HomeMy WebLinkAbout0173 SCHOOL STREET - Health 173 Scho®l Street
-Cotuit
A=- 020 --089
I �
h
V
TOWNOF BARNSTABLE
LOCATION/73 SC Ao f 5t SEWAGE# .S-0?o?c7
VILLAGE �O�vi�'— ASSESSOR'S MAP & LOT 0?0- F1
INSTALLER'S NAME&PHONE NO. ImPA, C-S06-5oy. Sptwce 9?, 773 B7'%
SEPTIC TANK CAPACITY
LEACHING FACIL=: (type) oX.S`bo Dry we 113 (size) 144 Xd Y 4o2
NO. OF BEDROOMS n
BUILDER OR OWNER Power ll
PERMITDATE: V20165, COMPLIANCE DATE:
Separation Distance Between the: s
Maximum Adjusted Groundwater Table to the Bottom ofLeaching Facility 39� / 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 TA (015
lAN
® 3 s�
3 3q
No. J -- Fee$1 0 0 .0 0
THE COMMONWEALTH OF MASACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
ZippYication for Mood Opotem Conztruction Permit �A
Application for a Permit to Construct( _ )Repair( X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address and Tel.No. 3 4 9—0 0 0.2
Assessor's School St, Cotuit John & Kathleen Power
20/89 PO Box 264, Truro
Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 8 9 4
Wm E Robinson Sr Septic Eco—Tech
PO Box 1089, Centerville 43 Triangle Cir, Sandwich
Type of Building:
Dwelling No.of Bedrooms 2 Lot Size sq.ft. Garbage Grinder Po)
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 septic
system to plans of Eco—Tech, #ETE-2004
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 Certifi-
cate of Compliance has been issued by this o I of H al
Sign o Date
Application Approved by Date
Application Disapproved for the following reaso
Permit No. Date Issued
__ r ..�.._._- �.....�.�,�Vm.. �,';�..-ter•--...- �. '�""'^�-u� ,.r .�...,,,.-��'a� ..:�`4--W.x�ti.-.,,,y,,.►.,.--r..,.�. ''i
� 4n
r p
1 �.
_00/
No. , a a t `'y Fee.
THE-CQ�4MONW9'ALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION —TOWN OF BA Yes
BARNSTABLE, MASSACHUSETTS
ficatfon for i.5 ogar item Construction Permit 1 ;
Application for a Permit to Construct( . )Repair(%)Upgrade(' )Abandon( ) ElComplete System ❑Individual Components " .
Location Address or Lot.No. Owner's Name,Address and TeLNo. 3 4 9.—0:0 0 2
173 School St., Cotuit John; & Kathleen Power
Assessor's Map/Parcel PO. BoX.,2 64, ,Truro.
2 0,/8:9
Installer's Name;Address,and Tel.No. 77 5-8 77 6 - Designer's Name,Address,and Tel.No - _ y
Wm E Robinson Sr Septic Eco=Tech
PO 111ox iub9, Centerville 43 Triangle Cir. , Sanaw
Type of Building:.
Dwelling No.of Bedrooms 2 Lot Size sq.ft. 'Garbage Grinderr o )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day..Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable Install a ne;v Title 5 septic
SYS em to plans of Eco--Tech, ETE--200
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 Certifi-
cate of Compliance has bee 'sued by this oat°d of H alth.
,s
Sign d Y'`AG►t.�f c i 1 Ob, Date
Application Approved by r~ . r / u Q _ N�� Date � .
Application Disapproved for the following reason
C7r•� Y
- Permit No. ( L ) ` U Date Issued i' -
THE COMMONWEALTH OF MASSACHUSETTS
Power BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Di Qsal S stem Constructed ( ) Repaired (K )Upgraded( )
Vim E Robinson Sr Septpic Service
a bandon�d�(� �cyloo Street, Cotuit leas b- constructed in accordance
with the provisions offitle.5 and the for Disposal System Construction Permit No. �.� Cu dated
Installer Designer,. � -• '"�a
The issuance of thi pertjit shall not be construed as a guarantee that thr• system w�' 1 funs ion!as designe..d.,_�,—
Date l9., f0/ �� Inspector --tv
No. r• / _ . Fee
Power THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
1=i5po!5ar *p5tem Construction Permit
Permission is hereby granted to Construct( )Repair.( K))Upgrade( )Abandon( )
System located at 17.3 S ,no-Dl Str,-,et, CO'tuit-
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided:Construction must be cdmpleted within three years of the date of this permit.
Date: Approved by
Notice: This Form Ts To Be UsedVor rhe'Repair Of Failec►„
Septic. Systems Only .-
PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM
I, av (!JVV 'l60A,0',hereby certify that the engineered plan signed by me
dated May �, .206,concerning the property located at
173 C Leet ��1 e e 4 meets all of the x _ _
following criteria:
• This failed system is connected to a residential dwelling only. There are.no commercial or
business uses associated with the dwelling.
• The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes
per inch. The applicant may use historical data to conclude this fact or may conduct deep
test holes and percolation tests at the site,without a health agent present.
• There is no increase in flow and/or change in use proposed
• There are no variances requested or needed.
• The bottom of the proposed leaching facility will be located no less than five feet above the
maximum adjusted groundwater table elevation. [Adjust the groundwater table using the
Frimptor method when applicable]
Please complete the.following:
A) Top of Ground Surface Elevation(using GIS information).
bQ
B) G.W. Elevation �� �� +adjustment for high G.W. "4 a
DIFFERENCE BETWEEN A and B 3 �'
SIGXED : Y �i l�`�. —� DATE: `r I G Y 200
NOTICE
Based upon the above information, a repair permit will be issued for bedrooms
maximum.. No additional bedrooms are authorized in the future without engineered septic system
plans. .
q AS ep 6 c\p er c exemp.d o c
r.
Town of Barnstable
�IME
�+ Regulatory S"ervices
.Thomas F. Geiler,DirectorBAMMOM
`
MASS' Public Health Division
163.9. �0
ArFO °i -Thomas McKean,Director,
200 Main Street,Hyannis,MA 02601
Office: 508-8624644 Fax: 508-790-6304
Installer & Designer Certification Form
Date:
Designer: Eco-Tech Installer: Wm E_, Robinson Sr Septic
Address: 43 Triangle Circle Address: PO Box 1089
Sandwich Centerville
E
On - Wm E Robinson Sr Septivms issued a permit to install a
(date) (installer) service
septic system atl 73 School St, Cotuit based on a design drawn by
(address)
ti
Eco, Tech dated 05-08-05
(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."
s
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.
(Installers Signatur °
_ r 9�f tAR1P�
(Designer's Signature) (Affix Designer's Stamp Here)
,'PLEASE RETURN TO-,BARNSTABLE-PUBLIC HEALTH DIVISION: CERTIFICATE r
';. OF COMPLIANCE WILL NOT BE ISSUED UNTIL-BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU. -
Q:Health/Septic/Designer Certification Forth
y
COT(AT. HA '
PLAN REFERENCE CONTOURS
i PLAN BOOK 220 PAGE 65 EXISTING " = = - - -. 50 0
c. _� SCHOOL STREET
�� ASSESSOR'S MAP: 20 MINIMAL GRADING PROPOSED _ , -14
o < LOT: 89 w o
m o
V LOCUS m-
\Z mv►q 0 , 0
o
LOCUS .'MAP
00 48 \OV' p A NOT TO SCALE
N C7 BENCH MARK
H � _mw
W 3 TOP OF FOUNDAT10N
U J > ELEVATION - 51.38 /
J o ,x
USGS DATUM ASSUMED /
Ic
\<
0 o W < w 44
Z W
3 4
0.0
44 LEGEND
0 LL w - Z � O h��� / � 46 1500 GALLON ED
V o / ® ;cOQ . J��1 P SEPTIC TANK
48 D-BOX,
tom . 4F. Ep
TEST PIT
0 L a T 13 CESS OOLry
Q / AREA - 17905 sf {-
50 UTILITY POLE �-
W 24 fi x 12.5 ft x 2 ft 2�O tt HYDRANT O
J � W w zo � LEAC�-!lIVG GALLERY _
Z i <
J H� m Q
u_ a z SEWAGE DISPOSAL SYSTEM PLAN
0 g o
(Y. -TO SERVE EXISTWG DWELLING
a— Q �, m w . I- ERNEST & JOHN POWER
- AN
L
b DkNO 173• SCHOOL STREET COTUIT. MA .
SOLE: I to = 20 ft �,,�°�A .a
LL � C ECO-TECH ENVIRONMENTAL
0 _ E L
J in 43 TRIANGLE CIRCLE SANDWICH MA 0256
tL insqa a 508 364-089.4
ETE-2004 MAY 8. 2005 , A 1 1/2
�J THS PLAN IS TO BE CONSIDERED A DRAFT PLAN UNLESS IT
/ BEARS THE STAMP AND SIWTVRE OF THE•DESIGN'ENGIUR
` l° , 2005
Of HEALTH BE BAfV STAS�...
Es
s0I1 TEST Loy DESIGN CALCULA'TIONS- - -,DATE OF TEST: APRIL 25. 2005
SOIL EVALUATOR: DAVID D. COUGHANOWR. RS DESIGN FLOW: 2 BEDROOMS X 110 GPD - 220 GPD
WITNESS REOUIREMENT WAIVED - NO VARIANCES SOUGHT
NO GROUNDWATER ENCOUNTERED SEPTIC TANK: 220 GPD X 2 DAYS - 440 GALLONS
TEST PIT I PARENT MATERIAL: PROGLACIAL OVTWASH INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED)
ELEVATION - 50.10 += PERC AT 52 in : 2 MIN/INCH IN C SOILS
DISTRIBUTION BOX: USE 3 OUTLET D-BOX.
DEPTII SOL USDA SOIL SOIL COLOR SOL OTHER SOIL ABSORBTION SYSTEM: A 24 f t x 12.5 ft x 2 f t LEACHING GALLERY CAN LEACH
(INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING
50.10 Abot - ( 24 x 12.5 ) - 300 sf
0-8 Ap LOAMY SAND 10 YR 2/2 NONE FRIABLE Asdw - ( 24 . 24 12.5 + 12.5 ) x 2 - 146 sf
Atot - 446 sf
8-36 B LOAMY SAND 10 YR 4/6 NONE LOOSE
47.10 Vt 0.74 x 446 - 330.04 GPD
36-146 C MEDIUM SAND l0 YR 6/4 NONE LOOSE
379 USE A 24 ft x 12.5 ft x 2 ft GALLERY. Vt - 330.04 GPD > 220 GPD REQUIRED
GROUNDWATER ADJUSTMENT
EXISTING GROUNDWATER LEVEL
BASED ON TOWN OF SARBSTABLE
GIS DEPARTMENT RECORDS. LEACHING GALLERY 500 GALLON DR YWEL L
DIMENSIONS AND DETAIL
INDEX WELL W 1' W--29 CONSTRUCTION DETAIL USE H-10 UNIT
ZONE B INSTALL ONE INSPECTION
READING DATE MARCH. 2005 URYWELL UNIT STONE RISER TO WITHIN SIX
READING M7. 8'-6'x 4'-10'x 2.-fl' ,. INCHES OF FINAL GRADE
READING
ADJUSTMENT L4 2 ft EFF. DEPTH AND INDICATE LOCATION
ADJUSTED GW 6.4 24.0 ft ON AS-B(I$ T PLAN
o
i
t:3 0 000� 34
cv c��oocnp000ao
NOT ES �0000�ooC:3 000
M Ca
NOT p ��
1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN 3.5' 8.5 8.5'
2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. 24.0 ft Nor To �O2 in
SCALE
3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS
OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15)
4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES
BEFORE EXCAVATING FOR SYSTEM.
5) EXISTING CESSPOOL TO BE PUMPED. COLLAPSED.- AND FILLED. OR REMOVED
6) ALL STONE TO BE DOUBLE WASHED AND -FREE OF IRON. FINES AND DUST IN PLACE SEWAGE DISPOSAL SYSTEM PLAN
7) LINES EXITING D-BOX TO RUN LEVEL FOR;2'-O' BEFORE PITCHING DOWN -TO SERVE EXISTING DWELLING
8) ECO-TECH ENVIRONMENTAL RECOMMENDS .THE INSTALLATION OF LOW FLOW FIXTURES
AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK ERNEST & JOHN POWER
9) SYSTEM IS NOT DESIGNED TO WITHSTAND 'VEHICULAR LOADING. DO NOT 173 SCHOOL STREET COTUIT. MA
PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM „�
10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK.
11) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL ECO-TECH ENVIRONMENTAL
STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH 43 TRIANGLE CIRCLE SANDWICH MA 02563
SIX INCHES OF CRUSHED STONE HAS 'BEEN PLACED TO MINIMIZE UNEVEN SETTLING
ETE-2004 MAY 8. 2005 2/2