HomeMy WebLinkAbout0035 THISTLE DRIVE - Health 35 THISTLE DR., CENTERVILI .A
BARNEY'S PROFFES. QUALITY
I
UPC 12543 o
No.53LOR
HASTINGS, MN
I
t
Town of Barnstable
&IHE r Regulatory Services
Thomas F. Geiler,Director
• .iA ItT7STANM •
MAM Public`Health Division
i6S.9. �0
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
4.
Installer & Designer Certification Form
-
Date: 12— ?j 0-- 1 O
1�
Designer: ° �' / �' Installers
Address: Address:
1�60o cD 16(4, MA, 0z_za>3 g�ftq,W . fyo— °&`°+_
('L Z� U keV was issued a permit to install a
(date) (in a ler)
septic system at c5 51 L 1 based on a design drawn by
--� I - (address)
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.
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 b esigner to follow.
H OF MgSs oy
9
DAVID
D.
(Installe ignature) FLAHERTY, JR. N
No. 1211
9FaI S T'I-
34NI7AIOa
(Designers S'gnature) f (Affix Designer's Stamp ere)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
-F COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
Q:Health/Septic/Desiper Certification Form
TOWN OF BARNSTABLE 0/0-BOA
LO f ATION SEWAGE#
VILLAGE ASSESSOR'S MAP&PARCEL /�'/ 7ij
INSTALLER'S NAME&PHONE NO. S�?.
SEPTIC TANK CAPACITY 1000 �— A
i T
LEACHING FACILITY.(type)t3l)ICk�� �I.,l�j� .^.S(size) `
NO.OF BEDROOMS
�, Q��
OWNER / CCOC
PERMIT DATE: COMPLIANCE DATE: fD v
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
b k
141
® ® 83
rh -r/
No. �L� So Fee lot? —
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
2pplitatlon for MispoSal *pBtem Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 354I STI (] Owner's Name,Address,and Tel.No.
Assessor'sMap/Parcel ,j'7/_ t"/t �O� e. g6f4iea,�
Installer's Name,Address,and T,No., Designer's Name,Address,and Tel.No.
Type o u ding:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building f- as--P, No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided .~'S 2 G gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank �p j}0 Type of S.A.S. 2
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of e afore described on-site sewage disposal"system in
accordance with the provisions of Title 5 of the Environmental Code and no o place system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signe Date %2 v
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. '9 C)(0 — Date Issued 0" — l 6
i
n I
No. `Ul t7 - "' �rT '. Fee O
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
applitatlon for VsposaY ,*pstPm ConstrUttlon Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 3 1 7T4 i S7l,*_� !D Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel _ 74/ �lo�te
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
f� 1(q) - Q 8"v0
Type of-Bni ding:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building ;Urwae No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided G gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank '14,g p Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) �E,lLd7 �
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 place thesystem in operation until a Certificate of
Compliance has been issued by this Board of Health. '
Signed �- ,au, Date /1
17"r X
Application Approved by Date j cy
Application Disapproved by Date
for the following reasons
Permit No. 9 of 0 — S U 2_ Date Issued /.? -2
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
CPrtlfltatP of CompliantP
THIS IS TO CERTIFY that the On-site Sewage Disposal system Constructed( ) Repaired( ✓ Upgraded( )
Abandoned( )by
at -3<-- J , c 4 IJ i_ 4 4 g has been constructed in accordance ll
with the provisions of Title an the for Disposal System Construction Permit No.c�0/0 � dated
Installer Designer
#bedrooms 3 Approved design flow gpd
The issuance of this-permit shall t be con rued as a guarantee that the system willnr$o ndg ned.
Date Inspector
---------------------------------------------------------------------------------------------------------------------------------------
No. -9-c)I 5,0�_ Fee /D�
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS
Disposal *pstPm Cot"ruttionPrmit
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
n/must ble completed within three years of the date of this permit.
Date Approved by ` `
ape
Town of Barnstable P# 3(S 9
Department of Regulatory Services
mum Public Health ealth Division Date p d
rEi6jq. 200 Main Street,Hyannis MA 02601
Date Scheduled Time- / Fee Pd. �u
Soil Suitability Assessment for Sewage isposal
Performed By: 5—�- �� C
Witnessed By: ,
Location Address LOCATION& GENERAL INFORMATIO
35—�/5 T/� P� Owner's Name
Address
Assessor's Map/Parcel: 17/ _a 74 b 1.00QJ-
1 � Engineer's Name �¢
NEW CONSTRUCTION REPAIR
Telephone#
• Land Use 9 �
Slopes(%) Surface Stones
Distances from: Open Water Body l NA� R possible Wet Area
�_ft Drinking Water Well pt
Drainage Way }t property Line __ft Other
S TCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in ximity to h les)
(0
I I
4 k i61 F/l4'1(
/ 'Nz
y
V,
L'
r / S
F&
Parent material(geologic) Depth to Bedrock
Depth to Groundwater. S nding Water in Hole: (/� Weeping from Pit Face
Estimated Seasonal High Groundwater > -z
Method Used: DETERMINATION FOR SEASONAL HIGH WATER TABLE
Depth Observe ding�obs. ole: in. �Be�tit to soil mottles:Depth to weeping from s hole: - _in, Groul_dwater Adjustment ft.
Index Well# Reading Date: Index Well level�„ Adj,f'actor�-�Adj,Groundwater Level
t
r
PERCOLATION TEST Date IZ J eta /
Observation
Hole# / Time at 7"
Depth of Perc Time at 6" —
Start Pre-soak Time @ 1 Time(9"•6")
End Pre-soak ' 30 0,1,
Rate Min./Inch
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N)
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:\,SEPTICU'ERCFORM.DOC
DEEP-OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil -6 r
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,'Boulders.
ConsistenCy.%Graven
.L� /0
4W ��
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other—
(USDA)
Surface(in.) (Munsell) Mottling
(Structure,Stones,Boulders.
�
onsisten % ravel
�n
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel)
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders.
Con i ten
Flood Insurance Rate May: /
Above 500 year flood boundary No_ Yes
Within 500 year boundary Y No= Yes
Within 100 year flood boundary No.� Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervi u material exist in all areas observed throughout the
area proposed for the soil absorption system? �S
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on / (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 require=* xp, d ex nen a described in 10 CMR 15.017. r
Signature Date
QASEFnC1A1'ERCFORM.DOC
Town of Barnstable
9M AfiS.
tSAxMSS.. , Regulatory Services
039. ♦0
ATfDNtA�1. Thomas F. Geiler,Director
Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
November 15, 2010
To Whom It May Concern:
I did a walk thru of the property at 35 Thisle Dr. Centerville because of a question of
bedroom count. The property is permitted and approved for three (3) bedrooms. This
property is located in a Zone II and can never have more than what is already permitted
for due to lot size. There are five (5) rooms at this property, three (3) bedrooms and two
(2) rooms that could be confused as bedrooms. One room is located in the front middle
of the second floor and the second above the garage. Each of these rooms have less than
seventy (70) square feet of floor space with a seven (7) foot ceiling area. These rooms do
not fit the criteria of a bedroom enumerated in the bedroom definition of 310 CMR
15.000 of the State Environmental Code, Title 5.
Based on these findings those rooms shad not be used as bedrooms. It may be advisable
to record a deed restriction to clarify that this is indeed a three (3) bedroom home to
avoid any future regulatory concerns.
I can be reached at 508-862-4740 between 8-9:30 AM and 3:30-4:30 PM. My E-Mail is
donald.desmaraisgtown.bamstable.ma.us.
Sincerely ,
1
Donald Desmarais R.S.
Health Inspector
Town of Barnstable
Q:Health/orderletters/refuse/274 South.doc
TOWN OF BARNSTABLE \`
LOCATION 3 SEWAGE # r 7
VILLAGE CQ�y�� ASSESSOR'S MAP & LOT 1-7 1 0
INSTALLER'S NAME & PHONE NO. Crzl m�.�
SEPTIC TANK CAPACITY n0 y �B ,Qi
LEACHING FACILITY:(type) (size) 16n n 0� g
u
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER ICE am
61
DATE PERMIT ISSUED: D ! - O 7y
DATE COMPLIANCE ISSUED: O 6-- / -5 _
VARIANCE GRANTED: Yes No L,✓
A
A b 3 � '
--� 7o
ib - G
G
s 3J TOWN OF BARNSTABLE /�I-/� y
LOCATION 76 D�,C.,r— SEWAGE #_Z —
VILC.AGE�s �Q ASSESSOR'S MAP 6z LOT 7
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY 1450 6 S
LEACHING FACILITY:(type) r (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No (/
.G 3S
3-Z
171 - 6 7y
No..... ..._.7.._ __ FEs.. ........
THE COMMONWEALTH OF MASSACHUSETTS
\ BOARD OF HEALTH APP
..---....O.Wl`L............OF....13A1�-F�i.5�f11.? �� y ,n,.ab� GonSeROt O�
.Z�pphratiun for Dispuutt1 urkg Totm i#
/ ��7
Application is hereby made for a Permit to Construct (�) or Repair ( ) an I dividual Sewage Di
System at:
-r 76 THiST1LE M A$( 6SS4'LS MAP ►71 PAsczLr
....../-4..-------• ...--- ........................... ........................................ ...•..------•-------- ......7:4.....
�calioon- ddress •^. or Lot No.
................ . .. .......------------•--------•- .....................cn ............J......I.....
aW -.. < �ltjl::.n_.•.............•- ..!s� . .....•.1..4..dress...............................................
...... .... �+
Installer ^�
Address W�
Type of Building Size Lot. q. feet
�-. Dwelling—No. of Bedrooms.........�...............................Expansion Attic ( ) Garbage Grinder ( )
`4 e� Other—T yp of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
d Other fixtures .
W Design Flow...............55_.........___ gallons per person per day. Total daily flow..-..-.---_3 1-40....................gallons.
W Septic Tank—Liquid*ca acit . db.gallons Length... _ .. Width:.-_ ?�.. Diameter................ Depth.. _�fF
P 9 P Y�� .. •Y2r_. r---
x Disposal Trench—No..................... Width. ._._...._._._____ Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No.........1.......... Diameter........f_...._... Depth below inlet................ Total leaching areaAZ7_.......S/ft.lrl`D
Z Other Distribution box ( ) Dosing tank (
Percolation Test Results Performed b ...._,l4RN ..A.-..................d JAL A-.......... ... Date___ Z'��" l
Test Pit No. 1....`.........minutes per inch Depth of Test Pit.-.f+ ....... Depth to ground water..AJ.0 B......
44 Test Pit No. 2.......Z...minutes per inch Depth of Test Pit....P21....... Depth to ground water./V.49 z.....
:..... :-i------ -- ------•.-------------.---.-----.---•-----
...........................................
...... -
O Description of Soil.....-.-�._..Q 3.1__.TC�r.....s� . 6"�Z.... ✓ L S'dt"''`� }
x n......D-J4.... t-'-00-------3 A-. ..612 ►YEL. 5 _...._.7 t-__l a__._!'h�v.._.5 .....
w
UNature 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 LITL; 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issuoYbyge board o health.
Signed............ �!'---•--•--•----------•------------•.---------•-•... ................................
Date
Application Approved By••....... ......................................... ........L.-._•_7.:z- ---
Date
Application Disapproved for the following reasons:........................................................................................._..................
_..
-------------------------•--......-•----...............--------------------•-----•-------........----..................---............------•-----...------...------........•••••----•.......---•--......:
Date
PermitNo...... (�T..' ............................. Issued..-•---•-•------•-------------•----.•..... .....
Date
No... 9 .... _ _ - �, -FEB. /!/)fi
-- r. .........
THE COMMONWEALTH-OF MASSACHUSETTS
• r
BOARD OF HEALTH
1 ......_....OF.... .�� Rq . = ...
r'
Applirdtioii for BiWPoiittl Vork, Ton i 4:tion Prmi# i y
Application is hereby made for a Permit to Construct (Y) or Repair ( ) an Individual Sewage Disposal
IY System at: ,
�• 16 ZH/ T(-..c d556550% MAP 171 P4'2 .7
--- -.-. --- -------------------------------------------------------------------------•--'-...........4-
r ocation-./dddress / or It No.
t ................... .6!� -------
~ '—'.._...��. .._'....'..w,.a S r,ner� ....... u k G A.....5....c'.�_._a..l.i.. ...._....fr l:.t.o......
CPU Address
.............Za........... ...........__....._.._
............................................................................
r
Installer Address
5 400 q
Type of Building Size Lot........:...................S feet
U �� '1
�-. Dwelling—No. of Bedrooms......_..:................................Expansion Attic ( ) Garbage Grinder ( )
`14 e of Building a Other—T yp g -•-------------------------- No. of persons............................ Showers ( ) — Cafeteria ( )
Q Other fixtures .........
WDesign Flow...............15.5......................gallons per person' r day. Total daily flow........... ....................gallons.
WSeptic Tank—Liquid capacity.00-gallons Length... ...? Width:-�'•Y r.. Diameter................ Depth.. _:.!•f r
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area._,................Sq. ft.
3 Seepage Pit No..........(---------- Diameter........ _._...... Depth below inlet...... .......... Total leaching area.
_ZI.......sqe ft.�7J�D
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by._...AJ;-WJF....H.....e)J AL! .......................... Date...
a Test Pit No. I................minutes per inch Depth of Test Pit...11. ........ Depth to ground water. w�:..._..
f4 Test Pit No. 2..._`2-.._minutes per inch Depth of Test Pit....1.!........ Depth to ground water.fV.0f"1..'.•__.
T
a .. •--- a ... .1" itl ----...
6 L7�O Description of Soil... Q TIJI° �A - . ._... - •_ - . !
w t
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 LITL E 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 ofhealth.
Signed .... L-:•• ......'---••----•--•---•--•-•......... .........••---.. ................................
Date
Application Approved By........... .�r� ._ 1..: .....
D7.e-'. /...
7
Application Disapproved for the following reasons:................................................................................................ ..
..............................•-••-'•---......_.....-----•---.......--•---.....-•--------•-•--•--..........------•--..._.....------------.•....-----------------------------••-••-
Permit No...... .`. .. Issued. Date......
Date
�r•._•��•.ra......................&............... •.+* ............................. .a-------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.........Z: O C�!�1...:..........OF............
r ' f................
1T.....................................
TPrtif iratr of Tompliatta
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( )
by................. .......................................---•-C ....... .---..........---...........--•--------.............._......-•--•---........--------
Installe
at............4_o-.�-'----ZlP..._ �{�����:---... ._3e.......I.......
�_�e
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 No.__...... -_' ............... ...... .............................
application
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.......................: .......................... Inspector._ �_:_ _..
THE COMMONWEALTH OF MASSACHUSETTS
` BOARD /OF HEALTH
..........���° u!ill..............OF.....-----/(_ ctvt 1.4 ............................
No... .- ...... FEE....;�/� ........
Diopolld Works �Tonstrurtion Permit
Permission is hereby granted..............5� ' t• .......... ?�... .^.0
to Construct (>:g,)'or Repair ( -an Individual-Sewage Disposal System
atNo.....1.a 7..... ....0 : '-�P.:... ...: Q yr �1 ..........................................................
Street
as shown on the application for Disposal Works Construction Permit ,,No. -. .... Dated..........................................
........................................ .........................................................
— Board of Health
DATE---------------------------------------•---..............---•-••••---••-'
Y
B� ARD OF HEALTH
LOCATION '' , SEWAGE PERMIT NO. 37,12
,
INSTALLER'S NAME
Ila
BUILDER AND OWNER
isms 14 - le",�
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
1� ;DRAW SKETCH OF COMPLETED SYSTEM WITH DIMENSIONS ON BACK
.' � 3.j
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Date: J Um,
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAMEOFBUSINESS: Rif°nt;rk
BUSINESS LOCATION: Cen e rvi(lP i
MAILINGADDRESS:_ 3S Dr. Mail To:
Board of Health
TELEPHONE NUMBER: 5Ilk - yam- O®�C) Town of Barnstable
CONTACTPERSON:�nje. C j e'nt`cOcQ- P.O. Box 534
EMERGENCY CONTACT TELEPHONE NUMBER: 56Ss- llao-52 33 Hyannis, MA 02601
TYPEOFBUSINESS: P `f Vr-% `
r
Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own
use? YES V NO
This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed
envelope for your convenience.
If you answered YES above, please indicate if the materials are stored at a site other than your mailing
address:
ADDRESS:
TELEPHONE:
LIST OF TOXIC AND HAZARDOUS MATERIALS
The Board of Health has determined that the following products exhibit toxic or hazardous character-
istics and must be registered regardless of volume. Please estimate the quantity beside the product that
you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS.
Quantity Quantity
Antifreeze(for gasoline or coolant systems) �/ Drain cleaners
NEW USED V Cesspool cleaners
Automatic transmission fluid ✓ Disinfectants
Engine and radiator flushes Road Salt (Halite)
�— Hydraulic fluid (including brake fluid) Refrigerants
✓ Motor oils Pesticides
EW USED (insecticides, herbicides, rodenticides)
-f Gasoline Jet F Photochemicals (Fixers)
Diesel fuel kerosene, 2 heating oil NEW USED
Other petro products: grease, Photochemicals (Developer)
lubricants, gear oil NEW USED
Degreasers for engines and metal Printing ink
✓ Degreasers for driveways & garages %/ Wood preservatives (creosote)
Battery acid (electrolyte) Swimming pool chlorine
Rustproofers Lye or caustic soda
Car wash detergents _ Jewelry cleaners
f Car waxes and polishes Leather dyes
Asphalt & roofing tar —� Fertilizers
✓ Paints, varnishes, stains, dyes PCB's
Lacquer thinnersOther chlorinated hydrocarbons,
,/ NEW J USED (inc. carbon tetrachloride)
Paint & varnish removers, deglossers Any other products with "poison" labels
Paint brush cleaners
(including chloroform, formaldehyde,
Floor & furniture strippers hydrochloric acid, other acids)
Metal polishes
Laundry soil & stain removers Other products not listed which you feel
/ (including bleach) may be toxic or hazardous (please list):
y Spot removers & cleaning fluids 1" C fQ % S
(dry cleaners)
Other cleaning solvents
Bug and tar removers
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINES
S
t
LOCUS DATA DATUM:
VERTICAL DATUM: BARNSTABLE GIS MSL± \
CURRENT OWNER JOETTE BARNICOAT
PLAN REFERENCE 247-84 BENCH MARK USED: CORNER OF CONC. STOOP STEP 60.3
LEFT CORNER UPPER LEVEL \
DEED REFERENCE 12477-231 ELEVATION 62.85 // \ ` _ , P O
ZONING DISTRICT RC & GP
OVERLAY DIST. ZONE II / \\DRIVEWAY �6`• \ v
FLOOD ZONE 250001 � 0 , \ � r'o�
60.4
PROPOSED 8.5''�i�2
"C" 7/2/92 p , 9.5' S.A.S. WITH 24
ASSESSORS MAP 171 QUIK-4" AND 2
0'1 / OBSERVATION PORTS / S \\ O
PARCEL 74
SHED 61.3 op \ I\LOT AREA 15,000± S.F. 5 X 0
615 � 5' D.T.H. #1 O- � 60.3
61./1 5 I 12' \
GARAGE D �Oxl 60.6 \ \
SITE & SEWAGE LOT 77 I D.T./i
REPAIR PLAN 15,000± S.F. #35 20'J S `A�q1%� so.$ \`
EXISTING 1 �'Q \#35 j 3 DEDROOM S �X 8 60.2
THISTLE DRl VF DWELLING ^J �'' O "EA \\
IN TBM _ - g WIR \
� � � \\
CENTERVILLE, BARN . EL=62.85 10
DECK 61.4 60.9
DATE: DECEMBER 17, 2010 /24.3'
OWNER/APPLICANT: EXISTING LEACHING
PIT TO BE PUMPED
LOT 7 6
JOETTE BARNICOAT AND REMOVED IN
EXISTING 1000 ACCORDANCE WITH
35 THISTLE DRIVE °0 1 5, 000± S• F• GALLON SEPTIC 60.4 TITLE 5.
CEN TER VI LLE °o• TANK TO REMAIN
0
MASSACHUSETTS
MA 02632 of
SHEET 1 OF 2 EDW RD9cti� O�
A N� s �o. LOT 75
PREPARED BY: STONE N �j p'1 15,000± S.F. o N
e No.28980
E A S SURVEY, INC. ����,.0 ,s —oo moo'
141 R T. 6 A LA S o F 0 20 30 40
P. O. BOX 1729 °
GRAPHIC SCALE:
PH. (508) 888-3619 1 LOCUS
SANDWICH , MA 02563 r /�
2 �� INCH = 20 FEET LOCUSo�
CELL (508) 527-3600 NOT TO SCALE:
SYSTEM DESIGN
RAISE COVERS TO WITHIN 6" OF FINISH GRADE
SILL 62,21 FIRST 2' LEVEL DESIGN FLOW
FINISH GRADE 4 J- BEDROOMS AT 11.Q. GPB/D GPD
�"' .• F.G. ELEV, 61.4 ELEV. 61.19
FG REQUIRED SEPTIC TANK
M 38" MAX. COVER N OBS. __ 330 x_2__ _ _ __ GAL.
4" PVC14'®S= 0.013 2®4 S=0.01 TOP ELEV 57.43 PORT s SEPTIC TANK PROVIDED = _!QQQ_GAL.
` SCH 40 2 MIN- 4" PVC SCH 40 108' S=0.005
; INV.=
414 INV.= EXISTI 57.76 10"TEE 14"TEE INV.= N SIZE OF LEACHING FACILITY REQUIRED
OFA�gSs 57.59 DESIGN PERC RATE __<�____MIN./INCH
• �� q��, GAS BAFFLE ZNV.=
OUTLET
ego DADVID G� 4'-1" LIQUID LEVEL BOX SET "QUIK-4" STANDARD PLUS LEVEL LONG TERM APPL. RATE_2•_7_4_GPD/S.F.
FLAN INV.= 57.20 W o SIZE OF LEACHING SYSTEM PROVIDED:
ex
N 1 1 USE (24) QUIK 4 STANDARD PLUS v a 330 _ 0.74 SF GPD = _446 S.F. MIN. REQ.
.p .41 Li ELEV=56.53 /e oCHAMBERS TOTALING 96 LINEAR FEET
ST�cR INV.= 57.24 48"x34%12" STONELESS BED FORMATION
SgN�7pR��N it
EXISTING 1,000 GAL TANK TO REMAIN iA TEST PIT # 1 EL. 48.8 USING 24 STONELESS UNITS
( THREE ROW OF EIGHT PANELS )
ADJ. HIGH GROUNDWATER INFILTRATOR - 24 QUIK "4" STANDARD PLUS
CY I CERTIFY THAT I AM CURRENTLY APPROVED BY THE 4.73SF / LFX (4' x24) = 454S.F454 x 0.74 G/SF = 336 GPD
DEPARTMENT OF ENVIRONMENTAL PROTECTION TO CONDUCT OBSERVATION PORT
SOIL EVALUATIONS AND THAT THE RESULTS OF MY SOIL / SCREW CAP
EVALUATION AMC ACC TE AND IN ACCORDANCE WITH 310 336 GPD PROV > 330 GPD REQ. = 6 GPD RES.
SITE & SEWAGE CMR 1 0 UG SAND FILL
NO (GARBAGE DISPOSAL / GRINDER ALLOWED)
REPAIR PLAN ARD A. STONE, CERTIFIED SOIL EVALUATOR` o P-13159
D.T.H. #1 ib D.T.H. #2
, 35 ,� � GROUDATEND
2/15V. GROUDATEND
2/15/10
V.
GENERAL NOTES: 2.83 2.83 2.83 GROUND ELEV. 60.60 GROUND ELEV. 60.60
THIS TL E DRl VF 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. ADJ. G. WATER 48.6 ADJ. G. WATER 48.6
TITLE V AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS 8 5'
N FOR SUBSURFACE DISPOSAL OF SEWERAGE. END VIEW A A
2. AT LEAST ONE ACCESS POINT OVER TANK TEES SHALL BE LOAMY SAND LOAMY SAND
C E N TE R VI L L E, BARN . ACCESSIBLE WITHIN 6" OF FINISH GRADE, WITH ANY REMAINING CONSTRUCTION NOTES: 10YR 3/2 10YR 3/2
ACCESS PORTS BROUGHT TO WITHIN 12 OF FINISH GRADE. 8 6
3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE B B
DATE: DECEMBER 17, 2010 1. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND
CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE LOAMY SAND LOAMY SAND
OWNER APPLICANT: UNDER OR WITHIN 10' OF DRIVES OR PARKING AREAS THEY ELEVATIONS AND SITE CONDITIONS PRIOR TO COMMENCING WORK ON THE SITE. 10YR 5/6 10YR 5/6
MUST _ �� ��
THSTAND
20 LOADING.
J 0 E TTE B A R N I C 0 A T 4. THE EXCAVATION I CONTRACTOR SHALL VERIFY THE LOCATION 2. NO DETERMINATION HAS BEEN MADE A WITH DEEDED OR ZONING REGULATIONS.. OWNER
COMPLIANCE ELEV =58.1 30 ELEV =58.3 28
OF ALL UTILITIES PRIOR TO ANY EXCAVATION. NER /
35 THISTLE DRIVE 5. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM
" APPROPRIATE AUTHORITY.
CEN TER VI LLE 6. FOINIS WITHIN
6" SHALL OF GRADE
SHALL
MINIMUM OF OMORTARED
I PLACET E.
3. VEHICULAR TRAFFIC, PARKING OF VEHICLES AND PLACING
FOOT OVER THE S.A.S. AND DISTRIBUTION BOX. MATERIALS OVER THE SEPTIC TANK, DISTRIBUTION BOX AND C-2 C-2
M A S S A C H U S E TTS 7. SEPTIC TANK SANITARY TEE'S SHALL BE CONSTRUCTED OF S.A.S. AREA IS PROHIBITED " COARSE SAND COARSE SAND
SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM OF 6" ABOVE 4. CONTRACTOR TO CONFIRM INLET AND OUTLET TEES„ ON 2.5Y 7/4 52" 2.5Y 7/4
MA 02632 THE FLOW LINE AND SHALL BE ON THE CENTERLINE AND SEPTIC TANK AND INSTALL / REPLACE WHERE NECESSARY.
LOCATED DIRECTLY UNDER THE CLEAN OUT MANHOLES.
SHEET 2 OF 2 8. THE INLET PIPE INVERT ELEVATION SHALL BE NO LESS THAN
2 INCHES NOR MORE THAN 3 INCHES ABOVE THE INVERT
ELEVATION OF THE OUTLET PIPE. NO G.WATER NO G.WATER
PREPARED BY: 9. THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES „
E A S SURVEY, INC. 10. THE OUTLET SANITARY TEE SHALL BE EQUIPPED WITH A GAS ELEV =48.6 144" ELEV =48.6 144
BAFFLE, 4 INCHES IN DIAMETER AND CONSTRUCTED OF 4" PVC VARIANCES REQUESTED
11. ALL PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE AND B.O.H.
141 R T. 6 A SHALL BE SLOPED 1/4 INCH PER FOOT MIN. EXCEPT FOR THE NONE DAVID STANTON, IRS
ALUATOR
BE FIRST EVE O FEET OUT OF THE DISTRIBUTION BOX WHICH SHALL DTH #1 INDICATESTEST DEEP SOILEDVS ONE, PLS
P. 0. B 0 X 1729 12. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION SOIL EV. LIC. APRIL, 1995
SANDWICH , MA 02563 TO EAS SURVEY INC. FOR B.O.H. AND DESIGN ENGINEERS REVIEW GROUNDWATER ADJUSTMENT BACKHOE OPERATOR.
AND APPROVAL. RODNEY FISHER
�� _
PH. (508) 888-3619 13. MAGNETIC TAPE OVER ALL COMPONENTS. NO GROUNDWATER OBSERVED
P
DEPTH TO BOTTOM OF HOLE 12 INDICATES SOIL TYPE: �
' 54 PERC TEST PERC RATE: <2 MIN. PER INCH t
CELL (508) 527-3600 -1 LOADING RATE: 0_74 GAL/SF/MIN 1'
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