HomeMy WebLinkAbout0440 MAIN STREET (COTUIT) - Health 440 Main Street
Cotuit _
-� — - A=022-039
R
r�
TOWN OF BARNSTABLE
LOCATION y .G 1 d,( SEWAGE#
LVILLAGE� �,L., ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. ,C . ( _ .<6r- —1-1
SEPTIC TANK CAPACITY L%�k L2 1 t 0.(.. 1_C,276 Z kk—
o P
LEACHING FACILITY: (type)'"77C--1 l-(e-W= (size) r6x WO')(4 —b-
NO.OF BEDROOMS -9.
OWNER t�t4ALe r
PERMIT DATE: - - COMPLIANCE DATE:I �)
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility .39 Feet
Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) pN Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) P1 A• Feet
FURNISHED BY
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P
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No. V 08 Fee ' 00
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
ftpliCatlon for Misposal 6pstem Construction Permit
Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 41VO AW j.9L, (..Oi4ve I- Owner's Name,Address,and Tel.No. Kvn&b s
Assessor's Map/Parcel a a- G �vo�4"n S><. COS�utf SOS- U �0113
Installer's Name,Address and Tel.No. 'SVSS-7)/-93W Designer's ame,Address and Tel.No.
f_kor-W&-&, CanSfruG4i®y►�ynG o0Ulla� �n %/162ri �y 1.nC
P.D.136 X U 8 r >l. N# o- �s
Type of Building: +
Dwelling No.of Bedrooms 3 Lot Size I g rI / sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 3'3_4) gpd Design flow provided 3(11, 3 gpd
Plan Date- 1"'� do I Number of sheets 4 Revision Date
Title,i i'de r ✓1 G4-. W`�'u/
Size of Septic Tank ` �' t6 /-1
f Type of S.A.S. • •@ o i r7 ,
Description of Soil 3ee $p
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction an a ance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Envir ental Co and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of th.
Signed Date
Application Approved by Date
Application Disapproved b Date
for the following reasons
Permit No.20 I I— 088 Date Issued y
Fee
THE COMMOM�EALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ' Yes
v
Application fort Misposal 6pBtem (Construction i3Prmit
Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 4/y0 lt&A �L; eoU -ue.j Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel LyU/tl�i�t Sf•
50i - VaL -0113
Installer's Name,Address,and Tel. `?J$-�'�1-g 3Sq Designer's Name,Address,and Tel.No. SU 5''3e,a-C/S-y/
(�� vrfi �'Ul►5�(uC 416t� �ml
106e -?o &IrinVerij�f! 1;1C
o.� %(! 1-rs A va 8 err �ivf�; 0ze.75'
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size /r 5 sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 3�3,a gpd Design flow provided 3 VA 3 gpd
Plan Date /UPI rah 31 c?a i I Number of sheets I Revision Date
Title 1' �E '� �,�, p ri n n 7 nYu+�{ ;✓, Sf �U �V t /
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
1
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction a"amt ance of the afore described on-site sewage disposal-system in
accordance with the provisions of Title 5 of the Envirotun ne tal Cod: nd� not to place the system in operation until a Certificate of
Compliance has been issued by this Board of alth
Signed Date
Application Approved by Date
Application Disapproved b Date
for the following reasons
Permit No.go I/— Date Issued y I
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage)Disposal system Constructed( ) Repaired(De Upgraded( )
Abandoned( )by iC�n} , 0or,C�C'bt�`I�t arlf
^h at q qb NIA; (r has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. O(f-A* dated y/7 I I
Installer �r,'n ( c�i,v�-;r �r Designer MWC') NO L—n
#bedrooms Approved design flow gpd-
The issuance of is p rmit shall not be construed as a guarantee that the system will rnh'o s desig d.
Date Inspector
No. 1-- 086 Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS
MispoBaf 6pstem Construction VPrmit
Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( )
System located at yS/Q ��,
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:Cons ruction must be completed within three years of the date of this permit.
Date / [/ Approved by
: ..
APR-20-2011 08:47 From:BORTOLOTTI CONST 5084289399 To:15087906304 P.1/2
FROM :down cape engircering inc FAX NO. :15003629080 April 19 2011 03:16PM P1
Regulatory SaRviceai
111tlWSf1'�L�, "
•„fe,gv
'09 MWO 6trcet,fffSmnis,MAID 02601
( 1wa: vjO9 02 044 Fax: W 190 $104
RD d,�: �� �f c�►a a>I°e aaxa�� doll -Dpa'. mapWarre.A cl�
Mott(non 0 Wr) /ld OPI7 rawtalla m: p,r o�L!✓ Y;_d 'ttc 58-�
pp
tea /`r ..�-�
C)►,�7 f �' i'�8uvdl it permi t to inxtal J a
uLr ( LS�81lCS)
9t ptic systam at U ��r n•, hamd,n a rles.11ga Llrawu by
(acidresss
l 11tr✓�r f d�•d.�P. afzcl � r'
I certify that to septic syefau xc•lLvencel above 'wus L-wutiled. sul)atart+tiAU.yy avordmi g IQ
the CiPO,71, w.hic:b. Oay iWlLI&ttlmnr, apr4rove.d chatip's such. ;)q biteral rclocabOyl n! tho
distdba io'u bo mdloT wr c teak.
Z certi.l'v UL the septic Frystem.Xrtt`[1,,uoed ahave, '4 As ituer'r llui wiLh m4ior rhmiges (i-a.
miter than t(? latual re.lncat.iptt Of Lh4 tlAS ar xiy voxtic al rt:lomtdun of any enmpon.ert
of the gepti,c gygtexja) but lu aw orwlmvc wiT11 k.3talc .fie Z mal Regldifdnn3. PIA11 rcvisiofl or
ceLta i -bu.ilt by desipow Lot Plow
RANI LA.
5—st en-TCML
gr
—� No.4M2
9�per S1runh��,e) �-• � x )N.� .�tur'��Lan�P Reza?
ry J" .Ifjp.UF Nrrnr, ; ' _ u,�y aoa art t;f;�a�'yr�r�jerA l'te taut .
�' MWM&U1„k_.1?VJ�iLI rJt2'1`.�'i.J{+° +�'UP ITFTT%i, ttll'1`1,IjH1S _rt)YtN( Ad'D A8-M.,:1_C&a) All"
ktEC 01� u 4Y T" fAORKOLA PUr:LTF,.V Pave;►ION. TR_4!. (VTT
(;:i fculU�I;le�3fitJ1}e�l{paG'CC�tlflratiou l+oiAS.1�s114-Su4
I
Town of B arnsta.ble P#_ l 3�2 l q
SIRE 7
� Depart' ent of Regulatory Se,r es
✓l w
L ]�t��r•AHI.>" � Public Health Division � Datere
t5� ��� 200 Main Street,Hyanuis MA 02601
7
Date Scheduled— Time � "7
Foil Suitability Assessrizent for Sewage Disposal
Perfonned By: Witnessed By.: (AU+\
ILOOATION & GENE,RAL INFORMATION
Location Address (�(�f1 �! n Owner's Name n�✓Oj,
1ot�I 1 , �n ,L{- Address JU
Assessor's Map/Parcel: o) � _ o21 Engineers Name ' � ��,e
NEW CONSTRUCTION REPAIR Telephonell
Land Use• e ] Slopes(1/0) Z,% SurFace Stones
Distance's From: Open Water Body ft Possible Wel Areq —fl Drluking Water Well ft
Drainage Way_�gO ft Property Llne 010 Ft Other ft
S KE T CH.,., (Street came,dimensions of lot,exact locations of test(roles St pert tests;locale wetlands-in prod[lily to boles)
CA
i
l •
l .
/fin t �� •
vIC-$ v
fi
Parent material(geologic)_Q U ' wi V\ Depth to BvIr'oelt,
Depth to Groundwater: Standing Water in Hole:-A Weeping Il'aitl Pit Pftoe
Estimated Seasonal High Gioundwater A 1.4s4
D]C7CEPPUNATION FOR SEASONAL 1110111 WATER TABLE
Method Used:
Depth Observed standing in obs.hole: In, Depth l0 5011 IJI9tll.58:_,.,_- In.
Depth to weeping from side of obs.hole: _ lA, Groul]dwater.Adjusln]enl u
Index Well 1# Reading Dale: Index Well leYol � Ad�I,fllcti7Y,,,,,;_,•^� A41.Grl?UI1flWuteY UvLil
JFER COJ[aAT ION TEST Dude 'A'tnr(I
Observation
Hole,F Cinle ttt
Depth of Pcrc TImp at 6"
Start Pre-soak Time @ Time V'A")
End Pre-soak
Ratc Min./Incll �
Site Suitability Assessment: Site Passed X Silg--Failed: Additional Testing Needed(YIN)
Original: Public Health Division Observation Hole Data To Be Completed on Back-----------
` **lf pei•Colatiou test is to be conducted within 100' of WVefland, you must first Uotity ale.
Barnstable Conservation Divisioll at least olle (1) WVeelc prior to Ibeginuing.
QAS GPTICTERC17011M.DOC
DR EP.OBS]E]f� �'g®SOT H®g,7E LOG Hole #
Depth from Soil Irorizon ,
Surface(in.) Soil Texture `Soil Color
(USDA) Soil Other
(Munsell) Mottling (Structure,Stones;Boulders.
Con ista c %' ravel
L. V-G
------------
DERP 0-ps_E_RVATION HOLE, LOG
Depth from Soil Horizon Hole#
Surface(in.) Soil Texture Soil Color
(USDA) Soil
(Munsell) Mottling (Structure,
S r
tones, Boulders,
Consis ene %Gravel
4
A�
Depth from Soil Horizon S Ho�A?#
5i�rface(in). oil Texture Soil Color. `—'�-
(USDA) Soil
) (Munsell) Other
Mottlln
g (Structure,Stones,Boulders.
Co Sistw 9a Onvel)
-
Depth fi•om Soil Horizon �'®�a' Hole,#
Surface(in) Soil Texture Soil Calor soil(USDA) ., (Munsell) MottlingOther
(Structure,Stones;Boulders,
Consistency °h aravP�^
r,goodl Insurance Rate Map:
Above 500 year flood boundary No Yes
Within 500 year boundary No
Yes
Within 100 year flood boundary No� Yes
IDlep➢➢� oa— �I` tnteair�➢➢� e_ a'urrinp P�Vlous M'gteria➢
Does at least four feet of ally occurring pervious material exist ill
area proposed for the,soil absorption systems ' all areas Observed tht oughout the
If not, what is the depth of naturally occurring iervious matori"till
��>r�➢�caanon
I certify that on 9 (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
ilre regteired training,
expertise and experien_ee described in�10 CMR 15.017.
Signature
Datb-31" a/ .. .
n
Q:\S.EPTIC\PERCFORM.DOC
TOWN OF BARNSTABLE OP b/,C�
LOCATION �Llb ✓T24 I ST SEWAGE# —
VII,LAGE ASSESSOR'S MAP&LOT�•+ ��°���
INSTALLER'S NAME&.PHONE NO. JJEc-iti�c2�R
SEPTIC TANK CAPACITY )S yoXx�n
LEACHING FACILrrY: (type) I CvlcJ,% (size) Ih X 30{
NO.OF BEDROOMS
BUILDER OR OWNER Arcrc)La kr.*nQ-0a S
PERM TTDATE: COMPLIANCE DATE: `�—
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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
F
4' T1 rl)
a �
UP
-P � �
4
Q
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i W
vo vJ
t o i
l
I
ASSESMRS MAP 0;_0
PARMA ^�3
N.1 ................
THE.COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
........... ovt4...... ..........................Appliration for UWVviial Works omitrurtion rautit
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
System at*
................�4........ .. �T...........1� .....ir.. ........................... V ..... .....!��........
Location-Addressor Lot No.
...............................ie.M.Zal............V,-MAWD-5....... .................................................................................................
Owner Aloss
A............................................. ....
Installer Address
Type of Building Size Lot........21.02<.Sq. feet
Dwelling—No. of Bedrooms.............3-----------------Expansion Attic Garbage Grinder ( )
04 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria ( )
04 Other fixtures
Design Flow.................... --------------g-a-- o__n___s---per'----p--e--r-s--o-n----p-e r-,--d-'a-y-------T---o't-a--I----d_ai1_y_---fl--o---w---------------------------------3-----3"*i 9,------g;-1-1-o---n-s-
9 Septic Tank—Liquid capacity Z�a..gallons ength................ Width.........------ Diameter__._..__........ Depth......_......__.
Disposal Trench—No.....:2�........ Width........q Total Length........40.... Total leaching area........14? -sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.._................. Total leaching area..................sq. ft.
Other Distribution box ( ) Dosing tank ( ) -
Percolation Test Results Performed by......0'. _ ? 4, ...JAC................ Date......... ...................
U1253_11..46r ... ........ .
Test Pit No. I....' .....minutesperinch Depth of Test Pit...... Depth to ground water----!r�-
Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........._..........___.
................. ...P................ ...... ...................................................................................................
0 Description of Soil--------------- =___5......LIOALIM............. ..............................................................................................
x
----------**------------------------------------:!_;-3-/0------AV-�-----S-AA4b--------------------------------------------------------------------------------------------
.......................................................................................................................................................................................................
U Nature of Repairs or Alterations—Answer when applicable................................................................................................
...............................I.................................................................................................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental C9de—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance ha/see * su by the board of health.
Signed ----- - --- --- . ....................................................................
Date
ApplicationApproved B4 ..............*........... --- -------------- ----------------------------------------------
Date
Application Disapproved for the following reasons: ----------------------------------------- --------------------------------------------------------------------------------------------
................................................................................................................................................................................................................ .............-------------------------
Permit No. .... --- Issued ........ ...a_-------7::�......
Date
i
..... ...
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Y -
....... ...... ---------.....--------------. ----------................--
Appliration for UWpaii al 10orksTomitrurtion ramit
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
System at
Ai im fir ". ✓ � I0A C 39
__ ......- .
Location-Address or Lot No.
�. ..1?. I? �..t�f ......... ............ ------------•...---------------.---................_
Owner Address
W
Installer Address 1
Type of Building Size Lot---------------------------Sq. feet
aDwelling—No. of Bedrooms___.........»...........................Expansion Attic ( ) Garbage Grinder ( )
p� Other—Type of Building ____________________________ No. of persons........................_... Showers ( ) — Cafeteria ( )
a' Other fixtures •.....................................................................................................................................................
Design Flow......................A C" g P P P Y Y
W -__.. allons er erson er da Total dail flow........................................... ....gallons.
WSeptic Tank—Liquid capacity.j...! .gallons Length---------------- Width................ Diameter---------------- Depth................
x Disposal Trench—No..___. ......... Width......4.1.._... Total Length.......Z^K_2.... Total leaching area---- ^�`� --sq. ft.
Seepage Pit No*--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
z Other Distribution box ( ) Dosing tank ( ) f '
Percolation Test Results Performed by------- _ ia:rC=.e�_.__f:_!�^-�F=.___141,.................. Date........f..-�. �
f
a Test Pit No. 1---- ._------minutes per inch Depth of Test Pit...... r2. .. Depth to ground water....:--.."_"__
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
----------------------------------------••-•-----•-----51...................................................................................................
Description of Soil...............n__'_"l--_____.�-�'? rtl -1..-l�Ali
------ - --------------------------•---------•------.---•----------------------------------------------------
V ---•--•---------------•----------------- r,t !ii1_ �..... .n.t�,^�
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 TITLE 5 of the State Environmental 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.
Signed .7.........:. .. ............. ------------ --...-.....-----------------------------
��,r� Date
Application Approved B -': "% -r.,:F,,- �' �' ` ?mil `. -.— �
.................................. .... .. ��
Dare
Application Disapproved for the following reasons:
--------------------------------------- _ .....................---....------....------....------..... -- -- --. .......... -- . - -----------------
Permit No. .... �: -^".../.f...— ,� Issued �' '� are
---- ------- �
Dare
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
-�1.-- OF ---- �/'4.1/i1.. .� -L�--------------------------------------
Cler#tf ratr of Q.1ontyli are
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( 6/�) or Repaired ( )
by....................... .-.
E-: --------------------------------------------------------------------------------------------
------ InstAer
at �,G.. j (�-+q�r�--S-T. --..-- ------
. -------------------------------.-----------..-..-----------------------.................. ---------------------.....------------- --
has been installed in accordance with the provisions of TITLA 5 of The State Environmental Code as described in-
the application for Disposal Works Construction Permit No. :—-----c-/� v�� date
THE ISSUANCE OF THIS CERTIFICATE SHAH NOT BE CONSTRUED AS A GUARANTEE.THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE...... --'�� ............................................ Inspect4. ® ............
THE COMMONWEALTH OF MASSACHUSETTS
---- BOARD OF HEALTH
✓ yam `, law........OF........ ��.����.'.�_�f.e' ( .....
r
Disposal Works T.Falnstr ion firrutit
Permissionis hereby granted..............................................................................................................................................
to Construct ('I-) or Repair ( )_an Individual Sewa Disposal Stem
at No........A6,.L)....y'��F `..k ...... L. . Z.C(�T_.._._ �7 l ,
,,.
t as shown on the application for Disposal Works Construction Bebrift K (;,,-'"li ba
.............................. Board of Health
DATE--- ---------------------�--•--------------
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
SIG�f-1 DATA EE-T
Nis FAMILY 3 52DacnK E PLA r-. oN BACK. 4SIZEO '
VML- FLDw = 3 x tto =3106-PD MAttJ ST- GoTv T
SEPTIG TANL =
USF- i500 6AL.
L.6AC41Q6 MlVoW
49FU CATION AMA
APPL-t"*nc4-4 A¢FA DE5I614
Peer P.P4;-
SItEY/ALL AMA= r,o xz xZ=240Sr- Dt=-'`At 1. aF LEAGFkItJG T IJCF�
toTTOM APS = -So c4x 2 -UDSF
-f AMA s go SF :�OIL �-
�L 3
Pl oc.�.71vN 2M L 5 M�U�I Nc�{ Max. , �'
SOIL C.AI, 2- T-
.0 OF -Tows
4eIL A R No.29T33 to -
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rlo K/arE� GA.Tl0�4 Cow t.r
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' ��SI�F-1 DATA ��EET l OT=
Ir
15 &LE FAMIL,( 3 F3sD2a-;vA E PLC', � : oN BAGK. u6tzt r "
�� GA¢F3A�� G¢I►.tD Ems.
'PMLy Ftow MAI+J ST. GOTv)T"
5W-nG TANL - _�r4O X R00%=660,00
u5& iSoo GAL.
LI=AC41146 5,(sTM,4A Mfl&W
-T - 3c x a' X -Z' TeOle 4E5
4r-FU GAT10N A -:A 2W'D,
dPP LI�TON A¢t�A ��516 N 4" � 4-0
51t%EINALL At�A= �o x z x z=2do 5� Y7E'rAt L. OF LEAGFI►�JL T>�iJCF{
#oTTOM A� = �jo c 4x 2 ='zd•DSF
?trAL. AYEA s Ago SF 0{L.- ti b• .�
PE¢GoLATION a7E: L. S AA ',
,,7AL C.L,6.� Z 4.2' '�8-li STONE
OF --Tows
RENARD MLNAN
OAXTM
vo tazo�� -is_-TIoN of 7mw,4
E�
SZ-2 l Fla"q4 S f G= `19.5 T9-(C0.S
A-saucy Lam .A I�JV
wv 7
B 40AM SA4C7 L td TVs" 1w try °6,
4(- qb 2 BoK 4AL e
DJ-PT, _.
NOV, g i1995' t f ,
Mom.
Sn� �'VEWFqD ?zOFILE_
CEZI RGD PLOT PLAIQ
'46 W..a rErL L dGAT IC7hl COTU Ir
p g51 J ; Jv~►E c,laas ?2a� -� scaLE "-Q o �,�i� •9 q
I GsT1F`f rHAT t'Na✓ Fov"rvr ►J S1-lowN PLAF.1 fz Ef46r- �� •>3 ��
4azvN CZMPL`IS wlTµ TE4E SIDEU�IE A►.>v
SBA V- ZvutZEMENT OF TWE TOWN OF l fAF S Z FAPCZ-1_ 3q
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Owner /�1W z %�i &A i/6- S Address �k� ti j-�f�lv�t>y/��'r j/�/% /fc� �4;ri; ��)Z�:
.Telephone -
Permit Request
Total 1 Story Area(include 1 story garages&decks) ` square feet
Total 2 Story Area(total of 1st&2nd stories) square feet
Estimated Project Cost $ o C:
Zoning District k' T Flood Plain ire% Water Protection
Lot Size Grandfathered ?
Zoning Board of Appeals Authorization R' Recorded
Current Use C/AC/]i�"&)i "' Proposed Use
Construction Type !' -c�, !;2r1a %�.S;rr'- _ .i�'`� :` �:_ ,,•, ,'f,
Commercial Residential
Dwelling Type: Single Family Two Family Multi-Family
Age of Existing Structure �e�%r Basement Type: Finished
Historic House Unfinished
Old King's Highway
Number of Baths �' N ,; No.of Bedrooms
Total Room Count(not including baths) First Floor
Heat Type and Fuel Central Air Fireplaces Z_
Garage: Detached Other Detached Structures: Pool
Attached C_&v; ;'� 4. Barn
None Sheds
Other
6 W N Builder Information
Name Telephone Number
Address _ Jftrnj- A-S A-60V f�- License#
Home Improvement Contractor#
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE �w�tl DATE A
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS
LOCATION dAd AI,JJ �•% NO:�`�-*� `�
VILLAGE 57A /T 6 >`P' DATE /7- �
APPLICANT 1_11�20Lo ,e4,V4-110S FEE
ADDRESS t4-% 7 4C;_v11J TELEPHONE NO. (Non-refundable
1
ENGINEER �%✓G TELEPHONE NO._' IZ� f/3/
DATE SCHEDULED �---� �-
Vl'1/ `Z2 �NiL 3� (Applicant's signature)
• • • • o o b o l 0 • o .'o o n o o e • e o, • • • o 0 0 • o o e • • • • • e • • • e • • • • • • • • e e d e • • • • • • • o • e • • • e e • e • • • •
11SSESSOR'S biAP & LOT NU:
SOIL'LOG
SUB-DIVISION NAME DATE b "�°' '' TIME .�,6'y
lJ6
EXPANSION ARE
:. YES NO
-- -. LPL J `f g d� ENGINEER:'? • ; '
TOWN WATER I�PQY —
BOARD OF HEAL?
EXCAVATOR
SKETCH: (Street name, etc• ,dimensions .of lot, exact location of test holes and
percolation tests, locate wetlands in proximity to test holes)
NOTES:
I o�
3
o,So de- .
AAT--
' PERCOLATION RATE �, IW' ?AA1t1 82 L&I-SS
TEST HOLE NO:' ' ELEVATION: TEST HOLE NO: 2 ELEVATION:
2 49"A ;5AMDY a o.w,.
3 ZOXwy SA/JA 2 #5 �oAvn SAND
4 a� 3 39
„ y
5 5
C ^ 6
ML4�U� 7 PEA
8
9 9
10
• 11 11
12
13 12
. 13
14 14
15 15
16
SUITABLE FOR SUB-SURFACE SEWAGE: 16
LEACHING FIELD LEA ING PITS
LEACHING TREN:CHE§
UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS:
NOTE: ENGINEERING PLANS MUST SHOW NUMBER—ASSIGNED—ON PERC TEST APPLICATION
ORIGINAL: COMPLETED IN ENTIRETy By P AND RETJRNED TO BOARD OF HEALTH
COPY: RETAINED BY APPLICANT
ALL MTEM
LL
SYSTEM PROFILE MARKED WITH CMAGNETIC TTAPE AOR BE NOTES
(NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. APPROX. NGVD
PROVIDE WATERTIGHT 20" MIN. DIAM. 1. DATUM IS �o
ACCESS COVERS TO WITHIN 6" OF FIN. GRADE
PROVIDE INSPECTION PORT TO WITHIN 3" OF FINAL GRADE 2. MUNICIPAL WATER IS EXISTING
TOP FOUND. EL. XX.X' 2a o ?
\ 61.9' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. Rtz f
MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM
PRECAST H-10 4. DESIGN LOADING FOR ALL PROPOSED PRECAST b
RISERS (TYP.) UNITS TO BE AASHO H-110
2'0 4"�SCH40 PVC
PIPES LEVEL 1ST 2'
2" DOUB�F WASHED'PEASTONE 5. PIPE JOINTS TO BE MADE WATERTIGHT.
OR GEOT TILE FABRC 59 9� _ _
EXISTING 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE Locus
y 1 0.TEE 1500 GAL H-10 T E s s` WITH
SEPTIC TANK 60.5 ��� o00 310 CMR 15.000 (TITLE V.)
000000
000000000 OCD 5800
.4' CD
GAS BAFFLE::
7. THIS PLAN IS FOR PROPOSED WORK ONLY AND O os
4' LIQ. LEVEL (ACME OR EQUAL 58.57' 58.4' pogo 2 0$0 NOT TO BE USED FOR LOT LINE STAKING OR ANY
o000 0�0 56.4 OTHER PURPOSE.
6" MIN. SUMP
H-20 3050 INFILTRATORS
12" MIN INT. DIM. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
o�
6" CRUSHED STONE OR MECHANICAL 3 4" TO 1 1 2" DOU9LE WASHED STONE 0
/ / 9. COMPONENTS NOT TO BE BACKFILLED OR
COMPACTION. (15.221 (21) CONCEALED WITHOUT INSPECTION BY BOARD OF
OVERALL DIMENSIONS TO OUTSIDE OF STONE: 30.4' X 10.25' HEALTH AND PERMISSION OBTAINED FROM BOARD
( 7.7% SLOPE) ( 1 % SLOPE) 4.9 OF HEALTH.
EXIST. LEACHING 38 t 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LOCUS MAP
FOUNDATION SEPTIC TANK 25 D BOX 2 FACILITY CALLING DIGSAFE 1-888-344-7233 AND
VERIFYING THE LOCATION OF ALL UNDERGROUND & NOT TO SCALE
OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF
*THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT BOTTOM TH-1 & TH-2 WORK.
UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE NO GROUNDWATER FOUND 51.5 ASSESSORS MAP 22 PARCEL 39
PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM WITH 1500 GALLON SEPTIC TANK APPROPRIATE TO SITE 11. ANY UNSUITABLE MATERIAL ENCOUNTERED yyp DISTRICT
CONDITIONS IF NOT SUITABLE G-W ESTIMATED AT EL. 18't SHALL BE REMOVED 5' BENEATH AND AROUND THE
AS PER TOWN MAP PROPOSED LEACHING FACILITY.
12. EXISTING LEACHING FACILITY SHALL BE PUMPED
LEGEND- AND REMOVED OR PUMPED AND FILLED WITH CLEAN
SAND.
99- EXISTING CONTOUR
X 99•1 EXIST. SPOT ELEV. �62 77
99 62.63
PROPOSED CONTOUR ��
BENCH MARK - CORNER x 62.64
CONC. BULKHEAD EL. 63.9 ��0 12' CEDAR SYSTEM DESIGN.
G
[98•41 PROPOSED SPOT EL. .� x x 62.10
TH1 / / GARBAGE DISPOSER IS NOT ALLOWED
TEST HOLE �62:57 1N
YYY DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD
2> SLOPE OF GROUND OO 63 42 95_\ x 62.26 USE A 330 GPD DESIGN FLOW
00
UTILITY POLE 1�5' ii x 62.73
GARDEN 62.65 'ems SEPTIC TANK: 330 GPD (2) = 660
FIRE HYDRANT 6 2. 62.69
�C 2 7(E E iSTv � GAL. rT O T,N"tom" x. 5 / RE-US w I10 Irn
NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING /
4D
20' PRUC x 61.6 LEACHING:
\\ x 61.18 SIDES: 2(30.4 +10.25) 1.85 (.74) = 111.3 GPD
TEST HOLE LOGS 63.02 .92 \ 6 .94 \\
6 .24 GARAGE ( 63.07 \ 62. BOTTOM 30.4 x 10.25 (.74) = 230 GPD
ENGINEER: ARNE H. OJALA, PE, SE 63.37 3.4 3.78 SLAB 613 1 61.43\�\ TOTAL: 461 S.F. 341.3 GPD
/
WITNESS: DAVID W. STANTON, RS 1--,' \ ( )
H-20 3050 INFILTRATORS,
DATE: MARCH 30, 2011 63.05 PAVED DRIVE 08 \\ \ 2 USE 4 WITH 1' STONE AT ENDS AND 3' AT SIDES
PERC. RATE _ < 2 MIN/INCH 63.02 10
63.42 EXIST. DWELL. �e�r EX. 1500 \\ �' 61.16
CLASS I SOILS P# 13219 I TOP FNDN. = GAL ST
64.8' x 62.70 \ \
ELEV. ELEV. 62.65 62.99 \ \ ,10,
0" 62' 0" 62' x 62.29 662. 7 61.1 2
62.53 5
A A T LO AREA GP � �-nLs.
SL SL 2 t SF 6 e OVER HEAD MA
10YR 4/3 10YR 4/3 61.76 61.96 APPROVED DATE BOARD OF HEALTH
B
8" 8" B 63.4 TITLE 5 SITE PLAN
� � I
LS LS 60.99 / 62.60 x 61.90 OF
10YR 5/4 „ 10YR 5/4 �� ,� .2a 0.58 61.20 �` �,162.73
43 58.4' 43 58.4' Z x 51 440 MAIN STREET
•A G �+
v� 60.48 �G 73 1�h�0 COTUIT
3
60.18 G PREPARED FOR
C C / 62.27
PERC
�► 59.8 S `' BORTOLOTTI CONSTRUCTION/KANAVOS
1.75 � `
CS CS S / MARCH 31, 2011
1.73
10YR 5/4 10YR 5/4 y�4A y �� � 9,0 � Zw ofw�H OF Afgs �N os 10 off 508-362-4541
IHofqs
s gcti fax 508-362-9880
(DANIELA. ORANIEL �V. �o`'�CANl�LA.���� g� DAANlEL �� I downcope.com
OJALA o OJALA •
U CIVIL OJALA `" CIVIL OJALA gown cape engineefi#
126" 51.5' 126" 51.5' o R o.46502 QNo..409 0� 46602 �,�o.40980
civil engineers
Scale: 1"= 20' ens �� y sr� 1V
NO GROUNDWATER ENCOUNTERED e/vt - land surveyors
�
3/3,A � 939 Main Street ( Rte 6A)
048
0 10 20 30 40 50 FEET
DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675