HomeMy WebLinkAbout0031 MOON PENNY LANE - Health 31 Mo;n Penney Rd. Centerville
J A=191.-021
UPC 12534
No.2 �
HASTINGS,MN
TOWN OF BARNSTABLE
r
LOCATION ' MCI" PW A � LA di`k, SEWAGE#
VILLAGE (-e,4AIW A �. ASSESSOR'S MAP&PARCEL !
INSTALLER'S'NAME&PHONE NO.
SEPTIC TANK CAPACITY 0 6,0
LEACHING FACILITY.(type) 5-80 e 11°AMOag (size) /?L SX i Fe6,3
NO.OF BEDROOMS
9'OWNER f
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
YV4
E wb� C jj
A -�f ' Sty•�/ d
�_2 — -X7a3 f
A, fTO VV, STABLE
t �T
LOCAti6N +d` SEWAGE #
y #-�z 1
VILLAGE_Q,r..��n loe,�'/ ASSESSOR'S MAP& LOT
INSTALLER'S NAME&PHONE NO. iA9914a y_
SEPTIC TANK CAPACITY v/U
LEACHING FACILITY: (type) l.,/sl Z7`?V%O/E S° (size)
NO.OF BEDROOMS
OR OWNER
PERMPTDATE: �' -r ? 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
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13,4 cr
Gc
,lam
t �
n�3L /314aZ—
TOWN OF BARNSTABLE
LOCATION 2 k& "-f.4 SEWAGE #
VILLAGE4�,�1/1L.LG ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO.�I/�COM/1j Z
SEPTIC TANK CAPACITY 1677y 6;A t.,
j5'T�
LEACHING FACILITY:(type) l 0-" &pf-f— (size)
NO. OF BEDROOMS �, PRIVATE WELL OR PUBLIC WATER f''�bICG
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE . COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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t.
J
No.. 1. Fee
i THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ZippliLAtion for -MispoSAY *pstrm Construction permit
Application for a Permit to Construct( ) Repair) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.,?:, �, 6��Y L�l Ow er's Name doress,ano Tel.No.
Assessor's Map/Parcel
Installer's Name Address,and Tel.No. 36��;� Designer's Name,Address,and Tel. o �B 52
ELLS
Type of Building:
Dwelling No.of Bedrooms Lot Size 1 1(11960 sq.ft. Garbage Grinder(Alp
Other Type of Building G No.of Persons Showers( ) Cafeteria( )
Other Fixtures L 4c1lUg912)�
Design Flow(min.required) gpd Design flow provided 1 y 2— gpd
Plan Date �'� �j"� j Number pf sheets Revision Date
Title G 4 wl
Size of Septic TTmk �� Type of S.A.S. S ahP U�
Description of Soil
Z '
Nature of Repairs or Alterations(Answer when applicable) l
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 Env' ntal Code t to lace the system in operation until a Certificate of
Compliance has been issued by t ' oard of ? /
Signed Date CY
Application Approved by Date
Application Disapproved by U Date .
for the following reasons
Permit No. Date Issued �� �/
�' ,� it �+ '� �•�-:___i};�� '
No `6( L, \ Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
2ppYication for -Misposai 6pstem Construction Permit l
Application for a Permit to Construct( ) Repair(x) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. '1 C t)aI y ¢ r Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel 'r� r! LE'/V i
Installer's Name,Address,and Tel.No. / - . Designer's Name,Address,and Teel.No.(5> )
r'/ ��7) /ru JI s V,1 ,J Ct
Type of Building:
Dwelling No.of Bedrooms Lot Size f'� U sq.ft. Garbage Grinder
Other Type of Building 5� >�C L/ No.of Persons Showers( Cafeteria( )
Other Fixtures L 4 v G�"" ,�P V
Design Flow(min.required) ? gpd Design flow provided gpd
Plan Date _ I j" _ c%r 1 ? Number of sheets Revision Date
r`
Title
Size of Septic Tank` ����/ Type of S.A.S. ✓GlYv 5 ���'�'�' r`���'��
A
'Description of Soil ! f G�r' / 71V,�
Nature of Repairs or Alterations(Answer when applicable) ',✓ -jfG r /Gf
• if f
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
,caccordance with the provisions of Title 5 of the Envviir ental Code an t to lace the system in operation until a Certificate of
rCompliance has been issued by this oard of H a1th. I
Signed ~ Date
Application Approved by y Date , -i3 -/
Application Disapproved by U Date
for the following reasons
Permit No. C�0/ Date Issued -0-(
----------------------------------------------------------------------------------------------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS.TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( )
Abandoned( )by
at 2tj o P n has been constructed in acco dance
with the provisions of Title 5 and the for Diskal System Construction Permit No. .ZO 17'b 6 dated
Installer (C. , `f f Designer f S U i i/'-P l q 6
#bedrooms J
Approved desi'gn'3io1" n�A 0 gpd
The is of this permit sljall not be construed as a guarantee that the system wili function esigned. P
Date `-,- , b Inspector
I r
--------------------------------=----------------------------------------------------------------------------------------------
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal 6pstem Construction Permit
Permission is hereby granted to Construct( ) Repair ) Upgrade( ) Abandon( )r
System located at � ' rh rj (7 n �1r�/ 1--11 �A P'l I -V r I I "1
v V V J r
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:Construction must be completed within three years of the date of this permit.
Date 13` - Approved by 3,YuLtIL
Town of Barnstable
Regulatory Services
Richard V. Scali,Interim Director
* anttxsrnere,
M^S& Public Health Division
1639. A��
End Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer& Designer Certification Form
Date:!L, Sewage Permit# W12 66q Assessor's Map\Parcel 191 0 a
Designer: S cSOQ_JEY Installer: l I l iS 65s�_1�6 Co4_)-
Address: t 7 S2?'3�oU Address: n r r►S-e � po
On 3 -( �J' ( ��� Ssy.ps was issued a permit to install a
(date) (installer)
septic system at cQR (�� lP based on a design drawn by
(� (address)
dated 3' �
(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. Strip out (if required) was inspected and the soils
were found satisfactory.
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 fiance with the terms
of the IAA approval letters(if applicable) t"OF,ygssq
moo`' DAVID cya
o D.
l " FLAHERIY,JR. �
—`4Designer's"Signature)
nt1 eignature) _lf�
�No. 1211
�C/STEREO
SgNI TAR\N
(Affix Designer rS amp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
Q:\Septic\Designer Certification Form Rev 8-14-13.doc
Town of Barnstable P It Is
Department of Regulatory Services
B &iRNarAmiAa Public Health Division Date 1- 1-7- t 7
MARL
200 Main Street,Hyannis MA 02601
Date Scheduled` t J �' Time Fee Pd.'1 D 0
Soil 't bility Assessment for•Sewage Disposal
Performed•H CSC��
• y Witnessed Hy: U V l d ly•
LOCATION&.GENERAL INFORMATION
Location Address ?jG KrbV� fr,� l LJl{ Owner's Name ra I
re✓L(, 12e- 1 Q5 E L_
vacv�'.r 'e�l^i
Address coCo��.t/or9r�,/E L „af
Assessor's Map/Parcel: t9 L — 2( Engineer's Name
NEW CONSTRUCTION REPAIR _ Tele hone# ��/-SZ� '�00 s J ai
Land Use Slopes(96) s Surfaco StonCs 0 6
`7aGu
Distancoa firm: Open Water Body- possible Wet Area� � ft DrinIdng Water Wcll.may ft
r
Drulhage Way ft Property Line Other 2� ft
SIDE` :(Street name,dimensions of lot,exact locations of test holes&pero tests,locate wetlands?n proximity to holes) Q
v
I
a
` /
Parent material(geologic) cA w ig Depth to 90dr ek If I'
Depth to Oroundwatcr. Standing Water In Hole: Weeping from Pit Fnoa
Estimated Seasonal High Oroundwater 17 Z /
DETERMINATION FOR SEASONALHIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: In, Depth to soil mottles, ,�,►n, .
Dedth'ty weeping from side of o s.hole: In. Groundwater usthlent
Index Welt# �%L Reading Dato: Index Well levol A��-ttrctbr^^ Adj.0roundwater-Level,. Z
PERCOLATION TEST
Observation / — y', ' 'W.-
Hole# �4/CTime at 9"
`7,77—
Depth of Pero S�'t a/c.- ¢ Time at 6"
Start Pro-soak Time @ Time(9"•6")
End Pro-soak
Rate Min./Inch . G Z
ty 5 Sita Fallcd: Additional Testing Needed(Y/N)
Site Suitability Assessment: Slto Passed
Original: Public Health Division Observation Hole Data To Be Completed on Back O-�
***If percolation test is to be conducted within 100' of wetland,you must first notify the,
Barnstable Consel}vation Division at least one(1) week prior to beginning.
Q:\SEPTI0YERCFORM.DOC f
DEEP-OBSERVATION HOLE LOG Hole# n 71
Depth from Sall Horizon Soil Texture .Shcl Color Sall• . Other
Surfaco(In.) (USDA) (Munsell) Mottling (Stnucture,Stoned;Boulders.
o ssl tency.%'Oravel)
� Y
00,
DEEP OBSERVATION HOLE LOG Hole# _ 7/, 7_
Depth from Soil Horizon Sol[Texture Sol]Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
i2ils
y G f v Jaq'0
to
N
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.,
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Sall Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,S;ottes',Boulders,
C
Flood Insurance Rate Map: /
Above 500 year flood boundary No_ Yes .__✓_
Within 500 year boundary ' No= Yes '
Within 100 year flood boundary No,.,_ Yes ;
Depth of Naturally Occurring Pervious Materlal
Does at least four feet of naturally occurring pervitao�rttiterial exist in all areas obsarved throughout the
area proposed for the soil absorption system? ids11��
If not,what is the depth of naturally occurring pe vtous maCerlall
Ceitifleatio
I certify that on 9S (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me consistent with .
the required trains tine a d e e nce described in�10 CNM 15.017.
Signature
`I'L-�, Date 20
Q:\SBPT1MBRCPORM.DOC
No. `:' Feed
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ,�
01ppYication for Diopogal *p!tem Construction Permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) O Complete System Individual Components
Location Address or Lot No.—I Kvi 3'r f i h E Owner's Name,Address and Tel.No.
Assessor's Map/Parcel \,C 4_o
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank j S ✓ �QCO AJ 0 Type of S.A.S. Sc ZZ
Description of Soil , ✓006'LN9
Nature of Repairs or Alterations(Answer when applicable) {�•�U� Qd`�
A! G 4 Cc/ 1 1 J� OV- )
(( gr
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 be issued by t s
Signed Date 4-64vo-
Application Approved by Date —Z Z—
Application Disapproved for the following reasons
Permit No. Date Issued 77 "-Z Z
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded(W
Abandoned( )by as\c
at "77 _���-I-r .r i7'c►.t t^ Lt!f, r,.(T-aJ t Chas 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 permit shall not be cons as a guarantee that the s 1 g
nction / d n
Date" Inspector
———-----------------------------
No. Fee Ij V� '_"
i
• '� 1/6/99
NOTICE: This Form Is To Be Used For the Repair Of Failed
Septic Systems Only.
CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL
WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS)
hereby certify that the application for disposal works
construction permit signed by me dated concerning the
property located ate—t—� i/�w�� meets all of the
following criteria:
• The failed system is connected to a residential dwellingonly. There are no commercial r in
y o business
uses associated with the dwelling.
• The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch.
C,•/There are no wetlands within 100 feet of the proposed septic system
/There are no private wells within 150 feet of the proposed septic system
•/'There is no increase in flow and/or change in use proposed
There are no variances requested or needed.
y/The bottom of the proposed leaching facility will not be located less than five feet above the
maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor
method when applicable]
/• If the S.A.S. will be located with 250 feet of any vegetated wetlands, the bottom of the proposed
leaching facility will not be located less than fourteen(14)feet above the ma-ximum adjusted
groundwater table elevation,
Please complete the following:
„ A) Top of Ground Surface Elevation(using GIS information)
c�
B) G.W. Elevation 3 +the MAX. High G.W. Adjustment7t _ �r
DIFFERENCE BETWEEN A '-?::,7 F 7—r
SIGNED : DATE: ci
[Sketch proposed plan of system on back].
q:health folder:cert .
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STATEMENT
JOSEPH P. MACOMBER & SON, INC. x
Tanks -Cesspools - Leachfields
Pumped & Installed DATE 11/3/86 �a
Town Sewer Connections
P. O. Box 66 Centerville, MA 02632-0066
775-3338 775-6412
Robert Norton
...............................................................................................................
322.1.....Route.......6A............................................................................................................:..................................
Barnstable Mass, 02630
.......................................................................................�............ . . . . .......... ................................................................................
TERMS: '
a
_ PLEASE DETACH AND RETURN WITH YOUR REMITTANCE $ 11
�'�DATE INVOICE NUMBER/DESCRIPTION CHARGES CREDITS BALANC
�— BALANCE_FORWARD d
'r n P
- Se;�exa .gg Inspe.e_tion....._..._: _., .�� $.5._._0��..__..._..._._...._. �__..__..__,_._L_._ _-._...._.._.._.
.....-........ ................._. . _............_..-
�i►...---....._.............
.... .. __................... .......... -....._.................................... ..........._ ............_............................_...._... ._. .... ...... _:..... ...................$_$5..__0.
1.-._1000 ga ll_on....._s septic t c tan............... ...... ...... ......_... ............. .......I...... . ...................................L
1-1000.......gallon leachin:.g__ p?t_........Y._....._...._........................... ........:........... .
........................................_......._._S_e.P_t_i_c........s y s t e.m...... _s_...._ n.....__wo_r..._... ng_...._c o...__d_i,._t.i on..._a t......P.r.e s.e_n_t_..__a tMe
.._.. e....s-ys.te:m....has.....been......P.._.._mped_..- .....
FOR: 7... Knotty Pine Lane -
......_..._......_. ....... .. ............................... _....._....._............... ................................ .._.._... _ .._ . ...... ...._.
Centerville r
........................................_... ._................... .......... .._....._.............._..................._..._._........... ...._. .. ..... _...__....._...._ _
• v w PAY LAST AMOUNT
JOSEPH P. MACOMBER&SON, INC. IN THIS COLUMN
r
No. ( s - Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS v
01pprication for 33iopaal bpotem Com6truction Vermit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) O Complete System Individual Components .
Location Address or Lot No. ��"Ty f�`E� 1Av. � Owner's Name,Address and Tel.No.
�P ,p
C�arr� er
Assessor's Map/Parcel \IR�_o .R-V 41-�, 1\b t�vo
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
YVa 0--C.c4��
\ -,5-k-0 )"S S"r".
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow `��Q gallons per day. Calculated daily flow ��cl gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank t S%✓= k?CO Q- y-v�,j Type of S.A.S. C,,PcZX �
Description of Soil lmnec ✓AV1/0
Nature of Repairs or Alterations(Answer when applicable) - ` Q�
rt W
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 be issued by t s '
Signed Date d-
Application Approved by _ Date —
Application Disapproved for the following reasons
Permit No. Date Issued Z Z
iT No. = +.� - Fee ....—
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Ye.PUBLIC HEALTH DIVISION -,TOWN OF BARNSTABLE, MASSACHUSETTS �
0[pprication for Mig oar 6potem Conotruction ert it
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) El Complete System individual Components
Location Address or Lot No. hlt5 r"f`II :��A-, Owner's Name,Address and Tel.No.
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. J Designer's Name,Address and Tel.No.
yvvt C1—C-
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
is
Design Flow " gallons per day. Calculated daily flow �1"1 gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank ?t t S`► 1 )Cl) Q-A(!v\. Type of S.A.S. tj
� � �►T 'fit a �-
Description of Soil ( S�► "v
. F �
Nature of Repairs or Alterations(Answer when applicable) - S D::�Id
N
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 Comphlice has beefl ssue y this �l
1�,Signed Date
Application Approved by Date —Z Z —
Application Disapproved for the following reasons r
Permit No. 7 9 Date Issued — Z
---------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( j )Upgraded(le r
Abandoned( )by
at t r has 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 permit shall. of be ppstmcdas a guarantee that the s `�1 unction d si"n"b
Date '- ,2 6 / Inspector `� g
--------------------------------------- {
No. Fee �� ....
THE COMMONW=6.ALT O.'.Mt MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Mizpozai *pgtem Construction Permit
Permission is hereby granted to Construct( )Repair( )Upgrade(L.44bandon( )
System located at 4 ,
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 Q
Date: 7' Z f Approved by /� ,
' TOWN OF BARNSTABLE
LOCATION SEWAGE # - Z
VILLAGE Ld '
ASSESSOR'S MAP & LOTZ2Zfj,0Z
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY i� U
LEACHING FACII.TTY: (type) ,L/ (size)
NO.OF BEDROOMS
OR OWNER
PERMTTDATE:_ e' 22' F, COMPLIANCE DATE: �r .
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
CU
FLU
��� HIV
RAISE COVERS TO WITHINSYSTEM DESIGN
6" OF FINISH GRADE FIRST 2' LEVEL
TOP OF FOUNDATION CENTER CHAMBER RISER DESIGN FLOW
ELEV. 74.00 3 RAISE TO WITHIN 6" 3 BEDROOMS AT 110 GPB/D2 GPD
FINISH GRADE OF FINISH GRADE
/ � /� ELEV. 71.7 ELEV. 71.6 `'.. UN ELEVATION 71.50
t / REQUIRED SEPTIC TANK
ANK 71.2 //�� / �� /��
TOP ELEV 68.65 3' MAX. COVER 330 x_2__ _ __ 660._GAL.
7'CS=0.24 SEPTIC TANK PROVIDED = �-�_GAL.
'•: SCH 40 - 4 PVC - 4" PVC SCH 40 6' ®S= 0.02 0 0 0 O p o p O O O O o,
t INV.= MIN-3 AX O O O o roo
O O SIZE OF LEACHING FACILITY REQUIRED
70.13 10"TEE 14"TEE INV.= 00000 0000 N
INSTALL 69.93 6" 0000 0 o 0000 __
5'-7" GAS BAFFLE 3 OUTLET DESIGN PERC RATE <_2 __MIN./INCH
4'-61/2 IF REQ. H-10 L TWO 5'-0"x8'-6"x2'-9" CHAMBERS LONG TERM APPL. RATE_�•74_GPD/S.F.
4'-1" LIQUID LEVEL INV.=68.22 S.A.S. (13.0' x 25.0') o cf
INV.=68.02 SIZE OF LEACHING SYSTEM PROVIDED:
L "T' REQUIRED a m 65.90
o e e o 0 o INV.=67.90 b b 330 _ 0.74 SF/GPD = 446 S.F. MIN. REQ.
EXISTING 1,000 GALLON SEPTIC TANK T ELEV. 59.9 USING H-10 CONCRETE LEACHING CHAMBERS
WITH 4' OF STONE ALL AROUND
BOTTOM (13.0' x 25.0') = 325 S.F.
CONSTRUCTION NOTES: 00000 0 0 0 000000
0 00 SIDE WALL (13.0'+25.0') 2x2 = 152 S.F
JOB # 17-0105 1. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND 00000000 0 0 �000� 477 S.F.
ELEVATIONS AND SITE CONDITIONS' PRIOR TO COMMENCING a 00000 0 0 000�0 477 S.F.x 0.74 G/SF = 352 GPD
WORK ON THE SITE.
SITE & SEWAGE 2. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE 1 I--4.0' 5.0' ---}--4:0� 352 GPD PROV > 330 GPD REQ. = 22 GPD RES.
WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT NO (GARBAGE DISPOSAL / GRINDER ALLOWED)
REPAIR PLAN
IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 13.0' -I
3. ENGINEER TO VERIFY REMOVAL OF UNSUITABLE SOILS PRIOR
7, TO INSTALLATION OF NEW SEPTIC SYSTEM. 1 SIDE VIEW �cZ
77` 4. NO PARKING OVER SEPTIC TANK IS ALLOWED. D.T.H. #1 1�
�(✓
I CERTIFY THAT I AM CURRENTLY APPROVED BY THE DATE: 3/9/17
MOON PENNY LANE � DEPARTMENT OF ENVIRONMENTAL PROTECTION TO GROUND ELEV. 9
GENERAL NOTES: CONDUCT SOIL EVALUATIONS AND THAT THE RESULTS OF ADJ G.WATER 59:9
IN 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. MY SOIL EVALUATION ARE ACCURATE AND.-IN ACCORDANCE
TITLE V AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS !MTM 3 R 15.10 GH 15.10 A
FOR SUBSURFACE DISPOSAL OF SEWERAGE. / ls2�� LOAMY SAND
C E N TE R VI L L E MASS
T T ON ACCESS POINT OVER TANK TEES SHALL BE - '= ------ ----!!__-------- 10YR. 4/3
DATE: MARCH 13, 2017 2 ACCESSIBLE WITHIN 3" OF FINISH GRADE, WITH ANY REMAINING WARD A. STONE, CERTIFIED SOIL EVALUATOR 8"
ACCESS PORTS BROUGHT TO WITHIN 12" OF FINISH GRADE.
3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE B
OWNER APPLICANT: CAPABLE OF WITHSTANDING H-10 LOADING UNLESS
OTHERWISE SPECIFIED. DATUM: L�5MR 5/6D
4. THE EXCAVATION CONTRACTOR SHALL VERIFY THE LOCATION . s
M A TTH E W & TA N YA VERTICAL DATUM:
OF ALL UTILITIES PRIOR TO ANY EXCAVATION. ��
P 0 E P S E L BARNSTABLE GISt 36"
5. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE � ELEV = 68.9
OR WITHIN 6" OF GRADE SHALL BE MORTARED IN PLACE. . DAVID BENCH MARK USED:
TOP OF
#31 MOON PENNY LN. 6. FINISH GRADE SHALL HAVE A MINIMUM OF 0.02 FEET PER ' !' F HE i ELEVATION 73.00E AT BULKHEAD
FOOT OVER THE S.A.S. AND DISTRIBUTION BOX. 54"
CENTERVILLE, MA 02632 7 SCHEIDULEN 0SP CITARY AND SHALLTEE'SSHALL EX ENDEACONSTRU MNIIMUMCOFD6"FABOVE E DTH #1 TESTATES HOLEDEEP MED./COARSE
SHEET 2 OF 2 THE FLOW LINE AND SHALL BE ON THE CENTERLINE AND SgNirnR�P� SAND
LOCATED DIRECTLY UNDER THE CLEAN OUT MANHOLES. 144" INDICATES ADJ. GROUNDWATER 2.5Y 5/6
8. THE INLET PIPE INVERT ELEVATION SHALL BE NO LESS THAN NO OBSERVED GROUNDWATER
PREPARED BY: 2 INCHES NOR MORE THAN 3 INCHES ABOVE THE INVERT NO G.WATER 144"
ELEVATION OF THE OUTLET PIPE.
E A S SURVEY, INC. 9• THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES �: , INDICATES ELEV = 59.9
10. THE OUTLET SANITARY TEE SHALL BE EQUIPPED WITH A GAS PERC TEST B.O.H.
P. O. - B 0 X 1729 11.BAFFLE, 4 INCHES IN DIAMETER AND CONSTRUCTED OF 4" PVC 54" DAVE STANTON
ALL PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE AND SOIL EVALUATOR
SHALL BE SLOPED 1/4 INCH PER FOOT MIN. EXCEPT FOR THE GROUNDWATER ADJUSTMENT ED. STONE
SANDWICH , MA 02563 FIRST TWO FEET OUT OF THE DISTRIBUTION BOX WHICH SHALL Y DEPTH TO BOTTOM OF HOLE 12.0' BACKHOE OPERATOR.
BE LEVEL KEVIN (ELLIS BROS)
PH. (508) 888-3619 12. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION' SOIL TYPE: 1
CELL (508) 527-3600 TO EAS SURVEY INC. FOR B.O.H. AND DESIGN ENGINEERS REVIEW VARIANCES REQUESTED PERC RATE: <2 MIN. PER INCH
AND APPROVAL. LOADING RATE; 0_74 GAL/SF/MIN
EAS.SURVEY@YAHOO.COM 13. MAGNETIC TAPE ON ALL COMPONENTS. NONE '.
LOCUS DATA
v
CURRENT OWNER MATTHEW POEPSEL l MOO V PEN <a� & LOCUS v
TANYA POEPSEL
PLAN REFERENCE LCP 32898-8-1 \-' � - - - - - - _ -•�- - - - - - - - - - - - - ------- — _\T_ _ \ \\ o o
1
69
DEED REFERENCE CTF 154193 N 8544'10" E 0.10
ZONING DISTRICT RC
LOCUS MAP
FLOOD ZONE "X" / -� NOT TO SCALE:
ASSESSORS MAP 191 LOT 39 —� / \ I I 17-0105
PARCEL 021 .2 \ I 1
OVERLAY DISTRICT AP - SWEP l \ \ LOT \ I I
LOT AREA 16,280f S.F. \ \ \16,280t S.F. \ I I
0
GARAGE
SITE & SEWAGE I
REPAIR PLAN
BENCHMARK z I
MOON PENNY LANE CORNER OF \ � I I � �
BULKHEAD #31
EL = 73.00 EXISTING
IN PATIO DWELLING 1 c; I
CENTERVILLE, MASS X
DECK a
DATE: MARCH 13, 2017 EXISTING a W -�_ I I I 1
1000 GAL W I I
SEPTIC I r) j I
TANK TO I ,
OWNER APPLICANT: REMAIN 71.1 i I
MATTHEW & TANYA
HE y.`�. .,., G I oFgtian,�
POEPSEL 71.2 � `a:'
EDWAARD
#31 MOON PENNY LN. STON
C E N T E R V I L L E, MA 02632 EXISTING CHA o.28 0
IN LINK FENS 7,.9 / / / I I\ I
SHEET 1 OF 2 E 0 oA �2 I I o
V D.T.H. #1
PREPARED BY: 1P0 D S.A.S. N78'282 0 w
3.O0
130`30 0,
EAS SURVEY, INC. (2
3�I
H-10 CONCRETE j
CHAMBERS) PROPOSED PARTIAL
P. 0. B O X 1729 -.1. I I
OVER-DIG TO NOTE:' ^ I I I
SANDWICH M A 0 2 5 6 3 REMOVE OLD EXISTING OAK
SYSTEM WITHIN I 0 20 30 40
NEW SYSTEM. AREA REMAIINTO LOT 2� ^�
PH. 508 888-3619 NOTE: TO BE FILLED IN POSSIBLE
ACCORDANCE WITH
EXISTING SAS LOCATION' _ -IS
CELL (508) 527-3600 APPROXIMATE. . 310 CMR 15.255 GRAPHIC SCALE:
1 INCH 2= 0 FEET
EAS.SURVEY®YAHOO.COM
• 5