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