HomeMy WebLinkAbout0084 GROVE STREET - Health (2) r, ✓ 2 S%r-e e I
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TOWN OF BARNSTABLE
LOCATION SLI CroyC S+ SEWAGE#ZOZZ 051
VILLAGE ASSESSOR'S MAP&PARCEL 310
INSTALLER'S NAME&PHONE NO. EX Q3.0,k-)
SEPTIC TANK CAPACITY /000
LEACHING FACILITY: (type) Soo I Qg- y-) (size) 13 X y Zy Z
NO.OF BEDROOMS / Ll I _
OWNER .DEAL,)
PERMIT DATE: Z- In- 2 Z COMPLIANCE DATE: 3- 2 2- Z Z-
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
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No. f Fee too
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:—�
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Y.
Apphtation for Disposal 6pstlem Construction Permit
Application for a Permit to Construct( ) Repair Q() Upgrade( ) Abandon( ) ❑Complete System ®Individual Components
Location Address or Lot No. $y 6(oVt 'bkvmk , 94omi s Owner's Name,Address,and Tel.No. N(F DeAn
Assessor'sMap/Parcel -3Io I hot Lo+ Ito %q Grove SkteeE g4a� is LL
Installer's Name,Address,and Tel.No. (;Z Q f,X�0.va,�pn 1n(. Designer's Name,Address,and Tel.No.
Sod' 'A--V-US3 "Y1y Ro c. IV 5an&4%LV\ PO aoL 331 Nacu,nch Ma OZb+�S �W 94�1 11
Type of Building:
Dwelling No.of Bedrooms Lot Size 0•13 A(,(es�%sq-#t. Garbage Grinder(WO)
Other Type of Building 454"&4Z No.of Persons Showers( ) Cafeteria( )
Other Fixtures �
Design Flow(min.required) 440 gpd Design flow provided — gppd ,
Plan Date Z, 11A(ZZ Number of sheets 2 Revision Date
Title
Size of Septic Tank 'ix;S3ink 1000 aallm Type of S.A.S. 3- 5'00 Qa11 n C,)nArnbe. ,S Q
Description of Soil be4, pi ans
Nature of Repairs or Alterations(Answer when applicable) J(�S}o.1"w\ of ntw a-boy. QnA 3' SOC L1a11 An
H- -L0 0n0,mbecs (A)hr1 d\0 �o "iAkng 1000 %alkOr' koa&-
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 2_ IS 22
Application Approved by -C Date
Application Disapproved by Date
for the following reasons
Permit No. O�V �, Date Issued �� (-7 o+�
No. k 0 ✓ i Fee !0rJ
THE COMMONWEALTH OF MASSACHUSETTS Entered incompuier: Y s r
PUBLIC HEALTH DIVISION- TOWN OF BARNSTABLE, MASSACHUSETTS '
applitation for bisposal *pstrm Construction Permit �
•�' .. ma's
Application for a Permit to Construct( ) Repair()0 Upgrade( =) Abandon( ) ❑Complete System ❑X Individual Components
Location Address or Lot No. 94 -,b w? ��1 t e Q , Hk jwv•S Owner's Name,Address,and Tel.No. N i'F Dean
/,f^rn 0 `
Assessor's Map/Parcel 31(3 1 !to 2 Lob 1St� Cif FOVC {j�r c c� : c,r,n, �
Installer's Name,Address,and Tel.No. Q 113 F(,X c waE cn 1n. Designer's Name,Address,and Tel.No. �!r,he r}.k
Sod, u >r U�53 .J�`1 �GvEC i30 wi �Acs(v,c'h Mc, q.'j+ggq qqi,
Type of Building: t,
' Dwelling No.of Bedrooms Lot Size Q !3 A.yc;{%s €t. Garbage Grinder
� �1• g (Nb)
4 Other Type of Building , �„/' No.of Persons Showers( ) Cafeteria( )
1 { Other Fixtures
�4; •'y Design Flow(min.required) U gpd Design flow provided .{00 gpd
Plan Date 2 Iq Z Number of sheets Revision Date
- 6
Title `
Size of Septic Tank 5000 ac,��On Type of S.A.S. '3- 5 00 (jrMor•
Description of Soil `tee iJ�caE.>
E
t ..
•� Nature of Repairs orAlterations(Answer when applicable) II�S{e�llnl��., Ol °rle t,� �- 'r�uk G r,r+ ��' �nU l',1{{,-,
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
4
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. i +
Signed Date �—
Application Approved by � tr�^�, ' B. i .,' 5., Date ( �
Application Disapproved by V �Y Date v
for the following reasons
Permit No. G5kV Date Issued �" 1�1k
_ r t
--------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
~} Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( X) Upgraded( )
Abandoned( )by ,K,((��)(���r;n
r
at R(I h(oV( 5 6 C e has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.,30 te�C�° dated a) (7F a-.�.
y
Installer EK(C\\-icJ+,6 6( Designer F M a'+''wk 1, `t.nu,C 4ylf ni-o k
#bedrooms y Approved design flow A V/) gpd
c e The issuance of this petit shall not be construed as a guarantee that the system will function as de/s�igned. n
Date t ' Z Inspector
�/ = 6 L
No. i!�.>c " t..�",,7 ` Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal *pstem Construction Permit
Permission is hereby granted to Construct(' ) Repair( X) Upgrade( ) Abandon( )
System located at ��I f oy f- S f e e pk� (d:fti we-,
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 R I (, .,1 Approved by ';V /A"Vl
Town of Barnstable
�t"E i "o Inspectional Services
Public Health Division
BAtxsrast.s,
v$ 'b 4 ,�$ Thomas McKean, Director
A�fDMP'1�' 200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer& Designer Certification Form
Date: 3-23. ZZ Sewage Permit# Zo'Z'Z-051 Assessor's Map\Parce1310 - ILZ
Designer: F13:6crA s4. Env,raevsAA Installer: ExCv.yosll ion ;
Address: :RO Bo-A 33 I Address: LtJ
t-lar�►c 1r� V-o rc s-kA,,I c
On o� was issued a permit to install a
(date) (installer)
septic system at $4 6rou, S A based on a design drawn by
(address)
_D0.,je. FJo.`,ctr-ALt dated 2.1Lk-Z7_ Rcv 3- l.o- ZZ
(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 (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.
I certify that the system referenced above was constructed in;poom'Phance with the terms of
the RA approval letters(if applicable)
001f) oyGN
D.
FLAHERTY,JR. N
(I staller's Signat No. 1211
7 �Fq/STEp�o
�NITAR\.
(Designer's Signature) (Affix Designer'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 RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
\\toa\depts\HEALTMSEWER con necAS EHIODesigner Certification Fonn Rev&14.13.DOC
TOP OF FOUNDATION COVERS TO BE WATERTIGHT AND SEPTIC SYSTEM PROFILE
BROUGHT TO WITHIN 6" OF FINAL GRADE not to scale) Flaherty Environmental Services
EL. 58.0 EL. 56.0 INSP. PORT W I 3" OF GRADE CLEAN SAND P.O. Box 331
2" of I" to DOUBLE WASHED EL. 56.0' Harwich, MA 02645
4" CAST IRON or EQUIVALENT PEASTONE OR GEOTEXTILE 774.994.1166
MIN. PITCH 1/4" PER FOOT FILTER FABRIC
4"SCHEDULE 40 PVC PIPE 4" SCHEDULE 40 PVC PIPE
• VENT IF REQUIRED
• FLOW LINE (first 2'tobelevel)
:.'•: L. EXIST. 14" _f • ®�� 70.
°c
• —� 00000 ° Ooo .'�® ® �®
!EL. EL. —� 000 ° Oo ® c
0 0 0 *go:0 0 0
0 0 o 0 0 0 0 0
EL.53.03' o 0 0 0 0 0 RC .0
c2.0
L.53.2 EL.53.0' o°o°o°o°o°o°o°o° QD c-
0 0 0 0 0 0 0 0 •d' w C
GAS BAFFLE (H-20 D-BOX) o 0 0 0 0 0 0 0 o
0 EL,51.0' LOCAL UPGRADE APPROVAL:
. 'ty • 6"CRUSH D STONE ONE OR SOIL ABSORPTION SYSTEM MAXIMUM FEASIBLE COMPLIANCE-
•.•�Z'� „ e;...;.•��'�: 310 CMR 15.405(1)(b)
(4) 500 GALLON H-20 CHAMBERS SET BACK TO A FOUNDATION
MECHANICALLY COMPACTED
1000 GALLON SEPTIC TANK 6.0' FROM 20'TO 15'
(DATUM: ASSUMED) (EXISTING) 3„ WITH 4'STONE AROUND IN A
to I"' DOUBLE WASHED STONE
a 2 12.83'X 42.0'X 2' CONFIGURATION
BOTTOM OF TEST HOLE EL. 45.0' EL. 45.0
USGS ADJUSTMENT: N/A LOCATIONMAP
GROUNDWATER ELEV: N/A
N TH
L
N LOCUS 7a
LOT 16 56
co
0.13 ACRES± �C0
Charles St.
\ DRIVEWAY
NTS
EXISTING 15.
4 BR DAV
DWELLING `
p F t .,).
ca
EXIST. S.T. ANY• O"`. Z� ' '�'�
- ^ i�Q
5 T T -2 10.0' zz
BENCHMARK: g016, RE VI ED.•31 1 512 0 2 2
TOP OF FNDN
EL. 58.0' DATE:211412022 REVISED:311012022
LEGEND SZTE AND SEWAGE PLAN
FOR
-6 6- 6 b GAS LINE B&B EXCAVATION, INC./
-W W W W WATER LINE
a N/F DEAN
-E E E E E EXIST. ELECTRIC 84 GROVE STREET
99 EXIST. CONTOURS 1I _ HYANNZS MA
————— 99 PROP, CONTOURS SCALE : 1 - 3 0
woes .6z w es UNDERGROUND UTIL.
REF:LCP 10504-C PAGE 1 OF2
......................... ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... ................................................................................................................................................................................
GENERAL NOTES DESIGN CAL CULA TIONS SYSTEM' DETAIL Flaherty Environmental Services
16 P. 0 . Box 331
-
1. ALL PRECAST COMPONENTS TO BE H-1 0 Hafwich, MA 02645
RATED UNLESS OTHERWISE SPECIFIED. NUMBER OFACTUAL BEDROOMS 4 774.994- 1166
DISTRIBUTION BOX AND ANY
COMPONENTS WITH ANY ANTICIPATED GARBAGE DISPOSAL UNIT NO
VEHICULAR TRAFFIC TO BE H-20 RATED,
2. THE DESIGN OF THIS SYSTEM DOES NOT TOTAL ESTIMATED FL 0 W
ALLOW FOR THE USE OF A GA RBA GE (I 10 GA LIBRIDA Y X 4 BR) 440 GAL./DAY
3.
GRINDMUNICIPAL WATER IS AVAILABLE.ER.
REQUIRED SEPTIC TANK CAPACITY 880 GAL.
4. ALL CONSTRUCTION TO CONFORM WITH SIZE OF SEPTIC TANK 1000 GAL. (EXISTING)
310 CMR 15.000 AND ALL OTHER
APPLICABLE LOCAL, STATE AND FEDERAL SOIL CLASSIFICATION I
CODES AND REGULATIONS.
0 0 0 12,83'
5. INSTALLER/CONTRACTOR TO REVIEW& DESIGN PERCOLATION RATE <2 M/N.11NCH
VERIFY ALL ELEVATIONS AND DETAILS
AND REPORT ANY DISCREPANCIES TO EFFL LIEN T LOADING RATE 0.74 GA L.IDA YIF T2
DESIGNER PRIOR TO CONSTRUCTION OR
LEACHING AREA
ASSUME ALL RESPONSIBILITY
(2)x(42.0'+ 12.83)(2) =219 SF
6. INSTALLER/CONTRACTOR IS 42.0'x 12.83' =539 SF 42.0'
RESPONSIBLE FOR MAINTAINING SAFE
758 SF x 0.74 =560 GPD
WORK AREA, VERIFYING ALL UTILITIES
AND NOTIFYING "DIG SAFE" USE(4)500 GALLON H-20 CHAMBERS WITH 4'STONE
(1-888-344-7233) 72 HOURS PRIOR TO IN A 12.83'X 42.O'CONFIGURA TION A S DIAGRAMMED
CONSTRUCTION.
7. ANY CHANGES TO OR DEVIATIONS FROM
RESERVE LEACHING CAPACITY NIA
THIS PLAN MUST BE APPROVED IN
WRITING BY FLAHERTY ENVIRONMENTAL
SERVICES AND LOCAL BOARD OF HEALTH.
8. FINISH COVER OVER COMPONENTS IS
NOT TO EXCEED 3'PER 310 CMR 15.000
(NTS)
UNLESS SHOWN PER PLAN.
9. ALL ABANDONED SEPTIC SYSTEM
COMPONENTS TO BE PUMPED DRY AND
FILLED WITH CLEAN SAND OR REMOVED SOIL EVALUATION
AND REPLACED WITH CLEAN SAND.
TEST HOLE#1 PERC22-004 TEST HOLE#2 PERC22-004 OF ASS
10.ALL COMPONENTS TO BE PROVIDED Evaluator- David D.Flaherty Jr.,RS,REHS Evaluator- David D.Flaherty Jr,RS,REHS
WITH WATERTIGHT ACCESS PORTS SE#2755 SE#2755
BOH Witness: Mr.Don Desmarais,RS BOH Witness: Mr.Don Desmarais,RS
WITHIN 6" OF FINISH GRADE. Date: January 4,2022 Date: January 4,2022
11,ALL SEPTIC TANKS, DISTRIBUTION F
BOXES AND PIPING TO BE INSTALLED
TH-1 ELEV.56.0' TH-2 ELEV.56.0'
WATERTIGHT
a/STrr
�.-9
12.NO KNOWN WETLANDS OR WELLS 0 FILL FILL
S'�NI7AR1
WITHIN 150 FEET OF PROPOSED
9"-13" A LS 10YR 312 9 13" A LS 10YR 312
LEACHING.
13.THIS IS NOT A CERTIFIED PLOT PLAN
13"-31" 8 LS I0YR516 13"-31" B LS IOYR516
AND UNDER NO CIRCUMSTANCES IS THIS
PLAN TO BE USED FOR ZONING OR
7 certify that on November 12,2002,1 have passed
SITE AND SEWAGE PLAN
BUILDING PURPOSES, the examination approved by the Department of
F FOR
14.LOT IS SHOWN AS ASSESSOR'S MAP 310 per at 54" Environmental Protection and that the above analysis/ c
has been performed by me consislant with the
LOT 162 8 & B EXCAVATION, INC./
required training,expertise,and experience described
31"-132" C MFS 2.5Y614 31 120" C MS 2.5 Y 614
15.LOCUS PROPERTY IS NOT LOCATED in 310 CMR 15.018(2). NIF DEAN
WITHIN AN AQUIFER PROTECTION 84 GROVE STREET
DISTRICT(ZONE II).
HYANNZS, MA
G.W.ELEV.NIA G.W.ELEV.NIA
BOTTOM TH-1ELEV 45.0'1 BOTTOM TH-2 ELEELEV. REV DATE:311512022 46.0'1
REV DATE:311012022
PAGE 20F2 DATE.-211412022
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