HomeMy WebLinkAbout0109 MEGAN ROAD - Health 109 Megan Road
Hyannis
A = 292 247
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TOWN OF BARNSTABLE
LOCATION SEWAGE #
VU-T.AGE ASSESSOR'S MAP & LOT2
F
INSTALLER'S NAME&PHONE NO. Qri, 9 aS`
SEPTIC TANK CAPACITY /Q60
LEACHING FACILITY: (type) (size)Vtf act
NO. OF BEDROOMS 3
BUILDER OR OWNER �r N k�UR"yC�BUILDER
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 facility) Feet
Furnished by
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No. v`�J`- \-Q __',` r- - _ ' FEE
COMMONWEALTH OF MASSAC14USETTS
Board of Health, t?4aV Sr1 4 C,= ,MA.
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct( ) Repair(.4grade( ) Abandon( ) - ❑Complete System &Klividual Components
Location %0 q M1-5�A) /}NNt S Owner's Name 4te4/iu /G4VAAJA(, P
Map/Parcel# M/47 29Z /P*UC�C- S47 Address l09 ne4-AN N j4NN`S Z60
Lot# (a r- 11 Telephone# OB 7"79- ZSZI
y, Installer's Name ) N 11 Designer's Name
Address U�-� Address 7
Telephone# Telephone#
Type of Building Re t i t4N H01 I Lot Size l�j t�2� sq.ft.
Dwelling-No.of Bedrooms Z Garbage grinder ( )
Other-Type of Building A11-4 No.of persons Showers ( ),Cafeteria ( )
Other Fixtures /uJA
Design Flow (min.required) ?3J gpd Calculated design flow 270 Design flow provided '� .Z gpd
Plan: Date l o 1 1-+10 1 Number of sheets 71 Revision Date NJA
Title 581,0TTc .SYSTFr"1 ,eE/41iZ 16106-e*06. /®`l P�E4-14AJ� d-/Y� /�n � IIC 4
Description of Soil(s) A.' L S R' 15 C,a (30`�-'LO'� ////t fa �'�� _GZl(60 �- I Z/o"a� l�'/�-C �'�
�rrt Soil Evaluator Form No. s � Name of Soil Evaluator /"Q�-r/ Mcf-o< C Date of Evaluation /O�`ZJt11
DESCRIPTION OF REPAIRS OR ALTERATIONS AS it # /N-ew S4-:.5
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
further agrees to jr6t to plaee a tem' era on until a Certificate of Compliance has been issued by the Board of Health.
�[ Signed Date �/�� I-C;0
7 4-
FEE
COMMONWEALTH OF MASSACHUSETTS
' q Board of Health, F4a;B .5T14ldL.6r MA.
` APPLICATION FOP DISPOSAL SYST EM,CONSTRUCTION PERMIT
Application fora Permit to Construct( Repair(&e I rpgradeO Abandon( ❑Complete System L14n4ividual Components
Location /0!i /11L�Ca N / y /fNN�s Owner's Name 4-L67441V ffi4MM.46 4
,t / Address /0 � a Y4 � eSMap/Parcel# Mfo -Z1Z o/ O 14-7 m 4 aw 1
Lot# CoT // Telephone#' [Sod 775- Z5-Z)
QRE A tTtT �r� .1/
Installer's Name Designer's Name
I � Address:'. Address
T h 76WOO 7zw5 'D aw v rnp LE AP L
Telephone# _ Telephone# ¢ S"3+
i Type of Building Re!;de,fir q Lot Size 'S/(*ZS�t sq.ft.
Dwelling-No.of Bedrooms 2. Garbage grinder O
Ilr' Other-Type of Building ` 4 No.of.persons Showers ( ),Cafeteria ( )
:u Other Fiktures Ajj
` Zi�U Design flow provided 3� �- d
Design Flow(min.required) 3 ': gpd Calculated design flow g p b gp
P40
lan: D"ate 1O 1'4�0 Number of sheets Z Revision Date N/A
Title S.FiO71e SYSTF�'1 EPr4/lL Qi'. /6 ¢° YA:1uN14 i1tq14
J.
Description of Soil(s) A ' C 5 Al � � ��: C'���^ b0 �� �/ti1(:� S�'rA C&,'(t60 a! I Z L`b �H-C 541-10,
�rrts 1 u r9 iP f 4 i-4G Date of Evaluation /o�Il zlo
Soil Evaluator Form No. M Name of Soil Evaluator �-/-i/ !-�G,�K
DESCRIPTION OF REPAIRS OR ALTERATIONS IAS -0 au!w S,q'S
The undersigned agrees to installe above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
further agrees to of to place/the temp operation until a Certificate of Compliance has been issued by the Board of Health.
M Signed ( � Date ke21-0
5'rrIl1S�ppC=�9 5 `•�.4... �' �.. t-..'!`1�ji- zv.: 5.,:=:.,{L°'...�._�..\ �:+..A t -. .�� ��.' `\�� (� 00/
1
No. ,` / � FEE e_-,
CL—
Board of.Health, ?M1Z/U3rAQ4f' MA.
CERTIFICATE Of COMPLIANCE
Description of Work: ❑Individual Component(s) 0 Complete System
The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired(�/�,Upgraded ( ),Abandoned ( )t_ by: t �l�Nya�i�n
at IN M6 6" 1-0• f
has been installed in accordance with the provisions of 310 CMR 15.00 (Ttle'5)-and the approved design.plans/as-built plans relating to
application No. : -�" �c'dated Approved Design Flow. (gpd)
4't
Installer RIA N y f r r
Designer: .(,l/D�k5 Inspector: w'L� Date:
6 LI
i V
t The issuance of this permit shall not be construed as a guarantee that the system will function as designed
_,+ �-a-...,,:,.4., �,v„ :;s•x�:.;-<._ -.+: -'�`-- , ".w,i=n ;,�(' ,5 — m`s' -":�-i.,k.. ems-- - _, _._
No. FEE
x
Board of Health, 6AV-kV.5 rAg Le MA.
DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permission is hereby granted to; Construct.( ) Repair(/) Upgrade( ) Abandon( ) an individual sewage disposal system
at /061 �� � }} as described in the application for
F Di"sposal System Construction Permit NaC€ -��� ;dated
t Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be meta r
Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date U Board of,Health _ .� c * - �.1 tr\'+�._+ t►... �.
5/25/01
NOTICE: This Form Is To Be Used For the Repair Of Failed
Septic Systems .Only.
PERCOLATION TEST AND SOIL EVALUATION EXEMPTION
FORM
hereby certify that the engineered plan signed by me
dated to iq 10 , concerning the property located at
.10 q ��!1 u i 1 : meets all of the
following criteria:
• This failed system is connected to a residential dwelling only. There are no
commercial or business uses associated with the dwelling.
• The soil is classified as.CLASS I and the percolation rate is less than or equal to 5 -
minutes per inch. The applicant may use historical data to conclude this fact or may
conduct preliminary tests at the site without a health agent present.
• There is no increase in flow and/or change in use proposed _
• There_are no variances requested or needed.
• The bottom of the proposed leaching facility will not be located less than fourteen
(14)-feet above the maximum adjusted groundwater table elevation. [Adjust the
groundwater table using the Frimptor method when applicable]
Please complete the following:
A) Top of Ground Surface Elevation(using GIS.information)
B) G.W. Elevation + adjustment for high G.W. �n��J _= 32 ,-21-,
DIFFERENCE BETWEEN A and B 1 r T7
SIGNED : DATE: td ;q 6
- I
NOTICE
Based upon the above information, a repair permit will be.issued for. bedrooms.
maximum. No additional bedrooms are authorized in the future without engineered
septic system plans.
q:health folder:percexmp
y
TOM] Of Barnstgable
14ii'artntent of lacalth,Safety,and El;vil unmer'., Services
A o„ 1 0 Nbiu Strc.cl,Ilynnnis NIA 02601
nartNrirAALF
etnQa, '/
� s6J9�e�
\`o����� 1.1a(e Srlfecitttecl "time ,gee l'(,.
Svil ►.uitability Assessuient,fi)r Sewage Disposal
f:f.
r 4,t " �L�iL� r'
I'cr,ilrrncd .- _- 1Vilncsscd 111: Nd rf' �_(�
---- --��LOCATION & GENERAL INFORMATION —
,,uCatlnn Address eNoq F ga.//rn�. i)tvrter's Na:,,c641-&,/t- -✓q,vtg..�Ll
CSscssc+r's M1f^p/l'nrccl: 11�7qp Zq Z A,-,LI Z A / }'nRii,ccr's I17rnc�tkjQ/�,r�t /Q �_ ,��
NFWCONSY1?UCfIVN Itli1'Allt ✓� — lc,cph,nrz�u -775 Zc5- 'Z-1
I.md (1se -- G� slopes(?6) Suriacc Rlnnes
Dis(anccs Bone: Upon Wnler llod.y--N i4- It Possitrlc Wet Ares, ^f�/� It t)tinking\Valcr Well
f
I)rntY,auc Why ,� II l'ospclly I.in< 11 Odic[ it
SKLTC11: (Slice(nar»c,dimensions of I'll,cNaet Iocwions ill(c5l 1101c5 pert(csls.1r+calc ectlmuls in pm.einsi(y Ie lu,tcs)
. r
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t'menl material(geologic) Q �,tice,$ Ucptli 11)Bcdrock
E,)c.p h k)f,;rcrundwaler. Starbdirtg 1Vtllet in Iloic: ctin e- -- Weeping frtml Pill Fne
Gstilaerrted SCaSullal,ligh(homt(hvater
OE'1'#V,ANHNATION.FOR SEA80NAL 1116.11 WA'1'B+;,kTAIBLE
Method Used.
Depth Utncrvc:d slanding is ohs I,otc: in 1?cplls to sail mottles' in
De,plh to wce.plog fruit}aide Of ohj !tole-------_�-_--'_-_--m. (ifnllndlvalcf AdIllitlflCnt -- ----~--_' I1
- IISdC.Y WeIt N Prnding Ualc; hnlex \Vcll revel - Ali! Nc(or Ac1i.t)rnundwnPcr I,coct
PERCOLATION '[7,5'I' fr;,iiL fl:tle
UBscrvalion
We H _i�✓I — I ilnc at y,.
Uelelh u1 I'crc 4_ q I in,c it 6"
Slat(I'rc-snak 1`intc(� 1 4 inec(')"-G")
End Pre-sonk _L l Iw►1
Role Min./hrclr --
Site Soitahility Assessment: Site pnsscd — Site Fnilr_d:, -- Additior,nl'1'eslinr?,Needed(1'!N)_—_-
Origionl: Pnb(ic 11cn,th I)ivision CDbservnt(on €lntc Un(n To He t:omple(ed oil
Copy: Applicant
-'--1—
DEEP: 11Sl RVATI+ON HOLE LOG Bole #; .,
Depth from Soil Ilorlizon Soil Texture I Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure.Sloitcs, i3ouldcres.
Corisigency.%Grave)]___._
ro to A s -Z Is Y ;(Z .�
4'
(P.0 J240 — G�� tW—tovye 4/4-
DEEP OBSERVATION HOLE LOG H le #
Depth from Soil Horizon Soil Texture I Scii Color .Soil Other
Surface(in.) (USDA) If (Munsell) Mottling (Structure,5lones,I3ouideres.
Gravel)
DE EP;(JJ�SEIlVA I'IOlV HQLIL LOCH k[mie#
Depth from Soil ilorilzoil Soil Texture Soil Color Soil O(her
Surface(in.) (USDA) (Munsell) Moltling (Structute,Stones,Houlderes.
cons.1tency.°i r vgD_— .
DEEP..0BSF',RV'1'TION HOLE LOG Hole#
Depth frorn Soil Floriton Soil Texture Soil Color Soil Otlter
Surface(in.) (USDA) (Murtsell) Molding (Structure,Stones,13oulderes,
—. _ — -- Consistency-%Gravel)
lF�1 Q(! Insurance Rate Maw - �---�.,
Above 500 year flood boundary No Yes
Within 500.year boundary No /Yes
Within 100 year flood boundary No �! Yes
D�pili of Naturally Occurling Pervious Material
Does at least four feet of(naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil absorption system? T��e�_
If not,what is the depth of naturally occurring pervious material?--
Certification
(`certify that on ?!j q,-5— (date) 1 have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me consistent Willi
the required training,expertise and experi�enice—described iat 310 CMR 15.017,
Signature Cate
1
TOWN OF BARNSTABLE
LOCATION !0'4 M49CI414 SEWAGE # i - 72C
VILLAGE a43 ASSESSOR'S MAP & LOT ,2,
INSTALLER'S NAME&PHONE NO. R910
SEPTIC TANK CAPACITYxf�
LEACHING FACILITY: (type) ' �0 C �- (size)
NO. OF BEDROOMS 3
BUILDER OR OWNER 11f11 J96R
PERMITDATE: 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 facility) Feet
Furnished by
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a 0 Aix
.,,7 J. t......• � . ..i'ti. r � is
REMOVE & REPLACE .. LEGEND e°^s
y' STOCKADE FENCE
�s
i�
L C T 1>�� REMOVE & REPLACE gg PROPOSED CONTOUR s
TELEPHONE SERVICE x gg PROPOSED SPOT GRADE ROUTE 28
N 86°44'17'W 97.e
x 99.6 137,801 x I x 9.4 !r O 110--- EXISTING CONTOUR Rd
9.7 c:) r 110 EXISTING SPOT GRADE
N I r _�°' .
��9.2 j ® TEST PIT m 3 0
99.3 g l �,
�\ � O� I W - EXISTING WATER .SERVICE Q Q
Y GARDEN r - c� r
9s j ^ 1 W-- - EXISTING GAS SERVICE " Eldrid e a
2 x x ��_ f �.''.: 11 d r --- TEL-- EXISTING TELEPHONE SERVICE PAve.
¢ gg„ 99.2 -B�x �.. ,. `'� 11 LOCUS
a 9.4 x �4. TP V.
EXISTING PIT q���5 9,8 �� 180D rl
(TO BE PUMPED & yP� �•�i , 10 t LOCUS MAP N.T.S.
FILLED W/ SAND) g P 99
EXISTING SEPTIC TANK '� y�ee7 OTOP OF TANK EL+ 98.32 x 2 rr O
INV(OUT) EL+ 96.99f 99.2 6 �r ��c (0 �95 9y3aAK, GENERAL NOTES:
BENCHMARK �S�,1ao P�����5 W r� x97 4 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL ,
TOP OF CONCRETE 9,9 O. ,W BOARD OF HEALTH AND THE DESIGN ENGINEER.
BULKHRAD CORNER � 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
EL: 100.00 (Assumed) ���C� v �1�G`' �`W OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE
LOCAL RULES AND REGULATIONS.
3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR
LQ ��� 0 r DOSINSPEGN E TI NE RND APPROVAL BY THE BOARD -OF HEALTH AND THE
4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
~ x99'S ��l FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN
M "' OQ / ENGINEER BEFORE CONSTRUCTION CONTINUES.
5. ALL ELEVATIONS BASED ON ASSUMED DATUM.
0 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
z THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
9 7 <a) cl �� 7. WATER SUPPLY PROVIDED BY. TOWN WATER MAIN.
LET 119 98'O Q 8. THERE ARE NO PRIVATE WELLS LOCATED WITHIN 100' OF THE S.A.S.
��^ ` J � 1
�x98,6 MAP 292 ` \\` �/ x + 9. ALL AREAS CLEARED FOR CONSTRUCTION ARE TO BE LOAMED AND
97,0 SEEDED UPON COMPLETION OF CONSTRUCTION
PARCEL 247 �`�-
T . : .... .,. 1 Q. IT SHALL BE THE RESPONSIBILITY OF.,.THE 'CONTRACTOR TO VERIFY THE
THE LOCATION OF ALL UNDERGROUND UTILITIES, .PRIOR TO BEGINNING
15,625+S,F, \\� (7 I x 97 8 CONSTRUCTION.
O 9 1 1 AND PROPERTY
DEEDS LIOF RECORD NA AND ARE. EN APPROXIMATE FROM ONLY. E THEY G PLANS
HEYDO NOT
REPRESENT AN ACTUAL ON THE GROUND PROPERTY LINE SURVEY.
12. SUBJECT SITE IS ABOVE THE 500 YEAR FLOOD PLAIN.
59,5 9 9�
00E 9 '
N82°07_ -
-- .'---'' x z PETER T.
9 .1 MCENTEE SEPTIC SYSTEM REPAIR/UPGRADE
CIVIL 109 MEGAN ROAD, HYANNIS, MA
__ --- IE A � �;' Na 35109
G {rr AFGISjE`� ���`Q Prepared for: Glenn Kavanagh, 109 Megan Road, Hyannis, MA
I 4 FSS Engineering b : SCALE DRAWN JOB. NO.
D � t 9 9 Y —
._ . EL 1"=20' P.T.M. 97 01
SCALE! � -20 �lv� Engineering Works
23 Deer Hollow Road, Forestdale, MA 02644 DATE CHECKED SHEET NO.
0 20 401 (508) 477-5313 10/14/01 P.T.M. 1 Of 2
1
} NOTE: TO PREVENT BREAKOUT, THE PROPOSED
.wj TOP OF FOUNDATION F.G. EL: 96.4 FINISH GRADE SHALL NOT BE < EL:96.5
EL.100.s7f FOR A DISTANCE OF 15' AROUND THE
::.
F.G. EL: 99.9f(EXISTING) F.G. EL: 99.4t(EXISTING) F.G. EL: 95.6t PERIMETER OF THE S.A.S.
� MAINTAIN 2% MIN SLOPE OVER S.A.S.
INSTALL RISERS OVER INLET & OUTLET ' 3-500 GALLON LEACHING CHAMBERS IN SERF SHOWN ON PLAN AND SET COVE INSTALL
INSTALL RISER OVER CHAMBER
TO WITHIN 6" OF FINISH GRADE (WHEN REQUIRED) WITH 4' STONE ALL SIDES
WITHIN 6• ❑F FINISH GRADE
K, L -48" L m20(MAx)
INV.EL: 97.83t 4" SCH 40 PVC 4" SCH 40 PVC
(EXISTING) T:-� INV,EL.,,97.24±
10• ®0 4d Im®
14. S 1"/. (MIN.) s C� S= 1'/. (MIN.) ®80 �0®
7 EXISTING 1000 GAL. 2' EFF. DEPTH]: P®00810
INV. ELEV.=96.51 INV. ELEV.=96.34 16" EXTING) SE TANK
2,5 5,2' 2,5'
INV.EL: 96,99t FFECTIVE WIDTH = 10,2'
INSTALL INLET & OUTLET TEES (EXISTING)
' INV. ELEV.=96.00
GAS BAFFLE TO BE INSTALLED ON
OUTLET TEE AS MANUFACTURED BY
TUF-TITE, ZABEL, OR EQUAL TOP CONC. ELEV.=96.75 -BREAKOUT ELEV.=96.50
INV. ELEV.=96.00
SEPTIC SYSTEM PROFILE BOTTOM ELEV.=94.00 ,
2
3x8.5 - 25,5 2
5' MIN. ABOVE BOTTOM OF EFFECTIVE LENGTH = 29,5'
(3) 5" DIA.OUTLETS T.P. EXCAVATION OR G.W.
LEACHING SYSTEM SECTION
h 15.5', F'2. 88.90
1
15.5• �- 1 �� r` �; ��� �F N4
' SOIL LOG o PETER T.
6 L DESIGN CRITERIA
2 NUMBER OF BEDROOMS: 2 BEDROOMS McENTEE
D-SOX CIVIL
DATE: OCTOBER 12, 2001 SOIL TYPE: CLASS I No, 35109
"TA SOIL EVALUATOR: PETER T. MCENTEE P.E. DESIGN PERCOLATION RATE: 2 MIN./IN. £GI'1
INSPECTOR: NOT REQUIRED DAILY FLOW: 220 G.P.D.
DESIGN FLOW: 330 G.P.D.(MIN.)
Elev. TP- 1 Depth GARBAGE GRINDER: NO
99.4 A 0" LEACHING AREA REQUIRED: (330) = 445.9 S.F. l.b
_ LOAMY SAND .74
_ 2.5Y 3/2
INVERT 0000 ®®®® 98.9 B 6" SEPTIC TANK (EXISTING): 1000 GALLON
00000000000 33"
000000®®OEM® Z0,1
24,. ®��®®®®®®®® LOAMY SAND
1... i USE 3-500 GALLON LEACHING CHAMBERS IN SERIES
96.9 C1 30"" 4''' O •':l
102" _ EXISTING SIDEWALL AREA: 2(10.2' + 29.0') X 2 = 158.8 S.F.
l'r
2.Y sift 2 BEDRL7L7M �� I'''`' { .0 BOTTOM AREA: 10.2' x 29.5' = 300.9 S.F.
I''° O 459.7 S.F.
4" KNOCKOUT 5%GRAVEL 48" �;,' TOTAL AREA:
2D" DIA. COVER HDUSE C#10 9� ? i,
94.4 60" ]-Q,F,=1 00,(7 O DESIGN FLOW PROVIDED: 0.74(459.7) = 340.2 G.P.D.
° KNOCKOUT O 4" KNOCKOUT 82" C2 I
M-C SAND 20.0, J
4" KNOCKOUT 2.5Y6/4 t` 102' SEPTIC SYSTEM REPAIR UPGRADE
<5%GRAVEL �#
88.90 1 MEGAN ROAD HYANNIS MA
zs 109
500 GALLON CAPACITY, H-10 LOADING
NO G.W. ENCOUNTERED S.A.S.LAYOUT Prepared for: Glenn Kavanagh, 109 Megan Road, Hyannis, MA
CHAMBERS PERC RATE: 2 MIN/IN."C1"&"C2" HORIZONS ( Engineering by: SCALE DRAWN JOB. No.
1 Engineering Works N.T.S. P.T.M._ 97-01
23 Deer Hollow Road, Forestdole, MA 02644 DATE CHECKED SHEET NO.
(508) 477-5313 10/14/01 P.T.M. 2 Of 2