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HomeMy WebLinkAbout0024 SEARS AVENUE - Health 24 Sears AvelAWV Cotuit ----- -—- -- -- -- --- -- - - -- - .�__ A= 018-085-002 f TOWN OF BARN STABLE LOCATION � SEWAGE# L o -�3 S VILLAGE e�9 a - ASSESSOR'S MAP&PARCEL n INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 54 O pp LEACHING FACILITY.(type i�o?�� 500 CA (size) NO.OF BEDROOMS OWNER A4J PERMIT DATE: /O - 5 - / Z COMPLIANCE DATE: 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 J q -.4 . -4q, s CD 13 - TOWN OF BARNSTABLE LOCATION sP)gy,4 �i SEWAGE # o VILLAGE �4�lz' ASSESSOR'S MAP & LOT NAME ti PHONE NO. V je 7� j SEPTIC TANK CAPACITY LEACHING FACILITY:(type) O (size) NO. OF BEDROOMS_ PRIVATE WELL OR PUBLIC WATER OR OWNER z f DATE PERMIT ISSUED: u Me- DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No Irl ' No. o �� Fee (�150 4er THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ftpl cation for Disposal *pstem Construction Permit Application for a Permit to Construct(e' Repair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. M Sea-rS el 11�q -r' Owner's Name,Adrd�r�ess,and Tel.No. Assessor's Map/Parcel l gil ` v_ t J 4& 5M-3w-quo Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. N:e �n Type of Building: a 'cE SO CY.212 -/3 49 -'s Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Lo aw",k 5r-4 Nature of Repairs orAlterations(Answer when applicable) vAv vN t ql-&i ,&l 5epah 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 a h S' d Date Application Approved by Date $ w t Application Disapprov y Date for the following reasons Permit No. I Z 51 Date Issued 1��9,Za Z TIC E COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(�C) Repaired( ) Upgraded( ) Abandoned( )by Z4 5 oeof /�✓G u-1 at has been constructed in accordance with the provis' s A Title the for Disposal System Construction Permit NO&A`Z—?J'16 dated 49!5/Z0 t Z Installer Designer #bedrooms Approve si n flow gpd The issuance of this permit shall not construed as a guarantee that the syQemill fun si ned. Date � Inspector — (D , —— -- _��-- __ ----------------------------------------------- ------- ., — No. •, ' Fee 1SO o0 s- THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 1 PUBLIC HEALTH DIVISION.-TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplication for MispoBal *pstem Construction 3permit "A lication for a Permit to Construct , Repair Upgrade Abandon Complete System Individual Components PP � P (' ) pg' ( ) ( ) � P Y ❑ P Location Address or Lot No. Lt� 5,ear,) Owner's Name,Address,and Tel.No. Assessor's Map/Parcel _ t- gill ( w o Installer's Name,Address,and el.No. o Designer's Name,Address,and Tel.No. Type of Building Dwelling No.of Bedrooms . Lot Size sq.ft. Garbage Grinder( ) Other Type of Building pw kAA No.of Persons Showers( ) Cafeteria( ) Other Fixtures 2 Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets tRevision Date` ` 11 Title Size of Septic Tank Type of S.A.S. a Description of Soil n OL Nature of Repairs or Alterations(Answer when applicable) vrw c v—C 61 VA v,G LA 1 S VI?k,J. Date last inspected: Agreement: �4 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"ofthe Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of a h. S' ed r� — — -- Date Application Approved by Date I Application Disapprove y Date for the following reasons Permit No. 201L Date Issued l��j Zo ------------------------------------------------------------------------------------------------------- ------------------------------- T114 E COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS ` Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(�C) Repaired( ) Upgraded( ) Abandoned( )by u.a at has been constructed in accordance / / ' with the provisions of Title{5 and he for Disposal System Construction Permit No: -z— /6- dated Id(�l Zfl -I- Installer /� �'r"' s..� � ��„� _1�----- ' Designer #bedrooms %� Approved design flo/w gpd The issuance of this permit shall not be construed as a guarantee that the system w'•'•ill fu cti•'n as d' si ned. Date r-cc-- /�0 `�' Inspector`'------� --------------------------------------------------------------------------------------------------------------------------------------- No. ZO IZ --�) Fee 6S0 THE-COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *pstrm (Construction Vermit Permission is hereby granted to Construct(�) Repair( ) Upgrade( ) Abandon( ) System located at `Z f SMwe S &)e Ca(m 1 7: 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 n must be completed within three years of the date of this permit. Date Approved by f Town of Barnstable `0AXO(1 e,� 3 oF'THE r Regulatory Services Thomas F. Geiler, Director B" MASS&�� ' Public Health Division 1639. °ree Ma+" Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 - Fax: 508-790-6304 Date: Sewage Permit#o2U/�— 3�J` Assessor's Map/Parcel (] Installer &Designer Certification Form O©a Designer: F ( k ��� Installer: . r " Address: PDX 7` Address: g �'3 On %D S /2 ' Ph_S4eZe__ was issued a permit to install a (date) (installer septic system at / based on a.design drawn by (address) dated (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. Stripout .(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. Stripout (if required) was inspected and the soils w re found satisfactory. Her's Signature) (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLL4NCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION_ . THANK YOU. gAoffice forms\designercertification form.doc a Alr T. r .jai .. - Town of Barnstable Regulatory Services g rY Thomas F.Geilerl Director BAIWSrABM Public Health Division Aim s Thomas McKean,Director 200 Main Street, Hyannis,MA 0260.1 Office: 508-862-4644 Fax: 508-790-6304 Date:/Z-Z/-/ Sewage Permit# ?X>,-0/ Assessor's Map/Parcel /8----- 6 Installer& Designer Certification Form �/Ii2i2E•c/ .Gf�S�l2 Designer: In0aller: Address: f Q X D_X Address: ` ' V/,9—J�ir�S'�i,9,cJ �rfr y On /b -S-/Z �0T5" e�-c9�� �� was issued a permit to install a ` (date) (installer) septic system at Z 52 ,_S UE; C' based on a design drawn by (addre ) !4]�G Ct.�? 6,► ��.. .. dated / (designer) t/ 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. Stripout (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.* Stripout (if re inspected and the soils re found satisfactory. �° ► a ssgcy e) �o. 1144 . � tiSq.Nt7kR1P� .. (Designer's Signature) (Affix De`ie`i�s Stamp Here) PLEASE RETURN TO BARNST LE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoffice fonnsWesignercertification fonn.doc i _ ; 77 i I q .17 011 Q Ub e i TOWN OF BARNS'' BU, � LOCATION �¢ SEWAGE# RO O -135 VILLAGE_e!!5AXA A,;U_ ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY ! p LEACHING FACILITY(type elRtl 0 Q (size) NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE:- l :®6 _ l 2, 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) Few j Edge of Wetland and Leaching Facility(If any wetlands exist within - j 300 feet of leaching facility) -per i TURN-ISFMD B 4 TRANS. NO.: CITY/TOWN: �i �i��7o JCS / APPLICANT: , A /� ADDRESS: ' DESIGN FLOW: gpd REVIEWED BY: DATE: N/A OK NO GENERAL 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)] r/v 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 b All" System located totally on lot served [310 CMR 15.405(1)(a) for �. upgrades]- 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)] Location all buildings existing and proposed 310 CMR 15.220(4)(c)] Location and dimensions of system components and reserve areas. 310 CMR 15.220(4)(e)] System Calculations 310 CMR 15.220(4)(f)] �/. daily flow septic tank capacity (required andprovided) soil absorption system(required andprovided) whether system designed for garbage grindet North arrow 310 CMR 15.220(4)(g)] r/ Existing and ro osed contours 310 CMR 15.220(4)(g)] try Location and log of deep observation holes(existing grade el.'on each test) [310 CMR 15.220(4)(h)] Names of soil evaluator and BOH representative [310 CMR 15.220 4 h and i Location and date of percolation tests(performed at proper elevation?) [310 CMR 15.220(4)(i)] v Percolation test results match loading rate? 310 CMR 15.242 C� Certification statement by Soil Evaluator 310 CMR 15.220(4)0)] 1/ Observed and Adjusted groundwater(method for adjustment given or indicated) [310 CMR 15.103(3) and 310 CMR r/ 15.220(4)(n)] Address Sheet 1 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 supply within 250 feet of the proposed system location in the case 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 within 50 ft. 310 CMR 15.220(4)(1)] Water lines and other subsurface utilities located [310 CMR 15.220 4 m if water line cross see 310 CMR 15.21 l(1)[1 ) Profile of system showing invert elevations of all system components and the bottom of the SAS 310 CMR 15.220(4)(o)] Stamp of designer 310 CMR 15.220 1 and 310 CMR 15.220(2)] Stamp of Registered Land Surveyor(required if construction activities within 5 ft. of lot line) [310 CMR 15.220(3)] Test Holes adequate (two in each of the primary and reserve , unless trenches as permitted in 310 CMR 15.102(2) or as approved for an upgrade under LUA at 310 CMR 15.405 1 k 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 15.000 System components not> 36" deep(unless Local Upgrade Approval or LUA requested) 310 CMR 15.405 1 b ✓`�U,�?��c off` ,�c--ram®� .� � �-- J Address Sheet 2 of 7 N/A OK ' NO SEPTIC TANK Size OK? 310 CMR 15.223 1 Inlet tee located ten inches below flow line 310 CMR 15.227(6)] Outlet tee 14" or 14" + 5" per foot for increase ft depth [310 CMR 15.227(6)] Outlet tee with gas baffle or approved filter 310 CMR 15.227(4)] Note regarding installation on stable compacted base [310 CMR 15.228 1 Separation between inlet and outlet tees (no less than liquid depth) 310 CMR 15.227(2)] Inlet/Outlet elevations at least 12" above high groundwater (except as described 310 CMR 15.227(5)) or permitted for upgrades under LUA 310 CMR 15.405 1 k Minimum cover 9" (Tanks buried more than 9" must have risers on all openings and on the d-box) [310 CMR 15.2228(1) and 310 CMR 15.232 3 Three access covers(inlet and outlet must be 20" or greater) middle access at least 8" b 7/07 310 CMR 15.228(2)] Access to within 6 " of grade - one port for systems<I 000gpd, two for systems>1000 gpd. 310 CMR 15.22 8 2 All at-grade covers secured to unauthorized access? [310 CMR 15.228(2)] > 10 ft from building foundation 310 CMR 15.211 1 w� Buoyancy calculation Required/Done 310 CMR 15.221(8)] c/ H-20 Where appropriate? 310 CMR 15.226(3)] Setbacks from resources 310 CMR 15.211 c/ - Multi-Compartment Tanks Required when other than single-family dwelling or flow>1000 � d 310 CMR 15.223 1 b First compartment 200%daily flow; Second compartment 100% c daily flow 310 CMR 15.224(2) and 3 . "U" pipe through or over baffle, outlet of each compartment with as baffle or approved filter 310 CMR 15.224(4)] Address Sheet 3 of 7 N/A OK NO BUILDING SEWER AND OTHER PIPING Located at least ten feet from any water line? [310 CMR 15.222(2)] Disposal piping at least 18" below water line(when water and sewer cross, see 310 CMR 15.211(l)[1]) Cleanouts required/provided ? 310 CMR 15.222(8)] Thrust blocks specified in force mains? 310 CMR 15.221(6)(c)] 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 um 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 allowed DISTRIBUTION BOX 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 steep pitch of gravity sewer) [310 CMR 15.323(3)(a)] Riser if deeper than 9" 310 CMR 15.232 3 Inside minimum dimension 12" 310 CMR 15.232(2)(b)] ' Minimum sum 6" 310 CMR15.232(3)(e)] e/ Watertight cover if<2000gpd);waterproof manhole if>2000gpd 310 CMR 15.232(3)(d)] PUMP CHAMBERS Capacity (emergency storage above working=design flow)? [310 CMR 231 2 Proper setbacks 310 CMR 15.211 same as septic tanks Watertight 20-in minium access manhole at least 20" 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 OK NO SOIL ABSORPTION SYSTEMS(SAS) GENERAL - Calculations correct? 4 feet of naturally occurring material demonstrated? [310 CMR !� 15.240 1 Required separation togroundwater? 310 CMR 15.212) Aggregate specified as double washed 310 CMR 15.247(2)] System Venting required/provided? (system under driveway or >36" deep) 310 CMR 15.241 Inspection ports specified and within 3"final grade? [310 CMR ✓, 15.240 13 Breakout requirements met?(No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and Guidance Document GALLERIES,PITS,CHAMBERS 310 CMR 15.253 Chambers and Gal. in trench configuration supplied with inlet every 20 ft. 310 CMR 15.253(6)] Each structure with one inspection manhole(if>2000 gpd must be tograde) 310 CMR 15.253(2)] Aggregate I' minimum- 4'maximum. 310 CMR 15.253(1 b 2' sidewall credit maximum 310 CMR 15.253 1 a In bed configuration,inlet every 40 s . ft. 310 CMR 15.253(6)] v TRENCHES 310 CMR 15.251 Width T minimum 3'maximum 310 CMR 15.251 1 b 100 feet-maximum length 310 CMR 15.251 1 a Minimum separation 2x effective depth or width whichever eater 3x if reserve between trenches 310 CMR 251 1 d Situated along contours 310 CMR 15.251(2)] !/ Breakout OK? 310 CMR 15.211 1)[41 and Guidance Document BED SAS (Maximum size of bed or field 5000 d) minimum 2 distribution lines 310 CMR 15.2 52 2 a Maximum separation between lines 6' 310 CM R15.252(2)(d)] ' Maximum separation between lines and outside of bed 4' [310 CMR 15.252(2)(e)] Aggregate depth below discharge pipes 6" minimum, 12" maximum. 310 CMR 15.252 2 Separation between beds 10' minimum. 310 CMR 15.252 2 Bottom area used in calculations only 310 CMR 15.252(2)(i)] Address Sheet 5 of 7 y N/A OK NO DID THE PLAN INVOLVE 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 15.254(2)and I/A 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 >2000 dgood 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 310 CMR 15.255(2)(a)] t/ Side slope not exceed 3:1 ? 310 CMR 15.255(2)] Breakout requirements met? [310 CMR 15.252(2) and Guidance Document l/ At least 5 ft. from impervious barrier to edge of SAS (10 ft. �. recommended) [310 CMR 15.255 2 e Gravelless System UA Approval Letters) Check DEP Approval letters for credits and design conditions If used with pressure dosing do not allow pressure discharge to scour soil interface Alternative Septic System[I/A Approval Letters] 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? Any alarms involved on separate circuits Did the applicant submit an operation and maintenance manual? Has applicant submitted a copy of a maintenance Variances 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 310 CMR 15.412(4)] New construction or increased flow proposed- [Refer to 310 CMR 15.414 Address Sheet 6 of 7 N/A OK NO Nitrogen Sensitive Areas Is the system in 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 ? 310 CMR 15.214(2)] Are the nitrogen loads proposed in compliance? [310 CMR 15.216 1 Miscellaneous Pumping to septic tank? 310 CMR 15.229 Shared System 310 CMR 15.290 I/ Address Sheet 7 of 7 1)4-V4 Mn So/I Town of Barnstable p# ) 3/7�, 4 q le �fY� �SA Department of Regulatory Services + ar,►n�. : Public Health DiviNAMsion Date L) 2 Fo �a 200 Main Street,Hyannis MA 02601 Date i Scheduled _ /Time Fee N �l1 00 Soil Suitability:Assessment for Sewage isposal Performed By: Witnessed.By: LOCATION& GENERAL INFORMATION Location Address SQ�t w-� Aue- C�7vi Owner's Name �3i 4 t r r—, zo •7 Address Assessor's Map/Parcel: Q ,V fj�� U D� 0 0 _ Engineer's Name 06 C L:kV V NEW CONSTRUCTION REPAIR Telephone# F 3 3 Z 7-� ---- Land Use Slopes(%) Surface Stones Distaoces 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 we an in proximity to holes) 10 lo," i t Z Parent material(geologic) Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater Method Used: DETERMINATION FOR SEASONAL HIGH WATER TABLE Depth Observed standing in obs.hole: in, Depth to.soll mottles: in. Depth to weeping from side of obs.hole: in. Groundwater mottles.'Adjustment B, Index Well# Reading Date: Index Well level�,,,,,,a� AdJ.fhctor Adj.Groundwater Level PERCOLATION TEST We , Thud,__-___ Observation / I Hole# Time at 9" If - Depth of Perc Time at d" Start Pre-soak Time @ Time(9"-6"Y 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:\SEPTICIPERCFORM.DOC DEEROBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in:) (USDA) , (Munsell) Mottling (Structure,Stones,'Boulders. Consistency, ravel Xj /071 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ons' % DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color. Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) k DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones:Boulders, Con i ten J - Flood Insurance Rate Map: Above 500 year flood boundary No_ YesZ Within`500 year boundary No l' Yes Within 100 year flood boundary No— Yes ;. Depth of Naturally Occurring;Pervious Material Does at least four feet of naturally occurring pervious m'tertal exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of nat rally occurring pervious material?„r. 1 Certification I certify n (date)I have passed the soil evaluator examination approved by the Department of Enviro ental Protection and that the above analysis was pe orm by me consistent with . the required training,exper' a xperie ce described in 310 CMR 15.017 Signatur Da t Q:\SEPTIC\PERCFORM.DOC DEEP OBSERVATION HOLE LOGS m N INSTALL RI5ER5 COVERS TO PIPE5 TO BE LAID LEVEL FOR 2" LAYEi�'OF DOUBLE WASHED PEA5TONE w un WITHIN G" OF FIN15H GRADE 2' OUT Of DISTRIBUTION BOX 3 " _ I DATE: O 1-10-201 1 P# 1 3 1 76 OVER /4 I /z DOUBLE WASHED 5TONE (SEE PLAN VIEW FOR LOCATIONS) ALL AROUND TEST BY: D. MASON, R.S. w WITNESS: D. 5TANTON, HEALTH AGENT ,y, WATER TEST D-BOX FOR U LEVELNESS +� FLOW PERC RATE: < 2 MIN./INCH p[ EQUALIZATION DEEP OBSERVATION HOLE#I EL. 25.4 O DEPTH SOIL SOIL 501L COLOR SOIL O ^ ry EL. 33.0 FROM OTHER � — _EL. 30.0 EL. 30.0 SURFACE HORIZON TEXTURE (MUN5ELL) MOTTLING T.O.F. @ 4"SCH — — -- — z 4 EL. 34.0 4"SCH 40 PVG O"-8" A LOAMY SAND I OYR4/1 Q 7 40 PVC TOP @ EL. 27.0 PERC TEST: 26"-44" J 4"5CH 40 PVC 8' -20' B LOAMY SAND I OYR6/8 I O" 24 GAL < 15 MIN. 0 ,_6 v, A, 14" 20- 144" G MEDIUM SAND I OYR7/4 sr t �z �25,50 27.75 �27.23 (2) 500 GAL. PRECAST DRYWELLS BOTTOP•�l EL 24.30 1 O INSTALL GA5 BAFFLE 27 4O @ BASEMENT FLOOR _ N U7 IN OUTLET TEE 27.50 .2G.30 @ EL. 2G.5 w LOCUS DEEP OBSERVATION HOLE#2 EL. 25.4 INSTALL TANK#D-BOX (n " DEPTH Q -31 s t* 'j 7.9 FROM {— C>, ON 6"LAYER OF CRUSHED SOIL SOIL SOIL COLOR SOIL OTHER HORIZON TEXTURE 1 500 GALLON PRECAST STONE RFACE (MUN5ELL) MOTTLING O"-8" A LOAMY SAND I OYR4/1 SEPTIC TANK 8"- 20' B LOAMY SAND I OYPIG/8 ZONING CLA551FICATION: RF BOTTOM TH @ EL. I G.4 2G"- 144" C MEDIUM 5AND I OYR7/4 MINIMUM LOT SIZE: 435GO 5F NOTE: NO GROUNDWATER ENCOUNTERED IN ANY OBSERVATION HOLE MINIMUM FRONTAGE: 1 50' MINIMUM FRONT YARD: 30' MINIMUM SIDE YARD: 1 5' MINIMUM REAR YARD: 1 5' MAXIMUM BUILDING HEIGHT: 30' DE51GN DATA GENERAL NOTES DAILY FLOV: (3) BEDROOMS x I 10 GPD = 330 GPD I . SEPTIC 5Y5TEM 15 TO BE INSTALLED IN ACCORDANCE WITH SEPTIC TANK: 330 GPD x 200% = GGO GPD 3 10 CMR 1 5.00: TITLE v USE: 1 500 GALLON PRECAST SEPTIC TANK 2. THI5 SEPTIC SYSTEM 15 NOT DESIGNED FOR THE USE OF A DISTRIBUTION BOX: GARBAGE DISPOSAL USE: DB-G (H-20) 3. THIS PLAN 15 NOT TO BE USED FOR PROPERTY LINE DETERMINATION. 501L ABSORPTION SYSTEM: 4. CONTRACTOR SHALL PROVIDE 48 HOUR NOTICE TO DESIGN USE: (2) 500 GAL, PRECAST DRYWELL5 w/4' ENGINEER FOR ANY REQUIRED INSPECTIONS. OF 000BLE WASHED STONE ALL AROUND 5. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION OF ANY CAPACITY: UTILITY, ABOVE OR UNDERGROUND, PRIOR TO ANY EXCAVATION OR CONSTRUCTION. SIDEW,>LL: 7G x 2 x 0.74 = 112.5 GPD G. EXISTING CE55POOL TO BE PUMPED DRY REMOVED. BOTTOM: 13 x 25 x 0.74 = 240.5 GPD TOTAIL: 353.0 GPD TBIVI EL. 33.5 TOP OF CONC. BOUND � `. r•. 8 30 �•�• / / GRA i VEW i / V / 20 �ZN OF 4fAo, % / PROPOSED \i l / DA o G DWELLING / / %r ' :. ` +o RUN BA O 10 v T.O.F. @ ND. 1140 �.R CA P EL. 34.0 / 0oq 9` l l l l l / C�'�STE��o �QN UF1V /04, 30 4- 1 2 / / #2 t-- --1 i I �� ♦ EXISTING / - . �. CE55POOL/ r� r 51 T E SEWAGE PLAN — � EXISTING DWELLING �„ , �, FOR (TO BE RAZED) �� / / // 24 SEARS AVENUE COTUIT, MA PREPARED FOR BAY5IDE BUILDING INC . (LAZOTT) �— 7 \ / / �' / // SCALE: DATE: DRAWN BY: \ �5s �; / / // III = 20' 09-25-201 2 TMW JOB NUMBER: 1 2-04 rJ REVISION: SHEET NUMBER: WELLER * A550CIATE5 1645 FALMOUT R U TE 4C --- P.O. BOX 4 1 7 CENTERVILLE, MA 02G32 2 WINDY WAY, #232 NANTUCKE"(, MA 02554*-TELEPHONE FAX: (508) 775-0735 \ \ / 20 EMAIL: trl5WCller@comca5t.net A< ! O REGISTERED LAND SURVEYORS # ENVIROMENTAL CONSULTANTS Traverse PC