Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0035 PASTURE LANE - Health
35 Pasture.Lane,Hyannis A ,i No. — Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftphtation for Misposal *pstrm Construction permit Application for a Permit to Construct( ) Repair(/Upgrade( ) Abandon( ) [:]Complete System ❑Individual Components Location Address or Lot No. 357 Qc,g trwr-` Owner's Name,Address,and Tel.No. 0" N1k-^*.6Ro--'r- 3.s �Rjaw�v 1`(NnL Giti`�Sg J Assessor's Map/Parcel Installer's Name,Addres ,and Tel.No. Designer's Name,Address,and Tel.No.Cxv �,- e'°� ��-n�i tl +-��`✓ �8)3 WS 114 4� 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(min.required) 33a gpd ' Design flow provided 3 4 8 e ( gpd Plan Date_�`Z� Z�y� Number of sheets , Revision Date Title Size of Septic Tank _ 000 Type of S.A.S. ��1 rj®� `��� i"JI-t- � . Description of Soil Nature of Repairs or Alterations(Answer when applicable) Al 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 the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boar f alth. Si x►ef Date Application Approved by Date q110 M04 Application Disapproved b Date for the following reasons Permit No. 7Q(h - Date Issued :.,. w.No0- 6 / —O pq Fee W THE COMMONWEALTH OF"MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTAB.LE, MASSACHUSETTS Yes xi 0 ftpY cation for his osal 6pstemtoustruttiou i3ermit Application for a Permit to Construct( ) Repair ) Upgrade(`) Abandon( ) ❑Complete System ❑Individual Components Locati,nAddress or Lot No. 3 5 QAS kr' r c� Lw^ Owner's Name,Address,and Tel.No. �� :,y �7 fin..;S R r-n- , f 3S 24 L�,e�t Assessor's Map/Parcel `"(� 11Y• Installer's Name,Address,and Tel.No. -� ll11 �; r�� Designer's Name,Address,and Tel.No. .Lg°`�1;n -� '"t-�,�77 CR`�G "& �n9i n(- ri (Sr8)3 s'_ 14 ({5 Type of Building: Dwelling No.of Bedrooms , Lot Size -� - ' 'sq ft. Garbage Grinder( ) '.... —Otherr 'Type of Building No.of Persons Showers( Cafeteria( ) Other Fixtures Design Flow(min.required) 33Q gpd Design flow provided 3,14 , gpd Plan Date VAL �-S j 2o Number of sheets Revision Date Title ( l Size of Septic Tank �, Alpo Type of S.A.S. \ L �10 �t,d cr\ Qr'LC�54- 4-1r.r-Ly Description of Soil r - i . ,i Nature of Repairs or Alterations(Answer whenyapplicable) t Date last inspected: Agreement: The undersigned agrees to ensure the constructionand maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 the Environments Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board o� ealth. Date ed -_ - _ { Gv�Application Approved by Date /U Application Disapproved by--'*' Date for the following reasons Permit No. 70 t - 08 y Date Issued i� f' --------------------`-''------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS•---" BARNSTABLE,MASSACHUSETTS/ Certificate of (tornpfiaute THIS IS TO CERTIFY,that the ffOn-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by 1-ao'Nse ` `-�►�����,{. �r at 3'r S;-ui�ei the o has been constructed in accordance I j with the provisi�o o Sand the for Disposal System s2iti`ction Pemi No.- D'5-Oy dated �1 Z,915 Installer Designer ( �-_�,f��''yF(`9 �R L r%^y #bedrooKs. 3 Approved d ,fl The issuance ,f this Emit shall not be construed as a guarantee that the system ill n. on as des' tied. Date Z I I Inspector l / Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION'-BARNSTA<B le,&ASSACHUSETTS Misposal 6pstetu Construction 13ermit Permission is hereby granted to Construct( ), Repair ff Upgrade( ) Abandon( ) System located at -K5 H�AiV4 1S 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 must be completed within three years of the date of this permit. r Date 5 Approved by CAPE COD ENGINEERING, INC. Robert M. Perry, P.E. P.O.Box 1517 East Dennis,MA 02641 Te1508-385-1445/Fax 508-385-1446 bobperrvna,canecod.net April 6, 2015 John Hill Joyce Landscaping, Inc. 68 Flint Street Marstons Mills,MA 02648 Re: Property at 35 Pasture Lane,Hyannis Dear John, Enclosed please find the Town of Barnstable Septic Plan 7-Page Checklist for 35 Pasture Lane, Hyannis. Please contact our office with any questions. Sincerely, Cap�Engmeeriqg,Inc Nancy Keit� Town of Barnstable Regulatory Services Richard,V.Scali,Interim Director NAMs�eNsr�et,e. II 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: "61 Sewage Permit# -xo%-,©g Assessor's MaplParcet 24S 168 Designer: i?ART l . P.6. Installer.- To NY C.1 L 1 BC-RT0 CAcpE 400 rWN&h1 W&1lNt. flc yeE LAP4cSc.4PInt IACC Address: Po j �C 1St - Address: QW— FZ4v7=,sr EA:Sr DEN�tiS .N� 02fo�{1 !�A/tS r-oNS �/LL S, M q / ro On 5- 2.6 ( 11 rj_'--JC,� r✓ was issued a permit to install a (date (installer) septic system at :35 P#6yj c L O E, RYk4N t 5 based.on a design drawn by (address) 1zo :T M. R Y, PE dated`��az f I D "fZ�Vt'Sat D a(19 .1157 (designer) ' I certify that the septic system referenced above was installed substantially according to the design, which may, include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (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 1.0' lateral relocation-of the SAS or any vertical,relocation of any component of the septic system)but in accordance with Stite.&Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. z ' I certify that the system referenced as_construeted'in compliance with the terms f h approval letters i kable) staller's Sign ture) pV a Cft P (Designer' Signature) (Affix mp 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. TITANK YOU. Q:1Septic\Dcsigner Certification Form Rev 5-14-13.doc i�;n I Town;of;Barnstable P a (J I lv d �. �T C Department of Regulatory Services :",W W,i .. Public Health Division; Date Date Scheduled ..w J 77T/ Fee Pd. /b O v r - SoitSuitability Assessment:for.S Vo a ftfPerformed By: R e to E 2�..Y Witnessed By• � � LOCATION.:&.GENERAL INFORMATION. Location Address 3 r P Ax r--,C a L,N• Ownei s Name ArY»MNftr, 0010q ncdrca,Ail orovo,jr ~ov Assessor's Map/Parcel: Z'-'tl 8/•2 6.'g Engineer's rg E. - - NEW CONSTRUCTION REPAIR- _ Telephone H /q 4 1— Land Use Slopes(%) -o - a Surface Stones Distances from: Open Water Body -R Possible Wet Area /C O fl Drinking Water Well/'/�? Lremage'Way I«'®.d —H Property Line 2!A R 'Other fl SKETCH: Street name,dimensions of I exact locations of test Boles&L ( ot, perc'iesrs,locate wetlands in proximity to holes) I'AsP41.0AE 4C Lw ; J t - 1 , C. 0 p .FlL/wc:. b, N Phan material(geologie)©VTL✓A j'fL:_ - - Depth to Bedrock ' Depth to Gwndwater.Standing Water in Hold: Weeping from Pit Face 4 Estimated Seasonal High Groundwater DETERIVIINATION FOR ST,A$ONAL 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 R. . Index Well H Reading Date: Index Well level Adj:factor Adj.Groundwater Level PERCOLATION TEST Dau/P/��nme`'•%O C7/Y/ observation .. Hole 0• Time at 9 'Depth of Perc Time at 6 ' Start Pre soak Time Q � Time.(9"•6) 7•J fl End Pre-soak .. .. + .. Rate Min./Inch . Site Suitability Assessment: Site Passed-. Site Failed: - Additional Testing Needed(Y/N) _ - Original:,Public Health Division i. 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:\SEPTICIPFRCFORM.DOC: ... �• , - ,.. .: -.:-.DEEP.OBSERVATION:HOLE.L(DG: Hole#:�;` Depth from Soil Horizon Soil Temurc Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Orsvell L. f! l0, h r.*"e ism 3�d Z s Z�+ G. CSE Sit 04 DEEP OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon SoilTexttrrc Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure.Stones,Boulders. Consistency-%Gravel) :D.EEP OBSE:RV.4 TION.HOLE LOG Hole# Depth from Soil Horizon So.l Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stories,Boulders. Consistency_%Gravel) Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Coruistencv_%Gravel) Flood Insurance Rate Mato: Above 500 year Flood boundary No_ Yes JL _ Within 500 year boundary No— Yes / Within 100 year flood boundary No_ Yes✓ Death of Naturally Occurrine Pervious Material Does at least four feet of naturally.xcurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? —C If not,what is the depth of naturally occurring pervious material? Certification 1 certify that on I►tAy " (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,ex ertise and a perience described in 310 CMR 15.017. Signature Date Z Q:\SEYnC\PERCFORM.DOC —--------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....... ... ..OF......... .............................. Tntifiratr of Tompliattre THIS IS To TIF-jY, That t�q,}ndjjividual Sewage Disposal System constructed (11��Or Repaired ------------------------------------------------------ • by------------------------- ..< .................. nstai— ----------- ------------- 5 of The State Sanitary Code as described in the at.....zey ...... /1/ '7 - ---1:1�- ---------- ............ ................................ . ........ ....................... has been installed in accord n e it I tie provisions of TITLE application for Disposal Works Construction Permit No......................................... dated_...____.._.._._.._....__._..................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... -------------- ......................... ............................. TROY WILLIAMS Rfc SEPTIC INSPECTIONS ``" oFc • �eVfp S Certified * MA Department of Environmental Protection / (505) 355-1300 19 Hummel Drive �'► South Dennis, MA 02660 L we ith of M COPYCommon a assachusetts Executive Office of Environmental Affairs Department of Environmental Protection William F.Weld Trudy Coxe ten« s.uw,y Argeo Paul Celluccl David B. Struhs U.Goamor CommWok~ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION �� %�ov� .y %� v✓c�- Property Address: 3S ��5J rL h. W /{ u.,.. r�,;� t . Address of Owner�v L s:l //c /N�r✓, "K, , .Ac r.-, Date of Inspection: /W /p 1,76 (If different) Name of Inspector. P� 1royyW:. tl: �v, S Company Name,Address a d Telephone Number. SS .Se c, Sf`- X�• St c o /0 0. CERTIFICATION STATEMENT -14 I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-situ sewage disposal systems The system: _V Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspectors 9ignat � Date. The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(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: Check A, B, C, or D: A) SYSTEM PASSES: V ! 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. III SYSTEM CONDITIONALLY PASSES: ^114 One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Indicate yes, no,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 exfiltration, or tank failure is 0 mm,nent. The system will pass inspection if the existing septic tank is replaced with a ponforming septic tank as approved by the Board of Health (remised 11/01/95) 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A / CERTIFICATION (oontinued) Property Addreex 3 S �"ti S ✓t `` Owner. �l/G✓ Date of Inspection: /of//o / BI SYSTEM CONDITIONALLY PASSES (continued) /V/1 Sewage backup or breakout or high static water level observed in the dwtnbution 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): broken pipe(s) are 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). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed C1 FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: /v /11--) 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 environhient. 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 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 FUNCTIONING 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 water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within 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 well. The system has a septic tank and soil absorption system and is less than 100 feet but 50 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 that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. 3) OTHER (revised 11/03/95) 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 3 S- L ILL-, Owner. O�U 1/2� Date of Inspection: is /ice / � 6 D1 SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health 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 or cesspool. Discharge or ponding of effluent 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 clogged SAS or cesspool. — Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped 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 tribe to a surface wat er ter 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. El LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 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 PP y the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area (IWPA) or a mapped Zone 11 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. (revised 11/03/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 3 �U S Owner. Date of Inspection; U L r 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 at least 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. y/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. V The system does not receive non-sanitary or industrial waste flow VIThe site was inspected for signs of breakout. V All system components, excluding the Soil Absorption System, have been located on the site. V 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 Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. / V The facility owner(and occupants, if different from owner) were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 11/03/95) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Andress 35 Pa 5 7v,—C- L4 Owner. Date of Inspeotion: U ✓LY RESIDENTIALFLOW CONDITIONS Design flow: V ¢alone Number of bedrooms: 3 Number of current residents: Garbage grinder(yes or no):_ZV o Laundry connected to system(yes or no):`/ES Seasonal use (yes or no):_A�d Water meter readings, if available: Last date of occupancy. y -1 s COMMERCIAL/INDUSTRIAL• IVI/� Type of establishment: Design flow:------gallons/day Grease trap present: (yea or no)_ Industrial Waste Holding Tank present: (yes.or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no) Water meter readings, if available: Last date of occupancy: OTHER (Describe) v Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: 7`- System pumped as part of inspection: (yes or no)_,6/d If yes, volume pumped salon Reason for pumping: TYPE OF SYSTEM Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yea, attach previous inspection records, if any) Other (explain) APPROXIMATE AGE of all components, date installed (if known) and source of information:�— C " Sewage odors detected when arriving at the site: (yes or no) -/,/b (revised 11/03/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(oontinued) Property Addreas: Z 57 / ` S [.. Owner. !/i tJ✓c Date of Inspection: 1o2 �1v�%� SEPTIC TANK: (locate on site plan) Depth below grader Material of construction: V concrete_metal_FRP_other(ezplain) Dimensions: O U O f Sludge depth: .3 Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: c NC-- / Distance from top of scum to top of outlet tee or baffle: /M`V 6 Distance from bottom of scum to bottom of outlet tee or baffle:/V Comments: (recommendation for pumping, condition of inlet�a/nd outlet tees or baffles depth of liquid level in relation to outlet invert, structural integrity, evidence Of 1 , etc.) y c �.c.r t 24� ✓ 0.J 1.1 L ,.., /1 �,.L f'j 'r., GREASE TRAP:,/lq (locate on site plan) Depth below grade: Material of construction: _concrete_metal_FRP othWe:plain) Dimensions: Scum 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: 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.) f (revised 11/03/95) g SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C 7 SYSTEM INFORMATION(continued) Property Addreaw S ICU—S �✓re: Owner. t , vV e, Date of Inspection: TIGHT OR HOLDING TANK:A//'9 (locate on site plan) Depth below grade: Material of constriction:_concrete_metal_FRP_other(explain) Dimensions: Capacity:- gallons Design flow: gallons/day Alarm level: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX (locate on site plan) Depth of liquid level above outlet invert: le- Comments: (noye arryover, evidence of leakage into or out of box, etc.) L2— PUMP CHAMBER(locate on site plan) Pumps in working order:(yes or no) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) if��d 1:��btZ� equal, 7d7 of�ohds c(revised 11/03/95) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C L 1 SYSTEM INFORMATION(oontinued) Property Add., 35 /�c�s 7�>--� •��•• Owner. z2;UV c,r Date of Inspeotlon:lo2 /'? SOIL ABSORPTION SYSTEM (SAS):_V (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:_Ll,- "Z.-,,— leaching chambers, number:_ leaching galleries, number leaching trenches,aumber,leagth: leaching fields, number, dimensions: overflow cesspool, number: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) JQ Lac« i 7 / `► G✓lr 3 CESSPOOLS: (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer. Depth of scum layer. Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow(cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY: (locate on site plan) Materials of construction: Depth of solids: Dimensions: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (revised 11/03/95) 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 3 V �a S f zJrL �ti Owner. Date of Inspection: �� 11V SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' ,4 33� 1, --e-- rF-,K-- � �I 53 ' t2_/3vx DEPTH TO GROUNDWATER Depth to groundwater: feet adjusted high groundwater level method of �ermination or approximation: n v( c�v c ..Z L / b F/ 7cam` C 9 L 0 C A T RjkN SEWAGE PERMIT NO. Ln4 I'1 Vrx54u7r VILLAGE -INSTA LLER'S NAME & ADDRESS 0�111 U I L D E R OR OWNER I � DATE PERMIT ISSUEDA)I DATE COMPLIANCE ISSUED LA � c � a-v No........r�� ��yl' �41 Fss.............................. 2prr/ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH. 6..........O F............. .G JZ /� L2 _.......................... Appliratinn for Eliipnattl ark Tons rur#ion rrntit jy- Application is her y in for a Permit to Construct ( ' ) or Repair ( ) an Individual Sewage Disposal System at: f/ .. ....... .. ... .. .......G.. .... •............. --.- �� Loc ion re Fj�y� / or ......................_... ......_.. �! ------••-•--. ........... __. .. 2!!_..... ./a% S._ .................. W caner dress / _..._. Installer l�dress d Type of Building Size Lot...... .................Sq. feet V Dwelling—No. of Bedrooms..................... ........ Expansion At is (�� Garbage Grinder V(D ►4 ---- a'� Other—Type of Building G✓ No. of persons.............. Showers YP g ------•--•--- ----------- P ---------- (� — Cafeteria ( ) Otherfixtures .--- --. (��-- .--•-•...............•--•-•---•--••---•--------------------•-----•••--••-•-••-••--•...--•-••...-•-•••----....---...•--- W Design Flow..............................gallons per person per day. Total daily flow...........3..710..................gallon 11 W Septic Tank—Liquid capacity.A&.gallons Length.../Z...... Width---&.......__ Diameter................ Dept ..._�.__.... x Disposal Trench—No. _. �/d��r. Width.................... Total Length.................... Total leaching Seepage Pit No...................... Diameter.................... Depth below inlet.................... Total leaching area•........-......._sq. ft. Z Other Distribution box ( ) Dosing tank ( ) `-' Percolation Test Results Performed by.._. _J2 •- .. �2f_�. ..... Date........... Test Pit No. L.Z_dminutes per inch Depth of Te t Pit.........0 ._.___ Depth to ground X, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W .%.......................... ........................ O Description of Soil---...... -- 1_Cl -! f .................................................... U ---------- ------------------------- �__�dY.. _....1°�. ...� �. .. ............................................................................ W VNature 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 iITL% 5 of the State Sanitary Code— The undersigned further agrees not to place the system in `` operation until a Certificate of Compliance has been issued by the board of health. h -. Signed.....•- G - L... .........%/3{ ' ate Application Approved BY.............................................. ... .............••-•--•••-•..._.......... Date Application Disapproved for the following reasons-.................................=----•-•--•••-•----•--•--•-•--•--•-•••---•--••--•----•._....--••••-•-.......--- --e .........-•---•-----•----.....-•--•-•----•---------••.......................................•-•--•---........--•--------••---•-....-••••--•--•-•-•-......••-•----•--•••-•=------•-•-••---•-••-----....... >' Date Permit No................................. ...................... Issued-........................................................ Date No................-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ----------OF............. G :....:::. ........................... Appliration for Eliipoottl Yorks Tonstrnrtion Vvernfit Application is hereby made for a Permit to Construct ( �r Repair ( ) an Individual Sewage Disposal System at* P1.11, .. Z-- r a .... ..... / . ......---..•-•--••.......................• Loc ion r �re �� /y /✓ or Lo� ----Z------- `J� "� l� _.... L?c..,�..!.....�...__._ .. v ...... ......... .ri...;�_........ C.I.Y.. W Ownet dress ,... ....... Installer Address d Type of Building Size Lot...1 Zf d 6......Sq. feet U Dwelling—No. of Bedrooms----------------------s.....................Expansion At iis Garbage Grinder (�t� aOther—Type of Building --- -:_1�--_du f!f .. No. of persons.............t f, ----•-•-- Showers (ti; — Cafeteria ( ) Otherfixtures ..........-- _ -- .-----•--•--•-•--•--------•--•----------------•------•-------_--_-----•-•-•-----------••----.... ..........-•---_----- W Design Flow................��___...........gallons per person per �ay. Total daily`flow......... _.................gallons, WSeptic Tank—Liquid capacity/d0'a.gallons Length---/4 ...... Width---&.-....... Diameter................ De tl .... ...._.. x Disposal Trench—No. .. l�, r±_ Width-------------------- Total Length.................... Total leaching area. 0.....sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing0-4 Percolation Test Results "� Performed by.... • _. ...... Date.._.. � 7,Z! 3 ••-- /? ,-a Test Pit No. 1__�p. %minutes per inch Depth of Te t Pit-- �... ._. Depth to ground water ... f� Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water.,._._.................. P4 ................................. '.. --------------•-------•---............................................. i Description of Soil.---•••--¢ -..------•-•lam txj -••-•--...--••-••-•-•--••-••. ®�-i �r� k�- 't ------•-.•--••-•---•..•••-•..................................... W UNature 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 undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed ..:' •. . _. .t... ......... 0„�% 70" Date ApplicationApproved BY.....................................--- ----------•-.......•--- --- Date Application Disapproved for the following reasons:-----•---------•---------------•----......--•----------•----------------------....-•••--••=-----•--•------•--... •-------------••--------........----•-•-•------........------------....------------------------------.... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH (9rdif iratr of Tontplianre THIS IS TO CER I"Y That the}}npvidual Sewage Disposal System constructed ( or Repaired ( ) by--- -••----- ---------- - ... .. .... ... -••••-------------......--- ........................ •-- -----•----•------- c has been installed in accorda e revisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.........................,- `,�' =. Inspector........&1(7................................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.. !.*!.`. .! f ...........OF....... t � �' :.... FEE........................ Uhivoottl IV rki To trnrtion omit Permission is.. reby granted...#nI to Construct ( o ep 'r ) •vi Sew ge D•sposal stem Street G? as shown on the ap catio r isTS p' 1"Works Construction Permit No �"77�_ ated----------.f_X..........107......._. _ P DATE............. �11�... . Boar Healt .a.: FORM 1255 A. M. SULKIN, INC., IBOSTON : fV ONE �,g d , W _ CkNup1J or /.7 0 c AT ..... ._ o��4ij� OF yqs f PHI El ERG cn' 366 �� , TE'V`` �e TbPo bA-rA IS 3 As L-b Dm gt.ANS ss/ONAI ENG y LEGEND EXISTING SPOT ELEVATION OxO CERTIFIED PLOT PLAN i�AN 0f Mks EXISTING CONTOUR --- p FINISHED SPOT ELEVATION / ROBERT, yGv, ��` �S— FINISHED CONTOUR 0 sRuce � ,07- 7 P A gk Ali o ELDRED � IN APPROVEDs BOARD OF HEALTH � /s EI � 9 a ���S �,ASLAPMASSa ;. p� +A DATE AGENT Nv sv SCALE, !"- 96 DATE; i j uj liZL—DRED ENGINEERING CO. IN CLIEN . CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JOB NO. 93oG2 BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS ENGINEER URVEY DR.BY . .'2, OF BARNSTABLE * MASS. 712 MAIN STREET CH. By,fK NYANN S, MASS. SHEET' -LOF ADAE REG. L ND SURVEYOR i 20 FT. M/N• N07F /F E/TNER THE SEPTIC TANK OR ZEACI•//wG cl/T ARE MORE 7N.9;"/ /2".S.ELOJV; !J /C Pr-.MIN. RAOE� 24'�/AM ETER C'Oiy�'RET� COfiER .. �LEv. S/,IALLTG �A .l E ,,4N EXTRA lay,r CG/VCRrT.E 4 PNC.P/PP �yE,4VY CA ST/RO/Y CO//ER SHAL L. a3= MIN. P/TCN p COYERS �B y /F/N Z>R/VEyVA y 2 j W A. CONC.e1�TE AVE CO I�ER CL EA'IV' .SANG Rom PK ODD OF V49 AII)V.P/rw GAL. • •' . . .. . > •4 PER 1",T S.�PT/C TANfC D1sT o • . • • ,.. • . •.• s • WASHFO ST7?NE -FAFcri✓E :Y s • O . • • • • v e lyASNED STONE• • EPT/,l_ � ff+ S Xo�•5 `�71 Gpb. idI �. • • • e. s • • ra o �o PRECAST SA.EPAGE' IAIVZR7 &A EVAT/AAtS 4-��,s x 1`.O _ v �. • • • + e • •. • •ram a P/7 OR EOU/e/ lNYERT AT mil%/LD/N6 °Z.a. FT.• 5`Y.l trf?tj 6 i7:OIAM. b !/VLET :SEP'TK' YANK l°l FT LOF7. APIAM. —�, �C SEE 7A8/1L.AT/40N> t 0"TL,E'T SEPTIC T/4NK ..,yoy,y � r ET O/STRI4j9lIT/DiV-BOX FT GLL yob .v - .SECT/®N`OF ROIJ O TE�t Ti4BbLE r /Ob.B !A/LAk tEACN/IVG -rA SEJ�AGE plSP4rSA t SY EM - ' ` ' L EAC/°IIVCw PlT wlM /vs�i o/v ajON RT DeES/6N CRITERIA� Y. SCALE %f oi�.Fivsow S dp:fl Fr. =* A4/- N�IMBER OF 6EGROOMS 3 D/MET/S/ON C_L-FT. GAR®AG.ED/SPOSA4 OMIT SD/L "LOG Yf TDTAL EST//�1t�tTEO FLON/ GAL DAY .SOIL TEST A/ SOIL 71�ST�2. _ ..�4TE�GF SOIL .TEST �'� o�DNUNBER OR4rACNING PITS gLEY / 2-S �ELa�Y S/OE LEACHING PER P/T 1 _ �?—T Sig /°T. l rFS[ItTS.lV/TNESSED BY_✓E. % ✓� aJ i 807rOM LZ4CN//vG PER PI rlf, A; TOTAL LEACH/NG •4REA a6` SQ. FT. � J"O)� O/L AERCOLAT/ON RATE 2 MININCH RESERYEGEAC'N/N6 AREAS SQ. FT.. - p�j H OF ,SAS S X kld L Lls.' �' r�✓� .G k ��/`l , l S RO B E Rc �\ . / P BRUC� (�/t/�l/E ELDREDC y LNBERG v � � /i o. sss a, r EL DREDGE ENGI NEER/JIG Co. hvecc ,l F � 157£ O� FFSG�STER \��`` ELEv.9o. 3 712 MA/N ST. , HYRNNiS, MASJ. HD 0MAL ENG L'9 NO GRO[JNO yYAT4wR ENCOIJNTEREO sU N CL/ENT: ,y slj DRTE C1 am,ouvo LvATER A"r ELEV JOB wo.• f 30� z HEr of a TOWN OF BARNSTABLE LOCATION jTC� Ure SEWAGE# o,;-— CS a! Y,9nh, ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /ODO LEACHING FACILITY.(type) (size) o7S X NO.OF BEDROOMS OWNERc.J PERMIT DATE: 4—IO ) COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on' site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY 0 T � s '3 TOWN OF BARNSTABLE LOC,ITION S '^ SEWAGE # 7 VILLAGE �a.K-Ld s b 6•-- ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. ��"I s SEPTIC TANK CAPACITY a `� LEACHING FACILITY: (type) (size)—,!';21-<� NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: 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 feet of leaching facility) Feet Furnished by I_ • r--N LOCAT10N �J SEWAGE PERMIT 010. VILLAGE 1 NYA R'S NAME 8 ADDRESS � QUILDEIt OR OWNER I� DATE, PERMIT ISSY E D 'Q�DAT E C0111 'LIANCE ISSUED - f Cry r �/I-� U� h� (+y �1`' p Is" (/� � ,� � � �. � �� � _. � r ��I � , ' + "� r Fps........' ............. THE. COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH. .OF.............. . .. ......................................... ..... .... .....i� Aplifiration for Bi-4pasal Works Tomitrurtion Prrutit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ......................4��Z�. ............................... ................................. ...................................................... Locati %L�t N ------------ .......................... ............... Own Addre................... .......................j��t......... .... % ...................... Installer Address Type of Building Size Lot... . .......Sq. feet UBedrooms......:.-.....37' ",-" Dwelling—No. of .....................Expansion Attic Garbage Grinder V7)3 Other—Type of Building ....... ...... No. of persons.........4.............. Showers....... k— Cafeteria Otherfixtures ............1714................................................................................................................................ Design Flow..............S-. -...................gallons per person per day. Total daily flow.......... ...................gallons. Septic Tank—Liquid-capacityv�)dp&_gallons Length.... Width..... Diameter.............--- Dep�hy-Z W .../- x Disposal Trench—NO. .................... Total Length..................._ Total leaching areas;?_..Q.&....sq. f t. > Seepage Pit No..................... Diameter.........___.__..... Depth below inlet............._._.... Total leaching,area..................sq. f t. Z Other Distribution box (L-_� Dosing ank 1 4 Performed by... .......... Date........... ,--I Test Pit No. Lz!��-.minutes per inch Depth Depth to ground water.� s�.(;:�,__. Percolation Test Results 1.4 of est Pit....../2......... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........._.........._... ................ ............ . ........ ..... ................................................................................... ............ 0 Description of Soil---. . ................................... ............... ...... U ............................... .... .... .... .............................................................................................. ....................................................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable................................................................................................ ... .........................................I.......................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed, Individual Sewage Disposal System in accordance with the provisions of TLIILip 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed ..... .........9laA--.-? Date ApplicationApproved By.................................................................................................. ........................................ Date Application Disapproved for the following reasons:................................................... ........................7.................................. ......................................................................................................................................................................................................... Date PermitNo........... ....................................I........ Issued........................................................ Date ------------ ------------------------------------- No......................... FEs.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... _:..0F..............13 ...��i. ...................................... Appliratiun for DiuyuuFal Works Tunutrurtion Prrutit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal Systemat- s.: G���'4-�.......................... ....................................... ................................... P Locatipn- ddres •---- ... ..................... W Owner Addres , .-•... . . ........ ......... A-4 Installer Address d Type of Building Size Lot_._��.Z? .......Sq. feet _U Other—Type of Bedrooms _..� ----------Expansion Attic (IICJ Garbage Grinder (/P)j Other YP o. of Bedrogoms-.-- yNo. of persons..........©.............. Showers ( — Cafeteria ( ) Dwelling—No. dOther fixtures -----------./M11._.----------------------------------------------•--------._.._._.....------------------....-•-----•----------•-----•-----. Design Flow....................................... ..gallons per person per day. Total daily ow.__....... - 0..........._ W g g P P P Y ,rY •S gallons. WSeptic Tank—Liquid capacitv�t l�.galIons Length.... Width-----&�....... Diameter---------------- Dep h. ..4.._.._. x Disposal Trench—No...../__7.4 .Z Width.................... Total Length.................... Total leaching area.CP -Va....sq. ft. Seepage Pit No---------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (t/f Dosing tank C ) '-' Percolation Test Results Performed b -_- -&(—.a .-...61.f.1 - ......... Date........... -� e�'� •,-,-��• -- a Test Pit No. L.Zw e4-.minutes per inch Depth of -est Pit......Z?......... Depth to ground water.t*7e e.. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ..................... Description of Soil----- =f:. - - - -- - ....-- --- =" W UNature of Repairs or Alterations—Answer when applicable------------------------------------------------------------------------------------------------ --------------------------------------------------•---------------------------------......---.-••-••-•-•••-•--•---•-------••---•-----•---••-••••-•----•••-•-•---•-•-•--••.............................. Agreement: J The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accorliLnce with the provisions of TITLL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b issued by the board of health.. Signed-• tea : :.��' ---•- ---------qla' Date Application Approved BY....................................................................- Date Application Disapproved for the following reasons:................................................................. -•--------•---•----------------•-....-•--••..---••••-------•••----•----•-••-------•-•---•..._..........---•---••••--•••.............------••----••----••--•••----••---••--------------------••--........ Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... ...OF............ ........................ -- �r "firatr of Toutpliatta THIS IS TO C I That t ndividual Sewage Disposal System constructed (/orRepaired ( ) by............................... •. .... . -----• ..---•- -•-••----•--•••-••............................................. .. ..--------............ j��+ Installer at......... .................. _-�:; - __1-16° -----I--- -----------�..---f a. - s -- -9 has been installed in accordance with the provisions of TITb7' n 5 of e State Sanitary Code as described in the application for Disposal Works Construction Permit No.___. ...74�..._..._... dated................................................ THE ISSU N E OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® GUARANTEE THAT THE SYSTE . . . 1.. ....,TION SATISFACTORY. Inspector.....-- -- . -•-•--•..........................................•-----•---•-.....--... ....................................................DATE. THE COMMONWEALTH OF MASSACHUSETTS -�`--- BOARD OF HEALTH 1/ - '~ /� No.. . 4.5 .7....... FEE.....171A.......... �iu�uu�al u �o lion �eruti� Permission�ZR granted............ -- .•••--••••-•---•-•----•••---------------•-•---------......_......••--•-....................---•-... to Construct ( it )jp I� idual Sewage Disposal System atNo..11� ..... ........................... -._-=� G. . J... .............tr 1.------- ------......------------.........-•-- Street 96V ^f/ as shown on the a licati for Disposal Works Construction Permit ..................... Dated..... .................................... Y Boa Health i —�'"°■` DATE---- ---- -------•-- ...:✓✓✓/// ................................................... f FORA 1255 A. M. SULKIN, INC., BOSTON m f i , y 14 P. 4 rJ yt ' i h• W L/ /l./1 P V �fi3 _ v r \ 4 aT aka t{i'aOil J �g,1•�, y0 w �l� � F I� it ; y . / t. (•�i�� � 1 r 1 Z� �sww 4t glut '+t - T C � A'('1uHti .✓r.. A Q �OZ S y do0 .r w , t. �D -•f q I - 07 v ba I1 n PLC\'1 QF -4 P L \ { +1 a WEI RG ; o AF 66 aNAI E G� � oFo b�4TA 3.4 5� d D7J PLA►155 t Z Y uJ k ;-r � LEGEND EXISTING 9POT ELEVATION OjO ::" YOERTIFIED PLOT PLAN EXISTING CONTOUR --- "A of A'4sa 6_ t FINISHED SPOT ELEVATO®N Bk c�,A� P&. is FINISHED CONTOUR 0 --- SIR s IN APPROVED , BOARD OF HEALTH 911.01 g EtQR aa bi � . DATE AGENT �:': �No'"sut�� '4 SCALE, } >�. `qU ' DATE l q i 33 LDREDGE ENGINEER/ Ca a IN CLI 'tdT t 1. CERTIFY :'THAT THE PROP09E0 EGISTERE REGISTERED J08 No BUILDING' .SHOWN ON THIS PLAN CIVIL LAN® �r CONFORMS 'TO THE ZONING ' LAW$} EPIGIN R DR. Y > OF aARNS:TA.®LE MASS, 712 MAIN STREET H YA N N I S, MASS. SHEETL:O '" .. A E R' Co. L ND SURVEYOR IV07E /F E/TiYER THE SE PT/C TANk OR iEAFCH/iVG. P/T ARE MORE THA:"/ /2"BELOW s. /D ITT• M/N rRAOE, Aa. 24 01AM E7ER CONCRETE COMER �- SWA4L eE BROUVdyT TO 4MADE.( .Ay FX7-RA COMCRBTE M/N. P/TCN h'EAYy C^ST/ROM Co�ER Sf/AL t_ DE USED GOYERS �B"osor Fr. /F/iV OR/V4 PVA Y 2% AfW. CO/VCRA TE CO✓EI? CLEAN .SANG - - . . . . BAC.;, �qq� :. LAYER :IRON i�il 600 6/4L / • o QF �I8 -'��B MIN:'PITCM D/ST, o • • • 1 • •• s ee' WASHED 5770NE '" %'Pei/:JET SEPT/fir T/iNK e ♦ e . • . ♦ , BOX: 0 ` e � � BI • • � • � . ::� �EFiECTIVE . • 3 4 /2 N �. �`'' �, ° , ► � • e 1� ♦ v E TORE '_ '" -" 'GPI � • e' e. e , • � . ► d ► � PRECAST SEEPAGE. �7/ `,a�e. • ► 1 • O e 1 • ♦ a 1 O Q/T OR ZVV/Y lNYERT N6' �LEY.4T/O�I/s > - $��"f �' s r � E 771BULATJON� INLET:`.5'Ef?TitC /o0 3 K L TiON/ rx x I D FT. O/Ai/M C(.SE t - Ot/TLET SEPT%C.TANK INLET DlSTR/1397 YP" BOX' FT SE !Q OF = GiYOuND J�ATER TABLE 0 o�sTlrlevrio/v ear JET • S� AGE 01SPD�S�t SY.S'TEM w. /NL6T tEgCN/NG Pi 7►-. s FT TABUL.4T/ON ,. LEACH/NG p/T DESJ6Nf nCR/TERIa _ Ol�IEJV.SIQN $ 4. o FT.. - N�JMBER D/r®EvooOMS 3 •: ; � DIMENSION: C► '`� FT,�n i n; �' G..RBAGED/SPOs�Z-UNIT. NpN� SOIL LOG SO/� TWS�' TOTAt EST/Z-*47- " FLOw 330 G,4L DAY SOIL TEST I�/ SOIL TEST#2 NUMBER QF 40ACAMMS. PITS_ EtE✓. 0/,3 f` —AMA-Y DATE OF SO/L TEST S/DE 11'ACHING PER P/T �•, ,SY�L IeT. ! RESULTS 1AdJTNESSED BY ` ✓ 6 tr s' D- I,S LOAM � BOTTOM Lz4CN/NG PER P/T�_$Q. FT ee PEI@CQLAT/ON RATE / /mil/NCl/NChf TOT.44 LEACHING. AREA "�7_SQ. #1 o` TDA .SD(L AFRCOLATJON RATE 2 MJN.�INC/5t A N/N6 ARE S _ FT i ES EAC' Q� ERNEL ' Jsr• PtiZH OF �,,�c S�N� L U T /02 /. 24'9. !s' ROBERT yGJ P - BRUCE W G �� A ELDREDG o. 366 a, ELOREDGE ENG/NEZRING CO,/NC. /ST641 lk -.` 'dj �7EL.69.3 7/2 MA/N ST. , HYANN/S. tilgSS. U SU ,rr L [ NO GROONO yYi4:TER ENCDUNTFREO CL/E"T; [!7E �GRO uN0 1w�1 TE.? AT.ELEf/ EET OF ...... ...... . ____ .J,: .. ., { i .w...'-.I.:.::.I.,.--.I---:I...�:...-......-�'_:..-.0,..-.!-.1-,--.,:....:�.-.',i--.......*..-,...,...-_-...�;".'.._,-..-.,:...'I....�..,-.,..';-;.-.......,.::..."-z.�-.'..�,---1.;.I....'��,..1'-_..1:..:...'.....s...:..:.-..I.�..:I.-.-'....,.7'..'":"-".�-..,.`..,�.:.....�..-r.-..,:-.:,,...".-..'*-.....;..,?.,.,<.--...:-t...:-..:-...,.-�..,:.1....-.�,...-:'.,:._..,��,.._:.-.,-.:.,:,..-:.�...�.''.,.I�.,�!.�.. ,:..;........:..,...*.�.,...',-..��..,"..."...;..7-4",-....,-'.---...�....�:...-.!.-..-,-.',:..,..:-..:�,.I...-,,.1.,� :..."'.-.I.%0._..........;_..f. ....�Ib6....�...I..Z.O...:,Z.I..,........._. ..,n...O..5 .I 1.......�.....,.q�.0...../I......O.S._....�....0.....................M:.........�...I,-...M..........-.....:.;..�.........0..-......;..I................1..;�.-...;..1.....;....;j...._...I..I.-_..... .A 3: !. :,= . ;; h i'" '° „t:. =t. fs' 1.1•:+ .. :-X:.. 4 ..,' .Y•: .. S' :If - _ `r' i "i:; :', l. F :j,: '- - .as �.J, :�::-.. , ; , i .. ... .. .:,:1: : - :. :: ..: .. „ i ... , ., ._.. .. .....:..........r� .,........ .. .;..f is .:.:_..,..:•�':,.....;'. . .. .. i t C 1 k .._. . • . . . . • {: i:. ' _ . /_ . ash' C . ,: : V I . . '. .,'': . . . . . . a� ii .. ` . . . . ,:, , .,' . (:si.: . .;: . . . ,.,.... - . i_1, . •. . . I. . . _ . .. . i .. . ":,...,:., _. . , ,..•". . ... ...... .:. _... .. .,......... .. .. ,.. .. '.M1' .•k. : .. ....:. :.... ..... ....... .. } f. L 1 S,. •f . s : t. .....,. .. .. .. .. . . .. .. -.. t 1 . . .. .. .. ..` . e :. d }_ '�' =�: _ .. Y.;! ti - _ - ii t a •.' �'YM '_}. ?I,` .. t• =l. • . ''�!. .. ..• •S• O� , ::' - .. „ e ..,. ... .. - - ,. .. i•... , ..-, r..._....... ......... . _., . ...n . . . - -, .,:., ..... .. .. . . N. /. a . �•.. : .. ., r. .. ,-.:.::.- ,... .., :.. . .7.,. ... J. .. ..,« . .,J. .. .. u C S ...:.. f .l ...:..t...:...,n :.. ... `.. .. .. N'. f. 1 ..''...,. .. ...1 5 a. , .�::.:.'•: •, .. .. i:. Y >, a �. t 1 r; •.'{ .. - - S it •' �i� :, . ' a n «: . n f r, 1 :..• .. ... .. .. , ... S. r r C. t - . a .. ,• r 7. .. ..«.. .. .. ,. .r'. r STv�P 1 N 3: .. ,, :. :.. f ., f .., : .. „ .. ..: . !3 E �: P RoPa "-; t3V fCC�i'usvrt u N x X G 7 W . t? �T N Cb NTbI C7 IL' N6i d. �xx tTI Sil�1 ex RUN a A7tCN3' T IJ2 L. E. . 11.1 �; DO •o r 0 0 �'. . . .. H LR �.lOc.1i. 0 ::., &'NIST.t'aoo 4,94v�o13RlC'p51d t,! ' .:'..: . . ....i . .. ......:. :.::: :' 14 Bolt, ,•..' • 1 :, . •- . . . , �:;: _ . - . ` -t► a �:t�uriwr.Y gg .. a:.!,. � i3 _ .. .. ........ .. . ,. . . . : .:.:..�i.: .: , . . i ... , 1 _. ....: ..... ..:..: : 1 a ...., ' � , a 1 t 1 :! . 1 _, :`: '` :;: . J. . ... Q »,7: {r . . . . . . GE NERAL N S =i �` . . . . . . , OTE :! W .. .r ELEVATI R O'AN ASSUMED 1 ONS REFS DATUM. BENCHMARK I3 THE ... i'....i . T EPTIC TANK OUTLE R . . . , .. ... .. .,. i EXISTING S INVE T. ..,.... ::':.:'...:•.... ...: P;CBSERVATT NHOLE'#.f :.. Q . • -i 2 SEPTIC TANK SHALL REMAIN IN SERVICE AND BEFITTED WITH A GAS - .- . ::: ::._::' ;' ;;-';;Test Dutei Janoary'21;2015,' :. .;..:...I :.......... ..... ,:. 3. BAFFLE WITH TEE FITTING INSPECTION AND REPLACEMENT AS NEEDED. .:..,,,q. .; ';:`: ...,...:.. .. . ...:. :. ..... .... •:Performed�b R Pe _ . . . S SHALL l ALL SEPTIC SYSTEM CONSTRUCTION MATERIALS AND PROCEDURE k ii y.. : .rry,Cape Cad Engineering,Inc. :' . CONFORM TO THE STATE SANITARY CODE,TITLE 5 AND TOWN OF .. , !' :: :'r:' :.- Witness:Donna.Mioi aadi;.RS;Barnstablb Aealth Dept.: BARNSTABLE HEALTH DEFT.REGULATIONS.;. . : . ' . ...:.;.. .. . ''.. .;,.V. <;.::';..:;:, :- - 4. INSTALLATION CONTRACTOR SHALL VERIFY THE EXISTING SEPTIC TANK I I CONDITION AND ELEVATION PRIOR TO MAKING CONNECTIONS.:a1;t. elevation depth.(in:) horIzori.`texture . color" mottling other O ; ,v 7tiEGL//V ;;..'.!. [�.Y Q S. THE EXISTING SEPTIC SYSTEM COMPONENT("D"BOX AND LEACH PITY TO : :..: . . " :'!I 52.2-51:5 0-8 FILE'. .5'.S_ 0 BE ABANDONED SHALL BE REMOVED WITH CLEAN SAND REPLACEMENT. ;.•F .. DEGRADED SOIL OBSERVED WITHIN S FT.OF THE NEW SAS SHALL BE •1 : �. F Q . REMOVED AND REPLACED WITH CLEAN SAND. . 5IS-R1 8-12 A' ' loam.sand 10YR 3/3 � N f,[-`j':3.g N 6. REVIEW EXCAVATION REQUIREMENTS WITH ENGINEER•PRIOR TO \ \ 1 QUOTING ON THE JOB. BACK FILL ANY NECESSARY OVER-EXCAVATION 31.2 -49.8 12-28 B loam.sand 10YR 4/4 1 WITH CLEAN SAND MEETING TITLE 5 SPECIFICATIONS FOR FILL. 1 NEW MATERIAL. SUBS AND i ,' - :.:! . . . .. IL :i " 7 ..; C. '' " ».. "? COMPLE ION 4 98 42 2 28-i20 cse.sand IOYR 6/4 .' . . .~. .. : i `� 8 WSTALLER SHALL CONTACT ENGINEER AT TIl4IE OF SYSTEM .- .. :. .. •.. .,D CONTACT ENGINEER IF ANYGQUESTIONS OR DOUBTS ARISE REGEARD •' 3j . ,.. : ...,.. epth#o Groundwater:'Giroundwaterwas not encountered. / r E CrAL. 2t► J _ _ - -- „ - G T - - - -- D DURING COIVSTRUCT[ON. ;:. ::....,., ...: : '.'.: :'': • PERC:DATA'=PRE;-SOAKED- 3 de SwPT/C :- .: . _ 9 ;.:1 .. .:.. .. :-' w PROPOSED SEPTIC '.•: . _:.PERC TESTED:12"=9"-2 mm..SO sec.•9"-6"-7 in.0 sec. PST®) ?R . . ' ;; .• ; - R o O3 i SSYSTEbL THE SITE IS SER TW D B TOWN WATER. ri ;':':. :. - .YER'CRATE s LESS TITAN 5 MPI IN C SOIL LAYER .. �/� . e csf P p .. ls+f✓R : :::.:' i :: F,t: r =.------c.,-�,- - IIYDRA LO - PDBR 330.0 , ,' ... ;. l0 DATA ":�•: '' � '�_�D �'b .•� ROOMS X 110 G GPD . •�S � ULIC ADING 3 BED .. a's"� St x S EPTIC TANK DESIGN BEDR .0 GPD -,. DE . i . - : .-• ::. Test Date:January 2I;2015; 'EP Z s' AL./DA OM=330 oBSEitvATlori HOLE #2 3 OOMS X 110 G Y/BEDRO ' �s7 ` ' 330.0 GPD X 200%=660.0 GPD Performed byR Perry,Cape Cod Engineering,Lee• lEi9C ` , _ Witness:Donna`Miorandi,R. Barnstable Health Dept: p♦T �2X1 /o' EXISTING 1000 GALLON TANK SHALL REMAIN-PROVIDE GAS,? (5 ,- .Vo ) BAFFLE ON OUTLET : 'i elevation depth{m) horizon texture color mottling other j SAS DESIGN . . io d, o c� • PERCOLATION RATE-S MPi ,.r.! . .. 52.2=515 0-8' FILL - . i LONG TERM HYDRAULIC LOAD RATE- 0.7 4 GAL/S.F i`'i SIS-51.2: 8-12 A loam.sand lOYR 3/3 1 SIDE-AREA=2(2')(25'+12.8')=151.2 S.F. . 1 BOTTOM AREA= 12.8'X 25'=3200:S.F. . 51.2 =49.8 12-28 B' loam.sand lOYR 4/4 LOADING:471.2 S.F.X 0.74 GAL/S•FJDAY=348.6 GPD t :j ` ... 49.8`42.2. ! 28-120 C .. cse.sand OYR 6/4 . . TOTAL LEACHING CAPACITY=348.6 GPD THE DESIGN IS NOT SUITABLE FOR USE WITH A GARBAGE E ' . Depth to Groundwater:Groeindwater was not encountered. - �..' . 1 . : DISPOSAL ,PERC.DATA'�-SeeTcstl' :'.. T -k: . . - . i.•::... :, :-•, ... ,.' RATE'= j PERC :LESS THAN 5 MPI W C SOIL LAYER . ?j, . . . , . i I:' . f �: :. .st :I . .. • ; ............. u - F f1 . . . t . . ..;, . ., ...... .:........:+. . :.I:.'..':' .. . ... . . ... :.... . .' ..:..•..:-':. . . ."...:... .;1.' ; .:.' . . . . :; ::: r.; . .. :.:.. .: :..•.'.:': r Y 19,2015-ADD SOIL EVALUATION DATA ;: REVISED-FEBRUAR :: !.. ..: . . f : ,..• . . .,: .. nT . .. : l 1 t61C-.ALl� :,i ' -No , : - 1d4ANNGLI~ covela-tv►tH.otAl-2W t •_ s`�MAhtHoc.E wlrN �NC2ETE i ii Yit�^L3sNT U�'Tp WIi1-FIN 6u OiQ 2 LAYER X9 - i GCV6R 'FfZAME 'C3RDl3Lr+!•1?' 7 ' ' ; FINt5H60 GRADE WA51-ir5P S-lMoNE oit &E0r 7-I LF_ W133••iIN "OF' F'iNISHED GfZA'D� ' . . . • i!!, . . . • .. . 1 ;4. tW.S"o•4 Z _ - - - _ PLAN SHOWING PROPOSED:REPAIR TO AN EXISTIlytG _ , ,f, '' 1. ,.. ~. t ter Q o o ` :�:•¢,, 3? MA16. t� MIN. G CLrEAN , SUBSURFACE'SEWAGE DfSPOS ' SYSTEM ( p 3 ' . ;a o s 8,AG1L'F 14L AT .f J. - . :,.. . . .a . . _ y:�- ;. 35 PASTURE LANE ':HY1�►NNIS ';ORT MA . . . .. _I , tlav 7 ' 1;i� ,¢Z .,• CT [7 Cs C7 q 0 C] C7 C] IC3 a r�ct ci o ct two ©cam •..a DECEMBER 23,20I0 + SCALE-'1"=20' i1 �w,p� !y,.. * C[ © Q Q C).�?D C) CI © Q i '„ 1 i 1 ' :N . .o . 3e�►FI=L>r Cl CI QQQ o Qt�CI Q PREPARED BY. j . . . . .. . .Y w uta ofwr srot`tt- 01300 Cl" 00 0 CI EZ10 CICIE3001710CI0 • t �' ..Q -+�# •• - 0,5•n� .3/ .,:: ; : ; LevE� oc�'rt lET-• fix' CAPE.COD.:ENGINEERING . 4 . .. . . xE Ilsu'no �� . � '<: ii'[27htE it ' 7"o C3L R P a 3j.¢"-lY2" �5"ix�ve�LL� Of T M.PERRY,PE i. ;i• isr .TAA1K s ,..1.� !~ �/A."17CNS 8.5 oTR�M c'F' ' P.O:BOX 1517 ! ... , .,. .• r es o. , „ Ivt3ixT h+.�l�-t�S '�• �.+•.���1�"..",. -'�"�- ,�� r=�---" }' Tt, TAM T EAST DENNLS MA 02641 s a ALL AUTI.rBTs 5 R , . a F ��is a i o - '��'� i y -O•. A V O P tS 4 i� -fir 0 0 a ti `► b• BE'[iIR Sp.ME C' , i~.LE 6'- hl TEL-508-385-1-445 .-'' *, + ; .1 „ �� ;q a + „ 'b' . �° p. o a . US IOTA N WIER - Z S Y. s 1 ii ii.. I.toTL. . .' �... ..4 6 Tl 9 ; � �AI.A. *l 1�L-. m, 1& EX I S?'1 NI fr ©urn s �C :i : . :: . 4 �.F.VJC;.TICHT FLe rhr TAi+il•C. ?1/PICAI. LE; CI-I SySTLM CRl�SS•S�GTION ( � ' ,m1µT. a. /oo dtlrL.ET PiP>rs SHALL HIM -NO scA•I-sr- .p ® ' i : i;ii 1 --.JG4l.t.O. t.aVEL Tbi2 AT I_M.ST ��1lslitG =; ':l' R�CA£a'T 'it .`t1.{4��!¢��D aQNCixET1: -3-tr,:.a t?rin'A:a A/ I M S.E R V''it E.I '' TWo 17l'»"�1'T I ' 1`.I ft ,I . !il .! ..