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HomeMy WebLinkAbout0012 CAMMETT LANE - Health 12 Cammet Lane; Marstons Mills A= 099-093 1 h y TOWN OF BARNST LE L!.Ce ATION /2 �t4��,a. SEWAGE # V?LL AGE ASSESSOR'S MAP & LOT ; / '' =" INSTALLER'S NAME&PHONE NO. ,SDR- e120-377S5 SEPTIC TANK CAPACITY /S00 LEACHING FACILITY: (type) 29-.5100 (size) /3,1C 2,.Ir NO.OF BEDROOMS BUILDER OR OWNER /'ytdr/ d oo k,:5!-' PERMPTDATE: 7 /7— D'7 COMPLIANCE DATE:.,/ "/f—o Z 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 facility) Feet Furnished by k��-V 6Ak �a t No.���'� © THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) - O_Cverrrplete System ❑Individual Components off ^ LocaC0� 51WAOI we_ 's Name Map/Parcel# Address Lot# Telepho e# Insta er' Name Desi rs N f �.�i�Pa�.s° �!/• & S'X�rotuoc�i Address Address Sod^ y 20 P -7-V Telephone# Telephone# Type of Building: Lot Size Sq.feet Dwelling—No.of Bedrooms 3 Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) gpd Calculated design flow gpd Design flow provided gpd Plan: Date Number of sheets Revision Date Title Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation DESCRIPTION OF REPAIRS OR A TERATIONS -1 Sdp &044~ The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspection //7 7 FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 THE MMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH ; r7culrl OF //� APPLICATION FOR-DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair ( ) Upgrade ( ) Abandon (j;)';f®,Gemptete System ❑Individual Components Location Owner's Name Cc:? Samos!-a. Map/Parcel# Address Lot# Telephone# Insta ler' Name l fID , is N e / ( r�ics► .�J� / /L,irrr rax s' !/�1,/l /2 4el. F`sr-/ S.t✓s>, sdi Li Address Address Q 7—5 Telephone# Telephone# Type of Building: Lot Size- Sq.f�e6t), t f Dwelling—No.of Bedrooms Garbage Grinder ( ) ! Other—Type of Building No.of persons Showers -v--' yp g p ( ), Cafeterias(),,— Other fixtures Design Flow(min.required) gpd Calculated design flow gpd Design flow provided gpd j Plan: Date Number of sheets Revision Date R Title ._ ` Description of Soil(s) " . Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation i DESCRIPTION OF REPAIRS OR ALTERATIONS Zejnk D 0 61 S- T/G l^ r The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of I, TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date I Inspection I f 'I FORM I - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 I� No. � �� © (?HE COMMONWEALTH OF MASSACHUSETTS FEE 9ktrt�ss7',��,/� BOARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) /_ o plete System The undersigned herebycertify that the Sewage Disposal System;Constructed . Re aired ,L raded Abandoned g/ yY� g P Y ( ), P (L�" 1� ( ), ( ) by: JO.S e,02 ! ., ^s^�U� / at /2. /s,. r/A,.",/ A9eW 1-14,, ' has been installed in accordance with the provisions of 310 CM 15.00 (Title 5) and the approved design plans/as-built plans relating to application No.-�-3d`Cted -7, '7/7 Approved Design Flow 7 (gpd) Installer —,kse,1014 Designer: 5AejHa [! OJ^ S Inspector ) /ifdL711, "/ate j The issuance of this certificate shall not be construed as a guarantee th6,the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 I I ' I No. 2 Vic?-- J- HE COMMONWEALTH OF MASSACHUSETTS FEE /U 0 BOARD OF H E A LT H DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( ) R ( 4""Upgrade ( ) Abandon ( ) an individual sewage disposal system at 12 tfOW 40�r_r"l t `3�1arrTOAVS M6,s IS as described in the application for Disposal System Construction Permit No. -2- -7 dated -7 //'7 Provided: Construction shall be completed within three years of the date of this per -ice'll oeal conditions must be met. Date o Board of Health_ FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBS&WARREN rm PUBLISHERS- BOSTON fit: ' ••(.' *;.iF f F 07/21/2007 09:01 5084775313 ENGINEERING WORKS `� PAGE 01 • Town of Bamstablc � Regulatory Services { Thomas F.Geiler,Director Public Health Division 'Thomas 14lcl(eao,DhwWr M Main tom,Hyanak MA 9MI OM= 5094162.4644 Fax: 5W790-6304 Iestaller&DesiM C.M§&Ation Form Date: 2,0Sewage Permit# 2ooZ--3 4 Z Assessor's meow tmu-92Lo-r� Dedlper: S n r Q � .. LA_ s Xiue ller: �o s ��___ if t�S �- Address: C'Cb.s rR 1 Address: F 1. �a ✓vu f -, a- on -Joe, Maus issued a permit to install a (dame) (installer) Upw aye,at . )Z rh rAA� (a1w. At f1l based on a design drawn by (address) Z c��+-tee P Cad­..._G 0 cam) 4'C I cei*that the septic system referenced above was installed snbsteau'ally ag to the design,which may include minor approved changes such as later rclvca f the won box and/or septic tank. ...r3i_ I certify that the septic system referenced above was installed with major changes (ie. greater dew 1 t)'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 wbuilt by designer to follow. 4F M PETER T. (caller's S �.. MCE.NYEE CIVIL tjo.361os q E�sl L��Q s Signature) (Affix tamp Here) PLEAS RGUM TO BARNSTABLE PUBLIC__HEA,I.�,DIVIi�ON. _CERTIItIt.AI'L OF COMPLIANCE WML NOT BE MM RM j= THIS FORM AND.Al�-,� i�a.'�' CARDAUX E1VFD BY THE BARNBTABLE PUBLIC HEALTH DIYIJQN. THANK YOU. Q:lkCadfic Aw F+mp 3-26.04 doe l Town of Barnstable lime r# Department of Regulatory Services s Jim : Public Health Division Date 51 Ile 2 r t639 A�� 200 Main Street,Hyannis MA 02601 1 cep Date Scheduled Time Fee Pd. � Soil Suitability Assessment for Sewage Disposal. Performed By: ` L A G�`��"e-� Witnessed By: /V IV I Gee JD Iff-'I (JJ�� LOCATION& GENERAL INFORMATION Location Address 12 Cgv+arn�/f La,�e Owner's Name ){')Ur q+ Q 0 /'�ufS v2S 10 fl f Address m m �= Assessor's Map/Parcel: �� [ Q J Engineer's Name��(� /!'\G�' ¢ NEW CONSTRUCTION REPAIR Telephone# V? `,: 3 I 5 Land Use AS ``y n /c m Slopes(%) 1 Ld Surface Stones N A' cz 03 Distances from: Open Water Body _ft Possible Wet Area�_ft Drinking Water Welf Drainage Way ft Property Line I-r 2f2—ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands proximity to holes) s Z- Parent material(geologic) 6 la Ct G( OL)4 (n/CLJ Depth to Bedrock 7 I Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face f Estimated Seasonal High Oroundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: In, Depth to Sail mottlos! in. Depth to weeping from side of obs.hole: in, Groundwater Adjustment • --•, Index Well# Reading Date: index Well level Adj.factor. .- Adj;Groundwater1evel PERCOLATION TEST bete A. Time .� Observation Time at h" ..` O Hole# ` Depth of Pero S� Time at 6" `o 1 Start Pre-soak Time @ ��� Time(9"•G') — ---- ---- ; End Pre-soak. d L Z. 1 +14 4� Rate Min.Mch lity Assessment: Site Site Suitabi Passed �- Site-Failed: Additional Testing Needed(YIN) 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. ....nnr...riw non/�CnD\d nnr+ DEEP:OBSERVATION HOLE LOG Hole# I Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.). (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsiqtenc 1 6 — A 5i, j Q YjZ 31 3 -130 C M-C Seitz DEEP OBSERVATION HOLE LOG Hole# Depth-from _ Soil Horizon Soil Texture Soil Color Soil Other Surface(�a.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Cons' e SL- 16 HY/Z�/3 -1 9 C - ,�it•td Z=s y°-/q DEEP OBSERVATION HOLE LOG Hole# Dept frorn Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. i to DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in:) (USDA). (Munsell) Mottling (Structure,Stones;Boulders, Flood I_ nsurance Rate Map: Above 500 year flood boundary No, Yes _-__ Within 500 year boundary No_X, Yes�..: Within 100 year flood boundary No Yes Depth of Naturally Occurrine Pervious Material Does atleast four feat of naturally occurring pervious material 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 I certify that on l q (date)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 310 CMR 15.017. Signature I Date 0-7 Q:ISEP11MBRCF0RM.D0C Jo TOWN OF BARNSTABLEE C _ LOCATION �� �i�f�7/YI, �� SEWAGE #5V 0 '""iLLAGE� � d� 4 ASSESSOR'S MAP & LOT INSTALLER'S NAME& PHONE NO. l g-l-)RAna- _2/ Z1/-0 SEPTIC TANK CAPACITY //'0® (9142— ,r�{� ZK- V, —�.-? (size) ✓ / �J LEACHING FACILITY: (type) r ) �` NO. OF BEDROOMS BUILDER OR OWNERS�l//�4�'J PERMITDATE: 3 12 COMPLIANCE DATE: a3I�� 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 Wedand and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet, Furnished by Av. r�v� 7 ,�� .LOCATION SEWAGE PERMIT NO. 'VILLAGE INSTA LLER'S NAME a ADDRESS i OWN ER J-�1-t�� r.� ►�;�lam�. DATE PERMIT ISSUED II DATE COMPLIANCE 1 SSUED IIE. _ r G� 7 0 G`�e%s } , BENCHMARK: CONCRETE BOUND ELEVATION = 100.00' I LEGEND (A55UMED DATUM) _... � Old Falmouth Rd 5580 13'12"E I i, 1� 'I IV1 I, �, 78 PROPOSED CONTOUR � � 7g PROPOSED SPOT GRADE 4r - -�Pl •s ./� ...........5.�............_ ' EXISTING CONTOUR ass b� a x 97.22 EXISTING SPOT GRADE y 't y y0 q p'� O TEST PIT LOCUS 1 _ W EXISTING WATER SVC. F� Cornmett TP-2 Ln I J e <o F f` OVERHEAD WIRES Le��s vo On II N'� �A < com mett Wy IFI �>- EXISTING CESSPOOL $ BENCHMARK Mop o°w 0 A TO BE PUMPED & � St TP-1 11 { '; ,l 1 FILLED WITH SAND 12 .� .`� , ,tf; fit Route 28 i r PROol.'i ' O ; SEPTIC ; LOCUS MAP N.T.S. O f TAME t 9 ? ; ,, i' -- 'i/ i GENERAL NOTES: } } // 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL Ij �, %/ GARAGE r BOARD OF HEALTH AND THE DESIGN ENGINEER. y8 yy F ® Gel ycp y ,./ ' / / d 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS W f y� SEWER , 3� 0 - % / / OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE I Et i _9g /, RV ,SEWER / / / —" LOCAL RULES AND REGULATIONS. OU��-, J 1NV/ / / 6 3. THE SEWAGE DISPOSAL SYSTEM SHALL N07 BE BACKFILL-ED PRIOR I IN / ND 12i } TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 1, °i . , DESIGN ENGINEER. WD i, 1-0&/ 0/ 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 1 /7.0 F. It�.�2'f 1 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN / �, ENGINEER BEFORE CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON ASSUMED DATUM, cry ' 51T "C)NC- 1 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF DRJVbYAYl THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 69 } HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. `D ? t 7. WATER SUPPLY PROVIDED BY TOWN WATER. r i j 8. THERE ARE NO ABUTTING WELLS LOCATED WITHIN 150' OF THE S.A.S. } F 9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED �\�� O MASSA TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. PETER T. ��✓� 10, IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING M CIVIL CONSTRUCTION. v / I NO. 35109 '11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS ! IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. RFC�SIER``� �2 AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). j r APN 9-vfe--0QA Nh ' 12. THE CONTRACTOR SHALL BE RESPONSIBLE FOR TAKING ALL PROTECTIVE G j 1 i MEASURES NECESSARY TO PREVENT UNDERMINING OF THE FOUNDATION j 20,610t5F I DURING EXCAVATION FOR S.A.S. 14s.63' -` PROPOSED SEPTIC SYSTEM UPGRADE ! ~N5&*1312%V I toe 12 CAM M ETT LANE, MAR STO N S MILLS, MA ,92.75, Prepared for: Murat Booker, 12 Cammett La., Marstons Mills, MA 02648 'f L. .. ......... `-4 yQ Engineering by: Surveying by: SCALE DRAWN JOB.`NO. 9� 60 o S� g 0 EngineertngWorks HOOD SURVEY GROUP 1"=20' P.T.M. 165--07 CAM M ET LANE 12 West Crossfie Road 18 Route 6A 0 � .-••'""•� �c� � � Forestdale, MA 2644 Sandwich, MA 02563 DATE CHECKED SHEET N0. 0 (508) 477-5313 (508) 888-1090 6/29/07 P.T.M. 1 of 2 r PROVIDE RISER OVER D-BOX NOTE: TO PREVENT BREAKOUT, THE PROPOSED t TOP OF FOUNDATION TO WITHIN 6" OF FINISH GRADE F.G. EL: 99.5t FINISH GRADE SHALL NOT BE < EL:96.5 FOR A DISTANCE OF 15' AROUND THE F.G. EL: 99.3t PERIMETER OF THE S.A.S. EXISTING F.G. EL: 99.2t MAINTAIN 2% MIN SLOPE OVER S.A.S. 4 SCH 40 PVC PERFORATED PIPE WITH SCREW CAP SET TO WITHIN 3" OF FINISH INSTALL RISERS W/COVERS OVER INLET 2-500 GALLON LEACHING CHAMBER S GRADE TO SERVE AS INSPECTION PORT. & OUTLET TO WITHIN 6" OF FINISH GRADE IN SERIES WITH STONE L IDS INSTALL RISER OVER CHAMBER SHOWN ON PLAN AND SET COVER " =24'(40 P L =16' L =5'(MAX) WIT IN 6" OF FINISH GRADE 4" SCH 40 PVC •� - e _6" 71 4" SCH 40 PVC 4' SCH 40 PVC OF 1 8" TO 1/2" ® S= 2% (MIN,) gyp" �® ®� DOUBLE WASHED STONE 7 ia" S= 1% (MIN.) ® ® S= 1% (MIN.) r�a���®� ` 48" u0Ui0 2' EFF. DEPTH IN®808® a INV: ELEV.=96.57 INV, ELEV.=96.40 3/4'-1 1 2" x INV:EL:97.00 LEVEL I 4' 5.2' 4' / / r. BAFFSLE PROPOSED D-BOX STONES WASHED INV.EL:96.75 EFFECTIVE WIDTH 13:2'_ . AIM AM. TIE INTO EXISTING SEWER PROPOSED 1500 GALLON GEPTIG TANK INV. ELEV.=96:00 OUTLETS OUTSIDE HOUSE INVERTS-98.30f _ I TOP CONC. ELEV.=96.8 - - ---- ----BREAKOUT ELEV,=96,5 INV. ELEV.=96.00 a® ®® NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING BOTTOM ELEV•=94.00 PIPE INVERTS PRIOR TO CONSTRUCTION. 11 3' 2 x 8.5' = 17.0' 3' 2) SEPTIC TANK AND D-BOX SHALL BE SET LEVEL 5' MIN. ABOVE BOTTOM OF EFFECTIVE LENGTH - 23:0' AND TRUE TO GRADE ON A MECHANICALLY COMPACTED T.P. EXCAVATION OR G.W. (3) 5" DIA.OUTLETS SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN LEACHING SYSTEM SECTIpN 310 CMR 15.221(2). NO G,W. AT EL.=88.0 (TP-1&2) 1�.� .5.5 r 16`-i 2" 3) INSTALL INLET & OUTLET TEES AS REQUIRED. 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 1 AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL: allSEPTIC SYSTEM PROFILE 2" N.T.S. DESIGN CRITERIA D--"BOX NUMBER OF BEDROOMS; 3 BEDROOMS SOIL LOG SOIL TYPE: CLASS I r--- DESIGN PERCOLATION RATE: 2 MIN./IN. I PATE: DUNE 21, 2007 P-11786) 1 (4 1 DAILY FLOW: 330 G.P.D. Q SOIL EVALUATOR: PETER T. MCENTEE F'.E. DESIGN FLOW: 330 G.P.D � 1 Uj i WITNESS: DONNA MIORANDI—HEALTH AGENT GARBAGE GRINDER: NO INVERT Ea E3 ER E3 Q00 1®EE3E3wist3® s3' N 1 LEACHING AREA REQUIRED: (330) = 445.9 S.F. ®�®�111rd®® lev, TP� 1 Depth Elv TP -2 Death 24" ®���®0�IE� i a 1 r 0„ 99.5 0' 74 1 �f 99.E A SANDY LOAM A SANDY LOAM t0z; __ _ 1 �, 1oYR �/� B 1oYR 3/3 PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY 99.0 4„ 99.0 4" SECTIO SANDY,LOAM SANDY LOAM USE 2-500 GALLON LEACHING CHAMBERS IN SERIES N 1OYR 5/6 10YR 5/6 g6,5 36" 96.7 34" SIDEWALL AREA: 2(13.2' + 23.0 ), X 2 = 144.8 S.F. 4" KNOCKOUT C o BOTTOM AREA: 13.2' x 23.0' = 303.6.0 S.F. 20' Din. COVER t,, 38" TOTAL AREA: 448.4 S.F. M PERC 0I-,' 4" KNOCKOUT 4" KNOCKOUT 62" 50" DESIGN FLQW PROVIDED: 0,74(448.4) = 331.8 G.P,D. 4" KNOCKOUT deck /��r M—C'SAND M—C SAND 2,5Y 6/4 2.5Y 6/4 PROPOSED SEPTIC SYSTEM UPGRADE FLAN ,'� , 12 CAMMETT LANE, MARSTONS MILLS, jf2 / / f �` ' �' y Prepared for: Murat Booker, 12 Cammett La., Marstons Mills, M 500 GALLON CAPACITY, H-10 LOADING „✓` r //•� ,i : y/"`,r ,w• y�' ' ` i`�. �✓ r" f ,f'r ', �/ '' Engineering by: Surveying by: SCALE DRAWN CHAMBERS 88.0 138" 88.0 - 138" EngineedngWorks HOOD SURVEY GROUP N.T.S. PTM ar.a S.A.S. LAYOUT 12 West Crossfield Road 18 Route 6A NO GROUNDWATER OBSERVED Forestdole, MA 02644 Sandwich, MA 02563 DATE CHECKED 6 PERC RATE <2 MIN/IN. (508) 4-77-5313 (508) 888-1090 6/29/07 P.T.M. i