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FIRST FL000. PLAN
PROPoseD RESIpENCE
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e r TOWN OF BARNSTABLE
LOCATION SEWAGE # V—3-
N II PAGE CCU i {. ASSESSOR'S MAP &,LOTS n,V fO
INSTALLER'S NAME&PHONE NO .0.'1`S 5 xCA-JA'i f�
SEPTIC TANK CAPACITY i 5<D
� f
{ pax )
LEACHING FACILITY: (type)i-' X (size)" C
NO. OF BEDROOMS
BUILDER OR OWNER { `
p PERMITDATE: r - COMPLIANCE DATE
,' ;-.
Separation Distance Between.the: ..h
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility.i 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
t
31
ra' .
PD
-
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No. Fee
i Yes
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC H ALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
0(pphration for Mtopogal *p5tem Construction Permit
Application for a Permit to Construct(X')Repair( )Upgrade( )Abandon( ) X Complete System ❑Individual Components
Location Address or Lot No. 62 1jr4j A&mc.#. to ku a'1: Owner's Name,Address and Tel.No.
Assessor's Map/Parcel
/!»!1P /'7o 100AeC. TL. SC) ✓+ Carlc.dwr MA 62fv�i2
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 1 Z&--91131
SQ— 0s4Zv.uo 0A /)')C. OZl S-V,
Type of Building:
Dwelling No.of Bedrooms Lot Size Z2,4caa sq.ft. Garbage Grinder(,4
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow lip GPO/(3"PZ0C,41k gallons per day. Calculated daily flow ® gallons.
Plan Date (v� Number of sheets !AZ.e. Revision Date
Title Pta-% c.P P6p FaQv, cj 1i, �c rc i ra••�
Size of Septic Tank JSor3 8&16,Lw Type of S.A.S. L.caLua Ck,,g6 , ZG`XIZ`x'ZtHI;
Description of Soil !vadF
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 Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issue this d alth.
Si7Agned Date
Application Approved by Date
Application Disapproved for the following reasons
Permit No. Date Issued ��
f
TOWN OF BARNSTABLE �>
LOCATION 'a-y DCy-�ce- n . SEWAGE # q9" -3
VILLAGE CG TU )r ASSESSOR'S MAP &LOTM Q4:t 50
INSTALLER'S NAME&PHONE NO. Q0,15 5,XC A-V A-T►h7 5
SEPTIC TANK CAPACITY �c%O / _ \
LEACHING FACILITY: (type) L-41+tAToA,& (size)
NO. OF BEDROOMS 3
BUILDER OR OWNER
PERMITDATE: l - -C?� 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
C
No. "+# 4 Fee ZaZLI4�119
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: /
Yes
PUBLIC HEALTH;DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ZippYication for Migoml bpgtem Congtruction Permit
Application for a Permit to Construct(X)Repair( )Upgrade( )Abandon( )y. Complete System ❑Individual Components
Location Address or Lot No. S2 L.an., (p }u.1 Owner's Name,Address and Tel.No.
Assessor's Map/Parcel 8".., p co" 6k,r%5
lon,4/0 90 /P4'ec L SO 30F CCr1cj_-" hu.0 Cc, #rvvil4 MA 624*34
Installer's Name,Address,and Tel.No. / Designer's Name,Address and Tel.No. 4Z&"r7 131
• d�V..< �Gam j�fJ`fig� �3AxTrn s`i(/ye, /,cJ C.
131Z Wkk;y% -`+. Os�6roc(La f'Yl! OZ(rSf
- Type of Building:
Dwelling No.of Bedrooms -irrc Lot Size Z2-, qca sq. ft. Garbage Grinder(0)
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow II_ of3 r�on�o�ht gallons per day. Calculated daily flow 33 D gallons.
Plan Date&/2�/fi Number of sheets clrw Revision Date
Title Pi�H �P a�, pJ- .,, plir Surd hw.�
Size of Septic Tank`1 i ltzcre 14 Type of S.A.S. �r (4,K C6#K Z4`)cIZVC Z�lit
I
Description of Soil / ,a e.�.. / 16;e �4,,6
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 Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued this Board o ealth. a�L5:-�
Signed Date /
Application Approved by Date —C`
Application Disapproved for the following reasons
Permit No. — Date Issued -�l
----------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
°." ^`BARNSTABLE, MASSACHUSETTS
Certificate of Compliance ,
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( ,%/--)-Repaired( )Upgraded( )
Abandoned( )by
at . has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. . ' `dated 4r
Installer Designer
The issuance of this permit shall not/ e construed as a guarantee that the system will function as designed.
Date /7 _ h _ I r� Inspector
No. 1
------------------------Fee ,�l✓ !/l/Ps
THE,COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
Migpogaf *pgtem Congtruction Permit
Permission is hereby granted to Construct( /<Repair( )Upgrade( )Abandon( )
System located at .-/,tr✓i /
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided: Construction must beeccompleted within three years of the date of it.
Date: Ile-7 f/ Approved b —
r
Town of Barnstable P#_ 94
Department of Health,Safety,and Environmental Services
�T Public Health Division Date
367 Main Street,Hyannis MA 02601
snatasreet a �n
�tss.
j°rEti me+" Date Scheduled j Time Fee Pd.
Soil Suitability Assessment for Sewage Disposal
Performed By: , W;\C.L= Witnessed By:_ e
LOCATION& GENERAL INFORMATION
Location Address $2 �rudiaKe` �wwo. Owner's Name Co., Hl��
Co 4vIt: 3A C&,M14L "
Address
Assessor's Map/Parcel: r P 40 1 Pe6wC L SO Engineer's Name D47c{er. I ,
rvl �
NEW CONSTRUCTION REPAIR Telephone# q /
Land Use Slopes(%) 136. Surface Stones h 617 C
Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft
Drainage Way ft Property Line ft Other ft
SKETCH: (Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
T �8
h
l
Parent material(geologic) Col a c%i( Depth to Bedrock
Depth to Groundwater: Standing Water in Hole: `` Weeping from Pit Face
Estimated.Seasonal High Groundwater
DE RIt�I;NATYdN 'UR SEASONAI, .W.WATLR'TA tL
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 pate! 6 ice: .T
Observation
Hole# 1 Time at 9"
Depth of Perc CaD 4 Time at 6,
Start Pre-soak Time @ Time(9',-V)
End Pre soak CJ r.cl 24 4 1144 e.� ���-c_. ew�X
Rate Min./Inch rN/n /rtGh `J
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back j
Copy: Applicant.
..
DEEP OBSEZVATIO1r1 IIOLEI LOB; Hole# .m�
. ..
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistenc %Gravel
.TJ firFe ,acp�: /O V,7 e
e e/ a•� u' ys'�-c�e/i,;v.�, .lO OlC' Gar/lj
DEEPBSEIt.VATON HOLE LOG
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulderes.
Consistency,%Gravel
Ae
,. . „ <:• �.-emu;, J � �'/
DEEP OBSERVATIf.�N'HOLE LOG; Hale#
.Depth from Soil Horizon Soil,Texture Soil Color Soil Other
Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulderes.
onsistenc %Gravel)
DEEP OBSERVATION HOLE LOG Holy#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) .. Mottling (Structure,.Stones,Boulderes.
Consistency,%Gravel
I .
)Flood Insurance Rate Map:
Above 500 year flood boundary No— Yes l
Within 500 year boundary .No V, Yes
Within 100 year flood boundary No Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil absorption system?
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on A.r)t,i I 1`11,; (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above.analysis was performed by me consistent with
the required training,expertise and experience described in 310 CMR 15.017.
Signature Date G ,ir�✓`�`t'
� r r
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NOTES: 3 TOTAL UNITS 1 STAP,TER,1 END. &.1 INTERMEDIATE.
. - -
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1. THIS PARCEL IS LOCATED IN ZONES AP & RF. °30S
N62`48LOT 78
TYP. 3301 S.iDE LOT 79
2. THERE ARE NO .WETLANDS LOCATED WITHIN 100' OF THIS LOCUS. "s,o 7.5'. 6.25, 6,25' Q 3- 2�k � `� , E„
0 2 1 q O I
3. REMOVE UNSUITABLE SOILS BENEATH PROPOSED SYSTEM, BACKFILL 1.1.5'WASHED STONE
t�iTF{ CLEAN GRANULAR MATERIAL FILL TO BE GRADED AS FOLLOWS: NOT
—
- _ --
MORE THAN 15% RETAINED ON No.. 4 SIEVE, NOT MORE THAN gQ%.RETAINED
ON No. 50 SIEVE, OF FRACTION. PASSING No. 4, 10% OR LESS TO PASS No. - '' �" III./8
100 SIEVE AND 57. OR LESS TO PASS No. 200 SIEVE, SOIL. TO BE APPROVED 26.00'
BY ENGINEER FOR COMPLIANCE PRIOR TO PLACING. ON SITE_ . CD ✓
—
• 2 2,4D ,r
�- S
4. LOCATION OF UTILITIES NOT SHO�f�tJ ON THIS PLAN,, .AT LEAST 72 HOURS nW OF
PRIOR- TO ANY EXCAVATION. FOR THIS PROJECT CONTRACTOR SHALL MAKE NO SCALE
THE REQUIRED NOTIFICATION TO DIG SAFE (1-888-344-7233) AND
APPROPRIk:c WATER DISTRICT TO.DETERMINE U11LM. ' L0 A-,IONS.
i' / '' ±
YY���9 89
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WMINDHA71 - ��l`i C I a JDECK ✓ Op p
FINISfiED GRADc
36"MAX.— 12'FAfN. COMPACTED.FrLL
/ / � a C'. , :� '•p "
SINGLE FAMILY- 3 BEDROOMS i `` STEPHE t 30' ^BRAG,, _ ;j �
2=. _ - iUr \
PEASTONE
NO GARBAGE GRINDER,
r11} 1
3/4" TO 1:1/2 ' f/i / . -- -_. F Et ! �( N
DAILY FLOW = 110 X.3 330 G.P.D. 3e:5 4.: :a _ - � ''� Ey �?4.0' I 47• j
�; .
4 ... DousLE / NC.302,n f
n S WASHED STONE 1 �°�1e� �� l > o% 2(3 ,
SEPTIC TANK 330 X 2fl0% = 660 . ' 9 9cc�,rs4=���w�c/�c, ��_ 18
USE 1500 GAL. SEPTIC "TANK �. I G, r
LEACHING-CHAMBERS $E. H-20 LOADING '"10Nr' rs gF "z'1G�+
NO.SCALE'RM
ffi3 OR ZQ�JIV R `PT edge of. paveCnen
ALL PIPES TO BE SCHEDULE O PVC E. O ED t
W11H CAPPED ENDS S6
t 2 4 :
USE 1 4" DISTRIBUTION LINE IN 3 RECHARGER UNITS i CERTIFY THAT TyE.PROPOSED FOUNDATION
W
IN A 12'X 26' WASHED STONE TRENCH AS SHOWN
WITH THE TOWN OF BARNSTABt:E SIDELINE
AND _SETBACK REQUV EMENTS AND IS NOT LOCATED i
LEACHING-AR EA_REQUIRED:. .1
WITHIN -THE r-Ltl0 PLAIT
330 G.P.D. 74 - 446 S.F.
���
2 12 + 26 X 2 152. S.F. SIDEINALL AREA DATE:; -2t � - �. L- R.L:S. �f :: ,� 10 cs [:C<<�ifrARK
( ) TOP e• >, 0 W1DE LAYpUr. y'_ IOP pr HYDRANT'
(12 X.26) = 312 .S.F. BOTTOM AREA ; { � -:; � SCALE; 1 = 40 - _�..� ��
. ..v �.
464 S.F. TOTAL:-PROVIDED EL. . .Q. SSJh EELS
THE OFFSETS S THIS PLAN SHOULD NOT .} r __-
.;
PERCOLATION RATE 1"IN 2'OR LESS BE USED TO DEIERMINE. LOT LINES,
SOIL CLASS 1 R � HOLE
s i BAXTER & NYE INC. PLAN OF PROPOSED
-9444
COVERS LOCATED TO WITHIN:
: 6/18/98 FOUNDATION.V NDA1ION. & SEPTIC SYSTEM
S
6" OF F.G. -
#1 ELEV. 53.5' PIT #2
�,T LOCATION
LOCATION*
Fcs 53 0 w V. = 52.5',
T.F. ELEV.. 54.0 �, ,.�.=5�* -2 02 #82 PRUDENCE LANE
t:"c.=53' ( AP LOAMY SAND tOYR 5/1
\ COTUIT-
LEVEL -� _5, AP LOAMY SAND 1OYR 4/2
INV. _ i5c0 GAL. - .. .. 7 B SANDY LOAM 1 OYR. 5/6
51.0 Irti% _ LTrR ' 8b
a D B SA14DY LOAM 1OYR. 5/8
aaf. _
50.6 s n 36n
C TANK, INv.a olsr. --� u E 4o a.v.c. LEACHING CHAMBERS 1-23". DUNE .21,. 1999
6 (NM =50.4 sox j-5' PERC TEST
.. :.....,...«INV, =50.2 -INV. _500 - 1 ELANAzzmamm
�^..:. .—"--6" STONE SASE• ._�
L.C.C. 4D
2282
BOTTOMELEv; EL =4s.O c MEDIUM 40, PARCEL SO
C MEDIUM
1OYq 6/ ASSESSORS SESSORS MAP4 € : sASAND! 10YR.6/4 .
_ { � APP==.:
NO SCALE —1;' NO VdATER -10' NO WATER_ ..
RIAN. OUGHLIN
, = ELEV. = 42.5' BAXTER & NYE INC.
ELE� 42:5' •.' •.
LAND SURVEYORS, CIVIL ENGINEERS
} OSTERVILLE,MASS.
#99047