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HomeMy WebLinkAbout0204 SEAPUIT ROAD - Health 204 Seapuit.R-oad Osterville y- P 4 9 ( �j No. /J D0 _�'.IDI> Fee 100 X� / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: A. Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Z(pprication for �Dfgpogal bpgtent Congtructfon Permit Application for a Permit to Construct(>()Repair( )Upgrade( )Abandon( ) ❑Complete System O Individual Components Location Address or Lot No. 204 S EA P U I'f Q•o A 0 Owner's Name,Address and Tel.No. Osr,62VILL6, MAss. 'DAVID G-RC-GORNI Assessor's Map/Parcel 9 1 CrRCq•1' 0A,1I R D- M q,5-- p21 0s"1'ERVILLE /77,4S5 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.6-06--4 2 a-3 3 4 y SUUVi9PJ LN6IAIEL RIevj I NG n� l —7 P421G 1 R 2 D �J(.�- I V tO�I�^I 13�e.� OS-tERVIt_LiF In.46s Type of Building: Dwelling No.of Bedrooms Lot Size .Z 5 A -sq--ft.- Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow SG / gallons. Plan Date MArcN 1 q .0 2ao2 Number of sheets `z— Revision Date N.14 Title S11F PLAx,— ProPo.sCD I Al pro V61Y,,--A1 S Size of Septic Tank /50 0 G-A LL a ys. Type of S.A.S.I'z'--w"X L1 2' LcAc N ln!y CA,0Nl3E2 Description of Soil O-S e I L_,zw vg-&P �/YGE oLe f 5� 2 8�� D i.Ic (3 R o�its Y 1 O Y 2 3/3 3 29,1-Li to I D Ri< Y•ELLisH B IZ`J Co4i-5&SAiYD t Oy iZ L4& 13&" iB raw'ysH YL i-. tvlE'D. SR/VD 10YR GZ& 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 bee is ed this Board Health. Signed 7 Date i®/� Application Approved by S Date 2 Application Disapproved 15r1he following reasons Permit No. 200.3-q$r _ Date Issued Z-q � a i ,!. l� �' C a Fee(�_ THE COMMONWEALTH OF MASSACHUSETTat Entered in computer: r r . k Z4,tr ', i Yes PUBLIO HEALTH DIV`�LiSc16N'—'TOWN OF BARNS.T ►B E MASSACHUSETTS S porication for 33i4po 4l Wpotem Long ruction i9erntit Application for a Permit to cnonstruct x)Repair(� *)Upgrade( )Abandon( ) ❑Complete System ❑Individual`Cornponents N. Location Address or Lot No. 2 O� SEA P u I t EZo A 17 Owner's Name,Address and Tel.No. 0St4612VIL.l.t, M/4SS'•, PAVIP G-RGGORV k. Assessor's MapTarcel s q 1 CrR6oOt 0A,*4 R P- t ixi'�,'S'` ._P2_( 457ERVIL.LE� 121,4SS .r « .. Installer's Name,�Address and Tel.No. Designer's Name,Address and Tel.No. o' y 26�3 3 N 4 SULt osa L'N4fN6ts rttw,y 1 NG 0S+&RV1L.LZ, In loss f Type of Building: Dwelling No.of Bedrooms —� Lot Size S AC -sgrft- Garbage Grinder p Other Type of Building �No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow `� 6'SO gallons per day. Calculated daily flow SG gallons. Plan Date M A re 14 1 91,-200 2- Number of sheets Z Revision Date N M Title S il& PL A,A-,- i M ProVE1tigI `tS Size of Septic Tank 16-00 G-pL.Laiys. Type of S.A.S.1e-to"9 42' LaACNIIyyC/IAmBER Description of Soil O-5'�t L. �ly�s/Pi/a�t/YAS©LE s • 5— Z� l�R1c t3 Rtu 1.aAM y b y(Z' 3/3 j �+ 2fs'=Ht:� DR.K YE'LLISM BRN CaArs�sANJ� IaYRy/G 3 �1G�t- 13&" �RN'rSM Y�l.. 016t). SAID ' 10 YR. Nature of Repairs or Alterations(Answer when applicable) ` I Date lastinspected: 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 bee iss"thisf HealthSigned Date: ` ' Application Approved byS �' Date 241 d3 ' -,Application Disapprove/' or the following reasons k. Permit No. Z003-`1 Lgr' - Date Issued �_. ----------------------------------=------T THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Comolia.nce -THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed(X)Repaired( )Upgraded( ) Abandoned( )by at ZOy SC-APUt-t Qc,40 . 05-rO21,11 LL& AA_',S has been constructq d in Accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.41003`c��� dated 912q d7 Installer Designer S y LL t v�q �L/1/�l Eta 2 t YV f/VG The issuance of this pernAt� L�shall not be construed as a guarantee that the s s will function as esigned � Date I � '1 I u Inspector E. 1 t /jJ �j ———————————————————————————— — O G No. ✓2 l(c>6 r; Fee 102 E THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTAB-LE MASSACHUSETTS r F lwigpozal 9�pgtem C, dootrurtOn� ermit y - -,Permission is herebyg atited_to Construct(')()'''Repair( ')Upgrade( -)A6a,ndon Systemlocatedat 2.0N SiERPU ►T QL,!4D- , :0-S7_Sft.V1 LLS �'YII�SS 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:-Constru tio'ntrst be completed within three years of the date of this perm-, Date: 1 " 3 `t Approved by ti 9 C'- 1 TOWN OF BARNSTABLE /,[� LOCATION ,{,Q Ll S C/9 P U I/ SEWAGE # 4003—L/60 VILLAGE 0! i e!`V �� ASSESSOR'S MAP-&- LOT 9yla INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY fa-o® G LEACHING FACILITY: (type) 500 661 C#AXJNVJ (size) 13 rX y� NO.OF BEDROOMS ,, // BUILDER OR OWNER I AV��� G K CcsrG " /�lames/e.9 PERMIT DATE: COMPLIANCE DATE: 4, 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 J 43 jo2cy �9 C6a o . TOWN ��OFBARNSTABLE F LOCATION �D!1 S,C�a Q 1/ l a/ SEWAGE # 03—q60 VILLAGE 0 91 ed`V I��� ASSESSOR'S MAP —&- LOT 9sla INSTALLER'S NAME&PHONE NO:�n►ce t7k-lr— is r-S' h SEPTIC TANK CAPACITY ® G }L LEACHING FACILITY: (type) 506 6W CIA/1'WAJ (size) `� X � NO.OF BEDROOMS c� BUILDER OR OWNER I AVZc, G'r rwg== h Aames/e,9 A PERM TDATE: -1�a y'�3 COMPLIANCE DATE: C z`f 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 ii 66 O 13 . 6 �a Town ufBtarnstable 1'I1 Departtllellt of 11caltb,Safely,mill Envii-mmicttlal Set-vices ofTnEt Public Health Division Dale 367 Main Street,I lyannis MA 02601 : nAtarereut FMAM • ��, i lEniNa+" Date,Scheduled r ,p, / Time Fee I'da_���i9�� Soil. Suitability Assessihe"Id,for Selvage Disposal Performed By:yO-,zc Ju\N niQf) 'r StNnn Mx0. Witnessed uy: -pc\V 1 ,()CAIIUN GENE AL; INVORMA1`.ION Location Address z.oy 5.EJpUtT V\D Owner's Name NahhaY�1e� asTERvtll,l: Address Q.O. Z)()n F OsT6.RV\ u . Assessor's Map/I'nrccl:pq _Ql1 Engineer's Name SV\wVC-lr1 E�OIneCC rnq NEW CONSTRUCTION ✓ REPAIR 'I'clephonc H Land Use �es��i Q R l�� Slopes(%)0—25% (VAR%l;S) Surface Stoics /\JO N E Distanees from: Open Walcr llody 500 _t' , fl Possible WCt Arca 100'+ R Drinking Watcr Well 001-t R Drainage Wny _It ProperlyLine 35 �- 11 Othcr. NI� rl SKETCH:(Street name,dimensions of lot,cxacl locations of test 1101cs&perC tests,locale wetlands in proximity to holes) O G 0 "o 1.4 0 W I. so �• �� ,octi t i•t it f E A ► U 1 T RO���� � . ,r� sz t3-2 - 1.57AC. Parent material(geologic) Ovf l Nil" Jj Depth to Bedrock '600 + Depth to Groundwater: Standing Water in I tole: N O Weeping from Pit Pace " Estimated Sensorial IlighGroundwater -EL. 2.5 F�Oivl -� O,p, Ce1zOV1JLj�tJR $(� r��p Tc� EL_25' N44.0 SNAIL>YYydi'C 'V�' '�" i'X' 1, JL Method used. ` 11:ssIV� Depth Observed standing in oils.hole: in. Depth to soil mottles: in. DePth to weeping front side of obs.hole: in. Groundwater Adjustment n,- Index Well N_ _. .... Rending Date:_ htdcx Well level- Adj:factor, Adj.Groundwater Level '1'ELtI VLA PION �L:�,ST UA(@ f _ I i1f1Cc,1Q Observatiml - , llolcN Time at 9" Depth of Perc. . y 'i.S t Time at G" Start Pre-soak Timc cr (f ZS�LLO/ -S Time(9"-6') End Pre-soak �.. \N 10 Rate Min./Inch < Z MVlrl n Site Suitability Assessment: Site Passed Ie`a Site Failed: Addilional'1'esting Needed(YIN) �d Original: Public Iicalth Division Observation Hole Data To Ile Completed on Back'" j Copy: Applicant t A bu, U13 > 1tU11'R'XON Depth from soil Ilorizon Soil`Texture Soil Color Soil Other Surface(in.) (USDA) (Munscll) Mollling (Structure,Stories,Uouldetes. "on istcLr ,LQravcb_ S -z S" N 0 a-LiV, '6 1 o`In`Y(e �. 1V0 :DELI' Ol3SLI�.VA:Z'ION I.IOL � LOG Hole #���.::: Depth from Soil I lorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munscll) MoMin g (S(nrcnrrc,Stones,[loulderes. n i t nc ° rave IS-33 T3 ('o S '-SW) AUK 41c� ll K EW-(�>�351�ItVA'1`lON X�bi.1u LOG ' Mule Depth from Soil Ilorizon Soil'I'exlure Soil Color Soil 011ccr Surface(in.) (USDA) (Munscll) Willing (Stnrcture,Stones,Iloulderes. Consistence.%Gravel V. llC +l I' OI3S I VA Ii[ON> [OI.E X,OG MuX. le`# Dcpth rrom Soil Ilorizon Soil Texture Soil Color Soil Other Surface(ill.) (USDA) (Munscll) Mottling (Structure,Stones,Iloulderes. .. flood-Insul lice hate maw_ Above 500 year flood boundary No Yes V Within 500 year boundary No Yes Within 100 year flood bou»dary No_ Yes nth of Naturally Occw rind I'crviaus Matcria 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(leplll of naturally occurring pervious material'? �crlificatiou 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 t 'niug,expertise and erperieuce described in 310 CM 15.017. Signature Date S G i Ft WFP-• i ^ /� 0--m"W Ip L y �0 t 6R1� 1 TYPIc I 1 I f 1:T s, • I I � � ry t? purr: I. T Try,2 's o I>3 o _ ouNL--� T {ONN •. Gig/ALE. I/�si..or' \,Z ��� , i' ' pJNi�Tw� I� <<:i: r �TI INC, ° A- I 1 E✓1,:�'(�I�- -, �Lco�t ♦v / 41�� �¢ \\ 6♦, j 11 �Al a \� s .41 c ' D,1>9 Gl' �,�. �♦i � � .\,/ - .._ _ I�p� i ��- ...—. I n� � - Mom. .. n�� / ta- * s• O.. I to m'r �•�F" ;.�' 13',�in � i / �� � _ b� Zoe ti m \ h - �ITT1 a g61 H 2 HbLL. � 20 •, (� .U�U �-.� 'IaR�t4c�. �` :.` - - 9 �� ,mV` O ... A ��t. . zo ' \ ,,o�� - : .i Fit-i-IC.'f.Rc�Ni {GLTtt-1�N �\ �. 6as � �♦z _ ihuc� OT fts " : ( N , RI�NTP _ M'ZBu Rdll _ . - .3- r.'__. I_II ?��8�1M` L �p 3��'T� v --i. 13 Wig`r2.� ,,f - _ ♦ ___\- _ � .:. - . - : '-1 • 3. DI rvI rve 2r✓ -I �? Cr�H. �.c j v __. . i Wes`) 2 1 , 7 - k 2® I i , - . -1 o ' - �zc �r�l—�• rv� - I R' r s iC 3 i q-o , w _ TH , It ,v 1 o W , m` 4 I n „ , S n� , 2 w R�4IV6- J • _ y . gof ' d!-PL�J/l iJE + l V� , fId7; e v \ . '. ""• - • O 4 -S oN D Fes_o f2: _r .'b,N zq•-z A 3 V2,1liN� CniM Ib�p(J jei �\ I � r/?rlvClfoto.a Tn � -• fLx0el6yo,"�• m �' •2� � ,� o ✓)e 10 el ce! 1 . { i F-r . _ , - . „� is ►— i I - �'�� � . : i r?�,'f �•..�'�-'ram: �-�M I't\I e- F1L r�l. \ a�E�-to•o3 ii i, \ IV 77)-71 J im i I I � / f .. I-Z�-3o E) l 2-13i4�I Ii4�p LvL':'k SGLPQ �� NGIIDVm BY OINfYN 0Y d, _ MTE-I�Id��7J o� » Hou�rr�� i 1 ' I N4>ll.WWLJ, _ - / j - yr. -- I-- - � i ,.,• • I/4 I,oo Holdr(�CbEi�PT INC, - R r-.ice� �Ir.�N�-•r : I _ , ZoZd N G1-1 I PA T I I n i : IN a EM d Cl N - -- OL l [FI I Ii as : I : . I I • I f 4�dyT. Ei:�._V DTI o N , a � v.. _ t . t r r s — • y. • I V < +I r, ti - i I riWeL. G— 1...4g 1. Z>w Nli!—t,LU �t1 : : : f f : : J \\ - EEI , I' JTf N �aUt.tb, — — — r: ,. a .. ,- ,. •' ��� ILA-��I���, -: . a - o-o x 2xfo�IC9o,c • f�P�� \� � Z?Iv cGtt.tNb �is 01 LoTG, Jam`: - i2 12 Zz \m p i 2? Lo 2t4--T'�vG�i / 4} ' G F—T Itv4U cp?WhiJcZ'2xc 47c �. �IrINF: _ I - ir*NT.. olGiTh e.l(oto.a �Z'2y10 I n/ cEk LNG` i I. 1 •G}kPOST R-LTi I _� �W� �, ��NG i n Nc - INL i - � =dam•. 6t1 cco _ Zrlo�abto.d• 0 Mdf(x�, I. I �af6 II r. FZ 'fit !7��>M. INU� NEr — akru .;. 2 I i • �-�i:� I%-°�Pt ;.emu ��;^,L.� ���„^ahgt,., fii : 14 sriue I�'z+ •rvnovm e. .. .w e.rf ,Ea1-to•o� o U°tall, - i � 3 041 �, 12 w Lit l I ; t•'�• � ��rl.� 4:k� is ,� � � �� �� a 1` 9 , i I 1 KA: F r�N , Ito . MOST mspW / : tl/��Il y, 1 ; ,1,0y u _ _ ;; ?off � �►� I lam^' I je %aes , { ! I L 4�. M3`� I DESIGN DATA NOTES 5 Bedrooms Finish Grade 1.Water Supply ForThis Lot is Municipal Water Dopy Flow=550 GPD 2 Location of Utilities Shown on This Plan Are Approx. Septic Tank:550 GPD x Z00•/.=1100 GPD At Least 72 Hours Prior to Any Excavation ForThis Use 1500 Gallon Septic Tank =Filter Project The ContractorShall Make The Required 02 1Fabrle 'Compacted Fill Notification to Dig Safe(1-888-344-7233) Leaching Area I The Contractor is Required to Secure Appropriate 550 GPD/OJ4=743 SF Required 064 Permits From Town Agencies For Construction ' Sidewall=2(12.83'+4212=218.32 SF 1/8=1/2" Defined by This Plan. Bottom Area-12.83'x 42'=538.86 SF No Sloe A Install Risers as Required to Within 12°of 758.18 SF Totol Provided Finished Grade. 5.All Structures Buried Four Feet or More or Subject' Leaching Chamber Design st Leaching M w to Vehicular Traffic tobe H-20 Loading. All pipes to be Schedule 40.Use to Chamber 3/4 —1 1/2 6. Septic System to be Installed in Accordance With Double Wasted 310 CMR 15.00 Latest Revision And The Townof 4-500 Gal.Leaching Chambers in a Stone 12'-10"x 42'Washed Stone Field as Shown Barnstable Board of Health Regulations II- 4—10 7. All Piping to be Sch.40 PVC. NOTE:if Encountered Remo e&Replace All Unsuitable Soils Within 5'of the Date: Dec. 14,2001 CROSS SECTION O F C H A M B E R Outer Perimeter of the System. By: Sullivan Engineering Inc. NOT TO SCALE. P.Sullivan/J.0'Dea Witness: D.Stanton T.O.B., B.O.H. TEST HOLE -1 (SEE P#10,112) EL. 25 O LAYER24.58 , v F.G. 2(a' "� A LAYER 10YR 3/3 DARK BROWN p 1 t 28" LOAMY 22.67 EL.2. B LAYER 1 OYR 4/6 EL.20. DARK YELLOWISH BROWN 1500 Gallon Top El. z1.5 - f E�.21,3 Septic Tank >L.2t.l �_J>� 46" COARSE SNAD 21.17 14-La 120 20.E Bo►•El• ie.s el C LAYER 1 OYR 6/6 �'ems' r`: BROWNISH YELLOW , Bedding as MEDIUM SAND 'N Per Title 5 E�•i.� SITE PLAN 20' F"1V GROVR PROPOSED IMPROVEMENTS 138" NO GROUNDWATER ENCOUNTERED 13.5 DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM APPROX.GROUNDWATER EL.2.5 AT Not to Scale 204 SEAPUIT ROAD OSTERVILLE, MA DATE: MARCH 19,2002 SHEET: 2 OF 2 0 6 OWNER., 0 Novida Trust Nathaniel Davis Trustee kOCUS Ian J `. Roberti or o ' /• � TravaJed Woy 'W/ds, ----- 7nda rys 5 ' '` / n / / +•ram , ' 7 AIR Way 2 B An \ a ; fib / _- ' zeJ �, �\ � � `�\ ��x / /l LOCUS PLAN 2299g SCALE:1 =2000 / Al ,�.` "/ __ __ , , I / ASSESSORS FIEF.. iAlJgile •mil\ //' __ __ _ •` I I 0 Map 95, PQrcel, 21. AISK CV 0 OVERLAY DISTRICT.* Al2 ! / 1 I I 1 1 \I WP - Wellhead Protection District Isolated I i I As Shown on Plan Entitled Vegetated I I I I I "Revised Groundwater Protection 4Wetland I I i I f\ Overlay Districts" - April, 1993FLOOD ZONE: i All �\ \ \ \ \ �► \` I II I \ Zone C Community Panel No. '"t 14 #250001 0018 D 1 1\ \ \ ! \ Resource Limit I I / As Flagged by ENSR July 2, 1992 Dote 12/Nov./2002 J 1 I IN N ZONE � \\ \ \\ \\\\ AI> Area (min.) 43,560 SF Frontage ( in) 20' S db (sin) 125' Front 30' — \ \ \ ►�\ h0\ \\\\ i / I / 1 0_ �y Side 15' i40 NI \\ \ \i \ \ \\ \�\\ \ As i i ce/Hlt Rear 15' I Nil �/ \ ►\ As\ -- , / r 1-1 \ \ \i \ ` �\ � �\\\ \\�\\ �•z—� i / �/ / / � \ — _ ter ca \ \�' 1 \ � ' \ '' \ � � \\ 1 \ • — i i / •ice \� \��\\\ \ \ — zz 2 i \ \ \ \ ► 1,75 V. \ ( _ • —►" \ ` J 1 I moo. o. \ TP \ `.. ......... \ \ f......................................�►...... / v Q1' Grass\ Island 1 1 f Ova w ment\ / / / / / \ o P \ A• \ \\\ \ Fel ront�vrd setbodc�?rnla� ® \—--_. -- \ \\\ N(�d Fence — — — — — \ - - - - TBM EI=22.58' NG%V29 Top of CB H 82.3 2 \ I•- ' R=202.5 o / Of Edge of Pavement I h S E ° POT oxwde) GROQD 1 — —20 PLAN VIEW NOTE. -- Scale:I'I= 30' 1.) The property line information shown. was compiled from available record information. j 2.) The topographic information was obtained from an on the ground survey performed on I` or between 281NOV101 and 20/DEC/01. 3.) The datum used is NGVD '29, a fixed mean sea level datum. . i r Title: PREPARED FOR: PREPARED BY. I� SITE PLAN '- Su llivan Engineering, Inc. DAVI D GREGORY PO e g s5s ' 7 Parker Road CD PROPOSED IMPROVEMENTS JI GREAT BAY ROAD osterv;ue, MA 02655 Osterville MA 02655 AT 204 SEAPUIT ROAD OSTERVILLE� MASS. (508)428-3344 (508)428-3115 fax (508)420-3994 (508)420-3995 fax �1 I; PSu1i.com capesurvOcapecod•net o . OSTERVILLE MA -4% - Field: Draft: 30 o �s ao so Aso V MDH/WHK Date: Scale: Comp.: WHY Review: December 10, 2002 As Shown Proj. # Drawing # C341p1 9CXIJC19