HomeMy WebLinkAbout0015 JULIE LANE - Health JULIE LANE, LOT 3 COTUIT --
A=021-099
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OWN OF BARNSTABLE
LOCATION v SEWAGE #
VILLAGE ASSESSOR'S MAP & LOT QAl -6
INSTALLER'S NAME&PHONE NO
SEPTIC TANK CAPACITY >�S�O D 1 16
LEACHING FACILITY: (type) 0, (size) 110i�—S
NO. OF BEDROOMS
BUILDER OIt OWNERI c
PERMITDATE: 4`'4�-S COMPLIANCE DATE: j„�� 7
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 le chin acilitz) Feet
Furnished by ., d A�alar s
�_F� �6�,
a-E- ja ,
No.
/ — �� F. .- Fee
a
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
( , 3pprication for 0i5po5ar *pgtem Con5truction permit
Application for a Permit to Construct(X)Repair( )Upgrade( )Abandon( ) ,Complete System 0 Individual Components
Location Address or Lot No.L�.3 ✓LL/E 44Ao� , Owner's Name,Address.and Tel.No.
Assessor's Map/Parcel Pt� 8aX <7�� O u 3�
99 mst
Tst 's N e A dress, d Tel.No. Designer's Name,Address and Tel.No.
W,0Z 0 G,Qass PF. 5y-&-1?Z0
/0 W<p *
�.�
Type of Building:
Dwelling No.of Bedrooms Lot Size 43,70/!"sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 446
gallons per day. Calculated daily flow gallons.
Plan Date ✓1 7�, .3. 1717 Number of sheets � Revision Date
Title RWP• 5&WG E S yST0l$9 Lar 3 <10"E 6441,E � 6_ . A14
Size of Septic Tank /SZO 6444d.;IPJ Type of S.A.S. PN�/LTi 7D
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to e e struction and maintenance ol the afore described on-site sewage disposal system
in accordance with the provision of Title 5 o thejEnro e 1 C e not to place the system in operation until a Certifi-
cate of Compliance has been issu b thi oazde 1
Signed', Date
Application Approved by Date
Application Disapproved or the following reasons
Permit No. Date Issued
No. Fee'
to
4•.;, Fee
THE COMMONWEALTH OF MASSACHUSETTS 'Entered in computer:
Yes
PUBLIC HEALTH.DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
ZIPPrication for �Bigool *VZtem Com5truction Verutit
Application for a Permit to Construct(�O Repair( )Upgrade( )Abandon( ) ,Complete System El Individual Components,
Location Address or Lot No.�p7 �,C��t' Owner's Name,Address and Tel.No.
Y Assessor's Map/Parcel _ pv 8UX
ceo iT, �A
Fns't�r's N e dress,ajad Tel.No. Designer's Name,Address and Tel.No.
. A1G.Qr/7if'.CJ G/ZUS5/r1s�.✓ !°a¢. 5y$•/�j 2 0
•F.4�r�/ovTf/ /sip ',
Type of Building:
DwelPng'.f No.of Bedrooms.. � Lot Size3.7b/'_`'sq.ft Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 44o gallons per day. Calculated daily flow S3 gallons.
Plan Date ✓,04 3, 1'7117 Number of sheets � Revision Date
TitleR90", SEtuAGE U/Sl�os,4L 5YSr2yy GAT 3 ✓UL/E 4,-V41E- B,rjyVSjWee- IW14
Size of Septic Tank !�D 641,6410 Type of S.A.S. /1✓T/LT/LA7o,CS
Description of Soil
Nature of Repairs or Alteration(Answer when applicable)
' Date last inspected:
Agreement:
The undersigned agrees to ensure`th`e`i onstruction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisionlof Title 5 o the En 'ron en al Code not to place the.system in operation until a Certifi-
cate of Compliance'has been issue b thi oard o 'e 1
Y \Signe �� bate
Application Approved by U Date
Application Disapproved or athRollowing reasons
s
Permit No. Date Issued
- - ---R---------•--------- .-------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
(Certificate of (Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded( )
Abandoned( )by
at has een constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated
Installer Designer
The issuance of this ermit shall jipt be construed as a guarantee that the system will function as designed.
Date — — "n Inspector \�
----------- -- -- -
No. 46- Fee
THE COMMONWEALTH OF MASSACHUSETTS ,
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
lwi!6poat l*pgtem ( Construction.permit
Permission is hereby granted to Construct Re air( )Upgrade( )Abandon( )
System located at
e
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided: Cons c io must be completed within three years of the date"o t�,nmvm
C
Q'Date: / Approved by 1h
• 3
SOIL EVALUATOR cat PERCOLATION TEST FORM11S
F1ME►p, PAQf I of 4
�o Town of Barnstable
•'RARMArASLE.$! Uclrjt'Iment of IIcalth, Safety, and Fmvironmental Ser�'ices
�P 110flic health Division
rfo
367 Main Street, Ilyannis MA 02601
Mcc: 509-790-6265
FAX: 508-775.3344
Soll '5,llllil hull r A,S'.5'C,S',SII oil lbr Sc ItilAx Disnavil
ASSESSORS MAP NO•
NO. PARCEL
Performed fay' NO• — Date:
(J+�GI C�� �C D.9 te: t
� .!�/�,���
Witnessed By: ,T,v DIU VI t V%Ci U I�
Location Address Owner's Nam
U0 �� Lew sl rP�
I.otM: Address,and
WIMO`t �/��
�I(� WI MOO
Asscswr's Map/Marcel: Tctepnm,e a
NIV CONSTRUCTION 1G REPAIR
U f f��FieYic.rY
Puhlished Soil Survey Available: No_ Yes
Year Published L — Publication Scale/ A5,c-0 Soil map unit Cw}fLU2fe.
Drainage Class E l�f_li.�w_ Soil Limitations cebc '?�+Y�•'K-.A /Rke 1)aeV'm
Surficial Geological Report Available: No Yes
Year Published _ _ Publication Scale _
Geologic Material (Map Unit)
Landform
Flood Insurance Rate Map:
Above 500 year flood boundary No Yes _✓_ '
Within 500 year boundary No t/ Yes _
Within 100 year flood boundary No Y Yes
Wetland Area:
National Wetland Inventory Map(map unit)
Wetlands Conservancy Program Map(map unit)
Current Water Resource Conditions(USGS): Month
Range: Above Normal _ Normal _ Below Normal
Other References Reviewed: _
i IT APPROvr•.r)rOi(M• 12/07/95
H�kn� i - soil, rvALLIAj.uK• 11"OHNI
. !',,vpv t of %
•
3
L�7 3 g�,L,e. LI•J u.�KSfti���.P
I.oc,ltion Address or Lot No, -
Orl-site Rev
.9t�;rCC.'S l
Hole Number Date: Time: Weather c
r�.�d �
Deep Location (identity on site plan) Slope (%► L 3v Surface Stones
Land Use
Vegetation
Landform
Position on landscape (sketch on the back)
Distances from: Drainage way feet
feet �'=
Open Water Body feet Property Line feet
S
Possible Wet Area feet Other —
Drinking Water Well
DEEP OBSERVATION HOLE LOGS
Other
Soil color SoH
Soil Horizon Soil Texture (Muneelll Mottling (Structure, stones,Gravel)rs• Conxistenr.y. M
nopih frnm IUSDn)
Slplacrf IlnchPsl
_� rf U ov��yN,c
v 3,
SKti'7
—� -
TP 5�►w�y �yR7- 1
A4�
fa'-ay�� f3 ��K�y
aye=13E jja 5t'oaA�"t��G
,e6
F �
OeDt►nogedrock:
Parent Materiel ig , weeping from Pit Fece:
Depth to Groundwater. Standing water in the Hole: /�
__-- I \
Estimated Seasonal High Ground Water:___-___--
c�
I�Fp AppROVF.r)FORM 12/07195
FORM I:I - SOIL LVALUATOR NORM
Page 3 of 4
Location Address or Lot No. 3
Seasonal I-i�h Water Table
Determcnatro�i for
Method Used:
❑ Depth observed standing in observation hole......... inches
❑ Depth weeping from side of observation hole .. inches
❑ Depth to soil mottles . inches
❑ Ground water adjustment feet
Index Well Number .. Reading Date .................. Index well level :.... ....
Adjustment factor Adjusted ground water level .............
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?
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on Nw q4 (date) I have passed the -soii'evaivafof 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 "X ..X6
t' "
kill ':i�t` ••`•'p -
I • r
DEP APPROVED FORM• 12/07/13
FORM 12 = PERCOLATION TEST
- (Page 4 of 4
Location Address or Lot No. ! r
A
COMMONWEALTH OF MASSACHUSETTS
1_1 Massachusetts
Percolation Test
Date: ! Time,
Observation Hole #
Depth of Perc
3 ------------
� �
Start Pre-soak 5 7
End Pre-soak a o
2 h cs«//"A,S'
T �" � �• •o a` �L
r � cc)
Time at 9"
Time at 6"
Time (9"-6")
Rate Min./Inch
Minimum of 1 percolation test must be perfor
med In both the primary area AND
reserve area.
SitePassed Site Failed ❑........................................................................................................... ........-............._._......_...,....
Performed By:
Witnessed By:
Comments: _�x c-e l/:~� �� � � . . . . . „ .......... ._..._...,...,. .�............. .,..... ....._�............. ... .
4 DF.P AFFROVTM FORM•12M7195 ,
IC SYSTEM PRO
FILE
FIRST FLOOR
SEPT SAILS LOG �
'ELEVATION48.5 FIN. GRADE
FIN, GRADE OVER
FIN GRADE OVER -FIN.
. -PERCOLATION BEST
SYSTEM
IST BOX 01 ABSORPTION SY M ,
T OU SE
SEP
TIC TANK
D :SOIL AB5 R N
TOP f
A H
TEST HOLE I 462 464 TE H L TEST HOLE ' 2
N
46.5
46.35 . . _ E L
U DAT10 _.
_FO N _
6_ 46 3 46.4
7 ,, 2/o MIN GRADE
0 ELEV. ELE
ELEVATION
. .
6 OF F ,
-O ORGAN(
_ 1N GRADE 6•
.
t -.7.
v
INVERTQ .,
4 • S
.. t n ..,,...,
FOU _ _ SANDY LOAM
43.75 „ 3`` i
ELEVATION 2 3 .aq,a b
r
,. ., .__ _ .�......_.._........__...... _�_� ..._...� ..-.�.-..-.::.�: u� a 1:.
J C�
r
• _..: a e. - _�....,..._.,._..�,. _.........._..._.». ._.___......_...�_.._.,._..._.___...___,� s e
..v.a., ., l a
., .....,..... 42 83
,,► L.... .e. .� _ _T�.r*._. _�_ _t B . LOAMY SAND
SAMEo > .OQ
42,5t.
.,a UN S. 6 p24
4 00 3 8,75 . ,.
m
LENGTH
TOTAL EFFECTIVE LEN T,.
TC.I. P.V.C.PTEE
-. 67
o
PRECAST,
C.. R _
or r _ DIST. BOX
EFFECTIVE WIDTH
H 1500 GALLON
,
. . (.
HIO L OAD NG
o
T
!
,
K
. SEPTIC
TAN ,
T
CI MEDIUM `
NT FLOOR
.. _ a t TO BE ET ,. _. .
MED M SAND
BASEMENT, _ °L A D I N G _r6 ,..�. ...�.. .�.-:: �.
_---
r. • .... ,�., . . .r ..�, r. .. .r LEVEL & STABLE
ELEVATION a,•,. � .. .. . . 9 � . ..
40.00 a BASE
BASE
6 CRUSHED STONE {
,..�L --n- .;. —+tom-. ..—:.�r..
t ACME-`DB OR
APPROVED E UAL ,.s.
" . •
GRADE
3.ar
V AN
D TRUE TO
SET EEL
SEPTIC TANK L. �-.-- _
ON 6R t
N CRUSHED:STONE BASE ON ( Pro file not o scale
34
MECHANIC ALLCOMPACTED Y .NATURAL MATERIAL
138
OBSERVED R VE` D GROUND
ONE
_ ADJUSTED'GROUND:WATER. .
NONE
,
g
P
5 ,
�., PERCOLATION RATE:. MIN./INCH
H .
SOIL CLASS
r 0.74
5
GP F
(J DETAIL
EFFLUENT LOADING RATE. . ... D f
l.. RAT R
1NFI T
`c.or Z UP. . _.
_ SOIL 1=VALUATOR, P RUC EM URPH Y
$-`
NOT TO SCALECERTIFICATION NUMBER.
WITNESS. �. .
JERRY:DUNNING
ARNST BLE
' . B A
BOARD OF HEALTH,'TOWN OF.
1 g H '
DATE OF TEST.
'DEC, 24 I996
C� A
T
_ DESIGN DATA
. w
..3
5
o MS
6
_2 NUMBER OF BEDROOMS ,
6 .A
0
0 ,
O
{iO
3 G.P.D./BEDROOM ,
G.P.D.
,
GENERAL NOTES
�.! ,440
�.- TOTAL DAILY ,�. G.P.D. _
N m 0-,� G ISPOSAL ._
o
GAF�BA E D
44 0 USG5
I:, ELEVATIONS AS UPON
LEACHING:REQUIRED G.P.D. . .ELE A ONS BASED DATUM.
Q
I SHOWN IS -PLAN
531 ` 2 ELEVATIONS AND LOCATIONS HO NON THIS PLA
' _ LEACHING PROVIDED G.P,.D.. L
4 4
�
1500
GALLONS ARE NOT TO CHANGE WITHOUT WRITTEN APPROVAL LSEPTt^ TANKREQ D 0T 15�0 GALLONS 4 SEPT TANK PROVIDED OF THE ENGINEER. AND THE,TOWN HEALTH 'AGENT,a 2 2 s. INSTALLED IN
0 _ 3 ALL SYSTEM .:COMPONENTS ARE TO BE ALLED
r + �---,-- SIDEYt/ALL AREA 68.93 S.F. L
er0 43,701_ S.F. . ..
c ,
A
N , } m
T ` H A H
a = ACCORDANCE WI H S.E.C. TITLE V AND LOCAL E L E
8
OTTOM AREA - 289.78S.F. ' ,
1
O _358 ?I G.P . RULES AND REGULA
TIONS,
ONS
TOTAL PROVIDED 5.F. x 0 74 265.45 � / UNIT
h
0
�o
_ 4 T 1 P V SCH 0.
TO B CAS RON OR P.V.C.
-, 4. ALL PIPES `ARE E
� 2 UNITS 530 TOT
.a ..�' G.P.D., x NIT _ .9
O
N
.� � /:UNIT G.P.D. _
4
OF_HEALTH AND/OR ENGINEER, _ -5, THE BOARD HE L H ND ER TO BE E
� O
O h
FI WHEN SYSTEM IS COMPLETELY INSTALLED
NOTIFIED E Y
Q T ,O LOWER AS SOIL'
NOTE. EXCAVATE EL., R
O P�
�o ;
x
e 'READY. OR INSPECTION.
f,/ ,♦ AND RE F
�. 1 TOPSOIL, SUBSOIL
L ;
S REQUIRE TO `REMOVE ALL OPSO L U
Q _ `CONDITION EQ � ,
r
2
SO AR
0 L OW SNOT TO $E USED FOR .
x 6. `,NORTH ARR i
MATERIAL BENEATH THE
. .. _CLAY OR OTHER UNSUITABLE MA ERI L EA
3
C'�
♦ 4 ,
S
INLET INVERT OF THE SOIL ABSORPTION SYSTEM
ORIENTATION.
40
_
T _
F ` C
A DISTANCE OF 5 MIN. AND BACK ILL WITH.CLEAN 12_
y
R 3I CMR 15 255 3
SAND, PER 0 . .
o GARAGE � \ i
�9
S
+ ti
f
46.3
i
o c
I
i
� ;g0 2
38
LOT 7 U.
2
! P
—_ 46 _
1
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1
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4
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se! -Am
to
< ;« REV BY DATE DESCRIPTION
w � r
-n
tt _ r vs
v
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2
WAGE DISPOSAL SYSTEM
42 __ PROPOSED SEWAGE
Elec. 1.
..._--•-
20319
LOCUS �
_
-�� --�- LOT 3 J U LI E LANE
Ede of Pove 3",`,• _ .
$ m
LE MA.
,N BARN .STAB
o
�._ ,
5 APPLICANT: DOUG 8 lYNN E<ASKEWJULIE LANE T ADDRESS: P.O. eox 114
C TUIT MA. 02635
,. ENGINEER.
NORMAN GROSSMAN R.P.E.
., t
B M _ 36.10
__ ,
LOCUS MAP - SCALE. 1 _ 2000
_ Bound S ,VIEW 0 D `
Top of B �0 MARSH I W R A
ZON
E NE ELEV
ZONING DISTRICT MAP:NUMBER
EAST FALMOUTH, `MAe
- C --- 5 1 002 o T
RF 2 00 1 508 548 1920
PLAN REFERENCE: SCALE
MAP SEC PCL LOT - HSE S DATE DWN. BY / CKr D BY PLAN NO.
3 AS NOTED JAN. 03, 1997 JTH / NG H- 451
BARNST. CNTY. REG. PLAN BK 284` PG 98. SITE PLAN---SCALE ! ;- 30 21 99