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HomeMy WebLinkAbout0259 WHEELER ROAD - Health 259 Wheeler Road 082'-006 Marstons Mills y No. / S r r Fee THE COMMONWEALTH OF MAS-SAC Entered in computer: } PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS s 2pplication for Migponl 6pgtem Congtruction Permit Application for a Permit to Construct( ) Repair(v<Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No.,;�j t,..rcW* Owner's Name,Address,and Tel.No. t O-rM EM MA M A,2ZD&)S Nt i tJ-51 Assessor'sMap/Parcel IXAp g2 JPe.4 00(p /MA'QSToaDS MIaL AAA 2-r-2- Insta'llller's Name,Address,and Tel.No. ./i �A 6 t-LO ► Designer's Name,Address and Tel.No. mPcnsrcAjS tutL'S rOl 42.0 Q?ZZ) 6r 1✓. !3&�JDWII — a Type of Building: Dwelling No.of Bedrooms 4 Lot Size y Akt-c'-,o sq.ft. Garbage Grinder ( ) Other Type of Building `EE iT>C-73riJkL No.of Persons y Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 440 gpd Design flow provided 7l gpd Plan Date 10 o 28•05- Number of sheets ( Revision Date Title Size of Septic Tank /6,00 �� .P--n P Type of S.A.S�-_S_X �AM &**M8MS Description of Soil Nature of Repairs or Alterations(Answer when applicable) NW PY411.10 6&-M,8&72 0- SAS 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 L t. Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. L_�Oc b 90 Date Issued �\ ` , 4 No. 56 j aA �a . ti f� s Fee Vs THE COMMONWEALTH OF M&StAt6iUSETTS Entered in computer: PUBLIC HEALTH.;- VISION - TOWN OF BARNSTABLE, MASSACHUSETTS . Application for �Digoal i§pztem Conotruction Permit Application for a Permit to Construct( ) Repair(vf Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No.eA l ( kam Owner's Name,Address,and Tel.No. tR'erex SM f-r4 M I}RS'(-D WS M 1 LLSI o1S'r{ W A6=L. L,q Nl% "M Assessor's Map/parcel M A-P 8 2..�(�� f70 6 /t4k�kcro&K M I aLS 1 MA � Installer's Name,Address,and Tel.No. � f m �1-�-EI2- Designer's Na e,Address and Tel.No. o. boY- 702- k', � �l_t.r LACE tom{. SUS 1 ti A�bTDtif M i us /tn fk SD��IZU 0 Z$2� �, , BaX E. Type of Building: Dwelling No.of Bedrooms f Lot Size I' sq.ft. Garbage Grinder ( ) Other Type of Building 10ESQN0JT1ati No.of Persons Z Showers( ) Cafeteria( ) Other Fixtures �L Design Flow(min.required) q40 gpd Design flow provided �T gpd Plan Date 10` J_B &S Number of sheets ( Revision Date N A Title - Size of Septic'Tank St�O 1�® PVM PType of S.A.S3—S CO ��kM &'A )ZMS 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 a 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 Poard of Health. Signed Date L �' Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. GKO 55 b lS Date Issued 1 f� - 1 ———————————————————————————————————————————— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( Upgraded ( ) Abandoned( )by 'It-rvi F5 Po w-e-g-- at ,10 L4)4 l LCl2 LkIJt— t'tAk"I'DK1S tU I u5 has been constructed f inacaccordance 1 with the provision s of Title 5 4:� the for Disposal System Construction Permit No. r�S 5 & o dated Installer ��k/Yt I Designer Ek+zL L A n #bedrooms Approved design flow 10 gpd The issuance of this permit shall of b�(co strued as a guarantee that the system ill fun n d ig ed. Date ` `" Inspector No. 300 J J IJ(R. Fee /00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Migpont:*pgtem Cow6truchon Permit Permission is hereby granted to Construct ( ) Repair ( � Upgrade ( ) Abandon ( ) System located at c11sl t+el.EL (,&O C- M A LsvwS M) U-5 and as described in the above Application for Disposal System Construction Permit.The applicant recognizes 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 Date '�1 Appr(( d by .. A Nown of Barnstable . do Regulatory Services 'Thomas F. Geiler,Director—, 9� ' Public Health Division ' ' r ATEO .ts k.� Thomas McKean,Director' - 200 Main-Street,Hyannis,MA:02601 Office: 508-862-4644 (� Fax: 508-790-6304 Installer& Des kner Certification Form Date: Designer: O- r-L ZA Installer: A-rvL e7s l L.1.&:-)2-_ Address: r t~0. BOX ��Vie. Address: �f �� ,. FDO�G �D�— SA-tJb 101 &0 . wig, fv�ATtsretjS /Ura6.. rwq On ,!i-y� �`1: was issued a permit to install a (date) (install`er)_t septic system at � based on a design drawn by (address) dated 0 (designer) k � r C I certify that the'septic system,r 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. T � f�. , I certify that the septic system referenced above was installed with major changes. ire., 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 Y' certified as-built by designer to follow. of P (Installer's Signature) HARRY EARL LANTERY. J No.26575�q (Designer's ignature (Affix N&Ji"''e t mp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE ©F,,COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND 'AS- BUIL'Tr ARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION THANK YOU. Q:Health/Septic,/Designer Certification Form i Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM L ,hereby certify that the engineered plan signed by me dated U ?� c ,concerning the property located at a (�f L1 J, (l8�IDS meets all of the following criteria: • Two soil evaluations excavated for detailed examination(no hand augering)and two percolation tests shall be conducted. • This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] s Please compto the following: � cv 3;S+�,� _ lS� A) Top of Ground Surface Elevation(using GIS information) B) G.W. Elevation +adjustment for high G.W. = DIFFERENCE BETWEEN A and S DATE: IGNE NOTICE Based upon the above information, a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. gASeptic\percexemp.doc TOWN OF BARNSTABLE LOCATION Sc{ bJ1E ,ErZ. R-D_ SEWAGE # VILLAGE MWI-)tj$ M IL IDS ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.�G(SG.a SEPTIC TANK CAPACITY roo GPrL L,0! S . LEACHING FACILITY:(type) Z LcAtk*ltjCr �iTS (size) �Upp �T NO. OF BEDROOMS IVATE WE L OR PUBLIC WATER BUILDER O OWNER 2. 1��'fi �W1iT DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No I C v 6 Lill, Dal )0 o0 l�� TOWN OF BARNSTABLE LOCATION 2�9 VV H-VIOL K qP& SEWAGE# 5 VILLAGE t%ftft(O/JS MILLS ASSESSOR'S MAP&PARCEL 06 Od L INSTALLERS NAME&PHONE NO. J; !M ES ODL4� ZO 7.-ZO SEPTIC TANK CAPACITY TO O G41., LEACHING FACILITY.(type) LC-- TOO (size) 3X Soa 6A'L NO.OF BEDROOMS 3 OWNER 'fi �fV1 PERMIT DATE: I( 14 l g� COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 7(O 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 ATrJst.1C. b :5�A, SOLUTI o/J5 sEE L& 1 A I 21-n � Z► Z3-4 - 'rE t...??? �oD�D I A 33- O S `3I - o b 37- a i W), _M,((S .................... ................................................................ ... C� Existing;Home Bath b' g Room S. Sunroom �..;'..... Nd Di�Q Proposed Floor Plan 0 2.5 AS 0 Existing Home Existing Home posed Right Elevation Proposed Rear Elevation NEAL A. PRATT PETER SMITH RESIDENCE DATE: 5-25-04 PAGE 1 OF 1 Bf1DE SCALE: None 4 2 CHASE ROAD RoaD 259 Wheeler Rd. E. SANDWICH M.A. 02M7 BY: NAP ' A PHONE: (508) eea-ww Proposed Addition J I ------------- % TEST PIT PERC. TE5T Iv c oARs� Pond 175TI NG ! orth Cotult # GRADEY ## 2 N _ )oia— 1 00 3— S A111i0`J t IZA\M \� —1 01,3 L oAnnI Sf'-ND — 99.E APN 82-OOG � z � � No. 259� TOP OF b-ANK 0 x I LOCUS 1 5TY. WD. FRM. �— T.O.F. = 95.23' c o rzS z F �s ��Jf-L� SAr�� �✓1 ��,�;; DESIGN a x C- RPvtL h -I I SINGLE FAMILY DWELLING W/ rr BEDROOMS 0 0 ttt NO GARBAGE DISPOSAL o_ DAILY FLOW = 1 o X G.P.D. C �No;239 �y SEPTIC TANK(VOL. REQ'D) o ti I STY. WD. FR. x o �^ rt G.P.D. X GALS 0 0 Q,N GAL.TANK-O.K. (EXISTING) Fp /w {Jo Nz O — 92 p LEACHING AREA(S.A.S.) z F" n m °v .• USE =� - �5 J X ' X -e P.G. CONC. L.C. '-Y STONE EFFECTIVE DEPTH �., 1 OA06• (-k H A"1� _�,�,�Sa X [ 6 4 + 2 6 ]X a,`t _ 133 ( ! � TESTED P ` 3 2 X 13 X O,74 3 O a � % TOTAL CAPACITY = '�f �'I GALS. < N N 2`° NOTES: w)s N CFI Jr-K �s r I . DISPOSAL SYSTEM TO BE CONSTRUCTED IN STRICT ACCORDANCE WITH COMMONWEALTII OF MAS5ACHU5ETT3 ENVIRONMENTAL CODE -TITLE V. 2. A55E550R5 PARCEL NUMBER (APN) : MAP 8E - PC. 006 3. CONTRACTOR TO CALL DIG-5AFE 72 HOURS PROP TO BEGINING CONSTRUCTION AND/OR EXCAVATION. `dz 4. EXISTING PIT TO BE PUMPED AND FILLED WITH SAND, AND ABANDONED. 5. CON T RACTOR TO FIELD CHECK INVERT OF EXISTING TANK 6. PUMP SEPTIC TANii\, CHEECK T"S AND INSTALL GAS BAFFLE /O �i - ^• T.. r- .�. .. -.--..-� .,_ 1.'! v r .i 'ter^ c ' n A i-._ .- '--•�.,T..- v �,•. ,—. ._.. ,� .�;�^.-,-•.• ..... .... At �,Y' ..`��. i i a i,� i �.ra t�.1,_.i ,�v i , .Y.'. :.ri`-,, , w, ��.i i T P.., '.�...,...,^ .., � ,i.� T J^ ✓, TO BE USED FOP ANY CC°NSTPUCTION, OTHER THAN THE ELEMENTS OF THE SEPTIC SYSTEM AS SHOWN. - 5. THIS PLAN 15 NOT A RECORDABLE PLAN. _ 9. BENCHMARK IS BASED ON AN ASSUMED DATUM, AS SHOWN, UNLESS OTHERWISE SPECIFIED. (? 10 o•0, 10, USE, 1 ,000 G�L PU mFCHRm15rz2 Ii., 0SE StpAR!\T� C1PCU17S ON•OFC [P�JI`1S �Nt] kLAP�M; PUM(' 07_g PUMP ON(�4 7" FRW-A 3 07rjN\, ALPsRm oN 10 SRarA 30lToM, CI-1A"BlE.R `l�t~� 70,T{ —vWo MA\\'is C�P(�CTY. v �` 12. 5U5DIVI5ION 5URVED BY G' 5 . 13. USE 3 - 5 ' X 8 ' X a ' P.C. CONC. LEACH CHAMBERS WITH 4 ' OF 3/4 " TO 1 �E " DOUBLE WASHED 5TO& �o ALL ATM 07 TH 2''AYER OF WASHED PEASTONI- ON TOP (H-2 0) ��I,LZH OF tc HARRY N � \` T �;o � SI i E PLAN !, LANTERY, JR c`'„ E E9 9 5 R I T yr}1- � Ga 25?r Q�� 3'� Q I � I � 1 ' VENT 4 FILTER �F S/� E NG`t,� F pC G' �A111a TOP OF WALL s EL. lP 9 F1.0 EXISTING GR. EL. 99.0 FIN. GR. EL �L , C Ova R 2%SLOPE ACCESS W/I N 6"of GfZ / /\\\ \\ \\i�\��\,�\\,��\\,�\\ice\\,�\i���\\ \\,�\\,\\; ,\\'\\,\\�\\\\ \\\,�\\,�\�i\\,, ,fix\;�\ \�\;! >'\'\\'\\ 5EWAGE SYSTEM D E5 i G N ' 9"MIN.`EOVER W AikRTIGN - \/\/ PU1v p CtlAM15 2"PEASTONE ACCESS PORTS FOR /\ � 9T.5 {�0006.f N i.o \y� L. (IFl-Zo�. \��EL. °�`t•0 1,5DOGAL EL96,? ,1 �0.3 .a El. 99.0 ( Q y�� g� tIEALTt1 AGENT APPROVAL DATE PETER S" MI I Il •� P.C. CONC. �t "t5�`B°�°`,�° / FIELD GASBAFFLE - 7'; aN ��Qs a Sa o g Y d cli% �o.�b' LEGEND CHECK SEPTIC TANK(H-'10) _3, kE ogobo8o8 EL. ��„°80 °8 ON O soBA °Q •BA00 g9s °O'BA oo o ?8 oo,P9s °�aBPB 3/4"TO 11/2"DOUBLE V V I 1 E E LE R L A 1 V E 0 o'D• CRUSHED STONE OR COMPACTED WASHED STONE I O MIN 5'MIN- I �� —/ 24 �� n PROPOSED CONTOUR ADVANCED TECHNICAL SOLUTIONS 20 MIN. DEPTH OF LIQUID 10 CONSULTING ENGINEERS INLET TEE DEPTH f1Z 0 BELOW EXISTING CONTOUR OUTLET TEE DEPTH EL. g I , 0 P.O. BOX 99 DRIVEWAY E. sANDwlcr, MA 02537 PROFILE OF DISPOSAL SYSTEM. licit ( } B FIRM ZONE DATE: 101/26105 SCALE: DRAWING NOT TO SCALE