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HomeMy WebLinkAbout0028 ORR'S AVENUE - Health 248 Mitchells Way Hyannis A=290-066 , J TOWN OF BARNSTABLE LOCATION a SEWAGE# --ek-D\\— ©33 VILLAGES ,o,,, _ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO� ®cSL.o SEPTIC TANK CAPACITY 1 !S7QYZD 5,4�\o�Ne LEACHING FACILITY:(type) 3 tT r.s;E�s r size) NO.OF BEDROOMS OWNER � � PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility t 7 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 � W cF CA -ter cry 63 W I � 1 _ c n d 0 \\ No. Fee la2 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION — TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIPPlication for Xh5po5af *p5tem Con5ttructiou Permit Application for a Permit to Construct( ) Repair( ) Upgrade(Abandon( ) [ Complete System ❑Individual Components Location Address or Lot No. M x �-P �� l �p,^ g Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 7J v� v.R,or, �c cY Installer's Name,Address,and Tel.No.��-A� Designer's Name,Address and Tel.No��' Type of Building: Dwelling No.of Bedrooms Lot Size o �C�t( sq. ft. Garbage Grinder ( ) Other Type of Building �,�� _ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 0 gpd Design flow provided 33 ` $' gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 7A--,�;e\ O®-6d\l®w S�aa c �• n` � -Tz)-`ask .4.2 -_Q 2, , --, w..,aQ 1 'A ` 6w eVn<-� �- 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. Sign ' p Date T Application Approved by Date Application Disapproved by: Date for the following reasons . } Permit No. e i Date Issued . ZVC 3 jl _ No. D e �V Fee e 0 Entered in computer: THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZippYication for Zitpozal 6ptiem Congtruction Permit Application for a Permit to Construct( ) Repair( ) Upgrade(vr Abandon( ) l;�'I Complete System ❑Individual Components' Location Address or Lot No. M ��`• �J t g Owner's-Name,Address,and Tel.No� D _Q<f r,, Yin •`\S Assessor's Map/Parcel S-33 Installer's Name,Address,and Tel.No. � S'�r�C`Designer's Name,Address and Tel.No +`�w ���J" sx 37/ �'n�- � S-6�ssS" ,o. Z,= Type of Building: g: DwellingNo.of Bedrooms Lot Size o7� O� s . ft. Garbage Grinder � q g ( ) Other Type of Building K No.of Persons Showers( ) Cafeteria( ) Other Fixtures i j Design Flow(min.required) 3 3 Q gpd Design flow provided 3-�. $ gpd j Plan Date �� f mac{ (�j Number of sheets Q Revision Date j Title Size of Septic Tank Type of S.A.S. �. �� .��6� S(Z:) cv/ 5 Z3,,�, Description of Soil r ` Nature of Repairs or Alterations(Answer•when applicable)-`s.,,.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. Sign / -�-� G' Date Application Approved by . / ) ' Date _ _ 4, v .Application Disapproved by:% for the following reasons en Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS r BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded (V1, Abandoned( )by at Q r4 ZG h S Gt.� -t has been constructed in accordance / l with the provisions of Title 5 and the for Disposal System Construction Permit No. Dal/-e 3 dated Installer G / � Designer 6 #bedrooms 3 Approved-design flow ��j d gpd The issuance of this permittr ssha�not el construed as a guarantee that the system will func,on a e igned. - Date cam' / / t Inspectors f ---- � . . -- ---- r— z - - -- -- -- No. / A a [ r JFee THE COMMONWEALTH OF MASSACHUSETTS. PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Th5pogal *p,tem Conotruction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade Abandon ( ) System located at` I and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Constr ctio must be completed within three years of the date of this -''�rmit•. Date 1W, Approved by Town of Barnstable �IME'n„�.� Regulatory Services Thomas F. Geiler,Director snaxsrnB Gg4 Public Health Division �p 3 �� ram '' Thomas McKean,Director 200 Mairi Street,Hyannis,MA 02601 F Office: 508-862-4644 Fax: 508-790.6304 Installer & Designer Certification Form Date: 02 I I Sewage Permit# QJ - cD 3__'2, Assessor's Map\Parcel Z90 DEf.� Designer: G V(ty1 Me, e( Installer: Address: Box q9t Address: �ayd VVI& 4_0,d-3 \,AA nQS(�;3 4 E.: On was issued a permit to install a (date) /�� nstaller) /mil l��lf �L W� septic system at � � � based on a design drawn by n pp(address) ' dated (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. • �P��� OF Mgss D ✓� (Installer's Signature 1 No. 1140 SANIT061bl (Designer's Signature) (Affix Designer's Stamp Here) r 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. Q: Health/Septic/Designer Certification Form 3-26-04'�doc Town of -nstable P# a Department of Regulatory Services Public Health Division Date 6rABt8. - KAM - 2f10 Main Street,Hyannis MA 02601 3 6 Date Scheduled Alla � 2w 9- Time G Fee Pd. 1•lam, i i j S6il su tdhility Asses'smne it for &M�qe disposal Performed By l � Witnessed By: � CJ C�� Re-1 f ' LOCATION & GENERAL INFORMATION J Location Address !7M E � A Owner's Name �° 246 M I �ALL J ' � I Address - - Assessor's Ma /P tcel r Engineer's Name �Ch/Y f1_9 � P � O _ NEW CONSIRU 'i'ON REPABt �/ Telephone# o! Land Use ✓ \ f`L Slopes(90) SS /b' Surface Stones Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well f[ btainage Way `� j L� ft .Property Linc >l O ft Other ft SHETCH: ST �ti _ Req , \ w OAF : \ ti 2002a i'Ee Sf S rn o c,°' ., '\ bi �� ��\ SHED <I i .gyp , Fti0 a 1 _ ;U 5 n 12.1 \ Q --- 2 I tiV�c " 20 ft E XII.�TING .; DWrLI_ING RM � - I (0 0 4111111 both ! ' I GAS LINE• , _ __ _.J7 . .N Parent matenal(gedlogic) �''� I - Depth to Bcdrock Depth to Groundwatdr: Standing Water in Hole:' N L, Weeping from Pit Face'M Estimated SeasonalVigh Groundwater — DtTERMINATION FOR SEASONAL HIGH'WATER TAELE Method Used: • in. De th to sall mottles: In. Depth Qbserved standing in obs.hole: P it Depth toiweeping from side of obs.hole: ! in. ©tdundwnter Adjustment ! A faetor, _ Adj.GroundwnterLevel.,,,,e, Index Well# Reading Date Index Well Ievz1 - _ PERCOLATION TEST . vratt , 'lPlpte' x. Observation Tiitte at 9" - Hole# I «" Depth Time at 6" of Perc Time(9"-6"). -- Start Pre-soak Time.@ End Pre-soak AA /I Rite MinJInch 1 t G i. Additional Testing Needed(YIN) Site Suitability Assessment• Site Passed Site Failed: Original:.Public lae$ith Division Observatiori Hole Data To Be Completed on Back-- ***If percolation test is to°be conducted within 100' of wetland,-you must first notify the Barnstable C44servation Division at least one (1)week prior to beginning. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel dk l `I A fo Y re-31 0- 3,6" 7/ DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) 71 DEEP OBSERVATION HOLE LOG Hole# N Depth from Soil Horizon Soil Texture Sail Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel DEEP OBSERVATION HOLE LOG Hole# 6�1 Depth from Soil Horizon Soil Texture Soil Color $oil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consisten Gravel) C Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No Yes Within 100 year flood boundary No/ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring perv'ous material exist.in all areas observed throughout the area proposed for the soil absorption system? el' S If not,what is the depth of naturally occurring ervious material? Certification I certify that on O / (date)I have passed the soil evaluator examination approved by the Department of Envir nmental Protection and that the above analysis was performed by me consistent with the required tr t ' ,expertise and experience describ--d in 3.10 CUR 15.017. Signature l �— Date Q:\SEPTIC\PERCFORM.DOC r 29 Commna� Csicle '4 1 y n� LEGEND I I - BENCH -MARK i PAINT SPOT ON PROPOSED CONTOUR STEP CORNER X. e98 PROPOSED SPOT GRADE ELEVATION = 29.02 //' \ ,- ( r !' ti i — _ EXISTING CONTOUR BARNSTABLE GIS DATUM { � \,\ — 98 �'\�hi �°. ,- + 96.52 EXISTING SPOT GRADE v �s 'N - °v I- \\-'. ,EXISTING WATER.-SERVICE T c Q 5 ® T I— 0 I J 4 �X. \•I. W EST PIT 4* `'' i` R i > i�ti I A JE. '- AREA = 002 sf' I \ Fay.ceus r I \ f°oncf Vim' oj - Aj _-1.A\ I \ LOCUS MAP N.T.S. 1 \ GENERAL NOTES: \ ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. 29 \ STONE �� /// \ \ \ ° 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DRY // \ \ ti \ \ OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE El,4/AY \I cr7 1 Cb \\ \ LOCAL RULES AND REGULATIONS Vj { \ \ 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. \, '� _• Is. \ \' 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING ' •� "�, - � �• •. � .`• I'�. ' FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE'DESIGN J \� ENGINEER BEFORE CONSTRUCTION' CONTINUES.ik 3 Aj / ( \ S. ALL ELEVATIONS BASED ON ASSUMED DATUM. 1'k Z \\ 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF O \ \ THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF �O �•.� \ \�� _�!� / G \28 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER'SERVICE. ti � \ 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED O \\ ��\ �� \ TO A CONDITION AGREED UPON BETWEEN OWNER AND-CONTRACTOR . T\ m �� \•- � ,• .- �. , - � __ - �,q r .., `\. • 9. 1T 'SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO ,VERIFY ` THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING ➢ \ \. /V CONSTRUCTION. • L�\ x x\. �r - \ 10. EXISTING CESSPOOL TO BE PUMPED AND REMOVED FILL WITH CLEAN MED. SAND cr) 1 • \ \ vliv. 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION G room \ 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 13. NO PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING �5 V' 2o.i� ?f\ ;14. ALL PIPING TO BE 4» SCH.40 0 1/8"/FT (UNLESS SPECIFIED OTHERWISE).o Sun , bath -room- 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW \ \ be`r� , , - ,� •`, , room FOR THE USE OF A GARBAGE GRINDER l \ \ Lror• o 0 r11' 16.:N0 WETLANDS WITHIN 1DO FT. OF PROPOSED. LEACHING <0 , BR ° e+ BR �j �•�; { SECOND FLOOR % \'\ ��� OF Mgss PROPOSED SEPTIC SYSTEM UPGRADE PLAN s \ EXIST. CESSPOOL _' \ ')AI s � 248 MITCHELLS WAY, HYAN N I S, MA " (SEE NOTE 10) - o• 1140 "' Prepared for: Holland MAP: 290 9 Y Surveying Y JOB. NO. SURVEY REFERENCE: \'� � _ Engineerin b :. Surve in b : SCALE , DRAWN 0 LOT:045 DARRENM.MEYER,R.S. Eco-Tech Ishvironmenta! PLAN OF LAND BY NELSON BEARSE \ ' • y�fG/$TES Poeoxs8� 1»=20� DMvM DATED: SEPTEMBER 1929 DEED BOOK.'773> (508) 364-0894 DATE: CHECKED SHEET N0. N I TAR DEED PAGE.`306 EAST SANDwlCH,MA 02537 508-362-2922 12/04/08 DMM 1 of- 2 ELEV. TOP FOUNDATION NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS (Existing) INSTALL RISERS W/IN 6" OF FINISH GRADE 29.25 F.G.EL: 28.5 F.G.EL: 28.5 F.G. EL 28.b FINISH GRADE= 28.5 7 a f MAINTAIN 2% MIN SLOPE OVER LEACHING AREA .4 mozoam, COVERS TO WITHIN 6 OF GRADS 6" INSPECTION PORT W/IN 6" OF FINISH GRADE t. L t: 15 ' A 6" w 4" SCH 40 PVC L = 5' A (MIN.)° 10' I 14 ® S= 1% (MIN.) 6. ° ° ° ° ° ° ° o ° ° UMIN. @ S= 1% (MIN,) TEE'S ARE TO BE 4" SCH 40 PVC INV.25.5' A... IN ::mm INV.25.3- EXISTING OUTLET GAS - ,PROPOSED DB-3 AAA HOA O.Y. ° ° BAFFLE EL: 26.92 H-'10 -DISTRIBUTION BOX INV. 26 4.0 PROPOSED 1500 GALLON,SEPTIC TANK NOTES: 1) CONTRACTOR SHALL VERIFY CALL EXISTING PIPE INVERTS PRIOR TO C014STRUCTION 9" MIN. 2) D-BOX SHALL BE SET LEVEL-AND TRUE TO FPER TITLE 5 4f GRADE ON A MECHANICALL COMPACTED SIX INCH CRUSHED STONE BASE 'AS SPECIFIED IN BREAKOUT EL. = 25.64 �E �y 310 CMR 15.221(2) - INV. ELEv.=25.14 o' DAR N M 3) INSTALL INLET & OUTLET TEES AS REQUIRED „ ` ME • ,, JibSTOWE 24 30 5 \ INVER T . 1140- "' c�s1Ec�° SEPTIC SYSTEM PROFILE. +BOTTOM EL.= 23.14 48" 56 48" '�INITAR� J46" ' SEPARATION 5.17 FT: _ SOIL ABSORPTION SYSTEM (SECTION) ) INFILTRATOR 3050 ' SPECIFICATIONS _ BOTTOM OF TH-1 EL- 17.0 INFILTRATOR 3050 UNIT SOIL '-LOGS DESIGN CRITERIA 2 p �Z NUMBER OF BEDROOMS. 3 BEDROOOM DATE: MAY :28, 2008 SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) SOIL EVALUATOR:. DARKEN MEYER, R.S., CSE DESIGN PERCOLATION RATE: <2 MIN/IN ° W DAILY FLOW: 110 G.P.D. WITNESS: DON DESMARAIS 00 HEALTHL AGENT DESIGN FLOW: 330 G.P.D. GARBAGE GRINDER: NO (not designed for garbage grinder) IN(LET EN)D Elev. TH-1 Depth Elev. TH-2 Depth SEPTIC TANK: 330 gpd x 2 = 660 gpd USE PROP. 1,500 GALLON SEPTIC TANK 28.50 0" FILL 28 47 0" LEACHING AREA REQUIRED: (330) = 445.94 S.F. I FILL •74 4.5' DA ACCESS PORT FOR INSPECTION. 27.50 12" ' 27.31 14"A LOAMY SAND USE THREE (3) INFILTRATOR 3050 UNITS WITH 4 FT. STONE � ' ' LOAMY SAND 10YR 3/1 ON THE SIDES & 1.3 FT. STONE ON ENDS: 25' L x 12.16' W x 2'D 27.17 B 16" tr 26.64 10YR 3/1 B 22" BOTTOM AREA: 25 x 12.16 = 304 SF LOAMY SAND LOAMY SAND SIDE AREA: (25 + 12.16) X 2 X 2 = 148.64 SF 10YR 5/8 10YR g/g TOTAL SQUARE FEET PROVIDED = 452.6 vs. 445.94 REQ'D 25.50 36" I 25.14 40" DESIGN FLOW PROVIDED: 0.74(4526 S.F.) = 334.95 G.P.D. vs. 330 G.P.D. req'd C1 MEDIUM C1 , MEDIUM PROPOSED SEPTIC SYSTEM UPGRADE PLAN • SAND INFILTRATOR 3050 2.5Y 7/4 PERC ®24.09 SAND 248 MITCHELLS WAY, HYANNIS, MA . 2.5Y 7/4 NOMINAL CHAMBER SPECIFICATIONS { Prepared for: Holland T Engineering by: Surveying by: SCALE DRAWN JOB. NO. SIZE W X H x L 51 x 30" X 85.4" 18.25 123" DARRENM.MEYER,R.S. Eco-Tech m7v&ronmenta / l �'.. 17.97 126" Poeoxseo N.T.S. DMM l / 80.0 LBS. PERC RATE <2 MIN/IN. ("C" HORIZON) PERC RATE <2 MIN/IN. ("C" HORIZON EASTSANmcH,Am o2537 (508) 364-0894 DATE CHECKEO SHEET N0. WEIGHT , i NO GROUNDWATER OBSERVED (' NO GROUNDWATER OBSERVED 508-362-2922 12/04/08 DMM 2 Of 2