HomeMy WebLinkAbout0131 DOLPHIN LANE - Health - , i
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TOWN OF BARNSTABLE
LOCATION 131 J� 1P)!;j n L_+J SEWAGE# 2 O 1'7 - OS 3
VILLAGE W• }aUanc�,r, o ASSESSOR'S MAP&PARCEL ZG$ Z1,'7
INSTALLER'S NAME&PHONE NO. A+e C3 L_xco uaA
SEPTIC TANK CAPACITY 1500 4 o )
LEACHING FACILITY:(type) SOa aa) L Ic (size) 13 x 33 x 7
NO.OF BEDROOMS y
OWNER
PERMIT DATE: 3•Z • I ) COMPLIANCE DATE: S
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) r Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) w Feet
FURNISHED BY ` rr
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AZ' 3
BZ- 97
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No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
4plitation for Dish sal *Pstrm Cor=stem
Permit
Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Individual Components
Locatio�ddress or Lot o. (7 (� Owner's Name,Address,and Tel.No.
'"� 1z-�� �ar� Monica. -�►c,Cann `i-79- to I8 -3S7Assesso arcel
Installer's Name,Address,and Tel.go. Designer's Name Address,and Tel.No.
oocwn 6nq 508 3&2-46 `tl
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) gpd Design flow provided ? gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
i.
Nature of Repairs or Alterations(Answer when applicable) 150ji tA Q-LDO
3 fD 610D 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 Certificate of
Compliance has been issued by this BoardPfVealth.
S d Date Z12,511 L'
TF
Application Approved by Date
Application Disapproved y Date
for the following reasons
Permit No. Date Issued
No. jr Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Y s
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
2(ppfitation for Disposal *pstem Construction Permit
Application for a Permit to Construct( ) Repair( &,) Upgrade( ) Abandon( ) Complete System ❑Individual Co_nponents
Locatio. ddresss`or Lot o. l3 0 Q i n n le Owner's Name,Address,and Tel.No. r"
Assessor's /Parcel') I MO fi 1 a. -. �iG b n n cl w - & 11-3
,�i 2.&9l�i�cel
Installer's Name,Address,and Tel.Ao. Designer's Name Address,and Tel.No. x�{
i�OwY7 7-0n � 508-3&2-4541
Type of Building:
44 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) � � gpd Design flow provided r gpd
Plan Date—it u act W, - Number of sheets_ Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
J
p ( applicable) 15 t� o d"bo
Nature of Repairs or Alterations Answer when a licable
3 i0 600 t 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 Certificate of
Compliance has been issued by this Board ealth.
W-Sixned a DateApplication Approved by / Date
Application Disapproved by / Date
-for the following reasons
1 �
o
Permit No. Date Issued 14 y
f
z
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 � �f,a yal i a n
� -
at 3 (J h (1 �Q P f has been constr cte ac r annc
with the W visions of Title 5 and the for Disposal System Construction Permit No a
Installer 1 I L FD U Designer I UVV �rX
#bedrooms �} Approved design flow 4v gpd
The issuance o this ermit shall not be construed as a guarantee that the system wi func on s designed.
Date Inspector- ! 1« S
------- ------- -- -- -- - --- - -- -- - - ----- ------_-- ----
No. r Fee
C
"THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS
Disposal *pstem (Construction Permit
Permission is hereby ranted to-Construct( ) Repair( ) Upgrade( ) Abandon( )
System located at 6.Q n n D e-7�
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 corn eted tthin t ee years of the date of this permit.
Date Approved by / \
. 'w of Barnstable .
q�e �"Cn" AC�g
,,zep&t ry
Thomas F.Qaeider,Director
Public Health D* 'sion
Thomas McKean,meetor.
. .. 200NL, shwt,iffyowdis,MA 02601
Office: SOB-B62A644
Fm 508-190-630�4
ks jer IIDesigm geatu&Mfion
Date.' ` l� . Se^arage pmm�jt# 2-0 l 7-- O. Assessor's MapTa rceb � 7
o ,ti a �4G� >[a�s e�: �X�✓a�uy.r
Address'. �39 1
►� AAdres
Address'. �s I rfL
i
31 Z l n ( • ::r V(.� nwas ismed a pulmit to instal],a:
on rXC
(ate) ( }
•
septic system at bol
Z7�' based am a design dzawn by
(�i dress)
b � �
dated
signer) ��
r certify that the septic system iefeienced above was iwstalted substantially accazding to
the design,which may iudade minor approved changes sash as lateral reloocation of the
distributioa box amdloz septic tack.'
I certify that the septic 3yatem referenced above was installed with majoz changes ('f-
gmatex than 10° lateral relocation of the SAS or any yertical relocation of any comlaonent
.
of the septic syste�oa}but in accordance with ate&Local Regulations: plan:xmisioaL ox
. .
cerfi&ed as•-lha by desig=tv follow.
OJALA-
( ,gtal]ex'9 STg�Afily�) tt� civil,No -16502
a�
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3/1
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• �� 1.rL' 1, Ax .. .
0
ILP If
Town of Barnstable P#
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t ar>rttme>at„ofHea�lthy S4fety�,�aYid�EnvxroY��mte��fl Sea�!eces_
" PublicM1,"OF6ali. 16 v®z 'r= �ate-
'367 Main"Street,Hyz?nis MA.'0260'1'
s Time Q r � FeePd. �LGo_ . D
0r�yt� Date Scheduled --�----
Rdbily Assessntforev e DitsS®al Su �t l
66.)�aJ V f c Witnessed B :
Performed By: _
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x:,
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L:nv::..:.:in:x•.•J.vn.-...:::::r.•:::...xx:Aii,.y.., ,•.,v.,�.,v.w:::::•ivv::v::::•.... .:...... •
Location Address ?� 0/f�w ; �y Owner's Name Ca N fl
LAJ --`` � $ndd�ess;
Engiriepr s Name
Assessor's Map/Parcel: '
NEW CONSTRUCTION' REPAIR Telephone# (1 De 30 n" c5•�
Land Use OQ e Slopes C/o) Surface-Stone's Nan Gn 4 �)
Distances from: Open Water Body >wG ft Pcssible Wet Area L ft Drinking Water Well �(0V ft '-
Drainage Way ;> ft Property Line ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
jV
a _ )
C
0,01
-� 0C,
6WI'41 Get �
-Parent material(geologic) M/�� Depth to Bedrock G
Depth to Groundwater: Standing Water,in Hole:
/V �� Weepingfrom Pit Pace
Estimated Seasonal High Groundwater_
:�:;r<:., •�t �y��� j�'yyyy yy. rr��ny�,�j� �:si?�. '!:o:iJ:':_.J:S.J.r.•:
:f:. i`ED`.`.::1t.. ;L,`;% ... •.. .., :.*..::�:•a•::•:.:�..+: :......,aafi•rF..,....o:rr;FF:3:,.
�IYlelhod�[Ised
Depth
' s >:�:':: xs�;•........r..:............................:.:.. .. .. •r::.:.... •:,zs:.,.........:..
Observed standing in obs.hole: in. Depth_to•soil?mottles: in.
Depth to weeping from side of obs.hole: Li Groundwater Adjustment. tt-
index Well#�-_,_ •Reading Date:_,_� Index Well lerel,_ Adj:lfactor Adj.iGioundwat&Level
ML
....:::<•:•.::..........:••:::.�:::::•:::::•::;::;:>::.::,:..:::.....:.•::;:.y:�>:•FJ ..,, .. .:.is •I ; �"'::.:••.'' .;,:{ti:.;;:;:;:;:;::}>',:;sl%lirt�S.... ..<'•F r..:.
Observation I Time at.9P
Hole#'
Depth of Perc V 'Time at`6"`
Start Pre-soalc Time @ Time0"-6")
End Pre-soak
Rate MinlInch �� s17/TAC� — --
_ 77
.SiteEailed:��•-• - -AddiGonal�TestngNegded,(Y/I,I). /v Site-Suitability Assessment- Sitel'assed• -' -
Original: Public Health Division Observation Hole Datti Tolle Cbmpllet¢d'bn'Back---�
Copy: Applicant ��
.................:•:.:...r.::... •r} :. I .. WIN:,
. .. :.' .:;r,}.4.: ,,�.•.,..::•}:•::•{:.}:;•:;•:..:.:......, .' �L'} :•i:;•}:y:{r;;:oY;•:<::;:'r'}::'1.:;:.}}}•r::;:>:<-:}:;:::<:5;;
.•...::.:� ':��� ,, . Other
Depth from r 'Soll Horizon 5oildTexture .''Sodunsell Mottling' (Structure,Stones,Boulderes.
Surface in.) (i7SDA). (M- ) • S e ° -,.
-G `7 S L �oy�3�' -
i a
7.
:. Other•
��olo
Soil
'D'epi(i from f ��SoffHorizori oil Texture"
Soi1�C
SiaYface(in.) = !USDA) (Mansell) Mottling (Structure,Stones,Bovlderes.
nc °°
A [OY
[or z , L_ toy A,
�y `g� �y iV.:: $,:•:•:•:i:•:ii':;;•'r;•r j:•$;: ::iiiiii:::t{i};i$i:Sitti:�:::ii"i:Lr{
.I�y Q�� �. � � .�.. ..:tiff. /.•::::;:.}::;•Xi•}::,+'9Y.,iiw:"}:ii::v.+.
pe,. ref h.�:�.. ........ :•}S}:}}:�:ti<.,..
.i.::..:•}}:::.}.}}•... •, }yyp,�yyi:.{r?'+, vY.. .:::n.....•F...,:;w::::.:;•::{:;:•}.<'i•'v;::j:•:::n•}}}}} :ti?ti::•:•i:::::,.::.:.... ..
:v n':i>tii4ii}i'rv�}:is `•^�:Yf1•.'F.•-•.i: :;p:::.i}i'•::4}•::::.n•:::::}:...............n........ ...
••••• Other
'Dept!!from Soit Horizon Soil Texture Soil Color Soil
(Structure;Stones,Boulderes.
Surface fin.) (USDA) Qviunsell) Mottling
i enc °°Gravel)
?:;"r.>.::;;.:::::::.:.:r::.:.:::y:.:,,r.:<::n:•};•::::r::.--<;. �.:�A'��•�9'P``� >'' sSr �:�;'>•''#r�iS`�S` :R: ;.
',•': . .
..............
:r:t:}.::.::•}:::r,,;•:x>::.;•::::;r:•' S'OIl OLIIeC
Depth from Soil Horizon Sod(USDA)
Soil Color
Sv"iface(in.) (USDA) (Mansell) Mottling (structure,Stones,IIoulderes.
onsi en °a r e
_,0 ood. ns'upanc'eRr t��:yl07fa a -
— Above 500 year floodtboundary,-No-_ Yes
w,iihinw500_year-boundary No V Yes
-Wrgla T00:yearfloodtboundary'No
De�tla of 1�laturall�®ccurrin P ryious Mater6al
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil absorption system?
tf:not,what is the depth of nattrally occurring pervious material?
�'�9 fLiI1 Bcatiion
e,, ertify that on I I _(date)t fiave passed the soil evaluator examination approved by the
Departine'nt of Envirotinii`eritai`Pr-teetion-and.that-th'e`°above analysis was:per.'formed byame cons!
'stent.w�th
.the required training,expertise and experience-described in 3311-0 CMR 15.017.
Signature �����'�ei ry� Date /
SYSTEM PROFILE MARKED WITHCMAGNETICTTAPE OR NOTES
NOTES
COMPARABLE MEANS FOR FUTURE LOCATION. �V G�7
PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT TO SCALE) 1. DATUM IS NAVD 88
ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE s
2. MUNICIPAL WATER IS EXISTING
\ TOP FOUND. EL. 41.7' FILTER FABRIC OVER STONE v
3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. :
41 .0' MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 41.0 a in o y
NOTE: 2" MIN. WALL 4. DESIGN LOADING FOR ALL PROPOSED PRECAST (b \fie
t. PRECAST H-10 THICKNESS REQUIRED BLOCKS OR UNITS TO BE AASHO H-LQ to�AJ
RISERS (n'P•) PRECAST RISERS
.. 2'0 4"OSCH40 PVC MORTAR ALL H-10
6' MIN. SUMP
PIPES LEVEL 1ST 2 COMPONENTS 5. PIPE JOINTS TO BE MADE WATERTIGHT.
12" MIN. INT. DIM. 4 (TYP.) 9' 4'-
3a
ENDS SIDES 8.12'
10" 1500 GAL H-10 14" Poo�oo� "o°o°°° 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE
38.35' TEE SEPTIC TANK TEE ° ° ° ° Q®®® ®®®® ®®®® . -®�®® >000000o� WITH 310 CMR 15.000 (TITLE 5.)
\38.10 ° o 000000
0 0 ° WATERTEST D'BOX o°o�o�o� ®®®0�®®®®�® ®®®MMMF2F ®® '°o°°o°o°o° o
° ° ° ° ° 100000000°°° ° ®0®®®0®®®®® ®®®®®®®®�®® ;°°°°°°°° 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND Locu
000000000 10000000 O O O 0°°°°°°° o
GAS BAFFLE: �_o�o °_ FOR LEVELNESS ° 0®®��Q�®�0® ®®®®®®®®®®® o 0 0 o NOT TO BE USED FOR LOT LINE STAKING OR ANY
00
° 00 0 0 0 0 0 ° ° ° °
''•:�` . �: 4' LIQ. LEVEL (ACME OR EQUAL) ':: 37.58 37.41 °°°°°°°° ' 0°0°°°00 35.29' OTHER PURPOSE. To ey o
a
000°o°00000°000000000°00000000000000000°0°00� L 8. PIPE FOR SEPTIC SYSTEM TO SCH. 4D-4" PVC.
°°°°°°°°°°°°°o°0°000°00000° ° °°°°°°°°,°�°°°°°°o°oP " H-10'500 �AL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. �/
°,° °_�_°_�_�_� ° ° ° °.° ° 3/4"-1-1/2 DOUBLE WASHED STONE 4' MIN. (3) UNITS REQUIRED 9. COMPONENTS NOT TO BE BACKFILLED OR C�oigv���e Beach R Smlfh
ALL AROUND PRECAST STRUCTURES CONCEALED WITHOUT INSPECTION BY BOARD OF
6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 33.50' X 12.83 HEALTH AND PERMISSION OBTAINED FROM BOARD
COMPACTION. (15.221 [2]) OF HEALTH.
to
10. CONTRACTOR SHALL BE RESPONSIBLE FOR
CALLING DIGSAFE (1-888-344-7233) AND LOCUS 'VI/�/'11-
/� p
29.5' BOTTOM TH-1 VERIFYING THE LOCATION OF ALL UNDERGROUND &
SLOPE) ( 1 % SLOPE) ( 1 % SLOPE) NO GROUNDWATER FOUND OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK.
,
. woRK. SCALE 1 =2000 f
i
FOUNDATION 34' SEPTIC TANK 52' D' BOX 14' LEACHING 11. ANY UNSUITABLE MATERIAL ENCOUNTERED ASSESSORS MAP 268 PARCEL 267
FACILITY SHALL BE REMOVED 5' BENEATH AND AROUND THE
PROPOSED LEACHING FACILITY.
*THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL
UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS VARIANCES FOR SEPTIC SYSTEM REPAIRS WHICH MAY 12. EXISTING LEACHING FACILITY SHALL BE PUMPED
PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM BE IMMEDIATELY GRANTED BY THE BOARD OF AND REMOVED OR PUMPED AND FILLED WITH CLEAN
E E N D HEALTH AGENT OR BY HEALTH INSPECTOR SAND.
PAPERWORK AND HEARING REDUCTION PROPOSALS
APPROVED BY THE BOARD OF HEALTH REVISED
99- EXISTING CONTOUR DURING A PUBLIC .HEARING HELD ON DEC. 10, 2013
X 99.1 EXIST. SPOT ELEV.
1) ALL SYSTEMS THAT HAVE NO INCREASE IN
-[99]- PROPOSED CONTOUR FLOW SEPTIC SYSTEM COMPONENT TO
FOUNDATION SETBACK (NO MORE THAN 50% SYSTEM DESIGN.
198.41 PROPOSED SPOT EL.
REDUCTION IN REQUIRED SEPARATION DISTANCE)
TH1 GARBAGE DISPOSER IS NOT ALLOWED
TEST HOLE v 1
YYY
SLOPE OF GROUND EXISTING 4 BEDROOM DWELLING
2� �
DESIGN FLOW: 4 BEDROOMS @ 110 GPD = 440 GPD
UTILITY POLE
40 USE A 440 GPD DESIGN FLOW
yq FIRE .HYDRANT
NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING SEPTIC TANK: 440 GPD (2) = 880
N8372 USE A 1500 GAL. SEPTIC TANK
LEACHING:
TEST HOLE LOGS SIDES: 2(33.5 + 12.83) 2 (.74) = 137 GPD
ENGINEER: DANIEL E. -GONSALVES, SE #13587 LOT 48 BOTTOM 33.5 x 12.83 (.74) = 318 GPD
40 10,914 S.F. i
- -� TOTAL: 615 S.F. 455 GPD
WITNESS: DAVID STANTON, RS _ w
DATE: 11/18/16 DOT DRIVE o �, USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL)
PERC. RATE _ < 2 MIN/INCH XIS G ` 00 WITH 4' STONE ALL AROUND
G G W
CLASS I SOILS P# 15195 TES G _--
O
ELEV. 1 ELEV. AREA MA
Off O.O' " 4 41.0' 0 2 1 w 40 APPROVED DATE BOARD OF HEALTH
4 EXISTING a
A A o �' DWELLING 1 ° a
SL SL o J TOF = 41.7
10YR 3/1 e, 10YR 3/1 �G�O 4
7 B 1 o B 2 BENCHMARK: TITLE 5 SITE PLAN
SL SL CBDH ELEVATION OF
30" 10YR 5/6 37.5' 32�, 10YR 5/6 38.3' cO
OHE =41.6 NAVD8
131 DOLPHIN LANE
10.0
000 �"��'A � WEST HYANNISPORT, MA
HE p - �� DANIEL
C C 3 W ��N of Mqs /� A m�
PERc o 41 S83. 8 = , 3 ____ o �� sa°y (� O IALA �j PREPARED FOR
DANIELA. MONICA McCANN
-_x - 3H0--_-- 3 ■ OJALA A Nn. 0980
o � •P t
M/CS M/CS X -x �� 0 CIVIL Cn °"4FSS\0
sR .
ATeR�Q DATE: NOV. 29, 2016
10YR 7/4 10YR 7/4 T1 2� � � G �ss
RUDDER 1J c��
gyp, gssr � N OF"�As�� off 508-362-4541
°y `o`' DANIEL
�% I fax 508-362-9880
O fl° DANlELA. �m A. ���'` downcape.com
o OCIVIL % OJAL.A • •
126" 29.5' 126" 30.5' 46so2 q No.40980 down cape engineering, iac.
� o
>, °� o�STI;R �S\ . .z , civil engineers
NO GROUNDWATER ENCOUNTERED Scale: 1 = 20 -Lc SSroN�� Er a land surveyors
939 Main Street ( Rte 6A)
�l�L
�+L� # 16-366 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675
16-366