HomeMy WebLinkAbout0348 SCUDDER AVENUE - Health 348 Scudder Avenue;=
Hyannis
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TOWN OF BARNSTABLE �E ✓
LO-tATION 3-zz� SEWAGE #2004e-5;'165-
&-L' AGE f7`f'�9 �w/rS ASSESSOR'S MAP & LOT-�� �2®S
INSTALLER'S NAME&PHONE NO./9-2z-.y to s r e0 S o 2 7-7S
SEPTIC TANK CAPACITY �a''s r /D oo
LEACHING FACILITY: (type), (size) to X 3& X
NO.OF BEDROOMS 3
BUILDER OR OWNER^Rte�A 2�i� O/9 RdAQ� 44! p�
PERMITDATE: zo u - COMPLIANCE DATE:
�T
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
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No. aLt'i�^0105" Fee
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THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye—�
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLEi MASSACHUSETTS
ZIpprication for Miopool *pztem Conelruction Permit
Application for a Permit to Construct( , )Repair(DU Upgrade( )Abandon( ) ❑Complete System El Individual Components
Location Address or Lot No. , , Owner's Name,Address and Tel.No.
3Y� ��a�Je 2 /9v 2/Ghc�`1�t�4 �'QA2�2�! 4 UeA/L
Assessor's Map/Parcel 77 C0,0 'oUO—< i APLAZ,161S
G P TCoS -N
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Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
�Ga--l/ 45 a/.;T—
Type of Building:
Dwelling No.of Bedrooms Lot Size 6 sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow 7 U gallons.
Plan Date /-Z4/-Q`' Number of sheets �' Revision Date
Title i'%1L✓ 6� S/fd /lAA__ Jay
Size of Septic Tank i-611(i) Type of S.A.S.
Description of Soil Z" 0/" lZ�� " S[- Zri-.3kL{ L/tf.T sZ -/V9 �/i�o ce,S
Nature of Repairs 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 Environmental Code an to place the system in operation until a Certifi-
cate of Compliance has been issa ard Health.
Si Date /
Application Approved by Date
Application Disapproved for the following reasons
Permit No. Date Issued ' ��
j No. C�OD`7 .r Fee
Entered in co: uteri
it ¢� THE C_.OMMONWEALTH OF MASSACHUSETTS P
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE MA SACHUSETTS
2ppficatton for �Dtgogaf bpgtem CohoIrtutton Permit
Application for a Permit to Construct( . )Repair(pQ Upgrade( )Abandon( ) El Complete System El Individual
Components
Location Address or Lot No. a, Owner's Name,Address and Tel.No.
2i`GH�o �6A2�92A /9U6�iL.
Assessor's Map/Parcel 07 CG,06ill ,'- Tff1Z 44&--S — I
TI'1 J
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
1.9 62 e A/ e� .v S T OUlv�o liii° �3�h6/io%�!{/1J�6
O 1- � "� -5- r 3 �� 1 W
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size /6,36 19 sq.ft. Garbage Grinder( )
Other TI pe of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow 33 U gallons.
Plan Date Z4/-O 1i1 Number of sheets / Revision Date
Title 75)>[.4 ,< SiTJ-f /'Goy 31/6 /9Vd, NyAb,�iS
Size of Septic Tank /OG'D Type of S.A.S.
Description of Soil� O/Z 41Z L. /�- Zo M S'L J1J ---L L/tf.S 3Z -/` 4 h/,eO1r_oS
f
Na of Repairs.orAlterations(Answer when applicable)
Date last inspected:
c 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 Environmenial Code and no to place the system in operation until a Certifi- ;
Cate of Compliance has been is cued:5 is-Board of Health. i
Si$nef, Date . -3,��
-- - - Application Approved.by LA_ _ ...L.. --.�-r�� ~ Date
Application Disapproved for the following reasons
• 9s ,t `
Permit No. 2C%)LJ- 06�`� Date Issued l-� �
---------------------------------------
- _
THE COMMONWEALTH OF MASSACHUSETTS -
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site S wage Disposal System Constructed( )Repaired( )Upgraded( )
Abandoned( )by 3 y li:
at has been constructed *n accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. tl A L/ - DG dated 2h 04</
f r
Installer Designer A
The issuance of this permit shall not be construed as a guarantee that the sy to wil function as esig�}e� I
Date l I d tl , Inspector . UL ,
No. � Fee /C)O
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION BARNSTABLE., MASSACHUSETTS
Mtgogaf *pgtem Con.5tructton Permit
Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon
System located at -�6/ 1_�A a 't 0 !/
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:Construction must be completed within three years of the date of this permit.
Date: Approved by
ij
Town of Barnstable
Regulatory Services
Thomas F. Geiler, Director e
Public Health Division
Thomas McKean, Director
200 Maus Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date: &~i -o Sewage Permit# 00�t- 4'4� Assessor's Map\Parcelik
Designer: — �'��� = r Installer: S
Address: 'Irs-1 S i- Address: ®
On S was issued a permit to install a
(date) (installer)
septic system at 3qe e5 u�Je,y- Avg based on a design drawn by
(address)
dated ��°t_ q
(de igner)
�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 ma'or changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation o�any component
of the septic system) but in accordance with State.& Local Regulations. Plan revision or
certified as-built by designer to follow.•-------
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SN OF T,fgSS9.
ARNE H c�c�
(Installer s Signature o OJALA
` CIVIL
o No 30792
J
(Designer's Signature) (Affix De p 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.
Q:Health/Septic/Designer Certification Form 3-26-04.doc
TOWN OF BARNSTABLE -
LOCATION 3�/�� SEWAGE#
VILLAGE 1 -19 ASSESSOR'S MAP & LOT49F a2 oS
INSTALLER'S NAME&PHONE NOAC4,w to tis t e S o 2F -5 3!C-
SEPTIC TANK CAPACITY rX s T AO op G 4//a ds
LEACHING FACILITY: (type), A,�kC;'4-S (size) to 1X 3'f
NO.OF BEDROOMS 3
BUILDER OR OWNER.RIe�AQt�i� a�1C3AQ.4 1d
PERMUDATE: AO o COMPLIANCE DATE: /toI/t
Separation Distance Between-the:
Maximum Adjusted Groundwater able 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
Frog T �-
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD L
Application is hereby made for a Permit to Construct or Repai�r an Individual Sewage Disposal
Syst at:
-------------------------------------------------
---------------------------- -6
L Adeless or Lot No.
V Address
er
/.......... .............................................____�_________.___.___
~ � �"� ���
TypeofBo�d' Size Lot----------------------------Sq. feet
Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
Other—Type /f Building ............................ No of yersono-----.--.-- Showers ( ) -- Cafeteria ( )
~+ Other fixtures ---------------------------------------------------------------- --'-------------------.-_-'--
Dcsigo Flow--------------------------------------------gallons per person per day. Total daily Hmv.--------------.gallons.
04 Sey6cIaok--Liqn@ capacity Length----_' VVidtb.`----' D�mc�r-----. Dqn|`------
Disposal Trench—No --_----' Width-------------------- Total Leugth----__- Total area... ----------------sq. f/.
Seepage Pit 2Jo--------------------- Diameter---__- Depth b�mvid�-___--- Total &zJhingarc`-----.��. h.
�� Other D�t�6otixnbox ( ) Dosing tank / )
~~ Percolation Test Results Performed by-------- ................................................. Date-------------------------- -----
� Tcx lit No. l................minutes per inch Depth of Test Pit-------------------- Depth to ground water --------
rX, Test Pit No. per inch Depth of Test P6—'-_--- Depth to ground water.--'--_'
9 -------.������------.---.-----------'-------------------------------------'�����----------'--------------------------.------------.��
^~ Description ofSoil-..----_.--.__-------_----_-___-----------------------.-----
| U ---'------'----'---'-'--'—'-----'-'----------------------------------'
�� ~ ^ '
- - �T � ^- �-- ----------------------------------------'--
^�greomeoz^�
The undersigned agrees to install the aforc6rscri6ed Individual Sewage Disposal System in accordance with
the provisions of Article %I of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until u Certificate of Compliance b f
i gocd .. � �--------- ..- ���������.�_��
o"* °
Application Approved Dy-.. ,�''�*~------_---_-----------_------' --------------. '
dr Date
� Application Disapproved �r t0« rxuxon��-----_-'--------_-._--'_----�-_--'_.----- ^
�
_-'--__- '-_------''''.__----_-'------''-----.-_-- ---
Date
� Permit No. xj
� Date" .
____----__-------------------------------------------------
No...... ...... ............
.... ...
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH-
0 F.... -- ...�- 1, :\................
-- ----- --
Apphration -for Diiipviial Worko Tonstrurtion Vrrmft
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
System at
x ------- .............................................
----------------------------------------------------------------------------- *-------
L3 t1on/Address or Lot No.
....................... ....................................................................... ..................................................................................................
00'ner Address
.........
Installer Address
Type of Building Size Lot............................Sq. feet
U
Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic Garbage Grinder ( )
44 Other—Type of Building ..-------------------------- No. of persons..__.......__..._......._.__ Showers Cafeteria ( )
Other fixtures ..................................................... --------------------------------------------------------------
--------------------------------
W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons.
1:4 Septic Tank—Liquid capacity------------gallons Length................ Width-.-_--.._..__.. Diameter-_---_-..-.___ Depth.-..-.--------.-
Disposal Trench—No. .................... Width-__-_-_-___-__---_-_ Total Length_-_-________-_-_--.- Total leaching area-.:----------_-----sq. f t.
Seepage Pit No.-__________________ Diameter---_.___--______--_- Depth below inlet........_........... Total leaching area.-_-----_-.-_ __sq. It.
Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by-------------------------------------------------------------------------- Date----------------------------------------
Test Pit No. I----------------rninutesperinch Depth of Test Pit------__-._---_--_-- Depth to ground water------------------------
44 Test Pit No. 2----------------n-linutesper inch Depth of Test Pit.................... Depth to ground water--.-__-..-------_--_---.
P4 ----------------------- .................................................. ..............................................................................
0 Description of Soil-------------------------------------------------------------------------------------------------------------------------------------------------------------------------
U -------------------------------------------------------------------------------------------------------------------------------------------............................................................
------- --- - - -------- --- --- ----- - - ------- -
----------_-----
k - -
U Nature of Repairs or Alterations AnsWe� wen,appIicable - --- L- r-7 -InA-I-----------------------
-- ---------------;.................. -----------------------------........................................................................
Agreement:-'
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of h.ealthr.
Signed...... ........... --- ----------------------------- ............................
Date
....Application Approved By....... ......../I/-
......................................................... -------------------- ........................................
Date
Application Disapproved for the following reasons:................................................................................................................
.........................................................................................................................................................................................................
Date
PermitNo.... ............................................ Issued...................... .................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD
............ .. 6..1.......... OF H. EA. LT. .H
7 . . 0F.........AOl4.. . .. .,r�.... . ...........................
'W"Wrtifirate of ffluAlutlifiattre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired
by.............. -1.3...........
at........ -------- - - 5s------------a-- ---
Z ..4.-..................................—
........................................
Installer / /� ;
------ - ------ - ---- ---- - ..... .....................Y.A,./.
has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No...._. -------------------- dated----------- ------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WL SATISFACTORY.
DATE--------- ............................ Inspector------- ---Z!Y
--------------*---------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.............OF........ .... .. .
No.....1:2 ..... FEE........................
%r;Vatial IV I orkti
Permission is hereby granted............... 1-5
..........................................................................................................................
to Construct or Repair an Individual Sewage Disposal System
atNo. <....................................................................... ------------ -----------------------------------------------------------------------
Street 7-1
as shown on the application 1
a -----------------------
cation for Disposal Works Construction Permit No---- *.... Dated_.----:_
.................... ............. ----------------------------
).ard of Health
DATE.......... 2' .................................
R
FORM 1255 HOBBS & WARREN.JINC.. PUBLISHE oe'
SYSTEM PRDFILE -
• TOP FNDN.FNDN. AT EL. 25.2' TEST HOLE LOGS
ACCESS COVER TO WITk#N- 6" OF FIN. GRADE (NOT TO SCALEI. PROVIDE INSPECTION PORT WITHIN
ACCESS COVER (WATERTIGHT) TO 6" OF FINISH GRADE ENGINEER: RICK JUDD, RS
` MINIMUM .75' OF COVED OVER PRECAST
WITFIiN 6~ OF FtIV. GRADE 2% SLOPE REQUIRED OVER SYSTEM 23.0' WITNESS: DAVID STANTON, RS
23.2' 23'f 2' DOUBLE WASHED PEASTONE 1/23/04 I a
RUN PIPE LVEL DATE: �
,• (EXIST) * _ FOR FIRST 2'
\ .I LOCUS o
------------------
EXISTING 1 000 ** / _ 3 MAX. PERC. RATE = < 2 MIN/INCH
21 .85 f 172
GALLON SEPTIC 21 .6'f /' ReowooD
TANK (H- 10 ) GAS 19 27' 20.0 CLASS I SOILS P# 10660
BAFFLE 19.44'-. 0000 Q..m Q._= _0 Q Q M. ED
19.17' a o a a = O LO Cl b 4' AROUND SMITH sr.
6" CRtISFIEO= STONE-OR MECFiAN+CAL 0„ Q ELEV.
COMPACTION. (15.221 [21) fts 2' 0 0 0 c 17.17'
DEPTFF- OF FLOW = 4'
TEE SIZES: ( % SLOPE) ( % SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE FILL
INLET DEPTH =
10" 12"
OUTLET DEPTH = 1 4"
Ap LOCATION MAP NTS
SL
FOUNDATION SEPTIC TANK - 34'f D' BGX 12 FACILITY 5.97G 20" 10YR 3/2 ASSESSORS MAP 288 PARCEL 205 i
*INSTALLER TO CONFIRM SIZE AND CONDITION OF SEPTIC BW
TANK PRIOR TO INSTALLATION
LMS
+ 25.0
**THE INSTALLER SHALL VERIFY THE 32" 1OYR 4/6
LOCATIONS OF ALL UTILITIES AND ALL 20.5'
BUILDING SEWER OUTLETS AND ELEVATIONS 11 2'
PRIOR TO INSTALLING ANY PORTION OF C
SEPTIC SYSTEM BENCH MARK - TOP OF PERC
CONC. BOUND EL. = 25 2-6 ® MED/COS
+ 22_0
2.5Y 6/4
+ 3.2X_+
X %K '+ 24.1
�05.2g' x"'`-►, .3 144" 11.2'
4
NO WATER ENCOUNTERED
5 DECK j SHED 0.00' X__X N OTES:
-�_ 24.4 SHED ''�X SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED )
I 1. DATUM IS ASSUMED
+ 22.6 EXIST. DWELL. DESIGN FLOW: 3 BEDROOMS (1 10 GPD) 330 GFD
DESI X TING
4.6 2. MUNICIPAL WATER IS E' 1C ***
TF 25.2' _
24.5
USE .A 330..;GPD DESIGN FLOW
il
3. -MINIMUM..,PIPE PITCH TO_BE PER FOOT.
24.1 SEPTIC TANK: 330 GPD ( 2 ) = 660 ,
4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H 10
TH 2 USE A 1000* GALLON SEPTIC TANK (RE-USE EXIST.)* 5. PIPE JOINTS TO BE MADE WATERTIGHT.
v. 0 ZO 1 PIN 4.6 x LEACHING: 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS.
"SEPTIC`TANK LOCATION NOT 2 30 + 9.83
N + 0 / 1 ' CONFIRMED DUE TO FROST SIDES: ( ) 2 (•74) = 117
ENVIRONMENTAL CODE TITLE V.
3.Q
� I NO RECORDS ON FILE AT 7. THIS PLAN IS FOR PROPOSED SEPTIC 20 r, f f �•-�• ( _ E C SYSTEM ONLY AND IS NOT
0 J J , BOH) BOTTOM: 30 x 9.83 (.74) _ 218 TO BE USED FOR ANY OTHER PURPOSE.
EXIST. ST
J J 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40---4" PVC.
TOTAL: 452 S F 335 GpD 9• COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT
USE (3) 500 GAL LEACHING CHAMBERS (ACME OR INSPECTION BY BOARD OF HEALTH AN PERMISSION\ _ D E MISSION OBTAINED
r•9 6" + BSB J J 0 '� EQUAL) WITH 2.5' STONE AT SIDES AND 2.25' AT FROM BOARD OF HEALTH.
\ 18" LOCUSTS J J X I ENDS , 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING SEPTIC SYSTEM
\2 8 f J m 12 .5 ***
\ \ f J D I X WATERLINE ONLY MARKED OUT AS
MAI21.4\\f 3•3 J J vc BUINDER Dl STAB A TOP (0 NIOGIiVAL
\ \\ + C fJ x RECORDS AVAILABLE). SLEEVE LEGEND
\ \ 220 ,T, SEWER LINE OR WATERLINE WHERE TITLE 5 SITE PLAN
\ � J J Ln WITHIN_ 10' OF EACH OTHER. 100.0 PROPOSED SPOT ELEVATION OF
LOT 2 � Q
16,368t SO, FT. \\ + 21.5 �\ JJ J I 3.6 348 SCUDDER AVENUE
J J I 100x0 EXISTING SPOT ELEVATION
100 IN THE TOWN OF:
J PROPOSED CONTOUR
+ .�22 + 2a� 23 ( HYANNIS) BARNSTABLE
PAVED DRIVE _ _ ` _ 100 EXISTING CONTOUR
PREPARED FOR: RICHARD & BARBARA AUGER
l + 22.3 _ 90.,E,
+ 22.4
240.41, 20 0 20 40 60
BOARD OF HEALTH
i`y o
APPROVED DATE MA SCALE: 1 = 20 DATE:
JANUARY 24, 2004
v REV. 2/9/04 (INVERTS)
a
off 508-362-4541
fox 508 362-9880
down cape engineering, inC, ��'' o� �6- � ARNE �G
ARNE H. yG0 Z6LOS'ON '`' o H.
CIVIL ENGINEERS g OJALA � � 7Abo OJALA
CIVIL CO
bib'1`O 26
- _ LAND SURVEYORS �No. 30792 � �yJ 3NNV
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-- 939 vain St. yarmouth, ma 02675 s F
ARNE H. OJALA, P.E., P.L.S. DATE