HomeMy WebLinkAbout0051 LINDA LANE - Health 51 LINDA LANE
Hyannis
A = 248 - 223
TOWN OF BARNSTABLE
LOCATION S l OV D A L-A-k1F
SEWAGE#
VILLAGE 1-4 Y,44jN I ASSESSOR'S MAP&PARCELo�YB ZZ
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) .� < y�0� 4��ize)
NO.OF BEDROOMS 41
OWNER IA!5Ar � �
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, Feet
FURNISHED BY
-r, l�
Lu, N31 �-
w
1-3
lya 0
o� N
a.
a
i
X
j.
No. � ( U® .�.s.,.r--."' Fee C yy y
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ftpliLatlon for -MispoSal *pBtem Construction Permit
Application for a Permit to Construct( ) Repair ade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. Owr�eis Name,Address,and Tel.No.
�5
Assessor's Map/Parcel o9Z017 74/&0 jPARr01 ZZ 1'/ GA4014 L'*"Ve- j ��f1/,G/f5 iJ��✓
Installer's Name Address and Tel.No. Designer's Name Address,and Tel.No.
��1/t1v/!.t/�ss�_:✓d:FG, s-,t1G°, uJ�4/ G7i4f�i� PF .Z—�/eP
�D./✓o,��?.3�' r /Z'oo 774`62/ 931 M-w1w r 2
Type.of Building:
Dwelling No.of Bedrooms Lot Size �Of��C7 sq.ft. Garbage Grinder( )
Other Type of Building ` 't.1� t r No.of Persons Showers( ) Cafeteria( )
Other Fixtures 1`
Design Flow(min.required) IWO gpd Design flow provided g/pd 2/
Plan Date /j%z Zee/'7 Number of sheets / Revision Date
Title
Size of Septic Tank %5L;k9 r".4 Type of S.A.S. �'/,�igjy!6.<Z����7diVE
Description of Soil 1 ,bpi°L P
Nature of Repairs or Alterations(Answer when applicable) All: 701!/Z (fie-/fin)(
%/!/D `JC�a lii�L• C"i�i9iy✓/3 ,�S t>%r,� 7'�»/�
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 ealth.
Signed /�" n Date
Application Approved by ��/,���"1',14-CIL(/Fti?���?�}L� Date to
Application Disa roved b Date (,C ��i
for the following reasons L6jy5
kr54 2 V h ,
Permit No. Date Issued ��
ILI
No.
o"�� U D _ r Fee 1
THE COMMONWEALTH.OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWNf OF BARNSTABLE, MASSACHUSETTS Yes
a : µ 01ppfication for Disposal 6pstem Construction Permit
J f Application for a Permit to Construct( ) Repair( Upgrade( )._Abandon( ) ❑Complete System ❑Individual Components
Lo f tion Address or Lot No. :571/ I/iyr 14 ,C,41V/5 Owner's Name,Addrgess,and Tel.No.
/Y,Assessor's Map/Parcel 015' 2t/g F,,4Rt'EL #ZZ Ile"I Z111=4 LONE
Installer's Name Address,and Tel.No. Designer's Name Address and Tel.No.
�p /✓�D,Y o�3s t/ � / rrr SD �7�-62/4 Y.�S �y1Aiv S7' I ,«vr� off'- •4,-aA362- Sy�j
Type of Building:
Dwelling No.of Bedrooms ry Lot Size ��,��C7 sq.ft. Garbage Grinder( )
Other Type of Building
g No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) yyd gpd Design flow provided 4'y0 gpd
Plan Date /012!F/20/"I Number of sheets / Revision Date
4 hz11,e / b Il l y"
Title ' a r
Size of Septic Tank 4,4L Type of S.A.S. Gtl/-5T21/VE .
Description of Soil�.l,�Ss 1 ��i•L P'' / 5� ��is95 P
Nature of Repairs or Alterations(Answer when applicable) 11151- / /6OO .94d 774/y/l -/?pX
,
Date last inspected:
Agreement:
e The undersigned agrees to ensure the construction and maintenance of the afore desc 'bed on-site sewage disposal system in
t
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in eration until a Certificate of
Compliance has been issued by this Board
�jof/k'e/al�th.
Signed /G)/,CGS'"
A,pl�at on Approved by ,�/h � Date
Application Disapproved byY1A�(�ih-t.i,/ {�� Date
r r �
for the following reasons [Lyv i>t�s Sc vt V O L�r f► �/5 l G�C f-{ �� /�S
/.�rr�t' Cam✓»r-�-rr.� fib SWSl t T p?��i(�, /A( s
Permit No.�E� (7 V' ! Date Issued' �/� �� /�t�
THE COMMONWEALTH OF MASSACHUSETTS
_ BARNSTABLE,MASSACHUSETTS
(Certificate of Compliance p".
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(X) Upgraded( )
Abandoned( )by A(.` CA P e. F-n1 t/r2o Aj m r-�AL
at 4-/ ZlkAO,4 ..44IVe Z sY, AI,t/I5 has been constructed-in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated
Installer ,�1L[ G4 F �it1l//?OA/A�E.UU!"A� Zile- Designer
#bedrooms 'y Approved design flow,-
r --� d gpd
The issuance of this permit shall not be construed as a guarantee that the systcm ill funclio'`n�as designed.
Date { )� t R
Inspecfo _
--- -- -- ----- --- ------ - -- --- --- - - -- -- - --- ----------
No. �� w IV Fee (�V t L-
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Disposal 6pstem Construction Permit
Permission is hereby granted to Construct( ) Repair(x) Upgrade( ) Abandon( )
System located at S/ Z/%f/,D,Q �yi/,4/U,,(Z8 . W,4.
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. �j
Date 6 //�II �S Approved by �(KC I .,rA, 11
A l
Town of Barnstable
oRegulatory Services
Thomas F. Geiler,J[Directorr
ND
13ARNSTABMMA&I Public Health Division
s E
x639. 1�
�' C
Thomas McKean,Director
200 Main Street,Hyannis,M 02601,
t�
Office: 508-862-4644 Fax; 508-790-6304
�nE
Insta➢Iler&.Desig.er CercfnficatnonnForm
Date:_ ZD I sewage?erw t:#A0/t-/76' Assessor'sMIPTIrcel 2q8 ZZ
Designer: SOWN C6P615NUNMN6 ( ImstaJlier- eAFt Y (FrO ('__L Q0 aCAM0N
Address: qg Cvyfl( �AqIT-6 C _ Address: (�_ a KM VVA.
YwDffH POST A M75 M � 45
On e�w it6,W'IR�e4WF as issued a permit to install a
(da e) (installer)
septic system.at 51 La NDA LANE, N Y8N N l5 based on a design drawn by
(address)
'T ANR�_ A. OJAIA, M . dated my, ( 1:2116
(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.
t er's gnature) pp}} �,
(Designer's Signature) (Affix Designer's Stamp Her
BLFUSE R EMEN TO IBARNSTABLJE PUBLIC HEALTH DIVISION C ER7C�`][+ CATIE ®IF
CODED Ll[ANCE WILL NOT BE ISSUED UNTIL BOTBI THIS ]FORM .AND AS-BUILT CARD ARE
RECEM D BY THE BARNSTABLE PUBLIC HEALTH DMSIOI. THANK YOU.
Q:Healtb/Septic)Desigaer Certification Form 3-26-04,doe
Town,of prnsta
Depaki npl at Of Regul ataxy.Services
> � Public Reaftb.-Divisloya Date
ua�p, 200 Main fwrri,Hyanals MA 02601 Ate
T�cp 8 _n
Fp
R
Data Scheduled *1,1"2 Tees Fe*e Fd, r o� 65
2h
Soil Suitability AssesSmentfo ° So e Disposal
PezformedHy: , Ors t e( 601� al ye S Witnessed By:
- ' JL,r�C.tilRA�l'Y.4.�.-•+lY.'JG,Cl.Jei�.Z.C:AR:t.y .�.°F�?..x ,$,.:':�l?��J.'S
Lnea4o. A.dd:eps r 'N PA LAN oyaner's Narnc
H YAN N l 5 Addros5
NAssebO WN Gf6_ '
ssor'sMap/Parcel: ;ngincerslamp
N.EW CONSTRUCTIOAI REPAIR � Telephone#
Land Use: La(A// slopes W 5 Surface Stoups �� e '
Distances from: Open Water Body>00 kt Possiblo Wet.Arca >�a6l ft )Drinldng Water Well
1Dzaxnaga Way /0� ft Property Line - 7 l0 ft Other ft.
SIMI CCH.,(smcet name,dimensions of lot,oxaot locations of test holes&.pert tests;locate,wetlands-ta proximity to holes)
0 L'Op
o'
pqJ-
l 10 X0
Parent material(geologic) L�G 7 Depth to FedrQa% >20
Dopth'toGroundwater. standingWaicrinHole: *IA Weeping fh)m Pit Fg*Qz'("
Esdrgated Seasonal 111gh Groundwator PIA
�[ER—M`eT.A.MON FOP.SEASONAL ffiG11 WATRA rRABLE
Mothod Used: Gl/
Depth Observed standing in obs.hole: __lug ;lDaptlx�tn.,sll nngttl�a._ ' lil,
`_` '` Depth to�rcepingirozn side ox obs.bolo: " "' in," OXa4iidwate.CladauBtmCnk' _ .- aA-��—-_ _
Index Well i Reading Duke Indox Well laval_.�__ AcSJ,fit k6P, n.r _A df.:( lx?uiltlW[1t8P1 evui
PERCOLATION TEST
Observation
Holek t 'llrnp•at.9" .. .,�.
DopthofPerc. �� Time At6" „
start Fra-soak Time @ _— `lima(9"-6„) -- ^T-----w—
End Fro-soak / ) j
RateMin.11Uch 9 � • /
Sits Qultablli Asaessmcnt: Slto FaSsod Site Fnllod: Additional TostingNeodcd(Y/N) J"
Original: Public.Health Dlvlsloa Observation Holtz Data To Br.Completed on Back---------
***1E percolattioi n test is to be eoudxacted vPMU 100' of Wetland,YOU Must first-aotlfy the
Bumstable ComeTvataon Division at least one(1) week prior to beginning.
Q:1SEPTIWF_RCF6RIYI'.JDOC �,
DEEP-OBSERVIXITIOMAM, LOG
Deptlifrom Sallllarizon SohlToxture Shc1 Color soil.. Other
St rfaec(in.) , ay=) .(Nlunseli) Mottling (Structurc, Stouee;Bouldem,
• o i'tc cy,9s;'Cravcll •
l�t -1z0 G .A& z �Y
1]epthfrom Soil Horizon SbIlTaxture Soil Color Soil Othcr
Surfacc(hr.) (USDA) (idlunsell) Mottling ,(Structure,Stonos,Boulders.
' oasis en 90 Grave
(p �{/L
Ok
DEEP OIB Rol 0
�p �,7 �
Depthfroni SoilRorizon SoilTcxtura Sail Color Soil Othor'
Surface(in.) (USDA) (Munsell) Mottling (Stmaturo,Stones,Boulders.
Co h to c G e
DEEP 013SER ".�.'] ION TIOTIVI LOB: Role,#_
Depth from Sail Rod= SoilTexturc Sall Color Boll other
Surface(in.) (USDA) (Nlunsell) mattling (Structure,Stotim"Bauldurs,
' �+"landYrastsranc��afe'1V.C�'o�. � •• •
Abevr 500 yevf food boundary No Yes ...._.._
'Within506yearboundary. No v+ 'Yes '
Within 100 year flood boundary NoZ YaS
Dey�fh.of 1'�atixraYY�y�ccxlr�in�'�erwYo�ls N1�.i�ri_eY •
Does at least four Feet of naturally occurring pervious'j:nsterisl exist in all amu.s nbs6rved throughout thb
area proposed for the soil absorption systeml -Ye_Z___�
7f not,What is the depth of naturally occurring Pervious matarlai' -
i`;Oi^ Mcatiog
certify that oft Z (date)x havepassed tho sail evaluator examination approved by fire
Department ofBn'vironmentalProtoodon and thartht; above analysis was pcitfbrmod'byme consistent with .
'the requited training,expertise and experience described.in�10 CMR 15.01/7./
Signature '�"�-c���' �• Datb l l / �qll
• � V
' • i (�.1��1'�'lCtl'�lZ.C1�0lY.Nf.TJ0C
ALL SYSTE
LL
SYSTEM PROFILE MARKED WITHC MAGNETIC TTAPEAOR BE NOTES
(NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS NAVD 88 Route 28
PROVIDE MIN. 20" DIAM. WATERTIGHT
ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE
2. MUNICIPAL WATER 'IS EXISTING
\ TOP FOUND. EL. 54.0' FILTER FABRIC OVER STONE
' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. Lo Pond f ti a
51.6-52.1 MINIMUM .75' OF COVER OVER PRECA T 2% SLOPE REQUIRED OVER SYSTEM 50.0 53.0
PRECAST H-�o NOTE: 2" MIN. WALL MORTAR ALL BLOCKS OR 4. DESIGN LOADING FOR ALL PROPOSED PRECAST hOO� Q
RISERS (TYP.) MINIMUM 1' OF COVER THICKNESS REQUIRED COMPONENTS PRECAST RISERS UNITS TO BE AASHO H- UH-10 TANK). Pine St
2'+a OVER POLY TANK EL. 50.52' 4"OSCH40 PVC H-10 (TYP.)
FBAF9L
1" 1.34' PIPES LEVEL 1ST 2' 4.25' 3,5' 5. PIPE JOINTS TO BE MADE WATERTIGHT.( ) s" MIN. SUMP 1.5' BETWEEN INV'S EL 48.0' " Lin °1,500 12" MIN. INT. DIM. CHAMBERS SIDES Locus
ENDS 48,83 a51 . PROPOSED 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE49.45 GALLON POLYETHYLENE °°°°°°°° o' o o ° oao °o°o°o° WITHSEPTIC TANK �� m�E2® °° ° ° L m-T-0 -�Imm�° ° ° ° o o 0 0 o 0 0 o ° ° ° o 0 0 0 0 0 0 o o ° ° ° ° 310 CMR 15.000 (TITLE 5.)(H-10) °o °o,o°o WATERTEST D'BOX ° ° ° ° a�aoo�aoo�i� 000aaoo�aa� ° ° ° °0 0 0 0 0 0 ° ° ° ° ° °o° °°°°°°°°+°or°or°o°o°09 FOR LEVELNESS nj °O°O°O°O D�aO�������I] °p°°°° ��O��000���� °°°°°°°°
• ;00000000 Qo��o Do�o���o�Do o00000 ��0 ;00000000 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND o�
° ° ° ° ° ° � o
° o o �5 48.49 48.33 ;°o°o°o°g �00000 °o °o°g 46.0 NOT TO BE USED FOR LOT LINE STAKING OR ANY
OTHER PURPOSE.
H-20 500 GAL. LEACHING CHAMBER BY ACME PRECAST 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. °
3/4"-1-1/2" DOUBLE WASHED STONE (3) UNITS REQUIRED
6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 37' X 11.83' 9. COMPONENTS NOT TO BE BACKFILLED OR W°Y
i COMPACTION. (15.221 [2])
CONCEALED WITHOUT INSPECTION BY BOARD OF Tobey
HEALTH AND PERMISSION OBTAINED FROM BOARD
OF HEALTH.
10. CONTRACTOR SHALL BE RESPONSIBLE FOR LOCUS MAP
41.0' BOTTOM TH-2 CALLING DIGSAFE (1-888-344-7233) AND
( 7.3 % SLOPE) ( 1 % SLOPE) 1 % SLOPE) NO GROUNDWATER FOUND VERIFYING THE LOCATION OF ALL UNDERGROUND &
( OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF SCALE 1"=2000'f
LOW PROFILE LEACHING WORK.
FOUNDATION 14 SEPTIC TANK 71 D' BOX 35' FACILITY ASSESSORS MAP 248 PARCEL 223
11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL
*THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL VARIANCES REQUESTED UNDER TITLE 5 BE REMOVED BENEATH AND 5' AROUND THE LOCUS IS WITHIN FEMA FLOOD ZONE X
PROPOSED LEACHING FACILITY.
UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 15.405 1a: REDUCTION IN SETBACK, SAS TO (AREA OF MINIMAL FLOOD HAZARD) AS
PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM FOUNDATION (20' TO 10.1') 12. EXISTING LEACHING FACILITY SHALL BE PUMPED SHOWN ON COMMUNITY PANEL #25001 CO564J
LEGEND AND REMOVED OR PUMPED AND FILLED WITH CLEAN DATED 7/16/2014
15.405 1b: SAS TO BE > 3' BUT < 6' BELOW SAND.
FINISH GRADE (VENT AND H-20 PROVIDED)
99- EXISTING CONTOUR
X 99.1 EXIST. SPOT ELEV.
-[99]- PROPOSED CONTOUR
ROP. VENT WI CHARCOAL ILTER
�98,4� PROPOSED SPOT EL AND BUGSCR N (FINAL PL ENT BY
CONTRACTOR TH HOMEOWN
TH1 CONSULTATION)
�} TEST HOLE LANE SYSTEM DESIGN:
INDA
2%_ SLOPE OF GROUND
GARBAGE DISPOSER IS NOT ALLOWED
�So
UTILITY POLE Cc f�
o 1`0.T 1 DESIGN FLOW: 4 BEDROOMS ® 110 GPD = 440 GPD
FIRE HYDRANT OH s� o S7 PROVIDE 30' OF 40 MIL LINER AT 5' USE A 330 GPD DESIGN FLOW,
GH - OFF ,SAS IN AREA SHOWN -TOP AT
NOTE NOT ALL SYMBOLS MAY APPEAR IN DRAWING ELEV. 48.9', BOTTOM AT EL. 44.9't
oHE T 1 SEPTIC TANK: 440 GPD (2) = 880
0
atiF m USE A 1500 GAL. SEPTIC TANK
TEST HOLE LOGS 01_E � '� LEACHING:
Po H " SIDES: 2 (37 + 11.83) 2 (.74) = 144 GPD
ENGINEER: DANIEL E. GONSALVES, SE #13587 F I
BOTTOM 37 x 11.83 (.74) = 323 GPD
WITNESS: DON DESMARAIS, RS " o TOTAL: 655 S.F. 454 GPD
DATE: 1 1/1 4/1 7 EXISTING DWELLING
TOF=54.0 0
PERC. RATE _ < 2 MIN/INCH 'o RINSE STATION USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL)
WITH 1.5' STONE ON THE ENDS, 3.5 ON THE SIDES AND
CLASS I SOILS P# 15525 o GARAGE 4.25' BETWEEN THE CHAMBERS
ELEV. ELEV. 10,
o
00
A A � ss DECK 46 APPROVED DATE BOARD OF HEALTH MA
LS LS � APPROXIMATE
��10YR 4/2 6" 10YR 4/2 EXISTING SAS
7» L- TITLE 5 SITE PLAN
B B BENCHMARK: MAP 248 0 ,b OF
LS LS * CONCRETE PARCEL 223 � ' I
�-� BULHEAD =53.40 0.25 ACRESt S� n / 51 LINDA LANE
„ 1OYR 5/6 1OYR 5/6 NAVD88 Ln
=
14 50.8
121, 50.0, o 10• HYANNIS, MA
PREPARED FOR
C C
PERC o GARY CLIFFORD
MS MS ���M ss , v; Ha ass DATE: NOVEMBER 29, 2017
REV: JUNE 12, 2018 (VARIANCE NOTE)
oc�� DONIELJALA cyl aov�" IAIEL
f cy� v REV: JUNE 13, 2018 (PER HEALTH DEPT. COMMENTS) V/
2.5Y 6/4 2.5Y 6/4 S
��o CIVIL "' �68� OJALA �"
No.46502 4 , ;vo.40980 off 508-362-4541
o e fax 508-362-9880
1�0FESS\0a downcape.com
�SS/ONAL c�G\ "'`qn'D SUR, E • • •
down cape engiaeefing, Inc.
120 42.0 120 41.0 civil engineers
0 NO GROUNDWATER ENCOUNTERED Scale: 1 20' land surveyors�^� �j-�� `-'` 1•�, I 939 Main Street ( Rte 6A)
LICE # > 7-390
0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675
17-390 CLIFFORD_HAYES.DWG
II