HomeMy WebLinkAbout0072 DEER HOLLOW ROAD - Health 72 Deer Hollow Road
Marstons Mills
A= 030-044 i
I
i
I
II
No. Fee CJ
THE COMMONWEALTH OF MASSACHUSETTS Entered in co puter:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MAS'SACHUSETTS Yes
RpPlitation for Misposal *pstem Construction Permit
Application for a Permit to Construct(!X Repair( grade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 71 Oe eP Ho/%av /� Owner's Name,Address and Tel.No.
rz,�rsro�s ��iif G�dr' .e1T-e (�c.I�'Fi�gra�
Assessor'sMap/Parcel
Installer's Name,Address,and Tel.No.,f b S-zgo-7i,S2 Designer's Name,Address,and Tel.No.,f bB
✓OSeph d�(3�rro5 �� �r�-�{�/s> u/ork //
Type of Building:
Dwelling No.of Bedrooms 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
Nature of Repairs or Alterations(Answer when applicable) ZjyT l
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.
Sign Date
Application Approved Date
Application Disapproved by Date
for the following reasons
Permit No. 7(' Date Issued
No. �Q ..� 5�f 1° Fee �� t
F.
THE COMMONWEALTH OF MASSACHUSETTS Entered computer:
PUBLIC HEALTH DIVISION..-..TOWN OF BARNSTABLE`, MASSACHUSETTS Yes
2pplitation for Disposal �pstetn�Construttlon Permit
Application fora Permit to Construct(LY Repair(• grade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 72 U,feV 1901 OW ad Owner's Name,Address,,and Tel.No.
vdr�rsroNs �.iif
Assessor's Map/Parcel 0,50 — �14,w C
` Installer's Name,Address,and Tel.No. 5_0 Designer's Name,Address,and Tel.No. S DS 1/'7
15/ G��2,r/�t f2� /lij, !�f//i/�S l �✓✓G=ST G r�SSFi�/� f2�1 �s�Y-�T�1r�/�
Type of Building:
Dwelling No.of Bedrooms �/ 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
v
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
a' Nature of Repairs or Alterations(Answer when applicable) :/1 CId1
jT /� 3—SOU ��� �i_�G� �y,�j_-ys"
u/l T�
r
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.
Sign 12
Date
Application Approved • Date
Application Disapproved by Date
for the following reasons
d
Permit No. J(��'`� " Date Issued ills
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( �-} Repaired( `j'- Upgraded( )
Abandoned( )by /J Jo,Sr: Li aoe
at lIU��UL// �` �/�rS1•or�S �//S has been constructed in accordance ,
with the provisions of Title 5/annd'Clie of r Disp 1 System Construction Permit N 0 '��dated
Installer lei yc C7 f9yd(JS Designer W,/ -e
#bedrooms y Approved design flow Z and
The issuance ofTis pe it shall not be construed as a guarantee that the system will io as desig cDate 11a I to Inspector "W
-----------------------------------------------------
No. Fe e 4c)
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Disposal 6pstem Construction Permit
Permission is hereby granted to Construct( &�� Repair(G-) Upgrade( ) bandon( )
System located at 72 &ri!/ 171allaUl �p�9riJ
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 in ;t be orppleted within three years of the date of this permit.',,
Date / Approved b
TOWN OF BARNSTABLE
LOCATION 72 Seer Hallow Aew / SEWAGE # IWO-yTg
VILLAGE MWPS1'a!l_S 4L1.,11-f ASSESSOR'S MAP & LOT 010
INSTALLER'S NAME&PHONE NO. SO8—y20—q�'�� doSepLi l,�t �'oS
SEPTIC TANK CAPACITY /p00 �/
LEACHING FACILITY: (type) , —Soo avow/I=rS (size)
NO. OF BEDROOMS
BUILDER OR OWNER T.0 .G h Tp
PERMITDATE: 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—V 7�0-r
D��r Ho l�o cv 12o�cP
Qrgc� ®�diovSc ���qN�
e
0
e
l/gol
11/24/2010 14:02 5oe4775313 ENGINEERING WORKS PAGE 01
Tt a orBarnsable
B%Uktory Services
Thomas F.Geller,Director
ftbuc Hadth MyWon
Thomas McKean,Director
200 Main Street, ,MA 02601
Offico: 5084*2-*44 Fox: 508-790-M
Data: U bo Sewage Permit# A is MapMarcd
Deaiper: ;,n.cc rft,-- wteyw S,_
Addrm: I Z C V. Cro.114=c CZA Addrm: ?\ Gt rw rY*L
on ) S �i c- S,J Qwas issued a permit to install a
septic system at Z< �{d l to 1 based on a design drawn by
(Addrm)
'F04e-rT M e &I-CA '; f . dated k(S R t C)
I=*that the septic system t+ hremeed above was installed su to
the design, which may imiude minor approved changes such aS la raloclmon 0 the
&-m-bubon box and/or septic tank. Stripout (if"ROW) was inVoctod an
d dw soils
wen found satisfactory.
I oartify fiat the septic system referenced above was installed with major a 04M (i.e.
grown than 10, lateral relocation of the SAS or any vertical relacatian of any component
of the septic system) but in accordance with State&t,oca*s1 Rogalations- Flea revis'on or
certified as-built by designer to follow. Stripaut(if requirod)was inspdctod and the soils
were found satisfactory. IJA OF
PETER T.
ler's store) McENTEE
CIVIL
NO,35109
lgner's ipatwe {A c
PLEASE.MEM 0 AMMAM
q;�ppSpe Hsrm�
Town of Barnstable r# 13 q q
Departinent of Regulatory Services
Public Heal. o
_ th D><v><sion Hate 9 2 l
63A: 200 Main Street,Hyannis;MA 02601
.a
Date Scheduled » 8I(U Oc>
Time 9 G /'- Fee Pd. ( U d
Soil Suitability Assessment for Sewage isp osal
Performed By: �e�-�� c 1-eQ n
Witnessed By:' 1 /!k•y� �V'�.
LOCATION& GENERAL INFORMATION
LocadonAddress 7Z P--er- ma llo� 1 Owner's Name
(ACk(3-)71Dn.S �i'tI s 04q- Address -77 der l�lo )law 2a
Assessor's'Map/Parcel: Mq M-1 l\ S U Zfns(y
._. Q 3 d B�4 y� Engineer's Name�2.1-a✓•
NEW CQNSTR{1CTION 1 Telephone# vim— -T— ?
Land Use i r►c}g t� 1 Slopes(%) ��:.5� Surface Stones Al P-
Distances from: Open Water BodY>i _ft Possible Wet.Area ft Drinking Water Well
Drainage WaY � ft Property Line D ��
ft Other. . ft
SKETCH.(Street name,dimensions of lot,exact locations of test holes&.pert tests,locate wetlands 3n proximity to•holes)
([cry)
Parent material(geologic) v `�'4-r � t� Depth to Bedrock
Depth to Groundwater. Standing Water in Hole:_ /)P - Weeping from Pit Face ✓L1l//a--
Esdmated Seasonal High Groundwater
. DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used:
Depth:Observed standing in obs.hole: In. Depth to soil mottles. In:
Depth to weeping from side of obs.hole. _ in, Geocndwater Adjustme,9t {t..'.
Index Well# Reading Date: Index Well level AdJ,factor,, AdJ droufldwaEeFl.evpl,,,,e
PERCOLATION TESL' Date- Thu
Observation
Hole# Time at 4"
Depth of Perc .�._.. .-
M` Time at 6
Stan Pre-soak Time @ i Time(9"-6")
End Pre-soak
Rate MinJlnch
Site Suitability Assessment: Site Passes] 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:ISEPTICIPERCFORM.DOC
I ;
DEEP.OBSERVATIONROLE LOG Hole#
Depth from SoiLHorizon Soil Texture Soil Color. Soil Otter
Surface(in.) (USDA) (Munsell) Mottling (Structure;$tones,Boulders.
i v 1
vl. t.a
DEEP OBSERVATION'IiOLE LO'G Hole# Z:
Depth"from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure;Stones,Boulders.
onsistency.;:%.
b
R C M 5, 2•;SS`/ / c,
' DEEP OBSERVATION`HOLE LOG Hole#
Depth from:. Soil Horizon Soil Texture Soil Color Soil Other
Surface(in;) (USDA) i(Munsell) Mottling (Structure,Stones,Boulders.
- Consiste v
-DEEP-OBSERVATION HOLE LOG Bole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other:
Surface(in'.). ( ) (Munsell)Munsell) Mottling (Structure,Stones,Boulders.
Flood_ance°Ram�; . .
Above S00 year flood bounaary No Yes
Wi thin'500 Yea r`boundary No..�
Wilhin 100 year.flood boandary,No Yes 3
Deuih bf Naturally Occurring-Pervious Material'
Does at leasEfour feet of naturally occumng pervious terial:exisc'in all areas,observed throughout he
area proposed fo'r the soil absorpgon system?
`If`h what is the depth of naturally occurring pervi us matarial7 ,.._�...,,r.
Certificataon "` t
�q� date I have assed the soil>.evaluator_examination a roved b the
L cerpfy that on ( . P pe Y y -
P
Department of Envir omental Protection and that the above analysis Was rformed.b me consistent with
the requited tr " g,expertise and experience:described in 310 C1vfR 15.017.
z.:
Signature
Date
Q';�SEpTIC1P6RCFORM.DOC
-t 00
Rd
� r � 10 o
� a LOCUS
\
1 0
Lu \ 1 f
`\ j 11 c Road r
-
r s� Ln a \ 1 Loke
r O \ l v
I o t 87 a �/ 1 x 91 �0 3
37h528t S.F.
x
APN
iI 96 \ w
030_044 ,
W
LOCUS MAP
o
Lo `� �.� \� NOT TO SCALE
1 ;t 97.81 VENT
�' N •.io\
Z EXISTING LEACH PIT
Z �\\ \''� �� \\ TO BE PUMPED, FILLED W/
50'
\ :• =: \ SAND AND ABANDONED
�.
\ O
-..a
98,1'4 \V. .A \ \ EXISTING SEPTIC TANK
\ + \�.,Q :'.-:\TP-1 \ TOP OF TANK, EL.=98.57
8,00 971 \ ` INV.(OUT)=97.24E
b@ 0\\\� :\\ x �\ (SEE NOTE 14-SHEET 2)
51
\ x 99.11
\ t�.
V.
+ � LA
\`\ \ i �09�•97,43 \Grt\\
\ 98.72
^C 98,42 x (� ,` �� ' Benchmark Set
\ + \Top Conc. Bulkhead Cor.
102 \ N L.=100.45 Assumed
I \\\ 9 .06 Deck 98. �1 9 96.77 \
\ m .
\ x 4• \
\\` 2 CAR TOPT
GARAGE < 99.21 98
it 1000 \\ (Slob) (Full cellar) x 8.9 �\ o
8,9
I x 95.63.
\) + 96.71 GS
x 101.13 9 /EXISTING
`. 09 I 100.� x HOUSE(#72) x 99,26 �) UP
STONE 99 3 TOF=100.45 �,'
DRIVEWAY ,� / -96,8 /
100.95 �' W
j 9 9.9 7 rfo� 00.27
99.50 %
98.47
0.0
/100,47 \`98,60 -,Ik
+ 960
88 \\ 98.04
1 I G< +•9�,65
x 96.5 x 96,15
103.89 `\ \
102.81
.R 10
� p
v0� 36Soo�. `.� ♦ 97.27 I I _tea
WELL ,
101.10 x 100` inactive)
o°9e h4
Fof � x 98,43
F�
x 99
98.86 '
`C 98.37
O* c�c 1rtl•H,�8
98.60
L=75.03' 7
440
97,85 -98 Ci
97.14
10
��P� Of Mgss9��G 97.04
LEGEND o PETER T. PROPOSED SEPTIC SYSTEM UPGRADE PLAN
--96 --EXISTING CONTOUR M 72 DEER HOLLOW ROAD, MARSTONS MILLS, MA
35 E109
x 99,26 EXISTING SPOT GRADE o. 35
goo PROPOSED CONTOUR p Prepared for: Georgette Buffington, 72 Deer Hollow Rd, Marstons Mills, MA
W- EXISTING WATER SERVICE 9 R£PSZE�� `��
G�C� Engineering by: SCALE DRAWN JOB. Na.
--o.H.W OVERHEAD WIRES L Engineering Works, Inc. 1"=20' P.T.M. 216-10
TEST PIT 12 West Crossfield Road, Forestdole, MA 02644 DATE
CHECKED SHEEP N0.
BENCHMARK
d ((� (508) 477-5313 10/9/10 P.T.M. 1 Of 2
TO PREVENT
POSED
} NOTE: FINISH GRADEBREAKOUT,SHALLLNOT BE < EL93 5
FOR A DISTANCE OF 15' AROUND THE
PERIMETER OF THE S.A.S.
SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S.
INSTALL RISERS & COVERS OVER INLET PROVIDE ONE ACCESS MANHOLE (MIN) WITH RISER
AND SET TO 6" OF FINISH GRADE. INSTALL WATERTIGHT RISER & TO WITHIN 6" OF FINISH GRADE
T.O.F. PROVIDE ACCESS TO GRADE OVER OUTLET COVER COVER SET TO 6" OF GRADE (3 ACCESS MANHOLES ARE RECOMMENDED)
EXISTING F.G. EL: 98.0(MAX.)
F.G. EL.=99.0t � F.G. EL: 98.0t `
f MAINTAIN 2% GRADE (MIN.) OVER S.A.S. t
INSTALL CHARCOAL VENT
L = 46' L = 23'(MAX.) AND MANIFOLD ALL CHAMB)ERS
S=1% (MIN.) @ S=1% (MIN.) TO THE VENT
4"SCH40 PVC 4"SCH40 PVC
6" 3"
Lu
e"I 6 aE 68.0a
ia" } emammmR
EXISTING 48" LIQUID RRammmm
LEVEL ADD 4' 1 5.2' 4'
GAS BAFFLE INV.=94.17 PROPOSED INV.=94.00
INV.=97.24t D-BOX EFFECTIVE WIDTH
INV.=93.00
EXISTING SEPTIC TANK 3-500 GALLON LEACHING CHAMBERS
(SEE NOTE 14) SURROUNDED WITH STONE AS SHOWN
H-20 RATED
TOP CONC. ELEV.=94.0t
NOTES: BREAKOUT ELEV.=93.5
INV. ELEV.=93.00 aaam
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE oaa6a eases
Roam eRRRR
INVERTS, PRIOR TO INSTALLATION. BOTTOM ELEV.=91.00 rx
2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE ON 8.4' 3 X 5'=25.5' 4'
A MECHANICALLY COMPACTED SIX INCH CRUSHED STONE THERE SHALL BE AT LEAST 5' MIN. ABOVE BOTTOM OF EFFECTIVE LENGTH = 33.5'
BASE, AS SPECIFIED IN 310 CMR 15.221(2). T.P. EXCAVATION OR G.W.
3) INSTALL INLET & OUTLET TEES AS REQUIRED. NO G.W., EL.=86.3 LEACHING SYSTEM SECTION
4) CONTRACTOR SHALL INSPECT EFFLUENT FILTER ON
OUTLET TEE AND REPLACE IF NECESSARY. 3/4" TO 1-1/2" 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
BOARD OF HEALTH AND THE DESIGN ENGINEER.
2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS H- ®®®®®® ® ®®®® 37"
OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE d Ld ®1
LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: N ®LT®
-310 CMR 15.405(1)(b): Z
1) A 1' variance to the 3' maximum cover requirement, for 4'
of max. cover. S.A.S. shall be H-20 and vented.
3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 102"
TO INSPECTION AND APPROVAL BY THE BOARD-OF HEALTH AND THE - - - -- - - - -
DESIGN ENGINEER.
4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 4" KNOCKOUT
ENGINEER BEFORE CONSTRUCTION CONTINUES.
5. ALL ELEVATIONS BASED ON ASSUMED. /
20" DIA. COVER
6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 4" KNOCKOUT / 4" KNOCKOUT THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 62"
HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.
8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 4" KNOCKOUT
9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS
AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE
DIRECTED BY THE APPROVING AUTHORITIES. 500 GALLON CAPACITY, H-20 LOADING
10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY ��������
THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
CONSTRUCTION.
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 SOIL LOG
REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3).
12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE DATE: OCTOBER 8, 2010 (REF#13,099)
INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. SOIL EVALUATOR: PETER MCENTEE PE
13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND WITNESS: DAVID STANTON R.S.
IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. HEALTH AGENT
14. EXISTING SEPTIC TANK SHALL BE EVALUATED FOR STRUCTURAL INTEGRITY ELEV. TP-1 DEPTH ELEy. TP-2 DEPTH
AT TIME OF INSTALLATION, IF FOUND TO BE DAMAGED, A NEW 1500 GALLON
SEPTIC TANK SHALL BE INSTALLED. 98.0 A 0" 97.8 0"
SANDY LOAM SANDY LOAM
97.3 10YR 4/2 8" 97.0 10YR 4/2 10"
DESIGN CRITERIA BSANDY LOAM BSANDY LOAM
10YR 5/8 10YR 5/8
95.0 36" 94.8 36"
NUMBER OF BEDROOMS: 4 BEDROOMS C1 SILT LOAM C1 SILT LOAM
SOIL TEXTURAL CLASS: CLASS I 1OYR 5/3 1OYR 5/3
94.5 42" 93.3 54"
DESIGN PERCOLATION RATE: <2 MIN/IN C2 48„ C2
DAILY FLOW: 440 G.P.D. PERC
DESIGN FLOW: 440 G.P.D. MED. SAND 60 MED. SAND2.5Y 6/4 2.5Y 6/4
GARBAGE GRINDER: NO
EXISTING SEPTIC TANK: 1000 GALLON CAPACITY 87.0 132" 86.3 138"
LEACHING AREA REQUIRED: (440) = 594.6 S.F. PERC RATE <2 MIN/IN. ("C2" HORIZON)
.74
NO GROUNDWATER ENCOUNTERED
USE 3-500 GALLON LEACHING CHAMBERS IN SERIES PROPOSED SEPTIC SYSTEM UPGRADE PLAN
SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 72 DEER HOLLOW ROAD, MARSTONS MILLS, MA
SIDEWALL AREA: 2(13.2' + 335) X 2 = 186.8 S.F.
BOTTOM AREA: 13.2' x 33.5' = 442.2 S.F. Prepared for: Georgette Buffington, 72 Deer Hollow Rd, Marstons Mills, MA
: SCALE DRAWN JOB. NO.b Engineering y
TOTAL AREA:..............................................................629.0 S.F.
Engineering Works, Inc. NTS P.T.M. 216-10
DESIGN FLOW PROVIDED: 0.74(629.0) = 465.5 G.P.D. 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO.
(508) 477-5313 10/9/10 P.T.M. 2 Of 2