HomeMy WebLinkAbout0030 CINNAMON LANE - Health innamon: aan
Osterville
TOWN OF BARNSTABLE
LOCATION_?® SEWAGE#
VILLAGE Q/v1'4 ASSESSOR'S &PARCEL
INSTALLER'S NAME&PHONE NO. OY1 C�--
SEPTIC TANK CAPACITY 1&C (gc.Q
LEACHING FACILITY:(type) ;2 _j 00 (o (size)
NO.OF BEDROOMS �a
OWNER
PERMIT DATE: S'ZO - to ZO 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
3.
a �
- 3 (o
f
Zo
No. V'') ,� Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
2ppliLation for Misposal *pstrm Construction Permit
Application for a Permit to Construct( 't Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 3o Owner's Name,Address,and Tel.No. SkmZ lkw ;,f-a,—
Assessor's Map/Parcel
Installer's Name,Address,and el.No. Designer's Name, ,Address and Tel.No.kx� Cote, S @� Ux
--� C o`i 3 L52Taoy f ,r�N tm tg iLr �-$ 1✓"-Shr yc��""'� dlf;7 3
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size 2-3 or sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 33 o gpd Design flow provided 3M1 gpd
Plan Date PbN'2.e\ Number of sheets Revision Date
Title ,
Size of Septic Tank 1'� 1'S'� Type of S.A.S.C~,) A `0 Sjon r��tr
Description of Soil c-
Nature of Repairs or Alterations(Answer when applicable) .S,
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 o
Si ed -� , - Date 0. 1 ty��,�
Application Approved by Date
Application Disapproved by Date
for the following"reasons
I_
Permit No.02?W— A Date Issued-�7�d7u)
t
k i • O
No. `1 Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓
I , ,Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
i
�,- RpPlitation for Disposal 6pstrin Construction i3Prmit
Application'To1r a Permit tb Construct(ljrRepair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Addressor Lot No.�o Owner's Name,Address,and Tel.No. 5ckN
o'yrdr.`\.Q
Assessor's Map/Parcel 16 1
Installer's Name,Address,and e1JNo. / . Designer's Name,Address,and Tel.No.Ate �}v,t�
C rc�73 i.�?a � S�1� �JJ�hPi�l tr td If �Lx 14 �a�'L4 k— W fv-„—ems � n U► 4 i,C 3 3
v G 3j
Type of Building:
r Dwelling No.of Bedrooms 3 Lot Size 2 1 or d sq.ft. Garbage Grinder( )
Other' Type of Building No."of Persons Showers( ) Cafeteria( )
1 Other Fixtures
Design Flow(min.required) gpd Design flow provided 3 l t.f� gpd
Plan Date ®��n1 h Number of sheets 'L Revision Date
Title v
Size of Septic Tank 4!�.a Type of S.A.S.(_Z� - $', ,� ,,,,,,�� tr tn�
Description of Soil SQIDA
Nature of Repairs or Alterations(Answer when applicable) We 'Y
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
Compliance has been issued by this Board of fialth.
Si ed . J Date n�7 �_
Application Approved by , Date
Application Disapproved by Date
for the following reasons
Permit No. 7<)�,� yt Date Issued -
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
(Certificate of (Compiianct,
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(1< Repaired( ) Upgraded( )
Abandoned( )by , a ; r "O
v
at 3 C (� to v has been constructed i accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No )- I t -` dated _�/20 20
Installer -)r•n `� :3 oc^j,:. , &A,11, Designer A, C Gn P_ SQa
#bedrooms �• Approved design floyy gpd
The issuance of this permit shall not be construed as a guarantee that the system wi l(�ction as desig�ed.
Date a d Inspector
--- -- ---- --- - ---- ---- ------ - --- --- ----------- --- --- -- ---------- ---
No 0 ... Fee THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal 6pstem Construction permit
Permission is hereby granted to Construct( ) Repair) Upgrade( ) Abandon( )
System located at :30 CiNAJA-03A) t J):�: D a O")1.•1_ >
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.
Provided:Construction must be completed within three years of the date of this permit!
Date 5 2f)/24 Z 0 Approved by /y.
Town of Barnstable
Inspectional Services
Public Health Division ,
• IASNsrABLE, •
NAM
`� Thomas McKean, Director >
200 Main Street,Hyannis,MA 02601k
Office: 508-8624644 Fax: 508-790-6304 k=-'
tt
Installer& Designer Certification Form
Date: �/ ;?02D Sewage Permit# ,,20a0--/5E5_ Assessor's Map\Parcel
Designer: G Installer: e Yet S�
Address: Address: 6 V FLt(i r .5�- _C+
On l - G 2 u Ao - was issued a permit to install a
(date) (installer)
septic system at 10 C 1&I A-W AI Ak . based on a design drawn by
(address)
dated ZO
(designer)
V 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.
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.
I certify that the system referenced above was constructed in compliance with the terms of
the IAA approval letter if applicable)
H OF*
DAVID y�N
D.
(I aller's Sign ture o FLAHERTY,3R.
No. 1211
G/STE� l oLz
'8 A�
(Designer's Signature) j (Affix De 7g-,x AV am H e)
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.
WoAdeptsViEAUMSEWER connect\SEPT10J)esigner Certification Form Rev 8-14-13.DOC
1.) Assessors Map' 165' Parc el 11
N 85°27'40 E 2.) C221437 North
40 3.) LC Plan 30384—r Lot 60 0 Q Pond
23.89 4.) This property is in the Saltwater
i Estuary Protection Area a
Coleman
Porste �" Pond
5.) This property is in Flood Zone X
i Firm Map 25001 CO563J 7/16/14 9OC
Map 165 �� / fir* eB�
Parcel 26 I
Q� i
S 42 r LOCUS
'� v' Long j
Beach
/ 0�10� 1o,, Map 165 m East
O �\ �`� 3s F Parcel 29 W Bay
/ \ s � ' Lot - 60
/ OSTERVILLE, -MA
•� l `�69`��'To.. 36 23,547± Sq. Ft.
SITE LOCUS
r, \ ` E / - // / 4 t i 44 NOT TO SCALE
See Note #19
F
43.5
i
House #30 2so• Ii
46
gas 3 Bedroom
S9,o '-��'. I / �� / �� �ae� TOF EL = 44.3 L�� ST *{ , �� "� ! •
��ro„ O /
/ T r TP #1
44,1) D B +�* 43.5), / (47-2)
36 / � Pdtio
/ / \ O * •� +TP #2
Map 165 3s SAS -
Parcel 109 / - �I (44.4) gory �ytN of q
F H0 .
,
Garage (4410)
NOTE: �' \ / SgNITARk
LOCATION OF UTILITIES IS APPROXIMATE AND ALL x'0,,42
/ t
UNDERGROUND AND OVERHEAD UTILITIES MUST BE (45.5)
DETERMINED IN THE FIELD PRIOR TO COMMENCEMENT Top Concrete
OF ANY WORK, THIS INCLUDES, BUT NOT LIMITED TO, I (44.t) TBM EL = 44.0 _
REQUESTS TO DIGSAFE, ANY PRIVATE UTILITY COMPANIES
AND THE LOCAL WATER DEPARTMENT. �� Proposed Site and Septic Plan
0�' 30 Cinnamon Lane Osterville' MA.
e
S Prepared by:
Pre` ared for:-
All P All Cape Septic and Survey
GRAPHIC SCALE 44 Map 165 3Qa Cinnamon tlLane West mer 618 Yarmouth, MA 02673
so o 10 zo ao so Parcel 28 Centerville, MA (508) 771-4200
40
allcapeseptic@gmail.com
( 1N FEET ) May 6, 2020 Sheet 1 of 2 By. MA Check: SM Dwg. #237
1 inch = 20 ft.
RAISE MIN. 20" DIAMETER COVER RAISE.'MIN, 20".DIAMETER COVER
CONSTRUCTION NOTES EL=44.3t TO WITHIN .6" OF FINISH GRADE TO WITHIN .6".OF FINISH GRADE
1.) ALL WORK SHALL CONFORM TO THE STATE ENVIRONMENTAL CODE, TITLE 5 (310 CMR 15.000): 44.1t EL=44t
STANDARD REQUIREMENTS FOREWAG THEE SITING, CONSTRUCTION; INSPECTION. UPGRADE, AND \ \\ \\` \ \ \ \� \\ \X
EXPANSION OF ON-SITE SEWAGE TREATMENT AND DISPOSAL SYSTEMS AND FOR THE TRANSPORT \ � -
AND DISPOSAL OF SEPTAGE, AND THE LOCAL BOARD.OF HEALTH REGULATIONS. \/ \
2.) ANY SEPTIC SYSTEM COMPONENT INSTALLED IN A LOCATION WHERE THERE IS POTENTIAL FOR
VEHICLES OR HEAVYEQUIPMENT TO PASS OVER IT SHALL BE DESIGNED TO WITHSTAND AN H-20
LOADING. .IF UNDER AN IMPERVIOUS SURFACE, SYSTEM SHALL BE VENTED TO THE ATMOSPHERE. o
• g
3.).TO MINIMIZE UNEVEN SETTLING,SEPTIC TANKS AND D=BOX.SHALL BE INSTALLED ON A STABLE 42:3f. n M MECHANICALLY-COMPACTED BASE ON'SIX'INCHES OF CRUSHED STONE. GEO.TEXTILE
4.) COVERS OVER THE INLET AND OUTLET.TEES OF THE SEPTIC TANK;THE DISTRIBUTION BOX, AND 41.0 FABRIC
THE SOIL ABSORPTION SYSTEM SHALL BE RAISED TO.WITHIN 6".OF:FINAL GRADE. LEACHING
FIELDS. TRENCHES,'.AND OTHER"SOIL N ABSORPTIO SYSTEMS WITHOUT ACCESS MANHOLES SHALL 41.6t
HAVE AT.,LEAST ONE'(1) INSPECTIONS PORT CONSISTING OF PERFORATED 4" PVC PIPE PLACED Existing
VERTICALLY.TO THE BOTTOM OF THE SOIL:ABSORPTION SYSTEM.WITH A CAP, TIED WITH MAGNETIC _
MARKING TAPE, ACCESSIBLE TO WITHIN 3"'OF FINAL GRADE. 40.95 J
5.) PIPING SHALL CONSIST OF 4" SCHEDULE-40.PVC-OR EQUIVALENT. PIPE SHALL BE LAID ON A 4.1,2t. Proposed 40.$ 40:63 } 3/4" to
MINIMUM'.CONTINUOUS.GRADE OF NOT.LESS THAN 2%.FROM THE BUILDING TO THE SEPTIC TANK, - - 40.5
AND NOT LESS THAN 1%OTHERWISE. Proposed �, . "�- - NI 1-1/2 STONE
6.).DISTRIBUTION LINES FOR THE SOIL ABSORPTION SYSTEM SHALL BE 4" DIAMETER SCHEDULE 40 GAS BAFFLE- DB-3"H-20 (Double Wash)
PVC (OR EQUIVALENT) LAID-AT.0.005 FT/FT:.UNLESS.OTHERWISE NOTED. LINES SHALL BE CAPPED
AT END-OR AS NOTED. BOX TWO .(2). 500 GALLON H:10 PRECAST
7.) LINES FROM THE DISTRIBUTION BOX TO BE.LEVEL'.FOR THE FIRST TWO (2) FEET BEFORE 38.5 CONCRETE-LEACH.CHAMBERS WITH 4' OF
PITCHING TO THE SOIL ABSORPTION SYSTEM. -DISTRIBUTION BOX-SHALL BE WATER TESTED TO
ASSURE EVEN DISTRIBUTION. 1,500.:GALLON - I I STONE ON ENDS AND .4" ON SIDES.
8.)ORDERGROUT
PROVIDE A.WATERTIGHT ALL IG POINTS
SEWHERE PIPES ENTER iOR LEAVE ALL CONCRETE STRUCTURES 1$'t SEPTIC TANK ' 7't -# }- $'t� 6,0' '
LEACH..CHAMBERS
9.) HEAVY-EOUIPMENT.SHALL NOT-BE,ALLOWED TO OPERATE.OVER THE LIMITS OF THE SEWAGE (END' VIEW)
DISPOSAL.FIELD.DURING-THE COURSE.OF.CONSTRUCTION OF THE SYSTEM. PROFILE
10.)IN ACCORDANCE WITH 310 CMR-15.221,:ALL SYSTEM COMPONENTS SHALL BE MARKED WITH - - - FLOW P \O.r ILE
MAGNETIC MARKING TAPE. - ,
11.) THERE ARE NO KNOWN WELLS OR WETLANDS WITHIN 150' OF THE PROPOSED SOIL ABSORPTION SYSTEM. NOT. TO -SCALE EL=32.5 Bottom Test Hole -
12.) FROM`THE DATE OF THE INSTALLATION OF THE SOIL ABSORPTION SYSTEM UNTIL RECEIPT OF
THE CERTIFICATE OF COMPLIANCE, THE PERIMETER SHALL BE STAKED AND FLAGGED TO PREVENT. -
USE OF THE AREA THAT MAY CAUSE DAMAGE.TO THE SYSTEM. - -
13.)' THE DESIGNER WILL NOT BE RESPONSIBLE FOR..THB SYSTEM AS DESIGNED UNLESS
CONSTRUCTED AS SHOWN ON.PLAN. ANY CHANGES SHALL BE APPROVED IN WRITING BY THE ENGINEER.
14.) THE BOARD OF HEALTH:REQUIRES:INSPECTIONrOF ALL CONSTRUCTIONBY AN AGENT OF THE Living Bedroom SYSTEM -DES.I:GN CAL:CULATI.ONS
BOARD OF HEALTH AND THE DESIGNER.' THE.DESIGNER SHALL CERTIFY IN WRITING THAT THE Bedroom SEWAGE!DESIGN FLOW: THREE BEDROOM:DWELLING.0 110 GPD/BEDROOM = 330 GPD
SEWAGE DISPOSAL SYSTEM.WAS INSTALLED.IN ACCORDANCE WITH THE TERMS OF THE PERMIT #.3 112 -
AND.THE.APPROVED PLANS.- .48 HOURS ADVANCE NOTICE IS REOUESTED. # (MINIMUM.OESIGN-REQUIRED 330 GPD) -
15.) LOCATION OF.UTILITIES.IS APPROXIMATE AND CONTRACTOR.SHALL BE RESPONSIBLE FOR SEWAGE DESIGN FLOW.PROVIDED:.- -TWO (2) 500 GALLON.CHAMBERS
DETERMINING.THE LOCATION OF ALL UNDERGROUND AND`:OVERHEAD UTILITIES PRIOR TO -;]�.j1}F' WITH 4' STONE ON :THE ENDS AND .4' STONE ON THE SIDES
COMMENCEMENT OF ANY WORK. THIS INCLUDES, BUT IS NOT:LIMITED TO, REQUESTS TO DIGSAFE, Garage
ANY.PRIVATE UTILITY COMPANIES, AND THE LOCAL.WATER DEPARTMENT. Kitchen Both Bedroom ���- 9�, -Vt� [(25.0� x'12.83) +�2(25.0 .+� 12.83) (2) x .74 = 349 GPD PROVIDED
16.),CONTRACTORS SHALL-VERIFYTHAT ALL WASTELINES ARE CONNECTED BY WATER TESTING Dining
Both #1 +' O DA .. 349'.GPD'PROVIDED.>-330 GPD REQUIRED -
WITHIN THEDWELLING PRIOR TO INSTALLATION OF:ANY SEPTIC COMPONENTS.
17.) CONTRACTORS SHALL VERIFY EXISTINGINVERT.ELEVATIONS"PRIOR TO INSTALLATION OF ANY - SEPTIC TANK'CAPACITY REQUIRED:. 330'GPD:'X 200 = 660 (MINIMUM)
SEPTIC-SYSTEM-COMPONENTS. F R-
R Cn SEPTIC TANK CAPACITY.PROVIDED: 1;500 GALLON SEPTIC TANK
18.) TEST HOLES-COMPLETED PER STATE'ENVIRONMENTAL CODE; TITLE 5. SOILS CAN BE 0 1
VARIABLE AND TEST.HOLE DATA IS NO.GUARANTEE OF SOIL CONDITIONS IN OTHER AREAS. IF 1st :.Floor P I a n
SOILS'DIFFER FROM'.THOSE SHOWN IN-THE.SOILS LOGS, DESIGN.ENGINEER IS TO INSPECT THE
SOILS PRIOR TO PROCEEDING WITH.INSTALLATION OF.ANY SEPTIC COMPONENTS.
N.T.S.
19.)-EXISTING SEPTIC.COMPONENTS TO BE LOCATED, PUMPED DRY,.FILLED WITH CLEAN SAND AND SgNITARIPN
ABANDONEDAN PLACE OR REMOVED.AS REQUIRED. AREA' TO BE COMPACTED TO MINIMIZE SETTLING.
(INCLUDING EXISTING SEPTIC TANK) _ P r o p o s e Cl .S e W a 9 e �_D I s p�O�s a l System
TEST ::HOLE . LOGS 30 Cinnamon Lane- Gsterville, MA
Test:.Hole'.1 (EL=44.0t) Test Hole 2- (EL=44.0t)
Depth Elev. Layer Soil.Class Soil Color Depth Elev. Layer Soil Class Sail 'Color Prepared for:
0"-10" 43.1 A Loamy Sand 101R3/2 0"-10" 43.1 A Loomy.Sond 101R3/2 I CERTIFY THAT I:AM.CURRENTLY APPROVED BY THE DEPARTMENT OF 4
ENVIRONMENTAL PROTECTION PURSUANT TO 310:CMR 15.017 TO CONDUCT Sam , o x t l m e r
10"-28" 41:6 B Loamy Sand 10YR5/6 10"-28" 41:6 B Loamy Sand 10YR5/6 SOIL.EVALUATIONS AND THAT THE :ABOVE' ANALYSIS HAS BEEN PERFORMED
BY ME CONSISTENT WITH THE REQUIRED.TRAINING. EXPERTISE, AND EXPERIENCE 30' Cinnamon Lane
28"=138" 32.5 C Med.Sand 2.5Y6/4 28"-138" 32.5 C Med'Sand 2.5Y6/4 DESCRIBED IN 310 CMR 15.017 I.FURTHER CERTIFY THAT THE RESULTS OF MY
SOIL:`EVALUATION .AS.INDICATED'ON. THE ATTACHED SOIL EVALUATION FORM, O S t e r v.i l l.e, M A
SOIL EVALUAT AS INDICATED ON 'THE ATTACHED SOIL EVALUATION FORM,
ARE ACCUR XND IN. ACCOR ANCE WITH' 10 CMR_15.100 THROUGH 15.107
Prepared by:
DATE OF TESTING: 05/06/20 C/
SOIL EVALUATOR: DAVID FLAHERTY JR All Cape SeptlC 'a;rld Survey
WITNESS: RAVE STANTON. BARNSTABLE`HEALTH AGENT DAOD F AHERTY JR,. CERTIFIED SOI EV UATOR 61 H ROU.te 28
PERCOLATION RATE: LESS THAN < 2 MIN/INCH 58" DEPTH West Yarmouth, MA 02673
PERC IN. !'C'.' SOILS (508) 771-4200
NO GROUNDWATER ENCOUNTERED
ollcapeseptic(Dgmoil.com
Date: .05/06/20
Sheet 2 of 2
Project No. AC-237