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HomeMy WebLinkAbout0151 NORTH BAY ROAD - Health 151 NURTHiBAY R�� USTERVILIE A = 073 034 t I� p �y � I u i' 1 _ 1. .—�_�. i. a ker;�d�..m�..•�..:..i ► —...._.. y C;C pVic TOWN OF BARNSTABLE LOCATION �0'r'oa hokA. �w� 2`Q' SEWAGE # )WE Ito VILLAGE U,a$ ,ICJ& ASSESSOR'S MAP & LOT�7 3 I14STALLER'S NAME&PHONE NO. R 0,ACn. hemc. 6­6&If3) -CS-32 SEPTIC TANK CAPACITY !S o0 LEACHING FACILITY: (type) c�' s(size) x to/, NO. OF BEDROOMS S BUILDER OR OWNER ,- PERMIT DATE:_ ►�I,3 7 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 ` Il A. A �► 3b ' A-G _ sa' 0 _ 3q'b'. ... �. �: a0'6'' rg-G i t7 tl` , rt No., �. / V 9 q Fee�Z� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZIppYication for ]k9poml *petem Construction 3permit Application for a Permit to Construct( X)Repair( )Upgrade( )Abandon( ) C Complete System O Individual Components Location Address or Lot No. 1 2 0 2 North Bay Road Owner's Name,Address and Tel.No. 2 0 3-8 6 9-9 5 8 2 C -t"�V�I� Mr. and Mrs. John Farrell Assessor'sMap/Parcel 73/34 o1 ) 7 .Dairy Road; Greenwich, CT 06830 Installer's Name,Address,and Tel,No. Designer's Name,Address and Tel.No. 5 0 8—3 9 8—3 9 2 2 Robert B. Our 508-432-0530 Sweetser Engineering Great Western Rd. , Harwich, MA 235 Great Western Road, So. Dennis 0266 Type of Building: Dwelling No.of Bedrooms 5 Lot Size 4 5, 2 0 s sq.ft. Garbage Grinder( N) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 110 gallons per day. Calculated daily flow 550 gallons. Plan Date npnpmhar 1 , 9000 Number of sheets 1 Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil � .i?_C��', �4 1 ' Qom. CN�1 X 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 Certifi- cate of Compliance has been issued byrthi Bo d of Health. Signed LV Date 2/2 6/01 Application Approved by v Date 22 a Application Disapproved for the following reasons Permit No. c9co I U Date Issued a ---------------------------------------- •K` ,,,.:N„'�4F;1' a,x ,, � w c r �dt' y s= +- ^` 't. r su�t F � � rx SSG BARNSTABT,)r'' LOCA— o "X0a -np w SEWAGE`# LG 1=:!/U VILLAGE-° -& &.(/ `'°~ i ASSESSOR'S MAP & LOT©7 3 INSTALLER'S NAME&PHONE NO. �oe �.C7.<x,C o. c.''S y&y SEPTIC TANktAPACITY..: ,:5 00 �I S LEACHING FACILITY: (type) (size) I l X t,l:'x ro .. NO. OF BEDROOMS S BUILDER OR OWNER PERMITDATE ► a7Th COMPL IAN CE DA Separation Distance.Between the: Maximum Adjusted Groundwater Table and Bottom„of I,eachung Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility). Feet y t • Edge of Wetland and Leaching Facility.(If any wetlands-.exist within 300feetof leaching facility) `' Feet, Furnished by , 7 . • e . w. /} : A -r A ' q Y g- o C. ko r_G . L7 G o , OP of t . C10 �$ 41 c - '�i r Entered in computer: ��- TH •COMMONWEALTH OF MASSACHUSETTS p r. Yes �PUB'LIC,HEALTH�DIY ISION - TOWN OF BARNSTABLE., MASSACHUSETTS' Yication'f`ort c; near 6potem Construction Vermit Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) EiComplete System O Individual Components Location Address of Lot No. Lot 202 Noeft Bay Road Owner's Name,Address and Tel.No. 202-869-9582 " - art�vtl Mr. and Alrs. John Farrell 'Assessor'sMap/Pazcel j 73/34 ) 7 Dairy Road; Greenwich, CT 06830 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 5 08-3 98-3 9 2 2 Robert B. Our 508-432-0530 Sweetser Engineering Great Western Rd. , Harwich, MA 235 Great Western Road, So. Dennis 0266 Type of Building: Dwelling 'No.of Bedrooms 5 Lot Size 45,205 sq.ft. Garbage Grinder( N) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 110 gallons per day. Calculated daily flow 550 gallons. - Plan Date December 1, 12000 Number of sheets 1 Revision Date Title i Size of Septic Tank Type of S.A.S. �`� t,-\ 1 7`f r \c'\ Description of Soil S6 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: t Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described -site sewage disposal system n in accordance with the provisions of Title 5 of the Environmental Code ad not to place the system in operation until a`Certifi- `�*..,� cate of Compliance has been issued by.thi Board of lHealth. Signed w Date 2/26/01 Application Approved by lclolu G� h Date a ,j 7 d ' A 3 Application Disapproved for the following reasons Permit No. c900 ' I 10 Date Issued F�2 d THE COMMONWEALTH OF MASSACHUSETTSAd ,,, BARNSTABLE, MASSACHUSETTS 4",7 Certificate of Compliance .,�Ii q THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( "')Repaired( )Upgraded( ) Abandoned( )by 4 0,-/ 7, l)L..,.. at IS 1 /UOIZTN H�/ �2D 'y1 ,(,C has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. a?00 0 dated �2/a 7,1 b 1 Installer Designer r The issuance of this permit hall not be construed as a guarantee that the systerd/will function as designed. Date b 1 ! t Inspector Q ——————————————————————————————————————— No. Fee �W THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS - MizpozaY *pztem Construction Vermit Permission is hereby ranted to Construct( )Repair( )Upgrade( )Abandon( ) System located at s :_.. N, and as described in the above Application for Disposal System Construction Permit. The applicant recognizes 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: Approved by �� `����- ►'i�� Qv t ` ., to lasTal a. 1 4 e 2 4 - x F Iry Amp. o S 1 _ 'F' 'Y f ✓'�� {7 112 f> ,{�+ rl a. r S �, =( e I � t l Tn ,R r 4S - .Ion_ a :-{ t�+... .yr°,<p„4f t it ;ky„a�i vs.� �L ; ,:: � v.,.. r `r >• .� 4� r,f. 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E � Soil Suitability Assessment for Sewage Disposal " Performed By: PE_t,9-/2- .BULL I1/4 A- Witnessed By: y Del NN 1)VG- LOC 'rION & N RAL FQRMA" T. ....: Location Address 1 .-/ Iva rtH 8py 12,9.4 D Owner's Name PP U L M,13LLOIL Osf�/�1/LLG Ina Address 6?&WO /YJ/LL 12Ler- FZD Assessor's Map/Parcel: '7::Z/3 S Engineer's Name 5M4/-IP4 Al NEW CONSTRUCTION X_ REPAIR Telephone N �5'p S- _L120_3 3[V V Land Use UNDEI/EL�l�ED Slopes m) 0-,6 Surface Stones AloA16- Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well n Drainage Way ft Property Line ft Other ft .K, SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) o �, sh 3A A1.09 6 . 299 �o `= �. pN-Z. . O Z.CA 203 1 I N 76'16'57E v m 285.45 q ,Y Parent material(geologic) (5 S1'*,eJ16 0 �� VO Depth to Bedrock Depth to Groundwater: Standing Water in Hole: J�f7� L Weeping from Pit Face •I\Xb l_i l= Estimated Seasonal High Groundwater LESS 'mAo s,c) ;bETTtMYNATYOI�t PUl7 SEASUAL G 'WATE�2 TABLE....... . Method Used:1, �V_I M P'C' - Depth'Obseived sCanding coons:hole. I'Zb=' #�"�in:Depth to soil mottles:-IJ�oly6 065 l�� Depth to weeping from side of obs.hole: "C"Et in. Groundwater Adjustment +-Index Well N. _1\ .Reading Date:�� y_ Index Well level __2%Z Add:factor ZZ r Adj.Groundwater Level PERClLATOIY TEST S Observation 2 A LLOIVS LA5-�eS /'1'4 Iv I S mip - Hole# �^ Time at 9" it Depth of Perc 66r Time at 6" Start Pre-soak Time® 1d��Z Time(9"-6") End Pre-soak M Rate Min./Inch 2 /,�/W Site Suitability Assessment: Site Passed 7 i5�S Site Failed:�-� Additional Testing Needed(Y/N) N l� Original: Public Health Division Observation Hole Data To Be Completed on Back j Copy: Applicant DEEP OBS)�l�V,ATO�1 MULE L+�Gul # w:: . >' Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % QvihL Pt W awn 3 - ® D orr-• � �► F3rNy a�s� 10\1 IL S 3 R,,rjtS 6L. d rN I 3 " A►��S05WO IO Y I-,5 2°, t AUEL, c�EsAWn to JR-10AI s U1i G,- rr A I N T-71 LOOSE Sl �rAv� DEEP OBSERVATION HOLE LOG Hole:# . . : Depth from Soil Horizon Soil Texture Soil Color soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. e r ,rH WE ILIPERCr 3 -0 dam. r. a' " saAae to 3� ►. 4 fS I/ 3`'' S 0" 1,911Z AS Lt. YCL. aw �.' 3 G"-120" �rEs.9iyn I Q R t; .44- EP O13SER V ATIb1Y ( I.EUO Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % DEEP OBSERVATION H(1LE LUG Holt3# .:. Depth from Soti Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. 0 Flood Insurance Rate Map: I� Above 500 year flood boundary-No i—•k,'-.YesN k 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 pervious material? l�ertification I certify that on f(LI L9S (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 trainin ,expertise an experience described in 310 CMR 15.017. Signature Date�98 Town of Barnstable PN DZ(SZ Department of Health,Safety,and Environmental Services a►�►+� Public Health Division Date Q. 367 Main Street,Hyannis MA 02601 BAaN8TABM . i6 � �� k rEorructa Date Scheduled 1 — ��— 9� Time I v ri Fee Pd. p r: N Soil Suitability Assessment for Sewage Disposal Performed By: ��—t�/' S[�LLj//,Q/1/ Witnessed By: �T, D�1�/�//Y� O.C. .0&G M FORMAT�OI Locationdliress ................................. 11 Lv t ZG2 WortH fa4 2D Owner's Name Y �q/'hCS i3t.Ac14, .t3L 1 p stEr�//LLt I1'I R- 12 5- 13 ra,4A SY- Address /V--w Assessor's Map/Parcel: 73/ ,l Engineer's Name / 3"7 NEW CONSTRUCTION __X_ REPAIR Telephone# �c/el Land Use U��7 €l 6P�(� Slopes(%) L'�SA� Surface Stones (tea r— �2t.4fi�LtK9�4) 107. Distances from: Open Water Body ft Possible Wet Area 1 ft Drinking Water Well ft Drainage Way '— ft Property Line '7 Q% ft' Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 4q �J cam' BA Nof?nl. - B _ L,cA N o o� _ 141.70 's> 0 4 p 01 P99.is — Parent material(geologic) lllw Depth to Bedrock Depth to Groundwater: Standing Water in Hole: ``�s10KJL Weeping from Pit Face Estimated Seasonal High Groundwater L E55 7 k-trdo—) L, t3,0VU(,V D > :: DETENATYOit32:SAUr1 G 'U�ATR TILE <>;:>':: <::::: : ........ _.:....:.::.::..::.:........... ................ Method Used: u i 21 vK PSL'tZ o Depth Observed standing in obs.hole: in. Depth to soil mottles: NO K)V 0955cK� 0 Depth to weeping from side o_fo_bs.hole: A 0tr k& in. Groundwater Adjustment ft. .Index Well# rh\w ReadingDate:( It�9 Index Well level _i9 j � h !� Ad.factor ) Adj.Groundwater Level ,.. :..:::... ...::.....:.. :..::.:.pER.C.OLiTI0I�1 TEST ' ':D j.j ...:: Observation 2- Hole S(r/�LGo/vS G�SS # Time at 9", p Depth of Perc Time at 6" Start Pre-soak Time @ .6�o W K—EV Time(9"-V) End Pre-soak �1 Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: do Additional Testing Needed(Y/N)Alp Original: Public Health Division Observation Hole Data To Be Completed on Back Copy: Applicant >bEE�' ( BSE1t ATtON ` Ht)tC# f.. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. 0 IL r R N6/✓.-.6mrs y- p O /Z-. afifio 0"- � 2_' E B SAIIYD � 10 V R S yEL- erv, 13 S.9*D IG ` IZ t! 2%= rAl/EL L-t V E1- B rn- 32 - 120 C 4:;�,W C-S'ANP IO yf2 t! St G� r�lti Lpo.SE ' S%crave DEEP OBSERVATIO N HOLE L!DG Hole:# . .. . .. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. e a it PI Lr NetpiLEt y -D O rx-m� '- r 2- L .sue SAE 10 )z 517 YFL- t3Rw 12t'-3 z k (3 nmrsF ( S- 3a�-t2o�t Lr.!.oy s IQ A DEED' OSERATtO.N HIE Y.0 Mole Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. a DEEP OBSERVATION HOLE LOG Hole# ::.. . ... ... Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Cons'stency.e Flood Insurance Rate Man: Above 500 year flood boundary 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? e-5 If not what is the depth of naturally occurring pervious material? Certification I certify that on AN-IL 9 S (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 trainin ,expertise a experience described in 310 CMR-15.017. Date Signature �� ZS - . :: a r \ - ryy y916 ! ..- '`� V2� f E 11 `46.1 \' \ 055 074 095 , ! -. - - P �_, 2 7�/. 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ELEV. - S Co�►Ks� DISTRIBUTION 3Y410 G ,r� 14,/ ELEV. • HIGH CAP�gTY INFILTRATORS MATH r �� TLE7 BOX Ct�.l_ STDfJE W AN 1 \ vu y (TO BE PLACED ON FIRM BASE) TO BE WATER TESTED _-- — - z N i i,1 . •, TRENCH FORMATION � �%� � ' 1500 GALLON IF MORE THAN ONE OUTLET \ WA't F ,NCOUNTERED AT (� ETV, • WATER ENCOUNTERED AT _ ELEV. • SEPTIC TANK (TO BE PLACED ON FIRM BASE) SOIL ABSORPTION kit ZONE ` ' \ 3/4' TO 1 1/2' CLEAN INDEX _ •s� /'�u" c� ME TER �� DOUBLE WASHED STONE SYSTEM (SAS) ADJUST N PiT FREE OF FINES k WT LEGEND: DESIGN CALCULATIONS USGS PROBABLE WATER TABLE ELEV. EXJSTING SPOT E .EVATION 00,0 NUMBER OF BEDROOMS SEWAGE DISPOSAL SYSTEM PROFILE OBSERVED WATER TABLE ( 11 /') e:/'­0 ) ELEV. - -� `� EX1S ING CONTOUR ------00---- ( 11GARBAGE DISPOSAL UNIT FINAL SPOT ELEVATION ® TOTAL11 ESTIMATED FLOW NOT TO SCALE BOTTOM OF TEST HOLE ELEV. - -{�-- FINAL CONTOUR--_ 0 GAL/BR./DAY X BR ) GAL/DAY TEST L UTILITY ocAna�v - l9 ACTUAL SIZE OFF RED SEPTICS�Tic TTAANAJcpTM Gum" . �\. ------ ----_ TOWN *A TER --w--+ ---tiv SOIL CLASSWTCATION CATCH BASIN k 0) DESIGN PERCOLATION RATE MIN./IN. . GAS LINE ------ x- EFFLUENT LOADING RATE GAL/DAY/U. A C,, CLEAN OUT __ __� ..-- "`� LEACHIN CESSPOOL. C.P. 0 LEACHIN6 CAPACITY (AREA x RATE) 5 GAL f DAY X 0 / I - RESERVE LEACHING CAPACITY S8� 3 GAL/DAY p �~ --' - I NOTES: 1. ALL WORKMANSHIP AND MA ALS SHALL C014FORM TO D.E.P. TITLE 9 AND THE TOWN OF �1;�"�5•�y ' .• �'" RULES AND �\ REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWtAGL / CAkGE 2. ALL COVERS TO SANITARY UNITS SHAD. BE BROI OW, TO OAK \ WITHIN 60 OF FINISHED GRADE. / 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPAW OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR N*M 10 FT. OF DRIVES OR PA*WG.AREAS,. H-20 LOADING SHALL BE U / n 2 \ USED CINDER OR•WITHIN 10 FT. OF DRIIvEs OR PARK*4 AR AS, F / 'J 4. ANY MASONARY UNITS USED' TO BRING COVERS TO MADE SHALL N° AREA = .� BE MORTARED IN PLACE. �, ZO S St \ 5. NO DETERMINATION HAS BM MADE AS TO COUPUANCE WITH 1 0 \ DEEDED OR ZONING REGLKAT0 S. OWNER / APPLICANT IS TO ,5, 8 Ac:s ra` 1,f' �� 6. OBTAIN S 4vDr 4 ARE I AP IM MAIM (OM �JNLY,�EXXCC.ATVAT CONTRACTOR, FIND // / - \ IS TO CALL 'DIG-SAFE" AT 1-888-344-7233 AT L�'f 72 HOURS KNOCKED _ 2 PRIOR TO ^,WWENCING WORK ON SITE,. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS � SITE CONDITIONS PRIOR TO COMIUMCING WOPj< ON SITE. ANY VARtAIM IS TO BE BROUGHT TO THE kr"'ll ON OF THE DESIGN/ EN IMMEDiATELl. GII ER r 4G`', � \ 8. I�AJ�f:3:1. IS th �LG ZONE •_,_........ �-� ••�`r� -8. LOT IS SIr4OVW ON ASSESSORS MAP )' A1"M �. // FND. j -- �``' - ` / <• `, Q \ 10 TOPOGRAPHY SY k �IE-ARF4 r.-`; t \ `.1. ALL UNSUITABLE MATERIAL SHALL ICE N:MO�U FRW IJ M AND FOR A MIPti" OF S' AROUND SOB. ASISCRIP1W 91110�1 � REPLACED ACED INTH MATERIAL. AS IN "310 GIN! � Al 12. AU CIISTURSED AREAS ARE TO BE AIM r (s" : \ 13. 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