HomeMy WebLinkAbout0023 JOHNS PATH - Health (2) �� � ������ ���h
����-��� _ � 1
_� �
_ ___ _ - - �
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
CO-
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
2pptiration for Disposal bpstrm Construction permit
Application for a Permit to Construct( ) Repair( 64Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot NoJ3�Tohn5 Owner's Name,Address,and Tel.No. ,-i t 6_ri!�eC
C014v -i- 0?3�Zvh05
Assessor's Map/Parcel S�
4nstaIle 'Name Address,and Tel.No. esigner's Name,Address,and Tel.No.
n. jY)eeriP ,--771c. -939/uoi�
Type of Building:
Dwelling No.of Bedrooms Lot Size. QQ I sq.ft. Garbage Grinder( )
Other Type of Building eP-Gf&nt `Q.i No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date E+LCC_h I !Q0 N A Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S. m
Description of Soil o '`.
In arm L�
Nature of Repairs or Alterations(Answer when applicable) [.P_rjr_,&,rW
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 Boar f Health.
Sign Date
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. Date Issued _ a
r< ;
c
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. Yew
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS '
2pplicatlon for Misposal Opstem Construction Permit
Application for a Permit to Construct( ) Repair(v4pgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address,and Tel.No. t 110 f
Assessor's Map/Parcel 7 �5
t n
� f Installer's Name Address,and Tel No.j%r���j 1` Designer's Name,Address;and Tel.No. �°.
�n Fc[C.Efun. lZ i��� e5�jj 7�� , � J'�EliJ� t�•-9, 9M`al� r�r .
Type of Building: ~.
Dwelling No.of Bedrooms Lot Sized 1 sq.ft. Garbage Grinder O
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) ��' /[./ gpd. Design flow provided _ gpd
Plan Date 1�IrC-h ( .Z6D Number of sheets Revision Date ^//
Title
Size of Septic Tank 16(o 0,1A�j Type of S.A.S.,0. Cj�'�'`_M f/nn 0 p}�C �M 1
Description of Soil U oc o;tr,*ii e .4sid lz4r) F—I&e'G'{,46 o
s 1 ,
Nature of Repairs or Alterations(Answer when applicable) or,1,r -1 n Pr) I.P,eG h i'nr, ��e
1, r
Date last inspected: R , +� �r'` '' f�
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 m operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed s �'�_� _ ._ Date c C1�•c `
Application Approved by Date
Application Disapproved by Date
for the following reasons
el
Permit No. 70 y y~� Date Issued r .
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS ,
r
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired O`er Upgraded( )
Abandoned(
at �_� ���� _,{. > �_���() `�- has been constructed in accordance
with the-provisions of Title
p 5 and tth�e for Disposal System Construction Permit N�o. j ted �+ `22--
Installer r](_ r-y )It --u 11,n r �i4 Designer
#bedrooms Approved design flow _ gp f
The issuance of this permit shall not be construed as a guarantee that the system will function as,designed
2 -71 .?
Date `� Inspector . .
-- --
�
C `.
No: O Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS .
z5 { Disposal *pstem Construction Permit
Permission is hereby granted to Construct( ()� Repair Off' Upgrade( ) Abandon( )
System located at .; (� 'ci i'7 L�Y 1 "`)�t C��,4—
and as described the above Applliication.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 9 pleted within three years of the date of this permit.
Date � � Approved by �� ,
TOWN OF BARNSTABLE
LOCATION �-� �p p{�Q 5�} SEWAGE#
VILLAGE'l U ASSESSOR'S MAP&-PARCEL \q-/�-
INSTALLER'S NAME&PHONE NO. C Sd�Z 7/- 311 gl
SEPTIC TANK CAPACITY C--'X aaQ
_LEACHING FACILITY:
(type) 1t=1sT9L.h{— (size) �}���C 1�•��•��-�
NO.OF BEDROOMS 6AcL e-+f4-�� 6-14
OWNER
PERMIT DATE: COMPLIANCE DATE:
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) P( Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) Feet
FURNISHED BY
#-2 3
' o
o
tg
66
APR-05-2022 23:15 From: To:15087906304 Pa9e:1,'1
_—__- �a._...__..._............ .. Town-of Biti stable'
Inspectional.Services
Public Health
:Division
._• _-�_. _.. Thomas McKean,Director
'200 Main Street,Hyannis,NA 02601..
__.._ ._ ;.... Office. 508-kQ 4444' 'Fax:: 508-790-6304..
Installer&Desiencr•CertificationForin,
.--•Date: 14•202Z Sewage Pormit# aO 2k- 69-1, Assessor's MaplParcel 27 12
AWN CRPt;I�IGINE�►.KC�; {'NC' • • ..:Installer: •,'BoRrDla 'CDN � )C�loN ._ . .
Address::--- mura GR Address: 4T 1NWtU�RA
_. . _
%
yRL�iIDUfH:PaRT.'M� OZlD75 _ i�nl� .NI�tJ� (�
—.,, .... - ..... . . . ... --- ..._._._. .... . ..... . _ _..-- _
?���.' W.---� + was issued.a.•p.ermit to:install a ~
_.1 — -,_. .. .. .' � ( ate)• - .. .. . ..,. . ., costa ler) � .. -..._... . ��
~ septic system at 23 Jd : S EM. based'on a desigrrdrewn by,
...(address)
. .. - -........dated
tign .... :.. ... . z ..... ...�.. .. _.. ---�
certify..that-.tbe-.septic_system:referenced above was:installed,..,substantial) .according to. _.__ _ _......
the design, which may include:minor approved changes such as lateral relocation of the
- ° = distribution box acid/or septic tank. Strip-out (if required) was inspected and the soils
ware'found satisfactory.
_ . , . . : '1:certify tharthe septic system referenced above was installed with ma'or changes (i.e.
greater than 90' lateral relocation of the SAS or-any vertical relocation of any component.
of the septic•system) but in aocordancb with:State&Local Regulations, Plan revlsion or "
certified�as-built by dbsigner to follow. Strip,out(if required)•was Inspected and:the soils.
were found satisfactory., _
__.__ __..__._..._..-. .;.. I certify-that referenced above was constructed in com Hance with the to rms'of.. '
. the• prov ' etters(if applicable) `6 0;Mq
Oa tA�'
• ' nst er s Signature) " CIVIL y
Nm 48502
• E
_ F �
( esi$ner's Signature) A ' tamp Here
PLE -P �'T[1RN.TO BARNSTABLE PUBLIC HE D VY ION, C R C 'T
._. -;C .P ''I CE-' .IL• .: O ".BE SS E TH S.FORMAND AS4
UX&T.CARD A B N IC L N.
•. HA U. _
HALL
SYSTEM PROFILE MARKED WITTHCMAGNETIC AP 0 8E 1►�COMPARABLE MEANS FOR FUTURE LOCATION.
LEGEND SYSTEM DESIGN. (Nor To SCALE)
NOTES Bo�K
ACCESS COVERS TO WITHIN 6' OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3' GRADE 1. DATUM IS NAW 88
�ab Ong
99 EXISTING coNrouR GARBAGE.DISPOSER IS NOT ALLOWED FILTER FABRIC OVER STONE 2. MUNICIPAL WATER IS EXISTING Long
o�
X 99.1 EXIST. SPOT ELEV. \ : 65:0' $S
MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 64.5 -65.0
EXISTING 3 BEDROOM DWELLING
3. MINIMUM PIPE PITCH TO BE 1 8" PER FOOT.
PROPOSED CONTOUR PRECAST H-10 WATERTEST D'BOX FOR LEVELNESS BLOCKS OR
4 a
DESIGN FLOW: 3 BEDROOMS @ 110 GPD = 330 GPD RISERS (TYP.) MIN. 2" WALL THICKNESS PRECAST RISERS a'
64.61' 4"OsCH40 PVC MORTAR ALL 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS
�98•4 PROPOSED SPOT EL. PIPES LEVEL 1ST 2' ENDS COMPONENTS INVERT IN 61.17 TO BE AASHO H-10
1 USE A 330 GPD DESIGN FLOW
r ` 4 (TYP.) 4 0,
TH1 r �;•oo;oo•o05 PIPE JOINTS MADE WA
" EXISTING „ a•o.°o�o�. ... . °S°IDES. o
rmPREM21111,
62. JOIN TO BEM TERTIGHT oTEST HOLE 10 14 :' ° ° ° o ° w
_ ®®®®. ®® ®_ 8®® °°°°°°°SEPTIC TANK: 330 GPD (2) 660 TEE SEPTIC TANK** TEE 63 28t�* ,, O o`0 6" MIN. SUMP o g°o°g° ®®® ®®®®®�® B®®®®®� 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH000000" 12" MIN INT. DIM. ° ° ° ° BBB ®®®®®®® 8888®®® ,o°o°g°a° f�o�os °°°° 310 CMR 15.000 TITLE 5.SLUFF of cRouND **RE-USE EXISTING 1000 GAL. SEPTIC TANK GAS BAFFLE61.44' ®®8®®®®®®®® ®®®®®®® :00000000 ) Q Q
o °o°o° . o°°°°°°°
UTILITY POLE 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO £
LEACHING: "r" f BE USED FOR LOT LINE STAKING OR ANY OTHER pur m
""' '^ H-10 500 GAL. LEACHING CHAMBERS BY ACME PRECAST OR EQUAL- PURPOSE.
FIRE HYDRANT SIDES: 2 (25 + 12.83) 2 (.74) = 112 GPD 3/4"-1-1/2" DOUBLE WASHED :STONE 4' MIN. (2) UNITS REQUIRED a e POltd ?j
ALL AROUND PRECAST STRUCTURES P
Now- NOT ALL SYMBOLS MAY APPEAR N ORAWNG 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 25.00, X 12.83' 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. Locu
BOTTOM 25 x 12.83 (.74) 237 GPD coMPAcnON. (15.221 [21)
9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED
4
TOTAL: 472 S.F. 349 GPD (5.4 x SLUFF) ( 5 x SLOPE)
WITHOUT INSPECTION BY BOARD OF HEALTH AND a
PERMISSION OBTAINED FROM BOARD OF HEALTH. kv,
LEACHING
USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) FOUNDATION EXIST. SEPTIC TANK 34' D' BOX 12' FACILITY 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING -
WITH 4' STONE ALL AROUND DIGSAFE (1-888=344-7233) AND VERIFYING THE
LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES LOCUS MAP
52.5' BOTTOM TH-2 PRIOR TO COMMENCEMENT OF WORK.
NO..GROUNDWATER FOUND
' * **INSTALLER SHALL CONFIRM MINIMUM1t. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE SCALE 1'�=2000't
THE INSTALLER SHALL VERIFY. THE SEPTIC TANK SIZE AT 1000 GALLONS
LOCATIONS OF ALL UTILITIES AND ALL REMOVEDBENEATH AND 5' AROUND THE.PROPOSED
AND ITS SUITABILITY FOR RE-USE. LEACHING FACILITY. ASSESSORS MAP 27 PARCEL 124
BUILDING SEWER OUTLETS AND REPLACE WITH 1500 GALLON SEPTIC
ELEVATIONS PRIOR TO INSTALLING ANY TANK APPROPRIATE TO SITE 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND LOCUS IS WITHIN FEMA FLOOD ZONE X
PORTION OF SEPTIC SYSTEM CONDITIONS IF NOT SUITABLE REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. (AREA OF MINIMAL FLOOD HAZARD) AS
13. OWNER'S ENGINEER TO PERFORM INSPECTIONS OF SHOWN ON COMMUNITY PANEL #25001CO537J
THE FINAL INSTALLATION. MINIMUM OF 24 HOURS NOTICE DATED 7/16/2014
REQUIRED.
TEST HOLE LOGS
rO T ENGINEER: DANIEL E. GONSALVES, SE #13587
BENCHMARK: d DAVE STANTON
WITNESS:
CATCH BASIN DATE: 2/17/22
=64.3' NAVD88
„ N M
g PERC. RATE < 2 MIN/INCH
M -4 00 ° �Q CLASS I SOILS P 22-17
M A.� 7 . 2 ABAN ONED #
WELL
P PVE�
° oo pR�VE
�2 1 ELEV. 2 ELEV.
'4 0„ Q 64.0' 011 4 64.0'
FILL FILL
811 10"
/x
q q
j LS LS
h_,_. 1OYR 4 .2 , 1OYR
Z EXISTING _ r 12 / / , 63a1 14 4/2 2.83
DWELLING o
8 B B
/SL /SL
' \
" 10YR 4/6 10YR 4/6
0) D CK �,� 24 62.0 22 2.17
�\ (65 UNSUITABLE C1 �C-1
.� SOIL SiL SiL
1 OYR 5 4 10YR 5 4
TH 1 56 ' / 59.33 -60„ / 59.0'
S
W c^ N- C2 C2
Q 6' / W PERC
6 TH \ o
C TION
M/CS M/CS
ELE RIC E / \\ 2.5Y 7/4 2.5Y 7/4
66 �`
4 10\2' 138 52.5' 138" 52.5'
NO GROUNDWATER ENCOUNTERED
Or ss
22 \ o
63 TITLE 5 SITE
� � a
�� s> OF
23 JOHNS PATH
� SHED Q
COTUIT, MA
HE a . •� �
PREPARED FOR
TARP
BORTOLOTTI CONSTRUCTION/
o SHED �
HEIDI GRINSE,LL
DATE: MARCH 1 , 2022
ss
g0 p0 ,� _ � .K Scale: 1 20'
.: OFMgSS
DANIEL DANIELA. yn�p 0 10 20 30 40 50 FEET
/ A. �', a OJA�
0.7r^\L.A NI� �" CIVIL
N 409 ' No. 46502 e - -
o. E50
� �o �F, �° off 508 362 4541
�CAoFF �'� css% srE ���a`� fax 508-362-9880
4zy downcape.com
down cope engineering, nc.
civil engineers
,. 7J� �,.22_ - land surveyors
939 Main Street ( Rte 6A)
DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675
DCE ##22-007
22-007 BOR TOLOTTI-GRIN SELL.DWG