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HomeMy WebLinkAbout0296 LAKESIDE DRIVE - Health 296 LAKESIDE DRIVE Marstons Mills _- - - -- - - - - -- - - - - A = 102 — 027 -- TOWN OF BARNSTABLE LOCATION,29'IPZ k,!-5 'l►/,� SEWAGE#;W ZD—Dar VILLAGE/2&/^SAPAI �Ii��S ASSESSOR'S MAP&PARCEL/0.2-a,2Z INSTALLER'S NAME&PHONE NO,f®F"��� 9�. >�'✓0.5�e ,r/c�f�/t'Gs� SEPTIC TANK CAPACITY LEACHING FACILITY:(type) -5-049 4044?l h4e5 (size) I A,SJA aL 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 facility) Feet FURNISHED BY `3 /c a o a 132Zi- 4 z asG,. -2s _ i3317 3 No. FeeVYes "� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:PUBLIC HEALTH DIVISION - TOWN'OF BARNSTABLE, MASSACHUSETTS 2ppfication for Misposal 6pstem Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( -Abandon( ) omplete System ❑Individual Components Location Address.or Lot No. 96' L'.S'/ C /'1✓ Owner's Name Address,and Tel.No. p Assessor's Ma /Parcel/a - In taller's N e ddre s,and Tel.No.SJ — O— 7 Designer's ame Address,and Tel.No.f'"DE ,� ,� r�vs /17E �f ©�1� NC 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 31 �:)• -a� 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) rob 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 Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Q Date Issued �� No. (90w ' 3 Fee / y 0 s THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION OWNaOF BARNSTABLE, MASSACHUSETTS Yes i. ZippYitation for lisp sal *pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade�andon( ) e mplete System ❑Individual Components Location Address or Lot No. CI(� /=_5 _5'f2 j,///= Owner's Name,Address,and Tel.No. Assessor's Map/Parcel _0 z1�4r3T�r�s fi Installer's Name,Address,and Tel.Nos J8—y G=q73` ' Designer's Name,Address,and Tel.No.f-0E_ ✓� � !�� t3r�rGvs 5a7s Type of Building: - Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeieria( ) Other Fixtures Design Flow(min.required) Tan gpd Design flow provided L J S gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. __Q cot? a C' S I-'�1 Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: 't 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 Application Approved by Date (� Application Disapproved by Date P for the following reasons Permit No. (70-6 7�3 Date Issued ---------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certifirate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded Abandoned( )by /1<.,"I at Z g /l zge leas been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit N ._ ated Installer 1 /91 lzllesi1111 Designer #bedrooms Approved de sign flow gpd The issuance of this permit shal not be construed as a guarantee that the sy tes s de igned. Date K cab' Inspecto --'------------------------------------------------------------------------------------------------------------------------------------ No. Fee ©� THE COMMONWEALTH OF MASSACHUSETTS ` PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS disposal *pstrm Construction Vermit Permission is hereby granted to Construct( ) Repair( ) Upgrade( y— Abandon( ) System located at C/�v / )'/r�s✓/_= 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 must be completed within three years of the date of thilp rmit. Date , ) Approved by Town of Barnstable Regulatory Services Richard V. Scali, Interim Director • .nartsrABM KAS& Public Health Division ; Thomas,McKean,Director -' 200 Main Street,Hyannis,MA 02601 F Office: 508-8624644 Fax: 508-790-6304 ;_,' Installer& Designer Certification Form Date: zo Sewa a Permit# O O 0- Assessor's Ma \Parcel /o 2 0z g I P 7 l 11 Designer: t G Installer: Address: Address: 2/G��77_`� On /— ,�/-.20 JOSi✓f�li p�9,qf Pa5 was issued a permit to install a (date) c� 1 (installer) septic system at I VA��I� MARS V1 based on a design drawn by (address) MV,,4-4_r dated ^� . (TW gner) lklY"septtSI certifythat c syeerenced 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) t. OF `���-� EN ( stal errs lgnature) esigner's Signature) (Affix ere) PLEASE RETURN TO BARN LE PUBLIC HEALTH D ON. 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 _ Town of BAmstable P# Department of Regulatory Services . ,. Pubhc Health I)iv><sion Dare t6~¢ ems$ 200 Main Street,Hyannis MA 02601 3 • ~RFD 1!Il:I t' / � ,. • Date Scheduled ! Time /l Fee Pd. o6 I . it Suitahili Assessment fog- S aige Disposal Y Performed By. �"Yv�X\ Witnessed By: i LOCATION& GENERAL INFORMATION Location Address .a b 1 t�l' L Owner's mo D Vv A1z b S rV t 1 1;(S i Address Sf}"M e Assessor's Map/Nrcel: 16 2/ p 2.7 I Engineer's NameM C y ctZ V o.nIf j33 NEW CONSIRA.170N REPAIR Telephone# �� 1 Land Use TIw5 �)� Slopes(96) V J v Surface Stones V) Distances from: Open Water Body Oft Possible Wet Area ! O ft Dririhing Water Well 2,0 y ft Drainage Way>�d 0 ft Property Line l—aft Other ft SKETCH:(street name,dimensiods%f lo4 exact locations of test holes&percitests,locate wetlands in proxitnity to holes) S S 1 > .14 i i Parent material(geologic) w 4S� I Depth to Bedrock Depth to Groundwaker. Standing Water in Hole:„ Weeping from Pit Face Estimated Seasonal l•#igh Groundwater ,v D TION FOR.SEASO"L EIOE WATER TADLE Method Used: ! Depth C1b,terved standing in obs.hole: in. Depth to s011 mottles: ln. Depth toiweeping from side of obs.hole: I in. Oroundwdter Adjustment ft. Index Well#�. Reading Date Index Well levttl 7=-77i __ Adj.b tor,,,,,_. . Adj.CroundwaterLevel,,,,m • I PERCOLATrON TEST Date 1 Observation ( I Tiirie at 9" Hole# Depth of Perc 4$ Time at 61' 11 'lime(9"-b") Start Pre-soak Time.@ ° I End Pre-soak t / I Rate MinAnch .42' I Site Suitability Assessment Site Passed Sift Failed: Additional Testing Needed(YIN)--- Original:.Public H41th Division Observation Hole Data To Be Completed on Back-- ***If percolafii0n testis to be conducted within 100' of wetland,,you must first notify the • Barnstable C64servation Division 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. onsis cy.'9n Gravel o" o`' ��lv /V DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon_ Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel) sod �l DEEP OBSERVATION HOLE LOG Hole# A Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsistenc %Gravel i i i I i DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Slurface(in.) SDA) (Munsell) Mottling (Structure,Stones,Boulders. Consisten Y. Gravel) I e i I Flood Insurance Rate Map: I Above 500 year flood boundary No. Yes i. 1// j 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 per 'o s erial exist.in all areas observed throughout the area proposed for the soil absorption system? II not,what is the depth of naturally occurring pe ious material? i Certification I1 certify that on (date)I have passed the soil evaluator examination approved by the Oepartment o it mental Protection and that the above analysis was performed by me consistent with t e required t aini ,e ertise nd perience described. 3:)0 CMR 15.017/ r - Date l I i nature i i I • Q:\,SEPTIC\PERCFORM.DOC TOWN OF BARN$TABLE OCATION,2&9 G&k '.&7 Lk:-: SEWAGE# D37 {VILLAGFyl�III%STON� /�Ii/1S ASSESSOR'S MAP&PARCEL/9.9-02T INSTALLER'S NAME&PHONE NOJ-Go SEPTIC TANK CAPACITY L LEACHING FACILITY:(type) 2-S'rQQ�`jpl�j40,0 5 (size) 1-9-SA NO.OF BEDROOMS ,2 OWNERiUpS PERMIT DATE: /— 3/—,'1 O COMPLIANCE DATE: a 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 .L .�2pai ti r�r'(V r j is �33� 7 4 U-)3 ' I -f + am !7, (too pu►npI V9 C-ts I �Po*THE To�o TOWN OF BAR.NSTABLE �O� Z BAHH9TADL8, i ��� a) 'q 1 , "6 9 ; BUILDING INSPECTOR Gh" 00 MPY a• -- APPLICATION FOR PERMIT TO ... IG./........9...%.1.........f z ......? .'`'`..............................19?l.-> TYPE OF CONSTRUCTION .......................WC ®2. .....f Ya h e ...................V6 G, ee .:.................................... l:..lG r ^......f.6:..............19.. L TO THE INSPECTOR OF BUILDINGS: 4a / � Sl�e, i1�Iti� The undersigned hereby applies for a permit according to the following information: OqLocation ...................1.4. .. .....� �c�..�z4? ...... /Yl............/����Jl.. .....:.. �� 4f1...... hc� �hc1Ye��• ProposedUse ............ ........................................................................................................................................ ZoningDistrict ............../,.,.............................,,.,,....�.../......................Fire District .............//................................................................... Name of Owner ..... !:'.e �e.�:.... .......!.�.`�C/Ui1')G(...Address .. �.1`� k......s1: C� ��k !..°. .��. . ............ .... ..... ................... ....... . Nameof Builder .................... ..............................Address ...........................5 * '............................................ Nameof Architect ........................Address.......................................... ..................................................................................... �s�l.�.d.........C. Number of Rooms ............. . C)Q mob...................................................Foundation .......I.2.r' Exterior ................. .....- 1..-..l� � �i cI- . .,......................................................Roofing ............ ..E..............G....�.. :...�1(�.�':�..................... Floors ................. '.°.4.....................................................Interior ...............D..V.`(,...���F.�.:.......................................... '/ .........................Plumbin .. �....Q��....-... .�... .�. .C'^t Heating ............./:Z.Q. . . g .................... .................. DFireplace .........................../. ................................................Approximate Cost ................ .. ....!..Od........a.... Difinitive Plan Approved by Planning Board ------------------------------19-------- . 11 ,76 Diagram of Lot and Building with Dimensions ,\','P .4 Y S S Y o /00 �� o 00 2q' O X�. .p wall <) a, I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ......... .... L..... ..�1 ................ LEGEND MARSTONS MILLS --{ $]—� PROPOSED CONTOUR ® PROPOSED SPOT GRADE Ao LAKESIDE DR. Fac < # —— 98 —— EXISTING CONTOUR SRE 74 �o�� ` + 96.52 EXISTING SPOT GRADE 0 _ W EXISTING WATER SERVICE S a g co: F N W � CO //�'• �Fti T % � 53 'm SHUBAEL EST PIT � POND \ \00O O 2 � O z-i z Ff 75 \3 OLAKESIDE DR. LOCUS ` LOCUS MAP 76 LOCUS INFORMATION , \` PLAN REF: 138/025 ` a \ TITLE REF: 30782/262 PARCEL ID: MAP 102 PAR. 027 �a FLOOD ZONE: PROPERTY NOT IN FLOOD ZONE 2 \ 7 ��r co �o \� , SEPTIC SYSTEM J co �ZQ REPAIR PLAN L_O T 1 7 4 A i /�� LOCATED AT: AREA = 10000 sf+— PLAN BOOK 138 PAGE 25 0 �G J/ ; '' 73 296 LAKESIDE DRIVE ASSR MAPS 02 PCL 27 I I TPA 1 M AR STON S MILLS, MA PREPARED FOR o PROPOSED 1,50OG �O �� � DTP EDWARDS SEPTIC TANK "o \74 JULY 16, 2018 JANUARY 29, 2020 00 BENCH MARK ff ,, of �ss9 TOP OF FOUNDATION 76' / ' 3`�`' Cy 78.18 � / � DAR EN M. G / M R BARNSTABLE GIS DATUf O. 1pp 75NITAR�a� PLAN SCALE: 1 in = 20 ft t MEYER & SONS, INC. 0 20 40 P.O. BOX 981 0 10 20 40 EAST SANDWICH, MA. 02537 PH: (508)360-3311 FAX: (774)413-9468 meyerandsonstitle50gm ail.com SHEET 1 OF 2 J 1894 ELEV. TOP FOUNDATION NOTE: PLACE MAGNETIC MARKING TAPE OVER ALL COVERS (Existing) BRING ALL COVERS TO WITHIN 3" OF FINISH GRADE FINISHED GRADE (74.0) = 78.18 a -F.G.EL: 77.0 F.G.EL: 76.0 F.G. EL: 74.50 MAINTAIN 2% MIN SLOPE OVER LEACHING AREA 77771 i :Y " F.G.EL: 75.10 2" OF 3/8" DOUBLE WASHED 3/4" - 1-1/2- STONE OR FILTER FABRIC DOUBLE WASHED STONE a _7 4" SCH 40 PVC ! 10"I ®®®®• 0 E3 3113® 9' TEE'S ARE TO BE 14 s ® S= 1% (MIN.) ®®®®®®®®®®® :a 4" SCH 4o PVC INV.72.75 2' EFF. DEPTH ®®®®®®®®®®® INV.73.75 INV. 72.50 T4' 2 X 8.5' 4' GAS PROPOSED DB-3 EFFECTIVE LENGTH = 25' PROP. OUTLET BAFFLE EL. 75.43 DISTRIBUTION BOX INV. 74.0 (1-120) INV. ELEV.= 70.15 PROPOSED 1,500 GALLON SEPTIC TANK OF GAS BAFFLE TO BE INSTALLED ON ����` ' ss9 BREAKOUT OUTLET TEE AS MANUFACTURED BY �`� �y NOTES: TUF-TITE, ZABEL, OR EQUAL ? D EERM' �' TOP CONC. ELEV.= 71 .15 ELEV.= 71 ..15 1) CONTRACTOR SHALL VERIFY ALL EXISTING N 0 INV. ELEV.= 70.15 ® ®® PIPE INVERTS PRIOR TO CONSTRUCTION ®®®®®®® �`G/ST ®®®®®®® 2) TANK AND D-BOX SHALL BE SET LEVEL AND NITAR�a� BOTTOM EL.= 68.15 ®®®®®®® TRUE TO GRADE ON A MECHANICALLY COMPACTED t 3.75' 5 FT. 3.75' SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2) SEPARATION 5.05 FT. EFFECTIVE WIDTH = 12.5' 3) INSTALL INLET & OUTLET TEES W/GAS BAFFLE AS REQ'D SEPTIC SYSTEM PROFILE BOTTOM OF TESTHOLE EL: 63.10 _ SOIL ABSORPTION SYSTEM (SECTION) (500 GALLON LEACH CHAMBER) GENERAL NOTES: DESIGN CRITERIA **NO PROPOSED INCREASE IN FLOW** 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL SOIL LOGS P#: 15692 BOARD OF HEALTH AND THE DESIGN ENGINEER. 2018 NUMBER OF BEDROOMS: 2 BEDROOM EXISTING DWELLING/3 BEDROOM DESIGN 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DATE: JUNE 21, SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE SOIL EVALUATOR: DARREN MEYER, R.S., CSE #1614 LOCAL RULES AND REGULATIONS. DESIGN PERCOLATION RATE: <2 MIN/IN 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR WITNESS: DON DESMARAIS, BARNSTABLE HEALTH DEPT. DAILY FLOW: 110 G.P.D. x 2 BR = DESIGN FLOW: 220 G.P.D. TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. Elev. TP-1 Depth Elev. TP-2 Depth GARBAGE GRINDER: NO (not designed for garbage grinder) 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 74.10 0" 74.15 0" SEPTIC TANK: 220 gpd x 200% = 440 gpd USE PROP. 1,50OG SEPTIC TANK FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN A LOAMY SAND ENGINEER BEFORE CONSTRUCTION CONTINUES. A L SAND LEACHING AREA REQUIRED: (220)/0.74 = 297.29 S.F. 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 73.28 / 10" 73.33 1OYR 3/2 10" 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF B LOAMY SAND B LOAMY SAND USE TWO (2) 500 GALLON PRECAST LEACH CHAMBERS W/ 4' THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 10YR 5/8 IOYR 5/8 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 71.43 32" 71.48 32" STONE ON ENDS & 3.75' STONE ON SIDES: 25' L x 12.5' W x 2'D + 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. C C 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED BOTTOM AREA: 25 x 12.5 = 312.5 SF TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE MEDIUM MEDIUM SIDE AREA: (25 + 12.5) X 2 X 2 = 150 SF •-� THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING SAND SAND CONSTRUCTION. PERC TEST 2.5Y 6/6 2.5Y 6/6 TOTAL SQUARE FEET PROVIDED = 462 vs. 445.94 REQ'D 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND FILLED PER TITLE 5. o EL_ 70.10 DESIGN FLOW PROVIDED: 0.74(462 S.F.) = 342.25 G.P.D. vs. 330 G.P.D. req'd 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 63.10 132" 63.15 132" PROPOSED SEPTIC SYSTEM UPGRADE P LA N 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. PERC RATE <2 MIN/IN. (*Cl" HORIZON) 296 LAKESIDE DRIVE, MAR STO N S MILLS, MA 15. ALL PIPING TO BE 4" SCH 40 O 1/8"/FT (UNLESS SPECIFIED) NO GROUNDWATER OBSERVED 16. NO PROPOSED INCREASE IN FLOW. , Prepared for: Edwards Design and Site Plan by: SCALE DRAWN DATE I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 MEYER&SONS,INC. N.T.S. DMM 07/1 6/18 to conduct soil evaluations and that the above analysis has been performed by me consistent with the PO BOX 981 requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Eval. Exam in October, 1999. EAST SANDWICH,MA 02537 REV DATE CHECKED SHEET NO. 508-W2.2922 01/29/20 DMM 2 of 2