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HomeMy WebLinkAbout0082 NOBADEER ROAD - Health 82 Nobadeer Road Hyannis A = 250-140 i i 1, 42 It 3-1 Il �lg � al ' r ' ll TOWN OF BARNSTABLE N /�/ LOCATIO Z, n, qpee, SEWAGE# —,55w� VILLAGE tFvAn o`o S ASSESSOR'S_MAP&PARCEL407a T®—Iro -4/'yb INSTALLER'S NAME&PHONE NO: d SEPTIC TANK CAPACITY LEACHING FACILITY:(type)a, 64"size)' �e NO.OF BEDROOMS . OWNER Fm e- u e,4Z PERMIT DATE: fo I 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 ,��. p r�, !� �. W W � � � � � _1 .. V� v AA• � � 1 � � � � �� e � '� c� � `\ -�, �1 t �No.czc� FeeTHE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for ]Disposal *pstrm Construction j3ermit Application for a Permit to Construct( ) Repair( ) Upgrade Abandon( ) ❑Complete System Individual Components Location Address or Lot No.�z Owner's Name,Address,and Tel.No. Assessor's Map/Parcel / InstallerG Name A s d T ILDesi' �/�re�d Ted stsb Y r��� Type of Building: Dwelling No.of Bedrooms 2, Lot Size ZZ sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.requir d) gpd Design flow provided gpd Plan Date Q Aici Number of sheets Revisi Date Title Size of Septic Tank �� �j� Type of S.A.S Description of Soil. Nature of Rep rs 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 Environmen Code and not to place the s tem in operation until a Certificate of Compliance has been issued by is Boar ealth. S geed Date / cS Application Approved by Date/ l Application Disapproved by Date for the following reasons Permit No. y �� Date Issued J� �I i "^•^lac. � 4,,o �5 - � - _ Fee § Entered in cotn ut # THE COMMONV1FAlTF ,OF�MASSACHUSETTS p „ Yam— PUBLIC HEALTH DIVISION =TOWN OF BARNSTABLE, MASSACHUSETTS "Opplication for MispoSal 6pstrm Construction 3permit Application for a Permit to Construct(') Repair( ) Upgrade( ] Abandon( ) ❑Complete System Individual Co p nents 1" . _�. Location Address or Lot No. Owner's Name,Address,and Tel.No. Assessors Map/Parcel Z i Installer's Name Address and Tel No. "� Designer's Name,A-dres - d Tel: , tAj Type of Building: `�' �..i, .•. Dwelling No.of Bedrooms Zoe Lot Size � � sq.ft. Garbage Grinder( ) s Other Type of Building No.of Persons Showers( ) Cafeteria( ) .•. Other Fixtures , Design Flow(mm.`requir--d) /; i,���,.}��► gpd Design flow]provided � gpd. Plan Date f/ / ( .! Number of sheets ,r Revisi n Date . Title ` C _ Size of Septic Tank. .f'C�.l 4c �" Type of S.A.S ^—, j )� (•�j Description of Soil » - `...�«,---•s,......;' r..„.s a �—+- ..�- - Nature of Repairs or Alterations,(Answer when applicable) `ur . , r v NLD - Date last inspected Agreement- The undersig eI'd.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 sy tem in operation until a Certificate of x Compliance has been issued by thhi o r&of ealth. l{ ! Signed _ Date Application Approved by ,.r' t _ Date/t/ Application Disapproved by X 'w rN * . ,,aw. ,af 6 � . **� Date for the following reasons Permit No. C - ;y , Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On`-site Sewage Disposal system Constructed(. ) Repaired( ) Upgraded(�)� Abandoned( )by �.r�'"(f�i/ 1 t&1 (_. (fluk _ �177otkl at / ��_ has been constructed in accordance ,r with the provisions of Titled,5 and the for Disposal System Construction Permit No / "' dated Installer )tn/ 7 L , Designer i L, #bedrooms c Approved design flow 'LAC gpd The issuance of this permit shall not be construed as a guarantee that the system 11�ction as designed. Date ) Inspector Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS 1st10saYpstem CDnstCUt Ionermit Permission is hereby granted to Construct( ) Repair( )).�, UpgradeP( ) Abandon( ) and as described in the abo4 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 mustmu/st be completed within three years of the date of this permit.'""` „6 Date �() /j / _ Approved by ...J *t ��"* - •.""-" Town of Barnstable Regulatory Services � Ri cbar�i� S�ali,Interim Director "D'� ` Public Health Division 0�•` Thomas McKean,Director 200 Main Street;Hyannis,MA 02601 Fax: 508-790-6304 Office-,508-862-4644 Installer&Desi er Certification Form Assessor'`s Ma \Parcel .Dater �a 1�I�� Sewage Permit#' �" p Designer. ' Installer. Address:, y�r7 i 6 � ut1 Address: - on �,fl ( t�o`�-/I was issued a permit to install a ( at (installer) septic system at 4 do � Mom-`Vor�p based on a design.drawn by (address) q 9� dated , L' (designer) /11�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. Step out (if required) was inspected and the_soils were.found satisfactory. 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 of any component of the septic system) but in accordance with State &Local Regulations. Plan revision or certified as-built by designer to follow:; Strip out,(if required)was inspected and the soils were found satisfactory- I rtify that the system referenced above-was construc_,+�-- �liance with the terms o the AA approvalletters'(if applicable) ►i►°���t)QFi14gs t 10$ DAVID �y MASON rr, , 'AfInstaller'?(Signature). No.toss Ce ' S't NI T AA�j;f '(Design` s.Signature)- esigner s Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED 'UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QASepric\Desigaer Certification Form.Rev&14-13.doc 6/21/2021 ShowAsbuilt(1700x2800) LOCATION ' SEWAGE PERMIT NO/ ,� a vitLAI - Y �ry� F� INSTALLER'S NAME i ADDRESS BUILDER OR OWNER LJ Rf� -skit�7 C DATE PERMIT ISSUED t Z DATE COMPLIANCE ISSUED Lo 9- 1�AC IL t 3a- 37 -4 https://itsqldb.town.barnstable.ma.us:8431/Home/ShowAsbuilt?mp=250140&sq=1 1/1 iJ LOCATION SEWAGE PERMIT NO- En dlllAG INSTALLER'S NAIflE A ADDRESS auILDEIt OR OWNER DATE PERMIT ISSUED l .� DATE C0MPLIANCE ISSUED W, vW 1 0 I THE COMMONWEALTH OF MASSACHUSETTS �- BOAREYPF HEALTH .......... ...ul�oe -r:e*I_e..................... Appliratiou for Uhipviia1 Works TonitrPa ruti# Application is hereby made for a Permit to Construct or Repair ( Individual Sewage Disposal l Y.. ate_ /, � :� _ -..... ( ' -.r l..?V— ... ./ �..---------------- L Address �. L oL�No. c ---------------------••-•------_..... L owner L. ddress a ----�D f. _t. z� Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.__... Expansion Attic ( ) Garbage Grinder aOther—Type of'Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixturss.... --••----•--=-•-----•--•---•••••----•-------••-•---•---._............ ........ �....a Design Flow........... ... ......................gallons per person Der.-day. Total daily flow._.__....... . ..... ga i' w llons. WSeptic Tank—Liquid capacityt4n.VVgahons Lengt - _��-. Width................ Diameter-------_-------- Depth................ Disposal Trench—N .--________________ Width.....t....,..... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........------------ Diameter._ _.A__. Depth below inlet.................... Total leaching areaan /�.�q. ft. Z Other Distribution box ( ) Dosing tank r. Percolation Test Results Performed by....... "_. ____ � .....l _ Date.................................. , � r a Test Pit No. 1...............minutes per inch Depth of Test Pit----1__!...... Depth to ground water--- J` . Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R4 .........................•----•-•--------------•-----•---------------........._..--•-•--•--•-•-••---......................................................... 0 Description of Soil........................................................................................................................................................................ w ---------------------------•------------,--------------------------------------------------------------------------------------------------------------------------------------------------------------- UNature of Repairs or Alterations—Answer when applicable------------------------------------------------------------_.................................. l Agreement: 's The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITiU 5 of the State Sanitary Code— The u dersigned further agrees not to place the system in operation until a Certificate of Compliance has bA. . ed by t bo r of health. Signed.. -----• I- t //,e r ApplicationApproved By.................................................................................................. ........................................ Date Application Disapproved for the following reasons_________________________________________________________________________________________________________________ ................-------------------------------------------------- .............................................................................•---•-----••--•••-••-•---••••-•--•--•-••--------••---- ! Date PermitNo.....................................................- . Issued....................................................... Date No................_....... f` FEa.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD F -IEALT ..--/t r.............OF....;I� ✓:_......... ,Z ppliration for Bisp sal Works Ti nstrurtion Prrutit l Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal S st at• .-,�' ��� r�_,s/=: ';�t-.".•_,....f'rL.✓', Address ddress,...-. � . —/ ..Tl .............•---•--•. A --/--'•-/.................. / S. Owner1 . -------------------------------- -----------------------------------------%--�--`----- } Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.........��._'.' _..-:.....................Expansion Attic ( ) Garbage Grinder V/o Other—T e of Building No. of persons............................ Showers a YP g ---•----••-----------------• ---- --------------- ( � — Cafeteria-(-----)- Other �cturgs W Design Flow...............�..5_....................gallons per person per day. Total daily flow.._.......__.....?. -._.__._..__galIons. WSeptic Tank—Liquid'capacityfl,fPgallons Lengths U..12. Width................ Diameter................ Depth................ xDisposal Trench—N)o..................... Width...._;,.......,._.. Total Length.................... Total leaching area----------�- -------sq. ft. 3 Seepage Pit No........,!---------- Diameter...,l�%_._�-. Depth below inlet.................... Total leaching ft. Z Other Distribution box ( ) Dosing tank rC s " :- Percolation Test Results Performed by.-••--_. 1................✓�,___.__.__.__ Date................................ Test Pit No. 1...... Z minutes per inch Depth of Test Pit.....,_f.: `. Depth to ground water.._ ` ` (.A Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ a ---------•--------------------------••--------•--- ....... ••--•--•-----.._...------------------ --- ..... ....... ------------- -........................ O Description of Soil...............................................................----•---.....----------...---•-----------------------------------------------------------...-----------•. U ---------------------------------------- •--------------- .----------------------- •------------------- •------------------------------- •------------------- ••---------------- •------------------- ------------------------- =:._.. W UNature of Repairs or Alterations—Answer when applicable............................................................................................... ------------------------------------------------•-----------------•-•---------------•-----......------------•-•--------------------------------•--------------------------------------------•••-------.. Agreement: yam` The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The u ersigned further agrees not to place the system in operation until a Certificate of Compliance has be sued by t . bo of health. Signed rf T ! / T� Date ApplicationApproved By.................................................................................................. Date Application Disapproved for the following reasons----------------------------•---•-----------------------•-----------------------•----------•----•--••••••--.----- -, .....................•-----------•-------•---•--•-----------•--------•-------------------•------------------•--------•------•---•----------------••-----•••---•-----•-•••----•---•------------•------•- Date PermitNo......................................................... Issued........................................................ Date, THE COMMONWEALTH OF MASSACHUSETTS — BOARD OF HEALTH ...............`..;;:��. .......OF............. ..... .............................. (9rdifiratr of Tompliattrr THIS IS TO CERTIFY, T at„the Ind,*vidual`Sewage Disposal System constructed ( ) or Repaired ( ) sta41 ` --- --------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code ass de/lbed in the application for Disposal Works Construction Permit No------ �_^_ff ............. dated----------- �L.S, ----•-•----•---- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU ® AS A GUARANTEE THAT THE SYSTEM Wl)& {,UNCTION SATISFACTORY. � .1. .. DATE C .................................................... Inspector. .. ............................................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD O :HEAIk H 04 mat:h!s!7„ ........OF........ G�,a. c !- .....•-.•....................... { ~� p f G No....:: '_ FEE..... .`...... Permission is hereby granted..........!-.: to Construct ( ) or Repair ( ) an Individ..a Sevtr ge is sal-System at N Street as shown on the a plication for Disposal Works Construction Permit N- __�9.1. �_f_'_VDated..__......._� .. ...--. -•--.-----•------------ .. _ P Board/'f Health �— ;. FORM 1255 HOBBS & WARREN, INC., PUBLISHERS I i O r�� l m \` 8 i C Z D Z - D z i I ----------—T FF I I � or I I I I I � �_- ----- --cam- -- ----- -�,------�-- r r V i � V-11 a �jf , mommm 11 Wks R, i' C• r� F i N rn o I f z Alt, - �c� 6 n n n n a I i { S1 TE PL A IV T YPIt,AL PROFIL E SCALE NOT TO SCALE /B"STD. L r WGr C.l. MH COVER 4"C.l. PIPE _. 4"BIT FIBER PIPE TIGHT ✓DINTS FLOW LINE OUTLEr LEVEL TO FIRST JOINT - -_ - -� WELL G o J LlO I C I. rEE C.!. TEE SrAND.ARD PRECAST " _— CONCR£rE GAL L ON SEPTIC TANK I I 0/5TRIBUTION BDX B TO BE /NSTAL L ED ON LEVEL STABLE BASE. ! I { SEPTIC T4NK 7*0 BE INSTALLED ON LEVEL , SrABLE BASE " 1 I,/?" WASHED PE45rONf �\ ALL AROUND FREE OF IRONS, FINES SA3F TO BE LEVEL n A NO DUS T /N PL ACE Ll BRICK B MORTAR COURES 314' TO !-//t'" WASHED CRUSHED \` r, AS REQUIRED ro BRING STONE ALL AROUND FREE OF COVER TO GRA0E� ---, 24"C.1. MH COVER IRONS, FINES AND DUST IN PLACE. AND FRAME_ w T . 4 __ ' v__--T N, LEACHING PIT SECTION INL E7'-- -- B' FLOW L lNE �! PIPE `' I. CONCRETE TO BE 4000 PSI 28 DAYS 2. REINFORCED WITH 6" x 6" N0. 6 GA. W.W.M. 3. 2' AND 4' SECTIONS ARE AVAILABLE FOR GREATER DEPTH REQUIREMENTS. OPENING WITH 4 //8" 4. NUMBER OF PITS REQUIRED -_ 7 3 ; ^ ' O 31 h' INS DETLWAME ' - ` ; .�{ M ! I NOTE: EXCAVATE TO ELEVATION �z' aR LOWER AS -3 / TER REQUIRED TO REMOVE ALL LOAM AND CLAY BENE:ATk 111 PIT. REPLACE EXCAVATED MATERIAL WITH CL,EA`� .% GRAVEL TO DESIGNED GRADE . I ' EFFECTIVE DIAMETER (NOT TO EXCEED 3 TIMES �FFFC T/VE D£E'TNj -- WATER TABLE - < SO/I_ AND PERC. DA TA - --- GENERAL NOTES � � ✓'G� ,� ;;> �' PERC• RATE , '� y. MIN. /IN . NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. SEPTIC TANK, DISTRIBUTION BOX , LEACHING -PITS TO BE STANDARD TEST BY: �?'^��J�-F� #-� � s. r� wM. WAf,2v_1IG-k:. Ah;C,G.. s►.JG. ; jt T" -- - -----------~-5 -- PRECAST REINFORCED CONCRETE UNITS. V J fl u N J 4. Cy 1� I Cam , m . 4.I. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITNESSED BY: ___.__. _.- � _ A,_.�.___.. i_ � TO REV;SEQ TITLE 5 OF THE STATE ENVIRONMENTAL CODE , TEST PIT Got.EL.:° Z (`„q '0___.,_._ DATE' __` r �'r' , MINIMUM REQUIREMENTS FOR THE SU$SUFACE DISPOSAL OF TEST PIT NO.I PEST PIT NO SANITARY SEWAGE EFFECTIVE I JULY i917. O" 0" ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE: T,> P/`-hc.)�h�, iL + T xF'/ 5uP �, tL BOARC OF HEALTH. LLAO(I-:-`j *5cr173"'701t. AT COMPLETION OF CONSTRUCTION , PRIOR TO BACKFILLING, THE A +•J P � �.�';.�E L BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. PITCH ALL SEWER LINES 1/4" / FT. UNLESS INDICATED OTHERWISE. T ! DESIGN DATA BEDROOMS __ -_ _ DISPOSAL N.! 4) ki IC EST. TOTAL DAILY EFF. _._._ �% 0 -____GALS. L EGEND """ SEPTIC TANK_i p e�D GAL `— SIDEWALL AREA 7'1 GAL /SO. FT BOTTOM AREA _ __ t ' p GALISQ. FT. SEWAGE SYSTEM OXOO EXISTING GRADE LEACHING REQUIRED Imo' �' SO.FT ZONE, _n_��. _ o v�� FINISHED GRADE Za �� ACTUAL LEACHING AREA �_._1-w __SQ.FT FOR C►MESTIC WATER SOURCE �J D VCJ Q '� A, T l� 54- vo 00 INVERT ELEVATION G� L �' IwJ 4-v �, L _ PROPERTY LINE v+ f - G � T C. PLAN REFERENCE -- -� -� MEAN HIGH WATER SCALE' AS INDICATED D ATE _ � , F t� _ BENCH MARK DATUM _ _--r> M tJ_.______ MARSH WM. M W.4RWICK & ASSOCIATES !- t- o a G' Z. d +U - k, z.4% rx C M . „ I BOX 801 - NORTH FAL MOUTH MASSACHUSETT.S 02556 is ASSESSORS MAP' A Z�D 'TEST HOLE ) n ltion shall comply with the State Environmental Code Title V and Town of, Board of Health Regulations. } VO Ip"!� �" 2) The septic m as proposed on this , ! PARCEL: � 1 , llV` C c ,. Pt p pos s plan shall not b8(totalled until a licensed town SOIL EVALUATOR: c�- installer receives approval and an installation permit frain the applicable town. REFERENCE: G%E %' � aZLIJWITNESS: `-' 3) Prior to installation,the installer shall verify the location of utilities sewer inverts sewer lines and existing septic components prior to installation. DATE: lo .� 4) All gravity sewer piping is to be 4 inch schedule 40 PVC at 1/81 per foot. The first 2 PERCOLATIOAI RATEt 2- Yi i " feet out of the distribution box shall be level. All piping connections to be glued. 5} This septic design plan is not to be utilized for property line determination or for any T.H.#2 ELEV, T.H.#1 ELEV. G7 i other purpose other than the pro posed septic system Installation. . LOCATION MAP 6) All Title V components are to meet Title V specifications, 7) Parking shall be prohibited over Title V components unless components are H2O ►_ (ojl �; t© 1 �� I 1_ loaded. " wOrl8) The existing leaching or cesspools shall be pumped and filled with material per Title V ! + abandonment procedures. Leaching and cesspool(s)and contaminated soils within 1 30 the proposed SAS shall be removed and replaced with clean sand per Title V 10 0 , KIWI specifications. �- j 9) Septic components are to be 1('from a water service line.Sewer lines crossing a 6 N,I Q �-� water line shall be sleeved with an appropriately i d I l sized schedule e 40 PVC with ends o ; � grouted. The water service line or the septic line can be sleeved with the sleeve being i ✓�o � P g o / --� 7✓+� ' a distance of 10'on both sides of crossing the line. 10)if a garbage grinder exists in the structure,it is to be removed if the septic system is not designed to accommodate a garbage• �, ,^,� -(� / �"_._�''r '��/�-�•,-- � �.�.._ Z��LJ._. _. ..: g g a$ grinder, 11)The installer is responsiMe for care of excavation around all utilities on the property SEPTIC SYSTEM DESIGN CALCULATIONS and protecting the structural Integrity of all structures during the installation process of the septic system. ,FLOW ESTIMATE: 12)This plan only represents that a septic system can be installed on the property BEDROOMS AT i� GAL/DAY/BDRM= GAL/DAY meeting Title V requirements. 13)The property owner shall review design criteria to approve the total number of - 1 SEPTIC TANK: bedrooms and design flow. Installation of the septic system as proposed and receipt ` - GAL/DAY/BDRM X 2 DAYS=40 GALLONS of payment for the design shall be deemed approval of the design criteria by the property owner or agent of. USE GALLON SEPTIC TANK �� ✓1 1 / - 14)The validity of this an shall expire with the expiration_ plan pi p ration of the town.installation permit i \ (GARBAGE GRINDER IS PROHIBITED} Issued for this plan or the validity of this plan shall expire on the expiration of the SOIL ABSORPTION SYSTEM: Certificate of Compliance issued for the installation of the proposed - P p po system on this V z UJ _ plan. _ 44 OF 51DEWALL AREA: 1107 DAVID sq� n _ _ BOTTOM AREA: Z- lZj O►1 G��J7+� c s f v ON co Na 1066 r�.RTR` ✓r .�'� bl� SEPTIC SYSTEM S CTI4N , 9 r BENCHMARK TOP OF FOUNDATIONN Lb coo DATUM ASSUMED 40 0 V STONE BASE Vj H2O D-BOX Z'b x 12►QJ r 6"STONE BASE OR COMPACTED BASE 7 WATER TEST FOR LEVELNESS GALLONS i of( 6;52 SEPT C TANK — — -- - = � l� SITE AND SEWAGE PLAN LOCATION: iA • PREPAREDC1 ibT�� Ma ! 1 : 7�21 R SCALE; DATE: Z�Z i