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HomeMy WebLinkAbout1074 MAIN ST./RTE 6A(W.BARN.) - Health 4 1074 MAIN STREET (Rte 6A) 4 West Barnstable 178 - 010 o a o i Town of Ba rnstable P# C3 6 Department of Regulatory Services Public Health Division Date I hg, sr 3¢ tee$ 200 Main Street,Hyannis MA 02601 Date Scheduled �/ l 1 .' Time h f Fee Pd. i ,Foil Suitability Assess !'ent for � • e Disposal Performed By: D kRSYA , 14t ! Witnessed By: i LOCATION& GENERAL INFORMATION Location Address �� �� + Owner's Name �p H fVK-i N 5-r • n l J�,�—�2�,i N Address W u Assessor's Map/P4rcel: f 7S top o i Engineer's Nam{e/DAim,evi bl y, ,se-e- NEW CONS1RUtt;ION REPAIR �` Telephone# 6 Land Use !, Slopes(`Yo) ' 0•- b Surface Stones Distances from: Open Water Body 7 U0 ft Possible Wee Area ft Drinking Water Well 7/Qb ft i Drainage Way I 0 ft Property Linc 7/� ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) n t17 I . i t I Parent material(geologic) Qvf w&5�? i Depth to Bedrock Depth to GroundwaCdr. Standing Water in Hole:* IJ Weeping from Pit Face N Estimated Seasonal Vigh Groundwater DtTERMINA.TION FOR SEASONAL HIGH WATL+'R T"LE Method Used: Depth C b,served standinglin obs.hole: _ in. Drptn 10 Sall InOldes. � Depth to weeping from side of obs.hole: in, ©roundwater AdJueAmdent0roundwater Level.,,,,e. Index Well# _ Reading Date: Index Well levdlSol, PERCOLATION TEST . Date .� Ime- Observation Time fit 9" �t Time at 6" Depth of Pcre j 1 Time(9"-6") Start Pre-soak Time.@ End Pre-soak Rate MinJInch 4 Site Suitability Assessment Site Passed i[ Site Failed; Additional Testing Needed(YIN) Original:.Public health Division Observation Hole Data To B e Completed on Back ***If percolalibn test is to be condlacted within 100' of wetland,;you must first notify the Barnstable Conservation Division at least one (1) wedk prior to beginning. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other .Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel LOB 54�11e1 3lu F2Sa .� a !L fly 0 clv V LL i' r DEEP OBSERVATION HOLE LOG Hole# I-- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel) z► 3(0'' �(p B'✓ ,l 'l V A--M fit' l l q"- 6,fmoo SFrnhD 2 d Zl DEEP OBSERVATION HOLE LOG Hole# A114 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consist ency,%Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Sot cure Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders. Consisten Gravel) Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No Yes Within 100 year flood boundary No v Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist,in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring per ors material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Enviro 'mental Protection and that the above analysis was performed by me consistent with the required n /ex�perti�s and experience described in 3:10 CMR 15.017. Signature / Date Q:\SEPTIWERCFORM.DOC Town of Ba'nstable. P# /5 6 Department of Regulatory Services ' -7 L QL, Public Health Division Date `$' ` I 1639. tee$ 200 Main Street'.Hyannis MA 02601 - . Date Scheduled �` I cam— ' Time Fee Pd, i i I ,Soil Suitability Assessment for S e Disposal Performed By P ��� ;/ ' Witnessed By: `-' S I INF LOCATION & GENERAL ORMATION Location Address .i���/ �.' Owner's Name 60 h-C-� r `j !e'?'! �ti ST, W . � tJ -1k6 � rVAI Address W, Assessor's Map/Parcel: 17Z f oG c I Engineer's Name DA�P—e-l U1,u�� NEW CONSi-RUtON REPAIR �` Telephone* C6k 3 .(� 3,3�lI + - 0- Y' Surface Stones P�iV Land Use �/�� .l���/ Slopes(3'0) �. -7 2 Distances from: Open Water Body �� ft Possible Wet Area' rU ft Drinking Water Well 7�0 ft Drainage Way > /0 0 f[ Property Line ft Other ft SKETCH:(Street name,dimcnsiods'of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) i • I I a i Parent material(gedlogic) C �'►'�Ct5 Depth to Bedrock Depth to Groundwatdr. Standing Water in Hole: i Weeping from Ptt Face N Q Estimated Seasonal Righ Groundwater DtTERMINATION FOR SEASONAL HIGH WATER T"L F' Method Used: Depth observed standing in obs.hole: in. Depth i0 Sail Motdt s: In. Depth tolweeping from side of obs.hole: in. Oroundwnlei Ad)ue777r-77Am�entGrtluntlWttterLevpl. Index Well# Reading Date Index Well lev6I —� AEI•faett)f., i Tim PERCOLATION TEST . Date �1e � Observation i I Time at 9" Hole# i Time at 6" --- TOWN OF BARNSTABLE 7 LOCATION I.O`? �4 6 A SEWAGE# 2-Q` Z ' J -2 VILLAGE IAA 2 57 io Ay-/U . ASSESSOR'S MAP&PARCEL /78 —/0 INSTALLER'S NAME&PHONE NO. 6OUS�t Id (SAA r � �r�i V/141 SEPTIC TANK CAPACITY w 2-e®1-tQA,7,e.r, ,r— LEACHING FACILITY: (type) SA Nt'/eSS/Ch '► 2rS(size) 7.�v NO.OF BEDROOMS b OWNER �e I tL COLCII PERMIT DATE: 12- -✓.��'/ COMPLIANCE DATE: l 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 leachi ility) N A Feet A FURNISHED BY A 7- A 3/0`' 0 A 9 ,io 4 . P 5 /08 A b /4Z A 8 A 6 3 6 -Z 1/9 63103 g y /©7 7 0�8 61 e.?3 No. go l '"` r Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ftpliLation for deposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair Oc) Upgrade( ) Abandon( ) [/Complete System ❑Individual Components Location Address or Lot No: I G 7`f MA rA 5-7 ( i Iv A) Owner's Name,Address,and Tel.No. W B AWN C l't e Assessor's Map/Parcel /7 8� Q/ j AvmZ Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 3e USrrel� 1J'A-i�.t .t2!i/i LNG' (vta..&�t2rci.yon r tnc- use t,gSAYi.4_1/1A O2S. 3 kti= -clo �,ak 'I ( L=.Sµ'j -L Sv-Y .76Z25`27- Type of Building: `7 -3—eA,3 Dwelling No.of Bedrooms Lot Size 2'f u 4Cre 5 sq.ft. Garbage Grinder( ) Other Type of Building O iC r(t e No.of Persons Showers( ) Cafeteria( ) Other Fixtures I I � l I,A.�7 _c- U Design Flow(min.required) ZOO gpd Design flow provided (o .O 75 gpd r� Plan Date Number of sheets Z Revision Date Title Size of Septic Tank l d 0 Z c..o.^l eAv-+- Type of S.A.S. C:(n Av i(b.Q Description of Soil �� �0 I Ai Nature of Repairs or Alterations(Answer when applicable) t� ,� (A z. F r (-e L e 5 f 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 I ZZ- Application Approved by Date f Application Disapproved by Date for the following reasons Permit No. O U �""�� Date Issued 1.9-- f ` t L No. O y.� Fee �� 1 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS- Yes Application for -Mispo!W-*pstrm Construction Permit P. ,. Application for a Permit to Construct( ) Repair(,>4 Upgrade( ) Abandon( ) [/Complete System ❑Individual Components Location Address or Lot No. 16-7L f M,4(A S-T Owner's Name,Address,and Tel.No. W BAA Cah-ev, Assessor's Map/Parcel 17 8 1 O S A ry 0- li'� Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 3ouSr-(2 /d 54 A,u !'e"I/- 5-,ve- LLte a.s0V1 S, InC- I Rox taS IAlid- A o251- 3 �Ot`F 2.0i0 V C1 C, SA,d SbL� 3(.2- 2,72 Z _ Type of Building: q - /3 ' U Dwelling No.of Bedrooms N�-" Lot Size Z��O t)C ve S sq.ft. Garbage Grinder( ) Other Type of Building Q F r(c e No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) Z UO gpd Design flow provided n 5 c gpd Plan Date ( i - 2--1 L Number of sheets Z Revision Date Title A Size of Sept Tank 5 OU z �­o M PAif_ Type of S.A.S. Description of Soil S-e-e. ,A(A-,l I j { Nature of Repairs or Alterations(Answer when applicable) r4 .p (A C-e- r A i 1 o i C-e ST go n 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 ' (2 -1 Z• Application Approved by _ c' Date /ZIA - /I-- Application Disapproved by Date for the following reasons Permit No. �U �- 3cf Date Issued THE COMMONWEALTH OF MASSACHUSETTS t� BARNSTABLE,MASSACHUSETTS Certificate of Compliance r THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(X) Upgraded( ) Abandoned( )by �.. 0 us A, e �Q✓t r � /i�e ��"/u�C e �/Vj C at (� 2 f A �/h A S i t L J , &4 r N has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.ay �-dated /a f 3 r Installer ( SAS 4 el V. NC Designer 2 t-4 ✓ d < nyc ,c #bedrooms p ff F r c k Approved design flo t'p(0Ggpd J �� S71' The issuance of this permit shall not be construed as a guarantee that the system wi 1 f�uncTi I'as designej. n( C[��. p 2 Date Cl ( Ins ector C/ t 4 ?_ i %(� J per / _ I , ! �v - --------- --_- -- .- - -- --- .-------- - No. 31 Fee 6 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair(x) \ Upgrade( ) Abandon( ) System located at I t� y 1�( (v A M A r S'i 1 W- t�4✓ru LkA2 i 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 -1 % 1 y Approved by JAN/30/2013/WEII 03:03 FM Sandwich"FownOffices FAX No. 1 5C8 833 OC18 P. 001/031 Town of Barnstable Regulatory Services �un�snstas, Thomas F. Geller,Director � srr�9. Public Health Division A T L• R1 Thomas McKean, Director 200 Main Street, Dyaraais,tila 02601 Ogee: 505-362-4644 Fax: 503-790-6304 Installer& Desl ner Certi -cation)vorm Date: 0 l3 b < 5 betivaoe 1?erxnl Assessor's Pvllaff areel I 010 Designer: MN(! S-MN � Installer: `S �,C� Address: _ ,Address: was issued a permit to install a (date) (installer) septic systerAl at 10714 Ajam 6, based Oa a design drawn b,, (address) kiaAated I 1 27 A a.. (desiant:r) 1 certify that the septic system,referenced above was installed substantially according to the design, which magv include minor approved changes such as latez-al relocation distribution, box andlor septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or anv vertical relocation o`any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certit:�ed as-bu t by designer to follow. OF Mgs�gc+ DA E Q (Installer s Signature) 1 � N p RfClsi � (Designer's Signature) (Affix Designer's Stamp Mere) PLEASE RETURY TO BARtABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF C0;4IPLLA�tNCE 1V1LL NOT BE ISSUED UNTII, BOTH THIS FORM AND AS.gUI,LT CARD ARE RECEIVED BY THE BARINS'TABLI; PUBLIC HEALTH DIVISION- THANK YOU, Q:HeaithiSeptic'Deaigner Certification Farm 3-26- 41doc r NOTE: :TO PREVENT BREAKOUT, THE PROPOSED NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS FINISH GRADE SHALL NOT BE < EL:47.74 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. 111.0.F. EL.=34.70 INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL A 4" DIAMETER INSPECTION PORT OVER 14" OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE ONE CHAMBER (MIN.) AND SET TO 3" OF F.G. INSTALLED F.G. EL.=33.5f F.G. EL.=32.8t F.G. EL: 32.8t F.G. EL: 32.80(MAX.) I 'LENGTH OF M9ssq y s" MIN COVER/ y 9.45" 7 0� DARR I L = 20't 36" MAX COVER L = 60' L = 15'(MAX) INSTALL TWO INSPECTION PORTS (MIN.) OE 14 c 0 S=1% (MIN.) 0 S=I% (MIN.) 0 S=I% (MIN.) 12.37" 4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC �f 10- GIStE 6" 10.75" TO INV.=31.00 48"11OUID 14" INVERT SANITA?1 LEVEL INV.= 30.75 INV.= 29.65 COUPLER DETAIL GAS BAFFLE 5009 PROPOSED 6 ROWS: OF 6 UNITS ® 5'/UNIT + 1 COUPLERS 0 1.16'/UNIT = 31.16'/ROW 1,000g comp comp --80 INV.=29.80 INV.=30.0 p6-s SOIL ABSORPTION SYSTEM (PROFILE) PROPOSED 2-COMP 1,500 GALLON SEPTIC TANK RESTORE VEGETATIVE COVER EXISTING SEWER OUTLET 1 BACKFILL WITH CLEAN PERC SAND TO TOP OF CHAMBERS 60" NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR TO CONSTRUCTION - BREAKOUT=TOP ELEV.=30.11 2) TANK AND D-BOX SHALL BE SET LEVEL AND INV. ELEV.= 29.65 TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN BOTTOM ELEV.= 28.78 EXISTING SUITABLE 310 CMR 15.221(2) 2.88' MATERIAL I M1 3) INSTALL INLET & OUTLET TEES W/ 5' MIN. ABOVE BOTTOM OF GAS BAFFLE AS REQUIRED T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH = 6 x 2.88' = 17.28' (9.53' PROVIDED) USE 6 ROWS OF 6-ADS ARC 36HC 4) INSTALLER MAY SUBSTITUTE A POLY TANK IF NEEDED, ADJ. GROUNDWATER EL.=19.25 (H20) UNITS - NO STONE W/ 1 COUPLERS TANK MUST MEET 310 CMR 15.226 (2)(b) REQUIREMENTS. IN EACH ROW SEPTIC SYSTEM PROFILE TYPICAL SECTION • N.T.S. 16" N.T.S. DESIGN CRITERIA SOIL LOG P#:13697 DATE: DULY 18, 2012 "CL 1 • OFFICE (SQ. FT.): 860 SQ. FT. OF OFFICE AREA SOIL EVALUATOR: DARREN M. MEYER, R.S., CSE #1614 SECTION 10.75' INVERT SOIL TEXTURAL CLASS: CLASS I DESIGN PERCOLATION RATE: <2 MIN/IN WITNESS: DONALD DESMARAIS, BARNSTABLE BOH HEIGHT END CAP DAILY FLOW: 75 GPD/1,000 SQ. FT. X 860 SQ. FT. = 64.5 GPD (USE 200GPD min .TP- 1 Depth Elev. Elev. TP-2 Depth ADS - ARC 36HC CHAMBER H2O LOAD) GARBAGE GRINDER: NO (NOT DESIGNED FOR GARBAGE GRINDER) 33.00 0" 32.75 O' A LOAMY SAND LOAMY SAND SEPTIC TANK: 200 gpd x 200% = 400 GPD 32,00 10YR 3/2 12", 10YR 3/2 MODEL ARC 36HC **USE 2-COMPARTMENT 1,000/500 TANK (meets commercial tank requirement) B LOAMY SAND 31.75 B LOAMY SAND 12" LENGTH 63" 10YR 6/4 10YR 6/4 NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT k DISTRIBUTION BOX: 6 OUTLETS (MINIMUM) 30.00 36"' 29.75 36" EFFECTIVE LENGTH 60" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. LEACHING AREA REQUIRED: (200)/0.74 = 270.27 S.F. PERC ® 28.00 SAND SAND SIDE WALL HEIGHT 10.75 PRIMARY S.A.S. 26.00 C2 2.5Y 7/3 9.6 25.75 2.5Y 7/3 96" OVERALL HEIGHT 16"C2 OVERALL WIDTH 34.5" 4640 TRUEMAN BLVD USE 6 ROWS OF 6 - ADS ARCHC 3616 H2O UNITS-NO STONE SILT LOAM SILT LOAM 10.7 CFgooseHILLIARD, OHIO 4302E AND EXTENDED 1 .16' W/ COUPLER IN EACH ROW 23 50 C3 1OYR 5/6 114" 23.25 C3 80.0 GAL ADVANCED DRAINAGE SYSTEMS, INC.1OYR 5/6 114" CAPACITY BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.80 SF/LF OF CHAMBER) MEDIUM MEDIUM P R 0 P 0 S E D SEPTIC SYSTEM/SITE PLAN (CHAMBERS: 6/ROW)36 UNITS x 5.0 LF x 4.80 SF/LF = 864.00 SF SAND SAND (COUPLER: 1/ROW) 6 UNITS x 1.16 LF x 4.80 SF/LF = 33.40 SF 19.50 2.5Y 7/3 162„ 2.5Y 7/3 162„ 19.25 1074 ROUTE 6A, W. BARNSTABLE, MA TOTAL AREA = 897.40 SF PERC RATE <2 MIN/IN. ('Cl" HORIZON) Prepared for: Bousfield DESIGN FLOW PROVIDED: 0.74GPD/SF(897.40SF) = 664.07 GPD > 200 GPD req'd NO GROUNDWATER OBSERVED I Engineering by: Surveying by: SCALE DRAWN Meyer&Sons,Inc. A4facDougell Survey NTS D.M.M. • I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 pO BOX 981 (508) 419-1086 to conduct soil evaluations and that the above analysis has been performed by me consistent with the E4STSANDWICH,MA02537 DATE: CHECKED SHEET NO. requirements of 310 CMR 15.017. 1 further certify that f have passed the soil Evol. Exam in October, 1999. 508-362-2922 1 1/27/1 2 D.M.M. 2 Of 2