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Home My WebLink About0068 SMITH STREET - Health 68 SMITH STREET HYANNIS A= 288 -221 ,�r TOWN OF BARNSTABLE LOCATION('� � 5! ' I T i4 S7 P e gr T SEWAGE#=Z�Y� VILLAGE /I l A N N / S ASSESSOR'S MAP&LOT _Zl'd�78—Z ZI INSTALLER'S NAME&PHONE NO. C,A P E C B n 5 i6,PT/ G SEPTIC TANK CAPACITY LEACHING FACILITY:(type) A r C (size) a G .a X l5, 5 NO.OF BEDROOMS 3 BUILDER OR OWNER PERMIT DATE: 2 Az COMPLIANCE DATE: / Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility ei 7 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 I60 within 300 feet of leaching facility) Feet Furnished by J� I W owe , Town of'Barnstable P#_ ` 9d 3 Department of Regulatory Services =j Public Health Division Date toMAJA IJ 7- '1639. � 200 Main Street,Hyannis MA 02601 rFA�,tti 4vh r Date Scheduled_ Time ` I Fee P& , q Soil Suitability .Assessment f or St a e Drspos I Performed'Ry: � `� "�' SEA ^�Z Witnessed By: LOCATION&e GENERAL INFORMATION Location Address / 1d8S Sm t--k 1--54, '>��P— Owner's Name &y /{ t g- Address �� V�JG f'�► /LC�'. 1 " Assessor's Map/Parcel: 7j fJ'$`"ZZ ' Engineer's Name 1,=_ e19 NEW CONSTRUCTION REPAIR. Telephone'# �f 7`�7 Land Use i cl�e+r� Ci`� Slopes(90) y ^Z— Surface Stones /\J\QY__1_ Distances from: Open:.Water'Body ft Possible Wet Area /1(0 1- -_R Drinking Water Well Drainage Way V_ ft Property Line ft Other` ft SIKE'TCx;(Street name,dimensions of lot,exact locations of testltoles&pert tests,locate wetlands in proximity-fo holes) W ... F 4 ; P-Z ` _ M17 1 S Parent material(geologic) � f Depth to Bedrock: ` _i Depth to Groundwater.-Standing Waterin Hole: Y G � Weeping from Pit Fpce,�,,�,_ Estimated Seasonal:High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: .. 1 V_ ' Depth Observed standing in obs:hole: _ in. Depthtd soil mottles: Depth to weeping from side of otis.hotel in. Groundwater Adjustment —ft- Index.Well# Reading Date: Index Well level Adis factor,,,,,__, Adj.Cltounr!wnter level PERCGLA T IO.N TEST Date- A iiflt -- Observation Hole# Time at'O" Depth of Perc Cq' Tlme at 6" Start Pre-soak Time-@ Time(9"•6") End Pre-soak Rate MindInch 2` Site:Suitability.Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Dole Data To Be Completed on Back ----- ---- 94*If percolation test isao:be conducted within 100' of wetland,you nmiust first notify the; Barnstable Conservation Division A least one:(1) week prior to beginning. Q:\S EPTICIPERCFORM.DOC r- - DEEP OBSERVATION HOLE LOG Hole#, Depth from, Soil Horizon Soil Texture .Soil Color Soil Other Surface in.) (USDA) (Mansell) Mottling, :(Structure,Stones,Boulders.. on ' ten r vel �llL , a7` —`�Z y.UZ Zu K d sk al z,5r b/ DEEP'OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(inJ (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Consistency,% gavel DEEP OBSERVATION HOLE LOG. Hole# Depth1rom Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil other Surface(in.) (USDA) :(Munsell) Mottling (Structure,'Stones,Boulders, onsi ten n ti Flood Insurance.Rate Man: Above Soo year flood boundary No Yes Within 500 year boundary No iX 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? -Yes — If not,what is the depth of naturally occurring hervaus material?, Certification I certify that on 11 l�Ct S (date)I have passed the soil evaluator examination approved by the Deparurierit.of Environmental Protection and that the above at was performed by me consistent with the required tr ' ing,exp(e�rttiise and experience described in 10 CMR 15:017 C_ Signature � Date Q:\.SBPTIC�PERUORM.DOC •G cAy �O = P - � Z Wo AD h A v 30 -i 1/1 Ix s p� � s A . ' w �, r .. � , � 4 \ C• .� e) r rti ~,� t i � ��.....a `t 43'c, ". � y� , �` V� �+ �• a _. .�•�z.> Vi � � r •�'� • � ,� f i � -r •�y .1/ 9�;�.. �.� .. R' � w r ^} Fxs....,;,�.o............... THE COMMONWEALTH OF MASSACHUSETTS �- BOARD OF HEALTH ......................O F...........-..............--.............----.-.----..-----------......................... Appliratinn for Dhipniittl Vorkg Tnnstrnr#inn ami# Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at P. ...... _............... ....... �_ TiocationrAddre T ^ or Lot No. ._ ................................ �_........_.__... - .3 ...__....... ......._._..�..... 1 Ownej�a �1 Addles -•---...... 1... -. .. ...----'--••------•.....-••-•-•----•.............•..........__.._.._ .........•-----•--...._............. Installer Address Type of Building � � � Size Lot___ 3. .d.o__Sq. feet Dwelling—No. of Bedrooms._.I? K ` .Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a'' Other fixtures _________________________________ _ W Design Flow._____.... _______________________gallons per person per day. Total daily flow.............31_0....................gallons. WSeptic Tank—Liquid capacity.1Q00 _-___gallons Length Width..47'____...._ Diameter................ Depth__f______.. x Disposal Trench—No ............. Width_..'__I_._.__.____ Total Length...:2.:V_1_.____ Total leaching area... ...sq. ft. Seepage Pit No____________ _______ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( L-r Dos in t nk ) Percolation Test Results Performed by-. ._ _._.____ ........ ___ ____________ Date__ b_.__ ... Test Pit No. I._..!�.2:___.minutes per inch Depth of Test Pit_. ..... Depth to ground water.....66_ kz..____. 44 Test Pit No. 2___ _._minutes per inch Depth of Test Pit.O&l..... Depth to ground water.._.yz:!.__... •-•- -••------ --•---•---._..... ......- Descriptionof Soil---- lg --------•-___•_.!_..._:'----------------•-•--•--•••••�........................ ------- - -_= . . - . ,_o�.v ________�L��C/caa1 ..... _____ Charles D.`�V - j______-__ U Nature of Repairs or Alt ations—Answer w en applicable............................................. ..�O ___-- .......................No 468 .� Agreement: F 'The undersigned agrees to install the aforedescribed Individual Sewage Disposal S A 1 h the provisions of iITLL 5 of the State Sanitary Code—The undersigned further agrees n i em operation until a Certificate of Compliance has been issued by the board of health. Signed-----(`1......-.......Q .................................... ........................ Date Application Approved By a :: � m.. ate Application Disapproved for the following easons___________________________________________________________________________________________....__........._______ -_••-•-•••-•----•••••-•-•--__--•••------•-•------•-•••-•--•••--•-•••--------••.........................•.....-•......................................................................................... //� ---Date Permit No. C� ----------.......................... Issued - Date --- .. - - - - ---- ------ -- - -- ----- ___..........--------------------- t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................OF ............................... Appli Lion for Diipuual Mitkii Tomitrurtton Vantit Application is hereby made for a Permit to Construct ( �) or Repair ( ) an Individual Sewage Disposal System at C.. ............v 1......?..............� j;7;"L..... ......s�l.•!1.......... '�''YUst—� ={..... ..... ... Locition4 Address __ ............................................................ 4 t .1.vCl�+L.yrJ ------- = t `r'S•••J• 17 X—[a....................................� .................. �...._. Owner _ ............ .... ' -- .1�................................--- -- c.�-d.............. tx ...............7?-..- .----•--•---- Installer Address Q Type of Building , Size Lot... _a..Sq. feet Dwelling—No. of Bedrooms... __..... �_'_. Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures .................•-•---••-•---•- W Design Flow............ .`___......................gallons per person per day. Total daily flow.............-'. :_______._____._..__gallons. IxSeptic Tank—Liquid capacity_{_r_ij.-Ugallons� Length___(._ Width..-5 __.__._ Width.. . ......... Diameter________________ Depth`s_...r_.__.. x Disposal Trench=No. .....I_.._,.,b'_:_tWidth::.. ............. Total Length_._.27._�......... Total leaching area... '___f..sq. ft. Seepage Pit No...................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (r_:)- Dosin tank ( ) a Percolation Test Results Performed by..__:.:-'_:.:.•:•_.._......__ .. :..... :: .....:.. a Test Pit No. 1____ __________minutes per inch Depth of Test Pit_.f'_.__._.___.___ Depth to ground water___........................ w Test Pit No.2__..�t. minutes-per inch Depth of. Test_ Pit_,�%'� J_____ Depth to. ground water_ ,�-`=' _ Description of Soil..... 1' - *�-^ l a' t)5 f�a " - ayy - __.... -•------•..._... - ---•-•--------•-- - •.... • . --• • _•--•-• U •---._.... ................ ................ ------, .. . .... •.... - -------------- •------ ". _711 ........... ....rG --- VNature of r Alations— __________________ sI ____ .sn� •-•-•-•--•............... .............. ----------- _ . _ Agreement: T E The undersigned agrees to install the aforedescribed. Individual Sewage Disposal Sys t .i with the provisions of TITLE 5 of the State Sanitary Code The undersigned further agrees not t ro Este in ,. operation until a Certificate of Compliance has been issuec�by the boards off health. Signed '. ... - t^ Application Approved By j -Z �I to ---._•._.ate ............. Application Disapproved for the following easons:................................•________________________.________________________________...________________._ ...................••-••_..._._..•-•-•---•••-••_••--__.._•-_..__...••-••-•-_--• ••--•---•-••....•--....--................ .....-•••-••--••••••-•--•••••••-•-•-•....•••••••--_-----•••......---•---•----. Date Permit No....... .................................. ' Issued- - Date THE COMMONW&EXLTH OR=MASSACHUSETTS ,W BOARD OF HEALTH ..........................................OF................................... ..... ............................. (Irdtf trati of Gout , hattri THIS IS TO QjERTIFY, T the I ividual age Disl ystem constructed ( ) or Repaired ( ) by............. j--....---;� �•---------- .....------------------•--•-•-----------............--•---•-----... Installer r �• at = -•----------------------•--------------------------------...•-•---•-••-•---------;-i' .......................... ........................................................ has application for11Disposal cWorl s Construction Permit of TITLEJ r .bed in the t �'o��-,l�The State Sanitary Code as as described THE ISSUA CEO THIS CERTIFICATE SHALL NOT BE CONSTRU A GUARANTEE THAT THE SYSTEM WIL�FUIO SATISFACTORY.DATE__.,..1 ::._.. Inspector.... ---- -----------------------------•---•-•----•-------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............:................OF....................................................................A............... s No. �,1-r �� '� FEE......5".............. �i��o��t1 urk� �on�#rttrtion �erutt# Permission is hereby granted......... "...:7 .___... ...� `"- .. to Construct ( )_,or Repair ( ) an In ividual) ewage Disposal System atNo................. -•-�........ /f -•-----• ......................................................... as shown on the application for Disposal'. Works Construction Permit No._.__+....r�f.�___ Dated....... '______U-aU .......... -� r r y Board of Health " DATE---••- .. ..._......•--•-•----•---••- 4 FORM 1255 Ar M. SULKIN, INC., BOST�ON F7 � ' AsBuilt Page 1 of 1 LOCATION TiV�" SEWAGE PERMIT NO. VILLAGE X / INSTALLER'S NAME i ADDRESS IIUILDER OR OWNER GATE PERMIT ISSUED DATE COMPLIANCE ISSUED �1 n.. "b - http://issgl2/intranet/propdata/prebuilt.aspx?mappar=288221&seq=1 11/2/2018 TV PROPOSED AS-BUILT 9 A f V INVERT AT FOUNDATION 54.65 54.87 INVERT INTO SEPTIC TANK INVERT OUT OF SEPTIC TANK 54.15 54.28 - - INVERT '�'0 D-80X 53.78 53.4 �(a• I ,p,l °` ,,,V V b �( INVERT OUT OF D-BOX 53.58 53,33 V T INVERT AT INLET OF DIFFUSORS 53.00 53.29 - 5 INVERT AT END OF DIFFUSORS 52.9053.23 BOTH ENDS / ✓• � , C4C7IMVT e �.. -- _ .elt 610•(tt + �+ � iy RR ♦tt 7 FINISHED GARAGE FLOOR N/A R-�— 1 - t� R•�r v. O �t �r C•l1. FINISHED FIRST FLOOR 63,5 p4 Ito lDAVL SR+; ITOP OF FOUNDATION 59,5 56.63 ..rCw[itS s o , f a FINISS MENT FLOOR 155.5 MIN. : : �•r°`;�Jt�, tr- �o, ELEV. OF BOTTOM OF SYSTEM 51,5 52,3 a `,ac µ.tcHrf i l iR Uf(t LASt` �`?� tt ✓ i ELEV. OF G.W,T, ADJUSTED 47,5 ^ 9 0 ty� w AIN J � , SCH. 40 PVC 4" MISUIU w4 r ' J LOCUS MAP NOT TO SOLE 1 24• 4.. PVC SCH 20 ° O ' S 75° 23' 05" E _ .127.57' \ ni 2 PARCEL_ B , z 277891 S.F . ' 1000 GAL. CONC. SEPT C TANK }` PVC INLET TEE Q CONC. OUTLET TEEtn c�Z Z E0 W y W x 3 (°nj 3�� M { ' , l J � IV 5.00' SL=3.6% \\ �`: %c 46 '` — s r Icn \ na b DRAINAGE 29 �. 8' ' , EASEMENTui 91 Ito 4" PVC SCH. 20 J 4-4X8 FLOW DIFFUSORS . �Z 5,00 b 88 \ °q dt `XQ, VENT ' DB-3 0� / CONC. o D-BOX `-- 50, { ` SEPTIC SYSTEM AS-BUILT M BRAINTREE CO--OP BANK , PARCEL oa UNCLE WILLIE'S WAY R 800; �E SITE PLAN PLUMBING DETAIL G REFER TO AS BUILT UNCLE BARNSTABLE, MA. �R -30' LETTER DATED 10 /17 /9 0 i,r,io Ga_ nz. G PN 172 pilliam. ,�3i. �cfv �Up�, CCW,?%. 02740 _�� • ` JOB NUMBER:OBE 897-2A DRAWN BY S.M.P. DRAWING NUMBER SCALE: ASNOTED CHECKED DATE: I0-17-90 BY /<EF, 8 77- 2 A -I