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HomeMy WebLinkAbout0064 BUMPUS ROAD - Health (2) 64 Bumpus Road Hyannis A = 310 283 a TOWN OF BARNSTABLE LOCATION�j ��� n t 7_� C�, SEWAGE# VILLAGE y,g �� ASSESSOR'S MAP&PARCEL-3k® a INSTALLER'S NAME&PHONE SEPTIC TANK CAPACITY LEACHING FACILITY: (size)3?S"ek�l_S'X i °1 NO.OF BEDROOMS Ll t-0t,3S C-3 '' OWNER` PERMIT DATE:L� COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility �. p�7 Feet Private Water Supply Well and Leaching Facility(If any wells exist on r site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within r_ 300 feet of leaching facility(() Feet FURNISHED BY C>4 V-&C. �1 -C sy c t it � i T 1 tt at et �` n O f O bN _ p Q �t ►q� a W �N No.(90 �� Fee / �® THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplitation for Disposal *pstPm Const rtion Pprmit Application for a Permit to Construct( ) Repair( ) Upgrade k,,'Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 0v-4 Q,<M Owner's Name Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. `f�5"S Designer's Nam ,Address,and Tel.No. S F 3CO,33<j iC�+rC-4 "Ml-oc Saves'( .S-&k,c., Type of Building: Dwelling No.of Bedrooms L 4 Lot Size (;6 sq.ft. Garbage Grinder( ) Other Type of Building_ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) (-N(D gpd Design flow provided Sa Oj gpd Plan Date \ ( <s' Number of sheets Revision Date Title Size of Septic Tank �SZZZ> (ax�l Type of S.A.S. Description of Soil 7 n, Nature of Repairs or Alterations(Answer when applicaable)`�cr s k,T�� ���� �,��� �� -� �Wv�d ��l �+-'W"t.�l��.f' �T -•y+�c�G��i yl �N�d.M��` J a 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. Si e Date `z) 13 Application Approved by Date Application Disapproved by Date for the following reasons Permit No.49nig Date Issued /© tj tt, d No. /5�°'/ � . . Fee I DD THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWWOF_BARNSTABLE, MASSACHUSETTS Yes 01pplitat[on for Bisp !�40 pstem (Construction Vermit Application for a Permit to Construct( ) Repair( ) Upgrade Abandon(f)». Complete System ❑Individual Components Location Address or Lot No. �3c� C� �.a c Owner's Name Address,and Tel.No. �6Z Assessor's Map/Parcel �J� ( p`��3 V a/1 71 �p`� �v 4A % ,` Installer's Name,Address,and Tel.No. S'� `�4 � Designer's Name,Address,and Tel.No. `abg Type of Building: Dwelling No.of Bedrooms L` Lot Size (;-6'3© sq.ft. Garbage Grinder( ) Other Type of Buildings_ No.of Persons Showers( ) Cafeteria( ) Other Fixtures �! Design Flow(min.required) gpd Design flow provided gpd Plan Date (�( �c ` ( j' Number of sheets Revision Date `1 Title Size of Septic Tanks ,� O� �A�. Type of S.A.S. Description of Soil Nature of Repairs or Alterations'(Answer,when applicable) S%4� Spkke, S,- �..�, Lk_ rotes c::,4 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. Si ed Date `� 3 Application Approved by Date Application Disapproved by Date for the following reasons Permit No. V- 55 Date Issued A7 ,5 --------------------------------------------------------------------------------------------------------------------------------------- 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 at �V > �Q�.��� has been constructed in accordance v / with the provisions of Title 5 and the for Disposal System Construction Permit Nc�6^-T✓'5.S dated l e �s/1 InstallereRcC 1-- ' IoC Gr�r� Designer #bedrooms ApprovedfdesnZtw n 4 The issuance of this permt shall t e o strue g-a guarantee that the system io dbsiggned. U l �U/ Date Inspector _ --------------------------------------- ------------------------- ---------------------- ------------------------ _------------- No. 35 Fee �C3 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( Upgrade(�/� Abandon( ) System located at 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 cor9ple ed kithi three years of the date of this pe it. Date 0 / `J Approved by Town of Barnstable °�1NE'Owti Regulatory Services Richard V. Scali, Interim Director BA ASTABLE. ' Public Health Division 9 MASS. 1639- 1` Thomas McKean, Director fD MA'S 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Homeowner Certification Form for Alternat ive Systems Property Address: (OH SUI�e U S '-►-) -tw iV AM Assessor's Map\Parcel: 32 t)-Zn 3 Property Owners Name: Byg-l' In accordance with Massachusetts DEP alternative system approval letters, the following certification information is required by the Owner of record. The Owner of record must place an "x" in the applicable box next to each line certifying the information. Yes N\A ❑ I have been provided a copy of the Title 5 I/A technology Approval letters. (15 page Standard Conditions letter and the specific technology letter) ❑ IJ I have been provided with the Owner's Manual ❑ dt have been provided with the Operation and Maintenance Manual ❑ For Systems installed under a Remedial Use Approval, I agree to fulfill my responsibilities to provide a Deed Notice as required by 310 CMR 15.287(10) d the Approval ❑ Ior Systems installed under a Remedial Use Approval, I agree to fulfill my responsibilities to provide written notification of the Approval to any new Owner, as required by .,� 310 CMR 15.287(5) J ❑ If the design does not provide for the use of garbage grinders, the restriction is understood and accepted U ❑ Whether or not covered by a warranty, I understand the requirement to repair, replace, modify or take any other action as required by the Department or the LAA, if the Department or the LAA determines the System to be failing to protect public health and safety and the environment, as defined in 310 CMR 15.303 agree to comply with all terms and conditions above. Property O rinted me jo Property Owner ignature Date Note: This form must be submitted along with the septic system disposal works permit application for all I\A systems including new construction, repairs\upgrades, with and without aggregate (stone) and with conventional design criteria or credited design criteria. Q:\Septic\[A homeowner certification.doc Town of Barnstable .�jMME ' " Regulatory Services o� Richard V. Scali, Interim Director BAmsrnsr.e. 9�A 63. Public Health Division Thomas McKean,Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form y / Date: I0 22 r� Sewage Permit# QnkZ-355 Assessor's Map\Parcel Designer: Installer: ,®���j Address: I l�� Address: MIN On (o (<5 2O(S- ;,, was issued a permit to install a (dat ) t(installer) septic system at ��m i S ��-� 'HY oqm based on a design drawn by (address) Inc - dated (design S I certify that system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box andlor 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 liance with the terms of the I\A approval letters (if applicable) , OF D� iz-N M f . . (In taller's Signature) 11 Vir k`fD � esigner's Signature) (Affix tamp ere) PLEASE RETURN TO B STABLE 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 VIA Town.of Barnstable P 0 J 9-9'12 Department of Regulatory Services Q _ SAMUrner.¢. : Public Health Division Date �v � MAB9. A 6-6 9. ��� 200 Main Street,Hyannis MA 02601 rEU MA'1 A •9 Date Scheduled— ( �j Time f /.t'a 2 Fee Pd. .D. ®► °l Suitability Assessment f®r Sewer e I�rsp®s Z Performed By: ski^V,/ Witnessed By: I LOCATION & GENERAL INFORMATION Location Address Owner's c� Name v ✓ 0� J u v r1�1 v�� Address G,AA �S ��d w >v 5 v�.� 0. l Assessor's Mal,/Parcel: J ` Engineer's Name�)Arj, NEW CONSTRUCTION REPAIR Telephone#, c- Land Use V QS 10 �J Slopes M -7/+ Surface Stones Distances from: Open Water Body ft Possible Wet Area LAB ft Drinking Water Well Drainage Way 1' ft Property Line ft Other ft SKET'CII:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) �� S �SS�:o+� Parent material(geologic) "114 t t a/1 UVf wG5L9 Depth to Bedrock Depth to Groundwater. Standing Water in Hole: A I Weeping ft'otn Pit Face N Estimated Seasonal High Groundwater DET—� ATION FOR SEASONAL IIIGH WATER'�ABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in: Depth to weeping from side of obs.hole: in, Groundwater Adjustment ft. Lrdex Weti It Reading Date: Index Well level Adf,factor A:�.Groundwater Level PEIRCOLATION TEST DuLe_._ __ Tinie Observation + Hole# I Tinto at 9" Depth of Perc 3�t� Time at 6" Start Pre-soak Time @ , 'lime:(9"-6") End Pre-soak Rate Min./Inch Site Suitability Assessment: Site Passed Y Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back---------- ***If 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:\SEPTIC\PERCFO RM.DOC DEEP.OPSERVATION BOLE LOG Mole# Depth from Soil Horizon Soil Texture' Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones,Boulders. onsistency.%'Gravel) A, 3 " 6 I DEEP 013SERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. h Consistency,%Grav roles 1�tl Lo V S DEEP OBSERVATION HOLE LOG mole# , Depth from Soil Horizon Soil Texture Soil Color Soil . Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Con i to c Gravel) DEEP OBSERVATION HOLE LOG Hole# Al h Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. w Flood Insurance Rate Map: 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 pervio s material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring perlious material? Certification I certify that on b r e (date)I have passed the soil evaluator examination approved by the Department of Environ ntal Protection and that the above analysis was performed by me consistent with . dhe required trMi ,' ertise n experience described in 10 CMR 15.017. Signature Date Q:WEPTILVERCFORM.DOC i HYANNIS LEGEND —�-1 PROPOSED CONTOUR BENCH t MARK ® PROPOSED SPOT GRADE PAINT POT ON -- 98 -- EXISTING CONTOUR LOCUS r4 BULKHEAD CORNER 4.4.6 3 + 96.52 EXISTING SPOT GRADE BARNSTABLE GIS DATU uM vs R W— EXISTING WATER SERVICE !� TEST PIT �A2G� 44 STREET 44 CND Q b c �� EXIST. CESSPOOLS PROP. 1 ,500 GAL %' � r s7 see (note 10) LOCUS MAP 5EPTIC TANK , \ LOCUS INFORMATION TITLE REF: BK 10077 PG 137 J17 f t ^� PARCEL ID: MAP 310 LOT 283 \ cO o CO TH— O / � SEPTIC SYSTEM '° f REPAIR PLAN { -"CONVENTIONAL 13X33.5 LOCATED AT: i lST/N © \�� 4 BEDROOM FOOTPRINT G C 64 BUMPUS ROAD T eop o HYANNIS, MA i /voN PREPARED FOR IS BURKE/ READY ROOTER EXC. OCTOBER 8, 2015 OF LOT 2 -AREA = 6630 sf+— D I` I E \ PLAN BOOK -S&-PRGE J�5` p f R `f �\ ASSR MAP31 O PCL 283 Y Icisl °� SO oO - > SANITAR\a LJ epO� of p A/i� ���MENr MEYER & SONS INC. P. O. Box 981 04 E. SANDWICH, MA 02537 PLAN D PH: (508) 360-3311 SCALE: 1 in = 20 ft FAX: (774) 413-9468 I meyerandsonstitle5®gmail.com 0 20 40 www.meyerandsons.com 0 10 20 - SHEET 1 OF 2 J 1747 NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS NOTE: TO PREVENT BREAKOUT, THE PROPOSED GENERAL NOTES: SEPTIC TANK FINISH GRADE SHALL NOT BE < EL:41.64 INSTALL RISERS & COVERS OVER INLET & PROPOSED D-BOX FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S.1 ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL T.O.F. EL.=45.20t OUTLET AND SET TO 6 OF FINISH GRADE PROPOSFn S•A•,i BOARD OF HEALTH AND THE DESIGN ENGINEER. INSTALL LOCKING COVERS IF AT FINISH GRADE INSTALL RISER & COVER INSTALL A 4" DIAMETER INSPECTION PORT OVER SET TO 6' OF GRADE ONE CHAMBER (MIN.) AND SET TO 3" OF F.G. 2 OFL THE RSTATE ENVIK AND RONMENTAL MEN AL CODE,IALS SHALL NTITLE VFORM . DEANYQAPPLICAABLE F.G. EL.=44.4t F.G. EL.=44.4t F.G. EL: 44.3f LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: F.G. EL: 44.3(MAX.) - 31O'CMR 15.405 (1) (B): 1) A 10.0 FT. VARWNCE FROM 310CMR15.211 TO ALLOW LEACHING 9" MIN COVER/ ' TO BE UP TO 10 FT (APPROX.) FROM DWELLING VS REQ-0 20 FT. L = 50' 36" MAX COVER L = 16' L = 10'(MAX) INSTALL TWO INSPECTION PORTS (MIN.) 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR ® S=1% (MIN.) 0S=1$ (MIN.) 0S=1% (MIN.) TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 4"SCH40 PVC 4'SCH40 PVC 4"SCH40 PVC DESIGN ENGINEER.4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 10' 6 11.3" TO ENGINEER BEFORE CONSTRUCTION CONTINUES. �• INV.=42.00 14 INVERT 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 48"UQUID �INV.=41.75 INV.=41.25LEVEL6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF PROPOSED THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF GAS BAFFLE 4 ROWS OF 6 UNITS AT 6.25'/UNIT = 37.50'/ROW HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. D-BOX INV.=41.35 INV.=41.55 D� SOIL ABSORPTION SYSTEM (PROFILE) 7. DWELLING IS SERVICED BY MUNICIPAL WATER. PROPOSED 1.500 GALLON SEPTIC TANK (H20) e. o AREAS CONDITION AGREED UPON DURING CONSTRUCTION OWNER AND CONNTRAAC OAR RESTORE VEGETATIVE COVER `� OF M,9C, 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE '~ EXIST. SEWER OUTLETS �Q� x LOCATION OF ALL UNDERGROUND UTILITIES. PRIOR TO STARTING WORK. BACKFILL WITH CLEAN PERC SAND s2 ti 10. EXISTING CESSPOOLS TO BE PUMPED, CRUSHED AND REMOVED PER TITLE 5. INV.=43.20 TO TOP OF CHAMBERS D RRFAN M. s B INV.=43.20 REPLACE WITH CLEAN MEDIUM SANG PER TITLE 5. C INV.=43.0 ,'"•`.`'•.: " {T 1. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION BREAKOUT=TOP ELEV.=41.64 `. i• 11 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY INV. ELEV= 41.25 AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 2 _ �P pp 13. NO KNOWN PRIVATE WELLS WITHIN 100 FT. OF PROPOSED IN LEACH G NOTES: BOTTOM ELEV.= 40.31 EXISTING SUITABLE SgNITAR��'� 14. ALL PIPING TO BE 4" SCH 40 ® 1/8-/FT (UNLESS SPEC. ) 1) CONTRACTOR SHALL VERIFY ALL EXISTING 2.83' MATERIAL 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW PIPE INVERTS PRIOR TO CONSTRUCTION 5' MIN. ABOVE BOTTOM OF FOR THE USE OF A GARBAGE GRINDER. 2) TANK AND D-BOX SHALL BE SET LEVEL AND T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH = 4 x 2.83' =11.32' 1 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING TRUE TO GRADE ON A MECHANICALLY COMPACTED (7.24' PROVIDED) USE 4 ROWS OF 6-HIGH CAPACITY SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN BOTTOM OF TESTHOLE: EL:33.07 = INFILTRATOR (H20) UNITS W/ ENDCAP-NO STONE 310 CMR 15.221(2) 3) INSTALL INLET & OUTLET TEES W/ SEPTIC SYSTEM PROFILE GAS BAFFLE AS REQUIRED TYPICAL SECTION N.T.S. Kra i DESIGN CRITERIA 75' SOIL LOGS P#:14838 IF NUMBER OF BEDROOMS: 4 BEDROOM DESIGN DESIGN FLOW: RESIDENTIAL: 4 BEDROOMS ® 110 GPD/BR = 440 GPD DATE: OCTOBER 1, 2015 DESIGN PERCOLATION RATE: <2 MIN/IN SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) SOIL EVALUATOR: DARREN M. MEYER, RS, CSE WITNESS: DAVE STANTON, BARNSTABLE HEALTH GARBAGE GRINDER: NO (not designed for garbage grinder) DISTRIBUTION BOX: USE DB-7 (4 outlet min) (H20) Elev. TP-1 Depth Elev. TP-2 Depth SEPTIC TANK: 440 gpd x 200% = 880 gpd USE PROP. 1,50OG SEPTIC TANK 44.39 A 0" 44.07 0" LOAMY �o A LOAMY SAND LEACHING AREA REQUIRED: (440)/.74 = 594.59 S.F. 43.39 12" 43.15 10YR 3/2 11" 16" PRIMARY S.A.S. 41.64 B LOAMY 66A/6 33" B LOAD SAND USE 4 ROW OF 6 - HI-CAP INFILTRATOR H-2 UNITS-NO STONE C1 s 41.49 31" S 0 C1 FINE- SECTION T1- BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.73 SF/LF OF CHAMBER) M�0o H GHT END CAP (CHAMBER) 24 UNITS x 6.25 LF x 4.73 SF/LF = 709.50 SF PERC TEST 2.5Y 6/4 2.5Y 6/4 INFILTRATOR - HI CAPACITY (H20) CHAMBER 0 40.05 TOTAL AREA = 709.50 SF PROPOSED SEPTIC SYSTEM UPGRADE PLAN DESIGN FLOW PROVIDED: 0.74GPD/SF(709.5SF) = 525.03 GPD > 440 GPD req'd 33.39 132" 33.07 132" 64 RUMPUS ROAD, HYANNIS, MA PERC RATE <2 MIN/IN. (-Cl- HORIZON) NO GROUNDWATER OBSERVED Prepared for: Burke Ready Rooter Exc. **11.32 X 37.50 = 424 SQ FT. > 400 SQ FT. REQUIRED System Design and Site Plan by: SCALE DRAWN DATE MEYER&SONS,INC. N.T.S. DMM 10/08/15 1. Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 PO BOX 961 to conduct soil evaluations and that the above analysis has been performed by me consistent with the E4STSANDMCH,MA02537 CHECKED SHEET NO. requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Evol. Exam in October, 1999. 50&,362-2922 DMM 2 Of 2