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0003 FRANBILL ROAD - Health
3 Franbill Road Hyannis F/R t - A 292 047 i v Y u b I� a a v i k - l 3 47 r a 0 1 A 1 / . 4 l f� a R Health Department Drop-Off Hours: 8:00 AM —4:30 P.M Town of Barnstable Received by Health Regulatory Services Department on Richard V.Scali,Director Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 ACCESSORY AFFORDABLE APARTMENT SEPTIC QUESTIONNAIRE t Property Address: Assessor's Map/Parcel Number: Applicant(s) Name: Q 2 Phone: 5 01 0 4 q33 E-Mail• 10Yna_2 ltsq@ tqtO41 �00 Size of Lot: o -1 2a. How many bedrooms exist at your property now? 2b. How many bedroom are you planning to add as part of the Accessory Affordable Apartment Program application? no 2c. How many bedrooms total are proposed at this property (including the Accessory unit)? .5 ' 2e. Is the proposed Accessory Apartment contained within: Q5 the main house; OR 2f. Submit floor plans for all buildings on the entire property. Show all existing rooms in the dwelling and the proposed accessory apartment. Label each room clearly. Label measured width of all open,doorways. Use straight edge for.hand drawn plans and be sure all labeling is legible. , Q Signed: � Date: - 1 �. ACCESSORY AFFORDABLE APARTMENT SEPTIC QUESTIONNAIRE FOR STAFF USE ONLY 1. Is the dwelling connected to Town sewer? ❑ Yes ❑ No 2. Dwelling located ❑ INSIDE ❑ OUTSIDE the Saltwater Estuary Protection Zone 3. Dwelling located ❑INSIDE ❑ OUTSIDE public supply well Zone of Contribution 4. Dwelling is connected to ❑ ON-SITE WELL ❑ PUBLIC WATER 5. Disposal works construction permit on file? 21es ❑ No36°'L`I B 6.. If yes, how many bedrooms were allowed by this permit: 15 bedrooms 7. Were building permits obtained for additional bedrooms? ❑Yes ❑ No 8. Engineered septic system plan: a. On file at the Health Division? ❑Yes ❑ No b. If proposed accessory unit is detached from principal dwelling, is that plan on file? ❑Yes ❑ No 9. Existing septic system capacity is bedrooms For the accessory unit to receive approval from-the Health Department the following action must occur: ❑ Existing system accommodates proposed.additional bedroom(s) ❑Upgrade existing system to accommodate additional bedroom(s) ❑ Must remove a bedroom from the main house ❑Must connect detached structure to the existing septic system ❑Must install septic system for the detached structure ❑Other Signe LU - Date 2 � t TOWN OF BARNSTABLE 2oi0- 331 LOCATION R �i n 3 P f 5 i( Yt�% SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL i INSTALLER'S NAME&PHONE NO. Cal p�1& Gh� tDkS2.5 GL(- SEPTIC TANK CAPACITY i Soo LEACHING FACILITY.(type) 57&,g Je,, L�eA L=4 (size) 3l-16 X t NO.OF BEDROOMS 5 OWNER /q C L44-4a ( PERMIT DATE: FS 2 - ZP t-o COMPLIANCE DATE: 'S -zo 1`0 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 s Catcc�,v6c2� . Oases c,(,c s At 3rl 0 3 C-v-33e I Ea%ad a \'9�=�i/o V A,,= 0.t Ca=35,3 Ei,aa`.7 Ga=Z,lo® 6s-36 a 4 Da,=3a.3 F -a®,o °Z- Y- 3e(.0 6A ob a c �. o'p OEt- 0(A) a � 1 � No. 10"33 1 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:—L PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pprication for �hgpo!gar 6p-5tem Con,5truction permit Application for a Permit to Construct( ) Repair%0 Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. 3 f rAn 1,(+ a-,q-A 1 ,k Owner's Name,Address,and Tel.No. � Assessor's Map/Parcel T' Installer's Name,Address,and Tel.No.6Y4EJ-_,L P't_�r P l)-) Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size 1 O4'Soo sq. ft. Garbage Grinder ( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min. required) S5 gpd Design flow provided S ,SO gpd Plan Date ?-Z`i'' 2-a t o Number of sheets ` Revision Date Title Size of Septic Tank t SC-O L4-[O Type of S.A.S. (34t3 APruy-VZ Description of Soil Nature of Repairs or Alterations(Answer when applicable) IN C' Date last inspected: Z/6(,y 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 Boar f Heal c' Signed Date Application Approved by Date Application Disapproved Date for the following reasons Permit No. 2010 33 Date Issued e Z /D — �— - — ------- —_----------- ---_---- -------- I' ,, .-..�.max^.-.-•".�-.:,'" - +L.r1..q•p..� _ w j tt� 1;�L �`!�+.r '�"R. Y. �, _. _r., -. - - I �>! 4 �-'''" �rL�7jD Oil Fee \ 'JY Entered in comput THE COMMONWEALTH OF MASSACHUSETTS 1 er:. •• Yes `RUBL,IC,HEALTH.-DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS,, application for �Di!gpogal 6pgtem Con6truction Permit Application for a Permit to Construct( ) Repair x) Upgrade( ) Abandon( ) ❑Complete System.❑Individual Components Location Address or Lot No. 3 F t.�77 „, Owner's Name,Address,and Tel.No; �►�Lvllydl Assessor's Map/Parcel Installer's Name,Address,and Tel.No.0f 4f1W-'L Eyr�e r P •��) Designer's Name,Address and Tel.No. l0lr� t+w Type of Building: , Dwelling No.of Bedrooms ')Lot Size OOe sq. ft. Garbage Grinder Other Type of Building S 1, �. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) SS d gpd Design flow provided SS-0 gpd Plan Date Number of sheets Revision Date Title - i Size of Septic Tank t so o l-) -t0 Type of S.A.S. ��uo� �3-�2 I ( boo t31�• I Description of Soil Nature of Repairs or Alterations(Answer when applicable) C' Date last inspected' 'fo(,' Agreement: -� y The undersigned agrees to ensure the construction and maintenance of the afore des4 r bAedion-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. t( i F A cam, i Signed r .!•f Date a ' 2- Z y e - Application Approved by .�' Date` Application Disapproved ;' Date for the following reasons "° r Permit No. 20/0 33% Date Isstied L 1Q i THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Swage Disposal System Constructed ( ) Repaired � ) Upgraded ( ) Abandoned( )by ,,;d.e (Y•�S L L L at'. 3 « ��\ yLb4 . lk , 4 has been constructed in accordance (� with the provisions of Title 5 and the for Disposal System Construction Permit No. �G�O 3� � dated �•� ^ � I " Installer Co,(L¢,.�:sL4- Designer #bedrooms =- Approved design flow Sj gpd The issuance o thi permit shall not be construed as a guarantee that the system,w Il fu ion as desi ned. DateFill) t) Inspector m �D(�` --- -_ -_ _.. -- -_ __.._Z7 No: 3�j� Fee, � /Vo ' � _ . ..__ ._ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS x1i6poml �&pmem Construction Permit Permission is hereby granted to Construct ( ) Repair ( Upgrade ( ) Abandon ( ) System located at 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: Construction must be completed within three years of the date of this permf. Date Approved by ~ Town of Barnstable Regulatory Services .�. Thomas F. Geiler,Director • sARxs-rnsRA MASS Public Health Division i634. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Sewage Permit# Z-O(o -3 3 Assessor's Map\Parcel_ Z Designer: ((�n,.. Lam• ��+ �' Installer: Address: 4CclfiQ 2o5 P &4rL.0 Address: 130K 7so3 /��i>/stir ��i'i�,f t //l/�GQ C�-v� �ty� �l t �/I✓� 02(3Z On was issued a permit to install a (date) (installer) septic septic system at 3 F,-;w�bi-/l f2l ) 160410, based on a design drawn by (address) &kl,, dated '7- 2� - Zo(o (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. 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. . Ni—t," . N OF MASs9Cy . ~ �o GLEN _ ERIC ( nstaller' Si ture) o HARRINGTON NO.107q TAB ( esigner's Sign ) (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-BUELT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 3-26-04.doc TOWN OF BARNSTABLE ?,vtv 3 3 i LOCATION n i 5 1 (Av)5 i 1 SEWAGE# VILLAGE ASSESSOR'S MAP&PARCELS INSTALLER'S NAME&PHONE NO. (✓F1 eeL,;-& G44f pj(1 .e-% LL C. SEPTIC TANK CAPACITY 500 LEACHING FACILITY:(type) 57Lu jer L e4,1 �wc (size) 3t"-t" yC t 4•z NO.OF BEDROOMS n 5 OWNER 1 „ -L44- PERMIT DATE: COMPLIANCE DATE: `S "Z-c I i Separation Distance Between the: (3.j Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ny 142, 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 QO© O� • r u p p P O tsl w +L k � prj to 1� :ti M M t'1 < 00O ® a Q• J �� Y ol ? TOWN OF BARNSTABLE T a✓.�� 7 E 3-�LOCATION SEWA #?" Ya.LAGE Haahrrr'I ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /Pcc e4, 6 . LEACHING FACILr Y: (type) l-y,-f (size) /s .A/3 x� NO.OF BEDROOMS S BUILDER OR OWNER PERMIT DATE: COMPLIANCE DATE: S 3 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- .a f w 1 � � oy I i No. Fee -% THE GGMMONWEALTH OF MASSACHUSETTS Entered in computer: ' Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZIpprication for Zigooal 6potem Cottgtruction Permit a Application for a Permit to Construct( j Repair( )Upgrade Abandon( ) ❑Complete System EPdividual Components Location Address or Lot No. % Own s Name `Address an Tel.No. Assessor's Map/Parcel ��r� C 120Y .94 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. t30�r�lot�1 Co��s�`- �IrIA/7 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 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date East 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 Certifi- cate of Compliance has been' s b is o f H 1 Signed A Date Application Approved by Date oil Application Disapproved for the following reaso Permit No. i Date Issued • ✓_ �' 4 r No. °� _ � .. . =' _ ry, 00 .ram-.,. Fee TH:E*C�OMMONWEALTH OF MASSACHUSETTS.. _ -Entered in computer: r�;'^'' •-�.. ... ,, :/' •�'•;'' • Yes ,i PUBLIC HEALTH DIVISI'O,N --TOWN OF BARNSTABLE.,MASSACHUSETTS ' .2pplitation for MigoogaY *pgtem Con!5truction Permit Application for a Permit to Construct( . )Repair( )Upgrade(`f�Abandon( ) El Complete System EfUidividual Components Location Address or Lot No. n Owne ' Name,Address and Tel.N . ` Assessor's Map/Parcel amwv//�/ Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: r Dwelling No.of Bedrooms �5 Lot Size sq.ft. Gar bage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil A+� l Nature of Repairs or Alterations(Answer when applicable) ` Date,last inspected: 67, L' Agc� , e'ment: The undersigned agrees to ensure the construolion and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Envrronmental Code and not to place the system in operation until a Certifi- cate of Compliance has been 14e_Z s oard of He 1 Signed J`��1 �-S14 Date Application Approved by r�� �'� ` �%� ./ Date Q Application Disapproved for•the following reasons�� t V d.:.l Permit No:- 0L-� 6 1 1 Date Issued tf THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Comp'Halite THIS IS TO CERTIFY, that/�he On site wage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by 9,r b l at �r 4�!/ /' �s has,been constructed in accordance �� I with the provisions of Title 5 and the for Disposal System Construction Permit No. MM dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the syskem w'11 function as designed./� C Date 1 2 S Inspector No. D� '�/ ----------------------Fee '�— THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mtgotal *pgtem Conotruction Permit Permission is hereby granted to Construct( )repair( /)Upgrade( )Abandon ) System located at 11WO 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 mu t e c m 1 t witht�t-t ee years of the date of this Date: / O Approved• b Y TOWN OF BARNSTABLE LOCATION )C::xmA SEWAGE # 'V"I1 L AGE_&Q14 5 ASSESSOR'S MAP& INSTALLER'S NAME&PHONE NO. � LdC��s7` SEPTIC TANK CAPACrrY LEACHING FACILrrY: (type) q f-f(P 4 C�i1R c_i`(ti (size) a :e / NO.OF BEDROOMS BUILDER OR( WNERQC��'�� PERMUDATE: 13 COMPLIANCE DATE: 16) - _ Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well Viand 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 G J'y No. ,. Fee�Q� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zipplication for Mt-4pozat *pztem COTS.5truction Permit Application for a Permit to Construct( )Repair/Upgrade( )Abandon( ) []Complete System L!Individual Components Location Address or Lot No. > j Owner's ame,Address and Tel.No. c7 � ll l /�!IG•USG</Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 7 7/�Q3Q Type of Building: Dwelling No.of Bedrooms 13� Lot Size sq. ft. Garbage Grinder(19�0 Other Type of Building No.of Persons Showers( ) Cafeteria( ) i Other Fixtures Design Flow //40 gallons per day. Calculated daily flow' ��� gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank /DDD9�/ �i4'/a7`/%j�Type of S.A.S. Description of Soil 9X y�c3 Z Nature of Repairs or Alterations(Answer when applicable) ;t7 —,42�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 Certifi- cate of Compliance has been issued by is Bo d of ealth. Signed Date Application Approved by Date (ems[ �1 S� Application Disapproved for theCiollowii4 reasons Permit No. Y& Date Issued No. 6 Nr=• .: ' '" , +\> Fee• THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS /r 01ppYication for 30i-opo0ar *pgtem Construction Pe/emit t Application for a Permit to Construct( )Repair(✓)Upgrade( )Abandon( ) El Complete System A Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's MaMap/Parcel1�i1/ Aac��ecel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 2' ?/-e3e Type of Building: ? 4 Dwelling No.of Bedrooms J Lot Size sq.ft. Garbage Grinder(�O Other Type of Building /t e,5l,!EA?X6e-No.of Persons Showers( ) Cafeteria( ) Other Fixtures - Design Flow /l gallons per day. Calculated daily flow ✓��� gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank /4D05;�W ��i'%S)`7�4 Type of S.A.S. Description of Soil s / t i Nature of Repairs or Alterations(Answer when applicable) `Date last inspected: t 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 Certifi- cate of Compliance has been issued by is Bo rd o ealth. Signed - Date 44 9/ Application Approved by Date I u-l,11� Application Disapproved for theCiollowi§4 reasons Permit No. CY �0(2 Date Issued ----------------------—----------—------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CE TIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( ✓)Upgraded( ) Abandoned( )by D! O�O / CD t/5 at 3 CI' I� O�l9/ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. - A, dated Installer Designer The issuance of this ermitl shall not be construed as a guarantee that the syste will function as designed. Date - 6 g 7 Inspector ` s �+ No. % 77 - (>7�O — —— 2 , --!/��/ Fee THE COMMONWEALTH OF MASSACHUSETTS G`J PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS 'i5poga1 OpMem Construction Permit Permission is hereby granted to Constru t( )Repai (✓ )Upgrade( )Abandon( ) System located at 3 T ZDn �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:Construction must be completed with:_*,-t Yee years of the date of this permit. Date: ZQ - ,�-�j(1 �, Approved by t o/9197 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) certify that the application for disposal works construction p g tructi permit signed by me dated ��/�` �g , concerning the property located at �/�tyl �� r �is meets all of the following criteria: lsy There are no wetlands located within 100 feet of the proposed leaching facility V There are no private wells within 1-40 feet of the proposed septic system There is.no increase in flow and/or change in use proposed . Y There are'no variances requested or needed. . /if the proposed leaching facility will be located within '50 feet of anv wetlands, the bottom of:he proposed leaching facility will = be located less :han fourteen (lu) feet above the maximum adiusted groundwater table elevation. Please complete the following: _ 7 A)Top of Ground Elevation(according to the Engineering Division G.I.S. map.) O' B)Observed Groundwater Table Elevation(according to Health Division well map) SIGNED : DATE: LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER (Attach a sketch plan of the proposed system.Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. q:health folder.art ------------ I019/97 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT ENGINEERED PLANS) l hereby certify that the application for disposal works construction permit signed by me dated concerning the property located at meets all of the following criteria: . There are no wetlands located within ioo fee:of:he proposed leaching facility • There are no private wells within !:o feet of the proposed septic syste..n There is no increase in flow and/or caanee in use proposed • There are no variances requested or needed. • if the proposed leachine.'ac;iity wiil:e located within:50 feet of anv wetlands.the oonom of:he proposed,exciting facility will pot Se:ocatea ess:han rour(een i.1-1 feet above the maximum;diusted groundwater table elevation. Please complete the following: I A)Top of Ground Elevation(according to the Engineering Division G.I.S. nap.) B)Observed Groundwater Table Elevation(according to Health Division well nap) SIGNED: DATE: LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER (Attach a sketch plan of the proposed system.Also if the licensed installer posesses a certified plot plan, this plan should be submitted). q;heath bide eat • �`, w A a' N'a J[ 33 � ,,�-� w �� � ���� � � � �_ i � �, ��v. � ���� . O �.. ,3 ��-�J C6ul 1L��0 • � '�� � � _ . � ��� � � - , ,, Town of Barnstable Health Inspector r Office Hours do Regulatory Services 8:30—9:30 ; Thomas F.Geiler,Director 1:00—2:00 SMB MUM `� Public Health Division ArEo 3g6 A Thomas McKean,•Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 -Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT - SEPTIC QUESTIONNAIRE 1. General Information- !�"'`�`"`' Size of Property: Address: k Map Parcel Q Name: DA,I17 -� PAL-1 � / Phone # bl 2a. How many bedrooms exist at your property now?___ '!:`-y 2b. Are you planning to add.any bedrooms? If yes, how many? 2c. How many bedrooms total are proposed at this property (including the amnesty unit)?_ 2d. Please include a copy of the floor plans for the entire property- showing the existing rooms in the home plus the proposed amnesty apartment and/or addition. Please label each room clearly on the plans. 3. Is the dwelling connected to public sewer? YES or NO If the dwelling is connected to public sewer,skip questions#4 through#9 beloAr w. C �a 4. Location of dwelling is INSIDE or 0 a Zone of Contribution to�public supply wells? 5. Is the dwelling connected to an ONSITE.WELL or to kkUBLIC WA 6. Is a disposal works construction permit on file? '='YES or, NO 6a. If yes,how many bedrooms were approved according to this permit? "y Bedrooms:, ' Le. 7. Were any building permits obtained for construction of additional bedrooms? Y S ors;NO;,-, 8. Is there an engineered septic system.plan on file at the Health Division? Y ' or NO ! 9. Has the septic system been inspected by a DEP certified inspector within the last two years? DES of NO ----------------------------------------------------------------------------------------------- - �------- ---- FOR OFFICE USE ONLY The Public Health Division has no objection to bedrooms at this pro yC°em'�. Special Conditions: Signed:. Date: 46 Q;/health/wpfiles/amnestyapp ,1 Town of Barnstable Health Inspector �1 Office Hours do Regulatory Services 8:30—9:30 Thomas F.Geiler,Director 1:00—2:00 r r • MUMSfABM �mr Public Health Division A�EorA Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT - SEPTIC QUESTIONNAIRE 1. General Information: Size of Property: Address: F�-4k Map Parcel Name: V Phone #: ( �0— 0 SV-3 2a. How many bedrooms exist at your property now? 113 2b. Are you planning to add any(bedrooms? If yes, how many? 2c. How many bedrooms total are proposed at this property (including the amnesty unit)?� 2d. Please include a copy of the floor plans for the entire property- showing the existing rooms in the home plus the proposed amnesty apartment and/or addition. Please label each room clearly on the plans. 3. Is the dwelling connected to public sewer? YES or O If the dw lling is connected to public sewer,skip tions#4 through#9 below. w _-r 4 Location of dwelling is INSIDE or QUTSIDE a Zone of Contribution to public supply wells? Zxyw• 5.FIs the dwelling connected to an ONSITE WELL or to BLIC W R? 6.LTs a dispos al-works construction permit on file? YES or NO a 6a� l yes,how many bedrooms were approved according to this permit? Bedrooms. �-' 7. Were any building permits obtained for construction of additional bedrooms? YES or NO r 8. Is there an engineered septic system plan on file at the Health Division? YES or NO 9. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO --------------------------------------------------------------------------------------------------------=---------- FOR OFFICE USE ONLY J� The Public Health Division has no objection to bedrooms at this property. Special Conditions: Signed: Date: ka Q;/heal th/wpfiles/amnestyapp �� '' �--�- j-- -�� -_ �- -- i i � I E e 1 I � i i ���� � � � � �1�"��' i ��# 3 j � � i I � '� D aC-C VA 1 ! S WA�.� Acm4 . ............. i 1 t�� t 1 1 i 0 5 _ co 1 � A-9( �1P 1 e 4 a a � � � Pf_ y 6 �1 z .. -_ - ..� _ _ -- ..� _ . . .._ -�-. � _ - — -- _. ___ _ _� _.._ _ _ ��__�_� ��_. �_------ �- - - .--��_�_ _ --- -�Y._ � . _ _ �. .._ a -- -- - - �� ____� _._-- �- r -._ _... ,_ � .__,_.. _--_--- ___ _ �_ _ r__ �_ - - --_ __ .. _. __, __ y- _� -.__._e . . . _ _. _�___ .._ _ ___ .�__ . . _-----_____ _- e�. .. _ _ -4 - _ __ �___ _ .__�_ _ ,u_.r ___ _ - __ �, _ _ _ �� - -- _ _ __..�. r .�- ,.-- � . - � _ _ �_ . _ ---- _ _ - -� --__ � _ �. .T�___. � .. R � ... .. ...� _ _. .. � �.r.� _ .._.. �, �. ram. x .. �. �._. _:-... - - - -- l S� Fig - A P� v �7 ,,1 l �� `-- _ ,_ _ - _.,9., - --. _._ _ �___. ___ __ _.�.. . - -- - �r __ __. _ _ _ __..�__ i _ _ _ ...,._ ._ _ ...._� �._.__ .. ._._.._..._4_ ._._.� _ _ ._�_.._.__ ._ ._ -�. 1 Li �_ �L� -' �� " '� y�� n� / y / V �d N s 3 Message Page 1 of 1 McKean, Thomas From: McKean, Thomas Sent: Wednesday, June 07, 2006 5:01 PM To: Taylor, Madeline Cc: Desmarais, Donald Subject: RE: Amnesty Septic Updates Here are the updates: 3 Franbill Road-Approved for 5 bedrooms. 23 Fortes Way- The"sitting" areas/rooms shall not contain privacy-a minimum 5 feet opening to the room shall be provided (a door shall not be provided at the main doorway). Also, an up-to-date inspection report is requested; the report on file is nine years old. No more than 3 bedrooms are allowed onsite. 600 Phinney's Lane-There is a questions regarding the submitted floor plan: - Is the family room totally open or does it have a door? -The current floor plan shows 4 bedrooms as follows (office, master bedroom, upstairs bedroom, family room). Only three bedrooms are allowed. I will ask Judith to FAX that information over to you. -----Original Message----- From: Taylor, Madeline Sent: Wednesday, June 07, 2006 12:52 PM To: McKean, Thomas f Subject: Amnesty Septic Updates Importance: High Hi Tom Can you let me know as soon as you have any update for me. I need to get site approval letters issued asap for the applicant for the July hearing as I will be on vacation shortly. Also, I have sent Judith numerous emails over the last few weeks regarding 87 Suffolk Ave in Hyannis and;,nave had no response. If there is a recent septic report on file for that proeprty can you please hayu someone fax it to me. I would really appreciate it. My fax is 862-4782. Thanks as always for your assistance, r a. Madeline i 6/7/2006 1V f A IC o J7i,�c11;�J Vt TOWN OF BA.RNSTABLE LOCATION SEWAGE # l��7��y VILLAGE_��antl�.5 ASSESSOR'S MAP & LOT Z Z INSTALLER'S NAME&PHONE NO. 67 1`4ZOI CyOsT. �7/�r?1��'' SEPTIC TANK CAPACITY /S-6 o I LEACHING FACILITY: (type) o f l'r r C.1 p c c'Eti (size) 304 / 6 NO.OF BEDROOMS BUILDER OR WNEI ��Q�.l�eelY PERMTTDATE: /l'13��� COMPLIANCE DATE: 10 —9 a 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 7 Furnished by _.-- Ivi IZL 1q) NAk PofbS6-D NNrs i r T 'Town of Barnstable P# /D S a Department of Regulatory Services Public Health Division Date 200 Main Street,Hyannis MA 02601 IAIMABM Fee Pd.Y /C Huse. Date Scheduled 9— l0 Time �d L Soil Suitability Assessment for Sewage Disposal + Performed By: cu" F- WO,41d f �0 I A. (/(��J= Witnessed By: LOCATION& GENERAL INFORMATION Location Address K,, Owner's Name �[.ya4l vt e,x Address Assessor's Map/Parcel: .Z.q Z_Oq 7 Engineer's Name 1y&__ ✓r {�` I �` I y NEW CONSTRUCTION REPAIR Telephone# 3 F-6 Z Land Use D,�U,,4`0 Slopes(%) ` S Surface Stones N O Distances from: Open Water Body >2DO It Possible Wet Area >ZX ft Drinking Water Well N� ft Drainage Way >140 ft Property Line Z— ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) s G OC.� � •�, 2003 � ( �a Parent material(geologic) G"v Depth to Bedrock Depth to Groundwater: Standing Water in Hole: � Weeping from Pit Face zy Estimated Seasonal High Groundwater l3� rl DETERMINATION FOR SEASONAL HIGH WATER TAB-LIE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: __1n. Depth to weeping from side of obs.hole: in. Groundwater Adjustment Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_ PERCOLATION TEST Data Time ,cv1��� LY145tp,t fie- 7v Observation Time at 9" Hole# Depth of Perc Time at 6" Start Pre-soak Time® Time(9"-6") End Pre-soak Rate Min./inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/I) Original: Public Health Division Observation Hole Data To Be Completed on Back Q:HEALTA/WP/PERCFORM DEEP O$SERVATI'ON ROLE LOG Hale# :$ •. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA)• (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.%Gravel) © -G , 4 ti --30 ZL) L S 30-92 C. 1 V--C J&V%, 1V0 % 9ro cr, io/�ti 2 ( C Z IM—C Sa-tn c( 2, sy ti0 C(ea,,, 4/0 G ra,,,$ D�E .P OEv�2rrON I !fl!I�E L..» Tole:# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.%Gravel) O� Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.%Gravel) DEEP( RvATIt4N 13OLE L 5 O I ale Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,0 Gravel) Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes Within 500 year boundary No_ Yes Within 100 year flood boundary No Yes Death of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious terial exist in all areas observed throughout the area proposed for the soil absorption system? Xenia_ If not,what is the depth of naturally occurring pervious material? Certification I certify that on l� }�(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 requ&traimnmig, xpertise a expe ' nce described in 310 CMR 15.017. Date Signatur Q:HEALTH/WP/PERCFORM gyp, VR 1712 /�'�1�G C/� 1 t Fas.......___... THE COMMONWEALTH OF MASSACHUSETTS 4, BOARD OF HEALTH Gv/?................OF.....�r/')-514 1G Ap.pliration for Disposal Works Tonstrurtion- Ilermit Application is hereby made for a Permit to Construct V1/) or Repair ( ) an Individual Sewage Disposal System at ............... - Locatio •Address or Lo No. ,c 1 �1R . tl ..... ..... __..._........... — _.. Installer Address / nOO Type of Building Size Lot..____. ...................Sq. feet .,U Dwelling—No. of Bedroo ..............Expansion Attic ( ) Garbage Grinder ( ) .............................. Other—Type T e of Building No. of persons............................ Showers at YP g ..................•-----...- P ( ) — Cafeteria ( ) 04 Other lixtures ................................... �...................gallons per rson gr day. Total daily flow......._.. gal}ons. W Design Flow........... .. !� P Pe ..��'.. -•-•_•--. ...._..-•-- WSeptic Tank—Liquid capacityf'P Ions Length.�..lP . Width-*� Diameter.l_/4...... Depth.k.M... x Disposal Trench—No..................... Width j.._._............. Total Length.................... Total leaching area.................. ft. 3 Seepage ...... Diameter.._- _._..... p ° g �. ft. See a Pit No............... � Depth below inlet......_�t.:........ Total leaching area.��_....sq. Z Other Distribution box ( ) Dosing tan ( Gll /' u�o�l� /f�2✓'��» .`4 Percolation Test Results Performed by....6&44.. ...VI_f hl).... Date__61 ¢. .�1................... "� ����,� Test Pit No. 1.W.A....minutes per inch Depth of Test Pit../__9__-f....... Depth to ground water..?/�',nv u ITCHY rs. Test Pit No. 2..<._Z_-_._minutes per inch Depth of Test Pit...l �....... Depth to ground water...7_,��j•n0.wa-fcr ,80 li.... ��...._..... Description of Soil.:....... C 'sf..,�� .�s... Q..:.l-__t... �,�11.____ �, ._ ....... ..... .•••••.._.._....••--------•------- UNature of Repairs or Alterations—Answer when applicable_/V.4...........................................••________............__._....____•_____. ..........................................•--------......-•-•••••-••--••-.................-•---...•---•._..............__•---•-_.........._.._....... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been s ued by the b r f health. .................................................. .......................... A Application Approved BY :_"_ ....... ...........•-------................_.... �/._10-f Date Application Disapproved for the following reasons:............................................................................••--•----••-•.. ----••••___ Permit No......_-�• _ti Y.:.. / �j - Issued......_....... .... ...... ..__._Date -- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF....................J.....................1.`..............................._....... Trriif irtt#e of Toutphanre THt TO C •RTI Y, That t Indiyi jualSewa a Disposal System constructed ( ) or Repaired ) by -.... t?. a ..........--•--•--- _..........................................C._.... LL C�.+ Q, I t 11 er at..... ................. .....-•---•......._......_...-••••----•--•--....._......__.•••••••--....______...... has been installed in accordance with the provisions of TITIEP j of T �State Sanitary �o as described in the application for Disposal Works Construction Permit No...-:: ft., ..��................ dated_...C._•._-�.� ��G.........._._._.... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL F N�GT�ON SATISFACTORY. DATE..........P /...f/....%.�(.//.IJ..................... ------- I_...:..........�. ._........... • ~��'�'"s'•-�..:4,4+^�7y.r•.•'+,».1�'�.:��,�„r.. .�...� -.. t-�..,..a.-.�,.-..c-y._. �.r. �.. ...- ._ -. -� .a,T - - f F AIVC THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................................... . Appliration for B.ii sttl ork� C�onstritrtion prmit Application is hereby made for a Permit to Construct (>"/) or Repair ( ) an Individual Sewage Disposal System at: I t• � a ............... •v- i-, , � ,¢� -................_._......_ GQ.....¢ ...�ssessorS......�..��'�9 - ation-Address or Lot No �Clwoze Div ......................r�> � ..............._.... ... ��. ..�v ...... .............. r.............................................................��. �t . y Inst`llei, f 1 ���L--'"`' Address Type of Buildings. � - � � ; Size Lot.�d:BDa......Sq. feet �V j Dwelling—No. of'Bedrooms............... !....Expansion Attic ( ) Garbage Grinder ( ) ., .................. 04 Other—Type of Building .... ..................... No of ersons!.......................... Showers ( ) — Cafeteria, ( ) WW Othei fixtures ........• .... ............%............--....`..� _ . _x.v.........--•--.......Q �lJ .................................. Design Flow......t4; :k:.V.y&lonper personper day. Total,daily flow........� ......................•galons. Septic Tank—Liquid ca aci / Ions Len .0'-(s Width- :_� .Diameter.V4....... Depth 4�.r,R" x Disposal-Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft. 3 Seepage Pit,No..........Z........Diameter....(�t*......- Depth below inlet.......(%......... Total leaching area..r-'...sq. ft. Z Other Distribution box ( ) Dosing tank () -Gt! / t s'avnC Q /l Qro U/I C� Percolation Test Results Performed by.....�--/.. . ...)•fin ....... Date..4/47:X�� Test-Pit No. 1..NA....minutes per inch Depth of Test Pit../?............ Depth to ground water..% 44 Test(Pit No. 2_ .� ...minutes per inch Depth of Test Pit.../-.�--�.�....... Depth to ground water... � �_ �� 04 ' 0 Description of Soil. 1� �1P S7�/• /fS : ��—/f` `. /J r�� // , ...... ......... ........--•-••- U p i_��r� / :....��•a/.D.. �/ fnr!a ?........... s'�rne------------------ ......../ r/ r�S -rr��. .�r?...;%►,'��? P..:-c / .,�...... .................................... ...................... U Nature of Repairs or Alterations—Answer when applicable.A/ ........� .......y........... ............................................... ..............................................�.!..:................................._........................................ ........................'� .._. .....:......... ..._. .:... ...... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE' 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been 's ued by the b r,I f health.. r e .... .. ...... .•--- ---- ................................................ .... Application Approved By............ Q-..:.. ....... ...-/--.. 1SV Application Disapproved for,the following reasons:....................................................-•.....•--...-•-•••-•-•-•-•....--•.....Date Date........--- o, 4 -c•�-w.... ?.q-L._ _......... .... _.._.................................;. .D aft Permit No.... _...__ Issued-. ............Daft ' THE COMMONWEALTH OF MASSACHUSETTS ��l•, BOARD OF HEALTH M- a T ............... ��'a`J.........OF.:.................�- PLIG h3L ........... �. . , Trrtif irate of Tomplinnrr_ 'THI I TO C RTIFhat theIn Y, That Sewage Disposal System constructed; ( ) or Repaired by . ..... - ....-. ..:.�.J:. .....C- �a F rn_...✓1.............................-.................................................) �— In t ler ....... ....�....... r. '�- --•-- has been installed in accordance with the provisions of TIT F 5 of T411tate Sanitary � ig e' abed in.the application for Disposal Works Construction Permit No... ........................ dated.... ....L...._... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. . DATE......................:........................................................... Itispector.....=.............................................................................. t AWe-C THE COMMONWEALTH OF MASSACHUSETTS� BOARD F HEALTH ...................OF........... ........................................................................ FEE... ...... Mspoo 1 No 3wa onstrurtion f rrmit� Permission is hereby granted.......` . .- ......_ ., .... cL_..: ..+`'�.!� ..................._. to Construct ) o pair ( ) an Individual Disposal System �" I at No..- -. .!-C(......... .. . .. ' ..� .........................+/Street 911 / �for Disposal Work Construction Permit �. ................ Dated........J 'T..1.�•.•_.....•as shown on the appIicaho _—_ ,Hoard.cf Health DATE: ..................................... FORM 1255 Hoses 6 V�:.;.RFN, INC.. PUBLISHERS \ T � z a m a. a � em i 5 6 W 0 J 2 0 p�2 3 a W G p µ i 3 3 r N .. 9 rj � _ > • a � �� it � � �'� w w (n, N y �I u i i m w > Z m m z z. 3 3' a � ¢ fit m m �l. m m ® o I ; � •a z rN, i t,��rnn►, I � y e 3Aj al 1 u fa , Ll i I� e N El F 47 i r I-1 Ll l-1 t • i • 2 7= -77 77*7 17,`7 7 7.7" :777 7 '777 'OF FOUNDA TION TOP,: A4,41MOLE.-COVERS , TO EUIL D TO' W I' L CUL 4,TI ONS I TH//V ;J2' OF,: FINISH GR4 DE. , " 7 1, A41 N �,. 'SL OPE �El /00. 0 .9 NO, BEDROOMS 4 , CA S DISPOS L: 0 3 RON- A PVC 6 �'2 4 SCH. 40 MIN 2" L4YER' DESIGN FL 0 W., c�C 40 , IN V,ELI. 4 118"TO 114" P H PVC 64LI6,4 Y JNV E S TONE DIST. BOX _RC RA Tt' INJINCH PE m 46 . T-Y: , '314 jr 0 1-112 'L CA CH C4 INV EL. - C-9 PROPOSE[) P4c.1, INV INV q L d4 W4SHED.. STOIVF 4 ,/ 6) INV-EL -9500 L EA CHING All 4ROUND 94 Y ECA S T .'.CONCRE TE _PTIC TA NK SE 6A L/L PIT, /000 GA L S. 26' E - M SH41-L C("NSTRUCTION',OF 01SPOS4L S YSTE CONFORM; O M4 SS L/V VIPONMEN T4 L CODE, TF - PH' F1 E - EPTIC SYS _ M 0 L TI TLE V 'A, NO ' 7 -' TOWN HE4LTH REGUI. A TIONS. NOTES Vl,�/0 A/ O)c 4 AN.0- �71>1,41VIVA5 814RIV,,�r,491_ M4. A5(AIR, lle5xno Z Z 146'�-144Y �11661NS 11V 1-941 eY W111 7 IV" ,4ND rr— .4,"?C1-11 TC<f 7 S 41%1,0 �IMIVAIIS BARA6 7A81 E -rR y ZAN B�2;�K 65 ,P,461- /0/- -4 AgZ 2.-. AZ_L ASUT rE)R S. 0 '00�� TO 464RIVS71 -C11V-4rCP_ 0ol -PEP,_C, 77Z7c�7 7- APPIK Af 7/0 7,444C- eolt4 47 'SOIL LOG" /Vo. p-,55,5 7 �14ppl XL 4 1986 T F/7 Te5s r p (o , ) 713 9 0 (5,4 MO 4 YeR, :11V1117S cSAMO Ile 7,0- �41 A/0 py) VTE 04K�'A�lll s c PUB PlINE: -A9 0 V Oc 64 /oo..0 0 TE f- L L E-6 END -A A S/ A 6L -,X 9&51 QIVAC� TOWN: /,A 0,�/ $Yl,� 7' 6 70 e4 R A1<5 744 464 NoAl�S rr C4 T.- PX u/. 4 PPL IC4 N , Ma c Ne 5 5Z�Y SOWN D4 TE A Y CW PPROVED : , ROBERT, '-D. SM BREWS7- INSMI'Pt 04:HD OF' H E4 L TH GNT 100.46' Design Calculations ROUE 28 N Number of Bedrooms: 3 Existing + 2 Proposed= 5 Total 100.33' Garbage Grinder: NO, GRINDER NOT ALLOWED WITH I THIS DESIGN „t}c;a AP.` Septic Tank Capacity Required: 550 gpd X 200% = 1,100 gpd SITE PLAN Septic; Tank Prov` 'ed: 1,500 gallon (Existing) SC ,>::: �> Leaching Capacity Required: 550 S�,AI...E: 1 2 o� Leaching Area Required: 550 Gal.1`0.71• Gal./Sq.rFt.)=711•3 Sq.FI BENCH IVIARKON C8 fnd. 10027' Leaching Structure: 1 30'L X 10'W X 2'D Leaching Trench = 3 0 : � 3 O Exiting L..a .. � r . , .�, �� ELEv.=100.00' (ASSUMED) AREA 10, t SQ.Fr. 10023' PropFosed Leaching Area Provided. 15 X I.� X 2 = 226 gpd. IT I'otc 1 i.,eaching G:apac,ity: 566 gpd > 550 gpd. req'd. C ' l LOCUS TH 91 NO SCALE 99. 99.79' c 42. GENERAL NOTES cwr 1. ADDRESS: #3 FRANBILL ROAD 99 2. ASSESSORS NUMBER: 292-047 ,;. DEVELOPER'S LO`: LOT 53 a 4. TOPOGRAPHIC INFORMATION WAS COMPLIED FROM AN 99.18, ON THE: GROUND INSTRUMENT S�•'.�;i'l:Y, 5 T WN WATER IS PRO'1i:CLO Tc, SITI r°x Sl1RR011i�ll9€N� PROPERTiiuS. Q 3' o, P fnd 6: REFERENCE PLAN: Pl..AN BOOK 65, PACE 101 O� 7-. NO WETLANDS .ARE LOCATE; WITHIN `•00 FEET OF SAS. NO 3 I 9929' S. NO POTABLE WELLS ARE: LOCATED WITHIN 1`a0 l E"' OF SAS, N A rrGS' 9. i?iE SITE IS PLOT W Ep WI:HIN A ZONE I€. B. 99 98 98. ' X h F� k '�lors�. CONSTRUCTION NOTES �e�e full Cellos ove�e�d 1. Contractor is re s omsib€e for Digsafe notification: X 98.z9' ~nw Protection of all underground utilities and Pipes, 98.37' 2. The :peptic tank and distribution box s^nll be set J lovel on t> of 3/4"-11/2" stone. 3. B ackfil€ sNhoaicl be *•learn Sand or gravel with no 9.94' stones over 3" in size. P__ROPOSED SAS 9 4. This system is s.,ub ect to insper..tion during imsiulintlon by Glen E, Harri^gton, R,S. 1-151 X 13'W X 2.0- D 98 Q 5. The contractor shall in"all this system: ire occordance leaching trench using 1 H—10 �n with Title ya of the PylossnchErsetts Environmenta€ Coda 500 gal. chambers with 4 of and the Regulations of the Town of Barnstable. stone on sides & 3.25 on ends. 97 SHED 9"z' t� � 6. Provide w^ Acr o Precast l-—1€T, 500 gal, chornber or equal. rePoc�C, '� N o vr:iii;:lc: or heavy rrlcachiner'v sholl drive over the Septic systern unless snored as —20 septic. components. 9' 97.60' S. Install gas baffle or equal on septic tarok outlet tee end. e Q Allr s r: rite, r X 97.10' 0. exreti,•w inverts :d site co altiorie shall be ver fr�d by contractor. X s�°tk:• ck EXISTING SAS 9' E—V OWL AOCESS hEAMNH >¢`4Q I PERK TEST & SOIL EVALUATION-% Aven,� n Date of Perc. Test & Soil Eval.: September 16, 2003 :`�� �.•: ..x ='.; I Test Performed By. Glen E. Harrington, R.S. WITNESSED BY: SAM WHITE, R.S. r PERK NO.: P10,570 , r.'. PERK RATE: LESS THAN 2 MPI (ASSUMED) r! sC3 C3 ® 0 4 Test Hole ,...,. .. C3 C3 ® C3 124" No. 1 Srf'.EEA. RE.-Wr11Rf,'F.E7 F'RECASV COt3G'F{E'":E°. DEPTHSOILS ELEV. PLAN VIEW 1 H-10 500 gal. chambers o a END—SECTION ree: Y.eed H-10 500 GALLON CHAMBER 6" ,0YR4/2 Bat NOT TO SCALE _y sond 30• l0Yn5/e 7. USE ACME PRECAST OR EQUAL c1 €............................. ............................... ............................................................................................................................................................... mod—on 92" ZsYa/` 91,1113 �,a.M PROPOSED SEPTIC SYSTEM UPGRADE j c2 O ^' 'vow mw LEN 'SG PREPARED FOR ` , 4.sYE/4 88.zs DAVID C. MCLARDY ET UX o N NO GROUNDWATER ENCOUNTERED U HA ON --I 1070 CIO AT #3 FRANBILL ROAD „�F�tS"EEQ`P� N� LEGEND TAa� BARNSTABLE HYANNIS MA .�..i?, rrrnin, from-•—w *NOTE: ALL PIPES ARE TO BE 4" DIA. SCHEDULE 40 P.V.C. house to septic torsk ExiSTING 1500 GAS. : F':'s:sired grade oimr eystsrr.�2% wo0 O Oa e away H -10 SEPTIC TANK PREPARED BY: Existing House s FLE E zv. ltl3.:aS' L xrsrrrac ca 1 � iSlaY af3X Ezhtrng Grade Elev_97't 00,101'ES EXISTING I GLEN E. H AR R I N GTO N, R.S. X 104.46 Sew GRAGEZ.min. iIr 9 LE DA ROSE LANE u wY fxz' 2._,,e"-,,� 95 EXISTING CONTOUR GAL. washed stone 5.48' cellar ,O MARSTONS MILLS M A 02648kl SEPTIC TANK , 4.98' 8wnt, ft.rday. 9$. ''s wa: H-10 ;:: ; Wr resr HOLE TEL: 508-428-3862 OAS HArFLE iz � rs rn e e e e e s�'IMR. E s OR EOEtAi p k g ,s• r2eg ev.= .98' _MArApprox. location FAX: 508-428-3862 LEACH TRENCH s'min.read. Gl a's sja� r:js'pivew r " XI n _ g exi�<tiri' water Iir€e > •Bottom of T.H. #1 else.=88.25' Approx. location SCALE: 1"=20' DRAWN BY: GEH SEPT. 30, 2003 .. .............................................. . ..rt/2' : .................................................... ............................................................... SYSTEM PROFILE rx'�':Iy4^. sTotrE existing gas sexrvic';e FILE: MCLARDY SHEET 1 OF 1 " t 1e sBEe DATUM: ASSUMED __ _ Wb 80:8b:0 L 801 Lf0 L - L � )Vd L TRQOW MaRI OH \ 100.46' Des_I �-I I C a i c u I a t*o n s R C I..�T E X�,p Number of Bedrooms. jz 100,35' '}t,1a Cr .y,GCr Grinder: NO, R vD .R NOT ALLOWED Wi ; TiIS DESIGN ptki Tank Ta `.�I�`s3ac' �j l�Ui.��..dEred 55 gp1.� X 00% 1 }� pf it $ SITE PLAN �� Septic Tank Provided 1,5300 _"�� Ilon ( �; :� ix, O � �,� S! 1 "-�0' �O Leaching Capacity '` equire d 51 ,0 Gol.; [. ay N SCALE: L*;'€;�t"r ins Area Required, .,J50 t 11 /�t� i Gcfl,j�S€`,•.1i;,.t.j /4.3 ��C.1.i'M. r x BENS H a i\ FJ^d i F< f.r 1. 100,27 �O ?r t f f.• 't a C . l <(= 1 I B tea E ``' s , N, FEE"" k �r 1 �trv�t0'�.00' (A;•;F:U�4F'�y �.,�i7~r'I� l ArcL.: C� �... >, I:iiF, ,,,rl`� , v AREA 10, f SOFT. ,,. ,. I ;, 3(wt Cw ,... t i . A 100.23 I rc>.�� god ..eochin Area Provided,�'d, ,., ROWS O .,1 -�t: .,HAM}.K,'€:,'3 . 8 I...IN, atol _et�r.~hir Provided: 550 ;..�d ..... .y�.;t� ci:.rd. ;�.c� Sa. .. : ps LOCUS TH t1 99. 99.79' T R 42. RV qR q � GENERAL NOTES car 1. ADDRESS: ;;Ii3 FRfiNPILL. ROAD 2. ASSESSORS IdLIMDE f: 292_.0 P7 99 rn^ 1 3, -'X�F:l..Ol•'ER'S LOT. LOT 53 a'e 4•, (i)3''C)4:1:1'l.11t ill ' I� :$°:ili-N V' COO il.€s 'r'l L;I�$ tgN 99.18, ON T 1E GROUND iNS I�t.MEi.1 a ! V 51 TOWN WATER, IS. PROVIDED TO S!TE 6x S;;jRR01.IhIDi (;' P' P,0-='ERT1' , Q 3' 0, B fr,d 6, R F"ER 'IL L,, PLAIN: P A! 800K 6.3, P,,r`'E 101 99.29' , NO �'OTX8LEE ,ELLS ARE tia 3n i tj3_l ' iEE' 1,' SAS, � u) "HE' SITE 1S NOT LOCA•I'L'.L VVITWN A LaJ'."=E 11. CIV B. 98 98, X r� CONSTRUCTION NOTES p�6<�e�ate\g 1, Contractor i5 fG'ra} .n.,;1ble ;u'' Digsoft X 98.29' d prtect4n f)r oil Und£ w•3sn C' :Ue ard pipes,r s 98.37' /• , 2. "£,hF r,epj £ry $,!�£'£1`. t3 F'F f,�. +� ���:£'iilLiti£;S F`+ :';£):d ,I�;'?i€ F a. s.e fu! !! J�J leve o;. , of 314 ••-1 /2" :tone, or C ack ill should be clean sar-d or crave: wi :"1 nr` 9.94' s+l /' � n e 4v r 3' in ''siz� !! R �/ 4. Th t, „YslI'm ir) utter:} to iYi)lef of 7r duringir);trlis iit3r; 9 a° by Gkm E. Hr4 rring;ton, I`S, - 0 98 w. The Centroctor hoi' in,itcli °"s ?yste.-m in f3 t`C'-,34`iaorl'E: 10, a, with Title V of the 4c ;t,i,I t y t r;nr? e to trade 97. x .zz' v ? and the Regulations o :. he io of bscs.rm-Ao,_, e' % � 6 'ro.'A an ^,cm P. at 1; 3 0, l� 6 I _z'� , or eq::I.,l. �� J !, 3£`. ,e,, _ir. -r hea £13r7 Y..t:t3r� ?Ci€ d3 u 7?;'.? 1.1tk _Z System unless ?IEi`d 0"s H• 2 ' y;eptic cor»ro .Y1,s, - v � 3;.. ,L, 1r: 1i qas ts,.Irl a. e an .� .. ton1, ,u ,.._ `ce nd. o Q r :nverts and .,t c, ,d t£c.il $h.s9l I e ,.v ..ia,: ti>r._ _ o � ry �34w�`; a£ )E4€ t? the .:si General .^` 1I ??tiCI �'�t�r1,0, The AC f 1 s ,d ` and the Slo iffusor ln,ta- atio'' 'Gui el nes, doted Octf.uc. G. t,,F/` • X 1 I, :rhe` exi5. g s6i ai.",—).rption 5;at£?3"?"3 sl=':?il b,,,, pu. s'.=l, .E`. ov: r: d w;th :"leer; snno. t of :.,,�,�. '?'),. �.c''s f3. v. •its • t sePt/c se*bock 97 �" 0.00'b vation port PERK TEST & SOIL EVALUATION 4p Date of Perc. Test & Soil Evol.: September 16, 2003 4^ kNocXouT F Test Performed H Glen E. Harrington, R.S. Rq Y 2gkCl/�/ qV WITNESSED BY: SAM WHITE, R.S. 1611 a os6 F PERK NO.: P10,570 PERK RATE: LESS THAN 2 MPI (ASSUMED) PROPOSED GAS — UNIVERSAL END CAP 31'-8'L X 14'-2"W X 11.31, Test Hole ? Test Hole leaching field using H-10 No. 1 1Vo. 2 34" High Capacity ADS 6iodiffusor , ;DEPTH SOILS ELEV. ;DEPTH SOILS ELEV. chambers wi}hout stone. END SECTION BIODIFFUSOR 1600 BD 0 A loamy sand 8" 10xt4/2 2nd TEST HOLE WAIVED Bw 8Y AGENT DUE TO loamy sand SAFETY CONCERNS 30" fonts/e 97.00 CI mod.-ct san 92" 2.5ye/4 C2 mdebtan: j ....................................... q a ...... .. ..................... .................... .........................................................................,...... . .. ........................ . " 2sro/4 88.25 OF sS PROPOSED SEPTIC SYSTEM UPGRADE NO GROUNDWATER ENCOUNTERED /ti PREPARED FOR f Soil Evaluation Certification RI a CAPEWIDE ENTERPRISES, INC. I certify that on October, 1995, 1 have passed the soil evaluator Q' HA IN ON { _e� l j examination approved by the DEP and that the analysis was performed by 0.10 0 AT �' ` �( Y�, me consistent with the required training, expertise and experience described ,�, �r44 #3 FRANBILL ROAD in 310 CMR 15.017. (�'I E �� LEGEND N,TAB\Pr� BARNSTABLE (HYANNIS), MA :0` min, frarn—; *NOTE: ALL PIPES ARE TO BE 4" DIA. SCHEDULE 40 P.V.C. Glen E. Harrington, R.S. Dote house to septic to-nk i XIS i`dC sv AL USE ACME Provide 4" SCH 40 PVC 0 0 o 5 HOLE H-10 observation art below grade H -S.E ANK PREPARED BY: P Existing House DIST. BOX ' LE•e. :ac%r, ' i X1577MG GLADE OR EQUAL Existing Grade Elev.s97't -�WiOi od grada odor 5.,otgiY3-2% i��e cm xto4.4s GLEN E. H A R R I N GTO Ns R.S. ' `:` " 9 LEDA ROSE LANE i 0-Box cover shall be "��££ CKA � t, ' m f ' w,thm 2 in. 6" f finished grade max. It Ce lar _. EXISTING a:sSl _ ...... ievt F»•2' s-.o, 95 1500 GAL. -- MARSTONS MILLS, MA 02648 ewnt' Ft. 'Ov+—112,3•t ° x SEPTIC TANK u>i • �h<` ca } W t HOLE H-10 �i a 11; 11" i TEL: 508-428-3862 e r al �3i ;gas . i t s:.� �y P>�5:,.�i:?}.a .,><1.i2T� �,ii �• �:' �, 3t -a r.Bottom of Leach : r:� �ca�ifrFacilit Elev.e94.00 FAX: 508-428-3862 II ir exizsti'Ia water "ri p 6'f (5' Min. required). vv vv ,�M'r• lineSt,.0 fSC S/k"_fii2.° rp t; c SCALE:. 1 "=20' DRAWN BY GEH JULY 29, 2010 n LEACHING FIELD yeottam of T.H. �£1 elev.=88.25' �.._ G_,.: ^,1 I t. i r,ii: ......................................................................_.. ......... ................................................. ...,. . ................................,... ..... ;x SYSTEM PROFILE — ...... f ` title gas `��:rV;C ' FILE: MCLARDY2 SHEET 1 OF 1 Not t� :�,�ie DATUM: ASSUMED