Loading...
HomeMy WebLinkAbout0068 LINDEN LANE - Health 68'LINDENF LANE Oster'ville A'- -142 t 027 I o , 0 1 7 f 1 O is b Y TOWN OF BARNSTABLE LOCATION CS Linale a. to�n� SEWAGE \' VILLAGE ;6,!Ae\1J10- ASSESSOR'S MAP.&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY m6n r s in s zm® size NO.OF BEDROOMS t,,N ' _ L OWNER 5 = "om5>. • Telex PERMIT DATE: "T 3O o�CS 1' COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private'�Wa titeT 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 t FURNISHED BY H B .. pr;ve.�✓sY ,. a) ao' 3) 59 D 9ax FPa} o 3 of v5 oy .k . No 3 `s • Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF EARNSTABLE, MASSACHUSETTS RppliLation for bisposal *pstrm Construction Permit Application for a Permit to Construct( ) Repair�pgrade(< Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.6b LI't'CL, Lane, 4S4rA,.. Owner's Name,Address,and Tel.No. ��,s F, wh Assessor'sMap/Parcel IHIlp7_� g�stc�c ps�w�.11� Installer's Name,Address,and Tel.No. "774•Z31-7380 Designer's Name,Address,and Tel.No. SIO4-WBS-36119 I"1,L,,j `7 —,,,LQ 1, /E,,d� rt• sue; LLc_ GAS-- SuRvay M.Wt. Z1 Ann P.14 i Q w: w►.A A S Type of Building: Dwelling No.of Bedrooms Lot Size 10,COO sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) J ® gpd Design flow provided 3� gpd Plan Date 7--C.r i Number of sheets 2- Revision Date N/A Title —.L F„ sea,.wm—, #AK P(o^ Size of Septic Tank 1500 Type of S.A.S. Prqr^s1 Description of Soil Sea - Q.J kJ, (Qrc Nature of Repairs or Alterations(Answer when applicable) r%e.�, tr $ 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. i cs— Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. QQ �'3 t/ �_ Date Issued -3 4 ,x `'' q Vt No. �/ / Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN QF BARNSTABLE, MASSACHUSETTS Yes application for Misposal sym (construction Permit Application for a Permit to Construct( ) Repair(-ycj Upgrade K,)­Abandon( ) " El Complete System El Individual Components Y � tom-. Location Address or Lot No. Lane Os� ue Owner's Name,Address,and Tel.No. T,,.,S F, W{,.�j_. , �6 L�>+ M d Assessor'sMap/Parcel 14 /07-7 G8 G_,.Si.,L Rd, C7s�a.,ull� Installer's Name,Address,and Tel.No. G-)-'14-Z3-j--738ca Designer's Name,.Address,and Tel.No. Sob-e88-3G 19 M.J�( `Ty T;.-L.,, i E' 4( cs^ �•On.. [-leG GAS Su(LVe)' =.NC.. Type of Building: Dwelling No.of Bedrooms Lot Size 10(lo© sq.ft. Garbage Grinder--T Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 1;30 gpd Design flow provided Z 6?2 gpd Plan Date ?--Q-1 n Number of sheets '� Revision Date ts"'A Title S&_ ��bd�� ts�� :_ p10A Size of Septic Tank Type of S.A.S. +r�s �L ►, _; ift ! lama Description of Soil f i Nature of Repairs or Alterations(Answer when applicable) 4.r 4,„ g Date last inspected: Agreement: J 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. �frped �— _ Date 4.29-It Application Approved by Date L( h Application Disapproved by Date for the following reasons Permit No. ,.ICJ f ,-3 5 Date Issued Z 3 Th E COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,,/that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(� Abandoned( I)by �or4h T- S+ /1 LL. q� f /•�,Ckee I r )Cc6C� at p h A 1&J,I Ll M k has been constructed in accordance / with the provisions of Title 5 and the far Disposal System Construction Permit No.',�',t /�S dated _Z1 F+ '" A Installer ,��„r tr_V) �, Designer EAS �c� M6 #bedrooms Approved design flow 4 0 gpd The issuance of this,permit shall not be co strued as a guarantee that the system wi ,.�on llas desi ed. `G Date ! Inspector It , v by �/ yp' V -d ✓/ V - y ! / .� 1 Y \ V No. Fee A", O THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS bisposal *pstem Construction Permit Permission is hereby granted to Construct( Repair Upgrade( ) Abandon( ) System located at e�,A(I r, y 0,5 4�PYr cl. 1!(-t_ and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty,'comply with Title 5 and the following local provisions or special conditions. =t� Provided:Construction must be completed within three years of the date of this p�it. �— Date L� 3 U Approve b\y =' Town of Barnstable • l Regulatory Services - . _ Thomas F. Geiler,Director ., .IARNSFABLE. ` - �- Public Health Division . l�o •. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601' Office: 508-862-4644 M Fax:.508-790-6304 ' -Installer & Desiener Certification Form / T ��Z �&L v Z7 s. Z.U 3 Date: /¢ 13 Designer:ner: G '7 S ` L Installer: - /C'AWEL 7� %4C%f Address: v � 72 Address: Z/ �!/eEJ On 4-30' /3 AlIcLf tEL was issued a permit to install a (date) (installer) - septic system at ��c�ih//JL�/ C�1-PY yJ/�` based on a design drawn by (address) '. 't' dated �=3 (designer') 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. 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. - ��A OF MgSS o ` 9 �o ID y�N D. (Installer's Signature) { FLAHERTY, JR. N f r No: 1211 A.NI iARrl (Designer's Signa (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC aALTH 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. Q: Health/Septic/Desiper Certification Form Town of Barnstable P# J Sa" 5 Departitnent of Regulatory Services Public Health Division Date ) >A rFv re9.a1 200 Main Street,Hyannis MA 02601 Date Scheduled d + Time Fee Pd. Soil Suitability Assessment fog- S a e Disposal Performed BY: W�" � -r,,1,L Witnessed By: Q� LOCATION& GENERAL INFORMATT N Location Address L &yps \ U4A�r:tn- y Owner's Address d S Cu Ili S�&CAC (21 • USt'evV� tt.¢ �1'lc o2`Sf Assessor's Map/Parcel: `'lq .+?- (F 7-'7 Engineer's Name E�= S dU>ZvL� ��(L NEW CONSTRUCTION REPAIR jj= Telephone#eeAe - � G Land Use:NS7 3� o Qi`�•svr✓Q �-fa nv_c Slopes(%) — Z`1�e Surface Stones AV&N d �TCX�tva Qar�t -TD60VA-pd.U0 7�Otv,tj Distances from: "Open Water Body J300 ft .Possible Wet Area !)D ft Drinking Water Well �'� ft Drainage Ways ft Property Line / ft Other �`' / ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pee tests,locate wetlands in proximity to holes) • t Y i D G owl kL tiI C—. ' '_Parent material(geologic) Depth t0 Bedrock Depth to Groundwater. Standing Water in Hole: AfOA Weeping from Pit Face Estimated Seasonal High Groundwater >3�--aS(404- 17akfl) Q 1 L L,,y i�m{Q e�R✓4.2 DETERAHNATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: In, Deptli to soil mottles:_ ; in. Dcl$th to weeping from side of obs.hole$ Groundwater Adjustment Index Well# Reading Pate:�_ Index Well level factor �*-- Adj.Groundwater Level;-7 3`Mr�ietaJ ��kd PERCOLATION TEST Date ( - o•I%we l 0 41 M Observation Hole# '02, X(4 9-41) Time at 9" Depth of Perc 7 ( - - 6."). Time at 6" Start Pre-soak Time @ �_Zy Timee(9"-6") End Pre-soak F 0••: / / Rate Min./inch Zi+1 p Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Origins.1: Public Health Division Observation Hole Data To Be Completed on Back--------- �� ***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:\S EPTIC\PERCFORM.DOC DEEP.OBSF-RVATION HOLE LOG Hole# t x 4co Depth from Soil horizon Soil Texture .Sdil Color Soil- Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency,.%Gravel) 13 v a.ri`'.A lug, 4 3 � eA`sa d Z 10jo rave r' ( �- , Y• . Oft p � v wa- Y �•�,1 �- ve_� .. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%G ve 2`l &011 - 99 G med� v„q Gea3�v�c1 .7.5.`(t6A. (!Star tag - MO- 2"s-1 7/ DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. i .. Consistency,yg Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Moll Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones'.Boulders. Cositn t Flood Insurance Rate Map: Above 500 year;flood boundar; No— Yes Within 500 year boundary No Yes Within 100 year flood boundary No._ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pe vious material? Certification I certify that on �� (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required traininlexrtise an rience described in�10 CMR 15.017. Signature Date Q:1S.EPTiCVERCP0RM.D0C 28 LOCUS DATA LOT 14 BUMPS RIVER ROAD l JOSHUA CURRENT OWNER EST. J.F. WHITELEY t POND z PLAN REFERENCE 115-125 \ LOT 7 _ Z LOCUS g DEED REFERENCE 13541-123 t N w o I J p ZONING DISTRICT RC h°` /IRON PIPE MAIN STREET FLOOD ZONE "C" �� 00 p0' / �^�� FOUND LOCUS MAP E' 1 / NOT TO SCALE: ASSESSORS MAP 142 PARCEL 027 �o N 6g / `� 13-0105 OVERLAY DISTRICT ZONE II - GP IRON PIPE / LOT 6 s4E LOT AREA 10,000f S.F. \ FOUND 10,000t S.F. \ _OVERHEAD WIRES_ �� �/ ND LOT 15 \ :: o SITE 8c SEWAGE 51- J EXISTING CESSPOOLS TO REPAIR PLAN \ �" BE PUMPED CRUSHED AND a \ \ 1'#68 � , o ABANDONED OR REMOVED 68 LINDEN LANE \ Z EXISTING ( o FROM. SITE IN ACCORDANCE fz\ 3 BEDROOM- \CON , WITH TITLE V OS TER VILLE DWELLING` Fk�TI0 10! N9-) , k2.5 PROPOSED 13.0 x 25.0 - IN S.A.S. (2) H-20 CONC. BARNSTABLE, MASS lj �\ �•o, 21 0 CHAMBERS O -o\ VENT DATE: FEBRUARY 6, 2013 D- DjT.H. 1 10 PDX OWNER APPLICANT: v - A 2\ O _ � _ PROPOSED EST. OF JAMES F. WHITELEY \\ �o, 1500 GALLON T.F . 10 STAKE � ' SEPDC-`TANK :/� FOUND 68 GUNSTOCK ROAD OFF OSTERVILLE �_� - �_� %=*' LOT 16 MA 02655 ,� � / Epp• SHEET 1 OF 2 6956 LOT 5 PREPARED BY: IRON \ N EAS SURVEY, INC. ` \ PIPE - BENCHMARK y\ S 141 R T. 6 A FOUND CORNER OF CONCRETE PATIO ELEV= 50.63 - JED NARD9y� P. O. BOX 1729 A. E o 20 30 40 SANDWICH , MA 02563 No 2 80 _ _ Fs S� , 3 P GRAPHIC H. (508� 888 3619 � N ; � 1 SCALE: \ ) LA CELL (508) 527-3Fnn 1 INCH = 20 FEET SYSTEM DESIGN RAISE COVERS TO WITHIN 6" OF FINISH GRADE DESIGN FLOW END RISER 3 BEDROOMS AT 110 GPB/D 13- GPD TCF = 55.18 FINISH GRADE RAISE TO WITHIN 6" VENT ELEV. 50.55 FINISH GRADE OF FINISH GRADE ELEV. 49.7 //_ Aoz� ELEV. 49.5 GROUND ELEVATION 49.3 REQUIRED SEPTIC TANK ///�� /�� ��/// ' COVER GAL. v 20'C�DS=0.10 4.6 OF COVER 330 x_2 _ 660 v EXISTING 4' C.I. TOP ELEV 44.67 2 MIN 1/8'-1 4" - _____ SCH 40 18'@S=0.22 DOUBLE WASHED SEPTIC TANK PROVIDED - 1500 _GAL. INV.= 2 MAX 4" PVC SCH 40 6' OS= 0.03 0001,00 o o 00000 PEA STONE _INV.= 50.2' 48.20 10"TEE 14"TEE INV.= pO000i000 0 00000000 OR FILTER FABRIC SIZE OF LEACHING FACILITY REQUIRED ` f INSTALL 48.00 6" O O o o O O 3 4" DOUBLE 5'-7" O, 0 0 O 0 / DESIGN PERC RATE <2 _MIN./INCH' GAS BAFFLE 3 OUTLET WASHED STONE LONG TERM APPL. RATE_9•74_GPD/S.F. 4'-61/2 4'_1" LIQUID LEVEL H-20 L T O 5'-0"x8'-6"x3'-O" CHAMBERS PROPOSED 4 BAND "TEE" REQ. �IN�V43.67 H-20 ) 0 w SIZE OF LEACHING SYSTEM PROVIDED: STAINLESS STEEL INV.=44.04 INV.=43.84a S.A.S. (13.0' x 25.0') CONNECTOR 330 + 0.74'SF/GPD = 446 S.F. .MIN. REQ. 43.66 41.67 (N s OF Mq M vi PROPOSED 1,500 GALLON SEPTIC TANK � �p� s9�ti USING 3 CHAMBERS WITH 4' STONE AROUND SET ON 6" STONE BED o�:. DAVID. GROUNDWATER ELEV 11.0 "JOSHUA POND" a NO GROUNDWATER ENCOUNTERED SIDEWALL 2(13.0+25.0), x 2 = 152S.F. CONSTRUCTION NOTES: o H J BOTTOM = 13.0' x 25.0' 325S.F. - TOTAL LEACHING AREA 477S.F. 12 477 :S.F x 0.74 = 353 GPD 13-0105 1. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND ,p p ELEVATIONS AND SITE CONDITIONS PRIOR TO COMMENCING Fc�ST.'ev- 353 GPD PROVIDED > 330 GPD-REQUIRED = WORK ON THE SITE. s N SITE & SEWAGE q���TAR�P' ? 2. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE (> 23 GPD RESERVE WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS TOCUOBTAIN SUCH DETERMINATI PARKING OFON FROM APPR AND OP RIATE AUTHORITY. DATUM : NO (GARBAGE DISPOSAL / GRINDER ALLOWED) REPAIR PLAN 3. MATERIALS OVER THE SEPTIC TANK, DISTRIBUTION BOX AND VERTICAL DATUM; 6.8 LINDEN LANE S.A.S. AREA IS PROHIBITED MSL± / BARNSTABLE GIS D.T.H. #1 D.T.H. #2- $( OSTCRV�LLG GENERAL NOTES: BENCH MARK`SET: DATE: 1-30-13 DATE: 1-30-13 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. CORNER OF CONC PATIO. GROUND ELEV. 49.5 GROUND ELEV. 49.0 IN TITLE V AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS ELEVATION 50.63 NO GROUNDWATER NO GROUNDWATER FOR SUBSURFACE DISPOSAL OF SEWERAGE. BARNSTABLE, MASS 2. FILL FILL AT LEAST ONE ACCESS POINT OVER TANK TEES SHALL BE ACCESSIBLE WITHIN 3" OF FINISH GRADE, WITH ANY REMAINING INDICATES DEEP "ACCESS PORTS BROUGHT TO WITHIN 12 OF FINISH GRADE. DTH #1 DATE: FEBRUARY 6, 2013 - TEST HOLE. 30" 42" 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL .BE B B CAPABLE OF WITHSTANDING H-10 LOADING UNLESS LOAMY SAND LOAMY SAND OTHERWISE SPECIFIED. 6 6 10YR 6 OWNER/APPLICANT: 4. THE EXCAVATION CONTRACTOR SHALL VERIFY THE LOCATION INDICATES NO .MOTTLING 10YR / / 6 OF ALL UTILITIES PRIOR TO ANY EXCAVATION. P-1 78" PERC TEST NO WEEPING EL. 44.5 60 EL. 44.0 60 EST. OF JAMES F. WHITELEY 5. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE C-1 C-1 68 GUNSTOCK ROAD 6. FINI HT GRADE SHALL HIN 6" OF AHAVE DE HALMINIMUM OF 0.02L BE MORTARED 1 FEET APER MED. SAND MED. SAND FOOT OVER THE S.A.S. AND DISTRIBUTION BOX. �� INDICATES ADJ. GROUNDWATER 2.5Y 7/6 2.5Y 7/6 78" OSTERVI' NO OBS. GROUNDWATER 96". 96 LLE 7. SEPTIC TANK SANITARY TEE'S SHALL BE CONSTRUCTED OF 10%.STONE 10% STONE „ SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM OF 6' ABOVE NO OBSERVED GROUNDWATER C-2 C-2 MA 02655 THE FLOW LINE AND SHALL BE ON THE CENTERLINE AND COARSE SAND COARSE SAND THESHEET 2 OF 2 8. THEATED INLETDIRECTLY PIPE I VERTDELE ATIONFLES SHALLL BE NO OUTAN OLESS THAN DEPTH TO BOTTOM OF HOLE 10.5' 10%YGRAVEL 10% GRAVEL 2 INCHES NOR MORE THAN 3 INCHES ABOVE THE INVERT , ELEVATION OF THE OUTLET PIPE. VARIANCES REQUESTED C-3 108 - C-3 108'PREPARED BY: 9. THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES MED. SAND MED. SA6 2.5Y ND E A S SURVEY INC. 10 BAFFLE,4 FINCHES INRY TEE SHALL BE DI METER AND CONSTRPPED UCTED ITH 4 OF 4"GAS PVC 310 CMR: TO ALLOW THE TOP LEACHING CHAMBERS NO G.WATER NO G.WATER „ 11. ALL PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE AND TO BE 5 BELOW GRADE IN LIEU OF 3' 126" 120 ELEV = 39.0 ELEV = 39.0 141 R T. 6 A SHALL BE SLOPED 1/4 INCH PER FOOT MIN. EXCEPT FOR THE B.O.H. FIRST TWO FEET OUT OF THE DISTRIBUTION BOX WHICH SHALL n BE LEVEL I EDWARD A. STONE HAVE BEEN DON DESMARAIS C" r3�� P. O. B 0 X 1729 ,2. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION CERTIFIED AS A MASSACHUSETTS SOIL SOIL EVALUATOR TO EAS SURVEY INC. FOR B.O.H. AND DESIGN ENGINEERS REVIEW EVALU TOR NC A L F 1995 ED. STONE . SANDWICH , MA 02563 AND APPROVAL. � 2-6 -/3 SOIL TYPE: 1 PH. (508) 888-3619 13. MAGNETIC TAPE ON ALL COMPONENTS. PERC RATE: <2 MIN. PER INCH EDWARD A. STONE, St- 2359 DATE LOADING RATE: 0.74 GAL/SF/MIN CELL (508) 527-3600