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HomeMy WebLinkAbout0032 JENNIFER LANE - Health (2) �.,:-' -� ,.r� 0 4 a y a i. � M` 1\'0. � �� I FEE_ COMMOlY V'V' EALT14, OF lf�',llAS,S(A'L_..tjt'USETTS Board of Health, MA. eg APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERM IT Application for a Permit to Construct( ) Repair( ) Upgrade(/Abandon( - ❑Complete System ❑Individual Components Location a Owner's Name f Map/Parcel# �e�1 Address Lot# Telephone# Ins e�'s Nam y� l `, ,p�( ;�ar ,��`1 ��C Designer's Name ��+�, , Address as VIC.I�'Y1t�V\d FCt4- 1 �".Oe ntj S- Address 67,G C�'�® der rd c.6kQ403) Telephone# app,�,��� s Telephone# � D�a (A Type of Building �ldQA--4 C_\\ Lot Size sq.ft. Dwelling-No.of Bedrooms 'Q Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min. re ui-re7d) n gpd Calculated design flow Design flow provided gpd Plan: Dated / U Number of sheets_ Revision Date Title j Description of Soil(s) l QQ.M'l ' MW - Soil Evaluator Form No. tj Name ofSoil Evaluator. WrDate of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees ton a th ystem in operation until a Certificate of ompli ce has been issued by the Board of Health. Signed Date 7 Inspections G �� J 1l a No. U e� ` Q-7.`!.» FEE _E.� COMMONWEALTH OF MASSAC14USETTS Board of Health, APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( Repair( ) Upgrade(/AbandonO - ❑Complete System ❑Individual Components Location 4LP� ; ,._a� Owner's Name A dT .. Map/Parcel# 0 ..-t ` Address t;a� Lot# Telephone# Installer's Name_ � L LC Designer's Name 4�C O_+�CA Address 99 916/mov0s Ruth Address I s s G e© LZ.qde - rd S-C,hQ,4rn Telephone# `570 19 C4 13 9 (0 235 Telephone# �� ©�('( (A Type of Building (2eG ICkQXVk-t 0.\ Lot Size sq.ft. Dwelling-No.of Bedrooms Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min. required) ^ gpd Calculated design flow Design flow provided gpd Plan-:-•Date J 1/2 4 U Number of sheets_ Revision Date Title -- ` Description of Soil(s) (oG\h' CA - Soil Evaluator Form No. Name of Soil Evaluator Q Jl rVQ WJWrDate of Evaluation 1 .w DESCRIPTION OF REPAIRS ORALTERATIONS C7C') 1 C.l �Y !Cil"\ (�1� �'Y\ The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to no xo-place the system in operation until a Certificate of/Complii ce has been issued by the Board of Health. Signed '/ Date tT l ONT1 p'3 Inspections 6 �� �2[ ­3L/) \J i No. .�0.1�'• D�Z/ FEE � �� C®�9 MONWEALTH ®f MASSAC14USETTS Board of Health, n5 leaf , MA. CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Dispo7KQI System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned � ( ) by: /G ( 4 Cons rw__-A i at _ 1 f I r\ C� r has been installed in )-accordance with the pro v.iss o /ionf 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. �0�)-U'/ Y , dated 3/t' ,z- Approved Design Flow ;72 0 (gpd) Installer �^ ( tfig 1 f ! � t� Designer: L== co--A-ej h Inspector: �\, \ Date: ?i � 1" � The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. --0 7 Y FEE /UU — COMMONWEALTH OF MASSAC14USETTS Board of Health, 1_` s1 �� � e MA. b)q -t (��sTr r'c�/�2t DISPOSAL SYSTEM CONSTRUCTION rAmaiA� Permission is hereby granted o; Construct( ) Repair( ) Upgrade(�Abandon( _ ) an individual sewage disposal system at Je��t �� / �A M as described in the application for Disposal System Construction Permit No. �o?J-U"7�dated 1 Provided: Construction shall be completed within three years of the date of this perm' . All local conditions must be met. h Form 1255 Rev.5/96 A.M.Sulkin Co.Chadestown,MA Date 1 Board of Health I;1 Town of Barnstable °� rtia Regulatory Services " Richard V.Scali,.Interim Director BAR'STABLE. 9 MASS. g Public Health Division �p t63Q. ♦e rFnr a Thomas McKean,Director 200 Main Street,Hyannis,NIA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: J Z542' Sewage Permit# ZC� �� Assessor's Map\Parcell�Q 121 eUtc 011 l�u nd Designer: � 1 � � �'- Instal.iei: �'` ���,�J✓yrv°�e Address l S 5 G c'C�Y ,� Y/ 'I' tlUflt Address: 2 I-D O„ f r 22_ "#`� Cr--5 ���+r�,.� was issued a permit to install a date installer septic system at -3 2- SeV14,4t rev) based on a design drawn by t (address) r 0 dated Z�' (designer) 1, certify that the,septic system referenced above was installed substantially according to the design, which.may include minor approved changes Such as lateral ielocatioh of the. distribution box and/or septic rank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic systern referenced above was installed with major changes (i.e. greater than 1 n' 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 i.Q,c rnpliance with the terms I of the I\A approval letters (if applicable) t'.G;h4 �;VrJz} (Installer's Signature U GQUGN001AIR) 1 No. 103 1` (Designer's Signature) (Affix Des ,'a` mp Here) PLEASE RETURN' TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF CO-MP:LUNCE WILL NOT BE ISSUED 1JNTIL BOTH THIS FORM AND AS- _ � BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTII DIVISI.ON'. THANK YOU. QASe.ptic\Designer Cenification.Form l-ev 8-14-13.doc sf 1 TOWN LOCATION: t. SEWAGE �o2� —0 7 Y� VILLAGE llul fur\L� * ASSES IT'S NIAP& PARCEL �L 7o Z _ .f�-{f j(-' �^ \� �,. y� _ AA N�r,� �°�,1 r�,•- t 1 of .� � f- ' ���i. (�_. .# '� vvx, �lr�es ST1-tiLL� :'� :��► :� & �Ht.�iE. 1�1 ', � ��i ! �' ����:��,;, I�r�t SEPTIC: TANK CAPACITY LEACHING A.CILJTY' type 2 - SVu �,�11� c�-�- ,r r (size) NO. OFBEDROOMS OVINER PERMIT DATE: Z2 COMPLIANCE DATE. 3�4�ul /g,�` Separ tion Distance get eert the: ahirrnim, A.dj:usted Graund.8vatet: Table to the bottom of Leach ing .Facili Feet Primate water Suppl y Well and�Leaching F�ciiit (If n xellS exist oar Site or wi hin. ?�� et pf lea hin fae l _ yet. l gc o etlar tl and Leachi.ng Facility `any wfetlands g ist itl3 n 300 feet of leaching facility} _ _ Fact. c HYANNIS. MAC . r , r Ir oath..c ' . L 47 , . a e�IFoad�e-z'a' SEPTIC COMPONENTS �1 x, 45 p d_ a + �� + o _ 148.52 f v �a a t e Sac p a EXISTING / t 44 � a r � mt 1500 GAL n 43 SEPTIC TANK ® Q „• LI�O1� �I m �_ 42 41 GARB ., AREA = 22500 s'f+- 40 G R a: .�" �°3 y °o" f O OT 'r b LAN BOOK P 69 PA E 9 ~ 4 Z Z OWED ~ { a 0 I ASSR MAP 270 PC 121 EXISTING R 1 Q I MINIMAL LEACHINGn nQ n� ` n GRADINGSU�U � GALLERY � e-" � PROPOSED Q � � � � DISTRIBUTION BOX® \ TEST PIT ® \ I I THIS IS A I I I COLOR OR EXISTING SOIL ABSORPTION s I \ " PLAN \ \ SYSTEM TO BE ABANDONED � USE COLOR PLAN ONLY FOR INSTALLATION N PLACE. ' , o FULL DETAIL IS BEST CDI G. °A,wS VIEWED IN G G I t \ FULL COLOR r s 00 � 0 0 �. C a a " �c H �� o I {t � O S GIS D4T ELEVATION PROPOSED SOIL --- To I ABSORPTION ��% �. � `` �. ?�� �� P oI Of SYSTEMrp of P FOUND P� I G, 1 I lj �(N MA Ss ��N MgSS -SEE DETAIL £ 12 in OAKT" It* � s aL� aj1F , . tl , + e �' DAVID yGJ� p DADVID yG� D. ON BACK z �t& k* �mv .° w IiN A C`4S tin„-. + w ar " COUGHANOWR N COUGHANOWR '7 = �\ No. 1093 No. 461 f"»�� "t, ilcur � STONE Al Sq 1T WATER LINE I �� k GAS LINES THIS PLAN IS INTENDED SOLELY FOR INSTALLATION OF THE SEP TIC SYSTEM i, z nr OVERHEAD WIRE OH DEPICTED ON IT, FOR ANY OTHER CHANGES TO THE PROPERTY INCLUDING -. PLACEMENT OF ADDITIONS. SHEDS. FENCES OR SWIMMING POOLS. OWNER urlury 47 46 . w+,• SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR POLE , iSO.00 _I nn SEWAGE DISPOSAL 45 f 4` ��cT 44 �' `ti SYSTEM PLAN PLAN e SCALE: I in = 20 ft' 42 41 �o -TO SERVE EXISTING DWELLING e MARTY 0 20 40 4O ° w COMES A DEED RESTRICTION / e _ _ LIMITING THE DWELLING'S OWNER(Sl OF RECORD BEDROOM CAPACITY TO TWO O IO 20 MAY BE REQUIRED AS A - �� 32 JENNIFER LANE CONDITION OF PERMIT ~'- PRINT ON Il x 17 in ISSUANCE. 155 Geo Ryder Rd S HYANNIS• MA y PROPERTY ADDRESS PAPER .FOR PROPER SCALE Chothom, MA 02633 - - --- --- - Dovidcou@HotmoiLcom DATE: FEBRUARY 17, 2022 508 364-0894 PG. 1i2 -ioaa ETE-4626 of 9 a ♦ < .• . . . DIMENSIONS & DETAIL .,,o ,. q o a SOIL TEST LOG . . D[ M�N C�WAdC�uMdGa4�10 ►.1� 1500o "GALLON SEPT Cc `1��1nMK -1 SSO§L� ABSSOoRPT§ON SOIL EVALUATOR: DAVID D. COUGHANOWR, ASE #461 DESIGN FLOW: 2 BEDROOMS X 110 GPD = 220 GPD a S U S TgrIVU CONSTRUCTION DETAIL WITNESSED BY: DAVID STANTON, HEALTH DEPT. : �°' ' SEPTIC TANK: 220 GPD X 2 DAYS = 440 GALLONS "USE EXISTING' TANK "IF S"TRUCTURALL Y"'SOUND:" USE SHOREY, PRECAST 500 GALLON LEACHING DRYWELL TEST PIT NO GROUNDWATER ENCOUNTERED USE EXISTING 1500 GALLON SEPTIC TANK IF IN PUMP & INSPECT TANK REPLACE WITH A NEW PERC AT 64 in - 2 MIN/INCH IN C SOILS SOUND STRUCTURAL CONDITION. IF NOT. INSTALL INSTALL TWO DRYWELL 6.50 ft 14.83 ft AT TIME OF REPAIR I500 GALLON TANK UNITS AS SHOWN ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER NEW 1500 GALLON SEPTIC TANK. IF CRACKED,, ROTTED INCHES HORIZON TEXTURE (MUNSELL) MOTTLES WITH UP TO 4 FEET OF 16 I 45.00 DISTRIBUTION BOX: INSTALL UNIT DEPICTED BELOW. I In OR OTHERWISE E" " ' . 2 0-6 A LOAMY SAND 10 YR 3/2 NONE FRIABLE -. STONE ALL AROUND. ft co 4217 6-34 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE SOIL ABSORBTION SYSTEM: TAPER �, COMPROMISED. 34-128 C MEDIUM SAND 10 YR 5/4 NONE LOOSE THE LONG TERM ACCEPTANCE RATE FOR. A CLASS ONE / ^^ �. o �+ t,.7; ", , MARK INSPECTION p x� u I , �T 34.33 SOIL WITH A PERCOLATION RATE BELOW 5 MINUTES '^�'� �� I RISER WITH In � PER INCH = 0.74 GALLONS PER DAY PER SQUARE FOOT. o �). NO GROUNDWATER ENCOUNTERED i . � � I 5 f t— MAGNETIC TAPE. 0 TEST PIT 2 THE LEACHING GALLERY DEPICTED CAN LEACH: - 2 MIN/INCH IN C SOILS In ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER BOTTOM AREA = 16.5 x 21.33 ' INCHES HORIZON TEXTURE (MUNSELL) MOTTLES " ��axt '� DRYWELL ms*��ma�.. '�s .x:.i .ae. ^�- '( �+a.. .• i- 45.15 -1/2 (14.83 x 6.3) = 305.23 sq. ft. �;� ( "i 0-10 Ap LOAMY SAND 10 YR 3/2 NONE FRIABLE UNIT 21.33 ft 10-36 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE SIDEWALL AREA = (16.5+6.5+16.12+ *, ` r �� NOT 42.15 10.20+21.33)x2 = 141.30 sq. ft. TO 36-132 C MEDIUM SAND 10 YR 5/4 NONE LOOSE ti S GALLON DRYWELL 34.15 FLOWTOTAL AREA CAPACITY = 0.74 x 446.5 = 330.446.503/ q.la ft. lQ ft-6 /n SCALE INSTALL ONE INSPECTION RISER 9 y DIMENSIONS INSTALL THE LEACHING GALLERY AS CONFIGURED BELOW. & DETAIL TO WITHIN THREE INCHES OF FLOW CAPACITY = 330.4 gol/doy WHICH EXCEEDS THE INLET OUTLET FINAL GRADE & INDICATE COVER COVER LOCATION ON AS-BUILT 220 gal/day REQUIRED FOR A TWO BEDROOM" DESIGN. k USE p p np �u/ �3 IN DROP FLOW LINE' t� 33 H 10 §STIFF§BV T§OUV BO//O UDB-3�20Y" FROM p!r� '' in UNI T BUILDING !0 In ]4 TO OD.00J: DIMENSIONS PIPES EXITING D-BOX;:=TO RUN LEVEL 1 D s' AND"DETAIL FOR 2 FEET BEFORE PITCHING DOWN D-BOX 48 inx,y' LIQUID GAS LEVEL BAFFLE IO2 ;n 12 in £' IN CROSS SECTION VIEW c —> b in STONE BASE INSTALL AN APPROVED GEOTEXTILE FROM i FABRIC OVER STONE - N TANx w �, �, To SEPARATION BETWEEN INLET & OUTLET a ^ 5A5 TEES NO LESS THAN LIQUID DEPTH A CROSS SECTION VIEW _ � 24 in m ` \ 6 in STONE BASE 3/4 in TO 3/4 )n T 28 O l 1/2 in GRAVEL EFFECTIVE m 1-1/2 in GRAVEL 21 1n 2 CROSS SECTION VIEW in -j • m DEPTH Ini 48 in MAX 58 in 48 in MAX O W G [�[� [� O 0 � C TOP OF FOUNDATION RAISE COVERS TO WITHIN ALL PIPE TO BE 4 in SCH. 40 PVC EL _ A O ND TO PITCH AT 1/8 in/ft MIN -INSTALLER TO OBTAIN DISPOSAL WORKS — 45.76 +— 6 In OF FINAL GRADE N PERMIT BEFORE STARTING WORK. it J 7C -ALL COMPONENTS INSTALLED SHALL MEET `t `J MASSATHE INIMUM CHUSETTS CTIJTLEM5NTS OF SEPTIIC O CODE (310 CMR 15). D �O� -INSTALLER TO VERIFY LOCATIONS OF ALL _ MAXi UNDERGROUND UTILITIES BEFORE M E I'�' EXCAVATING FOR SYSTEM. �n����n n^ USE H-20 -ECo-TECH RAPID RESPONSE RECOMMENDS !/)=(� Illf�\\I111(��J L�2.75 (� THE INSTALLATION OF OW FLOW IIL�7�7 FIXTURES & APPLIANCES. AND PERIODIC n�o� ^���On n o000 00o aoo bopop000 ppo PUMPING OF THE SEPTIC TANK. �111I (Ivr, I11n\�IJI Ooo0o0°000Ooo EXISTING oa 000popop O_000a00D.QOo -SYSTEM IS NOT DESIGNED TO WITHSTAND °°°000°oop00 PRECAST o oo°00000000$ VEHICULAR LOADING. DO NOT PARK OR °o°ao �000000 000�0°� 000° DRIVE VEHICLES OVER SEPTIC SYSTEM. SEpT�� TAN' 42.80 °0000aooDo DRYWELL poa000°oo°0000 42.08 °DUo °000°oo 000�000 000 6 in EXISTING REFER TO DETAIL BOX STONE S(D fL A"2?) r\"�vT00N 4 2.25 BASE 42:DO M c� —REFER T O b in STONE BASE IF NEW ll N U EI1VlJ O EXISTING 23 ft 7- 9 ft DETAIL BOX 0 NO GROUNDWATER BELOW � 40.00 MOTTLING OBSERVED-7-1 34.15 SEWAGE DISPOSAL SYSTEM PLAN LN HYANNIS. MAIIFEBRUARY 17. 2022 ETE-4626 PG 2/2 �