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0125 GROVE STREET - Health
la-?-y C---��ave- TOWN OF BARNSTABLE LOCATION 7is &4 VC ' . SEWAGE# 26 71 `74-C97� VILLAGE_(4 TV rr ASSESSOR'S MAP&PARCEL D if— G 7-4 INSTALLER'S NAME&PHONE NO. 1?/,41V' �12 r v��/L _ .7 SEPTIC TANK CAPACITY /570 0 t /0 LEACHING FACILITY.(type) /�P}( (size) NO.OF BEDROOMS 3 OWNER 4— PERMIT DATE: Z/ COMPLIANCE DATE:l2 Z 7 2/ Separation Distance Between the: / Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility `d 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 2 7, 5 � P Y 24. Z 2� LOCATION _ �Q SEWAGE ERMIT NO. /Z VILLAGE I N S T A LLER'S NAME ADDRESS • UILDER OR O�NER DATE PERMIT ISSUED DATE. COMPLIANCE ISSUED E:l IF- N No No. Wq Fee V i THE COMMONWEALTH OF MASSACHUSETTS Entered in comp er: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Rpplitation for Misposal 6pstem ConstrUttion permit Application for a Permit to Construct( ) Repair( ) Upgrade(VI/Abandon( ) 21complete System ❑Individual Components Location Address or Lot No. J 25 Gro ve ST Owner's Name,Address,and Tel.No. L y NNE )n►`t44 Assessor's Map/Parcel I f' 2-4 a'f(j j'r 1? ice'&Pr P I,v, `7 TL WIAI A- Installer's Name,Address,and Tel.No. 1391AfV V NtN4-/L— Designer's Name,Address,and Tel.No. 1-iL �n Type of Building: Z ? Dwelling No,of Bedrooms / Lot Size 2J �®v sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) -2j U gpd Design flow provided ?j C7 gpd Plan Date /Z// 2'�Number of sheets C2Revision Date Title Size of Septic Tank 0 D Type of S.A.S. Description of Soil �C j/5/✓ Nature of Repairs or Alterations(Answer when applicable) 2cc PIS C�, (M 4LoV 1576 y 7) x 1® Zq 7`.-- oc C - e s� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. . f gn ?240 l s" Date 2 2 Application Approved by Date 2 L Application Disapproved by44' Date for the following reasons Permit No. ti L� 7 Date Issued 7 2- ------_-=-=__--------___- aYeu_�,v_��w_-------------------- - ------- ) „, �'�;, t, • ..., � _ x .,.r`.'.r..i+n ..:a,.. �,: �".:�.'r..�..r ....— .�„a ;� ' .2. .-�. .. l4*P.. '; .�",.f"o'..n.;.v •�'•. ,,,,ti...�..5.��t'., 'r M.'s.,,`s":.� w�. t4(�•1 *1 } Fee ! 4 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:I �. PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4plication for -Misposal *pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade(Abandon( ) ©Complete System Individual Components Location Address or Lot No. 12 -�sr°+�r' Sr Owner's Name,Address,and Tel.No. Z,y NNC- �M i "i- �: 4 f Z t 1 wt sr . Assessor's Map/Parcel ( U�f1 j . "7 .� fN� �r� WA�('a[� �'? � Installer's Name,Address,and Tel.No. 1�31,A/V ''f '���- Designer's Name,Address,and Tel.No. 44 l rovl&'c Pe). E• r c,t+u,,nl r1.& 5'0 br Z 14-q'153 'P 1-E r Type of Building: u Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )/ ,0 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures, Design Flow(min.required) U gpd Design flow provided �j O gpd Plan Date 12 I/ Number of sheets Revision Date Title 5r"pI Size of Septic Tank o U Type of S.A.S. Description of Soil <r` I r Nature of Repairs or Alterations(Answer when applicable) P I A r f= a!r 1 ' �E �S(/v 4 IV4-N f5"U y �r3ax /p Z �rf( � �1 Lc 57a0 . 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.- - Signe 1 /d, /1 I �/. /^ Date f41-7 f Application Approved by )4” Date , { Application Disapproved byV Date for the following reasons Permit No. G r � Date Issued I h -7/.-> .rm-------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS /y ` Certificate of Compliance - THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(d.-)""�- Abandoned( )by �-lt*6 fin' (t A1j- i v r ri a 1V at f Z 57 eVni i �� has been constructed in accordance with the provisions of Title 5 and the for Disposal System ConstructionTermit No..2 d-2 I` '7 ,dated a�?7 D / . •. Installer f�<. Y 1U� f Designer -F*T ` #bedrooms Approved design flow 30 gpd The issuance of thisf permit shall not be construed as a guarantee that the system will fut}cti'onQas designed. Date ?b Inspector - ----_ ----- ----------------------------------------------- ------ - -- �-------- No. �- F e U THE COMMONWEALTH OF MASSACHUSETTS { PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS x -Misposal *pstem Construction Permit r Permission is hereby granted to Construct( ) Repair( ) Upgrade( Abandon( ) System located at ,v a' I`iIU t and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her 1 'pp p y pp g duty to comply wtth Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this pe .it. A Date i ?`7/ ( Approved by pp y Town ®f Barnstable pFtHE TQ� Regulatory Services N BARNSI'ABLE, Richard V. Scali, Interim Director �q?A 1M�. ��� Public Health Division PFU '�a Thomas McKean,Director 200 Main Street,Hyannisi MA 02601 Office: 508-862-4644 Fax_ 503=790-6304 .. t Installer.&i Designer Certification Form Date: 2, E`�rl SeNvage permit# _ Assessor's Map\Parcel 1'l J 0 2_Lf Designer: ,'�ee n il ,r s 1►oC Installer: G� Iz y e V1 5�yr- Address: Address: . y , C :1t Izj — On ? `� was issued a permit to install a (date) (installer) septic System at 2i Cam'' �`�`"1 based on a design drawn by (address) ��9;rz en✓1J G'Ucs✓&sT fk( dated J ` /� Z (designer) 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 witl> 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 constructed iii with the terms. . of the 1\A approval letters(if applicable) gNs `s Rr . �' •� � ApcfrNT� ller's ign ure) �— cN%L typ.351fl9. 0 RFOIsl (Designer's Signature) (Affix Desib'e ere) PLEASE RETURN TO BARNST.ABLE PUBLIC HEALTH. DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL :BOTH THIS I+ORIM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE'PUB:LIC HEALTH,DIVISION. THANK YOU. Q",Scptic"Desietter Certification Form Rev 8-14-13.doe Engineers note:This certification is limited to an as-built inspection of system ovinponents as installed priorto backfill.The engineer did not supervise construction of the system.The installer assumes responsibility for all materials,workmanship,backfilling to specified grades with proper compaction and setting risers,covers as shown on the design plan. . LEGEND - -22-- EXISTING CONTOUR x 21.98 EXISTING SPOT GRADE W EXISTING WATER SVC. t�, Ckm G EXISTING GAS SERVICE $.H.•*--- OVERHEAD WIRES al �02'k O�G� CI"c�l7l7e!"l�/ BO9 it TEST PIT BOG EL.=6.98 �I►, Q % BENCHMARK + ;' f DITCH WTR. EL.=6.4 1I. -8- - - - - - It - - - siancoa0 ` B.ILW WF4 WF5 g WF1 WF2 EDGE WF30F 8.31 8.62 sune� 8.91 9.13 /1 9.55 \�.- _ - - - - --1e- - LOCUS MAP FEMA ZONE AE(EL10)(approx•) SPK E 0 11,27 ZON2$ CHANCE 11.07 --. - - - - - - - } x x 13.03 x 12.91 13.31x BARN 0� x 12,64 x 14,71 2� CHANCE(aPProx.) fence ZONE MA X 14.48 Y1 14.96 chain link FE ZONE � J 14,94 x Z TO BE NG CESSPOOL TO BE PUMPED, FILLED Q5 88 - -- L4 W/ SAND & ABANDONED x Oo Ln EXISTING CESSPOOL 14.6 15.60 TO BE REMO QED � r �' SEE NOTE 11 �9 xi16,3 ,� o PROPOSED x 17,35 SEPTIC TANK- 17.13 PROPOSED S.A.S. 100,BUFFER + TP-2 TP-1_ _.� 2-500 GALLON CHAMBERS ER 15,90 ram_ 10• SURROUNDED W/4' STONE TO B.V.W. 15.8 BENCHMARK-1 � 1� PROPANE DRYWELL GRATE 85 23� EL.=15.85 z , N CONC. +, PAD 16 20A8 QQX cR PATIO `o 1�6 , 18, _ o o �` PPw.)19,31 GENERA TOR O 14.49 41 16.82 x , •.. .16.79- BENCHMARK-2 WALKOUT EX. SEWER .► x\\ INV.=19.5t 20.57 COR./BOTT.STEP x EL.=21.14 e.;17,65 EX//STING 2so HOUSE(#125) T.O.F.=22.Of x 20,90 18,13 19J> 20,77{,. x 21, 1 20.62 18,62 ro 20.50 2 + 178 19.51 �q/ 19.89 20,67 21.�6 OF <W LOT 153A q� `.:.• ,.-' � / �� o PETER T. y� FLOOD ZONE DESIGNATION �:; 2J,OOOf S.F. :� McENTEE NON HAZARD-ZONE X 19,41 / " CIVIL No. 35109 x WETLAND CONSULTANT '19,61' �� Jx / 25.39 6/SI� SABATIA, INC. -� 0 x 22,58 21 Observatory Ln Pocasset, MA 02559 ' Zl (508) 563-5349 20,64 / 97. 25.70 x CBDH S 50�0'20 W CBDH 20.00 25,33 20.21 20.69 21.39 edge of pavement 23.19 24,77 OWNER OF RECORD GROVE STREET PETER C MURRAY LIVING TR MURRAY, PETER C TRUSTEE 125 GROVE STREET COTUIT, MA 02635 PARCEL ID: 019-024 Engineering by: SCALE DRAWN JOB: NO. PROPOSED SEPTIC .SYSTEM UPGRADE PLAN Engineering Works, Inc. 1"=20' P.T.M. 279-21 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET No. 125 GROVE STREET, COTUIT, MA (508) 477-5313 12/1/21 P.T.M. 1 of 2 Prepared for: Lynne Smith, 17 West Pine Drive, Walpole, MA 02081 I NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=16.00 FOR A DISTANCE OF 15' FROM THE EDGE SEPTIC TANK PROPOSED D-BOX OF THE PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER PROPOSED S.A.S. OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND T.O.F. EL.=22.0f SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT F.G. EL.=19.0f F.G. EL.=18.5t F.G. EL.=18.0t F.G. 'EL.=18.5f f MAINTAIN 2% SLOPE OVER S.A.S. L = 18' L = 3' ® S=1% (MIN.) ® S=1% MIN. L = 23' 4"SCH40 PVC _ (MIN.) ® SC (MIN.) 4"SCH40 PVC 4"SCH4H4 0 PVC 2" LAYER OF 1/8" TO 1/2" 6" DOUBLE WASHED STONE 10"1 " e aaaSaaa (OR APPROVED FILTER FABRIC) INV.= 14" 2' EFF. aaaaaaa 48" LIQUID DEPTH aaBaaBa --3/4" TO 1-1/2" DOUBLE 16.50 LEVEL ADD PROPOSED 2.6' 4.8' 2.6' WASHED STONE GAS INV.=16.17 _ INV.=16.00 u INV.=16.25 EFFECTIVE WIDTH = 10' 3 OUTLETS INV.=15.50 PROPOSED SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS H-10 RATED SURROUNDED WITH STONE AS SHOWN CONNECT TO EXISTING SEWER AT H-10 RATED BETWEEN CHAMBERS HOUSE, INV.=19.50t(VERIFY) TOP CONC. ELEV.= 16.3t BREAKOUT ELEV.= 16.00 NOTES: INV. ELEV.= 15.50 EasIll asses aaaaa aaaaa aaaaa 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE ease s ease INVERTS, PRIOR TO INSTALLATION. BOTTOM ELEV.= 13.50 4' ENDS 8.5' 4' 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 29.0' TRUE TO GRADE ON A MECHANICALLY COMPACTED PERVIOUS MATERIAL STABLE BASE OR SIX INCH AGGREGATE BASE, AS 5' ABOVE GROUNDWATER SPECIFIED IN 310 CMR 15.221(2). LEACHING SYSTEM SECTION 3) INSTALL INLET & OUTLET TEES AS REQUIRED. NO OBS.GROUNDWATER, EL.=6.8 4) A GAS BAFFLE SHALL - �+ ADJUSTED GROUNDWATER, EL.=8.5 AS MANUFACTURED B INSTALLED OUTLET E SE FAC URED BY OR SYSTEM PROFILE GENERAL NOTES: SOIL LOG 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL DATE: DECEMBER 1, 2021 PERC# 21-308 BOARD OF HEALTH AND THE DESIGN ENGINEER. SOIL EVALUATOR: VERONICA WARDEN CSE, SE-1516 WITNESS: DAVID STANTON RS HEALTH AGENT 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE ELEV. TP- 1 DEPTH ELEv. TP-2 DEPTH LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: -310 CMR 15.405(1)(b): LOCAL UPGRADE APPROVAL 17.9 A 0 17.8 A 0 1) A 1' variance, S.A.S. to cellar wall, for a 19' setback. LOAMY SAND LOAMY SAND 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 17.5 10YR 3/3 4" 17.4 E 10YR 3/3 5" E ►, TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE MED. SAND MED. SAND DESIGN ENGINEER. t 17.3 10YR 5 3 7" 17.2 10YR 5 3 7„ 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING B B FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN -LOAMY SAND -- LOAMY SAND ENGINEER BEFORE CONSTRUCTION CONTINUES, 10YR 4/4 10YR 4/4 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. 15.7 C 26" 15.7 C 25" 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF PERC THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 16'/34" .. HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. MED. SAND MED. SAND 10YR 5/6 10YR 5/6 8. THERE ARE NO ABUTTING WELLS WITHIN 100' OF THE PROPOSED S.A.S. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 8.5 EST. G.W. 8.5 EST. G.W. AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. 7.1 130" 6.8 132" 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY PERC RATE: <2 MIN./IN. "C" HORIZON THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING NO GROUNDWATER ENCOUNTERED CONSTRUCTION. WATER LEVEL IN BOG, EL.=6.4 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS MIW INDEX WELL WATER LEVEL=8.8 OCT 2021 - NO READING NOV2021 IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND ZONE A ADJUSTMENT = 2.1', ADJUSTED GW, EL.=8.5 REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255,(3). 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. IF 11 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC e SYSTEM COMPONENTS NOT SHOWN ON THE PLAN. EXISTING DESIGN CRITERIA H0usE(#125) NUMBER OF BEDROOMS: 3 r.o.F. SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) EX. SEWER DESIGN PERCOLATION RATE: <2 MIN/IN iNv.=is.st WALKOUT DAILY FLOW: 330 GPD DESIGN FLOW: 330 GPD GARBAGE GRINDER: NO-not allowed with design ^ 2j LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF _0 cV v' .74 GPD/SF EXISTING SEPTIC TANK: 1500 GALLON CAPACITY - Fj ----s.-- PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-20 RATED ?1 USE 2-500 GALLON LEACHING CHAMBERS IN SERIES WITH C 1 j STONE AROUND AND BETWEEN CHAMBERS (10.0' x 29.0') SIDEWALL AREA: 2(10.0' + 29.0') X 2 = 156.0 SF -29 PROPOSED S.A.S. 2-500 GAL CHAMBERS BOTTOM AREA: 10.0' x 29.0' = 290.0 SF SURROUNDED W/4' STONE TOTAL AREA:..............................................................446.0 SF DESIGN FLOW PROVIDED: 0.74 GPD/SF(446.0 SF) = 330.0 GPD SEPTIC LAYOUT Engineering by: SCALE DRAWN JOB. No. PROPOSED SEPTIC SYSTEM UPGRADE PLAN Engineering Works, Inc. N.T.S. P.T.M. 279-21 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET No. 125 GROVE STREET, COTUIT, MA (508) 477-5313 12/1/21 P.T.M. 2 of 2 Prepared for: Lynne Smith, 17 West Pine Drive, Walpole, MA 02081