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HomeMy WebLinkAbout0109 STONE HORSE ROAD - Health 109 Stone Horse Road Osterville A= 142-082 r TOWN OF BARNSTABLE LOCATION lO� �j)2%/ye, ��s� SEWAGE# VILLAGE ASSESSOR'S M/AP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) G�lf (size) NO.OF BEDROOMS G OWNER G �/I PERMIT DATE: 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 Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY it 00 No. Q , " _�Y i ` Fee Ou THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpYiration for Misposal Opstem Construrtion jermit Application for a Permit to Construct( ) Repair/Upgrade( ) Abandon( ) domplete System ❑Individual Components Lo tion A dress or Lot No. Y o ,n Owner's Nam ,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Adpe�, 'd Tel. o. 7�1 � Designer's Name,Address,and Tel.No. Type of Building: u , Dwelling No.of Bedrooms Lot Size ` _sq.R. Garbage Grinder Other Type of Building t%'e/�i� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date V Z Number of sheets Revis_io Date �Q Z Title % C/ Q c-�Q/( Size of Septic Tank Type of S.A.S. -- ,� Q �/•7 Ld/ts Description of Soil /Q Q 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 Certificate.of Compliance has been issued by this Board of lth. _ d Date �f A��� Application Approved by 4,A Date_ [h — U _ Application Disapproved by Date 7 for the following reasons Permit No. Z of) Date Issued r U TG I f ..........�c,.,+sae..� TA Fee /U U !` THE COMMONWEALTH OF MASSACHUSETTS Entered;ncomputer: r�A KUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes applicatioIC for bispoBal 6pstenl Construction 3permit Application for a Permit to Construct( ) ;Repair(V) Upgrade( Abandon( ) �omplete System ❑in Components Location Address or Lot No. Owner's Nam ,Address,and Tel.No. 4essor s Map/Parcel 0,5 �"(�/ �' 1Ar'/ y"l Installer's Name,Ad ress,and Tel.No. `7�f � Designer's Name,Address,and Tel.No. PaWlf rCe?le- Type of Building: , Dwelling No.of Bedrooms % Lot Size V } sq.ft. Garbage Grinder G/16� Other Type of Building Re5,el fklC-e No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided G l gpd Plan Date :. 101ZIAO Number of sheets l Revisio Date / Z M a F Title Size of Septic Tank Type of S.A.S. — Description of Soil Nature of Repairs or Alterations(Answer when applicable) - Date last inspected: rt 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 B4oflth.' ned Date / (-Application Approved by � / l Date Application Disapproved by Date for the following reasons r Permit No. /),1 0)-2 .SL� Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the _n-site Sewage Disposal system Constructed( ) Repaired(V) Upgraded( ) Abandoned( / r O ,]r at yP Q/^j f• Q,l has been constructed in accordance / with the provisions of Title 5 and the for Disposal System Construction Permit No.02 0�-3Sl/dated Installer &V AP�D//-1 Designer ZQ10'0 #bedrooms Approved design flow L�G�v gpd The issuance of this permit shall not be construed as a guarantee that the syste w Pfunctio as designed. Date _ /IQ � Inspector} No. Z 0o "1 ILL/ Fee THE COMMONWEALTH OF MASSACHUSETTS - PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS M1sposal 6psttm Construction 3oefmlt Permission is hereby granted to Construct( ) Re air(t/l/ Upgrade ) Abandon( ) System located at '7 ' o. 5 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:Construction must be completed within three years of the date of this permi. Date ►1 � r!G1 Approved by • � V i 'r1 V \.J FROM :down cape engineering inc J. FAX NO. :15083629880 Dec. 23 2009 08:03AN F1 OFSI{d~ Regula � � a 't'P:nmiiunas�', d�eillee'; >t.�llra:a°>raDcr bl9Rldf3dAkSf;41,�, A g�rr �y,}g � � MAHh / PuI�IIt�Q''..R-: e-0tl.li� DiNlls on �?�-a63SD•.ry� :'I--l e •Vl>rnimlktw lOBa a . irn,�nlre�dail ,S9 raga t,)tityauuis,MA 02601 , t flce: S08-862-46.44 Fax: 509-79a-63W 1<nr;ianl.�a°�r �><ba:�n®1m�a' i'lertu��cmtvQricn 1F+'�o•uau ', 11)�Ye: ro� old d� S�^�v2%e Peilmifl4 QV� ' c� l .6,sF�ms or's ]�1<an��lllD1anC 1L9eso una s: c�0-w,ti e. 0.>ins¢aadl<eu°t dor-- Adtde",,,: "`� Address: 7� (41 I M. l fga,4-J-)�+tip!' Ni t ` 'P-44 Can. //l� Q ! y®�J�' _ � +/ lP/L'/� �`/� ,` 4Ydti 1.SSL1eCl.2l pC1lll1'L 10 111ti'tf111 ii (i.rlstallev) . r, eptic:systel•1l al / d ! V l0 /'10� �'i 4 'based on a de.D;ign dcami.byR 1 n. a e! a'et,41 /° .L. ,(t, dated ci F (designer) T certify chat. 1.110 StPtic system referenced above was installed substantially according to the design., WW.ch may inchidc• donor approved chalip,us stteh as la.tcr�ll. rclot-a�i�Dn cl:('the distaibution box and/or septic: Lank. 1 Cortiiy that the septic systelxl rdC1-el-1.CM 1160VC WaS illSla led with .ln.a:jor changes (i.c. )7ccatc:r Lhat.l 1.01 lateral i-elocario:u Of the SEAS oT'aily vertkca(rclocatioii otany component of lb.e Septic,system) but in accordance with St.ale car Local RegWttlims. Plait revision or cettiiicd as-built by designer to Hollow, ,'11A G1:i1,j DANIEL.A. 'irn OJALA 1 (fs1t 1-'ti `5ignalltDe) k`' 4 CIVIL � v No.4650 • ) p •P �V 4,r , NAL (TTesi.�,mer's `ii.�;n,itllre•) - �.A f'(i.K Y3esintaer's ,�tarttl� 1-lc:rc} --- aa&,o, o. _Bd9t_q llAtlV '9 Q __PAAtNw;u_ HP a. 'PUBLIC RE L.u'N. D. VU00.N. (CER`A'iFICATE OF M COlyt P14AIWI, YaIM, NOT NY, T.S.SUE D UNTIL.A ITH 7.t~JJS FC!'T8M AND Aug-BUIL;'1'_t_ARL) ARE Wi'ChWED 10(11 ,UAjj TS.TA.'B1 i,R'AJ:t$LIC:11EA L•li H T)TVT,SION.. t'�1A tW.YOU, . 1 Q,f-lcalth/Scpticl)csigncr[caYitication Form 3-26-04.doc L lDepartmont of Regulatory Services � D Public Health,Division 200 Main Street,Hyannis MA 02601 Date Scheduled . , g�e t �t—psqlSoi Suitability Assessment _0_r Px Pcrfonned By: es By: l y ✓ �yJ �; 1— " aY1!t• Location Addnrss /09A.t l'`'l n /p Address Assessor's Map,Tarcel: l /°1Apl a Engineer's Name C1w�t^ � NEW CONSTRUCTION REPAIR Telephone It .. t Land Use Slopes(oh) L Surface Stones Distances from: ,Open Water Body ft Possible Wet Area �✓ -ft Drinking Water Well ft Drainage Way AZ/4" ft Property Line l� ft Other ft SKETCH, (Street name,dimensions of lot,exact locations of test holes Sr pere tests,locate wetlands in proxinuty to holes) -- o M , ®C-­? e J_, - Parent material(geologic) TW 't` ro Depth LQ BQ(Irock Mz Depth to Groundwater: Standing Water in Hole: NQ Weepltig i'rpjn Pi[Pftee 0 Estimated Seasonal High Groundwater ,DETERAUNATION FOR SEASONAL HIGH WATE.1k TABLE _ Method Used: Depth Observed s•nding in obs:hole: - _ In, Depth 10 Snll njwl.n: IIL Depth to weeping from side of obs.liole: l!1, C7ruut]rlwnter Adf u8lment m _ I't• Index We111# Reading Date: Index Well level Add,factor Act).C)roundwater level ]P1CiRCOLATION TEST � Date./G. Observation Hole# . `Cinte at Depth of Perc '`U / 4 Time a[6" Start Pre-soak Time @ III UU Time(9"-6'j .D End Pre-soak , t F Rate Min./Inch Site Suitability Assessment: Site Passed_ __ ". Situ-Failed: Additional Testing Needed(YIN) Original; Public Health Division Observation Hole Data To Be Completed on Back----------- ***lt percolation test Is to be conducted Within 100' of Wetland,your niuist firSt notify flie. Barnstable Conservation Division at least o7IIe (1) week priur to lbegutiuitng, Q:\SCPTl0PERCFORM.DOC r Depth from . Soil}forizon 'ale # / Soil Texture Soil Color ' .Soil Surface(in.) (USDA) Other (Munsell) Mottling (Structure,Stones;Boulders. tr Con istene %'(3ravel b—3G p:) 36 -/Zv L. ms DEEP OBSERVATION HOLD L®G Depth from Soil Horizon Soil Texture Hole# �— Surface(in.) Soil Color Soil Other (USDA) (Munsell) Mottlin g (Structure,Stones,Boulders. Consis pricy.%Gravel GS Z,5'l5J DE 'P®BSERVATIOITT HOLE LOG Depth from Soil Horizon # Surface(in.), Soil Texture Soil Color, (USDA) Soil Other (Munsell) Mottling (Structure,Stones,Boulders. Co siste c O ve ------------- DEEP OBSERVATION DOLE LOG Depth from Soil Horizon Soil Texture # Surface(in.) Soil Color Soll Other r (USDA) ... (Munsell) Mqttlln g (Structure,Stones'.Boulders, C o onsi ten a I Flood Insurance Rate Mal): Above 500 year flood boundary No_ Yes Within 500 year boundary No Within 100 year flood boundary No� Yes . Depth of 10yturall_YDccurron&Pei�vlous IVlaterial Does at least four feet of naturally occurring.pervious material exist in all areas observed throughout the area proposed for the soil absorption system? �-� jf not, what is the depth of naturally occurring pervious matariall r r Ce1Ctil�laratiDn g certify that on Vu., (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 training, expertise and experience described in CIO CIvIIt 15.017, Signature Date Q:1S,EPTl0PERCEORM.DOC SYSTEM PROFILE ALL RKED HCOMPONE TA SHALL PE OR BE NOTES a PROVIDE WATERTIGHT 20" MIN. (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS APPROX NGVD ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE oJ. 2" PEASTONE OR GEOTEXTILE 2. MUNICIPAL WATER IS EXISTING \ TOP FOUND. EL. 50.0' FILTER FABRIC OVER STONE 48.0' 2� SLOPE REQUIRED OVER SYSTEM 48.0' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. MINIMUM .75' OF COVER OVER PRECAST O MIN. 8" COVER 4. DESIGN LOADING FOR PRECAST Ora cuS PRECAST H-10 BLOCKS OR UNITS TO BE AASHO H-1 i RISERS (TYP.) PRECAST RISERS 2'0 4"�SCH40 PVC MORTAR ALL H-10 ,.: PIPES LEVEL 1ST 2' 4' COt PONENT(TYPS 4 4, 5. PIPE JOINTS TO BE MADE WATERTIGHT. o sp ENDS *47.2' 10" 1500 GAL H-10 14" °"°"°"°`°"° °°" 45.83' CORDANCE Sou n ) SIDES ^ TEE SEPTIC TANK TEE o 0 0 0 0 0�0 0 0 0 o p o 0 0 0 >°°0o00a°°o° WITH 310 CMR 15.000 (TITLE ) IN �] ° . CONS UCTION DETAILS TO BE AC 0000 . 0000 (TI V M t 46.0' \45.75 0 0 0 0 �OC7� aoo 0000 -0000 0 0 0 o S . 00 0 0 0 0 0 6" MIN. SUMP �00000000 oao�ooaoo�� oaoaa�a�ao� '>°�°�°0°� 0 0 0 0 0 > o 0 0 0 0 -0, 0 0 00 0 0 0 o D o 0 0 o O � � � O � � � � �� � � p � p � p � pp � �00000000 GAS BAFFLE::.`. o 0 0 0 0 0 12 MIN INT. DIM. o 0 0 o a���a�����' ��O�a�a���� Ic " 000000 0 00000000000 o�000ao�oo� .00000000 OOo00oo0 0 0 0 0 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND 00000000 ..o 0 o 0 5 4' UQ. LEVEL (ACME OR EQUAL) 45.31 45.14 0 0 0 o EL. 43.0' NOT TO BE USED FOR LOT LINE STAKING OR ANY �e OTHER PURPOSE. �o .00000Oo�pOpOp0p0pOpopOOOpOpO 0;0608Oppopo000000 .,0000000(,0 0 0,,01 000000000010�0 0 0 0000000. LH-10 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. $, PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 3/4"-1-1/2" DOUBLE WASHED STONE o ALL AROUND PRECAST STRUCTURES (3) UNITS REQUIRED �o 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 40' X 10' 9. COMPONENTS NOT TO BE BACKFILLED OR ) 9� COMPACTION. (15.221 [21) CONCEALED WITHOUT INSPECTION BY BOARD OF ( 5.2% SLOPE) HEALTH AND PERMISSION OBTAINED FROM BOARD MIN OF HEALTH. ( 1.9% SLOPE) ( 1 x SLOPE) 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LOCUS MAP 38.0' BOTTOM TH-1 & 2 CALLING DIGSAFE (1-888-344-7233) AND LEACHING NO GROUNDWATER FOUND VERIFYING THE LOCATION OF ALL UNDERGROUND & NOT TO SCALE FOUNDATION 23' SEPTIC TANK 23' D' BOX 16' FACILITY OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. ASSESSORS MAP 142 PARCEL 82 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED 5' BENEATH AND AROUND THE LOCUS IS WITHIN AP DISTRICT *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL PROPOSED LEACHING FACILITY. UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM 12. EXISTING LEACHING FACILITY SHALL BE PUMPED LEGEND- AND REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. 99 EXISTING CONTOUR X 99.1 EXIST. SPOT ELEV. 99 PROPOSED CONTOUR STONE HORSE ROAD 198.4 - - - - -- 4T _' 46.41 ] PROPOSED SPOT EL. .- - - - �4�7- - - �4T.10 46.77 �.34 TH148 7?- - - - - - - 47.20 SYSTEM DESIGN: TEST HOLE X 62 110.00' 47.18 2� SLOPE of GROUND 48.28\ 47.48 GARBAGE DISPOSER IS NOT ALLOWED `UTILITY POLE LOT 58 DESIGN FLOW: 4 BEDROOMS 0 110 GPD = 440 GPD \ FIRE HYDRANT \ 13,409t S.F. PAVED USE A 440 GPD DESIGN FLOW NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING \ 9.15 DRIVE \ SEPTIC TANK: 440 GPD (2) = 880 \ USE A 1500 GAL. SEPTIC TANK TEST HOLE LOGS ` _49.63 49.02 � LEACHING: \ 49. 6 ENGINEER: ARNE H. OJALA, PE, SE 44-�0 SIDES: 2 (40 + 10) 2 (.74) = 148 GPD WITNESS: DAVID W. STANTON, RS BOTTOM 40 x 10 (.74) = 296 GPD 10 19 09 49.08 EXIST. DWELLING w DATE: / / X 49. 4 TOP FNDN. = 50.0' � TOTAL: 600 S.F. 444 GPD PERC. RATE _ < 2 MIN/INCH INVERT OUT EL. 47.2' USE 3) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) CLASS I SOILS P# 12731 48.7 WITH AT IDES ' STONE AT ENDS 5' BETWEEN UNITS AND 2.6' w X 4 .07 (D J ELEV. ELEV. x 13 DECK opt 48.0' 0" 48.0' X 49.04 �► BENCH MARK - CORNER A A CONC. BULKHEAD EL.= 49.5 x 48.83 X 48.39 LS LS TH 2 LARGE OAKS 6 1 OYR 2/1 1 OYR 2/1 X 48.12 TH APPROVED DATE BOARD OF HEALTH MA 809 6 B B °8 .._._-,5' TITLE 5 SITE PLAN LS LS e 0. TITLE „ 2.5Y 5/4 45.0' 2.5Y 5/4 45.0' 4 36 36 x '$ 109 STONE HORSE ROAD X 47.63 x 48. OSTERVILLE 48 X 48. C C g3 3a PREPARED FOR PERC i°F F9a OF 4fjq5 BORTOLOTTI CONSTRUCTION/ 43ANIELA. N MCNAMARA MS MS OJALA CI No'•40980 65 OCTOBER 21, 2009 r ' REV. 10/27/09 (MOVE SAS) 2.5Y 6/4 2.5Y 6/4 (�h--)fop) off 508-362-4541 sic S� I fox 508-362-9880 AlIIEL ?� �o� DANI&1A. �G� downcope.com a A. t�JALA a • • • E OJALA ' 120" 38.0' 120" CIVIL 00WO Cope eaB/neet/ng, 47C• No 40980 No.465 rr Scale: 1"- 20' _ ��yf p° cr �� ©�, Civil engineers ' S,o F� land surveyors NO GROUNDWATER ENCOUNTERED - 0177�� � U l s y --- 939 Main Street ( Rte 6A) 09-234 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P. S. YARMOUTHPORT MA 02675 09-234.DWG(SBO)