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HomeMy WebLinkAbout0075 RUDDER ROAD - Health 75 Rudder Lane, Hyannis A=247-185 I i i 0 TOWN OF BARNS TABLE Ilk LOCAONIS/?v 0�� SEWAGE # TI � // VR LAGE MtAll A r,S ASSESSOR'S MAP & LOToZ INSTALLER'S NAME&PHONE NO • 1�1acA-( (;S C - y�8-SSA�i SEPTIC TANK CAPACITY k00© GPr�., C1�Xt�1�-c� LEACHING FACIL=: (type)SQo6A I C*94sj (3) (size) /D QCo�9S NO.OF BEDROOMS 3 BUILDER OR OWNER PERMTTDATE. 5 -oZ `O, 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 aJ. o , _ 3 . ...� CA wn C-0 CA V V I t s No..C:a�? ` r Fee oo THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Rpplicatiou for Mi!5pogar 6p!5tem Cow9truction Vermit Application for a Permit to Construct( ) Repair(yf Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. 7 S' f c%p o e z Owner's Name,Address,and Tel.No. SO8' 7 7s=c�8g7 Assessor's Map/Parcelr "��`r ^91i Installer's.j�ame,Ad ress,and Tel.No. Desi ner's Name,Address and Tel.No. -ts� etc�cc l�,s«s So8'yd8-SSaq r�rrcn Me�eR $� o S-1 1?o.3cti Q84 OS e.rl.l t101, C.5ANa",,c 11 - oavi Type of Building: Dwelling No.of Bedrooms 3 Lot Size /0,o06 sq. ft. Garbage Grinder (�Q Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided 335.a gpd Plan Date A ;1 a H pp Number of sheets 02 Revision Date Title Size of Septic Tank l l o0 o G-1,L 6- LZ.<L—Z:1,R Type of S.A.S. 3-,TonGA[C,­/AMACW Description of Soil AS De-r SCi &f Nature of Repairs or Alterations(Answer when applicable) -rvsTA,I( ft Cu Zt S 1"6s, - ZA3 1�O 3-SOO S&L GL^Eg l�c2S ivy 4 /0,Y- ,q.Yr roe& 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 of Health: igne // Date 'ZOD .Application Approv Date J o Application Disapproved by: Date for,the-following reasons Permit No. GL®O-7 ? Date Issued No— Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplication for Miqonl �p.5tem Con.5truction Permit Application for a Permit to Construct Repair(4 Upgrade 'Abandon Complete System El Individual Components Location Address or Lot No. i S c v G otrc Owner's Name, e,Address,and Tel.No. Assessor's Map/Parcel 10,- 1-4 9 Installer's-Name,Address,and Tel.No. Desigr.'s.N,ar,,,Address and Tel.No. Q kcl�cc� ya z III Type of Building: Dwelling No.of Bedrooms 3 Lot Size f0jcod sq. ft. Garbage Grinder Other Type of Building No.of Persons Showers Cafeteria Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date �1)r a C)c, 5 Number of sheets C Z Revision Date Title Size of Septic Tank i,(jQQ C,:'� (-,\_S;,-o� Type of S.A.S. 3 _:c_o(S,,) Description of Soil AL Q0, 4—T 0,,% f)IfT/V Nature of Repairs or Alterations(Answer when applicable) 0 x 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 of Hedfiffl. Date Application Approve Date 51217 Application Disapproved by: Date for the following reasons Permit No. 19-C70-7 Date Issued 512V -7 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_< tfG Ic C ck:, at 1-3 H"C. ,,V-\'kL has been constructed in accordance with the provisions of Title 5 and the for Disposal,System Construction Permit No. ? dated S W :-7 Installer\3-- Designer bedrooms 3 Approved design flow gpd 4 k Z The issuance of this permits abot be)construed as a guarantee that the system 'I f)n,tionasdesj'gQd. Date Inspector Eff- YJ --- ---------------- ------- No. 7 -7 7 Fee 1200 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS 0111iqoal �pgtem Con!5tructton Permit Permission is hereby granted to Construct Repair (1/) Upgrade Abandon System located at '7 S` 0 Zc of. and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date( of this"pelmlit.- Date 51W -7 Approved by Town of Barnstable � _ Regulatory Services Thomas F, Geller,Director 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: M6yq.�Sewage Permit# 007 VAssessor's MaplParcel o?zl7 86- Designer:3 A lz eec_ t N EyF_1 Installer3 2,,c� sec u.i f Address:T.0 Box C0 r.S 1}�, Dcj,c ef Address: was issued a permit to install a (date) (installer) septic system at 5 2a0 ey— W L2-ly-`rAi&,s based on a design drawn by (address) dated �d-%3,00? (designer) I certify that the septic system referenced above was installed substantially according to the design,which may include manor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced_above was installed with major changes (i.e.greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Local Regulations. Plan.revision or certified as-built by desi er to Follow. SN OF kA C�4 1 1 DARR c�N (Installer's Signature) a EY p o. 1140 f GIST-e- i SA'NI TAR\P� 'gner's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION.CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUELT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVLSION.T2MK YOU. Q Iiealth/SeptidDesiper Certification Form 3-26 4M.doc • I / Town of B` instable. Department of Regulatory Services Date Public Health Division 200 Main Street,Hyannis MA 02601 ,� !Time ' X0— Date Scheduled i Fee Pd. Foil Suitability Assessment for Sewage DIN osal Performed B (r/�i✓� Witnessed B': ye � � &��/ LOCATION & GENERAL INFORIVIA�'!ON . Location Address'. '�S , v o 4'� Ro Owner's Name H` A IN N IS. Alj 10260 I Address 7s Rv�b�� 026 s I 1 HY S MA Assessor's Map/P4reel: a L!-') l/g t� Engineer's Name DA-k,X4^ /l�p,UF,f XY.` :N j 6 NEW CONSTRU�.`noN REPAIR I Telephone �(; Surface Stones Nb Land Use Q l(/�h� Slopes(go) Distances from: ()pea Water Body, ft Possible Wet Area ����ft Drinking Water Well 2 ft ZCJO ft Property Line ft Other Drainage Way • SIIETCH:($treet name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity tofioles) ;.{ , _776- i ! i i 1 ' I 1 . Parent material(geologic) 0 G D �` Depth t0 Bedrock ' Depth to Groundwater. Standing ater in Hole:' I Weeping from►Pit Face Estimated Seasonal iigh Groundwater A DtTERMIN TION FOR SEASOI`1AL HIGH WATE�'�ADLE Method Used: in. Depth to 5011 mottles ia, t Depth db�erved standing I obs.hole: p t\ Depth toiweeping from side of obs.hole ! in. amundwater Adjusttnent ! Index Wel!# _ Reading Date: Index Well ievtl Adj.faetor.,.,.— Adj.GroundwnterLevel.,,,,e,�... PERCOLATION TEST . Date Observation I Time at 9" .L.=� .. Hole# Time at 6" Depth of Pere • 1101 I 'Cime(9"-6") -------^— Start Pre-soak Time.C -- �I End Pre-soak ' Rate MinJlnch ! I Site Suitability Assessment: Site Passed Site Failed; Additional Testing Needed(YIN) Original .Public Health Division Observation Hole Data To Be Completed on Back-------- ***1f percola#on test is to be conducted within 100'wed prior to of wetland,.-You must first notify the u .-nest-ahle Cdnservation Division at least one(1) beginning. A DEEP OBSERVATION.HOLE.:LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Stucture,.Stones,Boulders. onsis enc %Gravel la« i " 3 S/ Ic/i w . `'-126" �. M�.S�►o z,� �/ �e ✓ate. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. A Consistency,%Gra et t y 6 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. nsiste c Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (U ) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. ,t Flood Insurance Rate Map: Abovc 500 yea:floc boundary No_ Within 500 year boundary No )1e Yes . Within 100 year flood boundary No X Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist.in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification 1 certify that on a _ (date)I have passed the soil evaluator examination approved by the Department'of Envir nmental Protection and that the-.above analysis was performed by me consistent with the requir tra it ,expertise nd experience described in 3,10 CMR 15.0/117 Signature Date . .. `�•- _.,. Q.\SEPTIC\PERCFORM.DOC TO OF BARNSTABLE LOCATION :dr,�7 ` SEWAGE # t VILLAGE, ASSESSOR'S MAP & LOT '7 b S' INSTALLER'S NAME&PHONE.NO. rIf}CA/�s%E/c' y�Fs 9 SEPTIC TANK CAPACITY f 5"OO G4 LEACHING FACU,=: (type) 3 (size) ` ?i�o size NO.OF BEDROOMS BUILDER OR OWNER ++R C'`�tKt2 PERMTPDATE: ci 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 1 \ ' J s � f TO OF BARNSTABLE LOCATION 5,/Cow SEWAGE,.. E # y6 VIILAGE /f`/Ar�r1�.3 ASSESSOR'S MAP& LOT II`ISTALLER'S NAME&PHONE NO. SEP`*hC.TANK CAPACITY 1.SOO QR , LEACHING FACILMY: (type) (size) 3 ID a(3o NO:;OF;B.EDROOMS ` BUILDER OR OWNER F2Ahh PERIV TTDATE: 3`� `Cl`a COMPLIANCE DATE: L — Separ;14on Distance Between the: Ma...ptuil'Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private,Water Supply Well and Leaching Facility (If any wells exist o :sire:or within 200 feet of leaching facility) Feet Edge;of Wedand and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 77 f'to k,� 1�°ia 9, 8/ 1 h o D ..... WAOyVAs' U . V 14- !f No. 1T Fee (0 THE COMMONWEALTH OF MASS USETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNS ABLE., MASSACHUSETTS 01ppYication for Oigpogal *pgtem �Congtruction permit Application for a Permit to Construct( - )Repair(k)Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. J5-fj'e,.,o oc? 1k ANF Owner's Name,Address and Tel.No. F2H,7A Assessor's Map/Parcel yrAAh i� 7 S�t 0jo aZ 4A l e - I S //AAgi s 77 S-50*' Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. G 020o .Zit,0% 3 ^ Q r;5'OS%—4 .0, R. Jam( O 57-1-1,1/c 1-146-:�F65r0 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable)� 522,16 /.SOD 6,9/ —A 1fc IDbait- 3 c ,g-er 33p s S�rPovm�7 1oti 3+0� lviar S't a Cot��:ca t.,.��t 34, Scene Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board WHIt . Signed Date Application Approved by Date w Application Disapproved for the following reasons Permit No Date Issued 4. No. ^ / Fee THE COMMONWEALTH OF MASS USETTS Entered in computer: Yes PUBLIC HEALTH DIVISION —TOWN'OF BARNS ABLE., MASSACHUSETTS -..,i 01pprication for Mitpoga(( pMem Construction Permit s Application for a Pernut to Construct( )Repair(Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or I of No. 7.5—ffc�D i9e.? Owner's Name,Address and Tel.No. f2yn� �o�c r2 LAID' "1 Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. G 6 20 o n LS V(V% 3 c2 15 OS T-4. . 0 5TP�(,,//< Type of Building: Dwelling No.of Bedrooms Lot Size 'k - sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures t Design Flow gallons per day. Calculated daily flow gallons. �• Plan Date Number of sheets Revision Date Title {' Size of Septic Tank Type of S.A.S. Description`of Soil ,. R Nature of Repairs or Alterations(Answer when applicable) %)s%A%�° /S6 A 0 5' nh - a b�ti- 3 C"�t eC 33Q \ S r'y - SvCCovn� 7 �, 3,o` :1, 5(`CG+1C �Uli^ �7 (J11��1 '� �s SZOoe Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of H It . Signed Date Application Approved by ' Date •" Application Disapproved for the following reasons Permit No. Date issued a0. 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 /i, at RC,n or, G An c - // r1,�i i S ha's'been conkiAic 46d in accordance with the provisions of Title 5 and the for Disposal System,Constriictioh'Rernut No. 1(% dlated¢a�' �- Installer1 '',✓ ?.. . -� Designer The issuance of this permit shall n6t be construed as a guarantee that the system will function as designed. Date _ f Inspector _ �J Fee `- t T 1J THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLEj MASSACHUSETTS 30i6pozal *pttem Construction Vermit Permission is hereby granted to Construct( )Repair(i--)Upgrade( )Abandon`( ) System located at 2S ���i�� Z,4 A0- r- C and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be co pleted within three years of the date of t ' true Date: Approved [ / f • 10/9/97 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CE RTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITH OUT ENGINEERED PLANS) I ,hereby certify that the application for disposal works sy- construction permit signed by me dated concerning the meets e11 of the ro ert located at 7 �0�� p p Y following criteria: • There are no wetlands located within 100 feet of the proposed leaching facility e There are no private wells within 150 feet of the proposed septic system' . e There is no increase in now and/or change in use proposed e There are no variances requested or needed. If the proposed leaching facility will be located within 250 feet of any wetlands,the bottom of the proposed leaching facility will n-W be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation. Please complete the following: ? 3 A)Top of Ground Elevation'(according to the Engineering Division G.I.S.map) 3 ._ B)Observed Groundwater Table Elevation(according to Health Division well map) / 5� • SIGNED DATE: LICENS SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER (Attach a sketch plan of the proposed system.Also If the licensed Installer posesses a certified plot plan, this plan should be submitted]. i q:health folder:cert yea 4A- + O • ��S �o�R 3 J r 111.2 JO CAT 10 L. SEWAGE PERMIT NO. VILLAGE x INSTALLER'S NAME i Al)k ESS BUILDER OR RWNER Ic her DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �' Lgg' 1� y4 L `_ > r -T� 'a' '.� � �� .- v �' , . r �� � P7 Fimx ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 77.)bWO........OF.... ......................... Appliration for Dhipaiial Works Tumotrurtion Prrutit Application is hereby made for a Permit to Construct or Repair ()0 an Individual Sewage Disposal System at: .......; 4;1, Li )?14jd I ....J?tQc.............................. ...............M........................................M.......................................... L i i� Lot.No. ........P&Ire'sh-c,....................... --------------------4?&0z.9.....M............................................. P Y Owner d;r....1�_C,59.qtlbc........... _7)....................................... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers Cafeteria ( ) P-4 Other fixtures .................................................................... < ------------------------------------------------------------*--------------------- Design Flow............................................gallons per person per day. Total daily flow...........................................gallons. 1:4 Septic Tank—Liquid capacity............gallons Length................ Width..............._ Diameter__-___---__--__- Depth................ 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.__.__.__..__._..___ Dep th to ground water.__.................... . Li, Test Pit No. .2................minutes per inch Depth of Test Pit.................... Depth to ground water.__................._.._ b. .................................................................................................... vx 0 Description of Soil..............5. 1a ........................... ................... -----------------*------------------*-----------------------*--------------------------------------- --------- ----------------------*-------------"................................ ...........................................................................................................................11........... - - --------------------- ....................... --- ------I - .77------------------ U Nature of Repairs or Alterations—Answer when applicable.- 0 X-----Q .................................................................................................................... ---------------------------------- ---------------------------------------------- - Agreement: The undersigned agrees to install the aforedescribed,Individual Sewage Disposal Sys I tem in accordance with the provisions of'2ITIL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has befssued by the board f h Ith Signed. .. ... .......... Application Approved By.... .... 6 D,/a . ........... . ...4� ...........................;;40 Date Application Disapproved for the following reasons:................................................................................................................. .........................................................................................................I.............................................................................................. Date Permit No......................................................... Issued....P::, ...... Date No..&.2t.f L Fps ..-.....I............ THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH JJ✓........OF....! It 1 1 i 1 ..........I....... .......... Appliration for Disposal Works Tonotrurtiun "truth Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 1 ,(`J()i v'-/,J ................__ .................------.........----------------•---•-------•-------_.. ........-------•.....------------•-•--••...---------------•------....---••-•-----......___......-- ! Location-Address or Lot No. / f ')t ......... ...................�._!- /Fi-/-/f-�':� Owner r / Address14 f( Installer Address PQ d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—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........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit..............._.... Depth to ground water..................... •---•---•-••-----------•----•................•••--•-----•-•••-•--•-•-----..........--•-•----•-_.............................................................. 0 Description of Soil............. �` z t t; f. . 1r` i V ...........................................................................................................................................-------------------- W U Nature of Repairs or Alterations—Answer when applicable....`------ f....___:._,l.!_'_1 >...%:%_;j_'... --....................... -•-•-•--•--•--------•••-----••-•••--••••--••--••---•-•-••---••-------•-••--•------••-•...-•.............•---....•••----------•---•---•••------•-•--•---•-••------•-••-••••-••---•-•-••-•....--•--•••••-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of I—p 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 t ealth. *> Da e Application Approved By------ ..... e„� ... Date Application Disapproved for the following reasons-------------------------------------•---------------------•-.....-------•------•------------------•-••-•--•----- --------------------•----------•---------------------------.........---....------------...............--------------------------------------------------------------------------------------....------. Date PermitNo......................................................... Issued....... = Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _']7 r / 1 ..........,l..........`...`................OF.....t:...:.1.�/'..:�.:........�- /'b / C............................. w-Entifiratr of Toutplinnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (;;) by................. :..... - .�.... .r=!(.r.rJ ....... ....: '.----- _. . ' t............................................................................. Installer ::......`at...... �� t. r ;. .............................................................................. has been installed in accordance with the provisions of TITLE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No._8.0'^'/rl_Z.................... dated................................................. THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATtSFAC-TORY. -- DATE...------.":.. .. .. .. ........... ...`..... Inspector----- ------- -----;- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH — R &t�k�,?�JOF..... %1 ?ff 1, !,��'. i�"ft r 1.� /; r. Nob J�/ ........................... ........._........... ........................... .. disposal Worku T11mitr ion ramit Permission Is hereby granted.... -' . -*.�!/ _(- .. �` ,,G ........0!)..... .----••---...... to Construct (.. ) or Repair (,. ) an Individual Sewage, Disposal System ` ......1�.t/_L 1�.l...... `!._.�� .�............1�: at No. = .,..:_.. ----------------•---------------- ,/ Street- -•-•--------------- as shown on the application for Disposal Works Construction �Permit No..................... Dated.......................................... and of Health DATE.. . ................................................... FORM 1255 HOBBS & WARREN, INC., PUBLISHERS e --' -LEGEND - LEI 11N9A A YRTLE ` PROPOSED CONTOUR y 9( Hyannis ® PROPOSED SPOT GRADE PPE LA O1T s�RE ES 30 —— 98 —— EXISTING CONTOURLA Gay 0� + 96.52 EXISTING SPOT GRADE PEAR 0 oc 0 RD RD EF W— EXISTING WATER SERVICE FIELD TA c � FIELD LA D. 70 TEST PIT L " BLUEJAY DR c I 0 -10 TH-1 0 I 5` TOB yRD w 99 O m D EST o 3 w o 7p a a S R ER LA .. , p w RE 6 '_ �. RFe�n .._ SANDPIPE. I, - - o�. ,�. �rnVdPI TH� 00 Ajs t LOCUS MAP N.T.S. OM m iY� Exist. 1000 gallon Barrier Sep tic Tank GENERAL NOTES: 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. 28 O gpprak \ Aq 2 FLTHERSTATED MATERIALS ENV ENVIRONMENTALLL CODE,NFORM TO THE TIITLE V,AND ANYQUIREMENTS APPLICABLE. v fat a LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: 7 z Z ter Sera;e O��Vey - 310 CMR 15.405 (1) (B) hoc `L '9 )- �J BENCH MARK 1) A 9' VARIANCE, LEACHING TO FOUNDATION (LINER PROVIDED) V. o.tlo (no PK NAIL IN PAVEMENT 2) A 1.19' VARIANCE, 4.19 FT. OF COVER VS.' REQUIRED 3 FT. 0 (v O to 9) C ELEVATION = 29.74 (H-20 LOADED COMPONENTS PROVIDED) `� 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR X a 11 BARNSTABLE GIS DATUM TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE M DESIGN ENGINEER. Lo 28 Lj oW L C T 2 2 O 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING o FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN cD ENGINEER BEFORE CONSTRUCTION CONTINUES. s AREA = 10000 sf Q.p �'�Z � 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. pO II 2 LL— 6 HE C NTHE TRACTORNORROWNER IS TTOENOTTIFYIBTHE LE FLOCAL BOARD OF OR THE FAILURE OF f� Q o! HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. ii 0_ 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 30 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 3 2 8 0.151 f t �; CONSTRUCTION. 32 10. EXISTING LEACHING PIT TO BE PUMPED, CRUSHED AND FILLED 11. 48 HOUR NOTICE FOR ENGINEER 'CERTIFICATION Uf Mq n <' 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY D ✓+ 13. INSTALLER TO PLACE 40 mI POLY BARRIER AS SHOWN TO PREVENT t M R BREAKOUT. PLACE FROM EL. 27.31 TO EL 24.70 1 No. 1140 V 'AEG/STE�'� k W PROPOSED SEPTIC SYSTEM UPGRADE PLAN 2� I 75 RUDDER ROAD, HYANNIS, MA MAP.- 247 Prepared for: Athol Fulcher SURVEY REFERENCE: LOT.-185 Engineering by: Surveying by: SCALE DRAWN JOB. NO. PLAN BOOK#. 1518 DARRENM.MEYER,R.S. Boo-Tech Environmental 1"=20' DMM PLAN OF LAND BY ROBERT G. McGLONE, PLS - PO BOX981 (508) 364-0894 DATED: MAY 20, 1968 PLAN PAGE A,807 EASTSANDWICH MA02537 DATE CHECKED SHEET NO. 508-382--2922 04 24 07 DMM 1 of 2 ELEV. TOP FOUNDATION (Existing) 34.36 F.G.EL:32.5-30.0 F.G.EL: 28.0 F.G. EL: 31.01 FINISH GRADE=31.5 A v a. MAINTAIN 2% MIN SLOPE OVER LEACHING AREA COVER OVER LEACHING = 4.19 FT. M Ow COVERS TO WITHIN 6 " OF GRADE 2" OF 3/8" DOUBLE WASHED STONE 3/4" - 1-1/2" DOUBLE d A L6' 4" SCH 40 PVC I ,� WASHED STONE d 4 SCH 40 PVC 10"1 :INVS.27.66 = 1 MIN. 6 ®®®® O ®®®® (MIN.) 14" (MIN.) S= 1 ®®®®®®®®®® TEE'S ARE TO BE o (MIN.) ®®®®®®®®®®® r 4 SCH 40 PVC 2 EFF. DEPTH ®®®®®®®®®®® :.:::A:. INV.27.21 <, INV.27.01 2' 3 X 8.5' 2' EXISTING OUTLET GAS PROPOSED DB-3 BAFFLE H-20 DISTRIBUTION BOX EFFECTIVE LENGTH = 29.5' • •• • •• ••-- • • : :. . INV. 2-7 EXISTING 1,000 GALLON SEPTIC TANK INV. ELEV.= 26.81 GAS BAFFLE TO BE INSTALLED ON NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING BREAKOUT OUTLET TEE AS MANUFACTURED BY PIPE INVERTS PRIOR TO CONSTRUCTION " ELEV.= 27.31 TUF-TITE, ZABEL, OR EQUAL 2) D-BOX SHALL BE SET LEVEL AND TRUE TO TOP CONC. ELEV.= 27.55 ,. .: GRADE ON A MECHANICALL COMPACTED SIX INV. ELEV.= 26.70 E3 INCH CRUSHED STONE BASE, AS SPECIFIED IN ®®®®®®® 310 CMR 15.221(2) 60®®63®®® 3) REPLACE EXISTING 1,000 GALLON SEPTIC ®®®®®®® BOTTOM EL.= 24.70 ®®®®®®®TANK WITH 1500 GALLON SEPTIC TANK , IF FAILED, DAMAGED, OR UNDERSIZED. 2.5 5 FT. - 2.5' 4) INSTALL INLET & OUTLET TEES AS REQUIRED SEPARATION 7.53 FT. EFFECTIVE WIDTH = 10' SEPTIC SYSTEM PROFILE BOTTOM OF TESTHOLE EL: 17.17 _ SOIL ABSORPTION SYSTEM _(SECTION) (500 GALLON LEACH CHAMBER (H-20) LOADING) SOIL LOGS N.T.s. DESIGN CRITERIA N�n 1 NUMBER OF BEDROOMS: 3 BEDROOM DATE: APRIL 9, 2007 5 SOIL TEXTURAL CLASS: CLASS I DESIGN PERCOLATION RATE: <2 MIN/IN SOIL EVALUATOR: DARREN MEYER, R.S., CSE ti DAILY FLOW: 110 G.P.D. DESIGN FLOW; 330 gpf WITNESS: DONALD DESMARAIS GARBAGE GRINDER: (not designed for' garbage grinder) HEALTH AGENT SEPTIC TANK (VOL. REQUIRED): 330 gpd x 2 = 660 gpd (USE 1,000 EXIST. SEPTIC TANK) Elev. TH-1 Depth Elev. TH-2 Depth LEACHING AREA REQUIRED: (330) = 445.94 S.F. A 30.15 0" 27.67 A 0" .74 L10YYRY4/N0 LOAMY SAND USE THREE (3) 500 GALLON PRECAST LEACH CHAMBERS ,= 29.32 B 10" 26.51 B 14" (H-20 LOADING) WITH 2 FT. OF STONE ON ENDS & 2.5 FT. OF LOAMY SAND LOAMY SAND STONE ON SIDES: 29.5'1 x 1 O'W x 2'd 10YR 5 8 / 10YR 5/8 BOTTOM AREA: 29.5 X 10 = 295 SF 26.73 C7 41" 24.51 38" SIDE AREA:C1 (29.5 + 10) X2X2 = 158SF TOTAL SQUARE FEET PROVIDED = 453 vs. 445.94 REQ'D TOTAL G.P.D. PROVIDED: 335.2 gpd vs. 330 gpd required PERC ®23.15 MED. SAND OF MED. SAND 2.5Y 6/4 2.5Y6/4 M. y� PROPOSED SEPTIC SYSTEM UPGRADE PLAN EYER 75 RUDDER ROAD, HYANNIS, MA No. 1140 Prepared for: Athol Fulcher Engineering by: Surveying by: SCALE DRAWN JOB. NO. 19.65 126" 17.17 1 126" + ciST ° DARRENM.MEYER,R.S. SANITAR Eco-Tech Environmental N.T.S. DMM PERC RATE <2 MIN/IN. ("C" HORIZON) - PERC RATE <2 MIN/IN. ("C" HORIZON aoBOX981 �" EASTSANDW/CH,MA02537 (508) 364-0894 DATE CHECKED SHEET NO. NO GROUNDWATER OBSERVED � NO GROUNDWATER OBSERVED 50e-ss22922 04/24/07 DMM 2 Of 2 l