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0183 CAP'N CROSBY ROAD - Health
1 13 Cap'n Crosby Road Centerville A = 193 166 0 m UPC 10259 No. H�163O�R HADTINA• YN No. �/���- I� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE. MASSACHUSETTS Zipplic tion for Migozal *p$tem COtt$truction Permit Application for a Permit to Construct( )Repair(x)Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. y� Owner's Name,Address and Tel.No. IS3 CAP 'N CrosJy 2oAd vp ij all)L FoeggTer, s-og 4�3-G38� Assessor'sMap/Parcel C,�?�111`'"' 183 CAP'N CKosty /Lv q4 Qj��s1ASI� MAC 1 3 P c L I Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. lz. 7. ceYILACIVA Cor'37rvG7la,J -R-tz,t 'DrAlce SAN4%,,,ICI, , MA So9- 833 -yg99 ( G GKe�,oU,LLe Jr-i ur�_ , j=oeej+Jt9Le, M4 Type of Building: Dwelling No.of Bedrooms Lot Size r S, ,�y G sq.ft. Garbage Grinder(M ) Other Type of Building No.of Persons A Showers(;L) Cafeteria(t ) Other Fixtures Design Flow �35� gallons per day. Calculated daily flow 3 3 gallons. Plan Date Oil -o s`-o x Number of sheets I Revision Date Title P.a ued SE'P71L sy3 IeM VP6/'Aae - GA ,'L Fo e/' Size of Septic Tank LS goo a A C Ln,J 41-2-0 Type of S.A.S. Description of Soil -mri'La 0 10 Y 913 - A = LOAM to SW - 5-3'' 51L7 CO9r. .2.s sgN4 r`( 7f3 C� Nature of Repairs or Alterations(Answer when applicable) (JPG,t og j ig C�oC.K P,u t< -r.YS 76 Date last inspected: I/Z—Z._ Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewa a disposal system in accordance with the provisions of Title 5 of the Environment Code and no�placAe the system in c ti until a Certifi- cate of Compliance has been iss y this Boar , Health. 1 / Signed &46 L Application Approved byvwv Date a Application Disapproved for the foll wing reasons Permit No. r - Date Issued 14 No. Fee �U— THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01,up[ication for �Biopooa[ &pgtem Comgtruction Permit Application for a Permit to Construct( )Repair X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 13:, cAF 'o c r3zlj C,AJ u1L BAIL Poe=en, s-o$ • y►�g-(, ?3� Assessor's Map/Parcel C. 1_' 13 3 CAP'N C KO 5(, J h,A )IS IA .Cc,L 1 y 2°q� f'AKNa7ASt� Installer's Name,Address,and Tel.No. Designer's Name,Address end Tel.No. 1;. 7. CQvciACjVA Co,j.3'lr.,c710"J 2r-t -ir,4xe i68-y27-s-0tfa SANdw+Ck , MA S0'5- 93S . y�351 F„rc-j4JAtc,, rr71 . Type of Building: Dwelling No.of Bedrooms 3 Lot Size I T. A y ' sq.ft. Garbage Grinder(r ) Other Type of Building No. of Persons_- G2 Showers Cafeteria(rj ) Other Fixtures Design Flow ASS gallons per day. Calculated daily flow 3 gallons. Plan Date 04 -o S-'o Number of sheets I Revision Date Title j'r-)Go,�Pd J 6f71 L sy.1 7 P M V'P6fAae - GA 'L rum(/` Size of Septic Tank i-S o o 41- 2 0 Type of S.A.S. 2+ Description of Soil o '-� SA • (JAM 1 5' ; - A s-" s,)N1 LaAm I w iN h9' - s-�'' L7 .2..5-y C, ss 13`,, r,ti►. Sra, ,l `( ,l, C� Nature of Repairs or Alterations(Answer when applicable) Of G t A d +t o C l!K 70 M Date last inspected: Z (zZ.0 Z Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sew disposal system in accordance with the provisions of Title 5 of the Environment Code and no�place the system in r n until a Certifi- Si Signed `rd"r oar�f Health. 1 cate of Compliance has gbeen iss 15 this B` P Y _ Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued --------------------------------------- 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 �'• 7j ?_� _ i\ «CU _,t_ y +y has been constructeq in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. - 41_7`_ ated '-f ' Installer Designer The issuance of this 'e *t stall not be construed as a guarantee that the system it inctit a�designed. Date r_ -� `�1 Inspector --------------------------------------- No. l_t._ c Fee _ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mi5po5a[ *pgtem Congtruction Permit Permission is hereby granted to Construct( )Repair;(i, )Upgrade )Abandon( ) Y � ► System located at L o'A IV a, 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 peunit. Date: !Z /1 �2 Approved by N 5/25/01 Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I, >19 V I D -6 . M14WLIJ hereb y certify that the engineered plan signed by me dated , concerning the property located at */83 6A /k/ meets all of the following criteria: • This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or may conduct preliminary tests at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation(using GIS information) Q B) G.W. Elevation +adjustment for high G.W.3.2 = DIFFERENCE BETWEEN A and B SIGNED : DATE: NOTICE Based upon the above information,a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. C:� q:health folder:percexmp FORM 11 - SOIL EVALUATOR FORM Page 1 of 3 No. Date:' 6LO)— Commonwealth of Massachusetts Massachusetts Soil Suitabilitv Assessment for On-site Sewa a Dismal osal Z Performed B 1 q V/I� a 47g6 o� Date: 7' �' � Witnessed B � r...........Aq XP ,rc y: ................................................................................................................ Location Addru a ,,..��•• Owner's Name, La N /49,3 egP7. a/�6 Address.and 11L.v�4,� (4,too-, Telephone New Construction ❑ Repair ©� Office Review ^/ Published Soil Survey Available: No ❑ Yes L� Year Published /7, 5- ublication Scale'�2...5-00C>Soil Map Unit ................... Drainage Class 4F it Limitations I LT.. j Surficial Geologic Report Available: No ❑ Yes Year Published Publication Scale v....... GeologicMaterial (Map Unit) ............................................................................................................................ Landform ..................................................................................................................................................................... Flood Insurance Rate Map: ,/ Above 500 year flood boundary No ❑Yes E Within 500 year flood boundary No 21 es ❑ Within 100 year flood boundary No Ci3<es ❑ Wetland Area: National Wetland Inventory Map (map unit) UP4. Wetlands Conservancy Program Map (map unit) P4 ................_........................ Current Water Resource Conditions (USGS): Month Range :Above Normal ❑Normal El Below Normal Other References Reviewed: DEP APPROVED FORA-12/07/95 FORM 11 - SOIL EVAL:UA'TOR FOR�q Page 2 of 3 Location Address or Lot No. �3-J ZAPrA k.1 U�O�f On-site Review Date Deep Hole Numberl.:6.. � Z t'� Time: ..:...: ....:... Weather Location (identify on site plan) Land Use RC51D.0-,,r77kft Slope (%) Surface Stones Vegetation /�. •LV! ...:..n„, „. Landforml/L!Q'�- `4'C.r.x::.,,_..: C�77�I3� Position on landscape (sketch on the back) Distances from: Open Water Body ..!Y a feet Drainage way.o� feet Possible Wet Area . feet Property Line .: feet Drinking Water Well . .. feet Other DEEP OBSERVATION HOLE LOG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, % Gravel) ` 0 _ 5 „ Lx�qf 2$ _ vJ 3 G l 51VT L.01� Z•,5'l(7/1 (NIC i"N9 517/:5 �40 641-112- L04TY4t MINIMUM OF 2 HLES REQUIRED AT EVERY-PROPOSEDL Parent Material (geologic) Depti'rtoBadrock: 11/0 Depth to Groundwater: Standing Water in the Hole: Win from Pit Face: Estimated Seasonal High Ground Water: 3 8 /'.�pe '1le 1 DEP APPROVED FOR.1,1-12/0 /9: -192 a,I� �ot(2 DF -PWI QQL I FORM 11 - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No. ��� Determination for Seasonal High Water Table Method Used: 41— F-1 Depth observed standing in observation hole inches ❑ Depth weeping from side of observation hole inches ❑ Depth to soil mottles inches ❑ Ground water adjustment feet Index Well Number __ ..._ . Reading Date Index well level ........___ Adjustment factor ...... ..._.... Adjusted ground water level Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all ar as observed throughout the area proposed for the soil absorption system? If not, what is the depth of naturally occurring pervious material? Certification I certify that on �v 9 (date) I have passed the soil evaluator examination approved by the Depa ment of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Date Si9 natur v f 0z DEP APPROVED FORM- 12/07/95 FORM 12 - PERCOLATION TEST Location Address or Lot No. Qj COMMONWEALTH OF MASSACHUSETTS '?6AQ.J,,`'(t_rRevr, , Massachusetts Percolation Test* Date: .. Time: Observation Hole # Depth of Perc it IbP Start Pre-soak End Pre-soak q �C) Time at 12" Time at 9" Time at 6" 9 ; qC) Time (9"-6") � �l Rate Min./Inch l * Minimum of 1 percolation test must be performed in both the primary area AND reserve are . Site Passed Site Failed ❑ ....... ...... ....... Performed By: __DP,)(P 13 . Witnessed By: "O` WW<<Y*Lf_ Comments: ................. .............. .........:� . .............:.:...:..........................:._....,....,........... ..:., a... w� ,.......��... .._.. ,..v�....wr._n.,,...,.......,. DEP APPROVED FORM-12/07/95 TOWN OF B ST LE LOCATION SEWAGE # 1 1 VILLAGE ASSESSOR'S MAP & L f INSTALLER' NAME& PHO,N//E NO. SEPTIC TANK CAPACITY / ® 621�TlilY — LEACHING FACILITY: (type)�� -S `c a�Lese lc624e (size) .�,2 )r /2 %Y — NO. OF BEDROOMS BUILDER OR OWNER — PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility I-eet 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 x x � r _ 3� 16 `6 " �( Y t A,eAl p� 3 V5bZSq/ C"each C � S�rS i� a3 z 3 W F�� y " ow TOWN OF BhRNST E LOCATION SEWAGE # VILLAGE ASSESSOR'S MAP & LOT/ �O INSTALLER'S IAMgE�&PHONE NO. )e " ' SEPTIC TANK CAPACITY AV& EACl SrI1Yx LEACHING FACILITY: (type) (size) A•7 X NO. OF BEDROOMS BUILDER OR OWNER 0. PERMI I DATE: 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 � 3 i 77 7 - 16 `6 " �( vsbz 3 �y3 ' � � t M No........,*j*110 D Fas....................... .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratinn for Di�5pnuttl Mnrlai (nnnutrnrtiun remit Application is hereby made for a Permit to Construct ( ) or Repair (5Z) an Individual Sewage Disposal System at: Location-Address or Lot No. � Owner ress tee_.. r ------ ------ c t� —r v '� GZ` ✓1'r ,./� l......_S 7 Installer Address Type of Building Size Lot............................Sq. feet �. Dwelling— No. of Bedrooms.............-------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ............................... .. W Design Flow...................�`� ...........gallons per person per day. Total daily flow..........�2.0..................gallons. WSeptic Tank—Liquid capacitv../MfQ__gallons Length---------------- Width................ Diameter.-..--..--___-- Depth................ x Disposal Trench—No. .................... Width... .. Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...........�. Diameter........ ..__. Depth below inlet........ ..... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed by...... ------------------------------••-------------------------•----•--.. Date........................................ Test Pit No. I................minutes per Inch Depth of Test Pit.................... Depth to ground water........................ (1 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ......-•--••--------•--•..................•------•-•---•----...--••-----------•......__......_............................................................... 0 Description of Soil........................................................................................................................................................................ x V ----------------------•-----------------•------------------------------------------•--•--......-----------•----•---•--.......--••------------•.......---....-------------•--•-•---•-------......-------- UW ---•-•-•---•--------•-•-----------•--•--•---•------------- --- -----------.......---.------ Natur of Repairs or Alte a ions—Answer when applicable.......lq±o D..........4%._._ ��.-_(rtl.... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance:h s been issued by th oard of health. Signed ..........t/.............. .... Dace a Application Approved By ........... �. --------i�....6;te .I..Lj!. Application Disapproved for the following reasons: .... . .............................................................................................................. ........................................................................ . ..............................-..........---............--- ..............................--...----............... ........................................D. No. .... Y..-.... ...�...�}Q 1 / ......... Issued .......................................................... fe------ Dare 7 9y- G 3� No................_....... Fas..................-........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Bi_npasu1 Work,6 Tomit urtinn Vrrmit i Application is hereby made for a Permit to Construct ( ) or Repair ('Z) an Individual Sewage Disposal System at: LJ� ` ...--e-•--•.............................•-•--............-- Location Address or Lot No. -�.. ............ �1!._/..-------•�1.--�.-•--.SO �t1.�..._ ..........�U .../_ _�....... .....;.J.M:��.....L� Owner eddress ..................•-•---------•--••------•-•--•----•----•-----•--- ••....----•---------••• -•---_.. Installer Address d Type of Building — Size Lot............................Sq. feet Dwelling— No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) A4 Other—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------------- - - W Design Flow.............:...........................gallons per person per day. Total daily flow............Z _i ..................gallons. WSeptic Tank—Liquid capacitv..Lc:..'..gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width........ Total Length..___............... Total leaching area....................sq. ft. Seepage Pit No----------- _ ._ Diameter........XP—r-- Depth below inlet........1�..._._.. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 .........-•---------------•-•-••----._.....---•---•---•--•-•---•-------•-------...-•-•-------•--••••......................................................... 0 Description of Soil........................................................................................................................................................................ x V -----------------•-----•--•-•-------•-•-••-----............----------•----•-------••-•--.......-----------------•---••••---------•----•--•----------•••-•••-•........••-•-•.........••---•-•---•--•.•--- W ...................... ------- ------ ---------------------- -----•....--------•---•-------••--------....--------•-•---•------•--•....---------•---------P UNature of Repairs or.AlteraCions—Answer when applicable.......�_?�tj............. 'G4...�1�.....f ....KO....... ..7- 5'-u,�1 �. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance his ben issued by the board of health. Signed .......--- :.. .....................: �/ Date Application Approved By ......2fomiowlng - . -. ........ ..- ..t3.. .cL.!1. Application Disapproved for reasons: ...................................................................................... ....................... ...........--------------------............ ..........---.....................--...----........................--------------•-- ..........------------------------------ ........................................ p Date PermitNo. ....Q ...-.....� (I ........................... Issued ...........------................................................... Date ————————————— —————————————— --—————————————————————————————————————————— THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 01-1-ertifirate of Tomplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( � ) by1.-r . . J .._.. �-..:,_v. .1.......... 7...........1 `..`..�........... .........................--------- Irorallrr _ C -- i 4fuiz at , .. ....-.............. - ............. .:............................................ has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. -----7.. ....._' ..�. ............. dated .........._........ ._-------_..._... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRI�EA AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......................�L......^..... ......._........_... ..__....... Inspector ......... ..................... ---------------------------------------------------------�------------- THE COMMONWEALTH OF MASSACHUSETTS J - BOARD OF HEALTH QQ TOWN OF BARNSTABLE Dhipmal Workii Tonotnutiun ramit Permission is hereby granted....................:....... to Construct ( ) or Repair (- ) an Individual Sewage Disposal System at No Street q as shown on the application for Disposal Works Construction Permit No./._y Q :.I.L/.. Dated........ ... ..Q.-. �'1..... .---•----------y�.: --------------------------------------- --.---..-------- v DATE......----V--- ......?.y•-------------------- • Board of Health FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS TOWN OF BARNSTABLE LOCATION 17-3 rc SVY 4D SEWAGE VILLAGE e--A-r/-eu,)ltLz, ASSESSOR'S MAP & LOT✓5k3—, 4 INSTALLER'S NAME & PHONE NO. o✓��oi7 "� �� r9�ram- 8`� SEPTIC TANK CAPACITY ✓��® LEACHING FACILITY:(type) NO. OF BEDROOMS PRIVATE WELL PUBLIC WATER BUILDER O -OWNE`$ L O DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: "`✓�" � VARIANCE GRANTED: Yes N ���3 /��tiV � � i fi �y -`%�� y7 , � �. ��, 3� /l/«J �����y Hv a - Fimii !�j NO..... ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Cv.v.. ....................OF.....c4 r r,s. i b. ....----------------------------------- ,� lirtt#iuit fur Eliipuual 19orko Tuuitrur#iuu rani# Application is hereby made for a Permit to Construct (Vj or Repair ( ) an Individual Sewage Disposal System at: 119V t No L c 'on Addr ss .� ..., .t _.. vs5.f.. a .........3Q-.'�............ P,v... viG - O er Address wr/_t:...------- ��--------------------------------------- ��1Pddr --- Instal er Address Type of Building Size Lot..4f3.d 19'_.Sq. feet U16) Dwelling—No. of Bedrooms._.-__3-------------- --_•-_--•-Expansion Attic �) Garbage Grinder p� Other—Type of Building��C4-----•-----•• No. of persons....�3...................... Showers �) — Cafeteria < aOther fixtures ---•-•----••---•-•--------••-----•-•----••---•-•---••----•-•----•----•------.-•-.-•-•--..---••-•---•---------•--------------------------------------- d _...__._ allons er erson er day. Total daily fl w Design Flow---•----•---•--------- 3.. ... long. w gn ��--•• g P P P � Y• ,�„Y 9.--- WSeptic Tank—Liquid capacityl.!'� .gallons Length._.. __..�a. Width,_...__ Diameter________________ Depth__ _._._._ . x Disposal Trench—No------ _ ..-•- Width.................... Total Length... ...... Total leaching area....................sq. ft. ._.� otal leaching area./d s t. 3 Seepage Pit No.1_l�i �' Diameter.._.6.C_(a...... Depth below inlet___ TG -- Z Other Distribution box (� Dosing tank ( ) _ / Jt '-' Percolation Test Results Performed by_..�'U9 ...- � � �. Date._Tv'� . bJ.�T -•-•--•• Q eve a r, :. 1-4 Test Pit No. I.....4 .....minutes per inch Depth of Test Pit..l. --�?------ Depth to ground water, i, Test Pit No. 2________________minutes per inch Depth of Test Pit.................... Depth to ground water-----_.................. x ...............•--•-•--••--•-••-•---••----•--••••-•-•••----•••---•••--•-•.---••--•-•_•-•----.......-•-••-------••--•--•--•••......................................................... ,, 0 Description of Soil Q �.3_�_.. ��...--- .11C .. . ... 5q. SOi 4 ................. Y � ------.V = --•-----•----•------------------------ U Nature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of:IT1.;.,. 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issue by the boa d he th. ,j /7`G Sign .... .. •.. .... ....................Date Application Approved B ............... � . PP PP Y-•-••_••� Date Application Disapproved for the following reasons:................ -""•..... .--------•----------------•---...-------------------- ----••----•--...---••--•-----•--...--- Date ssued_.. • Permit No.-------•--•••----•----------•--•-------------------- lr4 Date ri No...... ....... Fics..... ....-....._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ... . ..................OF..... �•:. %:.:..::.::.>:.....:..:fr.. :............................................ Appliration for Uhn-Vniittl Workii Tonstrurtiun 1jrrmit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at ..... .c. C "r�i,:.:G t .._ ��c� ' (P _; �./i Gi ................. .... ...........•..................•-•-•........--- Lb, on-'Addy ss or Lot No. ........... 6.......ld .;.Z.ld.Q/........ �.... O er Address a •••.._....-- _......._. ? ..-- --------------------•---------------._ ' ,..r' .11` � . ,..................... Installer Address UType of Building Size Lot... 3...... '__._Sq. feet U Dwelling—No. of Bedrooms............................. .. .Expansion Attic (/t) Garbage Grinder (° raj 04`4 Other—T e of Buildin '6A?.�� No. of persons....Z.................... Showers — Cafeteria a Other fixtures ..---•••............•--•--•-•--• . W Design Flow........................!/.. -----_--•-_gallons per person per day. Total daily flow.......................... WSeptic Tank—Liquid capacity!.! .gallons Length..... Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.......... Total leaching area....................sq. ft. Seepage Pit NoJ Diameter....kx_ki__-_- Depth below inlet....*-Z..... dot l leaching .....sq. ft. Z Other Distribution box Dosing tank ( ) '—' Percolation Test Results Performed by.._4.':✓ «�.... :t. `�_____________ �!"�,j` � .�� r •--•-- Date.... ... .0 Test Pit No. I......9P......minutes per inch Depth of Test Pit-1- .r__ Depth to ground water! ..N1 G.. rrc'`r Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----------------•- ---•--••----••-•--.•_..'............-•••--....._......._._.....•--................................................................. ODescr>ption of Soil..__ c..:_..1�...........F........:.............•---.......- .._......_....---•-----•------••-------.......-----------••------...... x � �' - - ..........l•-•••' =.- .......... .-----�...........--------------------------------------------- .....•..... W -••--••-•----------•-•--------•----•---•---•---•-•--•-•--- ...............................................--•-----•••••-••-••••---•--••••-•--•-•--•••-•••-•----••••--•-•-•••••••......-•-••-----•-..... UNature of Repairs or Alterations—Answer when applicable.....................................................•................................_........ --•------------------------•--------------•----...---------•--•-----------------------.....•.....-----•----------------------------------.....--•-------•---•--------•---•---••••••••.........._....._. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of AITL: 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sign .:. #:. _,.............. /i:._ .r....-...._� Date Application Approved By ..... ------------------------- r v Date Application Disapproved for the following reasons:-----••-•------•- .---•---•----•-•------•-----•---•---------•-•----------------------------•-•••.----- -•••..............•-•--•••-.._••---._.....••--••••-••-••••-••-•-............--•-•-----••-••--•••••-•-•--•...-•-•••...--•-----•••--••--------••--•••-•------•-----•-••-•---••••--•....._......•-••--•----- Date PermitNo......................................................... Issued-..................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �I' r�...I...........OF........... .... 1:} .:/ ..,s ...:.................... J... (Entifiratr of Toutpliatur TH S IS TO,gER IFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by..... .. ...., . 0. --• f ller at. .. . r��.v - tad - �.u� %� :.._._/C „11�. has been installed in accordance with t7ie provisions of T 5 of The Mate Sanitary Code d c abed in the application for Disposal Works Construction Permit No.. ................ ---�------- dated------- �".............................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTR D AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..... �- j ----•-------------•. .•••-- .-- ? =�-----•E = Inspector..... .:... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............,t••�:•.�: ! .......OF.. iL:r�:,'.F ru::: I:".... . FEE... No.........7)�................ ,? ............ Disposal urko,#nn�tr�rtinn �rrmit Permission s reby granted.__.. ......� ���'` - to Constr or Re r ( ) an dividual/Sewage—Iili� oral Sys ,c atNo. .r.,%---..�-�'.._._..�4i,..c::�::-----�+Y.-c!S.Fi'-= --�.....1"1<.Lrl..:...........t%�-''• .._.._........................................................... f Str�t (,,j t as shown on the application for Disposal Works Construction a mi �/�. ..._ Dated....; _-.?-`.._...7 ...•........ GL�L l .................................. Board of Heal DATE---- - •---• .-••••....-•--•- u - rd-= FORM 1255 HO.B�S & WARREN. INC.. PUBLISHERS LO CAT 10 4V 1�� SEWAGE PERMIT NO. VILLAGE I N S T A LLER'Sn / NAME i ADDRESS BUILDER OR WNER / DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED p _,23 _�� �, � . y � �� s�� � � �� 19 0" LC7T GdT LOAM /0 4• 48 74 „ ► /oO�ol ` FX�OA.czs/o�ois/; i o 00 ► B oX L EAC�/�/T /07 Z Z / 7 4 NOTE. 8,f/ �-5 �/✓OR QAjr NM .G o 7- .p /S 0 /8? 0 Loi C1a 96. 74 ^/o yv'A7-�!� �N�'ovNTEip,ED LoT 14 , TEST POLE 6i ' - E S U T"S PER TOW/V RECORDS DATE : G- / 70 • T o t^/N )Al g T E R /.S A V A / L /:3 Z3 L E /NS P. 'eAwl- MVR��9 y /`-I / A1/ /"I U/"1 73U/L D //VG SETBHCK REOU/,eE/lENTS /C /e 0^/ 7- 00 , S /.DF /Q ' DR / VEWAY /`/OT To L3E � OC� TED PROPOSED BEDROO/v15' 3 O VE ,e S E� h/,- 7 SYS TE /``1 UAl.0 ES'S DES/G/� FL a t1/ 33o GAL / D Ay fl- ZO DES / GN L019D /A/G /S USED . PROP05ED SEPT/C' SYS -r E /"I Co/�/5T,2 UG' T/ Off/ S/ IF�LL PE,-COL /9T/O1,J TEsT CO/l/FO ;eM TO EA/ V/,F0 /`/,4IE /v7-14? C'O D E = Df� TE D TULy /, /q77 �n/D 7-0�/n/ of �ESLILTS •� 2 M/�/./ //l/C'N /-�EF� LTN �EGULF� T/ ONS SILL ELEV. TO BE —' FT F�BOVE RD. `/ P R � /� l L E 2 % /-"A ' F/NI S NF D TOP OF T 1 P / e L GRf�DE A13OVE L�AeH FO U/V D AT/ A/ O S C' 43 L t "9 R E 1q / /MPc/ev/oU5 0ovE2 ✓ lN1/a/,/Hol- ,5 00VE,e To EXTEND T"O TO PREVENT F/A./ES STONE 2 O/= ;-"g,"TOZ I COVE ,_+ D/ST / !� .� -�-� CO vE e l✓,9SNE D sTOA/E ' S 80X 7 2/WIVE FlL /9,e0 UAID s� 4"Ci9ST/�C'onl — Y——— 9„M IAl. 1,4 /"1/N/M C/M N. C /0P/TC�I FL O{.i ( IAIE /9/Al P/T .F"oo7- M/Al. PST-CH /4„ ► ¢ l_E.O Z Z ��¢• OOT --�- G/q L L LEA' G/gL L OA`/ /n/V45 R-r' � P/ 7Ce v/NVER.T CH PACITY rr9zoUn/D EPT/C T/9N 'Ot(WATE•,e-7-/G NT.�_ /Al VE e-T [ E/9/0,�3 —_-- /A/vcRTlD% IA-1 vER7- /{/O GleINDE,e z 0, 1-7/n//M U/"1 '` to �' > OF Mgss 4- M / A/. D/ST To M/J x. f � T � / �ya� EL� V. T/�/ �i[���.. O / PLIJQ / v RONALD LDC F� 7- / O /�/ : C�iVT"��y/�� C o ARTHUR GIFFORD E .- / „ _ ..30 D,'�TE:TULy z� � 1n�B No.603 � E FF_ ,ecNCE : 13E /A-1G LOT 14A 3_5 SNOWS/ S'�FGfSTER�� O/\-/ Fq PL. /l A/ E C O x--' D E D /N THE B��nl- qN/TAR P STF�.& LE C'O !J /�!T"Y AEG /STD-y OF DEEDS �G , O � 5EPT/ C 7T,19n-/K Td Z3 M/A-/- ,.S /MUM O F 10, Fie O NI FO U N D 19 - 9 C � T/Eo�/vC h�/1/nN/D e0/ e OC�) G LEF� G' H O 7/N- F / T % ' m � U 'T//, /`�1.45 5 • /M U M O / O' F A O /1 P,T=?0 STY r C E 7e 7-/ F y T/l r9 T- T l 1 E ,�'a�Noq�►-jo.�/ L / N E S A ti D S E P T/C 7-�7 /-//C Q T /S P FL SHO• ✓ NE�Fo / s�vA AJ D o' F,e Or-7 F OJN D A 7-/OA/SHO ^ N ON OF /e o UND � J ON THE . s4 — �N T N� T / T GEORGE l-:�' DFAT E T/ T'L E CD LOW, JR. '— -- — — C � O N /"! E N T S O F THE T G✓�/ o F 8i9 �/STi'pBL �r ��/S T EAR' 0 — — — — — — \URv�'� DATE B O D O F N E�7 L TH D/97-F AEG . �� S e v F y o � 1'9pp9ovED G E ti7' GENERAL NOTES TOP OF FOUNDATION PRECAST CONCRETE EXTENSION ELEV. = 83.24' RISER WITH CONCRETE COVER TO WITHIN 6 OF FINISH GRADE OVER OUTLET COVER 20" DIA. COVER 1.) UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND FINISHED GRADE FINISHED GRADE OVER _ CONSTRUCTION METHODS SHALL BE IN ACCORDANCE = 0 OVER TANK EL. 81.63 DISTRIBUTION BOX 81.8 -� ,� WITH TITLE 5 OF THE STATE ENVIRRONMENTAL CODE AND ANY = � I o APPICABLELOCAL RULES. EXISTING 4" REMOVABLE COVER 5" DIA. OUTLET(S) 4-KNOCKOUT (TYP.) CAST IRON 3" 2.) ANY CHANGES TO THIS PLANMUST BE APPROVED BY THE BOARD OF 3" EXISTING 4" HEALTH AND THE DESIGN ENGINNEER. SCHEDULE 40 PVC FINISHED GRADE 3.) 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL PROVIDE WATERTIGHT 9 BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. _. JOINTS(TYP.) '-4" 4" PVC IN FROM 12"-36"MAX. 4.) 4" SCHEDULE 40 PVC PERORATED PVC PIPE SHALL BE USED SEPTIC TANK 4" PVC OUT FROM 2"PEASTONE ......•-••.......... - - INSIDE LEACHING TRENCHES OR LEACHING FIELDS. 0 80.24'f 79.75' LEACHING FACILITY ®®R M ROOM ; ®®®® M 70 -2. 3/4" TO 1-1/2"OUTLET TEE 12„ DOUBLE WASHED5.) SLOPE ALL SOLID PIPE AT 2.0% MINIMUM. 4 22"ZABEL FILTER 79.45' MIN. STONE _.__.... ___ ® ® �� _•_- MODEL#A1801 HIP 6" CRUSHED STONE I f 6.) THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. (GAS BAFFLE ON BOTTOM) OVER MECHANICALLY L-4'-0" '-6'' -'2'-0" -8'-6„ ---4'-0" COMPACTED BASE 7.) LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED 6" CRUSHED STONE 3 OUTLET DISTRIBUTION BOX (H-10) PRIOR TO BACKFILLING WHEN SYSTEM IS NEARLY COMPLETE AND OVER MECHANICALLY TO BE INSTALLED ON A LEVEL STABLE READY FOR INSPECTON. SYSTEM IS NOT TO BE BACKFILLED COMPACTED BASE BASE. FIRST TWO FEET OF OUTLET PIPES WITHOUT FIRST OBTAINING APPROVAL FROM THE BOARD OF HEALTH TO BE LAID LEVEL. AND DESIGN ENGINEER. _._ CROSS SECTION VIEW EXISTING 1500 GALLON CONCRETE SEPTIC TANK (H-10) INSTALLATION OF 2-500 GALLON LEACHING CHAMBERS 8.) ELEVATIONS BASED ON NVGD BENCHMARK LOCATED ON LP AS LENGTH 11' WIDTH V DEPTH 5.58' DISTRIBUTION BOX DETAIL SHOWN ON THE PLANS. NOT TO SCALE NOT TO SCALE 9.) CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO SEPTIC TANK PROFILE CONSTRUCTION THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR NOT TO SCALE TO COMMENCING WORK ON SITE AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANYDISCREPANCIES TO .• A PQIVLr 5h-T ,�o THE DESIGN ENGINEER. 000 10.) NON-SHRINK GROUT TO BE USED AT ALL POINTS WHERE PIPES so .'- ENTER WATER 0 GHTASEAALL CONCRETE STRUCTURES IN ORDER TO PROVIDE Holidar Ln ON 11.) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH O $. DETERMINATION FROM APPROPRIATE AUTHORITY. " '•�' 12.) ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING. PROPOSED 27.0' X 1 Z.8' I 0s� rti- � 13.) DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST LEACHING FIELD , II ._-- , .� qI AND FINES. 10 PRO,PERTY LINE BUFFER � I Lp (D 14.) WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL EXIST. ABAN. SEPTIC TANK , , AND UNSUITABLE MATERIAL BELOW ELEVATION 80.00' AND FOR AN LOT 10 TO BE REMOVED AREA 5 FT. ON ALL SIDES OF LEACHING FACILITY. REPLACE ALL yo � � UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, - , , FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 0 � � 310 CMR 15.255(3). EXIST. D-BOX TO BE REUSE �- � I n4'i' I � 15.) CONTRACTOR SHALL NOTIFY DESIGN ENGINEER AF ANY DISCREPANCIES �--f Pitching SOS t Lr� �* FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO EXISTING 1500 GALLON I�ikrtb� SEPTIC TANK ' 46 � \, � OUP � �� �� � CONTINUATON OF WORK. ABAN. EXIST. SEPTIC TANK 16 ) PR . PROPOSED PROJECT LOCATED WITHIN: ASSESSORS MAP S# 193 PARCEL # 166 N SAND FILL WITH C L E A - ;:,:,•:;:,>t, h. ,;.; :::•:;;:::::. , - :: �::,.} 1 ) SURVEY ,, �,, , ;•,;, .,; • �„• \ \ _ , 7. PERFORMED BY YANKEE SURVEY DATED 02002 M9 D0 U$!St. 06/13/94. m. I n .. 00 N�x�i❑atio n T$ h n�a kD�i$ ti ' \ LOT 13A LOCUS PLAN 18.) TOP OF FOUNDATION IS 83.34 GIS INFORMATION PROVIDED BY THE TOWN OF BARNSTABLE. TEST PIT DATA DESIGN DATA: 0 NUMBER OF BEDROOMS: 3 ? \, �\ -''� INSPECTOR: DAVID MASON NUMBER FOOF�PERSONS: GAL/DAY/BEDROOM LEGEND i -� - SOIL EVALUATOR:DAVID MASON TOTAL DESIGN FLOW: 330 GAL/DAY EXISTING CONTOURS Cz \ SEPTIC TANK: DATE: 4-6-02 ' PROPOSED CONTOURS •� \�-� S � ' N TEST PIT #: 1 330 GAL X 200% = 660 GALS. DESIGN CAPACITY TEST PIT LOCATION -�� USE EXISTING 1500 GALLON SEPTIC TANK � J� o 0 o PROPOSED 1500 GAL SEPTIC TANK (H-20) LOT 15 alW ELEV. TOP = 80.0 27.0' X 12.8' LEACHING FEILD 4"SOLID SCHEDULE 40 PVC PIPE: ='Kz ELEV. WATER =37.0 4"PERFORATED SCHEDULE 40 PVC PIPE PERC RATE = 5 MIN/IN SIDEWALL CAPACITY: DISTRIBUTION BOX (H-20) \ _ '61� 53.0" 27.0' (LENGTH) X 2_0' (HEIGHT) X 2 = 108 SQ. FT. / ,+ DEPTH OF PERC = 56. ,3Fj 108.0 SQ. FT. X 0.67 GAL/SQ. FT. = 72.4 GAL. LEACHING/DAY .41 TECTURAL CLASS: FINE SAND END CAPACITY: 0 \ �-- 06 5» Sandy Loa I /� 2 10Y4�3 12.8' (WIDTH) X2_0' (HEIGHT) X2 = 51.2 SQ. FT. \ /��JQ • 28" Sandy L a 51.2 SQ. FT. X 0.67 GAL/SQ. FT. = 34.3 GAL. LEACHING/DAY 53 10 Y 4/3 g am 2.15 Ylt o7/1 BOTTOM CAPACITY: \, /4r ,a8,� REV. DATE BY: APP'D. DESCRIPTION 27.0' (LENGTH) X 12.8' (WIDTH) = 345.6 SQ. FT. PROPOSED SEPTIC SYSTEM UPGRADE Fine Sand 5 Y 7/1 345.6 SQ. FT. X 0.67 GAL/SQ. FT. = 231.6 GAL. LEACHING/DAY PREPARED FOR; I 132„ TOTALS: GAIL FOERSTER TOTAL NUMBER OF DISTRIBUTION LINES: 1 LOCATED AT: TOTAL LEACHING AREA: 345.6 SQ. FT. 183 CAP 'N CROSBY RAOD I TOTAL DESIGN FLOW: 338.3 GAL/DAY BARNSTABLE , MA SCALE: AS SHOWN DATE: 05-15-02 RESERVED FOR BOARD OF HEALTH Q 20 40 80 FEET I LL� OF Ahgs+ ROBERTA. .`yG ; PREPARED BY: DPAKE C ROBERT A. DRAKE PLAN OF LAND 9�No.41642 66 GREENVILLE DRIVE A SCALE: 1" = 20' ST` �� FORESTDALE, MA. 02644 Drawn By. Designed By. Checked By. JOB No. TOP OF FOUNDATION PROVIDE PRECAST CONCRETE EXTENSION GENERAL NOTES ELEV. = 83.24' RISER WITH CONCRETE COVER TO WITHIN ^12 6" OF FINISH GRADE OVER OUTLET COVER " NVERT 6.5" 1.) UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION METHODS SHALL BE IN ACCORDANCE FINISHED GRADE FINISHED GRADE OVER WITH TITLE 5 OF THE STATE ENVIRRONMENTAL CODE AND ANY OVER TANK EL. = 81.63' DISTRIBUTION BOX = 81.80' 78 68' APPICABLELOCAL RULES. 20" MIN. ACCESS COVER EXISTING 4" (TYPICAL OF 3) CAST IRON 4PVC „ 3„ REMOVABLE COVER 36"I 5" DIA. OUTLET(S) 2.) ANY CHANGES TO THIS PLANMUST BE APPROVED BY THE BOARD OF EXISTING f TYPICAL CROSS SECTION VIEW HEALTH AND THE DESIGN ENGINNEER. SCHEDUL 2" OF 1/8" TO 1/2" DOUBLE WASHED STONE 3.) 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. wK 9" PROVIDE WATERTIGHT 3/4" TO 1-1/2" DOUBLE WASHED STONE 1 1 JOINTS(TYP.) TO CROWN OF PIPE _2 4.) 4" SCHEDULE 40 PVC PERORATED PVC PIPE SHALL BE USED " 4" PVC IN FROM " �� 80.00' 79 75' ESEPTIC TANK 4" PVC OUT FROM ----------//--------------------------------------------------- ---------------------J INSIDE LEACHING TRENCHES OR LEACHING FIELDS. LEACHING FACILITY OUTLET TEE I _.... ---- ---- -------7 - ------ ! •. - ---- ---- - i I AT 2.0% MINIMUM. 5 SLOPE ALL SOLID 4 22"ZABEL FILTER t 2" MODEL#A1801 HIP 79.45' IN. 6.) THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. LE " (GAS BAFFLE ON BOTTOM) _ 6" CRUSHED STONE 10 -0 OVER MECHANICALLY COMPACTED BASE ,-o„ 7.) LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED 6" CRUSHED STONE PRIOR TO BACKFILLING WHEN SYSTEM IS NEARLY COMPLETE AND OVER MECHANICALLY 5 OUTLET DISTRIBUTION BOX (H-20) READY FOR INSPECTION. SYSTEM IS NOT TO BE BACKFILLED COMPACTED BASE TO BE INSTALLED ON A LEVEL STABLE - -_ WITHOUT FIRST OBTAINING APPROVAL FROM THE BOARD OF HEALTH - BASE. FIRST TWO FEET OF OUTLET PIPES _Y --------- - --------- ------- TO BE LAID LEVEL. AND DESIGN ENGINEER. --- CROSS SECTION VIEW �'-oa -� 3'-0n tea'-o" 8.) ELEVATIONS BASED ON NVGD BENCHMARK LOCATED ON LP AS EXISTING 1500 GALLON CONCRETE SEPTIC TANK (H-20) DISTRIBUTION BOX DETAIL TYPICAL END VIEW SHOWN ON THE PLANS. LENGTH 11' WIDTH 6' DEPTH 5.58' NOT TO SCALE FIELD DETAILS 9.) CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO SEPTIC TANK PROFILE NOT TO SCALE CONSTRUCTION THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR NOT TO SCALE TO COMMENCING WORK ON SITE AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANYDISCREPANCIES TO MA POLVE"5"T _,� 0 :300M THE DESIGN ENGINEER. :90 L 10.) NON-SHRINK GROUT TO BE USED AT ALL POINTS WHERE PIPES O ENTER OR LEAVE ALL CONCRETE STRUCTURES IN ORDER TO PROVIDE Hoda;---Ln WATER TIGHT SEALS. 11.) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH $ 'I$r DETERMINATION FROM APPROPRIATE AUTHORITY. 12.) ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-20 LOADING. fly P 07 "'-• 13.) DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST �s AND FINES. CL ull E BU (D14.) WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE MATERIAL BELOW ELEVATION 77.68' AND FOR AN AREA 5 FT. ON ALL SIDES OF LEACHING FACILITY. REPLACE ALL PROP R� - .1-' UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, 10 / O� ' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH LOT 10 / � �� qti 310 CMR 15.255(3). O/Orr. E {ItL�II �O II � 1' 15.) CONTRACTOR SHALL NOTIFY DESIGN ENGINEER AF ANY DISCREPANCIES PROPOSED 1 1 .0' X 31.25' LEACHING FIELD a Sw-- I - $t Lr5 OLI-j�c1 FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO 10 ,/J �N 1 0& I CONTINUATION OF WORK. EXISTING 1500 GALLON SEPTIC TANK t � � 'W r� .._�, '-° � 6 / _ --. 1 �..6 16.) PROPOSED PROJECT IS LOCATED WITHIN: ,,I ZS ��� a� � Er # ASSESSORS MAP 193 PARCEL # 166 ABANDONED EXIST. SEPTIC TANK N� �� r't P /\ 17.) SURVEY PERFORMED BY YANKEE SURVEY DATED FILL WITH CLEAN SAND •' ` °~'i" 00 D u$ t. M. I no.: 2002Navoiaatio n T$oh no Ioass 06/13/94. 18.) TOP OF FOUNDATION IS 83.34 GIS INFORMATION LOCUS PLAN 6 LOT 13A TEST PIT DATA INSPECTOR: DAVID MASON DESIGN DATA SOIL EVALUATOR: DAVID MASON NUMBER OF BEDROOMS: 3 LEGEND CD NUMBER OF PERSONS: 2 EXISTING CONTO S DATE: 4-6-09 DESIGN FLOW: 110 GAL/DAY/BEDROOM TEST PIT,- 1 TOTAL DESIGN FLOW: 330 GAL/DAY PROPOSED CONTOU _ ---j co ELEV. T0� = 80.0 SEPTIC TANK TEST PIT LOCATION � •- � ' � � � o o PROPOSED 1500 GAL SE TIC TA K H-20 ELEV. WATER = 37-n 330 GAL X 200% = 660 GALS. DESIGN CAPACITY ) L r PERC RATE = .9 MIN AN USE 1500 GALLON SEPTIC TANK 4"SOLID SCHEDULE 40 PVC ?f _ - - \ LOT 1.5/ o/W DEPTH OF PERC = � 4"PERFORATED S DULE Q`/PVC PIPE \\ , 11 .0 X 31 .25 LEACHING FEILD IN, / � \ S'� �� TEXTURAL CLASS: FINE 'SANn DISTRIBUTI BOX (H-2 py ,� / / 500 an y oam IDEWALL CAPACITY 1`� r 10 Y 4/3 C-q\ J /8.61 �j''E 28" Sand10 y Loa 1.25' (LENGTH) X 2_5' (HEIGHT) X 2 = 156.25 SQ. FT. 56.25 SQ. FT. X 0.67 GAL/SQ. FT. = 104.69 GAL. LEACHING/DAY Silt Loam ` I BOTTOM CAPACITY FiNE Sand 31.25' LENGTH X 11' WIDTH = 343.75 S . FT. � . 5 Y 7/3 ( ) - ( ) Q REV. ��DATE BY: APP-f7. DESCRIPTION 343.75 SQ. FT. X 0.67 GAL/SQ. FT. = 230.31 GAL. LEACHING/DAY 09 PROPOSED SEPTIC SYSTEM UPGRADE �. �.� �Q ,Z��+aB• TOTALS PREPARED FOR; 132" L R GAIL FOESTER I TOTAL NUMBER OF DISTRIBUTION LINES: 2 LOCATED AT: ' TOTAL LEACHING AREA: 500 SQ. FT. � TOTAL DESIGN FLOW: 335.0 GAL/DAY 183 CAP 'N CROSBY RAOD BARNSTABLE , MA R RVQ€ _.FOR BOARD OF HEALTH SCALE: 1 INCH = 20 FT. DATE: 04-05-02 -" Q 20 40 80 FEET 2��P�•�N OF M4ss9c PREPARED BY: p FOBERT A. yG z DRAKE m ROBERT A. DRAKE CD CIVIL 66 GREENVILLE DRIVE 9 No. PLAN OF LAND ` SCALE: 1 = 20 9oF c,st P FORESTDALE, MA. 02644 1�d si0Ll " Sr� 62 Dr�r►rt may- Designed ;By. Checked By. JOB No.