HomeMy WebLinkAbout0034 CYPRESS POINT - Health 34 Cypress Pint
Barnstable
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�? TOWN OF BARNSTABLE
LOCATION Jn� �yPa ,S- PO to— SEWAGE#
VILLAGE (_ O8M/4 Q yi Q ASSESSOR'S MAP&LOT
INSTALLER'S NAME&PHONE NO/cr �tje�o •y J�a �Z S �-�yJ
SEPTIC TANK CAPACITY l J 6-0 _�/ ,,/
LEACHING FACILITY:(type) J e���{�I 12aY Wf llS (size) 3�.5 �C 1 3 A A
NO.OF BEDROOMS
BUILDER OR OWNER f I
. PERMIT DATE: (�" �p "' COMPLIANCE DATE: ! `!0-19
-!',Separation Distance Between the: "/
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility /j ` Feet
Private Water Supply well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) /f/� Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
wA�
No. A 0 0 Fee j y
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Application for Nsposal *pstrm Construction Permit
Application for a Permit to Construct( ) Repair(V<Upgrade( ) Abandon( ) Complete System ❑Individual Components
Location Address or Lot No. -Z)q Pteac S}� n\ Owner's Name,Address,and Tel.No. �\'1-5Q1j-97
C.UMMCX �'F MA (Zatozo 5rerley U_b\sh
Assessor's Map/Parcel Q- C c
Installer's Name,Address,and Tel.No. "T7�a J� Designer's Name,Address,and Tel.No. �$-77 a-q�C0
ca Cod S 1pv%c Sr�ceS /'K<>/ .�-f�vf�er 0"Ot1 )d U'dW
\AC
a *r oa 7'D 90 1001 9,56a
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) '3 gpd Design flow provided gpd
Plan Date Number 9 Number of sheets Revision Date 1_2 1
Title
Size of Septic Tank_ / 1j d 07 Type of S.A.S. e—, a
Description of Soil ,� � `J
�/�� �S�'�Y/_a GY'�s
Nature of Repairs or Alterations(Answer when applicable) AZ ZZ x -C a d
44
Date last inspected:
Agreement:
V 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 He
Signed ^ --�
gn �� Date
Application Approved by Date �'
Application Disapproved by Date
for the following reasons
Permit No. (} i�. v l Date Issued
T�.
'"41n 1
O
No. r V L 't } Fee ( !
�'" THE COMMONWEALTH,OF MASSACHUSETTS Enfered in computer:—.Z
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE,MASSACHUSETTS Yes
4ptication for disposal; pstem ColistrUction 3permit
Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) Complete System ❑Individual Components
Location Address or Lot No. '?) ) y � .�R(�'� Owner's Name,Address,and Tel.No. (yt-7_50�i_97'.o
Assessor's Map/Parcel C.v o, �O�V" A Q 3 u2i7 ��I f\Cy
Installer's Name,Address,and Tel.'No. �J� 7 7 - Designer's Name,Address, d Tel.No. EDFS-�75=�17(�Q
1.
ji cc,' , c� pV*' �CUiL � /marc,/ �laFi'7k! (� �1C1 11aC
-h -i �• O- Y _ x% AAtn-72D1 1n
Type of Building: L v
Dwelling No.of Bedrooms Lot Size 0 sq.ft. Garbage Grinder
Other Type of Building ( p '�a\ No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Desi� flow provided ~li'�' gpd
Plan Date-
o Number of sheets Revision Date
Title
Size of Septic Tank i z,,f-2e2 Type of S.A.S.
Description of Soil
--�.,•�` e CEP /1'a���E` i•
F
Nature of Repairs'or Alterations(Answer when applicable)
9"" G - �„ CU 12
!
42 '���
Date last inspected:
Agreement: N
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 Healt
Signed Date
Application Approved by -, 4 t A Date
Application Disapproved by b Date +
for the following reasons
Permit No. r'1 !� 1-I ] Date Issued j„
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
at ,.,-L has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.7(3i_q dated,
'7Anstaller Designer
bedrooms • Approved design flow _ 3�'� gpd
,;fhe issuance of this p ~it hall not be construed as a guarantee that the system will�fitncti ri as desi "ed.
Date Inspector .
IN ti- c
No. — 7 Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposar *pstrm Construction 1Prntit
Permission is hereby granted to Construct( ) Repair(t,) Upgrade( ) Abandon( )
System located at 3 �/ l'� ��, ss ,� Y e L (O(4Tb >;,�.1)
rT a
4
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 Wt A Approved b PAIA AAA
y
- � "�
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,6
Town of Barnstable
pp ZME T
Regulatory Services
Thomas F. Geiler, Director
* BARNSTABLE,
y MASS. d Public Health Division
2639.
ArfOts Thomas McKean, Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date: l
Designer: /U -�ILC_ Installer:
Address: J�® � i��(d �c Address:
02673
On , as issued a permit to install a
(date) (installer)
septic stem.at •_� Cu�`
p Y l C��/�ir_ss �..z t based on a design drawn by
(address)
,��i 0,4.,b t L LAC--- . dated_� J
(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.
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.
F AM
RONALD
(Installer's Signature) JAMES
. CADILLAC N
#1060
�S01STE¢l�' /2
gAM AM
(Desi er's Signature). (Affix Designer p 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/Septic/Designer Certification Form
JOB NO. B19-01 NOT TO
NOTES Paulson.dwg SCALE RTE 6A
BENCH MARK--MAG NAIL BACK FB 31/65 34/30 SB 14/60
�• OF BERM = 40.00 ASSIGNED 1. LOCUS IS A.M. 349, PARCEL 065.
2. ELEVATIONS SHOWN ARE ASSIGNED.
3. LOCUS IS IN FLOOD ZONE X(< 0.0% RISK) ON FIRM DATED JULY 16, 2014.
n ,r 4. ALL PIPES TO BE 4" SCH 40, AND PITCHED AT 1/4" PER FOOT. (UNLESS NOTED) T
5. MUNICIPAL WATER IS AVAILABLE. LOTS WITHIN 100' ARE ON TOWN WATER.
6. COMPONENTS TO BE AASHTO H-10, UNLESS NOTED.RESS7. INLET TEE TO PROJECT DOWN 13", OUTLET TEE DOWN 14".-�'40.59 8. IF TWO OR MORE LINES, WATER TEST D-BOX FOR EQUAL FLOW Wingfoot D
a- ,--'X 4L2 D-BOX EXIT PIPES TO BE LEVEL FOR FIRST TWO FEET.
9. DEPTH OF COMPONENTS NOT TO EXCEED 3', OR VENTING MUST BE PROVIDED.
539.99 ��-------st 4L3 , x 42.6 COVERS: BUILD UP COVERS TO 6" BELOW GRADE-- 1 ON D-BOX, 1 ON LEACHING
x140.7 40,44 6a�oQ, 10. STONE TO BE DOUBLE WASHED 3/4 TO 1 1/2" WITH 2" MIN. 1/8 TO 1/2" PEA STONE ON TOP. LOCATION MAP
x 41.3 � ' S 11. IF UNSUITABLE SOILS, OR SOILS DIFFERING FROM THE SOIL LOG ARE FOUND,
i R,1Z
40.80 CONTACT THE BOARD OF HEALTH, OR R.J. CADILLAC.
12. IF AN OVERDIG IS CALLED FOR BELOW, FILL MATERIAL FOR 5' AROUND AND UNDER LEACHING
IS TO BE CLEAN GRANULAR SAND MEETING SPECIFICATIONS OF 310 CMR 15.255(3). TEST HOLE 1
X /1.8 x 43,4 13. PUMP AND FILL ANY EXISTING CESSPOOLS. REMOVE ANY CLOGGED SOIL, BLOCK, AND STONE IN
i LEACH AREA, AND DISPOSE OF AS DIRECTED BY HEALTH AGENT. DEPTH (inches) ELEV.(feet)
14. ALL CONSTRUCTION TO MEET TITLE 5 AND LOCAL REGULATIONS. p 42.0
to
43.2 / /' DESIGN IS FOR 3' MAX COVER OVER DRY WELLS TEST HOLE DATE: Au ustl 15, 2019 A layer 4/3
41.98 PERC NO.: PTg 19-100 8„ sandy loam
/ / 41.74 ON NW END OF LEACHING. PERFORMED BY: Ron Cadillac, Soil Evaluator B layer 1Oyr 5/6
i
sand loam
2.8 45.06t WITNESSED BY. David W. Stanton RS y
Kit. i ; " 5 Top Fnd. PERC RATE: <14'-40" inch C2 la er 26 39.8
Bath DnRm Bath Bath � � � / / ( layer)
BdRm x 43.3 ; ' D3.0 42.19t SOIL SURVEY(1993): Barn-PIym-Nantucket Complex C1 layer 10yr 7/3
42.48 ' EVEN GRADE OUT OVER _
42.65 x 41.9 Cast Iron Inv. in Basement GEOLOGIC MAP(1986): Sandwich moraine deposits silt loam
BdRm i � /
SEPTIC TANK WITH 9 COVER
FamRm f i x 43.4 m �12" Oak �,� 12" Oak Invert 41.78 Invert 40.90 3--500 GALLON DRY WELLS 84" 35.0
Gar. LvRm BdRm ' / Invert 42.54 W 4' STONE
2.4
Use Gas Baffle / C2 layer 10 6
' l Exist. Cast Iron y /
x,43,6 / �i�f" ruce Invert 39.40
�: :::".:.:.., R Exist. PVC {slab) loamy sand
m / r.::::. . ::;:.: F - Proposed Top Conc.=39.7
43,4 / / H-10 Top Peastone=39.3 p
EXISTING FLOOR PLAN s-3 8 ft. 9 cover with clumps
ENCASE SEWER LINE �x 43.2 :;:;:• 42. Oa I " sand loam
x ,� '�f�::4: ::.'
S=2 ft S=5/8 /f H-1�s Max. y
/ 4` ' \' ' 11.3 I Invert 41.15 1500 Gal.
IN CONCRETE WITHIN r 1 , 1
NOT TO SCALE Septic Tan
i 10' OF WATER LINE. C�
�.:::::: no water
�c, ' a9` O �.� 34' i i Proposed H-10 ----------- 24„
e . 41 � ::� 132" 31.0
(BASEMENT UNFINISHED) / a� /� `' F413,6 r , `:::::::::.. --
x :.........� N�36.9
. I I Ix 43,9 43,0 ; ;. ' T r ;.:i x 41.4 ' v / I I. ....... I I Invert 39.57 Invert 38.87
1 1 6 Stone or compact Proposed Proposed I Bottom TEST HOLE 2
�. 42,98 C� k 43,1 :.. H 1 HERRICK 18' I 21' I I N
i <v� 43. 4 ,2 24" Oo n '� ' -� 1 8' -� i ` I-10-' Bottom TH1=31.0
k - 14 , 40 I _ DEPTH (inches) ELEV.(feet
" 4 �' \��.4\,32 44 2'9 21 x 41.. fD p 42.0 )
N / F / 42.63 42.2 42.15 DESIGN DATA A layer ,oyr 4/3
/ I 3.1 BEDROOMS: 3 6" sandy loam
x 43
B layer 10 6/6
G E 0 R E _ GARBAGE GRINDER:
No LEACH AREA sand loam
' 42.94 REQUIRED CAPACITY: 330 GPD y
�'42,79`-_43,11 �428 BENCH MARK--NE CORNER OF 21 40.2
80 , S/ �/ :: • PROPOSED SEPTIC TANK: 1500 GAL. USE 3 500 GALLON DRY WELLS WITH 4 OF
pb S�' BOTTOM STEP=44.30 ASSIGNED STONE ALL AROUND FOR A 13' X 33.5" X 2' C1 layer 10 7 3
�/ . LEACHING AREA: 621.5 SF y yr /
42.84 ' 7 /� 42 9 LEACH AREA. silt loam
/ �� •:. . BOTTOM 13 X 33.5-435.5 SF
n/ , 5 REMOVAL 35.0
..•:•.:.••••.:•:•:••.•"'' •• ' s� /V •• • •: � 43,1 SIDE 13' + 33.5' 2' 2'DEEP 186 SF ' 84"
r / DESIGN CAPACITY. 348 GPD c�
od�, x 43.1 / dSLo� 3� '� 43.0 [(621.5 SF) X .56 GPD/SF] DO 5 ALL AROUND REMOVAL DOWN 7 TO W C2 layer 10yr 6/
N co' �/�t 43,21_
G2 LAYER. 102 loamy sand
-
`� with clumps
....;..:'... x 4 L
ck / 'arn ' sandy loam
\ 43.5 o
. 43.35 Z 132„ no water 31.0
x 43.0
R.J. CADILLAC TO INSPECT SEPTIC SYSTEM
PRIOR TO BACK FILL.
LOT 183 43,62
58 , 6 50 ± S . F. 4.
4433
x 42.7
\
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\
\
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\
\ x 43.3
\
412
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SITE PLAN S�w�
FOR
S
THIS PLAN IS A VALID COPY ONLY IF IT BEARS 1
AN ORIGIN-AL ED ST GNATURE. SHIRLEY WALSH ,J . TR .
d0_
LOT 183, 34 CYPRESS POINT, CUMMAQUID, MA
N /F V Of MgSs9c ZN OF MgSs9c
LEGEND RONI IL y�� ��� RONALD y�� AUGUST 16 2019 SCALE: 1 "= 20'
GETHIN
o JAMES o JAMES �
TH 1 TEST HOLE LOCATION, NUMBER S gyp• " CADILLAC �' CADILLAC J co30'�O„ #1060 � #35779 �
W WATER LINE MARKINGS ?24.98, F Q1STCC �q�FCss`°oQ
E- UNDERGROUND ELECTRIC FLAGS (IF SHOWN)
s�N17Aa`"a "°SU�'E� RONALD J. CADILLAC, PLS, RS
x 9.5 x 8.7 EXISTING & PROPOSED ELEVATIONS ('X' MARKS POINT) � '� I `
,,-•--6- EXISTING CONTOUR N /F PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN
-- PROPOSED CONTOUR
P.O. BOX 258
- x FENCE (IF SHOWN, NOT ALL SHOWN) S K A P A R S WEST YARMOUTH MA 02673
0 IF SHOWN, NOT ALL SHOWN)
TREE N /�
TRAVERSI HEALTH AGENT APPROVAL DATE (508) 775-9700 PAGE 1 OF 1
REV. 12/03/2019--BARN PERC NO. ADDED C 2019 BY R.J. CADILLAC