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HomeMy WebLinkAbout0174 SEVENTH AVENUE (HYANNIS) - Health 174 Seventh Ave Hyannis A = 245 072 i r 1 i a Q a,71 Iq i TOWN OF BARNSTABLE LOCATION 124 S ev a a. wi e_- SEWAGE # -2064 ^ (.21 VILLAGE ASSESSOR'S MAP & LOT MAV.S'_P7Z INSTALLER'S NAME&PHONE NO. zF Co SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) %X 7` x 'NO.OF BEDROOMS :BUILDER O PERMIT DATE;_lZ-\T3%4 COMPLIANCE DATE: 7 LOS 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 1 ng facility) Feet Furnished by a`"� No. ago Fee ,0 a THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION v TOWN OF BARNSTABLE, MASSACHUSETTS 01ppritation for Migogal 6pgtem Congtruction Permit Application for a Permit to Construct( )Repair(r/)Upgrade( )Abandon( ) O Complete System El Individual Components Location Address or Lot No. /:�9 SC-vel)th A Ue Owner's Name,Address and Tel.No. �lyaKH,s�Oar IVA 3/ 5%�r�so.1 Ro0.4 Assessor's Map/Parcel a 9 5 0 ,2arlbOrO /VA Installer's Name,Address,and Tel.No Designer's Name,Address and Tel.No. ,vt�{q ►7SVfl,✓au/� HPP%',�vtga L o.c+� 7 7 1 —V 11� 057er,,;A, &54 0�655' Type of Building: Dwelling No.of Bedrooms 3 Lot Size 4 8� 4O ± sq.ft. Garbage Grinder( 1� Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design.Flow 330 gallons per day. Calculated daily flow gallons. Plan Date a/off ;�0o j Number of sheets Revision Date Title S e i,o 5431ew Ao4,rade P/a k .-� 1�4 SeoeAkp, IV. i1vuu.+%s 0 a IV Size of Septic Tank a� Type of S.A.S. Fri% Description of Soil/a ei` /OT_d/s lea2r�i sa-cl 73,4a��ek/g&69'ym gc& 6E— �2�.Tr /T L e�ieuv�r MW 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 and not to place the system in operation until a Certifi- cate of Compliance has been ' d by this Bo of Health. Signe Date �1- Application Approved by Date f EL./ Application Disapproved for the following reasons _ Permit No. `? Date Issued `� / No. —(� „, a Fee ,O 0 - THE COMMON WEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ';ZlppYication for Conotruction Permit Application for a Permit to Construct( , )Repair Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. /?,°9 S'eve,Wh A V e-, Owner's Name,Address and Tel.No. s u�H s or I`IA / Assessor's Map/Pazcel �' 3/ 5""r p 5ovt /'7 o a c� , a95 0�2 Marlboro IVA 0i75"2 _a Installer's Name,Address,and Tel.No. .Designer's Name,Address and Tel.No. �C�e� C�oa3c' $u/lr✓ar-r kvi ,NIPI',',-v �� ( _ c...•�.s i -VItB OS,ter✓,' /P /%A o�6Ss Type of Building: Dwelling No.of Bedrooms 3 Lot Size Z 8 O sq.ft. Garbage Grinder( t� Other Type of Building No.of Persons Showers( ) Cafeteria( ) •.Other Fixtures Design.Flow 330 gallons per day. Calculated daily flow -gallons. Plan Date /Jn"(. /! Number of sheets o2 Revision.Date Title ..sI. U _1119 p, P/a H e?-� /,F4 sev./h Au AIA Size of Septic Tank_��n �ry/. Type of S.A.S. Description of Soil A La Ke r /o✓r 4/4�son1. C¢ .�tc fe �/ �L1riJi'urs> 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 and not to place the system in operation,until a Certifi- cate of Compliance has been iss ed by this Board of Health. Signe Date - - Application Approved by Date J -�) U 1-/ Application Disapproved for the following reasons Permit No. DdO lj —(o-? Date Issued 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 %5,at 2 cL <_" --has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction P rm f No. -)_J-6 7� dated t?19- Installer s Designer The issuance of this�j rmiU shall not be construed as a guarantee that the'9ysbe -wiiljflunction as d signed.p� Date 1 1 '7 �'P Inspector c.�y �2 _.. ------------^-————— No. 2)co W ----^ — --Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS ligpool *pgtem Construction permit Permission is hereby granted to Construct( )Repair(1/SUpgrade( t)Abandon( ) System located at I T7�l R� e w�L� 6 a e _ _l6I owf s 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 m st be completed within three years of the ate of this p t. Date:__�d� �d Approvedi by _ � Town of Barnstable o +E l°w Regulatory Services c� Thomas F.Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 1 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Designer: & ees-IInstaller: Address: ] •f�Azol— IM Address: alp v%l1P .,z��� ---Yram On was issued a permit to install_a (date) (installer) septic system at P" Seve!i n6 asrs based on a design drawn by (address) En erg dated ((Q(.AVov f o y designer c/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. vertical. _ greater than 10 lateral relocation of the SAS or any vert y component ? of the septic system)but in accordance with State & Local R relocation of an coPegulations. Plan revision or certified as-built by designer to follow. FETR VJUJVAN staller's Signature) W.29733 ' CIV (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTYJ THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Desiper Certification Form `l •t.. "` _. y Lot 502 VA. .. Le ci?�a: Lot 553 ... . ..............: Lot 504 ... ... ' '• f #166 , Lot 551 2 Sty w/f Deciduous Tree Dwelling 0 Coniferous Tree N/F ' r ` •• Richard do Catherine Moore WOOd Deck Water Gate (round) Deed Book 4344/38 �. ® i Joseph A dr Constance Toppa © Gas Gate (round) Shed Deed Book 1 729 7/1 92 A"'. 'fit r El CB/DH - concrete bound w/drill hole �� \ f\ -', �'rOPOI 1 rI Pmdoctiom(cvww.tommmo ElBRB - Barnstable road bound �. i �o N87'21'36"E '. ' Q9/DH Lot 506 a Utility Pole 100.00' \ o shed Fnd ' Fnd w � � o �'x5T Field LOCATION MAP: —ohw— Overhead Wires " _ w,w Lots 54 & 549 fzf' c _',i1 °� ` Scale: 1" = 2000'f —20— Major Contour \ G \ c p''O O --11— — Minor Contour © \ G Lawn Septic Desi n Analysts: Residential Flow: 110 gal per bedroomAa ASSESSORS REF. , . (110 gal x 3 bedrooms)=330 gal �� - 1 St174 y w/f 1D.o°Mine Map 245, Parcel 72 Septic Tank Requirement: 1 Lot 549 Dwelling I '��� � ........... ,'\... .. .. `.. ......:.....I.......... . 330 gal x 200 i =660 gal 21.1' ......i , OVERLAY DISTRICT 0 Use 1,500 gal Septic Tank H4W �� � Lot 547 p ac �". ;' ', I Lawn � AP - Aquifer Protection District fia a As Shown on Plan Entitled Leaching Field Area Requirement: ( m_ "Revised Groundwater Protection g; { zo 'OO,� / a m Overlay Districts" - April, 1993 330 gal+0.74=446 SF , 11 Leaching Field Area Provided: 00 f r FLOOD ZONE: Z �, 8 x 5T Lot 508=456 SF � ; _ `1� � Zone B & C (see plan) . Community Panel No. 3' #250001 0008 D Check 456 x 0.74=337 gal Lown \ 20. �i BRB �"v ,� � '�, � 000,e July 2, 1992 Fnd / 7 s87.21'36"W ZONE: 180t'_.......................................... 90.00' \'o i �� i 1 `� \ RB -._._.._.._.__.................... fo Solt Morsh / �� / Area (min.) 43,560 SF Edge of Pavement ; Fronts a (min) 20' e Width min) 100' - , 1 Setbacks: .5U �'� Fron t 20' : Side 10' Dnve,N0CearaRear 10' CIVIL a Lot 510 Lot 545 FEMA Zone Line as Shown F on FIRM Panel 1250001 0008 D �9� 0 5 10 15 20 ,30 40 FEET o' �s Sheet # Title: Prepared By: Prepared For: Notes Revisions: Scale: Septic System Upgrade Plan Sullivan Engineering, Inc. 1.) The property line information shown was 1"=20' Cap Raymond 0: GO u l e f compiled from available record,information. 1 of 2 At 174 Seventh Ave. P.O.eoxt35s Ostervllle,IWI ozs5s Parker Road 31 Simpson Road Date: Tel:(508)428�3344 Osterville MA 02655 P 2.) The topographic information was obtained 161NOV104 W Hyannisport MA Fax:(")428-3115 (508) 20-3994 5. 420-3995 fax Marlboro MA 01752 from an on the ground surrey performed on w • r 4 ( ) 29/AUG/02. (Elevations based on NGM 1929) 9C4 79_1 G 1 PSUOPEOaol cam copesurv@copecod.net t Grads TEST HOLE — 1 NOTES r i �tl PERFORMED BY 1. Water Supply For This Lot is Municipal Water. g•-mrti Compocted FYI �` �, F „� SULLIVAN ENGINEERING, INC. 2. Location of Utilities Shown on This Plan Are Approx. SEP 27, 2004 At Least 72 Hours Prior to Any Excavation For This s- V8•_,/2- h Project the Contractor Shall Make the Required Pea slam. SURFACE Notification to Dig Safe (1-888-344-7233) (per GIFACE GRADE EL. 9.5 3. The Contractor is Required to Secure Appropriate r-o• _,i t A LAYER 10YR 4/3 Permits From Town Agencies For Construction LOAMY SAND Defined by This Plan. 6 4'0Perforated '' J/!•-' 8.8 4. Install Risers to Within 12' of Finnished Grade. PVC PKfe —Y DoubN Mtrahed Stone D�-9 B LAYER 10YR 5/6 5. At( Structures Buried Four Feet or More or Subject MEDIUM SAND to Vehicular Traffic to be H-20 Loading. varies- see Pion 9'-15. 8.3 - - _ 6. Septic System to be Installed in Accordance With Cl LAYER 10YR 6/8 310 CMR 15.00 Latest Revision and the Town of I MEDIUM SAND Barnstable Board of Health Regulations. Cross Section Of Leaching Bed 15r-60 ! 4.5 7. All Piping to be Sch. 40 PVC. LAYER Not to Scale C2 MEDIUM 1SAND7/3 8. Wherever Sewer Lines Must Cross Water Supply 60 4.5 Lines, Both Pipes Shall Be Constructed of Class 150 Pressure Pipe And Shall Be Pressure Tested To Assure Watertightness. 79 GROUNDWATER ENCOUNTERED 3.6 �OF :J, CLASS 1 MATERIAL se—� CIVIL T lF 1 F.F Design Data F.O. EL 11.27 - F.C. EL 12.3' (. F.G. EL 125• Single Family - 3 Bedroom .� Daily _Flow = 110 x 3 = 330 GPD p N 4 P Septic Tank 330 G D x 200% n nrr i 660 GPD 0 —0 Use 1,500 Gallon Septic Tank I, 1,5000alion Leaching Areco (Field) Septic- Tank T Top EL 9.60' H-20 - _ 9J0. Required Area (SF)I Mlotarprool/seal con—to Septic Tonle I. w/Two(2)Coots of Approved secant Floe E Ai:ere 9.39 Bot. V. 6.60' 330 GPD / 0.74 = 446 SF e ew Sidewatl = 0.0. SF Bottom Area = 456 SF Remove&Replace All Unsuitable Beddlny g -re � • S°petrr °°�t°rK as Per Title D I Perhne oThe�ete Total Area Provided (SF): PER 310 CUR 16.103(3)NO CORRECTION (8'x 5 7'): = 456 SF REWIRED. SYSTEM IS VATHIN 300 FEET TV Observed L MNW. GROUNDWATER ELEVATION HIGHEST Groundeeter a fl. .16' . 1, OBSERVED THROUGH FULL MOON TIDAL CYCLE Developed Profile of Proposed Septic System check) (456 x 0.74) 337 gal Not to Scale r ti Title: - Prepared B . �. Prepared For: � SITE PLAN P Y Date: NOV 16, 2004 Sulli PROPOSED SEPTIC UPGRADE van Engineering, Inc.sss RAYMOND 0. GOULET AT PO Box MA 02tS55 31 SIMPSON ROAD Scale: A5 Noted ry 174 SEVENTH A VE. Osterville, MARLBORO, MA 01752 p (508)428-3344 BARNSTABLE, (w m)tmkpo►t)MASS `S°11P 000I fox.C1m Project #: 24028 ^, 1