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HomeMy WebLinkAbout0039 COLONIAL WAY - Health 39 Coloniai,V6Tdy -� Barnstable A=237 05 • TOWN OF BARNSTABLE C�LOCATION � C-0If 0h%"q SEWAGE# 0 �0"7 VILLAGE WON&& f,5irnsd1/3"4,SSESSOR'S MAP&PARCEL a37-jS� INSTALLERS NAME&PHONE NO. J-5 L 16 J)v^97-;4r 6-41 S� 3(a SEPTIC TANK CAPACITY XO 6 t X/5r,M6 LEACHING FACILITY:(type) 3-"'oQ - CPAMUkS (size)r=3 X 3q X a 1 F+ NO.OF BEDROOMS OWNER M q f1C L- f I.r'e- PERMIT DATE: J j 1.1 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 f a o � I P � TOWN OF BARNSTABLE .LOCATION 9 C w_o V j L t j SEWAGE # VILLAGERfS�} ASSESSOR'S MAP LOT as?- INSTALLER'S NAME PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR` UBLIC��ER BUILDER OR OWNER t L.F- 1(�� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No I$�r O �, r �2 4 :'�• o r a f r 6 s `, ®I Li -� /6 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 1i Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3 9 C 1 La'h I-S I wd Owner's Name,Address,and Tel.No..5'0 8%- 36a- SL 3 9- f3�rr�S�i►'� P tre— Assessor's Map/Parcel a Installer's Name,Address,and Tel.No. Sob-3 Co a G v`13 7 Designer's Name,Address,and Tel.No. S 0& 3 � rn$er c P,01, � n A, Type of Building: Dwelling No.of Bedrooms Lot Size ia`�"" �q.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided ��. gpd Plan Date Qt�a I Number of sheets I Revision Date mac+rCh 1`1 DWI P Title Size of Septic Tank Type of S.A.S. Description of Soil Se Q Nature of Repairs or Alterations(Answer when applicable) cS-P-e 3p0,h)C n9Si)6j,-, 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 ea Signed -- , Date ,�/ Application Approved by Date 3 ' 2 — I Application Disapproved by Date for the following reasons Permit No. �[ — © Date Issued r i, °'� - 0 ':,', b .,. ---mod ! •v 3 Fee _.0 � No. -irF .. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN-OF BARNSTABLE, MASSACHUSETTS Yes D V_ . 1 �pYitation for Disposal �&pstpm Construction Permit t -'� Application for a Permit to Construct Repair Upgrade Abandon Complete System Individual Components PP ( ) � P ( ) Pg ( ) ( ) ❑ P Y ❑ P Location Address or Lot No. 3 7 cc,1011 r 9 1 Owner's Name,Address,and Tel.No.SO$^. 36a- 5L 3 p' Assessor's Map/Parcel i Installer's Name,Address,and Tel.No. SP�r 3(o a a 3-) Designer's Name,Address,and Tel.No. S 0& 3 g-S (�5 isle 6 F���r`s Cc✓ISb'�aI a" J`/") !�Prlk Or Type of Building: J Dwelling No.of Bedrooms Lot Size `? q. g .� ft. Garbage Grinder Other Type of Building No.of Persons_ Showers( ) Cafeteria( ) Other Fixtures i Design Flow(min.required) 7 gpd Design flow provided � / . gpd � r - Plan Date l'' k u Number of sheets ► Revision Date Nl a r C! l `7,9 o./ f' y Title Size of Septic Tank Type of S.A.S. 'Description of Soil s P P Ca; Lo C I' Nature of Repairs or Alterations(Answer when applicable) S p.P .So pijc 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 Heallh. — Signed Date ' Application Approved by , �y Date 3 1 y Application Disapproved by Date for the following reasons - Permit No. 2 014 - 0 0- -Date Issued -3 �f - - - ----------- 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 1=/)i' rn T'Me-g (`C..;15�- at g C ci f O ti Cj l{t.a (A11P V- f osm i3'h'as been constructed in accordance with the provisions of Title 5 and the for Disposal po"sal System Construction Permit No., I dated 3 '2 r Installer � �p ('�„ i- Designer #bedrooms Approved design flow _ ,��/ gpd The issuance of this pe shall it be construed as a guarantee that the system w' Q1'l�fun ion as/��designed Date Inspect(rJ,�� �° � �v� ! ; r -r - - - ------ --- - - - - -/_ _ ---- - -- ------------------- No. d I Fee THE COMMONWEALTH OF MASSACHUSETTS l�' 1 PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem (Construction Permit- Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at C O)o n 1 91 1A10-, aj!;, J 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 permitr--�'�~ Date � � � �c-/ Approved by Town of Barnstable P# { � Department of Regulatory Services Public Health Division Date byq. 200 Main Street,Hyannis MA 02601 Date Scheduled y{{pQ(v/� R _J I R` Time Fee Pd. J h Soil Suitability Assessment for Sewa a is osa a e Performed By: Robin W. Wilcox Witnessed By: l LOCATION & GENERAL INFORMATION Location Address 39 Colonial Way Owner's Name Mark Lepire West Barnstable, MA 02668 Address Same Assessor'sMap/Parcel: 237'� V Engineer's Name Sweetser Engineering E. NEW CONSTRUCTION REPAIR XX �T/eleepphone# 5 0 8-3 8 5-6 9 0 0 0 Land 6se �����``�� Slopes(%) J��' Surface Stones 0 ;Distances from: Open Water Body �d ft Possible Wet Area ft Drinking Water Well ft • +Drainage Way ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) � \3 f r" CD Parent material(Lc) epth to Bedrock �� t=•` H Depth to Groundwater:.Standing Water in Hole: Weeping from Pit Face I9z Estimated Seasonal High Groundwater Z, DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: r 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_ PERCOLATION TEST Date Time Observation Hole# Time at 9" Depth of Perc Time at 6" Start Pre-soak Time @ Time(9"-6") End Pre-soak _Rate Min./Inch � L �"/� /A / s Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Graven -ell DEEP OBSERVATION HOLE LOG Hole# z, Depth from Soil Horizon Soil Texture Soil Color Soil I Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) �-- /7r L / NG G8o^2� Cz ��MD DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) x Flood Insurance Rate May: Above 500 year flood boundary No_ Yes 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? If not,what is the depth of naturally occurring pervious material? Certification I certify that:on r! (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 train' ertise and experie des 'bed in 310 CMR 15.017. Signature �� Date Town of Barnstable Regulatory Services Thomas F. Geiler,Director NMM ihig. ��� Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: 3 -N Sewage Permit# ;FOi y. 0'W-7 Assessor's Map/Parcelo'�, 37 „ Installer& Designer Certification Form Designer: S`'.J�'O�r�''L �irJcia�zi L. Installer: 4_2_�j, f3aa,,- Address: �°°` 7 Address: oZ3 6qv /,s 6� 6o u0�f i t/6. 0.4 .75 On C&zki JT; was issued a permit to install a (date) (installer) septic system at ���0"'�'f' ��'� based on a design drawn by (address) S�res/L.�ir/ai.� .�•u� dated _-S (designer) I certifythat the septic stem referenced above was installed substantial) according to - the P Y Y g the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (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. Stripout(if required)was.inspected and the soils were found satisfactory. OF MASs9c6 TERENCE G�rn M. Installer' ature HAVES Na. '979 IST (Designer's Signa e) (Affix De'slg�r E s' tamp 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. q:\office forms\designercertification form.doc e 92: 96, 96.8r 9fi, I Ch F C*I) 135.8 �, �` � _ i ''� � '� '� +,� ""}`;ys � ,�_ *•' r�,l� �' � ^�.�� g `� 'ems � �' „p� 1 File No. 03259 SKETCH ADDENDUM Barw or ire Mark A. 39 Colonial Way. C4 est Bamstable Barnstable state MA zacode 02668 L., cat Southern Mas . . WIA C.U. Ifs 57 20.0' Oi Deck Kitchen Bath Bed Room o Living Room Din Bed Room 40.0' 1 :' Lp fifi �. t t Y.:. ! h /(� _I tom, curs {4]0 1 i Ul 4xd'r. b a f l ...if +. ' C.1 Sup 911 2.0; i i s i ; t4.0 ` TOP OF FOUNDATION 20 FT. MINIMUM FROM CELLAR OR CRAWL SPACE - SOIL TEST 1C FT. MINIMUM FROM SLAB DATE OF SOIL ,r ES TT FEBRUARY 1 14.2014 ELEV, = 1DQ.00 10 FT. MINIMUM ..��. CLEAN SAND SOIL TEST DONE BY SWETSER ENGIN RING � _�._MQRRAN�i !. R,��---._� • (ASSUMED) CONCRETE INSPECTION POT T ;i WITNESSED 8Y) P#14283 COVERS 4" SCHEDULE 40 PVC PIPE LOAM AND SEED MIN. PITCH 1/8" PER FT. 2" LA'cR OF I 013SERVA11ON HOLE 1 ELEV.=__93.6_ -�- 1/8' TO 1/2' f DEPTH I DEPTH ,HOR2 TEXTURE COLOR MUTT. ,OTHER WASHED STONE w 18.1kt MANHOLE COVER 94,0 MAX. ` \ OR FV'ER FABRIC VENT 0-8" FILL NO 1 I 4" CAST IRON PIPE .-MAX.. �j.a (OR EQUAL} MINIMUM �` REQU'R' �' 18-35 8 LOAMY SAND 10YR6/6 SLAB ELEV. _ PITCH 1/4" PER FT. FLOW TEE 1 I z z 5-162" Cl SANDY LOAM j10YR7/4 LEvvttLERS I FLOW LINE `\ 91,00 NO WATER ENCOUNTERED AT ?E2 ELEV. ELEV. = Qt•5_t_ MIN. 0" ❑ ❑ ❑ D D O ❑ ❑ ❑ ❑ ❑ OBSERVATION HOLE L ELEV.=__93-8_ ELEV. 91.00 � o ❑ D ❑ D ❑ ❑ ❑ ❑ ❑ D ❑ t- _T PERCOLATION RATE _< 8 _ MIN./INCH IN C2 HORIZON -- - L VEL o ELEV. _ _ M11- ADD GAS 6" SUMP o 7 o BAFFLE E''_EV. _ _90_64_ ELEV. _ _90.47_ ❑ ❑ ❑ ❑ ❑ D ❑ ❑ ❑ 0 ❑ �0 2' I �-p ° DEPTH HORIZ TEXTURE COt_OR ' MOTT. OTHER r,. DISTRIBUTION :'/ a ° ° °i ! ° ° ° 0-8" I. FILL NO ❑ ❑ CD ❑ D ❑ ❑ ❑ D ❑ ❑ LIQUID OUTLET ^�'-= BOXDEPTH $Q,2�- ° °° '1 �° ° o ° ELEV. _ _8'2`S_ ~ 8-35" 8 LOAMY SAND 110YR6/6TEE _ _ - - t (EXISTING) 3 500 GALLON GALLEYS WITH 35--180" C1 SANDY i10YR7/4 4 FEET 14 INCHES TO BE WATER TESTED _-, z _ ._ -LOAM-__- ___ 5 FEET 19 INCHES IF MORE THAN ONE OUTLET STONE IN AN 180-228"C2 COARSE SAND j 6 FEET 24 INCHES 1500 GALLON 7 FEET 29 INCHES (?0 BE PLACED ON FIRM BASE) 13' X 39' X 2' TRENCH FORV4 TION z WELL N/A __ PONM WATER ENCOUNTERED AT 192- ELEV. _77.8 _ 8 FEET 34 INCHES i SEPTIC TANK -- - 2 10.48 ZONE -- 3/4" TO 1 1/2" CLEAN SOIL ABSORPTION 4 INDEX DOUBLE WASHED STONE ADJUST FREE OF FINES & SILT SYSTEM SAS DESIGN CALCULATIONS USGS PROBABLE WATER TABLE ELEV. _ _.N,Z'A..._- NUMBER OF BEDROOMS 4 SEWAGE DISPOSAL SYSTEM PROFILE OBSERVED PERCHED WATER TABLE (2/14/2014) ELEV. _ _ZZ,;�_ GARBAGE DISPOSAL UNIT -NOT TO SCALE BOTTOM OF TEST HOLE ELEV. = _Z�� _ TOTAL ESTIMATED FLOW - ( 110 GAL/SR./DAY X --A-- 8R.) GAL./DAY REQUIRED SEPTIC TANK *PAC!T,' _ IC TANK SMN ) GAL, IlkACTUAL SIZE OF SEPT E?U G 1 - At_ -- �SOIL CLASSIFICATION - DESIGN PERCOLATION RAC < �_ MIN./IN. EFFLUENT LOADING RATE Q. ._. GAL./DAY/S.F. LEACHING AREA 715,0(7 SO. FT. 03w}+(52X2xm ,. LEACHING CAPACITY (AREA X RATE) L.2Q GAL./DAY 71&00 X 0.66 I r_. • RESERVE LEACHING CAPACITY 47L99_ GAL./DAY ti " 9,,3 - NOTES. _ V \ \ 164. '4' cK: F� S , 1. AL_ wORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E P 1 q TITLE 5 AND THE TOWN'S RULES AND REGULATIONS FOR r J THE SUBSURFA(-e DISPOSAL OF SEWAGE. T CEn r ; F2O, & 11 \ ` , {'-` - - a M. ,• X 2. ALL COVERS TO NEW SANITARY UNITS SHALL BE BROUGHT TO I \ 39.0� \ w FINISHED GRADE. �t S.F. RE ERVE " 93.5 79 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF \ SAS , CLIMIT OF 5' a�v WITHSTA�dDING H-20 LOADING. 100.5 NT p OVERDIG 93 fi I s STE 4. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL - (�"7 BE MORTARED .N PLACE. J `_� V \ 1500 CtiALLON _ 5. NO DETERMINATION HAIL F3EEN V kf a.c T(? C(?Flp,-'AN�'F KITH 1 SEP11C TANK I DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS TO 103.6 1 �--- _D` _ _ _ SOIL /r( BOX -- TEST 2 OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY, x 101. 96.9 BLU 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR 0 98.6 `-9�3 93 0 16_STCWE SOIL gA)� IS TO CALL "DIG--SAFE" AT 1-888-344-7233 AT LEAST 72 HOURS TEST t �� ;? COMMENCING 7 O CTOR S TO VERIFY GRADES AND ELEVATIONS AS WELL AS i4 98.3 / / SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. A,4Y VARIATION O j 92. 96' Aft rM , IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER 0 W8 96. o�' 9c IMMEDIATELY. 96.8 96 TE N ��` 8. PARCEL IS IN FLOOD ZONE 0 96.7 9. LOT IS SHOWN ON ASSESSORS MAP __23_7___ AS PAACE:. __5 �106.2 0.1 f ���ZN fd S A �= n 10. ALL 'UNSUITABLE MATERIAL SHALL BE REMCIVED FROM UNDER AND � r 7 FOR A. MINIMUM OF 5' AROUND SOIL ABSORPTION SYSTEM AND BE A. REPLACED WITH MATERIAL AS SPEC!riED IN 310 CMR 15.255:(3). 11. LEACH PIT IS TO BE PUMPED AND REMOVED ALONG WITH ANY POLLUTED SOILS ENCOUNTERED. t ' ! m p o i\ Q' o i� • 12. THE INSTALLER IS TO GIVE THE ENGINEER A MINIMUM OF 48 HOURS 101.8J 10.4 om (2 WORKING DAYS) NOTICE FOR THE FINAL INSPECTION (NUMBER BELOW) kAj t01.9 •4 ?m 98.7 95,0 AL Lhl�0 \ "� o APPROVED: BOARD OF HEALTH 1 98.8 98.04 y 103.6 y0f.8 Ot ' .3 AGEN 101.6 100.4 __ r._�._ (102) � PROPOSED SEPTIC DESIGN 101.0 99.3 \ 100.E ' 101.4 101.3 P v T E ! +! PR:NN CENTRAL RAILROAD �\G�,1� MARK' 7LEPIRE I 101.3 14 1 Q1�4' 1 2.3 0 t11.8 102.3 1 02 1p2)', �- 39 COLONIAL WY LTS 10 & 11B (100 9 5.8 o � w T BARNSTABLE, _MASS. 203 SETUCKET ROAD I r �. 508- P. C. BOX 713 LEGEND: 1r, \ �385-6900 _ souTH DENNIS, MASS 02660 � EXISTING SPOT ELEVATION NJ EXISTING CONTOUR ----00---- DATE - SCALE ' FINAL SPOT ELEVATION j t 2014 ! I - r'0 I } FINAL CONTOUR SOIL TEST LOCATION !9 REV M AR' . 1 9, 201 4 I JOB NO. 7360-00 ' UTILITY POLE -O- IJV f TOWN WATER -Wm W I1 L 1 CATCH BASIN GAS LINE RE CLEAN OUT LOCATION �r SHIEE- OF j CESSPOOL C.P. iS8,PRO,i`, 360:00 dwg'_'360-SAS7-DWG C 2014 SWEETSER ENGINEERING a ''