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HomeMy WebLinkAbout0045 COOLIDGE STREET - Health C6olidge>Stt eet •Cotuit A=035 - 039 1 TOWN OF BARNSTABLE a LOCATION t/S Leo%'� e s SEWAGE# a 004 - 3-7 VILLAGE 6oA,i 't ASSESSOR'S MAP&PARCEL 03�— 031 INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY 15—0 0 gr, / LEACHING FACILITY:(type) ol-5-009 (size) /a7.-'3Xasr( Z NO. OF BEDROOMS OWNER e PERMIT DATE: '�a-0G 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 x . � 3 ono 3 37' aG' 3 o - � . e� y S i 3 /0 32' yy , C e l.'c/y e S�reef' No. 11306 `3 /--1 M i7S 0 r0 2oD,�, M FEE �U o COMMONWEALTH OF M A�� CIIUSI:TTS �f�-`o� �-✓ Board of Health, ��� t y' A. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair( ) Upgrade(/andon( ) - *Complete System ❑Individual Components 1-11 Location A L�aoL Owner's Name Map/Parcel# ✓y�. Address 11� Lot# Telephone# Installer's Name //V Designer's NSnPHEN J.DO VILE AND ASSOaA Address s 42 CANTERBURY LANE PV & 3 uv s�`o�s °�/ t:�Addres EAST FALMOUT S it Telephone# �� y,7g. fr-yf"' Tel 608/540.2634 Type of Building Lot Size sq.ft. d�r5vp, o.of Bedrooms Garbage grinder ( ) of Building No.of persons Showers( ),Cafeteria ( ) Other Fixtures oA 2 a a 6 Design Flow (min quired) �' 1 Calculated design flow Design flow provided gpd Plan: Date D Number of sheets 1 Revision Date Title s� Description of Soil(s) _ —Eksje, l�H,p" Soil Evaluator Form No. Name of Soil Evaluator S Date of Evaluation 40--Z(o—O Lo DESCRIPTION OF REPAIRS ORALTERATIONS The undersign agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agree to of place the system in eration until a Certificate of Compliance has been issued by the Board of Health. Signed Date —A r2'04o Lnspections No. 1 UU G. i� rr o �0 ` � �, c?A��Q(7.✓1 M A� y FEE COMMONWEALTH OF MASSACHUSETTS , /O� B FC gar,dlof Health, (-� q,, APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT i V Application for a Permit to Construt:44 Repair( Upgrade( Abandon( - ]1Complete System O Individual Components Locatiota A Owner's Name v 0 Map/Parcel# /1, Address F g`t� Lot# Telephone# Installer's Name C /�� Designer's NamgnPHEN J.DOYLE AND ASSOCIATES Address e . Address Y f S .� STFA/yl�� H LMOUTH,MASSACHUSETTS 02638 Telephone# l�"p� W-7 9Syf Telephone# 2534 Type of Building Lot Size sq.ft.'. t., ��. Type of Bedrooms Garbage grinder( ) of Building No.of persons Showers ( ),Cafeteria( ) Other Fixtures a 1/0A 0 7 U Design Flow(min. quired) p•- Calculated design flow Design flow provided gpd Plan: Date D t Nt tuber of,sheets Revision Date Title.- Description ofSoil,(s) is r,TeL Soil Evaluator Form No. Name of Soil Evaluator_ �� �Date of Evaluation_( p 4P w I t DESCRIPTION OF REPAIRS OR ALTERATIONS The undersign grees to install the above described Individual Sewage Disposal System in accordance with the provisions of,TITLE 5 and further agree to of place the system in operation e�ration until a Certificate of Compliancehas been issued by the Board of Health. Signed Date /} "c2 a so Inspections No. 2��G �3 /r COMMONWEALTH OF MASSACHUSETTS FEE Board of Health, /3 rr+ �-',�r4h lr , MA• CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) UrCComplete System The undersigned hereby certify.that the Sewage Disposal System; Constructed ( ),Repaired( ),Upgraded Abandoned ( ) b y) leas been installed in accordance with the pr visions of 310 CMR 15.00 (Title 5) and the approved design plans as-built plans relating to application No. )dy 6—�-7 dated . Approved Design Flow��Q• (gpd) I Q���u.,,, 0,7 �y Installer G 4 Designer:_�7gp Inspector Date: The issuance of this permit shall not be construed as a guarantee hat the system will function as designed. y -� No. DQa 37I FEE IOU -- COMMONWEALTH OF MASSACHUSETTS Board of Health, �I f p , MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair( ) Upgradee) Abandon( ) an individual sewage disposal system at 4/5 Z- OZ, s /P P'f as described in the application for Disposal System Construction Permit No. ��°6'SDI ,dated Provided: Construction shall be completed within three years of the date of 's per it. All I cal conditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date Board of Health =,.,, Town of Barnstable Regulatory Services - Thomas F.Geller,Director NAM Public Health Division Thomas McKean;Director 200 MWn Street,Hyannis,MA 02601 Offim.0"62-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: ' Z ��to Sewage Permit# o),,OVv_ �/Assessor's Map\Parcel :, —3 Designer: Installer: Y _ TE5 42 CANTERSURY LANE Address: /",p , �Py 3,3 - Address. EdcTFOLIUQ[ITNiiuecceCuoSS�� �� sosisao-assa On D ^o AX was issued a permit to install a date (installer) septic system at � based on a design drawn by (address) / C_ • dated ,c ( 'igner) �f that�c septic system referenced above was installed substantially according to- the design, h may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required).was inspected and-the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)-but in accordance with State&Local Regulations. Plan revision or certified as-built by designer to follow. Stripout(if was inspected and the soils were found satisfactory. IA OF �Eps 10.►e©®4A CtiR yG v ®�tl�O`h1�g5� ISTINE 4�®® �STERFO v FAIRNENY. sQ�G Wistallof s Sl _ 926 to sTEpNEN N p GIS-T Dom $4INITARIP� ee o� 4.137 PJA41 �P ♦ .Q rJFc^�_��tiVQ� `a 1 H t D (Designer's ignahne) (Affix Designer's Stamp Here)'R'�c PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. - CERTIFICATE OF COMPLIANCE WILL-NOT BE ISSUED UNTH, BOTH THIS FORM AND A& BUILT CARD ARE QED BY THE BARNSTABLE PUBLIC FW,4LTH DIVISION. THANK YOU Q-.Wq d\Desigaw Cafficadon Form Rev 03-09-MAloc I Town of Barnstable P# 3 'd-� Department of Regulatory Services A Public Health Division Date i >,AU& 200 Main Street,Hyannis MA 02601 AW/0 0ODate Scheduled 6 Time Fee Pd. /0O 4 Soil Suitability Assessment for Sewage Dis osal Performed By: 'r 1_ Witnessed By: RS LOCATION& GENERAL INFORMATION n I Location Address Lf 5 C c7v(�' /�e s I� p��-CJ��y f Owner's Name Kr_rLe� l�"C IBC x Address 5 CcOrrs �ee-t Assessor's Map/Parcel:d 5 �� Engineer's Name S f t v e o V l e NEW CONSTRUCTION ✓ REPAIR Telephone# 50 9 Z 0/ Land Use ��r-�5��- � �9r1 Slopes(%) L �� Surface Stones Distances from: Open Water Body Ll�D ft Possible Wet Area t5 D ft Drinking Water Well � ft Drainage Way > �� ft Property Line 10 ` ft Other ft . SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands)n proximity to holes) E G o o\..t "' 17 3. \'7 m N 4 � . n\ ,t07- NSA 13= `1 A . `3 Parent material(geologic) _ i� Depth to Bedrock._ V_A Lam' , A Depth to Groundwater. Standing Water in Hole: -^oN Tf Weeping from Pit Face Estimated Seasonal High Groundwater \Z 5 ) DETE NATION FOR SEASONAL HIGH WATER TABLE Method Used: ' 0 0 Depth Observed standing in obs.hole: in, Depth to soil mottles: In, Depth to weeping from side of obs.hole: In. Groundwater Adjustment fr. Index Well# Reading Date: Index Well lev Adj.factor Adj.Groundwater Level,, PERCOLATION TEST Date &-it, Thne Observation Hole# �_ Z TSme at 4" Depth of Perc AA t� d�1 t Time at 6" Start Pre-soak Time @ I\"0 D I l ' 1_ Time(V-6") ZAS- End Pre-soak b ulna tst.YS Yb Rate Min./Inch Site Suitability Assessment: ite Passed Sitc.Failed:, Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conseirvation Division at least one(1)week prior to beginning. Q:\SEPTIOPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# 1 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones;Boulders. i ten % ravel - tL 'L N oN iv _ ✓ 2 11 us +'Id-(M 4j(, Io.,� Cn L �\ z v . SAt-1 fTS `f V\ 1t lJo 1.a1L DEEP OBSERVATION HOLE LOG Hole# Fh -------------------- Soil Horizon Soil Texture Soil Color Soil �� (USDA) (Mansell) Mottling (Structure,Stones,Boulders. C nsi tent % ra ells `t � GD L`t3. '\ ` d M 0 ,o' coPt o DI DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color. Soil Surface(in.) Other (USDA) (Mansell) Mottling (Structure,Stones,Boulders. itec G vl q 5L J`�f -7 t, "A I i -A r1 %\Ao r 5L rL G sts �p L_vcos 0 C>-rt DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones;Boulders. Consistency. LS 10 � ►Z\A,131,tL .Z 011 1-�tz t-1� It ti ,� 1— 0 S¢r 1 IL• 3 ti\ s Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No�:IYes Depth of Naturally Occurrine 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? _ `q'tr S If not,what is the depth of naturally occurring pervious material? Certt— ification / I certify that on 3 °1.5 (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,expertise and experience described in 310 CMR 15.017. Signature Date Q:\SE1"17I0PERCFORM.DOC No..----- Ficl1 .-.6.......... THE COMMONWEALTH OF MASSACHUSETTS 1 \ � BOARD OF HEALTH -----.-OF........./. ... c,..!...................... Aliphration -fur Disposal Works Toustrurtiuu Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: An4LItf'��aJ�...-----------------•---.........------....... -•----....------ Location-Address or Lot No. W Ow er- Address ...................................................... Installer Address UType of Building O Size Lot---------_----------------Sq. feet �-, Dwelling—No. of Bedrooms--------------------------------------------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---------------------------------------.....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 ( ) aPercolation Test Results Performed by----------- -------------------------------------------------------------- Date--------------------------------------- Test Pit No. 1................minutes per inch Depth of "Pest Pit.................... Depth to ground water................-...__.- fZq Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water............_---..------ 1:4 ---------------------------................................................................................................................................. 0 Description of Soil...-.-_-----__-------.. x 'ii L c.> -------------------------------------------- VNature of Repairs or Alter.tions—Answer when applicable...........:.................................................................................. -----------------•------•------------------- ��- ��'_ .......���/� � O1J ,�r �nec. - ....._..... ---------------- ---- --------------•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal t-@t�i in accordance with the provisions of Article XI of the State Sanitary Code— The undersi further rees not to place the system in operation until a Certificate of Compliance has ee ed by the b f e _ Slgned.- u �® •L - -- ------------------------- - / Date Application Approved By..-... ..° .............................. Date Application Disapproved for the following reasons---------------------------------------------------------------------------•-------•---•.... •••----------•---. Date PermitNo.-------- V.................................. Issued..................... ------------------•--------------• + Date �- -.. - ------ - - - ------ --------------- - --- -�. �W...�__�-�__--_------------� No........... Finc.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ' .............OF........ .........-f ...f,............. -- Appliration :fur Diipuml Works Tomitrurtion Urrutit Application is hereby`made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: -- - --- Location-Addr ss or Lot No. Owner Address Installer Address Q 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--------- .a...........................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. 3 Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area------------------Sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by a ------. -•--------------•--•-••••••••••-•................------•----•.... Date--------------------- Test Pit No. 1----------------minutes per inch Depth of "Pest Pit.................... Depth to ground water_.-__-__--_-____--._.... (xq Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water.-.--.--._...-._-_-_.--. P4 --•-......-•----------------------------••---...-----------•----••-•-•.........••---•------•---•-•----••---•-••••--•-•--•-----------------------------•----- Descriptionof Soil ---------------------- ----- --•----------------------------------------------------.----------------------------------------------- x - � ��� W ------------- ------- -------------•----. ----------..----- ------------------------------------------------------------------------------------------------------------------------------------------ U Nature of Repairs or Alterations—Answer when applicable....___......................................................................................... ---------------•---......--••--•-••-....----- --- ----5.4 �'' 4C« l�Z'.k r'm G®1.t.- = --------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal.System in accordance with the provisions of Article XI of the State Sanitary Code—The undersjgwd,,further a "es not to place the system in operation until a Certificate of Compliance has ee issiaed by the b 'r of hea •.� Signed.. / 1Lv. -•----�..-- s -- -•-•----••-••�• __'� ._"`------..---•----•-••------- Date Application Approved BY ._. ..: ------..•--- ---------------D-.--------------- Date Application Disapproved for the following reasons:................................................................................................................ ............................................... -------------••-------•-_---------•----•-------------.--------------------------•--•----------•------------•---••------------•-=---"---------------•----- - Date PermitNo.------ .................................... Issued...................... ................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD:`.OF HEALTH, .........O F::r.:5.., +.! i `r' .................................... �rrtif irate`gf f�umlittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (y,, ) ,r z------ -------------•• •--- =- -----•--•---•--•-- ---- ------•-- --------------------••-•-•-•------------------------------- --.------------------------------ Installer at......... r-------------_----'� / /�-ll has been installed in accordance with the provisions of Article XI 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 ---- ------------------------......---------------•----•---...... ----------- t THE COMMONWEALTH OF MASSACHUSETTS i BOARD OF HEALTH . GGer�i' ... .. ...OF..-.....���1.-...,y .:...✓��............•----•--.......... f� FE ._ C1..._. BitiVutittl Works Qlamitrurtion rr�tit Permission is hereby granted.._.:� ��_�_`'�_._..- 131e d....r".. ....... -•-•--••--•-• .............................................................. to Construct ( ) or Repair ('( ) an Individual Sewage Disposal System --- Street as shown on the application for Disposal Works Construction Permit No._.1K'I------- Dated------ - f ../--' Board of Health DATE............. -. i FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS , j- No...dzama 0 S 5 03q ..................... o�p " THECOMMONWEALTH OF MASSACHUSETTS BOAR® PF HE �N"H 4��.. .....OF... .. ..q.(W.5. . .......-........................................ qplication is hereby made for a Permit to Construct ( ) or Repair an. Individual Sewage Disposal Systemat: ........................... ........ --------------.....................------- J. 0................W Lmatio - Id / or Lot No. L.lr.� t.. �►-Q. ................... .................. O ner Addr s/ Pr w ......................... ......•••---•--c- - c t.,.a Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures -----•-----------------------------••--•--•--••--- •. W Design Flow............................................gallons per person per day. Total daily flow.............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... ( Test Pit No. 2.........._.....minutes per inch Depth of Test Pit.................... Depth to ground water........................ C1 --••-------•-------------•---••-----•----•--•-•----•......-------••.......-•---•----••......•.••............................................................. ODescription of Soil... ------- ...............•--•••--............----------•--------•------••----•--------•--••---•-----------•---------••-••-------•---•------•---•- v �.12.. / l S�U Nature of Repairs or Alt r ions Answer when applica.ble......1�_�J..�_..__.__.: .�_.,!-... .._..r..,�. ........�.�,l--f� ---• --- ------ --------••------•-----•-•......••--•-•-•-•-•------•---•-•••---•-------•--•--- ....-------------------------------------------•------••--•---- v ' Agreement: The undersigned agrees- to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iI'I11Z 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' sue the bo of health o Signed. ..... -... /6 / Date Application Approved BY I�/ 1 Date Application Disapproved for the following reasons-----------------------------•-------•--•---------------•----------------------------------------............•••. -•-------••-------•-----•----•-------•--••----•-••---•----•-•.....-•--•-------••-•--.....•---------•...•••-•--•-------------•--•----••••••--•-------------•----•---••••-----••••--••---••---•--••-•--•-- Date PermitNo......................................................... Issued....................................................... Date No... 2.................... THE COMMONWEALTH OF MASSACHUSETTS BOARD/- rJ PF HE , H 0 F.... .? .................................... Appliration for Bb5vosal Works Tomitrurtion ramit Application is hereby made for a Permit to Construct or Repair ( an Individual Sewage Disposal SystM at: -W........................... ..................... I..r.................................................... Locatioe-Address or Lot No. ................... ................................................................................................. O ner Addrefis/ 4.0 Installer .. ................... C�9 - ----------- ....... ....................................... Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers Cafeteria ( ) 04 Other fixtures ............ ......................................I............................................................................................... 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. f t. Seepage Pit No..................... Diameter.............._..... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) - 0-.4 Percolation Test Results Performed by.......................................................................... Date........................................ Test 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.. ........ ........................................................................................................................................ .......................................................................................... U .............................. ......................................................... ... ._4�.>4 .............................................................I........................................................................................ ------ ..... U Nature of Repairs or Alt frations—Answer when applicable...... ........ .. .. ........... Z 0551 ............... ................................................................................ .......................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TILTILS 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been . sued, Y the b o M of health A Signed // ------------------ ---- --------------------Z-------------...---- Date i. e Application Approved By........... .............. ..... .......... 110010' e' Date Application Disapproved for the following reasons:................................................................................................................ .............................................. .......................................................................................................................................................... Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H EA T ..............OF ........... ........................................ Tntifiratr of Toutpliatta THIS IS )RflTIFY.,OThat the Individual Sewage Disposal System constructed or Repaired ------------------------ --------------------------------------------- b3............!.��Z .....*e-t at------. —------ ................. - ------------------ organce with the provisions of T TIE 5 of.The State Sanitary Code as described in the has been installed -1,ri� 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.....................................4.e 4,.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH 4 '7..........OF.......ff . ................. 60 FEE..2.................. Disposal A!ki�i Adiott. firrutit granted-- .........................Permission is hereby gra .......... . j� � .... ....... ...... ..................................... to Construct ( )-or pair an 4ndiv;idual Sewage Disposal Sys atNo................ ........ ..................Carr, .... ...... ........... Street _�w as shown on the application for Disposal Works Construction.-V=tnit NAo..................... Dated.......................................... ... ......................................... ..... e.... Health DATE................ --------------------....... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS KN FLOOR ELEV 42 78' � ' IV. T, ,��, Mzdm}t Grade .% SY 5t 6�, 6 wish Gtaade �t 't to 1/z" r s a x I If I / III 1lfll/I/� 1l 1/8"6"1i1ti1111 b �'" I 85' 37 O' ' INY Ei'2p ' - 12.83 a©a . . . INV EL 1'_ ►�Fm tliie/"�� EL 3fi.57' 36.37' MV EL .••".. o A". El 34.17' 37.17' � 1s�14s" 36 92' �" 38.I7' � s/s" - t ram• �t,er stow ,.... 4 HOLE DISTRIBUTION BOX '� mspi : 4' 24" 4 4 ' Design Data: -- '' 58" ---.. _ - 'I 1500 GALLfJN SE`FTIC TANK Line Bedroom = 1 X 110 gpd = I10 gpd Required Flow Number of ebaw-b Number of Treucbes 1 PROPOSED LEAH TRENCH 'ets - 2 No Garbage Disposal PROPOSED LEACFI TI CH - V W#r N.T.S. Use.- Chamber Trench 251 x 12 83'Nr x 2' Eff pth Bottom of DI O ervatton Hole F,1 28.5, j25' + 25' + 12.83 + .12.83,j .x 2.D z= 151 Install Two 500 Gallen DW its 2S' x 12.83 = 32Q with Four Feet of Stone at Sides and Ends High Ground Water <EleV 27' (Field Topogra.pby) 471 x 0 74 = 348 GPD Total Design Flow �o0r s PRECAST RE TORCED CONCR.E'7.'E' DISTRIBUTION BOX Install on a Ievel base /`�) s� Minimum wall thic*ness = 2" {� // LOCUS a�1O N \/ L EL TOP 4 SPINDLE INDLE Minimum inside dimension - 12 _ ��`"' '�•�� E�tEY. 384 Outlet .inverts shall be equal to each other and at - ' 8 _ _._. ._.__ _ S847 ' N STREET DATUdd� GIS 2 minimum below inlet invert 3 AVE •�•._._._. 1 QD E The distribution .lines from the distribution box shall all ha ve s 39 4 equal inverts as determined b floodingthe dtstri.bution box to �...- O ;�O ._._.tom the height of the distribution yline invert after all .lines have \ __- + + 1?317 --PAVE been sealed in place. \ 22' _ ..... j./... 41 - i + can er Invert adjustments shall be .made by filling with durable and 1 SAS RESERVE � o + � , 41 � BAY nondeformable material permanently fastened to the .line or � MAPLE �3 AREA 74 M �_ A€'LE � -41 � � reconstructing the :Lines until all inverts are of equal elevation. ' • i283 ..... .... 'o PROPOSER i � CHAMBER 37 \ \ o� o I TRtCli +W 13PARCE�+ + ! 961t SQ.FT. EMST1NG ! r .�.. , nRVC r �, 1500 GALLON REINFORCED CONCREff SEPTIC TA" � \ 2 ._ . 1 i ----1--- �.. . . Minimum Construction .Materials Per 310CMR 15.2,25(2) 41 � � ! ► + �� i � �'� �' �•�` -Z�.�A-�' Tees shall be constructed of Schedule 40 PVC and shall extend a Qi #S' + i minimum of tic tank located directly under the 6" above the flowline of the septic tank and be on --�,21'--L the centerline of the septic r~`- zs' c`P °° � + � ASS.E;SSl?.,�'S' IIATA: clean-out .manhole. �4 � \ Q/s EMSTMC 4 _ MAP $r5 39 The inlet pipe elevation shall be no less than 2" nor .more than 3" �� DWELL Nt' LM'27'O''-�_ PAI IS`L above the invert elevation of the outlet pipe. : #45 LOCUS APDRWS.• Septic tank shall be .installed level and true to grade on a level J Ad E S'TI11TG ¢ 0 91) =AW. �T COT57T-BARNSTAB.LE stable base that has been meebanicall compacted and on which © 'f a' 6" of crushed stone has been placed o ensure stability and � ( HOLLY ° ° � CID GARAGE � 8464134 to prevent set tlitzg: " cP a i w / :�EREN E 44N..• 315128 Septic tank shall .have a minimum cover of 9 . @ + Two 20" manholes with readily removable impermeable covers ) ' / S89'5522" of durable material shall be provided with access ports 37 174.34 42 .ZONING IS7lC?:t RF The outlet tee shall be equipped with gas baffle. 38 I PROPOSED 1 0 Y DISTRICr / 1500 GALLON & RPOD 39 SEPTIC TANK ' GRAPHIC SCALE FEMA DA A: ,'ZONE "Co 4t7 2° o o za w PANEL 5D%-" D021 D �IAP J�TLY 2, 1992 41 GENERAL eONS'T.RIIL"TIOIv NOTES ( IN � ��. SEPTIC LTP� 1. All the workmanship and materials shall conform to D.E.P 7Ytle 5 1 inch = 20 UPGRADE PLC and the Town of Barnstable rules and regulations for the subsurface disposal of sewage. Prepared For. 2. At least one access port over tank tees shall be accessible .Heal tb Ag'en t.' DONNA M. #4 CO OLIDGE STREET within 6" of finish grade, with any remai ing access ports brought to within 6" of fetish grade. Test Date: 06--26--O6 �A��N oFM�r in 3. A.11 components of the sanitary system shall be capable of �, withstanding H-ID loading unless they are under or within 10 ft �" flMt► �� Cotz4t Barnstable Massachusetts of drives or parlang. H-20 loading shall be used under or within Soil Evaluator.' S. Doyle �►t frtx ' 10 ft of drives or parking unless noted Plastic equals .rt3iay be 1" = 20' Date.• July .?4, 2006 used In lieu of all recast units TH #1 EL 39.5' TH. #2 EL 40.5 TH #3 EL. 39.5' TH #4 EL 40.5' RG1ST��� . 4. The excavatorlontractor shalt call dig safe and verify the location PERC <2 MIN/ ICH PERC <2 M1N CH PERC <2 MIN,4NCH PERC Q s�NiTa gyp`' Prepared By: of all site utilities prior to any exca va ti©r� and shall be responsible for a" t�' o" o" S't,pRbe.n J. Doyle and Associates all .utters relating to electric easements A SL #OYR 3/2 A SL #OYR 3/2 A SL I0YR 3/2 A S 1 OYR�3/2 42 terbuiy Lane, Falmouth; dIA �2536 h e c edule 40 PVC laid at a mire. a 02 slope. � Telephone.• 508f540-2534 5. Seer pipes s all b 4 S h pe 8 Any masonry units used to bring covers to grade shall be $ 8 � � "�-Z�-04� � ' �,-,� � � ,�, � -Ea_Z 1--ic mortared In place 8 LS 10YR 4/6 8 LS # S # R4/6 R L5 #aXR 4f6 7. Finish grade shall ha ve a minimum slope of 0.02 ft per foot EL. 37.5' 24' EL. 38.5 24!* EL 37,5' 24" EL. 38.5' 24" aY tissq�',r 8. Pump and remove old septic system. cP " a " eR�� y��; 3. The excavator contractor shall be responsible to check all grades c �. TO C ' C MED. TO PERG 44 44 C 44 ;go 4 1Do g C TO C tom. TO f g�EpHEN - ► and elevations and to contact Doyle Associates of any discepancies, E �aNE SANO sAPJ#T SAM SANfl prior to construction. 2.5Y 7/3 2.5Y 7/3 2.5Y 7/3 2,5Y 7/3 10. The excavator/contractor shall be responsible to contact • h=- �o a #32" 12E" 132" 1200 0 5 ��`� ♦� Doyle Associates 24 hours prior to any required inspections NO WATER ENCOUNTERED Na WATER ENCOUNTERED Na WATER ENCOUNTERED NO WATER EN EL. 2a5 EL 30.0' EL 2&5 EL �� �n� NO TE ;RESeRIP710N Br 30.s