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HomeMy WebLinkAbout0027 JENNIFER LANE - Health °27 Jennifer Lane Hyannis: A= 270-125. s r a n v e v ° o TOWN OF BARNSTABLE LOCATION ' 2 J e�►h;TP La-•-Q- SEWAGE# 0 Z 22� VILLAGE T,.,,� $ ASSESSOR'S MAP&PARCELZ` Q -I ZE INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY `�� LEACHING FACILITY:(type) Z'.x�i2 fire- ��' (size)2X ' ��S` V 1 NO.OF BEDROOMS 3- OWNER � QIa �fQk� l� {PERMIT DATE: �` `I��- COMPLIANCE DATE: —� Z Separation Distance Between the: 4 lzp•'iA 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 '� `�. W .. � �� �� r � � N � � � �� w .� . � � . . � ,. � . 3 � � -. .� . , . �s� .� 3 L- No. 'Pot �- 2 l Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION e TOWN OF BARNSTABLE, MASSACHUSETTS ftplitatlon for -Mispoear *pstrm Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. L nni Owner's Name,Address, d Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. 6-off 77 0/77 Designer's Name,Address,and Tel.No. 1 0lC %� f Type of Building: Dwelling No.of Bedrooms �� Lot Size 7 2!J sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures qs 2/l Design Flow(min.required) ?j /t] gpd Design flow provided 3 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) S`Qe 7pLQc vt 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 Environm al Cod nd not to a the system in operation until a Certificate of Compliance has been issued by this Board o alth. /� /� Signed Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. )_G Date Issued No. ;��' '� r. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISIONS„-:�T,��Q,WN OF BARNSTABLE, MASSACHUSETTS yes application for Misposaf *pstem Construction 3permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components I Location Address or Lot No. d t°NN/ ,fir /)o Owner's Name,Address,and Tel.No. I-1 low[s Assessor's Map/Parcel 1 Installer's Name,Address,and Tel.Now. -5O&{y77 0/77 Designer's�Name,Address,and Tel.No. ` IM &Z�a i Type of Building: j t Dwelling •No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No'.of Persons Showers( ) Cafeteria( ) ;?,Other Fixtures t' Design Flow(min.required) . 33(9 gpd Design flow provided 3 gpd Plan Date Number of sheets Revision Date ° Title ° I{ Size of Septic Tank.` Type of S.A.S. Description of Soil 1�I I Nature of Repairs or Alterations(Answer when applicable) Date last inspected: fi Agreement:) ' The undersigned agrees to ensure thcbnstruction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Ehvironme al Code d not to �e the system in operation until a Certificate of Compliance has been issued by this Board of lth. --� Signed Date 411 Application Approved by Date —� Application Disapproved by Date for the following reasons Permit No. d ' /' ^ Date Issued I ------------------ ------------- = -- ------- ---------- ----------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewa a Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by at ,:Z 1_\.10c 14 t�PC has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 2 01 - 15 dated Installer Ze �x �,�, Ins Designer #bedrooms _� Approved design flow 3 L( S gpd The issuance of this permit sh 1 not be c /nstrued as a guarantee that the systemw,*rl'M-n-cli esi ned. Date Inspector — ----- - ------------ -------------- ----- ----------------------------------------------- -----------------------------/-�-- No. 0C Fee 'THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS ` Misposal 6pstem Construction 3permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at 27 '14ym►F"(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 permi . Date f iS. I Approved by Town of Barnstable � E Regulatory Services Thomas F.Geiler,Director NAM Public Health Division °1 Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: 7 2,1 /,2— Sewage Permit# ­140_ —22s Assessor's Map\Parcel 1 /i?S Designer: �fT /i�S�QC/G17f�s Installer: 17-Atf/S Gye'oe/Qfl Address: 3Z A��61 Address: gl J%PG 7AQ'� On 7 "/9 '!Z— ,!' vf/5 e�—X,2;k * Vas issued a permit to install a (date) ? (installer) septic system at � -7 `/COA,4 l/ lV a based on a design drawn by (address) dated (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 certified as-built by designer to follow. OF 44ASS,�v�, , AMY n VON HONE (Ins aller s Signature) o ; t#1068�o . s�'VITAA�P Z (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:Heal th/Septic/Designer Certification Form 3-26-04.doc i ` Town of Barnstable. P# 12 Department oL Regtilatory SeMces $ Pablic Heal&Division Date NAM 200 Main Street;Hyaaais MA 02,601 A. I i Date Scheduled l® t` i Time Fee Pd. 0� Foil Suitability Assessmeint for Sewage Disposal ./•gy; m L lldk d) le•S Y Perftmd1 Witnessed B Te_ � LOCATION& GENERAL INFORMATION I�cation Address'. Ownees Name gw-elk Go%a5114 D�a 57 �H,/,tom'//k �o a b�2- Address 130'e 3, C 1� • Assessor's Mapftcek 70//Z Engineer's Name �-��- MM CONSTRUtEN REPAIR .�_ I Telephone# & (/ QSs�rf C d! f Land Use Slopes(%) to Surface Stoats A Distances = Open water Body >it Possible WetrealA ., ft Drinking waba well D ft ft Drainage Way ft ti'Property line ID ft Other ft Dr SKETCH:Ova name,dimmsiodsbf lot,exact locations of 41 holes&pat tests,locate wetlands in prOXitnity to holes) S P �. w TOb�r� OE BAR S� E[.E of, 95 7011, AUG - I AM 10: 20 x �// •> Q Q I th to Bedrock Parent material(gedlogic)3+�y'��Gll�� �P Depth to oroandwaler: Standing water in Role: Weeping fmfn pit Pace listimated Sasanat;igh Camilwater ./ ' D O F R SEAS HIGH WATER TABLE Method Used W Depth dbRerved s dmglin obs.hole: �' n, Depth to$oil tnoltlea: Depth to[weeping fimn side of hole: I in. proupdtivp�t'etttteet ft• Index well# Rading Dal 1ndm Well lei Adj.lhetor Adl...droundwater Level.,.,•_�Q•Z PERCOLATION TEST Observation I Time at 9" Hole# ' �¢�� - 79me at6" • D Depth of Perc —1-�-- • •� 'lime(4"-tS") _��.-� ------ Stan Pm-soak'lbm.C� r.t�}yyj/p End Pro-soak Rate MmAnch 1 Site Failed; Additional Testing Needed(Y" Site Suitabifity'Asse9smots Site Passed - on L•:Public HeM Division Observation Hole Data To Be Completed on Back ***If pe-rcola 4n testis to be conducted within 100'of vyetland,,you mast first notify the Barnstable C4#servation Division at least one(1)we&prior to beginning- DEEP OBSERVATION HOLE LOG ' Hole# Depth from Soil Horizon Soil Texture Soil Color Sal * Other .Surface(in.) (USDA) (Muoselq Moaliag (Stntct M Sronesl Bouwas, )rgXi 4, Al DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure.Stones.Boulders. Consistency. VP'- amlXL 7 � DEEP OBSERVATION HOLE LOG Hole# ' Depth from' Sal Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure.Stones.Boulders. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon -Sal Texture Sal color Soil , Other Surface(in.) (USDA) (Munsell) Mottling (Structure.Stones.Boulders. Consistency,%(][Aven Flood Insurance Rate Mail): t Above 500 year flood boundary No_ Yes k ,. Within 500 year boundary No Yes Within 100 year flood boundary No Z Yes Death of Naturally Occurring Pervious Material .` Does at least four feet of naturally occurring pervious laterlal exist.in all areas observed throughout the area proposed for the soil absorption system? If not,what•is:the depth of nahirally occurring pervious material?, Certification I certifythat on AI 9� approved b the (date)I have passed the soil evaluator examination pp y Department of Environmental Protection and that the above analysis was performed by me consistent with the required trainin .expertise and experience described in 3.10 CMR 15.017. Signature Date I NOTE:To prevent breakout,final grade p T.O.F.(Full/Crawl) Provide Riser over D-box 1 NOTE:All components to be marked with of EL.95.0 to be carried out a minimum to within 6 of final grade j magnetic tape or similar prior to final cover. EL.98.68 15 beyond edge of leach facility. (Cover to be'vyatertight) � F.G. EL:96.2-97.0t F.G. EL:97.3t F.G. EL:97.7t Maintain Min.2%slope over leach facility to prevent ondin Existing i. P tY P P g F.G. EL:97.5-98.0t Install risers w/covers over inlet and outlet to within 6"of final grade c ( Clean Fill per Title 5 Specifications Inspection Port within 3"to grade Existing Main Line L=17' "(Access Covers min.20 diam.per Code) EL.97.01 4"SCH 40 PVC " - 4"SCH 0 PVC L=10' Naturally Occurring Suitable Sand 0^Per Un R eat Length Top of Unit/Breakout EL 95.0 (Reserve EL.94.7) @S=9.7%(2%MI 6 i 4"SCH 40 PVC 1 @S=1%(1%MIN) 6' @S=2.3%(0.5%MIN) 0.89' Eff.Depth EL.95.35 EL.95.1 EL.94.73 Reserve EL.93.3) Install Gas Baffle EL.94.9 (Reserve EL.94.3) EL.94.5 (Reserve EL.94.47) PROPOSED DB-3 � Use 12(2 Rows of 6 units)Biodiffuser Arc 36HC (Reserve EL.94.2) H-10 DISTRIBUTION BOX ( H-20 with End Caps without Stone in a Trench 7 21' 5.31' R Configuration set 6'apart (Install PVC Inlet&Outlet Tees) _; Watertest for levelness if 30.5'x 2.87'x 0.89'Each Trench) PROPOSED 1500 GALLON more than one outlet SEPTIC SYSTEM PROFILE H-10 SEPTIC TANK #' . EL. 6.4 EL. 8.3 PRECAST CONCRETE ADDITIONAL NOTES N.T.S. Bottom of TH-2 Calculated Adj.Groundwater SOIL LOG 1. Contractor to confim soil suitability prior to installation. Contact BOH and Design DESIGN CRITERIA Sanitarian in the event of varying soils from original soil test. Number of Bedrooms: Existing 3 Bedrooms SOIL EVALUATOR: AMY VON HONE, R.S. S.E.#2517 INSPECTOR: DON DESMARAIS, R.S., BOH 2. Failed cesspools to be pumped and removed. Overflow leach trench to be located and Soil Type: Class I DATE: AUGUST 10,201110:00 AM removed with all contaminated soils within 5' of proposed leach facility.PERCOLATION RATE: <2 MIN/INCH IN C1 Design Percolation Rate: <2 min/Inch in C1 Horizon 3. Water line to be sleeved at any sewerline crossings and within 10'of any septic Daily Flow: 110 G.P.D./ Bedroom x 3 =330 G.P.D. PERMIT#: 13376 components, as needed, per Water Department requirements. Design Flow: 330 G.P.D. (Min. Required) TH - 1 TH - 2 EL.98.5 EL.97.4 4. Septic Tank and Distribution box to be placed on 6" crushed stone or compacted, level Garbage Grinder: Not Allowed A base. Sandy Loam Fill TIEBACKS ? FLOOR PLAN Leaching Area Required: (330)/0.74= 445.95 S.F. 10YR4/3 6" 98.0 10^ 96.57 B A k N.T.S. Septic Tank Required: 330 G.P.D. x 200% = 660 G.P.D Sandy Loam Sandy Loam Minimum 1500 Gallon (Proposed) 10YR5/6 10YR3/2 Use 12 Biodiffuser Arc 36HC Units (H-20) in a Trench Configuration: 32^ 95.83 15^ 96.15 #27 C1 2 Rows of 6 Units Each with End Caps, Stoneless: 30.5'x 2.87'x 0.89' Coarse Sand Sandy Loam TOF=98.68 j Laundry Kitchen Effective Leaching Area: 2.5Y7/2 10YR5/6 32" 94.73 Bedroom 2 Bah 7.79 SF/LF x 5.0' Unit = 38.95 SF/Unit (Per DEP General Approval Letter) Perc I Bedroom 445.94 SF/38.95 SF/Unit= 11.4 Units. Use 12 x 38.95 SF/Unit=467.4 SF @ C1 54"Bc m Coarse Sand SFn Flow Provided: 467.4 Design 0.74 = 345.87 GPD 2.5Y7/2 10, j� Living g ( ) Room 40' ,� 27 JENNIFER LANE, HYANNIS, MA 47'30' � V H PERC RATE:<2 MIN/IN.(C Horizon) PREPARED FOR: 24 gallons @ 5:54 minutes 41' ,42 1st Floor 48 49 , associates Pamela Golenski 120" 88.5 132" 86.4 491 SEPTIC SYSTEM DESIGNS No Groundwater Observed No Groundwater Observed I P.O. Box 513 320 , itR Centerville MA 02632 No Groundwater Observed in TH-1 or 2:Use Groundwater Data from Barnstable Groundwater Contour Map Sandwich,MA0252563 MIW-29,July 2011,Zone D(8.08%Adj=3.8%Observed Water @ EL.26+//Adjusted Water @ EL.29.8+/- a 508.833.0041 Barnstable GIS Site EL.40-EL.29.8 Adj.Water=10.2'Adjusted Water below grade 6' y Bedroom 3 TH-1 EL.98.5-10.2'= EL.88.3 Adjusted Water Surveying by: I,Am L.von Hone,R.S.,hereby certify that I am current) a Bath Y y fy y approved by the DEP pursuant to Terry A. Warner. P.L.S 310 CMR 15.017 to conduct soil evaluations and that the above analysis has been Harwich, MA 02645 22 Long Road DATE REVISED SCALE SHEET N0. performed by me consistent with the requirements of 310 CMR 15.017. I further certify that � (sos) a32-s3os I have successfully passed the Soil Evaluator's Exam on November, 1994. 2nd Floor 08/10/11 1„ _ 20, 2 of 2 ASSESSOR'S MAP: 270 - GENERAL NOTES: PARCEL: . 125 G �' 1. .VERTICAL DATUM: Assumed REFERENCE: PL". BK. 293 PG. 26 ,1 - . 2. MUNICIPAL WATER I—AVAILABLE. Route 28 FLOOD ZONE: C Town of Barnstable 3. SCHEDULE 40 PVC PIPE TO BE USED THROUGHOUT SYSTEM o #2500010005 C (8/19/85) <. UNLESS OTHERWISE NOTED. 4. ALL PRECAST& PLASTIC UNITS TO CONFORM TO a AASHTO: H-10 &20 c ��'� NOTE: Pump and remove failed cesspools L9 c� on overflow leach trench ) -, � 5. PIPE PITCH-1/4" PER FOOT UNLESS OTHERWISE NOTED. LOCUS o c and abandon lh th (pipe and10 4 ¢, G' 6. -ALL CONSTRUCTION DETAILS TO BE IN CONFORMANCE WITH MA per owner. All contaminated material within � stone). Location of overflow is approximate _ �6, ENVIR. CODE (TITLE 5)AND LOCAL REGULATIONS. < 5'of proposed leach trenches to be removed. 7. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR TO LOCUS MAP N.T.S. CONSTRUCTION. 56 �� LEGEND: Benchmark set: 4. . gg�- PROPOSED CONTOUR E Left corner bottom step gg PROPOSED SPOT GRADE \\ EL.= 97.96 (Assumed) — 40 - EXISTING CONTOUR > NOTE:Abandon existing drinking well and - 30.23— EXISTING SPOT GRADE 4 _ ' maintain for future converson to irrigation 1 ti o, well. Install municipal water as shown. TEST PIT W w �� 1 'I tit Stockade°,��Fence �� 5�56' °'� + C' it �52 Z \ ® EXISTING WATER SERVICE �� '• , Approx location of overflow I ach trench ©X o WORK LIMIT LINE Drive Stone . �\ Sr 1 .`: 2� Exi-§ting Wooden �eps �� � ut MAffq ��, OF MA � � •,:... er-l-.gin, ..: �QF- —p or p° ed W Full.. °�� . Lot 3 ?2 0� AMY L. �is�_ o� TERRY y� - �� 'I� 10',720t S.F. VON HONE a ANN ' I Fnd�. 3�e Y WARNER H Lu �� I 10' ' ?+ 0110 Fnd I I / �ro3 �ap 270 J No. 1068 y o a 38721 o L_ y r — �� a) TH-2 6�29, f + #27 _ I rcel 125 NO Co ,-v I TOF=98.68 Gw — — — — T � -9 Z L°m 5 I �1 , 99 (Assumed) �1/ 33 0 Z °� �b ' '� ®S °1p' (Block) 5 �� �� o m ao CD I I zCij51 a 1 �2 ° 0 1 'WonS 1A 8 32 09 it 00 6, 23 ` o NOTE: This plan is to be used for septic %QP, ° ° ° E �� + rl ( ! 3 system purposes only and is not to be 1�) considered a property line survey. 7 �+ 62 �g. o w"' 13, � T H-1 9\-�'I� _ _ o'I/ / '\ — _ _ Wood Fence -111 27 JENNIFER LANE, HYANNIS, MA 139.55 V H N 56°01'30"W PREPARED FOR: 2 � \ 4�1-1p0 SEPTIC Pamela Golenski IC SYSTEM DESIGNS — 6 320 Cotuit Road P.O. Box 513 Sandwich,MA02563 Centerville, MA 02632 �o + NOTE: Reserve Area shown for space 508.833.0041 �Q requirements only. Soils to be confirmed at time of installation of reserve area. Surveying by: NOTE: Regrade, as needed,to maintain a Recommend remove and replace primary Terry A. Warner. P.L.S 22 maximum 3'of cover over leach facility. leach trenches. Harwich,"MAR026645 DATE REVISED SCALE SHEET NO. i (508) 432-8309 08/10/11 1" = 20' 1 of 2 t