HomeMy WebLinkAbout0050 CLAMSHELL POINT LANE - Health (2) f o
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JNo / 1 / Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
application for Disposal 6pstem (Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System Endividual Components
Location Address or Lot No.s® C A, S l—bl 1 % Ova`t�s Nam dress and Tel.
Assessor's Map/Parcel 00(o (!)0-5
I lle's Name,Address,and Tel.No. � ' Design Fs ame�,Address,and Tel.No. fa
�N e�eSsv��� S
w les � AC o Mom s 6-.6v
Type of Building:
Dwelling No.of Bedrooms Lot Size S24,
110 sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.re uired) gpd Design flow provided gpd
Plan Date p Dao Number of sheets a. Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) 10 CA
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
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. !`� �� Date Issued
- - - a - - -
y No. / / .i; Fee
THE COMMONWE4L TH OFWAS.SACHUSETTS Entered in computer: Yew
PUBLIC HEALTH DIVISION - TOWNIOF, ARNSTABLE, MASSACHUSETTS
Nplication for Disposal Opstem,'Construction Permit
Applicafbn,for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System [Individual Components
Location°Address or_Lot No.so C P m Sti►c.�� ►�'S L N, Owner's Name,Address,and Tel.No. ,
0*- �f n � y LIDSNe�S�I.�G
Assessor's Map/Parcel (")(% ()Q S (: J I>1--
I Iler's Name,Address,and Tel.No. 5 d '411-'06117 Designer's Name,Address,and Tel.No. 5 -•Qa,S'�1{4
�C�j 8. Y' Cb,SSG , Ut1�v'�N N t
4 , S t Mf� O i,C C SS�P(t ' 3.(�M
'I)pe 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 gpd t
Plan Date ' 6'�Q � 0 Number of sheets a, Revision Date
Title
Size of Septic Tank Type of S.A.S.
- Deicription of Soil ....�
i
Nature of Repairs or Alterations(Answer when applicable) Et lvC) f AJ i G 1 1 A1el e ) SY
1 <;00 a tie7r
Date last inspected: '
` Agree;;;,:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
F .accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
C mpliance has been issued by this Board of Health:
} -- Signed �- �'� Date J
- c
Application Approved by Date4!� "'
Application Disapproved by Date
1 for the following reasons p a
Permit NO. --''r } Date Issued
Y
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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 C)3e,r:l: (3yQ . o
at S 0' C j 8 YYN Ske l\ pb 1 (�,J has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit Nam . dated
Installer R ol, r"ti" av C Designer )JA>
#bedrooms Approved design flow gpd
The issuance of this erm' shall no g be construed as a guarantee that the s ste will tiCa�s� i red,
Date _ Inspector
------------------------------------------ - -------- --------- ------ ---- -------------------- -------------------------------
Nq- 1 Fee
THE COMMONWEALTH OF MASSACHUSETTS
5T PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Ovp<� Disposal 6pstem (Construction Permit
permission.is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( )
System located at SD C A W1 S kA 1, P G I M"5 1_N
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 comp eted within three years of the date of this permit.
Date "J 16 C Approved by
Town of Barnstable
Regulatory Services
_ Richard V.Scali,Interim Director
Public Health Division
t63q.��
t� Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer&Desianer Certification Form
Date: �Z l� Sewage Permit# AO).d-a 11 Assessor's Map\Parcel 0D ,006_
Designer: -Su (Il`LQh 'En lneee,I /' Installer: 1Q. o. OUP
e04Sv ►`ns" rn6,
Address: 711 ^a:,1 s4r4 Address: �QL1,
On Q. O l was issued a permit to install a
(date) (installer)
septic system at S70 d4lln S4,e`l based on a design drawn by
fl/ (address) Cc41`t
sie [,7 2 �S;h -e%'n� dated
(designer)
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. Strip out (if required) was inspected and the soils
were found satisfactory. 5 � rgj7 K Oh Y
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 ' liance with the terms
of th I1A approval letters(if applicable) H of
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T.
Inst er's Signature) C IL
A�'OnGISi£
� . sMAI
(Designer's Signature) (Affix De amp 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.
Q:1Septic\Designer Certification Form Rev 8-14-13.doc
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FLOOD ZONE: DIRECTIONS:
cusp •. • a
Zones AE EL13 , AE EL 12 ,
and X (Min. Flood Hazard.Community End From Hyannis Follow Main Street to the West y b •f
( ) ( ) Take second exit onto West Main Rotary;
Panel #25001C0752J July 16, 2014 St. continue to Route 28 and take a left,
continue to Putnam Ave. and take a left followr�Tw
to Main St and take a left follow to School o
Street and take a right follow to Crocker Neck o , ` f '�o 0
OVERLAY DISTRICT Rd. follow and left on to Sontuit Rd. to
AP - Aquifer Protection District Clomshell Point Lane # 50 is on the right. 2, i " -w -A
f
AL (IV
AL 14
est.1, 75
10
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CO ` tC) ^4J- _ Salt MarshAL
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LOCATION MAP
ASSESSORS REF.:
Map 006, Parcels 005
/ ,
,,�� ,,, , , ,, ,�, `� ZONE:
RF
..._..... ..........
L
cm O . _... Area (min.) 87.120 SF (RPOD)
>
Fron is e
(min) 15 0'
26.2' � °em Width (min)
� �a° Setbacks:V +
Fron t 30
.� , / / Sid 15'
20XW hed // /off / ' \
Side
� Rear 15'
to be Removed ' / /� �� ( F Lown - �.' ��� Proposed Work Limit
Plant Area W/ &-;"k way Lawn '
�/ k/ er,�k L... 15 7'
2 — Inkberry o�`�. �, p '
/ �0 ^� j t 5 / ro ee�° o �' 30.4 mow.`/ 2 \
(Jr Gal.) 5�0\ Dew �d 27.5'y8\ I
12 — Sweetfern 00o ( j
(3 Gal.�c moo. I Pro
-\09 Qe, 3: .0' d I Deck Pro Porch / \
with Roof _
Deck \ Top Of Coastal Bank
I
1 ins I':.. #5b 1-1 , ; '! As Per Town Definition
Xistl Garage
a g / Existing .
to b Bld l Existing Dwelling
z ' ' Demolished/ i '� ^ Sp o to be Demolished
t°o+ Prgposed Pro posed 1~0 o
} i P / Storm Water
o Slob Sky f S.y w1f c Catch Basin
x �? Dw llin Connected to
2 t Elev. 40.3' g
Walk CNIF
m / r B"d` 4raFF!` Liles Investment Drip Edge .or
' + Elev. 42.6' P Down S
�.� � � Partners LLC j Pouts
-,� Existing � 1 0
i stone Drive a Existing Tank/Pump Chamber
Q) ' I to be Removed /
to be Removed
m �..:WO k r Pro FFE Elev. 42.6'
10' Min. i Pro TCF Elev. 41.13
Siding Reveal Elev. 41
o / DO i i \ ' 16.9 Into S t0 hove High Grade Elev. 40.5
/ - -"---Line House e 27 Pitch Min.
by ....... p
Storm Water + Pc�ed Dive i o own
Catch Basin i� / l� S Proposed 1500 Gallon ,Septic Tank
Connected to oo �i _ — Invert in Approx. 37.5 f Elev.
DripEdge or -w ^�� Top Tank Approx. 38.7f Elev.
Spouts Proposed Drive
Down Sp Lawn / 56.2 0 2,
/ Cover Approx. Over Tank
0 �a ► D-Box Elevation to be
�J ► / Line from tank to D-Box Installation
/ confirmed prior to
o.____.__ ._.L _8 ' to have 1q Pitch Min. to maintain proper Pitch.
t
1,5 Of SF' ..
b To HW +
Approx Septic
As Per Tie Card
/ J e^t �of MITIGATION CALCULATIONS
/ of Po W
0-50' 50-100'
`Ede of Pavem
cot \ x Proposed Hardscape Proposed Hardscape
- - oint Walk 64sf AC & Gen 39sf
r � Bldg Deck Patio 1093sf
4Walk 1 i4sf
Total 1157sf Drvewoy 1041 sf
r Bldg 2637sf
e Tots! 3831 sf
h
Existing p Hordsca e Existing Hardscape
1a Decks 200sf Bldgs 795sf
0 Bldgs 1364sf Walk 162sf
Patio 1710sf Total 957sf
NOTES: Ret. Wall 39sf
Total 3,313sf
1) The structures shown were located on the ground
by conventional survey methods on (or between) Total 0-50' Total 50-100'
081NOV105 and 12/SEP/12. 3,313s f-1,15 7s f= 3,831sf-957sf=
2) The property information shown hereon was 2156sf Reduction 2,874sf Increase
compiled from available record information.
3) The datum used is NAVD 1988 based on RTK GPS Required Mitigation
Bench Mark supplied by Sullivan Engineering & Consulting Inc. Buffer
2,156sfx4=8,624624sf Mitigation Credit
50-100' Buffer
2,874sfx3=8,622sf Mitigation Added
Grand Total
REV.: Add Grading Contours 612412020
V.: Add Pro Septic Tank Notes 611812020 8624sf-8622sf=-2sf (Mitigation Credit)
RE
PNo Mitigation Planting Required
REV.: Add Plantings By Shed Per Con Com 02 21 2020
T1 TLE. Site Plan PREPARED FOR: PREPARED BY.
Proposed Improvements • • CapeSury
p p Liles Investment Partners LLC EIlg1Ileel'lIlg8�
Atsull Consulting,
Inc7 Parker Road
ConsultiIl In Osterville MA 02655
5� Clamshell Pont Lane (508)428-3344•P.O.Box 659•711 Main Street,Ostemiile,MA 02655 (508) 420-3994 / 420-3995fox
i seci@suilivanengin.com•www.suiiivanengin.com www.capesurv.com
BARNSTABLE (Cotuit) MASS
20 0 10 20 40 60
DATE: SCALE: Field: WHK/JVB Review: CTR
January 20, 2020 1"=20'
Com p/Draft:WHK/RRL/ASL Drawing # 3900029
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