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HomeMy WebLinkAbout0512 PUTNAM AVENUE - Health (2) ©a a, r- No. /� l O Fee /Do THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: I3� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS es ftpricatiou for Disposal 6pstem Construction Permit Application for a Permit to Construct(z4- Repair('C)-Tpg de( ) Abandon( ) ❑Complete System dividual Components Location Address or Lot No.SI,2 pv fry q� Owne�same,Address,and Tp1.No. Assessors Ma /Parcel $— � p 3 'a viT �^. In teller's N e Add DEl3A�ess,and Tel.No„$"O$-,28v'77✓r:L De'i er's Name YA�ress,and Tel.NoSOF-S,27r3(o OCR �osc��t' ^/os �vrr?5�� 6 <G oN �i%� : Gl� c !� Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of ,ersons 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 Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) — -_6 ao Z' WeX1 r, 4 -.Smtir #604, 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. SigOOEk Date Application Approved by ( Date tr/?/`;?- Application Disapproved by Date for the following reasons Permit No. a-d�.� — (.�� Date Issued No. 7.0 /,0 Fee �Ply_- 71— t r— THE COMMONWEALTKOFMASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN-OF BARNSTABLE, MASSACHUSETTS application for Misposar l6pBtem Construction 3permit Application for a Permit to Construct(/)- Repair( )'Upgrade( ),,Abandon( ) ❑Complete System ©Idiv idual Components Location Addressor Lot No.s1/ Owner's Name;Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No.s)2 [� '�%5` Designer's Nam S:e,Address,and Tel.No.S!/�' 7' `� U Type of Building: ; Dwelling No.of Bedrooms `5� 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 f �,.��. gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil M Nature of Repairs or Alterations(Answer when applicable) �! (J 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-an,operationuntil a Certificate of ..,�,_,. Compliance has been issued by this Board of Health: S igned, •r ri?y r �lr . n _:-`r 1 Date Application Approved by � � y J �r Date "' Application Disapproved by t_ t D to y t! for the following reasons Permit No. — j y a Date Issued C'�I "�� - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed Repaired 4 _ Upgraded Abandoned( at -5-/:2 f�/?��y 1v's { S!!'. �_ct F/,r,/ has been constructed in accordance o� with the provisions of Title 5 and the for Disposal System Construction Permit No. �- ZjU dated Installer ,/U-}z7w;'^ /V e Designer i'`.¢/j, fit/ 'Vr.'-k` 7 V C. #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the systemr will fun�ctio` as designed. Date ✓f /�l Inspector``•. {,� .. ems• ..'- .". ""' _ - -- --- -- - - -- ------------------ ------- No. C f Q Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction 3pPrmit Permission is hereby granted to Construct( ) Repair O Upgrade( )' Abandon( ) System located at '1� y and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with f , .,,Title 5 and the following local provisions or special conditions. Provided:Construction must be com leted within three years of the date of this permit. Date Approved by .-�, �� TOWN OF BARNSTABLE LOCATION,22 eul n fiPM 14 ZA G/r '' SEWAGE# , J 2 2'/w 1UIL:LAGE �j// ASSESSOR'S MAP&PARCEL 03 0 2 2 ESTALLER'S NAME&PHONE NO. O�' PTIC TANK CAPACITY -LEACHING FACILITY.(type) .2-[ /,l�1yl �/'� (size) NO.OF BEDROOMS OWNER / PERMIT DATE: 3:2z COMPLIANCE DATE: �024 a0 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 i S I jJ L 166 v 2- G Town of Barnstable Inspectional Services �ARAjBTpgt,B, • Public Health Division Thomas McKean,Director o ' 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 5-ZO Za Sewage Permit# Assessor's Map)Parcel Designer: 7,/C Installer: I�Q y :1)F ;Al2n6s Address: Address: �� cS9ovDu/�c�,/If� �ts�3 ��✓��/Swfit-�s,�9az�48 . On 3— 2 2 poi✓ was issued a permit to install a (date) (installer) 4' septic system at �/� Ay7-411111Y �W' a7(J>�' based on a design drawn by (address) �Lf7 bZ-fZ�/ 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. 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 infco lance with the terms of the I1A approval letters (if applicable) DAViD D. t.AHER7Y, JR. (I staller's Si nature) to. 1211 toy///7X (Des1 e s Si ature) (Affix Designer's Stamp 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. WoMdeptsWEALTMISEWER connecASEPT1O1Designer Certification Form Rev 8-14-13.DOC \ COTUIT \ P , \ PARCEL ID: , N tr' tP � \ � t o � \ a � EAGLE 38/23 \ ^ \ POND COO?,, \ cV , \ LOCUS G o ZENN`5 O 1� OS•k:.O S N O K `\ � \ 0 ::.5•. ... cD \ 16 ' A ,27.1) \ \ p 0 oNEW 4 O 1 \\ ROAD B VW1 1 k rn \ D-BOX / \ 0 v: \ 03 I � N Co �\ \ LOCUS MAP ' ' \ '` ♦ �n\os ��\ LOCUS INFORMATION icc° \ \ \'�� 2, , \ Z PLAN REF: 34623E SH.1 ,\ ate, �' R��JE ♦ \ c��r TITLE REF: CTF# 137195 � 3 PARCEL ID: MAP 38 PAR. 22 -4 BVW2 PvG - r \ ZONING: "RF"/ SEP 2 1 , AVE~ - FLOOD ZONE: "X" NOT IN STATE ZONE II \ COMMUNITY PANEL: 25001C0543J DATED:07/16/14 p ` TANK O \ \ 1 ` ' r �, \� `'s �" \ SEPTIC SYSTEM CIO ` �;\ �\ `�2 2R� `� _ \ �� No REPAIR PLAN \ LOCATED AT: 512 PUTNAM AVENUE �BVW3 PARCEL I #512 _ \� \� COTUIT, 38/22 = 3BR _ \ PREPARED FOR W %AEA=20,000 SF. . =29 2 i -� = TOF � _ �� �, \ DEBORAH DOTTRIDGE ♦♦ \ �` __ _ - - __ \ \` DECEMBER 14, 2021 K ♦♦�/T � W 4o gs CB s e P4�� of a1 �q� r DAVID� DWA y A `` S1 QNE FLAHERTY, J i0 �4\� 0 0•°� f c o F�� T Q O,�O s♦ 1 \ , sr BVWS q ,Q< ♦` �'p 0'+w PARCEL ID: �CF 5141$ 38/32 'pJ PARCEL ID: /� 38/8 E. A. S. GRAPHIC SCALE SURVEY, INC. LCB 10 I ao 80 P.O. BOX 1729 20 0 SANDWICH, MA. 02563 CELL:(508)527-3600 ( IN FEET ) EMAIL: eas.survey®yahoo.com 11 inch = 20 ft. SHEET 1 OF 2 J 2299 PROFILE OF 2" LAYER OF BENCHMARK: SEWAGE DISPOSAL SYSTEM DOUBLE WASHED STONE TOF=29.2 (NOT TO SCALE) 26.8 CLEAN SAND FILL PER 310 CMR 15.255 OR FILTER FABRIC 27.0 27.0 26.9 ................ ................. 25.55 .............. .................... .......... -77777777 ........................................ .................. .. ;'ai ....... .......A6 ........................................ ,,,,,,,RISER RISER 4" SCHEDULE 40 P.V.C. RISER RISER RISERMIN. PITCH 1/8" PER FOOT _32' ® S=.02 i FOR 2' 12.5' ® S=.015 10" LIQUID LEVEL24.45 MIN. 14" 24.2o s" su P ® 0 ® 0 ® ® o® 92 ® ® ® ® ® 00 23.46 MECHA 11CCALLIF_Y 3 s 3 0 0 ® ® ® ® ® EXIST. 48" ADD GAS COMPACTED GRAVEL °4 04 21 1 BAFFLE PROP. (H-20)DB3 3/4" TO 1&1/2" DISTRIBUTION DOUBLE WASHED STONE BOX 25' EXISTING H-20 2(H-20)500 GAL. CHAMBERS .. 1 ,000 GALLON TANK SEPTIC SYSTEM DETAIL PAGE (5'W x a'-6"L x 3'-o"H) 0. I SOIL ABSORBTION (TRENCH FORMATION) v (TO REMAIN) #512 PUTNAM AVENUE SYSTEM (S.A.S.) 13' x 25' Lo C 0 TU I T, M A. BOTTOM OF TEST PIT 2 ELEV.= 16.1 DECEMBER 14, 2021 GENERAL NOTES DESIGN DATA: 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. I CERTIFY THAT I AM CURRENTLY APPROVED BY THE DEPARTMENT OF TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS ENVIRONMENTAL PROTECTION PURSUANT TO 310 CMR 15.017 TO CONDUCT NUMBER OF BEDROOMS......... 3 FOR SUBSURFACE DISPOSAL OF SEWERAGE. SOIL EVALUATIONS AND THAT THE ABOVE ANALYSIS HAS BEEN PERFORMED GARBAGE DISPOSAL.................__ 2. ALL ACCESS PORTS OVER TANK TEES SHALL BE BY ME CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE, AND EXPERIENCE ACCESSIBLE WITHIN 6" OF FINISH GRADE. DESCRIBED IN 310 CMR 15.017. 1 FURTHER CERTIFY THAT THE RESULTS OF MY TOTAL ESTIMATED FLOW 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE SOIL EVALUATION, AS INDICATED ON THE ATTACHED SOIL EVALUATION FORM, (110 GAL./BR./DAY X 3 BR.) 330 CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE ARE ACCURATE ANP IN ACCORDANCE WITH 310 CMR 15.100 THROUGH 15.107. 330GPD X 200% = 660 GAL UNDER OR WITHIN 10' OF DRIVES OR PARKING AREAS THEN THEY MUST WITHSTAND H-20 LOADING. USE EXIST. 1000 GAL. TANK 4. THE EXCAVATION CONTRACTOR SHALL VERIFY THE LOCATION U INSTALL: 2 500GAL CHAMBERS (W/4' CRUSHED STONE ON THE OF ALL UTILITIES PRIOR TO ANY EXCAVATION. EDWARD A. STOf4E, .SE 359, CERTIFIED SOIL EVALUATOR 5. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SIDES AND ON THE ENDS) & BACKFILL OR WITHIN 6" OF GRADE SHALL BE MORTARED IN PLACE. WITH CLEAN SAND FILL PER 310 CMR 15.255 6. FINISH GRADE SHALL HAVE A MINIMUM OF 2% GRADE OVER THE S.A.S. AND DISTRIBUTION BOX. SOIL CLASSIFICATION................__ 7. SEPTIC TANK SANITARY TEES SHALL BE CONSTRUCTED OF DESIGN PERCOLATION RATE..... <2 I�IIN.-/-IN. SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM OF 6" ABOVE TEST PIT RESULTS: P #21 - 2 8 0 EFFLUENT LOADING RATE.........___74____ THE FLOW LINE AND SHALL BE ON THE CENTERLINE AND LOCATED DIRECTLY UNDER THE, CLEANOUT MANHOLES. REQUIRED LEACHING CAPACITY.....330 GALZDAY 8. THE INLET PIPE INVERT ELEVATION SHALL BE NO LESS THAN SOIL TEST DATE: 10 26 21 LEACHING CAPACITY PROVIDED.....352 GAL/DAY 2 INCHES NOR MORE THAN 3 INCHES ABOVE THE INVERT B.O.H. AGENT: DAVE STANTON SIDES: (13' + 25)(2)(2)(.74)= 112 GAL/DAY ELEVATION OF THE OUTLET PIPE. 9. THE SEPTIC TANK SHALL HAVE A MINIMUM COVER of 9 INCHES. SOIL EVALUATOR: EDWARD A. STONE, SE2359 BOTTOM: (13' x 25')(.74)= 240 GAL/DAY 10. THE OUTLET SANITARY TEE SHALL BE EQUIPPED WITH A GAS BACKHOE: JOEY DEBAR BAFFLE, 4 INCHES IN DIAMETER AND CONTRUCTED OF 4" PVC. TOTAL= 352 GAL/DAY 11. ALL PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE AND FIRST TWO FEET OUT OF THE DISTRIBUTION BOX SHALL TH#1 EL.= 28.6 (PERC BOTTOM@ 42„ <2 MPI) 352 GPD PROVIDED - 330 GPD REQUIRED = 22 GPD RESERVE BE LEVEL. 12. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION ELEV. DEPTH (IN.) HORIZON TEXTURE COLOR MOTTLING OTHER TO EAS SURVEY INC. FOR B.O.H. AND DESIGN ENGINEERS REVIEW 27.9 0"-8" OEA LOAMY SAND 110YR5/2 & 10YR4/3 N/A AND APPROVAL.13. NOT IN STATE ZONE II 26.8 8"-20" B LOAMY SAND j I 7.5YR5/6 N/A 17.6 20"-132" C MEDIUM SANDI 10YR7/6 N/A of wsASS E . A. S. P q NO MOTTLES, NO GROUNDWATER 2�� cy� SURVEY, INC. CONSTRUCTION NOTES: TH 2 EL.- 27.1 i DADVID s P.O. BOX 1729 1. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND # FLA E SANDWICH, MA. 02563 WORK ELEVAONS AND THE SITEE. CONDITIONS PRIOR TO COMMENCING ELEV. DEPTH (IN.) HORIZON TEXTURE COLOR MOTTLINGI OTHER o. 1 CELL:(508)527-3600 2. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE 26.3 0"-10" OEA LOAMY SAN 10YR5/2 & 10YR4/3 N/A 'pF F, WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT / EMAIL: eas.survey®yahoo.com 25.3 10"-22" B LOAMY SAND' 7.5YR5/6 N/A N �� IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. ITAR�n 3. ALL SYSTEM COMPONENTS SHALL BE MARKED WITH MAGNETIC MARKING 16.1 22"-132" 1 C MEDIUM SAND I 10YR7/6 N/A TAPE OR A COMPARABLE MEANS. NO MOTTLES, NO GROUNDWATER r SHEET 2 OF 2 J#2299