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0036 TRUMAN LANE - Health
36 Truman Lane Cotuit A =039 - 144 TOWN OF BARNSTABLE QOCATION �s� y Cates SEWAGE# ?S7— VILLAGE ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. C SEPTIC TANK CAPACITY JQd� LEACHING FACILITY.(type)j ,gir C�,I (size) NO.OF BEDROOMS OWNER C PERMIT DATE: COMPLIANCE COMPLIANCE DATE: Separation Distance Between the: C Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 7 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 w � � � W o � � ., . � � �, �- �b � ,� r �c3 No. ? Feet-4 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS application for Mis osal stein Construction 3permit Application for a Permit to Construct( ) Repair(V) Upgrade( ) Abandon( ) ❑Complete System Edindividual Components Location Address or Lot No. j?e Owner�' N d ess and Tel.No. As essor's Map/Parcel Cep �" I Instal is Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. ©I' �lei Coles 77 Type of Building: Dwelling No.of Bedrooms Lot Size 3 35 sq.ft. Garbage Grinder(V)'I0 Other Type of Building ��2/ ewCif No.of Persons Showers( ) Cafeteria( ) Other Fixtures , Design Flow(min.required) ?j' 9 gpd Design flow provided �5`��• gpd Plan Date c© © - Number of sheets Revision Date Title "Q/I a7 3,0, �✓� /'! s��i'� Size of Septic Tank �Q�� � eXiC7)' Type of S.A.S. , Description of Soil JD 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 Certificate of Compliance has been issued by this Board of He th. __.- gn d Date Application Approved by 2Z &AMIL Date Application Disapproved by _ Date for the following reasons Permit No. "� Date Issued ..rrT ...._r�: ::w.. •.fin:.•.�.t.... >...-`.-...._- -'•+awi-w--f•--- .w-t-. - ...M .v �` ,t. w ` .+vr_V' �' l.f,'.. Y•tM1:.M'..Y'�".59.{ •nfi _ ... v-.r w .I+. .fF -,.ytrw•..' `a` .•�" -tom .f: No. ` "_ + :t{ Fee too THE.COMMON,WEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes NV 40 2pprication for ]D isposal bpstem Construction permit Application for a Permit to Construct( ) Repair(1/ Upgrade( ) Abandon( ) ❑Complete System V Individual Components Location Address or Lot No. 3 —f WW411'1 /J(° Owner'' N/ e,A��ess and Tel.No. Assessor's Map/Parcel" j 7'_ �"'�" Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of-Bedrooms Lot Size 2 3 3� sq.ft. Garbage Grinder(L/4� Other Type of Building e$/ L�b1C� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.requir d) ?j!� gpd Design flow provided gpd Plan Date © Number of sheets Revision Date Title S'/r 7r4l)%�'/ Size of Septic Tank /��� f L°X/5 Type of S.A.S. c�/i 7 X �' ZJ�iT Z :Description of Soil --� k `— DJC� c��'/�/y/2y O/S 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 Certificate of Compliance has been issued by this Board of HGeaa th. Date Application Approved by _/� Date _ Application Disapproved by �- Date for the following reasons iY Permit No. Uoj J Date Issued t THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS t..=. Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sawage Dis osal system Constructed( ) Repaired(1� Upgraded( ) Abandoned�( )by O j" /�/ 6/ / (��y✓`` / at 3b lj� !T� G!/2h�as been constructed in accordamice with the provisions of Title 5 and the for Disposal System Construction Permit No. �__ ated Installer Designer #bedrooms Approved design flow 3 o gpd The issuance of this permit"shall not be construed as a guarantee that the system will fu tc in on designed. c Date j 1 1)� Inspector ���� ------- =---------- Fee � THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS Misposal *pot t Construction Vefmit Permission is hereby granto to ( ) Repair( Upgrade-+( ) Abandon( ) System located at 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 ���516q Approved by 6`� FROM :down rape engineering inc FAX�NO. :15083629880 Nov. 24 2009 02:09PN P1 Town n 11 Thallinaaa IV. Zia Uelr, Director 1NPkf.NK1'AkiA.L�,/P Mnr7 WIS 1.031 Director Offi.cc: 503-862-161%I fax: 50fi-790-6:304 )<u,ss><�al(larr lfDa siiggner Cccr—hfic:atnou Form Date: A c4a1>ress; Gu''- `' �._ '@aRa u a s : i• • joy, 701 � ti C)ii � � /� was i5sueci a pemit to install a !date) (i.nstal�r ) tieptic system at.134 ..//k4m a k 4d Pj based on a:design drawn,by (address') 0 �G iT certify that the septic systetya referenced al-xwe was i.o.staJ_led substantially aeco ding to the desig.a, wbi.c.b. nmy luctude, mil.aaa approved chuncgos.such as hitural. relocaHoll of the distrihmrtion box end/or Septic oink. -- I cortiiy that the sc:'ptic Sy5LCTYi'referenced above was iuslalled with major efluagcs (i.c:., i greater. than 1.0' latUlUl a-elucation,of the SAS err any vertical re.locati.ol�oR a.uy coavpcai.ac:aat t of the septic system) but in.aeeordaB.C, with Stale,& LocaJ IZ,egulr�.tic,t>s. 1Plan r Wit ica11 Urceili lied:as-hui_It by design. r to follow. 'r � \T1i Or MASS DANIELA. (TnAaller's Sig ialurte) NtIL �� No.46502 t� Q TV-a sS t w , -.._._(A11"Ix Dte.Ig e;r .3 smilip 1-�rrc) >r A,10J lU "URN '10 BATtNSTAhT.,1r: 11EAL'All DIVI)SWIN, C Gruai'nc+o6;a'.i o<; err' CCPTY'a?7_IANCF, WILL NCPT BF, oSilT) Urd'i.1Y, ASQ)'A'11_1HIS U+QD.➢�M AND A ;�•l�Q1ILT B�ml-yD ARE, i�.l,1a II1X R'A11<!:.t1r�lat�u:Q'tV4#J<,1�11'U�3 1�'i l:,h':>(�f tB{1/L 10N. 119.r°aNK YOU. ---- Q:1H.ca.till!`;c4�r;fhcsl�E}cT.t;arli:.�xrrLion.T',n�n';-7G-09,dor . t , 7� own of Barnstable P# � DepartlnGaat of Regulatory Services neturauatE t Public Health DivisionDate x'AE& 200 Main Street,Hyannis MA 02601 �1F0 MA'1 A Date Scheduled Time Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: �. G�f• � (iy►G WilnessedBy: / LOCATION & GENERAL INFOJCVIA.TION —yt Location Address- Lv. Owner's Name Vie t/a l t/1" C Q�ht 11 Address Assessor's Map/Parcel: Engineer's Nantc tJ0�. eye NEW CONSTRUCTION REPAIR Telephone If Land Use Slopes(%) v Surface Stones Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way t"_� ft Property Line O1\0 ( ft Other ft SKE'TCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands�In PrMindty to holes) t z� T1 ti � ' Xj Gl�7uYS t Depth to D ecb•och, c S 00 i Parent material(geologic) P Depth to Groundwater- Standing Water in}tole: Al-61"'t_ Weeping from Pit Nee--- Estimated Seasonal High Groundwater DETERAUNATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hale: 1[a, Deptla ld 5011 IrlottlgA: _,., _ IIL Depth to weeping from side of obs.hole: Ill, Clrouadwuter Adjushre»t ��___9 _fr• Index Well 8 Reading Date: Index Well level.,._� Acil,f,.tetor- Aq).C)rouridwater UM PE]PERCOLATION TES )tlnit:/O 2 'nine-10_/�'"�` Observation Holt## Time.nt 4" il Depth of Perc LJ� �6 Time at 6" Start Pre-soak Time @ /0160 Time(9"-6") End Pre-soak Rate Min./Inch Z6Z1 SFI�i� / Site Suitability Assessment: Site Passed _ Site-Failed: Additional Testing Needed(YIN) 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 tile. . Barnstable Conservation Division at least orle (I) week prior to begiaaning, QAS EPTIC\PERC FORM.DOC ERE � H®BSERVATI®N HOLE, LOG t Depth from Soil Horizon Hole ' Surface(in.) Soil Texture_ � • `Soil Color Soil �` (USDA). (Munsell) 1 Soil- ' Other Mottling ,(Structure,Stones;Boulders, ,6 ..Z Con istenc %' ravel Jay /6 Y96/G DEEP O-RS -RVATI®N HOLE'LOG Depth from Soil Horizon Soil Texture Hole# Surface(in.) Soil Color Soil Other (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consis enc %Gravel " G 16 Yre-Mr Depth from DE EP OBSERVATION HOLE LOG Soil Horizon # Soil Surface(in., Soil Texture Sil C U Soil ( SD A Other Mun( sell) Mottling (Structure,Stones,Boulders. Co siste cy.%O ve ------- DEEP OBSERVATION HOLE LOG _ + Depth from Soil Horizon Soil Texture # Surface(in.) Soil Color Soil Other (USDA) (Munsell) M4ttlln g (Structure,Stones;Boulders, Consi ten v a I FlooI Insurance-Rate M$n• Above 500 year flood boundary No Yes w_ Within 500y ear boundary No Yes. Within 100year flood boundary No Yes . Depth of Ntaturally��ceurrin 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? _ Cen•tif'ication 1 certify that on 04er-1 (date)I have passed the soil evaluator examination approved by the Department of Environmental.Protection and that the above anal eis was performed the,re uire y P by me consistent with d training,ng,expertise and expeeri ce described in �10 CIvl12 15.017. Signature <y .. +�r `���� Date 161Z6 Q� Q:ISHPTfCWERCFORM.DOC L0,CATI SEWAGE PERMIT NO. rtl VILLAGE , 616 C�Ttj I 1N TA LLERIS NAME & ADDRESS R U i-L D E R .OR OWNER DATE PERMIT. ISSUED ��� DATE COMPLIANCE ISSUED ��;ti`' �.�. Y e ti A + �\ {� � h O o !/ �'� �� � `� , :�._ � r 1. t k ALL SYSTE SHALL SYSTEM PROFILE MARKED WITHCMAGNETICTTAPE OR BE NOTES PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS otc APPROX NGVD ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE TOP FOUND. EL. 57.5' FILTER FABRIC OVER STONE PROVIDE INSPECTION PORT TO WITHIN 3" OF FINAL GRADE 2• MUNICIPAL WATER IS EXISTING Roue MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED VER SYSTEM 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. den 4. DESIGN LOADING FOR ALL PROPOSED PRECAST O US PRECAST H-10 a RISERS (TYP.) UNITS TO BE AASHO H-_Q 210 54.9' 4"OscH40 PVC o 2" DOUBLE WASHE PEASTONE C, r PIPES LEVEL 1ST 2' 5. PIPE JOINTS TO BE MADE WATERTIGHT. o OR GEOTEXTILE F�,�RIC � 53.3' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE 10" 10EXISTING 0 GALoH-10JTEE WITH 310 CMR 15.000 (TITLE V.) TEE SEPTIC TANK f*53.5' o00 (RE-USE)** '0000000000o0 6" MIN. SUMP oo� , o GAS BAFFLE :: °00000000000 12" MIN. INT. DIM. 0 52.83 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND 53.0' 52.83' goo 2 50.83' NOT TO BE USED FOR LOT LINE STAKING OR ANY 0 00 g OTHER PURPOSE. H-20 3050 INFILTRATORS 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 6" CRUSHED STONE OR MECHANICAL 3/4" TO 1 1/2" DOUBLE WASHED STONE 9. COMPONENTS NOT TO BE BACKFILLED OR COMPACTION. (15.221 [21) CONCEALED WITHOUT INSPECTION BY BOARD OF OVERALL DIMENSIONS TO OUTSIDE OF STONE: 30.4' X 10.25' HEALTH AND PERMISSION OBTAINED FROM BOARD 4.83' OF HEALTH. ( 1 % SLOPE) ( 1 % SLOPE) 24't 10. CONTRACTOR SHALL BE RESPONSIBLE FOR FOUNDATION SEPTIC TANK D' BOX 2' EXIST. 39' LEACHING CALLING DIGSAFE (1-888-344-7233) AND LOCUS MAP FACILITY VERIFYING THE LOCATION OF ALL UNDERGROUND & NOT TO SCALE OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT WORK. UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE BOTTOM TH-1 & TH-2 46.0' PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM WITH 1500 GALLON H-10 SEPTIC TANK IF NOT SUITABLE. NO GROUNDWATER FOUND 11. ANY UNSUITABLE MATERIAL ENCOUNTERED ASSESSORS MAP 39 PARCEL 144 G-W ESTIMATED AT EL. 26't SHALL BE REMOVED 5' BENEATH AND AROUND THE AS PER TOWN MAP PROPOSED LEACHING FACILITY. LOCUS IS WITHIN AP DISTRICT 6.09 12. EXISTING LEACHING FACILITY SHALL BE PUMPED NO CONSTRUCTION PROPOSED LEGEND- BENCH MARK - TOP OF AND REMOVED OR PUMPED AND FILLED WITH CLEAN CONC. BND ELEV. =56.5 SAND. 99 - EXISTING CONTOUR 6.09 x .73 X 99.1 EXIST. SPOT ELEV. 99 PROPOSED CONTOUR ,ham 95�6 SYSTEM DESIGN. 198.4] PROPOSED SPOT EL. SHED TH1 's• 88 GARBAGE DISPOSER IS NOT ALLOWED TEST HOLE 6.48 x 56 6 d 55.77 DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD 2 SLOPE OF GROUND s • 54 USE A 330 GPD DESIGN FLOW UTILITY POLE ���. SEPTIC TANK: 330 GPD (2) = 660 FIRE HYDRANT � 1H 1 x 55.84 LOT 43 RE-USE EXISTING SEPTIC TANK** NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING 6.82 TH •- 23,359 `✓q. Ft. LEACHING: TEST HOLE LOGS x SIDES:2(30.4 +10.25) 1.85 (.74) = 111.3 GPD 20" WHI1� �'�NE 20" WHITE PINE 72 BOTTOM 30.4 x 10.25 (.74) = 230 GPD ARNE H. OJALA PE SE .V TOTAL: 461 S.F. 341.3 GPD ENGINEER: � � 43'� � pGE �, WITNESS: DAVID W. STANTON, IRS 6.88 USE (4) H-20 3050 INFILTRATORS, DATE: 10/26/09 s 9214" WHITE PINE WITH 1' STONE AT ENDS AND 3' AT SIDES PERC. RATE _ < 2 MIN/INCH �p s CLASS 1 SOILS P# 12736 x 56.25 6.28 6.64 EDGE 0 HOLLIES x s6. MA ELEV. ELEV. .07 56.34 APPROVED DATE BOARD OF HEALTH p" 56.0' 0" 0 4. 4 56.18 56.0' DECK x 56.62 O/A O/A i TITLE 5 SITE PLAN LS LS 7. 9 ss 2" 10YR 3/1 3" 10YR 3/1 6.03 57 0�\ EXISTING DWELLING 56.37 S6 z TOP FNDN. = 57.5' OF I .17 E E 5.46 a .4 36 TRUMAN LANE MS MS 5 o 10YR 2/1 10YR 2/1 \3.63 / COTUIT 3" 5" \ / s2 PREPARED FOR B B \53. S4 5 . 7 a B B BORTOLOTTI CONSTRUCTION/ LS 10YR 5/8 / � � °� � CHEVALIER „ „ 1OYR 5 8 \ 28 53.67' 28 53.67' s �x 5 qq OCTOBER 26, 2009 S.41 -1-11 � 7S3 4.t3 C C \ BS , 53.30 R Q H OF Mg8SC �ZN 0Fh1gS off 508-362-4541 PERC MCS MCS �IQ� \ 3 26 e pp DANIEL 9yG� �� sqo fax 508-362-9880 \ o A. °`� DANIELA. yGs I downcape.com 1OYR 6/4 1OYR 6/4 ��� 3.14 OJALA C • o OJAIL co down Qpe engineering inc „ 4 q No.40980 " CIVIL �' . 120 46.0 120 46.0 .9 �"533\ e- No.46502 NO GROUNDWATER ENCOUNTERED Scale: 1"= 20' � � �80 `9"�sSwF �o "�F ST �� civi/ engi�e�s land suave o 939 Main Street ( Rte 6A) 09-239 0 10 20 30 40 50 FEET x52.29 DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 09-239.DWG(SBO)