HomeMy WebLinkAbout0122 SKATING RINK ROAD - Health 122 SKATING RIlNYvRU):,� ANNIS
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TOWN OF BARNSTABLE, t .
LiX A TION3kkiie`,fik d'Y SEWAGE #`
. ,�,LkGE / "�/ A a 1. S 1 ASSESSORS MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY X J 64 0 62 Q�.
LEACHING;FACILITY: (type) ',4=e-^— U f) 3� (size) I. E r l cj
` NO. OF BEDROOMS
BUILDER OR.OWNER . r,
PERMITDATE; /�'��/D 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 of within 200 feet of leaching facility) ./�A Feet
Edge of Wetland and Leaching Facility(If`any wetlands exist A /� m
within 300 feet of leaching#acili y), `:'. /t// Feet
Furnished by ���
�4
2
si i 0 C.,J
No. . 6 _ —L + Fee l!L
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
application for Bigpoal 6p.5tem Con.5truction permit
Application for a Permit to Construct( ) Repair pgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. i a q1 �,t��+(�q fZ i,(,e �t
Owr�er's Name,Address,and Tel.No.
CA
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
5ca
Type of Building:
Dwelling No.of Bedrooms 2 Lot Size 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 Number of sheets Revision Date
Title
Size of Septic Tank tX`VA (S-60 lr Col Type of S.A.S. C,.e roc,L
Description of Soil S[R T k w,
Nature of Repairs or Alterations(Answer when applicable) Ati 1�C acL, " t�e
c-�C, Xt� Y0,S
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Sign Date L J Y
Application Approved by Date
Application Disapproved by: Date
for the following reasons
Permit No. B CO r l Date Issued
No. C ✓y l / _ �. FeeTQ
-.,TJiE COMMONWEALTH OF MASSACH'U-SETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE MASSACHUSETTS
ZippYication, for Ti5pont *p5tem Con5tructiou Permit
Application for a Permit to Construct O Repair(11�upgrade O Abandon O ❑ Complete System ❑Individual Components `
Location Address or Lot Nd: Rfn(oe QU Ow l er's Name,Address,and Tel.No. W p
bb
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
SCo vim''U_ . )-7 f
C1-7 �i 9 U`I
r
e of Building:
�'P g
k
Dwelling,, No „of Bedrooms Lot Size sq. ft. Garbage Grinder ( )
Oer` Type of Building No.of Persons . Showers( ) Cafeteria( )
'y�
Other'Fixtures
Design Flow(min required) >. gpd Design flow provided gpd
S
Plan Date � '� Number of sheets Revision Date
Title
Size of Septic Tank �'x��S1 (S-60 (r."y Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) AM k•C C,C i`o I
L4 X12[ X ® S A
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.
Signed Date
Application Approved by _ Date
Application Disapproved by: Date
for the following reasons
Permit No. Q CA / "7 Date Issued
�n THE COMMONWEALTH OF MASSACHUSETTS
1 V BARNSTABLE, MASSACHUSETTS
' Certificate of Compliance
THIS I�TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (✓) Upgraded ( )
ybandoned( )by (�Okc�c_rk l._V CG5
at t a'. S �\r�u, �\nk �J �A4 GSA/\i has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. 6P '"l dated to
Installer G C,.,,N Designer
#bedrooms Approved-design flow 0 G C? gpd.
The issuance of this permift sZhall/Aot be construed as a guarantee that the syste��will fun tio�n s designed.
Date ��'/-J +� Inspector
No. ��� �/�'7 Fee-
-No.
THE COMMONWEALTH OF MASSACHUSETTS
i
PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS
H.5po!5al �§p$tem Construction Permit
Permission is hereby granted to Construct ( ) Repair Upgrade ( ) Abandon ( )
System located at 1 �: S k Gk,
i
fand 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 conditio a..
Provided: Construction must be completed within three years of the date this permit.
Date �� Approved bye
°ft T Town of Barnstable
Regulatory Services
• BARNS ABIZ •
9 MA & Thomas F. Geiler,Director
qje i6?9•
'fo,�►+° Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Designer Certification Form
Date: 5-
0 6
Designer: D,¢ntiCC. B. JoffNSc,V
Address: ?, 0. &0)L 6131
O S T 6R-u i LLr� M4
On ), $ MI6 S( o TT i't 4"i IZ • was issued a permit to install a
(date) (installer)
septic system at g °A-1 based on a design I drew,
(address)
dated •� o
I certify that the septic system referenced above was installed substantially
according to the design.
I certify that the septic system referenced above was installed with changes but in
accordance with State & Local Regulations. Revision or certified as-built by
designer to follow.
na
r
(Designer's Sig ature) (Affi `MrMere)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION.
CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS
FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE
PUBLIC HEALTH DIVISION. THANK YOU.
Q:Health/Septic/Designer Certification Form
Notice: This Form Is To Be Used For the Repair Of Failed
Septic Systems Only
PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM
I, bA1.4 t Jn ff-4JS11 AJ ,hereby certify that the engineered plan signed by me
dated did o b ,concerning the property located at
/_) f A All 4_ /4k/4 IL1044 meets all of the
following criteria:
• Two soil evaluations excavated for detailed examination(no hand augering) and two
percolation tests shall be conducted.
• This failed system is connected to a residential dwelling only. There are no commercial or
business uses associated with the dwelling.
• The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes
per inch.
• There is no increase in flow and/or change in use proposed
• There are no variances requested or needed.
• The bottom of the proposed leaching facility will be located no less than five feet above the
'�$"t `inaximum adjusted groundwater table elevation. Adjust the groundwater table usingthe
Tfimptor method when applicable]
Please'complete the following:
A) Top of Ground Surface Elevation(using GIS information)
r
B) G.W. Elevation a2 0 +adjustment for high G.W. 136r4f` = oZ
DIFFERENCE BETWEEN A and B 1
SIGNED DATE: 1° 0 6
NOTICE
LBase�duLpo.nhe above information, a repair permit will be issued for bedrooms
o additional bedrooms are authorized in the future without engineered septic system
gASeptic\percexemp.doc
TOWN OF BARNS99T��ABLE
LOCATION '� W� SEWAGE# � �
VILLAGE 'A 4 CA A L ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. 0 FCEV�
SEPTIC.TANK CAPACITY :C�c 1 64. ')c
LEACHING.,FACILITY: (type) , x 6 (size) l ekC G, rz l t/
NO.OF BEDROOMS
BUILDER OR OWARi C.,J
8
PERMTTDATE:' ,( k IA COMPLNCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ` _ I� Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist A >�
within 300 feet of leaching facility) /�// Feet
Furnished by
scle1
I
/� (3OX.
S co� '�1'7n✓Ilf c pv�l� �'n �f � � .
rr��pp � ✓
S_I ��✓e0ytr-eCVr���Cwv+C
� r i
' v 1
No. THE COMMONWEALTH OF MASSACHUSETTS FEE
BOARD OF HEALTH
W�1 OF y 1�-nl r✓t S
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct ( ) Repair ( ) Upgrade ^ Abandon ( ) - ❑Complete System tMLIndividual Components
/LDS /1)yA tS /L4 BC/Lr LvCj3
Location Owner's Name
DJ,/ 4-07- �/ 7� �4tit$oa f,•�4y tNAI"+-%1ef ^4
Map/Parcel# Address
Lot# Telephone#
nstaller N me Designer's Name
o JT-E--v«L.0 /-A
Telephone# Telephone#
Type of Building: A-&f t O Lot Size Sq.feet
Dwelling—No.of Bedrooms /o '" I. Garbage Grinder ( )
Other—Type of Building No.of persons Showers ( ), Cafeteria ( )
Other fixtures
Design Flow(min.r quired) 6 610 gpd Calculated design flow gpd Design flow provided 66 C gpd
Plan: Date 06 Number of sheets �_ Revision Date
Title
Description of Soil(s)
Soil Evaluator Form No. Name of Soil Evaluator 1p f-V"'J Date of Evaluation b
DESCRIPTION QF REPAIRS OR ALTERATIONS /I-(TP�'t e �i9t L e 4 f�> w� s✓��
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of
TITLE 5 and further agrees not to place the syste in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed Date la
Inspections A GPM-7 09 filc mU-,
a
FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96
----------------------------------------- -------------------------------
No. THE COMMONWEALTH OF MASSACHUSETTS FEE
` a(\\S��A e BOARD OF HEALTH
C RTIFICATE OF COMPLIANCE
Description of Work: Individual Component(s) ❑Complete System
The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repairedt4,Upgraded( ),Abandoned( )
by: _ZD&C,4 C.') G�5
at \�.3 S i.�\-(," �c�yK RAh 6
has been installed in accorda ce with the provisions of 134 CMR 15.00 (Title 5) and the approved design plans/as-built
plans relating application No. dated Approved Design Flow (gpd)
Installer ���
Designer: PaN1 Inspector Date
The issuance of this certificate shall not be construed as a guarantee that the system will function as designed.
FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96
------------------------------------------------ - ------- --- ------ - ---- --
No. THE COMMONWEALTH OF MASSACHUSETTS FEE
t'nt (aUQ BOARD OF HEALTH
DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permission is hereby granted to Construct ( ) Repair (v *�) Upgrade ( ) Abandon ( ) an individual sewage
disposal system at
. /�V< �Ci Hve /�.t as described
in the application for Disposal System Construction Permit No. dated
Provided: Construction shall be completed within three years of the date of this permit.All local conditions must be met.
Date Board of Health
FORM 2 - DSCP DEP APPROVED FORM 5/96
FORM 1255 (REV 5/96) H&W HOBBSB WARRENTm PUBLISHERS- BOSTON
NO. THE COMMONWEALTH OF MASSACHUSETTS FEE
BOARD OF HEALTH
APPLICATION FOR DISPOSAL SYSTEM;CONSTRUCTION PERMIT
Application foTaTermit to Construct ( ) Repair ( ) Upgrade QC) Abandon ( ) - ❑Complete System Individual Components
Location Owner's Name .
Me 02si 1-07- # 8 4tisati W-4Y
Map/Parcel# Address
Lot# Telephone#
_installer' Name '� Designer's Name j
C�v�`� M� O�� p� �•�� �3r osn'1�«��
A ss Address
_ �" I'rael _Address.. t
Telephone# Telephone#
Type of Building: 1L e 1 V Lr A/ Lot Size Sq.feet
Dwelling—No.of Bedrooms (0 4r T Garbage Grinder ( )
Other—Type of Building No.of persons Showers ( ), Cafeteria ( )
Other fixtures j
Design Flow(min. r quired) 6 6a gpd Calculated design flow gpd Design flow provided 66 gpd
Plan: Date 14 1m ,. 0 b Number of sheets / Revision Date
Title
Description of Soils AAeyt �•� SA Q
Soil Evaluator Form No. Name of Soil Evaluator „��l`f�f or Date of Evaluation 4/12/�Q 6
DESCRIPTION OF REPAIRS OR ALTERATIONS c z F,41 L e'a ,✓e` i
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of
TITLE 5 and further agrees not to place the system-in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed Date to /
Inspections I _ on ('bQA-5 OeV i / i K,\U, f
4;bto� a j
- J
FORM t APPLICATION FOR DSCP DEP APPROVED FORM 5/96
i
No. HE COMMONWEALTH OF MASSACHUSETTS FEE
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
Description of Work: individual Component(s) ❑Complete System
The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired Upgraded( ),Abandoned( )
by: Qn6U4 W «5
at \ 3 Skc,\tn ti �1A�K- f2j �y�c.,A A(S
has been installed in accorda ce with the provisions of 3WC;MR 15.00 (Title 5) and the approved design plans/as-built
plans relating to application No. dated Approved Design Flow (gpd)
Installer
Designer: S6�,, ,� CS n Inspector Date
-the issuance of this certificate shall not be construed as a guarantee that the system will function as designed.
FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96
No, THE COMMONWEALTH OF MASSACHUSETTS FEE
UQ BOARD OF HEALTH
DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permission is hereby granted to Construct ( Repair (V') Upgrade ( ) Abandon ( ) an individual sewage
disposal system at �`��1/1 C, C AIX C?j N urn AI as described
in the application for Disposal System Construction Permit No. dated
Provided: Construction shall be completed within three years of the date of this permit.All local conditions must be met.
Date Board of Health
FORM 2 - DSCP DEP APPROVED FORM 5/96
FORM 1255 (REV 5/96) H&W HOBBS&WARRENTM" PUBLISHERS- BOSTON ,.,
TV OF BARNSTABL:E !`
<� CATION rQ 1 Rd.SEWAGE,,# - :L
rII.1 AGE_ NV A,�o S ASSESSOR'S MAP'&rLOT 9i- It f�
INSTALLER'S NAME&PHONE NO. 4269 _Aaef Se'C
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) /Sil (size) C�
NO.OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: �.' /"� COMPLIANCE DATE: 71W `
Separation.Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility: Feet- ,
Private Water Supply.Well and Leaching Facility f(If any wells exist '
h ; on site-or within 200 feet-of f leaching:facility) Feet
Edge-of Wetland'and Leaching Facility(If any wetlands exist '
within 300 feet of leaching facility) ' Feet
Furnished by -
w
F
r
No. Fee /
r THE COMMONWEALTH OF MASSACHUSETTS Entered in computer.
� Yes/
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS v
Zipprication for Mfgpogar *pgtem Congtruction Permit
Application for a Permit to Construct( )Repair( )Upgrade(q- Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. `�S m wa. 1N v— Owner's Name,Address and
1 Tel.No.
Assessor's Map/Parcel Q Te
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
(l\A o—aek-(A2 S-e �tv C
Type of Building:
Dwelling No.of Bedrooms 7K Lot Size sq. ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( }
Other Fixtures
Design Flow > -S3 3 gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title _ -
Size of Septic Tank t 5 on Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) S7 1�\ "' cdc 5 t Sl PV\l
t
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 qnd not to place the system in operation until a Certifi-
cate of Compliance h t is this of Health.
__. _l
Signed -, Date
Application Approved by Date
Application Disapproved for the following reasons
Permit No. Date Issued
i
�1 3-9 /331 L`"'
!A?
83 -
TOWN OF BARNSTABLE
LOCATION I Z� S',�;A /� d-SEWAGE #
VILLAGE_ (l.4w. c ASSESSOR'S MAP & LOT_ 9j_
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: /
(type) (size)
NO. OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: 8 -a 5- COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and LeachingFacility ty (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)
Furnished by Feet
N
a Fee
o.
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
01pprtcation for Migogar *pgtem Cottgtructiou Permit
Application for a Permit to Construct( )Repair(" )Upgrade Abandon( ) El Complete System ❑Individual Components
Location Address or Lot No. Gt'C'`tW- 1NIC Owner's Name,Address and Tel.No.
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. Q Designer's Name,Address and Tel.No.
IMc 0-GW1
o +��cC-Y
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 � '� 3 3 0 gallons per day. Calculated daily flow `��t gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank E tC r ST r.t- Type of S.A.S. L c LC.,tPC c't N
Description of Soil -eJL S 14
' x
Nature of Repairs or Alterations(Answer when applicable) ��SZ ��� G LC t
tl-'�- l� f `.. C �t ti i L ✓6-. w• � ��c� a,� .S`r�J'tl
11 �✓ Vim-�� _ —
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 o�thheE �ep
ntal Code nd not to place the system in operation until`a Certifi-
cate of Compliance h�s�-b n�d by this
Signed Date
�w Application Approved by /�/ r Date _
Application Disapproved for the following reasons _
�."
.- —
Permit No. Date Issued
l
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
-....- Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disp sal System Constructed( )Repaired ( )Upgraded(?C.).
Abandoned( )by W, —0' C 14 P C 5�- KI C, —
at (`3-7-_S%:fe.YI k uL,16 has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated _
Installer Designer
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
Date 1� Inspector
t '
No. � -- --- ---------- ----------Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE,. MASSACHUSETTS
lwigogal *pgtem Cougtruction Permit
Permission is hereby granted to Construct( )Repair( Upgrade(f -) bandon( )
ajoSystem located at 1� - Sti't V„- c re_- '
a —
4
and as described in the above Application for Disposal System Construction Permit. The applicant recogni, es his/her duty to
comply with Title 5 and the fo owing local provisions or special conditions. /�
Provided:Co tru tion t omp eted within three years of the date of thi i• y � y�
Date: / Approved by
1019F7 r,'
•NOT ICE: This Form Is To Be Used For the Repair,Of Failed
Septic Systems Only.
_ SKETCH AND APPLICATION FOR A
CERTIFICATION OF WITHOUT
DISPOSAL WORKS CONSTRUCTION PERMIT
ENGINEERED PLANS)
j�►C hereby certify that the application for dispos
al works
concerning the
mmitfudion permit signed by me dated
meets all of the
located at15
following criteria:
are wetlands bested within 100 feet of the propond
leeching WIRY
wells within 150 feet of the propoud septic system '
,There we no private
'There is
ne Increase In now aedlor the V!!±age proper
INN verlanees requested or wded'
Itthe ploposetl leeching Atenity wtn be located
within 250 feet of any wetlands,the bottom of the
hhtg fhePRY will NA be located less then,fourteen(14)feet Above the maximum adjusted '
der table ele"00L N i
Please complete the fenewlegt �®
A)top of Oretn+d Elevation(seeording to the Englneering Division O.I.S.map)
In to Health Divbioe well map)
g)Obi oretmldwater Table Elevation(eceord g
DATE:
31t1NED
- i
WGE1rSED g WrtU 1NVALLER IN THE TOWNOf 9ARNS'f'ABLB NUMBER
_�� ' AI»If tIN Ile�t�Mate11K �•Oe"IMd plot plan,
tAttw%a dot&PkA o f ft PNPG"d el►Ne"�•.
dtb plea aheald be aub R"d)•
a,
a
v
q
O
I I
x#..iVe*.+R-YeroR.w,i Y:tlJ4.GF'.'AN:: :C"' n. ..,.. .,...'ygiiP"^J'H.1Yl'vrri(«p: YIkHl1 _. JAPA%.Kdf'PW.FFAS•
_ PLAN OF c�€F`r1 cM_ S Y STE fv? _ DISTRIBUTION BOX_
CR i,E : � _ �a' _ rH as
S
REMOVABLE COVER
TEST t'a`1' DATA ,. � 4"SCH 40 OUTLET LATERALS
DISTRIBUTION 80DC TO MEET -- — - �+ SH4LL BE SET LEVEL FOR A
REQUIREMENTS OF 310 CMR MINIMUM OF THE FIRST TWO
Performed By: Daniel B. johr.sc}r. ; 15.232(WATERTIGHTN€SS _ j' FEET AND CONNECTED TO
i CONSTRUCTION,ETCi -' i ; EACH DISTRIBUTION LINE
WITH SOLID SCH 40 PVC PIPE
Date: April 17, 2006 44
NO OF OUTLETS:d 4 i 40 l
sKAriN & � 1NK � 0 ,4b TP-1 (ZL. a 101.6) EL -969i � ELs3CRCR
''— -- U5HED STONE <I=3l4••
o , - ! NI o DIA STONE TO BE
- 10YR3/2 Sand MECNACTED '>
•• ,• STAEILE L�-�EL BASE
- __-- Q 4 A, y loam COMPC:O'TED
4" - 28" Bw, . 5',rR5/8 Loamy sand
3o, 9a , 28" _ 96" C1, 1OYR6/6 Medium sand _.
.M _.___ 3 2" -2, . 5Y8/3 Medium. sand
apCsE of No Observed ESHWT ;
�'A•iCr^8NT No Observed Graundivater NO OFACTUA.LDISTRIBUTIf?AI
f/�'tAltX jJ LINES 3
A P P R o � rIIMsELt
i
C ?lt-2 (n► .. - 100.4) LENGTH!�F L E4�,'"Hildl'a i.II!wk': �' � � 3h1 ASS J#+E 6L,=-f 00.0Q J
`s
7'o P c:aR nr E R- of GX,4v-� - '" L 40'ILIX 1�fLD W X 0 5EHSIONS
CON L•ILEr't S�A6 DRIVE+wRy �'• u" N, 10YR3/2 Sandy iOsir FINAL GRADE TOB€ STAfi&0E-_ �ult _ V3�
4" - 36" 5w, 7 . 5YR5/8 Loamy sand
;; FINISHED GRADE SLOPE = 0�
I 36" - 96" mil, _0`:R6/6 Medium sand .`- ' QpOiA ( ( )
_ 96„ -132" C2, 2 . 5Y8/3 Medium sand - � I
4"SCH 40 PVC PIPE 14`(IaIN
E�.151+/nl(r >'fo�SE No Observe�� ESHWT `. ' .
t
AYER
FFf- l 07, No Observed Gr:,undwate- _.. ___�_-_._. . _. __ _ _. _ (t�RE,al i3 ?i _ — _. _«. _ • SHED S rB" 1r2"DOUBLE
WASHED TONE
99*a BfE 9y; 4 U -----5
C A/n� (V PERCOLATION TE$+1' TIII'!'�l
K FCN(.E .., _._.-. 1_ r.0,#4 = t 0?, O t 7 NO OFF GRADING I �:-� �-f---3/4" 1 1/2'DOUBLE WASHE
�--- Ei =96 50 TEND)
L,AP Piz ar:) 1 .`are : Apr- _ v� REQUIflEflFQRTHIS -- ---- o�� STONE
�I ' onfr Iclf4 � -� ' ,o}r9 /5-oa (,����� _ . . y SEPTIC DESIGN `*
SEPfiL T�4r1K _
0 /5EE Nor& 6E� ____ __� J _r_ _._ a _ _. LEACHING FIELD TO MEET
SCN 40 ' / 15r/N - =e REQUIREMENTS OF 31t0
I I ) ( T 4�..ol ' �pECK b IY SCHEDULE OF ELEVATIONS
l i MyN) / rvl`0 Z END OF DISTRIBUTION jNES TOIO +3E'1*010 F'rP 1 L =9061
?P"z0.41 ;o1*a o l� Yri Sept, ;ani; e:.i...'_ro _
. o ._ �w ; VENTED (SEE CLAN•4P� Itf!
3� � alr3 JIBS ts�r,�/ESHWT
�. Out Sepr Tan} 'Eui3t''in::;) 97 4
1 �v n Dist_ .. ,. Box 96 ?-
-:"<v. Out U i S t_i b u r_i�y r, Box 96. 80
.._...._ ...___._..___.. ..___,,..___M_._..._..__..._._.___..._. ... �.__._._... . .-
�, �. . Begin of Leaching Field 96 .70
End of i.eaching =ieii 96. 5Q j
/ 1• / - ' �m of Leach; nG Fie 96 . On
/ SkS �' {TP-' NC Obs . GW 90 . 6 NOTES
l tl'-i
1-1<�y:.o`: met:,ods sna?1 conform to the Title 'J ( 310
EN AMP i5 ' and -he Barnstable Board of Health Regulations .
')'`.ere are nc known private or public wells within 15C
��/ oo \flr `�, ► 30, ►3' s g y feetl4C-0 Feet, respectively, Of the proposed leaching area.
:he pro used leaching area is not witi-j�r: - 00 =eet of a
v, ,vr, rErCC LEGEND wetiard, or is it within 200 feet of a river front .
Existing Contour - _ 41 _ _ _ E:r'_:�st=nay sept.i:: tank to be pumped and a riser cover with
handle to extend to top of metal riser ;over)
Proposed Contour 98 er y.,it-et existing septic tank .
-.__------ - - _�.. �__.. _._______... _�._.__.____�___.___ ___. _ __ _____ __ _-___
Tps P =nange are `o made the field without ^P approva
-- - s be 'e in
�` --re Boar:S ct' Health and the design engineer . ,
BasF : vn n�. tia.baser _ a .Ina f_._ld i� not des for �se wa. ".
}� F' c, fi t i �clned �
Wa:.er Line '-...'..- W ::::.-rs;~rc' to gar_ y r?ia Safe 72 hours ^r or _c
Over : Pad Wire :=t _ BLOC! 344-723 ; .
f )F1 LE 0_i •`CEPT I L_ 5Y �TEf`\ f - r _ - e n armation taker,e iBOOCk 'ed, aHOSkClC+16 ,'I Page
32• Page .t:6 i r
CALCULATIONS
^tyi .ni Survey.
E sum re , .
11Q �sPD/BedrCi3taa ^aaa I r �* :,z -,a
�;on a s a.i- verify air plumbing frorr, epistir.,a 3 ractur
t y S�40 W Per_ -._ _ _ R ^ a._s _ v . A G/�. i w-1; be cnnectea `o. the r l new sep �� sys� m ri��r . ._
E ! 02€Strl:_; _:�P. . Ti an', exist -ig plultLbing g ^fie
• ti Ln
IL�SE 5tr'1CturG Is found tG be d fterent thr4Le --hat
5howr'. OI �e
(L T'O kK,� r PROPOSED LEACHING, A.R—rA approved septic system pion, thc? COntractoy shall nOLi fV the
7esi ner. A_! ' -ternal pluTIb nC sha*, ! be .'J.nneCtc-a CC' new
Cr To � . _ -. g
y�of ,, rH„� bear 3 � t,�, �e - _. Y Y septic system, unless otherwise spec f_ed.
101 .r� �oE B,.+ ,-c �--ea . - y
l 0l?'6 J s _each - vu
'. Q
x t Q � 2 g •r :E"
yy u
,
t � �OR`Lsft£r L ` J�u� �� `i
p I(1 ! 6i �Sa o �1q L o x -:)u
(1
.--_ ... .__ _.__ _ 4• ._:.._~' _ � 4 0 ' r "rt a e A ;'
o`` r o `� '• CON
t 4'SLH 40 rEP•F�!•�. ...._.._...._.._......,„--_.CC S' _......_.._.,.,..._._......_..__ Q DaP.. AR6E'A 2 CMCCXCR Y•,, *J (i0 } .q�
r•� �'RI Sr•!N(r t ! _ ..... �•• a0 ;c SERQy R7 :4
� gQx 14O 1+ ?� l�'VV y o�S H br DO
i
l t scti WfSr 14 _ Poll IOA W E 1
COu vwrn, (o.r. tlEAL L 4-r �.
Sr p
vrRSfRti CARP_ PU-ERAL fir, j
V[W
•
4
/540 rrALLoN �i•6r i I U y
2! JI>r0CJ 1/16(0 6 I(LE4i iIED 5,3..E or �E-410 tnrb i1AtCA Tb ��gr�c �r
9z 1 Sr;�'Tt � TANK
Pei. 6 a, ff.
No 7-e //v STALL /��� _
9 ScN 40 Pv L TCL
4 /� oar t1:T OF SE-�C -t ( 90.6�
90 74Kjc v,i70 A rtL.TCIL. �- - - - ° DC
I lNSr4Gl. FtL71Fn C t 9 \ ��y? sffg SUBSURFACE SEWAGE DISPOSAL, SYSTEM
Ev�TE,.i.i10a �o �avr4- BoTr�r+ rP-z ,4J I
.` JJ.4 122 Skating Rink Road, Hyannis
APPROVED BY: DRAWN 9Y
rCALIE
a •,: ..
�. ,...T 7 ,� DAtti: Dan:al H Sohnaon REVlitp
pt00 p*rp p.0q 0+ 30 �t4v _7v_. _ t 0. 1`` ! r n7 ran s Construction
d+S� p+ba Of74 0.# to d* 9d 0-Va t 0
/ ♦2 O (f3o if 4.7 j•fs-,p !bz _ ,: Pine cc.raari, Centazv,.l*. MA 42632
Oft., 1 s10 LL
1 0 V `C - ORAWINO NUMtitER
+ _� Scx B�1 •:1:, *a+ 02655 J-20,0
i
,
s+oms+ -.:wpl�vrr.,•w,r+a.um,..-M:w:w.rt+ecawt»aa. ..,,.a-,awawaw..v;a.ma.:errmni^cv+wa
S7 DiSTR!BUTICIN BOX
H
TEST PIT DATA REMOVABLE COVER 41,;CH 40 OUTLET LATERALS
DIS 7 RIB! `231, jtF -r_E SHALL BE SET LEVEL FORA.
RE0U(RE!W,%7 MINIMUM OF THE FIRST TWO
Performed Sv: Daniel B. Johnson
1S2323%t0ATEFTf.-:- N-EV-5 FEET AND CONNECTED TO
EACH DISTRIBUTION LINE
SOLID SCH 40 F1`F/C PIPE
-1 -00-6
A
4 NO OF DIJ TLI
ilk A0 A b TP-1 (EL. 101.6)
0 Ell(MIN) 0 0
CRUSHED STONE 31/4 '
DiA S I-ONE TO BE
AN
2 Sandy lcaTi STABLE LEVEL BASF COMPACTED
4
-/S Loamy sand
901 " - I lw — . I .,-- ;_ 1z- - - - .1 - 6 Medium sand
3 Medzu:
No Ot; �N NO OFACTUALDISTRIDUTION
r
No ot-j�� �;wat-er LINE':, 4
LEACHING FIELD
L k^4 it X
TP-2 (EL 100 . 4) "EN04'CROSS SECTION LEACHING FIELD DIMENSIONS
A5S J-16 . 3CALE - NONE 45'L X X 0 TH
TOP (of"C;-6L vF QW.A I-- aE 3-A&X�ao
3 2 San dyroam
-0 GRADE[SLOPE - 0,�Ij
4#1 36" Aljoamy sand EL i 00 0 iAVG I FINISHED
C t) Medium sand
9.-
Medium sana LAYIE R /6,,
.3 31 12" MINI
abse -er 2 DOUBLE
o Ob s i�� —z--i `4ASHED STONE
--, -------------
A 95-f 0 51.9 EL- -96,50(ENO)
LQ PERCOLATION TEST DATA ORIFACE DIA 3/4" -1 1/Z'DOUBLE WA':)HE
L t > STONE
�_A P PIZ d
Date Apri ' 2006 20,
/0;r, J EL -36.30
_1500 A&LJ1 ass : -, ass 7
.,..T _ _ _ _ _..__.__.__5 f-P"r t 1. 'rA P4 A Lo LEACHING FIELD TO MEET
(;CC Nort 69LQ__) 4' REQUIREME'NTS OF310
4 S,:�N f__MP 15252
SCHEDULE OF E14AL-VATI(MIS
L OF TP-11 ji 90.6t
L
NO OBSERVED G\,,,f/FSHWT
0,A
Inv. In Septic T-ank texisti 97 . �
10 ng
inv. out Sep+- i ,-
(Existing) 97 . 4
J Inv. In D- tribu- Box 9f). g7
45T I I I . - lsl�
;.nv. Out Box 96. 80
1,rw. Begin of -_c-a(_
96. "73
Inv. ;*nd of I achi 96. 50
IF Bottcrn ::)f --each-Lnc 9E . 00
is Bottom T P-I No, Obi . 90 . 6
-reSAS Hms
I ef-0
al ' Confor.-n -0 the Title ! 310
shall
L f-
'T 2.,V- I
BaCnstable Boara of Health Regulations .
IF
q'irants - -
0_
TT
A. Known private or public wells within 150
few- --espectively, of the proposed leaching area ,
LP Z�41"j -' each1nic area Ls not wit-hiln 1400 feet of a
LEGEEM -we- 200 feet of a river front .
A
Z4 5 L_ 5 0
Existinq C c r o u Z,
_nK to be pumped 'and a riser cove- with
:landle to extend td top of metal riser cover)
r o p o s&J, C o n t
septic tank.
est Pit
"e- made in the field without the approval-
f -In and the design engineer.
-` -ished Floor Eleva�_-_` O-.,
F r�;Vnaoe� _eta is n o t d e s i g n e lo o r 1�1 s e wi -h.
F E
W
Z 1 notify Dig Safe 72 hours prior zo
-144-7233 .
Over 'fead N r OFW
I-or.mat ion taken from need, Book 868, Page
5c 4 7 7 n. e n Q o t ;Bloc:. as shown on
4 03 4-1 1 "Book 132, Pacre 26 with
No. 1-7 92 6 -h
? Ile septic plan is not to
CALCULILTIONS
erg y tine survey.
77,S
e c 660 GPD
< �ZZS _
n!:.r a MP-7, (0 . 74 G/SF)
I : 7e" c--; I pluming f from exist i r&g structure
5cq 4 o e*4
I i rltV4� Z?[z1)?105E0 C t4 -i __'Ie new sectic system prior to
n umb i ng ex i ng the
e TA L PROPOSED LZACH jNG A-P-EA - _ _
the that shown on the
66-ifg- Tb L L
oir#4s4Cr -h. e contractor shall notify the
_e a 'Itl*W " . 51H 0jr,t"r
(,;L" a shal ' be connected r---, new
e r�t o 666 GPD
.-.e--w--' Se Speci f lea.
66 GPD
1 O3
Lj
AV
C,
jAT
jL
W
PL
K
iFL
M�zA
45
o 4',f_N qo ex sl:,00S ,C*
sr,"qrFRp
A Z 0,IT
4
L C3,%N I
I R ,tit l,
OrAwcr-rr
_fj
:1 OA N jE
6E,4L L AML75
T
5 4 1 5 A
/500 4 LL Of-'
I 7-At4
tF'rA LL &Z,vj
9 0-6)
-P-I
0-r LCT
go
7-T-�j 7-P SUBSURFACE DISPOSAL SYSTEM
SEWAGE
> 4j-FAJ ti 10 T 122 Skating Rink Road, Hyannis
1z
r.
br-ALE z APPROVED By! DRAWN BY
------- DATE: 4/20/:�6 :)An;.Q1 B Johnson REVISED
0-t 00 ........I......... Itriparod Scott r an Construction
0+4q df 141-00 0 i+3o
1+5-0 1 ?7 f . = -1-1 Pine Street, Centerville, MA 02632
-P
:- o 0
H oft, 1 6110
IF -rwpared '�CWS!7C 1715TIC DESTGIN, '�WC ?509) 477-9909 NUMBER
J-2070
soz 8--_ ostervii'e, MA 02655