HomeMy WebLinkAbout0160 IRVING AVENUE - Health 160 Irving Ave
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FROM :down cape engineering .inc + FAX NO. :15083629880 Mar. 31 2009 02:04FN P2
Town of Barnstable
Regulatory Services
a Thomas F.Geiler,Director
* an�srAt�
a` Public Health Division
Thomas McKean,Director
200 Main Street,Hyann`c, MA.02601
Office: 5U8-862-4644 1 ax: 508-79U-6 1JI
Installer&Desi ner Certification Form_
T)atc: Sewage Permit# Z®®7�Z7i ZAssessor's Ma Ware•1 Oe �a
g p u.
Designer: �PW n We /.o Installer: or �!/� 8+►� c,.11��
Address: Address: l�l� 'lox p
Mfi
On 7107 4r A4`011'LL C-F/�w�g issued a,permit to install a
(date) (msfatler)
septic system,at !� U �Lv^✓� �(�. based on a design drawn by
(addrw
(designer) —_
I certify that the septic systc-n referenced above was iastalled substantially according to
the design, which may include minim approved changes such as lateral relocation of the
distribution box and/or septic tank.
T certify that the septic systen7 ,refore.oced above was installed with major Ounges (i.e.
greater than 10' lateral relocation of the SAS or w.iy vertical relocation of any component
of the septic system) but in accordance with.State & Local Regulations, Plan revision or.
Y g
certified as-built b dui ncr to Follow.
�
u. HA OF rq`
ARNE H
(Insta)Wis Signature) OJALA
CIVIL Ch
No. 3G792
(Desig a 's, ' afore} (Affix T)esigAier s Stamp Isere)
PLEASE RETURN TO BARNSTABLE PUBLIC: HFAL TH DIVISION. CEWFIFICATE OF
COMPLIANCE WILL NOT BE TSSUJ?;TI ITN1'1L BOTH THIS FORM AND AS-BUILT CARD ARE
'KU,CU4I.VEU BY THE BARNS'TAB1.E PITHT,JCHri,ALfil DIVISION. THANK YOU.
Q;Hcalt6/Scptic/Design l.cAification Form 3-2".doc
TOWN OF BARNSTABLE
LOCATION 0 SEWAGE 40017—rZZ,
VILLAGE ASSESSOR'S MAP&PARCEL
INSTALLERS NAME&PHONE NO. /►� 7�l �j�!�j'
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (size)
NO.OF BEDROOMS
OWNER
` PERMIT DATE: COMPLIANCE DATE: O
I 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) Feet
FURNISHED BY
a
LO
�.
„v r a
75-4
�o
No. c�'�J t Fee
t Entered in computer: �V
TNT COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE MASSACHUSETTS Yes
ftphratiou for �Digont 6pztem Cou5tructiou Permit
Application for a Permit to Construct( ) Repair/Upgrade( ) Abandon( ) Complete System ❑Individual Components
Location Address or Lot No. //� fv�?► a Owner's Name,Address,and Tel.No.
Z 8 7— ) 2-
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. 7 7�`—�/ /� Designer's Name,Address and Tel.No.
Type of Building: /
Dwelling No.of Bedrooms Lot Size cd sq.ft. Garbage Grinder
Other Type of Building r51' No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) d 0 gpd Design flow provided ?a Z gpd
Plan Date Z Z Number of sheets / Revision Date
Title
Size of Septic Tank /s—(�0 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 Certificate of
Compliance has been issued by this Boa of eal
Sign Date j1Z
Application Approved by Date O
Application Disapproved by:, Date
for the following reasons
Permit No. 0 7 Date Issued G T U
i
_-------------------------- --
'..ti%'"'.....-r�nu"y,.-... ... ... y� ,t, w-'-r� r-.i'�'�`1t.,.o . ;. -.«yw,r.r.:•�:.�v..-h•..:...i..-_.. .r
No. : t 4s �. �° Fee
`THEE CCMMO'NWEALTH OF MASSACHUSET S ?i ntered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE--NFASSACHUSETTS Yes
a apphration for Migogal �&pgtem Con6 ction Permit
Application for a`Permit to Construct O Repair(V) Upgrade O Abandon O L V1 Complete System ❑Individual Components
Location Addressor Lot No. /�? Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. 7 7/- t ! Designer's Name,Address and Tel.No.
6or�o�a
Type of Building: q/J
Dwelling No.of Bedrooms 6 Lot Size A �! 7 sq.ft. Garbage Grinder
Other Type of Building 4C?3., f tf° No.of Persons Showers( ) Cafeteria( )
Other Fixtures / -+y
Design Flow(min.required) IPO gpd Design flow provided r a gpd
Plan Date 5- Z Z 7 Number of sheets Revision Date
Title : 5/l `O4 0� /�G �.l v✓rlCi4G2' /Y- /l'/_r /
4 Size of Septic Tank /s-0� tf 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 Certificate of
Compliance has been:issued by this Board of eaallth•
Signed Date 12
Application Approved by Date y O
Application Disapproved by: Date ,
for the following reasons
Permit No. a Date Issued *c--YXU
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERT,,IDDFY,that the O -site Sewage Disposal System Constructed ( ) Repaired (V ) Upgraded ( )
r Abandoned( )byy-
at l�� LY 1CJ/h4r' 4Tl/�' has been constructed in accordance �
with the provisions of Title 5 and the for Disposal System Construction Permit No.
dated 5J
Installer '90 o 11 Designer G} /
#bedrooms n Approved design flow d gpd
The issuance of this permits all btt bye construed as a guarantee that the sy t mm will u`cft'on as designed.
Date ����(Y D Inspector
No. W� O` Fee �(J
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS
Mtgpont *pgtem Coon5trUction Permit
Permission is hereby granted to Construct ( ) Repair (✓ ) Upgrade ( ) Abandon ( )
System located at /�lI "
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty
to comply with Title S and the following local provisions or special conditions.
Provided: Construction must be ompleted within three years of the date of this pe '
Date _:�c�• /'�? Approved by
AsBuilt Page 1 of 1
TOWN OF BARNSTABLE
LOCATION /l4,0 .T� SEWAGE#,1004—Z-Z
VILLAGE ASSESSOR'S MAP&PARCEL 7 L
INSTALLERS NAME&PHONE NO. 1*5,G-r
SEPTIC TANK CAPACITY 4)Q0
LEACHING FACILITY:(type) 6— ,-, •G (size),
NO,OF BEDROOMS 4�
OWNER p
PERMIT DATE: COMPLIANCE DATE: 0�6
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom.of Leaching Facility Feet
Private Water Supply Well and Leaching Facility(If any yells 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
O�
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htt //iss 12/intranet/ ro data/ rebuilt.as x.ma ar=287072&se =l 3/26/2013
p� q P P P P � PP q—
TOWN OF BARNSTABLE
LOCATION o SEWAGE#.AO��47-ZzZ-
VILLAGE
ASSESSOR'S MAP&PARCEL �j�
INSTALLERS NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (size). /®,Y
NO.OF BEDROOMS
OWNER c
PERMIT DATE: --�/J 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)
Edge of Wetland and Leaching Facility(If any wetlands exist Feet
within 300 feet of leaching facility)
Feet
FURNISHED BY
I
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SYSTEM PROFILE NOTES
LEGEND TOP FNDN. AT EL. 20.7'
- ACCESS COVER TO WITHIN 6" OF FIN. GRADE TO
ACCESS COVER To WITHIN 3" OF FIN. GRADE
ACCESS COVER (WATERTIGHT) TO 1. DATUM IS APPROXIMATE NGYD
100.01 PROPOSED SPOT ELEVATION
WITHIN 6" OF FIN. GRADE roi ville Beach Rd.
20.0' MINIMUM .75' OF COVER OVER PRECAST /� 2X SLOPE REQUIRED OVER SYSTEM 21.0' 2. MUNICIPAL WATER IS EXISTING
1 00xO EXISTING SPOT ELEVATION { 2" DOUBLE WASHED PEASTONE " ae
RUN PIPE LEVEL OR GEOTEXTILE FABRIC 3. MINIMUM PIPE PITCH TO BE 1/8 PER FOOT. �a
1 PROPOSED -CONTOUR
. EXISTING __ FOR FIRST 2' P�e
,.
PROPOSED 1500 3 MAX. 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASH'O
100 EXISTING CONTOUR GALLON SEPTIC 18.19' H- 10
18.44' TANK (H- 10 ) p 18,0'
17.44 5. PIPE JOINTS TO BE MADE WATERTIGHT.
- FLE 17.61' _ 0000 0 DODO
LOCUS nus tt
rls�
17.2 0 0-0 0 C� 0 0 06. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MIN. (_2 X SLOPE) 6" CRUSHED STONE OR MECHANICAL 0000 [^] 0 0 0 000MPACTION. (15.221 [2]) 2' p p p p p p p p p o = MASS. ENVIRONMENTAL CODE TITLE V. rvmg Av
DEPTH OF FLOW 4= 1 X SLOPE) ( 1 X SLOPE) s
15.2
( 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO IS
TEE slzEs: 3/4" TO 1 1/2" DOUBLE WASHED STONE
= f Q
BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE.
INLET DEPTH
Nantucket
OUTLET DEPTH _ 14" 8. PIPE FOR SEPTIC SYSTEM TO SCH: 40-4" 'PVC.' I
Sound ,
17
FOUNDATION ' SEPTIC TANK 58' D' BOX 26'
LEACHING 5.9' 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED
FACILITY WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION -
OBTAINED FROM BOARD OF HEALTH. LOCUS MAP
10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING
DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION SCALE: 1 = 2,000
*THE INSTALLER SHALL VERIFY THE BOTTOM TH 2 EL. 9.3' OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO
LOCATIONS OF ALL UTILITIES. AND ALL
COMMENCEMENT OF WORK. ASSESSORS MAP 287 PARCEL 72
BUILDING SEWER OUTLETS AND ELEVATIONS
PRIOR TO INSTALLING ANY PORTION OF LOCUS IS WITHIN -FEMA FLOOD ZONE C
SEPTIC SYSTEM ' 11 EXISTING LEACHING FACILITY SHAD BE PUMPED AND
REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. AS SHOWN ON COMMUNITY PANEL #250001 0006 D
DATED JULY 2, 1992
12. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE
REMOVED 5' BENEATH° AND AROUND THE PROPOSED LOCUS IS WITHIN AP OVERLAY DISTRICT
LEACHING FACILITY.
a
TEST HOLE LOGS
ENGINEER.
DAVID FLAHERTY, R.S.
WITNESS: DONNA MIORANDI, R.S.
DATE: MAY 21, 2007
PERC. RATE _ < 2 MIN/INCH
CLASS I SOILS P# 11757
INSTALL 9'f OF 40 MIL POLY
x LINER WITHIN 1 V OF GARAGE
AS SHOWN vuN PER PLAN SYSTEM DESIGN:.
TOP EL: 1e.0. ELEV. ELEV.
BOTTOM EL 14.0' V REMOVAL OF UNSUITABLE SOIL „ 4 , ,
REQUIRED AROUND PERIMETER OF VARIANCES FOR SEPTIC SYSTEM REPAIRS WHICH MAY BE GARBAGE DISPOSER IS NOT ALLOWED 0 21.2 p" 20.8
LEACHING FACILITY. DOWN TO - A , A
SUITABLE SOIL LAYER. REPLACE IMMEDIATELY GRANTED BY THE HOARD OF HEALTH AGENT OR
WITH CLEAN MEDIUM SAND. DESIGN FLOW: 6 BEDROOMS ® 110 GPD = 660 GPD
BY HEALTH INSPECTOR - LS �LS
95.00' USE--A 660 GPD DESIGN FLOW 1OYR 4/2 10YR"'4/2
N PAPERWORK AND HEARING REDUCTION PROPOSALS APPROVED 12" 20 2' 12"
19.8'
_ BY THE BOARD OF HEALTH REVISED DURING- A -PUBLIC SEP11C TANK: 660-GPD (2) 1320 B
GARAGE o f o HEARING HELD ON NOVEMBER 13, 2005 = UNSUITABLE MATERIAL / j
O USE A 1500 GAL. SEPTIC TANK
(SLAB) o• , 1.-}.�. • LS S
2) FAILED SYSTEMS ONLY - SEF TIC SYSTEM COMPONENT-TO "
FOUNDATION SETBACK, IF AN IMPERVIOUS LINER IS DESIGNED'* LEACHING: 36" 10YR 5/6 18.2' 300 1 OYR• ` ,
m o AND INSTALLED. Y`
SIDES. 146 FT. (2) (.74) 216 GPD
1 - - C1
O r7 I 1014
656 S.F. (.74) = 485 GPD / C 1
z SILT LOAM _: 4 SIL ,OAM
TOTAL: 947 S.F. 701 GPD
10YR 5/6
84". 14.2' '
x 84' 1.3.8
USE (6) 500 GAL. LEACHING CHAMBERS (ACME OR
5' DIAM. BEECH TREES C2 C2
EQUAL) WITH 3' STONE AT SIDES, 3.5' AT ENDS PERC
CONFIGURED AS SHOWN- PER PLAN MS MS
BENCH :MARK - CORNER OF BOTTOM CAUTION:EXERCISE
BRICK STEP ELEVATION 20.2 20 EXTREME CARE 10YR 7/4 10YR 7/4
WORKING AROUND 132" 10.2' 138" 9.3'
VE ANY TREES -
DI EP APPROVED DATE BOARD OF HEALTH ' MA NO GROUNDWATER ENCOUNTERED
N 2
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IRVING AVE.0 EXISTING 6 BR 16O
/ •DWELLING
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OP 20 FNDN (H ANNISPORT) BARNSTABLE MA
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3/ PREPARED FOR
f DECK
BORTOLOTTI CONST. & E. J. JAXTIMER
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LOT AREA I FLOYD RESIDENCE
16,394t SF
;r 0.4t AC. DATE: MAY 22, 2007
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0 95.00' Scale:I"= 20'
GRANITE : 76
CURB
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off -5€38-362-4541
fax 508 362-9880
VA of.
DANIf_LA�, pia DANIEL
O,IA A w AOJALA y do wn cape engineering, inc.
CIVIL N(L40980
No,46502 P
Cl VIL ENGINEERS
&' �¢ Np U
w L A ND SUR VE YORS
DATE DANIEL A. OJALA, P.E., P.L.S. 9J9 Main Stree t - YARMOU THPOR T, MASS
IJCE #07- 104 _ - _
07-104 B0RT0_JAXTIMER_SP.DWG (DDF)