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HomeMy WebLinkAbout0563 OLD JAIL LANE - Health (2) C f I TOWN OF BARNSTABLE LOCATION JC Gi cl OC C7�l;c�� �rJ SEWAGE# a(nQ f- /C7 VILLAGE c��Z,Fr,�e ASSESSOR'S MAP&PARCEL ar O INSTALLER'S NAME&PHONE NO: R f owm ..ern)c SEPTIC TANK CAPACITY /0 LEACHING FACILITY: (type) 2 5tQ4tQJkA) WIC (size) Pa-03 Ate' NO.OF BEDROOMS g ��f5 OWNER f ,)f` 1 0 S CkL� PERMIT DATE: .5 ` 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 6(bWNST&)C T y 7 r 0 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplitation for Misposaf *pstrm Construction permit Application for a Permit to Construct(V�Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address orLot No. 5-6 0/d J al Owner's Name,Address,and Tel.No. ��fNsrtt'.tPJ� 3'cvp�77r-rnc� �O��c� C�� Assessor s Map/Parcel .,7 -0,:S-15 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. `60-7/5J r,N4 )V01*S y.�7-nI3 Type of Building: Dwelling No.of Bedrooms X51 tV Lot Size, /!?Z 7/6 sq.ft. Garbage Grinder( ) Other Type of Building irk Dee &+- - No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3C gpd Design flow provided gpd Plan Date �f���2> Number of sheets 2 Revision Date Title Size of Septic Tank 16CO N/O Type of S.A.S. 2 soo yal {�/d C161 1j?KS Description of Soil Nature of Repairs or Alterations(Answer when applicable) D 153 1154r11N�r()Nboxrl 2 Sco �,Gll©(a wid ` si-dNe 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. S' ` Date Application Approved by Date Application Disapproved b 0000_ Date for the following reasons Permit No.Zo Date Issued y I W-Z'I LQ... ../ .�`v tt 'No. x � Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye!/ :, #:• PUBLIC HEALTH DIVISION;- TOWN OF BARNSTABLE, MASSACHUSETTS s Zppllcatiou for 30ioosal 6pstrut Construction erlttlt Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components tea; Location Address or Lot No; TO Q/d J a't 0 G rJ Owner's Name,Address,and Tel.No. . �h0 wt��sQYtGNQ! A1/t� elf�v ,f A1@i Assessor's Map/Parcel .2 7&. (1 Installers Name,Address;and.TeL,Na. _ sr= "= Designer s Name Addr'e'ss and`Tel No "x r Ti i�rov�a rlC . 5a$ YOO-7/J ' N1 1NM!1M/INS cir'l�S 07 .S3/3 T)rpe of Building: Dwelling No.of Bedrooms Lot Size 716 sq.ft. Garbage Grinder'( ) Other Type of Building Y fC��-a� c� No.of Persons Showers( ) Cafeteria( ) Other Fixtures t Design Flow(min.required) 3 36 gpd Design flow provided gpd Plan. Date 20" / Number of sheets 2— Revision Date Title Size of Septic Tank /6'00 /00 Type of S.A.S. 2 56PC101 Description of Soil #; Nature of Repairs or Alterations(Answer when applicable) ,+�a 3 i'm-t wN bc,x C soo cici//o,-4 J�-<�'l/� � .�� j t ON& Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal systL 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. a SSigned f Date 41/ Application Approved by t.- / Date �p / Application Disapproved b 4_1 i -V Date s. i� r for the following reasons f Permit No.7'o'? Date Issued _.... . _. L THE COMMONWEALTH OF MASSACHUSETTS' ' BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS T� � O•�-CERTIFrY,,that the On-site Sewage Disposal system Constructed(Y Repaired( ) Upgraded( ) Abandoned( )jby T,,4 r l!16W,,4 ,/� C - - at +rGj DRU G TI 1-En1 'jof 45-k-Al le has been consttiiic�teddidn accordance- with the provisions of Title 5 and the for Disposal System Construction Permit No. ' t i� dated / Installer ��; 1 pv�1N l�[rc Designer O t(C i #bedrooms at's I C ty Approved design flow 33 Q gpd The issuance of this permit shall of be construed as a guarantee that the system will�fu cti �as designed. 1 Date Inspector - - -- - - ----- - ---•- -----•------ - ------------------------ ----•-- - - - ---------- No.00ZI "' � Fee i / THE COMMONWEALTH OF MASSACHUSETTS ,. PUBLIC HEALTH DIVISION 4BARNSTABLE,MASSACHUSETTS Mispo .aC 6pstern ,construction permit Permission is hereby granted to C�o/nstruct( Repair( ) Upgrade( ).. Abandon( ) System located at 5G �I✓ jl`fj and as described in the.above Application for Dispos 'i 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:`19 w - Date '' Approved by ra F` Town of Barnstable �p THE T °wti� Regulatory Services BARNSTABLE, Richard V. Scali, Interim Director + MASS. 59. �' Public Health Division 9� �6 �0 Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: (4 Sewage Permit#a0.P_1 -/S7 Assessor's:Map\Parcel 916 Designer: t n ',r�ee�`,n�, l,O�rl�cs, in Installer: Z)A 'I&WA) i-Ak, Address: IZ W, Cn,ss't e �1 Address: �0 fq T:�M s t-ola tie iMiA On S � � _ 14� �-A� w as issued a.permit to install a (d e) (installer) o rJ septic system at 016 �address�- �►9t e ,based on a design drawn by E new e �C Wc;-(At f /4 C , dated Z (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. 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.C:. 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 construete nce with the terms of the I\.A approval letters (if applicable) HOF PETER T. NTEE CIVIL Ins all is Signature) NO.35100 �fQlSTER (Designer's Signature) r (Affix.DesighUr 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. Q:\ScpticMcsiencr Certification Form Rev 8-14-13.doe ——6 4—— EXISTING CONTOUR x 60.98 EXISTING SPOT GRADE —W PROPOSED WATER SERVICE OVERHEAD WIRES TEST PIT LEGEND S ArOWL&AUAVY 150 S"ToS CB/DH FOUND ACCESS EASEMENT WELL .30 ROAD �.......OHW................. y ..-..- —DIRT E HEAD _.................��� � °F OLD --- _ U—GE 'l� xlo9.o pE J-DBR 7 31.74 READ_�l— O SAIL, BAN s _ J - _ E CESS EAS A, c / �'° , ',t1 s •Y_ec,lis�-x 1182 BEM 116.9 x w lYV / CB/DH 227.80, x101.9 WIT OUND S81 06�30"E / / `� �F r rx�116.3 �„8 I / 20 is-10-1 A 7.9 r]6N—CHMABO \ yBLP 1016.95 UND I - I 121.3 So, / N xPROPO HO E 0 N21. / i ) 1 a 2A a / / ' F DTP—B AT10 r / I \ DOD --� C/�4 \ ; o t \/ ROP(QSED \SEPTIC TA�NK� y ...� / x 8 Q� /t\ \\ \\ ' \ESER AREA \ , x 120,4 2PROPOSED -500GALLON CHAMBERS SURROUNDED W/4' STONE WOODED Qj X116.8 / \ x .4 � � � WOOdED 1 t� _ / ��� � ti 1 a PETER` T. l LOT 5 $ MCENTEE m gee CIVIL >03,71" S.F. � / :No. 35109 X 99 / 2.38 AGREES i / I LOCUS MAP x 99.3 K/\ Clly f 4 6 x 103. / x l0a3 / �569016JW llt y �uEk.W Ot630 5 J00 _ CHq/N 200 00, l�I•�� �/Nk �, C,q pLy, N75 y126-W �. &IC jam, FENCE 1 . ` k OWNER OF RECORD ROjJT DAVID BURLINGAME 6+ JANE BURLINGAME pp V ROBOX BEACH,1 FLL232969 PARCEL ID: 276-058 Engineering by: SCALE DRAWN JOB. No. PROPOSED SEPTIC SYSTEM Engineering Works, Inc. 1"=40' P.T.M. 145-21 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. 563 OLD JAIL LANE BARNSTABLE MA (508) 477-5313 4/21/21 P.T.M. 1 1 of 2 Prepared for: COTUIT BAY DESIGN, 43, Brewster Rd, Mashpee, MA 02649 NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL: 115:5 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER AND COVER INSTALL RISER & COVER OVER ONE CHAMBER AND OUTLET AND SET TO 6' OF FINISH GRADE SET TO WITHIN 6" OF FINISH T.O.F.=121.0 GRADE SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT F.G. EL.=120.Ot F.G. EL.=1.19.0t F.G. EL.=118.8t F.G. EL.=118.8t MAINTAIN 2% SLOPE OVER S.A.S. L20' L20' L = 5' @ S=1% (MIN.) 4"SCH40 PVC ®"SCH40(PVC) ®'S=I% (M C) 2"LAYER OF 1/8" TO 1/ 6'. DOUBLE WASHED STONE 10 1 B a 3 G.3 (OR APPROVED FILTER FABRI ) EFF. as®ease INV.=117.00 48 LIQUID INV.=116.75 DEPTH aaaaaaa -3/4" TO 1-1/2 DOUBLE LEVEL PROPOSED 115.50 4' 4.8' 4' WASHED STONE INV.=117.50 ens eAFFLE INV.=115.67 D-BO� EFFECTIVE WIDTH -- 12.8' "' H-10 RATED INV.=115.00 PROPOSED SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN H-1.0 RATED TOP CONC. ELEV.=115.8t BREAKOUT ELEV.=115.50 NOTES: INV. ELEV.=115.00 a®aaea aaaaaaaaaaa 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE aaaaaaaaaaa INVERTS, PRIOR TO INSTALLATION. BOTTOM ELEV.=113.00 4' 2 x 8.5' = 17.0' 4' 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0' TRUE TO GRADE ON A MECHANICALLY COMPACTED PERVIOUS MATERIAL STABLE BASE OR OR SIX INCH AGGREGATE BASE, AS 5' (MIN.) ABOVE G.W. SPECIFIED IN 310 CMR 15.221(2). LEACHING SYSTEM SECTION 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM OF TP-26, EL.=106.5 - 4) A GAS BAFFLE SHALL BE INSTALLED ON OUTLET TEE AS MANUFACTURED BY TUF-TITE, ZABEL OR ECUAL. SEPTIC SYSTEM PROFILE N.T.S. GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL SOIL LOG BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DATE: JUNE 27, 2011 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE SOIL EVALUATOR: DAVID COUGHANOWR IRS LOCAL RULES AND REGULATIONS. WITNESS: DONALD DESMARIAIS R.S. HEALTH AGENT 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE ELEV. TP-l A DEPTH. ELEV: TP-l B DEPTH DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 119.0 0 0 119.5 0" 0 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN WOOD LOAM WOOD LOAM tOYR 2/1 10YR 2/1 ENGINEER BEFORE CONSTRUCTION CONTINUES. 118.6 5" 36.7 4" 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. E LOAMY SAND E LOAMY SAND 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 1OYR 4/1 10YR 4/1 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 118.4 7 35.5 6" HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. A LOAMY SAND A LOAMY SAND 7. WATER SUPPLY PROVIDED BY TOWN WATER. 118.0 10YR 3/3 12" 35.5 10YR 3/312" 8, THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. B LOAMY SAND. B LOAMY SAND 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 1OYR 4/6 1OYR 5/6 AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 116.0 C 36" 35.5 C 34" DIRECTED BY THE APPROVING AUTHORITIES. PERC 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 46"/64" THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING MED. SAND MED. SAND CONSTRUCTION. IOYR 5/4 10YR 5/4 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 107.8 134" 108.5 132" INSPECTED BY A LICENSED SOIL EVALUATOR PRIOR TO BACKFILL. PERC RATE 2 MIN/IN. (TP-1 B "C" HORIZON) 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND NO GROUNDWATER OBSERVED WILL ACCOMPANY A SITE PLAN BY WARWICK & ASSOCIATES SHOWING PROPOSED BUILDING SETBACKS FOR BUILDING PERMIT. DESIGN CRITERIA ELEV. TP-2A DEPTH ELEV. TP-2B DEPTH 118.2 0 0" 118.0 0 0" NUMBER OF BEDROOMS: 2, DESIGN FOR 3 WOOD LOAM WOOD LOAM tOYR 2/1 10YR 2/2 SOIL TEXTURAL CLASS: CLASS I t 17.9 A 3" 117.7 A 4" DESIGN PERCOLATION RATE: <2 MIN/IN LOAMY SAND LOAMY SAND 10YR 3/3 1QYR 3/3 (0.74 GPD/SF LOADING RATE) 117.4 9" 117.2 10" DAILY FLOW: 330 GPD B LOAMY SAND B LOAMY SAND DESIGN FLOW: 350 GPD 10YR 5/6 1OYR 4/6 115.4 C C 33" 115.0 36" GARBAGE GRINDER: NO PERC LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF 38"/56" .74 GPD/SF PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY MED. SAND MED. SANG PROPOSED DISTRIBUTION BOX: 1 INLET, 3 OUTLETS (H-10) 10YR 5/3 10YR 5/4 USE 2-500 GALLON LEACHING CHAMBERS IN SERIES SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES SIDEWALL AREA: 2(12.8' + 25.0') x 2 = 151.2 SF 106.9 135" 106.5 1 J 138" BOTTOM AREA: 12.8' x 25.0' = 320.0 SF PERC RATE 4 MIN/IN. (TP-2B "C" HORIZON) TOTAL AREA:............................................................. 471.2 SF NO GROUNDWATER OBSERVED DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD Engineering by: SCALE DRAWN JOB. NO. PROPOSED SEPTIC SYSTEM Engineering Works, Inc. N:T.S. P.T.M. 1 45-2' 563 OLD JAIL LANE BARNSTABLE MA 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0. (508) 477-5313 4/21/21 P.T.M. 2 of 2 Prepared for: COTUIT BAY DESIGN, 43 Brewster Rd, Mashpee, MA 02649