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HomeMy WebLinkAbout0105 SKATING RINK ROAD - Health 105 Skating Rink Road Hyannis P �{ A = 291 055 1 i e i i TOWN OF B STABLE �I � SEWAGE LOC1�1.T iON _ YII I.AI�rrE ASSESSOR'S MAP,& LOT Z INSTALLER'S NAME&PHONE NO. f/�+✓�� �'�' SEPTIC TANK CAPACITY ��SKY"' V Ste" `'�� LEACHING FACILITY: (ty ) S� `�`�( (size) NO. OF BEDROOMS BUILDER OR 0 R �* PERMIT DATE: 3 COMPLIANCE DATE: Separation Distance etween 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) Feetk° Furnished by t i � . '� � �i --y �. � � � �� � � � o � ,� - - f o C/^\ A s J � A [�� t ���ii((( ���� � , , �. � � .� • - No. �UJ J 3 f r FEE Board of Health, , APPLICATION FOP, DISPOSAL SYSHM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) - ❑Complete System ❑Individual Components Location �� ` Owner's Name Voly- Map/Parcel# Z4 Q S S Address S�MQ Lot# ,:_ Telephone# Installer's Name a - Designer's Name 'TIC s. Address h k Address CJUL Telephone# _ ' l0 Telephone# 5vig^Q (p Type of Building C,-,&,CL, Lot Size / Sit sq.ft. Dwelling-No.of Bedrooms � �.� Garbage grinder(A//* Other-Type of Building No.of persons 5 Showers V,Cafeteria ( Other Fixtures Design Flow (min.required) 2�`� gpZr, Calculated design flow SS a Design flow provided S L B•36 gpd Plan: Date o "J Number of sheets Revision Date Title Description of Soil(s) �+ Soil Evaluator Form No. Name of Soil Evaluator CAQM6tJ J�1 AY Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS aAa&o The undersigned.agrees to ins a above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to lac t in operation until a Certificate of Compliance has been issued by the Board of Health. Signed r Date 77 ��6 c'J�DSIc;NING ENGINEER MUST SUPERVISE o ?.2f v T INSTALLATION AND CERTIFY IN WRITING THE SYSTEM WAS INSTALLED IN STRICT Inspections 4eeeRDANCE '�,.+yvs�r'ewe:•.�.�sM.t•%,`. '/,�..avry���•'tti`'�r •.f..,�.a����,;...:�� _-v=.c.�, '' .�.3.}!°''a.,�,..�,»,�L �-Y-,,, f`.. .�' r,,,:•*1,,._v. , •�'lt'y'Y'r-�•�'si.�j' '"'S?.�..r''_�1,--, ._ n ,` 33 %- No.'• �C��€' " a- 1 FEE 4-t Board of Health, f(-)S�C6e MA. APPLICATION FOP DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) - ❑Complete System ❑Individual Components Location GJ � � Owner's Name V l a 6 �Ch� Map/Parcel# J Address 15G-fr1Q ".r KLot* f Telephone# Installer's Name Designer's Name C7aC�S G2 Jtt^Q(1r /1 O� S11CS. Address MA Address �'`)n C. Telephone# n v\ _ S Telephone# J� y _p ( (0 Type of Building f c,t AP r X�Q k Lot Size Z y ,�'7 3i sq.ft. Dwelling-No.of Bedrooms K7,1 C. C l Garbage grinder (A�/6 Other-Type of Building c No.of persons 15 Showers (/,Cafeteria (pK Other Fixtures Design Flow (min.required)` gpd Calculated design flow ASS Design flow provided 5 o B. gpd Plan: Date __4\ \P3 Number of sheets 1 Revision Date Title Description of Soil(s) ( , Soil Evaluator Form No. Name of Soil Evaluator C Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS t��Q_�R.( - � C r4 7.c Vo A -pC"7 po:p c� The undersigned agrees to install-the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place�thefsystem in operation until a Certificate of Compliance has been issued by the Board of Health. , Sign p, y Date Inspections No. COMMONWEALTH EALTH OF MASSAC14USETTS FEE S� Board of Health,71 A eaczC 44e'.. MA. CERTIFICATE OF COMPLIANCE Description of Work: Zdividual Component(s) ❑Complete System The undersigned hereb certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned ( ) at ;LAC _ �rj.� 0 i-# WA_I has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. o)l I 332, dated Approved Design Flow .,.n (gpd) Installer Designer: Inspector: Date: 2 J _ %..-- The issuance of this permit shall not be construed as a guarantee that Ene system will function as designed. No. FEE COMMONWEALTH'OF MASSACHUSETTS Board of Health, . {S 4(1,t'5TGa,A- , MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair(i,,, g ade( ) Abandon( ) an individual sewage disposal system at �i✓� W V�_/ as described in the application for Disposal System Construction Permit No. D Q0 2-??z , dated 7/�? Provided: Construction shall be completed within three years of the date of this permit. All oc conditions must be met. n Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date n�/U Board of Health Sep - 20-01 1 3 :`b2 BARNSTABLE HEALTH ,DEPT, 5087906304 ' 5�25�01 i :NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM hereby certify that the engineered pian signed by me Clatec concerning the property located at _}Jkk40D0\Smeets all of the fCL'ow�n; cntena • This failed system is connected to a residential dwelling only. There are no :ommtr;ia.l or business uses associated with the dwelling. • Tr soil is ciass:tied as CLASS l and the percolation rave is less than or equal to -rLautes per inch The applicant may use histoncal data to conclude th,s fac: or may _onduct Pre:imi:•,ary tests at the we without a health agent present • T hero :s no increase in now and/or change in use proposed • There are ,io va.-tances requested or needed. • The bottom of the proposed leaching facility will not be located less than fourteen aoove the maximum adjusted groundwater table elevation. (Adjust the ;round rater table using the Frimptor method when applicable) Please complete the following: I •ot Ground Surface E'.evanon (using GIS information) t 5; G.W E iCVal.on _ 4d;ustment for high G.W. _r��-.3. _ .--_�� •,�_ i I FT-T..RFNc:F SETWEEt4 and B I�' • a S (i.\tED Q•1�TE. 1 3asec on t^e•,alove".r.formauon, a reoair permit will be issued for Dedr^ems ,r• T: N:r` .cd.ur1nal bedrooms are authorized to future without en;tneerec plans. �-.un!r,:Oci Pcicc.vm9 Permit Number: Date: Completed by: HIGH GROUND-WATER LEVEL COMPUTATION Site Location: ��J�-- tt4Qr jsLot No. Owner:�tp\ a� �cl rrtc5(>f� Address: 4 Contractor:- 20y,.rc),n qn94 Address: �C�X (na' �- FatmitA4, 7 Nl�} 0253(p Notes: --�}�J2 STEP 1 Measure depth to water table tonearest 1/10 ft. .............................................................................. .Date mont /day/year STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: 441W OAppropriate index well.................................................... d 3a © Water-level range zone ..................................................... STEP '3 Using monthly report "Current Water Resources Conditions" determine current depth to water level for index well ........................... u Z2.2 mo th/Year STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 26) a �3 determine water-level adjustment .......................................................................................... STEP 5 Estimate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to.water levelat site (STEP 1) ..................................................t.......................................................... '3 Figure 13.—Reproducible computation form. 15 TO F B STABLE j LOCATION SEWAGE -- VILLAGE ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NO. SEPTIC.TANK CAPACITY LEACHING FACILITY: (ty ) (size) NO.OF BEDROOMS BUILDER OR O R ' COMPLIANCE DATE: PERMIT DATE: Separation Distance Between the: Feet Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 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 Feet within 300 feet of leaching facility) Furnished by e I � oL. - �, AOIX bayc3 r 4 a, AV 1 , ' l 10/18/2013 18:03 FAX IM 002/002 CA"EN E. SHAY (508)-548.0796 ENVIRONMENTAL SERVICES,INC. P.O.Box 627,East Falmouth,MA 02536 July 23, 2003 RE: Certification of Title V Septic System Installation: Residential Property 105 Skating Rink Road,Hyannis, MA, Dear Sir or Madam: On July 15, 2003, Roger Roberts, Inc. was issued a permit to install a Title V Septic System at 105 Skating Rink Road, Hyannis, MA, based on a design drawn by Shay Environmental Services on July 21, 2003, I Certify That The Septic System Referenced Was Installed Substantially According to the Plan XX I Certify That the Referenced Above Septic System Was Installed With Changes but in Accordance With State and Local Regulations, Revisions or As-Built Plans/Sketch will Follow_ Note: Rubber Liner not required du_a to top of SAS elevation installed I' below Basement Floor Elevation. The Septic System Was Not Installed Per State and Local Regulations and Corrective Action is Required. If you have any questions, please do not hesitate to call the undersigned at(508)-548-0796, Sincerely, CARMENE. SHAY ENVIRONMENTAL SERVICES,INC. d �4� CARMEN �y { E. . ° SHAY �^ C n E. Shay, .S., C. No 1131 0 President ��`s T JUL-23-2003 WED 05:57AM ID: PACE:2 BORTOLOTTI CONSTRUCTION, INC. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Address Prop Date of Inspec} Map arcel Owner PART A — CHECKLIST CHECK IF THE FOLLOWING HAVE BEEN DONE: PUMPING INFORMATION WAS REQUESTED OF THE OWNER,OCCUPANT,AND BOARD OF HEALTH. !/NONE OF THE SYSTEM COMPONENTS HAVE BEEN PUMPED FOR AT LEAST TWO WEEKS AND THE SYSTEM HAS BEEN RECEIVING NORMAL FLOW RATES DURING THAT PERIOD. LARGE COLUMES OF WATER HAVE NOT BEE INTO THE SYSTEM RECENTLY OR AS PART OF THIS INSPECTION. I/AS—BUILT PLANS HAVE BEEN OBTAINED AND EXAMINED. NOTE IF THEY ARE NOT AVAILABLE WI A. a THE FACILITY OR DWELLING WAS INSPECTED FOR SIGNS OF SEWAGE BACK—UP. � ✓�/ c THE SITE WAS INSPECTED FOR SIGNS OF BREAKOUT. ` am ✓ALL SYSTEM COMPONENTS,EXCLUDING THE SAS,HAVE BEEN LOCATED ON THE SITE. 19 9 THE SEPTIC TANK MANHOLES WERE UNCOVERED,OPENED,AND THE INTERIOR OF THE SEPT[ 9 WAS INSPECTED FOR CONDITION OF BAFFLES OR TEES,MATERIAL OF CONSTRUCTION,DIMENSIONS,DEPTH OF C J DEPTH OF SLU qE!o DEPTH OF SCUM. . � THE SIZE AND LOCATION OF THE SAS ON THE SITE HAS BEEN DETERMINED BASED ON EXISTING INFORM A 5 APPROXIMATED BY NON—INTRUSIVE METHODS. THE FACILITY OWNER(AND OCCUPANTS,IF DIFFERENT FROM OWNER)WERE PROVIDED WITH INFORMATION ON THE PROPER MAINTENANCE OF SSDS. PART B — SYSTEM INFORMATION FLOW CONDITIONS RESIDENTIAL _ LL No of Bedrooms 7 No of Current Residents _Garbage Grinder Laundry Connected to System A10 Seasonal Use NON RESIDENTIAL: Calculated flow WATER METER READINGS,IF AVAILABLE: GALLONS 1 Pumping Records and Source of Information: SYSTEM PUMPED AS PART OF INSPECTION? O IF YES,VOLUME PUMPED = GALS Reason for Pumping: — — -- TYPE OF S TEM: Septic tank/distribution box/soil absorption system Single Cesspool Overflow Cesspool Privy Shared system ('If yes, attach previous inspection records, if any) Other(explain) A proximate age of al omponents. Date installed,N known. Source of information. SEWAGE ODORS DETECTED WHEN ARRIVING AT THE SITE? SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B — SYSTEM INFORMATION (Continued) SERUM TANK: Depth below grade: k- .. _ Dimensions: i0 Material of construction: oncrete Metal FRP ' Other} Sludge Depth Fj/ Distance from top of sluda3a tQ bgnom of outlet tee or baffle Scum Thickness/O X/ Distance from Top of Scum tq;top of outlet tee or baffle Distance from bottom of Scum to bottom of outlet tee or baffle Comments: 150052 ;L- Sc h,e�ul�q DISTRIBUTION BOX: i e DEPTH Comments: OF LIQUID LEVEL ABOVE OUTLET INVERT Srian a �k:/I PUMP CHAMBER: Pumps in working order? Comments: SOIL ABSORPTION SYSTEM SAS : IF NOT PRESENT,EXPLAIN: TYPE: Comments: //ei7n '01 CESSPOOLS: D Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimension of cesspool Materials of construction Indication of groundwater inflow(cesspool must be pumped) Comments: - PRIVY: Q Materials of construction Dimensions Depth of solids Comments: I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B — SYSTEM INFORMATION (Continued) SKETCH OF SEWAGE DISPOSAL SYSTEM: INCLUDE TIES TO AT LEAST TWO PERMANENT REFERENCES,LANDMARKS OR BENCHMARKS. LOCATE ALL WELLS WITHIN 100' 0 �i DEPTH TO GROUNDWATER: DEPTH TO GROUNDWATER METHOD OF DETERMINATION OR APPROXIMATION: SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C — FAILURE CRITERIA (Indicate Y—yes N—no ND—not determined.Describe basis of determination.If'not determined`,explain why.not) Backup of Sewage into Facility? / Discharge or ponding of effluent to the surface of the ground or surface waters? ,41 Static liquid level in the districution box above outlet invert? I Liquid depth in cesspool, 6"below invert or available volume, 1/2 day flow? I /v Required pumping 4 times or more in the last year? Number of times pumped Septic tank is metal?cracked?structurally unsound?substantial infiltration?substantial exfiftration? tank failure imminent? / , Is any portion of the SAS,cesspool or privy, below the high groundwater elevation? Within 50 feet of a surface water? /y Within 100 feet of a surface water supply or tributary to a surface water supply? Within a Zone I of a public well? IV Within 50 feet of a private water supply well? Within 50 feet of a bordering vegetated wetland or salt marsh (cesspools &privies only, not the SAS)? Less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis? If the well has been analyzed to be acceptable, attach copy of well water analysis for col'iform bacteria,volatile organic compounds,amonia nitrogen and nitrate nitrogen. PART D — CERTIFICATION INSPECTOR: ROBERT J. BORTOLOTTI ADDRESS: 765 WAKEBY ROAD, MARSTONS MILLS COMPANY: BORTOLOTTI CONSTRUCTION INC. MA 02648 (508) 771-9399 I; CERTIFICATION STATEMENT II I CERTIFY THAT I HAVE PERSONALLY INSPECTED THE SEWAGE DISPOSAL SYSTEM AT THIS ADDRESS AND THAT THE INFORMATION REPORTED IS TRUE,ACCURATE AND COMPLETE AS OF THE TIME OF INSPECTION. THE INSPECTION WAS PERFORMED AND ANY, I�RECOMMENDATION REGARDING UPGRADE,MAINTENANCE AND REPAIR ARE CONSISTENT WITH MY TRAINING AND EXPERIENCE IN THE PROPER FUNCTION AND MAINTENANCE OF ON—SITE SEWAGE DISPOSAL SYSTEMS. CHECK ONE: I HAVE NOT FOUND ANY INFORMATION WHICH INDICATES THAT THE SYSTEM FAILS TO ADEQUATELY PROTECT PUBLIC HEALTH OR THE ENVIRONMENT AS DEFINED IN 310 CMF 15.303. ANY FAILURE CRITERIA NOT EVALUATED ARE AS �I STATED IN THE"FAILURE CRITERIA"SECTION OF THIS FORM. I HAVE DETERMINED THAT THE SYSTEM FAILS TO PROTECT PUBLIC HEALTH AND THE ENVIRONMENT AS DEFINED IN i 310 CMR 15.303. THE BASIS FOR THIS DETERMINATION IS PROVIDED IN THE"FAILURE CRITERIA"SECTION OF THIS. FORM. INSPECTOR'S SIGNATURE: IDATE Z/Z 2 �l� II ORIGINAL TO SYSTEM OWNER,COPIES:BUYER Cd applicable),APPROVING AUTHORITY I F 5, ' - PROPOSED'DECK&SAUNA TUB'E.LAYOUT I I I iv I I � I �T-4" T-9 1/4" T-9 1/2" T-7 1/4. \- 1 I I— ---- --- - - ---- - -- - ---- - - ---- - — _ ---- ----- -- - —_--------- -------------- ——— — —— ---—---------------- —= I M I ao Zo I I �f , o � o o o 0 � 3 1/8" I ----- — -- — -- - - --- - -- -- -------- - ---- _ -- --- -----®-- - - - - ---- I M I I i ------ --_------.---- i 21'-8 1/4" M I � I ®� T-6 NOTES; I � T-6" 2X8 TRIPPLE BEAM L=®-==_________ ------------- --------------------______=______ ___ ® --------I----------------------- 8"Sauna Tube r ` 15-8° PROPOSED DECK I`---------------.--- i i < TOWN OF BARNSTA�LE LOCATION �� �'� '/'nd��' SEWAGE # VILLAGE�1a1_2/21U ASSESS 'S MAP &LOT 0,5S- s� E NAME&PHONE SEPTIC TANK CAPACITY / O LEACHING FACILITY: (type) �S✓ (size) NO.OF BEDROOMS BUILDER PERMITDATE: COMPLIANCE DATE: 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) A1 A Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 3W4eet of leaching fa ' 'ty) �ll.�G� X Feet Furnished b /� L �Zx. "/i��?, �0 1ly� L 3 i V ` � I TOWN OF BARNSTABLE LOCATION /DS�cS -?7.cJ 4 ' & P—,b SEWAGE # VILLAGE ASSESSOR'S MAP & LOT �+7 INSTALLER'S NAME & PHONE NO. � �®4&- + SEPTIC TANK CAPACITY /.SfJd LEACHING FACILITY:(typc) > (size) N h 1� --NO. OF BEDROOMS PRIVATE WELL O LI W BUILDER OR OWNER DATE PERMIT ISSUED: �5'_/7191 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No Vq 8 G � 1 No� -•-- � V Fps...� ..._....._ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Applirtt#uan for Bhipoiial Marks Tonstrnr#tnn Vamit Application is hereby made for a Permit to Construct ( ) or Repair (�,,j an Individual Sewage Disposal System at: •-•l�O� �. 2 rC..._ �.�............... -------------------------------------------------- Location-Address r Lot No. ow ne Address W X.Fa ......•.Z6 Installer Address Type of Building Size Lot ®,�.d4Ot_Sq. feet Dwelling—No. of Bedrooms----------------- ........................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons............................ Showers — Cafeteria P4 Other fixtures .................................................. W Design Flow...............�5...............gallons per person per day. Total daily flow............ - ..................gallons. WSeptic Tank—Liquid capacity,-W. .Q_gallons Length_l-,> . Width................ Diameter................ Depth................ x Disposal Trench—No._______/........ Width........2'.... Total Length... Y'_.... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by........................................................................... Date........................................ Test Pit No. I.•_..-_•___-____minutes per inch Depth of Test Pit.................... Depth to ground water........................ f% Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water•-__-___-__-___-----___. a --•-•-•-----•--•-----------------------•..........•••-- 0 Description of Soil...............i!!5>:- - ----•-2�?c:�'fsD/L ........................................................--•-------------------------- --•---. ..:. cam_... ----......-•----------------------------------------------------------••-- W - -------------------------------------------------------------------------------------------------------------------------------------------------------------------•------------------ VNature of Repairs or Alterations 4swer when applicable_ !/ .._�P��S R9Dl .f..�®Q... Q •... AA Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance b en issued y e board of health. -..------ - --- ----- .... ...--------- -�-- ----- ............................. -- e� __f - -- Application Approved By -----&�Signed - ................ - ------- .9/Applicat ion Disapproved for the following reasons- -------------------------- -----.........................---------- ----------------------------------- ------------------ ......................... ..--...... ...................................................................................................... Date Permit No. _ -� .. .................... Issued ..... - ..-- a--- ------------------------------- - No. 1 -..- �J .. Fiz$.... .......... . THE COMMONWEALTH OF MASSACHUSETTS -BOARD" QF HEALTH -' TOWN OF BARNSTABLE A#p trttfion for Disposal Works Tonstrnrtlo t ami# Application.is hereby made for a Permit to Construct ( ) or Repair (-"K)an Individual Sewage Disposal System at: r .... .----- ....�1�,�•tl% ......................................................... Location,-Address or Lot No. j•U.�c t� �9�3....snboi�= s% ,ate e'�.cs� :....... - - ....... - . ------------------------------------------------------------------- ... Owner Address a � Q7000-/7� C%D 1 �...... .55. l'`1'` �- ..���_..:.,.. s._�lLL ................. .�. Installer Address .7e.. d Type of Building Size Lots.QOG _S q. feet Dwelling L No. of Bedrooms................ Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons..........................` Showers — Cafeteria Q' Other fixtures -------------------------------- W Design Flow................a� ...............gallons per person per day. Total daily flow l!.......•.... 57D..................gallons. WSeptic Tank—Liquid capacity.,.,C06.gallons Length.�4�S—. Width............. Diameter_ _____________ Depth................ x Disposal Trench—No......../----_•.- Width.......... Total Length...may__.... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet...........=........ Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Pate........................................ aTest Pit No. I................minutes per inch Depth of Test Pit-------------------- Dept to to ground water-___-_-______---__----.- G%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --------------------------------------------------------•------•- -•--------•---------------... -------------------- ••----- ----------------- O %— Description of Soil ?�- L�:4-.L(..�.. _�/G....--....----•--•--�� �` ------ U ....-•-•---......f '�-------�------`= '!V ---.....-•-----•----------------------------•-----------------------------------------.........-•----.....-•------••---- V Nature of Repairs or Alterations—/Answer when applicable l>, .,40.Ue.... ....... .--- eS.: Tl ' - TlJ .-•-•...........................v.....•.. Agreement: I The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions-of-TITLE 5 of the"Slate Environmental Code—The undersigned further agrees not to place the system in per=atie_Mntil a Certificate of Compliance has been issued by the board of health. //� -� Signed --.....-.--�..,...... - -... - ----- 1/ Dia Application Approved BY .. ...--, / ........./ �� �!T//_.. -.. 7... /..7. ....- � / . , the r �k Application Disapproved for the following reasons- ------------------------------------------------------------------------------------------........----------------------------------- Date Permit No. /k! Ate). �, -------------------- tp Issued .....,..'��.�.......r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certiftxa#e of C antyliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ..................... ........ ��'4.../ Ln.7l --...... 11. )------...------------...........----------...-----------....... Installer at ---------------------------------------------------/e...----.- ........ ....................... !!11t_ ..--... has been installed in accordance with the provisions of TITLE 5 of The State Environmental C ode as described in the application for Disposal Works Construction Permit No. .... T' . . --....- dated .:. � _...... ----........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON�ST CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. .,--- j ...... � -. r''. Ins ect> ���.......e x%✓.G�/� `�----------_-_--------- DATE p � � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1� � TOWN OF BARNSTABLE & No....r....._......�.1.. FEE........................ Disposal Works Tuono#rndion "prrntit Permission is hereby granted....................... G OlU lT1......nls% e;77o ...................-•----•...•.... to Construct ( ) or Repair (N,:�) an Individual Sewage Disposal System at No.. ! _ �/ "k—,_. Zit �� ..........._ 1r st�1 . -.. Street �' l� as shown on the application for Disposal Works Construction IS _.,_.ermit No. ..1��.,.�.,TDated............ .. �. �.........._.. Board of I�alth DATE........ �._ ... ..Y_ r �.... ..... FORM 36508 HOBBS 6 WARREN,INC..PUBLISHERS r + 1r VkL- 3"X 7>4 (o 4 -- 3Of/ 30'` x 10..11__GD-a).G< NNN -_oil - 0 v 2voM 5-r a�j v reZ rA - / - 0 5k3, a LAND/ G O _. aF/$ q 3:- cj ra.-0/1 o l�y' l�-O'` o44. 'DOOM. 1"9 D rr 7e'Xi� C&� - - I G S 6 L-E - Off N Orr - Q , r /1a wA L J Tto30E/a 0, i N uPST Jay- A.GG� PT �� . Q�/6 r0 Q fSD tit r -� � O , .-2-O o m a ��yTtG 5v,6 ,50(il ,D ,aGOGK � arcs P. - Q i --- 5 Flu,• -FRAM n1 G �rz Gam'/DAB R- 5 �C4 9,�, TOWN OF BARNSTA LE 20fiq S P 17 AM 10: 06 ELDRI E / MARY Ctj ALICE F V7 s 0' y c� _ 6 SKATING � RINK KATIN134 21' MITI LOCUS N79 27'55 E HYANNIS LOCUS MAP —► PLAN REF• 14034H SH. 2 G cr CERT REF- 169944 N „ H �� DECK TO 0 ZONING RB , 291 180 BE REMOVED A M _ _10, SETBACKS.' 20 10 1 14. LOT 8 FLOOD ZONE: c U1 36.5 ..... . . .... .. ........ ... PANEL NUMBER: 250001 5 C � 1 DATED.' 08-19—Ilz 85 D � PLOT PLAN OF LAND C1� .�����.�.�✓��..�.��.�����.����� � pROPOGR 1 O LOCATED A.T RA o A.M. 291-56 � 1. - � GA 105 SKA TING RINK ROAD LOT 10 13 0 HYANNIS, MA. ®� O DECK p.RZSD RWAY , !_ - ��,► �� �_,..s,���� R � � ,�P ��`cRF� ✓,�, 4. AREA=144312 S.F. SHED To O BE MOVED i ® sTEP PREPARED FOR: A.M. 291-55 J o c0 ., SUSAN HUET LOT 9 AUGUST 22, 2006 155• 00 g��--,SIP ', '40"E REV \ N82°55 � — A.M. 291-205 REV n REV A.M. 291-204 YANKE'E LAND SURVEYORS A.M. 291-203 & CONSULTANTS A. M. 291-202 GRAPHIC SCALE . P 0. Box 265 20 0 10 2040 UNIT 1, 40 INDUSTRY ROAD MARS MILLS, MA 02648 TEL. 508-428-0055 FAX 508-420-5553 1 inch = 20 ft. SHEET I OF 1 JOB /. 54104 JF ELDRI E / MARY ALICE ROA R_215.60 SG R ISK _ L=2�•78 �� � � � SKATING � RINK �IITC 13A LOCUS „E N79�27 55 ' HYANNIS LOCUS MAP PLAN REF 14034H SH. 2 CERT REF 169944 p FIANG ,,,,,: DECK TO ZONING. "R BE REMOVED A.M. 291-180 SETBACKS. 20'-10'-10' 14' LOT 8 FLOOD ZONE: PANEL NUMBER: 250001 0005 C 36.5 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 08-19-85 p ,,,,,,,,,,,,,,,,,,,,,,,, o 1 DATED.• rlz sEn 1 � PLO T PLAN OF LAND pROpO 1 LOCATED AT.' A.M. 291—56 GARAG 1 """"""" L o 1 105 SKA TING RINK ROAD LOT 10 K osED 1 13. 6' �� HYANNIS, MA. � DEC PEE E_WAY 1 000 � � (.�ass,��y✓® Cp BR woo +� AREA=14431fS.F. �. SHED TO = Q�s EPN~=" PREPARED FOR: p BE MOVED ® o �. A.M. 291—55 4a °u' oz SUSAN HUET ® LOT 9 0 0D, ND „F� ®® A UG UST 22, 2006 155 ID \. REV 1V82`55,40 E A.M. 291-205 REV REV A.M. 291-204 YANKE'E LAND SURVEYORS & CONSULTANTS A.M. 291-203 GRAPHIC SCALE p 0.. BOX 265 A. M. 291-202 20 0 10 z0 40 UNIT 1, 40 INDUSTRY ROAD MARS'TONS MILLS, MA 02648 TEL• 508-428-0055 FAX- 508-420-5553 1 inch = 20 ft. SHEET 1 OF I JOB # 54104 JF VENT PIPE O Least 24 inches tall) SECTION A -A 1' = 2000' +/- Schedule PVC w/Charcoal Odor Filter ALL alIM PM FRW THe �-houseto' min. from •NOTE: ALL PIPES ARE TO BE 4' SCHEDULE 40 P.V.C. PROFILE VIEII OF LEACHING SYSTEM SETO LEVEL IMB AT LEW Fr. 1roaN�W ootae to t' fic tank �e o� Not to Scale r�'- 72 0Existllty Foundationseptic t 4i w o TOF ELEV 100.00 (Assumed) wtSn 6 w w �� v . .�.,. Q A Grade over Septic Te,k - 96.50 Otad.over D-eox- 96.90 ��*tia.ow SAS - �v- 96.50 a-q 0/V1 - ��. r��,M - KNOCKOUTSZ to Country Seat Rd q• r i/i • rr►.s ar.6.a eL.. ss• culler Ir KZT QO2 J! Q 4 S J HOLE H-20 U10 EXISTINGS-0.1DIST. Box 3' Maxkmm r Top of SAS-Elev.�2.50 % 4' - SCH. 40 T EXIST. PIPE X 1.500 GAL_FR°' `°"�1T1°" SEPTIC TAW Bs 010• foot -� PLAN SECTION CROSS-SECTION Skating Rink Road IH-10 E4" Bffechve SIT caNCREIE nu rouNa► ••••• 16 j"'como""a Units a s.5' = 45.5W Sidewatt 3 HOLE H-20 DISTRIBUTION BOX 5.50' LOCUS MAP SYSTEM PROFILE 8 ��4 r 5 3 ff 3.25' 3.25' NOT TO SCALE in Not to Scab N c c > Effective Vldlh N Effective Length ID 6 In.of 3/4•-1 1/2• o SOIL ABSORPTION SYSTEM (SAS) NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 8" BELOW GRADE °`ted 't°n° 5 SI c INFILTRATOR MODEL 3050 (H-20 LOADING)/ SUMNER & DUNBAR GENERAL NOTES Co (OR EQUIVALENT) 1. Contractor is responsible for Digsafe notification Bottom of Text Hole I aev.-85.50 NOTE. OVERALL HEIGHT OF INFILTRATOR IS 30" /EFFECTIVE HEIGHT IS 24' and protection of all underground utilities and pipes. 2. The septic tank anq distri ution box shall be set level on 6" of 3/4 -1 1/2" stone. 1500 GALLON H-10 SEPTIC TANK EXISTING LEACH TRENCH TO BE PUMPED & FILLED IN PLACE 3. Backfill should be clean sand or gravel with no OR REMOVED IF FOUND TO BE NECESSARY TO INSTALL NEW SAS. stones over 3" in size. NOT TO SCALE 4. This system is subject to inspection during installation SEPTIC TANK SHALL BE FACTORY CONSTRUCTED OF SOUND NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE by Carmen E. Shay - Environmental Services, Inc. DURABLE WATERTIGHT MATERIAL AS PER TITLE v CODE 15.226. FROM THE EXISTING LEACH TRENCH TO BE DISPOSED 5. The contractor shall install this system in accordance with Title V of the Massachusetts state code, the approved plan 3 w.-2+•oi# ACMSS MA*001E9 OF A5 PER BOARD OF HEALTH SPECIFICATIONS. and Local Regulations. 10 -6• 6. If, during installation the contractor encounters any soil conditions or site conditions that are different VARIANCES REQUESTED: from those shown on the soil log or in our design ' b CENTER ACCESS COVER OF SEPTIC TANK TO BE installation must halt & immediate notification be RAISED WITH THE APPROPRIATE RISER TO WITHIN 1. Request a variance to reduce the separation from the SAS to house w 8' OF THE EXISTING GRADE AS PER TITLE V. Foundation from 20 feet to 14.5 feet. A 40 mil Rubber Liner has mode to Carmen E. Shay - Environmental Services, Inc. WET - been Proposed. PROPOSED TOP OF SAS IS BELOW FOUNDATION SLAB ELEVATION. 7. No vehicle or heavy machinery shall drive over the Ck pu THE ACCESS COVERS FOR THE SEPTIC TANK. septic system unless noted as H-20 septic components. �< DISTRIBUTION Box AND LEACHING COMPONENT 8. Install Tuf-rite gas baffles or equals on all outlet tee ends. SET DEEPER THAN 1 FOOT BELOW FINISHED GRADE SHALL BE RAISED TO WITHIN 12. OF 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. FINISHED GRADE. • INSTALL TUF-TITE GAS BAFFLES OR EQUALS 10. All solid piping, tees & fittings shall be 4" diameter SrEF1 REINFORCED E CAE FFL ON ALL OUTLET TEE ENDS Schedule 40 NSF PVC pipes with water tight joints. PLAN VIEW 11. Municipal Water is Connected to The Residence and Abutting 3-24' REMOVARE COVERSProperties Within 200 Feet. 4- r PROJECT BENCH MARK n� tT NIET TOP OF FOUNDATION .+LET s'ff;�T-I r prn. tart a e,e.t ,. ELEV. = 100.00 Assumed THE PROPERTY LINES ARE APPROXIMATE AND 1� Gr.l ,r our ) 40 MIL Rubber Liner COMPILED 14024 H (Sheet 2) FROM THE SURVEY PLAN er -r t5 's -r FROM ELEV. 95.00 To Elev.92.00 & 10 Feet AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN e _ _ 4'-0' it Beyond Each End of SAS or Dwelling IT SHOULD BE USED FOR NO PURPOSE OTHER THAN j b ~.... ate+ THE SEPTIC SYSTEM INSTALLATION. __ i .t0'-W -°' . 155.000 S 82d 55' 40" 1P � CROSS SECTION END-SECTION o to 00 ' LEGEND _- FAILED I 10 6' " �C Vent -- I LEACH TRENCH i 0. DENOTES PROPOSED -- ------ ---- - -------------- EXIST. 1500 gal. ------- ,hr 104X1 SPOT GRADE PERCOLATION TEST Tank ° ___ co Date of Percolation Test: JULY 16, 2003 SHED x 104.46- --- ,�r_� • SPOTOTES GRADE EXISTING c - Test Performed By. CARMEN E. SHAY, R.S., C.S.E. LOT #8 • Results Witnessed By. Waiver( Barnstable B.O.H.) I°L PROPERTY LINE EXCAVATOR: Shay Environmental Services, Inc. ' _- Percolation Rate: Less Than 2 MPI O 48" Below Land Surface ' � D-kox TEST HOLE 1 96 PROPOSED CONTOUR i Test Hole / ,�� `;' • 5 'ELEV 96.50 N ELEV �• I - - - - - - -97 EXISTING CONTOUR TMSOILS �, I EXISTING • _: LOT #10 ` 5 BEDROOIf i•" 0 9e.50, ' ---- I I HOUSE I =.`� . DEEP TEST HOLE & Loamy s«,d 1045 PERCOLATION TEST LOCATION 10 rR 3/2 ^ ASPHALT DRIVEWAY I I I L. W 0•-12" A 95.501I I 6 FOOT STOCKADE FENCE Sandy I 4.5' b 10 nt 5/6 c 0' w t2'- 48• B■ 9250 I I ;� THERE ARE NO WETLANDS WITHIN 200' OF THE PROPERTY. F Medium S I I LOT #9 23 Y 7/4 14,570 Square Feet F� 48"- 132 CaPus snI O L = 20.78' 134.21' PLOT PLAN 13 Perc #1 R = 215.60 � i N 79d 27 55 E to OF PROPOSED SEPTIC SYSTEM UPGRADE Depth at Perc: 48' to 66" PREPARED FOR Perc Re= Less Tha 2 MPI _ Groundwater Not Observed VIOLA F U R H M A N N Na Observed ESH S KA TIN G R INK R O1 .4 D ADJUSTED H2O Elevev. 1. = None AT (40 FOOT RIGHT OF WAY) # 105 SKATING RINK ROAD Design Calculations HYANNIS, MA Number of Bedrooms: 5 Equivalent to 550 Gal./Day (550 Gal./Day Min. per Title V) tA OF MqS Garbage Grinder. No � PREPARED BY: Leaching Capacity Proposed: 330 Gol./Day Minimum (Min. Per Title V) o� AR Septic Tank - 2 x 550 Gal./Day = 1100 USE 1,500 GAL. Septic Tank. CAI?AfEN E. SffA Y SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch SH 0 ENVIRONMENTAL SERVICES, INC. Bottom Area: 0.74 gal/sq. ft. x 520sq. ft. = 384.80 gallons 0 20 40 50 0 Sidewall Area: 0.74 gd./sq. ft. x 248 sq. ft. = 183.50 gallons Providing: = 568.30 gallons. �`�oisTti P.O. BOX 627 $'41VITA N EAST FALMOUTH, MA 02536 Use: 7) HIGH CAPACITY INFILTRATOR CHAMBERS, HAVING A 2' EFFECTIVE DEPTH, TEL/FAX : 508-548-0796 ( SCALE: 1"=20' (3' W x 6.50' L) To BE USED WITH 3.5' OF WASHED STONE ON THE SIDES AND SCALE: 1"=20' DRAWN BY: CES DATE: JULY 18, 2003 3.25' OF WASHED STONE ON THE ENDS. PROJECT#SD451 FILENAME: SD451 PP.DWG SHEET 1 OF 1