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HomeMy WebLinkAbout0048 WOODLAND AVENUE - Health 48 WOODLAND AVENUE Hyannis .A = 269 `— 068 3 S i e I Town of Barnstable P# Department of Regulatory Services i Public Health Division Date Jr / MASS. r6�q 200 Main Street,Hyannis MA 02601 Date Scheduled Time Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed-By: D a v Y Witnessed By: LOCATION&.GENERAL INFORMA ION Location Address ,6 (� Owner's Name . _� inl gad �-�d ��e Ynvi Lo 7- 7 C7 n ti , Address W�� �q V Ayi Assessor's Map/Parcel: ` Engineer's Name Y� �l c� (/9'{)aj h t NEW CONS TRUCTION ( REPAIR Telephone it Land Use- I I C(Q w n Slopes(96) y Surface Stones 41 y► Q , Distances from: Open Water BodyC`0© � ft Possible Wet Area : � ft Drinking Water Well l o—o Lft Drnihage Way JQ ft Property Line [t9 `� ft Other {t SKETCH:(Street name,dimensions of lot,exact locations of test holes&Pero tests,locate wetlands-In proximity to holes) TP-1 rp-Z [ci•n6i AIVe.in�Q Parent material(geologic)_A r�-i ct I OV"rWq S� Depth to Bedrook 0.. k ` Depth to Oroundwater. Standing Water 1n `Hole: 4,9 n e Weeping 1Yom Pit Rnaa 1 Estimated Seasonal High Groundwater DETER ATION FOR SEAS ONALTIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: In. Depth to loll mottles: In.' Death to weeping from side of obs.hole: __ In, Groundwater Adjustment R. Index Well-Y Roading Data: Index Well Idvel AdJ41actor, : Adj.droundwatdr••Levol,, _ PERCOLATION TEST Dute 10 S xtn,m,IL ►�'► Observation '1 � Hole# Time at 9" Depth of Pero 0 t h Time at 6" h/17 f Start Pro-soak Time @ yr'��j,J Tima(9"-6") End Pro-soak I J V y f-1 i Rate Min./Inch , L h) Site Suitability Assessment: Slid Passel!fir_ Sltp Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole,Data To Be Completed on Back----------- a ***If percolation test is to be conducted within 100' of wetland,you must first notify the - ' •Barnstable Conservation Division at least one (i) week prior to beginning. ,Q:ISEPTiC1PERCFORM.DOC I DEEP-OBSERVATION HOLE LOG Hole# I Depth from Soil Horizon Soil Texture Sdil Color Soil• Other Surfaca(in.) (USDA) (Munsell) Mottling (Stnucture,Stonct,Boulders. t Consistency.%f aravall 0--i o R Lets h �� P-3/? lV 9ge' 10 ­30 Lo-)art y �gjvi4 i®`v�P_ S t;. q l ------------- DEEP OBSERVATION HOLE LOG Hole# _ Depth from Boll Horizon Soil Texture Soil Color Soil Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. sl ene1) 4 to p ` ff,f L.Vejmv pia . I �f 14 b IP 3 0 - 132T MeA 10 t I? & DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Slonaa,Boulders.. Consistency, DEEP OBSERVATION HOLE LOG Hole# Depth from Boll Horizon Boll Texture Sall Color Sall Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Slopes;Boulders, a Flood Insurance Rate Map: / Above 500 year Mood boundary No— Yes ✓__ Within 500 year boundary.. No Yes _ Within 100 year flood boundary No. Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed thrpughout the area proposed for the soil absorption system? A If not,What is the depth of naturally occurring pervious material) Certification I certify that on 0V ' �•� (date)I havepassed the soil Evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required ainin exportis and ex erience described in 10 CMR 15.017. OFM�SS9 kr (Dr— Datb�I� �� DAVID• Signature " D. CO GHA WR (n cS'0 r�t+C`E'[N S. Q Q:XgBPTiC\PBRCPORM.DOC �� EVAI 3 . TOWN OF BARNSTABLE LOCATION kyg, SEWAGE# LI VILLAGE 6 ASSESSOR'S MAP&LPARCEL 1�5 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) /2)s /x z y NO.OF BEDROOMS OWNER ti/nit -��Z PERMIT DATE: 1 I COMPLIANCE DATE: Separation Distance Between the: eAMaximum 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 206 feet of leaching facility) _Feet Edge of Wetland and Leaching Facility(If any wetlands exist within / 300 feet of leaching facility) ✓o Feet FURNISHED BY � 1 _ c f A No. d Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for disposal &pstem Construction Permit Application for a Permit to Construct( ) Repair(vUpgrade( ) Abandon( ) [Complete System gjA idual Components Location Address or Lot No. C,)0 O �c r, j-t Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's N e,Ad r ss,and Tel.No. ,� 1 Designer's Name,Address,and Tel.No. g C® )t C.c.'s., CVn Ct,3 6`d yr-ro.,o�1'v� ��cJ 4�5 �s�0 R. a%_ � GZn� G„✓r� �"lC• calc, 1 (>` Pu ®Q(off V Type of Building: 36 L4 Dwelling _ No.of Bedrooms Lot Size 0e sq.ft. Garbage Grinder(N o Other . Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ® gpd Design flow provided gpd Plan Date_ ` (� Number of sheets l Revision Date Title / Size of Septic Tank 1.��b Cave. _ Type of S.A.S. )Aa6 Description of Soil Nature of Repairs or Alterations(Answer when applicable) SC\ 0 G► 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 Boar Health. Signed Date/ e Application Approved by Date — —/ ' Application Disapproved by t Date for the following reasons Permit No. r Date Issued v " . �.tw-? ,y• .. se..�..tii� vJ'�.XJ•J'r4, d.. ..n•,�+v4... .. .� t -� �...' _ � 'yn•F ! Fee � LOP THE COMMONWEALTH OF MASSACHUSETTS Entered in compute: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplication for Disp6sal *pstent Construction Permit 4:� If �r, Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) VComplete System i��idual Components Location Address or Lot No. y (�C3O Gt-, si-t Owner's Name,Address,and Tel.No. Assessor's Map/Parcel a ko \A7A"M!'S � n� UA-Z Installer's Name,Ad ress,and Tel.No. Designer's Name,Address,and Tel.No. co CCU St-�ottr t 3 Occ! �-t �sr Coca 2 �+� �� Car..,✓s• t"l �c. t rA y t o l f� r'11� ®®��1 Y Type of Building: 3 )r 'J(--t4 O 9 Dwelling No.of Bedrooms Lot Size �. _sq.ft. Garbage Grinder( Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 0 gpd Design flow provided Zn,6(t gpd ,. Plan Date ( Number of sheets Revision Date Title Size of Septic Tank 1-TO(j Type of S.A.S. )AC IC "jR ,,x z.m o OY- Description of Soil ' 6-_-S /1 7 LA S�r.c)J Nature of Repairs or Alterations(Answer when applicable) GL roc V k 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 Boar 125 Health. Signed n Date Application Approved by -�-~-�--I' �). E } Date Application Disapproved by Date for the following reasons Permit No. !11 Date Issued 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 c. NNE e-4 lr. --- at c,A J A,.,.4 has been constructed in accordapce with the provisions of Title 5 and the for Disposal System Construction Permit No. o dated f Installer Srb(�\ rr�,.r�LL. Designer • G ly G ye, n n #bedrooms Approved design flow L'7 gpd The issuance of this permit shall Aot be construe as a guarantee that the system w`rfuncti n�dessii'""'e-V ,/� Date f f ) Inspector ( �( - -- r--- - ` .-- ------------ -- --------.--- ----- -----•----- -------------------------------------------- No. Fee r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS MispoSal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair(�/� Upgrade( ) Abandon( ) System located at LT CFsJ .,� r-t%L) /Wei-q �A�..�. t C 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. r i Provided:Constructii n must be c mpleted within three years of the date of this permit,. <—' F� Date I ( tS Approved by w Town of Barnstable Regulatory Services Richard V. Scali, Interim Director '+ RAMSTADIZ MASS. Public Health Division Arf1639. Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4(A4 Fax: 508-790-6304 } Installer& Designer Certification Form Date: r t3 11 Sewage PernflWA �-.1 Assessor's Map\Parcel 269/68 I)esignei: David D. Coughanowr RS Installer: SC.��1 C- CA A(k F, Address: 155 George Ryder Rd,South Address: Chatham, MA 02633 Un 1 O '— Ory�,Ni/L' was issued a permit to install a (date) (installer) septic system at 48 Woodland Avenue based on a design drawn by (address) 4 David D. Coughanowr dated November 7. 2018 (designer) X 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 regttired) was inspected and the soils were; found satisfactory. i certify that the system referenced above was constructed in compliance with the terms of the RA approval letters (if applicable) S DAVID �f y, a DAVID q 0. D. (Installer's lgnature) COUGHAKIO 5VR ' COUGHANOWR ` No. 1093 (Designer's Signature) -',. "�ncr's Sta r 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. 0:\Septic\Designer Certification Form Rcv 8-14-13.doe i �� TO( 0NFC) AT p �0 ECO�TECH � 6S v / 42.3 x SPOT PROPOSED SOIL / ELEVATION (TYP) ABSORPTION ��� �� SYSTEM AREA = 0.24 oc+- DEED BOOK 19917 PAGE 138 -SEE DETAIL ON BACK ASSR MAP 269 PCL 68 42. 9x EXISTING CESSPOOLS TO / . BE PUMPED, COLLAPSED / z ® / AND FILLED. / x42.8 p p_—__pp_. SHED V T§L�§T§ES 42.8 x - --- THIS IS A WATER LINE CO OO GAS LINE -�`G�-- lvJ PLAN OVERHEAD WIRE-(a— / �— / / USE COLOR PLAN ONLY 42.5x / FOR INSTALLATION FULL DETAIL IS BEST • VIEWED IN FULL COLOR e e� e r •e r' E. o• j / 42.4x 42.5x F PONENTS G \ EXISTING LEACH IPIT/ D� • CESSPOOL O�O DISTRIBUTION BOX 03 TEST PIT O moo. �0 q� G � / o O�PPNSSABLE GIS pgTU ELEVATION / 43. 48 / TOP OF FOUND Fp\ � GARB Pq v O AN RL OO \ OWED Q .� SCALE: l in = 20 ft Q 0 20 40 �O O 10_ � O 20 PRINT ON 8-112 x 14 in PAPER FOR PROPER SCALE THIS PLAN IS INTENDED SOLELY FOR INSTALLATION OF THE SEPTIC SYSTEM DEPICTED ON IT. FOR ANY OTHER CHANGES TO THE PROPERTY INCLUDING PLACEMENT OF ADDITIONS. SHEDS. FENCES OR SWIMMING POIOLS, OWNER SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. i o NOT �tN oFMA4 `tN ut c o�rF� SEWAGE DISPOSAL J 2 SCALE o� DAVID 9CyG �P DAVID s9�tia �� SYSTEM PLAN ¢ co D. D -TO SERVE EXISTING WELLING 2 �+ COUGHANOWR H L Y N N COUGHANOWR <n 00 o rn No. 1093 No. 461 LUTZ ? 2 Q W �+ � Q `p •• Cj� OWNER(S)OF RECORD o D SA P s°�qFv RESPG 8 WOODLAND AVENUE 3 ° HYANNIS MA 155 Geo Ryder Rd s . y PROPERTY ADDRESS HYANNIS. MA Chotham, MA 02633 DaJidcou@HotmoiLcom JDATE. NOVEMBER 7. 2018 rL U S M P O C A 508 364-0894 PG. 1/2 JOB, ETE-4347 l SS U Lh TEST LOG PERC# 842MBER 5, 2018 DROWN (CALCULATIONS SOIL EVALUATOR: DAVID D. COUGHANOWR, ASE *461 DESIGN FLOW: 2 BEDROOMS X 110 GPD = 221) GPD WITNESSED BY: DONALD DESMARAIS HEALTH DEPT. SEPTIC TANK: 220 GPD X 2 DAYS = 440 GALL DNS TEST PIT 1 NO GROUNDWATER ENCOUNTERED INSTALL NEW 1500 GALLON SEPTIC TANK. PERC AT 50 in - 2 MIN/INCH IN C SOILS ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER ) DISTRIBUTION BOX: INSTALL UNIT DEPICTED BELOW. INCHES HORIZON TEXTURE (MUNSELL) MOTTLES SOIL ABSORBTION SYSTEM: 42.75 0-10 Ap LOAMY SAND 10 YR 3/2 NONE FRIABLE 'C-HE LONG TERM ACCEPTANCE RATE FORA CLASS ONE 40.25. 10-30 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE SOIL WITH A PERCOLATION RATE BELOW 5 MINUTES 31.75 30-132 C MEDIUM SAND 10 YR 5/4 ' NONE LOOSE PER INCH = 0.74 GALLONS PER DAY PER SQUARE FOOT. THE 24 ft x 12.5 ft x 2 ft LEACHING GALLERY TEST PIT 2 NO GROUNDWATER ENCOUNTERED 'DEPICTED BELOW CAN LEACH: 2 MIN/INCH IN C SOILS ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER BOTTOM AREA = (24 x 12.5) = 300 sq. ft. INCHES HORIZON TEXTURE (MUNSELL) MOTTLES SIDEWALL AREA = (24+24+12.5+12.5)x2 =146 sq. .ft. 42.85 0-10 Ap LOAMY SAND 10 YR 3/2 NONE FRIABLE TOTAL AREA = 446 sq. ft. 40.35 10-30 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE FLOW CAPACITY = 0.74 x 446 = 330.04 gal/day 30-132 C MEDIUM SAND 10 YR 5l4 NONE LOOSE 31.85: INSTALL A 24 ft x 12.5 ft x 2 ft GALLERY AS CONFIGURED BELOW. FLOW CAPACITY = 330.04 galldog WHICH EXCEEDS THE 220 gal/day REQUIRED FOR A TWO BEDROOM DESIGN. 16- 00 GALLON SEE 4C TANK DIMENSIONS & DETAIL SO§L Qa mSOT§ON O O USE SHOREY ST-1500-H-10 IS YS T E 1M CONSTRUCTION DETAIL 1 in NOT USE SHOREY PRECAST 500 GALLON, LEACHING DRYWELL TAPER TO DRYWELL 24.0 ft UNIT SCALE �- 5 ft— — ® LO ' LO n C 8 in Lr) nj STONE 3.5 ft 8.5 ft 8.5 ft 3.5 ft Ip ft-6 !� 5 1500 GALLON DRYWELL DIMENSIONS & DETAIL INSTALL ONE INSPECTION INLET OUTLET RISER TO WITHIN THREE COVER COVER USE INCHES OF FINAL I GRADE H-10 & INDICATE LOCATION ON AS-BUILT 3 /N DROP UNIT I FLOW LINE Dk0 BUILDING lr�ln 14 TO ID D n3 D-BOX ODD.p 48 in ! OD{ LIQUID GAS LEVEL BAFFLE 5� 1021, b in S CROSS SECTION VIEW STONE BASE INSTALL AN APPROVED GEOTEXTILE SEPARATION BETWEEN INLET & OUTLET FABRIC OVER STONE TEES NO LESS THAN LIQUID DEPTH CROSS SECTION VIEW a 28 3/4 in TO E 24 in { 3/4 m TC p M - 1-1/2 In GRAVEL EFFIE VEey=1 1/2 in GRAVEL WSTII' B TQ�IIV BOX USE 3H020Y in DEPTH DIMENSIONS PIPES EXITING D-BOX TO RUN LEVEL AND DETAIL FOR 2 FEET BEFORE PITCHING DOWN 46 in 58 in 46 in r 150 in 12 in J -INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE C MIN N STARTING WORK. --► -ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM FROM S —� O REQUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC N TANK TO CODE (310 CMR 15). SAS -INSTALLER TO VERIFY LOCATIONS OF ALL UNDERIGROUND 0' T UTILITIES BEFORE EXCAVATING FOR SYSTEM. ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION E OF LOW FLOW FIXTURES & APPLIANCES, AND PERIODIC b�ln STONE PUMPING OF THE SEPTIC TANK. 0 21 ; 2� CROSS SECTION VIEW S -SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. \�//�\�//� o 1 O 11 v p IJ 1 O F TOP OF FOUNDATION RAISE COVERS TO WITHIN ALL PIPE TO BE 4 in SCH. 40 PVC EL 43.48 +- 6 in OF FINAL GRADE AND TO PITCH AT 1/8 in/ft MIN 43.00 D-B0 r� 3' - i USE H-20 MAX �f��T�AL�Lh 40.45 41.15 1500 00 GALLON °oo°ooa �oQoo° oa PRECAST o°a� oo SEPTIC TA�X DRYWELL 6 in 39.80 40.65 REFER TO DETAIL BOX 39.97 STONE SM ABSORpT�ON. 22 ft ern ro E ea e BASE 39.70 SYSI M -REFER TO o 41 ft - 5-12 ft "DETAIL BOX 37.70 NO GROUNDWATER BELOW MOTTLING OBSERVED _ 31.75 SEWAGE DISPOSAL SYST-EV-P—LAN1148 WOODLAND AVENUE HYANNIS MA NOVEMBER 7, 2 118 ETE-4347 PG 2/2 I