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HomeMy WebLinkAbout0126 BRAGG'S LANE - Health (2) 71A .SaI# Rack Road rnstable = 317 053 0 o t .. o e ! f. r No. LvLJ L— Fe THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIpprication for Migonl *pztem Construction Permit . Application for a Permit to Construct( . )Repair( �Upgrade( )Abandon( ) omplete System ❑Individual Components Location Address or Lot No. // Owner's� Name>Add ss and Tel.No.A2STnb � �°�2d/ gd�✓�/z Asse 3sor's Map/Parcel Pa`k Installer's Name,Address,and Tel.No. J Designer's Name,Address and Tel.No. AQ�,ti row s? to CAV"� 5.49a J j-0 P -.35,F -F3 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow _13 0 gallons per day. Calculated daily flow -3 S—-Z gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when ap licablee) s � J3 oX 0 5 Gib �g -. /,2 .3 SA ,vim" Date last inspected: t 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 and not to place the system in operation until a Certifi- cate of Compliance has been issue s Board off_ / Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. 7,002- P Date Issued t0 1 b D v i. . . No. �w 2" D � � ,p 3 Fee_ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: T Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Zfpprication for �Digoogl *pztem Con6truction Permit Application for a Permit to Construct( )Repair Grade( )Abandon( ) CIJ' omplete System, ❑Individual Components Location Address or Lot No. Owner's Namey Address and Tel.No. `f, f.... Assessor's Ma �el ©' Sa®t 1�0� � lid!• � iy Installer's Name,Address;and Tel.No. Ji Designer's Name,Address and Tel.No. : Type of Building: Dwelling No.of Bedrooms Lot Size >- fsq'ft(' Garbage Grinder Other Type of Building S No.of Persons Showers( ) Cafeteria( ) t Other Fixtures _ Design Flow to gallons per day. Calculated,daily flow 3 s gallons. Plan Date Number of sheets '� _� Revision Date " —� ' Title Size of Septic Tank.- Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) S c' d S 01 � S v0 ��� ST4 14-20"`�e., 64k n Date last inspected: . y 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 •d -and not to place the system in operation until a Certifi- 1 cate of Compliance has been issued by, 1s Boardofof H`ea Signed �.% Date 11P �d Application Approved by Date ` Application Disapproved for the following reasons z x • �� -f Permit No. �d 2` L; Date Issued t 0 16 D y N r y� THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by 40 " / e;�; 5 7' at lc�- 1 2/2,/ 02 ,v" has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 2"2-- �4 dated alb/d'Z- Installer 1'9/Z Designer ,'�__4 The issuance of this permit shall of be construed as a guarantee that the syy9tt-em"'wi�ll function asiidesignedyll �~ o Date �� 11 7[ C Inspector t C/ No. 2" T Fee SU THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS ligpozar 6potem Construction Permit Permission is hereby granted to ConstructA )Repair( )Upgrade( AbNdon( ) System located at r-� 7- L A t y S •Z,- 1et;y and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construc ion ust be completed within three years of the date of this p it Date: t(0 Approved by I TOWN OF BARNSTABLE 'C® LOCATION �'� ��� SSS SEWAGE ��� VII,LAGE 2 "� 5� ASSESSOR'S MAP & LOT _ INSTALLER'S NAME&PHONE NO SEPTIC TANK CAPACITY LEACHING FACILITY: (type.) (size) X ! ^X NO.OF BEDROOMS BUILDER OR OWNBUILDER COMPLIANCE DATE: PERMITDATE: Separation Distance Between the: Feet Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) I Furnished by i / v �/IL7 0 .( � IVk; � �D 141 °F,►,E r,�,y� Town of Barnstable f P# bI a �6 Department of Regulatory Services H"rMAQQ `� ' Public Health Division Date '°rfo �► 200 Main Street,Hyannis MA 02601 Date S6heduled Time Fee,Pd. /UO Soil Suitability.Assessment for Sewage Disposal Performed By: C r S1 Cr-t Witnessed By:-.r�2 V10&1 4rtc�-.Z`o•�► �: = rY:;:'�c vK,.'s.. ..:,�:.,;iss.:wi s> ,..•?i s..fi,t a,c ,,..y !k a3:.r t lE;�' 1" - �.d .._yr pe r 33� ,+ N , rl y i 0, �ki�'�T.-a.L' m._.r . :.s°....i .s eRh« v _ !"ra..a'vEm.a4r�ir_.: LocationAddress /0 -sy �`k 1 Owner's Name �,d/ �,e�d rf l /D/ f Address ! Z, 6 'js"S Lay Assessor's Ma /Parcel: d� r"VV5VV Engineer's Name C4.gx ,S�vr p 31� -OS-3 a NEW CONSTRUCTION REPAIR � sT�elephone# �� 3 Land Use � e .1 /�� �7 &/ Slopes(%) Z /r Surface Stones Wa Distances from: Open Water Body 2 GtA ft IF-ossible Wet Area Z.CU ft Drinking Water Well ^/A ft Drainage Way !✓ ft Property Line e3 4z ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) / 97 v „ • 3 (! - M V 1 � ` .S'C Parent material(geologic) Depth to Bedrock Depth to Groundwater: Standing Water in Hole: /l.J O 7 C Weeping from Pit Face Estimated Seasonal High Groundwater a.-x-. ..-.._.. ,,.-. m...m,a,,.. .:''.v.i:_-,.u. _ • r,.r v �'a MyS�a. 4 v rr K i �' .& ..•An I sa s 3 y,p, {}-may k.1 x er " �i x,.s u4.,1e _ Method Used: Depth Observed standing in obs.'hole: in. Depth to soil mottles: in. _ Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_ k'xeLnh�2e!.:hir ( r�% ':%I.r, "`�}�i'''.sa•(�5y i n M'�I. a. , i1.y5.'�v°St •r(�[� ai,l?* L i 4yE x (s5`, �"i y3.. n ,� �. Is MIN,'!, :rLYirt � "� i rww'� e_��vMB�i'v� J�'er� v +w.o- .S� �, a1. tYkki« v . ..'N r Observation ` I sv. • ,�. ` Hole#. . Time at 9" Depth of Pe Time at 6" Start Pre-soak Time® S�''��"►� - Time(9"-6") End Pre-soak 'L I'✓j � �s Rate Min./Inch Z / Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back------- Q:HEALTH/WP/PERCFORM r:!.i.'s -eirr...i,;!':,r,,e.,!!:.,.,s. _ W:.,,F ...ea• °'3qr;F;` ..a.i,. i.,,w,.,yt y .�.I:rRTEw°!N 4��rdr ! `-�� ^�h1.�F'�t;rtk'!;[��N�Ral;jrrki} r !!•, >=. y� �' '!la•,e !1!d !!,hy !d�l;lr,.m:..: !.......t.. r...:.._.r,^4...: �;.,...w:' __�__. . Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistenc %Gravel o _ z L•m yJ •c/o 12--ES �i i s/j G t o /t�sJ e /o /Z t� -- J�1 r a Vc� Er 7 Z C / �,s , / L 4 es 77 •(3S a� 1 ., :. 2�, ,+�,3' •` :.rk E:.. ,al...�..c 1} i ,.+y ! :i:i. . u!:!S 5 t s 4ri; r `3`� ry a t ':' .n:"::y:;;:,'"!t .sj�'. 4 .�' !! ' r 5 f+ ,j�utLu,! !:u!..��efi' 6} 'r s;rr,! 4 ::.pll":1"v�i'Ii i'. i✓ '„,_ y I _ '1.!P 4' krc. Y y.Y� N!;�a,:Cr�N li ;..l(!(.I.. 4 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistency,%Gravel �,:.:,:,�:.�:,�.:•:�::: ..�:..;..:,�:,,...,, .,.. .v ,.r,a .. :.r...::... :.r....;!.z.:,.:.,....• v .;� .,L!iR3�. :��-• .5._ -.nb_ .::q=�:r=�'��.;:: +t5 xY }t ! n !r4 n }'ia• ! !.�4.i Fl s�drru�!IIVy M:ry'�yh W� r�� ?.�I;• �. i' ,.! JLJ 7� - ,'t •Sa ii,�!! �jr S +q I,'r ! ligw . �!,! „r.fi����6r6 r!.a`P'a dd.,.,. ?itwo.._.3+.•!F ....:.. 'r F:x F.:?¢.�."'..1�:,.VIR, "sc,�,?._.7_.."i� v_.k!x ..,.!iia!:..,' 1. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistency.%Gravel �U !!��::I!!•!f!'a..�! ' a;v :+� rMEMO` �� x ,��.� ; � q<� � e{{,,I!n;x % h� A d .S- t SfiL aFs!yI 4ati.+krt+d.uJF !�3,_uk R!!!1',va x'"k;xb� lt:r.'. 32A'dPi'Ed'i,"SO .itnsk�., tvLT•e�w,.�:��#�a.,....:i,..,v=�' .. •r�w�.�., 'ian..;k.:..�•,.z�_...,...5�. ::.r�:,.,..,.:.xf�r1'4i�> Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistency,%Gravel Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes-A- 4 Within 500 year boundary, No Yes Within 100 year flood boundary No 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? )''GS If not,what is the depth of naturally occurring pervious material? Certification I certify that on �J �.�(date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature Date Q:HEAJ TH/WP/PERCF .f B�i�iCHc 20 FT SOIL TEST TOP OF FOUNDATION . MINIMUM FROM CELLAR CE DATE OF SOIL TEST ELEv. a 100•00 10 FT. MINIMUM FROM SLAB OR CRAWL SPA 10 FT. MINIMUM CLEAN SAND SOIL TEST DONE BY (ASSUMED) CONCRETE WITNESSED BY DA=_5TAIHIQI�___`___ COVERS LOAM AND SEED OBSERVATION HOLE 1 ELEV.-_t00_ I 4" SCHEDULE 40 PVC PIPE C MIN. PITCH 1/8" PER FT. \ 4" PVC PIPE PERCOLATION RATE _<�_ MIN./iNCH AT _ -713 INCHES 2" LAYER PAINTED FLAT DARK LEGEND: 1/8" TO 1/22" GREEN OR BROWN DEPTH HORiZ TEXTURE COLOR MOTT. OTHER - 104.0 MAX. WASHED STONE WITH CARBON FILTER EXISTING SPOT ELEVATION 0010 4" CAST IRON PIPE - 102.0 MIIN. IS NOT REQUIRED EXISTING CONTOUR ----00---- 12 A LOAMY SAND 10YR5/2 NO ROOTS (OR EQUAL) MINIMUM FINAL SPOT ELEVATION . ! GRAVEL PITCH 1/4" PER FT.• \ ` 4.15(1 FINAL CONTOUR 45 B LOAMY SAND 10YR7/6 do COBLES 3' MAX'" ! SOIL TEST LOCATION F I EL 96.25 �•25 FLOW LINE _ ..__. UTILITY POLE O 72* Cl MEDIUM SAND 10YR8/6 ELEV. .�7_ 10" ❑ CD ❑ ❑ G El ❑ 0 [3TOWN WATER ✓v '•M��� i PLUMBING -TMIN. 2.0. ° ° ° CATCH BASIN ® : 138 C2 FINE SAND 2.5Y7/4 TO BE RAISED I ELEV. _ _ 57_ LEVEL ° ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ° ° ° i GAS LINE AND RE-PIPED BY 'c" SUMP d4 CLEAN OUT C•�•_ ELEV. _ _ �_ GAS ELEV. _ _ 95.81 ELEV. _ _ ° ❑ ❑ ❑ ❑ ❑ ❑ ClCl ❑ ❑ ❑ ° 2' ° LICENSED PLUMBO BAFFLE ° ° CESSPOOL C.P. O ,S NEEDED DISTRIBUTION ° ° ELEV. _ ° ° ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 93.50 LIQUID OUTLET BOX --law _. ° ° ° ° ° ELEV. DEPTH TEE ( ) TO BE PLACED ON FIRM BASE 2 500 GALLON DRYWELLS WITH 4 FEET 14 INCHES TO BE WATER TESTED STONE IN AN 6 FEET 24 INCHES 1500 GALLON IF MORE THAN ONE OUTLET WELL N A NO WATER ENCOUNTERED AT _ 11.5,_ ELEV. 7 FEET 29 INCHES (TO BE PLACED ON FIRM BASE) 13' X 25 X 2 _ TRENCH FORMATION I i 5' ZONE N/A_ 8 FEET 34 INCHES SEPTIC TANK 3/4" TO 1 1/2" CLEAN SOIL ABSORPTION------ INDEX __hV&__. DOUBLE WASHED STONE ADJUSThA__-- DESIGN CALCULATIONS FREE OF FINES do SILT , _ STEM SAS NUMBER OF BEDROOMS 3__ uSGS PROBABLE WATER TABLE ELEV. = _-R/A__- GARBAGE DISPOSAL UNIT YES TO BE RDIOVED SEWAGE DISPOSAL SYSTEM PROFILE OBSERVED WATER TABLE ( / / ) ELEV. _ -R/A-, TOTAL ESTIMATED FLOW NOT TO SCALE BOTTOM OF TEST HOLE ELEV. _$g.>`2_ ( 110 GAL/BR./DAY X __3 BR.) _33Q_ GAL./DAY REQUIRED SEPTIC TANK CAPACITY _ Q_ GAL. ACTUAL SIZE OF SEPTIC TANK _ GAL. SOIL CLASSIFICATION DESIGN PERCOLATION RATE < �`2 MIN./IN. it D J0.3,---. 'OC / % EFFLUENT LOADING RATE AJA_ GAL./DAY/S.F. / LEACHING AREA 477 SQ. FT. FOR TOP OF S.A.S. TO BE MORE THAN 3' BEL`w MAX GRADt. x 25A x 2) a 1.15' VARIANCE REQUESTED. LEACHING CAPACITY Y (AREA X RATE) _352 GAL./DAY 477 X 0.74 RESERVE LEACHING CAPACITY _; � GAL./DAY NOTES: 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. 1103-. 8 5 Ij TITLE 5 AND THE TOWN RULES AND REGULATIONS FOR THE SUBSURFACE j DISPOSAL OF SEWAGE. 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 6" OF FINISHED GRADE. 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 02 8 t /' \ \ \ 1� 13 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE Cr i J y \ USED UNDER OR WITHIN 10 FT OF DRIVES OR PARKING AREAS. Cb r �\ \ (-yg 4. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL i\ t BE MORTARED IN PLACE. ARE,[ SEPTIC \ ,_,�\ \��io \• �' 2 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH TANK C' \ 28,291 S.F. ��� '����� \ OBTAIN SUCH DETERMINATION'FROM APPROPRIATE'AUTHORITY 64 ACRECANT 1S TO C SEE NOTE �11 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR r IS TO CALL "DIG-SAFE" AT 1 -888-?44-7233 AT LEAST 72 HOURS �J ^ VENT PRIOR TO COMMENCING WORK ON SITE. 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION MIN JIS TO ' �'1•;�i, � �C .' BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER IMMEDIATELY. fit. 0 8. PARCEL IS IN FLOOD ZONE _c 53 38 2 9. LOT IS SHOWN ON ASSESSORS MAP _317- AS PARCEL _ 10. ALL UNSUITABLE MATERIAL SHALL BE REMOVED FROM UNDER, AND 5' FOR A MINIMUM OF 5 FEET FROM AROUND THE SOIL ABSORPTION SYSTEM, D.B. MIN C.O. AND BE REPLACED WITH SAND AS SPECIFIED IN 310 CMR 15.255: (3) �1 Y (I.E. TITLE 5) IF ENCOUNTERED BELOW S A.S. PIPE INVERT. i v , S.T. CATCH CONC. PAD �NU�'fgs,' 11. EXISTING SEPTIC SYSTEM TO BE PUMPED AND FILLED WITH SAND `\ 103.7 BASI • - 71N POOL a� q OR REMOVED W1 • y ROBIN Ex/S77NG C�'AiG y�4,_ `` DWELLING `;05 ZE SNORT , . , APPROVED: BOARD OF HEALTH �103 1 i m ✓ CIVIL "' ��GO N DECK k o. 27483 \ J� 100.5 n ------- --- - - 1a0.5 1�r � ��" LATE 02 I 1004 i _. PROPOSED SEPTIC DESIGN �a. 101.5 VEWAY FOR D� E /w CAROL SPOONS 1 \ CATCH _ _ � � � I 102.0 BASI n LO12g MUGGs T" aim 10 SALT ROCK ? � BARNSTABLE, MASS 1032 --- 103.`� OC 8 ( I E'S �1 G G..; 1 '� CRAIG R S4RT, P.L�' ' llaa \ • 235 GREAT WESTERN ROAD P. 0. BOX 1044 398-8311 SOUTH DENNIS, MASS. 02660 it 1 " = 2 0' 102 4 DAT U GU ST . 2002 SCALE i REVISED JOB NO 1-913 LOCATION MAP REVSED SHEET 1 OF 1 _ T 0 2002 CRAIG R. SHORT, P.E