HomeMy WebLinkAbout0040 BRANCH TERRACE - Health 40 BRANCH TERRACE
Marstons Mills
A= 126 - 027
TOWN OF BARNSTABLE
LOCATION !qn JgAnn4—•Cl c_1Z�CE SEWAGE#
VILLAGE ASSESSOR'S MAP&PARCEL ► —�'7
INSTALLER'S NAME&PHONE NO.-
. SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) i fZ& C bf— (size) ——6 X Q. r,3 X—t
NO.OF BEDROOMS
OWNER /
PERMIT DATE: —3-• L(-- 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
M
i"
�k ham, b
"bN gl o L, 2 Eck— a
d
� � .63 - 3
No.
(D Fee [,00
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
Rpplitation for -bispOSal 6pstem Construction Permit
Application for a Permit to Construct( ) Repair r Upgrade( ) Abandon( ) ❑Complete System C/ndividual Components
Location Address or Loss No.✓® &nCA Te f o, Owner's Name,Address,and Tel.No, t 0'
Assessor's Map/Parcel . `7 7q, cl a�3
Installer's NaAie,Ad4ress,and Tel.No. S'C7 0-77/-9;3 Designer's Name,Address,and Tel.N000(fin
3?Y44, 64,Yarmo6kA4/P�)14 0--h&76
Type of Building:
Dwelling No.of Bedrooms Lot Size a),3 Ce Lt sq.ft. Garbage Grinder( )
Other _ Type of Building RP%ideas 4-i a I No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) d gpd Design flow provided 399 gpd
Plan Date H g SOI Number of sheets I Revision Date
Title
Size of Septic Tank ' Type of S.A.S. `
Description of Soil Class I
Nature of Repairs or Alterations(Answer when applicable) '/D
od
® P 100 if)
'
Ic etc __�n
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,Hea th.
Signed Date fp
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. ZCI( ��� Date Issued
0
No. U t - & Fee f7
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: .- -
Yes
PUBLIC HEALTH DIVISION - SOWN OF BARNSTABLE, MASSACHUSETTS
01ppliLation for �Dtsposal *pstem Construction Permit
Application for a Permit to Construct( ) Repair(v) Upgra e( ) Abandon( ) ❑Complete System ❑ fndividual Components
Location Address or Lot No.yo ,�� �,�,�� � Owner's Name,Address,and Tel.No.(2h 1 W Met i�
t46a SJcto.5 ;W,,1 G . 3 G-u.y tom . X/ an,)i�5 G U 0)
Assessor's Map/Parcel s 3� .� -7! r ••7"7 S 3S
Installer's Name,Address,and Tel.No. 150.' 71 0.0 3W Designer's Name,Address,and Tel.Noj�b(J/1 P C41.
C -Pto -4 =}`3'�yoin 54, 6jlrWU..L6 10'jsi &,'akG,76
Tape of Building:
Dwelling No.of Bedrooms Lot Size 471. 3 G y sq.ft. Garbage Grinder( )
Other Type of Building Res t c)e.,A j a I No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.,required) Ig 0 gpd Design flow provided _ �/ gpd
Plan Date A6 t 111k R' .X�')I V Number of sheets Revision Date Al/A
Title
n
Size of Septic Tank�J,,c. t'.-V, 1 i')!) My IhIlType of S.A.S. .��� , , kof`y��P,:::--
Description of Soil C16 C,-, I- r �'j w
�Nature of Repairs or Alterations(Answer when applicable) �d l H Y t .('' 1/, "� Ql [J
(1RA 1 0 1 it � f �P tlrr-� 1
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 -ea`6
Signedr �11 C /i _, -- •-- -- Date
r Application Approved by r% ur �'1 ,p r Date ?• �l /,j
Application Disapproved by Date
a
for the following reasons 1
Permit No. tZ( r t�� j Date Issued 310w,11-
=- - - --- - --------- ---- - -- -----------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( .ter Upgraded( )
Abandoned( )by 1!57)f �}l)r")LZ,
- - at-VO—a('FT 1 t�o�h -T_,,-rr"Or P_ / k W 4-ps.Uk has been constructed-in accordance
with the provisions of Title and the for Disposal System Construction Permit No.;()a a-06 f dated
/�./ II
Installer 13OF40 t �
)�(' �X)-5fI'dt�r(& �1�. Designer, f �, f�/1l i1�G�i��
#bedrooms ._ Approved design flow�a- ���d� �" gpd
The issuance of this permit shall not be construed as a guarantee that the system wiC fun'`otio as" '�desig"nl d.
Date �/ J ) � 1 t Inspectoii- fi
- _ -----------
No. '?0 4.-0 f Fee lod
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal *pstem Construction Permit
Permission is hereby grann(ted.�to Construct( ) Repair( Upgrade( ) -Abandon(
te' , )
System located at } t�l fd tV f4 Try�- /'to .. � F!' �y� xvl►; 1� G !�•�( /� 'tea(,:/
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:Construction7;�
be completed within three years of the date of this permit.
Date l Approved by V"� 2[
PP
LL4„Y
ti
bSw►�•
-19-2018 22:55 From: To:15087906304 Pa9e:1/1
Town of Barnstable
6 'Regulatory Services
Thomas F.Ceiler,Director
M Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
bstaller&Desiner Certificataon F®rm
lDatea4103110 sewagelPeumbt# av I T-O&SAs$essor's MapTaml WO 2
Designer: DVOUNOAFE rMimmic, 11�taller: 1.4 Ott
Address: Adda'esa: , 1
*&M MEL, VWJ =MWON6 \_`AI r 8 02JA
On AIJ 8 &L �o i was issued a permirt to install a
( installer)
septic system at go 13AMU TER(lg 9 9690 M5 Mu-6 based on a design,drawn by
(address)
ImIgL 'p,„ dated MOB. 201
(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.
X 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 in accordance with.State&Local Regulations. Plan revuaon or
certified as-b per to follow.
' l ylN OR A},�,�1 •
ARNE N.
staller's Signature) IrIv�
( c
No.3D792
ST
�ss'�4NAL El1G
-/C4
esignex's Siguatuxe (Affix Dcsi a Stamp Here)
4P 4
'MEASE RETURN( DIVISM CIRMIC01 OF
WLIAINCE WELL WT, BE ISAMM T -BOTH TMS ]FORM A» A3-BU1t.T CALM-ARE
RF.C)I;XYp BY xHE BAYtl�1STA]B E LYC AFL DPVTSYTHANKY03M _
Q_ReaWSeOUDmigncr Cer ifice ionPoi3n'3-26-04.doo
i
TOWN OF BARNSTABLE
LOCATION X20 G2 SEWAGE #
VILLAGE /4'4 11 /� ASSESSOR'S MAP & LOT—LLO-�
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS ':;—) — q/�_ I
BUILDER OR OWNER l�� ' rlfl ADD ZG
PERMIT DATE: &00-' COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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 faci ' ) Feet
Furnished by � -
ea t5 r�l
�cr
r
Town of Barnstable P#
FIKE r
o Department of Regulatory Services
% BARNSTABLE, : Public Health Division Date 1�.z f-• 1 U
MASS.
9�a 039. 200 Main Street,Hyannis MA 02601 4wy
Date Scheduled Time l Fee Pd. $1 0p
zy
Soil Suitability Assessment for Se e Dispaa1
'-
h �
Performed By: Gt G �'` �5�t.�1 Witnessed By:
LOCATION & GENERAL INFORMATION
Location Address -ceOwner's Name Me
l- S l voc, ev i lk Address L[O Frctnch-rerre cc.
M.r5-Gms N01 S
Assessor's Map/Parcel: f Z&JZ7 1/ Engineer's Name�OWh`-^t e E a�W-�
NEW CONSTRUCTION REPAIR V Telephone# $^ �Z 'rjU� "
Land Use / �.��% Sit Slopes(%) Surface Stones
Distances from: Open Water Body Aft Possible Wet Area& �ft Drinking Water Well ft
f
Drainage Way 4 ft Property Line L5 ft Other ft
SKETCH:(Street name,dimensions of lot,ex ca t' locations of test holes&perc tests,locate wetlands in proximity to holes)
13
kl� -
Parent material(geologic) G�.cl i 6,0;1 Depth to Bedrock 4
Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face "
Estimated Seasonal High Groundwater ✓
DETERMINATION FOR SEASONAL HIGH WATER.TABLE
Method Used: 1-1- -Depth Observed standing in obs.hole: in. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft.
Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level
PERCOLATION TEST Date Time
Observation .'
Hole# Time at 9"
Depth of Perc Time at 6"
Start Pre-soak Time @ Time(9"-6")
End Pre-soak
Rate Min./Inch
Site Suitability Assessment: Site Passed V Site Failed: Additional Testing Needed(Y/N) AZ
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.
QASEPTIC\PERCFORM.DOC
DEEP OBSERVATION HOLE LOG Hole# �-
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
�s 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.
_ dd Consistenc °°Gra el
® It w s
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 r Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,%Gravel)
5a
-�bZ /,
C"
6tl17
Lo(# Y,-/
q
r
p
Flood Insurance Rate Map:
Above 500 year flood boundary No_ Yes X,
.
Within 500 year boundary No \ Yes
Within 100 year flood boundary No Yes
Death of Naturally Occurrine Pervious Material
Does at least four feet of naturally occurring pervio s material exist in all areas observed throughout the
area proposed for the soil absorption system? f
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on (date)I have passed the soil evaluator examination approved by the
Department of Enviro&nental Protection and that the above analysis was performed by me consistent with
the required training,exp ertise and experience described in 310 CMR 15.017.
r �
Signature ` - Date
Q:\SEPTIC\PERCFORM.DOC
TEM
OMPONEN
S SHALL
4" SCH0 VENT W
SYSTEM PROFILE MMAARKED WITHC MAGNETIC TTAPE OR BE CHA COA FILTER S NOTES
SCALE COMPARABLE MEANS FOR FUTURE LOCATION. SHOWN PLAN VIEW
NOT TO
PROVIDE MIN. 20" DIAM. WATERTIGHT ) PITCH BACK TO SAS, 1. DATUM IS NAVD 88
ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE NO LOW POINTS.
EXISTING 2" PEASTONE OR GEOTEXTILE � 2. MUNICIPAL WATER IS EXISTING atn
\ TOP FOUND. EL. 90.8' FILTER FABRIC OVER STONE ah\ae Corr Lane
MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 88.3'-89.3' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. boo Saddler
NOTE: 2" MIN. ALL BLOCKS OR 4. DESIGN LOADING FOR ALL PROPOSED PRECAST
THICKNESS QUIRED PRECAST RISERS UNITS TO BE AASHO H-2Q
4"0SCH40 PVC MORTAR ALL H-20
6' MIN. SUMP PIPES LEVEL 1ST 2' COMPONENTS 5. PIPE JOINTS TO BE MADE WATERTIGHT. Locus
Pw
12" MIN. INT. DIM. �4' (NPINVS EL. 83.2 4ENDS SIDES 84.2' CONSTRUCTION DETAILS TO BE IN ACCORDANCE
"EXISTING14" 00001000 GAL TEE , ° ° ° ° ®®®® ®®®T_ m'm
®®- __E ®1 °°°°°°°° WITH
EXISTING TEE SEPTIC TANK 86.1 f* °°°°°°°° ;°°°°°°°° ( )
°°°°°°°°° WATERTEST D'BOX °°°°°°°° ®®®®®®®®®® ®®®®®®®®® 310 CMR 15.000 TITLE 5. oc
° O ° O ° ° 'O°O°O°00 ®®®®®®®®®®GAS BAFFLE:: °°°°°°°°°°° FOR LEVELNESS °°°°°°°° °°°°°°°° �' Roce^ °o°o°o00 ®®®®®®®®®® ®®®®®®®®� °o°o 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND 'mo' 83.3' °o °o°o°o° 81 .2 NOT TO BE USED FOR LOT LINE STAKING OR ANY Q°c ooa
83.46 00000000° ° ° ° ° ° OTHER PURPOSE. o� c
J0 �J
3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. H-20 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. Shubael r
(2) UNITS REQUIRED
* ** OVERALL DIMENSIONS TO OUTSIDE OF STONE: 25.00' X _12.83'ALL AROUND PRECAST STRUCTURES 9. COMPONENTS NOT TO BE BACKFILLED OR pond
THE INSTALLER SHALL VERIFY THE INSTALLER SHALL CONFIRM 6" CRUSHED STONE OR MECHANICAL - o
LOCATIONS OF ALL UTILITIES AND MINIMUM SEPTIC TANK SIZE AT COMPACTION. (15.221 [2]) 3- CONCEALED WITHOUT INSPECTION BY BOARD OF �o+
ALL SEWER OUTLETS AND 1000 GALLONS AND ITS SUITABILITY tx' HEALTH AND PERMISSION OBTAINED FROM BOARD
ELEVATIONS PRIOR TO INSTALLING FOR RE-USE. REPLACE WITH 1500 OF HEALTH.
ANY PORTION OF SEPTIC SYSTEM GALLON SEPTIC TANK APPROPRIATE
TO SITE CONDITIONS IF NOT ( $ % SLOPE) ( 1 % SLOPE) 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LOCUS MAP
SUITABLE _2 CALLING DIGSAFE (1-888-344-7233) AND
LEACHING NO GROUNDWATER FOUND VERIFYING THE LOCATION OF ALL UNDERGROUND & ,
FOUNDATION- EXISTING SEPTIC TANK 33 D' BOX 12' FACILITY OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF SCALE 1 =2000 f
WORK.
11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL ASSESSORS MAP 126 PARCEL 27
BE REMOVED BENEATH AND 5' AROUND THE SITE IS NOT LOCATED WITHIN A ZONE II
LEGEND PROPOSED LEACHING FACILITY.
LOCUS IS WITHIN FEMA FLOOD ZONE X
TEST HOLE LOGS 99- EXISTING CONTOUR 12. EXISTING LEACHING FACILITY SHALL BE PUMPED (AREA OF MINIMAL FLOOD HAZARD) AS
X 99.1 j\ AND REMOVED OR PUMPED AND FILLED WITH CLEAN SHOWN ON COMMUNITY PANEL #25001CO542J
ENGINEER:
CRAIG J. FERRARI, SE #13871 EXIST. SPOT ELEV. SAND' DATED 7/16/2014
-[991-- PROPOSED CONTOUR
WITNESS: DON DESMARAIS, RS 198.41 PROPOSED SPOT EL.
DATE: 3/02/2018 TH1 k\
PERC. RATE _ < 2 MIN/INCH } TEST HOLE
Y �\
CLASS I SOILS p# 15603 2� SLOPE OF GROUND �� SYSTEM DESIGN.
1 ELEV. 2 ELEV. �Q, UTILITY POLE U2� TH2 GARBAGE DISPOSER IS NOT ALLOWED
off85.7 o" 82.8 FIRE HYDRANT \
WM- NOT &L SYMMLS M iN MAY APKM MAWING FAIL DESIGN FLOW: EXISTING 2 BEDROOMS ® 110 GPD=220 GPD
Y USE A 220 GPD DESIGN FLOW
„ FILL FILL /
k
60 85.7 LOT 30
A 48„ 78 8' 21,364t S.F. �� SEPTIC TANK: 220 GPD (2) = 440
as 82 **RE-USE EXISTING 1000 GAL. SEPTIC TANK
78" 10YRL3/2 79.2' B
B SL UNSUITABLE SOIL �� cP � \ LEACHING: -
�SL 60" // 77.8' SIDES: 2 (25 + 12.83) 2 (.74) - 112 GPD
84" 1OYR 7/8 78.7' ^�' PATIO } Aq� BOTTOM 25 x 12.83 (.74) = 237 GPD
C 1 TH 1 a6
/SiL FAIL TOTAL: 472 S.F. 349 GPD
LAYERS OF C USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL)
SANDY SOIL
77 7' 7 WITH 4' STONE ALL AROUND
96" 10YR 6/1 SiSiL _\ DEC R
10
C2 1 •_•� - ------ _ �, MA
" 0 R L6 1 88 �0 ; �, APPROVED DATE BOARD OF HEALTH
156 / 72.7 132 71 ,$ J EXISTING GRAVEL
DWELLING DRIVE
NO GROUNDWATER ENCOUNTERED k I TOF=90.8 R� �o
TITLE 5 SITE PLAN
q� �
ELEV. �1 ELEV. � 20 0,} STEPS
0„ 4 89.3' 0" 4 89.2' \ a OF
TH4 41 T
FILL FILL
40 BRANCH TERRACE
" �\ BENCHMARK: \ g MARSTONS MILLS MA
Z*
60 84.3 58 84.4 k TH3 CONCRETE STEP oL 8 � �
B B VENT } =91.0' NAVD88 \�" Az PREPARED FOR
/L's /LS 7s0 THA MENDOZA\
10YR 5/6 , 68„ 1 OYR 5/6 83 5' 17, MAR
72„ 83.3 BORTOLOTTI CONSTRUCTION
�6
VARIANCES FOR SEPTIC SYSTEM REPAIRS WHICH MAY
BE IMMEDIATELY GRANTED BY THE BOARD OF k -
�H ��qA DATE: MARCH 8 2018
C C HEALTH AGENT OR BY HEALTH INSPECTOR \ \ aU�✓ s�cy� '
SIEVE
PAPERWORK AND HEARING REDUCTION PROPOSALS �� DANIEL J\ �� q�
APPROVED BY THE BOARD OF HEALTH REVISED A. DANIEL A. s off 508-362-4541
MS MS DURING A PUBLIC HEARING HELD ON DEC. 10, 2013 k \ I� OJALA OJALA �` I fax 508-362-9880
No.40980
2) FOR ALL SYSTEMS THAT HAVE NO INCREASE IN FLOW - i CIVIL downcape.com
/ � � �P No. 46502
SYSTEM COMPONENT INSTALLATIONS PROPOSED MORE THAT cFEss o ce o �F �° e� down CiVe engineering ;ac
10YR 7/4 10YR 7/4 THREE FEET BELOW GRADE WITH PROPER VENTING (PIPED TO qn`su�`�' s cis'�R
138" 77 8' 138" 77.79 THE ATMOSPHERE) AND WITH H-20 LOADING, BUT IN NOT _ S'0 ^� civil engineers
CASE SHALL THE SAS BE LOCATED MORE THAT SIX FEET Scale: 1"= 20' land surveyors
BELOW GRADE. I 939 Main Street ( Rte 6A)
O NO GROUNDWATER
ROUNDWATER ENCOUNTERED DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675
DICE # 1 U-0`t / 0 10 20 30 40 50 FEET
18-041 BORTO-MENDOZA.DWG