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HomeMy WebLinkAbout1372 MAIN STREET (COTUIT) - Health I372 Main-Street j R Afi, '033'�- i No. _ �• Fee THE COMMONW. ALTH 0 ASSACHU ETTS Entered in co puter: i PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for MispoSal 6psteta Construction 3permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. %'37Z4 V j-7 CQ f%A&t N 0>7 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel I ler's NamLz ddressLand Tel.No. � Designer's Name,Address,and Tel.No. Type of Building: GL2 Dwelling No.of Bedrooms Lot Size I®a i 6_79 sq.ft. Garbage Grinder(X) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ` gpd Design flow provided A9S ?L L,s'5C°� 6E7 gpd Plan Date �2 1'z1 �. Number of sheets Revision Date Title J 1 1 Y C.14/J, �t►'l P�t]�l 1(Vl C=�.\T_ A.:T- 2 4 13R<o M&%CU S Size of Septic Tank sc�o 2 C-.CGftokl2T�j Type of S.A.S. Q, i!) A Z7, O Description of Soil © Co �," �r� s ^j6�.r c) -4 ac> C Cotes ST,- p t�to \1J PT.EAP- coy Nature of Repairs or Alterations(Answer when applicable) 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 Environment a not to plac system in operation until a Certificate of Compliance has been issued by this Board of Health. 2 e11A Date Application Approved by Date Application Disapproved by Date for the following reasons 0 Oh Permit No. Date Issued - - - ------ - - - - - - �1 THE COMMONWEALTH OF MASSACHUSETTS 1�T BARNSTABLE,MASSACHUSETTS 4" Certificate of Compliance THIS IS TO CERTIFY,that the On- a Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by at 130 2 A \j-]G %%k P,i N Sf r, CoT o rT- has been cons ct in a e with the provisions of Title 5 and the for Disposal System Construction Permit Now� d Installer Designer :SU Lt_N\/k►U L jkVG% �>v #bedrooms J g��QC1Q�MS Approved design flow gpd The issuance of this permit sh 1 not be construed as a guarantee that the syste �willIfun es ed. Date i Inspector r'=*�rM' - may.......`=•+.c.r.. .•,rr..,,...,yr r,,Yt.e ..�,�.a•+«•v.awo-v.•r.F.:"+•�^•".^^'�*'arwn�,,,«a"a-.,r++w�."w.^.7.-r...:._�.r--a-.': _'r,�,+o--K ..� ^«.::PY•.•' ..,--. �4v.,-'�•- n. Fee f - 'HMMOI�WEA=:TH OF-MASSACH SETT Entered in computer: a r 3 �•` V -�S Yes _ PUBLIC HEALTH DIVISION -TOWN OFBARNSTABLE, MASSACHUSETTS Co V,, ,�,,�c�, application for Noposar *pstem Construction 30erinit LApplica ion for a Permit to Construct Q) Repair( ) Upgrade(4") Abandon( ) Complete Syste ❑Individual Components Location Address or Lot No. t 3-j 2 417 Z Co +Mis�,us=t, Owner's Name,Address,and Tel.No. G o tv Assessor's Map/Parcel :5,2., In ler's Name Address,and Tel.No. s� Designer's Name,Address,and Tel.No. !-1Ze)-3 3,A4 Y ` 2n(✓)cl Liy+n M ,#A VP P v C-fZ Type of Building: V F_S`S Vkpv S t- file_ \{ S Dwelling No.of Bedrooms �J" Lot Size I d�>,6-79 sq.ft. Garbage Grinder(x) Other Type of Building No.of Persons Showers( ) Cafeteria( ) ` Other Fixtures Design Flow(min.required) gpd Design flow provided A 9S(?LuS 50"/a C=6 l gpd Plan Date a/v Number of sheets Revision Date ;T Title Oa 0\1E IM r--:,skTS AT 12,57 2 1-2)74, ' Size of Septic Tank Type of S.A.S. 12, N 3Z. C) t _ p Description of Soil 0-Co I 1 f' P -C j "Jb", !j �j[� — \'Z C - CCU vZS j� Nat&of Repairs or Alterations(Answer when applicable) ; f V)f Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in 1 ;,accordance with the provisions of Title 5 of the En'vironmenta bye.not to plac he system in operation until a Certificate of ' F " Compliance has been issued by this Board of Yealth. , I Signed Date Application Approved by //I4v1 , J A Date Application Disapproved by r �- Date for the following reasons Permit No. U Date Issued -------------------- v � ------------ iUTc� THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance t. THIS IS TO CERTIFY,that the On_A__-T"U' Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by �+ � at 13Z 2 A 1�Z G M P,i�i� � l.-o-yu tT has been constructed in a FSO rd ce with the provisions of Title 5 and the for Disposal System Construction Permit Not d / Installer Designer Q gn S�t<t_ v P-n) -E,�I Uk:c-:.,e.1 iUC r.k.L #bedrooms ?J (_)E C)2_CYo dk.S Approved design flow °�"# G6 gpd The issuance of this perm (sha'11 not be construed as a guarantee that the syste will fun lion esigned. Date � ' 1 1 3 Inspectors =" Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION 'BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction jermit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at 13 7Z 41 S?(o L C U inn G F,U CO \�L—ko 1 LvT, m pc�,y S Ccs�1 w`L t (,•Js 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. Provided:Construction must be completed within three years of the date of this permit. Date � � Approved 6 C Town:of B0rnstabi, P# i I ;_ Department of Regalatory 5ervlces ! 1'ubhc Health Division:` D to ihP 200 Mein 5lreet,Hyannld,MA 026tt: Da to, cttoduled pee Pd S .. -,©Q► G7.a • • tA1 i G_ V/ : S �:n TU/1 f Soil Snit `bitt, Assess11���it for S`e a Disposal rertbrnied By: Ll . I 1! t2 L' �'�'�. , �'(°YVitnessect By W. d,'�MlL Il 010,A�'Ib�T LOcaton Addres§ bi4her'i Namb / JCie ��f / AddresaC/p ou7�fttln r1+7' 41 P ` � , 37o n9tt�J2:sfr ev�Y�rJc r, 7�I14 6 �awl: o7Assessor'BMeP gn am v4 :Sk Z—/��i�ce�r .23ic NBWCONSTRUChON RBPAIIt _! ;Ieleplfon6R48: �/aZB� 33y Lend Use �� ! Slopes("/o) ( �4 . 9urtiice Stones �'f : - � .I '.:.�. a '�: Distani es ttom dpeit Water boo,�lZm h.`. it Passible Wet Area :l X. Drhilttng Waler Well ft Drainage Way Pioperty Line Other: . tt SI ETGH:(Sheet name, ions 6(16`t,year IocatIbns of test holes dt pero tesiv,locate wetlands in proxhnity.to holes) ; IF qj CP f i �% �w p � - Parent materiel(geo ogic} O bepth tv bedrock �d F i Depth to(Irotindwa(er. Standing Water hr Hole '` Weepin [fiom Pit Tace Estimated seasonal III=gti t3roundwater il�•t% / ' tkr4.?4'f" ,•mot-r'�: v I1 SIAs+�rt art VVA'I'i�R TA�U, Method Used: : ! Depth Observed Blending obs.hole Do W O soil es in t ntottf fn Depth toiweeping 61A IN bf Otis:hole I in t3 undweter Adjustment j Index Weil 0 Iteadhig Date!s .: �n ex WeII level' AJ}:)kctot Ad}:l3roundweter Level P ' COTIdNl' vote I l� Ttuie ()bservahon Tlme et 9" �( r Tat 6'' DepW of Pero Swt pre soak the® Date mimilth i i i site 5wlebility/lssbssmeht Slt�pess�gd, 51 )'ailed Ad�itlonal Testing Needed(YM) t)figinel Public Health Division ! Obs�tvatlon Holt Deft; o Do Completed on Back -- i ***If percolatiun test 4 to b cundudted w thin 100'.of wetland,YOU must first notify the Ilarnstable Gbnservaitiou I)1�'isi+nfu At least ne(1)week prlor.to hegbinlug. Q:1SEifitC1PERCFORKDOC , ri �ri obst -A IO r3oL tieptl�,ttorn '' SntlHoiizoh snW'terttwe '. •BollGolbr• .` :9oi1 ;OlUer ' surf�ce.(InJ N DAj (Munsellj;_ Mnttling: (StruetUte,Stonea;Boulders., r t�Y�C 5�c 3a Z� C ovr �c, tDr/'c to a • Dept}t ftatn .6il Hb < Bb Iextuue , Bo11 LOW5nll Other. SDA) (Mansell) taro,Stones,Bouldq[s Surface(hr.) { Mottling (St;uc • F.c I IM' i old# Deptll from.. �:Soll Ho a j'.,. Su�i fexttue Boll Cn�or Soil 5DA (Muns�ll) Mottling Otlier . Co ct9ue BMW,o $ep dare 4 v Sft • : t3 0�OD i C6u1`s� ,Saar , . other e 8otl Iiotibn Truro (M Colnr Motu 5Uuctute Stones;$ouldets. B it Depth ftnm iiitsell) ing (.. Sutface(in.) f ilS13A) l o n :o i a�� to S r�Yf�: y E • 4I r' P.f Tlootl Ius r to:Iea1�Ma i + AlioVel5tltj,yetiE f�o.�tl bn I,. 5 OU.eat bo..lnd I :: No:: : Xed i ur i W Y. f CIN 1 W1 lw yelrr flood I ip. ' be tjt v�.f�at�ra�l Otcufftl �i±Vii s ate la . pe lous.material Od§ in all areas observed tiuougltout the Does' least our iieet bi ua PR proposedlfot the slid s ti b" idly si�s em7 �"� If not;what is�(lie d ptli.. 4t � (lyjb: log p rvlous mateiial7,I; ertln at ou! { ssed.lhe soU.� al tt o exwnination approvedby the ;, ---� e p �i i w� I ceritfy that t�ti �. ) ' s as er 00. ; 6y me conslst�nt wlth .'r. r bepEtr{tueut oft n eh �pII I ote�liv and tli t the:above 10 y p ' d irain�ii ,��ette,�ht��x�� fart a'a scberl lit 31U C the rpq c ' Slguitture I ,j , Q:\SEP11C\PEKCEORM.DOC TRANS...NO. CITY/TOWN• � APPLICANT:: r' Se- ADDRESS: 'f 3 22 4 r3:7 6 ,/1g,X�5Z: E U DESIGN FLOW: U pd.' ,nJ REVIEWED BY: pF. ,Z� ar ' DATE I Z Z. 201 Z N/A OK NO _ r� Legal.boundaries denoted [310 CMR 15.220(4)(a)} Street,Lot,tax parcel number and lot number noted on plan [310 CMR 15.220(4)(u)] Locus Provided [310 CMR 15.2204(t)] Plan proper.scale? (1"=40 for plot plans, 1"=20.' or fewer for components) [310 CMR 15.220(4)] Easements shown 310 CMR 15.220 4 - System located totally on lot served [3.10 CMR 15.405(1)(a) foi u grades]- if not, a variance is'required [310 CMR.15.412(4)] Location of impervious surfaces (driveways,parking areas etc.) [310 CMR 15.220(4)(d)]` V Location all buildings existing,and proposed 310 CMR ; 15.220(4)(c)] Location and dimensions of system components.and reserve areas. Y p ✓' [310 CMR 15:2204)01 System Calculations [310 CMR 15:220(4)(f)] " daily flow septic tank capacity,(re uired andprovided) r soil absorption system(required and provided) t/ whether system designed for garbage grinder North arrow[310.CMR 15.220(4)(g)] Existing and proposed contours [310 CMR 15.220(4)(g)] Location and log:of deep observation holes (existing grade el. on each test) [310 CMR.15.220(4)(h)] - •� Names of Soil e�aluafor and BOH representative [310 CMR 15.220(4)�h)`and (i)] Location and date of percolation test's(performed.at proper ' elevation?) [310 CMR 15:220(4)(i)] I r r' Percolation test results match loading rate? [3 10 CMR`15:242] Certification statement by.Soil Evaluator [310 CMR 15.220(4)0)] Observed and Adjusted groundwater(method for adjustment t/• given or indicated) [3.10 CMR 15.103(3) and 310;CMR ` 15220(4)(n)], Address',1'372+134 /14,tii ' ,� Cavk 6 �� ��j ` ` � Sheet l of 7 N/A OK NO Location of every water supply,public and private, [310 CMR 15.220(4)(k)] within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water.su ply within.250.feet of the ro osed system location in the case. 1 . 7 within 150 feet of the proposed system-location in the case of private water supply wells: Location of all surface waters-and.wetlands located up to 100 ft. beyond setbacks listed in 310 CMR 15.211 and any catch basins located withm'50.1J31-0 CMR 15 220(4)(1)] Water lines and other:subsurface utilities.located [310 CMR 15.220(4) m)] (if waterline cross see 310.CMR 15.211(1)[1]) - Profile of system showing invert elevations of all system components and the bottom of the SAS [310-CMR15.220(4)(o)] and 310 CMR 1S.220 2 t✓ Stampof designer[3.10 CMR 15.220(l) O] Stamp of Registered Land Surveyor(required if construction activities within 5 ft. of lot line) [310 CMR 1.5.220(3)] Test Holes adequate(two in each of the primary and reserve / unless trenches as permitted in 310 CMR 15.102(2) or as r/ approved for an upgrade under LUA at 310 CMR 15.405(1)(k)] x Test hole adequate to demonstrate.four.feet.of suitable material? ` [310 CMR 15.103(4)] Test Holes adequate to confirm adequate groundwater separation? [310 CMR 15.103(3)] Benchmark within 50-75' of system [310 CMR 15.220(4)( )] Materials specifications noted? [various sections of 310 CMR 15.0001 je e i t G ko—( Z—: System components not>36" deep (unless Local Upgrade Approval or LUA requested) [310 CMR 15.405(1(b)] Address ju l: Sheet of 7 NIA OK NO w� WN` ^4 3 15.223(1)] 310 CNIR e 310 CN1R 1.5.227(6)] Inlet tee located ten inches:b'elow.flow [ 310 CN1R :per fot for increase ft depth Outlet tee 14 or 14" + 5„ o 310 CMR 15 227(4)] 15.227(6)] _ as baffle or a roved.filter[ 310 CN1R , Outlet tee with g acted base [ .installation on stable comp Note regarding .. -; _ ✓, �o� 15.228(1)] liquid , , : 0 between inlet and outlet tees(no less than Separation = d ) [310 CNIR 15•227(2)] oundwater Inlet/ elevations at least 12 above high ea for 15.227(5)) P .except.as.described 310 CMR15:405(1)(k)] `} 3.10 CNIR 9"must have risers - u grades:under LU Tanks burr more than Mmum cover 9 ( 310 CNIR 15.2228(1_) and 310 on all openings,and on the d box) [ , CNIR 15:232(3)(0] eater covers (inlet and outlet mustbe 20" or 8 ) tZ Three access „ 7/07){310 CNIR 15.22 O] - midge:access at least g {bY _one ort for systems<1000gpd, 6 °f grade p Access towltlnn d_ 310.CMR two for systems >1000 310 CNIR All at-gr ade covers'secured.to:unauthor�ed access. [ 15.228(2)] foundation-[310 CNIR 15.211(1)] ` , >10 ft from building 310 CMR-.15.221(8)] uired/Done[ Buoyancy calculation Req 15.226(3)1 H-20 Where aPPrOpriate? [3 0 CNIR 15.211] from resources [31 S etbacks s i b �wn ellin orWflow?1000 other,than single-family dw g geq*ed when n�e 15:223(1)(b)] ent 100% ✓ d[310 CNIR flow; Second,comp? First comp ent 200%::daily fly flow[310 CNIR 15.224(2) and(3)]" �tment with 1 or over baffl e,outlet.of each comp U pipe through: • gas baffle or ap roved filter[ 310 CNIR 15.224(4)] t . f _ 1 J } r LO = She4.3 of 7. A, dress N/A OK NO. Located at least ten feet from any water line? [310 CMR - 15:222(2)] Disposal piping at least 18"below water line(when waterand sewer cross,see 310 CMR 15.211(1)[1]) Cleanouts required/ provided? [310 CMR-15.222(8)] --� , Thrust blocks specified in force mains? 310 CMR 15.221(6)(c)] t ' Slope of sewer line.not less than 0.01 (1/8"/ft) 0.02.preferable �. [310 CMR 15.222(6)] : Proper pitch on all runs? (.005 within gravity-distributed trenches and beds) [310 CMR 15.251(9)`and 310 CMR 15:252(2)(c)] Siphonproblem/(leachfield below pump chamber) Endca s or vent manifoldspecified? ` Size and orientation of discharge holes specified?(not smaller than 3/8" not larger than 5/8").[310 CMR 15.251(8) and 310 CMR 15.252(2)(h)} Materials specified (310 CMR 15.251(5) specifies various pipe types aIlowed �@' Stable compacted base [310 CMR 15.221(2) and 310 CMR 15.232(2)(a)] Splash plate or baffle tee required on inlet/provided?(when , pressure sewer to d-box or stee itch of avi sewer 310 P P P 13' ) [ CMR 15.323(3)(a)] Riser if deeper than 9",[310 CMR 15.232(3)(f)] ' Inside minimum dimension 12":[310 CMR 15.232(2)(b)] Minimum sum 6" [310 CMR15.232(3)(e)] Watertight cover if<2000gpd);waterproof manhole if>2000gpd [310 CMR 15:232(3)(d)] gg� F ..S Capacity(emergency storage above working—design flow)?1310 CMR 231(2)] . Proper setbacks [310 CMR 15.211 (same as septic tanks)] t Watertight 20-in minium access manhole at least20" MUST BE TO GRADE [310 CMR 15.231(5)] Service components accessible (not too deep with piping, disconnects accessible) Alarm floats alarm on circuit separate from pumps specified?: Exceeds two units must have two pumps operating in lead-lag mode. [310 CMR 15.231(6) and(8)] Stable Compacted Base [310 CMR 15.221(2)]' Buoyancy calculations needed? Provided? [310 CMR 15.221(8)] Address Sheet 4 of 7 . N/A K NO Calculations'correct ? � E3s� 4 feet of naturally occurring material demonstrated? 15.240(01 [310 CMR Re uired e aration to groundwater? gr [310 CMR 15.212 Aggregate s `ecified as double.washed[310 CMR 15.247]2"System Venting requiredlprovided? s O] >36" de 31 p C (system under driveway or [ MR 15.241] Inspection'ports specified:and within 3"final: ade?. 15.240(13)] �, [310 CMR Breakout.requirements met?:.(N o violation of breakout elevation .witlnn 15 ft of SAS unless barrier) [310 CMR;15.211(1)[4] and Guidance Document] Gal. in trench configuration supplied with inlet. every20 ft: [310 C1VIR 15.253(6)) Each structure with oiie inspection:manhole i be to grade) [3.10 CMR 15.253(2)] (f>2000 gpd must. . Aggregate:l'minimum- 4'maximum: O(b [310 CMR 15.253 1 ` 2'sidewall credit maximum [310 CMR 15O(.253 i a )] In bed confi )J - - �. guration, islet every 40 s $:[310 CMR 15 253(6)] Width �- 3 100:feet-maximum len O(b)] �; gth [31O CMR F5:251(1)(a)J Minimum separation 2x effective depth or width whichever greater.(3x:if reserve-between irenches) [3 10 CMR 251 1 d t Situated along contours'[31 O CNIl215.251(2)] O( )] Breakout OK� [310 CMR 211(1)[4J and Guudance Document) mmimuni 2 distribution lmes.[310"C1VIR;.b �m - xY .�,� �4��, • �y� ��. ��� . Maximum separation.between lines,6' [31 O CM R15.252(2 d Maximums )( )] eparatlon between lines and outside of bed 4'[310. CMR.15.252(2)(e)J Aggregate:depth below .............ige pipes 6.minjjnYm; 12 maximurd [310 CMR 15.252 2 (g)J ( ) `4110 Separation between beds 10'. minimum [3110 CMR 15.252 2 Bottom area used in calculations only[310 CMR-15.252 2( i ( )()] C(D�� f • Address' 1 �To' t Sheet S of 7 N/A OK NO Pressure Dosed System ? ,Provided pump and piping calculations as required[310 CMR 15.220(4)(r)] Pressure dosing required on all systems>2000gpd or alternative systems under remedial approval [310 CMR 15254(2) and VA Remedial Use Approvals] , If used in gravelless system make sure jet is directed as not to scour soil interface[Guidance Document Inspections once per year,(systems<2000 gpd) or quarterly (>2000gpd)good to note on plan [310 CMR 15.254(2)(d)] Construction in fill Did the plan specify that the fill shall meet." the specification of 310 CMR 15.255(3)? Impervious barrier and/or retaining wall? [Guidance Document] Impervious barrier installation must be.supervised by designer[310 CMR 15.255(2)(b)] Retaining wall must be designed by Registered Professional Engineer [31:0 CMR 15.255(2)(a)] Side slope not exceed 3:1 ? [310 CMR 15.255(2)] .Breakout requirements met?: 310 CMR 15.252 2 and q [ O Guidance Document] At least 5 ft. from impervious barrier to edge of SAS (10 ft. recommended) [310 CMR 15.255 (2)(e)] Check DEP Approval letters for credits and design conditions If used with pressure'dosing do not allow pressure discharge to scour soil interface Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? Is the technology being properly applied and does it meet.all DEP Approval Conditions? Is there a note on the plan:regarding the requirement for perpetual maintenance agreement? B. Any alarms involved on separate circuits Did the applicant submit an operation and maintenance t manual? Has ap licant'submitted a copy of a maintenance j ¢v..di«§`�f..,.,.a,�s� Z �:sl�r .�"4� ^^i F fiiF4fT.; R.nYz4-.�•b fa_.- Fs q�S�� .>.a mz�'.r;..,r....,. Are the variances listed on.the plan?. [310 CMR 15.220 (4)( )] RLS Stamp necessary on plan if a component is within five feet of property line [31:0 CMR 15.412(4)] ' New construction or increased flow,proposed- [Refer to 310 M1 . CMR 15.414] - Address 07Z � L�7C AAIii ST � t� Sheet 6 of 7 . y N/A' O NO Val HE Is.the system mi a Designated Nitrogen Sensitive.Area(Zone II for - a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and 310 CMR 15.216 also:refer to Policy regarding upgrades'of such existing systems] Is.the system proposed on the same lot as served.by private well ? K [310 CMR 15.214(2)] Are the nitrogen loads proposed in compliance? [310 CMR 15.216(1)] Pumping to septic tank'? [ 310 CMR 15.229 a Shared System [310 CMR 15.290]: ; s CO i s Address 2 - 5T Sheet 7 of 7. -.« . _-....+,.���..•�+-..-y$»..�.�+.lA!:!C`.'t..wh.MF'fnwW.�N.«*iw4+2:�J..+•r s kv^ ��.. -w Lrw., ..r..4�.�tldi...��•�!.�Y}rlltiv".�,��w-...� � •� 4 f - . ON J � j_GUE57' HOUSE_/ `.FIRST FLOOR 17Z i s l yry� 1 . a i If JJI d GUEST HOUSE SECOND FLOOR . 3/16"=1'-0" - r - - Town of Barnstable regulatory Services Thomas F. Geiler,Director 913 MAC ' Public Health Division Qj .i639.°reo:F9 a Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Z 1 Sewage Permit# /Z'y®� Assessor's Map\ParcelC32 � H Designer: S Msk- \ installer: Address: CnS`l Address: 05�e-.,o�rt vrl 02S �ra IZI�a � la UaLc S irC,was issued apermit to install a On (date) (installer) stem at 1 -37�.— 1 ���`' based on a design drawn by septic system (address) Sv �t — ear dated 1 7-1 Z\ rZ— ( signer 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. I certify that*the septic system referenced above was installed with 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. OFM s9c JOHN C. OD-EA CtVIL Co sta. er's Signature t� . si"A 'IM AL ENG� l Affix Desi er' Stmp Here s a signer's Signature) ( � ) I• PLEASE RETURN TO BARNSTABLE PUBLICSIAND AS-BUILT CARD ARE CATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM T RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU, Q:Hadth/Septic/Designer Certification Form 3-26-04.doc i `Town.of Bahigtable d Department of Regulatory Services Public Health Division nets /4 3 syP 290 Main heel,Hytuinls MA 02601 Date Scheduled i A � Fee Pd:: ©O o.Cl , f Soil �,� w Sf Snit bitt Ass�ss�ti���t for S`e a Dasposol 1� 7� Pertbitiied By: Ll i�°�Ct L ,fit'i'' (yVltnessed By. Lu AT- 1- &C- n oRi Tlb ! Locwbn Address bvtiher'a Neuitl /S t% rLlam rii fi e d it-pria ' AddressC/p /llvu7�fu�n. 2rcfn cen�(: / ' ,Lit 6 3 dTl/C�A10o�y�f d to se� :gin, 3 7o n1a in s ; u�orc etc, .r,./y1 ¢ !o°d' AssessoYs Maprnatcel: i ]3ngtneer s,Nwte NEW CONS7RUCfiON lephoti6 REPAIR', a 61 M Land Used s, 31o'pes(%) ( l0 ` 3ur!§ce Stones e'Distances item°. Cipeit Water Body lZm ! . _+ g possible Yet'Area CZ' 'ti'".tt Drlriklpg Watei VYel1 8. brain'ge Way Property Line {' It Other;: . tt = SKETCH:(Stieet name, 11dus of lot,ixaot locations of test holes dt'peto tests,locate wetlands in proxWro ..to holes) - - 00 o. /fib CIO PIP f F /�- i + .44 .. �.. Parent inateiid(geo ogtc) bepth tq Bedrock q60-4f Depth to Orotindwater $landing Watet hr Hole weep Ilom Pit Pace P0 EsUieated Seagonal Hlgti groundwater' 2t�h I�L�`I' It11b�I Y SASUI�A I#I VVATR`fA13Li;; Method Used: itt Do th to soil ti►ott1E9 Depth Observed standing obs.trole •. + Depth tuiweeping ifom Idc blobs:hole i tn, .a undwater AdJustmetit Index WeII H Iteadhig I)ete l (n "Well level AdJ: hctor AdJ;t3roundwater Level : 1 V `CA-TION T 1 S vgte/1 lR Time 0L Observation + ,� . Time et 9 Holell � I 1 (f T#me tit 6'' Start Pte soak Lime 1 Elms(9'-6") End Pre We' i RAW WhAltt h Site Suitability Asgessmtlnt Sh�hasstgdl �l Palled Adriidoriel Testing Needed(Y �� t. , Or ginali:Public Health D[vlaloo-'; t1b9�riation Hole Ddtt€; o$i!Completed.vn Back ,.. If ercolatton test i9 to b�cttndudted w thin 100'of wetland,you must first notify the ;tip* p uarnstable Cuuservaftibn l�iVislon At least ne(1)week ptitr to Ueginning. Q:\SEP11C\PERCFORIY DOC DEEP::( sL tvA` ION Ho�.L'Li` .G gulp# Depth.itnm SoilHdHaoh Su11�'lexturo :' so Color Soil Other Surface.(ih) I (UDA)r (Munsellj::, MotUing (Stru�lUte,Stohts,13oulders.' .. B 40/ lot Y. ii It . �tit�#' 16 m Soil Hb I Sb Iexturg 60ll Cnlb 90ll Other'. Stuface(m) : � SDA) (lviuhsellj Mottling (Structure,Stones,Boulders C- F. I Gas r ' I i I;L nl� bg L: Oth er I. son 1. exture. Soil Cawr.:. Soil lio n. Sq� . Structure;Stones,Boulders.: e }rom. uttlin D Ivy g ( p� ell i Muss n' Surface ( . C ns slen o(it9 e 1d0 G/v C; Cbifl'se .5�,.� 4 1 � 39. ' I 'i i i��►�I�,IC;{V '��(j�MOLL�O� '" �io��#``,�,� LL : oil l7Uret D s ,, Bunco r: S 'r taro `' Sp�ctute;Stones;Boulders. �j Depth from Soil Horibu O° (Mansell) Mottling: (, n I Cons n : t L : t' : YU 1 `1Vi I ' �1votllus a>i�ce � I t l Above O year 1. Sbo �t iiry, d I Yes ; III .i Ii Wrtlrid 5W year I'UUadat� J-1 lCat yehr flood bvWi�sry 1)e t1►u 1at�+cail O:�cuYftli`` Idlwtu s 11late la L e ious.tnalerial exrl in all areas observed tluoughout lie Does at least bout fees bflyha is lj� �� g P area:pro1?os'edlfor t110 9t1i►ab b' I ltitl s is etri7 rvlou - ucc ing P ? 1 not whit is,the depth dt` ' ,i I , roved by the Cert a� / i (d1e) Udve ssecl lUe soil eyal ado exaininatio> app I certify that�ty I erortue by my consisten!with I bepitr{mt tit v, Etly tj I eit� �° tio� iedtta a dts fil'aed l 3 0.C1 It�50 7 ' ext N I the regwted tratnln ,. Date... �— Signature „ ¢t I \SEP1lC\PEIZC[OILM.vOC . s. No.--- ------ BOARD -- BOARD OF HEALTH M~ TOWN OF BARNSTABLE Zipplitation J%r Well Mr5truction Permit Application i hereby a gde for/� perm. to destruct an Individual Well at: Location — Address Assessors Map and Parcel L, Owner Address \111 — nInssttaller — Driller \—^ ---� Address Type of Building A11- ��'1'h01\d�5 ei.s p� eAV \6�1 �U�h �1o��, p(V' _-o �\AV Dwelling - - -.�j1 V�c3 I��Av� � 3'D-,C\ s 0��-o Other - Type of Building----------- No. of Persons--=_ Type of Well— -----------___�_ Capacity-___ -mom \S"I o �C'i�\ 1 r � �C `� � lei Agreement: The undersigned agrees to destruct the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of He4jth Private 11,Protection Regulation. �� 3I 1O 3 SignedU --------------------- --__-------------------- ---{--_-�-�_--------- date Application Approved By--- ------- -- L --- ------- --- date Application Disapproved for the following reasons:----------- --------------= — — date R �y Permit No.-- - --- ----_----- Issued date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well destructed by Installer at . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has been destructed in accordance with the provisions of the Town of Barnstable Board of Health as described in the application for Well Destruction Permit No.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at. . .. . . . . . .. . . . . . . . . . . . . . . . . . . .. .. . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. .. .. ....... .. ... . .. .. . has been destructed in accordance with the the provisions of the Town of Barnstable Board of Health as described in the application for Well Destruction Permit No. . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . .. ... .. .. ... .. . ..... DATE — — Inspector--- BOARD OF HEALTH TOWN OF BARNSTABLE Well Mr5truction Permit No. — -- Fee Permission is hereby granted to destruct an Individual Well at No.------------------------------------ street as shown on the application for a Well Destruction Permit No.--- --——- --------------- ___--------------- Dated Board of Health DATE ------ ------ ----- - ___- -- - Lk('0 C1- �4' ! Y t 'F No.----------------� - � ., . ., •. � -.� a Fee--,,;;.��--------- i BOARD OF HEALTH TOWN OF BARNSTABLE t ZpplicationArVell Me-5truction Permit Application is hereby made fora permit to destruct an Individual Well at: - ---- --—_---_-------- -- 4 n _ azcet'\ � k�?I Location dress Assessors P r�;�Xk4 - Owner Address �— ------ ^------Installer --_Driller _-" -�—'_---- Address `_ Type of Building %,1� vv�w\s *1 A, eDtV �A� vN �o� 4��� ,��-ro '\#,q Other - Type of Building--- ---- No. of Persons"' - Type of Well___\A'\VVN"`Ay\____ _— Capacity �� ` !f"�__-------_-------- Agreement: e The undersigned agrees to destruct the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board off Health Private Well Protection Regulation. tyl 3 }a� — .. Signed Application Approved By ��,, •, ----- —_--___ date Application Disapproved for the following reasons:------- ----------- ----------------------- t —date Permit No.' Issued----- - — t r date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well destructed by-------------______ Installer at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has been destructed in accordance with the provisions of the Town of Barnstable Board of Health as described in the application for Well Destruction Permit No.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at. . . . .. . . . . ... . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . .. . . . . . . . . . . . . . . . . has been destructed in accordance with the the provisions of the Town of Barnstable Board of Health as described in the application for Well Destruction Permit No. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DATE__ _—__—__ _ — ----- ---------- Inspector-- --- ------_ -— -- -- - - v BOARD OF HEALTH TOWN OF BARNSTABLE lVell Mr5truction Permit -� No.- 4_-_-- --- - ,' Fee-�1 ---------- r - Permission is hereby granted---- to destruct an Individual Well at No.--------_____________________________________________--_____—____________�:_____ Street as shown on the application for a Well Destruction Permit No.-----_— — ----------_- --__ Dated-------41, ---__-- —-- — - -------- - 1 ( - =- - -— --------- -- - - - - r'' Board of Health DATE 63 .3 No.. .. ....... Fxs......`...........( THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH � TOWN OF BARNSTABLE Appliratiultt for Dispuiial Workii Tuustrurtiuu ramit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: 1372 Main Street, Cotuit, MA. Map 33, Parcel 46 ................__......_...................................................................... .........•----------•-•-•-..................-----.......----•-----••-••---------...............--- M. Mc Cowan Location-Address c/o Boardman Build%rig,;NMirick Rd. , Princeton,MA ......................--.......................................................................... ..........--...................................................................................... W Owner Address a ...................... ........ ..__ ................. . Installer Address � Type of Building 3 Size Lot._68._._-2..3......89 ............S feet a Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ------------------------ W Design Flow....1_1�...............................gallons per 4� per day. Total daily flow---330....................................melons. Septic Tank—Liquid capacity..1500gallons Length---1.1.-...... Width..6_........... Diameter..--..-__-.--_- Depth.._4_�.__[q.l.Cl. x Disposal Trench—No...2............... Width....2_............. Total Length...4.0............ Total leaching area..12-Q-----------sq. ft. Seepage Pit No--------------------- Diameter..................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( X ) Dosing tank ( ) aPercolation Test Results Performed by......Chri_S__Jol ............................ Date........ /2l93.................. Test Pit No. 1...............minutes per inch Depth of Test Pit.................... Depth to ground water....................... 44 Test Pit No. 2...... ..2._..minutes per inch Depth of.Test Pit...1_`�.�.......... Depth to ground water.n0--- ater'___found ---- O Description of Soil.....'-3' , Top and s-ubsoi-1__;...I'.-15_' , medium/fine_ sand W V 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 Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Com i nce has been issued by the board of health. Signed .......... . l ----------- ---.................. ApplicationApproved By ...... . . ..... .. .. ------- ---®---- . . . ---------- ----------- ----- --..... ----------------- 1 Application Disapproved for the fo......11owing reasons: ........................................- -- . ............. --------------------------j Permit No. ................ .... Issued . .... 0, ooNo.. - ,, FXs.... ...._.............. r THE`COMMONWEALTH OF MASSACHUSETTS BOARD -OF HEALTH TOWN OF BARNSTABLE Allp it-a#ion for Uiapo,ia1 IV, x rnr#iun ernti Application is hereby made for a Permit to Construct (X ) or Repair ( } an Individual Sewage Disposal System at: 1372 Main Street, Cotuit, MA. Map 33, Parcel 46 M. McCowan location-Andress c/o Boardman Builderst,N1,iirick Rd. , Princeton,MA ..--••--.......---•---...............................................•--•--•--..._.....------.... ..........--...................................................................................... Owner Address .....Installer Address ... i ' Type of Building 3 Size Lot._6a 389.._.•...._..Sq. feet �-, - Dwelling—No. of Bedrooms.................................._- -.--Expansion Attic ( ) Garbage Grinder ` Other—Type T e of Building No.—of ersons..:......................... Showers — 0.1 YP g ------------------------•=-t P ( ) Cafeteria Otherfixtures ------------------------------------•----............................................................................................................ � rsp , er'da `Total da`il flow...330 W Design Flow 110 gallons per e �� p y' y .................................gallons. I P: Septic Tank—Liquid capacity_.15 Q.Qgallons Length.... ...--..... Width_.��............. Diameter._.--.---.--__- Depth...L..-Mi.n. Disposal Trench—No. ...2............... Width.... .............. Total Length--.40............ Total leaching area.- 70......_....sq. ft. —� Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( X) Dosing tank ( ) aPercolation Test Results Performed by......Chris--J.0_]-1-V_,__•P,_E_............................. Date........3/2193.................. ,4 Test Pit No. 1.......:........minutes per inch Depth of Test Pit.................... Depth to ground water........................ f14 Test Pit No. 2...... ....minutes per inch Depth of Test Pit----15............ Depth to ground water.b0... dter--found xP- $o t T ---•--••---•----------------••-•-•••--------•---•---•••••---•--•-•-•......--•----•---•--•---•----......................................................... y` O Description of Soil..... -3' , Top and subsoi 1•;_•_3_'_-15' medium/fine---sand................................................. W --•-----------------------------------------------------------------------------------•-------------------------------------------------------------.................................................. 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 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 ..- ' "� � ^ " ---. '--------------- -----------..... ' Application Approved By ...--;.. ' ' - D.. /.TI C-�[�YT7-t !72 ... �. 1. -.... Application Disapproved for the following reasons: ....... \--- - ----- -- --- ---- ------------'---...---- ---------........--'-------------- y Permit No. t ` ; ... Issued s., :6�e ........................ ... ..... o THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (9elr#ifiratr of Comyliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( X ) or Repaired ( ) by --------------------------A ---------10 ..�e'� i� ............................ Installer at ........ 37.2..-.MAIn----Street-a.-.Cotu i-t.,--.MA....--' ------------------'--...... ------'-- ......------.---------------- --------'-". -- .....-'-----------------'---....--'---.--------'- has been installed in accordance with the provisions of TITLE 5 pj�j The Sta e,Ej); ironmental Code as described in the application for Disposal Works Construction Permit No. ..........1---.... dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE �'...... ........................................... Inspector ------..\�' ......................-----------------------'------------"----"---''"'" THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -TOWN OF BARNSTABLE ( D Rapolia1 0r 15 Towitr !i/g, n anti# Permission X s hereby granted........')--;-C _.__ .CAI 111.: to Construct ( ) or Repair ( ) an Individual Sewage Disposal System 137Z vain Street, Cotuit, MA. �,� at No. .----•- ••--.-----...-•..•••-• . . ------ Street . r as shown on the application for Disposal Works Construction Permit _O.-3.... ateda....................�1�...._.____.... v of He DATE................. Board alth FORM 36508 HOBBS 6 WARREN,INC..PUBLISHERS TOWN OF BARNSTABLE LOCATION i3"r dcx '. SEWAGE # VILLAGE &-AA* ASSESSOR'S MAP & LOT Q INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(tgpe) (size) NO. OF BEDROOMS-3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER CA.e�A�y DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No L� �� f4�1 Jc}5®i w1�3 �I .i �� F A 11(e/11) --�� PERC TEST: 13,783 / 1 1 Jr- eA, Zone -_ _�� PERFORMED BY:CHARL ALU�No.tiULLIVA'ENGINEERM IRECTIONS: ZONE: WITNESSED BY:DAUB STANTON,R.S.R -TOWN OF BARNSfABLE Existing Shed Coming From Hyannis: NovP2t8P1t9,2012 PermitingNotes Headed Down Rt. 28, Take a left RF (RPOD) r to b e Removed SITE PASSED Property is NOT located in Estuaries,GP or WP District wlw: onto Punum Ave. Area (min.) 87,120 SF No Restrictions on Bedrooms Then THouse urn onLeft the left # Width (min)Main Street. Frontage (min) 150' ., > -- TEST HOLE-1 FL.22.s TEST HOLE-2 EL2tn Bedrooms House-5 Bodroo / \ Setbacks:Guest House-3Bedrooms YY ffifaY1a :::::nui�Y' aaL ::::: BarniCabaoa-3 Bedrooms Fron t 3 0'l ... .:: Side 15' DRUMT :::: : / ;I .+Rear 15' iowrt:.... ::........... . i�elelxr>:Hti owil:::::. r$A1:i r:r:r::c:ti. r . O { .............. a :::•:::k#O:Lf09Vt9HlbRAIYN: :•:::::�: :F::�1Cfii:(:fSSV191t1A{tOVYI'1}::i::: : �, 8e'n�h Mark : ::::IraloitsAl+a;;:;:::::::: : :::laosdaroo::::;::::: ::: OVERLAY DISTRICT: ;� ✓ ' ::: BROWNISITY9LLOW ::::BROWNISITYEIIDW * i 3 /�'lev.=17.03 NGVD AP - Aquifer Protection District COURSE.SOLID COURSE.SAND SEPTIC NOTES ` EST 19 17.7 r e \ / / . / / \ N. 25 GALLONS GONE IN 4 UK1 1 ocatiom of Utilities Shown on This Plan Are Approx.At Least 72 Hoursr• S7g 25 GALLONS GONE IN 4 MI 27 / , . PERC RATE<2 MDUI N(LTAR-0.74)112A , . PERC RATE<211 1IN(LTAR-0.74) Pd to Any Exava4on For This Project the Contractor Shall Make FLOOD ZONE: / Required Notification to Dig Safe(1.US-344-7233). The Contractor is required to contact the Engui=72 Hours Prier to Comttu Zone C, All (el 11), W"-,. rrr --9- - --�9�2, / / / / / \ 2.ffor Contractor is Construction & Vl i(e116), & V17(e117) bur Community Panel No. O/ / / Agencies For Consenudioa Defined Thin Plan, Permits From Town DESIGN DATA #250001 0021 o LOCATION MAP / 3.WMxever Sewer Lines Must Cross Water n Be Constructed of Class 150 Press=Pipe and Shall be water-Tested� Taal Daily Flow-3300 GPD July 2, 1992 oc 9 TEST HOLE-3 EL 165 TEST HOLE-4 EL I" Assure watertighmem In General,water Lines shall be Constructed in with Garbage Grinder ^ / Alt :::::::: 1:':::::::::• Coordination With COMM Water,and Shall be in Accordance 1 Tack \O f / �- �'ossib/�Stote \ _ •+ J r i:)5A(t1F 11�Q�Ih(: :r: i hA(t�C C1i0Ah lY flYViti::ii First Computntent at L.ea t"0 astim with 248 C1�t 1.00-7.00&310 GbIIt 13.00. ASSESSORS REF Zone / / /I / Fnd / / SsUan 4.A Minimum of 9"of cover is Required for All eomponeata Use is Second o uipatuent 7.a�kaa 3� Map 33, Parcels 46 & 24 n e -�/ _ �` - - :: :f1AJtiC 4HiltHA0D1'li:::::: : :i R S X ?14 1I 6)WN:::::: 3.All Structures Buried Throe Feet or Mom or sub3ea ::::}: :: :: ?ikZ1Nl�:rirr?:r:rr::r:ii to vehicular 7yaffic to be H-20LEACHINGGuest Septtc / Loading B is the Bnginea's 3 P rT (LTAlt�j-gA4395 SF See Notes (typ•) ( ......::. Always be Used 12- - - _ ! '� / 18.0' r / J / i:::::: :::iYfFll4�13::::: 6.Install Risers and Covets m Within 6"of Finishod Grade With (irioda / l / •:' `:"� 0 :i{•1 :$ tID'r::•:•'r. }'r:.�::': 40F.G. EL. 21.00• - -Final Foundation Grading To Be Coordinated with Londscooe Pion F.G. £L. 22.00t / ` •O ti - - _ _ - / / l ::: Over Septic Tank Net and Outlet,D-Box,and One Leaching Chamber and 150SN443.93-U93 SF Rapp d F l - - - - - - J / / / BROWNISH YELLOW BROWNISITYELOW ToGrsdeWheaPavcdover. SM-4-2(12.83•+377-19932SF -13-- _ / COURSB SAND ] COURSE SAND 7.Septic System to be lastdled in Accords=with 310 CMR IS.00& Bottom Asa-(12.83'x 37)-474.71 SF Flow Equilizers / I _ _ - �� /I / 248 CMR 100-7.00 Latest Revision and the Town of Barnstable EL. 18.97 r As Required Total Provided-673.73 SF 0h IP \ -- - - - - - - - - - - -- - - - --14- _ _„ / \ Board of Piping to a Sch. 0 PVC. Instiller To / / Confirm Prior EL. 1500 Gallon Fnd \ \ _� / ✓ \ \ 8.All Piping to be SeL 4o PVC. LEACHING CHAMBER To Any Work septic Tank 42 Lee EL. 19.00 330 Cal. D-Box ----- 9.D•Boz Shall Have a Minimum Inside Dimension of L2",and a Minimum DESIGN (Sea Note il) oh \ \ _ _ 10.The Separation Distance Between the Septic Tank Inlets and 4-100 \ \ -15 ` / i / Sump of 6". All Pipes to be SchaMe 40.Use 660 Col. Min. Alin. 6 11' \ �- "- _ / / Lea�B Chambem is• £L. Leaching Ven t Outlets shell be No Lees than the Liquid Depth.Lilt Tea Shall Extend 12.0 x 37 Washed Stone Fidd as Shows. V To Be Installed On / Chamber �- - - - - / a Minimum of 10"Below the Flow Line.Outlet Tea Shall Extend 14" --- 10,+ --- e Compacted - p _ _ _ _ _ -L-O A Area Summary / / / Final Location to be selowtheFlawLine,anasuaubaEquippedwithaGassaffia r 8edding.-rs, t :; -;:;;:;;;;;;:;:•;;:;;;;;;:z;;;::;:.;_:;:';:'•t`. W \ - - - / De term in ed in Field 11.The 2 Compartment Septic Tank Shall be Inteaouneaed by a I Inspection Port, ItQ+4 x st1K:. _ - _ 99 mod:SF Up I an cL _ - ` _ / Mini-4"6 Vented Inverted U-Shaped Pipe with a I tr ¢► ;' g ' - - as Per Title 5 B 6tSF Wetland \ / Gas Ba8leonti►eootia I ._______________________ ry hcL 108,079 --2-4;kAC Total - - -- 100 / / / Existing �. \ I 20 + ------ I GUESTHOUSE / / g No Groundwater f _ - - _ _ _ 7r Plan) _ _ / w/f / / Per Test Hole 4 ohW _ _ _ _ _ _ / Barn to be DEVELOPED PROFILE OF SYSTEM -19-- emodeled / sere NOT TO SCALE Oh W _ i `?;> o \ DESIGN DATA r� /~ -3 Bedroom®I10 GPD 1 `` \ _ -J She // \ Told Daily Flow-330 GPD CB rr \ ` \` 'ram ~�- !/O W -�/ / \ e Grinder TwoCWith�ompmmentTank I lt/ -� i h ~ ���//// / ` 21- - ` \ eO°'�2',y��•� Fit*Compannerilt S-oad C n tla u033oa� / �21� 10.1 Use a Isoo Oil Septic Tank I / I W \ _ - / - O \ \ 19'O"g*s Bam/Cobano Sept' Vent Location to be O Decided in the Field o s LEACHING AREA See Note 6 (typ.) 9N Durring Instalotion� Pro o d \ \ 60• ��3 330 GPD/0.74(LTAR)-44595 SF \ p 1 3 Wtl6Gauge Griedw F.G. «L. 20.00• - 'Final Foundation GradingTo Be Coordinated WithLandscape /,b I \ \ / �- \ \ Pool - - 6's 150%*445AS-66893SFRequiII Sto Wall typ. �� O Sid-11-2(12.83•+37)T-19932SF ri 1 3 Bottom Area-(12.83'x 3 I / I~ �' \� ' r \ TOW Provided SF 474.71 SF EL. ]Z f Flow Required f /� 12.8 I \ ` \ Proposed f''atio Installer To / '--- LEACHING CHAMBER ;i`' 'i'� \ \ Confirm Prior E f500 Gd1on \ Or,� \ To Any Work See Septic Noteol l 7 Top fL. I Z25 DESIGN ( ) z3o Gal. D-Box 1 45 J ` h� \ 0.3 1 All Pip-to be Schedule 40.Use 660 Gil. Alin. Min. i t \ t �� 4�OAma io Be Instilled Qn EL. Leaching 12.83'x 3T Washed Stone Field-Shows t Chamber / ar\1 .8' �, \ --- 10'+ --- metedIs Cu Porch \ I Bedding.'s, t y...........::: ;i;;:ti.': i;;;•;.:;:::;:F: 37.0' \ \ \ Existing House Inspection Port, I _.a1:iiieert{�e} gi(t:;¢'fie[;. FS• _ \ &Barrels AU•: n I be Relocated as Per rrlle 5j,:p „ }} ;p ':: jj:5, ;p o; -- + ------------------- ::::::::::::::::•>::::•:::_::::.::•::::::•:::::::::. I / 10.7' \.S;F �F.Q O \ 10' Min, BARN l CABANA No Groundwater DEVELOPED PROFILE OF SYSTEM `J 2 Relb ted w O _/ / 21.9 \ \ f \ Guest h'&u�e - I P ? \ \ \ TA TP 4 \/^ NOT TO SCALE Proposed F.F.E � \ / • 18.6` Finish Grade J.Max. \ 9"Min Compacted Frlt Filter �60•' ��\ \ _ �/� /"�j _ \\ �CQ / J��O /// \ \ Fabric , •Y J' `V - �l / And/or�2- 389 SD•, ��.� \ \ � ill'-Mir _ �i�ting tic � � roposed \ \ / � O�� /• ...-••�S - M Pea Stone •8S, �'L / to/Pe R ved 2 Sty w/f / \ LEACHING Double Wattles- \��� .-. // / �� � O/` /�F.elEl e v js // / \R CHAMBER Stone 4'- 10" a ` / 22.0 ` - / \�\, \ FEMA Zones Lin 0 s D Shown On \ /ce/OH rev July 2, 1992 W CROSS SECTION OF CHAMBER T \ / a� / �,� Fn/ / j NOT TO SCALE rs,sefa / � d 1141, of\ i deck / / y \ / / At 6,°osN/ Jl� ` - Pao O o �- � �• . �/ / /�/ / /i �moo)-•/ / ,r �} Legend: / 12.8 �\ 100 � Light Post - '`� • � \ / g DESIGN DATA \ / 9/ (o� Hydrant SiatleFam�hlakiHoute _ -SBedroom@110GPD Main House Septic / \ .� 8\ \ i - \ tom+ Hose Bib Total Daly Flow-SwGPD see Notes(typ.) withGsrbagatirioda CB/DH IrsnCampntmeatTadc FIG. EL 18.50-19.50• - Final Foundation Grading To Be C o -{� (illy Seeoomwcomp-omw1105G�e i� \�� \ \ Q' {} Utility Pole Use a 2000 Gal Septic Tank -OH yy- Overhead Wires EL. 15.9 now equine rs LEACHING AREA Installer To f A:Required - -25- - Elevation Contour Confirm Prior EL 00D Gdlm \ //// // / �G`C►�'r 1 e\1 / % / �/ / ' 550GPD/0.74(LTAR)-74324 To Any Work 2 Comportment 5 Top EL. 15.50 \ \\\ \ \ \ / /// j 150%forGaruV kinder-1114.86SFRq&W septic Tonle D-Box / (See Note 11) 550 ca �j Stl°wall-2(12.83�+67.5032'-32132SF 1]00 Car min. Mln. Pine Tree Crab Apple Tree BOOM Area-p2s3'x67-sa)-SU.03SF EL. Leaching Told Poovided-118735SF --- 10 -- 7o Be Instilled on /r Chamber \Stable Compacted Bass \ got- EL 12.5 LEACHING CHAMBER Bedding.•T's, l ;:'�=:;;a s:;: ; ,•;;ii:;s;:;?• ;;; DESIGN I Inspection Part. IilhiJ> f�141wtdl q All • to be schedule 40.Use g Bofrels l :..:: `4 :: �\ / ` :.TktspOtt/i I+tkYaltar x>f cl/a+i ^ k I / oa Per Title 5ystriiti' - - - / Q%Oak Tree Linden Tree 7,soo Gat L-rLias chambers to a -.----------------------- r ,��Rr 12 83'x 67S Wished stone Preto as Shawn MAIN HOUSE ; ,,0 \\\ // "% WNW No Groundwater •0 ` / / / i No. DEVELOPED PROFILE OF SYSTEM Per Test Hds 4 Cedar Tree MAIL St roe Y ti TSB` NOT TO SCALE `� - Boz Beach Tree \ '''`/ / / / \ / / Timber ✓ °0 / / % Stairs Holly Tree C8/OH / /✓�//� /mac/ /� / / Fnd TITLE: Site Plan PREPARED BY PREPARED FOR: NOTES: ,` Improvments Sullivan Engineering, Inc. Robert Se of ) ti6o• /\ \ �a %- / q 1. The structures shown were located on the ground 14- PO Box 659 by conventional survey methods on or between `3�' // •// � �/ ' Q) OSterville, MA 02655 15 Harbor Point by conventional and survey methods T.aft (508)428-3344 (508)428-9617 fax Key Biscoyne FL 2•) The property line information shown hereon was1372 & 1376 Main Street T compiled from available record information. / / '� PA � 3.) The datum used is NGVD 1929, a fixed mean sea w Barnstable (Cotult), Mass. Draft: JOD/CTR level datum. The benchmark used is RM45. W 20 0 10 20 40 80 DA TE: SCALE: � P Review: PS 4)For P&WA p Oj*.Not For Ca utri ctkm � Dec. 21, 2012 1 =20 Project: 32017 f • � Cotulf C o t Uii; Revisions: a Y DATE ON Assessors Map 33 Parcel 22-3 ® < aLurF N/F McCowan, Seabury C, Trs. COTUIT e ; PT. do McCown, Frances M. HIGHLANDS s y Water Gate (4" PVC) ZF SAMPSON 18LO ISLAND 7 19 19 �_-. I - --�_ -_`16 1 _75 14 of oriv%1i�W� 7*-- 5" 1 73 Edge � � / Nantu16 ,o�A14 / 60 36 50 E s o u n d/ 11 '. 1�� I �Q \ 450'f `14 10/ J CB/DH Found I ` \ OS\ j I \ Abandoned Cesspool (Dry) \ To Be�ckfilled / � I 1&" � o- \ Scale. 1"=2083' References: �W tin9 Wo{e Line/ / / / // I o \ 15 " r I / "Plan Of Land In Cotutt, Barnstable, Moss Exis 1, 00 Gal. Septic Tank \ \ __ Belonging To Jean M. Dunning, Dated 10 / / / I \ \ \ Assessors Map 33 Parcel 46 ` Feb. 6, 1961, By Nelson Bearse & RIchard E / / / I Law-Surveyors. Water Meter Pit W 5 792 92 / / / / / \ 16 RM48 From F.E.M.A. Flood Mo 197• / / / / O Test Pitt , , Min. Lot Area 43,560 SF P main 10 I �' \ (2) 207 x 2 w x 2 d r` -� g ' Deed Book 5492 Page 123 / � Min. Lot Frontage 150 #1372 y Stone Trenches / M Ex� e^ovoted � Min. Yard Setbacks: 12 To Be ^� Dwelling - � �� - - �-_v � --77 Front 30' / / To 3 eedroo D Bob! Ton ned Well d S/de 15, / // l / '22 \ /`� (See Well Destruction Permit) Rear 15 Proposed V" Water Lin e � S 60'3T50" E CB/DH Found / / / / I,� -.,� \ 0G.-O '. Existing porch to Property Lines Shown Hereon Were Compiled Assessors Map 33 Parcel 46 14 / / A \ P Yje� \ be removed Project Titic: N/F McCowan, `Mary M, / / ` 36 -�- dc McCown Frances M. Trs � / Existing \ From A Plan Of And Do Not Represent ' / \ An Actual SurveyOn The Ground. Garage V 1.56 Ac. 15 TO Be Elevat;bns are Based On N.G.V.D. _-- / / Removed 6�'� o / / \ Light Pole Fenced \\ O� Mea 0�Bqn� This Slte Is Located In F.E.M.A. Flood Zone C r E-------}._Shower #1372 g20 E, 16 Area E / \ tom, �g This Slte /s Not Located In A Zone Of Con-' s a i n S 19� 16. / i / �� / - 0 b ,Zp1• / unity Pole _� / l / �'ok `Lr-R� ' m m° rt 19 ��achh tributlan For A Public Water Supply Well. IZI �dAe/ �o/k y a ' I 9 M R1 �. _ W o 17 / W o � Mw Existin / / 0 3 0 I l g eod Wires/ / ! ' " h - 21 - � _ 24" m �C�3 ,N / 3 Street Proposed Gas Line 8 (F on't existing main // � , roposed Electric �� �N o o g �' / o -'NT , Underground from w / ^ C4 I n Ua/n St.) L Utah Pole -+� Y lstlr►g U.P.) 19 // ��_ 22 , Ini ( Cotuit ) w 18" \ I � � 17 +' Assessors Map 33 Parcel 24 20 W"'__ - Test Pit f3 \ \ J Barnstable , LO N McCown, Mor M. - - - - TP \ TP I W &McGown, Frances M. / - - - - - Exist. Wat, \ 18" m O iD .90 AC. 21 / 24" Tes Pit #1 C Mao ,0 M t) cV / / \ `\ I / / 16 0 M / � - \ / / A Z I / \ J / Ao CB/DH Found a 389.87 / o 22 23 N 60'37'50" W \ - - _ _ / / 16 PWAM FM 21 20 19 18 17 L 22 23 BOARDMAN BUILDERS Assessors Mop 33 Parcel 47 Abandoned Well N11F Sehear Sarah D. To Be Destroyed , (See Well Destruction Permit) 911 Main Street Osterville, MA 02655 Pro file A. M. ViIson Associates Inca Flnlshed Floor E1.=20.9' Finished Grade Finished Grade Over Leaching Min. 2R 508 428 1450 FAX 420 1856 hest Pit ®ota 4" PVC 0 .02 ft/ff (Typ.) 20' of 4" Perforated Indicates Indicates First 2' To Be PVC .005 ft/ft Drawing Title Perc _ Groundwater In 5 Test = Lo/d Level 16.0 Septic _ 2" Peastone Tank Box Ground El.= 20.6 1,500 Ga/ 15.47 15 15.10 ;;J 2' of 3/4=1 1/2" Wash Stone Topsail 1 /5.55 /3�0 19.6 Plt No. Subsoil Test By. cially 17.6 Test Date. 3/2/93 , , Subsurface W7fness. JDunning 10 4 15.6 - - I Medium Perc Rote: <2 Min./Inch Foundation - Tank Sewage Fine Design Flow. Title 5 3 O Sands Pit No. Disposal 14.1 Test By. C.Jolly 3 Bdr. @ 110 Gol.adr = 330 GPD 1. Unless otherwise noted, all construction Design Test Dote. 3/2/93 methods and materials shall conform to No Water 5.6 Witness. JDunning Title V of the state environmental code Septic Tank Requirements: tHoa Perc Rate: and any applicable loco/ regulations �- 330 GPD x 150X = 495 GPD 2. Precast concrete septic tank, d-box, and leaching faculty to withstand H-10 P.Hotly Ground EL= 18.3 Ground Ei.= 22.7 Use 1.500 GoI. Tank loading unless under pavement, drives, o. ' Topsoil 2 Topsoil or travelled ways where H-20 loading Pit No. 1.7 Leaching Facility Requirements: 330 GPD shall apply. 6.8 Test By. C.Jolly Subsoil J. All pipes in the system shall be schedule Subsoil Test Date: 3/2/s3 2D.7 Based On Perc Cl Mln. nch Use 40 or equal. 15.8 5 ewa/ 4. No field modifications to the sewage 3l5 3 JDunning Witness: Bottom Infiltration Of 1.0 Gals sf disposal system shall be made without Medium Perc Rate. <2 Min./lnch Mediumior written aroval of the Fine and he local board of health engineer Scale: 1"= 20' - s nds sands Leaching Facility Provided: Stone Trenches x 2Wide 5. 7hls system Is not designed for o 0 20 40 50 FEET Sidewall:4 sf%!f x 20 x 2.5 Gal 200 GPD 20 Lona x 2 DeelZ garbage disposal unit. , /sf = Bottom:2 sfdf x 20' x 1.0 Gal/af = 40 GPD 6. Covers on tanks to be brought to Date: March 5, 1993 Dwg No: No Water 33 No Water 77 240 GPD x 2 Trenches 1' of finished grade. Design: C.P.J. 480 GPD Total Check: Drawn: J.V.B. Job No: 2.0664.0 Sheet 1 of 1