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Home My WebLink About0379 FALMOUTH ROAD/RTE 28 - Health 379 FALMOUTH RD. , HYANNIS i Town of Barnstable P# Department of Health,Safety,and Environmental Services �Im Public Health Division Date 367 Main Street,Hyannis MA 02601 BAMSCABLB, lfot�� Date Schedu ed ® / Time Fee 1 Soil itability'A'ssessment for Sewage Disposal Performed By: -✓ICq / S �2. ��C Witnessed By:cD-n,"i7 ct LOCATION& GENERAL INFORII�IATION Location Address / / �A� ��'ilJ,/ Owner's Name J'�e.rP Fros7fi% I ��I `V ��ff Address 379F4 /� 'q stirs ✓�'� BZ4-4 Assessor's Map/Parcel: a 2 Engineer's Name ei+q r, �� ESL,-a—C_ham' NEW CONSTRUCTION I REPAIR X Telephone# S�7 S -3 p 8 3//. Land Use 2 eS/�cr7 `T�t Slopes(%) l 74 Surface Stones Q Distances from: Open Water Body ft Possible Wet Area 2cim 4 ft Drinking Water Well 2" �f- ft e Drainage Ways ft Property Line �` ft Other 7 Z rTc'�-t �'✓Q��in' SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 2?no� 90, o0 v go 7- 3 i 7,, 0 I ti /22.4o (V `0 SC zi4. S� � 7, 7 V v` Parent material(geologic) Ic r'V e r^ Depth to Bedrock d 1�3 C 7e- ` Depth to Groundwater: Standing Water in Hole: A—-h-c. Weeping from Pit Face /L/-.j T Estimated Seasonal High Groundwater ?, DATE NAt T..N 't R SEASONAL GIT WAT It` A L Method Used. /� ... - -- Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well#.__. .Reading Date:.__ Index Well level.._ Adj.factor Adj.Groundwater Level P:+ACOLATION TES` ' nat �me Observation Hole# / Time at 9" Depth ofPerc 4 Time at 6" Start Pre-soak Time @ �I Time(9"-6") End Pre-soak /d•Z 2 0 Rate Min./Inch 2 A10 v / 7 Site Suitability Assessment: Site P I sed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back j Copy: Applicant DEEP OBSERVATION IIOIE LOG Depth from Soil Horizon' Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,% ravel ��< R saner V 7. 3vo 1 o a++1y 2 l3 man vc 8 C Y/Z Y, 9Y'4v e 4j L r3 .... _ ....... ........ ........ ........ .__..... ........... _ ........................__ _.......... ...... __ ............................................................................ .......... DEEP OSERVATION HOLE LOG Hole ... . Depth from Soil Horizon Soil Texture Soii Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,%Gravel s _ .. DEEP OBSERVATI01 HOLE LOG IIo a ....:<. __. ... ,, . Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,%Gravel 4 ' ^ f :. : ;DEEP OBSERVATION:HOLE LOG Hale# ;' _. . Depth from Soil Hoiii Soii Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling,, (Structure,Stones,Boulderes. Consistency,%Gravel 1 Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes 21 Within 500 year boundary No— Yes Within 100 year flood boundary No_ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? ye-s ` If not,what is the depth of naturally occurring pervious material? Certification I certify that on "r'°`' �! (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature Date 3 �� jTOWN ®OF BARNSTABLE o _ OCATION SEWAGE # 0-4 C! 'VILLAGE A V ar n 1 S ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. "� o.' Xd•r- �R--r- 8-7 SEPTIC TANK CAPACITY LEACHING FACIUM (type) �'- 02'� L j (size) 4.. NO.OF BEDROOMS 3 BUMDER OR OWNER Fd o 5 ! 1-1l lny PERMI I'DATE: , --9—. o-tr—a COMPLIANCE DATE: . Separation Distance Between the: Mlaximum Adjusted Groundwater Table and 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 a 7106bE.: DAV OU<L f � 0 I� '-. NO. •' z Fee $5%Ye THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: �o PUBLIC HEALTHDIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIpprcca�tion for Zigool *p5tem Conearuction Permit Application for a Permit to Construct( )Repair(X)Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 379 Falmouth Rd . , Hyannis Steve Frosthelm Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E . Robinson Septic Service P 0 Box 1089, Centerville Type of Building: Dwelling No.of Bedrooms 3 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 Type of S.A.S. Description of Soil Sand Nature of Repairs or Alterations(Answer when applicable) Title-5 septic system, consisting of H 20 Tank,-9 2n n_hnx and 2 H 2n nnnnratP 1pnch chamh_Pr5 with S .QnP ail 1 ar�niand 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 c f Title 5 of the Environmental Code and not to place the system in operation unt'l a Certifi- cate of Compliance has been issued by Os and of H lth- Signed i j Date ) ,�6-4-4 Application Approved by Date Application Disapproved for the fallowing reaso s Permit No. Date Issued i►a 'N / maw Via. Fee S THE;COMMONWEALTH OF MASSACHUSETTS Entered in computer: VY, PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE., MASSACHUSETTS ZfppYicationlor Migpozar *patent Construction Permit Application for a Permit to Construct( )Repair(X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address-and Tel.No. 379 Falmouth Rd.. , Hyannis Steve Frosthelm Assessor's Map/Parcel f Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service P 0 Box 1089, Centerville Type of Building: 1 Dwelling No.of Bedrooms _ Lot Size sq. ft. Garbage Grinder( ) Other Type ofj Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets o Revision Date Title Size of Septic Tank n of S.A.S. Description of Soil S4nd. —Type 1 + . Title-5 septic system, consisting Nature of Repairs or Alterations(Answer when applicable) g of H 20 Tank 20 n—box and , 2 H 20 conerPte 1Pa.oh chambPrG wit sto e around . Date last inspected: Agreement: The undersigned agrees.to ensure the construe pion aryd`\aintenance thfe dessbe9�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 Certifi- cate of Compliance has been issued by t is and f H Signed g Date T K-164--4 Application Approved by 44 Date s Application Disapproved for the following'�reas Permit No. 1 Date Issued j +————————————————————— t THE COMMONWEA TH OF MASSACHUSETTS Frosthelm B;ARNST#61-6, MASSACHUSETTS e,rttficate of Compliance THIS IS TO CERTIF ,that t)a On-site Sewa a Dis oral System.Constructed( )`Repaired(X )Upgraded( ) yWm.. E . Robihbon Septic ervice Abandoned 76 iaimouti Id.. , Hyannis ha n constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated i Installer Designer A— The issuance of t,!i771nit s13a not construed as a guarantee that the to willl function a, esiggA Date �) Inspector �1,4 �•' r i No. —� --------------------------Fee $50 THE COMMONWEALTH OF MASSACHUSETTS Frosthelm PUBLIC H ALTH DIVISION - BARNSTABLE., MASSACHUSETTS 30i�i polar *pe;tem Con.5truction Permit Permission is hereby granted to Clonstruct( )Repair(X )Upgrade( )Abandon( ) System located at 379 F41mouth Rd.. , Hyannis l l and as described in the above ApplIIication for Disp sal System ,6nstrnuction Permit.The applicant recognizes his/her duty to comply with Title 5 and the follov ing local provi464 of 4,) al cond'i ions.,✓'" r Provided:Construction mus be mp ted within three years of the date o I er1mitq Date: Approved by s- 116W NOTICE: This Form Is To Be I sed For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERNIff WITHOUT DESIGNED PLANS 1, William E . R o_b ins on,5 rnereby certify that the application for disposal works construction prrrut signed by'me concerning e dated 3 �°��'`"-'c" S the locat I d at 3 7 9 F a lmo ut h R d . _ meets all of the property vane,, s following critena: • The failed system is connected to a residential dwelling only. There are no commercial or business uses associa with the dwelling. The soil is classified as CLASS 1 and the percolation rate is less than or equal to S minutes per inch. There are no wetlands within 100 feet of the proposed septic system - There are no private wells within 150 feet of the proposed septic system There is no Increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom If the proposed leaching facility will not be located less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable) • If the S.A.S1 will be located with 250 feet of any vegetated wetlands,the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation, Please a :I lete the following: g A) Top of Ground Surface Elevation(cuing GIS information) B) G.W. Elevation +the MAX: High G.W. Adjustment _--- D1FFE I NCE BETWEEN A and B SIGNED : DATE: _ [Sketch pro, bed plan of system on back). y:health folder.cell \\\^\\\\\.] Y V �� ` �/ Vv` __a ----------- 7,— `7-77-7-- 7 7 -7 r 7 -7--,�.—'-77 7-1,77 ,77 7 7 �i NCBMARK: 'k TES OF FOUNDATIO BE SOIL N 20 Fr.MINIMUM FROM TEST DATE Of SOIL to Fr.m5mm FROM RAB OR CRAWL SPACE ELEV. to FT.IAND" 'ClLAIG R.SHOkT,-PJL CLEAN SAND SOIL TEST DONE BY (EXCEPT YARMOUTH) 4"PVC VENT PIPE IM{ CONCRETE PIN9 FLAT A D COVERS LOAM AM SEED GREEN OR BROWN ELEV.- OIBSERVATIONHOIE 4-SCHEDULE 40 PVC PIPE WITH CARBON ELM IS,- REQUIRED PERCOLATIONOATE �UWANCH MIN.PITCH i/r PER FT. Ar r LAYER OF liv,70 1/2*TWICE DEM NORM TExnmE COLOR MOTT. OTM WA SHF STONE 5-0 n FLEV. 7.<X,�c 6e" 6")LAX 61,),,LAX -2% CAST IRON Paw- TMAA ELEV OR EQUAL)MM" I INSTALL 40 ZABELFILTER /j SPEED LEVET 3 -MAX PITCH V4*PER Fr. FLOW LmiO TO BE ELEV. 10. RVIPMAS 98./7 ('A NECESSARY 0 0 C-3 =3 cm cm co BYLICENSED SLEV. 0 0 94,7,1' 21-00 co M m M LEVEL 0 M) c:3 0 0 PLUMBER CAS ELEV, EIEV- r=l c3l 240 BAFFLE 0 cm cm C3 cm c ELEV. DISTRIBUTION 5 00 GAL DRYWEIIS(OR EQUAL) BOX Wrm STONE IN A TO WATER TESTED OUTLET -1 FIRM BASE) IF MORE THAN ONE OUTLET -,A 2 TRENCH FoRmAnON �D= TEE (TO BE PLACID 01 4FEET 14 INCHES N MM BASE) WELL ^�/f WATER ENCOUNTERED AT ELEV. SFEET 19INCHES 1500 GALLON cm BE PLACED 0 SOIL ABSORPTION (\j ZONE7 - --- -- -fU 6 1' UINCHES 7 FEET 3/4"TO 11/2* INDEX 29DK3m SEPTIC TANK SYSTEM SAS 8 34 IN(3M TWICE WASHM STONE ADJUST INSTALLAMONN'OF ZADEL FILM IS LEGEND: DESIGN CALCULATIONS REQUUED _2::�RECOMMENDED USGS PROBABLE WATER TABLE ELEV.- EXISTING SPOT ELEVATION NUMBEROFBEDROOMS, 001p OBSERVED WATER TABLE }ELEV.- GARBAGE DISPOSAL UNIT NO SEWAGE DISPOSAL SYSTEM PROFILE BOTTOM OF TEST HOLRELEv. WALSPOTELEVATION FINAL CON TOTAL ESTIMATED FLOW NOT TO SCALE AF-- (110 GALJBRIDAY X�-3 BR.) GALJDAY- SOIL TEST LOCATION POLE vrIIriY -0- QUIRED SEPTIC TANK CAPACITY —230 GAL. TOWN WATER ACTUAL SIZE OF SEPTIC TANK :1500 GAL. SIN CATCH EA GAS LM SOIL CLASSIFICATION DESIGN PERCOLATION RATE 5 MIN./IN. EFFLUENT LOADING RATE 0.74 GAL./DAY/S.F. 477 SQ.Fr. LEACHING AREA Q,3'-x LEACHING CAPACITY(A EA R!W) 111AL.,(DAY 7 �77 Zf-2 GALJDAY RESERVE LEACHING CA CITY NOTES: 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E,P. TITLE 5 AND THE TOWN RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2. ALL COVERS TO SANITARYUNITS SHALL BE BROUGHT TO WITHIN 6"OF FINISHED GRADE. 3. ALL"COMPONENTS Ows F THE SANITARY SYSTEM SHALL BE CAPABLE OF sh UNDER OR WITHIN WITHSTANDING H-1 0 LOADING UNLESS THEY ARE -20 LOADING SHALL BE 10 Fr.OF DRIVES OR PARKING AREAS.H USED UNDER OR WITHIN 10 FF.OF DRIVESOR PARKING AREAS. 4. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL' BE MORTARED IN PLACE. 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS.OWNER APPLICANT IS TO RmrNAnoN FROM APPRopRiATE AUTHORITY.OBTAIN SUCH DETE G1 S. UTILITIES SHOWN ARE APPROXIMATE ONLY,EXCAVATION CONTRACTOR IS To CALL*Dro-sAFEm AT 1-888-344-7233 AT LEAST 72 HOURS SITE. PRIOR TO COMMENCING WORK ON 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS SITE CONDITIONS PRIORTO COMMENCING WORK ON smE,ANY VARIATION IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER I Afk� \t IMMEDIATELY. '8. PARCEL IS IN FLOOD ZONE 9. ' LOT IS SHOWN ON ASSESSORS MAP AS PARCEL"S EXISTING SANITARY DISPOSAL SYSTEM TO BE PUMPED AND 7- Z t� REMOVED OR FILLED IN WITH SAND I I ALL UNSUITABLE MATERIAL SHALL,BE REMOVED FROM UNDER, AND FOR A MIN3M OF 5 FEET FROM AROUND THE SOIL ABSORPTION SYSTEM,AND BE REPLACED WITH SAND AS SPECIFIED IN 310 CMR 15.255: X3 e4 e (3)(I.E.TITLE 5) Or �c P) APPROVED: BOARD OFj-,,,ALTH' A e A 5 A 4y DATE AGENT PROPOSED SEPTIC DESIGN FOR T .1 '10� 01 PROM-r,LOCT. ATION OCIA4 79- '5 ? 7- CRAIG R..SHORT�,P.E. , NP pROFEsSIONAL ENGINEER 'ROAD �P.O� BOX 1044 235 GREAT WESTE'RN 4, 8508 SOUTH DENNIS,�MASS- dt660 -39"311 0Z or SCAM DATE UAJC4,r ' F J-01B NO- WAy M REVISED REVE LOCATION MAP FEET /V/' "0 Cp-SHORT.PS- 80, TOWN OF BARNSTABLE LOCATION I'o Re SEWAGE # VILLAGE s ASSESSOR'S MAP & LOT r a INSTALLER'S NAME&PHONE NO. 110 AVISu f'- / �s'- SEPTIC TANK CAPACITY /56--o LEACHING FACILITY: (type) —,,q 0 (size) NO.OF BEDROOMS 'i / BUILDER OR OWNER F4:4 v 1 / c Ir., PERMTTDATE COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility, Feet i f 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 1� 0 t-v 1 I i 1 r