HomeMy WebLinkAbout0049 RUSTIC LANE - Health --------------
4PV 9 RUSTIC LANE
Hyannis
A = 288 — 052
i
PT/OWN` OF BARNSTABLE
N LOCATIO /'�,v,S�i� L 4 4& SEWAGE# 1,I7 K
VILLAGES J S ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) /'reG 4 S'? C444 1-S. (size) 3,0
NO.OF BEDROOMS
OWNER ,J91
PERMIT DATE: e. COMPLIANCE DATE: u
Separation Distance Between the: /
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility '' /�l Feet
Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) e Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) �� Feet
FURNISHED BYE /°�
410 1 �
No. — I Fee" ko
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: B*�
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ftpliLation for Disposal *pstrm Construction Permit
Application for a Permit to Construct V Repair( ) Upgrade( ) Abandon( ) PIE10'mplete System ❑Individual Components
Location Address or Lot No.4,1J'Iotr4j LL'4✓Lk 4A4A I.3 Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel 2-9.4j 5-2 ' O-4,10�5(a \
Installer's Name,Address,and T 1.No. f� Designer's Name,Address,and Tel.No.
17GYtr2 `tin-F�Jccs�✓ n �Q Qb—n C Cvt1( �
ee k b�°1 S/4.x4. ,cti P-k- Z.y oo 0(39 vVtA-15-T �a.-.�or� 3 6 Z VS4/
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size L/ 17g D sq.ft. Garbage Grinder( )
Other Type of Building Si i2g14-ate"./y No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 3 3 o - gpd Design flow provided 3 b gpd
Plan Date 7—/D— f g Number of sheets r Revision Date 7
Title ✓ 6Yh
Size of Septic Tank 1523Z) Type of S.A.S. Ck 4-tot S
Description of Soil
�17Gi.1'IGYI � �
Nature of Repairs or Alterations(Answer when applicable) dl Q''0 �5
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 oUipalth..
S' ed Date Z-—I 7— g
,Application Approved by Date —00 1
Application Disapproved b Date
for the following reasons
r
Permit No. W�® Date Issued i�17,o 1�_
CUT .Wrw' :wr'Ktt.�:i.�.-F�. r -f.1" •-rW. , ',.—, �,.,r�*r+.r ..r^ SKtl 'Ytt^v""� W+ j
�4.
•4
No. . VV Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye
f.
PUBLIC HEALTH DIVISION - TOWN OF BARN,$TABLE, MASSACHUSETTS
ftplication for Misposal Opstem .Construction permit J
Application for a Permit to Construct V Repair( ) Upgrade( ) Abandon( ) �mplete System ❑Individual Components,,'
' t
Location Address or Lot No. L` A-e- 1 k41"A(.5 Owner's Name,Address,and Tel.No.
µ� u Assessor's Map/Parcel 2_0C3 S 2-
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
.1Qcy�ni Excsl✓s�-htvn �/e-t�f��(> ...,n C14 �N"1
S /30y�°1 S Ll✓��w!t(/� �'S& 2.q 6U °l ' vv d ..S T ar..,v r�k o i
Type of Building:
Dwelling No.of Bedrooms -� Lot Size L/ 3 1-44) sq.ft. Garbage Grinder( )
Other Type of Building �//1 g(' ��• + �y No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) a gpd Design flow provided ' 9
Plan Date 7- l U- I S Number of sheets Revision Date 7 ~ /9 7�-7
Title •�
n 6ph
Size of Septic Tank Type of S.A.S. C fit 4-L4, rS
Description of Soil
1 J(r7,ahcA Of
Nature of Repairs or Alterations(Answer when applicable) ✓1 ��5�.� o �1
t
Date last inspected:
Agreement:
Ttie.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 o ealth.
w S ted Date
ti ;Application.Approved by, Date DLO f
! •�
" pplication'Disapproved b '.Date
t_ t *
,�. '";Abethe•following reasons
Permit No. Date Issued 17-1 1,'' i zo t
------------------------------------'---------' ----------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(X) Repaired( ) Upgraded( )
Abandoned( )by DON? c -c kf ( k-CA-,,A-(ion 4 5-e C- 5,e .ii e• -.S
at W P(t�g^fAi S has been constructed in accordance
y with the provisions of Title 5 and the for Disposal System Construction Permit No q-418 dated 1
Installer 13-- tO(es ,. Designer
#bedrooms 3 Approved design flow 1550 gpd
The issuance of this oe� it shall not be construed as a guarantee that the system wily ,n as des geed.
Date / 6� Q Inspector
!
No. 2019 '_ 4 7_6 ` Fee7i' v7
THE COMMONWE kLTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal 6pstem Construction j3>ermit
Permission is hereby granted to Construct K) Repair( ) Upgrade( ) Abandon( )
System located at f DI (L ,s+7e L.4-^ e
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:Copstructiop must be completed within three years of the date of this<b —
mit. -
Date Approved
�FTHE Tom, Town of Barnstable
Inspectional Services
i*F s
• BARNSCABLE,
MASS.
1639. Public Health Division
♦0
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
CONTRACT SERVICES
PUBLIC HEALTH NURSING
NAME : n Office Use Only:
ADDRESS :6 Oe-CA C,OrnS T" #
O
81 a t-)duel)Ch MM161 02.E
DATE :��� of lt�.U�� LOCATION: TOWN OF BARNSTABLE-HEALTH
HEALTH PROMOTION(#VISITS) HOURS
HEALTH COUNSELING (#PERSONS) HOURS
IMMUNIZATION CLINICS (#PERSONS) HOURS (j
>> COVID 19 WORK (I.E. TRACING) HOURS
OTHER, I.E. PAPERWORK HOURS
PREPARATION HOURS
TOTAL INVOICE: AT $28.00 PER HOUR = $
SIGNED ° - DATE /
N( RA T NURSE
SIGNED DATE
-PTJBLIC HEALTH NURSE
APPROVED DATE
THOMAS A.MCKEAN
DIRECTOR OF PUBLIC HEALTH
I
Q:\COVID 19 MAR-2020\RN-Forms\NURSES Time sheets cont.svcs TimeSheet 2020.DOC
NURSE:
DATES: HOURS:
_ 0 3Z
l� IQ pi
ibId,-3 ,�/ a I ��� 3
Town of Barnstable
�7 Of HE
Inspectional Serv>ccs
g Public Realth.Division
Thomas McKean,Director
ri+9ay��� 200 Main Street,Hyannis,MA 02601
Office: 50.8-8624644 Fax.. 548490-6304
Installer&Designer Certification Form
Date.: 12 iQ, a0`AU Sewage Permit# Assessor's Mank arcel
Designer; �')
NO �. Et1 �r7WGRA, IllC. Installer: Sre�ff Elhs
Address: Address:
J mat t Pri b W OW.5
On was issued a permit to install a
.(date) :(installer)
septic system at 1 k j&i6 1-=�� rl�S based on a design drawn by
(address)
A 0 IC;LL.-)p&I dated 04 -/5-,-d 0-0
(designer)
I certify that the septic system referenced above was installed substantially accordiong to
the design, which may .include minor approved.changes such as lateral relocation f the
distribution box,an septic tank. Strip out(if'recluired) was inspected:and the soils.
were:found satisfactory.
I certify that the septic system referenced above, was installed with,major changes (i.e.
greaten 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 out6f:reguired)was inspected and.the soils.
were found satisfactory.
I certify that the system.referenced above was-constructed in c hence with the teams bf`
roval,letters(ifapplicable
the I1A:app )
t<�vt� UFO
No:-46602
u. �. �
(Installer's.Signature) p1.
T GItS:TE-1
At
Here
(Destgner's Signature)
(Affix Designer's Sump )
TE
PLEASE,RETURN
'Tt� BARNSTABE PUBLIC HEALTHDIVISM
TI T)`IS--FORMA DAAS-
OF COMPLIANCE 'WILL NOT.BE ISSUED UNTIL
BUILT CARD A
CEIVED IiY T1IE BARINSTABLE PUBLIC HEALTx DIVISION.
THANK YOU.
��wn�dcpts\HBAt CHiSEWE[i connecllSPTCC1Designer Ceiiiticatton Foil"R�v&ld l3.DOC
r
j
SYSTEM PROFILE EKE Wm�CMAGNEICTAP O BE NOTES
PROVIDE MIN. 20` DIAM. WATERTIGHT (NOT TO SCALE)
COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS NAVD 88
�p
ACCESS COVERS TO WITHIN 6` OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE 2. MUNICIPAL WATER IS EXISTING m ,in
TOP FOUND. EL. 26.0 FILTER FABRIC OVER STONE- TOP
Moin St. St.
3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. dde�
MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM
4. DESIGN LOADING FOR SEPTIC TANK TO BE P
PRECAST H-10 BLOCKS OR AASHTO H-10; DESIGN LOADING FOR LEACHING
RISERS (TYP.) MORTAR ALL CHAMBERS TO BE AASHTO H-20.
2'0 4"OSCH40 PVC COMPONENTS PRECAST RISERS
s' MIN. SUMP PIPES LEVEL 1ST 2' 4, 5' H-20 INV'S EL. 19.6T b. PIPE JOINTS TO BE MADE WATERTIGHT. Locus
12" MIN. TNT. DIM. (TYP•)
*21.0 1500 GAL H-10 ENDS BET. HS16ES° 20,5'
10' SEPTIC TANK 14" y >o�a�o�o - ° ° ° ° 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE
y' TEE 4' UQ. LEVEL TEE , o 0 0 0 0 'o 0 0 0 0
20.02 ®®�® ®®®� $�� ®��- -®®®® Wlll� 310 CMR 15A00 (TITLE 5.) Smifh
ACME OR EQUAL o 0 0 0 0 0 0 00°0°0 0°0°0°0° �Or O
0 0 0 O.M.0 WATERTEHT D'BOX .'°o°o°o°o° ®®�®® ®®®® oo°o°o ®®®®®®®®®® 'o°o°o°o° •sf
° ° ° ° ��®®®® °°o°o° ®®®®®®®®®® >°o°o°o°0 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND a
20.27' GAS BAFFLE FOR LEVELNESS o°a°o°o° ®®®®® °o ° ° ° ° ° o e
°o°o°°°°°o ®®®®®®®®®®® o0000o C7®®®®�®®®�® o0000000 NOT TO BE USED FOR LOT LINE STAKING OR ANY
19.98' 19.81' ;�o�oQ0�o °°goo °o°o°o°0 17.67 OTHER PURPOSE.
:.�,..- :.....•... ,.. ::- A ` 6" MIN. SUMP
°°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°°`' 12" MIN. INT. DIM. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC.
°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o�o,°o°o°o°o°off H-10 500 GAL. LEACHING'CHAMBER BY ACME PRECAST OR EQUAL. O}Mo
�o.,o„o_o_°_o_o.o 0 0 0 0 0 0_�_ _ _o_�_o o
3/4"-1-1/2" DOUBLE WASHED STONE (2) UNITS REQUIRED 9. COMPONENTS NOT TO BE BACKFILLED OR c
Nantucket
6` CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 30' X 9.83' CONCEALED WITHOUT INSPECTION BY BOARD OF Sound
COMPACTION. (15.221 (21) HEALTH AND PERMISSION OBTAINED FROM BOARD
OF HEALTH.
(4.5 % SLOPE) ( 1 % SLOPE) ( 1 % SLOPE) 10. CONTRACTOR SHALL BE RESPONSIBLE FOR
LEACHING CALLING DIGSAFE (1-888-344-7233) AND LOCUS MAP
FOUNDATION 16 SEPTIC TANK 4 D BOX 16 VERIFYING THE LOCATION OF ALL UNDERGROUND &
FACILITY 11.0' BOTTOM TH-1 OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF SCALE 1"=2000'f
NO GROUNDWATER FOUND WORK.
*THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL ASSESSORS MAP 288 PARCEL 52
UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL
PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM BE REMOVED BENEATH AND 5' AROUND THE LOCUS IS WITHIN FEMA FLOOD ZONE X
PROPOSED LEACHING FACILITY. (AREA OF MINIMAL FLOOD HAZARD) AS
12. GUTTERS AND DOWNSPOUTS TO BE DIRECTED TO SHOWN ON COMMUNITY PANEL #25001 CO568J
DRYWELLS OR ROOF DRIP LINES TO STONE DATED 7/16/2014
LEGENDSYSTEM DESIGN. TRENCHES AS REQUIRED.
99- EXISTING CONTOUR 5' R MOVAL OF UNSUITABLE SOIL \w
RE RED AROUND PERIMETER OF - 23
X 99 GARBAGE DISPOSER IS NOT ALLOWED CHING FACUTY, DOWN TO SU LE 24,-
EXIST.-SPOT ELEV. ZONING SUMMARY
IL LAYER. REPLACE WITH CLEA MED. X 25-
[991-- PROPOSED CONTOUR DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD SAND, TO MEET SPECIFICATIONS 310
C R 15.255(3) '�^X N79`12'23 E LOT A A 1 ` ZONING DISTRICT: RB RESIDENTIAL DISTRICT
198.4 USE A 330 GPD DESIGN FLOW g 6 7,671E F.] PROPOSED SPOT EL
e � 10.0 24S _ - _ �
TH1 - - N _ _ - MIN. LOT SIZE 43,560 S.F.
- -
SEPTIC TANK: 330 GPD (2) = 66 0 i
TEST HOLE k 23 5� 100% RESER E / MIN. LOT FRONTAGE 20'
YYY USE A 1500 GAL. SEPTIC TANK
2 1010' � MIN. LOT WIDTH 100'
2.- SLOPE of GROUND 1 p MIN. FRONT SETBACK 20'
LEACHING:UTILITY POLE / { r 1 MIN. SIDE SETBACK 10'
SIDES: --2 (30 + 9.83) 2 (.74) = 118 GPD 23
� ° I - _. (. _ -_ MIN, REAR SETBACK 10,
FIRE HYDRANT -
BOTTOM 30 x 9.83 (.74) _ `218 GPD � 00 p w o� I � MAX. BUILDING HEIGHT 30'
NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING 61` DW
TOTAL: 454 S.F. 336 GPD G 9 �� 1
USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) 22 V24.0'
WITH 2.5' STONE AT SIDES, 4' AT ENDS AND 5'
TEST HOLE LOGS 2s /
BETWEEN UNITS 0 2 /
ENGINEER: DANIEL E. GONSALVES, SE #13587 TH12 PR OSED
7 p TH3 3
�
tooDWEWNG
WITNESS: DAVID STANTON, RS o TH OF=26.0
DATE: 5/16/19 I
I
PERC. RATE _ < 5 MIN/INCH TH4
CLASS I SOILS P# 19-29 t251 a� �2s I I
ELEV. ELEV. ELEV. !!--� ELEV. DW R E
O„ 4 22.0' 011 22.5' 0» 21 .8' o,. `V' 22.0' W. 23
o/A O/A O/A 0/A 24 N ,253"E TITLE 5 SITE PLAN
�iS: /iSIL /SL/ /iSL 55. 0
1OYR 3/2 1OYR 3/2 10YR 4/2 1OYR 4/2 - OF
30" 36" 24" 28" c 0 #49 RUSTIC LANE
E E E BENCHMARK: . N
CEMENT BOUND 4 � HYANNIS' MA .
MS MS MS MS CEMENT
NAVD88 A1( 0 v
34" 10YR 5/2 19.2' 38„ 10YR 5/2 19.3' 27" 10YR 5/2 19.6' 32" 10YR 5/2 19.3, VGTON
R1� 2s rS PREPARED FOR
EXISTING CATCH HAR 1� n
B
BASIN R J� -' KEN TOMASIAN
B L SL RIM=24.7 � oFM q z i
ETL
SL /SL '„
�/ // - ,jso� DA'NIEL �� ��,tN Mqs �� DATE: JULY 10, 2019
56" 10YR 5/8 , 1OYR 5/8 10YR 4/6 10YR 4/6 f� A. `�
18.5 18.3' �� DANI LA.
17.3 6p 17.5' 40" 44" � OJALA oJALA k REV: SEPTEMBER 13, 2019 (FOOTPRINT)
° No.40980 � CIVIL REV: MARCH 2, 2020 (FOOTPRINT)
No.46502 REV: MAY 27, 2020 (FOOTPRINT)
PERC PERC ^ ` _ ap " �a�� ° `� REV:. JUNE 15, 2020 (HOUSE LOCATION)
C C C C E'
oo� D q U�a� aMINIr-LOJA'q \ _ YAL �Q'
MS MS MS MS UNSUITABLE SOIL �M � oJAua .CIVIL �' off 508-362-4541
2.5Y 6/4 2.5Y 6/4 2.5Y 7/4 2.5Y 7/4 ` �No. 4o9�oP No.46502 fax 508-362-9880
_ o o 1� � downcape.com
0 SURVEy�P ION a down cape en keering, inc.
132" 11.0' 132" 11.5' 120" 11.8' 120" 12.0' civil engineers
NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED Scale: 1"= 20' - land Surveyors�C;f,,� 939 Main Sheet ( Rte 6A)
0 10 .20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675
DICE # 19--- 1 49 19-149 TOMASIAN.DWG