HomeMy WebLinkAbout0017 CAP'N LIJAH'S ROAD - Health (3) < <- L r�
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No. CV L � � °C Fee r oD ✓.
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
Rpplication for M18p08al *pBtem Contruttion Permit
Application,for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System individual Components
Location Address or Lot No..f 1) h Owner's Name,Address, d Tel.No(5p8^ . V'I �W,9*
Assessor's Map/Parcel/poi sl 6if �' "
Install 's N e;y�ddres and T 1 No. $-j/ � D signer's ame,Address,and Tel:No. �'-3fib7 �i
i �d�i� oy�r�a�-
1 0 �S
Type of Building:
Dwelling No.of Bedrooms `� Lot Size 161 L IV sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided 3NK0 gpd
Plan - Date Y' a`�e Number of sheets J Revision Date
r � ,
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alter tions Answer when applicable) 1
x
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 Cale a no lace the system in operation until a Certificate of
Compliance has been issued by this Board of n'
Signed Date 16)//Jo
Application Approved by Date Z
Application Disapproved by Date
.for the following reasons
Permit No. -354 Date Issued f
k4 h
3
Y NO.
Fee
r r
' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION- TOWN OF BARNSTABLE, MASSACHUSETTS Yes
01ppfication for Misposal 6pstem Construction Permit
Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon`) ❑Complete System 5 ndividual Components
Location Address or Lot No.f Cry m� A, Owner's Name,Address,aid Tel.No. j��y�r0/.
Assessor's Map/Parcel hVIS!9 6
Installe 's Nape,Address,and T L No. �/ 'l3 ' D,esigner'sName,Address,and,Tel.No.
Type of Building: TJ
Dwelling No.of Bedrooms Lot Size /6i � 7` sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date - (-e9f/. a- pal Number of sheets ,/ Revision Date
Title/. S 'A;6.A 6 4z"t- "V) 1*,
Size of Septic Tank Type of S.A.S.
Description of Soil' gp ��
�r
Nature of Repairs or Alterations/(Answer when applicable) yl", /`y�/p f,//�ijl�T; �,,�_ •,}i
11/' A,.//-30 1- x fJ,r���!'a/ �ie/Y.�� �ct lett '��,. �r��ll�✓xi�f�r �
V `'�+�p�/V0AF1 crk �i2.,
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 hdt to-,place the system in operation until a Certificate of
Compliance has been issued by this Board of Health•"`�y� F„ ^"" /�
Signed Date
Application Approved by ,/ Date 1
f t I t
Application Disapproved by Date
for the following reasons
Permit No. ", �(0 Date Issued
------ ------- - ---._.---- _--__-..- -_: - _. _.=.,e.. �- -� -P - -------- ----------......
- - - -THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
(Certificate of Compliance
THIS IS TO CERTIF/Y,that the On/-se Sewage Disposal system Constructed( ) Repaired(,erg) Upgraded( )
Abandoned( )by /r rfJ 7. f Ge�i'""!a�./...r-, , Ate_ _
at / (%s�(1 y7 /Ja i e"n�i,c3 1 .>j C r 1a.� �'art r re_;OA' has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. 3% dated
Installer �>ril� U( T.l !_ .r>V11rr2� G'+� ? r Designer ,� •Isl3f ir� i�^I ,-�e?/a /r s -
- "
#bedrooms _ Approved design flowt 73 gpd
The issuance of this pe it shall not be construed as a guarantee that the system wil ifunc ion as designed.
Date t `I ! InspectorU���
- NO. i'�'�i ' Fee r ,�
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Is�Jo$ar dip:;fM"C',onstCUctiOnhermit
Permission is hereby granted t 7 Construct( )" epair(p.) Upgrade( ) bandon(, )� f
System .l located at A- Z rl"r. rA ;/rf.0 '�✓► �i�f. r
.,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:Constructi Jdn must be completed within three years of the date of this permit. ;r M
Date ) 1Z, Approved'by r
NOV-05-2021 23:58 From: To:15087906304 Paee:1/1
Town of Barnstable
" Inspectional Services
Public Health Division
KA. Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-8624644 Fox: 508-790-6304
Installer&ID esl ner Certificatlon.Form „
Date: 3 24Z1Scwage Permit# Assessor's Map\Parcel 19-ZL(5 7
.. a ' blq Installer: �o'
Designer: � 'i1 �4,Q.R- CVl hYlB . VIA
Address: 930 k6. U A, -Address:
0?&4( '
o Pay S
On � CV �as issued a permit.to install a
(date) (installer)
septic system at �? 'h LI GLh'S �P44 t:W11g.based on a design drawn by
address)
'b0X1 i,pil .0'1 Ukce N=,PL5 dated of- Z4- 20 z I
eslgn r)
Z- 1 certify that the•septic.system referenced above was installed substantial) 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 restem)but i location of the SAS or any-vertical relocation of any component
of the with
State&%Lodai Regulations. plan.revision or
certified pticas-built by designer to follow. Strip ou(f required)was inspected and the soils
were found satisfactory. '
I Urtify that t e•syys em,re erenced above was constructed ' e with the to r>r►s of
the approval letters(if applicable)
DANIELA. m�
OJALA
C' CIVIL '^
No.46502
nstallees Signature 9n.��FQIsTE��°�```�
^^ FSS/ONAI ECG
M
' 1 , V, A x Designees Stam Here)
-` (Designer's Signature) ( g p -
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE SSUED UNTIL BOTH THIS FORM AND AS-
B ILT•CARD ARE rC IVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
WoaideplANEALMSEWEK eonnecASEPTIODozigner C0100tion Form Rev&14.13.DOC
i
SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES
MARKED WITH MAGNETIC TAPE ORPROVID et
NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS NAVD 88 ok Stfe
ACCESS E COVERS TO IWTTH NAT6"�OFHF (IN. GRADEF CONCRETE COVERS TO WITHIN 3" GRADE Three ponds
2" PEASTONE OR GEOTEXTILE 2. MUNICIPAL WATER IS EXISTING
\ TOP FOUND. EL. 60.2' FILTER FABRIC OVER STONE °
3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT.
MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 59.0 e a' Locus
4. DESIGN LOADING FOR ALL PROPOSED PRECAST
MIN. 2" WALL THICKNESS
PRECAST H-10 BLOCKS OR UNITS TO BE AASHO H-M (H-20 LEACHING)
RISERS (TYP.)
2'0 4"OSCH40 PVC PRECAST RISERS oho o ° ego°
.• , 57.1 MORTAR ALL H-10
PIPES LEVEL 1ST 2' COMPONENTS 5. PIPE JOINTS TO BE MADE WATERTIGHT.
ENDS (NP') xc
SIDES 56.0' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE 1
» EXISTING 14» ➢a000� r c
10 ** o:o o ° ,°° o 0 0 0 o°o°o°o° WITH 310 CMR 15.000 (TITLE 5.) orG o a
> O ° O O ' °O°°° .O > O ° O O
TEE SEPTIC TANK TEE \55.77±'* c ° ° ° ° ®®0�®0�®®®� .
° ° ° ° ° ° o 0 0 °,°°°° o o > 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND o o a
°°°°°°°°°°°° '°°°°°°°° ��OOO��00®�® °°°° ®®�0�®®®��® °°°°°°°° NOT TO BE USED FOR LOT LINE STAKING OR ANY i
GAS BAFFLE , ° ° ° ° ° ° ° ° ° ° °°°° °°°°°°°°
- N or�o®oo®o®®a °>o°o° oa®�000000® :°o°o°o°o
, , >°°°°p°°° D9 O O O O ° ° 53.0' OTHER PURPOSE. .
O O O O °.,°°°° °°°°°°°°
55.69 55.52 >°°°°°°°° ° ° ° ° ° ° e< oc
•:Si...1 - 6" MIN. SUMP tr, ,
•~'�' '' � L8. PIPE FOR SEPTIC SYSTEM TO SCH. 40- t�" PVC.
t2" MIN. INT. DIM. H-20 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL.
3/4"-1-1/2" DOUBLE WASHED STONE (2) UNITS REQUIRED 9. COMPONENTS NOT TO BE BACKFILLED OR z 5e\r
6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 30' X 9.83' CONCEALED WITHOUT INSPECTION BOARD OF
COMPACTION. (15.221 [21) HEALTH AND PERMISSION OBTAINEDD FROM BOARD o �
,• ui OF HEALTH. a o
( 1 % SLOPE) ( 3 5% SLOPE) 10. CONTRACTOR SHALL BE RESPONSIBLE FORCALL LOCUS MAP
AND
LEACHING VERIFYING NG ITHE LOGSAFE CATION OF ALL UNDERGROUNDRGROUND & LOCUS M `P
FOUNDATION EXIST. SEPTIC TANK $' D' BOX 17' FACILITY OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF
47.9' BOTTOM TH-2 WORK. SCALE 1"=2000'f
"INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT NO GROUNDWATER FOUND
*THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL ASSESSORS,MAP 192 PARCEL 157
UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS WITH 1500 GALLON SEPTIC TANK APPROPRIATE TO SITE BE REMOVED BENEATH AND 5' AROUND THE
PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM CONDITIONS IF NOT SUITABLE PROPOSED LEACHING FACILITY. LOCUS IS WITHIN FEMA FLOOD ZONE X
12. EXISTING LEACHING FACILITY SHALL BE PUMPED (AREA OF MINIMAL FLOOD HAZARD) AS
AND REMOVED OR PUMPED AND FILLED WITH CLEAN SHOWN ON COMMUNITY PANEL #25001 CO561 J
L E �� N D SAND. DATED 7/16/2014 ;-
13. OWNER'S ENGINEER TO PERFORM INSPECTIONS SITE IS LOCATED WITHIN THE RESOURCE
OF THE FINAL INSTALLATION. MINIMUM OF 24 HOURS
99'- EXISTING CONTOUR
NOTICE REQUIRED. PROTECTION OVERLAY DISTRICT
X 99.1
EXIST. SPOT ELEV. SITE IS LOCATED WITHIN THE SALTWATER
n co
-[991-- PROPOSED CONTOUR d PROTECTION DISTRICT
._ cV
198.41 PROPOSED SPOT EL.
TH1 \
TEST HOLE
2% SLOPE OF GROUND o \�
�i
SYSTEM DESIGN:
UTILITY POLE D
' 4-\ P _
FIRE HYDRANT �O � GARBAGE,DISPOSER 1S NOT ALLOWED
NOTE. NOT ALL sYMeoEs MAY nPPIEW IN °RA""Nc j DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD
• USE A 330 GPD DESIGN FLOW
62 \w
TEST HOLE" LOGS SEPTIC TANK: 330 GPD (2) = 660
**RE-USE EXISTING 1000 GAL. SEPTIC TANK
ENGINEER: CRAIG J. .FERRARI, SE #13871
o
LEACHING:
WITNESS: DAVE STANTON 2 a SIDES: 2 (30 + 9.83) 2 (.74) = 118 GPD
DATE: 9/2/21 16,0 S.F.
BOTTOM 30 x 9.83 (.74) = 218 GPD
PERC. RATE _ < 2 MIN/INCH
D K
TOTAL: 454 S.F. 336 GPD
C h� CAUTION
CLASS I SOILS P# 21 -242 T GAS LINED USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL)
- T W
ELEV. ELEV. WITH 2.5' STONE AT SIDES, 4' AT ENDS AND 5'
i 2 ��' EXISTING
011 58.9 p" 59.0� 0. DWELLING BETWEEN UNITS
A A �' t TOF = 60.2'
LS LS999 O \c
1OYR 4/1 1OYR 4/1 60 ° TITLE 5 SITE PLAN
691 ` OF
B B
LS LS BENCHMARK: 17 CAP'N LIJAH'S RD
30ASIN
I$ 10YR 5/3 56.4' 30» 10YR 5/3 56.5' S CATCH
56 5BNAVD88 CENTERVILLE, MA
PAVED
PREPARED FOR
C DRIVE '" , � ' _ BORTOLOTTI CONSTRUCTION
PERC _
59 GR EL q �° -�- ��� JEFF FARNSWORTH
M S M S ♦ _ OF
DATE: SEPT. 24, 2021
2.5Y 7/4 2.5Y 7/4 �4,c s ,Y
roe' it OJ off 508-362-4541
Ai?\LA N �F.a ,>�) C VEIG i� fax 508-362-9880
I
downcope.com
down cape en in
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132 47.9 120 ��^�`w� � �.�
49.0 GF. ` vet civi/ engineers
Scale: 1"= 20' ' \ '
ENCOUNTERED 1L 1 land Surveyors
NO GROUNDWATER ENCOU �'
_ 939 Main Street ( Rte 6A).
0 10 20 30 40 50 FEET _ DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675
DCE #21 -3 1 21-316 BORTOLTTI-FARNSWORTH.DWG
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