HomeMy WebLinkAbout0054 ROUTE 149 - Health 54 ROUTE 149
Marstons Mills
A - 077 — 023
Town of Barnstable
DIME 1 Regulatory Services
Richard V. Scali, Interim Director
BARNSTMM
r MAM Public Health Division
s6;9. 1®�
'°rFaMaY°i Thomas McKean, Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer& Designer Certification Form
Date: Sewage Permit# p()N Q\ — `IJ� Assessor's Map\Parcel=_�L3
Designer: A- t+r411-5 P Installer: Zc_�,Ue�\
Address: g 2 3 R_0-W 7-L (DA Address: t \a Cry\
2r7. pe,,zr, r4.4, ae 4,7; X
On i�A_ �b was issued a permit to install a .
date) (installer)
septic system at tA,`NS based on a design drawn by
(address)
14. H-AA5, Pe dated
(designer) j
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 c4mgliance with the terms of
the I\A approval letters (if applicable)_6& r r
nstaller's Signature)
51•',
Designer's Signature) (Affix Designer's Stamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
M AN AS-
OF COMPLIANCEWILL NOT BE ISSUED UNTIL BOTH THIS
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLI HEAT H DIVISION.
THANK YOU.
Q:\Septic\Designer Certification Form Rev 8-14-13.doc
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The Myers®SRM4 series
residential sewage pumps are
considered by industry pros to be
extremely reliable.The specially
designed recessed impeller allows
2"solids to easily pass through : "
without jamming.The cast iron
housing and volute case handle
the harshest conditions and will
provide years of service. d .
Automatic and manual operation
models available. a
f
I
Sewage, high-capacity sump, effluent
i
c Versatile Applications Excess Heat Detection
Effective and efficient performance in Internal heat sensor provides overload
Capacities-95 GPM (360 LPM) septic tank sewage, effluent and high- protection;automatically resets when
Shut-off Head- 19' (5.8 m) capacity sump applications motor cools to a safe operating
Solids Handling-2" (50.8 mm) Handles the Heat temperature
Liquids Handling-Septic effluent High-endurance,oil-cooled motor for Free-flow Design
and sewage continuous bearing lubrication and Recessed impeller design also
Intermittent Liquid Temperature- critical heat dissipation improves the free flow of solids
Up to 140°F(60°C) Powerful Torque up to 2"
Motor/Electrical Data-4/10 HP, High-torque, permanent split Longer Bearing Life
permanent split capacitor type, 115V, 12A, capacitor(PSC) motor; no starting Recessed impeller reduces radial
10,60Hz;230V,6A, 10,60Hz switches or relays to wear out bearing loads, increasing bearing life
Acceptable pH Range-5-9
Motor Protection Automatic and Manual
Discharge,NPT-2" (50.8 mm) Long-life carbon/ceramic seal Automatic tethered or vertical switch
Housing- Heavy cast iron provides extra protection against models(with piggyback plug),or
P P 9 P 99Y P 9 ,
Power Cord- 10'120'optional) water leaks manual operation models
Impeller-Recessed,thermoplastic
Volute Case-Cast iron
Shaft Seal-Type 11A, carbon
and ceramic
►�PENTAIR
TOWN OF BARNSTABLE
LOCATION NiA cl SEWAGE# tL()\ l O 1
VILLAGE \15 ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. QN�� Vr s c A V` �'(i�{ a.Cl%A ()0 6�1
SEPTIC:TANK CAPACITY \50 0 9 k-w',k :k- 9v m P
LEACHING FACILITY:(type) S-M &k(size) 1 a-!FS' k a S
NO.OF BEDROOMS
OWNER W�
PERMIT DATE: (Li COMPLIANCE DATE:
Separation Distance Between the: n l /(
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility �y A Feet
Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) AIA Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) `p f�) C7 Feet
FURNISHED BY
�,�✓ ate cs_ y-1
Li Cl,
VA ab
p Qox �9
t e
a�����
No. ' Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ftplitation for Vsposal *pstem Construction Permit
Application for a Permit to Construct( ) Repair(t4pgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.S4 Q� i y I Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel / a 6 9.11 n M \I
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
Type of Building: -Yo Jr— X9 V 0065
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(/VIA4
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) x 3 0 gpd Design flow provided f gpd
Plan Date�� 1 t Number of sheets Revision Date
Title
Size of Septic Tank L'Z O Type of S.A. 0 ��Lh(. C t�c,�6P W C 4
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 is Board of Health.
gn d ate /
r" on
Application Approved by J ate
Application Disapproved by d Date
for the following reasons
Permit No. �' Date Issued
---------------
No. / Fee C/V
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -_TOWN OF BARNSTABLE;MASSACHUSETTS
applitation for MispoBal 64t'pm Construrtion 3pPrmit
Application for a Permit to Construct( ) Repair(t/Upgrade( ) Abandon( y) ❑Complete System ❑Individual Components
Location Address or Lot No. y 2a( I Fa'Owner's Name,Address,and Tel.No.
,� t.err�e�n ;\I
Assessor's Map/Parcel C lei•r-C,,
�a ¢ QX n M
Installer's Name,Address,and Tel.No. "' _ Designer's Name,Address,and Tel.No.
nr 3f�. �S(3
Type of Building: poi(- d•`)V 0O61 Dwelling No.of Bedrooms - Lot Size sq.ft. Garbage Grinder(/"A f
qAX-
Other Type of Building No.of Persons Showers( ()•Cafeteria(• )
;
Other Fixtures
Design Flow(min.required) � �(� gpd Design flow provided Q S� gpd
lan Date Lam' 1 Number of sheets Revision Date
A ' Title a
el'G�lG` d• ri
Size of Septic Tank /SO O Type of S.A. 0 a G��(,,,,/� C X r7 I U 4,f
Description of Soil C CG+r s
Nature of Repairs or Alterations(Answer when applicable)
' Date last inspected:
Agreement: J
t
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 is Board of Health.
gn d, ate L
` Application Approved by "" Date
Application Disapproved by Date
for the following reasons
i t' Ir
Permit No.A Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
(ertificat>e of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(L, S Upgraded( )
Abandoned( )by SC pS� D��
at ���T� (�(�cr5�K3 r, M j\`S has been cons cted'n a c ance
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated
Installer �G FC(�/�� Designer S `�
#bedrooms Approved desi flow 3L gpd
The issuance of this e t s al of b construed as a guarantee that the system i i fu des ed al
G
Date Inspector
J
- /� - - ----------- --------------------------------------- ----------L -------------------------------
No. v /O/ t, Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
30isposal *pet ConetrUttion Vermit
Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( )
1 System located at , cj M G.r Ski Z)k M
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:Construct on ust a om eted within three years of the date of this permit.
Date Approved by
Town of
oFml�t 1 ak_
Department of][regulatory Services
�Aa ; Public Health Division gate
MA AL
200 Main Stree Hyannis MA 02601 ^�
Date Scheduled Time � .. JFVe IBd. �
f c
fo
Performed By:
— Witnessed By:
/� LOCATION & GENERALWF011;11�ATj0,N
Location�C res ` N � Owner's Name 0
Address F°je& z/t
Assessor's Map/Parcel: `77� Engineer's Name Sk v-f, kkr
NEW CONSTRUCTION REPAIR _✓ Telepli one tk
Sz 8' t3�,
Land Use" A?CS
Slopes(%) le_> Surface Stones
Distances from: Open Water Body ft Possible Wet Areay ft Drinking Water Well ft
Drainage Way L5 ft Property Line ft Othcr ft
01�'+�"1'CH'(Street name,dimensions of lot,exact locations of test(toles&pete tests,locate wetlands(n proximity to holes)
CA
}
4
W
Parent material(geologic) G>✓��.yt5�� Depth to Bedrock
Depth to Groundwater. Standin Walerin Hole: 1' T�—
g �' /. Weeping froth Pit 11II06
Estimated Seasonal High Oroundwater c" r
DETERMINATION FOR A SQNAL 111GZ OWATER TABLE
Method Used: <JC3•�r t ref-�� `ji"�' .r~ir�7i7L.t1j
Depth Observed standing in obs.bole: In. Depth to loll mottles: _ T In.
Depth to weeping from side of obs-bole: b, Groundwater AdJuatment Ct.
Index Well# Reading Data: index Well level�� Adj.factor__ ArIJ.C)rtlulldwalerLevel
PEI RCOLATION`]('EST D A 1;e i2-
Observation
Hole# Time lit 9"
Depth of Perc C16 t Tlute ul 6" ems'✓ y _
Start Pre-soak Time @ C� "r' Time(9"-6")
End Pre-soar[ .La�
Rate Min./Inch L-
Site suitability Assessrnrnt: Site Passed ✓ Site Pailed: Additional Testing Needed(Y/N)
A
Original: Public Health Division Observtitioll Holc Data To Be Completed on�. Back----------
i
***1f percolation test is to be conducted witliin 100' of wetland,you must filrst notify tile,
Barnstable Conservation Division at least one (1) week prior to beginning.
l;Z;�.Sftrrlt�Pr!RCroRM.Doc
DE,EI'JP.O BSIirR VATIC9N HOLE LOG ,dole
Depth from Soil Horizon Soil Texture Sdil Color Soil. Other
Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones;Boulders.
onsistena 3 aravei)
32,Of f-I L
` DEEP OBSERVATION HOLE LOG Hole# Z-
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling
(Structure,Stones,Boulders.
o siste r vel
<.t A v��3/j
ZYP
!t 1
DEEP OBSERVATION HOLE LOG Dole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Motutng (Structure,Stones,Bouldets.
Cons Istency,TP Oraych
DEEP OBSERVATION DOLE LOG Dole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders,
Consistency, 6 a
I'loud Insurance]Rate Ma_l�:
Above 500 year flood boundary No- Yes
"Within 500 year boundary No"�Yes
Within 100 year flood boundary No
_ Yes
Depth of Nattirally 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 /r(c�y
I certify that on !r `��' f--(date)1 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 trainirl xp rtise and experience described in 10 CMR 15.017.
Signature Date
J
" s
QASEPTIC�PERCPORM.DOC
ACCESS COVER MUST BE 9' MINIMUM. MIN 2" OF PEASTONE INVERT ELEVATIONS : DESIGN CR I TER I A :
N TO FINISH GRADE FIRST 2 TO OR FILTER FABRIC
3' MAXIMUM COVER INVERT AT BUILDING: 88.5 DESIGN FLOW:
BE LEVEL 4*VENT WITH
ACCESS COVERS MUST BE WITHIN TEE (CHARCOAL FILTER INVERT IN SEPTIC TANK: 87.75 3 BEDROOMS AT 1/0 G.P.D. PER
�
w
6" OF FINISH GRADE la'" MIN INVERT OUT SEPTIC TANK: 87.5 BEDROOM EQUALS 330 G.P.D.
Qo A/q/N INVERT IN DIST. BOX: 96.27
sr 3/4" - I l/2" DIA. NO GARBAGE GRINDER
LOCO 91.0 INVERT OUT DIST. BOX: 96. 1
96.27 _ DOUBLE WASHED STONE
INVERT IN LEACH CHAMBER: 96.0
ROUTE 2 SEPTIC TANK REQUIRED:
2" SCH 40 PVC %0 96. I 2 O i°D 94.0
88.s BOTTOM OF LEACH CHAMBER: 94.0
SLOPE 96.0 330 G.P.D. X 200% - 660 GAL.
4' DIAM P/PE 2-500 GAL LEACHING CHAMBERS ADJUSTED GROUND WATER: 87. 1
3 OUTLET W/4 ' STONE AROUND. 12.8'w x 25'1 x 2 'd SEPTIC TANK PROVIDED: 1500 GAL. MIN.
88.5 D-BOX OBSERVED GROUND WATER: 82.6
87.75 LEFFNT H-20 BOTTOM OF TEST HOLE2: 89.0SOIL ABSORPTION SYSTEM REQUIRED:
c soo G 3.2 INDEX WELL SDW 253. ZONE C
DESIGN PERC RATE C 5 M!N/l NCH
2000 GALLON H-10 JANUARY 2014 READING-49.2', ADJ-4.5' SOIL TEXTURAL CLASS - /
MONO 2 COMPARTMENT EFFLUENT LOADING RATE - 0.74 GPD/SF
SEPTIC TANK/PUMP CHAMBER 6" CRUSHED STONE OR 330 GPD / 0.74 GPD/SF - 446 S.F. REQUIRED
LOCUS MAP COMPACTED BASE
PROVIDED: 2-500 GAL LEACHING CHAMBERS
W/4 ' STONE AROUND, A-471 S.F.
GENERAL NOTES :
PROFILE .' Nor TO SCALE 471 S.F. x 0. 74 - 348 G.P.D.
I. THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION SO I L TEST PIT DATA s
OF THE SEWAGE DISPOSAL SYSTEM ONLY.
INDICATES INDICATES
2. VERTICAL DATUM IS ASSUMED, FOR BENCH MARKS PERCOLATION OBSERVED
TEST GROUNDWATER
SET. SEE SITE PLAN.
TP #l P#l 4241 TP #2
3. ALL CONSTRUCTION METHODS.AND MA TER 1 AL S AND �� �P��
t� HORIZON TEXTURE COLORHORIZON TEXTURE COLOR
MAINTENANCE OF THE SEPTIC SYSTEM SHALL �` 0" 90.6 0' 99.0
CONFORM TO MASS. D.E.P. TITLE 5 AND LOCAL FILL A LOAMY IOYR
�0 SAND 3/3
BOARD OF HEALTH REGULATIONS.
'
6
/ '12oaK 32" - - - - - - - - - - - - - - - - - - - - 87.9 18" - - - - - - - - - - - - - - - - - 97.5
4. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER 0.�� \ A LOAMY IOYR B LOAMY IOYR
j \ \ 3/3
AREAS SUBJECT, TO VEHICULAR TRAFFIC OR GREATER / p,� \ \ SAND SAND 5/8
THAN 3' IN DEPTH SHALL BE CAPABLE OF WITH- CATCH BASIN '( ��� / \\ \o COARSE IOYR
STANDING H-20 WHEEL LOADS. \ uP��. �i \ ' N
SAND 5/8
BM. TAG BLT 1I18 / I 80" - - - - - - - - - - - - - - - - - - - - 83.9
5. ALL •SEWER PIPE SHALL BE SCHEDULE 40 PVC OR EL-98.88 i _ \ ��\ MEDIUM IOYR
APPROVED EQUAL. SAND 6/1
\ i
TP#2 \\ I REROUTE WATER LINE
96" _ 82.6 48"
6. SEP T t C TANK, PUMP CHAMBER AND D-BOX SHALL BE \ \ I \ AROUND LEACHING AREA
REINFORCED PRECAST CONCRETE. WATERTIGHT AND `, \\ •';'• \\ I SLEEVE WITH A LARGER DIAMETER
WATERPROOF. D-BOX SHALL BE WATER TESTED TO - ' \ VENT \ PIPE WHEN CROSSING OR WITHIN
102" - - - - - - -LOAMY- - - - - 7.SYR 82. 1
��' '•��•• � •' \ \ 10' OF SEPTIC SYSTEM
CHECK FOR LEVEL WHEN THERE IS MORE THAN ONE
OUTLET. /00 �.. :.:: \\ .n SAND 2.5/3
R/`FR N .::7 108- 81.6 I20 ND WATER" 89.0
7. BEFORE CONSTRUCTION CALL "DIG-SAFE".
2-500 GALLON \ t•'• ' \ DATE: JANUARY 9. 2014
l 888-DIG SAFE AND THE LOCAL WATER DEPT. LEACHING CHAMBERS 12•spIpuc \ \ 0 c'
FOR LOCATION OF UNDERGROUND UTILITIES. W14' STONE AROUND �' TEST BY. STEPHEN HAAS
`
WITNESSED BY: DONNA MIORAND!
8. SEPTIC SYSTEM INSTALLER SHALL NOTIFY THE p'sP�GcE 2 MlN/INCH
PERC RATE: C
DESIGN ENGINEER TWO DAYS PR 1 OR TO CONSTRUCTION
OF THE SYSTEM TO ALLOW FOR SCHEDUL 1 NG OF THE
CONSTRUCTION INSPECTIONS.
�r
I b
9. EXISTING SEPTIC SYSTEM TO BE PUMPED DRY AND
BACKFILLED.
/0. ALL UNSUITABLE MATERIAL (A & B HORIZONS) _-
ENCOUNTERED BELOW THE INVERT OF THE LEACHING
FA I L I TY TO BE REMOVED FOR A D 1 S TANCE` OF 5*
AROUND AND REPLACED WITH SAND IN ACCORDANCE - -9
WITH TITLE 5. Q� ___ �
- ��o
2000 GALLON
? COMPARTMENT .
94-' SEPTIC/PUMP TANK
1
s i
�G EXISTING SEPTIC �• g, s
9� SYSTEM
ER 3
D.c-
19 Q� `� CB FND ./
�F9 ��b ---'�� PORCH l`(p�/ f
ER 4 \\ C1 WORK-L-lMl_T AT EDGETHRE
OF DRIVEWAY-\ EX ISTtNG W LLIN FLAG
BEDROOM �!
�•' '�--,. � R8-__ ^� t FLAG 82.8
SHED
\ VARIANCES REQUIRED :
TOWN OF BARNS TABLE ONS l TE SEWAGE -D!SPOSAL REGUL A T l ONS
ER 5 \s4 T A R EA
L O w
\ a, PART V 111. SECTION l.00. THE "l 00 FOOT* REGULATION
56.978+ S. F. o 100' IS REQUIRED BETWEEN ANY PORTION OF THE SEWAGE DISPOSAL SYSTEM AND A WETLAND RESOURCE.
FLAG 82,s m 83' AND 87' ARE PROPOSED BETWEEN THE SEPTIC TANK / PUMP CHAMBER AND THE RESOURCE AREAS.
F 17' AND 13' VARIANCES ARE REQUESTED.
ER 6 �
_ 8VW 22 82.OVW 211
BVW 20 82.3
i
' BVW17 BVW16 SEPT / C SYSTEM DES / GN
/ 'c
.az BVW /9 BVW /8 ��
54 ROUTE 149 . MAP 77 . PARCEL 23
111 ER 7
90 CMARST0NS M ! LLS )
B`Vk15 BARNS TA E . MA .
1 20- D/AM �' I i' PREPARED FOR
MINIMUM �
COUP/L I"
x _
- ER 9 `\ , LEGEND C L .A I R E S H E R M,A N
�'-r2- PVC OUTLET ER 8 _ � �� / SHFD �'/
PUMP SYSTEM NOTES: - BVW 14 ■ CB CONCRETE BOUND
\ P . 0 . BOX 21 / MARS TONS MILLS . MA 02648
o � -W WATER L l NE
1. PUMP TO BE MY£RS RESIDENTIAL SEWAGE PUMP MODEL SRM4 2 v aS� ER /0 ` _ i/ O HYDRANT
OR EOUAL. 30 GPM O 15 FT TON 3/aH#EEP v� ,- r -G GAS L I NE SCALE : ! 2 O MARCH 3 2014
S, /,
2. THE PUMP SHALL START AND STOP AT THE ELEVATIONS SHOWN. 1500 GALLON CHECK •�� j/ALARM ON 0/{py- OVER HEAD WIRES
VALVE /�• STEPHEN A HAAS
SEPTIC TANK - - - - - NON-MERCURY \ / L l GHT POST •
3. THE PUMP SHALL BE INSTALLED IN STRICT CONFORMANCE WITH pip ON (LOAF SWITCHES ' E N G 1 N E E R I N G , 1 NC
THE MANUFACTURER'S SPECIFICATIONS AND TITLE V REGULATIONS. EFFLUENT - - - `_ -9 VW /3 -E- UNDERGROUND ELECTRIC LINE
PUMP DISCHARGE SHALL BE 2 INCHES. PUMP SHOULD BE ABLE TO FILTER d' Aw- PUMP - ER l! -
PUMP OFF _-80-_- -T- UNDERGROUND TELEPHONE LINE /�^:
BE DISCONNECTED AND LIFTED OUT OF THE PUMP CHAMBER WITHOUT V MP 923 R o u t e 6 A
BE DISCONNECTED
To ENTER THE PUMP D OUT R. -CTV- UNDERGROUND CABL FV I S ION LINE / // /'-_�� Y a r mo u t h p o r t ,
+ 40.4 SPOT ELEVATION MA 02675
4. THE ALARM SHALL START AT THE ELEVATION SHOWN AND BE `" �� i S O 8 3 6 2-8 1 3 2
PUMP DETAIL :NOT To SCALE ....... EXISTING ExlsT/NG coNrouR r�
POWERED BY A CIRCUIT SEPARATE FROM THE PUMP POWER. ER 12 BRw F4 01 PROPOSED CONTOUR
USING 500 GAL, PUMP CHAMBER Q /0 20 40
S. AN ELECTRICAL PERMIT MUST BE OBTAINED FOR -THIS INSTALLATION.
JOB NO: !3- 1 17