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0101 EISENHOWER DRIVE - Health
101 Eisenhower,Drive - - _— - - --- —_- - -- - -- Cotuit A=039 -091 .. 1 I TOWN OF BARNSTABLE LOCATION /Q/// SEWAGE# v470 9 VILLAGES 1 r/ ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. '711 SEPTIC TANK CAPACITY /060 LEACHING FACILITY:(type) a— SVO. 4-• e- (size) /0 NO.OF BEDROOMS j OWNER iC A— 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 FURNISHED BY 1�4rc F 30•0 ,, �G l . No. ? _' ((�((L,(�, Fee (/ / i THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIppYication for Tigpog Y 6rapm (Cou.5truction Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑.Complete System L Individual Components Location Address or Lot No. ti0-j'_ Owner's Name,Address,and Tel.No. GQ6" �{e Assessor's Map/Parcel 3 of q -0q,- ,9qd C o44 Installer's Name,Address,and Tel.No. � v`'—� Designer's Name,Address and Tel.N C1- tag-_ $ 6 •�'1,.� crrn• :spy• 3G>-vrz// Yeti � �� Type of Building: ¢ Dwelling No.of Bedrooms Lot Size aa, T` sq.ft. Garbage Grinder (14Ab Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 gpd Design flow provided 336 gpd Plan Date /)OO 7 Number of sheets ! Revision Date Title 7 � S' t /Q/ag d /y/ e/TrlIv✓— Z)X- Size of Septic Tank �.ty T-A nn4 4 pclr, C.C Type of S.A.S. — S7Xj 6,L Description of Soil Nature of Repairs or Alterations(Answer when applicable) e I .i41-11 Z.2�c 4-11 r Date last inspected: Agreement: The undersigned agrees to ensure the constru ' n a maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the viron ntal Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board ealth. Signed _ Date 6� Application Approved by Date Application Disapproved by: Date for the following reasons Permit No.�02� "'� Date Issued l No. = — '? %/�y� pis - _ Fee h90 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS R.ppYication for �Digog Y 6pgtem Construction Permit Application for a Permit to Construct O Repair( Upgrade O Abandon O ❑ ©Complete System Individual Components Location Address or Lot No. /,9/ [>��S"�/tiOcd�` �" . Owner's Name,Address,and Tel.No. Assessor'sMap/Parcel -3 -7 9I Z/. yJ4T.1F19(/40 <<' "044 Installer's Name,Address,and Tel.No. /�'4),01,' ���} Designer's Name,Address and Tel.No. fz�g.1 g- S1.$6 id.in,! h. 5?7 Y" 3(sJ Sri`t// f c,.�.,��y ,,/✓� Type of Building: Dwelling No.of Bedrooms 31 Lot Size o/o�, Tc/.)- sq.ft. Garbage Grinder i Other Type of Building No.of Persons Showers( ) Cafeteria Other Fixtures Z Design Flow(min.required) J 3 gpd Design flow provided gpd Plan Date 577P .�00 7 Number of sheets / Revision Date Title T 1/,,• s- ev /c)/ Ra ry Oar- Size of Septic Tank �^e;e d l nS a C Type of S.A.S. 6 — S?aD 6,L Description of Soil 4 ? r ' Nature of Repairs or Alterations(Answer when applicable) .�,� ,� Lswc �r.•mot ��v �� Date last inspected: Agreement: The undersigned agrees to ensure the construe•ion" and'maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the nviron �tal Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board ok ealth. Signed A Date X;is I(, Application Approved by f Date Application Disapproved by: Date for the following reasons Permit No. 12 '��� Date Issued / / U THE COMMONWEALTH OF MASSACHUSETT_S_,_ BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that theOn-site Sewage Disposal System Constructed ( ) Repaired Upgraded ( ) Abandoned( )by /� r/�//d w Alc 41 at has been constructed in accordance with the provisions of Title 5 and the for//Disposal System Construction Permit No. �(����'— f dated / Installer L Y ZLO kl7'r �c2,j/,,r�io✓ Designer "/ 6"Pe C-"y S #bedrooms 3 Approved design flow 3% gpd The issuan e Qf this permit shall not be construed as a guarantee that the system will function aa�gned. Date )y` 2 Inspector !x- --------------------- ----- No. O `7/ Fee legrl THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS ligpool *pgtem Congtruction Permit Permission is hereby granted to Construct ( ) Repair ( UU/pgra e ( ) Abandon ( ) System located at Z�� S �abi and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of th's I'e t. Date U�' "�. Approved by I � FROM :down cape engineering inc FAX NO. :15083629880 Nov. 01 2007 01:57PM P1 Town of Barnstable Regulatory Services Thomas F. Geber,Director public Health Division Thomas McKean,Director xDU Main Street,HV&Anjs,MA 02.601 Fax_ 505-790-6304 office: 508-862-4644 lnstalier� besigver-Ce ifIcAbot_FOM v Q00 - Assessor's Maparcel 39 Sa,ag �I r 7 /T er: t)-N e i instaUer: Address: ` / ! ^` Address. -j-1(Lf do �Q`0 ,lvllrllx cz��Ino - v�•as issued a permit to install a in_sj,-Werr septic st7stcm at I l r�f r�Yl o based on a design drmhm by (address; dWy` C al't 1hL dates (desi�er) I ce,-dt- that the septic s�Fstem referenced above was in-rolled substantialh accordir.Q tc the design; wbich may iLbude minor approved changes such as lateral relocation of the distribution box andior septic tank. l certify ibat the septic s},St= rcfercnaad above was in-stalled uZtk� major changes (i.e. arcater than 10' lateral relocation oi'the SAS or any Vertical reloca-.ion of any component 01 the septic system)but in accordance Aith State & Loea) Regulations. Platy reti>lsion oz certified as-built by designer to fal OW, ��KH OF Mps'�r o� DANIELA. yes O.fALA (Install s Signature) CIVIL . - No.4B502o �^ s `TNN (Designers Siu;ature (.4.fnx 13esigne-'s Stamp Here) r LEASE 1;T ' TO BARNSTABLE pUBL1C HTGA JH DiV'ISION. CERTIFI ATE OF COMPLIANCE vdTl...l-• NOT rp- 1S UED UNTIL BQTM THIS FORM AI D AS-BUILT CORD kR ECE1�rED BY THE RN TABLE Pt�3LIC JEEA)-T3H D1Y1S10N. THANK YpV- L�DCATION SEWAGE PERMIT NO. � VILLAGE INSTA LLER'S NAME i ADDRESS V� � . (C° KF OCI R U I L D E R OR OWNER DATE PERMIT I ISSUED 2 �4- QS DATE COMPLIANCE ISSUED AC w 0 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 3 q,0011 ..................... ...................OF....................... Applirta#ion for Uhipoii al Works Tomitxnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: K !t /t I?aG ✓, . .9�SS, a Location-AddressLot No. .........•-•......------'..6 �� v�� .._ � fi r . .:.._---_.. -- O er L / A Zs W Installer Q Address UType of Building tit, j Size Lota '��A ...........Sq. feet Dwelling—No. of Bedrooms.....5..................................Ex 2sion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otheer, tures ................................................••-••.•-•••------••-••-•••••--•------------------•--••-•--••••-••••••--•.......--••••......-----•- wDesign Flow............................................gallons per person per day. Total daily flow_-__..33-P...__......_..-_.......... lons. WSeptic Tank—I—Liquid*capacit ..........gallons Length��`.�_.... Width_`/`.�a.`�_ Diameter._.'-" Depth-_..__.. ?��. x Disposal Trench—No. .................... Width_.:'- ...... Total Length.......,...._'.... Total leaching area----:_—'-.:—.;sq. ft. Seepage Pit No------/------------ Diameter...6............. Depth below inlet.._.ro ........... Total leaching area� .......sq. ft. Z Other Distribution box (y) Dosing.4ank ( ) aPercolation Test Results Performed by...... olj....... ................................. Date...Wllyl_e............... Test Pit No. 1.....V......minutes per inch Depth of Test Pit---J Z:......__.. Depth to ground water----Ye............ r14 Test Pit No. 2------..........minutes per inch Depth of Test Pit.................... Depth to ground water......................... O yyt� ` Description of Soil-•-•-•--•-•......•-/---.Al i-vvj'!----.... .--••---- �1 ' r ?1 ................................................... x c, w UNature of Repairs or Alterations—Answer when applicable................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of L IT Ili 5 of the State Sanitary Code—The undersigned further agrees not to place the system in eration un ' Certificate of Com rye has be -ss d by the board of heal . p Signe ..•••... ...........•-- ........ ................................2� LV O -•----•••......-----••--• Date APPIi Approved BY . •....---•-- !_5------.................••.... ------�- Date Application Disapproved for the f 11 wing reasons---------------••------------------------------------•---------•-•--------------•------------••••-----.....------ ..•••..........-•--•••--•-----•••-----•-•----••...-•----••-••-------•••••-----••--•--••---••-•-•--•--•---•••--•----•--•--••-•-•-•-----•---••--••••-------•............................................. - Date Permit No...............�S �--�......------ Issued...--------- --���• Date 114 C, .............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ ........................OF......... Appliration for 11hipasal Varks TOuiltrurtion "panfit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal' System at- ............ ......a,..... ..... ............... Location- ddress ..........*--------- 0. ......*"--------------- , ,1,t'fM / ...sa .......................................... .or ,Qminer --------- .................................. YV-ess .........41 .................... .................... .q 'q .................................................................................................. Installer Address Type of Building Size Lot............................Sq. feet 04 Dwelling—No. of Bedrooms__.....7;.................................Expansion Expansion Attic Garbage Grinder `4 PL4 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria 0.4 Other fixtures < .................................................................................................... W Design Flow....... ..............................gallons per person per day. Total daily flow_.33 19 OC.0 -----------------------*................gallons. 1:4 Septic Tank—Liquid capacity/----------gallons Length Width_7.�!"._ Diameter_==.... Depth... Disposal Trench—No. Width.._.."„-__ .... Total Length-------,�Total leaching area....................sq.. ft. Seepage Pit No-------I............ Diameter......6........... Depth below inlet.....6. .......... Total leaching area... / .....sq. f t. Other Distribution box ()4) Dosing tank Percolation Test Results Per-formed by... dv_I" ................................. D a t e -C Test Pit No. I....Q........minutes per inch Depth of Test Pit................... Depth to groun water..__...._....._.....___. Test Pit No. 2................minutes per inch Depth of Test Pit..._................ Depth to ground water.___..._.__......._._.__ -----------------------*---------------**...... ---------------------------------------*--------------------------------- 0 Description of Soil.....I........... ......... ............0-- 57�"�L W ....... ...................................I.............................................. U ......................................................................................................................................................................................................... ........................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable.................................... ....................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code-The undersigned further agrees not to place the system in operation until a Certificate of C om6i"'has bee i sue by the board of heaAh. Signed... .............4 /___.Z�. �.................... ... ....................... ...... . D Application Approved By................ ....... . .. .. .. ...................................... ........................................ I ing re Date Application Disapproved for the fo I ing reasons: ......................................................................................................................................................................................................... ate Permit No................ 9 -------•--- Issued Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........... ............................OF................... ......................................................... (9rdifiratr of TI-Intlifiattre THIS IS TO CERTIFY hat the Individua, Se7a by------------------------------------------------------ j ye Disposal System constructed or Repaired .7...C.Va............... f-C ----Ic............................................................................................. at...................... I tal 2 r --- .......... ............. .............. ..................................... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code s dSsgfibed in the Wial Sanitary application for Disposal Works Construction Permit No.._.. dated--,.......... ....)_S/-.'�u------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO STRUED AS A GU ANT THAT THE SYSTEM WILL FVNCTION SATISFACTORY. DATE..............<? ......................................... Inspector....._ ................. ..... ....... a ..... ....................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................................................... ......................................OF................................ 00 No...................... S70 FEE........................ Ropout Vorko T no urtion Punfit Permission !ie � hereby granted.............jzeA��- �4---------- ................................................................................... to Construct R 9— r,.,.l Repair an Individual Sewage Dispo ystem "P at N .. sli jL . ......Z_-'e------------ JV 4LV.'*< 0.-� Street as shown on the application for Disposal Works Construction Permit No....S?5.—-1.1 ated...... ......................................... --- ............................................ DATE.......... —2-4 — oar _o--- ----tt, ... ............. . ... .... .... ... .................. FORM 1255 A. M. SULKIN, INC., POSTON Lot Lot 23, 20 31.8 2ic,31 �a.' �C 2T5 1-6tx6t •� i 4o. Fit , tone71 1 Lot -267 SF Q - Drive y m 1 ti iw ti �a om '° ,,,!a . .r 0- ° O s 3zo 2a.2 Lot 22ku N 2 ti 22:, 842' .F. B 14 i 31.0 30. Top liy . 8s 4.9 i N N �.a I NN NN 1000 C1. S.T ti I D-B i _' x6f_{ L- � HN SCALE 401 o i ►: , Date 12/17/ 4 PROFILE NO SCALY i �gi;,; rJ/2 st ne ngi ,. . ne.er . _ 40 Harbor toad iT ' nni: IVA' 02601 SY.ETCH P4*AN :OF' LAND; IN COTUIT 11d:L. 'for William :Brawn I ieiri '1-:>`u 22 r3 a7ciI U—:vt r i"iVc a 'li)i:F1 on "handourt; `P.ra: :;`� 36319C. ` Elevatiorxs shown are on an as�sumed datum. f ------------- ------------- - ------------- ---- Date: Aoent : Barnsta.ble Board. of H ;= ' iGa,lcv�z� cis T'•�:T 1' I --3984 IT r ;rit. Ron Gifford '.,o water encountered I-erc . rite 2 min: per 4.2 Top 5.7 ediu to tours ,FRANK FRANK : co NERY CONERY y No. 6513�0. No. 6232�0 �STE �• �/STto 16.2S�oN���`' �4ao su�v�'� Jt t SYSTEM PROFILE NOTES. 001, t<� TOP FNDN. AT EL. 53.2 MAX".,) E)COVERS TO WITHIN 6" OF FIN. GRADE (NOT TO SGU. 1nd�5 ACCESS COVER TO WITHIN 3" OF FIN. GRADE 1. DATUM IS APPROXIMATE NGVD ACCESS `COVER (WATERTIGHT) TO WITHIN 6" OF FIN. GRADE 2. MUNICIPAL WATER IS EXISTING 53.O' MINIMUM .75' OF COVER OVER PRECAST 2X SLOPE REQUIRED OVER SYSTEM 2" DOUBLE WASHED PEASTONE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. RUN PIPE LEVELOR GEOTEXTILE FABRIC *EXISTINGjj=J52.01'± FOR FIRST 2' 3' MAX. 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO Rov" 2$ .. *=ExISTING 1000 50.6't H- 10 00 0� EXISTING GALLON SEPTIC TANK GAS • suMP BAFFLE .49.97 /16 ocso 49.8' p 0 0 p O 0 0 0 © 5. PIPE JOINTS TO BE MADE WATERTIGHT. ixon 0 49.72' p Q p p. O p p p C3 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH ( 2.5X SLOPE) 6" CRUSHED STONE OR MECHANICAL ED 0 p p p p p p p COMPACTION: (15.221 [2]) 2` p p p p p p p p p o MASS. ENVIRONMENTAL CODE TITLE V. DEPTH OF ROW = 4' 47.72 LOCUS TEE slzEs: 3/4" TO 1 1/2" DOUBLE WASHED STONE 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. INLET DEPTH = 10" I_ oUTLEr DEPTH = 14" ( 1 X SLOPE) ( 1 z SLOPE) 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. FOUNDATION EXISTING SEPTIC TANK 63' D' BOX 10' LEACHING 5.22' 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED FACILITY WITHOUT INSPECTION BY BOARD OF HEALTH AND LOCUS MAP PERMISSION OBTAINED FROM BOARD OF HEALTH. *THE INSTALLER SHALL VERIFY THE SCALE: 1" _ 2,000't LOCATIONS OF ALL UTILITIES AND ALL 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING BUILDING SEWER OUTLETS AND ELEVATIONS DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION ASSESSORS MAP 39 PARCEL 91 PRIOR TO INSTALLING ANY PORTION OF BOTTOM TH-1 EL. 42.5' OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO SEPTIC SYSTEM COMMENCEMENT OF WORK. LOCUS IS- WIT HIN AP OVERLAY DISTRICT **THE INSTALLER SHALL CONFIRM MIN. 11. EXISTING LEACHING FACILITY SHALL BE PUMPED AND SEPTIC TANK SIZE AT 1000 GALLONS AND REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. ITS SUITABILITY FOR RE-USE 12. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED 5' BENEATH AND AROUND THE PROPOSED LEACHING FACILITY. CD `n 2'0 3'SHED SYSTEM DESIGN: LEGEND 0)� � GARBAGE DISPOSER IS NOT ALLOWED 100.0 PROPOSED SPOT ELEVATION X\ GARDEN DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD � y USE A 330 GPD DESIGN FLOW +100.00 EXISTING SPOT ELEVATION � LP O --:, SEPTIC.. TANK: 3.3( _GPD_(7 100 PROPOSED CONTOUR �� j . _ **RE-USE EXISTING 1000 GAL. SEPTIC TANK 100 EXISTING CONTOUR GARDEN LEACHING: TEST EST HOLE LOGS F�,P�� SIDES: 2 (30 + 9.83) 2 (.74) = 118 GPD 2js•ENGINEER: DAVID FLAHERTY, R.S,- SE2755 A- ENGINEER: : BOTTOM 30 x 9.83 (.74) = 218 GPD ,-• GRAVEL DRIVE TOTAL: 454 S.F. 336 GPD O DECK DONNA MIORANDI, R.S. o •'. / WITNESS: � '� '•`' EXISTING 3 DATE: SEPTEMBER 6, 2007 `'� �. r BR DWELLING TOP OF �'NDN USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR PERC. RATE _ < 2 MIN/INCH TH- EL. 53.2 EQUAL) WITH 2.5' STONE AT SIDES, 4' AT ENDS AND 5' CLASS I SOILS p# 11904 BETWEEN UNITS w ELEV. ELEV. " 54.5' 0 54.3' MA 4 _ / APPROVED DATE BOARD OF HEALTH 0 � " 2 _ w O/A 0/A --�0�\ w��w �s : oo / Q1i LS LS 9" 10YR 3/1 53.7' 10" 10YR 3/1 �f2.8s, LOT 22 c� �� TITLE 5 SITE PLAIN 53.5 22,842f SF / 'C OF B B BENCH MARK - CORNER OF 0.5f AC. LS LS CONC. BULKHEAD EL. = 53.2 \ / 101 EISENHOWER DR. 32" 10YR 6/8 51.8' 32» 10YR 6/8 51.6' (COTUIT) BARNSTABLE, MA \ PREPAPED FOR PERC C C BORTOLOTTI CONST. MCS MCS y EARL LARRABEE 2.5Y 7/4 2.5Y 7/4 DATE: SEPTEMBER 14, 2007 AH OF r�ssq H 9F ht�s off 508-362-4541 E M cy�N °� ARNE �oy� fax 508 362=9880 ALA H CIVIL N OJALA down cape en gin eerin g, inc. 144" 42.5' 120" 44.3' No. 30792 No.26348 ,� �`�� A r Cl VIL ENGINEERS NO GROUNDWATER ENCOUNTERED Scale: = 20 f f�/ �F10 psT NG�� 1/ DE `o o LAND SURVEYORS u - 0 10 20 30 40 50 FEET DATE ARNE H. OJALA, P.E., P.L.S. 939 Main Street YARMOUTHPORT, MASS. DCE #07-195 07-195 BORTO_LARRABEE.DWG (DDF)