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0105 SIXTH AVENUE (HYANNIS) - Health
105 Sixth Ave Hyannis A=245 -= 066 0 r �1 3 f i i d sMrZAO Na Z-1�CR UPC ITM wnesd m Me&to USA ti i, TOWN OF BARNSTABLE LOCATION_�p SEWAGE#` aG� ? VILLAGE / ASSESSOR'S MAP&PARCEL ,2 4�-d Gb INSTALLER'S NAME&PHONE NO. l�a�u�I Ffoau4" SEPTIC TANK CAPACITY i S LEACHING FACILITY.(type) (2U,CW 14 ONA bans (size) NO.OF BEDROOMS ' OWNER PERMIT DATE: WA COMPLIANCE DATE: ? d 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(I y.wetlands exist within 300 feet of leaching facility) 7 Feet FURNISHED BY ► I I � � r N jJ No. �d '-i �, Fee ©� TWICOMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for Th5pont 44pacm Cototruction Permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. f®j i-STtl Atr2 Owner's Name,Address,and Tel.No. 5"*.)isToo_'t� 1 3otary �ve.c� I� d��� � � Assessor's Map/Parcel y SG.Le } IMcSVcb ZA i Installer's Name,Address,and Tel.No. [`�^� _ Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder (a1A-- Other Type of Building N f A No.of Persons 3 Showers( Ir Cafeteria( P/ Other Fixtures Design Flow(min.required) 3 ®. gpd Design flow provided "9�"2 a IS gpd Plan Date 4 a�j o-- Nurnbeer of sheets ` Revision Date Title 3kpPt5e!!� c?J�r `�� �C ce �2��e 92 `ass-oflaX 5 V Size of.Septic Tank Mee.,J t 5M(Zq\ ' Type of S.A.S. i (o X a Description of Soil 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 Certificate of Compliance has been issued by this Board of Heal Signed l e Date12 O _ Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. _0 0�1 �{- Date Issued �G, No. . C1'6G1 - a ) ,rt { Fee 0 00 ,y4 a computer:Ent i•ed in F COMMONWEALTH OF MASSACH11SETTS ` PUBL'IC\HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes r ._Z(ppficatiou for Zi.5po!5ar *p.tem Cougtruction Vermit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) Q Complete System ❑Individual Components LocationAddress or"Lot No. p S ,nT+1 Owner's Name,Address,and Tel.No. a� C lsV ` �GtIN UJ2C.W� `•- i 4 a-t I }•FQIrn51sa � Assessor ' Nlap/Parcel �� Installer's Name,Address,and Tel.No. 13�; _ Designer's Name,Address and Tel.No. N r .�5 �r3r C A2M€"-3 Y Y Type of Building: ' a Dwelling No. of Bedrooms Lot Size _ , Q(1� sq. ft. Garbage Grinder w/)N Other, Type of Building N i {a No.of Persons 3 Showers( 4-)—Cafeteria( v) Other Fixtures Design Flow(min.required) 3c'� gpd Design flow provided 3Co 3 0 gpd Plan Date 4 3�.L1 I (A Number of sheets Revision Date Title �C.cp Size of.Septic Tank _kiec—) 1 `500gC,\ 4cT)k Type of S.A.S. � fq . C. X-�4. --Description of Soil t � 3 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: ` A reement: The undersigned.agrees to ensure the construction and�maintenance of the more described on-site sewage disposal.systerh in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificatefof Compliance has been issued by this Board of Heaall�tthh. Signed l`'/aif U--'t/+�uyrtt Date1 Application f�Ir�.--•tion Approved by ✓ l 6 '/ Date silo �?O Application Disapproved by: Date , v \ for the following reasons Permit No. 2-019 Date Issued (. �� n 4 —_--_ —__— ----------------------------------------- --- 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 M n C r'�r k . at 1 r\07 i„=V -PV���> t7_M has been constructed accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. (��`►.— 1 / / dated . ^� Installer �r^�.'�c1 c�, r\'Y�,t-c?a,.�'� Designer #bedrooms Approved design flow r ,�(nt� ,�S`� gpd The issuance of this permit shall not be construed as a guarantee that the system wyilll f nctidn as designed. Date (�� I Inspector I —f--------- ---- :--------------- - - No. 2•0i a 1 d '� Fee o T> — — — THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS ;Digoar *- p5tem Con.5truction Permit Permission is hereby granted to Construct ( ) Repair (, ) Upgrade ( ) Abandon ( ) System located at 1 0 �2T k�g4. ,, L-,.en.av 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 �' �� 2 Oc)eyl Approved by s s, G, v "l k Town of Barnstable- Regulatory°Ft"e, J Regulatory Services Thomas F. Geiler, Director * BARNSTABLE, * - v$ 163S. � Public Health Division ° Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 6/19/09 Designer: _Shay Environmental Services, Inc. Installer: Manny Barrows Address: P.O. Box 627 Address: West Falmouth Hwy. East Falmouth, MA 02536 West Falmouth, MA On 6/17/09 Manny Barrows was issued a permit to install a (date) (installer) septic system at 105 Sixth Avenue, Hyannis, MA based on a design drawn by (address) _ Sha_y Environmental Services, Inc. dated 4/13/09 (designer) XX_ 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. 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. OF (Installers Signature) o�� CARMENE. SHAY No. 1181 QA'- (Designer's Signature) (Affix 1- si g jHere) �gNIT��•P � 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 TOWN OF BARNSTABLE LOCATION I �� �� A'-� SEWAGE # VILLAGE C'�u cc�` Za1LQ ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE N0: SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER 10r=L - PERMITDATE: COMPLIANCE DATE:A- 2- Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 IA I Y � C J -i 3-24"DIAM. ACCESS MANHOLES ,' `,_�J .�..,, _ V -. X ;+ *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. "+ •" t 10 min. from ESTABLISHED VEGETATIVE COVER Existing Foundation house to septic tank sa TOP OF FOUNDATION ELEV. 100.00 D-BOX cover murt Ds Septic tank town mutt be /�f// -1 -1 -� • b � v'" t r .,:'Sri within 6 in. of finished grade wthin 6 in. of finished grade INLET 1 1 1 1 1< w+ ` r Mir " Grade over Septic Tank - 99.50 Grade over D-Box- 99.50 over SAS - 90.50MVLET \ OBACKFlLL MATH CLEAN SAND �-,�° . 'r . :�•• • ' a` +. ,i•1.' ti' '.. %: ' e ' (NATIVE OR PERC SAND) THE ACCESS COVERS FOR THE SEPTIC TANK,' ' ' ' '•� ' .j ' �1 ' DISTRIBUTION BOX AND LEACHING COMPONENT i � .. S . 0,0 ::•, .��«, ,( ,.,•,''.1,.'�..•4 •i' •' '..>;'.7,S . +•, .,+ . " `• �5 .f Gr Y 2 •t 1 :.;. .�. ��:'.h'; , `•:. % i "'•:' ,; r+-+�-..*=„x SHALL BE RAISED TO WITHIN 6" OF ,.�• t 6 HOLE H-10 TOP OF UNIT ELEVATION -97.60 ,Y: •" •.i.: .i .:r, ,. �.:r•. '.} '�'^ M. a.� ,"Twr-7 M.'lr.T -0.01 1 T. 3' Maximum Cover ,` 1'. +''.r'•5; .h + .�?.':r .'rv,�nYti l'h• M S S BOX {« ; ;�� �;"•";', r•; , FINISHED GRADE. NEW 4'PVC(CAPPED)INSPECTION PORT TO BE f S• `' .• .►. •• •.' :�. !y.:f EXIST. PIPE CY 1500 GAL. S- INSTALLED AND TO BE WITHIN 6`OF GRADE ''�;,�;•'; •� '• •.' ; STEEL REINFORCED PRECAST CONCRETE INSTALL 63' FROM EXIST. FOUNDATIQI M W 10 O•o1•P _ �',•1,~ •'�};��,+ ` '".� r:,,.,.1::,• ''*':,,• , ' ��:;'� TUF-TITE GAS BAFFLES OR EQUALS a SEPTIC TANK Per foot INV. ELEVATION 97.35 ,:: aiDaftoni n �i 13' `�• 1u' iw. "•• . PLAN VIEW ON ALL OUTLET TEE ENDS 1 E CONCRETE WALK-OUT t H-10 II n VA •: A' '' F ON '+` i^' /-3-2e REMOVABLE COVERS ,�sz tF fi m BOTTOM ELEVATION - 96.60 ~ / �' , V 6 kl.o}3/4"-1 1/2" TIi t V M Pb'' y, + •, 4• i.;• t' � mh. , in me Inlet to outlet + W compacted stone mM.olearana c �' _' O1 5' MIN ABOVE BOTTOM OF //f •" Is• rar r Y _ u Ii 4 ROWS OF 6 UNITS AT 4'AUNIT+ 2 END CAPS• 26.00' 7 S ? SYSTEM PROFILE c > TEST PIT OR GROUND WATER " 4" lNIN ( r r 6•mr` ' --BFF. WIDTH fY.�'D EXISTING SUITABLE MATERIAL o•MIN.T-j „ GENERAL NOTES Not to Scale Bottom of Test Hole 1 Day.- 89.50 ADJ. GROUNDWATER - ELEV. 91.60 a'-7• a'-7` 1. Contractor is responsible for Digsafe notification, VERIFICATION In.of acted ,tone ' + 4'-0•min. and protection of all underground utilities and pipes. NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6` BELOW GRADE °iM` I' �"Id aou 2. The septic tank anc� distn ution box shall be set BOTTOM of TP-1.: . 69.50 OIL ABSORPTION SYSTEM (SECTION) § " " ESHWT- 91.60 level on 6 of 3/4 -1 1 2 stone. INFILTATROR QUICK 4 (H-10 LOADING)/ GEORGE O'BRIEN ;� 3. Backfill should be clean sand or gravel with no " +•. * • ' stones over 3" in size. ' ♦Obs. Groundwater - Test Hole 1 Elev.- 89.50 (OR EQUIVALENT) 10-0• °'-°" 4. This system is subject to inspection during installation •ADJ. Groundwater - Test Hole 1 Elev.= 89.50 + 2.1 91.60(Adj. Per CAPE COD COMMISSION) NOTE: OVERALL HEIGHT OF INFILTRATOR IS 12" CROSS SECTION END-SECTION by Carmen E. Shay - Environmental Services, Inc. ♦PROJECT ADJ. Groundwater - ELEV. 91.60 5. The contractor shall install this system in accordance with Title V of the Massachusetts state code, the approved plan REMOVE & REPLACE-5' ALL AROUND TYPICAL 1500 GALLON SEPTIC TANK and Local Regulations. Note: Remove soil down to el.97.00 & replace with NOT TO SCALE 6. If, during installation the contractor encounters any clean coarse sand w/pere. rate less than or / soil conditions or site conditions that are different H-10 LOADING or equal to 2 min./in. before & after placement \ ) from those shown on the soil log or in our design May Substitute with 1500 gallon H-10 Polyethylene Tank-George O'Brien Co. installation must halt & immediate notification be made to Carmen E. Shay - Environmental Services, Inc. 7. No vehicle or heavy machinery shall drive over the PERCOLATION TEST septic system unless noted as H-20 septic components. 8. Install Tuf-rite gas baffles or equals on all outlet tee ends. Date of Percolation Test: APRIL 14, 2009 9. All Distribution Lines shall be 4" diameter Sch. 40 NSF PVC pipes. Test Performed By. CARMEN E. SHAY, R.S., C.S.E. 10. All solid piping, tees & fittings shall be 4" diameter Results Witnessed By. David Stanton - Barnstable BOH Schedule 40 NSF PVC pipes with water tight joints. EXCAVATOR: Shay Env. Svcs. p•P 9 Percolation Rate: 2 MPI 0 30" 11. MUNICIPAL WATER IS AVAILABLE TO THE SITE and Surrounding Test Hole Test Hole Properties. NO PRIVATE WELLS WITHIN 150 FEET of PROPOSED SAS No. 1 No. 2 DEPTH SOILS ELEV. DEPTH SOILS ELEV. 0 99.50 0 99.50 HOTS: Sandy loam Sandy loom THE PROPERTY LINES ARE APPROXIMATE AND COMPILED FROM THE PLAN BY FRRED 0. SMITH 10 YR 3/2 10 YR 3/2 MA, ENTITLED "PLAN OF SEASIDE PARK, HYANNISPORT, MA- 0'-6- A. 99.00 W-s" A 99.00 DATED AUGUST of 1893, PLAN BOOK 34, PAGE 23 Sandy Loam Sandy Loam AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN IT SHOULD BE USED FOR NO PURPOSE OTHER THAN ` 10 YR 5/6 10 YR 5/6 THE SEPTIC SYSTEM INSTALLATION. 6"- 30'1 Be 97.00 6`- 30` B• 97.00 Medium Medium Sand Sand NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE Z5 Y 7/4 2.5 Y 7/4 FROM THE EXISTING CESSPOOLS TO BE DISPOSED 30"- 120 C, 89.50 30"- 120 C, $9.50 OF AS PER BOARD OF HEALTH SPECIFICATIONS. REMOVE & REPLACE-5' ALL AROUND Note: Remove soil down to el.97.00 & replace with EXISTING CESSPOOLS TO BE PUMPED DRY & clean coarse sand w/pert. rate less than or FILLED IN PLACE or equal to 2 min./in. before & after placement ASSESSORS MAP 245 PARCEL O66 ZONING - RESIDENTIAL Perc #1 Depth to Perc: 30" to 48" Perc Rate- 2 MPI Groundwater Observed O 120" MIW29/ZONE B - INDEX - 7.9 for 4/14/09 NO WETLANDS ARE LOCATED WITHIN A 200' RADIUS ADJUSTMENT 2.1 FEET OF THE PROPERTY 98 ---- - OBSERVED H2O Elev. = 10' or ELEV = 89.50' below Grade 7 - - 98 ADJUSTED H2O Elev. 7.9' below Grade or Elev = 91.60 per Frimpter D-Box TEST HOLE �#1 NEW ELEV.= 99.50 ALL 1500 GALLON EST HOLE #2 DISTRIBUTION PIPES AL E ION E BOX SHALL SET LEVEL FOR AT LEAST 2 FT. 12` CONCRETE COVER " PVC POLYETHYLENE LEGEND CONCRETE BASEMENT FLOOR Cleanout SEPTIC TANK Q 12 q+IELEV= 99.50 PROJECT BENCH MARK ;"'' ' s - 5" OUTLET �� '1�r.•� ,•:..,�.,., 2" _ KNOCKOUTS too---.__.. ,�' f00 ELEV. = 100.00 (Assumed) ' DENOTES PROPOSED 26 OUTLET a 12" INLET 8XO 102-- __ \� DECK CI ano t e' -----102 - - s" ,." SPOT GRADE - - ��AILED DENOTES EXISTING 4" PVC --- ---- -- .s ::r:., ,f; s,; . 2 Cleanout ��\ WALK-OUT BASEMENT i CESSPOOL X 104.46 --104 15.5" 4" - SCH. 40 T 1 75" SPOT GRADE 104-- EXISTING -- PLAN-SECTION CROSS SECTION 3 BEDROOM , _ -_- PL PROPERTY LINE -106 106 D, ` , HOUSE . '�, ,,PVC 6 HOLE DISTRIBUTION BOX PROPOSED CONTOUR 00 ESSP00105 .' Cleanout NOT TO SCALE,rJtit-Oo 97- -�-- - -97 EXISTING CONTOUR Design Calculations 108- DEEP TEST HOLE &i' PERCOLATION TEST LOCATION _________ Number of Bedrooms: 3 Equivalent to 330 Gal./Day LOT #474 & #476 to Garbage Grinder: No 1 Leaching Capacity Proposed: 330 Gal./Day Minimum (Min. Per Title V) FENCE 1 EXIST. g 8,000 Square Feet +/- r�_ ___110 Septic Tank : - 2 x 330 Gal./Day - 660 USE NEW 1,500 GAL. Septic Tank. >f0--- DRIVEWAY T --- I SOIL ABSORPTION AREA: UsingPRIVATE DRINKING WATER WELL percolation rate of <2 min./inch EXIST. I Bottom Area: 0.74 gal/sq. ft. x 490.88 sq. ft. = 363.25 gallons "<--T ? DRIVEWAY I - Sidewall Area: NOT USED Providin = 363.25 gallons REVISIONS Use: 4 ROWS OF 6=QUICK4 STANDARD CHAMBER UNITS WITH NO t 80.00' i NO. DATE: DEFINITION STONE FOR AN SAS HAVING THE DIMENSIONS: 12.7 x 26.0 i Bottom Area: (General Use Approval for 4.72 SF/LF of INFITRATOR ------------------ -- ��--_______________________-- 6 UNITS + 2 END CAPS per ROW - 26.0 FT -----------------------� �- 4 ROWS x 26.0 x 4.72 SF/LF 490.88 DESIGN FLOW PROVIDED: 0.74(490.88 S.F.) 363.25 GPD ,S'IX TH .A VEYN U'E (40 FOOT RIGHT OF WAY) -- -- PROPOSED -- PREPARED FOR : SUBSURFACE SEWAGE DISPOSAL SYSTEM OF JOHN DURCAN # 1 05 SIXTH AVENUE °F # 14211 HELMSLEY ROAD HYANNISPORT, MA Y m �ea�° Bedroom MID LOT H IA N , VA 23113 PREPARED BY: Dining Living OF MApS C,4 RHEN E. SHA Y r•, Room BedroomTEL # 781 - 439 - 5471 _N 1 ` EYPIRONMEWTAL SERVICES, INC. 0 20 40 50 185 ASHUMET ROAD _3 BE HOUSE FLOOR SCHEMATIC 6°} �c,sT�¢�� MASHPEE, MA 02649 F ry (Description Provided By Owner) A&'ITaR\P�' SCALE: 1"=20' 4 '" ' TEL/FAX : 508-539-7966 SCALE: 1 "=20' DRAWN BY: CES DATE: APRIL 24, 2009 PROJECT#SD-1127 ILENAME: SD1127PP.DWG SHEET 1 OF 1