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HomeMy WebLinkAbout0235 HIGH STREET - Health 235 HIGH STREET West Barnstable A= 111-- 019 TOWN OF BARNSTABLE LOCATION 23S 141'5tln 5-Jrc,.A SEWAGE# 2018- 12 VILLAGE (,y. rr\SAmSJr ASSESSOR'S MAP&PARCEL t9 INSTALLER'S NAME&PHONE NO. B $ EXCo.L. .* j o+%. 4111- O G53 SEPTIC TANK CAPACITY /SOO c�Q. LEACHING FACILITY:(type) .;SOO oA l L)C. 2� (size) 13 Y.2S x 2- NO.OF BEDROOMS OWNER Wo nC_ c�C o� o�c1L PERMIT DATE: -2({-18 COMPLIANCE DATE: ZT 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 �G Q1— 11z - $1- 1 Z 3' 6 '' REAR AV 1 z°' z A t3 IB2" 131 'Z ,� A3- iy3'y cgtsoui IB3- 1 y 9 ' Ay- tys 'y 134 AS. Li '3 35 • G2 ' 3 Fee /®o THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: I � Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2ppfitation for Misposal 6pstem Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade(O/Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.'Z3S 14A9)% S4 W•. arr�_.., Owner's Name,Address and Tel.No. Waync Mxci"ARL_A�E Assessor's Map/Parcel ,�I '��� Installer's Name,Address,and Tel.No. (�j B EXcAJAr7i 0A Designer's Name,Address,and Tel.No„t)AVC F•La kcr 4ul 1��lea�5u'ry LiJ �resrlalalc. y')'1- OG$3 Po.BOx 81 �acti+noJ-11.�or� Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 30 gpd Design flow provided 3 14$ gpd Plan Date 1- 7.3- 1$ Number of sheets Z Revision Date Title Size of Septic Tank /6-00 Type of S.A.S. SOO qQ,I I-)c � 2� Description of Soil Nature of Repairs or Alterations(Answer when applicable) -rAPjl<-,9 1BOX - 600 Ga.l 44 G (g) .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 - Z ., Application Approved by Date Application Disapproved by Date for the following reasons Permit No. rG Date Issued y -------------------- ------------------------------------------------------------------------------------------------------------------ Fee Q� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ftplication for Voposal *pstrm Con2itruction Permit Application for a Permit to Construct( ) Repair( U gra (�v_�Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.'Z 3 S K S 4 LaJ 1 ,a... ' Owner's Name,Address,and Tel.No. 'r MA �aync cFf1F2L>a�� Assessor's Map/Parcel �' t?� Installer's Name,Address,and Tel.No. 3 6 x cAL/A't,o n Designer's Name,Address,and Tel.No..t AVE F-Go,-h cr a-1 Jy'fc� 5=rr� LrJ resl�l� ic. 147)- D653 I POBOx 81 �arr�t�J�1.�vr� Type of Building: Dwelling No.of Bedrooms ,�3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 1 30 gpd Design flow provided 3`� gpd Plan Date - 2 3- I B Number of sheets Z Revision Date • Title Size of Septic Tank /SOO 90. 1 Type of S.A.S.�SOO 1 LI C Description of Soil I Nature of Repairs or Alterations(Answer when applicable) -TA 1 t<-_9 j90 X 1 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 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 j / / a Application Disapproved by Date for the following reasons 1 Permit No.�r� f Date Issued W--o ---------------------------------- ,- 7 7 r--.. .- :.,- - ---------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of CornpYiance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(4,4 Abandoned( )by ,8 � 3 E x Ca vat t O� at 7.3 5 P Li h .S-{r c r-4 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit N� — dated -y { Installer 0 "k. 8 6 X ea tl0- Designer _OAJ'F F'j a 1^c r j U #bedrooms 3 Approved design flow gpd The issuance of this permit s !all not b cons ed as a guarantee that the system will fun;I as desi e l Date Inspector r --------- ------------------------------------------ - - -------------------------- ------------------------------------------------ Nol Fee tJ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposai 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade Abandon( ) System located at 2.3-5 4 ( ) [-ns G) G 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 pe� ` Date ,� `'I f 1 Approved by i I Town.of Barnstable 1HE Tea Regulatory Services Thomas F. Geiler, Director ^B Public Health Division Thomas McKean�Director FD MA'S -200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: -2y- 18 Sewage Permit# Z o► 8 - 12 Assessor's.Map/Parcel ►I — 19 Installer & Designer Certification Form Designer: �o.� F1",,A"., Installer: f31 i,3 6Xca tJ OA t o n Address: -P.O. Box 81 Address: ►y -TcmbcrrN La Yca-moo4s Dori Forc sAcko k_ On 1- -Zq-18 (►3 4t3 Exeavo-A,o r�l was issued a permit to install a (date) (installer) septic system at 235 to i!�j.1-% S-1 r c=A based on a design drawn by (address) . tee F1c��ncr�u dated - 73- 18 (designer) L/ 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. Stripout (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. Stripout (if required) was inspected and the soils were found satisfactory. DAVID D. staller's Si u e) - HERTZ,JR. No. 1211 (Designer' Signatu ) (Affix DesigNMUtEhp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. 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. gAoffice forms\designercertification form.doc r own,Of Barnstable r S-�al Department d4tgulatory Services' t, Public"Health silon Date lD �g Mams—c Hya MSMA0260] " f_ P ,�s is uctabilc As ss. e�ct f©r S e Dcspasal PcrfomtedBy _: w WktnessedBy:: .e DLO TIfl N GENERA LNFORMA?�rUN / r -": Location t\ddress ��� .�'j Owner sMeme'l�yi /f.�` l rY�• JV(J.: jr' - _ '\�; �'.J.! �' '�!'�>� Addtess 3'�l�,i�T!�=G� �/�}� �U✓J�SO i'���s .-���14�/T :' Assessor's tilnpJParcoF, �'`� .�:®�9. : Engmesr'�Name � F N J NEW CONSTRLCTIO�,. REPAIR // Tetophom k Laud Use _ Slopes.{°J) '�_ Surface Stones �fhstoncesafrom: OpenWiitcr .._ Cl ft Possible;WetArea ft :Aripintkglil:etu...c-- & Body g y fl' ProperryfLine .SISETG'H {Suroet nat»e dtmet�iofis,nf ktt.axsei loeadam o'f test holes`&perc tests,locate wellands in proxlmity;t0 holes) " r , Paremmaterial(geologtc) DepthtoBedrock Depth to Groundwater Steddim Waterin Hote, WegxitkS from'Pit Face ,'Eshm�ed Seasimal Htgh Qioundwater.dam , MERMINA PION FOR SEASONAL HIGH WAFER Depth t]bgened-standingin`obs..hole: in Depth;tasott mottles:' _ -a. - Depth to weepu from stde of nhs hold: irL Gmundueater Adjuxtateut _fl. Index Wdl# „R,milmg Date,is Itsslex Wdl level Adj,factor ;Adt G�outidgater Leyel " Ouse" anon Time at 9 , Depth ofpero Time at. Start Prassoak Tmas, ,r Time 8"0 Pte-soak Ar,�w Site Swtabd tg 4ssesvtaent i Stte Passed Sitel?a led... '. 4ddinonat Test iigNaeded(Y" . - 17nguud'�.ublie Iicaltfi Divtston_ Ob5eNatioll 1,0l �Dat a T6.$t C0mpletO Ott B3C.kl . ***If pereolatton test!SAO be COndtICted wtthm`100 of wetland;you>an§t first noLfy the Dv .e$. B..arnstalile Cotuservation >ston atlst ane(I)L week.pror tobegrnnrig. ,, QISEYRCIPERCFORM:AOC' ,.;' , ;. ' V ': 'w DE>1P UBSERYATIONHOLE ds.� Depih from SatTioriwa SoiLText ve .: Soil Goloi, Soil< Other, Suiface{in:) (t3SDA):: {vlunsoll)' : SfOid�n 8 {34ueture,Stones,BoWdera:.. - :b DBEP,OBSERVATION Depth from Soill3oiixan; Soil Texture SodColoi. Soil er Sur ee(in.) ' (USDA)v' f4lumeit) Aiatlmg• '(Sfrucsure 3toins aoWders.' ti s -t'v TMY L u DEEP OBSERtxA'iION HOLE LOG " H61e# Depth from Soil l iorriwri Sotl Textuie Soil Color Soil Other $iirface{ae).z_. (USDk): (A¢urrsolt); h3ottlmg ;{Stroetun Stace Bopldcs.: ..:�:: -•. " Cam'G..ten&y0je'GraveFY;:.< :.. :.:-, Depth&oni Soii tiorizan Sod Tture Soil`Golor Soil, (kher Sur}'sca-fin.} {USDA);- (Munseil)' 14tottiu� fStrtcturc.5tones.'Boulders.' - - • Consistericv.°foGrsvel}�,•: .. :' Il Mao , Above 500 yearflaod boundary Yo Yes W1,M St1e year boundary' - lw � Yes- withto laoyeer flood boundary trio Yea F DeoH1 oiNatnralty(ko"-g=Peruion"s%1Viateriat.. Does at leastfonr feet of naitually occarring'pervio''iuiaterial:extst in all areas bbseved ihroug$out the . area proposed for the soil absorption system? tf oat what is the lit pt} of naturalty oocurrng pe 'ous material? Ceramcation._ , I certify thatzgn (date)thaw, passed the soli evaluator.e> natlonapproved;by the Department of Env n aI,Protection"and that the above analysis avas perforrried`by in-consistent with tile'required tram'"g;`" eitise aril expe' enc desen'bed'in 310;CMR.15A'l7. Signature Date l �;1SEPTtUtiPERCFOkM-'O'd. COVERS TO BE WATERTIGHT AND SEPTIC SYSTEM PROFILE TOP OF FOUNDATION BROUGHT TO WITHIN 6" OF FINAL GRADE Flaherty Environmental Services EL. 60.0' EL. 58.0' (not to scale) INSP. PORT W I 3" OF GRADE CLEAN SAND P.0. BOX 81 2" of 8" to 2" DOUBLE WASHED EL. 58.0' Yarmouth Port, MA 02675 4" CAST IRON or EQUIVALENT PEASYON�OR GEOTEXTILE -� 774.994. �66 MIN. PITCH 1/4" PER FOOT FILTER FABRIC 4" SCHEDULE 40 PVC PIPE 4"SCHEDULE 40 PVC PIPE f . FLOW LINE VENT IF REQUIRED (Arst 2'to be level) '' _� 10, 5.5% 5 1p/o s •.e.'• L.57.75' 14" ..:a o ^ �' �E2 c000c0o0c EL.55.0' —'�'� 00000000000 o p p'p C� C� C� C37 C= p o°o°o°o0 • EL. 54.75' o°00000 o ° 0000 .'�� 0 000°000°e EL.54.03' 1 00° ° 0000000°0°0 p p 0��p'Q 00000000c , REQUIRED: L.54,2 0 0 0 0 0 0 0 0 0 o c2.0 o GAS BAFFLE (H-20Diiii EL.54.0' 0100 °0°0°0°°000000 LJ'�0 ®��[�, ® 000o00000C - 5' REMOVAL OF UNSUITABLE .� 110'MIN. (2.5/ol— 0 0 0 0 0 0 0 a , o o 0 o C °o°o°o°o°o o°o°o° ' •• Q 4101111,000909 EL.52.0' MATERIAL LATERALLY AND •• STALL INLET TEE BENEATH SAS TO EL, 52.0' :.'q '.:•;;? .;.a' 6"CRUSHED STONE OR 1"ABOVE OUTLET INVERT SOIL ABSORPTION SYSTEM MECHANICALLY COMPACTED (2) 500 GALLON H-20 CHAMBERS (DATUM: ASSUMED WITH 4' STONE AROUND IN A 8'S —� 3" to 1;" DOUBLE WASHED STONE 12.83'X 25'X 2' CONFIGURATION 1500 GALLON SEPTIC TANK (PROPOSED) BOTTOM OF TEST HOLE EL. 43.5' EL. 43.5' USGS ADJUSTMENT: N/A LOCATIONMAP GROUNDWATER ELEV: N/A NO TH 58 se 327.15' ` HIgh St. Route sq n+ LOCUS 41,2' / - - - - TFI�1 IV LyR ��100' TO WELL DRIVEWAY m GARAGE NTS t e, ` o 0 107' — - - - - - � � ' �o DA CP ;f, 1 0 N �:w• .; I DECK R. EXISTING ` N 21' 3 SR \ - DWELLING � /STERN BENCHMARK: SgI✓i AR1TOP N PARCEL I 50' EL.6.0 NDN 48,200 SFt MAP 111 LOT 19 DATE:112312018 REVISED: 386.25' 56 SITE AND SEWAGE PLAN se FOR B & B EXCAVATION, INC./ WAYNE & KAREN MACFARLANE 235 HIGH STREET SCALE : 1�� = 4®' WEST BARNSTABLE, MA REF:P8 29525 PG 158 PAGE 1 OF2 j . ................... .......... ...... .. ............ .............. ........... ...... ............ . ........ ........................................... .................. ............ ............................................................................... ..................................................................................................................................................................................................................................................................................................................... ........................................................................................ GENERAL NOTES DESIGN CAL CULA TIONS S YS TEM DETAIL Flaherty Environmental Services P. 0. Box 81 1. ALL PRECAST COMPONENTS TO BE H-10 Yarmouth Port, MA 02675 RATED UNLESS OTHERWISE SPECIFIED. NUMBER OFACTUAL BEDROOMS 3 774.994. 1166 DISTRIBUTION BOX(ES)AND ANY COMPONENTS WITH ANY ANTICIPATED GARBAGE DISPOSAL UNIT F NO VEHICULAR TRAFFIC TO BE H-20 RATED. 2. THE DESIGN OF THIS SYSTEM DOES NOT TOTAL ES TIMA TED FLOW ALLOW FOR THE USE OFA GARBAGE (110 GALIBRIDA YX 3 BR) 330 GAL./DAY DA 5' REMOVAL 1 GRINDER. REQUIRED SEPTIC TANK CAPACITY 660 GAL. 3. MUNICIPAL WATER IS NOT AVAILABLE, 310 CMR 15.000 AND ALL OTHER 4. ALL CONSTRUCTION TO CONFORM WITH SIZE OF SEPTIC TANK 1500 GAL. (PROPOSED) APPLICABLE LOCAL, STATE AND FEDERAL SOIL CLASSIFICATION CODES AND REGULATIONS. 5. INSTALLERICONTRACTOR TO REVIEW& DESIGN PERCOLATION RATE <2 MIN.IINCH A TIONS AND DETAILS VERIFY ALL ELEV 12.83 AND REPORT ANY DISCREPANCIES TO EFFLUENT LOADING RATE 0.74 GAL./DAY/FTC DESIGNER PRIOR TO CONSTRUCTION OR ASSUME ALL RESPONSIBILITY. LEACHING AREA 6. INSTALLER/CONTRACTOR IS (2)x(25.0'+ 12.83)(2) = 151 SF 25.0'x 12.83' =320 SF RESPONSIBLE FOR MAINTAINING SAFE 471 SFx 0.74 =348 GPD WORK AREA, VERIFYING ALL UTILITIES AND NOTIFYING "DIG SAFE" USE(2)500 GALLONH-10 CHAMBERS WITH 4'STONE 25' (1-888-344-7233) 72 HOURS PRIOR TO INA 12.83'X 25'CONFIGURATION AS DIAGRAMMED CONSTRUCTION. 7. ANY CHANGES TO OR DEVIATIONS FROM RESERVE LEACHING CAPACITY NIA THIS PLAN MUST BE APPROVED IN WRITING BY FLAHERTY ENVIRONMENTAL SERVICES AND LOCAL BOARD OF HEALTH. 8. FINISH COVER OVER COMPONENTS IS NOT TO EXCEED XPER 310 CMR 15.000 (NTS) UNLESS SHOWN PER PLAN. 9. ALL ABANDONED SEPTIC SYSTEM COMPONENTS TO BE PUMPED DRY AND SOIL EVAL UA TION FILLED WITH CLEAN SAND OR REMOVED OF*,qS TESTHOLE#1 P#15579 TESTHOLE#2 P#15579 �k OF gC AND REPLACED WITH CLEAN SAND. Evaluator- David D.Flaherty Jr.,RS,REHS Evaluator: David D.Flaherty Jr.,RS,REHS I O.ALL COMPONENTS TO BE PROVIDED SE#2755 SE#2755 DAVI WITH WA TER 77GHT ACCESS PORTS BOH Witness Don Desmarais,RS BOH Witness Don Desmarais,RS Date: January 23,2018 Date: January23,2018 - FLA JR WITHIN 6"OF FINISH GRADE, 11.ALL SEPTIC TANKS, DISTRIBUTION TH-1 ELEV.58.0' TH-2 ELEV.58.0' BOXES AND PIPING TO BE INSTALLED G/ T WA TER TIGHT. 0"-13" A SL 10YR 312 0"-13" A SL 10YR 312 IT K\ 12.NO KNOWN WETLANDS OR WELLS WITHIN 100 FEET OF PROPOSED 13--38- B SL 10YR 516 13%38" B SL I0YR516 LEACHING. 13.THIS IS NOT CERTIFIED PLOT PLAN 38'-72" C1 Silt —10YR614 38"-72" C1 Silt 10YR 614 AND UNDER NO CIRCUMSTANCES IS THIS Loam Loam PLAN TO BE USED FOR ZONING OR lcertify that on November 12,2002,1 have passed SITE AND SEWAGE PLAN the examination approved by the Department of FOR BUILDING PURPOSES, Environmental Protection and that the above analysis 14.LOT IS SHOWN AS ASSESSOR'S MAP 111 has been performed by me consIstant with the B & 8 EXCAVATION, INC./ roquirod training,oxporftoo,and experlence described LOT 19. WAYNE & KAREN 72--126- C2 MS 2.5i616 72%120" C2,-MS 2.5Y616 In 3 10 CMR 15.018(2). 15.LOCUS PROPERTY IS NOT LOCATED MACFARLANE WITHIN AN AQUIFER PROTECTION G.W ELEV.NIAG.W ELEV.;VIA 235 HIGH STREET T DISTRICT(ZONE 11). BOTTOM TH-1 ELEV. 475' BOTTOM TH-2 ELEV, 48.0' WEST BARNSTABLE, MA PAGE20F2 ............................................................................................ ............................................................................................................................................................ ........... ... ................................. ................ .................. ....... ... .......... ..... ........ ........ .. ........... ..................................................................................... ..................................................... .......... .............. ...............................................................................