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HomeMy WebLinkAbout0028 FOREST STREET - Health 28 Fordst.'Street Hyannis e TOWN OF BARNSTABLE LOCATION SEWAGE# 0200�-- 008 VILLAGE 6 ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. Cc pt wed r �'r�fZ y0LrF SEPTIC TANK CAPACITY /.100 /V-:u LEACHING FACILITY: (type) (/) &1 1I)l/rr (size) (di j)( NO. BEDROOMS / OWNER (9 eLa jr �eci/t PERMIT DATE: 10 o� COMPLIANCE DATE: Zo 0(::7 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility O B/ 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 1 Cie r c w Iz $ r � � No. 00 Fee (c THE COMMONWEALTH OF MASSACHUSETTS Entered;ncomputer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpfication for Misposar *pstem Construction permit Application for a Permit to Construct( ) Repair#,) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 18 f f m.-T 57r'ee.7 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel -2(p(o c i b Installer's Name,Address,and Tel.No. i coo t'+ „14 Designer's Name,Address,and Tel.No. j.ta'an7t.> Sp� ' y3 T2,a,,� 1e Type of Building: Dwelling No.of Bedrooms Lot Size 12IccG { sq.ft. Garbage Grinder( ) Other Type of Buildingr,�f ,(;�,,,.� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided y 7 gpd Plan Date 10 - ZO Or1 Number of sheets Revision Date Title Lszr Size of Septic Tank l.�"Uu eN C 4� -�� Type of S.A.S.�Z� SY QQ.3� -rqy-,Ic-Luo Description of Soil A Q Nature of Repairs or Alterations(Answer when applicable) 1 51�o 9-et. 71-� 7— 3n, ?� 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 of Hea Signe A Date (' l t{— Z,tse! Application Approved by Date !—t —D 7 Application Disapproved by Date for the following reasons Permit No. 0 0 ^ OC Date Issued ,r ..� -�--^':w.:;•.^-.t�.,y-aefWfhd".�,:<r�r�i ai*yaVt• °e�"-,i.\`.`z+..r..,w-�."-...�_a ; •^a":�y„•tSV:;n„ TAbv't;;Jiti;h•••+-i .:,�..., ..�,,.. m •, a r � 01 — 00 No. d 0 1 r' Fee THE.'COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes K. ftplication for 1§isposal Opstent Construction Permit Application for a Permit to Construct( ) RepairK) Upgrade( ) Abandon( ) [gComplete System l ❑Individual Components Location Address or Lot No. 51 5 e; Owner's Name,Address,and Tel.No. Assessor's Map/Parcel `- '2,(p(o o�� .. � Installer's Name,Address;and Tel.No. �? "�;PCs t� ,;,, Designer's Name,Address,and Tel.No. Cr Type of Building: } Dwelling No.of Bedrooms Lot Size 0 O - sq.ft. Garbage Grinder( ) Other Type of Building • ,' �,,, �-7 No.of Persons Showers( ) Cafeteria( ) r Other Fixtures Design Flow(min.required) L-1 14 0 gpd Design flow provided y 7 Ll gpd Plan Date Oct Number of sheets Revision Date Title i C + ,r Size of Septic Tank /u Type of S.A.S.K2 Q ` Description of Soil <9 o i Nature of Repairs or Alterations(Answer when applicable) r(. 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 B�Hea Signe Date Application Approved by Date Application Disapproved by U Date for the following reasons Permit No. Z 0 0 - 00 Date Issued - }L(- D - -------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance r' THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired ) Upgraded( ) Abandoned( )by r-4iL Lj at 7,� I�GJe ��rt.� i ;4• W-1)-,('�r`rhas been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No..Z 00 - dated -l y-Oq Installer ('fl�is��i Vyl �^ S [ Designer Cc b 1 #bedrooms �-� Approved design flow gpd The issuance of this pe sha t be nstrued as a guarantee that the system J�fu)n�ctionas/dy�esi�gJned. 0 Date �� Inspector Do-------- ------ = = = -==- - No. Fee av THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at p �b f e S i S—Ile i ) 1 nr, ,; (r„a r 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 completed within three years of the date of this perit�`` Date L - y - Approved by l� I own Ui Darnsl.al)ir ' f Regulatory Services Thomas F. Geiler, Director • snRrisr�s�: Mom' Public Health Division QED 't�' Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Designer: (� 11 t (IG Ivy�`'fZ �5 .Installer• Address: - T:. �1 . < _ Azlthess On - `{' 0`� ems . �� 2r ��S e 5 was issued a permit to install a (date). (instal er septic system at 2g POPE57 S7UET based on a design drawn by (address) NVID 0 (22U6HA1\-)0tk, dated cfh 10, (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 DAVID cyG� o D. ller's Sign e) COUGHANOWR N No. 1093 i (Designer's Signature) (Affix Designer's Stamp 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 l Town of Barnstable P# Department of Regulatory Services Public Health Division Date .as 20Q Main Street,Hyannis MA 02601 Date Scheduled Ti'mee Fee Pd. - Soil Suitability Assessment for Sewage D' osal �/ Performed By: "T 'D C6L)6 Y A Q QW_ Witnessed By; LOCATION & GENERAL INFORMATIO ENEWCOMrMUCTION 'L$ Owner's Name 4 e��d S 4✓1t,A.� 0�r AddressL 2 'T�h�5 2¢,,q t✓Gj �r,� arcel.• �101 d� / Engineer's Name ,-J, Lnj•(-t fp,_� , REPAIR ✓ Telephone# SD�S q Lg`-02 5 Land Use E> E i'({�/� Slopes(%) [ d1 Surface Stones V%b 11 e— Distances from: Open Water Body v _ft Possible Wet Area l�V�" ft Drinking Water Well l�o f-ft Drainage Way ® � ft Property Line I© t ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands In proximity to holes) A/ E 1 GROUNDWATER ADJUSTMENT EXISTING GROUNDWATER .LEVEL - -�-— ,Pz BASED ON TOWN OF BARNSTABLE ( j 'ellGIS DEPARTMENT RECORDS. �4 II INDICATED GW 4.00 INDEX .WELL MIW-29 ZONE A REEADING DATE NOV. 2008 READING 9.0 S �O/ ADJUSTMENT 2.2 T ��� ++ ADJUSTED GW 6.2 ` Parent material(geologic) r ro U O(A"A Depth to Bedrock d!n Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face e,kl� �T Estimated Seasonal High Groundwater �� o�bove DETEATION FOR SEASONAL HIGH WATER TABLE Method Used: S ee Cq 0 Ue— Depth Observed standing in obs.hole: in. Depth to soil mottles: Depth to weeping from side of obs.hole: in. Groundwater AdJustment it. Index Well# Reading Date: Index Well level s Adj,8lctor �- Adj.Oroundwater Level_ Observation PERCOLATION VEST bete i QTlme o Rm Hole# Time 8t 9" Depth of Perc Time at 6' Start Pre-soak Time @ �o � Time(9"-611) End Pre-soak Rate Min./Inch 2rn pi Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division - , Observation Hole Data•To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at.least one (1) week prior to beginning. Q:\.SEPTICVERCFORM.DOC i S O 1 L TEST- EOG DATE OF TEST: DAVID D. R 18. 2008 HAN APPROVED SOIL EVALUATOR: DAVID D. COUGHANOWR. &461 I WITNESSED BY: DONNA MIORANDI. HEALTH DEPT. PERC NUMBER: 12441 NO' NCOUNTETEST P I T� 1 PAARENOTUNDWATER MATERIAL: IPROGLACA LED OUTWASH - PERC AT 62 to - 2 MIN/INCH IN C SOILS ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER 1 25.65 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 1-- 0-6- FILL _ 6-12 Ap - LOAMY SAND 10 YR 4/4 NONE FRIABLE 22.65 12-36 B LOAMY SAND, 10 YR 5/6 NONE FRIABLE 36-138 _ C MEDIUM SAND « . 10 YR 5/4 NONE LOOSE 14.15 TEST PIT 2 GROUNDWATERNO .-PAARENT-MAATERI ENCOUNTERED L OUTWASH 2 MIN/INCH IN C SCILS ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER '25.15 (INCHES) HORIZON - TEXTURE (MUNSELL) MOTTLING ' { ' 0-4 _ FILL 4-10 Ap LOAMY SAND 10 YR 4/4 NONE FRIABLE 22.48 10-32 B LOAMY SAND 10 YR 5/6 NONE FRIABLE _ _ 32-138. C MEDIUM SAND " 10 YR 6/4 NONE LOOSE 13.65 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consi ten I Flood Insurance Rate Map: / Above 500 year flood boundary No— Yes .✓___ 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? es If not,what is the depth of naturally occurring pervious material? Certification I certify that on v0V wq_(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. jN of nffgss� Signature �. 9(� �.�i� Date b2 tQ to' o� DAVID yo �� o D. • " COUGHANOWR • `r0 CENS�� � QASEPrl10PERCFORM.DOC /4 E VA S PL0 SOILT I DATE OF TEST: DECEMBER 19. 2008 _ TEST LOG. APPROVED SOIL EVALUATOR: DAVID D. COUGHANOWR. #461 T DESIGN C f� L- C u L_ A T I O N S WITNESSED BY: DONNA MIORANDI. HEALTH DEP PERC NUMBER: 12441 DESIGN FLOW: 4 BEDROOMS X 110 GPO = 440 GPO TEST PIT l NO GROUNDWATER ENCOUNTERED I SEPTIC TANK: 440 GPD X 2 DAYS = B80 GALLONS PARENT MATERIAL: PROGLACIAL OUTWASH ' INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) PERC AT 62 to - 2 MIN/INCH IN C SOILS 1 DISTRIBUTION BOX: USE 3 OUTLET H-20 D-BOX. ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELU MOTTLING SOIL ABSORBTION SYSTEM: INSTALL 13 ADS HIGH CAPACITY BIODIFFUSERS (1600BD) 25.65 13 UNITS x 6.25 Ft / UNIT = 81.25 L.F. 0-6 FILL 61.25 L.F. x 7.90 S.F./L.F = 641.88 S.F. 6-12 Ap LOAMY SAND 10 YR 4/4 NONE FRIABLE 64LBB S.F x .74 G.P.D. / S.F. = 474.99 GPD 12-36 B LOAMY SAND 10 YR 5/6 NONE FRIABLE USE 13 HIGH CAPACITY BIODIFFUSERS AS CONFIGURED BELOW Vt = 474.99 GPD > 440 GPD REOUIRED 22.65 36-138 C MEDIUM SAND 10 YR 5/4 NONE LOOSE REFER TO DEP APPROVAL LETTER TRANSMITTAL u W000052 FOR CERTIFICATION 14.15 OF ADANCED DRAINAGE SYSTEMS BIODIFFUSER SYSTEMS. NO TEST PIT 2 PAARENOTU MATERIAL: PROGLACIRALD OUTWASH NOT TO 2 MIN/INCH IN C SOILS LEA CHI NG GA L L ER Y SCALE CONSTRUCTION DETAIL ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER USE ADS HIGH CAPACITY BIODIFFUSERS 1#16008D1. GRAVELLESS 25.15 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING INSTALLATION - USE DEP APPROVED INSTALLATION PROCEDURES. 0-4 FILL 37.50 Ft- 4-10 Ap LOAMY SAND 10 YR 4/4 NONE FRIABLE 10-32 B LOAMY SAND 10 YR 5/6 NONE FRIABLE ro 22.48 32-138 C MEDIUM SAND 10 YR 6/4 NONE LOOSE N 13.65 1500 GALLON SEPTIC TANK ui L. 4- DIMENSIONS AND DETAIL NO T TO USE SHOREY ST-1500-H-10 SCALE OR EOUIVALENT 43.75 Ft- INLET CENTER OUTLET - END COVER END TO 3INDROP CROSS SECTION VIEW -FLOW LINE FROM10 to 14 TO 2-61, 5 Ft- �ILDrN� to D-Box a USE H-20 48 ¢ RATED UNITS LEVEL BAFFLE LIQUID GAS 16 11.3 toEFFECTIVE DEPTH CROSS` SECTION VIEW 34 In (2.63 F0 68 1n (5.66 F0 34 1n 12.83 F0 NOTES 1) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. 2) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH GROUNDWATER ADJUSTMENT SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS EXISTING GROUNDWATER LEVEL SEWAGE DISPOSAL SYSTEM PLAN OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). BASED ON TOWN OF BARNSTABLE 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES GIS DEPARTMENT RECORDS. -TO SERVE EXISTING DWELLING BEFORE EXCAVATING FOR SYSTEM. INDICATED GW 4.00 5) EXISTING CESSPOOL IS TO BE PUMPED. COLLAPSED. AND FILLED. INDEX WELL M1W-29 GERALD F. SCANLAN ZONE A 28 FOREST STREET WEST HYANNISPORT. MA 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE. READING DATE NOV. 2006 71 ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES READING 90 EEO-TECH ENVIRONMENTAL AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK. ADJUSTED GW 2..2 B) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT r 43 TRIANGLE CIRCLE SANDWICH MA 02563 PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. ETE-30601 JANIJARY 10. 2009 1 12121 f Z N O T[2�'S ` CONTOURS DN LE BEACH ROAD x INSTALLER MAY CHOOSE TO MOVE EXISTING - - - - - - - 50 LLo CD Of VENT PIPE TO A DIFFERENT LOCATION. / �� FINAL 50 0fm� mw<a ANY UNSUITABLE SOILS ENCOUNTERED > + N o z IN THE SOUTHERN END OF THE PROPOSED �� m oo} -1<o LEACHING GALLERY ARE TO BE REMOVED / cmcncn m omm FOR FIVE LATERAL FEET DOWN TO THE CLEAN / �w �; MEDIUM SAND STRATUM AND REPLACED WITHWa GARBAGE GRINDER >a CLEAN MEDIUM SAND PER TITLE 5.ANY ADDITIONAL SEWER LINES NOT I � e IS NOT ALLOWED LOCUS N w WITH THIS DESIGN. WEST HYANNISPORT. MA SHOWN ON THIS PLAN ARE TO IN '� G� \ �`\ PIPED INTO EXISTING SEWER LINE m LOCUS INSIDE DWELLING OR PIPED INTO r tt '9 IuIIIIIIIIIiIIiliililllll SEPTIC TANK ON OUSIDE OF O Illuuuuuuuuuu, DWELLING. SEPTIC TANK MAY NOT TO SCALE Z Illluuulluuuuu"' w BE LOWERED UP TO 2 FEET {! Z Illrltlllllllllll i (� cr �a owu' (n TO ACOMMODATE / \ EQ >w u- IIIIIIIIIiIIIIIIIIIIIiIII j GRAVITY FLOW. 27\// QRII/F�y \ �, LEGEND W= w uuunillllllllpp Z �y W J� \ \ ��9 J V Ntrrr nunuIIIIIIIIIIIII I--I LL / \ \ Z ?aa IIIIIIIIIIIIIIIIIIIIIIIIi = Wo / IIIIIIIIIIIIIIIIIIIIIIiIiI U J J 26 / \ { DTS -114-116 / 300 SEPTIC GALLON >e , Illlluuuuuuumw �\ \ SEPTIC TANK Z m Illlllluuunuunnu < < A A = 12.000 sf+- , I5-P Y29 WW N < w�U- = Ll1 in IIIIIIIIiIIIIIilllillllll 25EXISTINGw 12-P CESSPOOL �' IIIIIIIIIIIIiIIiIIIIIIIIII (0 uJ 24 UTILITY POLE $ Illllllllllllllluuuw � �� Illllumlllllluuum \ w W (� IIIIIIIIII IIIIIIiIIIIIiII LEACHING GALLERY / TP- f % TEST PIT ® H-20 p e X 0 m m SEE DETAIL ON / \� / / D-BOX N N REVERSE Z W \ \� DECIDUOUS CONIFEROUS Wz m (o v ' C j TREE Oo TREE e C.,J z Q 26 C74b 12-M 12-P \O s = VENT ffss �� f \ -NUMBER REFERS TO DIAMETER IN INCHES. LETTER DENOTES TYPE. to O u Q PIPE (/� ^� , O �'Jl'(' ' X O-DAh' f°I-MAPLE P-PINE C-CEDAR zw Q� CD Un m V V Cp� /m / S� SSyc ZH OF IygSS e �02 DAVID yG`n DAVIDX �cyas COUGHANOWR D. N W � \\ / STN C�OUGHNA5NEO WpR � ./, o N 2) V EI 0O4ICEaIn /ST gNI 23 26v ��P ? J < 0 WA TER O O �(n� m J WA TER \ ;� 24 J �� SEWAGE DISPOSAL SYSTEM PLAN 3 < C �J Z 0- 0 CDm W —� � �� / / �� �� -TO SERVE EXISTING DWELLING I.ry /� / EST. GERALD F. SCANL_AN m � � a OWNERS OF RECORD z + CD F)L AN D / 1995 �- 28 FOREST STREET 0 CO m SCALE. 1 �n = 20 F L HYANNIS. MA LL ��ON PROPERTY ADDRESS N ap m 20 0 20 40 ASSESSORS MAP 266 PARCEL 18 71O J �' BENCH MARK 43 TRIANGLE CIRCLE 0- W N N m 0 10 -20 SANDWICH MA 02563 PLAN BOOK 34 PAGE 23 0 PAINT SPOT ON 508 364-0694 DATE: JANUARY 10. 2009 CONCRETE STEP ELEVATION = 27.16 JOB #ETE-3080 PAGE I OF 2 VERSION: IL11_ BARNSTABLE GIS DATUM THIS PLAN IS BASED ON AN INSTRUMENT SURVEY AND IS INTENDED SOLELY FOR INSTALLATION OF THE PROPOSED SEPTIC SYSTEM DEPICTED HEREON. FOR ANY OTHER CHANGES TO PROPERTY INCLUDING PLACEMENT OF ADDITIONS. SHEDS. FENCES OR SWIMMING POOLS, OWNER SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR.