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HomeMy WebLinkAbout0033 SIXTH AVENUE (HYANNIS) - Health 33 Sixth Ave Hyannis A=246-144 ,, � i I i i i No. ,Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYitation for Disposal *pstem Construction permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. ✓ 5!wt,� A v,e Owner's Name,Address,and Tel.No. �,V yyzjy�w Speo�h�r Assessor's Map/Parcel ;t y c—/y y Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. A l3 w,4 TnC 7f�-ej S, ►�+S vslG� ;zej r;r —�`✓17j Type of Building: Dwelling No.of Bedrooms Lot Size &X0 sq.ft. Garbage Grinder( ) Other Type of Building, No.of Persons Showers( ) Cafeteria( Other Fixtures Design Flow(min.required) 3 gpd Design flow provided :3 SS, 2 gpd Plan Date zljjjT4,6 Number of sheets 'L Revision Date Title Size of Septic Tank f 4VO Type of S.A.S. Alk Description of Soil Nature of Repairs or Alterations(Answer when applicable) /tN n!Pw �l ?r Revd �c 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 Health. Signed Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. C�0 Date Issued `� . THE COMMONWEALTH OF MASSACHUSETTS Entered omput/er: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 's1`f • � ���.x,to application for Disposal 6pstem Construction Vermit' �3. . Application for a Permit to Construct( ) Repair(*<Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 33 ►K t 1� .� e I Owner's Name,Address,and Tel.No. Assessor's Map/Parcel ,2 r/L Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 'E�-vs�,s A - cow, 'Tr< Ste-/00-'71" ��.5,•vrrr�Ns (�J�IJI S �"O$-H77 -531?j Type of Building: Dwelling No.of Bedrooms 5 Lot Size &OCOsq.ft.. - Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Ilow(min.required) 3,,30 gpd Design flow provided '35'S, 2 gpd Plan Date//J/d,-N Number of sheets Z Revision Date ' i Title Size of Septic Tank /,000 Type of S.A.S. ,4/e 3G #r- Description of Soil' , , Nature of Repairs or Alterations(Answer when applicable) /iy y f&J J y,•w ?//-l r 4; <5e Rk r t i - 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 Health. / Signed 110 6'e Date j Application Approved by Date Application Disapproved by Date for the following reasons Permit:No t ® ;r Date Issued - - y 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 Vt.3/c/4 s /� /U'cyi✓ �•'(G at 3'7 S t x A J P has been c no structed in accordance r / with the provisions of Title 5 and the for Disposal System Construction Permit No. e2011-/00 dated Installer A Designer Y�.v ,,.e_ <�.�+ ff le,,j #bedrooms 2� Approved des' w 5 r 2 gpd The issuance of his petit shall not be construed as a guarantee that the system will, ncti n s esigned. Date 1 Inspector uIn4. Vi Jk - .---------- ------------- ------- ----- No. , 0(I — 1 / t Fee (� . THE COMMONWEALTH OF MASSACHUSETTS ` PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS - Misposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair Upgrade;Upgrade( ) Abandon( ) System located at S 1/4'1h 4 ✓C GYJ ryt/e�,v,g Ya l f 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. — �\ i u � Date - ! �� �I Approved by 04/25/2011 06:31 50847<75313' ENGINEERING WORKS PAGE 01 _ i Town of Barnstable Regulatory Services Thomas F.Geiler,Director ,oft � Public Health Division Thomas McKean,Director M Msin street, 8yann*MA 02M Once: 509-862-4W Fan: 508-790-6304 Date: Z Sr 1 Sewage Permit# Assessor's Map? reel S'"t. —t A`ft histaller&Des er CgdAmOon Form Designer: c4'Ce--r. MC }4e- PE Installer: 9, Address: �+�l f WW-kS r I n (, Address: 12 W s cif cis S-F►t t o� FO on n• A -o av n cam`was issued a permit to install a ate (installer) septic system at CN, based on a design drawn by (address) dated 11 ► 0 1gnff) _ I certify that the septic system referenced above was installed substantially according to __..... the design, which Away include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if repired) 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 re inspected and the soils were found satisfactory, PEAR T. M�EMj nstaller's Signature) CrM No.3s1u9 a Sid Mbsigner's Signature) (Af W amp Here) nZME RETURN TO BARNnABLE PUBLIC HEALTH D1EV,ISION. CERTIFICATE OF CE WILL NOT BOTH TIUS FO AS- BUILT Cap ARE RECEIVED BY In BARNSTABLEPUBLIC-HEALTH D"10N. THANK Y r 09MCC rQxMA&Signe atiSrdtion fomm.doc r i Town of Barn_sta.ble p# ► Department of Regulatory Services : ,ate gi Public Health Division. Date l o I o ti ed 200 Main Street,Hyannis MA 62601 94 Date.Scheduled Time 0-1 Fee.Pd. Soil Suitability Assessment for Sewage sposal Performed By 1�ca-C �` `�v. Witnessed By: 7ni f G+r � LOCATION&.GENERAL INFORMATION Location Address Owner's Name �Aygvnn;s �c,rf- Address"lad dvlgr� �v\r1 's.Ma a a Assessor p/Parcel: Engineer's Name 0e NEW'CONSTRUCTiON : REPAIR �-- Telephone# -737-H-1(0 Land Use S�c �.�-Sr,. Slopes(�!,) z '— Surface Stones Distances from:,, Open Water Body 57U ft Possible Wet Area. �ft Drinking Water We��C'. ft. Drainage Way 7t ft Property Line. ft `Other ft . SK ETCH (Street name,dimensions of lot,exact locations of test holes&:pert tests,locate wetlands?n'proximity to boles) —71 IZV 1 .-7 `3 � . Parent material(geolo 'c) O`er �+r � Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping from Pit FdCe .. Estimated Seasonal:High Groundwater DETERMNATION FOR SEASONAL]HIGH WATER TABLE""` Method Used: Depth:Observed standing in obs.hole: in, Depth to s411 mottles: Depth to weeping from side of obs.hole: In, Groundwater Adjustment ft. index Well# Reading Date: Index Well level Adj.fsletor, ,�,4 At(� dYtltifldwBter 1,evp),,ro PERCOLATYON TEST wte , Time, Observation L Hole# ff 71me at 9" .-. Depth of Pere,- �. 5-6 Z �qt o�� Ti — me at 6„.. Stan Pre-soak Time @ �O1 fed n� 1 '15me(9"-610) - End Pre-soak Rate MinJlnch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YM) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- f 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:\S EPTIC\PER CFORM.DOC DEEP`OBSERVATION HOLE LOG` Hole# I lk`th from So►LHorizon Soil Texwre: Soil Color= Soil Other P Surface(in;j w • •.. ,., r (USDA) (Munsell) Mottlin (Structure;Stones,Boulders. Id t•Z �Z � S.L. ,4: � �s - y . z . I)EEPiOBSERVATION"HOLE LOG Hble# Depth from: Sotl Horizon Soil Texture Soil Color Soil Other Surface(inJ (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ns' a evigo v , .3 . .. 5 S ,;.d -..'.n. .re..:._ DEEP OBSERVATION HOLE LOG Bole# Depth from Soil Horizon SoitTexture Soil Color Soil Other. Surface(in.) (USDA) (Munsell) Mottling _ (Structure,Stones,Boulders: Con istencyi WOdmel) .. i Y DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Siirface.(in.)'• (USDA) (Munsell) Mottling (Structure,Stones.Boulders: CoLsjiMngXjQM R Flood InsurariceRate 1VIan: - "Above 500'year flood boundary No Yes "Within'SOU year`lioundary No Yes ,Within 100 yeai flood boundary, No Yes Death of Naturally Occurrme.Pervious Material Does at le'ast'four'feet of nattirally occurring pervious'material.cxist'inail areas;observed througkiout-the area proposed forthe soil alisorption system? ._., If'not,what is the depth of naturally occurring pervious material? rti�icataon - I certify that on t I Ce (date):.I have passed the soil evaluator examinarion approved by the' Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,"expertise and experience described m lU CNIIt'15 017 - - - Date . � ( d Signature , r tSEPTIC<PERCFORM.DOC TOWN OF BARNSTABLE -LOCATION 33 S'igg A0e `h4 SEWAGE# :2049 1 lC9C� VILLAGE 11 i14,J M;S f j ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. � SEPTIC TANK CAPACITY j 5 y[ LEACHING FACILITY-.(type) 41C jr, N t (size) E- NO.OF BEDROOMS OWNER {. _ PERMIT DATE: ' i I COMPLIANCE DATE: ^Separation Distance Between the: vrt.Lie t� I C f v 4 Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility/ C�b Cal'-St 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� S� e�:.✓ v "� SO t� c� tf' ti en 1-1 't- LO CAT ION ��a3 SEWAGE PERMIT NO. VIL �L//AGE ft�l�.y.v is INS TA LLER'S NAME i ADDRESS 8UIL)DER OR OWNER I� DATE PERMIT ISSUED /0Z 4� Q DATE COMPLIANCE ISSUED lf � � Y � � y� o N � � �� �) � .. , -r At LEGEND N o Shorey Rd CD —— gg —— EXISTING CONTOUR ® a o Benchmark No. 1 Benchmark No. 2 � COR. OF CONCRETE LANDING a x 100.98 EXISTING SPOT GRADE Craigville Bach Rood - TOP OF CONCRETE BOUND EL.=105.78 (Assumed datum) EL.=103.93 (Assumed datum) �� EXISTING CONTOURCn PL. BK. 109 PG. 59 W 0 a 0 EXISTING WATER SERVICE o a. o Hyannis Port X s a. a Golf C/ub G EXISTING GAS SERVICE 7 v 7 DCD CD OVERHEAD WIRES Mo�e Str et q TEST PIT 1 5== O�` _ � ____ _ FENCE CB � BENCHMARK LOCU 105,30 ©5_N_0238'24" 103.93 �80.00' �,__ t' PROP-Yas --''104 , LOCUS MAP /�O, 2� —I SEPTIC SHED ° NOT TO SCALE __ TP r1— —� TANK r? �PRR�PO ED S.A�Ic�4 5, 9 I I TPr: I 106 lr--i -.--I i- Q x 105, 4 --10,5 _ _ ' I GENERAL NOTES: 106 EXISTING CESSPOOLS / + \o DECK TO BE PUMPED & FILLED j \ X�'107,1 shr. F 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL W/SAND AND ABANDONED L_ EXISTING BOARD OF HEALTH AND THE DESIGN ENGINEER. (SEE, ALSO, NOTE 11) INSTALL ) 2• ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS o� y CLEAN OUT HOUSE(#33) 7 LOCAL THE RULESSTATE ANDVIREEGULATIONSCODE, TITLE V, AND ANY APPLICABLE 00 o i' ` �� T.O.F,.=108.54t � 4 I 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR + 1� /CRAWL SPACE' oo ni I TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE I FLO = t o r DESIGN ENGINEER. OR, £L. 106.0 C.i p x 107 Q1 } 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING ` rylFROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN �\ ENGINEER BEFORE CONSTRUCTION CONTINUES. 107,66• SHRUBS 106, 107.03 , , .SHRUBS 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. \\ I + 10'7.OS' ' ' '' ' ' ' ' ' 106, 2 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF \\ THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 106.85\ HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. �'�� 1 7.12 x 107,22? 10�' 9 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. \\�-,,(LOTS 442 & 444) I 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS Paved I AWN 246-144 ' I ' AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE Drivewo DIRECTED BY THE APPROVING AUTHORITIES. x 106.74 8,000 S.F.t G7 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY x 0 ,60 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 80.00' FENCE � F��� 0F M4 ss9 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS �'6.59 S 02-38'24" E _�` ��G IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND 106.53 ib PETER T. REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). McENTEE X_j 1 j0 edge of f pavement Ip 1�6,I v CIVIL "' 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE ✓ s� 9 �6S No. 35109 INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL 0 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND ); �FSS �G IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. SIXTH A VENUE b PROPOSED SEPTIC SYSTEM UPGRADE PLAN < < 33 SIXTH AVENUE WEST� HYANNISPO RT, MA Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 OWNER OF RECORD Engineering b SCALE DRAWN JOB. NO. 9� 9 Y� SPEICHER, CHARLES A Engineering Works, Inc. 1"=20' P.T.M. 229-10 a & PETER J' 130 MARY ANN 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. _ NO. ATTLEBOROUGH, MA 02760 (508) 477-5313 11/15/10 P.T.M. 1 Of 2 NOTE: TO PREVENT BREAKOUT, THE PROPOSED CB FINISH GRADE SHALL NOT BE < EL.103.8 103.93 SEPTIC TANK PROPOSED D—BOX" - FOR A DISTANCE OF 15' AROUND THE '1 70,7' PERIMETER OF THE S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT PROPOSED S.A.S. 46 �' OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE INSTALL INSPECTION PORT OVER END UNIT —25 r ! - _-1 SHED T.O.F. 2 ' EXISTING F.G. 106.8(MAX.) M i PR OSED S.A.S. i h F.G. EL.=106.Ot � F.G. EL: 106.Ot � �i i 25• ----- ------ MAINTAIN 2% GRADE (MIN.) OVER S.A.S.. -„� , L = 39' L = 6' L = 7'(MAX) INSPECTION 1 cV N; DECK ® S=1% (MIN.) S=1% (MIN.) @ S=1% (MIN.) PORT 4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC 6" 10"I 14" B 10.75" To �c5` ,EXISTING .- - INV.=103.95 48��L ID INVERT �. HOUSE(#33) ADD INV.=103.64 PROPOSED INV.=103.47 P4 ROWS OF 5 UNITS AT 5.0'/UNIT = 25.0' T.O.F,.=108.54.± GAS BAFFLE INV.=103.70 P-BOX INV.=103.40 /C,?AWL SPACE ' SOIL ABSORPTION SYSTEM (PROFILE) PROPOSED SEPTIC TANK S.A.S.LAYOUT TIE IN TO EXISTING SEWER ESTABLISH VEGETATIVE COVER BACKFILL WITH CLEAN NATIVE OR OUTSIDE HOUSE, INV.=106.2f PERC SAND TO TOP OF CHAMBERS s-t-4POLYSEAwLINMKTS " AL TL INSTALL CLEANOUT TO GRADE 21" 2" 2" 1 BREAKOUT=TOPNOTES: TOP ELEV.=103.83 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPEINV. ELEV.=103.40INVERTS, PRIOR TO INSTALLATION. O BOTTOM ELEV.=102.502) SEPTIC TANK AND D-BOX SHALL BE SET LEVEL AND 5' MIN. ABOVE BOTTOM OF2.83' l o TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=11.3' —� 310 CMR 15.221(2). t EXISTING SUITABLE 04 Top View D—BOX Section 3) INSTALL INLET & OUTLET TEES AS REQUIRED. NO G.W., EL=95.0 4 I MATERIAL 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE USE 4 ROWS OF 5—ADS Arc 36HC UNITS WITH NO AS MANUFACTURED BY TUF—TITE, ZABEL OR EQUAL. SEPTIC SYSTEM PROFILE SEPARATION BETWTMPCAL SECTION i EACH ROW & NO STONE 63.25" " N.T.S. ! i 16 DESIGN CRITERIA SOIL ;LOG 34.5" DATE: NOVEMBER 10,� 2010 (REF#13,126) NUMBER OF BEDROOMS: 3 BEDROOMS SOIL EVALUATOR: PETER McENTEE (SE#1542) WITNESS: DAVID,STANTON R.S. TOP VIEW SOIL TEXTURAL CLASS: CLASS I HEALTH AGENT DESIGN PERCOLATION RATE: <2 MIN/IN ELEV. TP— 1 DEPTH ELEV. TP-2 DEPTH END CAP END CAP so" --w DAILY FLOW: 330 G.P.D. 106.0 A SANDY LOAM 0" 106.5 0" FRONT VIEW SIDE VIEW A SANDY LOAM ENO CAP DESIGN FLOW: 330 G.P.D. 105.0 10YR 4/2 12" 105.5 10YR 4/2 12" REAR/TOP VIEW B i. B GARBAGE GRINDER: NO NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT SIDE VIEW SANDY LOAM SANDY LOAM TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY LEACHING AREA REQUIRED: (330) = 445.9 S.F. 10YR 5/8 ' 10YR 5/8 DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. 103.3 32 103.5 36" 40 74 c 1 C 1 MEMOHL L ARDU OHAO B o s Are 36HC DETAIL ak 44" PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY PERC ADVANCED DRaNAGE SYSTEMS, INC. PROPOSED D-BOX:: 1 INLET, 5 OUTLET (MINIMUM), H-10 RATED 56" PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 4 ROWS OF 5—ADS Arc 36HC UNITS WITH NO F—M SAND F—M SAND 33 SIXTH AVENUE, WEST HYANNISPORT, MA SEPARATION BETWEEN EACH ROW & NO STONE 2.5Y 7/3 2.5Y 7/3 Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.80 SF/LF OF UNIT) Engineering by. SCALE DRAWN JOB. NO. (Arc 36HC Units) 20 UNITS x 5.0 LF x 4.80 SF/LF = 480.0 SF 96.0 120" 95.0 138" Engineering Works, Inc. NTS P.T.M. 229-10 PERC RATE <2 MIN/,IN ("C" HORIZON) 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0. DESIGN FLOW PROVIDED: 0.74 480.0 S.F. = 355.2 G.P.D. NO GROUNDWATERI ENCOUNTERED ( ) � (508) 477-5313 11/15/10 P.T.M. 2 Of 2