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HomeMy WebLinkAbout0128 BAYVIEW CIRCLE - Health i 2 3 Bayview Circle,, Lk �.: w, � S M E A No.2-153LGN UPC 12134 HASTINGS,MN g f �� i � © e i C,� i i �j �, �� �� �i, �i i TOWN OF BARNSTABLE LOCATION /& Cj A pLi/;w C i�cA5 SEWAGE# 20 VILLAGE 6SrGiQV//1/� ASSESSOR'S MAP&PARCEL IV2— i7 Cl N INSTALLER'S NAME&PHONE NO. S'OFS--Y2��-q'7-19 c/aj_C�4 0y r SEPTIC TANK CAPACITY /,SQO 2 /�'(/yY►p for'To'!,,;o r LEACHING FACILITY:(type) (size) z X 33 S NO.OF BEDROOMS y OWNER 4wg- 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 leaching facility) Feet FURNISHED BY q i.. zo. (�-1: 3y, C— 3 D-3 = 3el y • H S No. �o r��' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ftplitation for Mispo8al 6pstem Construction permit Application for a Permit to Construct k;,K Repair(CyDpgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.,V/,419 y+/!mow Okelg Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer;�s Ige,gd ess�r�d Tel.No. —Y� �73 Designer's Name Address,and Tel.No. ©SE' L(3 r��'/ S.t%1�G' Type 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) gpd Design flow provided S gpd Plan Date Number of sheets Revision Date Title t/ Size of Septic Tank GG i Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) ��i/ C'�i C! �GCJ/" Eylly !C7AvG15 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. Signed i Date Application Approved by ` - Date Application Disapproved by Date for the following reasons Permit No. 9 0 o Date Issued — / No. Fee t THE COMMONWEALTH-OF MASSACHUSETTS Entered in computer: i ' PUhLIC HEALTH DIVISION -TOWN OF'BARN STABLE, MASSACHUSETTS Yes .21pplication for misposal *pstem Construction Permit N. R„1 Application for a Permit to Construct��Repair( 4-upgrade(„ ) Abandon( ) .❑Complete System ❑Individual Components Location Address or Lot No. 2 �/✓i/� �!i^c /= Owner's Nam A dress,and Tel.No. ` Assessor's Map/Parcel /y2 y L�9�/ OW I aaler' rip dr ��gd Tel.No. "`�� 736 Desi er's Name Address,and el.No. �i �' �Jd Cn lo/ti e� cvor,�s ti1�G Type of Building: DwellingNo.of Bedrooms L/t: Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) I Ll U gpd Design flow provided y S Ll gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank G G M, f�(b-�� i V) O Type of S.A.S. lj Description of Soil r 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. Signed ` Date -t ^� Application Approved by �V - , S Date Application Disapproved by y Date I for the'following reasons p1 - DR 5 - / - Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO/CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded Abandoned( )by Jp9�j �e 6��rOs at i I$ &#eV1 L6(1 C/rekz- 0S VZ��= has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.a0/S-6 k-5-dated 4 0_/5 Installer JOS'48Lj {a9AA'C',5 Designer %OlAf�esl'/AOIa (,1%0/2�5 CNC #bedrooms y Approved design flow 4y d gpd The issuance of this,permit shall not be construed as a guarantee that the system wiVr4 _n e/ s desi d. p r Date t.f 1 1 � ) Inspector l ! ' ----- --------------------------------------------- - --- =------------ -------------------- ------------------- No. C95 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC_HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS r MiSpoBal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair(ri'j Upgrade Abandon( ) System located at I2$ t�i4 �1,1FW gf1;-e1,5 ` 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. p Provided:Construction must be mpleted within three years of the date of this permit-----'-",-- ; Date L _/U Approved by �-�—� i Tow . f Barnstable p 1HE l r" y�.° Re.g6lat®ry Services Richard V. Scali, Interim Director BARNSTABLE, ` 9�A : ���� Public Ile Division >�a 39. Thomas McKean, Director 200 Main Street,Hyannis, MA 02501 Off= 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: j j� f Sewage Permit# 2p/,f{- 08S Assessor's Map\Parcel Designer: A�;,� e®.^` e* �b�—e= Installer: �iS _ c�-�'�. S�`� Address: 2 , t Address: i On was issued a permit to install a (date) (installer) septic system at I '—cV �cn v V i Q�a cc 4 ��tru c��b'ased on a design drawn by (address) .. J; dated )ts 7 I (designer) certify that the septic system referenced above was installed substantially according to ► the design, which may include minor al proved changes such as lateral relocation of the distribution box and/or septic tank. St ip 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, 0fi L � I certify that the system referenced abov was construe' � with the terms of the IAA approval letters (if applicable) « y rETEF? T. 1 caa CIVIL, � .. ! No.35109 (Installer's Si ature �' QIJA��m� esi er's Si afore) f (Affix Designer's Stamp Here) PL! ASE RETURN TO BARNSTABLE PUBLIC HEALTH DMSION_CERTIFICATE OI COMPLIANCE WILL NOT. BE ISSUED UNTIL BOTH TIES FORM AM) AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC FMALTH DIVISION. THANK YOU. L Q:&ptic0esigner Certification Form Rev 8-14-13.doc Ira Town of Barnstable P#_ Department of Regulatory.Services Pub lic Health Division Date �Ar s6Jg °� 200 Mahn Street,Hyannis MA 02601 Date Scheduled_ _ V -. tl C)(3 Time_ Fee Pd, Soil Suitability Assessment fob' Sewage Disposal l cr /s 7 Z- Performed By: !'e.h � ,LZQ �"`.- `! Witnessed By: 1/-QS LOCATION & GENERAL INFORMATION FLocatlpn Address f 2cr� ✓r G- C ✓: Owner's Name �/'��•/?/) [. Address Assessor's Map/Parcel: j 7_ 65k' "it" C9 z-4 S `� Engineer's Name l..r�(_.�'n. —'e, NEW CONSTRUCI'iON / REPAIR Telephone# 15—FF'-73 7 V 7 C_ 1 Land Use t S i Ck,-,v\ —�J Slopes(9'0)_� G Surface Stones�M Distances from: Open Water Body_ ft Possible Wet Area ft Drinking WaterFV1?ell _,•-�ft -"�" vj Drainage Way I ft property Line } • P Y ft Other N � ft SKETCH: (Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Y �1r Parent material( eologlc) , p Depth to Bedrock Pv �0 r Depth to Groundwater. ,V Standing Water in Hole:_ ^ Weeping-from Pit Face„ �`-1 Estimated Seasonal High Groundwater -1 3 DETERNUNATION FOR SEASONAL HIGI 'WATER TABLE Method Used: Depth Observed standing in obs.hole: —in. Depth to sol)mottles: I Depth to weeping from side of obs, hole P _g In, C7rnundwuterAdJustment. .�_„�,,,,,:fr. - -- _- --- Index Well# Reading Dade: Inc'ex.Wei lev:9! -qdj,factor m Adj,groundwater Jxvel o PERCOLATION TEST IMU. Time._.— Hol Observation to Hole# 1 d/` Time at 9" Depth of Pero f M � ?� Tlme at d" Start Presoak Time @ 1 End Pre-soak Rate MIVInch. —7✓' - // - r y Site Suitabilit As sessment: Site Passed Site Failed: Additional Testing Needed(YIN) Original: Public Health Division V Observation Hole Data To Be Completed on Back----•------ • S� ***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:\SEPTfCU'ERCFORM,DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Shci Color Soil Other Surface(in..) (USDA) (Munsell) Mottling '(Structure,Stones;Boulders, iec I" 'L4 SattiA -Z i 5 `; Ilk- DEEP OBSERVATION HOLE LOG Hole# �- Depth from Soil Horizon Soil Texture `Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency.40 Gravel) r [_5 I2�t z DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in,) (USDA) (Munsell) Motding (Structure,Stones,Boulders, Cons!s e a e �� OBSERVATION HOI,E LOG Hole # Depth frorn Soil Horizon Soil Texture Soil Color 8011 Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders, Consistency Flood Insurance Rate Nfan; Above Soo year flood boundary No-- Yes W':t.liln 500 year boundary No Yes :w Within 100 year flood boundary No C- Yes Death off Naturall Orcurrin�Pervious Material Does at least four feet of naturally occurring pervious m torlal exist in all areas 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 _____� l (date) I have passed the soil evaluator examination approved by the Department of Environmental Protecdon and that the above analysis was performed by me consistent with the required try-1 ' , expertise and experience descriUed in 10 CMR 15.017, Signature_ L — Date QN1EPTICTERCFORM.DOC fir v _. LEGEND N + -- 44 -- EXISTING CONTOUR 'J' 1qy1Lzz PROPOSED CONTOUR .lIICA x 100.98 EXISTING SPOT GRADE PoND .o W EXISTING WATER -SERVICE RT. OUTSIDE'COR./BULKHEAD ) _C EXISTING GAS SERVICE ORT�is AAY EL.= 48.56 . ASS MED DATUM $.H.W. OVERHEAD WIRES.; PoND ® TEST PIT RR o _ - BENCHMARK 43.37 44.92 46,42 N 36.35'0 " W g 50 -_`-_ REBAR 48,90 38.07 I x 40.78 47.02 x 168.32' 48.45 x iN 48.89 T x 49.07 ��� LOCUS 0.42 / 48.\59 x0 O -^ \ \ x 47.83\ \ x \ x EXISTING CESSPOOLS LOCUS MAP - o 48, 6 O 48,4 TO BE PUMPED, FILLED NOT TO SCALE co 15, \r� , .:'•�. \ AM-1 W/SAND &. ABANDONED, 4� 01 \ I SLAB 37,61 \ ��� °, 14`�•lo N`;6��R PROPOSED GENERAL NOTES: 44,91 s9 SEPTIC TANK _ �p \ �� '� 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL C \ "` _ �g /i,F BOARD OF HEALTH AND THE DESIGN ENGINEER. \ A F� 2. ALL WORK AND MATERIALS SHALL CONFORM.TO THE REQUIREMENTS d? , ink TP 2�J� " ';' iEX/STING/ 623 148,11 x 48,57 x 48.58 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE- t w'. \ 311 \?t : •) 47 69 ' lIOLlSE #�28)� LOCAL RULES AND REGULATIONS. 4758 TOF=48.56E t� Cn -3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR \ x (Fl/ll_ CELLAR) _ c,r TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 37.72 -�' \ . PK SET'. ' , .. DESIGN ENGINEER. \ \ : ., ,....•',.4.4 55 TBM-2 , �� . :.'.:, �. -p 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING \ ` \ ti 48,16 0 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 47.76 : W W ENGINEER BEFORE CONSTRUCTION CONTINUES. -� x� rrt 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM 6. THE DESIGN ENGINEER- IS NOT RESPONSIBLE FOR THE .FAILURE OF 38,17 41.74 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. LOT3 7• WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. \ THE PROPOSED S.A.S. 1 0' OF,• WITHIN 5_ Q W H ..� � •��' \ '\�•x -.O.J4 _ 8. THERE ARE NO PRIVATE WELLS 45.48 M 3 L�R,l 42 9• ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 45.99 i R AS OTHERWISE T R 0 \ :'Q \ 1 5 671 �±SF- AGREED.:.UPON. BY OWNER AND CONTRACTOR 38.52 ; : ' '; LAMP DIRECTED BY THE APPROVING AUTHORITIES. \ x 42.78 \ \ x 46.6 -10. IT, SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE `:.:. \ \ LOCATION OF.ALL UNDERGROUND' UTILITIES, PRIOR TO BEGINNING THE 44.18 3.::,:' 45-74,--4O-- 46,3 CONSTRUCTION. t` 11. WHERE "REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 1N THE AREA :BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND �V, 4L8� \\ 97.83� . .F4 REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 79 S 3! ' ..0 µ" E. {� 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL 'BE CB \ '}_ \ INSPECTED BY A LICENSED SOIL EVALUATOR PRIOR TO- BACKFILL. 42.20 A 4 4 16 O 40.45 .>.:; ._,. _ � '•� 45,0 �c�Q 9cyG 43.27 a 1 = J r, o PET E R T. MCENTEE PROPOSED SEPTIC SYSTEM UPGRADE PLAN. CIVIL CIRCLE _ No. 35109 - 128 BAYVI EW CIRCLE, OSTERVI LLE, MA R£GISZE��� OFFS ENG , t �' . • j,, .. Prepared for: Anne Delay, 12$ Bayview Circle, Osterville; MA,-02655 • TBM-2 Engineering by: SCALE DRAWN JOB. NO. RT. OUTSIDE COR./BOTT. STEP OF RECORD. 1'=20 P.T.M. 225-14 r Engineering Works, Inc. EL.= 48.16 (ASSUMED DATUM) DELAY,SOUNNETH 1 g g lG ` i032 SOUTH- 1 12 th •PLAZA 12 West Crossfield .Road; Forestdale, MA 02644 DATE CHECKED SHEET NO.. OMAHA, .NE 681%54-331 4`' (508) 477-5313 10/7/14 P.T.M. 1 of 2 t )may. i c NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL=40.0 SEPTIC TANK FOR A DI$TANCE OF 15' FROM THE EDGE a; INSTALL RISERS & COVERS OVER INLET & PROPOSED D-BOX OF THE PROPOSED S.A.S. OUTLET AND SET TO 6" OF FINISH GRADE INSTALL RISER & COVER PROPOSED S.A.S. SET TO 6" OF GRADE INSTALL RISER & COVER OVER TWO CHAMBERS AND T.O.F=48.56f SET TO 3" OF F.G. TO ,'SERVE AS INSPECTION PORT F.G. EL.=48.Ot F.G. EL,=48.3f F.G. EL.=43.5t F.G. EL.=43.0t f f MANTAIN 2% SLOPE, OVER S.A.S. EX/STING L - 19'(MAx.) HOUSE (#128) ® S=1% (MIN.) L = 82' L = 23' 00/ \ 35.2' 4"SCH40 PVC S=1% (MIN.) ® S=1% (MIN.) g \ 4"SCH40 PVC 4"SCH40 PVC 2" LAYER OF WASHED T 1/2" DOUBLE WASHED STONE - aa $ as (OR APPROVED FILTER FABRIC) 14" a cc INV.=46.00 48" LIQ. aaBaaaa ---3/4". T011-1/2" DOUBLE \ 0,O \ LEVEL PROPOSED ¢' 4.8' 4' WASHED STONE \ S.9 OS, INV.-40.17 GAS - INV.=40.00 O 7r," i BAFFLE D-BOX EFFECTIVE WIDTH = 12.8' INV.=45.75 3 OUTLETS S,\ ,am 2mINV.=39.50 / PROPOSED 1500 GALLON SEPTIC TANK 3-500 GALLON LEACHING CHAMBERS �\ SURROUNDED WITH STONE AS SHOWN CONNECT TO EXISTING SEWER OUTLETS H-10 RATED AT, OR ABOVE, INV.=46.23 TOP CONC. ELEV.=40.3t NOTES: BREAKOUTNV. ELEV.=39.50 eases SEPTIC LAYOUT f. Baas aaaaaaaBBea 1) CONTRACTOR SHALL VERIFY ALL-EXISTING PIPE aaaaaaBBBaB -INVERTS, PRIOR TO INSTALLATION. BOTTOM ELEV.=37.50 4' 3x8.5' 25.5' 4' 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND -TRUE 4' OF NATURALLY OCCURRING TO GRADE ON A MECHANICALLY COMPACTED 6" CRUSHED PERVIOUS MATERIAL EFFECTIVE LENGTH = 33.5' STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). 5' (MIN.) ABOVE G.W. j; 3) INSTALL INLET & OUTLET TEES AS REQUIRED. LEACHING SYSTEM SECTION rE3E3 E3 0BOTTOM OF TEST PIT, EL.=31.5 T ®E3® ® ®®®E333� 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE AS MANUFACTURED BY TUF-TITS, ZABEL OR EQUAL. ~ wN z ®®® ® ®®®® SEPTIC SYSTEM PROFILE 102" DESIGN CRITERIA SOIL LOG DATE: OCTOBER 2,'-2014 (REF#14,518) 4" KNOCKOUT NUMBER OF BEDROOMS: 4 SOIL EVALUATOR: PETER McENTEE SE#1542 20" DIA. COVER SOIL TEXTURAL CLASS: CLASS I WITNESS: DONALD DESMARAIS R.S. HEALTH AGENT DESIGN PERCOLATION RATE: <2 -MIN/IN ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH 4" KNOCKOUT. /.4" KNOCKOUT 58" (0.74 GPD/SF LOADING RATE) 44.0 A 0" 43.o A o" DAILY FLOW: 440 GPD LOAMY SAND LOAMY SAND DESIGN FLOW: 440 GPD 10YR 4/2 g^ 42.5 10YR 4/2 s„ - 4" KNOCKOUT GARBAGE GRINDER: NO 43.5 g k g LEACHING AREA REQUIRED: (440 GPD) = 594.6 SF LOAMY SAND 4 LOAMY SAND .74 SF 10YR 5/8 10YR 5/8 500 GALLON CAPACITY, H-10 LOADING 41.5 30" 40.5 30" CHAMBERS PROPOSED SEPTIC TANK: 150 GALLON-2 COMPARTMENT C C COMPARTMENT No. - 10 O�ALLON ��ItJ--SFO E � PERC COMPARTMENT NO. 2 - 500 GALLON MIN. STORAGE 32"/44' N.T.S. PROPOSED DISTRIBUTION BOX: 1 INLET, 3 OUTLETS PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 3-500 GALLON LEACHING CHAMBERS IN SERIES MED. SAND MED. SAND 128 BAYVIEW CIRCLE, OSTERVILLE, MA SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 2.5Y s/s � 2.5Y s/s SIDEWALL AREA: 2(12.8' + 33.5') X 2 = 185.2 S.F. Prepared for: Anne Delay, 128 Bayview Circle, Osterville, MA 02655 BOTTOM AREA: 12,8' x 33.5' = 428.8 S.F. Engineering by:. SCALE DRAWN JOB. N0. 138" Engineering Works, Inc. N.T.S. P.T.M. 225-14 TOTAL AREA:........................................................ 614.0 S.F. 32.5..... 138" 31.5 g g PERC 'RATE <2 MIN/IN. ("C" HORIZON) 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET No. DESIGN FLOW PROVIDED: 0.74 GPD/SF(614.0 SF) = 454.4 GPD NO GROUNDWATER ENCOUNTERED. (508) 477-5313 10/7/14 P.T.M. 2 of 2