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HomeMy WebLinkAbout0033 COTTONWOOD LANE - Health 33 Cottonwood Lane Centerville A = 252 159 r No. 4210 1/3 ORA ESSELTE 10% 0 0 0 0 f �► asz l 5-1 i r sloe �;I ( m�; � he ,- '�; II No. A ® T' ' Fee ZOO THE COMMONWEALTH OF MASSAC14USETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application. for �Digpogar �&pztem Couotrurttou permit Application for a Permit to Construct( ) Repair(!A/Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or of No. -3 3 COdr�w. ��`J� Owner's Name,Address,and Tel.No. (fawall Assessor's Map/Parcel Installer's Name,Address,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 Buildinge<r° lE No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) y�0 gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Natu a of Repairs or Alteration (Answer when applicable G® aq 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 1ronment Code and not t ace the system in operation until a Certificate of Compliance has been issued by this rd o ealth. / /� gcga6 Date C lJ'u Application App ved by _ Date ZIS C) Application Disapproved by.: Date for the following reasons Permit No. '9'�6 Date Issued CQ (a! (Q 0 Fee /0V U THE COMMONWEALTH OF MASSACHUSETTS Entered in computer w PUBLIC HEALTH DIISION'- TOWN OF BARNSTABLE, MASSACHUSETTS Yes V ZippYicat ri for Migozal �&Vmem Congtruction Permit R Application for a Permit to Construct( ) Repair(/Upgrade( ). Abandon( ) ❑ Complete System ❑Individual Components 11 Location Address o of No. ?j 3 CO ffOAW6 /ref 1417 Owner's Name,Address,and Tel.No. P L Aej f�(//vI64jl,j Assessor's Map/Parcel S� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 52,61V707klke Type of Building: Dwelling No.of Bedrooms L� // Lot Size 1 sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title 1 Size of Septic Tank' Type of S.A.S. Descriotion of Soil Nature of Repairs or Alteration (Answer when applicable)-_Z&<-k, `� :! (2 Q (y1 I 2, 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 jFnronment Code and not t lace the system in operation until a Certificate of Compliance has been issued by this o9rd o&Health. fJ Signe Date /�& Application App ved by N Date 6 A Application Disapproved by: Date for the following reasons Permit No. d' ? — a �o Q Date Issued Cp U ---`—;—=------------=-------. — —. — THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that he On-site Sew ge Disp•sal Sys m onstructed ( ) Repaired (V) Upgraded ( ) ! Abandoned( )by at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. �'�� dated a : —'P-6 . Installer NA S ,'M /7 (/I-j t'-1►a at e Designer L° s--r- #bedrooms L� (° Approved design flow D gpd The issuance of this pe it s all not he construed as a guarantee that the system will functtionn as desiggAMA&w �Date Inspector / J �'L / XA t ---No. (�d� C7 ------------------- Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—.BARNSTABLE, MASSACHUSETTS Migoal �&pgtem Congtrruuction Permit Permission is hereby granted to Construct ( ) Repair Upgrade ( ) Abandon ( ) System located at Z? �'�, �l l �lJl�il'i P Le4T,0C(J ,0_ r. N 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 conditio s. Provided: Const ction ust be completed within three years'of the,date' of�this,p, Date Approved z � — t l44?—cif Town of Barnstable Regulatory Services .�. Thomas F. Geiler,Director • anxivsrneM Public Health Division 639. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: 60 'Zo 0 7 Sewage Permit# Assessor's Map\Parcel ZSZ — l5 d9le 4e✓T Jq c9,h 4-ee 010 E Designer: /7,1 c, C.-g,,-U Installer: �2d n 5 �aCCgva-1�'t 9 Address: Z GU, C�Z�S f r'e I �2� Address: (J © On !J— a 1- 7 �Gn S L�eAVa44"4-5 was issued a permit to install a (date) (installer) septic system at c---'aCrd 6 4.4 CPS f • based on a design drawn by (address) C-14 f-� 1� dated 677 (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. 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. 0 Mg80 40 Azstaller's Signature) g� PETER T. ��, WE TEE -4 CIVIL `n No.35109 o Q �018Tf- (Designer's Signature) (A p 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:Health/Septic/Designer Certification Form 3-26-04.doc rl r Town of Barnstable P# V/ Department of Regulatory Services BAM"AMA : Public Health Division Date 200 Main Street,Hyannis MA 02601 Date Scheduled D Time Fee Pd. Soil Suitability Assessment for Sewage Disposal l ! Performed By: � e I `� Witnessed By: �C)y1 -U, ae-OX . LOCATION& GENERAL INFORMATION Location Address 33 (foA-t-o,w-aua Owner's Name L � INc"i Lj,,<r ln� Address�J3 0✓�wc�C 0 Assessor's Map/Parcel: 2$2— l 1 Engineer's Name Pek-f f NEW CONSTRUCTION REPAIR � Telephone# ���477—S 3 t Land Use t`'�� 't �`1 Slopes(%) fiC —t o Surface Stones jMJ A` I r~ i Distances from: Open Water Body It Possible Wet Area ft Drinking Water Well ,f n ft%Y Drainage Way ? 1 ft Property Line ft Other ff S - CY "s.. SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands�n proxirtY 1uty to holes) cµ Carl t-•- C Parent material(geologic) ®�.1y��A3 J Depth to Bedrock, Depth to Groundwater. Standing Water in Hole: N! Weeping from Pit F ACe - � Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: _—in. Depth to Soil mtlttles: in., Depth to weeping from side of obs.hole: in, Groundwater Adjustment _ ft Index Well# Reading Date: Index Well level— Adj,tletor„n a'm Adj.fhoundwater Level Te PERCOLATION TEST Date-44L TIM0 -cz/ Observation ' Time at h" — Hole# u Depth of Perc 4 Time at 6" 10,' Q Start Pre-soak Time @ o.U 'Time(9"-V) - - End Pre-soak 2�{ wIlv�S An,%_� � 2 iNj' ��n IS Mi�il✓1', Rate Min./inch Site Suitability Assessment: Site Passed _ Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division 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:\.SEPTICtPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) Munsell Mottlin• (Munsell) g (Structure,Stones;Boulders. on istenc ravel 3-/0 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel ct F Scue. lu�rz l g-l3 C m—L �.vt 2<SY r�y DEEP OBSERVATION HOLE LOG Hole# 'z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Con i to c G vel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders, Consistency, I CJ GU O Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes .X_ ' Within 500 year boundary No A Yes Within 100 year flood boundary No_2!� Yes t+ 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? 'r e—.j If not,what is the depth of naturally occurring pervious material? Certification I certify that on ( �cta _(date)I have passed the soil evaluator examination approved by the Department 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. Signature—C7- C-1- Date Q:\SEPTICVERCFORM.DOC TOWN OF-B/ARNSTABLE LOCATION P1 Wo SEWAGE# � ILLAGE ���, -,c r.V,i 11.0 ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. 'old Sa 72 SEPTIC TANK CAPACITY 10 V- LEACHING FACILITY: (type) ` X S00 (size) /A ,K 2)1.5 9C z NO.OF BEDROOMS OWNER i a GL PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 1110 kl e, Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) no Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) n O Feet FURNISHED BY yf/���,t T t g, E �__.-- tlu�l�o Citizev,W&►Request Page 1 of 1 z` I WIN ,a Citizen Request Management �a Request ID: 20822 Created: 4/3/2007 3:30:43 PM 411 Desmarais Donald "I Status: Assigned To Staff Assigned To: Health Office Title 5 : Section 353-7 Anonymous: Yes Category: Sewage Y' E.C. Date: 4/5/2007 Created By: Fontaine, Tina Citations: Health Office Time Worked: 0 Response Time: 0 xx Request Location: 33 COTTONWOOD LANE Centerville, Ma 02632 Parcel Number: Ma 252 Block: 159 Lot: 000 Request: system failed three years ago and they haven't done anything about it. Septic has a bad smell. Request Work History: http://issgl/lntemalwrs/VVRequestPrintPub.aspx?ID=20822 4/4/2007 TOWN OF BARNSTABLE BAR-W `12 3785 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager i �Pt I11ff�+�J f Address of Offender 7.,z �„ � $�*04 '/./,4AA MV/MB Reg.# — ._1 Village/State/Zip C e'Ale . //r 1144 x t Business Name am��/pm,- on , i 2002. Business AddressFYII: Signature of Enforcing Officer ' } Village/State/Zip / Location of Offense f�n W� ,f � ,� (f og l rillllr > P�q✓ a ra , '� y EnLbrcingfDept/Division utS, ��t! rr�r+` rl+ � eer ��� �r• /?�� <r-C4,n Offense .l // t /l r Facts 4�►d r6,�,I »�r ..� R � X �ra�'rf ice/ s, 4.VP7ft, fir► .5ud1,e4r . ell&11) S".6knn A s.AP T4-x�ry0o, Deis,. ( 5c#r4^A . P q A s s* .n us 1?,v 1rr - ` This willl serve only as' a warning. At this "time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances,. Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. a .. _ �.. .. m• -. ....r.......x.,_.^..yv.,.- „-._.-. +:. ., ,u:r .,_..>.:-.�. t-,.... ,, .:,,.:.�, Yam- r+Pr^'W r F.` s Tr x. ....-..... .. -. ,..- -.. wTOWN OF BARNSTABLE BAR-W3 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager ( �Pf (j a I Address of Offender MV/MB Reg.# Village/State/Zip C r 1A Business Name ,, a'ii) pm, onJ,,,h.,, -3_20 O X Business Address Signature of Enforcing Officer ° Village/State/Zip Location- of Offense r r v :v��. f,,.,• (P rt' �t p'S++iyr. t Is Enforcing/Dept/Division Offense IIV,. % &rc �,�, ,� r �:� �. "� 4Ar' e Facts A�- t V L'45 f;rz #,. T b + z r1xd(If Y. y r" / 1 3" R This will serve only as` a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of, Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. I Health Complaints 03-Jul-02 Time: Date: Complaint Number: 3505 Referred To: DAVID STANTON Taken By: DAVID STANTON Complaint Type: TITLE V SEWAGE Article X Detail: UNSANITARY CONDITIONS Business Name: Number: 33 Street: cottonwood lane Village: CENTERVILLE Assessors Map Parcel: 252159 Complaint Description: SEWAGE ODORS AND WATER COMING INTO BACKYARD Actions Taken/Results: DS VISITED SITE. HOMEOWNER WALKED AROUND BACK WITH ME, AND HE SHOWED ME THE WET SPOT IN THE BACKYARD. HE SAID IT WAS FROM HIS SONS TALKING 1 1/2 HOUR SHOWERS AND THAT IT WAS JUST TOO MUCH WATER GOING INTO IT, AND THE WATER DEPARTMENT SAID THEY HAD HIGH WATER USAGE ALSO ACCORDING TO HOMEOWNER. ORDERED TO PUMP IT OUT. IF THAT DOES NOT SOLVE THE PROBLEM, MUST UPGRADE. EDUCATED HIM ON REDUCING WATER USAGE, THAT MAY BE THE CAUSE OF FAILURE. Investigation Date: 7/3/02 Investigation Time: 10:00:00 AM 1 Town of Barnstable Assessors Division Page 1 of 3 r k a L ,'AA SS Your Loca ion : Home :yTown Departments : Administrative Services : Assessors Division Property Results <<Back - Forward>> Wednesday,July 3, 2002 Fes„ Assessors Division- Property Results Data is based on Fiscal Year 2002 Assessor's Fiscal Year 2002 Assessed Values database and is provided for information Tax Information purposes only. Sales History Land and Building Description <<Search Again Construction Details Out Buildings& Extra Features Building Sketch 33 COTTONWOOD LANE Map/ Parcel/ Parcel Extension: Mailing Address: 252/159/ WAYBURN, RICHARD F &THERESA M Owner of Record: WAYBURN, RICHARD F PO BOX 1177 Property Location: HYANNIS, MA 02601 33 COTTONWOOD LANE Parcel ID:252159 i Mai' Fiscal Year 2002 Assessed Values ^Top Appraised Value Assessed Value Building Value: $ 111,900 $ 111,900 Extra Features: $ 0 $ 0 Outbuildings: $ 0 $ 0 Land Value: $41,900 $41,900 Totals: $ 153,800 $ 153,800 Tax Information ^Top Town Tax $ 1,424.19 Tax Rates (per$1,000 of valuation) C.O.M.M. FD Tax $ 212.24 Town 9.26 Fire District Rates Land Bank Tax $42.73 Barnstable 2.61 C.O.M.M 1.38 Cotuit 1.69 Total: $ 1,679.16 Hyannis 2.54 W. Barn. 1.54 Total does not include special assessments— Other Rates http://www.town.barnstable.ma.us/ComeOnIn/Departments/Administrative_Services/FinanceDiv 7/3/02 Town of Barnstable Assessors Division Page 2 of 3 Land Bank 3% of Town Tax Due to rounding differences these values are approximate. Sales History "Top Owner: Sale Date: Book/Page: Sale Price: WAYBURN, RICHARD F &THERESA M 7/15/1983 C92525 $ 11,900 Land and Building Description ^Top Land Building Lot Size (Acres): 0.37 Year Built: 1983 Appraised Value:$41,900 Living Area: 1764 Assessed Value: $41,900 Replacement Cost: $ 119,041 Depreciation: 11 Building Value: $ 111,900 Construction Details ^Top Style: Cape Cod Interior Walls: Drywall Model: Residential Interior Floors: Carpet Grade: Average Grade Heat Fuel: Gas Stories: 2 Stories Heat Type: Hot Water Exterior Walls Wood Shingle AC Type: None Roof Structure: Gable/Hip Bedrooms: 4 Bedrooms Roof Cover: Asph/F GIs/Cmp Bathrooms: 1 1/2 Bathrms Total Rooms: 7 Rooms Outbuildings & Extra Features ^Top Code Description Units/SQ FT Appraised Value Assessed Value No records returned. Building Sketch ^Top http://www.town.bamstable.ma.us/ComeOnIn/Departments/Administrative_Services/FinanceDiv 7/3/02 Town of Barnstable Assessors Division Page 3 of 3 rr yry 9 1 / 9 y Sketch Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area (Unfinished) BMT Basement Area (Unfinished) FTS Third Story Living Area (Finished) UHS Half Story (Unfinished) CAN Canopy FUS Second Story Living Area (Finished) UST Utility Area (Unfinished) FAT Attic Area (Finished) GAR Garage UTQ Three Quarters Story (Unf FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story (Unfi FHS Half Story (Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story (Finished) Back- Home I Departments I Town Information I Contact Town Hall Website Developed and Maintained internally by the Town of Barnstable Information Systems Department Town Hall-367 Main Street- Hyannis, MA-02601 -508-862-4000 DISCLAIMER: Although we strive to provide accurate information,we are only human. Please consult directly with the appropriatedepartment if there is a question of accuracy. Copyright 2001©Town of Barnstable. All Rights Reserved http://www.town.bamstable.ma.us/ComeOnIn/Departments/Administrative Services/FinanceDiv 7/3/02 � f L 0 4jA T I.O//-N � SEWAGEE P E?R2M I Tf,/cl��. ,3 / VILLAGE �ek, a lle. I N S T A LLER'S NAME i ADDRESS 5-- _S2,4 (4- 90c K MC A aPn1 s, S U I L D E R OR OWNER \ DATE PERMIT ISSUED k DATE COMPLIANCE ISSUED �d-3 I � I Y Q N ee)4 ry cvo rs 4 4-ty. N6r.........7?... ......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . .... ........... OF............... .......................................................................... Appliration for Dhipmal Works Tomitrurtion "prrutit Application is hereby made for a Permit to Construct C>1-14 or Repair an Individual Sewage Disposal System iit: q. . .... jj ....Ct loocati.. Address or Lot No. ................................. Owner Address ............................................ .................................................................................................. Installer Address Type of Building Size Lot..A �9�....Sq. feet U Dwelling—No. of Bedrooms............q7 ............................Expansion ,2 Attic Garbage Grinder (P6) Other—Type of Building ............................ No. of persons.......9-------_-------- Showers (I Cafeteria Wc) Otherfixtures ...................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow.._.............!- 14C................gallons. 1:4 Septic Tank—Liquid capacity.1,;2S.-O.gallons Length................ Width................ Diameter__-_.........._. Depth.............__. Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area...............--...sq. ft. > Seepage Pit No..........A ....... Diameter.................... Depth below inlet_._................_ Total leaching area...................sq. f t. Z Other Distribution box Dosing tank Percolation Test Results Performed by....t-.L0A&-vC....&r'tVz_z�e=-adj*v45........ Date._... ........... Test Pit No. 116**$S._..minutes per inch Depth of Test Pit.....LX.!....... Depth to ground water..(AtA Test Pit No. 2_j-1,0.....minutes per inch Depth of Test Pit.......L9........ Depth to ground water........................ ............................................................................................................................................................. 0 Description of Soil.--.6) .................................................................................................... �4 1..............................................IYL?......9`..... ...................................................................... U W .............................................. 9------ ----------rinp..... ...Ag.act.............................................................................. 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 TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in Certificate of Compliance has been u Ith operation until a ' sue the/bDO dQ 'of health :,0.............Si ...................V ..... ..... .... Application Approved By.... ...... .... ........................................................................................... .... ....................... Date Application Disapproved lore following reasons:.............................................................................................................. ......................................................................................................................................................................................................... Date PermitNo......................................................... IssuedL........................................................ Date ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ... ...................OF ............... Appliration for Dhipoiial Works Tomitrurtion 1hrmit Application is hereby made for a Permit to Construct 1 < or Repair an Individual Sewage Disposal System at: ..... .....C.t 3.7. .VA 16 W A 4...Latic----- A.w!VArs.J)1AA...Ali?.......40-r..../xi...... — 16ocation'-Address or Lot No. Xw-4............................ d.A WVAVtJ.... t Address ...... .. ......... Installer Address Type of Building Size Lot... ....Sq. feet Dwelling—No. of Bedrooms.............Y...........................Expansion Attic qVd Garbage Grinder (144 A4 Other—Type of Building ............................ No. of persons........:-_-------__-__--9------------------ Showers Cafeteria (/JO a4Other fixtures .................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow.._..............44.V- -Aa...............gallons` Septic Tank—Liqui dd capacity.jo—Mallons Length................ Width__............__ Diameter..__._........_. Depth................ Disposal Trench—No.. .................... Width.................... Total Length................._._ Total leaching area....................sq. ft. Seepage Pit No..........A------- Diameter.................... Depth below inlet............_....... Total leaching area..................sq. f t. Z Other Distribution box ( ) �' Dosing tank ( ) Percolation Test Results Performed by__,_&_tV.ASVI4.r....S'414444694V&........ Date..... 4.!!r,3.......... Test Pit No. 11W.....minutesperinch Depth of Test Pit-----IXt....... Depth to ground water..4V.0_4 4.7ZV 44 Test Pit No. 2..."rU4&*...minutes per inch Depth of Test Pit.......1,;..!..... Depth to ground water........................ P4 ............I................................................................................................................................................ 0 Description of Soil.... .................................................................................................... ...............................................II/V...nitl.;..... M- 4;49J...................................................................... ----------------------------------------------- .........F In, _e....4j h L*-p....Zq.hW.............................................................................. 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 TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be;nsue y the Io d of health ign ----0----- ----- ................. ... ;/�D �e 0----------- . ........................................................................ kt_.3........... ;V a e Application Approved By...'Application Disapproved r Ite following reasons:............................................................................................................... ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF...........................................I......................................... Tntifiratr of Tompliana THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (,,-Kor Repaired by .................. ... . .............................. .........I..................................................................................................... Sl �In ler ... . . .......... �j.................................................................................. ................ at... _: . . .. .K f has been nstalled in accordancewith the pr sion of TITIZE 5 of The State Sanitary Code xde, ibed in the application for Disposal Works Construction Permit No.. .._ ............ dated- OF THIS CERTIFICATE SHALL NOT BE CONS3T?UE S A G AR T THE THE ISSUANC An TEE SYSTEM WIL;/F" TION SATISFACTORY. ................ DATE.......419.1k;.................................................. Inspector... ..... r..................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........................................:.OF.......................................................... ... ....................... No.. ................. ft4i/lo............... Ehopooat Workii Tilonotnulion "lerutit Permission is hereby granted........................................... ........................................................................... to Construct IV s Re pair epair ivi V17 tem at No.......... ....3_3..... ....... ..... (..................................................... ...... ................... �p Street as shown on the ap lica ion for Disposal Works Construction Permit No.___--- ... ....... Dated/ ........................... ...... .................................................................. Board of Health DATE....... ............................................... FORM 1255 A. M. SULKIN. INC.. BOSTON Yea tt•% r . f �. a t \ \ / I LErkrriN( \ MW a rs 9 k�, L07 17—�, o 18 , 5T#2 65 t- r < 1 A 17E5r / di m3 b o \ j D f I1 EL = ioo.a I y CvT'ToAlwov D L l lv'e5 OLMN IIS' WiOTI-1 Yl 4No su p — W_ __- _- ( a J �, a ,R . �C t�' uMED PQoT�r7ou.uuLi�ll A E?`r.. 1i7 c.+ate P i 'Ll2 „ G-E , "4.QAuD FATNE� Gc./t:r:.,C •, LEGEND �z�oFM+s CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION Ox0 EXISTING CONTOUR --- 0 = . _. 02 A FINISHED SPOT ELEVATION 9;� ; o Ce�r'7-c- FIC�II SHED CONTOUR O MORSE -- o ,pNo:109514Q(vi IN APPROVED BOARD OF HEALTH °�FSSONA�'° . •' ��� •.�• °' ,4 + DATE AGENT . SCALES /" 3U ' DATEl G ' Irl j i' LDREDGE. ENGINEERING CO. I- wAy� A CLIENT I CERTIFY THAT THE PROPOSED EGISTERE REGI3TLRED J08 N0. 83 ° BUILDING SHOWN ON THIS PLAN ClVIL: LAND .�_ CONFORMS TO THE ZONING LAWS ENGINEER SURVEY R DR.BY �' ' OF BARNST4ABE , MASS.- cr=Qr � 712 MAIN STREET , CH. BY, J f' HYANNIS, MA$S: �L1� ..... . . ._ _. _ SHEET-L..OF DATE__ ._ ��'. ..LAND SURVEYOR I�lQTL� /F EITHER 7-,We SEPTIC T.4,V pR /N �,RA oE, A 24'O/A/H E TER G'oN«'E rE Co vE•� ;� SNA L L BE BROUGHT 7-0 CD/yGf�ETE 4�PYL' P/Pr t EA V Y CA S'T /.PO/Y G D YE,4 SH,4 L L 3 c M11,l. PITCH /F//V DRIVEWAY — ELT 945 COYEIMTS yB�pE� Fr 2 fw MAX. CO YER , A CL EA/V .SANG i / �_ BACX�/L I 2 LAYER? /RSA/ /L SO �/��. - t► 41 o k�61F T ctiiY. • /B • • v. �8•- r �ig�P�Ef PF sEp l rAAI 1 jp ®X ♦ ♦ 1 , I • i O •• 1 •1 •a / 14 • • I e DEPTi+f • •• ` • . . WASNED STa�VE ! II • • • ♦•• 1 �• • o . �•••• I • • • • • •• • op • G?/D a s. . I • . • a • • • e D •�• PRECAST SEWAGE c�:3. x.:.:J.O : 5o'f�iD s �. I • • • • .• e • o. - P/7 OR EQ/JIV. 2 �PtTU4PAG tT`,, : ,4 -7-GAD.) C!T D/AM. FL 7 S.6 (LT ) /AEi,E�T AT R!/itD!/�/6 86.5 PT_.. Td rPcL"CAGPC cT� 414 8S-G/D B ' f7. 4P/,t/M- Cc E TsltSl/L.4TION� �. 1�1LET q`.' em s. Ti4/lflptlfL raa'`mp.3 � _ - T ;° ¢ p�QTER Ti4B6LE 65:9 GROUND, SEGTi�Nf � ` add i��� -�1 � �A-4 5V.S7*,WA1 1>V4r LZACIN/� �/� Qr e s.s N £T s "7��tILATIGtM INLET L Rcrtiuv pIT LT_ 84 8 FT LEACH!/�/t�:,- F�lT l`mIMEdY.SIQAI.. 19E'SI�X t �st►.�vs�IaX FT•.: NUe'ldEl� OF�E�R®Owls `Fav2 ` Q1MEN5!!?IV Cs �' FT M �"/ 4SZOISPOML TDTAG E3T1l t'TED FLOW 44 o S.4,L.1AAY SO14 TEST A/ SOIL T;'ST*Z . / NUMBER OF egACW1NG P/TS 2 / -&,, F l ELI�Y, �G.$ ,pgTE Qx S®eL T,S7� 5"/ ZG i�3 'UM LEACHING PEjt P/T. 30� �- 54 PT r, 1 /tES!/LTS AV/T/V!•SSED. dY O- / z' BOTTOM L.6ICNING PE1t P/r Ioo.Co SQ GT 41, a'c RERCOLAWON RATE,*l C—T S M11 /INCK A M TOTAL IZACHING AREA 402.2 DSO. v r L- PENCO4,4 r/ON R.ATF 1�2 T7�A ry /yl�l.�lw/CN e�sERVE LEAC'NIM6 AREA 4ol- �� FT. z"_ 9 .• 'is S sA n�'J $ Of OFNgJ`4y� c VC-L LOT /7d Cc,77'T0 C2J> ALBE � �� m ORSE S"san'p O o Q No.10951�0 /i EL DREDGE ENGINEERING CO,/NC- !►� �o75..1. .EL. 74.Ei 71Z AtA[N ST. , 'ffY.4rVNiS. MASJ- i 4�• Mp su g 10NP,�E Ca -No6ROVNv yYATE�P ENCOUNTEREo CL/f/VT:WAy4?v�en! PATE � 6 9 �' 3 C GM o LI.VO WA rZ e A7 EL K JOd NO. 4 3 1 U 4 SHEET=OF z .onks C� Py t I L n 1 74- ia�7 EKANSroN\--� i i - io' p� c rAC,k41, ' v • p �, o / M t\° a /72--sT / Al/ a 6 di 3 / / o ` di . tV d, n a a 00 TPaM @ snc SEr �Zd,L�a 1 EL = IOO.0 x ET L 4`9 OG 3vrr� — YV �tN OF 0v �b- I ' CO .FT o N►sir U V f> F. � 7G= 4 v ' a✓.i� ` 1 4 S' r�1-1 4- h� SURr - .-�'-A�uMED PQo'i'1-G�aa c�. GE'!' A-E'T T1:i c+-1*DT LEGEND iHOFM4 CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION OxO 3`�v s -- w EXISTING CONTOUR ---.— O " - - o A FINISHED SPOT ELEVATION o CC�� PZ FINI SHED CONTOUR ® n�oRSE No:10931 !i IN APPROVED , BOARD. OF HEALTH ��Fc/sT�P' �• a �� ag 'tA�ASS* �FSS/OMA� DATE AGENT SCALE, DATE G . f ' L eREDGE ENGINEERING CO. IN w�y�v�� I �...,.__...._...._ _�.._,� CLIENT 1 CERTIFY T H AT THE PROPOSED EGISTERE REGISTERED JOB NO. 83 I 0 BUILDING SHOWN ON THIS PLAN A A + CONFORMS. TO THE ZONING LAWS �ENGINEERI SURVED R DR•BY �J. OF ,BARNSTA11 E , MASS -4 �vccQr . -. n 712 MAIN STREET, CH. SY= J_.....�.�.. HYAWN I S, MASS: SHECT_.L OF DATE i_AND SURVEYOR IV07 AF = /F E/TNE.� TXE S�PT/C TANK OR 20 FT. M/N. Ei4CX1tYG P/7" .41 E MDRP THAIV /2,,BEL0w JO �/ _j eRA OE, A 24"O/-4 M E TES' COiyCR T� Co vE St/A L L 9jF B•4 O uG H T 7-0 G,TA O.E �X�A,7_ye , tO,6,4VY CA ST /R L4 ON Go✓ �. Sht.4 L L c3c C.'S�J 1 A?IN. P/TCN /F'/N DR/.vA=W.4 Y i — EL- 94.5 C®YERS �B oL°R FT CONCRL=TE _. � 2 9• N4tlV. ' G ••DE CQ ✓ER CL SAN -F qIV O I &.aC1CFiLL- i KT.0,1 �M_9_ (2Pn5) �co�cmid 2�L.4YEr2 I�!!/r0.lsJAM pAr /T /ST. • do o• • • •. • •• + > • WASKPO 57VNIC • • e • oil • PER'r • •• • • ASN,ED STDNE • o •� e • • • • • • • • •p . _ yrr f •:8 :'X 2.5 = 31 G�l>`J i s' e e • • • • . a • e •• RRECAS T SEEPAGE ;50.3 X .J.o 50'4/4� s s• � • • • e • • • + • /7 OR EQl1lt/ leV�/�RY L`LEd✓ATlDI4P� • • s EL= :'79.5 t AT) Z (PtTc-AOAC a-il 4 4-T 6/D) C.P7: 6.6 (L r ) /KVZRT AT AVII.DdN& 8�;5 ��_. A s4 Gf D a fz_ �i�r,+►r. C(,sFg euLa7-)�a.+>. !/4iLET Did?f�lDg!]'FPfV X `�5 /ems•_ .S' CTlON 0/C ! lTER7rA�L.E 1f�cr c�e�cId+rts /� 5 ,��,�Io�G.� �3tI®�tS�4 L SY.ST�A'i Tt��ldL 'TtG01� INv ptr., cr °`84;:a` 1.SACNI*VS- AIT 8 Fes` '7NEE, LEip4f FTC -� I SCALE..` � DES1dAf CRIT&RL+L r T Di�+lJENSf.aeV - Q►/Mt7V�lG/51 SOIL BOG '� •�'T �stQ�,a�E�/Ss��swL uN/r ' � ` • .:SDlL TIES TOTAL E,TT/M�tT'E� PLory 44 o G.4L..1aA SO/L TEST del SD/L IVUM&Ele�I eACxtn+G P/ 2 ��cC•Y. E4,rl �6.8 DA7—E OF SOIL TEST>- �3 S/OF LEACHFNG PER PIT 32I.1. fT RESULTS• lw/'T/NESSF0,dY h'E °4 CEJl3! aorro^i 4AACO(/NG P0At PIT S4• ,tT. ���,�.�; �RCOLAT/OM AA7-f TOTAL l�lCP/!NG �4R�irb 4o1.2 sp. .FT. Tv Ps O f � PEkCOl�T/GN RATE 0 MtLA-ry_ /bNX.f INCH RE3ERtiE�.Ee{CpP/N6 AREA 4a2.2 SQ. 2 r D oaan�t• /17�U t v��/ 0/�, S+;'n D L O T 17¢ C.c:7--r-0 r1 k%10 3 s, L A/v'E of 9 ��� .,�y�: ����-t vc-L oaf CyG o ALBHf2'el �v��ri a /G� �1� F/Nr rn1K>7� v, NrORSE �„I� Ssa n'a C p No.10951 w Ji EL DRICDGo FNGJNF�i�lNG CD,�/NG. flo F�rssFP ���� L. 75l EL. 74,Y� 712 f/YgNt>✓is. Mig3?, I84+ c�O F�cs` ��G� SUS"" `CNM_ Q NO 6ttOUNA7 kv,4TE/! JNCOUNTE'REO CLIENT:wAy9JIZA1 DRTE :. G �✓ �' 3 �] GRO UAVO yvATE.? AT .ELEf/. .Joe )vo 13 sHE� ` w^ r NOTE: TO PREVENT BREAKOUT, THE PROPOSED T.O.F I F.G. EL: 91.35(MAX.) FINISH GRADE SHALL NOT BE < EL.86.35 (EXISTING) VENT FOR A.DISTANCE OF 15' AROUND THE EXISTING F.G. EL: 88.5t(EXISTING) F.G. EL: 88.5t PERIMETER bF"THE S.A.S. MAINTAIN 2% MIN SLOPE OVER S.A.S. 4 SCH�4) PVC PERFORATED PIPE WITH SCREW SET TO WITHIN 3" OF FINISH INSTALL RISERS OVER INLET & OUTLET INSTALL RISER OVER D—BOX TO 3-500 GALLON LEACHING CHAMBERS GRADE SERVE AS INSPECTION PORT. TO WITHIN 6" OF FINISH GRADE WITHIN 6" OF FINISH GRADE SURROUNDED WITH STONE AS SHOWN e INSTALL RISER OVER CHAMBER L =30' L=22'(MAX.) SHOWN ON PLAN AND SET COVER WITHIN 6" OF FINISH GRADE 4' SCH 40 PVC 4" SCH 40 PVC ..---2" LAYER OF 1/8" TO 1/2" 10 EXISTING ta" C� S= 1% (MIN.) s c� S= 1% MIN. ®� ®B a ® ® DOUBLE WASHED STONE 1000 GALLON (MIN.) ®�®®®�� (OR APPROVED FILTER FABRIC) SEPTIC TANK INV,=86.25 INV.=86.08 2' EFF. DEPTH ® ®®®® (SEE NOTE 12 —SHEET 1) t 3/4"-1 1/2" EXISTING BAFF fi.LE INV.=86.55t D-BOX 4' 5.2' 4' STONE WASHED EFFECTIVE WIDTH =13.2' NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING INV.=85.85 PIPE INVERTS PRIOR TO CONSTRUCTION. 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE , TOP CONC. ELEV.=86.95 —BREAKOUT ELEV.=86.35 ON A MECHANICALLY COMPACTED SIX INCH CRUSHED INV. ELEV.=85.85 ®®®®® STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). ®110BB®®FELON a ®® ®® 3) INSTALL INLET & OUTLET TEES AS NEEDED. BOTTOM ELEV.=83.85 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE. 3' �3 X 8.5'=25.5' 3' 5' MIN. ABOVE BOTTOM OF EFFECTIVE LENGTH = 31.5' T.P. EXCAVATION OR G.W. SEPTIC SYSTEM PROFILE NO G.W. ENCOUNTERED LEACHING SYSTEM SECTION BOTTOM OF TP EL: 78.4 N.T.S. (3) 5" DIA.OUTLETS -16J72„ �, DESIGN CRITERIA SOIL LOG SOIL MBTYp OF BEDROOMS: CLASS ROOMS s" a" �N\ OsF\�0% DESIGN PERCOLATION RATE: 2 MIN./IN. 4 \ DATE: DUNE 1, 2007 DAILY FLOW: 440 G.P.D. H-10 LOADING 2° S 6'. DESIGN FLOW: 440 G.P.D : PETER T. MCEN SOIL EVALUATOR: P.E. D—BOX �� '9 GARBAGE GRINDER: NO S WITNESS: DONNA MfORANDI „.Ts �, SRC, (HEALTH AGENT) LEACHING AREA REQUIRED: (440) = 594.6 S.F. rn �� REFERENCE NO. P-11,746 .74 �• �j� Elev. TP- 1 Depth Elev, TP-2 Depth EXISTING SEPTIC TANK: 1000 GALLON CAPACITY ®®®® 0 ®® qm 24 190.3 0" 89.9 0„ 37" �` 9 A A USE 3-500 GALLON LEACHING CHAMBERS IN SERIES ®I;�®®®®®®®I ^ �h. SANDY LOAM SANDY LOAM ��®®®®®®® M, 10YR4/2 10YR4/z SIDEWALL AREA: 2(13.2' + 31.5') X 2 = 178.8 S.F. N �% 90.o B 4" 89.6 B 4' BOTTOM AREA: 13.2' x 31.5' = 415.8 S.F. 102" /,'// SANDY LOAM SANDY LOAM 10YR 5/6 10YR 5/6 TOTAL AREA: 594.E S.F. ' % ;'EX/STING ' 86.5 c 46" e5.e c 48" DESIGN FLOW PROVIDED: 0.74(594.6) = 440.0 G.P.D. 4" KNOCKOUT OIA. COVER 'HOUSE // 33 , 58Rc `� � M—C SAND SAND 2.5Y 5/6 4.' KNOCKOUT O�4° KNOCKOUT 62" �/TOF=96.38� M—C j { /s 2.5Y 5 20%GRAVEL (ASSU/71 ed) ,i , 20%GRAVEL COBBLES PROPOSED SEPTIC SYSTEM UPGRADE COBBLES BOULDERS 4" KNOCKOUT / BOULDERS 33 COTTONWOOD LANE, CENTERVILLE, MA Prepared for: Richard Wayburn, 33 Cottonwood Lane, Centerville, MA 02632 79.8 1 138" 78.4 138" Engineering by: Surveying by: SCALE DRAWN JOB. N0. 500 GALLON CAPACITY, H-20 LOADING Engineering WOrk4 TerryA. Werner PLS P.T.M. 147-07 ' NO GROUNDWATER OBSERVED � � NTS PERC RATE <2 MIN/IN. ("C" HORIZON) 12 West Crossf!d Road 22 Long Road CHAMBERS Forestdole, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. S.A.S. LAYOUT , „.mz (508) 477-5313 (508) 432-8309 6/1//07 P.T.M. 2 Of 2 I