HomeMy WebLinkAbout0035 KELLEY ROAD - Health 3`5 Kelley Road
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TOWN OF BARNSTABLE
LOCATION 3.T- r (?d . SEWAGE#9009 - 0'7/
VILLAGE )4Qct nrn:S ASSESSOR'S MAP&PARCEL ,29c2 - G 9
INSTALLERS NAME&PHONE NO. 'B $ 3 EX C t J t-4;o n 1/7-7- OG S3
SEPTIC TANK CAPACITY /SOO �n Ilan
LEACHING FACILITY.(type)Soo 90LIChnextA !ra)- (size) 13 xpS x 2
NO.OF BEDROOMS ;3
OWNER
PERMIT DATE: M%rck 3o_ O 9 COMPLIANCE DATE: Qcarck 31 04
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
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THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
II PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
a � ftpliratiotr for Bisposai *pstem Construction ermit .
Application for a Permit to Construct p �U grade Aban
don( ) El Complete System ❑Individual Components
Location Address or Lot No. 35 ' f i ya nn 15 Owner's Name,Address,and Tel.No.
o� 4C-Mid .Wh► e: Sou =17 5-yy5 3.
Assessor's Map/Parcel M
Installer's Name,Address,and Tel.No. 509 -417—O`5 3 Designer's Name,Ad ress,and Tel.No.
�Ube��f� I foy�-B+(3 EXCgvG�l� 'Down Ca,pe. n9l.nee�t n,9��4f rnotyt tipe�t
Sae-3
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size f L�s(o(" sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 330 gpd Design flow provided gpd
Plan Date 3 117(O C1 m Nuber of sheets ( Revision Date
Title T1+i° 6 s l+P_?1 Ci n
Size of Septic Tank Type of S.A.S. 2 SGo G�c. e 14A wi 691e-S w A-1,.-,e�_
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 Health.
Signed jwxhwo: Date 13 9 d 07
Application Approved by Date 3 30 D
Application Disapproved by Date
for the following reasons
Permit No. 2 O -- 1 Date Issued 3 3 6 0
1?"*�+tiwSS%,.rs,�,�;�"'y.5ti'Y�=::i�"✓d'`.i4Y*.y:;,y.:,;svaY:..w..>..w�•-....+e^,,+..w...�..:�:..r...,...u-,.s::v..t:...:�:�x�j.�;..ur.y^r�::. �"�".u'°,;•�'"pN'.`""�%",.,,4�,%,w..._ +-�t;�:-..;:vri...w"i�' ..Yxa=t--=•-;,�;r.-:. ".:i'.
No. O O 1 --
- • Fee
THE COMMONWEALTH OF•MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF'BARNSTABLE, MASSACHUSETTS Yes
application for Misoosal bpsietif Construction Jertnit
/
Application fora Permit to Construct pP ( )� ,Rep ' / grade( ) Abandon( ) El complete System El Individual Components
Location Address or Lot No. 3 5 + t 1 yG fltl I Owner's Name,Address,and Tel.No.
ti.. 0�7 C�ercilCl V�i{Ii Ie 5u4° .1 / LIyS 3
Assessor's Map/Parcel M C� �. x__ i ti,1:C c (�9
Installer's Name,Address,and Tel.No. 5 U k Designer's Name,Address,and Tel.No.
113 EyI.C1VG� l� T�Uvv r� (Cc f1) it?Eelt �7 t �'10wIl i i�:fur
�� `. 5os-3�a -o-45 � tl
9 �
r I Type of Building:
Dwelling No.of Bedrooms '3 Lot Size [� st'v(� sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other-Fixtures 4
Design Flow(min.required) 3 3 U gpd Design flow provided 3 L� , (5 gpd
Plan Date 3 I 1 7 1 U c1 Number of sheets Revision Date
Title Ti 4 M e rJ ZD j•I(-Pi Ci Q
Size of Septic Tank Type of S.A.S. Z SUv G t• C i/C m 3Y,2S
r Deseription of Soil \2 LA NQ
W Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
,r •
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 Health.
Signed )Q JIB J Date
Application Approved by Date 3 30 O -
Application Disapproved by "'Date
for the following reasons
Permit No. O " "l 1 Date Issued 3 3 O
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(, )„F Repaired(1/1 Upgraded( )
Abandoned O by -I R F x r r,v r, I U n 7n( !
a ,l —
at 3 5 K P.I it�, C 7• f �!C, i•1 Q I -, has been constructed in accordance
' i � -61 I dated_3�3 o 16
with the rovisions of Title 5 and trhe for Disposal System Construction Permit No.
Installer�() �P< 1 (!"'I i 11 i:�, �i-1 �a r iC< Designer', �CJv., � /',
#bedrooms Approved,dgn flowgpd
The issuance of tlSis Permit shall• of be construed as a guarantee that the system ifil fun\ction s/designed�
Date L/ c /J /lI//) Inspector
�._.._----'•No. ZQO�(-�d- ---------------•-•---------_-----------•-----�-�•_ -_ r�- --.._- ---. - ------ ___Fee'
--=----••-- -- I
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS.
• �1s�Osal �pstem (�OnstCULtlon �ermit
Permission is hereby granted to Construct( ) Repair(✓) Upgrade( •) Abandon( )
System located at
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 permit.
Date A(-C I I 00 200 el Approved•by /� '
FROM :down cape engineering inc f FAX NO. :15083629880 Apr. 01 2009 10:56AM P1
Town of Barnstable
E' j,� Regulatory Services
1'homaq F. Geile:r,T)irector
NAM Public .1-lealth Division
° Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-8624644 Fax: 508-790-6304
Installer&Dcsiancr C ertification norm
Date: Y 0 Sewage Permit# C�_0.01 7 0?/ Assessor's Map\Pareel �9 K/
Designer: W o(,Jr'1 (�Z.p e 1 1 rJ8e✓i Ey at/a 0�-
q. a �: O
Address: /U� /slap Address:
�a,,�v►1t7 k`�- �o�� MfF Uat;75 ��'cQa jp . M� od65'�
On t l3 Gx Ln\jn+to n was issued a permit to install a
(date) zz J/ / (inst< er)
septitc system.at V.� K e/�e_�V pa�_ based on a design drawn.by
/(address)
t,►vJ� e elated 3 -� D/
_x 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..
1 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 ol'any component
of the septic system) but in accordance with State & Local Regulations. Plan revisi.On. or
certified as-built by desi.giler. to :fallow.
j(k OF 4144
ARNE H tick,
Q/U ___ OJALA
(Tnstller's Si at re) CIVIL ti
No. 30792
P0�sSQ/S,E�N0��4,
(Uesr cr rre) (Affix Dosigner's Stamp Here)
PIXACF. RF.TITRN TO BARNSTABLE PUBLIC HEALTH DMSTON. CTRTTFTC:ATE OF
COMPLUNCE WILL 1NO7. 'RE TSgUED IJNTH -001M. TLUS i<0". ' AND .AS-TiUMT GARD ARE.
RECE L;D BY THE BARNSTABLE PUBLIC HEALTH T)TVfST.nN. THANK YOU.
Q:Hcalth/Scptic/Ucsigncr Certification Form 3-26-04.doc
SYSTEM PROFILE NOTES
TOP FNDN. AT EL. 43.8' 20" MIN DIAM. PROVIDE MAGNETIC TAPE OR EQ. FOR FUTURE LOC. 3
ACCESS COVERS TO WITHIN 6" OF FIN. GRADE
NOT TO SCALE) ASSUMED Route 28
(MIDDLE COVER MIN. 8" DIAM.) ACCESS COVER (WATERTIGHT) TO ACCESS COVER TO WITHIN 3" OF FIN. GRADE 1. DATUM IS
WITHIN 6" OF FIN. GRADE 2. MUNICIPAL WATER IS EXISTING _
43.0' MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM I oc L s
42.8 � �o
RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. o I q)
41.8* FOR FIRST 2' OR GEOTEXTILE FABRIC
PROPOSED 1500F 3' MAX. 4_DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO 3
GALLON SEPTIC TEE H 10
4 Q o
40.75 40.1' tr et
41.0 TANK (H- 1 O ) GAS " sum 39.33' 5. PIPE JOINTS TO BE MADE WATERTIGHT.
_ BAFFLE 39.50' pcpp O � � 0 0 � r{evens -
3.5 " 39•3 0 0 0 o a o a o 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH
( % SLOPE) \_6 CRUSHED STONE OR MECHANICAL Q 0 0 0 a o Mitchells
COMPACTION. (15.221 [2]) $ 2' o a a a a a o a a p� 37.3' MASS. ENVIRONMENTAL CODE TITLE V. o
CALLI
p y 1
DEPTH of Flow = 4 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO
TEE SIZES: 3/4" TO 1 1/2" DOUBLE WASHED STONE BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. m main
INLET DEPTH = 10„
West Main St. $t.
OUTLET DEPTH = 14" (14 % SLOPE) ( 1 % SLOPE) 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
' LEACHING 5' 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED
FOUNDATION 23 SEPTIC TANK 9 D, BOX 5 FACILITY WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION LOCUS MAP
*THE INSTALLER SHALL VERIFY THE INSIDE MIN. DIM. 12" OBTAINED FROM BOARD OF HEALTH.
LOCATIONS OF ALL UTILITIES AND ALL NOT TO SCALE
BUILDING SEWER OUTLETS AND ELEVATIONS 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING
PRIOR TO INSTALLING ANY PORTION OF DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION ASSESSORS MAP 292 PARCEL 69
SEPTIC SYSTEM BOTTOM TH 1 ELEV. 32.3 OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO
COMMENCEMENT OF WORK. SITE IS NOT LOCATED WITHIN A NITROGEN
SENSITIVE AREA
LEGEND 11. EXISTING LEACHING FACILITY SHALL BE PUMPED AND UPGRADE - NOT NEW CONSTRUCTION
REMOVED OR PUMPED AND FILLED WITH CLEAN SAND.
100.0 PROPOSED SPOT ELEVATION 12. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE
REMOVED 5' BENEATH AND AROUND THE PROPOSED
+100.00 EXISTING SPOT ELEVATION LEACHING FACILITY.
100 PROPOSED CONTOUR
100 EXISTING CONTOUR LOT AREA SYSTEM DESIGN:
16866 SF f
GARBAGE DISPOSER IS NOT ALLOWED
BENCH MARK - CORN. OF -
CONC. BULKHEAD EL. = 43.8 DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD
x 37.59
38 USE A 330 GPD DESIGN FLOW
o SHED SEPTIC TANK: 330 GPD (2) = 660
USE A 1500 GAL. H-10 SEPTIC TANK j
TEST HOLE LOGS 40.40 FISHPONDS LEACHING:
x 34
38.38 1.9 2.26 -, SIDES: 2 (25 + 12.8) 2 (.74) = 112 GPD
1.96 42.34 BOTTOM 25$x 12.8 (.74) =.236.8 GPD
ENGINEER: A. H. OJALA, 'PE 42.50 77
x 9•79 ?-�.45 44.87 TOTAL: 471 S.F. 348.8 GPD
WITNESS. DONNA MIORANDI, IRS 41.50 .8 43.24
4;
MARCH 25, 2009 x 41. x 4 .9 LARGE OAKS GRAVEL DRIVE USE (2) 500 GAL. H-10 LEACHING CHAMBERS (ACME OR EQUAL)
DATE: x 38.37 WITH 4' STONE ALL AROUND
PERC. RATE _ < 2 MIN/INCH �0) TH1 �
p x 42.6 2.43 0 w S .89
CLASS I SOILS P# 12507 °` LA P.PINE4 7 "r" EXIST. 42.80 \ o .75
...
x DECK DWELL.
ELEV. ELEV. � '••, x H 2 � � '.: . 2 TOP 43.72
2 N '3.• •,. FNDN= APPROVED DATE BOARD OF HEALTH MA
4 ' • • •- C#' 3.12 43
0" 42.3 0" 42.6 42.27 0 . ; \4, ( 1 43.8' o
o Q
A A
LS LS 222xj x TITLE 5 SITE PLAN
43.07 42.85 O
8„ 10YR 2/1 8" 10YR 4/2 OF
3.27k
B B 19 43.2 4
C/T�� k
s
LS LS V 35 KELLEY ROAD
36" 10YR 4/6 39 3' 30" 10YR 5/6 40 1' 47 V H Y A N N I S
4 42 >
43.3 PREPARED FOR
C C
PER° B&B EXCAVATION/WHITE
MS MS
MARCH 27, 2009
2.5Y 5/6 10YR 7/4
�k10F 4fq off 508-362-4541
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y 9 cy�N fax 505 3 62-9880
DANI Aa OJA N down cope engineering
, Inc.32.3' 120" 32.6' 80
� P -o No 650 �,
Scale: 1"= 20' OFF Sao P �F a �� Cl VIL ENGINEERS
NO GROUNDWATER ENCOUNTERED Z`7 ��N0s RVEy�� FS 1 T c,�� -� LAND SURVEYORS
3/ f�°�
939 Main Street - YARMOUTHPORT, MASS.
0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S.
09-050
09-050.DWG(SBO)