HomeMy WebLinkAbout0130 LEWIS BAY ROAD - Health (2) 1-30 /- eIO ° s �
No. 'l 1 Fee (p
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: k__
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ftplitation for Mispo8AY *pstem Construction Permit
Application for a Permit to Construct('V Repair( ) Upgrade( ) Abandon( ) 57/cImplete System ❑Individual Components
Location Address or Lot No. 13 b izu/ Ys -, N, Owner's Name,Address,and Tel.No.5 05S , c-ak LL
rs
6v%-- n(_,114y'-�,s�,��
As ss¢oar s Map/Parcel �X4 `Z L
Installer's Name,Address,and Tel NO. ry �6�.e Tr„ Designer's Name Address,and Tel.No. C_
rn Et C�Vn e n `L�i ere a r , Ads' ? 9'E2to®
Type of Building: �7
Dwelling No.of Bedrooms Lot Size g/ '�'�r sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 33 Q gpd Design flow provided if gpd
Plan Date o4l O-Lt Lo-LL Number of sheets -2— Revision Date
Title
Size of Septic Tank sr�- �a�n ' Type of S.A.S.(3) `A ^2t Sm y unrae-- (! P,
Description of Soil sq. v
Nature of Repairs or Alterations(Answer when applicable) �/ �Sr .� �� �_r
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 thyeal
e al C e and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of
%Si Date O `r
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. 10,2 I Date Issued j2
----------- - ---- ---------
,. '
j(o y
a No. � �` Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION.;. TOWN OF BARNSTABLE, MASSACHUSETTS
1plitatlon for Disposal *pstem Construction Permit
^ t A9:1 /
Application for a Permrt;to Construct(Repair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components
Location Address or Lot No. 13 c, �Cw: 6-j ' i Owner's Name,Address,and Tel.No. I.`64�' ^f LLL
Assessor's Map/Parcel ovcrs- \-A , wX". a�
�� `'- �A� '• �� � �,��'�
Installer's Name,Address,and Tel.No. j r%j C.c t,,.e rr. Designer's Name,Address,and Tel.No.
aq�c.e,. e-�►ct.�"c.wl;. �� c �.� Sr r.`,r�- �^� Sa..-.�c � a�a�,,er,.
M u. 6-Anne Ie-V+.W ;hem t4-29- 4 1 G u u Vv., 4 t��.n� �, �s`rf�� 'n l `3 t'Z4,0
Type of Building:
Dwelling No.of Bedrooms Lot Size ,k,7 V A CA c sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria.( )
Other Fixtures i
Design Flow(min.required) 3 gpd Design flow provided gpd
Plan Date 041 cril Number of sheets Revision Date
Title
!I�'A9 � .
Size of Septic Tank 5c>w 5ne Type of S.A.S.{ ) A t ^ tt �a (_(rt. Q fa"
Description of Soil se F ,O�
Nature of Repairs orAlterations(Answer when applicable) �� � c4,"b� 9 t-r p 1 r
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance witli 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 A Date 04 n(s 4 n 7
Application Approved by ✓fJ ,� Date
Application Disapproved by Date
for the following reasons p
Permit No. d )d 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( )bye..
at has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. /P) dated
Installer �, , Designer
#bedrooms r Approved design flow ? 3 o and
The issuance of this permit shalof l be construed as a guarantee that the system wi1.1 funct� i esigned.
Date �� Inspector
---- --- ------ -- -- - - -- - -- -- -- - - ---- - -- - - --- - - -- --- --------------- --'-- -------
No U� 2 - 1(,12 Fee4
THE COMMONWEALTH OF MASSACHUSETTS r
PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS
Disposal .pstem Construction Permit
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 Ll i -? I a Approved by 1 l r v
TOWN OF BARNSTABLE
LC,CATION 1 3 a L—e,iA/�c— %9 ti,i,SEWAGE#?,021. ,
VILLAGE .� ASSESSOR'S MAP&PARCEL D
� � 1� —
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY 7.1
A/?-
LEACHING FACILITY:(type)� _` 6 e, �5(size) �t(�� �; %3
NO.OF BEDROOMS
OWNER & ,( • M
PERMIT DATE: q J-7/ �" COMPLIANCE DATE:
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 ea
Lew�� a
f Town of Barnstable
TME' ,.o Inspectional Services
Public Health Division
sra"
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-8624644 Fax: 508-790-6304
Installer&Designer Certification Form
Date: �L Sewage Permit# 240V- t- Assessor's Map\Parcel�S
Designer: �A� l Installer: s ft.,
Address: Address: — -�y N
On AA �7 �@�-`�- L ��v was.issued a permit to install a
( a e) (' staller)
septic system at l based on a design drawn by
(address)
"'Sr dated .. Z -&b ?�Z
(designer)
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.
Ipertify that the system reference&above was constructed in compliance with the terms of
e prow left` s ffippplicable) .
(Ins
taller's Signature)
Q
(Des n 's Si nature (AffixDeszgner'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`RE -EIVEI BY-THE BARNSTABLE PUBLIC HEALTH DIVISION.
fiHANK YOU.
WdAdeptAHEALTMSEWER connect\SEPT[COesignerCertification Fonn Rev&1A-13.DOC
a
a
's
Studio Unit 2 Bth w/d
Studio 0
B 3 B t h U in Street
Ma 342 # Kitchen Unit 1 Main Street Ana
Parcel 001 #2 al Bth
0
Livin Bed South Street o
#1 `- � Hospital 0
Living EKt Unit 3 *Locus
1 st Floor
S 76'02'30" E 115.50' 2nd Floor N.T,S w'Olow st,ee m
- N.T.S Hyannis
Top Conc Inner Horbor�
TBM EL = 13.0
I elec Deck
— �
_N HYANNIS, MA
0 —�j I I a SITE LOCUS
/ FL?HE i ,] NOT TO SCALE
' 7FHouse #130 I Deck os {
m `� Deck ( 3 Unit Bldg.above 14_922:5' � 12'=10� vent ,f�do. i
oo Porch` 2 Sty w/f 20 Mi k} " -`"� SANI TR\
Structure Dec } 10.5' TA '
3 3 I Tof El = 16.7 , • k 10' Min 1.) Assessors Map 326 Parcel 108
Conc k k�o 2.) Bk 19920 Pg 320
1 �YbB / k I 3.) PI Bk 171 Pg 71
1 14 \�°�-- i� <b i k�'I 4.) This property is not in the
TP i exec STD N Map 342 Water Protection District
, � p • �1 Parcel 001 5.) This property is in Flood Zone X
Lot 27 k }
\\ _ 0 k I and Flood Zone AE EL = 11
0'1 i ,787f Sq. Ft. SAS Firm Map 25001 CO566J 7/16/14
See 10
Approx. ems, rn efec Note #19
Top of ,ti ' Proposed Sewage Disposal System
Coastal Bank / P #2 - I �Q�.
130 Lewis Bay Road Hyannis, MA
of Coosral bank /
12 elec Gravel Prepared by:
\ �\ooa I D/1N Prepared for: All Cape Septic and Survey
618 Route 28
BBSS Realty LLC
� Y
Sg 32 Lovers Lane West Yarmouth, MA 02673
0l. 0 _ _LAI
}` '62' Souhborough, MA (508) 771-4200
rl0) -� 5��19, allcapeseptic@gmail.com
�
/7i4 e�p April 2, 2022 Sheet 1 of 2 By. MA Check: SM Dwg. #427
NOTE: `� GRAPHIC SCALE
LOCATION OF UTILITIES IS APPROXIMATE AND ALL \
UNDERGROUND AND OVERHEAD UTILITIES MUST BE 20 0 10 20 +o 80
DETERMINED IN THE FIELD PRIOR TO COMMENCEMENT
OF ANY WORK, THIS INCLUDES, BUT NOT LIMITED TO,
REQUESTS TO DIGSAFE, ANY PRIVATE UTILITY COMPANIES
AND THE LOCAL WATER DEPARTMENT. ( IN FEET )
1 inch = 20 ft.
EL=16.7:t RAISE. MIN..20" DIAMETER COVER RAISE MIN. 20" DIAMETER COVER Vent
TO WITHIN 6" OF FINISH GRADE TO WITHIN 6" OF FINISH GRADE Minimum 18"within
6gr o5t,iron toyer Minimum 20" diathin 6er cast iron cover
raised(too ushnoted)o Timsh grade raised(to within 6 of finish grade
or as noted
14.ot• 13.0f 13:0t EL=12.0t
11.3t
0
n
10.9t GEOTEXTILE
12.6t '
M 9,5 FABRIC
Existing
G M
9.9 t
10.2t Existing U
Existing
GAS BAFFLE 9.75t t 9.5f 9.27 9.1 +, 3/4" to
9.0 iy! 1-1/2" STONE
(Double wash)
GAS BAFFLE DB-3 H-20
77-EXISTING D-BOX 7.0 THRUEJCONCRETE3LEA�H CHAMBERS WITHE4AOF 7.0
1,500 GALLON ---5't -� 1,500 GALLON STONE ON ENDS AND 4.0.' ON SIDES
CONSTRUCTION NOTES SEPTIC TANK SEPTIC TANK ;-- 2o't--- --1o't --� LEACH CHAMBERS 5.0'
(To Remain) (END VIEW)
1.)ALL WORK SHALL CONFORM TO THE STATE ENVIRONMENTAL CODE', TITLE 5 (3tO CMR 15.000): FLOW PROFILE
STANDARD REQUIREMENTS FOR THE SITING, CONSTRUCTION, INSPECTION. UPGRADE, AND
EXPANSION OF ON-SITE SEWAGE TREATMENT AND DISPOSAL SYSTEMS.AND FOR THE TRANSPORT NOT TO SCALE
AND DISPOSAL OF SEPTAGE, AND THE LOCAL BOARD OF HEALTH REGULATIONS. EL= 2.0 Bottom Test Hole
2.) ANY SEPTIC SYSTEM COMPONENT INSTALLED IN A LOCATION WHERE THERE IS POTENTIAL FOR
IT SHALL BE DESIGNED TO WITHSTAND AN H-20
LVEHIES OR HEAVY EIPMENT TO OADING. IF UNDER AN IMPERVIOUSPSURFACEASS RSYSTEM SHALL 13EE VENTED TO THE ATMOSPHERE. Test Hole 1 (EL=14.0f) TEST HOLE LOGS SYSTEM DESIGN CALCULATIONS
MECHANICALLYE UNEVEN COMPACTED SETTLING.ON SXCI TANKS AND.D-BOX NCHES OF CRUSHED SMALL BE INSTALLED ON A STABLE Depth Elev. Layer Soil Class Soil Color SEWAGE DESIGN FLOW: THREE UNITS WITH TWO-ONE BEDROOM UNITS
AND ONE STUDIO BEDROOM UNITi TOTAL BEDROOMS = THREE (3)
4.) COVERS OVER THE INLET AND OUTLET'TEES OF THE SEPTIC TANK, THE DISTRIBUTION BOX, AND
THE SOIL ABSORPTION SYSTEM SHALL BE RAISED TO WITHIN 6' OF FINAL GRADE. LEACHING 0"-12" 13.0 0 Loom SEWAGE DESIGN. FLOW: THREE BEDROOMS 0 110 GPD/BEDROOM = 330 GPD
FIELDS, TRENCHES, AND.OTHER SOIL ABSORPTION SYSTEMS WITHOUT ACCESS MANHOLES SHALL
HAVE AT LEAST ONE (1) INSPECTION PORT CONSISTING OF PERFORATED 4' PVC PIPE PLACED (MINIMUM DESIGN REQUIRED 330 GPD)
VERTICALLY.
F THE SOIL
FINAL GRADE SYSTEM WITH A CAP, TIED NTH MAGNETIC 12"-30" 11.5 B Loamy Sand 10YR5/6
MARKING TAPE, ACCESSIBLE O WITHIN 3" OF SEWAGE DESIGN FLOW PROVIDED: THREE (3), :R-20 500 GALLON CHAMBERS
5.)PIPING SHALL CONSIST OF 4" SCHEDULE 40 PVC OR EQUIVALENT. PIPE SHALL BE LAID ON A Sand C1 Medium Coarse 2.5YR6 6 WITH 4.0' STONE ON THE ENDS AND 4.0' STONE ON THE SIDES
MINIMUM CONTINUOUS GRADE OF NOT LESS THAN 2%FROM THE BUILDING TO THE SEPTIC TANK, 30'-80" 7.3
/
AND NOT LESS THAN 1%'OTHERWISE. _ Vt = [(33.5 x 12.83) + 2(33.5 + 12.83) (2) x .74 = 455 GPD PROVIDED
TR18U TER SCHEDUL ao 80"-120" 4_0 C2 Medium Sand 2.SYR6/4 455 GPD PROVIDED > 330 GPD REQUIRED
PVC ( E UNLESS OTHERWISE NOTED. LINES SHALL BE CAPPED
i ENDER As NOTED. MULLTI FAMILY - SEPTIC TANK REQUIRED: TWO SEPTIC TANK MINIMUM
7.)LINES FROM THE DISTRIBUTION BOX TO BE LEVEL FOR THE FIRST TWO (2) FEET BEFORE
PITCHING TO THE SOIL ABSORPTION SYSTEM. DISTRIBUTION Box SHALL BE WATER TESTED TO SEPTIC TANK CAPACITY REQUIRED: 330 GPD X 200 = 660 (MINIMUM)
ASSURE EVEN DISTRIBUTION. Test Hole 2 (EL=12.0t) SEPTIC TANK CAPACITY PROVIDED: 1,500 GALLON SEPTIC TANK (EXISTING)
8.)GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR LEAVE ALL CONCRETE STRUCTURES
IN ORDER TO PROVIDE A WATERTIGHT SEAL.
9.)HEAVY EQUIPMENT SHALL NOT BE ALLOWED.TO OPERATE OVER THE LIMITS OF THE SEWAGE Depth Elev. Layer Soil Class Soil Color SEPTIC TANK CAPACITY PROVIDED: 1,500 GALLON SEPTIC TANK (PROPOSED)
DISPOSAL FIELD DURING THE COURSE of CONSTRUCTION OF THE SYSTEM. A GARBAGE DISPOSAL IS NOT PERMITTED WITH THIS DESIGN FLOW
10.) IN ACCORDANCE WITH 310 CMR 15.221,.ALL SYSTEM COMPONENTS SHALL BE MARKED WITH 0"-12" 11.0 0 Loom
MAGNETIC MARKING TAPE.
11.) THERE ARE NO KNOWN WELLS OR WETLANDS WITHIN ISO' OF THE PROPOSED SOIL ABSORPTION SYSTEM. 12"-30" 9.5 B Loamy Sand 10YR5/6
12.) ON FROM THE DATE OF THE INSTALLATION OF THE SOIL ABSORPTION SYSTEM"UNTIL RECEIPT OF Proposed Sewage Disposal System
THE CERTIFICATE OF COMPLIANCE,THE PERIMETER SHALL BE STAKED AND FLAGGED TO PREVENT C1 Medium Coarse 2,5YR6/6
USE OF THE AREA THAT MAY CAUSE DAMAGE TO THE SYSTEM. 30"-80" 5.3 Sand 130 Lewis Bay Road Hyannis n n i s MA
13.) THE DESIGNER WILL NOT BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UNLESS jt{OF MqSsq�
y 1
CONSTRUCTED AS SHOWN80"-120" 2.0 C2 Mediurn .Sand 2.5 /
ON PLAN. ANY.CHANGES SHALL BE APPROVED IN WRITING BY THE ENGINEER. YR6 4
o� DA .D Z' Prepared for:
14•) THE BOARD OF HEALTH REQUIRES INSPECTION.OF ALL CONSTRUCTION BY AN AGENT OF THE s g cP
BOARD OF HEALTH AND THE DESIGNER THE DESIGNER SHALL CERTIFY IN WRITING THAT THE
SEWAGE DISPOSAL SYSTEM WAS INSTALLED IN ACCORDANCE WITH THE TERMS OF THE PERMIT ` k
AND THE APPROVED PLANS. 48 HOURS ADVANCE NOTICE IS REQUESTED. PERC TEST: 11179 (. FL H r2,Y, BBS-S R.eol ty LLC
15.) LOCATION OF UTIU71ES IS APPROXIMATE AND CONTRACTOR SHALL BE RESPONSIBLE FOR . 40 )?11
DETERMINING THE LOCATION OF ALL UNDERGROUND AND OVERHEAD UTILITIES PRIOR TO /
DATE OF TESTING: 11292005
/ 32 Lovers Lane
COMMENCEMENT OF ANY WORK. THIS INCLUDES, BUT IS NOT LIMITED TO, REQUESTS TO DIGSAFE. SOIL EVALUATOR: SULLIVAN ENGINEERING ` �oISTER Southborough, MA
ANY PRIVATE UTILITY COMPANIES, AND THE LOCAL WATER DEPARTMENT.
I ARE CONNECTED BY WATER TESTING WITNESS: DON DESMARAIS, BARNSTABLE HEALTH AGENT S"INITAR•P� g
16. CONTRACTOR SHALL VERIFY THAT ALL WASTEL NES
WITHIN THE DWELLING PRIOR TO INSTALLATION OF ANY SEPTIC COMPONENTS. PERCOLATION RATE: LESS THAN < 2 MIN/INCH ZZ. Prepared by:
17.) CONTRACTOR SHALL VERIFY EXISTING INVERT ELEVATIONS PRIOR TO INSTALLATION OF ANY PERC 036" (C Layer)
SEPTIC SYSTEM COMPONENTS.
18.) TEST HOLES COMPLETED PER STATE ENVIRONMENTAL CODE, TITLE 5. SOILS CAN BE NO' GROUNDWATER ENCOUNTERED III. Cape Septic .and Survey
VARIABLE AND TEST HOLE DATA IS NO GUARANTEE OF.SOIL CONDITIONS IN OTHER AREAS. IF NO MOTTLING ENCOUNTERED 618 Route 28
SOILS DIFFER FROM THOSE SHOWN IN THE SOILS LOGS, DESIGN ENGINEER IS TO INSPECT THE West Yarmouth, MA 02673
SOILS PRIOR TO PROCEEDING WITH INSTALLATION OF ANY SEPTIC COMPONENTS.
19.)EXISTING SEPTIC COMPONENTS TO BE LOCATED, PUMPED DRY. FILLED WITH CLEAN SAND AND (508) 771-4200
ABANDONED IN PLACE OR REMOVED AS REQUIRED. AREA TO BE COMPACTED TO MINIMIZE SETTLING. allco ese tiC moii.com
P P �9 Sheet 2 of 2
Date: 04/02/22 Project No. AC-427-2 #