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0625 POPONESSETT ROAD - Health
625 Poponessett Road Cotuit `a y 1 'r TOWN OF BARNSTABLE LOCATION j�25 �oofloc�cS5 ct� Rcl SEWAGE# Zo 18- c)I T VILLAGE (2CAU'.J ASSESSOR'S MAP&PARCEL - Z p INSTALLER'S NAME&PHONE NO. B 4,_14 £XcaaL) SEPTIC TANK CAPACITY 1500 qo-1 LEACHING FACILITY:(type) _ Z-.500!jg_i W G (size) 13 X 25 A 2 NO.OF BEDROOMS OWNERMaLrOWr-i 0%umk PERMIT DATE: 3- 2 3- 18 COMPLIANCE DATE: 3o /j I 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 leaching facility) Feet FURNISHED BY AI- 21' s " Zi - IS '5 „ AZ" 'Z"71 9 it aZ w 2Z, y to f R�IJT A3- 3Z,8 i`33- 30'S " A 8 y 3,5 O O a y 0 I Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION — TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppfication for Vsposal 6pstem Construction 3permit Application for a Permit to Construct( ) Repair(✓j Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.L 2 S ��s s e Owner's Name,Address,and Tel.No. o n Assessor's Map/Parcel b!J �'b �u �' MZ r c� C�J sc� Installer's Name,Address,and Tel.No. 1i D xca v 'o n Designer's Name,Address,and Tel.No. 1q -rca.Scrry Lo Fores4.(0.14t. Fle kcrdy E�Juiore►�cn}o-) D'1- 016S3 or4 Type of Building: Dwelling No.of Bedrooms .3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 1330 gpd Design flow provided 3(4$ gpd Plan Date 3-2z- Is Number of sheets Revision Date Title \ Size of Septic Tank /SOO Type of S.A.S. TOO oa►_.) L'C z 1 Description of Soil Nature of Repairs or Alterations(Answer when applicable) —rAK)K' _n f3oX - Z- SOO 1-)C Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. . igned Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. ' / Date Issued c� �3 No4Aelg 0`7 J Fee /v v THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yesr i PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS _ q application for Misposal 6pstem Construction Vermit Application for a Permit to Construct( ) Repair(✓j Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No.G 7 4 S S Owner's Name,Address,and Tel.,No. �OOO/l ' �� + f� V Assessor's Map/Parcel / --a.,© Coif . (Y1a r I u Ch arc w w � 2 S Qo C 55cfi� o� Installer's Name,Address,and Tel.No.3 'E B E xca vdl3,n Designer's Name,Address,and Tel.No. 1`� ?Gay SGrrc� Ln> ForzS l ado lc > noLkc r4-t EnJ V�ornnznta � �1 O453 �`" YorrY,ov i H or4 Type of Building: , « Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers(f-�) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 O gpd Design flow provided ;�y gpd Plan Date 3. 2 2• IS Number of sheets Z Revision Date Title Size of Septic Tank I SDO Type of S.A.S. ,'TQO Q0 I Lj C Description of Soil Nature of Repairs or Alterations(Answer when applicable) "'f A Q K • _n a 2• SO 0 L C Date last inspected: Agreement:' The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. igned —94 Date 3 • 2 g Application Approved by Date Application Disapproved by Date for the following reasons Permit No. / Date Issued --------- ------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS " BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,tharthe On-site Sewage Disposal system Constructed( ) Repaired(✓) Upgraded( ) Abandoned( )by 0 �,,Q E J1 C ca y 4ok, o at 6 Z S -Po pA or-,c 5 s ci Rol. _ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ,/ —0 dated 3� 3/f Installer .3 3 E X o n Designer g .J;a uc. F-1�.1-.c r #bedrooms 3 Approved design flow 3,30 i gpd The issuance of this pemvt shall r1pt be construed as a guarantee that the system 11 function as gnn Date Inspector ---------- -------- -- --:---- -------------------------------------------------------------------.----------------7 ------ No.G �0 5 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposar �6pstem Construction Vermit Permission is hereby granted to Construct( ) Repair(✓j Upgrade(0ill Abandon( ) System located at 6 2$ Popp o n C SS c_j Rk 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 corn eted within three years of the date of this ermit. Date �� Approved Town of Barnstable Regulatory Services Richard V. Scali,Interim Director MAM• •�xtesr�ate, • $ Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 3. 3o. i$ Sewage Permit# Zo18 - o-15 Assessor's Map\Parcel G 20 Designer: ��_ Flalncrac.� Installer: S3 #s• EXccxuc,_4;oyN Address: 42.0. BOX g► Address: I y -r'e2.SzrrL4 LIj ED rCSA al a.I c. On a•2 8- 18' B Cy,cau zLA i o,n was issued a permit to install a (date) (installer) septic system at_G 2 S poppo ii R k- based on a design drawn by (address) dated 3- 2 2-t R (designer) ✓ I certify that the septic.system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed 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. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in cail' a with the terms of the IAA approval letters(if applicable) �Fpa1NOF �assq DAVID cy� • o D. FLAHERlY,JR. 531 (I taller's Si e) No. 1211 F 0 C�STER� SJNITWN" esign s S' nature (Affix Designer's Stamp Here) PLEASE RETURN TO ARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUU T CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc Town of Barnstable P# a�^m,ap Department of Regulatory Services a 3 Public Health Division Date a 0 200 Main Street,Hyannis MA 02601 ►un" !5ywi Date Scheduled Time Fee Pd. 03 u O Soil Suitability Assessment for Sewage Disposal , l0d'7V'V der?-�a�wi� S Performed By: Witnessed By: ka� LOCATION&GENE L IN,FORMAT ON Location Address /„•7 // 8SSFP �Owner'sName.... jn�Wr''v� Vtiv"• G`` va, Address /'/1(C Assessor'sMap/Parcel: - Engineer's Name _""^^ , 020 NEW CONSTRUCTION REPAIR 1� Telephone# !`J � � 9 /sue Land Use Slopes(%) 0 Surface Stones Distances from: Open Water Body 1� Q Possible Wet Area /> � ft Drinking Water Well Drainage Way ft Property Line !O ft Other R SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) p(4 � Parent material A (geologic) Depth to Bedrock Depth to Groundwater: Standing.Water in Hole. Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level PERCOLATION TEST Date Time {Ji? F Observation Hole# Time at 9" � Depth of Pere ir' - Time at 6" - Start Pre-soak Time @ d✓ - Time(9"-6") End Pre-soak Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original:Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100'of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:4SEPUC\PERCFORM.DOC f DEEP OBSERVATION HOLE LOG Hole#` Depth from Soil Horizon Soil Texture Soil Color Soil Other , Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsistenc %Gravel) i � 4__b DEEP OBSERVATION HOLE LOG;,, . Hole# µ , M Depth from Soil Horizon Soil Texture Soil Color Soil her Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ' Consistenev.° Gravel Af Al a DEEP OBSERVATION HOLE LOG_„ _ ,,Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other ` Surface(in,) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistencv.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistencv.%Gravel) Flood Insurance Rate Mai): Above 500 year flood boundary No Yes_ Within 500 year boundary No Yes Within 100 year flood boundary No Yes_ Denth 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 pery us material? Certification F/ /L Q I certify that on � (date)I have passed the soil evaluator examination approved by the Department of Envi,on ental Protection and that the above analysis was performed by me consistent With the required tramin , xpertise and p ie ce described in 310 CMR 15.017. Signature Date Q:\SEPTIC\PERCFORM.DOC f1 TOFOF FOUNDATIQN COVERS TO BE WATERTIGHT AND SEPTIC SYSTEM PROFILE knot to FlahertyEnvironments! Services BROUGHT TO WITHIN 6"OF FINAL GRADE - EL, 60.0' EL. 58.0' �scale) 3 INSP, PORT W 1 OF GRADE * CLEAN SAND P.O. BOX 81 2" of 8" to z" DOUBLE WASHED EL. 58.0' Yarmouth Port, MA 02675 4"CAST IRON or EQUIVALENT PEASTONCOR GEOTEXTILE —� 774.994.1166 MIN. PITCH 1/4" PER FOOT FILTER FABRIC a"SCHEDULE 40 P\7. PIPE 4" SCHEDULE 40 PVC PIPE " VENT IF REQUIRED FLOW LINE List 2'to be level) T1 10' % 5' 1% '' EL. 5 0' L.57.0' —� e e ®e�p C7 r �® °°OO°O°Oc 14" °°°°°°o°o°o o p' EL.55.75' EL.55.5' r—EL O00o0°0 0 o°c°0c0 ®� 0°0°o°o°C f��} ++ �• p p p �l=1 ® °°°°OOO°° EL.55.2' S5.03 ° 0000°00000° o 0 0 o 0 0 0 0 0 0 � 0000000o�2�0 H-20DBOX EL.55.0' 0°0°0°0°0°0° °0° �® �J®�Q�, _10'MIN.(2.5%�� GAS BAFFLE 0 0 900000 0 0 °0°0°0°0° 11 ':..e• 0 0 0 0 �� -a ' 20°020°0° EL,53.0' NSTALL INLET TEE SOIL ABSORPTION SYSTEM r•1,....''aye• •a�: 6"CRUSHED STONE OR 1"ABOVE OUTLET INVERT, MECHANICALLY COMPACTED . (2) 500 GALLON H-10 CHAMBERS 5.5' (DATUM: ASSUMED) 76" --- " to i;" DOUBLE WASHED STONE WITH 4"STONE AROUND IN A 1500 GALLON SEPTIC TANK: 4 3, 12.83'X 25'X 2' CONFIGURATION (PROPOSED) . 85, BOTTOM OF TEST HOLE EL. 47.5' EL. 47.5' � t USGS ADJUSTMENT: N/A LOCAT/ONMAP GROUNDWATER ELEV: N/A School St. • / �58 BENCHMARK: NO TH TOP OF FNDN EL. 60.0' SHOESTRING L I TH—2 BAY G/`� TH-1 popponesse(tRd. g9� V CPT PROP. S.T. \ OC11.91 20, Op �rL NTS EXISTING 56' 3 BR H O AS ~ DWELLING - GARAGE\ PATIO t 0. 1 ,P O S T ELF. ti� dY SgA`ITAR\P r _. " DATE.•3/22/2018 REVISED: LOT 29 58 19,000 SFt MAP 6 SZTE AND SEWAGE PLAN FOR ' 1 LOT 20 B & B EXCAVATION, INC/ MARILYN CHURCH 625 POPPONESSETT ROAD BARNSTABLE (COTUIT), MA 56 SCALE :, 1" - 30' REF.'PB 19 PG 143 SH 4 PAGE 1 OF2 ...... ........ ............ ........ ........-........................................................................................................ ............................................................................................... ........................ .................................................. ................... ............................................................................................................................................................ ................ ............... ........... ........... . . ......................... ....................... ................ ................... .................. ................... ............... GENERAL NOTES DESIGN CAL CULA TIONS S YS TEM DETAIL Flaherty Environmental Services P. O. Box 81 1. ALL PRECAST COMPONENTS To BE H-1 0 Yarmouth Port, MA 02675 RATED UNLESS OTHERWISE SPECIFIED, NUMBER OFACTUAL BEDROOMS 3 774.994.1166 DISTRIBUTION BOX(ES)AND ANY COMPONENTS WITH ANY ANTICIPATED GARBAGE DISPOSAL UNIT NO VEHICULAR TRAFFIC TO BEH-20 RATED. 2. THE DESIGN OF THIS SYSTEM DOES NOT TOTAL ESTIMATED FLOW ALLOW FOR THE USE OF GARBAGE (110 GAUBRIDA YX 3 BR) 330 GAL./DAY GRINDER, REQUIRED SEPTIC TANK CAPACITY 660 GAL. 3. MUNICIPAL WATER IS A VAILA BLE. 4. ALL CONSTRUCTION TO CONFORM WITH SIZE OF SEPTIC TANK 1500 GAL. (PROPOSED) 310 CMR 15.000 AND ALL OTHER APPLICABLE LOCAL, STATE AND FEDERAL SOIL CLASSIFICATION CODES AND REGULATIONS. 5. INSTALLERICONTRACTOR TO REVIEW& DESIGN PERCOLATION RATE <2 MIMANCH, VERIFY ALL ELEVATIONS AND DETAILS 12-83 AND REPORT ANY DISCREPANCIES TO EFFLUENT LOADING RATE 0.74 GALADA&7- DESIGNER PRIOR TO CONSTRUCTION OR LEACHING AREA ASSUME ALL RESPONSIBILITY, (2)x(25.0'+ 12.83)(2) = 151SF 6. INSTALLER/CONTRACTOR IS 25.O'x 12.83' 320 SF 25' RESPONSIBLE FOR MAINTAINING SAFE 471 SFx 0.74 =348 GPD WORK AREA, VERIFYING ALL UTILITIES AND NOTIFYING "DIG SAFE" USE(2)500 GALLON H-10 CHAMBERS WITH 4'STONE INA 12-83'X25'CONFIGUR4TIONASDIAGR,4MMED (1-888-344-7233) 72 HOURS PRIOR TO CONSTRUCTION. Z ANY CHANGES TO OR DEVIATIONS FROM RESERVE LEACHING CAPACITY NIA THIS PLAN MUST BE APPROVED IN WRITING BY FLAHERTY ENVIRONMENTAL SERVICES AND LOCAL BOARD OF HEALTH. 8. FINISH COVER OVER COMPONENTS IS NOT TO EXCEED 3'PER 310 CMR 15.000 (NTS) UNLESS SHOWN PER PLAN. 9. ALL ABANDONED SEPTIC SYSTEM COMPONENTS TO BE PUMPED DRY AND SOIL EVAL UA TION FILLED WITH CLEAN SAND OR REMOVED of TESTHOLE#1 F#15610 TESTHOLE#2 P#15610 AND REPLACED WITH CLEAN SAND. Evaluator., David D.Flaherty Jr.,RS,REHS Evaluator. David D.Flaherty Jr.,RS,REHS 10.ALL COMPONENTS TO BE PROVIDED SE#2755 SE#2755 witness: Don Desmarais,RS WITH WATERTIGHT ACCESS PORTS BOH soH witness: Don Desmarais,Rs Date., March 9,2018 Date. March 9,2018 F E 3 WITHIN 6"OF FINISH GRADE. 0. 11.ALL SEPTIC TANKS, DISTRIBUTION TH-I ELEV.58.0' TH-2ELEV.58.0' TS BOXES AND PIPING TO BE INSTALLED WATERTIGHT, 01-11, A LS 10YR 312 0'-11" A LS 10YR 312 12.NO KNOWN WETLANDS OR WELLS WITHIN 100 FEET OF PROPOSED 11'-31" B LS IOYR515 11'-31' B LS IOYR515 Lj LEACHING. 13.THIS IS NOT A CERTIFIED PLOT PLAN AND UNDER NO CIRCUMSTANCES IS THIS Pero 7 cariffy that on November 12,2002,/have passed SITE AND SEWAGE PLAN PLAN TO.BE USED FOR ZONING OR the examination approved by the Department of FOR BUILDING PURPOSES. Environmental Ported lon and that the above analysis. 14.LOT IS SHOWN AS ASSESSOR'S MAP 6 has been performed by me consistent with the 8 & B EXCAVATZON, INC./ required training,expertise,and experience described LOT 20. MARZLYN CHURCH - 3 1'-126" C2 MCS 2.5Y 614 In 3 10 CMR 15.018(2). 31'-120' C2 MS 2.SY614 15.LOCUS PROPERTY IS NOT LOCATED 625 POPPONESSETT ROAD WITHIN AN AQUIFER PROTECTION BARNSTABLE (COTUZT), MA DISTRICT(ZONE 11). G.W.ELEV NIA G.W.ELEV.NIA BOTTOM TH-1 ELEV. 47.5- BOTTOM Tl-%2 ELEV. 48.0'1 PAGE20F2 ......................................................................................................... ......................................................... .............................................................................................................................................................................. ............................................................. ..................................................................... ............................................................................................................................. ........................................-...................... .....................................................................