HomeMy WebLinkAbout0966 ROUTE 149 - Health 966 ROUTE 149
Marstons Mills
A = 102 - 210
i
TOWN OF BARNSTABLEil� 3/
'LOCATION�ICoC® SEWAGE#
VILLAGE ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY Nest=, \
LEACHING FACILITY. (size) ZN=.iYyS J
NO.OF BEDROOMS
OWNER
PERMIT DATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility a 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 lea - Feet
FURNISHED B i
� ��.= \��
Y�: ;���
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No. Fee
V'Y-i.t`lf'-,
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TUWN OF BARNSTABLE, MASSACHUSETTS Ye
Zipplitatlon for ]Disposal �6pStrm Construction Permit
Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) [:]Complete System ❑Individual Components
Location Address or Lot No. �� Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. i Designer's Name,Address,and Tel.No.
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 3�.-a" gpd
Plan Date-FAQ Number of sheets *71-- Revision Date
Title ��ci �r . �L CL(�Ca _ \�\�
Size of Septic Tank 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 this Board o
tgne Date
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. d0/-:5 Date Issued
----------------
r /
No. / ! Fee \CXD-co
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISIOISf=T�dWN OF BARNSTABLE, MASSACHUSETTS Y
4plication for Nsposal 6pstent Construction Vermit
r
1
Application for a Permit to Construct( ) Repair , Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. \Q� Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel O — R -
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of BuildingQy� � _\ No.of Persons Showers( Cafeteria( )
Other Fixtures
Design Flow(min.required) � �� gpd Design flow provided gpd
Plan Date 'z� Number of sheets �- Revision Date
_ Title
r
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
4
nw /
Date last inspected: ? �
Agreement:
i
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 andkhot to place the system in operation until a Certificate of
Compliance has been issued by this Board o meg .
j� tS g Date
Application Approved by``, ,- Date
Application Disapproved by Date
for the following reasons
M- Permit No. /_ Date Issued c
------------------------------ ---------------------------------- ---- --- -------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed 7PIJ Repaired J44- Upgraded( )
Abandoned( )by Gt
9� Qa- ��, Pbit�
at has been constructed in accordance l
with the provisions of Title 5 and the for Disposal System Construction Permit No;X/3 �dated
1,,
Installer C"!-r fd ss l Designer
#bedrooms - Approved design flow 313Q gpd
The issuance of this permit shall*nost"bp construed as'a guarantee that the system,w llFfunetion a^.s d e ig-h d.
Date 'J �3 Inspector,, I
--------------------------------------------------------------------------------------------------------------------------------j---------
No. O�� � Fee / I)v
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
i
disposal 6pstrm Construction i3ermit
Permission is hereby granted to Construct( ) Repair
(y) Upgrade( )1 Abandon
System located at I to Lp y ! /I &<n,x1d q /fi/
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 this permit.
Date `� ' Approved b}- mow"
MAR-24-2014 12:38 CAVOSSA EXAVATING 5085635028 P.02
Town of BarlFistable
T Regulatory Services
Thomas E.Geiler, Director
,"�trsrA Public Health Division
y Maw.
'`o ►' Thomas McKean,Director
�FQ
200 Main Street, Aya-nnis,MA 02601
Office: 5OBA 62-4644 17m: 508-79"304
Date: Sew:►ge Perrnit .� Assessor's iVIap/Parcel _
]ustaller & Designer Certification Fnrn't
Designer: irw.>-X.,t, u��.+e- Instullcr:
Address: l�. �cl-314, —- Address:
f
On ��,�� (r. ,cx� �as issued a porrnit to install a
(d'te) (installer)
sepac System at lk—CM��„ S�� Kg based on a design drawn by
(address)
1-4r44 e- dated
(designer)
�✓ l certify that die septic system referenced above was installed substantially according to
the design, which :nay include minor approved oba.nges such as latera] relecatdon of the
distribution box and/or septic tank_ Stripdut (if regaired) was inspected and the sails
were-!timid satisfactory.
I Certify that Vic setrtic system referenced above was installcd with major ebanges (i.e.
greater than 10' lateral relocation of the SAS or anyverticcl relocation of any component
of the septic system) but in accordance with State &Local Regulations. Plan revision or
certaficd as-built by designer to €oliow. Stripout(it required) was inspected wild the Soils
e fou�►d satisfactory.
V
(InstalI s`Slg: tire: Al, -
J i Civil 1'
44IJ A A :f
(De igner's Signature (Affix Desiga
)PLEAS RETURN TO 13ARNSTABLE PUBIC HEALTH AIVlSY�iV +CERTIFICATE
OF COMPLIANCE WILL, NOT BLS ISSUED UNTM BOTH THIS FOJUA AND AS-
1SUTLT CARD ARL RECEIVED BY THE BARNSTA13LL PUBLIC HEALTH DIVISION.
THANK YOU.
q_mffiea rurm_duc
L-d t?bi;£-0175130�i ed'Aalnso-siepuel ai SCE:L L E L VG JeW
Town of Barnstable PH
� Department of Regulatory Services
ho�
s a.a� E Public Health Division Date
MARS. 200 Main Street.Hyannis MA 02601
MRt
tt 60 pp u�
Date Scheduled Aj g, Time 1 Fee Pd. 1
Soil Suitability Assessment for Sewage Disposal
^ / Performed By: � � J�r•{ '— Witnessed By: .
{J✓)�l�f_/ LOCATION&GENERAL INFORMATION
Locau Add����\���� T - Owner's Name `
`/ ` Address
a-'(Dh9 YKI(.4.,
Assessor's Map/Parcel: 1 O7-1 Engineer's Name
NEW CONSTRUCTION REPAIR Telephone# a r
Land Use Slopes(%) Surface Stones
Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft
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)
0
'7- -�-;
Parent material(geologic) Depth to Bedrock
Depth to Groundwater.Standing Water in Hole: Weeping from Pit Face
Estimated Seasonal High Groundwater
DETERMINATION FOR SEASONAL.HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: in. Depth to soil mottles: is
Depth to weeping from side of obs.hole: - in. Groundwater Adjustme t & _
Index Well# Reading Dam index Well level Adj.factor Adj.Groundwater Level_
PERCOLATION TEST Date Time
Observation
Hole# /o�( 2— Time at 9"
4
Depth of Perc —I `� � Time at 6"
Start Pre-soak Time(a) 1 ao 1( 4J Time(9"-G') .
End Pre-soak
C t
RateMinMch ZM ' S,Q ;J rn 1
Site Suitability Assessment Site Passed Site Failed: Additional Testing Needed(Y/N) 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.
QASEPTIC\PERCFORM.DOC
t •�
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)
011 /�o Lagnu
Scud -
9-3
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)
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Sal Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
('onsi tency% ;ravell
DEEP OBSERVATION HOLE LOG Hole.#
Depth from Soil Horizon Soil Texture Soil Color Soil Other -
Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders.
-A Consistency 4'Graven
Flood Insurance Rate May:
Above 500 year flood boundary No_ Yes
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? Gs
If not what is the depth of naturally occurring pervi material?
Certification IT
I certify that on (date)I have passed the soil evaluator examination approved by the
Department of Env onmental Protection and that the above analysis was performed by me consistent with
the required trainiinn xperttise an rexperience described in 310 CMR 15.017.
Signature Date 0
Q:\SEP'nC\PERCFORMDOC
U a •`
,
Bk 289 P G`'
F
- .- g 35 POSSIBLE
N Ol°36'30"
30.9' `tom 222.66 ENCROACHMENT
30.00 ,
7 - - SHED ,
RESERVE �" J
32.2' i AR AA' Lo
C) GARAGE .' OCU .
inOBSERVATIO/N
rn PORT _ FENCE
�' �� fl 30.00' '_ - - - �\ - - - - - -.- �� LOCUS MAP
r I ,� I TP 1
"DECK
TP 2
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' LOT 6 M NOTES :
j' EXISTING 3 z
clu
BEDROOM HOUSE \ 32857 SF a� THE EXISTING PIT SHALL BE ABANDONED
, S.F.FIRST FLOOR \ c PUMPED, REMOVED AND DISPOSED OF
ELEV. 100.32 G y \ r� AT A SUITABLE LANDFILL. .
i PORCH � d THE SOIL CONDITIONS MUST BE INSPECTED
r h \ BY THE ENGINEER PRIOR TO PLACEMENT
OF THE SAS OR OTHER COMPONENTS.
i
, I
coo — - - - -
°' SITE PLAN
G
� ` ` . \\ 1 \ OF �1q PREPARED FOR
oHN cy� CINDY THEW
-CAUL OF
S 04°OS'50" E 185.4 \ .35101 976 ROUTE 149
T BARNSTABLE, MA
` \ J.E. LANDERS-CAULEY, P. E.
CIVIL ENVIRONMENTAL ENGINEERINGROUTE 14
9
P.O. BOX 364 WEST FALMOUTH MA 02574
508 540 — 7733 ph.
508 540 — 3344 fax
0 10' 20' 30' 40' ASS.#102-210 DATE: 07116113
SCALE: 1" = 20' DRAWN BY. JDR
SCALE: 1" = 20' REV.08 06 13 JDR JOB NO. 2286 SHEET: 1 OF 2
MAGNETIC TAPE ON ALL COVERS OBSERVATION PORT
F.F. ELEV.=100_32 STRIPOUT ALL UNSUITABLE MATERIAL TO BE BROUGHT TO
�� AND REPLACE WITH MATERIAL THAT WITHIN 3" OF
USE RISERS TO BRING 20'min. USE RISER TO BRING COMPLIES WITH TITLE 5 STANDARDS FINISHED GRADE
ELEV.= 99.3 CQNCRETE COVERS TO WITHIN CQNCRETE COVER TO WITHIN
6 OF D GRADE 6 OF FINISHED GRADE
4" CAST IRON OR 12" MIN. INSIDE DIM. ELEV.= 96.9_97.8
SCHEDULE 40 P.V.C. 20„ 20„ 4" DIA. SCHEDULE 40 PERFORATED PLASTIC PIPE
4" CAST IRON OR END CAPS ON ALL PIPES
SCHEDULE 40 P.V.C. »
DIST.= 17.7' MIN IN 4" CAST IRON OR 5' ON CENTER 12 in. A �6" z OF
SLP.= 0.02 SCHEDULE 40 P.V.C. SLP.__OO5_
INVERT P�COSHCPRETE COVER —
FLOw LINE DIST.=27.9' SLP.=0.1135 DIST.=6--- WAS HE STONE
ELEV._ *98.32 — INVERT 94 37 0v0v0v0v "o"o"o"o"o"0"0"0"0"0"0"0"0"0"0 0"0"0"0"0 0 0"0"0"0"0"0 ° ° ° o 0
ELEV._*97_9 ELEV.___— 0°o°0° o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°° o°o°o°o°o°o°o ° °°o°o
* — 10" MIN. 19" * 0_0_0_0 0_0_0_0_0_0_0_0_0_0_0_0_0_0_0_0_0_0_0_0_0_ _o_o_o_o_o_o_ _ _o_o_
INVERT SHALL BE FIELD THE LENGTH OF G ELEV.=9772 ELEV.= 94.57 ENV = 94.40 O Q O< 6" LAYER OF
OUTLET TEE IS B O • /4" TO 1-1/2"
o v v v v U u u U O 0 O c.. O O 0 0 U U 0 O C WASHED STONE
VERIFIED PRIOR TO THE DETERMMED BY THE LENGTH OF O o 0 0 0 0 0 0 0 0 0 0 0 0 O o 0 0 0
PzPLACEMENT OF ANY SEPTI C DEPTH OF LIQUID OUTLET TEE DISTRIBUTION BOX r) 0 0 0 0 0 0 0 0 o�o�o�o� -) ono o„o 0 0„ or ELEV.=93.72
TANK USED. DEPTH BELOW FLOW LINE
SYSTEM COMPONENTS. (SEE CHART AT RIGHT) 4 FEET.......14 INCHES IF MORE THAN 4 OF COVER.
5 FEET.......19 INCHES
USE H-20 LOADING USE STONE A
6 FEET........24 INCHES TO BE WET TESTED IF
EXISTING SEPTIC TANK SEE 310 CMR TO LEVEL THE 5.0'
THE CONTRACTOR SHALL INSPECT 15.227 (6) MORE THAN ONE OUTLET. BED AS NEEDED.
THE TANK FOR SUITABILITY TO BE PLACED ON LOF REUSE. 6" OF. STONE OR -
MECHANICALLY COMPACTED SOIL. BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV =88.7
330 x 200% = 660 GPD (REQUIRED) SOIL .TEST DONE BY: J.E. LANDERS-CAULEY P.E.
REUSE EXISTING TANK WITNESSED BY: DON D___________________
PERCOLATION RATE: -5---MIN/INCH P# 14057 3'
u u u u u u u u u u u-u u 1 8-1 2
TEST HOLE 1 DATE: 0Z/-Q8113 ELEV.-QR.-2
PROFILE OF °o°Soo ooioo° 3� ►T0
DEPTH HORIZON TEXTURE COLOR MOTT. OTHER
NA9BgD sTo�
SEWAGE DISPOSAL SYSTEM 3 PERFORATED PIPES
NOT TO SCALE O"-9" O/A LOAM SECTION A—A
I CERTIFY THAT I AM CURRENTLY APPROVED BY THE
DEPARTMENT OF ENVIRONMENTAL PROTECTION PURSUANT
TO 310 CMR 15.017 TO CONDUCT SOIL EVALUATIONS
AND THAT THE ANALYSIS GIVEN HAS BEEN PERFORMED
GENERAL NOTES: BY ME CONSISTENT WITH THE REQUIRED TRAINING,
9"-36" B LOAM 10YR 5/4 EXPERTISE, AND EXPERIENCE DESCRIBED IN 310 CMR
15.017. I FURTHER CERTIFY THAT THE RESULTS OF
1. THIS PLAN IS FOR THE REPAIR OF AN EXISTING SEWAGE DISPOSAL SYSTEM. MY SOIL EVALUATION, INDICATED THE ATTACHED
PERC ® SOIL EVALUATION FORM, ARE ACCURATE AND IN
2. PLAN REFERENCE Bk 289 Pg 35 LOT 6 BARNSTABLE REG. OF DEEDS. 40" ACCORDANCE WITH 310 CMR 15.000 THROUGH 15.017.
3. THIS PLAN IS FOR THE INSTALLATION /REPAIR OF SEPTIC SYSTEM
AND NOT TO BE USED FOR SURVEYING AND ZONING PURPOSES. 36"-126" C MED. SAND 10YR 6/4 DESIGN DATA:
4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. NO H2O
TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS ENC'D
FOR THE SUBSURFACE DISPOSAL OF SEWAGE. NUMBER OF BEDROOMS -3-(TBEEE)--
5. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN TEST HOLE 2 DATE: 04�27,[10 ELEV._99�___
12" OF THE4 FINISHED GRADE- . ;4 s' DEPTH HORIZON? ` TEXTURE ;`COLOR MOTT.+' OTHER GARBAGE DISPOSAL -NDINE_(14�__--_ t;
6. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE TOTAL ESTIMATED FLOW -a3Q----- GPD
SAME, UNLESS NOTED BY FINAL CONTOURS. 011-9" O/A - LOAM ( 11(Z__ GAL./BR./DAY X -3---- BR. )
7. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE
OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR _�.�'� f SEPTIC TANK CAPACITY 15QQ�AL_-
WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING
SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING HN
AREAS UNLESS NOTED. DE -CAu�Ev `:- LEACHING AREA REQUIREMENTS
9"-36 LOAM 4" B 10YR 5
8. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL / `
SIDEWALL AREA 0 S.F.
BE MORTARED IN PLACE. N 351010 BOTTOM AREA _4�Q�Q2_ S.F.
9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH o,� F T
DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. LEACHING CAP.(BOT. & SIDEWALL)_ 333.00 GAL
10. THE EXCAVATOR/CONTRACTOR SHALL VERIFY THE LOCATION OF 36"-126" C MED. SAND 10YR 6/4
ALL UNDERGROUND UTILITIES PRIOR TO ANY EXCAVATION. NO H2O RESERVE LEACHING CAPACITY _333.00 _ GAL
ENC'D --- -
t" APPLICANT: CINDY THEW DATE: 07/16/13
REVISED: 08/06/13 JDR SHEET 2 OF 2 JOB # 2286