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HomeMy WebLinkAbout0374 CASTLEWOOD CIRCLE - Health 374 Castlewood Circle Hyannis s_ A = 273 '.038 �r o �I TOWN OF BARNSTABLE 'f r OCATION �� � �SEWAGE#c':� VILLAGE ASSESSOR'S MAP&PARCEL-?7,-?4,5'CQ INSTALLER'S NAME&PHONE NO. l SEPTIC TANK CAPACITY oete>4T/,'co � LEACHING FACILITY: (type) (size) NO.OF BEDROOMS OWNER �j �v�Lri PERMIT DATE: �— 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 BYJ 1� � � 19 d/ ? r $ ' �Y-e o/fl Yowls /,moo ® @ 1 oeM�"5 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: V PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppl LAtion for I8t1 SAY 6pstem Construction Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System Elfndividual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. Assessor'sMap/Parcel.�;;11— vLT Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel. o. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building 61,e4eL`r. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 3�� gpd Plan Date _ ®�� Number of sheets Revision Date Title Size of Septic Tank ���I,��/ Type of S.A.S. C ®''' G�G�`�GT Ci�✓� �(�.�' Description of Soil- f'�i'e Nature of Repairs or Alterations(Answer when applicable) Ste ' ®��y 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 o alth. Signed CIZ Date Application Approved by Date �,�•— t'/� T Application Disapproved by Date for the following reasons Permit No. 90 V-- IN Date Issued L''— q��� r No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplitatlon for Misposal .pstpm Construction Permit Application for a Permit to Construct( ) Repair( grade( ) Abandon( ) ❑Complete System ndividual Components M Location Address or Lot No. �7 .;C'�-�'T�` '� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel..).;,, — m /Wy Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. -el7��' a o tk e.7 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) ,3' gpd Design flow provided 3�,� gpd Plan Date " . "/'d' Number of sheets J Revision Date Title Size of Septic Tank G .��1��j!✓G / Type of S.A.S. Description of Soil 1fdGL',� t. 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 alth. Signed Date ✓� Application Approved by ;Date L(- fib a Application Disapproved by Date for the following reasons Permit No. 0 b-- L Date Issued L --------------------------------------------------------------------------------------------------------------------------------------- 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 G at 7� C�rl .G�G� +o4li' G/�I. has been constructed in ac ordance with the provisions of Title 5 and the for Disposal System Construction Permit No..9 b)b- I 11'� dated Installer-.4' Designere!!:),_.�T J'11& o— Oe'-00 #bedrooms Approved design flow gpd The issuance of t lis permit shall not be construed as a guarantee that the system will nc i=( designed. Date (Z ' Inspector I �� ------------- - ---- r = -------- - ---------------------------- - .-:---------------------------------------- ---( -------------- No. pZ' ( -- I I I 1 �7 V THE COMMONWEALTH OF MASSACHUSETTS Fee PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS N Disposal *pBtem Construction Permit Permission is hereby granted to Construct( ) Repair(li)� Upgrade( ) Abandon( ) System located at e C 1Gr 1.+!/�®,J� <%�dZ —,el 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 completed within three years of the date of this permit. t Date Approved by Town of Barnstable �TKE ' ,o Regulatory Services Richard V.Scab,Interim Director Public Health Division rc�r,Uri° Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: 15 Z b Sewage Permit# of / Assessor's Map\Parcel 3b Designer: MWkn Installer: tq Address: �'"T`�Y'^' Address: On X00, ' � was issued a permit to install a {d r (installer) septic system at ased on a design drawn by (ad tt�=r��, l dress) . { dated 2A (designer)_Izl 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 (Le. 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 constructed in co n).iance with the terms f the I1A approval letters(if applicable) /� QFrn Aggss VAVV (Thstaier's Signature) NIASONl s.}Nf tAR�: (Desi er's Signature) (Affix Deli ,,- p Mere) 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:1SepticOesigner Certifscation Form Rev 8-14-13.doc V Town of Barnstable P# Department of Regulatory Services i k Public.Health Division Date`' P �� 16 200 Main Street,Hyannis MA 02601 Date Scheduled `�i I �, tee Time -v r1 , Pd 1_ I � . Soil Suitability Asses •ment for Se agIe Di posal Performed•By: t - W' Witnessed By: �V•�i) A LOCATION&.GENERAL INFORMATION Location Address 3 Owner's Names"/ F"" r7 ��w. oo_o 3" :-,G� roe e Address 31 � �� rS Assessor's Map/Parcel: 3^d 3 O Engineer's Name �'i Q its V NEW CONSTRUCTION REPAIR Telephone# y Land Use Slopes(%)t } Surface Stones Distances from: Open Water Body ft Possible Wet-Area ft Drinking Water Well ft Dralhage Way r A Property Line ft Other fi SICETCH:(Street name,dimensions of lot,exact locations of test holes&pare tests,locate wetlands in proximity to hot ) i l Parent material(geologic) Depth to 13edrook Depth to Groundwater. Standing Water In Hole: Weeping from Pit Food Estimated Seasonal High Groundwater .DETERMINATION FOR SEASONAL•HIGH WATER TATTLE Method Used: Depth Observed standing in obs,hole: In, Depth to still mottles: In.' Doilth to weeping from side of obs,hole: In, Groundwater Adjustment ft. Index Well-# Reading Date: Index Well loval-%4 .,._.-... Adj,.ihotor, , Adj.C3roundwater1evel,, _ PERCOLATION TEST Ditto- TIme Observation -41 Hole# Tlme at 9" Depth of Pere Time at 6" Otirt Pre-soak Time® 2 Time(9"•6") ti d Pro-soak jtk�( Z ' e Min./Ioch ' w CQW Suitability Assessment: Site Passed Slip Failed: Additional Testing Needed(YIN) ginal: 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 Conselrvation Division at least one (1)week prior to beginning. Q:\SEPTICIPERCPORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soli Horizon Soil Texture Sdil Color Sol]. Other Surface(in.) (USDA) (Munsell) Mottling (Stnuctum.Stoned;Boulders. o tsistency.%'aravall f, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sall •Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency. DEEP OBSERVATION HOLE LOG Hole# Depth firm Sall Horizon Soil Texture Sall Color Sell Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders, . t Mood Insurance hate Map: / Above 500 year Pood boundary No Yes Within 500 year boundary No' es Within 100 year flood boundary No,-� Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pery o s m erial exist in all areas observed thrpughout the area proposed for the soil absorption system? If not,what is the depth of' aturally occurring pervious material? 1 , Ceffification I cordfy that on l k (date)I have passed the soil evaluator examination approved by the X; Department of Bnvirdhnerital Protection and that the above analysis was performed by ma consistent with t ,,s the required training,exper s d exper'ence described in�10 CMR 15.017.1 1 } Signat Datti l� Q:1.S.aPTIC\PBRCPORM.DOC i t T_ - 30 00 No.- = .. .. Fins....$........._............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratiu>n for Disposal Warks Ton Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: --•374 Castlewood_Circle,...Hyannis...................... .............................. John Lawhead Location-Address 22 Catspaw Ln, Ceffi!& ille ..----••---^---------........................................•---............................... ...........•••-••-------•---•-•------.....--•-----...........---•--.............................. Owner Address W W.E. Robinson Sptic Service P 0 Box 1089 Centerville ,-� •--•-.................................... ----•-•---••-----.....---....----- ••---•••--••---•..........---•-------•---•-•--.................--•-••--•••-------............ Installer Address d Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms.........3.................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons..........--................ Showers ( ) — Cafeteria ( ) 0 Other fixtures . WW Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area-------------.......sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) W Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water..---................... fTq Test Pit No. 2................minutes per inch Depth of.Test Pit--- ................ Depth.to ground water........................ 0 a -••••••••--•-----------•-••---••-•-••---••-•-••-••-•---•••-•--••-•••-••---•-•-•-----•...---...•••............................•--•--•-•----••--•--...-•-•----- Description of Soil-------- d...................................................................................... W U •-------------------------•-----------•--•------••----•--------••---------•---------------.....-----••----•-•-----------•----•------------------•-------•--------------..........•----•-----------•--••- W x --••••-•-•-----------•------••-----•--••----•-•••----------•---•••-------•••••------••-•--••••••------••-•-----•••---------•••--•••••-•••••••----••••-•-•••••-------••-••-••••.......................••- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... 2 stone-packed infiltrators Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beZnued by the board of health. Signed ..^mow...----� --- '� ------------------------------------ Date Application Approved By . PP PP ..............2 -Y_ .. � - I.A A Date Application Disapproved for the following reasons: ...... .......... .............................................------....-- .....-------- ------.......--------........ ------- --- ----------------- ---------- ------ --- ------------- ---------------- ------------------- ------------ -----------------------------....................................... -------- -------------------------E. Date Permit No. ...... -.X, . . . ....................... Issued .... ---------------- Date No. _�.. .. FE$...i3M0......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ,� r ltraa aun fur Mgpviiaal arks Tunarnrttun pirantt Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: ....374 Castlewood Circle;, Hyannis...................... ----•••.........•-••----............••--•-••-••--••---............. .... -- John Lawhead Location.Address 22 Catspaw Ln, CentLeiwille ......................-.......................................................................... ..........--...................................................................................... Owner Address W W.E. Robinson SeT)tic Service .P O Box 1089 Centerville .................. ...... Installer Address of Building TypeDwelling—No. of Bedrooms............................................Expansion Attic ( ) Size Lot-Garbage Grinder q feet aU of Building ............................ — Other—Type gNo. of persons............................ Showers ( ) Cafeteria ( ) Otherfixtures ------------------------------------..................................... W Design Flow............................................gallons per person per day. Total daily flow___-----.-..---.--...--.-----..r.r........gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter.................;Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No----_-------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water....................... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x -------------------------------------------------------------------------------------------------------------------------------------•---••-•••-••----------- ODescription of Soil-----•--.and-......................................................................................................................................=............. W U ---••-----•--------•-•----------------•--•---------••--•-•-----•--.....--------------...-•-•------•----------•--•-----------------------•----------•----------------------.......-•---•----••----...---- W U Nature of Repairs or Alterations—Answer when applicable..................................:........................................................... 2_stonePacked•infiltrators . -•----•---•----------------•-------------....•---------------------•--•----------••.................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be n '-s'ued by the board of health. Signed A� ........... ...... .....................................v - :... Date ApplicationApproved By ...............L:1'w'i� ---------------------------------------------------------------------------- - - ... Dare Application Disapproved for the following reasons- ------ -------------------------------------------------------- - --........................................................ - ------------------------------------------------------------------------------------------------------------ --------------- .......................... ------- qq -7 Date PermitNo. ..----.1.. ..-....�..-j-- ---------------------- Issued ........------------------..............------- ---- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Trortif ra e of 01-11anylianc.e THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X ). by-----W_,.E....Robi-nson.:.Se-pti.,r...4er-c.ice------------------------------------------------------------------------------------------------------------------....................................... 374 Castlewood Circle Installer at ------ -- - --------------- - --- --------------------------------------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. _..-__�f.?- _._�--S...7.... dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ":t J, DATEi..---`---�...... .`...:i...�........................... Inspector -------- -------.'-�-- . -------..... .----------------------------------- --- -- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH qCy. 22 TOWN OF BARNSTABLE $30 00 No.....l..d�.-33-7 FEE...................... Disposal Workii %Tuno#r ion Famit Permission is hereby granted......W~R-._Robinson S c.5tvQ _..----•---------------•---•------.....------ --------•------•- .... to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at No.... 74__Caslew�c7,Czcle ......................................................................................................................................... Street -* as shown on the application for Disposal Works Construction Permit No_ 3 SZ Dated.......................................... .......................... -.••-•-• Board of Heaith DATE..............-�......=-2 -----�' FORM 36508 HOBBS 6 WARREN,INC..PUBLISHERS TOWN OF BARNSTABLE LOCATION � c. ,6 )/4.-4.j®G./ SEWAGE # go.� VILLAGE 1 ASSESSOR'S MAP & LOT ,273-039 i INSTALLER'S NAME & PHONE NO. ��L )).(J� SEPTIC TANK CAPACITY / ® (5 LEACHING FACILITY:(type) /a n 0 a /� (size) NO. OF BEDROOMS PRIVATE WELLOR PUBLIC WATER j BUILDER OR OWNER 6�L DATE PERMIT ISSUED: ^ �--� - DATE COMPLIANCE ISSUED- 2 VARIANCE GRANTED: Yes No L/ � �\� � -� �� „�. v ASSESSORS MAP : � -- ---�-7� -------- -- ------. TEST HOLE LOGS PARCEL : � ��� ..� ... ._ .. _ ,���.,_��__� I) The installation shall corr���� with "Title V ai��1 '('own of 3uard of % ; ,� SOIL EVALUATOR : �� C FLOOD ZONE: �e.�/t.� � �% � � f lealth Regulations. WITNESS : 1 2) The installer shall verily the location of utilities, sewer inverts and septic REFERENCE: .` �� c �� DATE: components prior to installation and setting base elevations. PERCOLA ION RATE: 3) All gravity septic piping to be 4 inch Sch 40 PVC at 1/8" per Foot. The first a--i two feet out of the d-box to the icuching shall be level. H --�_-11� _ > v. a, � v. TH- 1 T -2 4) This plan is not to be utilized for property line determination nor any other 61� purpose other than the proposed system installation. c4 �p � lb ,� 1 5) All septic components must meet Title V specifications. c ,� �j n �} �" 6) Parking shall not be constructed over 1110 septic components. --- r� tV-' � _X_D_ r" J� 14� 7) The property is bounded by property corners and property lines. Alli— LOCATION _ .` _ _ t8) The property owner shall review design considerations to approve of total MAP ► �Jb design number of bedrooms g flow and nu is to be considered for design. Receipt �)— - )- - ��� �V✓ of payment for the plan and installation based on the plan shall be deemed 5 ( approval of the design flow by the owner. 9J C ) W / 9) The existing leaching or cesspools shall be pumped and filled with material 2` -1 1 � per Title V abandonment procedures. Those within the proposed SAS shall be removed along with contaminated soil and replaced with clean sand per r Title V specs. 10)System components to be 10 feet from water line. Sewer lines crossing the Y p b water line shall be sleeved with 4 inch SCE 140 PVC with ends grouted if -- °- --- -- 'I applicable. The proposed SAS is being installed below the water service line. The line is to be sleeved as aforementioned and maintained in place. SEPT I C SYSTEM DES I GN 11) If a garbage grinder exists it is to be removed and is the responsibility of the AN , owner to ensure such. FLOW ESTIMATE 12)The installer is to take caution in excavation around the gas line if such - — -\_ exists. f aBEDROOMS AT IQ GAL/DAY/BEDROOM - GAL/DAY 13)Tne installer shall verify the location, quantity and elevation of the sewer lines exitinn, the dwelling'brior to the installation. \' I�r f/� IC( �— _\ SEPTIC TANK 14)'fhis plan is representative only that a system can fit on a property meeting Title V requirements. lt7 t-IAL/DAY x 2 DAYS (kO GAL l l � x o USE GALLON SEPTIC TANK SOIL ABSOIZi�T I ON_SY�TEM v1,11 v w R `A � iT r ! � ; U j 1� v 1Jl�]� U i"J l l l�L �� ✓ 4\0 F A SIDE AREA: Z� 2`� 12,�� 5C �. 11197 t3. � BOTTOM AREA: L , � MASON i 3 Na.,o6s ISTE� N,TARC � SEPTIC SYSTEM SECTION .. `f �(w ►w or 6�4 ^�- — -- Ito "010- 0 GAL SEPTIC TANK ��. oat SITE AND SEWAGE PLAN LOCATION :��14 CAS_&MD 6 , PREPARED FOR : �1 Levn�u� SCALE: I DAV I D B . MASON DATE: DBC ENVIRONMENYAL DESIGNS w EAST SANDWICH . MA DATE HEALTH AGENT ( 5O8 ) 833— 2 177