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HomeMy WebLinkAbout3641 MAIN ST./RTE 6A(BARN.) - Health (2) 3641 Main Street/Rte 6A,(Barn) Barnstable A = 317 041 1 No. apQ ' ` " Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLEs MASSACHUSETTS 01ppYication for Moozat *pgtem Con!aruction 'Permit Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) El Complete System El Individual Components Location Address or Lot No.31(-gl lyDo Own 's Name,Address and Tel.No. Assessor's Map/Parcel 1 � 1 // `' 4 ; e ss � Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 4-5 4.,Ds G»u S�f 8_ -DI0141t!4�� t 96,A O�? �v�� q Type of Building: Dwelling No.of Bedrooms `� Lot Size sq.ft. Garbage Grinder(IVY Other Type of Building 4� No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 'S_�— gallons per day. Calcu#ed daily flow �SZ� gallons. Plan Date/ —o� Number of sheets Revision Date Title �4rrx%.o40,0/ 11 f OCII& &V Size of Septic Tank ,A.5211 " 0G I.k/._Type of S.A.S. Description of Soil! w do /:!52� Nature of Repairs or Alterations(Answer when applicable) s0-a g,4! Date last inspected: Agreement: The undersigned agrees to ensure the co c on and mai ance of the afore described on-site sewage disposal system in accordance with the provisions of Tit of the nviron t Code and not to place the system in operation until a Certifi- cate of Compliance has bee e y of He Sign Date Application Approved by Date Application Disapproved for the following r sons Permit No. Date Issued No: v� `ti : Fee - fTHE COMMONWEALTH OF MASSACHUSETTSY Entered in computer: Y;es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLEfMAS'SACHUSETTS pprication for 30igpogar 6pitent Congtruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.3/"v/ 16,`"�, 6l© (�4 d�,+ �j 6 c,` Ow l's Name,Address and Tel.No. Assessor's Map/Parcel /�'�'r ` d"j' S Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 3 - v c� �, ,�d Ufl�;y/ tW ofi v Sf b� Type of Building: --� ;. .rDwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder • Other Type of Building f�5 No.of Persons Showers( ) Cafeteria( Other Fixtures �- Design Flow S-SZ_ gallons per day. Calcu}dted daily flow S �- gallons. Plan Data,0 5` Number of sheets Revision Date Title /�11 _3G,/i �L/.� 6,o 3A�A, r Size of Septic Tank ,.!_��� :� lam ✓ 4 /=Type of S.A/.S. Description of Soil - —/C S 1�,q dA, Nature of Repairs or Alterations(Answer when applicable) ��'S /' �} '' ' 17 2 S l/'✓ o'i.t )i •� �. S '(J/. ✓n Ct/� ..f �. ���( // l Date last inspected: Agreement: The undersigned agrees to ensure the can truc 'on and ma' nance of the afore described on-site sewage disposal system in accordance with the provisions of Tit e'5 of the nviron nt YCode and not to place the system in operation until a Certifi- cate of Compliance has been ' sued-by s- of He ' h. Sig Date Application Approved by Date Application Disapproved for the following sons Permit No. a1C0 0 ­5 L 19 Date Issued ---------_---=------—_--------------------- . THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance J J THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by at �+ / f• 6- : '�' -^3 S 1 f 6 1'-" A11 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 0)y_ _514 dated /v1 flu y Installer c G� ! -� r < .ti r <:­ Designer C .a/z.0 C: ! . The issuance oIthispermit shall not be construed as a guarantee that the system ip funcdp as anesignea. Date i I u Inspector 1A,� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS i 30ioogar *pgtem Congtruction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at -3� 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 c Qnditions.Provided:Construct•on mus be completed within three years of the pe 't. ('�-- Date: Approved by TOWN OF BARNSTABLE :LOCATION3641 RTE 6A SEWAGE # 2004-546 VILLAGE BARNSTABLE ASSESSOR'S MAP & LO'M 317/P41 M INSTALLER'S NAME&PHONE NO. ELLIS BROTHERS CONST. CO 508-362-6237 SEPTIC TANK CAPACITY l LEACHING FACILITY: (type) Sam .0 6 (size) •• NO.OF BEDROOMS BUILDER OR OWNER RALPH STOESSER PERMITDATE: 10/15/04 COMPLIANCE DATE: -11 0{✓ 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 within 300 feet of leaching facility) Feet Furnished by 1 '° i VLL A Town of Barnstablle Regulatory Services Thomas F. Geiler,Director MAS&`erg Public Health Division x6;A �0 E1639. Thomas McKean,Director 200 Main Street , Hyannis, MA 02601 . Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: l'l`r-0`( Sewage Permit# `f' Assessor's Map�Parcel3 .,, Installer: 45�S Address: /3/ No n �J (i • Address: On was issued a permit to install a (date) (installer) // septic system at 36 ) /Ya/� c/ d ar,,-A �f.. based on a design drawn by (address) dated / C 100 .� 7 . (desi er) 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. N OF s69 .: o ARNE H cyc (Installer's Signature) o� OJA. a CIVIL No. 30792 SSG S T ER�G��� (Designer's Signature) (Affix 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. a Q:Health/Septic/Designer Certification Form 3-26-04.doc C SYSTEM PROFILE FIRST FL. AT EL. 34.0' Nor ro SCALE) ACCESS COVER TO WITHIN 6" OF FIN. GRADE ( : ACCESS COVER (WATERTIGHT) TO 32.0' MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 31.41 TEST HOLE LOGS I_ 4 IWERT NOT RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE D.A. OJALA, SE ( i ACCESSIBLE FOR FIRST 2' ENGINEER: PROPOSED 1500 3' MAX. WITNESS: DAVID STANTON, RS GALLON SEPTIC 28.35' 28.4' DATE: 7/22/04 ' 28.60' TANK (H- 10 ) GAS 27.70 BAFFLE 27.87' �� 0 p 0 C] 0 0 p p ED PERC. RATE _ < 2 MIN/INCH (C2) 27.53' p p p p C7 p p C7 C7 " CLASS I SOILS P# 10762 LOCUS \_6" CRUSHED STONE OR MECHANICAL 0 0 ED E3 0 p 0 0 ED COMPACTION. (15.221 12)) 2' p 0 CD p 0 p CD p p o 25.53' ' DEPTH OF FLOW = 4 ( 1 % SLOPE) ( 1 q SLOPE) TEE SIZES: 3/4" TO 1 1/2" DOUBLE WASHED STONE INLET DEPTH = 10 ELEV. ELEV. OUTLET DEPTH = 14" 0" 0" 34.4' LOCATION MAP NTS 7.13' A LEACHING FOUNDATION- 50' SEPTIC TANK 48' D' BOX 19, FACILITY / I ASSESSORS MAP 317 PARCEL 41 6„ 10YR 3/2 B BOTTOM TH 2 = 18.4' S FAILED v 6/6 (UNSUITABLE solL, 36 31.4' SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED BO IRON)DESIGN FLOW: _5 BEDROOMS ( 110 GPD) = 550 GPD 20% COBBLES, FIRM USE A 550 GPD DESIGN FLOW C 1 POCKETS SILT LOAM (UNSUITABLE) SEPTIC TANK: 550 GPD ( 2 ) = 1100 SL USE A -i50Q GALLON SEPTIC TANK LEACHING: 10YR 6/4 SIDES: 2(47.5 + 10.83) 2 (.74) = 172 132" 23.4' BOTTOM: 47.5 x 10.83 (.74) = 380 C2 TOTAL: 747 S.F. 552 GPD MS USE (5) 500 GAL. LEACHING CHAMBERS (ACME OR 10YR 8/4 EQUAL) WITH 3' STONE AT SIDES AND 2.5' AT ENDS 192" 18.4' NGWE BOARD OF HEALTH MA APPROVED DATE NOTES: 1. DATUM IS NGVD _I 2. MUNICIPAL WATER IS EXISTING 3. MINIMUM PIPE PITCH To BE 1/8" PER FOOT. 4.- DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 5. PIPE JOINTS TO BE MADE WATERTIGHT. 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. ENVIRONMENTAL CODE TITLE V. 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE USED FOR LOT LINE STAKING. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. 10. CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR ' s O TO COMMENCEMENT OF WORK. %2.95 11. PUMP AND REMOVE/FILL WITH CLEAN SAND EXIST. CESSPOOLS. 1.8r , 32.42 12. WETLAND FLAGGED BY AM WILSON ASSOC. 32.57 ` 1.40 31.78 1.99 0 1 34.01 30. 0 ` v' 45 4. 0. NOTE: ALL MATERIAL EXCAVATED FROM SEPTIC SYSTEM INSTALLATION ` PROCEDURE TO BE UTILIZED IN THIS .62 2 +34.32 +34.77 AREA. CONSULT WITH HOMEOWNER FOR EXIST. EXACT LOCATION AND GRADING EXIST. .51 INSTRUCTIONS. BARN 0.88 DWELL. 34.49 34. 30.31 FF 34.0' 30.57 +35.78 ALL TOPSOIL 30.42 30.43 5 W + .77 SHALL BE 34.58 SAVED AND +30.29 1 PATIO 4.1 RE-USED 30.08 32.40 34 ON-SITE 0 U D.• EXIST. 33.3 29.90 GARAGE <,` 3 95 2 .26 J � \ +31.3 29.71 +30.20 2.3 33.32 +37.71 PAVED 1.9 �+ \ 19 DRIVE 32-01 U' 26.24 P \ 1 8 f ROViDE N 26 , 4.49 "� +38.58 CID / 1 <LEANOUTS 5.99 0 CHERRY n p .64 +37.63 + + 5. 7.6 SAVE) PROP. 1500 rt 91 AI D) 33.05 GAL. SEPTIC I/ CP TANK 0.00 + 6.05 +25.33 94 P BENCHMARK: USE SILL 31.68 loo' -,� -- _ _-- _ __-- ?� ELEVATION AT 34:0' o �6 31.0 ; 31. I +38.98 {{25.2 �T +25.45 + .80 ,:.. 2 31.4 2.,-.-, , :1-! .00 SOIL EREWIREDMOVAL F AROUND +27. 30. n� PERIMETER OF LEACHING 5 / + 5. �_ ,�� FACILITY, DOWN TO SUITABLE SOIL LAYER. REPLACE WITH MED. SAND. +2 .40 + 4 G 5 `\` k.. `' ' + TOEAN F INSPECT AND ERT IYEER i4 p +32 ,5 +29.6 REMOVAL 3}�s 4'c k, +35.86 PROP. WORK LIMIT LINE 4 +34.94 4 0 !. _ + + a PROP. ROCK RET. (SILT FENCE) WALL A. +31.3 ro ' 4� 28. ..k_- 3 6 4.0 +31.7 0 279 A4 33 28.66 A5 +32.88 +32.77 �p 28. 6 +2 +26.t6 +t7.70 L° A21 + .21 + 5.25 � A6 + 72 ,Lg 1 ti +2 +25 8 A22 27.1`� A19 ,&A20 A7 +3 .60 + 4 A18 Ak +29. 3 1 +24.93 A. A8 + 9.2 0 Q A23 ,B AA + 9.2 25.20 +28. 25.18 A9 A17 WETLAND A10 AL A25 A16 A24 All A29 Al2 A15 A30 A13 A14 +0. ,r ,r A31 ,�. s. A26 A27 A28 A27 A32 LEGEND TITLE 5 SITE PLAN A36 100.0 PROPOSED SPOT ELEVATION OF A35 A33 3641 ROUTE 6A 100x0 EXISTING SPOT ELEVATION IN THE TOWN OF: _ , 4 100 PROPOSED CONTOUR BARN STABLE 100 EXISTING CONTOUR PREPARED FOR: RALPH STOESSER 30 0 30 60 90 SCALE: 1" = 30' DATE: AUGUST 17, 2004 off 508-362-4541 fax 508 362-9880 I 127 64, r ��ZH OF°r�yss �y'1H Of/,f,�sS9C down cape engineering, inc. ARNE H 9cyG ' AHNE yGm OJALA CIVIL ENGINEERS CIVIL OJALA cm LAND SURVEYORS No. 30792 .� No.2634 v 939 main st. yarmouth, ma 02675 Fs ,o sUR\1 ° AR OJALA, P. ., P.L.S. DATE 42 01 -2