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0115 OCEAN DRIVE - Health
115 Ocean Drive Osterville o A=266-006-001 / i a / No. ©/ O� `/0 5 Fee G THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE MASSACHUSETTS Yes 2ppliLation for ]Disposal *pstem Construction permit Application for a Permit to Construct( ) Repair(4;upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. IlIC 0&%-A fj vAljk% Owner's Name Address,and el.No. Assessor's Map/Parcel M I—G(,- Installer's Name,Address,and Tel.No. Designer's Name,Add(ess, Tel.No. (�%.alt oy (U..►c�" �Te e t.J.l T.60 -6 -9cto z_ -7-) 1 ' 75'Q Z Type of Building: L� ® _ Dwelling No.of Bedrooms . T Lot Size g� sq.ft. Garbage Grinder(� Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 4(Y0 gpd Plan Date Number of sheets / Revision Date J Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when-applicable) 9 P 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 oQHealth. Si Date �,3)j j_ .-7 / Z Application Approved by Date /J Application Disapproved by Date for the following reasons r Permit No. c;,' Date Issued 3 �,... ...v ..,:••:i. ,- :. _ 'M_ µ�..-....-..-'+..-.�...�,.,,G,d...w�""aci.7.a•'•v'^.+•�'i...•'...:-w;r1..`'.-,�.••.+.n.v.-+n..>J�+f.--.3ti-..^"'y,,,3`•i^*n-:.. .n-sA s* .»�+s.h�ri.�w.-^sv-.ti.^�.J^A-...........v.. No. p� 'Q t0 _ Fee o 0 THE COMMONW€ASH OF MASSACHUSETTS Entered in computer: {r PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes r 01pplication for MIsposal 6pstrut Construction jermit /ski . Ca U Ap lica on or a Permit to lConstruct.( ) Repair( ade'() Abandon( GompleteSy t �Individual Components N Location`Address or Lot No" \f `c.._�"� �� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel "6- f (�— / Installer's Name,Address,and Tel.No. Designer's Name,Add ess,and Tel.No. (,.�.� Sc1rJ yYf•. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building,s No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) yYd gpd Design flow provided gpd Plan Date /0_ S _,;?-Q// Number of sheets / Revision Date r Title Size of Septic Tank " Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) S L` Lam: LA N Date last inspected: r Agreement: 0 The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in s y 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 o Health. r Si e ` Date 0;, / Z L• Application Approved by Date Application Disapproved by Date for the following reasons Permit No. c;, 5 Date Issued 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 0 k to v (1,p 114 a-Ck i ca 17 U-i at A) l e I L has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.�b I'c7 "p� S dated / /l/R// �— Installer �p y n �i - Designer ,' w #bedrooms .. Approved design flow /ya god The issuance of this permit shal not be o)n+str�ued as a guarantee that the system a•11-fiares'o i, ed. Date �� ��/ CJ- Inspector` ".EJ _ No. d� "`��� Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE, MASSACHUSETTS -Misposa[ 6pstrm Construction rmtt Permission is hereby granted to Construct( ) Repair( ) Upgrade(✓' Abandon( ) System located at 'i is; v�— and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must b completed within three years of the date of this permit. S -- Date I l Approved by,,_ -' Town of Barnstable of Regulatory Services Thomas F. Geiler,Director sTAB�. Public Health Division 9q'pr1 39 `- Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: 3 22 20/ Sewage Permit# ?OlZ-&S' Assessor's Map/Parcel 2bb ooQo-co Installer&Designer Certification Form Designer: fjjy►p ►A L9 i(soH R t''. Installer: Hiskc!j Cc rhlwc h m Address: 3axk- - Nit Address: 38 l?n�or�. ?S WcsrwA &F . H3•1ay1C3, Wrt'VICS CSZ�601 On 3 2c ZpJ?. Ntc4st► 66,0ruch" was issued a permit to install a (date) (installer) r septic system at I1 S Oceao by*..tJe_jt• vcv�ntsra�.'t based on a design drawn by (address) V n,-J.-y k1 We dated l o- S- 20 11 ( signer) I certify that.the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found.satisfactory. I certify that the septic system referenced above was installed with 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. Stripout (if requ're inspected and the soils were found satisfactory. �11A.OFMASsq STEPHEN cyG ALLYN (Installer's Signature) wFLsoN No.30218 ti GIST g) ISTERg)��� f(IDe ner's Signatur ) (Affix mp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE ,a OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. 1ai 0 q:\office.forms\designercertification form.doc + N Town of Barnstable P# /3 zllq oFttte rod o Department of Regulatory Services J / J BARN67ABLE. Public Health Division Date v� MASS. 200 Main Street,Hyannis MA 02601 ArED MP't� 1 v Date Scheduled Time'� Time / Fee Pd. Soil Suitability Assessment for Se a Disposal Performed By: S�eUc ���.swt ��� L. Witnessed By: e LOCATION & GENERAL INFORMATION Location Address 115 ©CcaK �v-ww.. Owner's Name .Nahc� G4rvco5havt ZD l3trr-cvin %Pccf 61LI I`I S Address Itt n y si-c•� t fJ Y, 12 Assessor's Map/Parcel; L � `� Engineer's Name VVeQc- W I Sa.n Ci ed-er—A.1b e NEW CONSTRUCTION REPAIR Telephone H SC>&- 7 -- 5 Z% exf 1 Land Use hcs t ctz,%i c.Sl Slopes(%) Surface Stones K a vt e- Distances final: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line ft Other ft SKETCH:(Street nnme,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Plc4xe. rc frr Ob'. /a.M , LLA �. 00 i Parent niaterlel(geologic)T C,ttoI Ou Depth to Bedrock Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: In. Depth to soil mottles: in. Depth to weeping from side of obs.hole: In. Groundwater Adjustment n. Index Well# Reading Date; Index Well level Adj.factor Adj.Groundwater Level_ PERCOLATION TEST Date 9 ZZ lI Time Obscwatlon HoIgN 3 �{ Time at 9" Depth of Pero y 1j�i 5 4 Time at 6" Start Pre-sank Time n 1 1:0 2 II i Z o \ uK�b Ccv Time(9"-6") End Pre-soak I I:07 ll t.-,S f Spc�N Rate Min./Inch Site Suitability Assessment: Site Passed ` Site Failed: Additional Testing Needed(YM) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- I I ***If peecolation testis to be conducted within loo' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:HEALTH/WP/PERCFORM C�'2 009-0 5'B� Town of Barnstable P# Z/ of1He rok do Department of Regulatory Services J / J i Public Health Division Date %"�l >/ ' y MASS. g. 200 Main Street,Hyannis MA 02601 �rfD MP!! ) ) Date Scheduled ( Time / / Fee Pd.�� Soil Suitability Assessment for Se e Disposal' Performed By: !S ttUr kA�t 15" Witnessed By: LOCATION & GENERAL INFORMATION Location Address f l S ©c-ca i Owner's Name 1\Jcahen Ge-rre051A4w Locs+ ki.Nwspartt Zo f3Lrricvin %Pcef Address l�in9sfat r ^I,�, 12'f6t Assessor's Map/Parcel: cp_476 �� '�`� Engineer's Name S4 ewe U,t so-k Qt�e}er—P:ly-e NEW CONSTRUCTION REPAIR Telephone N Sd&- 7 - 2.'. ex4 1 Land Use 1^cs cte ,_A-tc.Q Slopes(%) Surface Stones Vt o vt e- Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Please rc figA, /r f�4 .lo/arn . Parent material(geologic)T G t lnI Ou Depth to Bedrock Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles; In. Depth to weeping from side of obs.hole: In. Groundwater Adjushnent tt. Index Well N Reading Date: Index Well level Adj.factor Adj.Groundwater Level_ PERCOLATION TEST Date Ze // Time Obsowatlon /r Hole# 3 �{ Time at 9" Depth of Perc y �r 5`f V Time at 6" Stnrt Pre-soak Tine n I I%12)2 II t� vKA bCe Time(9"-6") , End Pre-soak 1(:07 f1 '.�5 5pCa6-r Rate Min./Lich Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YM) Original: Public Flealth Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100, of wetland,you must first notify the Barnstable Conservation Division at least one (1)week prior to beginning. Q:HEALTH/WP/PERCFORM 2 C7O q-0 SB) r U e z�j 1 � o 1 1 � 1\ 1 1Nd �. \ .. \ N O \ \ \ \\ \\ \ I 11 =NI z I► bC) ��y I � I mcni�z 44 � [., _ \ o / / / 1 \ a 06 / o I N N i I I 1 \ I04i qc '\ \ vi 'o 1\ F N ni Cut a of ( 1 G O m 3 C OF YygT NE Cnow—_�� �— ,� r�� -- � ti Aio — cn z•�s — ° o _ N Ar A 7i � 1P BORTOLOTTI N le OCONSTRUCTI ,INC. 765 WAKEBY ROAD,MARSTONS MILLS,MA 02648508-771-9399 508-428-8926 FAX: 508-428-9399 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: n C)� J rl,� Date of Inspection: /' -/ - ,S— Inspector's Name: O}fner's Name and Address: S /xis 0 7'dn 6 e CERTIFICATION STATEM NT• I certify that I have personally inspected the sewage disposal system at this address and that the informa- tion reported below is true,accurate and complete as of the time of inspection.The inspection was per- formed based on my training and experience in the proper function and maintenance of on-site sewage disposal tems. The System: Passes Conditionally Passes Needs Further Evaluation By the Local Aproving Authority Fails Inspector's Signature: Date: The System Inspector shall submit a copy of this inspection report to the Approving authority within thir- ty(30)days.of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY* A)SYST PASSES: 1 have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B)SYSTEM CONDITIONALLY PASSES; One or more system components need to be replaced or repaired. The system,upon comple- tion of the replacement or repair, passes inspection. Indicate yes,nor,or not determined(Y,N,OR ND). Describe basis of determination in all instances. If not determined",explain why not. The septic tank is metal,cracked,structurally unsound,shows substantial infiltration or exftltration,or tank failure is imminent. The system will pass inspection if the existing sep- tic tank is replaced with a conforming septic tank as approved by The Board of Health. Sewage backkup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of The Board of Health): - 1 - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Broken pipe(s)replaced Obstruction is removed Distribution Box is levelled or replaced The System required pumping more than four times a year due to broken or obstructed pipe(s). g Y Y q P P , The system will pass inspection if(with approval of The Board of Health): Broken pipe(s)are replaced f Obstruction is removed - - t{r; C)FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by The Board of Health in order to determine if the system is failing to protect the public health,safety and the environment. 1)SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 Feet of a surface water P Cesspool or privy is within 50 Feet of a bordering vegetated wetland or a salt marsh. 2)SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER , SUPPLIER,IF APPROPRIATE)DETERMINES THAT THE SYSTEM IS FUNCTION- ING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system and is within 100 Feet to a surface sh water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is with a Zone I of a public water supply well. The system has a septic tank and soil absorption system and is within 50 Feet of a private water supply 1 well. ;. . tank and oil absorption system and is less than 100 Feet but 50 The system has a septic to a s rp y Feet or more from a private water supply well, unless a well water analysis for coliform { bacteria and volatile organic compounds indicates that the well is free from pollution from r the facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less r�a than 5 ppm. ¢, D)SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined ; s in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health '''"A should be contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an overloaded or clogged SAS �r{ IF. or cesspool. Discharge or ponding of efluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clog- ., ged SAS or cesspool. ° Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 sd£ day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed {` pipe(s). Number of times pumped -2- t;G p x P SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 Feet of.a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any.portion of a cesspool or privy is within 50 Feet of a private water supply well. Any portion of a cesspool or privy is less than 100 Feet but greater than 50 Feet from a private water supply 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. ;., E)LARGE SYSTEM FAILS: The following criteria apply to a large system in addition to the criteria above: The design flow.of a system is 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: The system is within 400 Feet of a surface drinking water supply The system is within 200 Feet of a tributary to a surface drinking water supply The system is located in a nitrogen sensitive area Interim Wellhead Protection Area (IWPA)or a mapped Zone II of a public water supply well. The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Check if the following have been done: ✓Pumping information was requested of the owner,occupant,and Board of Health. --,--"None of the system components have been pumped for atleast two 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. As-built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. ✓The system does not receive non-sanitary or industrial waste flow. " The site was inspected for signs of breakout. All system components,excluding the Soil Absorption System,have been located on site. �, n __k-The septic tank manholes were uncovered,opened,and the interior of the septic tank was in- spected for condition of baffles or tees, material of construction,dimensions,depth of liquid, epth of sludge,depth of scum. he size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. -3- 'f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST(continued) i. /The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Subsurface Disposal System SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C _ 't SYSTEM INFORMATION FLOW CONDITIONS • RESIDENTIAL: Design Flow: allons Number of Bedrooms: �Number of Current Residents: Garbage Grinder: Laundry Connected To System: V?S Seasonal Use: Water Meter Readings,if available: * k' Last Date of Occupancy: COMMERCIAL NDUSTRIIAL: 10 Type of Establishment: Design Flow: gallons/day Grease Trap Present: (yes or no) rk r r , Industrial Waste Holding Tank Present: Non-Sanitary Waste Discharged To The Title V System: Water Meter Readings, If Available: Last Date of Occupancy: Ni OTHER: Describe) Last Date of Occupancy: GENERAL INFORMATION Ak a�i t k�9x A PUMPING RECORDS and source of inform, /YU �C /f� itY/S�r UC '�ckj s System Pumped as part of inspection:�VGI If yes,volume pui gallons Reason for pumping: TYPE. SYSTEM: n. Septic Tank/Distribution Box/Soil Absorption System �t .Single Cesspool rf Overflow Cesspool Privy 4 Shared System(If yes,attach previous inspection records, if any) 4 F Other(explain): PROXIMATE AGE of all components,date installed(if known)and source of information: 07 e �d �'S. 9dy. Sewage odors detected when arriving at the site: d -4- =a, r� yy 2i:" t a SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION S ECTION FORM PART C GENERAL INFORMATION (continued) SEPTIC TANK: V11, � Depth below grade: Material of Construction: concrete metal FRP Other (explain) Dimisions: /l, S- Sludge Depth:jVofi e Scum Thickness:1Vd12 e° Distance from top of sludge to bottom of outlet tee or baffle: Distance from.bottom of scum to bottom of outlet tee or baffle: Comments: (recommendation for pumping,condition of inlet and outlet tees or battles,depth of fi uid level in relation to utlet invert structural integrity,evi enceo f leaka e,etc.) iodec-191019. GREASE TRAP: O Depth Below Grade: Material of Construction:_concrete_metal_FRP_Other R t (explain) s 'r Dimensions: Scum Thickness: Distance from top of scum to top of outlet tee or baffle: Comments: (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,etc.) TIGHT OR HOLDING TANK: Depth Below Grade: Material of Construction:_concrete_metal_FRP_Other(explain) Dimensions:. Capacity: gallons Design Flow: ons/day Alarm Level: �• Comments:,(condition of inlet tee,condition of alarm and float switches etc.) S t, DISTRIBUTION BOX: Depth of liquid level above outlet invert: -;uC; 2�-i Comments: (note iLlQvel and distribution is equal,evid ce of solids carryov ,evide of leakage into or out of box, 4 G'lS' acl/- PUMP CHAMBER s; Pump is in working order: Y`_ Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) h t p SF f " c t i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) SOIL ABSORPTION SYSTEM(SAS): ✓ '` (Locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods) If not determined to be present,explain: Type: Leaching pits, number: Leaching chambers, number: 3 Leaching galleries,number: Leaching trenches,number, length: t Leaching fields,number,dimensions: Overflow cesspool,number: Comments: (note condition of soil, signs of hydraulic failure level of ponding,condition of vegetational etc. Q i CESSPOOLS: 4 . Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of Cesspool: �tr r;`t? ftf Materials of construction: Indication of groundwater: Inflow(cesspool must be pumped as part of inspection) y Comments: (note condition of soilk, signs of hydraulic failure, level of ponding,condition of vegetation, etc.) f;r PRIVY: �i Materials Pfconstruction: Dimensions: Depth of Solids: Comments: (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, ; y etc.) ; z , 11. Y l•. 1 Jt f5� fir,x -6 - � F I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to atleast two permanent references, landmarks or benchmarks. Locate all wells within 100 Feet. oi� uS 1 ,AV U \\ 1 J t) DEPTH TO GROUNDWATER: > Depth to groundwater: / y Feet Meth f Determination or ppr99ximation: �" �dX���� Cx ���� �'✓ �� l' ev Ar e roux , -7- TOWN VFBANSTABLE LOCATION% � � SEWAGE # - d VILLAGE , : r % ASSESSOR'S MAP LOT j (-5— 'I INSTALLER'S NAME & PHONE NO. A & B CANCO 775-6264 { SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (� �� (size) z?`<I NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No cL" c �t p ASSESSORS MAP N0: No.. -:....tle? PARCEL NO: Fiz$..... ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD -OF HEALTH y Tawn..... .................oF. &MA"".1c.-----.._...------.------•------.........................-•---- Appliratiuu for Uiipniittl Workii ( ontitrurtinu Frrutit Application is hereby made fora Permit to Construct ( ) or Repair (M.) an Individual Sewage Disposal System at: ................. .................................................................................................. Location-Addr s or Lo No. --------------------------------------------------------- �l_b'--O ari_ t+? ,,-I Qn .. araat'�e04.........---...---- Owner Add es a ---Ate..L�a>�r. --------------------------------------------------------------------- �f4./1'lath s�r�* le�a��-.. .ar�n�r�......------------------ Installer Address Q Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other 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. 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. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gz, Test Pit No. 2................minutes per inch Depth of Jest Pit.................... Depth to ground water........................ P+ --•--•----•-----------•--------------•---...--•--•-----•.._...........---..........------...... --------•--•-...... ---- .-.----------- •------- -....... ........ ODescription of Soil-------------------------------------•-------------.....---...--•------•----------------------------------------------------•---------------------------------••--••---- x U -••------•-•---------•-----•-•...•••--•----•----......-•••.....................................•----•---•-•---•------••---•-------------••--------•-•----------•----••-.............-•---•-•-----••••-•. W ••-•--•------•----------------••----•---------------------------------.......--•-----••---------•------•--------•----------------------------------------....................................... UNature of Repairs or Alterations—Answer when applicableTwo -___1Sa4._S�a _..�.�Q/XeY.0 4rrrbgr-s Ittatr.eal Agreement The undersigned agrees to install the aforedescribed Individual Sewage Dis osa System in accordance with the provisions of iITI v S of the State Sanitary Code— he undersigned further grees not to place the system in operation until a Certificate of Compliance h een issu r Signed— .........................._..._ Date Application Approved By............. ....... z-) ----•----•---------------- ........... -•-----�--../l Date Application Disapproved for the following reasons-----------------------------------------...................................................................... ...............•-•----•--•-----------•-•••••-•-•-•-••-•----•--•--•--.--••---•------------------•--•.......--•----•--•---•••--•••----•---•-----•-------•-------•----- ........... Date PermitNo........0.0::..--- ------------------------------ Issued...................................................... Date FEs............................_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH '---------- --- -----------------OF...':..................................----.------------................................ Appliration for Disposal Works Tnnstrnrtiou trnti# Application is hereby made for a Permit to Construct ( ) or Repair (-V,) an Individual Sewage Disposal System at: - - I ._ ................_................................. .......................... .................. --....-••-••---•---•----•-•-•-----...------------••--------...--•------------------------•--•--••- Location-Address or Lot No. Owner Address ' . r ' — I..f_....-..__._. ._r_ Installer Addresi U Type of Building Size Lot........................ ..................... :�-_Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons............................ Showers — Cafeteria a Other fixtures ---•-•-•-••••-•.........-•---••. • WDesign 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. Seepage Pit No..................... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by:.•-------------------........................•--•------------------•----- Date........................................ aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water--___-_-_-___-_-_---..- G4 Test Pit No. 2................minutes per inch Depth of Test Pit____--_-_-_.____._- Depth to ground water........................ ---------------------------•--------------------------------------------------------._.........•.--=................... •.... .-------- •----------------------- ODescription of Soil........................................................................................................................................................................ x c, W ------------------- ----••-------------•-•-----•-•••--••-•--------•••-----•-•-----•-•-......-•••-.-••--•......•-•---. --------•••---•-•••----•--•---••••-•-•-••••-•••••-••--......-••--•-•-...------.----- U Nature of Repairs or Alterations—Answer when applicableT___----_(_-_-r------_.-------...fir. ' 1 � /. b Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Isp al System in accordance with the provisions of iITL;, 5 of the State Sanitary Code— The undersigned furt:er agr es not to place the system in operation until a Certificate of Compliance h een is, b the b Signed. _ ` ................................< .. .... ••-•--•••••••.. ..............•••-•_..... Date Application Approved By---••......• c:�, = ��// - I--••.................... Date Application Disapproved for the following reasons-----------------------------•--------------------------•----------------------------••-•--•----•-•............-- ...........................................................--•-•-••--•••--••---•-•--•-•-•••••••••-••-•----•-••--------••••---------------------------------------------------------------------------- Date PermitNo........ { ,..1.1..1.2............................. Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ' OF. Tntifiratr of Tomplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (! ) ---•--•.� '/��-.--------------------------- ---------------------------------•--------...-----------...............---..........._...__......._..... by �' "`�' Installer at.............. -- ----------•-•---•--------------------------------------- has been installed in accordance with the provisions of TITIF j of The tate Sanitary Code as described in the application for Disposal Works Construction Permit No------ ............. dated-_............................................ THE ISSUANCE OF THIS, CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........!.............................OF..................................................................................... ra No.... �.--�� FEE...-•-••.............. Disposal Marks Tnntrndi.vn Vrrutit Permission is hereby granted ........ .-------•-------------------------------------------------------------------------- to Construct ( ) or Repair (,\,a an Individual Sewage Disposal System II at No............... ..� �-C E'_......•-- `=l StreC e as shown on the application for Disposal Works Construction Permit No.. ��'.. '. DaQt�ed�.......................................... ................................ .... � _..7�eSc!Y.}e_CA�L/��LC_ ----------------------- DATE G C � Board of Health -----------------J--"-•�--�------f3--�-----•------------------------------- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS TOWNOF BARNSTABLE LOCATION 1 SEWAGE # •A� VILLAGE lit/ S102 r 71- ASSE�SOR'S MAP&LOT 24(a-UO(o.W l 04W!A cTo p s NAME&PHONE NO. // pp - /. --�- SEPTIC TANK CAPACITY /6Zn � �!2/G /Ga 1� LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER /2 k 7�iz5lee PERMITDATE: COMPLIANCE DATE: 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 et of leaching fa i ) .� Feet Furnished by( /`r�ll) i �,t e %C) , —Zh�C. n �. �i. I � yam. �, �, 6_. I �s �, �. ._ . (, I TOWN OF BARNSTABLE _LOCATION ( 6 00-ee, Pr- SEWAGE# VILLAGE 1 Ov� ASSESSOR'S.MAP&PARCEL /� i t'� INSTALLER'S NAME&PHONE NO. < SEPTIC TANKCAPACITY LEACHING FACILITY:(typeO pjC1� (size) NO,OF BEDROOMS OWNERi�1� 1 PERMIT DATE: COMPLIANCE DATE: '�- N 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 facil Feet FURNISHED BY I f .i` - a 6 _. is _-_.._•--- - _. .. .... ... -'. !' - r /6'� ` Y ate. r -44 9 — m y r t2 t-�g2 �T -- - t -- � ---- I � � }�I i � t � i „ , F :�. .T.�F.. ; ...1 'i i e. -- ' 1 .y ��� -- __ i- �• �: �{ (.l. !�. ii -- -- - - /__ - " _ " a iAALA T- �`�!' it DAME orr6 =;gip c .s STkt R IST .� LLLYYY✓✓✓ r�� ., P o i SCALE:j,•.�. !{�-®cr APPROVED BY: DRAWN BYrr r DATE: — Q eesi n Hyannis IM DRAWING NUMBER r O� BPMYJONES-HENRY DESIGNER F �� I, TA i- .MAIM al __. .. _._.. �.f .......... r�s _. i . _.._ "'D 1y In roe Tu Jim Fd'Jt'LC7��iJ:. I r/111ji., - I I ,! 366 v, p D � _t C�l/2tJ. - i I _ - - - - — ' ��pp \ r U. r lr - , lM �� � 1l)E�:Ct t2:ilr.Eh):( ��-... �-�• �, � �.� �_- � .-. 1:C`,U.,.l>prN�..:S_.l,��fiF_��GK r ---_.-- I r�-:T.}1 ( �5_SYA�ItS`s� CL V Q L Q1�1 n I t\ ;. --- k(C UraG Ff t 1 A-V F 1fi E14 h�"i I t2F ECfiG.b u✓Lr.. CN c - W �TaLo M.AIZ.C36R4 �5`rt� lFG, : ' �1� T p t�.l T. 1st bill "5 -- ,i_;.1"., 4 3Z". R�CF - - Z .'�'E LL.p. 4 _ 1-J.... 8 : �T ... �f�l.Iw.I✓� ROCK � �� W��/ S—_ iJ tit r f+_i_ __..�— \ - # - .. �}. f y. i:- two _ a rat `► G .F - , IlY , —— ---- — - — UT d-IIds M .�..... •.__ - f.. !. �� L�i: � .. ,. .. , '° ,i — -4 f 2M no t d _.. .. t 1 APPROVED BY: • �.•1,.�'{ I b'�/._K.T t:1.l��IR..L �„t2 _ �'Q. SOALE:�•r. I -'... t21RMJ5CAS4( CO,t V1�t1`I5 - n•c_ - -30 --.- •. DATE t`1" c Z ac, Hyannis.MA �....... 11 - YJO BARR NESHENRY NE R {r t" fi 71 {t{ 1 NSW T-.Rs _ a Y� SCALE:j"^.f 1�®X� APPROVED BY: DRAWN BY S`rr-�-/ DATE: . dc ] Hyannis,MA DRAWING NUMBER BARRYJONES=HENRY DESIGNER 3 :O F J Z F-_ID U L �. R o f N. _ t _U.^�Ca. R .. k G h 0 r�NA 4 I N c) T E..5 -' t�ii A ST _R. _ _t J` It m �k ECG C_t i�FAG 18 4 so Woo D 368D SELF Sfoff► 1�5 4elct� vP_-- 2. r , __Ljj v5_-:_a _. ; .�"6. 4.tC; I _2 C�L.;L S ._R.. �3 _.._Fvn:.rv_ �.. 2—_._- IiL-1•n 1"D G -�� 4�� f � I{ ' � j ;� ��` � �•.d�'F_l�':_�t�.15 FGi�--_'Y,�•�-__��l. �•1.._��-t��2�.c�(�. �r�1�1�by+=_M — - . iY i 1 g'. 1 �rrtEDFfO - ss IBT� eo Tu ck - I ► , MROL ;, .Au A��. R ESi� �� 1 rr APPROVED BY: SCALE:j , -//® DRAWN BV ,j(�� DATE: Hyannis,MA DRAWING NUMBER F BARRYJONES=HENRY DESIGNER ® _ L i=_•- '�'. :._..-,..._._..__.__.._—.___._ '--may_ _- 3s A, 1� __ I _.�� - / i_® - k � e / � j�� ` { • • to/` U ff C ` k - i { — r 1 Gt - 1 — -32 � -���C '- �`a --F l��,�T—�.!(.FI��`��v�L` `�II�?i1/G� iT'S.�1-iv��. _• .. 1 s f 6 -- \ ,J �.>� ..E,. � � 1 �l _._:;',�:i-l.. �f✓`r_r.... ,r J:.y �iY� IG,�.. �F _ .��}z..,.�-�rp� � � s ' F� tZf)�1 �6 '`f � ��r d �i7 �{�b-C=iR7' lD�A � w LS 3 _ lTI�O VJ �r..J—�i_ � � � - (AJ 17..kDGtl� �II�J-J,• 4 I fC r I - I 3 2-4!^ I r J—, , .. AL. . APPROVED BY: DRAWN BYGT[fL`-t r S e SCALE:] :- I f`®zl / L g I DATE: k J.-C, � � Hydnnis•MA DRAWING NUMBER BARRY JONES=HENRY DESIGNER • ✓� a4 �� ' L 1 J31 L4 ! ; u t D' , l r .L T` t Do mo-ro. Jt ol I 5 4l r , _ • t• , t • i ..........d1.__... ._ - - L III d ,!� IN pp • � `�`�Tr•`�.:d L�`_.f._. __"'._ L'`�-_ ,...._J,�—�".HY.LE�� f,��'• - �'t��'JTL•Y+@¢ ��� ,.� IS Q/_.r� j i�vr K` r �� . `i�✓/��) i f: { 3.i r fie, . SCALE: •;7 `t•-{{aff`f APPROVED BY: DRAWN BY 254T_je r DATE: - e�i R Hyannis,MA DRAWING NUMBER BARRYJONES-HENRY DESIGNER, 6 O r r 2 1 ' 1 _ -� -•� I�sCf4lztnGF I3C2A2p. - - ..�_ CE 1GG WATC9- t_IELJ7 oN ALL KDO E \ X!O S 2-�n�is�. 5z .Py . . '� �ZJC4 'f'pP PLpTt_; �i J CL) _�X. �t�4P.. Z ZXE� rc z7 /oNne� + Caz13TN�srx�'� R-)3 9ora i x 2 -17It32-4 2334�a t / I sY tIN G N��H DOD d- ZX'9 �VDS-G°-IL Tzo R.p L"; Q' (Lb aor,. 3�$ODr�o�N S N I � � [cW15 v HZD -Su'RS125 T!•W3 SLbar.:ORLY .- ZXa TDtS @>!6`O.G,._'6NGER.6 Ea END �X-7,7"'O!�T$ �Ext57rNG� ! -1a X11��VEsZSd-L11 - 1,Ra cl 2 I I • I ©f 4S Qy R 'mil ST U .r 7 H a. 1.1S 0AV--,, D-PJVS , W.t-1 NNfSPC?R-T3�;�.. SCALE:j!'� I APPROVED BY: DRAWN BV *T_fL� DATE- em n Hyannis.MA DRAWING NUMBER { BAPRYJONES-HENRY DESIGNER r +2- LI�Er-LruX�I�I n �5.4-_Li>:1 12 0 3 M r—I _ �x4,fTE5 — :z Y.c, rt -AiD lZin — a BP. LNSv T)P O'aX40'wi rC I�' G 121 RI?l� �Rll RIUt! Rlu tRt2 - Tp � �C � Gf_l t iy, � 9 T ; "per. � i �• wn LW:L wooa C1AF7E2..PLA� S .. J !L_. a.G. v 1M�tcbw � ��rr G ciRcL> ON Ex/t s_�i {'.N,-4 I 5 nt EL cEl IT Tzin �,r 4X o )+FADE z. LL DAG- t' .�-l>z!�-V02R�.rv�o^�-�='',�I"^= t �. i�4 NCI lt4 two ro'yo�r�? Lvt, �I�: ° off m q ,I r I �XII r i iii�44, � 1 NL.2 til _ P q fR .c- rt- a 113411V1F1�RfZQA_WAi II II I II I I I� 2x4 1 Ub _€: Ib v _jgn kln2k tNP�ti�S ls2�P5 s, I I I # 01Ta Pu P2_rIPF 'A('tGig, IS N L � �. } -.I I I1 � �1_ ... .: .._. .1.�X1e..t 7 FK�-�cK PL�LCS cc- Alf— A -2X r3 vMNTQrs�-i p `' f 13✓a.H iJ PP o R tL c 2`pLoM, CDht ZO .� G' SCALE:Y4":-• } —�'r APPROVED BY: DRAWN BY DATE: de8i I1 . ` Hyannis,MA DRAWING NUMBER 12 BARRYJONES-HENRY DESIGNER � r Lots! .Tl-E `� F FS 5rrJ -r'a�N P�*.pia; LlTcr >_ i l ? L✓-f.-Fl 2 TL i' -- 4 1R LE DAN i f i Si.�: U-R' t, ass' 1 ` IST Nut F7 , f ALL- L(\/ tzm AoD IT-1 Dr-1 , i - SCALE: r-�F� APPROVED BV: DRAWN BYL)T[JL;� 1 1 A DATE:B^�4^jQ - • de�i n g r Hya IS DRAWING NUMBER _�._-_._.._.._. BARRYJONES-HENRY DESIGNER it F, — A Pi PG 9 tii -71 I '( � � fr *a�� F�-.st1�:Qt'•'G'1,�: .o�J�1�.,..4... � a�a .S� kv is � y �!{ li � �� C � if �� i1 Ii � � i /• ;a � +t �' � ..� • i „Ij ( 4; +; � � t �f ; �t {� �I I I�,', r�"l t��,•'e..t_ aS-.n .: � �56�- ��� I Ek I t _ 64 - APPROVED BY. BY _ - ®.. rL SCALE ){� DRAWN DATE: (�^.J M 1' �t✓'�( S F L7 - I O'S'"d&81911 Hyamis MA DRAWING NUMBER BARRYJONES-HENRY DESIGNER 9 F 12- -' � , - _ � j ''� �.�"?��x11# I+1 0 'i F� r 51.• Z.CE'S-,� t�4S"��� ... ._. .._ _ �/ 2 �o�.-�- - — - -- � 2 r;�Sor sus, SIG".o�. �,� •�;�:o i i I ii r -'— - — ' .. .., " ' 'w.LY)o AZ;s- SK-I2x-r ,v, To— NEI' p .. •• z 4 5Ti, I 'i Fal l 1.1S 0A,h 1)jZjv9 , W. Af4N.�s����3 ��. . SCALE:j'1r: ',�®rr APPROVED BY: --z�5/ ff DRAWN BY DATE: Hyannis,MA DRAWING NUMBER BARRYJONES-HENRY DESIGNER f9 O F 12 i r ' R All P Ap IA tlip il e I ?— k 1 it 41 • ra f i r i 1 d f 1 �l i O N m 07 m t m CA S , cn -� � � "(i,a �, :C i7 � � �'�` � "fit ��•-� \r: _., �' is '• if r� 'n � i k� �•`-j i � � � �7 ;�'� �; ,,, �Sy,, a z D Dco pn co z •k i 1 I 1 i i 1 i f � C1 ti �1g• f � • II,f r� i _ . (F v i ! r.....t 44.� IN i f , _... _ u i iJJJ D I ii 117 i fl < _ y rTl -�j � � ' : � .4 ob bZ : c � ' m BENCHMARK - ---- ------__-- ,-- TOP OF FOUNDATION 20 FT. MINIMUM FROM CELLAR SOIL TEST 13.4 f 10 FT. MINIMUM 10 PT. MINIMUM! FROM SLAB 00 CRAWL SPACE DATE of SOIL TEST --5-laalg + CLEAN SAND 501E TESL DONE B� A R� R OR y"P. S. Cp}y � VYIINESSEI) BY Ctl 4- SCWDLILE 40 PVC PIPE LOAM AND SUI OBSERVATION HOLE 1 ELEV.- I?-- OBSERVATION HOLE 2 ELFV.= MIN. PITCH 1/8" PER FT. f JTONE• PERCOLATION RATE 42 MIN./INCH AT Go" INCHES PERCOLATION RATE MIN./INCH AT INCHES DR/Ve. 2 LAYER OF t IA- TO 1 j2' E i.EY, DEP HORIZ TU E COLOR MO . OTHER pEP1H H 1EX111RE COL MOTT. OTHER `Q 4" CAST IRON PIPE : t4.4IV W6HED STONE VENT dpND Y ySY k. (OR EQUAL) MINIMUM NOT REQUIRED _ a I I2 A �.c�A P''f a. n/b 1/4 PER FT. ZF J7.Oa< DRiVr, GO,Aty" 7..TyP- 2 1 CU. FT OF " j� 5 q AJ O •F sI f, CONCRETE 41.7 FLOW-UNE. ANCHOR YR r- ELEV. • CoA 12 x ELEV. = 1 Z=. " BhFFtE EEFy t/,cS'�f it V. _ 3 ELEV. _ �_— _. SA 440 H >ra DISTRiE3UTiON D 14 TLET (TO BE PLACED ON FIRM' BASE) TO B 0 X /�. `�' INFILTRATORS WI TN STONE IN AN 2 ./O /Z O,, 9 S B£ TER TESTED JC k 42 x #.7J'(2! ) flRPNCH FORk�ATION 2 --- L A F 1500 GALLON IF MORE THAN ONE OUTLET � (TO BE PLACED ON FIRM BASE) 1t) Mj WELL I 29 WATER ENCOUNTERED AT 1d4T ELEV. _ 3_/SEPTIC TANK SOIL ABSORPTION ZONE WATER ENCOUNTERED AT ELEV. _ 3/4 TO 1 1/2 INDEXl � 9G WASHED STONE SYSTEM (SAS) ADJUST! 1 LEGEND: DESIGN CALCULATIONS SEWAGE DISPOSAL SYSTEM PROFILE BOA OF TEST HOLE, OR USGS PROBABLE WATER TABLE ELEV. _ . O EXISTING SPOT ELEVATION 00*0 NUMBER OF BEDROOMS Df5/GAL.'¢ OBSERVED WAIF!' TABLE {r /2 /"L ) ELEV. _ EXISTING CONTOUR ----00---- GARBAGE DISPOSAL UNITAIQ NOT TO SCALE FINAL SPOT ELEVATION = TOTAL ESTIMATED FLOW FINAL CONTOUR {�/_�OAL/W/DAY X OR.) 440 GAL./DAY SOIL TEST LOCATION ® REQUIRED SEPTIC TANK CAPACITY CAL UTILITY POLE -4- ACTUAL SIZE OF SEPTIC TANK GAL TOWN WATER —W sm - SOIL: CLASSMATION CATCH BASIN \1 j DESIGN PERCOLA710N RATE MIN./IN. G: GAS LINE G EFFLUENT LOADING RAZE GAL./DAY/&F, LEACHING AREA /O'.K 42't /©r/fit.1.W SO. }F"TT LEACHING CAPACITY (AREA44-1,x RAID) GAL/DAY: �/;� RESERVE LEACHING CAPACITY -•-f��- GAL/bAY Off Vg RIA"ci, R La qV I R L piq t3Fl RA. . rq.acE NOTES: - - a eoAlz D C F H4F, 31L-r" : 1. ALL.WORKMANSHIP AND MATERIALS SHALL, CONFORM TO D.E.P., TILE 5 AND THE TOWN' OF JSA&Ad.S TA A L BF RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. r ` *� J js• �1. X- _F)tes 1, .1A.4 70,. 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WHIN On Of FINISHED GRADE. S. ALt Ct)MPONLNTS OF THE SANITARY SY'STEM SHALL HE CAF'At3i.E OF S.f�, '1►.�, PR PC9,f+ j r,� d t✓A R 1A/t/IW It E& WITHSTANDING H 10 LOADING UNLESS THEY ARE UfMM OR VA" t Is 0.SpA0PC S,-D OA# R aw d-we, �,9,S „ �� USED UNDER 1 1�1i�MPl 16 FT ARE ES 6R P RCA ARtJ1 AINNO SMALL&; I I ( 4, ANY MASON ARY UNITS USED TO BRING COVERS TO GRADE SHALT, �. ( . ;� " _�n� y .3aww..•- � t�E MORTARED IN PUIi . " 5• • i - -� q DETERMINATION, HAS BEEN MADE AS 10 COMPLIANCE WFTH NO DEEDED OR Z6NINGL REGULATIONS. OWNER / APPLICANT 1S TO iJ� f3EETEfti11NAT'AAL.F.ROM-APPRflPP.1,4TE..AU?ttflRiTf. t 6. UTILITIES SHOWN ARE i!P ROXIIA<.ot LY..EXOAVA?W.� Is TO CALM. b16--SAFE" AT 1-800.32,2-4> 44 AT LEi►St:.72� H6tl PRIOR TO COMMIENCM WORK`OIQ.Sft1E. .1 ' �,JZA W L ( 7. CONTRACTOR IS TO VERIFY GRADES Air" ELEVATIONS AS WELL AS EI' 'r N►1�" , SITE CONDITIONS PRIOR TO K ON,Sff- ,iq�S " 9 LPd'tarSNOV�VId ON ASSESONE S( IRAp�1�0' As P � t I D t K #S7" �i ES,tF, v --- - - ALL avr s «-A.cN. RlxffA.(.lAs) APPROVED: BOARD Off' HEALTH DATE AGENT 1 T°o. 1�3 _ ' �±++ L 0 c I,� ,; cg.�s RaY� PROPOSED SEPTIC DESIGN 1 FI LOD IN wtrH. D474 �'` FOR PROJECT LOCATION -401 o L I cRrl,�yi r�jaD avE Q C G R, HORT lb L • j ,$ 0 PROF ESS10N4. ENGINEEF� gOg . P. 0. 804 781 4114�"�; •71C, lac i I i DENNIS, MASS. N fOGVS _Q r► f larr; /p3�iC' OF n/q MAR I � 7 a a cRAIG ti� t ... ! SHORT CIVIL y rr N .. 7-14 F � LOCATION MAP R :SHED' I. OF � An " .+ • L' -. .w_....ra_+_.. .. .r.rr.�wuW.r.�-.-•+-►��. --._� -..ir..:..�.y. .�-n-� n .�.-...._ a rase CRAIGr R. SmRy, �: RMNNEYS tJ1NE _"' c� 1 2 FINISHED GRADE TRACTION NOTES, COMPACTED FILL _CONK _ 0 ACTED LL 36 .MAX. 9 IN. _ - 34 1 12 M � •f- w ................................................................................................... 1. ALL M COMPONENTS SYSTEM C ONENTS SH ALL BE INSTALLED ALLE ACCORDANCE........................................ .. . ........ ..... .. DANCE 2 OF PEA STONE . . . . ... WITH TITLE V OF THE STATE SANITARY COD E DATED APRIL 21 OR FILTER FABRIC ' w w DIST. LINE IN _ 2006 AME NDED ENQED THROUGH THE DATE OF THIS PLAN & ANY WCEROAD N ► 4 T 1 4 CLILIEC N a,r�eE,>i • 3 0.1 2 LOCAL RU LES & REGULATION S APPLICABLE. 50 .18 .1 8 DOUBLE , 2 EFFECTIVE DEPTH _ 2. INSPECT BOTH TEES ON DRIVEWAYES EXISTING SEPTIC TANK REPAIR REPLACE to (QAK 'W N �r / WASHED STONE AS NEEDED. INSTALL GAS BAFFLE ON OUTLET' 'STREE� o EASEMENT TEE LOCT/8 9.5 to g O . , 4 4 4'., 28 3. INSPECT EXISTING DISTRIBUTION BOX AND REPLACE IF NEEDED. � g E DED xJ 9.5 36 ' 4. EXISTING LEACH CHAMBERS T B 0 E ABANDON 1N 1' ABANDONED PLACE 9.1 5 0.1 8 c;aNr>Q� � HARBOR o� P Lax vlEw . CHANGE 5 ANY C GE TO THIS PLAN MUST B APPROVED 1 9 4 E RO ED IN WRITING BY .9 9 _ TH ---r- PLASTIC -LEACHING� E ENGINEER. ELEVATION INFORMATION MU ST NOT BE CHANGED _ -_. LEACHING 9169BEE& DETAIL LOCUS MAP.. A �SC LE 1 2000 1 ------..- WITHOUT WRITTEN PRIOR APPROVAL BY THE ENGINEER. CULTEC 330XL R 0 E H 20 1 J Q .LEA Nos CHMIG AREA REQ IREMENT cALE U S 1 6. WHEN CONSTRUCTION IS COMPL ETED, PRIOR TO BACKFlWNG N v , 1 \ NOTIFY THE BOARD OF HE ALTH 'AGENT AND ENGINEER.FOR THO� 1 2 _ E 4 BEDROOMS AT 1 EDR00 1 0 GPD BEDROOM 440 GPD g /CH 7R � INSPECTION. 68 _ o ASSESSORS MAP r S 266 PARCEL 6 1 ��pp \ PARCEL. 00si _ _ 6 _ 1 NO_GARBAGE GRINDER w \ _ _ 7.' R DISPOSAL _ ALL SANITARY DI OSAL M P_ SYSTEM PIPING T 4 0 BE SCHEDUL E LE ELEVATION DATU M: NGVD RM 15 �. 4�0 PVC. UNLESS OTHERWI SE .NOTED HEREIN. v - E PERC RATE <5 MIN.' INC FLOODZONE. C B 1 a H CLASS 1 A 0 ELEV 11 l r LIAR 0.74 GPD S.F. 8. EXCAVATE UNSUITABLE MATERIAL AS T / NOTED, TO THE C BARNS ABLE PAN ( ) EL 250001 0008 D JULY 2 1992 I 1 HORIZON FOR A HORIZ. DISTANCE OF 5 SURROUNDING � U ROUNDING THE MIN. LEACHING OF S REQUIRED . t e A.S. REQUIR _ LEACHING FIELD AND REPLACEWITH CLEAN SAND PER 310'CM 1 19.5 F -. LOT Y - ER _ 440 P .7 _G D 0 4 GPD .F.S _ 595 S.F.`MIN. o / 15.255 TO THE TOP ELEVATION F : - ELEV N 0 THE SAS. ZONING DISTRICT. R a',-80# .ft B Area N �` . I 7' PROPOSED SYSTEM. 1.9 Acres ti 9. INSULATE ALL PIPES AGAINST FREEZING AS REQUIRED , t 1 119.3 4 _CULTEC RECHARGER 330XL HAt�16 REQ I ED WHEN cc TO WETLAND LINE C ERS SETBACKS. FRONT 20 _ 2 LESS THAN 3 OF COVER. { WITH 4 OF ON_ ST EON ALL SIDS C DEPTH)E 2 EFFECTIVE SIDE: 10 / 10 THEDOES NOT N SEPTIC SYSTEM DESIGN INCLUDE GARBAGE REAR _20 � 9 -` GRINDER DISPOSALS. SIDEW AREA. - wlluw �iFirSLOE ALL EA. 36 + 12 2 x 2 DEPTH 192 SF �p f i 368 �, a '1 432 SF o BOTTOM'AREA 3 PNtCEL 00�8 x { n BO 6 x 12 � 1, THE CONTRACTOR/ _ 1 E C NTRA OR SHALL CONTACT DIG. SAFE AT 70T EFFECTIVE S�Il41�, AL TIVE LEACHING AREA F t T 624 S 20.8�. 1 888 DIG SAFE '-AND UTILITY COMPANIES TO LOCATE ALL '1 / 2 r \ c» EXISTING UTILITIES, AT LEAST 7 HOURS BEFORE► 2 RS B RE THE.START OF J _ N./ CONSTRUCTIO THE CONTRACTOR" SHALL' DETERMINE THE EXACT / SEPTIC TAN.� EPTI K SIZING. 440 x GPD 200R 880 1 1 GAL EXISTING 500 GALLON LOCATION, BOTH ':HORIZONTALLY N - N , SEPTIC TANK � ADEQUATE OCA 0AND VERTICALLY OF ALL EXISTING BENCHMARK Q TE R 9.1 UTILITIES BEFORE THE. START OF R ; TWIN CEDARS SPIKE t B ANY WORK. THE LOCATION OF a SET J ' J EXISTING. UNDERGROUND UTILITIES ARE SHOWN IN AN APPROXIMATE I ELEV. 22.53 I PRO MATE J UTL" PME / NGVD J I WAY ONLY MAY NOT BE UM T PROP06ED r NO RED 0 THOSE SHOWN HEREON AND NOTE- REUSE E)(15TING SEPTIC TANK AND DISTRI X � i BUTiON BO J '� N N..HAVE NOT BEEN INDEPENDENTLY Y NTL VERIFIED BY THE OWNER-a a a � / UTILITY VER E 0 E OR ITS -REPRESENTATIVE. E OCEAN SERVICE TP 4 R ESENT TIVE THE CONTRACTOR...AGREES TO BE FULLY �. 0.0 r, -...- TF 2 � Q r IM RESPONSIBLE-FOR ANY AND ALL DAMAGES WHICHMIGHT /0M 3310N 8CF®ll MG BE PROPOSED Vigo t OCCASIONED BY THE CONTRACTOR'S 0 S FAILURE TO LOCH -THE. GAS LOCATE a i UTiLJT1ES EXACTLY.`1F Tr N ELEVATION I FORMATI N \ TP 1 a 0 DIFFERS FROM PL AN SERVICE v 1 INFORMATION THE CONTRACTOR S NOTIFY HALL NO FY THE ENGINEER \ SEWER.INVERT' INTO 17.7 ; G EER L 1 TP 3 SEPTIC TANK E)9SiNiG S00 IMMEDIATELY F O EDIATE'LY OR POSSIBLE REDESIGN. EDESIG AT UTILITY CROSSINGS, _ � S S _ SEWER INVERT OUT OF SEP71C TANK 17.4 SEPiIC TANK 10 VERIFY IN 'FIELD THE LOCA TION TiON I OF \ _ / INVERTS ELECTRIC GAS 1 / 17.3 CH \ { SEWER INVERT INTO DISTRIBUTION BOX LEA LOT 1 Row F TELEPHONE TELE HOE & DATA COMM AND RELOCATE IF t YEW 1 AREA ..� TE CONFLICTING WITH \ 9 0 .0 00, o BENCHMARK SEWER INVERT OUT OF DISTRIBUTION 80X 17.1 PROPOSED INVERTS PER THE ENGINE ERS DIRECTION. THE 1 1 ry CONCRETE BOON 1 s.9 CONTRACTOR ? SEWER INVERT INTO SAS 0 SHALL PRESERVE`ALL UNDERGROUND ::UTILITIES AS \ ROCK / ELEV.. 21.50 1 1 REQUIRED. RET. LMtN7 OF / NCW , BOTTOM OF SAS. 14.9 Q 1 1 wr�� \ � WOfiyf N0 GROUNDWATER TO ELEVATION I _ OBSERVED ELEYA 3. t 8 12. THE PROPOSED UTILITY CONNECTIONS / E TiONS SHOWN HEREON ` \ a ARE I , CON N / 1 w � t< SCHEMATIC. FINAL LAYOUT SHALL BE`AS DETERMINED BY THE 1 1 ' . �' VIE W / 1 APPROPRIATE UTILITY COMPANY. I / N F 0 o EAS EM ENT / � 1 C j' � OF WORK :::.::::::::.::.:........ HAMILTON N LNiRAYrE E � 0 Y_ 1 \ SH o 1 PROPOSED l � PARCEL . WALI. .. P , l - .:`..:ADDITION ........__�,...... 4 ■ d PAVED NOTES: _ _ . . n CONSERVATIONH 0 S , � E Z / G i A I X 1 i N � i F.F.E. G 0 � 2 3.9 O i 1: 1 � 1 sT ■ 0 N 2/F D 11 7 2 A I 08 8 r Of38 DATE /7 , ,e S , M J l I_: r F _. L 0 `DAV1S s ,� _. '2t. 4 _ P-13414 yes on. 9 23 2014 / P / / I / s F / BARNSTABLE V 1 22.0 3 ?� ' I \ 2 ,9 SOIL o _ 1 1 EVALUATOR. M i t BOAR F s . .s D 0 HEALTH AGENT R CK> 7 ?2 6 21. 0 N E P \ 6 A T 5 0 Wo � SED WORK. ALL ROPo STREE WILSON PE P ' f i / / DONALD `DESMARAISR.S. 2�.0- 22 _ o _ R t \ / / TEST PIT 1 TEST PIT 2 TEST PIT 3 TEST PIT 4 1 TE 1 4.�4 .r 6 x .. 1. TiO TO OVER 20 22 a /STING FLAGSTONE PA BE EXISTING FL.A REM t o .IOHN P dr D \ � <; t �- / _ C.S.E. 19. f t 9 G.S.E. 20.1 1 G.S.E.G.S.E. . 20.8t G.S.E. : 20.Ot M ADDITION TO HOUSE TO BE CONSTRUCTED WITH 8' DEEP,PORCH. Bt7tRifM�1 I . \ q � _� . \, A _ a 66 1 2 \ \ 2 'ROCK L"�ZO , p 1�IAL , J lV 2 CONSTRUCTED. PARCEL 005 24 x 16 PATIO TO 8E CON TED 10YR_3 2 QAMY 10 I � L .SAND YR 4 4 LOAMY SAND tOYR � \ � A, A, A. 3 2 . LOAMY SAND 10YR 3 3 LOAMY SAND t8.s / / / / sla 3-3665. � _ / / 1 . m / I '- � ZONE T DOVYN. I \ EXIS TING YEWS TO BE CUT ! \ 3. -s L \ � � 1�--10 EL 11.0 NGVD l � too.30 216 1s i_ _ DRIVE c0 R VI T BE EXTENDED FROM OCEAN / 4. NATURAL GAS SERVICE 0 r fi J t _ B tOYR 3 6 LOAMY SAND 105 c L B YR 3 2 LOAMY SAND B 10YR 3 6 L G I , LOAMY`SAND B 10YR 4 3 , LOAMY SAND l TO HOUSE. / \ N i S Ca I 'H w r\. w -s' 0 I /I 16/ 14 14 23 / AL S. UTILITIES TO BE PUT UNDERGROUND. / l i' / / 14.9 BENCHIMARK , 3 /Z C 1\ OYR 6 4 VIED. 10 1 - � ST SET SAND C YR 5 6 STRATIFIED C 10YR 5 C 10YR 614 STRATIFIED 1 AiSE 6 VIED. SAND t � -aFv. .3r3 1 1 / 2t / / / SAND dC FINE GRAVEL 'TRACES OF GRAVEL ,.MEDIUM`SAND / w NGVD 1 , i / 48 6816 132 a \ / i / 132 i / i C tOYR 7 2 VIED. SAND 1 / C OYR.613 VIED. SAND r I EDGE OF LAWN .,� 2 NO WATER OBSERVED. NO WATER NO WATER PI 7 OBSERVED NO WATER OBSERVED , OBSERVED NE \ i r i i SITE LOCATION _ 13 TREE 2 \ � � 132 _ _ _ / 1 1 / / \ / G,� • 115 Ocean Drive �a 30 / O 12.4 / � t \ CER'IFY TENT N APRN. 1995, 1 HAVE PASSED THE SON. EYAUNTOR EXiIA�IATiON MPROVED BY TFN:DEPARi1�M OF BM+NtONMENTAI PROTECTION AND THAT THE ABOVE MW.Y9S IMAS PEIIFOIi1�D BY ME OON515TEM MNTH THE DfPOtTISE AND EXPERN7rCE West nn�H a s rt Massachusetts N 310 CIMI 15.017. Y Po _ / i / / i { / • r PREPARED FOR i r, J 311 S Z / SIf,TlA11NiE 2622 QA (ice ) PREVIOUS WORK DONE ON .SITE UNDER SE 3-3665. / . { r r, L. rr Nancy . Ga ahn J r, 9 a T PATIO 1. RECONSTRUCTION OF STONE / V OF PAVED DRIVEWAY 2. REMOVAL OF 90 i { r, J J i SEPTI SYSTEM TYPICAL SYSTEM C S S UPGRADE PLAN t C S S EM PROFILE RAD J wr TO ADJUST ALL �� � � � \ r FNSi1 RBERS «CO%= Slwl BE MWERMIT BA►XTER NYE ENGINEERING & SURVEYING � sEr�m a' Baow F!lASH c;RADE _ t RISER« OOYEit sltnll BE wAiERllalT PROPERTY N { TOPOGRAPHY, EXISTING SITE DETAIL AND OPER LINE APH ► EXI TI Registered Professional al_ ss on En eers an INFORMATION TAKEN FROM A PLAN BY GOWN .CAPE ` __ d Land Surveyors r, n y ,. NISfIED _ { r ANK 22.INC., MAIN STREET YARMOUTH MA DATED Of ENGINEERING, IN , 9 J F>NSFI GfV10E w 2tAt -- _ 78 North Street 3rd Floor Hyannis,Massachusetts NOV1]dBER 18 1996 AND REVISED THROUGH OCTOBER 18 1999. , , aC11USettS 02601 � � � 9 rrrNn � y N ( ) Cam' PORT TO UPDATED BY BAXTER NYE ENGINEERING dt SURVEYING ON FMwSID <- GRADE _OVER ` _ _ _ - � ,� corer 9 min cover LEACHNrG � arAOE Phone 5 1 2 DECEMBER 15 2010. TRE1rC11 21 of ( OS) 77 750 Fax (508) 771 7622 36 max w Cover .. 3 MIN. 9 (min) .Cover w .7.. y a COASTAL BANK.DELINEATION AND OMIT OF BORDERING w ,_ 4 SCH 40 PVC 36 x Corer VEGETATED WETLANDS WAS TAKEN FROM THE DOWN CAPE w ► 32 1. • FIRST 2 (TID BE LEVEL) . ENGINEERING PLAN AND FROM DEP FILE NUMBER SE 3- 0 -� .; 2-Layer 1/8 tot/2 � � - 4 S+CH. 40 PVC • _ Y Peastone NV' IN = 17.7 MW. NV OUT 17.4 LJF'ACFNNG 30 0 30 60 LOCATION OF SEPTIC SYSTEM FROM INSPECTION REPORT BY OW70LOTTI PVC TEE (� TABLE) SUMP . N . / _ J , �. CONSTRUCTN)N, NNC. 12/17/95. , BAFFLE W IN 17.3 _ SCALE IN FEET MN OUT 17.1 w E t ::•• -r ..: 4 PVC APPROXIMATE LOCATION OF WATER SERVICE TAKET�1 FROM TIE-CARD _. )• ,• . . INN.NV _ 16.9 HYANNIS WATER SYSTEM % REINFORCED CONCRETE lOwl1 Of BARibTABtrE , 6w CRUSHED 3 MAP 208STM OAK .. .. .•_ N PAR= OU SCALE.1 = 30 DATE: 10 05 20J 1 a 5 MIN o NEYII 016TR®UT10N 60X IF �D► s BOTTOM OF FIELD 14.9 REV. A 00 j D TE REMARKS o No Groundwater Observed O Ebv. 3.8t EXIST�i tb00 GALLON SEPTIC TAW O CD OEPIH N SEIM OF 1I01ND TANK OEPiH OIIILET TEE BflAM f1.Ow LNN: -_� 4 FEET 14 NCI�S 11 DRAWN6 NLMW - . i - S fFET 19 NCFES i v 11 a F1�T _ 24 INM 00 0. 009 009 0 ,n 7 FEET Z9 NCIIES 2 2 58 CIVIL PLOT 2009 05 8RDA 2 0 a 34 FEET NCIN:S 0 2009 058.02 0 N. / O - .. N - .