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HomeMy WebLinkAbout0038 HIRAMAR ROAD - Health 3S - 40 SIRAMAR ROAD,MANNIS A_ '2ry1-. 170 oil Y I TOWN OF BARNSTABLE LOCATION 3S-yp 9 rm excxr RK SEWAGE# 2o20. 018 VILLAGE ' H aa,nn;S ASSESSOR'S MAP&PARCEL Z 92 • INSTALLER'S NAME&PHONE NO. 3 4 0 y` 1- OG53 SEPTIC TANK CAPACITY /SW 9� J Z comp LEACHING FACILITY.(type) �STL�¢. 2) (size) NO.OF BEDROOMS ' OWNERL"WMCLIN PERMIT DATE: 1- Z I. 20 COMPLIANCE DATE: O 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 Al- yo'y" Az A3 ' yL 4 Ra M• Sy'8 " 30'y'. �EAfZ 31 - 2g � A B 32• �oS (33 ' I N g5. 38`8 TOWN OF BARNSTABLE LOi AT-15N �G �l/�� �'P SEWAGE# VU--.AGE. ASSESSOR'S MAP&LOT .NST LLER'S NAME&PHONE NO. 4 SEPTIC TANK.CAPACITY J�`S�' °r�L LEACHING FACILITY: (type) T r/oLL YS ,;size) ° k I10.OF BEDROOMS BUELDER 0' OWNE Il',NA, ,D/i7 PERMITDATE: COMPLIANCE DATE: '93 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachin facility) Feet Furnished by © Q ,� � y`� ., r , � �� . n 1 r No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppliLAtlon for MispoBAY 6pstrut Construction Permit Application for a Permit to Construct( ) Repair(V) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3% � 40 Vk%r c rnor Rood Owner's Name,Address,and Tel.No. Robert/ L:,ppn'ta", Assessor's Map/Parcel 'Loal 110 4i t 4 0 14 t-orno r Rd, E{ a nn;S Installer's Name,Address,and Tel.No. 5 f�xG ow a4i on 1 nc Designer's Name,Address,and Tel.No. (j,ou'e 130 Sac,doj�c,l. Mo,. 02S(,3 1 159 G-eo RHder Rd• OV,33 Type of Building: &vOz 7i VMq Dwelling No.of Bedrooms Lot Size B,621 sq.ft+' Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 144 O gpd Design flow provided y q L4 gpd Plan Date 11, 11. Z O 19 Number of sheets 1 Revision Date U4 n 13 • 20 ZO Title Size of Septic Tank ISO O Ducxt Cpnup. Type of S.A.S. (2) TOO golla r, GV+awn60-cs Description of Soil Se-v— Ol o n s Nature of Repairs or Alterations(Answer when applicable) led SAS (2) Soo Oak• LC 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 f Health. ' �Si ed 4 Q Date 'Zi- 20 Application Approved by i Date Application Disapproved by Date for the following reasons Permit No. ' Date Issued No. t/ Fee, (/ �� i v THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes s' PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS /1 Rpplication for NspoSal 6pstem Construction Permit r Application for a Permit to Construct( ) Repair V) Upgrade( ) Abandon( ) El Complete System El Individual Components _ S Location Address or Lot No. 3% 3 k;p Owner's Name,Address,and Tel.No. R oh c,.E L m n N�Ionrn S PP Assessor's Map/Parcel Installer's Name,Address,and Tel.No.,6�(2,� `Gx!r, n! �. }r Designer's Name,Address,and Tel.No a _ e c.H� 31t) ( Oouke rzc) SA1(�t�,C 1� { 1C,. O( JCc3 `� S �oU t'���C�E/ �C1• ?• 4I1C;��G 11 VZ�[• ]� Type of Building: Dwelling No.of Bedrooms Lot Size IS Ll I sq.ftt/ Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) t-((j o gpd Design flow provided gpd Plan Date 1-)-. 11. ?a t cl Number of sheets Revision Date 1 n�- i !i?o Title Size of Septic Tank 150b �r,I �nr.�n Type of S.A.S. Description of Soil - i Nature of Repairs or Alterations(Answer when applicable) > C)O .J. 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'offitle,5 of the Environmental Code and not to placethe system in operation until a Certificate of Compliance has been issued by this Board of Health. ' 0 � Date_t-?)-/20 Application Approved by '(,�/ ,/, /1,1�/rlf �✓��_ Date / Application Disapproved y / i"TDate f , for the following reasons ra Permit No. 62 Date Issued'" /14�r � i v THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(,/) Upgraded( ) Abandoned( )by _ ,4,n/ • �n at d �_ ,c �, ,�P VR r t N has been cons eted in aec r / with the provisions of Title 5 and the for Disposal System Construction Permit No MHd � r Installer (�, x, r,,,P�;o , I�,- Designer Gv 4 e e h - #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system wi. ti as desig ed. Date i U Inspector ------------- ------------------ ---------- ---------------- --------_----------------------------------------------- ell No. (/ o! �} - (t . . Fee !J THE COMMONWEALTH OF MASSACHUSETTS j PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS 'I 0 � p �vj� Disposal *pstem Construction Permit permission is hereby granted to Construct( ) Repair(J) Upgrade( ) Abandon( ) System located at R 3 Q r a rnr,r 'S 1/ / r " 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:Cons ction u he completed within three years of the date of this permit. f Date '/ Approved by �/ f Town of Barnstable `'ME'Qk,.o Inspectional Services Public Health Division HAMSTast.E. Mnss Thomas McKean,Director toJ9• `0�' '°�torur° 200 Main Street,Hyannis,MA 02601 Office: 508,8624644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Sewage Permit# Assessor's Map\Parcel 2�Z( 170 Designer.- NU',,v CD o qj-tl�l Iv w r Installer: Address: 155 6-60 R '( R SO(J Address: On !was issued a permit:to install a (date) (installer) aa septic system at f i r-�')tyr q i �'i'\ based on a design drawn by (address) 11 r tJaUI CDO11� rbiu(-✓r dated l2. II `Zc�ccj / (designer) I. certify that the septic system referenced above was installed substantially according to the dcsign,.which may„include minor approved changes such as lateral relocation of the distribution box and/or septic .tank. Strip out (if required) was inspeeted:and the soils were found satisfactory. I certify that the septic system referenced above was installed with,major changes (i.e. greater.than 10' lateral relocation of the SAS or any vertical relocation of any component. of the septic system),but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were,found satisfactory. I certify that the system referenced above was constructedJ with the to rms of the IAA approval:letters(if applicable) V, 4`~ DAVID , D GOUGHANQWR in (Installer;s Signature) No. 1003 a 4 (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. WonWepts'MCA1?MSEWER conmASEPTICoesignerGeniflution Fonn Rev k 14-13.000 7 'ro-,n of Barnstable Inspectional Services Ail Public Health Dillision Thomas McKean,Director 2111)Muki Street,11yarink-,NIA 112601 Offio,,: 508-862,16,14 Illstaller.&Do.Al"1101,Co-fifitathin Form Mau: age Vermilita sessor's MapWircel r Designer: lastaller: "F X 1�"k,q C\-IA b f-) r Address: ,,ddros J, Al oil issued i;wmfll to insiall Nat r r1lWallul, based kill a desitz.)d lamk m Septic Hymen'.it, ------....... kaddruis) 4,V. 6,1- dated .............. JJ I ccrt&that the septic 3VS(eln referenced ubo%v wz,.s instal lec' itc.cottim!,to o. := III,e.n-IgIl.which iiim,mcillide niinkir uppi"vQd d mnges sash as literdl 1`001,16 i' distribution box antUi`)r wpfik:taril.,. S;rip ol- ;f rejjlljttjl)was insp.;vv.lk:d aiic. were ibund sxisfi�tkff7 Ck.'r(il 1,111M tile suptic syswnl Icrertced l-oe greater Than 10'lateral MOCIIOtin of'the SAS o. vezlicUll N;Oc. of the sclaic 5ystcln)but in accord.illeQ with slatc vz I'=1'Regulalions. 111all fcvi nn Certified b)kJcJ[!rler W 6r11ow. tit mil,fir ,ka�ins".Cmd an, tat u Sod, were fliund sausfilclOn-11 (.certify that We wile'll referelleed A--WM CO"It'loc,1 C with the r.-m of ........... the IVA npproVill letter,;61'allphe0k) (Installers Deiili r r s sigliatu.e i UT RN TO HARINSTABLE NAHA('11VALT11 DIVISION, CEIRT'IMATF PLI:'IF \ND AS. RMN-111PLIAAcr Nva.1, NOT BF 17SI FIA) O'ffn.,HO I I I I I U' 131 '11.1 CARD,.A ILL I'Ll.'A'E I EV 15 V ltll-�JAAK!! IIABL1'VUIIlAt-,t DIVISION. T IANK YOL SEPTIC PUMPING AND INSTALLATION 350 Main St. • W. Yarmouth, MA 02673 • 775-2800 Heating&Plumbing,Fire Sprinklers SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Address of property -MAmAp a 9a Owner's name Date of Inspection / PAR# f7 PART A CHECKLIST Check if the following have been done : I, Pumping information was requested of the owner, occupant, and Board of Health. i None of the system components have been pumped for at least .�:wo weeks and the system has been receiving normal flow rates during that . period. Large volumes of water have not been introduced into the system recently or as part of this inspection. V As built plans have been obtained and examined. Note if they are not available with N/A V The facility or dwelling was inspected for signs of sewage back-up. The site was inspected for signs of breakout. .All system components , excluding the SAS, have been.•.located"on the site. The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions , depth of liquid, depth. of sludge, depth of scum. The size and location of the SAS on the site has been determined based on existing information or approximated by non-intrusive methods. e, I The facility owner (and occupants , if different from o 01 er= �s provided with information on the proper maintenance o SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION }' FLOW CONDITIONS If -residential number of bedrooms t/.✓/�.va�� number of current residents garbage grinder, yes or ) laundry connected to s sm, yea or no .' seasonal use, yes or nos If nonresidential , calculated flow, 3$ N3 i S i7 7�U # •ya /I93 -/9 S - 101j r7U) Water meter readings, if available : --�'� Last date of occupancy GENERAL INFORMATION Pumping records and source of information : +`j - I3 0✓F'CL 14 l;S C�V vC o System pumped as part of inspec-tion, yes or no if yes, volume pumped / /_QL Reason for pumping, _. _ WIZ Type of system Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no ) ( if yes , attach previous' inspection' , records, if any) Other (explain) Approximate age of all components . Date installed, if known. Source of information, Sewage odors detected when arriving at the site , yes or no ;t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SEPTIC TANKS Jf5 (locate on site plan) depth below grade: material of construction: V concrete metal FRP other(explain) dimensions sludge depth '30 distance from top of sludge to bottom of outlet tee or baffle jscum thickness distance from top of scum to top of outlet tee or baffle distance from bottom of scum to bottom of outlet tee or baffle 1 Commentst (recommendation for pumping, condition of inlet and outlet tees or baffles depth of liquid level in relation to outlet invert , structural integrity, evidence of leakage, recommendations for repairs , etc. ) � DISTRIBUTION BOX: Yf5 (locate on site plan) G depth of liquid level above outlet invert f - Comments, 'w (note if level and distribution is equal , evidence of solids carryover, evidence of leakage into or out of box , recommendation for repairs , etc. ) i - PUMP CHAMBER i O / 0 Al y (locate on site plan) pumps in working order , yes or no Comments i (note condition of pump chamber , of pumps and appurtenances , recommendations for maintenance or repairs , etc . ) i 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART.. B '.' SYSTEM INFORMATION continued SOIL ABSORPTION SYSTEM (SAS).: fS ,j. (locate on site plan, if possible, excavation not required, but may be approximated by non-intrusive methods ) Tf; not determined to be present , explain: Type leaching pits and number leaching chambers and number eaching galleries and umb leac ng renches, number , length leaching fields , number , dimensions overflow cesspool , number Comments: (note condition of soil , signs of hydraulic failure , level of ponding, condition of vegetation, recommendations for maintenance or repairs , etc . ) /V o V — CESSPOOLS ( locate on site plan) : number and configuration depth-top of liquid to inlet invert — depth of solids layer — dimensions of cesspool materitils of construction — indication of groundwater inflow (cesspool must be pumped as part of inspection) Comments : (note condition of sail , signs of hydraulic failure , level of ponding, condition of vegetation, recommendations for maintenance or repairs,,. etc . ) PRIVY: C) A/ C I 'Locate on site plan) materials of construction dimensions depth of solids — Comments : - (note condition of soil , signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs , etc... ) 16� • f i 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION : .. PART B.. SYSTEM INFORMATION continued SKETCH OF SEWAGE DISPOSAL SYSTEM: . include ties to at least two permanent references landmarks or benchmarks locate all wells within 100 ' i I E �o 7-1 O I DEPTH TO GROUNDWATER depth to groundwater method of determination of approximations SURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C i FAILURE CRITERIA Indicate yes , no , or not determined (Y , N, or ND) . Describe basis of determination in all instances . If "not determined" , explain why not N Backup of sewage into facility? Discharge or ponding of effluent to the surface of the ground or surface waters? I✓ Static liquid level in the distribution box above outlet invert? i Liquid depth in cesspool <6" below invert or available volume< 1/2 da j flow? (� N Required pumping 4 times or more in the last year? number of times pumped 1 N Septic tank is metal? cracked? structurally unsound? substantial infiltration? substantial exfiltration? tank failure imminent? Is any portion of the SAS , cesspool or privy, below the high groundwater elevation? A/ within 50 feet of a surface water? i✓ within 100 feet of a surface water supply or tributary to a surface water supply? within a Zone I of a public well? /f within 50 feet of a private water supply well? N le.";s than 100 feet but greater the 50 feet from a private water suppl well with no acceptable water quality analysis? If the well has been analyzed to be acceptable , attach copy of well water analysis for coliform bacteria, volatile organic compounds , ammonia nitrogen and nitrate nitrogen. SURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART D CERTIFICATION Name of Inspector _VMSS 7 Company Name A & B Canco Company Address 350 Main Street , West Yarmouth MA 02673 Certification Statement I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true, accurate and complete as of the time of inspection . The inspection was performed and any recommendations regarding upgrade , maintenance and repair are consistent with my training and experience in the proper function and maintenance of on-site sewage disposal systems . Chec one: I have not found any information which indicates that the system fall to adequately protect public health or the environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. " I' have determined that the system fails to protect public health and the environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. NOTE: A & H Canco has had no control over the use and/or routine maintenance of the septic system. Circumstances such as a recent pumping Will significantly alter evaluation results . No guarantee or warranty is hereby given, express or implied , as to the evaluation . THE I€vUANCE OF THIS INSPECTION FORM SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY If'' N►bu have any questions , please call me at 508-775-2800 between 8 : 30 am and 4 : 30 pm, Monday through Friday . Inspector 's Signature Date -15-- ,j- Original to system owner " �` Copies to: t,°,yj � RECE719 O Buyer ( if applicable ) Approving authority � ACT 95 � w, 'C�j� TO)WNi OF B'ARN.:STABLE, t .>f I:QCp'TEON,' Aua`S 3 a Y� e�'�� QSEWAGE,f - I VILL&.G'E? -ASSESSOR'S MAP&LOT2fa Jam.=: I' ' INSTALLER'S;NAME;4 PHONE,NO:l A &: 3 CA= 775'-6264, .SEPTIC TANK.CAPACITY! On .. .t P LEACHING FACIt,ITYi(type)) C�-AU I Y �l Otte)) r _ 0.- , NO*,OR'BEDROOMSTPRIY'AITE,WELL,OR PUBLIC WATER BUILDER.OR,OWNER, D I` h m A tu DATE.'P,ERMIT'ISSUBDr ' DATE; COMPLIANCES ISSUED ' No; VARIANCE'GRiANTED's> Yes s V v ` t � 6 s # � f i O s� y s ASSESSORS MAP NO: No......--------'.�/ PARCEL NO: ,� ' Qt >s.... ,�_C�......... THE COMMONWEALTH OF MASSACHU BOAR® OF HEALTH /C 93TOWN OF BARNSTABLE .��-- X prirttt~fit for Difipwial Wi orka� Tonstrnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair (�n Individual Sewage Disposal System at: .....4-Q-........ 14 C%,.r...................................... Loc:�tion-:\ddress Lot No. ....'af_,Rrn.&I-=�I- ----------------------------------------------- 3-cl---/Vew�.P_141 4... sr� O,vner dress a /4 t_ ........ �A n�a---------------------------•_------------------.-- ��v_.._.Y►.... . �� ..................... ............... Installer Address Type of Building Size Lot............................Sq. feet ..a Dwelling— No. of Bedrooms------------ .............________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a Other fixtures ..............:--------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow..................._........................gallons. 0� Septic Tank—Liquid capacity------------gallons Length________________ Width................ Diameter................ Depth................ xDisposal Trench--No. .................... Width.................... Total Length.................__. Total leaching area....................sq. ft. Seepage Pit No..................... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a .._...•--------------------------•-------•----------•-•-•-•-•-•-••.............-•--••------•----•--•......................................................... 0 Description of Soil........................................................................................................................................................................ x x -•-•--------------------------- ------------------------------------------------------•--•----....------------•--------...-----------•-------------•--•-------•------------•-•-•----•- •••...... U ature of Rep irs or Alteration —Answer when applicable__ (1.5 �4_ _ _.....L7__-d�_�Q. ____. ....�ltt!?B`- jj�� q irk d(C15......W�-41-P--....IS. ................................. ------------------------------------------- Agreement. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental 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. Signed ............... ..........�.Ca..r�v- .-------_--_-- .........�R-.".3c�.-�3 __;6Dat ......... Application Approved By .......... . ,� ... ...... ...:.... .......... . .............................. Date Application Disapproved for the following rearon.r: ...._............................... ............................................. ........................................ ... ....... . ...................�,. .. ..........................................- ........................................ Dare Permit No 'Z-��..�,/.�t7�........................ Issued . .... ............. -.............. ............ Dace I�.I:r"a"..d.trr;+-,.m..-....+.✓'v��.r—.y+:...t'i'Y"+.h4'�r,L...aw•�.::. .:,n .. ^vA/r:�:L:�►'iG+...�-i-.....1t.-� ,.... � � ��.r-.Frey,,,�.wilk��,+ A�+,v..irL.w�/1�0"'`rsli-sn No..... FEs.....-.: .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 93TOWN OF BARNSTABLE lipfiration for Diri wial Wurk,i Towitrnr#inn ramit Application is hereby made for a Permit to Construct ( ) or Repair (✓rn Individual Sewage Disposal System at: j f' ta0Aa �ck ........._............... ........•....._..------.C-.----- -----------------•-•-- ---=•-------------------------------------...--------•-----•-•----------------•-•.....---.....--- ` Location-Address LotNo ....I�PA✓fin A �-4--•...-•----•---------------------•--.-..----•-•--- � PE. !�.......... 1/P r__n O��ner Address ...... ............... Installer Address Type of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms----------- ----------------------_--.--Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type of Building ---------------------------- No. of persons--_----.--_-____-__..__-- Showers — a g p - ( ) Cafeteria ( ) QOther fixtures --------------------------------------------------------------------------------------- .............................................................. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity...._......gallons Length________________ Width-.--.----------. Diameter...-..-_-.--,--- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by...... -..7__________________________________......................... Date........................................ Test Pit No. 1-----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit N,o.2 _.._..�_.�1m un tes per inch Depth of Test Pit.................... Depth to ground water........................ D Description of Soil...... -'�----------------------------------•----•-----•----------------••--•--------•-••-----._.._......------••--------------•----._.........--••-•-------....-- W V ...........................•-••...••••----..__....---•-•-•-•--••-•--•-•------•---•-•-•--•----------•--••--•----- -----•-•-------••-•---•.__....•----••--••------•-•--._...----•--••......._---••-•---••. W , ....................... ......................................................................................................................'--..._____.__._._...._._.._._._...__._................... U Nature of Repairs or Alterations—Answer when applicable..__ 'A.- +A.Jbl...... .'... _ 6._••_7.(....-_•5�n�,:�____%,4,nJ C . rlL.�(��V f^ �l a� �' r ........... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental 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. Signed �._ 6 Dat Application Approved BY .........-... ... 2/� .- '---- ... ./ Zrl............................................. '''` , .: Date Application Disapproved for the following reafonf: .. . .................._ ... --. ............ ........................... .................................. ......................... ........................................... -- ................ . ... . .......... . . .. -- ............ ........................................ /7 Permit No. ...._ ._t� a,7 /..... - Issued .-...._ "T ' �...�' Date --•---------------- --.-..___.........--_..___-_--.----_—^--------- THE COMMONWEALTH OF MASSACHUSETTS `` `�+ N� BOARD OF HEALTH TOWN OF BARNSTABLE C�er#ifi ate of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ✓) by ..........�{.f...04......... .......................... .... ........_.. ......_.... ....................................................................................... at .3. ..-.- c ........_l t.s.t.Q.rn. �.. .......( .�4............._1- . - ........... -.. - has been installed in accordance with the provisions of TITLE of The State Environmental Code as described in the application for Disposal Works Construction Permit 1, -1�.. dated �.. ..�'".......... ..... PP P t -._.. __ " — . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............. -..... --. ..- c-_" .......---- .._......... Inspector ----... �. "------ -----------.-. *--- ..---- ------------------------------------------------------- ---------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No `..± FEE........................ Mip sal Workv Tomitrurtivit Errant Permission is hereby granted.....A-i�-- .i�----------•CA•NCo----••-----•••------ ----------•-•---•----- to Construct ( ) or Repair (r Iran Individual Sewage Disposal System at No..... Dd street /' as shown on the application for Disposal Works Construction Permit .................... ���....__ Dated..... `. `-. �- ---•---•--•---•-•... ............................... Board of Health `JJ DATE.......... :.'"�..: FORM 36508 HOBBS&WARREN.INC.,PUBLISHERS HYANNIS, MA ROUTE Zg-PALM OUTN ROAD LOCUS CIA AROAD m NIRAMR 9 ROAD m ,. GAR R fRANKLIN L§T§L#T§ES * fN��Es RD ES WATER LINE �� A14E NOT TO OT WATER GATE O SCA E A OWED GAS LINE �o OVERHEAD WIRE off `L ® C U a� U'A .P UTILITY POLE GAS LINES MAY NEED TO BE RECONFIGURED • e ' SEPTIC COMPONENTS C. REMOVE EXISTING O \ 1500 GALLON SEPTIC TANK \ " F. INSTALL NEW 1500 C GALLON TWO COMPARTMENT yi SEPTIC TANK H-20 DISTRIBUTION BOX 0 O ok `Q� 'Ile TEST PIT ci 45 © 0y IS in \\ PINEV. # >Q Y F da 0y F\ G hw a q _ QO APR 614A E GIS DAT A G9 /'4, 9 ELEVATION 9°A°ti` \ os c T 4760 l O�p��, O F° \ 0 0 _ .OF FOU�DP�\ 46 _ - _ ...�—=.moo•.._ ,..-.�,---., __-�-._ � 4. �. v � , ,,�...�. co G 10 ft / PROPOSED SOIL • M ,����o�` °s ABSORPTION SYSTEM 1- °y i -SECOND GALLERY IS • j 0y MIRROR IMAGE OF FIRST. p -SEE DETAIL G G G 0y ON BACK OH \ OH-_ -45 OH OH 1. 2 _ _46 LOOT 20 t AREA = 8627 Sf+— EXISTING SOIL ABSORPTION SYSTEM LAND COURT PLAN 17786-C. PLAN TO BE REMOVED. WHERE OLD SAS SCALE: 1 in = 20 ft OVERLAPS NEW GALLERY, THAT ASSR MAP 292 PCL ,170 PORTION SHALL BE REMOVED FOR 0 20 40 5 ADDITIONAL FEET & REPLACED WITH CLEAN MEDIUM SAND PER TITLE 5. 0 10 20 PRINT ON ll x. 17 in ADDITIONAL ABANDONED CESSPOOLS PAPER FOR PROPER SCALE OR OTHER FILL MATERIALS MAY BE DISCOVERED WHILE EXCAVATING FOR PROPOSED SYSTEM. THIS IS A . REMOVE ANY SUCH MATERIALS FOR n OFMgss9p �P� OF s9 5 ADDITIONAL FEET & REPLACE WITH COLOR' DAVID yos �o�' DAVID ` .tios� CLEAN MEDIUM SAND PER TITLE 5. D. PLAN COUGHANOWR N 'NCOUGHANOWR FOR INSTALLATION !;l USE COLOR PLAN ONLY No. 1093 i No. 461 ., i j I SEWAGE DISPOSAL FULL DETAIL IS BESTgP ` VIEWED IN PRO�E�`., p� O, SYSTEM PLAN FULL COLOR SqN EVALUP�=' -To SERVE_ ExISTINc DWELLING E ROBERT D. LIPPMAN REVISED JANUARY 13, 2020 " OWNERISIOI= RECORD pp =- —`(' 38-40 HIRAMAR ROAD THIS PLAN IS INTENDED SOLELY FOR INSTALLATION OF THE SEPTIC SYSTEM 155 Geo Ryder Rd S HYANNIS, MA DEPICTED ON IT. FOR ANY OTHER CHANGES TO THE PROPERTY INCLUDING PROPEL?7 Y ADDRESS PLACEMENT OF ADDITIONS. SHEDS. FENCES OR SWIMMING POOLS. OWNER Chatham, MA 02633 SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. DOVIdCOU®HOtmail.COm DATE_: DECEMBER 11, 2019 508 364-0894 Pc.1/2 roe# ETE-4427 ABC/OE SOIL TEST LOoC ' '. '• • ' DESIGN CALCULATION SOIL EVALUATOR: DAVID D. COUGHANOWR. ASE *461 DESIGN FLOW: 4 BEDROOMS X 110 GPD = 440 GPD WITNESSED BY: DAVID STANTON. HEALTH DEPT. SEPTIC TANK: 440 GPD X 2 DAYS = 880 GALLONS TEST PIT 1 PO GROUN 64 DWA 2 MI ER NCO NTERESOILs INSTALL NEW 1500 GALLON TWO COMPARTMENT IN C ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER SEPTIC TANK (1000 G PRIMARY, 500 G SECONDARY). 46.00 INCHES• HORIZON TEXTURE (MUNSELL) MOTTLES DISTRIBUTION BOX: INSTALL UNIT DEPICTED BELOW. 0-10 Ap SANDY LOAM 10 YR 4/4 NONE FRIABLE SOIL ABSORBTION SYSTEM: 43.17 10-34 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE THE LONG TERM ACCEPTANCE RATE FOR A CLASS ONE 35.00 34-132 C MEDIUM SAND 10 YR 6l3 NONE LOOSE SOIL WITH A PERCOLATION RATE BELOW 5 MINUTES PER INCH = 0.74 GALLONS PER DAY PER SQUARE FOOT. TEST PIT 2 NOC GROUNDWATER�NN NOHNTERESOILS THE 16.5 ft x 12.83 ft x 2 ft LEACHING GALLERY IN C WITH CUT CORNER DEPICTED CAN LEACH: ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER 45.85 INCHES HORIZON TEXTURE (MUNSELL) MOTTLES BOTTOM AREA= (16.5xl2.83)-((6.33^2)/2)=191.6 sq. ft. 0-10 Ap SANDY LOAM 10 YR 4/4 NONE FRIABLE SIDEWALL AREA=(16.5+6.5+8.95+10.17+12.83)x2= 109.9 s . ft 43.18 10-32 Bw LOAMY SAND 10 YR 4/6 NONE FRIABLE TOTAL AREA = 301.5 sq. ft 32-128 C MEDIUM SAND 10 YR 6/3 NONE LOOSE FLOW CAPACITY = 0.74 x 3 o l.5 =2.2 3.1 gal/day 35.18 INSTALL TWO LEACHING GALLERIES AS CONFIGURED BELOW. -- FLOW CAPACITY = 446.2 gal/doy WHICH EXCEEDS THE 440 gal/day REQUIRED FOR A FOUR BEDROOM DESIGN. 15000 GALLON H-10 DUAL COMPARTMENT SSEIr,T§C TANK DIMENSIONS & DETAIL SS OO §L= A o SS 00 RP T§OO H USE SHOREY SS YS TEM CONSTRUCTION DETAIL ST-1500-2C 633 rc 10.17 ft r USE SHOREY - . PRECAST - a y -- - 500 GALLON LEACHING - DRYWELL UNIT • co CO 0 t I N 6 f t- U 0 in SECOND GALLERY i 0 IS MIRROR IMAGE o r 8.5 f t14.0t _t� STONE OF THIS ONE. ft ---- �� 500 GALLON DRYWELL O �(� DIMENSIONS & DETAIL INSTALL ONE INSPECTION TO USE ® INCHEE OF WITHIN FINAL GRADE g b H-10 INDICATE LOCATION UNIT ON AS-BOIL T INLET CENTER x a 33 COVER COVER OUTLET OVERK in Z) 3 IN DROP �y AeFLOW LINE -► �/ ' O \� 110 in 14 1 rD?BOX Q � 2n-._ - _ INSTALLER-MA'Y'SUBSTITUTE-AN APPROVED"GEC7TEXTICE- 48 in FABRIC IN PLACE OF THE 2 in. PEASTONE LAYER SPECIFIED. LIQUID GPSF�E PF PF CROSS SECTION VIEW � LEVEL g 0, - 731i0 CF.L c v I yf) 1 2 in PEASTCN�E 2 In PE,45TOPE ALLOW; � b in STONE BASE 28 3/4 In TO I24 in' 3/4 In T 26 SEPARATION BETWEEN INLET & OUTLET EFFE in 1-1/2 in GRAVEL DEPTHTIVE 1-112 In ORAVEL in TEES NO LESS THAN LIQUID DEPTH CROSS SECTION VIEW ----48 in --- - 58 in-------.-------48 in 154 in D§STR o UT ON SOX 0 UD8=SHO3 H20Y -INSTALLER TO OBTAIN DISPOSAL WORKS DIMENSIONS -'PIPES EXITING D-BOX TO RUN }LEVEL PERMIT BEFORE STARTING WORK. AND DETAIL FOR 2 FEET BEFORE PITCHING DOWN N -ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS OF g 0MASSA 31USCMR 1TITLE 5 SEPTIC, 1,m ODE 12 in INSTALLER TO VERIFY LOCATIONS OF ALL '' 5 MIN ( UNDERGROUND UTILITIES BEFORE Lo . FROM --► T EXCAVATING FOR SYSTEM. E TANK -ECO-TECH RAPID RESPONSE RECOMMENDS N u) SAGS THE INSTALLATION OF LOW FLOW O .Q �..- FIXTURES & APPLIANCES, AND PERIODIC VG0004� 00�0�° PUMPING OF THE SEPTIC TANK. l� \� b In STONE BASE -SYSTEM IS NOT DESIGNED TO WITHSTAND 21 ;�`� 2� . CROSS SECTION VIEW VEHICULAR LOADING. DO NOT PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. O. V V LlJ 0 E TOP OF FOUNDATION RAISE COVERS TO WITHIN ALL PIPE TO BE 4 in SCH. 40 PVC EL = 47.60 +- 6 in OF FINAL GRADE AND TO PITCH AT 1/8 in/ft MIN I 4 6.2 5 9 1P DD-BO 3' USE H-20 MAX, INSTALL 43.25 EXISTING 1500 GALLON � PRECAST 0 4 3.3 5 '��- SEPTIC TANK �4��x Y�� �y � DRYWELL 6 in 4 3.03 �z ., 1 . . 43.60 REFER TO DETAIL BOX STONE SOO L ABSORPP TON + 43.20 BASE 42.50 4- Ec' SYSTEM -REFER TO 12 ft hb in STONE BASE i O rrr,rr ._.r„,_�rrr,h-xr r r _ , i � --4---f t--y' -- 18 DETAIL BOX_f t-_ � NO GROUNDWATER BELOW 40.50 MOTTLING OBSERVED T 35.00 SEWAGE DISPOSAL SYSTEM PLAN 38-40 HIRAMAR ROAD HYANNIS, MA DECEMBER 11. 2019 1ETE-4427 PG 2/2