HomeMy WebLinkAbout1326 MAIN STREET (COTUIT) - Health (2) 66 School Street
COtUIt,
A='033 - 023
TOWN OyF�BARNSTABLE
LOCATION LPG S C20 � � I. SEWAGE# 1 1—
VILLAGE fi(�(� ASSESSOR'S MAP&PARCEL(( 3 5
INSTALLER'S NAME&PHONE NO. �Okvu� r1t5 k e_3`
SEPTIC TANK CAPACITY /,SC)®
LEACHING FACILITY: (type) A C, H C (size)
NO.OF BEDROOMS
OWNER tXQ tQ
G!�
PERMIT DATE: ` i� — 1 COMPLIANCE DATE:� �V
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
a174
43w
r
L ` AT1.0M � . SEWAGE PERMIT NO.
VILLAGE
IMSTA LLER'S NAME & ADDRESS .
s
UIlDE OR Ow ER
: o All,
DATE PERMIT ISSUED
D A T E C0M ►LIANCE ISSUED
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Town of Barnstable P# 13,�o �L
Department of Regulatory Services
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Public Health Division Hate z
�639 ♦� 200 Main Street,Hyannis MA 02601
Date Scheduled ��. •Time 1,f 0 J
Fee Pd.
Soil Suitability Assessment for Sewage pispqsal
Performed By: ���i;� S Witnessed By: /n v1 tlV(-
LOCATION& GENERAL.INFORMATION
Location Address // ( � �
`(% / Owner's,Name /J
J �.�'^J� �N�� ame d1410�IN�i�U� G(l�f�f�✓
Address f J
Assessor's Map/Parcel: 3 �, Qd-
. , 3 _ Engineer's Name G(A.- F. ..
NEW CONSTR
UCTIO
N REPAIR Telephone# SV r—
Land Use Slopes(9b) 3 Surface Stones /Yy
Distances from: Open Water Body Z 00 ft Possible Wet Area ft, Drinking Water Well 7/Sio ft
Drainage Way —ft Property Line d ft Other
ft .
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands fn proximity to holes)
I ,
1 M4t o
0
Parent material(geologic) 01/t"6%4 k Depth to Bedrock 7 3 00
Depth to Groundwater. Standing Water in Hole: Weeping from Pit Race °
Esti >mated Seasonal High Groundwater ;
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used: _f o; / 6VV-1 '
Depth Observed standing in obs.hole: in. Depth to soil mottles:
Depth to weeping from side of obs.hole: in, Groundwater Adjustment f[.
Index Well# Reading Date: Index Well level fir, Adj.factor— Adj,C roundwater level L
PERCOLATION TEST bate 2, r� „ Tone lrAM
Observation /
Hole# Time at 4"
Depth of Pero Time at 6" �
Start Pre-soak Time @ 00.00 'rime(9"-6").�
End Pre-soak d G'30
Rate MinJlnch
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division r 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:1.SEPTICIPERCFORM.DOC
DEEP-OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil .
Surface(in.) (USDA) (Munsell) ,r Nlottlin Other
g (Structure,Stones;Boulders.
O ` i 3 ot�sistencv�, ,raven
c S 10 `le
13-31 LS t0y10Vs tiv
/SIkd-come_i" ivy 6 �v
DEEP OBSERVATION HOLE LOG Hole# Z
Depth from Soil Horizon Soil Texture Soil Color Soil
Surface(in.) Other
(USDA) (Munsell) Mottling . (Structure,Stones,Boulders..
0 — 12 i4 o i en %
i 2-
6w s 6 .v®
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color . Soil Surface(in.) (USDA) (Munsell) . Mottling O��
(StrrctuOtSeones,Boulders.
travell
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders,
Consistency.
Flood Insurance Rate Map: /
Above 500 year flood boundary No_ Yes ✓-_
Within 500 year boundary No= Yes '
Within 100 year flood boundary No.— Yes
Death of Naturally Occurrine 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? P/�
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on Z / 9 f (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me consistent with .
the required tra' 'ng xpertis n xpe 'ence escribed in 110 CMR 15.017.
Signature Date
Q:\SEPnC\PERCFORM.DOC
I
71
No. I! �` � Fee DO
THE.,COMM.ONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
Application for Disposal 6pstrm Construction VQrmit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. �& 5no��aj :Sr,5��( -Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel (33 5 —0 ?f3 01"10-, r-o , AJIV �
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
,s1�-ee J iL-�a�oo Q" h S
Type of Building:
Dwelling No.of Bedrooms 1� Lot Size sq.ft. Garbage Grinder( )
Other Type of Building o 0 No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 3 31D gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank /5 b Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) e-0 t
Date last inspected:
• Agreement:
The undersigned agrees to ensure the construction and mainten/ of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environment Code a �d n t to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Sign Date
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. ftjl� I I "1 r�-� Date Issued kA74,Vq
i
r .
ID—
` ,'No. Fee /
00
t Entered in computer:
THECOMIIQONWEALTH OF MASSACHUSETTS�� ,
UBLIC HEALTH'DIVISION -TOWN OF BARNSTABLE, N7ASSA-CHUSETTS _.' Yes
application for Disposal pstem Con
struction Permit
Application for a Permit to Construct( ) Repair.;( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
t
Location Address or Lot No. 'Ldo� �r � wner's Name,Address,and Tel.No.
Assessor's Map/Parcel 031 --0 �-� �i�-��fl 65AJ TA5
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
igodl sh,�,c ��.2�IL-a�oo O'er, Rtr n S
J
TI pe of Budding:
Dwelling No.of Bedrooms �� Lot Size sq.ft. Garbage Grinder( )
Other Type of Building k d 6e No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 3 3'D gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank /5 b 0 Type of S.A.S. /2
Description of Soil +'i
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 Environment Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Si
gn Date
Application Approved by Date
Application Disapproved by Date
for the following reasons '
Permit No. �e: ( � (� Date Issued ,
THE COMMONWEALTH OF MASSACHUSETTS '
TG^ °^ `/ �� BARNSTABLE,MASSACHUSETTS
Certificate of Compliance,
THIS IS TO CERTIFY,that the On ite Sewage Disposal system Constructed( ) Repaired( Upgraded( )
Abandoned( )by dew
at 6 b WAI-01CL v3 V has been constructed in accordance hh�
with the provisions of Title 5 and t.e for Disposal System Construction Permit No. C�/J"Op��ated
Installer Designer(-r(�� mot - tD�
#bedrooms t$ Approved de ign flog 9W JgS7 gpd
The issuance of this trmit shall not be construed as a uarantee that the s stem w l fiz\ t'ion as desi ne .
..,..� P g Y g
Date > 3 Inspector DU
No. U J 1 —� L L Fee d
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
bisposal *Pete onstrUction Permit
Permission is hereby granted to Construct( ) Repair( Upgrade( )) Abandon( )
System located at��^Q �,Ali S( l_�• i-V t
r
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.
...t
Provided:Construction must be completed within three years of the date of this p�e��
Date L� � \ Approved liy�
r .�
F 'Town of Barnstable
Regulatory Services;
41, Thomas F.Geiler,Director
Public Health Division
�. o
619�A1� Thomas McKean,Director
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
r Date / Sewage Permit# All— [99 aAssessor's Map/Parcel
Installer&Designer Certification Form
Designer: 6(E Installer:
Address: Lncfo, k. Address: N
On J,,Ae,,1 /J was issued a permit to install a
(date) nstaller)
septic system at �� ��� f�, o`tis based on a design drawn by
(address)
t l � o yid � 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 &Loca lations. Plan revision or
certified as-built by designer to follow. Stripout(if r. ected and the soils
re found S. sfactory. ERIC
'tss
9p \
HARMNGfON
(Installe s ignature) NO.1070
N/TACK
(Designet6s S' ature) (Affix tamp 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
N
31 HIGH STREET 3-20'WA►L AOCESS MANHOUX Au owlet woes FROM THE
B.M.
r- 095-097 SET LM RA�sr2 FT. 12 coNcserE coven
V.M< town water n• s - s'OURET ' s
.'• KNOGxelns 'ti N ,�
' I6, l tz• iraer r* y
ountT 0 a
CIr FENCE " THE ACCESS COVERS FOR THE SEPTIC TANK, 1. e + I O
CB L final INLET - euPiT DISTRIBUTION BOX AND LEACHING COMPONENT ' 2
CD fnd , 89't ;; K SHALL BE WITHIN e'OF FINISHED CRAOE. ,es :r
99,76• 12.05 INSTAL.Tu'-TiTE GAS BAFFLE OR EQUAL PLAN-SECTION CROSS-SECTION School Street ON All aUTi.ET TEE ENDS
�: :.•,.r. 5 HOLE H-20 ISTRU, TION BOX
,GARAGE STEEL REINFoacED PRECAST CONCRETE SEPTIC TANK SHALL BE SEALED
dot llorir
PLAN VIEW TO ASSURE WATER-TIGHTNESS NOT TO SCALE
98;92' X J-W MEMO;ABLE COVFJtB
99b 9.%,X GAZEBO /
TH rtt to, INLET a ,xln. 'meat d au�T M sscr ;T COTUIT
w.. � ,. -,.-2
I LOCUS
I x t i�a depth NO SCALE
99.37' SO F 40 NIL L a.••.;. :s.. rr..
CROSS-SECTION END-SECTION GENERAL NOTES
in
99.33' Crow epaa a PRO�PO�,,�b �,AS
Q to a •A. 60`-0"L X 2'-IO'71V X 11.0"D
APPROX. LOCATION Eeachin trench usi 12 H-20 1. ADDRESS: #66 SCHOOL STREET, COTUi
EXISTING SEPTIC ADS AEC 35 HC g „ „ 2. ASSESSORS NUMBER: 035-023
•d Chambers without one. "MONOLITHIC"
I 3. DEVELOPER'S LOT:
(to be pumped & abondo d) c MONOLITHIC 1500 GALLON H-2 0 SEPTIC TANK 4. TOPOGRAPHIC INFORMATION WAS COMPILED FROM AN
(typical) t ON THE GROUND INSTRUMENT SURVEY.
r USE WIGGIN PRECAST OR EQUAL. - SEE CONSTRUCTION NOTE #, (o, 5. TOWN WATER IS PROVIDED TO SITE & SURROUNDING PROPERTIES.
rox. Vomit. loco is 6. REFERENCE PLAN: PLAN BOOK 149, PAGE 97 FOLIO J2
••' '•• NOT TO SCALE REFERENCE: DEED BOOK 8207, PAGE 286
.,� , ` mt . 4. 4'
d REFERENCE PLAN: PLAN BOOK 311, PAGE 62
7. NO WETLANDS ARE LOCATED WiTHiN 150 FEET OF SAS.
.t �.�/ _ 8. NO POTABLE WELLS ARE LOCATED WITHIN 150 FEET OF SAS.
o :s+`, u' 9. THE SiTE IS NOT LOCATED WITHIN A ZONE 11.
o to >+ µ " M 10. UTILITIES WERE LOCATED BY DIGSAFE & COTUIT WATER DISTRICT.
See N e W I I EXISTING' a' rn
11. THIS DESIGN PLAN IS TO BE USED FOR SEPTIC INSTALLATION ONLY AND
NOT FOR ANY OTHER PURPOSE.
a o DWELLING
i- F,�.,ry�F'i �
Desi n Calculations
ro 98.94'
;`'r Number of Bedrooms: 3'
Garbage Grinder: NO, GRINDER NOT ALLOWED WITH THIS DESIGN
A '+ Septic Tank Capacity Required. 330 gpd X 2009 = 660 gpd. 1,500-GAL MIN. REO'D.
16" „• Septic Tank Provided: 1,500-GAL. SEE CONSTRUCTION NOTE #6,
a coy red deck .4 Leaching Capacity Required: 330 Gal./Day
UNIVERSA END CAP Leaching Area Required: 330 Gal./(0.74 Gal./Sq.Ft.)=446 Sq.Ft.
: <z Leaching Area Required: 446 Sq.Ft./7.79 SF PER LF OF ARC 36 HC CHAMBERS=57.25 LIN. FEET
a o 34 Proposed Leaching Area Provided: 1 ROW OF 60'-O" TRENCH= 60 LIN. FT.
EN D SECTION ARC 36 HCTotal Leaching Capacity Provided: 345 gpd > 330 gpd. req'd.
NOT TO SCALE
ro CONSTRUCTION NOTES
1. Contractor is responsible for Digsafe notification:
d and protection of all underground utilities'and pipes.
. The septic"tank a g distr`i.4ution box shall be set
level on 6 of 34 -11/2 stone.
0 3. Backfili should be clean sand or gravel with no
- PERK TEST & SOIL' EVALUATION P#13202 stones over 3" in size.
4. This system is subject to inspection during installation
fT Date of Perc. Test & Soil Eva February 23, 2011 b, y Glen E. Harrington, R.S.
> 0 E Test Performed By: Glen E. Hcrrington, R.S. 5. The contractor shall install this ,;y stsm in accordance
., .r, WITNESSED BY: 13AJiD STANT r R.S. ".., ..:ie d Gt-the t..,. s.,..�1. ,....u,rar r� .a, Cn„s -
a r ` EXCAVATOR: Michael Leary and the Regulations of the Town of Barnstable. r
Cg 7'f PERK RATE: LESS THAN 2 MPf 6. Provide-a Wlggin Precast H-20 1,500-gal. "monolithic" tank, H-20 08-5 :D-Box and 12 H-•20 ADS
ARC 36 HC chambers or equal. Chambers must be stomped H--20.
.,.. Test Hole Test Hole
7. No vehicle or heavy machinery shall drive over the
9ea7' r_. w A, :A r: •• •, septic system unless noted as H-20 septic components.
T •• ; ..• �' .:`.; < No. 1 N_0. 2 8. Install gas baffle or equal on septic tank outlet tee end.
98.tC' .. , 4.
1 9. All existing Inverts and site conditions shalt be verified b contractor,
DEPTHSOILS ELEV. DEPTHSOILS ELEV. 9 y
age of pavement a gronite curb PERK
I�
. f�i-`11"` TEST 1b. The ADS ARC36HC's shall be installed according to the DEP General Use Approval letter
0 0 and the ARC installation Guidelines.
T (� A A DEPTH': 34-52" 11. Main sewer line from dwelling to septic tank shall be sleeved in 6" dia. SCH 40 PVC with ends
SCHOOL STREET
I R E E i rI /2 loamy sand sealed with concrete.
.
I ` 1 ,m�ts/'2 12" +omsT/2 .BEGIN SOAK: C3 MINUTES 12. Install 40 mil liner as etloWn on site pion & system profile.
Bw Bw ENO SOAK: 6 MINUTES 30 SECONDS
iOYRS/e TIME: 6 MIN. 30 SEC.= UNABLE TO SOAR,
34" 3t" IoolNyscl+a IM5/s „ my sand USE <2 MPI FOR DESIGN LOCA UPGRADE' APPROVAL VARIANCE REQUESTED:
310 CMR 405(1)(b): A VARIANCE IS REQUESTED TO ALLOW THE PROPOSED SAS
SI
-1- Ct ci TO BE INSTALLED 1O FEET FROM A CELLAR WALL IN LIEU OF THE REQUIRED
IE PLAN wd
5Z" Boma/4 s Sod mod-n/6 MIN. 20 FEET. A 40 MIL LINER SHALL BE PROVIDED AS MITIGATION.
SCALE: 1"=20' » 89.3' " 7. LOCAL UPGRADE APPROVAL VARIANCE REQUESTED:
BENCH MARK ON C.B. 1 FND. NO GROUNDWATER ENCOUNTERED 310 CMR 4050)(b): A VARIANCE IS REQUESTED TO ALLOW THE SEPTIC TANK
ELEV.=100.00' (ASSUMED) TO BE INSTALLED 9 FEET FROM A CELLAR WALL IN LIEU OF THE REWIRED
MiN. 10 FEET OF PROTECTION. A SEALED, MONOLITHIC-TYPE TANK SHALL BE PROVIDED
Soil Evaluation .Certification AS MITIGATION.
I certify that on October, 1995, 1 have passed the soil evaluator
examination approved by the DEP and that the. analysis was performed by
me consistent with the requir oining, ex rtis and experience described
in 310 CMR 15.017
Glen E. Honoingtov, R.S. Date
OF PROPOSED SEPTIC SYSTEM REPAIR
SYSTEM PROFILE �N � PREPARED FOR
LEGEND o EaT N MiCHAEL LEARY
Not to Scale o.1070 AT
EXISTING CESSPOOLS O
* TO BE PUMPED AND REMOVED 9F R� #66 SCHOOL STREET
10' min. from NOTE: ALL PIPES ARE TO BE 4 DIA. SCHEDULE 40 P.V.C. � + ta►SSE �
house to septic tank 'Q �P
USE WIGGIN Provide 4" SCH "40 PVC o 00 PROPOSED 1500 GAL N/TAIR BARNSTABLE (COTUIT), MA
Existing House 5 HOLE H-20 observation port 3 below grade H-20 SEPTIC TANK
DIST. BOX
TOF ELEV.-101.01' EX157ING GRADE ELEV:=99'1 OR EQUAL Existing Grade Elev.-99'± Finished grade over system=2X slope away DENOTES EXISTING
-------------
X 104.46 spDT GRADE PREPARED BY:
Tank covers shod be D-Box =aver shall be
Kitchen line to be tied Into main sewer s within 6 of finished rode within 6" finished rode 2 min. GLEN E. H A R R I N GTO N, R.S.
0:02' Level for 2' 36" max. Elev.=96.8't 95 . EXISTING CONTOUR LEDA ROSE LANE PROPOSED 5=.01 5' OR 10' OFF SAS PER SITE PLAN
fu 15 1,500 GAL. 1 Pro osed Invert Elev.-95.36`_ Ot - DEEP TEST HOLE
(i W MARSTONS MILLS, MA 02648
Cellar �' SEPTIC TANK 1 . . . .
H-20 10 75 Approx. location
_ GAS OR Ea►AL torn of Leas existing water line', TEL: 508-428--3862
t7-0 Foctlity Elev.=95.44'
Existing Inv. slay.= 7. o• Approx. location FAX: 508-428-3862
6" OF 3/4"-11/2" STONE P-96. 4' P_ 6't (5' Min. required) Elev.=91.4't
LEACHING TRENCH Bot!om of T.H. #1 elev.=89.3 existing gas service
SCALE: 1 =20 DRAWN BY: GEH APR 2, 2011
s" OF 3/4"-11/2- STONE ao Observation Port
DATUM: ASSUMED FILE: learymangiafico SHEET 1 OF 1