HomeMy WebLinkAbout0033 CYPRESS POINT - Health 33 Cypress Point
Barnstable
A = 349 — 087
i
TOWN OF BARNSTABLE.
LOCATION t � S i �" SEWAGE# Ll
VILLAGE ASSESSOR'S MAP&PARCEL 4 5 Q
k IN �,n _ I INSTALLER'S NAME&PHONE NO. G d-+-1&1—C1a W/ , S�:g" �y (�A
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (size) ,
NO.OF BEDROOMS.
OWNER 3ai1v.
PERMIT DATE: COMPLIANCE DATE:
Separation Distance Between the: '9
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-withm
300 feet of leaching facility) Feet
FURNISHED BY
a�L --Z26
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No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
2ppricatiou for Mi!6poal 6p,5tem Cougtructiou Permit
Application for a Permit to Construct( ) Repair O Upgrade(1/Abandon O ❑ Complete System ❑Individual Components
Location Address or Lot No. 33 Ownrer's r ame,Addres�d Tel.No.
Assessor's Map/Parcel � �'
Installer's Name,Address,and Tel.No. -Designer's Name,Address and Tel.No. ?'
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(min.required) 33 t) gpd Design flow provided // gpd
i
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
K
t �
Nature of Repairs or Alterations(Answer when applicable) �•
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. r 7 � /
Signed Date
—
Application Approved by �� Date �-
Application Disapproved by: Date f
for the following reasons
Permit No. — 60 Date Issued
n
;-olt( von(
No. { ,# �� Fee
THE COMJMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
01ppricat on for Migoar 6p!5tem ctCow6tructiou Permit
Application for a Permit to.Construct( ) Repair( ) Upgrade(V)' Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel ���f ��� U P
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
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(min.required) gpd Design flow provided 3� gpd
Plan Date Number of sheets Revision Date
1 Title
y Size of Septic Tank Type of S.A.S.
Description of Soil _
'. . Nature of Repairs or Alterations(Answer when applicable)
j
i 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 Qw,,1A Date
Application Approved by Date Ri
�^ ' ,Application Disapproved by: ti I Date
for the following reasons ,.
Permit No. o l t✓I 6® q Date Issued
A•
-.�sr c��nbJ.t�v�a��s�;+—.�.__—,r—.�r—.�-a—.—r—T---_•_-..��v-�--r+.�-.��.�r_�.-t..,. _ . .
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 _
'at 3 3 ,G./ / has been constructed in accordance
with the provisions of Title 5 and
-the
�for Disposal System Construction ermit No. ;01 q- ad®_/ dated
Installer --6✓j1 gt- /�l�✓/lrAij Designer
#bedrooms /� Approved de�sign�ow W �/}�. gpd
The issuance of i )pe t h fall/nowt be construed as a guarantee that the system w//tll funcjr�/n�as�yd}esi ed. ��i;`
Date ! ` ( Inspector /!//l 6 .i9 f t'•• t 11
r 1.
No ,-;b 1- 60 Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS
Migoal 6pgtem Couotruction Permit
Permission is hereby granted to Construct ( ) Repair ( ) Upgrade Abandon ( )
System located at 9 3 /1 i,
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: Construction must be completed within three years of the date of this
- - roved
Date A F PP b y
w t
Town of Barnstable
Regulatory Services
Thomas F. Geder,Director
KAS&
659 ��� Public wealth Division
Thomas McKean,Director
200 Main Street,Hyannis,MA.02601
Office: 508-862-4644 Fax: 508-790-6304
Installer&Designer Certification Form
Date: Sewage Permit# Assessor's Map\Parcel N3
Designer: Installer•
01
Address: J3pLZt�Z Address:
°cA& 7
On ( I ��,.ol—` pp ��,as issued a permit to install a
(date) (installer)
11
septic system at based on a design drawn by
(address)
dated.
( tgner)
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.
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
certif
ied as-
built by designer follow.
l� to
N OF M,gSs cy
9
DAN EL A. �s
o OJALA
( s ler's Signature) ° CivicCn
No.46502
GI.STf-VL �
FSS/0 AL ENG
'a � ^�
(Designer's Signature) (Atfix 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.
Q:Health/SeptiuDesigner Certification Form 3-26-04.doc
' 4
down cape engineering, inc. SIEVE SOIL ANALYSIS`33 CYPRESS POINT, CUMMAQUID, MA
DATE OF REPORT: 1 011 71201 3
.JOB : GRAIN SIZE ANALYSIS-SIEVE TEST
SITE: 33 CYPRESS POINT CUMMAQUID.
LOCATION: DCE TEST HOLE
SIEVE ANALYSIS Weight Sample(Grams): 132.0
SIZE ;WEIGHT RETAINED % RETAINED % PASSED
(sum)
-------------•------------------------- ------------- --------
3/4" 0.0: 0.0%: 100.0%
1/2" 0.0: 0.00/6; 100.0%
3/8" --------r---------------------------r---------------------r----------00.0--
------------- -------------.----------- ------------------------ -00.0--
0%1
- -------- --------------- --------------------------p---------------------> - --
#10 20.0: 15.2%: 84.8%
....................._....A---------------------�.._....-...-...___
#20 42.1 31.9%-�-� 68.1%
-------------r------------------- -+-------------------- -- --------------
#40 66.0 50.0%: 50.0%
--------------r----------._._......------Y---------------------r-------------••--• -
#50 84.5; 64.0%; 36.0%
--------------:- ----------------- -- ------------------------- ------------------
#80 : 106.1: 80.4%: 19.6%
-------=----- -------------------------- ---------------------• -----------------
#100 118.4: 89.7%: 10.3%
#200 126.2: 95.6%' 4.4%
--------------' ------------ --------------------=
PAN: 1312: 100.0%; 0.0%
--------------�-------------------------- ------------------------------=---------
SAMPLE. 132.0;
S
NOTE:TEST ON PASSING#4 ONLY,24.4% RETAINED ON#4 <45% O.K.
RESULTS:
SOIL CLASSIFIED AS AASHTO A-1-b(GRAVEL AND SAND)(UNCOMPACTED)
PERCENTAGE OF MATERIAL PASSING#4 SIEVE
#4 100% (TEST ONLY MATERIAL PASSING #4) OK
#5010%-100% OK
#100 0%-20% OK
#200 0%-5% OK
SAMPLE MEETS TITLE 5 FILL SPECIFICATION
>95% SAND
RESULTS: PERMEABLE MATERIAL-CLASS 1<2 MIN./IN. MATERIAL
NONCOMPACTED
SOIL DESCRIPTION:' MEDIUM SAND 0OrMAgcy
DANIEL
o OJALA -4
CIVIL (n
a No.46502
o�F TST
NAL E J
7 'Lo 1-3
/2 - aWE
Town.of Barnstable P# 1
Departinent of Regulatory.Services
i Public Health Division Date �V l_
16.7y. { 200 Main Street Hyannis MA 02601
Data Scheduled Tie t ]Fee Pd.
Soil Sultabzlio ,Assessment for Sewgge is ®sal
Performed By: � ,
Witnessed By: DLI
Ut
LOCATION&GENERAL FORMATION
Location Address 7� /l ,O Owner's Neme
J e� ,OD D � e•�
Address
n
Assessor's Map/Parcel: �Yp/ Engineer's Name vim_ v e
NEW CONSTRUCTION REPAIR Telephone#Cs-o,-)a�d
Land Use: -{/a_, Slopes(%) Surface Stones,�E7g! Pivt —
Distances from: Open Water Body tt possible Wet-Ama IV Drinking Water Wc11 4!/___��f[
Drainage WaY-Tft Property L{ne__a Cam! ft Other ft
SKETCH.,(street name,dimensions of for exact locations of test holes&pore tests,locate wetlands 3n proxiadty to holes)
4
0
p5 4 r .
.7.
00
66 / , 3 a
0
la Q,
i Zo
Parent material(geologic) &0•� Depth to Bedrock �GO.
Depth to Groundwater. Standing Water in Hole: AJ 1�V Weeping from Pit Free
Estimated Seasonal High Groundwater, / I�
DETERNRNATZON FOR SEASONAL HIGH WATER TAB'LE
Method Used:
Depth Observed standing in obs,hole: n./A- la, Depth to Boll mottles: a O/L, jn
Death to vreepinv-fmrA.sidc oEohs_holc�� � � bl... ._aroundanterAsl,Justmenk f� __
Index Well# RcadingDate lndcx Wcl(levol__,_.,,_.,,M Adj,Actor—Adj.Groundwater Level,,,,_,
- - ]PERCOLA.TAON TEST '__ Time--
Observation
Hole# Time at 9" _
Depth of Pere _�0-�"—� Time at G"
a
Start Pre-soak T1mi e @ Time(9"-G")
End Prc soak
}late Min./luch
Site Suitability Assessment: Site Passed SRQ Falled: Additional Tesdng Needcd(YIN) s f 2J$
Original: Public Health Division Observation Hole Data To Be Completed on Back— -�
***If percolation test is to be conducted witIun 1001 of wetland,you must first(notify the.
Barnstable Couselpvation Division at least one(1)week prior to beginning.
Q!NSEPTIC\PERCFORM.AOC
1
DEEP-OBSERVATION HOLE LOG Hole#
Depth from Sail Horizon Soil Texture .Sdil Color Soil. Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
o i Iten. Worivel)
DEEP OBSERVATION HOLE LOG
Depth from Soil Horizon SoilTexture Soil Color Soil Other
Surface(iu.) (USDA) (Monsenl Mottling (Structu're.Stones,Ecalders.
psis en %Crave
'17
1 Za -)(o5 CL LS ::t='idw
DEEP OBSERVATION ROL'E LOG Hole#.
Depth from Soil Horizon Soil Texture Soil Color Soil Othcr'
Surface(in.) (USDA) (Munscll) Mottling (Structure,Stones,Boulders.
Cc i to o a c
DEEP OBSERVATION HOTIE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color 5011 Other
Surface(n.) (USDA) (Munsell) Mottling (Structure,Stones',Houldars.
a si ten
Flood Insurance Rate Map:
Above 500 year flood boundary No— Yes
Within 500 ycarboundary No Yes
Within 100 year flood boundary No. Yts
Depth of Natutrally Occurring Pervious Material
Does at least four feat of naturally occurring pervious material exist in all areas obstrved throughout the
Area proposed for the soil absorption system? �Z-e.G +'
If not,what is the depth of naturally occurring pervious material?
Certification �^ e�
I certify that on 1 dsi -1 (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�10 Clvm 15.017.
Signature ` Datb-� ��f-�-+�
Q.\5R"I'ICTERC11ORM.DOC
ALL SYE
LL
SYSTEM PROFILE MARKEDSTWITHC MAGNETIC TTAPEAOR BE
PROVIDE MIN. 20" DIAM WATERTIGHT (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. NOTES
�f 6A
ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2' PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE 1. DATUM IS APPROX. NGVD
TOP FOUND. EL. 94.1' FILTER FABRIC OVER STONE o
2. MUNICIPAL WATER IS EXISTING ���
C
MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 87.0 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT.
PRECAST H-10 BLOCKS Q
RISERS (rrP.) PRECAST RISERS4. DESIGN LOADING FOR ALL PROPOSED PRECAST Locus
, .
2'0 7 Ot' 4"OSCH40 PVC MORTAR ALL H-10 UNITS TO BE AASHO H-19
t PIPES LEVEL 1ST 2' COMPONENTS
ENDS (NP) �SIDES 84.0' 5. PIPE JOINTS TO BE MADE WATERTIGHT.
EXISTING \_91 .2' 10" EXISTING 14" 'a�o'oo ? __'_--_--_-----__-__ `s ova
6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE
INVERT ELEVS. 85.0' TEE SEPTIC TANK** TEE , ®®®® ®®® ®®®® -�®®® WITH 310 CMR 15.000 (TITLE 5.) _____-_ "_-_ ____
\�3 4.75 0 o n--
MIN. 6" SUMP �00000000 . ®®®®®®®®®®� ®®®®®®®®®®® 000000000 0 ) 0 0 0 0 > 0000
GAS BAFFLE::` oo02" MIN. INT. DIM. 00000000 ®®®®®®®®®®� ®®®®®®®�®®® 000000007, THIS PLAN IS FOR PROPOSED WORK ONLY AND
*87.6' >00001.) - ®®®®®®��®�L �000®�®�0®� 00000000' >00000000 ;00000000 81.2 NOT TO BE USED FOR LOT LINE STAKING OR ANY83.4783.3
1 OTHER PURPOSE. .
LH-10 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
6" CRUSHED STONE OR MECHANICAL 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. (2) UNITS REQUIRED
COMPACTION. (15.221 [2]) ALL AROUND PRECAST STRUCTURES 9. COMPONENTS NOT TO BE BACKFILLED OR Yarmouth
OVERALL DIMENSIONS TO OUTSIDE OF STONE: 25.00' X 12.83' CONCEALED WITHOUT INSPECTION BY BOARD OF Campground
00 HEALTH AND PERMISSION OBTAINED FROM BOARD
(3.7% SLOPE) ( 1 % SLOPE) OF HEALTH.
10. CONTRACTOR SHALL BE RESPONSIBLE FOR
FOUNDATION- EXIST SEPTIC TANK 35' ' LEACHING NO BOTTOM TH-2 CALLING DIGSAFE (1-888-344-7233) AND LOCUS MAP
FOUNDATION - 77' D BOX 12 FACILITY VERIFYING THE LOCATION OF ALL UNDERGROUND & NOT TO SCALE
(2nd LINE OUT) 0 8% SLOPE NO GROUNDWATER FOUND OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF
WORK.
ASSESSORS MAP 349 PARCEL 87
11. ANY UNSUITABLE MATERIAL ENCOUNTERED
SHALL BE REMOVED 5' BENEATH AND AROUND THE
PROPOSED LEACHING FACILITY.
12. EXISTING (KNOWN) LEACHING FACILITY SHALL BE PUMPED
AND REMOVED. NOTE: EXISTING SEPTIC SYSTEM IN
*THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL REAR YARD NOT FOUND (NO RECORDS AVAIL.)
UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 2 0 �O,0 INSTALLER TO DETERMINE LOCATION AND PUMP AND
PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM FILL WITH CLEAN SAND OR REMOVE
**INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT
1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE LOT 177
WITH 1500 GALLON SEPTIC TANK APPROPRIATE TO SITE 36,201 f S.F.
CONDITIONS IF NOT SUITABLE
o SYSTEM DESIGN:
PROVIDE CLEAN-OUTS AT ALL BENDS
GARBAGE DISPOSER IS NOT ALLOWED
DESIGN FLOW: 3 BEDROOMS 0 110 GPD = 330 GPD
INV. OUT TO UNKNOWN USE A 330 GPD DESIGN FLOW
5' REMOVAL OF UNSUITABLE SOIL REQUIRED SEPTIC SYSTEM (NO
p AROUND PERIMETER OF LEACHING FACILITY, RECORDS)
/ UNDERGROUND UTILITIES SEPTIC TANK: 330 GPD (2_) = 660
^s DOWN TO SUITABLE SOIL LAYER. REPLACE �
CO WITH CLEAN MED. SAND, TO MEET LIKELY IN THIS AREA --
SPECIFICATIONS OF 310 CMR 15.255(3) (NOT MARKED)
,
_ **RE-USE EXISTING 1000 GAL. SEPTIC TANK
TEST HOLE LOGS W w
-�-w� G- � t4 4_2 W"G W�_w----w-- LEACHING:
94.16 -' SIDES: 2 (25 + 12.83) 2 (.74) = 112 GPD
ENGINEER: ARNE H. OJALA, PE, SE G----_G BOTTOM 25 x 12.83 .74 = 237 GPD
WITNESS: DAVID STANTON, IRS INV. OUT EL. 91.2' PAVED DRIVE TOTAL: 472 S.F. 349 GPD
DATE: 10 8 13 x g .4 EXIST. DWEDWELLING/ / TOP FNDN. = EL. 94.1' 41 USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL)
PERC. RATE _ < 2 MIN/INCH (C2) �� / 87 x 88. 7 1 87. WITH 4' STONE ALL AROUND
a 0^ INV. OUT 93.91 O� 88.2
CLASS I SOILS P# 14150 87.6' i �� 06 �8.03
7.4do
\
ELEV. ELEV. mO 0 94 94.08 /
„ 86.9' 0,1 86.8' 93.63 93
��//SL 1A SL �, - 26 ��' �� .06 x o.o0 92 x o8 MA
9� / ,
UNSUIT. / / UNSUIT. 3 a8 x 8 . s9 19 APPROVED DATE BOARD OF HEALTH
10YR 4/2 1OYR 4/2 D 4 92
6„ 6» b 4 x 8 \.09
°
B B 6. ° �p 97 °��° g� 1. TITLE 5 SITE PLAN
0
Si LOAM Si LOAM ' TH 1 ' 12" P.PI x 88.08 09 90 x 90.15 ° 0.9 .1 1Ilk
OF
2.5Y 6/6 UNSUIT. 2.5Y 6/6 UNSUI . �� 91 91. /
44" 48» BENCH MARK - TOP OF 0 97 �y 33 CYPRESS POINT
(\ TH 2 ' 7 FOUNDATION HERE EL. = 94.1' 0 69 �1 cRq o
C1 c1 91 6 "4 a CUMMAQUID
9� Rj
Si LOAM UNSUIT. Si LOAM UNSUIT. 161 1 AK 86 \/
5/6 " 10YR 5/6 x.�6.46 7 � 0 � &Q 90 1 � PREPARED FOR
10YR
°o /90.1 JANE BERLING
78.9' 120 76.8' � x 88.5 7 x 89.6
96» \ x 87.32 ■
C2 C2 \"�3 4" OAK 90.52 OCTOBER 11, 2013
a /
1---"87. S x 88.51 x 90.83 ��
�H of Mqs b OF M P�Mqs ` �,ZH o��tA,, off 508-362-4541
_ �`0 1 fax 508-362-9880
SIEVE LS LS
�y \ g9 x89.66 R 5 $ - o� DANI'ix�g i � ;off D^Nr- downcape.com
�1 N DANII A. u, r. .i�L DANIEL ?%i;'
A 8• O .A OJALA A. A. '
CIVIL ° `> I OJ/ALA u`i • •\ CIVIL �; GJAIA �,
s �770�1P �o.4 i ,�alowo cape engiaeeri/!g iac.
10YR 6/6 „ 10YR 6/6 FS �x 9.63 P � o. No.4�i3�0 - No.40980 w >t
168 72.9 168 72.8 AO
' �G/S T Ems% F R�° �, �0 �� OF Q�Y civil engineers
Scale: 20' W�► sS/O ��,� FS /sTE NG�a .�� ss sss� v�
NO GROUNDWATER ENCOUNTERED x-aa5o _ S�ONAL E �* sURvE land surveyors
NOTE: MANY STONES AND BOULDERS x 91.21 Q` �� . Y� 1�� �
939 Main Street Rte 6A
0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675
13-216