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HomeMy WebLinkAbout0140 MITCHELL'S WAY - Health C (o 0 TOWN OF BARNSTABLE LOCATION Iq0 M:Jeke-115 l.Jal! SEWAGE# 2021 • Z$'3 VILLAGE N<xnn;5 ASSESSOR'S MAP&PARCEL Z90-DG8' INSTALLER'S NAME&PHONE NO. G 41 J3 CXCctUai 10 A L4 17.0G53 SEPTIC TANK CAPACITY /SOO LEACHING FACILITY: (type) c 63) (size) 13 X 33t Z NO.OF BEDROOMS n OWNER �ctS�p Pccc�L PERMIT DATE: •Z'7- Z 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 ¢ ci5 IM w � O oc t'M Q No. Fee All THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftplitation for Zisposal 6pMem CoristrUttion 3permit Application for a Permit to Construct( ) Repair( ) Upgrade(0 Abandon( ) Complete System ❑Individual Components r Location Address or Lot No. w Kke hQ1l`S .Joy klllp t Owner's Name,Address,and Tel.No. vwo Ferom Assessor's Map/Parcel 'LQ o- o(o g kq-0 /a•}shell's %4 Ir11 o.nni S r4 Installer's Name,Address,and Tel.No. ()$8 a }:on l f1c. Designer's Name,Address,and Tel.No. ',c%t "rvs '3�4 R,oc)►c� 13o So►r+dw.N+ SOS• 4�� •O65 12 t,,J¢s1 GcosSkidld t2.d• Focastdo►i•. V�'F•$3t3 Type of Building: Dwelling No.of Bedrooms y Lot Size 2K, 140 sq.ft. - Garbage Grinder(No) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided LA Sy gpd Plan Date (n( to( -Li Number of sheets 'Z Revision Date Title Size of Septic Tank tsoo a, on Type of S.A.S.�>> SOO An�lon Gh p loe�S Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1mh kka{on a ne" K0 0 OnAl n SIT . [lam $00 Aa��o� C-•S Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. gn Date didst Application Approved by Date Application Disapproved by Date for the following reasons Permit No.�C � Date Issued 5 '� }..�+,,,� 4 �'' ! ¢L,� � mil• �t „ r^' r f0 r` # No.r"— ! m r 1� m a«' Fee �* i " THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:---- PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes k RppYlcation for Disposal 6pttrfi Construction 3permit Application for a Permit to Construct( ) Repair( ) Upgrade( Abandon( ) [Complete System ❑Individual Components Location Address or Lot No. 140 f� 3 c ne\\'S W c,,,� ,�k4c,om s Owner's Name,Address,and Tel.No. ?0,'910 Ve r.@ 7- t� Assessor's Map/Parcel 7,10 - O L,$ \`ao P'1 A o,e.tl•; tijQ`j Installer's Name,Address,and Tel..No. Q>15 Designer's Name,Address,and Tel.No. r nc�Chc 4 *�•v lr\cs "". '��•� �iecJt-c 1"3© `�a�c�:4`�, �,p� .tl3� 1x. W4�1 C(oS�F,Ci{a �..cl• �-r,,tE'.1c�c�l�. ��"F-7 r � ,-Type of Building: Dwelling No.of Bedrooms Lot Size 2`}, N,0 sq.ft �' Garbage Grinder(�V c ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures R Design Flow(min.required) 44o i gpd Design flow provided gpd Plan.:,. Date (n 1 10( Z Number of sheets 2 Revision Date Title } Size of Septic Tank 01��on Type of S A.Sr Description-of Soil `>q.Q-- pk i c,t, `� > , p y Z t 4 , Nature of Repairs or Alterations(Answer when applicable) C* OQ t 1 ';IC6 o O =-,1 T �-LoX J Date last inspected: ' UF 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 issuedby this Board of Health. ' Sgnede�� Date (rs i: 1 Application Approved by ,- \` 1 � :-a Date 1 c dB r' f Application Disapproved by Date for the following reasons Permit No. /` ', - j Date Issued .THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( X) Upgraded( ) Abandoned( )by t (i� at 111 U 6'ji has been constructed in accordance �y with the provisions of Title 5 and the for Disposal System Construction Permit No,N7ted � - &,.—�—_ Installer $ ?-)((c*,j0A\, r\ l f)c Designer .� / t #bedrooms � Approved design flow q`7� to gpd The issuance of this permit shall not be construed as a guarantee that the system(will fundon designed. Date , } Inspector . ------ -.- -._ No Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Misposat 6pstem Construction permit Permission is hereby granted to Construct( ) Repair( k) Upgrade( ) Abandon( ) System located at rx - 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 p'ermit.. ^y Date �/ �" /� ,� Approved by`'^.,.•- r .....- dew ` 06 r 990 t 5�7c-\re Vill o0 Lvay P�h Pere z (C-3��a RVL6:�6 LZOZ/ZZ/LO 03AI3038 Fort Myers FL, July 21,2021 To whom it may concern; I Pablo Perez Tejeda, identified with residing at 1010 South Dale Rd Fort Myers FL, 33919 hereby authorize the installation of the wastewater disposal system on my property located at 140 Mitchells Way in the Hyannis Massachusetts town. As the owner of the aforementioned property,I declare that the home was built in 1965, is 1,663 square feet,and has two stories. Described below; Two bedrooms and one bathroom on the second floor and two bedrooms, one bathroom.on the first floor. In addition,the house has a large deck, open livin room, kitchen and a laundry room. If any questions,do not hesitate to call me at 239 222 9614. Pabio Perez Tejeda STATE OF FLORIDA COUNTY OF LEE Sworn to (or affirmed) and subscribed before me by means of[,]'physical presence or [] online on,this 21 day of July 2021,by Pablo Perez Tejeda. ' \� "Dv� M.;Q?14 01!H 73a, gnature of Notary public e z�'$ awH osaeau State of Florida �,,, hJ 0 :Qk Al0 ed 1 �� (Print, Type,or Stamp Commissioned Name of Notary Public) 111414:1 a+ Personally Known OR Produced Identification Type of Identification Produced:MADL S65511217 NVU:06 20Z/ZZ/t0 03A1303b i Town of Barnstable Iat � o Regulatory Services -Richard V.Scali,Interim Director 9 "'­ Public Health Division g iasy. .o atxta Thomas McKean;Director 206 Main Street,Hyannis,MA 02601 Office:508-862.4644 Fax: 508-796-6304 I Installer&Designer Ccrt ificatioh Filrm Date:,7130i?-1 Sewage I ernril# c"C - Assessor's MaplYarcel Designer: nee -;.ne�crfc� I+zr' Installer: 13 GCc_Wvc, Sc�+ Address: 12. VJi C lel P i _ Address: _l Te=.1a e _l__j, was'issued,a permit to installed (irate) (installer) septicsystem at t t{4 /�(tC�e l�`5 � 'based on a design drawn by (ad'dress)- e�'nq;'fien:-1j bVo✓LCYjk'( dated [ t lio1"7t' r (designer) I certify that the septic system referenced above was installed substantially according to i� the:design,which may include tuinpr approved changes such as lateral relocation of the distribution box and/or septic tank. -Strip out(if required)was:inspected and the soils were found satisfactory. i certify that,the septic system referenced above was installed with major changes (i.e. greater than 1 W 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 designex to follow. Ship out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constricted in with the terms of the RA approval letters(if applicable) N . staller's:SignatuMCtYt1 00.35109 O t (Designer's Signature) esigne ere} PLEASE:RETUIRN TQ-BARNSTABLE PUBLIC-HEALTH.DIVISION. CERTIFICATE, OF COMPLIANCE WILL NOT BE ISSUED MITIL BOTH THIS.:FORM AND, AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION_ _ (j,Sapu=�,esi¢na Ccrtifiwcion Fnrm R.ev 8-id-11doc Engineers note This cerlirloa ion is limited to an as-built mspect:on of systetltcumponerv4 as installed prior to bad kill.The _ engmeet did not supervise constNotion of the system.The installer assumes responsibility for all materials,workmanship,backtilling -- specified graoas Grit,,prpher compaction and setiinp nflersicoYNrs as sh�on the dridipn-pion. ® ——98—— EXISTING CONTOUR Skating Rink Rd x 100.98 EXISTING SPOT GRADE G EXISTING GAS SERVICE sN W EXISTING WATER SERVICE ---OHW- -OVERHEAD WIRES �hPs f LOCUS TEST PIT BENCHMARK A °Way LEGEND { ° street m D m WEST MAIN STREET MNN ST Det c Sofa 5„ LOCUS MAP •p4'1o" E N 1430 51 NOT TO SCALE S 81°04'10„ W 25.39' CB 75.48' LOT 20 LOT 21 OCL VENT 53' 100,09 PROPOSED S.A.S. 3-500 GAL CHAMBERS 99.92• �" 100.39 SURROUNDED W/4' STONE + yl O TP-1 + 10.0.42 ::d ® TP-2 a c) X X ors + 100.29 0 99.87 PROPOSED SEPTIC TANK x I Z 100.11 O 100.42 >. S C 1 0 O BENCHMARK 1 COR./BULKHEAD O .20 cat EL.=100.95 i O o 3 �~ 100.2 + +'100.20 oO 00 1.00 BM X 6 X 9 00. 5 100.61 XI100,59 I \ to 1 _ CV - EX: SEWER- O IN \ - - V.=g�f Z 0 DECK .EXISTING 1001.48 �_ \ HOUSE(#140) T.O.F.=102.1 f I � 10 .51 FF EL.=103.0E0 ( I \ 1 �X •• � \ I 99.96 101,28 O 100.43 EXISTING CESSPOOLS X 99.51 .. .:.`. 9'87 I (FROM RECORD AS-BUILT) 99:62 WALK + 100.95 99 6 TO BE PUMPED, FILLED WA + 00 8 WITH SAND & ABANDONED 99.49 . .3 x 10 co99.83 LOT 20 & 21 I 100.5 24,140±S.F. 99.37 \ 85.96' 99,19 WSO>">.. 75.00 S 8T33'00 W CBBROKEN S 87'33'00" W + 99.73 9 99,18 9.04 EDGE OF PK SET PAVEMENT 99.26 98.76 9916 99.26 MITCLIFIELL S WA Y PARCEL ID: 290-068 o PETER T. Mc PROPOSED SEPTIC SYSTEM UPGRADE PLAN � CIVIL CIVIL "' No. 35109 140 MITCHELL'S WAY, HYANNIS, MA 6ISIE Prepared for: B & B Excavation, 14 Teaberry Lane, Forestdale, MA 02644 OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. C6 f 2 1 PEREZ, PABLO Engineering Works, Inc. 1"=20' P.T.M. 204-21 140 MITCHELL'S WAY 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. HYANNIS, MA 02601. (508) 477-5313 6/10/21 P.T.M. 1 Of 2 NOTE: TO PREVENT BREAKOUT, FINAL GRADE SEPTIC TANK SHALL NOT BE AT, OR BELOW, EL.=97.43 INSTALL RISERS & COVERS OVER INLET & FOR A DISTANCE OF 15' FROM THE EDGE OF THE PROPOSED S.A.S. OUTLET AND SET TO 6" OF FINISH GRADE PROPOSED D-BOX INSTALL RISER & COVER PROPOSED S.A.S. SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND t4':S&410 02.1 t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT .=100.4t F.G. EL.=100.3f VENT F.G. EL.=100.3t F.G. EL.=100.2t MAINTAIN 2% SLOPE OVER S.A.S. a�°�SoS AM MR 18' 3'(max.) L = 21' L = 23' 2" LAYER OF 1/8- To 1/2- (MIN.) ® S=1% (MIN.) p S=1% (MIN.) DOUBLE WASHED STONE PVC 4"SCH40 PVC (OR APPROVED FlLTER FABRIC) 6„ 4"SCH40 PVC6ML;Wjjj 14��.=97.25 ae' uqulD 3/a• TO 1-1/2" DOUBLE LEVEL ADD PROPOSED 4' 4.8' 4' WASHED STONE GAS ADD INV.=96.62 _ INV.=96.45 INV.=97.00 D BOX EFFECTIVE WIDTH = 12.8' 3 OUTLETS INV.=96.00 PROPOSED SEPTIC TANK 3-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN CONNECT TO EXISTING SUITABLE SEWER PIPE/S AT HOUSE, AT OR ABOVE, INV.=97.6f(verif H-20 RATED TOP CONC. ELEV.=97.1 t NOTES: BREAKOUT ELEV.=96.50 a 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & INV. ELEV.=96.00 MMT= 0a1000aaaaaaaaaaa INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. aBaBaaaaaaa BOTTOM ELEV.=94.00 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND 4' 3 x 8.5' = 25.5' 4' TRUE TO GRADE ON A MECHANICALLY COMPACTED 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 33.5' SIX INCH CRUSHED STONE BASE, AS SPECIFIED PERVIOUS MATERIAL IN 310 CMR 15.221(2). 5' (MIN.) ABOVE G.W. LEACHING SYSTEM SECTION 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM OF TEST PIT, EL.=88.9 r 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. SEPTIC SYSTEM PROFILE SOIL LOG GENERAL NOTES: DATE: MAY 27, 2021 11:OOAM TPT-21-152 SOIL EVALUATOR: PETER McENTEE, SE-1542 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL WITNESS: DAVID STANTON RS HEALTH AGENT BOARD OF HEALTH AND THE DESIGN ENGINEER. ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 100.4 A 0 100.4 A 0„ LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: LOAMY SAND LOAMY SAND -310 CMR 15.405(1)(b): LOCAL UPGRADE APPROVAL 100.1 10YR 4/2 4„ 100.0 10YR 4/2 5„ 1) A 3' variance to the 3' maximum cover requirement, for up to B g 6' of max. cover. S.A.S. shall be H-20 and vented. LOAMY SAND LOAMY SAND 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 10YR 5/8 10YR 5/8 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE y DESIGN ENGINEER. 98.2 C 26" 98.1 27" 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING PERC C FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN bott. 44" ENGINEER BEFORE CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. M-C SAND 6. THE DESIGN ENGINEER IS NOT R=SPONSIBLE FOR THE FAILURE OF M-C SAND 2.5Y 6/6 2.5Y 6/6 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. f B. THERE ARE NO ABUTTING WELLS WITHIN 150' OF THE PROPOSED S.A.S. 89.4 132" 88.9 138" 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS PERC RATE 2 MIN/IN. "C" HORIZON AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE NO GROUNDWATER ENCOUNTERED DIRECTED BY THE APPROVING AUTHORITIES. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3), 12. 'AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. ` 13. THIS PLAN IS TO BE USED FOR. SEPTIC SYSTEM PURPOSES ONLY AND 78.0' NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. 47 O, ++++ N 6' +++ CP. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC 82' ++ + , SYSTEM COMPONENTS NOT SHOWN ON THE PLAN -�3 ddW++ o DESIGN CRITERIA =c tP 3a 3 �18 NUMBER OF BEDROOMS: 4 SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) PROPOSED S.A.S. 3-500 GAL CHAMBERS <2 MIN IN DESIGN PERCOLATION RATE: / SURROUNDED W/4' STONE DAILY FLOW: 440 GPD DESIGN FLOW: 440 GPD GARBAGE GRINDER: NO-not allowed with design LEACHING AREA REQUIRED: (440 GPD) =1 594.6 SF SEPTIC LAYOUT .74 GPD/SF PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY PROPOSED D-BOX: 1 INLET, 2 OUTLET (MINIMUM), H-10 RATED PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 3-500 GALLON LEACHING CHAMBERS IN SERIES 140 MITCHELL'S WAY, HYANNIS, MA SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES Prepared for: B & B Excavation, 14 Teaberry Lane, Forestdale, MA 02644 SIDEWALL AREA: 2(12.8' + 335) X 2 = 185.2 S.F. Engineering by: SCALE DRAWN JOB. NO. BOTTOM AREA: 12.8' x 33.5' = 428.8 S.F. Engineering Works, Inc. N.T.S. P.T.M. 204-21 TOTAL AREA:.................................I.............................. 614.0 S.F. 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(614.0 SF) = 454.4 GPD (508) 477-5313 6/10/21• P.T.M. 2 Of 2