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HomeMy WebLinkAbout0168 LEWIS POND ROAD - Health 168 LEWIS POND ROAD 020 - 007 - J TOWN OF BARNSTABLE LOCATION I&E5 L k 1�� SEWAGE# :2®1 Ss y33 VILLAGE(e)Jn2 - ASSESSOR'S MAP&PARCEL= INSTALLER'S NAME&PHONE NO. A,) SEPTIC TANK CAPACITY �"" �"aa,,, LEACHING FACILITY: (type) 5M Q(A LVIUIVIVinat(size) NO.OF BEDROOMS 3 OWNER C_C;0 1L PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: 1J !J Q}" Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility T tM 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 =E:p3 S q o� cK ,l r a No. aOI S s t✓� Fee 1. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppliLa.tion for Disposal 6pstem Construction permit Application for a Permit to Construct( ) Repair(ky"U'pgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address_or Lot No. /&6 Zewl S /won! /-? Owner's Name,Address,and Tel.No. C�>rtii r j Assessor's Map/Parcel �Gz�1cs Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. a,.51-s 4 N -T�- C_ Type of Building: Dwelling No.of Bedrooms 3 Lot Size Q10 7jq0 sq.ft. Garbage Grinder( ) Other Type of Building (CsSc f ` No.of Persons Showers( Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3(a gpd Design flow provided gpd Plan Date S—2 1 -(S Number of sheets Revision Date Title tt Size of Septic Tank ►5(l)(o Type of S.A.S. 2 Sb6 erCo,�(' 0 C�IGMIQ�(ajf��(}�S}pN� Description of Soil Nature of Repairs or Alterations(Answer when applicable) C,01 lL 1D a 15-00 ct(Ir Ins C1 rho 61 SS W C G N s Y1ow r,) rg r o ►c.O 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. Signe Date Vqh Application Approved by Date/�2 Application Disapproved by Date for the following reasons Permit No. d�6�s'- Date Issued �� /> ' f ---- ------- L133 Fe e ee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS application for Misposal 6pstem Constift-ttion permit Application for a Permit to Construct Repair(PI-111upgrade Abandon Ej Complete System El Individual Components Location Address or Lot No. 77o. RO Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 0011,0 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 4 c Type of Building. Dwelling No.of Bedrooms Lot Size.- 20 qO sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( Cafeteria Other Fixtures Design Flow(min.required) 122C) gpd Design flow provided 3140 7 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank I S e of S.A.S. 2 Sc(7 _C,(A1)r_ C Description of Soil Nature of Repairs or Alterations(Answer when applicable) pi (-),N) kiC 4�A)(C 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. SignedT �_,- Date n Application Approved by Ia Dat7 Application Disapproved by Date for the following reasons Permit No. (9615-- 44-33 Date Issued 1;L - ---------------------------------------------7------------------------------------------------------------------------ -------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed Repaired V-)--"'Upgraded( Abandoned b;__1 _11 k X I a A T ri C. at I& has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No?o)-7—�33 dated R InstalleekLj,�kC5 A 77)(r,,,,N Designer ulnv It #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system w Ml�ti&nje�s�gned. Date Inspector ---------------------------------------------------- ------------ ------- --------------------- --------------------------- No.9,04­f) — 933 Fee 160 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS !Disposal her 6 ste Construction Permit b Repair Permission is her y granted to Constifukt R r Upgrade Abandon( '-+ 4fSystem located at %A t -A C) ) -C2+01 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 perm Date Approved by Town of Barnstable Regulatory Services Richard V. Scali,Interim Director 4eRNSM DUM Public Health Division 9 39' 1i� Thomas McKean,Director 200 Main Street,Hyannis,MA,02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certifieation Form )Date: 12 Sewage Permit#' Assessor's Map\Parcel r Designers (=iY y`; C,`PTUv \vL< Installer: - .Cruz; kvt Address: 12- LO Crbs Address: el 0 L (i�O x 1 i � tZ�.��� try On P was issued a permit to install a �15 . (date) j (installer) septic system at 6 VI IU f based on a design drawn by (address) dated . J�6 ) (designer) >l- 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 co Hance with the terms of the IAA approval letters(if applicable) PETER T. a e -Sign re) a CIVIL£E No. 35109 L ��5 EC/Si �G\�Q (Designer's Signature) (Affix Desi _ 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 BARN STABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc ! Town of'Barnstable . Pit _ dr1HE gyp` ti� Department of Regulatory Services � l - It BARNnABLE, Public Health Division�T, � .,Date MASS. _ 039. 200 Main Street,Hyannis MA 02601 ' 1 ArED MA't� Date Scheduled Time Fee Pd. ' Soil Suitability Assessment for Sewage DisposaV G'EF SG'I - Q Performed By:�Z +- ` Sz Witnessed By: I � r • I� _ LOCATI N & GENERAL INFORMATION i Location Address .lfv`� CfW°S _� Owners Name Address � Assessor's 1\4ap/Parcel: Q --(�Q ] Engineer's Name NEW CONSTRUCTION_ 'REPAIR/` Telephone# —7 j 1'` I Land Use 2 sc (,e,�,�r�yt Slopes(°/Q) Z Surface Stones Distances from: Open Water Body w ft Possible Wet Area�ft Drinking Water Well IS�U ft + , Drainage Way /11 ft Property Line t Other ft iSKETCH:(Street name,dii�iensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) IV/A I �R i Parent material(geologic) OI �J Depth to Bedrock —_ Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face_pi I Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE j Method Used: Depth Observed standing in obs.hole:' in. Depth to soil mottles: _in. Depth to weeping f-oin side of obs.hole: in. Groundwater Adjustment jIndex Well it Reading late:•.- Index Well level Adj.factor Adj.Groundwater Level PERCOLATION TEST Date Time Obs;ivation aQ— ` Hole# rip-3 Time nt 9" 2 �U Depth of Pere �_=�(p 'J� s 1 Time at 6" Start Pre=soak Timc a �• 41 _ ?�y`� t^t Time(9' 6"):_�. Mr'A r End Pre-soak �L•C1 q [� ��N` Rate Min./Inch C C . 5 l Site Suitability Ass ssme4-:, Site Passed Site Failed:_ Additional Testing Needed(Y/N) + I Original:.Public Health 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. I Q:\SEPTIC\PERCFORM.DOC 3 j DEEP OBSERVATION HOLE LOG Hole Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling '(Structure,Stones;Boulders. — Co i cy.%Gravel) � _� A �s tb 12 V Z— ]DEEP OBSE'R'V_ ATION HOLE I,OG Hole# -2— Depth from Soil Horizon Sou Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stone::,Boulders. Cons' gay.98 Gravel) T. �^ DEEP OBSERVATION HOLE LOG Hole# 3 _ Depth from Soil Horizon Soil Texture Soil Color Soil Other S�rface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistengy.%Giawel)_ d _-0 A a-V i ---- -- ]DEEP OBSERVATION HOLE LOG. Hole# �I Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones',Boulders. Consistravel) F�ood hnsurance Rate Maw Above 500 year flood boundary No— Yes Within 500,year boundar), No Yes Within 100 year flood boundary No i De th oi'„1\fa_turall. O.ecurring Pervious Material oes at least four feet of naturally occurring pervious materlal exist in all areas,ob erved throughout the ro osed for the soil absorption tion system? -- a ea rP P P If not, what:is the depth of naturally occurring pervious matorial?,....� Csertineation I ceT rtifp that on << �`� � (date)I have passed the soil evaluator examinati n approved by the epartment of Environmental Protection and that the above analysis was performed by me consistent with the requirea!trt►i 'ng,expertise and experience described in�10 CNM 15.017. Date Y j f,; — S,ignaturt�.. - , i Q;�,SFPnl C;P.BRC:FORM.DOC -99--EXISTING CONTOUR N x 100.98 EXISTING SPOT GRADE ` LOCUS W EXISTING WATER SERVICE , -e.H.W-OVERHEAD WIRES © / 1 /� Lewis P°0a ROpd TEST PIT BENCHMARK LEGEND \ �°° ��- Lewrs� won or eSchool Street v r D Z x LOCUS MAP N NOT TO SCALE m x 31.27 x 31.06 + 28.41 S 83'46'50 E 1 30.00' w 1 ; 25.95 1 CBdh LOT 10A 20,240\±SF _ x 29.26�� MBL 020-007 cV / I EXIS771(G CESSPOOLS / TO BE/ WIPUMPED, FILLED /TH SANDS& ABANDONED, OR/REMOVED 4 I x 28.31 30.72+ TP-1 0 I 3� vJ I cb7 pj��P�a 0 1 20 29.45 30 ;37' � BENCHMARK- `O4 DOOR THRESHOLD o OF x 35,51 C 3t.22 ��\ EL.=31.19 x 30.92 Z G�33.42 1 x 3s x 30.07 7 e, 0 ~T F oUT /-10' O 3 x Cj �jC `3�2� 30.85 34ao EXISTING N o . . . . . . . . . . . . . . . �e TM-LEVEL PROP. .� HOUSE(#168) �' ,y SEPTIC .- N �. cb TANK 31.91 34.30 34.21 �.�� DD T -� 34.28 CLEANOUT x 35,55 DECK p 33.74 x 35.15 34, + SUN ROOM 34.85 34.33 x 34.7 _ 34, BRB fnol. CBdh 25.68' 37.34 35.23 =96.95' 36.28 N 87*49'40" E \ 36.94 R=-340.00' 37.51 x U,P. \ 37.19 EDGE OF PAVEMENT 36.89 37.39 37.38 •36,43 LEWIS POND LOAD 36.04 of 4 4 ss9�y o� PETER McEN 1EE E PROPOSED SEPTIC SYSTEM UPGRADE PLAN VIL No.. 35109 5 168 LEWIS POND ROAD, COTUIT, MA RFGISTE � �� Prepared for: Steven Cook, 43 Brewster Road, Mashpee, MA 02649 OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO.COOK, HENRY E Engineering Works, Inc. 1"=20' P.T.M. 139-15 168 LEWIS POND ROAD 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0. COTUIT, MA 02635 (508) 477-5313 5/21/15 P.T.M. 1 Of 2 NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=27.5 FOR A DISTANCE OF 15' FROM THE EDGE SEPTIC TANK PROPOSED D-BOX OF THE PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE PROPOSED S.A.S. INSTALL RISER & COVER OVER EACH CHAMBER AND CELLAR FLOOR EL.=31.2t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT F.G. EL. F.G. EL.=31.5t F.G. EL.=30.1 t F.G. EL=30.5t (over outlet) f f MAINTAIN 2% SLOPE OVER S.A.S. L = 22' 3'(max.) L = 24' = 5. 4"SCH4H40 PVC ® ® SC (MIN.} ® S=1% (MIN.) S=1% (MIN.)4"SCH40 PVC 4"SCH40 PVC 2" LAYER OF 1/8" TO 1/2" 6" DOUBLE WASHED STONE t0"I 6 eaaSaaa (OR APPROVED FILTER FABRIC) 4" 8669688 INV.=28.25 48' LIQUID aaaaaaa 3/4- TO 1-1/2" DOUBLE LEVEL WASHED STONE ADD INV.=27.27 PROPOSED 4' 5.2' 4' GAS BAFFLE D-BOX INV.=27.10 EFFECTIVE WIDTH = 12.8' INV.=28.00 3 OUTLETS INV.=27.00 PROPOSED SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS CONNECT TO EXISTING SUITABLE SEWER PIPE/S SURROUNDED WITH STONE AS SHOWN AT HOUSE, AT OR ABOVE, INV.=28.5t verif H-10 RATED TOP CONC. ELEV.=28.3t NOTES: BREAKOUT ELEV.=27.50 eaBB INV. .ELEV.=27.00 aBaaa 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & aaaaaaaaaaa aaaaaBBaaaa INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. BOTTOM ELEV.=25.00 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND 4' 2 x 8.5' = 17.0' 4' TRUE TO GRADE ON A MECHANICALLY COMPACTED 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0' SIX INCH CRUSHED STONE BASE, AS SPECIFIED PERVIOUS MATERIAL IN 310 CMR 15.221(2). 5' (MIN.) ABOVE G.W. LEACHING SYSTEM SECTION 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM OF TEST PIT, EL.=19.1 =_ 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. SEPTIC SYSTEM PROFILE GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL SOIL LOG BOARD OF HEALTH AND THE DESIGN ENGINEER. I 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DATE: MAY 14, 2015 (REF#14,677 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE SOIL EVALUATOR: PETER McENTEE PE(Q1542) LOCAL RULES AND REGULATIONS. WITNESS: DAVID STANTON R.S. HEALTH AGENT 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR ELEv. TP-1 DEPTH ELEv. TP-2 DEPTH TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. 30.8 A 0 30.6 A 0" 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING _ LOAMY SAND LOAMY SAND FROM THOSE SHOWN HEREON-SHALL BE-REPORTED TO THE-DESIGN 30.3 B 10YR-4/2 6" 30.1 B 10YR 4/2 6" ENGINEER BEFORE CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. LOAMY SAND LOAMY SAND 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 10YR 5/4 10YR 5/4 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 27.3 40" HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 27.3 42" C C PERC 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 28"/46" 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 9. ALL AREAS CLEARED FOR,CONSTRUCTION SHALL BE RESTORED AS MED. SAND MED. SAND AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 2.5Y 6/6 2_.5Y 6/6 DIRECTED BY THE APPROVING AUTHORITIES. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 19.3 138" 19.1 138" IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND PERC RATE <2 MIN/IN. "C" HORIZON REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). NO GROUNDWATER ENCOUNTERED 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC ELEv. TP-3 DEPTH ELEv. TP-4 DEPTH SYSTEM COMPONENTS NOT SHOWN ON THE PLAN 30.2 A 0 30.1 A 0" LOAMY SAND LOAMY SAND 29.5 10YR 4/2 29.4 10YR 4/2 8" B 8" B LOAMY SAND LOAMY SAND DESIGN CRITERIA 27.9 28" 27.6 C C 10YR 5/4 10YR 5/4 30" PERC NUMBER OF BEDROOMS: 3 BEDROOMS 36"/54" SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) DESIGN PERCOLATION RATE: <2 MIN/IN 2 5D g/6D M2 DSY 6/6 DAILY FLOW: 330 GPD DESIGN FLOW: 330 GPD GARBAGE GRINDER: NO-not allowed with design LEACHING AREA REQUIRED. (330 GPD) = 445.9 SF 19.7 1 126" 19.6 126" .74 GPD/SF PERC RATE <2 MIN/IN. "C" HORIZON PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY NO GROUNDWATER ENCOUNTERED PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED USE 2-500 GALLON LEACHING CHAMBERS IN SERIES PROPOSED SEPTIC SYSTEM UPGRADE PLAN SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 68 LEWIS POND ROAD, COTUIT, MA SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. Prepared for: Steven Cook, 43 Brewster Road, Moshpee, MA 02649 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:.............................................................. 471.2 S.F. Engineering Works, Inc. N.T.S. P.T.M. 139-15 DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 5/21/15 P.T.M. 2 of 2