HomeMy WebLinkAbout0028 FERNDALE ROAD - Health 28 Ferndale Rd
269-092 Hyannis
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TOWN OF BARNSTABLE
j y►C;ATION 4 L4%) SEWAGE # a6
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VILLAGE 17/wodd ASSESSOR'S /MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY /f'fee, L
LEACHING FACILITY: (type)-1~-,lI Aa-., r� (size) -,2.75"5L 1®.S-'x f,s
NO.OF BEDROOMS -3
BUILDER OR OWNER A UQZZ W'
PERMITDATE: "fir®T COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Welland 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 leachingfacility) Feet
Furnished by J��✓t/ t �t ��5� �-�ys
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No. -2 Q rS S s J Fee �QU
THE COMMONWEALTH OF MASSACWust TS Entered in computer: t/
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
0(ppfication for ;Migogar *pgtem Con9truction Vermit
Application for a Permit to Construct( , )Repair Upgrade( )Abandon( ) 11 Complete System + ttdividual Components
Location Address or Lot No. Owner's Name,Address and Tel.No.
Assess r' ap
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
/--
Type of Building:
Dwelling No.of Bedrooms Lot Size o sq.ft. Garbage Grinder(.. V
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date T /7 Number of sheets Revision Date
Title if s 1Q'A Z ,c��^�'� ! ks
Size of Septic Tank /040 mil'%� - Type of S.A.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 Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by this o do ealt
Signed Date 7/ZeleS
Application Approved by vw 12 Date 5 ui—
Application Disapproved for the following reasons
Permit No. �d°J Date Issued 7aJr °d
No. Fee /
. THE COMMONWEALTH OF MASSACHUSETTS. Entered in computer:
44 PUBLIC HEALTH DIVISION -TOWN OF BARNS TABLES MASSACHUSETTS Yes
ZIppYication for XNZP�ool,,-- potem Conoruction'Vermit
Application for a Permit to Construct( . )Repair(I,/)Upgrade( )Abandon( ) ❑Complete System Adividual Components
Location Address or Lot No. $ ��pi/`� J, 'Owner's Name,Address and Tel.No.
yp
Ass ssor' mapap/$
-
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Type of Building: .
Dwelling No.of Bedrooms .4 Lot Size sq.ft. Garbage Grinder'( �
Other Type of Building 7f e5jiOeO��eNo. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 730 gallons per day. Calculated daily flow ..3�s gallons.
Plan Date 7117/0,5 Number of sheets /, Revision Date
Title S sf / . ! z S' ,� ors, /� r�Y• ����� �� ,
Size of Septic Tank loon Rol /` Type of S.A.S.
Description of Soil f Z
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 Certifi-
cate of Compliance has been issued by this Boayd of- ealth.. _ // /
Signed Date 7l0.z G,S
Application Approved by Date
Application Disapproved for the following reasons
Permit No. a G° Date Issued 7 �S s
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of (Compliance
THIS IS TO CERT FY,that the On- 'te-Se ,age Disposal System Constructed ( ) Repaired ( )Upgraded( )
Abandoned(,Y)by 4 10
at ��� �� rot has been constructed in accordance
with the provisions of Tile`5 an the for isposal System Construction Permit No,a UdT'.�Vdated ��-' "
Installer '- / l Designer ��.
The issuance of this permit shall not be construed as a guarantee that the SL stem w'll f not on a designed.
Date Inspector
No. �t)d�— �--------------------- Fee /4
v
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
&.5pozat *p!5tem Cougtructiou permit
Permission is hereby grante to Construct( )iRepair( U-grade( )Abandon.( )
System located at
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{rust be completed within three years of the date oft is e it. p
Date: /I�S Approved b
---T- PP Y
FROM :down cape engineering inc FAX NO. :15083629880 Aug. 22 2005 11:15AM P2
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OLD SYSTEM
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KENNEL
NFW SYSTEM
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PORCII PATIO
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TF=36.2' U
1 L,OT' 97
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_ 05- 157
..........._............
PRFf'ARFF) FOR:
LOCATICIN : 28 FF,RNDALE ROAD BORTOLOTTI CONSTRUCTION/
(IIYA.NNIS) BARNSTABLE FRUZZETTI
SCALE. : 1" - 20' DATE : AUGUST 22, 2005
I�k:l LRENCE ASSRSSORS MAP 269 PCL 92 ': �cf` 0r MAS��
ARNE
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off 508 -362-45a1 " OJAL.A
fox 506 362 9e60 A No.
down Pepe engineering, .ine. I F
CIVIL FNC:I'IYI!!FvRS
1� LAND SURVEYOR
e3e main st, yar•mouth, ma CIAfE. REG. LAND SURVEYOR
FROM :down cape engineering inc FAX NO. :15083629880 Aug. 25 2005 09:34AM P1
Town of Barnstable
�TME Regulatory Services
Thomas F. Geiler,Director
B J Public Health Division
Fz6J Thomas McKean, Director
200 Main Street, Hyannis,MA 02601
Office: 509-862-4644 Fax: 508-790-6104
Installer & Designer Certification Form
Date: 1Gzf',0`' Sewage Permit# Z05— Amy Assessor's Map\Pa reel
�6 9�
Designer: W p W n Xnstaller: �U✓ 06/1
Address: Address:
q �Z�r+'��
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Y- 0z6 yr
> / 0 7S
Ott /Z-/ar 10/`/0/0el 619&/, was issued a permit to install a
(date) (installer)
septic system at c.V- F,,,A L _H etnr4., based on a design drawn by
(address)
Qr dated lJ �7 °����•
. (de finer)
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
bution 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.
OF MgS.
ARNE= H. �yG
OJALA
ZZ(Installer's Signature CIVIL N
No. 30792
ir SSA)MAC E<��
esigner s Signa ) (Affix Des s Stamp Here)
PL .AsE RETURN TO BAII.NSTABLE PUBLIC HEALTH DIVISION. CERTLFiCATE_ OF
COMPLIANCE WILL NOT Bf ISSUED [JNT11, BOT T�FOpM aKO AS-BUILT CARD 6RE
R CEIVED BY THE BARNSTABLE PUBLIC HEALTH DMSION. TH6NK YOU.
Q:Realth/Septic/Designer Certification Form 3-26-04.doc
TOWN OF BARNSTABLE
LOCATION 14 vA#oeoiS SEWAGE # 9 S`5$Z
VILLAGE 22 Q ae0-` );k[ LZO�k ASSESSOR'S MAP &LOT j-? 2
INSTALLER'S NAME&PHONE NO. 0 .d`l RcsUAMorJ -7 7 S-T7:L(,
SEPTIC TANK CAPACITY t oa��
LEACHING FACILITY: (type) -1 iasz,� (size)
NO.OF BEDROOMS
9URsW,R OR OWNER '���• -�
PERMIT DATE: f5 f S COMPLIANCE DATE:4
Separation Distance Between the:
Maximum 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
.,;.
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ASSESSORS MAP NO:., �
PARCEL N0: q_ .
No... Fxa.3.....��............
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
TOWN OF BARNSTABLE
Appliratiou for Di-npini al Workii Tout'itratrtiutt ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal
System at:
...2 8...F e rndP_l e.._FA.-----H r'axlnis............4 es-r_9--7----------------------------------
Location-Address or Lot No.
MrsE. Wright........................................................... .............••-------------.
Owner Address
a _W.E_.___Robinson-_-Septic___SerVice_______________ _P.O_..__Box...1 089...Centervil_le______•__,_,_,_,,,_,,,,___
Installer Address
d Type of Building Size Lot... ......... .........Sq. feet
U Dwelling—No. of Bedrooms---------------2---_-.-___--- - - .__..Expansion Attic ( ) Garbage Grinder ( lq 1
aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( )
a' Other fixtures ............................... . .
.flow Total daily
per da person per gallons n Flow .-.gal
Desig --------------------------------------------g p p py. y ---....._._-------__---_-_-------_--__._
W Ions.
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. I----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water----....................
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..--.................--.
---------------------------------------------------------------------------------------•---•--..............................................................
0 Description of Soil
.............sand......... ---------------------------------••----------•--------.
U ---------••••-----•----------------•-----•--•----------•---•-----------------------•----------------•---••-----......•---------------------------•.....•-•-•--------•--------------...------------._-•--
W ....................
---------------------------------------------------------------------------------------------------------------------------------------------------------------•......------
U and
r —bx pp Install -- stonepacked infiltrators
Natu e e atrs or Alterations—Answer when applicable.......................
-------------------------------------------------------------------------------------------•---•-•••--------•------------------------•---•-•--•------------------•-----•---------••-•---••----....------
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 been issued by t boar of health.
Signed ---- --- CIO
Dare
Application,Approved By ------------�. ___r� .......-...... .... -----.> ... ...
re
Application Disapproved for the following reasons: ........................'.........................................................................................................................
.......................... ...... .................... .. .. ..... .. ......_........ .. --........._.........__......... ........................................
gDa[e
PermitNo. ......../.,� 7.$- ----- -------------- Issued ......................................................--------------
Dare
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q Fps.30.00
No. �!•- :.._�. .............................
i !4
�aTHE COMMONWEALTH OF MASSACHUSETTS
BOA R-D OF HEALTH
,9TOWN'OF BARNSTABLE
�tiz
Appi ration for Vuripliml Wjarkt5 Tomitrnrtion rrrmit
Application is hereby made for a Permit to Coristr-uct ( ) or Repair (X) an Individual Sewage Disposal
System at: /28 Ferndale UD Ii.Y... ••.... . 1 5 ^•
---------•-•-------------------•-----------..............---••-.........----
Location-A'ddress or Lot No.
Mrs E. Wricrht
......................----------................................................................ ...-..............................................................................................
Owner Address
a W.E. Robinson_ Septic--_Service_______________ P.O_.---Box_-1.089__Centerville_-______
Installer Address
d Type of Building Size Lot... ......... ..........Sq. feet
0-4 Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (n j
aOther—Type of Building ----------- ---------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( )
Otherfixtures --------------------------------------------------------------------------------------- -------------------------------------------------------------
W 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 ( )
Percolation Test Results Performed by......................................................................... Date........................................
Test Pit No. I----------------minutes per inch Depth of Test Pit.--.-----.---- _..__ Depth to ground water........................
fi, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
P4 ---------- - .. ----------------------------------------------•---------------•-------------------.........................................................
O Description of Soil.............sand ,
U ----------------------------------------------------•--------------•--------
W ___ ___
x install 3 stonepackdd infiltrators
U Naridre d-b,8a rs or Alterations—Answer when applicable
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 theme .
system in operation until.a Certificate of Compliance has been issued by t boar of health.
Signed ---- --- - - L y I
r
----------
Application,Approved B +�� --------------------------- ----- -- .S
Application Disapproved for the following reasons- ------------------------------- ----------------------- ........................ ......................
-----------------------------------------------------------------------------_....-......-----.........-------------------------------------..............----...-...._------.__....-------- ----------------------------------------
Dam
PermitNo. ........ .t��...-..�....6.9-------------------------- Issued -- -----------------------------------
Dale
m® I
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
(IPr#ifirate of C�omplianre �<
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X)
bW F• Robin.son....Se-pti c .Servi-ce--------------------------------------------------------------------------..----------------- .--------.-.------
Y Installer
a --8Ferndale RdHyannist -- - ---- ------- ----------------------------------------------------------------------------------------------
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. ----75-------- F.-ss dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU- AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTIOAI_S,ATISFACTO^ RAY.
DATE---------25- -7--�-v'.- ... Inspector ....... .. -.............. _..
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH s
TOWN OF BARNSTABLE FEE 30..,.00. ..........
No.........�.. �-.. .. . . . .....
Ropnoat Workv Tonotru.rtion "rrmit
• W E. Robinson Septic Service.................................
Permission is hereby granted.... ------ ------ -----
to Construct ( ) or Repair ( X) an Individual Sewage Disposal System
at No.-----28 Ferndale...Rd.....Byann i.s--------------•--..----- ..----_-.-..-
Street �
as shown on the application for Disposal Works Construction Permit o./.��__"Z��.._. Dated..... ...r. ..g_.4.._........
......................................... Board of Health
FORM 36508 HOBBS R WARREN.INC..PUBLISHERS
j
d
TOP FNDN. AT EL. 36.2' SYSTEM PROFILE TEST HOLE LOGS
ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) PROVIDE INSPECTION PORT WITHIN
ACCESS COVER (WATERTIGHT) TO 6" OF FINISH GRADE' ENGINEER: LISA LYONS, RS cHECKEReERRY
/� MINIMUM .75' OF COVER OVER PRECAST /� WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 34.0' - 35.0' D. DEMERAIS, IRS
I ,
WITNESS:
2" DOUBLE WASHED PFASTONE 7/11/05 �-
EL. 32.6' RUN PIPE LEVEL �/ DATE:
L11
FOR FIRST 2' < 2 MIN INCH
EXIST►Nc 1000 31.17 PERC. RATE _ / PRINCESS PINE r
GALLON SEPTIC 31.2't* _ I 11038 Locus 3
�8 CLASS SOILS P#
TANK (H- 10 ) GAS _.._ 0 30.75 o W
x
(RE-USE) BAFFLE 31.0' �� 30.83' 0.58' FERNDaLE
CL
30.17'
6" CRUSHED STONE OR MECHANICAL
-A�yCE r
COMPACTION. (15,221 [2]) n ELEV. n
DEPTH OF FLOW = 4' ( 1 % SLOPE) ( 1 % SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED`STONE 0" V 37.0' p" V" 36.5'
TEE SIZES: A A
INLET DEPTH = 10" LS LS
'� LOCATION MAP NTS
ourLEr DEPTH = 14 3» 1OYR 3/3 4�. 1OYR 3/2
5.17 B g
FOUNDATION- EXIST. SEPTIC TANK 5' D' BOX 10' LEACHING
FACILITY LS LS ASSESSORS MAP 264 PARCEL 92
*THE INSTALLER SHALL VERIFY THE 21„ 10YR 4/6 35.25' 20" 10YR 4/6 34.8'
LOCATIONS OF ALL UTILITIES AND ALL
BUILDING SEWER OUTLETS AND ELEVATIONS
PRIOR TO INSTALLING ANY PORTION OF C C
SEPTIC SYSTEM !
25.0'
48PNV MS MS .
50
Fro
2.5Y 6/6 2.5Y 6/4
u; Q
of 3
IA-
0
o!
i
31.82 144 .,
25.0' 120 26.5,
NGWE NGWE NOTES:
33. 9 W
16.09 ry,� GARDE 4 p SEPTIC DESIGN: 1. DATUM IS _APPROX. NGVD
39.50 (Yj �� ,.. .:(GARBAGE' DISPOSER is NOT ALLOWED
.22
2. MUNICIPAL 'WATER IS EXISTING
KENNEL w o 31.62 DESIGN FLOW: 3 BEDROOMS (110 GPD) = 330 GPD
7.04 '
407.99 `� -- 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT.
' �9 USE 'A 330 GPD DESIGN , FLOW 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10
SHED TH1 ,10 BENCHMARK SEPTIC TANK: 330 GPD ( 2 ) = 660 5. PIPE• JOINTS TO BE MADE WATERTIGHT.
06 TH2 COR euL 1000 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS.
ELE
37.98 3.00 ELEV=35.5' USE A GALLON SEPTIC TANK (RE-USE EXISTING)
38.84 LEACHING:
ENVIRONMENTAL CODE TITLE V.
�A�• 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT
rk35.36 SIDES: N/A TO BE USED FOR ANY OTHER PURPOSE.
3 38.7 .93 -11 3 .17 ` -
`PATIO 1 31.83 BOTTOM:
22.75 X 20.5 (.74) - 345 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
w PORCH 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT
OD 37.6 5'S 3 ` , TOTAL: 466 S.F. 345 GPD INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED
. 7 . 7 USE 22.75' x 20.5' LEACH FIELD OF 3 ROWS OF 3
FROM BOARD OF HEALTH.
31.72 STANDARD INFILTRATORS EACH, WITH 3' STONE AT 10. PUMP & REMOVE FAILED SAS. REMOVE ANY CONTAMINATED
P� GAR SIDES AND BETWEEN ROWS AND 2' N SOIL WITHIN 5' OF NEW FACILITY AND REPLACE WITH CLEAN MED.
36.03 EXISTING '. AT ENDS SAND
G X DWELLING \
3 TF=36.2' `• O --
N 35.7 34. 5` CP
9 35.35 . � ( ". LEGEND
-�i5,48
cr TITLE 5 SITE PLAN
100.0 PROPOSED SPOT ELEVATION °F L 97
1 2,691 SF G 28 FERNDALE ROAD.
100x0 EXISTING SPOT ELEVATION
PAVE IN THE. TOWN OF:
DRI 5 w 3o.3s 100 PROPOSED CONTOUR
��� HYANNIS BARNSTABLE
)
0.11 100 EXISTING CONTOUR PREPARED FOR: BORTOLOTTI
1 ��-26.68
34.91 ; �°` 11000 _ --t CONSTRUCTION/FRUZZETTI
38.3 � � rij'� _ _ �`�`P�MEN
GUY �n � 4.23 ® .23EOG� o� P 20 0 20 40 60
WIRE _ �7L BOARD OF HEALTH
M
I _
- --34 7 i
' APPROVED DATE MA SCALE: 1" = 20' DATE: JULY 17, 2005
-, .27 E�
37.01 __---- S�'
^1 LE' pp off 508-362-4541
+3 .44 �E[�1`� � fax 508 362-9880
ZH OF ��iZ k OF MA4. c
down cape engineering, lnc. ° ARNE °� AO ALA ti
CIVIL ENGINEERS OJALA N civil N
No. 30792
LAND SURVEYORS.2 0�� o Isr ���<�``�p /
I 939 main st. yarmouth, ma 02675 N k
05- 57 A OJALA, P.E., S. DATE