HomeMy WebLinkAbout0057 RUDDER ROAD - Health 57 RUDDER ROAD
Hyannis
A= 247 - 189
I
TOWN OF BARNSTABLE
LOCATION S 7 yz SEWAGE# A l 0'V9
VILLAGE } lug ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&'PHONE NO. l�I i F S, 6Gzr rS CGn bid' 60
3�0� (D2y37
I SEPTIC TANK CAPACITY / -00
I LEACHING FACILITY:(type) 3",57ad C l49au49cS (Size) 3 X 33 �CoZ (�8o
NO.OF BEDROOMS
OWNER TkQ q-S A, y�l
PERMIT DATE: ��`/�j 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 rt
300 feet of leaching facility)�! _,r6 Feet
FURNISHED BY
M M M c6 - Ln
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No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHU.SETTS
01ppYiration for Zisposal *pstrm Construction jermit
Application for a Permit to Construct( ) Repair( ) Upgrade, ) Abandon( ) ElComplete System ElIndividual Components
Location Address or Lot No. Owner's Name,Address,and Tel.No. 7Y 3c =
u � lr �'
Assessor'sMap/ParcelS7U GMg /7 C ?6' Ool21 4
Installer's Name,Address,and Tel.No. S'c?'3(P� ,3 7 Designer's Name,Address,and Tel.No. 9000 3 9 2 dz
11�l64rn�d Conk 9-3 fi C>QoY 7/3 So,,i,�oe���9 a�s�G
Type of Building:
Dwelling No.of Bedrooms 4Z Lot Size 4?2 � .. sq.ft. Garbage Grinder/11110
Other Type of Building T(��j No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided �A. / gpd
Plan Date /---�._: Number of sheets �— Revision Date
Title
Size of Septic Tame Type of S.A.S.
Description of Soil S PP Sa j,I 1 /9
Nature of Repairs or Alterations(Answer when applicable) ee L)er �
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 Hpalth.
Signed Date ' ?-"
Application Approved by Date ) 9 — 1
Application Disapproved by Date
for the following reasons
Permit No. r}v'�� C)y5 Date Issued 9 7
1.
No, 2 V I' 6 �, Fee
;.
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
%� Yes
PUBLIC HEALTH DIVISION,TOWN OF BARNSTABLE, MASSACHUSETTS
2ppliLatlon for Disposal *pstrm Construction Permit ,
Application for a Permit to Construct( ) Repair( ) Upgrade-( ) Abandon( )^" ❑Complete System ❑Individual Components
Location Address or Lot No.aZ 14"7 (Fri f• Owner's Name,Address,and Tel.No. 7 Yr cF-o ja
Assessor's Map/Parcel '$ L,1�J/�
7 I �✓2G�� y / f�1 Greif /Y�C r } � 1�•ta•/.3P� •fi6S
D Installer's Name,Address,and Tel.No. v Designer's Name,Address,and Tel.No. S 0cf- '3 F-S-'6 rj 6, 01
_ SCf 3��G0 ,;
r� O 13c x 71 ��`ou,t•;�)tr��`f rT j o
!/
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder
"Other Type of Building /�,a?- ;� No.of Persons Showers( ) Cafeteria( )
Other Fixtures
- Design Flow(min.required) y� �/G�` gpd Design flow provided . "" gpd S
Plan Date / --- —/ Number of sheets Revision Date
Title Al
Size of Septic Tank Type of S.A.S.
Description of Soil a,ne gc, d
v
.4 -
4Nature
of Repairs or Alterations(Answer when applicable) P. ��,,�,'r �J9i f-. -AP/4 MA". � 14
' Date last inspected: ' a
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.
Signed 127Y3►A As n.,� o,._rA Date
Application Approved by L.:,.._j. l Date
Application Disapproved by v Date
for the following reasons
Permit No. C90tq —6qS Date Issued I 2, 9_.o %
- - - ----------- -- - - - ----- ------
"?i
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 i n r;q,-s 1'r
at 57 t2m nikr•- 't?,-csd, !,. $ !`� s�»r5/�6�has been constructed in accordance
. �
with the provisions of Title 5 and the for Disposal System Construction Permit No.Dr, (q 0 Ydated 6
Installer �.:i)� %�j,/07;_¢fS (IC h��' Designer �•1�,.t���f I' jr d trp M)
#bedrooms Approved desi flow LJ.' D d gpd
The issuance of this permit shall not be construed as a guarantee that the system will'function jasfde{singned.
Date Ll ry j � Inspector 1, G✓ V W '' g`�• •�-- z
--;
-----No. �Q� ! -�-�-�� Fee------------------------------------------—_------__-_------__--_------_----------- - ----------
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS ,
Disposal 6pstem Construction Permit
Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( )
System located at 57 144 LkJo r RCCdj LvA)
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.--
Date ' / Approved by
Town of Barnstable
Regulatory Services
Thomas F. Geiler,Director ,
DARTiB[ABI$ +
Public Health Division �
639.
6 Thomas McKean,Director
�-a
200 Main Street, Hyannis,MA 02601 '
X
Office: 508- 62-4 44 Fax: 508-790-6304
4
071
Date: 2 Z �� Sewage Permit 0 S Assessor's Map/Parcel
Installer& Designer Certification Form
I �
Designer: ��J "L C�w�a.r�:�/Y Installer: Call s9l,
Address: 5ex 7f? Address: 93. I h JRe � 12-oqA1
ooG o r to o o'a/o
On 3,01 &?ai c6lisr, was issued a permit to install a
(date) (installer)
septic system at �y O^< 4,w based on'a design drawn by
/^ (address)
dated ►�'�^� ZZ�
/ (designer)
V 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. Stripout (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 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. Stripout(if required) was inspected and the soils
were found satisfactory.
ZN OF h'q&�e
TERENCEGs�,
M. .
(Installer' ature HAYES
No. 979 4
S7IS
(Designer's igna e) - (Affix Designers ' arrp'Here)' "
- t
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:\office formsWesignercertification fonn.doc
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Town of Barnstable P# 8 e�3
a
vY Department of Regulatory Services
Public Health'Division Date
itMABH.°r.•p. G
n ibl9 `�J 200 Main Street,Hyannis MA 02601
l )
z_o
l tit
" 'Date Scheduled � /"� Time Fee Pd.
X,
Soil Suitability Ass essment for SewageoDisposal
Performed By: ''�!/L-�� Witnessed By: \,
I
xL®CA ®N�BGNE�RAI z T� Ol �VA 12,mm_
0
Location Address 57 Rudder Road Owner's ame ThomaS�M�CEIIIgOtt III _=
West Hyannisport Address 70 TophetRoad
Carlis Ai le; M01741 _
Assessor'sMap/Parcel: 247/189 EngineersNameSweetsern, q inee�ing
NEW CONSTRUCTION REPAIR X Telephone"# 508-385-690.0
-��o4' '77 � Slo s
Land Use pe (%) Surface Stones
Distances from: Open Water Body Possible Wet Area ft Drinking Water Well ft
Drainage Way ft Property Line ft ,Other 8�
SKETCH:(Strt name,:dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity
C to holes)
o �
a �
Parent material(geologic) CJy�''' Depth to Bedrock
,t
P '
Depth to Groundwater: Standing Water in Hole: 1� Weeping from Pit Face
Estimated Seasonal High Groundwater
m �" AETERMINATION FOR SEASONAL HIGH;WATER TABLE
y..
Method Used:
Depth Observed standing in obs.hole: — in. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft.
Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_
Observation �. s
Hole#` Time at 9"
Depth of Perc Time at 6"
Start Presoak Time @ D Time(9"-6")
End Pre-soak l�
Rate Min./Inch
Site Suitability Assessment: Site Passed (/ Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back-----------
***If percolation test is to be conducted within 100' of wetland,you must first notify the
Barnstable Conservation Division at least one(1)week prior to beginning.
Q:\SEPTIC\PERCFORM.DOC
;DEEP®BSEERVATION HOLE LOG, Hole# „
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
i Consistency,%Gravel
7-Y X4-;6 lI
r
'- �DEEP�OBSERVA�TIONHOLE LOG �� „�,�= Hole# `�'4; f
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,%Gravel
o - p 41�'
-39 0
38 rL65 54
DEEP OBSERVATION>°HOLE
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel)
DEEP�OB,SFs� �AT�I®l�T�H®LELOwG � jHole# j
Depth from $oil Horizon` Soil Texture Soil Color Soil Other
Surface(in.) .F (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency_%Graven
Flood' nsuranceRate May:
Above 500 year flood boundary No_
Yes
Within 500 year boundary No v Yes
Within 100 year flood bounday No '/ Yes
Death of N'aturally.Occurrine-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? ✓�
If not,what is the:depth of naturally occurring pervious material?
Certification /9
I certify that on (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me consistent with
the required training, ertis a erience des din 31 15.017.
Signature Date
Q:\SEPTIC\PERCFORM.DOC
BENCHMM SOIL TEST
TOP OF FOUNDATION 2C FT. MINIMUM FROM CELLAR OR CRAWL SPACE DATE OF SOIL TEST JANUARY 22y 2019_
ELEV.. _ __ CLEAN SAND
10000 10 FT. MINIMUM 10 FT. MINIMUM FROM SLAB SOIL TEST DONE BY SWEETSER ENGINEERING P#15883
r-
(ASSUMED) CONCRETE INSPECTION PORT WITNESSED BY _�QEARA�,S--------
COVERS LOAM AND SEED
4" SCHEDULE 40 PVC PIPE R OF OBSERVATION HOLE 1 ELEV.= 97_?_
MIN. PITCH 1/8" PER FT. 1/8" TO 112 PERCOLATION RATE __!__z__ MIN./INCH AT __56... INCHES
WASHED STONE
97.95 MAX. OR FILTER FABRIC VENT DEPTH HORIZ TEXTURE COLOR MOTT. OTHER
T3.00 4" CAST IRON PIPE 95.70 wi1N. NOT REQUIRED 0-7" Ap LOAMY SAND 10YR4/1 NO ROOTS
(OR EQUAL) MINIMUM f-
PITCH 1/4" PER FT. FLOW TEE i Z f 7-38" B LOAMY SAND 10YR7/6 ROOTS
LEVELERS
.95 �38-120" C MEDIUM SAND 2.5Y7/4
FLOW LINE 11 a'
NO WATER ENCOUNTERED AT _ 1207_ ELEV. _ _ 87.2
INTERIOR PIPING IS TO BE I ELEV. 97.00_ 10" ❑ ❑ ❑ !] ❑ O ❑ ❑ ❑ ❑ ❑ OBSERVATION
n HOLE
REPLUMBED (BY A LICENS D I MIN. ELEV. _ _96 40_ 0" ° ° o ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ° ° ° OBSERVATION HOLE 2 ELEV.=-97_7
PLUMBER) TO EXIT AS SH�WN L VEL o
ELEV. _ _A.�_ GAS ELEV. _ _ 94.60 6" SUMP ELEV. _ _Q4.43_ o 0 0� ° °
BAFFLE -�-p �j+ f ° ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ :0 2' ° DEPTH HORIZ TEXTURE COLGR T. OTHER
DISTRIBUTION RIBUTION ° o ° 0-7" Ap LOAMY SAND 10YR4/1 NO ROOTS
ELEV. _ ° °o° ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 92.20 ~ 17-3$" B LOAMY SANG 10YR7 6 ROOTS
LIQUID OUTLET BOX _24=_ ° ° ° ° ° ELEV, a /
(TO BE PLACED ON FIRM BASE) 3 500 GALLON GALLEYS WITH 38-120" C IMEDiUM SAND �2.5Y`7/4_
4 FEET i 4 INCHES TO BE WATER TESTED
5 FEET 19 INCHES IF MORE THAN ONE OUTLET STONE IN AN 120"
6 FEET 24 INCHES 1500 GALLON (TO BE PLACED ON FIRM BASE) 13' X 33' X 2' TRENCH FORMATION z I WELL N/A
NO WATER ENCOUNTERED AT _ ELEV. _ _ 97.7
8 FEET 34 INCHES SEPTIC TANK I _ I ;�, �� ZONE
INDEX
3/4" TO 1 1/2" CLEAN SOIL ABSORPTION
DOUBLE WASHED STONE ADJUST DESIGN CALCULATIONS
FREE OF FINES & SILT SYSTEM (SAS) } NUMBER OF BEDROOMS 4
USGS PROBABLE WATER TABLE ELEV. _ GARBAGE DISPOSAL UNIT
SEWAGE DISPOSAL SYSTEM PROFILE OBSERVED WATER TABLE ( / / ) ELEV. = _ _ (n/j TOTAL ESTIMATED FLOW
NOT TO SCALE BOTTOM OF TEST HOLE ELEV. = _87.2 _ �,./ ( 110 GAL/BR./DAY X _4 BR.) _A49_ GAL./DAY
REQUIRED SEPTIC TANK CAPACITY _-=- GAL.
ACTUAL SIZE OF SEPTIC TANK _15W GAL.
SOIL CLASSIFICATION
DESIGN PERCOLATION RATE _<_,'� MIN./IN.
EFFLUENT LOADING RATE GAL./DAY/S.F.
LEACHING AREA 613 00 SQ. FT.
(13X33)+(46X2X2)
LEACHING CAPACITY (AREA X RATE) @ .522 GAL./DAY
613.00 X 0.74
RESERVE LEACHING CAPACITY NQf GAL./DAY
`57 NOTES:
1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P.
5 AND THE
1 Z Q THEE
TITLESUBSURFACE WN
DIO
�jS OSAR OFSSEWOGEEGULA?IONS FOR
�� 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO
WITHIN 6" OF FINISHED GRADE.
3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF
WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN
?19 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE
USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS.
eo 96.1 ( 4. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL
98.3 BE MORTARED IN PLACE.
98 6 _ 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH
r.� DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS TO
99. J`" ' ��. " OBTAIN SUCH DETERMINATION FROM APPROPRIATE A'UTHORIT`!.
`za c, C"- 6. UTILITIES SHOWN ARE APPROXiMATE ONLY, EXCAVATION CONTRACTOR
I 991 !a. IS TO CALL "DIG-SAFE" AT 1-888-344-7233 AT LEAST 72 HOURS
I t '''�"`- PRIOR TO COMMENCING WORK ON SITE.
95.3 V �' f r 99.4 a 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS
SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION
Q T IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER
i I E)OSTING Silt' UjNG IMMEDIATELY.
8. PARCEL IS IN FLOOD ZONE
p i i 9. LOT IS SHOWN ON ASSESSORS MAP _ 247 _ AS PARCEL
10. ALL UNSUITABLE MATERIAL SHALL BE REMOVED FROM UNDER AND
FOR A MINIMUM OF 5' AROUND SOIL ABSORPTION SYSTEM AND BE
_ REPLACED WITH MATERIAL AS SPECIFIED IN 310 CMR 15.255:(3).
'1. THE INSTALLER IS TO GIVE THE ENGINEER A MINIMUM OF 48 HOURS
DECK i LEA o (2 WORKING DAYS) NOTICE FOR THE FINAL INSPECTION (NUMBER BELOW).
SOIL I 12. EXISTING CESSPOOL IS TO BE PUMPED AND REMOVED.
TEST 1 D.
BOX •-.�
,oho, - 97.2 O LOT 26
10,05,3..3 - S.,7
. .. .. r.^; err•.. `•,-:,� pppp �`
f _0 p? O 98.6 1500 GALLON SEPTIC TANK 99.9
APPRO\ �Y .,D: BOARD OF HEALTH
j •�;;�' ..�� � 0 O f �
97.63QLj �O LIMIT OF 5'
TEsl 2 0 -- - - OVERDID DATE AGENT
99.0
OF �T HYA.NNISPORT, ��A► PROPOSED SEPTIC DESIGN
FOR
THOIt.A►S TcEL�IGOT'T III
L0057 RUDDER ROAD LOT 26
z r
WEST HYANNISPORT, MASS.
Q 1� coo To
WN 203 SETUCKET ROAD ( I
50g_ P. 0. BOX 713
LEGEND: Ate, U'' 1 �w j SOUTH DENNIS MASS - _- !
/1 385-6900 ��FE
EXISTING SPOT ELEVATION 00,0
r �
DREA VE. �..__C_A,EXISTING CONTOUR ----00---- AN . LZ, I
A^,2"L
FINAL SPOTELEVATION
FINAL CONTOUR ryc
SOIL TEST LOCATION JOB N 0. �I
"ru•,. �_`"_�'
1
I
UTILITY POLE
TOWN WATER WWa-�
CATCH BASIN V®1 -�_ k ..." �. ...r........ ._.......0 ,....«_........., - -_ _-
GAS LINE O._ 1^ � . L 0CATf0N MAP � �dv. - - I � SHEr� �
CLEAN OUT C �� �, n
CESSPOOL '.P. Q -- - ---- I --_
.,r+......,..� I
C• >58\PROU�81.J9 00ldwg I8139-SASDWG 0 2019 SWEETSER ENGINEERING