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HomeMy WebLinkAbout0034 WILD GOOSE WAY - Health 34 Wild Goose Way, Centerville A = 168 012 006 t No. 42101/3 ORA p ESSELTE 10% O O 0 C; 1 .r No. a�� Ode Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppYitatiou for Disposal *pstrm (Construction permit Application for a Permit to Construct( ) Repair(Upgrade Abandon ❑Complete System Ekindividual Components Location Address or Lot No. 3 Y L­. �/ Owner's Name,Address anc��1.No. - I Assessor's Map/Parcel (j�',-— D e P�/ 2-a e !Aler 0"g,.. Installer's Name Address,and Tel No. Designer's dame,Address,and Tel.No. 'a.--\�-. a- �e�s ��.-.L�,"3 S�1(tNR�i F�S�'tiC'�r;�►S �C®nsol�;r��E:�C `I ®g $31y . Type of Building: y Dwelling No.of Bedrooms ( Lot Size sq.ft. Garbage Grinder( ) Other Type of Building Rzj g t t1 ( No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) YO gpd Design flow provided gpd Plan Date 1 2, 22 2 dL 0 Number of sheets l Revision Date Title rc R 6sect X M M e o f S Size of Septic Tank 646K Type of S.A.S. 3 srR 46 C 4 Description of Soil T d"�Z l e(( 412- ^ C,10" S la 4o4me SQ —12c3�"t Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensur ie construction and main ance of the afore described on-site sewage disposal system in accordance with the provisions of Titl of the Environmental Code and of to place the system in operation until a Certificate of Compliance has been issued by this B ealth. 9 /�( Signe Date } Application Approved by \ , Date 1 Application Disapproved by Date for the following reasons Permit No. �� e Date Issued t 144 C - No.. .� 1W� Fee �s omputer: THE-COMMONWEALTH OF MASSACHUSETTS Entered in cr� Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSE7TS .�J�IYiLatIOYt fDr"�I��IOSaY �p$telU ��OlYBtrUttlOn �erlttlt � ° Application for a Permit to Construct( ) Repair(U•)`Upgrade( ) Abandon(!may'• ❑Complete System [1,d'ndiViddaal Components Location Address or Lot No: 3`� ( Cj-6t9'12 .Owner's Name,Address,and Tel.No. " Assessor's Map/ParceI f( Q 1- 4 d e�l x •� Installer's Name,Address,and Tel No. Designer's Name,Address,and Tel.No. .�" Q"•—'EWE-;.p :h5 {-CoMJ a Type of Building: Dwelling No.of Bedrooms ( Lot Size ,bS6 sq.ft. Garbage Grinder( ) Other Type of Building ides, t?n Ii'g No.of Persons Showers( ) Cafeteria( ) Other Fixtures R � Design Flow(min.required) va gpd Design flow provided S gpd 1 Plan Date 12. /2 2 12 o2-G Number of sheets t Revision Date Title S,• 1!,' ('"'r'" �ta�6Soofi( rvi/J/6y�w�e�t �' S- Size of Septic Tank Type of S.A.S. 3 ' or C-i 41 (4rAfAP,1- Description of Soil T ! 'T!�!� 1�t t'{" q4 Gnj'' 73 l,-^r �cagnrs� �+Oi+ t'o3 —_f.2z,r.. r Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensu�r`-the construction and i ance of the afore described on-site sewage disposal system in accoYdance with the provisions of Titl(/5 of the Environmental Code and of to place the system in operation until a Certificate of �€ Compliance has been issued by this Board�of-Health. r_.1' Signed Dated �.i` .�. V\ '. d Application Approved by Date Application Disapproved by ' Date for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS <' Certificate of Compliance ` THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) 1 i Abandoned( )by .i... _ G G yYwp• - �,, ,far G o2t. L, X;r at ��`'( has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 0 f' —009 dated 1"- �4� +�J Installer^v ,_=z D .esigner o 1(;v c�r cz ae �i�Cam►"Mr } (o vn so �6,R f, 'T,t G •_n y .,_ #bedrooms y *-A proved design flow A y'YD gpd The issuance of this pe irshall not be construed as a guarantee that the system wil`fi rlctlo 'as design b t. Date y t' t�,1 { Inspector h -_ No. ���°�-�_r�o� - -- - ------------ - -•---.- ----- ---- ---------°--- --°--.-•__•---•----<-----Fee-----./.�____ , THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS ° �. Disposal 6pstem Construction Permit W e Permission is hereby granted to Construcr(--?!')" Repair( ) Upgrade( ) Abandon System located at ��'( �'"` (� �J • 1 and as described in the above Application for Disposal System Construction Permit. The applicant`recogntzed his/her duty tb comply with Title 5 and the following local provisions or special conditions. Provided:'Construction must be completed within three years of the date of this permit. Date I— I LI— �l Approved byL jc_ j - Fee No. �.—OCR THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplication for �MIsposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(grade( ) Abandon(1/1"El Complete System 2 Individual Components Location Address or Lot No.' k ` wner's Name,Address,and Tel.No. Assessor's Map/Parcel ®© Installer's NanA Address,and Tel-N y D gne`\\Na1rn`eAd_;reiss and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Lot Size 'V, �, hsq.ft. Garbage Grinder( ) Other Type of Buildin �� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets \.?� Revision Date Title \ Size of Septic Tank Type of S.A. Description of Soil Nature of Repairs or Alterations(Answer when applicableNy- 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 th viro ental Code and not to plac the system in operation until a Certificate of Compliance has been issued by this Boar of H i lth Si Date Application Approved by Date Application Disapproved by U Date for the following reasons Permit No.(* ... Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by at has been constructed in acco with the provisions of Title 5 and the for Disposal Sy onstruction Permit No�� ated ,' �� Designer _ #bedrooms dam, Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No.. � a=,,& Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction permit 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 completed within three years of the date of this permit Date \,A 4 Approved by V �, F t � , .. .. ;fir.. .Y.. r +' ':ac'e'. n Y--• M. f No. ,.-00F) Fee `'t1 THE COMMONWEALTH'OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF',BARNSTABLE, MASSACHUSETTS Yes 4plitation for disposal 6pstem Construction i3ermit : .Application for a Permit to Construct( ) Repair(1, Upgrade( ) Abandon(v)/�❑Complete System Individual Components Location Address or Lot No.�. the, ner's Name,Address,and Tel.No. F Assessor's Map/Parcel` _©��_ ` ;77 Installer's Name Address and Tel o Designer's Name,Address and Tel No. G,..��►Z-=_Lw"A..+C7i''�'.S'G�, Type of Building: Dwelling No.of Bedrooms ��-_� Xp�`�Lot Site � �`TCj`' - sq.ft. Garbage Grinder( ) Other Type of Building � ,� ��_�,� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided J�,�_�'-" gpd Plan Date Number of sheets \ � Revision Date \ ` Title �� �~�i�S� G�s` �aes �C► �c`�Qs, , Size of Septic Tank Type of Description of Soil Nature of Repairs or Alterations(Answer when applicable) p . E 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 theZ-nvirotamental Code and not to plac the system in operation until a Certificate of Compliance has been issued by this Boar Health M Sigged Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. -.. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) ` Abandoned( )by � at 3� l Z,'�L�[ `,,y" _�J,~�`j�► has been constructed in accordan•_ with the provisions of Title 5 and the for Disposal System,Construction Permit No _`Zlated 't;�e�/ •+,\. Installers,,,;.�,..�`�'�C�',.•-.. -�'�_ •. i^�--w,t��a;�Designer'LCZ,__\N,\,����,._''��s.��pp nc•�..a(^'A �4 �"'� #bedrooms J-�, Approved design flow ► gpd , The issuance of.this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector -- - -- --- No. Fee ° THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS disposal *psteln"�DnstCUctl0 ;Perltlit Permission is hereby granted to Constrict( ) Repair O 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 becompletedwithin three years of the date of this permit. Date / " 'L /' ' A roved b t �\ PP Y =,s AJQW-—N OF BARNSTABLE LOCATION SEWAGE# VILLAGE�`��\�,�_ ASSESSOR'S MAP&PARCELS—c)�,�-<)O\ INSTALLER'S NAME&PHONE NO.r _(Oz,, _� SEPTIC TANK CAPACITY \ � LEACHING FACILITY:(type ,s � (size);X NO.OF BEDROOMS J--\ � OWNER PERMIT DATEd COMPLIANCE DATE:d \ Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) b��„ Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility). \ `Le �� Feet FURNISHED BYE - del `.r Az aL�tJ.•-yam: " �•S�—�'� I — —! d�-3 'f w•'l��oe1e k I � I Town of Barnstable ' Regulatory Services Richard V. Scali, Interim Director f "�`$ ' Public Health Division �:. " Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form 4/14/2021 g 2021-008 Mp 168/012-001• Date: Sewage Permit# Assessor's a 1Parcel Sullivan Engineering&Consulting,Inc. Cavossa Excavating, Inc. Designer: Installer: 711 Main Street/PO Box 659 210 Nathan Ellis Hwy Address: Address: Osterville,MA 02655 E.Falmouth MA 02536 1/14/2021 Cavossa Excavating,Inc. On was issued a permit to install a (date) 34 (installer) septic system at Wild Goose Way,Centerville based on a design drawn by (address) Sullivan Engineering&Consulting, Inc. dated 12/22/2020 (designer) X 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. S"MO L c� ou-( copn-er' I certify that the septic system. referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component. of the septic system)but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. I e th t the system referenced above was construe .`0� ante with the terms f p rnev letters (i plicable) a ��� :�--•_r sq 3 ?r CHARLES T. \t_ a; F,;.AUNO CIVIL No 52699 (In t er' ignaure) , / '� Y�.F�C�_t (Designer's.Signature) - (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE.BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:1Septic\Designer Certification Form Rev 8-14-13.doc .:4 Town of Barnstable TP#20-202 Department of Inspectional Services EAMST BU& RUM Public Health Division Date September 21,2020 1639. �fp�cl 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Date Scheduled: October 1,2020 Time 11:00 Fee Pd.$100 Soil Suitability Assessment for Sewage Disposal Performed By:John O'Dea,P.E.Sullivan Engineering: Witnessed By:David Stanton,R.S.Town of Barnstable LOCATION & GENERAL INFORMATION Location Address 34 Wild Goose Way Owner's Name:Robert A&Elizabeth Talerman Centerville Address Assessor's Map/Parcel: 168-012-001 Soil Evaluators Name:John O'Dea,P.E./SE#2911 Soil Evaluators Email: john@sullivanengin.com NEW CONSTRUCTION X REPAIR Telephone#:508-428-3344 Land Use: Residential Slopes(%)15-25% Surface Stones N/A Distances from: Open Water Body 350'+/- It Possible Wet Area 175'+/ ft Drinking Water Well 500'+ ft Drainage Way 500'+ It Property Line 10'—45' ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) .s�.�.es Parent material(geologic)Outwash Depth to Bedrock 300' +/- Depth to Groundwater: Standing Water in Hole:N/A Weeping from Pit Face Estimated Seasonal High Groundwater 31'+/-(E15 Per T.O.B.Groundwater Map) DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level PERCOLATION TEST,: Date 06/23/2020 Time 10:00 Observation Hole# 2 4 Time at 9" Depth of Perc 33" 32" Time at 6" Start Pre-soak Time @ 25 Gallons in Time(9"-6") End Pre-soak 6.min Rate Min./Inch <2 min/in Site Suitability Assessment: Site Passed X 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. L:\3800016_Talerman\_34 Wild Goose Way\Permitting\Perc Form 10-05-2020.doc DEEP OBSERVATION HOLE LOG Hole# 1 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. - Consistency %Graven 0—9" LOAM 9-24" B Loamy Sand IQYR 5/6 24—120" C Med Sand 2.5Y 6/4 DEEP OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency %Gravel) 0—8" LOAM 8—20" B Loamv Sand 10YR 5/6 20— 120" C Med Sand 2.5Y 6/4 DEEP OBSERVATION HOLE LOG Hole# 3 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel 0—42" FILL 42—63" B Loamy Sand IQYR 5/6 63— 120" C Med Sand 2.5Y 6/6 ._DEEP_DEEP-OBSERVATION HOLE LOG Hole# 4 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel 0—20" FILL 20— 120" C Med Sand 2.5Y 6/4 Flood Insurance Rate May: Above 500 year flood boundary No_ Yes X Within 500 year boundary No X - Yes Within 100 year flood boundary No X Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system?Yes If not,what is the depth of naturally occurring pervious material? Certification I certify that in November 2004(date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience scribed in 310 CMR 15.017. Signature g Date 10/13/2020 L:\3800016—Talerman\-34 Wild Goose Waffermittinfferc Form 10-05-2020.doc �y'��.d 5-�- ✓ N b>~BARNSTABLE _ ---- :;:LOCATION L 6 C�� �rsos� C�l.,�� SEWAGE :V)�;LAGE c "' '!� �' ASSESSOR'S MAP&LOT .INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) '�'` c'9 S P�1 (size) " d�� ��S?�•v� NO::OF BEDROOMS 3 'BUIiDER OAR :'PERMTI DATE: /'��� COMPLIANCE DATE: $O'kiation Distance Between the: mum Adjusted Groundwater Table and Bottom of Leaching Facility Feet M:a Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching(acility) Feet Edge:of Wetland and Leaching Facility(If any wetlands exist wi.thin'300 feet oWl �hin�i yy) Feet Furtii'shed by N s 1P�a � 3 N- 9 ******************************************************************************** * User name : SAADD (86) Queue : BOA/HEALTH HP4MPLUS * File name : Server: HEALTH_HP4MPLUS_PSERVER * Directory: * Description: Saad Dale Daily View * January 10, 1997 12 :48pm ******************************************************************************** * * * SSS A A DDDD DDDD * S S A A A A D D D D * S A A A A D D D D * SSS A A A A D D D D * S AAAAA AAAAA D D D D * S S A A A A D D D D * SSS A A A A DDDD DDDD * * * * * * ******************************************************************************** * * * L SSS TTTTT * L S S T * L S T * L SSS T * L S T * L S S T * LLLLL SSS T * * * * ******************************************************************************** LOCATION L� (x/r ��o.S/� ��Y SEWAGE 7 0e VILLAGE C ASSESSORS MAP& LOT INSTALLER'S NAME&PHONE NO. A/Z��1 �'�S r 7 J"136 Z SEPTIC TANK CAPACITY LEACHING FACILITY: (type) ��2 r� c A s r ��1 (size) 0 NO.OF BEDROOMS 3 < BUELDER ORS �%t !� �/s9 74 PERMTTDATE: / /' �� 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 lea hing�iliyy) Feet Furnished by �� �2� �� ��� � � � �� _� �y � G _ �3�� '� SJ- f l r Jv 09l 1 �C7 .w p� AAESSORS MAP NO: Fimig = / THECOMMO BOARD OF HEALTH ...0. ..........OF..............�1..... ' - k1:. 1t .._.. Appliratiun for Dispuottl MorkB Tunitrurtiun Vern it Application is her by m de fo a Permit to Construct ) or Repair ( ) an Individual Sewage Disposal System at aQ � .............— ........Location Address.•.........--.-.---------------- -�....--------.....................__.......-N--�................................... or ................- ---J=n�: s -t�l-a�Q P vk--f ....... 117 D MT 131� ....�.1��r ----•• ----- _.... ......_........ Owner Address a Q G/� O �✓ 3 ----- ------- .......... ........................ ••........... Installer --••••••�•- Address Type of Building Size Lot....-�,�°e.....Sq. feet .. Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a Other—Type e of Building ( ) a yp g ............................ No. of persons.....----------------._-_--- Showers ( ) — Cafeteria QOther fixtures ................................................--•-- ....... --••-•................................{............_..............:.... W Design Flow..............�.�. ........_............gallons per person pgr day. Total daily flow...........`r`'.��....................gallons. WSeptic Tank—Liquid capacity.liP2Q?..gallons Length._..t'�� .... Width;...A: !!R: Diameter:............... Depth........... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area----_...............sq. ft. 3 Seepage Pit No.............I....... Diameter.......16....... Depth below inlet......�i........... Total leaching area...$5P......s�ft.�f � Other Distribution box ( ) Dosing tank Percolation Test Results Performed by............. ..:. � C ' �!` .. �� te.._••-••.. -� !�•••�,•"�©-- a -••--••••--.. - r Test Pit No. 1.. 2--...minutes per inch Depth of Test Pit..... `°'�P Depth to ground water,......1 j.......... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Q......... . --- . .............................................. Description of Soil.....i .� U ------------- •------- -------------- ------------•� D....�!S,c-S........---•--••----••-•-•---•--•----....-------•----•--•--...............---• ......---.....-----••---- W 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 LITLZ 5 of the State Sanitary Code—The undersigned further a reeslQt to place the system in operation until a Certificate of Compliance has besued b the board of healt Signed. ............. ....--•...... ......... .....�..../. .... .... . ... Date Application Approved By........... tac.. :...................................... .......... Date Application Disapproved for the ollowing reasons:..............•--•---................------------.......-----....--------•-•-•-•-•-•-•-•--•••-••-•........__.. .................................................-•--------......--•-----•--•-•------...•. ••----.......••........._ 'I � Date Permit No......... ------------------------ Daft F /� �` 7''-�`�,(1.' „ `T'Ash.• No. •"" l�jaw G d Fims......, i -'" A THE COMMONWEAL HT CW MASSACHU ` BOARD OF HEALTH .......... ......OF.............�''" = a f Appliratiun for Uiupuual Works Tonstritrtiun Permit Application is �h�er,Sby made for, a Permit to Construct (Y,) or Repair ( ) an Individual Sewage Disposal System at: ,� Yv r'�& —��.-�� =:.:....---- ....:..._. •• r^:K .•------------------------------------ (49------.......---................... Location Address or Lot No. i Owner Address - Installer Address Type of Building Size Lot.... 2_!P�Z....Sq. feet .-� Dwelling—No. of Bedrooms.............. -_..__._........._.._..Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building ............................ No. of ersons.....__........_..._.__.___. Showers G4 P ( ) — Cafeteria ( ) QOther fixtures -....------------------------•.......................- ----•----..................•-•---..•--• WW Design Flow................ 42....................gallons per person per day. Total daily flow................�*...... Depth..... _..... x Disposal Trench—No..................... Width...._............... Total Length.................... Total leaching area....................sq. ft. _.3 Seepage Pit No.............1...... Diameter.......6....... Depth below inlet......`.......... Total leaching area--- ......s�/ft.��h Z Other Distribution box (. ) Dosing tank ( ) ++ Percolation Test Results Performed by.............4_.-.�a*xA � * _- Dite__...._.. " t A.. Test Pit No. 1... .-_-minutes per inch Depth of Test Pit.....5 �_`�_ Depth to ground water...•._►. rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ " ----------•-•- ------ -- ----------•----------------------------------------- --------------•....... 0 Description of �__. °A U ....... .......•-------•-------•..................•-•----••-•-•-•---------•-•----........ W V Nature-of Repairs or Alterations—Answer when applicable............................................................................................... -•-----•--•-----------•-----------------•--•---------------•--------•--.....----•--••----•--.......----------------=------------...--------------------------•----•-.........._•--•-••-•--------•---•--. Agreement: r The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLZ 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 healt Signed. /�__...._ =_---�'`=------------------ -------- ..........7Dat. .-.!.. .. . ��r. ... Date Application Approved By........... .. .. t_!... ---------------- Date .--.---.. Date Application Disapproved for the ollowing reasons:.........................................----•-------------.......--------------....--------................. ........---................................��----•---``-•�1•,,-,,•,,•------------•---........_.....--••----.........._..-•--•--•------------•-•-----.......__...-----•- -- ------••---....-Date................... Permit No......1 -�.........................................4 � _� Issued................. '" ............ ��' ✓��•� f G'1'+• Date r..................+v'w.7x 1 'a-......n.v,rv...s a.....Fwoe..m...o.. ..a..rvmr....R n.eo......�w.��..�9w. THE COMMONWEALTH OF MASSACHUSETTS i ,.. - BOARD OF HEALTH ............r.( /,'2.-.....-...OF............!:�:e2: ..... �.�•......................................... Trrtifirate of Tumplinurr THIS IS TO CERTIF�That the Individual Sewage Disposal System constructed ) or Repaired ( ) by-------------------------- R e-,0V ��..� ST �. ............... --•------ -------- w -- /J/J Installer n at......... ._......... 1A9_:. - ,/-a' ,� �,- ...�r�!� ' ,c� .................................. has been installed in accordance with the provisions of TITLEof The State Sanitary Code as described in the, application for Disposal Works Construction Permit No.......��'>..�__�.�._,�f..... dated___n�� ., - `�.-.. ......... THE ISSUANCE OF THIS CERTIFICATE SHALL -OTAE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.......l. ................... --------......_.. Inspector.•....�!! .� - �f'��/ l/I/j THE COMMONWEALTH OF MASSACHUSETTS �- BOARD OF HEALTH (� Jj2 9 .........:..� �!!��P�........OF......... ! .......................................... / ......... iu�rusttt guru Tunutrnrtiurc Permit Permission is hereby granted......_...`.2_.0 //........ '"_S 7..... ...... to Construct (>e) or Repair ( ) an .Individual Sewage Disposal System �� at No........................ -> .......1.pe:f r?;.�„ ^ � '� - ,��''�� ,.: �- ... Street / as shown on the application for Disposal Works Construction Permit N0.�.£s_,,/, 9 Dated.._ � ;1�" 9 4 r .. .. . ....... ............. Board of Alealth DATE.......................... �'�' .. 1 ...... J- 100' Buffer to State Defined DIRECTIONS: PERC TEST: 20-202 coastal Bank PERFORMEDBY:JOHNODEA,PE- SULLIVANENGINEERING From Hyannis - Follow Main Street to the.West End &CONSULTING,INC. \ Rotary, Take second exit onto West Main St follow and ' n SOIL EVALUATOR NO.2911 \ turn left onto Route 28 and follow to Five Corners Rd. and " WITNESSED BY.DAVID STANTON,R.S.-TOWN OFBARNSTABLE } , t t \ # \ 1 , h t turn left onto Lumbert Mill Rd. follow and turn right at OCTOBER 1,2020 ( \ \ \ \ \ \ , \ 1 \ Bumps River Rd. and take an immediate left onto Wild * „ SITE PASSED Goose Rd. and #34 is on the left. TEST HOLE- 1 EL.365 TEST HOLE 2 EL.34.5 TEST HOLE-3 EL.38.4 TEST HOLE 4 EL.37.5 F .......... . .. . 22 .,. ,t i 1 1 .. ......:... .. LaAM ...... LOAM............ ... i FILL. RILL....'.. ) .......... ! / \.. 35.8 8 ,............. .. 33.8 2 .... 35 20 .......... ....... ._..... 35.8 BLAYER.i0YR.5/6....... B.LAYER.I0YR.5/6... BLAYERIQYR.sf6. CLAYER2.SYR6/4 - ............. .......................... r t i ;i �f� �; ;. u.,• .. •... ..€,s.. J YELLQW1SIiBROWN.... .. YELLOWISHBROW .........:. .......................... { { l YELLOWISHBROWN LIGHT YELLOWISHBROWN i / , ,,. % / I \ , SEPTIC NOTES j t Z��.,: Tree to be LOAMY SAND............ LOA1bfY SAND...... .... 32.8SAND ... ..... C NO S ,• 24� .,. .. 34.5 20 63 ..............L.OAMYSAND... �...•.... � 33.2 MEDIUM SAND \ 57S t \ r � Removed C LAYER 2.5YR 6/6 C LAYER 2.5YR 6/6 C LAYER 2.5 6/6 32" PERC TEST 34.8 \ { M `r I 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours OLIVE YELLOW OLIVE YELLOW OLIVE YELLOW 25 GALLONS GONE IN 6 MIN �\ l { { I \ P -- ` t l 1 Prior to Any Excavation For This Project the Contractor Shall Make MEDIUM SAND 26.5 MEDIUM SAND 120' MEDIUM SAND 28.5 120" PERC RATE<2 MIN/IN(LTAR=0.74) 27.5 \ \� ( { \ ,,n 120' 4, \ °� j 1 the Required Notification to Dig Safe(1-888-344-7233)and contact LOCATION MAP NO GROUNDWATER ENCOUNTERED 33" PERC TEST 31. NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED \ \ { { \ \ S" \ F ?1 \ \ Sullivan Engineering&Consulting Inc. (508-428-3344). (1"=2000t) 25GALLONSGONEIN6MIN \ \\ { o�co \ \ \ \ Existing Fence 120' PERC RATE<2 A11N17N(LIAR=0.74) 24.5 ` \ �� ,� \ 1 \ to b e Removed 2. The Contractor is Required to Secure Appropriate Permits From Town NO GROUNDWATER ENCOUNTERED \ j \ fi G' \ I I \ \ ��soo`Soo\ ono \\ l((\t\ \ \ Agencies For Construction Defined by This Plan. ZONE: 3. Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall O Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to RD-1 ( 1 I \ \ \ \ Assure Watertightnes,,. ' \ In General Water Lines Shall be Constructed in Area (min.) 87,120 SF (RPOD) Frontage (min) 20 \ Coordination With COA M Water,and Shall be in Accordance / D- x \ Proposed ' !, 1 5' --, � Width (min) 125' Impervious Barrier With 248 CMR 1.00 7.00&316 CMR 15.00. Setbacks: 4.A Minimum of 9"of Cover is Required for All Components. Fron t 30' / \ 5.All Structures Buried Three Feet or More or Subject L � � \ q p / t \ �` _.,,�.��.._.__....,�..-...-.. ..�\...�.�--�:� .-�✓ � �, \ J Side 10' to Vehicular Traffic to be H-20 Loading.It is the Engineer's Rear 10' �► \ \ \ \\ \ Recommendation that H-20 Always be Used. O�► \ \ 6.Install Watertight Risers and Covers to Within 6"of Finished Grade ASSESSORS REF: \ \ \ Existing Leach Pit to 95 9 d� \ \ �\ be Pumped and D-Box,and One Leaching Chamber. Map 168 Pcl. 012-001 & • V�` cB/oH �� $ 0 \ \Deck \ \ \ Removed or Abandoned All covers are to be maximum 18"for concrete or24"Cast Iron. Map 167 PcI. 037 \0 Fnd 6 �,, DETAIL SITE PLA \ \ \ \ ! \ Per 310 CMR 15.354 7.Septic System to be Installed in Accordance With 310 CMIZ 15.00& Q��\ / Scale 1 - 0 \ \ \ ~ 248 CMR 1.00- 7.00 Latest Revision and the Town ofBarnstable OVERLAY DISTRICT. de �� - \\ \\ -- , - 11�J0q Board of Health Regulations. AP - Aquifer Protection District �t \ \ \Reserve 8.All Piping to be Sch.40 PVC. p � #34 \ Fxisting Sep tic � 9.D-Box Shall Have a Minimum Inside Dimension of 12" and a Minimum l6 2 Sty w1f \ \ , `Tank to R1`m\ain \ Sum of6 FLOOD ZONE: N Dwelling �' \ '�. �' •\ p Zones: AE Elev. 13, & 10. The Separation Distance Between the Septic Tank Inlets and X (Min Flood Hazard) a510 ►x5'� \\ r Outlets Shall be No Less than the Liquid Depth.Inlet Tees Shall Extend Community Panel No. 5� a Minimum of 10"Below the Flow Line. Outlet Tees Shall Extend 14" #250001 C0563 J 5g6 ✓ \ Below the Flow Line,and Shall be Equipped With a Gas Baffle. July 16, 2014 / L=38.05 R�3o \ cB DH =38.05. - OQ so?� REFERENCES: Fnd R\30� 00o�?�F` Deed Book 10475 Pgs. 168-169 O� I Plan Book 246 Pg 65 (Lots 1 & 6) �9 E Deed Cert 210486 J'�, I X LCP 37478 B (Lots 1 & 3) DESIGNDATA �g6 1��p1 � '�� Plan Book 383 Pg 90 (Lot 16) Existing single Family Lot Area 4 Bedroom Q 110 GPD N F No Garbage Grinder James E. & 133,050f sf Total Daily Flow=440 GPD Barbara L. Murphy \ o N Use a 1500 Gal Septic Tank o. NIF LEACHING AREA Barbara James E. & Barbara L. Murphy \ a -� 440 GPD/0.74(L TAR)=595 SF Required N N78• 30, 3g„E n Sidewall=2(12.83'+33.5)2'=185SF voh ! \ Proposed of 20g 61' '> Impervious Barrier Bottom Area=(12.83'x 33.59=430 SF Q Total Provided=615 SF (455 GPD) LEACHING CHAMBER DESIGN c Prposed SAS Bench Mark - Nail Se See Detail View \ \ to be Schedule 40. Use 9 t All Pipes o ,. in RR Tie -500 Gal.Leaching Chambers in a 3 g _ El. =42.3'-(NAND 88) 1, c� rs, r� cad �t� -t _ VI) c` 12'x 25'Washed Stone Field as Shown. \ rr c a - t'' "� r �7 \ r y ; r^ cs c s :v \ ca c, cv ca CV ,y r�z 1,00 6 0 \ \\ \\ 0 1 \ co S CIS bolo -- �" / /f / / �__ \ `.l \• '\ \ \ \ \ \ \ \ � \ \ �> � ",� �� \ \, o SS Q. ? . \ \ `� Bist.\S. S. o. � ,0 2 Sty w1f ` Deck\ \ A o L cat'on� 9. Dwelling \ \. \.,` I \ \ PPx 'PC ` \ ; \`'I4gr�s�Built� prda ? �4 0� i \ \ 55 f Paved Driveway Basement __Exis`figg 1 \ti�\ 8 Slab EL 42.58 ,_._ I~ \ \ H�2\ \ \ \ \ \ \ \ \ \ \ \ -9 { \ Tanl� to Res'e•�v� -49 er�ayn \\ 01, \` \ \ \ \ \ vi \ Sill D. 51.12 Basement Slab 42.6' See Note 6 (typ.) o ] � \ F.G. EL. 39.5' F.G. EL. 36-38 Max EL. 40.60 Flow Equilizers r As Required 5. s OO Existing Min. EL. 34.5 0,� 1500 Gallon El. 39.10 \Too EL. 35.00 Septic Tank Installer to 16 H-20 Proposed \ �� t c� cs z ;` , <`v \t to Remain Confirm Prior D-Box EL. 35.00 40 Mil Plastic Membrane J to Any Work H-20 Impervious Barrier / I f I \ `t ` 1� 1 \ s \ t\ �\\ l t \ \ \` 4 34.00 Leaching I !/• I \ 4 ` \ \ \\ \ o \ To Be Installed On f Chamber EL. 31.5 El Q� _. _ _ _.... ........ _/ i� \\ \ g• 3 y, \�� stable ompacted ase Bot L. 32. 0 Y ^ o�%� t l S , 1 i 1 �` ti 5, 4 1Q W \ Bedding."T"s :::.:':..::`. . 10' ioi�o90 S F Inspection Port, If r?counte ed l�emav2 ?C.1Zeplaee Min. /r�oso Lot 6 & Boffels Alt UnsUita@Ieoits Within 5 p€ �� O 8�'�io , Plan Book 246 Pg: 65 \ • ' � \� \ �` as Per Title 5 Thq:OutEr.Primeter of ThQ..Sys#4rn r� O, O A �� 9, t SF ......... . :::::..::: . ...: ::::: ..... �• \9 � 99 600 EL. 24.9 No Groundwater a� o �� sern� 117 72'4g"W - DEVELOPED PROFILE OF SYSTEM Per Test Hale 1 �?� - �' La �/, 8c Wal3g3 y 90 S75' 3 o�OJ � -_ 15 pPer Phan gk � n NOT T ALE 71.79 " N/F S T. �c Finish Grade S85' 22'_46 W Kenneth & Ernestina Lowman Ctj ce/oH Lowman Family Nominee Trust o C i _ Fnd OVERALL SITE PLAN �99 3' Max. 9" Min Compacted Fill �WI�Mill q�,� p Filter Fabric And Or co^ao��o Scale 1 _ 20' StON�I 2, _ 118» - 1/2 Pea Stone NOTES: 3' H-20 PREPARED FOR: PREPARED BY. TITLE: Site Plan 3�4" - 1 1�2" 1.) The structures shown were located on the ground by LEACHING Double Washed conventional survey methods on 101112020. Engineering QCHAMBER Stone 2) The property line information shown hereon was compiled from & Proposed Improvements available record information. Deeds conveyed tittle of the road Robert A. CX. El izob e th Tol erm an consisting of lots 1 and 6 p Talermon's,of but are not . This d pas ion 3 4 Wild/Il d Goose S e V V o u ivaii consuiting, Inc. At 4' - 10" part of this parcel for the.purposes of this septic plan. This plan V V '/ is not for recording purposes or legal /at descriptions r- 12' - 10" 3) The datum used is NAVD 1988, a fixed mean sea level datum Centerville, MA 02632 (508)428-3344•P.O. Box 659 .711 Main Street, Osterville, MA 02655 a �+ Wa obtained by RTK GPS performed by Sullivan Engineering & seci@sullivanengin.com•WWW.sullivanengin.com 3 ■ Wild Gooa7e CROSS SECTION OF CHAMBER Consulting Inc. Bamstable 4) Topographic information was collected using both conventional Xass■ Y 1 1 10-Detail Plan p 5 10 20 40 Draft; ASL Field: I (Centerville) surve method and RTK GPS on 10 1 2020. JOD CTR 20-Overall Plan o 10 20 40 80 LLJ NOT TO SCALE Review: JOD/CTR Comp.: ASL DATE: SCALE: c= Project: Tolermon Project#. 380016 December 23, 2�2� AS Noted 'fit t+.�r�.�� ��• t`?�ac v..� kZ oN v �t©r t c: O IN o4 U I cY i � ~� I � I. pG;i_1►1 M5L`uC-ND-"TZ��E�.1 �FeoM �.' '� �;.GiC.a;%� 'a'.,r I Z.M«�iU Pal. i;SaT�FZ � eva 1 t�Pn,E `� , i I 3, P►Qt: QI�G►'�• 1�¢ /FT U�l.Ei� p-r�P..W tSE r.IOTED� - ` A, D5SI6rKI j,CbONI&' &LL? CC AST U►,47�, ADO f . i 5. 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