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HomeMy WebLinkAbout1087 PITCHER'S WAY - Health 1.087 Pitcher's Way Centerville d A= 171 - 010 i TOWN OF�B�AgRNSTABLE U LOCATION I©g 7 �'��f� S ow SEWAGE# VILLAGE aln%S ASSESSOR'SMA,(P�&PARCEL 27 'Ze INSTALLERS NAME&PHONE NO. 1e kcu.,c. ki lam/Aa� SEPTIC TANK CAPACITY oew e LEACHING FACILITY.(type) 3_ 3OSd S (size) 2 12. Z NO.OF BEDROOMS 3 OWNER 3qg42u c//hf- \'3uJgc- PERMIT DATE: 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 leachi g facility Feet FURNISHED BY • cr c� 4 ' F U'� N v Cr\ r - Town of Barnstable - P# I °A-teV � Department of Health,Safety,and Environmental Services v Public Health Division Date Lo 367 Main Street,Hyannis MA 02601 eAaxarsers, OrE16io. Date Scheduled 12� J Time 'U Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: t 14o^ 'S M G LE"N.1 T••E. Witnessed By: LOCATION & GENERAL INFORMATION Location Address Owner's Name 1087 PITCHEq,S L✓ati AddressJA COVE L JAvF tlVOG-' HL 14rVN1s ' - Lv--� �S2 SAMIC Assessor's Map/Parcel: Engineer's Name 06"f M c LJE(✓LPN NEW CONSTRUCTION REPAIR Telephone# 508-- 65— 3 q 2b pp a No� Land Use f��� ,,' Slope's(%) !Q Surface Stones Distances from: Open Water Body NA ft' NssiblefWetArea IVA " ft Drinking Water Well IVA ft ' Drainage Way W' Property Line A Other � ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) C�) Parent material(geologic) 0() A/A S H A ' Depth to Bedrock /v A Depili to Groundwater: Sianding Wdicr ifi Huie: w'teping irurn"rii Face Estimated Seasonal High Groundwater 1\) ... bETERMINATION 'OR SEASONAL HIGH WATER=TA........ LE Method Used: � ouk)�£rRY Depth Observed standing in obs.hole: in. Depth to soil mottles: in. �o 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 Date I'2-3 a 7:Ttme 10 ifio o Observation Hole# Time at 9" Depth of Perc 5 y , ` ' Time at 6" Start Pre-soak Time @ Time(9"-6") End Pre-soak 7 Sb 'G 2 Rate Min./Inch � Site Suitability assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back-j Copy: Applicant r DEEP OBSERVATION;HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % o L S 10y>z 2 z IV,.A 10 1 3 L C DEEP OBSERci 4.TIOi!'.HOLE LOG H6116#!7 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) _ (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % VA �i to 4 rL 2,/-L NA LS° 1Dyh, DEEP.:OBSERVATION HOLE LOG HOW#: Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % l 1 Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes t/ Within 500 year boundary No— Yes Within 100 year flood boundary No_ Yes e t� Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all area's observed throughout the area proposed for the soil absorption system? " - l If not,what is the depth of naturally occurring pervious material? Certification I certify that on -Q (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 training,expertise and experience described in 310 CMR 15.017. -1 Signature— Date I z` �(j I`o 1 No. / i Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes pplicatton for 10tgoml 6p6tem (Cott%tructton Vermtt Application for a Permit to Construct( ) Repair( ) Upgrade m/Abandon( ) El-Complete System Individual Components Location Address or Lot No.leP7 Owner's Name,Address,and Tel.No. _4-Ve' 7-3 7— ��Jiry.�aik�J c Q146-6— Assessor's Map/Parcel ,���� ®� Installer's Name, ddress,and Tel.No. l';1L.cu signer's Name,Address and Tel.No. Typ of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 1 3v gpd Design flow provided 33.0 gpd Plan Date (X— 1 `0-7 Number of sheets Revision Date Title Size of Septic Tank RUC Type of S.A.S. U e Description of Soil <Lz .��✓ 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 Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. / 7 G ?"� Signed Date ( Application Approved by ^,✓, Date '-a Application Disapproved by: Date for the following reasons Permit No. `40 7_ Date Issued 4 7 No. U! Fee W THE COMMONWEALTH°OFPMASSACHUSETTS Entered in computer: tl/ Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Application for Migpool *pgtem Con0truction Permit Application for a Permit to Construct ORe air O Upgrade(.) Abandon O ❑.Complete System,:Uhitd,i uid jal'aC omponents t , Location Address or Lot No.�6L7�g� t�� ,�, �� Owner's Name,Address;and Tel.No. _5-VcF— '?3 7— Via' — ` Assessor's Map/Parcel .273 a 0/ Cd. .[ yyy Installer's Name, ddress,and Tel.No. . �- 4bvesigner's Name,Address and Tel.No. yf Typ of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) ' Other Fixtures j Design Flow(min.required) 3o gpd Design flow provided 3 P gpd Plan Date 1� -- Ll `Q_7 Number of sheets Revision Date Title Size of Septic Tank �6+�0 o t�S� Type of S.A.S. U S a lvi a Description of Soil 1 Nature of Repairs or Alterations(Answer when applicable) j I 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 Certificate of I Compliance has been issued by this Board of Health. s / Signed Date -7 Application Approved by Date "� ' Application Disapproved by: Date for the following reasons Permit No. 9-00 7- S1_9 Date Issued"',,'. G THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On/-site Sewage Disposal System Constructed ( ) Repaired (It�- Upgraded ( ) Abandoned( )by v a4 /1 F�(�cln,l I. at �- .,i 1 n has been constructed in accordance �^ with the provi ons of Title 5 and t e for isposal System Construction Permit No. _�l)O7-S dated 12-j/--p 7. Installer Designer #bedrooms Approved desigAflow 0 A gpd U The issuance of t isnerkit shal not . construed as a guarantee that the system wt I u c i n jas/ddesign d. Date _r`` Inspector ———————————————————————— -———————————— —— No. Du) Fee ��U THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS it Migogar *pgtem Congtruction Permit Permission is hereby granted to Construct ( ) Repair O Upgrade ( ) Abandon ( ) System located at /!� Ps i�e�r I Ay y. a„pnrn,l and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this-p it. Date - t< -� Approved by I � C14c,k, fivpr�j J s r 6�{ �s �1� ��� >��� . � f Uri c f �orrP(t ��,ru+��� ��w? �r �'MrPYr� � 75 i S s �'7vT` , 73 / t ;, Town of Barnstable Regulatory Services Thomas F.Geiler,.Director • nnnxsree�e. b� i' Public Health Division T�D1Af`�° Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: Sewage Permit# ���" assessor's Map\Parcel Z 7 3 201 Designer: BA S 5 fL I V�C C-N61 NM1N6 Installer: . Address: 13o N 3 Address: On \Z• 1 Aw NL—r t�+ was issued a permit to install a (date) (installer) septic system at 1 00 P I TC F1 IE Il S "P LI based on a design drawn by (address) _ flsS P\,VL EfV61N 12)►Vb dated l-L— H-01 (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. 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. of. HOM G ns. Hers Signature) �a C VILE v 9No.36479 O (Designer's S gnature) (Affix Desigter 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. Q:Health/Septic/Designer Certification Fonn 3-26-04.doc Town of Barnstable Regulatory Services Thomas F.Geiler,Director BAMSUBM s Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Ma Z 7 3 201 Date: Sewage Permit#�00�Assessor's \Parcel p Designer: {3�ISS 21�1✓� �N(,) �1,)N(� Installer: Address: Address: pE) Box 5 "n>sport, iY,19 t-_ q efvm S MA oU`'J ) 02639 On was issued a permit to install a (date) (installer) -' y 7 G ` �� „w ! "based``on a deli drawn b.septic system at } 0 6 k f .l�- F� sW..` s gn y '.(_address) P .a � — l f'r t. ._�'1 ,_.1�>��"� •�. i'�i i t: i� $�,� FsB .f..a ± � '..�..?, i..�* ;s �'. �.�.., 7 Ff_ ' ASS. )V;6k EN6J MWb dated M— H-01 r� ..a c<s r, ' �:(desgner)� _ • � , i, ... �;s:� ._ --__ - I c that the septic system referenced above was installed substantially according to the ign, which may include minor approved changes such as lateral relocation of the dishtion box and/or septic tank. CS I certify that the septic system referenced above was installed with major changes (i.e. ' grealer than 10' lateral relocation of the SAS or any vertical relocation of any component N of thk septic system)but in accordance with State &Local Regulations. Plan revision or certified as-built by designer to follow. tH (Installer's Signature) CIVIL n� v 91do,364710 esi ner's S "nature Affix Desi ~' s 'tam Here PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSU96%UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BYTHE BARNSTABLE PUBLIC HEALTH DIVISION.'THANK YOU. Q:Health/Septic/Designer Certification Form 3-26-04.doc N KEY: EXISTING CONTOUR: - - - SEPTIC SYSTEM DESIGN SEPTIC SYSTEM SECTION �.1 PROPOSED CONTOUR: ......•........••. . � EXISTING SPOT ELEVATION: 25.5 FLOW ESTIMATE: 2" PEASTONE PROPOSED SPOT ELEVATION: 25.5 COVERS WITHIN 12" OF 3 BEDROOMS AT 110 GAL/ DAY = 330 GAL/ DAY 100.21 FINISED GRADE TEST HOLE: (ONE INSPECTION COVER 3/4" - 1 1/2" UTILITY POLE: -0 TOP OF FOUNDATION TO BE WITHIN 6" OF GRADE) WASHED STONE 9G A --FENCE LINE: - - SEPTIC TANK: (EXISTING) Y MAX. HYDRANT: 330 GAL/ DAY x 2 DAYS = 660 GAL iOVER MIN) INSPECTION PORT RETAINING WALL: ® ( / ELEV.= 95.9 WOOD STAKE: USE 1000 GALLON SEPTIC TANK (EXISTING) 97.38 EXISTING 95.84 Jig"pER pT IG ELEV. ( ) a LEACHING AREA: LEV. 25 82 95.65 0 0 W LOCUS USE 3 INFILTRATOR CHAMBERS(MODEL 3050)WITH 4' OF 96.57 1000 GAL ELEV. ELEV. 0 93.40 SEPTIC TANK 2'-4' 2'-4' STONE AROUND SIDES AND TAT ENDS (25.4' x 12.2' x 2' DEEP) (6" OF STONE UNDER) 95.40 E 25.4' ELEV. LOCATION MAP SIDE AREA: (25.4' + 12.2')x 2 x 2 = 150 SF (0.74) = 111 GAL/DAY TEE SIZES: (TO BE CONFIRMED) ELEV.INLET: 6" UP 13" DOWN 3 INFILTRATOR CHAMBERS(MODEL 3050) , PARCEL 201 (15,530 SF) OUTLET: 6" 1 DOWN GAS BAFFLE WITH 4' OF STONE AROUND SIDES AND ASSESSORS MAP: 273 PARCEL: 201 BOTTOM AREA: 25.4' x 12.2' = 310 SF (0.74) = 229 GAL/DAY AT OUTLET TEE 2' AT ENDS (25.4' x 12.2' x 2' DEEP) PLAN BOOK: 271, PAGE: 84 CAPACITY = 340 GAL/DAY FLOOD ZONE: C N (P#: 12041) TH-199.0 TH 2 99.0 TEST HOLE LOGSELEV.O/A HORIZON O/A HORIZON ELEV. LOAMY SAND LOAMY SAND 6„ lOYR 2/2 98.5 6" 10YR 2/2 98.5 BED KIT. BTH BED ENGINEER: THOMAS McLELLAN, F.E. RM. RM. B HORIZON B HORIZON WITNESS: DONNA MIORANDI, R.S. LOAMY SAND LOAMY SAND tR ING BED DATE: 12-3-0730" 10YR 4/6 96.5 30" 10YR 4/6 96.5 OM ROOM PERCOLATION RATE: < 2 MIN/IN C HORIZON C HORIZON MEDIUM SAND MEDIUM SAND 2.5Y 8/4 2.5Y 8/4 132" 88.0 150" 86.5 EXISTING FLOOR PLAN NO GROUND WATER ENCOUNTERED NOTES: 98.1 1. VERTICAL DATUM: ASSUMED 2. MUNICAPAL WATER IS AVAILABLE. 98.1 3. SCHEDULE 40-4" PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. 98.9 jssss 4. ALL PRECAST UNITS SUBJECT TO TRAFFIC LOADS TO CONFORM WITH AASHTO H-20 LOADING SPECIFICATIONS. 5. PIPE PITCH = 1f8" PER FOOT (UNLESS NOTED OTHERWISE). 10 0' 98 6. FIRST 2' OF PIPE OUT OF D-BOX TO BE SET LEVEL. MIN \ 7. THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE USE OF A GARBAGE DISPOSAL. \ 8. ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE STATE OF MASS. ENVIRONMENTAL \ HYDRANT CODE(TITLE FIVE)AND LOCAL HEALTH REGULATIONS. 98.9 H j \ 9. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR TO CONSTRUCTION. rN2 \ 10. GROUND COVER OVER ALL SEPTIC SYSTEM COMPONENTS NOT TO EXCEED 3'. 11. THIS PLAN REQUIRES THE REVIEW AND APPROVAL OF ONE OR MORE TOWN DEPARTMENTS AND \ \ IS SUBJECT TO CHANGE UNTIL SUCH TIME. 12. FIELD SURVEY PROVIDED BY THE HOOD SURVEY GROUP, SANDWICH, MA. O1 ST ) 0 13. EXISTING LEACH PIT IS TO BE PUMPED AND FILLED WITH SAND OR REMOVED. EXISTING LEACH PIT (SEE NOTE 13) $XIS?J \ \ w D FD A'G \ \ to `FLL ab3f \ \ BENCHMARK AT PATIO CORNER • I 00ZI 99 ELEVATION = 100.0 IV Y - U N \99 SITE PLAN LOCATION: ��of �s 1087 PITCHER'S WAY, HYANNIS, MA 98 0I-1W S4� 67.29' / o� THOMAS J. m McL'�LLP�lV .` PREPARED FOR: _ CrdL JACQUELINE JUDGE EDGE OF PAVE v 9 No.364710 SCALE: 1" = 20' A DATE: 12-4-07 Mtn BETH LANE BASS RIVER ENGINEERING THOMAS McLELLAN, P.E. P.O. BOX 1163, EAST DENNIS, MA 02641 JOB#M7-55 508-385-3426