HomeMy WebLinkAbout0283 BRAGG'S LANE - Health �ac.�S��..6 �e
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N S ICI E A
KEEPING YOU ORGANIZED
No.10334
2-153L
MADE IN USA
GET ORGANIZED AT SMEAD.COM
TOWN OF BARNSTABLE
LOCATION 1$3 SEWAGE# 107.k- Lk00
VILLAGE (�o,rns�able, ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. 6 t'� �Y C�.1a'E►e �11(.• 50$• 4��' OIpS3
SEPTIC TANK CAPACITY 1500 Aak\ons
LEACHING FACILITY- (type)(3) LL S005 (size) 11.0 x 33.5- x 2�
NO.OF BEDROOMS ,fL�t y
OWNER t�. mne, u acnOwA i
PERMIT DATE: 11-l- 2021 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) NA Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) NP1 Feet
FURNISHED BY
DoAft Out
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43. 44•b"
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No. (M.'/ VG/ Fee Q 1
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes.
01ppliLation for Misposar bpstem Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade Abandon( ) [ f Complete System ❑Individual Components
Location Address or Lot No.raj- �CO�Opg1 Lptwy Owner's Name,Address,and Tel.No.4,uau%&
Assessor's Map/Parcel Zq$ \ Aa+i'�'a~C 6 �V 2$3 (fit a o�o�s Ln. 1�)o-m Skablei
Installer's Name,Address,and Tel:No. rUMC W0*J On Designer's Name,Address,and Tel.No. F l ahe��v 4,nv�ro
�'9 R,ov�e• 13o So,r,dw:uh Sot.471.. 0613 PO Qox 331 -�Iq• OVkk- llbb
Type of Building: ;
Dwelling No.of Bedrooms Lot Size `.OZ Adis sq.ft. Garbage Grind er`(Wo)
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) y y O gpd Design flow provided y S y gpd
Plan Date—Oil Zlo j Zl Number of sheets Z. Revision Date
Title
Size of Septic Tank %500 Type of S.A.S. (s) S00 mkkon (,1 0,M)=K
Description of Soil Sae, plans
Nature of Repairs or Alterations(Answer when applicable) IM-10MOAi0n A New 1S d 0 Q r.X10n stp kiQ kMtN1V. ,
d-loot and SAS U 3- Soo Gallon
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 qka 17,1
Application Approved by in. Date
Application Disapproved by el Date
for the following reasons
Permit No. MRA 61,240 Date Issued �; ?�.•i �
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINAL (S)
m A
�-C&IL
DATA
Y g..
,a No. 9 01("' Fee 00—s n
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
application-for B s osaY pstein (Constrictionerrnif�
Application for a Per mit to Construct( ') Repair( ) Upgrade(lO Abandon( ) Co® mplete System ❑Individual Component,,
. Location Address or Lof No. - 'a 5 6 n 4 .. Owner's Name,Address,and Tel.No. ,ksc,
w; f !`
j Assessoslvlap/Parcel3
f
i Installer's Name,Address,and Tel No. eL x C allot t Designer's Name,Address,and Tel.No. #c'r1 a r 1 k n u t i c�
3r ��-�C �'.a•,,,1c. t�c) �ja„c1:..a,uH.A ��2•j4`�tl- C�t�53 �Ll {�joK `��1 �a�t>�,:.b, l��c;. �4-;i.y• ����` �Ibb
Type of Building:
Dwelling'.No.of Bedrooms Lot Size �.U�• /kits sq.ft. Garbage Grinder(No)
Other Type of Building No.of Persons Showers(' ) Cafeteria( )
Other Fixtures
Design Flow(min.required) Lj 4 0 gpd Design flow provided `J�` gpd
Plan Date q 2(A'l t Number of sheets 2• Revision Date J IA
Title -17
Type of S.A.S. " � Sac) C!,c koh f w „N(c An
Size of Septic Tank � 00
i —
Description of Soil . >P.e ;31no� 1! '
Nature of Repairs or Alterations(AnswerA,�hen applicable) �giS�citl �Fc)�n �tle�,} ^ � Or a,f.1(on rx,(A ';, kank, ,
k1 L cs
j J o V
. t
,
Date last inspected:
,x.
Agreement: k
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 Oil ZI I z
Application Approved by / ,{ ,{�' "�,�� - Date
Application Disapproved by ' . .. ` Date��!
'for the following reasons
Permit No. e��' , ` ° Date Issued ' � k
N THE COMMONWEALTH OF MASSACHUSETTS
' BARNSTABLE, MASSACHUSETTS
(Certificate of Compliance
THIS IS TO CERTIF,,Y,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded
Abandoned( )by tX t r\0.. '-i t or, (,;f .
at . :$, has been constructed in accordance
JJ with the provisions of Title 5 and the for Disposal System Construction Permit No.,rLQQ(.,.(I dated ( �-Alai
Installer �t y u tivr.l �� �flt. Designer
#bedrooms Approved design flow `�r gpd
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
---• I "� �
Date ,� � � � ,J Inspector�*,,_
- - --- -- - - - -•--•--- - --r ------ -- --- - -- - ---- - -- --- - --------------
No. �Lo V U Fee
THE COMMONWEALTH OF MASSACHUSETTS
' PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
MIBposal *pstem Construction 3prrmit
Permission is hereby granted to Construct( ) Repair(nn ) Upgrade(V ) Abandon
System located at 1$ .. f � 7 m •-z,w,�li tAae,'�� LCI M�
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 I J � Approved by '�� ! n F I
1
Town of Barnstable,
�`"E' ,o Inspectional Services
3
Public Health Division
twwsraBM
v M^S& �$' Thomas McKean, Director
stSJq. � -
A t1
rFctru*< 200 Main Street,Hyannis,MA 02601.
Office: 508-862-4644 Fax: 508-790-6304
Installer& Designer Certification Form '
Date: �1.9-21_. Sewage Permit# ZOZI- 400 Assessor's Map\Parcel13 -Ll`1
Designer: Dahc row E/W;ro,n,_M0.1 Installer: (3 I3 Exegy. or,
Address: ().0. S30x 'j3 t Address: 114 Tc-cL, Lrw L1,3
J�nrr�� c tl"orcZ51406Ic.-.'
On //-9-Z l 4 = 4 i o^' was issued a permit to install a
.B S EXC, va
(date) (installer)
septic system at Z83 E3r0,ggs LO based on a design drawn by
(address)
.have Flal. dated 9•Z G _2,1
(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.
component
vertical rel
ocation of an com o ,
' n of the SAS or an vert p
greater than 10 lateral relocation y Y
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 inxcoinpliance with the to rms of
the I\A approval letters(if applicable). . , \w O=
i7AVID tiG
f tAHERl1', 7R. 0 .
(I sta Ile r's Sign a e) -No. 1211
' �-4�STG��O . s
,�C
S�Nlrat�\A`,
(Designer's Signature) (Affix Designers Stamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
I 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 connect\SEPTIaDesigner Certification Form Rev 8-14-13,DOC
TOWN �OF BARNSTABLE (,iV� ��'1G
UNDERGROUND FUEL AND CHEMICAL, STORAGE SYSTEMS
'ASSESSORS MAP. NO �L' ` PARCEL NO. 6T
. p -7)
ADDRESS: Q tq 6" L oyK_ti VILLAGE pS 1 A er/'
/ H
NAME
CRC ?"` :IV . 2 Lifts �t t
CONTACT PERSON : PHONE NUMBERd/( 5 osri
LOCATION OF TANKS: CAPACITY: TYPE OF FUELS AGE: . TYPE: AK
OR CHEMICAL: DETECTION
D ON
L� _ i� SYSTEM!
_ y
DATE OF PURCHASE -OF: EACH: 1. 2. 3. , 4. 5.
DATE OF FIRE DEPARTMENT PERMIT,
TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS
PLEASE PROVIDE A SKETCH SHOWING THE LOCATION .OF TANKS ON THE BACK OF THIS,CARD.
Pal
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COVERS TO BE WATERTIGHT AND SEPTIC SYSTEM PROFILE FlahertyEnvironmental Services
TOP OF FOUNDATION BROUGHT TO WITHIN 6" OF FINALGRADE
EL. 62.0' VARIABLE EL. 57.0' (not to scale) INSR PORT W I 3" OF GRADE:
i CLEAN SAND P.O. `Box 331.
2" of 8"to Z" DOUBLE WASHED EL. 56.0' Harwich, MA 02645
PEASTONE OR GEOTEXTILE
4" CAST IRON or EQUIVALENT FILTER FABRIC 774.994.1166
MIN. PITCH 1/4" PER FOOT
4°SCHEDULE 40 PVC PIPE 4" SCHEDULE 40:PVC PIPE
• VENT IF'REQUIRED
FLOW LINE lflist 2'10 be levell
1 ' 1.7"
` —�► S' 1% EL S4-n
e •• J.•a. 0 0 0 0
•; La 60sOf ' 14 ' __ 00000000°0000000 O O 0 .'COF
U p°p°p°O°C
EL 53.75 EL.53 5 0°0°0° 0°0°0°0p p o°o°o°o°o.
•' EL.53.03'- o 0000 0000
-10'MIN.(2;5%1L� ° o°o°o°o°°°o° Q� �--Y o 0 0 o C 2-
EL.53.0' 0' 00°0°0°0°00 '—1 00000000c —
GAS BAFFLE r °o°0°0°0°0 0°0°0° a ,' 0 0 0 0 0
(H2OD BOXJ o°0000000° 000000 ., a s s o°°°0°00g
-;j o000 EL.510'
6"CRUSH ID STONE OR SOIL ABSORPTION SYSTEM
MECHANICALLY COMPACTED.
(3) 500 GALLON H-20 CHAMBERS' 6`0'
(DATUM: ASSUMED) MWAYA00000 a a a a a a a N M M N a u g a 5 0 .r_� �„ WITH 4,'STONE AROUND IN A.
to 1
1500 GALLON SEPTIC TANK 4 2" DOUBLE WASHED STONE 12.83 X 33.5'X 2.'CONFIGURATION
(PROPOSED-) BOTTOM OF TEST HOLE:EL. 45.0' EL. 45.0.
USGS ADJUSTMENT: N/A LocAuoNyAp
• 56
GROUNDWATER ELEV: N/A
5; REMOVAL. �.Ol �L�. Oi� N TH
�• � Rf BA
L t
' p
57 PROP, TANK IN SAME, S
LOCATI.ON AND ELEVATION
EXIST. S.T.
BENCHMARK: 8.21
TOP OF FNON
EL.58.0' _ £R TIC TH- 56 LOCUS �9
off'
6'5' .,IPv�' \ NTS
DECK_ �F.'(• �. � 69 OFAdq�_
O "
EXISTINGDRIVEWAY 1 1.02 ACRES
DWELLING \. MAP 298 LOT 117
DECK RfT, wQL `
L `rC3( T r t t
✓� GREEN . / 1Ar�'�,
E HOUSE
r DATE,.',9/26&021 REV/ ED:
/ Vcb
LEGEND SITE AND SEWAGE PLAN
FOR
\`W WATER LINE Q� B& B EXCAVATION, INC.
W 11- 1�f F /
6 6 GAS LINE EUGENE BRAMOWSKI
-
E-- — EXIST. ELECTRIC
99 EXIST. CONTOURS 283 BRAGG'S LANE
——— — 99 PROP, CONTOURS ` 1 SCALE : 1 3 p t BARNSTABLE,. MA
"'r "'G UNDERGROUND UTIL
REF'PBL 310 PG 79 PAGE 1.OF2
GENERAL NOTES DESIGN CALCULATIONS SYSTEM DETAIL Flaherty Environmental Services
1. ALL PRECAST COMPONENTS TO BE H-10 P. O . BOX 33
RATED UNLESS OTHERWISE SPECIFIED. I Harwich, MA 02645
DISTRIBUTION BOX AND ANY COMPONENTS NUMBER OFACTUAL BEDROOMS 4 I 774.994..116"6
WITH ANY ANTICIPATED VEHICULAR
TRAFFIC TO BE H-20 RATED, GARBAGE_ DISPOSAL.UNIT NO
2. THE DESIGN OF THIS SYSTEM DOES NOT
ALLOW FOR THE USE OF A GARBAGE TOTAL ESTIMATED FLOW
GRINDER. (110 GALIBR/DAYX4 BR) 440 GAL./DAY
3. MUNICIPAL WATER-ISAVAILABLE. REQUIRED SEPTIC TANKCAPACITY 880 GAL.
4. ALL CONSTRUCTION TO CONFORM WITH,
H
310 CMR I5.,000 AND ALL OTHER SIZE OF SEPTIC TANK 1500 GAL. (PROPOSED) 5' REMOVAL
APPLICABLE LOCAL, STATE AND FEDERAL
CODES AND REGULATIONS. SOIL CLASSIFICATION 1 • •O
5. INSTALLER/CONTRACTOR. TO REVIEW
VERIFY ALL ELEVATIONS AND DETAILS AND D DESIGN PERCOLATION.RATE _2 MIN/INCH
REPORT ANY DISCREPANCIES TO
DESIGNER PRIOR TO CONSTRUCTION OR EFFLUENT LOADING RATE 0.74 GAL.IDAYIFT`
ASSUME ALL RESPONSIBILITY. LEACH/NGAREA 3'
Q 0. . Q 12:8
6. INSTALLER/CONTRACTOR IS RESPONSIBLE.
(2)x(33.5'+ 1283 J(2 J 185 SFto
FOR MAINTAINING SAFE WORK AREA, 33.5'z 12.83' 429 SF
VERIFYING ALL UTILITIES AND NOTIFYING 6.14 SF 0.-74 =454 GPD
"DIG SAFE"01 888-344-7233) 72 HOURS
PRIOR: TO CONSTRUCTION. USE(3)500 GALLON H-20'CHAMBERS WITH 4'S.TONE
7. ANY CHANGES TO OR DEVIATIONS FROM INA 12.83'X 33.5'CONFIGURATI.ONAS.D/AGRAMMED
THIS PLAN MUST BE APPROVED IN 33,5'
WRITING BY FLAHERTY ENVIRONMENTAL RESERVE LEACHING CAPACITY N/A'
SERVICES AND LOCAL BOARD OF HEALTH.
8. FINISH COVER OVER COMPONENTS IS NOT
TO EXCEED 3'PER 310 CMR:15.000 UNLESS
SHOWN PER PLAN.
9. ALL ABANDONED SEPTIC SYSTEM
NTS
a COMPONENTS TO BE PUMPED.DRY AND
-FILLED WITH CLEAN SAND OR REMOVED
AND REPLACED WITH CLEAN SAND.
10.ALL COMPONENTS TO BE PROVIDED WITH SOIL EVALUATION
WATERTIGHT ACCESS PORTS WITHIN 6"OF TESTHOLE#1 PERCZI-258 TESTHOLEI#2 PERC21-258
FINISH GRADE. Evaluator." David D.Flaherty Jr RS,REHS Evaluator- David D.Flaherty Jr,RS REHS �_.OF M4
I1.ALL.SEPTIC TANKS, DISTRIBUTION BOXES SE#2755 SE#2155 s,
AND PIP E I T L ED BOH Witness:. Dave Stanton,RS BOH Witness: Dave Stanton RS
ING TO 8 NSA L /1
t<
Date: September 20 2021 Date: Seprembei 20,2o2t
WATERTIGHT .. u
S r i
12.NO KNOWN WETLANDS OR WELLS WITHIN LP '` •ay ' R,
TH-1 ELEV
150 FEET OF PROPOSED LEACHING. 56,.0' TH-2 ELEV..56:0'
13,THIS IS NOT A CERTIFIED PLOT PLAN AND o~-13" A LS 10YR_3/2 0"=;T3" A LS. 10YR:.312 sr
UNDER NO CIRCUMSTANCES IS THIS.PLAN sgNtrtAik'
TO BE USED FOR ZONING OR BUILDING 13"-37" B LS 10YR 516 13"'-37" B IS 10YR 516
PURPOSES.
14.LOT IS SHOWN AS ASSESSOR'S MAP.298 37~-s1" 01 MS 2.5Y614, 37"-61" C1 MS .2.5Y614
LOT 117, l certify that on November 12;2002, have.passed
15.LOCUS PROPERTY IS NOT LOCATED 61"-72^ c2 Loam
f0yr 6/6 I 61^-z2• cz Loam
loyr sib; a' p SITE AND SEWAGE PLAN
� Loam `Loam the exam/nation approved by the Department of
WITHIN AN AQUIFER PROTECTION L, ,b Environmental Protection and that the above analysis FQ/t
DISTRICT(ZONE II). has been performed with the 7NC./
required training,ngng, B & B EXCAVATION expertise,and experience described i
72~-132^ C3 MS' 2.5Y'614; 72"- 1321 C3 MS 2.5Y6/4 in310CMR 15U18(2J.^ EUGENE BRAMOWSKI
7ev sample 283 BRAGG'S LANE
BARNSTABLE, MA.
G.W"ELEV"N/A G.W.ELEV"Af/A �I
BOTTOM TH-1ELEV.45.0' BOTTOM TH•2.ELEV.45.0' PAGE 20F2 DATE. 7