HomeMy WebLinkAbout0028 FLOWING POND CIRCLE - Health (2) 1.
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N 5 M EAD
KEEPING YOU ORGANIZED
No. 12134
2-153LGN
FORESTRYSUSTAINABLE
MIN.RECYCLED
INITIATIVE CONTENT10%
Certified Sourcing POST-CONSUMER
wwwsfiprogram.org
SFW1290
MADE IN USA
GET ORGANIZED AT SMEAMOM
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No. v Fee 1 STJ
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ftplitation for Misposal *pstrm ConstrUrtion Permit
Application for a Permit to Construct( ) Repair( ) Upgrade(`/) Abandon( ) Complete System ❑Individual Components
Location Address or Lot No POT,aC'v-C Lc Owner's Name,Address,and Tel.No.
Assessor's Map/Par f ✓+ 0w �v` �G✓� dV1�M� 1 h I- e PjC�f�/
Installer's Name,Address,and Tel.No.SO 7 t l OC6 13 g,�- Designer's Name,Address,and Tel.No. Sog Ll 77 53/3
imo-}1�v�4u►�1C yo 1?u,Y.v�j Ll'1. 5:1��nn�5 �.vlgrneer WUr1LS, Inc .
TyVIetct It
pe of Building: WOO (2yoss
Dwelling No.of Bedrooms Lot Size Sqc�y O sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 3?)CD gpd Design flow provided 344,-7 gpd
Plan Date O la Laoaa Number of sheets Revision Date
Title �6poSed �(J}'1G Sl.l S�"C'{✓1 UQ9�C�[? _�E�
Size of Septic Tank d Type of S.A.S. 5al/ol7 /PctcJ1+nq ('hamber•.S
Description of Soil L.o chym 5 601� t0 G-ARf NnA4!4 3a t m call Um S Ct17 C 3 a��
t b-e �.(�
bu.) C1 1
Nature of Repairs or Alterations(Answer when applicable) �A-C ism qcd . N'�0
d VJ a
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
Si ed — Date -7/21122
Application Approved by Date 30 2,->
Application Disapproved by Date
for the following reasons
Permit No. 2 0 z� - 2 Date Issued i
,, r
k. n No. d � d Fee
' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS Yes
01pplitatloll for Disposal 6pstrut Construction Permit NO
Application for.,a Permit-to Construct( ) Repair( ) Upgrade"('j) Abandon( ) 0 o plete System ❑Individual Components
Location Address or Lot No. C ('; Owner's Name,Address,and Tel.No.
_ r
Assessor's Map/Parcel,.( f vY t p �G' ll�,te'1�y�G LAl'or . y r � ( r�'r
Installer's Name,Address,and Tel.No.',,u t/w!;�'S Designer's Name,Address,and Tel.No. -5==el `} f 3 '
t .ai�.`> � C .x u
Type of Building: i �. i i �,i �, • _
Dwelling No.of Bedrooms Lot Size ��, r1`f 0 sq.ft. Garbage Grinder
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) ?')tom gpd Design flow provided ! t, / gpd '
i;Plan Date �� � ..��. . .,Z Number of sheets Revision Date
.� lowTitle ' ( "d � -s7,v
Size of Septic Tank a L (,l-,�4' Type of S.A.S. ' r� `f�i 't �,.C��I, ,1< t
Description of Soil L':C{1,��) �j(}� ��' .. t0 C i??yrdyit y,
Nature of Repairs or Alterations(Answer when applicable) 15 06 (•'Cd +a41
7 � 1� I�- 0 56y Gc�I1�Y1 �L�Ck1t�l�c.-SbJC���
Date last inspected: 1
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 ea ,h.
Signed ¢- Date ��/,�.�.'�'
Application Approved by � P ��P Date �3t)/� .?
Application Disapproved by Date
for the following reasons
I -
Permit No. 0 7 Date Issued
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
at i t Clt ,,,;CA 1 U(� r��) `> t V i i; has been constructed in accordance
with the provisions of Title 5 and the for D�i Permit No. 9 v? (u-2dated heInstaller; 1 ; '7 U. - v s y .._ Designer ` i)CI ! )(2
#bedrooms c `I Approved design flog ' gpd
The issuance of this permit sh allot be construed as a guarantee that the system w`lll funs i°o/n as designeeh�.
Date t(i ' d` Inspector �/ �T h �
a
No. 7 ca /J - Pee -A
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS
€ Disposal p stern Construction Permit
Permission is hereby granted to Construct( ) Repair( ) Upgrade(,, ) Abandon( )
System located at
` and as described in the.above Application.for Di!posal 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 completed within three years of the date of this permit.
Date.: S 3 /WI Approved by
�` ' U
TOWN OF BARNSTABLE
LOCATION oZ$ l OlN lrlg ��d- SEWAGE# IOa-
VILLAGE C'S+"-P-yyI t IBC. ASSESSOR'S MAP&PARCEL LQ
INSTALLER'S NAME&PHONE NO. j W 1o14X 4UXr t_ S^O 8 o J us-
SEPTIC TANK CAPACITY 5�� !!�CdkaA
LEACHING FACILITY. (type) C hQrnlJer,S (size)
NO.OF BEDROOMS .
OWNER VeY'd ( eu,_
PERMIT DATE: 63136 COMPLIANCE DATE: (.Q LR!;Oaa-
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<,
11,
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). t i Feet
FURNISHED BY QUkr 1 1 .
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Town of Barnstable
OFSNE l
o� Regulatory Services
Richard V. Scali,Interim Director
• anxtvsratfr e ;
9 '"`"M.16.39. Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax:'508-790-6304
Installer&Designer Certification Form
Date: (e( (0 ( ZZ Sewage Permit# -/d aAssessor's Map\Parcel
Designer: �= a ,n�e�-;n J y;" c s fit , Installer:
Address: )Z W1 C.rt3ssP11P_.jc/ .AcA Address: �U. H!C <JT�ICi�
On 6hoxI 1 `a"t CLL was issued a permit to install a
(date) (installer)
septic system.at 2i q n PQr-yck ���fa�-Q based on a design drawn by
(a ess)
>�1t9;'n eer,it , lNcsr4S Jk( dated AcQ 2Z
(designer)
g )
_ e - 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) butin 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 with the terms
,of the I\A approval letters(if applicable) �M "fir
� 9
(Installer's Signature) No�35 os
(Designer's Signature). (Affix Designe ere)
PLEASE RETURNTO BARNS TABLE 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'Septic0esigner Certification Form Rev 8-14-13.doc
Engineers note:This certification is limited to an as-built inspection of system components as installed prior to backfill.The
engineer did not supervise construction of the system.The installer assumes responsibility for all materials,workmanship,backfilling.
to specified grades with proper compaction and setting risersicovers as shown on the design plan.
U I Aay 98 -- EXISTING CONTOUR
x 100.98 EXISTING SPOT GRADE Q CID
�1 ` �, •.-'� \' �� W EXISTING WATER SVC.
G EXISTING GAS SVC. Z 0
OVERHEAD WIRES JuJ Q
�� !^ TEST PIT Q. .J
�-: 28Flow -PondCir` - BENCHMARK W J 3
+ ' :.
o081erville.MA 02655 A O
WETLAND SYMBOL \ ir E
LEGEND
Flowing 0 <
D
I ,J\ Pond 3
r, „ ;�. 2
- WATER SURFACE, EL.=15.Of W _J (D
?
ti r c o
LOCUS MAP 1821 / \ ma's , 0 c
w U
99R 0
17, / VEGETATED WETLAND z
x 28.22 \ \ y
W ^0^
x .43 WF-B3/ ;
p0 01. 7,97 WF-B4
9 `y x 28. 7 \ 8.85 \ Q 4)
/ F W L
ZU
PROPOSED S.A.S. 32.15 x 23.74 19.94 ��9 \ O ?�
2-500 GAL CHAMBERS \ o
SURROUNDED W/4' STONE \ / \ \� \ 0 O
`�• VEQ 29.89 TP-Z 23.91 �21.64 x 20.73 1 M
OF RAS PROPOSED SEPTIC TANK \ 26 1 N 0-
x � J
o PETER T. 3.22 ;r, 26.69 t
O N N
McENTEE 2s,oa LOT 35 N d
CIVIL .DRIVE o �� m of W
35109 33,ea 2 '�� - 54,940f/S/F. 0
�.!Y
No. 34.54 _ i TP-1 \ J� '� rn
j� 34.63•^ p Z 7.99 22,77x / / Z M Y g
x 34.79 2 4
�1 x 6.15
m a
34.66 W '
EXISTI G o o . : .`.,..
HOUSE(#28) c� .; ��o �,�• x / 0 `II
x 2 65
t 33,33 T.O.F. 5.3ti :2 ;32.,: , O N o
29.1 33,77 .34, 28, JQ I O
3416 /� ( / OJ CTI
O N coDECK ,• n1
\\ G G.aRAGE I 0 o
24.87 `t 1 32.24 1 5 EL.= 80, / OJ,
21�
PK SET 30.79•: ''c:'• ,31.
24.40 24.87 ;,, (9
O�. �.` SE 32J4... 29,0 t 2 8
y, x 2 68�-
FLOWING - - -
2 2 G' .�I•W.; ' pP�V£ DRII�EWAY... x
", 2 .10
c• t31.10'' '�<:, '29+3, ° � li
POND CIRCLE
/t 15.03 VEGETATED WETLAND
181.24 28.08 17.30 t EDGEBOG 0O
24.68 chain link fence x 16.35 16,61 CC
t 17.12
S 85'36'05" E 87.80' cm:2
C
BENCHMA 17 58.76'18 S 85'36'05" E N 87'39'35" E
MAGNETIC NAIL SETLO
IEL.=29.J2
0
OWNER OF RECORD EXISTING LEACH PIT
VERDIEU, CHILER & DENISE EXISTING SEPTIC TANK TO BE PUMPED, FILLED "' •C y
a�
4 OLD COLONY WAY TOP OF TANK, EL.=27.5 WITH SAND & ABANDONED o, C 3 00
SOUTH -YARMOUTH, MA 02664 INV.(OUT)=26.16f w W �0
I
NOTE: TO PREVENT BREAKOUT, FINAL GRADE Q
SHALL NOT BE AT, OR BELOW, EL.=24.5
SEPTIC TANK FOR A DISTANCE OF 15' FROM THE EDGE Z o
INSTALL RISERS & H-20 FRAMES & PROPOSED D-BOX OF THE PROPOSED S.A.S. J
COVERS OVER INLET & OUTLET AND Q
INSTALL RISER & COVER Q W g
SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE PROPOSED S.A.S. a J
INSTALL RISER & COVER OVER ONE CHAMBER AND J s
T.O.F.=35.3f SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT LLJ
F.G. EL.=28.6f F.G. EL.=28.Ot F.G. EL.=29.Ot /F.G. EL.=28.f-30.Ot VENT X E
MAINTAIN 2% SLOPE [ OVER S.A.S. EXISTI >°
GARA HOUSE(128) C7 o
L - 13' L = 4. T.O. .=35.3t 0- O
® S=1% (MIN.) p S=1% (MIN.) L 5' >'
4"SCH40 PVC @ S=1% (MIN.) = Cf
4"SCH40 PVC 4'SCH40 PVC 2" LAYER OF 1/8" TO 1/2"
ED STONE
o"I s as as (OR APPROVED FILTER FABRIC) - (.IJ W d
DECK SUN R00 �
14 2' EFF. aaaaaaa o
®aa6aaa
I NV.=25.75 LIQUID LEVEL DEPTH �3/4" TO 1-1/2" DOUBLE 54 tP. 0
48" ADD PROPOSED 4' 4.8' 4' WASHED STONE 30.9• 4-�h 0 U
GAS BAFFLE INV.=25.17 _ INV.=25.00
INV.=25.50 �� EFFECTIVE WIDTH = 12.8' 8g• ry' :2V
(VERIFY) 3 OUTLETS INV.=24.00 J 4 L,".; i
PROPOSED SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS 59.0' �IG.� 6 a Z =
SURROUNDED WITH STONE AS SHOWN PROPOSED S.A.S. (yJ 0 A?
CONNECT TO THE EXISITNG SEWER AT THE H-20 RATED 2-500 GAL CHAMBERS (n
EXISTING TANK INLET, INV.=26.16f(VERIFY) SURROUNDED W/4' STONE
NOTES: TOP CONC. ELEV.=25.1 f
BREAKOUT ELEV.=24.50 W Z t
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INV. ELEV.=24.00 ease
INVERTS, PRIOR TO INSTALLATION. aaaaaaaaa®a v
aaaaaaaaaaa SEPTIC LAYOUT 0 � o
2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND TRUE BOTTOM ELEV.=22.00 � 0
TO GRADE ON A MECHANICALLY COMPACTED STABLE BASE 4' 2 x 8.5' = 17.0' 4' w
OR SIX INCH AGGREGATE BASE, AS SPECIFIED IN 310 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0. 0
CMR 15.221(2). PERVIOUS MATERIAL GENERAL NOTES: 10- a
3) INSTALL INLET & OUTLET TEES AS REQUIRED. 5' (MIN.) ABOVE G.W. LEACHING SYSTEM SECTION 00
4) A GAS BAFFLE SHALL BE INSTALLED ON OUTLET TEE EST. HIGH GW, EL.=16.4 z 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL N o_
AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL.
BOARD OF HEALTH AND THE DESIGN ENGINEER.
2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS N o N
OF STATESEPTIC SYSTEM PROFILE LLOCALERULES A DVINMENTAL ROEGULATIONS,OEDXCEPTLASV'R QUDEST D BELOW ANYAPPLICABLE z u7 ti 0
-310 CMR 15.405(1)(b): LOCAL UPGRADE APPROVAL mo i N
1) A 3' variance to the 3' maximum cover requirement, for up to - N
6' of max. cover. S.A.S. shall be H-20 and vented. w
SOIL LOG 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 3 cYi
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE o a
DESIGN ENGINEER.
DATE: JANUARY 7, 2022 (PERC 5) 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING N
SOIL EVALUATOR: PETER McENTEE SE- 04
WITNESS: DONALD DESMARAIS IRS HEALTH AGENT FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN v?
ENGINEER BEFORE CONSTRUCTION CONTINUES. 1- o
DESIGN CRITERIA ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. Z o
NUMBER OF BEDROOMS: 2 26.7 0" 28.8 0" 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF a
THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF d
SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) LOAMY SAND LOAMY SAND HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. N
DESIGN PERCOLATION RATE: <2 MIN/IN 26.2 10YR 4/2 6" 28.3 10YR 4/2 6„ o
B g 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. a
DAILY FLOW: 220 GPD LOAMY SAND LOAMY SAND 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S.
DESIGN FLOW: 330 GPD 10YR 5/8 10YR 5/8
24.0 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS
GARBAGE GRINDER: NO-not allowed with design C 32" 26.3 C 30" AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE
LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF PERC DIRECTED BY THE APPROVING AUTHORITIES.
.74 GPD/SF 30"/42" PERC 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY t°
THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY (H-20) MED. SAND CONSTRUCTION. O v
PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-20 RATED 2.5Y 6/6 MED. SAND f E 0
USE 2-500 GALLON LEACHING CHAMBERS IN SERIES HIGH GW 2.5Y 6/6 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
16.4 = 124'• IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND CD-
SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES REDOX REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). C .22' PO
16.0 STG. GW = 129" 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE .� o to
SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F.
INSPECTED BY PRIOR TO BACKFILL. c ( U
BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. 15.2 138" 18.8 120" rh��
13. THIS PLAN IS TO B h USW`FOR SEPTIC SYSTEM PURPOSES ONLY AND C N
STANDING GROUNDWATER, EL.=16.0 IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. v
TOTAL AREA:.......................................................... .. 471 .2 S.F. c �3 0
REDOX AT EL.=16.4 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC C
DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD PERC RATE <2 MIN/IN. ("C" HORIZON) SYSTEM COMPONENTS NOT SHOWN ON THE PLAN w �JJ `� LO