HomeMy WebLinkAbout0033 BAYBERRY WAY - Health 33 Bayberry Way
Osterville 114-001 .002
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No. �3 i.' : :. - Fee
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THE COMMONWEALTH OF MASSACH a Entered in computer:
Yes
PUBLIC HEALTH DIVISION- TOWN OF BARNSTABLE, MASSACHUSETTS
ZIppfication for aizpozaf *pgtem Con!6truction Permit
e, FLocafion
on for a Permit to Construct(�' )Repair( )Upgrade( )Abandon( ) Complete System ❑Individual Components
Address or Lot No. 3J Ba�beer y W& Owner's Nate,Address and Tel.No?oloe;-t%. vPc..2/iit/T,2 e
ssessors Map/Parcel //.4/0p/a pp2 33�Z.X 17 0 1 wa
VW
- AJ . . // d
Installer's Name,Address,and Tel.Now." Des' ner's Name,Address and Tel.No.
®s Sv/F1vaH macc�.°uen:o�y,.1 4
��trker fc�is� V
;_rviIl _ /1A 62 63 5b .334
Type of Building:
Dwelling No.of Bedrooms T Lot Size sq.ft. Garbage Grin4er(—� IVO
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 5,6-5- gallons per day. Calculated daily flow 65-0 gallons.
Plan Date ,ber ,IY CV� Number of sheets J_ Revision Date
Title &YWrl f4K 0 J►un410yeweilis 'L3 3 llpu L--r r k CtlaV 134 I'm&U,-
Size of Septic Tank Type of S.A.S. � � vav g4llexr /N&e4 C401 r4c�: ��k
Description of Soil -it' A ai - j.oc l `s L e i D R-/ K� yy
a
Mer i D�^ (o a iu a
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 Environ de and not to place the system in operation until a Certifi-
cate of Compliance has been i ealth.
Signed Date 'Z
Application Approved by deli. Date U
Application Disapproved for t e following reasons
Permit No. 2.00 0 3 7 Date Issued 1/31,16
1_16 02 x Fee /J� .
�• (( � " A Entered in computer:
L 'f THE COMMONWEALTH OF MASSACF�U ETA p Yes
PUBLIC WEALTH DIVISION.-TOWN OF BAR NSTABLES`MASSACHUSETTS
i
application for 0igpogal 6pMem CCougtruction Permit
l Apphcatton fora Permit to Construct Repair( )Upgrade( )Abandon( ) Complete System 'D Individual Components
Location Address or Lot No. 33 aa.yy beye r a ner's Na
e, ddres and Tel.No.
0ster0i11e Y Sr _ Kooert , Pew�iKhaver
Assessor's Map/Parcel //-Q/Op/-ppz, ` � i` 3-3 e�mr berry Wiz y }r
+ 4s 6-v,'Ae /',7A eve.ss_
Installer's Name,A,dddd`ress,/ d Tel. . �'�No C Des ner's Name,Andress and Tel.No.
6l �� Sv
.. � ?arker load ,
G nne pstrvi lle /1IA a��,5" �sob� 928- 334q i
Type of Building:
Dwelling No.of Bedrooms_ Lot Size sq.ft. Garbage Grimm
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow rS`J gallons per day. Calculated daily flow $reO gallons.
Plan Date &e r 4Y � Number of sheets / •� Revision Date
Title preaoosed /aK o �YltprOVPH,�H �� 4gerry (U2�i /�arns�a��ra leer✓,'//e /ydSs, .____ '!
Size of Septic Tank 15=bO ja//mom "Type S.A.S. ! A4�la+ /;.tc4 c4,0,Wk
Description of Soil o" A Aa! er /0 yiP 3 i - Sg W 1.oa.�f � //�=22, IS
y�I'- Po" .C �a � a,57 Y 6A - Med,•,," S':tzd 7o'�/zo S" 4 Ye 2 Y6A -/'Ir ;ukl.5'r- n
t'
Nature of Repairs or Alterations(Answer when applicable)
a
t
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 Environtrne`n" 1 ode and not to place the system in operation until a Certifi-
cate of Compliance has been i y tkn of ealth. _, s
- Signed .--
,r. . ,'�--_.Appiication'r� pva y . F Datepoe ! U b
-
Application Disapproved for the following reasons
Permit No. 2 00 C- D 3 7 Date Issued ! G
—— ——-— —————————————————————————————— -
THE COMMONWEALTH OF MASSACHUSETTS `
f, •� BARNSTABLE,'MASSACHUSETTS
(Certificate of (Compliance
THIS IS TO CER FY, that the(On-s-i�te/Sewage isposal System Constructed(x)Repaired ( )Upgraded
Abandoned
at 33 *berry k2ay� QS er✓,l�P J has been cted '/accordance
with the provisions of Title 5 and the for Disposal System Construction Permit - 00 b-037 A-Ated (�
Installer Designer J J I1 `f A
The issuance of this permi al�no e construed as a guarantee that the sy t in u j mn as d.9 i tied,.,
0
s Date Inspector J �ii'L %� (/�"
No. 2Q o 6-. U 3 / _ _ — --- - - - - - Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Digogal *patent (Cott!truction Permit
Permission is hereby granted to Construct( )Repair( Upgrade( )Abandon( )
System located at 33 -B-Gerry Day , us er✓//1P
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:Con truction must be.completed within three years of the date of this pe ''t�
Approved by Ol''/• ��`�
r ,
Town of Barnstable
�OF1HE r Regulatory Services
yP �� Thomas F. Geiler, Director
sA LE MASS. . Public Health Division
9 MASS.
ib39•
ni,,p�°i Thomas McKean, Director
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Date: a i8 _ Sewage Permit# ;,60&-yj7 Assessor's Map/Parcel j-
. 11y .
Installer & Designer Certification Form
i Designer: 4EZLL.k v ury C Installer: �S j-rJ y1hG
Address: 7 ?0%- (CG—�2., 'Address: L71 �(�,%�tv 7
On 7 O CA& C1,01.F C�sTr� T t was issued a permit to install a
(date) (installer) .
septic system at 5 Pit. yl ew AVM based on a design drawn.by,
(address)
v Lt tU P,4%J dated Z8 Zoos
(designer)
111_�I certify that.the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as laterat 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.
P'TER .
aller' ature) SJt.LiVAU
(Designer's i nature) (Affix 9,6'5 gnw,r"s Stamp Here)
PLEASE RETURN TO BARNSTABLEE-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.
gAoffice formsldesignercertification form.doc
Town of BArnstable
P#
Department of Replatory Services
Public ileaith Division.
Date
200 Main Street,Hyannis MA 02601
a�s I
Time
Date Scheduledd 1 Fee Pd.
Suitability Assessment for Sewage Disposal
Soil S � !
Performed By:
1S U t..t_\\(A(Q CcU610 b \ � - Witnessed BY.
i
LOCATION& GENERAL INFORMATION
III I Owner's Named S ff/�1 l_t tU F�AV CA
Location Address �i(J
Address EXII& v r��trs�cJ QY OS I �LI<,CG
ie-e-v t l_tr G I Gnu 6 l rvC
Engineer's Name `0
Assessor's MapjP$rcel: l�� � )—2 I �
33 4
_ �-
NEW CONSTRU&n0N �_ REPAIR I Telephone# 4�
-p— surface stones
Land Use •�•`.\ Slopes(`%) Drinking Water Wcll
,
i
Distances from: Open Water Body S t0 t- ft Possible Wet Area
� ft S00 ft
I IO {Lin R
00 + e Other
' lhainage Way 5 ....P'r°pertY
1
mity to holes)
SKETCH:(street name,dimensions of lot,exact locations of test holes do pert tests,locate wetlands in proxi
.' M611k - r ,
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11
------------
-too
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efi
yfl0 ' ro
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Depth to Bodrork
Parent material(gedlOgic)
Ov S� I OU
Depth to Groundwater Standing Water in Hole A)ns I Weeping from Plt Face
Estimated Seasonal,oigh Groundwater M TA.d.fo.1A r
DJ NATION FOR SEASONAL HIGH WATER TABLE
_ A4�u I. Ifl.
Method Used:r���___-- In, Depth to ball tnoltltu; fr. -
Depth C/bperved standing in obs.hole: ——�——"In. O foundwater Adjustment
Depth tolweeping from side of obs.hole: Adj.{actor,......_.--, AEI,dtYlundwatet LEvdl,,,_
Index Well# _ Reading Date Index Well level
OO/
! Dato Tlms M OOO.
PERCOLATION TEST
Observation f I Time at 9" .:�.� '•S -31y
Hole# Tlme at 6"
Depth of Pere
Time(9"•6") jab—-- --1:h5�1
Start Pre-soak Trme.00
• il•1 II�y3
End Pre-soak pp
r <L `rj.P�rin 'n I
t
Rate MinJlnch ;
Site Suitability Assessment: Site Passed
/ Site Failed; Additional Testing Needed(Y/N)
original: Public Heltlth Division Observation Hole Data To Be Completed on Back------
g
you must first notify the
***If percolation test is to be conducted within 100' of wetland,
13arnstable C4ilservation Division at least one (1) wedk prior to beginning-
'DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color _ Soil Ul1�er
Surface(in.) (USDA) (Munsell) Mottling (Struc�ure,Stones,boulders.
n sten el
uf"'01
0
FDS11'EI OBSERVATION HOLE LOG. HoIe#_
Depthorizon Soil Texture Soil Color Soil Other
(USDA) (Munsell) Mottling (Structure,Stones,Boulders.
nsiallm Onto)G✓� Z..S(�
Mat 565
PEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structtire,Stones,Boulders.
i !
;DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling
(Structure,Stones,Boulders.
o n
Flood Insurance Rate Map:
Above 500 year flood boundary No— Yes
VAINn 100 year boundary No---, Yes
within 100 year flood boundary No,----* Yes
Depth of Natutaliv 0 ecurdne Pervious aterlal
Does at least fo feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed r the soil absorption system?
If not,what is the depth df naturally occurring pervious material?
Certification
I certify that on.i I (date)I have passed die soil evaluator examination approved by the
Department of Vnvironmental Protection and that the above analysis was performed by me consistent with .
the required training,expertise and experience described in 310 CMR 15.017.
Signature4k
V Date IQJZ5105
Q:%S.EM ICIPBRCI 0RM.DOC
-r- .•-.^_^"':""-'--sue' _._
Finish Grade NOTES Design Data PERC TEST: 11,143
9" Min - 1. Water Supply For This Lot is Municipal Water. Carriage House - 2 Bedroom PERFORMED BY SULLIVAN ENG.
3' MAX I �. Filter 2. Location of Utilities Shown on This Plan Are Approx. Future House - 3 Bedroom WITNESSED BY. DON DESMARAIS, RS
Compacted Fill Fabric At Least 72 Hours Prior to Any Excavation For This Nock'•
Project the Contractor Shall Make the Required Daily Flow = 110 x 5 = 550 GPD BARNSTABLE BOH ,, 6
2" in Notification to Dig Safe (1-888-344-7233) OCT 24, 2005 Pend
3. The Contractor is Required to Secure Appropriate Septic Tani*_
Pea Stone Permits From Town Agencies For Construction g = 1,100 GPD PERC TEST - DH-1
9 Desi n Flow: 550 GPD x 20090
Defined by This Plan. PERFORMED BY SULLIVAN ENG. , o, v •,
3, ® 0 4. Install Risers to Within 6" of Finished Grade. Use 1,500 GCllon H-20 Septic Tank OCT 24, 2005 : 1 ro °• o o s' =
a o a a o 5. All Structures Buried >= Three Feet or Subject AT GRADE EL. 23.0 r
to Vehicular Traffic to be H-20 Loading. •a
a o a a a d Leaching Area: O� i S • ..• ,
2' 6. Septic System to be Installed in Accordance With A LAYER 10 YR 3/1 �.•
DO 0 0 0 3/4" - 1 1/2" 310 CMR 15.00 Latest Revision and the Town of 550 CiPD 0.70 = 786 SF Required 0•_11 SANDY LOAM 22.1 2`. a . • r•
Double Washed Barnstable Board of Health Regulations. Sidewoll _ 227 SF (12.83'=44')X2X2 °�� a�
Stone 7. All Piping to 'be'Sch. 40 PVC. Bottom Area = 565 SF (12.83'X44') 8 LAYER 10 YR 4/6
8. Wherever Sewer Lines Must Cross Water Supply 792 SF Total Provided' 11'-22 LOAMY SAND 21.2
4'-10' -I Lines, Both Pipes Shall Be Constructed of Class 150
Pressure Pipe And Shall Be Pressure Tested To C1 LAYER 2.5Y6/6 ;,,, •S v t
Varies Assure Watertightness. Leachinci Chamber Design: 22'-70 MEDIUM SAND 17.2
See Plan View I
All Pi es to be Schedule 40. C2 LAYER 2.5Y6/4
first�qete4ed with the Use (4)=50Q�Gol. Leaching Chambers YELLOW/eRowN �.;• 2
CROSS SECTION OF CHAMBER 70'-126 COARSE SAND 12_5
NOT TO SCALE In a Washed :tone Field as Shown. s oast 6
Check: (792 .X 0.70) = 554 gal -- (OK) PERC TEST /
_ 50' RESULT < 2MIN/INCH 18.2
/ ro
TOF 1. 26.1' NO GROUNDWATER ENCOUNTERED
f TEST HOLE - DH-2
f� PERFORMED BY SULLIVAN ENG.
a
F.G. EL. 23.0' See Note 4 (typ.) OCT 24, 2005 LOCATION MAP.
See Note 4 t .) F.G. EL. 23.0' See Note 4 (typ.) AT GRADE EL
A LAYER 10 YR 3/1 Scale: 1" = 2000'f
Filter Fabric 0'-12 SANDY LOAM 22.0
Top El. 20.53' B LAYER 10 YR 4/6
(Min.) 12'-28 LOAMY SAND 20.7
• � , � �_----------------
�o 'SQL C1 LAYER 2.5Y6/6
El~_�!U•Zb/ ?• O O O E3 0 17.4
{ } 1,500 Gal EL 19.76' C3 0 b o o
Gas EL. 19.53' C3 p C3 p p 28'-67' MEDIUM SAND
j.• Septic Tank ;,; E
H-20 D-Box Flow E uilizers !3 � �' C2 LAYER 2.5Y6 4
Baffle;i q - Bot. El. 17,53' N
H-20 - YELLOW/BROWN
r 67'-170' COARSE SAND 8_8
Leach Chambers
�r (4) 500 gallon
i.
<, ,...:...c; ;;:.,,,;,•,.r:...,:,s�:: .,;,,y.x.:::.:.r:':�:.?•, Bedding, "T"s "Us 0 43' RESU�E<C2MIENTINCH 19.4
FOUNDATION & Baffels If Encountered Remove & Replace - I BY as Per Title 5 All Unsuitable Soils Within 5' of NO GROUNDWATER ENCOUNTERED
OTHERS The Outer Perimeter of The System
10'
Min. Test Hole 1 El. 12.5' ZONE.
20' No Water
Min.
RF-1
PROPOSED SEPTIC SYSTEM PROFILE Groundwater ® El. 2.5' Area (min.) 87,120 SF (RPOD)
NOT TO SCALE -Per T.O.B. Maps
Frontage (min) 20'
Width (min) 125'
Setbacks: '
Fron t 30'
p - Side 15'
Rear 15'
o-
/ � 3
p ire
/ Pavea
0,4e ASSESSORS REF.:
Z
Map 114, Parcel 1-2
23 5
ch �\ 24 0 CB/dh�,�� \� n OVERLAY DISTRICT:
N�obeth L� , fnd 1 0
Dowel
& AP - Aquifer Protection District
Doi C 15 \
_24 - _ _ \ / \ \ As Shown on Plan Entitled
"Revised Groundwater Protection
Overlay Districts" - April, 1993
N72
24x8 / 116.g7 \\ /
Benchmark:
EI.P 23.89'NGVD 29 e ord SetboGk'' °io \ £
0 \\11 FLOOD ZONE:
/ Lawn \ � ��'"
fnd \\ \ \ Zone C
Community Panel No.
\ N o \ #250001 0018 D
23x5 \ o \ £ July 2, 1992
d
\\\\ Hedge \\`\ Pro 0 e
-AL\ t
f
Refer to \ \ O -O -
vv V AI \ Note 18
2 3 `\
\\ 12.8
\
\ \ Proposed 1,500 Gal \\ 1
\ ) Septic Tank H-20 0
Lawn 1
\\ i 22x8 L \
1 LEGEND:
44.00' 1 \\ I f
Lawn Guy Wire
23x4 ^-E x \ \ 4 /
O Guy Pole
\ H-20 PT-1 C - \1
16' / w 0 \ 0 Utility Pole
p I \\ O Water Gate
N
/ \\\ Proposed w(4)500 gas \\\ 23 `. \ f / t\'J Y
° e Hydrant
p o\ Carriage House Leach Chambers / ``�� \\ `� - �e
t o\ H-20
ohw- Over Head Wires
W \ 22x5 / \
0 p
Deciduous Tree
\\ ro Coniferous Tree
Lawn
Holly Tree
Z - - A \
\ \ f
�N0) \ 23xl'\: .\`\ Q Perc Test
Lot 252
/ \\ 52, 789 f sf \ \\
o \ �
o
Y '� � n\\ � - - - - \\ � 4 Povea
-\ ;
O ° ° \\ 22x4 I \ C
23x2
P fOP°SSpCy Portable Deck u' <
\ Carport Wood \\ 43.1' �� do £ n
0
ces ` i\� /
Pr \ ello \ \ 23� 0
ild�n9 \
By \ Wood Entr \\ / u _ l �n \
\ od Shed
\
qo•a' \ Shed �` D
\ #33
Sty o 1
Existin9Welling / \\
N
2.
10l
22x3 c FF= 24.2' _ _ ?
_
Fence
\StoCk�° \ Porch \
o \ f
\
22x6
` __ 1 Setback \
d `� �23- - \ 30'\Frontyatd
?fOP°Se 23x _ _ _ / / \� --_- -23- °4 \ 2
23x2 ?3�
Bit. Drive 1\° - _,
z- /
o°c` \~ Post & Roilo ego-_ /
4 )4_ -off
2 3 � v s
. 44 W -
S8p1
i
- CB/dh \ bliC Way
fnd A.
'44"W ' Edge of pove - -� _ _1k - _ / (PU a„w
S80"1'Z viev,
pave� Edge. of L w-
152•24 °�'
d (40' Wide NIF Corey Tr
ant...: Marclo
V` onw Donald &C.131622
e a„w
ohw \ 9�
ohw �
ohw \ e
oh '� � aAag
ohw---------
hw w N/F \ � 6a����
onw erin D White , ,
Cath
REVISIONS:
Revised: (112512006) Remove Future House & Adjust System Elevation
TITLE: PREPARED BY. PREPARED FOR: NOTES:
Proposed Plan of ImprovementsCapeSurv'l �-
Sullivan Engineering, Inc. 1.) The property line information shown was 6-
At 828 Sea View AVe Robert J Spenlinhouer o
PO Box 659 7 Porker Rood- compiled from available record information.
Osterville, MA 02655 Osterville MA 02655 33 Bayberry Way r
Barnstable (Osterville) Mass (508)428-3344 (508)428-3115 fax (508)420-3994 (508)420-3995 fox OSterVllle MA 02655 2.) The topographic information was obtained from
� PSuIIPEc�aol.com capesurv�apecod.net On or bon ehe-ground survey tween tween 20/JUL/05 &r22/JUL/Sformed by CapeSury �
Li
3. The datum used is NGVD '29, a fixed mean
Draft: DWB Field: WHK/JPM ,.� p 10 20 40 80 ) �
DATE: October 28, 2004 Scale: � �� = 20� Comp/Review: DWB/PS omp/Review: RRL
sea level datum.
Pro j. # 25034 Drawing C444_4G1.d w