HomeMy WebLinkAbout0105 FRANKLIN AVENUE - Health 105 Franklin Ave
-
-- - - - A= 2924',273
i
i
I
i
I
F�
a
TOWN OF BARNSTABLE 2 '
LOCATION Zo S *Mo SEWAGE #
VILLAGE atA ASSESSOR'S MAP & LOT
INSTALLER'S N &PHONE NO. /�A �►
SEPTIC TANK,CAPACITY
LEACHING FACILITY: (type) 4CACIC 7'(size)
.'"`
NO. OF BEDROOMS—
BUILDER OR OWNER C.3`�
y
,PERMITD TE: COMPLIANCE DATE:
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 we'tlan�ds exist '
within 300 feet of leaching facility) Feet
Furnished by ` .
f
Cy
I
h
M
o
No. t3 1" . Fee loj �—
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:—LG
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ZIPPYication for �igpogal �&pgtem Congtructioa permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. / ; p Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel ' ZC[2 �i✓ir - �h/f „ 9
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
&ACY�s� S
Type of Bu Iding:
Dwelling No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder ( )
Other Type of Building 447u;e No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) ?30 gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank /DOO � Type of S.A.S. ZX
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) If
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and mainten e of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Co nd not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Healt .
Signed Date
Application Approved by It 1. Date Q
Application Disapproved by Date
for the following reasons
Permit No. Date Issued
a *ew
No. .0Fee ,UQTHE COMMONWEALTH OF MAS _ S,,BTTS Entered in computer: Yes
��
a PUBLIC HEALTH DIVISION - TOWN OF BARN STAB LE,AASSACHUSETTS
lication for Mid vial. item Cott�� � �p 5tructton Permit ,
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete Syste ❑Individual Components
--
Location Address or Lot No. /05 � �'i� Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel Z9'2 �Trl ' �(/� �y� ��� /�
r •! V
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
S
Type of BA ding:
Dwelling No.of Bedrooms � Lot Size sq. ft. Garbage Grinder ( )
Other Type of Building r'-boe— No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) _� �(l gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title ,
Size of Septic Tank /DOO �� Type of S.A.S:zX Q.�lCk' 61,?3
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) �(�
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintena ce of the afore described on-site sewage disposal system in
— accordance with the provisions of Title 5 of the Environmental Co end not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed Date
Application Approved by Date
Application Disapproved by:6K Date
for the following reasons
Permit No. Date Issued (oll el
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 g h-qe
at -e yK has been constructed
in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. 0 0�" ft 7 / / dated
Installer � n +11 rl��jZfl_ Designer
#bedrooms Approved design flow gpd
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
Date �n lq�— O Inspector
No. �[�"l "I . Fee 166 —•-- —
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS
lwitpoml i§pgmem Con$ ruction Permit
Permission is hereby granted to Construct ( ) Repair ( Upgrade ( ) Abandon ( )
System located at /0 5-- G
r
and as described in the above Application for Disposal System Construction Permit.The a licant recognizes his/her duty
to comply with Title 5 and the following local provisions or special conditions.
Provided: Constru tion st be completed within three years of the date of t is permit.
Date Approved by' 1�N;
Town of Barnstable
TIME 1pw Regulatory Services
O
Thomas F. Geiler, Director
+ BARNSTABLE,
9 MASS. Public Health Division
iG3q• �0
A'fo3�a Thomas McKean, Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date: 6/19/09
Designer: _Shay Environmental Services, Inc. Installer: Rodney Fisher
Address: P.O. Box 627 Address: 585 Kelley Street
East Falmouth, MA 02536 Harwich, MA
On 3/19/09 Rodney Fisher was issued a permit to install a
(date) (installer)
septic system at 105 Franklin Avenue, Hyannis, MA based on a design drawn by
(address)
Shay Environmental Services, Inc. dated 6/15/09
(designer)
XX 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 as-built by desi er to follow.
o� C�+RAAEN
( n 1 er's Sig t e) SHAY N
No. 1181
Fo►sje
j
SA NI TAR\P�
signer'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
1
Town of Barnstable P#
Department of Regulatory Services
Public Health Division Date d rl
200 Main Street,Hyannis MA 02601
�c
Date Scheduled \A a6_G Time f 0�l�"► Fee Pd. UC �
Soil Suitability Assessment for Sewage Disposal
Petfmned By: Witnessed By:
LOCATION& GENERAL INFORMATION
Location Address 'OS Ce Q o K Li n ,AO e' . Owner's Name �-a%► Z 1'�h1Cr�t,>
-} .AN tj 0 5 Address C.
Assessor's Map/Parcel:c� t 3 C� J h�
Engineer's Name
NEW CONSTRUCTION REPAIR Telephone#
Land Use S 1tlFn`t1 Slopes(%) Surface Stones
Distances from: Open Water Body pk_ft Possible Wet Area *ft Drinking Water WellT.A—ft
Drainage Way ft Property Line LLt ft Other ft
SIKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands to proximity to holes)
�QANicLlnt to-ur✓
Parent material(geologic) 0 y'r>.1A SW Depth to Bedrock
I lift
Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face
Estimated Seasonal High Groundwater I PA Q� 4ss__M�
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: in, Depth to Sol mottiea: in.
Depth to weeping from side of obs.hole: in, Groundwater Adjustment ft.
Index Well# Reading Date: Index Well level Adj.factor— Adj.droundwater Level ,9
PERCOLATION TEST bate Time J o:co
Observation
Hole# > Time at 9" O'
Depth of Perc "J�C — Time at 6" �
Start Pre-soak Time Time(9"-6") �n
End Pre-soak 1 O :pe
Rate MinJlnch M P
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN)
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:SEPCICIPERCFORM.DOC
DEEP.OBSERVATION HOLE LOG Hole# _
Depth from Soil Horizon Soil Texture .SdiI Color Soil Other
Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders.
Consistency,%'Gray
n
3�- e Cl a•sv, -4
��-►ac. H- scoff a.s.V�-/w
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,
Ake
�. DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders.
C i to 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 to
a
I '
i
I '
Flood Insurance Rate Man: /
Above 500 year flood boundary No_ Yes ._.✓___
Within 500 year boundary No Yes
Within 100 year flood boundary Noz 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?
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on X.( IM(date)I have passed the soil evaluator examination approved by the
Department of Environmental Pro ection and that the above analysis was performed by me consistent with .
the required trainin ,e pe se x 'ence described in 110 CUR 15.017.
Signature Date I 1.
Q-.\S.EPTlCTERCFORM.DOC
2-18" DIAM. ACCESS MANHOLES
VENT PIPE f0 Least 24 inches tall)-_
all) f F.. AT
*NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. Schedule 40 PVC w/Charcoal Odor Flit- 0' " '� •;.L >�.v� •y�•�',�I;"_�:' "
10' min. from ESTABLISHED VEGETATIVE COVERS . •nit X �y � } % "l '
Existing Foundation house to septic tank
D-BOX cover must be
Septic tank coven must be
TOP OF FOUNDATION ELEV. 100.00 p withtn 8 in. of finished nod•
�+ �:, 13°
within 6 in. of finished grade
9 - ,
Crude over Septic Tank- 99.00 Crude over D-Box- 99.00 de over SAS - 99.00 + ; ,•; °""^••
r
•.,..,..:•,:,, �,,, r D INLET
`(NATIVE
WITH LL CLEAN SAND �`
!♦° ':�.y .,. •�' , � , I':, l,C, •'+,. •^,. .,.: :•t'• :h+4►; + NATIVE OR PERC SAND) OU °' •w...
'�'. v ,ti 1,• ;1,a,.♦•��+•:'�", + ,,:,l.� ^t,,.t, •�,•,i.: t'?' � •1 1 ■ rnefte,
S::a-
0.02 A\
5 HOLE H-10 ';., I•y^••tii,•tie+'I'„ Iw,+'.tp'i.,44' 'L''' r." 'd ':''♦'N,,'.,, , + ♦ '�'" +� 'd. '"' • �•♦ �' �.r..r�++•tea.' �M ^•-' 1...-R
, r ,
I
TOP OF UNIT ELEVATION
i` THE ACCESS tT rA• r
S�0.01 IST. BOX 3' Maximum Cover ,, ',I .,' ,. . ♦ .,� �� '.r •,y'+ �•"' 't••'�..,,.. .,• a
EXISTING 0 96 25 •• '�,• ,.'.•" • ,;•, , •,•'',•• '� ,:,�• ': ", .�,.+,�r: .+'� ��;::'•
12 4' PVC(CAPPED)INSPECTION PORT TO BE •, ,.+ ;•.?v, : :.r t. '�'y� !. 'p .t^r .�•, r-•.,rs- -.�`' J .. wi�
SS COVERS FOR THE SEPTIC e
(, ..., .t :> ,:..•:.;,t•; �• �,•'�. +,•,, t DISTRIBUTION SEP C �..
EXIST, PIPE to ,, '•; B ON BOX AND LEACHING COMPONENT
IOOO GAL. $� INSTALLED AND TO 8E WITHIN e'OF GRADE +• ,n •," :' 7: ,, ,'t ', t I�, :,(,. , -'n,. �'r •,t: �T'i�.' SET DEEPER THAN 8 INCHES BELOW FINISHED �i 3Y y
SEPTIC TANK u4i to' per loot INV. ELEVATION - 96.00 a a' �, '^. ;4•"', FINISHED GRAD 6' OF l i ._ � `"•+r`
O.OI' + a'4 ' .ti•i.> GRADE SHALL BE RAISED TO WITHIN +• S 1�
FROM EXIST. FOUNDATION , d',, 1.''
S ,� tt� ;`,' ,ti t,y; i� ^„�• STEEL REINFORCED PRECAST CONCRETE a *. " '•• H
H-10 04 1 ' ^
CONCRETE WALK-our II or w■. 5 - ?' "' PLAN VIEW 3
rn A �• INSTALL TIJF-TITS GAS BAFFLES OREQUALS
°i BOTTOM ELEVATION 95.25 1A At+'
g
4) 8 In of 3/4'-1 1/2' d 3-24' REMOVABLE COVERS ■ ■�: "• F n R°" q"11
w compacted .tan. N • ',.' GENERAL NOT
c u 3i 4 VOWS OF a UNITS AT 4'/UNIT+ 2 END CAPS 2e.00'
5' MIN ABOVE BOTTOM OF 6 • ,,,•;,, , ;F. , . ,
Z SYSTEM PROFILE > _>c TEST PIT OR GROUND WATER 4 3 mill, clearance �`
EFF. WIDTH 12.70 \EXISTINGINLET B mT 2' min. inlet to outlet NOTES c ■ ' SUITABLE MATERIAL •1 tY INLLET"P '
Not to Scale Bottom of Test Hole 1 Elev.= 88.50 GROUNDWATER NOT OBSERVED - '- 1"""" °�min' OUTLET
8 In.of 3/4'-1 1/2' " gqu137svd- , 1. Contractor is responsible for Digsafe notification, VERIFICATION
compacted stone c GROUNDWATER NOT OBSERVED 0 126 'a•min �< < and protection of all underground utilities and pipes.
NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6' BELOW GRADE BOTTOM OF TP-1.: - 88.50 SOIL ABSORPTION SYSTEM (SECTION) 5 -r s§ ' 5' -7" 2. The septic tank onq distrl ution box shall be setp
ESHWT = NO GROUNDWATER OBSERVED 0 126" " E f ", 4'-0• min. level on 6" of 3/4 -1 1�2" stone.
INFILTATROR QUICK 4 (H-10 LOADING)/ GEORGE ❑'BRIEN ;; c o0'""' c• LIquid depth 3. Backfill should be clean sand or gravel with no
-1 „ t stones over 3" in size.
(OR EQUIVALENT) 4 '
Thi
s is system is subject to inspection during installation
'
NOTE: OVERALL HEIGHT OF INFILTRATOR IS 12' " •' 'r ^'• ''••• °`'' t^. 'ter•' " '• " '� by Carmen E. Shay - Environmental Services, Inc.
j a'-o• 4' -10• 5. The contractor shall install this system in accordance
CROSS SECTION END-SECTION with Title V of the Massachusetts state code, the approved plan
and Local Regulations.
6. If, during installation the contractor encounters any _
TYPICAL 1000 GALLON SEPTIC TANK soil conditions or site conditions that are different
NOT TO SCALE from those shown on the soil log or in our design
installation must halt & immediate notification be
made to Carmen E. Shay - Environmental Services, Inca
PERCOLATION TEST 7• No vehicle or heavy machinery shall drive over the
septic system unless noted as H-20 septic components.
8. Install Tuf-Tite gas baffles or equals on all outlet tee ends.
Date of Percolation Test: JUNE 12, 2009 9. All Distribution Lines shall be 4" diameter Sch. 40 NSF PVC pipes.
Test Performed By: CARMEN E. SHAY, R.S., C.S.E. 10. All solid piping, tees & fittings shall be 4" diameter
Results Witnessed By: DONALD DESMARAIS - Barnstable BOH
EXCAVATOR: Shay Env. Svcs. Schedule 40 NSF PVC pipes with water tight joints.
Percolation Rate: 2 MPI ® 36" 11. MUNICIPAL WATER IS AVAILABLE TO THE SITE and -Surrounding
Test Hole Test Hole Properties. NO PRIVATE WELLS WITHIN 150 FEET of PROPOSED SAS
No. 1 No. 2
N/F MASS HOUSING AUTHORITY DEPTH SOILS ELEV. DEPTH SOILS ELEV.
0 99.00 0 99.50 NOIF@
THE PROPERTY LINES ARE APPROXIMATE AND
Sandy Loom Sandy Loam COMPILED FROM THE PLAN BY DAVID H. GREENE, RLS
10 YR 3/2 10 TR 3/2 MA, ENTITLED "RE-SUBDIVISION PLAN OF LAND IN, HYANNIS; MA"
„ 0'-6" A. 98.50 0"-6' A. 98s0 DATED AUGUST of 1872, PLAN BOOK 260, PAGE 79
,.S' 15D 40 45 W Loamy Sand Loamy Sand AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN
100.00' IT SHOULD BE USED FOR NO PURPOSE OTHER THAN
10 YR 5/e 10 YR 5/e THE SEPTIC SYSTEM INSTALLATION.
6"- 38' B s 98.00 6'- 36' 8, 96.00
98------ ---------------------------------------------------------98 Mod-Coarse Mod-Coarse
Sand Sand NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE
2.5 Y 7/4 z5 Y 7/4 FROM THE EXISTING LEACH PIT TO BE DISPOSED
36'- 84' Ct 92.00 36"- 84 D, 92.00 OF AS PER BOARD OF HEALTH SPECIFICATIONS.
Medium Medium
Sand Sand LOT #103 EXISTING LEACH PIT TO BE PUMPED DRY &
j 2.5 r 7/4 2.5 Y a/4 FILLED IN PLACE
15,000 Square Feet t/- I 84"- 126 688.50 84" 126 G 88.50
ASSESSORS MAP 292 PARCEL 273
ZONING - RESIDENTIAL
Failed Depth
99----- ----------------------------------------------------------99 #to Perc: 36" to 54"
Pe LEACH PIT TEST HOLE #1 TEST HOLE #2 NO Groundwater Oblserved 0'126"
O ELEV.= 99.00 ELEV.= 99.00 MIW29/ZONE B - INDEX 7.9 for 4/14/09 g> ADJUSTMENT NONE NO WETLANDS ARE LOCATED WITHIN A 200' RADIUS
=
wri
v. _... -OF THE HE PROPERTY a,•.>
D-BoxLN
f,2 7' r
ALL OUTLET PIPES FROM THE
PROJECT BENCH MARK DISTRIBUTION BOX SHALL BE
EXIST. vent CONCRETE BASEMENT FLOOR
SET LEVEL FOR AT LEAST 2 FT. t2" CONCRETE COVER
1000 gal. ze Pipe d00= 100 ELEV. . '(Assume
Septic Tank - ) ': 6 - 5" OUTLET r; :,,....,.. ,,..}. 2" LEGEND :
LOT #fO4 ' ` _ KNOCKOUTS
.x. ._ ko •4. 12"
# 155• INLET88X0 DENOTES PROPOSED
DECK c - LOT f02 01J�T SPOT GRADE
j - o p i" s" I,,
't-
y •{ ' `''' 2 DENOTES EXISTING
15.5" x 104.461.75 SPOT GRADE
A ^ EXISTING 4' - SCH. 40 T
s BEDROOM PLAN-SECTION CROSS SECTION PL
HOUSE �________� PROPERTY LINE
#105 6 HOLE DISTRIBUTION BOX - PROPOSED CONTOUR
NOT TO SCALE
97-- - - - -97 EXISTING CONTOUR
a i i Design Calculations
®
EXIST. DEEP TEST HOLE &
I ..._�
I DRIVEWAY I
PERCOLATION TEST LOCATION
Number of Bedrooms: 3 Equivalent to 330 Gal./Day
I I Garbage Grinder. No
a I I
--__ --------------------------- __ _ I I _ Leaching Capacity Proposed: 330 Gal./Day Minimum (Min. Per Title V) FENCE
99-- - ,____-----T-------- - 99 Septic Tank : - 2 x 330 Gal./Day - 660 USE EXIST. 1,000 GAL. Septic Tank.
SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch PRIVATE DRINKING WATER WELL
100.00' I I Bottom Area: 0.74 gal/sq. ft. x 490.88 sq. ft. - 363.25 gallons
AP r AJ
Sidewall Area: NOT USED REVISIONS
N 15D 40' 45" E I I Providing: - 363.25 gallons
Use: 4 ROWS OF 6-OUICK4 STANDARD CHAMBER UNITS WITH NO
I N0. DATE: DEFINITION
STONE FOR AN SAS HAVING THE DIMENSIONS: 12.7' x 26.0'
FR.41 TK L_ 1v A TTE N V TE I
I Bottom Area: (General Use Approval for 4.72 SF/LF of.INFITRATOR
6 UNITS + 2 END CAPS per ROW = 26.0 FT
(40 FOOT RIGHT OF WAY) r', 4 ROWS x 26.0 x 4.72 SF/LF = 490.88
t� I DESIGN FLOW PROVIDED: 0.74(490.88 S.F.) 363.25 GPD
1------------------------------------------------- 1---------------------------------------
I
1
1 e
PROPOSED
PREPARED FOR .
I
,
SUBSURFACE
SEWAGE DISPOSAL SYSTEM
�t Q OF
3 I JOHN LANGO # 1 05 FRANKLIN AVENUE
LL I
DECK HYANNIS MA
L # 105 FRAN K LI N AVENUE
aF o o Kitchen HYANNIS M A 0 2 6 01
A I ago m m Dining _AA
�� PREPARED BY:
LLO ; - 0 ,�� ��N OF�
' Living N $G CARJIEYV E. ,SHA Y
Room
i o 0 E.
Bedroom Bedroom iAY ENVIRONAYENTAL SERVICES, INC.
0 20 40 50 A No. 1
�0 1 85 ASHUMET ROAD
^I 3 BR HOUSE FLOOR SCHEMATIC Fr �SzV--�
�� � (Description Provided By Owner) sTAR, MASHPEE, MA 02649
SCALE: 1 =20
TEL/FAX 508-539-7966
SCALE: 1 "=20' DRAWN BY: CES DATE: JUNE 16, 2009
PROJECT#SD-1145 ILENAME: SD1145PP.DWG SHEET 1 OF 1