HomeMy WebLinkAbout0036 RUSTIC LANE - Health '.y
annis
IL
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�f 100. 00 6o Town of Barnstable P#
Department of Regulatory Services
auwarnsas, : Public Health Division Date l� I -3
a639 ,6� 200 Main Street,Hyannis MA 02601
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Date Scheduled v Time ` Fee Pd. ow,
Soil Suitability Assessment for S age Disposal
Performed By: •'� l h% �l F-+ �� Witnessed By:
LOCATION& GENERAL INFORMATION
Location Address 36 �,J d(;c �-v�tJ �`' Owner's Name -4/w A, D
�Qy��d GH+N,t
Address
Assessor's Map/Parcel: �
Engineer's Name 4�'�Q�✓'v!d�(�p���f�•
NEW CONSTRUCTION�� REPAIR Telephone# �, Z J-04�—
Land Use J f 1 ��-a fr#C6� Slopes(3'0) f0_�3 Surface Stones e-z'0
Distances from: Open Water Body 'Z00 ft Possible Wet Area ®� ft Drinking Water Well ft
Drainage Way ./104\__ ft_ Property Line % /1- ft Other ft
SKETCH:(Stir--name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
ZExisnNG
V DWELUNG
wvaa"tv
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GARAGE
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�.y a• I
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Parent material(geologic) Depth[o Bedrock. `3
Depth to Groundwater. Standing Water in Hole: Weeping f7om Pit Face
Estimated Seasonal High Groundwater
DETERMINATION FOR SEASONAL HIGH WATER TABS, E
Method Used: '
i Depth Observed standing in obs.hole: in. Depth to soil mottles:
Depth to weeping from side of obs.hole: In. Groundwater Adjustment Wit.
Index Well# Reading Date: Index Well level AdI,factor— Adj.Braun titer Level
PERCOLATION TEST bate M 3T e o r'
Observation /
Hole# Time at 4" _
Depth of Pere 3� Time at 6"
Start Pre-soak Time @ 0�' Time(9"•611)
End Pre-soak
Rate Min./inch 47
Site Suitability Assessment: Site Passed Site Failed: Additional Testis 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:\SEPT1C\PERCFORM.DOC
DEEP.OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture .Soil Color Soil. Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
n istency,% ravel
3 Z l03 61 14-c Se-n d v e 61f ,v /-rv/ r c gP4-e-
10-tz3 c2-
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)
e� S ny� s6 tid
3ca-cos �( -c f YQ 6
/oS=l zo C-Z �LI��,JA,w;�. �r S y �/� ✓did �i� .-c-v�/
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Con i to %Gravel
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consi ten 1
Flood Insurance Rate Map.•
Above 500 year flood boundary No yes
Within 500 year boundary No_ Yeses
Wiihin 100 year f c,-A boundary No._.,.,_. Yes
Depth of NaturalIX Occnrrine Pervious Material
Does at least four feet cif 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?
Certil~ication 19��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 trainin xper s per'' nce described in 310 CMR 15.017.
Signature Date
Q:1$EPTIC�PERCFORM.DOC
TOWN OF BARNSTABLE
LOCATION � � ZZ2SEWAGE#
VILLAGE ASSESSOR'S MAP.&PARCEL
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY.(type) &2C /-/2V(size)
NO.OF BEDROOMS 3
OWNER , G
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 ori:`
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 -� - —• y�
MM M
c, O
,
iL
No. 0 I V Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ftplitation for Mispo8al 6pBtem Construction permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 4�9 r?ud L(, Ln Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel o2 n—C5Y Nu Atli S, Aj
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Ltv,4- Q_Se
Type of Build g:
Dwelling No.of Bedrooms —3 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building _ No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided SS gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank �5`Q O Type of S.A.S ,P�
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and mainten4ple
escribed on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and stem in operation until a Certificate of
Compliance has been issued by this Board of Health.
ed Date
Application Approved by Date -ZO 13
Application Disapproved Date
for the following reasons
Permit No. Zo k---a, J Ll (, Date Issued q(2 g 1
tt
(c
Po I _ ( � , ---
i 'No. 6A Fee
THE" MONWEALTH OF:MASSACHUSETTS It Entered incomputer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
AppliLation for Disposal *pstem Construction permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. f �..r' ` Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel, _ � ni i
Installer,'s Name,Address,and Tel.No. Designer's Name,Address,and Tel No. L�D •Q
,( t i t,' ,1 s lr �,. at'� £ ��
E I ' s� (l C
Type of Build• g:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
t Other Type of Building „i Abe No.of Persons Showers( ) Cafeteria( )
Other Fixtures ,,,./w-)
Design Flow(min.required) �� �� gpd Design flow provided ?'S ' gpd
Plan Date Number of sheets Revision Date
Title
r
Size of Septic Tank /�p Type of S.A.S. r r 7 l�f, �Z>
Description of Soil
i
4
Nature of Repairs or Alterations(Answer when applicable) r,Q,�s �� �✓�� "
{
Date last inspected:
a Agreement:
The undersigned agrees to ensure the construction and maintenance of th ore described on-site sewage disposal system in
-' accordance with the provisions of Title 5 of the Environmental Code and not t lace the system in operation until a Certificate,,of
F 1. s
Compliance has been issued by this Board of Health.y�, ! �^
ed tom'' LG - Date
µ Application Approved by f .Date
Application Disapproved Date
If �
for the following reasons
Ali
Permit No.Z(� (_e T 1 t-) (, Date Issued2`'� Z
_ ------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance .
THIS IS TO GBRTIFY"that the'On site Sewage Disposal system Constructed( ) Repaired'( ' Upgraded(: ),
Abaridbned(5).by >e
at has been constructed in accordance 2�
with the pro'v'i§ions of Title 5 and the'for Disposal System C'nstruction Permit No. dated �� a
,. ..
Installer S Designer
/�,va,r 1 �fir%.
#bedrooms �j Approved design flow gpd
{ The issuance of this permit shall not be construed as a guarantee that the system will fimetiori-as-desrgned.
j Date `�/,`-� Inspector4 \ ✓
M1 _
e` U THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS >_
Disposal *pstem nstruttion 3permit
F+r 1
Permission is hereby granted;to Construct.(' 4),, �".Repair ,Upgrade( ) Abandon
System located at /�r�� ( ���yv,•t,
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 Ll 12,.1 1 Z v 1 77;0 Approved by
r
Town of Barnstable
Regulatory Services
�+ Thomas F.Geiler,Director
Public Health Division
1659..` Thomas McKean,Director
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Date: l 3 Sewage Permit# Assessor's Map/Parcel 7-
Installer&Designer Certification Form
Designer: f.�.. ''- � w sy Installer:
Address: Address:
vet&,o A=/�s�
On Y1,211718 4�46 was issued a permit to install a
te) installer)
septic system at 3 G rlAlS cat 1-L,., based on a design drawn by
(ad ess
_66-A,. ZvnA datediil9�r�
(designer)
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 syste ' but in accordance with State&Local Regulations. Plan revision or
certified as-built designer to follow. Stripout(if require sue' petted and the soils
e found sat a'ctory. i�k OF MA`ss�c
GLEN �c
ERIC
Installer'9 Sigriattire) RINGTgN
(Desig s atur ) (Affix Mere},
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.
gAoffice fomtsWesignercertifrcation form.doc
1
` SITEPLAN : LOCUS
I � NO SCALE
I SCALE: 1"=20'
3-20"WAM.AccEss MANHOLES
BENCH MARK ON CORNER OF TOP BRICK STEP �O
AT SIDE DOOR ELEV.=100.00' (ASSUMED) ta'_e"
Harr! �����
ngton Way �G S I T E
U' THE ACCESS COVERS FOR THE SEPTIC TANK,
INLET i(-11 ounEt' DISTRIBUTION BOX AND LEACHING,COMPONENT
SHALL BE WITHIN B` OF FINISHED GRADE.
INSTALL TUF-TITE GAS BAFFLES OR EQUALS edwoo n
R
ON ALL OUTLET TEE ENDS T S r
96431' '�•'
#42
MARSTON
WL X 14'-2"W X 11"D RUSTIC LANE' STEEL REINFORCED PRECAST CONCRETE
leaching field using 20 288-207 PLAN VIEW "HYANNISPORT"
ADS ARC 36 HC CHAMBERS town water a-20'REM COVERS
99.57' WITHOUT STONE -\
oo.00' ma. GENERAL NOTES
INLET a rilW 2 min.Net to outlet d.min .� , T-
""" -`�-•- to"min. TUW f - a °"" --- 1. ADDRESS�36 RUSTIC LANE, HYANNISPORT
LLJnagn• 9 .28'; _`.�� a,_�, a --�1 +* 1 -_ '.,�,_7" 2. ASSESSO NUMBER: 288-053
E 95f 3. DEVELOPER'S LOT: LOT 48
#1 ���- *' ES L.tILWud1 min. 4. TOPOGRAPHIC 1 FORMATION WAS COMPILED FROM AN
a LOT 48 «.
depth ON THE GROUND INSTRUMENT SURVEY.
8. TOWN WATER IS PROVIDED TO SITE ac SURROUNDING PROPERTIES.
6.m 10 i- iL n y 0 1 A=7,5 O O S Q.FT r r $: OFPROT LE ENCE PLAN:
LLSPARE LAN BOOK
ED O. PAGE 29 p
• ,,+ . :. : . J.
7 NO DS ARE LOCATE WIITHIN ibiNBQ FEET OP SAS.
E L WITH
9. THE SITE IS NOT LOCATED WITHIN A ZONE 11.
p 0 O C EXISTING 10. UTILITIES WERE LOCATED BY DIGSAFE.
M�DWELLiNG • • CROSS-SECTION END-SECTION
97D7 „e• TYPICAL 1500 GALLON H-10 SEPTIC TANK Design Calculations
�-- 9e.0e a on w r .FF EL-101.12' Number of Bedrooms: 3
MT , 19'
u J NOT TO SCALE Garbage Grinder: NO, GRINDER NOT ALLOWED WITH THIS DESIGN
Septic Tank Capacity Required: 330 gpd X 200% = 660 gpd. 1,500-GAL MIN. REQ'D.
Septic Tank Provided: 1,500-GAL. H-10 LOADING
J m o Leaching Capacity Required: 330 Gal./Day
t-L 9721. +o o , 3 Leaching Area Required: 330 Gal./(0.74 Gal./Sq.Ft.)=446 Sq.Ft.
: Leaching Area Required: 446 Sq.Ft./4.60 SF PER LF OF ADS ARC 36HC= 93 LIN. FEET
> hotly
98,99'y tree to i
3 Proposed Leaching Area Provided: 5 ROWS OF 20' CHAMBERS-100 LIN. FT.
a 99.23' 10 e ^ a ° Total Leaching Capacity Provided: 355 gpd > 330 gpd. req'd.
,a B.M.- 98,91'
E. ALL OUTT F i Pll :r FROM THE
MSTAIBU 1'0; BOY S'IAl L M w,
e SE:I'U;.V0 s OR AT LEAST'2 P7, 16 CONCRETE: COb1;p
x{ CONSTRUCTION NOTE
PAVED DRIVE :4.1',;, y , , 2
�.
GARAGE t ,:'{ I I Nrs�I r+T> `�
1. Contractor is responsible for Di safe notification
97,1e �• d protection of I nutilities
slaiO at rade �°I .. 9.
t• _ . underground and pipes.onal under ro d a i
98,37 -1:4,5 a INLET' 2: he se ti to i tl}tti n box shall be set
T p c" nk o d stri o
TEL, Pm E level on 6 of 3�4-11/2 stone.
-_
97.16' _ 9917• - x 3. B=kfill should be clean sand or ravel with no
-..__ '�" _- had
'• 6" stones over 3" in size.
1po 00, l 4. This system is subject to inspection during installation
.: i Y.." a ? 4.4�+ • + by Glen E. Harrington, R.S.
_ --------------� � 5. The: contractor shall install this system in accordance
,-,f-- N r^,% O w�•.�.•.? S ,•, I( " with Title V of the Massachusetts Environmental Code
� and the Regulations of the Town of Barnstable.
#28 RUSTIC t,- ' -LANE -- � 6. Provide one Wiggin Precast H-10 1,500 gal septic tank, H-10
Zee-Os4 { I ; ;r,'' & , I BOX
DB-5 D-Box and 20 ADS ARC 36 chambers or equal
town water #39 MAINSLE LANE f ( i I f i. i. I t;3.1 a # a j 3 C 7. No vehicle or heavy machinery chaff drive over the
288-186 w" H` `" - f.pQ_S�`...... � "" septic system unless noted as H-20 septic components.
tows I.1.3'i O v`S..<ALE.
water B. install gas baffle or aqual on septic tank outlet tee and.
9. All existing inverts and site conditions shall be verified by contractor.
10. The ADS ARC 36 HC chambers shall be installed according to the DEP General Use Approval letter
and the ADS Installation Guidelines,
11. The existing cesspools shoii be pumped, removed with fill according to 310 CMR 15.255.
12. Provide a manifolded: 4" dia. vent with carbon filter, if necessary,
13. Install 40 mil rubber liner, as`shown.
PERK TEST SOIL EVALUATION P#13921
Date of Perc. Test & Soil Eval. April 10 2013 ,
Test Performed By. Glen E. Harrington, R.S
WITNESSED BY: Donald Desmarais, R.S.
EXCAVATOR: Mike Leary, Leary Construction
PERK RATE: LESS THAN 2 MPI
Test Hole Test Hole
No. 1 No. 2
{
DEPTH SOILS IELEV. DEPTH SOILS ELEV. 16" ++•
0
PERK TEST
0 NIvERsA END cAP
A DEPTH: 40-58" 34^
5" sandy loom e" o�i4io' BEGIN SOAK: -O MINUTES END SECTIQN ADS ARC 36HC H-20
Bw Bw END SOAK: 10 MINUTES
sandy loan sandy town TIME: 10 MIN.= UNABLE TO SOAK,
32" 10YR5/6 3 30" tortta/e 196.75 USE <2 MPI FOR DESIGN
c1 c1
medig." mee�arse
103" 101Re 10 5" torRe
. LOCAL UEGF3,ADE APPROVAL VARIANCE 13EQUESTED:
C2 02 medNm Band msdAmi sand 310 CM O(R 405 1 b A VARIANCE IS REQUESTED TO ALLOW THE PROPOSED SAS
..... )�
" LeY7/4 89.05 1 120"12'5r/4 189.25 TO BE INSTALLED 13 FEET FROM A CELLAR WALL IN LIEU OF THE REQUIRED
MIN. 20 FEET. A 40 MIL LINER SHALL BE PROVIDED AS MITIGATION.
NO GROUNDWATER ENCOUNTERED
Soil Evaluation Certification LOCAL UPGRADE APPROVAL VARIANCE REQUESTED:
I certify that on October, 1995, 1 have passed the soil evaluator 310 CMR 405(1)(b): A VARIANCE IS REQUESTED TO ALLOW THE SEPTIC TANK
examination approved by the DEP and that the analysis was performed by TO BE INSTALLED 5 FEET FROM A CELLAR WALL IN LIEU OF THE REQUIRED
me consistent with the reqW7gZgrtis and experience ascribed MIN. 10 FEET OF PROTECTION. A 40 MIL LINER SHALL BE PROVIDED
in 310 CMR 15.017. 21
, , / AS MITIGATION.
Glen E. Horringt , R.S. ate
PROPOSED SEPTIC SYSTEM REPAIR
PREPARED FOR
* Provide 4" aio. SCH 40 PVC E J MICHAEL LEARY
'
10 min. from NOTE: ALL PIPES ARE TO BE 4„ AT DIA. SCHEDULE 40 P.V.C. vent with carbon filter LEGEND
house to septic tank 8 i q �� 36 RUSTIC LANE
USE WIGGIN Provide 4" SCH 40 PVC /"r 0,107 `
Existing House 5 HOLE H-10 observation port 3" below grade 0 TOEXI TING CESSPOOLS
BEPUMPED AND REMOVED +. Jr
Dlsr. Box �;� � BARNSTABLE HYANNIS MA
FF ELEV.-100.67' EXISTING GRADE ELEV.=99'f OR EQUAL Existing Grade Elev.-99't � FIST �°
Finished rade over s stem=2% slo a awe
a o o PROPOSED 1500 GAL �f.�A��p." OWNER: ALWARD, RICHARD D. ET AL
Tank covers shall be D-Box cover shall be � H-10 SEPTIC TANK
within 6" of finished grade within 6" Al finished grade 38" max 1r "
EX. INV.- 97.11'° S : 0.02/FT, _ DENOTES EXISTING PREPARED BY:
' S-0. 1' T Level for 2' I. X 104.46
' SPOT GRADE
5' PROPOSED _S-.LOI'/FT.
ful� 1,500 GAL. t0' : invert Elev.=96.34' GLEN E. HARRINGTON, R.S.
Ce pr SEPTIC TANK 15 95 EXISTING CONTOUR
� . . . . . . • � • • • • • • • • • � • 9 LEDA ROSE LANE
H-1a Proposed = , . . MARSTONS MILLS, MA 02648
GAS BAFFLEPro osed Itjv. elev.-96.49' 4 DEEP TEST HOLE
(�ttom of Leach
R EQUAL 20'-0" facility Elev.=95.42' Approx. location
Proposed Inv. elev.= 97.01' •' existing water line TEL: 508-428-3862
6" OF 3/4"-11/2" STONE Proposed Inv. elev.= 96.76' (i't (5 Min. required) g
LEACHING FIELD ''Bottom of T.H. el ev.=92.75 Approx. location FAX: 508-428-3862
. SYSTEM PROFILE OF 3/4"-11/2 STONE #1 eiev.=89.05' existing gas service SCALE: 1"=20' DRAWN BY: GEH 8 APR 2013
asps ctyp,> Observation Part
o DATUM: ASSUMED FILE: LEARYRUSTIC SHEET 1 OF 1
Not to Scale typical