Loading...
HomeMy WebLinkAbout0134 HARBOR POINT ROAD - Health 134 HARBOR POINT RD Barnstable A = 352 - 003 ` _TOWN OF BARNSnT-IABLE LOCATION ` 3 �` ���� �0` RJ SEWAGE 0;2 VILLAGE C I ANL rn G,G CS6 ASSESSOR'S MAP&PARCEL 3� — INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) J 0 k y X NO.OF BEDROOMS OWNER PERMIT DATE: 5� l g6 COMPLIANCE DATE: 2 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) i " Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) / Feet FURNISHED BY r AN- .A3; �b (33= Ny' 1 LA- JN JOG ou { Y �{ tt `� TOWN OF BARNSTABLE 0 LOCATION � \)k-"YL �� � SEWAGE # 9 2 2 VILLAGE—L-a� (� ',� ASSESSOR'S MAP & LOT rt " 00a INSTALLER'S NAME&PHONE NO. �• SEPTIC TANK CAPACITY G LEACHING FACIIITY: (type)MVQ LT f r-�-"OS (size) NO.OF BEDROOMS,-? SS BUILDER OR OWNER 11 U k- PERMUDATE: 7 /? ' , COMPLIANCE DATE: 7 Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 Leaching4Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by A Aar �� G , l N Vvr L� Fee THE COMMONWEALTH OF M1i4SSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Misposar bpstem Construction permit Application for a Permit to Construct( ) Repair(y/ Upgrade( ) Abandon( ) ❑Complete System individual Components Location Address o,;Lot No. \71 r b Owner's Name,Address,and T 1.No. Assessor's Map/Parcel I taller's N Addre s and Tel.No. Designer's Name Address and Tel.No. \3 v`� ��rM 9� 'Address,and fit^ tit Type of Building: Dwelling No.of Bedrooms Lot Size,767 sq.ft. Garbage Grinder( '� Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 0 gpd Design flow provided 17,36 gpd Plan Date `� J Number of sheets Revision Date Title a r Size of Septic Tank Qk ZA 1 SL1O g�%k ►A 1 O Type of S.A.S. JAI® Qg c1X . Y1 o Description of Soil le�e, Qk(M CC,`\p,N G�G,rt�C.� („�1Mn $%IO'✓C, Nature of Repairs or Alterations(Answer when applicable) -.. e k r5k%.`a k C a C,L--. e r"e g. 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 lth. Signed Date 17 u Application Approved by Date r Application Disapproved by Date for the following reasons Permit No. Date Issued .�:,�.-sf.' .(•..h 'n ..,:. �?-.- r �'... � ••,�..r• �, ..� F1... .xrd . ., .ie.:'..--.,.r.. ..•E... - /x %) "Nar ,. °* �►,jay, '4G JR t Fee - THE COMM.ONWE�► IH10FiMASSACHUSETTS Entered in computer: &� ( t t Yes PUBLIC HEALTH DIVISION TOWNyOF BARNSTABLE, MASSACHUSETTS ftpricition for Bispd4l *pst6u Construction 3pertuff -j Application for a Permit to Construct Repair U rade Abandon/ pp r ( ) p ( • pg ( ) ( ) ❑Complete Sy tem (Mlndividual Components I tx. .3t. A w a, 4 /io�n Address o Lot No: q C b tip OV } Owners Name,Address,and Tel No. Locat J�o�iO~ � Assessor's Map/Parcel Installer's N e,Addre s,and Tel.N`� y � 2 J Designer's Name,Address,and Tel No: ,1 ,r� � Type of Building: Dwelling -,No.of Bedrooms Lot Size��� (� sq.ft. '`Garbage Grinder(IV) �. Othei Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures f ^� r ' Design Flow(min.required) 0 gpd Design flow provided �} tp gpd f 'n Plan Da te ate `�Z J � y Number of sheets Revision Date Title I Size of Septic Tank p%L iSk 1!C tiO C,A I to\U Type of S.A.S. OLp Q(+i o x - 1 Description of Soil _\D - Pt CAA laG.i c,� G�..ram,6 r of lJ + A%A.« �-} . f \ ap ) �rn�G�SL 4',1 bk� t e A CIS ' Nature of Repairs or Alterations(Answer when_a licable Al 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 qe4lth j Application Approved by Date o /c �•• Application Disappro ved by Date for the following reasons Permit No. r►al Date Issued / --------- - ------------------------------------- - -- ------------- ------- - — - ------------- ----------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance t THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( lr Upgraded( ) Abandoned( )by �. at 1 ZU UMMha' ilC structed in accordance 3 with the provisions of Title 5 and the for Disposal System Construction Permit No. ;,P Z dated i/6_j), Installer ^�S�Q �^ �" � Designer K k)C , -q n #bedrooms Approved de 'ggno The issuance of this permif shall not be construed as a guarantee that the system w funk iglo; as`designed (� Date . 0 Inspector °�� 1� No. '""( r Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal r*pstem �Construrtiort,f ertnit Permission is hereby granted to Construct( ) Repair V) Upgrade( ) Abandon( ) System.located at I L.( �-�(,.t tai ?O k^-k- ad�7. ( c 1%nn G G.)t 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 cocas leted within three years of the date of this permit. Date 13)I Approved by \ I Town of Barnstable Inspectional Services Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: J ZO Sewage Permit# d A 5—Nssessor's MapWarcel 352 Designer: bOtn wee%lmmro, INC, Installer: ITT-rV_Ft"NK� Address: 133 MY _%Zf K_ A Address: [13 QLP YA�P��t615f 0 YgR&M f01T HA 02475 f tANN►-i4 WA- 0ZL01 On SW � E was issued a permit to install a (date) installer septic system at I3J HA•(1.. E-ffig 9P. �.U_. MM,AIVIDt �# based on a design drawn by (ad ress) ha IP'L .Nam, �P(.5 dated &A. `{MW (designer) V 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. 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. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compliance with the to rms of the AA approval letters(if a plicable) �r2r, rV�f� CANIEI_A. s1". ZI (Installer's Signature) GIVIL No.46502 h (Designer's Signature) (Affix Designei'�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. \\toa\depts\HEALTMSEWERconnect\SEPTIODesignerCertification Form Rev&14-13,DOC Town of Barnstable Board of Health IMPMASM 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 John Norman,Chairrman FAX: 508-790-6304 F.P.(Thomas)Lee,P.E. Donald A.Guadagnoli,M.D Daniel Luczkow,M.D.Al March 10, 2022 Mr. Daniel A. Ojala, P.E., P.L.S. Down Cape Engineering 939 Main Street, Route 6A Yarmouth Port, MA 02675 .1. W:",a^ E ,a "''N;,y .iu.ge"' nr,�§ nm '�e - . A: 352 003� RE x 134 HarborPxoj„ntRoada,j Cure x aqu„td � m�urrvwnr. »pro.. � . Dear Mr. Ojala, You are granted a variance on behalf of your client, William McDonald, to construct an onsite sewage disposal system at 134 Harbor Point Road, Cummaquid, Massachusetts. The following variance was granted: Section 360-1 of the Town of Barnstable Code: To construct a soil absorption system 21.7 away from a coastal bank, in lieu of the 100 feet + minimum separation distance required. This variance is granted because the physical constraints at the site severely restrict the location of the septic system components due its close proximity to a coastal bank. Sincerely yours, hn Norman Chairman BOARD OF HEALTH TOWN OF BARNSTABLE Q:WP\Ojala 134HarborPointRoadCummaquid Variance Aug 2020.docx FV OIL TME r DATE: �} w yes * $95.00 FEE*: BARNSPABLB, • , KASS' REC.BY: 1639 Town ®f Barnstable QED H1A'l� Board of Health - SCHED.DATE: 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 Donald A.Guadagnoli,M.D. Junichi Sawayanagi VARIANCE REQUEST FORM LOCATION Property Address: I?jy � FDI�T �® �)M lylAr AD Assessor's Map and Parcel Number: Size of Lot: 6,5 Ar Wetlands Within 300 Ft. Yes ✓ Business Name: No Subdivision Name: APPLICANT'S NAME: WK%we 0411,41 mr, Phone 9V9-%2,-" q 1 Did the owner of the property authorize you to represent him or her? Yes V No PROPERTY OWNER'S NAME CONTACT PERSON Name:I^)II.UPtM 00 AO Name: `EL A O,J A3 Ply dNN WyIK Ad dress:111 K Wj U A 0 7 Address:93j MbA� y6�lu1M 0�, 4VU471 Phone: Phone: EMAIL: VARIANCE FROM REGULATION(Incl.Reg.Code 4) REASON FOR VARIANCE(May attach separate sheet if more space needed) VMANCC OF 21, E 1�L.,,Tr� AirrAC b bV1 T I00 PTtD�LItT , ROM JW 9014 AV709MI4 fit/ TDB NATURE OF WORK: House Addition House Renovation Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) Please submit first four on list as 5 collated packets. A. Five(5)copies of the completed variance request form ' B. Five(5)copies of MA DEP approval letters for Innovative/Alternative septic system(when proposing an I/A system or secondary treatment unit(S.T.U.). C. Five(5)hard copies of engineered plan submitted(e.g.septic system plans)and one(1)electronic version submitted to email: / health@town.barnstable.ma.us V D.Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)and one(1)electronic version. A completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or R.S. _y[ Signed letter stating that the property or business owner authorized you to represent him/her for this request Applicant must notify abutters by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only). Full menu—Five(5)copies of full menu submitted(for grease trap variance requests only). Fee Submitted-$95.00 for the following variances: 1)New construction, 2) Septic repairs with increase in flows, and 3)New owner/new lessee applying for food,pool or body art variances. Exemptions from Variance Fee: 1) Septic repair without an increase in flow and variances granted at the counter,2)Monitoring Plans,and 3)Temporary Food(not a"variance"). _ Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Paul J.Canniff,Chairman NOT APPROVED Donald A.Guadagnoli,M.D. a C:\Users\decol1ik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\QDLJENHC\VARIREQ Rev APR 4- 2018.docx ! I� J / 939 main street rte.6a tel.(508)362-4541 Yarmouth port mass 02675 fax(508)362-9880 down cape engineering, inc land court civil engineers&land surveyors Daniel A.Ojala,P.E.,P.L.S. surveys Arne H.Ojala,P.E.,P.L.S. Daniel E.Gonsalves,P.E.,S.E. Craig J.Ferrari,E.I.T., S.E. structural design August 10, 2020 site planning Barnstable Board of Health sewage system 200 Main Street + designs Hyannis, MA 02601 inspections - Regards: Septic Upgrade at 134 Harbor Point Road, Cummaquid permits Dear Board Members: On behalf of our client, enclosed is a variance application request for a 3-bedroom septic upgrade to replace a failed leaching facility. We are requesting a variance under Barnstable Regulation 360-1: Variance of 21.7' requested from the 100' separation requirement from the soil absorption system to the coastal bank s The site is constrained due to the presence of wetland resource areas, to include Bordering Vegetated Wetland(BVW), state-defined Coastal Bank and Land Subject to Coastal Storm Flowage (LSCSF). The proposed leaching facility is further from the resource areas than currently exists, and is more than 100' to the BVW. No adverse effects are expected to the heavily vegetated and stable Coastal Bank from the installation/use of the new leaching facility. In that the site does not lie within a Zone II,the leaching facility is greater than 100' to the BVW and LSCSF, its base is the required 4' above the adjusted groundwater (5 mpi perc rate)and there is no construction proposed&bedroom count is not increasing,we feel that the new facility will not contribute to the decline of existing water quality or food sources. Thank you for your consideration. Sincerely, (�D Daniel A. Ojala, PE, PLS Down Cape Engineering, Inc. Poe Fc tA 9 2 GF° � b I 1 Ile /2 Y, 13 r tf er1l 13 V- � � 19 V 7 cc� rL 66 0 (L IDe�i� t p • C!L� S i 2 FP C2traa t"Z l S F tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cape engineering, inc land court civil engineers&land surveyors Daniel A.Ojala,P.E.,P.L.S. surveys Arne H.Ojala,P.E.,P.L.S. Daniel E.Gonsalves,P.E.,S.E. structural design Craig J.Ferrari,E.I.T.,S.E. August 7, 2020 site planning Barnstable Board of Health-Septic Upgrade, McDonald, 134.Harbor Point Road, Cummaquid sewage system designs Dear Abutter.:, inspections A public hearing has been scheduled for the Barnstable Board of Health to take action on a request for variances from the Town of Barnstable Regulations for the for the proposed Title 5 septic system upgrade at 134 Harbor Point Road, Cummaquid. The variance requested is as permits follows: Variance from Barnstable Regulation 360-1: Variance of 21.7' requested from the 100' separation requirement from the soil absorption system to the coastal bank Said hearing will be held online due to the Covid-19 pandemic. The next Board of Health meeting is scheduled for 3:00 PM on August 25, 2020, with a proposed online link of https://zoom.us/*/96280770317. -It is recommended to check the Town of Barnstable website for the official agenda to confirm date and time if you are interested in tuning into the meeting. Plans and the application describing the proposed activity are on file at the Board of Health office, 200 Main Street, Hyannis. Sincerely, Daniel A. Ojala, PE, PLS Down Cape Engineering, Inc. s cc: Barnstable Board of Health file h L SYSTEMmvr,u x<n wn•+c,Y.,,. NOTES ................ y.a,v wv n'o w•,'.....•.•n -'.cm aw,z. wua_ ..1 . Ir N yyy tY• y E1 \ Dni•' e -� I1QN.�� u H f Y.hZ+��.,x�� J a Ilr L, M :.Zr �LdxiYxl �Y .,':J I �,•.,.N•Ix».R I Ai.w'u..pu.c a...mu.ur. ..-..re. b, , - m.KAD...A . . �aa J„k,•. ¢ I I�,I a0'vl L=.v fuv'r1 „hr. n K"Foxuay rpn CUI W.______LrnEAcCl:rHINr G G ' ' - LOCUS MAP +C iwf Art,: s•-.0 arc cnxw•,n.A..;le. •o caw -ru. SCALE:•�2mc.''x 352:•AM.0] -. .•.. Kkow,w Aeynv Av rum wrx r cAv s,N - ,S..JrnN:ICMkq GUTutr wn41E?WMC Um LDWS:']n'k K�IA,]A��w pN G.G t k w '. a l21V xvl`PAN:!j2,xIDD559J�A:C9 SYSTEM DESIGN: i \ E19u14:D 3 FEDkCOV Dx!•-1.• ' .. :,,\•,. \ 0[YCJI GLOW.]DF.'V'tIYMS a•:J 4:'D-•Si0 GiD on JSC EX'51N0 IDLY 4N.a,YIf,TANK 6 \ :•,\\ " I�u H.rV :air atC\�� linAlul;: x- ,a am avr�i•[rc \. \,. / \ uv,Vio�ryiri ifesam¢ci.,:a\...\ BpITW (2 SD EAGHr VFIIT.!ACNE 0R EDI,AI vSM R 3.M1,AT SIDES, A!nNJS AAl3 5' P DE Cy DC 9 L lN1A T 5 A ,., A yt bo, v i'<\ y:J 0' I :a, gar:•.roJ ; :.. •.: - ... ,•i./�.. _ / i TEST HOLE LOGS x'9uE35:rqn p,xw.P=!H.'-v....__-_ N. ¢. za• I. D' - zIG;.uNuv vvAsr ..... .......�-:- X. �A Y '- � - • .. .. .....................................Rµ��:��z'%;�fir:•,; D-w 111.DATA: - I2D, s_n' 12D' 1 e.D. - / Or 134 HARBOR POINT ROAD 4PDL'NDWATE¢Ek;,DUk�FREO AT 94 r:.2.:f �. r . CvC:. ELE`J. J ;3 TEST HOLE LOG ' ) ;a" CUMMAQUID, MA rreF`nsEs FOR .,Ko;Jz '•:ra SiR PINEss:n?n.aesuck<s,_os........_„ ce' Sii!, ------ -- BILL McDONALD A [:. PCBG. N;.%Ir.!............ OniG 5 .'' '. 20. Ile 24- ua. ar:v; Ju;c a.2ezo hemr:crs+.L'i� P,a sr e:.;tE a:Tv; p L; Nn•::::.. -------------—_.... .........._-._.r--. : REV: JLL:Y 11,'020 — Rci: AJGUST 4.2020(ins LOCANIN. r:A15') owe tape engineering,INC. 109' :v5' IDP,' a.j tNn' e.� B�4! ..1 >--•i I•. I+q land su-'fv jois ......._._ _.... __— 1.. 11 Fi :,PCNVC'A'A:rP rvCJl:Y1CRf.P Al dJ•EL.P.: vk::•Y1D'NA1T:H CIK::::n:ENu:D>:`5l� viRv./r r, yr a a L Y/ E.C.•] f•STC DAYr!/„•>,<:4,.':..V.I.G •.. .. - No. 3 b / .�` S ,®� y Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Z ficaatyu for Oi. �ol *pztem Construction Permit Application for a Permit to Construct( )Repair( de( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 1, \67K- Owner's Name,Address and Tel.No. Assessor's Map/Parcel -3"5�_ OC Install_er's Name ress,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 3c30 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank V_CV Type of S.A.S. Description of Soil Li y bw,,6 Ot Nature of Repairs or Alterations(Answer when applicable) i c �G'T taw 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 Certifi- cate of Compliance has been iss oard o Signed Date en rl Application Approved by Wee Date 7-- M-T Application Disapproved for the following reasons Permit No. 6 Date Issued — — No. - �'" Fee ~, THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 11L. rfcation forigo� *pgtem Cor�gtruction hermit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Nam Address Tel.N_o. Gv�nn!�c`G"O e{�YvJ kv -L Assessor's Map/Parcel j' OD ✓ v j 1 , Ins er' ame�kdd d Tel.No. Designer Name,-Address and Tel.No. -� � s 77. Type of Building: Dwelling No.of Bedrooms , Lot Size sq. ft. Garbage Grinder( ) Other Type of Building' I No.of Persons Showers( ) Cafeteria( ) Other Fixtures ' r Design Flow 330 . : -- gallons per day. Calculated daily flow gallons. Plan Date ` - Number of sheets Revision Date Title _. _ `/�- Size of Septic Tank Type of S.A.S. _ Cc,(�C' t") ri Description of Soil M� t y Nap `'Rep 'rs or Alterat��'QQns(Answ r when applicable) 1 S� t`-`t� , �ti Date last inspected: V Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions o�Tlitlle 5�ofthheEnvironmental Code and n t to place the system in operation until a Certifi-cate of Compliance has be Signed ` " Date 7-�_� c� Application Approved by _Date _ Application. Disapproved for the following reasons . Permit No. r f " > Date Issued ————---———————————- ———————————————————— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate*of Compliance ' THIS IS TO , t1t}�aa�,the O - t e e t Dis o al System Constructed( ' )Repaired( )Upgraded(V' ) Abandoned( )by � �ohJ .� b at has en construc S i aocor t�sg with the pro J�ions f itle 5 an fo Dis sal System Construction Permit No 7 / dated / Installer / Designer The issuance this t s 11 not be construed as'a, uarantee that the s st jyn ill fun ion as design . Date P �a ` g Inspector y V T � r�/ r No. -------------------------Fee — • THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mi5pont *p5tem �tructton Permit Permission is hereby granted to Construct( Re it )U grade( Abandon System located at �"�` 00'(t_ &t-"- K 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 p e rt. Date: 7- - 5 7 Approved by �it�6 Y .WdKT; NOTICE: This,F.orm is to be used for the Repair offaled Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) _ hereby certify that the application for disposal works constriction permit signed by me dated —7+ k'F-cz: , concerning the property located at I kAc...vv 6f— 71 tz meets all of the following criteria: • There are no wetlands within feet of the proposed septic system -off t • There are no private wells within 150 feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. -o SIGNED: SY DATE: —7 — l� LICENSED SEPT,/SYSTEM STEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system.Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. r I r ,� G ��' ��- .' � "'', r �3 5/ TOWN OF BARNSST�ABLE:' "LOCATION �- SEWAGE # 9 VII,LAG ASSESSOR'S..MAP& LOT " Oda INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACM . LEACHING FACILITY: (type)-i���-1 L-�r �-o 0.S NO.OF BEDROOMS-J? BUILDER OR OWNER �� j U PERMITDATE: -7- I� ' 9 7 COMPLIANCE DATE: — 'of.. Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 Feet within 300 feet of leaching facility) Furnished by a 3 AU-3 �3i �13Z.. i ..:,�-....,�a•.M.�,,.-,..�_x,.,._,�,,,,�,.,�-, ,�,x,.:.:.,�,. m.a,.__-., ,. ..�� ,-...,,� - .,x.,:-�,�-....�-.s.,-..�,. �,,.,�-:3.,�-�,.�..,e.�..�,�•� .�-,.� - .z.,.,�.a,,.�. _ _a_ _..r .., . , M,.�.a ... _�. ,. ,.a.� ,M .. �, ,- ,._,�..., ,,...,.,.._ ,, ._, a. ., .�. „f4. . F>, ..,..,.,.. ,.,., ... , ,...�....t ,,,..��. ,� . .��..,,r�•M.,2,. ----52°--- — --- --- 22'-0' — x 3.-0' 45-5' 3'-0' I FULL HEIGHT FULL HEICNT .�... � WALL "a BATH - - I �ED ROOM BED ROOM _ a - --- -_ :._.....--'-� --- — --_..... _--- -- - --- -- ---- - ------ . _,-------------------- ------' ---- --- [[: co FLAT CIEL-TJIi4'NJ j� ° O - OI. N -n r-..... .... ...... 1- _._ ____ -__.__ ___ .________ __ ______ _ _-_____ -__ __. _._ _ ___ _____ . _______ NI GH MEEK 3 WALL _ ____ ___ WALL i cp m - N � i SECOND FLOOR PLAN .' i O O 8-0.B' ---°7 .16'-6"_• 12'-4" - - ( 31h" DINING .. AJ BED ROOM KITCHEN HA ?G N f(7w ' V `4 l 1 O N - 8 i 3•-4" .. } e - LMNG ROOM RAGE OLSON DESIGN ASSOCIATES t1 * m ____ -_-_ _____ ___ _____ ________ D ENNIS PORT,MA.02639 } BED ROOM _ A Ate• 506-776-4 00 email-olwndesign@ ririzw.net FOYER MCDONALD RESIDENCEN E to 134 HARBOR POINT ROAD CUMMAQUID,MA. a - MARK WENZELL-BUILDER P {-- - FLODRPLANS EXISTING FIRST FLOOR PLAN � F �_ _� .e �� y75{ e�,e, D.O. F 1L- e.i.- .. b CM1xkN eY s e MAY 6,2013A-2 .a,».>�,= A�•.e..«:"�.,.�:�".-.�„"�a�., :,,,e.....w�.,o,"�,..w�„_.�m..,.•.,,�.,_•." .,,,�.�.�,.,.. _,.w"a,,,.�.,.,m.m,<r,�.�,.�..�w�.,..,..'�.....,,,��.-o�.,��.�.,•,..a.•..".,'..R,...�e'�."w«'..,,,:,,,��km,.*+H� ".�..».,"oY.�,..�."�-.,.<-...�'.,�,�,.�...�'...a-.,a. .��.-,n- .7.�...,.•.a.�,.,.T..,,..��..d..a.�..��,"�..,.-,...«"..,�.,..>r�":..-... ....,•w7,�...x,N.,.,.,Rk:..,A,.� >� -.�.� '�. N S Y S T E A/f P Q O 1-I L E ALL SYSTEM COMPONENTS SHALL BE V fl � 1 MARKED WITH MAGNETIC TAPE OR NOTES (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. PROVIDE MIN. 20" DIAM. WATERTIGHT Barnstable Harbor 2" ACCESS COVERS TO WITHIN 6" OF FIN. GRADE PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE 1. DATUM IS NAV 8 \ TOP FOUND. EL. 26.1' FILTER FABRIC OVER STONE 2. MUNICIPAL WATER IS EXISTING MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 17.0' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. WATERTEST D'80X FOR LEVELNESS PRECAST H-io BLOCKS OR 4, DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS Locu 00 MIN. 2" WALL THICKNESS � RISERS (TYP.) PRECAST RISERS TO BE AASHO H-20 2'0 17 4' 4"0SCH40 PVC MORTAR ALL H-10 PIPES LEVEL 1ST 2' COMPONENTS (nP ) P �END 4' 5. PIPE JOINTS TO BE MADE WATERTIGHT. o o( S HsbES 16.0 10" EXISTING 14" 1 p` ^°°'° - °°°°°°°°" 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH TEE SEPTIC TANK** TEE °°o°°°°° �� ° o >°000°o°o = o �16. 6f* ®®®® ®®�® wo O®®®- --L2®m® o°o°o°a° 310 CMR 15.000 (TITLE 5.) a oc� ° ° ° o °o ° ° ° ° ° o Q, ° ° ' ° ° ° 6" MIN SUMP o°°°°°o° ®®�®®®®®®®® °'0-0- °° ®®®®®®®®®®® '00000° ° °o° _ o 0 0 0 0 0 > o ° ° ° o o > 0 0 °°°°°°°°°°°° '°°°°°°°° ®®®�®®�®®®® °°°°°° ®®®®®®®®®®� '°°°°°°°° 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO GAS BAFFLE;; °°°�° ° °_ 12" MIN. INT. DIM. °°o°°°°° oo°°o° o°o°0000 >°o°o°o°o ®®�®®®�®®®® o00000 ®®®®®�®®�®® 00000000BE USED 0C -- 15.31' 15.14' '°°°°°°°° "°° °°°°°°°° 13.0 PURPOSE.FOR LOT LINE STAKING OR ANY OTHER = a > ° ° ° ° ° o - o ° o 0 H-20 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. r�z (2) UNITS REQUIRED 3/4"-1-1/2" DOUBLE WASHED STONE 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED co�� 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 30' X 9.83' o WITHOUT INSPECTION BY BOARD OF HEALTH AND COMPACTION. (15.221 [2]) �r PERMISSION OBTAINED FROM BOARD OF HEALTH. ( 1.1 V. SLOPE) ( 1 % SLOPE) 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING LEACHING DIGSAFE (1-888-344-7233) AND VERIFYING THE FOUNDATION EXIST. SEPTIC TANK 66' D' BOX 16' FACILITY LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES LOCUS MAP PRIOR TO COMMENCEMENT OF WORK. SCALE 1"=2000'f *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT ADJUSTED GROUNDWATER EL. 9.0 UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM WITH 1500 GALLON SEPTIC TANK APPROPRIATE TO SITE REMOVED BENEATH AND 5' AROUND THE PROPOSED ASSESSORS MAP 352 PARCEL 3 CONDITIONS IF NOT SUITABLE LEACHING FACILITY. LOCUS IS WITHIN FEMA FLOOD ZONES AE EL. 12, 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND AE EL. 13, & VE EL. 13 AS SHOWN ON REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. COMMUNITY PANEL #25001CO559J DATED 7/16/2014 SYSTEM DESIGN: 01 GARBAGE DISPOSER IS NOT ALLOWED EXISTING 3 BEDROOM DWELLING •'� DESIGN FLOW: 3 BEDROOMS @ 110 GPD = 330 GPD USE A 330 GPD DESIGN FLOW \ SEPTIC TANK: 330 GPD (2) = 660 % TH3 TH4 USE EXISTING 1000 GAL. SEPTIC TANK 5' RE OF UNSUITABLE (B-LAYER) REQUIRED AROUND PERIMETER LEACHING: OF LEACHING FACILITY, DOWN TO SUITABLE SOIL LAYER. REPLACE WITH CLEAN MED. ` SIDES: 2 (30 + 9.83) 2 (.74) = 118 GPD SAND, TO MEET SPECIFICATIONS OF 310 % �� \ CMR 15.255( ; BOTTOM 30 x 9.83 (.74) = 218 GPD TOTAL: 454 S.F. 336 GPD USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) WITH 2.5' STONE AT SIDES, 4' AT ENDS AND 5' I r h p I BETWEEN UNITS �o 78.3 O 100.0 TH1 TH2 > \\ PROVIDE 65' OF 0 I LI R T ' i i \ OFF SAS IN A H WN � i ELEV. 16.0', OTT M A E . 12.0' i W RK LIMITi Ac \ �, IINE SILT \ �° ENCEIle _ � i /�F 16 0 •. S UT AID L P a �• PATCH PAVEMENT IAS BENC REQUIRED PATIO COR R EL. = 19.4' w' ` \ d w I \ \ I >• _ 3 \O w. m i �' i i DECK o ' 0 I TH5 I /1 I 1 � I I i I EXISTING DWELLING iTOF = 26.1 1-0 I 1 _ LK N 1 _ /(4 1 w N o / PAVED I DRIVE LEGEND / 0 99'- EXISTING CONTOUR / 8 X 99.1 EXIST. SPOT ELEV. / o -[99]--- PROPOSED CONTOUR 198.41 ' PROPOSED SPOT EL. / 0 2� TH1 O j TEST HOLE �,� /• / SLOPE OF GROUND 8 � UTILITY POLE FIRE HYDRANT 0 NOTE: Nor ALL SYMBOLS MAY APPEAR IN DRAWING LQ 4: , , 4 45 / 810 S.F. 21 TEST HOLE LOGS 22 s CRAIG J. FERRARI, SE #13871Cb ENGINEER: / 23 WITNESS: DON DESMARAIS, IRS DATE: 4/13/2020 PERC. RATE _ < 5 MIN/INCH �12 14 CLASS I SOILS p# 20-58 _- -- ---- / i VO� ELEV. ELEV. 17 do �O O„ 4 15.8' 0" 15.8' •�,� 29 A A LS LS �8 6„ 1OYR 3/2 9,t 1OYR 3/2 CO. 79 Z B B 20 SL SL ,24„ 1 OYR 4/4 , 14.0' 26" 1 OYR 4/4 13.8' 23 VARIANCE REQUESTED UNDER BARNSTABLE 2 REG 1• VARIANCE OF 21.7' REQUESTED FROM THE .0 C THE SOILAABSION ORPTONUIREMENT SYSTEM 0 FROM THE PERC 9 COASTAL BANK LS LS G-W ADJ. DATA: 1OYR 5/3 1OYR 5/3 WELL: SDW 252ZON / ADJ:E 0.7' / �2 TITLE 5 SITE PLAN OF 120" 6.0' 120" 6.0' GROUNDWATER ENCOUNTERED AT 90" EL. 8.3 134 HARBOR POINT ROAD ELEV" 4 13.3' " 4 ELEV. TEST HOLE LOG 4 ELF CUMMAQUID, MA p 13.3 p 13.3 p 20.5 A ENGINEER:DANIEL E. GONSALVES, SE #13587 S� PREPARED FOR LS LS DON DESMARAIS, RS � 1OYR 3/2 1OYR 3/2 WITNESS: 1OYR 3/1 9" 18" BILL McDONALD DATE: 7/8/2020 B B PERC. RATE _ < 5 MIN/INCH L SL SL // DATE: MAY 15, 2020 10YR 4 4 10YR 4 4 CLASS I SOILS p# 20-130 10YR/5/3 �`1/Zro� S � REV: JULY 9 2020 (ADDITIONAL TEST HOLE INFO) 20" / 1 1.8' 24" / 1 1 .5' 60" 15.5' Sgca ;-,� �N°F'��ssq , o�� DANIEL �Gs v^�� � REV: JULY 14, 2020 (DESIGN CALCS) DANiELA- r 2020 (SAS LOCATION, DESIGN FLOW) A. �; �o OJALA a REV: AUGUST 4, C1 ;`� OJALA (D 0 CIVIL „ , C C /SiL �NO.4�H� As ��� g���o �No.465 � �d4ss Scale: 1 = 20 UNSUITABLE PERC SOIL 2.5Y 6/1 "r F' s 5� 0 10 20 30 40 50 FEET 9 6 0� uD�� s s 12.5 L r `�� a 'oJALA �� LS LS �- OJF+LA " CIVIL �No.40980� � No.46502 Q o w off 508-362-4541 C2 °1ESG\ o� P°°�Cc,SYEe��a`' fax 508-362-9880 1 OYR 6/4 1 OYR 6/4 SIEVE c�N �N �sS/ONAL 04 ( downcope.com VFS JJ 2.5Y 7/2 00W/) cope engineering, Inc. civil engineers _� land surveyors 108" 4.5' 108" 4.5' 168" 6.5' }a.� / 939 Main Street ( Rte 6A) GROUNDWATER ENCOUNTERED AT 60" EL. 8.3 GROUNDWATER ENCOUNTERED AT 150" EL. 8.0 DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 "CE #20- 0 6 20-066 BASE.DWG