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HomeMy WebLinkAbout0112 CEDARWOOD ROAD - Health 112 Cedarwood Road, A= 019-043 cotuit n , I No. 0r, c9 0 -- V � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplicatlon for Disposal 6pstem Construction permit Application for a Permit to Construct( ) Repair(K Upgrade( ) Abandon( ') ❑Complete System ❑Individual Components Location Address or Lot No. j I Ce0r,f w=0 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel O`C� jY Installer's Name,Address,and Tel.Nc. Designer's Name,Address,and Tel.No. �vct)j&S k 'br^'w—j .lac_ I:H^j5vc.rF:vc� ��i ICE Type of Building: Dwelling No.of Bedrooms Lot Size 12 214 1-//./ sq.8. Garbage Grinder( ) Other Type of Building I✓oo5e- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 1-)4 D gpd Design flow provided y S j, gpd Plan Date // / i Number of sheets 2_ Revision Date Title Size of Septic Tank I mCL,� Type of S.A.S. A JA C_ Description of Soil Nature of Repairs or Alterations(Answer when applicable) JN!�, E 1 A 31"C'N 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 Health. Si Date .'/�. Application Approved by f4A I Date Application Disapproved by Date for the following reasons Permit No. g-oo 1 2 U V Date Issued 3- -——-—————-——-——---—-—----------------------------------------------- a No3 .. 'GI V 12 OV : '� Fee /� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: •es Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Disposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair Upgrade( ) Xbk don 4'• ❑Complete System ❑Individual Components Location Address or Lot No. F G f WOC70 RD Owner's Name,Address,and Tel.No. cwrol Assessor's Map/Parcel 0%Ct -O L. j 3 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. E•.Jg,Ntri��,% l�((t� ,c00-`I77-531 5oA-�100-71 Type of Building: Dwelling No.of Bedrooms y Lot Size 2.2,9// sq.ft. - Garbage Grinder( ) Other Type of Building hoos,- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 0 1-10 gpd Design flow provided 1-/S/ , Q, gpd Plan Date // ' g- 1 1 Number of sheets 2 Revision Date ! Title Size of Septic Tank 1 'S G)0 tii'c,J Type of S.A.S. A tc- -5G t4 C. Description of Soil Nature of Repairs or Alterations(Answer when applicable) W g 4e,11 to L,!, Se 01 I C 5v lh 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 Health. Si Date Application Approved by Date ?--( X Application Disapproved by 6r Date for the following reasons Permit No. a o 12 - Q 0 Date Issued 1 ' 3-/ - -------------- ------------------------------------ --- -------------------- ---------- - ---- ------ ---- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by a"S)'---, /A IK C Wro I ti c- at 0 CCti 1 ul has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. f 0 dated Installer a I ro Designer l;we I e,r k S J #bedrooms Approved design flower t/�51, gpd The issuance of this permits all no b e construed as a guarantee that the syslem�will n tionxar;21esi'gned. Date -Z/ Inspector- No. `' a -00; Fee Zou THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION— BARNSTABLE,MASSACHUSETTS Disposal 6pstem ConstrUttion Permit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at / i ,F 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'Construction must be completed within three years of the date of this permit. Date _(� Approved by f. r Town of. Barnstable SIX Regulatory Services Thomas.F. Geiler,Director Public Health Division MAW Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: �" Z Sewage Permit# apt ( o Assessor's Map/Parcel Installer&Designer Certification Form Designer: LN O r 1"s,_Inc . Installer:-P. /� ���✓� ` ��^� Address: Iz W. Cam, s s e 1e.1 IZ4. Address: On Q-A %_Z�A i/L z-, was issued a permit to install a (date) (installer) septic system at ar`,�110 d Jd a� � based on a design drawn by (address) Ft-�- T Kc-� e-e eZ-dated 11 g 1 (designer) o< 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) was ' cted and the soils were found satisfactory. ..... OF 4f4l PETER T. N tallees Signature) ICI LEE 9 No;35109 a (Designer's Signature) (Affix Design re) 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. i gAoffice forms\designercer ification form.doc TOWN OF BARNSTABLE LOCATION I J 2- Gec)-Gct'WCr,<)' CZt] SEWAGE#J,0ra,-W!-% VILLAGE (,©A-0 t - - ASSESSOR'S MAP&PARCEL 0%Ct I q Z INSTALLER'S NAME&PHONE NO. 'c51 fob nC SEPTIC TANK CAPACITY i$GYM n)e W LEACHING FACILITY:(type) A rc 3 G N C (size) a.i % I- )t 17 NO.OF BEDROOMS y 1 OWNER �a!� pa 1 Gk PERMIT DATE: I ;3 l COMPLIANCE DATE: L )'Z 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 Z ��a OS- I �� r Town of Barnstable P# L 416 �TMe Department of Regulatory Services Public Health Division ' Hate 9 cj j'Z-?1 L, Y 639.. 200 Main Street,Hyannis MA 02601 µ^M1V1ierr.w P / J t Date Scheduled * / Time / ® -Fez Pd, 6� Soil Suitability Assessment for Sewage Disposal Performed By: Irl, Witnessed By: � LOCATION& GENERAL INFORMATION Location Address hZ ��A f Owner's IZ� Name 5loaa , Nt7rn�et�n l� Address 'l IZ eedariiodl 2�-C1+icy:t Assessor's Map/Parcel: L c p 43 Engineer's Name NEW CONSTRUCTION REPAIR %L. Telephone# Z45a?;-'Z 3 r7—414 a Land Use (, t/�. Slopes(%) �� Surface Stones Distances from: Open Water Body ft Possible Wet Area•��ft Drinking Water Well ft Drainage Way 1��ft Property Line J0ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) < C �� r am of 170 Parent material(geologic) uljo> Depth to Bedrock Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face ivy Estimated Seasonal High Groundwater DETERAUNATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor -Adj.Groundwater Level „ PERCOLATION TEST Dpte Time_ Observation p " Hole# 1 �i Time at 9", Depth of Pere Time at 6" Start Pre-soak Time @ _ Time(9"-6") End Pre-soak `-`✓ Rate Min./Inch Site Suitability Assessment: Site Passed _ Site Failed: Additional Testing Needed(Y/N) Original: Public Healih Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100'of wetland,you must first notify the - Barnstable Conservation Division at least one(1)week prior to beginning. Q:ISEPTIC\PERCFORM.DOC Depth from DEEP OBSERVATION HOLE LOG Hole# Soil Horizon- Soil Texture Soil Color Soil Other Surface.(in.) (USDA) (Munsell) Mottling . (Structure,Stones,Boulders. Consistent %Gravel) , _l3Z �► s 2� Ce DEEP OBSERVATION HOLE LOG Hole# Depth from' Soil Horizon Soil Texture Soil Color Soil Other Surface(in) - (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistencv %Gravel) - - DEEP OBSERVATIONI HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. - Consistency,%Graven DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Graven Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes Within 500 year boundary No A Yes Within 100 year flood boundary No JKI�, Yes Depth of Naturally Occurrina Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? 'u If not,what is the depth of naturally occurring per&us material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Envir ental Protection and that the above analysis was performed by me consistent with the required train' expertise and experience described in 310 CMR 15.017. Signature =�f Date Q:\SEPUC\PERCFORM.DOC a i '4a t —— 42 —— EXISTING CONTOUR N , s = x 42.98 EXISTING SPOT GRADE ® ➢sue S �� W EXISTING WATER SVC. a ---O.-H.KA—OVERHEAD WIRES S'h001 Street !� TEST PIT BENCHMARK LOCUS �a o- LEGENDo - �edor3 �a .c �o 5 ,p poPon 0�' � N 41• 3p LOCUS MAP 29 W NOT TO SCALE 1` 1 1z b0. 0 -40 PART OF LOT 200 ` APN 019-143 \, 22,411 S.F.t 2. + 45.58 �� EXISTING CESSPOOLS �(APPROX.-NOT FOUND) 42 Li 4514 'CONTRACTOR SHALL LOCATE, PUMP, p o FILL`WJ H SAND AND ABANDON. 1� 0 04 Z x 44,3�&� X 4 .79 k\ .� 43.91 w L n N .404 + 45,38 + 44,40 44.13 } ,��o 44,82 x DECK x I Z x 44.71 I ,Ex�s77NG HOUSE (#112) x 4 It PROPOSED 9 T.O.F.=45.74t' 44.52 It I SEPTIC TANK 11'• 44,61 � 21' 00 45.13 45.14 X 45.41 x 44,88 i i 5,09 B 44,95 t 1010l t ; 45.1 45,13 BENCHMARK N 1-a- LEFT OUTSIDE CORNER cv t 1 I � OF BOTTOM STEP t t � cQ) EL.=45.41 (Assumed) Q � TP-2 W �` ► t 45.00 10 —1—a-1—L 44.88 IP c Q C 6 chi 44.62 114.00, S X 44.84 0v M 44.37 ed /29'3Q„ C / Asf9r x/44,49 9e of�9rove/ W 0 4.35 �� �� 44.24 0� PETER T. yG� ood X �^ 44.06 x 44,56 x 4 6 44,01 (43.91 ` o M�I�,E N C #�44.00 --1 + 4 .84` o. 351`09 EDP ���/ 43,66 �`,��-,_�4,356/STER`� OWNER OF RECORD OOD 43.49 JOHN ZAPPALA /Q P.O. BOX 921 , t O,4D j �I CENTERVILLE, MA 02632 I Engineering by: SCALE DRAWN JOB. NO. PROPOSED SEPTIC SYSTEM UPGRADE PLAN Engineering Works, Inc. 1~=20' P.T.M. 249-11 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET Na. 112 CEDARWOOD ROAD COTUIT MA (508) 477-5313 11/8/11 P.T.M. 1 of 2 Prepared for: John Zappala, P.O. Box 921, Centerville, MA 02632 ,. NOTE: TO PREVENT BREAKOUT, THE PROPOSED SEPTIC TANK PROPOSED D-BOX FINISH GRADE SHALL NOT BE < EL.42.3 INSTALL RISERS & COVERS OVER INLET & FOR A DISTANCE AROUND THE INSTALL RISER & WATERTIGHT PERIMETER OF THEE S.A.A.S. OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE PROPOSED S.A.S. INSTALL INSPECTION PORT OVER END UNIT T.O.F.= 45.74t F.G. EL.=44.8t F.G. EL.=45.0t F.G. EL: 45.0t F.G. EL: 45.3(MAX.) MAINTAIN 2% GRADE (MIN.) OVER S.A.S. L = 17' INSPECTION ® S=1% (MIN.) L = 8' L = 12' PORT 4"SCH40 PVC ® S=1% (MIN.) ® S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 6" 13. 10"I s 10.75" TO 1a" INVERT INV.=42.52 48' LIQUID INV.=41.90 - I �� ADD (6 ROWS OF 4 UNITS AT 5.0'/UNIT) + 1.2' (1 COUPLER) = 21.2' GAS BALE INV.=42.19 PROPOSED INV.=42.02 INV.=42.27 DD-BOX SOIL ABSORPTION SYSTEM (PROFIL PROPOSED SEPTIC TANK ESTABLISH VEGETATIVE COVER MODIFY INTERIOR PLUMBING AND PROVIDE BACKFILL WITH CLEAN NATIVE OR NEW SEWER OUTLET AT, INV. PERC SAND TO TOP OF CHAMBERS NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE BREAKOUT=TOP INVERTS, PRIOR TO INSTALLATION. TOP ELEV.=42.33 INV. ELEV.=41.90 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE ON A MECHANICALLY COMPACTED BOTTOM ELEV.=41.00 SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN 2.83' 310 CMR 15.221(2). 5' MIN. ABOVE BOTTOM OF 3) INSTALL INLET & OUTLET TEES AS REQUIRED. T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=17.0' 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE EXISTING SUITABLE AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. NO G.W., EL=34.0 - MATERIAL USE 6 ROWS OF 4-ADS Arc 36HC UNITS + 1 COUPLER PER SEPTIC SYSTEM PROFILE ROW WITH NO SEPARATION BETWEEN EACH ROW & NO STONE N.T.S. TYPICAL SECTION SOIL LOG DESIGN CRITERIA NUMBER OF BEDROOMS: 4 BEDROOMS DATE: NOVEMBER 4, 2011 (REF. P#13,463) SOIL TEXTURAL CLASS: CLASS I SOIL EVALUATOR: PETER McENTEE PE, (SE#1542) DESIGN PERCOLATION RATE: <2 MIN/IN WITNESS: DONALD DESMARAIS R.S. HEALTH AGENT DAILY FLOW: 440 G.P.D. ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH DESIGN FLOW: 440 G.P.D. 45.0 A 0" 45.2 A 0" GARBAGE GRINDER: NO LOAMY SAND LOAMY SAND LEACHING AREA REQUIRED: (440) = 594.6 S.F. 44.5 10YR 4/2 44 7 10YR 4/2 74 B 6" B 6 PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY LOAMY SAND LOAMY SAND PROPOSED D-BOX:: 1 INLET 6 OUTLET (MINIMUM), H-10 RATED 10YR 5/8 10YR 5/8 USE 6 ROWS OF 4-ADS Arc 36HC UNITS + 1 COUPLER PER 42.5 30" 42.7 30" ROW WITH NO SEPARATION BETWEEN EACH ROW & NO STONE Cl PERC Cl BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.80 SF/LF OF UNIT) 24"/36" (Arc36HC Units) 24 UNITS x 5.0 LF x 4.80 SF/LF = 576.0 SF (COUPLERS) 6 COUPLERS x 1.2' x 4.80 SF/LF = 34.6 SF MED. SAND MED. SAND TOTAL AREA = 610.6 SF 2.5Y 6/6 2.5Y 6/6 DESIGN FLOW PROVIDED: 0.74(610.6 S.F.) = 451.8 G.P.D. 34.0 132" 34.2 132" NO GROUNDWATER PERC RATE: <2 MIN./IN. ("Cl- HORIZON) 417.46C GENERAL NOTES: 4 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL e.as" BOARD OF HEALTH AND THE DESIGN ENGINEER. ls" 12.37" 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS. 10.38" INVERT DOME END 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR HEIGHT TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE POST END DESIGN ENGINEER. ]33.75' NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING TO CHANGE VATHOUT NOTICE.PRODUCT DETAIL MAY FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. ENGINEER BEFORE CONSTRUCTION CONTINUES. �g 4640 T BLVD HIWARD.D, OHIO OHIO 43026 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. ADVANCE)DRAINAGE SYSTEMS,INC.• Arc 36HC SIDE PORT COUPLER 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 63.25" THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF V. HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. ls" 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 34.5" 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY TOP VIEW THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 60. CONSTRUCTION. FRODTCAP END CAP SIDE VIEW 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS END CAP IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REAR/TOP MEW REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). NOTE UNIT CONFIGURATION AND AVAILABILITY SUBJECT SIDE VIEW 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE TO CHANGE VATHOUT NOTICE. PRODUCT DETAIL MAY DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. LVD 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND W" 4640 TD, OHIOEMAN 302 IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. wwARO, oHlo 43ozs Are 36HC DETAIL ak ADVANCED DRAINAZE SMEMS,WC. Engineering by: SCALE DRAWN JOB. NO. PROPOSED SEPTIC SYSTEM UPGRADE PLAN Engineering Works, Inc. 1"=20' P.T.M. 249-11 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. 112 CEDARWOOD ROAD COTUIT, MA (508) 477-5313 11/8/11 P.T.M. 1 of 2 Prepared for: John Zappala, P.O. Box 921, Centerville, MA 02632