HomeMy WebLinkAbout0175 WASHINGTON AVENUE - Health - -
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LOCATION SEWAGE
.VILLAGE �5 �✓���C.. ASSESSOR'S MAP&PARCEL /9-7
INSTALLERS NAME&PHONE NO. &Jy--
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) -_ ' . (size)
ri
NO.OF BEDROOMS
OWNER7d, >
PERMIT DATE: /� f�• `') 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
�►--A - �J
e �
Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
. PUBLIC HEALTH DIVISION . TOWN OF BARNSTABLE, MASSACHUSETTS Ye .
Zipplication for Migozal �&pgtem Con.5tructiou Vertu
Application for a Permit to Construct/ Repair( ) Upgrade( ) Abandon( ) LrJ Complete System ❑Individual Components
Location Address or Lot No. ) �7 �� ��� /,�� Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel e,5 j
Instal er's Name,A dress and Tel.No. Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size c31,�G�� sq. ft. Garbage Grinder (146
Other Type of Building e No.of Persons Showers( ) Cafeteria( )
Other Fixtures 7
Design Flow(min.required) gpd Design flow provided ( gpd
Plan Date 10117 2�) 7 umber of sheets Revision Date
Title ®i
Size of Septic Tank 157719 Type of S.A.S. dl "37�10
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 Certificate of
Compliance has been issued by this Board f Health. l
Signe Date L l`11 5
Application Approved by ® Date
Application Disapproved by: Date
for the following reasons
i
Permit No. Date Issued
r, w...+.,�..iL,.�-..r...;,•:.t-^.�-�..arM..:+,----•c.,,,.; .-...«:;d,i, « .,y�,.,�1w�++a.r!"...._;..._ ::.i.;«,...:....r--:.-..::�.._.-.�.. .. , ��... . _. .. _, __
No. I 14�.. Fee `
� - Entered in computer:-4
THE COMMONWEALTH OF MASSACHUSETTS
.PUBLIC HEALTH DIVISION =TOWN OF BARNSTABLE, MASSACHUSETTS Ye
Zlpprication for �i!5po5al-,pgtem Cou.gtruction Permit
Application for a Permit to Construct Repair( ) Upgrade( ) Abandon( ) L rJ Complete System ❑Individual Components
o`cation Address or Lot No. Owner's Name,Address,and Tel.No.
Assessor's Wp/Parcel
Installer's Name,A dress and Tel.No. Designer's Name,Address and Tel.No.
Co� 7
T,ype of Building:
Dwelling No.of Bedrooms ` Lot Size sq.ft. Garbage Grinder (114d
Other Type of Building /�tUS/ /�/��� No.of Persons Showers( ) Cafeteria( ' )
Other Fixtures
Design Flow(min.required) gpd Design flow provided \ f 7 gpd
Plan Date /��/ !� Number of sheets Revision Date
Title
i
Size of Septic Tank �Jr/�/� Type of S.A.S. p " Jl�/� � 4!5A_1 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 Certificate of
Compliance has been issued by this Board of Health.
Signed1'_ j/ _ ('X 4__9 M �r�r�� :.� Date
Application Approved by `/[r, �/� - ® // li r: Date
Application Disapproved by: �
for the following reasons '
Permit No. Date Issued y
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
(Certificate of Compliance -
THIS IS TO.CERTIFY,that the On-site
,Sewage/Disposal System Constructed ( �Repaired ( ) Upgraded ( )
Abandoned( )by ' ��� /y C//. /
at 7 (�t/C/> %,yam �'/ /i'� 5� has been constructedin accordance
with the provisions"of Title 5 and the for Disposal System Construction Permit No. a% �7 dated
Installer,] Designers- }71
#bedrooms 1!n Approved design flow D gpd
The issuance of this permit shall not be construed as a guarantee that the system wwi.11-functioVrg,-d
esi' ned.
�)
Date A Insector� p \��
�" \ ��a
——— ��'9"��'1 ——No. Fee,! 1,
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS
"=ig ogaf ,gtem Cottgtruction Permit �
Permission is hereby granted to Construct ( J) Repair ( ) Upgrade ( ) Abandon ( )
System located at
and as described in the above Application for Disposal System Construction Permit.The appficant recognizes his/her duty
to comply with Title S and the following local provisions or special conditions.
Provided: Construction must be completed withih three years of the date of this permit.
Date ��� �� "7 Approved by<T �>Tl I J bL1
FROM :down cape engineering inc FAX-NO. :1,50836298eO Mar. 25 2008 09:26AM Pl
Town of Barnstable O
Regulatory Services
Thomas F, Geiler,Director
1 Public Health Division
Thomas McKean, Director
.200.Plain Street,Hyannis,MA 02601
Office: 50$•862-4644 Fax: 508-790-6304
Installer& Desjgner Certification Form
Date: /71 7i
Sewage Permit# _ 07 SAssessor's MaplParcel
Designer: Ova/l �. 11)0-ri Installer:
Address: �V Address: 0 &d
g„ M 01A. �' �'9� 0aj Nit ((j, Nl-
�1 a
On. � 7 iol'xwwl/&I� aykwas issues a permit to inti1a11 a 0.
(date) / (installer)
septic system at i �.� W �f h � ►'� Q• based on a design drawn by
(adds , s)
... _._....... _ . . . dated _..../d l7 ...
(desi er)
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 & Local Regulations. Plan revision or
certified as-built by designer to ii0110w.
i
� qo
Boa ARNE H �,
OJALA
(intilall s Signature) clv,i,
No. 30792
_ �0STC-
(Designer's Si ature) (Affix Designer's Stamp Here)
N1.EA%'V RETURN TO BARNSTABLE PUBLIC HEAL .H DWIS1 N CEEaMCATE OF
COMPLIANC1 WILL NOT RE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE
RECEMID BY THE BARNSTABLE PUBLIC: HEALTH DIVISION. THANK YOU.
(;:1-1catth/Scpticsmcsigncr Csriiricatiori Form 3-26-04.doc
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73'4�
UTILITY
?- rlo4,95 6'11 x 5'
LAUNDRY
A-14b 9'1 x 12'1
S�
BATH
6'11 x a'1 ENTRY
91 x 9'1
�s KITCHEN
413'6 -r
i
foyer
IL,.��.,..,...-. 32'7 x 10'S
i -A
f ,
,PaIxV�6
att
14 _
e iq-w f 9
4.
i' DECK i
21'4 x 13'5 is
c
to
Musl`9/
Room y LIVING
29'2 x 23'4 t1 15'9 x 23'4
shovel
3'2x4
cLit c�
^ I I WetBar/OffIce
227 x 1011
LIVING AR(:A
2%5 sq t
Game
Room
33'3 x 12'6 , i
I
UTILITY
6'11 x S'
LAUNDRY
9'1 x 12'1
BATH
61tl x 81 ENTRY .o
9'1 x 9'1
3ru
�s KITCHEN
16'4 x 13'6 - - ---- --- -
foyer
327 x 10'S
Pantry/Halt
14'S x 4.6
4.7_� 4 y
DECK
21'4x13'S
Dining/ r
Music
Room
29'2 x 23'4 LIVING
shower13'9 x 23'4
8'2 x 4
IL
VetBar/OffIce �C
22'7 x 10'll
LIVING AF EA
Gable 2365 sq e
ROOM i
'333 x 12'6
• r 3413
16 u
76
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I0 001
SYSTEM PROFILE NOTES
LEGEND TOP FNDN. AT EL. 25.0'
ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO S�
ACCESS COVER TO WITHIN 3` OF FIN. GRADE 1. DATUM IS NGVD Main St.
1 . 100.0 PROPOSED SPOT ELEVATION ACCESS COVER (WATERTIGHT) To
23.0' MINIMUM .75' OF COVER OVER PRECAST /s/T WITHIN 6" OF FIN. GRADE 2. MUNICIPAL WATER IS EXISTING
2X SLOPE REQUIRED OVER SYSTEM
100x0 EXISTING SPOT ELEVATION 22.5
2" DOUBLE WASHED PEASTONE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT.
100 RUN PIPE LEVEL OR GEOTEXTILE FABRIC
PROPOSED CONTOUR *EXfSTING FOR FIRST 2 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO
j1PROPOSED 1500 3' MAX. H- 10
100 EXISTING CONTOUR GALLON SEPTIC 19.6'. . 19.85' TANK (H- 1 O ) � 19:61'
1$.99' ALL SYSTEM COMPONENTS SHALL BEBAFFLE 5. PIPE JOINTS TO BE MADE' WATERTIGHT. o°
19.16 p 0 0 O p p 0 MARKED WITH MAGNETIC TAPE OR
kcD �8.8 1' p p p p p p p p p c COMPARABLE MEANS FOR FUTURE LOCATION. 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH
( 2.5 X SLOPE) �6" CRUSHED STONE OR MECHANICAL p 0 p 0 p C] p p p
MASS. ENVIRONMENTAL CODE TITLE V.
COMPACTION. (15.221 [21) 2' p ED p p p _E] p p p 16 81' �" LOCUS t
DEPTH OF FLOW = 4' 1 1
( X SLOPE) ( X SLOPE) 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO ,e
TEE SIZES: „ 3/4" TO 1 1/2" DOUBLE WASHED STONE BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. Se°
INLET DEPTH = 1Q_
OUTLET DEPTH - 14" 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
I
-f 1
LEACHING 6.31' 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED
FOUNDATION 13 SEPTIC TANK 44 D' BOX 20' WITHOUT INSPECTION -BY BOARD OF HEALTH AND PERMISSION .- f .
FACILITY
OBTAINED FROM BOARD OF HEALTH. LOCUS MAP
10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING
* DIGSAFE 1-888-344-7233 AND VERIFYING THE LOCATION SCALE: 1" = 2,000't
THE INSTALLER SHALL VERIFY THE ( )
LOCATIONS OF ALL UTILITIES AND ALL BOTTOM TH 2 EL. 10.5' OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO ASSESSORS MAP 139 PARCEL 87
BUILDING SEWER OUTLETS AND ELEVATIONS COMMENCEMENT OF WORK.
PRIOR TO INSTALLING ANY, PORTION OF
SEPTIC SYSTEM11. EXISTING SEPTIC SYSTEM SHALL BE PUMPED AND LOCUS IS WITHIN FEMA FLOOD ZONE C
REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. AS SHOWN ON COMMUNITY PANEL #25001 0016 D
DATED JULY 2, 1992
12. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE LOCUS IS WITHIN AP OVERLAY DISTRICT
REMOVED 5' BENEATH AND AROUND THE. PROPOSED TEST HOLE. LOGS
LEACHING FACILITY.
e 19 ENGINEER:
13. EXISTING GARBAGE GRINDER TO BE REMOVED. DAVID FLAHERTY, R.S., SE2755
A�gA -��-
BENCHMARK: USE CONC. BND. ag�lingtag �- 20
-r
WITNESS: DONNA MIORANDI, R.S.
AT ELEVATION 21.1' �-' DATE: OCTOBER 11 , 2007
21 PERC.. RATE _ < 2 MIN/INCH
21 ,5° °° SYSTEM DESIGN: CLASS I solLs P# 11963
\ ELEV. ELEV. ELEV. ELEV.
GRAVEL \ 27 GARBAGE DISPOSER IS NOT ALLOWED 4 „ 4 4 „ 4 '
DRIVE \ ON
22.3 p 22.5 0 22.3 0 22.5
\\ DESIGN FLOW 6 BEDROOMS ® 110 GPD = 660 GPD A/E A/E A/E A/E
USE A 660 GPD DESIGN FLOW LS LS LS LS
1 I " 1OYR 4/2 1OYR 4/2 �1„ 1OYR 4/2 " 1OYR 4/2
LOT AREA I SEPTIC TANK: 660 GPD (2) = 1320 11 8„ 9
31,500f SF � ' I USE A 1500 GAL. SEPTIC TANK B B B B
�► 0.7f AC. 5� \ LS
-� Q� TH-2 � HE �
LS LS LS
\ :r -4 I LEACHING: 1OYR 5/6 10YR 5/6 10YR 5/6 10YR 5/6
\ SIDES: 2 (58 + 10.83) 2 (.74) = 203 GPD 32" 19.6 28" 20.2' 31" 19.7' 29"
J 20.1
f
\ 2 BOTTOM 28 x 10.83 (.74) = 464 GPD
W DED AREA 22 , TOTAL: 901 S.F. 667 GPD C C C C
ti... , PERC PERC`
USE (6) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL)
IMTH 3.5 STONE AT,ENDS AND 3 -AT=.SIDES-
' GARAGE _.. _
MS MS.. , - - MS MS
1OYR 7/4 10YR 7/4 10YR 7/4 10YR 7/4
\ MA
5•$' DECK o APPROVED DATE BOARD OF HEALTH
132 11.3 144 10.5 132 11.3 144 10.5
'NOTE: EXISTING SEPTIC SYSTEM IN AREA OFNO GROUNDWATER ENCOUNTERED -NO GROUNDWATER ENCOUNTERED
'� ��.
PROPOSED. SEE NOTE 11
o �• �� 3 EXIS11N 6 BR- DWELING
o TOP OF FNDN EL. 25.q'
x
P 4c"
TITLE 5 SITE PLAN
I 0N• DECK OF
x � PROP'
I 175 WASHINGTON AVE.
x O 1�
�1 (OSTERVILLE) BARNSTABLE, MA
rn
PREPARED FOR
rn
x ROBERT BAER
DATE: OCTOBER 17, 2007
x Vi
i
Sea 0 10 20 30 40 50 FEET
i
off 508-362-4541
fax 508 362-9880
�� ,�zH ofS �y
�,�cNOFMgs�cy �o DANIEL ��,
DANIELA. �� A. down cape en in eerii'7 q, �l'7 c.
o OJALA OJALA y
w CIVIL No.40980 Cl VIL ENGINEERS
°FFss�Isre G,�`� 'r �q s E � AND SUR VEYDRS
ANAL
DATE R'4 MA. OJALA, P.E., L.S. 939 Maim Street - YARMDU THPOR T, MASS.
DCE #07-245
07-245 BAER.DWG (DDF)