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HomeMy WebLinkAbout0077 ELIJAH CHILDS LANE - Health e 1■■■■■■■■■■��■ ■ ■■�■�■■■■■�■■■�■�■■■■■■��t®■M■ MOMMERIM SEEN MENNOMEMEN NONE loon anommomon 1■t�t�t■■�■��■■■■■■ ���'�� : ■■■fit■t���■■���t���■ ONE to ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■oL l ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■b p ■■■■■■■■■■■■■■■■■■■■■■■■■■■■'■■■■■■■ " ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ I■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ l■■■■■■■■■■■■■■■■■■■■■■■■'■■■■■■■■■■■ I' ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■.■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■.■■■■■■■■■■■■ ■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■.■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ i■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmms I■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ IMMMMMMMMMMMMMMMMMMMmmmmmmmmmmmmmmms l■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ I■■■■■■■■■■■■■■■■■■■■■■■■■■■m■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■m■■■■m■■■■M■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■m■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■v immmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmr E�� €� "r= u f rkk f; i� €� :; } �� i } �$ :1 i F �t� �X� � �� 4 i� e� k' '`) i� 1 i� �j� :t �� I:3 l} r 1 E1 S No. e�3`� `� ' / Fee 1 DO `. .�'. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplication for Disposal 6pstem Const union Vermit Application for a Permit to Construct CV1 Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 71 F_Vg(aiq, CAW,tir L^ Owner's Name,Addres ,.and Tel.Np.,N\c,ry �3 rLfii Assessor's Map/Parcel ea 1-) Z-17- Installer' Name,Address,and Tel.'No. S (.4: 6er,Q e f Designer's Name,Address,and Tel.No. k4 C4 Sc{�:t Joyt,e- e1r��cw+l�ir Cag �t�Nr g,- -rtC,, n.w�cOns L LC. GlY 1'^C�"�1r C� ' In/�3r ywr1v\b%.I-v1K M.a� Sep LB' 024 ) Type of Building: Dwelling No.of Bedrooms Lot Size 0.37 P re r sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided 3 gpd Plan Date- 07 ®1 k,,17) Number of sheets ' Revision Date Title Size of Septic Tank ey Z Jam,m 11 4 ac Type of S.A.S. o 6 a.li:,_n jQc.c_%% Ci%"% Description of Soil S Ge 104 Nat re of Repairs or Alterations(Answer when applicable) l\s C- e 4 fig e 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 qf the ironmental Co e an fo no place the system in operation until a Certificate of Compliance has been issued by this Boar&aIth. X Signed Date Application Approved by I Date -7 Application Disapproved by Date for the following reasons Permit No. Date Issued L - ------ -----_-_ -_-___- -_�- - - - - _- ---- -No.. �o ]�'• Fee Do 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF,'BARNSTABLE, MASSACHUSETTS Yes Rpplitation for Disposal 6pkent Construction.Permit j Application for a Permit to Construct Repair( ) Upgrade(' ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.-71 Can`• I✓r L^ Owner's Name,Address,and Tel.No.•ry1G�y �4 rrG i ,� c-G.c�� ,c. �ratiTG -71 LA 'Assessor's Map/Parcel 4 11 Z7 7- Installer's Name,Address,and Tel.No. o ny �-i ;b��.. •( Designer's Name,Address,and Tel.No. k\t (_A QC Scam.; Jo7l�- 1ar`bs�sq:. �sg h:�..r ST tCfJr rr.a•i�rd..y- LI.. 1- 2.5' Wt34- jet 1,".rv\ See) q-LB"' 1 L 01(0 ) (.`5or) l Type of Building: ',Dwelling No.of Bedrooms Lot Size p.37 /u rt3r sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided 33 3 gpd i Plan _'Date o J 1 Number of sheets Revision Date Title r Size f i T k i o o T f S o Septic c Tank Y � q e o S.A.S. �o p 6a , on Q�t,�. C P Type 1 ��� 1� � 1.aAb e S- i Description of Soil S Ge- 1 Nat re of Repairs or Alterations(Answer when applicable) -L(�5 nrG��:� /�/e- �✓ p-- (3n n� .w Date last inspected: j ` 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 ironm" mental Code an�c not to place the system in operation until a Certificate of Compliance has been issued by this Bo 'ealth. hyS�iigned t� Date Application Approved by t (i L Date Application Disapproved by Date ' 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 A-,o rv-1 C,4).' e r-r-o —\tow tx, 1G4..LS to at ,,rct�, (_�.i �, S �. L-lip 1�- has been constructed in accordance with the pro isio s of Title 5 and'the for Disposal System Construction Permit No �X/�-t�7dated h 7 /C Installer Designer k\ (Aft t? $C '` LL L #bedrooms Approved design flow gpd The issuance of this permit shall not b construed as a guarantee that the sy tem wil nct'o. as esigned. Date 3/c Ins. ct8r ' ------------------------------------------------------------------------------------------------------------------------------------- No. l Fee I cc t ~� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( � Upgrade( ) Abandon( ) l System located at 1 c Q and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. c Date �/-�� Approved by j t °own of Bi' nstabl 'Rego 'CTS Rithud V.U0,11mcrem f7irtt.kn Th0imws YftiCr2A,Olmuir. .40 1491M$11mi, :NEIJ1 d 141 343 -SOL itp�fi'�ii i� � �►. � �.• r Ad dro33 i ff alt${le itt .r.. T fi• �r 1t1E5C19 pS�IIIIYR�!a5tl�fE Y X , i 4 tw foss'At t��)JF r. '� � bpi:a�i a a afan dp,�, in by ' dpW 3 �"thbi�iY9s cpias 5�A-QCi rent n at a �fe s�L� urziall;*sec r , a.a vah ura i:tu�d trtnt �L �1> yarth.a� l tsruul l riif t3 jai'�t s lot, , o f an{tY r sa arit k S��p � q i'f t tit I$ way �sul t i as�c1 tltc €I —atz found sndsfE3awl% #t k-M rckm ®l srw was fnstailcd Mgh rmy r ft—m.g q;i,e ; ;cv Phan. ur Iraial � mof tlw-S�,F*on v�rti�,I ��F ��tal��4it Wntpo04��i. �c�r�rr;talt ;eie b tc i r'{ �Pvllow, strr� �►�,cfif i ip km mi�cta mart,the swill � �fa�•i�s�li�;l3sftd�. a�.t<gv ilia tyre�Yscmq mf�.ti`c PI v A cvcsrr ,�x�c9SectPi the Ci tgtS r fah, :f appmai$Ct:tets44["-hpplkmwc) 1224 d.1w d 4 t'LIx1'+ .i �."'�' n_ TgI ISSU '-- IY ;- iFl !�{J Pal Ik M_ - _. _ - THAN IL L Town of Barnstable P# /SZ&/ Department of Regulatory Services ,,,RNa,.,B;A Public Health Division Date /7 XAM -., 200 Main Street,Hyannis MA 02601 f�1 • �''�fn t�� aQ t—v ' W Date Scheduled Time...1. I — Fee Pd._ Soil Suitability Assessment for Sewa g e Di posa 11 �Q Performed By: - d R' `C CC,, Kj Witnessed By: 1 \ n �! LOCATION&.GENERAL INFORMATION /� Location Address ' Owner's Name /�f► !�• - —1-�-p�-�/l Gti�/� �� Ct✓11'w�!��. (� arm. Address Z ! M4 6-163 Z Assessor's Map/Parcel: 1 7/ _ 7.7 Z 'Eatgi�cer'sNa e 3 M� N,J_X• / 9sc '�� 5�lr7�` NEW CONSTRUCTION REPAIR Tele;one# 50� -Z�ort-�7 3 Land Use (, Slopes(%) Surface Stones vb, Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way , ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands fn proximity to holes) rp i I I Est c 'i LIJ LAIIJ6 Parent material(geologic) Depth to Bedrock Depth to Groundwater. Standing Water in Hole: •ojk Weeping from Plt Face IyW' P g Estimated Seasonal High Groundwater 1�i DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: ` Depth Observed standing in obs.hole: f, Ylt Otcs�-—In. Depth to soil mottles: _ In. Depth to weeping from side of obs.hole: t___In. Groundwater Adjustment ft. Index Well-# Reading Date: Index Well level _.._„ Ad),fhctor �._. AcU.Groundwater Level _ PERCOLATION TEST Datal 2 nme :60 Observation Hole# _ Tine at 4" Depth of Peru )'' Time at 6" Start Pre-soak Time @ � 'c _ _ Time(9"•6") End Pre-soak I w Rate MinJlnch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) 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:ISEPTICU'ERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Sdil Color Soil- Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones,Boulders. Consistency.%Gravel) AU. 40 6: sJ tH G) CID � 7/7J Jf b �azr�2 DEEP OBSERVATION HOLE LOG Hole# '2 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.% d-t Z rN Lo 10 k6z 3 ,L- 4^jo 15 C l '�7--1 y`l Ca � � zoY'K'► �{ ,emu C�•t.c_ . DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Muusell) Mottling (Structure,Stones,Boulders. Consistency. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sall Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders, Co Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No Yes Within 100 year flood boundary No,r_ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervio s material exist in all areas observed throughout the for the soil absorption s area proposed rP stem?Y If not what is the depth of naturally occurring rus material? P Y vio Certification I certify that on Z% (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 trainin�; p expq tise and experience described in�10 CMR 15.017. Signature Datb 3`a� Q-.WEPT1C`\PERCFORM.DOC TOWN OF BARNSTABLE 1 I:0- CATIONV �.7 el,YA C i ' ; az-,, SEWAGE# 2W 7 C-fi / VI??LAGE (� �`� ASSESSOR'S MAP&PARCEL/2/ c 7c), INSTALLER'S NAME&PHONE NO. CyG SEPTIC TANK CAPACITY I mil'' (,-ell h LEACHING FACILITY:(type) 5 y5 f r (size) z— NO.OF BEDROOMS OWNER PERMIT 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 ' r PF /7 OE � 1 �na1A l L9C-AT ION � SEWAGE PERMIT N0. of �' /� ' � CAI Ids VILLAGE I(r-+-Nl - IN TA LLER'S NAM,E-� i ADDRESS I oc- B U I L D R OR OWNER n q cr) Al DATE PERMIT ISSUED " DAT E COMPLIANCE ISSUED L/&7 I r � �n l No !.. y�. . S F>ms..... ............... THE COMMONWEALTH OF MASSACHU ZST�c�+LnT� BOARD F' H LT ��'�Epr�a� M NjU �V N coMp Srej Tp fii1FN� 5 Applirativaa for Di-opus al Works Tlinlifr i q�Q Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual ge Disposal �0�em a - Loc.... ............4... .. ... ... ........................................................... ation-Addr s �t No. . ...... .._ ...................... .. .......................... ..........------.-...... ..................-______...._ Owner Address ....._C-�........................................... ----............ ---••-.................•• ................................................. Installer Address Type of Building Size Lot..S.f---( -_Sq. feet Dwelling No. of Bedrooms............................................Expansion Attic Garbage (NU Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures .----•-----------•------------------•-••--------------•----------•••--••-----•------•----•-•-•-----------.......---------..........-••--•---•-----_.. Design Flow..._____7s ____G__ ......_..gallons per person per day. Total daily flow----.-.-�_ W Septic q p y` P P 1 P Y y gallons. x Disposal T enchLi No c. acit dthns Len Total Length ldth................Tootal leaching area...Depth......sq.ft. Seepage Pit No._�P ... DiamettiC ......... Depth below inlet_.... .......... Total leaching area._ ........-_...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................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.---................--.. Q+' ......................................................._.....................-.............•--...........................................--......... 0 Description of Soil...............................•-•-•-•----•---------•-•-•--•-----------•--•---------------------------------------•---------..............-----------•••--=--........... ------------------------------------------------•----------------------------------------------------------------------------------------------------------------•-•--------------••••----•-----....--- 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 operation until a Certificate of Compliance has been issued by the board 9f health. Signed - .................... .` Date/ Application Approved By............. 1 ------------ r� �� Date Application Disapproved for the following reasons:......................................•-------------------...--------------...--------••-••---••---....--_--. .-•--------------------------•------....._..---•-----•----------------•------------------------------------------------- Date PermitNo......................................................... Issued...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...... .............OF.......... .... � ..................................... (5rdifiralt of f�u�t liaaatre THIS 1 TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by 4--�---�`----------- ............................................................-.......... --------.._._.......---------.......---....-•-------------....-- n alley at--•--------4s ---• ---•- ---- has been installed in accordance vith the provisions of TI`� 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No. 8/_..... ................ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............-............................................................----_. Inspector.................................................................................... IVI Nara.............. Fizii............................. THE COMMONWEALTH OF MASSACHUSETTS. BOARD OF HEALTH ..7....... ..................OF..........- ............................................................................... AVVftration for Disposal Works Ton'strurtion Vprrmit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal'' System at: ............................. ............................................................................ ............... ......................................... . -Address Location or Lot No. ................................................................................................ .................................................................................. Owner Address .................................................................................................. ...................:........................ ...................................Address Installer ;- Type of Building Size Lot.............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder (Vp) Other—Type of Building ............................ No. of persons............................ Showers Cafeteria PLIOther fixtures ...............................................1................................................................................t Design Flow............................................gallons per person per day. Total daily flow----.......................................gallons. 9 Septic Tank—Liquid capacity............gallons Length................ Width.._............. Diameter_____._......... Depth....._.......... Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area-------............sq. ft. Seepage Pit No_____________________ Diameter_.__................ Depth below inlet.................... Total leaching area..................sq. f t. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit......._............ Depth to ground water.......____._........... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......._............_.__ ............................................................................................................................................................. 0 Description of Soil........................................................................................................................................................................ "4 U, ......................................................................................................................................................................................................... ........................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribod Individual Sewage Disposal System in accordance with the provisions of TiTiZ 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. Signed....................................................................................... .......................... Date Application Approved By................. .............................. ..�:__ ..................... - ----------------I----------- Date Application Disapproved for the following reasons:.....................................................I.......................................................... ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH A2..�............OF.................................................................................... Trrtifiratr of Tomptlaurr THIS Is-TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired b ....................................................... y............. ................................................................................................... Installer at............_:e ..................................................... .........7Z............................................................................................................... has been installed in accordance with the provisions of TITLE; LE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No. ................ dated_--.._..._.._.._ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD . OF HEALTH ......... ................OF.......... ........... ......................................... No/255* ... ..... ................ ................ Disposal Works Tonstrudion Uprrutit Permission is hereby granted----- ................................................................................................. L '_� to Construct G ) or Repair an Individual Sewage Disposal System atNo............. ... ............. ................ ...... ........................C.. . ............................................................ Sireet as shown on the application for Disposal Works Construction Permit No._,2_�Z0.... Ditted.....2r!'. _±F.".............. .. ...................................... Boa .1 Health DATE..........f- ;l I/- ..................................................................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS L- M 'A17, 0 Pr-f Z-C-D L&T k LJ V 4-T L M I�j' o ZI-7 -t ,K3 ���. /Z7 IJA�4 Z4AJ6 Tor V,40 6:5 twv.,- 53 Lo AA4 4 1 - GAL -eox 672 1, 'Sepric I C; 4.: -r4 14 W- l000 INV. 1w. FT ��4 VWL C- IZ T I r-17-1 I:- Lc)-r PIL- Al.V�l A48D LOCATIC)" 6C-WnFWlL.c-c- 4z /3 Li C> Ls-!- IL d I'Zo Tt-(A-r Tkr 1'oLw-DAT100 5"oww �j/ I-rt-k. T, .-S I VC—L i t-OT- AT Awe �.�Til,r�ct� 'ctUtMcuT OP T"C- -TovaLj or- P(-. "a4 �s PG ie!`5 PO 64 AP r APPLICATION FOR PERCOLATION TEST AND OBSERVATION LOCATION 64*-f7 ��,/SAS-f C1SlILIJS L,f�. �E/� �I�'(//LL E NO. VILLAGE �`,cj�/f6.2 U/LLE _ DATE/Z-23-80 APPLICANT lT�i�¢/U S/1'I/�L L �A)c'_ FEE /��a ADDRESS PR/AI CC- /-�/IUG/«Y RD� TELEPHONE NO+20-:Ze 77(Non-refundable) ENGINEER��� &')ZE� )�A,TQ��PEJELEPHONE NO.A a= / DATE SCHEDULED' / 2. -2_3_8p (Applicant' s signature) SOIL LOG SUB-DIVISION NAME��� /l[ZL6 / f S MATE /Z .3--c60 TIME /0:dd EXPANSION AREA: YES NO � �( ,� f1/LC��. ,Gf S EENGINEER TOWN WATER PRIVATE WELL BOARD OF HEALTH EXCAVATOR `KETCH: (Street name,etc. ,dimensions of-lot, "exact location of test holes and percolation tests, locate wetlands in proximity to .test holes) NOTES: � y /z 7 sue' PERCOLATION RATE: P ZMiA) OZ 6655, TEST HOLE NO: ELEVATION: TEST HOLE NO: ELEVATION: 2 L 4zS 2 3 In&D 3 6 7 8 8 9 9 10 10 11 11 12 �` � 12 13 13 14 14 15 15 16 16 SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEACHING PITSI� LEACHING TRENCHES UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION ORIGINAL: COMPLETED IN ENTIRETY BY P. E. AND RETURNED TO BOARD OF HEALTH COPY: RETAINED BY APPLICANT Centerville, MA CONSTRUCTION NOTES TOP OF FOUNDATION MINIMUM 20" DIAMETER CONCRETE EL=50.1± COVERS RAISED TO WITHIN 6" OF `rfo 1,) ALL WORK SHALL CONFORM TO THE STATE ENVIRONMENTAL CODE, TITLE 5 (310 CMR 15.000): m FINISH GRADE (OR AS NOTED) of a a 90 1'0 STANDARD REQUIREMENTS FOR THE SITING, CONSTRUCTION, INSPECTION, UPGRADE, AND EL=49.5± EL=49.0± EL=49.0± c°�' nor oa EXPANSION OF ON-SITE SEWAGE TREATMENT AND DISPOSAL SYSTEMS AND FOR THE TRANSPORT 0/ / I \ \ AND DISPOSAL OF SEPTAGE, AND THE LOCAL BOARD OF HEALTH REGULATIONS. � \j , � 2.) ANY SEPTIC SYSTEM COMPONENT INSTALLED IN A LOCATION WHERE THERE 1S POTENTIAL FOR s �a e VEHICLES OR HEAVY EQUIPMENT TO PASS OVER IT SHALL BE DESIGNED TO WITHSTAND AN H-20 LOADING. IF UNDER AN IMPERVIOUS SURFACE, SYSTEM SHALL BE VENTED TO THE ATMOSPHERE. 48.1± 46.0 GEOTEXTILE FABRIC 3.) TO MINIMIZE UNEVEN SETTLING, SEPTIC TANKS AND D-BOX SHALL BE INSTALLED ON A STABLE E (IN PLACE OF 1/4"-1/2" PEASTONE) LOCUS a MECHANICALLY-COMPACTED BASE ON SIX INCHES OF CRUSHED STONE. Qc 4.) COVERS OVER THE INLET AND OUTLET TEES OF THE SEPTIC TANK, THE DISTRIBUTION BOX, AND THE SOIL ABSORPTION SYSTEM SHALL BE RAISED TO WITHIN 6" OF FINAL GRADE. LEACHING 47,6± 46.9 46 7 45.97 45.8 3/4 to FIELDS. TRENCHES, AND OTHER SOIL ABSORPTION SYSTEMS WITHOUT ACCESS MANHOLES SHALL 0f N 45.5 1-1/2' STONE : LOCUS MAP HAVE AT LEAST ONE (1) INSPECTION PORT CONSISTING OF PERFORATED 4" PVC PIPE PLACED Co DB-3 (Double wash)VERTICALLY TO THE BOTTOM OF THE SOIL ABSORPTION SYSTEM WITH A CAP, TIED WITH MAGNETIC �° GAS BAFFLE H-20 Rated N.T.S. MARKING TAPE, ACCESSIBLE TO WITHIN 3" OF FINAL GRADE. 43 5 FOUR (4) H-10 SHOREY PRECAST CONCRETE D-BOX LEACH CHAMBERS WITH 3' OF STONE ON 1.) Assessor's Map 171 Parcel 272 5.) PIPING SHALL. CONSIST OF 4" SCHEDULE 40 PVC OR EQUIVALENT. PIPE SHALL BE LAID ON A • - • ENDS AND 2' ON SIDES 6 3'± 2.) Book 30213 Page 219 MINIMUM CONTINUOUS GRADE OF NOT LESS THAN 2% FROM THE BUILDING TO THE SEPTIC TANK, 14'± -} }----- 8'± --} -20'� AND 'NOT LESS THAN 1% OTHERWISE. EXISTING 1,000 GALLON Longest Run' LEACH CHAMBERS 3.) PL BK 306 PG 18 Lot 47 6.) DISTRIBUTION LINES FOR THE SOIL ABSORPTION SYSTEM SHALL BE 4" DIAMETER SCHEDULE 40 (TO REMAIN) (END VIEW) 4.) This property is in the State Approved PVC (OR EQUIVALENT) LAID AT 0,005 FT/FT, UNLESS OTHERWISE NOTED. LINES SHALL BE CAPPED SEPTIC TANK FLOW PROFILE EL=37.z Bottom Test Hole Zone II Water District and Saltwater Estuary AT END OR As NOTED. NOT TO SCALE 5.} This property is not in a Flood Zone 7.) LINES FROM THE DISTRIBUTION BOX TO BE LEVEL FOR THE FIRST TWO (2) FEET BEFORE PITCHING TO THE SOIL ABSORPTION SYSTEM. DISTRIBUTION BOX SHALL BE WATER TESTED TO 400. ASSURE EVEN DISTRIBUTION. 8.) GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR LEAVE ALL CONCRETE STRUCTURES 8.5'-- -8.5' - 3' IN ORDER TO PROVIDE A WATERTIGHT SEAL. (4& 48 9.) HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OVER THE LIMITS OF THE SEWAGE p LEGEND DISPOSAL FIELD DURING THE COURSE OF CONSTRUCTION OF THE SYSTEM. \ „, 10.) IN ACCORDANCE WITH 310 CMR 15.221, ALL SYSTEM COMPONENTS SHALL BE MARKED WITH a R MAGNETIC MARKING TAPE. (a .a) S �,a ,p� � (48.0) EXISTING SPOT GRADE 11.) THERE ARE NO KNOWN WELLS WITHIN 100' OF THE PROPOSED SOIL ABSORPTION SYSTEM. NIP Se �• N 24x5 PROPOSED SPOT GRADE Noe(a9.a) \� , �o 12.) FROM THE DATE OF THE INSTALLATION OF THE SOIL ABSORPTION SYSTEM UNTIL RECEIPT OF � / �(a9.2) 19 S, F 24 EXISTING CONTOUR 1 o THE CERTIFICATE OF COMPLIANCE, THE PERIMETER SHALL BE STAKED AND FLAGGED TO PREVENT F`,o��, (aa.a) ohw- OVERHEAD UTILITY LINES USE OF THE AREA THAT MAY CAUSE DAMAGE TO THE SYSTEM. (as. Enclosed D-Box 0� `' 20'2, Porch r^e WATER LINE, M'" LEACH CHAMBERS w 13.) THE DESIGNER WILL NOT BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UNLESS s ° •' 20 (49.5) t G Corner concrete a- GAS SERVICE LINE CONSTRUCTED AS SHOWN ON PLAN. ANY CHANGES SHALL BE APPROVED IN WRITING BY THE T M - r' ' .�:• �, \e `` 4s PLAN VIEW DESIGNER, (49•0)o O• �" EDGE OF CLEARING 14.) THE BOARD OF HEALTH REQUIRES INSPECTION OF ALL CONSTRUCTION BY AN AGENT OF THE . B O STy'� rrr ����\ e FENCE BOARD OF HEALTH AND THE DESIGNER. THE DESIGNER SHALL CERTIFY IN WRITING THAT THE �o v Garage (asz) TP SEWAGE DISPOSAL SYSTEM WAS INSTALLED IN ACCORDANCE WITH THE TERMS OF THE PERMIT �� :.:_• �,� , TEST HOLE LOCATION AND THE APPROVED PLANS. 48 HOURS ADVANCE NOTICE IS REQUESTED. SAS o ,'House #77 \,� �`� ST SEPTIC TANK 15.) LOCATION"OF UTI'LITIES IS APPROXIMATE AND CONTRACTOR SHALL BE RESPONSIBLE FOR (4&6) G {� r 3 Bedrooms r DB DISTRIBUTION BOX DETERMINING THE LOCATION OF ALL UNDERGROUND AND OVERHEAD UTILITIES PRIOR TO �` TOF El 50.1± ' _ D/W fr SAS SOIL ABSORPTION SYSTEM COMMENCEMENT OF ANY WORK. THIS INCLUDES, BUT IS NOT LIMITED TO, REQUESTS TO DIGSAFE, r >, r ANY PRIVATE-UTILITY COMPANIES,-AND THE LOCAL WATER DEPARTMENT. (49.5) 16.) CONTRACTOR SHALL VERIFY THAT ALL WASTELINES "ARE CONNECTED BY WATER TESTING WITHIN THE DWELLING PRIOR TO INSTALLATION OF ANY SEPTIC COMPONENTS. ,� 17.) CONTRACTOR SHALL VERIFY EXISTING INVERT ELEVATIONS PRIOR TO INSTALLATION OF ANY 0 �� ,� 9 ". ? SYSTEM DESIGN CALCULATIONS SEPTIC SYSTEM COMPONENTS, 1 Lot 47 ^' rr (� SEWAGE DESIGN FLOW REQUIRED: 3 BEDROOM DWELLING ® 110 GPD / BEDROOM = 330 GPD (49.z} 15,932± Sq. Ft'', h� ti �\,� � REQUIRED 18.) TEST HOLES COMPLETED PER STATE ENVIRONMENTAL CODE, TITLE 5. SOILS CAN BE , \w ,��A �,��� ` O VARIABLE AND TEST HOLE DATA IS NO GUARANTEE OF SOIL CONDITIONS IN OTHER AREAS. IF 'L Off' G \ 9 r SEWAGE DESIGN FLOW PROVIDED•-`FOUR (4) 500 GALLON LEACH CHAMBERS WITH 3' STONE ON SOILS DIFFER FROM THOSE SHOWN IN THE SOILS LOGS, DESIGN ENGINEER IS'TO INSPECT THE S S 3 ' �'' '� C2 THE ENDS AND 2' STONE ON THE SIDES SOILS PRIOR TO PROCEEDING WITH INSTALLATION OF ANY SEPTIC COMPONENTS. `oSJ., k, cotcn,� •\a Vt = [{40.0 x 8.83) + 2(40.b + 8.83) x ,74 = 333 GPD PROVIDED ao$ r, 333 GPD PROVIDED > 330 GPD REQUIRED 19.)"NEXISTING SEPTIC COMPONENTS TO BE LOCATED, PUMPED DRY, FILLED WITH CLEAN SAND AND Porch �� G ABAt BONED IN PLACE OR REMOVED AS REQUIRED. AREA TO BE COMPACTED"TO MINIMIZE SETTLING. w SEPTIC TANK CAPACITY REQUIRED: 330 GPD X 20090 = 660 GPD REQUIRED Family ,r ��� SEPTIC TANK CAPACITY PROVIDED: 1,000 GALLON PROVIDED (EXISTING) r �� A GARBAGE DISPOSAL IS NOT PERMITTED WITH THIS DESIGN FLOW Kitchen at r� , Dining Garage /r r Both Living Bed B1 d Bed # Septic Design Plan #2 Prepared for: I CERTIFY THAT I AM CURRENTLY APPROVED BY THE DEPARTMENT OF ENVIRONMENTAL PROTECTION PURSUANT TO Floor Ptah Mary R. Barrett Estate 310 CMR 15.017 TO CONDUCT SOIL EVALUATIONS AND THAT N. S. Test Hole #1 (EL=49.2±} TEST HOLE LOGS 77 Elijah Childs Lane Centerville, MA THE SOIL ANALYSIS HAS BEEN PERFORMED BY ME CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE, AND EXPERIENCE Depth Elev. Layer Soil Class Soil Color Comments DESCRIBED IN 310 CMR 15.017. I FURTHER CERTIFY THAT THE Proposed Sewage Disposal System RESULTS OF MY SOIL EVALUATION AS INDICATED ON THE 0"-12" 48.2 A Loom 1OYR 3/2 ��N OF M 77 Elijah Childs Lane Centerville, MA ATTACHED SOIL EVALUATION FORM, ARE ACCURATE AND IN 12"-38" 46.0 B Sandy Loom tOYR 5/6 SCOTt �` 77 38"-132" 38.2 C1 Loamy Sand 2.5Y 7/2 t ACCORDANCE WITH 310 CMR 15.100 THROUGH 15.107 ,A. �, Prepared b C° p y 132"-144" 37.2 C2 Medium Sand _._.- 2.5Y_7/4 _ fve r �i1alN P� No.1224 All Cape Septic LLC Scott McGann, Certified Soil Evaluator ., TEST HOLE LOGS �°�'TFR ����°P 618 Route 28 i• Test Hole #Z(EL=49.0±) F SAN West Yarmouth, MA 02673 Depth Elev. Layer Soil Class Soil Color Comments i 0"-12" 48.0 A Loom 1OYR 3/2 � � (508) 771-4200 Email: alicapeseptic@gmail.com 12 -30 46.0 B Sandy Loam 1OYR 5/6 0 -132" 38.0 C1 Loamy Sand 2.5Y 7/2 `7 J 132"-1441" 37.0 C2 Medium Sand 2. GRAPHIC SCALE 30 0 15 30 60 120 INSPECTION NOTE: DATE OF TESTING: 02/28/17 MCGANN PRIOR TO FINAL INSPECTION BY THE ENGINEER, SYSTEM SOIL EVALUATOR:. SCOT: DAVE BOARD OF HEALTH AGENT: DAVE STANTON NEEDS TO BE COMPLETE INCLUDING BUILDUP FOR COVERS. PERCOLATION RATE: 3 MIN/INCH IN "C1" LAYER AT 68" ( IN FEET ) NO GROUNDWATER ENCOUNTERED 1 inch = 30 ft. Dote: 03/01/17 J.Sheet 1 of 1 By. MA Check: SM Project No. AC-84