HomeMy WebLinkAbout0084 HAMPSHIRE AVENUE - Health 84 HAMPSHIRE AVENUE
HYANNIS
A=291 - 135
TOWN OF BARNSTABLE
LOCATION SEWAGE#
VILLAGE ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO.
i
SEPTIC TANK CAPACITY ( ;SbO , QO N c
t
LEACHING FACILITY: (type) dn (size)
c. +
NO.OF BEDROOMS
OWNER t .
PERMIT DATE: ( 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 wetlands exist within
300 feet of leaching facility) R ��' Feet
FURNISHED BY
.s
-4
CFO
" .
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4
No. Zoe-Z `l Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer.
Yes
PUBLIC.HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ZippliLation for Vspo4al *#stem Construction permit
Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) Complete System ❑Individual Components
Location Address or Lot No. �4 �S��� �v e Owner's Name,Address,and Tel.No. -
Assessor's Map/Parcel 1
�os,h►5 �v G�xx'C� �5T�-1
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
CRr-MciJ 2)-hAf0'
Type of Building: .
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(
Other Type of Building Ij No.of Persons Showers( Cafeteria
Other Fixtures Lf�►J r -T-o -,' r r_f+cn� �s i.\bE _A r1�Je`�
Design Flow(min.required) ` )30 gpd Design flow provided t') 8 gpd
Plan Date i� - I _[ 9 Number of sheets Revision Date
Title �1"ct3PtsS,e C US ►`n l�n�=�O C2
Size of Septic Tank 1600 Type of S.A.S. — 1 C�:�Chi?5 3a.5
Description of Soil P1CX�
Nature of Repairs or Alterations(Answer when applicable) X-4-�zZ. CA
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 Enviro ental de d oft lace the system in operation until a Certificate of
Compliance has been issued by this Bo Healt
Si d Date t4
Application Approved by Date 7C9 /
Application Disapproved by Date
for the following reasons
Permit No. s Date Issued A7 1(e
,i'''k''t.—, nt..3c,,,,, ° `r.. �.�.�'.^.�..' T��''''��-r* I'a 'Y; .:.. n:."�*r �i,,;,�wn..�''k '�^ "P .t°' syy�} "fat�.,�...+..N �.f -�*-.,M. + �•�..yHq.
No. 16—Z` 1 - �'`- Fee /W.
` Entered in computer: LOOOO
THE COMMONWEALTH OF�MASSACHUS'ETTS .. _ Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
RpPfitation for Dispo "pstem Construction Permit
Application for a Permit td Construct( ) Repair( ;Upgrade.( ) Abandon( ) Complete System . ❑Individual Components
Location Address or Lot No. g �c���h�� A,�,e Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
C A +•meter SN 11'.e cR?.Mco SNWNY
Type of Building:
Dwelling No.of Bedrooms Lot Size , 0(,.) sq.ft. Garbage Grinder
Other Type of Building 1� No.of Persons ca Showers(�✓) Cafeteria
Other Fixtures L P,J►a^t r, '. r Y r at E rJ S,r.1 K !_,4 Oh l tJf2`!
Design Flow(min.required) gpd Design flow provided ,�� Jt ,Jr- gpd
Plan Date R- - 1 Number of sheets Revision Date
Title C SU,a�
' 3
Size of Septic Tank 0 J�"t70 Type of S.A.S. o� ' TC-e�Ci>-e ,�S 1 .5)( x2
Description of Soil � �Q -Nb C>Nc",
Nature of Repairs or Alterations(Answer when applicable) 4 -xv
t
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 Environmen�talli ode d not to-place the system in operation until a Certificate of
Compliance has been issued by this Board of Health _
Si 'd f Date
Application Approved by 6i ) Date �G� /�'
Application Disapproved by Date
for the following reason
Permit No. — o J( � Date Issued /
------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(K) Upgraded( )
Abandoned( )by iC 1 �n U. SZJ S Gfu-r v
__. at. A- has been constructed in accordance I
with the provisions of Title 5 and the for Disposal System Construction Permit NoCY 18 dated �/�►
Installer _C '+�C O� Designer
#bedrooms Approved design flow 3c� gpd
The issuance of this permit shall not be construed as a guarantee that the system will fi(tpWon as/d/esigned.
Date / ?// Ins ector )`, ,O ) ,,.�=� � �
p
1 ! ' � -�a.- V� a
-----------------------------------------------------------------------------------------------------__-----------------------------
No. ~�� / Fee 109
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS
Disposal *pstem Construction Permit
Permission is hereby granted to Construct( ) Repair () Upgrade( ) Abandon( )
System located at g4 V\A mP`S 5a\2.E N.,Q hoe-
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:Constru tion must be completed within three years of the date of this permit.
. Date � ZP-1,01 A Approved by
t r
Town of Barnstable
.�tHE Regulatory Services
Richard,V. Scali,Interim Director
• sAHNWABLK
MASS. Public Health Division
039. �e
1°rFn Hu►+° Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer& Designer Certification Form
Date: Sewage Permit# Assessor's Map\Parcel/
Designer: Installer:
Address: 't + ® ` C 1 Address: +
Ste °
On was issued a permit to install a
(date) (installer)
septic system at based on a design drawn by
(address)
dated
(designer) 0.
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. Strip out (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 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. Strip out(if required) was inspected and the soils
were found satisfactory.
I ce ify th the system referenced above was constructed in corn liance with the terms
o th ov I etters(if applicable)
OF M
L
C,
r �
is i ture)
\ No
D er' ignature) (Affix Designe " '
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:\Septic\Designer Certification Form Rev 8-14-13.doc
tart r`\ o
Town of Barnstable P#
Department of Regulatory Services
Public Health Division Date
n� 2 200 Main Street,Hyannis MA 02601
Date Scheduled 3 1 Time ID Fee Pd. J ® �
SoVS *t Nli Assessment for Sewage Disposal
Performed By: '� Q Witnessed By: � -) /ae jm0.\z\`S
LOCATION&GENERAL INFORMATION
Location Address Owner's Name�t
`T I1 �y� LCj
Address
Assessor's Map/Parcel: ,^ ��.w � Engineer's Name C „QQ�
NEW CONSTRUCTION REPAIR Telephone# v
Land Use Q 1 C.SKS�)M Ck Slopes(%) ��.{� Surface Stones / •'1'
Distances from: Open Water Body 1V 1 Y�m ft Possible Wet Area N 1 1'T R Drinking Water—Well/-
ft Pro r 1— ,/
Drainage Way Property _L�ft Other /V ft
SKETCH:(Street mume,dimensions of lot,exact locations of test holes&pero tests,locate wetlands in proximity to holes)
'X11PS�t�
Parent material(geologic)_ iJ�(k \ Depth to Bedrock
Depth to Groundwater:Standing Water in Hole: I y Weeping from Pit Face
i�11I
Estimated Seasonal Aigb Groundwater \.,
DETERMINATION FOR SEASONAL HIGH WATER TABLE1
---
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 Adi.factor Adj.Groundwater Level_
PERCOLATION TEST Date tn. _c:!�
Observation 1 -- ------- — - -
Hole# \ Time at 9"
1t
Depth of Pere Time at 6" i D'•i
Start Pre-soak Time Q l0 e(-.,V Time(9"-6')
End Prc-soak ,0•" 02,
Rate MinAnch
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:\SEVnC\PERCFOFMDOC
DEEP OBSERVATION HOLE LOG Hole#
Depth fmm Soil Horizon Soil Texture Soil Color Soil Other
Surface(m.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders.
/�Consistency.%Gravel)
O�Q3 /T
1
a C
ol
__ _.
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil - Other
.Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,.Boulders.
Consistenc %Gravel
e- A
VAc.e.�
- Y osR
a o c
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.
Consistency.%Gravel)
Flood Insurance Rate Map: 1/
Above 500 year flood boundary No_/ Yes "
Within 500 year boundary No V . Yes
Within 100 year flood boundary No Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious`m,a�terial 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? te�
Certification
I certify that on b l (date)I have passed the soil evaluator examination approved by the
Department of Emir ec' n d that the above analysis was performed by me consistent with
the required training, rti eri described in 310 CUR 15.017. Q
Signature Date
e
Q:ISEPTICIPERCF'ORMDOC
GENERAL NOTES
11 1. Contractor is responsible for Digsafe notification, Verification of Utilities
Bedroom and protection of all underground utilities. and pipes.
Bedroom Bedroom 2. The septic tank a q, distri ution box shaft be set "
Bath r, level on 6" of 34;-1 1 p2" stone.
3. Backfill should be' clean sand or gravel with no
Bath GARAGE stones over 3" in size.
4. This system is subject to inspection during installation
Kitchen PROJECT BENCH MARK - by Carmen E. Shay - Environmental Services, Inc.
Living Room TOP OF FOUNDATION 1 5. The contractor shall install this system in accordance
Dining ,� � l�'-F 1 !V LJF with Title V of the Massachusetts state code, the approved plan
ELEV. = 100.00 (ASSUMED) and Local Regulations.
(40 FOOT RIGHT OF WAY) 6. If, during installation the contractor encounters any
3 BR 1 Story HOUSE-(Provided by Owner) soil conditions or site conditions that are different
/ ------1 from those shown on the soil log or in our design
1a \ i
96 nstallation must halt & immediate notification be
/ -}1 N 41D 10- 00" 1W made to Carmen E. Shay - Environmental Services, Inc.
7. No vehicle or heavy machinery shall drive over the
/ ' septic system unless noted as H-20 septic components.i fps ` ASPHALT 80.91 DRIVEWAY 8. Install Tut-Tito gas baffles or equals on all outlet tee ends.
3' ! INSPECTION 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes.
LOT #135 ' VENT PORT 10, All solid piping, tees & fittings shall be 4" diameter
�, 8,900 Square Fee +/- PIPE Schedule 40 NSF PVC pipes with water tight joints.
11. Municipal Water is Connected to ALL OF The Residence and Abutting
C ' I Properties Within 150 Feet.
TEST HOLE #1
ELEV.= 98.00 THE PROPERTY LINES ARE APPROXIMATE AND
f 25 COMPILED FROM THE SURVEY PLAN BY BEARSE & KELLOG ENGINEERS
o NEW ENTITLED: "SUBDIVISION PLAN OF LAND IN HYANNIS, MA" PLAN #14034A
c 1500 GALLON DATED JUNE 4, 1962
SEPTIC TANK AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN
22.5' 3 HOLE -H 10
LeF�U,�e• ' � IT SHOULD BE USED FOR NO PURPOSE OTHER THAN
UPa 0 iiD-BOX THE SEPTIC SYSTEM INSTALLATION.
3 BEDROOM 0 i5' EXISTING SAS TO BE PUMPED OUT AND REMOVED
NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE
HOUSE
1 0 + FROM THE EXISTING SAS TO BE DISPOSED
-• full foundation FAILED OF AS PER BOARD OF HEALTH SPECIFICATIONS.
#84 CESSPOOL REVISED: AUGUST 24, 2018 PER BOH
i 7
l , C.1�
PLOT PLAN
O ` TEST HOLE # O
SUFFOLK AVE -n 'tft� ` EXISTING ELEV.= 98.00� OF PROPOSED SEPTIC SYSTEM UPGRADE
' O
-} ASPHALT GARAGE 5' PREPARED FOR
Site DRI AY
,95. co co RICHARD COSTA
AT
W o V 79.91 84 HAMPSHIRE AVENUE
w `L 1�, Ph N 41D 10' 00" W ASSESSORS MAP 291 LOT 135
'
q '
HYANNIS MA
0- CID
PREPARED BY:
O
CA.RHEW E. SHAY
u
ENVIRONMENTAL SERVICES
P.O. Box 1576
BEARSES WAY — —
SAivl�a� MASHPEE, MA 02649
0 20 40 50 TEL/FAX 508-294-7498
r [::SCALE:LOCUS MAP 1 "=20' DRAWN BY: CES DATE: AUG 1 , 2018
PROJECT#84 HAMPSHIRE FILENAME:84 HAMPSHIRE SHEET 1 OF 2
- b
'NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C.
VENT PIPE (0 Least 24 Inches tall)
10' min. from
Grade over Septic Tank — WOO Schedule 40 PVC w/Charcoal Odor Filter
Existing Foundation house to septic tank Provide Risers if necessary LEACH TRENCHES CROSS—SECTION (2 TOTALS
to brang Septic tank covers 0—BOX cover must must have riser and be
TOP OF FOUNDATION ELEV.100.00 g within 6 In. of }ore" grade Finish Grade = Elev 98.00
, within 8" of finished grade Bade over 0—Box —9800 �
i 4' PVC (CAPPED)INSPECTION PORT TO BE
4`PVC(CAPPED)INSPECTION PORT TO BE INSTALLED AND TO BE VATHIN 3" OF GRADE
INSTALLED-AND TO BE t1ATHIN 3'OF GR
S m 3 1'__T-P
Of System ELEV. 95.00
0.02OIST. BOX _0•ty
S=,0.01 or Cr a S�.00s
Gre
ater S 0.01 or Greater 10, NEW 4"Perforated P.V.C. —1/6—i/2• Wadied Stone Or Approved FONT Fabrlo
1
rXIST. PIPE v7 1500 GAL. 10' pp /e•-/2•
FROM EXIST. FOUNDATION N SEPTIC TANK O n 5' O 4 4' Invert Elev.@94.32 Y�ed Pea Stone
�A 3/4—1fs Vdoahed Stone Or Approved Few FaWoor/
2' min
,� Bottom of Leach Facility Elev.= 92.32 +
M Gee Baffle rn 32.5' taT
CONCRETE FULL II H-lD p 11 D Note: AO leach Ikxro to be Capped at ends w/PVC cape. V PROVIDED
11 4'-1 1/2'Wash"stone
m 79
8 In.of 3/4'—t 1/2` S —Sa y Bottom of Teat Hole 2 Elev.=87.00
0 compacted stone ; d LEACH TRENCH aempocted etoae
(2 TOTAL) orated SCH 40 P.K0.pbe
Z — — — C
6 In.of 3/4"-1 1/2" NOT TO SCALE
compacted stone NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE
2 FOOT EFFECTIVE DEPTH FOR tsACHINa 7I83101
NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE SYSTEM PROFILE
Not to Scale
3-24"DIAM. ACCESS MANHOLES TYPICAL 1500 GALLON SEPTIC TANK PERCOLATION TEST _ALL OUTLET PIPES FROM THE
DISTRIBUTION 10' —6• SET LEVEL MROAT LEASTx SHALL B2 FT. 12
CONCRETE COVER
• .,..,.. , .,�.,...,;;�:, Date of Percolation Tests i JULY31, 2018 P#15739 ,._ .•
NOT TO SCALE Test Performed B CARMEN E. SHAY, R.S. C.S.E. KNOCKOUTS
4 I : 10 Results Witnessed By. DONALD DESMARAIS jBARNSTABLE BOH) _ _,�` I
'" (H- 10 LOADING) EXCAVATOR: Shay Env. Svcs. as• OUTLET t2` INLET
INLET Percolation Rate: Less Than 2 MPI ® 36" r ;' 6'
INLETOUT ET a
THE ACCESS COVERS FOR THE SEPTIC TANK, tss`
•,J P:, Test Hole Test Hole a" - scH. ao Te „s•
,. DISTRIBUTION BOX AND LEACHING COMPONENT
'�{ 4 „r �, ,, T— SHALL BE RAISED TO WITHIN 6" OF No. 1 No. 2 PLAN SECTION CROSS—SECTION
,"�;�.. ... .•..., .:..;•. FINISHED GRADE.
DEPTH SOILS ELEV. DEPTH SOILS ELEV.
STEEL REINFORCED PRECAST CONCRETE INSTALL TUF—TITE GAS BAFFLES OR EQUALS 0 98.00 0 98.00 3 HOLE H-10 DISTRIBUTION BOX
PLAN VIEW ON ALL OUTLET TEE ENDS Loamy Loamy
3-24•REMOVABLE COVERS-� REVISED: AUGUST 24, 2018 PER BOH
10 YR 3/2 10 YR 3/2
0"- 6" pb 97.50 0"- 6" fb 97.50
: : . . . ..� 4` P SOT P LAN
s min'clearance 13. wLEr Loamy Loamy
INLET "JT8`min 2"min. Inlet to autbt 6- Sand Sand
INLE 10•, 4Lr�"vel T1a OUTLET 10 YR 5/6 10 YR S/6
s• _,- - § � U s -r 6"-36" ,� 6-- 36 Ap OF PROPOSED SEPTIC SYSTEM UPGRADE
' }}}7E,,,` ��" `• 4'-0* sane sceftd PREPARED FOR
25Y7/4 2•3Y7/4 RICHARD COSTA
w..-. . .,.....,:' <' •` .S ': . ...•.`i 36"-132" C, 87.00 36"— 132 C, 87.00
r: AT
CROSSG SECTION END—SECTION 84 HAM P S H I R E AVENUE
ASSESSORS MAP 291 LOT 135
*A'o. HYAN N I S MA
Design Calculations /
Number of Bedrooms: 3 Equivalent to 330 Gal./Day (330 Gal./Day min per Title V) >�{fir h1A
Garbage Grinder: No ✓ �"y''� a PREPARED BY:
LeachingCapacity Proposed: 330 Gal. s `
P Y P Gal./Day Minimum NEW
(Min. Per Title V) � �� E. ���
Septic Tank - 2 x330 Gal./Day = 660 USE NEW 1,500 GAL. Septic Tank.. �) «. � Cr
SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch Perc #1 1 �
Proposed Leaching Trench Dimensions: 2 TRENCH TOTAL-3' Wide by 32.5' Long by 2' Depth Depth to Perc: 42 to 60 � "' ` ENVIRONMENTAL SERVICES
Perc Rate= 2 MP..I
Bottom Area Square Footage: 3' x 32.5 =97.5 sq ft x 2 trenches=195 sq ft Groundwater Not Observed P.O. BOX 1576
:,cy r
Sldewall Area Square Footage: 2' x 32.5 =65 sq ft x 4 sidewalls(2 per trench)=260 sq ft No Observed ESHWT ;R =4�r;f,•� .� MASHPEE, MA 02649
END Area Square Footage: 3' x 2 =6 sq ft x 2 trenches=12 sq ft ADJUSTED H2O Elev. = None
LOADING RATE: Use: 2 TRENCH -32.51 by VW x 2'D EACH
TEL FAX 508-294-7498
Bottom Area: 0.74 gal/sq. ft. x 195 sq. ft. = 144.30 gallons , SCALE: N/A SHEET 2 DRAWN BY: CES DATE: AUG 1 , 2018
Sidewali Plus END Area: 0.74 gal./sq. ft. x 272 sq. ft. = 201.28 gallons �PROJECT#84 Hampshire FILENAME:84 Ham shire SHEET 2 OF 2
�, Providing: = 345.58 gallons p p