HomeMy WebLinkAbout0296 LINCOLN ROAD - Health pp
'296 Lincoln-Road '
Hyannis
A= 271-072
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Town of Barnsta.We P#_j 3/11
Department of Regulatory Services
I Public 1jeafl fl� Division
MASS. l ��
Iv IIAMUAHI.E, ° .
a�ASS. 200 Main Street,Hyannis MA 02601
�PfU PAA'1 A C
DateScheduled l Time� Fee Pd. D U ��
Foil Suitability Assessrizent for Sewage Lisp osal
Perfonned By: Witnessed By.:
ILO CATION & GENE RAL IN7[F ORIVIA7TION 1
Location Address a rl C�G Owner's Name
✓1 Address
{ Assessor's Map/Farrel: (� /C Engineer's Namct[^ S(°
NEW CONSTRUCTION RBPAIR Telephone it C`S / ,.3401
Land Use• V��' �Fi�VI Slopes(%) -� Surface Stones
Distance's from: Open Water Body ft Possible Wet Area d✓{� ft Drinking Water Well ft
Drainage Way ft Property Llne ft Othrr ft
SKETCH.' (street came,dimensions of lot,exact locations of test holes Bc pert tests,locate wetlands'In proxinuly to holes)
v
�uv ^
Lq ,.
Parent material(geologic)_ (/���INI Depth 1p Becbuck.
Depth to Groundwater: Standing Water in Hole: N/� Weeping I'lotn Pit Pticr , glu
Estimated Seasonal High Groundwater t� TABLE
1pr �,
D]ETE IVUNAT][ON FOR SEASONAL HIGH WA.�'1�R A.f�1.It��Jl.E
Method Used:
Depth Observed standing in obs.hole: N In, Depth 10 Sall ItlultI.M:
Depth to weeping from side of obs.hole: In. drowidwater Adjustment I'r.
Index Well# Rcading Dalc: Index Well level ,,,,,,,,,-,_,,,„ Ad_l,flletoe- A41.Oroulldwuter Level
Observation i
Holc# / Tinto at 9"
Depth of Perc LP p/ Tlmn at 6" .R910
Start Pre-soak Time @ O% 7 Time(9"-V) y�
End Pro-soak
Rate Min./Inch G '�__
Site Suitability Assessment; Sile Passed_� Sit...Failed:� Additional Testing Needed(YIN)
Original: Public Health Division Observation Hole Data To Be Com(a[eted on Back-----------
***If percolataou test is to be conducted Watl'<in 1001 of Weiland, you nmSt first Uotify ltlic.
Barnstable Conservation Divisio11 at least One (1) WVec]C prd®r to.beginning.
QASEPTIC\PERCFORNi.DOC
Dcplh from Soil Horizon H —1e#
Surface(in.) Soil Texture i Sdil Color — —
Soil
(USDA).. (Munsell) MottlingOther
(Structure,Stones;Boulders,
Con kite, cy.% ravel
i
/Z--Aj
ch
DEEP ®BSERVA LION HOLE, LOG
Depth from Soil horizon Hole #
Surface(in.) Soil Texture Soil Color
(USDA) Soil Other
(Munsell) Mottling (Structure,Stones, Boulde
Consistency %Cravel) rs,
4.15 5 -----
cs
OBSERVATION AI®
�E,EEEP I.,E
Depth from Soil liorizon IL®�a Soil #
Surface(in:) Soil Tcxture Soil Color. `—'�-
(USDA) (Muns411) Other '
Mottling (Structure,Stones,Boulders.
Consistency.%anve,)
DEEP OBSEERVA TION HO LEL LOG
Depth fi-om Soil Horizon Hole#_
Surface(in) Soil Texture Soil Color .(USDA) (Munsell) Soil oilOther
Mottling (Structure,Stones;Boulders,
Consistency,cy Owen
Flood insurance)[fate Map.
Above 500 year flood boundary No_ Yes
IVIthin 500 year boundary No Yes '
Within 100 year Ilood boundary No; yaq
Depth ®,._ 1' rn�eu>r�81y�cc�flerun ]�t?�vaous Materia9
Does`at least four feet of naturally occurring pervious material exist in all areas observed thl•oughout the
area proposed for the soil absorption system?
If not, what is the depth of naturally occurring pervious marorial?
�C'e�tn�catinn '
I certify that on (date)I have passed the soil evaluator examination approved by the
Department of Environmental.protection and that the above analy.-is was performed by me consistent with
1f1e required training, expertise and experience described in 10 CMR 15,017.
Signature
Q:\S.P.PTICU'ERCFORM.DOC
TOWN OF BARNSTABLE
LOCATION L i sV C a Q n .0 .SEWAGE#
VILLAGE 14 yA AIAZ I C ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. A p/)/%4 pR 6 I{R
SEPTIC TANK CAPACITY
LEACHING FACILITY.(type) f&, to TAT-- i (size) -�Z S X / 13
I'
NO.OF BEDROOMS
OWNER
PERMIT DATE: I/ag 1, COMPLIANCE DATE: 6
Separation Distance Between e:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well.and Leaching Facilit;(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
JFURNISHED BY
i
qy
r _ 3 �
3;
I
No. y (� �y 1 t7 Fee d V '
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Zipplication for �N,5po l *pgtem Con5truction Permit
Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) N (;omplete System ❑Individual Components
Location Address or Lot No. ;1 1G L.mro Ivt 904 )4pd,►►$ Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel 7' able, � I ,So e,-776-L Y`0
Installer's Name,Address,and Tel.No. 77c/-8 3& •+6`�6 ( Designer's Name,Address and Tel.No.
/.L.C. b ok 71� . wimt ^ 14 t"W-1 CA C
Type of Building:
Dwelling No.of Bedrooms 7b✓<< ff Lot Size 'b/ 7 f O sq.ft. Garbage Grinder ( )
Other Type of Building ffVdc^ ytm 1 No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 310 gpd Design flow provided 3 3,S gpd
Plan Date 1 I t /d O f Number of sheets 1 Revision Date
Title
Size of Septic Tank MCI Type of S.A.S. 2"1 -e!AU1,cK Iv-.- ►-
Description of Soil 46 4 O" (�` S�; .2 c y 161_1
c
a
Nature of Repairs or Alterations(Answer when/!applicable)
jrn S �l A r1[n e t� fO0 9 sod/N. yS T P GP�/1 t c �?7 eX l'SMM ✓�y
D+s�,l(,,,�,�� baY cv�c�. S. A.s', �.�nS>�l/c,/>>c�t� 07�/ G➢��'�� �vr i�t�I�J$ �ys�
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 Date y ®f1
Application Approved by 01 A Date
Application Disapproved by: Date
for the following reasons
Permit No. a 0 Date Issued ? l 1
.. a
o. oL U '' U
N t ?9 .. .1 `, Q
i c.'. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: y
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Application for Dig m .Cott�truction�oal p gte rrrYit
Application for a Permit to Construct( ) Repair Upgrade(�) Abandon( ) EJ Complete System ❑Individual Components
Location Address or Lot No. 216 Lov -i Rd /4yi,4,,1-5 Owner's Name,Address,and Tel.No.
4 Assessor's Ma L
+ I a+ 1/1 S f� i(11phj
• Map/Parcel /h
p �i 9a�<rl 72 S°F,-776-LY,U
Installer's Name,Address,and Tel.No. c�-$ 6 t
'�� ��j '� � � Designer's Name,Address and Tel No.
A'.L.C. 0 60 721, ► (v-aG.)1, 144 At" . .,, 1-1
r Type of Building: }
Dwelling No. of Bedrooms Lot Size 0l 7 rJ O sq. ft. Garbage Grinder ( )
Other Type of Building No.of Persons l Showers( ) Cafeteria( )
Other Fixtures t
Design Flow(min.required) l`~3 gpd Design flow provided , 3 gpd
Plan Date 1 /11 of U 1 Number of sheets Revision Date 0
Title
Size of Septic Tank 1 e, b A /illl,,, Type of S.A.S. a�J (.� ,.'r r-001' 1.4
F ��
dr. ai.I
Description of Soil 1/8 - Q O (^ ' 4Al
J41•Yb 13 L 0 l,., 4-1/t,
I L► ', r_ v, L 11 c'=� r I l
Nature of Repairs or Alterations(Answer when applicable) / a' / 1 P / ) )
•T f e-o,,i '+ )7-J �'L X 'S/11. 7 c11,J!!I'"-J
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
Coinpliance,has been issued by this Board of Health.
Signed DateZn /, 011
Application Approved by Date
Application Disapproved 6 : Date
for the following reasons
Permit No. 0 i( -O (, Date Issued y (11
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired`(yO Upgraded ( )
Abandoned( )by X1 l.
at ) 9L fir,rj. ,ed• 14 yAAA 1S has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. �0(1 ,. o l 6 dated /b b /
Installer A. k;)t cr— Designer P L,'- ha-a .o rr/1«'.
#bedrooms -r h<-L Approved design flow gpd
The issuance of thi permit shall not be construed as a guarantee that the system wj uneti�o�igned.
Date { 6-(1 Inspector f`
�(�t1
No. -04Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS
1=i!5pOgal 6pgtem (fOn5trUction permit
Permission is hereby granted to Construct ( ) Repair (4 ) Upgrade ( ) Abandon ( )
System located at y G L�a1<�f� {� ,� 1411AJ,,,
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: Constructio must be completed within three years of the date of this
Date t/ Approved by
i
F€l irE Regulatory
1
,
t. s Thomas J��. G efleEr, Director
B_n,TiZNSFABLE, '•
MASS. -PITAIR Health Division
1639.
Thomas McKean, Director
200 Main Street,Hypnniis,M-A 02601
Office: 508-862-4644 Fax: 508-790-6304
InstaUer & Desigrner cCcrrltificationn Forte
Date: / Sewage FermiW Assessor's MapTarcel a 7/ 17
U Installer.
. r / LaAd�re��e �O tax 7o �Address.
�-wi v w ., s: Yam,o.,•�h. MA �c u-�
On was issued a permit to install a
(date) (installer)
septic system at y��p1 co�''` based on a design drawn by
I
(address)
", q Pi-ited
-f-- (design
F s' I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved.chanes 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 iu accordance with State & Local Regulations. Plan revisioii or
certified as-built by designer to follow.
�H OF MASS C
CANISLA.0J ALA
yes
(Installer s Signature) CIVIL N
No.46502
P 46
?F �o
OAF G S T O'
-� (� l
6
esigrier's Signature) (Affix Designer's Stamp here)
PLEASE PE'TUTCq O BARINSTABLlE PUBLIC HEALTH DIVISION. CERTIFICATE OF
COMPLIANCE dCE ML NOT BE eSS ED _UNTIL BOTH TBIS FORM AND AS-BUILT CARD ARE
]RECEWED BY THE BARNSTABLE PUBLIC IEALTII DMSION. THANK YOU.
Q:Health/Septic/Designer Certificatioa Forn 3-26-04.doc
SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES
MARKED WITH MAGNETIC TAPE OR a,
(NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS APPROX. NGVD
ACCESS COVERS TO WITHIN 6" OF FIN. GRADE a`
PROVIDE INSPECTION PORTS TO 2. MUNICIPAL WATER IS EXISTING
TOP FOUND. EL. 57.1' WITHIN 3" OF FINISH GRADE
49.5' MINIMUM .75' OF COVER OVER PRECAST 29� SLOPE REQUIRED OVER SYSTEM 48 5,± 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. o Q\o to 28
Loc s �
Route
PRECAST H-10 8" MIN DIAM. 4. DESIGN LOADING FOR ALL PROPOSED PRECAST
RISERS (TrP.) COVER UNITS TO BE AASHO H-1!
2'm 4"OSCH40 PVC
PROP. TEE PIPES LEVEL 1ST 2' 5. PIPE JOINTS TO BE MADE WATERTIGHT.
10" 1500 GAL H-10 14" 44.4 WITH 310TCMR 115.000 UCTION (ILS TO TITLE 58E IN ACCORDANCE a� o
47.25' TEE SEPTIC TANK TEE 47.0' ( )
°o
000000000000 44.0' 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND ° c
W.O. SILL ® EL. 50.7' GAS BAFFLE :: n 0.92' PSr `Sod Q°a Q a�
°°°°°°°°°°° NOT TO BE USED FOR LOT LINE STAKING OR ANY
4' LIQ. LEVEL (ACME OR EQUAL) 45.20 45.03 43 1' OTHER PURPOSE. yob o/ c
6.. MIN. SUMP Sex oc
°0 ° 0 0 0•0 o 0 0 0 0 0 0^o° o ° o 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC.
o°o°)°0°0°0°0°0°0°0°0°0°0°0°0°0°0°0°0°0°0°0°0 12" MIN. INT. DIM.
„0 ° ° ° onoo ° ° 00 ° ° ° ° 0�0„0 ° ° ° °• H-20 HI CAP. INFILTRATORS - - n,o ono_0_ _n_n_n ° o 0 o n r_�_ _ _n_o.o 0
9. COMPONENTS NOT TO BE BACKFILLED OR
OVERALL DIMENSIONS TO OUTSIDE OF UNITS: 25' X 11.3'
* 99.O'± 6" CRUSHED STONE OR MECHANICAL CONCEALED WITHOUT INSPECTION BY BOARD OF n a y
COMPACTION. (15.221 [2]) (NO STONE PROPOSED) HEALTH AND PERMISSION OBTAINED FROM BOARD a
( 6 % SLOPE) ( 36 % SLOPE) ( 1 9e SLOPE)
4.1' 13'± OF HEALTH.
10. CONTRACTOR SHALL BE RESPONSIBLE FOR
LEACHING CALLING DIGSAFE (1-888-344-7233) AND LOCUS MAP
FOUNDATION- 29 SEPTIC TANK 5' D BOX 5, FACILITY VERIFYING THE LOCATION OF ALL UNDERGROUND &
*THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF NOT TO SCALE
UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS WORK.
PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM BOTTOM TH 1 & 2 EL. 39.0' 11. ANY UNSUITABLE MATERIAL ENCOUNTERED ASSESSORS MAP 271 PARCEL 72
NOTE: GROUNDWATER SHALL BE REMOVED 5' BENEATH AND AROUND THE
EXPECTED AT EL. 30'± PROPOSED LEACHING FACILITY.
12. EXISTING LEACHING FACILITY SHALL BE PUMPED
AND REMOVED OR PUMPED AND FILLED WITH CLEAN
LEGEND SAND.
99 - EXISTING CONTOUR SYSTEM DESIGN.
X 99•1 EXIST. SPOT ELEV.
99 PROPOSED CONTOUR GARBAGE DISPOSER IS NOT ALLOWED
198.4] PROPOSED SPOT EL.
DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 110 GPD
rH1 / EXIST. DWELL. USE A 330 GPD DESIGN FLOW
TEST HOLE
2> I SEPTIC TANK: 330 GPD (2) = 660
SLOPE OF GROUND
UTILITY POLE / USE (1) H-10 1500 GAL. SEPTIC TANK
FIRE HYDRANT O LEACHING':
140 BENCf1 MARK - SILL AT
NOTE: NOT ALL SYMBOLS AIRY APPEAR IN.DRAWING:.. -� _. ,�- .,,... ,�. ALLY.,.-030R--~Ef_. �-SG. ..:-� �. � ... ,5 ... ,....5 __FMv74 29.15 CF PER hI.:H ------
' LOT 111 CLEAN-OUT CAPACITY INFILTRATOR UNIT
A. 10,780± S.F. 330 GPD/0.74 GPD/SF = 445.9 SF LEACHING
TEST HOLE LOGS o
GAG-\c\ REQ'D
Z l /
/G ' C.O. p io 4
s9
' V tTH 2 = 15.1 UNITS
ENGINEER: ARNE H. OJALA, PE, SE Q / o p
V G/ EXIST. DWELL.` THEREFORE, USE GRAVELLESS SYSTEM OF (16)
WITNESS: DAVID W. STANTON, IRS I / TH 1 H-20 HIGH CAPACITY UNITS IN FIELD
DATE: 1/7/11 V c /° TOP57.1' = RT CONFIGURATION OF 4 ROWS OF 4 UNITS
< 2 MIN/INCH 51
PERC. RATE _ °vE�EAD urlLs 52 16 UNITS x 29.5 SF = 472 SF > 445.9 SF (OK)
CLASS I SOILS P# 13169 RiV W�_ W DECK h" 15 a w
ELEV. ELEV. s� CIAL,, o VENT
SR N
i
°" 49.0' 0" 49.0 / / ss 48 o
Ln
FILL FILL MA
12" 8 6V' APPROVED ' DATE BOARD OF HEALTH
A/e A/B ��,P°/ 140°°' 0,
w TITLE 5 SITE PLAN
LS LS s s OF
10YR 2/1 10YR 2/1 / s s� -
14" 1099
/ s2 296 LINCOLN. ROAD
E MS / 53 -� HYANNIS
MS
10YR 4/2 10YR 4/2 /
24" 20" / EXIST. DWELL. PREPARED FOR
B B ADAM RIKER
LS LS
JAN UARY 11, 2011
48" 10YR 4/6 45.0' 48" 10YR 4/6 45.0' rev. JANUARY 26, 2011 (HICAPS, ASBLT.)
off 508
C C ��L�N Or Ass c ( -362-4541
N aF Mgs0 fax 508-362-9880
PERC ° DANIEL(. yes �r°� DANIEL yam I downcape.com
CS CS o OJALA A• ,,/
CIVIL
OJALA
NOwQ cape engineering, MC.
120" 2.5Y 6/4 39.0' 120 2.5Y 6/4 o.
39.0 GIST e���� o fi civil engineers
NO GROUNDWATER ENCOUNTERED I1
Scale: 1"= 20' s�ONA EN° °� - 4- land Surveyors
�-�-
939 Main Street ( Rte 6A)
> 0-292
0 10 zo 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675