HomeMy WebLinkAbout0194 SCUDDER ROAD - Health 194 SCUDDER ROAD (file#2?)
Osterville
A= 140 - 036
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TOWN OF BARNSTABLE
LOCATION SEWAGE# —Lo1,I —��
VILLAGE ASSESSOR'S MAP&PARCEL i
INSTALLER'S NAME&PHONE NO. V•G• ( _
SEPTIC TANK CAPACITY
LEACHING FACILITY.(type)�t-t -NG1:{� (size) �{�{� i1•�3 iCdr ,
NO.OF BEDROOMS i ��-1 �2t (�-Pr+w�r q er
OWNER i".� l�^Cri'eGSP �/uw.
PERMIT DATE: COMPLIANCE DATE: 7
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) 114 Feet
FURNISHED BY
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TOWN OF BARNSTABLE s
LOCATION SEWAGE #
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VILLAGE a e ASSESSOR'S MAP & LOT )►jD 0 3�0
INSTALLER'S NAME PHONE NO.
kPTIC TANK CAPACITY
LE]SICHING FACILITY:(type) (size)
NO. OF BEDROOMS PRIVATE WELL OR UBLIC WATER
BUILDER OR OWNER
DATE PERMIT.ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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C��gPvr�c.
a R�oS d�
Town of Bar
nstable
Deparfu=tofRegWa ory.Servlees
Public Healfh.•Dxvidon Date eIn,11-5 "
areas 200 Math Sttoei,llymaU MA 02601 tir
ra1T 7 4 ;.�.
rDM1Kh �
Data Schedule .T;l"me • fee k°rfl. J 1AE
Soil Suitability.AAssesSment far S e Map�s I
1-rformrd-sy: e,�6,q ��P_;my, Witnessed ay: z v�. J , or
q LOCATION 1 GENERA L 73+ii♦Q MAffil -
LDeadan Address Owacr's Name
P/i✓/!✓j)V i'�Q ^ci Address
' Assossor's Map/Pareel: /'C�/v� Eaglncorsl`tame ((Job/^� �/
NEWCONSTRUCITON 111 REPAIR Trlephonc# �OP)�19 d��� Lc�7i
J and Usa: .,NAB a''s-Uex Q Slopes surface St oes AI
Dlstaacdfm= OpcnWaterBody~"SQp Drinking WaterWca Pit
Dtal'aago Way tnt��`• ft Property Uns ' 41 Other ft
M`TCH.1(Slreet name,dlmeadons of lob axaot lomtlmia of test hulas&pam tests;Locate wedaads•1v pm,dmity,to bolas)
03
FA=tmatedal(gaologic) k e- S'',. Depth to Bedrmlt '
Depth•to0roaadwater.StaadingWntcriaHole: - f Weeping from pltFnne T+�
astitnatad Seasonal High Omandwatrs 1V
DE7CEF XUATAON FOR SEASONAL EaCa WATER TA33LE
Method Used �I�E
)Depth Observadstaadiagiaebs.holc: _ —Iq, Aapdt;tosgUmoUles. -..r1D.
Dc�thwweephrg from side ofobs.hole� In. OrnundwaterAdJdsttaeat�
IodexW-11# RcadingData' ladoxwclllcval._ _ AdJ,floor..,.,,.._.,_A6J.:Gr01mdwaterizvel,.,s.
PERCOLATION TEST Date_.._,,,..,,_, Tb=
Observation
Hole# -
DcpthDfPem•. `Tbtf TltnantG' ! I
StartPra--soakTlma@
EndPre-soak t f,
RateMinJlnch
Slk4ataSlI3tyAssassmeaC 51[o�a59cf1 + Sitt.Fuilod — Additi,,,dTo$tMZ odccF�YIIV)
ouglaaL•Pablia Health Dlvl:loa Observation Hole Data To Be Complated on•B ark
***jf percolatnoaa testis to be e'ondlzcted-wid.1in 100'of wetland,you must frst notify the
Barnstable Conse7atlon Division at Least one(1)week prior to beginning.
QASPFnW.9R076RM.DOc
DYEP•ODSLR�(-11,1OMMLE LOG Hoye#
Depthfrom SailHorizaa SoilTextare Soil Color Soil•. Other
Surface an.) (U$D'A) ,(Mansell) MottlIng (Stmctsae,Stones;Boulders,
CoTiddrcrimy,Uravel)
�- A SL ►oYk����
D=013SERVAMOTIMOM19 LOG Hole# �
Depth from Soil Horizon .'SoilTexturo SOACalor Soil Other
Surftcc(n.) (USDA) (Munseln Mottling (StmcW",Stones,Boaldcis.
Cons!benov.90 ve
D=ODSbVMON ROLE LOG' 1101e g
Depthfmai SoilHorizon Sall Twum Soil Color Soil Other'
Sarface(in.) (USDA) (Mansell) Mottling (Stmctn)v,Stones,Boulders.
Gravel)
DJL+" +�03B80 Ix.'PA.'fiION•Mii Lea G dale 9
Depth from Sail Horizon Soil Texture sell dolor loll Other
Surface Co.) CUSDA) (Muusell) Mottling (Stratum,Stories.Boulders.
,
I�1gD[TYTASttrflriC:e'IZetCMa'p: - .
Abova500yesriloadbmm&ry No_+' Yes
within500ymrboundary No / - Yes._.,__ -
Within 100yearfoodboandsry No•� 'Yas.:_..,
• p�of l�Iaturallv:Or�+-+-9n�Pervious Material
Does at least four feet ofnafmrally occurring pervious mtiterlal exist in all areas obsttwet{thmughout tht
area proposed fbr the sail absorption systornl y65
If not,what is the depth of naturally occurring pervious mawriall
Cerifficatiou �Ja
I certify that on f J (date)I havo passed the soil evaluator w n nination approved by the
Depal trnent of Environmental Protection and that the above analysis was performed by me consistent with .
'the required training,expertise and experience described is$10 Elm 15.OI7.
Dnth
Signal.ore P �
'. Q:�rric�rl�croruvinoc .
No. O - l(Y Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer.
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
01ppliLation for Disposal 6pstrm CunstCuction 3pPrmit
Application for a Permit to Construct( ) Repair(grade( ) Abandon( ) E;eomplete System ❑Individual Components
Location Address or Lot No.,J I Y Owner's Name Address,and Tel No. 90 S'
Assessor's Map/Parcel ifj/G 317 09teaueMe--
Installe 's N,,__�e,,Address and Te.No. D N'gner's Name Address and Tel.No. 6SS-Woa"
tv�, Cetus r -k�ri �6.
Type of Building:
Dwelling No.of Bedrooms 4; Lot Size 1�s �� — sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) a(90 gpd Design flow provided S60 gpd
Plan Date QciErr ,a, R61 5- Number of sheets nn) Revision Date_7caat4 ';k O tOl
Title 1 I- e. �2 z J(.Lt�tYi'/? /5d• Dg 1 V e t
Size of Septic Tank Type of S.A.S. Y• 1410 15®o6 2,A kPT0 6S ay X ya
Description of Soil Zell
Na ure o pairs o Alterations(Answer when applicable)
e r�
P✓t� W d �t A na Inc JJ !I/\ /"b✓ OUf�d
ova I�f!v
Date last inspected: r �t r �J o� ui /�/1�c^ H} ,I�i ran f r e prJJ u-�/ ���
Agreement: / i
The undersigned agrees to ensure the cons mtructioti'and maintenance a afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental C and not ace the system in operation until a Certificate of
Compliance has been issued by this Board o Health.
1W
Signej Date c1
Application Approved by 12T Date
Application Disapproved by Date
for the following reasons
Permit No. 2_o - �t Date Issued
No.. .O t C1 r ! g Fee w
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN-OF BARNSTABLE, MASSACHUSETTS
application for Disposal 6pstem Construction Permit
Application for a Permit to Construct( ) Repair("Agrade(r ) Abandon( ) LI Complete System ❑Individual Components
Location Address or Lot No. /'j 4/ 6--kd Owner's Name,Address,and Tel.No. 90$ e-/(o f
Assessor's Map/Parcel /1f/0/35i
Installer's Name,Address,and Tel.No..bt>S-(ZP5-scY�-Co Designer's Name,Address,and Tel.No. -36
Qr atO(v-t#,t. �'c l i rr, f:sr��,ZrK, t?o x'��! , .r Gx 9 39/titl St
-
Type of Building: `+
Dwelling No.of Bedrooms Lot Size f�, �tS�C1, sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided S(,o gpd
Plan Date OC`t?�a n ^,f o b 1 ST PL_a�J (Number of sheets p ///',��ryl� �y �, Revision Date M i ,, �Z, '� 'xo f Qj
Title 1 i 4-1 a `3 ram'e"�• "'t 9oy b 'f-t RJ, (J5k P oe dA MN
Size of Septic Tank 1 0 Type of S.A.S. IV- 1416 0„r g,n 0
Description of Soil p
Na re o R pairs orrJ}Alterations(Answer when applicable) (/
�'a'���=� Gr1/11��c.ht... (�M nr �� � y.,n.�P �.� dd*L—��.✓.�. -,C. t
f � ] I
Date last inspected: � U f(�w ���/1�v /c T ^./ 'P2r't� a. »
Agreement:
The undersigned agrees to ensure the constructionrand maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code-andp ace the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
4 ;1.
Signe Date
Application Approved by 1 Date C,
Application Disapproved by ; t rt Date
for the following reasons
Permit No. 0 (�► DateNlssu '
r�a,J
----- ------------------------------------------------------------------ w r --
d'
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTTS �
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Rep red(X Upgraded( )
Abandoned( Inc
)by�t ff' n:6141 osi a►e �, .
at j q 44 ��,A /��8 c 12 ' rl 1, 1 1,e has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. )_a��-� dated Cj '
1 �y,
Installer L1X �,,toj b n)),!r,�'� C�:!n ...ACV • Designer��a�,n Or, � ne
#bedrooms f Approved design flow gpd
The issuance of this permit shall not be construed as a guarantee that the system will fn 'o as dest ed.
Date G I 1 GI Inspector �`vt
No. Fee U r
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Disposal *pstent Construction permit
Permission is hereby granted to Construct( ) Repair( A� Upgrade( ) Abandon( )
System located at /O ]^e t /1f 11 4
,j
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:Constructi n st be completed within three years of the date of this permit.
Date Approved by r 2
SEP-20-2019 03:15 From: To:15087906304 Paae:1.11
15-235
Tom_'¶-off Barnstable
�OrTi9F.T Regulatory Cory Services.y
a Thoxrdas&'.Gciler,Director
8 esattN9RAbLN, � _
�• If'�t�9�i(��][eaflth�xY.aSiun
°use 4 ..homjis Mclean,Director
200 Main Street,Uyaunis,M&026091
pig: 508-862-4644 :Fax: 509-790-6304
installer&](Desinne>x Certi4ncalloia FOEM
Data: f�� Selvage]Permnt#o;2Gl9—a`�� A8ses80.r1s..MzPTarsel 0 3
I
Desknea s OWN _ I . p1GrINC, 7[uastaHer- _ 0 l.DM CALffffTION
AcIldtt'e9s: �� tYrr. Addrew: 5 in1DOMY 9D--
i
On was issued apexmit'to install a
•(date) (installer)
septic system at Iq 4 rt1/PM RDa 02j-Myj LL9 based on a design drawn by
( dt3ress
_PAWICA. QJALAI P1 _ dated .1 m y 22. UAq
(desi er)
I certify that the septic system.referenced above was installed svbstandZy according to'
the design,which may include mmor approved charges such as .lateral reLocation of the
distribution box aud/oz septic-tank.
I aer*that the septic system zeferenced above was installed with major changes (i.e.
greater titian 10'lateral relocation of the SAS or any vertical relocation of any component
of the septic system)'but in accordance'with State&Local Regulations. flan revision or
cerdZed as-built by designer to Follow.
11k OF MAS.
c DAWEL
tall,ei's ignature „ OJALA U
c� CIVIL
No.46502 a..
o w
� ? .,re
esigner's Signature) (AfE e �x
. s Stamp Here)
Jl LEASE RKMMN TO BARK- TABUF C :F{lK1LIR M ®N. Q TIE'ICATE OD '.,
CQMMI'YIAN(`C ValL NCT BE 199iJk3D UN'>i'ig, BOTH alil4S IroRX Alm AS-At1'7Y'L',r CARD ARE
:1'FJL. ARNSTA LE IAC.X-M TE DIV.LS'I.o . t MU.
Q;Err4.tb/SeFtie/Aeeagncr Ccatl5cation Form]-26-04.doc
ALL SYSTE
SHALL
SYSTEM PROFILE MARKED WITHC MAGNETIC TTAPE OR BE NOTES
PROVIDE MIN. 20" DIAM. WATERTIGHT
(NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS ASSUMED
ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE ti o z5
TOP FOUND. EL. 99.8' FILTER FABRIC OVER STONE 2. MUNICIPAL WATER IS EXISTING e5 moo �o�
MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 97.0 I �I �I 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT.
W W W
PRECAST H-10 NOTE. 2" MIN. WALL 4. DESIGN LOADING FOR ALL PROPOSED PRECAST
RISERS (TYP.) THICKNESS REQUIRED BLOCKS OR UNITS TO BE AASHO H-]Q (H-20 TANK LOcu
,_.. *96.6' 2'0 4"OSCH40 PVC MORTAR ALL PRECAST RISERS ) O
e;
PIPES LEVEL 1ST 2' I 4, COMPONENTS 4'
5. PIPE JOINTS TO BE MADE WATERTIGHT. a o or
ENDS (�'P') 93.2 SIDES 94.03' °° °rn
\*96.�� 10" 1500 GAL H-20 14" " ' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE Q�000 .
94.38 TEE SEPTIC TANK TEE - E3E3E2JIE-IE2IFQE2IL-
g4.13' 6" MIN. SUMP ° mmm® ���� 00®E1 -0��� °°°°°°°° WITH 310 CMR 15.000 (TITLE 5.)
�00000900000 12" MIN. INT. M. ;00000000 ��0®�O���0�'� �������D�o 0� ;00000000 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND w
GAS BAFFLE:.," - �.� `� ;°o°o°o0. a®a�aooaoa� aaaoa�aoo®a °o°o°o°o NOT TO BE USED FOR LOT LINE STAKING OR ANY
° ° ° ° o 0 000000 00000 � 000 0 ° ° ° °
+: 4 LIQ. LEVEL (ACME OR EQUAL)
93.47' 93.3' �o�o�o�0 91 .2' OTHER PURPOSE.
°0°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°�` L8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
°°°°°°°°°°°°°°°O°O°°°°°°°°°°°°°°°°°°°°°°°°°O° H-10 500 GAL LEACHING CHAMBER BY ACME PRECAST OR EQUAL
°'°^°'0 ° ° ° ° ° 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN.
ALL AROUND PRECAST STRUCTURES (4) UNITS REQUIRED 9. COMPONENTS NOT TO BE BACKFILLED OR �•
6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 42.00' X 12.83' CONCEALED WITHOUT INSPECTION BY BOARD OF Nantucket
COMPACTION. (15.221 [2]) N HEALTH AND PERMISSION OBTAINED FROM BOARD (�Ou��
L6 OF HEALTH. ►J
10. CONTRACTOR SHALL BE RESPONSIBLE FOR
CALLING DIGSAFE (1-888-344-7233) AND(3•9LOCUS MAP
86.0' BOTTOM TH-1 VERIFYING THE LOCATION OF ALL UNDERGROUND &
% SLOPE) ( 3 % SLOPE) ( 1 % SLOPE) NO GROUNDWATER FOUND OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF
56' H-20
WORK. NOT TO SCALE
\
FOUNDATION C 24,_�SEPTIC TANK 22' LEACHING D' BOX 12' FACILITY 11. ANY UNSUITABLE MATERIAL ENCOUNTERED
( $ SLOPE SHALL BE REMOVED 5' BENEATH AND AROUND THE ASSESSORS MAP 140 PARCEL 36
*THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL PROPOSED LEACHING FACILITY. N°T I zvNFa.
UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 12. EXISTING LEACHING FACILITY SHALL BE PUMPED or 11�1 s^�.-rwr�76it- 3"'°'+t1ES zor�E
PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM AND REMOVED
LEGEND
99 - EXISTING CONTOUR I SYSTEM DESIGN:
X 99.1 EXIST. SPOT ELEV. x
GARBAGE DISPOSER IS NOT ALLOWED
99 PROPOSED CONTOUR .- 130.56' _
198 4.] PROPOSED SPOT EL I N 88'3459" W EXISTING 2 BEDROOM DWELLING
%
TH1
DESIGN FLOW: 2 BEDROOMS ® 110 GPD = 220 GPD
-
TEST HOLE
USE A 220 GPD DESIGN FLOW
2� SLOPE of GROUND GRAVEL DRIVE SEPTIC TANK: 220 GPD 2 = 440
UTILITY POLE
GARAGE - USE A 1500 GAL. SEPTIC TANK
FIRE. HYDRANT C)s o C FULL BASEMENT LANDSCAPE
NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING -� I t I_FACHLNG:
R CRAWL�- SPA- SIDES: 2 (42 + 12.83) 2 (.74) = 162 GPD
0�P SPACE BOTTOM 42 x 12.83 (.74) = 398 GPD
�o / LAWN
TEST HOLE LOGS OHE S TOTAL: 756 S.F. 560 GPD
oHe °HE DEC 9� USE 4 500 GAL. LEACHING CHAMBERS ACME OR EQUAL
ENGINEER: CRAIG J. FERRARI, SE #13871 � WITH C4> STONE ALL AROUND ( )
WITNESS: DAVID W. STANTON RS
DATE: 9/29/15 Q o o LA �C
PERC. RATE = < 2 MIN/INCH o N o
EXISTING ^
CLASS I SOILS P 14835 DWELLING L
Z TOF = 99.13' O
ELEV. 00 ELEV. w / 18 8' P�' Z
0 ` A 97 0 ` A 97 H1 LANDSCAPE
TH2 ° 24.4 TITLE 5 SITE PLAN
A ^
SL SL I•-� LOT AREA
1 OYR 3/2 10YR 3/2 18,876 SFt �� OF
711 6" I/EL
//-�� 194 SCUDDER ROAD
B B V 1 D A
SL SL °BENCHMARK: OV OR E OR X_ OSTERVILLE, MA
10YR 5/8 , 10YR 5/8 EM X-
34" g4.2' T.O.F. ELEVATION RELOCATE PREPARED FOR
36" 94
=g g,$' - - EXISTING SHED
H BORTOLOTTI CONSTRUCTION/
PERC C C 10.2' PLESCIA
121. 12' O �� DATE: OCTOBER 2, 2015
REV: OCTOBER 13, 2015
M CS M/CS N 88'3459" W REV: OCTOBER 27, 2015
REV: JULY 22, 2019
2.5Y 7/6 2.5Y 7/6
��TN 0r Mass ���N OF�Assyc off 508-362-4541
DANIEL h� I fax 508-362-9880
s� DANIEL A. �� A. ,
o OJALA downcape.com @
No.CIVIL
of 098 / L'! f0wo cape ell Ifteelmift 132" 86' 132" No.4o980 '
86'
°� ° ``� a ¢ civil engineers
NO GROUNDWATER ENCOUNTERED Scale: 1 = 20 _ �� ��c� �ss�o AL EN�� q �� ? `o / land su�eyorS
0 939 Main Street ( Rte 6A)
DCE # > 5-235 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675