HomeMy WebLinkAbout0019 GREAT HILL DRIVE - Health 19 Great Hill Drive, Centerville
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UPC 12534
No.2_ 1, 5 R
MASTINOS.ON
40//No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARN_ STABLE, MASSACHUSETTS Yes
i
ftplication for Misposal b- pstem Construction 3pPrmit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. !9 4,Vi`t_ Owner's Name,Add e ,and Tel.No. /�/_rr�
c�i�c-r)Sf e_ 1'S�T/! /sr�// �i�e C��SL ,rgsh;p, e a3
Assessor's Map/Parcel f')3 f')q
tal er's Name Address,and Tel.4o. �jp8- ` ?359 Designer's ame,Address,and Tel.No.
cjto,�1 G'o MaF+�c�lor. ice- n�. .yl ns`��r� �1t MGl1°n�'
V.0. ,)a Af'ja�rtS l`� �G64 o .V� jAAjA Q -1
Type of Building:
Dwelling No.of Bedrooms J^ Lot Size 7� J� /sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(minIV
quired) �t� gpd Design flow provided $,� gpd
Plan Date ne-a 4 X0-i Number of sheets Re ision Date
n /
Title & i�(
Size of Septic Tank (? l opp_gcj Type of S.A.S. 3& -14a U kt,Cxj),,,111I I
Description of Soil ) —^
Nature of Repairs or Alterations(Answer when applicable)
°
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and main of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environment ode an t to place the system in operation until a Certificate of
Compliance has been issued b�gne)
s Board of Health.
Date /
Application Approved by 0 Date
Application Disapproved by Date
for the following reasons
44
Permit No. Date Issued
No. ' Fee
;TO,E,CCOMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes
PUBLIC HEALTH DIVISION.- TOWN OF BAR_ STABLE, MASSACHUSETTS
01ppliLation for Disposal*pstem (Con'truction permit
i
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ElIndividual Components
Location Address or Lot No. ` f l4ey"d,vi`(_ Owner's Name,Add/res ,and Tel.No.
crJ•l cr)5ftc S 4
Assessor's Map/Parcel /') g 3$
Installer's Name,Address,and Tel._t�{,o. �J�Up-�/'y'3�j9 Designer's)) ame,Address,and Tel.No. ,5 v�B 3 il��- y�
�rAolo�i (onskLctton -I-r-4/ - n Qc0,bk Ej i;s-`er,'v, Q�f
d• X )Q (A( fh15 /lIS ft'C' Oc��vyg V p4x-» jA,1b4 o`)�
Type of Building: /7 �./
Dwelling No.of Bedrooms 3� Lot Size !�! sq.ft. Garbage Grinder( )
i c
Other Type of Building No.of Persons Showers( ) Cafeteria( ) 1
Other Fixtures
Design Flow(min. equired) .S U 'gpd Design flow provided $ ' gpd
Plan Date U I)e- _Z?c o 1/ j.Number of sheets Reyision Date
Title T-,��� S �e{t ��i,,i o-1, l cf 6r.-e-�1� / / :iard G�o�<� � iw n C t�
Size of Septic Tank (>S}(*_ r,_ „ Q Type of S.A.S. , _r� �� j-(,'���C� r ;�, t r. UI'41.415
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) 5 t t) , A ma�
V►„.-� �� r7 `�,�.t�l
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maenanc of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environme> 1-Code and of to place the system in operation until a Certificate of
Compliance has been issued by�t 's Board of Health.
'gne i Date
Application Approved by ® Date
Application Disapproved by Date
,
for the following reasons
Permit No. Date Issued
------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliante
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(Z Upgraded( )
Abandoned( )by f , (�
�^ (� c
at ( n (� 1f U j,� � r C ��, has been co"& h
rdance
with the provisions of Title 5 and the for Disposal System Construction Permit Nted
Installer /tiir- i ,' 6S � � Designer .�
#bedrooms Approved design flow and
The issuance of this permit shall not be construed as a guarantee that the system w,fl nc ' a g ed.
Date / Inspector
-----No. - -------- - -- ---------------- ------=--------- -=--------------- --- --=- ------Fee ,
- � .
-''THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
MisosaY �&pste Construttion hermit
Permission is hereby granted to Construct( ) Re 'r Upgrade( ) Abandon( )
System located at (I le_ ,e A //1�// � �
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:Constructig must be co ple ed within three years of the date of this permit.
Date //y Approved by
r � �
JUL-28-2011 09:23 From:BORTOLOTTI CONST 5084289399 To:15087906304 P.1/1
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LE -E I'd E I Itlir
TOWN OF BARNSTABLE
LOCATION 1 V i L-L_ _�P _ SEWAGE#
VILLAGE 541n� ASSESSOR'S MAP&PARCEL I—J` - -Zc�
INSTALLER'S NAME&PHONE NO. C; ��er
SEPTIC TANK CAPACITY 4:7Ar is d&f46,
LEACHING FACILITY:(type) i L_&S (size) i 7 ;+c
NO.OF BEDROOMS _A4 i
OWNER t iZ_1t_6
PERMIT DATE: -13 s if COMPLIANCE DATE: � v�h' /) a!
Separation Distance Between the:
0
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility(If any wells exist on f
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,_/Cu., �i®o C cr• .yi
TOWN OF BARNSTABLE
LOCATION SEWAGE.#
`JILLAGE ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
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
i
_ O
Gu�s<
70 6` V�
Vle —
_ down of
?RE
t Department of Regulatory Services
Public Health DiViSioll Date
� "M 200 Main Street,Hyannis MA 02601
9
Date Scheduled
Time I/ Fee Pd. 00'
,Foil Sidtability Assessrizent for SP,) a -e Disposal
i'crfonned By: �`b ��{ � Witnessed By.:
PIS
]C,tDCA7CION & GENE,IA)L l[N)[{'0J[MA7CION
Location Address Q
/ n _e Ef Owner's Name
C v{
Address /]/�
Assessor's Map/Parcel; Engineer's Namc�^Lic�0,wv`) LA Oe
NEW CONSTRUCTION REPALR Telephone'If J 0 �
Land Use Slopes(10) Surface Stones
Distances from: Open Water Body ff Possible Wel.Area_1050 _ft Drinking Water Well, ft
Drainage Way ft Property Line _ft Other 5 1 a i.,
.SK1la,'J<'CHI (StreeL name,dimensions of lot,exact locations of lest holes Bc pert tests,locnte Wetlands'in proxillity to holes)sZW: 4
_ —rt
C
d
ti co M
r zr, k 75
�_- -2
7 3 C, a
Parent materal(geologic)_ ( Depth W Rdtlrock -
Depth to Groundwater; Standing Water ia'I-tole:'_ / Weeplltg from hi[Flllt e
z -
Estimated Seasopal High Gioundwater
D]C')cERIvUNA'I<I0T)T'r(0R_S.Uq AL HIGH WATER TABLE
E
Method Used:
S
Depth Observed.slanding in obs. hale:
Depth to weeping from side of obs,liolc: bL C1ruuad%vuter Adf uslntent.0_ li. x
lndcx Well 7f Rcading Dalc: Index Well leYnl„; AdI,father— A41.C)rt?untlwater Leval
]PE RCOLA7TJ[ONTEST ` N3ada v A'Lu'lm a5
Observation
Hole ff 'rime at 9"
Depth of Perc _ Tin tt at 6" A �_
Start Pre-soak Time @ Time(9"-6")
End Pre-soak
Rate Min./Inch y�/ lM' h N
Site Suitability Assessment: Site Passed_ Sit.G.Failed: Additional Testing Necded(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back-----------
***lf percolation test is to be conducted vViLlalfla 100' of WeillanCly you must first notify Mlle•
Barnstable Conservation Divisiou zit least one (1) week prior to beginita4A{g.
Q:\S EPTIC\PEIZCPORM.DOC
IDIICICP.0BSI(+'][��TA7['1®,N�]f®L { LOG
Depth from Soil Horizon' ]Dole #
Surface(in.) Soil Texture Sail Color
(USDA). Soil Other
(Mansell) Mottling (Structure,Stones;Boulders, R
Con iste c %' ravel
2 —156 C 'v��
Depth from
PREP O.Vs_R_RVA' jONH®LV LOG
Soil Horizon Hole # 1j
Surface(in.) Soil Texture Soil Color
(USDA) Soil
) (M h (Structure,ansell) Mottling Other
,� cture,Stones, Boulders
O'3�1i t� � 3 Con" enc %Gravel
G . �. _ to .,.� 1,.
n0p
�S 4,
v �t LIA,,
�u
LU Ac
DIE�)�OBS ERVATION TIOL]E ]LOG
Depth from Surface Soil Soil Horizon Texture Hole,#
(i❑-) Soil Color.
(USDA) Soil
(Muns411) Mottling Other
A- Boulders.
O 'O Consistency.%Or ell
-Iv
Depth fiom Soil Horizon Hole
Surface(in.) Soil Texture Soil Color(USDA) ,. (Mansell) Soil SoilMO'tlfn Other
g (Structure,Stones; Boulders,
Consistent—y �b Okay I
Flood Insurance Rate Mai ... �[
Above 500 year flood boundary No Yes r'
Within 500 year boundary '\No X, Yes. _
Within 100 year flood boundary No X Yes
llyepitpa m�Natulra91y_icou_ _��aain�)En��vaotss llBflterlal
Does at least four feet of naturally occurring pervious material exist in all areas observed thl-oughout the '
area proposed for the soil absorption system?
If not, what is the depth of naturally occurring l rviou matoPitii`ri
Ceirtflfecat�➢oru r� ,�"" '
I certify that on (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
tPte Required-ka' ing, expertise and experience described in CIO CMR 15,017.
e r
Signature Date
Q:1S,BPTIC\PERCFO RM.DOC
No. w Fee D
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: '
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,.MASSACHUSETTS
ZippYtcatton for �Dtsspooaf *pp4tem Con.5tructton Vermtt
Application for a Permit to Construct( )Repair( )Upgrade(1/)Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. �% 7�� D Owner's Na e,Address and Tel.No.
Assessor's Map/Parcel
L/
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder _�
Other Type of Building "WGe- No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank 11M01,0 4-4'/1b,/�9 Type of S.A.S.
/I
Description of Soil /e K
Nature of Repairs or Alterations(Answer when applicable)
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 bAr t ' and f H
Signed Date y
Application Approved by Date l-1-1 V
Application Disapproved for the fwlowinpreasons
Permit No. 9 7 3 t Date Issued
—_,—.---- ----- ` �"-------------------
7— 7
No. ",;:8 1 - —h« _ Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ve
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
2pprication for ligpoml *p.5tem Congtruction Permit
r Application for a Permit to Construct( )Repair( )Upgrade()Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. I9 krwr4�11 P"/, Owner's Narpe,Address and Tel.No.
Assessor's Map/Parcel 11 �� 46/1? /V
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
771
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder.( Q
Other Type of Building 5 P,G'e No.of Persons Showers( ) Cafeteria( )
'Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
► Size of Septic Tank Z�9 11/�� Type of S.A.S. 3 -,�`llo�®��s� �><'�ChC .•g /.S
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected: r is
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 issuedb t azd f He ---------
Signed / ,��' �`�" Date 1Z143��;>- ,
Application Approved by Date 11-,I V
Application Disapproved for the MowingAeasons
Permit No. / 7 - 7 3 -Date Issued I
-------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
(Certificate of (Compliance
THIS IS TO CERTIFY,that the Op-site Sewage Disposal System Constructed( )Repaired ( )Upgraded O )
Abandoned( )by 7`4Cr �i�
at . �G�J'e./v/�! s been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated
Installer Designer
The issuance of this permitshall not be construed as a guarantee that the system wil,function as designed.
Date t 1 - f - t Inspector _
-----------------------------�-7 ---�—+ -----
No. 7.3 3 / ����/ Fee
t THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS
lwigaaf *pgtem Construction Permit
Permission is hereby granted to Construct( )Repair( )Upgrade( Abandon( )
System located at
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of this permit.
Date: / 1:7 Approved by
?.P 4-7
,E:p /�D
0
G-
TOWN.OF BARNSTABLE
ATIO y!z .N A
...
:.., J. SEW AGE #
YkLAGE 4 L& 2 L°h ASSESSOR'S MAP& LOT.73---079
i::III STALLER'S NAME&PHONE NO. A6 �1 CorS 7 7
?: I)MC TANK CAPACITY I� CA
:G1rACFiING FACILITY: (type) ' (size) 1�'�O�Ya 2)
>:NO:OF BEDROOMS 3
0RMITDATE: COMPLIANCE DATE:
Separation Distance Between the:
.,:Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
'r'. ate 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
;shed by
•.i':
:35
Y
TOWN OF BARuNSTABLE �
LOCATION 19 Grr.�ri 1 'Ai. SEWAGE # 9 7- 73 3
VILLAGE 6eg)W,44�4j'�i°. ASSESSOR'S.MAP & LOT/73 07�
INSTALLER'S NAME&PHONE NO. 77�
"SEPTIC TANK CAPACITY ���►+�
LEACHING FACIL=: (type) ! ( , 61AMIWS (size)
NO.OF BEDROOMS
BUILDER O� 7`J1 V
PERMTTDATE: Z'Z 7 —Z 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"-leaching facility) Feet
Furnished by
�30
as - SY a
LOCATION SEWAGE PERMIT N
L-01L a. 4-) , ll DRY
VILLAGE
INSTALLER'S NAME A ADDRESS
9
s UILDE R OR OWNER
6 x e e vh b Yt e Y` Coy() .
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
L-OST C-tt;zj I)s(3td)P- PLAN `
aasP£CIFU R
� {'t1c�VY�
O
x/
t
P —7
3 6olf
No........ . -�11... Fps. ... ..................
1/ 13 THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
Applirttfion for Diopos al Works Tonstrnrtion ramit
Application is hereby made for a Permit to Constructor Repair ( ) an Indivi 'ewage Disposal
System at: ---
• `Locatio}� A�d�dress /+i n or yLot No. !�
.... _. .0 �iw !!✓•?1. •---�V/� ----- ..................................F -/`--�. .0) ...... ... ................
'e Ownef / . A dress
Installer Address
Type of Building Size Lot..__` }_.9�Sq. feet
Dwelling—No. of Bedrooms....................
Dwelling Attic Garbage Grinder
A4 Other—Type of Building ............................ No. of persons.....___..._....._...__.___. Showers ( ) — Cafeteria ( )
Q, Other fixtures ------------------------------------------------------.--------
W Design Flow....................5 � __._.__-__gallons per person per day. Total daily flow__._..............7.3.1— .gallons.
WSeptic Tank—Liquid capacityl�i?-t?_.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. ft.
Z Other Distribution box Dosing tankA-14( )
'—' Percolation Test Results Performed b 6! .F Date ...�" /
a y.. ---- ----
14 Test Pit No. I minutes per inch Depth of Test Pit...... _. _.... Depth to ground water_.___
fs, Test Pit No. 2________ _minutes per inch Depth of Test Pit....`. . Depth to ground water...l! ..
x ----- I......................................••-• ... .........;_ , s� _. ,I �
Description of Soil----------- •-•--------•---------------------•0-•••-••......-•...... - �----- _Sc------ -----
x
W j�. j �._------------
� ---------
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 TITL 1Z 5 of the State Sanitary Code—The undersigned furthe rees not to place the system in
operation until a Certificate of Compliance has been issued by the boa of eal .
Signed---- .. . --- ... ... ✓fJs/ ���
G
Date
ApplicationApproved By................. ------- ...... .... . . .. . ...............0......... .........................................
Date
Application Disapproved for the following reasons-------------
.............................•-------•--......--•-••------------••---.....-•-----------•---•----------------------------•-------------------..........................................................
Date
Permit No......................................................... Issued.------------•---------•---
j ---...---••---------------•
Date
a �
No.._._.g't! :r:n 6, Fizz............._.............
THE COMMONWEALTH OF MASSACHUSETTS
`► N BOARD OF HEALTH
..........0 ..........OF........ ...........
Appliration for Bispsal Varkii Tomitrurtwit "rrmft
Application is hereby made for a Permit to Constructor Repair ( ) an Indivi Sewage Disposal
System at:�D .:�1.� ��........................
Locati n-Address �ad� or Lot No.
_ f` . ....='�---•-•----..4....... ------ ............-.....................
.Za....._.....
Owner Address
•�r... r
5 � A..................................
Installer Address
Type of Building Size Lot...4(:S��._9 .Sq. feet
.—I Dwelling—No. of Bedrooms...............--�___......._._.._.._......_Expansion Attic Garl3age Grinder
aa Other—Type of Building
yp g ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
P4Other fixtures ------------------------------------•--•-----------------•---------••••-......---------
W Design Flow.................-.5...._........._gallons per person per day. Total daily flow____-__--_-7.3-0....._.._.......gallons.
WSeptic Tank—Liquid capacit}�LY?D.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 ResultsPerformed by �'`� Date---------. .......
Test Pit No. 1.........s V minutes per inch Depth of Test Pit---------. Depth to ground water......
(i Test Pit No. 2-----_�minutes inch De
pth e th of Test Pit.......
p p . Depth to ground water...
___.....bt-'
.......................................................... • ,.
- -
O Description of Soil----•-------------••----------------------------.......------.Q C� ' `' ......... ------S
xa..
U •--------- c ----•-
••-•-•-•-•-•-----------------•-••-----------...... -------..................................---•-------------._......._....------•---•-....----------------•-•------------•---------•----------•.......
V 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 TITLL 5 of the State Sanitary Code— The undersigned further agrees to place the system in
operation until a Certificate of Compliance has been issued b board of h 1 .
Signed.................... •. -------•--••-------•--••------............... _..
Date
ApplicationApproved By..................................................................................................
Date
Application Disapproved for the following reasons-----------------------------------------------------•--------------------------------------•--------•--•-•--••-
-----•---••---•----------------------•--...------•-•••---------•-•-••-•--..__.....--•-............--•-•-.------•--.......--•-------------------•-------------------------------------------------•--•--.
Date
PermitNo........................................--•---=---------- Issued........................................................
Date
i
THE COMMONWEALTH OF MASSACHUSETTS
, BOARD OF HEALTH
../.0&40""'................OF........... o041 .ff �. ..............................
(9rdif iratr of T nt rlianre
THIS IS TO CERTIFY,,That the Individual Sewa isposal System construct ) or......... Repaired
by-•---------------•------•-------•--•------._..-- -?..041* I ,� _
. • ---- ----------------••...._...-•---•-• ........
. '' Instal °r
at --•-----.......
--------------------------------(. _ -- P=
has been installed in accordance with the provisions of TITLE .`C/-
5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No..................... ...._v_.. dated------------------------- _.....................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE...............................1. -''..� ..._..... Inspector- �----------------•--•-•--------•-•-------....-----
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No......................... FEE..
Mip anal Workii 01.1nnotrudilan Prnuttf
Permission is hereby granted................... ......---- -• -- -•---- .............................................
to Construct ( or Repair ( ) an In i dual wage Disp s System ��, ,vim
atNo. �} ��............. er . I�/-----...'..................
Street
as shown on the application for Disposal Works Construction Permit No..................... Dated..........................................
....' r
DATE. Board of,,Health
h//z-y, --------------
FORM 1255 A. M. SULKIN, INC., BOSTON
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(H OF MA
ssq CERTIFIED PLOT PLAN
2
OF
B a!t� A s
o ' ra�� �R08E92T �c�'ar LOT � ��c E'9 7 H/L L rzD- y
MORSE v, GC/!/ VJL..LE
BRUCE 1
,o p�C�V/ ���� �.DR.EGIs
D y} IN
�FSSIONAL���
Np SU�ti
SCALE, = 40 DATE S,4� a.
��IE�`/✓3 B2 !
LDREDGE ENGINEERING CQ IN
CLIENT—' I CERTIFY THAT THE PROP03Eb
-
EGISTERE REGISTERED F3 zL
JOB N0. _ BUILDING SHOWN ON TH13 : PLAN
CIVIL LAND. CONFORMS TO THE ZONING: tAW3><
ENGINEER R Y DR.BY '--
OF.. B RNSTABLE MASS.
712 MAIN STREET CH: BYi k• B,E
N.YA N N I S� M A SHEET 'OF OA . E REG. LAND SURVEYO�t
/VOTE /FW E/7f1CR_7`NE SEPT/C TAN DER .
zo Fl. M//V• GEACN/wG P/T A/M F MORE. rNAJV /2"B1•LOyV �x
rel►O�, 24'!lIAM FTER CoI�/c'R: T.l�
/D pr. M/N. StNAZZ 9F APAP0 4NT TO 61rA PA..jAN .SIrrR^
�nln�0 CONC>ZBTE 4'PYC PIPE tiEAYY C�'1 ST./RO/Y•COi/E`R SHALL BE USED
MlN. P/TCN IF/N ,DR/VE'yVA y.
COYE/Ts
2 MAN. G'4/VCRE'TE I
dpE CO✓ER CL EA ..SANG
6,4CXF/LL
_ U<QU/D LEVEL ....
2 LAYER
. k.CAST
/RON P/PE �O00 GAL. e° • • • • • . • • • • e WASH.-D 5MAIAE "
MIN.P/TCN D/ST • • • • • • a • • ear
SEPT/C TANfC Box • • B • . . .• ,•a •
• ° ' • • DEPTt/ •_• • ' o AS/dE0 STONE
/7S•`I K 2.S = ��D • • • • • • • • • o p o PRECAST SEEPAGE
9xl,o = l ► ,, • • . • • • • • d .If P/TOR �V/✓.
I AIVZAT &L EYAT/DIV S
In D
/NY,ERT AT Q/J/L.D/NG T. C(SEE wowzlLAT)0N>
INLET SEPT/C 'TA/VK FT,
OUTLET SEPTIC TANK G�' �' FT.
t7/STR/9LtTlON BOX 6/6 6 F? SEC
/NLET T ION OF GROUND 14�ITE/� TitdLE
!rS•S FT - /.(.G•G.J, Gi4C.C S RDJusr, �S-
OUTGET®/STR/BI/T/ON BOX SEyV,�GE p/.S'/�01SA t SYSTEM
/NLET LFACN/NG f�/T �FT. TAQIlLATI
LEACH/NG Ic"/T vIIyENs/aN A :�-'' FT.
YCALE X4~ s / -O D/>• VS/ON 5- --FT. / l
DES/GN• C/?/TER/A D/MENS/ON C `� FT.C/"��J
/vutieER of BEORooMs 3 SO/ . OG
raAROAGED/SP05AZ. UN/r ►' L L
TD/L TEST
TOTAL E1T/MATED FLAW 2a GAL.140AY SO 14 TEST / SO/L 7EST.2 �.�
/ f^FLEK -� r`- 4FY• G $-U DATE OF SO/L TEST 5- �Z�
NUMOER aF L,EACNIJVri P/TS i
S/DE LEACHING PER P!T 175,5 PT. U_Z o - / RESULTS h/ITNESSED dY
BOTTOM L64CN/NG PER P/T S4• FT i `0 F Awl L;7�"�1 '-E7tCOLAT/ON /CATS /
SQ. FT. Sv35O/L 5Lj3S0/G AEhCOLAT/GNRATE/�2 TH���M/N�/NCH
TOTAL LEACN/NG AREA z,o
RESERI�ELF4CN1N6AREA SQ. FT. Z' _ /O / �! // ' Sp L r�F-'ST jam_
OFM U>fScJl7RncLs' �� LOT
��`�
ROSE4RT �}� •
&? ICE `�' o MORSE in j: (ice LJ °) (p✓o GJF J
o R.EDGE /� No.10951 O Q ELOR�EDS&EINGINAVRING Cit?
v ,o &C�04-Qk' 7t2 MAIN .97:. NYANN19, /MASS.
�STEF• ®�'J_ �CFFSSONA���\� �L 5-li.0 [L s7•
Mp St r3 GRO UNL7 .WATER AT ELE% T.3 Z.0 SNEgT OF
✓0 No.
Permit Nur.ibcr: Uatt:
Completed by r0oL�
+ H I GH GROUND-WAT ER LEVEL COMPOAT ION S
Site L o c a t ion: -- Lot No._
Owner: Address:
Contractor: Address:
Notes:
STEP 1 Measure depth to water table
to nearest 1/10 ft . . . . . . . . . . . . . . . .3
date
STEP 2 Using Water-Level Range Zone
and Index elll Ma P 1 oca t1e
r ,
site and determine: _
b 25� A) Appropriate index well . . . . . . . . . . . .
B) Water-level range zone
STEP . 3 Using monthly report"Current
Water Resources Conditiops" ---
determine current depth to
water level for index well � � �---
!__Y
mo .yr
k: STEP 4 Using Table of Water-level
Adjustments for index well
(STEP 2A) current d€pth to
water level for index well
(STEP 3) , and water-level
zone (STEP 2B) determine
water-level adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
STEP 5 Estimate depth to high water
by subtracting the water-
level adjustment (STEP 4)
+ frorn measured depth to water
level at site (STEP 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . —
i
1
SYSTEM DESIGN: ALL SHALL
LEGEND
SYSTEM PROFILE MARKEDSYSTE
WITHC MAGNETIC TTAPE OR BE NOTES �o�f
P
GARBAGE DISPOSER IS NOT ALLOWED PROVIDE WATERTIGHT MIN. 20" DIAM. (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS APPROX. NGVD 6 6
99 _ EXISTING CONTOUR ACCESS COVERS TO WITHIN 6" OF FIN. GRADE PROVIDE INSPECTION PORTS TO Route
X gg_' EXIST. SPOT ELEV. DESIGN FLOW: 5 BEDROOMS ® 110 GPD 550 GPD WITHIN 3" OF FINISH GRADE 2. MUNICIPAL WATER IS EXISTING Service Rd
- TOP FOUND. EL. 68.14' 0
USE A 550 GPD DESIGN FLOW 2% SLOPE REQUIRED OVER SYSTEM 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT.
99 PROPOSED CONTOUR MINIMUM .75' OF COVER OVER PRECAST
73.0' z
[98.41 PROPOSED SPOT EL. SEPTIC TANK: 550 GPD (2) = 1100 PRECAST H-10 PROP. TEE 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS Street
RISERS (TYP.) TO BE AASHO H-1Q Locus 00k
TH1 RE-USE EXISTING SEPTIC TANK** 2'0 ss.1' 4"OSCH40 PVC
PIPES LEVEL 1ST 2' 5. PIPE JOINTS TO BE MADE WATERTIGHT.
TEST HOLE
YYY Z
70.0, 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH POods
LEACHING: �: Three
10
310 CMR 15.000 (TITLE 5.) a W�equaquet
2_ SLOPE OF GROUND IXIST. Q lake
�Q, UTILITY POLE HIGH CAPACITY INFILTRATOR 29.56 SF PER ' SEPTIC TANKss 64.7't*
69.59
J�� "o 000000000aon°O�c 6' MIN SUMP 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO r
UNIT Q Q7 0 00000000 of 12" MIN. INT. DIM. , p
202 o ° ° ° ° 0 0.92 BE USED FOR LOT LINE STAKING OR ANY OTHER
550 GPD/
0.74 GPD/SF 743 SF LEACHING "::, = _ _ O�Q 69.83' 69.66' 68.6T PURPOSE. a
�' FIRE HYDRANT , EFFLUENT
TITS EF 4 a
yY° R EQ D � : .-... EFFLUENT FILTER �U 7 5' 17 FIELD � o
NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING (OR EQUAL)
Q ED)IN GAS 36 H-20 HIGH CAPACITYE INFILTRATORS
8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. of
743 SF/29.56 SF/UNIT = 25.1 UNITS DEFLECTOR (NO STONE PROPOSED) 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED �oke�00t
6" CRUSHED STONE OR MECHANICAL WITHOUT INSPECTION BY BOARD OF HEALTH AND �o *
USE GRAVELLESS SYSTEM OF (36) H-20 HIGH x COMPACTION. (15.221 (2]) PERMISSION OBTAINED FROM BOARD OF HEALTH.
CAPACITY INFILTRATOR UNITS IN FIELD 7.1'
CONFIGURATION OF 6 ROWS OF 6 UNITS ( 1 % SLOPE) ( 1 7. SLOPE) 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING
DIGSAFE (1-888-344-7233) AND VERIFYING THE
LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES LOCUS MAP
36 UNITS X 29.5 SF = 1062 SF > 743 SF PRIOR TO COMMENCEMENT OF WORK. C �S '�/ A
1062 SF (0.74) 785 GPD (OK) BOTTOM TH 2 EL. 59.5' 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE NOT TO SCALE
NO GROUNDWATER REMOVED 5' BENEATH AND AROUND THE PROPOSED
PUMP LEACHING ENCOUNTERED LEACHING FACILITY. ASSESSORS MAP 173 PARCEL 79
FOUNDATION EXIST. SEPTIC .TANK. 6' 205' D' ' E30X 9' FACILITY
CHAMBER 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND
MA REMOVED OR PUMPED AND FILLED WITH CLEAN SAND.
APPROVED DATE BOARD OF HEALTH
PROFS. MIN.-'20 WATERTIGHT COVER TO GRADE
ALARM AND CONTROL PANEL
TO BE INSTALLED INSIDE PROVIDE QUICK DISCONNECT FOR PUMP
*THE INSTALLER SHALL VERIFY THE BUILDING. ALARM TO BE ON
LOCATIONS OF ALL UTILITIES AND ALL SEPARATE CIRCUIT FROM PUMP
BUILDING SEWER OUTLETS AND
ELEVATIONS PRIOR TO INSTALLING ANY 32'
PORTION OF SEPTIC SYSTEM
r.rrrr rrrr✓ rrrr i✓rr� ..
r..r�.r
INV. IN 64.5'
**INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT 1000 GAL. H-10 S/ 2" PRESSURE LINE
1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE 550 GAL.+ SLOPE TO DRAIN BACK TO PC
WITH 1500 GALLON SEPTIC TANK APPROPRIATE TO SITE ALARM ON RESERVE
CONDITIONS IF NOT SUITABLE FLOAT SWITCH 0.25" WEEP HOLES TEST HOLE LOGS
SETTINGS: PUMP ON CHECK VALVE
6.6" WORKING RANGE 5»
MYERS SRM 4
6.6" SUBMERSIBLE 4/10 HP PUMP ENGINEER: DANIEL A. OJALA, PE, SE
PUMP OFF 10" SYSTEM (OR EQUAL) WITNESS: D. DESMARAIS, IRS
"fcDcf DODO 0 0 0 000c�- 6" CRUSHED STONE OR COMPACTED BASE JUNE 22, 2011
DATE:
PUMP CHAMBER-,
' PERC. RATE _ < 5 MIN/INCH TH 2
(NOT TO SCALE)
WATERPROOF/WATERTIGHT CLASS I SOILS P# 13324
PROP. VENT WITH CHARCOAL FILTER 294„80' ELEV. ELEV. ELEV. ELEV.
AND BUGSCREEN (FINAL PLACEMENT BY 2 3 4
CONTRACTOR WITH HOMEOWNER II 0" $7.6' 0» 73.0' O 73.0' O 67.6'
„ CONSULTATION)
BENCHMARK
A
GRADE AT COR rA '4 A
OF BARN • ' I I /LS /SL /SL �LS
EL. - '70.6' ,
1OYR 3/3 1OYR 3/•2 1OYR 3/2 1OYR 3/3
- -
„ „ It
a __- - ___ --,ram-_. _- 6 _.
71
5' REMOVAL OF UNSUITABLE SOI'� REQUIRED LOT 2 I \ , B B B B
AROUND PERIMETER OF LEACHING FACILITY,
DOWN TO SUITABLE SOIL LAYER (DOWN / BAIRN 431565 SF I ST. \\ �LS �LS $$LS /LS
SAND,T06MEET SPECIFICATIONS OF 310 CMR // _ _ I \ oHwl Es 24» 10YR 7/8 65.6' 30•• 10YR 7/8 30„ 10YR 7/8 24„ 10YR 7/8 65.6'
15.255(3) /
C1 C1
�, I / 69 / I I /VFS VFS
/ 11 » 10YR 7/8 „ 10YR 7/8
3 �f 1 / EXISTING PAVED
24„ \ { } ✓ - GARAGE DRIVE II PERCHED H2O 48 48
/ PINE \� / PERCHED H2O
15.s' / @ 60" VFS C2 C2 VFS ® 60„
X {� } I 68 - - - - - - - - W - � \-f1 (EL. 62.6')
/ \ Z w___ -w � I SILT LOAM SILT LOAM (EL. 62.6')
o �� / I _ _ �`{ r IQ �w�_ II m STANDING H2O 10YR 7 3 72 67.0 72 67.0 10YR 7 3
/ / STANDING H2O
- "
PLAQ+„ Gsl '� DECK 11 -1 (EL. 59.6') PERC VFLS SIEVE VFLS (EL. 59.6')
EXIST.
/ ` I SAS II p sT ----- I I - 2.5Y 7/3 2.5Y 7/3 » ,
�0 X i�! } II APPROX.I p
r 156 54.6 162 59.5 162 59.5 156 54.6
/ FIREPIT
4 _ I I ~---PROP. 1000
TH 1S i ' �I II p GAL PC II I I r NO G-W
1 - } 0 NO G-W
12 CHERRY O & I _ BENCHMARK
p w
TH 4 y` COR BULKHEAD
EL. 67.4 EXISTING o N I I m
PROVIDE THRUST BLOCK S �� "{` 1 DWELLING
PROVIDE II
S �,\� EL.= 68.14' II
S
61
\ II
DECK II TITLE SIT PLAN
OF
SMALL SPIKE _ II
EL. = 66.4' - - -
_ II
317,6g'
II 19 GREAT' HILL DRIVE
WEST BARNSTABLE
r
PREPARED FOR
I
BORTOLOTTI CONSTRUCTION/
- - BRAD TRACY
off 508-362-4541
fax 508-362-9880
downcape.com
' �,ZH OF qs
down cape engineering, inc. ��� sgcy `j"OFMAss�c JUNE 29, 2011
�° DANI6LA• DANIEL yGs REV. 7/11 /11 (3 BR)
civil engineers o OJALA REV. 7/12/11 (5 BR)
land surveyors CIVIL OJAnLA N
939 Main Street ( R to 6A) P p �, No.40980„
YARMOUTHPORT MA 02675 o�F�rr TES G��`` Sc 0 �� Scale: 1"= 20'
--7112I-Lo Y S/0 L �� N.
0 10 20 30 40 50 FEET
DATE DANIEL A. OJALA, P.E., P.L.S.
>- 139
t ,
-- -- - - --