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HomeMy WebLinkAbout0217 PHINNEY'S LANE - Health 217 Phinney's Lane Centerville A = 209 — 021 S M E A D No.2453LOR UPC 12534 emead.com • Made to USA Y R!N US®N iNS PR00lICf 1!E SFI MD WWWSFVRDGRAM r l No. V Fee ( dd THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: s PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Misposal *pstem Construttion permit Application for a Permit to Construct( ) Repair(-<,U*pgrade( ) Abandon( ) omplete System ❑Individual Components Location Address or Lot No.^��, pl nn&n ,lv_ Owner's Name,Address,and Tel.No. Assessor'sMap/Parcel �/'Map GCL ` 2 Sohn G�t55 ` `��g)17�'37D� Installer's NrX% 14Vafton e,Address,and Tel.No. Designer's Name,Address,and Tel.No. 5Z}�- 77-GYv53 bOWf1 �p� inee�in Type of Building: Dwelling No.of Bedrooms �13 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ® gpd Design flow provided gpd Plan Date $I—7 F (7) Number of sheets I Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1 J� LG{ ?0 kj,� 7tsk p+ae +_ s+one +120 dvbn�K � 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 o alth. Signe A 17 Date B Z1 Application Approved by Date 2 111 Application Disapproved by Date for the following reasons Permit No. 2 0 1 r 32? Date Issued No. V s ` Fee V l/ / THE COMMONWEAI-TWOF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION- TOWN OF BARNSTABLE, MASSACHUSETTS Rpplication for MispoBal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(Upgrade Abandon( ) omplete System ❑Individual Components i Location Address or Lot No. b I fnev La Owner's Name,Address,and Tel.No. \ Assessor's Map/Parcel QP 2©9 �qCr ���i '�Uh� G�n�5 S b 1 7�0-3�� Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. �XCCiVO_+(Dn 5Dk '117 -Oto53 gown (O,9.2E lnee('(n Type of Building: Dwelling No.of Bedrooms �,3 Lot Size sq.ft. Garbage Grinder( ) 1 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures ~ Design Flow(min.required) 330 gp g p gp d �Design flow provided d Plan Date ��I (3 Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil j I V i Nature of Repairs or Alterations(Answer when applicable)' t0 6) Ser-)4 1( -1 n a (( p r,I � ��n� n 36 \ICJ%A t1 Pf"6 � '3 i n p t `3 i U n p )rl z 0 / 7 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 alth. Signe � Z a Date Application Approved by ,n j9Y Date e2 / Application Disapproved by Date for the following reasons Permit No. 2 0 � Date Issued 6 • - ... . . . .. .. ... - -- - - -- .-._. .-,_ .-.. - 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 V,-,( � at 2 1-� ry V h S i i nf* �r-n-r- has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.J o 1 dated k 2 I / Installer K (){�(�,Q �/ ,7Ft k� T .U� Designer C>o r� 7' nr I #bedrooms Approved design flow o J gpd The issuance of this permit shall •o be"cos ed a"s"s a guarantee that the system wi functio d Sig, ed. Date 7 bl , Inspector fi ' No. 0 1 ? 7 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction permit Permission is hereby granted to-Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at 2 1-1 jP I T �� (7 0 (n A and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with j Title 5 end the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. r1 Date _2 7 0 Approved by �i l/Ip S TOWN OF BARNST"LE 23 3 LOCATION e91-1 9)-.i nncu s tJV SEWAGE# 2013 .39Q VILLAGE (2cm cry',)1 c ASSESSOR'S MAP.&PARCEL 209- 21 INSTALLER'S NAME&PHONE NO. B B ExCaya� o� y'7-1' O LS3 SEPTIC TANK CAPACITY /SOO Ua.I Id ZO LEACHING FACILITY:(type) peC pi Dt. Ti a Id (size) 1 S x 3o NO.OF BEDROOMS 3 OWNER n PERMIT DATE: $-2 3.13 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist W: 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 Al r9f AV 8Z. N, s A3' (33-30 O O REAR r , FROM :down cape engineering inc 'FAX NO. :15083629880 Aug. 30 2013 09:16AM P2 T-homos Ft. Go-der,Director Public .1-Te2dith 'R 1AA]J51'�1LLF,)s a Siwa Thomas l�N.s.l[s:e�na, .�tn>r�T>tox 21*)O'M'.',A.6nn.Stu'eet,,.43runnrnns,,MA.Qir'-6011, Olficc: 508-962-4644Pox: 790-6304 Fm d�ujlIl�u a: V�ean Anne (.:crtx">ha�uthio>U► our�u lCD�O:�: _ � 3 �E���e �.er�nrnn>t,`� � �e��®a^ � P�1�aU�lPMa•a;�efl._�2. ._. Designer: l_ �5snnlr�n�: yhfi , Addr'esc: _.. rj� — •J ��la ,re>; : mac M 'tA- 47,e2 JX_ Ct y (PGvd, issued a ptrn:ist to in^tall. a _ (date) (iusl�tller) tielAiu'Sys'tolu at L�1 �"" b cd on a,design drawn by dined v I ceitify tat the Septic yti.tem, refercurod above: was installed SlIhsta.ratialiy a.aeord'h.g -to the design, wliich may. iuor app7.uw.,d ehanps sac.h as ls.f zal n lonttliun of the d7st.j.,ibutun box and/Ur 2epti.c:tank. certi;Fy that the "upti�., sys(cau referenced above wa,G in.sta.11ed with, T. ,ajoi- clian.ges (i.,e. g,oater than, 10, ldterdl relocation.nf.'•th.e SAS or sty veiti.ca,l.reincat.ou.of arty com.prnient of thr, srpttr, systeill) but in,accordance wlt11 `itatc &: Local Raepitations. Plau revision car certified as-bu.ili:b- y cl.osi ;tr i'to tbllu iv, nsta.l.eT,!,' Si prttuk:�:; ,�ii of AfgL + UANIELA. J / OJAGA ✓' ! /'/`� `'b f 3o " CIVIL y No,46502 (besignur',� SIP.ELtOV-) J (A05, iTC.T �ss10 1V gL kyA,TA l T:i7 il°( TO 2111:Cd; A a.o,m l'ir1 ,AG: 1 'Q_ IJ, 1::k�a:l�'A':VV.+`tCIAl1'L OF ...ii`i'A'JLt, 1�d�7Ch�[ THIS ]FQ_D.RM AND AS'-BUJU,T QARD A. liJ RECEf VE.D BY 7' W 11 L A;dAPll,Vd�aCAm I dAAxlIti,: Town of Barnstable P# J 2 Departinent of Regulatory.Services n ]Public MASS. � Health Division Date !J 1639.h1 200 Main Street,Hyannis MA 02601 )4 t , Date Scheduled 0 Time Fee Pd. Soil Suitability Assessment for ,sewage Disposal Performed By: Witnessed By: L(� A TION& GENERAL INFORMATION Location Address /"h �� V L Owner's Name �0 C��4 Address Assessor's Map/Parcel: aV g Engineer's Name Q W V'— NEW CONSTRUCTION REPAIR Telephone# (-S (�� Land Use: U rive wc 7 Slopes(96)_� —� Surface Stones Noy 'e Distances from: Open Water Body ft possible Wet Area 26 �� ft Drinking Water Well 0 G ft Drainage Way l Ut/ ft Property Une Za ft Other • ---- ft SIME•TCII:(Street name,dimensions of lot,exact locations of test holes&pore tests,locate wetlands•fn proximity to holes) LO C-� co 473 rn .f� v Parent material(geologic, �/u �R S Depth to Bedroelt Depth to Groundwater. Standing Water in Hole: ��/ Weeping from PI Roe 10 Estimated Seasonal High Groundwater DETERIVIWATION FOR SEASONAL 1IIG WATER TABLEMethod Used: Depth Observed standing in obs.hole: IU/ In, Depth to soli mottles: In, Dcpth to weeping from side of obs,hole, In, Groundwater Adjustment fi. Index Well# Reading Date: Index Well]oval _ Adj.factor— Adj.Groundwater level,,,,,, Observation PERCOLATION T +'ST bate k/&//3 Time I 1 Hole# r Tlma at 9" Depth of.Perc 1170 � Time at 6" 10(/ Start Pre-soak Time @ Time(9"-6") End Presoak j - - - - Rate Min./Inch Site Suitability Assessment: Site Passed Sitq Falled: Additional Testing Needed(YIN) 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(I) week prior to beginning. Q:SEPTtCTERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Shcl Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (structure,Stones;Boulders, i tc w•96'(iravel) 040 F; l fG S PyR �q-1� /�5 2,Sy DEEP OBSERVATION HOLE LOG Hole# Denth from -- Boll Horizon Soil Texture 5011 Color Sail Other Surface(in.) (USDA) (Munsell) Mottling (structure,Stones,Boulders. - �r I o sis en, %Gravel) Zq-/ZO G DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stories,Boulders. Pn5lutgncy.%Q e DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sail Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones',Boulders. Consistency, y Flood Insurance Rate Man: ' Above 500 year flood boundary No. Yes Within 500 year boundary No v 1 Yes ' Within 100 year flood boundary No- YM 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? Y/e 5 If not,what is the depth of naturally occurring pervious matoriaN Certification 7 certify that on / ( Z (date)i;lava 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 described in�10 CMR 15.017. Signature QAS.LPTIaPERCPORM.DOC ALL SHALL TEM SYSTEM PROFILE MARK DS WTHC MAGNETIC TTAPE OR BE WATERTIGHT MIN. 20" DIAM. (NOT TO SCALE) C00ARABLE MEANS FOR FUTURE LOCATION. NOTES t ACCESS COVERS TO WITHIN 6" OF FIN. GRADE (TO GRADE WHERE UNDER DRIVEWAY) 1. DATUM IS APPROX. NGVD \ TOP FOUND. EL. 40.9' 2. MUNICIPAL WATER IS EXISTING � rcc 37.8' MINIMUM .75' OF COVER OVER PRECAST 2% SL01'E REQUIRED OVER SYSTEM 37.0 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. Wequaquet PRECAST H-10 PF'OVIDE INSPECTION PORT TO WITHIN 3" OF FINAL GRADE LQke RISERS (TYP.) 4. DESIGN LOADING FOR ALL PROPOSED PRECAST .. 2'0 4"OSCH40 PVC UNITS TO BE AASHO H-Z.Q PIPES LEVEL 1 ST 2' 2" DOUBLE-WASHED PEASTON �e9 OR GEOTEXTILE FABR C 5. PIPE JOINTS TO BE MADE WATERTIGHT. *36.1 6' 10" 1500 GAL H-20 14" 35.45 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE Grea e Q �� phin� (PROP.) 35.70' TEE SEPTIC TANK TEE ° ° ° ° ° ° ° ° ° ° ° ° ° ° ( ) R\,35.45' ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° O ° • ° ° ° ° ° ° ° WITH 310 CMR 15.000 TITLE 5. arsh p oUte 0 0 0 0 0000 0 6" MIN. SUMP , °o°o°o°o°o°o°o°o°o°p°o°o°o°o°o°o°o°°°°°po°po°o°o°o° o°o°o°o°o°o°o GAS BAFFLE ::` °.000°000°o° 12" MIN. INT. DIM 34.95 O°OOO°OOO°O°°DODO°O°°°O°°°O°°o0°Oo0 °O O O°°°O O°O°000°Oo0°Oo 0 0 0 0 0 0 0 0 0000 0 0 0 0 0 ° ° o o ° ° o 0 0 0 0 0 0 ° o 00000 (...(,_ ., O°O°O°O°O°°°O°O°O°O°O°O°O°O°O°O°O°O°°°O O O°O°O° O°O°O°O°OOO° , o°o°o°o°o°o°°°o°°°°°°°°°°°o°o°o°o°off°°o ° o°o°o° °o°°°°°°°°°°°o° 34.3 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND y` 4' LIQ. LEVEL (ACME OR EQUAL) FOR LOT LINE STAKING OR ANY 35.17' 35.0' 4" PVC SET AT .005/' SLOPE NOT TO BE USED .....,..• . ON 6" DOUBLE WASHED 3/1"- 1 1/2" STONE OTHER PURPOSE. Locus 'o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o` H-20 D'BOX °°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°° 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. ,o,,o„o_�_°_�_�.° ° o 0 0 ° o.�_�_�_n_o.o 0 30' x 15' x 0.5' LEACH FIELD <- 0 6" CRUSHED STONE OR MECHANICAL 9. OMPODE TS NOT T INSPECTIONKFI LLED OR *U BY SE INSULATING BLANKET AS REQUIRED COMPACTION. (15.221 [2]) • 5'0 HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. ( 2 SLOPE) ( 1 q SLOPE) ( 1 q SLOPE) 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LEACHING CALLING DIGSAFE (1-888-344-7233) AND FOUNDATION- 23' SEPTIC TANK 28' D' BOX 7' FACILITY- USE ADJ. WATER AT EL. 29.3' VERIFYING THE LOCATION OF ALL UNDERGROUND & LOCUS MAP OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. NOT TO SCALE *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 11. ANY UNSUITABLE MATERIAL ENCOUNTERED PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM SHALL BE REMOVED 5' BENEATH AND AROUND THE ASSESSORS MAP 209 PARCEL 21 PROPOSED LEACHING FACILITY. 12. EXISTING LEACHING FACILITY SHALL BE PUMPED LEGEND AND REMOVED OR PUMPED AND FILLED WITH CLEAN �� S LOT 3 AND. 99_ EXISTING CONTOUR 19,360f S.F. l X 99•1 EXIST. SPOT ELEV. 39.5�9 37.87 + 99 PROPOSED CONTOUR \� X 6 9 F-9-9-1 PROPOSED SPOT EL. TH1 x 06 39 SYSTEM DESIGN: TEST HOLE x 39.71 YY 39.48 PROP. VENT WITH CHARCOAL FILTER 2� SLOPE OF GROUND 38.69 39.74 AND BUGSCREEN (FINAL PLACEMENT BY GARBAGE DISPOSER IS NOT ALLOWED CONTRACTOR WITH HOMEOWNER UTILITY POLE 22" MAPLE x 39.64 w' r CONSULTATION) DESIGN FLOW: 3 BEDROOMS @ 110 GPD = 330 GPD � FIRE HYDRANT \ `sue. .1 USE A 330 GPD DESIGN FLOW - --- NOTE: NOT AL SYMBOLS MAY APPEAR IN'DRAWING 38.44 1� 38 SEPTIC TANK: 330 GPD (2) = 660 8• w USE A 1500 GAL. H-20 SEPTIC TANK TEST HOLE LOGS 3 .38. 5' REMOVAL UNSUITABLE SOIL REQUIRED Cy)8 � � AROUND PERIMETER OF LEACHING FACILITY, 9.07 3 DOWN TO SUITABLE SOIL LAYER. REPLACE LEACHING: 3g 1 9.1 6.9 ��l WITH CLEAN MED. SAND, TO MEET ENGINEER: DANIEL GONSALVES, SE .1 BOTTOM: 30 097 SPECIFICATIONS OF 310 CMR 15.255(3) SIDES: N/A, - WITNESS: MARY BETH MACKENZIE (BOH) X 15 (.74) 333 GPD i�TM 1 TOTAL. 450 S.F. 333 GPD 13 DATE: 8/6/ ' 37.08 � � ? LEACH FIELD DETAIL 35.91 6 ��69 �\ ' 38.02 1" = 20' USE 30' x 15' x 0.5' LEACH FIELD OF 4" PERF. PVC PERC. RATE _ < 2 MIN/INCH 36.86 36.75 \ .'' 3 . o I p 14091 6 70 PIPE AND DOUBLE-WASHED STONE (SEE DETAIL) CLASS SOILS # 6.75 36.80 36.15 36.73 36.90 \ / 7.02 �5/.62 GARAGE ELEV. ELEV. .84 BENCHMARK: USE CORNER OF 0" 37' D" 37�1 ' 36.93 CONC. SLAB AT EL. 37.9' _ 37. 2 0 38.88 FILL FILL 36 91 O 38. RE-ROUTE AND RAISE PLUMBING TO MA - �73;2 x 38 MIN. ELEV. 36.16' TO MAINTAIN APPROVED DATE BOARD OF HEALTH 10" 10" �' 3 -33 GRAVITY FEED AND NDW5' SEPARATION TO B B 8 37. 8.; 3 6 ADJUSTED `7.69 TITLE 5 SITE PLAN 4 LS LS 38.64 37.4 .63 OF 37.56 10YR 5/4 10YR 5/4 38.13 I EXISTING DWELL. 29" 34.6 29 34.6 37.25 7 37.76 '?5 TOP. FNDN. _ 40.9' 3 �8 217 PHINNEY'S LANE GROUNDWATER ADJ. DATA: CENTERVILLE WELL: MIW 29 8.74 \ ZONE: D �y\ PERC C C ADJ: 2.3' (AUG) 38.13 ��s\ PREPARED FOR 38.06 \ B&B EXCAVATION//ROCKNESS M/CS M/CS o4 \\ 38.31 38.60 \ AUGUST 7, 2013 2.5Y 6/6 2.5Y 6/6 \ \ , oFMgss p 4114 off 508-362-4541 (k6' qC, ��� gsSq fax 508-362-9880 �\ P N'L ALLAA � DANIEL yc� < downcape.com O ALA 39.15 No.4602 v , down cope eaginee�ing, Inc. 120" 27.0' 120" 27.0' I No.40980 39.43 o�FFc STD¢ �0� P civil engineers GROUNDWATER ENCOUNTERED C�? EL. 27.0' Scale: 1"= 20' 39.56 ��� �\ �_.�_1 SS'0 AL�`'G *0 land surveyors 939 Main Street ( Rte 6A) �- , 5® 0 10 20 30 40 50 FEET DATE DANIEL A. OJA A .E�,, P P.L.S. YARMOUTHPORT MA 02675 217 Phinney's Lane Centerville A = 209 — 021 S M E A D No.2453LOR UPC 12534 emead.com • Made to USA Y R!N US®N iNS PR00lICf 1!E SFI MD WWWSFVRDGRAM r l No. V Fee ( dd THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: s PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Misposal *pstem Construttion permit Application for a Permit to Construct( ) Repair(-<,U*pgrade( ) Abandon( ) omplete System ❑Individual Components Location Address or Lot No.^��, pl nn&n ,lv_ Owner's Name,Address,and Tel.No. Assessor'sMap/Parcel �/'Map GCL ` 2 Sohn G�t55 ` `��g)17�'37D� Installer's NrX% 14Vafton e,Address,and Tel.No. Designer's Name,Address,and Tel.No. 5Z}�- 77-GYv53 bOWf1 �p� inee�in Type of Building: Dwelling No.of Bedrooms �13 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ® gpd Design flow provided gpd Plan Date $I—7 F (7) Number of sheets I Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1 J� LG{ ?0 kj,� 7tsk p+ae +_ s+one +120 dvbn�K � 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 o alth. Signe A 17 Date B Z1 Application Approved by Date 2 111 Application Disapproved by Date for the following reasons Permit No. 2 0 1 r 32? Date Issued No. V s ` Fee V l/ / THE COMMONWEAI-TWOF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION- TOWN OF BARNSTABLE, MASSACHUSETTS Rpplication for MispoBal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(Upgrade Abandon( ) omplete System ❑Individual Components i Location Address or Lot No. b I fnev La Owner's Name,Address,and Tel.No. \ Assessor's Map/Parcel QP 2©9 �qCr ���i '�Uh� G�n�5 S b 1 7�0-3�� Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. �XCCiVO_+(Dn 5Dk '117 -Oto53 gown (O,9.2E lnee('(n Type of Building: Dwelling No.of Bedrooms �,3 Lot Size sq.ft. Garbage Grinder( ) 1 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures ~ Design Flow(min.required) 330 gp g p gp d �Design flow provided d Plan Date ��I (3 Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil j I V i Nature of Repairs or Alterations(Answer when applicable)' t0 6) Ser-)4 1( -1 n a (( p r,I � ��n� n 36 \ICJ%A t1 Pf"6 � '3 i n p t `3 i U n p )rl z 0 / 7 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 alth. Signe � Z a Date Application Approved by ,n j9Y Date e2 / Application Disapproved by Date for the following reasons Permit No. 2 0 � Date Issued 6 • - ... . . . .. .. ... - -- - - -- .-._. .-,_ .-.. - 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 V,-,( � at 2 1-� ry V h S i i nf* �r-n-r- has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.J o 1 dated k 2 I / Installer K (){�(�,Q �/ ,7Ft k� T .U� Designer C>o r� 7' nr I #bedrooms Approved design flow o J gpd The issuance of this permit shall •o be"cos ed a"s"s a guarantee that the system wi functio d Sig, ed. Date 7 bl , Inspector fi ' No. 0 1 ? 7 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction permit Permission is hereby granted to-Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at 2 1-1 jP I T �� (7 0 (n A and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with j Title 5 end the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. r1 Date _2 7 0 Approved by �i l/Ip S TOWN OF BARNST"LE 23 3 LOCATION e91-1 9)-.i nncu s tJV SEWAGE# 2013 .39Q VILLAGE (2cm cry',)1 c ASSESSOR'S MAP.&PARCEL 209- 21 INSTALLER'S NAME&PHONE NO. B B ExCaya� o� y'7-1' O LS3 SEPTIC TANK CAPACITY /SOO Ua.I Id ZO LEACHING FACILITY:(type) peC pi Dt. Ti a Id (size) 1 S x 3o NO.OF BEDROOMS 3 OWNER n PERMIT DATE: $-2 3.13 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist W: 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 Al r9f AV 8Z. N, s A3' (33-30 O O REAR r , FROM :down cape engineering inc 'FAX NO. :15083629880 Aug. 30 2013 09:16AM P2 T-homos Ft. Go-der,Director Public .1-Te2dith 'R 1AA]J51'�1LLF,)s a Siwa Thomas l�N.s.l[s:e�na, .�tn>r�T>tox 21*)O'M'.',A.6nn.Stu'eet,,.43runnrnns,,MA.Qir'-6011, Olficc: 508-962-4644Pox: 790-6304 Fm d�ujlIl�u a: V�ean Anne (.:crtx">ha�uthio>U► our�u lCD�O:�: _ � 3 �E���e �.er�nrnn>t,`� � �e��®a^ � P�1�aU�lPMa•a;�efl._�2. ._. Designer: l_ �5snnlr�n�: yhfi , Addr'esc: _.. rj� — •J ��la ,re>; : mac M 'tA- 47,e2 JX_ Ct y (PGvd, issued a ptrn:ist to in^tall. a _ (date) (iusl�tller) tielAiu'Sys'tolu at L�1 �"" b cd on a,design drawn by dined v I ceitify tat the Septic yti.tem, refercurod above: was installed SlIhsta.ratialiy a.aeord'h.g -to the design, wliich may. iuor app7.uw.,d ehanps sac.h as ls.f zal n lonttliun of the d7st.j.,ibutun box and/Ur 2epti.c:tank. certi;Fy that the "upti�., sys(cau referenced above wa,G in.sta.11ed with, T. ,ajoi- clian.ges (i.,e. g,oater than, 10, ldterdl relocation.nf.'•th.e SAS or sty veiti.ca,l.reincat.ou.of arty com.prnient of thr, srpttr, systeill) but in,accordance wlt11 `itatc &: Local Raepitations. Plau revision car certified as-bu.ili:b- y cl.osi ;tr i'to tbllu iv, nsta.l.eT,!,' Si prttuk:�:; ,�ii of AfgL + UANIELA. J / OJAGA ✓' ! /'/`� `'b f 3o " CIVIL y No,46502 (besignur',� SIP.ELtOV-) J (A05, iTC.T �ss10 1V gL kyA,TA l T:i7 il°( TO 2111:Cd; A a.o,m l'ir1 ,AG: 1 'Q_ IJ, 1::k�a:l�'A':VV.+`tCIAl1'L OF ...ii`i'A'JLt, 1�d�7Ch�[ THIS ]FQ_D.RM AND AS'-BUJU,T QARD A. liJ RECEf VE.D BY 7' W 11 L A;dAPll,Vd�aCAm I dAAxlIti,: Town of Barnstable P# J 2 Departinent of Regulatory.Services n ]Public MASS. � Health Division Date !J 1639.h1 200 Main Street,Hyannis MA 02601 )4 t , Date Scheduled 0 Time Fee Pd. Soil Suitability Assessment for ,sewage Disposal Performed By: Witnessed By: L(� A TION& GENERAL INFORMATION Location Address /"h �� V L Owner's Name �0 C��4 Address Assessor's Map/Parcel: aV g Engineer's Name Q W V'— NEW CONSTRUCTION REPAIR Telephone# (-S (�� Land Use: U rive wc 7 Slopes(96)_� —� Surface Stones Noy 'e Distances from: Open Water Body ft possible Wet Area 26 �� ft Drinking Water Well 0 G ft Drainage Way l Ut/ ft Property Une Za ft Other • ---- ft SIME•TCII:(Street name,dimensions of lot,exact locations of test holes&pore tests,locate wetlands•fn proximity to holes) LO C-� co 473 rn .f� v Parent material(geologic, �/u �R S Depth to Bedroelt Depth to Groundwater. Standing Water in Hole: ��/ Weeping from PI Roe 10 Estimated Seasonal High Groundwater DETERIVIWATION FOR SEASONAL 1IIG WATER TABLEMethod Used: Depth Observed standing in obs.hole: IU/ In, Depth to soli mottles: In, Dcpth to weeping from side of obs,hole, In, Groundwater Adjustment fi. Index Well# Reading Date: Index Well]oval _ Adj.factor— Adj.Groundwater level,,,,,, Observation PERCOLATION T +'ST bate k/&//3 Time I 1 Hole# r Tlma at 9" Depth of.Perc 1170 � Time at 6" 10(/ Start Pre-soak Time @ Time(9"-6") End Presoak j - - - - Rate Min./Inch Site Suitability Assessment: Site Passed Sitq Falled: Additional Testing Needed(YIN) 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(I) week prior to beginning. Q:SEPTtCTERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Shcl Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (structure,Stones;Boulders, i tc w•96'(iravel) 040 F; l fG S PyR �q-1� /�5 2,Sy DEEP OBSERVATION HOLE LOG Hole# Denth from -- Boll Horizon Soil Texture 5011 Color Sail Other Surface(in.) (USDA) (Munsell) Mottling (structure,Stones,Boulders. - �r I o sis en, %Gravel) Zq-/ZO G DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stories,Boulders. Pn5lutgncy.%Q e DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sail Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones',Boulders. Consistency, y Flood Insurance Rate Man: ' Above 500 year flood boundary No. Yes Within 500 year boundary No v 1 Yes ' Within 100 year flood boundary No- YM 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? Y/e 5 If not,what is the depth of naturally occurring pervious matoriaN Certification 7 certify that on / ( Z (date)i;lava 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 described in�10 CMR 15.017. Signature QAS.LPTIaPERCPORM.DOC ALL SHALL TEM SYSTEM PROFILE MARK DS WTHC MAGNETIC TTAPE OR BE WATERTIGHT MIN. 20" DIAM. (NOT TO SCALE) C00ARABLE MEANS FOR FUTURE LOCATION. NOTES t ACCESS COVERS TO WITHIN 6" OF FIN. GRADE (TO GRADE WHERE UNDER DRIVEWAY) 1. DATUM IS APPROX. NGVD \ TOP FOUND. EL. 40.9' 2. MUNICIPAL WATER IS EXISTING � rcc 37.8' MINIMUM .75' OF COVER OVER PRECAST 2% SL01'E REQUIRED OVER SYSTEM 37.0 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. Wequaquet PRECAST H-10 PF'OVIDE INSPECTION PORT TO WITHIN 3" OF FINAL GRADE LQke RISERS (TYP.) 4. DESIGN LOADING FOR ALL PROPOSED PRECAST .. 2'0 4"OSCH40 PVC UNITS TO BE AASHO H-Z.Q PIPES LEVEL 1 ST 2' 2" DOUBLE-WASHED PEASTON �e9 OR GEOTEXTILE FABR C 5. PIPE JOINTS TO BE MADE WATERTIGHT. *36.1 6' 10" 1500 GAL H-20 14" 35.45 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE Grea e Q �� phin� (PROP.) 35.70' TEE SEPTIC TANK TEE ° ° ° ° ° ° ° ° ° ° ° ° ° ° ( ) R\,35.45' ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° O ° • ° ° ° ° ° ° ° WITH 310 CMR 15.000 TITLE 5. arsh p oUte 0 0 0 0 0000 0 6" MIN. SUMP , °o°o°o°o°o°o°o°o°o°p°o°o°o°o°o°o°o°°°°°po°po°o°o°o° o°o°o°o°o°o°o GAS BAFFLE ::` °.000°000°o° 12" MIN. INT. DIM 34.95 O°OOO°OOO°O°°DODO°O°°°O°°°O°°o0°Oo0 °O O O°°°O O°O°000°Oo0°Oo 0 0 0 0 0 0 0 0 0000 0 0 0 0 0 ° ° o o ° ° o 0 0 0 0 0 0 ° o 00000 (...(,_ ., O°O°O°O°O°°°O°O°O°O°O°O°O°O°O°O°O°O°°°O O O°O°O° O°O°O°O°OOO° , o°o°o°o°o°o°°°o°°°°°°°°°°°o°o°o°o°off°°o ° o°o°o° °o°°°°°°°°°°°o° 34.3 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND y` 4' LIQ. LEVEL (ACME OR EQUAL) FOR LOT LINE STAKING OR ANY 35.17' 35.0' 4" PVC SET AT .005/' SLOPE NOT TO BE USED .....,..• . ON 6" DOUBLE WASHED 3/1"- 1 1/2" STONE OTHER PURPOSE. Locus 'o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o` H-20 D'BOX °°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°° 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. ,o,,o„o_�_°_�_�.° ° o 0 0 ° o.�_�_�_n_o.o 0 30' x 15' x 0.5' LEACH FIELD <- 0 6" CRUSHED STONE OR MECHANICAL 9. OMPODE TS NOT T INSPECTIONKFI LLED OR *U BY SE INSULATING BLANKET AS REQUIRED COMPACTION. (15.221 [2]) • 5'0 HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. ( 2 SLOPE) ( 1 q SLOPE) ( 1 q SLOPE) 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LEACHING CALLING DIGSAFE (1-888-344-7233) AND FOUNDATION- 23' SEPTIC TANK 28' D' BOX 7' FACILITY- USE ADJ. WATER AT EL. 29.3' VERIFYING THE LOCATION OF ALL UNDERGROUND & LOCUS MAP OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. NOT TO SCALE *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 11. ANY UNSUITABLE MATERIAL ENCOUNTERED PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM SHALL BE REMOVED 5' BENEATH AND AROUND THE ASSESSORS MAP 209 PARCEL 21 PROPOSED LEACHING FACILITY. 12. EXISTING LEACHING FACILITY SHALL BE PUMPED LEGEND AND REMOVED OR PUMPED AND FILLED WITH CLEAN �� S LOT 3 AND. 99_ EXISTING CONTOUR 19,360f S.F. l X 99•1 EXIST. SPOT ELEV. 39.5�9 37.87 + 99 PROPOSED CONTOUR \� X 6 9 F-9-9-1 PROPOSED SPOT EL. TH1 x 06 39 SYSTEM DESIGN: TEST HOLE x 39.71 YY 39.48 PROP. VENT WITH CHARCOAL FILTER 2� SLOPE OF GROUND 38.69 39.74 AND BUGSCREEN (FINAL PLACEMENT BY GARBAGE DISPOSER IS NOT ALLOWED CONTRACTOR WITH HOMEOWNER UTILITY POLE 22" MAPLE x 39.64 w' r CONSULTATION) DESIGN FLOW: 3 BEDROOMS @ 110 GPD = 330 GPD � FIRE HYDRANT \ `sue. .1 USE A 330 GPD DESIGN FLOW - --- NOTE: NOT AL SYMBOLS MAY APPEAR IN'DRAWING 38.44 1� 38 SEPTIC TANK: 330 GPD (2) = 660 8• w USE A 1500 GAL. H-20 SEPTIC TANK TEST HOLE LOGS 3 .38. 5' REMOVAL UNSUITABLE SOIL REQUIRED Cy)8 � � AROUND PERIMETER OF LEACHING FACILITY, 9.07 3 DOWN TO SUITABLE SOIL LAYER. REPLACE LEACHING: 3g 1 9.1 6.9 ��l WITH CLEAN MED. SAND, TO MEET ENGINEER: DANIEL GONSALVES, SE .1 BOTTOM: 30 097 SPECIFICATIONS OF 310 CMR 15.255(3) SIDES: N/A, - WITNESS: MARY BETH MACKENZIE (BOH) X 15 (.74) 333 GPD i�TM 1 TOTAL. 450 S.F. 333 GPD 13 DATE: 8/6/ ' 37.08 � � ? LEACH FIELD DETAIL 35.91 6 ��69 �\ ' 38.02 1" = 20' USE 30' x 15' x 0.5' LEACH FIELD OF 4" PERF. PVC PERC. RATE _ < 2 MIN/INCH 36.86 36.75 \ .'' 3 . o I p 14091 6 70 PIPE AND DOUBLE-WASHED STONE (SEE DETAIL) CLASS SOILS # 6.75 36.80 36.15 36.73 36.90 \ / 7.02 �5/.62 GARAGE ELEV. ELEV. .84 BENCHMARK: USE CORNER OF 0" 37' D" 37�1 ' 36.93 CONC. SLAB AT EL. 37.9' _ 37. 2 0 38.88 FILL FILL 36 91 O 38. RE-ROUTE AND RAISE PLUMBING TO MA - �73;2 x 38 MIN. ELEV. 36.16' TO MAINTAIN APPROVED DATE BOARD OF HEALTH 10" 10" �' 3 -33 GRAVITY FEED AND NDW5' SEPARATION TO B B 8 37. 8.; 3 6 ADJUSTED `7.69 TITLE 5 SITE PLAN 4 LS LS 38.64 37.4 .63 OF 37.56 10YR 5/4 10YR 5/4 38.13 I EXISTING DWELL. 29" 34.6 29 34.6 37.25 7 37.76 '?5 TOP. FNDN. _ 40.9' 3 �8 217 PHINNEY'S LANE GROUNDWATER ADJ. DATA: CENTERVILLE WELL: MIW 29 8.74 \ ZONE: D �y\ PERC C C ADJ: 2.3' (AUG) 38.13 ��s\ PREPARED FOR 38.06 \ B&B EXCAVATION//ROCKNESS M/CS M/CS o4 \\ 38.31 38.60 \ AUGUST 7, 2013 2.5Y 6/6 2.5Y 6/6 \ \ , oFMgss p 4114 off 508-362-4541 (k6' qC, ��� gsSq fax 508-362-9880 �\ P N'L ALLAA � DANIEL yc� < downcape.com O ALA 39.15 No.4602 v , down cope eaginee�ing, Inc. 120" 27.0' 120" 27.0' I No.40980 39.43 o�FFc STD¢ �0� P civil engineers GROUNDWATER ENCOUNTERED C�? EL. 27.0' Scale: 1"= 20' 39.56 ��� �\ �_.�_1 SS'0 AL�`'G *0 land surveyors 939 Main Street ( Rte 6A) �- , 5® 0 10 20 30 40 50 FEET DATE DANIEL A. OJA A .E�,, P P.L.S. YARMOUTHPORT MA 02675