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HomeMy WebLinkAbout0060 BELL ROAD - Health FtJE f ry Y; Hyannis, �.wk I' TOWN OF BARNSTABLE LOCATION LO ,t��11 R,( AKA y65 Rig- 28 SEWAGE# VILLAGE uanni-S ASSESSOR'S MAP,&PARCEL 2 9 2 - 9/ INSTALLER'S NAME&PHONE NO. -R* B Ex Cat/a4;ck&j TD- DL S3 SEPTIC TANK CAPACITY /300 Aa LEACHING FACILITY. (type) :Zf* Hrc►-iorS C20 (size) yyL 5% 4-4 NO. OF BEDROOMS Z,B,, rr4,% OWNER �onni C'oo�er x PERMIT DATE: 101 2 Z/ I?- COMPLIANCE DATE: 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 t X W (`j WN N 1 ?> tot �` N w o �. O O Y ` 7 C D W fo), 77P .—No—kmTHE COMMONWEALTH OF MASSACHUSETTS Fes BOARD OF HEALTH OF :B'n(n�Aabif APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair ( .)/Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components 40 Belk five 14 6 7]Fa ©v ft ..,1 q I ,4 owner ame n (Map/Parcel# -3 G j V d ss aL { ' �.� L t# Y V y le h nG# 's Q .6_rn ae14 I —p Telephone# Telephone# Type of Building: ale�s( Lot Size Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min r ui ed). gpd Calculated design flow gpd Design flow provided gpd Plan: Date Number of sheets �_ Revision Date Title --T1 A j:C b S if£ Q110 0 Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator ate of Evaluation �. DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the sys m in operation until a Certificate of Compliance has been issued by the Board of Health. Sign•d Date �� FORM I - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 Y, Y_^..y - . +! •R v "�� •��� k' `� 1�"�_v ! ���� / ;��.1"`. ..rh.w. ti .ter. -._ E COMMONWEALTH OF MASSACHUSETT.. S Fee BOAR OF 4FILEALTH . OF J APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT ,Application for a Permit to Construct ( ) Repair (. v/Upgrade (. ) Abandon (,.) - ❑Complete System ❑Individual Components an�o C3e1t eve �! (vSa1 (tio nonQnni�, aga ab C.r�� 1 �' - lYC/ t�..Jl.-1 ( r� �t wner4��1neC - n,I � k. !v (Map/Parcel# �.+ /ry�)G �^ ddgess „ ((Tephon .f X _ (d �6 ti � lP�f i Iqh Installer n i ame DhefrQ or t /`�9 11 ` Addr ss Telephone# Telephone# Typ f Building: � J 1,.x Lot Size Sq.feet .-Dwelling—No.of Bedrooms Garbage Grinder (' ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.r• wired) 0, gpd Calculated desi' n flow gpd De sign'flow provided gpd PI'an: Date Number of sheets _ Revision Date Title `C'L(_ 6 Slie C)10'o Description of Soil(s) - Soil Evaluator Form No. Name of Soil Evaluatoruon w lyet_Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS -The undersigned agrees to install the above described Individual Sewage,Disposal System in accordance with the provisions-'of TITLE 5 and further agrees not to place the system in`operation until a Certificate of Compliance has been issued by the Board of Health: .,. i tt Sign6d. 0 ' tl` /�.n ate 1 i / FI FORM 1 - APPLICATION FOR DS.CP /,`J'D�EP APPROVED FORM 5%96 " No. ' �3� THE COMMO'NWLLEALTH OF MASSACHUSETTS �\ FEE C�1 m-P BOARD OF HEALTH -/ CERTIFICATE OF. COMPLIANCE Description of Work: ❑ Individual Component(s) ❑Complete System i The undersigned her�_)(L(IVQIon certify thatt the Sewage Disposal System;Constructed( ) Repaired(`�) Upgraded(n),Abandonedby: 1 at D. B,!,hkjCN65 'TCI' oU# hZQ N has been installed in accorda"wjjhtkbe_._ isions of 310 C R,15. 0 (Title 5) and the approved design plans/as--built plans relating to application Nated /4 f 0-1 Approved Design Flow (gpd) Installer ' l Designer: , p /d Iris e(.tom_ i -'ate t 1 / The issuance of this certificate shall not be construed as a guarantee thaf the system will function as designed. "'�FORM'3 -CERTIFICATE OF COMPLIANCE. DEP APPROVED FORM 5/96 a . i f� f; ...�-'•.' ''o T.HE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH DVVISPOSAL SYSTEM CONSTRUCTION PERMIT _ y Permission is here y ran`ted.to Construct ( ) Re air ) Upgrade ( ) Aban•�d nW a. iv'dual sewage tsposal system at . i. M _I (ll�(� .,IC t f as described f, . in the application for Disposal System Construction Permit No. dated Provided: Construction s pall be completed within three years of the date of this rmit.Al'II loe'a conditions must be meta Date // / Board of Health FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBS&WARREN TM - .PUBLISHERS- BOSTON O°' Hazardous Materials Inventory Sheet Checklist 44 Date L � s� .Physical Street Address-Check database to ensure it exists lei Working Phone Number 4--Actual Amounts -( ie. gas being used to fuel machines, thinner to . clean brushes all count as hazardous materials) Storage Information -location of storage,how long is storage for? If none, note that. ,v Disposal Information-where and who? If none, note that. applicant Signature - understand what is listed and noted Staff Initial -any questions, know who to ask Vehicle Washing/Rinsing? - provide a vehicle washing policy and explain it - note that it was given L__—Attach the Business Certificate with your sign off and comments "The inventory form should explain what the business consists of and the procedures they are doing..Notes need to be left to explain what you discussed with them. YOU WISH TO OPEN A BUSINESS? For. Your Information: Business Certificates cost $30.00 for 4 Years. A Business Certificate ONLY REGISTERS THE BUSINESS NAME in town (which you must do by M.G.L.- it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, -Vt FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) and get the Business C rtif"sate that is required by law. Fill in please: Date: . ' APPLICANT'S NAME: 4 tj rz TO a �, . . YOUR HOME ADDRESS: ( aLL R BUSINESS TELEPHONE # y HOME TELELPHONE #: 50 S Y 7 NAME OF CORPORATION. NAME OIL NEW`BUSINESS1 !Y)A 4lti,+'t i AV , i TYPE OF BUSINESS__.; f�'A iry 7-/,41 . IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS �r j3 L. _6 O VA( - �-- T�` ���' S _ /n � MAP/PARCEL NUM$ER �. (Assessing) , 0 ,0 When starting a new business there are several things'you must do to be in compliance with the rules and. regulatidns of the Town of Barnstable. This form is to assist you in obtaining the information you.may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate-permits and licenses required to legally operate your business in town. .1. BUILDING COMMISSIONER'S OFFICE This individu al has been informed of any permit requirements that pertain to this type of business.. Authorized Signature** COMMENTS:- 2. BOARD OF HEALTH This individual b een�in�for o the ermit equirements that pertain to this type of business: Authorized Si ture** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual een info med of the i e g r�qirem�ents �tlalertain to this�typef business. orized Signature COMMENTS: / cl' TOWN OF BARNSTABLE Date: 11/3 TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: /)9/1 0 n 0 Vh 1&7—AC BUSINESS LOCATION: id'D "1312 2 026o INVENTORY MAILING ADDRESS: S,9nm r- TOTAL AMOUNT: TELEPHONE NUMBER: S0-8• 3 60. 6;3R y CONTACT PERSON: 02R U 0 0 SA ty-1—p- S EMERGENCY CONTACT TELEPHONE NUMBER: V S 7 LI MSDS ON SITE? TYPE OF BUSINESS: -'P/5/N—r11V Ci INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers I Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyestivi-1) Other chlorinated hydrocarbons, 4— Lacquer thinners 4_4� (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes ma! e-trlxie rdous (please list): Laundry soil & stain removers (including bleach) Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT!CANARY COPY-BUSINESS FROM :down cape engineering inc FAX NO. :15083629880 Oct. 26 2012 08:43AM P1 q� ON Tbb>;rolas Ti. 0t-,,''J(rT, LliffCzVJr raWesanu,J� �M 'tuGs.li;c 1vkltllxuvn'Lii<[al,a T JRpTnrodlb i 16II� ifo,,D�Il1►Fn.ttrt�f� �'Q1Ql ��uiul tj-rtwd,11yonraiis,MA 02601 U=ficc: ';f1R 86;':4441 raY: „19 790-904 Li[o���11lla�iC&Dr,;S;bump 3 h fi, ou'' Ib�;ii en° �1JUW� �. n l/�Qrl_ ARltlin•es5: {J — ,red ems- _Ly -- — WAS 7SSLL,-d a pC'L'ItUt tO TIJiI Gm AdL 7 I`� .� y r �t1 septic sy`riE,7_[.l 3t �� � �u-cup. - �}fJ:;k,ll tJ1t a Llcs:l�• d�ra�nral 1� . �ll.!!1!���•-�� �'�'�,L.1`. __ {lira:c 1 . . - - �dB'riE�lli:1 _ I ee3fily that. th(, ;:ePLil- 5ysiem rr.,fi'irnced above w ul^i;tllc,d suh:s4Lutia'11), aorcr.d`ng tP the. cicsip, Wch Iusy inc,Ti7r.e minor t:tp xrvtr_l as lat.erul rclloc.,abuu of Le, di�trili7Et�uu l s,x E3Eli'/or sep(id:Tank. _ I. wati" dial. the st'Vi{: 1!.fcrencecl. ,l ove w�is -ijJStLDC,' l- with rujjox cluilJge 'i.c;. 7eatt7 than. "Q' I.attl�iI.reincuii(ju Ot the AS or ally Art:Fl;iCal rk.loca. n_"90 L'd)F.11JO.U.t.CI'[ {FI thn!3E�—LC, Sy�itGIIi) h;it i=.¢ gc,c.ordaTic{-: witr,,r`Y�LatE: d�; T.{iC[il i���d'Uli�t10715. IDI$71 1'GV1S;]OTL ()1' re:Cti[it:;:l ^s-htult.�,y tl+)siue7' to tbilova. �ZH 0,MpS�c I]AOCPJlAIEILA A.e2dIfnat7Ce;ota . IV ^ �sO ' 1 No 46502 � � a (.1��i'�• i)` -P,¢;1 r;llT �- P . T92`SE�IJI:)',S 31 '11L1.1T r_ir�:�i✓_. a 'itlrr� �i? ic�esia ��usd,�, °� B,r�: iH. >L'.I'u]i SlidTIL Pt¢�'D'hfl. :p' ;, t+'CDlai l ..4th�t �51�TTE�'1'._6'.ARLD r�8�. l:�;l'�,���;is 1�'Y T1�A"s�,B��,i'�'>T1�1��,]r,F°a:r�l_,:��:�r�3:,� F¢•�llb;Jt;�;Aa�Pd. '1_���JD�:4�rt�U_ __tr.,��..,,•�:,.lh.�ei rrnNr f'rrhfr:dil'�Fnrrn3 %f•-0%�.uur SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES MARKED WITH MAGNETIC TAPE OR APPROX NGVD (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS PROVIDE MIN. WATERTIGHT ACCESS COVERSS TO WITHIN 6" OF FIN. GRADE PROVIDE INSPECTION PORTS TO 2, MUNICIPAL WATER IS EXISTING WIT WITHIN 3" OF FINISH GRADE P FOUND. EL. 61.3' 2% SLOPE REQUIRED OVER SYSTEM 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. �S9 5 Q INIMUM .75' OF COVER OVER PRECAST 60' 4. DESIGN LOADING FOR ALL PROPOSED PRECAST �o' MUNICIPAL LE PRECAST H-10 UNITS TO BE AASHO H-LQ M NRPIOPR RISERS (TYP.) 2'+ IPES 4IPES LEVEL 1ST 2'0 PVC 5. PIPE JOINTS TO BE MADE WATERTIGHT. P L *58.7'f PROPOSED 14 57.0' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE 10" " TEE 1500 GALLON TEE WITH 4' SEPTIC TANK 57.71' 0000000co00 56.67' 310 CMR 15.000 (TITLE V.) J+� a RpGT GAS BAFFLE::: °O°o0o'0,000? J' F 57.96 0.67 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND x 56.87' S .70' S6.0' NOT TO BE USED FOR LOT LINE STAKING OR ANY N �'` -; OTHER PURPOSE..�,,: •..•}. .. ::•..::•.•.:•: . 6" MIN. SUMP..•..: •-.`•' a ( 2-3% SLOPE) 12" MIN. INT. DIM. 24 1-57ANDARD QUICK4'S 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. UTE 28 6" CRUSHED STONE OR MECHANICAL (NO STONE PROPOSED) 9. COMPONENTS NOT TO BE BACKFILLED OR LOCUS . *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL COMPACTION. (15.221 (21) CONCEALED WITHOUT INSPECTION BY BOARD OF UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 72 HEALTH AND PERMISSION OBTAINED FROM BOARD PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM (�_ G SLOPE) ( 1 X SLOPE) OF HEALTH. LEACHING 10. CONTRACTOR SHALL BE RESPONSIBLE FOR FOUNDATION- 32' SEPTIC TANK 84' D' BOX 5' FACILITY CALLING DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION OF ALL UNDERGROUND & BOTTOM TEST HOLES 1 & 2 EL 48.8' OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. LOCUS MAP 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED 5' BENEATH AND AROUND THE NOT TO SCALE PROPOSED LEACHING FACILITY. 12. EXISTING LEACHING FACILITY SHALL BE PUMPED ASSESSORS MAP 292 PARCEL 91 I L C I y C C^ I D AND REMOVED OR PUMPED AND FILLED WITH CLEAN L SAND. 99- EXISTING CONTOUR SYSTEM DESIGN. X 99.1 EXIST. SPOT ELEV. PROPOSED CONTOUR GARBAGE DISPOSER IS NOT ALLOWED 99 [98.41 PROPOSED SPOT EL. DESIGN FLOW: 2 BEDROOMS ® 110 GPD = 220 GPD TH1 USE A 220 GPD DESIGN FLOW TEST HOLE (EXISTING 2 BR PER ASSESSOR'S RECORDS) 2 SLOPE OF GROUND EDGE PAVEMENT SEPTIC TANK: 220 GPD (2) = 440 UTILITY POLE GRAV NG USE A 1500 GAL. SEPTIC TANK -,GRAVEL PAPKAVG FIRE HYDRANT M.... __. /) _ y LEACHING: NOTE NOT ALL S1r►IBOLS MAY APPEAR IN DRIIMANG ) 4.73 SF/LF x 4' LENGTH = 18.92 SF PER STD. w60,2 �60.38 - QUICK 4 UNIT TEST HOLE LOGS =60.16 .60. 3 330 GPD/0.74 GPD/SF = 446 SF LEACHING \ -REQ'D EXISCHANITMUNK ff7iCE ENGINEER: DANIEL E. GONSALVES, SE #13587 ' 6� 446 SF/18.92 SF/UNIT = 23.6 UNITS EXISTING PAVED 160.39 PARKING AREA .60.29 WITNESS: DON DESMARAIS, RS EXISTwG -40�35 STANDARDE' USE QU CK4 UN\ITSLEN FIELD CONSS SYSTEM FIGURATION BUM OW =60.12 \ 9 14 12 DATE. / / so.os �o �6�13�99 oa�A� �6 SHOWN (2 ROWS OF 4, 1 ROW OF 6, 2 ROWS OF 5) tlM PERC. RATE _ < 2 MIN/INCH GAS B.0. 60.37 014 60.49'I6 24 UNITS x 18.92 SF/UNIT = 454 SF> 446 SF CLASS 1 SOILS p# 13737 98 ;� i „� s =6a . 4 eG ��\ 454 SF (0.74 GPD/SF) = 336 GPD (OK) 1�507. .e 79 so ELEV. ELEV. S % .6 . V L� /60EDT ONOBELL RGAO 1 �� 0" 59.8' 0" V 59.8' c 'COVER GAS �2, o�� `� MA A A \ HOLE EL.-e,.4' ME APPROVED DATE BOARD OF HEALTH 59. 8OUT NERE SL SL dQ 5 UNSUITABLE ELEC INV EL-58.7 10YR 4/2 10YR 4/2 (FILL)TABLE 5 \ EXISTING \� 6" 59.2' 6" 59.2' �Q' o ; ;s 59.95 w�9.72 PAVED CE \� �. \ � 76 a � � TITLE 5 SITE PLAN B B 5 . 4 3NC 54 W \ OF LS LS 4- PRLivIDE y 59.66 ` N� f 5 .13 C,O: 59.53 0 w 5 3 3 158.78 NOTE: ,''CRAVILSPACE'N,AREA OF SAS - / g - (SAS IS BELOW CRAVLSPACE FLOOR) „ 10YR 5/8 10YR 5/8 4 (58.9� F =58.89 .23 �i05�95'' 60 BELL ROAD 14 58.6 14 58.6MO �511-4RYE 9�59 \ (AKA 465 FALMOUTH ROAD) COR LJINOINC c 58.7t 0=58. 9 3 EL_ss• ��$8.66 HYANNIS C C X58.54 PERc \ �s'G©58 :r PREPARED FOR 056" V \58.35 58.39 B&B EXCAVATION/COOPER MS MS \ l58.09 SLEEVE SEVER LINE VITHNL 10'OF CROSSING "'TH "'AM"E DATE: SEPTEMBER 14, 2012 2.5Y 7/6 2.5Y 7/6 yF� °1-1`I�"1 °jt 3A 1'A•l\A T` A�.�H OF M9S�''tz" r ;%. s''.4.I'i�. ,,•w �-1 F����tl� w t-w �,i.�+.a4.` e+ y��, sq r 1h OF 41'q' s�z�i � � s �:. :�' SN c�Miss` off 508-362-4541 ,s s s � .' fax 508-362-9880 DANIELA , �5a °/ DAIJlE Y � DANIEL �:�{ ANIEL \ r� r downcape.com o OJALAi . ° A. A. ar�c� CIS' o t7JAt_ I C,, ,I 0J,�LA of 09 No. down cope eagineeriag MC. 132" 48.8 132' 48.8 � 45 i0 4 \ _ No 40 �0 No.409&0 2 0.90.r 1 p . o �., Scale: 1"= 30' F�G/ R ° '� ° civil engineers S T E. 4 i G o `v T F c 1�� ] / NO GROUNDWATER ENCOUNTERED y0 E�:, `S, LJ��� �5�`/O ��� .�` ess� 9 �l ti land surveyors 939 Main Street ( Rte 6A) # 12-220 0 15 30 45 60 75 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 B&B COOPER.DWG