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HomeMy WebLinkAbout2884 FALMOUTH ROAD/RTE 28 - Health PI�2884 Falmouth Road Marstons Mills A = 120 - 015 TOWN OF BARNSTABLE LOCATION T EWAGE# , //3 VILLAGE— S�ESSOR'SS MAP&PARCEL/' INSTALLER'S NAME&PHONE NO. ,��. SEPTIC TANK CAPACITY LEACHING FACILITY:(type a/4 C (size)AQ -IL/. NO.OF BEDROOMS OWNER PERMIT DATE: 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 acili ) r'" Feet FURNISHED BY A4-,6 f3l � Fj —q4 aco 'A3 -;?6 a Af --�Q cG am. Aor/ C CO ✓� f 6 (k No. 0 W THE COMMONWEALQT -THE COMMONWEALT -OF MASSACHUSETTS Emeredincomputer: .14 3 1. Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Iapplication for Disposal .pstem Construction permit Application for a Permit to Construct( ) Repair _ Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components 1' Location A dr Lot No. 1 Owner's Name,Address,and Tel.N . ® G Assessor's Map/ arcel Installer amS,_Address,�nd e ol(*l61.1M igp,�'s N `ddLW,an ATel.N Type of Building: Dwelling No.of Bedrooms Lot Size _Wf 091 sq.ft. Garbage Grinder( ) Other Type of Building 2engo No.of Persons Showers( ) Cafeteria( ) Other Fixtures p� Design Flow(min.required) :3:� �0 gpd Design flow provided oC gpd Plan Date Number of sheets Revision Date Title i� Size of Septic Tank l//��kz,l , �� O�J Type of S.A.S. Description of Soil -07 Nature of Repairs or Alterations(Answer when applicable) �GU� 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 this Board of Jealth.. �' b Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued No. J Fee Entered in computer: THE COMMONWEALTH OF MASSACHUSETTS Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS i0[pplicatlon for Iiisposal *pstrm Construction Permit Application for a Permit to Construct( ) Repair�ade( ) Abandon( ) ❑Complete System ❑Individual Components Location&ddress�or Lot No. - Owner's Name,Address,and Tel.No ® Assessor's Map/Parcel Installer' ame�Address,and e o�j lYvy( II si s Naeddyess,a Tel.N 6 �G i /.o � � oo/. /may J�X/ . S � v Type of Building: Dwelling No.of Bedrooms Lot Size r sq.ft. Garbage Grinder( ) Other Type of Building s 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- �j' OU Type of S.A.S. Description of Soil Nature of Repairs or Alterations(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 issued—bby this Board of ealth. r� 1 ed! ; Date OYJ�57 / / Application Approved by �/3 /� ,,T Date ) Application Disapproved by / Date for the following reasons Permit No. ..� / Date Issued . - -- - - --------- -------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance 3 THIS IS TO CEE®®RT//IFY,that the On site SSe age Disposal system Constructed( ) Repaired(y Upgraded( ) Abandoned( )by at 5 has been cons eed in ac r an e with the provisions of Title 5 and�he-forDisposal gystem Construction Permit No. l ed Installer Z;' L �� Yr�"Z-S Designer #bedrooms Approved de?ign`w a � / gp.The issuance of this permits not^,bee-cco trued-as a guarantee that the system wil nc-ti as�signed. /JDate / (/(/�/) Ins ector 1{, (� WV � P ) ------------------------ ---------------------------------------------------------- - - - No. U J / Fee r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction 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 recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Cons ction must Pdcomilted within three years of the date of this permit. Date / "T Approved by i i Town of Barnstable o� Regulatory Services Thomas F. Geiler, Director BARIYBTABLL 9�pT, s�'� Public Health Division Thomas McKean, Director = 200 Main Street,Hyannis,MA 02601 Office: _508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: l� Sewage Permit# Assessor's MaplParcel ��S Designer: ►' l 4 4 J �� Installer: c/ Address: ( b I Address: C lAAr On -Was issued a permit to install a (date) (installer) O S�� V l L LZ Septic system at l-� ��C1• 0 1�-� D, based on a design drawn by (address) �Ae 4�� J ��''I C I�`C • _ dated �j (designer) ✓\ 1 certify- that the septic system referenced above was installed substantially according to the design. which may inc ng lateral rel Jude minor approved cha,� es such a - °r;= _ s �u�e�al .v.o�atior� �. .�_., distribution box andi'or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than t0' lateral relocation of the SAS or an, 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. 0 (Installer's Signature) No: 1140 A f R£CISIE�� SANITA��P� Z�6 l3 (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNS ABLE 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/Designer Certification Form 3-264doc I• Town of B.I i-nstable. P# Department of Regtilatory Services Public Health Division Date '_ , �xrrerest$. • I press %639. �s 200 Main Street Hyannis MA 02601 Date Scheduled Time Fee Pd. i I `oil Suitability Assessment fog- S w e Disp al Performed By: Witnessed By: i LOCATION & GENERAL INFORMATION Location Address �Qt� y Owner's Name 0(,-Z 7 O V'! � a uIN rf Address /V14 Assessor's Map/P$rcel: ZZ Zj� I Engineer's Name ✓" "'�`('� ��' NEW CONS1RUI�1710N REPAIR Telephone# 31b —3 3 Land Use ���1 `� Slopes(%) • • Surface Stones Distances from: Open Water Body fit Possible Wee Area >2-Mft Drinking Water Well> ft i Drainage Way d� _ft Property Line >/4O ft Other ft SKETCH:(street name,dimensiods'of lot,exact locations of test holes&Pere tests,locate wetlands in proximity to holes) SEE' 19rn fo56d S ik- 4 1 elo i i I I F I Parent material(geologic) S� Depth to Bedrock ' Depth to Groundwaidr. Standing Water in Hole:' Weeping from Plt Face I Estimated Seasonaliigh Groundwater N k f Dtn RMIN TION FOR SEASONAL HIGH WATER TADL Method Used: Depth to still mottles; ]n. Depth 0 ed standing in obs.hole: - I in. Groundwater Adjustment t1t• Depth tolweeping from side of obs.hole: , Adj.factor,., _ Adj.droundwater Level Index Well# _ Reading Date: Index Well level_..i -m i PERCOLATION TEST ' Dilte 1nj" Observation 'I I Time at 9" AL ...._ Hole# 40 Time at 6" - Depth of Pere /0_1 G Time(9"-6',i -------- Start Pre-soak Time.@ End Pre-soak Rate MinJlnch Site Suitability Assessment: Site Passed. Site Failed; Additional Testing Needed(Y/N) Observation Hole Data To Be Completed on Back original:.Public Olealth Division — ***If percola#6n test is to be conducted within 100' of wetland,;you must first notify the Barnstable C44servation Division at least one (1)we6k 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. Consistencv.%Gravel Ot=10 Goat q Su„d 144 3 t►_40r► /?.GA Q� DEEP OBSERVATION HOLE LOG Hole#_ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consis enc %Gravel) 01'420 A 1 a N '�¢1'► C 141d14 teArM 2 • (c f a hd' DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consiste c %Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sall Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consiste ra I Flood Insurance Rate Map: / Above,500 year flood boundary No— Yes _Y Within 500 year boundary No_ 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 pervi us material? Certification I certify that on —I (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 requircd training,expertise and experience described in 3.10 CUR 15.017. t i Signature ` KA1- Date 1S l Q:\SEPnCVERCFORM.DOC LEGEND NOTE: THE DEED DOES NOT REFER TO NEWER PLAN CREATED OSTERV1LLE J PLAN BOOK 348 PAGE 89 Lu PROPOSED CONTOUR J ® PROPOSED SPOT GRADE �o —— 98 —— EXISTING CONTOUR N .. + 96.52 EXISTING SPOT GRADE o �Y W— EXISTING WATER SERVICE TEST PIT PARCEL ID: FALMOUTH 122/031 N So LOCUS ROAD 1 c0� Y >60 Rogo�Y 0 Go 0. rn n LOCUS MAP LOCUS INFORMATION co N PLAN REF: 348/89 TITLE REF: 2667/93 PARCEL ID: MAP 122 PAR. 15 ZONING: "RF" FLOOD ZONE: "C" yam. cj� COMMUNITY PANEL: 25001 5-0001-D DATED:07/02/92 O _ Sb �. �0 . `Db CB °,jp- SEPTIC SYSTEM 't , 36"P TH-1 TH REPAIR PLAN ' PARCEL ID: PARCEL ID: � ;' 18"0 *-- - ,- 12 0 �_-- 122/046 LOCATED AT: o N00- 1s�o IP 2884 FALMOUTH ROAD OSTER VI LLE, MA. 12"0 PREPARED FOR 24'O-_ PROP. 1,500G ; ,-� EDWARD OCZKOWSKI �' � SEPTIC TANK o TBM.COR BLHD. 31.3' EL=58.00 30"P AUGUST 24, 2013 � C.O. C.0 .� 0 � . CON ��0 OF MAss9�y C. --' ' DE K PATIJRE C.O. TOF=59.00 ' PARCEL ID: #2884 ; GAR. i ?j 122/030 � 'PEGISTE� SgNITAR�a� w $ Z1{ 13 a ' PARCEL ID: ' MEYER & SONS INC. 122/015 , AREA=32,091 t S.F. P.O. BOX 981 o� EAST SANDWICH, MA. 02537 30 a 15 30 100.00 (508)362-2922 FALMOUTH ; 126.32 SCALE: 1"=30' - (ROUTE 28) p O A D UPOLE`TL \ SHEET 1 OF 2 I TOP OF FOUNDATION NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS EL. 59.0 NOTE: PLACE RISERS OVER ALL COVERS W/IN 6" OF GRADE FINISHED GRADE (55.30) F.G.EL• 57.50 F.G.EL: 56.75 F.G. EL: 55.80 r . a MAINTAIN 2% MIN SLOPE OVER LEACHING AREA ;, 2" OF 3/8" DOUBLE WASHED TOP TANK=EL. 54.50 3/4" - 1-1/2" . . STONE OR FILTER FABRIC DOUBLE WASHED STONE A 6" . ~ 4" SCH 40 PVC 10"1 6 (MIN. ®®®®®®®®®®® " TEE'S ARE TO BE 14 7 © S= 1% INV.52.20 ' ) ®®®®®®®®®®® 4 SCH 40 PVC 2 EFF. DEPTH ®®®®®®®®®®® INV.53.25 INV.52.0 q' 2 X 8.5' 4' :: GAS 1 EXISTING OUTLETS BAFFLE PROPOSED DB-3 :..,.. .., DISTRIBUTION BOX EFFECTIVE LENGTH = 25' QA EL: 55.50 © EL: 55.67 INV. 53.50 INV., ELEV.= 51 .30 © EL: s5.s7 ROPOSED 1 ,500 GALLON SEPTIC TANK OF GAS BAFFLE TO BE INSTALLED ON ��� ss9� BREAKOUT OUTLET TEE AS MANUFACTURED BY y� TUF-TITE, ZABEL, OR EQUAL D� �, M TOP CONC. ELEV.= 52AT1!!EW3EMMEMMMM= 30 ELEV.= 52.30 NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING 1140 INV. ELEV.= 51 .30 ®~ ®®PIPE INVERTS PRIOR TO CONSTRUCTION EM E3 EM'fG/STE ` ®E3®®®®2) TANK AND D-BOX SHALL BE SET LEVEL AND TRUE TO ®®®®®®GRADE ON A MECHANICALLY COMPACTED SIX 80IT00 BOTTOM EL.= 49.30 INCH CRUSHED STONE BASE, AS SPECIFIED IN I 5 FT. 3.75' 310 CMR 15.221(2) �L�/ , 3) INSTALL INLET & OUTLET TEES W/ I SEPARATION 5.10 FT. EFFECTIVE WIDTH = 12.5 GAS BAFFLE AS REQUIRED SEPTIC SYSTEM PROFILE ADJUST. GRNDWATER EL: 44.20 _ SOIL ABSORPTION SYSTEM (SECTION) (500 GALLON LEACH CHAMBER) GENERAL NOTES: DESIGN CRITERIA 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL SOIL LOGS P#: 14098 BOARD OF HEALTH AND THE DESIGN ENGINEER. NUMBER OF BEDROOMS: 3 BEDROOOM 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 9, 2013 LOCAL RULES AND REGULATIONS. DESIGN PERCOLATION RATE: <2 MIN/IN SOIL EVALUATOR: DARKEN 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 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. 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 54.70 A 0" 54.80 0"A LEACHING AREA REQUIRED:LOAMY SAND (330) = 445.94 S.F. _ 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF LOAMY SAND 74 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 10YR 3/2 10YR 3/2 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 53.87 10" 53.80 12" B LOAMY SAND g USE TWO (2) 500 GALLON PRECAST LEACH CHAMBERS W/ 4' 7. WATER SUPPLY PROVIDED BY PRIVATE DRINKING WATER WELL. LOAMY SAND , , , 10YR 6/8 10YR 6/8 STONE ON ENDS & 3.75 STONE ON SIDES: 25 L x 12.5 W x 2 D 8 TO ALLA CDTION AGREED EAS DISTURBED UUPON RING CBETWEEN OWNER ONSTRUCTION H OBCONTRAACCT R. 51.95 C 33" 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE SANDY 52.30 C SANDY 30" BOTTOM AREA: 25' x 12.5'= 312.50 SF THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING LOAM tOYR 6/6 LOAM SIDE AREA: (25 + 12.5) X 2 X 2 = 150 SF CONSTRUCTION. tOYR 6/6 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND FILLED PER TITLE 5. (location unknown) 51.37 40" 51.38 41" TOTAL SQUARE FEET PROVIDED = 462.50 vs. 445.94 REQ'D 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION PERC 0 El_ 50.03 MEDIUM-COARSE MEDIUM-COARSE SAND 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 SAND PROPOSED SEPTIC SYSTEM UPGRADE P LA N AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 2.5Y 6/4 2.5Y 6/4 13. NO ABUTTING PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. 44.20 126" 44.30 126" 2884 FALMOIJTH ROAD, OSTERVILLE, MA 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING 15. ALL PIPING TO BE 4" SCH 40 0 1/8-/FT (UNLESS SPECIFIED) PERC RATE <2 MIN/IN. ("C2" HORIZON) Prepared for: Oczkowski NO GROUNDWATER OBSERVED r Engineering by: Surveying by: SCALE DRAWN -I, Darren M. Meyer, R.S.. CSE, he reby certify that 1 am currently approved by MADEP pursuant to 310 CMR 15.017 MEYER&SONS,INC. Afecpoell 8urve N.T.S. DMM O BOX P4STSAN1 ( ) DATE CHECKED SHEET NO. to conduct soil evaluations and that the above analysis has been performed by me consistent with the 508 419-1086 requirements of 310 CMR'15.017. 1 further certify that I have passed the Soil Evol. Exam in October, 1999. EAST SANDW/CH,MA 02537 50"2-2922 08/24/13 DMM 2 of 2