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HomeMy WebLinkAbout0025 WEQUAQUET AVENUE - Health (3) V% 4 �� � '� ., 0 i � i y D � D i No. ,��/ FEE o0 yZ��� COMMONWEALTH OF MASSACHUSETTS Board o j Health, &g oko,bly MA. r APPLICATION FOP DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair(A) Upgrade( Abandon( - 21 Complete System ❑Individual Components Location uCi ve, l Owner's Name Ko,r l W 01hlOwt Map/Parcel# 25 Z� Address Ave, Lot# 3 Telephone# Installer's Name 6 a UtUo_�; On 1AL Designer's Name ` Q,r 1Qt% i1 t�%,tOVq\Mk*A Address S--� 1\OV�v V50 Janclwi(N Address p0 ery 33\ tl -(Wi a) A0, Telephone# Sot. y '}.- Q(p$3 Telephone# 1-4 ). O�AtA- "to6 Type of Building au V ok Lot Size • I B 0,urtS sq.ft�' Dwelling-No.of Bedrooms 3 Garbage grinder (10) Other-Type of Building No.of persons Showers ( ),Cafeteria( ) Other Fixtures Design Flow(min.required) 3150 gpd Calculated design flow Design flow provided 3yg gpd Plan: Date I 0 Zt�Z.� Number of sheets_ Z Revision Date Title Description of Soil(s) C- .,A4, ^X0,f1S Soil Evaluator Form No. Name of Soil Fvaluator 0• F k0JA*0r j Date of Evaluation \01%8,u c —r DESCRIPTION OF REPAIRS OR ALTERATIONS I00AOM0n O� (All \SOO OA\Ior SAS Z -S00 o Akan C.,yo.mbta) The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date 'Z2 " Z Inspections ------------ - ------ - i tg rNo. 1_✓�`/'" l : ., i. FEE 00- COMMONWEALTH OF MASSACHUSETTS � Board of Health, tl��f's �(��� , MA. h� APPLICATION LOP DISPOSAL SYSTEM CONSTRUCTION PERMIT 4 Application for a Permit to Construct(• )3 Repair( ), Upgrade( )'Abandon( - i]KComplete System OIndividual Components Location \ AV t, � ��IY,p���j Owner's Name C<a, 2� .�ie:o�� tauv, • Map/Parcel# -t 1Iq ,- r'f� Address `l � �2. vGt��}e.1 Ati/c. Lot# 7� M Telephone# ' In Name �z ! Desi er's Name V �J �(rXta�a ,an C. gn �,clneri`y `C,n��rorntOnI\a1 - Address S-:h ,10U1�, I Jo sc,,dt,l\(, \ Address '1 0 0 � �,� � \@Et�l��tl M', QLGAS Telephone# 1"ot, u C)(� 3 Telephone# -jq%ef• ,\loko Type of Building Ri,_ r"kwc� k,oy Lot Size Z n.CY e' sq.ft. Dwelling-No.of Bedrooms ka 3 Garbage grinder.( )"46) Other-Type of Building No.of persons Showers( ),Cafeteria( ) Other Fixtures Design Flow(min,required) 31s 0 gpd Calculated design flow Design flow provided $ gpd Plan: Date 1 t "L Number of sheets �- Revision Date Title Description of Soil(s) See CA ,oS � -Ilk Soil Evaluator Form No. '�.�t S Name of Soil Evaluator (`lO,' t\y Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS �ll �'� ekv 0 o pt N,A -U o 0,�,1�01 �C3C) ,. f.c �lrn C\�Cxtln�Jci�� f 1 J. ri. at. `. c The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date )0-Z-Z -,z Inspections U00000D000cooUU000Uoc vo+nooco 0000Upod o,c00000000epoo:;Uoo:,000e00000p00000000000000000000o00000o0uk) U0000Uc;30oUo:,00cc.,,00 FEE COMMON FALT14 ®E MASSAC14USETTS Board of Health, CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded O,Abandoned ( ) by: VJ C'� ,X c��^ :JB :`1 t . _ _ _ at 2`� L...t`eq u c.o o(L� Ay has been installed qin,, accordance with the provisions of 310 CMR 15.06 (Title 5) and the approved design plans/as-built plans relating to application No.r P-) -,3q I, dated /[ f ! Approved Design Flow (gpd) Installer Designer: ` �o y,o t 4 d Inspector: Date: The issuance of this CC, " „,,DDOJpermit shall not be construed as.a gp er a that the system.will,function,as designed.., c,o uo„o0000.oo,yo0oco<,o00000„ o tJ�QUCo0 '.iL'VC:I:J' C1•? i.0 U ':VUU[..:VU J •• Lw No. r � �� /"' 1 FEE 00 COMMONWEALTH OF MASSACHUSETTS Board of Health, f r,l�f MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair( ) Upgrade( ) Abandon( )an individual sewage disposal system at . ,> \�C.Ci k)o'S 11 1)C.� Xj e- as described in the application for Disposal System Construction Permit No. 'lam. `7/-, tMated fG / c-N- Provided: Construction shall be completed within three r years of the date of this permit. All local conditions mustbe met. Form 1255 Rev.5/96 A.M.Sulkin Co.Chatlestomn,MA Date •�e))[�'�AB�i and of Health _ . Town of Barnstable WE►moo Inspectional Services BARNSTABLE, II Public Health Division v� MASSThomas McKean, Director 039.p�fot9'�° 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 1/- IS-Z 1 Sewage Permit# Zo7_1 -391 Assessor's Map\Parcel ZSI. 12 y Designer: �o tier��, Cny:ro M�n^tlo�� Installer: D 4 A EXcoLygA oy., Address: O. SOX 331 Address: Jy Tea6errcA LP-3 On 10. 28.21 S3 0 1;-Acm0QA;o 4,, was issued a permit to install a (date) (installer) septic system at 2S t,L2uoW ueA AVE based on a design drawn by (address) �.ve F1a�er-�c I dated_f O-Z 1- 71 (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 required)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) DAVID y�N s D. c� q(� Q FIAHERTY,JR. N (I staller's Sign e). No. 1211 s`1NIT AVI%N' (Designer's Signature) (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. \\toa\depis\HEALTMSEWER connecASEPTIMesigner Certification Fonn Rev&14.13.DOC D PROFILE Flaherty Environmental Services P o. Box 331 COVE TO BE WATERTIGHT AN SEPTIC SYSTEM Harwich, MA 02645 TOP OF FOUNDATION BROUGHT TO WITHIN 6" OF FINAL GRADE (not to scale) INSP. PORT W I 3" OF GRADE EL. 21.0' EL. 19.0' CLEAN SAND 774-994. 1166 2" of$" to b" DOUBLE WASHED EL. 19.0' PEASTONE OR GEOTEXTILE ---�� r~ 4" CAST IRON or EQUIVALENT FILTER FABRIC . MIN. PITCH 1 4" PER FOOT 4" SCHEDULE 40 PVC PIPE 4"SCHEDULE 40 PVC PIPE " ' e VENT IF REQUIRED FLOW LINEEL, 16.01 v. o Srst2'to be level 20' 6.5/0 5' 1% A . :, .,.:,, ; } ••.%; ,,' •o o•o o• —� L. EXIST. C): . •O j�®� °000000°c p o°o 0 0 0°0 0 �-31 i�Ji o 0 0 o e 14' o 0 0 0 o Q�C� r ®� 0°0°0°0°c EL. EXIST EL. 16.5' t —� °0°0°000 0°0°0°0° [�® E rmr�- - ® 000o000oc 2.0' • • �� �LJ��I�� o 0 0 o EL.15.2' L.15.03' EL. 15.0' 00°0°0°0000000000 © C7 Q 0 00o0o0c—' 000 0 0 0 0 0 0 •o ;°O°00 0; o0°0000000 0°0000 ,° A 00000000° EL, 13.0' 0 0 0 0 0 0 0 H-20 DBOX .e; G BAF E SOIL ABSORPTION SYSTEM A .,�.... (2) 500 GALLON.H-20 CHAMBERS 5.0' 6"CRUSHED STONE OR WITH 4' STONE AROUND IN A DATUM: ASSUMED) ji5'X'vALLON SEPTIC TANK MECHANICALLY COMPACTED n lisle? to 12" DOUBLE WASHED STONE 12.83'X 25.0'X 2' CONFIGURATION r � � EL. 8.5' I BOTTOM OF TEST HOLE EL. 8.5' LOCATION MAP D USGS ADJUSTMENT: N/A GROUNDWATER ELEV: N/A N TH EAR`V0' Rt. 132 c 103 17 t �c 17 / DRIVEWAY/ WequaquetAm / EXISTING LOCUS h0 3 BR NTS DWELLING U O~ BENCHMARK: DECK TOP OF FNDN W,. LOT 3 EL. 20.25' 0.18 ACRESf 36,8' 0.21 �. � f.T�, '�: .�. MAP 251 O I LOT 124 O PROP. S.T. /STE 19 `�'�NITARIPN 'L 19 O' TH—I TH-2 v• DATE.-1012112021 REVISED: 119,1$, 41.8' 11.5' •. 1, SITE AND SEWAGE PLAN FOR B B B EXCAVATION, INC./ LEGEND KARL WOHLER GAS LINE 25 WEQUAQUET AVENUE W W W=y WATER LINE SCALE ■ 1 °' — 3 0' CENTERVILLE, MA EXIST. ELECTRIC ---.99 EXIST. CONTOURS REF.LCP 30367-A SH 1 --------® PROP. CONTOURS � —� PAGE 1 OF2 UNDERGROUND UTIL. R i .. ........._ .. ............................_.............. GENERAL NOTES DESIGN CALCULATIONS Flaherty Environmental Services II P. 0 . Box 331 1. ALL PRECAST COMPONENTS TO BE H-10 SYSTEM DETAIL Harwich, MA 02645 RATED. ALL COMPONENTS WITH ANY 774.994. 1166 ANTICIPATED VEHICULAR TRAFFIC TO BE H-20 RATED. NUMBER OFACTUAL BEDROOMS 3 2. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A GARBAGE GARBAGE DISPOSAL UNIT NO GRINDER. 3. MUNICIPAL WATER IS AVAILABLE. TOTAL ESTIMATED FLOW 4. ALL CONSTRUCTION TO CONFORM WITH (110 GAL/BR/DAYX 3 BR) 330 GAL./DAY 310 CMR 15.000 AND ALL OTHER REQUIRED SEPTIC TANK CAPACITY 660 GAL. J APPLICABLE LOCAL, STATE AND FEDERAL — "` — 25' CODES AND REGULATIONS. SIZE OF SEPTIC TANK 1000 GAL.)'(EXISTING) 5. INS TALLER/CONTRACTOR TO REVIEW& VERIFY ALL ELEVATIONS AND DETAILS AND SOIL CLASSIFICATION 1 REPORT ANY DISCREPANCIES TO 1 DESIGNER PRIOR TO CONSTRUCTION OR DESIGN PERCOLATION RATE <2 MIN./INCH ASSUME ALL RESPONSIBILITY. EFFLUENT LOADING RATE 0.74 GAL.IDAY/FTZ 6. INSTALLER/CONTRACTOR IS RESPONSIBLE 0 O 12,83' FOR MAINTAINING SAFE WORK AREA, LEACHING AREA VERIFYING ALL UTILITIES AND NOTIFYING (2)x(25.0'+ 12.83)(2) = 151 SF "DIG SAFE" (1-888-344-7233) 72 HOURS 25.O'x 12.83' =320 SF a PRIOR TO CONSTRUCTION. 471 SF 0.74 =348 GPD 7. ANY CHANGES TO OR DEVIATIONS FROM THIS PLAN MUST BE APPROVED IN USE(2)500 GALLON H-20 CHAMBERS WITH 4'STONE WRITING BY FLAHERTY ENVIRONMENTAL INA 12.83'X25.0'CONFIGURATIONAS DIAGRAMMED SERVICES AND LOCAL BOARD OF HEALTH. 8. FINISH COVER OVER COMPONENTS IS NOT RESERVE LEACHING CAPACITY N/A TO EXCEED 3'PER 310 CMR 15.000 UNLESS SHOWN PER PLAN. J 9. ALL ABANDONED SEPTIC SYSTEM (NTS) COMPONENTS TO BE PUMPED DRY AND FILLED WITH CLEAN SAND OR REMOVED AND REPLACED WITH CLEAN SAND. l certify that on November 12,2002,l have passed 10.ALL COMPONENTS TO BE.PROVIDED WITH SOIL EVALUATION - the examination approved by the Department of WATERTIGHT ACCESS PORTS WITHIN 6" OF Environmental Protection and that the above analysis FINISH GRADE. TEST HOLE#1 PERC 21-277 j TEST HOLE#2 PERC 21-277 has been performed by me consistent with the required training,expertise,and experience described SH OF Evaluator: David D.Flaherty Jr.,RS Evaluator., David D.Flaherty Jr.,RS in 310 CMR 15018(2)." 11.ALL SEPTIC TANKS, DISTRIBUTION BOXES SE#2755 SE#2755 BOH Witness: Dave Stanton,RS BOH Witness: Dave Stanton,RS AND PIPING TO BE INSTALLED Date: October 18,2021 Date: October 18,2021 WATERTIGHT. F V R ,h 12.NO KNOWN WETLANDS OR WELLS WITHIN TH-1 ELEV. 19.0' 1 TH-2ELEV. 19.0' ; 150 FEET OF PROPOSED LEACHING. 13.THIS IS NOT A CERTIFIED PLOT PLAN AND o°-13° A Ls 10YR 3/2 0"-13" A Ls 10YR 3/2 B L UNDER 13 -35 B LS 10 YR 5/6 13" 36" S 10 YR 5/5 NO CIRCUMSTANCES IS THIS PLAN TO BE USED FOR ZONING OR BUILDING PURPOSES. 14.LOT IS SHOWN AS ASSESSOR'S MAP 251 PARCEL 124 H00 & T00 15. LOCUS PROPERTY'S PROPOSED SYSTEM RERC 55' APPEARS TO BE WITHIN AN AQUIFER 36"-126" c3 Ms 2.5Y5/5 36"-126" c3 Ms 2.5Y615 SITE AND SEWAGE PLAN FOR PROTECTION DISTRICT(ZONE II), f B & B EXCAVATION, INC./ KARL WOHLER G.W.ELEV.N/A G.W.ELEV.N/A 25 WEQUAQUET AVENUE CENTERVILLE, MA BOTTOM TH-1 ELEV.8_5' BOTTOM TH-2 ELEV.8_5' PAGE 2 OF 2 DATE:10/21/2021 ..................... ................. _.. ............ . _ n......