HomeMy WebLinkAbout0322 GREEN DUNES DRIVE - Health 322 GREEN DUNES DRIVE
Centerville
A= 245 - 130
SMEAD
KF_FPING VOU ORGANIZEn
No. 12534
2-153LOR
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TOWN OFBARNSTABLE
LOCATION 3da Grce,v 1>a-" —Or SEWAGE#
VILLAGE Ccr,3 \J y ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO.-, Pr 1CovJ�Sr�r �e�3-�00-7/SS
SEPTIC TANK CAPACITY �xistl W c
LEACHING FACILITY: (type) Soco l\A-1b ChGMbelj' (size) Y.Z X IX. By 2--
NO.OF BEDROOMS 5
OWNER A r,,r�-orl P
PERMIT DATE: COMPLIANCE DATE: 3-3- �
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility C j 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 s/��/�; 862LA)d �Nc
3a�Grc�v a.�Nes �. A of T -a I
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Dr7` 31
Dom"N
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No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
0[pphLation for Misposal �&pstrm ConstCULtion 3permit
Application for a Permit to Construct( ) Repair(✓f"Ou'pgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 51Z Owner's Name,Address,and Tel.No.
Assessor's Ma /Parcel —
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size j ,Rt sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) SS-(, gpd Design flow provided CoC gpd
// IPlan Date Ca//k/ Number of sheets 2 Revision Date
Title
Size of Septic Tank Xr X/5mvC Type of S.A.S. c{_ L FIN C " al-s
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) //05h-d Awk atoo 0 SM Ql( 'r
%ram 1::2!5!5 r,� c�-j aA
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 Board of Health.
i e Date
r
Application Approved by a Date
Application Disapproved y Date
for the following reasons
Permit No. r Date Issued
J
l
8 7} 4
N m �j b Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered incom uter:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Y
ftphration for -Misposaf 6pstrm Construction J)Prmit Y
Application for a Permit to Construct( ) Repair(V Upgrade( ) Abandon( ) ❑Complete System '❑Individual Components
Location Address or Lot No. �2� Owner's Name,Address,and Tel.No.
Assessor's a /Parcel 1144,/ 0n1
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel..No.
. A . I5rowr� L.X
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building (jS �, No.of Persons Showers( ) Cafeteria( )
Other Fixtures t
Design Flow(min.required)/ gpd Design flow provided. E� (�� gpd
Plan Date THT Number of sheets 2 Revision Date
Title
Size of Tank Septic i �"
P _�X/S�'IiwJ' Type of S.A.S. tr/ li� �r 116ry /'"/2�.oi hpjCS
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
�-GEES-- G A
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 Certificate of
Compliance has been issued by this Board of Health.
f
Date 4,61.6
J
Application Approved by Date
Irit'� Application Disapproved-by Date -
3 for the following reasons \
Permit No. Date Issued
----------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
I Certifitate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(� Upgraded( )
Abandoned( )by D A ,�`aNI P4 A)C_
at :3 2 'X—!_fF� ����� �{ has been constructed in acco
with the provisions of Title 5 and the for Disposal System Construction Permit N t j /Cj
Installer 1D,A , l 7(n,j,,\ Designer
#bedrooms (' Approved design flow 1\ gpd
The issuance of this permit shall not be construed as a guarantee that the system will n 'on as designeld.
� 7
Date - ` 1 U Inspector J
No. Fee__������✓
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS
Misposar 6pstr Construction VPrmit
91
Permission is hereby granted to Construct( ) Repair( UpgradeAbandon( . )
k , �
System located at s '� � Z 6; e
R �
d t
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title and the following local provisions or special conditions.
t `
Provided:Cons ti ust co eted within three years of the date of this permi. {
Date .C� Approved by
r
I
Town of Barnstable
OpjXE Tp�
Regulatory Services
BARNsrAELE, Richard V. Scali,Interim Director
9�a "9. �0� Public Health Division
rfD"'pr0. Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644
Fax: 508-790-6304
Installer& Designer Certification Form
Date: 3 2'" Sewage Permit# 2vjCj - yam Assessor's Map\Parcel 2��`� 3`4)
Designer: =hc `n�er-'n� t lcr�lcs iVlrr Installer• G7- A - ai vtC
Address: )2 t+v .Crb,S; .e/c/ Address: 0 3csx" i S
]z;_ej A G z6ycf
On -%G-J� �� ./� :a.s l"` was issued a permit to install a
(date) (installer)
Septic system at / `Z ctr- k-", *D t,-►k3 v f'lbased on a design drawn by
(address)
�A�j;'ri en'rty; 111a;,14s Jh( dated I`l 1 C(
(designer)
1 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.. Strip out (if required) was inspected and the soils
were found satisfactory.
I
I
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. Strip out(if required) was inspected and the soils
were found satisfactory.
I certify that the system referenced above was constructed in with the terms
of the I\A approval letters (if applicable)
(Installer's Signature) �yy1L
No.35109
GISTO
(Designer's Signature SUM(Affix Designe ere) }PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE I
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:'.Septic%'Designer Certification Form Rev 8-14-13.doc
Engineers note:This certification is limited to an as-built inspection of system components as installed prior to backfill.The
engineer did not supervise construction of the system.The installer assumes responsibility for all materials,workmanship,backfilling
to specified grades with proper compaction and setting risers/covers as shown on the design plan.
Town of]Barnstable r#ik
Departinent^of. Regulatory Services
ta�ar� hublie Health)Division Date
�p.'L619.'w,r. 200 Main Street;Hyannis MA 02601y
Date'SchedWed...._... a �_ _.__. __ ._;'Time ('.��,4U
.._ ]FeePd.- se:
: r
Soil Suitability ,Assessment,fog° Sew .e Aspo9d
1'erformeilf3y: -S Witnessed By: C, V, IN till Tin c
h
LOCATION& GENERAL INFORMATION
Location Address �?,2 &Y-tAC Dust s Owner's Name Nlel('i�
C ev1-�- V,k k Address to,e I &) 0-`
Assessor's.Map/Parcel: 24 13.d W, l�Ya to N ts�� �C721
S Engineer's Name n i►"�
NEW CONSTR�U7CTION . REPAIR Telephone#
Land Use: I«S,9e4 �- _ Slopes(40) 0 Surface Stones c L#
Distances from: Open Water Body -D .'ft 'Possible Wet Area 7zeQ ft Drinkingwater-Weh %S Ci ft
Drainage Way___7 Z6..D ft Property Line 4� ft Other ft
SKETCH'(Street name,dimensions of jot,exact•locations of test holes&pere.tests;locate wetlands in proximity(o.holes)
9cl, _ ..
-0,
Parent material(geologic) 6u-4-w R1 I, Depth toedrock ' v �
Depth to Groundwater. Standing Water in Hole: 1�UF�e Weeping from pit FRCe
Estimated Seasonal High Groundwater
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used: .
Depth Observed.standing in obs.hole: _ _-_ -_ in, Depth to Soil mottles:, in:
Drptl to weeping from side of nns,fiotei __ _, in. Oroitndwnter Ad�usttnenk __� _. _ _ ft.
Index Well# Reading Date: Index Well level„ Adi.'Factur _ Adj.6raufidwttterlevel m
PERCOLATION TEST bath Tune
Observation '�(�
Hole# � " Time gt Y
Depth of Perc 0 Tlmeat 6"
Start Pre-soak Time b 1"tme(9"•6")
End Pre-soak
Rate Min./Inch.
Site Suitability.Assessmcnt. Site Passed V• Site:Failed Additional Testing Needed(YIN) '
Original: Public Health Division Observation Ilol..e Data To Be Completed on Back-----------
**If percolation test is to:he conducted within 100' of wetland,you must first notify the,
Barnstable Conservation Division at least one(1)week prior.:fo beginning.
Q:\SEPTIC\PERCFORM.DOC
DEEP OBSERVATION HOLE LOG Hole# i
Depth,from Soil Horizon Soil Texture Soil Color Soil other
Surface(in.) (US (Munsell) Mottling: '(Structure;Stones;Boulders..
on istengy.%Gravell
A t0'T(Zylz
R
c-t
•
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Con si c % ravel
DEEP OBSERVATION IHOLE'LOG Hole#
Depth from Soil Horizon Soil Texture. Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,.Boulders.
Consistency, Gravel)
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(it ) (USDA) (Munsell) Mottling (Structure,Stones:Boulders.
onsi t il ra
Flood Insurance.Rate Map:
Above 500 year flood boundary \o_ Yes
Within 500 year boundary No Yes
Within LO0 year flood boundary No—�fl yes, - o
Depth of Naturally Occurring Pervious Material
Does at least four feat 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
\.l '1z'iY .(date).I have passed the soil evaluator examination:approved by the
DepaTunent of Environmental.Protection and that the above analysis was performed by me consistent with -
the required trairiing,expertise and experience described in 10 CMR:15.017.
Signature_
Date I ZZ� (C`t
Q:�.SEI'TIC�PERCEORM:DOC
FFs...` d................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Allp iration for Diiri.pooal Workii Tomitrnrtion ramit
Application is hereby made for a Permit to Construct ( ) or Repair (0O an Individual Sewage Disposal
System at:
...... ... ...'------•• .......----•....-e.I..v�..5-----------®/C... ------•--.............--•-.......'... ......�1 . �relZ.i
Location-Add� or Lot No.
.......... .....AL—mije -------------- •. ••--•-- • -• ----
_ Owner Address
Installer Address
UType of Building _ Size Lot............................Sq. feet
Dwelling—No. of Bedrooms--------------------_________----------_....Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
a' Other fixtures ------------------------------- - -
w Design Flow......._.__.< .....S .gallons per person per day. Total daily flow-...........��..................gallons.
WSeptic Tank—Liquid capacity d..galIons Length................ Width--------.__--- Diameter---.------------ Depth................
x Disposal Trench—No. -----/............. Width....4..._._.__... Total Length.-- b......... Total leaching area--------------------sq. ft.
Seepage Pit No....=4- .___-_.-- Diameter..._.. Depth below inlet--__-6............ Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by-----------............................................................... Date........................................
a
,.� 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------------------------
Q.,' ................:.....................................•-------------•••--------------------------•--.........................................................
0 Description of Soil.........................................................................................................................................................................
x
c,
w
U Nature of Repairs or Alterations—Answer when applicable_.--.. .. __. o-----_-.�_____________C±_._h3__
.........CIL..---- t'TrL!�'"...Y...S t� �TY�vcFT- s.../yJ�
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE.5,of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliant s een issued by e board of health.
Signed -------------- --------- -- ----- v«
Date
Application Approved By ............ �� .....................................- - ----5 -1).--.'/.----
Date
Application Disapproved for the following reasons- --------------------------------------------------------------------------------------------------...................................
--------------------------------------------------------------------------------------------------------------------------- ----------- ------------------------------------------------------------------ -------------------------------------
Permit No. ......... L
q. r �v7........... ..... Issued ................................... e......
Dace
A
L
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliratiou for Di-wipw3al Work,6 Towitrurtiurt Vrrmit
Application is hereby made for a Permit to Construct ( ) or Repair (oO an Individual Sewage Disposal
System at:
--------------------------------------------------------------------•-_._... .................................... -----------------------------------------------............
Location-Address or Lot No.
-----.✓vl/�d-RZ,�1�--------------------�J ----------L�. . � -_t�.v,v..............................
�f'►�'rv. �
Owner Address
Installer Address
UType of Building S Size Lot.................... q. feet
..� Dwelling— No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
`a Other—Type of Building No. of ersons____________________________ Showers
� yP g ---------------------------- P ( ) — Cafeteria ( )
d Other fixtures _______________________________ __ --_"
--------------- ---•--..........----•---- ----------
W Design Flow........... gallons per person per day. Total daily flow.._--_-..-__ _ ..................gallons.
WSeptic Tank—Liquid capacity.Sv_.gallons Length________________ Width---------------- Diameter---------------- Depth................
x Disposal Trench—No. .....f---__-------- Width----�....._._-___ Total Length----J?y_..._. Total leaching area....................sq. ft.
Seepage Pit No.. r.......... Diameter------__o'........ Depth below inlet___.6_-......... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by-------------------------------------------------------------------------- Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit.____------________ Depth to ground water.._______-_.____---__--.
GZ Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
9 ._......•-•-----------------•------....------------------.......-•---•......•-•-•--•••••......•-----.........................................................
0 Description of Soil........................................................................................................................................................................
x
V ......................................................•-------------------••--•---•-•----••-••--•---•-----•---••• --•-----•--------•----•---•------•---•••--•--•••---•--•--•-----............-••---•--•-
W
x ---------------------------------------------------------------------------------------------------------------------------- ----------------------------------•••-••......--••-•......------..-•-••-
U Nature of Repairs or Alterations—Answer when applicable.______._._..__.�....... ..............
-71
..................•..
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance Has een issu d by the board of health.
Signed --------.ls. ..1. � �' ��_1
------------------
Application Approved By .
------ - -�..:.-.�-�_ - ------------------------
Application ................ ....
Disapproved for the following reasons: .. ... ... ................................................. ................ .. ... . ......Dare f
.................................................................................................... ................................................................................................... ........................................
Date
Permit No. ------- . ......�...�.vLl Issued
/ Dare
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
CIler#ifi a e of Cnontyliance
THIS IS TO CERTIFY, 1 the Individual Sewage Disposal System constructed ( ) or Repaired (,N )
by ----------------------------------------------- /s" ✓ -,�=,ZTc G�.-3`7 c=l ^-s' ----lr✓, � �o--J. - ..... - - -
Instuller
Jam- �---�f�1 ---------li---(L�►--�/ ...,---------(nJ.--------!'7, ......sf'udZi-.
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ------..`{` .. 1.-:���_../,:-� _-- dated ...............................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE......,/417...:�74F'C '� _ Inspector-'' - _,'�---- -
----------------�—/-------- ---------------------------------------/---------
v — /30 THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
No. r... =.. - / FEE........................
nrk� �rr�t�tr�rti�n �rrmit
Permission is hereby granted................... ............................................ %2_,vs_�_... 7G_!�.__.__......._......__._....__to Construct ( ) or Repair ( an Individual Sewage Disposal System
at No.......................................•-•-- .. �,.�. /)U-._t16'.S_....•.�-�__ LAJn y /•IJ.[ /-'e ..�
Street r.
as shown on the application for Disposal Works Construction Permit No.&-_.� ��Dated.......�..-�.?:.. �.......
( / V ..... Board of Health
DATE................. ... . 7.
FORM 36308 HOBBS&WARREN.INC..PUBLISHERS
f TOWN OF BARNSTABLE
r. - "»
LOCATION3X bfxZg�;7 SEWAGE # 9�1--S6oZ
VILLAGE ASSESSOR'S MAP & LOTq���=/3�
INSTALLER'S NAME & PHONE NO. 1-0771-r60�007-
�
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type 4j(size)
'_-`may
NO. OF BEDROOMS-PRIVATE WELL OR LIC WATER
BUILDER R OWNER ZLAf
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: lfle-zv le
VARIANCE GRANTED: Yes fNo
gear
� IF
f
.........Z
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
�cU ----.......... ..--- .......0F.....-± s E---------------------------
_�%� Appliratiou for Uhgp aal Workfi Tnnitrnrtion lirrumfit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
L 0 z- �s -• / -e�J u u1 Es 02i vE' i-�-
.. ........... •........................................ ---------------------------- . ... .
L lion Address r t
.......� �'Lt F N~�YO7►1>E_ .-dGKJ�.�....:�..........`--•- 'urn!/-GM_d....
-- • e---_ - - -------------- •---------
Owner Add
a .....-•-•.....................•--•-----...._.....---------•---•--•-•••-
Installer Addres
U Type of Building/ Size Lot.....3.-. .....--__Sq. fee
Dwelling lL No. of Bedrooms.......... __•....._______________________Expansion Attic ( ) Garbage Grinder (�
Other—Type of Building No. of persons............................ Showers — Cafeteria
---------------------------•------------------•-•---------...............----------
� Other fixtures ------------------------ ------------
W
Design Flow....._ ......ls-..__gallons per person per day. Total daily flow--------- ...gallons.
WSeptic Tank—Liquid capacitya?OICkallons Length------------_-- Width---------------- Diameter................ Depth................
Disposal Trench—No--------------------- Width.................... Total Length.......... Total leaching area-_____- __.----.sq. ft.
Seepage Pit No------2.._______-- Diameter-__-- l�.______. Depth below inlet----- .......... Total leaching area�-T_,.3Z.sq. ft.
z Other Distribution box ( ) Dosing ) . Y
7 7d
`" ' Percolation Test Results Performed by__-r — /0//7)7,
- --------- -/.Y�•s9------------------- Date- ----- •---•-----------...-----
aTest Pit No. I................minutes per inch D pth of Test at_________ .__.____.. Depth to ground water.___..__-._._.___..____.
(i Test Pit No. 2................minutes per inch Depth of Test Pit__-_____•-_._.__-_-- Depth to ground water........................
O ...............................................................__... _._._'_f..�........�.._.....-.-......_.. ..............................
Description o Soil tz4o?.... tea' 1 " ... ------
x ---••---� L•-�- ......----• --...
. -- - w
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 THT1 � 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has bee sued by the board of health.
Signe
Application Approved By.......... __ .. . ._..._..--•--- -----------------•_Dat--••-•---------
Date
Application Disapproved for the following reasons---------------------------------------------------------------•--------------•--------------------._..........--
---•----...•----•---------•---•-•---------•----------•-----------••-•---•-------•------••----------------'---•••••--•-•--------------------------••---------------------- ----------------_------------
Date
PermitNo......................................................... Issued_._..........................
�/JJ !`v -�• l
No....... Fis..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
1
tt+� ..............OF..... . - 1 ,ee
Appliratinn for Bhnpoii al Works Cnnni#rnrtion ramit
Application is hereby made for a Permit to Construct (y or Repair ( ) an Individual Sewage Disposal ?:
System at `
•_.. --••---- -•-----•-• -----...•---
tion ddress or Lot
...............................................................f� 7r t7 h?1 ---- ............+ )................................................' l rV re r1f -----
,r� Owner Address
_.__..... .-----•--^•••-•••..... ......... ......... .... .._... ......
Installer .f Address
Type of Building Size Lot"�►� ?,0__g7k._____Sq. feet
V Dwelling-
Other—Type No. of Bedrooms.___..'�___________________________________Expansion'Attic ( ) Garbage Grinder
<.
a Other—Type of Building .........__._________________ No. of persons............................ Showers ( ) — Cafeteria ( )
Q' O her' tures
______.................. allons er erson er da Total dail flow............................................ lons.
Design Flow_____ g P P P Y Y
W
WSeptic Tank—Liquid capacityValP allons Length................ Width................ Diameter-_-.___________ Depth...................
Disposal Trench=No_____________________ Width.................... Total Length.......:_. Total leaching area....................sq. ft.
Seepage Pit No..___ s.._____._ Diameter___ �_._____._ Depth. Uelow i I t__._r ..__. Total leaching area4: r _-sq. ft.
Other Distribution box ( ) . . Dosing k ) 40 / '
z Percolation Test Results Performed.by.__`' . ..-- x mod.....-. ---•----- Date-- "
aTest Pit No. 1_______________minutes per inch Depth of Test it.................... Depth to ground water........................
Test Pit No. 2................minutes per inch,. Depth of Test Pit.................... Depth to ground water---_....................
o --- - T • ------
Description Soil_.
.......... 1 .- �:...-------- -----•-------•••-•------•••----••-
W ----------------------------------------------------------------------------- .....................................................•--•--••-•••------------•-------•--•-••-=-=-•---------......_-••---
UNature of Repairs or Alterations—Answer when applicable................................................................................................
----------------------------•--------------•--•-•--•---------------------------------------------------•-•-----•-••---••---••----•--•-••-•----•--•-•---•-----•--•-•-•-•=-=-•-••---------------•-_----•
Agreement:
• The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with provisions of TIT .;.;.
the p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has bee ri sued by the of health.
Signe ------•• -__----• /-----
Application Approved B ______. .......................................l _ Data�j� _
Date
Application Disapproved for the following reasons-------------------= -------------------------•---------------------------------------•••---•---
••-•----------•-•._........•---------•--....••-----•-••-•.......... --•••-••-
..............•-----------------•...•.--••---•..._-••------••-----•---•-•-•-•- -------•--------•-••--...------------•--------
..
Date
l 3
Permit No......................................................... Issued_........-•------------------•-----•---
9....._---••---••-•-
Date
THE COMMONWEALTH OF MASSACHUSET TS
BOARD OF HEALTH
. ...................OF..... -.kt?1`1)X �''.........................................................
(Irtifiratr of (�unt�li�anr�e
T..............
I IS TO CTIFY That the Individual Sewage Disposal System constructed ) or Repaired ( )
by -•-- -� -....=- --------- -----•--- ------. ..------• --......._...-•------ -
Install
.� � _
at.................. ---- -----• --- ---- -- -- ------ - ---- ------
has been installed m accordance with the provisions o F j of The State Sanitary Code as described in the
application fox Dlsposal:;xWorks Construction Permit 1, o____ _________�_ ................. dated---/.e_�.._.". .........................
�p
THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED S A G RANTEE THAT THE
SYSTEtilWILL FUNCTION SATISFACTORY.
y:-: Y— / 3
DATE:`::-......•---•---._F.............. C�...._......... Inspector.... _rl.. ......
THE COMMONWEALTH OF MASSACHUSETTS
.- _..
7 BOARD F HEALTH
¢ OF..
No..... FEE.a2..:�~............
, laillvo l World Tnn#r ionYrrmit
Permission is hereby granted__._. _::.:!( _.__ ' ' � ` ' - -------------------•--•---.._...-•------- ••----..__._. ....
to Constr (A or. Repair ( ) Individual Se e Disposal S temp.I,• y
at No.. _! nrl _.._ _ _ ._. "� �. .. .. �....................
Stre
as shown on the.application for Disposal Works Constructio ermi 0.
et :____. _ Dated.../`.Z.`_4�...... Q'_ ..... '
= •--•--------------•---.....
Boar ,ram"
DATE............
/ ............../•---------- --------------------------------- �.
FORM11255 HOBBS & WARREN. INC.. PUBLISHERS
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Tbw" OF `gA�:tJ�,Ta� n �.At3p �.OUeI" 1�L.Aai ��7Co`j4 =
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To -pETER.Mi NE t-OT UWS4.
?17 -� ISO
t C C A TION ZZ S WAGE PERMIT NO.
VILLAGE
�ct - `'Yi r s f d Y l
INSTALLER'S NAME i ADDRESS
BUILDER OR OWNER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED ��/ 7�
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® � ���
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i
- 97--EXISTING CONTOUR h N
x 100.98 EXISTING SPOT GRADE
---ter-- PROPOSED CONTOUR
W � Chadwick
EXISTING WATER SERVICE = Ave
G EXISTING GAS SERVICE A Craigville Beac Ro d
LCP�5694 0 OH W -OVERHEAD WIRES 3 C
TEST PIT s
+•21,83 S 19'39'46" W Greer Duneso m m BENCHMARK
960.01' SHED LEGEND
Maple Street
_ G o \` I LOCUS
+21,34 1` 22.78 \ l
20,74 42' P � <� POOL
2
I LOCUS MAP
NOTTO SCALE
+2i3.36':
0 [0,75r. ass l EXISTING "FAILED" S.A.S.
/ \ i TO BE ABANDONED GENERAL NOTES:
BENCHMARK I O l 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL
COR./APRON I (cC � x 22,os BOARD OF HEALTH AND THE DESIGN ENGINEER.
EL.=22.34 I It 22.19 �Oi OLD LEACH PITS
x 1 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
� STORAG �_� )x 23.20 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE
O < LOCAL RULES AND REGULATIONS.
7 :; GARAGE O cv \ 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR
~,i,%`••.c <;' :.' EXISTING SEPTIC TANK TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE
DESIGN ENGINEER.
22.21 t ` TOP OF TANK, EL.=20.65
INV.(OUT)=19.30E Z 4• ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
` FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN
23,10 2,93 ( ENGINEER BEFORE CONSTRUCTION CONTINUES.
91 �I
„ •� ,:,., PA TI 5. ALL ELEVATIONS BASED ON ASSUMED DATUM (BARNSTABLE G.I.S.t).
:.:,... ��� 22.21 tN
,. _..:.,: :t,.. DEC
N'.:y'., .... ;. .. .- x 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
RNSE - ? THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
21.22 rn .'..c tij'_^A`<`! \�` X 1.97
HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
7. WATER SUPPLIED BY TOWN WATER SERVICE.
21,20 F T
� 8. THERE ARE NO WELLS WITHIN 150' HE PROPOSED S.A.S.0 0
,E XIST/NG 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS
AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE•;;q?.-, ,,,
HOUSE 322
+ ;;
DIRECTED BY THE APPROVING AUTHORITIES.
r .. 21.3
T.O.F.=22.7f
=�. \ 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY
D•;:;r; �� O x 21,53 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
CONSTRUCTION.
.:.:•; .;.:.;.r:�F. \ x 21.32
11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
21,39 ^11.08 1 IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND.
REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3).
07
12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE
.?;;:::. ::: Of �1q INSPECTED BY A LICENSED SOIL EVALUATOR PRIOR TO BACKFILL.
3 2 LOT 15 P��� s`59�, 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND
4:.
f 'y CONSIDERED A PROPERTY LINE SURVEY.
32,906 SF G IS NOT TO BE CO E o PETER T.
McENTEE
20.03 `19,84�� v civlL
•y. ��
C�
_
130No. 35109 PARCEL ID. 245
35" ,
160. �00'
zo.o2 E
_
CB : `4<: N 19 39 46 E - s PROPOSED SEPTIC
SYSTEM UPGRADE
PLAN
21.o-a- ,�
322 GREEN DUNES DRIVE
--- PK SET
18.65 18.99 ' 19.17 (e(f y I (0 �VV�
Prepared for: D.A. Brown, Inc., P.O. Box 145, Centerville, MA 02632l
3,2,2 GREEN DUNES DRIVE i MARTONOE, MARIE TRUSTEE Engineering by: SCALE DRAWN JOB. 1
I MARIE E MARTONE REV LIV TRUST Engineering Works, Inc. 1"=30' P.T.M. 148- 9
P.O. BOX 309 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO.
W. HYANNISPORT, MA 02672 (508) 477-5313 06/14/19 P.T.M. 1 OF 2
NOTE: TO PREVENT BREAKOUT, THE PROPOSED ,
FINISH GRADE SHALL NOT BE < EL:18.5 - 42 __ POOL
f' FOR A DISTANCE OF 15 AROUND THE T _____ _ 24
SEPTIC TANK PERIMETER OF THE S.A.S.
INSTALL RISERS & COVERS OVER INLET PROPOSED S.A.S. i
AND SET TO 6" OF FINISH GRADE. PROPOSED D-BOX PROPOSED S.A. -j I L----- ------
•PROVIDE TWO ACCESS MANHOLES TO WITHIN 3'
OF FINISH GRADE FOR INSPECTION PURPOSES ry
INSTALL WATERTIGHT RISER &
T.O.F.=22.7t COVER SET TO 6 OF GRADE - �001
EL.=21.8(MAX.) N o
F.G. EL.=22.Of � F.G. EL.=22.2f � F.G. EL.=21.4f /F.G.
MAINTAIN 2%' GRADE (MIN.) OVER S.A.S.
L = 64' L = 23' GARAGE
® S=1% (MIN.) ® S=1% (MIN.) {
7 q- 4"SCH40 PVC 4"SCH40 PVC
[6- _J'
0"t Ba aaoo a6
141•lu B" 6BBa...
aa66aa6
EXISTINGALL 48" LIQUID
LEVEL ADDJ 4' j 4.8' 4'
GAS BAFFLE INV.=18.40 PROPOSED INV.=18.23
INV.=19.30 D-BOX EFFECTIVE WIDTH = 12.8'
INV.=18.00
EXISTING SEPTIC TANK 4-500 GALLON LEACHING CHAMBERS
SURROUNDED WITH STONE AS SHOWN
H-10 RATED
TOP
BREAKOUT EELEV. 1188.50 SEPTIC LAYOUT
NOTES: INV. ELEV.=18.00 ease
aaaa
MEN-191-MIN)
aaaaa
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE BOTTOM ELEV.=16.00 eases
INVERTS, PRIOR TO INSTALLATION. 4' 4 x 8.5'=34.0' 4'
2) D—BOX SHALL BE SET LEVEL AND TRUE TO GRADE 4' MIN. OF NATURALLY OCCURING EFFECTIVE LENGTH = 42.0'
ON A MECHANICALLY COMPACTED SIX INCH CRUSHED PERVIOUS MATERIAL
STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). 5' MIN. ABOVE GROUNDWATER LEACHING SYSTEM SECTION ®®®® 0
3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTT. OF TP-2, EL.=10.3 — ®®®®®® ® ®®®Ea33"
4) CONTRACTOR SHALL INSTALL A GAS BAFFLE ON 3/4 WASH O1- 2" DOUBLE N ; ®®®®®® ® ®®®
THE OUTLET TEE. z
3" LAYER OF 1/8" TO 1/2"
SEPTIC SYSTEM PROFILE DOUBLE WASHED STONE
(OR APPROVED FILTER FABRIC) 102"
DESIGN CRITERIA SOIL LOG 4" KNOCKOUT DATE: APRIL 23, 2019 (REF. P#15,951) 20 DIA. COVER
NUMBER OF BEDROOMS: 5 SOIL EVALUATOR: PETER MCENTEE PE(SE#1542) /
SOIL TEXTURAL CLASS: CLASS I WITNESS: DAVID STANTON R.S. HEALTH AGENT 4" KNOCKOUT 4" KNOCKOUT 58"
DESIGN PERCOLATION RATE: <2 MIN/IN ELEV. TP-1 DEPTH ELEV. TP-2 DEPTH 0 .
(0.74 GPD/SF LOADING RATE) 21.3 0" 21'.3 0"
DAILY FLOW: 550 GPD FILL 20:3 12"FILL 4" KNOCKOUT
DESIGN FLOW: 550 GPD 20.3 A 12" A
AMY GARBAGE GRINDER: NO L10YR 4/2D L110YR a/2 500 GALLON CAPACITY, H-10 LOADING
LEACHING AREA REQUIRED: (550 GPD) = 743.2 SF 19.8 B 18" 19.9 8 17" CHAMBERS
.74 GPD/SF LOAMY SAND LOAMY SAND
EXISTING SEPTIC TANK: 2000 GALLON CAPACITY (PER PERMIT) 18.5 10YR 5/8 34" 18.6 10YR 5/8 N.T.S.
33"
PROPOSED DISTRIBUTION BOX: 1 INLET, 3 OUTLETS C PERC I C PROPOSED SEPTIC SYSTEM UPGRADE PLAN
USE 4-500 GALLON LEACHING CHAMBERS IN SERIES
SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES MED. SAND 32/50" ' MED. SAND 322 GREEN DUNES DRIVE, W. HYANNISPORT, MA
SIDEWALL AREA: 2(12.8' + 42.0') X 2 = 219.2 S.F. 2.5Y 6/6 2.5Y 6/6 Prepared for: D.A. Brown, Inc., P.O. Box 145, Centerville, MA 02632
BOTTOM AREA: L 12.8' x 42.0' = 537.6 S.F.
Engineering by: SCALE DRAWN JOB: N0.
TOTAL AREA:................................... ........................756.8 S.F. .10.31 132" 10.3 132 Engineering Works, Inc. 1"=20' P.T.M. 148-19
DESIGN FLOW PROVIDED: 0.74 GPD/SF(756.8 SF) = 560.0 GPD NO GROUNDWATER, PERC RATE: <2 MIN./IN. 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0.
(508) 477-5313 .06/14/19 P.T.M. 2 OF 2