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HomeMy WebLinkAbout0317 GLENEAGLE DRIVE - Health 317 Gleneagle Drive--l- Centerville A= 192- 137. SMEAD No.H163OR UPC 10259 smead.com • Made in USA No. l ` Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZippYication for Migo!gal 4pztem Congtructton 30ermtt Application for a Permit to Construct( ) Repaid Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3)`7 G I&,,)ect 10 e Owners Name,Address,and Tel.No. CPS t�r��`le V W��`—R 1c'�c[3 Assessor's Map/?arcel 19 A 137 7 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of ilding: Dwelling No.of Bedrooms ��_ Lot Size( sq.ft. Garbage Grinder (tW j Other Type of Building a O%e— No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) '3 3Q gpd Design flow provided 36(.!5[ gpd Plan Date Number of sheets Revision Date Title r Size of Septic Tank JCW 'CX IST1A)6* Type of S.A.S. ho,50 i8ki l'I-fniot.� (a,°h 251,A `� t Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1 a3&TALI— f,)C w Le-aAnojs C Y M Date last inspected: c4f '\'r,, -,C- � f vole Agreement: Va The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this rZa lth. Si ne /� Date14116107 — Application Approved by Date Application Disapproved by: Date for the following reasons Permit No._ ' 17 Date Issued —7 g No. Fee " I THE COMMONWEALTH OF MASSACHUSETTS THE in computer PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplicatfioif for Migo!5at 6p.5tem Con.5truction Permit Application for a Permit to Construct( ) Repaid Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. —O t J ie Owner's Name,Address,and Tel.No. C PN-te 10 alp V _ U.� r 'Z 1 Assessor's Map/parcel Na 137 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of uilding: f Dwelling No.of Bedrooms 13 Lot Size J J QCr)o sq. ft. Garbage Grinder (AO Other Type of Building (-ta re, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) *_3,-k0 gpd Design flow provided 389f,�I gpd Plan Date Number of sheets Revision Date Title , 1 Size of Septic Tank JCS *F-X 1 S'T1O C., Type of S.A.S. ��3nst�14,6c+'of� I a,9S X qua X 9 Description of Soil Nature of Repairs or Alterations(Answer when applicable) A LL. NE W LeaAh q'i 0� C �M Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this rd of�Realth /. Date 16 O Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. _ Y ! Date Issued g © / ———=---------------------------------------- - 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 1 < A fowf") at 1 Cod er,% V , has been constructed in accordance with the provisions of Ti le 5 and the for Disposal System Construction Permit No. I'V I dated y I r Installer G (Ova ry V Designer V.I" • S #bedrooms Approved design flow bcf, gpd 1 \ � The issuance of hhis pe ii�t ph III not be construed as a guarantee that the system wi itfuncti0.. � de . esig ed Date / L./ 1 Inspector (� -------------------------------- ------ -- No. C�O-7 —f Fee 16 0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS =igpoar *p5tem Con5tructiou Permit Permission is hereby granted to Construct ( ) Repair (�O Upgrade ( ) Abandon ( ) System located at l)1`I r(j-,3&o a 12 )( C&4 f-N11�e v and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Constniction must be completed within three years of the date of th�it. Date ///p 111d` ;Approved by\ - TOWN OF BARNSTABLE LOCATION'S1'7 61e0 i'of SEWAGE# ab67—/`/9 V VILLAGE Ce,Aero k e ASSESSOR'S MAP&PARCEL JCJ INSTALLERS NAME&PHONE NO.Ma IC�s F 7� SOf3-yaO-yS- t� SEPTIC TANK CAPACITY 10M +j�Q LEACHING FACILITY.(type) -2,,OSo T-f)chlrFbr 3 (size) 12 ,25 X `? Xj NO.OF BEDROOMS OWNER PERMIT DATE: -0'7 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 C goos e 0 yif �� �,. 5'7, Town of Barnstable T"E'° � Regulatory Services Thomas F. Geiler,Director �;^ anxxsraaf •., roe 63 �$a/' Public Health Division �A Q 'Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: 5—f/-0 7 Sewage Permit# �O 7—f Assessor's Map\Parcel /9L /3 7 Designer: j/f / / T�S Installer: /� V674✓Is &01101cl Address: Tv/T /2yfz� Address: &e- /� .S✓hfdwic� ,G�r�Qz�6.3 Cr�v��fir�E, �� ��.d 3 Z- On _/8_0 7 was issued a permit to install a (date) (installer) f septic system at,3/7 (rr�6-4uZF % y,5- based on a design drawn by (address) dated (designer) ✓I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. ��A OF* r staller s Signature) o VON t 01,!E 0 # 1068 0 V�l� SgNITAR'P (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Fonn 3-26-04.doc I Town of BArnsta:ble P# Department of Regulatory Services •_ A8f$ Public Health Division Date UlA88. sesy tee$ 20D Main Street,Hyannis MA 02601 Date Scheduled /� _ ��®� Time / Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: ' K. S Witnessed By: LOCATION& GENERAL INFORMATION Location Address'. / �T/>'/'/ Owner's Name /G� 917 6zl?kl re yy�se Address reek—41MA) Assessor's Map/114tcel: a QZ Engineer's Name � / le:5 NEW CONSTRUtf.'•i'tON REPABt _!� j Telephone#17 — Land Use ,12 kS/CAe Slopes(%*) ' ® ' 151 4 Surface Stones k7494V e Distances from: Open Water Body, ft Possible Wet Area ft Drinking Water Well ft Drainage way ft. Property Line ft Other ft SKETCH:($treet name,dimensiod6f lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) ;X6/ i 72, . i r p• i ' I F y Parent material(geologic) �/ �1 � j Depth to Bedrock 4" Depth to Groundwater. Standing Water in Hole:' axio •j Weeping from Pit Face.._ F i Estimated Seasonalogh Groundwater 1 7±13e—Ga JzA , D TERIVIIN j�TION FOR SEASONAL HIGH WATER TAELE Method Used: '✓ V ! cQ Depth db� standing;in obi.hole: ____G� in. Depth to salt MOOS; Ste . Depth tolweeping from side of bs.hole //I i lit. Oraundwnter Adjust Q A .factor�� Adj.arouadwatcrLevel j Index Well# zsz Reading Date Index We1J 1evC1!„ �"�"•i /ow PERCOI CATION TEST Dana Observation I Time At 9" .. Hole# Depth of Pere ___L_ Time at Time(9"-01) Start Pre-soak Time.0 -- ----— o,71 u�a�Cv a. o End Presoak Rate MnAnch I Site Suitability Assessment: sit e passed ll� Site Failed Additional Testing Needed(YM).L— Original:.Public Health Division Observation Hole Data To Be Completed onBack --- ***If Percola ion testis to be conducted within 100' of wetland,you must first notify the Barnstable G #servation Division at least one(1)wedk pr><or 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,'% vel C -7 46 P441 �S DEEP OBSERVATION HOLE LOG Hole# �. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistencv.%Gravel) C , 5, 2, S 7 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil I Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistencv. Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. ,t Flood Insurance Rate May: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No_4.l Yes Depth of Naturally Occurring Pervious Material ` ? Does at least four feet of naturally occurring pervious ipaterial 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? t.7 Certification 1 certify that on W4V C (date)I have passed the soil evaluator examination approved by the t U Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 3,10 C1vIlt 15.017. Signature C/ Date i~ . K Q.-WPTlMERCFORM.DOC I LOCATION SEWAGE PERMIT NO. VILLAGE art/i%/ I N S T A LLER'S NAME i ADDRESS BUILDER OR WNE DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED ��-- � r ,r f 0 THE COMMONWEALTH OF MASSACHUSETTS ` BOAR® OF HEALTH ....... /-[`Lon.......OF.... Dc5T )-n-------------------------------------- Appliration for Disposal Works Tonstrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (t,�r an Individual Sewage Disposal System at: ....r J'? _�r..� ?: 1�.....,�?.1':1.�1.c............... .................................................................................................. Loc on-Address or t No. ,Jon g0--- a C I... ............. Address........-----•----•----•------------•--•- Installer Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................................ .Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building ..... No. of persons............................ Showers — Cafeteria P4 Other fixtures ---------------------------•••-• •. - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ 0-1 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water...........,............ i, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ......•-• ----------••-••......... f ODescription of Soil.........--! and .� ..� .e�, .---------•-•--------------------------------------• .......----------------------------------- W U --------------------------------------------------------- ------------------------ •------- ---------------------------------------------------------------•-•--------.......•------------------- U Nature of Repairs or Alterations—Answer when applicable...1"1404,-__CyQ,jJ400___--1.jt--------------------------------- ----------------------------•--------------•---------------------------------------------...-•_•••••---•.....•-•-•••-•----------••••••••••••••••••-•--••••••---•-••••••-•-•--•-•----•••• •--••••.-••••. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIME 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bpVissued by the and f ealth. ed. .10 ...................••-.�---��JZ.^r .------------ - �Date Application Approved B G PP PP Y---• ;� ------ - - ----��� -�. .: ........................................ ..--��--- -----?----------- Date Application Disapproved for the following reasons:------••--- . •--•••-••-••••-•-••-••-•-••-••-••••---•--•••-••--•......•-••-•----- -•••••....................•••••--•-...-•••-•-••--••••-••••--•.........•••....----•••--••--•••-•-••---•••.-•--•---........--•--•--•--•••••--•-•-----•••--•-••••••---••--•-•-•---•••-•-•••--•••--••••-•--- Date PermitNo......................................................... Issued....................................................... Date N ....... Fx$�r. } ....... THE COMMONWEALTH OF MASSACHUSETTS ,BOARD OF HEALTH ........ .... ------ ------ Applirat#ion fur Disposal darks Cnnnstrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (1, an Individual Sewage Disposal System at: nv ---------------- --•--.........---..........---....------••------------........------......------........... ____ Loc 'on-Address Wa � e,�� .. Address .T .. ------- ........ Installer Address Type of Building Size Lot----------------------------Sq. feet U►-+ Dwelling No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — a YP g ---------------------------- p ( ) Cafeteria ( ) 'Q Other fixtures -------------------------------------------------------------•-------------------••-•-------......---•--•-•--•---••-•----........--•-••.........•--• W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter-----........... Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 0-4Percolation Test Results Performed by.......................................................................... Date........................................ 6.4 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a "f /� �•••y-- -----;;., •. ........ ------------------------ ------- --------------- ------- .-.------ ------------------------- D Description of Soil........ S�J 2 ..e... lL:�° .................. U --------••-•-•-••------•-•-•------------•••------•-•--•---•----•......................•......•-------...........------.......--------- ............................................................. W ............................................................----------•----•-•----------••-••----.... --••- ------- U Nature of Repairs or Alterations—Answer when applicable " 1 ........................... A -----------....................................................................................................................................................................... �5 Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Co' e— The undersigned further agrees not to place the system"in operation until a Certificate of Compliance has b issued b the Yqard f ealth .. Application Approved B -•- % .---- � ..:' � � y te a9 Date s Application Disapproved for the following reasons----------- - ------ ---------------------------------------------------------------------- F .................................................................................................. d:........._.._....__.._._._.._._....__._._._..__._._.._..._....----.........____.....__'tF..___•_-.... ,Ks Date Permit No......................................................... Issued: ==--------- - . Dates a 1'. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. Lb......oF....�� :�'�.��� � ................................. C�rrxi��rtt#�e of f�la�t�r�i�nrr ; T�I TO CERTIFY, That the Individual wage Disposal System constructed ( ) or Repaired (4. by ...i..x �. _ 1!"C. _.,. )r -- --------- ------=---------------------------------- . --------.......--------- I caller �'' q; -. ,• ;� �------------------------- '�-41e�.� _ ' has been installed in accordance with the provisions of 5 of he State Sanitary Code as des�r�'b d in th application for Disposal Works Construction Permit N 'f dated_.�'�,r r� •. = rr THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU S A GUARANTEE THAT THE SYSTEM WILL FU TION�ATISFACTORY. r DATE... .:,1.. ..' . Inspector --•-.•. ---•--•-•----•••----• THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.. .. t!f,�f..... t..+ ! ....OF...: t ............................. FE>E ........ �itt�n.�.tt1 nr�� ��an.��rnr�itrn r nti� Permission is hereby r ............................................. .........••-•..... to Construct ( r Repair q,,. ) an, Individual ewage Disposal ystem at No..L., l ',r_X)4.,,r1? jP....-- r',-,........ `, 't Street --•---.......-•-•---------------• -0)jj - as shown on the li _ "~i� I app cation for Disposal ��orks Construction Permit ated.../,?___�t........O................ ................ V.Alg4L11_ ...... f oard o •Healt FORM 1255 HO.BBS &.WARREN, INC.. PUBLISHERS { a ASSESSOR'S MAP: 192 �� � PARCEL: 137 GENERAL NOTES: ° om °Once n0 REFERENCE: PL. BK. 260 PG. 71 4 a� Z FLOOD ZONE: Town of Barnstable k I. VERTICAL DATUM: Assumed ,c c ::3 2500010015 C (8/19/85) 2. MUNICIPAL WATER_j am AVAILABLE. 3. SCHEDULE 40 PVC PIPE TO BE USED THROUGHOUT SYSTEM Old St a Ro �Sh _ UNLESS OTHERWISE NOTED. 4. ALL PRECAST UNITS TO CONFORM TO S 7 e AASHTO: H-10& H-20 LOCO 0 x 9 8 2821" 5. PIPE PITCH-1/4" PER FOOT UNLESS OTHERWISE NOTED. 95:4,4 � 96.55 . 108.06' _� 6. ALL CONSTRUCTION DETAILS TO BE IN CONFORMANCE WITH MA 97.33 x 97.31 ENVIR. CODE(TITLE V)AND LOCAL REGULATIONS. LOCUS MAP N.T.S. 7. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR TO 97, 0 T/P D CONSTRUCTION. BENCHMARK SET: 96 31 Chan link. ---- Lot 29 - '� LEGEND Right corner conc. step fence 97,80 99:64 15,060±S.F. EL. 100.54 (Assumed) 99 47 1 . --- 00.37 0.35t AC. "" �-- gg --�- PROPOSED CONTOUR 96.5 0 - Map 192 / gg PROPOSED SPOT GRADE Parcel 137 _ — 40 EXISTING CONTOUR x 96.50 ':. 20' _ -r . .. lOQ,71 l.: • ,% / -30.23— EXISTING SPOT GRADE Garage ... .. ,.. . �. 98.94 100,82:;: : Pav i 96,83 TEST PIT 1 T __ i .` . 0. . FT-OAK I :. ed Drive:. ..: >'; . '`. `: \ N/_ // : oo -- f ® EXISTING WATER SERVICE LO .27 #317 I / 96:86 ao JV 97:94 ,MiF:T�. K TOF=101.20 "I I 96,80 ; NOTE: This plan is to be used for septic N x 97,17 ? SE.P`T �COV LOW Deck (Assumed) BASIN system purposes ONLY and IS NOT to .176 I ', 2 W lJ./ be considered a property line survey. -. Pump and Backfill r .. " x - �J a Failed Leach Pit i _ S IC g �� �, V �, �� ss9� e of.�A / 98,73 Z3' / oa' AMY � s =. 1FT-OA 9 97 Existing Tank // ry VHONE y TERRY NN TH to remain ,� x 99 81 -`37"3s-LUv 9#1068�a Wqq ER No.38721 LU 98, 8,61 i� oerQ x 9 8,3 5 N D� 100.06 I ( i 17�1 Z�/O 2 • 0 3 56 ` � " o I 10' 1 T 9 9.2 5 °yam 225 2-1FT-OAKS 99 92 W A,�,� 317 GLENEAGLE DRIVE, BARNSTABLE, MA 97,73 �FT�S I 98,43 �`___.7 PREPARED FOR: Douglas Brown 111 79 \ , associates and 98,68 x 99,78 &-PWSsrFMMWW Stockad�e �x s 780 28,20„E Rlch Walker 98:31 REBAR/FND �� i� wrdnMaa 99:25 _ 317 Gleneagle Drive i UP/1 Centerville, MA 9 8.7 0 Surveying by: Terry A.ww7wp.L.,S x 98,54 Harwich, MA 02645 DATE REVISED SCALE SHEET N0. � ' a- Scale: 1"=20' ' 12/22/06 1" = 20' 1of2 Provide Riser over Dec -NOTE: To prevent breakout,final grade of Top of Foundation to within 6"of finish grade EL. 96.0 to be carried out a minimum EL J.O1.20 F.G.EL:98.5t 15' beyond edge of leach facility. F.G.ESL,9.100.Ot F.G.EL 9"7t Maintain Min.2%slope over leach facility . F.G.EL:98.5t Existing Install risers w/covers over Inlet " Min.1 Inspection Port 12"To Grade Min.2 Peastone or Geotextile Fabric EL 98.12 &outlet to witt►in 6"of finish grade 3/4" 11/2"Washed Stone L=11' 4"SCH 40 PVC 4" PVC :y " 1� �� 96.0(TO�O�F GEOTEXTILE FABRIC) 6 Lj 4 SCH 40 PVC 0S=6.2%(2%MI io � 14, ®tS=9.b%(1%MI I]l s 0 S=1%(1%MIN.) EL 97.19 EL=95.77 EL=95.6 24'NVERr <: Install Gas Baffle ° °°I EL.93.5 a...a.... EL.95.5 EL:97.44 PROPOSED D63 7.12' H-10 DISTRIBUTION BOX *Contractor to verify existing minimum (Install PVC Inlet&Outlet Tees) Use 3 Infiltrators 3050s with Double Washed Stone 7 1' 1000 gallon septic tank. Replace with 4'ends,4'sides minimum 1500 gallon septic tank if o(ISTING low GAL SEPTIC SYSTEM PROFILE 11 undersized or damaged. H-10SEPTIC TANK (29.36'L x W x 24"D) H-20 Loading EL.86.4 NJ.& Bottom of TH-1 SOIL LOG DESIGN CRITERIA Rrs ADDITIONAL NOTES SOIL EVALUATOR: AMY VON HONE,R.S. INSPECTOR: Unwitnessed(approved by BOH on 12/21/06) Number of Bedrooms: Existing 3 Bedrooms . DATE: DECEMBER 21,2006 10:00AM 1. Contractor to verify soil conditions with Barnstable Health Department at time of Soil Type; CLASS I PERCOLATION RATE: <2 WINCH PERMIT#11551 construction due to unwitnessed soil test. Design Percolation Rate: 2 MIN./IN. TH - 1 TH - 2 2. Failed leach facility to be pumped and backfilled. Daily Flow: 330G.P.D. Design Flow: 330G.P.D.(MIN. REQ'D) EL.98.41 EL.98.61 Garbage Grinder: TO BE REMOVED 3. Contractor to verify all inverts prior to start of construction. ; Sandy Loam Fill Leaching Area Required: (330)/0.74=445.9 S.F. 3„ 10YR2/2 9815 5„ 98.19 4. Regrade to maintain a maximum 3'Of final cover over proposed leach facility. Sandy Loam Sandy Loam Septic Tank Required: 1000 GALLON(Existing) 14" 10YR5/8 97.23 8" 10YR2/1 .97.94 Perc C1 Sand Loam USE 3 INFILTRATORS 3050S WITH DOUBLE WASHED Loamy Sand Sandy Loam 96.61 + STONE:4 ON ENDS,4 ON SIDES (29.36 X 12.25 X 24") 39" 2,5Y5/4 24" 48 94.4 C1 Loamy Sand Sidewall Area: 2(29.36'+12.25'x2)= 166.44 S.F. c2 2.5Y5/4 Bottom Area: 29.36'X 12.25'=359.66 S.F. Coarse Sand 36" 95.61 FLOOR PLAN Total Area: 526.1 S.F. 2.5Y5/8 i 10%Gravel C2 N.T.S. Design Flow Provided: 0.74(526.1 S.F.)=3M 31 G.IP.D. 84" 91•4 Coarse Sand 2.5Y6/8 90.61 317 GLENEAGLE DRIVE BARNSTABLE, MA C3 15%Gravel Medium Sand 96 � 2.5Y7/3 c3 Bath V H Medium Sand Dining Kitchen 2.5Y7/3 Bed 1 PREPARED FOR: Douglas Brown 144" 86.4 132" Room U -87.61 Bath associates No Groundwater Observed Wa her/Drye �m�„ and =COWItRMd Rich Walker PERC RATE:<2 MIN/IN.("C1-C3"Horizon) A*MA<4"0 15:00 minutes presoak Living , mow= 317 Gleneagle Drive Bed 3 Bed 2 Room Centerville, MA NOTE:Contractor to verify consistency of soils in location S-vao��,��py S of primary S.A.S.a minimum of 5 below 22 �,s Road leach facility prior to installation. H. 02s45 DATE REVISED SCALE SHEET N0. (WS' 432-5309 12/22/06 1" = 20' 2 of 2 No..... F>�c OZ .�...... THE COMMONWEALTH OF MASSACHUSETTS BOA_ RD F HEALTH re-71-11,.-------------OF...... ............................ ' Appliraatinn for Dispays at Workii Tonstrnrtinn Vrrmil Application is hereby made for a Permit to.Construct (/) or Repair ( ) an Individual Sewage Disposal Syst at - ;2�----- ................................. ocation ddress t No. ------------------------------ 1 ------ 4 ----------- ner Address ----------------------------------•-•--------..... ------------------------------------------- Installer Address Q Type of Build' Size Lot----------------------------Sq. feet U Dwelling No. of Bedrooms.-------,;.c. .............._-------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures _______ W Design Flow_,_________________ ________ allons er erson er da Total dail flow_________ �� ._ _ J\ g P P P Y Y gallons. WSeptic Tank t Liquid capacity f gallons Length---------------- Width________--_____ Diameter.....----------- Depth__--_________... x Disposal Trench—�To. Width, To ength otal leaching area--------------------sq. ft. Seepage Pit No. /�________________ Diameter_ __ _ pt e v et._____._________._ 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__________________-__-_- �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ P4 ------------•--•-- ---------- ...-- - O Description of Soil................................... -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- W x - U Nature of Repairs or Alterations—Answer when applicable---------------------------------------------------------------------__________________________. -------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with he provisions f Article — t p o s o ttc e XI of the State Sanitary Code The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be sue by the board of heal Signed._. --- - ------- - -- -- Date Application Approved By......... ------ — -�'=2- ------7--- ate Application Disapproved for the following reasons__________________________________ ____________________________________________________________•-----------•.•_-- ..•----•-•-----------------•--••----•--•----•-•------------•----•------•------------....--------••...•-•-----•••-•---•-----•---------------------------------------•----------------•-•-------•-------- Date Permit No Issued ______ Date------------- ------ - -- !/ No.--¢76....... FEE.. ................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - . Application is hereby made for a Permit to Construct (4') or Repair ( ) an Individual Sewage Disposal System at L"ocario ddress i Lot No. r ._... f 1-• - `.asp'- ---y�' ddr..dbs4=.d°___---`�---�-._�' . '............... W - P✓ Owner,�p ns a Address UType of Buildi Size Lot------------------------....Sq. feet Dwelling V No. of Bedrooms......... --_-----••--------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) � Other fixtures -----------------------------------------------------•..................................... .......................................... Design Flow................ _���` gallons per person per day. Total daily flow__._._..... s '" _._..._gallons. W lm J_---- -- g P P P Y Y WSeptic Tank Liquid capacity,,e_-V gallons Length................ Width---------------- Diameter-___-_--_---__ Depth---:_-___... x Disposal Trench—No..................... Width................ To ength:_ _.__._._. otal leaching area--------------------sq. ft. Seepage Pit No.___ -•__-. Diametert� �' eC "p If' t-----=----- -----'Total leaching area------------------ fc. Z Other Distribution box ( ) Dosin tank ( ) Percolation Test Results Performed by.......................................................................... Date Test Pit No. L...............minutes per inch Depth of Test -Pit..................... Depth to ground water.-.---_-_--__--_---,___- P, Test Pit No. 2................minutes per'inch Depth of Test Pit.................... Depth to ground water-----------_............ •------------------------ ------- --- Description of Soil --- U •---••----••---••------•--•-••---------------•--------••-•---••---------•-•-------------------------••-••--•-----------------•••----•----••-••--•------•------------•---------------•......--......---- W UNature of Repairs or Alterations—Answer when applicable..---------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been.�ssued by the board of heal s / F Signed ! s` x�n__" 'a ;••r fe � 8 ---- . 7. d Application Approved By...... Hate f. e Application Disapproved for the following reasons:................................ ------------------------------------------------------------------------------ .......................................................................................................------------------------------------------------------------------------------------------------ Date PermitNo--------------------------------------------------------- Issued...................... ................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............. OF......... .................... Trrfif te. Of Taurpligurr TIaS IS TO CERTIF .,;That the Indivi I Sewage Disposa ystem constructed or Repaired Y. ... --- --------- .. ... .............................................................. b G1.7 ?rL�',�al I" ... ...... ...............at. OL, ----- --- -- - 4 .Lf. =Z 7 7------- - ---- --- has been installed in accordance with the rovisions of Article XI of tate(lanitary e as described in the ? Y?--- .7 application for Disposal Works Construction Permit No_____________________ _____ _4 ...... date_--- -----_----- THE ISSUANCE OF THIS CERTIFICATE. SHALL NOT BE CONSTRUED AS A� CoZUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................. Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..... . ...... ...... 0 F... 7dO...... .... . N ................. .... FEE om­................. rur Permission ji ,�ereby granted--- ------- 4 to Construc-V (Z or Repair a Individual age Di Po I System 6 Is n on the application for Disposal Works ion ri Ypn�it No as show rks onstr uctio r.......... Dated .- -•- oard o Beal h DATE................................................................................ FbRM 1255 HOBBS & WARREN. INC.. PUBLISHERS