Application for a Permit to Construct( ) Repair(✓f Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.7—pl BP 15401 A✓E Owner's Name,Address,and Tel.Vo.
Assessor's Map/Parcel Z — t)$
V3%-b ES oLy� DAo K)V6
Installer's Name,Address,an Tel.No. Designer's Name,Address,and Tel.No.
B 4 L3 Excc��lv� 0/� rLa)N1__r) EA)tl=
cO-SCt- Aj ,,,-ot,53 L
Type of Building:
Dwelling No.of Bedrooms 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 �� yg gpd
Plan Date - 7 T7 Number of sheets Z Revision Date
Title
Size of Septic Tank f S00 Type of S.A.S. 5p0 qQ j LIC - 2.
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 Certificate of
Compliance has been issued by this Board of fJ494,1th.
S i Date
Application Approved by Date f�-
Application Disapproved by Date
for the following reasons
Permit No. Date Issued
L
No. 'D �" II •, Fee lo-j
THE COflAMO6EALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
01ppYication for Bisposal Opsirm Construction Permit
Application for a Permit to Construct( ) Repair(-,�Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.Zpl r►54 O L A t/4!5 Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel Z — 0$ 'flE q�Y►v .J �,s�o I VC
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
d E)(Ca t O/\ �Lak r-, �tiV= ROmr- a 1
ca.Scr rJ 411- OGS ML4 99qL
Type of Building:
DwellingNo.of Bedrooms
_'3 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 830 gpd Design flow provided 1293 gpd
Plan Date 7- Number of sheets Z Revision Date
Title
Size of Septic Tank I SO D Type of S.A.S. "TO-0 QQ�
Description of Soil
Nature•of Repairs or Alterations(Answer when applicable)
r
Date last inspected:
Agreement: i
e 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 issuedby this Board of Ith.
� I
Si id-, <Xc Date 771 $- )n
Application Approved by Date
T
Application Disapproved by k Date
for the following reasons '`
Permit No. CU Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(✓S Upgraded( )
Abandoned( )by
r
at 7O I O t•� S A O I f4 tI AE has been constructed in accordance `
with the provisions of Title 5 and the for Disposal System Construction Permit No.aG t v ?dated
Installer Ex Ca Designer
#bedrooms 3 Approved design flow 3yg gpd
The issuance of this permit shall nop be construed as a guarantee that the system ill functi n as d si tied.Date ��} � Inspector
----=----------------------------------------------------------------------- ---------- -------------------------------------------------
No. do ` � Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS
Misposai .6pstem Construction 3permit
Permission is hereby granted to Construct( ) Repair(./f Upgrade( ) Abandon'( )
System located at Z 01 06 s i O I A VC-
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.
I
Provided:Cons tion must be corn leted within three ears of the date of this permit. `
/( , ^ y p ' -
Date 1 ZS / Approved by
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Town of Barnstable
VE Regulatory Services
Richard V. Scali,Interim Director
• ansxsenat.e.
gb �0� Public Health Division
639,p' Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer& Designer Certification Form
Date: 1- 19• in Sewage Permit# Zo1`1 - ZZ� Assessor's Map\Parcel 291 - IOB
Designer: r lo.�ct'�c{_�nv;�nrncr,�o�� Installer: .B*B EXQO-L�A,DA
Address: �Q O. { QK-91 Address: ly -r-coScrr�{ t.n�
t+
On 18_ to 0�8 EXcaLkxA;o\ was issued a permit to install a
(date) (installer)
septic system at Z o t Gr%s4o l ayc- based on a design drawn by
(address)
_Dnuc. F lo.NcrAw dated_ `7-it - In
(designer)
_X 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. 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 constru to liance with the terms
of the IAA approval letters (if applicable) ��iN OF'ygSsq
DAVID oyG�
o D.
FLAHERTY,JR.
staller's gign�dir ) No. 1211
ISTF-
S'9NITARtPN
(Designer' Signature)6q___) (Affix Designer's Stamp 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:\Septic\Designer Certification Form Rev 8-14-13.doc
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Town of Barnstable P#
Department of Regulatory Services 7-
Public Health Division Date�
bt p 200 Main Street,Hyannis MA 02601
twN
Date Scheduled T A�ime Fee Pd. b D
Soil Suitabifily Assessment for Se age Dis osal
Performed By:_ ` J _ Witnessed By: � G"• "-v�
LOCATION&GE.NERAI,INFORMA�ION
J ' p/ (1,ocationAddress 20I Q�'1`S� /' / lls Owner's NameilfrLtiW� �"` v7/AJ
m l ` /'r{/Z Address ?'()j Sri 5 w
Assessor's Map/Parcel:2 7/ /O Engineer's Name .�)'V
—Z 1�t t' /
NFW CONSTRUCTION REP IR Tele IxmcA t y - 6//44
[and Use Slopes(%) — Surface Skones _
Distnnees from: Open Watcr Bed\y �r It Possibly Wet Area R Drinking Water Well fl
Drainage Way )Ll 1 _h PropertyI,u-40—fl Ocher a
SKETCH:(Street name,dimensions of—lot,exact locations of test holes&pen:tests,locate wetlands in proximity to holes)
Parent.material.(geologic) "� fwlt� Depth to Bedrock
Depth to Groundwater: Standing Water in Hole. Weeping train Pnt Face /
Estimated SeasonalFGgh Groundwater
DETERMINATION F6d SrE'ASONAL.H.IGR WATER TABLE
Method Uscd: `/
Depth Observed standinginubs.hole: . in. Depth to soil mottles:__N in.
Depth to weeping from side of obs.hole: in. Groundwater Adjusumtu ft
Index Well R Reading Date:__„ Index Well level Adj.feeler Adj.Groundwater Level_
PERCOLATION TEST Date
Observation
:Hole N - Time at 9"
Depth of Pere Time at 6" r7
Stmi Pre-soak lime @ Time(9"-6)
End Pro-soak
Rate NfinJInch rG _
Site SuitabilityAssesymem: Site Passed Sitel'ailed: Additional Testing Needed(YIN)
Original:Public Health Division Obsen'ation.Hole.Data TO.BC Completed on Back--------
***'tf 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.
Q:tscrrtctcEreC['Onra.rx)C
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DEEP OBSERVATION:HOLE LOG Hole#
Depth from Soil Liorimn Soil Texture Sot}Color Soil er
Surface(in.) (USDA) '(Munsell) Mottling (Structure,Stones,Boulders.
C*risistencv. eI
DEEP OBSERVATION HOLE LOG Hole#
.Depth from Soil Horizon Soil Texture Sod Color Soil ter
Surface(in;) (USDA) (Munsell) Mottling (Structure,Stones.Boulders.
' v
if
DEEP OBSERVATION HOLE:LOG Hole#
Depth from Soil 19arizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Murrell) Mottling (Structure,Stones,Boulders.
Consistency.fe Grauer)
DEEP OBSERVATION HOLE LOG Hole#
Depth.from Soil Horizon Soil Texture Soil Color Soil Other
Surface(ia) - (USDA) (Munsell)- Tiottling (Structure,Stones,Boulders.
Consistence_%drivel)
Flood insurance Rate Map: /
Above 500 year flood boundary No_— Yes Y
Within 500 year boundary Nu Y� --
Within 100 year flood boundary No= Yes_
Depth of Naturally Ocearrin2 Pervions Material
Does at least four feet of naturally occurring pe o s�ateriai exist in all areas observed throughout the
area proposed for the soil absorption system?
tfnot,what is the depth of naturally occurring rvieus material?
Certification
1 certify that on (date)I have passed the soil evaluator examination approved by the
Department of Env' ental Protection and that the above analysis was performed by me consistent With
the required trainii xper ise and a des i d in 310 CMR 15.017.
Signature Date
Q:\S13PT1CtPERCF0RALD0C
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TOP OF FOUNDATION COVERS TO BE WATERTIGHT AND SEPTIC SYSTEM PROFILE
BROUGHT TO WITHIN 6" OF FINAL GRADE Flaherty Environmental Services
EL. 56.0' EL. 54.0' (not to scale) INSP. PORT W I 3" OF GRADE CLEAN SAND P.O. BOX 81
2" of e" to DOUBLE WASHED EL. 54.0' Yarmouth Port, MA 02675
A" CAST IRON or EQUIVALENT PEASTONE-OR GEOTEXTILE
IN. PITCH 1 4" PER FOOT FILTER FABRIC 774.994. 166
4"SCHEDULE 40 PVC PIPE 4" SCHEDULE 40 PVC PIPE
• . ' < ' VENT (IF REQUIRED)
FLOW LINE (first 2'tobe%ve/)
:.
21 4%
EL. 51.1't
i e o •. •0;•, � 4 ' ooeo°ooe o°o^eoe o
t'. ` L. 54.0' 14" ����Cam.. Q.; . 'p p�p�p oe000000c
—.i O ° ° ° ° ° ° oaa��ao� °°°°°°°°°
EL.51,9' EL.51.6' --► 000000000
000000°0° O o°o° a�p p�n p p p o0°o0C
0 0 0 0 0 0 0 p p p p O p ® p 00000000c
0 0 0 0 0 0 0 0 0 0 0 '
EL. 50.7' EL.50.53' o 0 0 0 0 0 0 o FlgE= o 0 0 o c 2,0
o 0 0 0 0 0 0 o p• p p p p p p p p OOO°O°O°c-
GAS BAFFLE H=20 EL. 50.5' 000000000 0000o0 �Q. 0 0 0 0
D-BOX o 0 00,000 000000
d
0 0 0 °o°o°o°oc EL.48.5'
CRUSHED STONE OR SOIL ABSORPTION SYSTEM
••' MECHANICALLY COMPACTED (2) 500 GALLON H-10 CHAMBERS 5,
(DATUM: ASSUMED) -� WITH 4' STONE AROUND IN A
1500 GALLON SEPTIC TANK " to 1;" DOUBLE WASHED STONE 12.83'X 25'X 2' CONFIGURATION
(PROPOSED) EL. 43.5'
BOTTOM OF TEST HOLE EL. 43.5' LOCATIONMAP
BRISTOL AVENUEUSGS ADJUSTMENT: N/A
— _ GROUNDWATER ELEV: N/A N TH
- - - - � Rt.
56 99.25I
0 � /
B5 I m
J I�rr / I LOT 12 /stol Ave.
\ 0.38 ACRES t 54
IMAP 291 LOT 108 52 LOCUS
' PAVED DRIVEWAY
`L ' A ' NTS
' p ZNOFMq
EXISTING
( GARAGE IV SS9
Z^ 3 BR (SLAB) �p O� DAV
' DWELLING F H J
R.
No.
v ' ATM O
G/STE
22.7' 18.4
' s'�N1TA 13��
BENCHMARK: O CP Z
TOP OF FNDN /
EL, 56.0' { PROP. S.T. DATE:711712017 R ISED:
TH-2
13.5' 36.ao' SITE AND SEWAGE PLAN
118,97' FOR
sz 1 B & B EXCAVATION, INC./
DESLYN DAWKINS
201 BRISTOL AVENUE
w .: . ..� SCALE :- 1 " = 30'
HYANNIS, MA
r REF.'LCP N14034-E BLOCK 5
PAGE 1 OF2
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.................................................................................................................................................................................................................... .............................................................................................................................................................................................................................................................................................................................. ........................ .....................................................................................................................................................................................................................
GENERAL NOTES DESIGN CAL CULA TIONS
S YS TEM DETAIL Flaherty Environmental Services
P. O . Box 81
1. ALL PRECAST COMPONENTS TO BE H-1 0
Yarmouth Port, MA 02675
RATED UNLESS OTHERWISE SPECIFIED. NUMBER OFACTUAL BEDROOMS 3
DISTRIBUTION BOX(ES)AND ANY 774.994. 1166
COMPONENTS WITH ANY ANTICIPATED
GARBAGE DISPOSAL UNIT NO
VEHICULAR TRAFFIC TO BE H-20 RATED.
2. THE DESIGN OF THIS SYSTEM DOES NOT TOTAL ESTIMATED FLOW
ALLOW FOR THE USE OFA GARBAGE (110 GAUBRIDAYX3 BR) 330 GAL./DAY 5' REMOVAL
GRINDER.
REQUIRED SEPTIC TANK CAPACITY 660 GAL.
3. MUNICIPAL WATER IS AVAILABLE. -
4. ALL CONSTRUCTION TO CONFORM WITH SIZE OF SEPTIC TANK 1500 GAL. (PROPOSED)
310 CMR 15.000 AND ALL OTHER
APPLICABLE LOCAL, STATE AND FEDERAL SOIL CLASSIFICATION
CODES AND REGULATIONS.IONS.
DESIGN PERCOLATION RATE <2 MIMANCH
5. INSTALLER/CONTRACTOR TO REVIEW&
VERIFY ALL ELEVATI
ONS AND DETAILS
EFFL LIEN T L OA DING RA TE 0.74 GAL./DAY/FTC 12,83'
AND REPORT ANY DISCREPANCIES TO
DESIGNER PRIOR TO CONSTRUCTION OR
ASSUME ALL RESPONSIBILITY. LEACHING AREA
6. INSTALLER/CONTRACTOR IS (2)x(25.0'+ 12.83)(2) = 151SF
25.O'x 12.83' =320 SF
RESPONSIBLE FOR MAINTAINING SAFE
471 SF x 0.74 =348 GPD
WORK AREA, VERIFYING ALL UTILITIES
AND NOTIFYING "DIG SAFE" USE(2)500 GALLON H-10 CHAMBERS WITH 4-STONE
25'
(1-888-344-7233) 72 HOURS PRIOR TO INA 12-83'X25'CONFIGURATIONASDIAGRAMMED
CONSTRUCTION.
7. ANY CHANGES TO OR DEVIATIONS FROM
RESERVE LEACHING CAPACITY NIA
THIS PLAN MUST BE APPROVED IN
WRITING BY FLAHERTY ENVIRONMENTAL
SERVICES AND LOCAL BOARD OF
HEALTH.
8. FINISH COVER OVER COMPONENTS IS
NOT TO EXCEED 3'PER 310 CMR 15.000 (NTS)
UNLESS SHOWN PER PLAN
9. ALL ABANDONED SEPTIC SYSTEM
COMPONENTS TO BE PUMPED DRY AND SOIL EVAL UA TION
FILLED WITH CLEAN SAND OR REMOVED
TESTHOLE#1 PW 15413 7ESTHOLE#2 P#15413 AND REPLACED WITH CLEAN SAND. Evaluator: David D.Flaherty Jr.,RS,REHS Evaluator- David D.FlahertyJr.,RS,REHS OF 4U*MA
SSq
10.ALL COMPONENTS TO BE PROVIDED SE#2755
SE#2755
VI
BON Witness- Don Desmarais,RS BOH Witness. Don Desmarais,RS
WITH WATERTIGHT ACCESS PORTS Date., July 17,2017 Date: July 17,2017 D.
WITHIN 6"OF FINISH GRADE,
11.ALL SEPTIC TANKS, DISTRIBUTION F
TH-1 ELEV.54.0' TH-1 ELEV.54.0'
0.
B 11
OXES AND PIPING TO BE INSTALLED
0.-9. 0.-9. S T
WA TER TIGHT. A LS I0YR312 A LS I0YR312
IT
12.NO KNOWN WETLANDS OR WELLS
WITHIN 100 FEET OF PROPOSED 9--28- B LS 10YR 516 9--29- 8 LS 10YR 516
LEACHING.
13.THIS IS NOT CERTIFIED PLOT PLAN
AND UNDER NO CIRCUMSTANCES IS THIS
PLAN TO BE USED FOR ZONING OR
jERC SITE AND SEWAGE PLAN
BUILDING PURPOSES.
FOR
14.LOT 15 SHOWN AS ASSESSOR'S MAP 291
28%126" C MS 2.5Y 614 29'-120' C MS 2.5Y 616 7 certify that on November 12,2002, have passed B & B EXCAVATION, INC-1
LOT 108.
the examination approved by the Department of
15.LOCUS PROPERTY IS NOT LOCATED Environmental Protection and that the above analysis DESL YN DAWKINS
G.W.ELEV.NIA G.W.ELEV.IVIA has been performed by me consistent with the
WITHIN AN AQUIFER PROTECTION 201 BRISTOL AVENUE
required training,expertise,and experience described
DISTRICT(ZONE II). BOTTOM TH-I ELEV. 43.5' BOTTOM TH2 ELEV. 44.0' HYANNIS, MA
in 310 CMR 16.018(2).
PAGE 20F2
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