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0016 LOOMIS LANE - Health
rl 6 Loomis Lane Centerville A= 230— 167 —.004 5MEAD No. H1630R UPC 10259 smead.com • Made in USA ti W SECTIONSENDER- COMPLETE THIS SECTION COMPLETE THIS DELIVERY ■ Complete items 1,2,'and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date Delivery ■ Attach this card to the,back of the mailpiece, or on the front if space permits. D. Is delivery address different from Item 11 es 1. Article Addressed to: If YES,enter delivery address below: ❑No 3. Service Type L9 Certified Mail ❑Express Mail I1 ❑Registered- 0 Retum Receipt for Merchandise I .❑Insured Mail ❑C.O.D. 4. ResMcted Delivery?(Extra Fee) ❑Yes 2. Article Number' I (rmnslerfrorn service jabeg � _i i; i7g06 0810 0QP0 i 3524 7960 I PS Form 3811,February 2004 Domestic Return Receipt 102595.02•M•1540 I I UNITED S' TATEJY 8 V E MA Cr } • Sender. Please printyour name, address; and ZIPZ in:this box.• .,� a. `e..n• o�C �J 0.0.�a�.b� f � MA 02 lsa\ 1f+1f???/?hill ifjlllilit ?f?ftl/i?? I?I011HI III?11111fi � Should you have any questions regarding the above violations, please contact the Town --Healer Division and ask to speak with the inspector who-erforrn -the-inspection----- PER ORDER OF T . :, CHO RD OF HEALTH as A. McKean,R.S Director of Public Health Town of Barnstable Cc: John Picano, Tenant Cc: Timothy O'Connell, Health Inspector Q:\Order letters\Housing violations\Rental ordinance\16 Loomis Lane.doc FORM30 HAW HOBBSB WARREN'M THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY/TOWN = Wlie b EPARTMENT ADDRESS CSo` g6 9 Lt 91 4f4� GSM ye"•ems TELEPHONE Address � � _ _ Occupant__ '4 Floor _Apartment No. __ No.of Occupants No. of Habitable Rooms 7 No.Sleeping Rooms-3-- No.dwelling or rooming unitse2i� Name and address of owner_ Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: .. Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: _ ►v Hall, Floor,Wall,Ceiling: Hall Lighting: CO Hall Windows: ` HEATING Chimneys: Central ❑ Y ❑ N E ui . Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: 11110 ❑220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom —Pantry Den —Living Room AI I t Bedroom(1). Bedroom 2 3 �'}� Bedroom(3) �::d lad Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Stacks, Flues,Vents,Safeties.- Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJUR ." INSPECTOR TITLE DATE ��0� _ bro TIME � - P.M. A.M. THE NEXT SCHEDULED REINSPECTION ��_ P.M. oo ♦.d}K -• I d". 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water_sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR.410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410,251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. , (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. I Certified Mail#0000 0000 0000 0000 0000 � trti Town of Barnstable f< Regulatory Services �Y Y ,ph�.'CCrtrt pyy :yf#, 4ctQ Thomas F. Geiler, Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 date 30 dame — ess city,state,zip NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000 STATE SANITARY CODE II — MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE COD CHAPTER 170. The property owned by you located at 16 was inspected 0 (Address) .Fj �� on I�-/a/ 0 by , Health Inspector for the Town (date) (In ector, name) of Barnstable, (Reason for inspection) The following violation(s) of the State Sanitary Code were observed: State code violation number- iolation de ri tion a A/ 105 CMR 410. y$ — 61 105 CMR 410. 105 CMR 410. 105 CMR 410. Q:\Order letters\Housing violations\Rental ordinance\template.doc Al i 105 CMR 410. The following violation(s) of the Town of Barnstable Code were observed: (Town code violation number-violation description) §170-_ - §170-_ - You are directed to correct the violations listed above within ( ) days en#) of your receipt of this notice by (w 'tt c(#) You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable ` Cc: (Name,tenant,owner,Fire Dept.,Building Dept....) Cc: (� (Health inspector's name) (Generic codes located at QAOrder letters\Housing violations\Rental Ordinance\GENERIC CODES.DOC) QAOrder letters\Housing violations\Rental ordinance\template.doc 3 � C ram, i k csc�c �.1�►,J,e c e�,� c Z @ Z • �5 fir^ way l Parcel Detail Page 1 of 3 d .� oeur, /r' t .'xw fine �i Logged in As: Parcel Detail Tuesday, Octob, Education 10 Grade Barnstable High SCFhMj Lookup Par R% 198-1.,...-..._.._-0-bta1ned Construct oa—Sup_emsors-Uc_enses-while moo,c.�g.__ Parcel ID 230-167-004 —For Elko Construction compal Lot I Locat' S L nta 'P981I6thg9� '°perked for(�api7Zi Home imnr vel�f�ffP L Man] Sec Road Sec Frontage villapqqRITjjXILLSuilt nwn nmmpan;lzf..Tank I-eBo F AIlu1 Sewer Acct _ Road Index 0922 Interactive Map _ ........... Owner Info Owner'CAHOON, EDITH R TRS Co-owner DITH R CAHOON TRUST Streetl 130 LOOMIS LN Street2 City 10EN� TERVILLE state MA zip;02632 country I S Land Info Acres 0.50 use!Single Fam MDL-01 zoning Nghbd 0105 Topography Level � Road Paved__ Utilities FPublic Water,Gas,Septic Location Construction Info Building 1 of 1 Year 1985 Roof[Gambrel (Wood Shin le .__... Built^ Struct! Wall 1 g Effect;_._--- -___ Roof, ....�- _-. AC _-.... g� Area 12498 Cover JAsph/F GIs/Cmp Type Style Colonial al l Wall ry Int'D wall Bed 3 Bedrooms i Rooms l Model F4esidential Int� � ___���� _-�� Bath�2 Full + 1 H Floor- Rooms? Grade(Average Plus Heat!Hot Water _m_ Total 17 Rooms Type Rooms http://issql/Intranet/propdata/ParcelDetail.aspx?ID=16459 10/31/2006 . Parcel Detail Page 2 of 3 777717 " s Heat Found- 1 orb stories 1 3/4 Stories Gas Poured Conc. Fuel ation n y � P Permit History Issue Date Purpose Permit# Amount Insp Date Comm 9/2/1985 B28435 $70,000 1/15/1986 12:00:00 AM CE 2 9/1/1985 B28435A $70,000 CE 2 Visit History Date Who Purpose 12/12/2000 12:00:00 AM Paul Talbot Meas/Listed 8/15/1986 12:00:00 AM HM Sales History Line Sale Date Owner Book/Page Sale P 1 6/15/1991 CAHOON, EDITH R TRS 7566/211 2 12/15/1983 CAHOON, HERBERT R 3972/145 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2006 $213,900 $0 $400 $159,900 2 2005 $196,200 $0 $400 $145,400 3 2004 $159,900 $0 $500 $145,400 4 2003 $154,300 $0 $500 $37,500 5 2002 $154,300 $0 $500 $37,500 6 2001 $154,300 $0 $500 $37,500 7 2000 $120,800 $0 $0 $37,500 8 1999 $120,800 $0 $0 $37,500 9 1998 $120,800 $0 $0 $37,500 10 1997 $130,600 $0 $0 $33,800 11 1996 $130,600 $0 $0 $33,800 12 1995 $130,600 $0 $0 $33,800 13 1994 $126,900 $0 $0 $27,000 ; 14 1993 $126,900 $0 $0 $27,000 http://issql/intranet/propdata/ParcelDetail.aspx?ID=16459 10/31/2006 Parcel Detail Page 3 of 3 15 1992 $144,300 $0 $0 $30,000 16 1991 $138,300 $0 $0 $60,000 ; 17 1990 $138,300 $0 $0 $60,000 18 1989 $138,300 $0 $0 $60,000 19 1988 $118,500 $0 $0 $28,400 20 1987 $118,500 $0 $0 $28,400 21 1986 $0 $0 $0 $24,100 / Photos http://issql/intranet/propdata/Parce]Detail.aspx?ID=16459 10/31/2006 (6 t _ o- r Certified Mail#7006 0810 0000 3524 7960 P��s ra�ti Town of Barnstable 0 ' Regulatory Services nnxrisrneLE. p MASS. Thomas F. Geiler,Director °MAMA Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 January 10, 2007 Edith Cahoon 30 Loomis Lane Centerville,MA 02632 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE H—MJNIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 16 Loomis Lane, Centerville was inspected on December 28, 2006 by Timothy O'Connell,Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The followingviolations of the State Sanitary Code were observed: ( ) i 105 CMR 410.482- Smoke Detectors.- Observed smoke detector on second floor not working. You are directed to correct the violations listed above within twenty-four (24) hours of your receipt of this notice by fixing or replacing smoke detector on second floor. *Note: The Hyannis Fire Department has been notified that during the inspection, it was observed that no CO detectors were present on either floor; also that the smoke detector was not working. They may be in contact if found in violation. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. QAOrder letters\Housing violations\Rental ordinance\16 Loomis Lane.doc I Town of Barnstable Regulatory Services &ARNST"M : Thomas F. Geiler,Director 059. Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 December 28, 2006 Attn: COMM Fire On December 28, 2006 Health Inspector Timothy B. O'Connell conducted a housing complaint investigation. The State Department of Public Health has not promulgated regulations for CO detectors into 105 CMR 410.000 the State Housing Code to date. It is the policy of the Town of Barnstable Health Division to take similar actions for CO detector violations as is currently required for smoke detector violations (under 105 CMR 410.482), which is to notify the Fire Department if there is a violation, or possible violation observed. The following property had possible CO detector violations: 16 Loomis Lane Centerville,Assessors Map-Parcel: (230-167): -No CO detectors present first or second floor. Smoke detector on second floor not working. Timothy B 'Connell, Health Inspector Q:\Order letters\Housing violationsTental ordinanceUire Violations\CO TEMPLATE.doc II YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. - it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1$t FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: ma wo 00 ` Fill in please: AM mi an APPLICANT'S YOUR NAME: �Dou6-L6s cy BUSINESS YOUR HOME ADDRESS:/L Gebo-i4s Z.+ �TWOO TELEPHONE # Home Telephone Number '77Y-Y�`7-• NAME OF NEW BUSINESS Dov .46 Ai TYPE OF BUSINESS �,6os�e lLes�.9%ns IS THIS A HOME OCCUPATION? YES h Have you been given approval fro t ' divi ADDRESS OF BUSINESS & MAP/PARCEL NUMBER ` S-Q When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the To n aI Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St.-(corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1_ BUILDING CO ISS NE R'S OFF CE This.indivi al h bf any permit requirements that pertain to this type of business. A thin ig0ature"" MM NTS: i — S inu V__ CA' i 2. BOARD OF HEAL H This individual has bee informed of thkpermit requirements that pertain to this type of business. Authorized Sig ature" /J COMMENTS: RenQr1 ffa�1-�_�1 f� tt �12, ®'VICE 2V I&A Lin :s t fe j 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature'" COMMENTS: w Date: Y/ /► /0/- TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: ' 12a-Aiv-1/7 BUSINESS LOCATION: ,� �ne.�s%S �'"'r INVENTORY MAILING ADDRESS:_C,126aenAI,11l4 TOTAL AMOUNT: TELEPHONE NUMBER: `Z 7 Y— V F7"' CONTACTPERSON: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: AAA PA e i%L INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous,waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) _ Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & rooting tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor&fur'nitufe strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers �- o afl clfS (including bleach) _ Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents �- Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS TOWN OF BARNSTABLE ;'-'.00ATION l aR'I l_S L^o. SEWAGE a X Z VILLAGE Ce!A -' y ASSESSOR'S MAP & LOT4232 fk-72 Y INSTALLER'S NAME&PHONE NO. Wy%•c.�P.-4baalaa ldl; S yicz 509- -7•7Y- 9 77,4 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) a-X (size) v2y X Y .� NO. OF BEDROOMS 3 BUILDER OR OWNER C6�00AJ PERMIT DATE:a COMPLIANCE DATE: o� 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 Tb a 6 f s A— r3-i - �q a L7 03 4" r No. v'-� FJ 1 0 0 .Yeso" THE 60MMONWEALTH OF MASSACHUSE`7S Entered in computer: t PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,. MASSACHUSETTS 01pprication for &!5potar *paem Conttruct :on Permit Application for a Permit to Construct( . )Repair(X)Upgrade( )Abandon( ',) ❑Complete System ,El Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 7 7 5—4 9 4 4 16 Loomis Ln, Centerville Edith Cahoon Assessor'sMap/Parcel 230/167-004 30 Loomis Ln, Centerville Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel:No. 3 6 4—0 8 9 4 Wm E Robinson Sr Septic Eco—Tech PO Box 1089, Centerville 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinderl�o ) Other Type of Building 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 Type of S.A.S. Description of Soil ' Nature of Repairs or Alterations(Answer when applicable.) Install a new Title 5 leach system to plans of Eco—tech, #ETE-2002. Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this B d of ealth. Sign e Date '`' j Application Approved 6 Date Application Disapproved for the following reasons h Permit No. aOO 5 �c_>N-3 Date Issued Z -� t, � C;; a No. rJ i t Fe'e�1 0 0.0 0 5 Entered in computer: " THE COMMONWEALTH OFMASSACHU' SE`TTS', Yes • w. PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 4 Zipprication for �Migozal *pgtem Construction Permit Application for a Permit to Construct( )Repair(X)Upgrade( )'Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 7 7 5—4 9 4 4 16 Loomis lLn, _.enterv,ille Edith Cahoon . Assessor's Map/Parcel �. .t}J 1 �?7•-00 4° '; 'L47C?t�t;l T.it3 rrs:il ' Installer's Name Address,•and Tel.No. 7 '� 7�� Designer's Nanie,Address and Tel'No �_9 4 Wm E Robinson 'Sr `Septic Eco-Tech PO Box 1089, Centerville 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(no ) Other Type of Building 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 Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when a �licable) Install a new Title 5 leahh system to plans of Eco-tech, #en;-2002. i 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 b this B d of 'ealth. / P Y Signed �i Date -2 Application Approved by, Date 5 Application Disapproved for the following reasons Permit No, Date Issued THE COMMONWEALTH OF MASSACHUSETTS Cahoon BARNSTABLE, MASSACHUSETTS Certificate of (compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( )Repaired (X )Upgraded( ) Abandoned(( )by Wm E Robinson Sr Septic . Service at 1 6 Loomis Lane, Cen ery a has been constructed in accordance with the provisions ot -Tii1jee 5.and the for Disposal System Construction Permit No.RUa ,a�,2 dated S�Z Installer "`--t.� V Designer__ C4 The issuance of this permits 11 qot e.construed as a guarantee tha[. sys f ilh ction as designed. Date (p Inspect No. X 5 FeA100.00 Cahoon THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Oigonl *pgtem Construction Permit Permission is hereby granted to Construct( )Repair( X)Upgrade( )Abandon( ) System located at 16 Loomis Lane, Centerville 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 ust be completed within three years of the date this permi . Date: Approved by � 1 9/16/03 Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I, bl ge iic� D . La4�i Pi®wr ,hereby certify that the engineered plan signed by me dated V%,et`[ 12, "�00 5 ,concerning the property located at (,(o ('00viS (�il�C, Ce►t2r'il/ l� � meets all of the following criteria: • This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. 0 The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or may conduct deep test holes and percolation tests at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation(using GIS information) B) G.W. Elevation 33 5 +adjustment for high G.W. 2' I _ DIFFERENCE BETWEEN A'and B Cf SIGNED :� (�Iir✓✓�'�— �S DATE: qV NOTICE Based upon the above information,a repair permit will be issued for bedrooms maximum.. No additional bedrooms are authorized in the future without engineered septic system plans. gASeptic\percexemp.doc Town of Barnstable �oF tHE r NAP "s Regulatory Services s Thomas F. Geiler, Director BARNSfABM MASS. i639. Public Health Division �0 ArF0N1°�� Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: e _ -D Designer: Eco—Tech Installer: Wm E Robinson Sr Septic Address: 43 Triangle Cir Address: PO Box 1089 r Sandwich Centerville On Wm E Robinson Sr Sept ' as issued a permit to install a (date) (installer) septic system at 16 Loomis Ln, Centerville based on a design drawn by (address) , Eco-Tech dated 05-12-05 (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 certifyt that the septic system referenced above was installed with mayor 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. n � L ly s aller's /i�gp�naature) °£60 L .off v `t{MONINI-I0000 C p gJ �� rr�2 bSSb. , , i.A�f�`a (Designer's Signature) (Affix D'es; ie�rfamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTII THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form O t I; 0CATION SEW ERMIT NO. VILLAGE KI N S T A LLER'S NAME i ADDRESS S U I L D E R OR OWNER 7� DATE PERMIT ISSUED `3 /�-, � DAT E COMPLIANCE ISSUED ®�. v r v N, INN i i ,LQCATII SEWAGE PERMIT NO. .VILLAGE INSTA /�LLER'S NAME i ADDRESS �`�i'� 9:L� s%�p a-y /- �C BUILDER OR OWIftlt DATE PERMIT ISSUED 7 � DATE COMPLIANCE ISSUED 7F- I I r =� J THE COMMONWEALTH OF MASSACHUSETTS a3p l BOAR® OF HEALTH --..........Town.............OF.......Barnst.able...---------._..............--............---........ Appliration for Diipniittl Works Tonstrnr#ion jinmit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: Loomis Lane G n t. ryi 11a,..•.................... •-- - ............. .............- --- Location-Address or Lot No. Herbert Cahoon .......11 LQQmi .. 1�...-------..G 1�. �&v7.�. a INda... ..................•. .... �.. Owner Address W A & B Canco ......3SQ.. n...St.._.Vi....Yar1auth-,..-Ma................. Installer Address d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..................3 .......................... Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of ersons--_-------------_-------- Showers a YP g P ) — Cafeteria ( ) a' 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.........--...........--. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---------------------------------- -... ---......... ----------------------- •--•--- .-------------- .•.-•-•-•--.....---.--.-.---•---•---•--------------------.--- 0 Description of Soil.........................................................-------------•--•-•--•----------------••-•--------.....-•----------•----------•---•------------••......_...--- W V --••-----•-----•-------•---•• ...........................................•--•---•-•----------------........-•----------.....-------••-----------•-----------------------.......----••---•-•------...---- W UNature of Repairs or Alterations—Answer when applicable-._Leach--•Tr nCh......................:..................................... -----------------------------------------------------------•------------•--....-----.............---•----•------•-••----------------.........----------•------------•-----------•-•--•-•------•••------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT Z- 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed...___ .•. ........ -••••-•-------••--......•--- t.Z. .Y�.s�.... ate Application Approved By--------- -----=--- ..... ••.. ........ .....--..._. Date Application Disapproved for the following reasons:................................................................................................................ ---•-•-•-••-•-------•--------•---•-•----...-----•-•------------------------------------------------------•....................---------------•--...----------•••--•-------•--•--•••---•--•----••-••-•••. Date Permit No.---.•---gam —.1 I Z-�............. Issued--------------••-- ....._. .... ---------•_..._Date "-----------^---..._ } THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town........OF.......Barns table ........ ................................................................... Tntif utt#e of Tomplitturr THIS IS TO CERTIFY, That the Individual Sewage Disposal System cons ucted ( ) or Repaired by_........A..& B Canco 330 Main St. W. Yarmout .._...:_;': .1.._.t�u2x.� '�'!----•-----.:._. ... ......_. ..... ............ ..... .__..._ Installer at...........11 Loomis Lane Centerville, Ma. 02632 Hervet Cahoon --...... ...•---•-. -•--•-. ••---•........--••--•---•••--.....•-•....-----••--•--•. - ... ...... .......... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Cotielaj 4escribed in the application for Disposal Works Construction Permit No............��..._......��...S..... dated.........``..... ...... r.................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS RUED AS A GUA NTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..... �:ate..:. _ ..g. ... .............................. Inspector---------... ------. ... ... - - . ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD - OF HEALTH Town OF Barnstable No.. rj1t�_� ......................................... ..................... ............ ............................................. ��—� Fay... ...o.-....... Dispostt arks Tan #r - ntnk�].eotif /V� j Permission is hereby granted.......... `�. < c ea.... 't` =..arc.......................... to Construct ( ) or Repair' (,k) an Individual �Sewa a Disposal System at No {-i......L.O.r,— -�':A..........��_c"� >L.�� ,l.i'...f �----...-�2.�� �............. ....... ........---•- street as shown on the application for Disposal Works Construction Permit No.`2K-"- Dated.....1.219 r? :............... ........................ DATE.:.. �j l Board of'Health ........................................................ FORM 1255 'A. M. SULKIN, INC., BOSTON'' r. No.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................. own.....----.....0 F.......Barn s t ap le..-----..........-- Appliratiun for Dispuuttl Works Tonstrartiun "Vrrnti# Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: ....:.Loomis Lane Centryll�.a...................... ............... .1...--..........................--------------............................... Location-Address or Lot No. Herbert Cahoon ...... 11 Loomi. _.L�aMe..........,.C��t�ry lle.,•...M�►x W A .. B C:anco p/� c �„� •....................... •---•-----•----___----^—Owner Address .�rl.Y•----•-•--------•-----•-•-•---------....._ ...... ..�n�__�...r��w--'HIw...x8.t�.Q�.xc�;..MaA................ Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms......................:....................Expansion Attic ( ) Garbage Grinder ( ) a'4 Other—T e of Building No. of persons............................ Showers YP g .......................•---- P ( ) — Cafeteria ( ) dOther 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. 3 Seepage Pit No----------------_-- Diameter..._................ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date _....... - a Test Pit No. 1................mmutes 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........................ f4 ...........-•------•-----•---------------•-----................•----........................._............................................................... O Description of Soil......................................................................................................................................................................... W ... ..... �; .... x --------------------------------------------•--------------------•-•----•-------._.......----......--•-------•-----•--•----••----•.._..---•-•--•--.......----------•--•------•--------------............ U Nature of Repairs or Alterations—Answer when applicable....Leach•_TrenCh______. ----•----------------•------•---------•----•--•-..............-----.............................------•-'-•---.....--------------.......--•---------...--------..._.....-----------......._..----------• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in accordance with the provisions of MIDIS 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in ,. operation until a Certificate of Compliance has been issued by the board of health. Simd-- aJ . ........................... ±.Z. ..9,fta =.... Application Approved By..... .`_.-4 x .... -------..-•--'•-------•- ........ �t Date Application Disapproved for the following reasons:..........................................................................................................--- ----•-•--••............................................•--•-•---.._.....................-------•-------.........--•------------•----•---...............-------•---................................------ Date Permit No......... --` f =`tea -- Issued....................................................... Date �N COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ....................OF.... �...---------------............. ApplirFation for Disposal Works Tutuitrnrtinn Vrrmit Application is hereby made for a Permit to Construct ( t-Kor Repair ( ) an Individual Sewage .Disposal 4 r System at: # ................ .t...._ ................. ........_..... .� ..._... -�-----------....----•-------.....--- ............ cation-Ad ress or Lot No. _A Aj .......- f s....__... _Y!! T../ Dl�/L1(�5 Z.!4 ...... Owner A, dress ----- - Installer Address Type of Building Size Lot.__ZCfi__.Z62_ Sq. feet ►., Dwelling—No. of Bedrooms____________________________________ ___Expansion Attic ( ) Garbage Grinder (VA< P4 Other—Type of Building ____________________________ No. of persons.............--------------- Showers ( ) — Cafeteria ( ) P4 Other fixtures .......................___ W Design Flow....................................... 3—gallons per person per day. Total daily flow..._._._..__.__.______.__a�Q...__gallons. i v i r W Septic Tank—Liquid capacity_L5�gallons Length.?_�_ . Width_ .8 Diameter................ Depth____ x Disposal Trench—No. ........../....... Width_./Q_._-........ Total Length.._.:!2........ Total leaching area__ o-----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-__.�'s_.t�.,_.S r _ ...___ ... Date____f61.. P� ' Test Pit No. 1_!t__�...minutes per inch Depth of Test Pit_..%/-� ..___ Depth to ground water______lP__ ,__. 44 Test Pit No. 2__A-_____....minutes per inch Depth of Test Pit...__s�.0_....... Depth to ground water...130___ ...... 17.P � �L�--t--7-aa�so� .�.. �.�'.-�pL2....�5!gNO F'INZcS_�Ctr�1 O Description of Soil__L_!_l,-£3-•----6.0-*---7-v"........ -�-�r�'N-----M�di�n!1__S_�/��---------4-)A—r 2.--' - y-- pv --------.ev..... fan U Nature of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________________ ..---•-••--•-•-------•--------------------------------•----------•---------------•----._......---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT11 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. y. ApplicationApproved By----- °:.. ......................................................................... .... ....... ..Date--•---........ Application Disapproved or a following reasons:................................................................................................................ --•------------------------•-•-•--------•-•-••----•-----.._...---•--.....--•-----•------•----...---------------------------------•----••--------------•--•-------------•----•---------••-------••------- Date PermitNo......................................................... Issued-..................................................... a - 77 ' �.._..-- •--_....... Fizs............................. THE COMMONWEALTH OF MASSACHUSETTS a BOARD OF HEALTH C/Lti/'/ .....................OF........?:..� .jl...:3•T,r�1C_ '...... Appliration for Disposal Workii Tontrurtion thrutit Application is hereby made for.. a Permit to Construct (t_�Ior Repair ( ) an Individual Sewage Disposal System at: Location-Address or It No. ...:.:D/ Al/. - ...... ------•--•------•---•------------••--•-----• •----------------------•-------•••------------•----•-• ... - C Owner . f Address / ................ ..- -•--- ...................................;1• ... f......;........................ Installer Address UType of Building Size Lot...`�..fc-..f�'-.) ISq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder 00)s Other—T e of Building No. of persons............................ Showers — Cafeteria Otherfixtures --------------.........------........................................................... -•-......................................................... W Design Flow....................................z2Agallons per person per day. Total daily flow.........................V '0�.-_-..gallons. 9 Septic Tank—Liquid capacity!5?2�2.gallons Length.Z?."!L.`.. Width..-:._ .-...._ Diameter_.-..._.._..... Depth...!e......... Disposal Trench—No..._......�__.___.. Width../n........... Total Length__.._ ............. Total leaching area._:�....Q.--___sq. ft. Seepage Pit No.___....`"'" __� Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (�) Dosing tank ( ) aPercolation Test Result Performed by___ :.rG' __:______ Date___ b .�..�....�..... a Test Pit No. 1 ..____:_...minutes per inch Depth of Test Pit.__. ':__.___ Depth to ground water..... ? _..__...... Test Pit No. 2._'(-_;P'...minutes per inch Depth of Test Pit---�r33 21 .... Depth to ground water._e�_�t'�_.'*.__.. pa 'i R01.O 3Ga.._......rILI � ropsol.— , .7a� '�_.^l,-n 5'4NO °+ F1/L'ES e'rc/tr✓ ...... Description of Soil C_r-�c C'T f ...�tf�t t.ti n rt.? 1.4'r-,t! _.,vj � a- / 7, ✓ �' x ... ... ------.....✓ 3�a......•.... _n,• ✓!............................................... �sL . 30" �=} �� /i C/1 1 Nl.l�fO to m ..5744)0 -4 �/c/?(�f t» C�c/7 -f e-/z7�t,J . .. U Nature of Repairs or Alterations—Answer when applicable............................................................................................... -----------------------------------•------•-------•----•--•--------°------------------------•---...----•------------- -----------------------------------------------------------------............---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. I ySig neO............................................................................. - /_ Application Approved BY k -------- Date Application Disapprov f the following reasons------------------------•-------------------------------•-------------------------------------------------------. ................•---•-----•--.....--------------•--------------------•-••--••----•--------•-------------------•---------------•--------------•---------•-------•-----•---------•------•---•---•--•-•_--- Date PermitNo--------------------------------------------------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH c ............... ................................. Tnrtifirab of Tontpliattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( Repaired ( ) by--------.-•--------------------------------------------------•-----------------•-------•-- - ---------------------------.-------------•--------------------------------------- �- ,✓ - Installer at..l::�f------------y-----�•O_c7/�l/`5----------=•/�/---'-�n--------- ---- has been installed in accordance with the provisions of TI State Sanitar Co as d c ibed in the application for Disposal Works Construction Permit N r f .............. dated_ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.....................................�'�= � !.-------•------ Inspector.......... o ./ ', ', ,, .•- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ►77 ...........................................OF....................... ............................. o............ .. F E�•----......._....... Uts�ropal rk �onrnrion rrntt# Permission is herebyante ----------------•-•. .._.......••----..............--- g'1 to Construct (L ) or Repair ( ) an Individual Sewage Disposal System at No r)-�-------#----�----------��aO.....?/r... _ --•-•----• ''.?'�'J ....-/J - Street as shown on the application for Disposal Works Construction Permit :_°' ................ Dated.......................................... ----------------- -,.... •-•-------------...--•--------•---°-----...--------•-••--•------.........•-•-- Board of Health DATE................................................................................. ' FORM 1255 A. M. SULd`iN, INC., BOSTON - FLOW PROFILE ALL PIPE ELEVATIONS SPECIFIED ARE INVERT ELEVATIONS VENT PIPE TOP OF FOUNDATION RAISE COVERS TO WITHIN 6 in OF FINAL GRADE j EL - 56.70 +- ONE INSPECTION RISER FOR LEACHING GALLERY 2" LAYER OF 1/8" D BOX M� 1/2- STONE /3- DROP o� FLOW LINE TEE 10- A = 14_ 48- CAS PRECAST 3i4--I 1/4- RAFFLE 7 .« DRYWELL STONE 52 - 6 m .08+ BOTTOM OF STONE \47.78LEACHING SOIL SYSTEM Na octsr BASE EXtSTNG EXISTING 47.95 GALLERY 47.65 5.00 Ft EXISTING 1500 GALLON (END VIEW) 45.65 E10STMO SEPTIC TANK 47.7 fr a) 5 fr 12.5 ft b) 14 ft ADUSTED 35,60 SEASONAL HIGH GROUNDWATER i s IWo0 � 3NV-1 — — AVM vbl� I D ti m r m r ti y m N g Wm- m r 0 <, Z D� tz m Z r w y�3w7 SVO �' v m ( 0 (,4 mil O '. 00 J VM�Ibd -0 m rV> m a mm � Z O -� _ o a, C) �cc) MMo 0 4 - o G) o s -'a � < o N - o oa N 3 m Z X r Z n (7)G) z o o x 5 t (Z /V 0 0 - o -i C m -t V ti m -v t U) s >N c�,.I rl-1 �' IT m m�—rr, , cmn oo ro x o � o -4,014 � z m x� O 1 O Q m v� y>.' A f170 ,E o Z --� N — cn m o z r < o � >o �' m ��o m 2$, . 111 f— rTl r ;:a o„c)gNw � m � x � Z ino m A Q c cn O ,Z 55 n n � CJ7 -4 F,oy ��,•� l I � m � . 0 C 3 s a»� CO � � Z Can r r�i-' c0 Z _ o �Im t l -4�� 3 m 5 r— 3 D cz� O ---I mO �Z � m3 Ln oVm� N r- y Z Z M SOIL TEST LOG DESIGN CALCULATIONS DATE OF TEST: MAY 9. 2005 SOIL EVALUATOR: DAVID D: COUGHANOWR. RS DESIGN FLOW: 3 BEDROOMS X 110 GPD - 330 GPD WITNESS REQUIREMENT WAIVED - NO VARIANCES SOUGHT NO GROUNDWATER ENCOUNTERED SEPTIC TANK: 330 GPD X 2 DAYS - 660 GALLONS TEST PIT I PER ENT MATEiRIA 2 MIN/CINCH LACIIN C SOILS H USE EXISTING 1500 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL ELEVATION 52.27 •- CONDITION. IF NOT, INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER DISTRIBUTION BOX: USE 3 OUTLET D-BOX. (INCHES) HORIZON .TEXTURE (MUNSELL) MOTTLING 52.27 0-12 Ap SANDY LOAM 10 YR 3/2 NONE FRIABLE SOIL ABSORBTION SYSTEM: A 24 ft x 12.5 ft x 2 ft LEACHING GALLERY CAN LEACH 12-42 B LOAMY SAND 10 YR 5/4 NONE FRIABLE A b o t - ( 24 x 12.5 ) - 300 s f Asdw - ( 24 + 24 12.5 + 12.5 ) x 2 - 146 sf 47.77142-133 C MEDIUM SAND 10 YR 0/4 NONE LOOSE A t o 1 - 446 s f 41.19 Vt 0.74 x 446 - 330.04 GPD USE A 24 ft x 12.5 ft x 2 ft GALLERY. Vt - 330.04 GPD > 330 GPD REQUIRED GROUNDWATER ADJUSTMENT EXISTING GROUNDWATER LEVEL BASED ON TOWN OF BARBSTABLE GIS DEPARTMENT RECORDS. LEACHING GALLERY 500 GALLON DRYWELL DIMENSIONS AND DETAL INDICATED G W 33.5 INDEX WELL AIW-247 CONSTRUCTION DETAIL L H'1O v'''T ZONE C READING DATE APRIL. 2005 DRYWELL UNIT INSTALL ONE INSPECTION READING 22.3 e'-O'X 4'-10-x 2'-9 STONE RISER To WITHIN s INCHES ADJUSTMENT 2.1 2 ft EFF. DEPTH + AND INDICATE FINAL GRADE G \ ON AS-B UILTPLANATION ADJUSTED GW 35.6 24.0 fi o _ M . '^ T N �o�Q o Op_� ^4 NOTES N o 0000000d00000 000�0 �, �a0000aoo Op0 1) GARBAGE GRINDER NOT ALL WITH THIS DESIGN ADO �� 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. 3.5' 8.5- 8.5- 3.5' 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS 24.0 ft NOT TO 102 SCALE OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. 5) EXISTING LEACH PIT TO BE PUMPED, COLLAPSED. AND FILLED, OR REMOVED 6) ALL` STONE TO BE DOUBLE WASHED AND FREE OF, IRON. FINES AND DUST IN PLACE 7) LINES EXITING D-BOX TO RUN LEVEL FOR .2'-0' BEFORE PITCHING DOWN 8) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES SEWAGE DISPOSAL SYSTEM PLAN AND APPLIANCES. AND BIANNUAL PUMPING OF .THE SEPTIC TANK . -TO SERVE- EXISTING DWELLING 9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. E DI T H R . C AHOO N 10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE.,STARTING WORK. 16 LOOMIS LANE CENTERVILLE. MA 11) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED1. AND ON TO WHICH ECO-TECH ENVIRONMENTAL SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING r 121 SEPTIC STRUCTURALg N G,TE .RITDY. DINSTALL PVC OUTLET TF.F FLITTED WITHRY AT TIME OF SYSTEM 'REPAIR AND OR BAFFLE. 43 TRIANGLE CIRCLE SANDWICH MA 02563 ET -20021 MAY 12. 2005 1 2/2 ' 1 i r ' i y. IL � 1 _7\ r j �- �£/l0✓F/'. � 74 / + 5 i _ n� • �' y t��y ' j ( i t1 ` /vk yt +,U. r •+.'� .p C r!rrU A 1 / / Z Per,. C' .17 L_ /1 rG U CJ h.i 1- ` G'Ft(6? r a • r ) AVG' !` Cif If, c l//CLEAN —F3f t'Ci ;kP { � _ fV r __ c �• `.y , ��, -, ca 6 - 4, ,� o�T A `\ O OUW ! AoNAN O L T �c o Ihl O P! 5 N RA[7 41, Fi C's `L , ," W t TN NE. F OnT OF � O V E Q L EA G H AREA � Z" of MA 9ToNE- Fba x; _ ' , '. (1 O M l NJ) 2A� Dv►1. 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