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Home My WebLink About0416 LINCOLN ROAD EXTENSION - Health 416 Lincoln Road Ext Hyannis A=271 032 002 r� ,L D Town of Barnstable Regidatary Services. s y j'homas F.Geiler,Dh e€1ur �"l ` M public Health Division � ' Thums s McKean,Director 200 Maim Street,Hyannis,NIA 02601 ' Fax: 508-790-6304 . Office: 508-862.4644 Installer& Desimir Certification Form Date: Z04,6 InstaBer: & v !YY AVS ''`� Designer: -�---= Address: •:� �vl�YlGl�tJ� Address: ..Z/ on'. j - p __R a S�f =G 1-�'a ca - was issued a permit to install a (date) -±M"o3 - (installer} - . A/ 11 L0 C7��D -) on a design drawn by septic system at ( dzess) 1 6 dates I o (designer) V I certify that-i ie septic system referenced above was i nstalllsd substantiallY according to the design,which may include minor approved d=ges such as lateral relocation of the distribution box and/or septic ta& system referenced above was installed with major cb.-&ges..(Le. I certify-that the septic greater than.10' lateral.relocation of the SAS or nay verti�relocation offc revision�t of the septic system)but in accordance with State&Local�' certified as-built by designer to follow. nsta�lerQsi 10 D/ (Affix pLFASL Rwnmmw qrU$ARNSTABLE FIISLIC Hl AL1'l�1?l VISION-FC�CERTIFICATME Ob' COM1E' .LANCE i B TM�ABLB D ON $ ,T CARD ARC RE (Z:Heajffi&0wDeq*w C Ocatkm Form TOWN OF BARNSTABLE for LOCATION I L L�cnlMmRj e_F SEWAGE # 0006 - 00 J VILLAGE NT� ASSESSOR'S MAP & LOT 27-1,'D.„ - O0 :- INSTALLER'S NAME&PHONE NO. RoScrj G"H-04 S68- 14` 1- 06S3 SEPTIC TANK CAPACITY /Ooo $tMI LEACHING FACILITY: (type) Soo!aa/ ChctrnS (3) (size)33s x 1a.83 x Z NO.OF BEDROOMS y r. BUILDER OR OWNER 0 SOUC)Ior-ct- PERMUDATE: oG COMPLIANCE DATE: I o 6(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 b > to t w w i � O O b ,t a 0 IL b �i,w` No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE. MASSACHUSETTS 2ppricatiou for Di%pogaY *p.5tem Con5tructton Permit Application for a Permit to Construct( )Repair(✓)Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. ,"T 16p 1 n LD I n C1 EiCT- Owner Is Name,Address and Tel.No. Assessor's ap�arcel N y Q n n i S. ` o rMo-rt- +- f1 r/Sfi n �D U LI fi¢QQ A4 I-t P a 71 AAeC E L oa 002 -'44A-P-5 To AJ6 -t l/BLS Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. P_Dbeer Gi LFby- Gr8F_7xcnv&41o„ D8.0 Env►ronm:anfa./ j)esjgrLS 4� Tta.6e2.e LrL -o r f �a v io •Nas��. F. 'S nCj u) Ch 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 ` 6 gallons per day. Calculated daily flow gallons. Plan Date 1� zte I D 5 Number of sheets I Revision Date Title 5 / T-E t S C-U)A6 F P L Alq Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Hea h. Signed �b Q Date t 10Z 1,01., Application Approved by Date Application Disapproved or the following reasons Permit No. Date Issued No. ��' Fee ' "0 d ra THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ". -_-yes -. ` ` :r 'PUBLIC HEALTH DIVISION'-" OWN OF BARNSTABLEs MASSACHUSETTS Zipptication for Mi *p.5tem Con!6truction Permit Application for a Permit to Construct( )Repair(/Upgrade( )Abandon( ) ❑Complete System ❑Individual Components _ Location Address or Lot No. l> I t i �CI�{x T' Owner's Name,Address and Tel.No. f S f\�tJr j1Q ,1 f,ri5l , l Chuucfdel r� Assessor's Map/Parcel Foy�nnfi D c,_1 7 1 /Jr')tipr r 1- 6 3 a'DG, Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. � (7, ((IVrJ 1D13 C 0v i(e:, f cj 1 10Sr j)l l �! T rebr2G / ,?� I f !r �lil� ! r�nv ,�� In56,�, f�. Snirrl«lcf7 Type of Building: 1�77— 6 1 Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building JNo.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow L4 9 U gallons per day. Calculated daily flow gallons, Plan Date I Z a. I ; 5 Number of sheets / Revision Date ` Title 5 / T r t 5 J'" a sl/,;' k)l >I(�/ ,• i Size of Septic Tank 4 Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: k 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 this Board of Health. Signed I "i C�p Ayu, /� ��7/-, Date I I o Z.i '4, f� Application Approved by l�fl _ �! l�!/� Date Application Disapproved(c' e following reasons t r i a Permit No. Date Issued / --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of QCompliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( ✓)Upgraded( ) Abandoned( )by /fir I �-� t i"�' — I�i f X/ /t I AT + at 41 Pn r �-t- - 14 A to L has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated n Installer ��I-)pL1 �7t i nil Designer (-.)I )( I� The issuance of this ermit shall not be construed as a guarantee that the si Dstemwill function s design,errd. Date ' Inspector 0 r �C r F _ " Fee 1 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLEs MASSACHUSETTS Migpogal *pgtem Construction Permit Permission is hereby granted to Construct:.(:, )Repair(✓')Upgrade( )Abandon( ) System located at 4 I (. I 1':', 1 a;�, ( Q A'A,I A) 1� 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. a. Provided: Construction ust be completed within three years of the date of his permi Date:_ 4 `` Approved by Notice: This Form-Is To Be Used For the Repair Of Failed Septic SysteM only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM hereby oe'r*that the engi ncend playa signed by me dated 1Z 6 a j concerning the pMa ty located at meets aV ofthe followinng criteria: • This fasted system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling.. • The soil is classified as CLASS I and the percolation rate is less than or ell to S mumtes per inch. The applicant muay to historical data to conclude ft factor may conduct preliminary tests at the site without a Health agent present. • There is no increase in Sow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching faeft will be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the primptos method when applicable] Please complete the following: A) Top of Qous4 Surface Elevation(using GIS information) B) G.W.Elevation,-tS.- +adjustment for high G.W. DIV RENCE BEr WM A and B 3I �' DATE: NONCE Based upon the above Wh m Aon,a permit will be issued for bedrooms maximum. No additional bedrooms so maborized in the future wiftin engineered septic syMm FIUL qc bc*hb folAer:pareoxmp Marston Mills MA 02648 December 30,2005 To Whom It May Concern: In regard to the property located at 416 Lincoln Road Extension,Hyannis MA 02601: The property was conveyed to Kristin P. (Moulton)Bouchard 2/15/94. On 5/30/03 it was placed in a realty trust naming Norman E.Bouchard,Jr. and Kristin P. Bouchard as beneficiaries. This residence had four bedrooms at the time that we took title to the property and has always had four bedrooms during our ownership of the property. We would like to update the septic system to a four bedroom septic system. I have attached a rough floor plan as well as the assessor's listing showing it as a four bedroom dwelling. Sincerely, Norman E. Bouchard,Jr. Kristin Bouchard 67 Hazel Path 67 Hazel Path Marstons Mills MA 02648 Marstons Mills MA 02648 ay lo 7 . N -t- v l s TN o � Zir o c a 0 � I a a U Barnstable Assessing Search Results Page 1 of 2 HE rastiarn�su=> - Home: Departments:Assessors Division: Property Assessment Search Results Owner: BOUCHARD, NORMANE& Property ketch Legend Map/Parcel/Parcel Extension 271 /032/002 1$ Mailing Address WDKI BOUCHARD, NORMANE& 1 1b 14� '34 BOUCHARD, KRISTIN P 67 HAZEL PATH FFiS MARSTONS MILLS,MA.02648 A ` BAS 2005 Assessed Values: Appraised Value Assessed Value -34 Building Value: $159,900 $159,900 Extra Features: $2,700 $2,700 Outbuildings: $0 $0 Land Value: $118,100 $118,100 Interactive Property Map: Map requires Plug in: .. 777`.. >ICL Fair Totals:$280,700 $280,700 1 have visited the maps before /t Show Me The Map April 2001 photos available - - Sales History: Owner: Sale Date Book/Page: Sale Price: BOUCHARD,NORMANE& 5/30/2003 17012/089 $1 MOULTON, KRISTIN P 2/15/1994 9048/329 $100 MOULTON,JAMES A&KATHLEEN 5/15/1987 5744/004 $116,000 BAKER,JAMES B 10/15/1985 4777/306 $91,500 TIGGES,JOHN L&ANN M 10/15/1984 4294/071 $64,900 SWIFT,WILLIAM F 9/15/1982 3549/065 $0 2005 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Land Bank Tax $50.95 Town Fire District Rates Other 1 $6.05 Barnstable-Residential $2.12 Land B. Barnstable-Commercial $2.80 Hyannis FD Tax(Residential) $426.66 C.O.M.M.-All Classes $1.01 Cotuit FD-All Classes $1.28 Town Tax(Residential) $1,698.24 Hyannis-Residential $1.52 Hyannis-Commercial $2.39 http://town.barnstable.ma.us/Assessing/Assess05/displayparce103.asp?mappar=271032002... 1/2/2006 r Barnstable Assessing Search Results Page 2 of 2 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 Total: $2,175.85 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 0.4 Year Built 1984 Appraised Value $118,100 Living Area 1883 Assessed Value $118,100 Replacement Cost$177,616 Depreciation 10 Building Value 159,900 Construction Details Style Cape Cod Interior Floors Carpet Model Residential Interior Walls Drywall Grade Average Heat Fuel Oil Stories 1 1/2 Stories Heat Type Hot Water Exterior Walls Wood ShingleClapboard AC Type None Roof Structure Gable/Hip Bedrooms 4 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 2 Bathrooms Total Rooms 6 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL2 Fireplace 1 $2,700 $2,700 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) bttn://tnwn.barmstable.ma..nq/Assegsins,/A.Rsesc(15/disnlnvnarce]Ol.asn?manna.=771(137(102... 1/9,000fi Town of Aarnstable Regalatary Services . ° Thomas F.Geiler,Director 6 32ism - d2 Public Health Division ' • Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Fax: 508-790-6304 Office: 508-862-4644 . Utstaller&Designer Certification Form Date: 1 D V AA-5 Iustaner: Designer: ^� �- Address: Lvl�hGl�c `r'�-t Address: On o o Sz� _G 1- '^`a - was issued a permit to install a (date) (installer) tic atta drawn by sep system . - 'PCV) dated (designer) substantially according to referenced above was installed I certify that fihe septic system such as lateral relocation.of the the design, which may include minor approved changes distribution box and/or septic tank.. I certify that the septic system► referenced above was installed with major changes. (Le. greater OM 10' lateral relocation of the SAS or any ver cat relocation of�CO i�ar of he septic system)but is accordance with State&Local Peons• certified as built by designer to follow. ...-_ _. D `$ (Installer's si&dmvo L 10 si ,s fie)= Afx Desigs`StamP l� ) •, PLSASL RETURN TO $ARNSTABLE� T SON. AS- OF - CF. WILL N BY T�S� �E C��ALTg ll►I�fO� . BUILTNew- CARD ARE YOU. (Z:HeaWsepticmesigna Certification Form Town of Barnstable °Fj"E' � �6 Regulatory Services —0 3 . _ Thomas F. Geiler,Director � •BARNGI'A.BLE, • ' Mom. Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: i O Designer: STEP[4Lt-D WAA-S, PG Installer: �3cwe'-_. Address: 19 2 S ADvTE7 6A Address: 8 �Iorva i G rt goo6- o06 On_ZS&Q, Ct, D 00.6 __?�ryeC GLCG.� �s T was issued a permit to installea (dat (installer) J � septic system at �J 7✓E 5�— 5�; 1 based on a-design drawn by (address) dated t 21' uJ " - (designer) A/_ 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. (Installer's Signature) i -— (Designer's Signature) - - .(Affix esi er's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DMSION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOT10 THIS FORM'AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC LIC HEALTH DIVISION. THANK'YOU. Q:Health/Septic/Designer Certification Form 0 CATION S E E PERMIT NO. yVILLAGE INSTA LLER'S NAME ADDRESS XIAltA- SllljLl� BUILDER OR OWNER Vx DATE PERMIT ISSUED ,f 4DATE COMPLIANCE ISSUED � /� _ -- --� ��--- _� s �� r � I', �_ J dll ► � � � A �� I �f� l�: �� s w , THE COMMONWEALTH OF MASSACHUSETTS a 7/ ct3 �o- BOARD OF HEALTH ............ N............OF.....B,"9... A. .................................................. Appliratiuu for Disposal Works Tonstrurtiuu Permit Application is hereby made for a Permit to Construct (✓j or Repair ( ) an Individual Sewage Disposal System at: ZoT�.... ---•--......•---------------------------- Location-Address or Lot No. F....Svyi 7-.................................. ................................sv,5'TiY/3[ ,.....�1--ass:-----..........--••--.......--- -Owner Address :v.................................................................... � Installer Address Type of Building Size Lot..�s`��1_......._Sq. feet � Dwelling—No. of Bedrooms....-............. .......................Expansion Attic ( ) Garbage Grinder ( ) a Other—Type T e of Building No. of persons............................ Showers � YP g --•--•--•-•----------•--•--- P ( ) — Cafeteria ( ) dOther fixtures ---------------------------------•--------------------.-•-••-•----•••-••---••---------•----••-•-•-•--••-•-....-••••-••--•---..............--- W Design Flow............. ................... per person per day. Total daily flow_____ ._....__..._._-_--_�3`D---_-_--. gallons. WSeptic Tank—Liquid capacity.!-R..gallons Length 8.6...... Width..:!?�'A"... Diameter................ Depth_: "8.'. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No--------/---------- Diameter...../o.......... Depth below inlet..... .... Total leaching area..2?�47._._..sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed by....&_,>A197?u�_.__ .. ....._._..��................... Date___. .....4,... Test Pit No. 1_G_Z__...minutes per inch Depth of Test Pit...�.............. Depth to ground water------------------------ r%4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ----•-------•-------•--•------•--------••----•--........•-••---•.....•-••-•-•-•-••-•---...-•......... .....••........--•••••----•......••-•-............... O Description of Soil---•d��-Z` �� f !7..... s`J!3—soi L------•••--z¢��- 4047Z,s ,SAT/o UWiTf..--•---`................................................................ �es7�•= s rl1� W x --•--••--•----- -------•••--------•----•---•----•-----••------•-----•------•-----•----------------•-----••-----•••-------•--------•-••--•••---•-----••••--••-••--••••--•-•--------••----•----•-•.-•-•-- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... --------------••--••-•-----•-------••-----••------••--••-----•--•-••••--•-•....................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLE4 5 of the State Sanitary Code—The undersign further agrees not to place the system in operation until a Certificate of Compliance has been edWbyboard f h hd ...•--••- ....................•---•-----•---- _..._ Date Application Approved BY ` ---•---•-••-••• ---•--•....••- Date Application Disapproved for the following reaso :................................................................................................................ --------------••----•------.....-••--........_........--•---•-•-•--••-•-•-..._-••-----•--•-------- Date PermitNo.........................••••............................. Issued-....................................................... Date ��.,.�.,�--------- - - ----- - sk A No......le n 2YS �................ 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T... .I................OF.... ..cs gin. « Appliration for Disposal Works Tonotrnttiun rrmit ,Application is hereby made for a Permit to Construct (✓j or Repair ( ) an Individual Sewage Disposal System at: / Location Address 7_ r' o Lgt_No. rLG.......^_I...f....��!!yi� .... ......................................... 55• ---........ ...... W O nor Address �� s a-------------- --•--...........•..... .... Installer Size LOt Address , 2Type of Building .-/?!? ��2..........Sq. feet Dwelling—No. of Bedrooms................. ........................Expansion Attic ( ) Garbage Grinder ( ). a`4 Other—T e of Building ......... No. of persons........................... Showers YP g ----------------•-• ---(----) — Cafeteria Otherfixtures -----------•---------•---.....•-------------•••-•-••-•-••••-•••-•••....---••-............. ---------............_--------•-- W Design Flow... 53.....................gallons per person per day. Total daily flow.........33�........._._._._._......gallons. WSeptic Tank—Liquid capacity!5ti?q...gallons Length8..4......... Width- Diameter................ Depth. .'8.... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area_...................sq. ft. Seepage Pit No......... Diameter..../e.......... Depth below inlet................. Total leaching area.z.e.-.7.......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed b G7�D,i�izD E ��y.................... Date.. __..............e'....... Test Pit No. ]-4.-Z......minutes per inch Depth of Test Pit...L¢ ....._..... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -------------------------- --------------------------•••--------....---------------------------------..............---.......----.........._........•--...... O Description of Soil__: a:. ¢"::_�oR.' _.... ..:S e--SoiC_ Z4•'=S_¢�, CUA7 5� SirA✓z> •• ----••••--•-••••---•----•....---•--••-•••......•--•................. u ...........>N.....G,e• :�.......................... 1/ ='.. '`?�:�,._s ty •-------------••-•--•------........--•-----...........-- W ...-•--------------------------------------------•---------------------------•--------•--------•----------•-•--------------------------••----------•-----------------------..............-----.......-- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ...........................•••-••-----•--••-•••--••.......•••-•••••--•--•---•-••-•••...............••-••------••••--••••••••--••••••-•--••-...•••-•••....•----•--.......••••••-••-•---•-••......-•.---•- 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,undersiggfd further agrees not to place the system in operation until a Certificate of Compliance hasXuedboar f 1 th. d- ------- ..-----.......------........._.---- A lication Apt roved II iDace Date Application Disapproved for the following rea -••------•----•--------•••---------•--••-•---•-------•------------------......_..._._ .........................•-•-•-•-.........------------------••--------:....------------....--------....••------------•-----••--•---•-•••-•••-•----••--•••-•-•-••-•-•---•--•-•••......••-•-•----••..... Date PermitNo................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF._;HEALTH To...w�✓ 2ni .............. .............O F....................., ,1. .................................... Wertifiratr of Twnmplianrr THIS IS TO CERTIFY, Th t the Individual Sewage Disposal System constructed (t. or Repaired ( ) Install at..: — t :.. -'a�........_1,.��! ... �"----------------------•--•-••-•-•--•-----•---. has been installed in accordance with the provisions of TIT F of The State Sanitary Code as described in the application for Disposal Works Construction Permit No....... .....Y Y...... dated................................................ THE ISSUANCE RF THIS CERTIFICATE SHALL NOT B>CONSTRU A GUARANTEE THAT THE SYSTE.hlfll L� TI N SATISFACTORY. DATE.&/ .L S--- � •••.......................•-••---••---•-...... Inspect --- ......••--•--••------•---•-----------••-•..........--••-••-•••....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTA Tvwn�......... .�9.z..tisT�Q��.............•--•-••--........ f'i C O F..................................................... No................... FEE........................ Disposal c - orkii Wllustrution Vprrmi$ Permission is hereby granted...-��d. ........6<�Z�....................•--•------..................----.................._.... to Construct vtortiRepair ( ) an Individual Sewa Dis2psal System atNo.- r •• . �.lN�.0U_V..... ?... / ................ .............•-•------------------------------ Street as shown on the application for Disposal Works Construction Permit No ....... ........... Dated........... ..................... Board of Health DATE.................................................. ••-•---•----••-•--. ....... FORM 1255 A. M. SULKIN• INC., BOSTON SXle—7- I LoT''3 0 h "V 5Z,' 35� _ Al r • P.�oosEn Lvz.ivcw.ry p,..0• 40 P/ropase-D Lv4T= h h A �o I TAavw Box Ioo t� S�iz✓ic't= � � � �ZG-S�✓� Ln7- :Z �`e ti �7 14Z,Z/ LoT v� /�/o7Z= L �/.977o✓S BffSED O n/ A.sS�Mea D�9��y IACATION . .16IX19;�v.vis SCALE . / "z 30 ' . . . bATE .'.`,Y FLAN REFERENCE . .Q��n�G• • . LoT•d`•Z. . 'A OF S >W~ ON 3e 9 c f�/lce-- . ,?�. . . . . . . . . . . . . . . . . . . . . . ? EDEY W sG u.25100 y O . e4#8 Su�E�%@ CERTIFY THAT THE 1p.ys7� SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF B!r¢.✓s/� 4�:. . . . . . . WHEN CONSTRUCTED. DATE L3 yV/GG/�� F -5w/F7— - /�77T/ONE;;F—' REGISTERED LAND SURV YOR 7-5 TOP OF FOUNDATION CONCRETE COVER • ' CONCRETE COVERS Z. 4"CAST IRON 12 � m7-",f3/4" 92 ,° OR SCHEDULE 40 12"MAX. P.V.C. PIPE 4"SCHEDULE 40 PVC.(ONLY) PITCH 1/4"PER.FT PIPE - MIN. LEACH PITCH 1/4"PER.FT PITST o eINVERT ° -� NG e EL. ,88 SEPTIC TANK INVER o DIST. (NR� �: W ; V. e INVERT EL..�?-. . . . . BOX EL...r/.... >x/o.ov.. .. GAL. INVERT • f a. 4:INVERT G n' 0• I I/2EL !33 two a:� EDE to I DIA.--+�rnvcov.r�zca PROFI LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE P- z 9.sG S01 L LOG WITNESSED BY : DATE `47.1- /� � TIME.Z:oo 1pt7 v T4%1461 2-S•• BOARD OF HEALTH TEST HOLE I TEST HOLE 2 e---U4y ENGINEER ELEV. . 57 8v. . . ELEV. .. . . . . . . . . DESIGN DATA . . ate 3 NUMBER OF BEDROOMS . . . . . . . . . . . 5^,O W1771 TOTAL ESTIMATED PLOW . .`3.�0 . GALLONS/DAY S¢ 7B, 5b EZ, �3.3o BOTTOM LEACHING AREA SO.FT. /PIT/G,PD. SIDE LEACHING AREA . . �8g-S�? . . . SO.FT./ PIT/¢7/GPD, `SAT/ GARBAGE DISPOSAL . (50% AREA INCREASE) TOTAL LEACHING AREA .zG,7• oo SQ.FT" l44 •1. 4S_80 PERCOLATION RATE CM 7?'�ItAv 77-A!41 . MIN/INCH LEACHING AREA PER PERCOLATION RATES 0. . . SQ.FT/C.P.D, .... . .WATER ENCOUNTERED NUMBER OF LEACHING PITS J. . . . APPROVED , . BOARD 77lvo• .fG�`T of �IDN�� ON ,ALL S/ LS, • • • • p . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . DATE . . . . . . . . AGENT OR INSPECTOR SH OF�yass / sc G0 7 �z ?�? �✓ ��S �� oN F ..� E. N KELLEY • No.28100 h ! STE �1INWOA PETITIONER Mo�sunvE� INiGG�q J7 • F StviFT .rr _' ANrH r :.: .. �� ASSESSORS MAP: � Z %.rR r t �� TEST HOLE LOGS • a r PARCEL: -0 On D0 2 2,, r a. 1 NOTE - _ N 3 o FLOOD ZONE: l Al��c�L/ ' 'y SOIL EVALUATOR: " '� R,r .WO go ld 2 0 -j WITNESS: �{ , REFERENCE ..-�,�--� 0� DATE: r ; 1) The installation shall comply with Title V and Town of Barnstable Board of o it WA PERCOLATION RATE: L. wl I � .� � Health Regulations. "7 Nr_ / , 2) The installer shall verify the location of utilities, sewer inverts and septic E TH- 1 TH_2 components prior to installation and setting base elevations. • o r� = DR c =., of C'u o -�s 3) All gravity septic piping to be 4 inch Sch 40 PVC at 1/8"per foot. �Niw+ :z L. A1 PPAY 4) This plan is not to be utilized for property line determination nor any other ;:` s --•- - • 2 � �t � a� c� purpose other than the proposed system installation. LOWAAA 6AQjJ 09 5) All septic components must meet Title V specifications. E f ��p � ID 1 6) Parking shall not be constructed over H10 septic components. LOCATION MAP 4 7) The property is bounded by pro comers and property lines. AA � PAY P Ply 8) The property owner shall review design considerations to approve of total 5 .� design flow and number of bedrooms to be considered for design. Receipt of �j payment for the plan and installation based on the plan shall be deemed approval of the design flow by the owner. 1 � 9) The existing leach pit(s) shall be pumped and filled with material per Title V abandonment procedures. Those within the proposed SAS shall be removed along with contaminated soil and replaced with clean washed sand per T' P p Title V specs. ry 10)System components to be 10 feet from water line. r it If l� SEPTIC SYSTEM D E S i G N ) � grinderexistsit is be removed and is the responsibility of the owner to ensure such. µ FLOW ESTIMATE / Z, 7- - -. N 8bo2�i Z� BEDROOMS ATXif7 GAL/DAY/BEDROOM GAL/DAY SEPTIC TANK / CAL/DAY x 2 DAYS - GAL �� USE/ GALLON SEPT I C TANK C>Ll tr'1 IDluj;BSORP'TIO rA 17 W4 W t''�''t�t ,�? 1,�'' ?7 f 'C'i i,hF 1d► CaC.� !""� QAVIC �g W. SIDE AREA: �� '8� �7.X t - 17j< Mt«�N ;F s" n No.rocs o ,� uOTTOM AREA: 1( U o S_EPT I C SYSTEM SECT I ON10 lop or } - 1 Wtk , - - / b ,V2 GALp,2 SEPTIC TANK V!�2-1 � ""60TVDM CrqbT tkk &tv. 51'3 SITE AND SEWAGE PLAN LOCAT I ON : C*7, C F PREPARED FOR : x1aQlJh4ok� �� 1- S SCALE:/ DAV i D B . MASON DATE:/ 05 DBC ENVIRONMENTAL DESIGNS DATE HEALTH AGENT EAST SANDWICH . MA = ( 508) 833-2177 i