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HomeMy WebLinkAbout0205 BUCKWOOD DRIVE - Health 205 Buckwood Drive Hyannis A = 271 115 i 0 TOWN OF gARNSTABLE GL 2004-385 205I-RUC,00D, HYANNIS LOCATION SEWAGE # VILLAGE ASSESSOR'S MAP & LOT 27 -I/J INSTALLER'S NAME&PHONE NO. ELLIS BROTHERS CONST 362-6237 SEPTIC TANK CAPACITY i s a Q LEACHING FACILITY: (type) '`/i=f(>S 62 S (size) NO.OF BEDROOMS BUILDER OR OWNER PATRIQUIN PERMITDATE: 'e a D COMPLIANCE .DATE: IU U a 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 T t� i �AFrt '01 No. Fee Jo; THE COMMONWEALTH OF MASSACHUSE %'S Entered in computer: Yes PUBLIC HEAL%DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Mfigpaar *proem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade(_*Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. J (� L�L ��� Owner's Name,Address and Tel.No. Assessor'sMap/Parcel � f 1 Cf 1 G1<tlt,-C-e .� (/ r !!! Installer's Name,Address,and Tel.No. &d Designer's Nanje,Address and Tel.No. 43��:0)s Type of Building: Dwelling N .of Bedrooms U �) Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date S/J3)d�i Number of sheets , Revision Date `— Title Size of Septic Tank Type of S.A.S. Description of Soil su So L Sal 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 i ued y this Board lth. �7 Signed Date ! °2 C( Application Approved by Date Application Disapproved for the following reasons Permit No. -- Date Issued No. i\� V - .__.�.o. } s.l• Fee :D * THE COMMONWEALTH OF MASSACHUSEk' s. Entered in computer: YesNPUBLIC HEALTI uVISI�ON TOWN OF BARNSTABLE%'MASSACHUSETTS 01ppYicat on for , g ogaf pgtetn Congtruction Permit Application for a Permit to Construct( . )Repair( )Upgrade( _.-)`Abandon( ) El Complete System ❑Individual.Components Location Address or Lot No. -LOS ()� I( k/OC.or n Owner's Name,Address and Tel.No. Assessor's Map/Parcel rI C(GwVGAIV �}�• j Installer's Name,Address,and Tel.No. 3&d- Designer's Name,Address and Tel.No. 3oFT a -f,;1 s Type of Building: r Dwelling N .of Bedrooms J Lot Size s .ft., Garbage Grinder( ) g 9 g Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Sh 3 k k Number of sheets / Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) r 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 hasbeen i sued by this Board T lth.! 7 -7 f Signed Date / Application Approved by �: ® Date Application Disapproved for the following reasons gv •ti Permit No. 2 Date Issued —— ——————————————————————————————————— THE COMMONWEALTH•OF MASSACHUSETTS oop, S0 ` BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded( ) Abandoned( )by G�l t S �R G.Pry a S CC,.,,�� no � �n; �15 �,�r— r�� at r S G( .twele n as nstructe in accordance with the provisions of Title 5 and the for Disposal Syst4 Cons ction Permit No. ..�d �U c� Installer F-I �S �J�c';),,P J Carl Designer rk The issuance of this pe�l em t hall not be construed as a guarantee that the sys jllunctio��eig. dDate 10 <-104 Inspector I) No. - i ---------------------- -•- r�� Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS MizpogaY *p5tem Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) is System located at 0 S �1�1 G o c, 1�L )Aj _ —)-,n n, S — �Fn C.la+ 0 1 / N 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's. Provided:. o truct'on miast be completed within three years of the date of this • rm t Date:- Approved by Town of Barnstable °F +e rok,o Regulatory Services Thomas F. Geiler,Director anctxsTga�, - �p, Public Health Division vA i639' �0 ED. a Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer&Designer Certification Form Date: �O Designer: ell d co rz-!h yav-k) Installer: 1,1111S V7`0o,- Cc�i fd`i Address: Cc►n kr{ n n rS Address: o'l 3 dv�Q­f rr► /f�c GPI ylL On (( U}S hi fG P C S nS) was issued a permit to install a (date) (installer) / septic system at 0 S f3 c4 G/L wV C �/1 Q r► L' - based on a design drawn by T ASS (address) Ta of CO (�h yt�h'�e�►J"h� CG 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. •ski OF MAq - ) T,A, DUMAS (Installers Signature) Nn. 619 h r 4�G►ST a�C (Designer's Signature) (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 PUIB`rLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Desiper Certification Form l ' TOWN I 0 ( 200.4-385 HYIgg 205 f-RUCKWND, WAGE # LOCATION SE ASSESSOR'S MAP & LOT �7 VILLAGE /�J i INSTALLER'S NAME&PHONE NO.ELL IS BROTHERS CONST 362-6237 SEPTIC TANK CAPACITY a v • /o a'38 LEACHING FACILITY: (type aLLS 62 S (size) i NO.OF BEDROOMS ` BUILDER OR OWNER PATE iUIN PERMITDATE: D COMPLIANCE .DATE: 1��� Separation Distance Between the: Feet Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching.facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within SOO feet of leaching facility) Furnished by '/3 O t • — f s AID 3 O 1323-�— I )3 3- L BENCHMARK 20 FT MINIMUM FROM CELLAR _ _ _ SOIL TEST I TOP OF FOUNDATION . ELEV. = 100.00_ 1D F?. MINIMUM 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE GATE OF SOIL TEST /1 i/04 -_______'_-_-- I (ASSUMED) CONCRETE CLEAN SAND MTNES ED SOIL TEST BYE ----- -----`-_- i I COVERS 4" SCHEDULE 40 PVC PIPE 7LOAM AND SEED OBSERVATON HOLE 1 ELEV.= 98.3__ - MIN. PITCH 1/8" PER FT. ` PERCOLATION RATE < 2 MIN./INCH AT 68_ 'INCHES 2" LAYER OF , I 1/8" TO 1 j2" DEPTH I HORIZ TEXTURE COLOR MOTT. I OTHER X. AX \ ,,WASHED STONE 0-12" A/E MED. SAND 10YR3/2 E=MED. SAND 4" CAST IRON PIPE �IAX, \ i VENT (OR EQUAL) MINIMUM Ti ji � `� ----- NOT REQUIRED PITCH 1/4" PER FT. r' 1 12-32"I B i LOAMY SAND Z 10YR5/8 ROOTS 1 CU. FT. OF I I CONCRETE 32-9641C1 COURSE SAND 10YR6/6 I 20% COBBLE ANCHOR FLOW LINE a I _-____ _._____ 96-13 "C2 MEDIUM SAND 12.5Y7/4 ELEV. = 97_4 MN. I ❑ ❑ ^u ❑ ❑ O ❑ i^. � L- C_' zz I ' ELEV. _ --9$.8_ ` LE EL O ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ C7 jot 20 ELEV. - 93.2 ELEV. a _96.9 GAS ELEV. _ __98_._2__Jr,6" SUMP -ELEV. _ _98A _ O 01 0 0 o r Q -BA FFLE DISTRIBUTION REV. o 0 0 o 0 0 1 0 12' 0 s O O O O O O O LIQUID OUTLET DEETH TEE 60X 'TO BE PLACED ON FIRM BASE) �W DIFFUSORS IMTN STONE Z 4 FE T 14 INCHES TO BE WATER TESTED 5 FEET 19 INCHES I IF MORE THAN ONE OUTLET �` 3.9 6 FEET 24 INCHES 15CO OALLCN N �,' 11 17 FEET 29 INCHES (TO BE PLACED ON FIRM BASE) =0 X 30 X 12`"� 7?Ev:"H FORMA77ON ;n WELL N A NO WATER ENCOUNTERED AT __. _ ELEV 8 FEET 34 INCHES SEPTIC TANK 4" 1 1 AN ��^i ZONE 3j TO /2 CLEAN SOIL ABSORPTION INDEX DOUBLE WASHED STONE SYSTEM SAS ADJUST DESIGN CALCULATIONS FREE OF FINES & SILT J S 3 SEWAGE DISPOSAL SYSTEM PROFILE OBSERVEDUSGS WATERROB TABLE WATER BLS ELEV. _ _ GARBAGEELEV. NUMBERODI POSAOLOUINIT NQ _ ,NOT TO SCALE BOTTOM OF TEST HOLE ELEV. TOTAL ESTIMATED FLOW ( 110 GAL/ K/bAY X _ 3 BR.) _._ 4_ GAL./DAY REQUIRED SEPTIC TANK CAPACITY _��Q_ GAL. ACTUAL SIZE OF SEPTIC TANK _? GAL. SOIL CLASSIFICATION DESIGN PERCOLATION RATE <A'__ MIN./IN. EFFLUENT LOADING RATE _�.I _ GAL./DAY/S.F. f LEACHING AREA 474. SQ, FT (11X36)+(47X2X10/12) LEACHING CAPACITY (AREA X RATE) I"1.,.QQ GAL./DAY i 474.33 X 0.74 ' RESERVE LEACHING CAPACITY ,351,QQ GAL./DAY NOTES: ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 6" OF FINISHED GRADE. 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. 4. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED IN PLACE. LOT 20 5. NO DETERMINATION HAS BEE": MADE AS TO COMPLIANCE WITH 'J 584.3 t S.F. DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS TO �96• OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR IS TO CALL "DIG-SAFE" AT 1-888-344-7233 AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE. 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER J MMEDIATELY. 0 1 r�,• 98 3-/ 98.7 8. PARCEL IS IN FLOOD ZONE 99.3 9. LOT IS SHOWN ON ASSESSORS MAP � _ AS PARCEL 98.3 BR. , _ _ J D8 8R 1 I, ZN of µqs 8TH. ( a r y cy 98.5 . % , ? T.A. t� N BH.r KIT. .. 99.2 99 LI V. RM. (98) � � ° APPROVED. BOARD OF HEALTH GARAGE 99.1 NITARXPa El98.9 v� � . 97.9 p , 99.3 0 v DATE - - - -- A J r ---- -----_- 98.8 99.0 % ----------- �40�,• - PROPOSED SEPTIC DESIGN i c 99.2 � � � ( FAR I ' ! ANGELA S. PATRIQUIN C<li o° � PROD. 205 BUCKW04D DRIVE 71 99 3 z' Locus W BARNSTABLE, MASS. I v � T ; I TADCO EWRONNIENTAL CONS�IT LTANTS j p 40U TE 28 3 I I I 26 COMPASS ANE, DENNIS, MAU�638 q O Qz (508) 385-2425 LEGEND. I � EXISTING SPOT ELEVATION x0.0 4 N 1 , f EXISTING CONTOUR ----00---- `z f _ "C = L t� DATE o ' SCALE ' FINAL SPOT ELEVATION FINAL CONTOUR SOIL TEST LOCATION v I� 1 REVISED , JOB N0. 2 v UTILITY POLE `� �� _ h l I TOWN WATER -W -N- CATCH BASIN ✓ul 0 �'� !OCATa,ON VA,'.: cESSPaaL REVISED ' SHEET 1 OF 1 GAS LINE G I t C L"A.N 0V �P'..'hia.'�./G+a-_.>•-w.•.wMs"rMwr�rn.+sas•+ML�bse..eu.»...ww.*+N./.Y,ww.r�±�c-n3•ils,sa.+tlR+a"1!^"W:a'/.lT.rMYMenmaseMes..�rora ucx+.+a+. .. +- fY"'r r•�R+e++'+.e-.u!.r+...ns..•a►.