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HomeMy WebLinkAbout0159 CAMMETT ROAD - Health 159 CAMMETT ROAD Marstons Mills A = 078 — 043 _ C TOWN OFF�BAR/NSTABLE LOCATION�Sy �l�ylfl�y� G //�e,�?�// SEWAGE# �f VILLAGE W111-r ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO.,f 15- y9? -f7j'?,F SEPTIC TANK CAPACITY I S00 LEACHING FACILITY:(type) (size) NO.OF BEDROOMS 2 OWNER / 2&Z&Z t 4 I�tl/Y'd dS PERMIT DATE: // y 17 " r COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility Of 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 —e�/ C��•� 7 /2d, } '4 147, 6., e f r f c- ?�i� Fee- NNE � 1 No. , THE COMMONWEAL'THLOF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes NpliLation for ;Disposal 6pstrin Construction 3pErmit Application for a Permit to Construct(L�Repair((,Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No./SQ CAA410 A Owner's Name,Address,and Tel.No. ,f ��"S Assessor's Map/Parcel 6 Installer's N W e ddress,and Tel.No.s'od-W,9-471 Designer's Name,Address,and Tel.No.fog-3Go- Jas-ydh .��os zNc iG •yrr7d /Z�/°f�l�rs'rasoS !'l�li!/.r -- �s�ar.,r%�GLi o2.S � Type of Building: Dwelling No.of Bedrooms 2 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures / Design Flow(min.required) c� y gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) / C U/' i v �4�! 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 Date7- Application Approved by ` Date Application Disapproved by Date for the following reasons Permit No. .2o/ — -1 Date Issued No. � +' ", Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN,OF BARNSTABLE, MASSACHUSETTS Yes application for bisposal 6pstem Construction permit Application for a Permit to Construct(L�iepair((a-Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. !�/1,avSJOrI5 Wi/�� 1�wv/l 17i� lie /✓�.b<'�vS Assessor's Map/Parcel p?6_Q y3 >rofv7i; Insta ler's Name, ddress,and Tel.No. - 7T-q 73.G Designer's Name,Address,and Tel.No.5S067 3Go- 33 Type of Building: Dwelling No.of Bedrooms ,2 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ~Other Fixtures } Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil f / I Nature of Repairs or ations(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 Date 11- 7- Application Approved by Date �/-/7•/�� Application Disapproved by Date for the following reasons i ^y Permit No. jwI qq Date Issued --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO/CERTIFY,,that the On-site Sewage Disposal system Constructed( G)~ Repaired( �-r Upgraded(4} Abandoned( )by ✓95,eI Z -e �9Yl�OS at/5% G/4�/�Y/v_ /i / I;,41x2j%p`/­)' 1111M has been constructed in acco• c With the provisions of Title 5 and the for Disposal System Construction Permit No accord Installer,/USe�h /�e ���f US Designer / ,�{/ /_= y1//�y/ ` � J��5 #bedrooms 1 Approved design flow gpd The issuance of this permit shall n t be cons ed as a guarantee that the system wilkdnetiowasdesi ned. Date / Inspector ---------------------------------� ----------------------------------------------------------- - --------------------------- No. a 01 y H 411 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction permit Permission is hereby granted to Construct( ) Repair Upgrade( yp� Abandon( ) System located at 129i.'�'STU�•'� 67�// 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. f Provided:Construction must be completed within three years of the date of this permit. Date ( Approved by / Town of Barnstable Regulatory Services Richard V. Scali,Interim Director M'M Public Health Division t639. ♦� Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: it 1� t`A Sewage Permit#o& �W& Assessor's Map�Parcel 071 N3 � q Designer: -e_� dN �''�t- Installer: s� � "rr�y�� Address: I Address: DZ- q On 1 % >rbc n t�i�i. .�. �/%��� was issued a permit to install a (date (installer) septic system at �`"I �14 MW�t 'V J based on a design drawn by � aa � ll (address) F t,!,e,- dated �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. Strip out (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. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compliance with the terms of the IAA approval letters (if applicable) OF N y� Installer's Signature) / Na t1,40 ' 1 /CT (Designer's Signature) ` NI TAR�a� PLEASE RETURN TO B STABLE 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:\Septic\Designer Certification Form Rev 8-14-13.doc I r � r ,ttt: down of B.I bnstalble. P# Il Department of Regtilatory Services Public health Division Date o �,►BtasrABri. ',b� tee$ 200 Main Street,Hyannis MA 02601 ql ��Date Scheduled , A ��, Time Fee Pd. 67 Soil Su Y bility Assessment,fog- Sew e Did osa� L1�1r�Jtr� 1t!r./ Witnessed By: Performed By: / LOCATION & GENE'RAL INFOR11N ATION - Location Address �Sq CA M get G'T Owner's Name P�4,gt, i�1✓ !l h .. VA l C V 3 IV � Address C�L 1 of (-A Assessor's Map/P4rcel: 07 &/0 13 I Engineer's Name MEYFI-L� s I 360 _ NEWCONSIRU�'CION REPAIR Telephone# ��9t?0 ~330 Land Use ��- Slopes(�'o) ' = Surface Stones Distances from: Open Water Body ? � ft Possible Wee Ate, ft Drinking Water Well>�ft p I Drainage Way / L)d ft Property Line > ft Other ft SKETCH:(Street name,dimensiods'of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) cd r CD t ems;! 9 - I i I N 1 Parent material(geologic) J4,4N I Depth to Bedrock in Wee / I/ from Pit Face Li LA Depth to Groundwaker. Standing Water in Hole: I Weeping Estimated Seasonal iHigh Groundwater D ATION FOR SEASONAL HIGrH'WATUR T"LIE Method Used: Depth to soil mottles: ft.- Depth Cib�se ved standing in obs.hole: i in. proundWR[cC Adjustment Depth toiweeping from side of obs.hole: A f,ctoC,, �v- Adj.f7tputldwatPCleVtll.,,m Index Well# _� Reading Date: Index Well levy) -- dj I PERCOLATION TEST' . vale 'Put Observation C I Time at 9" ----- Hole# Y 4Y�tt Time at6" Depth of Perc . ..... ' Time(9"-6") Start Pre-soak Time-@ End Pre-soak �=-- Itti� r I - i Ttate MinJlnch L� ' Site Suitability Assessment: Site Passed Site Failed; Additional Testing Needed(YIN) Original:.Public 1-_e¢lth Division Observation Hole Data To Be Completed on Back— ***If percola>yibn testis to be conducted within 100' of wetland,you must first notify the Barnstable C4.4servation Diyision at least one,(1)week prior to beginning. _ DEEP OBSERVATION HOLE.LOG , Hole#_ Depth from Soil Horizon Soil Texture Soil Color Soil Other .Surface(in.) (USDA), (Munsell) Mottling <:(Structure,'Stones,Boulders. Consistent %Gravel r i., 1 . t DEEP OBSERVATION HOL E LOG Hole#_ • Depth from Soil Horizon Soil Texture ^ Soil Color Soil Other Surface in. (USDA)" (Munsell) Mottling (Structure,Stones,Boulders. ( ) Consistent %Gravel) DEEP OBSERVATION HOLE LOG Hole# PLA Depth from Soil Horizon Soil Texture k Soil Color Soil,, Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravcl DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color $oil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. ra 1 Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes Within 500 year boundary No y. Yes Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet 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 (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 require ining,expertise and experience described in 3:10 CMR 15.017. i Signature J Date al Y Q:ISEPTICVERCFORM.DOC MARSTONS MILLS k 1 FALMOUTH RD. CH i �1/�/I� 67 \ * 1 ,T/,i! 1 / ELEVATION %T 66.58 66 sPoroN� �cP ' ` �OJ Off' i`o / OAS LINE v Q� / , m 66 — ' ISTING ' W 2Q I AWN LLING ,, C LOCUS 68 \ t0 ' 1 f rop OF F4+ a 1 C LOCUS MAP EL = �8 ---- ----67 LOCUS INFORMATION 0 N tj O WATER LINE TITLE REF: BK 27697 PG 302 PARCEL ID: MAP 078 PAR. 043 i PAVED DRIVEWAY ZONING: "RF" C.P. PROP. 1500 FLOOD ZONE: "X" / SEP TANK t �_ �--- ` COMMUNITY PANEL: 25001CO542J DATED:07/16/14 LOT 3 ' - SEPTIC SYSTEM \ AND 112 OF LOT 2 ' I I 11 AREA = 38,780 of I I I REPAIR PLAN PLAN BOOK 43 PAGE 99 ` ' 91 \ \ ` Ol ASSR MAP78 PCL , �/ I � ``,. `li LOCATED AT: _ N� 159 CAMMETT RD. \ MARSTONS MILLS, MA. PREPARED FOR 65— — PAULETTE DeBARROS 344 It 1 67 66 65 68 SEPTEMBER 15, 2014 P� OF MAss9 D M No. 40 t a 'PECISTE t,� S4NITAR\a� LEGEND MEYER & SONS INC. q�-�- PROPOSED CONTOUR P. O. BOX 981 9® PROPOSED SPOT GRADE __98 -- EXISTING CONTOUR PLAN E. SANDWICH , MA 02537 + 96.52 EXISTING SPOT GRADE r PH. (508)360-3311 SCALE: 1 in = 30 ft fax (774)413-9468 W— EXISTING WATER SERVICE 0 30 60 meyerandsonsinc©gmail.com TEST PIT 0 10 20 30 J SHEET 1 OF 2 J#1680 T.O.F. NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS NOTE: PLACE RISERS OVER ALL COVERS W/IN 6" OF GRADE FINISHED GRADE (64.70) EL: 68.47 F.G.EL: 66.5 F.G.EL: 65.0 F.G. EL: 64.70 n MAINTAIN 2% MIN SLOPE OVER LEACHING AREA .'i -7 :a 2" OF 3/8" DOUBLE WASHED 3/4" - 1-1 TOP TANK=EL. 64.0 STONE OR FILTER FABRIC DOUBLE WASHED STONE 0. " - 4" SCH 40 PVC a, fm 10"I ®®®®• 0 ®®®® 14" 6N IINV.62.0 1 (MIN.) ®®®®®®®®®®® TEE'S ARE TO BE INV.62.20 2' EFF. DEPTH ®®®®®®®®®®® :Q. 4" SCH 40 PVC INV.62.70 4' 2 X 8.5' 4' EXIST. INVERT GAS PROPOSED DB-3 BAFFLE EFFECTIVE LENGTH = 25' INV. 65.72 DISTRIBUTION BOX INV. 62.95 INV. ELEV.= 61 .50 PROP. 1 ,500 GALLON SEPTIC TANK OF GAS BAFFLE TO BE INSTALLED ON ����` MAssq�ti BREAKOUT OUTLET TEE AS MANUFACTURED BY D REN s ELEV.= 62.50 TUF-TITE, ZABEL, OR EQUAL ��_ TOP CONC. ELEV.= 62.50 , .. 4 "' INV. ELEV.= 61 .50 ®®� ®® ®®® . ®®®®®®® NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING '�FGISTE� ®®®®®®® PIPE INVERTS PRIOR TO CONSTRUCTION SA P� BOTTOM EL.= 59.50 ®®3.75' ®®®®® 5 FT. 3.75' NITAR� 2) TANK AND D-BOX SHALL BE SET LEVEL AND TRUE ,��(� TO GRADE ON A MECHANICALLY COMPACTED SIX , INCH CRUSHED STONE BASE, AS SPECIFIED IN SEPARATION 5.86 FT. EFFECTIVE WIDTH = 12.5 310 CMR 15.221(2) SEPTIC SYSTEM PROFILE 3) INSTALL INLET & OUTLET TEES W/ ADJUST. GRNDWATER EL: 53.64 SOIL ABSORPTION SYSTEM (SECTION) GAS BAFFLE AS REQUIRED (500 GALLON LEACH CHAMBER) GENERAL NOTES: DESIGN CRITERIA 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL SOIL LOGS P#: 14469 BOARD OF HEALTH AND THE DESIGN ENGINEER. NUMBER OF BEDROOMS: 2 BEDROOM DWELLING/3 BEDROOM DESIGN 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE DATE: AUGUST 20, 2014 LOCAL RULES AND REGULATIONS. DESIGN PERCOLATION RATE: <2 MIN/IN SOIL EVALUATOR: DARREN MEYER, CSE 1614 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR WITNESS: DONNA MIORANDI, BARNSTABLE HEALTH DAILY FLOW: 110 G.P.D. X 3 BR = DESIGN FLOW: 330 G.P.D. TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. GARBAGE GRINDER: NO (not designed for garbage grinder) 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING SEPTIC TANK: 330 gpd x 200% = 660 gpd, USE PROP. 1,500 GAL. SEPTIC TANK FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN Elev. TP- 1 Depth Elev. TP-2 Depth ENGINEER BEFORE CONSTRUCTION CONTINUES. 64.69 0" 64.64 0" / 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. A A LEACHING AREA REQUIRED: (330) = 445.94 S.F. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF LOAMY SAND LOAMY SAND 74 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 10YR 4/1 10YR 4/1 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 63.94 9" 6.3.89 9" B LOAMY SAND B LOAMY SAND USE TWO (2) 500 GALLON PRECAST LEACH CHAMBERS W/ 4' 7. WATER SUPPLY PROVIDED BY MUNICIPAL WATER. 10YR 5/8 10YR 5/8 STONE ON ENDS & 3.75' STONE ON SIDES: 25' L x 12.5' W x 2'D 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED 62.69 24" 62.64 24" TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. C C BOTTOM AREA: 25' x 12.5'= 312.50 SF 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING MEDIUM MEDIUM SIDE AREA: (25 + 12.5) X 2 X 2 = 150 SF CONSTRUCTION. SAND SAND 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND FILLED PER TITLE 5. BOTTOM TOTAL SQUARE FEET PROVIDED = 462.50 vs. 445.94 REQ'D 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION PERC ® EL.61.10 2.5Y 7/3 2.5Y 7/3 DESIGN FLOW PROVIDED: 0.74(462.50 S.F.) = 342.25 G.P.D. vs. 330 G.P.D. req'd 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY PROPOSED SEPTIC SYSTEM UPGRADE PLAN AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 13. NO ABUTTING PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. 53.69 132" 53.64 132" 1 59 CAMMETT ROAD, MARSTONS MILLS, MA 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. 15. ALL PIPING TO BE 4" SCH 40 ® 1/8-/FT (UNLESS SPECIFIED) PERC RATE <2 MIN/IN. ("C" HORIZON) Prepared for: DeBarros NO GROUNDWATER OBSERVED 16. INTERIOR PLUMBING TO BE MODIFIED TO MEET SINGLE OUTLET LOCATION AS SHOWN. System Design and Topography Plan by: SCALE DRAWN (PLUMBING PERMIT REQUIRED) MEYER&SONS, INC. N.T.S. DMM • I, Darren M. Meyer, R.S.. CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 to conduct soil evaluations and that the above analysis has been performed by me consistent with the PO BOX 981 i requirements of 310 CMR 15.017. I further certify that I have passed the Soil Eval. Exam in October, 1999. E4STSANDWICH.MA02537 DATE CHECKED SHEET NO. 1 608-362-2922 09/15/14 DMM 2 of 2