HomeMy WebLinkAbout0214 BEARSE'S WAY - Health 2-14-BEARSES WAY
HYANNIS
A= 309 - 029
1 '
1
� r
TOWN OF BARNSTABLE
LOCATION Qjq � -Sc�S L�oc,l SEWAGE# Z0I$-301
VILLAGE 14ucirtn;5 ASSESSOR'S MAP&PARCEL jog. Zg
INSTALLER'S NAME&PHONE NO. �� 33 Exea��a�i 0.-., 41'9`_1. OGS3
SEPTIC TANK CAPACITY ' /S'OO
LEACHING FACILITY.(type) 500 g0-1 1--C jZ (size) 13 x ZS x Z
NO.OF BEDROOMS.—
OWNER c r
PERMIT DATE:. /O - Z- 1$ COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility Of 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
132- 19 F@
$3-' /I 0
C3 Z �
19 ��
64'
-.io`s"
c
LlFronij
No.
0 1`� 30
J Fee 1
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ftphration for Vsposar *pstem Construction Verurit
Application for a Permit to Construct( ) Repair(✓j Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.Zly ,Bccw5c S WA Owner's Name,Address,and Tel.No.'JErJ rn urjPh y
Assessor's Map/Parcel 309 Z9 Z ly I s w=q
Installer's Name,Address,and Tel.No. Q 4t B 0(C0AAb'. Designer's Name,Address,and Tel.Noj%ve Fj,,kc to N
Itj jca,SGrrLl i.Pa Foresrl�4Alc y`lrl. OG53 -Po 8oX 331 4aruJic11
Type of Building:
Dwelling No.of Bedrooms Z Lot Size 30O sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided jy5 ' gpd
Plan Date 9' 30• $ Number of sheets Z Revision Date
Title
Size of Septic Tank /SOO Type of S.A.S. .SOO C
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) -'1Ab2N- —0 BOX- LGctc Q
Date last inspected:
Agreement:
t .
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.
Signed Date
Application Approved by Date 90
Application Disapproved by Date
for the following reasons w
Permit No. 0 l 30 Date Issued
No. �� �" 30 1 Fee
P' B I THE COMMONWEALTH OF MASSACHUSETT_..3 Entered in computer: Yes
,U L C HEALTH DIVISION-- TOWN OF BARNSTABLE, MASSACHUSETTS
ftpIitation for 3Dispo sat.6p.stem Ckstruttioulp
Application for a Permit to Construct( ) Repair(-�Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. ZIy B ca r5C S Owner's Name,Address,and Tel.No.-3CQ n LjrP)n y
I
Assessor's Map/Parcel 309 - 29 Z I'•1 ,3c—r5c 5 Wa q
Installer's Name,Address,and Tel.No. 31, 3 FXCa%A iC " Designer's Name,Address,and Tel.No. %uc �ah c P-4 q
1�raScrrH t,� Fore5iJ-1c- 4 11. OGS3 -POO-Ox 331 ►'IGr���1� `1,��. 99'•1 • I1GG
Type of Building:
Dwelling No.of Bediooms Z. Lot Size 9 30o sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers(. ) Cafeteria( )
Other Fixtures ` J
Design Flow(min.required) gpd Design flow provided y� gpd
Plan Date 1
9• 30. I g Number of sheets Z Revision Date
Title
Size of Septic Tank /J'r00 Type of S.A.S. SOo a I LIC (-Z )4 Z.D ea
Description of Soil ,
Nature of Repairs or Alterations(Answer,when applicable)_7A a&- _D-Box • Lc ct C k,-^q
W
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in i
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.
q
Signed � �fl `` Date
Application Approved by: c J Date 10 _1 O
Application Disapproved by Date
for the following reasons
Permit No. _O( JO Date Issued 0- ,I
� 3
-------------_---------------___
h�
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(� Upgraded( )l
Abandoned( )by ei Ex Ca l)a-I i O/�
at '21 y `.2c a C5*1_'S WcxW has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. )01 30 I dated �O 1
Installer �Q EX U�-�10/� Designer _Do.yc• ��zh�r•��
#bedrooms 49 Z ` Approved design flow 3 L41 gpd
The issuance of this permit hall lot be construed as a guarantee that the system ill function de e .
Date - J) Inspector
- ---------------------------------------------
No. �l 30 _ Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS
disposal 6pstem Construction Permit
Permission is hereby granted to Construct( ) Repair( < Upgrade( ) Abandon( )
System located at Z I L4 ,Qc a r-S C 5 W<a S4
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.`
A wa
Provided:Construction must be corn l ted within three years of the date of this permit.�,�`
Date / V " Approved by
U
Town of Barnstable
Regulatory Services
Richard V. Scali,Interim Director
: snaNsrnsIA
M' Public Health Division
i634
�► ' Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-8624644 Fax: 508-790-6304
Installer&Designer Certification Form
Date: f 0.12J9 Sewage Permit# Zo l$ •301 Assessor's Map\Parce13o9• Zq
Designer: F'lalnct'�c,1 Envl ro ncwlcd Installer: L3Ae B Exc xyo- 0^
Address: -9.0. Box 331 14a r w%cJ Address: 1 y -r'cc%. c rru Lo
Fo reslcAo,I c.
On d D- 2-t$ $ EXea��/a�-�i o was issued a permit to install a
(date) (installer)
septic system at Z1y f3ea►c'se'S (Ja.0 based on a design drawn by
(address)
tmyc F1e,16 er-�ea dated 4- 30- 18
(designer)
I certify that the septic system referenced above was installed substantially according to
T— 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 constructe ce with the terms
of the IAA approval letters(if applicable) � t"" Ssq
DAVID cyG
o� D.
�44QO FLAHERTY,JR. N
( taller s Signa ) No. 1211
0
�G/STERN
SgNI TART
(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 BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
QASeptic\Designer Certification Form Rev 8-14-13.doc
Town of Barnstable P# /5 / 7�
$y` $ Department of Regulatory Services
Publllyi"""c'''Health DivisionHAM Date
2000n Street.Hyannis MA 02601
qDate Scheduled_. Time Fee Pd.--�,�---- ��
Soil Suitability Assessment for Ze..Disposal /1
Performed By:_ Y! Witnessed By: J
LOCATION#GENERAL INFORMATION �Q
Location Address ,A Owners Name J,e��, f A�(
416
Address 19 T"�/ f t
Assessor's Map/Parcel: C7 q/Z 1 Engineer's Name f4 ?q;Ll
NEW CONSTRUCTION REP _ TelephoneA
.Land Use C( ,04 ZC Slopes(%) Surface Stones
.Distances from :Open Water Body. fl Possible Wet Area ft Drinking Water.Well R -
Drainage Way .R Prop"Line- ft Other R .
SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes)
s� W`
Parent material(geologic)_Q�VO Depth to Bedrock
Depth to Groundwater:Standing Water in Hole: N •Weeping from Pit
Estimated Seasonal High Groundwater.
'DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: in. Depth to soil mottles: in.
Depth to weeping from side of ohs:hole: in. Groundwater Adjustment R.
Index Well ff Reading Date: .Index Well level Adj.factor Adj:Grmmdwater Level_
1 Obsmatioo- PERCOLATION TEST Dal Time
—+I—
Hole 0 Time at 9" {�W
Depth of Perc Time at 6"
Start Pre-soak Time(aJ Time(9"-6") T�
End Pre-soak
Rate MinAnch `(/
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN)
Original:Public Health Division Observation,Hole Data To Be Completed on Back----
*Q*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:ISEPTICIPERCFORM.DOC
r
DEEP.OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.)'. (USDA) (Mansell) Mottling (Structure,Storks,Boulders.
nsi nGravel)
[1 "2(o Il Cis !oqf
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
onsiu % I
Q s r 7 � _
-2 S r
DEEP OBSERVATION HOLE LOG Hole#.
Depth from Soil Horizon Soil Texture Soil Color Soil -- Other
Surface(in.) (USDA) (Munselp Mottling (Structure,Stortes,Boulders,
Consistency.%C Ave
I
DEEP:OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Otter
Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. '
Consislenev_%Gravel)
Flood Insurance Rate Mau:
Above 500 year flood boundary No Yes-
Within 500year.boundary No Yes
Within l00,year flood boundary No� Yes- .
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring i us aterial exist in all areas observed throughout the
area proposed for the soil absorption system?
If not,what is the depth of naturally occurring ervious material?
Certification f
1 certify that on `"� /� (date)I have passed the soil evaluator examination approved by the
Department of Envi o ntal Protection and that the above analysis was performed by me consistent with
the required trairnin pertise an rience described in 310 CMR 15.017. 0 Signature Date / 0
Q:IREPTICIPERCFORM.DOC
M1
�1
COVERS TO BE WATERTIGHT AND SEPTIC SYSTEM PROFILE Flaherty Environmental Services
TOP OF FOUNDATION BROUGHT TO WITHIN 6" OF FINAL GRADE
EL. 60.0' EL. 58.0' (not to scale) INSP. PORT W I 3" OF GRADE
CLEAN SAND P.O. Box 331
2" of e" to Z" DOUBLE WASHED - Harwich, MA02645
PEASTONE-OR GEOTEXTILE EL. 58.0
4" CAST IRON or EQUIVALENT FILTER FABRIC 774.994.9166.
MIN. PITCH 1/4" PER FOOT
4" SCHEDULE 40 PVC PIPE
4"SCHEDULE 40 PVC PIPE +
VENT IF REQUIRED
FLOW LINE jBrsf2'fobeleel)
35' 1% I .•
_i 5' ion, b •�•� EEL.55. '
:.'•: L.57.3' 14" . ' ®® o 0 000 c
EL 55.5' —� o°o°o°o°o°o ° o o . ® o°o°o°o°c
EL.55.25' o°o°o° o°o°°°o �� Fn� • R LJ °o°o°oOoc
Y 0'MIN. (2.5%L EL.54.9' EL.54.73' °oo o°o°o°o°o°o°o popop°poc,
®® ®� 0000c2.0
GAS BAFFLE EL.54.7' 000000°000 o °oo ��. ® o 0 0 0
O O O O O -OR O •Q• w 000°OOOOC
,..�• op0000000 °o°o°o .. a "Oo°O°o°Oc EL.52.7'
(H 2O D-BOX) SOIL ABSORPTION SYSTEM
,•S... '�., ..•.�..• 6"CRUSHED STONE OR
1500 GALLON SEPTIC TANK MECHANICALLY coMPAcrED (2) 500 GALLON H-20 CHAMBERS 5 2'
(DATUM: ASSUMED) + WITH 4'STONE AROUND IN A
4" to 1;" DOUBLE WASHED STONE 12.83'X 25'X 2' CONFIGURATION
EL. 47.5'
LOCATION MAP
TH
214 BEARSE'S WAY 4
O ` Bum as Rd.
BA RNS TA BL E (H YA NNIS), MA .r:�,° ` 3 B�to,AVe. LOCUS
TO
1 2 3 4 u.
A 32'10' 37'6" B O NTS
B 25' 19'10" 16'6" 19'10" C 21 1 � OFXp
C 28'6" 30'S" CRAWL/ f ego A I
/ U �
'Q O
/STE��
SgNITAR%PN
T � V
�OZ fl DATE:10/11/2018 REVISED.
I'
AS BUZLT PLAN FOR
B& B EXCAVATION, INC./
JENNZFER MURPHY
214 BEARSE'S WAY t
BARNSTABLE
NOT TO SCALE (HYANNr$), MA
REF.•LCP 18327-A PAGE 1 OF2
Fr� COVERS TO BE WATERTIGHT AND
TOP OF FOUNDATION BROUGHT TO WITHIN 6"OF FINAL GRADE SEPTIC SYSTEM PROFILE
EL. 60.0' EL. 58.0' (not tD gle, Flaherty Environmental Services
INSP. PORT W I 3" OF GRADE CLEAN SAND P.O. Box 331
2" to-" DOUBLE WASHED EL. 58.0' Harwich MA 02645
Mal 4" CAST IRON or EQUIVALENT PEAsTSYON�OR GEOTEXTILE , '
MIN. PITCH 1/4" PER FOOT FILTER FABRIC I
774.994. 1166
4"SCHEDULE 40 PVC PIPE 4" SCHEDULE 40 PVC PIPE j
Flow LINE (fl VENT IF REQUIRED
rst rroaele�en •; -
�� 35' 1% k
E 55
EL.55.5'
EL.55.25' °o°o°0°00000 ° O p p o 0 0 0 Y ° EL.54.73' t 00000°° 0 0°°°0°0 ��0®O o �0000000�5 .9' 00 0°0°0°0°0°o r o p 0000o°o°c
0 0 0 0 0 0 o0000000c 2.01
GAS BAFFLE EL.54.7' 0°0°000°0°0°0°0° �Q O 0���p® o 0 0 0
0 0 0 0 0 0 0 0 0 0 0 o e—
•' o°o°o°0000 000000 a . 0000o°o°c
•i..•.+'!• (H 20 D-BOX) o 0 0 o EL.52.7'
6'CRUSHED STONE OR SOIL ABSORPTION SYSTEM
' a MECHANICALLY COMPACTED
(2) 500 GALLON H-20 CHAMBERS
(DATUM: ASSUMED WITH 4'STONE AROUND IN A 5.2'
1500 GALLON SEPTIC TANK �" to 1 " DOUBLE WASHED STONE(PROPOSED) 12.83'X 25'X 2' CONFIGURATION
NO USGS ADJUSTMENT:BOTTOM OF TEST HOLE EL. 47.5' EL. 47.5'
/ LOCATIONMAP
/ N/A?1-0
GROUNDWATER ELEV: N/A
TH
13,8 11.01 +BidfstWo1Ave.
O
TH-1
' c, 20.0' -
�� TH 2 Nrs
> � J
OF MgSsgo
� Q PJE �o�' DAV yes
(ZP� 10.2 O . �, F H JR
0 21.2 N 2 0
F�rsTS
�RZ EXISTING SgNITAR�P�
PREP, S.T. X 30 /J
2 BR 0
DWELLING DATE.•9/30/2018 REVISED.
tS 'p SZTE AND SEWAGE PLAN FOR
1 BENCHMARK: B& B EXCAVATION, ZNC./
..� LOTS 69 & 70 1 TOP OF FNDN 1ENNZFER MURPHY
214 BEARSE'S WAY
9,300 S F-± ���� EL. 60.0 BARNSTABLE
SCALE : 1 n = Z 0' (HYANNZS), MA
REF.LCP 18327 A
PAGE 1 OF2
f
.................................................................................................................................................................................................................................................................................................................................................................................................... ...............................................................................................................................................................................................................................................................................................................................................................................................................
GENERAL NOTES
DESIGN CAL CULA TIONS
S YS TEM DE TA IL Flaherty Environmental Services
P. 0. Box 331
1. ALL PRECAST COMPONENTS TO BE H-1 0
Hamich, MA 02645
RATED UNLESS OTHER WISE SPECIFIED.
NUMBER OFACTUAL BEDROOMS 2(DESIGN FOR
DISTRIBUTION BOX(ES)AND ANY 774.994.1166
COMPONENTS WITH ANY ANTICIPATED
GARBAGE DISPOSAL UNIT NO
VEHICULAR TRAFFIC TO BE H-20 RATED.
2. THE DESIGN OF THIS SYSTEM DOES NOT TOTAL EST/MATED FLOW
ALLOW FOR THE USE OFA GARBAGE (I 10 GALIBRIDA Y X 3 BR)
330 GALADAY
GRINDER.
REQUIRED SEPTIC TANK CAPACITY 660 GAL.
3. MUNICIPAL WATER IS AVAILABLE.
25' -
4. ALL CONSTRUCTION TO CONFORM WITH
SIZE OF SEPTIC TANK 1500 GAL. (PROPOSED)
310 CMR 15.000 AND ALL OTHER
APPLICABLE LOCAL, STATE AND FEDERAL SOIL CLA SSIFICA TION
CODES AND REGULATIONS.
5. INSTALLERICONTRACTOR TO REVIEW& DESIGN PERCOLATION RATE <2 MINAINCH
VERIFY ALL ELEVATIONS AND DETAILS
EFFLUENT LOADING RATE 100% RESERVE AND REPORT ANY DISCREPANCIES To a 74 GA L.IDA YIF 7-2 12.83/
DESIGNER PRIOR TO CONSTRUCTION OR
LEACHINGARE4
ASSUME ALL RESPONSIBILITY.
(2)X(25-0'+ 12.83)(2) = 15ISF
6. INSTALLER/CONTRACTOR IS
25.0'x 12.83' =320 SF
RESPONSIBLE FOR MAINTAINING SAFE
471 SFx 0.74 =348 GPD
WORK AREA, VERIFYING ALL UTILITIES
AND NOTIFYING "DIG SAFE" USE(2)500 GALLON H-20 CHAMBERS WITH 4'STONE
(1-888-344-7233) 72 HOURS PRIOR To INA 12-83'X25'CONFIGUR4TIONASDIAGR4MMED
CONSTRUCTION.
7. ANY CHANGES TO OR DEVIATIONS FROM
RESERVE LEACHING CAPACITY 348 GPD
THIS PLAN MUST BE APPROVED IN
WRITING By FLAHERTY ENVIRONMENTAL
SERVICES AND LOCAL BOARD OF
HEALTH.
8. FINISH COVER OVER COMPONENTS is
NOT TO EXCEED 3'PER 310 CMR 15.000 (NTS)
UNLESS SHOWN PER PLAN
9. ALL ABANDONED SEPTIC SYSTEM
COMPONENTS TO BE PUMPED DRY AND SOIL EVAL UA TION
FILLED WITH CLEAN SAND OR REMOVED
AND REPLACED WITH CLEAN SAND.
TESTHOLE#1 FW 15776 TESTHOLE#2 PW 15776 SH OF
Evaluator David D.Flaherty Jr.,RS,REHS Evaluator. DavidD.FlahertyJr,RS,REHSSS
1 0,ALL COMPONENTS TO BE PROVIDED SE#2755
SE#2755
WITH WA TER TIGHT ACCESS PORTS
BOH Witness. Don Desmarais,RS
BOH Witness Don Desmarais,RS DA yGDate: September21,2018 Date: Saotember2l,2018
WITHIN 6"OF FINISH GRADE.
F H 7CA
11.ALL SEPTIC TANKS, DISTRIBUTION
TH-1 ELEV.58.01 TH-2 ELEV 58 0' . .2
BOXES AND PIPING TO BE INSTALLED
WATERTIGHT. 0--12- 01AIE LS I0YR312 0--12- 01AIE LS 10YR T
12.NO KNOWN WETLANDS OR WELLS 'qANIITAR
WITHIN 150 FEET OF PROPOSED 12'm26' 8 LS IOYR516
12'-26" 8 LS IOYR516
LEACHING.
13.THIS IS NOT A CERTIFIED PLOT PLAN
AND UNDER NO CIRCUMSTANCES IS THIS
PLAN TO BE USED FOR ZONING OR (41-) Pero7 cerfffy that on November 12,2002,l have passed
the examination approved by the Department SITE AND SEWAGE PLAN
BUILDING PURPOSES. Of Sz
Environmental Protection and that the above analysis
FOR
14.LOT IS SHOWN AS ASSESSOR'S MAP 309 has been performed by me consistent with the
LOT 29. -qul-d training,expertise,and experience described & 8 EXCA VA TION, INC"/
— 26"-126" C CMS 2.5Y 616 26'-120" C CMS 2.5Y616 In 310 CMR 15.018(2).
15.LOCUS PROPERTY IS NOT LOCATED JENNIFER MU WAY
BEARSE WAY
WITHIN AN AQUIFER PROTECTION
214 'S
DISTRICT(ZONE II).
G.W.ELEV.IVIA
G.W.ELEV.NIA BARNSTABLE
BOTTOM TH-IELEV. 7.5'1 BOTTOM TH-2 ELEV. 47.0'-
(HYANNIS), MA
PAGE 20F2
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