HomeMy WebLinkAbout0499 ROUTE 149 - Health 499 ROUTE 149
Marstons Mills
TOWN OF BARNSTABLE
LOCATION SEWAGE#
VILLAGE ,P` , Z( I,(�tUgASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. I. -7-71 .-!3�
SEPTIC TANK CAPACITY 1:216 4,41 .y�/�
LEACHING FACILITY:(type) j (size) 3
NO.OF BEDROOMS
OWNER
PERMIT DATE: f= �•p � 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 Wetlarid and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) g`l Feet
FURNISHED BYE ®'* C�a�•✓�+-in/
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No. � Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
RppliLation for Misposal *pstrm ConstCurtion VPrmit
Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) Complete System ❑Individual Components
Location Address or Lot No. q 4 q j q9 1§,wA4,,
ner's N e Address and Tel.No.Jam'7139'�"i/ f0ctitav5k�onsuU��l� � � %Assessor's Map/Parcel , Im(- A 1,OP 0-a (/8
Installer's Name,Address and Tel.No.,SO$•'�/-`}�� Designer' Name,Address,and Tel.No. 409 3Ga-1/Sy/
&or'�Iott; Clc>m�ruJ4cn ,'Zoc. cv,� M 1ne�rirg,T�c R 3�_aaCaGn�h
®. 0(4 m �4OD4-118 L
Type of Building: p
Dwelling No.of Bedrooms y Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) y W) gpd Design flow provided 7 Sys gpd
Plan Date s y ne.7. aols Number of sheets Revision Date
Title I i S S';�e P�r, 9 Q i;�uA /9r9 M"s&nS A115 ,
Size of Septic Tank JE00 Type of S.A.S.M !Ra'ct», 3 3.S L/31 Svc p C�t�m�hOn��
Description of Soil 6 _ saa ICX40
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 a and 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 (` (x
Application Disapproved by Date
for the following reasons
Permit No. on 0 S Date Issued — (o��p
• 51
No. QiG� �"` w Fee /C
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: V
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
2pplication for Disposal *pstrm ConstCULtion Permit
Application for a Permit to Construct( ) Repair(kl-)/Upgrade( ) Abandon( ) FAI Complete System ❑Individual Components
Location Address or Lot No. 8cx t, 1�fC1 Owner's Name,Address,and Tel.No. � '7 ��- V 34-
' - A-'::�ta!drwa.h'�sJ, r?a,Gox 1,VOT
Assessors Map/Parcel r7q b 4 A j4 j }t4 4 0 a-{-VF
I"rn�staller's Name,Address,and Tel.No. U /-�13 t` Designer's Name,
-7Address,and Tel.No. ��� 34,E - S15r11
4;,Gl�U�UI,IG LtC3Y'�Si i t+C rGi7 J Li,G 1 4.c Jn(ze l�l�Q'i'I"-- A-Y 3�r{ (ery",
O;V—"7S'
Type of Building:
r _
Dwelling No.of Bedrooms Lot Size 11 sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) q q& gpd Design flow provided SJ" gpd
Plan Date .To oe- ;�fw1 g Number of sheets / Revision Date
r ,t q
Title I r ' + r+i �J49 �.v"At /-V Tp
_ r
Size of Septic Tank /500 41 V � Type of S.A.S./a.S-I'ci)fii 3�.� t?5�5 cy.r�.!� n f,it N,L..�
Description of Soil s�50-Q
y
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 o place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed .. __ ...-- Date '�(i
Application Approved by '�'� /� Date '
Application Disapproved by v Date
for the following reasons
Permit No. —00 2-0 Date Issued
THE COMMONWEALTH OF MASSACHUSETTS _
BARNSTABLE, MASSACHUSETTS
/ Certificate of Compliance
THIS IS-TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(.)6 Upgraded( )
Abandoned( )by �r�3fl �a�,G -�i r Lejr% �1 n G.
- r
at iQ ,;rj1 R /(f Q P Y t-- .t/A has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.11019#a aS dated
Installer elhl -Lan(- Designer 3-4 nn C',
#bedrooms 14 Approved design flow S /S y gpd
The issuance of this permit shall not be construed as a guarantee that the system wil'� fungi tfio,n�,gs�ode ed.
Date / �! �lf 1s Inspectors 1.'4Y_\\ .� '—r�.'••"�,•.�
�f----------- ------------------------------------------------------------- --------------------- ---------l----------------
- No. P-O+ Q ` ''� 0 Fee f
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS
Disposal *pstem Construction i3ermit
1-1
Permission is Hereby granted to Construct( ) Repair(,X) Upgrade( )/ Abandon( )
System located at X. L /1/gl i1,1 /f;!5h':5
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:e11 Construction be�completed within three years of the date of this permit.D
CC t Approved by
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-02-2018 00:09 From: To:15087906304 Paee:1/1
Town of Barnstable
T Rephtorry Services
�6
Thomas IF. Ceder,Director
]Pu bhe Health Division
e�a�
Thoinas McKean,Director
.200 Wbi n Street,Hyannis,MA,02601
Office: 50"62-4644 Fez: 508-790-6304
1wrtaller&Designer Certification Form
Date:. 31 11A Sewage lPermM a01?-A6S— Assessor's Map\Parcel [
Designer: DOWN GAPS INOPa lfastafler: Wr—TOLDM �a10N
Addevss: 29M MAIN Address: 46 INDUMALP R��PO BOK ?0�
YAa 90ffkl �R�. MA MA•OMUN 2 W J U ►viA
f,�
On 5 /$ Porto issued a permit to haAW a
ate er •
septic system at 4.9 J Rolf 119, tAMNS &L-5 based on a design drawn by
(address).
bmle .. A. D,J4L&_ _UZ dated JUN ?, 24 I
(designer) -
yI cmtafy 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 tat k
I certify that the septic system referenced above was installed with major changes (ie.
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- by desgner to follow.
"or M9S�
DANIELA
OJALA
(Installer's ignat=) civil N
No.46502
Q
(Designer's SiggaWe) ! (Affix Designer's Stamp Here)
PLEASE MOAN TO 19ARPMABLE PUBLIC WALTI1 J)PI SION. CBRTIFICAM OF
C®MPLL4xcE ww. NOT BE imm UNTM lag= TIE'fl'S ]CORM APB AHBUMT CARD ABBE
RECEIVE ,UY M AARN3T„ALE PUBLIC HEALTH DDIMYON TRANX YOyJ_
Q:He&Wseptic/Dcsipca CmtificaionPorm3-26-04.doe
E
1
Town of Barnstable
lime Regulatory Services
Thomas F. Geiler,Director
SA'SNSTA
� '�'r BLE,®� ]Public Health Division
Thomas McKean,Director
200 Maim Streit,Hyannis,MA 02601,
Office: 508-862-4644 Fax: 508-790-6304
Installer&Designer Cerkifacation Form
Date.. 7 3 1 19 Sewage Permit# Assessor's Map\Parcel�
Designer: DOWN CAPIE W (N Installer: 06P"4LOM CMjle-UGTION
Address: L4
Address: 4 1NDUMAL 0 PDX TOO
YNWOOT•fi Poch MA— MAPgTi2N�2 W t L ►�A
—�2b`l"
On was issued a permit to install a
(date) (installer)
septic system at 499 (Z VTE l49 Mk(t61Z)NS I�LI-5 based on a design drawnby
(a dress)
DMlEL. A. D LA . P C. dated jt)NE 7 2018
(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.
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)b m accordance with State &Local Regulations. Plan revision or
certified as-built by signer to follow.
N OF MgsS�cy
° DANIELA. G�
OJALA
�Tnstaller's Signature) " CIVIL N
NO.46502 k
o��sS0 ST
ONA NG\�ty
(Designer's Signature) (Affix Designer's Stamp Here)
PLEASE RETURN TO IBARiNSTABLE PUBLIC HEALTH IDMSIO N. CERTIFICATE OF
COMPLL4 NCE WILL NOT BE 18 UEID UNTIL BOTH TIUS FORM AND AS-(BUILT CARD ARE
RECEIVED BY THE BARNSTABLE' PUBLIC HEALTI 1IDIVISIOIN. 9CROKYOU.
Q:Healtb/Septic/Designer Certification Form 3-26-04.doc
Town of]Barnstable P# 1 9(p�
Department of Regulatory Services _
BARNSTABLE, Public Health Division Date tt!!
y MASS.
4'pr16
Ma.lk 200 Main Street,Hyannis MA 02601
d,
Date Scheduled1,5 /l Time Fee Pd.
Soil Suitability Assessment for Se e Disposal
Performed By: Cca 1� ��CSC i Witnessed By: � dl
LOCATION & GENERAL INFORMATIO
Location Address iev,_�/. /V? Owner's Name
i`� Address
Assessor's Map/Parcel: `'y 911y Engineer's Name o w„.., CAf e
NEW CONSTRUCTION REPAIR Telephone# so-a),6 i-
Land Use Slopes f Slopes(%) -S ra Surface Stones
Distances from: Open Water Body d0 ft Possible Wet Area ft Drinking Water Well �44Q:�'�ft
d-P
Drainage Way + ft Property Line _ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
l-Joa �A-U)
ID
Parent material(geologic) /ifs , C Depth to Bedrock-.ZOO +
Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face
Estimated Seasonal High Groundwater
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used: m
Depth Observed standing in obs.hole: in. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft,
Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level
PERCOLATION TEST Date Time
Observation _.
Hole# Time at 9"
Depth of Perc Time at 6"
Start Pre-soak Tune @ 10;c,C) Time(9"-6")
End Pre-soak 0,>7
Rate Min./Inch 01'Y4 ,
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) /V
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:\SEPTIC\PBRCFORM.DOC
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,%Gravel
l If>n
DEEP OBSERVATION HOLE LOG Hole# Z
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
pp Consistency.%Graven
L6 P8LIS
DEEP OBSERVATIOlN HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Stricture,Stones,3oulders.
Consistency,%Gravel)
DEEP OBSERVATIOlN HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel)
Flood Insurance Rate Man:
Above 500 year flood boundary No_ Yes x
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? _.ks - -
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on !S (date)I have passed the soil evaluator examination approved by the
Department of Envir nmental Protection and that the above analysis was performed by me consistent with
the required training,expertise and experience described in 310 Ma 15.017.
10
Signature Date 1
Q:\SEPTIC\PERCFORM.DOC
LEGEND SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES
MARKED WITH MAGNETIC TAPE OR
COMPARABLE MEANS FOR FUTURE LOCATION. Middle Shubael
PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT TO SCALE) 1. DATUM IS NAVD 88 Pond
99 - EXISTING CONTOUR ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE Pond
2" PEASTONE OR GEOTEXTILE 2. MUNICIPAL WATER IS EXISTING Hamblin
X 99.1 EXIST. SPOT ELEV. \ TOP FOUND. EL. 81.4
FILTER FABRIC OVER STONE
80.0' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. Pond
-[99]- PROPOSED CONTOUR MINIMUM .75' of COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM BO.O
THE INSTALLER SHALL VERIFY THE 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS
�98 4 * PRECAST H-10 NOTE: 2" MIN. WALL a
] PROPOSED SPOT EL. RISERS (TYP.) THICKNESS REQUIRED BLOCKS OR TO BE AASHO H-ZQ �o
LOCATIONS OF ALL UTILITIES AND ALL 2'0 PRECAST RISERS cods
TH1 78.5 4"OSCH40 PVC MORTAR ALL H-10 5. PIPE JOINTS TO BE MADE WATERTIGHT. �-
BUILDING SEWER OUTLETS AND PIPES LEVEL 1ST 2' COMPONENTS
TEST HOLE s" MIN. SUMP �ENDS (-yP) INV'S EL. 75.90 4' 77 23 ELEVATIONS PRIOR TO INSTALLING ANY JTEE
12" MIN. INT. DIM. SIDES 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH0% Fo/mouth RdSLOPE OF GROUND PORTION OF SEPTIC SYSTEM *79.3f ➢°� °°°°°°°10" °°° °°o ° ° ° ° ° 310 CMR 15.000 (TITLE 5.).Y 77.45' TEE 1500 GAL H-10 0�mm m00g 0��� -��I�O '0°0°0°0°� 'SEPTIC TANK77.20 >00000000 ���0EjP0EjEjE2� ITPM�E MMMM �Op�� >oo000000, OrjVe
° ° ° ° ° WATERTEST D'BOX b °°°°°°°° °°°°°°°°' 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO
4' LIQ. LEVEL o°0°0°0°0°0° o 0 0 0 ���0������� c o 0 0
o ° ° o ° °� > o 0 0 0 0'
UTILITY POLE ACME OR EQUAL GAS BAFFLE ;; °�°„° ° °_ FOR LEVELNESS N ;0000000o BE USED FOR LOT LINE STAKING OR ANY OTHER a
76.17' 73.90 PURPOSE. �
FIRE HYDRANT .`. 76.00
8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING �000000000600000000000°0°0°0°0°0°0°00000000000
oO�O'0 q ?°o^°°°O°0 0 "0O?"?"o"�"�'�O°O 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN.
H-10 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL.
ALL AROUND PRECAST STRUCTURES (3) UNITS REQUIRED 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED
OVERALL DIMENSIONS TO OUTSIDE OF STONE: 33.50, X 12.83' WITHOUT INSPECTION BY BOARD OF HEALTH AND
6" CRUSHED STONE OR MECHANICAL PERMISSION OBTAINED FROM BOARD OF HEALTH.
COMPACTION. (15.221 [2]) o
10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING
DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCUS MAP
LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES
PRIOR TO COMMENCEMENT OF WORK.
6.8% SLOPE 5.4� SLOPE) 1 68.9' BOTTOM TH-2 SCALE 1"=2000't
( ) ( ) ( � SLOPE) NO GROUNDWATER FOUND 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE
REMOVED BENEATH AND 5' AROUND THE PROPOSED
\ FOUNDATION- 27' SEPTIC TANK 19' D' BOX 12' LEACHING FACILITY LEACHING FACILITY. ASSESSORS MAP 79 PARCEL 14
\
12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND SITE IS LOCATED WITHIN A ZONE II
\ REMOVED OR PUMPED AND FILLED WITH CLEAN SAND.
?06,
3 OF
\ \ SYSTEM DESIGN:
\ \ \ GARBAGE DISPOSER IS NOT ALLOWED
EXISTING 4 BEDROOM DWELLING
DESIGN FLOW: 4 BEDROOMS @ 110 GPD = 440 GPD
�Q USE A 440 GPD DESIGN FLOW TEST HOLE LOGS
/ Ab r-�9
SEPTIC TANK: 440 GPD (2) = 880 ENGINEER: CRAIG J. FERRARI, SE #13871
/ / \ USE IA 1500 GAL. SEPTIC TANK WITNESS: DON DESMARAIS, RS
\
/ \ LEACHING: DATE: 6/5/18
SIDES: 2(33.5 + 12.83) 2 (.74) = 137 GPD PERC. RATE _ < 2 MIN/INCH
/ ,
S4�F \ BOTTOM 33.5 x 12.83 (.74) = 318 GPD CLASS I SOILS
TOTAL: 615 S.F. 455 GPD
\ USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) ELEV. ELEV.
DIRT \ WITH 4' STONE ALL AROUND 0» V'` 80 0, 0" `\/" 79.9'
/ DRIVE \ BENCHMARK_
\ MAC SPIKE = A A
80.5' NAVD88 80 / LS LS
10YR 3/2 � � , __I GYP 4/2
80
12 79.0 12 78.9
\ B
BENCHMARK: / B
MAC NAIL = \ MA LS LS
80.3' NAVD88
APPROVED DATE BOARD OF HEALTH 10YR 5/6
10YR 5/6 ,
I 36
77.0
24 77.9
PAVED C1
DRIVE
C /isi
80 PERC
EXISTING 10YR 6/7
/F
60" 74.9'
DWELLING
TOF - 81 .4 MS
\ GARAGE cs
o
CL UNSUITABLE SOIL C2
CAUTION \ i a1 10YR 7/4
\ EXISTING F MS
ELECTRIC LINE
10YR 7/4
i F tiry CONC. PATIO •> » ,
132 69.0 132 68.9
_____------ -� / TH
NO GROUNDWATER ENCOUNTERED
Cb
4-1 K
,1101/P6
��
�0,I4 \\ 7
AREA WHERE UNSUITABLE SOILSTITLE . 5 SITE PLAN
/ C OF
ENCOUNTERED: 5' REMOVAL of UNSUITABLE /
OIL REQUIRED AROUND PERIMETER OF ,� O
EACHING FACILITY, DOWN TO SUITABLE SOIL m O O
LAYER. REPLACE WITH CLEAN MED. SAND, TO %115 U T E 1,6+%V
MEET SPECIFICATIONS OF 310 CMR 15.255(3)
S MILUE"i,wo MA
LOT 1 F ,� PREPARED FOR
75,965 S.F.
1 .74 AC. \�
6232 � BORTOLO'"'I 00"ONSTRU "TION/
JILLCo
3?S 0 Op•� � \
SLAYMAK'R
DATE: JUNE 7, 2018
\
Scale: 1 - 20,
\ F ' 1�NOFMgsq 0 10 20 30 40 50 FEET
\ A''\A0 MASS9c a DANIELA. cy�
s
LIANIEL y�� 5 OJALA in
A. o
F OJALA U No.61502 off 508-362-4541
No.40080\ A o �� ( fax 508-362-9880ST �� downca e.com
!q v�ype �sS/ONAL �G down cape en ine�rin h7c.
t 8�
( civil engineers
G-']"(�.� land surveyors
939 Main Street ( Rte 6A)
DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02575
D CE 18- 179
18 179 BORTO SLAYMAKER.DWG