HomeMy WebLinkAbout0023 DENVER STREET - Health 23 Denver Street
Hyannis.,
A = 291 311
1
TOWN OF BARNSTABLE 6
LOCAT ION �E�iyG�' �f SEWAGE #
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
,
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
NO. OF BEDROOMS
BUILDER OR OWNER F Li
PERMTTDATE: f7 L COMPLIANCE DATE:
r
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 by
J N
� I
a
• c
No. v(! 7 Fee
THE COMMONWEALTH OF MASSACHUSE17S Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
01ppYication for Migo.01 *pgtem Con.5truction Permit
Application for a Permit to Construct( pair O Upgrade( )Abandon( ) 0 Complete System ❑Individual Components
Location Address or Lot No. 3 �h S� Owner's Name`,Address and Tel.No. a? D}eW S
Assessor's Map/Parcel G ��d(�1 �'Li s� M a
q � I 3��
Installer's Name Ad ss,and�e1.N_) Designer's Name,Address and Tel.No.
Awhe,k`iSlM t�fj$-20 ®
Type of Building:
Dwelling No.of Bedrooms_ Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of'Persons Showers( j Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title _
Size of Septic Tank 11A90 Type of S.A.S. ..L S
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 o the Environ al Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by thi o d of
Signed eM Date o� O
Application Approved by Date ° J
Application Disapproved fo a following reasons
Permit No. a oa o � Date Issued �-
Town of Barnstable
�F iME Tp�
do Regulatory Services
Thomas F. Geiler,Director
* BARNSFABLE,
9�A M�; `0� Public Health Division
lEpys Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date: Le IDq
,
Designer: ' Installer:
Address: Address: 4gt'
On `� ` D � SV<ir— was issued a permit to install a
(d te) Rstaller)
septic system at rj 6>l?e� Q��• based on a design drawn by
(address)
dated -shlo
(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/ -built by designer to follow.
OF MgSs�
�o� CAMviEN
(IV'Inst ergs Signature) 0 SHAY n
tz
No. 1181
� a
FGIST
FL
GANITA
signer�ture) (Affix D ,P 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
No. �U 1 �0 :;Y,Y. Fee /
THE COMMONWEALTH OF MASSACIUSS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -,,TOWN OF BARNSTABLE., MASSACHUSETTS
0(ppricatto i for nigo5a[ *p.5tem Construction Permit
Application for a Permit to Construct( `1-Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. �3 h S Owner's Name,Address and Tel.No.
ffs�
Assessor's Map/Parcel ^ / 3 j f i v
in tan 's Name,fdPress,and 1 No� Designer's Name,Address and Tel.No.
�2
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 gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank few Type of S.A.S. --il � `S
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 Environ al Code and not to place the system in operation until a Certifit-
cate of Compliance has been issued by this o�d of th. /
- Signed , D Date
Application Approved by Date
Application Disapproved for the following reasons
Permit No. o'� y" t�r a Date'Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO TTIFY,that trts. e Sewage Disposal System Constructed ( ) Repaired ( )UpgradedAbandoned( )byU h tL4T `5 f '
at a 3 �D r yr S G n has been constted in accordance
-� with the provisions of Title 5 and the for Disposal System Construction Permit No. a Ud y_a47 dated 67r, 0 L/
Installer Designer i
The issuance df t 's peerrmit shall not be construed as a guarantee that the sy tem wi function as e ig
Date (O Il D ! Inspector ed4j,
No. aV U`l � �� ------ Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Xi5pogal *pgtem Construction Permit
Permission is hereby granted to Construct( ) epai. "Upgrade( )Abandon( )
System located at �� _ 1 '�P +� S CA VI j 'f
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�Construc ion must be completed within three years of the date of thes., rm t. / r
Date:_ �� �(/� t' Approved by
f
TOWN OF BARNSTABLE
LOCATION �Mee-- 5�" SEWAGE # �'
c
VILLAGE_C1 a ASSESSOR'S MAP & LOT
• I r
INSTALLER'S NAME&PHONE
.SEPTIC TANK CAPACITY
LEACHING FACII.ITY: (type) (size)
NO.OF BEDROOMS_
BU LDER OR OWNER
Jf
t,
PERMTT DATE: COMPLIANCE DATE: 612
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well andLeaching 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 by
a pp y
�i
i
ji
L O
10 � � SEWA G E PE
t".A T
VILLAGE
IN.STA LLER'S NAME & ADDRESS
r= a19 %wZf' Zf
B U I'L D E R OR OWNER
' '
9.eaoq /'eazz
DA T E PERMIT ISSUED � _ p �7
DATE' COMPLIANCE ISSUED Av
1
o
SECTION A -A
moo,�, utnst,arl .
10' min. from *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. VENT PIPE iO Least 24 inches toll) Ny OUTLET PIPES FROM THE j At,/e
Schedule 4l) PVC w/Chorcool Odor Filter PROFILE VIEF OF ADDITION TO LEACHING SYSTEM DISTRIBUTION BOX SMALLBE 12•k,12
CRETE covert I "� +ttr'°°nEw
Existrg Foundation house to septic took -- ti
Septic took COvsrs must be SET LEVEL FOR A`LEAST 2 FT. t yv1�1 Se�. tem,,ntay ~_
TIP OF FOUNDATION ELEV. IMOO (Assuxd) within 6 in. of finished grade
-
Grade over Septic Tonk - 98.25 Grade over D-Box - 9&00 ode over SAS - 99.00 3" of 1/8" - 1/2" Washed Peastone �` KNOCKOUTS�T �•3/4" to 1 1/2 " Washed Crushed Stont ' it N R�. " OUTLET \ IN ETS - 0.02 3 HOLE H-10 T Load - Etev. =95.75 4' PVC(CAPPED)INSPECTION PORT TO BE , ` � -DIST. BOX 3' NoAmum CoverapINSTALLED AND iD BE YA1F/N 6"OF GRADE � _r
EXIST. =o.mo< C:reoter Top of SAS - Eiev. -95.25 N,, ,INEX ST, POPE X1a N1.000 GAL. 10' s- 0.01' per foot o. yreotar • 10" Eneottie oeptn ' 4" - SCH. 4o T i�s �,� f'" 5 Y
FROM EXIST. FOUNDATION w X SEPTIC TANK N \ ((
d w H-10 CD r g 2 o PLAN SECTION CROSS-SECTION
li g
CONCRETE FLU err N ep 'n }0.83' (10 inches) 5 Units 2 6.25' = 30'
0 0 > rn 1 t. 3' 3' t
31.25' 3 HOLE H-10 DISTRIBUTION BOX ¢
SYSTEM PROFILE 6 h.of 3/4"-1 1/2" a rig, `, ¢
u �«
compacted stone > o 0 0 37.25" NOT TO SCALE
Not to Scale =3 R"Maia y A Gene,,*6 MI Na-,qxm TK
c k wiles�` / �*y �1•
4' 4' u Effective Length
> r _2.5 ® SOIL ABSORPTIDN SYSTEM (SAS)
8 in.of 3/4--1 1/2• ,o GENERAL NOTES
stone compacted Effrcttvr Width
P o INFILTATROR HIGH CAPACITY (H-20 LOADING)/ GEORGE ❑'BRIEN 1. Contractor is responsible for Digsafe notification
NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW (�2ADE m m
Bottom of Test Hole I oev.-87.00 (OR EQUIVALENT) Not to Scale and protection of all underground utilities and pipes.
v Obs. Groundwater - Test Hole 1 Elev.= NONE OBSERVED NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18" /EFFECTIVE HEIGHT IS 10' 2. The septic level on 6"tank and distribution box shall be set
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
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
PERCOLATION TEST LOT #99
LOT #100 and Local Regulations.
LOT #98 6. If, during installation the contractor encounters any
Date of Percolation Test: MAY 13, 2004
soil conditions or site conditions that are different
Test Performed By. CARMEN E. SHAY, R.S., C.S.E. c0 cfl from those shown on the soil log or in our design
Results Witnessed By. WAIVER (per BARNSTABLE B.O.H.) pp O N o
Excavated By. SHAY ENVIRONMENTAL SERVICES, INC. installation must halt & immediate notification be
l i I i made to Carmen E. Shay - Environmental Services, Inc.
Percolation Rate: Less Than <2 MPI
l 89.58 I 1 I 7. No vehicle or heavy machinery shall drive over the
1 1 septic system unless noted as H-20 septic components.
0 1� I L\ I \ O 8. Install Tuf-Tite gas baffles or equals on all outlet tee ends.
Test Hole \� LOT #94 11 1 11 -g 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes.
No. 1 �\ II \ 10. All solid piping, tees & fittings shall be 4" diameter
DEPTH SOILS ELEV 10,176 Square Feet +�- I t\
Schedule 40 NSF PVC pipes with water tight joints.
0 98.00I 1 \
-; � � � 11. Municipal Water Is Connected to ALL OF The Residence and Abutting
Sa
ndy \ tl \� ` Properties Within 150 Feet.
1
10 rR 3/2 THE PROPERTY LINES ARE APPROXIMATE AND
0"-8" A, 97.25 1 t
I � � COMPILED FROM THE SURVEY PLAN GENERATED BY
Loamy PROJECT BENCH MARK - DECK SWEETSER SURVEY OF YARMOUTH, MA
10 rR s/e TOP OF FOUNDATIONSand \` \�'� ENTITLED - "SUBDIVISION PLAN OF LAND IN BARNSTABLE, MA
ELEV. = 100.00 (Assumed) DATED APRIL 10, 1972, PLAN # 14034 SHEETI
s"- 40' Bs 95.75 I `� AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN
Mod I HOUSE ;{f23 \ IT SHOULD BE USED FOR NO PURPOSE OTHER THAN
SAND
1 -25 /4 11 EXISTING �� THE SEPTIC SYSTEM INSTALLATION.
40•- 132 c 7.00 LOT #95
3 BEDROOM LOT #93 EXISTING LEACH PIT TO BE PUMPED OUT AND
HOUSE FILLED IN PLACE OR REMOVED TO FACILITATE INSTALLATION OF NEW SAS.
p i i NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE
I
O l r--_----� EXIST 1000 gal II FROM THE EXISTING LEACH PIT TO BE DISPOSED
ca i ic Tank I
I OF AS PER BOARD OF HEALTH SPECIFICATIONS.
O I l i I I
t- - I � 2 _� NO WETLANDS ARE PRESENT WITHIN 200' OF THE PROPERTY
-----1- --L-- -- ' I ASPHALT i -- -
DRIVEWAY 0 i ASSESSORS MAP 291, PARCEL 311
Perc #1
' LEGEND
Depth to Perc: 40" to 58"
Perc Rate= Less Than 2 MPI
�' Ir�'e,��\ '•''' 's`�< ` "�' °' I DENOTES PROPOSED
Observed ESHWTO - NONE OBS.- 132" Assumed i 104X 1
ADJUSTED H2O Elev. = NONE OBS. -- 132" Assumed , i r�/ f0'yl i 4" PVC SPOT GRADE
•'� �---�
Failed i tTe Leach P•ft iz' I8s7 vent Pipe X 104.46 DENOTES EXISTING
-- I Leach Pit l 102.43 ' tl J -_ SPOT GRADE
t TEST H LE #1
----------- ---/
StDEWACK ---------------------------------------------
_ ASPHALT EL �_ AS'k)HALT SIDEW -- --- - -----___ _ _ PL
---------- -------------------_-.-- PROPERTY LINE
WALK
-------------,-=-----� ----------------- i' ��--------------------i- ------------------------ -- ----------- ram PROPOSED CONTOUR
i
EXISTING CONTOUR
DE'NVFR S TREE' T DEEP TEST HOLE &
2-18' DIAM. ACCESS MANHOLES (40 FOOT RIGHT OF WAY) PERCOLATION TEST LOCATION
a
6 FOOT STOCKADE FENCE
\ - : NOTE: NATURAL GAS LINE SHOULD BE REMOVED AND REPLACED FOR SAFETY DURING CONSTRUCTION P
INLET OU T LOT
THE ACCESS COVERS FOR THE SEPTIC TANK.
, '` DISTRIBUTION BOX AND LEACHING COMPONENT OF PROPOSED SEPTIC SYSTEM UPGRADE
' ••`.� !''' r' � a.'--': �` SET DE DEEPER THAN
HALL BE RAISED TO 6 INCHES BaO%MTHIN FINISHED
STEEL REINFORCED PRECAST CONCRETE FINISHED GRADE- PREPARED FOR
PLAN VIEW INSTAL! TUF_T,TE GAS BAFFLES OR EIXIALS ROGER AND E I S E BISHOP
i
�- 3-24' REMOV I ABLE COVERS-� AT
+ fir # 23 DENVER STREET
- -3' min.degrance tM.ET
.- . :. .^.
tNl�7 1Y min_T_12"_min. Inlet to outlet 8.mt1. - 13' I
�! Liquid Ievel OUTLET -
HYAN N I S , MA
t0"min. I
s �. ___ " t-- 5, _r Design Calculations N(-)T tir > i
E$ 4'-0' min. PREPARED BY:
o e..awe. r uquia depth Number of Bedrooms: 3 Equivalent to 330 Gal./Day (330 Gal./Day Min. per Title V)
'ol Garbage Grinder: No �o _ ARNEY E SHAY
�� Leaching Capacity Proposed: 330 Gal./Day Minimum (Min. Per Title V) -+ E.
f Septic Tank - 2 x 330 Gal./Day = 660 USE EXIST. 1,000 GAL. Septic Tank. ENVIRONMENTAL SERVICES,
tY-o"
4' -10' SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch O 20 40 50 0 INC.
CROSS SECTION END-SECTION Bottom Area: 0.74 gal/sq. ft. x 370 sq, ft. = 273.8 gallons �F �° P.O. BOX 627
Sidewall Area: 0.74 gal./sq. ft. x 78 sq. ft. = 58 gallons sG►sTE�N EAST FALMOUTH, MA 02536
Providing: = 331.80 gallons NiTAR�P
TYPICAL 1000 GALLON SEPTIC TANK �� TEL/FAX : 508-548-0796
Use: (5) INFILTRATOR HIGH CAPACITY R,, UNITS, HAVING A 0.83' (10 INCHES) EFFECTIVE DEPTH, SCALE: 1 "=20'
NOT TO SCALE
TO BE USED WITH 4.0' OF WASHED STONE ON THE SIDES, AND 3.5' OF WASHED STONE SCALE: 1 "=20' DRAWN BY: CES DATE: MAY 14, 2004
ON THE ENDS. NO STONE UNDER. PROJECT#SD573 FILENAME: SD573PP.DWG SHEET 1 OF 1