HomeMy WebLinkAbout0045 CANDLEWICK LANE - Health (2) 23 Grouse Lane ,
Hyannis
A= 268 243
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TOWN OF BARNSTABLE
LOCATION 2 SEWAGE # 626—
VILLAGE ASSCRIS MAP & LOT C� 'oZ s3
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITYD
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LEACHING FACILITY: (type (size d ;2-7 X,:2
NO. OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: 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 LeachingFacility If an wetlands exist
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within 300 feet of leaching facility) Feet
Furnished by
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No. cpzo ` G / ! Fee ` 0,
THE COMMONWEALTH OF MASSACHUSET S Entered in computer:
Yes
PUBLIC HEALTH [DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
01pphCation for Migaal *pgtem CDnetruction Permit
Application for a Permit to Construct( )Repair( )Upgrade )Abandon( ) ❑Complete System An Components
Location Address or Lot No. 2_� rr Owner's Name,Address and Tel.No.
Assessor's Map/Parcel an R 15
Installer's Name,Address,and Tel.No. /'o9agl _j 89 S Designer's Name,Address and Tel.No.
Po� 1557, ann�s 14zAav L42 , Dz6 3!0
Type of Building:
Dwelling No.of Bedrooms Lot Size 3 4 q 5) sq.ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
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Design Flow 3 gallons per day. Calculated daily flow 3446, - h gallons.
Plan Date 4Ph Zl .Zfb�o Number of sheets Revision Date
Title
Size of Septic Tank (Sh Cub Type of S.A.S. Aubuil
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 been issued by4th* toar f Health.
Si ed Dat
Application Approved b Date
Application Disapproved for the following reasons
Permit No. -'®(D Date Issued
No. Cpco V —aD / I $ Fee eo
THE COMMONWEALTH OF MASSACHUSET�tS�_ Entered in computer:
�;; Yes
PUBLIC HEALTH 0tv-1SION - TOWN OF BARNSTABLE., MASSACHUSETTS
IApplication for Mi.5pozal *pgtem Construction Permit
Application for a Permtto Construct O )Repair( )Upgrade( )Abandon( ) O Complete System 9YIndividual Components
Location Address or Lot No. 2� ,— Owner's Name,Address and Tel.No.
h1- ann CoSrnvCv loZz�
Assessor's Map/Parcela to A— a 5
Installer's Name,Ad4,rd ss,and Tel.No. < �) 71 - �S Designer's Name,Address and Tel.No.
pQw.�,o 5cf 155 1 . 4ticnn #5 M,A0 1 1�X (�1, t Zalrylou �h , UZ5 310
Type of Building: � �3 � ��
Dwelling No.of Bedrooms �J� Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
-Q Other Fixtures
' Design Flow 3 gallons per day. Calculated daily flow 3 L4 6, gallons.
Play_ Date 456 z I ,Zob( Number of sheets Revision Date
Title
Size of Septic Tank �(vX ��? 1 U Type of S.A.S.
Description of Soil
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Nature of Repairs or Alterations(Answer when applicable)
I
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 issued by this-Boar f ealth.
Sig ed � DateZ�s)
Application Approved b I Date
Application Disapproved for the following reasons t'
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Permit No. —0 Date Issued
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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 ,r `�') L i
at n e2 i . 14-4-ji n i 5a D F4— has been constructe ac dance
with the provi6ion1s ofTitle 5 and the for Disposal System Construction Permit No.alb -Ob 7 dated °a ��iny��
Installer. � Designer.
The issuance of this permit Thal not be con'trued as a guarantee that the system ill unc ion as designed
Date ,✓ Inspector----r-t
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—0 b,7 --------------------------Fee 1 VG
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
Migonl *p! tem Construction Permit
Permission is hereby granted to Construct,-( Repair )Upgrade(l)Abandon( )
System located at Z J �l Ste= I
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1 1 -
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.
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Provided: Construction must,
be completed within three years of the dare off iif 's, ermi .
Date: �y t0 Approved b
s _.
Town-of Barnstable
f
' � Regulatory Service°
Thomas F. Geiler,Director
* ABLE.
Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 5 8-862-4644 Fax: 508-790-6304
Installer& Designer Certification Form
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Date: 3-2-06
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Design : _Shay Environmental Services Izic. Installer: Robert Septic Services.
Addres : P.O. Box 627 East Falmouth Address: 5 Trenton Street
MA 02536 Yarmouth, MA
On 16106 Robert Se tic Service was issued a permit to install a
date) (installer)
septic sstem at 23 Grouse Lane, Hyannis.MA based on a design drawn by
(address)
Shay Lvironmental Services Inc. dated 2/23/06
(designer)
_ I certify that the septic system referenced above was installed substantially according to
t ie design, which may include minor approved changes such as lateral relocation of the
stribution box and/or septic tank.
I certify that the septic system referenced above was installed with major changes (i.e_
eater than 10' lateral relocation of the SAS or any vertical relocation of any component
the septic system) but in accordance with State & Local Regulations. Plan revision or
c rtified as-built by designer to follow.
�ZH OF MASSF
g` CARMEN
E.
(In tal r°s Signat U SHAD in
Na. 19$1
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GIs If
S�NIT R1
(Designer's Signature) V (Affix Designer's tamp 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;Hcalth/Scpdc/Desisner Cartifleaiion Form
ZOO/Z00 1 XV3 ZO:ZZ 9tOZ/8Z/90
j 9/16/03
Notice: This Form Is To Be Used For the Repair Of Failed
Septic Systems. Only
PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM
I,c a,"'Icla (.• HA. ,hereby certify that the engineered plan signed by me
dated Z-2-2-O(,p ,concerning the property located at
#t 23 GcO\JSE meets. all of the
following criteria:
0 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 requested or 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) 8.
B) G.W.Elevation 4"Y* +adjustment for high G.W. 2•5 = 1. 50
DIFFERENCE BETWEEN A and B 36.5b
0 SIGNED : DATE:
NOTICE
Based upon the above information; a repair permit will be issued for bedrooms
s maximum.. No additional bedroom are authorized in the future without engineered septic system
plans.
gASeptic\percexemp.doc
'tIfAAPID r `
• 4 P.V.C. - �-✓
NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 0 ALL OUTLET PpFs FROM 1!E ar•",.�a+
10' min. from
LEACF TRENCHES CROSS-SECTION 2 TOTAL) OIS,R6UTIOII eox�+� 1r CONCRETE COVER
Existing Foundation house to septic tank SET LEVEL FOR AT!EAST 2 FT.
TOP OF FOUNDATION = ELEV. 100.00 (Assumed) $eptic tank Cd1°rs mimt be D-BOX cover must be
within 6 in. o/ finished grade within 6 in. of finished grade ��i
Orode over Septic Tank-98.50 Orade over D-Box- MOO CZY
3-5'OUTLET r • s dal -suet P+
Ish Grade Bev 98.00 4'-0' Wk1e KNOCKOUTS A\�• t, l�`n r
SS" tr MET
i 2" of 1/8"-1/2� oU11ET S 0.02 3 HOLE H-10 3, Cow - Washed Ston - `. BOX S-• r , _ ?. �� Lf
AID
0 20' EXIST. S=o.w or Greater
Perforated P.V.C. 1/b'-1/r wad It 9tes. a Lrmc
EMT,PIPE g 1,000 GAL S• 0.01" 15.5'
per foot 4" - SCH. 40
r; a 35' a Invert Bev.- 95.00
FROM EXIST. FOUNDATDlt rn SEPTIC TANK n d 9
1 i.
M a; 3�.•-+ -e�.h.d�«» a Bottom of Leach Facility oar-93.00 PLAN SECTIONan 111111" CROSS-SECTION a�" "}' a
CONCRETE FULL FOUNOrITION Staft
H-10 N N OD �• , compacted stone sir-1 ire 9 `$
m o > rn Of °i Mr.. N Mach Iris to be capped at ands w/PVC cep.. 4" perforated P.V.C. pipe
6 In.of 3/4'-, ,/2" 5 �� NOT To SCALE
3 HOLE H-10 DISTRIBUTION BOX �"r^""y •' :�t
SYSTEM PROFILE ; compacted stone ; NOT TO SCALE earn
o Bottom of Test :Hde 1 Elev.-87.00 ISO ++'„"•pa "
Not to scale o o LEACH TRENCHES B�xsd�x�ya.a�,.rya
6 Inaf 3/4"-1 1/2- GENERAL NOTES
NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE compacted stone 1. Contractor is responsible for Digsafe notification, Verification of Utilities
and protection of all underground utilities and pipes.
2. The septic tank and distribution box shall be set
level on 6" of 3/4"-1 1/2 stone.
3. Bockfill should be clean sand or gravel with no
stones over 3" in size.
4. This system is subject to inspection during installation
PERCOLATION TEST by Carmen E. Shay - Environmental Services, Inc.
5. The contractor shall install this system in accordance
- with Title V of the Massachusetts state code, the approved plan
Date of Percolation Test: FEBRUARY 20, 2006 Kitchen and Local Regulations.
Test Performed By. CARMEN E. SHAY. R.S., C.S.E. 6![Bedroom
WAIVER (Per Barnstable B.O.H.) /Dining
Results Witnessed By. 6. If, during installation the contractor encounters any
Failed soil conditions or site conditions that are different
EXCAVATOR: Shay Env. Svcs.
Percolation Rate: less Than 2 MPI 056" LEACH PIT from those shown on the soil log or in our design
installation must halt & immediate notification be
Living Room Bedroom TEST HOLE #1 made to Carmen E. Shay - Environmental Services, Inc.
Test Hole Test Hole ELEV.= 98.00
ve over the
7. No vehicle or heavy machinery shall dri
No. 1 No. 2 1Q• 7 0' septic system unless noted as H-20 septic components.
DEPTH SOILS ELEV DEPTH SOILS ELEV. > y_.- 8. Install Tuf-rite gas baffles or equals on all outlet tee ends.
0 98.00 0 98.00 2 BR HOUSE FLOOR SCHEMATIC
EXIST. 1000 COAL. 4• ' 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes.
Loamy Loamy SEPTIC TANK ir------1 10. All solid piping, tees do fittings shall be 4" diameter
Sand Sand 0' a ICI C•F""
50,0 Schedule 40 NSF PVC pipes with water tight joints.
10 Y 3/2 10 Y 3/2
W-6" A 97.50 0'-6- A 7.50 D-Box 11. Municipal Water is CoLoamnnected to ALL OF The Residence and Abutting
Loamy Cement Z3 5 Properties Within 150 Feet.
Sand y Sane PATIO DECK Cement THE PROPERTY LINES ARE APPROXIMATE AND
10 YR 5/6 10 YR s/o PATIO COMPILED FROM THE SURVEY PLAN GENERATED BY
6'- 32" 9w 95.33 6"- 36" Be 95.00
Medium Medium LOT #2 BARNSTABLE SURVEY CONSULTANTS OF YARMOUTH, MA
ENTITLED "SUBDIVISION PLAN OF LAND IN HYANNISPORT, MA,
Sand
Y 7/4 zs Y 7/2. 4 13,951 Square Feet +/- DATED JULY 15, 1971 PLAN BOOK 248 PAGE 59
30"-132" C, 87.00 36'-132 C, 87.00 EXISTING AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN
t' 2 BEDROOM IT SHOULD BE USED FOR NO PURPOSE OTHER THAN
THE SEPTIC SYSTEM INSTALLATION.
SOUSE LOT #3 EXISTING LEACH PIT TO BE PUMPED OUT AND REMOVED.
PROJECT BENCH MARK #23
TOP OF FOUNDATION NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE
ELEV. = 100.00 (Assumed) R FROM THE EXISTING LEACH PIT TO BE DISPOSED
OF AS PER BOARD OF HEALTH SPECIFICATIONS.
_.
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- -.��; . __.._-.__ _ _:_ _. _.�_._ _ __.,_.^_ _,_ � _g ,. ,;••\. _ _.� _.. _,__ TEST-HOLE._#2: _,_.___- THERE ARE NO WETLANDS ARE PRESENT WITHIN 200 OF THE ,PROPERTY
P 1 " �•' �� ELEV.= 98.00 --- - -._-._- --- - - - _ ..
D th#to Perc: 40 to 58" 2 �` J\\` 0.5• ASSESSORS MAP 268 PARCEL 253
Perc Rate= <2 MPI �� \
Groundwater Not Observed Ir LEGEND
No Observed ESHWT �It
\�
ADJUSTED H2O Elev. = None
. \\\� ``\� =•t DENOTES PROPOSED
2-111" DIAM. ACCESS MANHOLES `�` o�F \` -- 2 104X l SPOT GRADE
DENOTES
:fe :•`. -.��-f;�: = -� �, \�\ -� `�\ x 104.46 EXISTING
SPOT GRADE
PL PROPERTY LINE
'"LET - am L7 LOT #1 �`\` �� � �gp - PROPOSED CONTOUR
9 THE ACCESS COVERS FOR THE SEPTIC TANK. \� 1 - O
DISTRIBUTION Box AM LEACHING COMPONENT I I - - - -- -97 EXISTING CONTOUR
SET DEEPER THAN 6 INCHES BELOW FINISHED
- :•,: GRADE RNISHED
ALB RAISED TO WITHIN 6' OF
~ STEEL REINFORCED PRECAST CONCRETE I
PLAN VIEW = 1 I DEEP TEST HOLE &
INSTALL TUF-TTE GAS BAFFLES OR EQUALS I I i I
I PERCOLATION TEST LOCATION
3-2e REMOVABLE COVERS rn ; 6 FOOT STOCKADE FENCE
1
3-min. devunoe ,3- 1aEt I D i REV. 2-23-06 - per BOH
Er ni n.T- r min. Inlet to outlet e.
OUTLETFJ Lj;jU_1d__Wvj_ '-;T
I
s E5 b. P LOT P LAN
' * 4!-Cr min. O j
U*M depth O I
OF PROPOSED SEPTIC SYSTEM UPGRADE
..,: _ -•-- •--....:•; 1 � PREPARED FOR
CROSSgSECTION END-SECTION I i �1 CIO MR. COSMO COLOZZI
R=zoz IL=So.00 #23 G R 0 U GROUSE LANE
TYPICAL 1000 GALLON SEPTIC TANK .79 I A
NOT TO SCALE �� --_ � r - -"-
\ ---- HYANNISPORT, MA
Design Calculations %'�' A ,a PREPARED BY:
GR O LANE' ' ��� '' �' �j SHAY
NuAer'of Bedrooms: 2 Equivalent to 220 Gal./Day (330 Gal./Day Min. per Title V) , �RM�N E. �J H11 Y
Garbage Grinder: No /1c L '"
Leaching Capacity Proposed: 330 Gol./Doy Minimum (Min. Per Title V) � �`- �'
(40 FC')OT ;RIGHT OF WAY) wt! C_ cz ENVIRONMENTAL SERVICES, INC.
Septic Tank : 2 x 330 Gal./Day = 660 USE EXIST. 1,000 GAL. Septic Tank.
SOIL ABSORPTION AREA: Using percolation rate of <2 min.�nch N" •I ` P.O. BOX 627
Proposed Leaching Trench Dimensions- (2 TRENCHES) 4' Wide by 27' Long by 2' Depth. 0 20 40 50 EAST FALMOUTH, MA 02536
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Bottom Area: 0.74 gal/sq. ft. x 216 sq. ft. = 159.84 gallons SANITARIP�,,..
w Sidewall Area: 0.74 gal./sq. ft. x 248 sq. ft. = 183.52 gallons _ TEL/FAX 508-539-7966
Providing: = 343.36 gallons SCALE: 1"=20' DRAWN BY: CES ATE: FEBRUARY 21, 200
Use: 2 TRENCHES - 27'L by 4'W x 2'D SCALE: 1"=20' PROJECT#SD865 FILENAME: SD865PP.DWG SHEET 1 OF 1
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