HomeMy WebLinkAbout0116 WATERFIELD ROAD - Health 116 Waterfield Road _
Osterville
A= 119-022
I
TOWN OF BARNSTABLE
LOCATION. f1Co Ji0/G�Pr- ''� /how SEWAGE#
VILLAGE ,e ASSESSOR'S MAP&PARCEL
INSTALLERS NAME&PHONE NO. E
SEPTIC TANK CAPACITY /5 00 c,
LEACHING FACILITY:(type) a- 6-00 s CA, ,Zrf (size)
NO.OF BEDROOMS 3
OWNER
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 feei'of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
FURNISHED BY
S77'
a �9 � 51�
No. c ' ' Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye_
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
9pplication for 30isposal *pstrm Cons"ttiun Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 1/.1 �;,7�•-E%����� Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel a;t, �o�Z 'a S o, �� Oa 66 7
Installers Nam ,Address and Tel No. Des!gner's Name,Address,and Tel.No.
? � cif •l/i /� oo7G`�`� a'L fi-asr��/d p` c��.
Type of Building:
Dwelling No.of Bedrooms Lot Size 3//s�/ sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 7 0 gpd Design flow provided 3 YZ 3 gpd
Plan Date -o?7- // Number of sheets_ Revision Date
Title
Size of Septic Tank /57L*2,04 Type of S.A.S.S� C`I drn�r�
J
Description of Soil se
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.
Signed C Date
Application Approved by Date -7.
Application Disapproved by Date
for the following reasons
Permit No. �� (� p'l Date Issued •-��• T(.
a�
H
No. f�I L .:` Fee L7
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: f
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Y
01ppYiration for Disposal 6pstrm Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) [:]Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel y WA Oc? 64
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
d ALL 13"Id Rj f cc
Type of Building:
Dwelling No.of Bedrooms Lot Size J 511 sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) -� ?D gpd Design flow provided T-�3 gpd
Plan Date /-,�7- /� Number of sheets 2 Revision Date
Title
Size of Septic Tank �,�(7� Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
v ,
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sawage 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
s;
Compliance has been issued by this Board of Health. l
Signed Date 7--12>//
Application Approved by 6/\/ VV� 6 , Date "� q
Application Disapproved by Date "
for the following reasons
Permit No. ( (`� G( Date Issued 77 ---i
r
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
fi Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(✓�
andoned( )by c1, 009. k6 4 �r Y
at � . has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.461 C Q 9dated
Installer :1� , Designer
#bedrooms Approved desi flow ;=:I gpd
The issuance of this permit shall not bg construed as a guarantee that the systernC l�funciibm�asesigned.
Date. � II Inspector
No. 7 I(_ - r Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal 6pstetn (Construction Permit
Permission is hereby granted to Construct( ) Repair( ) Upgrade(V-�' Abandon( )
System located at
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 permit.
Date .� 1—I Approved by & Q�� �� (c�=V
Town of Barnstable
�. Regulatory Services
Thomas F. Geiler,Director
Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Date: 7 l ( _ Sewage Permit# o?0/I o?a7 Assessor's Map/Parcel l --0 22---
Installer&Designer Certification Form '
Designer: W o r Lc s, Inc . Installer: T C• NOAA-o
Address: 12 W. Crb S S ;e lCA jar}. Address:
,w J-4wt-C M azroyy �� � M�%�s M =
On �� C, /N\ A-a was issued a permit to install a
(date) (installer)
septic system at f 6 WQ fze t � (d based on a design drawn by
(address)/
`L 1'�9 dated 612,71
11
(designer)
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. Stripout (if required) was inspected and the soils
were found satisfactory.
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 follow. Stripout(if required) was ' cted and the soils
were found satisfactory. H OFi�,yssq
'PETER T. N
AAcENTEE �,
( nstaller's Signature v civtL
r A 9 No.35109 O
/STER
(Designer's Signature) (Affix Design re)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
gAoffice formsWesignercertification form.doc
Town.of Barnstable ?# / c�
Depart'i.nent of Regulatory Services
Public Health Division Pate t t
xuas
t63y �� 200 Main Street,Hyannis MA 026016 l
:Date Scheduled A Time �. ( `1
Fee:Pd
Soil Suitability Assessment fo'r S age Is
Performed By Witnessed By:
LOCATION&GENERAL INFORMATION
Location Address Qr�t /)_. Owner's Name 1` � (2-o
Address
Assessor's Map/Parcel: t 1 C _t�.Z, „' Engineer's Name •1
.., .... .�. '}�cke.,i-f�'�C.�.��-fix-:
NEW CONSTRUCTION REPAIR' Telephone,# CC7—?37^4l-Z
Land Use. 1451 Slopes 'yo (. Surface
(�f�
p ( ) Surface Stones
Distances from: Open Water Body Z� ft Possible Wet Area _ft .Drinking Water Well 7 I S ft '
Drainage Way / -' ft .Property.Line Q Sd ft Other - ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&.pert tests,locate wetlands?n-proximity,to holes)
5
Parent material(geologic)- v Depth to Bedroclt /v �
Depth to Groundwater. Standing Water in Hole:�� Weeping from Pit Face a
Estimated.Seasonal High Groundwater l (�'2a
DETERMINATION FOR.SEASONAL HIGH WATER TABLE "
- ...Method Used:
Depth Observed standing in obs.hole: _ ` _ in,—Depth to soil mottliii' in>
Depth to weeping from side of obs.hole: in, Groundwater Adjustment ft.
Index.Will.# . Reading Date: Index Well level�. Adj,&&tor T Adj.0roupdwater Level,,
PERCOLATION TESL' Datt:�q, Thnt,..�.�
Observation
Hole# l Time at 9"
Depth of Perc` g Time at 6"
P
Start Pre-soak Time® 15me(91141)
End Pre-soak
Rate Min./Inch:
le Z
Site Suitability Assessment: Site Passed—� Site Failed: - Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back-----------
***If percolation test is to be conducted within 100' of wetland,you must first notify the.
Barnstable Conservation Division at least one (1)week prior to beginning.
Q:�SEPT[CIPERCFORM.DOC - .
DEEP.OBSERVATIONROLE LOG Hole#
Depth from Soil Horizon Soil Texture Sdil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
consistency. vl
DEEP OBSERVATION HOLE LOG Hole.-
Depth from Soil Horizon Soil Texture Soil Color: Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency %-
d-- , �-J. !a2-�, z
DEEP OBSERVATION HOLE LOG
Hole#
Depth from- Soil Horizon. Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency, Gravel)
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) - Mottling (Structure,.Stones:Boulders.
Consistency,
Flood Insurance Rate.Map:--
Above SOO year flood boundary No_ rYes
Within 500 year boundary No—4 Yes es -
Within 100 year flood boundary No Yes
Pervious Material
De th of Naturall Occurrin Per .
p V E
t four feet.of naturally occurring erviou material exist to all areas observed throughoutahe
Does at leas Y g P
area proposed for the soil absorption system?
If not,what.is'the depth of naturally occurring per ous material? -
Certification
I certify that'on, (date)I have passed•the soil evaluator examination approved by the
Department of Envir nmental Protection and that the above analysis was performed by me consistent with
the required:tra' ' ,expertise and experience described in 310°CMR 15.017.
Date
Signature
Q:\,SBPT lC%PERCFORM.DOC
1
—101--EXISTING CONTOUR
N x loo.98 EXISTING .SPOT GRADE
® nte� reenn -e.H.W—OVERHEAD WIRES
W —W—EXISTING WATER LINE
LOCUS 97 TEST PIT
PG
BK 119 PL.
BENCHMARK
LEGEND
m �
pond
-7
S 04'10'p0
LOCUS MAP 99.65
NOT TO SCALE 5" W —
S o5-3ISr�
67 13'
x 37.34
' 66' WIDE EASEMWNT'
N/F CAPE & VINYARD ELECTRIC CO.
a w00
3 '
,_, i. +.� •�.�. - .+. - :Ara
. .O j\ -fix 37.36 00
`rJ
'� 36.
7 N 0 �'
(O N ih�.cA��2$• (0
to ' 0 S,q Si 37.55
36
z
TP- TP-2 y-vy� 3' --- ----------
\ice•' 7n.►�/i __ - ,
SPIKE
PROPOSED 37.74 0
SEPTIC TANK o
.. 1500 GALLON CAPACITY 0
�^ EXIS77NG CESSPOOL
TO BE PUMPED & FILLED
BENCHMARK ____3� SHED ; x 38.62 W/SAND AND ABANDONED
OUTSIDE COR./CONC. SLAB w 38.31
o
EL.= 38.26 (Assumed Datum) 0
sN
38. 6
x 38.48 ---'
•XI S '39.02 C7
co
/EXIS77NG
HOUSE(#116)
TO.F.= AN.00
AN
38.64
Lot.11. `� B.zsHw
39,591 f S.F.
APN 119-022
3�.90
PETER T.
• `
GRA VEL DR l/EWA Y. _=-,•':: g McENTEE
CIVIL `n
38.11 No. 35109
�\\ 37.67' o
§i.zs.: I x REPSTER` �`�
FSS E
75.P h=2:4 50'I
1. i:. — /dh 1
B Se
2
C 2. /
HYD ANT 36.90 S 14 01 0 VV 39.22�/ 1 I
_. ,... , —556,; 3 P
36.50 3i.64 edge -3`d of pavement
36.67
WA TERRIELD ROAD
OWNER OF RECORD
STETSON, ROBERT C & CARLA
102 EAST STREET
SHARON, MA 02067
Engineering by: SCALE DRAWN JOB. Na- PROPOSED SEPTIC SYSTEM UPGRADE PLAN
Engineering Works, Inc. 1"=30' P.T.M. 1 76-1 1
12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET No. 116 WATERFIELD, ROAD OSTERVILLE MA
(508) 477-5313 6/27/11 P.T.M. 1 of 2 Prepared for: J. C. Aalto, P.O. Box 339, Marstons Mills, MA 02648
NOTE: TO PREVENT BREAKOUT, THE PROPOSED
FINISH GRADE SHALL NOT BE < EL:35.0
SEPTIC TANK FOR A DISTANCE OF 15' AROUND THE
INSTALL RISERS & COVERS OVER INLET PROPOSED D-BOX PERIMETER OF THE S.A.S.
AND SET TO 6" OF FINISH GRADE. INSTALL WATERTIGHT RISER & PROPOSED S.A.S.
PROVIDE ACCESS TO GRADE OVER OUTLET COVER COVER SET TO 6" OF GRADE PROVIDE TWO ACCESS MANHOLES TO WITHIN 3"
OF FINISH GRADE FOR INSPECTION PURPOSES
T.O.F.=38.8t
EXISTING F.G. EL: 37.5(MAX.)
F.G. EL.=37.7t F.G. EL: 37.6t
v MAINTAIN 2% GRADE (MIN.) OVER S.A.S.
L = 29 L - 8 L - 10'
® S=1% (MIN.) ® S=1% (MIN.) @ S=1% (MIN.)
4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC
3"
to'I 6a as
74 a as 33MaN
INV.=35.50 48'_UOUID _ aBBBaaB
LEVEL 4' 5.2' 4'
INV.=37.Ot GAS BAFFLE INV.=34.77 PROPOSED INV.=34.60
- 1 . EFFECTIVE WIDTH = 13.2'
(FIELD VERIFY) --. INV.=35.25 D BOX
INV.=34.50
PROPOSED SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS
SURROUNDED WITH STONE AS SHOWN
H-10 RATED
TOP CONC. ELEV.=35.3f
BREAKOUT ELEV.=35.00 toease
INV. ELEV.=34.50 a al BBBB
BaaaB Ba0aam,
NOTES: BOTTOM ELEV.=32.50
1) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND TRUE 4' 2 X 8.5=17.0' 4'
TO GRADE ON A MECHANICALLY. COMPACTED 6" CRUSHED 5' MIN. ABOVE BOTTOM OF EFFECTIVE LENGTH = 25.0'
BASE, AS SPECIFIED IN 310 CMR 15.221(2). T.P. EXCAVATION OR G.W.
2) INSTALL INLET & OUTLET TEES AS REQUIRED. LEACHING SYSTEM SECTION
3 GAS BAFFLE TO BE INSTALLED ON OUTLET TEE NO GROUNDWATER, EL=26.5 - .
AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. 3/4" TO t-t/2" DOUBLE
WASHED STONE
3" LAYER OF 1/8' TO 1/2"
SEPTIC SYSTEM PROFILE DOUBLE WASHED STONE
(OR APPROVED FILTER FABRIC)
N.T.S.
GENERAL NOTES:
1.. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL eEUM U 0 ®U U UBOARD OF HEALTH AND THE DESIGN ENGINEER. U U U U U U U 33 33"
2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 0'OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE `t LdU®U U U U U ULOCAL RULES AND REGULATIONS. N ZU U U U U U U U
3. THE SEWAGE DISPOSAL•SYSTEM SHALL NOT BE BACKFILLED PRIOR
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE
DESIGN ENGINEER. 102"
4. ANY.-CONDITIONS ENCOUNTERED--DURING CONSTRUCTION DIFFERING - - - -
FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN
ENGINEER BEFORE CONSTRUCTION CONTINUES. - 11 1 ;
5. ALL ELEVATIONS BASED ON ASSUMED. 4" KNOCKOUT
6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 020" DIA. COVER
THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION
7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 4" KNOCKOUT 4" KNOCKOUT 62
8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S.
9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS
AGREED UPON BY OWNER.AND CONTRACTOR OR AS OTHERWISE 4" KNOCKOUT
DIRECTED BY THE APPROVING AUTHORITIES.
10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY
THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 500 GALLON CAPACITY, H-10 LOADING
CONSTRUCTION. CHAMBERS
_
11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND
REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3).-
12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE . SOIL LOG
INSPECTED BY A LICENSED SOIL EVALUATOR PRIOR TO BACKFILL '•
13. ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC DATE: JUNE 21, 2011 (REF#13,332
SYSTEM COMPONENTS NOT SHOWN ON THE PLAN. SOIL EVALUATOR: PETER McENTEE PE, (SE#1542)
WITNESS: DONALD DESMARAIS R.S.
HEALTH AGENT
DESIGN CRITERIA ELEy. TP-1' DEPTH ELEv. TP-2 DEPTH
37.6 A 0" 37.5 A 0"
NUMBER OF BEDROOMS: 2 BEDROOMS LOAMY SAND LOAMY SAND
SOIL TEXTURAL CLASS: CLASS 1 10YR 2/2 10YR 2/2
37.1 g" 37.0 6"
B B
DESIGN PERCOLATION RATE: <2 MIN/IN LOAMY SAND LOAMY SAND
DAILY FLOW: 220 G.P.D. 10YR 3/6 10YR 3/6
DESIGN FLOW: 330 G.P.D. 34.9 C 32" 35.5 C 24"
GARBAGE GRINDER: NO PERC
•PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY 36"/48"
LEACHING AREA REQUIRED: (330) = 445.9 S.F. MED. SAND MED. SAND
.74 2.5Y 4/6 2.5Y 4/6
USE 2-500 GALLON LEACHING CHAMBERS IN SERIES
SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES
SIDEWALL AREA: 2(13.2' + 25.0') X 2 = 152.8 S.F.
BOTTOM AREA: 13.2' x 25.0' = 330.0 S.F.
TOTAL AREA:..............................................................482.8 S-F. 26.6 132" 26.5 132"'
PERC RATE <2 MIN/IN. ("C" HORIZON)
DESIGN FLOW PROVIDED: 0.74(482.8) = 357.3 G.P.D. NO GROUNDWATER ENCOUNTERED
Engineering by: SCALE DRAWN JOB. NO. PROPOSED SEPTIC SYSTEM UPGRADE PLAN
Engineering Woks, Inc. N.T.S. P.T.M. 176-1 1 116 WATERFIELD ROAD OSTERVILLE MA
12 West Crossfield Road, Forestdole, MAR 02644 DATE CHECKED SHEET NO.
(508) 477-5313 6/27/11 P.T.M. 2 of 2 Prepared for: J. C. Aolto, P.O. Box 339, Morstons Mills, MA 02648