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HomeMy WebLinkAbout0020 CAP'N CROSBY ROAD - Health (2) N �'�as6 °�° ��o� �e . • .. .. 4 n3 Y� 0p 9 8 i F � n e i e I JI rA 'No. Fee 66, v- THE,COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS es ftplitation for Misposal *pstem Construction Pffmit Application for a Permit to ConstrucX Repair( ) Upgrade( ) Abandon( ) Xcomplete System ❑Individual Components Location Address or Lot No. ,20 C,`WN G ROS- R.e Owner's Name,Address,and Tel.No. G!�'� jAl�i Assessor's Map/Parcel , Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 5-0 ✓w'ta4 l I T Y o� Type of Building: Dwelling No.of Bedrooms Lot Size ` -7 sq.ft. Garbage Grinder( ) Other Type of Building J2 W P—// No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) I `�n� gp Design flow provided © ygpd Plan Date .1 O,o2/ Z EJ�c� Number of sheets Revision Date �®/ j ,A0` !�L Title r-f--1?'L& :�­ Size of Septic Tank 1 5—a c> A A L Type of S.A.S. S' p qt,4 1 L ewc4 Ji✓!� C�✓i1�r PACE' Description of Soil 5r F �Lr9 e Nature of Repairs or Alterations(Answer when applicable) N 55-4) 5Y 5 Z32=t+► 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 alth. Signed Date Application Approved by Mai Date Application Disapproved by Date for.the following reasons Permit No. a�w����'� Date Issued _ /JD ,nr^� a�tltll�ff// �' � o. e)rya 0-°- �j`�!/`. ¢ ` Fee f"-_THE,COMMONWEALTH OF MASSACHUSETTS "• Entered in computer: j -Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS TippliLation for Mispo8at*,pstpm Construction Permit Application for a Permit to ConstrueW Repair( ) Upgrade( ) Abandon( ) ®Complete System El Individual Components Location Address or Lot No. �.� ,CeQN C Qt�f�"`tl' 11 Owner's Name,Address,and Tel.No. � Assessor's Map/Parcel (e C19 q, Installer's Name,Address,and Tel.`No. Designer's Name,Address,and Tel.No. ...0 f? q S l • ro V(),I 0&rot 1)UP1" 0/,/sT?-c,e lei" CA F#7jk4'$6r;'A l�"r�t r ra"4 .b•t -2_ q x F, 1.4 t( 5�� Y A-, Casa it T� Type of Building: Dwelling <No.of Bedrooms Lot Sized 1 sq.ft. Garbage Grinder( ) Other Type of Building D 40 F_ W6, No.of Persons Showers( ) Cafeteria( ) Other Fixtures 1 Design Flow(min.required) . f i Q { C49 gpd Design flow provided ,°� gpd . 'ca.�c Number of sheets "�'"""A?,, CPJJ 0 Plan Date /��e2 � � Revision Date • Title �°.i-"f,T'/..E �_ s Size of'Septic Tank I ,A.L . Type of S.A.S. ' ­wDescription of Soil 50—M F f!1-4 0 t Nature of Repairs or Alterations(Answer when applicable) N r_tA) ry Date last inspected: Agreement: The undersign4agrees 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. Signed rk.,,at►..e Date Application Approved by I7t(/ .,� jj Date ��� Application Disapproved by c Date r m for the following reasons Permit No. Date Issued f 0 1 • THE COMMONWEALTH,OFMASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate Of Compliance ` THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( Repaired( ) Upgraded( ) ,. Abandoned( )by at LO O CW14Al has been constructed in accordance with the prof ions,of Title 5 and the for Disposal System Construction Permit No.�Ojn, dated Ja/9)o Installer ! Designer #bedrooms Approved design flow% U gpd The issuance of this permit hall not a construed as a guarantee that the system will fun o desig d ` Date n Inspector"`• �� No. C to x— Fee Ka �.•�. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction Permit Permission is hereby granted to Construct(s< Repair( ) Upgrade( ) Abandon( ) System located at `� C 12 e, 5 9 Y m p e t 9V andias 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. y Date /e / :J Approved by 1 �1 AA d' Town of Barnstable �`"E r0i. Inspectional Services Public Health Division NAMABIA NAM Thomas McKean,Director • i6?9 �� A 1639 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 4_�(Pcp Sewage Permit# ZQ9 2_o-51)--Ass 's \Parcel 101� 2-S Designer: -Dd w fi h-2-Q-Yi i� Install er Address: 939 P-Q uie- 'f Address: P— 021075 On n zo tllulzol "was issued a permit to install a (d te) (installer) septic system at 9 a - _COS b 1/ Q�,Ufg** -Vl`h based on a design drawn by (address) G GU dated 12-1- 90 9-0 (designer) J pC_! p�'S 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 thus stem referenced above was constructed in c_o�pll ance with the to rms of the INA approval letters if applicable) 10 4 r��'�'°'r ' UANIELA. OJALA CIVIL (Installers S No.46502 �t /(NAL 1 EVA (Designer's ,/ (Affix Designer's Stamp 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. WoWeptAHEAL.TMEWER connecASEPTIC Oesigner Certification form Rev 8.14-13.DOC Town of Barnstable FIKE tow Inspectional Services ti Public Health.Division BA STABLE. s� MASS Thomas McKean,Director ayFo �° 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer & Designer Certification Form Date: U�40J__( Sewage Permit# Assessor's Map\Parcel -� Designer: �io w n CCL{ C ;I .t-9 vi 1J Installer: �vnitq,S . n'1 On D J Address: q 3 9 p0 u4c Address: �[Gt hill 0 U+to -75 / rn�}-S ;�_�edot `I On a- 69 �� was issued a permit to install a (date) (installer) septic system at 2 0 OCI.p`n C o based on a design drawn by (address) bcut"V 10 {CL. GL dated (designer) S 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 (Le.. 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 inomVpl =ce with the terms of the AA approval letters (if applicable) -,~j OF fs � 4} CIVIL (Installer's Signature) �b tdo.<4s002 D(�Designer'si 5TVnature) (Affix Designer's Stamp 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. 1\toa\depts\HEALTMSEWER connecQSEPTICOesigner Certification Form Rev 8-14-13.DOC . i w ' I;,++ }�!til1 � i � � ill � 1 1 • I �, I � (�� •IA I.•111 1 �! 1 �.t It i � •1.pill lilt 11 Ih to n { -0@le ! . I Kee.q ei. Ka-ggotl pat eee e e Q Baas e. tteeen i J ! t �i9,. 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I '• n �u� F ✓: �r v rig � n.� `f R Ii 2 ry ICJ• �:. ` I !p� LT .N .I (, _ _ _ �: -I s _ _ T !T' i'�I"ni911 � m I � ALL STEM OMPONENTS LL SYSTEM PROFILE MAR ED WITHCMAGNETIC TAPEAOR BE 7_ SYSTEM DESIGN: (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. LEGENDACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE NOTES GARBAGE DISPOSER IS NOT ALLOWED \ TOP FOUND. EL. 139.0' 2" PEASABRITONE OR GEOTEXTILE FILTER FABRIC OVER STONE 1. DATUM IS NAVD 88 d 99 - EXISTING CONTOUR 138.0'MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 137.0' Ser ice X 99.7 DESIGN FLOW: 5 BEDROOMS ® 110 GPD = 550 GPD BLOCKS OR 2. MUNICIPAL WATER IS AVAILABLE EXIST. SPOT ELEV. - PRECAST H-�o WATERTEST D'BOX FOR LEVELNESS PRECAST RISERS USE A 550 GPD DESIGN FLOW 21s:Rs (,YP.) -[99]- PROPOSED CONTOUR 4"OSCH40 PVC MORTAR ALL INVERT IN 133.17' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. PIPES LEVEL 1ST 2' 4 COMPONENTS 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS SEPTIC TANK: 550 GPD (2) = 1100 ;� (TYP.) a' 198.4] PROPOSED SPOT EL. ENDS TO BE AASHO H-LQ SIDES 134.0' TH1 USE A 1500 GAL. SEPTIC TANK 134.74 10" 1500 GAL H-10 14" TEE SEPTIC TANK TEE °°°0000 134.14' 133.9J44' ®®®® ® >°%°o°o°o °°°°°°°° 5. PIPE JOINTS TO BE MADE WATERTIGHT. TEST HOLE LEACHING: o 0 0 0 0 6" MIN. SUMP >°O°O°O°O °°°°°°° 00000000 „ O °°°°°°° ° °GAS BAFFLE r; oo°o°o° 12 MIN. INT. DIM. °o°oo°00000 °°°O°°oON > ° ° ° ° ® °°°°°° 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITHSLOPE OF GROUND SIDES: 2 (42.0 + 12.8) 2 (.74) = 162.2 GPD 4' uQ. LEVEL (ACME OR EQUAL) ': 13 133.27' °o ° ° ° ° 131.17 ° Wequaquet o ': ..:....: :.:.:.,.. .. ;: �:.......: ° 310 CMR 15.000 (TITLE 5.) �_ Lake ir.. } BOTTOM 42.0 x 12.8 .74 = 397.8 GPD 0000�o �o�o�o�o�o�o�o�o.o�o�o�o�o�a 00o L 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO ( ) 0000000�000 ,o 0"0000000„0.0�0�0 0�0000000. H-10 500 GAL. LEACHING CHAMBERS BY ACME PRECAST OR EQUAL CQD UTILITY POLE 3/4--1-1/2- DOUBLE WASHED STONE 4' MIN. (4) UNITS REQUIRED BE USED FOR LOT LINE STAKING OR ANY OTHER TOTAL: 757 S.F. 560 GPD ALL AROUND PRECAST STRUCTURES PURPOSE. q� 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 42.00' X 12.83' y� COMPACTION. (15.221 [2,1) o FIRE HYDRANT NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING 0 WITH (4 0 5000NELALL AAROUND HAMBERS (ACME OR EQUAL) ,: 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. �00 (5 % SLOPE) ( 5 % SLOPE) ( 1 % SLOPE) oke c 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT INSPECTION BY BOARD OF HEALTH AND FOUNDATION- 12' SEPTIC TANK 10' D' BOX 12' FACILITY NO 124.0' BOTTOM TH-3 PERMISSION OBTAINED FROM BOARD OF HEALTH. NO GROUNDWATER FOUND *THE INSTALLER SHALL VERIFY THE 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING LOCATIONS OF ALL UTILITIES AND ALL DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCUS MAP BUILDING SEWER OUTLETS AND LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES ELEVATIONS PRIOR TO INSTALLING ANY MA PRIOR TO COMMENCEMENT OF WORK. NOT TO SCALE }� PORTION OF SEPTIC SYSTEM APPROVED DATE BOARD OF HEALTH �i 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE ASS � :! REMOVED 5 BENEATH AND AROUND THE PROPOSED ASSESSORS MAP 194 PARCEL 5 LEACHING FACILITY. I I I DB 20228 PG 20 LOT 2 PLAN BOOK 625 PG 37 ^ ZONING SUMMARY 772- D L-J �S O ZONING DISTRICT: RC RESIDENTIAL DISTRICT ° - MHB �� � RPOD OVERLAY DISTRICT (2 AC.) MIN. LOT SIZE 87,120 S.F. �• MIN. LOT FRONTAGE 20' C MIN. FRONT SETBACK 20' Cro � MIN. SIDE SETBACK 10' MIN. REAR SETBACK 10, y � D o TEST HOLE LOGS MAX. BUILDING HEIGHT 30'774 BENCHMARK p REFERENCE PLAN OF LAND BY DOWN CAPE CONC BOUND 114 DANIEL E. GONSALVES, SE #13587 ENGINEERING, INC. DATED 2-4-08 625/37 EL. = 118.1' ENGINEER: O DAVID STANTON, RS WITNESS: SITE IS NOT LOCATED WITHIN A ZONE it D o� 6/ ° DATE: 1/12/16 0 I �2� PERC. RATE _ < 2 MIN/INCH N165259E /" P# 14947 PITCH DRIVEWAY 126 333 I CLASS SOILS H-20 4' ASIN. IM EL. 21.0 ELEV.�\\,9�� ��� 14 0' � 139 0' 4 ELEV. � ELEV. / Q Q Q 139.0 0" 140.0' A A A A LS LS LS LS �) , (, }•� �- /` 10YR 3/2 10YR 4/2 10Y'R 4/2 10YR 4 2 9" 12" 6" 8" PROPQSED � EACHING PIT WITH � O T -' _B B � e B �v 2' OF STONE / � DRIVE AY AND -- GRADI G EA MENT AROUND _ LS LS LS 0 2b 1OYR 6/6 „ 1OYR 5/6 8" 10YR 5/6 1OYR 5 6 2. 02 ^ C� '�Q ��� 3p 137.5' 34 136.2 1 cs 136.5 20" / 138.3' 126 { \ B • C C C C PERC PERC 13 128 2 FS FS FS FS SR,, N n� � 2.5Y 7/4 2.5Y 6/4 1OYR 7/4 1OYR 7/4 130 PROP / a 156" 127.0' .156" 126.0' 180" 124.0' 180" 125.0' \r7 PAV DRIVE [137.0 36 r7 13� NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED w p/ R=30.00 \ 37 L=4712' 1 . 138 G RAGE , \ [136.5 ___ 0 j 40 i V" PROPO D DWELLING 1�� TITLE 5 ZATE (! �� 0 FOUNDATION \� r, 6 TOP ` � AN EL. 139. J [13 .01 \��\ C) `� OF as Pd 2 0 C A FN C R OSR Y ROAD CENTERVILLE, T 4 10.0' Ia 3.7" TH1 too PREPARED FOR OF� ��H r,�qs M,yss 4p Sq�y -- �o`�� I goyG DANIE NIEL TH DOJALA GNP DEREK MENAN"U" AS OOF DRYWELL N 0 21 (T 140 0 O ALA CIVIL " y 'p \ 0 No.46502 , 50' No.40980 o �oF OAP �F�GISTER�.�, 2, DATE: OCTOBER 2 2020 TH2 �q^�n�ss� �o s��ONAL ' F REV: DECEMBER 9, 2020 (ADDRESS) ss \ 03 5 \ ro DANIEL Scale: 1 = 20 ` 40 MIL LINER A j30 � DAN!F_LA. yGs PROVI E 71 O TOP A G ' FF SA IN AR SHOTN. i A. � I� OJAIA 33.O't F,s LEV. 3 BOTT M 732 N OJAL A CIVIL No ��0980 A No. 46502 �1 0 10 20 30 40 50 FEET / 30.00 �o �P "po c E �°,��� " 24'19"E ' �n�uRVF. FS T NG\` L= .45 q off 508-362-4541 fax 508-362-9880 6 downcape.com dowa ca,Pe engineering, Inc. civil n en iee R_60.00 land surveyors �8 1 L-27.47 ' - �aL� 939 Main Street Rte 6A CID �� DATE DANIEL A. OJALA P.E. P.L.S. YARMOUTHPORT MA 02675 20-186 MENANGAS.DWG