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HomeMy WebLinkAbout0536 SKUNKNET ROAD - Health 536 Skunknet Road Centerville A= 169—015 - 004 I� I i i S M EAD® No.2.153LAR UPC 12534 smead.com • Made In USA N 0 -,4 dl Y � C 2 Q � 1 Ct" c'f o � M YOU WISH TO OPEN A BUSINESS? For Your Info rm.ation: Business Certificates rtifcates cost $3 0.00 for 4 ears.y A Business Certificate ONLY REGISTERS YOUR NAME in town`Which"you must'do you to by M.G.L. - it does not give Y p operate.) Business Certificates are available at the Town Clerk 9 Office 1 FL., 367 Main Street, Hyannis, MA 02601 (Town Hall). DATE: i —y a 7 Fill in please: t` APPLICANT'S . YOUR NAME: rg BUSINESS YOUR HOME ADDRESS. u 1 r it TELEPHONE # Home Telephone Number: , NAME,OF:::,::NEIAI BIISI E S'_ t a 7 b� .:•:�!, ,.: _ .; �. : :. _BUSINESS: , r:�r mi �: ,...nY1.iY� .... .r,,.......r NO _ .. ....I.. �� .... .. ... ,, .y r... �_..... . .,.....r..:.,._: ert j ,,..r: , _ : . _. �.^......:..:. ... IFS...,... ....#ramrther.:bt�. :'..;,.... NIMRP When starting a new business there are several things,you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St: — (corner of . Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO IONER'S OFFICE } This indiv' u4hbewh o d of any permit requirements that pertain to this type of business. ` rize' signature*" COMME[VT 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain.to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORI This individual h en info d of the;bn i g uirements.that pertain to this type of business. Auth rized S�'9nature** �' L COMMENTS: �D �5( 1JS t Town of Barnstable P E, Regulatory Services I� Thomas F.Geiler,Director • Building Division vNAM e$ Tom.Perry,Building Commissioner $1DrEp Wit!', 200 Main-Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 ax: 08-790-6230 Annroved: Fee: Permit#: HOME OCCUPATION REGISTRATI N Date: Name: &--vL 1 1 o Phone#: L/ad— IV a Address: _�;3 la 90c t D Village: &'rl't-tt-Jzl/,z, l C Q-y�71 Iri/ , Name of Business:_ �e_ (, D ioy,P Type of Business: 69�44_ o C Mapa ot: / 4 9/ © / /06 L' IlV=: It is the-intent.of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the ' premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more-than 400-square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • . No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration, smoke,dust or other particular matter,' odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in.excess of normal household quantities. • Any need for parking generated by.such use shall be met on the same lot containing the Customary Home Occupation,'and not within the required front yard. • There is no exterior storage or display of materials or equipment: • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one.ton capacity,and one trailer not to exceed 20 feet in length and not to exceed,4 tires,parked on the same lot containing the Customary.Home Occupation. • No sign shall be displayed indicating the.Customary Home Occupation.: • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included.. • No person shall.be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit.'. I,the unde ,have ead and agree with the bove restrictions for my home occupation I am registering. Applicant: Date: Homeoc.doc Rev.5/30/03 . w ry ,t i, tene t: alt Safety; an lIviro ental Sci . 5 ding Divisim 367 Main Street,Ilyannh,NIA 020.1 LAN R�VIE ' MR 4- OWPCII The following ltems e noted on v e i V' ,_ 1 1 , E� �O J 2 No. noo 5 I Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS -Migw5al *p5tem Construction Permit Permission is hereby granted to Construct( 1 Repair( rade� b ndon( ) System located at r 1� o f 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 com leted within three years of the dat of thi ei Date:_ �" Approved by G /p Z No. � S l 1 � `' j ^ Fee r THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Z.1pprication for Mi!9po!9al *pgtem Con!6truction Permit Application for a Permit to Construct(Repair( )Upgrade( )Abandon( ) )S Complete System El Individual Components Location Address or Lot No. /(o.? Owner's Name,Address and Tel.No. �� Assessor's Map/Parcel I'MccL SIC, ►Ik l- —*- VA 'Y)A, oZ�a Z Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel No. .1 _19�Z M.kt /e4,ey cv�st� $n;,le_ 1Y1+J-S0Ad _rv,—sc.-F -CI" Type of Building: Dwelling No. of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons , 3 Showers(-•?) Cafeteria( ) Other Fixtures �oac Design Flow ,S gallons per day. Calculated daily flow S�v2° gallons. Plan Date Number of sheets Z� Revision Date 'S��I�i�•^ Title ©,`/ si c ye" Size of Septic Tank / 00 ype of S.A.S. Ct?vcAK-- C'A gt% &e,25 Description of Soil eoA$s` 5•��►� _ n��� S�� . L.,.� s . Nature of Repairs or Alterations(Answer when applicable) Date last inspected: 0Nkn- g 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 theE vironmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued is B Health. Sign Date /z /y .p S Application Approved by ' Date Application Disapproved for the following reasons Permit No. Date Issued �- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTI ' that the On-site SewageDisposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by at S V , J has been constructed i accor ance with the provisions, f Title 5 and the for Disposal System Construction Permit o dated Q I Installer Designer I I e)v, The issuance of this permit shaTr4t be construed as a guarantee that the system will function as designed. Date Inspector No. V _,) Fee Q — THE COMMONWEALTH OF MASSACHUSETTS" Entered in computer: ? � . •' Yes PUBLIC HEAL•TH;,DIVISION - TOWN OF BARNSTABLE,~ MASSACHUSETTS Application for Mcgpo.5ar'!9)p5tem CougtruCtiofi Permit Application for a Permit to Construct><TRepair(` ),Upgrade( )Abandon( ) Complete System El Individual Components Location Address or Lot No. lwv /&? Owner's Name,Address and Tel.No.llc A` c S eEG i 5! w, ����s >R �nA��d► Assessor's Map/Parcel t Installer's Name,Address,and Tel.No. 1 Designer's Name,Address and Tel.No. ; �'►'kc lc�►,�y Ca.�st•' ere - .710-SOAJ sob Sag-9oG7Z_ L sue•- c. � s tr•� c y� Type of Building: - Dwelling No.of Bedrooms s Lot•Size sq.ft. Garbage Grinder( ) Other Type of Building Xe s No.of Persons Showers Cafeteria( ) ! Other Fixtures A/OA.e- Design Flow gallons per day. Calculated daily flow SK,?a' g gallons. Plan Date //29 OS Number of sheets 2- Revision Date hf. -s l ti%w Title oN Is i c Stir c:. KP t7i5 vsaC- S 7V-e,," Size of Septic Tank 1,60 9,z- -----Type of S.A.S. Co vc"k-- (-Ay d, 4de S Description of Soil, 5:;4AJCI �/ r�.•_,� �;� �'.. 1 Nature of Repairs or Alterations(Answer when applicable) yay} '• Date last inspected: F Agreement:, � The ndersigned 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 Bo ��alth.�� - Sign Date /� v. Application Approved by Date Application Disapproved for the following reasons Permit No. C o,- c„ If::? Date Issued f THE COMMONWEALTH OF MASSACH 1 SETTS t BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded( ) . Abandoned( )by ¢. r at has been constructed in accordance with the provisions if Title 5 and the for Disposal System Construction Permit No dated QL I in- Installer 1 Designer C- The issuance of this permit lshaffl4t be construed as a guarantee that the system will function as designed. Date Inspector - No. 3-� -�._' � ---------------------—r----Fee 1 �Q '• THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE: MASSACHUSETTS Mi.5pont *pgtem Construction Permit Permission is hereby granted:to Construct( Repair( 'p rade )� b ndon( ) System located atl�` �0 and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to -i; comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be competed within three years of the dat of this et i Date:_ d- Approved by // TOWN OFBAR/NSTABLE LOCATION ,��1, ,�jCyt9�Cs�cT /roa�if SEWAGE# a009T3�9 '`PILLAGE ASSESSOR'S MAP&PARCEL 16 f — 05'3 INSTALLERS NAME&PHONE NO.,508-y20--77.I8 SEPTIC TANK CAPACITY I fZ)O LEACHING FACILITY:(type) 3—SDo � ,����`S' (size) 3 2 X (3 NO.OF BEDROOMS y OWNER g,Ch {?/!i 11i=r PERMIT DATE: 2 S— O q COMPLIANCE DATE: q — 30—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 EG �� �GF� /cJu.ULo-Qi Ji � 0 • e .►4 N A .q No. :3 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ftplitation for MispoBal *pstrm Construction 'Permit Application for a Permit to Construct Repair(!')Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. S"J'Q� YID 011/-Vel' /� Owner's Name,Address,and Tel.No. Riek Assessor's Map/Parcel _ 3 s®01 0;-,&- Installer's Name,Address,and Tel.No.: —,g2C7._ TI-i-F Designer's Name,Address,and Tel.No. 3_08,—,fie e_., y'G "Josel-ah 0-- Type of Building: Dwelling No.of Bedrooms Lot Size s .ft.q Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd 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)_ bISTWLI Ca l,&V,�r ���`'� c-t-,(7-4 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. Date Application Approv b Date Application Disapproved by Date for the following reasons Permit No, C%�^ Date Issued ------------------------------------ No. G �" Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTAB P0.SSACHUSETTS `� l lYitatl0 �r �i$tIOBAY pstetn �OnstCUCt[On r ermit Application for a Permit to Construct(Gj Repair(l<Upgradel( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. _r5 _, W L/y/1 f r k Owner's Name,Address,and Tel.No. �,yrtr✓ii/,G Rick bt9i`//ter Assessor's Map/Parcel /G 9— a T 54 A01 G Installer's Name,Address,and Tel.No.$10,?—LJQO— 17,7jF Designer's Name,Address,and Tel.No. (10se/°h lk !3�rH S - rO ��c� sW-fwee .Type of Building: r Dwelling No.of Bedrooms Lot Size s .ft. Garbage Grinder —r q g ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures .r #° Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. ;x Description of Soil + I f t { '' , / t Nature of Repairs or Alterations(Answer when applicable) �/Sfl�t ,00 (A .1 /G Ts4f! o Li-mac ��s�� ors cv/Tti '�rvUH 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. ned .c Date Application Appro b Date akl!�_ G- _ Application Disapproved by .. . Date for,the following reasons Permit No. 3 Date Issued 11,94 PI THE,COMMONWEALTH OF MASSACHUSETTS - BARNSTBLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(44 - Repaired(C�-- Upgraded( ) Abandoned( )by ; .g at ku !`mel— X L1,5A1/:1r011 has been constructed in accordance I with the provisions of Title 5 and the for Disposal System Construction Permit No.�'� 3/ / dated Installer tkl:wl� //_c 9#?y_6 S Designer oly--G1 Ly1�l�C` #bedrooms L, Approved design flow N41) gpd The issuance of this permit shall not be construed as a guarantee that the system will ition as designe . Date 9 1301 19 Inspector i V ----------------------------------------=---------=Fee-=--------- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS disposal *pstem Construction Vermit Permission is hereby granted to Construct(e--)— Repair Q:��--_ _Upgrade( ) t�bandon( ) System located at -S.3 6 SkUwke,✓r /?a!we G_go re.4-ii,Ile 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 'Tust be completed within three years of the date of this permi. Date - ! -� Approved b Town of Barnstable Regulatory Services Thomas F. Geiler, Director sn2wsrnUZ ' , ��,� Public Health Division ' 6-39 °. Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 503-362-4644 Fax: 503-790-6304 Installer & De'signer Certification Form Date: � �� tl Sewage Permit# Assessor's ivlap\Parcel ��L� Designer: cuYtv� tV tLtiew Installer: �j Add:ess: X p` Address: On was issued a permit to install a (date) (installer) septic system at 5 VI P' _o based on a desin drawn by ((address) dated 12—LI109 (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 an&'or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance.with State & Local Regulations. Plan revision or certified as-built by designer to follow. OF Mgss9�y DA�t E M. / (Installer's Signature) " No. 1140 AEGlS1E��� SAN I TAR�P� (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARN ABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF CONIPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORNI AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q: Health/Septic/Designer Certification Form 3-264doc 221 Town of BAmtable. P#__._ Department of Rein-11atory Services : • PublicIealth Division Date Z00 Main Street,Hyannis MA 02601 M� A. i 1 Time Fee P Date Scheduled � • $oil Suitability Assessment for Sewage Du osal Performed BJx ,�(z e. KA q-%41..r i Witnessed By: i LOCATION&G�L i'OR-M_ ION /A 11,(..E C Location Address':�3( S e UN k Ne'T go, Owners Name C/t%J Dy l�l Sib S k�.UNkc E-r 6 cN TEt V d U,& Address GEN7 m t t.4,6 MA Assessors Map/p�rcel: p j s/UCH l Engineers Naine �yee,-j Af_7� t�� � �_ Telephone# S o q 3 6 2.- Zvi 2Z, NEW C0NSTRU�.' 2N RgpApt t h h Land Use �S Slopes(46) i� Surface Stones Distances from: Open Water Body Ob a- t1 D ft Drinking Water Well. ft R Possible Wei;Area ft Dwnage Way I ft Property lane 1 ft Other SKETCH:(Street name.dimensions of lot.exact locations of te!kt holes&pare tests,locate wetlands in praxitnity iD holes) I // ' dA—I — y_ �_j�ELEC. SRw� 1 STONE DRIVEWAY \�\n� AN LOT 4A / /AREA 21885 s/ ♦- --- BENCH MAR TOP OF FOUNDATION ELEVATION - 40.32 BARNSTABLE CIS DATUM l 1 Depth to oedmek Parent material(gedlogic) , Depth to Grouadwakdr. Standing Water in Hole:' � I Weeping ttnm Plt Face Estimated Seasonal�igh Groundwater 16 ! DtTERm TION FOR SEASOIiNAL ffiGI3[WATER TAMEw Method Used: In. Depth (Jbperved standing!in obL hole: n, Depth to soil Adiustn Depth toiweeping from side of obs.hole: ! in. otdundwater AdJuatmeat ! faetor,,,,,_.�- A�.Grdundwater Level ,,.,., Index Well# Reading Date Index Well level i— ' PERCOLATION TEST . Dols 9 Tom_ Observation , I 'ilitte at 0" _._.: --------- Hole# Time at 6" .. Depth of Pere /� Q 7 i Time(91,0) .�,...-- Start Pre-soak Tirne.0 -- End Pre-soak L r^ Rate hfinAnch i sed Site Suitability Assessment: Site Pas ,_ Site Failedt Additional Testing Needed(Y/1')---�— Original:.Public Hehith Division Observation Hole Data TO Be Completed on Back ***If percola��•11'pn test is to be conducted within loo'of wetland,.ye ant first notify the _l� ..+100ef Ano(1)weak vrior to b g g DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. vl S 34" 8 b"L4 ,Sb)t 3y'� 77 l yqo Cb Med. stiv,J 7/3 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders. Consistency.%Gvel A um DEEP OBI ! B NATION HOLE LOG Hole# Depth from' Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) SDA) (Munsell) Mottling (Structure,Stones,Boulders. Cons eGravel) DEEP OBSE I NATION HOLE LOG Hole# Depth from Soil Horizon '1 Texture Soil Color Soil Other Surface(in.) ( A) '(Munsell Mottling (Structure,Stones.Boulders. Consistency, i i Flood Insutrance Rate Man: . Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No k Yes Death of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist.in all areas observed throughout the area proposed for the soil absorption system? S If not,what is the depth of naturally occurring pervious material? . Certification �11 I cerd that on (date)I have passed the soil evaluator examination approved by the was rformed b the consistent with Department Environ l Protection and that the above analysisperformed y the required tra i ,expertis and experience described in 3.10 CMR 15.001 l.�_ to Signature ""� Da Q:4SEPTICIPERCF)RM.DOC L11 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 1 Parcel ?pplication:'# 0017 th Division:,: Date Issued Conservation Division 'ApplicationFee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH - Preservation/ Hyannis Project Street Address S'�>%dw�C�v - Village L (, Owner t �'•e19 Address Telephone 70,140 Permit Request �dMn! rtL Tiz7�2T�n AbDa nd a? S7VRY /�yre 4401.17, 1 AJ0 tz I CvlivWeWS 4Voe- Square feet: 1st floor:,existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation b CU Construction Type Lot Size Grandfathered: ❑Yes ❑ No If es, attach sup porting pporting documentation. Dwelling Type: Single Family fit( Two Family ❑ Multi-Family(# units) Age of Existing Structure BRiSrv�L ❑lam/ Historic House: Yes XNo On Old King's Highway: ❑Yes )(No Basement Type: Full „L❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new �_ Half: existing new Number of Bedrooms: existing -/new Total Room Count (not including baths): existing new _ First Floor Room Count Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes A No Fireplaces: Existing A New 0 Existing wood/coal.stove: ❑Yes No Detached garage: ❑existing ❑new, size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing gnew size _Shed: ❑ existing ❑ new size _ Other: POT of 7-4C ADairz©.�/ Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes $No If yes, site plan review # " Current Use C! fl�ivTi Proposed Use APPLICANT INFORMATION j (BUILDER OR HOMEOWNER) Name Telephone Number Address S3(;, License# Home ImproverrieM Contractor Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 3! # I NOTES 1. Water Supply For This Lot is Municipal Water ' Z 2.Location of Utilities Shown on This Plan Are Approx. 0 y Z' I At Least 72 Hours Prior to Any Excavation For This Project The Contractor Shall Make The Reyywired I I Notification to DIG SAFE-1-888-344-7233. I t i 3.The Contractor is Required to Secure Appropriate _ Permits From Town Agencies For Construction ap \O Defined by This Plan. MtN' 4.Install Risers as Required to Within 6"of Finished O S Grade. �O 1, N T.~-I 5.All Structures Buried Three Feet(3)or More or T I p-gc,n T,H.-Z Subject to Vehicular to beH-20Loading. eh\O oFP1116LST0 6.Septic System to be Installed In Accordance With Os 310 CMR 15.00 Latest Revision And The Town of \0 r ' Barnstable Board of Health Regulations. \� 00 1 7 All Piping to be Sch.40 PVC. O SEPTIC 1 O ' 8.Depth of Inlet Tee Below.Flow Line, 10"Min. 1 O -TA N K 1 Depth of Outlet Tee Below Flow Line:14'Min. yr!/�d 1 °p 1 With Gas Baffle. o,: u I Q0 O' 1 DESIGN DATA I QO 20 1 L 1 Single Family-5 Bedrooms A 1 No Garbage Grinder Daily Flow 5 x 110gol.=550 gpd +,2 v I , Septic Tank:550 gpd x 200%=1100gpd � �►� ,�. __—A Use a 1500 Gallon Septic Tank O'+�j LEACHING AREA 0 550 gpd/0.74 =744 s.f.Required 2 I Use Bottom Area Only EXIST. BuIL.01NG I8'x 42'=756 s.f.Provided I 5 @W E.R - �IQ —— LEACHING BED DESIGN All Pipes to be Schedule 40 PVC LI District Line Perforated With Ends lobe Vented.Use 1 overioy 5-40Distribution Lines inn 18'x42' Leaching Bed as Shown. For Perculation Test a Test Holes Results See Plans Prepared by MATSON DESIGN PLAN VIEW SERVICES Dated Nov. 29,2005 a Submitted Scale!1 = 30 to T.O.B. Health Dept. See Septic Permit I No. 2005617. SULLIVAN 29733 Benchmark VIL Assumed Datum To of Foundation 204.46 From Existing Building Sewer F.G. 202.50 —See Note No. 4 200.91 199.90 PROPOSED SEPTIC 200.71 1500 Gallon Top E1.200.40 Septic Tank 200.46 ...; Bat.El.199.40 SYSTEM H-2o 20036 200.11 DOUG & FRAN MANGANIELLO 5 536 SKUNKNET RD. Bedding as Estimated High Groundwater I I/23/05 Per Title 5 194.4 CENTERVILLE , MASS. SCALE: AS SHOWN DATE: FEB. 16,2006 DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM SULLIVAN ENGINEERING INC. Not to scale OSTERVILLE MASS. NOTES 1. Water Supply For This Lot is Municipal Water 2.Location of Utilities Shown on This Plan Are Approx. 0 y Z' At Least 72 Hours Prior to Any Excavation For This Project The Contractor Shall Make The Required I Notification to DIG SAFE-1-888-344-7233. I 3.The Contractor is Required to Secure Appropriate Permits From Town Agencies For Construction Defined by This Plan. Mtn 4.Install Risers as Required to Within 6"of Finished -5j Grade. LW R�q p N k NE �"'1 5.All Structures Buried Three Feet(S)or More or T I P-t30A T•N•-2 Subject to Vehicular lobe H-20 Loading. Eh\O oFPIP6STo 6.Septic System to be Installed in Accordance With 310 CMR 15.00 Latest Revision And The Town of I 0 r 1 Barnstable Board of Health Regulations.� `r• 1 � 0 p 1 7. All Piping to be Sch.40 PVC. t3 SFPTic- 1 1 8.Depth of Inlet Tee Below Flow Line: 10"Min. Depth of Outlet Tee Below Flow Line:14'Min. 1 I (1 TANK 1 p, 11 With Gas Baffle. I ��Gy 0' 1 ' DESIGN DATA QQ 2� I L 1 Single Family-5 Bedrooms A%\ No Garbage Grinder Daily Flow: 5 x IlOgal.=550 gpd +y I ` — 1 Septic Tank 550 gpd x 200%=IIOOgpd Use a 1500 Gallon Septic Tank �y L LEACHING AREA 550 gpd/0.74 =744 s.f.Required 2 I \ Use Bottom Area Only EXIST. OUIL.011sir, \ 18'x 42'=756 s.f.Provided I 9BWER LEACHING BED DESIGN �IQ All Pipes to be Schedule 40 PVC Overlay�fS1/ict Lit7e Perforated With Ends lobe Vented.Use 5-4"0 Distribution Lines in a 18 x 42• Leaching Bed as Shown. I For Perculation Test a Test Holes Results PLAN VIEW See Plans Prepared by MATSON DESIGN SERVICES Dated Nov. 29,2005 a Submitted I Scale! I"= 30' to T.O.B. Health Dept. See Septic Permit . 'i"OF.A I No. 2005617. L ' PFTE CI°�I Benchmark ; 1� Assumed Datum l To of Foundation 4.46 From ing SExisting , \`\�� Buildin Sewer F.G. 202.50 See Note No. 4 200,91 199.90 PROPOSED SEPTIC 20 1500 Galion 200.46 r Top El.200.40 SYSTEM Septic Tank �.. . Bot.El.199.40 H-20 200.36 200.11 DOUG & FRAN MANGANIELLO !•ax". z;'.aYJ:+'; 5' 536 SKU N KN ET RD. Bedding as Per Title 5 Estimated High Groundwater 11/23/05 194.4 CENTERVI LLE , MASS. SCALE: AS SHOWN DATE: FEB. 16,2006 DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM SULLIVAN ENGINEERING INC. Not to scale OSTERVILLE MASS. NOTES It I. Water Supply For This Lot is Municipal Water z 2.Location of Utilities Shown on This Plan Are Approx. At Least 72 Hours Prior to Any Excavation For This Project The Contractor Shall Make The Reyy�ired 1 Notification to DIG SAFE-1-888-344-7233. I ( 3.The Contractor is Required to Secure Appropriate _ Permits From Town Agencies For Construction ip \0 Defined by This Plan. `f' M1M' 4.Install Risers as Required to Within 6"of Finished \S 1�Li Grade. 'A t�) A'I<N ff a . T W-1 5.All Structures Buried Three Feet(3)or More or T I p_80A T.\ _Z Subject to Vehicular to be H-2-0 Loading. Fh\O OFP%Ps TO 6.Septic System to be Installed in Accordance With oa Gs+PPts D �, 310 CMR 15.00 Latest Revision And The Town of Barnstable Board of Health Regulations. O O 7 All Piping to be Sch.40 PVC. •� O SEPT1� 1 O ' B.Depth of Inlet Tee Below Flow Line I O"Min. p TA N K 1 Depth of Outlet Tee Below Flow Line 14'Min. With Gas Baffle. i I y , to 0 1 � 1 1 IvaDESIGN DATA I L ' Single Family-5Bedrooms `��U I `, ' p► 1 No Garbage Grinder Daily Flow: 5 x I10gal.=550 gpd Septic Tank:550 gpd x 200%=1100gpd Use a 1500 Gallon Septic Tank L j My LEACHING AREA 0 550 gpd/0.74 =744 s.f.Required 2 I Use Bottom Area Only EX15-r. E5WI.-C)ING 18'x 42'=756 s.f.Provided 1 9t=W ER �IQ —_ LEACHING BED DESIGN All Pipes to be Schedule 40 PVC Dish Line Perforated With Ends tube Vented.Use Overlay 5-4"0 Distribution Lines in a 18 x 42' _ Leaching Bed as Shown. I For Perculation Test a Test Holes Results PLAN VIEW See Plans Prepared by MATSON DESIGN SERVICES Dated Nov. 29,2005 a Submitted Scale:1 = 30 to T.O.B. Health Dept. See Septic Permit No. 2005617. OF FMR SU��p, n1 Assumed W.G97 i CIV1 Datum , To of Foundation 204.46 From Existing Building Sewer ��. F.G. 202.50 See Note No. 200.9 1 199.90 PROPOSED SEPTIC 2 00.71 1500 Gallon r Top El.200.40 Septic Tank 200.46 `.r: . ,:,• Bot.El.199.40 SYSTEM H-20 2oo.3s 200.11 DOUG & FRAN MANGANIELLO ,.•r�•. K',:<:r..,:: s'Bedding os Estimated High Groundwater II/23/05 536 SKUNKNET RD. Per Title 5 194.4 CENTERVILLE , MASS. SCALE: AS SHOWN DATE: FEB.J6,2006 DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM SULLIVAN ENGINEERING INC. Not toscale OST,ERVILLE ,MASS'.,-- i — Massachusetts Department of Environmental Protection Bureau of Resource Protection —Wastewater Permitting Program W1 dorm 11 - Soil Suitability Assessment for O - Site Address or Map/Lot Number On-Site Sewage Disposal A. Facility Information 1. Facility Information Owner Name Street Address Map/Lot is q/n i d City State C ' Zip Code & q6 f,6ft B. Site Information 1. (Check one) New Construction ❑ Upgrade * Repair ❑ AX 2. Published Soil Survey available? Yes .r No ❑ If es: Year Published Publication Scale rNcxa y Soil Map Unit Soil Name i �' :n? t�4:ems r -.`�a=`'. .��a' .�i.,�a*d'C `4�� a, .,;.y'-t Soil limitations a 3. Surficial Geological Report available? Yes .. No. ❑ If yes: ,�, - , - s' ^� Year Published Publication Scale Ma 1 e p Unit �-•�;�.,�,;Q°�.�'^�-,�-�-_»- �t�€t'S ��'�`" ' ` � �' � , Geologic Material Landform 4. Flood Rate Insurance Map: Above the 500 year flood boundary? Yes No ❑ Within the 100 year flood boundary? Yes ❑ No :❑ Within the 500 year flood boundary? Yes ❑ No .Within a Velocity Zone? Yes ❑ No 5. Wetland Area: National Wetland Inventory Map Wetlands Conservancy Program Ma Map Unit Name Map Unit , Name 6. Current Water Resource Conditions (USGS) y,, = Range: Above Normal Normal MonthfYear El Below Normal ❑ 7. Other references reviewed: DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 1 of 7 i Massachusetts Department of Environmental Protection Bureau of Resource Protection —Wastewater Permitting Program Form 11 - Soil Suitability Assessment for On-Site Sewa a Di Site Address or Map/Lot Number g Di Site C. On-Site Review (minimum of two holes required at every proposed disposal area) Deep Observation Hole A: I ' Date T- 1r;" Time Weather 1. Deep Observation Hole Logs Deep Hole Number Ground Elevation at Surface of Hole 7 Location (Identify on Plan) T >-, 2. Land Use: } „ (e.g,woodland,agricultural field,vacant lot,etc.) �--^ r Surface Stones Slope(%) Vegetation ` wa , sx � Wit= a '• Position on landscape(attach sheet) form J� Drainaged 3. Distances from: Open Water Body Way>tip„�,;_p Possible Wet Area if � feet feet feet Property Line _ , Drinking Water Well Other feet feet 4. Parent Material: ; r. Unsuitable Materials Present: Yes .E='' El No If Yes: Disturbed Soil❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock❑ Bedrock❑ 5. Groundwater Observed: Yes ❑ No If Yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: ` ; 9 -'® inches elevation DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal- Page 2 of 7 L Massachusetts Department of Environmental Protection Bureau of Resource Protection —Wastewater Permitting Program ' Addres Form 11 - Soil Suitability Assessment for On-Site Sewage DisptosafsorMap/Lot Number I Deep Observation Hole A: Deep Hole Number: Soil Soil Matrix: Redoximorphic Features Soil Horizon/ Color-Moist Coarse Fragments Soil Structure Soil (Munsell) Depth Layer (mottles) Texture %by Volume Consistence (In ) y (USDA) Other Depth Color Percent Gravel Cobbles (Moist) &Stones Additional Notes DEP.Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 3 of 7 Massachusetts Department of Environmental Protection Bureau of Resource Protection —Wastewater Permitting Program Form 11 - Soil Suitability Assessment for On-Site Sewa a ®IsSite Address or Map/Lot Number ' g posal C. On-Site Review (Cont.) Deep Observation Hole B: Date Time Weather 1. Deep Observation Hole Logs Deep Hole Number Ground Elevation at Surface of Hole `• Location (Identify on Plan) 2. Land Use: �. µ r (e.g.woodland,agricultural field,vacant lot,etc.) Surtace Stones ^P n4 Slope(%) Vegetation r -I°Land orm form Position on landscape(attach sheet) 3. Distances from: Open Water Body > Drainage Ways Possible Wet Area feet feet feet Property Line �0 Drinking Water Well Other feet feet 4. Parent Material: �� Unsuitable Materials Present: Yes ❑ No If Yes: Disturbed Soil[] Fill Material❑ Impervious Layer(s) ❑ Weathered/Fractured Rock❑ Bedrock❑ 5. Groundwater Observed: Yes ❑ No If Yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: { f .' inches elevation DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 4 of 7 Massachusetts Department of Environmental Protection Form 11 - Soil Suitability Assessment for O L Bureau of Resource Protection —Wastewater Permitting Program k — Site Address or Map/Lot Number On—Site Sewage Disposal Deep Observation Hole B: Deep Hole Number: Soil Soil Matrix: Redoximorphic Features Soil Horizon/ Color-Moist (mottles) Coarse Fragments Soil Soil Depth Layer (Munsell) Texture % by Volume Structure Consistence (in.) (USDA) Other Depth Color Percent Gravel Cobbles (Moist) &Stones .: ram,, •,, - 7 •G1'Ewa,,,_ s 1 - � l �.' i J 9, � �y x100 Additional Notes DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal•Page 5 of 7 Massachusetts Department of Environmental Protection Bureau of Resource Protection —Wastewater Permitting ProgramAddres ` Form 11 - Soil Suitability Assessment for On-Site Sewage DisptosaisorMap/Lot Number D. Determination of High Groundwater Elevation 1. Method used: ❑ Depth observed stan ding g water in observation hole A. B. ❑ inches Depth weeping from side of observation hole A. B. inches inc es inches Depth to soil redoximorphic features (mottles) A. B. e „ ❑ Groundwater adjustment(USGS methodology) A inches B.inches inches inches 2. Index Well Number Reading Date Index Well Level Adjustment Factor Adjusted Groundwater Level E. Depth of Pervious Material 1. Depth of Naturally Occurring Pervious Material a. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yes No❑ b. If yes, at what depth was it observed? Upper boundary: F ' Lower boundary: inches inches F. Certification I certify that I have passed the soil evaluator examination*approved by the Department of Environmental Protection and that the above analysis was perfo. e y me cfnsistent with the required training, expertise and experience described in 310 CMR 15.017. Signature, Soil Evaluator ^" � ` Date Typed or Printed Name of Soil Evaluator *Date of Soil Evaluator Exam Name of Board of Health Witness ` Board of Health Note: This form must be submitted to the approving authority with Percolation Test Form 12 DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal•Page 6 of 7 C Massachusetts Department of Environmental Protection Bureau of Resource Protection —Wastewater Permitting Program i \� Addres Form 11 - Soil Suitability Assessment for On-Site Sewage DisptosalsorMap/Lot Number Use this sheet for field diagrams: � s f s i p F I DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 7 of 7 ' Commonwealth of Massachusetts City/Town of Percolation Test Form 12 �M Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. Important:When filling out A. Site Information forms on the computer,use 49g only the tab key Owner Name to move your Ai cursor-do not - l use the return Street Address or Lot# key. yj-�-r-f'V 1P_4 t%. City/Town ��'� State Zip Code Contact Person(if different from Owner) Telephone Number 4 B. Test Results -� a3 DatbTime Date Time Observation Hole# — Z. Depth of Pere /�°4 011 Start Pre-Soak fI End Pre-Soak :7 05 Time at 12" 11 ° � Time at 9" - 1 ,r) Time at 6" 7 ' Time (9"-6") Rate(Min./Inch) yaw Test Passed: �{( Test Passed: Test Failed ED Test Failed: Ju Test Performed By: Witnessed By: Comments: t5form12.doc•06/03 Perc Test^Page 1 of 1 ti Town of Barnstable } P��E SME)p��O • Regulatory Services • Thomas F.Geiler,Director iSAENSTABt . q•'`�0� Building Divi .i63 sion "lee►u•'t" Tom Perry,Building Commissioner 200 Main Street, Hyannis;MA 02601 www.iown.barnstable.ma.us nce: 508-862-4038 Fax: 508-790-6230 �— HOMEOWNER LICENSE EXEMPTION - Please Print j DATE 7- C'e�e 0- �Ve ' JOB LOCATION: . .S� k°-+�� P�� number street village "HOMEOWNER : name 'home phone# work phone# CURRENTMAII.2iGADDRESS: 53(o SkJr.�l�auc r R-� Crr�m��c3 - city/town state zip code The current exemption for"homeowners w" as extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFMnON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a.one or two-family dwelling,attached or detached structures accessory to such use and/or farm strictures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. _(Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other. applicable codes,bylaws,rules and regulations. , The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department. minimum inspection pr9pedures and requirements and that he/she will comply with said procedures and ._ regSimeowner Approval of Building Official Note: Three-Family.dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION. - neEode states that: "Any homeowner'performing work for which a building permit is required shah be exempt from the provisions of.this section(Section 1 o9.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." " Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Incensing Construction Supervisors,Section 2.1� This lack of awareness often results in serious problems,particularly when the homeowaerhires unlicensed persons. In this case,our Board,cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To,en=that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, `that the homeowner cet*that lie/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns.. You may care t amend and adopt such a form/certification for use in your community. RESIDENTIAL BYJILDINO PERNIIT FEES ApP ACA110N FEE New Building's $100.00 Residential Addition $50'04 Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NENV LIVING SPACE f 2, square feet x$96/sq.foot= �� 7 x.0041= _ plus from below(if applicable) ALTERATTONS/RENOVATIONS OF EXISTING SPACE -.square feet x$64/sq.foot= Y /4 x,0041= plus from below(if applicable) GARAGES(attached&detached) ( square feet x$32/sq,ft.= x.0041= r� ACCESSORY STRUCTURE>120.sq.ft. >120 sf-500 sf $35:00 >500 sf-750 sf 50.00 >750 sf-1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: square feet x S06/sq.foot= x.0041- STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= . (number) Inground Swimming Pool $60.00 Above Ground S}vimmingPool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Proicost Rev:063004 o��HE los, Town of Barnstable yP� " Regulatory Services saiuvsrasLX, t Thomas F.Geiler,,Director 16g9. a.� Building Division TED MP'� Tom Perry,Building Commissioner .200 Main Street, Hyannis,MA 02601 Fak: 508-790-6230 Office: 508-862-4038 Permitno. Date AFFIDAVIT _ HOME EVIPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied . building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements: Type of Wozk: . k+,w� �F R"' A� ar: •,a Estimated Cost Address of Work: 5"'3� S1c.�vk,�ct- Yz� Ctr�l�rv,�l� Owner's Name: Date of Application: /°� hereby certify that: Registration is not required for the following reason(s): []Work excluded by law Fl7ob Under$1,000 ❑ uilding not owner-occupied Nowner pulling own permit Notice is hereby given.that; OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAP.4 OR GUARANTY FUND UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for permit as the agent of the owner: Date ContractorName Registration No. OR Da Owner's Name Q:fomts:homeaffidav .- F: vat�� G �.aw n o►o ti 730 yG •S�Pt-►G ''f"6s��►'.b e� • 3�ar.;>>i i�;ro".-,_..__/L,o.� /sip i U�G_ sPcysAL Pt? u$E - 12�0TTOM A2Ed . So SF �. ! •v ` -0 so 4'Z5 6,P4 n P�C.or`.dTIc>W Q,4TL'-. 11W $, llRaW I TANK .. PQr • I I , . ! � i � ", " `moo; •�*� �{ i ,.��`f�. � ___- - r .. - ff T eIST k9 F:,' • LOAM 4~pPE p; 9� 2�z � — 80Y: qG G St�ToG J- :f S,4. t000 q� ✓ T1►uK iI Qv. . LE�CtJ _ "• Yll a PIT ,V WIT" w�su�o sTo w r. EL:=90 � �Ir, CE2 T 1 F� tea �1.-0't+' 'moo Ft L� 12', wo Sc,a - r4.Tlo� (foTL) t C��TiFY 'r"AT Ta« I-avIJD /�'r1vl� PL-d1-1 2EF'F..iZ�.IG� �EQE o a� GoticPL-Y 15 W i 1ra1w�,, AuD Sk"C�.�+CK iC�vi2L�.Mr�.1T� [�F T"1�� LOT L� A Tbvj" oF 4\-1z a/iV P�L-a ?t- Fort �,k .S. Trzv--,T .P 1,6 7 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliratiun -fur 43iipuuttl Worko Tonstrurtiun Prrntit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal Syem at: t / r- oca ion Address ! or Lot No. /._i,F..�.C�¢/ a..�A _e_.�...................... ...7i.E/_L�l_:f1i�L'9'.------------•--•-•----•------•........................-- I —/ Owners Address ...................................--- Pq Installer Address U Type of Building �� Size Lot..l�/._�_&V....Sq. feet .-� Dwelling—No. of Bedrooms----• _.L_1�4s_4e_-_-----_•--_____.._-Expansion Attic (P Garbage Grinder ( ) pa, Type g .5.���1ra„���rNo. of persons_.-�___________________ Showers ( ) — Cafeteria a yp of Building ( ) d Other fixtures --•---- -------------•-••-•-------•-----------...... W Design Flow......................... 4_........gallons per person per day. Total daily flow............._......_..ZUP-V .__gallons. W Septic Tank—Liquid capacity-1 rP'APgallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area-------------.------sq. ft. Seepage Pit No.__fM�--___ Diameter.................... Depth belo inlet____ _ .:__._...... Total leaching area--_.-..-_--..-_-.sq. ft. z Other Distribution box ( ) Dosing tank ( ) W, /� — 9-- /y 7 Percolation Test Results Performed by----------------- --------------------------------------------•--•--•--.- Date---------•-----------------------•------ ,� Test Pit No. I----------------minutes per inch Depth of Test Pit..:................. Depth to ground water...___-.--..---__.____- fX, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water.........__-__._---.._.. Ix _© t-- - -- • - - •- A--- ---------- -- Description of Soil....--___._ a- � x � ---.- ----- A -- ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------- 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 Article XI of the State Sanitary Code—The undersigned further agrees not t lake the system in operation until a Certificate of Compliance has been issued by the board of health. � CdLr� Signed,l�s_�` �.�::� _e _<.s� �s'_��.�-.� Date Application Approved BY � ......1-7 p� % vDate Application Disapproved for the following reasons:-.----------------- -- ---------------------------- ------------------------•-••-•--••-•••----••---------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Date PermitNo......................................................... Issued...................... --------------------------------• Date -------- -------------— - -- No......................... ...�" ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................OF.............y.=:—a../.•,r...:?:.::.;:.:c'.—j:--!r•-' �_'. .......................... Appliration -fur Ui.ipuiittl Workii C owarurtiutt Prrmit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal Sy s�etn at: f ........................................r..1 iT e ocation.Address 9 or Lot No. -�-^—" Owner r Address W Installer Address Q Type of Building ---�-- Size Lot...1_5.. ',�. 0....Sq. feet U Dwelling—No. of Bedrooms----- _p-�P----_ -._---_----.Expansion Attic (tom)' Garbage Grinder ( ) p, E li Type of Building :>-:.�..�w_._ :�.:::_ o. of persons..-- {------------------- Showers ( ) — Cafeteria ( ) 0.i Other fixtures W Design Flow.......................... ,.._ ------gallons per person per day. Total daily flow--------------------------:7-fL^_.._.-gallons. Septic Tank—Liquid capacity.. 6:"gallons Length................ Width------------.--- Diameter----............ Depth----------_--- W Disposal Trench—No- -------------------- Width.................... Total Length-------------------- Total leaching area....................sq. ft. x Seepage Pit No.... f:7=7 ----- Diameter.................... Depth below inlet-_.-��,,_,,___-._.___. Total leaching area.......-----------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '4' /�G`'/�'( — aPercolation Test Results Performed by...... -----•---------••--•--••---...••-----•---•-••-••..............•-- Date--------------------------------------- Test Pit No. 1----------------minutes per inch Depth of "Pest Pit...--............... Depth to ground water------.-..---_..-..._- �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....---------------- .... G ---------------- � r - - •-• ----- '--------------- --------- Description of Soil------------ O ...�1. --AV. . � � `/ ,���,�rd -�{�'�z � v ----------- '"° -�'-- ..4 — u� -----�1' -- W ------------------------ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ V Nature of Repairs or Alterations—Answer when applicable------------------------------------------------------------------------------------------------ -----•---------------------------------------------------------------------•----------•-----------•--------•----------------------------------..-.......-------------------------------•----•---------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the ssystemm in operation until a Certificate of Compliance has been issued by the board of health. � � tr✓.�Ir� Signed --�*"- � � / Date Application Approved By------------------------°�- dI / 7.-.7� Date Application Disapproved for the following reasons:................................................................................................................ •--•-•---•--••--------------•--.........--•--•---•--•----•----•-••....---•--•----.........-•--•--•--..........-••---•.....••------•-•--------------.•---•--------•--------•--...-•--........------..-•--- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Z�/�..............OF...... . �Gv1//..�J ...................... Trrtifirtttr of 10.1kumplittttrr TH TO C TI That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by------- y f. V /� — jA' Instal] at --•............. 1J` �! has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No------------------------------------------ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL/FUNCTIO .SATISFACTORY. DATE........�(--- ��----------------••--- Inspector-••••-gt�� THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEAL . ... .. ......................OF ........ .. No. . --.`.�...... FEE_ �t5$�u,�M� �k,� .� - ltrttutt �rrmtt Permission�ereby granted-- ------- -- ------•----! ----� ............. ...-.........-------......._...-:2--------•-•-•----•--........-..------....--- to Constr ) or Rep i�L(/ ) a Indiv'd t Se e Dispo _ at No. - 1 = _ �... treet c� as shown on the application for Disposal Works Construction P✓mi No.-.- -_-._.-_- _ Dated--.--1- /-7h,�......... �G ------------------------------- .......................................... Board of Health . DATE......... � FORM 1255 HOBBS &/WARREN. INC.. PUBLISHERS �� ql,''T_ , .♦T 11 i ,� 4 w 9^;�n"r1r'fe'-4••r5I r'�! •.Iti",i , Tye ' i' i .o .(A I 4P, - ' " �'" M of `'''''+'.. t '♦S,y , yk. SJ A /hl ii « Nr } F1 ry'i'J , f.,tni4 .. fq �4' r r ,t°�;( rr { It,r t „7'!,�iw aht �, ,� hj'�Li". �Py� P ,•F""ry1 I rl �,, �• 'ru�l /wlk'1 ,� Oi l .I♦ >. bo �'•C' 1. J). 1agr... `�. y� 1 J 8 �+�. °1r i' y` ! «✓{f;�,{ � '� Y•, �Ip� �•'- eP � �' t � li a N't0. �I•S.r� 9 � 1{LM„''� >r4,YY'1'�' qw ,.. 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DATE PERMIT ISSUED ��� �,, DATE COMPLIANCE ISSUED /a6��j r [�" ,- +�• � t�' �k j� G'�' 0 t+G 6r � -'� o �\C1�Cp ts.0 '� 1 �L- � .. �.' �;� fG I. t � "'( Z+C?O�` r (+ tom'{ - C5i"� �A4.i (Q b •a ` ` u .' e - _ • `fixx S z a a QAt�GF FQENcN Hoag FREnicH vo°QS ` _ k i t cc ------__._ c(i n i n g Qf loor Plon C ) aCs e c Sc cl j IZ '10ILi r i f: 0 a Ga rQ e mQy n ooZ' ----------------- 2 ND E f loor 111cm I � S_CQt � 12. _ ._ 1 cJy10 .( I" oil '§ SA 'A Kaor� w �bq1�. f f { f Existing vm- Z Y u wALL r __ a Master Dedroom CLOSE i i SURVEY REFERENCE: LEGEND PLAN OF LAND BY BAXTER & NYE,,,INC. 1 DATED: OCTOBER 25, 1979 PROPOSED CONTOUR Op,O 4 ® PROPOSED SPOT GRADE tP�` j —— 98 —— EXISTING CONTOUR 1 -SITE } . � + 96.52 EXISTING SPOT GRADE W— EXISTING WATER SERVICE I fa TEST PIT x i 0 3 N + ROUTE 28 it �--- W LOCUS MAP N.T.S. WATE• � \� GATER 3 t636 9.96 7 fi - 38 1 I i 1 I Ni I � G S S AC£ / _ _ — �_�4 EIEC. SERVICE U� _ CA _ Ilk-( � --— — — 1 SER`\ TEL LINE i 35 36 ��`�` ` \ I '\STONE DRIVEWAY i i5 GENERAL NOTES: \ n�\` O 38 i� 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL , � TN- 3Z \ BOARD OF HEALTH AND THE DESIGN ENGINEER. \ o� 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE �, \ OF�p ,/i( y LOCAL RULES AND REGULATIONS. �l \s 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR :\ �oQ ° / \sue TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. I LOT 4 A 1 f= i 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING AREA 21'885 s / _FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN \ ENGINEER BEFORE CONSTRUCTION CONTINUES. - j 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. - 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF \ - I THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. - ''4 82 t� �� ---r"-_-• BENCH MARK a 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. °r�. I 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED �\" 39 � TOP OF FOUNDATION i TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. ELEVATION 4 0. 3 2 9. .IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE 1� OF SAS BARNSTABLE GIS DATUM THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING �Q� �•��, I CONSTRUCTION. y DAR M. 10. EXISTING SYSTEM (IF ANY) TO BE PUMPED, CRUSHED AND REMOVED. ✓ REPLACE WITH CLEAN MEDIUM SAND PER TITLE V. 1 p. 1140 &n 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION PROPOSED SEPTIC SYSTEM UPGRADE PLAN 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY �� AND IS NOT TO BE CONSIDERED A PROPERTY, LINE SURVEY NITA4�p� 536 SKUNKNET ROAD, CENTERVILLE, MA 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. 7 u MAP; 169 Prepared for: Rick Miller 14. NO WETLANDS WITHIN 150' OF PROPOSED LEACHING. G� V /�� LOT• 015/004 Engineering by: Surveying by: SCALE DRAWN 15. ALL PIPING TO BE 4" SCH 40 ® 1/8"/FT (UNLESS SPECIFIED) DEEDBRC20247 DARRENM,MEYER.R.S. Sea-Tech BiovbwAmental 1"=30' DMM �i i DEED PG.053 EAST SANDWICH,AfA OW7 (508) 364-0894 DATE CHECKED SHEET NO. 508_382-A= 09/24/09 DMM 1 of 2 i S. e }} A , ELEV. TOP FOUNDATION NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS r (Existing)40.32 FINISH GRADE= 38.8-38.0 = .G.EL: 38.8 F.G.EL: 38.8 F.G.fG EL 38.5 1 f MAINTAIN 2X MI SLOPE-OVER LEACHING AREA N MAX. COVER OVER LEACHING = 3.0 FT. OEM COVERS TO WITHIN 6 ". OF GRADE RISER To W/IN 3• of GRADE :r 2' OF 3/W DOUBLE WASHED j '' • ...•.• .- . • `: STONE OR FILTER FABRIC 3/4` - 1-1/2" DOUBLE WASHED STONE I 6" 4" SCH 40 PVC 4" SCH 40 PVC �;2% ' i 10" - ® S 1% MIN. a aaa®a�®®®®® (MIN.) 1; TEE'S ARE TO BE 14 ( ® S= 1 X (MIN.) + aaa®a®®®aaa 4" SCH 40 PVC INV.37.0 INV.36.20 2 EFF. DEPTH aaa®aaa®®®a INV.36.0 ' EXIST. OUTLET GAS PROPOSED DB-3 3.25' 3 X 8.5' 3.25' BAFFLE EFFECTIVE LENGTH = 32' EL. 38.65 • �.��.. �- �..�-� •• . H-20 DISTRIBUTION BOX INV. 37.25 PROPOSED 1,500 GALLON SEPTIC TANK INV. ELEV.= 35.5 GAS BAFFLE TO BE INSTALLED ON BREAKOUT NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING ELEV.= 36.0 OUTLET TEE AS MANUFACTURED BY PIPE INVERTS PRIOR TO CONSTRUCTION TOP CONC. ELEV.= 36.0 TUF-TITE, ZABEL, OR EQUAL 2) TANK AND D-BOX SHALL BE SEt. LEVEL AND INV. ELEV.= 35.5 as TRUE-TO GRADE ON A MECHANICALL COMPACTED aaa SIX INCH CRUSHED STONE BASE, AS SPECIFIED aaaaaaa IN 310 CMR 15.221(2) a®aa®aa • a®®®®®® 3) INSTALL INLET & OUTLET TEES AS REQUIRED BOTTOM EL.= 33.5 4' 5 FT. 4' SOIL LOGS SEPARATION 7.14 FT. EFFECTIVE WIDTH = 33' P#: 12707 BOTTOM OF TESTHOLE EL: 26.36 SOIL ABSORPTION SYSTEM (SECTION) DATE: S EMBER MEYER.18, .S., CSE #1614 2009 SOIL EVALUATOR: OARREN R SEPTIC SYSTEM PROFILE (500 GALLON LEACH CHAMBER (H-20) LOADING) AR WITNESS: DONALD DESMARAIS, BARNSTABLE BOH N.T.S. DESIGN CRITERIA i HEALTH AGENT NUMBER OF BEDROOMS: EXISTING 3 BEDROOM DWELLING Elev. TH-1 Depth Elev. TH-2 Depth SOIL TEXTURAL CLASS: CLASS I DESIGN PERCOLATION RATE: <2 MIN/IN I 38.36 0' 38.83 0• DAILY FLOW: 110 G.P.D. DESIGN FLOW: MINIMUM OF 330 G.P.D. REQ'D I A LOAMY SAD 5' 37.94 A LOAMY SAND GARBAGE GRINDER: NO (not designed for garbage grinder) 37.94 B IOYR / 5" SEPTIC TANK (VOL. REQUIRED): 330 gpd x 2 = 660 gpd (USE NEW 1,50OG SEPTIC TANK) LOAMY B } 10YR 5/8 0 LOAMY 10YR 5/8ND LEACHING AREA REQUIRED: (.7 ) _ 445.94 S.F. 35.53 C1 34' " i 35.91 CI 3s USE THREE (3) 500 GALLON PRECAST LEACH CHAMBERS (H-20 LOADING) I MED. -COARSE MED. - COARSE WITH 3.25 FT. OF STONE ON ENDS & 4.0 FT. OF STONE ON SIDES: SAND SAND BOTTOM OF PERC®33.03 2•5Y 6/4 2.5Y 6/4 32'L X 13'W x 2'D BOTTOM AREA: 32' X 13' = 416 SF 31.94 77' 32.33 78" C2 MEDIUM C2 MEDIUM SIDE AREA: (32 + 13) X 2 X 2 = 180 SF SAND SAND TOTAL SQUARE FEET PROVIDED = 596 vs. 445.94 REQ'D 2.5Y 7/3 2.5Y 7/3 TOTAL G.P.D. PROVIDED: 441 gpd vs. 330 gpd required �� ���1� OF Hgsf9� • f 26.36 144` 26.83 144' �' DA R N M. �, _ PROPOSED SEPTIC SYSTEM UPGRADE PLAN �_ I� PERC RATE <2 MIN/IN. (-Cl- HORIZON) M 536 SKUNKNET ROAD, CENTERVILLE, MA 1140 NO GROUNDWATER OBSERVED NO. " Prepared for: Rick Miller �C�StE Engineering by: Surveying by: SCALE DRAWN DARR• 1, Darren N,.Meyer., R.S.. CSE, hereby certIfy that 1 am currently approved by NADEP punwant to 310 CMR 15.017 '�NITA�`a� X M.MEYER,RS. Bco- h3Bavfi» eAtoJ (v S DMM If to conduct coil evaluations and that the above analysis has been perfa64-0894 rmod by me condetent with the MI ) DATE requirements of 310 CMR 15.017. 1 further certify that 1 hove passed the Soil Eva]. Exam in October, 1999. fT � CHECKED SHEEP NO. 508.,362-= 09/24/09 DMM 2 Of 2 1 r i NQFloor lllc [ n ID roposed scale /2 DQ 4 � t i O 6� of �. ,aIi 0 0 3Z 4 �( S Ao \D OJI MASTER Zyto WALL Oa Master Qedroom f � VVA cLbSp-r - ---- - ---—---- _ _ ! _ 74 �AtJfrE FRfNcK vmk,, r R6nyCH t�o�G.S ID h ri s e 2 k i t c hen cl..in i.n9 S Tf loor Plon [.D ro ) ) used Scale /4 1 G 1 110 sv to',al x lam'-8 f L2� — ef s f Alli Gara e jL �oa11t F NTQy D�.p, .. k 1 10, _ C -U i 0 c,=Hsca [e _._.. -- - =-=--' .. = ' ILDI BARNS D �E T NG E 'L pq LNTM Do6R FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING 53 u n MA 0 2 G; 3: 2 N I N . GARAG k _._.. . 2/4 x 2 +: r tC : _ Dr- a� by �� u (t�s Man9ani ell -1 9 vJ x 7 7 4, 2011 boob z, q x FI Rol DwP� . 1 • - I , t c I � 1 �E I Li I 1 a I Itfr{I I � I I ZX!O !SD - i 11 I i t I Ir ------------ .......... Lj-JILL GAR G EXISTING i { 14 _ I --- .......... 319 { i 4 ( i ( f , VGA U. LTE D -CIE I LING Fi 2 10 r I > - o� 1 f 1 -.1 vii r ' i I .4 I `t,;t 3Gi 45 jI! � r i, 1 i 4 1 i i ' AAt54E �QERKN 'Joo 0.g - l� � tch�� _____ cl,in �,n-y �' , 1 s � � � � o � f C )or i Scale z m;\A 1''-o„ Door 00 X b S-tb 1 C- Go ra -e 3 . (D 00 G C,l.aSC�- i l 4 LL4" 7 9 r ,r i 2 ND , Floor Pki n scate 112 ( 1ASTER u - (( Y i L Y tp WAtL. s , Mci5ter Qedroom s sP t i CLO sE;" - t- , r-- — -- -- E lev It.1. 0 n R-ear S c ca e 1 _......[....... ►--------_ +_ -_:r_�_:_r_.�,_�::r_. ._.r._.:-:..(_ .::��t-_�.:��-__�:..=:1 __.:. C�.�_.�.-. �_..._r__ r -.-_�+. L._.1-•=�==_Ti_��:C.:�_.-►�__=:�.���r �: - r �- �.��.._ -►--Z_ � _l.__.__l._.___I____._.1.._....1. ,_..._f_.:_--�.-------. !_:. ___._. . .... _.L _.._._�__ _J__:_ ..�._._- -1-.---.(-----�----r-11__ _.--r___L._._ !_ _( ._(.._.�-. .. (_ .._ _ -- , _._.--..r ---- r _S.__�_ �-.t-T:T_.i--- 1___-1 � ..- !� r. , ► ^+ 1 � __L :.r(__.l_ �- �. _._ C `:L _1- .. -�- - I _ 1_ _J-_ - L r _ L. T -I I C. -r_�.L_i _ i ! j � I I . . : P d o .. t, w a r, __. , ---- - - � QAtS{sti FQFMcW FRENCH Qocok5 i-tch �n - _clininy '� ST ) f I 0 r� i lon P.r b Sca Le /4 � 1 �EFQ'+Q -�► Iz � s1 o a„a �,os N, FOI I Ga r a e i �� - i�oa�c.FNTQVvoOP, G G Cl:aSe-} I - - ,� •I, 2f � gi V lDh ( 2 ND . 2 FlOor IDI ( [ n rc � ust SCCLte /2 1 -fibDo _.___... .... _. . Rp�1�a� 10 O kA,1 z.Y1.0 WAIL f o Ka�: y ���rea 2=�" 11 1 Ll, Mast`e.r D e d. r o o.m f. ------ �a Los/ g Cl Lo S r--K` 1 VVa z�<:.L ru i pi -- --- ----- - -- - -- - ---- - .......... - z C..ross , J i in -zm x 12 L'VL cd sb�heh- v��C' i I $iic J w��e-ke- - .. � �� It �J A.)CY'C*L� /`Ab � I i2��X.lo r �cv o�.Y-.• Vv n y- LT• i �rc � vC � t ico n :Scale 1 _._ I f. __ ► 7._I I I _ _._L_-1.__�_._�(�._._.L._ ::I, _ !.'.:: I L__1_f 1_r-_LI_:_�' _.._�,.,.-...-.1:�,:-. _.`._:... .. ►_._�.J_ ..-- ---1-.._-:.1_-_--�-._.__1._ - -- 1 "_:: I_ T 1 1 ! _l-_L`_L�-- r f _ L I 1-_1 ►_ -i r , l._+_ 1 . I _i -------� --i -T--- -f- r 1 _... ( :_f t . __�--1___�f 1nn' nEDE.. I � ��__. _ i • 4. PUMP SHALL BE EQUIPPED- WITH AN AUDIO AND VISUAL ALARM, P SPL'CIFICATIONS.' INSTALLED IN A BUILDING TO PROVIDE ADEQUATE WARNING IN CASE OF PUMP FAILURE. .ALARM SHALL BE POWERED BY A CIRCUIT 1 SHALL BE 'BARNES" SE411AU (0.4 H.P.) W1 4. 12" IMPELLER SEPARATE FROM THE PUMP POWER, HALL BE CAPABLE OF PASSING AT LEAST 1.5 5. CHECK VALVE, AUTOMATIC CONTROL AND CONTROL BOX SHALL BE > AT A DISCHARGE RATE OF 61.2 GPM ® 9.0 TDH. AS SPECIFIED BY PUMP MANUFACTURER. SHALL BE INSTALLED IN STRICT CONFORMANCE WITH 6. CONTRACTOR SHALL PRESSURE TEST FORCE MAIN TO ASSURE ACTURER'S SPECIFICATIONS. WATERTIGHTNESS. -3 CONTROLS SHALL BE MOISTURE PROOF AND OPERATE IN OLLOWING SEQUENCE: 7. PUMP AND ALARMS SHALL BE INSPECTED AND MAINTAINED IN MP OFF ACCORDANCE WITH MAUFACTURER'S SPECIFICATIONS. MP ON ARM ON S. IT IS RECOMMENDED THAT A SLIDE RAIL SYSTEM BE INSTALLED TO FACILITATE REMOVAL OF PUMP FOR INSPECTION AND MAINTENANCE. TYPICAL SYSTEff PROFIL�' Not to scale Tank to be installed on THRUST BLOCKING SHALL BE stable base Imin.6 stop PROVIDED AT ALL BENDS TO PREVENT DISRUPTION OF PROPER T01?7 Of 20" DIA. COVER FUNCTIONING OF LINE. F02G?2lz'Czt20rG 20" Did. cover 20" .0ia TO WITHIN 6" OF to ithi 6 in covers 1 E'lev.=204.46' 11 ofYlnish grade7 FINISH GRADE 1� Inv El. 10' chin. N / 10' o 14' f14X 201.5' 3' o, Note: *� Outlet wipe b, N NEMA 4X to be,level JUNC770N �- for 2 BOX V.El. {---- -�-- Sc q„ lJia. BLEEDER }` �` sclaed. O Y. i ® - - 2" DIA. FORCE MAIN o « Flow line hect q0 RY.C, co « P. C. scH. 40 PVC 1500 Inv. EL CHECK *Inu El. Inv. El. Do VALVE JVE Inv AY=198.7S 202 00' , Gallon Capacity 200.0 , ��,Ncf5- 20183 ° ° °° + 4" cast iron Sevttic Tank ' jALAR) ON (195.92) ------------------- or sched.40 Water tight reanf. co: ssh'�if�F-OR *PROVIDE INLET TEE P.Y.C. pipe Inv.E'l. APPROVED PUMP ON (195.67} EXTENDING TO 1Inv.E'l. 199.0 EQUAL. ABOVE OUTLET INVERTNo garbage grinderPUMP OFF (195 25) ,200.,25' allowed with this desi� (SUMP) Bottom Elev=194.5' Ill tees shall be cast PUdlP 6 YHA ffBI'R ffaintain a maximum of 36"eover over or,sched.40.,P.V.C. .wig 1000-GAL. SEPTIC TANK SHALL BE all system components All components cast-in-place concrez UTILIZED. INSTALL ON A LEVEL, shall conform to specifications contained Provide gas; baffe on i tee. STABLE BASE. (MIN. 6" STONE BASE) in 310 CMR 15.00. A85�0RPTION C'hT14.Af-S R 1DET.4IL (500-GAL. "ACAE PRE'C�S7 UNITS, OR EQUAL) 1Vot to scale d 1ax. Final Grade 3/4»-1 112 Double Elev.=,205.3' washed stone (tyu) 2" fin 1/8"->/2" minimum of,/1) double washed inspection cover stone (Tyw) DES-101V DAT�4 required per unit 9" dlin. Number of bedrooms.. 5 cover Estimated daily effluent. 550 top(Fx so a: top soil) Total leaching area as proposed- r---------------- ------ --------- -, Sidewall. ` 2('LfWf x II - 21700 :; ®� ®®® ;' °° o ° T T H�L�' IDAT_�1 531. 90 Bottom: L x' N� _ ° n Duo j ®�®l�=Si®® ®®® �. u ° ° ° 2,Ef✓ectin .Leaching Capacity as proposed. ° , , ° Depth . - o°po on° °° I ®®®®®® ®®® I o o °° N0. 1 ,20,2.4' A70: 2 202.4' (Effluent loading rate - 0.74C .OISF) ° , ° ; I n nnp a° °.n L.__.-.----------- o0 SANDY LOAM SANDY LOAM 21720 x O.�4 = 160. GPIJ ------ --------------- Sidewall Loa ° °°° ° ° -- °P G 202.1' 20,2.1' Bottom E'l.=199.5 B SANDY LOAM g SANDY LOAM Bottom L.' 531.,c x 0.74 - 893 1 0,Po , , .201.9 201.9 's 4.O 33.5 4.D (5' fin. �o� 9cy FOFAZ = 553.B '4' S1. ES) �3 UNITS FY/4 OF:STONE IN BETF=V) (4 SIDFS) SANDY LOAMANDY LOAM i � ay EFIE'CTIYE LENGTHY = 41.67 C1 ClC1 o N - El.-194.9 EFFECTIVE XZPFfI = 12.8' iZ4X. II20 199.4 >99.4 N C2 COARSE SAND C2 COARSE SAND Pd�S�G 196.7' 19s ' P.ROPOS.�'.ID O.N_SITE S.�#r,40T TRH',4T�f_E2VT 14yVP .,�1,SPOSAL ,SyYST�l z L� 0 Pre a red for-, IDOLTG AMIDh'-,4N ffA zi1G14,1VLEZLO G3 �11 MEDIUM N C3 FINE (No water encountered) -LOCatzon: 536 SAUA; W77 .ROAD, A4.R_z SYT,4B_ZE (Cent e? z;lle), 1 SAND V SAND .Date of test.• 111,23105 Q Insp. b y. ffatson -Design Services194.4 = 194.4 121 ,Sunset Strip Scale. 4S ,Sy.HOIyN EST. HIGH EST.`<,HIGH J A`ub icle (Ifol mes&ffc0ra 1A-S'o d FvaZ.) r11f1 0 26'49 GROUND GROUND blashpee, Drawn b WATER WATER Donald Ilesmarais (Barnstable health .Dept. .) Sl�r�l 192.4 C 192.4 Tel. 508) 539 906'� ,2 Date - NOhFffBzR ,20, 2005 Slzeet Of ,2 arob No. 00 20NT• GFNFRI4L NOTES:• ��R "�,n f �" uS '�r��� t��,. ISM System is designed in accordance with Commonwealth of!Class Dept`. ' .t Area (min) 871,20 SF (RPOD) x ; of Environmental Protection, 310 CAR 15.00; the State Env2ronmental Code,. • ., ��,�, • �� Frontage (min) 20 Title 5: Standard Requirements for the Sitinq Construction, Inspection, Width (min) 100' Upgrade and Expansion of On-site Sewage Treatment and Disposal Systems" Setbacks• and the Town of B14RN8TABLE Regulations Front 20 2 Mo wells or water supplies are known to exist within feet of the Side 10' proposed leaching system. .411 wells known to exist within 150 ft. of they l Rear 10' system are shown. ,�� ;'� jS of 3. Prior to backfilling completed system, notify the Engineer and the Board of Health for inspection. Provide ,24 hr. (min.) notice. 4. Contractor shall be responsible for verifying location of all underground 4 utilities prior to excavation. 1 5. Any changes to this plan must be approved, by the Board of Health. _ZO�(�11I0jV �p 6. Area served by Town water SCALE'• 1"= 2000'.t SITS' PLAN 1"= . 30 ' i FLOOD ZONL'' Assr's ffa 159 Zone C No Community Panel No. Parcel 15-4 p #,250001 0015 D © i July 2, 1992 O V RL14.r .DI S FRIGT. o / FP - Wellhead Protection District Q 1 As Shown on Plan Entitled "Revised Groundwater Protection b p` �tii 1 Overlay Districts" - April, 1993 799- c °hw ss�s QU— O o --200- - - ohw FZ. EXISTING S6 O' , o 92626 f �o1�v 1 PORTABLE l CARPORT i vC o� ��`O SrOC EXISTING CONCRETE PAD TO BE REMOVED # 4 201 81 EXCAVATE FOR 5' AROUND CHAMBERS AS REQUIRED TO REMOVE >1 - — S7 ALL SANDY LOAM ABOVE COARSE SAND (C2) LAYER BACKFILL a 202-————_ s7 j. �--� 16, (10' MIN) WITH MATERIALS MEETING THE SPECIFICATIONS OF 310 CMR 15,255 (3) AND (6). NOTIFY ENGINEER FOR INSPECTION OF - - EXCAVATION PRIOR TO BACKFILLING. PROVIDE ENGINEER EXISTING ELECTRIC 2.45 i I 32't 24-HOUR (MIN.) NOTICE FOR INSPECTION. s r METER TO BE 02.60 EXISTING 2a2.43 - Q RELOCTED W STONE 203.01 TH DRIVE_VA-Y 20,-_ 16' EXISTING GAS � 2 7 l I METER TO k / (10` REMAIN "� G ` $03.49 26 aril` ` a ti rn o i 20 .s1 <2p w �azs� 0? EXISTING SHED 2 0 G '- --� ^� IN THIS AREA TO \ If BE RELOCATED AS 20.7' 11(10 MIN.) 2-02.95 i 11' (10' MIN.) REQUIRED a EXISTING J. B.R. T.O.F. ELEV.= J I ?2't DWELLING TO BECOME 204.46 PROPOSED ( �► t 4 B.R. 35'x40' � 1 pEO� ADDITION 203.341 ' H 3.73 T.O.F•- ELEV.= 2oam i `` ......., REPLUMB EXISTING WASTE `a> o " 18.6' 03.31 204.46 I 1 PIPE AS REQUIRED TO CONNECT TO NEW c`v {{ 2015 203.25 , OF PLUMBING IN PROPOSED � N Mgs�gc L�G�'Nl ADDITION. 1�4.82' �� STEPHEN 9G V V 1J CONTRACTOR TO VERIFY EXACT S8173 Test hole location LOCATION & ELEVATION OF PROPOSED EXISTING SEPTIC TANK MCIVILN SEWER EXIT PIPE PRIOR TO SETTING AND LEACHING 'PIT SHALL ,a No.Q6345 SEPTIC TANK. BE PUMPED DRY AND �� Existing contour REPORT ANY DISCREPANCY TO ENGINEER T" ; REMOVED. �F�S bNAf l ---203-- Proposed contour " / ` 0 o Pump Chamber 1000 al 00o Se ptic tank (1500 gal: TOP OF FOUNDATION) OUNDATION ELEv=204.46' (ASSUMED oATuti�) PR0 DOSBID 011T SITS' S�'TY�1 C�' TR��T 1�'NT �41V10 IDI,SPD,S'�1 L SYST o distribution box �. 000 915'L x 1.2.8'W x .2'd .Absorption chamber Pre pa red fora -DOZUG A-IV D .FRAN f1,4NG,4NIZZ10 system Location: 536 S.hUAW.VE'T ROAD, B.4RNS7ABL.' (Centerville), ffA. a c.B. Concrete bound 7� n —W— KaZer line ffatSon Design Services NOTE'• TOPOGRAPHIC INFOR. ,4,r10X PROV1,0ED 121 Sunset Strip ,Scale. CIS SHO�YN BY CAPESURY, OSTERYILLE; �A. G— Gas Line ffashpee, Af,4 02649 Prawn by ,SDff S'UR:YEY PERFORfED ,e3/ffAR/,2005 Xater pit Tel (508) 539 9062 !late — NOVFffBZ.R ?9, 2006- Sheet 7 Of 2 Job 1V0. 0007 t . PIMP SPE'CIFICATIONS,' 4. PUMP SHALL BE EQUIPPED WITH AN AUDIO AND VISUAL ALARM, INSTALLED IN A BUILDING TO PROVIDE ADEQUATE WARNING IN CASE OF PUMP FAILURE. ALARM SHALL BE POWERED BY A CIRCUIT I. PUMP SHALL BE "BARNES" SE411AU (0.4 H.P.) W/ 4. 12" IMPELLER SEPARATE FROM THE PUMP POWER. AND SHALL BE CAPABLE OF PASSING AT LEAST 1.5" SOLIDS AT A DISCHARGE RATE OF 61.2 GPM @ 9.0 TDH. 5. CHECK VALVE, AUTOMATIC. CONTROL AND CONTROL BOX SHALL BE AS SPECIFIED BY PUMP MANUFACTURER. 2. PUMP SHALL BE INSTALLED IN STRICT CONFORMANCE WITH MANUFACTURER'S SPECIFICATIONS. 6. CONTRACTOR SHALL PRESSURE TEST FORCE MAIN TO ASSURE WATERTIGHTNESS. J. PUMP CONTROLS SHALL BE MOISTURE PROOF AND OPERATE IN THE FOLLOWING SEQUENCE: Z PUMP AND ALARMS SHALL BE INSPECTED AND MAINTAINED IN A) PUMP OFF ACCORDANCE WITH MAUFACTURER'S SPECIFICATIONS. B) PUMP ON C) ALARM ON 8. IT IS RECOMMENDED THAT A SLIDE RAIL SYSTEM BE INSTALLED TO FACILITATE REMOVAL OF PUMP FOR INSPECTION AND MAINTENANCE. TYPIC4L S".Y,�S'TEff .I'R0FILZ7 Not to scale Tank to be installed on a level, THRUST BLOCKING SHALL BE stable base (min.6" stone based PROVIDED AT ALL BENDS TO PREVENT DISRUPTION OF PROPER TOIi Of 20" DIA. COVER FUNCTIONING OF LINE. Foundation 20" Ilia. cover ,20" .Dia TO WITHIN 6" OF to itA . 6 . - covers L'lev.=204 46' 11 of Winash grade FINISH GRADE 10' A!in. Inv.El. N 10 14' MANY 201.5' Notev � MEMA 4X N to 6e levr, JUNCTION Q for Z BOX q,. Ilia. _ �-r•'•'.. •� ------------- ------ - Inv El. ---- 2" DIA. FORCE MAIN o Flow liner- Sched. 4,0 PVC - BLEEDER } k. 200.5' CHECK SCH. 40 PVC Inv. El. �� Inv. 1500 VALVE 200.0' Nkiif-` GATE Inv. E'l.=198.75 202.00' ° ' ®®®®® Callon Capacity VALVE - 201 B3'° °° ' 4" cast iron sevtic Tank ALARM ON (195.92) ° °° -------- ------ or sched.40 eh'H4-OR 3" * (Water tight reanf. cone) PROVIDE INLET TEE P.!T C. pipe Inv.El. APPROVED PUMP ON (195.67)" EXTENDING TO 1" EQUAL. Inv.M. 199.0' % 5 ABOVE OUTLET INVERT. No garbage grinder, 9„ PUMP OFF (195.25) 200.26' allowed with this design. (SUMP) `Bottom .Elev.=194 5 All tees shall be cast iron PUrfP Ch'AffBL'R flaintain a maximum of 36"cover over or sehed 40 PVC pipe or 1000-GAL. SEPTIC TANK SHALL BE- all system components All components -- - - cast` tin-place concrete. UTILIZED. INSTALL ON A LEVEL, shall conform to specifications contained Provide gas balfe on outlet tee. STABLE BASE. (MIN. 6" STONE BASE) in 310 CJfR 15.00. ABSORPTION CHAffB.ER I17 T,41L (6-00-CAL. "'A0W PR-'CAST"' UNITS, OR ZWQ 4L) Not to scale flax. Final Crade 3/4"-1 1/2" IJouble Elev.=205.3' washed stone 2.•JW >/8"-> z' flinimum of f>) double washed inspection cover stone (Typ.) DESIG1V I1ATf� required per unit Number of bedrooms: 5 9" flan. cover Estimated daily effluent.- 550 (Exclud Total leaching area as proposed- r---------------- ------ ----------- top so ilk Sidewall. 2(LfWf x D = 217.20 no an , T. 'STIOL�' I�,4T�4 Bottom: L x _ �53120' ° o° �®®®®® ®� ° ° p o °° Leaching Capao y as proposea' P Effective IVO. 7 202 4' NO. 2 (Effluent loadtin,� rate = 0.7'4CFOISF) a; ° °° ° 2 Depth A SANDY LOAM 2021' A SANDY LOAM 202�' SZdewall.' 219 20 x o 74 = 160.� CPD °0p° ° ° °°° + °° °°°o°oo oo°�e _-_-----_ -----_ Bo B SANDY LOAM B SANDY LOAM Bottom.' S31.2 x 0.74 = 398> GPI) E'l=199.5' 201.0 201.9 �NOF�gss 4.0' 33.5' 4.0' (5' AIin.1 �o STFPHEN q�y� TOTAL = 553.8 (4' SIDES) (3 UNITS W�'4' OF STONE IN BETWEEN (4' SIDES) C1 SANDY LOAM Cl SANDY LOAM o' fi C/lea y EFFECTIVE LENCT,�I = 9>.5 - Z.=194.4 D. MAT50V ti - CIVIL EFFECTIVE WIPFfl = 12.v fIAX. X20 o NO.46345 �.2 COARSE SAND CS COARSE SAND �d�` 'FG/S �SSIONAL S�G�� >9s�' RIOPOS' 'D ON-str7'�' SL' GL' TI�'�'14Tf 'NT 42VD A7SPOS141 S'YSTZA1 V z o Sr . °�� Prepa red for. DOUC AYV0 FR,41V A1.�4YVC,4Y1-ELLO C3 MEDIUM N G� FINE �NO water encountered Local o n: 536 ,�S'hUAN4 N.�T .I'OAD �4 'NST�4BL�' (CenZerville), All. s D � sAND bate of test.' 1>/,23/05 ' B l ns b Afa lso n Iles i qn Services 194 4 p Y. _ 121 sunset Strip EST. HIGH EST. HIGHSc ale- .As s J. Kub zck �.hrol mes�.�IlcGrath S'o ZL .�'val.� HORN GROUND U GROUND ffashpee, rl1.�4 0,26'49 WATER oc WATER Donald Desmarais (Barnstable Health Dept..) Drawn by .�.SDff >9z 4 a 19z 4 Tel (508) 539 906,2 .Date - NOII�'.r�fBER .29, ,goo67 Sheet 2 of ,2 Job No. 000/