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HomeMy WebLinkAbout0041 CLAMSHELL COVE ROAD - Health 41 Clamshell Cove Road Cotuit 006-052 i No. . v ._ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Y 0(ppYication for Migponl �&pgtem Cong4ructfott Permit Application for a Permit to Construct V Repair( ) Upgrade( ) Abandon( ) U Complete System ❑Individual Components Location Address or Lot No. 41 Ua L Skefl CWC.-4Y Owner's Name,Address and Tel.No. cc,f;.,,`}- 7�v r G�cs S` ' fed tla-�,b6i Assessor's Map/Parcel ®p D S �` 5�u� ce Installer's Name,Address,and Tel.No.%�� ��zE" Designer's Name,Address and Tel.No. r!s ) 1$' 341 a -7 Cczn-fy itd. lih4,-4- �.� �!�� Sul/,'✓u� A -�ic. -7 7 to,?34®577t/ 6ss Type of Building: 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) 36( gpd Design flow provided �� �(, gpd Plan Date Nis dot Number of sheets Revision Date Title ro ©Se Ex,,Y gi 4zC Jza . �o7�ir 5 Size of Septic Tank /S00 oa/1©v2 Type of S.A.S.�3) _b0�M.floa Description of Soil It," x,`/1 of 9" A l.a.y,-, 10Yk SdH4 Lam r'! C Laver- hoYR:fA ,feaa+,v Say d S ; 'r ��� /0 %R Seitjy 1=,0crv1 "-�7`` Bw;z 2*ea- /B iWJ6 Aj4 ', � "i2® C�ctver' 2.5- �,/�, Medium 5�cf Nature of Repairs or Alterations(Answer when applicable) 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 is this Board of Health. Sign Date /t Z Z/0 Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. `r Date Issued No._ cr <# •-�«r h -' �Y Fee ..!- 7. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: .PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Ye 0.. ZIppYication for Mt 15po.5ah6P5tPm Con5tru}ction Permit Application for a Permit to Construct(V' , Repair( ) Upgrade'( Abandon;( ®•Complete System El Individual Components Location Address or Lot No. 41 Uawi 54 ell Cc L°V Owner's Name,Address,and Tel.No. co`l�v:l- ,. "'.i.d q.{-. S ley 0414tbjeti Assessor's Map/Parcel 00(o O S� ' �WI ti 51 ok Gp, "oJna n241I ` Installer's Name,Address,and Tel.No.%7. 4-5 c71 A `LSdvLc Designer's Name,Address and Tel.No. +!SOS! 4.28- 35-11 .2 7 C�/r-/y /t o*. �J?4 d.�p. / bh Svl1,'✓a,w �,4 'Neer,' -7 7 4/ 3�-577�/ 7Parke !p o Type of Building: i Dwelling No.of Bedrooms - Lot Size sq.ft. Garbage Grinder-(-• .Vo Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 361 gpd Design flow provided :Z 30 gpd Plan Date Rod as !:ZOQ5' Number of sheets nRevision Date Title fro` annyPw nrs n n 4 c uv )Arnt rs p f�7 � /f,� s Size of Septic Tank /'SOD n2y/1122 Type of S.A.S. /2) fi0t7 041101f Description of Soil Lo" '/)/ n'!a" �Cl iT n�/��/1 4�.. il// �r�T�'�_r" (= !n v Sl.. (� nn a/ y chi., M���u►u SAP _� —a Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: r �� accoThe undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in rdance 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 iss,eddy this Board of Health. Signe Date Application Approved by �rf v v / Date Application Disapproved by: X"` �, Date for the following reasons ,! 6 i` Permit No. Date Issued 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?q s.v, A' -Swr�— at -11 Cj �p// /� �Q (� - i has been construe ed in ac ordance y nrar� �n✓e na u, a with the provisions of Title 5 and the for Disposal System Construction Permit No. dated l .-' Installer J4.Soa�, q .Sc lV eC— Designer #bedrooms �� 1 -Approved design flow '>�3r dJ gpd The issuance of this permit shall not be construed as a guarantee that the system v f f1 unctian�as Date / 'n//;g/flr� Inspector _- -------- ---------------------------------- No. D� Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION ,` BARNSTABLE, MASSACHUSETTS Migpo!goY *pgtem Congtruction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at 41 /0,,�4���/ and as described the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Tit1NS and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of thi I�- Date { Appjoved by Town of Barnstable IHF y�P ti* Regulatory Services • &XRNSTgsLE. • Thomas F. Geiler, Director 9 6& Public Health Division Thomas McKean Directo r 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: `' �� p (� Designer: ��- -C �yL���/C� Installer: Joy Zr Address: 2> Address: On was issued a permit to install a (date) (installer) septic system at 141 C L_A S►-t•c L t_ ,2,? based on a design drawn by (address) S�c-��vr��-.r lam.t�..t F��a.►c��,,..cCz L . ^� dated �10 V 2z �- (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. I certify that the septic system referenced above was installed with major changes (i.e. r 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. OF (Installer's ignature) (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 BARNSTABI PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form TOWN OF BARNSTABLE LOCATION �"✓ C�Q�nS�I�� (it/Z— c, SEWAGE # 0 VILLAGE tN -Ec9F-E- ASSESSOR'S MAP & LOT DOb !05X INSTALLER'S NAME&PHONE NO. OA A. cYdctZO� SEPTIC TANK CAPACITY I.5 00 AtAm H-it, { LEACHING FACILITY: (type) i 21 4 (size) I HOC�1 •� NO.OF BEDROOMS 3 BUILDER OR OWNER �CQ VW• e t PERMTTDATE: L 1% 1!S COMPLIANCE DATE: 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( et of leaching facility) Feet Furnished by 0 Qc �pia 3�o_yv � � H Ut6 `�I�,4'c .mil Ccn�nzNc:� • i Town of B I instable r# Department of Regulatory Services • : ' Date- Public IIealth Division Mwsa $ 200 Main Strcc4 Hyannis MA 02601 �ssif �e rtn ram" l�w1 <70 1 ( Fee ra. / Date Scheduled 15 'Time Soil Suitability Assessment for Se e Disposal Witnessed By. Performed By: J lk n �-�,ItnOP(r1(L; ` � i LOCATION & GENERAL I"ORMATION Owner's Name pn,3,r> r 51 A 1✓z­t: Location Address' Address 4#tnt5Z, CJ ` ( Engineer's Name Assessor's Map/P4reel: J Telephone# NEW CON.STRO&ION ✓ REPAIR ` 3 Slopes(%, b• 1/Q Surface Stones �Lti Land Use QPS;IrI�lc- \ P i 1 t Drinking Water Well 5a ft Distances from: open Water Body OO S ft I'assihlc Wet.Area 2 ft R nrainage Way Z�_ft Property line It Other N its&perc tests,locate wetlands in proximity to holes) SgETCII:($trcet name,dimensions of lot,exact locatimis of test hn +TH-Z THA .� i I Depth to Bedrock Parent material(gedlogic) S I ! Weeping from Pit Pace N� --- ---- Depth to Groundwaler. Standing Water in 11o:i e: hlria�2 r � Estimated Seasonal:High Groundwater. Pef- T 0.3. �0 w Mee i IATCRNIINATION FOR SEASONAL HIGH WATER TABLE Method Used: nM _in. Depth to$olt tnoltlf5: fr. Depth 01*crvcd standing in obs.hole: In groundwater Adjustirtent Depth tolweeping from side of obs.hole: A�,{actor. _ �- Adj.0ioundwater Leval. - Readin Date: Index Well# Index Well level. g i fly Time v: • PERCOLATION TEST vote . Observation Z Time at 9" ------ I lole# t i Time at 6" Depth of Pcrc 3y— LS ime(9"-6") ---" " Start Pre-soak Time C - �.S/rp11 i • lard Pre-soak Z lvw�Itr, site railed:_-_-- Additicmal Testing Needed(YIN) Site Suitability As.%cXsment: Site Passed= original: Public l lc'11h Division Observation [fate Data To Be ComPlelcd oil Back----------- 0' of wetlal ***if per cola ion test is to be conducted within 10t,,Iyc tinnung�rst notify the Il;trnsl;tlrlc (�tsr)tcrvalion Division al (cast one (1) week prior 1? DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil I Other Surface(in.) (USDA) (Munsell) Mottling (Struc�ure,Stones,Boulders, \ on sten ravel O,r FI t_L U'Z-�t t_o IOy� Z Z_Srt l o�ry it 7—Z7 �o►�ry 'vy� 2 7-1Zd C. 47 -P7 EEP OBSERVATION HOLE LOG. Hole# Z oil Horizon Soil Texture Soil Color Soil Other (USDA) (Munsell) Mottling (Structure,Stones,Boulders. C nsi enc 96 ra e L y /bye Z mC� 'PEEP OBSERVATION ROLE LOG Hole# Depth from. Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. i is c Gravel) 'j ;DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, ffi n re I Tiood Insuranje Rate Mau: Above 500 year flood boundary No— Yes..!_ Within 100 year boundary No`"' Yes Within 100 year flood boundary No Yes Depth of NatEllfally Occurrine Pervious Material Does at least fo r feet of naturally occurring pervious material exist in all areas observed throughout the area proposed r the soil absorption system? yE,'�- � If not,what is the depth of naturally occurring pervious material? Certification I certify that on. b (date)I have passed the soil evaluator examination approved by the Department of f nvironmental Protection and that the above analysis was performed by me consistent with . the required training.ex rtl and experience described in 310 CMR 15.017. Signature Date 11.00Z QASEp`T1CWERCV0RM.DOC _ I Pvio, Lot 4 V, to :0 rj •'' `. ,. Lot 5 coVeohw ohw o rw oh w _ Q r 35. r Lot 24 Owner., 18,045f SFanted fbom TOPO!®1998 i�ildElDwe: waa,•i� David M. & Shirley T. Hamblen 7 Winston Road Lexington, MA 02421don MBA x 39.0.\ � rFractY?� _, Lot 23law ,--20oof o =,,. Design Data OVERLAY DISTRICT: 1 ;%� F°on � x3 o ;! Single Family — 3 Bedroom Daily Flow = 110 x 3 = 330 GPD AP — Aquifer Protection District de°``h ° ' Septic Tank: As Shown on Plan Entitled / tog io.o•r., '"e' Vr 330 GPD x 20090 = 660 GPD Revised Groundwater Protection Use 1,500 Gallon Septic Tank " — v P P Overlay Districts April, 1993 Leaching Area V Aj 40.4 a ra, der' �Q��� SFORegPDr 0.74 = 446 SF FLOOD ZONE. ed Sidewall = 158 SF 2x(12'+27.5')x2 - e�d� ! tv Bottom Area = 330 SF (12'x27.5) Community Panel No. -a 488 SF Total Provided #250001 0021 D July , O0 F�cG Leaching Chamber Zone2C 1992 ! Ss9• ;� �� a�' Design TBM EI=39.48 `ra• 06 �� All Pi es to be Schedule 40. ® to of CB DH ` +�`� Pt°�ec��ta ;r,0 �`o Use �3)-500 Gal. Leaching Chambers .y8o SVO �a In a Washed Stone Field as Shown. ��''�F ``` yag Check: (488 x 0.74) = 361 gal ASSESSORS REF,: Mop 006, Parcel 052 8S F0. Le end: ZONE: / OF ® Catch Basin RF o CB/DH Area (min.) 43,560 SF R ® Water Gate (round) RPOD Area (min.) 87,120 SF f �29R -- Utility Pole Fronta e (min) 150' P' CIVIL © Gas Gate Width min) N/A O Iron Pie Setbacks: Front 30' Side 15 Rear 15' NDYES/?lEM901V5: PREPARED FOR: PREPARED eY: R.E Existing system to es abandoned in place or removed David M. & Shbley Hamblen Sullivan Engineering, Inc. rape N Existing structure destroyed by fire. V s u r Proposed Improvement Plan at Winston Road ' �r dad P. a�.6s9 MA 7 Road 41 Clamshell Cove Road .�.�.Lexington. MA 02173 <soe� .!.�-s+rs r. o,ce�va�e MA oZsas r Rdd• ' - (M)�o-3N•/,m_3N3�,. Barnstable- (Cotuit) Mass. DY9/.1DD Rea Date: Fidel RRLK RSMew RRL W Droll.. owe/zi) ,we zsois Droll. RRL/Nkl( Rea Data: A Ir. • ReKer. PS NOV 22, 2005 ft�', PERCH TEST] 11,146 SULLIVANM BSANN❑T E S By'DON its Finish Grade VNOV 9,2M 9" Min TEST HOLE - 1 1• Water Supply For This Lot is Municipal Water, 3 MAX _ Filter "ERF0�e9 ULLOIVAN Mx 2. Location of Utilities Shown on This Plan Are Approx, Compacted Fill Fabric At Least 72 Hours Prior to Any Excavation For This r Project the . Contractor Shall Make the Required 2" Min t/e" t/2" A LAYER IOTR2 caon g ,l Notifiti to Di Safe (1-888-34.4-7233) - o•� Pea Stone E LAYER Lamle 3. The Contractor is Required to Secure Appropriate. • LOAM"SA1p Permits From Town Agencies For Construction a a ® o a �l u�R 1°YR3,3 3� — vY Lam Defined by This Plan, a a a o - '"'LAB 10YR7,6 4. Install Risers to Within 6' of Finished Grade. T'-27 li°AM,Y SANG 2� a a a a CO � e>•_m C LAYER MD mle, �3�L'i 5. All Structures Buried => (3) Feet or Subject to Vehicular Traffic to be H-20 Loading. Co �C7 3/4• - t t/z' I aA a Tn Na 6. Septic System to be Installed in Accordance With Double Washed �*<alnU L Stone NO GROUNDWATER ENCOUNTERED 310 CMR 15.00 Latest Revision and the Town of TEST HOLE - 2 Barnstable Board of Health Regulations. �--- 4'-10' YERrOOFNNOV'912003 N°� 7, All Piping to be Sch. 40 PVC, 12'0' lor FILL 8. Wherever Sewer Lines Must Cross Water Supply Lines, Both Pipes Shall Be Constructed of Class 150 CROSS SECTION OF CHAMBER 01-Z A LAYER IpYR2,1 Pressure Pipe And Shalt Be Pressure. Tested To E LAYER IDYR7,e Assure Watertightness, NOT TO SCALE 26'-51 LOANT SOD °•t LAYER I0YRW3 -A110Y LOAN Del LATER 10YR5.16 6DMY SAND G97 2T-120 C LAYER 10YR6,6PEW 27 G TEST 10l� J aEGLT<aw/a�o/C is NO GROUNI0VATER ENCOUNTERED TOF EL. 43.4' Design Data r. F.G. EL. 40.4' See Nate 4 (t)p.) Single Family — 3 Bedroom r: See Note 4 (typ.) F.G. EL. 39.1' See Note 4 (typ.) Daily Flow = 110 x 3 = 330 GPD D—Box H-20 SeptlC Tank: ='a.• Filter Fabric GPD ---------------� � _: � Top E►. 37.8' Mln Use 1,500xGa�on Septic660 Tank PD a o a o 0 0 1rr r Leaching Area ooaoa EL 36.9' EL. J6.8' r 1,500 Gal �Baftle q � O O G O G _e Flow E uilizers + �'+' •, �..�` Septic Tank As Required I zr Bat. El. 34.8' 330 GPD / 0.74 = 446 SF H-20 ! - SF Required Leach Chambers ' r Bedding, "rs, 'Us, (3) 500 gallon Sidewall = 158 SF 2x(12'+27.5)x2 & eaffels H-20 Bottom Area = 330 SF (12'x2 5') FOUNDAAON r o- a a- as Per Title 5 488 SF Total Provided BY r� i t'4 r r z saw z-, r bK -c" , If Encountered Remove & Replace M Test Hole t El. 2a3' OTHERS s: .� �� ;~ All Unsuitable Soils Within 5' of No Water 10' The Outer Perimeter of The System Leaching Chamber Min. t; HOF Groundwater 1 EL 3.7' Design Min. Per r.o.B. Gw-Maps All Pi es to be Schedule 40. Min• Use �3)-500 Gal. Leaching Chambers PROPOSED SEPTIC ��+' In a Washed Stone Field SYSTEM PROFILE„ M.2s7e� e d as shown. NOT To scAi.F CIVI Check: (488 x 0. 74) = 361 gal Title: Prepared By. -rtd For: 40 PROPOSED IMPROVEMENT PLAN Sullivan Engineering, Inc. FScale: V 22 2005 PO Box 659 David .M. & Shirley Hamblen a AT 41 CLAMSHELL COVE ROAD Osterville, MA 02655 7 Winston RoadN BARNSTABLE, (cotvrt) MASS (508)428-3344 (508)428-3115 fax LeXingtOn, MA 02173 Noted PsullpEabol.com Project # 25035 1 23'-3" 16-9 M� SIN I DW I Q D KITCHEN p �, (('�� (VAULTED CEILING) O Y b n W GY (127 x 137") 'RANGE Iw O Q �-• w cn y � W m� U) W ISLAND ( ;• �, � �.., �D cv rft Y , ` w � 00 STOR. O ♦ I I 'PrT UBI SHOWS I C S. C BATH ' I , HAL f DINING A;,� (8'-8"x 157) l SCREENED PORCH I • 4' BEDROOM #1 CLOS. ; ,, , (11'9"x 1T10") LIVING I u O s o UP CLOS. •� b W O � b COVERED co PORCH ` ,� �o AAAAAJ W CYJ SCALE : P 1/4„ = 1,_0,� Y DATE : 14'-0" 10/28/05 FIRST FL 0 0 R PLAN JOB N0. - HAMBLEN THE DESIGNER SHALL BE NOTIFIED IF ANY ERRORS OR OMISSIONS ARE FOUND ON FIRST FLOOR = 1137 S.F. THESE DRAWINGS PRIOR TO START OF DRAWING NO. : SECOND FLOOR = 740 S.F. CONSTRUCTION.THE BUILDING CONTRACTOR COVERED PORCH = 260 S.F. WILL BE RESPONSIBLE FOR THE CONTENT SCREENED PORCH/STORAGE = 308 S.F. IN THESE DRAWINGS IF CONSTRUCTIONCOMMENCES WITHOUT NOTIFYING THE PRELIMINARY R E L 111 A I N J� RV D p /�\Jfl I N G DESIGNER OF ANY ERRORS OR OMISSIONS. 1 �N� 1 V/""\ T R/`'\V V 'V THESE DRAWINGS ARE SOLELY FOR THE USE OF USE OF A I FOR DESIGN REVIEW THESE DRAWINGSWNER REQUIRES THE WRITTEN THESE DRAWINGS REQUIRES THE WRITTEN CONSENT OF THE DESIGNER. 23',T 16'-9' 10'-0" M� � � Qv KITCHEN ROOF BELOW �D N _ w pco <� o 0 TUB/ SHOWS f BATH - - - - � - L - - - - HALL DN. O V BEDROOM #2 BEDROOM43 % 0 (15-5-X 2T-27) " %A (15V X 23'-T) oz CLOS.i I CLOS 06 b PORCH ROOF L'NE 0#WALL0-J Co BELOW l 1r BELO 4'-410 27',T w co 1 SCALE 36' 10/28/05 t JOB NO. : SECOND FLOOR PLAN- HAMBLEN DRAWING NO. : PRELIMINARY DRAWING FOR DESIGN REVIEW A2