HomeMy WebLinkAbout0387 STRAWBERRY HILL ROAD - Health 387 STRAWBERRY HILL ROAD
Centerville
A= 248 -049
SMEAD
KEEPING YOU ORGANIZED
No. 12534
2-153LOR
SUSTAINABLE
FOO MIN.RECYCLED
1 INITIATIVE CONTENT 10%
t� o Somp� p°aag POST-CONSUMER
srioisvo
MADE IN USA
GUORGANIZEDAT SMM.COM
TOWN OF BARNSTA LE p�/LOCATION L RSEWAGE# VI��ld/�
VILLAGE ASSESSOR'S ASSESSOR'S MAP&PARCEL F{ `
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY ®C)
LEACHING FACILITY: (type) - ,�,e�'�^' s z 33 k / 4 k
NO.OF BEDROOMS 4 Eee
I �i
OWNER V fl q co
PERMIT DATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply'Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) Feet
Edge 6f Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) Feet
FURNISHED BY le c \(�t c 1N
38� s �'I/
No. Fee C
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ZippliLation for Misposal *pstrm Construction Permit
Application for a Permit to Construct( ) Repair VUpgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 3%-� CAc-"�<_T y XA i N1 Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel a -, C1 cv, f, Ly,r\N4-
Installer's Name,Address,andTel.QNo 0 L) Designer's Name,Address and Tel.No.
Type o Building:Dwelling No.of Bedrooms rQ Lot Size 2% 3 1 sq.ft. Garbage Grinder(No
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided W4® gpd
Plan Date— I 1 7 Number of sheets Revision Date
Title
Size of Septic Tank� '�� do%k%f— Type of S.A.S. a Zbo 6(-L,
Description of Soil �-A QL O Q AS b U P_
Nature of Repairs or Alterations(Answer when applicable) C.,(\AX._ Cn 1\rT_�Q C NA__AC&
Li-
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.
Signed Date (4 i ff
Application Approved by Date /X
Application Disapproved by Date
for the following reasons
Permit No. ®I� ' Date Issued ��
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes„
-�: application for Misposal 6pStent Construction Permit
Application for a Permit to Construct( ) ` Repair VUpgrade( ) Abandon( ) ❑Complete System ❑Individual Components.
Location Address or Lot No. $-� C,AC"6cx y �-X OXJ� O_wner's Name,Address,and Tel.No.
Assessor'sMap/Parcel � .. Cl Cv\
Installer's Name,Address,and Tel No. Designer's Name,Address and Tel.No.
Scoff vcr^u- r Z 60 Yrm-r-� �LW s \AMC.S P G T3o x 1b
(Ay- -::) (%^ o 15-D Ai Li obilo
Type o Building:
Dwelling No.of Bedrooms C,I Lot Size , 3 01 sq.ft. Garbage Grinder M
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures _
Design Flow(min.required) gpd Design flow provided y�( gpd
Plan Date �� �;, 1'1 Number of sheets Revision Date
Title
- Size of Septic Tank tm (, L Type of S.A.S. � ( 1-L, L C,C,\,� C,,VLlwo us
n � t
Description of Soil �I-a x / S 't0 11 0, /o?, k ,��K
Nature of Repairs or Alterations(Answer when applicable) A -k G(\kX- C,N X--- f.(_C4._
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. r r
Signed Date (y l 2 1 O
Application Approved by �---- f Date
Application Disapproved by W Date
for the following reasons
Permit No. d � '- Date Issued
- -- - -
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
(Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired((/� Upgraded( )
Abandoned( )by SC.o'Am
.. at - - 54 r "ra 0 rV hA Cen constructed in accordance
with the dated
P Construction Permit No.stem provisions of Title 5 and the for isP Y osal S l`+
'�a�`�� } '/
Installer CU (" Designer 5 L]{ ti
#bedrooms 1 Approved design floe �� ( I si- gpd
.The issuance of this pe it shall1ZG not be construed as a guarantee that the system wi `tion as desi ed.
Date _��a� ) €7 Inspector r ,L�-� ! ��
- ----- ---__ • -- ------------------------------- ----- ------------------------------------------
No. 0 , Fee 1
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS
MispoBal *pStem Construction Permit
Permission is hereby granted to Construct( ) Repair(S< Upgrade( ) ` Abandon( )
System located at u�� skein act f-,t m t 6
t j
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of this permit.
Date l— "" �C1 Approved by v`^"� ` ' (� ^►",,1(1 ..! t(,
' U
`g
Lynne A Dumas
564 Old Stage Road
Centerville, MA 02632
August 15, 2017
To Whom It May Concern:
The property at 387 Strawberry Hill Road,Centerville MA, Lot: 248 / 049/- Use
Code 1010 was built in 1962 as a 4 four bedroom home. It still remains a 4
bedroom home.
Sincerely,
Lynne A. Dumas
�Se
nUp:ate%'WW.LOWHU1 t=1ALStUUac.UW��W-'a111r,1 paulk,,. r:..i.— .r,........
• Sales History-Map/Block/Lot:248/049/-Ilse Code: 1010
i
i
History:
Owner: Sale Date Book/Page: Sale Dice:
DUMAS, LXNNE A TR 20I409-17 283$6/334 $10
WHITE,NORMA J ESTATE OF 2014-01-30 27962/24 $0
WHITE,NORMA J 2013-07-23 27561/348 $1
WHITE,WALTER R 201.2-06-27 26449/24 $10
WHITE, NORMA J 2010-08-13 24748/210 $1.
WHITE, WALTER R&NORMA J 1964-03-12 1241/129 $0
• Photos 24 8/049/- Use Code: 1010
• Sketches -1'tap/Block/Lot: 248/049/-Use Code: 1010
t BEV
w
AsBuilt Card N/A
• Constructions Details -Map/Block/Lot: 248/049/- Use Code: 1010
Building Details band
2 of 4 8116117 7:25 PM
TRANS. NO.:
CITY/TOWN:
APPLICANT: Lyc��u� vHA-S
ADDRESS M-7 1-1-1 LL a-b ,
DESIGN FLOW: `f`fo gpd
REVIEWED BY: DATE: IZ Z,1W1-7
N/A OK NO
.'1r .ti°. L .�,.,�..3P.t. �-t�.:Y ti 7. ,'x�....ah.Y,•� J
Legal boundaries denoted [310 CMR 15.220(4)(a)]
Street, Lot,tax parcel number and lot number noted on plan [310
CMR 15.220(4)(u)]
Locus Provided [310.CMR 15.2204(t)]
Plan proper scale? (1"=40' for plot plans, 1"=20'or fewer for `
components) [310 CMR 15.220(4)] J
Easements shown [310 CMR 15.220(4)(b)]
System located totally on lot served [310 CMR 15.405(1)(a) for
upgrades]-if not, a variance is required [310 CMR 15.412(4)] ✓
Location of impervious surfaces (driveways,parking areas etc.)
[310 CMR 15220(4)(d)]
Location all buildings existing and proposed 310 CMR
15.220(4)(c)] 6/
Location and dunensions of system components and reserve areas. f
[310 CMR 15.220(4)(e)] V
System Calculations [310 CMR 15.220(4)(f ]
daily flow
septic tank capacity(required andprovided)
soil absorption.system(required and provided) y
whether system designed for garbage grinder "
North arrow [310 CMR 15.220(4)(g))
Existing and proposed contours [310 CMR 15.220(4)(g)]
Location and log of deep observation holes (existing grade el. on
each test) [310 CMR 15.220(4)(h)]
Names of soil evaluator and BOH representative [310 CMR
15.220(4)(h) and(i)]
Location and date of percolation tests (performed at proper
elevation?) [310 CMR 15.220(4)(i)] f
I Percolation test results match loading rate? [310 CMR 15.2421
Certification statement by Soil Evaluator [310 CMR 1.5.220(4)0)]
Observed and Adjusted'groundwater(method for adjustment
given or indicated) [310 CMR 15.103(3) and 310 CMR
15.220(4)(n)] V
Address L�S r �9 Sheet 1 of
N/A OK NO
Location of every water supply,public and private, [310 CMR /
15.220(4)(k)] J
within 400 feet of the proposed system location in:the case
of surface water supplies and gravel packed public water supply
within 250 feet of the proposed system location in the case
within. 150 feet of the proposed system location in the case
of private water supply wells
Location of all surface waters and wetlands located up to 100 ft.
beyond setbacks listed in 310 CMR 15.211 and any catch basins
located within 50 ft. [310 CMR 15.220(4)(1)]
Water lines and other subsurface utilities located[310 CMR
15.220(4)(m)] (if water line cross see 310 CMR 15.211(1)[1])
Profile.of system showing invert elevations of all system f
components and the bottom of the SAS [310 CMR15.220(4)(o)]
Stamp of designer [310 CMR 15.220(1) and 310 CMR.15.220(2)
Stamp of Registered Land Surveyor(required if construction
activities within 5.ft. of lot line) [310 CMR 15.220(3)]
Test Holes adequate (two in each of the primary and reserve
unless trenches as.permitted in 310 CMR 15.102(2) or as
approved for an upgrade under LUA at 310 CMR 15.405'(.l)(k)]
Test hole adequate to demonstrate four feet of suitable material?
[310 CMR 15.103(4)]
Test Holes adequate to confirm adequate groundwater separation?
[310 CMR 15.103(3)]
Benchmark within 50-75' of system[310.CMR 15.220(4)(q)]
Materials specifications noted? [various sections of 310 CMR
15.000]
System components not>36" deep (unless Local Upgrade /
Approval or LUA requested) [310 CMR 15.405(l(b)] '� s
Address Z"l �`f�( Sheet 2 of 7
N/A OK NO
SE+TTI.:..�'I;TANI��� �G�:.�rtr''^�..,,r�'c•�`r 4 ,��„ �°��� ��� ���`�����,Y.�s`Y. � �"a a ;�`y`� r,�3��ya �.�.'y az �s�-?w�+Wry` :,'
Size OK? [310 CMR 15.223(1)]
Inlet tee located ten inches below flow line [310 CMR 15.227(6)]
Outlet tee 14" or 14" + 5"per foot for increase ft depth[310 CMR
15.227(6)]
Outlet tee with gas baffle or approved filter [310 CMR 15.227(4)]
Note regarding installation on stable compacted base [310 CMR
15.228(l)]
Separation between inlet and outlet tees(no less than liquid
depth) [310 CMR 15.227(2)]
lnletJOutlet elevations at least 12" above high groundwater
(except as described 310 CMR 15.227(5))or permitted for
upgrades under LUA[310 CMR 15.405(1)(k)]
Minimum cover 9" (Tanks buried more than 9" must have risers
on all openings and on the d-box) [310 CMR 15.2228(1) and 310
CMR 15.232(3)(f)]
Three,access covers (inlet and outlet must be 20"'or greater)- /
middle access at least 8" (by 7/07) [310 CMR 15.228(2)]
Access to within 6 " of grade -one port for systems<1000gpd,
two for systems >1000 gpd [310 CMR 15.228(2)] ✓
All-at-grade covers secured to unauthorized access? [310"CMR
15.228(2)]
> 10 ft from building foundation [3.10 CMR 15.211(1)]
Buoyancy calculation Required/Done [310 CMR 15.221(8)]
H-20.Where appropriate?[310 CMR 15226(3)] ✓
Setbacks from resources[310 CMR.15.211
MultiomAartrnentanks .fitb,* 'da 1 , F 11161s,F r ht�
- n V
Required,when other than single-family dwellingror flow>1000 �s
gpd [310 CMR 15.223(1)(b)]
o
0
First compartment 200/o daily flow;Second compartment 100/o
daily flow [310 CMR 15.224(2)and(3)]
"U"pipe through or over baffle, outlet of each compartment with
gas.baffle or approved filter[310 CMR 15.224(4)]
Address z4D(4 q Sheet 3 of 7
N/A OK NO
B,iJIJLDilG SEWERrAIY_DUPHER�IPr>N 'air f�
Located at least ten feet from any waterline? [310 CMR
15.222(2)]
Disposal piping at least 18" below water line(when water and
sewer cross, see 310 CMR 15.211(l)[1])
Cleanouts required/provided? [310 CMR 15.222(8)] ✓
.Thrust blocks specified in force mains? 310 CMR 15.221(6)(c)]
Slope of sewer line not less than 0.01 (1/811/ft) 0.02 preferable /
[310 CMR 15.222(6)]
Proper pitch on all runs? (.005 within gravity-distributed trenches
and beds) [310 CMR 15.251(9) and 310 CMR 15.252(2)(c)]
Siphon problem/(leachfield below pump chamber)
Endca s or vent manifold specified?
.Size and orientation of discharge holes specified? (not smaller
than 3/8" not larger than 5/8") [310 CMR 15.251(8)and 310
CMR 15.252(2)(h)] J
Materials specified (310 CMR 15..251(5) specifies various pipe
types allowed)
DISTI2IB 'TIf)1�BUX tf� 4, _{'r73x> ; �t,3 �
.ra _ ..,,rv,�z.��. . -Ya�f+`�.�n Z<T�.r w RzY3.,,3�.+�cz...�m..Pe ax� ��ms� .,x.2�:r..&.��.>_.'Y„`i� „'4',"s_ ,�- •r_
Stable compacted base u[310 CMR 15.221(2) and 310 CMR
15.232(2)(a)]
Splash plate or baffle tee required on inlet/provided?(when
pressure sewer to d-box or steep pitch of gravity sewer) [310 j
CMR 15.323(3)(a)] ✓
Riser if deeper than 9" [310 CMR 15.232(3)(f)]
Inside minimum dimension 12" [310 CMR 15.232(2)(b.)]
Minimum sump 6" [310 CMR15.232(3)(e).]
Watertight cover if<2000gpd); waterproof manhole if>2000gpd `
[310 CMR 15.232(3)(d)]
PUTVIP C ERS` ss
Capacity(emergency storage above working--design flow)?,[310
CMR 231(2)]
Proper setbacks [310 CMR 15.211 (same as septic tanks)].
Watertight 20-in minium access manhole at least 20" MUST BE
TO GRADE [310 CMR 15.231(5)]
Service components accessible(not too deep with piping;
disconnects accessible)
Alarm floats - alarm on circuit separate from pumps s specified?
Exceeds two units must have two pumps operating in lead-lag
mode. [310 CMR 15.231(6 and(8)]
Stable Compacted Base [310 CMR 15.221(2)]
Buoyancy calculations needed ? Provided? 310 CMR 15.221.(.8)]
Z $� q
Address Sheet 4 of 7
i ---- .. - . ---- --
N/A OK NO
Calculations correct?
4 feet of naturally occurring material demonstrated? [310 CMR
15.240(1)]
Required separation to groundwater? [310 CMR 15.212)]
Aggregate specified as double washed [310 CMR 15.247(2)]
System Venting required/provided? (system under driveway or
>36" deep) [31.0 CMR 15.241] ✓
Inspection ports specified and within 3"final grade? [310 CMR
15.240(13
Breakout requirements met? (No violation of breakout elevation
within 15 ft_of SAS unless barrier) [310 CMR 15.211(1)[4] and
Guidance Document] ✓
LLER]CS,P"TS, I3Al�BE12 '31OC1YIR1'S'253 s "' Asti # ,
Chambers and Gal. in trench configuration.supplied with inlet
every 20 ft. [310 CMR 15.253(6)]
Each structure.with one inspection manhole(if>2000 gpd must ✓
be to grade) 1310 CMR 15.253(2)]
Aggregate 1'.M'=* Um- 4'maximum. [31.0 CMR 15.253(1)(b)] ✓
2' sidewall credit maximum [310 CMR 15.253(1)(a)]
In bed configuration,inlet every 40 sq. ft. [310 CMR 15.253(6)] ✓
Width 2'minimum 3'maximum [3l0 CMR 15.251(i)(b)]
100 feet- maximum length[310 CMR 15.251(1)(a)]
Minimum separation 2x effective depth or width whichever
greater(3x if reserve between trenches)[310 CMR 251(1)(d)]
Situated along contours [310 CMR 15.251(2)]
Breakout OK? [310 CMR 15.211(1)[4] and Guidance Document]
minimum 2 distribution lines [310 CMR 15.252(2)(a)]
Maximum separation between lines 6'[310 CM R15.252(2)(d)]
Maximum separation between lines and outside of bed 4' [310
CMR 15.252(2)(e)) y
Aggregate depth below discharge pipes 6" minimum, 12"
maximum. [310.CMR 15.252(2)(g)]
Separation between beds 10'minimum. [310 CMR 1,5:252(2)(f)]
Bottom area used in calculations only[310 CMR 15.252(2)(i)]
Address B` Sheet 5 of 7
N/A OK NO
- sr_„Mr w. a�v» �.?,�.,,. o..�.,.. ,.r 4�F:'�'✓�;.:s�L`wk .F`' � i `�.� ���`yx";ti'' x a? t r R� � 4`vX+ `i
Pressure Dosed System ? .Provided pump and piping
calculations as required [310 CMR 15.220(4)(r)]
Pressure dosing required on all systems>2000gpd or alternative
systems under remedial approval [310 CMR 15.254(2) and I/A
Remedial Use Approvals]
If used in gravelless system -make sure jet is directed as not to
scour soil interface [Guidance Document]
Inspections once per year(systems<2000 gpd) or quarterly
(>2000gpd) good to.note on plan[310 CMR 15.254(2)(d)]
Construction in fill -Did the plan specify that the fill shall meet
the sp ecification of 310 CMR 15.255(3)?
Impervious barrier and/or retaining wall ? [Guidance Document]
Impervious barrier installation must be supervised by
designer [310 CMR 15.255(2)(b)]
Retaining wall must be designed by Registered Professional.
Engineer [310 CMR 15.255(2)(a)]
Side slope not exceed 3:1 ? [310 CMR 15255(2)]
Breakout requirements met? [310 CMR 15.252(2)and
Guidance Document
At least 5 ft. from impervious barrier to edge of SAS (10 ft.
recommended) [310 CMR 15.255 (2)(e)]
GYa4�lZess<SySfenl YO'valtteY � �SY� F � s i
,x...-�x,> �.
Check DEP Approval letters for credits and design conditions
If used with pressure dosing do not allow pressure discharge {
to.scour soil interface l
+..cPP:�...� �� _ ��. vs:�a3.>�rx .a.,..<:i+. "•�.. {w ?�,. ,,dr.....x��",z-..r_s4,.n,-.s+nn;i:..
Was DEP Approval Letter provided and/or have you
reviewed the letter for conditions?
Is the technology being properly applied and does it meet all
DEP Approval Conditions?
Is there a note on the plan regarding the requirement for
perpetual maintenance agreement?
Any alarms involved on separate circuits
Did the applicant submit an operation and maintenance
manual?
Has applicant-submitted a copy of a maintenance
y le, -Y "ca y,7#rs`4
Are the variances listed on the plan? [310 CMR 1,5.220
RLS Stamp necessary on plan if a component is within five
feet of ro erty line [310 CMR 15.412(4)]
New construction or increased flow proposed [Refer to 310
CMR 15.414]
Address 2 i 61`( Sheet 6 of 7
NIA OK NO
s Pau ?4`i s i NN xF Y -"�.:: �, 4�.y y""..,,,•e,"ax X f Py PY'.�yk A•sy,�xE "a. ;^.:. _- .,4 �
1�rtrogen Sensative`f�YG'(lS���� `�Y`�^r,,�� �� ..,r*��• x�a z xr -z �, �, 3��r ��s� rr� k ���
Is the system in a Designated Nitrogen.Sensitive Area(Zone II for
a public supply well)? [310 CMR"15.214, 310 CMR 15.215 and
310 CMR 15.216 - also refer to Policy regarding upgrades of such /
existing systems] ✓
Is the system proposed on the same.lot as served by private well?
[310 CMR 15.214(2)]
Are the nitrogen loads proposed in compliance? [310 CMR
1.5.216(1)]
ZVlisceZla�zent%s ���>,y,� ;,�,r" � � ��,� ,� � �����_� � "� � •�-�rn� ���; � x -�"
Pumping to septic tank ? [ 310 CMR 15.229]
Shared System [310 CMR.15.290]
J
s
Address Z`'� P> ! q
- Sheet 7 of 7
Town of Barnstable
Regulatory Services
Richard V. Scali,Interim Director
MAW Public Health Division
Thomas McKean, Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
I�} ' Installer&Designer Certification Form
�/
Dater d Sewage Permit# Assessor's Map\Parcel (4
Designer: P F_ Installer: ►�'�°�`-��
Address: L • 1 �C �� Address: LIS Dc-� gAJWOv'r1-( a
o ZCv�®
On 1`� _ k- K was issued a permit to install a
(date) (installer)
septic system at _) 5 ,w��s�f �k based on a design drawn by
(addr s)
PrAeNS, dated
(designer)
I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank. Strip out (if required) was inspected and the soils
were found satisfactory.
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State & Local Regulations. Plan revision or
certified as-built by designer to follow. Strip out (if required) was inspected and the soils
were found satisfactory.
I certify that the system referenced above was constructed i dance with the terns
of the AA approval letters (if applicable)
AS
Installer's Signature) > .
(Designer'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-
BUILT CARD ARE RECEIVED BY THE B_ARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
Q:\Septic\Designer Certification Form Rev 8-14-13.doc
0 —0 I v zi 0
Town of Barnstable P# _ i�.5� a
Departinent of Regulatory Services
a nArwarmr�a Public Health Division, Date Ii 3�/7
ac MA89.
rd3D 200 Main Street,Hyannis MA 02601. 3'
• rEn tud �v
Date Scheduled 0 Time .0 Fee Pd.-
Soil Suitability Assessment for Sewage ispo gal
Aro
Performed-By: cST�H-e�� •N�4,�15 , h� Witnessed By:
LOCATION&.GENERAL M1ORMATION
Location Address Owner's Name i^yyt/� p M n 5
3 e 7
/r/+'J/�� -A > Address
CENT•P/'dill � rsylrf. .
Assessor's Map/Parcel: • a Y�/Q y� Engineer's Name
NEW CONSTRUCTION �7e Phi eN Ef.rJA S
REPAIR Tale hone#, Sp 3 ,2
Lund Uses!D&A-»'/;'C- Slopes Surface Stenos Ny
I
Distances ibm: Open Water Body — ft Possible Wet Area Drinking Water Nell -- ft
Drnihaga Way i ft Property Line t ft Other ; ft
SI +'•TCHc(stroat name,dimensions of lot,exact locations of test holes&pero tests,locate wetlands Yn proximity to holes)
IJA
•
,"J I
` JG
I
Parent material(geologic) Depth to Bedrock r
Depth to Groundwater. Standing Water In Hole:_ A->/A _ Weeping frow Pit Pnce
I '
Estimated Seasonal High Groundwater
DETERMINATION FOR BEASONAL'IIGH WATER TA LE
Method Used: j')A
De th Observed standing In obs.hole: In. Depth to soil mottles:
De�th to weeping from side of obs.bolo: in, amundwater Adjustment ft.
Indox Weil-# Reading Date: Index Well lmvnl ,_,,,w,,,._; Adj,•fhetor,,,,,V,�Adj.prtautldwater•lAk,,,..,
PERCOLATIONI TEST ;t3ale o='°I Time
Observation '
Hole# Time at 9"
i
Depth of Pero Tlmo at 6"
Start Pro-soak Time @ 0''u Time(9"•6"
End Pro-soak
Rate Min./Inoh .
GZ
Site Suitability Assessment: Sitd Passed Sits;Failed: Additional Testing Needed(Y/N)
I _
Original: Public Health Division Observation Hole Data To Be Completed on Back--- '
***If percolation test is to be conducted within 100, of wetland,you must first notify the
Barnstable Conservation Division at least one(1)week prior to beginning.
Q:ISBPTIMERCPORM.DOC i
DEEP.OBSERVATION HOLE LOG Hole# _
Depth from Sall Horizon Sall Texture Shcl Color Sall. Other'
Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones;Boulders,
o talatency.96 Qraval)
DEEP OBSERVATION HOLE LOG Hole# Z
Depth from Sall Horizon Sall Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
0 L- S /oYF3�f
DEEP OBSERVATION HOLE LOG 11011 #
Depth from Soil Horizon Soil Texture Sall Color Sail Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Bouldera..
tConsistency,%Gravel)
DEEP OBSERVATION HOLE LOG Hole#
Depth fiom Sall Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders,
flood Insurance Rate Man:
Above 500 year flood boundary No— Yes ,
Within 500 year boundary No '/ Yes '
Within 100 year flood boundary No.✓_ Yesi
peoth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring porvio s material exist in all areas observed thrpughout the
area proposed for the soil absorption system?
If not,what Is the depth of naturally occurring pervious material? .�. .
Cer'tificatiipin P
I certify that on II . `� �''1 (date)I have passed the soil evaluator examination.approved by the
Department of Envircmmental Protection and that the above analysis was performed by me consistent with .
the required train xpordse and experience described in 410 CMR 15.017. /
Signature, Date l L( 2 a 7
Q;WRFrrl0Pg11CPORM.DOC
ACCESS COVERS MUST BE WITHIN 9" MINIMUM. .I N VER T ELEVATIONS : DESIGN CR I TER I A : GENERAL NO TES :
6" OF FINISH GRADE
105.23 FIRST 3' MAXIMUM COVER INVERT AT BUILDING: 102.2
DESIGN FLOW:
103.4 BE LEVEL MIN 2" OF PEASTONE INVERT IN SEPTIC TANK: l0/•9 4 BEDROOMS AT 1/0 G.P.D. PER I. THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION
r oa.a MAx OR F l L TER FABR l C INVERT OUT SEPTIC TANK: !0/.65 BEDROOM EQUALS 440 G.P.D. OF THE SEWAGE D l SPOSAL SYSTEM ONLY.
rs 30 3, 1 INVERT IN DIST. BOX: 101.07
4' DIAM PIPE o 3/4- - / 1/2" DIA.
/p .2 101.65 100.9 $� 2 �' �� DOUBLE WASHED STONE INVERT OUT DIST. BOX: 100.9 NO GARBAGE GRINDER 2. VERTICAL DATUM l5 ASSUMED. FOR BENCH MARKS
101.9
0/ 9 1 GAs / /p/ 07 03 v l 00.8 °� 98.8 1 NVER T I N LEACH CHAMBER: 100.8 SET. SEE S J TE PLAN.
BAFFLE) SEPTIC TANK REQUIRED:
3 OUTLET 2-500 GAL LEACHING CHAMBERS BOTTOM OF LEACH CHAMBER: 98.8
440 G.P.D. X 2005K - 880 GAL, 3. ALL CONSTRUCTION METHODS AND MA TER I AL S AND
D-80X W/4' STONE AROUND. J2.8'M x 33'l x 2'd ADJUSTED GROUND WATER: N/`� SEPTIC TANK PROVIDED: 1500 GAL. MIN. MAINTENANCE OF THE SEPTIC SYSTEM SHALL
1500 GAL H-20 OBSERVED GROUND WATER: N/A CONFORM TO MASS. D.E.P. TITLE 5 AND LOCAL
POLYETHYLENE 6" CRUSHED STONE OR BOTTOM OF TEST HOLE #l: 93.8
SEPTIC TANK COMPACTED BASE 50/L ABSORPTION SYSTEM REQUIRED: BOARD OF HEALTH REGULATIONS.
DESIGN PERC RATE C 5 M l N/I NCH
N PROFILE .' NOT r0 SCALE SOIL TEXTURAL CLASS - l 4. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER
EFFLUENT L DAD I NG RATE - 0.74 GPD/SF AREAS SUBJECT TO VEH l CULAR TRAFFIC OR GREATER
330 GPD / 0.74 GPD/SF - 446 S.F. REQUIRED THAN 3' IN DEPTH SHALL BE CAPABLE OF WITH-
STANDING H-20 WHEEL LOADS.
PROVIDED: 2-500 GAL LEACHING CHAMBERS
W/4' STONE AROUND. A-606 S.F. 5. ALL SEWER PIPE SHALL BE SCHEDULE 40 PVC OR
606 S.F. x 0.74 - 448 G.P.D. APPROVED EQUAL.
S SEPTIC TANK AND D-BOX SHALL BE REINFORCED
.
cB/OH FIVD• SOIL TEST PIT DA TA & PRECAST CONCRETE OR APPROVED POLYETHYLENE.
INDICATES �_ INDICATES BOTH SHALL BE WATERTIGHT, D-BOX SHALL BE WATER
\ +10�.e +107.9 UP TERCOLAT ION = GROUNDWATER OUTLET.OBSERVED TESTED FOR LEVEL WHEN THERE IS MORE THAN ONE
--- TP #1 P#15309 TP #2 7. BEFORE CONSTRUCTION CALL 'DIG-SAFE".
\� �\06\ �~ S ,9o`L9 'Op-L - SIN 1-888-DIG-SAFE AND THE LOCAL WATER DEPT.
\ -9/, I3 _-___106- -_ HOR I ZON TEXTURE COL OR HOR I ZON TEXTURE COLOR
_ ��_________ _ � ® D" 103.8 0" 104.0 FOR LOCATION OF UNDERGROUND UTILITIES.
04 2 \ o�- I .Q LOAMY IOYR .Q LOAMY IOYR
-- -L+ 33 _ CB/DH,FND SAND 3/3 SAND 3/3 8. SEPTIC SYSTEM INSTALLER SHALL NOTIFY THE
Q=eo 2-500-GALLON \ 7 n DESIGN ENGINEER TWO DAYS PRIOR TO CONSTRUCTION
:. :::fl:: ZEACHING CHAMBERS `� \ v 1 LOAMY IOYR n LOAMY IOYR OF THE SYSTEM TO ALLOW FOR SCHEDUL l NG OF THE
W/4' STONE AROUND 0� \\ \ C7
` - SAND 4/6 SAND 4/6
m 10' CONSTRUCTION INSPECTIONS.
--- \ 26" - - - - - - - - - - - - - - - - - - - - l0/.6 24" - - - - - - - - - - - - - - - - - - - - 102.0
4u \� _ - + 1 \
+103.� o - - - - _ 104,2 \ �/ MED-COARSE IOYR �/ MED-COARSE IOYR
00 (CESSPOOL I \ 9. EXISTING SEPTIC SYSTEM TO BE PUMPED DRY.
.d O SAND 616 SAND 6/6 REMOVED IN THE AREA OF THE NEW SYSTEM AND
N ' 1500 GALLON o3.s I \ BACKFI LLED WITH SAND.
ca SEPTIC TANK l N )
EXISTING \
" DWELLING c, \
103.3 to
TANK I \ \
xok L Y \ 1 \ 0 94.0 NO WA TER NO WA TER
/ \ 93.8 /2 " -"
BM. CORNER AC PAD l20"� V �
EEO
i `EL;104.28 ly W
\ / DATE: MARCH 30. 2017
\ c TEST 8Y: STEPHEN HAAS k .
03.9 G \ 3 t )
WITNESSED BY: DAVID STANTON p A,
\ PERC RATE: C 2 Mf N/I NCH h"'t
TP*9
RIlEw\11\ VARIANCES REQUIRED :
1 PP�E�o \ \� TITLE 5. MAXIMUM FEASIBLE COMPLIANCE
31 \ GARAGE ` `\! ® C8/DH FND SECT l ON 15.2 I 1:(I) M l N l MUM SETBACK DISTANCES U
\ 1
/0' IS REQUIRED BETWEEN THE SAS AND THE FOUNDATION. f0' IS PROVIDED.
N \\\ L /l, T 3 � BASIN A l0' VARIANCE IS REQUESTED.
d \\ \ l2✓30/+ S.F.
SHED •-•,-'�� 1
105.91 '
r S $5-42 °°"W S E P T I C SYS T E M DE� S / G N
387 S TRAWBERR Y H l L E ROAD MAP 248 . PARCEL 49
�Fsr BARNS TABL E7 . CCEN TER V l IL_ E ) MA .
q�N
s�.
�FFr PREPARED FOR
P r E ST EET
LEGEND L Y N N E D U M A S . T R
LOCUS ■ CB CONCRETE BOUND
-W WATER L INE S CAL_ E I 2 0 MA Y i 8 2017
HYDRANT
GAS LINE
STEPHEN A . 1---IAAS
OHW- OVER HEAD WIRES
-# LIGHT POST _ ENGINEERING , INC
UNDERGROUND ELECTRIC LINE / ��
-T- UNDERGROUND TELEPHONE LINE //� --� r ► \�� P B o x 1 6
O .
,..�- �� ' South Den n i s MA 02660
y -CTV- ;UNDERGROUND C48LEVISION LINE j/ 1��1�1 I� �� \\ ( SOB ) 362-8 1 32
+40.4 SPOT ELEVATION �
..-••40------- EXISTING CONTOUR
LOCUS MAP
A r 0 /0 20 40 40 PROPOSED CONTOUR JOB NO: l 7-0/5