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HomeMy WebLinkAbout0020 HULL LANE - Health � 2 O- ,UL, AN ;..r Gntuitw , r�4� �.019 ; 164 ' - - TOWN OF BARNSTABLE LOCATION\ � �SEWAGE# QC) k- 3 Sol VILLAGE Cc�O c a; \ ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. eSZ,t SEPTIC TANK CAPACITY ` !�_d O LEACHING FACILITY:(type) '$ AQ C-3 C:((, (size) L((D' X t i NO.OF BEDROOMS OWNER PERMIT DATE: k CD COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 7 S 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 C 300 feet of leaching facility) Feet FURNISHED BY �,Wi �c�c�\�'Y j�✓�G o 1 rl H 0 s No. c�b 1 `. —35 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS RppYication for Misposal �6pstent Construction 3permit Application for a Permit to Construct( ) Repair( ) Upgrade(t4-Abandon( ) Complete System ❑Individual Components Location Address or Lot No. ;DO (-�_j`\ Owner's Name,Address,and Tel.No.C',,o^< C®Jo i' �o �-+�<� �Aw� SQL-�{��--Gad'? Assessor'sMap/Parcel (aX3S Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.l`••hc1v. ��U Cam. o� 3-7l 's s� 1T-��,ss" '{a 13oh V03o 5--�3-:aq 3a3� !y +LLiIJ lvlA OaS " 1 24L�t� 1M� Q�.J Type of Building: Dwelling No.of Bedrooms S Lot Size O(L) aka sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( .) Cafeteria( ) Other Fixtures Design Flow(min.required) S-S O gpd Design flow provided gpd Plan Date l© � Number of sheets Revision Date Title Size of Septic Tank t Type of S.A.S. FAp (Z49 .3G cm�G<, �4�aocc„t y Description of Soil Nature of Repairs or Alterations(Answer when applicable)- . J_ra 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 Date ?O P 1 Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued i 5a X , S. �NO. � ......._.�_� �, Fee a, 1 `�n� � � THE COMMONWEALTH OF MASSACHUSETTS Entered in computes: i` Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2pplication for ;Disposal *pstrm Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade(L,�'Abandon( ) Pcompletesystem ❑Individual Components Location Address or Lot No. �O (. l Ati Owner's Name,Address,and Tel.No. Assessor's Map/Parcel �•� ` G z B-C 7 Ge�c�: Installer's Name,Address,ana Tel.No. Designer's Name,Address,and Tel.No. o, e3esx 3�C sash- ��-6�s"� A p.ca L3 3 a3u Type of Building: yv Dwelling No.of Bedrooms Lot Size JC'� a S-Q sq.ft. Garbage Grinder( ) Other Type of Building S , No.of PersonsV Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) SS U gpd `Design flow provided SG le gpd Plan Date (Q ` ( 1 1 ( Number of sheets ' Revision Date ti Title Size of Septic Tank k ,';OC) (, Type of S.A.S. PRC_S (Z'49e.3C l4 L Description of Soil 'i Nature of Repairs or Alterations(Answer when applicable) ( �/�,� srlC; C_ 1,j 7 0 0-�L�{,-k e y.� �D `CNO 5, {6`kC Z6 S 6 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 Date f Q r 1 j Application Approved by Date 1 "Application Disapproved by Date for the following reasons J Permit No. �m / 3 S 11- Date Issued d THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded V) Abandoned( )by at © �c�� L..�Jr��. ��,:�.:� has been constructed in accordance ) f with the provisions of Title 5 and the for Disposal System Construction Permit Na;;ty//-3 513Lda,ed q/ Installer Designer d 1 #bedrooms Approved desig flow gpd The issuance of this permit shall of be c EsT ed as a guarantee that the system �ti aslesigne /( h� \� Date li gib" Inspector /J( VV.-V ---------------------------------------------------------------------------------- No. Q_C) 1 3 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade Abandon( ) System located at Z)C) ti i 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. s Provided:Construction m st be Lopleted within three years of the date of th`permit.Date / Approved by r �i I I Town of Barnstable Regulatory Services Thomas F.Geiler,Director aaxrtsTasre, $ Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:. 508-862-4644 -Fax:.-.508-79M304 Installer&Designer Certification Form Date: j ol� Sewage.Permit# Ocn Assessor's Map`Parcel. VU Designer: ri c�-� .� Installer: ���� s f Address: Zo SC) Address: 3o x 3 7 MA 02-5XP 0- On ye,e cQ „z-r zh was issued a permit to install a (dat ) (installer)t septic system at Zo` LL B L T based on a design drawn by (address) L i N r`} f dated 10 (designer) V I certify that the septic system referenced above was installed substantiallyaccording to, the design, g which-nisy-include-minor,approved.changes-snob�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 I O'-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 require was inspected and the soils were found satisfactory. OF p UNDA J. - _ rs. INTO „ staller's Signature) CIVIL No 46504 t �o FCi TES' ffi esi /s Signa (Affix'Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WELL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.. THANK YCI . Q:1Septic\Desimer Certification Form Rev 03-OM6.e - Town of Barnstable P# Departiment of Regulatory Services I a isar�a�, F Public Health Division Date -� NABS. r�.D.7 200 Main Street,Hyannis MA 02601 Date Scheduled �� Time Fee Pd._-J.C)� Soil Suitability Assessment for Sewage Disposal Performed By: C _SW SI P a✓; Witnessed By: LOCATION& GENERAL INFORMATION Location Address ® V LL L ly—� Owner's Name `DI 4M/J M VS kJ Address Assessor's Map/Parcel: o ` f t0 L4 Engineer's Name r wQ�A NEW CONSTRUCTION REPAIR Telephone# F4 -2, ( ( ZJy Land Use "i Slopes(%) ®— /0 Surface Stones No Distances from: Open Water Body �U f9 ft Possible Wet Area__N 1A_fc Drinking Water Well /A ft Drainage Way 6A ft Property Line �20 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands 3n proximity to holes) 4 M Parent material(geologic) teU � f Depth to Bedrock / Depth to Groundwater. Standing Water in Hole: N li�. Weeping from Pit Face' Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: —In. Depth to soil mottles: In. Depth to weeping from side of obs.hole: in, Groundwater Adjustment ft. Index Well# Reading Date: Index Well level :_ Adj,factor,,,,,..,.._... Adj.Groundwater Level,, PERCOLATION TEST bete , Thne Observation Hole# Time at 9" _ Depth of Perc 6�" Time at 6" Start Pre-soak Time @ :O® _ Time(9"-6") End Pre-soak ®•Oq Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) 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 Conservation Division at least one(1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Sdil Color Soil O7]Houlders. Surface(in.) (USDA) (Munsell) Mottling (Structureo i ten c� As d/ 4/1 DEEP OBSERVATION HOLE LOG Hole#• �l Depth from Soil Horizon Soil Texture Soil Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. o sis en %Gravel) v. c�S 0 lit 414 �- Y7 — l2o C DEEP OBSERVATION HOLE LOG Hole# ::V?; Depth from Soil Horizon Soil Texture Soil Color. Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%LG e M L S /0 1 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) _ (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consi t n 0-C A ID vit 3 - 10 BLS —'-'q W �p x-1 —120. Flood Insurance Rate Man: Above 500 year flood boundary No Yes _Z Within 500 year boundary No_ Yes Within 100 year flood boundary No.Z Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervio s material exist in all areas observed throughout the area proposed for the soil absorption system? _ . If not,what is the depth of naturally occurring pervious matorial$ Certification I certify that on XO (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 tr�,,qertise and expVerience described in 10 CMR 15.017. Signature Date l �L Q:1S.EPTICIPERCF0RM.DOC /tom aac ve c0 THE OF B TOWN ® A1� NSTABLE i 8AHII4T11DLE, • 1639 9� QYpYa�e BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......KA rt-44....�1...GAR...(..........�`!�������............. TYPE OF. CONSTRUCTION .................K10.0.4..........R. !A.IL..................................................................... ............................ .................19. . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a,permit according to the following information: Location .........N00.........�\A.4t........ /�Al�fi........ — 01C-ro 6 7 .................... . . .. .......... Proposed Use .........,.X:.-1ZAAA..........k..........�....CAP......CQA.lR-1fA.(4k .................................................................. Zoning District ........ .. ..! ........... ..Fire District j ,A1 ........................................................................ Name of Owner flv5. tg.... ...Address � Al.A Name of Builder ........ Address ..... d ....�.. IAS�. Name of Architect ..............5-AIA.,.......A�Q.OJL..............Address .................................................................................... Number of Rooms ......... K1....... �...CARAAqk.........Foundation ....�. ;?qh A4��. P ?. .�:. ............. ...... ........ .... ...... .. ........ . Exterior ....... .U.t .l�.......... ���. .h �00� .SA!rVGl� .. ............................Roofing ............................... ........... ................................ Floors ..44�5�.�1�........ ...... 4.!SC.�.� #........Interior ..........5 .��' 04°. ........................................ Heating .........AL. ......k.9.............................................Plumbing .......... ....4.QPl..'e..... ....... Fireplace ...........�ka.�-,K ...` . . .L?IZA CO?..............Approximate Cost .. ... '�- �..Q+d. ................................... Definitive Plan Approved by Planning Board __ _a(�._____19 Diagram of Lot and Building with Dimensions �-- On SUBJECT TO APPROVAL OF BOARD OF HEALTH Q�A^f �cF��� y I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name.. ..... ..... ......... s................ Huster, H. Harrison 16771';No .... Permit for sin e Z49 gb �or 4).. .I.Saraly..dwp lung... 0 �ib .,Pr.Q4)...... Locatiom.....Hull..Lane.. ................ ......... ......... ........................cQtult......................................... Owner .........a....Harmi s im-Pius: ex................. f rame, Type of Construction .......................................... ................................................................................ Plot .......................... :.....Lot ................................ Permit Granted December 4 73 ......... ..........19 Date of Inspection .............. .....................19 ...Date Completed . . ....7 ... PERMIT REFUSED .......................................................... ...... 19 .......-.5....-6........70 ............. ................................................................................ ......................................................... ..................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... �_ I I i I I i„ I 1r j z31•94 1 f � • SEC1j•�Q ,I �I � � �. i I ' Aor 4. F- zo t z� AGk WW.a kaewEa ! r7iy�' Al�,r, ibxlsr�n, Poecu Ic ! r i rb i I j• ? I i I + i 6S.00 1 4A /Y I . � .. i 1 I ♦ 1 {. i� j i � , ,i j. i J i. � � I. I '1 1. I `I � ' i i j i ., - •�a 1 j ,L. �!� � I 'I i I I� I ` j �. � (. I I I I i k: 11 - � �j�• � I I i t _I I I I i { I � I� li ' . I I �, 1 I •j' � j� I � I I �, I ' �I i i I� 1 i I ' - {; I�� I I ,{{ :4� +:�•_ ' - I i i .`` I i i I I I I I I I i i 1 I I� i I" I, � , � { i I Q1Q i COTU IT, TOP Of FOUNDATION 24"dameter concrete covers MA EL=50.0 raised to within 6"of finish grade Quina u'55et Ave (or as noted) Inspection Port and cap with magnetic THIRTY TWO(32)ADS ARC3GHC (3G I GBD2) marking tape to within 3'of grade LEACH CHAMBERS IN BED CONFIGURATION WITH Existing fL=49.0(min) fL=46.B± EL=46.3(min)-48.6(max) FOUR(4) ROWS OF EIGHT(8)CHAMBERS � 40' /��j / titiP� 18" min Cover for c 5' 5' 5' 5' 5' 5' 5' 475± H-20 Loading 45.6± v v Shell Ln C0 , x 4,5.0± 47.00 LOCUS 4,; 46./7 46.00 45.15 Existing Gas Baffe J 44.25 N Hull n ro C - / m 5t N in Keela Rci Cotuit THIRTY TWO(32)A05 ARC36HC Longest Run B 2'+- 9' (36/6BD2)LEACH CHAMBOR5/N BED c6? Bay � �30' Nickerson Rd � 03-6 CONF/DURATION WITH FOUR(4)R01*5 a� N l 500 GALLON (111-20 Rated) OF 5/61YT(B)CHAMBER5 L=L=36.0±Bottom of Test Hole n SEPTIC TANK D-BOX LEACH CHAMBERS lnepecton Ports (See Note#4) FLOW PROFILE 5' SITE LOCUS Sod Removal(See Note#20) NOT TO SCALE 40 mil HDPf Liner(See Note#22) NOT TO SCALE PLAN VIEW SCALE: I " = 10' 1 .) Assessor's Map 19 Parcel I G4 2.) Deed Book 9801 Page 274 3.) Plan Book 2G9 Page 44 Lot 1 4.) This property 15 not in a Zone II of a Public Water Supply 5.) Flood Zone: C G.) This Area 15 Served by Town Water Bth Second Floor Bdrm LEGEND EXISTING SPOT GRADE 24x5 PROPOSED SPOT GRADE F1co447 Existing Septic Components to -- EXISTING CONTOUR be Abandoned(5ee Note#2/) 24- PROPOSED CONTOUR Storage W 77 3 48 4 Kitchen Den Bth Bdrm P W WATER SERVICE LINE 7- N BENCHMARK 74 o UNDERGROUND- OVERHEAD I TILTY IITYSINE5 family Dirnng i 18" Pine Top Corner Concrete EL=50.00 (Assumed Datum) G GA5 SERVICE LINE Y m �- p s.a Z 36"Tree - - TOP OF BANK CONSTRUCTION NOTES - +-�--•- LIMIT OF WORK Bdrm Living `J �/�/�� EDGE OF CLEARING Fir5t floor 43.7 f 49.31 1 FENCE 1 .)ALL WORK SHALL CONFORM TO THE STATE ENVIRONMENTAL CODE,TITLE 5 (3 10 CMR 1 5.000): / ��_�do 23 ne �d9e of 0 TE5T HOLE LOCATION STANDARD REQUIREMENTS FOR THE SITING, CONSTRUCTION, INSPECTION, UPGRADE, AND EXPANSION ,; P Sr SEPTIC TANK OF ON-SITE SEWAGE TREATMENT AND DISPOSAL SYSTEMS AND FOR THE TRANSPORT AND DISPOSAL EgSt� _ so. F a�ecy DB D15TRIBUTION BOX OF SEPTAGE, AND THE LOCAL BOARD OF HEALTH REGULATIONS. To n O FLOOR PLAN p Of o n e�dr f O"��ew 5'5od Removal(5ee Note#20) 5A5 501L A550RPTI ON SYSTEM 2.) ANY SEPTIC SYSTEM COMPONENT INSTALLED IN A LOCATION WHERE THERE 15 POTENTIAL FOR �j O ii `yatrop�n'DN �'I ree ay Reserve RESERVED FOR FUTURE USE VEHICLES OR HEAVY EQUIPMENT TO PASS OVER IT SHALL BE DESIGNED TO WITHSTAND AN,.H-20 40 and HDPELiner(5ee Note#22) LOADING. IF UNDER AN IMPERVIOUS SURFACE, SYSTEM SHALL BE VENTED TO THE ATMOSPHERE. �p �L'Sollih9 �dm\� c/o `�.+ UTILITY POLE NOT TO SCALE N 0rch 0� .� (ED CATCH BA51N 3.)TO MINIMIZE UNEVEN SETTLING, ALL SYSTEM COMPONENTS SHALL BE INSTALLED ON A STABLE ' @,y ! 0 F FIRE HYDRANT MECHANICALLY-COMPACTED BASE ON SIX INCHES OF CRUSHED STONE. �fato'r %.Concr G' e S DRINKING WATER WELL 4.) COVERS OVER THE INLET AND OUTLET TEES OF THE SEPTIC TANK,THE DISTRIBUTION BOX, AND THE / Sfabete 4�.9 S�°S do CLEAN-OUT 501L ABSORPTION SYSTEM SHALL BE RAISED TO WITHIN G"OF FINAL GRADE. LEACHING FIELDS, 2/S„� TRENCHES, AND OTHER SOIL ABSORPTION SYSTEMS WITHOUT ACCESS MANHOLES SHALL HAVE AT �� O LEAST ONE(I) INSPECTION PORT CON515TING OF PERFORATED 4"PVC PIPE PLACED VERTICALLY TO 1\ �� Q}�� TP-2 THE BOTTOM OF THE SOIL ABSORPTION SYSTEM WITH A CAP,TIED WITH MAGNETIC MARKING TAPE, N O�m v _ e O 45.0 ACCESSIBLE TO WITHIN 3"OF FINAL GRADE. tS •N� y 9 w 49.- 44 5.) PIPING SHALL CONSIST OF 4"SCHEDULE 40 PVC OR EQUIVALENT. PIPE SHALL BE LAID ON A MINIMUM CONTINUOUS GRADE OF NOT LESS THAN 2% FROM THE BUILDING TO THE SEPTIC TANK, AND m�/ u \ NOT LE55 THAN I%OTHERWISE. �/ / 1 CO 44 % yW Clum ee5 u b 46 ti G.) DISTRIBUTION LINES FOR THE SOIL ABSORPTION SYSTEM SHALL BE 4"DIAMETER SCHEDULE 40 �/ 1 u ^ PVC (OR EQUIVALENT) LAID AT 0.005 FT/FT. UNLESS OTHERWISE NOTED. LINES SHALL BE CAPPED AT N 48.00, 4, R END OR AS NOTED. SYSTEM DESIGN CALCULATIONS 69°4So9 / l 31 L _ 63.9g rVe 7.) LINES FROM THE DISTRIBUTION BOX TO BE LEVEL FOR THE FIRST TWO(2) FEET BEFORE PITCHING 98,50' � f TO THE SOIL ABSORPTION SYSTEM. DISTRIBUTION BOX SHALL BE WATER TESTED TO ASSURE EVEN 5EWAGff DE5IGN FLOW R5QUIRFD:3 BDRM DWELLING f 2 FUTURE 3DRM5 Qa ! 37 00' A, 49.0 f O DISTRIBUTION. l l0 GPD/BEDROOM=550 GPD REQUIRED 26 8°3g 56 V r ^f Q _ .50' 5.)GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR LEAVE ALL CONCRETE STRUCTURES IN 5EWAGE0E5/GNFLOWPROVIDff0 THIRTYTWO(32)ADS UN/T5/N BED R - 46.00, / LOT 1 °� ORDER TO PROVIDE A WATERTIGHT SEAL. CONF/GURATION/N FOUR(4)ROW5 OF EIGHT(6)UN/T5 EACH. Area=20,2 5 2 S.F.± 9.) HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OVER THE LIMITS OF THE SEWAGE Vt =((550/0.74)/(4.6 FT2/fT)/5.0 Lf7 =3/ ADS UNlT5 SS DISPOSAL FIELD DURING THE COURSE OF CONSTRUCTION OF THE SYSTEM. REQUIRED(32 PROVIDED) h u I I Lane 10.) IN ACCORDANCE WITH 3 10 CMR 15.22 I, ALL SYSTEM COMPONENTS SHALL BE MARKED WITH 566 GPD PROVIDED> 550 GPD REQUIRED 0" `V MAGNETIC MARKING TAPE. (40' Way) 5 L� 5EPT/C TANK CAPACITY REQUIRED: 550 GPD Y 200% _ l/00 GPO REQUIRED 28.2 'IQ 1 1 .)THERE ARE NO KNOWN WELLS WITHIN 100'OF THE PROPOSED SOIL ABSORPTION SYSTEM. R 5EPT/C TANK CAPACITYPROVIDE0: 1500 GALLON 5EPT/C TANK q 3 AO 12.) FROM THE DATE OF THE INSTALLATION OF THE 501L ABSORPTION SYSTEM UNTIL RECEIPT OF THE CERTIFICATE OF COMPLIANCE,THE PERIMETER SHALL BE STAKED AND FLAGGED TO PREVENT USE OF A GARBA6,ff0/5P0,5AL/5 NOT PERMITTED WITH TH15 DES/GNFLOW w THE AREA THAT MAY CAUSE DAMAGE TO THE SYSTEM. 13.) THE DESIGNER WILL NOT BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UNLESS 5 I TE PLAN CONSTRUCTED AS SHOWN ON PLAN. ANY CHANGES SHALL BE APPROVED IN WRITING BY THE DESIGNER. SCALE: 1" = 20' 14.)THE BOARD OF HEALTH REQUIRES INSPECTION OF ALL CONSTRUCTION BY AN AGENT OF THE BOARD OF HEALTH AND THE DESIGNER. THE DESIGNER SHALL CERTIFY IN WRITING THAT THE SEWAGE DISPOSAL SYSTEM WAS INSTALLED IN ACCORDANCE WITH THE TERMS OF THE PERMIT AND THE APPROVED PLANS. 48 HOURS ADVANCE NOTICE 15 REQUESTED. 15.) LOCATION OF UTILITIES IS APPROXIMATE AND CONTRACTOR SHALL BE RESPONSIBLE FOR DETERMINING THE LOCATION OF ALL UNDERGROUND AND OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF ANY WORK. THIS INCLUDES, BUT 15 NOT LIMITED TO, REQUESTS TO DIG5AFE, C, C, ANY PRIVATE UTILITY COMPANIES, AND THE LOCAL WATER DEPARTMENT. TEST HOLE LOGS I G.)CONTRACTOR SHALL VERIFY THAT ALL WA5TELINE5 ARE CONNECTED BY WATER TESTING WITHIN THE DWELLING PRIOR TO INSTALLATION OF ANY SEPTIC COMPONENTS. 17.)CONTRACTOR SHALL VERIFY EXISTING INVERT ELEVATIONS PRIOR TO INSTALLATION OF ANY Test Hole#I (EL=49.8±) P#13437 Test Hole#3 (EL=4G.2±) SEPTIC SYSTEM COMPONENTS. Depth Layer Sod Cla55 Sod Color Comments Depth Layer Soil Class Soil Color Comments Survey Work by.' 18.) INSTRUMENT SURVEY CONDUCTED FOR PROPOSED WORK ONLY. SITE PLAN SHALL NOT BE USED 0"-5" A Medium Loamy Sand I OYR 3/1 0"-4" A Medium Loamy Sand I OYR 3/1 A & M band Services FOR STAKING, OR ANY OTHER PURPOSES. 5"-8" E Medium Loamy Sand I OYR 4/1 4"-10" E Medium Loamy Sand I OYR 411 618 Route 28, Suite 3 19.)THIS PLAN DOES NOT CERTIFY, GUARANTEE OR WARRANTY COMPLIANCE WITH ZONING BYLAWS, 8"-18" B Fine-Medium Loamy Sand I OYR 4/G 10"-2 1" B Fine-Medium Loamy Sand I OYR 4/G iPest Yarmouth, MA 02673 SPECIFICALLY, BUT NOT LIMITED TO, SIDELINE SETBACKS AND BUILDING HEIGHT RESTRICTIONS. 18"-1 20" C I Medium Sand I OYR G/4 Perc @ 59" 2 1"-1 20" C I Medium Sand I OYR G/4 Perc @ 59" Pb. (508) 737'-1777 Emell.' enmlead0comeest.net I CERTIFY THAT I AM CURRENTLY APPROVED BY THE 20.) SOIL REMOVAL: ALL TOP501L("A" LAYER)AND SUBSOIL("B" LAYER) SHALL BE REMOVED IN THE DEPARTMENT OF ENVIRONMENTAL PROTECTION PURSUANT TO AREA OF TP-4 FOR A D15TANCE OF FIVE (5) FEET LATERALLY FROM THE 501L ABSORPTION SYSTEM 310 CMR 15.017 TO CONDUCT 501L EVALUATIONS AND THAT Prepared for: DOWN TO THE CLEAN SAND LAYER(EL=43.G±). AREA TO BE BACKFILLED WITH CLEAN SAND AND Test Hole#2 77=49.5 ) P#13437 Test Hole#4 (EL=4G.0±) THE SOIL ANALYSIS HAS BEEN PERFORMED BY ME CON515TENT COMPACTED TO MINIMIZE SETTLING. WITH THE REQUIRED TRAINING, EXPERTISE, AND EXPERIENCE %tAOFAt� Depth Layer 5011 Cia55 Soil Color Comments Depth Layer 5011 Class Soil Color Comments DESCRIBED IN 310 CMR 15.017. 1 FURTHER CERTIFY THAT THE Diane J. Huster 2 1.) EXISTING SEPTIC COMPONENTS TO BE LOCATED, PUMPED DRY, FILLED WITH CLEAN SAND AND RESULTS OF MY SOIL EVALUATION AS INDICATED ON THE LINDA J. ABANDONED IN PLACE. AREA TO BE COMPACTED TO MINIMIZE SETTLING. cy� 279 Winter Street, North Andover, MA 0"-G"" A Medium Loamy Sand I OYR 3/1 0"-5" A Medium Loamy Sand I OYR 3/ PINTO 1 ATTACHED SOIL EVALUATION FORM, ARE ACCURATE AND IN � ' � G"-8 E Medium Loamy Sand I OYR 4/1 5"-10" E Medium Loamy Sand I OYR 4/1 ACCORDANCE WITH 310 CMR 15.100 THROUGH 1 5.107 Pro orJed Sewa e Dls o5al S Stem 22.) INSTALL A 40 mil HDPE LINER FOR BREAKOUT FROM EL=45.G TO EL=4 I .G AS SHOWN ON PLAN 8"-17" B Fine-Medium Loamy Sand I OYR 4/G 10"-29" B Fine-Medium Loamy Sand I OYR 4/G VII p g p y (SEE PLAN VIEW). 1 7"-1 20" C I Medium Sand I OYR G/4 29"-1 20" C I Medium Sand I OYR G/4 ? p . 65 20 Hull Lane, Cotult, NIA 0 F y G f S T 01 23.) ANY EFFLUENT FILTER INSTALLED IN THE SEPTIC TANK OUTLET TEE SHALL BE INSPECTED AND s.010 L e Prepared by: CLEANED ROUTINELY TO PREVENT CLOGGING AND BACKUP OF THE SEPTIC TANK. DATE OF TESTING: 10/18/I I � ��.,.� I c i it �� o ii 501L EVALUATOR: LINDA J. PINTO, P.E., CSN ENGINEERING Linda J. Pinto, Certified Soll Evaluator BOARD OF HEALTH AGENT: DON DESMARAIS, BARNSTABLE HEALTH DEPARTMENT CSN .- PERCOLATION RATE: LE55 THAN 2 MIN/INCH IN C I ' LAYER Ali INSPECTION NOTE: NO GROUNDWATER ENCOUNTERED ��1,� Engineering PRIOR TO FINAL INSPECTION BY THE ENGINEER, SYSTEM NEEDS TO BE COMPLETE INCLUDING BUILDUP FOR COVERS. 0 20 40 G0 P.O.Box2030 Phone:(508)299-3250 Teaticket,MA 02536 Fax.(508)548-5478 SCALE I "=20' C:\CSN\RR-Hull\RR-Hull-SDS Plan.dwg Date: 1 0/14111 1 Scale: A5 Shown I By: LIP Check: MTA I Project No. C5N01 93