HomeMy WebLinkAbout0015 GLEN ROAD - Health 77
15 Glen`Roa'd.
A = 288 -026
Hyannis ✓ \
o o �
o
! o
+, o
j
r<°
,I
i
j ,
�- TOWN OF BARNSTABLE
LOCATION Lev SEWAGE# oLd 1
VILLAGE YV1V I S ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. h y!l SEA q7
SEPTIC TANK CAPACITY 15 P b GA L -
LEACHING FACILITY:(type) dYr��LL �A �d�Q S��Qjw (size) '3
NO.OF BEDROOMS,,/ q
j.. OWNER IYP K't ITV �v dL r L N T
PERMIT DATE: S ;_ G.. COMP.LIANCE;DATE: Zi
Separation Distance Between e:
Maximum Adjusted Groundwater Table to.the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility(If any wells exist on q�
r site or within 200 feet of leaching facility) /v 4 Feet
Edge of Wetland and Leaching Facility(If any wetlands'exist within
300 feet of leaching facility) Feet
FURNISHED BY Af
" iJ'
t,
�r
cd
"?V-
'4
7 Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ftphration for Nsposai 6pstem Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade(\/} Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No./�' Gz ew o Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel Z 07-4 OA1 iz/ 4/1P-ee <J )✓o e eLL W
Installer's Name,Address,and T .No. Designer's Name,Address,and Tel.No.
�nm5 �A�LE, $4V_h.&'& 5 AY . CX/te2 _P:�
Type of Building: ?
Dwelling No.of Bedrooms `J Lot Size sq.ft. Garbage Grinder( )
Other Type of Building �GyeC f 1f/L No.of Persons Z Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) — 330 gpd Design flow provided 3�0 gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank v0 Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) /"/GG ZAY Ce!-c
q±��W 1�V &*4 S/ 5-tWh'VY eb s 4,2 rc/ &O Stow e
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 th n ronmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board.
igne Date /`�'< tj2�� �-
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. CGOfC9- Date Issued �—
N - Fee
THE COMMONWE ALT�I}OOF MASSACHUSETTS Entered in computer: Yes
PUBLIC HEALTH DIVISION - TOWN 'OF BARNSTABLE, MASSACHUSETTS
application for Disposal pstem (Construction Vermit
Application for a Permit to Construct( ) Repair( )`-Upgrade( � Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.1 1, Lew Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel 2 OZ 4 N O 441,0,Qer c/'
Installer's Name,Address,and Tei.No. Designer's Name,Address,and Tel.No.
Type of Building: N , '
Dwelling No.of Bedrooms `Lot Size_ sq.ft. Garbage Grinder( )
Other `Type of Building �)GU r, -No.of Persons Z Showers( ) Cafeteria( ) �;
Other Fixtures
Design Flow(min.required) �_ y gpd ,`,Design flow provided gpd ;
Plan Date Number of sheeA, Revision Date
Title
t Size of Septic Tank / v0 jType of S.A.S. Z 14 t_dlA y 5741,,01fbj S
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) '41e
5-7w-z 4 et s %rip r�� ifro sto�V c
Date last inspected:
Agreement: "
The undersigned agrees to ensure the construction and mainienance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of th n ronmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board Hea
Tk
Date 2. Z,
Application Approved-byDate .Azj / Zk
Application Disapproved by Date
for the following reasons
�i Permit N
/0 -^--7� abate Issued �-
/
COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( &<_�Upgraded( )
Abandoned( )by t7_ A�.
at ' �j C a/�Q,., ;;has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. ellated
Installer ( �� Designer
#bedrooms Approved design flow 3 O gpd
The issuance of this permit shall not be construed as a guarantee that the system will fiction d
Date /�l,_ Inspector
t1
` /P�
No` P�---- � Fee UG . .._. _...
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Disposal 6pstem Construction 3dermit
Permission is hereby granted to Construct( ) Repair( 14_1� 'U'pgrade( ) Abandon( )
System located at � rj �p n � �{711 S
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 co m leted within three years of the date of A is permit.
Date /aw- r Approv� b�_
06/22/2012 12:31 5084775313 ENGINEERING WORKS PAGE 01
Town of Barnstable
Regulatory Services
Thomas F.Geiler,Director
l Public Health Division
" Thomas McKean,Director
ZOO Moin Street, Hyannfa KA 02601
Office: 509-9624644 Fax: $08-790-6304
Date: Sewage Permit# %51- Assessor's Mapiparcel 2$ ~ a U
Idler&Designer Certification Form
Designer: EF ,� r.�,�� War 4 s� 1 nc , Installer: IJcYwl.:-1
Address: 2 W. ��jam. f l� 2d. Address: ' U . .Y $ 7(o
Pr 1.
On, i ;-- yk^+^r ac�t was issued a permit to install a
(date) (installer)
septic system at Z 5- 6 ,*,% PDX wr► based on a design drawn by
(addrm)
dated s E L, i'
(designer)
,d 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. Stripout (if required) was inspected and the soils
were found satisfactory.
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 1 U' 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. Stripout(if required)wa cted and the soils
were found satisfactory. H OF
` PE" R T.
NkENTEE a
1 er's Signature) CIVIL
k0.35109 a
(Designer's Signature) (A esign )
PLEASE RETURN TO BARNSTABLE PUBLIC HFALTH DIVISION. CERTIFICATE
F CONOIJANCE WILL NOT BE ISSUED UNTIL 811THS F AS-
BUILT CARD ARE RECEIVED BY THE BWOSTABLE VIMUC HEALTH DIVISION.
INK YOU.
gAofflee formaldeWercvrhfio0jon form.doc
Town of]Barnstable P# 30 3
Department of Regulatory Services
.xart a Public Health Division Date
1679 {t$ 200 Main Street,Hyannis MA 02601
Date Scheduled ��� Time w Fee;Pd.
lD
Soil Suitability Assessment for wage .disposal
Performed By:
Witnessed By:•
LOCATION& GENERAL INFORMATION
Location Address /S Owner's Name 3"ON�/ A�vREW �OKE[L!I lL�� /CDR a G�c y AD R,6591-7y T,eurT
Address Q MAgr1N6,4C6 wl LEx1,Yc
Assessor's Map/Parcel: 2ml nets Engineer's Name
En ' 2 01yZi
. g dy +CJUKOSi�/
NEW CONSTRUCTION REPAIR ✓ • <<`' i�y�� ��G. I
_Telephone#
Land Use:.-. f46,� ( Slopes(`16) ' 'Z, Surface Stones.'
Distances from: Open Water Body�_n Possible Wet.Area 7 Zw ft Drinking Water Well��y ft
Drainage Way ft F Property Line; +/—t ft Other 1 ► •_ '
'ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands Ilia proximity to holes)
2 �
Parent material(geologic) ti Depth to Bedrock
Depth to Groundwater. Standing Water in Hole: [ 3 Z Weeping from Pit FAce Z• +
Estimated Seasonal High Groundwater -
DETERMINATION FOR SEASONAL HIGH WATER TABLE `
Method Used: ® �'
Depth Observed standing in obs.hole: In. Depth to soli mottles: E In. �^
Dcpth to weeping from side of obs,hole- In, Groundwater Adjuatment
Index Well# Reading Date:AI t^2 Index Well level Adj.fhctor? t_ Adj.Clroundwaten4v 1,,,,s, g, —I
03
PERCOLATIO_ N TEST bate— Thne � " �'
Observation iL
Hole# Time at 9"
Depth of Pero ` Z� 1. Time at G" p r
Start Pre-soak Time @ L Time(9"•0) _
rn
End Pre-soak
Rate Min./Inch
Site Suitability Assessment: Site Passed x 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:SEPTIC BRCFORMMOC
ZDEEP.OBSERVATION HOLE LOG Hole# 1
Depth from Soil Horizon Soil Texture .Sdil Color Soil• Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders•
!Consistency.96•Gravel)
l0Y►2Y/Z
b - 2 6 t,5 toy✓rslt
2 gz G, MS z•s7 /
- 94 �. �S Z•sYs/3
Y -►38 e-y iM 5 Z-sY-7/7 7, sytZ
DEEP OBSERVATION HOLE LOG Hole# Z
Depth from Solt Horizon Soil Texture Soil Color Soil Other
Surface(in.) •' (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,% e
to ya V/Z
C;Tti �s ?o slF
Zy 84-� 6 05 2,SY 7/
z.sy s
M 2 `t
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Omye
DEEP OBSERVATION HOLE LOG. Hole#
Depth from Soil Horizon Soil Texture Soil dolor' Sell Other
Surface(in.) (USDA) (Munsell) Mottling, (Structure,Stones.Boulders.
Ca si ten
t
Flood Insurance Rate Map:
Above 500 year flood boundary No_ Yes
Within 500 year boundary No 4 Yes '
Within 100 year flood boundary No.-ZL— Yes
Depth of Naturally Material
Naturall�OccurringPervious 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? E Z Y
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on f ��/ (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 tra ,expertise and experience described in�10 CMR 15.017.
Signature , Date
Q:1S.EPTICTERCF0RM.D0C
s _
jS �14�-P7
. o0
o
000 �. O
N 03
u
rwe n "
(�o o m
i v
--100-- EXISTING CONTOUR N Simmons �
x 100.98 EXISTING SPOT GRADE ® Pond m
I N
-W EXISTING WATER SERVICE
•� -G EXISTING GAS SERVICE
0.H.W.- OVERHEAD WIRES
ti /� `Z, (Uot C Smith Street
�9.08 G AV \ t9 TEST PIT
P BENCHMARK
/ PBBra LEGEND
x 98. .
LOCUS
93
,LrL 99.68 x
LOCUS MAP
12 + 24'-�� �•� NOT TO SCALE
r
-r-r-r-T--r- ��
_t--� --� --100
BENCHMARK SET EXISTING CESSPOOL
OUTS/DE BULKHEAD CORNER 1ao,00
EL.=100.82(ASSUMED DATUM) vv �x TP_1 �C'S� TO BE PUMPED, FILLED WITH GENERAL NOTES:
9 .85 / SAND AND ABANDONED
%
�® TP-2 x
CESSPDDL� -� (� 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE
LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER.
0 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
0 100.53 0` OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE
v! / x LOCAL RULES AND REGULATIONS.
SE� PROPOSED PTIC TANK
`t0.6 �.� 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR
w I I V.(#2) 100,48 k TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE
SPIKE + w 8.91 DESIGN ENGINEER.
N I0 100.82 INV. s G 0.00 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
QO o 98 100,6 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN
;O '0 100,60 ENGINEER BEFORE CONSTRUCTION CONTINUES.
I r- 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM.
An EXISTING �00.94 z 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
HOUSE(#15) THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
J
x HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
1100.60 DECK T.O.F.=101.65f 100.79 U,
ix J 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.
OC 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S.
i x 100'7 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS
100.92 100.94
AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE
I
100.80 DIRECTED BY THE APPROVING AUTHORITIES.100.65 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY
g LOT 17 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
:'' •I CONSTRUCTION.
100.25 I x M BLU 288-O26 x 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
I x 100.55 9431 S.F.f 100.52
-< G� IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND
REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3).
100.23 GSD100, 2 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE
I 00.21 L=90.00, INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL.
R=455.00' 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY.
100.11 14. ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC
OF 41%, 100.06 100.13 edge 100,08 of Pavement 100.06 SYSTEM COMPONENTS OR PIPING NOT SHOWN ON THE PLAN.
o� PETER T. ti� PROPOSED SEPTIC SYSTEM UPGRADE PLAN
M cENT
CNILEE N GLEN ROAD 15 GLEN ROAD HYANNIS, MA
No. 35109 Prepared for: Dennis Earle, P.O. Box 876, Sandwich, MA 02563
�O
R£G/SZ Q OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO.
SS/0 ENG� j GLEN ROAD REALTY TRUST 1"=20' P.T.M. 167-12
UP 0.00 BORELLA, ANDREW JOHN TR Engineering Works, Inc.
9 MARTINGALE ROAD 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO.
.51(L (-?/ LEXINGTON, MA 02421 (508) 477-5313 5/16/12 P.T.M. 1 Of 2
i _
NOTE: TO PREVENT BREAKOUT, THE PROPOSED i
FINISH GRADE SHALL NOT BE < EL.98.0
FORIA DISTANCE OF 15' AROUND THE ---'
SEPTIC TANK PROPOSED D-BOX PERIMETER OF THE S.A.S. ROPOSED
INSTALL RISERS & COVERS OVER INLET & INSTALL WATERTIGHT RISER & PROPOSED S.A.S A.S.
OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE INSTALL INSPECTION PORTS SET TO 3" OF FINISH 1� ___ __
T.O.F. GRADE & PLACE REBAR AGAINST CAP FOR LOCATING �-
(EXISTING) F.G. EL.=99.5t
F.G. EL.=100.5t F.G. EL.=99.5t
MAINTAIN 2% GRADE (MIN.) OVER S.A.S. 6
ODD
O S 2 '( AX.) , I O? 6'2 77�•
L 19' L = 8' 2 INSPECTION PORTS g•
4"SCH40 PVC ® S=1% (MIN.) ® S=1% (MIN.) (MINIMUM) 4
4"SCH40 PVC 4'SCH40 PVC
6" i
10 1 14" e" 8 TO
INV.=98.36 48" LIQUID INVERT ■o
LEVEL I
GAS BAFFLE INV.=97.92 PROPOSED INV.=97.75 4 ROWS OF 6 UNITS AT 4'/UNIT = 24.0'
Jw INV.=98.11 D-BO INv.=97.67 SOIL ABSORPTION SYSTEM (PROFILE EXISTING
PROPOSED SEPTIC TANK /HOUSE(#15)
ESTABLISH VEGETATIVE COVER
IINV.=98.96(#1) ' BACKFILL WITH CLEAN SAND DECK T.O.F.=101.65E
INV.=98.91(#2) (NATIVE OR PERC SAND S.A.S. LAYOUT
NOTES: BREAKOUT EL.= TOP OF CHAMBER
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE TOP OF CHAMBER EL.= 98.0 , :•' 16"
INVERTS, PRIOR TO INSTALLATION. INV.ELEV.= 97.67
2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND BOTTOM ELEV.= 97.00-
TRUE TO GRADE ON A MECHANICALLY 0 0 COMPACTED 2 83
SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN 5' MIN. ABOVE BOTTOM OF o °
310 CMR 15.221(2). T.P. EXCAVATION OR G.W. USE 4 ROWS OFFFE TIVE4NDTTH=11. INFILTRATOR CHAMBERS
3) INSTALL INLET & OUTLET TEES AS REQUIRED. ° ° ° SIDE VIEW
4) EFFLUENT FILTER TO BE INSTALLED ON OUTLET TEE ADJUSTED GROUNDWATER, TP EL: 91.7 WITH NO SEPARATION�BETWEEN EACH ROW & NO STONE
AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. TYPICAL SECTION
N.T.&
SEPTIC SYSTEM PROFILE I MAITERIALSTING SUITABLE 52„ INSPECTION PO "
-00
TOP VIEW
N.T.S. 34"
48" 8" INVERT
(EFFECTIVE LENGTH) END CAP
P/N: 04STDE
SOIL LOG ef' 99 S END VIEW
DATE: MAY 9, 2012 (REF#13,633) MULTIPORT END CAP
SOIL EVALUATOR: PETER McENTEE (SE#1542) SIDE VIEW NOMINAL CHAMBER SPECIFICATIONS
DESIGN CRITERIA WITNESS: DONALD DESMARAIS R.S.
HEALTH AGENT SIZE (W x L x H)............................34" x 48" x 12"
NUMBER OF BEDROOMS:3 BEDROOMS
ELEy. TP- 1 DEPTH ELEV. TP-2 DEPTH EFFECTIVE LEACHING AREA:
N
SOIL TEXTURAL CLASS: CLASS I
99.9 A LOAMY SAND 0 99'9 ? LOAMY SAND O BED.......................................................PER CODE
DESIGN PERCOLATION RATE: <2 MIN/IN 99.4
IOYR 4/2 6" 99•4 1OYR 4/2 6" TRENCH.................................................PER CODE
B B INVERT ELEVATION..............
34'
DAILY FLOW: 330 GPD LOAMY SAND LOAMY SAND FRONT VIEW STORAGE CAPACITY PER UNIT....................44.4 GAL
DESIGN FLOW: 330 GPD 1OYR 5/8 1OYR 5/8
s7.9 C1 24 97.9 C1 24 QUICK 4 STANDARD INFILTRATOR CHAMBER
GARBAGE GRINDER: NO PERC
PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY MED. SAND MED. SAND 24"/36"2.5Y 7/3 2.5Y 7/3 INFILTRATOR CHAMBERS
LEACHING AREA REQUIRED: 330 = 445.9 SF 93.1 C2 FINE SAND 82 92.7 C2 FINE SAND 86 N.T.S.
74 92.1 2.5Y 5 3 94" 91.7 C3 2.5Y 5 3 98rr PROPOSED SEPTIC SYSTEM UPGRADE PLAN
C3
USE 4 ROWS OF 6-QUICK4 STANDARD CHAMBER UNITS WITH NO MED. SAND MED. SAND
STONE FOR AN S.A.S. HAVING THE DIMENSIONS• 11 3' x 24 0' 2.5Y 7/3 2.5Y 7/3 15 GLEN ROAD, HYANNIS, MA
BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.73 SF/LF OF INFILTRATOR) 91.7 ADJ. G.W. - 91.7 ADJ. G.W. Prepared for: Dennis Earle, P.O. Box 876, Sandwich, MA 02563
6 UNITS/ROW AT 4' PER UNIT = 24.0 FT 88.9 STG. G.W. 4 132" 88•9 ISTG. G.W. 4 132"
4 ROWS x 24.0' x 4.73 SF/LF = 454.1 SF 88.4 138" 88.4 I 138" Engineering by: SCALE DRAWN JOB. NO.
STANDING G.W. AT EL.=88.9, INDEX WELL MIW-29, ZONE B Engineering Works, Inc. N.T.S. P.T.M. 167-12
DESIGN FLOW PROVIDED: 0.74 GPD/SF(454.1 SF) = 336.0 GPD WATER LEVEL=8.5 (APR 2012), ADJUSTMENT-2.8', ESTIMATED HIGH G.W., EL.=91.7 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO.
PERC RATE <2 MIN/IN. '("C" HORIZONS) (508) 477-5313 5/16/12 P.T.M. 2 Of 2