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0044 SOUND VIEW ROAD - Health (2)
44 SOUNdVIEW RD y CENTERVILLE A-227-052, lk 0bA1 0 NO. 152 1/3 ORA ,00Y No. C9c o J f (�� Fee !V1 THE COMMONWEALTH F MAS ACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., M'ASSACHUSETTS 01ppYication for �Diopool &raem Cott!truction Permit Application for a Permit to Construct( . )Repair O Upgrade( )Abandon( ) O Complete System El Individual Components Location Address or Lot No. ! 6 LA-cbA y Ow���VamLe,Address and Tel.No. Assessor's Map/Parcel , �� �� I�Ne/�e L� �p�' Y �Q 1 1� Installer's Name,Addresssyand�Tel No. Z-A '7 —T,51`ti Designer's vName,Address and Tel.No. 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 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1 ® 00 Type of S.A.S. Description of Soil Nature of Re�1airs or Alterations(Apswej when applicable) ra Q �Q 1 , Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with.the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b t is B and alth. r, - ` S' ned �' Date 6 /_ f) 0 Application Approved Date fad Application Disapproved for the following reasons Permit No. QC6 5 " �J Date Issued 3c 5 .: No: V 1 1 s Fee /o a r Entered in computer: � THE COMMONWLTH fOF MAS ACHUSETTS Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01pprication for 33i5p"oor *pgtem Con.5truct on Permit Application for a Permit to Construct( , )Repair(x )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components - d Location Address or Lot No.4LI 6DLA,4UV W. Owwnnerrls NaaMe,Address and Tel.No. Assessor's Map/Parcel -„' le l t f-1 t- / u I k,- Installer's Name,Address and Tel No. 3zb P 7 5 3''a ,�' Designer's Name,Address and Tel.No. vvi��x ck li Type of Building: Dwelling No.of Bedrooms '�X Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) _l y Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank d Type of S.A.S. --_- Description of Soil d Nature of Re airs or Alterations( nswe when applicable)D 5 Q,® COil aftXZAL :Tr15v V fq / Date last inspected: i Agreement: The.undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b is and of �alth. / Signed Date � sD f o l - Application Approved Date 30 Application Disapproved for the following reasons Permit No. r S T .J 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 (X )Upgraded( ) Abandoned )by -1,' _ 0 ,o at r 1 ® has been constructed in a cordance 14 with the pm visions of Title 5-and the for Disposal System Construction Permit No. am 5 31 dated to ] 30 5 Installer=, D �I'fl f Designer �-- The issuance of this permit shall of a construed as a guarantee that the s stem ill function as%esigned Date Inspector �� — V ———— No. t— —' Fee J Q d . . THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migozal *pgterrt (Com5truction Vermit Permission is hereb granted to Construct( )Repair( )Upgrade( )Abandon( ) System located, !�ot irvbju mi r^j tK_0 1 K!>� . and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to - comply with Title 5 and the following local provisions or special conditions. Provided: Construction ust be completed within three years of the date Uthis Date: � ' Approved by TOWN OF BARNSTABLE Lt ATION 1/y SO Una W V l e W R-1J,,�, SEWAGE #,2 o d 3 �l VAGE/fit � ►�-- G4/" ��SSESSOR'S MAP & LOT a2,27•-052 INSTALLER'S NAME&PHONE NO. Al A C ®A4 J4 @ A 4 SEPTIC TANK CAPACITY / P s LEACHING FACILITY: (type) x/T f (size) !• mod® NO.OF BEDROOMS A BUILDER OR OWNER tde,Is In PERMITDATE:_ 6° c ~ COMPLIANCE DATE: Separation Distance Between the: , .Y 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 �� r,' .. .� � ,. �� �� � ,. . � � e � �� \ \ s.� �� �� W o o� /d'!1 S ` � , � � � \� s (� _ p, . . a, � �� •x= � 01, 'g� kt«7 Vdim/ Home: Departments:Assessors Division: Property Assessment Search Results "I,ppP 4 SOUND VIE`V OA Owner: WALSH, HUGH T Property Sketch Legend Map/Parcel/Parcel Extension 227 /052/ Mailing Address +: WALSH, HUGH T VERONICA L WALSH1 15 BOW ST MELROSE, MA. 02176 fy 2005 Assessed Values: ' f" Appraised Value Assessed Value 12 Building Value: $66,700 $66,700 Extra Features: $0 $0 Outbuildings: $400 $400 Land Value: $ 138,700 $ 138,700 Interactive Property Map: Ma re wires Plug in: Totals:$205,800 $205,800 1 have visited the maps before First time users Show Me The Main Click Here April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: WALSH, HUGH T 2340/298 $0 2005 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Land Bank Tax $37.35 Town Fire District Rates Other Rates $6.05 Barnstable-Residential $2.12 Land Bank 3%of Town Barnstable-Commercial $2.80 C.O.M.M. FD Tax(Residential) $207.86 C.O.M.M. -All Classes $1.01 Cotuit FD-All Classes $1.28 Town Tax(Residential) $ 1,245.09 Hyannis-Residential $1.52 Hyannis-Commercial $2.39 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 Total: $ 1,490.30 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 0.11 Year Built 1940 Appraised Value $ 138,700 Living Area 612 Value $ 138,700 Replacement Cost$88,924 Depreciation 25 Building Value 66,700 Construction Details Style Ranch Interior Floors Carpet Model Residential Interior Walls Plastered Grade Average Heat Fuel Gas Stories 1 Story Heat Type Hot Air Exterior Walls Wood ShingleClapboard AC Type None Roof Structure Gable/Hip Bedrooms 2 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 1 Bathroom Total Rooms 4 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value SHED Shed 64 $400 $400 Property Sketch Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area (Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) Town of Barnstable pF1HE T Regulatory Services Thomas F. Geiler, Director • BARNSTABLE, MASS. a Public Health Division i639• ♦0� HIED"APB Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: (d j Designer: . k CA-0 i L-L44L-,• Installer: Address: D. So< Address: b 2k73 On 44 R e D .K e@ R was issued a permit to install a (da ) (installer) septic system at 13 Enmp5 gwet based on a design drawn by (address) j LLAe dated d (designer) ertify that the septic system referenced above was installed substantially according to QX-Jthe design, which may include minor approved changes such as lateral relocation of the distribution box and/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. .• OFMgss9 } o= RONALD cs JAMES N Installer's(ygnature) CADU.LAC �1 u 9 #1060 0 9�b1TARP (Design 's Signature) (Affix Designer's Stamp Here) => PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT-BE ISSUED UNTIL BOTH THIS FORM AND AS- PUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form Town of Barnstable KAft Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,MS Wayne Miller,M.D. November 20, 2003 Mr. Brian Grady, R.S. G.A.F. Engineering, Inc. 266 Main Street Wareham, MA 02571 RE: 44 Sound View Road A= 227-052 Dear Mr. Grady, You are granted conditional variances on behalf of your client, Hugh Walsh, construct an onsite sewage disposal system at 44 Sound View Road, Barnstable, Massachusetts. The variances granted are as follows: 310 CMR 15.211: The leaching facility will be located seventeen feet away from the foundation, in lieu of the twenty feet minimum separation distance required. 310 CMR 15.211: The septic tank will be located eight feet away from the foundation, in lieu of the ten feet minimum separation distance required. These variances are granted with the following conditions: (1) The engineered plans shall be revised to show a reduction in variances as discussed at the public meeting (and as shown on your proposed sketch/draft plan). The revised plan shall be submitted to the Public Health Division Office prior to obtaining a disposal works construction permit. (2) No more than three (3) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and Grady2 similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (3) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to three (3) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (4) The registered sanitarian shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the engineered plans. These variances are granted because the physical constraints at the site severely restrict the location of the soil absorption system due to the small size of the lot. Sinc ely yo s, ayn Mi er, M.D. Chair an Grady2 Qp tHE T DATE: P� FEE: • BARNSTABLE. MASS. 9� s639. ,0� REC. BY Town of Barnstable SCHED. DATE: Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kauflnan,M.S.P.H. Wayne A.Miller,M.D. V ARIAINCE REQUEST FORM LOCATION Property Address: 44 Sound View Road Assessor's Map and Parcel Number: 227-52 Size of Lot: 5,000 s.f. Wetlands Within 300 Ft. Yes X Business Name: No Subdivision Name: APPLICANT'S NAME: Hugh Walsh Phone Did the owner of the property authorize you to represent him or her? Yes X No PROPERTY OWNER'S NAMME CONTACT PERSON Name: Hugh Walsh Name: Brian R. Grady, G.A.F. Engineering 15 Bow Street, 266 Main Street Address: Melrose, MA 02176 Address: Wareham, MA 02571 Phone: Phone: 508-295-6600 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) 310 CMR 15.211(1) setbacks See attached letter NATURE OF WORK: House Addition ❑❑❑❑❑❑ House Renovation ❑ Repair of Failed Septic System El XX Tear down and re—build Checklist(to be completed by office staff-person receiving variance request application) _ Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e g.septic system plans) _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) _ Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals (same owner/leasee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems (only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kauffman,M.S.P.H. REASON FOR DISAPPROVAL Wayne A. Mier, D. d l—s— Q:\HEALTH\WPFILES\VARIREQ.00C el III III t7W i d-1,I ' i ro OMENS SAM 101 --------------- i I� 1. 11 I �, ; I JAN 12193 06 : 28 FR J F GLEASON JR 212 504 3054 TO 15087906304 P . 01 Mary Louise Gleason 54 Riverside Drive, Apt. 3D New York,New York 10024-6551 212-595-6094 Facsimile: 212-504-3054 Marylou easonO)cs.coom 14 November 2003 Mr. Thomas McKean, Director Barnstable County Board of Health 200 Main Street Hyannis, MA 02601 Dear Mr. McKean: I understand that Mr. Brian Grady,RS_,the Sanatarian who is representing my neighbor, Hugh Walsh, plans to attend this evening's meeting of the Barnstable Board of Health to discuss ways to deal with the variances sought which are necessary to build the proposed new structure on Mr. Walsh's property at 44 Sound View Road in Centerville, MA. I wish to have my concerns entered into the record of the November 14"meeting, as I am recovering from anterior/posterior spinal surgery and am unable to make the trip to Cape Cod to attend the hearing in person. s The exiting house was designed and built by the same builder who constructed my house, as well as five other houses on Sound View Road, and several on Red Lily Pond Road and Old Craigville Road. These houses are nearly identical. The bedrooms in these houses are exceedingly small, measuring 8'10 '/2"x I I' and 11'3"x 9'1". The scale and bulk of the proposed structure is premised on the plan to incorporate three full-size bedrooms into the proposed structure and has resulted in the need to seek variances to accommodate the required septic system and reserve. My neighbor's desire to increase the number of bedrooms to three, and coincidentally add two showers, a full bath, laundry facilities and dishwasher, has resulted in a structure which is so large and oversized for the lot that it will require a proportionately large septic system to accommodate all of the outflow. Such a system cannot fit on the lot so as to conform to the code setbacks from my property line. r M neighbor is essentially trying to squeeze too large a structure on too small a parcel, and is thereby asking the Board for four variances from the standard requirements. If they scale back their design, they would not need to seek so many variances and would thereby not impinge on my property. The very fact that the applicant is seeking four variances suggests that the overall size of the structure is intrinsically too large for the 50'x100' lot. JAN 12 ' 93 06 : 29 FR J F GLEASON JR 212 504 3054 TO 15087906304 P . 02 Furthermore,the scale and bulk of the proposed sure is out of character with the rest of the neighborhood and will overshadow all neigh, oring houses. Respectfully submitted, Mar5Xouise Gleason ** TOTAL PAGE . 002 ** RECEI E— Mary Louise Gleason 54 Riverside Drive, Apt. 3D OCT 10 2003 New York, New York 10024-6551 212-595-6084 TOWN OF BARNSTABLE Facsimile: 212-504-3054 HEALTH DEPT. Marylou leg ason&cs.coom 7 October 2003 Mr. Thomas McKean, Director Barnstable County Board of Health 200 Main Street Hyannis, MA 02601 Variance Request for 44 Sound View Road Hearing scheduled for 10/14/03 Dear Mr. McKean: I am writing,in.response,to notification that the Barnstable.Board.of Health.is holding a. public.hearing on Tuesday, October 14, 2003 at 7:00 p m.,to discuss.variances sought by in neighbor, Hugh Walsh, for.his property at 44 Sound View. Road, Centerville, MA: I own 34 Sound View Road, a property which has been in my family for more than 50 t' years and am the neighbor and abutter on both the east and north sides of the aforementioned lot. Only my family,and.I use our house. -iI also own 60 Red Lily Pond Road, an unimproved lot directly across,the street, and downhill from 44'Sound View Road. Irequest that my concerns and objections.to the proposed variances be entered into the record of the October 10,meeting as I am recovering from anterior/posterior spinal surgery and am unable.to make the trip to Cape Cod to.attend the hearing inperson. I have received no communication from Mr. or Mrs. Walsh on this application. According to the plans.I have received from the engineer for'the site,Brian,Grady, with G.A.F. Engineering, Inc. of Wareham, MA, the proposed plans call for the removal of the existing structure, i.e, a one-story,2 bedroom, one bath house, and its replacement with a two-story dwelling, with three bedrooms, two baths and laundry room upstairs, a living room/dining room, family.room; and kitchen nook,.and powder room on the first floor, and a.basement. The new structure appears to have a footprint:;that is larger than the old I have significant concerns and worries about both the size of the proposed'dwelling and the corresponding size of the soil absorption system as,compared to.the lot size, necessitating-the,request:of the health-related variances'from the.Barnstable'Board of Health. As the next-door neighbor.and so=called'abuttor, I am gravety'concerned that the requested variance of only 5 feet from my property line for a septic soil absorption field might negatively impact my property should all three toilets and sinks in the proposed bathrooms plus two showers and the laundry units and kitchen sink overflow the septic reserve. That is a lot of water for the septic system to deal with simultaneously, and, of course,there is no limitation on how and when homeowners use their plumbing fixtures. Should there ever be a blockage, etc., I would be extremely upset if runoff or whatever affected my property and caused a health hazard and any accompanying repairs to my property. No one can positively assure me that that such a scenario would never occur and I must believe that there are significant health reasons for the normal requirement that the soil absorption system be set back 10 feet from the property line. I also have concerns as to any limitations such variances would impose on my making any changes to my property in the future because of my neighbor's septic system's being 5 feet closer than normal regulations require. The density to property ratio, based on the size of the house, is another concern, as the house and driveway appear to cover almost the entire 5,000 square feet,with little room left for anything other than a few walkways. #44 Sound View Road is an undersized lot, which is self-limiting, and the proposed changes to the site appear too large for the site. Although I have no expertise in septic systems, it would seem from the plans that the septic system could be made narrower on the lot to comply with the required 10 foot setback from my property line, but then it would have to extend deeper on the lot, the house would have to be moved back and perhaps the rear deck would have to be made smaller or eliminated to comply with the required 10 foot rear setback. Naturally, the owner would not like a smaller back yard or deck, and the house would be out of line with the other houses on the street--and therefore the owner has requested variances. If my assumptions are correct, it comes to this: Why does it make sense for a neighbor to be asked to give up the required 10 foot septic setback in order to give the owner a larger -back yard? It suggests the fundamental problem of too large a house on too small a lot. I respectfully ask that the Barnstable Board of Health take into consideration the impact of the proposed construction and the attendant soil absorption systems on both my property and the neighborhood as a whole. Respectfully submitted, Mary Louise Gleason Copy to GAF Engineering Town of Barnstable ��Of tHE tp�� Board of Health snxxsTna P.O.Box 534,Hyannis MA 02601 9 MASS. g i639• ♦0 .OTED�r p Agreement to Extend Time Limit for Acting Upon a Variance Request In the Matter of a variance request form received on W the Petitioner(s), A �S regarding the property at �� the petitioner(s) and the Board of Health agree that the Board of Health has until l f / 03 (insert date)to act upon the Petitioners' completed application for a variance. In executing this Agreement,the Petitioner(s) hereto specifically waive any claim for a constructive grant of relief based upon time limits applicable prior to the execution of this Agreement. Petitioner(s): J � Board of He Signature: Signature: Petitioner(s)or P4t��ioner's Represent ve Chairman Print: K-i cud R. 6'l y Print: Susan G. Rask, R.S. Date: �0111116--3 249 Date: 2000 Address of Petitioner(s)or Petitioner's Representative Town of Barnstable Board of Health Town Hall Public Health Division Office 367 Main Street, Hyannis, MA 02601 Phone(508)862-4644 Fax(508)790-6304 file q:extehd.doc I I August 1'8, 2003 a r Barnstable.Board'of Health, - 200 Main Street AUG 2_9 2003 Hyannis, MA 02601' _ T01NN'OF BARNSTAPLE ' HEALTH QEiRT, RE Variance Request " 44 Sound View Road ® • 'Centerville s y G.A.F. Job,No. 03=5811 ', Dear Members of the Board: On .behalf of,the ;applicant, we respectfully request the .following variances. The" applicant is proposing "to- raze -the existing dwelling,: which his approximately 50=years 'old'.and construct a new-dwelling: The variances-'are necessary due to the smali'lot size;50'x'100',-containing 5,000`square feet: ro, 3T0-CMIt 15.21W) Setbacks a A h L _ Soil'absorption systems are required to,be l0-feet from property lines; A 5=1oot setback.is provided to the;easterly property line and southerly street line. 2 Soil absorption "systems\ are required to be setback 1:0-feet to water supply lines::, A seven (7):.foot setback is'provided:, The water service , a., shall be sleeved from the shutoff to the foundation: Soil .absorption systems,'are�required to be setback 20-feet to cellar 0 � walls..A 15 foot"setback has been provided Septicaanks are required to be setback 10 feet from'cellar walls. A nine (9) foot setback has been provided. If you require additioriahinformatonglease contact me directly a m , Sincerely, ; G.A.F. Engineering,-Inc... A IN-ST' gMARE-AjVI MA53 0V 5 1 -Brian R.-Grady, R.S: 'FAX 568 2'95`6634 Enclosure 4 GAF ENG@VERIZON NET , Town of Barnstable Pit Q � I63 962-y16 •.°FFLt�r�o Department of Regulatory Services HSTAB Public Health Division Date ARN � 3 v Mb S `�$ 200 Main Street,Hyannis MA 02601 Date Scheduled 0 6 3 Time�� Fee Pd. U . Soil Suitability Assessment for Sewage Disposal Performed By: Witnessed By: 7�;t ' " , ` !.....nay!!.!!..::�=aKflr'i'y'."",rt,i" rp;TaY sN;a2jh41ii5�'"`t pui'� a balk'�xL,s;"�.i .;�.,. 'ia )' aen,a�.. ...�a�:.,�, iz'c. _ao .a, ill is Location Address [ �SC7Lti` G V i(�ii-� - Owner's Name , ,1 � �`l r I Address A 22�1 Engineer's Name ssessor's MaPp/ azcel: // U 5 Z NEW CONSTRUCTION V REPAIR Telephone# Land Use S(�P.c) i i Slopes(%) 2'5D Surface Stones /U Distances from: Open Water Body 2W t ft Possible Wet Area 2(5C7+ ft Drinking Water Well ft Drainage Way ft Property Line /S �' ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 5_0 ' Z/q N. rtp�1 souxia .UIPc.v P068 Parent material(geologic) /'(A +i qSL, Depth to Bedrock Depth to Groundwater: Standing Water in Hole: 1*0 0/l) Weeping from Pit Face /jj QAJ o5 Estimated Seasonal High Groundwater - _ ��,'1 q i "IN u' n 4 ` " } an.,.•,da..aa �«o REM,a:N MIN ..�w-!+ rk. . 1. krw .w Method Used: in. Depth Observed standing in obs.hole: /U0A) Ar I Uo"In. Depth to soil mottles: ft. Depth to weeping from side of obs.hole: in. Groundwater Adjustment Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_ „•+� ...(tx e .sir :.t'e: k4 - yfiilfltl Q r F e ..� �n7 P7 �''.�1 '{ '„_ ,,�,,�8j31Y�'i ,{ ��1 S•t �t i a I Y:3'i'�-'si �yA';'k6 +tM�Xp+i, �+ N�}! I y.'t, P��9 � uw�d7ro Gw1t1 1( ✓F37luCwT �. uENEW MR, ¢yJVA Observation Time at 9" Hole# Depth of Perc Time at 6" Start Pre-soak Time @ Time(9"-6'1 End Pre-soak Zy �L-lSvKfN Rate Min./Inch 2' Site Suitability Assessment: Site Passed V"' Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----- Q:HEALTH/WP/PERCFORM - k:4W�.. .'Mf*i{:! r"• ;�i 'rn : , h: rr:..„4P.iH .y�.. i :ae:rk��!I�krh.,�,�'r.:,,!:�!k<!:!!!v!maG:. l. ..���hs�f Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel 043 , F5 L /o v/Z 3 z, -l2(o G Ea")j 2,s- '� Ca .. .-. -.:.::::: _.._..: ...re .k9.r :..... .........�'. ..L.. .k „.. r r , ..4 , 5 ,x.,h_ r. k ., _3;.�Lw-:_._�._=,�:5._-•. .'e:.,._ sh.__.._,.,:�..:_.... _:x....L::,.,. ..!.^... :.0�..: .,_u.. , 1_ .. ii, . . .at.....!.d.�r....:.1'G. F A h'..:...,.. .. _.. _.L:...... ::•i si.. :•r!I:�,:,;.rr;:r _ . ..x.Ci. _'3 .. : _..1 ,.. f.. v.. ...n..t�..?u. t .. ....... ......�.. ,. husrx}'n�� ua��'r,m}L+� Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel n.: ,r µ r+ Ff. .,r .r. r^ .�? ! r k'�i�:,:�;"^.:;{e_*iy:.,;;r;':: P"4 i• 'mae:;�.nn!..,h_�•:r,!:'.!:. a t�k .7:!f�h..�"�rtt''"fEk 1 � : . �x '�� ..ww__,sh.�k � '4.'f� r�45'+i, R' k t•v � >s 'c'�.Ha,kl:lk!�..nt :vh'�i.:k;'` � h�, ._ �n<.�' .r. "��s � �•:�T+kr.r.A,sM+,7<...: �'t�:,E,'�.s_3:,rk.w'6F;�:r7�.u: an...st,,.''�.':..�,'4a�._...:h,rh:,e,: Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel Re -} m4i i✓. y, -r H` '. it iJ(jr3,33'u .,,k.yx' ; �vr xn 4 Jt },:�•!r;r tt! t f, ya 'x .j E i �^ '�tk-k !1 .Ni7 l yv}NT fE ,s.� '�K"F;k9' '�' ..... H k,, x�r. rIN 1. utsa5.. ai ...�. a.:x �k _ `_k.__ - .:. +: wsk. .;1_.._ .a Depth from Soil Horizon Soil Texture Soil for Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistent %Gravel 1 1 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 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? If not,what is the depth of naturally occurring pervious material? Certification I certify that on /10 (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 training,expertise and experience described in 310 CMR 15.017. Signature 1-22 Date 1.063 Q:HEALTH/WP/PERCFORM .AUG-27-2003 08 : 13 AM RDA-SANDWICH 5088884211 P. 02 l SITE BUILT DECK I , I FAH SOX ILO STD FIXTURE \\ KITCHEN/NOOK 1-- h FAMILY 13'•0°x 1o'-e° i I 13'•0'X 13-3' '3T11 NOOK FIXTURE ZI I � I i I I ENTERTAINMENT CEN'rr DINING "1 I I L .-- - iI LIVING 'I 13'_0"x 10,-&, I�I �90SU epee II U it I; I, SITE BUILT PORCH 27'.3"x 5'..8" SCALE: 114" = 1'0" I _ I PAW: OI3AwN BY A.J.gr[ITn I BUILDER: ueE cR°'P RDA.INC. CUSTOM"RI CHMOND I {RC 310NAL SALES CONSULTANT 20e ROUTE 110 MODULAR R4 L9MODULARSANDWICH,MA mUMES,INC. JDA7t: -- ---� (HOMEOWNER: �ONST.TYPE FIRST FLOOR i 04125J03 WALSH WOOD ' REV16E00512v03 I FRAME J 1 I I is I i ' �FlOCOIIG� I >ac awe I 1 N\ a II BEDROOM BEDROOM I l If lSTAIRS '3_a-x T-0" I 0 I II I II I r� �• ,,f � I ��;i ! Q � , MASTER BDRM ` i I 13'-0"x 14'-4" k I --- - ..—_—27..r---- -L00D LJGHT � I . I I I I oRAwN fT a J.PQITM i pU'LDER: RDq INC. --'USE GROUP CUSTOM y/ R/CHMO/V D — "nOr. -- REGIONAL SALES CONSUUTANJ 790 ROUTE 130 144wF_3TCN:ETER MODULAR 3ANDWACN,MAMOMF_fi,INC I IwAL.s� , l) SECOND FLOOR L .oa��o3 I` woof REVISCC OSa,1103 FRAME ------- - ---- II - i . II 12 FT r s.�:r f'�1 ��._ T''��-�-�rirrT � ��!�•r�c��.[�•r.�+f rrs� rT�i;.. ,4;1.`7.i:rsC'�C_' t� 1 i sr ::'r_.rr_cr z�. rir'1!1_TJ i =1. Tyi 1=• ti'-c'_L`�'-'''�r'.�1�-T'� s�aiLf.•��f',�_, r' r. _.�-..1-1-cCrLrCh ' .itYc��u.,. f t • li rJliF' � �I� ` � I 1. h f 11 � m �(i? Ir t---- -- - - -- ---• - n ; , r , ' � I - - 1 i J � I ' REAR ! U U) W �I ���^_� -:�:�,. ^�� �_ ,rr T.,.� :.K•t:'i;�� ; ME! .f .C�,T tiE c fe•19 v 10 0.7 .?ir .i��.r'.7�I�il 11 _---.:.__•.�_:> .__-'.: - - _- —c—_- __ , n �I t �-_ _:. — - - —. - -- _- -_—- -- r I rZ j i i ti. -- u tl YI 2 ( n I } V Z O LEFT RIGHT mF y - a J0 x � IeSell � ;qa a!K�C/TOWN OF BARNSTABLE 1i LOCATION �vt1D1//�uJ � SEWAGE #�d VILLAGE ASSESSOR'S MAP & LOTc-A:;�j- INSTALLER'S NAME & PHONE NO. :::7 67,77 &O.t1S�" SEPTIC TANK CAPACITY /lJIJ� �SS�oC, LEACHING FACILITY:(type) (size) NO. OF BEDROOMS c,2- PRIVATE WELL PUBLIC'WATER BUILDER OR OWNERc� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ill L ry �� r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Diap.aaal Workii (fnnatrurtivit 1hrutit Application is hereby made for a Permit to Construct ( ) or Repair (/)<) an Individual Sewage Disposal System at: --; /.....Sovet...vi�...c............�................ ..... l _ �a l°�!.s',�`'''j ....................................... ocatio -A dress or Lot No. �.. .11v._.... l s Owner Address Installer Address 7e d Type of Building -5 Size Lot. .: ,� ----.S feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building No. of persons............................ Showers a YP g ---------------------------- P ( ) — Cafeteria ( ) Q' Other fixtures ..................... W Design Flow.............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid'capacity......_.....gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -----------------------------------------------------•--------------------------•------...--••--......-----------------------------•-•-•-------•------....... 0 Description of Soil................................................................................-........................................................................................ V --------------------•------------------.....--•--------------•---------------------------------•------------------------....---------------------------------...................-----------------...._.. W U Nature Jof Repairs or Alterations—Answer when applicable.....l'aFP� _.... lh /^ ?� 1 ------ r�__�---- ...........................................................................................-------------------------•-------------.....----------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complian ha been iss d the board of health. Signed .. - ---- - -- -- - -------- -------- ----- ---�e�1-..:._ ate Application Approved By --------------C` -- - - - -- -------------------------------------.......------------------------------- ----- r` -p0 Application Disapproved for the following reasons- ---- -------- ---------------------------------------- -------------------------------- ............e------------------ ....................................................---------------------------------------------------------------------------------------------------------------------------------------- ---- ------------------------------------- _ Dace PermitNo. ....... ....... ---------------------- Issued ------------------------------------------------ -------------- Date No.....iil.. ..C. .?� a y r L r FES....�4 n�................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE o. Appliration for Uhipogal Works Tnnitrnrtiun umit Application is hereby made for a Permit to Construct ( ) or Repair (k an Individual Sewage Disposal System at: �5'ovev view y ----------- 1 l�:__ _ C S � ....................................... y.... ."___........... .................................... ocation-Ad ress or Lot No. - lG'�-•.�Sc...c..... •mil, f!v= `'l"� '�J�v%s- .�� W Owner . \ Address . .ems;. -----, Installer Address UType of Building Size Lot___,__0'.P,/l_�'__,=-Sq. feet Dwelling—No. of Bedrooms....._.....c�.......................Expansion Attic ( ) Garbage Grinder ( ) aOther Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Otherfixtures -------------------------------------------------------------•-••-----------•-----•-------•-------------•••--•-----••-••-----------.........•••- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length---------------- Width................ Diameter_.---_..-_______ Depth.............:,. x Disposal Trench—No..................... Width.................:_''otal hength.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter........... f�Deptl below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank '-' Percolation Test Results Performed b f a Y-- , " Date-----------------•--•-•-•-•------_--- Test Pit No. 1----------------minutes per inch Depth of Test Pit._______....._ _._ Depth.to ground water........................ - 44 `Test Pit\No. 2................minutes per inch Depth of Test ��itl._._..._.....�?Depth to ground water........................ P Ia............ ....----................. ® De yip on of Soil ---------------------------•-------------•--------------.....---�-•---•-------------------•-•-----,�--:..:..... ------------•------------------- ..... ....... ................................. ---------------------------------------------------------------- --. ......��..................................\ --.-... .. ........................... � -................................. U Nature of Repairs or Alterations—Answewlaen Agreement: 1r IQ �.-.✓ '1 The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions\of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in.opera tttt on until a Certificate of Compliant has been issu d b-. the board of health. Signed . �_:�.;,�.-� --- • ............. /1e Application Approved BY ---------------CJ � --- - ---- -- -----S r-�... �. � �� Application Disapproved for\he following reasons- ------------ -- --------------------------------------------------- ------- ---- ---------------------- ---- --- -- ............................................ -------------------------------------------......------------------------------ Dace PermitNo. �. -------------------_--- Issued ...................................----------- - Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C"CErtiftrak of Contyltttnce t THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) b .. lOO�!7-..---.. :OAST-.... - - Y- ............................. Installer at ........................................... rw -tJ/ f.J �� has been installed in accordance with the provisions of TITLE 5 pf The State Environmental Code as described in the application for Disposal Works Construction Permit No. -----...��----�..V.,`r.., ....-.. _ -dated .. ------.... .�------------ --------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. A1,114"DATE _ �v//�-..1,GrV Inspector ........ ....... p./- ----------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE... . Raposal Workv ��an irrn ernti Permission is hereby granted•___-__..-_.�� ����'_..___._�D�S ------------------------------ ....... ----- ------- .......... ,to Construct ( ) or Repair (- an Individual Sewage Disppoossaayl System atNo...............•--•------ C ...../Fw-------....-------- __.... Street � CCyy �_•/�'_� �yt ........ as shown on the application for Disposal Works Construction Permit No./l�_\^�y�\�?___ Dated.......................................... ............................Y 1•e c... .......................................................... DATE............................................................................... Board of Health FORM 36508 HOBBS&WARREN,INC..PUBLISHERS OCATION SEWAGE PERMIT NO. VILLAGE C �� �/ 4 INSTA LLER'S IIAME ADDRESS .� { I OR '0 wN ER D A T E PERMIT ISSUED -3 �- ' 7 DATE COMPLIANCE ISSUED i. - _ i } t1 .. 7 � "" �� T � _ � ��� ,. �. ����_`�' �may, .. No...... . . .. 73 ol Film.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............................................OF.................................................r....................................... Xplifiration for Dhipsal Workii Tonstrartion Vvermit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal ...... System at: .......... .... or 4 ....................... dressTot1. No................. ..... ...... ............................................... .................................................................................................. er ddress....... . . . ......... .. ................................. ...�...72,/,,.. ............. ..... . . .......... ........ ....... .... Installer Address Type of Building Size Lot.-)---0.....0....0....0.........Sq. feet U Dwelling�No. of Bedrooms............................................Expansion Attic Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers Cafeteria ( ) Other fixtures ............................................................................................... ------------------------------------------------------- Design Flow........................:...................gallons per person per day. Total daily flow............................................g-,dlons. 04 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter........_....... Depth................ Disposal Trench—No. .................. Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No....k`� ....... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I.......:........minutes per inch Depth.of Test Pit.................._. Depth to ground water......................... Test Pit No. 2................minutes per inch Depth of Test Pit..........__...._... Depth to ground water.......................... 04 0 Description of ................... .................................I........................................................................................................................................................................ U ............................................................................................................... .... . ........... ........................... a I Rep irs or Alte�ations—An§wer,/whlqV applicable..... .. ..... . ........................... U Nature f R . ...................................... ......................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIZj 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of Ith. pp '30 . ......... ... Signed..... ........................ ........Date.............. ApplicationApproved By................................................................................................. ...... ....... =JK3 Date Application Disapproved for the following reasons:............................................................................................................. ..................................................................................................................................................................................................... Date 7:3 47 1Z PermitNo...................................................... IssuedL...............................�K_A.2................ Date OC A T ION SEWAGE PERMIT NO. VILLAGE, �e, I N S T A LLER'S NAME i ADDRESS OR OWNER DATE PERMIT ISSUED Ll DATE COMPLIANCE ISSUED � �, '- �. ��L _. } „ „t.. ' � - `�� �� �; �-. '' i - ��` �.�� Q �N r, � i 4 _ U.S. POSTAGE /lic �+ade :$u A* � � �� � PRID AMOUN T , 7099 3400 0021 1543 6309 $1. A 2 _ 4— 02601 00076731_ a? 7 J £3�G�.'�:�<'�✓ah'�3'.f- �'9 ff�333iz1!i;E1�33�1a!:F3!!.�3::P131�f333�`fE!3331F�1�333��,?i3�3f3,� __ ®-. ----�� •. . . . .._. _ _ -_ - � L 1 � ___- � 7 �� ; " - �, _- �I L_�. __.� THE COMMONWEALTH OF MASSACHUSETTS �����& ���� � ������" ��� . Of HEALTH ��2,14c^ ' ------. ------'���---..'...-------'--..........--.------'-- �~�� Appliratio«� �� Disposal Works Tonotrudion rrrmit Application is 6err6`v nuulmfor a Permit to Construct ^ or Repair V"/\ an Individual ~~~~*^ ~^s~'=l System at: °^ ' Installer Addfess Type of Building Size Lot............................Sq. feet Dwelling--No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. c6 persons............................ Showers ( ) -- Cafeteria ( ) ^� Other fixtures .-------'-------------'------'------_-_______._____-____________.____________ Design I�ovr____' . Totalper �cr000pecduv. Tu� daily flo w.* ' -__- 8co6c Tank—Liquid . Disposal Trench--Nu____'_ Total Total Seepage Pit No--------- Diaozeter------.--- Depth below inlet.................... Total leaching area.................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) | ~~ Percolation Test Results Performed 6v.......................................................................... Date........................................ 1.4 Test Pit No. 1................na6zoteaperiuch Depth of Test Pit---------- Depth toground water........................ Test Pit No. 2---.............minutes per inch Depth of Test Pit.................... Depth tnground woter---.-------.. ---_----'---.---'-------'--'--_'----_--_-----_'----'-'--'. ------- 0of3oDescription �---_'-'--_-----'------_-____-__'-______________________._______...................................... � Q m The undersigned agrees to install the afore e ribed Individual Se D sposal System in accordance with the provisions of TITLE 5 of the State Sanitary de—The undersi rt agrees not to place the system in . � operation until a Certificate of Compliance has issued by e boar ealth. Date ApplicationApproved By........;... ...... ............................................................... ....................Date.............. Date Date � ` .. 4 _ i 10 No.. . . .._.. � Fss. C). THE COMMONWEALTH OF MASSACHUSETTS BOARD Of HEALTH ..................... ....................O F................:................................._......._..._........................... Appl ration for Disposal lVarks Tonotrurfion Prrmit AAppiccation is hereby made for a Permit to Construct ( ) or Repair J,>�) an Individual Sewage Disposal System at: c". .................--.__/ ..... ..._ .....- --•--.._......_..__.... .........� .6�._t....._.ddr jy....C%Y._"� ......... �i��. ./ GtiCLot j ...... .... ... '._.._..._......:....... �LG<� W ....... .. .... ............... -- Installer Address ppqq T of Building V Type g ,. Size Lot............................Sq. feet ., Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) Cafeteria ( ) dOther fixtures .............•--••----.......----.....-•----••-------..........----••--•--••---....................---••------•----.:..... ......... W Design Flow...........................................gallons per person per day. Total daily flow..........__...........--_-.................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter......... ..... Depth................ x Disposal Trench—No..................... Width.....................Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter..................... Depth below inlet.................... Total leaching area.................sq. ft. Z Other Distribution box ( ) Dosing tank (, Percolation Test Results Performed b ,._.............................................. Date........................................ Test Pit No:>1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... G4 Test Pit No. 2................minutes per inch. Depth of Test Pit.................... Depth to ground water.............. a .......................••-•......•-•••--••-•••--••-•-•-••...•--••---••-••..............------..••-•-...._....•-••-•-•-................-•..........._---••••-- ; 0 Description of Soil........................................................................................................................................................................ .._..----•-------••--•--- ...-•. ------•------•-•...................•••--•---....-- ••••-•...-----...... _.1 _�. A- :: ....... .__..._.. d .E-ti U Nature f epairs or Alterations—Answer when a licable- R....... ......... ................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary dde—The undersi �e�d�furthhe agrees not to place the system in operation until'a Certificate of Compliance has issued by the board ealth. Si ................ ._ --------------------------------------------- ..•.�/G'�l,-��•J / Date Application Approved By........�----•C•—';-----•�•.............................................................._ .._..-------.....---Date...-•-•----•- Application Disapproved for the f ollouiing reasons:---•-----•-••••-----.....--•-••••••••-••----•-••------••---•••••-------•--•------------------•-•••-•••....--- ....---•-•••....••.........._•••.........._......--------------------------•-------•--------------- ..........D�........._.._ PermitNo---- 7 3_......_....._.._.._.._ Issued_--................................_..._.._...._.... D "THE'COMMONWEALTH OF MASSACHUSETTS BOARD OF_, HEAL ,.. .........................................OF................ ................. ........ ........... Trrfifiratr of Toutplianrr THISS�S TO GE TIFY, That he Individual Sewage Disposal System constructed ( ) or Repaired O by........./G:....A--;' 4_,46 - -�/A e'C` / �+ / Q.�.c ` Install jet 6G at...............r._.........:..._. .........................................._....._......._.....:.=-_!--_..................;....................................................�..._. _... has been.,installed in accordance with the provisions of TITIZ. 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No..... 7 ........ dated .. �`: � THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............. ..................................... c`. ..�..�. :. ... Inspector..........................-__..:-:--.-----..-...-------------------................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......OF............. $............................................................. v. C& No.... ... .. FEE........................ Disposal Works Tonstrix�ti�n �prmif' Permission is hereby granted......_.....`...-�� ,©SSeev►to Construct Repair an Individ...�;:�.. ........ispo -�- ------��U ----- .. atNo......................�_ .. r.......�.! ...... :_ Street v as shown on the application for Disposal Works Construction Permit No..�1�..._-..-.1... Dated....'l---/....j_ * ----...............•^..................: ofealth ................................... DATE........ r. °._..BIZ................................................. .................... ........•---..._..... Board (� _ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS I f .. CJ fJ No.--.... �._.......7 3 . Fss...... °.�,°yr..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................. ........................OF......................-..-.--..-.......... Appliration for Uiipnsal Workii Tiatuitrurtinrt ranfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 1.. ..:. ................ �f. - --........ .� .--------------........ �I�eeat' dress or Lot No. ... ....... ......... ....... .......... .... ....... .... -- a . . ......... .... er � yy I �![�t.. ddress.....�¢. ............. _.. Installer Address Type of Building Size Lot.. ©0a ..©.....................Sq feet U Dwelling YNo. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures ...---•-----•-•...-•--••.............••---•••--••-----.-------•--.......---.........--•-------•---------.._...._._---••-----..........._.....--.-_.... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.---�_------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by............................................................•-----------.. Date........................................ Test Pit No. 1................minutes per inch Depth.of Test Pit.................... Depth to ground water........................ (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... tx ............. -•..................................•--------.....------.......------.....----•----........._............-----......--------•--••----.---- 0 Description of Soil... ........... x x ---••-------------------••-•-----••-----------•...._.__......._.......-----•----•-••--------.......---•------ ------------------------------ U Nature if Rep irs or Alte ations—Answer hee applicable---..� .`._ _.��0 fJ .......... ........ ••--------.................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of L ITI U 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board off? f I lth. Signed - ... / .. 3 ©`6 3 ...................... Date ApplicationApproved By...............................................---------•---....--•---................_......_.... .._....e-....-3.4...-..E3 Date Application Disapproved for the following reasons:............................................................................................................... . ---------------------------------------•----•--......_...----........-----......._..........................---•--.......-------------•--.....---------•-••-----------. ---••---•--•---•----•-•---•-•--- Date Permit No.................. � � O ..... Issued ----....— -----._— 1-t�................ Date No....... :-�� . fry .a ..... .3 Fmc.......f Ci..-. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................O F...:...................... Appliratiun for Uiipuottl Workii Tomarurtion Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at': f , .................................................. �...._....-'•----•••----------- -- 9_ r'€�,� ~r r s� ;�...........------.....---- a tio' dress or Lot No. fA� , er---•..................................... ..•-•............ ..- ---._. ....----•----- -• -G �^ Address,¢ ( `.......eta.cx�..�!................•---.................. ..........................1.�� _._ /ul�'-�J7�t�!.e ?� . ............. Installer Address ,O O UType of Building Size Lot../.........................Sq feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..... <......... Diameter.:.................. Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date......................................... Test Pit No. I................minutes per Inch Depth of Test Pit.................... Depth to ground water........................ fs. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ---•----- --------."-.--•-•-•-----------••--------------•-•----------------------.-----------•------------•--------------------•------•-------------- 0 Description of Soil.......-¢' •� x U •------------- x ------• -- ---- U Nature of Rep,irs or Alte ations—An�wer h1 e applicable_.... -..............................J _v - - Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board ofjiplth. f Signed � 7 ..............................O �� Date ApplicationApproved By.................................................................................................. .......;�------ �-Q Date Application Disapproved for the following reasons:......................................-.................................................. .••---•--••'--------------------------•....---------------"-•-•••-------•-•''--•-•---•----•'•-•......-•---•--••-' Date Permit No.................. . .... U --•----------------------•------------- Issued..-•--..---------- --•---•-••-•-•---........----•---- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH zz ....................OF................. ................................................................ 01rdifiratr of Toutpliatta THIS IS TO CERTIFY,That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) G �G / B �+ Installer at..............✓.-t ....__.'._.... U�� Y j C(� ICtJ rJ 8 �✓J/�Flzlr. r r eJ .............................__..._.__.....__._...._..........._..._.._.._...._._......_._..........._._............._._._.........._. has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works}Construction Permit N' c __... �k_G --------------- dated..... -------------• THE ISSII NCE F THIS CERTIFICATE SHALL NOT BE CONSTRUIE A GUARANTEE THAT THE SYSTEM WI FlJ CTION SATISFACTORY. DATE'.,. ��- ........................................................ Inspector--- - ----------------------- THE -. COMMONWEALTH QF MASSACHUSETTS BOAR`•~`OF'� HEALTH dx. 42 .OF........*,:.'"r".S/"l�6CG G7G ........................................................ t, FEE............... ffioiosal Workii Tonu#rurtion rrnt t Permission is hereby granted--------"-----. -----------•------------------'•---------•-•'------.............................. to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No..........1k --- v ........... e/'? °t`� C o t-u/ T .. -------•--.•-••'.............'-•--•-•-----•-••-'-•---'-•--'•--------"--•---•-••'---••••--'-'----......... Street as shown on the application or.:j.D osal Works Construction=Permit No....... ......... Dated-.___�___ _. ' ............ e __._.._ Board t of He lth DATE............ --��-.............................::.;-;.,;...�. �• !� FORM 1255 A M. SULKIN, INC., BOSTON ` 4 ' w s PROVIDE PRECAST CONCRETE EXTENSION 5" DIA. OUTLET(S) " FINISH GRADE OVER LEACHING FIELD= . GENERAL NOTES REMOVABLE COVER TOP OF FOUNDATION RISER WITH CONCRETE COVER TO WITHIN 4 SCHEDULE 40 PVC SLOPE ® 2% MIN. OVER SYSTEM ELEV. _ ---- FINISH OF FINISH GRADE WHEN NECESSARY. FINISH GRADE OVER D-BOX_ _.. .._.... 2" LAYER OF 1/$" "TO 1/2" DOUBLE WASHED STONE 2" OF 1/8" TO 1/2" DOUBLE WASHED STONE FINISH GRADE 0 FND. EL.-=-Ja.7 FINISH -GRADE OVER TANK EL.=_ 1 . UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION 20" MIN. ACCESS COVER P-ARALLEL LINES OF METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE (TYPICAL FOR 3) 36"MAX. 36"MAX. -- 12" MIN. ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. ` 2, 4" PERFORATED PVC PIPE 36" MAX. ,� 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. 4 C.I. OR PROVIDE WATERTIGHT _ _ � ' 6" 3" 3" DROP MIN. 3" 9" JOINTS (TYP.) - 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL SCHEDULE 40 PVC 10„ 4" PVC IN FROM _... SLOPEOPERFORATED AT 0.5% BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. 10 ___ __,___ 14" SEPTIC TANK 4" PVC OUT TO ___. LEACHING FACILITY Q �� CAP ENDS �' d O� 4. 4" SCHEDULE 40 PVC PERFORATED PVC PIPE SHALL BE USED - _ 12" ©p "-LAYER OF p pp TYP. p INSIDE LEACHING TRENCHES OR LEACHING FIELDS. MIN. --- s� Od p 3/4" TO 1-1/2" p 48" � � f DOUBLE WASHED STONE ___ _... 10' MIN. GAS BAFFLE 6" CRUSHED STONE $��U--►�- � p p -'�p.►� ._LAYER OF 5. SLOPE ALL SOLID PIPE AT 1 .0% MINIMUM. " OVER MECHANICALLY p _ p 3/4" TO 1-1/2" 6 CRUSHED STONE COMPACTED BASE � p DOUBLE WASHED STONE 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. OVER MECHANICALLY -- 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED COMPACTED BASE _._ _-- -- - � _.. -OUTLET DISTRIBUTION BOX - I .__._._.._ _.. _ �...,.._�.. PRIOR TO BACKFILLING WHEN SYSTEM IS NEARLY COMPLETE AND TO BE INSTALLED ON A LEVEL STABLE READY FOR INSPECTION. SYSTEM I5 NOT TO BE BACKFILLED BASE. FIRST TWO FEET OF OUTLET - - - i WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH PIPES TO BE LAID LEVEL. GROUND WATER ELEV.- AND DESIGN ENGINEER. -"GALLON CONCRETE SEPTIC TANK o40-wA"r6K-f44-?- �0 - ___—___ � F�---_,,. i t,__:..._._�..____M_. CROSS SECTION VIEW 8. ELEVATIONS BASED ON LENGTH wl --___ DTI TYPICAL FIELD PROFILE TYPICAL FIELD SECTION TANK SHALL BE INSTALLED ON A LEVEL STABLE BASE DISTRIBUTION BOX DETAIL �RC�f ILE a' FIELD D DETAILS 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO SEPTIC TAN .-�I ��rorn �'�� CONSTRUCTION THROUGH DIG-SAFE AND ANY OTHER APPLICABLE —,r _vim _ a� _ ._._, NOT TO SCALE AGENCIES. REPORT ANY DISCREPANCIES TO THE DESIGN ENGINEER. NOT TO SCALE NOT TO ..SCALE- ` ' `#58 r 10. NON-SHRINK GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR 7TEST PIT DATA LEAVE ALL CONCRETE STRUCTURES IN ORDER TO PROVIDE WATER TIGHT SEALS. 227034 ' //227059# HARD DATE: 11 . ALL TANKS SHALL BE WATERTIGHT THROUGH MANUFACTURERS SPECIFICATIONS #320 227.1.01 ;#'172 \ INSPECTOR: - -1x1 l-$T !9' — # 170- OR APPLICATION OF ASPHALT OR SYNTHETIC POLYMER SEALER. _ _._... _�. _... . SOIL EVALUATOR CERT. #. • 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS 247046 247046 TEST PIT .____. TEST PIT #: TEST PIT #: LOCATED UNDER PAVEMENT, DRIVES OR TRAVELLED WAYS IN WHICH 035 247041 #204 #212.: 24704400 CASE THEY SHALL WITHSTAND H-20 LOADING. 310 #34 #�2s ELEV TOP _ —_�. _, .__.._.-ELEV TOP = ELEV TOP =� 27049`. #3oa.. r i :"' - __� __ , _- 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND 227050 ELEV WATER , ELEV WATER = ELEV WATER = FINES. _#306 ,' 227051 -1 �• PERC RATE ivili�/fN VPERC RATE = MIN/IN PERC RATE = MIN/IN 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND #24 247043, ` 2470.440 � # 16 #415 I! �___.____�___._ . _ UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES DEPTH OF PERC= DEPTH OF PERC= DEPTH OF PERC= OF LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN 7I _ COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN - - 227097 /"-`---- S.O-U.NDr-�/�E_ _ TEXTURAL CLASS TEXTURAL CLASS TEXTURAL CLASS 1� d IZ I - ACCORDANCE WITH 310 CMR 15.255(3). f I 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES 227053 247040 I -' ,� FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO #60 #31 !_..� 247039 ,�. ?Ar�;C. . CONTINUATION OF WORK. #21 24..1038" / — #`429 / ' / . 6.'41 16. PROPOSED PROJECT IS LOCATED WITHIN: _. D ASSESSORS MAP # � LOT # �' II ( � t,, „I_ ..__.:w_ (, �w_. _,..._.l�_�. i --_I� ��► .. ZONING DISTRICT JC�I BUILDING SETBACKS F: ft s. I fJ ft. R: �L'� ft. FEMA FLOOD ZONE ELEVATION AS SHOWN ON COMMUNITY PANEL # r OWNER OF RECORD. IT`�Z{ 010JI'l'?, ... .�jF l .- w 'L1 l f- I� 11�►1� _ � ►N L - G [`1 _ IJ _ �, �r�aC. H l..l .-,: .1.12�I LzA-I DESIGN DATA LEGEND NUMBER OF BEDROOMS—, loo EXISTING CONTOURS NUMBER OF PERSONS110 �� G GAS LINED CONTOURS ..� I DESIGN FLOW Id GAL/DAY/BEDROOM -----�--E&T ELECTRIC/TELEPHONE LINE (� TOTAL DESIGN FLOW GAL/DAY w WATER LINE 0 ,16 j _ 4" SOLID SCHEDULE-40 PVC PIPE � . �G1��A� SEPTIC TANK: -- -- -- --- -- 4" PERFORATED SCHEDULE 40 PVC PIPE - GALS. DESIGN CAPACITY -- -- LIMITS OF WETLANDS �66 - j0 USE GALLON SEPTIC TANK. (MIN. SIZE PER REGS) d WELL LOCATION I __._ ,,,, � TEST PIT LOCATION r O O O SEPTIC TANK LEACHING FIELD: o DISTRIBUTION BOX 'I� ..y...r..-- EROSION CONTROL BOTTOM CAPACITY _ LI ( �- ,,�� I (WIDTH) - Ay f 1... I'rI�MT,T� = .. _ ___ _ .. _. _._.._ _. . _ . _, .... _. - _. _ � /_ (LENGTH) x - - SQ.ST. _ kJlij Vh .fc _. 0 w` (SQ.FT.) x GAL/S.F.) - GAL. LEACHING/DA`r , y _- _ _ TOTALS _ � 111 TOTAL NUMBER OF LINES TOTAL LEACHING AREA SQ.FT. TOTAL LEACHING CAPACITY GAL./DAY r�K Z�1 �,� �`�•�!��i-.__���I�,__..I'�_.�% U�.I�i�...'�IJw-f/r:- -;1�'��"�i�. _T�_.�����0 REV. DATE BY APP'D. DESCRIPTION APPROVED BY: ! SEWAGE DISPOSAL SYSTEM DESIGN `� ..._.�...._ PREPARED FOR r-KRESERVED FOR BOARD OF HEALTH USE .. . wru,�+M ;, �� ) 4 LOCATED AT APPROVED BY: u SCALE: I DATE: ALVI , Imo, ] ? G. A. F. ENGINEERING, IN C. PROFESSIONAL ENGINEERS & LAND SITE PLAN 266 MAIN STREET, WAREHAM, MA 02571 (508)-295-6600 PLAN SCALE: 1" _ _' Dhd BY: K KY1 lcw BY. F'�`�I pwc No. � I ,xae No.