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HomeMy WebLinkAbout0282 SEA VIEW AVENUE - Health 261 Washington Avenue \� OsterviIle A = 138 008 o a a s a , a ,o CERTIFICATE OF ANALYSIS page. � Barnstable County Health Laboratory Report Dated: 4/20/2005 Report Prepared For: Order No.: G0529761 Peter Bilodeau 83 Bui-Lkerhill Road Osterville, MA 02655 Laboratory ID#: 0529761-01 Description: Water-Drinking Water Sample th 29761 Sampling Location 261 Washington St.Osterville,NIA Collected: 4/19/2005 Collected by: P.Bilodeau _ Received: 4/19/2005 Routhne ITEM RESULT UNITS RL MCL Method# Tested LAB: Inorganics Nitrate as Nitrogen 1.7 mg/L 0.10 10 EPA 300.0 4/19/2005 LAB: Metals Copper BRL mg/L 0.10 1.3 SM3IIIB 4/19/2005 Iron BRL mg/L o.10 0.3 SM 3111E 4/19/2005 Sodium 23 mg/L LO 20 SM 311IB 4/19/2005 LAB: Microbiology Total Coliform Present P/A 0 Absent 309 4/19i2005 LAB: Physical Chemistry Conductance 220 umohs/cm 1.0 EPA 1201. 4/191'2005 pH 6.1 pH-units 0 EPA 150.1 4/19i2005 Recommended maximum contamination level exceeded due to Coliform Bacteriai_Retesting is recommended.Sample has higher than average levels of Sodium.Those on a'low Sodium diet may want to consult a physician.' Approved By: ` Oab Director) J .\ 44 0/- - U i • RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 �,U fc�bed�SC(Ir�t31 ) L"TOWN OF BARNSTABLE LOCATION c2lo f w I SEWAGE # 592�— 0 S� VILLAGE U S r V� L ASSESSOR'S MAP &LOT 1 L—DOS INSTALLER'S NAME&PHONE NO. 41 d C U ,zl r ,e,,T S©� SEPTIC TANK CAPACITY /I• o O LEACHING FACIIdTY: (type) L d CA(W 6 b'/e 1. (size) Z NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: (a Imo! COMPLIANCE DATE: �� a T 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 f Edge of Wetland and Leaching Facility(If any wetlands exist I� Feet _;o.;.. 4fY)f..r of lenrhinv &citify) L - �f No. 1�qm / n(� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes vol PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS .T � ' 01 PP Yication for Moogar *potent Con.5truction Permit Appli cation for a Permit to Construct Repair Upgrade( Abandon( ) p ' )Upg ( )Abandon( ) ❑Complete System ❑Individual Components ation Address or Lot No.���� ��, Owner's N Address and Tel.No. B ,1QtN' Map/Parcel 01 7'y' �> f' , Install 's Name,Address+and Tel.No. }0- Desi ner's Naipe,Address+and Tel.No � 3_'Q��7 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 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil 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'ss by thi Bo o Health. Sig ed Date l Application Approved by Date /9-1)2 c)k4 Application Disapproved for the following reasons Permit No. ©0`' 60S<P Date Issued '� No. qmy �� ' ^� Fee R THE COMMONWEALTH OF MASSACHUSETTS .. Entered in computer: �y` `. ���i pI Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Rp ricationiforigo!6 n�aYp�te CongtructionPermit' Application.for a Permit to Construct( . .)Repair l Q Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.�$a;A, �tlt�. O_yyn&r's Nddr�esJs'and Tel.No. ! O 8v y 6 �JcT?11 lo�� rU t� ssessor'sMap/Pazcel I�Q � �y Install 's N e,Address and Tel.No. .3 D.s ner' Name,Ad e 'an Tel.No GD 03--0V , . �a(� e�c• o,,vS °moo t1 vlif. L 2�S4 Grata�ex�v\,t� 1. IY Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures y� Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature Qf Repairs or Alterations(Answe w en applicable) 011 eb. t 4a • � TI`� a� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been'ss ed b th' Boar. Health. Sig,ed Date i z/13 10� Application Approved by Date Application Disapproved for the following reasons Permit No. ^ Date Issued 3 cry THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CE TIFY that the_Op-site Sewage Disposal System Constructed( )Repaired ( `)Upgraded( . ) Abandone ( )by °� . � (itz al'tq-, Joh T- at ��de.� �JQl���J �/��+ ��� N'l�le. �r ► has been constructed,in accordance with the rovisions ofjtle 5 and-the for Disposal System Construction Permit No. Do)t/'6._6 dated � a_� r}7o,{ Installer��_T iAD 4(L 1 Designer SC ehll ulfi The issuance oft this pen it shall not be construed as a guarantee that the s stem )ill function as de`s ed Date I �1 t t�` Inspector �� No. --——---------------. ---. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS lisspo$af *pgtem Con! truction Permit Permission is hereby ranted to ConstNct( ) epair(�)Upgr de( Abandon( ) System located at �' Lew <4V-q— 0 es U�� r 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: Constrpction )must be completed within three years of the d/t�e of this pea it. Date:_ l Approved b�y N ' - TOWN OF BARNSTABLE . LOCATION lbn&xSEWAGE # _ y—r`o S(D VILLAGE C) S T-e X v I L , ASSESSOR S MAP & LOT 1 3,f—Doi INSTALLER'S NAME 8c PHONE N0. C 0 ,✓it /3 'fe S®� SEPTIC TANK CAPACITY / o 0 0 LEACHING FACILITY: (type)`" CRIA,G I e 1,0 (size) NO.OF BEDROOMS > BUILDER OR OWNER S a 0vr PERMTTDATE: la ItJ L/ 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 it Edge of Wetland and Leaching Facility(If any wetlands exist ..,:rh—4M f..t of t�anhino facilitv)-' Feet WkSHIR G TO Al DEC-22-2004 12 :32 PM JC:ENGINEERING 508 273 0367 P. 02 Town of Barnstable Regulatory Services H _ Thomas F.Geiler,Director A t0i Public Health Division i � ASP Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508.790.6304 iusttftr g.P_gsi aer..Ced1Zcation Form Date: Desigper: 3 C FY c t (,--I n Installer: Macom rr Address: a 85`1 4 r Address: A o. 8c)x 66 _t. L,)arfl v^ WA 6a55k � MA 03630 On 1AL72 1 _110-IMU i was issued a permit to install a ate (Installer) r septic system at aga_ Jecl Vic w 6Vc 4 ut VSfc C. i I Q _ —based on a design drawn by (address CA< dated_a�<�.`�,.-��'d`� ----- (desi ier) 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 & I..ocal Regulations. Plan revision or certified as-built by des-igrler to follow. "All el,P X'i'_ _ ar . - JpHN L. CHWtCWILL ( stei er sSignature) ilk. Grft No. 11607 I�h, (Designer's S' a e)^ � (Ai Desigris. 9taxnp Here) EASE RETU 'rO BARNSTABLE PUBLIC HEALTH IION. CERTIFICATE OF COMPLIANCE WILLOT BE ISSi7ED UNTIL BOTH HJS FO D AS- BUILT CARD Cl✓)4 V D BX THE BA ST. I DIVISION. JUANKYOU, Q:}lealth/Septic/Dcsigner Certification Form F CONTRACTOR SHALL VERIFY SIZE AND FINISH GRADE OVER D-BOX= 18.7' 4"SCHEDULE 40 PVC MIN. SLOPE 1% FINISH GRADE OVER LEACHING FIELD= 18.2'-18.7' GENERAL NOTES CONDITION OF EXISTING SEPTIC TANK [REMOVABLE COVER TO SLOPE @ 2% MIN. OVER SYSTEM WITHIN 6"OF GRADE 3/4"TO 1-1/2" DOUBLE WASHED STONE TO CROWN OF PIPE 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION 5" DIA. OUTLET(S) 2"OF 1/8"TO 1/2" DOUBLE WASHED STONE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE FINISH GRADE @ FND. EL, 20.0 FINISH GRADE OVER TANK EL.= 19.5 ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD 20" MIN. ACCESS COVER 4"PVC PERFORATED PIPE OF HEALTH AND THE DESIGN ENGINEER. (TYPICAL FOR 3) 36"MAX. SLOPE AT .5% TOP OF S.A.S. = 17.0' - 17.14' 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL EXISTING 4" 9 MIN. 36" MAX. BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. XPVC PIPE 16.5' 4. TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE LESS THAN PROVIDE WATERTIGHT END CAPS 6" 3" 2" DROP MIN. ELEVATION = 17.14' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. 3" DROP MAX. 3" 9" JOINTS (TYP.) -- ---------- ----, -- --- --- UNLESS A 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S A S 0 4" PVC IN FROM ' I THAN THE BREAKOUT ELEVATION. � � 14" SEPTIC TANK 4"PVC OUT TO r ` K 5. SLOPE ALL SOLID PIPE AT 1.0 /o MINIMUM. 1 ! AND THE TOP OF THE LINER IS NOT LESS 17.06 _ LEACHING FACILITY o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 � - � I ,► � o - W 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. �� 1 12 ! ! 6"EFFECTIVE 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO OUTLET TEE 16.91, MIN. 16.74' 48" CONTRACTOR SHALL I I DEPTH BACK FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR VERIFY CONDITION OF 6"CRUSHED STONE 16.64 BOTTOM OF FIELD TO BE LEVEL EL. = 16,0' INSPECTION. SYSTEM IS NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING 16.4' EXISTING TEES OVER MECHANICALLY 4' 4' 4' 4' APPROVAL FROM BOARD OF HEALTH AND DESIGN ENGINEER. AND REPLACE AS ��.� COMPACTED BASE 28' 8. ELEVATIONS BASED ON ASSUMED DATUM OF 20.00'OBTAINED FROM THE NECESSARY 5 16' CENTER OF CATCH BASIN AS SHOWN ON PLAN. OUTLET DISTRIBUTION BOX 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION TO BE INSTALLED FEET A LEVEL STABLE GROUND WATER ELEV.= 10.$7 THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE BASE. FIRST TWO FEET OF OUTLET PIPES TO BE LAID LEVEL. 51 MIN. AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY EXISTING 1000 GALLON CONCRETE SEPTIC TANK TYPICAL FIELD PROFILE DISCREPANCIES TO THE DESIGN ENGINEER. CROSS SECTION VIEW FIELD END VIEW 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL FIELD DETAILS STRUCTURES SHALL BE MADE WATERTIGHT. NOT TO SCALE NOT TO SCALE 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR NOT TO SCALE ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. • TEST PIT DATA 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS 3 ♦ .. t s.. ♦ • , +.� " •` ' '�„�• M A LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE • ' •• • ! • t�� ` ' Unwitnessed THEY SHALL WITHSTAND H-20 LOADING. B.M. •• ; •; �+ • � ` 1' :� INSPECTOR: Cnt Catch Basin 'v` ' ' ` l '^'1 ♦' ` � i �* SOIL EVALUATOR: Bradley Bertolo 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND MAP 138 Elev. =20.00' • • • • • • ' ` ' FINES. ' �� •'I . ' ' •■ il•�, '� 'i DATE: December 2, 2004 PARCEL 6 Assumed `. • , • • t a ,� 1,� ) 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND •��,• % '.• �, • ' i • +~ TEST PIT#: 1 UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF '0�,�`s�r� +�• +. •, , r r LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN \ �:� r; y •• • • • • • • �' *• • Q /{► ELEV TOP= 16.87 COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN ` fflNv -HC 1 \ . • , +�.•' ' .• - • ,r► if r ELEV WATER= 10.87' ACCORDANCE WITH 310 CMR 15.255(3). BCRB(FND) Pv` \\ \ Neck • ,� �N :, +, •. `; `, PERC RATE ASSUMED <2 MIN/IN 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN } �• = HC 2 � t �` ,� j ` ; ,• � « r'i " SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. ,r o �," 4 , \140E \ W DEPTH OF PERC = 16. PROPOSED PROJECT IS LOCATED WITHIN: �� i f . "! p a TEXTURAL CLASS: 1 ASSESSORS MAP 138 PARCEL 8 Nc, PAVED O ,f �• �� - y �� 0 16.87 17. OWNER OF RECORD: JOHN SKAPARS N EXISTING GARAGE WITH � S �N �? -' • - �` ADDRESS: 2 TOWER DRIVE A • 1 rn �P �jE�'�` _ 2-BEDROOM GUEST HOUSE ABOVE d' _ �. (`�. -' • - QP/__ ^ o _� -;7 '�r' <' • ' •♦+ g. DOVER, MA 02030 ai �° _`� '� ° (3) � ( s (� FIII FEMA FLOOD ZONE B 1. i -+ � � � � \ � ��� �'~�' .�y � ,�--� �� I AS SHOWN ON COMMUNITY PANEL# 250001 0016 D OVERHANG ON SWING TIES Y ( � -�� \ SECOND FLOOR ' �7l �:�i,� � � � G " m •/�� �yg \ /� 11 d�L�.,N ' + �� 32 Loam Sand 14.20 18 PLAN REFERENCE: -i // TP1 _ \ SCALE: 1"=30' f"�� _ _._ �... .� A Y _._ a r 16x87 � , -* It ��'!1 • • 10YR 3/2 1. LAND COURT PLAN 6083 A&28526 B � �� �� ,� ti+ 40" 13.54' 2. PLAN BOOK 109, PAGE 95 3. PLAN BOOK 127, PAGE 35 �tv` N� DESCRIPTION HC 1 HC 2 ,� 11 1. '/0 L8" { B Loamy Sand 4. PLAN BOOK 333, PAGE 63 �. ._- ik 10YR 3/6 MAP 115 f:... XISTING LEACHING PITS, STONE, :, 1 i ` -___ _ 19. DEED REFERENCE: f r LEACHING CORNER(1) 36.2 38.9 , Z 1 ( O o SPOILED SOIL, DISTRIBUTION BOX, 64" 11.54' 1. L.C.C. 112545 PARCEL 22 F¢ 1 4> t O [1 ! BCR (l�ND)e j J�� o - `� AND PIPING TO BE PUMPED, REMOVED LEACHING CORNER(2) 42.7' 32.6' L J � 10.8T I ,� � � - 20. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. � � AND FILLED WITH CLEAN SAND � Mottling @ 72" J� _f► ry`v LEACHING CORNER(3) 67.T 60.4' _____.__---- -- ------- - - - -" 7.5Y 4/6 21. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS FLAN IS TO BE USED ONLY -18-- N •/ / J PROPOSED 16'x 28' _.__.. LEACHING FIELD LEACHING CORNER(4) 63.9' 64.0' j C = 10.70' FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY Standing @ 74" FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. / APPROX' / / / ` i ,� REMOVE AND REPLACE M-C Sand I / / LOCAS ON OF / / / / �, / / a� UNSUITABLE MATERIAL 2.5Y 6/4 ' �� LEACHING 2� / �, �/ l TO ELEV. = 11.54 WITH LOCUS PLAN 112" 7.54' CLEAN, COARSE SAND FACILITY ,�f ti _ SCALE: 1„ 1000, LJJ �I � w SHRUBl ��` "I" / / Z` MAP 138 LEGEND / o \ PARCEL 9 DESIGN DATA ® ' ET HEONLY) EXISTING CONTOUR m 0 ) cC�I ° PATIO I ` (GUEST HOUSE a w 50 PROPOSED CONTOUR ull NUMBER OF BEDROOMS(ACTUAL) 2 EXISTING OVERHEAD UTILITIES LINE I SHRUBS MAP 138 NUMBER OF BEDROOMS (DESIGN) 3 (MIN. PER TITLE V) ) DWELLING a� PARCEL 8 EXISTING WATERLINE c r � r EXISTING DESIGN FLOW 110 GAUDAY/BEDROOM � C� TOTAL DESIGN FLOW 330 GAL/DAY TEST PIT LOCATION LL.I i 42,435 S.F. ± IP(FND) DESIGN FLOW X 200 % = 660 GAUDAY G o o EXISTING 1000 GALLON SEPTIC TANK GUEST HOUSE LCB(FND) ( ) USE EXISTING 1000 GALLON SEPTIC TANK MAP 138 i EXISTING 1500 GALLON SEPTIC TANK(MAIN HOUSE) PARCEL 5 i / {x / /� �2g - _ _ _ INSTALL A 16' BY 28' LEACHING FIELD 4" SOLID SCHEDULE 40 PVC PIPE SIDEWALL CAPACITY - - - - - - - - 4"PERFORATED SCHEDULE 40 PVC PIPE Q� �9"� �'� NO SIDEWALL AREA CREDIT TAKEN 0 DISTRIBUTION BOX BOTTOM CAPACITY w O MAP 138 (LENGTH x WIDTH) (.74 GPD/S.F.) = GAUDAY LCB(FND) (28 x 16) (.74 GPD/S.F.) = 331.5 GAL/DAY BCRB(Ft4D ( 'Qp�.00 PARCEL 20 TOTALS: REV. DATE BY APP'D. DESCRIPTION r � _Al l�o`N�O� TOTAL LEACHING AREA 448 SQ.FT. PROPOSED SEPTIC SYSTEM UPGRADE s01 �`�V`� TOTAL LEACHING CAPACITY 331.5 GAL./DAY PREPARED FOR: SAP• JOHN SKAPARS LOCATED AT 282 SEA VIEW AVENUE MAP 138 OSTERVILLE, MA 02655 PARCEL 21 SCALE: 1 INCH = 30 FT. DATE: DECEMBER 4, 2004 0 15 30 60 120 FEET SH OF yam_ �a JOHN L. c1n PREPARED BY: u CHURCHILL CML a JC ENGINEERING, INC. No 4180 2854 CRANBERRY HIGHWAY SITE PLAN- EAST WAREHAM, MA 02538 508.273.0377 SCALE: 1" =30' L y �y Drawn By: BMB Designed By:BMB Checked By:JLC JOB No.787