HomeMy WebLinkAbout0724 YARMOUTH ROAD - Health 724 YARMOUTH ROAD
Hyannis
A = 345 - 010 - 001
TOWN OF BARNSTABLE
LOCATION -72,-( 1/G//y OZA JZ0- SEWAGE#
VILLAGE #Xw JI C ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. �CA A- 1. b.,3& T—r
SEPTIC TANK CAPACITY I� .) H -
LEACHING FACILITY:(type) 250o-di a2QC (size)
NO.OF BEDROOMS S e-e iP`Gn►
OWNER 4 c"(t
PERMIT DATE: COMPLIANCE DATE: 10/ fly
Separation Distance Between the:
C`+F e2
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 B ,3!jCowrj
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No. I I Fee .
THE COMMONWEALTH,OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TC WN'OF BARNSTABLE, MASSACHUSETTS Yes
ftphtation for misposal 6pstem Construttion vermit
Application for a Permit to Construct( ) Repair(`<upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 7 2 y yas rn o s t ti► R Owner's Name,Address,and Tel:No.
Assessor's Map/Parcel 3q / f A__cAwc=o"d gp g e v#L`o
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
pDoobw% A 13fowtj TNc w0e-LjM_7jsq 6, -'PC' �- � Svd.sr.
Type of Building:
Dwelling No.of Bedrooms 111]R Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 13o gpd Design flow provided 3 B gpd
Plan. Date J u\� 1(3 ;L C714 Number of sheets Revision Date
Title
Size of Septic Tank I C Type of S.A.S. SC?() G�I�G.J Cti1GcM�0�°�� USX/z,$3 X 2
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) 1 "50 d q3 C.c��) 1-1 —A O
XQ 0 Ts OX C_-j c7 0 In C% 6 V,r c
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.
ed �'� Date f LJ
Application Approved by A,9Date
Application Disapprove y Date
for the following reasons
Permit No. ;7014—2 7 Date Issued
No. Z62— Fee
THE C MM NW Entered m computer:
O O EALTlOF MASSACHUSETTS Yes
PUBLIC HEALTH DIVISION - TOWN`"ROF�RNSTABLE, MASSACHUSETTS
ftplitation for Mispoisaf *pstem Constructiop 3permit
Application for a Permit to Construct( ) Repair(''51"U'pgrade( ) Abandon( n) ❑Complete System ❑Individual Components
Location Address or Lot No. 7 2 y yo or en o y on R Owner's Name,Address,and Tel.No.
[Ay&�v �S
Assessor's Map/Parcel 3q5 D/ C�1 -cJwa✓c) ROS o✓ 1,0
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
�c�•�5\u� A �tnw�J TNc SO8-'-ICCJ-7i�'� + 1
Gn?�`PP 4-Cin1CJ SJr �Jt"�
t Type of Building:
i
Dwelling No.of Bedrooms A)A Lot Size sq.ft. Garbage Grinder( )
Other Type of Building fc, 1 No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 130 gpd Design flow provided 3 y 8 gpd
Plan Date J� t(] k 0 t t•j Number of sheets Revision Date
Title
Siwof Septic Tank_ 1 C(gyp Type of S.A.S. 11 COA\4Of aSX/�.83)( 2 ✓
Description of Soil4
E Nature of Repairs or Alterations(Answer when applicable) 1 N3e J-s)) 1 SO0 C,�C,<� Gn) 1\ -a O T c�•J
i3 by C"i a,0 sC 0 'e � 1 Jn.0 c h a ti+ ��r s W �� � �-! �f y F S�o�►r-
f •
Date last inspected:
Agreement: `
i
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.
Aed �/ /' Date
Application Approved by Date VIVAliq
Application Disapprove c�by <, Date `
for the following reasons
,-1
:c
Permit No. 4 SA ? 6 7 Date Issued
------------------------------------------------------------------------------------------------------------------------------------------
-d
I, ,
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
(Certificate of Compliance
THIS IS,TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(l/- Upgraded( )
Abandoned( )by CAJ .3 T�
at 7 2 y Q r MO v 1 �� N�i�,nr N t S has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No 14- Z6Z dated L6 bw y
Installer "Dn,lJNe- 5 S�,-6 a �,�� Designer o.y IF » Sy t v rV
#bedrooms 0 // Approved design flow / / gpd
The issuance of this permits Il nojbcons rued as a guarantee that the system was
/djesignedd
Date Inspector ® (/it��C
/ u` /
1
/ I-------------------------------------------------------------------------------------------------------V.,�
Y
No. lam/ Feel
THE COMMONWEALTH OF MASSACHUSETTS
<.; PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal *pstem Construction Vermit
Permission is hereby granted to Construct( ) Repair( ✓� Upgrade( ) Abandon( )
System located at 7 2 V o,t v 4 C-4 N 1
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
I Title 5 and the following local provisions or special conditions.
Provided:Cons ction must be completed within three years of the date of this permit.
' Date d�GZO 1 Approved by
Town `of Barnstable
Regulatory Services
ti
Thomas F. Geiler,Director
BARNSTABM Public Health Division
039. e � Thomas McKean,Director
Fo nner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Date: Sewage Permit# G), Assessor's Map/Parcel
Installer & Designer Certification Form
Designer: &ht, 5vrVe4 J)&Vz 9 .J04 Installer: ouetl" GrGw_11
Address: 11 q iZouf c 141 Address: 1� 0 `vim-04 I
On (o ) _` x�s A &C�_L,%J_/oC was issued a permit to install a
da e) (installer)septic system at 72- q 1 u Ro r-J bye. ased on a design drawn by
(address)
yU h, k Svr v qvz P u vil dated 10 Zi
(designer)
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.
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. Stripout (if required) was inspected and the soils
were found satisfactory..
ZN QFMgS� -
o?� DAVID 9�y
B. G
er's Signature) g MASON
&NO.106�o �y
(Desi is Signature) (Affix D Here)
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.
gAoffice forms\designemertification formdoc
li 0I Town of Barnstable P a
Department of Regulatory Services
. Public Health Division Date
t 37 200 Main Street,H mu MA 02601, .yy�,,''��gg//►►pp
Fp Mfa� p/J�iI /
Date Scheduled Time Fee Pd._-- �� �
Soil Suitability Assessment for Se g p s l g
Performed By: Witnessed By: T/ '
LOCA{Tq/II,'((y�jN&GENERAL INFORMATIO
Adss ��
Location dre V Owner's Name
�Z y,1 Address
^I- � c
Assessor's Map/Parcel: 3 /Ulu O Engineer's Name .fit;w o
NEW CONSTRUCTION REPAIR L--- Telephone# 62 k ^�36-1'4 16
Land Use Slopes(%) Surface Stones
Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft
Drainage Way fr Property Line ft Other It
SKETCH:(Street time,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
r
r
U
a zai
r
C) r —
Parent material(geologic) Depth to Bedrock
Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face
Estimated Seasonal High Groundwater
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: in. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft.
Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level
PERCOLATION"TEST Date Time
Observation �,T
Hole# \\ Time at 9"
Depth of Perc \ 1 Time at 6'
Start Pre-soak Time @ JA, / Time(9"-6")
- 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:\SEPTIC\PERCFORM.DOC
I
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
B p Consisteri %Gravel
� 36/flk R&
W
A t q
DEEP OBSERVATION HOLE LOG Hole
Depth from Soil Horizon Soil Texture Soil Color Soil r
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel)
DEEP OBSERVATION HOLE LOG Hole.#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel)
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Sod Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,%Gravel)
Flood Insurance Rate May:
Above 500 year flood boundary No Yes
Within 500 year boundary No— Yes
Within]00 year flood boundary No Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pioWerial exist in all areas observed throughout the
area proposed for the soil absorption system?
Ifnot,what is the de h of aturally occurringous material?
Certification
I certify that on (date)I have passed the soil evaluator examination approved by the
Department of E vi nmental Protection that the above analysis was perf rmed by me consistent with
the required training expe?IS)
s a xperie ce escribed in 310 CMR 15.0)IT 'J
Signature Date ✓ (/ ��
QASEPTICPERCFORM.DOC
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BARNSTABLE
a
YARMOUTH
NSF SITE PLAN
PHILIP CASTLEMAN � jN OFiyq
LOCATED AT: o? DAVID
700, 714, & 724 YARMOUTH ROAD g B.
2 MASON m;
HYANNIS, MA 0 �No.i066 <�
G/gT�A YANKEE LAND SURVEY CO. INC'.
PREPARED FOR:OSARIO N ` 119 ROUTE 149
GRAPHIC SCALE � MARSTONS MILLS,. MA
30 0 15 30 60 EDWARD R
JU LY 8, t. 2014 TEL: (508)428-0055 FAX: (508)420-5553
yankeesurvey®comcast.net www.yankeesurvey:net
1 inch = 30 ft. t SHEET 1 OF 3 JOB#: 55015 JM
i
.NOTES:
L IE E I V p` I d""'".m7"BARNSTABLE�"yF.."w.`s.`..'..'•. ,;
Dh7PJNIC.�AC
• ELEVATION DATUM ASSIGNED. ,
Q CONCRETE BOUND (FND) ■ 'r
•ALL COMPONENTS TO BE H-20 LOADING EXISTING CONTOUR 102
F
*SEE PHASE 1 ENVIRONMENTAL SITE ASSESSMENT a' b WATER SERVICE LINE —W '�
PES PROJECT #14-9877.1 BURIED GAS LINE 55Pv �'
a ' a MONITORING WELL
PREPARED FOR ENDEAVOR CAPITAL d ° w ti 1= 4 3
REGARDING MONITORING WELL ABATEMENT. /
A, a DRAIN CATCH BASINt� e_
•ALL RISERS TO BE H-20 LOADING WITH METAL �o� a• " " ° a ' r.N.
FRAMES & COVERS SECURED AT GRADE. 4. 4 N 4`3728' .a TEST PIT
•SETBACK VARIANCE REQUIRED.
d
LOT
2
a 4849f S.F. _ \
Ow34 ACRES _—__ \ LOCUS M A P
- - - -
2 f
— t PLAN REF: 42371
___ —_ _ CERT REF: 182164
— _ ASSESSOR'S MAP: 345/010/001
_ 4, _____ / ZONING: B
° SETBACKS: BUISNESS
_
— _ — — — O FLOOD ZONE: C
4 °: _ PANEL NUMBER: 250015 003 C
• a
— GoDATED: 6/17/1986
O a \ Q 4 —___ __
OVERLAY DISTRICTS: WP WELLHEAD PROTECTION r
— —_—_—_— — — — STATE APPROVED ZONE Ill
Q7e $ 4 4 . — — — — — — —
a 4
_ -_ / PLOT PLAN OF LAND
4
\ � a d °- 4 b _ . a � LOCATED AT: -
a - _- _—o��, / a w W 724 YARMOUTH ROAD
O a . . _==— — —_ HYANNIS, MA
4 -_—_—_— — — — — — Z 1500 GAL TANK
° a25 °. _ s 9 DAB PREPARED FOR:
__ EDWARD ROSARIO
° — — — — — — —
° 4
#1
oft JU LY 10, 2014
a r #2
4 11 — — — —
a �� �`. ___ I REV: OCTOBER 21 2014
0` PROPOSED S.A.S
N
aC• Q 4 Q �.'9Q'M. �' .a4d• 4Y S,e s, f i`° CHAMBER TRENCH
°
a a° REV:
/o ° 2 5' k -J0,, 4 REV:
b o b EXISTING
A 4
° LEACH PIT TO YANKEE LAND SURVEY CO,
v ? °. 13 c BE ABANDED & INC.
d' d ° ° • .a SZ ° _d a ! a REMOVED
/ a ' g,. 9' a Q '. a . :,a 119 ROUTE 149
MARSTONS MILLS, MA
a
/ 4 GRAPHIC ° SCAL °
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20°°: ` , ao a io zod ao 4 ° TEL: (508)428-0055 FAX: (508)420-5553
a ° c yankeesurvey@comcast.net www.yankeesurvey.net
y rlinch °� zo.a ft.. '4 4 a. 4 l . ° ° SHEET 2 OF 3 JOB#: 55015 JM
SEWAGE SYSTEM . PROFILE VIEW N . T . S .
T.O.F. EL. 100.29' ALL RISERS TO BE H-20 LOADING
t WITH METAL FRAMES & -COVERS SECURED AT GRADE
1/8" TO 1/2" DOUBLE WASHED STONE ® 3" THICK OR GEOTEXTILE FABRIC CHARCOAL
! VENT
FIN GRADE = 100't ' FIN GRADE = 100'f
FIN GRADE = 100't / 8.5
20" 20" ITT ,—�T—T1 ORT 0 ORr o.PEcnoNSPECTIONN L. 98.17'
DIA. DIA. EL. 98.32' RISER
INV EL. e 1 EL. 97.14' o
TO REMAIN M °° ° • °
INV EL. in. 6" INV EL I ° ° ° o EL. 95.1T
INV EL 10' MIN. 14" MIN. INV EL. Sum ° ° --- — — --- — °
98.04' —� �— 97.79' 97.54' 97.34' ° 3/4" — 1 1/2" •48"
BELOW FLOW LINE 6" Stone 4$
Ecrl LIQUID LEVEL 48" DISTRIBUTION 1 BOX DOUBLE WASHED STONE N
`rh"." ^'' -6 S - •• j GAS
BAFFLE H-20 LOADING PROPOSED CHAMBER TRENCH
PROPOSED 1500 GALLON TANK — A H 20 LOADING
D
H-20 LOADING
PRECAST REINFORCED CONCRETE DISTRIBUTION BOX
DISTRIBUTION BOX SHALL HAVE WATERTIGHT COVER i
TEES SHALL BE CONSTRUCTED OF SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM WALL THICKNESS = 2" BOTTOM OF SOIL PIT = EL 87.75'
MINIMUM OF 6" ABOVE THE FLOW LINE OF THE SEPTIC TANK AND BE ON MINIMUM INSIDE DIMENSION = 12" NO GROUND WATER OR
THE CENTERLINE OF THE SEPTIC TANK LOCATED DIRECTLY UNDER THE OUTLET INVERTS SHALL BE EQUAL TO EACH OTHER AND AT REDOXIMORPHIC FEATURES OBSERVED
CLEAN—OUT MANHOLE. 2" MINIMUM BELOW INLET INVERT.
THE INLET PIPE ELEVATION SHALL BE NO LESS THAN 2" NOR MORE THAN 3" THE DISTRIBUTION LINES FROM THE DISTRIBUTION BOX SHALL ALL HAVE
ABOVE THE INVERT ELEVATION OF THE OUTLET PIPE. EQUAL INVERTS AS DETERMINED BY FLOODING THE DISTRIBUTION BOX TO
THE HEIGHT OF THE DISTRIBUTION LINE INVERT AFTER ALL LINES HAVE
SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9" BEEN SEALED IN PLACE.
TWO 20" MANHOLES WITH READILY REMOVABLE IMPERMEABLE COVERS INVERT ADJUSTMENTS SHALL BE MADE BY FILLING WITH DURABLE AND
OF DURABLE MATERIAL SHALL BE PROVIDED WITH ACCESS PORTS. NONDEFORMABLE MATERIAL PERMANENTLY FASTENED TO THE LINE OR
MIDDLE ACCESS PORT SHALL BE 8" DIA. MINIMUM. RECONSTRUCTING THE LINES UNTIL ALL INVERTS ARE OF EQUAL ELEVATION.
THE OUTLET TEE SHALL BE EQUIPPED WITH GAS BAFFLE. DISTRIBUTION BOX SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL, FIN GRADE = 100't
SEPTIC TANK SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL, STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON WHICH i ,
STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON WHICH 6" OF CRUSHED STONE HAS BEEN PLACED TO ENSURE STABILITY AND 12.83'
6" OF CRUSHED STONE HAS BEEN PLACED TO ENSURE STABILITY AND TO PREVENT SETTLING.
TO PREVENT SETTLING. °° •• • °
" �e
DESIGN DATA: 3g •"°•a : °°" o
SEPTIC TANK CAPATICY: 2,600 S.F X 5 GAL/DAY/100 = 130 G/D . ° _ - ° ° „• ' 24 -
REQUIRED — 330 GALLONS AT 200% 48 58". ° 48
REQUIRED — 1500 GALLONS PROPOSED NO GARBAGE DISPOSAL ALLOWED
USE: CHAMBER TRENCH 251 X 12.83'W X 2' EFF/DEPTH
NUMBER OF TRENCHES = ONE
(25' + 25' + 12.83 + 12.83) X 2.0 = 151 S.F. NUMBER OF UNITS = TWO
25' X 12.83 = 320 S.F. PROPOSED LEACH TRENCH — END VIEW
471 X 0.74 = 348 GPD TOTAL DESIGN FLOW INSTALL TWO 500 GALLON UNITS
WITH FOUR FEET OF DOUBLE WASHED STONE
AT SIDES AND ENDS
GENERAL NOTES: H-20 LOADING
1. ALL THE WORKMANSHIP AND MATERIALS SHALL CONFORM TO DEP
TITLE V AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS
FOR THE SUBSURFACE DISPOSAL OF SEWAGE.
2. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF T:P. #1 PERC <2 M/INCH T.P. #2 PERC. <2 M/INCH
3. THE EXCAVATOR/CONTRACTOR SHALL CALL "DIG SAFE" AND VERIFY THE LOCATION
OF SITE UTILITIES PRIOR TO ANY EXCAVATION, AND SHALL BE RESPONSIBLE FOR EL. 100.75'0" EL. 100.75'0"
ALL MATTERS RELATING TO ELECTRIC, GAS & OR OTHER EASEMENTS. "A" "HARDING 10 YR 3/2 ..A" "HARDING 10 YR 3/2
4. SEWER PIPES SHALL BE SCHEDULE 40 PVC. (4" DIA. UNLESS OTHERWISE NOTED) EL 100.25' 77 6 EL 100.25' 6"
5. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL BE s,> PERC ® 24" SOIL DATA:
MORTARED IN PLACE AND SECURED TO UNAUTHORIZED ACCESS. TEST DATE: 04/23/14
6. FINISH GRADE SHALL HAVE A MINIMUM SLOPE OF 0.02 FT. PER FOOT. MEDIUM ., " MEDIUM
7. EXISTING SYSTEM COMPONENTS — IF ANY — SHALL BE ABANDONED PER .C" SAND 10 YR 7/4 C SAND 10 YR 7/4 SOIL EVALUATOR: DAVID MASON
TITLE 5 REQUIREMENTS. APPROVAL DATE: ________
8. THE EXCAVATOR/CONTRACTOR SHALL BE RESPONSIBLE TO CONTACT YANKEE HEALTH AGENT: DONNA MIORANDI, R.S
SURVEY 24 HOURS PRIOR TO ANY REQUIRED INSPECTIONS. IEL. 87.75 144" EL. 87.75' 144" P# 14363
9. ALL COMPONENTS SHALL BE MARKED WITH MAGNETIC TAPE OR NO G\WATER OR NO G\WATER OR
COMPARABLE MEANS IN ORDER TO LOCATE THEM ONCE BURIED. REDOXIMORPHIC FEATURES REDOXIMORPHIC FEATURES
SHEET 3 OF 3 JOB#: 55015
t