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HomeMy WebLinkAbout0058 OLD TOLL ROAD - Health L TOWN OF B�ARnNSTABLE LOCATION M' (O� 7b�� Ste, SEWAGE# apt VILLAGE C3 -"Z4.'V,,► ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NOV�t=",ARc�55� SEPTIC TANK CAPACITY LEACHING FACILITY:(type) c�✓ S� N,ter (size) NO.OF BEDROOMS OWNER ' t PERMIT DATE: Tom— COMPLIANCE DATE: JX Z 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 �3 J '7 � l No. Ze�2Z'�Zs Fee D0 v� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for Misposar 6pstem Construction hermit . Application for a Permit to Construct( ) Repair(-,•Y Upgrade( ) Abandon( ) ❑Complete System ndividual Components Location Address or Lot No. S Owner's Nam Address,and=.SC1'Y— & ^ Assessor's Map/Parcel y t` �' ' Installer's Name,Address,and el.No. Designer's Name,Address,and Tel.No.q3`h—�6�•3 Type of Building: Dwelling No.of Bedrooms Lot Size Fy sq.ft. Garbage Grinder( ) Other Type of Building ,3 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank pe of S.A.S.<7C�iY C� r-,,�� z: �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 of Health. Si Date / / Application Approved by Date [ Application Disapproved Date for the following reasons Permit No..ZoZ? -- O2 Date Issued No. �tJ��." j Fee !-DO V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OAF BARNSTABLE, MASSACHUSETTS Yes 9pplication for Disposal OpStem Construction Permit ` Application for a Permit to Construct( ) Repair(V-1upgrade( ) Abandon( ) ❑Complete System ['Individual'Components Location Address or Lot No. Owner's Name,Address,and Assessor's Map/Parcel \Qcx ( Installer's Name,Address,and Tel.No.S-C�'5c'• -60 r J Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size {,(7`�-( sq.ft. Garbage Grinder( ) Other Type of Building � ; r, No.of Persons -Showers( ) Cafeteria( )"` Other Fixtures Design Flow(min.required) 5 gpd Design flow provided 7, r-4 ;Q gpd Plan Date ro Number of sheets Revision Date Title / Size of Septic Tank .k Type of S.A.S.<7 �,.ems r. `c'_ C'C� ,,,. �•{ cud V49 Description of Soil <; „ Nature of Repairs or Alterations(Answer when applicable),mil A.<- �d \ l 4--1- "� 7-" 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`) �_'y.!%' --' Date Application Approved by Date �( �7l /Z.4 Z.r Application Disapproved by� �+ Date / / r'? for-the following reasons ` Permit No,M(? - Lo h Date Issued _ .* -- -- - - ------ - --------------- •------- --THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( V)r� Upgraded( ) 1 Abandoned( )by at v , 1 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated-G1?4 dated (Lb/Zo 22 Installer ;.._,k- ��a �t?-N �-.�t.G�,:\,K Designer y, 1 -t- #bedrooms yr Approved design flow h gpd- The issuance of this permit shall not be construed as a guarantee that the system wi Afanction as designed. / Date j 1;L Inspector j `, /� 0 V --- - ` No � "-v�� Fee+` /V9 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction permit Permission is hereby granted to Construct( ) Repair(1,/<- U Pde( ) Abandon( ) System located at lam+' 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. i Provided:Construction must be completed within three years of the date of this permit. Date' ! /� 1 '1y��7, Approved by Town of Barnstable Regulatory Services Richard V. Scali,Interim Director $ Public health Division sue" Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Desilmer Certification Form I - / Date: 30 22ft .- Sewage Permit#' -bQ') Assessor's Map\Parcel G 77 Designer: e--L� C' Installer: Address: �� � Address: SM MA nn 02S3 On QL G �c 1���,`��- kG �i vx was issued a permit to install a (date) (installer) septic system at %5�' j n Ld V �• `� based on a design drawn by (address) 1 1� 04&/ ;9s dated 0 1 11(a 122- (designer) SmS kc- I certify t°liat the a 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. Strip out (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. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compliance with the terms of the I\A approval letters(if applicable) AO (Installer's Signature) • a (Designer's Signature) (Affixere) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH D ON. CERTIFICATE OF COMPLIANCE WELL NOT BE ISSUED _UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISI N THANK YOU. Q:\Seoc\Dmigner Certification Form Rev 8-14-13.doc LEGEND' WEST BARNSTABLE �. 5 IFT. SOIL PROPOSED CONTOUR LOCUS REMOVAL ® PROPOSED SPOT GRADE 58 OLD TOLL RD. —— 98 —— EXISTING CONTOUR �A°G 144 + 96.52 EXISTING SPOT GRADE W EXISTING WATER SERVICE -2 �� � TEST PIT SCALE: 1"=30' �EXIST. I ,000G �� 0 EXISTI SEPTIC TANK � ' NG 258�5 LEACHPIT /144 , q4� 'TP-1 { � ' ® j i 142 LOCUS MAP o LOCUS INFORMATION PLAN REF: 301/99 144 `\ 140 TITLE REF: 26676/039 C>-o, / PARCEL ID: MAP 109 PAR. 079 PROPERTY IS NOT IN ZONE II, IS NOT IN ESTUARIES PROT PROPERTY IS NITROGEN SENSITIVE DUE TO PRIVATE WELL 146 ��\ �c+\p LOT 83 14 �P �� C.o. i �� i FLOOD ZONE: PROPERTY NOT IN FLOOD ZONE 8 G I SEPTIC SYSTEM ` AREA = 46694 sf+- � �\ �\ �\ I / � PLAN BOOK 301 PAGE 99 `, `, `, �, REPAIR PLAN O ASSR MAPS 09 PCL 79 \�\ \`�\ \ \� 11 11 \ � � � LOCATED AT: --- , � 144 �, 58 OLD TOLL ROAD O 150 STONE '�, , WEST BARNSTABLE, MA DRIVEWAY BENCH MARK � l< ; ;� PREPARED FOR EILEEN SANDHERR/ ` TOP OF FOUNDATION ' 7D READY ROOTER EXC. 150.83 of 1 '' ' i/ 138 BARNSTABLE GIS DATU JANUARY 16, 2022 Z_Z Z'> i ,' Ld OF W 1 - ----- 1 / WALL o D +RRLL s t - 138 N sl 150 / , / / a5 140 I�ITA Z� 42 P 144 MEYER & SONS, INC. • O '/ 146 WELL P.O. BOX 981 v Y 1 48 III �\ EAST SANDWICH, MA. 02537 �39 2 EOC'� wELL 360—3 o PLAN PH: (508) 311 FAX: 774 413-9468 \ , P ( ) �\ SCALE: 1 in = 30 ft meyerandsonstitle50gmail.com O 30 60 0 10 20 30 60 SHEET 1 OF 2 ELEV. TOP NOTE: PLACE MAGNETIC MARKING TAPE OVER ALL COVERS FOUNDATION: BRING ALL COVERS TO WITHIN 3" OF FINISH GRADE (Existing) FINISHED GRADE (143.50) = 150.83� F.G.EL: 150.0 F.G.EL* 146.4 F.G. EL: 143.50 MAINTAIN 2% MIN SLOPE OVER LEACHING AREA Al + F.G.EL: 143.43 2" OF 3/8" DOUBLE WASHED „ / „ DOUBLE STONE OR FILTER FABRIC - 1 WAS S HED STONE 2 6" ' „ T 4" SCH 40 PVC ": TEE'S ARE TO BE 141 j © S= 1� (MIOF. ®®®®®®®®®®® Y 4" SCH 40 PVC INV. 140.0 2' DEPTH ®®®®®®®®®®® INV. 142.15 INV. 139.80 GAS � • 4 2 X 8.5 4 PROPOSED DB-3 EXISTING OUTLET GAS DISTRIBUTION BOX EFFECTIVE LENGTH = 25' INV: 142.40 AM Ark, (1-120) INV. ELEV.= 139.50 EXIST. 1,000 GALLON SEPTIC TANK GAS BAFFLE TO BE INSTALLED ON ������ OFG BREAKOUT OUTLET TEE AS MANUFACTURED BY NOTES: TUF-TITE, ZABEL, OR EQUAL DA EN ``� TOP CONC. ELEV.= 140.50 ELEV.= 140.50 1) CONTRACTOR SHALL VERIFY ALL EXISTING CA, 114 PIPE INVERTS PRIOR TO CONSTRUCTION INV. ELEV.= 139.50 -= ®® ®®® . 2) D-BOX SHALL BE SET LEVEL AND TRUE TO �- 0 ®®®®®®® GRADE ON A MECHANICALLY COMPACTED SIX QNITAR\a� BOTTOM EL.=137.50 ®®®®®®®INCH CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2) 3.75' 5 FT. 3.75' 3) REPLACE EXISTING 1,000 SEPTIC GALLON SEPTIC TANK EFFECTIVE WIDTH = 12.5' WITH ED GALLON SEPTIC TANK IF FAILED, SEPARATION 5.30 FT. 4) DAMAGED LET UNDERSIZED.UT EES W/ SEPTIC SYSTEM PROFILE GAS BAFFLE AS REQUIRED BOTTOM OF TESTHOLE EL:132.20 _ SOIL ABSORPTION SYSTEM (SECTION) (500 GALLON H-20 LEACH CHAMBER) SOIL LOGS P#: 21-316 GENERAL NOTES: DESIGN CRITERIA **PRIVATE WELL - NIT. SENS.** DATE: DECEMBER 16, 2021 1- ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL NUMBER OF BEDROOMS: 3 BEDROOM DESIGN SOIL EVALUATOR: DARREN MEYER, RS, CSE 1614 BOARD OF HEALTH AND THE DESIGN ENGINEER. SOIL TEXTURAL CLASS: CLASS I (0.74 GPD/SF) 2. ALL MATERIALS WORK AND MATERS SHALL CONFORM TO THE REQUIREMENTS WITNESS: DON DESMARAIS, BARNSTABLE HEALTH DEPT. OF THE STATE ENVIRONMENTAL CODE. TITLE V. AND ANY APPLICABLE DESIGN PERCOLATION RATE: <2 MIN/IN LOCAL RULES AND REGULATIONS. DAILY FLOW: 110 G.P.D. X 3 BR = 330 G.P.D. L]ev. TP-1 De tb 3. THE SEWAGE DISPOSAL. SYSTEM SHALL NOT BE BACKFILLED PRIOR GARBAGE GRINDER: NO not designed P Elev. TP-2 DaPth TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE ( g ed for garbage grinder) " „ DESIGN ENGINEER. g gpd, USE EXISTING 1.000 GAL. SEPTIC TANK 143.80 0 143.30 0 SEPTIC TANK: 330 pd x 200% = 660 FILL O/A 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 141.80 24" LOAMY SAND FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN LEACHING AREA REQUIRED: (330)/0.74 = 445.94 S.F. A LOAMY SAND 10YR 3/2 ENGINEER BEFORE CONSTRUCTION CONTINUES. 1GYR 4/1 142.80 B 6" 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. USE TWO (2) 500 GALLON PRECAST LEACH CHAMBERS W/ 4' 141.38 29" LOAMY SAND 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF B SANDY LOAM IOYR 6/6 HEALTH FOR CONTRACTOR OR OWNER TONS DURING coOCALCBTOIO D OF STONE ON ENDS & 3.75' STONE ON SIDES: 25' L x 12.5' W x 2'D IOYR 5/8 140.05 39' 140.30 42" C 7. WATER SUPPLY PROVIDED BY PRIVATE WATER SUPPLY WELL BOTTOM AREA: 25 x 12.5 = 312.5 SF C SANDY LOAM LOAMY SAND 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED 10YR 6/6 2.5Y 6/4 TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. SIDE AREA: (25 + 12.5) X 2 X 2 = 150 SF 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE 138.30 C 66" 137.30 C2 FINE - 72" THE LOCATION OF ALL UNDERGROUND UTILITIES. PRIOR TO BEGINNING TOTAL SQUARE FEET PROVIDED = 462 vs. 445.94 REQ'D J SANDY SIEVE SAMPLE MEDIUM CONSTRUCTION. DESIGN FLOW PROVIDED: 0.74(462 S.F.) = 342.25 G.P.D. vs. 330 G.P.D. req'd LOAM O EL 135.0 SAND 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND REMOVED COMPLETELY. 2.5Y 7/2 2.5Y 7/4 FILL WITH CLEAN MEDIUM SAND PER TITLE 5. 133.80 120 132.20 132" 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION PROPOSED SEPTIC SYSTEM UPGRADE PLAN ~ 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY PERC RATE <2 MIN/IN. ('C2- HORIZON) PER SIEVE SAMPLE AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 58 OLD TOLL ROAD, W. BARNSTABLE, MA NO GROUNDWATER OBSERVED 13. NO PRIVATE ABUTTING WELLS WITHIN 150' OF PROPOSED LEACHING. Prepared for: E. Sandherr/Ready Rooter Exc. 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. 15. ALL PIPING TO BE 4' SCH 40 O 1/8-/FT (UNLESS SPECIFIED) Design and Site Plan by: SCALE DRAWN DATE 16. REMOVE ALL UNSUITABLE SOILS 5 FT. AROUND LEACHING TO EL 137.30 OR TOP MEYER&SONS,INC. N.T.S. DMM 01/16/22 OF "C2' LAYER AND REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5. PO BOX981 EAST SANDWICH,M402537 REV DATE CHECKED SHEET NO. 508-362-2922 DMM 2 of 2