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HomeMy WebLinkAbout0117 SANDALWOOD DRIVE - Health (2) blU-' O !� l No. Fe' THE COMMONWEALTH OF MASSACHUSETTS Entered in omputer: � Yes PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS 0[pplitation for VspoSal *pstrm Construction 3permit Application for a Permit to Construct( ) Repair 0 Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.11-2 �.��� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.'No. Designer's Name,Address,and Tel.No. Type o 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 Plan Date 1}—/"-- Q2 Q Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. 1,14,4a 45re2ar Description of Soil �l 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 E onmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of He Sig ed gazor Date Application Approved by Date Q Application Disapproved by Date for the following reasons Ot Permit No.c "�i � Date Issued `� �" y +�'^f.c*. .s:?•r r^.•,n,-•'w .,..^,`..-r,+.3^•r-,'7a.a.+.:.�� ti,�j,:.,�,r�.:�,.......,,."'tinfi4'%''�,1-'`4'Y.'.tt,=s,.,�-'-.,:J °. f;,.�1� ��+,.. No. � --ram -TJ y, Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer :Yes PUBLIC HEALTH DIVISIONr41 GV�;N,OF BARNSTABLE, MASSACHUSETTS. Yication for DisosaYpstetn construction hermit ' Application for aPermit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.f 112 S00,460.,41 J0 � Owner's Name,Address,and Tel.No. t r At Assessor's Map/Parcel ©/lj •D, � Installer's Name,Address,and Tel.'No,. Y ' � ` Designer's Name,Address,and Tel.No. Type of uilding: C T f s Dwelling No.of Bedrooms Lot Size � a sq.ft. Garbage Grinder( ) Other Type of Building . N.,f Persons Showers( ) Cafeteria( J Other Fixtures Design Flow(min.required) 336 '"gpd '`Design flow provided fir, � gpd Plan Date /C>- ;,92 r, Number of sheets � Revision Date Title o Size of Septic`Tank ! t. Type of S.A.S. Description of Soil 1r�7 /tJ .✓ 1.9i 0 ,i i. ,��i:'l. /.�"" r; .1 r ! .. _ t`."r°fr.rr 77 Nature of Repairs or Alterations(Answer when applicable) ' Date last inspected: .A Agreement: d 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 E uironmental Code and not to place the system in operation until a Certificate of T` Compliance has been issued by this Board of Health. Signed ^� , r Date A5%6_1267,.4-7` Application Approved by Date /cldm •� ` Application Disapproved by ✓ Date a� for the following reasons Permit No. 3 Date Issued 10 �/I a THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS r Certificate of Compliance �_. THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired ) Upgraded( ) f Abandoned( )by at / .�!>{°J,•/�Lj.�JOe�� j�jjr�/p r has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit N_ �j:3 R dated s� Installer /,(� ( �, �....� Designer #bedrooms 73 Approved design flow " god The issuance of this permit shall not be construed as a guarantee that the system ill t tion designed. Date ( I ,� =142 Inspector Nod `, Fee ��. . _ . . . . THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS �,.. Disposal 6pstent Construction Permit Permission is hereby granted to Construct( .) Repair Upgrade( ) Abandon( ) System located at ��'? , �1a �L,�,�,+�� / /✓/ � and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with ' 'i Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this pe, it. Date A roved pp by0 TOWN OF BARNSTABLE LOCATION ? (,��!a� w 4 �n SEWAGE#,2QA-ZTj? VILLAGE ` O 4-u& ASSESSOR'S MAP &PARCEI-010 QQ Ot . INSTALLER'S NAME&PHONE NO. �IA�/IM,er� C"� w'-s;W3 SEPTIC TANK CAPACITY ® ',o L LEACHING FACILITY:(type) AF —5'60 C�q&�Wy(size) NO.OF BEDROOMS 3 OWNER PERMIT DATE: COMP IANCE DATE: �.C, Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Welland 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 Fi1RNISHED BY � ��, ��IA f12Qeef d d 83 ®y o c34 c y ��� Town of Barnstable Regulatory Services -�'�v��p����p Richard V. Scali, Interim Director i � s � Public Health Division t639. N9" Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Desiener Certification Form Date: ` Sewage Permit# 9,0o ssessor,s Map\Parcel O� gn M�y�(Z SAS �YIG. Desi er: � Installer: Address: PO - Ct R ( _ Address: - Spffq AIA 0,7 C,7/ . a625"3� On 10111n- ogo (?ZC)imcl was issued a permit to install a (date) (installer) septic system at 11.7 SA—NbA-Lw0p,0 J�. based on a design drawn by (address) Da",e VA Me,\Ier' dated y (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 re q ' ed)was inspected and the soils were found satisfactory. I certify that the system referenced'above was constri ed in compliance with the terms of the IAA approval letters(if applicable) OF. ( nstaller's Signature) F E . 994 (Designer's Signature) (Affix ere) j PLEASE RETURN TO BARN ABLE PUBLIC HEALTH D ON. .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. QASeptic\Designer Certification Form Rev 8-14-13.doc fA, .. t � r i LEGEND COTUIT PROPOSED CONTOUR ® PROPOSED SPOT GRADE WP'I EXISTING `CONTOUR CURS + 96.52 EXISTING SPOT GRADE W— EXISTING WATER SERVICE o 134.91- ft O 7 3 TEST PIT SCALE: 1"=20' —————— lie t I EXIST. 1000G ° LOT 5 LEACH PIT // � AREA = 20230 sf+-� PLAN BOOK 199 PAGE 81 11 a ASSR MAP 10 PCL 15 0 o LOCUS MAP EXIST. 1000G Lu SEPTIC TANK ',' w LOCUS INFORMATION PLAN REF: 199/081 73 Z I w TITLE REF: 8783/299 18, z Z Z 10 PARCEL ID: MAP 010 PAR. 015 co PROPERTY IS IN ZONE II, IS IN ESTUARIES PROT. FLOOD ZONE: PROPERTY NOT IN FLOOD ZONE ' — 20 ft X 0 � W 0 0 LLJ 0- SEPTIC SYSTEM °w-' REPAIR PLAN o ~ ; l LOCATED AT: 3 117 SANDALWOOD DRIVE ' -' T 12 I'� , �� ft COTUIT, MA 72 — / —--FP,2 \\ �� -- ® PREPARED FOR \ \ � I 71- / / CONCRETE STONE � \\ \`\ DRlVEWAy KENNETH McCARTHY ' PAD I '� —_ O OCTOBER 14, 2020 70 j 1\ \\�\ \��� O OFss9 10 ft \ DA E M yG 69, (( \ L I M IE -- I ' \\\ � \\\ III \\\ o. 1 \ 1 \ S(E� QNITMW0 I \ O 114 0 \ ---_I_72 MEYER & SONS, INC. __� _ �- 69 146.28 ft (� P.O. BOX 981 � : 70 , PLAN EAST SANDWICH, MA. 02537 SCALE: 1 in = 20 ft BENCH MARK E PH: (508)360-3311 O 20 40 TOP OF FOUNDATION FAX: (774)413-9468 0 10 20 40 73.69 meyerandsonstitle50gm ail.com BARNSTABLE GIS DATU SHEET 1 OF 2 J 1894 t ELEV. TOP NOTE: PLACE MAGNETIC MARKING TAPE OVER ALL COVERS ' FOUNDATION: BRING ALL COVERS TO WITHIN 3" OF FINISH GRADE (upper) FINISHED GRADE (71.50) = 73.69 R�F.G.EL 72.70 F.G.EL• 72.50 F.G. EL- 71.50 MAINTAIN 2% MIN SLOPE OVER LEACHING AREA x " F.G.EL 70.46 ;; 2" OF 3/8" DOUBLE WASHED 3/4" - 1-1/2" . . 7STONE OR FILTER FABRIC DOUBLE WASHED STONE 4" SCH 40 PVC 1o"I 14 6 ® S= 1% ®®®® C, ®®®® : TEE'S ARE TO BE (MIN.) ®®®®®®®®®®® 4 SCH 40 PVC INV. 68.50 2' EFF. DEPTH ®®®®®®®®®®®a INV. 69.15 INV. 68.30 PROPOSED DB-3 . DISTRIBUTION BOX 4' 2 X 8.5' 4' EXISTING OUTLET BAFFLE EFFECTIVE LENGTH = 25' . •. « . . . - INV. 69.40 AR419 (H20) INV. ELEV.= 67.50 EXIST. 1,000 GALLON SEPTIC TANK OF GAS BAFFLE TO BE INSTALLED ON �����' ss9� BREAKOUT OUTLET TEE AS MANUFACTURED BY o -DARR N . ti� ELEV.= 68.50 NOTES: TUF-TITE, ZABEL, OR EQUAL ME TOP CONC. ELEV.= 68.50 1) CONTRACTOR SHALL VERIFY ALL EXISTING " 1 INV. ELEV.= 67.50 ®® PIPE INVERTS PRIOR TO CONSTRUCTION ®®® 2) D-BOX SHALL BE SET LEVEL AND TRUE TO ®®®®®®® '�G/ ®®®®®®® •. GRADE ON A MECHANICALLY COMPACTED SIX NITAR�a� BOTTOM EL.= 65.50 ®®®®®®E INCH CRUSHED STONE BASE, AS SPECIFIED IN 3.75' 5 FT. 3.75' 310 CMR 15.221(2) 3) REPLACE EXISTING 1,000 GALLON SEPTIC TANK EFFECTIVE WIDTH = 12.5' WITH 1500 GALLON SEPTIC TANK IF FAILED, SEPARATION 5.15 FT. DAMAGED OR UNDERSIZED. SEPTIC SYSTEM PROFILE 4) INSTALL INLET & OUTLET TEES W/ BOTTOM OF TESTHOLE EL: 60.35 SOIL ABSORPTION SYSTEM (SECTION) GAS BAFFLE AS REQUIRED (500 GALLON LEACH CHAMBER) SOIL LOGS P#: TPT-20-204 GENERAL NOTES: DESIGN CRITERIA **IN ZONE II/ESTUARIES PROT.** DATE: OCTOBER 5, 2020 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL NUMBER OF BEDROOMS: 3 BEDROOM DESIGN 1614 BOARD OF HEALTH AND THE DESIGN ENGINEER. ( / ) SOIL EVALUATOR: DARREN MEYER, R.S., CSE # 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS SOIL TEXTURAL CLASS: CLASS I 0.74 GPD SF WITNESS: DAVE STANTON, BARNSTABLE HEALTH DEPT. of THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE DESIGN PERCOLATION RATE: <2 MIN/IN LOCAL RULES AND REGULATIONS. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR DAILY FLOW: 110 G.P.D. X 3 BR 330 G.P.D. TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE GARBAGE GRINDER: NO (not designed for garbage grinder) Elev. TP-1 Depth Elev. TP-2 Depth DESIGN ENGINEER. 71.35 A 0" 71.30 A 0" 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING SEPTIC TANK: 330 gpd x 200% = 660 gpd, USE EXISTING 1,000 GAL. SEPTIC TANK LOAMY SAND LOAMY SAND FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 10 LEACHING AREA REQUIRED: 330YR 4/1 1OYR 4/1 ENGINEER BEFORE CONSTRUCTION CONTINUES. ( )/0.74 = 445.94 S.F. 70.17 B 14" 70.30 B 12" 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. tT. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF USE TWO (2) 500 GALLON PRECAST LEACH CHAMBERS W/ 4' LDS"66/ND LOAMY 6/6 SAND " HEALTH FOUR PROPER INSPECTIONS DURING CONSTRUER TO NOTIFY THE LOCAL CTION. OF STONE ON ENDS & 3.75' STONE ON SIDES: 25' L x 12.5' W x 2'D 67.53 46" 67.55 45 C C 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. BOTTOM AREA: 25 x 12.5 = 312.5 SF S.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED MEDIUM MEDIUM TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. SIDE AREA: (25 + 12.5) X 2 X 2 = 150 SF • SAND SAND 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE THE LOCATION CONSTRUCTION 2.5Y 7/4 2.5Y 7/4 OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING TOTAL SQUARE FEET PROVIDED 462 vs. 445.94 REQ'D PM TEST O EL 66.20 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND FILLED PER TITLE 5. DESIGN FLOW PROVIDED: 0.74(462 S.F.) = 342.25 G.P.D. vs. 330 G.P.D. req'd 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 60.35 132" 60.30 132" 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY PROPOSED SEPTIC SYSTEM UPGRADE PLAN AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. PERC RATE <2 MIN/IN. OBSERVED HORIZON) 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. q I q I /-7 SANDALWOOD DRIVE, COTUIT, MA NO GROUNDWATER OBSERVED 15. ALL PIPING TO BE 4• SCH 40 • 1/8-/FT (UNLESS SPECIFIED) Prepared for: Ken McCarthy • 1. Darren M. Meyer. R.S.. CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 Design and Site Plan by: SCALE DRAWN DATE to conduct soil evaluations and that the above analysis has been performed by me consistent with the MEYER&SONS,INC. N.T.S. DMM 10 14 20 requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Evol. Exam in October. 1999. Po BOX s8f REV DATE EAST SANDWICH,AfA 02537 CHECKED SHEET NO. 508-362-2922 DMM 2 of 2