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0459 STRAWBERRY HILL ROAD - Health
�59 STRAWBERRY HILL RD., CENTERV. v 5111rr �, UPC 12543 No.53L OR Vco�`' HASTINGS, MN a� 1 I i I t i is r r No. Fee 6 V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpliLatlon for Misposal *pstem Construction Permit Application for a Permit to Construct( ) Repair((/Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. * ` Owner's Name,Address,and Tel.No.,400"p— Assessor's Map/Parcel Insta er's Name,Address,and Tel.No. ;i e.� 77:i " Zr�'?� Designer's Name,Address,and Tel.No. �ul—,-(ary--Ay �utdc �'oc0 Sase'!`�`G ye6t�/` �6ry'/i✓tFol�9� y�fn s'�i� i? Grv7 � '°: ev, os-�G .Z G G I•o e,•0 o.�r/ Type of Building: Dwelling No.of Bedrooms Lot Size /®,3df 47 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) d gpd Design flow provided 3 yd. r' gpd Plan Date ����� Number of sheets /�� Revision Date TitleJrt�/ Ssc"fiG 51�s}«� 4G' yscr �� Size of Septic Tank Type of S.A.S. fr�is -S Description of Soil Wy e—~.,e Nature of Repairs orAlterations(Answer when applicable) JI�acr, /f"Z cd C I'6.YO F1l l.chi�� Z✓`—��' -Z / . 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. Si Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. � Date Issued No.Pole Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for Disposal *pstent Construction Permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. y; f Owner's Name,Address,and Tel.NoJ�-`_"-3cy' Il-S/ Sf�44(rrJ� % i'// /7r o1 l GG` 4: J e%'Se /3v�irii d r, Assessor's Map/Parcel _7 Instal er's Name,Address,and Tel.No. Sad' r ems" ��'r Designer's Name Address,and Tel.No. e-G!-Ze- r"4" Sclrfi G 3av Ov/� =A'y/at,�i!/h� wa, ✓4e Type of Building: !I Dwelling No.of Bedrooms 3 Lot Size /o, 3 rI-O sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures i Design Flow(min.required) // 3-34) gpd Design flow provided 7 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. ,!rlr©v,•hod Description of Soil 'r 1 Nature of Repairs or Alterations(Answer when applicable) � /;> I 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 Certificate of Compliance has been issued by this Board of Health. " Si/ed� Date Application Approved by ` _5L Date 40 cTg Application Disapproved by Date for the following reasons Permit No. Qrwyi cu,9 Date Issued 04 �5— �o ---------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(� Upgraded( ) Abandoned( )by at [/�'Y S7�iac���iil� �/,'// i�� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. g�3 dated Installer �,. r Designer #bedrooms Approved design flow -3 0 gpd The issuance of this permit shall ++no be construed as a guarantee that the syste will funct n• a ed. Date P 1 p j Inspector --- -------------------------------------------------------------------------------------------------------------------------- No. c t Qc Fee , 00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction j3ermlt Permission is hereby granted to Construct( ) Repair(/) Upgrade( ) Abandon( ) System located at 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 completedlWitth+i�n three years of the date of this permit. Date / .c� / Q Approved by of RarnstAfell. arc � u � Of SOryil e$ � cha,zd Y S ali, #tcrJn� Dat ecto lie, F nth;I31 ar •s639 ♦0 Th6m- as MI'clCea�a, �tre, OT 2,Df11V�ain$tr�eet,H, Ane�is,i1iA 02 0t' Office 5(} 862 4644- x 505=790 ( (1 . Ah9taller"6121►er Certilicad'on F®Mz 2)z� F t, I3nte Seta a)Pe arl9t# :2ai _3 Q Assessor's N ali �.'arceI 9. $—tee Se .rtC ,.J Ll_esagne : � ;r�ee: ,n�yt ?[?r'LtS 1 n Installer: C'rt � , a. t'lddress• ' Cam`)a C ;�ebl e �J t`�1i Acicir ess e.S'tcil` t ►° ► CZIQ_, re . lA.'' . `�c�. r�►G�r$�-•s M7Z; (?n ,2Z„!/��. 1-(�, w . was.isslted a pe�init to;i�asta'll.a; septic system"A.:4s.� (address)' Zli� ir, r 0e ,.lcerttfy'that flie$soptc systern,refrencci above ryas installed substantially accoidta the design, w,li elx:ijaay xnc,l7L 'f x,app, vac(;Changes; _U as lateral ref ca'ti'oi�Hof the clstrib'u`tion •box a.o�clfr septic tank Sfri�i otiat (�f t.cquirec) was,inspected grid tllc sails ujere found satisfactory: 'cert�£y°that the scpt c system -efi rented above was"install`ed with mayQi- claax gcs gXcatcr;,than 14' lateral �cl�catian of the ."M any veiticai relocat.ion of4 coli'tponer►t o.'t the septte sysstem}-'Uutccard tnee:u�fathp"State & Loeal; Regulations. Plan felvtSKpr ors eerti eii;as b"Milt by:clestgt�c°to,fello�c�„ S;tttp,oust (tf�;ecluired),� a53 z1'spected aiid'thc;soils`! . 'were.faund"satisfactory; Tcertify that:the sys"tcnz tefcteaacel aUo�e wa,s;cc5nst"rote- "` '' nee wit)z tic ter►�s r :of the Ill approval` al?plalalc)` � PIWER,�p F NTEg; u (Inst t ,:�i .. estgncz's S7bnattue,); (A.l' x Designer:: . tamp He►e) P.d�EAS kt TtltBl ''`t'O I3A.IZ� IA18"'I?tl_I LIC.I I;AY�TH L�AIVE4ON'. C 2TIF'IC-A t E' 'Op `COMPL,UkNCE WILL., NOT ,C3E ISSCt�ll 'iTNI'II,..;€3�DT.II .rI�IS' I'C?R�i�I. ANDAS- "BUILT CARD.AI3E LCEI:VI�FO RY THE B.kRNSTARLE Pll.BLI.0 HEA >a��liar®N�. THANK YOU;,. �:ISepiic�Dc F6 Rz"i$ "` t 'do Town of Barnstable gyp' Department of Regulatory Services. M i ttsxtaea�srs Public Health Division Date -7—zo 1� _ �a .200 Main Street;Hyannis MA 02601balz #� rF4 AlA't�' q Date Scheduled _ Time Fee Pdrr . °-0 ': 0 fX', Soil Suitability Assessment for Se e Di•sposal Perfbimed.f3y: 1 N / r°itr 7'lc EvL-�e�. S E-15-gZ Wimessed By: LOCATION& GENERAL INFORMATION Location Address g5, STRAtdgElLKt q(LL RD. Owner'sName,-DONVJR 0ARR EtKO CPn�fe/Ntri�(� Address P.C. 8,X q7j u). Hy/41VAlo"T Assessor's Map/Parcel: -2 q s 116 V Engineer's Name E vtg l rteer',.4t LJO-rkS, Z K c, NEW CONSTRUCTION REPAHZ —JX_ Telephone># S0 S` L(7 7 —S-3 1 3 Land'Use ! y ,' `,;C6n.�'1,C ( Slopes(%) -Z Surface Stones P"r'%( Distances from- Open Water Body Bru ft Possible Wet Area NA ft Drinkingwaterwell !.S�ft Drainage Way 16" fi Property Line , Lo tl— ft Other ff SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) t d . ... _ .... __.......-____ LL Parent material(geologic) 6(j Depth to Bedrock Depth to Groundwater. Standing Water in Hole:J IA. Weeping from Olt Nee All . Estimated;Seasonal High Groundwater, DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs:hole: _ _ in. Depth id soil mottles: in. Depth to weeping from side of obs.hole: - in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adl,factor •Adj,.Ckoufidwnter level PERCOLATION TEST Date- Thne,�. Observation Hole# Time at Depth of Perc' Time at6" Start Pre-soak Time @ Time(9"-6") End Pre-soa dh K`�k A Rate Min:/Inch. Site:SuitabilityAssessment.- Site Passed 1,/: Site Failed: Additional Testing Needed(YIN)', Original: Public Health Division Observation Hole Dafa.To Be Cornpleted 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:\S E PTICTERCFORM-DOC DEEP OBSERVATION HOLE LOG Bole# 1 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surfacd.(in:) (.USDA), (Mansell) Mottling, (Structure,Stones;Boulders.. n i ten ravel U —f3 G —�— 2tS,�414 DEEP"OBSERVATION HOLE LOG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsetl) Mottling (Structure,Stones,.Boulders. Consistency.% raver DEEP OBSERVATION HOLE LOG Hole# Depth.Tom Soil Horizon Soil Texture-' Soil Color Soil, Other Surface(in.). (USDA) (Munsetl) Mottling (Structure,Stones,Boulders: Consistency, Gravel) I DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsetl) Mottling (Structure,Stones,Bouldersi • onsi ten r Flood Insurance Rate Map, Above 500 pear.floodboundary No: Yes Je— Within,500 year boundary No Yes, Within 160 year flood boundary No:—41y' Yes ; Depth of Naturally Occurring Pervious MaWrial Does at least four feet of naturally occurring pervious atoria!exist in all areas observed throughout the area proposed for the soil absorption system? Ye If not,what is the depth of naturally occurring pervi.us materiAM. Certification . . , I eerfify that on . . (date)1 have passed the soil evaluator examinaton:appcoved by the - t Department of Envir , 'mental"Protection and that the above analysis was performed by me consistent with . the required tra' ,expertise and experience described in IG CMR 15.017. �� 1 Signature Date , Q:>S•Ep'f iC�PERCEORM.DOG COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFFAIRS DF+PARTMENT OF F+MRONMZNTAL PROTECTION C2 TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL,SYSTEM FORM PART A CERTIFICATION Property Address: A ✓vr e . /y! 6,2 6 YA Owner's Name: o, .,..., Owner's Address: k rG w Qr 17��ll RAJ Date of Inspection: Name of Inspector:(please pint) > Company Name: -'/Dili p — T"�G ca Marling Address: Po a f At." Telephone Number: of S . rn CERTIFICATION STATEMENT I cer*that I have personally inspected the sews below is true,accurate and �e,ofthe ne at this address and that the irrformation'reported training and experience in the�function a inspectiOJ°' Gaon was disposalsite sewage onnu based on my approved system inspector pursuant to ''°n iS �s(310 CMII 15.000 .I am a DEP � system: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: OV2:2L& Date: 9r Te'*`stem inspector shall submit a copy of this inspection report to the (Board of th or within 30 days of completing�p�r and �mspearon.If the system is a shared system or has a design flow off110,000 greater,gpd or the' system owner shall submit the report to the DEP.The original should be sew to the system owner,and emote�'o�office of the authority sent to the buyer,if applicable,and the appiroving Notes and Comments &This report only describes conditions at the tiffie of' qwdon use at that time. This inspection does not address how the system wM perform lathe fdnintre�ander the conditions or different conditions of use. • Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL,SYSTEM INSPECTION FORM PART A �[ (� CER/IMCATION(continued) Property Address: r T kl4e,-, /� r: {'Y .f Owne h r�� yp ©� P Date of Inspection Summary: Check A^C,D or E/AL_WAyy completeall Of Section D A. Sy ; I have not found any information which indicates that any of the failure criteria described in 310 CIvIIi 15.303 or in 310 CIvltt 15.304 exist.Anyfailure criteria not evaluated are indicated below. Comments: Hr 7:or Conditionally passes: more system components as described in the"Conditional pass*section need to be replaced or repaired.Te syVenk upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in t f explain or the following statements.If"not determined'ply is —T,exhibits septic tank a mettial l an over 20 years old*or the septic tank(whether metal or not)is tration or exiiiltration or tank failure is' structurally existing tank is replaced with a complying septic tank as approved ' System will pass inspection if the A metal septic tank will pass inspection if it's by the Board of Health. indicating that the tank is less than 20 years old is available. mod'not leaking and if a Certi$cate of Compliance ND explain. Observation of sewage backup or break out or high static water level in the distn utojm box approval of obstructed Hoard of Health):broken,settled or uneven distribution box System pass ins on1if(w•thorn or broken pip(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: Pam inspection if approval Of the Board of Healt reTurcd Pumping More than 4 times h): y�due to broken or obstructed�1�(s) The system will th). broken pipes)are replaced obstruction is removed IND explain: Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: � Owner: o7 Date of Inspection: g O� C. ftrther Evaluation is Required by the Board of Health: Conditions exist which require farther evaluation by the Board of Health in order to is iaihng to protect public health,safety or the em►ironment. if the system 1. System will pass unless Board of Health determines in accordance with 310 CMR 11303(i)(b)that the system is not functioning in a manner which will protect public bealtb,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water — Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System win fail unless the Board of Health(and Public Water Supplier,if any)determines that system is functioning in a manner that protects the public health,safety and environment; the The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. — The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply welL — The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**.Method used to determine distance **This system passes if the well water analysis,performed at a DEP certified laboratory, bacteria and volatile organic �'�for role compounds indicates that the well is free from llution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppn,provided that no other failure c nteria are triggered.A copy of the analysis must be attached to this form 3. Other: r Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continue Property Address: Q/ oG Owner. 6zi- Date of Inspection: /9 0 D. System Failure Criteria applicable to all systems: You mug indicate`yW or`no"to each of the following for ap inspections: Yes No of sewage into facility or system component due to overloaded or clogged SAS or cesspool — Discharge or lmnding of effluent to the surface of the ground or surface waters due to an overloaded or ogpd SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or 1 — — J lquid depth in cesspool is less than 6"below invert or available volume is less than%day flow — c/Required pig more than 4 times in the lastyear Wdue to clogged or obstructedpips).Number times pumped portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water��r Supply supply or tributary to a surface portion of a cesspool or privy is within a Zone 1 of a public well. portion of a cesspool or privy is within 50 feet of a private water Any portion of a cesspool or privy is less than 100 feet but greater than firm a water supply well with no acceptable water quality analyd& [This system passes if the well water s, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less tkran 5 are triggered.A copy of the PPS Provided that no otter failure criteria analysis must be attached to this form.] �(Yes/No)The system fab I have determined that one or more of the above failure criteria as described in 310 CMR 15.303,therefore the system lads. exist Health to determine what will bees owner should contact the Board of necessary to correct the failure. L Large Systems: gTpd.considered a large system the system most serve a facility with a design flow of 10,000 gpd to 15,000 You must indicate either`ryes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tnbntary to a surface drinldng water supply — — systemnitrogen of a public waters wsernitive area(Interim Wellhead Protection Area—IWPA)or a mapped If you have answ "yes"to any question in Section E the system is considered a si "yes"in Section D above the large system has failed. The owner or operator of cant 'or answered significant threat under Section E or failed.under Serb D shall upgrade the stem system considered a 5.304. The system owner should contact the appropriate regional office of the stemDepartment. With 3111 Clfrifl Page S of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B /1 q 1 CHECKLIST Property Address: 7 i �l-/gw, ✓�� #,// �Q,1 Owner: Date of Inspection: f/r Check if the following have been done.You mast indicate`ryes"or"no"as to each of the following: Yes�o Pumpmg information was provided by the owner,occupant,or Board of Health c//Were any of the system components pumped out in the previous two weeks Has the system received normal flows in the previous two week period " Have large volumes of water been introduced to the Tsystem recently or as pert of this inspection v Were as built plans of the system.obtained and examined?(If they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up Was the site inspected for signs of b *out Were all system components,exdodmg the SAS,located on site Were the septic tank manholes m>oory=4 Opened,and the interior of the tank inspected of the baffles or material offor the condition � auos,depth of licprid,depth of sludge and depth of scam �— Was the balify owner(and occupants if different from owner)provided with information on the proper sewageposai systems. The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes _ /Existing information.For example,a plan at the Board of Health• v Determined in the field(if any of the failure criteria related to Fart C is at is unacceptable)P 10 CUR 15.302(3)(b)j issue approxrmatlon of distance . i . Page 6 of 11 OFFICIAL]NSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION.FORM PART C SYSTEM INFORMATION Property Address: ` J/ s��a w�e I�`�/� Q / �,, e.- 1v, Ile 63� cJ Owner: Y�' �►�, Date of Inspection: - i 9 0�' 0 CONDITIONS RESIDILNTIAL Number of bodmoms(design):-L Nrmnber of (acuwa DESIGN flow based aa:310 Clot-15.Z03(Abr exampk I l0 gpd.x d.ofbedrooms)r 5�7-0 Number of current reside: ,)-- Does residence have a grbsge grinder(Yes or no): /0 Is laundry on a separate sewage systen►�or no):� [if yes separate inspection required] I- 7+system meted es ar no)._ Seasonal use:(yes orno):Water meter readingik if �f /avfdable OW 2 years usage(gpd)): Sump PAP(Y Last date of occupancy: COMA'IERCIAUMUSTRIAL Type of establishuvwc Design flow(based on 310 CUR 15.203): Basis of design flow(seaWj=sons/sgft etc.): Grease trap Present(Yes or no):_ Industrial waste holding tank present(yes or no):— Non-sanitary waste discharged to the Title 5 system(yes or no):_ Water meter readings,if available: Last date ofoccnanry/ise: OTHER(describe): Pumping Records GENERAL INFORMATION Source of information: /frIP �'�v� s' 7'Was system pined as part of the mspect ion(yes or no):If YM vohmm PumPC& How was quantity Pumped determined? Reason for pining: ?� F SYSTEM Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cxsspool --Shared"M(Yes or no)(if Yea,attach Previous inspection records,if any) �o D�'e1 technology'Attach a copy of the curr+e�t operation and maintenance cones(to be ined system owner) _Tight tank _Attach a copy of the DEP approval —Other(describe): Approximate age of vents,date installed(if known)and source of information- / . - de ff Were sewage odors detected when arriving at the site(yes or no):/f Page 7 of 11 OFFICIAL INSPECTION FORM—NOT.FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C [� SYSTEM INFORMATION(confim,ed) Property Address � Sal w ry I 03� Owner. Date of Inspectiow.. / O� BUILDING SEWER(locate on site plan) Depth below grade: 02 �� Materials ofro _� inn PVC_ot (explain):. Distance from private water supply wen or soctim HQe: Comments(on condition of loin s;vie d g:evidence of Ieahage,erc•); SEPTIC TANK; (locate.a/site pan) Depth below grade: Material of construction: —mew Rxr&u_po1Yet�ykae other(e)pl o K tank is metal list age:— .Is age confirm by a ate of Compliance es or no . ( Dopy of (Y )'_ attach a Sc to hottom of outlet tee or baffle: 019 Distance from top of scum.to top of outlet tee or baffie: '2 Distance from bottom of scum.to ourtlet tee �y How were dimensions determimd: e Comments(On(on pumping recommen��,inlet and iteer bale condition,struchnal as�lated� to outlet inirert,evidence ofMelc.):�rt mtegrity>liquid levels 1 Rh � GREASE TRAP.16 ate on site plan) Depth below grade: Material of construction;_concrete metal— _�lYeth3'�_other (explain): Dimensions: Scum thickness: Distance from top of scam to top of outlet tee or bate: Distance from bottom of scum to bottom of outlet tee or bade: Date of last pumping; Comments(on pumping recommendations,inlet and outlet.tee or baffle condition,struct,ual.integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Page g of 11 OFFICIAL INSPECTION FORM=NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE,DISPOSAL SYSTEM INSPECTION FORM PART C q SYSTEM INFORMATION(continue Property Address: / ✓J/Gt w� 09/ Owner. Date of Inspection; r TIGHT or HOLDING TANK:V-(tank must be pmped at time of inspectionxlocate on site plan) Depth below grade: Material of constriction: concrete metal fiberglass_polyethylene odw(explain): Dimensions: CalachY railons Design Flow: oWday Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping Comments(condition of alarm and float switches,etc.): DLSTRiBIITION BOX: present must be opened)(localte on site lam) Depth of liquid level above outlet invert: Old Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of lealca�e into or out of box,etc.): / rO)C l.F,(iYij s-o�i G'f /Grp 4.6? kr PU IP CHAMBER:// (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appimtmmoms,etc.): I , pap 9ofII OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSNl MS SUBSURFACE SEWAGE DISMSAL SYSTEM JWSFECnON FORM (� SYSTEM INFORMATION(cmtinwo Property Adder l s9 C-1'r 1-4r,/1 - / Owner. Date of bspectim SOIL,AMRrTl U SVST{SAS):. . .(heats an-*g Plan,mutation mat ro dr eo If SAS not 10MA0400*why. . , leachinggalluie4mmbw leaching trenchm lengL- , .amber, overflow cesspool,number: inno ce/ahwoafive systeffi TYpdnanm of technx& . Comments(imme audit ion of soil,signs of hydraulic fails level of ponding,damp soil,condition of etas i / f / vegetation, �� � e CA CESS POO St ` (cesspool test be pamped as part of mspectionj(locade on site plan) Number andconfit ; Depth—toPaf li Wdto islet kwat: Depth of sofida layer Depth of scma layer Dimen sim of cesspool: Materials ot : Indication of pwandwater in flow(yes Of B0):. Commenis(not wndition of scat,signs of*k=k lave}of ponce condition af ebc•) PRIVY:��te an site pion) Mateuals rfcomsbactzm: Dimes Depth of w&k Cow(noted ofsofl�signs ofhyd W bduM level aI' pow andhiast afve etc.}: Page 10 of I 1 OFFICIAL INSPECTION FORM—NOT.FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(contimm* Pmpefty Address: T S g Owner. 1 If Date of Inspectioa: 9' o SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two pmmanew reference imxkw m or benchnmft Locate all wells within 100 feet.Locate where public water supply enteas the bwktmg. Te- F�U14if. 1I10/n 3 D- boy rj� Ll I �Lr 391 -33 ' �y 3 2 ' Page 11 Of I1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Rom/ I Owner: /,,j 1- 1 e Date of inspection: SITE EXAM Slope surface water I n p Check cellar r' Shallow wells CD 3 a. Estimated depth to ground water feet Please indicate(check)all methods used to determine the highground water elevation: Obtained from system design Plans on record-If checked,date of design plan reviewed: Tb F __ 6served site(abutting property/observation hole within 150 feet of SAS) �/Q Checloed with local Board of Health m: ✓1 a s Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how � you the high ground water tat n: lovt,nw� hoc 4,�►0�,' / S �oZ•o? LIZ" o , y ' ow ra e� � q 4/ 9 zo — cd7-0 .Y 1 'goo /0 % 1C 0 0 0 -0 a� Y 000o zo�t WN F BARNSTABLE / -r SEWAGE # c ATION l ��� � �/ LAGS k ASSESSOR'S MAP & LOT NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by It --di ' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �JV �� "Ali rliratinn for Dispiwal 10orks Tonstrurtiun runtit Application is hereby made for a Permit to Construct ( x) or Repair ( an ividual Sewage Disposal System at: ` s-� 16 s Strawberry ill Road Map 248 Lot (Lot 2) ................--.............................................................................. -•-•-•-••----------•------•-•----•----•---..................----... -----• - Edith Romano Location-Address or Lot No. 78 Howe Ave:, Shrewsbury, MA 01545 ----•--•-•-•........--••-----------------------•-----•-----------••...... ... .... ••••.---- ----.........._... ...................................................Address Installer Address Q Type of Building Size Lot....1P,000- + Sq. feet V Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building -----Ranch No. of persons............................ Showers ( 1) — Cafeteria ( ) a' Other fixtures ...................... ........... W Design Flow................................................................................gallons per person per day. Total daily flow............................................gallons. 9 *Septic Tank—Liquid capacity.._lsja(14llons Length................ Width................ Diameter................ Depth............... 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 ( ) aas Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water--_-_-_._____-_-__--___. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.................... Ix -------------------------------•----•--------------•••-•-------....•-----.........•-•--......._....•......................................................... 0 Description of Soil........................................................................................................................................................................... W * - See Plans Attached ----------------------•- --------.----.-----------------------------------------.....------•-----------.---------......_....----...-----------------•------------------•--•-------------•-•-••-•......-- U Nature of Repairs or Alterations—Answer when applicable.-_____none--------------- -- -- _ •----------------------------------------------•----------•------------------------•-•------......----------------------------------------------------•-------------------------------..............--- Agreement: The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with the provisions of TIT ..i� p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Cer iiicate of Compliance has been issued the board of u��""' ' Signed. 9/10/8 7 - - -_... ... . . .................. Martin J. 0 Ma , Jr. for rman Romano Date Applicatio Appr ed B �pplicatio ------...� -------.P. t t �.',7... Date Application Disapproved for the following reasons-------------------------------••----•------------------------------------------•--------- ---------------------- -•----------------------------••--.........-----------------------------...------•--...•-------..........._ ------------------ Date PermitNo.......... ............ Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H%61WING ENGINEER MUST SUPERVISE N AND CERTIFY IN WRITING ram......OF•••••••.••• .....1N... INSTALLED IN STRICT �rruf iratr of feu4 AWIVE TO PLAN. THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (><I or Repaired ( ) by---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Inst I at...................f%�-�-�- -at---...- / 17 ��--------- ----------- ................... has been installed in accordance with the provisions TIT;E 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No-------- dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... >k No.. 17:..j,�G2,.. THE COMMON"!!Z.'.`..TH OF MASSACHUSETTS BOAR® OF_ HEALTH ..................... . -----------OF................................................ Appliration for Disposal Murks Tontrnr#inn rleranit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at:S744a_j/2A& / /� Y/ • ..., C�. ...........................................-/-- Cr ��.. 5. T Location-Address or Lot No. �� 7 r /71a cuE AVE, 3f//rCaz5t3Ge t� w,4 o!Sy3 ------. - '�� - -------------•...._....._... a ` •--------.--•----.---. Address Installer Address Type of Building Size Lot! .a�.t__•.....Sq. feet Dwelling—No. of Bedrooms-__-3........................_......._..Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building .. No. of persons............................ Showers / = Cafeteria Otherfixtures ........................................... .......................•••••--••-•-••--------••----••••••••••--•-•-•-•-••-•••..................-••-•--- W 4-Design Flow.....2!�...................................gallons per person per day. Total daily flow............................................gallons. W4-Septic Tank—Liquid capacity� ..gallons Length................ Width................ Diameter................ Depth................ x 4-Disposal Trench—NTo._.;`.............. Width.................... Total Length.................... Total leaching area....................sq. ft. 4-Seepage Pit No--------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z -*"Other Distribution box ( ) Dosing tank ( ) �-' kPercolation Test Results Performed by.......................................................................... Date_...................................... a 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 Pit.................... Depth to ground water_..................... a -------- -----------••-••--•-•--•--•-•-•-•••••--••••••-----•-•----•••-•----••---------------...••----•--...-------•••-----•••--•-••......--••--------.••--- D *Description of Soil......................................... .-•-•• -•-•.....--- x -------------------� ---------,�° `° V ----------------•-------------------------------------------------•-----------------------•--------------------------- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... -•--•••••--••••••-•••••---•••-••••...--•-•••-•••••••••••••••••-•-•••••---••••--•--••.....--•----•---••-•._...--••-•-•---•----•-•--••-•••••. ............................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T?T 5,of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. �� " " Signed...................................................... 9/�l�Z......._. iYiA � T. p%y9.C� �a �Ti('. Fd(' .L�alPin9C� / 67HfIe16 Date Appltcation App ed BY- "" ..... :. -------------•--_---- --•--p -...V•2---- Date Application Disapproved for the following reasons--------------------•...............-----------•------------------------------------------------------••-••----- --••••--•------------•-----•-•••-----••-••••-•-•••-••--••-•••._...----•-•...------•........................--•---•---•-----•--••••---•-•-•••-•---•--••-••-••-•---•-••---••---•-•---•••-••---•--•-•---•--- Date Permit No...........(5-2-....(:1 C?-r�----------------- Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....................OF.......... . .-�^ '1� tt ..--•--•--...............--•-- Trrtif iratr of Tompli anrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed i� or Repaired ( } by.................................................................................................................................................................................................................................•-•---•-•-. ------•----••----- - -••--.......---------._.....-•----------...--•---•-•---------------•-- - Inst�1 .................... has been installed in accordance with the provisions f T.LiiE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.._____ _�._._.�?G'_ ..... d-ated THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE..............•--.......----•---•--...---...................-----•......-------• Inspector.................................................................................... I THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH I� ............. OF..........1� d-x.?4:�t'C.............................. FEE.7' To. .7'_� Disposal Works Tnn#rur#ion rrntit Permissionis hereby granted.............................................................................................................................................. to Construct } or Repair ( ) an Individual Sewage Disposal System %at No--------------------- .:---------- --_--._ .......-- - - .....-------- -------- ..... - - ------- -- • Street ��77 Q as shown on the applicatio for Disposal `'t-orks Construction Tit No _ s _ Dated....... .... .. .(1 _........... r Board of Health DATE................. __�J- ... ............................................ FORM 1255 HoesS & WARREN, INC., PUBLISHERS \' I T©WL OF BARNSTABLE LOCATION-W-a 9;74zxl AtZL (ZO SEWAGE � 1t VILLAGE C^t��-r-�(Z V 1 �-- ASS OR'S MAP 6t LOT xlc,Gd--A'CL INSTALLER'S NAME & PHONE NO. 6-4 7'ie--w --45�`° SEPTIC TANK CAPACITY /C):�D 6A-4-i-©N/ . LEACHING FACILITY:(type) .� ! /0� NO. OF BEDROOMS '� PUBLIC WATER BUILDER OR OWNER 247L DATE PERMIT ISSUED: DATE COLIPLIANCE ISSUED: VARIANCE GRANTED: Yes No A-3 L' _3 3 7 ' a 3 YOU WISH TO OPEN A BUSINESS? it For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME::: in to-:rJr, ('which you must: do by M.G.L. - it.does not.give you permission to operate.) You must first oblain the necessary signatures on this form at 2100 Main St.. I iyannis. Take the completed form to the Town Clerk's Office, 1st EI., 367 klain St., Hyannis, \,,tA 62601 (Town Hall)' and get the 13us1r-,E:•Ss Corlificate that is required by law_ DATE: �'-� 1 Fill in please: ° APPLICANT'S YOUR NAME/S: BUSINESS 2ZC� YOUR HOME ADDRESS: 5 a �fi��AW L CieA F,,-2J r(-L.c- 0.2 2- TELEPHONE # Home Telephone Number NAME OF CORPORATION: NAME OF NEW BUSINESS M y u L►+o ��,s CA N L TYPE OF 13USINESS LA-,,' S CA IS THIS A HOME OCCUPATION? YES NO Q ADDRESS OF BUSINESS S9' 1 c_ 4. 00,-J7E�F1Vf ! 2 AP/PARCEL NUMBER O (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM Iasln R'S OFFICE MUST COMPLY WITH HOME OCCUPATION This individ al h ira#or e �p. mitquirements that pertain to this type of busineLES AND REGULATIONS. FAILURE TO -A COMPLY MAY RESULT IN FINES. Au horiz ig atur �) COMMEN V t / 2. BOARD OFaEALTH This individual has be rMed of the permit requirements that pertain to this type of business. L a r MUST COMY NTH ALL Authorized Signature** HAZARDOUS MATERIALS REGULATIONS COMMENTS: 3. CONSUMER AFFAIRS [LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: z TOWN OF BARNSTABLE Date:to / 5 / TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF'BUSINESS: BUSINESS LOCATION:L1Sq� MAILING ADDRESS: TOTAL AMOUNT- TELEPHONE NUMBER: CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: INFORMATION / RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product- Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month re uires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts(Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW 'M USED (insecticides, herbicides, rodenticides) \� soline, Jet fuel,Aviation gas Photochemicals (Fixers) z A Nesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED - Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform,formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials TOWN OF BARNSTABLE �. LC)CATION�� a �(rgC�er-r~ H, �I Qd, SEWAGE # VILLAGE ASSESSOR'S MAP 6c LOT4 �_ I INSTALLER'S NAME & PHONE NO _OAN SEPTIC TANK CAPACITY I Ooo _ LEACHING FACILITY:(type) Leap( 1O fk (size)6 k e o)1:3"444 ; NO. OF BEDROOMS 3 PRIVATE WELL Oi PUBLIC °.+ASTER �J/. BUILDER.OR OWNER AQ MAN Sd> A �fl� ® Qa { DATE PERMIT ISSUED:_ DATE COLIPLIANCE`ISSITE:D: ..�1 VARIANCE GRANTED: Y,�s_ _Now" ,/ , �86 , �p TOWN OF BARNSTABLE /u LOCATIONS k�rZ L .� SEWAGE # � VILLAGE C�1-rt-,Z V L ►._� ASS %%��OR'S MAP & LOT 2L/� c�PCt INSTALLER'S NAME & PHONE NO.de,4 Tic-w Ifs� SEPTIC TANK CAPACITY c.,►-e�v�/ . LEACHING FACILITY:(type) �� NO. OF BEDROOMS PUBLIC WATER BUILDER OR OWNER - 42 DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 0 3 TOWN OF BARNSTABLE LOCATION �" ui bevvte 14, / SEWAGE# VILLAGE C eFore -VOl e ASSESSOR'S MAP&LOT 2 8 INSTALLER'S NAME&PHONE NO. C nlW=. ( ,,A (C- SEPTIC TANK CAPACITY EX 1S"� j 600 h" LEACHING FACILITY:(type) 5-Mze) NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: COMPLIANCE DATE: ���� Separation Distance Between the: "Maximum Adjusted Groundwater Table and 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 bye /�' ��� 4�6=� 1 A p3- f � i a G= 3 vEPIT, r CA t --64-- EXISTING CONTOUR o � ,: N BENCHMARK x 60.98 EXISTING SPOT GRADE V, 5 o CORNER OF STEP ! -W EXISTING WATER SVC. 2 �, EL.=101.85 -6 HAY.- OVERHEAD WIRES U m PB 244-P,G 61 - TEST PIT Pine St a EXISTING LEACH PIT TO BE PUMPED, FILLED WITH BENCHMARK TH SAND & ABANDONED LEGEND a EXISTING SEPTIC TANK a 6 (TO REMAIN) 2:1 N m TOP OF TANK, EL.=100.08t c Alberti Wy o INV.(OUT)=98.75t ~ w s FENCE LINE N 04*52�09" 100.32 ? LOCUS a 91.52' + 100,96 TP-1 a 10066 i LOCUS MAP 25' NOT TO SCALE --- - 10 GENERAL NOTES: // t\ Ol M ,P-2�Rfl�. S.A.S.;7':'�� 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL r / 13 O Q �N BOARD OF HEALTH AND THE DESIGN ENGINEER. 2 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 101.55 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE SUN LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: PORCH zo -310 CMR 15.405(1)(b): NO FNDN. 101.54 t 1) A 3' variance, depth of cover, for 6'(max.) cover over S.A.S. 101.28 2) A 5' variance, S.A.S. to cellar wall, for a 15' setback. 0 1101.35 101.52 ' x Q 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR i TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 00 v j I DESIGN ENGINEER. o �,� I 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING I EXISTING _ :. 101�4 z FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN O IV ,f ENGINEER BEFORE CONSTRUCTION CONTINUES. C) -1 HOUSE(1459) I T.O.F.=102.27E ` a = 0 I 5. ALL ELEVATIONS BASED ON AN ASSIGNED DATUM. rn t' c U' 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 100.99 "' 0.~.,.:.:.. N N HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. ` I . s 101,5 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. J m ""� ..•. 8. THERE ARE NO WELLS WITHIN 150' OF .THE PROPOSED S.A.S. b 101.70 101.2 101.40 �:::. x 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 100,90 . AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE z A,/ DIRECTED BY THE APPROVING AUTHORITIES. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING x 100.69 LOT 2 CONSTRUCTION. \ 10,38OfS.F. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 101.66 IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). J 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE IP L-23 82 INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 76 19' 101.54 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND 60,O0 NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. A-1-----•N-Ofi'331510 L-VHF GTS�-481 / ::.. 101-3cT- _ _J ., 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC -- 199.68 SYSTEM COMPONENTS NOT SHOWN ON THE PLAN 99,76 \ 9 ® Edge 99,38 Pavement 99, 8 of o PETER T. l'� 99.08 CATCH BASIN PARCEL ID: 248-16 M CIVIL N 99.27 ROAD A D Na. 35,09 Y H"I LI, PROPOSED SEPTIC SYSTEM UPGRADE PLAN � � S T RA W BE'RR 459 STRAWBERRY HILL ROAD, CENTERVILLE, MA E � Prepared for: Cape Cod Septic Services, 350 Main St, W. Yarmouth, MA 02673 OWNER OF RECORD SCALE DRAWN JOB. No. Engineering by: j� ABBA REALTY TRUST 1"=20' P.T.M. 103-18 Z 2.l BARREIRO, DONNA M TRUSTEE Engineering Works, Inc. P.O. BOX 47 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. W HYANNISPORT, MA 02672 (508) 477-5313 2/21/18 P.T.M. 1 Of 2 IT, r� NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=97.4 FOR A DISTANCE OF 15' FROM THE EDGE SEPTIC TANK PROPOSED D—BOX OF THE PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT PROPOSED S.A.S. OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND T.O.F.=102.27t - SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT EX/ST/NG F.G. EL F.G. EL.=101.4t F.G. EL.=101.2E =101.5t - - F.G. EL.=101.0E HOUSE vENr MAINTAIN 2% SLOPE OVER S.A.S. L = 19' L = 13' © S=1% (MIN.) ® S=1% (MIN.) 2" LAYER OF 1/8" TO 1/2" Z$' 4"SCH40 PVC 4"SCH40 PVC 5" o DOUBLE WASHED STONE 10"1 " g 6®sas66 (OR APPROVED FILTER FABRIC) 14" aa66aBa EXISTING 48" LIWID aaaaaaa ---3/4" TO 1-1/2" DOUBLE 00 37 7v4-12.7' WASHED STONE tV 1 P OP, ' ADD INV.=97.42 PROPOSED INV.=9.,LEVEL4' 4.8' 4' ^! S.A.S. ' � GAS eAM F INV.=98.75E D-BOX EFFECTIVE WIDTH = 12.8' �!G/_ EXISTING INV.=96.90 25'�'� EXISTING SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN 3g g H-20 RATED NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE TOP CONC. ELEV.=98.0t SEPTIC LAYOUT INVERTS, PRIOR TO INSTALLATION. BREAKOUT ELEV.=97.40 INV. ELEV.=96.90 !W631013=2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIXes INCH CRUSHED STONE BASE, AS SPECIFIED IN BOTTOM ELEV.=94.90 310 CMR 15.221(2). 4' 2 x 8.5' = 17.0' 4' 3) INSTALL INLET & OUTLET TEES AS REQUIRED. 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0' PERVIOUS MATERIAL ®®®® 0 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 5' (MIN.) ABOVE G.W. AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. LEACHING SYSTEM SECTION ®E@ ®®® ® ®®®® 37.. 5) USE OF THE EXISTING SEPTIC TANK IS SUBJECT NO G.W., EL=89.9 It w TO THE APPROVAL OF THE BOARD OF HEALTH ® OR IT'S REPRESENTATIVE. SEPTIC SYSTEM PROFILE N z ®��®®® ® ®®® N.T.S. 102" DESIGN CRITERIA SOIL LOG 4" KNOCKOUT NUMBER OF BEDROOMS: 3 BEDROOMS DATE: FEBRUARY 20, 2018 (REF#15,596) 20" DIA. COVER SOIL EVALUATOR: PETER McENTEE PE SOIL TEXTURAL CLASS: CLASS I WITNESS: DONALD DESMARAIS R.S. HEALTH AGENT 4" KNOCKOUT 4" KNOCKOUT 58" DESIGN PERCOLATION RATE: <2 MIN/IN ELEv. TP—1 DEPTH ELEv. TP-2 DEPTH 0 DAILY FLOW: 330 G.P.D. 101.1 A o" 100.9 A o" LOAMY SAND LOAMY SAND " DESIGN FLOW: 330 G.P.D. 10YR 4/2 10YR 4/2 4 KNOCKOUT GARBAGE GRINDER: NO—not allowed with design 99.9 B 14" 99.9 B 12" LEACHING AREA REQUIRED: (330) = 445.9 S.F. LOAMY 5/4D LOAMY /4D 500 GALLON CAPACITY, H-20 LOADING .74 96.9 C 50" 96.9 C 48" EXISTING SEPTIC TANK: 1000 GALLON CAPACITY PERC CHAMBERS PROPOSED D—BOX: 1 INLET, 3 OUTLETS, H-20 RATED N.T.S. M-C SAND 1 M-C SAND PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 2-500 GALLON LEACHING CHAMBERS IN SERIES 2.5Y 6/4 1 2.5Y 6/4 SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 459 STRAWBERRY HILL ROAD, CENTERVILLE, MA SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F.. 350 Main St, W. Yarmouth, MA 02673 Prepared for: Cape Cod Septic Services, BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:.............................................................. 471.2. S.F. 9o.1 132" 89.9 132" Engineering Works, Inc. N.T.S. P.T.M. 103-18 DESIGN FLOW PROVIDED: 0.74 GPD SF 471.2 SF = 348.7 GPD PERC RATE <2 MIN/IN. ( Ref. perc 7/9/86 with Tom McKean) 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. / ( ) NO GROUNDWATER ENCOUNTERED (508) 477-5313 2/21/18 P.T.M. 2 Of 2 i 20 FT. MIN. TOP OF FO"ND, E L. 10 FT MIN, SOIL TEST DATE OF SOIL TEST CONCRETE WITNESSED BY PI MIN. PITCH I/8 --- -- COVERS 4 SC 40 P CLEAN SAND PIPE,�C PER FT. PERCOLATION RATE 2 MIN INCH OBSERVATION HOLE I OBSERVATION HOLE 2 � 4" CAST IR N PIPE 12 CONCRETE COVERS 2" LAYER OF ELEV. ELEV.= (OR EQUAL) MIN. 1/8"- 1/2'' WASHED - PITCH I/4 PER FT. STONE T�� s 36� FLOW LINE 10 EL = MIN. Ll rl E L = wP 7 EL.= 2b ?at. h1eo,,►r LEVEL = Q'�E cZ EL= ►- GA' DIST EL = { BOX aoo v j WATER AT 144i1 EL.=3cf i WATER AT EL.= >/4"- 11/2" _ •o° � U ) �' o GALLON WASHED STONE Go ° wU. aoo ► SEPTIC TANK W 0 DESIGN CALCULATIONS Q o EL.= 4 3 a PRECAST LEACHING NUMBER OF BEDROOMS J BASIN OR EQUIV. GARBAGE DISPOSAL UNIT i✓c� 6 DIAM. TOTAL ESTIMATED FLOW ( —GAL./BR /DAY x 8R.) 3 ./30 GAL DAY NOT TO SCALE SEWAGE DISPOSAL SYSTEM PROFILE � REQUIRED SEPTIC TANK CAPACITY GAL. - _ - - ACTUAL SIZE OF SEPTIC TANK /OV C"' GAL. BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE EL = -32 4 LEACHING AREA REQUIREMENTS OBSERVED WATER TABLE ( / / ) EL = SIDEWALL AREA 6AL./S.F. J BOTTOM AREA GAL./S-F LEACHING CAPACITY ( BOTTOM+ SIDEWALL) ���, GAL. }� LEGEND 6 RESERVE LEACHING CAPACITY" 9� �'. GAL EXISTING SPOT ELEVATION OOXO EXISTING CONTOUR - -- - 00- 33D 2ocJuic'E�� `� C•w" FINAL SPOT ELEVATION ® NOTES: \\ c\ FINAL CONTOUR -- — I. ALL WOP.KMANSHii% AND MATERIALS SHALL CONFORM TO D.E.Q.E. SOIL TEST LOCATION N UT;Lil Y POLE -0- TITLE 5 AND THE TOWN OF � RULES AND N ' TOWN WATER W ==-Wy REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE . /6(ze ©� ��������- CATCH BASIN ( ® � 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 12" OF FINISHED GRADE . f Z-4 /I 3. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE SAME Y LZ / ` YL� �y w 20�V J LL 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H- 10 LOADING UNLESS THEY ARE UNDER OR b1 / WITHIN 10 FT OF DRIVES OR PARKING AREAS. H-20 LOADING MIN FRONT SETBACK ZO� SHALL BE USED UNDER OR WITHIN 10 FT OF DRIVES OR PARKING. 3�'t �, , ,...-.�-''�/ r; ./C `.:�•. 'f < ;'�G �k, 4"mair. MIN. REAR SETBACK i p _ 5. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE MIN. SIDE SETBACK _ ^ ' SHALL BE MORTARED IN PLACE. I�D AG►t�E J'"�" �" �•i1.S'7Far.r ,et 3 G' x2b�1 6. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH LOTZ � �_ ��._ . ,...'... .�` t ✓,w,r:i�+ Tz: r>s�+.sE y�J'=H of �a � ', `` a`" ` DEEDED OR ZONING REGULATIONS. OWNER /APPLICANT IS TO 1 1t1 I ?51-4 �- `, OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. l'or y 1 ; `£° LAPPROVED BOARD OF HEALTH N ;.t c� VVV DATE AGENT 14 t- PROJECT LOCATION, 2 �T�LL�w! 0, �i � j"�I L/ lot 401 rn u \ t�F� APPLICANT//,3 aDMAN61 yl XD ; E L L t�Y, EL DREDGE; D 141AG/VER ASSOC //VC 4E E L 5rj e)o (oe24 5 4 i ENGINEERS - LANDSCAPE ARCHITECTS PLANNERS - LAND SURVEYORS 889 WEST MAIN STREET I . CFNTERVILLE, MA 02632 v s i...I =-e I LOCATION MAP li J0d N0. 12'J 2 SHEET i OF I