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0122 WHITE OAK TRAIL - Health
12 White Oak Frail } C e'n-fervf 11 e 9 ffr 3 No. 4210 1/3 ORA Pendaflex ' 10% i No. .10I NO t j Fee UD � THE COMMONWEALTH OF MASSACHUSETTS Entered in co user: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS apphLation for Misposal *pstrm Construction Vermit Application for a Permit to Construct( ) Repair()6 Upgrade( ) Abandon( ) ❑Complete System E]4 nr dividual Components Location Address or Lot No. I Z;L &JIi I T 6 OAK-t AA I L-- Owner's Name Address,and Tel.No. G�"-r&XV Fug s` Mi-C-S + 13 ON N'1 C �5'� WGG aP-J Assessor's Map/Parce1 ,cj I a-Z- (R�*4-t TL, Q (L`f (_ <1 t u/Ck_, - Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. S®25--73-b�l Cs4tP6c ODc- 45�1Trs-w/t 9ES 2<- EN)CSI AJ6�Zt 1jGr ztnklc_ Type of Building: Dwelling No.of Bedrooms Lot Size ;Z�>i 1 49`t - sq.ft. Garbage Grinder( ) Other Type of Building -kESfpE?JTl AL No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided (p gpd Plan Date I " a�" PLC)[ V Number of sheets Revision Date Title f;2 - U-"CTE Oe4 K -2A L L C'r✓ 1-rt �Lf Size of Septic Tank DOT N I t DO© Qx4a-61JS Type of S.A.S.(14) -6o Cg4C> kc-Ap q64 i4a06 Description of Soil kifzp l U x-4 - r aAa-S,4T � i f FT. Nature of Repairs or Alterations(Answer when applicable) Li S t9- Q01 4 CY-/6`z t J4,- 1,ME) GIs) SE✓PTiCr. -1 �t)LG� �Z �, it1c) I'1-Zt� "�'aBjC�l'f� ��+ Sib G!CL�tJ 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 ea Sig ed Date Application Approved by Date a Application Disapproved by Date for the following reasons l L Permit No. 0 Date Issued No. � ( tr 0U0 g Y.: Fee �wU ✓ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF.BARNSTABLE, MASSACHUSETTS Yes r 01ppfication for M`postal 6pstetn Construction Permit Application fora Permit to Construct( ) Repair(k Upgrade O) Abandon( ) ❑Complete System E�,Individual Components Location Address or Lot No. I Z:, Wrf i TE 6AK'T1%, 1 C. Owner's Name Address,and Tel.No. Assessor's Map/Parcel X/ 19 9 / � I t U�4Fc. `t'Ra4/ �► V Installer's Name,Address,and Tel.No. J�+$ "1'1-� $�2 T Designer's Name,Address,and Tel.No. rj p% Cat06W t DCC.- E1�E�t N.IE:s .!lt+lGr p�C i�1�466 D '<� '� Type of Building: Dwelling No.of Bedrooms 4; Lot Size ;Z(0,1 S`t - sq.ft. Garbage Grinder( ) Other Type of Building 4:GS(I)EJ '(AG No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 530 1 1 gpd Plan Date Number of sheets r Revision Date Title (Z7.. (.ems tTE OAK. "MAIL CS)6 V-1 U,9 Size of Septic Tank OpT N (,660 C: NS Type of S.A.S. 'yQ (, Hp`�.ZCS ew#4 Keo6 Description of Soil &!l�,t rj wt C n A a T Ea C L.-'Q) 1 2hf T •• )L Q !i5 �'�7[�V +c0-gDk.65 v Nature of Repairs or Alterations(Answer when applicable) U 5 a OoT i4 e y f 5"r 104_ 1 l r'a C`-.bf'_Laj 5 S e✓P-ne ± (-c)t4K TD 1J 19K) -rn (4 5'00 C-w ' �F `I" O"1'' 6 -ltSrQC�r�-? Ud 11lUD! V�C 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 Hea . : Sigped �4 i'�rr Date 1"'.fit° ao 's Application Approved by _14),/ Date 31 ,,a/j- +` Application Disapproved by Date F fo'rthe following reasons• r Permit No. U j r` () (' Date Issued - 1' £' THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(X Upgraded Abandoned( )by (MMOID iL WZSGAZX. Eg at 1 a-x (Aj O 1 tng oA—V- ?iKtA/L 01VI4E has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No..I(.)/ Odated ! 1 �( " Installer 6A PFa(DE- E")t�40 6 Designer rt e__ #bedrooms Approved design flow gpd The issuance of this permit shall no/be construed as a guarantee that the system will nctiol—s-,designed. Dated % /' CC Inspector No. O U d Fee I THE COMMONWEALTH OF MASSACHUSETTS r PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal *pstrm Construction Permit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at 1;;LZ Wt4rm -OAW- "t R A/L 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,/I' Date ( � f // Approved by _/ v a 4<-eL Qme-S LVI dae- 03 CAPE COD BOARD OF REALTORS. REALTOR" Listing No. Price Furn. ❑ Unfurn. (p� ...... $ /8?UU.. Part, Furn. -) Village .. ��ty7.,LI/.c'���. .... .......... ........ Type House .J nlf'ca..l�}r!ya/ Age 4 <.a No. Rms. .....y.........Bed Ems. �7.......Baths. Lot .. x.................... Area .......�..Z.��' Landscaped ...................... ......Garage..d...G/1iL..b is T............Fi.replaces .j 5 ......Porch........ ........Breezeway. Basement: Full Par ' 1 Cape Cod ..............� / ❑ P ❑ .......... .....houndation ...,..ud.�.L/�11.....�'�i.Nc•:.1..�.�`!c................................... Heating System ...... 1 �.................. Fuel Used /,aJ'......Hot Water B Roof .,�.r�?6��.�r'...s����.... Siding .C/.c'U.�..�//-.�........Conclition: (Ext.) ....����..�J-o.oJ..(Int.) ..��-..?�,:�....................... Insulation: Cap xQ Walls [�g-- .................. .....Screens: Doors ❑ Windows ❑ Storm: Doors ❑ Windows ❑ 1st Floor ... . . .!,.G _ ....�.. 8.i�1.. �)r)r././.'0.�/... �.. li?f /,�iZ1.`�....1✓ (.`I!//. 7 X;"...,4 ✓/'.!../.!,.......0 A. ....... .............. ?r�- ...........�1...CJuT. ....../._fie......JAI......._( i4 1.).............................................................................................. ... ... ..... ......................................................... .... I..... Cess• ❑ Building Dimensions - x Title Reference: Book..GL/Y...... I Town ❑ Tank ❑ Town Street Page... -7y?4 Se.%ver: Septic S_ Gas: Piped Water: Well J Elec. ... . ......Paved ..................Zonin Distance from: Beaches... ..... Stores ... .....Chr.rrclies Grade .............................. Schools: High.......................... —r— Assessed Value Taxes Land Buildings I Total General r? Fire Water Other Total School _ $ $-------- - -- — $ $ � Orig, Mortgage $.................................... Unpaid Mortgage Bal. $ ... ..... ............_.................................. Rate .... ... Monthly Payments $................................................ Tenn ... ...... ......_........ .... Approx. Cash Req'd $.......................... Mortgagee ...........................................:.......................................... ................................................................................ Comments ..................................................................................................................................................................... .. .......................................................................................................................................................................... Information herein is believed to be accurate but is not warranted. CUT ALONG MIS LINE Furn. ❑ Listing Exp. Unfurn. ❑ Listing No. . . / . . . .. Grade .................... Date ............ Date ........................ Price $/�.�UUrJ.. Part.Furn. ❑ Street ....1.�.� .... c.«. Q.� .,G... F d.:. .. Villa e f. g > .�.y/..Z.i>-y,-&C...................Possession Owner .. �!/...�.. /l�v.�-.y... �xG.i,,��/.............................Tel.: Home ...7�. ..�3rS..�.............Bus. ..7.76777,t �.�j.... Horne ((,/ lddreSs: Street ........._�,}.B.!r.-e -................................_. .... .City, Zone, State .............................................................__. ListingBroker ...... ./ ../ r................................................................................................. Tel Address: (Street) ...... .:......................................................... .............. Village ....... ....... ....... _. histiuctions for Showing: hc� ... .0��.... 1�.�.�`c1......,71... ./�....`.�7-....r1^i._.4t/<.:...� ...�,. ..:. ..<. . . ... . .. .................................:................................................. I L�C�E�D �... A-13D l.(:�- M 1 1 ��A5 l r I I . J C ' Ila ,D11V11Y �l1 TcN€J`l ; Luc c � ---lo nLY,m &M4 �3r��CUS'i.7 I � - o?CMG j /zGcrY f up »a �h is -PI60,pl&-n �gal �•� )�8 g �"'�� Lc.9�5 6.-�G!v au�d � ;-� v U r !J✓'7 S��-,�1 rn b'/'�'�Cc f-e- �-�J'�Gc._T r o...,, —ot-J o A 4 � ��� W i✓Ic�OGJ i,t)�nc�b tJ� i2 e G e�Ci i Bx,T i f V 4 yusr �s��2. Gz'Y� .CJ_c��I► 'P� d O c.v•M'e�-, i r1 G',L� �' f �- Z o��C.t�Le ( l oef�J i��-+ 5 V Y, 95903 P. 001/001 Town of Barnstable Regulatory Services Richard V. Scali,Interim Director KAM Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Sewage Permit# 6;;L4 D Assessor's MapTarcel 98 ` Designer: _Tr, En.,ir)eerin, Installer: Cape.wfAe- 0nV-tr Pr[sc; Address: 2$5y Cra.oblrf7 ijga way Address: 15-5 cowtmwccol S1'fee:t Scut ware, , NA o2a5a MasH,�ee.1 NA 02��9 On O t _Caneruide. LQFHe(1se5 was issued a permit to install a (date) (installer) septic system at 1 Z 2 w4►i�e Oak Tr-cti( based on a design drawn by (address) G r2,t0eextfl c, y►G dated �Qr'1. Zb Zol (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. 1 certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State& Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed ' e with the terms of the I1A approval letters (if applicable) A,NJA of O� �Y JOHN L. Gs,� CHURCHILL& ( nstaller' Si n ure) c1 No tep? ( lgner's Signature) (Affix es' a amp Here) PL SE RETURN TO ARNSTABLE PUBLIC HEALT DI- SION. CERTIFICATE OF COMPLIANCE WILL NO BE ISSUED UNTIL BOTH THIS FORM AND AS BUILT CARD ARE RECFIVEO BY THE BAR NSTABLE PUBLIC HEALTH DIVISION 1HANK YOU. Q:\Scptic\Designer Certification Form Rev 8-14-13.doe TOWN OF BARNSTABLE LOCATION t as W 14 iTC 0 4 k 4*L_ SEWAG9,# VILLAGE CE7IUTC-myi"E ASSESSOR'S MAP&PARCEL 19abcls INSTALLER'S NAME&PHONE NO. (?AP1=&JI DC CNT&-RPQISC$ SEPTIC TANK CAPACITY GM0se t.�ok 11 6000 a �v5 LEACHING FACILITY:(type)(4)Soo GAL CHA,,18;ffP-S(size) 4a' x f a a S3 NO.OF BEDROOMS 5 OWNER TAMCS OVI SAA18.09.tJ PERMIT DATE: I y3 l COMPLIANCE DATE: I Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility NA Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) NIA Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) AI Feet FURNISHED BY RD6 &076R A zg �' A-4 --- IA. S 60 6Lu I o 3o, 2 3 ` e5 ° 7Z 5 j C'B �5.b` p-8 = 22 Town of Barnstable P# Department of RegWatory Services H aMarAW4 F Public Health Division Date MAM 200 Main Strcot,Hyannis MA 02601 } ` F " Date Scheduled ' Time Fee Pd._ '� a Soil Suitability Assessment for Se e Disposal �' Performed•By. M 1[% od �(JYl W W ITT C witnessed B -�V LOCATION&.GENERAL INFORMATION Location Address Owner's Name S 5 �e�1i= 5 � rLLi± Address I CKle- TLIAL -XVtCcL �cwxvE �z.-rm2p Assessor's Map/Parcel: • (q,�., (c�� Engineer's Name 7 NEW CONSTRUCTION REPAIRS /< Telephone# Q— ')Z—��5'I �r z 73"63 7/ Land Use wCf( Slopes(96) `Q ! Surflico Stones Distancoa ftom: Open Water Body ft Possible Wot,Area. ft Drinking Water Well — ft Drainage Way ice' ft Property Line .-. ft Other ft SKETCHt(Street name,dimensions of lot,exact locations of test holes&pore tests,locate wetlands in proximity, to holes) Coe, Parent material t'jt1�WoS`n r (geologic) Depth to Bedrock Depth to Oroundwater: Standing Water In Hole: 2.. Weeping from Pit Fnoo • t� Estimated Seasonal High Oroundwatcr 7 t 5(o bs s DETERMINATION FOR SEASONAL'IIIGH WATER TABLE Method Used: T)tCec� 60s-'ru- Gy 1. ,� Depth Observed standing in obs.hole: In, depth to soil mottles. In.' Delith to weeping from side of obs.hole: In, Groundwater Adjustment ft. Index Well# Reading Dato: — Index Well lmvol Adj hotbr,,,..;, Aril.CJrvundwater•lxval„_, PERCOLATION TEST mate !-5!£i�� '>lYtnu eH Observation Hole# Time at 9" Depth of Pero 3 b-5 T Time at 6" Start Pro-soak Time @ `y Q "'"t Time(9"-611) End Pro-soak L) Y a W Rate Min./Inch Site Suitability Assessment: Sltd Passed__ S Sitp Failed: _ Additional Testing Needed(YIN) Al 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 Consel}vation Division at least one(i)week prior to beginning. Q:ISBPTI0YERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# f Z Depth from Sall Horizon Soil Texture Shcl Color Sall. Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones;Boulders. • tslgtoncy.96'Oravell DEEP OESERVATION HOLE LOG Hole# Depth from Soil Horizon Sall Texture, Sall Color Sall Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ' t y DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Sail Color Sall Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulder►, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Sall Texture Sall Color Sall Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders, consistency, Flood Insurance Rate Map: Above 500 year f lood boundary No— Yes / ✓__ Within 500 year boundary No t� Yes Within 100 year flood boundary No.✓ Yes Denth of Naturally Occurrina Pervious Material Does at least four feet of naturally occurring pervious m iterial exist in all areas observed thrpughout the area proposed for the soil absorptibn system? S If not,what is the depth of naturally occurring pervious matar(al? Cer'ti$cation I cortify that n �0�2 �g (date)I havapassed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise and a lence described in�10 CMR 15.017. Signature Datfs b /B Q;ISBPTICIPSRCPORM.DOC No. .......... Fizz.. .........`...._ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH --•.................................I.....OF...........----............................ ApplirFation for Uisvaa al Works Cnomitrurtion Famit Application is hereby made for a Permit to Construct (il< Repair ( ) an Individual Sewage Disposal System at ...................•----•._ ......------ ----.........------------.....----•-•--------...--•-----------•--•--------.._...-=---.......------ /^ ocation-Add s or Lot No. ...........................................�.�...................---------........ .--------...� ..... ............................................................ W Owner Address t ........................................ .......................................... ^_•^• � ^ Installer Address U Type of Building Size Lot__ Gt1c��_Sq. feet �-, Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder W ) aa Other—T ype of Buildin g ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) P4 Other fixtures W Design Flow.............f5�5.....................gallons per person per qay. Total daily flow-------- ........................gallons. WSeptic Tank—Liquid ca.pacityl�.gallons Length................ Width._ -.� Diameter................ Depth................ x Disposal Trench— `o..................... Width.................... Total Length.................... Total leaching area....................sq. ft. ' Seepage Pit No______ _____________ Diameter..... .___........ Depth below inlet.... _.......... Total leaching area.......sq. ft. Z Other Distribution box ( Dosing tank. ( ) ~' Percolation Test Results Performed by a _._ _______________________________ Date... ©~Z ''g ___... Test Pit No. 1......�.....minutes per inch Depth of Test Pit.... Depth to ground water-__- a✓ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------- ----- x Description of Soil------d = -------------------- -- --•--.I- S 13 ScyL_----- -••-- , `w UNature of Repairs or Alterations—Answer when applicable............................................................................................... ----------------- �yJ = Agreement ��- The undersigeed agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT1Zj 5 of the State Sanitary — The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ben iss eV the bqard of health. R Signed_--......_ '~ -----------•--- ------------------------------- Application Approved BY-•..---- •---•-------• ... ...--•....................................... ... �= `� •_�(o. ` Date Application Disapproved for the f ollowin asons:--------•----------•--------•-••---•--------------•--.......................................................... ........................................................------------....-----••--••••---...-----...----•----------._...------•--•------------•--•------•-----------•-----•------•--•-•-------•--•••••. Date PermitNo......................................................... Issued-....................................................... Date v;t2, -' No. ...•............. Fps......../............:....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............................... -------- OF........................................ AvAratiun for Bhipuoal Works Tomitrurtion Prrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal S stein at, J �� ._.... -------------- ••---�.--------------- -.......... -- ------------.---•-------•---•-•----••---- ���/� r I pcation-Addre or Lot No. ...........................:. /c__G(.L;� - '�.`5..... ... ........................................... W Owner Address Pq Installer Address Type of Building Size Lot..___.................U �._Sq. feet �-, Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (1,40 PL, Other—Type of Building ............................ No. of persons............................ Showers P ( > — Cafeteria.(..._>. d Other fixtures ........................... _. W Design Flow................``...`lam 55.................... per person per day. Total daily flow.........16`2.......................gallons. WSeptic Tank—Liquid capacity._-e._.Ugallons Length..££-'Cf'.. Width___`7. '•- Diameter._.----_____-_ Depth................ x Disposal Trench—No. .................... Width..................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......./----------- Diameter......%.. ....... Depth below inlet................ Total leaching area..712 ....sq. ft. Z Other Distribution box (t--K Dosing tank Percolation Test Results Performed b14 y....... ._.._IL%/ <{.::1.................. . Date -----------•-------------•------•-- Test Pit No. I......Z....minutes per inch Depth of Test Pit-__.«,Q.. Depth to ground water.._..A/0 Al4•- f1 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ .............1.......... ---------•••------•--•----......- Description of Soil �,� - .........................t.1..... .................... --... >i� � `/Lr ...........-•-••---•••--------•--2.._.i ..............� - ..l�l----.._ '� � /u f. !r UW -----••---------------------•-----••-------•----••----••----------------•---•----•--•-•---•-•-•--•••-•---•-•-••-••------------•------•---•---•--•-------•----•----••-------•------•-----......-•-•-•-•-- Nature of Repairs or Alterations—Answer when applicable................................................................................:............_.. ............................... ------dr Agreement: The undersi ed agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITS 5 of the State Sanitary Code The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b 6/n iss d y the t o rd of health. Signed............. �� .. Dat Application Approved By...... ...--••--. `� l Date Application Disapproved for the following ons:----•--------------•----•--•----------•-•-....---•-•-------•----------•--------•----••-----••--•--.....--••••••- ....................................................•----------•-•----------------------•--•-------•-------•-----------••----•------------------•-•-----•-•-------------------•-•---•--•-------••------- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �`?.:......................OF............ ..A �..!..'..�. -�l-e rg.................: Trrtif iradr of Toutplittnrr THIS IS TO CERTIFFYYT_�at the Individual Sewage Disposal System constructed ( � or Repaired ( ) by----------------------------- ---------- 'I.:. MO 2 .....-.---•-- ••-•.......-••--...--•-..... (-•-•---•------ at. ---(-..... •'�5 hl-E- . staller ... •u�c J has been installed in accordance with the provisions of TTE of The State Sanitary Cp as describe in the application for Disposal Works Construction Permit No._--!?�:--- . PP P �-_C,�.�----- dated----------- -�...�-- ---------�-•�-----.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................J......--•----. .C_..--•---._.................••... Inspector..........-�----•---•--•-------•------------..............-••-....•••....... :� 1 �j ! (/ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................. '`��v j� No._.. .. ...�. V �....1..v ................OF............k�.�.v` ...... .!.!. ....... ....---•--......... J FEE........................ • �io�ru .�}�1,, u�k- `�anu�nr�irrn rrnti� Permission is hereby granted......Y1�J�(�� J��v to,Construct ( ) or gjWir ( ) an Ijidlyidual Sewage Disposal S stem �_n:�. . -- --------� c��-:t..... ..::...........��- - C -----�------- -- -------- --- - --- -----•------...------- / Street as shown on the application'for sposal Works Construction Permi No. u_ 1.. _ ted.. ... _..�.51-_.._ . '! 7 Board DATE--- �'._ �-----------------•----------•----............... of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS L D .��'U �� -3T r-5 E V! A C E PERMIT NO. V I'LL AGf. INSTALLER'S NAME A ADDRESS 9 U I L D E R OR OWN ER 0 A T E PERMIT ISSUED OAT E C 0 M P L.I A N'C E I S S U E D .� a ;� �� � 4!; �_.�. AsBuilt Page 1 of 1 �O1 3 LA C t0►� IILL _, A T T SEWAGE PERMIT NO. YtLLAct: /9a--/95' I H S I A LLER'S NAME S ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED DATE C014PLIAN'CE ISSUED ........... __-- S http://issgl2/intranet/propdata/prebuilt.aspx?mappar=192198&seq=1 1/3 1/2018 1 �1�r Town of Barnstable Board of Health �O 1AA s6;q. 1m �fb '� 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S FAX: 508-790-6304 Sumner Kaufman,IV Wayne Miller,M.D. June 23, 2004 Mr. James Sanborn 122 White Oak Trail Centerville, MA 02632 RE: Artisan's Guild of Cape Cod - Fine Arts and Craft Show, at the Cape Cod Academy Dear Mr. Sanborn: You are granted permission to prepare and serve foods at the Cape Cod Academy, 50 Osterville- West Barnstable Road in Osterville on August 28 and 29, 2004. This permission is granted with the following conditions: (1) The applicant shall obtain a temporary food permit from the Health Division. Office each year, at least four days prior to the event. The fee is $35.00 (per maximum of four days). (2) The menu is limited to the following items: sausage, hot-dogs, vegetarian foods, donuts, coffee, and soda. No other foods are authorized to be served or sold. (3) At least one food handier on duty shall be Servsafe certified or equivalent. Copies ' of Servsafe certification shall be submitted to the Health Division prior to obtaining temporary food permits from the Health Division. (4) The handwash area shall be equipped with dispenser soap and paper towels. (5) Each food handler shall wear disposable gloves during preparation, handling and serving of ready-to-eat foods. Gloves shall be changed often during the event. (6) The temporary food permit issued from the Health Division Office shall be posted at the trailer unit during the event in an easily accessible location to be viewed by a health inspector during site inspections. (7) All the other regulations contained in 105 CMR 590.000: State Sanitary Code, Chapter X - Minimum Sanitation Standards for Food Establishment and of the Town of Barnstable Board of i ealth sanitation regulations shall be strictly adhered to. r P R/ORDE 0 1 T E 'OARD OF HEALTH �1 ayn�° Mill , M.D. Cc: D J a Witter TempFoodPermission L.0--t" -T WN SEWAGE PERMIT NO. VI Lt'AG n /� I N SJr A LLER'S NAME i ADDRESS f (f " 1 . is I 1� D E It'.7 R 0 lkiER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED . r ., � e far ���V ` ��' /� �� �. .��. �' \\ NO...... ................. .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH lx& 14T(:; 0...............0 F.......T—W—R ......-_7T_ %,8_L9................................ Appliration for Disposal Vorkg Tonstrurtion ramit Application is hereby made for a Permit to Construct Repair an Individual Sewage Disposal System at: .....................Waa......iasgn....T 1.L.............. ...........................................3.4.............................................. Location,tAddress or Lot No. ... .......... .....................f-'-6w.er . ............................ ..............................................Add--....----........................................s res .......................................... ... ................................ ----------- .......... .......*........ Inirr Address U Type of Buil ng Size Lot_....!0,tQR?_ feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder WO) Other—Type of Building .............................No. of persons___.__...._.._........._._.. Showers Cafeteria Otherfixtures ........................................................................................ ---------------- Design Flow...............5-S....................gallons per person per day. Total daily flow._._............ Septic Tank—Liquid'capacity.tOOO..gallons Length................ Width._...:.._._..... Diameter-_______----_.....0...............gallons. * Depth................ Disposal Trench No..................... Width.... Total Length............ Total leaching area sq f t. 1-------------*, ; ...... Seepage Pit No........_.k.......... Diameter........ .......... Depth belowl'nlet.. Total leaching area. q. f t. Other Distribution box Dosing tank OR 7,?.;01,11-- Ds Percolation Test Results Performed by..... Q�W.!CE)ate............e,-4496 ........................... 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......_.............._.. P4 ............................................................................................................................................................. 0 Description of Soil........................................*.............;4--------------------------------------------------------------------------------------------------------------- �4 57 U ................. A0Pt4. ....... ..................................................................................... ...................................................................................................................................................................................................... Nature of Repairs or Alterations—Answer when applicable.................................................................................... .......................*"**------------- ........... ....................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordal with the provisions of TL I'L Uj 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. Sied..,,• ................................... ......................... ............Dp.............. Application Approved By_, e24j . .... -------- ---- ----- ......(7........*........ Date Application Disapproved for the following reasons: ............. .................................................................. ........................................................................................................ ......��t-------------------------------------------------------------- Dat j Permit No......................................................... Issued..... ...... Da't'e ...................... Qy No......1�....... F s:. .--'...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF !HEALTH _ .......... 41_................. .OF......� :...........�..:..t .- '"'-; ........_....................... x AvOiratiou for Disvoa al Works Toattitrurtion Urrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at ................_....... �...t .��-�.......t-4� .`• .a..--••---...... ............................ ............................................. Location-Address or Lot No. Owner Address W - ._._....r $ -----•-•--•-•---- -------- ------• 1- --.-.---.---•---. Ins r Address + U Type of Build ng Size Lot.......71.e2?5;�K f Sq. feet Dwelling—No. of Bedrooms.................. '.....................Expansion Attic ( ) Garbage Grinder a Other—T e of BuildingNo. of persons............................ Showers d Other fixtures • •--••......-••-••••••••••••---•••--•-•--••••- -•-•••-••-•••-••-•--•••-•-•..•-----------•--••--•••-•......) ...'..Cafeteria (--->- W Design Flow...........................................gallons per person per day. Total daily flow........_.....__._ - ...............gallons. WSeptic Tank—Liquid ca.pacity.�_Mf2:Lgallons Length................ Width................ Diameter.___............ Depth................ xDisposal Trench—No..................... Widt .... Total Length.................... Total leaching area....................sq. ft: Seepage -7 Depth below ' let--_-...: '_ .__ Total leaching area.." r2...sq. ft. Z Other Distribution box ( Diameter.- Dosing tank `# f a Percolation Test Results Performed by..___ -_' '�+#-�L .. .' ..... � � � = '' `' = = ==••... a Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit--------1:3� ...• Depth to ground water....--:-.................. fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --•••---------•••---•-••-•.......................•--••••-----•••••--•-•----..........__...--••-...-•......................................................... 0 Description of Soil.......................................................e.........-•----•------•••--••••-••--•--••-•-------•-•-••--••---••••-•--•-•-•--------•••......-•------.......--- Z ••---------------------------•-••------•-•-•...--•••-•-•.....•••-••••••••......•----•................... ---•-••---•••-•-•------••••....----•-••-••••--••••------•-•-------•............------......... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ------......•---------------•--•-------------------•----•--•---....---•-•••••---•-•-....•--•-.---•--•--•---•....•-••••-•---•...•••••-----•••••••••••-••------•••.....•-••-..............-------•--...... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal Systetwin accordance with the provisions of TITTLE 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. Sid••• •--.....----•-•------••........... .. ..................... • Days Application Approved By...... ........ a-141--------------------- "--d':�. ------ Application Disapproved for the following reasons: ..• --- Date ..........- ----------•---------------------•---------------------------...--------------•---•---------•------------ --••••--•--•-••--•-•--•-• .............................................................. Date PermitNo......................................................... Issued-....................................................... Date. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .:� �.'."1............ OF.... � �........ ..T.....................................................ra Trrtifirttte of TomptiFaurr T IS TO E T.IFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) Installer at.....................•---------- �" :.:_ has been installed in accordance with the provisions of 5 of The State Sanitary C e a de ri ed in the application for Disposal Works Construction Permit N � ............... dated--....7"'.Z...-�.-•-•-----..•... THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. /:�� DATE....... ' ............................................................. Inspector- --- THE COMMONWEALTH OF MASSACHUSETTS ` - BOARD OF HEALTH �� ........................OF..-- 1.5.:.......... ,� NO....... V " FEE.... i o ve'"tv..!Uoa�Atr ion rrmft Permission is hereby granted...• ••• . ---------------------............................................................... to Construc ( or Re477 p it ( ) n In�fvidual SDi �osal System atNo..•-•••••-•-=--••••••-------••-••-••-•......-•.---- ••.....................•---••..--°---- ------••-••-•------•------------••--••-••----•••.. Street as shown on the application for Disposal Works Construction Mmit r o. ._._. Dated:..._ "-�._ ------------- sc_• r . - -- --•---•................ - Board of eal DATE........... • .'....... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS.,, - L0 '�"i6 t��•! F mow = l t p +� 3 = '33 p G.pv. % = 4-9 5 6.P V. USA- l ciao 6b.L PG`�dl_ PIT - uSi✓ loon G&-L- �t�w,at� (TOiVI C1 f�s=A r GNU Sf='. �" D TOTAL 1vES16ti1 = -425 G.RD. o1w ecop 7A�vk C1ZGDI-DT10t,1 2l,TE ( t� ZMIlJ Otz LF.SS. 97+0 4f4 tit T�'� i4sa.wx P�JP O t � J 1 1C4 - �Q •� TOP F.4 L IPO.O 99 ( 4• �sr� c,� Q I000 Iuv 'A 4'Pe,pe 1AS Kn/. Gnt_. grbS Z- f -Box �iGG S�rtc to ,s . _ ►wv. �T-Artie- ido0 .9�.a t:arv. tsty. L 't. ,m,olvy A PIT WIT" •i WAf�1�D STONE 9o.p C.E..C?Tt V=EID p LCa►" RL 4," Ptzo�-t�� LOCATIO" CCIVT'E..'RU 1 L.LE7 �L�. �z•S u a s��L� c.n�r-; i I N.=G o�•r�A.�r cy ��`�z/�o ,g//�•/&p Pt�aaas�i� p^!._AtJ TZL t=i�R�►.1G� -r t-(A-r T t-1 t= i✓O V r`S bATi ot\�5lao\a►J - - NF. r�I.a c�.�����s �v t�-�t 'r►-t` ,t p �.l1�� L ©T 34 A1.It� SCTL'�ACl� t��QUt�Ec uT4 OFT L. G. �373 1'ovi U tzc- T I-1 l 5 t7 t_A►-1 l� t..t o,T l?.t�,�,C.'C7 C�t�•-t A eJOS-Ter . -B�oW K To t��fe►'tict>,1�. �oY- t_toa;_ _ rea l L--�4 t`Low U G•P�• U Ste' l GOC7 6�s.t-. . Q; rjF�C`�1�1 PIT - �sE loco lS0 1�� SF• � 2.S x�'1S Q.P.U. i O� n $Gs` CmA ZCZEA r eO ST—. So S-F v. Q - - ToT•bL �E:SIGIJ = 42.5 G.P.D. �j • ToTQ Dbl U4 Fc ow - 33Q 6.PD. 70 '_y` Drop �.a Pr-2GDL&TIC)LJ tZlSTE SM11J- 02 l-SS- 97,0 d P•2op FeSL Tor F+uo --I C,c>,C. ta�•y �'P.oe loco 11N• • � Esw$svr� 4'Pp6 TWIST. W (SAL• 9d f 'box 1LG I Sc-pelt u• LTv k W- oNY 000 GAL. J�(o G•RiP>'Fs L. L6gGN RG'2 A PIT e' WIr" •i 1� G a/Q wau+Eo STo..,f 90.0 tS,t,oYGsL �"� Przo lt_ LoC-ATIo" 6L�l, /z,S uo S +� '�1✓r tlnl•=G4�p 7A^[ �, S�ZZ/*o �.f/«,s•% ts�oc�as e f> � �A 1J R r-_f=�.R,c�c� I clyrz-rf t=� Tti-IAT T1-1� 1=co � Nv,e..Tto�51.1a�vu -- ---- V4V�Ll t.l GtatilPt_�!S Vl/fTI� j'fli �iDI .LtI-3� I_ O T - ANt� SCT13AC1L >�e4ca1r~E�t�ccuT dF TNC:. >,. c. .3z373 1= -TO w w C>A'i'c. 1Zr_GtS'ttrz I LA,w 5uZ.Va' l • o��cr.�/��t..0 U hKASS. 1 y t-l4T L�SCr? U�• 1 AN. ltJsl-eJ,4n t w, %uc��if�� Tl tr: c� += r-t�, Sl.l�,e�l A:Nt► t l�.ti� T' '�j,°��! I T� Uvp�DW t.�,r �;�; c1�rc�� t:" tic-t'�c��.tl►lt- �oY' t_ffaa- PROP. VENT WITH CHARCOAL FILTER TO ABOVE GRADE -- T.O-F. EL.= SEE PLAN FINISH GRADE OVER D-BOX = 69.�) ± FINISH GRADE OVER CHAMBERS 68.5' - 69.0' F!V F R A I._. T PROVIDE H.D.P.E. RISER I F SLOPE @ 2% MIN. OVER SYSTEM 3/4"TO 1-1/2" DOUBLE WASHED 1. UNLL SS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION w/COVER TO WITHIN 6" REMOVABLE WATER-TIGHT COVER OVER j STONE TO CROWN OF PIPE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL FINISH GRADE OF F.G. (TYP OF 2) F.G. OVER TANK EL. = 70.0'± (A) RISER TO WITHIN 6"OF FINISHED GRADE 4"SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS ' j MIN SLOPE 1% STONEOR GEOTEXTILDEOFILTER FABRIC 2. ANY CHANGES O THIS APLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE @ FND. EL.= VARIES 70.0 ± (B) 5" DIA. OUTLET(S) BOX TO F.G. (SEE NOTE 19)� 20"MIN.ACCESS 1 DESIGN ENGINEER. COVER(TYP.OF 3) r-PROPOSED 4 SEE NOMA�0 TOP OF SAS=63.25' PLACE RISERS ON ALL 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL 5 7� �Jf 4X -� CHAMBERS WITH SYSTEM UNLESS OTHERWISE NOTED. PVC SEWER PIPE �' ! - 62.25 SEE NOTE 20 j BREAKOUT EL- 6Z.75' - INLET PIPES TO 6"OF i i I , 1 --� L 10 ± (A) j _5 1 FINISHED GRADE-f I 4 TO PREVENT BREAKOUT. KOU . THE PROPOSED FINISHED GRADE SHALL. NOT BE LESS THAN 6" 3" 2" DROP MINX 3" 9' �� L-28'± (B) -� - I I ELEVATION =62.75' FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE SAS. UNLESS A -�- MiN-SLOPE�n,y% PROVIDE WATERTIGHT I 13" 4" PVC 1N FROM / JOINTS TYP. o o o o 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF �--� THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 14" , �� -- *A_67.2'± SEPTIC TANK 0a 4" PVC OUT TO L___i �� J L�! �J 0 o j LEACHING FACILITY CD ; °° 5- SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. T *B-63.V± 12 6' oo = 0 U 0 0 Q 0 0 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. CONTRACTOR CONTRACTOR SHALLOUTLET TEE 62.70 MIN. 62.53' 2' 0 0 CD �0 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK SHALL VERIFY SIZE 48" VERIFY CONDITION OF GAS BAFFLE 6"CRUSHED STONE o 0 0 CDC) FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION.AND CONDITION OF EXISTING TEES o I ECTIAR SYSTEM IS EXISTING SEPTIC AND REPLACE AS OVER MECHANICALLY � � � NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH p o o AND DESIGN ENGINEER. TANK NECESSARY COMPACTED BASE , f � �{ ��• ! I { 1 t 3 INLET DISTRIBUTION 80X 8.5 (TYP) ---I r I 4 u 4 0' _ 4.0' 8 ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. BENCHMARK ELEVATION OF 65.07' t (TYP3 ESTABLISHED ON NAIL SET IN A 15" OAK TREE AS SHOWN ON PLAN. T � TO BE INSTALLED ON A LEVEL STABLE -335` - -- � �� - (TYP.) ' BASE. FIRST TWO FEET OF OUTLET I I EXISTING 1 ,000 GALLON CONCRETE SEPTIC TANK "A" & "B" PIPES TO BE LAID LEVEL. 60.25' GROUND WATER ELEV.= < 55.20 j 12 83' _ 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT 5' MIN. CROSS SECTION VIEW 3-500 GALLON H-20 CHAMBERS UrvA VIbtK tNU VIEVV 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES REPORT ANY DISCREPANCIES �, TO THE DESIGN ENGINEER. H_r� �yiic, � 1 � j �j TYPICAL CHAMBER PROFILE R LO D1 VT PDX LJ ETA C HAN TAILS 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. NOT TO SCALE NOT TO SCALE - NOT TO SCALE - - ------! 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING �. "�t�"T" PIT (" T Q ! REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM �( - -` <! • APPROPRIATE AUTHORITY. PERC NO. 15568 �! •_ `� , '� �' �. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED INSPECTOR Donald Desmarais: RS UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR tt. i j,• EVALUATOR: Michael Pimentel, EIT, CSE TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. MAP 192 ? Oct. 27, 1999 i LOT i99 . �,. ti " • ✓ C.S.E. APPROVAL DATE: 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. `�� ' i! �' `,M1• !•• DATE: January 5, 2018 ,I • �� y 14. WHERE REQUIRED, CONTRACTOR{ � _ ' • • QSHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE / •,`I� �� �I +` _• "a TEST PIT#: 1 MATERIAL IN AREA BENEATH AND FOR 5 FT ON ALL SIDES OF LEACHING FACILITY. t / I l• )' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, W 1� / \'� 4 l/• , .�1 \ ELEV TOP = 68.20' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). / � III- • +,,,r . t • �.� �, • ` • ELEV WATER= < 55.20' a`r / ^ `"` �� !( . • • • ;' ' 1r - ' ' . 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN 4 _ ��. ./{- ••, . �'. Ff ( PERC RATE _ < 2 min./inch SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. .` : oo J \ �- i r \ • •Y`` / � � � • R i4 LOCUS = 36"-54" 16. PROPOSED PROJECT IS LOCATED WITHIN: i • ��,� • 'i1 - _ DEPTH OF PERC / �--- PROP. CLEAN-OUT I %. ,' a N / O • .�` �- ' ` ASSESaOR'S MAP 1 gL LOT i yH ,,� . It ..�? • �= TEXTURAL CLASS: 1 -- z r� / 1 P 0 r '1 • • OWNER OF RECORD DAMES M. & BONNIE J. SANBORN 9 J, Z �• •( • � � • j�. . �M �f7• • p � tip, •�� CL �C �` / DRIVEWAY \ 0 c., 5� ; ; +•,�• _ / ID sl. y rw • IM {. : f , ''r 0' ..-____i 68.20' ADDRESS. 122 WHITE OAK TRAIL - U / I t 4' y0„ tl ,Ij. /. • File CENTERVILLE, MA 02632 O o T I 1 E •'D { „ Q S MAP 192 ,"INV t� J �NF 66 rr •ti, " L= _-- zf ° FEMA FLOOD ZONE X O w pro l,, •,r �" �i• ;�it 0a • Ti _ „J r a . • Loamy Sand 41 O / �/ LOT 198 / _67 2± -' ; / 11__ '• _ �- • '`' • '1 t• fir' r f i •. •` B 10Yr 5/6 COMMUNITY PANEL# 25001C0561J 26,784± S.F. / _ „(•- ...; c� .; �• �!• • f: ,� '• TOF=72.5± _ tt •f. t 3 36" 65.20' 17 DEED REFERENCE: L.C.C. #115327 I o F� I{ ,J` L �� ` �. t • 18. PLAN REFERENCE: L.C. PLAN 32373-F ./,1. .,! ! J ... �- i 54 63.70' \ SHED "� �� , • + + r 19. A 4 PERFORATED SCH 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A G'• C11) a, I/1- ��' • ` �� t� DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3"OF FINISH GRADE A i r - co lI . . �',• >4 } - ,Vi , •• ;+ . REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. f~`• r • : •>4 '"t -flt• , f ., Medium -Coarse ,j• $( + r •r •• •'Tf '� ` ,' Sand 20 IN ACCORDANCE WITH 310 CMR 15.401 - 15.405, THE FOLLOWING LOCAL UPGRADE 2.5Y 616 APPROVALS ARE REQUESTED FROM 310 CMR 15.221(7): • • }k , rarbetry • ' •1' °• �•� i, :rj. (15-20%gravel (1 ) A 2.40' WAIVER (3.00' - 5.40') FOR THE MAXIMUM COVER OVER THE DISTRIBUTION BOX. /; . .E ( #122 Q�r �s, `�7 MAP 192 • - "' � • n ;�_-"'�f_�__ r : • j. . . &cobbles) (2.) A 2.75' WAIVER (3.00' - 5.75') FOR THE MAXIMUM COVER OVER THE LEACHING SYSTEM. rqs DRIVEWAY a , EXISTING LOT 147 rn O �4- 5-BEDROOM 21. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY 1�1 C9s DWELLING ,�p� ^ LOCUS PLAN FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. �� ,M \ PROPOSED H-20 (3) INLET TOF=72.5'± �� DISTRIBUTION BOX v � \ � D, SCALE: 1"= 1000' 156" -- 55.20' LEGEIV \`- �/� LP a No Mottling. Standing or Weeping Observed 50x0 EXISTING SPOT GRADE S.W / �\ 1 T F)A T A - - - 50 - - EXISTING CONTOUR PROPOSED 4" PVC VENT PIPE: { (� /j .• f EXACT LOCATION PER OWNER PERC NO. 15568 - 50 PROPOSED SPOT GRADE _ INSPECTOR: Donald Desmarais, IRS / 19\ NUMBER OF BEDROOMS 5 - PROPOSED CONTOUR 79 0 O O � Benchmark EVALUATOR: Michael Pimentel, EIT, CSE SWING-TIES SCALE = 1"=20' N6jo ,09, 1 ��- O O 69_ Nail in 15"Oak DESIGN FLOW 110 GAUDAY/BEDROOM C.S.E. APPROVAL DATE: Oct. 27, 1999 EXISTING OVERHEAD UTILITIES i DESCRIPTION HC-1 HC-2 MAP 192 3g 60 I TP 2 Elev. =65.07' TOTAL DESIGN FLOW 550 GAUDAY DATE. January 5, 2018 LOT 197 \\ ■� Approx. MSL = TEST PIT#: 2 DESIGN FLOW x 200 % 1,100 GAUDAY EXISTING GAS LINE CORNER OF STONE (1) 51.1' 35.0' 68x2' TP 1 T _• USE EXISTING TWO 1,000 GALLON SEPTIC TANKS ELEV TOP= 68.20' CORNER OF STONE (2) 80.6' 77.0' � - � � � --- 6Z�, 20 �� -- _. EXISTING WATER LINE \ a 1`�- ELEV WATER =_ < 55.20' CORNER OF STONE (3) 88.4' 78.3' 0 % TEST PIT LOCATION � D PERC RATE __ CORNER OF STONE (4) 62.7' 37.8 \ 68� - - EXISTING 1,000 GALLON SEPTIC TANK �p INSTALL 4 500 GALLON LEACHING CHAMBERS DEPTH OF PERC = \ TEXTURAL CLASS: 1 PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE MAP 191 SIDEWALL CAPACITY PROPOSED (4) 500 GALLON (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (0.74 GPD/S.F.) = GAL/DAY H-20 LEACHING CHAMBERS ` D LOT 148 Q PROPOSED H-20 (3) INLET DISTRIBUTION BOX \!� (42.0' + 12.83') ( 2 ) ( 2' ) ( 0.74 GPDI S.F.) = 162.3 GAUDAY of, 68.20 Q PROPOSED 500 GALLON H-20 LEACHING CHAMBER PROPOSED INSPECTION PORT F!II BOTTOM CAPACITY 8" 67.53' Loam Sand i (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAUDAY g y { (42.0' x 12.83') (0.74 GPD/S.F.) = 398.8 GAUDAY 10Yr 5/6 / 36" --� 65.20' - y TOTALS: 54" 63 70' REV. DATE BY APP'D. DESCRIPTION TOTAL NUMBER OF CHAMBERS 4 PROPOSED SEPTIC SYSTEM UPGRADE �C-1 TOTAL LEACHING AREA 758.2 SQ.FT. #122 NOTES: TOTAL LEACHING CAPACITY 561.1 GAL./DAY Medium - Coarse Sand PREPARED FOR: EXISTING 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH C 2 5Y 6/6 CAPEWIDE ENTERPRISES 5-BEDROOM B EDR OM ,- SEPTIC SYSTEM COMPONENT. (15-20% gravel & cobbles) LOCATED AT 2 ) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE PROPOSED LEACHING SYSTEM TO ENSURE CONSISTENCY WITH TEST PIT DATA 122 WHITE OAK TRAIL SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF CENTERVILLE, MA 02632 SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. - SCALE: 1 INCH = 20 FT. DATE: JANUARY 26, 2018 �) 3} PROPERTY IS LOCATED WITHIN THE ESTUARINE WATERSHEDS. 156" 55 20' 0 10 20 40 80 FEET C 2 2) No Mottling, Standing or Weeping Observed OF 4.) SWING TIES SHOWN ON THIS PLAN ARE PROVIDED ONLY AS A COURTESY FOR THE O INSTALLER. INSTALLER SHALL VERIFY SWING TIE MEASUREMENTS IN THE FIELD RESERVED FOR BOARD OF HEALTH USE �o� JOHNL GN PREPARED BY: O O O N PRIOR TO INSTALLING THE SYSTEM. CONTRACTOR SHALL NOTIFY ENGINEER IF CHURCHIUJR. JC ENGINEERING, INC. MEASUREMENTS APPEAR TO BE INCORRECT. o CIV� (4 20; .. NO.41� , 2854 CRANBERRY HIGHWAY 3) SITE PLAN G�s,r ` EAST WAREHAM, MA 02538 508.273.0377 SCALE. 1" =20' Drawn By MCP Designed By MCP Checked By JLC JOB No 4041 e7 W 3 a 147 4;4,tkn� 9 I �j Z i cam"�'Y�''.:.'� �..L .�.rf✓'G...'� -- ! ��—•i'.�'�.�. -77 t s rs�,4st Cti+ic. '� I r 77 j