HomeMy WebLinkAbout0060 CESARS WAY - Health 60 CESAR'S WAy
Osterville
A = 122 - 026
/ TOWN OF BARNSTABLE
LOCATION t0 V A S W4M. SEWAGE#2- 12 67
VILLAGE_QSZ�G�U j ��. ASSESSORS MAP&PARCEL
INSTALLER'S NAME&PHONE NO. ✓'Pi�%I G// cS ��O Z a O
SEPTIC TANK CAPACITY
LEACHING FACILITY. (type(9 11W-4hwS (size) Z-Y- 12,J X �—
NO.OF BEDROOMS/ -
OWNER �IPG'j� kWaz
PERMIT DATE: COMPLIANCE DATE: .--I,3
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility WA . 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 faci,' N J� Feet
FURNISHED BY
A � 31 � R'
:4 D �eSc.rf p, ZL q !� ,6
fo 3
Pf
o I
Z Q �v
(13 93 3-0
3Y 3 -7 '-
65- 35
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in co puler:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
01ppliCation for Disposal *pstem Construction VPrmit
Application for a Permit to Construct( ) Repair( ) Upgrade V) Abandon( ) J0 Complete System ❑Individual Components
Location Address or Lot No. v C e3 Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel 1 2-2- O Z6 —J
Installer's Name,Address and Tel.No. Designer's Name,Address,and Tel.No.
pvwe �i�.� 1 g✓2�t�r(.5 rAe"ei .1 Soas�
Qoxl,6�iS ��:c�..o2�703 S-bki�Vk2-i00
Type of Building:Dwelling No.of Bedrooms -3 Lot Size 2-9
- "W sq.ft. Garbage Grinder( )
Other Type of Building 1 d(fi (`'- CIJA, No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 33.0 gpd Design flow provided 3 LQ - 2 gpd
Plan Date "[ —2-0 ! Number of sheets Revision Date Vl.o
Title
Size of Septic Tank
" Type of S.A.S. 2> 5—D U L C t.4(-(' S7o4,t-
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) 'K D(8 e'er. ek,S4•,✓LS C GSSj!2!5 1
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 b is Board of Health.
ig d 19a, Date
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. Date Issued
No. � `• Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in co pater: Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
r
j 01pplication for Disposal *pstem Construction 3permit
Application for a Permit to Construct( ) Repair( ) Upgrade Abandon( ) ]Complete System ❑Individual Components
/ Location Address or Lot No.(00(e�gc5 wq..t Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel ! L 2 /U Z i
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
�Q# b Tl:, 3 1;b?.�j1,25oc.i f3ok.R�t � SAnc��+;cr.. 42S3 � 5Z3� 36fJ33�r
Type of Building:
• ;- Dwelling No.of Bedrooms -3 Lot Size }. sq.ft. Garbage Grinder( )
O h r=. Type of Building s t✓1 f, No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 3 3(-) gpd Design flow provided 3 k(Z ,. 2 S gpd
Plan Date L1 - 2-o -r 5- Number of sheets Revision Date Vt o/k.,-C
Title
f Size of Septic Tank I )--DU Type of S.A.S.
Description of Soil a-C K n 14-yi
�L/t(/V I R d 1 eG7C-C�1 Gr p/S
i
Nature of Repairs or Alterations(Answer when applicable) D I/1 L Z k : 54-. el C l J S'-jeoo i
I'
I _
Date last inspected: y
` Agreement:
( ' The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
i
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.
• � i ed � e Date
S5
Application Approved by. f / Date
Application Disapproved by Date
for the following reasons
! Permit No. Date Issued
f ------ ---------- -
4 THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
' (Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(X)
Abandoned( )by �_ r)Aj-P P C{ i S
at a S/ rS LlJ/1 t, dt 7 Pi v1 I((has been coWcte- ja, ance
with the p ovisions of Title 5 and the for Disposal System Construction Permit Nated
Installer IJ✓P S Designer Z (I P
#bedrooms 4 4✓Q Q Approved design flow 3 L(Z Z �� gpd
The issuance of this permit shall nn t be co?strued as a guarantee that the system w l ncti e • d.
Date //.�l�s Inspectors
j ---------------------- ----- •--- .--------•
No
. ___._•-__.---._--._ -_._.__ •--•._-._•-_•-._- -_. ___'-_-•-_.___-•_-_ \
�� Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
nisposal 6pstem (Lonstrnction permit
t Permission is hereby grant/ed to Construct( ) Repair( ) Upgrade OO Abandon( )
j System located at (� V ( Q�►� W S 4 -j /1S -7 e/v(&!e
fand 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.
I
Provided:Cons tiol must be completed within three years of the date of this permit. / 1r
Date / Approved by
'y `�
05/13/2015 04:27PM 17744139468 MEYER AND SONS PAGE 01/01
Town of Barnstable
Regulatory Services
.� ._ Richard V.Scab,Interim Director
KAM
Public Health Division
s
Thomas Mclean,Director
200'Main Street,Hyannis,MA OZ601
Offices 508-862-4644 Fax: $08-790-6304
Installer&Designer Certiffgatioonn F_,prpoe
Date: 5— -15' Sewage Permit# 9 "/a[p Assessor's MaplParced -
(2—L
Designer: `� '� �!M .installer: 4,zt- iz
Address: r C1V Address:
On J1' a7.f�/ ® was issued a permit to install a
( te) (zlastallex)
septic s stem at �`� r 1� ' based on a des' drawn b -
Y �n y ,
(designs
x -�
I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank. Strip out (if required) was inspected and the soils
were found satisfactory.(�46 VF-Nkr ouR 4 2_5 Va tTrs) rVor 1JF p_W49.
I certify that the septic system referenced above was installed with major changes (i.e,
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system)but in accordance with State&Local Regalatioas. Plan revisaon or
certified as-built by designer to follow. Strip out(if required)was inspected and the soils
were found satisfactory.
I cent thatithe system referenced above was m structed in compliance with the terms
of r oval letters(if applicable)
taller gnature)
()Desigaej sA Signatwre) ' NITt���'�
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTEL BOTH 'THIS FORM AND AS-
BUILT CARD ARE REU1Y_ED BY M B4W8J.AAJwEi LVY.'_CC HEALTH DIVISION.
13AM YOU.
Q:1Scp44\Desipo-T Cto55caWa Form Rev 8-14-13.doe
I
Town of BA astable P# N,11_6 Department of Regulatory Services ,
• ' Publie,jIealth Division Date_
r P=�* ems$ 200 Main Street,Hyannis MA 02601 ,
Date Scheduled'' `� Time_ �! Fee Pd: Ov
a
Soil Sakabilaty Assessr#eni for e�va* e•* isposal
D1kJ '! G y i v Pill _/V ` Witnessed By: '
s Performed By: - _
LOCATI . N�&GENERAL INFORIVIATION
Location Address
. .'no /t r�M e \ �� =� Owner's Name
Address
Assessor's Map/P4rccl: Engineer's Name
NEW CONSIRU!tP ON REPAIR Telephone# S�$ 360
�3 3
i
Land Use _s i Slopes eyo) Surface Stones / a
. s r
Distances from: Open Water Body-,;? ` o ft :Possible Wet!Area ��-ft Drinking Water Well 6'�®ft :.. .
I)rainage Way ft Property Line
/ ft Other ft
SKETCH:($treet name,_dimcnsioris'of lot,exact locations of test holes&pert tests,locate wetlands in pro'Itnity to holes)
Y o f-ec[ S t e _ 'n
Iii''1� V 1155 P1'1
J,
Depth to Bedrock
Parent material(geologic) JA I r
Depth to Groundwater. Standirig Water in Hole:' 1 Weeping from Pit Face ' l y
Estimated Seasonal Vigh Groundwater " '
D 'E ATION FOR SEASONAL I3IC1� WAT'R TA�3L'E
Method Used: _in. Depth td soil MORICs:� in,
Depth Ofb�served standing in obs.hole:; P D.
Depth toweeping from side of obs.hole: in. l Groundwntt r AdJudtment
' _ A ;faetor,,,,._.� Adi,flroundwaterievel,,,,n,' --
Index Well# _� Reading Date: Index Well levtl ---
P�^RCOT�ATION TEST . „ Date �lnj�
- � -
Observation Tiitie at 9"
Hole#
Z, Time at G" ......-----
Depth of Pere
Time(9„_6") !
Start Pre-soak Time.C� ;
End Pre-soak l� r
Rate MinJInch -
f
' Site Suitability Assessment: Site Passed
Site Failed; Additional Testing Needed(YIN)
Original:.Public k.le'alth Division Observatior Hole Data To 13 a Completed on Back---
***If percola ibn testis to be conducted within 100' of wetland,you must first notify the
etYk prior to beginning.
Barnstable Ct#servation Di*ision at least one(1) w
DEEP OBSERVATION HOLE LOG
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistenc g'o Gravel
(014,
DEEP OBSERVATION HOLE LOG Hole#_
Depth from Soil Horizon Soil Texture . Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,%Gravel)
�-,( .
, 7 �.
DEEP OBSERVATION HOLE LOG Hole#
Depth from ;Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Cons istencv.%Gravel
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency. ra I
Flood Insurance Rate Map:
Above 500 year flood boundary No Yes
I� W' 00 year bounds No Yes
Within 5 y boundary .�.�.
Within 100 year flood boundary No - Yes
Depth of Naturally Occurring Pervious Material
Does at leastfour feet of naturally occurring pe us material exist,in al l areas observed throughout the
area proposed for,the soil absorption system? vi
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 EnvironnNental Protection and that the above analysis was performed by me consistent with
the required rat 'n , xpertis and experience described in 3,10 CMR 15.0 7.
Signature Date ,�
Q:ISEPTIC\PERCFORM.DOC
_ OSTERVILLE
LEGEND
PROPOSED. -CONTOUR
® PROPOSED SPOT GRADE `,It
98 -- EXISTING CONTOUR PARCEL ID:. `
+ 96.52 EXISTING SPOT GRADE 122/27 '�� ' `; PARCEL ID: -i ,�OeF'S'TMi
as 122/,153 Q qa <<
LOCU
W-- EXISTING WATER SERVICE ROUTE 28
TEST PIT 12` '9 POLE 1V ¢ o < WEST
�9s,�o POND
o
04
POLE ;0�,,
F
GARAGE LOCUS MAP
,\
LOCUS INFORMATION
PARCEL ID' PLAN REF: 244/8 9
122/152 TITLE REF: 1778/74
V` p C� ' PARCEL ID: MAP 122 PAR. 26
ZONING: "RC"
d ;� , L �� FLOOD ZONE: "X"
COMMUNITY PANEL_: 25001CO544J DATED:07/16/14
DRIVEW�X
SEPTIC SYSTEM
REPAIR PLAN
LOCATED AT:
TBtu1:
W ,
LIV. KIT: BLHD COR: .� '��, �, ,�"j 60 CESAR S WAY
ROOM
EL=59.00 .
� M A.
OSTERVILLE
w � >
nt ,,.. CEss PREPARED FOR
BED BED p ; '" to ` POOL '
#60 G ROOM Roo _ PARCEL ID: SALLY G. MENDES
TOF=59.00 122/47
419.
G
---- - OF
0-�,, 6 5 ---WO---- - - / 1WOODS4 �� ��P�� 'tlgSsq�y
_ �� - ' ' h' ` DAB EN
F ODS ,
_*---
PROP 1,500G -----'
SEPTIC TANK
' 53 ' 4
PA
RCEL L D
�Q , PARCEL ID si
TA?\A\ 52122/26
1 AREA=29,454t S.F.
122/16
PARCEL 1D:., � S
51
MEYER & SONS, INC.
P.O. BOX 981
GRAPHIC SCALE EAST SANDWICH, MA. 02537
ao o ; 15 ao so. 120 PH: (508)360-3311
FAX: (774)413-9468
APRIL- 20, 2015 meyerandSOnSIC1C@gmaII.COm
REV: MAY 5, 2015 IN FEET )
REV: MAY 14, 2015', i. inch = :30 ft.,
SHEET 1 OF 2 J 1743
1
ELEV. TOP NOTE: PLACE MAGNETIC MARKING TAPE .OVER ALL COVERS i
FOUNDATION BRING ALL COVERS:TO WITHIN 3" OF FINISH GRADE 1
(Existing) FINISHED GRADE (58.0-56.0)
59.0 F.G:EL• 58.0-57.0 F.G.EL: 58.0 F-Gy EL: 58.0
MAINTAIN 2% MIN SLOPE OVER LEACHING AREA
2" OF 3/8" DOUBLE WASHED
F.G.EL: 56.55 .. " 3/4" - 1-1/2"
• . :r STONE OR FILTER FABRIC
DOUBLE WASHED STONE
4" SCH 40 PVC
„ ®®®®• O ®®®I®
10 t 14' I`I 6 @ S_ 1% (MIN. ®®®®®®® 1 0
®®®®
TEE'S ARE TO BE I r ) ®®®®®®®®®®®
INV,55;0 2 EFF. DEPTH ®®®®®®®®®®®
4 SCH 40 PVC
INV.55.25
_ I NV.54.80 4' 2 X 8.5' 4'
EwsTIlvc OUTLET BAF LE 'PROPOSED DB-3
INV. 57.0 :.
DISTRIBUTION BOX EFFECTIVE LENGTH = 25'
INV. 55.50 INV. ELEV.= 54.00
PROPOSED -1,500 GALLON SEPTIC TANK
GAS BAFFLE TO BE INSTALLED ON �F Mgsf9� BREAKOUT
OUTLET -TEE AS MANUFACTURED BY a y� ELEV. 55.0
TUF-TITE,_ ZABEL,` OR EQUAL o DARR N M.� TOP CONC. ELEV.= 55.0
NMo 1 40 INV. ELEV.=- 54.00OREM®®~ ®®
NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING \ 0 ®E3®®
PIPE INVERTS PRIOR TO CONSTRUCTION `G/STE M ®®®®®®®
2) TANK AND D-BOX SHALL BE SET LEVEL AND TRUE-TO '�NITAR0�` BOTTOM EL.= -52.00 75+ 75'
GRADE ON A MECHANICALLY COMPACTED SIX 3. 5 FT. 3.
INCH CRUSHED STONE BASE, AS SPECIFIED IN 1 EFFECTIVE WIDTH 12.5'
310 CMR 15.221(2) - T . - SEPARATION 6.60 FT.
3) INSTALL INLET & OUTLET TEES W/ S E PT I C S I S I E M PROFILE-, �'
GAS BAFFLE AS REQUIRED + BOTTOM OF TESTHOLE EL: 45.40 r SOIL ABSORPTION SYSTEM (SECTION)
(500 GALLON LEACH CHAMBER)
GENERAL NOTES:
,. SOIL LOGS P 14ss4 DESIGN CRITERIA
ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL # NUMBER OF BEDROOMS: 3 SEDROOOM
BOARD OF HEALTH AND THE DESIGN ENGINEER. r
2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DATE: APRIL 16, 2015 SOIL TEXTURAL CLASS: CLASS 1 (0:74 GPD/SF)
OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE DESIGN PERCOLATION RATE: <2 MIN/IN
LOCAL RULES AND REGULATIONS. SOIL EVALUATOR: DARREN MEYER, R.S., CSE _ #1614
WITNESS: DAVID` STANTON, BARNSTABLE B.O.H. DAILY FLOW: 110 G.P.D. X 3 BR = DESIGN FLOW: 330 G.P.D.
3.-THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR- GARBAGE GRINDER: NO not designed for garbage grinder)
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE ( 9 9 9 9 )
DESIGN ENGINEER.
4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING Elev. 1,P-1 M Depth Elev. SEPTIC TANK: 330 gpd x 200% = 660 gpd, USE PROP: 1;500 GAL. SEPTIC TANK
_ -." - TP-2 - Depth
FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN
ENGINEER BEFORE CONSTRUCTION CONTINUES. 58.05 0" 57.40 0" (330) = 445.94 S.F.
5. ALL ELEVATIONS BASED ON ASSUMED DATUM. FILL FILL. LEACHING AREA REQUIRED:
6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF-. 56.63 A 17" `56.20 A 18" 74
THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF LOAMY SAND LOAMY SAND" USE TWO (2) 500 GALLON PRECAST LEACH CHAMBERS W/ 4'
HEALTH FOR PROPER INSPECTIONS .DURING .CONSTRUCTION. _ ,oYR 3/1 tOYR 3/1. STONE ON ENDS & 3.75' STONE ON SIDES: 25' L x 12.5' W x 2'D
7. WATER SUPPLY PROVIDED BY TOWN WATER .SERVICE. 56.1.3 23" 55J0 24"
8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED B LOAMY SAND B -LOAMY SANG BOTTOM AREA: 25 x 12.5= 312.5 SF
TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 10YR 6/8 10YR 6/8
9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE 54.55 42" 54.37 40" SIDE AREA: = 150 SF
_ (25 + 12.5) X2X2
THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING PERC ® EL 53.05 C C
CONSTRUCTION. TOTAL SQUARE FEET PROVIDED = 462 vs. 445.94 REQ'D
10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND REMOVED PER TITLE 5. DESIGN FLOW PROVIDED: 0.74 462 S.F. = 342.25 G.P.D. vs. 330 G.P.D. re 'd
LEACHING LOCATION UNKNOWN. REPLACE WITH CLEAN MED SAND IF NEEDED. MEDIUM SAND MEDIUM SAND. ( ) q
� =2.5Y 6/4 2.5Y 6/4
11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION PROPOSED SEPTIC SYSTEM UPGRADE PLAN
12. THIS PLAN IS TO BE U FOR SYSTEM PURPOSES ONLY "
USED 0 SEPTIC 46.05 144 45.40 144 60 CESARS WAY, OSTERVILLE, MA
AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY -
13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. I
14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. PERC RATE <2 MIN/IN. ('C2" HORIZON), Prepared for: Mendes
NO GROUNDWATER OBSERVED
15. ALL PIPING TO BE 4" SCH 40..0 1/8-/FT (UNLESS SPECIFIED) I Engineering and. Survey by: SCALE DRAWN DATE
' MEYER&SONS,INC. N.T.S. DMM 04/20/15
'► I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15:017 PO BOX 981
to conduct soil evaluations and that the above analysis"has been performed by me consistent with-the REV. DATE REV. DATE-2 SHEET NO.
requirements of 310 CMR 15.017. 1 further_certify that I have passed the Soil Eval. Exam In October, 1999. FAST SANDWICH,MA 02537
S"62-2922 05/05/15 05/14/15 2 Of 2