HomeMy WebLinkAbout0050 WOLLEY ROAD - Health 50 Wolley Road
Hyannis
A= 270-166
i
�I
TOWN OF BARNSTABLE
LOCATION JC0 Wnt 1014 r SEWAGE L-1
VILLAGE -s &I S ASSESSOR'S MAP&PARCEL a70-/C C
INSTALLER'S NAME&PHONE NO.a�as)r -J)LoW--,9 1 nl c-
SEPTIC TANK CAPACITY I S®C7 Nrc,J'
LEACHING FACILITY:(type) 'Z-SO(7 CVwb (size) J a .93 x gs_�( z
NO.OF BEDROOMS 3
OWNER C InC,C peCc, I /J
PERMIT DATE: oq -A 5- /t-1 COMPLIANCE DATE: g - a
Separation Distance Between the:
` Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
I 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� — d ° �
Dr
fi
o
No. " 5 Fee
THE COMMONWEALTH OF RI .SSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ftplitation for disposal 6pstem Construction permit
Application for a Permit to Construct( ) Repair(i,1111'upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.5_0 WtAi e y Owner's Name,Address,and Tel.No.
tiay�►'N's ! 6"bP<1� r�v
Assessor's Map/Parcel — C,
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
5 AZ(ao,3 k-+-jc Sm-q00"-If S`1 Z,V.�lN e-r t'otij &C-645 Fbg--177-1_313
Type of Building:
Dwelling No.of Bedrooms 'j Lot Size 6 f0`A sq.ft. Garbage Grinder( )
Other Type of Building �nQUS l No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) -3 30 gpd-. Design flow provided 33 1, gpd
Plan Date 2) ; / I t/ Number of sheets 2 Revision Date
Title i
Size of Septic Tank (''jp�, Type of S.A.S. SC�O G,Qj10rJ CI,C^60(5
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) . ivy J-c..91 !y13 1) CCM
1 -5-oc) e,C l[ory 71
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 bythis Board of Health.
". Signed Date s� a
Application Approved by - Date ' L_ S Y
l Application Disapproved by Date
t for the following reasons 1
{
Permit No. U �l d 5 Date Issued
FeeNo.) 7: ()5�5 - - i
Entered in computer.
THE;COMIIIIONWEALTH OF MASSACHUSETTS
r .x 5�" 1 Yes
- PUBLIC HEALTWDIVISION -TOWN OF B'ARNSTABLE, MASSACHUSETTS'
1plitation for Di$t1o8al ' pstim 66"i`s.trUttion permit{�~
-x a
I''Application`0 a Permit to Construct( ) tRepair(I4U g-rade( ) •Abandon( ), ❑Complete System ❑Individual Components
Location Address or Lot No.So I y � Owner's Name,Address,and Tel.No.
�yyNtS ! �Gii `(�1�Y�G iev a
Assessor's Map/Prcel I
" Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
������
5 k.
Type/of Building: 4
Dwelling No.of Bedrooms `� Lot Size n,` L q.ft. Garbage Grinder( )
Other Type of Building �A C)US r No.of Persons t Showers( ) Cafeteria(; )
Other Fixtures
Design Flow(min.required) '3 2)C:) gpd Design flow provided gpd
Yt Plan Date 2 it Number of sheets Revision Date _
:-
Title l
S 4ti
a.. Size of Septic Tank
Description of Soil Type of S.A.S. SrX e,G�IC�n1 c��r.-,,
f
Nature of Repairs or Alterations(Answer.when applicable) c 4C. ). 1 . r-,rytV1 r <�-YQVIC
! t r lom ;r a1 � �, 1 sr ,( t om�s �nl� - - �-
Date last inspected:
tAq ks•..
e, } '.
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system n_
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 )-— a S —t/,y
h Application Approved by 1 7.. 1lr_�. - Date 2`• 5 —/
Application Disapproved by Date .
F
14
for the following reasons '" t
Permit No. d 0 (�' d rj Date Issued
s
• wi-s-
F
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS °"`' '
Certificate of Compliance
THIS IS TO.CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( /i<"*'Upgraded(
Abandoned( )by
at has been constructed in accordance
With the provisions ofTi le 5 and the for Disposal System Construction Permit No,7otc —o 53 dated 5—�`'►
' Installer n� 1 S 04 4 yr Designer ® i J
^— bedroom- Approveddes flow rgn gpd
1 ... d 7 d �.-•• ���t - 1
The issuance of this permit shall not/be�•o/nstrue as aguarantee that the syste�w.'.lY fu.coonjays.designed. i'• ,�f � "�l
Dater z-k -` Ins ector
t p
y, J ,
1 ----- --- ..-.. -----------.--__-.-.-.--.-_------__.-------------.---.--.-_-__-__.--._--_----._ __-_ - _______________________
J�) L�— 0 5 - _ \Fee /ty
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
MispoBal 6pstrT Construction Permit
Permission is hereby granted to Construct( ) Repair( Vpgrade( ) Abandon
System located at C7 / A'Pv V
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.�—� +
All ,Date — -- GI Approved by „ „ X -1
Town of Barnstable
yp�Or?THE 7 Regulatory Services
Richard V. Scali, Interim Director
9B"R �`�'� Public Health Division
59. 14, Thomas McKean, Director
200 Main Street,Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer & Desieaer Certification Form
Date: y`2 ' q Sewage Permit# Assessor's MaplParcel 2-7 O !1 (e 6
��a.he✓-mac.g�.f-ee Y�r' 1?v�vi,�, �n c
Designer: ��g„gc uns .(.i�(� Installer; A
Address: 12 W. Cr-dsriQ-a)a fZ 1 Address: R 0 ` ��` 1� -5 nq
c d--dq,L.a FK* C�` 2 Ca y y
Ce�n{-�,.ry V��
On ` c) ��` ' '� �'`�- was issued a permit to install a
(date) (installer)
septic system at SO 14 quint S based on a design drawn by
(addre )
dated
(designer)
_mac 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,
greattir 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 compliaw h the terms of
the IAA approval letters (if applicable) not.PETER T
WENTEC
Io1l.
(Insta �eilsgnature) CIVIL
(Designer's Signature) �Ex Designer's
PLEASE RETURN TO BARNSTABLE PUBLIC �'I'I�L ��T�SHIS FORM AND AS
OF COMPLIANCE STILL NOT BE ISSUED J
BUILT CARD ARE RECEIVED BY THE BARNSTABL TH DIVISION.
THANK YOU.
QASeptic0esigner Certification Form Rev 8-14-13.doc
Town of Barnstable P#
Department of Regulatory Services
�,►�t ►B l Public Health Division Hate l
tt,u A
200 Main street,Hyannis MA 02601
bate:Scheduled Time Fee Pd. `a
Soil Suitability Assessment for SeWAge Dispoigalr^� A
f�
Performed By: ��I tf �c-&0_4e fs-V Z, Witnessed By: 'All f�l
f K7
LOCATION & GENERAL INFORMATION
Location Address (,t ddey )4d Owner's Name C Aq mlw
.50 rvo!k
my Qn n• s Address r � �
f�yQnq�f r
Assessor's Map/Parcel: '_Z 70 - 14 s? Engineer's Name fGl!/ r���_ -Ys
NEW CONSTRUCTION REPAIR, Telephone# _15�11ff 73 Y?6
Land Use t`{��C ►vl-r"oJ� Slopes(3'0) I A_ Surface Stones e4(3
Distances from: Open Water Body add ft Possible Wet Area �1�ft Drinking Wat Well Z�ft
Drainage Way —ft Property Line ��ft .Other` ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands fn proximity to holes)
2�t
Parent material(geologic) Depth to Bedrock
Depth to Groundwater. Standing Water in Hole: IVA nA Weeping from Pit Face �cttiC
Estimated Seasonal High Groundwater 1 zo
I'►
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: __ _—In, Depth to still mottles: In.
Depth to weeping from side of obs.hole: in. Groundwater Adjustment A.
Index.Weil.# Reading Date: Index Well level Adj,factor— Adj.'Oroutidwater Level,.,,e,
PERCOLATION TEST. . Datt:,,e.�._,_, Time,.��._
Observation ry
Hole# I Time at Y"
Depth of-Pere yd�SrL Zy .5 eq V4h) Time at 6'
Start Pre-soak Time® AtA 'time(911"601) ---
End Pre-soak
Rate Min:/Inch.
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back-----------
***If 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:ISEPTIC\PERCFORM.DOC
DEEP.OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture .Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Stnicture;:Stones;Boulders.
Co i to c . gravel)
(2
DEEP OBSERVATION HOLE LOG Hole# Z,
�- Depth from Soil Horizon Soil Texture Soil Color Soil'. Other
r Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Con sIstency. ra
-7 2 j -
Z�12) C— S 2Ste'
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Consistency,%Qravel)
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA)`" F '(Munsell) Mottling (Structure,,Stones;Boulders.
Consistency,WOMyel)
Flood Insurance Rate Mae:
Above 500-yeaf flood'boundary No_ Yes.4-
Withia`500^yearboundary No Yes
Within 100 year flood boundary No 4 Yes
Death of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout.the
area proposed for the soil absorption system? ��
If not,what is the depth of.naturally occurring pervious maCetial? -
Certification � •
d
I certify that one(date)I have passe the soil evaluator examination 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 in 10 CMR 15.017.
Signature Date—��--t-- Y! l
Q-\SEpTnCVERCFORM.DOC
ACE CESSPOOL SERVICE, INC.
P.O. Box 534 .�f✓
Centerville, MA 02(32
(508) 775-1056 �J`�l ell
.. (508) 362-3400 �-e
(SOLD BY Jj
NAME fo
ADDRESSGV_ 0
CITY
QTY. DESCRIPTION AMOUNT
Ikly�� Lei
aw
yv
I ;v
� � 3
1
I
I S
RECEIVED BY ',
TOTAL
�� THANK YOU
-—99 ——EXISTING CONTOUR, NRd
N
x 100.98 EXISTING SPOT GRADE
W EXISTING WATER SERVICE
G EXISTING GAS SERVICE
U UNDERGROUND WIRES
PO i51 --O H.W—OVERHEAD WIRESOCUS g
Pg 226� TEST PITPine Rd n
BENCHMARK m
LEGEND e d le
in Rd0O�i E 13'24 0099.64 99,84 EXISTING ESSPOOLMAIN STREET
fence $1•00' APPROX.-'T(J BE REMOVED
99.80 LOCUS MAP
b00,02 TP-1 f SEPOCOTATaK' 99,68 i NOT TO SCALE
11' 25 x
TP 99,83 GENERAL NOTES:
�....
1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL
9198 �`rT BOARD OF HEALTH AND THE DESIGN ENGINEER.
N.
PROPOSED SEPTIC TANK 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
00,00 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE
LOCAL RULES AND REGULATIONS.
EXISTING CESSPOOL 100.20 �• -_� - N 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR
APPROX.-TO BE REMOI/ED ' PATIO J, t TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE
SEE NOTE 11 w a; � DESIGN ENGINEER.
10 �0 W 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
BENCHMARK 1 991.97 DECK EXIST SE4 E G0 � o FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN
OUTSIDE CORNER 3 x 1. ';' g' ENGINEER BEFORE CONSTRUCTION CONTINUES,
OF BOTTOM STEP p 08 / m 5. ALL ELEVATIONS BASED ON ASSUMED DATUM.
EL.=101,16 o EXISTING 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
USE(#5 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
HO 0)
T.O.F.=102. 1 ) Z HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION,
r s 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.
4D .. 100,52 \ 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S.
\ 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS
o ;::• °: 100.45 \ �- AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE
DIRECTED BY THE APPROVING AUTHORITIES.
WALK LOT 18 \ 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY
MBL 270-� 66 y THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
SOSF CONSTRUCTION.
x "tt..rf
10 -� 100,19 \ 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
kk IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND
I 81.009 - M' REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3).
S 13��4'00'' \ 12 INSPECTED ED REQUIRING
I DESIGN ENGINEERTFUNSUITABLE
BACKER MATERIALS SHALL BE
\ 99.76\
x :.t.r '.. ;:.. avement
100.04,J edge of P (' \ 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND
99.97 O D Tl ` NOT CONSIDERED TO BE A PROPERTY LINE SURVEY.
99.94 T Y R, 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC
WOT L 1 OF 4q S X SYSTEM COMPONENTS NOT SHOWN ON THE PLAN
1J i' `� q�ya
MT R T. PROPOSED SEPTIC SYSTEM UPGRADE PLAN
in
E. CIVIL N 50 WOLLEY ROAD, HYANNIS, MA
No. 35109 Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632
rt o REGISl -R�� c��C� Engineering by: SCALE DRAWN JOB. NO.
OWNR OF RECORD F tJG
CHAMBERALIN, SANDIMAN & SHEILA Engineering Works, Inc. 1"=20' P.T.M. 103-14
50 WOLLEY ROAD 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO.
HYANNIS, MA 02601 (508) 477-5313 2/3/14 P.T.M. 1 Of 2
I \
' NOTE: TO PREVENT BREAKOUT, FINAL GRADE
SEPTIC TANK SHALL NOT BE AT, OR BELOW, E'=97.50
INSTALL RISERS & COVERS OVER INLET & FOR A DISTANCE OF 15' FROM THE EDGE
OUTLET AND SET TO 6" OF FINISH GRADE PROPOSED D-BOX OF THE PROPOSED S.A.S.
INSTALL RISER & COVER PROPOSED S.A.S. r —_250_
SET TO 6" OF GRADE INSTALL RISER & COVER OVER EACH CHAMBER AND 101
T.O.F=102.1f SET TO 3" OF F.G. TCI SERVE AS INSPECTION PORT �i 1 PROP. S.A.S. j 65�,
F.G. EL.=100.2t F.G. EL=100.1 t ` F.G. EL.=100.Of F.G. EL.=100.0t 1 _—__
MANTAIN 2% SLOPE OVER S.A.S.
'!inn ]74-tC.H
L = 14' f ' L = 8' 90® S=1% (MIN.) ® S=1% (MIN.) %5(MIN.)4"SCH40 PVC .•• 4"SCH40 PVC 40 PVC 2" LAYER OF 1/8" TO 1/2" `S9 6" I DOUBLE WASHED STONE `S�t0"1 14" aaa13aaa (Oaaa®aaaINV.=98.25 48" LIQUID aaaaaaa --3/4" TO 1-1/2" DOUBLE DECK
LEVEL ADD PROPOSE5.2' 4' WASHED STONEINV.=97.67 _ . 7.50
GAS BAFFLE EXIST. SEWER
INV.=98.00 �� EFFECTIVE WIDTH = 12.8' lNV.=99.4f�
3 OUTLETS INV.=97.00 ; EXISTING��
PROPOSED SEPTIC TANK i 2-500 GALLON LEACHING CHAMBERS
SURROUNDED WITH STONE'AS SHOWN HOUSE(#50)
CONNECT TO EXISTING SUITABLE SEWER PIPE/S T.O.F.=102. 1t
AT HOUSE, AT OR ABOVE, INV.=99.4t(verify) H-10 RATED
TOP CONC. ELEV.=97. �' SEPTIC LAYOUT
NOTES: BREAKOUT ELEV.=97.50 50 ease
INV. ELEV.=97.00 aaa®®
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & 66aaa6
INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. aaaaaa
BOTTOM ELEV.=95.00
2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND ot
5' _ 17.0' 4'
TRUE TO GRADE ON A MECHANICALLY COMPACTED 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0'
SIX INCH CRUSHED STONE BASE, AS SPECIFIED PERVIOUS MATERIAL
IN 310 CMR 15,221(2). 5 (MIN.) ABOVE G.W. f 0
—
3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM OF TEST PIT, EL.=89.8 LEACHING SYSTEM SECTION
4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 1 f- ®®®®®® ® ®®®® 33"
AS MANUFACTURED BY TUF-TITS, ZABEL OR EQUAL. $ � W ®
r4 N Z ®LT®®®® ® ®®®®
4
SEPTIC SYSTEM PROFILE
102"
DESIGN CRITERIA SOIL LOG
4" KNOCKOUT
NUMBER OF BEDROOMS: 3 BEDROOMS DATE: JANUARY 24, 2014 (REF#14,268) 20" DIA. COVER
SOIL EVALUATOR: PETER McENTEE PE(SE#1542)
SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) WITNESS: DONNA MIORANDI R.S. HEALTH AGENT
11
DESIGN PERCOLATION RATE: <2 MIN/IN ELEV. TP-1 DEPTH ELEV. TP-2 DEPTH 4" KNOCKOUT 4" KNOCKOUT 58"
DAILY FLOW: 330 GPD 99.8 A 0" 994 A 0"
0
DESIGN FLOW: 330 GPD LOAMY SAND LOAMY SAND
10YR 4/2 10YR 4/2 4" KNOCKOUT
GARBAGE GRINDER: NO-not allowed with design 99•3 B 6" 99•3 B 7"
LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF LOAMY SAND (I LOAMY SAND
% 74 GPD/SF 97.8 10YR 5/6 24" 97& 10YR 5/6 25 500 GALLON CAPACITY, H-10 LOADING
PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY C F CHAMBERS
PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED MED. SAND MED. SAND N.T.S.
2.5Y 6/6 2.5Y 6/6
USE 2-500 GALLON LEACHING CHAMBERS IN SERIES 4oi52" 'i PROPOSED SEPTIC SYSTEM UPGRADE PLAN
SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES
SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151 .2 S.F. j 50 WOLLEY ROAD, HYANNIS, MA
MINUS AREA AGAISNT TANK; 6' X 2' _ -12.0 S.F. Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632
BOTTOM AREA: 12.8' x 25.0' 320.0 S.F.
Engineering by: SCALE DRAWN JOB. N0.
TOTAL AREA:.............................................................. 459.2 S.F. 89.8 120' 89.9� 120' N.T.S. P.T.M. 103-14
PERC RATE <2 MIN/IN.I, "C" HORIZON Engineering Works, Inc.
DESIGN FLOW PROVIDED: 0.74 GPD/SF(459.2 SF) = 339.8 GPD NO GROUNDWATER ENCOUNTERED 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO.
(508) 477-5313 2/3/14 P.T.M. 2 Of 2