HomeMy WebLinkAbout0939 OAK STREET (CENT./W.BARN) - Health 939 Oak Street
West Barnstable
A= 216-048
C
r i
No.— --------- . _�_ Fee—:------------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
ZppCicat ion-for Well Con5truction3oermi
Application is hereby m �Lor a ermit to Cons uct ( ), Alter, ( ), or Repair ( )an individual Well at:
ocatwn — Address A rs Map and Parcel
�,�-- Owner
Installer — Driller
Address —�
Type of Building ®�b
Dwelling �I
Other - Type of Building -- -YP g— - No. of Persons--- _.----------_—___.__.____.
q� _
Type of Well —q�
Purpose of Well---4—"' Y`tF___—_—
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to
place the well in operation until a Certificate .of Compliance has been issued by the Board of Health.
Signed
to
Application Approved By __ —_
date TTT"
Application Disapproved for the following rea s:
date
Permit No. V ___ Issuedda
— e ------------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
(Certificate Of (Compliance
THIS I--� ERTIFY, That the Individuad Well Constructed ( ), Altered ( ), or Repaired
r
-----------------------------
Installe -------'----------
at--_ - -- - -I�- t` -- --- - ---- - -- ---has been installed in accordance with the provisions of the Town of Barnstable B ar of Heal Well Protection
Regulation as described in the application for Well Construction Permit No. tvate
ated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE—---- —— - Inspector----- ----
„a d
-r' V
No.---- r-- -� Fee-;------
BOARD OF HEALTH p
TOWN OF BARNSTABLE
Zipplication-forWell ContructionPermi
Appl' ation is hereby ma a for a Tit to Corisqrtict (. ), Alter ( ), or Repair ( )an individual Well at:
�V t oc�tion — Address ' A rs Map and Parcel
V ko _
- ----(-�-"--------- - __ 0!� _S LD_
Owner _-�:_„�_�--_ � — ------•+�-��._----------
Pddress
Installer — Driller Address
Type of Building D Lt)
a
Dwelling— _- _- -- — .--
Other - Type of Building-=—_—______— No. of Persons--------
Type of.Well
Purpose of Well---
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to
place the well in operation until a Certificate .of Compliance has been issued by the Board of Health.
Signed ----- �' -- - — - --
- f —?-/I ate —
Application Approved By
-
'• date �
i- Application Disapproved for the following rea s:
= - — --- --------—------- - -- ---
date
Permit No. -�- - Issued--- -; /-�-J- --------------
�e
BOARD OF HEALTH
TOWN . OF BARNSTABLE
Certificate Of Compliance
THIS IS�T( ERTIFY, That the Individu 1 Well Constructed ( ), Altered ( ), or Repaired
Installer
W
r
has been installed in accordance with the provisions of the Town of Barnstable Board of Healt vate Well Protection
Regulation as described in the application for Well Construction Permit No. v- ated ------g PP —
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
_ SYSTEM WILL FUNCTION SATISFACTORY.
DATE----— - Inspector-- -----------------
BOARD OF HEALTH
,f1 TOWN OF BARNSTABLE
Well Con$truct ion Permit.
No. Fee
-
Permission is hereby granted , , ,� J, j __r___ / /L1y? ___•________-__—_
i to Constr,�c�t-(
as shown on t e p>,c tion for W II .onstruction Permit
No.4Q7 / Dated---- — = ---- --- -�. __ ---
hoard DATE of Health j
_
1 ,
4
Town of Barnstabk
BIKE rut.
JDepartmQxlt of,Regulatory Services
Public Heq th Divisioll Date
N'E' 200 Main Street,Hyunuis MA 02601
'f 'j
Date Scheduled Time l d. UV FPe Pd. 00- 01
Soij/Szd�tabizry A ssessmte >Ltfo�° �� tC �b� (��ry �
Performed By: Witnessed By.;
A, GIT NTM.tilL I tlA'®Jl' A/lA JL IOl_'V
Local'lon Address Owner's Name
V6
Address
Cy
�
Assessor's Map/Parcel; al � Cugincer's Name
NEW CONSTRUCTION'," REPAIR V Telephbne It
Land Use Slopes Surface Stones
Distances from: Open Water Body "JIA� _R Possible Wet Areg 9 i' fL Drinking Wafer Well "'f[
Draiha.ge Way ft Properly Llne l ft Other ft
P
SKETCH,H, (street tame,dimensions of lot,exact locations of lest.holes 8c perc tests,locate welland5'1a piwiinuly to holes)
.a-
7.4
0
.o
Parent material(geologic)— Depth Lq Bedrock , t
Death to Ornundwatr.r Stu„rung We1ef i, 1-tole AdrV4, ne i;;g Ip,;,,roit
Estimated Seasonal High Oioundwater14
r
DICI T]E TAA7CJ[�JN FOR SEASONAL HIGH WATER TABLE
Method used:
Depth Observed 5w ding in obs.hole: In. Depth to Sall trlotll s:. _In.
Dcplh to weeping,from side of obs.hole: __ _ _ tit. OrtlnndwltLeY.Ad�Udlmettt �� Pr.
Index Well 9 Rcading Dalc: Index Well level� �n AdI�,hwtov— ,A41,Mwundwater bevel
]PE l[ CO LA7TION T +'8".IC
Observation
Holc Ip Y Tinge tit 9'
Depth of Perc TInhG tit 61'
Staff Pre-soak Time @ _ -�. Time(9`4')
End Prc-soak A + l d e j4 yL�. P �
Rate Min./Inell
Site Suitability Assessment: SILT Passed_ Sih,Failed: Additional Testng Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back-----------
*If percolation test.is to be conducted vvitii➢n 100' of vvetlalf d, you mush firslt Uotity We.
Barnstable Consevvation Division at least one (1) vvech prior to begimah3g.
Q:\s ePTlC\P13RC FORM.00C
DICICI[b.O][�S.ILJ] 17-A'�'ION JF]f®�' t 1C,�� -----_
Surfs from SOW Horizon ]I of
Surface(in.) Soil,Tex are
Sail Color
?(USDA). `:� Soil. Other
,(Munsell) Mottling (Structure,Story; Boulders,
Con istanc b ravel
DEEP
Depth from Soil Horizon
Surface in.) Soil Texture
( Soil Color ft giilt,.
• � '- � (USDA) �(Mut'rl�11 !_t"d C StructurOc,iStones, boulders,
; f ` Consis enc
C S ravel
C ,n --
., L-
C.
DE
Depth from Soil
Norizon S Holy,#
Soil color Surface(in.} oil Tex hire S "----
(USDA) Soil Other
(Munsell) Mottling (,structure,Stones,Boulders.
Co siste cy `gyp arwell
.— ----_ -
-
• I
Depth fi-om
Soil Horizon �'®� Hole#
Surface(in.) Soil Texture Soil Color
(USDA) ,• S°li Other
(Munsell) Mottling (Structure,S on e,s,,
I Boulders,
Conslstenc�p���py�
'- - ]lIlood llsnsur2nce Rate
Abnvc 500 yens flood boundary No Yes
Within 500 year boundary No Yes
Within 100 Year tloed boundary No_ Y65�
De tau Nfl--U-1218pOccurring Fgg vlou,s Material
I?oes at least four feet of naturally occurring pervious materlal exist in all areas observed throughout the
area proposed for the soil absorption system?
if not, "'112t is the depth of naturally occurring 1ervlous matol'ialI
lC�emtu$'geat<ion '
I certify that on (date)I have passed the soil evaluator examination approved by the
lDepartrncn2 of Environmental.Protection and that the above analysis was performed by me consistent with
the required training, expertise and experience described in �10 Ch4R 15.017.
Signature
i Date .
Q:1S,B PT[C\PPBRCCORM.DOC
Town of Barnstabk 3,5
TIE pb
JDepartmonat of Regulatory Services
*(3 ,
BARNB'rABLE, 4 Public Health Divisioll � Date
i6 ��g � 200 Main Street,Hyanuis MA 02601
7
l . . Zlllle e�ePd. r1 G �/V� .�
Date Scheduled_
Soil Suitability Assessrizentfor Se -e Disposal
(,!/A � 6i1C. Witnessed By: �.
Pcrfonnud oy;� Q _ _ _ _
(((fff _LO CATIO & G EN'ER JL ][NJC OIUVi[ATIO%
Location Address �]� � O L"kZI
Owner's Name
`e�i k Address
V ^ 'd ai✓
Assessor's Map/Parcel: f�llO/� 0 Engineer's Namo
NEW CONSTRUCTION REPAIR Telephone It
o ✓f
Land Use'—�r L/ Slopes(Yo) > 0 /o/USurrace stunes P/Vp z�U�t�
Distance's from: Open Water Body Possible Wet Area y�_ft Drinking Water Well,ft
Drainage Way Gam' ft Property Line f[ Oilier ft
}
SKETCH., (street came,dimensions of lot,exact locations of lest holes 8c perc tests,locate Wetfunds'in proxinuty to holes)
o
--KD ro
� o
0 t
V
Parent material(geologic)_ �'�"G Depth la 13ed1'01:1x
Depth to Oroundwalcr: Standing Water in Hole; � �� Weepiltg('fain flit PHae
Estimated Seasonal High Oioundwater
D]ET E][MINATION FOR SEASONAL AIL HIGH WATE k TABLE
Method used:
Depth Observed standing in obs.(tole: In. Dcptla to sQll ItlUtll.eY: � � lu,
Depth to Weeping from side oFobs.hole: Lo' Ili.Oruuudwuter.AdJuslhient„_� _�Pt.
Index-Yell R Rcading Date: Index Well IeYal _ A,,J,hacthr- AaJ.Groundwater Uvul
IP EROOJLAT IO1'41 '7l'.lCST
Observation
[-Tole# � Tinlo lit 9"
�
Depth of Perc _ Thrip at 6" R
Start Pre-soak Time @ jy!249 _ Time(9"-ti") �✓
End Prc-soak.
Rate Min./Inch
Silc Suilabillty Assessment: Site Passed_ Silq.Failed: Additional Tesling Needed(Y/11I)
Original: Public Ficallh Division Observation Hote Data To Be Completed on Flack-----------
***If Pel-colatiorn test is to be conducted vviLininn 1.00' of vvelliand, you must first Uotiiy We
Biirnstnablc Conservation Mvisionl at least one (A) vvedc plricir to begain-di.ug.
QASEPTf0PLIiCFORM.DOC
DEEP,OBSEjiVATION g>IOL + ]LOB- --------
SO!I IFO izon Ifol✓#
Surface(in.) Soil Texture Sail Color
(M Soil
(USDA).. Other
t� ansell) Mottling (Structure,Stones; Boulde `
Con istEncy.%/a ravel
s //ZAf
��✓ r
OBSERVATIONHOLt LOG
Depth from Soil horizon
Surface(in.) Soil Texture Soil Color
(USDA) Soil
er
(Mansell) Mottling (Structur,,lStones, boulders,
�� Consis enc %CraveE
I
iDEM P OBSERVATION HOLE LOG
Depth from
Surface So
Soil Horizon # _--
(in). Soil Texture Soil Colo[
USDA Soil
( ) (Mansell) Other •
Mottling (Structure,Stones,Boulders.
('.o siste cy 90' 0MVell
Dr-4]EP oI?,S]CI RVA7 ION TIOL E
LOGDepth fi-om Soil Horizon ](j[D]n?#
Surface(in.) Soil Texture Soil Color S'ofl
(USDA) .• Other
---__ (Munsell) Mottling (Structure,Stones; Boulders,
' Cons' ten v '� ,G prl�eil�
Flood Insurance Rate aa: l r
Above 500 year flood boundary No Yes
Within 500 year bound
-- ary No Yes......_, .^
With in 100 year flood boundary No� yeg �
1( 'eRfl>I QfB tgLa- ➢y_ cc'Rrrfl_n P0710us Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
azea proposed for the soil absorption system. �,�—
Xf not, "'hat is the depth of nahirally occurring pervious mat8l'161
C�e>rtiX---ec�fcia�u ,
X certify that on �� (date)I have passed the soil evaluator examination approved by the 1(lie regidr d o raining o x Fit. -PI.OtMdDi and that the above analysis was performed by me consistent with
She tegttired training, ex ertise and experience described in10 C1VII2 15,017.
Signature
Date
Q:ISHPTIC�PERCrORM.DOC
I SY
STEM
TEM DESIGN:
E G E N SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES
MARKED WITH MAGNETIC TAPE OR
GARBAGE DISPOSER IS NOT ALLOWED COMPARABLE MEANS FOR FUTURE LOCATION. i
PROVIDE MIN. 20" DIAM WATERTIGHT (NOT TO SCALE) I 1. DATUM IS APPROX. NGVD Railroad
99-- EXISTING CONTOUR ACCESS COVERS TO WITHIN 6" OF FIN. GRADE PROVIDE INSPECTION PORTS TO 11111111 &_
DESIGN FLOW: 3 BEDROOMS @ 110 GPD = 330 GPD WITHIN 3" OF FINISH GRADE 2. MUNICIPAL WATER IS NOT AVAILABLE
_
e� o
X 99.1 EXIST. SPOT ELEV. TOP FOUND. EL. 102.4' o of o' !
USE A 330 GPD DESIGN FLOW \
- }- PROPOSED CONTOUR 103 2% SLOPE REQUIRED OVER SYSTEM W erg e `
3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. o Lon
MINIMUM .75' OF COVER OVER PRECAST 101.0' - 101.9'
SEPTIC TANK: 330 GPD (2) = 660
4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS
g PRECAST H-10 oou
8 TO BE AASHO H-
.4 1Q
PROPOSED SPOT EL. Cope Cod
P 0
." RISERS (TYP.) P
THII USE A 1500 GAL. H-10 SEPTIC TANK ,4.. 2'0 4"OSCH40 PVC Community
PIPES LEVEL 1ST 2' 5. PIPE JOINTS TO BE MADE WATERTIGHT. o College
TEST HOLE 98.9 Gone c
LEACHING: 10,�. *99 4• 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH Pand `°
z� SLOPE OF GROUND 4.73 SF/LF x 6.25' LENGTH = 29.56 SF PER ,' . 98.96' 1500 GAL H-10 T -
310 CMR 15.000 (TITLE 5.)
SEPTIC TANK 98.71 98.35 ¢�
HIGH CAPACITY INFILTRATOR UNIT 4' LIO LEVEL 00000°0000°000 0 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO
UTILITY POLE ACME OR EOUAL GAS o ,o^o,o,o,o,o oa 0.92' BE USED FOR LOT LINE STAKING OR ANY OTHER rt o
330 GPD/0.74 GPD/SF = 445.9 SF LEACHING
97.43 0
98.56 9
PURPOSE.
FIRE HYDRANT REQ D ':,,•, . •.
NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING O o 0 0 0 0 0 0 0 0 o c 6 MIN. SUMP 16 H-20 HIGH CAPACITY INFILTRATORS 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
O O O O O O O O O O O O
I 445.9 SF/29.56 SF/UNIT = 15.1 UNITS o 0 0 0 0 0 0 0 0 0 o c 12" MIN. INT. DIM 6
O„O„OnO„onO o� o„o„o„O„O, (NO STONE PROPOSED) 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED Route I
WITHOUT INSPECTION BY BOARD OF HEALTH AND Rd•
THEREFORE, 6" CRUSHED STONE OR MECHANICAL EACH UNIT: 6.25' x 2.83' x 0.92' INVERT)
USE GRAVELLESS SYSTEM OF (16) COMPACTION. (15.221 [2]) PERMISSION OBTAINED FROM BOARD OF HEALTH. service
H-20 HIGH CAPACITY INFILTRATOR UNITS IN FIELD O.A. DIMS: 25' x 11.3' 6.4'
*THE INSTALLER SHALL VERIFY THE 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING
CONFIGURATION OF 4 ROWS OF 4 UNITS 2•0% SLOPE) ( 1 % SLOPE) 1
'I LOCATIONS OF ALL UTILITIES AND ALL ( ( % SLOPE) DIGSAFE (1-888-344-7233) AND VERIFYING THE
BUILDING SEWER OUTLETS AND LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES
ELEVATIONS PRIOR TO INSTALLING ANY 472 SF (0.74) 5 349 GPD (OK) 445.9 SF FOUNDATION 22' SEPTIC TANK 15' D' BOX - 6' FACILLEACHTYG PRIOR TO COMMENCEMENT OF WORK. LOCUS MAP
PORTION OF SEPTIC SYSTEM BOTTOM TH 3 EL. 91.0' 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE
REMOVED 5' BENEATH AND AROUND THE PROPOSED NOT TO SCALE
LEACHING FACILITY.
i 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND ASSESSORS MAP 216 PARCEL 48
MA __ _.. _ _ _ _ _ _ ___ _ _ REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. _
APPROVED DATE BOARD OF HEALTH *NOTE: PLUMBING IS PROPOSED TO BE RE-ROUTED TO EXIT IN AREA SHOWN.,
INVERT ELEVATION TO BE 99.4' (3' BELOW TOP OF FOUNDATION)
_ � I
91.25 TEST HOLE LOGS
I 1
50' /
well I / ARNE H. OJALA, PE, SE
ENGINEER:
1
67
1
WITNESS: DON DESMARAIS, RS
I / . FEB. 28, 2012 & MARCH 23, 2012
12. 8 Q 27 5' REMOVAL OF UNSUITABLE SOIL REQUIRED
DATE.
/ \ AROUND PERIMETER OF LEACHING FACILITY, < 5 MIN/INCH (TH 3)
DOWN TO SUITABLE SOIL LAYER. REPLACE PERC. RATE _
WITH CLEAN MED. SAND, TO MEET
SPECIFICATIONS OF 310 CMR 15.255(3) CLASS ( SOILS P# 13546 & 13584
47 FAILED FAILED
/ \
ELEV.
ELEV. ELEV. ELEV.
00.38
\ 27,
\ TH 1 2 3 4
/ \ x 1 O» 4 X' O„ 4 X' 0p, 4 103' 0» 103.5'
" 3 \\ 4 1 Y SPRUCE A A A A
/ x 10 .64 4.53 165' /
9 .9 14" PINE /SL FRIABLE /SL FRIABLE /SL /SL
/ \ �. 10YR 4/1 »_ /10YR 4/1 10YR '4/2 1 OYR 4/2
100. 8 2 \
35 �� •'�. B B B B r
�' 02.04 O 5.9T
TH x 101.4 x "`� x 103.78 6 \ �� �$L. FIRM t �SL FIRM SL SL
4. x 101.Z+4+�AILED) / \ EXISTING WELL �L'OC /
\- TH 1��r PER OWNEER „ 10YR 6//X
4 1 OYR 6/4 10YR 5/6 10YR 5/6 ,
�c 1 .. •x'rsr��•-...�... 2.83 ,� 36 36 36 100 36 00.5
5.
\ \
C1
x 101. 9 N TOP FNDN. �
x 101.60 ES ELEC. v L. = 102.4' PATIO x 102.13 \ C C SI TCLOAM SILT/LOAM
METE
X 1 o ExIST1NG PER
29x.96.6 \\\ oz.18 DWELLING 102.31 \ / 96„ 10YR 6/4 95' 96" 10YR 6/4 95.5'
/ .75 \x.97.62 \ x 101.83 FFLOOR 03.4 / $L SL
\ \ � BENCHMARK
FIRM/ FIRM/
X. 7.8 'o` E COR STONE STEP ' COMPACT COMPACT C2 C
/ \\ PAVED �� x<2.o8 ELEV. - 103.0 ,0 2.5Y 6/4 2.5Y 6/4 SIEVE
MFS MFS
/ \ DRIVE 5 02.07� /
\x.9�7.5z x? 100' -�- 5% SILT 5% SILT
7.3 01 I PROP. WELL
� \ 1.17
/ o \ �� 7.1 00. I (MIN. 150' TO PROP. SEPTIC SYSTEM) 120" 120" 144" 2.5Y 6/4. 91' 144" 2.5Y 6/4 91.5'
1 / 97A X W LOC 39.47 9.98
/ PER 0 S D ` o o \ x 103.6 I NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED
i /97.60 x 8.9T
1 well /
x �.7\
/ CESSPOCLPLAN
SIT
TITLE
/
/ 2
/98.53 OF
\ /, LOT AREA
• of 63 ACt STREET
... 939 OAK
WEST BARNSTABLE
PREPARED .. FOR
CHRISTOPHER MAKI
MARCH 30, 2012
1(\OF d9 ' OF 3I »
H M�. qs �.� qs Scale. 1 = 20
sic
DANIEL yGN c DANIELA. yGs
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10 0 M � 0 10 20 30 40 50 FEET
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off 508-362-4541
rorgss ���st, \�c :fax 508-362-9880
/ DANIEL ti� o�' DANIELA. ti� ' I downcape.com
GILOJA'I� 00WO f.Qpe V7 1*161I e�'In�� Ifi .
' OJALA
P� Ep8o0 v o �� 4650 civil engineers
. Ian surveyors
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939 Main Street ( Rte 6A)
DATE DANIEL F;. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675
>2-019
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