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HomeMy WebLinkAbout0020 EASTWOOD LANE - Health Eastwood Lane cotuit A = 025 036 C �I f , No. ; Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpfication for Misposal 6pstem Construction permit Application for a Permit to Cons ct ) Re it( ) Upgrade( ) Abandon( ) ❑Complete System ElIndividual Components tiodress o Lo o. lia� O e 's Name, dares,an T Locan d -�; � �` I fig Assessor's Map/Parcel ' ' Installer's Name,Addre s, o. — 7 j Designer's Name,Address,and Tel.No. k-09— _ue)- I Type of Building: Dwelling No.of Bedrooms Lot Size 49 - sq.ft. Garbage Grinder(14V6 Other Type of Building e S j(7" P R_4No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided �to Plan Date Number of sheets -. Revision Date Title Size of Septic Tank Type of S.A.S. . Description of Soil Na Te,9f Repairs or Alt erafi s(Answer when applicable) ►� L�/�[, 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 d 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 ? .(� �S Date �. Application Disapproved by Date for the following reasons Permit No. — f �j Date Issued `7 ; ",�.�. •f„^f„ •�n w',r^s.w•-.r••s�^aN'�,,.-..Fr'*a+ka-r't'l2''-`•���..r.,..rrr.>•"r..•w'v�.. �r"-"a- �''�°. r-,:."^;'st<. .,...•c�� _n.t r...- r� •i\ �l " No. ,, : a 4 Fee D 0/ ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION- TOWN OF BARNSTABLE, MASSACHUSETTS Yes - x application for Mispo!aY 6pstrw Construction permit A lication for a Permit Re �r Upgrade( Abandon pp rmit to Construct , � ._ p • ( ) pgr ( ),Abandon(� ( ) .❑Complete System ❑Individual Components Location ddress or Lo o. l 7 ~ Owne 's Name,Addre s an Te t Assessor's Map/Parcel ��'' s i F Installer's Name,Addre s, o, {/ 7 Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size p2 / Q sq.ft. Garbage Grinder V146 Other Type-of Building � p ��LNo.of Persons Showers( ) Cafeteria( ) Other Fixtures x Design Flow(min.required) ° gpd Design flow provided f�g A Plan ' Date // Number of sheets Revision Date ap C`Y M Title l � _ Size of Septic Tank ) Type of S.A.S. �� � 4e1 Description of Soil Natu e f Repairs or Alterati us(Answer when ap•licable) S )✓� �`P� �7� 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. _� / Signed4— Date J�' '1 [ Application Approved by S Date I� 1 b , Application Disapproved by Date .i . for the following reasons Permit No. t-0115(2 Date Issued / I ---- - -- - ----------------------- ----- --- ----_-- =_ =THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance r THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructe Re aired vl_)�Upgraded Abandoned( )byT�/.�/1S� at has been constructed in accorMe cc s 'with the provisions of Title 5 and the for isposal S stem Construction Permit No. ® Installer � � �5 �}�,j A AA Designer �' s #bedrooms Approved design flow gpd 1 The issuance of this permit shall not be construed as a guarantee that the system will functi ryas signe Date —71 Inspector \ _ r — No. ��1 Sr r i C7 M.p_ C Gov Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS 33ispoSal *pstem Construction i3Prmlt Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ' System located at >[C J _//5�04V � ZA.-) 047 j 1 . 1 and as described in the above Application for Disposal',System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date Approved by v Town of. Barnstable Regulatory Services Richard V.Scali,Interim Director 9 M^S& .� Public Health Division i639. ♦� °TfD.raat° Thomas McKean,Director 200 Main Street,Hyannis, MA 02601 Office-, 508-862-4644 Fax: 5,08-790-6304' Installer: &Designer Certification Form Date: - l - / Sewage Permit# Assessor's Map\Parcel Designer: P L _ Installer: Address: G d Address: 1 J C�2z"�3 On 11 /,L)1/d', was issued a permit to install a (date) (installer) _ septic system at �� S T VJOLQ) P" based on a design drawn by (address) 0, dated �P 12 1 (desig��r) (� I certify that the s ptic system referenced above was installed substantially according to I certify that the design; which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and.the soils were found satisfactory. f certify that the septic system referenced above was installed with major changes (i.e. greater than 1.0' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & .Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (il-required)was inspected and the soils were found satisfactory. I certify that the system.referenced above was construct rye with the terms of the I\A approval letters(if applicable) T....� l ` YER 1 (Installer's Signature) itiln. 49 j. f� esigner's Signature) (Affix Designer '"Slatnp Here) PLEASE RETURN TO :BA TABLE 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. QASeptic\Designer Certification Fortis Rev 8-14-11doc I Town of Barnstable Regulatory Services Richard V. Scali,Interim Director r + + BAMMBLE. MASS. ��� Public Health Division 1639. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: Sewage Permit#901'8 =J49 Assessor's Map\.Parcel S 0 Designer: c-/ Installer: Address: Address: , &O—W J 02*) 3 7 On �� 0 d6c), was issued a permit to install a (date) (installer) septic system at V S` WOV L Uv based on a design drawn by (address) �(�•,4 MeNAIV� dated desi r I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 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. Strip out(if"required) was inspected and the soils were found satisfactory. I certify that the system referenced above was construct r e with the rms of the IAA approval letters(if applicable) i (Installer's Signature) Rlo. 19did3 l , esigner's Signature) (Affix Designer amp Here) PLEASE RETURN TO B TABLE 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:\Septic\Designer Certification Form Rev 8-14-13.doc J TOWN OF BARN$TABtE , h trLOCATION aO 6as'-dab J HIV COf U�� SEWAGE# 16P� VILLAGE L Of V& r ASSESSOR'S MAP&PARCEL�S' 6 INSTALLER'S NAME&PHONE NO. AL SoA (J A -W-,Oq 6 d9 0 SEPTIC TANK CAPACITY 6 d LEACHING FACILITY: (type) Sid 6:4/1eq d)We/t(size) a L NO.OF BEDROOMS OWNER T h D^n 0C S 1 A 01 96( PERMIT DATE: 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 FURNISHEDBY 3 33 4q, h 3 ��a�: Lq/n r tf I.q LOCATION SEWAGE PERMIT -, NO. fea f 9 [ Ci VILLAGE �- �- Lcr LA) 6M fir, INSTALLER'S NAME & ADDRESS { Rd.b e Y,-4 i3 . o u y- c L kii e . H Q r w j C 6# BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED .�� r3f ��1e7``7 4,vg Q � 1r� u i 77 No........ ..... Fint......... ................. /I THE COMMONWEALTH}OF MASSACHUSETTS BOARD OF HEALTH 0 ...... Q_W `3 .........OF...... .,e Fj �---......._........................ Appliration -for Bhipviia1 Workii ( onfitrurtion Prruld Application is hereby made for a Permit to Construct ( or Repair- ( ) an Individual Sewage Disposal System at: ........... ........... ....... ....................... ......................;i.---•----•..................... Location-Address ry or Lot \o:, l ..---•- x 1 ----------- `_ '�`i`-arl/¢'........ Owner Address --------- ----_------------------ Installer Address d Type of Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms l_________________�-_.�._--_-_--.---.Expansion Attic (rLc) Garbage Grinder (na) aOther —Type of Building we l�%h; -------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures ----- --------- -----------------------------------------------------------------------------•---... --------------- ------- ------•-----•--•--- W Design Flow................:!�_o--._---.-._.--------.gallons per person per day. Total daily flow------ ---.-----------------_---gallons. WSeptic Tank—Liquid capacity__/Oc o_gallons Length---------------- Width____.___..__.. Diameter---------------- Depth_______-_----- x Disposal Trench—No. .................... Width-------------------- Total Length-------------------- Total leaching area........------------sq. ft. Seepage Pit No.---_..-//........ Diameter--- x9------ Depth below inlet____________________ Totalleaching area-..._____._..-__.sq. it. z Other Distribution box (fi) Dosing tank ( s 4— 7 7 C M Percolation Test Results Performed by----- I_-4e�1F4J..kdi_--___--__-7_Zt__Sr---------------- Date_._--_----.--_-----__--.-.-----.--_._... a Test Pit No. 1......7'_-..minutes per inch Depth of Test-Pit-------------------- Depth to ground water...____-.-______..___. w Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water---------_-----.--..... R+'x ----•----- r r------- ��• O _:::oil--- _ 0 _Q-- - --------- Description tion of _ U x --- U Nature of Repairs or Alterations—Ai4wer when applicable......................................................... ................-------------------- ----------------- . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article \I of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. � 9 Signer _- s �t •"------!o f l ---------- -- •------� ? 7 Date Application Approved By..--- .- ....... ---- -��. ------ _ C� - cf - Rite- Z 7 Application Disapproved for the following reasons:--- ---------------------•-----..-.-----•----------------•-•----------------------------------------------- ....................................... ---------------------•----------------------•-•--•-------------... Date Permit No.......................................................... Issued----- Date 77 l:: _!� No.......... I Fina........��............................ L THE COMMONWEALTH OF MASSACHUSETTS t BOARD OF HEALTH , ... :.. .., e :. ,���Iirtt�iu�,:fur �i,��ru�tt1 �rk� Cn�n��rixrtila� �ler�it Application is hereby'made for a Permit to Construct ( (�je or Repair ( ) an Individual Sewage Disposal System at , ............ ---....... ? �.: ------ ---- t- ---------------------------------------- g♦�j - y'Location•Apddress .1 pip �i _ y .. ,�y" or Lot ATo ® _ jjl a .....-. FC Ed.-4... .X...... j�d-':�._. R ...... 4.:-d✓�[f+ 9( • caner • Address a ........ nstaller Address Type of Building Size Lot----------------------------Sq. feet Dwelling—No. of Bedrooms._-__ __-_ ------------------Expansion Attic ( sn . Garbage Grinder ( A)D Other—Type of''Buil, in '� ` �p�- ___ No. of ersons--------------- ----------- Showers - Cafeteria a YP �. �4�, g �:-- - -----------------•------.------------P - ) ( ) Other"fi�etifres - -------------------------------------- W Design Flow.................j7O----_--____.__-_.--gallons per person per day. Total daily flow-------- -0. -___-___--_-_-_.....__..gallons. P4 .Septic Tank—Liquid capacity-_4�90_tgallons Length................ Width.------ ........ Diameter-----------..._ _Depth. ._-_._.----- W x Disposal Trench—No,!....._S______-._-_ Widt ................... Total Length-------------------- Total leaching area--------------------sq. ft. Seepage Pit No----------- Diameter..... ---_ Depth below inlet.................... Total eachin area ------sq. ft. Z Other Distribution box ( rs Dosing tank ( *' Percolation" ,,Test Results Pe formed by.------- +.. ; _Y. ------------ _____________ Date--------------------------------------- Test Pit No. 1______ . W minutes per inch Depth of Test Pit-------------------- Depth to ground water.... ______-_--...... �..a . fj:q Test Pit No. 2-----------------minutes per inch Depth of Test Pit.-_---_______---.- Depth to ground water-----.---_-_.-------.__. .� e= - t' O Description ofSoil------- /�'.'"`g ss ._' y .. .. "' '^°"gI.t' d' t r ... V Nature of Repairs or Alterations `1 ns er when applicable--------- ------------------ - y --------------------- ...-.' - ....__. __ !-.. ____ _________ _________............. _______ _________ t .. ---------- ---------- .--. -. _Agreement The unde'rsigngd:'agrees"to� mstali' ttie aforedescribed Individual.Sewage,Disposal System in accorid nee with the provisions of Article \I of.the State Sanitary. Code— The undersigned further agrees not to place the system in operation until a Certificate of Coroliance,has been issuedpby the board of health Application Approved"'By....... � _.! -_d_L-iO-'-"�'-�- ` �...- ��f Application Disapproved for the following reasons-- ........................... w... --......=--•-••----------------•--------------- •--`----------.................I ---------------•------------------------------------------------- ' Date PermitNo......................................................... Issued.................................. ----= == Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH................ .................OFt.......&.4. 0.1 a.10 t , ' Qlrrtifiratr of (90m rfia- ure THIS IS TO ,1E2IFY, T at the Ind ual Sewage Disposalli System constructed ( 4-or Repaired ( ) by----------------------- '............... = �1�' - --------------------------------------------------------------•-------•-•-- has been installed in accordance with the provisions of Art ele I o The State Sanitary Co as dycii n the application for Disposal Works Construction Permit No' %____ _ _ ________ dated. .............................................. THE ISSUANCE OF THIS CERTIFICATE SHALL'NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................... -----------------------------------------------•-•-•---•---- inspector.--................................................................................. THE COMMONWEALTH., OF MASSACHUSETTS BOARD HEALTH / . a No.......... f�""". -•--•--• .I_!�. r ?m � FEE........................ larks `�u��tr�rfi>�tt �rrmif Permission is hereby granted----------- • •---- '------------------ f------- ------------------------------------ --- to Construct ( or R pair ( )dan Individu ew ge Disposal �'stem ' � _ . -- Street as shown on the application for Disposal Works Construction rt No. ` � `` '-- 7 ae -.-_-.- -.--_ _-.--__----__ . w. _ Board of Health " DATE.............. FORM 1255 HOBBS'& WARREN. INC.. PUBLISHERS \ ,,,, E ;F � � � C3 Town of B -astable P 4t 5(o&3 °t Department of Regtilatory Services l • ' Public Health DivisionDatea- ,teuc ; 19- 200 Main Street,Hyannis MA 02601 P+ Date Scheduled / , Time Fee Pd. ( UO a ► off' Suitability Assessmehi or 5 age Disposal Performed By: ` Witnessed By: f LOCATION &Goelal.INFORMATION A Location Address v� 'i Owner's Nam �R 1 �R&�t / -y—� y—JTVOV'✓ - Address Cki 1117— NIA r� Assessor's Mapff*cel: ��s�o 3.4 I Engineer's Name M /�L/ / '° � , dig 11 Ac ' NEW CONS7RU�'170N REPAIR �, _ j Telephone# `� O U 3�s'0 Land Use� � ( (n r —I ( Pa Slopes(i). Surfac rr� l_l e Stones Distances from: Open Water Body.>ft Possible Wee Arr (�.r ft Drinking Water Well 'L! =ft Drainage Way ®� ft. Property Line ft Other ft SKETCH:(Street name,dimensiods'of lot,exact locations of test holes&pere tests,locate wetlands in proximity to holes) i . cof ti s � eA��- I�1 r - I (A Parcnt material(ge(ilogic) (A t cjels Depth to Bedrock >� I from Pit Face Depth to Groundwaker: Standing Water in Hole:, i Weeping . Estimated Seasonal Vgh Groundwater N�� DtTERMIN TION FOR SEASONAL HIGH WATER TA9LE Method Used: Depth ObWved standingIin obs.hole: ��in. Depth to Soil motag3 In. Depth toiweeping fro side of obs.hole in. atoundwhter Adjustment m B Index Well# Reading DatF index Well.levCl --- Adj.factor� Adj. Groundwater 1.eVal PERCOLATION TEST Date Thw Observation 1 I 11me at 9" �...._..� Hole# i Depth of Pere Time at G" StartPre-soak Time.@ 1� j ' Time�7-4) End Pre-soak ! v Rate MinJlnch Site Suitability Asssmeat Site Passed Sitc Failed: Additional Testing Needed(Y/N) Original:.Public li4ith Division Observation Hole Data To Be Completed on Back I ***If percola jipn test is to be conducted within 100' of wetland,you must first notify the Barnstable C4#servation Division at least one(1) week prior to beginning. DEEP OBSERVATION HOLE LOG Hole#_ from Soil Horizon Soil Texture Soil Color Soil Other SuDepth tones Boulders. (USDA) (Mansell) Mottling (Structure,S , Surface(in.) onsistenc %G vel � 1b /10 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) q/aa to PiN 13 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil toother Stones Boulders. Mottling (Structure,(USDA) (Munsell) Mott g i US ) ( ' Surface(in.) ( Consistency-%Gravel DEEP OBSERVATION HOLE LOG Hole#-. Depth from Soil Horizon Soil Texture Soil Color Sall Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders. C nsisten I Flood Insurance Rate May: Above 506 year flood boundary No— Yes x_ Within 500 year boundary No Yes,, Within 100 year flood boundary No?"— 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? - W If not,what is the depth of naturally occurring peri�ious material? Certification I certify that on ®. (date)I have passed the soil evaluator examination approved by the Department vironm tal Protection and that the above analysis was performed by me consistent with the required tcainin pertise an experience describ d in 3,10 CMR 15.017 Date Signature Q:ISEPTIWERCFORM.DOC -oO 1 No. Fee BOARD OF HEALTH TOWN OF BARNSTABLE 21ppYicatiou jfor Yell Cougtructiou J)ermit Application is hereby made for a permit to ConstructX, Alter( ), or Repair( ) an individual well at: '20 Lg:,n�, btu 14-- G/06� Location.-Address Assessors Map and Parcel �S t�►-r► f-Do Haar Pghns 2z0 E&fV)©00I 0. V 4 C 0.2�35 Owner Address _100 60k r b c-0"S, /uk- Ozfa ,�;3 Installer-Driller Address Type of Building Dwelling Other-Type of Building No. of Persons Type of Well 14 c� {- 4D WVC_ Capacity Purpose of Well l hY i Gech d n Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certi cate of Compliance has been issued by the Board of Health. Signed s 3 2 ate Application Approved By A lzp;;�7 Date Application Disapproved for the following reasons: Date Permit No. � Issued 20 Date -------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed , Altered( ), or Repaired( ) by Simon C 1uo r'Lo, . /t'1 c- _ lInstaller at t �t��0C. has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector ��_ qrs d 4.Z No. IA)7-V 7-Z`00 5 Fee �� eu BOARD OF HEALTH TOWN OF BARNSTABLE ZIpprication -for Yell Construction permit Application is hereby.made for a permit to ConstructrOC); Alter(.), or Repair,( an individual well at: 'Location-Address Assessors Map and Parcel Owner Address n r� )e.�.� T i I � c.�, c-: 100 6 _V3 ; nK to Cc �i�. Adak o2Q 53 Installer-Driller W Address Type of Building Dwelling Other-Type of Building No. of Persons Type-of Well Capacity Purpose of Well. (Y V I a el I-i /) n Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. f Signed [AAA r Date N Application Approved By sw Date S �d Application Disapproved for the following reasons: �. Date Permit No. /.�( /� " LJV F Issued / ZZ 7 Date �„ �-----_.�,.�=.sue .:�-..=..ate_ =®.s► -..=��.s�..,...;� — .�� - >,w.s_.�...�...y.___,.._�.,s..-.ca.,-r —_-�_.....Q�.�_-�.:�:_ BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed,O, Altered( ), or Repaired( ) byl PwsNnnc A �wo_I fnC, �1r C., � Installer t" r r�o(, �..C,t--Y1Q.-, {it has been installed in' accordance with.the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application-'for Well Construction Permit No. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector BOARD OF HEALTH TOWN OF BARNSTABLE _ Vell Construction Permit No. W?077- a a Fee LJ�_ 'Permission is hereby granted to ,..� (5=_1 YV)0�. CL 0 )0./.� T) tJ (y1f/j �. )AC Installer to Construct(X); Alter( ), or Repair( an individual well at: No. — _ Street as shown on the application.for a Well Construction Permit NAJOM- 00 J Dated _?417,497 7 6 _ l Date t I .p"Z-1 Approved By �Qp LOT 14 AREA = 21600 sf+— t PLAN 604K 284.PAGE 42 ASSR MAP25 PCL 36 t O \\ ao TP-2 \ 701 V PROPOSED 1,tOOG; TP-1F SEPTIC TANegl\ K to trn 0 N \ o0 i O 0 '0 2� ft G Al 1G 'o 1 \ o tt �a�\ � J,i! �•r 1 EXIStING 1 jbDod)� t SEPTIC TA NK removed Ld 0 T :H MARKI �o G& �F 79 � � .-�"�y- O0 DRAN70RAT(T y%-' DRAINS-'.N V 4.98 A iBLE GIS DATI '- LEGEND COTUtT �^PROPOSED CONTOUR $' d ® PROPOSED SPOT GRADE t EXISTING CONTOUR W `^''"""✓ - �, t 96.52 EXISTING SPOT GRADE \ G WPC W EXISTING WATER SERVICE \\` • �! � TEST PR I i7Ut:> �.� _ LOT 14 OV ...28 I C . . U ��� -s - AREA - 21600 c:f}- f '�- Pwi eo�H 284 PACE 42 R ASVI U P25 Pc- 36 LOCUS MAP �Ot' TF'--2 13,00, fl''Ci v;I::' LOCUS INFORMATION TP--; PLAN REF: 284/042 18 t` ,SEPTIC o TANK ,tr.' llTl£REF.OP 11617/234 PARCEL ID: YAP 025 PAR. 036 1 ` % O ��� FLOOD ZONE PROPERTY NOT IN FLOOD ZONE O 0 +° SEPTIC SYSTEM �:• � —' REPAIR PLAN LOCATED AT: a ao_ 20 ft = `G tL i sJCi? , 20 EASTWOOD LANE g E��SStN ,cti I COTUIT, MA V. (v 1 x� ,p�!JF,�L\t PREPARED FOR (�"' ' •al THOMAS I APRIL 16, 2018 RL1'JJUNE 16, 2018 �1 EXIstINc L000G �' ,,%,•,� ,,', .,,_-..��;"..,. SEPTIC TA .80 ThOw { \ . 79 78 C. MEYER & SONS, INC. - r P.O. 80X 981 0 P�NlE PLAN EAST SANDWICH, MA. 02537 -r EpG of pA� �E3FNCH—tv1ARK r OD PH: (508)360-3311 79- %� SCALE: 1 in = 20 ft FAX: (774)413-9468 TCP OF DRAIN ORATE I 78 � -�� O oKaN;' 0 29 40 meyerondsonstitte5®gmafl-com '74.98 'L ARNSTA[3LE CdS DATW- I—:_ : SHEET 1 OF. 2 J�1$94 LLGEND COTUIT PROPOSED CONTOUR ® PROPOSED SPOT GRADE o$ EAS1yy --98 -- EXISTING CONTOUR 3 �D LN J 35 00, _-� \ + 96.52 EXISTING SPOT GRADE Z W wp.Y W- EXISTING WATER SERVICE 81 I ® TESL PIT BOG N -j �. 2 LOT 14 - c.► AREA = 21600 sf+- PLA.N Boot, 284 PAGE 42 RCv ASSR MAP 25 PCL 36 LOCUS MAP A fl4 TP-2 13.009 \ �., o.< "G-O LOCUS INFORMATION �:� PROPOSED 1,50OG TP—1 PLAN REF: 284/042 18' } 47-1 SEPTIC TANK ,rn TITLE REF: 11617/234 \\ / Xo o PARCEL ID: MAP 025 PAR. 036 0 \ ' ��[� FLOOD ZONE: PROPERTY NOT IN FLOOD ZONE c o ' SEPTIC SYSTEM REPAIR PLAN 80_ _, I/ iL LOCATED AT: h 20 ft 20 EASTWOOD LANE COTUIT, MA PREPARED FOR �� (yv THOMAS R � \ �Qv of _ APRIL 16, 2018 REV: JUNE 16, 2018 EXISTING 1, DOG , SEPTIC TANK to be removed ,1, i OF ,80 i RREN Gr ry� t > NITAR 79 w _ =--78 _ - --- _ N _ _ MEYER & SONS, INC. - P.O. BOX 981 i l / l I' 35.00 P PV�MEpa1 BENCH MARK ,- , EOGE °F � p\1� P L� A I �l EAST SANDWICH, MA. 02537 ® 79 TOP OF DRAIN GRATE ___ O D SCALE: 1 in 20 ft PH: (508)360-3311 \ n I O = FAX: (774)413-9468 74.98 DRAIN 78- v �J rheyerandSOnstltle5@gmail.COm i o 20 40 BARNSTABLE GIS DATU 0 10 20 40 SHEET 1 OF, 2 J#1$94 ELEV. TOP FOUNDATION NOTE: PLACE MAGNETIC MARKING TAPE OVER ALL COVERS (Existing) BRING ALL COVERS TO WITHIN 3" OF FINISH GRADE FINISHED GRADE (80.5) = 82.71 �. -F.G.EL: 82.0 F.G. EL:- 80.50 ' F.G.EL• 81.30 VENT • MAINTAIN 2% MIN SLOPE OVER LEACHING AREA i F.G.EL: 79.00 2" OF 3/8" DOUBLE WASHED 3/4' - 1-1/2' . ,• . ; STONE OR FILTER FABRIC DOUBLE WASHED STONE 6" . " " 4" SCH 40 PVC to"t 14 6 ® S= 1% (MIN. eases®a®aaa TEE'S ARE TO BE INV.77.25 ) aa mama am- 4" SCH 40 PVC 2 EFF. DEPTH aaaaaaa®aa® NV.77.75 INV. 77.05 4' 2 X 8.5' 4' GAS _ EXISTING OUTLET BAFFLE PROPOSED DB 3 , . DISTRIBUTION BOX EFFECTIVE LENGTH = 25 INV. 78.00 (1-120) INV. ELEV.= 76.80 PROPOSED 1,500 GALLON SEPTIC TANK GAS BAFFLE TO BE INSTALLED ON ����` OF '�ss9 BREAKOUT OUTLET TEE AS MANUFACTURED BY �`� �y TUF-TITE, ZABEL, OR EQUAL o DA REN M TOP CONC. ELEV.= 77.80 ELEV.= 77.80 No. 40 " INV. ELEV.= 76.80 U3a Ea 1) CONTRACTOR SHALL VERIFY ALL EXISTING , gyp aaaaaaa PIPE INVERTS PRIOR TO CONSTRUCTION �NITAR�a� BOTTOM EL.= 74.80 Sow aaaaaaa 2) TANK AND D-BOX SHALL BE SET LEVEL AND 3.75' 5 FT. 3.75' TRUE TO GRADE ON A MECHANICALLY COMPACTED �� 1 SIX INCH CRUSHED STONE BASE-, AS SPECIFIED IN SEPARATION 5.05 FT. EFFECTIVE WIDTH = 12.5' 310 CMR 15.221(2) SEPTIC SYSTEM PROFILE SOIL ABSORPTION SYSTEM (SECTION) 3) INSTALL INLET & OUTLET TEES W/ BOTTOM OF TESTHOLE EL:' 69.75 GAS BAFFLE AS REQUIRED (500 GALLON LEACH CHAMBER) GENERAL NOTES: DESIGN CRITERIA 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL SOIL. LOGS P#: 15623 BOARD OF HEALTH AND THE DESIGN ENGINEER. NUMBER OF BEDROOMS: 2 BEDROOM DWELUNG/3 BEDROOM DESIGN 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DATE: MARCH 23, 2018 OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE R.S., CSE #1614 SOIL TEXTURAL CLASS: CLASS I (0.74 GPD/SF) LOCAL RULES AND REGULATIONS. SOIL EVALUATOR: DARREN MEYER, DESIGN PERCOLATION RATE: <2 MIN/IN 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFIum PRIOR WITNESS: DON DESMARAIS, BARNSTABLE HEALTH DEPT. TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 1' DAILY FLOW: 110 G.P.D. X 3 BR = DESIGN FLOW: 330 G.P.D. DESIGN ENGINEER. TP-1 De ti GARBAGE GRINDER: . NO (not designed for garbage grinder) 4. ANY CONDITIONS ENCOUNTERED DURiNG CONSTRUCTION DIFFERING QeV' Ems• TP-2 Depth FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 81.0 0 81 40 0• SEPTIC TANK: 550 gpd x 20096 = 1,100 gpd USE PROP. 1,500G SEPTIC TANK ENGINEER BEFORE CONSTRUCTION CONTINUES. 80.42 A LOAMY �D 7- A LOAMY SAND LEACHING AREA REQUIRED: (330)/0.74 445.94 S.F. . 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. / .80.73 10YR 3/2 8 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF B LOAMY SAND B THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 1 MY AN , SOYR 6AND USE TWO (2) 500 GALLON PRECAST LEACH CHAMBERS W/ 4' HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 78.25 33' 18.40 36' STONE ON ENDS & 3.75' STONE ON SIDES: 25' L x 12.5' W x 2'D 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE C C 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED BOTTOM AREA: 25 x 12.5= 312.5 SF TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 9. TT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE MEDIUM MEDIUM SIDE AREA: (25 + 12.5) X 2 X 2 = 150 SF THE LOCATION OF ALL UNDERGROUND UTILITIES. PRIOR TO BEGINNING SAND SAND CONSTRUCTION. PM TM 2.5Y 6/4 . 2.5Y 6/4 TOTAL SQUARE FEET PROVIDED = 462 vs. 445.94 REQ'D 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND FILLED PER TITLE 5. o EL. 76.92 DESIGN FLOW PROVIDED: 0.74(462 S.F.) = 342.25 G.P.D., vs. 330 G.P.D. req'd 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY 69.75 135' 70.15 135'AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY PROPOSED SEPTIC SYSTEM UPGRADE PLAN 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. PERC RATE <2 MIN/IN. (-Cl- HORIZON) 20 EASTWOOD LANE, COTUIT, MA 15. ALL PIPING TO BE 4' SCH 40 • 1/8'/FT (UNLESS SPECIFIED) ^ NO GROUNDWATER OBSERVED _ Prepared for: RI Q cl Design and Site Plan by: SCALE DRAWN DATE • 1, Darren M. Meyer. R.S.. CSE, hereby certify that 1.am currently approved by MADEP Pursuant to 310 CMR 15.017 MEYER&SONS,INC. N.T.S. DMM 04/16/18 to conduct soil evaluations and that the above analysis has been performed by me consistent with the PO BOX981 REV DATE SHEET N0: requirements of 310 CMR 15.017. 1 further certify that I'have passed the Soil Eval. Exam in October, 1999. EAST SANDWICH,MA 02537 CHECKED 508-W2922 06/16/18 DMM 2 Of -2 t �1,k6 AM /o MIN LEACH LOT l S �ESERd 16 ' I.T L-QT,, PAUL. MURRAY -:1't\)5Pel_70ft - DIST HOLE Q0X IgoZ /811 10 i-7 SEPitC- 0=30 • L'OA RT ' Np # TMIK _, SUBS4lL ' 10 MIN 30 EXIST I50` KIN , rN �8 FOUND tnl l 96 i 44 C t � a EXIPOTE SlNCY ` bi 40 , - ''h- k{ �: ✓ �'$>{m.,� -f's - ,r 77r s.r.," *, -r[.* .�^A .+ s,.r a •� ul7•.. / •► al -Ev T. Wit SE P T/.C 5 y5 7-ati4 COA/S 772 UG 714N. `` • `+� t S-i4A L.L GONF 2 ENb//2On/M.GNT�Ld?E TiTL 't � 5/ 5 . 3 rr •{j x } ,s ii�'4' .. EX C. 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