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HomeMy WebLinkAbout0217 STURBRIDGE DRIVE - Health 217 Sturbritlge Dryve*- 06_: Osteniille yr M Ili TOWN OF BARNSTABLE LOCATION 217 S I J r1pr e Dr SEWAGE# 9jo[(p— f t_ VILLAGE(&x_rV j J)p U ASSESSOR'S MAP&PARCEL I kj b — © 7 INSTALLER'S NAME&PHONE N0 4-&� �V.3r� SEPTIC TANK CAPACITY /SOO LEACHING FACILITY.(type) qfficrl 14 10 C%M (5 (size) 1,1,B tK;LT-JC2 NO.OF BEDROOMS V OWNER Iry P PERMIT DATE: COMPLIANCE DATE: cJ—/ Separation Distance Between the: ef4C0VN4-e(m) Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility / (uuc Kpc�T(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 I y) Jc I�KOc19 lJ A .. _ . r,• car�27 out,2® OJ ^- O, :2, —3��7 —S9�Co EA,CK a l . s°t'V I f No. ✓/ FEE COMMONWEALTH OF MASS GHUI SETTS ! - Board of Health, MA. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERM,IT Application for Permit to Construct( Repair(-,) UpgradeX Abandon( - 2komplete System ❑Individual Components Location Z I-7 ��-ur 6 r-� �/ ^1 Owner's Name Di✓;d 771 v n n le f 1 Map/Parcel# --07(o Address ' �6/ W,A I— k7- WC,/jW te /4A 026 �� Lot#• 313 7313 Telephone# Installer's Name n,A , erawn/ M C Designer's Name E ��ee, G(la �1' A-c Address a, ' /YS� C�vl ✓1/•,�1� / OZln 3 Z Address /2 v� CraSs `er'eI ,-Rd fa 4-del le M/4 Telephone# S"6g—qa 7^71 S-5 Telephone# ,5-F—Y-" —5-313 �Zb}lyf Type of.Building l�S den 4*q I Lot Size 15.'Ste/t t�— s ft: q. Dwelling-No. of Bedrooms 3 Garbage grinder ( ) Other-Type ofBuilding. . N /1,1 No.of persons Showers( ),Cafeteria( ). Other Fixtures AJI- Design Flow (min.required) gpd Calculated design flow 33o Design flow provided 3 gpd Plait: Date 37I 2 I f Number of sheets 2^ Revision Date. Title /oebodd-eo( -Stec SYS/�M yja9/-&.0ef /t{ t t 217 cs �ir?`o{�-Q J�i� Qrd'1t2'syi/lQ /Vtri Description of soils) A L S /3 L S_ 3a "— /2,9 a C- III-& .Sq.'a Q j Soil Evaluator Form No. Name of Soil Evaluator �eLe�fl'1C�11-�� Date of Evaluation ZZ I L sue# i5 Y 2- DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and. further agrees to n t to place the tem in operation until a Certificate of Compliance has been issued by the Board of Health. Signed > Date Inspections. ......................... _ ..: _.-.... .... .----- -------- --- ----- ------ ' -.... ... •" �r•..L.T�'jr)-...... - ..y " _ .. ram_ T w N' _ Z.... - .. • .e.'.` .. .. � � .� FEE ®1 JLm®1 tl V V �Aau ®r MASSAI..iL JLUS.ET JLS �. - Board of Health, ^,� *•-,:l APPLICATION FOR Y4. DISPOSAL SYSTEM CONSTRUCTION PERM,IT Application fora Permit to Construct( ); Repair(.-) Upgrade(X AbandonO Complete System ❑Individual Components •a Location ' Z 1-7 ssl'u�"�sr C D!' +/,;!(6 Owner's Name [Avk1 771 I!A n f 11 Map/Parcel# /6( -07(m Address C16/ Gain ltt r ST 0t/a.j/Ci-i f /4A 0 Zd j l Lot#, �u:f-/ C.vKca/�ai1 f°(a•� 313 '73d. Telephone# (0 y -a0Y Instal er's Name 0,A , Ge aoNn, /n C Designer's Name AddreWs� �CrY•��it 'M'q OZ�3 Z Address Telephone# -5"-g-g47O- 7/S 5 Telephone# s"Q�-tF-;r7-5-'?i3 DZ6}ty Type of Building I�S �G�Pn f+'q� ` Si nd L{ f-qM/IVj Lot Size r.-i S_" +/- sq_.ft. Dwelling No.of Bedrooms 5 Garbage grinder ( ) Other Type of Building N , No.of persons Showers ( ),Cafeteria( ) Other Fixtures AJIA y Design Flow(min,required) gpd Calculated design flow 33ci Design flow provided `3 y gpd Plan: Date 3"I'Z•-I ( fo r Number of sheets 2- Revision Date Title �r7i.oa�e/ Stro/C c SuS KM y�c�q l rJe! /�/q-1 r Z/7 &V 6r,cl(A-4 f - QS'/,'✓y: Le /VW Description of Soil(s) A G•5, f3 C, 5 30 /30" C M-+a( Soil Evaluator Form No. Name of Soil Evaluator Au,--MC Date of Evaluation ,SC /-t/ Z_ DESCRIPTION OF REPAIRS OR ALTERATIONS . � � d The ' r undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place the si tem in operation until a Certificate of Compliance has been issued by the Board of Health. Signed / � I -- - Date 1 •'" t _16 l Inspections i r ' r /^< e • "c,t -4'r' r �., .�:<^_ ..r:. .0 .. s,e^.E(..r< „ r'^,. r. _:.., ...y.'..v': No.�f(/ R }�T��J �( ��( FEE IL OMMOl� yV ALTH OF MASSACHUSETTS Board of Health, /3q/r1 S i_-r 1 -P MA. CERTIFICATE OF COMPLIANCE Description of Work: 0 Individual Component(s) J4 Complete System The undersigned-hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned ( ) at 21-7 .54-yrbr"dam ®r (I.Sk-,,-14 has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No.,=") dated �i //!�_. Approved De l��Flow "','�4(gpd) Installer Designer: Inspector: J C) I Date: �J � \j _ r . ' The issuance of this permit shall not be construed as a guarantjee that the system will function as designed. No. �I 1 � FEE / COMMONWEALTH EALTH OF MASSAl.ltJtUSETTS Board c f Health, Sq r'i S I G h 4 MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby,granted to; Construct( .) Repair(• ), Upgrade(,') Abandon( ) an individual sewage disposal system at . 217 // as described in the application for Disposal System Construction Permit No.��f9, dated lA // .(o Provided: Construction shall be comWetedd withinf three years of.the.da e of this •e m t. All to al-conditions, ust,be met. Form1255 Rev.5/96 A.M.Sulkin Co.ChadesInn,MA Date Board Board of Health `/ Town of Barnstable Yt►+e Tpw Regulatory Services. Richard V. Scali,Interim,Director HAMSrABLB M� $ Public Health_Division h ODA a0q: ♦0 Thomas McKean,Director 200 Main Street,Hyannis,MA-02601 Office:: 508-862-4644 'Fax: 508-790.6304 Iiistaller&Designer Certification Form. Date: '( �j �G. Sewage Permit# Assessor's Map\Parcel i`tOfO r � Designer: 1�­iiq ,yiee-c,ine, lie r Es, (ri Ins6fier:: :o - nn .. .Address; IZ: W�, Cebs e (a( PrJ Addre T: M s v-au 1cM& 6 2 .4 y On was Issued a pertnt;to install a (date)' (installer) §epticl system at `L:t-? 9+-0 D^, U based on a:.design drawn by (address) '- Ew� dated' S Z 7 -(designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such a&lateral._:relocation.of the distribution box and/or septic tank. Strip.out (if required) was ;inspected and the soils. were found satisfactory. T certify that the septic system referenced above was Installed with major changes (i.e.- greater than IT lateral relocation:of the SAS or any vertical relocation of any component of the septic system)but in accordance with State &Local :Regulations`: Plan revision a` certified as-built by designer to follow. Strip out (I, required)was inspected:and the soils were found satisfactory: I certify that the system referenced above was con structe, ` nce with'the terms of the IAA approval.letters;(if appl cable) OF PETER': NTEE w 616r.'8 Signature) •Ito9 iST �® (Designer's Signature): {Afhx Designer ' amp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION E FRTTrr� . rr. OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FOR1W t BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC.HEALTH DIVISION'. THANK YOU. 0ASepfic\Designer_Certification Form.Rev,,8-1`4-13:doc 20'-0• W O E ABBREVIATIONS & LEGEND: LL WINDOW SCHEDULE: q� e'—o• L'—o' INSULWANIEDYO ASS BY ANUERSEN NNIWESS OTHERWISE NOTED NEW DECK TTPB-�µTYPICAL u lx[sf uAr xm az w TxF4 MUWxWa S DWG DRAWING A TW2B42-Z R.O.S'--x 4'-5.DOUBLE SUNG MULI£p UNIT ® 1 PLAN COMPASS GYP.BD.-GYPSUM BLUE BOARD WITH SMOOTH VENFSER —5W3,0 =1_•�`-8`0_QLBCE-R1TG18'-0• PLA TER FINISH, FRA W IS IHICICN C AN31 R.O.T•-0]L 1=9 CONING UNIT • ,�''a+ I'�B'-O• P.T. - WOOD PRESERVAANDTIVE TREATMENT APPLIED BY WAY Z`TC 6- 1 �xxM, L A-ff�R011 - ® ® —�I—'OR/RK FN4E i�t I / N3 HURRICANE HOLD 00WNPTE BY SMPSON.N CTMMI'2 46 R�NIT MEETS 1 R(ZNCY EGRESS gEUBLE CASEMENT UNIT >, _ I - DATE; C.I.P. - CAST IN PLACE E TW104fi R.O.3-2 1 4 /4'-9 OWBIE UIflEMEN13 ® ` _ H3 OPERAlE01 DECK MWN1E0 S(xYtIGH15 B iH RAIN SNSORSNIT ,a I ____.. D4E TFR� G S,U�g S1U - { AND 2kA4 RT BOTTOM SHOES' AT PLATE F CTOA} R.O.]'-0 1/ xx]'-0 1/�•t3UARTER ROUND UNIT i -__- HI - HI HURRICANE HOLD DOWN TE BY$IMPSON, G YELUX MOB R.O.T'-B 1 4 3-9 3 4 ELECTROMCALLY SNYLtl-T HUNG ALTERNATING Fl.00R JOIST$AND/ON RAF HERS. - AC4 = POST CAP BY SIMPSW ANO ELECTRICALLY OPERATED BL1N0S. _ e! ® BEOPpOM ® I•.__=___'`I ABU. - POST ANCHOR BY SIMPSOJ H iW28L2 R 0 Y-lO 1/4•x 4'-5•DOUBIE HUNG UNIT "-'------ ------- ACE POST/9EAM CONNECTORS LEFT d:RIGHT BY SIMPSON I --- MSTST - RPF S 11 B 4Y SMPSON, DP ONE J VELUX COL R.O.1-9 3-T ELECTRONICALLY OPERATED - ninP __.__:__ m•,'„ SCALE: �L U� G x -- RA 0 TH RI BOAR AN DOWN DECK MOUNTED SKITJCHT$W1H RAIN SENSORS ANO _ NOTED THE OlffEft 2- O.C. EIECTRICALLY OPERATED BLINDS �'1 f^- LTO = REINFORCING FRAMING MGIE BY SIMPSW CALV • CX14 R.O.2'-B•x 4'-O 1/Z•CASEMENT WIND N1TH I - HOT DIPPED GALVANIZED STEEL DOUBLE HUNG CWORIAL lLE PATTERN.THIS WINDOW ~S.S. - STAINLESS STEEL MEETS ALL EMERGENCY EGRESS REQUIREMENTS ® PTS - PLUG TOUCH h SANDED. T&G = TON E AND GROOVED � I_ygpR�I . O.C. ON CENTER,OR CENTER TO CENTER - ________ _______ _ Q ._a E.W. EACH WAY E 0-TOW-TOP OF FOUNDATION WALL DESIGNATED ELE no. DOOR SCHEDULE: - _ ® FP5 © fv5 EW G6 ' STYLE OF DOORS WILL SE SELECTED BY THE OWNER n BATH ---- O`GAS MEIRER Y S 0—TOP.TOP OF FOOPNG DESIGNATED ELEVATION �( APPROX. a APPROXIMATELY 1. 2'-6•x 8'-B•STEEL INWLAIED DOUBLE BORE,FLUSH ® - OSE EXISTING V `V FP5 DIMENSION TRW FINISHED PLASTERED SURFACE 2 3-O B-BB-B FIBERGLASS INSUTAiFD DOOR W11H TWD µpLX_IIH LINEN241/Y DOOR OPENING ® C POP DIMENSON MGM EXTERIOR FACE OF RAPIER. SDELI _TRANSOM ANO DOUBLE BORE L 1 Q /m P05 DIMENSON FROM EXTERIOR FACE OF STIO. FOJ = DIMENSION FRON EXTERIOR GAGE OF JOIST. 4. '- e'-B• - ALIGN BATH ROOM U a(n e ' FGH DIMENSION MGM BOTTOM FACE OF HEADER. S. ]'-0•x g•-6' I-FOLD ro" ON MOM INTERIOR FACE OF STUD. e. 2 2_8•v B g �J - A O=INDICATES HARD WIRED INTERCWNECTA SMOKE T, 2 e x fi 8• ©® - •�,� DETECTOR WITH BATTERY BACK UP. B. 2-B 1. INDICATES HD WIRED INTERCONNECTED HEAT ITH .-g.t/2• ®= AR DETECTOR W BATTERY BACK UP. 1-10-0 -9 \ — x ©=INDICATE$HARD WIRED INTERCONNECTED CARBON 1 6-g% ® N (3)MONOADE DETECTOR WITH BATTERY BACK UP. 12.T'4'iBfi-B 13. Z T-O x 8-0 1-4-I t/L•--I--3'-2•-I-•—fi'-51/Z•—•� Q NEW 1/2•GYP.BD. 14.1-B YEN, -NEW 2x1 1B•0.C. FRAMED PMTTIW WITH GIP. 15. -D x - PARTa Y 0 H POST m BD.ON 6 10'SIDES. 16._EASTNC REL A CLOSET ® ® GARAGE H 1l. ASTNG R N Ig.FASTING RELDOATD ERMA- PS51168R PATIO DOOP -----------I-------- -------------------- P 4 J - UNNO ROOM RIO$-11 1/}_,v 5-B NSTALL NEW FWBH BEAMS 20.8-0 PERK-}111ELQ PSS116SN PATIO OWfl - R.O.'v 1 4 x 6-B• - NEW SECOND FLOOR DORMER NOTES ® Os U) CUT MD REMOVE YCTO,S OF ROOF ROOF FRAME MD CEIUNG JOSTS FOR CONSTRUCTION OF THREE NEW DORMERS AS SHOWN IN ELEVATIONS.REMAME BEDROOM ROOF AND CEILING. DORMER WALLS SHALL BE CONSTRUGM WITH THE SAME • _ " _ z MATERIALS AS SHOWN IN NEW ADDITIONS O " REMOVE EXISTING DECK MD FRAMING FMIILY ROOM O W REMOVE EXISTING BULKHEAD DOORS U - - J AND-HEAD FOUNDATION WALLS ' ALI. ® Q J B-] > [—CUT AND RENOYE RAFTER TAILS,FASCIAS,GUTTERS MD SOFFITS AT INTERIOR Di NEW ADOTONS RELOCATE GAS METER REMOVE ALL EASTNG'SIDING ON MIRE REM WA11 REL TE FASTING I-5-8•—I RI _0 Z W OWAND FRAME ® PROPOSED W FIRST FLOOR PLAN' - ® ® SOME:1 4"-,-0 BATH UT NEW OPENING G ELOCAIE EAST STOVE ACCWMWATE EXISTING /A W REFRIGERATOR AND DISH DOOR RELOCATON VJ BEDROOM - DINING WASHER Z> QO B"TH ATCHeK GENERAL PROVISIONS: 0 1. THE COMMONWEALTH OF MASSACHUSETTS STATE BUILDING CODE MU.GOVERN ALL {� ASPECTS THIS PD JECTT REGARDING DIMENSIONS AND MINIMAL REQUIREMENTSWHEN NOT CLOSET SS,, 2. ALL NOTES WILL APPLY TO MIRRORED IMAGES.FIXINRnES RNO DOM1N00'MS SHOICNNIS�11C1HSDASHES JNESNC 3. NOTIFY THE DESIGNER OF ALL DISCREPANCI AND UNFORESEEN CONDITONS THAT Q W WILL IMPACT THE INTENT OF THEY DRAWINGS /VR I LL FINISHES CLOSET DOOR STYLES,CASINGS h STANDING WOOD TRIM WT.L BE SELECTED CLOSET GARAGE BY THE OWNER. Q 1 PATCH ALL SURFACES,REMAINING AFTER DEMOUTON,TO MATCH EXISTING R _ REMOVE EASING WALL REMOVE EXSTNG_BE6K N -__-__.__._____.. 0 c W/�co FAMILY ' V J I..L�M BEDROOM a_ UNNG O MM� UP T N B'-2•� EMOW SIDING THIS AREA REMOVE FRONT STEPS AND PLATFORM FIRST FLOOR DEMOLITION PLAN - m+A.ANG -- SCALE:1 4 -1-O y i Town of Barnstable P# 1�W1 Department of Regulatory Services A i Public Health ][2ivision : Date ) ArfD Q. atia� 200 Main Street,Hyannis MA 02601 Date Scheduled (� Time U I d c� e Pd. — Soil Suiabiiity sLwssmentf'®r >rS'ew eDisposal Performed By: 1�' 't' C Witnessed By: G'+/i �`, LOCATION & GENERAL INIP O;RMA.TIG.N Locatio??,;ddress '�.i-7 Owner's Name �jr rci� i � Address (�Z 5tt Assessor's map/Parcel: !�� "A 6r Engineer's Name NEW CONSTRUCTION REPAIR _ Telephone# Land Use Slopes(go) Z '- ("" Surface Stones Distances from: Open Water Body )� A Possible Wet Area ft Drinking Water Well—,;-(_So ft Drainage Way ���{` ft Property Line l�i/l`ti/ ft Other j SU-TCH:(Street name,dimensions.of lot,exact locations of test holes&perc tests,locate wetlands fin proximity to holes) G 71 r Parent material(geologic) ��>C cy r-v-xayln Depth to Bedroc j I Depth to Groundwater, Standing Water in Hole: Weeping from Pit fAae i --� Estimated Seasonal High Groundwater 7t t r DETERtYYINATION FOR SEASONAL JiIGH WA T' ER TABLE Method Used: Depth Observed standing in obs,hole: ---In. Depth to soil trinttl4s; Depth to weeping from side of obs.hole: in, Oroundwater Adjustment ,_„�,. ft. Index Well# Reading Date: Index Well levol�,,,,r„ Adj,factor,,,,.,,,,_— Adj,droundwuter level i PERCOLATION TEST llnta Time -..� Observation Hole# 'a c) 1 Z 4 i itne at�" Depth of Perc Time nt 6" r L 2VIA'iA,� t ex,Li-� tart Pre-soak;Time© Time(9"-V) CC End Pre-soak ate Min./Inch G `Z- Site Suitability Assessment: Site Passed i Y _ � Site Failed, Additional Testing Needed(Y/N) Original; Public Health Division ObservUion Hole Data To Be Completed on Back--- - * If percolation test is to be conducted within 100' of wetland, you must first notify the arnstabl;e Conservation Division at]east one (1) week prior to beginning. ASEPTICWERCFORM.DOC I DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders, _ Consistences(ravel) ye Z— .T1 .. i - i DEEP OBSERVATION HOLE LOG Hole# 'Z-- epth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in,) (USDA) (Munsell) Mottling (Structure,Stories,Boulders. Consistency,% rav�- � I L 3, u5 7 y 1 z. ____---- 37 DEEP OBSERVATION HOL11: LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other urface(in.) (USDA) (Munscil). Mottling (Structure,Stones,Boulders. Con iste c o G el DEEP OBSERVATION HOLE LOG Hole# Depth froni Soil Horizon Soil Texture Soil Color 5oll Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Co si to oy n,nl). z Flood Insurance Rate Map: Above 500 year flood boundary No— Yes `4-ithln 500 year boundary No 164 Yes Within 10U year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious iaterial 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? Certification 11 �(�� )-' I certify that on (data) 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 �10 CMR 15.017. Date Signature Date -{-- Q:\.S.EMC\PRRCFORM.DOC LOCATION SEWAGE PERMIT NO. VILLAGEDiv INSTA LLER'S NAME S ADDRESS 6 � 8,U I l D E RY OR OWNER DATE PERMIT ISSUED D A T E COMPLIANCE ISSUED l�_ `� t + !¢� el, ' ._ 2r? FHB..... .�............. -THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................:......OF................................................... Appliration for Disposal Works Tonstrnrtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System .... •- station ddress ..... — ..... ......... .• ................ .. .... .... ........................................ ner ,A I Address ........................... ......._ u ..... .... .. Installer Address Type of uilding Size Lot.......S -.-Sq. feet Dwelling—No. of Bedrooms______________2--................. Attic Garbage Grinder ( /# 6 Or Other—T e of Building No. of persons............................ Showers a YP g ---------------------------- P ( ) — Cafeteria ( ) Otherfixtures .----•--•---------------------------•-••---•------------------------------------------- ............................................................. Design Flow......... -�..�----------------gallons per person per day. Total daily flow...._.?,_ . ..................gallons. WSeptic Tank—Liquid capacity.... . llons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...........,........sq. ft. Seepage Pit No-_----------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by....... Date.../I0/k Y,/Sa................ a Test Pit No. 1................minutes per inch Depth of Test Pit.... ` ........ Depth to ground water._Tw-.. fT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ---------------------------................................... ---...•-•--...._... O Description of Soil............0:J1.. •---• ......... '�" } '� k. ................................................... x w UNature of Repairs or Alterations—Answer when applicable------------�i........................:........................................................ ------------------------------------------------------------------------•--•--•-----............------------...----------------------...----•---------.....--------------------------....._.._.......... Agreement: The undersigned agrees to install the aforedescribed Individual Sew e Disposal System in accordance with ` the provisions of L I'%LE 5 of the State Sanitary Code—The undersigne urther agrees no�tolace the system in operation until a Certificate of Compliance has been i u by the b rd o health. igned-- ----••........................... .. .•-------•--••---._......-------------- p---................ Application Approved ---�' ---- ......................... _,__/ jellt�D..... Date Application Disapproved for the following reasons:.............................................................................................................. .........-•----•-----------------•----------------...-------•--•-----........-------••-•---••--...........--••-------------------....------•-----------------------------......-------------------------- Date Permit No................•----••-•••-•-•-•-•----......------..... Issued_... Date All o.- s .....� �...... Fxs..... .. . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............................:,:.........OF.............................. ........ .� r�ir i�arc fnr suss al Works Tonatrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair { ) an Individual Sewage Disposal System at: ......... --...__......... .....• •-- ----..... .... - - - --•-------• - ----..._........_ Location-Address or Lot No. ..............•-••....--......._.....................----•----. Owner Addr W ess a ................................................... ....--••-•------.------•-•------•-•--.-.------.-------.----------•-------------------•—-------•- Installer Address Type of Building Size Lot............................Sq. feet �-, Dwelling—No. of Bedrooms--------------------------------._....__....Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building ....... No., o of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures `--------------------••--------••••••-•-------------•••-----...--•--••--..................-•......--------• W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W Septic Tank=Liquid capacity............gallons Length.......... Width....:........... Diameter................ Depth__.._____._..._. x Disposal Trench—No.-------------------- Width.................... Total Length.................... Total leaching area................_...sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed b "........... ....................... Date... ............... Test Pit No. 1................minutes per inch Depth of Test Pit..../. ' ....... Depth to ground water---n ►t_____...._.. f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ .......................... ......-•----- pL . r •. .. Description of Soil............-C'�---- Z"-•` le. e --.... -- -........ -- x W UNature of Repairs or Alterations—Answer when applicable................................................................................................ ...-----•-----------------------•----------------•--------•---...------•--•---------•----•-----•-------•--.....----------------•----------•------------------------•--•----------------•--•••---•--•••• Agreement: r The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT I.;,:. 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. gned .... --------•-----------------------------••-•-•- ......••-............•--------- Appligtion Approved B �'�'" -:;; ............................Date Application Disapproved for the following reasons:........................-----------•--•---------------•------•-------------••------••-----......•••......_..... -----------------•--...........------•-----.......-------•--•-------.......------------•---------•---------•••-•••---.....•---••---•---•-•------•--•------••----•-----••------•------•----•---••----••- Date PermitNo.......................................................- Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OE HEALTH f...................................OF............: ..l ..................................... (1rrtif iratr of Tomph anrr THIS IS TO CE TI at the div' ual Sewage Disposal System constructed C ) or Repaired ( ) by..................... •-- '-•. ........................................................................................................----•-• ----•-••-•-•••...............••--......--••••--•--•--•-•--•••••--....-••---....---•--•-•-••-•-- Installer _ ,lotrf at..... ...�-.�""----••------------------------•--------------------•-------------------------------•-•-------••---------- has been installed in accordance with the rovisions of T anitary Code as described in the application for Disposal Works Construction Permit NCJ . _,G,.�. State Sanitary ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE®AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..... ......... .�-•.. •-•--- ................................•--------•--.. Inspector-...-- ........... ---• -................................................... THE COMMONWEALTH OF MASSACHUSETTS_,- f . BOARD OF HEALTH £� d ........... "'!........OF.......i'ui :........................................... Disposal IV rk.6 TFUJIMAr in l rAft Permission i ereby granted...........:...........:............ ! -- ..••. ..................... to Construct ) Qr Repa (' ) anh iv Sewage sposal idual Sewa System --••-•......-••-•........:........... Street as shown on the application for Disposal Works Constructs it No............ .... Datee ....._.._................................. - .. .. ••-•-••------------------- / Board of a th DATE..... , S �d•••••----•••-••-•....................•- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS ` �t�tGL� Fatntt_� - � �Ever�alvc qe s�,IM-27 �ye� I:.�Ab.i t_�{ FLOW = 11b 3 33G G•F'•b. l � {.EP•i-I C -l-�t-�l� = 3 jG�•i (=7G %o t1��j G.P C7. r" �� "'r Q' . rAMIZ SPo�;,d,L PI"T' - use. t ocx •�:a:,w., p !�P c,t1P_VAL_ AV-c--A = t5O s•F. q9• _4�� © ax 1C�O Ss= 2. '. SD Sii5'. A L2 ToTA L ToTAt_ vale( FLOW - 330 PD. t t✓Q/CDLNTI00 MATE, CIW SAA tJ' 02 II 1 TCST (t � 6 ' ` , l �V eau T;c,r-,lei - Z UF'AN 9c�G Snnc n'- tNv Lit! TAr.;K c 1000 96•p �Nv luv. Lam._..-..... LE7.Ac H a M P,T WAS►�ED L s7owi� 90 0 . I � r...L=-.VT!'=tt • !�C�G��'l�'�� �T�11 C.L. L10 CAL I GGIZTt4=-( 1>4AT Ti-dG 1-oVwDATfoo5i• C>%".►.l t-i>`.Pt'.t�t�l Gc�.t�lP�.`!S W t'T't-� '1'1•-tL: � I'UG.�1t•-�� i Auk `;C'1 �'>/�CK 'G�,?c�I�'E� T�r v►� �'��t:: oT S�I,C!.l•:;Cl�t'.s=i� 1._�a;•-di-J iU�L`iY`(Ut?K o 4 __V_vtL.0 u h(A55. Tial:. c.}1=�,�=r•� �:�t-t�.:.Erw t,Nl=�t�tc_�.t-�-�•- kA 4;M:it,.t_ 114� t�t�( C',t:_ U�>Lt� 1C► i�r_--_�'t=� �:t�w.li: t_C�"� t .tt-I.' __. _.-_____._._ _.. i� —EXISTING. CONTOUR s R'iver N - BENCHMARK x 100.98 EXISTING SPOT GRADE 6� Rd TOP OF CONC. BOUND EL.=100.57 � VN EXISTING WATER SERVICE � EXISTING SEPTIC TANK G EXISTING GAS SERVICE TO BE REMOVED o —$H. W. —OVERHEAD WIRES S� CB D FND 100 x 100.32 m TEST PIT �60 00.57 S 83142100_y 100 /V BENCHMARK �a \gym V " � n X LEGEND 99,55 10 X 3 5 1 0-' J o`a 99.51 99,01 StOCk°de Fence E LOCUS o a o 99,98 72.82, Fa g 7 17, Wy a 5 EXISTING DECK S 77��� TO BE REMOVED X 99.29 N X 98.22 I 27 p0,.E h 99,43 ° N — — ¢932' LOCUS MAP EXISTING LEA6H PIT N NOT TO SCALE PROP. S 71J P 284-15 98 94 TO BE PUMPED, FILLED 19, SEPTIC 99,86 - ¢ 03?p„ 98,84 W/SAND & ABANDONED O TANK S w :9 3 :..: \ 98, 200• 98.61 �• -� to ADD) 0 --- r x \ - -�—. 0 H �� 95•�7 �4�g 98,62 cly �ROPOSED \ P Ski DECK p'00 1991 3 b� .4 Y _ �� PROPOSED 9 ,8 \ GENERAL NOTES: o 9,70 ADD N �o �6, 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL EXIST. BULKIIWAD X EXISTING BOARD OF HEALTH AND THE DESIGN. ENGINEER. TO BE RELOCATED' P_2 HOUSE #217) 0 0 . .. �L �� d8.60 \ 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS TOF=100.34 G . SER V LC \ OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 96.62 LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: • -1 98.14 99,61 .` —310 CMR 15.405 1 b : BH ��L :: S�HUTGFF eft 1) A 10' variance, S.A.S. to cellar wall, for a 10' setback. 10, 9 5 - - 97,22 BASIN poJe� 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR ) 9S 6 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE r:� O 1 ® Cf DESIGN ENGINEER. -:7. PROPOSED 99.63 y h e 4. ANY FROMC�HOS SHOWN HEREON ENCOUNTEREDNDITIONS DURING SHALL BE CONSTRUCTION THIFFERING E DESIGN \- / PORTICO 66,.',. ' ed9 ENGINEER BEFORE CONSTRUCTION CONTINUES. Lot 1 P N�.. ' .:.: :..-.. S�s ' .'_;y'� �. :.::._.. ., 96.2 2 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. Shed 9 ` 99.46 15,511f S.F. / ;' s'; 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF X `•: ;•.'' 0.4f AC. 9 ,(�� THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 100.55 ,'��'o o PARCEL ID: 166 �76 \ ) yy HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. q y 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. p \ N 96,41 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 99,95 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 100,55 10707, AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. N 8103, 96.72 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. `� OF 44s, 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS HYD ON �� sql IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND 97 8 REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). o PETER T. 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE g McENTEE FLOOD PLAIN INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. DATA � o N NON HAZARD—ZONE C �t� OF M4S,r 9 7.3 4 i NoCIVIL ZONING CLASSIFICATION: ZONE RC TERRY PROPOSED SEPTIC SYSTEM SITE PLAN SETBACKS: FRONT YARD=20' ANN GIST G\ SIDE/REAR YARD=10' WARNER �0` s o 217 STURBRIDGE DRIVE, OSTERVILLE, MA MAXIMUM BUILDING HEIGHT = 30' o No. 38721 o Prepared for: David Thunell, 461 Winter Street, Walpole, MA 02081 EXISTING BUILDING COVERAGE=2281 SF (14.7%) �£� jERF� J Engineering by: Surveying by: SCALE DRAWN JOB. NO. PROPOSED BUILDING COVERAGE=2834 SF (18.3%) ° OWNER OF RECORD Engineering Works, Inc. WARNER SURVEYING 1"=20' P.T.M. 135-16 SWEENEY, BARBARA E. & THUNELL, DAVID W 12 West Crossfield Road 22 Long Road WIND EXPOSURE CATEGORY: Exposure B f 461 WINTER STREET Forestdole, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. 7 / WALPOLE, MA 02081 (508) 477-5313 (508) 432-8309 5/2/16 P.T.M. 1 of 2 r� NOTE: TO PREVENT BREAKOUT, FINAL GRADE SEPTIC TANK SHALL NOT BE AT, OR BELOW, EL.=96.3 INSTALL RISERS & COVERS OVER INLET & FOR A DISTANCE OF 15' FROM THE EDGE OUTLET AND SET TO 6" OF FINISH GRADE PROPOSED D-BOX OF THE PROPOSED S.A.S. INSTALL RISER & COVER PROPOSED S.A.S. SET TO 6" OF GRADE INSTALL RISER & COVER OVER EACH CHAMBER AND TLF.G. EL.=99.5± 0.34t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT F.G. EL.=99.1 f F.G. EL.=99.9f F.G. EL.=99.9t a y , @ MAINTAIN 2% SLOPE OVER S.A.S. EXISTING L = HOUSE(#217) 27' 3'(max.) L = 48 L = 5' 3�6 QQ TOF=100.34 ® S=1% (MIN.) ® S=1% (MIN.) ® S=1% (MIN.) 2" LAYER OF 1/8" TO 1/2" 4"SCH40 PVC 4"SCH40 PVC s" 4'SCH40 PVC DOUBLE WASHED STONE 10"I s" as S as (O aR APPROVED FILTER FABRIC) 1q•' BBB aaa aBaaaa INV.=96.75 48" LIQUID ®sasses _3/4".TO 1-1/2" DOUBLE LEVEL WASHED STONE N ADD INV.=96.02 PROPOSED . . 52 4' . ' 4' O,o GAS BAFFLE INV=9585 _ � • INV.=96.50 D BOX EFFECTIVE WIDTH = 12.8' S 47.5' 3 OUTLETS INV.=95.80 20•6' ELt PROPOSED SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS - 000 31•-7' ICONNECT TO EXISTING SUITABLE SEWER PIPE/S SURROUNDED WITH STONE AS SHOWN //� AT EXISTING OUTLET, INV.=97.34t(verify) H-20 RATED TOP CONC. ELEV.=96.9t NOTES: BREAKOUT ELEV.=9 .3 aaBa SEPTIC LAYOUT INV. ELEV.=95.80 eases _ 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & a�aaaaaaaaa INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. BOTTOM ELEV.=93.80 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND 4' 2 x 8.5' = 17.0' 4' TRUE TO GRADE ON A MECHANICALLY COMPACTED 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0' SIX INCH CRUSHED STONE BASE, AS SPECIFIED PERVIOUS MATERIAL IN 310 CMR 15.221(2). 5' (MIN.) ABOVE G.W. LEACHING SYSTEM SECTION E3 E3 E3 E3 0 E3 E3® ® ` 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM OF TEST PIT, EL.=88.3 ®E3®®®® ® ®®® 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE Ea 37" AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. - W ® N Z ®I��®®® ® ®®®® SEPTIC SYSTEM PROFILE 102" DESIGN CRITERIA SOIL LOG 4" KNOCKOUT NUMBER OF BEDROOMS: 3 BEDROOMS DATE: APRIL 22, 2016 (REF P#15,009) OU DIA. COVER SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) SOIL EVALUATOR: PETER McENTEE PE, _(SE#1542) 20" WITNESS: DAVID STANTON R.S. 4" KNOCKOUT / 4" KNOCKOUT DESIGN PERCOLATION RATE: <2 MIN/IN HEALTH AGENT 58" DAILY FLOW: 330 GPD ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH 11 DESIGN FLOW: 330 GPD 100.0 A 0 99.8 A 0 4" KNOCKOUT GARBAGE GRINDER: NO-not allowed with design LOAMY SAND LOAMY SAND LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF 99.2 e 10YR 4/2 91, 99.1 B 10YR 4/2 8„ .74 GPD/SF LOAMY SAND LOAMY SAND 500. GALLON CAPACITY, H-20 LOADING PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY 97.5 10YR 5/8 30" 10YR 5/8 CHAMBERS PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED C 97.3 30" N.T.S. C USE 2-500 GALLON LEACHING CHAMBERS IN SERIES REFERENCE SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 1oj2 i8 NIN PROPOSED SEPTIC SYSTEM SITE PLAN SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. MED. SAND SAND ti MED. SAND Walpole, MA 02081 Prepared for: David Thunell, 461 Winter Street, Wai BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F.. 2.5Y 6/6 2.5Y 6/6 p p TOTAL AREA:.............................................................. 471.2 S.F. Engineering by: Surveying by: SCALE DRAWN JOB. NO. Engineering Works,Inc. WARNER SURVEYING N.T.S. P.T.M. 135-16 DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD 12 West Crossfield Road 22 Long Road 88.5 138" 88.3 138" Forestdole, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. NO GROUNDWATER, PERC RATE: <2 MIN. IN. 1 (508) 477-5313 (508) 432-8309 5/2/16 P.T.M. 2 of 2 I