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HomeMy WebLinkAbout0108 CAP'N CROSBY ROAD - Health (3) e —M-Ls� Fee /UU t> THE COMMONWEALTH QF MASSACHUSETTS'. 'IrBLIC HEALTH DIVISION BARNSTAB�,E,lYIASSAC. SETTS . io�aYp # o �tCu>~tiari it Rerrnisszo#t isliereby gCahted to ions . ct,(e) ROpau f V) Upgr . ).'. Abandon{ ) . . . System boated atC. and as SIe Cribed ui4he above Application isposal Systern Conshwtiori.l'errnit. T1n. p licant'recognized his/her duty to comply with Tale S and the fo9lgwing local P isions`or special condihof�s 1'rovnd axon,. ust be completed within three'years.'of the date of this permit: Date �. -Z� Approved.by LOCA1`ION SEW A"GE#. 20Z..1 b&I III I;AGE�trYlcru�1Ic ASSESSOR'S MAP&:PARCEL 19-:1—gG . INSTALLER'S`NAME&PHONE NO:' ,dt.C.t r-�c�Awvrl i Ova t-{7'1=OGS 3 SEPTIC TANK,CAPACITY 100O 9aI 4 LEACHING FACILITY:(type) SOOq�_[.��2� (size) J3 X 25 X Z f . NO OF-BEDROOMS OWNER. PERMIT DATE: �3 21 COMPLIANCE DATE. 512 0 2/ Dis ce.Between the: :Sepazahon tan Maximum Adjusted:Groundwater Table to•'the Bottom of Leaching Facility Feet Private Water•Supply,Well and Leaching Facility.(If-any wells exist on tY)site or within-200_feet of leaching,facili Feet , _ Edge of Wetland:arid Leaching Facility(If any wetlands exist within: ' 300.feet ofleaching facility) Feet FURNISHED BY :r t l U Cln ifry 14 REA,R AZ' 9 ' a . z CO u .. _•. �� 23'S" Ad y 8Q • yt • i F N« No. , 2( D Fee Wo THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplitation for Disposal §�pstrm Construction Permit Application for a Permit to Construct( ) Repair(0 Upgrade( ) Abandon( ) ❑Complete System [Individual Components Location Address or Lot No.10% CAp N Ccosby Rood Owner's Name,Address,and Tel.No. 'fad: Redd Assessor's Map/Parcel Mck t TI Lo+oq(o C t 8 C ap N u oSb Rd Installer's Name,Address,and Tel.No. Q 16 &t:pU Man Designer's Name,Address,and Tel.No. F\ohefkz, trwico 3}4 90'.AQ. t's0 Sandw%(,h 508-09-O(,S3 PO 40x 33t 1A00W%ch A0, 02bVS 114-CA+ llbb T`vpe of Building: Dwelling No.of Bedrooms 3 Lot Size 3�e�0� sq.0= Garbage Grinder(W) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 33 0 gpd Design flow provided 34 Q gpd Plan Date Z 'L2 Z1 Number of sheets L Revision Date Title Size of Septic Tank Type of S.A.S.(Z) , 00 dc'S Description of Soil Nature of Repairs or Alterations(Answer when applicable) ktakk Aw d- (,y QnA �2� ��p nital\ Goner cksn fto oakkon 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 z- 2q- 21 Application Approved by Date ? 21 Application Disapproved by Date for the following reasons Permit No. 2�al l ' PU I Date Issued a •Y y ! No. V• • . 5 11 ! '�!'��` � � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye 1 PUBLIC HEALTH DIVISION - TOWN-W,BARNSTABLE, MASSACHUSETTS NplicatioH for Bisflosal 60stem Construction i9ermit Q Application for a Permit to Construct( ) Repair(y5 Upgrade(�) Abandon( ) ❑Complete System ❑0 Individual Components Location Address or Lot No.1 8 9 CaP tit C W�bu� Koa ci Owner's Name,Address,and Tel.No. 7Ae,; RE 6 d Assessor's Map/Parcel Mey i T1 Lr o}0(}6 !0% C fa N C{o"fix= a C�- Yk Installer's Name,Address,and Tel.No. (61 6 &cck *A'Qn Designer's Name,Address,and Tel.No. ''\C,be{ 4 3t11 ©vac t30 anctw,0, Sc �t � s'3 (�o tt? 33i 1�Q� �cl, /��c. 2bi15� -�jt! qq�i Itt.� �Ty\Pe of Building: Dwelling No.of Bedrooms Lot Size , 000 sq.14 Garbage Grinder(W) 'Other, Type of Building No.of Persons Showers Cafeteria YP g ( ) ( ) Other Fixtures 1 Design Flow(min.required) gpd Design flow provided 3G R gpd Plan Date\ 'L 1-Z 11 Number of sheets x. Revision Date Title \ Size of Septic Tank 16()() (Nn\kran�, Type of S.A.S. h �AQ A(An_,. LiC S ' • Description of Soil l Nature of Repairs or Alterations(Answer when applicable) :W1,1 A-4)cti anr1 ft� ( fno nnl(nn 7o �..lo_ - C0r\Orct.\'0li: a„ car, ,�tI-* k000 ^(Mon A,,nG J . � 7 Date last inspected: t' - Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system"iii r 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 J�/� -1cC7s . Date ~ /'�L)A ? m Application Approved by Y ,� Date / /Z Application Disapproved by Date for the following reasons Permit No. ? 01 t Date Issued i THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS\ •: ra- Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( V) Upgraded( ) Abandoned( )by N I �i �r.x r r,,,►A-�,, (V at t0% (,op' K} (.(o 5ta, ' ,e)c%A has been constructed in accordance ) with the provisions of Title 5 and the for Disposal System Construction Permit No. �I -b 'dated ��3/`?-I i Installer �t �r.K CC,u@V, , trll Designer �;. 1�1C\W6X- #bedrooms Approved design flow 3 3 d gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed: Date d' ( /'/ Inspector \ No. a i -b6' Fee AM THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposal t m Construction i3ermit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at 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 completed within three years of the date of this permit. Date J Approved by " I � down cape engineering, inSIEVE SOILS ANALYSIS 108 CAP'N CROSBY RD CENTERVILLE, MA.xlsx DATE OF REPORT: 2/18/2021 .JOB : GRAIN SIZE ANALYSIS-SIEVE TEST SITE: 108 CAP'N CROSBY ROAD, CENTERVILLE LOCATION: B&B EXCAVATION TEST HOLE SIEVE ANALYSIS Weight Sample(Grams): 142.4 SIZE ;WEIGHT RETAINED ; % RETAINED % PASSED -------- .... (sum ------ - ------------ ------- ---- - ----- - -------i- ---------- 1" 0.0' 0.0%: 100.0% 3/4"----------I--------------- -- --0.0;--------------0.0%:---------100.0% --------------;----------------------- -- --------------------- ------------------ 1/2" 0.0: 0.0%: 100.0% 3/8" -------= --= -0% ---------- ------------------------ .-.'---------------- #10 0.0' 0.0%: 100.0% #20 0.2� 0.1--%�-1_ 99.9% -------------- ------------.._....--------L------------------ ..........------- #40 1.4: I.M. --------------------------Y--------------_-__---f----------- ---...- #50 28.3; 80.1 ------------=-------------- -- -----------------------------•------------------ #80 111.6: 78.4%: 21.6% #100 -----— ------------------------- -------------85.1%�------ -......9% ________1.....-...----....--. - __________________ #200 � 138:5;_ 97.3%; 2.7% � PAN: 141.4; 100.0% 0.0% SAMPLE: NOTE:TEST ON PASSING#4 ONLY, 0.0% RETAINED ON#4<45%O.K. RESULTS: SOIL CLASSIFIED AS AASHTO A73(FINE SAND)(UNCOMPACTED) OFF PERCENTAGE OF MATERIAL PASSING#4 SIEVE: NAssgcti t #4 100% (TEST ONLY MATERIAL PASSING#4) OK �° DANIELA. �, #5010%-100% OK o OJALA CIVIL #100 0%-20% OK ° No.46502 #200 0%-5% OKIsrE����`�w SAMPLE MEETS TITLE 5 FILL SPECIFICATION \ �SSiotvn� >97%SAND __ 1 RESULTS: PERMEABLE MATERIAL-CLASS 1<2 MIN./IN. MATERIAL NONCOMPACTED SOIL DESCRIPTION: FINE SAND E ` I Town of Barnstable Inspectional Services Public Health Division &UNRABM NAM Thomas McKean,.Director na 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer,& Designer Certification Form Date: -21-21 Sewage Permit# 20Z I -O L I Assessor's Map\Parcet i Designer: E12hcrAw ENV; r"oAmCn-la.l Installer: Address: 0. Ro)( 331 Address: JH -re:kScrrc� t..&,a On 3-3-Z I 13� B E'XC°c c kAi o n was issued a permit to install a (date) (installer) septic system at /oS Qap 0,2 GrosbU RR based on a design drawn by (address) �c Ito hct-A 4 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 (Le, 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 iri.pio n rance..with the to rrns of the I\A approval letters (if applicable) 5 <= �� r , _�. (I talIer's Sin u e 7I 4 c� esigner's- Si;gnaturq (Affix Designer's Stamp Here) PLEASE.RETURN TO BARNSTABLE PITBI,Ir HEAT:,TTJ DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH[ THIS FARM AND AS- BUILT CARD ARE RECEIVED BY TITS Bt�RNSTABLE PUBLIC lETEALTH DIVISION. THANK:YOU. \\toaldepts\HEALTH\SEWER.connect\SEPTtGlDesignerCertification Form Rev&14-13.00C TOP OF FOUNDATION COVERS TO BE WATERTIGHT AND SEPTIC SYSTE ROFILE BROUGHT TO WITHIN 6".OF FINAL GRADE Flaherty Environmental Services EL. 58.0' EL. 56.0' not to scale INSP. PORT W I 3" OF GRADE CLEAN SAND P.O. Box 331 2" of e" to?" DOUBLE WASHED EL. 56.0' Harwich, MA 02645 4" CAST IRON or EQUIVALENT PEASTONE OR GEOTEXTILE 77¢,994.��66 MIN. PITCH 1/4" PER FOOT FILTER FABRIC 4"SCHEDULE 40 PVC PIPE 4"SCHEDULE 40 PVC PIPE VENT.IF REQUIRED FLOW LINE &St2'tobelevel) e• 5' 2.2% _r 5' 1% eA(L Alf :� . • ,• . ppOpppppC •'; ` L. EXIST. 10 14" —' in E�q����� 0.�. a r o 000 oc -�' 0 0 0 O°O O O (�j� O O O O L. 3 5' °O°°°°p000 ° °o°° �® ®1_I L-] C= =Ifopppp0 0EL. EXIS . 0 0 0 c 0 o 0 0 0 0 0 0 0 0 EL.53.03' po 000, 0pop°p 0p00.00 , EL.53 2' o 0°°°0°0°0°0°00�® 0� °°°°°°°°02�0 EL.52.0' 00000 000 , GAS BAFFLE °0°0°0°0°° O°o°o° a .' . o°o°o°o°c p ;. (H 20 D-BOX) X. p°°°°o°o° °°°°°° ' e. •• •• A 0000po°oc EL. 50.0' 1 j D y� 6"CRUSH D STONE OR SOIL ABSORPTION SYSTEM •S' " ""'•�• MECHANICALLY COMPACTED (2) SOO GALLON H-20 CHAMBERS (DATUM: ASSUMED 1000 GALLON SEPTIC TANK WITH 4' STONE AROUND IN A 5.0' (EXISTING) 3" to 11" DOUBLE WASHED STONE 4• 2 12.83'X 25'X 2' CONFIGURATION CROSBY ROAD BOTTOM OF TEST HOLE EL. 45.0' EL. 45.0' _ CAPON USGS ADJUSTMENT: N/A LOCATIONMAP —� — , GROUNDWATER ELEV: N/A N TH 21. 0 R=120.00' r 62 L=68.65' 62 Oak street I 60 Long Boat Dr. 60 I I BENCHMARK: , o P y LOCUS Ca n Street Rd. TOP OF FNDN EL. S8.0' NTS +1 58 I •�i GARAGE �, �'(H OF t%S ti EXISTING .2 3 BR oa D DWELLING 20.4' 10.0' F R J 21 WALK OUT ri `•`: (SLAB) O S T E DECK O �r NITAW 27/ ;. O LOT 7 37,000 SFt EXTST, L.P. EXIST. L.P. Y DATE.,212212021 REVISED: T -1 TH-2 MAP 193 LOT 96 1 56 56 SITE AND SEWAGE PLAN LEGEND s...._ FOR 6 6 6--•e-- GAS LINE j B&B EXCAVATION, INC./ w w W--;r WATER LINE JODI REDD 6 6 6 6 6 EXIST, ELECTRIC 108 CAPW CROSBY ROAD 99 EXIST. CONTOURS (CENTERVILLE) 99 PROP, CONTOURS 54 4 r SCALE 1 -- 3 BARNSTABLE, MA NEE—Nr'E -- UNDERGROUND UTIL. REF.'PB 274 PG 34 PAGE 1 OF 2 .............................. ......................... _.. ......... ..................... ... ...... . ........ ......... GENERAL NOTES DESIGN CALCULATIONS SYSTEM DETAIL Flaherty Environmental Services 1. ALL PRECAST COMPONENTS TO BE H-10 P. O . Box 331 RATED UNLESS OTHERWISE SPECIFIED. Harwich, MA 02645 DISTRIBUTION BOX AND ANY COMPONENTS NUMBER OFACTUAL BEDROOMS 3 774,994. 1166 WITH ANY ANTICIPATED VEHICULAR TRAFFIC TO BE H-20 RATED. GARBAGE DISPOSAL UNIT NO 2. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OFA GARBAGE TOTAL ESTIMATED FLOW GRINDER. (110 GAL/BR/DAYX 3 BR) 330 GAL./DAY 3. MUNICIPAL WATER IS AVAILABLE. REQUIRED SEPTIC TANK CAPACITY 660 GAL, 4. ALL CONSTRUCTION TO CONFORM WITH 25' 310 CMR 15.000 AND ALL OTHER SIZE OF SEPTIC TANK 1000 GAL. (EXISTING) APPLICABLE LOCAL, STATE AND FEDERAL CODES AND REGULATIONS. SOIL CLASSIFICATION 1 5. INSTALLER/CONTRACTOR TO REVIEW& VERIFY ALL ELEVATIONS AND DETAILS AND DESIGN PERCOLATION RATE <2 MIN./INCH REPORT ANY DISCREPANCIES TO DESIGNER PRIOR TO CONSTRUCTION OR EFFLUENT LOADING RATE 0.74 GAL./DAY/FTZ O Q 12,83' ASSUME ALL RESPONSIBILITY LEACHING AREA 6. INSTALLER/CONTRACTOR IS RESPONSIBLE (2)x(25.0'+ 12.83)(2) = 151 SF FOR MAINTAINING SAFE WORK AREA, 25.0'x 12.83' =320 SF VERIFYING ALL UTILITIES AND NOTIFYING 471 SFx 0.74 =348 GPD "DIG SAFE" (1-888-344-7233) 72 HOURS PRIOR TO CONSTRUCTION. USE(2)500 GALLON H-20 CHAMBERS WITH 4'STONE 7. ANY CHANGES TO OR DEVIATIONS FROM INA 12.83'X 25'CONFIGURATIONAS DIAGRAMMED THIS PLAN MUST BE APPROVED IN WRITING BY FLAHERTY ENVIRONMENTAL RESERVE LEACHING CAPACITY N/A SERVICES AND LOCAL BOARD OF HEALTH. — 8. FINISH COVER OVER COMPONENTS IS NOT TO EXCEED 3'PER 310 CMR 15.000 UNLESS SHOWN PER PLAN. 9. ALL ABANDONED SEPTIC SYSTEM (NTS) COMPONENTS TO BE PUMPED DRYAND FILLED WITH CLEAN SAND OR REMOVED AND REPLACED WITH CLEAN SAND. 1O.ALL COMPONENTS TO BE PROVIDED WITH SOIL EVALUATION WATERTIGHT ACCESS PORTS WITHIN 6"OF TEST HOLE#1 TPT#21-016 TEST HOLE#2 rPr#21-016 FINISH GRADE. Evaluator- David D.Flaherty Jr.,RS,REHS Evaluator: David D.Flaherty Jr..,RS,REHS 11.ALL SEPTIC TANKS, DISTRIBUTION BOXES SE#2755 SE#2755 11AOF BOH Witness: Don Desmarais,RS BOH Witness: Don Desmarais,RS tr AND PIPING TO BE INSTALLED Date: February3,2021 Date: February3,2021 oaf WATERTIGHT. 12.NO KNOWN WETLANDS OR WELLS WITHIN rH->ELEV 56.0' TH-2ELEV.56.0' " F R- 150 FEET OF PROPOSED LEACHING. - 0 1 13.THIS IS NOT A CERTIFIED PLOT PLAN AND 0"-9" A LS 10YR 3/2 0"-9" A LS 10YR 3/2 UNDER NO CIRCUMSTANCES IS THIS PLAN WN TO BE USED FOR ZONING OR BUILDING 1 PURPOSES. 9"-29" B LS 10YR 5/6 9"-29" B LS 10YR 5/6 14.LOT IS SHOWN AS ASSESSOR'S MAP 193 LOT 96 . '7 certify that on November 12,2002,l have passed SITE AND SEWAGE PLAN 29"-48" C1 MS 25y 6/4 29"-48" C 1 MS 2.5y 6/4 15.LOCUS PROPERTY IS NOT LOCATED the examination approved by the Department of FOR WITHIN AN AQUIFER PROTECTION r Environmental Protection and that the above analysis DISTRICT(ZONE II), has been performed by me consistant with the B & B EXCAVATION, INC./ required training,expertise,and experience described in 310 CMR F15.018(2)." JODI REDD sieve Sample 108 CAP'N CROSBY ROAD 48"-132" C2 FS 25Y6/6 48"- 120" C2 FS 2.5Y616 (CENTERVILLE) G.W.ELEV.N/A G.W.ELEV.N/A BARNSTABLE, MA BOTTOM TH-1 ELEV.45.0' BOTTOM TH-2 ELEV.46.0' PAGE 2 OF 2 DATE:212212021 .... ....,, ...... ....... ... ..._.. ......... .............. .. ......_.._.. .... ..