HomeMy WebLinkAbout0184 CRYSTAL LAKE ROAD - Health 184 CRYSTAL LADE ROAD �I
OSTERVILLE
.A= 139 - 045
TOWN OF BARNSTABLE
2 F LOCATION t STD LAVE M SEWAGE# 2O� Z!9
8q
VILLAGE 0,'72�911ALZF SSUSORa MAP&PARCEL
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK.CAPACITY 1,666 9 p.L,
LEACHING FACILITY:(type)�f T+Wf3�_;g j (size)
NO.OF BEDROOMS I7 66b�Q7A1�I
OWNER
PERMIT DATE: /,7"lq~Z® COMPLIANCE DATE: 7"ZZ"ZO
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility A Feet
Private Water Supply Well and Leaching Facility(If any wells exist on A
site or within 200 feet of le hing facility) /V M Feet
Edge of Wetland and Leachin' acility(If any wetlands exist within
300 feet of leach' cilityI Feet
FURMSHED BY
At I .
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3zp 3�
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3 � � 5q
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No. d-: 0 Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS YeS
01pplitation for ]Disposal 6pstem Co YComplete
tti01t vermit
Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) System ❑Individual Components
Location-Address or Lot No. J�� Crs�'Z Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel
Installer's Name Address,an Tel.No. v Designer's Name,Addres ,and Tel.No.
I ,W A�ZK L1,U0 10�
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 � gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank g Qa—L Type of S.A.S. 700 ,9!CL • / �V ILILO
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) 4Z&,_
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. 11
�^
Sigped— Date
Application Approved by Date 7=/ 7—,2 o
Application Disapproved by Date
for the following reasons
Permit No. ,2 d °� �� Date Issued — 7— ;Z_
a .: ..No. a2d— l t .. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. s
PUBLIC HEALTH DIVISION "'TOW N-OF BARNSTABLE, MASSACHUSETTS Yes
Zippfication for, Bisposal *pstern Construction permit
Application for a Permit to Construct Repair 4upgrade, Abandon Com lete System Individual Components
Location Address or Lot No. 0 Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel. .3 1� �1I� /� 494aa /.?y/j, to i a,1.
` i Installer's Name Address,and Tel.No. ,� ���� Designer's Name,Address,and Tel.No. _ J J
c ¢ t
Type of B ilu ding:
Dwelling `No.of Bedrooms A Lot Size sq.ft. Garbage Grinder
K Other Type ofBuilding No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) '' d,/f gpd Design flow provided "10 gpd
Plan Date ` Number of sheets Revision Date
Title
Size of Septic Tank.. 4ex_l.. _,.mType of'S A.S. _50NJ
C�
Description of Soil �_ r
`Nature of Repairs or Alterations(Answer when applicable) ,.A1.4,��r
15-60 Lea L� ">.' AV Alva/& J
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. {
SigCAP
d�i
Application Approved by 0, 1 Date _7—% 7-,,2 0 tit Y
Application Disapproved by °Date
for the following reasons ,
Permit No. ao 2 d ( � Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Cortifirate of Compliartre. �
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed Repaired ./ U.graded
g P Y ( ) P ( t�) Pgr . ( )'
� j 4
Abandoned( )by t'/t f nil 4 11ST '[ - -
at <;{t//'�RU�� /`' VI) C�� ���s�has been constructed in accordance
a
with the provisions of Title 5 and the for Disposal System Construction Permit No. dau' dated /:7 o
s ,
Installer ��.Od ;(a -h 5 pe
t Designer-rA��-u� L 12 l�-'S�Y1=_ .I'll)
#bedrooms Approved design4ow gpd
The issuance of this permit shall not be construed as a guarantee that the system willrf nc,on as designed.
k.:
Date �� " Inspector
No. )�-o 2(�1 Fee /001
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal 6pstrwConstrUrtion permit
Permission is hereby granted to Construct( ) Repair(V1 Upgrade( ) Abandon( )
System located at Is q t', ! Ake, Nk 1/ n a a v l (lip,
f
y t
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/ 7 /,2 ca y , Approved by 4 Ybtl r l -
x
,r - Town:of:Barnstable
� r -
� TME Regulatory Services
Richard V. Sc*Interim Director
BAV
taer '!
MAS& Public-Health Division ,
09.
Thomas McKean;Director rM:
200 Main Street,.Hyannis;MA 02601
Office: .508-862.-4644
Fax: 308-790.-6304.
Installer& D.esi .er Certification.Form:"
Date: Sewage Permit# A_ssessWs Map�Parcel
l t/
Designer l n� �lP ]S IG Installer :5
Address: b` UX .� -Address.
G S lqwlU MA
On, was issued;a permix to install a
(date)' (i stal.er)
se tics stem at ( CRyST � <<�i�
p y ; based on a-design drawn by.a
(address)
dated
(designer)
M�yef � �
l 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 rreferericed above was installed:with major changes (i e
greaterahan 10 lateal relocation of the SAS'or.any`vertical relocation:of any component ;
of the septic system)but in accordance with:State 8 Local Regulations. Plan revision'.or
certified as-built by designer to follow: Strip out (if requredi) was inspected and the soils
were found satisfactory7.
4t
I,certify that the s referenced above was constructed in compliance with the#erms
oft I\A app o. etters.(if applicalile) ``s
nWler'Pighature -�
EYER
(Designer's Signature (Affix ere
PLEASE RETURN-T0 B STABLE PUBLIC HEALTH D N. CERTIFI'CATE
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\Sepric\Des�gner Cemfication Form Rev$-l4 13.doc
ow-
R:
LEGEND OSTERVILLE
PROPOSED CONTOUR �NeP EAST
® PROPOSED SPOT GRADE �y BAY
EXISTING CONTOUR
F� r
+ 96.52 EXISTING SPOT GRADE q�
�� W— EXISTING WATER SERVICE ,
19 TEST PIT
\ SCALE: 1"=20' LOCUS
TB 184 CRYSTAL OM = EL. 30.5 LAKE RD P�t�,•
/ 7S•9 13UILKHEAD FOUNDATION
ATLANTIC'
m \¢ 0 r OCEAN
PROP. 1,50OG
LOCUS MAP
co 0
SEPTIC TANKTP 2 LOCUS INFORMATION
TP-1 PLAN REF: LCP 7685=F
^� L C T 28 TITLE REF: LCC 222516
(� PARCEL ID: MAP 139 PAR. 042
\ (AREA = 20908 sf+— PROPERTY IS NOT W/IN ZONE II/ESTUARIES PROT. DIST.
\ O Q• LcP 7685—F / FLOOD ZONE: "X"
\\ J assR MaP 1 39 Pc�042 COMMUNITY PANEL: 25001CO757J DATED:07/16/14
�i72so• ° �3' i SEPTIC SYSTEM
REPAIR PLAN
\ . � LOCATED AT:
(y) 184 CRYSTAL LAKE RD.
OSTERVI LLE, MA
PREPARED FOR
N
LOGAN /CLI FFOR D EXC.
JUNE 24, 2020
OF
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\ si
NI T00 pp !N
MEYER & SONS, INC.
O P.O. BOX 981
ryQ. V EAST SANDWICH, MA. 02537
t v/ FAX: ((784�41 3311
9468
meyerandsonstitle5@gmail.com
a 4 SHEET 1 OF 2 J 2076
N01t: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS NOTE: T0' PREVENT BREAKOUT, THE PROPOSED FINISH GENERAL NOTES:
TOP OF FND SEPTIC TANK •!' GFyADE SHALL NOT BE < EL: 27.0 FOR A DISTANCE
INSTALL RISERS & COVERS OVER INLET & 15- AROUND THE PERIMETER OF THE S.A.S.
PROPOSED D-BOX 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED 8Y THE LOCAL
EL.=31.Ot OUTLET AND SET TO 6" OF FINISH GRADE PROPOSED S.A.S. BOARD OF HEALTH AND THE DESIGN ENGINEER.
INSTALL LOCKING COVERS IF AT FINISH GRADE INSTALL RISER & COVER INSTALL A RISER OVER ONE CHAMBER (MIIN
SET TO 6 OF GRADE AND SET TO 3" OF F.G. ) 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE
F.G. EL.=30.0f F.G. EL.=30.0t F.G. EL: 29.80f LOCAL RULES AND REGULATIONS.
F.G. EL: 30.0(MAX.) 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE
DESIGN ENGINEER.
( L = 23 9" MIN COVER/ 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
9
36" MAX COVER R . L = 30' L a 25'(MAX) y FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN
® S=196 (MIN.) EL.=28.80 ® S=1% (MIN.) 0 S=1% (MIN.) 3/4 - 1-1/2
4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC 2". OF 3/8" DOUBLE WASHED ENGINEER BEFORE CONSTRUCTION CONTINUES.
STONE OR FILTER FABRIC 5. ALL ELEVATIONS BASED ON ASSUMED DATUM.
LL-j . DOUBLE WASHED STONE
10" 6 / 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
INV.=27.75 t4 i THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
48LEVEL
INV.=27.50 ®®8®• O ®®®® HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
PROPOSED ®®®®®®®®®®® 7. DWELLING IS SERVICED BY TOWN WATER.
GAS BAFFLED-130 E3 ER E3 E3 E3 E3 EM®®®1® 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED
7 � INV.=26.80 ®®®®®®®®®®® TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR.
INV.=27.0 DB-
11
9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE
PROPOSED 1.500 GALLON SEPTIC TANK 4' 3 X 8.5' 4' LOCATION OF ALL UNDERGROUND UTILITIES. PRIOR TO STARTING WORK.
i 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND FILLED PER TITLE 5.
EXIST. SEWER OUTLET EFFECTIVE LENGTH = 33.5' 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION
INV,=28.82 1 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY
INV. ELEV.= 26.00 AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY
{ BREAKOUT 13. NO KNOWN ABUTTING PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING
NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING EL. 27.00 14. ALL PIPING TO BE 4" SCH 40 ® 1/8"/FT (UNLESS SPEC. )
PIPE INVERTS PRIOR TO CONSTRUCTION. TOP CONC. ELEV.= 27.0 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW
2) SEPTIC TANK AND D-BOX SHALL
INV. ELEV.= 26.0 IaLa FOR THE USE OF A GARBAGE GRINDER.
BE SET TRUE TO GRADE ON A MECHANICALLY aaaaaam 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING
COMPACTED SIX INCH CRUSHED STONE BASE AS ......a
SPECIFIED IN 310 CMR 15.221(2). BOTTOM EL.= 24.0 E30 eEM Eil 17. NO PROPOSED INCREASE IN FLOW.
3) INSTALL PVC INLET/OUTLET TEES IN SEPTIC TANK AS REQUIRED. 3.75' 5 FT. 3.75'
4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE SEPARATION 5.20 IFT. EFFECTIVE WIDTH = 12.5'::::d
AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL SOIL ABSORPTION SYSTEM (SECTION)
�- BOTTOM OF TESTHOLE EL: 18'.80 (500 GALLON LEACH CHAMBER)
SEPTIC SYSTEM PROFILE
SOIL LOGS TPT: 20-118
N.T.S.
DATE: JUNE 15, 2020
SOIL EVALUATOR: DARREN MEYER, CSE 1614
3<c, ly WITNESS: DAVID STANTON, BARNSTABLE HEALTH
o DARREN M. �+
MEYER Elev. TP-1 Depth Dev. TP-2 Depth
No. 4 "' 29.80 A 0" 30.0 A 0"
L0� SAND LOAMY SAND
DESIGN CRITERIA alrnR�a 2913 B 8" 2917 B 10"
SANNUMBER OF BEDROOMS: 4 BEDROOM DESIGN � ) /q, LGaMY YR 5/8 10YR 5/8
LOAMY SAND
SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) �j �"U V V
DESIGN PERCOLATION RATE: <2 MIN/IN 27.47 C 28" 27.5o C 30"
DAILY FLOW: 110 G.P.D. X 4 BR DESIGN FLOW: 440 G.P.D. PERC TEST MEDIUM MEDIUM
GARBAGE GRINDER: NO (not designed for garbage grinder) oEt 26.25 25YN7/3 2.5YY 7/3
SEPTIC TANK: 440 gpd x 200% = 880 gpd U ROP. 1,50OG SEPTIC TANK 18.80 132" 19.00 132"
LEACHING AREA REQUIRED: (440)/0.74 = 4.5 S.d : PERC RATE <2 MIN/IN. (-Cl- HORIZON)
NO GROUNDWATER OBSERVED
USE THREE (3) 500 GALLON PRECA CH CHAMBERS
PROPOSED SITE AND SEPTIC UPGRADE PLAN
W/ 4' STONE ON ENDS AND 3.75' ONI
ES: 33.5' L x 12.5' W x 2' D 184 CRYSTAL LAKE RD, OSTERVILLE, MA
BOTTOM AREA: 33.5 x 12.5 = 418.75 SF I Uvf� Prepared for: Logan/Clifford Excavation
SIDE AREA: (33.5 + 12.5) X 2 X 2 = 1.84 \�� System Design and Topography Plan by: SCALE DRAWN DATE
/��¢ MEYER&SONS,INC. N.T.S. DMM 06/24/20
TOTAL SQUARE FEET PROVIDED = 602 vs. 45.94 REQ • I. Darren M. Meyer, R.S., CSE, hereby certify that I am,currently approved by MADEP pursuant to 310 CMR 15.017 PO BOX981
to conduct loll evaluations and that the above analysis has been performed by me consistent with the EAST SANDWICH,MA 02537 REV DATE CHECKED SHEET NO.
DESIGN FLOW PROVIDED: 0.74(602 S.F.) = 446 G. D. vs. 440 G.P.D. req d requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Eval. Exam in October, 1999. -508-362-2922 DMM 2 Of 2