HomeMy WebLinkAbout1456 SANTUIT-NEWTOWN ROAD - Health 145 ,-SANTUIT-NEWTOWN ROAD
Cotuit
A = 025 - 014
�I
2 No. / 113 Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
�4pfltatiou for Mispo8AY *pstrm Construction Permit
Application for a Permit to Construct( ) Repair Upgrade(_1,Abandon( ) XcompleteSystem ❑Individual Components
Location Address or Lot No. jq5L4 Owner's Name,Address,and Tel.No.
e
Assessor's Map/Parcel < cA
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
Type of Building: t
Dwelling No.of Bedrooms Lot Size ,yvc, sq.ft. Garbage Grinder(;4A
Other Type of Building No.of Persons Showers(vj'Cafeteria(�)
Other Fixtures
Design Flow(min.required) aao gpd Design flow provided —( gpd
Plan. Date o OWN Number of sheets Revision Date
TitleT
Size of Septic Tank �'� ��} C4 G-j eSt Type of S.A.S. "l LCfy cy-Nc1Y1�1 Lk� j
Description of Soil .. fl\«
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 901 de and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of He tl h1
Signed Date '
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. Date Issued
No. � `�V Fee �G�f
" ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTSYes
application.for Misposa.Y 6pstent Construction 3permit
Application fora Permit to Construct( ) Repairi Upgrade ) Abandon( ) Complete System ❑Individual Components
Location Addressor Lot No. j1.�5 L4 S _04 jj,,��e�«s�n Owner's Name,Address,and Tel.No. . .
+o-t i t - -1 d 1 ['01 tG PS �i ,Cs
Assessor's Map/Parcel � 5- -k
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
�aw't'r12C1 �\'7CS�1 L-�-'�"c+�Ls" � '� • �Q c�3`�Ci�-)- �`tit
Type of Building:
Dwelling No.of Bedrooms CX ` Lot Size ,LAtJb sq.ft. Garbage Grinder(��j�
1 6
Other 'Type of Building ` ' No.of Persons e Showers'(4,T,Cafeteria(t") `
Other Fixtures
Design Flow(min.required) gpd Design flow provided `` L}:�j '' (�, gpd
Plan Date 3 o 1� Number of sheets C13- Revision Date;
1' Title 40�n c� ��� �C- IJv C\Rm �1 D C;�ark
Size of Septic Tank ��j�\ GJ e W ) Type of S.A.S. z4 - L
Description of Soil s- -. AM CAS i
Nature of Repairs or Alterations(Answer when applicable) \.),P RIC- �Im m\,.
Date last inspected: . '
Agreement:
The undersigned agrees to ensure the construction and maintenance of the_afore described on-site sewage disposal system in
N:
accordance with the provisions of Title 5 of the Environmental Code and
d not to place the system in operation until a Certificate of
Compliance has been issued by this Board of He t�h.
Signed Date "
Application Approved by f Date A h
I Application Disapproved by Date
for the following reasons
Permit No. . L� Date Issued
- _ - - ---_- •------- --- - - ------ _
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(x) Upgraded( )
Abandoned( )by
at \("�.� Sri C \- N Xl { has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No G 3 7 dated / c- J15
Installer C_r<NX<JS_1 SbOu\ Designer �rx^(YY_h JvI
#bedrooms 2 Approved des) flow 2 Z c) gpd
The issuance of this permit hall not b construed as a guarantee that the syste will funas delign`d. ..,.-
Date � ��/ InspectoN
- ------------------------------ - - - ----- - - - - = - -- -- - ----- --------No. , �a / ! Fee 1
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal *pstrm Construction J)Prmit
Permission is hereby granted to Construct( ) Repair(X 9 Upgrade( ) Abandon( )
System located at c,
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 com letdd within three years of the date of this permit.
Date Approved by�"�� -_
Town of Barnstable
Regulatory Services _
Richard V. Scali,Interim Director
EUMSTAM Public Health Division
1639. Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer&Designer Certification Form
Date: Sewage Permit# c�O Assessor's Map\Parcel d
Designer: S� Installer: Sp_")C3,
l
Address: Address:
On -l v, was issued a permit to install a
(date) i sta er)
septic system at L-1 54e based on a design drawn by
(address) I -
Q'�r dated
(designer)
7gI 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.
t
I certify that the septic system referenced above w s{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 compliance'with the terms
of I\A ap oval letters (if applicable)
1 K OF 4f.4SSa
? �A MENGs
(Installer's Signature) o t
.- N 1a-g;
0 5:t
�Ff c Sa
(Desi er's Sign ture) . (Affix Des gne s< A1, 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.
QASeptic\Designer Certification Form Rev 8-14-13.doc
TOWN OF B.ARNSTABLE
LOCIATION Ile (�acv SEWAGE # 0.2 S d IV
VILLAGE �, v i ASSESSOR'S MAP & LOT p,�S--d/y
INSTALLER'S NAME PHONE NO. ire/ , ) end V Q
SEPTIC TANK CAPACITY
LEACHING. FACILITY:(type) (sue)
NO. OF BEDROOMS._PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE .C01IPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
K ,3G ' �►
i
Cp
lie-
C7
TOWN OF BARNSTABLE
I•n!^ATION
SEWAGE #
PILLAGE
_fa,,� ASSESSOR'S MAP Sa LOTS__+
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY_(,
LEACHING. FACILITY:(tnx)
NO- OF BEDROOMS G PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE .COMPLIANCE ISSUED
VARIANCE GRANTED: Yes No
I
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Town of Barnstable "P#
dtTME
Department of Regulatory Services
HBARNMI114 c Public Health Division pare
p ,
a6sq. �8' 200 Main Street,Hyannis MA 02601
Date Scheduled G� , -x C7 �� `Time J C) Fee Pd. �J 00
Soil Suitability Assessment for Sewage Disposal
Performed By: - Witnessed By: '�. �jj`!�(7,fe'[���j {
LOCATION&aGENERAL.INFORMATION;.m
Location Address ` -` ^w 1 Owner'
s Name
Co-x--LT�`. I°'",.. -{� Address /�1C.C`r�Q.
Assessor's Map/Parcel: 5' I '4 - - Engineer's Name / _-_ -
NEW CONSTRUCTION REPAIR ,Telephone# `'��\
Land Use - > slopes(%)_ 2 Surface StonesIR- -
Distances from: Open Water Body iTft Possible Wet Area' it Drinking Water Well 4 ft 1
Drainage Way ft Property Line I ft Other ft
.SKETCH:(Street name,dimensions of lot;exact locations of test holes&pere tests,locate wetlands in proximity to holes)
TPI. t
rtuuse •,
4
Parent material(geologic)- J� - Depth to Bedrock ✓N I �• i -'
Depth to Groundwater: Standing Water in Hole:—[vt)iN0_ Ck!� Weeping from Pit Face - ,v ch— ��5 i • !-
Estimated Seasonal High Groundwater. 5G 11 IQ SSU e�-.Q� `• �� -
a. 4
DETERMINATION FOR SEASONAL,HIGH WATER-:TABLE
Method Used: IJ K1 _
Depth Observed standing in obs.hole: " Yin. Depth to soil mottles:. in.b
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 vale 3 prime. <, .. T -
Observation , ' - -
Hole# Time at 9"
a r_
Depth of Pere - �`� �L _ A' - Time at 6"
Start Pre-soak inne-g. - Time(9"-6")_ M fir.
End Pre-soak„
' Rate Min./inch
''Lt1MQj
Site Suitability Assessment: Site Passed_ 1 Site Failed. Additional Testing Needed(Y/N)�.
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.
Q:\SEPTIC\PERCFORM.DOC - ;$.
11 DEEP OBSERVATION HOLE LOG
Depth from Soil Horizon Soil Texture Soil Color ,Soil Ocher
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
" Consistency.%Graven
to
L�,
A,5 g F\cm\n
DEEPrOBSERVATION HOLE LOG Htile# w"
Depth from Soil Horizon Soil Texture Soil Color Soilther• -
Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel)
PLO u U L
IS a Zs s;r�uel
DEEP<OBSERV,ATIQN HOLE LOG , " Hole;#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders.
Consistency,%Graven
'DEEP OBSERVATION.HOLE LOG , Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil - Other -
Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders.
Consistency,-%Gravel)
C
Flood Insurance Rate Mao:
Above 500 year flood boundary No_ Yes
a
Within 500 year boundary No Yes
Within 100 year flood boundary No : /V Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervio s material exist in all areas observed throughout the
area proposed for the soil absorption system? — —
If not,what is the depth of naturally occurring pe iorJ us material? �I
Certification
I certify that on I I laa (date)I have passed the soil evaluator examination approved by the
Department of Environmental Prot c on and that the above analysis was performed by me consistent with
the required trainin ,exp useWexece described in 310 CMR 15.017.
Signature Date
Q:\SEPTIC\PERCFOP,M.DOC _
x► , _ GENERAL NOTES
1, Contractor is responsible for Digsafe notification, Verification of Utilities
t X" o y, and,protection of all' underground 'utilities and pipes.
; � 2. The septic„tank o q,, distri ution box shall be set.
,o level on 6 of 3 f4 -1 1 2 stone.
w 3. Bockfill should be clean sand of gravel with no
stones over 3" in size.
1456�Santuit- 4. •This system is subject to inspection during installation
Newtown Rd. by Shay Environmental Services
3 5. The contractor shall install this system in accordance
-' with Title V of the Massachusetts state code, the approved plan
and Local. Regulations.
Cotwt Center + 6. If, during installation the contractor encounters any
for the Arts- soil conditions or site conditions that are different
t from those shown on the soil log or in our design
installation must halt & immediate notification be
made to Shay Environmental Services
LOCUS MAP 7. No vehicle or .heavy machinery 'shall drive over the
septic system unless noted as H-20 septic components.
1 PROJECT BENCH MARK 1 8. Install Tuf—rite as baffles or equals on all outlet tee ends.
TOP OF FOUNDATION 9 4
ti ELEV. = 100.00 (ASSUMED) 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes.
10. All solid piping,`tees & fittings shall be 4" diameter
—o a. nsQT I m Schedule 40 NSF PVC pipes with water tight joints.
=AY to Pipe 40" °D 11. Municipal Water is Connected to ALL OF The Abutting
TEST Roue /f 'Properties Within 150 Feet.
\
BsrsTiNc ELEV..- 99.00
BBDROOX I �87 00' THE PROPERTY. LINES :ARE APPROXIMATE AND
8 ,`
H I I w COMPILED FROM THE.SURVEY PLAN BY CHARLES N SAVARY RLS
y;
\ / ' B�UsB :.: a'• PARCEL "A•' rr " rr ' nCES -
1tsL ,8, 0 sy, .r..e ENTITLED: Certified Plot Plan of PARCEL A SATUIT/NEWTOWN RD,Cotuit MA
oT\ 1 .� #146e 0-6ox as ' DATED DEC 28, 1987
AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN
\ 00 .
NEW N 82D
IT `SHOULD BE USED FOR NO PURPOSE OTHER THAN
g
; � 2S " N ,
40 1s4.!f�► THE SEPTIC SYSTEM INSTALLATION.
o
tsoo I / / EXISTING CESSPOOLS-TO BE PUMPED OUT AND FILLED',IN PLACE
SEPTIC
DECK �
�i Fat Eon NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE
y , \ cEssPoD�-/ TEST HOLE #z a FROM THE EXISTING CESSPOOL/LEACH PIT TO BE DISPOSED
FAILEDEss oL '� sa'00 '��' \ '�� \OF AS PER BOARD OF HEALTH SPECIFICATIONS.
o �
REV: 8-1-1$
S 88D 48 30' IF
Y
PLOT PLAN
o
— _ — OF PROPOSED SEPTIC SYSTEM - UPGRADE
N PREPARED FOR
b 4. FRAN C ES M D UARTE
T
1456 SANTU 1`2EWTOWN ROAD
ASSESSORS 5 PARCEL 014
COTUIT MA
K�pF r�ay�}pL PREPARED BY:
n a� (ENVIRONMENTAL SERVICES
i
0 , 30 60 70 GoaBox 1576
MASHPEE; MA 02649
SAN IT TEL/FAX 508-294-7498
SCALE: 1"=30' SCALE: 1 =30 ;DRAWN BY: CES DATE: OCT. 31 2017
PROJECT#1456 Sontuit FILENAME: 1456 Santuit.DWG SHEET 1 OF 2
• VENT PIPE (o Least 24 inches tall) SAS TO' BE' COVERED 'WITH
10' min: from 'NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. Schedule 46.`PVC w/Charcocl Odor Filter FILTER FABRIC.
house to septic tank cover must be SECTION A -A
EXISTING.Foundation within e" of GRADE
Septic tank covers must be D-BOX cover must must have ricer and be
within 8 in. of finished grade, within 8 In. of finished grade PROFILE VIEW OF LEACHING SYSTEM-
t• Grade over Septic Tank- 99.00 —Grade over D-Box-.99.00 ode over SAS- 99.00 `e
[ e•to r r/a• ee.n.a C"tss aeon. •N 1/e•- 1/s" waew w_oeaen.
S - 0.02 » Tee to be,placed in dbox 3 HOLE N-10 INSPECTION cover must be
15'
SQ0.01 GIST. BOX . TOP OF SAS 94.OD within 6 in. of finished grade
s EXIST. PIPE +< o T NEW. 1,500 GA
` FROM FOUNDATION Pz SEPTIC TANK so c 20' eobiw.o ra►
H-10 / /•r�4 at,.,,e,. _/'daw www, C .G p G C C3
CONCRETE FULL FOUNOATI ms , II U C C C C C
u n a,
SYSTEM PROFILE I A s' OVIDED
" I Not to Scale
> > -6..6 �►----8—�-' E.6' 4 Units 6 =-24'
� 24'. 2'
6 in.of 3/4-1 1/2 - EFf e 6 c 11
* NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6". BELOW GRADE compacted stone s e
gg
1/2-
Effective vldth Effect(v�Length.
' ^'• . -- ------------- a' < SOIL•ABSORPTION SYSTEM (SAS)
A. Bottom of Test Hole 1.Elev.= 86.00
LC-6 H-20 LEACHING UNITS / WIGGINS PRECAST
Not tc Scale'
3-24" DIAM. A SS MANHOLES ALL OUTLET PIPES FROM THE
' SET LEVEL FOR AT LEAST�2 FT.
,
PERCOLATION TEST
" NEW 'TANK �2• CattQtE,E COVER
:i. • . .:� r� - - r. �.. �' .'t R 7' •.3 -.5.OU11ET •nF.a•,G...,,.+, 2
:F •..��.,c ;_.: .. ::r- Date of.Percolation Test: OCTOBE 3, 201 KNoacouTs
Test Performed By. CARMEN E. SHAY, R.S., C.S.E. '. «` .;
Results Witnessed By: DONALD DESMARAIS (BARNSTABLE BOH) Perc;#15487 F .4 ., �' -7 t2• INLET ,S 3�
• XCA OR R SAY � ,•
/ 1 CE4
E VAT CA MEN H " Perc #1 OUTLET
INLET _ Percolation Rate: Less Than 2 MPI ® 66 � ..— Gu an soft
INLET �. :r ;, epth.to Perc:66 to 84'
a' 'i ' THE ACCESS FOR THE SEPTIC"TANK,x+ _ - - -'Perc Rate- < 2 MPI : 1S•5•. ` , 4" - SCH. 40 To
L78•
�A N DISTRIBUTION BOX ANO LEACHING COMPONENT Test HOIe ; Test 'Hole 'Groundwater-Not Observed.'
SHALL BE RAISED TO WITHIN 6" OF. NO. 1 st ,2 NO[^Observed ESHWT '
Y R PLAN SECTION N �C OSS� SECTION
' •'. ,T' .�^ -T ter. T.�• •. - ..�•.. ".•.^ 3'tr�... [x .;.. , ... .•. FINISHED GRADE. - ^
, L L
ADJUSTED.H2O Elev: None v O
STET L REINFORCED PRECAST'CONCRETE INSTALL TUF-TITE GAS BAFFLES OR EQUALS DEPTH SOILS ELEV. DEPTH ` SOILS .' ELEV. , . -
PLAN VIEW'-
Sandy
ON ALL OUTLET TEE ENDS o, --94.00 o' - 99.00 3'-HOLE `H-10 ;DISTRIBUTION BOX
i•
SgndY '.Sandy pp
3=24•REMOVABLE COVERS "Loam Loom REV: U 1 8
I S•.
41
10 tYR 3/2 10 YR 3/2
r 0 6" e 0" 6?' f
.-•.•,••� •:::. . 4• , 98.50 98.50 ,
T
.. A
• .Y: Ar'
3 min. dearanes
,.
INLET 8•minT Sandy Loa r LOT_ 12' min. inlet to outlet e " Loam
' sandy,
revN P N
OUTLET x m c
' ta•min. tv 10 YR'5/6
,
5 - �5' _,. — 6" PO SYSTEM UPGRADE,
E �• 4•-0'min. Y 98.00 �'y
6 �� BeQ► 96.00 '
6"
U
OF PROPOSED � '
:i to OnBdit• LIquld depth silt. -:::PREPARED`- FOR .
:•
- - Loom8/6
/ saY m
,,• • :,�•-.�..,:.,,•;r..,., ., 'i _ 93.50 _ 93.50
IVI TE
Ct 36" 68
END—SECTION k- SaAT
nd 1456 SANTUIT NEWTOWN ROA`O
Sand
v- 2,5 Y 7/4 .2.5,Y,7/4 ASSESSORS MAP 25 PARCEL 014
TYPICAL (H—.10 LOADING) 1500 GALLON SEPTIC' TANK ss"--1a2 cs �'00 se"- 'Ss cs 8s•°° -
COTUIT MA
Design Calculations Number of Bedrooms: 2'Equivalent to 2,20 Gal. Day 330 Gal: Day.per Title V
Garbage Grinder: No PREPARED BY:
Leaching Capacity Proposed: 330 Gal:/Day Minimum (Min. Per Title V) � tji bLq �g e
Septic Tank - 2.x330 Got./Day = 660 USE NEW 1,500 GAL. Septic Tank. i n� CY
E IN Gr� SHAY Y ENIyIRONMEIVTAL ' SER VICES
Sidewall(ENDS) Area: 11 x 2' 22 SF �_ Go c? 1
° SOIL ABSORPTION AREA: Using percolation rate of- <2 min./inch
22 x 2,ENDS =44 SF
Bottom Area: 0.74 gal/day/sq. ft. x 308 sq. ft. = 227.92 gallons/day r. b!
Sldewall(Side) Area: ' 28 x 2 _ 56 SF . +r� •1' I'.• -
Sidewall Area: 0.74 gal./day/sq. ft. "x 156 sq. ft. = 115.44 gallon/day t NO. P.O. Box 1 576 `
�t
Providing: 343.36 gallons/day 56 x 2 SIDEWALLS =112 SF � � j MASHPEE',- MA 0264g
TOTAL SIDEWALL AREA =156 SF l
TEL/FAX .: 508-294-7498
Use: (4) LC-6 H-20 CONCRETE CHAMBERS, HAVING A V EFFECTIVE DEPTH, Bottom Area: 28' x 11 - -308 SF SCALE': 1"=20� DRAWN BY: CES DATE: OCTOBER, 31 2017 ,
(3' W x 6' L) TO BE USED WITH',4' OF,WASHED STONE,ON THE SIDES AND
2' OF WASHED STONE ON THE ENDS AND 1 FOOT OF STONE UNDER . c, PROJECT#1456 Sontuit ILENAME: 1456. Santuit.d g SHEET 2 'OF 2