HomeMy WebLinkAbout0057 SUFFOLK AVENUE - Health f
57°SU]FFOLK.AV]ENUE
Hyannis ?File# 2
f
TOWN OF BARNSTABLE
LOCATION 577 SLA--,�'oIK A%)E SEWAGE# Z070.39'1
VILLAGE ASSESSOR'S MAP&PARCEL 291 - IZ y
INSTALLER'S NAME&PHONE NO. Q rt 3
SEPTIC TANK CAPACITY /SOO N 10
LEACHING FACILITY: (type) 1-%l ZO- SQ O/G�' y e(size) 12 x 16 X Z
NO.OF BEDROOMS Z (�frC'e�a1 T
OWNER EKIynoL
PERMIT DATE: 121 15 I Z O COMPLIANCE DATE:
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 leaching facility) Feet
FURNISHED BY
At it,
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g2. 1',l S R E.A R
A
A3. 17"
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4
No .�3�
Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: a/
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ftphration for Dispoeal 6pstem ConstrULtion Pffmit
Application for a Permit to Construct( ) Repair( ) Upgrade(X) Abandon( ) Complete System ❑Individual Components
Location Address or Lot No. A tom° ` Y A Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel 2.�j ,�� `J�a N ee t✓ 11710'
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.b q,vI A
11r15 oeo vtyav—" —C-0 t►
C-a UCLA t 0o,-\
Type of Building: ` a
Dwelling No.of Bedrooms �' Lot Size O ® sq.ft. Garbage Grinder(V\)
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) Z-1 gpd De si n flow provided 161(0 gpd
Plan Date kl�olj Number of sheets Revision Date n1,PAJJ4,JJ i"Z 2
I I 1— 11/2
Title e'W 0 sKi� /
Size of Septic Tank k S V v uav4' `� ype S.A.S. pr n ��arJ 7
Description of Soil i Scs (f S� S �. _
r6 lL f 2
Nature of Repairs or Alterations(Answer when applicable) Re y6 p V 14 54cl 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
A
Compliance has been issued by this Boar of Health.
Signed Date
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. "w Date Issued %c
14t I
Fee ,/ `."✓
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yeses
PUBLIC HEALTH DIVISION .:TOWN OF BARNSTABLE, MASSACHUSETTS
application for iDisposaMpstem Construction Permit
Application for a Permit to Construct( )' Repair( ) Upgrade k) Abandon( ) 'IRComplete System ❑Individual Components
Location Address or Lot No. I�j 5#f°I l<A vC 14Y A1, Owner's Name,Address,and Tel.No. hie,
Assessor's Map/Parcel Q,.� 7A n,C eU4(
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel"No.p j ri A *WAN
Type of Building:
Dwelling No.of Bedrooms IL r Lot Size l d.0 0, sq.ft. Garbage Grinder.(a1)
Other Type of Building No.of Persons. �`�° `�'` -Showers( ) Cafeteria(
Other Fixtures ,r ,
Design Flow(min.required) V1 0 gpd Design flow provided- � n q ,Y��•'rr M gpd
Plan Date w®\j `;d, e_0,7 o Number of sheets l.. Revision Date nN.►''.A A r.•-t 4f,�►� -2/2
Title 5 ew4f O',e posgi yS-f 4�*A n.i �q (`1 i t � � ~• a ��/*.. (((
Size of Septic Tank 1 V ) 0Or1-f rrr tt`T p S. S. �1 t P V yr /o vt`r s�,€_�,�
Description of Soil " i s �` .o sg"+f S U Sc7 3 i 1 CJ t!17 .. uu r� 1..4
�
14
Nature of Repairs or Alterations(Answer when applicable) kevAOVP U C CI I I l�
Date last inspected:
N 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 Boar of Health. n` -
Signed Date
Application Approved by , _ _ Date
Application Disapproved by Date
for the following reasons
. � r
Permit No. ) Date Issued �/, /, ,W
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
at'S 7 a oc � ,�✓ has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No ✓ dated
Installer 3 6.x(_-0 UCH—,l I O-e"1 Designer ,/
#bedrooms,. �r p;r "t fit% l""j+re�4d Approved design fln ( gpd
The issuance of this permit shall not.be construed as a guarantee that the system will cti� ide�iglned�:�
Date ( j �O 1 ( InspectorJ'+�. >,
{ (
# C) t :
- -- - --- , Fee '''
THE COMMONWEALTH OF MASSACHUSETTS
,tP-UBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS
osal°�ps,tem Construction�Prrmtt
Permission is hereby granted to Costnuct( ) Repair( ' ) Upgrade{ ) t AA,bandon( )
System located at
mom.
tand asdescribedV'in he above Application for Disposal System Construction Permit. The applicant recognized his/her du tyto com 1 ;with
TieSaridoth following local provisions.or special conditions. '
" Provided:Construction mustbe completed within three years of the date of this pe t.
Date /C::11 .5/ pr) 1 Approved by
11,4v
RECEIPT
Printed: January 13, 2021 @ 8:31:07
BARNSTABLE LAND COURT REGISTRY
JOHN F. MEADE, REGISTER
Trans#: 8459 Oper:KAREN
JANICE A EKLUND (MAIL) - SASF
Doc#: 1417154
Ctl#: 85 Rec:1-13-2021 @ 8:31:01a
BARN
DOC DESCRIPTION TRANS AMT
1 EKLUND, JANICE A
RESTRICTION
County Fee $30.00 30.00
Surcharge CPA 50.00
State Fee $20.00 20.00
Surcharge Tech5.00'. 5.00
Total fees: 105.00'
Ctl#: 86 Rec:1-13-2021 @ 8:31:01a
DOC DESCRIPTION TRANS AMT
IMPRINT COPY
County Imprint Fee 1.00
*** Total charges: 106.00
CHECK PM 2575 106.00
I
Doc= 1:417 s 1S4 01-13-2021 8:31
BARNSTABLE LAND COURT REGISTRY
� c
DEED RESTRICTION
WHEREAS, IG /�� L/I'C -���� of
(owner's name) MA
(address)
is the owner of 5 located
(address) r
at l CL ?"
MA (hereinafter referred to as
and being shown on a plan entit,ed "Subdivision of Land in
MA, Property of
et al, duly recorded in Barnstable County Registry
of.
Deeds in Plan Book 1 2 06 , Page ;
Gad`' (13
Or onLand Court Plan Number 4 CK �/ sh
,WHEREAS,
��t ll!) LU as the owner of said lot has
(owner's name)
agreed with the Town of Barnstable Board of Health to a restriction as to the
r' number of bedrooms which can be included in any home built on said lot as a
pre-condition to obtaining a disposal works construction permit in compliance
with 310 CMR 15.000 State Environmental Code, Title V, Minimum
Requirements for the Subsurface Disposal of Sanitary Sewage;
WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to
granting a disposal works construction permit for a septic system in compliance
with 310 CMR 15,200, State Environmental Code, Title V, Minimum
L; r
'Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing
the issuance of a building permit for the construction of a single family home on
this property, is requiring that the agreement for the restriction on the number of
t bedrooms in any house constructed on the lot be put on record with the
'Barnstable County Registry of Deeds by recording this document,
9.\LegaM ED Restrict Sample.DOC
f
,
tit �'. % r+
1�tZp &efi,5 �ie,�P4-
NOW, THEREFORE, Frr,[JCL rT, ��{ UAlb does hereby place the
(owner's name)
following restriction on his above-referenced land in accordance with his
agreement with the Town of Barnstable Board of Health, which restriction shall
run with the land and be binding upon all successors in title:
1. SuF�Z ue- lltlahl (1 may have constructed
(address)
upon the lot a house containing no more than W o U) bedrooms.
:,i 1}n11Cc A E k d.UL� agrees that this shall be permanent deed
(owner's name)
restriction affecting -A t i .,S located on S`7 ,uFroLlz,, Nqd and
being shown on the plan recorded in Plan BooKaTF*26 Paged
Or on Land Court Plan cr 3 40 6,9
iyo 3 Al -O 5149-,r-r
For title of see the following deed: Book Page
Or Land Court Certificate of Title Number
Executed as a sealed instrument , day of 6W o-0 e)
O er's signature
Owner's signature
Owner's signature
COMMONWEALTH OF MASSACHUSETTS
ss
hg 30 , 20Q
Then persoma"peared the above•n med
10in+CO3_ h
known to me to be the person who executed the foregoing instrument and
acknowledged
the same to be- z free act and deed, before me,
l
Notary
Public
My commission c ires:
F
5 (date)
t + r
..� TARA A MAXWELL
'QALega6DL•FD Restrict Sampl n 'f Notary Public
4ANTARLE REGISTRY OF DEE
a � E Commonwealth of Massachusetts
i ,l f ` i''i ` }: _ ohtt F. Meade, Register ry MY Commission Expires Jan.16.2026
` BARNSTABLE COUNTY
;-; w REGISTRY
TR E COPY,ATTEST
t DEEDS
S
JOHN F.MEADE REGISTER
Town of Barnstable
Inspectional Services
Public Health Division
MAM Thomas McKean,Director
° 200 Main Street,Hyannis,MA 02601
Office: 508-962-4644 Fax: 508-790-6304
Installer&Designer Certification Form
r 2qi f I Z�-
Date: �'? Sewage Permit# ZoZ0 -3 9'r1 Assessor's Map\Parcel
Designer: Dci v Co o->Atn no w r Installer: A � S3 EXea��c��t�o f•
Address: l S S Gr o R ydp r- N 5Q r 1 Address: 114 1 c c rru L
C yuth67 iMA d26 33 Fores-idtalc
On /Z-1 S-20 i3-�S EXcr.��ca,� o j was issued a permit to install a
(date) .(installer)
septic system at 7 �7oi of k U based on a design drawn by
(address)
�w a�t� � but vl6 w►- dated 1Jo,1 3d , 2-02
/ (designer)
V 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. Strip out (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.
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. Strip out(if required)was inspected and the soils
were found satisfactory.
I certify that the system referenced above was constructed in } with the to rms of
the IAA approval letters(if applicable) �.,�
o COUGH1NOWR
(Installer's Signabat)N No. 1093
(Designer's Signature) (Affix Designer's p Here)
PLEASE RETURN TO BARN TABLE 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.
WoAdeptslHEALTRISEWER connect\sEPT wesigner Certification Form Rev&14-I3.DOC
rTEST
� DESI N 0ALCULA EVALUATOR: DAVID D. COUGHANOWR, ASE #461 DESIGN FLOW: 2 BEDROOMS X 110 GPD = 220 GPD
ITNESSED BY: DAVID STANTON. HEALTH DEPT. SEPTIC TANK: 220 GPD X 2 DAYS = 440GALLONS
PIT I No GROUNDWATER ENCOUNTERED INSTALL NEW 1500 GALLON SEPTIC TANK.
PERC AT 68 in - 3 MIN/INCH IN C SOILS
ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER DISTRIBUTION BOX: INSTALL UNIT DEPICTED BELOW.
31.85 INCHES HORIZON TEXTURE (MUNSELL) MOTTLES SOIL ABSORBTION SYSTEM:
0-15 FILL
15-20 Ap SANDY LOAM 10 YR 3/2 NONE FRIABLE THE LONG TERM ACCEPTANCE RATE FOR A CLASS ONE
20-38 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE SOIL WITH A PERCOLATION RATE BELOW 5 MINUTES
28.68 38-126 C LOAMY MID SAND 10 YR 5/4 NONE LOOSE PER INCH = 0.74 GALLONS PER DAY PER SQUARE FOOT.
21.35 THE 16 ft x 12 ft x 2 ft LEACHING GALLERY
TEST PIT 2 NO GROUNDWATER ENCOUNTERED DEPICTED CAN LEACH:
3 MIN/INCH IN C SOILS BOTTOM AREA = (16 x 12) = 192 sq. ft.
ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER
32.00 INCHES HOPoZON TEXTURE (MUNSELL) MOTTLES SIDEWALL AREA = (16+16+12+12) x 2 = 112 sq. ft.
0-12 FILL TOTAL AREA = 304 sq. ft.
12-18 Ap SANDY LOAM 10 YR 3/2 NONE FRIABLE FLOW CAPACITY = 0.74 x 304 = 224.96 gal/day
29.00 18-36 Bw LOAMY SAND 10 YR 4/6 NONE FRIABLE INSTALL A 16 ft x 12 ft x 2 ft GALLERY AS CONFIGURED
36-128 C LOAMY MID SANS 10 YR 5/4 NONE LOOSE BELOW. FLOW CAPACITY = 224.96 gal/day WHICH EXCEEDS
21.33 THE 220 gal/dog REQUIRED FOR A TWO BEDROOM DESIGN.
���� N� I'' ��✓r6 ��/�� D§ST1l1ZOBVTOOIIV "'BO/N USES OBEY
�1�Oo 00RUN LEVEL
'GALL N 4EPTO_� -A-N-l� AND DIMENDE��L FOR 2 FS PIPES EET EET BEFORE TING XPI T�ING DOWN
DIMENSIONS & DETAIL,
FUSE IM-7530 PLASTIC iTANK- BY INFILTRATOR 4
12 In
CONTACT INFILTRATOR SYSTEMS TECHNICAL C MIN
SERVICES DEPARTMENT FOR ASSISTANCE AT: s s —►
FROM
1-800-227-4436 N TANK a So
OR GO oNL/NE: INFILTRATORSYSTEMS.COM
Q._.
6 in STONE BASE
NOT `s CROSS SECTION VIEW
TO ^ fl, 1 w L p
SCALE Dui SO§L� ASSORFMON
SYSTEM CONSTRUCTION DETAIL
175.6.in = 74.63 ft USE SHOREY PRECAST 500 GALLON LEACHING DRYWELL
PLAN VIEW DRYWELL 16.0 ft
UNIT
CID
CENTER ago" O
INLET COVER OUTLET 0. 0 v (N
COVER COVER OUT
lco
II
IN 3 in DROP FLOW `M 10 in -LINE 14 STONE-'
IT �p J '^ 3.75 ft 8.5 ft 3.75 ft
O y� FIBER-,: 5
w Q s PPORr BAFFLE l T YPJ 500 GALLON DRYWELL
b r n c h STONE BASE DIMENSIONS & DETAIL INSTALL ONE INSPECTION
RISER TO WITHIN THREE
SEPARATION BETWEEN INLET & OUTLET USE INCHES OF FINAL GRADE
TEES NO LESS THAN LIQUID DEPTH H-10 & INDICATE LOCATION
CROSS SECTION VIEW UNIT ON AS-BUILT
INSTALL INFILTRATOR SYSTEMS 24 in oYQO n3
DIAMETER TW-RISER ON INLET & OUTLET 0,0
ENDS PER MANUFACTURERS SPECS.
D 9��
5
-INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE 102 in
N STARTING WORK. INSTALLER MAY SUBSTITUTE AN APPROVED GEOTEXTILE
-ALL COMPONENTS INSTALLED SHALL MEET THE .MINIMUM FABRIC IN PLACE OF THE 2 in. PEASTONE LAYER SPECIFIED.
@ REQUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC
CODE (310 CMR 15).
INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND CROSS SECTION VIEW
UTILITIES BEFORE EXCAVATING FOR SYSTEM. 2 in PEASTONE 2 in PEASTONE
-ECO-TECH RAPID RESPONSE RECOMMENDS THE INSTALLATION
OF LOW FLOW FIXTURES & APPLIANCES. AND PERIODIC
PUMPING OF THE SEPTIC TANK. EF (n
28 3/4 In TO EFFECTIVE 3/4 In T [26
SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. in I-i/2 !n GRAVEL DEPTH 1-1/2 In GRAVEL n
DO NOT PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM.
43 in 58 In 43 in
144 in
Lid 00 uW p 0 F 0 L C
TOP OF FOUNDATION RAISE COVERS TO WITHIN ALL PIPE TO BE 4 in SCH. 40 PVC
EL = 34.26 +— 6 in OF FINAL GRADE VAND TO PITCH AT 1/8 In/ft MIN
32.0
D-BO 3
USE H-20 MAX
PROPOSED SED 29.25
t� EXIS1500 00 (GALLOO ° PRECAST °
o°a oo°°s
°0°O00000 DRYWELL 000 SEPTIC TANK 29.2s in 28.60 '
EFER TO DETAIL BOX STONE SOL ABSORPMN
28.77 BASE 28.50 SY�TEM O REFER TO
23 ft 6 /n STNE BASE 11 ft 5 ft DETAIL' BOX
26.50 NO GROUNDWATER V LO BELOW
MOTTLING OBSERVED _ 21.33
SEWAGE DISPOSAL SYSTEM PLAN 57 SUFFOLK AVENUE HYANNIS, MA NOVEMBER 30, 2052051FETE-4493 PG 2/2
VARIANCE REQUESTED
UTaL E A DEED RESTRICTION
LIMITING THE DWELLING'S
MAY BE GRANTED IMMEDIATELY BY HEALTH AGENT OR HEALTH INSPECTOR. BEDROOM CAPACITY TO TWO
SHALL BE RECORDED AT
j WATER LINE —� 310 CMR 15:21111) " SOIL ABSORPTION THE BARNSTABLE COUNTY
1 OVERHEAD WIRE SYSTEM TO FOUNDATION. 20 ft MIN REGISTRY OF DEEDS.
UTILITY DRAIN® REOUIRED — VARIANCE TO 15 ft
j POLE SEPARATION REQUESTED. ,
I
• GARB
1 • • G R
OT
• OWED
•
35 35
Al O .
Et
34
PROPOSEOIL
33 o°r n
CINMAn4 ` 1�
ABSORPTION
S 1YS-TEM IS in -SEE DET IL
OAK ON SAC 0=�
f�
E32 2 34 `
I {t ccb1
t 13 �O
\ ft ! � .,
I
33
`'ta
DH
O\ ON
0
T
S �F MINIMAL
o EX1 N10U GRADING
!` Y 24 in co Pl PROPOSED
OAK 0
0' Y LOT 3
•` AREA. = 11000 sf+— p NL Q
\ LAND COURT PLAN 14034—D .0 Et
ASSR MAP 291 Pa 124 °° SCALE: I 1n = 20 ft
O 20 40
10.
O 10 20
H \ PRINT ON •8-1/2 x 14 in
,ALE oISLN PAPER FOR PROPER SCALE
ELEVATION
T 34.26 LEGEND
P O SEPTIC COMPONENTS
OF FOUNDPj�p
1500 ��A DAVID OF S s9�yGFP�jN OF MASS9�yG
GAL D
a .0 o DAVID
SEPTIC D. r,
TANK COUGHANOWR N COUGHANOVVR N
THIS IS A No. 1093 No. 461
'COLOR O O EXISTING
B"Q LEACH PIT/ �FG►SiER gpPROVE�
PLAN CESSPOOL Sq 0/f EVAL �/
USE COLOR PLAN ONLY
FOR INSTALLATION DISTRIBUTION BOX® `
FULL DETAIL IS BEST
VIEWED IN TEST PIT
FULL COLOR REVISED: DECEMBER 20. 2020
THIS PLAN IS INTENDED SOLELY FOR INSTALLATION OF THE SEPTIC SYSTEM
DEPICTED ON IT. FOR ANY OTHER CHANGES TO THE PROPERTY INCLUDING
1 PLACEMENT OF ADDITIONS. SHEDS, FENCES OR SWIMMING POOLS. OWNER
EXISTING CESSPOOLS SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR.
hpr TO BE PUMPED, SEWAGE DISPOSAL
One ?r, o
c4PQQ 0f, r COLLAPSED & FILLED. '%J \ ` SYSTEM PLAN
S kr#�y �Pvewe ``Q0 -TO SERVE EXISTING DWELLING
A tif�. a :_ �• �q JANICE A.
E K L U N D
Ayefue� .o A ¢30 • • 'i
�•� OWNER(S) OF RECORD
57 SUFFOLK AVENUE
ex c 'PNdP
e. a �s� I _ _,.
Or,� HYANNIS. MA
155 Geo Ryder Rd S PROPERTY ADDRESS
• , i'°� - Chothom, MA 02633
_ o HrANNIs�_ A' DATE: NOVEMBER 30, .2020'
L O C U S M 508� 364 t 0894 Pc.l/2 _jDe# ETE-4493 A co