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HomeMy WebLinkAbout0029 BAYBERRY LANE - Health 29 Bayberry Lane Cotuit ---- - - - - ! A=019 124 TOWN OF BARNSTABLE ��y LOCATION ! I 914 6 SEWAGEa# Uf�(o OO VILLAGE C Or U ASSESSOR'S MAP&PARCEL INSTALLERS�NAME&PHONE NO. P57TC—P- .V LL6:kl SEPTIC TANK CAPACITY 15290 GdLOAl LEACHING FACILITY:(type) (size) NO. OF BEDROOMS `f OWNER 14 *I O PERMIT DATE: f _ 0 COMPLIANCE DATE: f ��O Separation Distance Between the: 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 BY � 5 \ I 14 1, 4-7, No O /OD 1 FEE COMMONWEALTH OF M ASSACHUSETTS Board of Health, )MA. APPLICATION FOP DISPOSAL SYSTLM CONSTRUCTION PERMIT Application for a Permit to Construct( Repair( ) Upgrade( Abandon( ❑Complete System ❑Individual Components `Location � / jf fZe Owner's Name Map/Parcel# ��/� / �,� ,I /a Address 9Prr i Lot# Zo /�' / ) Telephone# _ 9 r Installer's Name j'z' - C Designer's Name Address '! Address N/r/ 40 S Y ��✓ Telephone# QJG s=- :7J; Telephone# Type of Building v/� �� fly'l�r /�=o s i SC-tis Lot Size a3 to a sq.ft. Dwelling-No.of Bedrooms Garbage grinder ( ) Other-Type of Building No. of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min.required) 4/44�1 gpd Calculated design flow S�S� Design flow proxided �� d Plan: Dateo4a O Number of sheets -Z Rexision Date,f ITV Title Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator-1f-17tecp ]valuation DESCRIPTION OF REPAIRS OR ALTERATIONS ��ccJ �a�► g The undersigned agr^^e��1e1s tof�°tall the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to mot top rice the em in operation until a Certificate of Compliance has been issued by the Boal of ealth. Signed Date ✓� � � b� R 0 IRED OR10h TO-SIGNING CERTIFICATE OF COMPLIANCE Inspections SER11C AS.81111T rARD r H c ! S011 EVALUATIONIPERC TEST, iMMENCING,r',L L, CALCULATIONS dV1hU1VIV!"iA IHL t-Crrr.n i.J BE OBTAINED. No.'1 eo!)X_v FEE �Q COMMONWEALTH QT OF Ml[nA.SSACHUSETTS Board of Health, MA. CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned ( ) by: at / has been installed in accordance with a provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No.=0 4 —00)dated Approved Des. n Flow (gpd) Installer Designer: Inspector: Date: B The issuance of this permit shall-note nstrued as a guarantee that the system will function as designed. IL00-1 FEE_k4 J 0OMMONWEALT14 ®f MASSAC14 SETTS " ff d. Board of Health; 9A 12#3/ _) l�� MA. s APPLICATION FOP, DISPOSAL SYST EA-CONSTRUCTION PERMIT Application fora Permit to Construct(i) Repair( ) Upgrade( ) Abandon( ) - ❑Complete System ❑Individual Components [_-Location o7 / /f 7 OiZP z / Owner's Name �� p yy� ` . en Map/Parcel# /!4A_j /o?41 Addresspr�y ,� C Lot# ZQ / Telephone# So lig' t Installer's Name 6 P (Jot5 {' Designer's Name a ode Address /e f� l�`CCf� M�. Address ajy Telephone# 71 y/j/ Telephone# e oR j�� f Type of Building Lot Size'29, 71,( sq,ft. . Dwelling-No.of Bedrooms la Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min.required) 44d gpd Calculated design flow ��� Design flow provided pd Plan: -Date4v; Number of sheets Revision Date ` Description of Soil(s) °t Soil Evaluator Form No. - Name of Soil EvaluatorAe--26/c 1 gG/ Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONSf ` The undersigned a s to tall the A/' ve described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and x, further agre3es to o ce the m in operation until a Certificate of Compliance has been issued by the Boaro of ealth. Signed / ' Date 4 ^0`6 Inspections No. . C J"`' V FEE 1 5© , COMMONWEALTH Of MASSAC14USETTS Board of Health, \� �ry�Q MA. CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired.( ),Upgraded ( ),Abandoned ( ) by: ati a Q has been installed yiin•� accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No.900 6 "00 dated J to /Approved Design Flow ` 9 Q (gpd) � Installer 0, ' Designer: U` ^'~'\ Inspector: \ _\ Date: ! o tO The issuance of this permit shall not beconstrued as a guarantee that the system will function as designed. t ?� No.00 -0©3 — FEE COMMONWEALTH Of MASSACHUS ETTS Board of Health, ' MA. DISPOSAL. SYSTEM CONSTRUCTION PERMIT Permission is hereby \' anted to; Construct(>4 Repair( ) 'Upgrade( ) Abandon.( ) an individual sewage disposal system at � Y 6�, 1....r✓��' c t J as-described in the application for Disposal System Construction Permit No.c9oo 6 W 3, dated I F' r Provided: Construction shall be completed wit in t ree years of the date - tf his p rmi . All local conditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date Board of Health i Town of Barnstable DIME r � Regulatory Services . o� Thomas F. Geiler,Director BARNSTABLE, ,�g Public Health Division 1639.Ts Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Sewage Permit# a o®CO O O 3 Assessor's Map\Parcel 1 d y Designer: Y g N k� Su r v e y, `G N SV 7 A K . Installer: Address: 410 i3 1 Srt'•.� °2� Address: M oa�S-lvr•s r+�► l I r� On T A N �,Uv �� � I '� was issued.a permit to install a (date) (installer).- septic system bas`ed'on`a design drawriby; ( dress) ruse G • h'►�if /L/_' k S dated r d.7 (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 rel cation of the distribution box and/or septic tank. 1 rJ I certify that the septic system referenced above was installed with major changes (i.e. greater than IV lateral•relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. ' Tian revision or certified as-built designer to follow. OF ' BRUCE yam\ G. (Installer's Signature) MURPHY No.749 r! . . _. s4 1`/1 Ai�\p`� (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. Q: Health/Septic/Designer Certification Form 3-26-04.doc tl3aMf1N,JNIMvtlO ' .��snor� sod a J- 1Q NMVtl° I AB 03A°addr f ! l/ 31V75 n-7 9e rtloic TF— i � e-eboce S Q en � [t7. C� �� l f _m 14 Z ow-7 Jl 4N 7H��°Ll-d N5 I�s� �01i�i1 —�— Lf�I °/�eo 41 !�c14 p-o,eoecq t I _s—oir oe E Safi - 9 - v \ i 91co f8e + p-QIoIC 4 -17 0 /-aft \ — �Q-L , cieae N�d A L �L c ��� / M I � , ' x r • n ..d-r O ' c3 lu zz I I -- � --i i - s � o E 70 I vp vpE I ° a i 71 rR i I � � m `01?I A ! .I a I E o ,,a rk- I ti 7.3 A). n . I da £ y R I r . Fy U U1 J as I � � I � d yTI r 1` NI VN T. e (T\ zl W � � L�r °♦ ° � I �o IE c -TI Av, 4\rn f,cs v, q,o f l i T a � �' I p♦ I . k ern I I in r o Rl TI �gb z 0 r n a ��-� �r _ — — —�— —I m r N S c wg z NOTES. -POD COTUIT THE RADIUS NOTED ON PLAN 31 OT ` 159-91 IS INCORRECT, THE 31 32 ��s�• \) /� Q�� CORRECTED RADIUS IS ON PLAN 301-100. I / 1 V i y W*WVNZ GOLF COURSE 193 30 n l % Q a f' U-POLE BRYANM t 4 34 � , r---36------------------___ i L ' �' LOT 5 - -- I CB/DH B''Y h �Fr0- r AIM 19-124 FOUND/ 23,648E S.F. �JQ���' cocas LOT 6 29 1 1 / //; 0.54 ACRE J� AIM 19-133 �� % / 260' i 36 �0 1 (TOWN WATER) I / i LOCUS MAP 0 9CB ```, O - 28 PLAN REF 159191 1 ; ZONING.• "RF" C P.O.D.: "AP" ASSESSORS MAP 19 PAR. 124 f i° `� SETBACKS: 30-15-15 \27 p�0 o - / ' �s • SITE & SEPTIC PLAN \4 M `S,' // �� b Fes. G� `; o LOCATED AT 29 BA YEERRY LANE �ro COTUIT, MA :GARAGE.' ► // `� � /,Q ��; PREPARED FOR.• ROMA -- - - - / , �L, o, o / ' LOT Cl w 35 AIM 19-106 ' �. SCALE. 1 - /A 152.49 (VACANT LOT) DUNE 1, 2004 27 ,� ' ; s�'��$ ! f?p. 60'�� REV JUNE 22, 2004 CB 0H I ; MUND REV FOUND, ''' �` 33 � r tH��i�<SS��� REV 28 32 4'50,.w BENCHMARK : .o��P��'`7 YANKEE SURVEY CONSULTANTS S'r4•2 TOP OF CB F i or STEPHEN + ► OF , J93 31 � * MIS).? N ; � �yG UNIT 1, 40 INDUSTRY`ROAD O'jy DOYLE BRU, �+� BENCHMARK TOP OF CB'� srz 29 LOT C2 : #' ` ; o G.URPHP. O. BOX 265 ELEV 2,of(Bs) j6 30 AIM 19-177 s s' U No.7 9Y ��1 MARSTONS MILLS MASS. 02648 CB/DH (TOWN WATER) ► s y ' LOT 4 FOUND -� TEL 428-0055 FAX 420-5553 AIM 19-138 01STER (TOWN WATER) '.SHED_ '4N/TAa�P SHEET 1 OF 2 JOB# 53645 s, 4 � r► 20' MIN. r.a F ELEV= 38' 10' MIN. 4' SCHEDULE 40 P.VC CONCRETE COVERS MIN. Pnrff 118 PER FT. 21LAYER OF i 1/8'- 2" CONCRETE CO VER WASHED =NE B' MAX/ ice . . . � � EL=33' 8" MAX iz . . . . . 4" CAST IRON PIPE 8"MAX11 POI7'AV�41 MINIMUM I F!M M 6'MAX CLEAN SAND FLOW LINE 1!0" • MIN 14" o00o O o000 INVERT _2.0,_ p000 0000000000o ag0000 ADD CAS INVERT LEVEL Co.0 00000000000 8 EL.= 31.0 INVERT BAf�ZS EL.=30 5 INVERT 6 SU INS , 00 ;0 0 0 0 0 0 0 0 0 0 0 0 0oo8 0 =27 2' EL.=30.75 EL._ �_-- EL.=z9 75 _ 4' 4 DISTRIBUTION (3) 500 GAL LEACHING CHAMBERS 1500 GALLON BOX EL.=3p.g 12.8' X 335' TRENCH MRMATION SEPTIC TANK Tn BE WATER TASTED IF MORE THAN ONE OUTLET SOIL ABSORPTION kci PLACE ON B" SMNE PROFILE OF 314- ,n 1-1. 2" SYSTEM (SAS) DOUBLE MASHED SMNE . SEWAGE— DISPOSAL— SYSTEM - _ _ _ -- - NO OBSERVED WATER TABLE (511 712 0 0 4) EL=_21- '_ NOT TO SCALE OBSERVATION HOLE 1 ELEV=34___ PERCOLATION RATE SZ_- ,MIN./ INCH AT _4&7- INCHES OBSERVATION HOLE 2 ELEV=_335'_ DEPTH HORIZ TEXTURE COLOR MOTT OTHER DEPTH ffORIZ TEXTURE COLOR MOTT. OTHER K 0-3" O ORGANIC 0-3" 0 ORGANIC 3'-7" A SANDY LOAM lOYR 6/2 3"-7" A SANDY LOAM 10YR 6/2 t 7"--30" B LOAMY SAND IOYR 6/8 7"-30" B LOAMY SAND JOYR 6/8 30"-138 Cl MEDIUMS SAND IOYR 7/4 30'-144 Cl MEDIUM SAND 10YR 7/4 E4,C2'" NO WATER ENCOUNTERED NO WATER ENCOUNTERED GENERAL NOTES SOIL TEST { 5/17/2004 SOIL TEST DONE BY BRUCE G. MURPHY, RS. - DATE OF SOIL TES' WITNESSED BY. DAVE STANMN,, RS. 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFYJRM TD D.E.P. if PI 10704 TITLE 5 AND THE TOWN OF _6ARNSE4&E---_ RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. r 2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT 719 DESIGN CALCULATIONS.'WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12" 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF k WITHSTANDING N--10 LOADING UNLESS THEY ARE UNDER OR WITHIN NUMBER OF BEDROOMS . 4 5 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE GARBAGE DISPOSAL . . . .. . . . . . NO USED UNDER OR WITHIN 5 FT. OF DRIVES OR PARKING AREAS. INSTALL- TOTAL ESTIMATED FLOW 4) ANY MASONARY UNITS USED TO BRING COVERS 70 GRADE SHALL (3) 500 GAL LEACHING.CHAMBERS ( 110__GAL/BR./DAY x __ 4 BR) 440 GAL/DA Y BE MORTERED IN PLACE. WITH 4' S719NE ALL AROUND IR.8' X 33.5 5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH r PROPOSED SEPTIC TANK CAPACITY 1500 GAL DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS 710 SOIL CLASSIFICATION . . . . . . . . I OBTAIN,SUCH DETERMINATION FROM APPROPRIATE AUTHORITY.6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCA VATION CONTRAC719R * INSTALLER TO NOTIFY YANKEE SURVEY. DESIGN PERCOLATION RATE 2 MIN./IN. IS TO CALL "DIG- SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS 48 HOURS BEFORE INSPECTIONEFFLUENT LOADING RATE . . . . . . 74 GAL/DA Y/S.F PRIOR TO COMMENCING WORK ON SITE LEACHING CAPACITY (AREA X RATE) 454 GAL/DAY 7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS (33.5XI2.8X 74)+(33.5+33.5+L2.8+12.8)"X 74) 454 GAL/DAY. SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. 8) PARCEL 15, IN FLOOD ZONE_ "C"_____, 9) LOT IS SHOWN ON ASSESSORS MAP _LQ_ AS PARCEL SHEET 2 OF 2 Jf 53645 o -- �t V� a ' a a W� �y � I o DO DO d m o� J, o q N 1,7 Q ORS •: a 3mUN ll y1� i I orf1 i-'e m � Ni �o t� q3 f O ow rt �2 1 44 r j - - v p,� w a -- oo I' I poRc �+ • 7' S 6 4 ara f T W ,?S to .. w - T 1 Ta,tS a. OTays a o sC-7- C t i r gRTN t g',o" G P E'q T- i O / EZ°Ov�1 ►u'�r" rt 0 Ol Tc e 6L l< b 4 O O �1CTAL i �� aes�o l3 TV TJ • _ .. PAH f i oo ! �1 MU9 ���111fff S�fo , 1 �EC7 /Z wl � oYEe LIV/rfG- 1 RM l v�tDR� i (Z oa r,ajo T•r.,29tro-a TLd Tw'�tt�r0 4�a y` - --- — ------ - _— - -- ----- -- — - --- - -- Gp112 ay [ - WAI-LS CoVE2CD w' ' t'IRE Rt� rE b 1 i -r w Tw•a8`s ra ,I , DOorti a o Cr�l Ri`I CrE GI'1 I,P}Crt 6 j � . _ . _.._._.__ --- ---•--- -- - --- •fir,' --- -- - . - . .- ---,1' s`r SCALE:Yn D_f/ APPROVED BY: '( _!' DRAWN BY DATE. REV6ED PA D Nau Sz- 3-Ef9 r lc%V4 DRAWING NUMVER 1• •O