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HomeMy WebLinkAbout0070 STETSON STREET - Health (2) -7176 Stetson St 306-074 (AKA 73 stetson So Hyannis 9 N p A S� No. E ' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN'OF BARNSTABLE, MASSACHUSETTS AppliLation for Disposal *pBtrm ConstCUCtion Permit Application for a Permit to Construct�14 Repair( ) Upgrade( ) Abandon( ) /complete System ❑Individual Components Location Address or Lot No. 76 51 Xy fQvel- ko+. ni Mtlo /�/w�neer's Name,Address,and Tel.No. TT Assessor's Map/Parcel G¢(p / p.77th G,�� Pmive 7e—. Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Qc>J31 '.A "f2jovIlri 7 vNc_ Ty R ,,/�.4-r��Z.rAt_,l•OS (50g-7 75-2 76-6 Type of Building: Dwelling No.of Bedrooms Lot Size C 10670 sq.ft. Cu wGF4 kr+� )-- Other Type of Building No.of Persons Showers( ) Cafeteria( ) - - Other Fixtures Design Flow(min.required) 4 40 9 gpd Design flow provided gpd Plan Date Z Number of sheets Revision Date Title 5,'7�_ P 14& � lob 98 I h-,4p r— Size of Septic Tank Type of S.A.S. ' Description of Soil Cl /o v 341 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 Health. e Date Application Approved by Date y Application Disapproved by Date for the following reasons V Permit No. 7 e t Date Issued No. O(a y; yY Fee J THE'COMMONWEALTH OF MASSACHUSETTS Entered in computer: a PUBLIC HEALTH DIVISION -TO�IVW,© BARNStiTABLE, MASSACHU.S.ETTS-_f Yes A 01ppYi at on for Vsposaf 6pstem Construction ,3permit ' i 1 Applicatioritfor a Permitto Construct Repair( ) Upgrade( ) Abandon( ) Complete System E Individual Components a t E �3 'Location Address'or Lot No ( rJi T// uGffFy -Owner's Name,Address,and Tel:No Assessor's Map/Parcel 24{0 3U %/11 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. f Qo2J)4 S A T ,A dtrt,9.j /Q ,,n 4 rJ I L 1-A(_ y � j 0<�- 7 7>�f Td ? �, Type of Building: p i`t Dwelling No.of Bedrooms �- Lot Size 8i Dd sq.ft: Garbage-Fsriader-(--')-- Other Type of Building ` No.of Persons t Showers( ) Cafeteria( ) 0the,F-ixtures :. -' Design Flow(min.required) 7`U rj r>,rl gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title S,r� 4y1 >�, ;'-.,fx,r l ,�GP !rr G� !! �� �r r 70 1 en ��c z/. /1y,-yhr��6l� Size of Septic Tank /l_�_100 Ty e of S.A.S. Description of Soil C� /(1yr� �� r C A d�'.l: TH S /. Z.$ � . t ;. 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 Health. , n e e, Date f n Application Approved by �--! t< - r : f Date 1/ Application Disapproved by Date / for the following reasons Permit.NNo. a — : , Date Issued ( I If - . '. � ----------------------------------------------------------------------- r 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 X at 74 s u—w,'19 of t+''J•►- L/&,AWnP ..has been constructed in accordance with the provisions of Title`5 and-tthee for Disposal System Construction Permit No e r 36 -dated Installerr A (, Designer #bedrooms "'I Approved design flowA gpd The issuance oft iis permit hall not be construed as a guarantee that the system will unc' ,n as de si 'ed. D; Inspector No. 2 d { ��o� Fee 1 THE COMMONWEALTH OF MASSACHUSETTS �. PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS bisposal *pstem Construction permit Permission is hereby grante to Construcc�t,( . ) Repair( ) Upgrade( ) Abandon( ) Sys tem located at � :I`7'r w�Pa' �lflwl • Wand as`describe'J 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:Construc on must be completed within three years of the date of this permit. Date (2- Approved by 06110/2013 08:46 5084775313 ENGINEERING WORKS PAGE 01 1 Town, of Barnstable Regulatory Services Thomas F.Geller,Director Public Health Division ibis Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-79"304 Date: 6 1-0 1 Sewage Permit# Z'*1 Z 36 Z Assessor's Map/parcel Installer&D e 'fica on Form Designer: CA to( c _ Installer: ,�' `Q�•'.�-' �< Address: 6 Z"5- $ Address: 1f-0, t AJ- On V.A— 2 a'A. (n c was issued a permit to install a (date) -- (installer) septic system at.7 fv S,Z x` i k Avel"J K r+rt- _ � bayed on a design drawn by (address) J (Zo h �� f� 110.C dated ) � ) 1 ti�2.�.1 Z,.. (designer) K' 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. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i_e_ greaten 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 required)was inspected and the soils were found satisfactory. PETER T. ;*nsWezes Signature) AkENTEE CIVII. Q�,� -AW.IA.r NQ 86tt19� /gTE (Designer's Signature) (Affix ere) PLEASE RETURN TO IB_ARNSTABLE PUBLIC HEALTH DMSION CERTIFICATE OF COMLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM Nn AS- BUILT CAN An HE!QVVED BY THE BARNSTABLE PUBLIC DEADRIMLSIoN. THANK YOU. gNofrsoe f9nm\de8Wnat"MJjic9w fomLdoe I a, ti ASSaSpRS MAP NM �� � "'''���g Y Fee ':Jl��� No. pp THE COMMON AQ LT MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZIp plication for ;wg poal *r5tem Cowaruction Permit y � fApplication is h reby�l m de for a Permit to Construct( )or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. XV Installer's Name,Address,and Tel.No. 7 S '5059 O/ Designer's Name,Address and Tel.No. Type of Building:Dwelling No.of Bedrooms Garbage Grinder,A) Other Type of Building No. of Persons L. Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 3 gallons. Plan Date Number of sheets Revision Date Title Description of Soil Nature of Repairs or Alterations(Answer when applicable) �(u.C.0 �xCb�\��GI Ce.�` 000\- �.' • �_)-cek cam' S��13".n. e��,�c� -�' 11.1 ^���,�,.,¢� ��a�� Date last inspected: /A 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 issu by this oard of f _ Signed 7 Date Application Approved b Application Disapproved for the following reasons Permit No. Date Issued"' A! ' No. �►✓ "'/ /�� Y c r,,pv ,... Feeik THE,,COMMONWEALTH OF'MASSL rUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE3•MASSACHUSETTS m _ f ; 0(pplicatioInfoC ;Digpoga[ *pgtem Con,5truction Permit Application�hreby40)de for a Permit to.construct( )or Repair( s/)an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. ��C'F"SO n S�' yl��•n t 5 �JC,LS(M O�S Installer's Name,Address,and Tel.No. ' 7 S~'Sa�a Designer's Name,Address and Tel.No. unit - 1- K, 7 .Type of Building: Dwelling No.of Bedrooms Garbage Grinderk Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow AO gallons. Plan Date Number of sheets Revision Date Title C Description of Soil Nature of Repairs or Alterations(Answer when applicable) �i. ��- 1 A\ ASZJO Crc,l_ t/� QO �V t se ! . 4 Date last inspected: 1"/A 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 issu by this oard of Signed Date Application Approved b PP PP ' i Application Disapproved for the following reasons 1, Permit No. / ✓ -710 Date Issued >_..—'—.-- ——————ae.ac-,.,=i+•r_a.——.aa..�a a-v_a=—=r==a�=�s=rsr=.r a�e�� _ram z.—.-- — THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS { Certificate of Compliance - THIS IS TO CERTIFY,t at the On-site Sewage Disposal System installed( )or r�aireareplaced(P/ )on b � \ �M� for USGvN In " 5 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permi(No. dated_;?� 0`- Use of this system is conditioned on compliance with the provisions set forth belowci 1 No. � � / Fee 'Rd- THE COMMONWEALTH OF MASSACHUSETTS I PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS 'igpogal *pgtem Congtruction Permit Permission is hereby granted/to b to construct( )repair( )an On-site Sewage System located at Dco S3<�So n ZsA 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. All construction must be completed within two years of the date below. Date: e Approved ^^^' r CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) I, M ' c tA� hereby certify that the application for disposal works ' o, construction permit signed by me dated l �(e S , concerning the property located at meets all of the following criteria: • There are no wetlands within 300 feet of the proposed septic system • There are n(yprivate wells within 150 feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. —1 SIGNED : DATE: ✓������ LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted). /S�� C' ,1 �� �y, -1 c U �� ,� _ J - j 1 4 f ALWAYS DIG SAFE'PRIOR TO CONSTRUCTION--UTiUTY LOCATIONS SHOWN' INCOMPLETE: JOB NO. B12-Q3 NOTES Grace2 .dwg aN h Rd LEACH DETAIL FB27/27 S812/66 1. LOCUS IS A.M. 246, PARCEL 130. TEST HOLE 3 TEST HOLE 4 _ NOTE: THIS IS A SITE PLAN SURVEY 1 =20 2. ELEVATIONS SHOWN ARE TOWN GIS±0.6 • BY THIS OFFICE, N07 A COMPLETE 3. LOCUS IS IN FLOOD ZONE C ON FIRM DATED JULY 2, 1992• DEPTH (inches) ELEV.(feet) DEPTH (inches) ELEV_(feet) _ t, �DR 4. ALL PIPES TO BE 4 SCH 40, AND PITCHED AT 1/4 PER FOOT. (UNLESS NOTED)PROPERTY LINE SURVEY. LOT LINES 0 22-6 0 10 3 4 .23:.3 r 5. MUNICIPAL WATER IS AVAILABLE L©Ts WITHIN t00 ARE ON T(1WN WATER:„ rA layer 1Oyr 3/3 A layer yr / 4 6. COMPONENTS TO BE AASHTO H-10 UNLESS NOTED.HELD PARALLEL TO LAYOUTS OF sandy loam sandy loam 3rI - „ 'MAPLE ST. AND SIXTH AVE. „ B la r 10 5 8 „ B to r 10 5/8i 8. IF 7. LTWO OR MOREET TEE TO ©INES, WECT A ER TESTUD--BOX F R QUAL FLOW 7 10 IN/ D-BOX EXIT PIPES TO BE LEVEL FOR FIRST TWO FEET.„ sandy loam „ sandy loam I 4 I .24 20.6 26 21.1 �.t I 9. DEPTH OF COMPONENTS NOT TO EXCEED 3, OR VENTING MUST BE PROVIDED. j C1 layer 10yr 6/6 ;' C1 layer 10yr 6/8 3ri COVERS: BUILD UP COVERS TO 6„ BELOW GRADE: 3 ON LEACHING. „ ! a� .4 10. STONE TO BE DOUBLE WASHED 3 4 TO 1 t 2 WITH 2 . MIN. 1 8 TO 1/2 PEA STONE ON TOP. loom sand „a loamy sand 1 / / /' LOCATION IvIAF`' 10% gravel � �1r 11. IF UNSUITABLE SOILS, OR SOILS DIFFERING FROM THE SOIL LOG ARE FOUND, 62„ 17.4 i 2 i CONTACT THE BOARD OF HEALTH, R.. FILLCMATEE2 L FOR 5' AROUND AND UNDER LEACHING 1 G2 layer 2..5y 5/4 y Y / -i �3•# IS TO BE CLEAN GRANULAR SAND MEETING SPECIFICATIONS OF 310 CMR 15.255(3). TEST HOPE 76" 17.0 t3`+i 12. IF AN OVERDIG IS CALLED FOR BELOW, APLEMST * sandy loam C2 layer 2.5 5 4 96 14i6 sandy loam i to 20' 13. PUMP AND FILL ANY EXISTING CESSPOOL/LEACHPIT. REMOVE ANY CLOGGED SOIL, BLOCK, „ 4'in, RADIUS DEPTH inches ELEV.(feet) 112 14.0 LJ . „ AND STONE IN LEACH AREA, AND DISPOSE OF AS DIRECTED BY HEALTH AGENT. 0 ( ) 24.2 �`� � LAYOUT) C3 layer 2.5y 7/2 C3 layer 2.5y 7/3 �'-t 12�6 14. ALL CONSTRUCTION TO MEET TITLE 5 AND LOCAL REGULATIONS• A layer 10yr 3/4 r CHORD (19 5 3 �. med. to fine sand reed_ sand & L='12.7' Y PERC.TEST NO:: 13582 sand loam „' no water TEST HOLE DATE: . March 26, 2012 7„ N 8T24 43 E „' no water 1Q,$ 11.3 B'layer 10yr 5/6 CENTER OF NEW SEWER LINE PERFORMED BY: Ron Cadillac, Soil Evaluator sand Ioam mrxe 22„ sand loam Y 144 144 TO EXIT 3'-8" BELOW TOP WITNESSED BY: Donald R. Desmarais, RS 22.4 1 OF FOUNDATION, PERC RATE: <2'-00"/inch (C1--TH'S 1 & 4) C1 Payer 10yr 6/6 ' Barnstable Road Bound SOIL SURVEY(1993): Carver coarse sand „a loamy sand Found & Held 26.34f invert 22.45 GEOLOGIC MAP(1986): Barnstable plain deposits 40 10% gravel Top Foundation PROPOSED--REPLUMB 3-500 GAL. DRY WELLS 72„ 18.2 j BENCH MARK--N.W. CORNER OF )avert 22.00 Use Gas Baffle H- 0 C2 layer 2.5y 5/4 BOTTOM STEP=24.77 TOWN GISt0.6'' invert 24.66 sandy loam Top Cone.=22.3 96" 16•2 jCf) N F :� 9„ min. cover Proposed Top Peastone/Filter Cloth=21.9 g -h• lv / 51 f4 /ft N/F H AR I GAN Proposed S--1/8"/ft s=1/8"/ft C3 layer 2.5y 7/3 o 0 m CO O KATSOFis Invert 22.25 1500 Gal. min. medium sand XSeptic Tank -----____- 144„ no water 12.2 PROP. GAS Proposed 24" 1 ° x 23,06 x X N 87*24,43` E 5 5 2 :1 24:3 8 Invert 21.50 19.5 TEST HOLE 2 23:1 1 o - J 100.OD''1 ; 261 i 6„ Stone Or CornpactlnProposedvert 3 Proposed r 4 Bottom / RESERVE AREA r l N �,�� ---- , , L i l l l 11 r 8.9 DEPTH' (inches) ELEV.(feet) :. ::i o'} I 33.5 x 16 X 37.5 (600 S.F.) 10' I-- 16' --� I ----3'--a 0 23.9 G G --G :. I DRIP DISPERSAL LEACHING l i i- 1 13' layer fa 1 i 4 cn . ...1 .. .. ... I 6 A IS am 4 IT 1 X_ --a j i x 26,1 X DESIGN 6" X L...._i :..: I :: Exist. Deck No water® 10.6--TH 3 B layer 10yr 5/6 4 Z(� iC1 FIND & FILL d 22:6 t::.:::- ;; : ::•� O� -11 O I x 4 CESSPOOLS sandy loom Z r -p 30.1'�-� En { ) BEDROOMS: 4 24" 21.9 1 i �:._';;I o . , LEACH AREA10yr-6/6 �---- 2,60 t F.:.. :.t n -�f o I X N GARBAGE GRINDER:_. - _, No - -_ -- _ C1 foyer 1 z t::. :I :.t -- �' r' -k °�" 090 loamy sand 22.0 I '--0 23ti :_: .. :shows I o USE 3 DRY WELLS, AS SHOWN, WITH FROM gravel Z h �' ooit N F PROPOSED SEPTIC TANK 1500 GAL. DIRT N =: ! .::... :. o O i 2 o n� 1 TO 4 OF STONE ALL AROUND SEE CID C p , / ( 72 17.9 Df�f W o C::::::a :.� cn 30.9' 200%OF 440 GPD=880 GAL--USE MIN. 1500 GAL. �£■0D m _ NUCCI EFFECTIVE LEACHING AREA: 595.s SF DETAIL). C2 layer 2.5y 5/4 o I :. - tv : •....5-cn- `__ __J - S.F. 96 59 BOTTCJM AREA-394 3 S.F.S F sandy loam .... 23:3 :.: ............... 33.4 SIDE AREA= 100.75' X 2=201. „ 1 ... :: _ 440.9 GPD 5, Jill i i DESIGN CAPACITY.H2O r- ':r.:•1 Exist. u1_1 8.6• 595.8 SF X .74 GPD/SF1 REMOVAL G3 layer 2.5 7 3 BARMCADE �•:': ::: r x 1 )NSPECTION SCHEDULE I� ) Y Y I 22 ::: N .... ....:...... ....... Deck i medium sand i Lxist::- CALL R.J. CADILLAC TO DO 5' ALL AROUND AND UNDER REMOVAL 37.2 i 308fs.f. i INSPECT PRIOR TO BACKFiLL, Shed• $-r OF A LAYER (TOPSOIL), B LAYER (SUBSOIL) no water 144„ 11.9 C�1,80 1 4i 1 A 24 AND C2 LAYER (SANDY LOAM) DOWN 8' TO T�s 4 3�& 465 i N N 23, _ 9' TO C3 LAYER (MEDIUM SAND). THE C1 8,000fS F. I e= c:w µ � "'' 23.3 �--� �7 2�, U `� LAYER (LOAMY SAND FROM 2' TO 6' DOWN). PARKING 22,6 µ w DIRT TH 3 _- 23: ' tDo.Do ZONING DISTRICT: RB WHICH WAS PERC'D, MAY BE USED IN THE 5' _ 7�24'43" W 23. o REMOVAL IF IT CAN BE STOCKPILED WITHOUT 22: S 8 Exist.: FRONT YARD 20' BEING MIXED WITH REMOVED LAYERS. N F 20: 2,8 " Shed / SIDE YARD 10' 21,12 22:3 GIOFFRE REAR YARD 10' 3 x 21. 22 E MAX. BUILD HEIGHT 30'• XIS 1'/Nc x 21, 'Nov S ....::...::.... ...:...::: 22.35 2 •45 PROP. WATER /F NO• 84 BARD TRUST - SITE PLAN BENCH MARK--MAG. NAIL SET IN PAVEMENT=20.45 TOWN GISt0.6' o FOR (1`-S-OFF EDGE PAVA 11T-6"OFF FACE ME) a THIS PLAN IS A VALID' COPYI ONLY,IF IT BEARS AN ORIGINAL RED STAMP AND SIGNATURE. NOMINEEMARTHA GRACE TRU $ .. LEQEND LOTS 463 & 4-fi 5, 76 SIXTH AVE,, W: H YAN N I SP : TH 1 TESTHOLE LOCATION; NUMBER -y WATER -LINE MARKINGS lot j E OVERHEAD ELECTRIC WIRES (IF SHOWN) a JA IL G', ' o JAMES MAY 89 2012 SCALE. 1 =2O> CADILLAC CADILLAC G GAS LINE MARKINGS # 1060 #35779 k, x 9.5 x$,7 EXISTING.& PROPOSED ELEVATIONS ('X' MARKS POINT) �F 6 G/STEM Cq ASS �Q •°r �-- EXISTING CONTOUR sANrrrR�P NO SURv�� � RONALD J. CADILLAC, PLS, RS, P.C. ` g PROPOSED CONTOUR � PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN UTILITY POLE (IF SHOWN) : ® EXISTING DRAINAGE CATCH BASIN P..-O. .:BOX -.258 x - FENCE (IF SHOWN, NOT ALL SHOWN) WEST YARMOUTH:, MA 42673 TREE (IF SHOWN, NOT ALL SHOWN) HEALTH AGENT APPR4YAL 201 DATE BY R.J. CADILLAC (. 08) 775-9700 PAGE 1 OF 1 ,: Q '2 REV. 11/02/2012--CONVENTIONAL LEACHING W/DRY WELLS •