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HomeMy WebLinkAbout0049 EDLEN LANE - Health 49 EDLEN RD., HYANNIS A=271-153 a f,. t t p 1 l ej� f / ) r� No. ® t7�- V Fee ( O%l/ THE—COMMONWEALTH OP MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 9pplitation for Disposal Opstem' Construction permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Y?Fd i eri L N r- ywNJ S Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Q"] j ^, 157 3 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 1bJS�` At 1CC7wa Ljc S00-400-7/S-S Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) _S 7 O gpd Design flow provided 3 '; 2._ gpd Plan Date 3/ `3! l i 2— Number of sheets z_ Revision Date Title Size of Septic Tank c Xtg�i..,� Type of S.A.S. 3 c F/c X/- 2C9 Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1evS ye, rse✓ S A S 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. Signed Date f� '�— Application Approved by ION= Date Application Disapproved by Date for the following reasons Permit No. .(� ( `2 Date Issued 6 it r --------:--------------------------- -------- ,No. a O I pL "' 7� '6 a--.� , Fee V - Ti-`:�.'O fiMONWEA" H�°O9"MASSACHUSE�TTS Entered in computer:_t PUBLIC HEALTH DIVISION -70WN '0F BARNSTABLE, MASSACHUSETTS Yes ftplication for.Misponl *pstem Construction Permit Application for a Permit to Construct( ) Repair(//Upgrade(`) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. QY 1_d I P j L o e 11141111 $ Owner's Name,Address,and Tel.No. j"r Assessor's Map/Parcel 2 -1 ( 1 5-3 Z«JNrv, / Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. �Js1oc A i,.,c So6�`100-715- Type of Building: Dwelling No.of Bedrooms 3 Lot Size //,6/9z sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) O gpd Design flow provided gpd Plan Date 3 -31 1 1 Z Number of sheets -7- Revision Date Title Size of Septic Tank Xi 5fi;NSr Type of S.A.S._ 41 e Description of Soil Nature of Repairs or Alterations(Answer when applicable) i.vg r-c // .v ✓ 5A - 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. Signed Date 6 Application Approved by A tK_ 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( ✓jam Upgraded(. ) Abandoned( )by ,( ;j e.s A n1 C at L-1 el E],,! r,.J L�/ has been constructed in accordance / with the provisions of Title 5 and the for Disposal System Construction Permit No. ! j7 dated .�- Installer : I <4 Designer ,✓-ir �.,..- �,✓�, /�g #bedrooms Approved design flow I SS, gpd The issuance of thispermit:shall not be construed as a guarantee that the system wi, function e ' d. Date 1 Inspector - - - ------------------------------ - - No. Fee (�� ` THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( ✓jam 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. �n G Date Approved by ��%�^- f 06/04/2012 14:05 5084775313 ENGINEERING WORKS PAGE 01 Town of Barnstable Regulatory Sea bees Thomas F,Geiler,Director B AL ; Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02681 Office: 508-862-4644 Fax: 508-790-6304 Date: Sewage Permit# =-/ � Aar nser's Map/Psrcel 2 71 ~ 153 Flier&Desimner CertiflaMon Form Designer: �,, " a&& ...? Wartos� lnc. Installer: D. A. Add s; t� 1•f, Crb : of IU. Address: P ids i - -_ ` da to M 4, 07-�64y G �.rnr�► 1 �' 4Z�3 On P,A V:0 was issued a permit to install a (date) (installer) septic system at 4t-1 1�,7d l-fr\ LOWLt n -1 based on a design drawn by (address) dated 5-/1j j-'z--- (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. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with ma or changes (i.e. greater than 101 lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State dt Local Regulations. Plan revision or certified as-built by designer to follow. Stripout (if required)wa ted and the soils were found satisfactory. OF PETER T. Insta er's Signature) M CIVIL EE 9 No.3St�o (Designer's Signature) (Affix Desi ) PLEASE RETURN T STABLE P LIC HE T I N. CER CA'1[`)C OF C L1iANCE T BE ISSUE UNTIL BOTHAND AS- BOIL RECEIVED BY THE B PUBLIC HEALTH THANK YOU. q:b�iia ror�saldesigneroertification fbrn►.doc - DEEP.OBSERVATIONROLE 1106 Hole# Depth from Soil Horizon Soil Texture Soil Color. soil Otl►er Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. 'Gravel) p = ) O /�cc v� L c 9/t —/Zv. e -S,- 2, DEEP BSERVATION HOLE ZOG Hole# 4. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ns go; , DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other y Surface(in.) ! (USDA) (Mansell) Mottling (Structure,Stones;Boulders. i to - e ._ "- — _ s ___ �:4,. _.. --�_.�..�—. ., d__ -.., -. -.•-.-,mow...._ "- _�_�y:_-3"s--',;• :�::;: DEEP OBSERVATION HOLE LOG Hole# Depth:from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) — (USDA) (Mansell) Mottling (Structure,Stones;:Boulders. o n Flood Insdrance-Rate'Map: Aboye=50�`year:i]o d-boundary No, Ye -- - } i No {� Yes rtF ::�Vithiu"500'year`loundary Within`l00 year flood boundary No Yes_,_. .,-Depth of Naturally Occurrine'Pervious Material Does at least four°fet5t:of naturally occurring pervious material'exist in all areas observed throughout.ihe -area proposed for the soil absorption system? --{==-5---- •If: rtal? what ishe de ti'ofnaturallY occurrin3 pi mate - I certify that on f��G�y .(date)'I have:passed he soil evaluator examination approvedyby}the `Department of Envtrontnental Protection and that the above analysis was performed by me consistent with - the-required training;expertise and experience described in 310 CMR 15.0.19. Signature Date Q:\SErnCVERCFORM.DOC ZY Town ofBarnstable. .P# Department of Regulatory Services „ ,.� r Pubbc Heal th.Dvlis><on, Date a'"es p,s639' �� 200 Main Street,Hyannis-MA 02601 Date Scheduled `� Time Fee PA. tl Uo Crz1 Soil Suitability Assessment fo r Se e Disposal Pered By: �Ptl 1'�fk- Witnessed By: P—s form LOCATION& GENERAL INFORMATION Location Address q i r s Owner's Named f „r-a„ Address Assessor'sMap/ParceL 2-7 Engineer'sNaY t✓+(ee NEW CQNSTRUCTION/ . REPAIR. Telephone# 57O 6 — -7 Zj-7 —4 7 0. Land Use Slopes.(%) .Surface Stones Distances from: 'Open Water Body? ° ft Possible Wet Area 71 ft Drinking Water Well'2 G ft Drainage Way �I-1 ft Property Line +/ ft .Other, 4---ft Af,> � SKETCH:'(Street name,dimensions of lot,exact locations of testboles&perc tests,locate wetlands `n proximity to'holes) 00QA rCA U D', l � Parent material(geologic) v u 'OJ�� Depth to Bedrock / 1 . Depth to Groundwater. Standing Water in Hole: N/A- - Weeping from Pit Fece Estimated Seasonal High Groundwater 'z/ 2 0 C DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soli mottles: ht. . Depth to weeping-from side of obs,hole: _ _ in. GroarA,wnter.Adjustr+ent Index:Well.# Reading Date: Index Well level Adj,factor Adj.droundwater'Level,,,,e PERCOLATION TEST We Tune.. Observation Hole# Time at 9" !2 cj-A Depth of Perc Time at 6 Lk Start Pre-soak Time @ Time(9"-6') G 2 End Pre-soak 1 Rate Min./inch Site Suitability Assessment: Site Passed ✓ Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:ISEPTICIPERCFORM.DOC TOWN OF BARNSTABLE LOCATION. q9 / L /, SEWAGE # VIl.LAGZr. ASSESSOR'S MAP& LOT_.ja4_ l,� INSTALLER'S NAME&PHONE NO. SEPTICJ'ANK CAPACITY j LEACHING FACILITY: (type) (size) nn NO.QF B>;DROOMSLl � BUILbhk OR OWNER � ��•;,,, ------------- PERMIT.DATE: COMPLIANCE DATE: 4—_ 7.�, 9g Separation,Distance Between the: Maxim.qt Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private:V!ater Supply Well and Leaching Facility (If any wells exist on site or within 200'feet of leaching facility) Feet Edge of W-et.land and Leaching Facility(If any wetlands exist withiii n 3001eet of leaching facility) Feet Furnished by. f� 7e0jt i , F c .8;� , C/ .� !, No. Li Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Application for ]Di!5po 6p,5tem Congtruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.qq ED LrCK1 Q2 _/r_wwf,s Owner's Name,Address -and Tel.No. Assessor's Map/Parcel ( L V1 D Iv Installer's Name,Address,and Tel.No. 'J Designer's Name,Address and Tel.No. 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 3 d gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank ' . u Type of S.A.S. �NN C4 pea�T��x Description of Soil Nature of Repairs or Alterations(Answer when applicable) b L-r 1- f STv l( 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 de and not to place the system in operation until a Certifi- cate of Compliance has Healtaa Signed Date —6/L Application Approved by Date_ *jk Application Disapproved for the llowin reasons Permit No. =` �/ Date Issued No. — Feed_ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -,TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Mi-5 C *p,5tem Construction J)ermit Application for a Permit to Construct( )Repair( Upgrade( )Abandon( ) El Complete System O Individual Components Location Address or Lot No. E L� ��G�V�w�s Owner's Name,Address and Tel.No. Assessor's Map/Parcel ` 1 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. (M� 0-coo-e er Type of Building: Dwelling No.of Bedrooms _ Lot Size sq.ft. Garbage Grinder Other Type of Building No. of Persons Showers`( ) Cafeteria( ) Other Fixtures I i Design Flow gallons per day. Calculated daily flow 3A`1 igallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank _ Type of S.A.S. ��-rct,ha Description of`Soil v. Nature of Repairs or Alterations(Answer when applicable) -1 �� ( �-� � � �, �-�31 E ::Q-- A A stop 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 de and not to place the system in operation until a Certifi- cate of Compliance has bee his Bo of Health. Sys /! i ; Signed xi Date Application Approved by f i Date ejj 4G Application Disapproved for tti owi reasons Permit No. Z Date Issued - - THE COMMONWEALTH OF MASSACHUSETTS - - ;r BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded Abandoned b at has been constructed in accordance with the provisions of Tit'1e-5'andthe'for Disposal System Construc ion Permit No, dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. _T_ Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mi00.5ar *pgtem Construction Vermit Permission is hereby granted to Construct( )Repair( 11�dpgrade( )Abandon( ) System located at 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:Construction must be completed within three years of the date of this permit. J Date: - _ Approved by f _ b Is To Be Used For the Repair. Failed � . NOTICE. This Form [ = ' r A y Septic Systems 0n1Y• 4 _ x k 'PION FOR f er ON OF SKETCH AND APPLICA OVT } CERTIFICA'I'I CTION PERMIT(WITH DISPOSAL WORKS CONSTRU ., LAN ' ENGINEERED PS) k di 01 works rE b� hereby tx RY thst the application for spu 1,._. s. c cottcanin8 the• tntctitm permit signed.by.me dated H m./, ' eels an of the Le—W ' e"located s: grop t foUowing criteria: .. , leachMs Why �/ Ire n0 wetlands loafed wift 100 Post of th0 Prof "pit,"stem � ma y' wells within 13o Bret olthe prop° • as u M flow andlor dnn6e in we - • s There Is no Maease ! ' sre no VIS "raw a needed• , a bottom of the r within 230 fat of any wetlands,the leeching rsc"ty will be located ,... loafed las than fourteen(14)feet above the maximum adjusted P Iencl+Mg fUcility will t1At be i �table eleratian. 1 - Mae complete the fon"40gs inearins Dlvlsion 0.1.&map) A)TOP of Ground Elevation to the Bn6 M to Nealth Divhton well Map) PO otonndwater'hbk glevetlon(accord g 8).Observed 3 S r DATE: MSTALLER M Ti�B TOW1d OR BARNSTABLB NU M88R LICENSED SBPTIC'sYST81N I " hnalNr Ne a eertlow Plea Plan. �AtteaA a dwob 00 etthe prepeMd MtM+.Abe If 1M ilanMd ' fhb plan diouM be submittedl. 1 ` i r i 'mot L� r� a+te�ant 1 1 �� .� .� ''"''' ` � C �1 r + r, �= TOWN OF BARNSTABLE 7 —LOCATION 4. 1ED1 EAJ,.,L, AD SEWAGE='# VILLAGE "ufnitVt ` "ASSESSOR'S MAP&PARCEL 2;71 w INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY Sys¢ ey 5 LEACHING FACILITY: (type) .A(C 3& (size) j j,!J )( 2.e, . NO.OF BEDROOMS ;F . OWNER CC:t� PERMIT DATE:.G / COMPLIANCE DATE a Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility /►� 7Jer W,S Feet Private Water Supply Well and Leaching Facility(If any wells exist on Pe C 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 f d /` !r e W G � N r- cO, S -r� rNN c ci Clt c,� TOWN OF BARNSTABLE LOCATION ''/? C, LeXl L,t/, SEWAGE # — a..!L/ VILLAGE- ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. R t2jk2Z—R�me!!& SEPTIC TANK CAPACITY ��ad LEACHING FACILITY: (type) 2 t (size) V t4/�_ NO.OF BEDROOMS t'I ec BUILDER OR OWNER � - PERMTFDATE: 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 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 r f.t L7� '----_ io� � '� 71 v W- � J -°_0 No........... / Fas......l..► ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Apphration -for UWpotitt1 Works Tonfitrnrtinn Prrutit Application is hereb}' m'ade for a Permit to Construct (�or Repair ( ) an Individual Sewage Disposal System ate �OL , ...Q1La....................... ................... ..f' _ Locat}�-Addres / or Lot No. - Owner Address W Installer Address Type of Building Size Lot... feet U Dwelling—No. of Bedrooms_..........................................Expansion Attic ( ) Garbage Grinder (4,0 aOther—Type of Building -a._,------------------------ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other. fixtures ----�v Oti:C'-------------------------------- Design Flow........... g P P P Y Y --------------gallons. W e........................gallons per person per day. Total daily flow :2�...___ WSeptic Tank—Liquid capacity//d egallons Length-------------_ Width................ Diameter_-____.------__ Depth.__._____..---. x Disposal Trench—No- -------------------- Width....................,Total Length.................._.Total leaching area--------------------sq. ft. Seepage Pit No.i6 °� -0.7,}l Diameter__):?P -Cg4iVkp below inlet}.................. Total leaching area--- ft. z Other Distribution box ( ) Dosing tank ) ,� /�� 77 '-' Percolation Test Results Performed by...�._-_--� ---:n.... r.W ci9-------- Date--- a 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-_.____.__--.____--_.__- ---------- r'------"_ -------- Description of Soil �:� a - V --•----------------•---------•----- oV ----••-----_--------•--•-•------------------••--••---•-------------------------------------------- W V Nature of Repairs or Alterations—Answer when applicable................................................................................................ -- ---------- --------•------------.-------------.-.-------.---..------..--------------.--.------------------.-.----------------•--- --.--------------------------------------------------------------. Agreement: I 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 been issued by the board of health. S Sa--- Date Application Approved BY -------------- Da*-te- Application Disapproved for the following reasons_____________________ _ --••----•--•---------------•------------------•--••-----------•-Da -------------- --------------------------------------•--•-------------------•---•-••-------------------•--•--------•--------------------------------------------------------------------------------------------------- Date PermitNo......................................................... Issued----------------------- ................................ Date 4 No..••••-•:--t .. T#. F�s......j�t'5-�............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH AppliratioO -for Jiopooal Eorks Towitrurtiou Permit Application is hereby made for a Permit to Construct (44'or Repair ( ) an Individual Sewage Disposal System at:�• a Local m Address(/.� or Lot No. {+1 ! � _..... �a' j:#------••---•--•---•-••-----•--•-------- •-------- Owner Address W Installer Address Q Type of Building Size Lot... .____._ S_�. feet U Dwelling—No. of Bedrooms.________. _____________ p ( ) g� _ _.___..______Ex Expansion Attic Garbage Grinder ( 4 aOther—Type of Building ___________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) d g fixtures ---- - •••-------•----•----............ ----------------------•---•--•---•-•-•-•--••--•--•--------------------•------------•--••------ Desi n Flow_....._..__ q....................... allons per person per day. Total daily flow__________.., '______-__._.______gallons. Other W WSeptic 1 ank—Liquid capacity/ gallons Length---------------- Width-----.__ ------- Diameter---------.------ Depth..___.__.__... x Disposal Trench No Width .__.__.._._._�._._ Total Length-------------------- Total leaching area.__._ _._._____sq. ft. Other Seepage Pit Distribution box >�Diameterj rillle'p below inlet_. W.......... Total leaching area---- ! _sq. ft. z ( > ) '-' Percolation Test Results Performed b Date---- a Test Pit No. 1________________minutes per inch Depth o Test Pit..-________________ Depth to ground water..___._._.__.________. Li, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water---------------------- fYi -----••• f O Description of Soil------- ----- '' s �` ; ------- x MrN - W VNature of Repairs or Alterations—Anstiwer when applicable---------------------------------_..........._______________________.___._____..____:___..- __••----••--------------------------"- .,. ,; -------------.. " ,- .--••----••-•-•----- -- ------•--•----' ------••-•--•--------••----------------- ---- -- ------ Agreement: " 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 been issued by the board of health. f. Date A lication Approved B :._____ PP PP Y Date Application Disapproved for the following reasons:---------------------------------------------------------------------------------------------------------------- ---•--------••--•-•---...------••----•-•--•------••-•--------------------------•--=----••--------------------------•----------------------------•------------•--•---•---_•-•-•----------------__-••----- Date PermitNo.......................................................... Issued...................... ................................. Date THE COMMONWEALTH OF MASSACHUSETTS' ' BOARD OF HEALTH s �..........................oF........ ....................................... ....... ? Tutif irate of f1,Ompliaurr THIS IS C -FY,,That the Individuat"Sewage Disposal System constructed 'or Repaired ( ) I� bY---•---•-• -••••- At--- .. :::--•-- - --------------- -------------- ----- -------------------------------- ' �} / ! Installer at... f..ta'"` :t `rC " `-------------•-------------- - ` --,�"'''t'f ----------------------•-•--•---•--_----•--•---•------------ has been installed in accordance with the provisions of A • �iY of. The State Sanitary Code as described in the application for Disposal Works Construction Permit No- --•---•---Vr,_/'•-._.._-__ dated.•:._/_ -----A.�1t___'_7_�_____-_---__ TOLE ISSUANCE OF THIS CERTIFICATE SHALE. NOT BE CONSTRUE© AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. -----------•--••-•------ Inspector.___----___• ------------------------•-----r`e................. DATE--=----•------------------------------=------------;.,;- ----•----------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - ........ of... No. FEE y _• ui-rivo� _ `(n000trurtion Permit Permission,is hereby:granted:--- x -... =-- ------------------------------------••---..•--•-------------•-•----•--....................... to Con'gtructi, or $epatx ( an Indvi ual Sewage Disposal System �" (� at No::: f� �1 ,� _�....,.:�....................................... --------------- Street as shown on,the-application for Disposal'Works Construction P it No __ J Dated 2" �=''� 77 Board of Health ' FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - - - -'T ! l t fit'.• l c r-�� f"-,.�.L 4+C '� 3 11 t R*iK TC T'l.L 6.P.1D. p z o.cis K t C \TIO- "LT'L ( .IU '2 /vt t IJ' 02 LESS. 13 1 �} Tor 1:7 u v i C, r 'Box 94 4 c t � t Nv. h. 1 TA KW tL s I ---- I000 9G,'7 . toy.,•.�, Got_. 9(l Z tJ t Lrwv t-1 4 G d �a a r.� wasut=v Ao C 17-1'tr-1Cn PILC)T /a.TC-_ Ia/rz./77 {{ f ( C.1....'C11=`,l T A T T lair t.�.JEL C., >t-10✓J1.{ t•-G_�. a}. <.-L�_ �-1;,•"l•_t�t..l Gc:�'�t•'��(S \ti/ t'1'I-� T►-1�: �It7rl_It•aC_. ....- _.�....._._ ._.._._ 1 L_c -F z-Z n1.�t>> �c_T�7,l.C(% S'r. ���(r.:Clrtt_-► i�., ot= -T-1tt_ T:� A,El M C T/`k w, •c.....� �-�,/S,'hT(;1�, �� ICI Y('= t�'G_ `T't•11�� 17f_!i!_I to, 1.101' .'.lviCt7� Ok_- 4&J 05'TC__V_v11wU—:- ca ' :t.+ '( ..'�'f„lt_tJ i �cJr'�/t.� ;� •Tt-tt_: r..?r=(-'�e'-i�r �!•ll�W(_Y� /11a171_l �/�.!`.JT' GAGE �/S � L ,f. U->C_ CC:� Cif_r ..1=/.fit �.�C- Lc')`(' l_1l.li,.�.> ! ._—•-- -- D 1.1r`k_ t LEGEND ROUTE 28 It!I� w 13 -- 18 -- EXISTING CONTOUR _0_ o` N k t x 16.82 EXISTING SPOT GRADE n � -W EXISTING WATER SERVICE rn ayo �a/eo r -G EXISTING GAS SERVICE b -U UNDERGROUND WIRES D C,I { -O:H:l1.-- OVERHEAD WIRES rn EXISTING` SEPTIC TAN I TEST PIT q�s wy TOP OF TANK, EL.=99.64 $ BENCHMARK LOCUS � IN V.(OUT)=98.30.t I EXISTING S.A.S. LOCUS MAP cp TO BE ABANDONED BENCHMARK SET NOT TO SCALE Cb OUTSIDE COR./BULKHEAD ' 1.20 EL.=101.BO ASSUMED DA TUM 101,01 104`36-----� fence %' �a�' ' ``` S,3 2" e 101,45 OLD LEA! C PIT GENERAL NOTES: i TP-1. E SHROBS 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. 101.25' �TP-2 j 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS x 101.47 _ SHED t OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 87` �� Sh/,��j \� LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: 100,84/� SPI E BS 100. 7 -310 CMR 15.405(1)(b): 67 I • ' • . . . . . . . • • (�' l 99.65 1) A 1' variance to the 3' maximum cover requirement, for 4' of max. cover over S.A.S. S.A.S. shall be H-20 and vented. Zl • • .. �� 1_X- 4 r- , -_25, 3• THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR O / 101. 9 DECK I -T--1r-__ ENT I TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE ) i 101,56 BM P-1�F SEDrs d j c' , DESIGN ENGINEER. co rn i �/ p 10 • 0 _ I I ___S.1 I 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 101.41 17 •!-• I c FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 2 2101,65, ENGINEER BEFORE CONSTRUCTION CONTINUES. approx. EXISTING 101,7 U ; Q 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. x( 100.98 HOUSE(#49) , I O 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF TO. W I d THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF i' Oy u� j HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. W, 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.101.67 �J 8. THERE ARE NO WELLS WITHIN 100' OF THE PROPOSED S.A.S. i O SHRUBS 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS l 102,07 CONC i AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE x 100 7 LOT 22 LK 1,62 100.06 DIRECTED BY THE APPROVING AUTHORITIES. 101.74 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY Q ,MBLU 271-153 �, , . P• 101,66 � � � THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING \ 11,422 S,FA01.4 x Qe 100, 1 CONSTRUCTION. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS' IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). N17995',0p�� VJ x 100.72 ;�� 00 ` 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 99.45 --3 4S 100.18 INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. O 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND ( IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. edge Of °p�rnent'`_ R 14. ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC OF MAss9 99 96 SYSTEM COMPONENTS NOT SHOWN ON THIS PLAN. � o PETER T. �, ED4EN Dl p l00'04 100.35 100.3e PROPOSED SEPTIC SYSTEM UPGRADE PLAN /T McENTEE �/E 49 EDLEN LANE, HYANNIS, MA o CIVIL No. 35109 Prepared for: D.A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 PSI E� �� OWNER OF RECORD SCALE DRAWN JOB. N0. BRADNER, HOWARD G III & Engineering by: ROBIN E Engineering Works, Inc. 1"=20' P.T.M. 170-12 49 EDLEN DRIVE 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. HYANNIS, MA 02601 (508) 477-5313 1 3/31/12 P.T.M. 1 Of 2 a . - -.� .�.^- •,----.... gib- - i - I - NOTE: TO PREVENT BREAKOUT, THE PROPOSED J FINISH GRADE SHALL NOT BE < EL.97.3 PROPOSED D-BOX FOR A DISTANCE OF 15' AROUND THE SEPTIC TANK PERIMETER OF THE S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT PROPOSED S.A.S. SHEL_1� OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE INSTALL INSPECTION PORT OVER END UNIT ' CI--IARCOAL VENT T.O.F. (CONNECT ALL ROWS) EXISTING FG. EL: 101.33(MAX.) 25'F.G. EL.=101.8t F.G. EL: 101.4t DECK MAINTAIN 2% GRADE (MIN.) OVER S.A.S. P (o 1148.3pp. 3 #'7' L = 36' L = 10'(MAX) TWO INSPECTION PORTS S=1% (MIN.) ® S=1% (MIN.) (ONE AT EACH END) 45.7' �1 4"SCH40 PVC 4"SCH40 PVC 1, 7 EXISTING o,.I 14" 6" 10.75" TO HOUSE(#49) EXISTING 48" LIQUID INVERT T.0.F=102.8f LEVEL A00 GAS BAFFLE INV.=97.17 PROPOSED INV.=97.00 4 ROWS OF UNITS AT 5.0'/UNIT = 25.0' INV.=98.30t D—BOX INV.=96.90 SOIL ABSORPTION SYSTEM (PROFILE) FLt EXISTING SEPTIC TANK ':P:: S_ ESTABLISH VEGETATIVE COVER S•A.S•LAYOUT BACKFILL WITH CLEAN NATIVE OR PERC SAND TO TOP OF CHAMBERS 21" s-a" POLTS"' OUTLETS NOTES: BREAKOUT=TOP 2„ 2" ,-a' POLYSEAL INLETS TOP ELEV.=97.33 y'. 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INV. ELEV.=96.90 O O INVERTS, PRIOR TO INSTALLATION. BOTTOM ELEV.=96.00— -kn�-, 04 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE 2 83' •D�d ON A MECHANICALLY COMPACTED SIX INCH CRUSHED '- STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). EFFECTIVE+WIDTH=11.3' 3) INSTALL INLET & OUTLET TEES AS REQUIRED. EXISTING SUITABLE N Top View D-BOX Section 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE NO G.W., EL=91.3 MATERIAL AS MANUFACTURED BY TUF—TITE, ZABEL OR EQUAL. USE 4 ROWS OF 5—ADS Arc 36HC UNITS WITH NO --63.25" SEPTIC SYSTEM PROFILE SEPARATION BETWEEN EACH ROW & NO STONE TYPICAL SECTIO9 N w s" N.T.S. DESIGN CRITERIA SOIL LOG 34.5" DATE: MAY 25, 20'12 (REF#13,649) NUMBER OF BEDROOMS: 3 BEDROOMS SOIL EVALUATOR: PETER McENTEE (SE#1542) SOIL TEXTURAL CLASS: CLASS I WITNESS: DONALD DESMARAIS R.S.—HEALTH AGENT TOP VIEW DESIGN PERCOLATION RATE: <2 MIN/IN Elev. TP- 1 Depth E166. TP-2 Depth END CAP END CAP 60" DAILY FLOW: 330 G.P.D. 101.3 0" 101.4 0" FRONT VIEW SIDE VIEW FILL FILL END CAP DESIGN FLOW: 330 G.P.D. 100.5 A 10" 100.5 A 11" REAR/TOP VIEW did GARBAGE GRINDER: NO SANDY LOAM SANDY LOAM NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT SIDE VIEW 1 OYR 4/2 10YR 4/2 TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY LEACHING AREA REQUIRED: (330) = 445.9 S.F. 100•0 B B 16" 100.1 15" DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. _ .74 SANDY LOAM SANDY LOAM 4640 TRUEMAN BLVD -� 10YR 5/8 4 �" 10YR 5/8 m HILLIARD, OHIO 43026 Are 36HC DETAIL d EXISTING SEPTIC TANK: 1000 GALLON CAPACITY 98.6 )s C 32 r g8.6 C 33" ADVANCED DRAINAGE SYSTEMS, INC. UNITS MUST BE STAMPED H-20 PROPOSED D—BOX: 1 INLET, 4 OUTLET (MINIMUM,), H-10 RATED PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 4 ROWS OF 5-ADS Arc 36HC UNITS WITH�NO--.__..� M—C SAND 36 M—C SAND 49 EDLEN LANE, HYANNIS, MA SEPARATION BETWEEN EACH ROW & NO STONE 2.5Y 6/4 2.5Y 6/4 Prepared for: D.A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.80 SF/LF OF UNIT) Engineering by: SCALE DRAWN JOB. NO. (Arc 36HC Units) 20 UNITS x 5.0 LF x 4.80 SF/LF = 480.0 SF 91.3 120" 91,.4 1 120" Engineering Works, Inc. NTS P.T.M. 170-12 DESIGN FLOW PROVIDED: 0.74/480.0 S.F. = 355.2 G.P.D. PERC RATE: <2 MIN/IN. (IN SAND-ON FILE) 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. l ) NO GROUNDWATER OBSERVED (508) 477-5313 3/31/12 P.T.M. 2 of 2