HomeMy WebLinkAbout0021 CHERRY STREET - Health 21' Cherry Street
Hyannis
A= 309— 134
i�
1
ff TOWN OF BARNSTABLE
LOCATION SEWAGE # 15W S-4V
VD-J,,AGE ASSESSOR'S MAP & LO
INSTALLER'S NAME&PHONE NO. ' d (
SEPTIC TANK CAPACITY I ��\` -- 14---<
LEACHING FACILITY: (type) (size)
NO. OF BEDROOMS J
BUILDER OR OWNERdi.�-�✓�
PERMITDATE:, 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
L
Furnished by
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No.c�-cJ G' � set�, iGlt�f�. � 33i�i9zlS.v`'eef
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THE COMMONWEALTH Ol=MA`SSACHUSETTS
Entered in computer:
s
PUBLIC'HEALTH DIVISION -TOWN OF BARNSTABLE. MASSACHUSETTS
ZippYication for r3i5po5ar *pgtem Con5truction Permit
Application for a Permit to Construct( . )Repair(><)Upgrade( )Abandon( ) XcompleteSystem ❑Individual Components
Location Address or Lot No. +t a l C}tctL,B,.°d `j-ri. Ry hd,✓ Owner's Name,Address and Tel.No.
i nt owers ,
Assessor's Map/Parcel 3 dq i3�
Installer's Name,Address,and Tel.No. 1 Designer's Name,Address and Tel.No.
C Sv cs. S Kart £,jti. S-4(So
Type of Building: 2I-,We
Dwelling No.of Bedrooms Lot Size 1a�0sq.ft. Garbage Grinder(/0*
Other Type of Building /J flt>e No.of Persons <A Showers( 1.}-Cafeteria
Other Fixtures L6orarye_re I,,-rC4y1P,j "S"i1= [ ,a0,,19Z-
Design Flow 2)30 gallons per day. Calculated daily flow 331.8® gallons.
Plan Date 05 Number of sheets - Revision Date
Title 0, 6 lalepA"C ercec�-e
Size of Septic Tank ew 1Soo G4>1k Type of S.A.S. _ S ii l Fi L-rP__A,—%bQ_ E,J 64
Description of Soil; PA CC,
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 provisio of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has b iss d b Board of H
gned Ay Date
Application Approve Date
Application Disapproved for the following reasons
Permit No. 5 Date Issued
Prj I,
Co 9
SWAG S� c;&4 V fv 331,5 9aU., Fee
fi , THE COMMONWEALTH OF Mi�SSACHUSETTS Entered in computer:
t. es
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
Application for Big'ogar *pgtem �Congtruction Perron
- ,
Application for a Permit to Construct( )Repair OC)Upgrade( )Abandon"( J ) Complete System . El Individual Components
Location Address or Lot No. a C 4ACQ_e•V ST. I H` A r4pi,Owner's.Name,Address and Tel.No.
Assessor's Map/Parcel
Y is Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
olr '-�tis C SACS . S VA a+� E�►tJ. SV CSC
Type of Building: /lo[-e e-
Dwelling No.of Bedrooms Lot Size I A;600 sq.ft. Garbage Grinder(AIZ)4
Other Type of Building PA Or>e No. of Persons a Showers( L)r Cafeteria
Other Fixtures o A-roe.Y, k,-i-CwE,.I
w.. �. .Design Flow 3 J� -' gallons per day. Calculated daily flow 331 8a gallons.
Plan Date 5�0 15 Number of sheets Revision Date
Title Im+ RCt p0_- '. C\ laa -•,C
Size of Septic Tank w l st C4 C ak A-cr)�c Type of S.A.S. S i r1 Ft L-T iL w�a2 Te£n►C0
1_0la�x3 .XI,
Description of Soil; sec p1C,«
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement: -- - .
The undersigned grto n�su��tleco strucrion and maintenance of the afore described on-site sewage disposal system a '
in accordance with the provisio of C--itle 5 of the Environmental Code and not to place the system in operation until a Certiei-
cate of Compliance has/ss been issued M_r-ffis Board of He t _
Signed _ Date �~ ) i
Application Approve�by Date Z 745
Application Disapproved for\the following reasons
Permit No. 6000 5 3�F Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of (Compliance
.x
THIS IS TO CERTIFY, that the Op-site Sewage Dis osal Sys em Cons cted( Repaired ( )Upgraded(?Q)
Abandoned( C a t
at L_ has been construe ed in aocof dance
with the prw ions f Title 5_and Weo stem Construction Permit No.�5 L/3 7 dated 1 -7 IJ
Installer < 64 VI/U = Designer
The issuance of this"permit s�n t'be QAIItt=ued as a guarantee that the sy tem ail un tion'a desi ned
Date Inspector r
Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Migogal *pgtem Congtruction Permit
Permission is hereby gra�,ntA4.to pnstruct( )Re airy )Up) r de(-)Abandon„ )
System located at t_.Yl j 1 T� Lq 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 conditions.
Provided: Construction must be completed within three years of the ate of this pe
Date:__ � �-�—� ~� Approved by
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
hereby certify that the engineered plan signed by me
dated 91E 105 concerning the property located at
9 t C' 1 yQ e�e 15-T _ VI"aNN�--) meets all of the.
following criteria:
• This failed system is connected to a residential dwelling only. There are.no commercial or
business uses.associated with the.dwelling.
0 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) -40 e pp
B) G.W.Elevation +adjustment for high G.W. c9. 1 = 7� • 10
DIFFERENCE BETWEEN A and B c9a.9 0
SIGNFD : DATE: Q 0
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.
tic\percexemp.doc
qAs�
Town of Barnstable
OFTHE Tp�, Regulatory Services
• eA STAsLE, t
Thomas F. Geiler,Director
1639. ,0$ Public Health Division
ATFDf""�A Thomas McKean, Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date: �,os
Designer: ShM Environmental Services, Inc. Installer:
Address: P.O. Box 627 Address:
East Falmouth, MA 02536 A
On was issued a permit to install a
( ate) (installer)
septic system at a czY �J`�, NS based on a design drawn by
(address) ,(,
Shay /Environmental Services, Inc. dated=�j n
(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.
�yIN of*Sc
CARMEN N
ns er s ignature) o E.
0 SHAY N
f No. 1181
� o
FG/STEa�
!�" NI TAR Pa
(Designer's Signature) �(
(Affix De i 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:Health/Septic/Designer Certification Form
, I
:
a
NOTE. ALL PIPES ARE 70`BE 4", SCHEDULE 40 P.V.C. -
P` o a 2a ,aches II SECTION..A. A, ~. , �
VENT PIPE -Leak to ALL oun:Er PIPES FROM rtlE J
• 10 -rnln. from ;
. . Schedule PVC w Charcoal Odor Filter ,
,. / DtSTR1Bl/riW1.80X SHALL.BE
EXtstln Foundation,. house as Septic tank 12
,._, r
g ep PROFILE VIEiV OF ADDITION TO LEACHING SYSTEM , cantxtElE COVER _
cove muet,� SET LEVEL FOR LEAST-2 FT. "'.
- D-BOX ( ( a, ! .r
Septic took covets must be
TQP:OF FQt1NDATION - ELEV: 100.00 Assumed) w,tMn 6 m. of finished rode l _
( within 6 in."of finished 9 t
....; . 1
S - 99:00 3 - 5 OUTLET
a 2 1 r: r a
_ Grade over Septic Tank 99.00 Grade over R Box 99.00 I over S/, 3 of i/8 1 2 Washed Peoston 'ti-f
- KNOCKOUTS - :. ,{ e -;M, 4'`,r'�..,, bka ,
35.
4" to 1'S 2 ' Washed Crushed Stone 1
'-. WET •r•..:`-". �'.._ � n�Yai;li ik
,..: .:, OUTLET ,,-`.. "�
.:...; .t�. v i 'q,
S .. 0.02 4 PVC(CAPPED)tN5PEC710N. PORT TO,BE a % ✓""
3 HOLE H-10 8 4 }5. 1n,yjair9
ST. BOX 3 Maximum Cove T OF System- Elev. -95.75 INSTALLED'AND TO BE WITHN 8'Oi GRADE
0 10' NEW or Greater °P x°t
s=o.o1 .
�EXIS_T, PIPE -- `- O t0 1,500. GAL° ..
r F
FROM EXIST:FOUNDATIAN rn - ^ SEPTIC TANK- t0• - S� O.Oi".per foot. 10"Effective Depth 15.5•.` 4' -- SCH. 40 T 1.)5• d>!! y ff}} :
�� f n N Co
ca
5, PLAN SECTION CROSS-SECTION
ram 1 Q u)
CONCRETE FULL FOUNLM m. ,,.:.> 5t
B. a, o 0.83' (10 inches) S Ur>tts a 6.25' 30'
a aCactra n
1 s Rmez, rr
m 3 3
lf--�. 4 r,,a�+Gt'r^°-�'.4., -n
SYSTEM PROFILE 6 >n°"��`11/2" m e � � � s1.e5' 3 HOLE H-10 DISTRIBUTION- BOX
Not to Scale - S 0 stone u o Q rn37,25 NOT TO SCALE ✓ I34' -► �- 4' Effective Lengthc o JA
' 1�_l SOIL ABSORPTION SYSTEM (SAS),6 6 _ A EM GENERAL NOTES
8 in.of.3/4'-1 1/2' O
compacted stone Q Effective vid-th INFILTATROR HIGH CAPACITY (H--20 LOADING)/ GEORGE ❑`BRIEN
NOTE; ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE m 1• Contractor 's responsible for Digsafe notification, Verification of Utilities
o (OR EQUIVALENT) Not to Scale and protection of all underground utilities and pipes.
w Bottom of Test Hole 1 Elev.=e7.00 NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18" FFECTIVE HEIGHT IS 10" 2• The septic tank and distri ution box shall be set
Groundwater Observed _ NONE OBSERVED_ level on 6 of 3/4"-1 1/2:" stone,
3, Backfill 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.
G+ „ 5. The contractor shall install this system in accordance
Date of Percolation Test: SEPTEEMBER 2, 2005 l �R , with Title V of the Massachusetts state code, the approved plan
Test Performed By. CARMEN E. SHAY, R.S., C.S.E. and Local Regulations_
Results Witnessed By WAIVER (Per Barnstable B.O.H.) 6. If, during installation the contractor encounters any
EXCAVATOR: Shay Env: Svcs. (40 FOOT RIGHT OF soil conditions or site conditions that are different
Percolation Rate: Less Than 2 MPI ® 42" `-------____ WAY) from those shown on the soil log or in our design
--____ _ installation must halt & immediate notification be
i Test Hole Test Hole - made to Carmen E. Shay - Environmental Services, Inc.
NO. 1 No.,2 T� -- --- ~~� ���------ __ __- 7. No vehicle or heavy machinery shall drive over the
DEPTH SOILS ELEY. pEpP{ SOILS ELEV.; J -----____ - - _ 8. Install Tuf-Tite gas baffles or equals on all outlet tee ends.
0 99.00 - - -- ----99.001 I
i 1 --____ 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes.
Sandy Loom Sandy Loam � � I c -""_------__.-
j .9 � i - 10. All solid piping, tees & fittings shall be 4' diameter
\ 10 YR 3/2 10 YR 3/2 8_ j f j j 75'00 -- Schedule 40 NSF PVC pipes with water tight joints.
0'-9' Ae 9t3.25 p•_g" Ae gg2g +� �`' ' 11. Municipal Water is Connected to ALL OF The Residence and Abutting
Son -,a-
Loom L$Of1�13Y + i-� Properties Within 150 feet.
10 YR 5/6 10 YR 5/6
I THE PROPERTY LINES ARE APPROXIMATE AND
g"_ ,�" Bs 95.83 g"- 38' 8s 95.501 i r - COMPILED FROM THE SURVEY PLAN GENERATED BY
1 Medium/coarse Medium/Coarse PROJECT BENCH MARK I j HERBERT RiCHARDSON, RLS OF YARMOUTH, MA.
Sand Sand TOP OF FOUNDATION L --' ENTITLED "SUBDIVISION PLAN OF LAND iN HYANNIS, MA,
2.5 Y 7/4 7-5 Y 7/4 ELEV. = 100.00 (Assumed) DATED MARCH 28, 1946
,32-- 144 C, 30n_ 1, G \ AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN
EXISTLNC `-'919 IT SHOULD BE USED FOR NO PURPOSE OTHER 'THAN
2 BEDROOM THE SEPTIC SYSTEM INSTALLATION. T
I HOUSE coo EXISTING CESSPOOLS TO BE PUMPED OUT REMOVED.
#21 NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE
FROM THE EXISTING CESSPOOLS TO BE DISPOSED
�t NEW 1500 G L• OF AS PER BOARD OF HEALTH SPECIFICATIONS.
- z0' SEPTIC TAW EXIST. - --- ---
-. Deck- _ .. _ ---. - _ _. THERE E_: __`.N I AN RE PRESENT W!TH!N 200'_.O THE..._PROPERTY.
T}-.�„�_-AR_ NO-WETLANDS ARE •.,:�-sL ......... ___ ..F
Perc #1 J ��J
01
Depth to Perc: 42" to 60" _ ---Foiled -
Perc Rate= 2 MPI LOT #9 ASSESSORS MAP 309 PARCEL 134
._s . .N_ Cesspool ^_ LEGEND --
Groundwater Not Observed t
No Observed ESHWT • e 4" PVC e Vent
ADJUSTED H2O Elev. = None D-Box a�zti -3 ® f0. ,
-12' ' -
3-24• DIAM. ACCESS MANHOLES --- 7,2 '_ 104X 1 DENOTES PROPOSED
_ ----- SPOT GRADE
- to -s• TEST HOLE #2 TEST HOLE #1 DENOTES EXISTING
hed
ELEV.= 99.00 0 ELEV.= 99.00 X 104.46 SPOT GRADE
-919
INLET
PL PROPERTY LINE
INLET ti / ,;. our T Failed
THE ACCESS COVERS FOR THE SEPTIC TANK, Cesspool 96P PROPOSED CONTOUR
DISTRIBUTION BOX AND LEACHING COMPONENT LOT 7
SHALL BE RAISED TO WITHIN 6' OF # _ '�` - -- - -
-j FINISHED GRADE. --97 EXISTING CONTOUR
STEEL REINFORCED PRECAST CONCRETE INSTALL TUF-TITE GAS BAFFLES OR EQUALS
PLAN VIEW ON All. OUTLET TEE ENDS \ ® DEEP TEST HOLE Col'
f 3-24• RE140VABLE COVERS ~~ _ 9 PERCOLATION TEST LOCATION
`9 6 FOOT STOCKADE FENCE
3 mire clearance
i tr min�_Lm►,: inlet to outlet asrr LOT # - - ---- - ----
OUTLET
lo'mm. �"id level „ i 12,500 Sq urzre Feet +/- ----------
5' -7' __ 15' -7. LOT
P PLAN
>- E$ 4'-0' mm-
v �•ewe. Y Liquid depth ..
_ :. ➢ ,- i . .Y� - -..,_ OF PROPOSED SEPTIC SYSTEM UPGRADE
PREPARED FOR
CROSS SECTION END-SECTION
MS . MARGARET POWERS
TYPICAL (H- 10 LOADING) 1500 GALLON SEPTIC TANK �� AT
NOT TO SCALE ----------��----� #21 CHERRY STREET
May Substitute with 1500 g_ailon H-10 Polyeth�ne Tank--George O'Brien Co. - - -��
, HYANNPS , MA
Design Calculations N F M s c I PREPARED BY: _
Number of Bedrooms: 2 Equivalent to 220 Gal./Day (330 Gal./Day Min. per Title V) o C N ,yG� /ry �/ jJ �if� �j F. �S jJ' �/
Garbage Grinder: No �� CAl RN EX}/ 11L`j Y
Leaching Capacity Proposed: 330 Gal./Day Minimum (Min. Per Title V) O V, _
Septic Tank : - 2 x 330 Gal./Day = 660 USE NEW 1,500 GAL. Septic Tank. H
ENVIRONMENTAL SERVICES, INC.
SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch O 1
Bottom Area: 0.74 gol/sq. ft. x 370 sq. ft. = 273.8 gallons RHO P.O. BOX 627
Sidewall Area: 0.74 gal./sq. ft, x 78 sq• ft. = 58 gallons 0 2Q 40 50 SGfsTE a EAST FALMOUTH, MA 02536
Providing: = 331.80 gallons - - - ANiTAR\P
- TEL/FAX 508-559-7966
Use: (5) INFILTRATOR HIGH CAPACITY H-20 UNITS, HAVING A 0.83' (10 INCHES) EFFECTIVE DEPTH, SCALE: 1 "-20' DRAWN BY: CES DATE: SEPT. 5, 2005
TO BE USED WITH 4.0' OF WASHED STONE ON THE SIDES, AND 3.5' OF WASHED STONE - - - --- ------- ----
ON THE ENDS. NO STONE UNDER. SCALE: 1 "=20' PROJECT#SDI96 FILENAME: SD796PP.DWG SHEET 1 OF 1