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HomeMy WebLinkAbout0224 MIDPINE RD - Health 224 MIDPINE ROAD Barnstable A =. 355 - 004 I I i t I i No. t;)-0 & Fee 1 o0— THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:�' PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplitation for Disposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Locatioln_A res or iLt No. �� id t / , wntk's Name,Adddresssand Tel.No. 022'4 f7/DAssessor's Map/Par Cy i Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Bu ding: S Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building Vw�td dy e No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 L gpd Design flow provided 372 9L� gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank 0,90 Type of S.A.S. ­1 S—m C «yRNP,111 Description of Soil Nature of Repairs or Alterations(Answer when applicable) lay&& 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. Sign Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. '10/ Date Issued ua f'No. t0� 1/1 Fee( ®U THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: t PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for -misposq'I msdpm Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components 1Location lddre s ur L t No. ��yYf'�? i11" /�' Y �©� n is Name,Address,and Tel.No. c2� j'11U��n L Asse�Sor'sMap/Parc C ai tP�l �'L)!/?1% /—��/</ 1 Installler's Name,Address,and Tel.No. r Designer's Name,Address,and Tel.No. odn�t ,S �Q �a"��C�v Se�eeyse,� �;� ✓I � irl zo3 S�u��'eZ � Type of Bu ding: Dwelling No.of Bedrooms � Lot Size sq.ft. Garbage Grinder(' ) Other Type of Building Q No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) _3 3 O gpd Design flow provided 352. 9(� gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank /0140 A Type of S.A.S. /.�AyAW11'( Description of Soil Nature of Repairs or Alterations(Answer when applicable) �� .� f 1 �G� .� ��, �QpX 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. Signe f Date 1,—/I,/ ApplicationAApproved by Date Application Disapproved by Date for the following reasons '• - •:{ Permit No. U'� '' `� 3 Date Issued ---------------------------------------------------------------------------------------------------------'------------- ------ THE COMMONWEALTH OFMMASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the n-site Sewage Disposal system Constructed( ) Repaired( Upgraded( ) Abandoned`( )by a /iti ,S(� at _ �-7 1�}y��// vhep,4-q1A A has been constructed in accordance with the provisions of Title 5 and the for Disposal Sys em Construction PermitiNo. 3 kated Installer /' , elL Designer #bedrooms Approved desig n gpd The issuance of is p it shall not be construed as a guarantee that the system will design/e'd. ^�Date Inspector / / (<N 1 , � No. =A 3 (p Fee U� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION. BARNSTABLE,MASSACHUSETTS b: Disposal 6pste �onstrUction Permit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at -A q top(Me, yt? . 114-- rl . 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 mpleted within three years of the date of this p'rmit. Date / f(c� Approved by TOWN OF BARNSTABLE LOCATION y AN, 9 i SEWAGE# 24 Yb 23 VILLAGE 6d;1Mw�rg I/►p ASSESSOR'S MAP&P CEL INSTALLER'S NAME&PHONE NO. A04-11?9 s SEPTIC TANK CAPACITY LEACHING FACILITY:(type) Q-0ig tAO� (size) NO.OF BEDROOMS OWNER ajVJa PERMIT DATE:T� 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 M Z ty,& aU 39 r� r� TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE ASSESSOR'S MAP LOT 3-5r-bbq f33 -INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY fb60 LEACHING FACILITY:(type) job® (size), NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No V 1 4 eta . 2 o � 1X 1!a �®` �3° Town of Barnstable �• Regulatory Services Thomas F. Geiler,Director ASSP Public Health.Division Thomas McKean,Director, 200 Main Street, Hyannis,MA 02601 . Office: 508-862-4644 Fax: 508-790-6304 s Date: 7 Sewage Permit# Assessor's Map/Parcel s� Installer& Designer.Certification Form Designer: 5 oa 'T�, C����''�R/�K Installer: Address: ��7/3 }f��T'�K�� Address: Mo-)A ST a 2 (O On �' �6 �S �R was issued a permit to install a (date) V(installer) septic system at 22 R(,pX� based on a design drawn by (address) tflj32 E.✓c.�•? Rr�r,, :a,; dated Y(designer) {--our' 01 I certifythat the septic system referenced above was^installed substantial) according h � w- p y y cording to 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 ce ified a buif by designer to follow. Stripout (if required) was inspected and the soils re found sa factory. IH OF Mq�s9cti TERENCE °sue o M. a ( nstall ature HAYES `" No. 979 0 (Designer'sS igna e), (Affix Des tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE-,WILL NOT BE ISSUED UNTIL. BOTH THIS FORM AND AS- BUST CARD ARERECEIVED"BY THE BARNSTABLE-PUBLIC HEALTH DIVISION. THANK YOU. iAoffice forms\designerceitification form.doc lA f P 3� Town of Barnstable P# Department of Regulatory Services ! , � Il i Public Health Division Date Mav,115, 2o1s wixsrasu w a ( 1679 �� s 200 Main Street,Hyannis MA 02601. Date-Scheduled Time 8'^ Fee Pd. 100.00 i CD Soil Suitability Assessment for Sew a Dis osal ` m Performed By: � _ Witnessed By: ✓ LIB. , P r r LOCATION&°GENERAL INFORMATION Location Address 224 Midpine Road Owner's Name' Edwin Hartranft Cummaquld � 4% 224 Midpine Road Address Yarmouth Port, MA 02675 Assessor's Map/Parcel: 355/4 Engineer's Name Robin W. Wilcox - :Sweetser Engineering NEW CONSTRUCTION REPAIR Telephone# ,- 5 5-690 Land Use �'����'"�n� Slopes(%) Q • Surface Stones Y _ Distances from: Open Water Body NG /ft Possiple Wet Area ft Drinking Water Well �� ft Drainage Way �� R Property Line ;`4( ft Other ft Lo7 l3l SKETCH:(Street name,dimensions of iot,`ekact to ations of test holes&perc tests,locate wetlands'in proximity to holes) � a 93 �` s?s�v _ LQ'J NO rs{➢ : ,; x s .3t3?Ir.. `..^i)' 1 • • Loa _ - __ ., , .. _ _ - _ . ._. . . _ . i tParent material(geologic) Depth to Bedrock Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater f 2 I DETERMINATION,FOR SEASONAL [VA TER TABLE ' Method Used: O rjfutrJ Depth Observed standing in obs.hole: in. Depth to soil mottles: in Depth to weeping from side of obs.hole: N - •%in. Groundwater Adjustment Y• ft. Index Well# Reading Date: Index Well level .Adj.factor Adj.Groundwater Level_ PERCOLATION:TEST nat ZG mime Observation -._ �. _ ... _.._ ...m, Hole# i f Time at 9ttt Depth of Pere t•, «.. ,.bL"�l( i r.rl 1:: : u ri;� iG`-Timelat6,,,.itlo . IV t r��;... Start Pre-soak Time a@ 0'� i t;t rn plp y. "-n i a. Time(9 6') • 4,r ,. dt ►;c' r End Pre-soak Rate Min./Inch' _ �, �t�,. n ,� 3 t r`i. "� ' E.I-',,' ,� I.f' ..•Y. •it 11.:TF I t J. t'ti i F t t+ .., i.1- .ct Site Suitability Assessment: Site Passed,, .tl t •. ;Site,Failed: 1: Additional Testing Needed(Y/N)-_:�• �; Original: Public Health Division :x Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. - Q:\SEPTIC\PERCFORM.DOC r!4 tNM MRM.YMIw+. -',DEEP OBSERVATION DOLE LOG- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel ef DEEP OBSERVATION HOLE LOG ' Hole'# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) . ,(USDA) (Munsell) Mottling' (Structure,Stones,Boulders. Consistenc %Gravel it/L 7� H 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 DEEP OBSERVATION HOLE LOG w . _Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Graven • S • Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes v Within 500 year boundary No Yes Within 100 year'flood'boundary No v` 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? -F . If not,what is the depth of naturally occurring pervious material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the . Department of Etiviro ental P tection and that the a e analysis was performed by me consistent with the required train' expe ' e and experience de m 310 CMR 15.017. Signature Date Sri 20/� Q:ISEPTIC\PERCFORM.DOC J BENCHMARK - - -- - - SOIL TEST TOP OF FOUNDATION 20 FT. MINIMUM FROM CELLAR OR CRAWL SPACE DATE OF SOIL TEST MAY 26 2016 ELEV. _ 100•0_ 10 FT. MINIMUM 10 FT, MINIMUM FROM SLAB SOIL TEST DONE BY SWEETSER ENGINEERING P#15053 ___ VJ1TNFCc.FD R`' _C._STANTQN---- (ASSUMED) CLEAN SAND CONCRETE INSPECTION PORT COVERS 4" SCHEDULE 40 PVC PIPE \ LOAM AND SEED MIN. PITCH 1/8" PER FT. \ \\ 2" LAYER OF OBSERVATION HOLE ELEV.=__94.0- / \ 1/8" TO 1/2" PERCOLATION RATE <__2_ MIN./INCH AT __47_-_ INCHES WASHED STONE DEPTH HORIZ TEXTURE COLOR MOTT. OTHER 6" AX. " MAX. 94.75 MAX. OR FILTER FABRIC VENT 2,5f 4" CAST IRON PIPEJ 6" MAX. (OR EQUAL) MINIMUM 92.5 MIN. NOT REQUIRED 0-4" Ap LOAMY SAND 10YR4 1 NO ROOTS PITCH 1/4" PER FT. FLOW Z LEVELERS TEE I I 4-27" B LOAMY SAND 10YR7/4 ROOTS 27-120" C LOAMY SAND 2.5Y7/4 FLOW LINE 91.75 NO WATER ENCOUNTERED AT 1 20_ ELEV. _ _ 84_0 ELEV. = 97.5f_ 10" � ❑ ❑ ❑ ❑ ❑ O ❑ ❑ ❑ ❑ ❑ -TMIN. ELEV. _ _96•77_ LEVEL °°° � ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ° o ° OBSERVATION HOLE 2 ELEV.=_ 94.0_ ELEV. _ _$�94_ ADD GAS 6' SUMP ELEV. _ _ 9217 ELEV. _ _92_00 ° ° BAFFLE - - °°° °° ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 0 2# o DISTRIBUTION I�IBV�ON DEPTH HORIZ TEXTURE COLOR MOTT. OTHER LIQUID OUTLET ELEV. _ °° o°° ❑ ❑ D ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ o ° ° _ 0-4" Ap LOAMY SAND 10YR4/1 NO ROOTS BOX -Bl.�-� ° ° ° ELEV. �•� 4-27" B LOAMY SAND 10YR7/4 ROOTS 4 FEET 14 INCHES DEPTH TEE (FxSTNG) TO BE RATER TESTED 2 500 GALLON GALLEYS WITH 27-120" C LOAMY SAND 2.5Y7/4 5 FEET 19 INCHES IF MORE THAN ONE OUTLET STONE IN AN 120" 84.0 6 FEET 24 INCHES 1000 GALLON NO WATER ENCOUNTERED AT __-___ ELEV. _ 7 FEET 29 INCHES (TO BE PLACED ON FIRM BASE) 13' X 25' X 2' TRENCH FORMATION z WELL N/A --- - - - - .00 ZONE j 8 FEET _ 34 INCHES SEPTIC TANK 3/4" TO 1 1/2" CLEAN SOIL ABSORPTION �, INDEX DOUBLE WASHED STONE SYSTEM SAS ADJUST FRFF OF FINES & SILT I SEWAGE DISPOSAL SYSTEM PROFILE PROBE <.E WATER TABLE ELEV. _ ______ � OBSERVED WATER TABLE ( / / ) ELEV. _ ______ j A' f BOTTOM OF TEST HOLE ELEV. a DESIGN CALCULATIONS NUMBER OF BEDROOMS 3 O GARBAGE DISPOSAL UNII ._. TOTAL ESTIMATED FLOW / ( 110 GAL/BR./DAY X 3 BR.) _ GAL./DAY REQUIRED SEPTIC TANK CAPACI' i GAL. ACTUAL SIZE OF SEPTIC TANK (EXISTING) _ GAL SOIL CLASSIFICATION 032 DESIGN PERCOLATION RATE S__$_._ MIN./IN. EFFLUENT LOADING RATE Q�}_ GAL./DAY/S.F / LEACHING AREA 4 . SO. FT. (13X25)+(38X2X2) LEACHING CAPACITY X 0.74(AREA X RATE) V2M GAL./DAY RESERVE LEACHING CAPACITY NONE GAL./DAY 3 8.7 r� I � . / o�,�SOIL 89.0 I TEST 1 NODS: 94.5 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN'S RULES AND REGULATIONS FOR C�LO THE SUBSURFACE DISPOSAL OF SEWAGE. / 0 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO SOIL 93. WITHIN 6" OF FINISHED GRADE. TEST 2 ��� 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 94.0 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE �� I ♦ / BOX / / 4USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. . ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL • 992 BE MORTARED IN PLACE. / Ol 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH �y DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS TO . 96.7 Ix. 102.8 OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR y � IS TO CALL "DIG-SAFE" AT 1-888-344-7233 AT LEAST 72 HOURS LOT AREA 2 / / PRIOR TO COMMENCING WORK ON SITE. 35, 742.3 f S.F. I 103.4 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS 98 5 SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION IS TO BE BROUGHT TO THE 4TTENTION OF THE DESIGN ENGINEER \ . 101.5 IMMEDIATELY. 1 -8. PARCEL IS _IN FLOOD ZONE ___X_____. 102.3 9. LOT IS Sf,OWN ON ASSESSORS MAP _ _ AS PARCEL _ .000 99.0 \ 102.8 10. EXISTING LEACH PIT IS TO BE PUMPED AND BACKFILLED. 1. THE INSTALLER IS TO GIVE THE ENGINEER A MINIMUM OF 48 HOURS \ �3 8 ? W(nPVINc PAYS) NOTICE (�FOR THE FINAL fNSpFr,T!0N (NUMBER BELOW). \ ��.1c;s , ij��'�;n �uf'�"�7,�T'f 1�5�s�.✓ �,� �,..Vp' �Q I . 1�01.7 V J� 1000 ALLON OF Zl��S re-C4 �-e f°k - r do-,,ll�fr"(, �Fl vo' SEPTI TANK �" �9.4 \ TE ONCE MAYES ����� 1 .2 �-� ") j 9.7 s�NITAN% -(102 102.3 O<c. j PIT 9z / / 03.9 99.3 00 0 1.2 \ C101t) 104.7 104.6 I x 103.9 ,a /104.1 APPROVED: BOARD OF HEALTH DATE AGENT CUMMAQUID, MA PROPOSED SEPTIC DESIGN - ROUTE 6,4 EDWIN HARTRANFT 0 224 MIDPINE ROAD, LOT 133 o YARMO UTHPO RT, MASS. cn Q r LOCUS SMER ENGINEERING :2 c1 203 SETUCKET ROAD 00 508- P. 0. BOX 713 DORAL 385-6900 SOUTH DENNIS, MASS. 02660 LEGEND: DATE MAY 26, 2016 SCALE 1 " = 20' EXISTING SPOT ELEVATION 00x0 EXISTING CONTOUR ----00---- FINAL SPOT ELEVATION 00.0 FINAL CONTOUR 00 - -� SOIL TEST LOCATION REV. JOB NC. 7701 00 UTILITY POLE -_- TOWN WATER -W- W CATCH BASIN ®� REV. GAS LINE c - _ORATION MAP SHEET 1 OF 1 CLEAN OUT C.O. -- - CESSPOOL C.P. 0 C �S8 PR0J1 770 7-00 1dw �7701-SAS.DWG ©2016 SWEETSER ENGINEERING