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HomeMy WebLinkAbout0039 CROOKED POND ROAD - Health 9 rTc>c? < P o n7 K Hyuilli� ` A= 291-2Q8 a I TOWN OF BARNSTABLE LOCATION 39 C'rooKcol Pond PCI. SEWAGE# 2008-a39 VILLAGE S ASSESSOR'S MAP&PARCEL c99/ - aoF INSTALLERS NAME&PHONE NO. i3 4 B Xcayo-q on 509- 4177- 0453 SEPTIC TANK CAPACITY /S00 c?ct 1 LEACHING FACILITY:(type) Lc6tcl,;,,4 cAo n S C z) (size) �3 x o74V x 2 NO.OF BEDROOMS 3 OWNER -F—ran k Rndl r i c k PERMIT DATE: $-)$-p$ COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility.(If any wells exist on site or within NO feet of leaching facility)' Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) # Feet FURNISHED BY b W No N (A a L O a I •b S P S No. � C_i^� L' / � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS . Application for ltgpooal 6pgtem Corgi.5tructiott Permit Application for a Permit to Construct( ) Repair( ,Upgrade( ) Abandon( ) ❑.Complete System ❑Individual Components Location Address or Lot No. 42—D . Owner's Name,Address,and Tel.No. p Kynnnis? ���. �ic1C_ � Assessor's Ma /Pazcel _lWtaller's Name Address,and Tel. o. Designer's N e,Address and Tel.No. b�r(q I t-FoY— ,+l3 e\kcav&. (6n wave nson Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3,3ogpd Design flow provided gpd Plan Date 1(3 IQ 9 Number of sheets - I Revision Date Title 514 4--- S&4)ri Cv A r,n Size of Septic Tank rj��� Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signe d to 8116 10 Application Approved by ate Application Disapproved by: Date for the following reasons Permit No. ;17Date Issued ��' •.l*�k�rtr�•� ~`..;,��.-.�i.--.-.^/*✓-ems J :�.> "..,— .k"*-°-9.'++.•M'9e+R'1�,+ ' ��w E�,�.. �,� ..w�^�"'�' ""�c.No. L v tYl ly_.�a'�� FeeA0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: n Yes l PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2polication for aigpogal �&pgtem Cottgtruction Permit Application for a Permit to Construct O Repair( ,)/Upgrade O Abandon O ❑.Complete System ❑Individual Components Location Address or Lot No. r.�D�QD Owner's Name,Address,and Tel.No. Assessor s Map/Parcel N yn n n i 5 „i ( •� t 1 Q_o v n L.—If WIW- _Vktaller's Name Address,and Tel.No. Designer60's N e,Address and Tel.No. �S emosonn Type of Building: Dwelling No.of Bedrooms " � Lot Size sq.ft. Garbage Grinder ( ) ! Other Type of Building No.of Persons Showers( ) Cafeteria( )i _Other Fixtures Design Flow(min.required) 31) gpd Design flow provided gpd • Plan Date C 1 }� Number of sheets i Revision Date Title 511f" d C eU-)Cl u,17)k f I (I Size of Septic Tank Q,�j Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) "Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of 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 i Compliance has been issued by this Board of Health. ' Signe A " % II P,� Z ate R 05�O j Application Approved by 0 ate Application Disapproved by: �- Date for the following reasons Permit No. �.► Date Issued`" ——————————T :: ——————————-- THE-COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (VI) Upgraded ( ) Abandoned( )by J� thn t, — n at 3 9 C r,�,Y P(l /� Cljo(l[) hasAeej2 coustructed in act ante with the provisions of Title 5 and the for Disposal System Construction Permit No. ::? dated Installer v zpzl k: ao Designer 1 v #bedrooms Approved design flow 3 n gpd The issuance of this permit shall not be construed as a guarantee that the system wi L tion as design f . Date t G d d Inspector ——————— ———————— ————.————.-—————————————— 0 0 3 No. Fee — T E COMMONWEALTH OF MASSACHUSETTS i PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Digool �&pgtem Construction Permit j� Permission is hereby granted to Construct ( ) Repair ( '') Upgrade ( ) Abandon ( ) �" System located at C r eo nk P��1 �L�( 1(7— \/l f fl n i-C-) i i and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: C st ction m st b completed within three years of the date of this permit. Q Date Approved by Q , 08/14/2008 00:11 5087719310 RUSTYSINC PAGE 03/03 Ln T 1 A b T a 4� 3T �$8 17 A � O f7+ S c Z 001 Ld 0 0 r W p ` . a c Town of Barnstable �OF1HE..T y� Regulatory Services i. Thomas F.Geiler,Director a Public Health Division rFp A Thomas McKean,Director 200 Main Street,Hyannis,IOTA 02601 Office:.508-862-4644 Fax: 508-790-6304 Installer &Designer Certification Form Date: I* Designer: Installer:. Address: . fAk ► Address: a On, 8 ` 8� b 1�D was issued a permit to install a (date) (installer septic system at 3� (P-b9 �D based on a design drawn by (address) 0 ���1� ^-� , �✓ dated (9 115 10 9 (designer) V :.certify that the septic system referenced above was installed substantially accord ' .�' 7ng to design, which may include minor approved-changes such as latga . eiocatiori of the d aribution box and/or septic tank- I certify.Ahat the septic system referenced above was instw.ed witli".biajor:changes_ (i.e• greater the"Y O' lateral reloeatiou of the SAS or any vertical irelocatioti of any component of the septic system)but in accordance with State &Loc_Regfdatlons. Plan revision or certified as-bi f*designer td follow. Z116r lab I_D (Installer's Si atur ) B cn MASON. `m No 1066: I T P� (D er s Signature) (Affix er's Stash-D Her ' PLEASE RETURN TO BA_MsTAEL I PUBLIC.,HEALTH.RI-VISION. C RTIFI.CATE OF COMP]L,IAN.CE W1�I.1L=kNT : SSUEVi BOTH,:THIS�FOI�IVI'AT�TI�' AS_ BU LTC ARE RECEI BYBA12 ST.AKLE PUBLIC REAJ. Ei D ISI�1�1 THANK YOU. Q:HealdAept dDesigner Certification Form Town of Barnstable P# Department of Regulatory Services Public Health Division Date sAM 1639.h�� `2t10`Main,.Street,Hyannis MA 02601 Date Scheduled ` Time Fee Pd. / Soil'Suitability ACsspessment for Sewage Disposal Performed By:��V�� f rlW Witnessed By: , l LOCATION& GENERAL INFORMATION R-5 Location Address q Croovf 0-Ron o n r'1 Owner's Name Tra n��Otk�(lejC NyQ n 2 jS t Address 39 CrCove�-i on o e,0 q 120 tNyanni5 Assessor's Map/Parcel:....:. � En 'ne er's Name �losy n 1 A / NEW CONSTRUCTION REPAIR Telephone#_" -1 i l/� y�� /''jam�f� Land Use _ ���(J�`K/ /"U V Slopes(%) � Surface Stones Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way _ ft Property Line eft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands In proximity to holes) c3' . t, 00 N tX) U_ co 3% L o rn s / _`1_ /Ov _ _._-.-...- Parent material(geologic). D 4 _{_ �__ _._ Depth to Bedrock — , .t_ Depth to Groundwater. Standing Water in Hole: �✓� + Weeping from Pit Face k 4 Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: _ _in, Depth to soil mottles: 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 Thee Observation Hole# ----� Time at 9" Depth of Perc Time at 6" Start Pre-soak Time @ Z Time(9"-6") End Pre-soak IW VLIq Rate MinJlnch Z M/4' Site Suitability Assessment: Site Passed Site Failed: 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(1)week prior to beginning. Q:XSEPTICIPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistencv. ravel '� Pf L lc�t , " 51 �- n!o - DEEP OBSERVATION HOLE LOG Hole Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) 36 c �? 4, DEEP OBSERVATION HOLE-LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) F J DEEP OBSERVATION HOLE LOGS' Bole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. o si'e 4 Flood Insurance Rate Man: Above 500 year flood boundary No— Yes Within 500 year boundary No u es Within t00 year flood boundary No `! Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring p!K� l exist in all areas observed throughout the area proposed for the soil absorption system? . /`,/ If not,what is the depth of naturally occurring pervious material? Certification I certify that on �� (date)I have passed the soil evaluator examination approved by the Department of Envir mental Protection and that the above analysis was performed by me consistent with the required Date 03ed training,expertis and experi n e cribed in 3 10 CUR 15.017. 8 �3 Z Signatur , Q:\SBpTICVERCFORM.DOC t LOCATION : . 5E 6,C.4E PERMIT UO.- Asao� cc — VILLAGE 44'�.-a.�S — _��o IWSTLPLLER 5 WLIKAEee '.A&.DDRESS - - 5 1..►-&VA -19,: AD -RF.5 - DNTE -P-ERN IT_ 1.55UED DATE COMPLI.W-ACE _ ISSUED a 3 � �' i i �� K � � s:,a' �.,, � y �,�'' \' � THE COMMONWEALTH OF MAS\�ACHUSETTS BOARD OF F ISL-1 m.. Q� ------OF.-��GG2�Lf�� - ..... Appliratinu -for Ui,i oiial Worbi Tomitrurtiou Prrulit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal syst . _-Jk................ ocati -A ....�:...7.01. ess4 - or Lot N . ...... ----------------------------- Address Own pp --------------------------- ....._ .taller Address QType of Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms-------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) per, Other—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures Total daily flow gallons per person per day. n Flow -------------------------------- Design Flow -._-_-_--_----_____.-_______-.____'.._...gallons. ._ W _ 11ons.. WSeptic Tank—Liquid capacity------------gallons Length---------------- Width................ Diameter_---._..._-_--_ Depth---------------- x Disposal Trench—No..................... Width-------------------- Total Length.------------------- Total leaching area--------------------sq. ft. Seepage Pit No--------------------- Diameter__-___-__--._.----._ Depth below inlet.................... Total leaching area-------.----------sq. It. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY-------------------------------------------------------------------------- Date--------------------------------------- ,aa Test Pit No. 1----------------minutes per inch Depth of 'Pest Pit-------------------- Depth to ground water--------.--_----_.-..._. f= Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water_--------------------- ---------------------------------------------------....................................................................................................... 0 Description of Soil--------------------------------------------------------------------------------------------- -------------------------------------------------------------------------- x U -----------------------------------------------------------------------------------•. .......................... -------------------------_ ------------------------------------------------------------------------------ - --- � = U Nat re of Repairs or Alter tioV—Answer when a plicable.. ___ .___ j............... E ----�-� dd,-�:1r g reement. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b sued by the board oYheal l Sie ... _�* `� -------------- Date Application Approved By.... --- -LL�u1. ------ -- --._...._.._.Z Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------- ----------------•---.....---------------------------...-------------------------•----------•-•-------•--------------------------------------------------•----------------------......_---- ............ Date Permit No......................................................... Issued---.11,51 -4k--- ? -Zr------- Date No.-- ..3•-Z..----... FEsp THE COMMONWEALTH OF MASSACHUSETTS BOARD O F AL_T_H. ----------------------- ApplirFation -far Uiiplasal Narks Tonstrurtiaaa Vrruift Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal Sys ..•-•------ - -.i_ .. .- ................. .. ocat' -Address or Lot N . ... -------.......................................................................................... q� w Address . ............ = 3 .............................•-•---•-----•....----------- staller , Address e of Building , Size Lot---------------------Q Type g _..._..Sq. feet U Dwelling—No. of Bedrooms________________________________________-Expansion Attic ( ) Garbage Grinder ( ) per, Other—Type of Building p ( ) ( )---------------------------- No. of eI-sobs.-----------:-----.-•-.--... Showers , — Cafeteria a' Other fixtures ------------------------------------------------------ W Design Flow...................:................. ....gallons per person per day. Total daily flow------------_........................ _-.-.-,-gallons. WSeptic Tank—Liquid capacity.....�t----gallons Length-............... Width_.............. Diamet�r------ Depth___---.__.._-- x Disposal Trench—No. _._________ ,. Width_« -------- Total Length___________________ Total leaclrng�lrea___...__ _...__ sq.dt .4§ � Seepage Pit No..................... Dtameter ..._.. ,,, Depth belowlinlet..................... Total leaching. trea_____.... _..____sq. it. z Other Distribution box ( ) "hosing taiik Percolation Test Results Perfo9med by {_ __...-_.- *--.._-_______`=`_.__:_ a ,-, --•---------•--••------------ Date.....-----•---•----------------------_. a Test Pit No. 1----------------minutes per inch -Depth-^of Test Pit.'?,............... Depth to ground water:-..----------------------- f� Test Pit No. 2................minutes pen inch Depth-of,•krTest Pit------ "_______._ Depth to ground water----------_------------- x ----- Description of Soil-------------- <, ..a ---------------------------- U VW ---------------___---------------------------------------------------------------------------------- . -------------- - . _... Nature of Pepairs or Alter tiotgs—Answer when a licable._ .__ _� ��p_P_.__.. 1 _____________ --- ------------ -------•--•---•-----------..... greement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has hseh' 'ssued b the boar of hea Sia .. •-•---• :: Z. Date Application Approved B ......................... 3 Date Application Disapproved for the following reasons:.................................... -------_-----------_--- '----------•---------------•----------------- 'a ........... _ ...................... x , Permit No.-------•--•-.... ---• Issued.. .<_�l D..' -•-- -- --- e --- ate N THE COMMONWEALTH OF,,MASSACHUSETTS r .BOARD HEAALT' �, .: Y.n s ............OF....... ................ .. .. .. ...... ......................... ...to-1 .. . �. d '4L t'1 'IT rrtif iraatr of (tam 'fiaurr T S 0 C TIFY, That t vidual Sewage Disposal System constructed ( ) or Repaired b Y x ------ i -•--- 7 Inst at • .. has been installed in accordance with the provisions of Arm XI of The State SanitarNOCode as described in the y application for Disposal Works Construction Permit No--- .___.(_. ' .............. dated._.-47__`Af._7. .s.............. THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-,............................................................................... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH ll ^^ ....... . No...[._-��...G......-- FEE- .. ...... %spolia�'��"fig a mstru tj $ rrmit Per.. is 'on is hereby rante "'_'___L!1_.1 _.__.. ? .- to Cons t ( ) Ar Rep t (+ ) a�i Iividuaae;ewa.... t os Syst .`~ -- Street as shown on the application for Disposal Works Construction P mit N z_.... = .................................. . Board of Healt b l� DATE. - FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS TOWN OF BARNSTABLE '75- 3 7LOCATION � PL` � I SEWAGE # VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY '`' ; ' - LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No - f� G: . Map/Parcel 291 208 Relocated (7) 2/6x4/0 Windows Frank & Mary Ann Roderick 5-0 x 6-6 Match Existing on House 39 Crooked Pond Rd Slider (Anderson 200) Hyannis MaI, 02601 7' 19-32 Scale 1/4 = 1 .0 New Laundry 2/6 A x Floor Plan A-1 W-D 6/6 New Family Rm 16' New New Existing Existing 4' ° A OO Wet Bar 5-D x 6-6 Yard Storage Bulkhead 5'-4" Existing Existing Framed Openning Existing Storage Bath_ 42x30 g, 5'-4" S/F D Window 14' 8' Bath 00 19' cl Dining Rm Kitchen 00 cl Bedroom 2 REF. IF24' Existing S/F Dn 14' g- Home Office r _ uP Bedroom 1 Fn Existing Ridge 21'-31" Existing Roof T.O.R. Elev.12'-5" Existing Ridge i • 8"Pitch 5'-7& 6 1/2'Pitch ----......_ 4 5'-2" 2 1/2"Pitch T_O_P_ Rev.T-4" 1T-111" 2 8,-4„ Existing R oc.5 / 6 Existing T-4°An rson Slid r _ " 112 T.O.F. Elev.(0'-11/2") Elev. 2'-0 1/2") 2 4 , West Elevation Frank & Mary Ann Roderick Bot FootingElev. 6'-0 1/2" - Scale 1/4"= 1'-0° 39 Crooked Pond Rd Hyannis Ma 02601 5/18/16 t 2x10 Ridge w/2x10 Roof Rafters 2'-0"on center 2 Plywood roof decking w/250#Fiberglass shingles ---------------------------------------- , c 2x4x7'Studs w/2x10 collar ties 2x10 floor joist w/j plywood decking.w/solid blocking (3) 2x10 carrying stick on steel post 10"concrete foundation 4'below grade w/2"poured dust cover Existing 8"pitch roof IL-------------------------------------- '��' Insulation type and "R"value T.B.D. by Insulation Contractor 6.1/2 pit /'�,'� Existing �\\\ "pitch 5'-81„ 21/2"pitch -,-'�-------- Insulation type and "R"value T.B.D. f---------- (Typical) F� ----------- �- Plate lelev.74.1141 Laundry Existing 7,-44 „ ii s Floor a ev top of foundation el�v (11.1/4') -' J� 4 ' Grade T----� -_- F_ ;r-� Grade L4x2]4 �_�---- 1--J -2.1/2"dust slab 1'- --� .0 • Existing 9 footin and „ 8 foundation wall Elev.(4-9.1/2) E1ev.(6'-3.1/2') Elev.(6'3.1/2') map/parcel 291 208 r o- L`^ 9'-02" 1l .9 6"x6"x8.3/4"Pocket t New 10"Concrete Foundation Elev(11.1/4') Top of foundation Elev. (5'4') Bottom of foundation 1 ' a : - — - --�—T--r--1��— . 10"concrete r- -L-J--1--L-J-L ; foundation •"'T • I E Elev.(11.1/4') TOF 2-18"x18"x12"Footings L� Elev.(3"-9.3/4) BOF Elev. (4'-9.3/4') Bottom of footing J I L---L-J--- --�--J-- T�---L- --L---- -- 1---L-L--A--1--�y- I I ri I Existing 8"Block Foundation i I Existing 8"Block Foundation Map/Parcel Elev. (3'-9.3/4') Bottom of Footing i Elev. (8'5.3/4') Bottom of Footing 291 208 Frank-Mary Ann Roderick I i 39 Crooked Pond Rd Hyannis Ma �--� 22' Ir I _ 5-10-16 S-1 Foundation Plan n 44'-114„ 4T-114„ 36'-112„ O 00 14'-11n 4 59'-8a Proposed 383 sf 3" 22'-1a" O 23'-104 Addition 0 (D 15'-11 L——— — II 71'1 14242°r===- i IL II III 1 4 --8=6j° --~II DII II j� Ifi 4'8 " Al-23.5' Ii II B1-14' II 116'-104" II 1&2-SEPTIC TANK II I A2-22' 11 I I 82-1 T j 43-114„ 1 3-D A3-27' I — BOX B3-36' I \1 I j f —�I I 4-LEACHING CHAMBER A4-31.5' I _, 77 14" B4-40' II --_ 13 112 I 13'-4" 4, 1 --H 5-LEACHING CHAMBER B5-39!5' — \ / 41'-12" II I ___________________________________ -- � 1 1 4„ / J � / R-30" I / \ _ 38'-10 „ 39'44„ j Drywell for downspouts I I FranWary Ann Roderick 39 Crooked Pond Rd Hyannis Ma, 02601 \ / \ Scale 1/8"= 1'0" •°.,. 31'-3„ ———— Site Plan- S-9 Map-291/Parcel-208 Date 8-5-16 91'-11" ASSESSORS MAP : _ _ ___._.__. _.... _.... .__ .._..._..__._........ _ ___..... . __-_.. TEST HOLE LOGS NOTES: PARCEL: .ZG . ..... SO I L EVALUATOR: VF Q FLOOD ZONE: AICIr !'CPC,/G 3G, .. __..._. .. . _ WITNESS : t aft Ib 1 1) The installation shall comply with Title V and Town of Barnstable Board of I� ,a'` Health Regulations.REFERENCE _.._G" f� �2cC DATE: Vt- Z ttC7 g (�. 2) The installer shall verify the location of utilities, sewer inverts and septic PERCOLATION ATE: Z (Ju W, 1 , components prior to installation and setting base elevations. 3 All gravity septic piping to be 4 inch Sch 40 PVC at 1/8' per foot. The first ) g Y p P p g ' TH- 1 TH-2 two feet out of the d-box to the leaching shall be level. Al ITT-` �Sv� � o+�. �7 Lo 4) This plan is not to be utilized for property line determination nor any other �h r Ip tK4 Z �� t o purpose other than the proposed system installation. � IT � 5) All septic components must meet Title V specifications. �---'� LP �V 40$"e .$*400 6) Parking shall not be constructed over H10 septic components. Z,� 148 �,,bD « foYAWs PO 7) The property is bounded by property corners and property lines. LOCATION MAP 3� 8) The property owner shall review design considerations to approve of total 5 design flow and number of bedrooms to be considered for design. Receipt of payment for the plan and installation based on the plan shall be deemed approval of the design flow by the owner. 9 The existing leaching or cesspools shall be pumped and filled with material ) g g p p p -- 0 D(7 per Title V abandonment procedures. Those within the proposed SAS shall ' Z�' be removed along with contaminated soil and replaced with clean sand per J Nt Ct 'E?, .w4' L I Title V specs. 10)System components to be 10 feet from water line. Sewer lines crossing the 123Z� l ��? gfr.1t- _._._ water line shall be sleeved with 4 inch SCH 40 PVC with ends grouted if to MIS �� SEPTIC SYSTEM DESIGN applicable. The proposed SAS is being installed below the water service line. The line is to be sleeved as aforementioned and maintained in place. 11) If a garbage grinder exists it is to be removed and is the responsibility of the `` \/ FLOW `ESTIMATE owner to ensure such. tp O 12)The installer is to take caution in excavation around the gas line. p \ �BEDROOMS AT I GAL/DAY/BEDROOM -J GAL/DAY 13)The installer shall verify the location, quantity and elevation of the sewer Mr�� a lines exiting the dwelling prior to the installation. � SEPTIC TANK , 1V GAL/DAY x 2 DAYS - 00 GAL USE 1600GALLON SEPTIC TANK IT SOIL ABSORPTION „SYSTEM LAY z zy '� e3' x �- .�!DE AREA: � � � -- BOTTOM AREA: /3 X 7 A 3 G �I SEPTIC SYSTEM SECTION h lV!' r11 / �a5 $>qf 1� 38•c7 ,� if(J GAL 7j �aZ Aj 1 ° R- S _ 1 t_._.r �__. ° . ,1 0 SEPT I C TANK 2- r K, �.. (ra zele DA,VIL7 SON �, S i TE AND SEWAGE PLAN NO,1066 FO( ATION : 1Q " PREPARED FOR : ,� ' Yam, Vg77h1C,4- P SCALE: / W DAV I D B . MASON, -,-_- DATE: / 4 DRC FNV I RONMFNTAI- nF.S I r,NS y t'As l 0AI11,w I t.I1 . 1AA W DATE HEALTH AGENT ( rjQ$ ) 833- 2177 3 W Z