HomeMy WebLinkAbout0024 YORK TERRACE - Health '24 York Terrace _
Osterville
A = 140 207 ,-
'T
I�
i
I
i
0
o
j TOWN OF BARNSTABLE
LOCATION C24LYORKI TERRACE SEWAGE # 2004-629
VILLAGE 0STFR11 T 1 E ASSESSOR'S MAP & LOT 1 O—207
`� &PHONE NO.INSTALLER'S NAME ELL IS BROTHERS ('f1NST CCL502-362-6237
SEPTIC TANK CAPACITY o O
LEACHING FACUTY: (type) r 6,e 5 (size)
NO.OF BEDROOMS
BUILDER OR OWNER ELLEN & HESS CARROLL
x
PERMITDATE: I I 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
� � �
w` �
Ili hC �W
o ... �
R.� � ��
a- � v
�;,
c
;�
, ,
r
w ..
,� 0
\.
� .� .-.
li
w � w
L � �� .
I� I� �
� P _
No. Fee
HE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, M'ASSACHUSETTS
01pprication for nigonl *pgtem ConsAruction Permit
Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components
Location Address or.Lot No. /7 _ Owner's Name,Address and Tel.No.
Assessor's Map/Parcel
� Yoe ��� ����.✓ G�226L
Installer's Name,Address,and Tel.No. $'S�`—�d 2'"�23, Designer's 4ame,Address and Tel.No.
GLa s ��s �/7 - 41
"I �wf
�✓�' fj2A • �i� �
Type of Building: q C S
Dwelling No.of Bedrooms � Lot Size �'3/ sq.ft. Garbage Grinder(ky
Other Type of Building �5w- No.of Persons Showers( ) Cafeteria( )
Other Fixtures �7 Design Flow 4 b gallons per day. Calculated daily flow f O gallons.
Plan Date S/ _o 54 Number of sheets _Revision Date —/Z 2-
Title c>
Size of Septic Tank d Type of S.A.S.
Description of Soil --:5:422— �`,fA)
Nature of Repairs or Alterations(Answer when applicable) -s`4"lI �G✓ K' Sy�� 4-1-
Date last inspected:
Agreement:
The undersigned agrees to ensure the co truction and maintenance of the afore described on-site sewage disposal.system
in accordance with.the provisions of 'tle the Environme 1 Code and not to place the system in operation until a Certifi-
cate of Compliance has been issu is Board of Heal
Signed Date 2
Application Approved by 0 Date
Application Disapproved for a following re son
Permit No. Date Issued
No. _ Fee
/HE COMMONWEALTH OF MASSACHUSETTS Entered in Computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 7
2pplicat on- for 33ig Dar bpotem Construction Permit
Application for a Permit to Constrict( )Repair( )Upgrade( )Abandon( ) El Complete System ❑Individual Components
Location Address or Lot No. /j w_ Owner's Name,Address and Tel.No.
7 O
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. S"o i .3 G 2 —G23� Designer's ame,Address and Tel.No. -
�vi✓S
Type of Building:
q R6 S
Dwelling No.of Bedrooms Lot Size 0 3 C'/ � sq.ft. Garbage Grinder VX?
I` Other Type of BuildingGe. No. of Persons Showers( ) Cafeteria( )
Other Fixtures /L/ 1
Design.Flow 7 gallons per day. Calculated daily flow Z. U 2? gallons.
Plan Date S/f—D�,Z Number of sheets Revision Date ?/7
Title - s
Size of Septic Tank ,���G7C� V Type of S.A.S. y
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) -J--i✓-S/'1 A,,C l,j si✓ S te- /�.S o
Date last inspected:
Agreement:
The undersigned agrees to ensure the conn�truction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title�Z the Environmental Code and not to place the system in operation until a Cer�fi-
cate of Compliance has been issud" this Board of Hea d.
P y V
Signed / a Date -'
Application Approved by ,/ Date
Application Disapproved foHge following reason,
;r
i
Permit No. Date Issued
- - -----------------------I— --------
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
at has been constructed in accordance
with the pro)isions of Title 5 and the for Disposal System Construction Permit N� dated
Installer Designer 5/J - . -
The issuance of this permit shall not be construed as a guarantee that the sysstem will ft&6on-as designed.
Date Inspector ll' ,__�hVi ZZ N -
s — ��—f--•—•----------------------
No. Fee
V /
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
li6pogaf *pg;tem CZori5truction Permit
Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( )
System located at
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.
Provide&Constrdctiofn�hiusstt bdcompleted within three years of the date of i
Date: rT 'l Approved by1
TOWN OF BARNSTABLE
LOCATION C24EYORKLIERRACE SEWAGE# 2004-629
E CT F R V T i I F
ASSESSOR'S MAP & LOT
VILLAG NO-2 d�
INSTALLER'S NAME&PHONE NO. El I I S BROTHERS CONST rn 5nQ�, E237
SEPTIC TANK CAPACITY o .
LEACHING FACILITY: (type) /r2,¢TES (size)
NO.OF BEDROOMS
ELLEN & HESS CARROLL
BUILDER OR OWNR PERMITDATE: COMPLIANCE DATE: 2- S 0
Separation Distance Between the:
Feet
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility
Private Water Supply Well and Leaching Facility (If any wells exist
Feet
on site or within 200 feet of leaching facility)
Edge of Wetland and Leaching Facility(If any wetlands exist Feet
within 300 feet of leaching facility)
Furnished by
t
I 11
A ;3
'3
67
s—o ,
A 3
{ 7.. }F
H
Town of Barnstable
FT"E Regulatory Services _
0
k A kThomas F. Geiler,Director
. .BArSeABM •
9 MAM Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
I
Date:
Designer: Installer: 1-/11 O rc Ae rf CCH S'o)-
Address: Address: C"
c�/"ter-� Gt� �► G/�' �
.r
On 1119 y l p 137 rc T24rs CO"' wasissued a permit to install a
(date) (installer)
septic system at ,I/c,r 16 -e��5 C`� . based on a design drawn by
�- (address) OF94,-t/V)i r-k, s
I-J 5A lrya dated -j,o(;y 1 Z 1 .
(designer)
— r
if 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. F4*h G+&L-nt,) St;4e#*Y Aaz pe n
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.
A OF M4�I�� % �`AIiIII
Of 414s�ii#
If 4,rz
(Installer's Signature)
ap 0 ,s.: : LIC. #11430
' s C • GI ,. • P� �I'G' ••�(STEP•. \�v-
i (Designer's Skigfiatdfo (Affix Designer's Stamp Here)
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.
Q:Health/Septic/Desiper Certification Form
TOWN OF BARNSTABLE
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS
ASSESSORS MAP NO. PARCEL NO. qO A07
ADDRESS.','
4 VILLAGE �St� -Qj 2
a-a.
CONTACT.PERSON PHONE NUMBERS `4
LOCATION OF TANKS: CAPACITY: ..TYPE- OF- FUEL. AGE: TYPE: LEAK
OR CHEMICAL: DETECTION
SYSTEM!
DATE OF PURCHASE OF EACH: 1. 2. 3. 4. 5.
DATE OF FIRE DEPARTMENT PERMIT:
TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS
PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD.
4t
..
1
�� 4
�y � Q
l �` �` ^�i
. � ��s✓ Uf/( �i
` � �;
��
� � � °,
��.
i
I
� .
� �
i
PROPOSED 1500 GALLON TANK DISTRIBUTION BOX
HIGH CAPACITY INFILTRATOR DETAIL - H2O CROSS SECTION LOCUS PLAN
NOT TO SCALE NOT TO SCALE NOT TO SCALE NOT TO SCALE NOT TO SCALE
:100- i MIN 2% SLOPE----> 94.00
77\11 / / / / / / /\/\/\/\/\/\/\/\/\/\/�\/\/\/\/\/\�\/\' \�' X Nx�\\�\` ST
COVERS TO BE VvrM]IN 6"OF GRADE
INSPECTION PORT TO BE WITHIN 6"OF GRADE SO
MIN. 12" COVER
4"SCH.40 P.V.C. 3"MINIMUM - 4"SCH.40 P.V.0 4"SCH.40 P.V.0 3" 1/8" - 1/2" WASHED STONE�-� EAST BAY ROAD
S=0.02 MIN. I �L \ rr S=0.01 MIN. „ =0.01 MIN.
-9 .35 �3rr 3 W
r r
B- .O 2.0
t
97 9 5
4
92.25
9a.96 \ \ cn
W
2.0' .92' \ p w
4.0 90.8 o.Z . .
10.0 88.2 3/4"- 1 112" DOUBLE WASHED STQNE � 1.08r j
IN M / YORK
/i,/i,/i,/i,/i,/i,/i,/i,/i,/i,�/i,./i,/i,/i /i ./, /i,/i,/i,/ /i,/i,/ /i,/i,/i,/i� w1ANNo TERRACE
OF'STONIr 'TDIrR TANK::.::: 3. 31.0r 3.5
4
--- 10.5 4.0'- 2.83'- 4.0' -
38.0' OTTOM OBS 83.3 10.83' '
SITE SPECIFIC NOTES DESIGN CALCULATIONS GENERAL NOTES
FLOOR PLAN
ALL PIPING TO BE SCHEDULE 40 P.V.C.
INTERNAL PLUMBING CHANGES TO BE MADE BY PLUMBER NOT TO SCALE EXISTING BEDROOMS ALL LOCATIONS OF UTILITIES SHOWN ARE AS
SEWAGE LINE MUST BE SLEEVED AND SEALED WITH PROPOSED BEDROOMS4 @ 110 G.P.D.= 44o G.P.D. MARKED BY DIG-SAFE AND ARE TO BE VERIFIED
BY INSTALLER PRIOR TO CONSTRUCTION.
6 PVC,EXTENDING io EITHER SIDE OF WATER LINE
" SECOND FLOUR No.OF uNrrs 5 THERE ARE NO KNOWN WETLANDS WITHIN
OF THE PROPOSED LEACHING FACILITY
H2O INFILTRATORS MUST BE USED,AND SAS MUST BE VENTED UN
DEPTH BELOW INV. 2' UNLESS SHOWN.
IF SYSTEM IS GREATER THAN THREE FEET BELOW SURFACE.
(FINAL ELEVATIONS MAY CHANGE WITH RENOVATION) WIDTH io•83' THERE ARE NO KNOWN POTABLE WELLS WITHIN
BA79I BATH BEDROOM LENGTH 38 150'OF THE PROPOSED LEACHING FACILITY.
NOTE ELEVATION CHANGES OVER SYSTEM
SIDEWALL AREA 195.32 SF ERE ARE NO KNOWN IRRIGATION WELLS WITHIN
DESIGNER MUST BF.CALLED 24 HOOKS PKIOK'1'O 5v'Oli'1'l1L PROPOSED LLAC111NG 1:AC1L1'1'Y.
BOTTOM AREA 411.54 SF
BEGINNING OF JOB TO COORDINATE INSPECTIONS HALL TOTAL SQUARE FEET 6o6.86 SF THIS PROPERTY DOES NOT FALL WITHIN A
ZONE I I OF A WELLHEAD PROTECTION AREA
BEDROOM CAPACITY SIDEWALL @ o.74 144.54 G.P.D.
BEDROOM CAPACITY BOTTOM @ 0.74 304.54 G.P.D. THIS PROPERTY ADO NO'11+FIRM MAP
WITHIN A
CAPACITY TOTAL 449.o8 G.P.D. FLOOD ZONE AS SHOWN ON FIR
THIS DESIGN DOES NOT REQUIRE VARIANCES
TO TITLE.5(310 C.M.R,i5.00)OR BARNSTABLE
SUPPLEMENTAL RFGM ATIONS.
HIS SEPTIC SYSTEM IS NOT DESIGNED ALL CONSTRUCTION SHALL BE IN ACCORDANCE
FIRST FLOOR O ACCOMODATE A GARBAGE DISPOSAL. WITH TM F 5 AND BARNSTABLE..SUPPLEMENTAL
REGULATIONS.
O �O x IN-LINE ELEVATIONS PROPOSED AS-BUILT SURVEY INFORMATION
4 7 m v 0 FAMILY ROOM
LOT17 BEDROOM A
O . INv.@ IISE-A 98.35 PROPERTY LINE DATA TAKEN FRO
��� L`S
»ATH INV. @ HSE-B 97•0 SURVEY DONE BY A SURVEYING
ITALL
iNV INTO TANK 92.25
g� INV OUT OF TANK 92.0
INV INTO D-BOX 9o.96 PLAN TO BE USED FOR INSTALLATION
DINING INV OUT OF D-BOX 9o.8 OF SEPTIC SYSTEM ONLY
ROOM LIVING ROOM KITCHEN INV INTO INFILTRATOR 90.2
\ � NOT TO BE USED TO DETERMINE PROPERTY LINES
04 BOTTOM OF INFLU RAI'OR 89.28
J BOTTOM OF STONE 88.2 BENCH MARK-
BOTTOM OF OBS HOLE 83.31
WATER TABLE NONE ENCOUNTERED TOP OF FOUNDATION EL. 100.71
DATE. , OBSERVED BY: WITNESSED BY:
(� SOIL LOGS MAY 27, 2004 LISA C. LYONS DAVID STANTON
SOIL EVALUATOR BOARD OF HEALTH
OBS. HOLE #1 OBS. HOLE #2
ELEV. DEPTH ELEV. DEPTH
f 95.0 0" 0.0 011
FILL
92.2 3,F
, LOAMY SAND
� A lOYR 2/2
v 91.3 44"
LOAMY SAND
B 90.2 10YR 5/8
_ - 49
11
,rz
= c 58
11
- MI✓D/COARSE SAND 70"
2.SY 6/6
-Y 14011,
p0 O GROUNDWATER ENCOUNTERED
iA
EXISTING CESSPOO ,
TO BE CAWID AND o�9 PERC RATE <2 MINS. / INCH
B-INVERT T BE REPLUMBED
) .XT G 1a'El
SLF.F -6"PVC �, BY PLUMBE AT ELEVATION 94.5
' T HER SIDE .
OF WATER SERVICE
RETAn%NG WALL
RELOCATED
O
94 EXISTIN ESSPOOL
_-- TO BE .AVED AND FILLET)
/ - -94
r
OF
LISA C. �%G PLAN SHOWING:
Yuri =N PROPOSED SEPTIC SYSTEM REPAIR IN BARNSTABLE
L 1 C: .S 11 '�'• DRAWN BY: LISA C.LYONS
FOR:
''.'F�:'• ;���E ,•.•*��•�•� � r ELLEN & HESS CARROLL DiirslGNr;D&CHECKED BY:
i s LISA C.LYONS
LOCATION: REVISIONS: DESCRIPTION: DATE:
24 YORK TERRACE, OSTERVILLE RELOCATE TANK AND INVERT B JULY i2,2o04
9 LOT#: 140 - 207 DATE:J-UNE 11,2004
LISA C. LYONS,IS. R.S.Sk,�LE I o 2U I CERTIFY THAT THIS PLAN CONFORMS TO LISA C. LYONS, S "508) 790-9270
TITLE 5 AND BARNSTABLE B.O.H.REGULATIONS HYANNIS MASSACHUSETTS (774) 487-1-638
(EXCLUDING WAIVERS SPECIFIED)