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HomeMy WebLinkAbout0053 FERNBROOK LANE - Health 53 Fernbrook-Lane Centerville A= 208 —085 - 020 i Srir 14Qt UPC 12534 No. 2-153LOR `# ro HASTINGS. MN - -. ... ..� �,...,- �. ._.._�......-..... � .: ems..- ..-_...r6r. � f 4 / TOWN OF BARNSTABLE LOCATION S=';'1sw_,r 1/j/yek Zvoa SEWAGE # ViLAGE_ sorer y;//a_' ASSESSOR'S MAP & LOT _0 -0&r-024 INSTALLER'S NAME&PHONE NO. 9,VA"03 SEPTIC TANK CAPACITY /400 LEACHING FACILITY: (type) Ai_-5 (size) 33 X /3 NO. OF BEDROOMS / BUILDER OR OWNER 0XV4 lV C Ci9skea PERMITDATE: l0 - 2 G - O S COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 leachin faci ky) Feet Furnished by �ls�i`7 ��0 0✓CAN✓� �� 5 ,cam` �` y I �� � � '_ �. .4 � �S AF �� �� � . ,�. Q\� e M 4' � �p, �, � p���C ,` � i�:, � � . _ , ��� yv. � r'g�r Fee/ 0� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZIppYication for Diopool Opotem Cottgtruction Permit Application for a Permit to Construct( , Repair( )Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. S'3 i"s�,`y 6 r Pr k ;I 0,, Owners Name,Address and Tel.No.�/'G y Assessor's Map/Parcel Installer's Name,Address,and Tel.No. - Designer's Name,Address and Tel.No.c • ITa'✓'r(�'b3 0 hf K•S, Type of Building: Dwelling No.of Bedrooms Lot Size /'r 4e35sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design.Flow y 41 D gallons per day. Calculated daily flow �6 Z gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank l;�- 1000 tlov( S•T. Type of S.A.S. Z—S�oSw/ Gk.a- 10Z -.r Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1,$01ka 04r�Pp� � �4T�Z C.�►Ow�n.(e.mot,) �'-��Y� d"�f dd�-c.. C �7.r'x !1��-G�-i T/'���, ) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with.the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this B and of eal Sign Date Application Approved b _ Date Application Disapproved for the following reasons Permit No. 0, CJ 5 2�0- S Date Issued to N o s . s 2 ; a ' Fee 1 U i - ` THE COMMONWEALT OF MASSACHUSETTS Entered in computer: Yes PUBLIC':HEALTH DIVISION -TOWN OF-BARNSTABLE MASSACHUSETTS r Zipprication for Milposar *i ,Ztent Congtruction 3perntit Application for a Permit to Construct( Repair( )Upgrade( ..,)'Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. S r-e h !� o �c h �, Owner's Name,Address and Tel.No. Assessor's Map/Parcel 2 G �' d!�'S— 0 a 0 Installer's Name,Address,and Tel.No. Designer',s Nvfie Adddress and Tel.No. Type of Building: 41 Dwelling No.of Bedrooms '� Lot Size S y 3 sq.ft. Garbage Grinder(_11_10 Other 'Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow y`1 gallons per day. Calculated daily flow of 6 Z gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 0 !,a I S'T. Type of S.A.S. ?-S0 n)a / J Description of Soil 0 7 9 Nature of Repairs or Alterations(Answer when applicable) /' If, Cr t,/ 3 -sy c)C r.-4-z._T X /7 X z /4a c t , T/ Date last last inspected: Agreement: ` The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with.the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this B•and opHeal Signed, Date Application Approved b Date.le-1 � Application Disapproved for the following reasons Permit No. ,�O 'J 5 S Date Issued ---- ---------- ----------------- ._ . THE COMMONWEALTH OF MASSACHUSETTS Z 0 0 Z� BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( Repaired ( )Upgraded( ) Abandoned( )by y at has been constructl in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. Z:;2_< dated ip / Installer —,7Je .% Designer /%fir-, '.10 The issuance of tl�ispennit shall not be construed as a guarantee that the Cystem i1fifdnctioWaV designed. Date 1vP;1/u'5 Inspector s ao� Vu _ .. No. 2U7� - Ez 7_1T Fee NN _ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS 30i5po5al !tent C-onitruction Vermit Permission is hereby granted to Construct( Repair( )Upgrade( )Abandon( ) System located at. S �c ✓ti 6�o�k a v�'/& 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 d e of this e •t. Date:�� lJ'�i Approvedd ` ,,� Town of Barnstable P# f>�2-1 Department of Regulatory Services ' Public.Health Division Date ,e$ 200 Main Street,Hyannis MA 02601 ��M � V fit ,,��{ `J�. `.'-.hr�+ ..7.. r • �... .. �y 41 ,;,v+r<•ci ,� f~� •,y<w ; , .;, a , Fee Pd., - �0 . Date Scheduled � Time -` i ,foil Suitability Assessment for Sewage Disposal �G Witnessed BY: Performed By: T � I LOCATION &GENERAL INFORMATION Location Address'. rj ,3 � roe� � Owner's Name �c.rN b ' s ,rGLw► Assessor's Map/Pareel: Engineer's Naive NBW CONSTRU�-nON-• REPAIR i Telephone#"So Slopes(%) `s ' /0 Surface Stones L oRes and Use '" " �� , d Distances from: ()pen Water Body � o ft Possible Wet Area ft Drinking Water Well ft ` ft Other ft Drainage Way Z'Sft. Property Line SKETCH:($treet name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) j i > )00, Parent material(gcOlogic) 0 of w I Depth to Bedmak /VO Depth to Grouudwa(er. Standing Water in Hole: NONE I Weeping from Pit Face Estimated Seasonal Tjigh Groundwater DtTERMINATION FOR SEASONAL HIGH WATER TADLE Method Used: I --in, Depth to sell mottles: In, Depth d�bperved standing;in obs.hole: _ Ciroundwatet'Adjustment Depth toiweeping from side of obs.hole _ A ,faetot - Adj,�rrwndWater Level Index Well# Reading Date Index Well level PERCOLATION TEST Dtate 9 +01 T4ne Observation ( 4#Z I Time at 9" - -----•—• Hole# ' . Depth of Petc 7- _ . ' Time at 6" �.____. ..... Time(9"•611) .. ...-. ---- Start Pre-soak Time.@ - End Pre-soak >> Rate MinJtnch smeuC' Site Passed Site Failed; Additional Testing Needed(YIN) — Site Suitability Asset OriginaL•.Public Halth Division Observation Hole Data To Be Completed on Back --- ***If percola#on test is to be conducted within 100'of wetland,you must first notify the Barnstable C4oservation Division at least one(1)week prior to beginning- DEEP OBSERVATION HOLE LOG Hole# / Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) to r loYe7/p No 'IZ6 C Gd Sw,wd, lC r� 16 evo 2-r%P ,-A4 7 I DEEP OBSERVATION HOLE LOG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. sis enc %Gravel)A 71642 G.I i✓r'eo�. 1'a�.t,c1 __ 10 YR 61t, �v zr 1 (v Z-1,1 Z c Z mad-fI IA.$d 2 5- DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) J (Munsell)',�..; Mottling (Structure,Stones,Boulders. Consistency, Gravel r- DEEP OBSERVATION HOU-LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consist eta, Flood Insurance Rate May: Above 500 year flood boundary No_ Yes Within 500 year boundary No— Yes i ,yVithin 100 year flood boundary No_^ Yes Death 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? _ If not,what is the depth of naturally occurring pervious material? Certification , " " I certify that on lv ?�_ (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 an experience described in 3,10 CUR 15.017. .- l Signatur � Date i Q:\SEPTICVERCFORM.DOC i FOR GATE TIME/-' M r v PHONED "' OF _ _ � RETURNED. PHONE YOUR CALL,: AREA CODE NUMB NS[ON PLEASE CALL MESSAGE o ILL CALL' AN AGIN...._ CAME TD SEE YDU 53 •WANTS TO SEE YOU SIGNED �nive rSOl 48003 L�--- ------ ------ -- --- -- NOTES Barnstable.Assessing Search Results Page 1 of 2 Milk �] . a .. .. _. Home: Departments:Assessors Division: Property Assessment Search Results 53 FERNBROOK LANE Owner: MCCASKEY, DAVID B&LAUREN Property Sketc 1i Legend Map/Parcel/Parcel Extension 208 /085/020 -'- . V .y Mailing Address MCCASKEY, DAVID B&LAUREN , 53 FERNBROOK LN CENTERVILLE, MA.02632 ''' r - 2005 Assessed Values: Appraised Value Assessed Value Building Value: $228,400 $228,400 Extra Features: $2,700 $2,700 Outbuildings: $0 $0 Land Value: $305,400 $305,400 Interactive Property Map: ap re uires Plug in: Totals:$536,500 $536,500 1 have visited the maps before First time users Show Me The Man - " Click Here April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: cj, MCCASKEY, DAVID B&LAUREN 3/15/1994 C133282 $200,000 c GLINES,ROLAND A& 4/15/1991 C123006 $ 180,000 j BOSTON FIVE CENTS SAVINGS 10/15/1990 C121648 $220,000 ' BAYSIDE BUILDING CO INC 3/15/1990 C120024 $ 1 ZIKAS, MICHAEL S&KAROL J 12/15/1987 C112917 $.285,000 -� TARMY, ELIN D 10/15/1985 C103831 $50,000 N) } ROFFMAN,STUART 8/15/1984 C97959 $0 -� HORAN,JAMES M 4/15/1984 C96017 $ 169,900 BAYBRIER CORP THE 5/15/1983 C91894 $0 2005 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Land Bank Tax $97.37 Town Fire District Rates Other Rates $6.05 Barnstable-Residential $2.12 Land Bank 3%of Town Barnstable-Commercial $2.80 C.O.M.M. FD Tax(Residential) $541.87 C.O.M.M.-All Classes $1.01 Cotuit FD-All Classes $1.28 Town Tax(Residential) $3,245.83 Hyannis-Residential $1.52 http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing/AssessO5/dis... 10/14/2005 Barnstable Assessing Search Results Page 2 of 2 Hyannis-Commercial $2.39 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 Total: $3,885.07 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 0.35 Year Built 1984 Appraised Value $305,400 Living Area 1936 Assessed Value $305,400 Replacement Cost$253,763 Depreciation 10 Building Value 228,400 Construction Details Style Colonial Interior Floors Carpet Model Residential Interior Walls Drywall Grade Custom Heat Fuel Gas Stories 2 Stories Heat Type Hot Water Exterior Walls Wood ShingleClapboard AC Type None Roof Structure Gable/Hip Bedrooms 3 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 2 1/2 Bathrms Total Rooms 7 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL2 Fireplace 1 $2,700 $2,700 Property Sketch Legend p Y 9 BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.barnstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing/AssessO5/dis... 10/14/2005 �y Sheet of ZIA File Subject sue ... t By NOTE Ur .... f ` ............ . .......... .................... .......... . ......... . ...... ........... r s s u 3 i ,... 3 ; ... . �1 E .... E ........ . f t E E f ! - .... - ..... ....... € ; i f p £ !E 4 ;,��••�i:-.�. ...1 ,,.:� i �.. " i F,�,�t s �j K'.:. 't'a�E€��t+s�.YL��i'"¥. � '=P �r tF °F �- € ! '�£4r'& j'"$"'�£ €� � .� " ac: 1!�£� F`°` "# '?„o�, . 1 t _ ff"rs �,' f.}•ty"i , �r <'r<.` ..»�, '"N,t'sa`v - n i ��•� -3 n i Y i. i .i _ r ?~ 1..„€. '�a r.., ? €a t CMa'S , x :13,Pti.3� � ., � '..fk. ..t Ada.ii11�a'`Et'e��i d"-t.;��`,��."•, j,i # _ "�� 'a":'r�' �'*.,,,�.,. F -.y h ; i; :£as,? Sj Lr,;a�'�' ��' TF�..r•2��.+-1,++-•KS '$ *A, - 1 f A........ Sheet of F File 0........... -, Subject CMw 20 Dote_ ©('�1� -S NOTE ........... s ; ........ . , C r... ......... OP.. '.... ....1� ..... — .. R 5 s _ ..... .... .- F i s h ---- __\ s > c F { ....... s.-.- ............. s € .. s ..... ... .. .. ..... _... ..... .. ...... .. .. ... , s s ; s i ....... _-.. t s - - _...... ....... - j .;...._...... -....... .. , s d , 3 , S ...> 3 3 s 1 s ..... ... ...... .... .. d s t .. > .._...... P E;.. £ ; i , €t , > f a 2 - .. F 33Y d �i Sr-.�i ci d,-�' � : F ; �- �r':.3 �3r€ 4 { s .�r �;e �'' � v �. I � ii�a,��{ t `'(t$�p€�..� { � i =,�2N �'€{:t '.-�'f''s�t ,� �„ ,r•ts .� .._�. t k 'e.F' �'1'39}; ...•�' '1s �� ty.-r ?'t � ��•+ 'u k! �'�.Aa t3 } �' ,.,� ��;� -.r �„�`r T:�v.a'`r' "�,�5 "�"; ..'�'•6.Y��.�,.q'i �`^�Q*'�.•'�"�v �:. ,��,_'�;;' -... k..,.:,...c�.u�!^en.-LL:-,�.Iv„ �;;}'..atsur+�.»_r`-,'..'�'1-YM1`tid^� :_. �ii»3ak3'��.�'�,dcaFi' �...«-,r•� .. M. .i.C� .ai E,�, �` ,. �',;�'i�. � ��!���.q -� - .. Sheet of File Subject By 1.L Date NOTE ooft ..• �. .. rrv2 . _.. ctA • a (20 3 .. ... ; ........ ... 3 3 € ... r a - .... f a. E i € .......... .......... .... .... } .. Z .. 3 ....................... `��� ,� �r, '�4 I$v `� a N e' F«�-:�% g [s }��w�C �C &m _ 7 ' r i tYtP. Town of Barnstable pptHE ram, Regulatory Services Thomas F.Geiler,Director • BMWTABLE. M^M g Public Health Division i639. , ArE p►�;�,, Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 7 Designer: (�lLh �. }�u-rrihs�h. e S Installer: To y-% 'S r 7�i: f�r�%4 Address: 9 Leo% Add La 01 2. Address: On was issued a permit to install a (date) (installer) septic system at !T J lees,)6raok Zh. ZerltevAe based on a design drawn by (address) 6le-H �: �{R,Pr/hsfiPy, Q-f- dated 5aJ01'-. /S Z &PS- (designer) � 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. M OF ti1gS S,q GLEN cy�. ERIC (Installer's Signature) 'HARRINGTON c,,'1 No.1070 0 N/rAROP (Designeirs Si ture) (Affix Designer's Stamp 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 r To. /... ..... FRa...��............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - ..OF......... AP/P a_0 .r�?z,.L)<or E......................................... Appliration for Mipviial Works Tonstrnrtinn Prrmit 0 Application is hereby made for a Permit to Construct (cl<o'r Repair ( ) an Individual Sewage Disposal System at: ......=AIJ .........ce6u. ....... ............................2 .------............------------......-----or C�. ------------------ Locatio -Add r ss Lot No. . :. ---....._---•. �!�.r..ht: ..... .r. . .... ................•--__ .............................6 ..................................................... Owner Address ................J-,-J.,..... 1 ....... ._-_----------............. c..... Add ess Type of Building Installer Size rLot.... (........Sq. feet U Dwelling—No. of Bedrooms____.._._ Expansion Attic (/Vl�j Garbage Grinder ( (_. . ...-••-•--•-- p, Other—Type of Building ._ .. No. of persons........�_!______________ Showers ( — Cafeteria p-4 Other fixtures ............................ . � Design Flow---------------�-Q-- -:--. ...._..-----gallons per person per d-------•-------------------------•--------•----._......-----_.----...._...._....---•------ W .g g P r P--• n P-- -•ay. Total daily flow------•-•---•--.3-30.................dons. a Disposal Trench—Li uido ca city'�-i:_g adllhns Length Total L Width.......(, ..... Diameter.....it Depth......k..... Septicq � g g W Length.................... Total leaching area....................sq. ft. x - Seepage Pit No....._..1_-_______.. Diameter.................... Depth below inlet.................... Total leaching area--- ft. z Other Distribution box (� Dosing tank ( ) Percolation Test Results Performed ........................... Date....... minutes per inch Depth of Test Pit.................... Depth to ground water-___-_ _ Test Pit No. 1..�`�—_ p p p gr � � Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 11+ ......-•-.....•---•-••--•--••-......••----••-•••.i..................... O Description of Soil............... �..---- [a... ..._. ,.... i ••- x W • •-----•-----------------•------•---•------•--•••--•--••--------••--••---•-------••-•-•-••--•••••---••---•---•----•------•--------------••---•-.................................................... VNature 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 board of health. Signed------- ---�... ........... .... ............................. -...!... .._.�.... Date ApplicationApproved By....................................................................... .................:_•----• •---•--•-•••..............•......••--•-- Date Application Disapproved for the,following reasons:............................................................................•_______._..._....._..._._.._...._. •---------•---------------------------------•-•-•---•----•-----_-_--•----....................••-•-.......................•-----------•-•---•-••-••-•-•••--•••-----•-•-•-- .-••-••-•••-•- Date PermitNo................................................... Issued-....................................................... Date r , jo. `` a -- F�s...S L'............. ` THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH G°L -iN.........OF .. j::........................................... Apli iratinu for Uiapntti Workii Tontrnrtiun Frrutit Application is hereby made for a Permit to Construct ( Vror Repair ( ) an Individual Sewage Disposal System at Location--Addr ss �• +or Lot No. ..............l V 1 N/- �`? i it.-----...� ..............••..... ...........•.. 1.. ?!l,;;t�--................................................-- - -----_.....-----•-•-- ... Lra Owner Address ,.� -----------••_.I I . I �., a- tr{:..................................•--- ...............................n. ......................................................... Installer Address d Type of Building ? Size Lot.....Q ---------Sq. feet Dwelling—No. of Bedrooms............. ---------------------------Expansion Attic (NG) Garbage Grinder ( (9) aOther Other—Type of Building -_-1 _Q� .Gt t. No. of persons.--.....`?. ............... Showers ( ) — Cafeteria (•!t•e)) fixtures ------------------------------------------------------••.........-•--••--••••......--- W Design Flow................�.�...................--gallons per person per day. Total daily flow............................................gallons. 04 W Septic Tank—Liquid capacity.l M7?_gallons Length....!+!..... Width.......he..... Diameter-_-_-1f_...... Depth............ x Disposal Trench—No. t!�l _._._ Width.................... Total Length.................... Total leaching area.................... ft. Seepage Pit No.....--.-1.-.-_.-_-... Diameter.................... Depth below inlet.................... Total leaching area....�A fn....sq. ft. Z Other Distribution box (-_j Dosing,tank ( ) `" Percolation Test Results Performed by.-.._�� ..........................' �V..r............................ Date......-�_./! ----------------­---- Test `a . r a Pit No. 1../..;-_minutes per inch Depth of Test Pit.................... Depth to ground water...... Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.... Depth to ground water.---................---. 9 ,.� - /---•---•--•••••-•-•••••••-••--••••---........-•-•...... ............................................................................... a a ?'r...._. e •-••••••-••---•-•••••-•---••-•--••••-•-------••---••-•----•....--•------•-- W •--•------------------------------------••-••---•--------•----------------------...--•--•••••••.....----•--•-•••-------------•-••-•••••••---•-......•---••......-•-•••................................. 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 TITIE 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. r Signed /--- .��. Date ApplicationApproved By........................................................................ Date Application Disapproved for the following reasons-----------------------------------------•-------........---•--...-------------------------:........-•••••-••--- ..•••....•-••-••••--••-•••-•••••-•-•••--•••-..--...-•••••••-••--•-•••-••••...-•--•••-••--....--•••-....---••--•••--•••-••---•-•-•••----•---•••-••-•---•-••--•••--••••---•-••••-••--.................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........I............ .o F............j t?:......................... ..................................... &rtif irate of Iffuntplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) Installer at- ��.. ........� ...`------`_--.�_--_?_-----•-_Lcl�- --•----•----------------------- -------•- ------------------------- has been installed in accordance with the provisions of T 'LE 5//of The State Sanitary de a e I ribed in the application for Disposal Works Construction Permit No. ...a ta...................... date.-. .- .. ........................... THE ISSUAN OF THIS CERTIFICATE SHALL NOT BE CONSTIR AS GUARANTEE THAT THE SYSTEM WI4`FNfCTION SATISFACTORY. DATE..... 1 �/•--•-....-------•..................•-----•---........... InspectorfACHUSETTS ..---------- -------------..............---... THE COMMONWEALTH OF MAS �� BOARD7 OF HEALTH ................t...�.�' ........OF......>tx.h~s............. �/- ................................................. o No. ......••.... ...... FEE.... . ............... Disposal Works Tunstrttrtinn rrntit Permission is hereby granted------ •-------•-------------------------------•--•---•----.....---------------------................----- to Construct ( VrO Repair ( ) an Individual Sewage Disposal System at No....... "s r- L_ , t �....�t T"---- .................. ----------------------•------------------•--- Street as shown on the application for Disposal Works Construction Permit No_' Dated.......................................... L Boa DATE...... rd of Health FORM 1255 A. M. SULKIN, INC., BOSTON I <�1=►�GI..G- FAMI�`� .. "� B�ORooM � •.. ���... ►JD '�ARBAG� GWNDE2 , , . , v�at 'y P= .OW .. 11a x 3 - ?306,Po = a30x154>% A9�G.P. q j E , %000 Eo15Po5AL. Pt'r �5E 1000 GAL. pCLvJAt.t_ AQ-CL+. - 1�o S.F s�9�`�'•S� �'4 , i ;y J 807TOM ARE-A: . 0 5F• . . yf9 ",� .1. 50 S.F x 1. 0 R 5 p G.P P.• YB,Gx w�'�� ; '„�f•4 , ;.. 'T oT A 1- E.S t 6N * q•2 5 G.P. �. Sy 9 / y ` _; ._�_;^,. ; -ToTAt. IAA►LY Ft.ov�! - 33oG•Po �,� .y(� .z •% , I Z3 ' P�R•COLATtON RA?Ej I'�IN 2MIN D�LE55 s 1�1 $ �� �/g.G G } `. .y OF M,jS! � � H OF MgsJ •�' sue- T N .� ' ? '1' _l 'I WILLIAM yGu'IV ALA W. C. X.NYE JONES � ,I r � �'� i l 4 s no 100 ToP FNv=fd•o,; 9 7 �y 10 ow tNJ. S0%6T• QpINv. S gPTIG �B'$ i z 1000 lN�( 1�INV.VX �cj.3 •fgNK .4 t } S I I, LEAC. INV. Y { t PIT y5�8./ •.,�_ .,: I, a9c �. wlTu C;Z4✓A L WASKGD r Ca9-,rtr- PLoT P1.,AW .3�7 N0. .SC.A.L.E �jcALE / •-�� SATE p L.P,t,4 REF Ecz.6n11 GE• �2E�oN GoMPI_Y5 YJtT T IACIE S o1� W C-- �Co> HE A► P 10 W N LOCpNTED IT III W T E GLOOD PL. IN 4 ; , • f DATE BAxTEcze IJ`(E INC•' '� REG I ST E ZGr'D%.AAN o 5 w r-v I 03TE2VILLE � �Ss' Tt�15 PL�.IJ 1,j PIorT dnSc Qc> :F,SETS 5uout� i I N 5.1-R,v M E NT S V 2 V E`( r-T H F APP�-IGA►-JT No-t CIF_ u5EDTo pETERl^Itil� L.�'r -INES ✓ v a - t r � - r O 7O ao A N a 310 f�1 N 2 30 C 40 v N Ll iA cr 30 w, �J n 1 � a . I J II Or 1 .¢ f . De_si n Calculations ROUTE 28 ti° N IT E P LAN �-- Number of Bedrooms: 3 Existing + 1 Proposed= 4 Total SCALE: 1 =20 } Garbage Grinder: NO, GRINDER NOT ALLOWED WITH THIS DESIGN BENCH MARK ON TOP CORNER OF BRICK STEPS ` J Septic Tank Capacity Required: 440 gpd X 200% = 880 gpd SIT AT REAR GARAGE DOOR ELEV,=100.00' (ASSUMED) R!!2..0 Septic Tank Provided: 1,000 gallon- -'" =31: Leaching Capacity Required: 440 Gal./Day ���a Pine reet _ ---- ,� Leaching Area Required: 440 Gal./(0.74 Gal./Sq.Ft.)=595 Sq.Ft. Existing Leaching Structure: EX. LEACH PIT TO BE REMOVED Proposed Leaching Area Provided: 33.5' X 13' X 2' = 462 gpd. �r Total Leaching Capacity: 462 gpd > 440 gpd. req'd. GENERAL_ NOTES "CENTERVILLE"__ __ 1. ADDRESS: #53 FERNBR00K LANE L O C `-✓ 2. ASSESSORS NUMBER: 208--085-020 NO SCALE 3. DEVELOPER'S LOT: LOT 24 9e04' 4. TOPOGRAPHIC INFORMATION WAS COMPILED FROM AN .$ s� ON THE GROUND INSTRUMENT SURVEY. .k 5. TOWN WATER IS PROVIDED TO SiTE & SURROUNDING PROPERTIES. 0q 6. REFERENCE PLAN: L.C. PLAN 14972E - 4� mp 7. NO WETLANDS ARE LOCATED WITHIN 200 FEET OF SAS, 8. NO POTABLE WELLS ARE LOCATED WITHIN 150 FEET OF SAS, 9. THIS PLAN WAS PREPARED FOR THE SEPTIC INSTALLATION ONLY. �$ fnd 10, THE SiTE IS NOT LOCATED WITHIN A ZONE II GROUNDWATER RECHARGE AREA. W7(r 24 /s/r✓✓//a fflff .� AREA = ,439t SQ.FT. 33.51 x 13 W x 2.0 D /dr/// ✓/r///<3Q,✓. c f!!fr :.:.. :.: CONSTRUCTION NOTES leaching trench usin 3 H-10 r✓//f/r/✓e f///r✓ �,;r//r f/ ::.::: ::::,;:;`;3;:•:•;;;;:•:•?:•}: :• 500 gal. chambers with 4' of 9 //r/!//.r/ f %,r r/./!f!r! r/!/ ' •:':•;:•:•:.•;:•:;•:•;,:•:;;:•:;:.:':: 1. Contractor is responsible for Digsafe notification stone on sides & ends. r° //!r//d /7oi r r!✓r/r r f r r✓/✓ and protection of all underground utilities and pipes. !✓r !/r/r!/ d!//f r//!r 2. The septic tank a l distribution box shall be set r /✓/✓r!//r///✓!!r!r "'?:;.`-:' level on 6" of 3- 4 -11/2" stone. deck rlrrf/!✓r/ ///r/ deck ✓ r✓r!/f/!�r!!!/ 3. Backfill should be clean sand or gravel with no ✓r!/r/✓!/r/!/✓/r/ stones over 3" in size. /! ✓!r r r✓/ 4. This system is subject to inspection during installation .1 /r r!/! by Glen E. Harrington, R.S. 4" vent wfcarb ter 9921, /✓////r f 5. The contractor shall install this system in accordance //r✓//r y964 B.M. with Title V of the Massachusetts Environmental Code and the Regulations of the Town of Barnstable. 6. Provide one H-10 DB-5 D-Box and three Acme Precast H-10, 500 gal. chambers or equal. O 7. No vehicle or heavy machinery shall drive over the septic system unless noted as H-20 septic components. �.� 8. Install gas baffle or equal on septic tank outlet tee end. 97' 9. All existing inverts and site conditions shall be verified by contractor. t_2a`our.ACMG v*OE 0 ��° `� 10. The existing leaching pit shall be pumped and removed. x oe L 79'B6 4�Q �aa X 101.74' PERK T T & SOIL EVALUATIONS Q DATE OF PERK, TS & E LUATIONS: September 1, 2005 �7 Mgr mar Q TEST PERFORMIrD BY,Glen Harrington, R.S. WITNESSED BY:q Donal Desmarais, R S., Barnstable Board of Health Inspector s► TT RaaNroRceD PRtcAsr CONCRETE �✓ EXCAVATED BY: JOEY�S SEPTIC SERVICE 3'O \���y 1 LObA9' p1.AK yl EW PERK RATE: LASS THAN 2 MPI ASSUMED y r� Test Hole Test Hole PER_ K DEPTH TEST (Cl) 5 h% ,5,,� . No. 1 No. 2 END SOAK a 1 21 AM , 0h 4� Q) DEPTH SOILS ELEV. DEP114 SOILS ELEV. 24 gale applied within 15 min. USE PERK RATE C 2 MPi FOR DESIGN PURPOSES -�® ------------ X(� \ O 0 iwnpoaml » " d C3 C3 124" 1-34 " 15" tW towaa PERK TEST ® T.H. 42 47" $ a" OAK 0 a4 11:40-ez"AM M t .�a 3 H-10 500 gal. chambers 107.3fi' Bw IoamByw PERK wM BEG. DEP DISCONTINUED AFTER 6 GALS ci_ WAIVED 9Y AGENT OF BOH. END-SECTION im 62" 94.83' USE PERK RATE < 2 MPI FOR DESIGN PURPOSES m«Num H-1 0 fir'00 GALLON CHAMBER tattee/b M-C sax! NOT TO SCALE . 2.OY7f4 _Lw » 90.5' » ,"T t'W01* 89.0' USE ACME PRECAST OR EQUAL a' NO GROUNDWATER ENCOUNTERED OF PROPOSED SEPTIC SYSTEM UPGRADE r PREPARED FOR mac, N DAViD B. McCASKEY ET UX --i LEGEND AT BROOK LANE 0 EXISTING LEACH PIT S',q 'tSS� � BARNSTABLE CENTERVIL,LE , MA 10' min. from FNOT'E: ALL PIPES ARE TO BE 4" DIA. SCHEDULE 4a P.v.C. TO BE PUMPED & REMOVED N X house to septic tank 'oNde 4"dla. 8ai 40 PVC vent with amaa h flier• Existing House Finished g over syetem-21K slap. away li C9 a EXISTING 1000 GAL PREPARED BY: 5 HOLE H-10 H-1O SEP11C TANK mom EXIS7TA�G GRADE °'S, pax ExlWng csaa.°'�'„>D-,�' GLEN E. HAR R I N GTO N R.S. S aD2' Provide riser to within 8" of grade I,Ih. 2"-.1/8"-1/r Provide riser to min. x 104.46 SPOT GRADE DENOTES iSTING fU ��� L.W �V double-wmah stone ithin of grade "may, 9 LE DA ROSE LANE cellar 1-___ 2S 1000 GAL.. �------ -..---- pt :-95,97' -�---�95m--- - EXISTING CONTOUR MARSTONS MILLS, MA 02648 SEPTIC HC1 TANK 13 .. .47' G cAs 9 � 9 ea o 0 o d lee wet �i _�� � DEEP TEST HOLE OR EQUAL , 1 r9ancti Elev. 47' TEL: 50$-42$--3$62 a 1 4.5`t(3`min. of parNaue soN to be verified at time o1&oetallation) APPROX. LOCATION FAX: 508-428-3862 e"OF 3/4"-111r STOWc LEACH TRENCH --_��_ EXISTING WATER SERVICE SYSTEM iRROFIIE s/a to, 1,/2"cashed `I►l�9ftom of T»H. 2 eiev.=as.a" p SCALE: 1 =20 DRAWN BY: UEH SEP. 15, 2005 double-washed stony e"of 3/4"-,t f2'sTQVE 7 APPROX. LOCATION Not to seals EXISTING GAS SERVICE DATUM: ASSUMED FILE: M CCAS K EY SHEET 1 OF 1 Desion Calculations ROUTE 2a N � ,g SITE PLAN Number of Bedrooms: 3 Existing + 1 Proposed= 4 Total SCALE: 1 "=20' Garbage Grinder: NO, GRINDER NOT ALLOWED WITH THIS DESIGN BENCH MARK ON TOP CORNER OF BRICK STEPS � / Septic Tank Capacity Required: 440 gpd X 200% = 880 gpd SIT AT REAR GARAGE DOOR ELEV.-100.00 (ASSUMED) R= G V Septic Tank Provided: 1,000 gallon Leaching Capacity Required: 440 Gal./Day c6.• Pine reet Leaching Area Required: 440 Gal. 0.74 Gal. S ,Ft. =595 S .Ft. 0� 9 q /� / q ) q 5 Existing Leaching Structure: EX. LEACH PIT TO BE REMOVED Proposed Leaching Area Provided: 33.5' X 13' X 2' = 462 gpd. Jar Total Leaching Capacity: 462 gpd > 440 gpd. req'd. y GENERAL NOTES "CENTERVILLE" Sic. 1. ADDRESS: #53 FERNBROOK LANE LO `' ' F 2. ASSESSORS NUMBER: 208-085-020 3. DEVELOPER'S LOTS LOT 24 NO SCALE 4. TOPOGRAPHIC INFORMATION WAS COMPILED FROM AN ON THE GROUND INSTRUMENT SURVEY. 5. TOWN WATER IS PROVIDED TO SITE & SURROUNDING PROPERTIES, pa a 6. REFERENCE PLAN: L.C. PLAN 14972E p 7. NO WETLANDS ARE LOCATED WITHIN 200 FEET OF SAS. 8. NO POTABLE WELLS ARE LOCATED WITHIN 150 FEET OF SAS. 4 �a r✓ 9. THIS PLAN WAS PREPARED FOR THE SEPTIC INSTALLATION ONLY. /�, r r r✓ cs fnd 10. THE SITE IS NOT LOCATED WITHIN A ZONE II GROUNDWATER RECHARGE AREA. .......................................... . „D ✓r✓✓r✓e �� rrrrrrrr✓ \\ r✓rrrrrrr✓4; 1C 597a rr,,,r✓rah-r,, ::::: :. :-: :Lp 24 10557 rrrrrrrr,��, S'Tre✓✓✓ ::: 4°• "AREA ,439± SQ.FT. PROPS SAS r✓✓rre✓rr �✓.��r/�Crrr✓r �:(Z.-_ ,,,✓rrrrrrr i, rrrrr✓ ,::�:::��`�?:"�:�:�:}r'' 33.5'L x 13'W x 2.0' D ,rrrrrrrrrr,,i�o,, c ✓rrrr :: ::: :::' ::: CONSTRUCTION NOTES e✓r✓rererrrrrrrJ• �r✓rrrr ..'. . . leaching trench using 3 H-1O rrrrrrrrrrr'fi, i°' `::: :::: : ::: :: • ::r r r e rrrr✓✓r r r i'••;:•;:;:•::{;:•:::�:;{:•;{;•:;•:•:•:•;}:•};:•r.� 500 gal. chambers with 4' of ,rrrrrrrr r. ✓✓r r r r r r✓rrrrr✓ •::• :•:;:;.:•::•;: 1. Contractor is responsible for Digsafe notification stone on sides & ends. ' rrrrrrr ✓ 'or r r✓✓r r r✓ rrrr✓✓ and protection of all underground utilities and pipes. ,rrrrr ,rrrrrrrr rrrrrrr✓ •:.;F•:3:�:�:�:? P 9 PP r r r rrrrrrr rrrrrrrrrr 2. The septic tank a l distribution box shall be set � ✓ ✓e✓r✓r✓rrrr✓ rrrrr' '•;::•; level on 6" of 34 -11/2" stone. deck rrrrr✓r r✓r i✓r r✓ 3. Backfill should be clean sand or ravel with no deck / ✓rrrrrrr ✓rrrr " 9 rrrrrrrrrrrr✓rrrr stones over 3 in size. ✓r r✓ r✓rrrrrrr 4. This system is subject to inspection during installation by Glen E. Harrington, R.S. ✓, rrrrr✓ 4" vent w/carb ter ✓r', r, 5. The contractor shall install this system in accordance "*4 B.M. rrrr with Title V of the Massachusetts Environmental Code ✓r and the Regulations of the Town of Barnstable. sz' 6. Provide one H-10 DB-5 D-Box and three Acme Precast H-10, 500 gal. chambers or equal. ~ 7. No vehicle or heavy machinery shall drive over the © ��' septic system unless noted as H-20 septic components. O J� h� 8. Install gas baffle or equal on septic tank outlet tee end. � 97' �1�, 9. All existing inverts and site conditions shall be verified by contractor. ,_2f DIM a w +ar ss w �` 10. The existing leaching pit shall be pumped and removed. 0 x .92' p 106.79' x 101.74' ? ' �CrCa a 03211 44" PERK TEST & SOIL EVALUATIO S DATE OF PERK TESTS & EVALUATIONS: September 1 2005 TEST PERFORMED BY.-Glen E. Harrington, R.S. ^P30 �. WITNESSED BY: Donald Desmarais, R.S., Barnstable Board of Health Inspector STEM.R©NFORCED PRErAW CONCRerE EXCAVATED BY: JOEY'S SEPTIC SERVICE S��T � PERK PERK NO. P1 LESS THAN 2 MPI ASSUMED PLAN VIEW f�C+ y 1079 io6 oe� PPS sT'!R L HcHi j#1 6/ q/ Test Hole Test Hole 5` ti No. 1 No. 2 BEG. SOAK o 11::12 AM Syop S>1 DEPTH saLs ELEV. saLs ELEV. END SOAK O 11:21 AM ®� Fh O gals applied within 15 min. A. ~I USE PERK RATE < 2 MPI FOR DESIGN PURPOSES --^*-- 0 0 O 0 O 0 " IPA loany pesrM leamyp nd ® 0 d t� 124" J-3 4 +Q 15" I0"44 5" ,d++r+ PERK TEST 0T.tl� ._.-.- PERK DEPTHs64-82" (C2) i°7�' 47 wa v%d 8' loemBw.ona BEG. SOAK O 11:40 AM 3 H-10 500 gal. chambers DISCONTINUED AFTER 6 GALS CI WAIVED BY AGENT OF BON. END-SECTION 62" R"= USE PERK RATE < 2 MPI FOR DESIGN PURPOSES H-1 Q 5Q0 GA(,��ON CHAMBER M-C sand NOT TO SCAM 2"/4 c e9.o' USE ACME PRECAST OR JUAL NO GROUNDWATER ENCOUNTERED F s� PROPOSED SEPTIC SYSTEM UPG6DE PREPARED FOR HA E TO DAVI D Ift; M cCAS K EY ET U X . 070 AT LEGEND s al SIT #53 FERNBROOK LANE ��'' �EXISTING LEACH PIT gNITAV" BARNSTABLE (CENTERVILLE), MA 10' min. from *NOTE: ALL PIPES ARE TO BE 4' DU. SCHEDULE 40 P.V.C. TO BE PUMPED & REMOVED house to septic tank ProMMe 4'dla. SCH 40 PVC wnt wM carbon fliter a Existing House Finished grade over system-2% slope away a o EXISTING 1000 GAL PREPARED BY: 5 HOLE H-10 H-10 SEPTIC DENOTES EXISTING GLEN F. HARRINGTON, R.S. EXlS71lVG GRADE Dl3T.Box E>d«tr,g t�dr Elew-ion-rar't y s Provide riser to within 6' of grade Min. 2"-I/e-I Provide"river to min. X 104.46 DENT GRADE f uII a a2' double-wash stone ithIn of gr max 9 L E DA ROSE LANE cellar ► > tPTI TANK °' s95.97' MARSTONS MILLS, MA 02648 . ; � � SEPTIC TANK b 13 - 47. 95 EXISTING CONTOUR ' "-,AS EQUAL NO 12 I2+'MK ran ev.� 4r C■W DEEP TEST HOLE TEL: 508-428-3862 r Y 14.5'1:(0'min.Ail"s adto be wrtfled at tans of instaflstlon) EXISTING WATERS FAX: 508-428-3862 SERVICE e-of 3/4"-Ills STONE e LEACH TRENCH yaattom of H. #2 elev-69.0' OX. LOCA`nON SCALE: 1 "=20' DRAWN BY: GEH SEP. 15, 2005 ash crushed doubts-wadred stone SYSTEM PROFILE tr OF 3/4_II/:r WONE EEXIISR1ING GASSERVICE FILE: MCCASKEY SHEET 1 OF 1 Not to scale DATUM: ASSUMED