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HomeMy WebLinkAbout0056 PONTIAC STREET - Health 56 Pontiac Street Hyannis A=269— 187 I Ayl resid. c a s Cdl_Gf�c l2s_ cd _t nDi _ �4_ltK r o ; Ass 9 -e-vk him rc--4/o oo zl -40 _ c �� ` .— s OOA — ll,ud (7-10 I I I i I i I ' � I ' � � I � i I � i � I i � � � i � ' ► ' l i � I � � � i � I I I I � � it � ► , � , � , ► , Ili I I I � � � � I I � it I I i . I � � ,. I Ii , , � , I , I I I I I � ► IiI � j i � � I ► I . � " I I � I � � I i !! i , I � , � � � � I i t i I � , I ' � � � � i I ( � ► � � . I ! � . I I � � � � � � � � I , , ; , , I I I , I I ► I . ! i � i I I i I I � ► I ! � � � I I I � ► � I I i � l i � I i I � I I � � � I � � II I I I I ; I . I i I , I . I � , II ► i I I � � j ► � I , ; , , i , ► III : I � I , I TOWN OF BARNSTABLE LOCATION L SEWAGE # JCSU�-- VILLAGE r►. ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TAN_ K CAPACITY Lcyb(( `a'' C9'•, LEACHING FACILITY: (type) �tti'!-: ArVJ c5 (size) NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: ° b COMPLIANCE DATE: 161 O Separation Distance Between the: Maximum Adjusted GroundwaterTable 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) f Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 4 L - 3 � Li ti , • � 1 r 1 M No. 'ZOO8 Fee /C?0 J THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZIpphration for 30igo.5ar *pgtem Con6truction Verna Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. J Pp N Q. Owner's Name,Address and Tel.No. Assessor's Map/Parcel 0?6 y / /g 7 509 - 7 90 - C130 9 Installer's Name,Address,and Tel.No. Paid Co sze Designer's Name,Address and Tel No. 4-t A Sa�d� fag- 15og- 771- 5263 0;46 -73 Type of Building: Dwelling No.of Bedrooms v2 Lot Size A 09 sq.ft. Garbage Grinder( ) Other Type of Building 6X—;t-, No.of Persons I Showers( ) Cafeteria( ) Other Fixtures Design Flow vZ© gallons per day. Calculated daily flow oZ 3-R gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank /'000 --k Type of S.A.S. ;5, 33 -Y a9.75- !�3) 3&Q 1C.j1 Description of Soil G�r — ZA0 filte , n6n, �- Nature of Repairs or Alterations(Answer when applicable) ,r�A 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 Board,9f Health. Signed Date a2 D Application Approved by Date g Z 9 0 Application Disapproved r the following reasons i Permit No. 2-0O SS 2-s Date Issued at a 260�No. Fete THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes "y PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIppYtcatton for ]Digoar Wpg em Construction Permit "y Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individu Componentsa Location Address or Lot No..,5 6 Pp N 4 $ Owner's Name,Address and Tel.No. F�a 6 0 t , y Assessor's Map/Parcel y /g 7 50 9 - 7'70 - 9 3 0 9 Installer's Name,Address,and Tel.No. �/K Designer's Name,Address and Tel.No: 4 /�D/3. ! 2 89 C Hato o,Z 644 6/g /M.4� 3 �7�, a� /ham �i3oa 50d- 771- 5a63 0�� 73 �. Type of Building: Dwelling No.of Bedrooms Lot Size A 90 5 sq.ft. Garbage Grinder( ) Other Type of Build_ing , ` No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 9A D gallons per day. Calculated daily flow R 3 gallons. Plan Date Number of sheets Revision Date Title n n` Size of Septic Tank AV 0© T e of S.A.S. g, 3 3 X :i,.75 l V 30i P YP A"`/" Description of Soil a 6 — /20 A*,.-J• Nature of Repairs or Alterations(Answer when applicable)_ ,�- , inspected:Date last ins 1 P f Agreement: 1'e The undersigned agrees to ensure:the construction an maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the En r,n,� ntal Code and not to place the system in operation until a Certifi- cate of Compliance has been issued�by this Board�2o/f Hea'Ith. Signed 4r U � -e Date �5�0 .Application Approved by Date Application Disapproved of the following reasons - y "�. Permit No. 0 d,5 3 Date Issued Z 05 -——————-—————-——— ' THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS - Certificate of Compliance �( THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ('")Upgraded( ) 1 y Abandoned( )by at 5 6 P a-L �.0 : � wn w�1- 4R. 6O l has been constructed in accordance with the provisions of 1i Title 5 and the for Disposal System Construction Permit No,�0U5".35 3 dated 6 12 91 Gfr --Installer 49&-J --a-y`tea . Designer G2. ' / n The issuance of this p t all a e construed as a guarantee that the sys er�i w' unctipri as designee Date U Inspector — — -- — — — -- No. GQ�J � 3 Fee THE COMMONWEALTH OF MASSACHUSETTS '! PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS ;Di5tlo.5al *pgtem Con$truction permit j Permission is hereby granted to Co struct( )Repair(✓)Upgrade( )Abandon( ) System located at Jf' � -cL.�. -Q gA&AL" AltA_ 0.a 6 oLj / and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty'to comply with Title 5 and the following local provisions or special conditions. i Provided:Construfction muust be completed within three years of the date of this permii I Date:_ / / �y Approved by P Town of Barnstable Regulatory Services Thomas F. Geiler,Director • snnrrsrnsi.E. • • 9� MAM ��$ Public Health_Division 1659. ° Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:. 508-862-4644 Fax: 508-790-6304 Installer &Designer Certification Form Date: /0 1 o' Sewage Permit# Of - 3 S 3 Assessor's Map\Parcel Zb Designer: A� rk L0_ Installer: Address: . � M_ IQ f r4 Address: �C-,) 13 1 g On 1101_? was issued a permit to install a (date) installer) septic system at 57tp �o� C- based on a design drawn by (address) .J dated (design ) 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. Stripout (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. Stripout (if required) was inspected and the soils were found satisfactory. _ZH OFkgs� DA EN cyc ✓ staller's ignature) 1140 NfTAR� (Designer's Signature) (Affix Desi amp Here) PLEASE RETURN TO BARN FABLE 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:\.Septic\Designer Certification Form Rev 03-09-06.doc Bk 23128 P:9103 0-45688 08-29-20 8 & 1 1 = 39cz Y DEED-RESTRICTION WHEREAS, !�- R. L G of (dwnefs name) a Ah/S'/!o 1 AIk d 2.6`I7 MA p /(add-dress) is.the owner of 5�0 !"v nl t,4 G S�Y P located (address) at G /! ✓i /.S Lid l MA(hereinafter referred.to.as • ` and being'shown on a plan erifidled "Subdivision of Lan in G n piS MA, Property of CP o 6n.4 Ae.vc�v�( .•p et at, dilly recorded in Bamstabie County Registry Of Deeds in Plan Book 2 �0 , Page Or on Land Court Plan Number WHEREAS,. K—cc rr^.l' L • Go P as the.owner of said lot has (ower's name) agreed with the Town of Barnstable Board of Health to a restriction as to the number.of bedrooms which can be included in any home built on said lot as a pre-condition to*obtaining a disposal works construction permit In compliance with'310 CMR 15.000 State Environmental Code, Titre V, Minimum - Requirements for-the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition:to granfihg a disposal'works-construction permit for a septic system in compliance with 310 CMR 15.200, State Environmental Code, Title V, Minimum Requirements for the SubsurFace Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a•single family home on this property,. is requiring that the agreement for the•restriction on tliee-number of bedrooms in any house constructed-on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, e d� t NOW, THEREFORE,—lea wl-e.% L' 6otj144 does hereby place the (owners name) following restriction on his above-referenced land in accordance with his agreement with tha Zmun run with the-land and be binding upon all.successors in title: 5,160 f o Xnlf�z, may have constructed (address) upon the lot a house containing no more than;�W0(Z) bedrooms. hl. ram) L• G c-a'I a A agrees that this shall be.pennanent deed (owners name) ,p restriction affecting Zor S located on 56 math c. ,51. a �yq, and being shown on the plan recorded in Plan Book Z 3fo ' , Paged 115� . . Or on Land Court Plan For title of see the following deed: Book IYa 3 1 , Page 3 3 . Or Land Court Certificate of Title Number Executed as sealed instrument OC day. of ST 6 Owner's Ognature `y Owner's signature Owner's signature COMMONWEALTH OF MASSACHUSETTS I 202 Then personalty appeared the above-named L- LZ6r) U(f?e- known to me to be the person who executed the foregoing instrument-and acknowledged the same to be free act and deed, before me, ,:.. Notary Public ;t It.C1.4 It,;.. "': ti`�.•'' M @ My commission expires: -�: (C ae COURTNEY R.CHAMBERLAIN `y NOTARY PUBLIC d�rrir � O Commonwealth of Massachusetts My Commission Expires t E „ $E,.• BARNSTABLE REGISTRY OF DEE S July 10, 2013 r_ , I TOP OF Raise covers to w thin V of STANDARD NOTES FOUNDAMON finish grade install risers as needed EL 5 .0 1) THIS PLAN IS FOR ?7IE ~466WINNAF / REPAIR OF A SEPTIC SYSTEAL 2) ALL INSTALLATION PROCEDURM AND AGtMU" SHALL CONFORV TO 310 CJ0W 18 000, 271E STATE ENVIRONWNTAL CODE, GROUND SURFACE EL�4 d___ 48.3 Tr?LE 5, AND ?fIE TDN1V OF :.__ 6_SZaZj .�__— SUBSURFACE DISPOSAL REGIILATIOM Proposed 3) NO DETMUWA77ON HAS BEF4r AlADE AS TO COal M"CE OF AVAILABLE PROPERTY 1NFORMAI7ON WITH RECORDED DEEDS '! D - Box MIN 2' LAYER DOUBLE WASHED OR ZONING REGULATIONS 1/8'- 1/2' STONE ...._,_„ MIN 2' LAYER DOUBLE WASHED j�'� MIN 2' LAYER DOUBLE WASHED 4) THIS PROPERTY IS SEB ICED BY TOWN MATER `""~--- 1/81- I/2' STONE 1/8'- 1/2' STONE � " 46.67 2"MIN--3"MAX TOP EL 45.5` 5 ?HERE ARE NO "OWN WLW NITHIN 100 OF THE PROPOSED SOIL ABSDRP?70N SYS M —�"'._� ._. .. ALL COVERS OF ,5�'S7EA! COYf�OA���VTS' S�fALG BE BROUGHT TO MEW 8 OF F7NIMW GRADE B INVERTEL � , ...................... .............,.................................................................................................................................................................................. ) 45.97 10" — — 24 30" 7) ALL SYMM COWONENTS S&= REAG4IAT ACC FOR IAiSFEMON A0 SMUCTURES SHALL BE LOCATED DIRECTLY Exist ing 45..8� — — — — — — — — 14 �'' O RFEItE 1PITH THE PERFORiYANC ACCESS INSPECTION a EFFECTIVE NOR ABOVE THE COACPOI��EAIT ACCESS LOCATIONS A4YICH N' ULD nvTE � RT EL — — — — — _._ .._ __ UPON INVE INV EL — �, SIDETVALL Existing IN,.TALL FUJIFWG OR REPAID g Exlstln q Q' S BGASAl'FIE r 8) NO DRT "AY, PARKING OR TURNING AREA, OR OTHER IA/PERVIOUS AREA SHALL BE LOCATED ABOVE A SOIL ABSORPTION 45..22 3/4'- 1 1/2' DOUBLE MWTEC EXCEPT WBFN �,G HAS' BEER PROVIDED. INV EL INV EL I" EL Three 3050 Infiltrators ,�, b WASHED STONE 9) SEP27C TANK, GREASE TRAP, DOSING CHA OMW AND DISIMU77ON BOXES ,SFIA& BE PLACED ON A 8" STOXE BASE i with 2 stone all around �' TO ENSURE STABILITY AND PI?EVENT Sid' 7"G 3/41- 1 1/2' DOUBLE WASHED STONE (3 32 x 75 x ) 10) OUTLET DISTRIBUTION LINES :MALL REMAff LEVEL FOR A imam 1f. OF THE ffmi, 771'O FEET OF THEIR LENG?7I BOTTOM EL .. Existing (H--10) ( t`( 11) ALL S�� M COMPONENTS SMALL BE CAPABLE OF WITHBTAMMO H-lO LOADING Ul. ' THEY ARE UNDER OR 17r11Y11V lO' 1,000 Gal Septic Tank �' ASE H-20 COHPONEN ' .SMALL FE USED ,5 = 0.021 S a 0.Oi: OF DRTVER'AYS OR .PARKING OF? TITRNING AREAS IN A711CH C s = 0,O7 To Remain 12) ALL BL?LDING SEIPER IJ1VE5 SjLjU &AVE AN INNER PJAR 4'R 'OF 4 a AND SHALL BE CAST--IRON OR SfCHEDLTLE 40 FVC: r 27 3 13) THE DEPTH OF THE TOP OF 11LL S'1�"M COMPOAMW MALL NOT EXCEED 36 UAWW V ffnWG HAS BEEN PROVIDED. 10, 35.7 s EL Bot Test (No &d water) 14) IN THE AREAS OF EXCAVA??O1' EXISrMa GRADES ,SMALL BE �ESTAB� UNLESS NOTED AS PROPOSED CONTOUR SAS (8.33' x 22. 75J Pit # —2 15) IF SOILS' ARE ENCOUNTERED DURING THE .IA VATION or THE ,SAIL ABSORPTION SYSTEM THAT DIFFER NOTABLY FROM THE DEEP OBSERVATION HOLD LOG, CONTACT A A* M LAND SERVICES AND TrDA7V BOH BEFORE PROCEEDING. 18) CONTRACTOR TO VERIFY LOCATION OF ALL UNDERGROUND UTIMTIM PRIOR TO CONSTRUCTION Floor Plan , .k 17) CHANGES OR REVIS7MAW TO SEPTIC DESIGN REQUIRE NOUMATION ' M1 TO A & �Y LARD SERVIC!s'S AND T4�B'X BOX AMOR REVIEA' A1Vll APPI+6DVAL DEEP OBSERVATION DEEP OBSERVATION 18) CONTRACTOR SMU NOTIFY Towy AND DES ON ENGINEER AT LEAST - D.L'SIrrN DATA 24 - 48 HOum Arm, ro nrOzm �s) HOLE LOG HOLE LOG C3 Bed 19) MAGNEnC TAPE rO BE PLACED OWD? ALL COMPOW-NrS ACCESS POINTS. Bed Number of Bedrooms: 2 Test Hole #1 Test Hole #2 2 Owner of Record o Grinder. NO (EL = 48.4t) (EL = 47.7i*) #1 U Garbage Grind seal Tema H rure Karen .L� Gonyea Design Flax: 220 ` Ho:i.�► (USDA) oku"u) (=A) (Y�) C/os (no as/se/uar : sm�b.r at Wiz) Btfl Existing Septic Tangs To Remain 1,000 0 - 6" 47.9 A LOAMY SAND 10YR4/1 0 - s•' 47.2 A LOAMY SAND f0YR4/Y Deed Reference �oYla6/6 " �'. 437 B LOAMY SAND loym/e Bk 14032 Pg. 343 Ountu mm Design !'few x am) Gal. 666 - 26" 46.2 B LOAMY SAND 6 Leaching Area: 26" - 12r 38.4 C MED SAND 10YYR7/6 2r - 144" 35.7 C "D SAND lOYYR7� Sidewalk Plan Reference L i V /girl (2 si&MORs x 2, « x � + PI Bk 238 Pg 145 (I lndw.11s :8.s n = 2 . ) 124.3 SF Kiti 189.5 SF Lot 5 � Bottom:B.33', „ti z ) 313.8 SF Weep vObeol sole Date: RD s O" �i�� Data RD S O" f�loil f�alnator. Jtto�avruti Long Term Acceptwice Rate (LTAR):X 0. 74 witnessed Sr. DoMa� I[iot+st�ali wttnessad Hy: Para Rate: < 2 jayllN O 54""' Pero Rate: Leaching Area Design Capacit3r. 232 GPD &d Survey Descrtption: CARV2'R soil Sur"y Deeadption: CARVRJI(M ewaR Arse + > Area) s LTAR dedoole Yaterlal: asr►.�s8 YaterlaL• �g N0.1 �Depth toltaadtW water: NA Depth to standing hater. NA , Depth to weeping water. NA Depth to weeping water. AVA to Color ` NA Depth flies( Depth YottUas( �: to Yet Color. NA 232 — 22D '2 a Est Seasonal M. XA Est seasonal High � VA,: . GPD Provided GPI« :-..,�t iuired Reserve High 7 ii Obserttion weli: XA;; _ .. Observation Rel]. ,,;.4A �. ._•. _,.,� ,.z ,...�u- �s e II +Co t. �, u melon ,. .. , . , Parcel with Ln �.C3n Date of ;L'et Yeasura�ent: XA '_ Date of Lart Y.a.nrm.�t: XA { Co�� Comments Two Bedroom Deed e try�e t.i on o be Recorded e A b an dory Per Title 5 N 85 > Pump, sand fill and crush ASSESSORS �lAP 289 LOT 187 1 i 03 •t Fence 149. 02 > existing Leach pi _ Exis tin g 1, 000 6� Upgrade Repair Plan l S— Tanl� Se t1 �Ga c� .p �`�} (To Remain in � Proposed 00 Lot0 6) D-Box Barnstable, MA 02601 c� 5 c TBAf Cor Con 805+ . q. Ft. EL = 4820 Located At W Bldg ,#54 56 Pontiac Street C 2 Be dro om � 2�' �� o% 1 Hyannis, AfA 02601 a �. rap S/i/ - 50. 00 ,s. obs H � g/fl o� Perc Test 1 A Applicant h F` Karen . L. Conyea (Arl " ~�' P 0. BOX- �r634 a Q) .1) O 7 3s yan.n por� , 0264 5 H Is t MA Gazebo O pKo! , 4 » , � 8.33' SCALE.• 1 = 10 DATE. August 15, t2008 Locus Map W �--- �, o0� Pad ------ g - t 7— PREPARED 8Y.• 6� Locus cy �h ``_—.-- ----�. ���' obs Hole J2 � A & M Land Services �° �� Paved Dr! Proposed SAS • �, veway �,�NOF„ 618 Main Street Unit 3 �Os moo; o Three 3050 Max In fil tra tors a RRER °�� ✓- West Yarmouth, MA 02673 s a o�� `.—`-- --- I Ph. (508) 771--5�26'3 - (508) 737-1777 � - 1 With 2 Stone All Around r UP No. 1140 Q� �GtSTEVt �`•� s+Ntraa�►`' GRAPHIC SCALE o Q. a > ' �,�y U s S 87 y8 5 » Fence �o o �o �o +o 55. 1 .3 t ( 2; FM j 1 inch - 10' ft. Dwg. f 5040.dwg