HomeMy WebLinkAbout0109 CEDARWOOD ROAD - Health 1 �39 Cecl rr � .uu I{oacfi
} Cotuit
f A= 01.9 - 047 .
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TOWN OFBARNSTABLE
LOCATION /p q 6=-elorwa0'l 120IW4 ' SEWAGE# .Zaa�-50/
VILLAGE 4�DTviT ASSESSOR'S MAP&PARCEL 0/q - 0 9
INSTALLERS NAME&PHONE NO. Tad-y2v-g73k' �os�,d� �e G�,�rros
SEPTIC TANK CAPACITY /560
LEACHING FACILITY:(type) -S 0^^0 4:5Xvw6-e -f (size) /3 ,X 3 3.5-
NO.OF BEDROOMS A, So 4� , f khq�� '�1�'�'e ✓Z0Alf
OWNER ./o�jy J/t9�ci 1 ii �� /7 .1�
PERMIT DATE: /0-jo"DF COMPLIANCE DATE: /0-17-O S�
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
ict5d r^461o061
510<
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.s
4
i y
No. � 0 � r Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: L-—
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
application for Migogal *pgtemc Co tr tIOtt i9ermit
Application for a Permit to Construct(� Repair(x r Upgrade( ) Abandon( ) Complete System ❑Individual Components
Location Address or Lot No./V Z414e 4~fX /p®� Owner's Name,Address,and Tel.No.
G"t-twIr Joh4 H4A1.%'k 9 /14,0r;/ VZllirl�l
Assessor'sMap/Parcel O 0'97 '-_
Installer's Name,Address,and Tel.No.,f e -y2v- Designer's Name,Address and Tel.No.S40e-
25 609W r'ce 41�I 0� I✓�!/� jj__ iG,/c% Ctrs f,aoe M arvr� ' df�is
Type of Building: 7�(�Ll bewmw-j. 4 f" Z o- 4 mcl /tea
Dwelling No.of Bedrooms Lot Size 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 8_(Tpx Number of sheets Revision Date
Title
Size of Septic Tank f✓ Type of S.A.S. v.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) 4k: � IS" 4 , 7`7�s1/�'
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site Y
sewage disposal system in
P
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 Date /o _6
Application Approved by Date S
Application Disapproved by: Date
for the following reasons
Permit No. ao d Date Issued (/
1-r-.-.�i.l�±J,4 ti v :. -.« .�--...«. -.;.. ram. ...- . T— a. ....,o ..:..._-•- �:• ` {�', i «.. 't ati. .�.}, ,� ,
ate` + 6No. r" YO
Fee
�'� � � d .�,. ✓
THE.COMMONWEALTH OF MASSACHUSETTS Entered in computer:
'PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ZIpprication for Mioogal *pgtem congtr ctton Permit
Application for a Permit to Construct;(off'• Repair(vr` Upgrade O Abandon O Complete System ❑Individual Components
Location Address or Lot No./O q C,a ,4 r W AOCX Zap Owner's Name,Address,and Tel.No.
G01'v�'T ✓o�ih H�/ust ,e� �ppr�/ ,�LL��
Assessor's Map/Parcel D/g. — 0417
c Installer's Name,Address,and Tel.Nosa- Designer's Name,Address and Tel.No.S•48"y��'✓8�2
✓os>-�Gr �Oc /3r�rry G/,�a� H�rri%9yTo a
8/ Crgvrf M c /2el /g �srPW !'�// jj G,��/� �os�e LnaAfe lww llr w
Type of Building: NO*e t y v�'u!'^1 kUu�ir 7®� 4 MC /k6
Dwelling No.of Bedrooms 2 4) Lot Size sq.ft. Garbage Grinder
r
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures /
Design Flow(min.required) �'f�d gpd Design flow provided h( (o o? gpd
Plan Date �/o'Y Number of sheets Revision Date I
Title /J
Size of Septic Tank _� Type of S.A.S.1 V Tit Gu/loh
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) /,2�T,c��� Is0a �po s'jhjfjC 7~.!?/�IIC"
a— l3ax �f
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 Environental Code and not to place the system in operation until a Certificate of
Compliance has been issued/by this Board of Health. /
Signed .J Date
Application Approved by t Date 1 b
Application Disapproved by, _ Date
for the following reasons f �
r
fY '
Permit No. (!ok �ty Date Issued /� G
--------------.—,--- —.---- --- — —T
THE COMMONWEALTH OF MASSACHUSETTS
4. BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed (z---) Repaired (G-+ Upgraded ( )
Abandoned by �451-f /1 yezle-p S
at Za' 1,— �Jwe Z& aaal /2 efaI-a T has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. gow- y-41 dated
Installer & I)e dgre Designer
#bedrooms 4 2 NP w k Approved design flow_y y(Q gpd
The issuance of this permit shall not be construed as a guarantee that the system w j(Muncti on sa desi e
Date 111 1 �d Inspector �t UV
——————1———————————————————— ---------------
No. a-OUJ• i I,!d/ Fee / J"
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS
'Wigpogat *pgtem Congtruction Permit
Permission is hereby granted to Construct Repair (G ) Upgrade ( ) Abandon ( )
System located at
and as described in the above Application for Disposal System Construction Permit.The applicant rec gnizes his/her duty
to comply with Title S and the following local provisions or special conditions.
Provided:i C nstruction must be completed within three years of the date of t is permit. /
1 o yApproved by �)
. i r
Town of Barnstable
Regulatory Services
Thomas F. Geiler,Director
S& Public Health Division
a`� Thomas McKean,Director
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Date: /v / °� Sewage Perm 2ooa-yd•f Assessor's Map/Parcel �� �/ 7
Installer& Designer Certification Form
Designer: GL-Q c. �;2• Installer: �l®,���s s' Ptle,
Address: 9 1- Paare- G H Address: F
On JB,s�oo4 94rt^Os was issued a permit to install a
(date) I (installer)
septic system at l0 9 V e g�, Co r,- based on a design drawn by
(address)
dated
(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),,WU inspected and the soils
were found satisfactory. 16,�A OF PA'�
ERIC
(Installer's Signature) , HARRINGTON 1
'NQ..1070
71—Z a
14
esigner's gnature) (Affix ' "_ 4,06—4 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 formsWesignercertification form.doc
t FND "COTU iT" i\I
SITE PLAN
Schoolt.
SCALE. .€:r' Q W rat�it
A;-
BEN€;H MARK ON, ^GRNER xE Ir:�; oa,E aEsreeaE 5 � �
� 's '? rCLir1;K
DECK ELEV.=100.00' (ASSUMLD) I Ga€f Coors
'. .y.�:`,...'s�r.•..i��E�._�tii:,.'•:.n ::!3 :t~Q`G1'§Y�O£ VC�
1 ID C3 ICE O �34"
0 � J 24" O r) rw
SITE
!Ih 3 H-10 500 gal. chambers
r>jM.r...... ,..�.,j..,. • e:Yn.S"'Y r� ^'L', i
'' »� " ' END-SECTION
?.-•
sr E� fdEitdFL•ItCEO PRE CAS 00NCRM (j LOCUS
PLAN VIEW H-10 500 GALLON CHAMBER
NOT TO SCALE �,� Design Calculations
NO SCALE
p USE ACME PRECAST OR EQUAL y Proposed d <
o�
ft1rTY� r St _,;,:c�rT'l : Exitil ..�. r13Ow tcl
op Garbog Gr ncl :r.: NO
Pp L_-aching Areci ;'.qL€€1' G: 440 Gal./(0°'74 Col. %Sq.l•'�'t,�= 59 Sq.F•t•
�' oJa �` �' ° P'CJrsf�Sf'0 t..Ct� ::y', ," g S
��, �°` �- r. tr .ct.t r : _31 1.,' .. ;C 1.i'W X 1' ) (.. :c G inq 'r r: .h
°o Leaching Arecy Provided.ed. 624 Sq,Ft
17 . ��°��� E'"r'r,3�'�ose l_u�tc`ri .E�� C;cpa6tyi: 462 gpd �> 440 t:pd. req d,
�g9 Feb �pP�P
llkti � ��' CONSTRUCTION NOTES
LOT 16 5 B 4.9 0, o�
� AREA = 20,058t SQ.FI'. �
Corltrcctor is re- F'sible for Digsofe notification
j �q0 97.85' and ;protection ;II underground j�tdities sand pipes,
O� 2. The septic te-mic ': I thistributicn bax shall be set•.
level Can fi" of " '•</l" .,tone.
?. BQckfilt shocrlci ;'3e: •;'..iS an �e7t1d or grovel with no
3^23"i%Rls.At50t.S8 sA#?tNGt.E.y r• r > -
stones over i i -size.
- - 4. Tr::s s.,stern is t>�t to inspeactEJra E.IEvflFtg r:stcaflatiarE
9 PROPOSED SAS w -Y i - �'
,L 1-33.5'L X 13'W X 2.0' D w ,4'I.•o° ..__. by Glen E r ) r R.S.
leaching trench using wq• •• ::.. qr. ::.s:' :•° 5, The: contractor Install thi,a s3y%. ern in ac�ordanc.c
0 3 H-10 500 gal. chambers wit
:• with Title V of <.. .. miossachuse-Its Env:rcr rnentut Code
$ 4' of stone on sides & ends. w and the fdeg ira ';:- : : of the Town of sarnstQia e.
O ,7 utluty pore - 8. ProvidecaN t c rv,; ,coy 1, s c i, H-t C eptic tank, an r_.;O> '-hole tI-Eissx and
Q E;"tJO Urr ref x �> GCl
95.93' X 3 al./ ' .: 1,....
I.�. N;3 7. No vehicle or r:;;n rr;.jo hory spoil dris'e i3)ver the
C� F rw• •,fir•- ••Y,•a „k:r,^rF. •'• Sept.:- :i}j,'"it:Q:ril i..' as H-20" ;ef.Ta'i.C: e:Cir":':T%r3YEf,'?1tS.
o ..........., i
oA a,r,(C. sra{. {as uEOE�ctn aEascAsr�rEYc,xr:ri 8. Install gos acffl- equal on sep :w tonk ou et tee end.
97.90' ay ` eOd 97.84' 9. All Existin invar:4 ...Q sit£' co:n&,Uons shoiI be verified by contractar.
F..;.'_t� V ,�i�EVY. r. •,o- t,.y. { rFa, r,. n 3 : i f• y. i 5
CA :0, Existing cesspoo' t e p.;npec., removed L ndl Ike _k'We.1 witty fill neetiriq 0 Cl 15,25
> J,
1�. {'• 'y I �`� I I ppI``I I `` Q• F, 3 2h heldOYfiEy �.f C ^`Rs^1
O TEST'rFO E .3 Yi
» /f� FF
•�� r 4 I - � "a m,n,c3a,xa.ue s .. ....':3
fi/ V NFLdr N
� M .1ldN kO J:UR? 8 k .tF i185 EY
my
c
� O iF {
•0 r9a7O
.� O tP. 97.69' ?9. a A
G� 0 t....,....;;.y„--------------t
2 Q ........s. .. ,.._..._... .'.��.'.... ...
9a��1� TEST is I.. 14 _FCP. - -o^
JM. ai !� !
96.26' X �O 9821' fp �?Ut >f���_L fJI � i��
P 12 2 5 6 -�a of NOT TO SCALE
E
Sae USE ACME PRECAST OR EQUAL
SOIL EVALUA�1ION 33.5 ��,�
Date of Soil Evaluation: JUNE 18, 2008 �01 97.98' I F NJ
Soil Eval. Performed Byy. Glen E. Harrington, R.S.
Witnessed by. DON DELARAIS, HEALTH INSPECTOR TEST 14.0,E #`• GENERAL NOTES
Excavated by. R&H CONSTRUCTION ]4' x
Perk Rate: <2 mpi TvSI' HOL• 2 44' 1 n[� r. ,3(•�(•�n 10 ,
127. t. ADDRESS: � +.3:> ..f"DAR�Yl.it.iE.. Rf3r?I:3, t,.iT�)IT
Test Hole Test Hole o, ROAD 2. ASSESc'�'€,;, UMBEL: MAP 019 PARCIE'L 047
No. 1 No. 2 #216 POPONESSETf�QC€ (; I:. N.��R YIirI,�P b AS Ctf <L="GF��M i11
WATER -1. , a e r s )I ` O
DEPTH SOILS ELEV. DEPTHSOILS ELEV. TOWN ON THE G?OUIND INSTRUMENT SURVEY.
o• b6.7,V 0" 7 ' a TOWN WA?^i":r",' IS PROVIDED TO SITE & SiURROUNDING PRO-FIERTi's`S
A/E A/E BOOK
loamy sand loamy sand P. E"':�O REFEI I:.Nt;i:. r�I..AN: PLAN
.��`1 Pt:; 135
9" lom3 t 5.99• 9" lom3 95.82' 96.94' X 7, NO WETi..ta.ND*-> ARE. L.Cr-AlEf.) WITHIN 150 FEE: OF SAS,
aw so Test Hole Test Hole 8.
ftit+`.'`, POTAl:3.;:: WELLS ARE LOCA•'ED WI€'HIN 150 FEET' OF SAS,
loamy sand loamy sand �f'3;.....s '<` I r
3 " ,om5/e ,oms/e No. 3 No. 4 9, TI•IE PR01: :. <Y Ia N(O OCC:ATEI) WITHON' A ZONE
IDEPTH SOILS ELEV. JDIEPTH SOILS IELEV.
0• o-
MAL
" ! : ...._
med:a sand i B" OflaMUC .9 1y sand ......._................. ... ........................_....... .....�. .�............... ......
mod.
a.and 2.gre� loomy.a�d ` 10• ,om3 5641 PERK TESTT.H. #1 4• ,om3 T .� OF, � I PROPOSED SEPTIC SYSTEM UPGRADE
2sw3/e e. i
BEGIN SOAK: 10:07 AM ar loomy Mal tG4� Pik
84.74' • 74' END SOAK 10:14 AM loamy oand 2 ,oms/e *` PREPARED FOR
24 gals applied in presoak period.
no groundwater encountered no groundwater encountered Assume less than 2 per minute for design purposes. PERK TEST ® T.H. #3 ER JOHN HALUSKA & APRIL ALLEN
c, AT
BEGIN SOAK 10:25 AM 14 aRI
mod,-as*ond
ENO
Ir SOAK-10:33 AM �c
i z5�/e 24 gala applied in presoak period. LEGEND
109 CEDARWOOD ROAD
cl
As rrae <2 mpi for design purposes.
mot-as d
*NOTE: ALL PIPES ARE TO 8E 4" DIA. SCHEDULE 40 P.V.C. 26 /6 R1ZtPO5E0 15:IC3 iAi. I
8 .4 ' ss.4T p p BARNSTABLE (COTUIT) MA
s.......10' wEE l cnE *NOTE: INSTALL GAS BAFFLE OR EQUAL ON SEPTIC TANK OUTLET TEE. no gr7:istinq
encountered f I tt) SEPTIC TANK if�' '
no groundwater encountered ` -
housa to L r�tic took
;n(sEYe�a grade er r e3stem 2Na sEop?s F� c �( I PREPARED BY:
Existing House wet(n 5' of r:EsrF d ysadw T.a'!' HOLE t
6wn
5 HOLE ONE CENo,E+KR cored muet be I
LjrESz. six { F� �• g� drd Grade Elev.=96.5 t GLEN E. HARRINGTON, R.S.
Ea-I t>t r Yr �t �� Min. r ,fl/ea•-toz• 9 LE DA ROSE LANE
5 Q2' uEfh{; # of t:rdehec3 gndo oor01goo- ttldfeaaBriae 8:m� EiilSTl"dG CwSSt lc t`a 1J 0E
f U I I S-.o: 1f•E. Lnaat fos•Z 9 �, one Elev.=94.5'f PtfARck? a BACKfILLEG
cellar t;. PROPQSED MARSTONS MILLS, MA 02648
0
;4 1500 GAL i oZZEM
SEPTIC TANK/ DLN07ES EXISTING :,
H-1o., n c1> a i�•-c� 7° 0 00 0 24r w Leach x 104.46 TEL: 508-428-3862
} GA �W1.k 3J.5' $f't?T GRAT3t
rE�3 = 92.00 XE a"E5d<. CONTOUR
!f - -Trench Bev FAX 508 428 3862
LX,=91 r.L3 , , , , , 95 E C. T
( Q )
't 3.'n°.,:; sro�Et I^-' 9 c; 2:; 7 f 5 R E D
z 1 "- 0' DRAWN BY: GEHAUG. 11 2008
w. ,..
i~ ACH TRENCH Approx. ICCCILlJTI SCALE....................................................................... AUG..................'............................
SYSTEM PROFILE s°cx s'44-•,:f ' sTc ;: 1 {
...
Izz :a "cal3: SR h t
OTTOM OF T.H. 1 E:LEV.=84.74' "xltllw �� ';;"r' Flra DATUM: ASSUMED I FILE: ALLEN SHEET 1 OF 1