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0080 TY-DEE LANE - Health
80 TY-DEE LANE, COTiTt A=009-032 { a { :I t No. (y — Z3 5 Fee ti�/h y THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:_LI/ Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppliLation for ;Disposal 6pstem Construction Permit Application for a Permit to Construct( °' Repair( ) Upgrade( �Abandon( ) [?"Complete System ❑Individual Components Location Address or Lot No. eo `1-Tw- LAQ6 Owner's Name,Addr ss,and Tel.No. CWMAI T tjfj9/j A . 10W.1.'T0Ai Assessor'sMap/Parcel 609 032 R0 —%Y.- Deer c-tN CoT"`iT Installer's Name,Address,and Tel.No. 7A-6Designer's Name,Address,and Tel.No. �- i't'► 6fQ SbrJ 5 1 A; ® 13 x 4, X OW v to )e 48 i C: vi�.ateH rvl�} Type of Building: Dwelling No.of Bedrooms (D Lot Size o )/ aCs`!' scat. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.re wired) 660 gpd Design flow provided � � ?. 5 gpd Plan Date ®1 66 Number of sheets_ Revision Date 07 Title Size of Septic Tank j q00 q F LC>00nType of S.A.S. Cy) S 00 I P2eCr --% LEA04 c-,+jf wr3EeS Description of Soil ,gyp .See 1p�$ 1 Nature of Repairs or Alterations(Answer when applicable) x,epAt 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. ed Date Q-7L 40S— Application Approved by Date_2'Z7015 Application Disapproved Date for the following reasons Permit No. ZDl7 23°e Date Issued 'ZZ t Zv 1 j ti -No. I �s0� �'y VJ(J _ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:L Y es .._:,;PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplicatlon for MIspDsal 6pstem (Construction j3erinit Application fora. Permit to Construct( '�Repair( ) Upgrade( �Abandon( ) [✓Complete System ❑Individual Components t' Location Address or Lot No. d 8 'N-1)E& (.p4�J6 Owner's Name,Address,and Tel.No. G01T&I-f tj ivOA A . NCI ocx L'ToAJ Assessor's Map/Parcel ( 0 9 073 Z. NO i Y- DC e Cohn ti co-T u I T Installer's Name,Address and Tel.No. c qj Designer's Name,Address and Tel.No. L G.A �Gns�ir t11►Ci+ ��-� �� Vt'� t:VZ SbAJ S f N c D 13ex 77 L S. X M,! o /rI Po Riolr of g 1 L• v���cH , nAV} Type of Building: Dwelling No.of Bedrooms �0 Lot Size , 7 ayi!C��sq!ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures I / Design Flow(min.required) 60 gpd Design flow provided , s gpd Plan Date 0116qlac,15 Number of sheets Revision Date a 7 Ra L57 Title Size of Septic Tank I SCUO'a F 1000 Type of S.A.S. t tAC4 Gr�i4w,�3Erc5 Description of Soil .di ,SCC I0s15 +t f Nature of Repairs or Alterations(Answer when applicable) Z- 4 A^ Xgpodlt I -W 0,J 4N : .j •Si 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. ed Date Q 7 ro O) Application Approved by Date 7�/FL Application Disapproved Date - r' for the following reasons Permit No. 7,o(5 -Z-3 9 Date Issued I 2 z U,j --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed Repaired( ) Upgraded(✓f .Abandoned( )by � ,V,r- at & _V_Y-JELL ( NUE 6&T t 1'T has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No?(> - 23 y dated 177of r� Installer Designer #bedrooms �p ��� :' Approved design flow U gpd The issuance of this pe it shall not befc nstrued as a guarantee that the system will fun/tioolln as designed. c ' Date 71 Inspector �� i v - ---- - No. ( 7 . 7,3 6 Fee �� 0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS -Mis oral 6pstem Construction permit Permission is hereby granted to Construct(J ) Repair( ) Upgrade(f Abandon( ) System located at �(� Tt( !7 t 0 L A-N.f Co TL4 i T 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. I Provided:Construction must be completed within three years of the date of this permit. Date Approved by Town of Barnstable �tMME'Owti Regulatory Services Richard V. Scali, Interim Director .z:D BAMSrneta. MAW, Public Health Division 1639. �0 ArFp Thomas McKean,Director 200 Main Street,Hyannis, MA 02601 � r�� Office: 508-862-4644 Fax: 508-790-6304 Fti:7 ,w,, Installer & Designer Certification Form Date: �3 Sewage Permit# Assessor's Map\Parcel Designer: /V l t'L;iey � (S�o s Installer: /M�� 6/�O rl i W14 Address: l�%7 �/ Address: X y al� S• a�ih O g&I On 7121-2- 6 / was issued a permit to install a (date) (insta er) septic system at LAZ rY pr� tN, Oa; T' based on a design drawn by (address) �r"l Fi , �y✓�1 dated � '- (designer) i 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 constru _OF liance with the terms of the I\A approval letters (if applicable) DARREN (Installer's Signature) Designer's Signature) (Affix Ttamp Here) PLEASE RETURN TO BARNS ABLE 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. Q:\Septic\Designer Certification Form Rev 8-14-13.doc f �� � i � � i �--� _ . � � . �, �. - .: ! � ^ I��1 "fl r ::�' • �I � �w -i� � � �*� 1 8� l I . _ ` f � �� i i 1 +{ b fj ( f � t � - v I y .. jr {q) , Vt � �,,,. �� �.� � . . �, � z �. ..._ 3 - � � � � _ �� � "� t i 1 Z 1 � � k 1: � � F� 1�3 � � —. � � - � i . � i ' - i �. _ /. � I � � _ 7 __._ .: ... .w-�-4- ...:�.v_,. _ .. ,r 1 .`..�� �� C"C rd I Town of BA nstable. P# Department of Regulatory Services / Public Health Division Date ErrABLK /. [ d , ��e$ 200 Main Street, yannis MA 02601 Date Schedule 2/ J C�� 6� •i I f.- / f . 'Time f j Fee Pd. . d � / -- ii suitah4ily Assessm'ent for Se -e Dispo l Performed By:-- ! Witnessed By:; LOCATION & GENERAL INFORMATION Location Address �y - D �G bu L� i�, Owner's Name I��,,� Address 1)"Vou> V� Corr M'l pp� l- _ Assessor's Map/P4rcel: 0. 3� I -Engineer's Nan' M 1�"� j ►is - � I NEW CONSIRUt ON REPAIR \ Telephone# �j��- " �-�►2-� I � �- Slopes(40) Surface Stones . Land Use Distances from: Open Water Body ft Possible Wee Area �2;J O ft -Drinking Water Well i2 f[ �,», l)reinage Way ,/O U f[ Property.Line >16 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) SEEr� ���e ✓� S r J� I LU P„ --- - -- — -- pC;t m (1"' 4 i Lam. w•„_t i C3 t!3 • C) � CY] 1 _e_q 3: 'tea'i�tL i I i i i i i i - i _) I Parent material(geglOgic) lei(,,I 3,� �v�'3 Depth to Bedrock Depth to Groundwater. Standing Water in Hole: i Weeping from Pit Face Estimated Seasonal;High Groundwater / DtTERMINATION FOR SEASONAL HIGH WATER TAtLE Method Used: I I Depth Observed standing in obs.hole: n, 0you titc Adjustment in. ©roundwnter Ad)uetment Depth to weeping from side of obs.hole: _ p ,factor,, _ .- Adj.Groundwater Level.,,,,e, Index Well#_ Reading Date: Index Well leVr'1 - PERCOLATION TEST Datt: xtn e Observation i I Time 6t 9" /V -- Hole# / �� l 3't`��"S ti� Time at G• rl/� Depth of Pere J Time.(9"-6") Start Pre-soak Time.@ End Pre-soak Rate MinJInch ' Site Failed: Additional Testing Needed(YIN) Site Suitability Assessment: Site Passed . Original:_Public Ie¢lth Division Observation Hole Data To D e Completed on Back--- ***If percola>i;ibn testis to be conducted within 100' of wetland,,you must first notify the Barnstable C4 servation Division at least one(1) we6k prior to beginning. I/S 1 DEEP OBSERVATION HOLE LOG Hole#�_ Depth from Soil Horizon Soil Texture Soil Color Soil Other • .Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel 33', MuSaild— DEEP OBSERVATION HOLE LOG Hole# 2— Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munselq Mottling (Structure,Stones,Boulders. Consistent %Gravel) lei i, l 2 / DEEP OBSERVATION HOLE LOG Hole#— Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel 101.dell DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other i L Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, ra I Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No Yes, Within 100 year flood boundary No Y 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? Ve.,S If not,what is the depth of naturally occurring p rvious material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department nvironmental P otection and that the above analysis was performed by me consistent with the required ain ,e ertise n e perience described in 3,10 CMR 15.017 Signature Date / 3 L t f Q:\SEPTIC\PERCFORM.DOC { 1 .. _ .. .. .emge vLNr .. •L � VC:WMCLC►�._.� .. LLDN.MtAl1aN. ' _ 1. ..RI C,HT ELEVAM)W(•-A �- . . _ REAR ELEVATIOfj!•r-..a:' . .V :. 1 r'klxm u+u wt- •i t i ; t N:.. ... 1 s 'IM•COND FLOOR RANI --) A>-� _ , _ � I:T:a:7:.►'�IP MO►� .�cr t!'.i0'9LOG Li� � . _ 1• y; dNa;T�dv� .illza a . TOWN OF BARNSTABLE LOCATION fG T j,/-,P!C SEWAGE# Q1S VILLAGE ASSESSOR'S MAP&PARCEL 609 INSTALLER'S NAME&PHONE NO. 77(-0(W SEPTIC TANK CAPACITY LEACHING FACILITY: (type) �x s�vy�►/� R y4klt (size) S®-5 Irll X-?�So NO.OF BEDROOMS -sue OWNER PERMIT DATE: / COMPLIANCE DATE: /r Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility G 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 y 300 feet of leaching facility) /OO Feet ' FURNISHED BY a , 1� Ii Y M ` Z. A < � � - e r 9 f r 3 q l � o v ° �� r z � y TOWN OFBARNSTABLE /`� LOCATION �Y_Aee `� t SEWAGE #. VILI AGE CO 1 - ASSESSOR'S MAP & LOT��O3Z- INSTALLER'S NAME&.P.HONE NO.�®����1� 4f,,PW,01. SEPTIC TANK CAPACITY 11YDfJ �7�%1 LEACHING FACILITY: (type) I-a A G�� (size) i 0 A 30 2, Z NO.OF BEDROOMS 3 BUILDER OR OWNER FODIP� .PERMITDATE: 3 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 `. aa �� _r SSS� �VW i ' '� ' e �` t • �ti.w.'w��`J ' ,, f r . TOWN OF BARNSTABLE Loct%TION 0'0 /,��� `j✓ SEWAGE # VELLAGE L(L "f T, �//4 ASSESSOR'S MAP &LOT-0 07 D ry. INSTkLLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY I 0 4'0 LEACHING FACILITY: (type) i�Xf M00 (size) NO. OF BEDROOMS BUILDER OR� L_;?'�Gji==� ✓(�l1_ ' r� PERMIT DATE: COMPLIANCE DATE: Sepparation Distance Between the: Maxin „m a djusted 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 '7— within 300 feet of leaching facility) 7d- — Feet 7hi Furnished by ®T/j eC.^vyy —� `��� � � ��z� �, a �, 7 'c �' ,, ���� ��� -��� - n ��� �;. . t ®Q�3`z No. ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Y 01ppfication for Migozal *pztem Cow5tructiou i3ermit Application for a Permit to Construct( )Repair(✓)Upgrade( )Abandon( ) El Complete System Flndividual Components Location Address or Lot No / y •��� �� Owner's Name,Addres d Tel.N (% Assessor's Map/Parcel />o �/f 46W 60 g Instal er's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. p/-70 7 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( � Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title / Size of Septic Tank OOD Type of S.A.S. Description of Soil l e9 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 by is B ar f H lth. fp Signed Date- Application Approved b Date . Application Disapproved for the following reasons Permit No Date Issued '` No: {4 s THE COMMONWEALTH OF MASSACHUSETTS A Entered in computer:�- 100BLIC HEALTH DIVISION --TOWN OF BARNSTABLE., MASSACHUSEfTTS 01pprit t on for Migool *pgtem Construction Permit Application for a Permit to Construct( )Repair(✓)Upgrade( )Abandon( ) ❑Complete System Individual Components Location Address or Lot 8�No. /� Owner's Name,Add s d Tel.N .�-y Rom, do��� Assessor's Map/ParceL O Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. �D�To Ga�i"`i'Ge�Sr 7 /.:fMf 1Typ of Building: Dwelling No.of Bedrooms . Lot Size sq.ft. Garbage Grinder( � Other Type of Building S ErIGP No.of Persons Showers( ) Cafeteria( ) Other Fixtures ' sr Design Flow //O gallons per day. Calculated daily flow �® gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil i Nature of Repairs or Alterations(Answer when applicable) r��/�' /�.���1 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 ris-sue f Signed alth. Date_7_4 Application Approved b Date 5F ,gy Application Disapproved for the following reasons Permit No. /Date Issued `F Y57 ---Off- Z- THE COMMONWEALTH OF MASSACHUSETTS f_O3 M BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CER , that th/�On-site,_Sewage Disposal System Constructed( )Repaired(I/)Upgraded(` ) Abandoned( )by 01t G�1/3�/—/ at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. _ dated —Z Installer Designer The issuance,of this pe `t shall not be construed as a guarantee that the syste will functio�nl� designed. D Date �l/X f�7 Inspector w"t, F.�s� ,, / ----, ----------------------------------- , No. � !f/ Fee % 4,Z, THE COMMONWEALTH OF MASSACHUSETTS co y. PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Zf6po5at *p.5tem ongtructton permit Permission is hereby granted to Cons ( )Repair( Upgrade( )Abandon( ) System located at l� T y"y�e !rl . 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 be completed within three years of the date of this rmit. Date: Approved(6Yy. � t NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) Lfi#koo7`07 /0/,/hereby certify that the application for disposal works construction permit signed by me dated C3// /�� concerning the property located at 7, eets all of the folio g criteria: e soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. ere are no wetlands within 100 feet of the proposed septic system • ere are no private wells within 150 feet of the proposed septic system ere is no increase in flow and/or change in use proposed re are no variances requested or needed The bottom of the proposed leaching facility will not be located less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor ethod when applicable] • If the S.A.S. will be located with 250 feet of any vegetated wetlands..the bottom of the proposed leaching facility will.not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation, Please complete the following: A).Top of.Ground Surface Elevation(using GIS information) B) Groundwater Table Elevation 3 P max. adjusted g.w. < = 7. DIFFERENCE SIGNED DATE: [Sketch proposed Plan of system on back]. AM �g 6al<h holder.aat s �r O tip I /mil 3_ Fee------- No.---------- BOARD OF HEALTH TOWN OF BARNSTABLE - App[ication for Veil Congtruction3permit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair (,"Ian individual Well at: �-=fee — Location — Address Assessors Map and Parcel Owner Address Installer — Drille _--- Address Type of Building Dwelling Other - Type of Building--------------- - No. of Persons.---------------------- Type of Well��------- - -------- Capacity--- - -- - --—— —- ——-- Purpose of Well----QD°'"�� Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. AV Signed ----- — — - °3-- date 2 Application Approved By -- ------ l C1 0.3 _ Ate Application Disapproved for the following reasons:— --------- - - ----— - -=------ -------- -- ---- ----------- - ------ date Permit No. w ZW 3_oL("7 -— Issued-----f f� ' 7cd BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of COMPhance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired by - -- o- ^- �1'------— Installer w Co fa,7 at- --- �- L --_--- -- -- — -- --- --has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Pf ote tion Regulation as described in the application for Well Construction Permit No.WZX3-6y-�Dated-1 o(71" (7 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--------- --- --— - —-- Inspector-- - — - - - ------___-- -wa No. t Fee— BOARD OF HEALTH TOWN OF BARNSTABLE �� - Zipplication-*rVell Con5truction3permit Application is hereby made for aypermit to Construct ( ), Alter ( ), or Repair (Van individual Well at: go j fee Lh.. , ,� — 0 37„- -= {--- Location— Address Assessors Map and Parcel Owne n Address Installer --Driller Address Type of Building s c • 1 Dwelling_—_—_--- --— — --------- — Other - Type of Building-- ---------- - No. of Persons--------------------- Type of Well �� O b ^ -- —— -- Capacity--------------——--- — Purpose of Well---- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the,well in operation until a Certificate of Compliance has been issued by the Board of Health. , Signed /`'�,w�r/� �� -- --- — ------- d�Vdt'eG ' Application Approved By ——_—_- , y Application Disapproved for the following reasons: ----------- -- —_-- d---— -- - ---- -- date - J Permit No.- Issue w Z�3r � date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of ComPhance THIS IS TO CERTIFY, That the Individual Well Construct 4( ), Altered ( ), or Repaired - -------------------------------------------------------- ---- y 4 Installer t has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well 7Pot%tion Re ulation as described in the a lication for Well Construction.Permit No.W4437� ,-Dated 10 = - g PP THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------------ ---_ - -- Inspector—__----- -= ---- —------ BOARD OF HEALTH TOWN OF BARNSTABLE ` Ivell Con$tructionjermit No. ZCn3-Ut(`� Fee- I k Permission is hereby granted 0 A SC°,`, U to Construct ( ), Alter ( ), or Repair ( 01 an Individual Well at: No. -- 1 Street �r"f sit as shown on the application for a Well Construction Permit ;z.... r PP W 2 ov 3 O`�/� lc� 2 No.---- - —----- Dated-— - X----/—�- -- - Board of Health i' DATE 'i 4 � 1 ` �-' � . � o ' � ��� � � � 1.) ro c ..ti � � � � W -�--� o _ � 4 � °, --� � t � J � � n �� � � � S � � � � � -��� s , J ; � � � s � � � o s � � � � Y �? � �� s 4 �--. � r TOWN/OF BARNSTABLE � LOCATIONdy_Pe C� • SEWAGE # VILLAGE ASSESSOR'S MAP & LOTCr?'Z�7.5Z INSTALLER'S NAME&PHONE NO._44©l-221 Q17el' C'D��l 77/ �39� i SEPTIC TANK CAPACITY LEACHING FACILITY: (type) $�� '�•v1 GI.�a i.,. (size) 10 s NO.OF BEDROOMS 3 BUILDER OR OWNER fJD �IP PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: j 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 33' 4: s ... 7 - r a� ova No....................... Fps.... : ..... ��� THE COMMONWEALTH OF MASSACHUSETTS BOAR® E HEALTH ........... ! -.:--.....OF...... .. . .... .................................... ........... Apptiration for Uhqpaiial Works (fnn,itrnrtion Famit Application is hereby made for a Permit to Construct ( ) or Repair ( 4--an Individ age spo SystemWat, G .._.. •-••-------- - =�, ........... .......\,` ocation-'Address or Lot No. ` :. ............................... wn r Address ... ....... .........%..... ...... � Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling /—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder '404 Other—Type of Building ............................. No. of persons.................... ........ Showers ( ) — Cafeteria ) a Other fixtures ------------•---•-------•------- _••... ��.---•---•--. -_gallons per person per day. Total daily flow..... ........�...-.._. gallons. W Design Flow-------------��------- ,�,�--//g P P P Y• Y -- - �.............. WSeptic Tank�--Liquid capacity��7-z- allons Length................ Width................ Diameter................ Depth................ Disposal Trench—No..................... Width.•... ............. Total Length-------- Total leaching area--------------------sq. ft. Seepage Pit No....../........... Diameter---------.�.�..... Depth below inlet....... -----jotal area. sq. ft. Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by. ' . ......................... Date....'`10.`' `. '._-. aTest Pit No. 1................minutes per inch Depth of Tes it.................._. Depth to ground water-___-._---.__-__.__--__- Gi, Test Pit No. 2................minutes per inch Depth of Test Pit__._-__-----____.__. Depth to ground water........................ Descri Description of Soil. .---•- = -- • _ G.2.:`-......-- :_... ° P ,� x c, W --------------........................................................................................................................................................................................ UNature 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 iI TIZ 5 of the State Sanitary 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. --• igned - Date Application Approved B � _._ _ ._ ..._ --.. Date Application Disapproved for the following reasons-----------------------•-------------------------------•---------------------------------------•---------•...... -------------------------------•-------------------------------••--------------•---••----•-•----------................................................................................................ Date Permit No..............------------------------------------------- Issued..---)-�j---1�-1? Date •............... s n r r� 4iYA%O to fSO r M PtZv� + t0ro G AL �s 5EX '(21NX � 1� do � Z ` fl w/� TO � -/wr/NAB WTI lEDf �,�T• wE . w ' , p�o_r P►_ l�,i� _ CEtZ�`IF1E1.7 S4NTvIT�, HA :4+_ ,q fir•. . �"iG/aLL=_ ''- 40� t>ATC y �*•r:�,.• PF'l�� D{k)C�,.l.., 5uo,,�+..� P1....b� R��"�tz��c IZ ecF,i Gt�Ar�PLY S w t r N TtAG- SETl3ACV- QC-ZUiRtENlcr�ij'S Olt T"F ' s`�ir I st�O ► LAB v� u� -�� 1VJA� caw �M� W/r�ac 8p,�•r�s, PL . (sa D A'r L= 111144f A T C IZ 4,: ►-J Y t= I«J C- • Ra Cat 5 i LiZaD t.._A i-i Ol >: ev '94rdwl-o APPLtCA, ,J-7 A,LPN � ��SeL�r� aDd a; I� d z T t(� � � - �C � Jq co { D D ° { � ;' n -L 3 =� dux �' rn - S , n z-1 T -1, -1 r-0 ,A , C y m z z o -= W q -4 rpdN i a fft Q K ZcZ � rA 1E fib = � i L ti M r CIO al !it _ � <- dn _ TV ° Q r T1 Qom L L o (� n n � o r m A u THE COMMONWEALTH OF MASSACHUSETTS � U���� ��K� HEALTH ^ ' BOARD'-- --' -_- . � - �� ��F �-� ' --'-`-��-'_�~--- -',-----_-`_ . / Appliration, for Bh4pniial 19orkg Towitr A�plication is hereby made for a Permit to Construct or Repair (4eaenrIndividual a e. sp age 4spo, System at* ocatio. A or Lot No. ' InstallerInstallerAddress / Type of Building. Size "�- � No. o Bedrooms Attic � Garbage Grinder Other—Type of Building . Hu of persons............................ �bo��rs Cafeteria ?170' w Other � Design` -'-.. ..---' ----- per ,__' . ^ Septic- Tank I-_'`_'- --,__y,._---;__-_ Length---- Width................ Diameter---------------- Depth- ................. :r _'/ �� �/cuccu�rrvoovubox \ / �� ~~ Percolation TestResults �y�_.---. .. TestP� No. 1.-_-'_-nz�ou�s per��h I)cnth of 7ey g�t.................... Depth tn ground water [Z4 Test Pb No per inch -.Depth of Test-Pit-.r'_-__.:Depth to ground watec-_.-----. P4 . ' �� D c� So�-...���'_a����. ����---.-m����-����'��..''��������. .z-----'----- ................................................................................................ ....................................................................................................... .----_-----'- ....................................................................................................................................................................... U Nature of Repairs or Alterations--Answer when applicable---_.---_-----_-----...--_--.-.-'--_--_.- ' -------_------'-----------------'._--__------------_---------'-_-.----.---_---..---.------'---- Agreement: The undersigned ugrcoo to instal) the aforedeacribcd Individual Sewage Disposal System in accordance with the provisions of TITIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until u Certificate of Compliance has been issued by the board ofhealth. � igne/d ----.-----' -_--_--,--_.--- Date Application Approved Bv-- +�_� -������ ���-- ' --------- Date ' Application Disapproved for the following reasons:................................................................................................................ Date ^ | THE oowmomvvsAcr* OF wAssAo*ussrTs | � BOARD gS HEALTH ` | ` Tn sta THIS TO CERTIA., That.;ghd.i.vidual Sew,�ge Disposal System constructed or .epairedat.�n . ./4......)? -- Cocle as escribes�in the '-_ _-- installed_ _ in ---__- -- _' provision. - _ �� ' 0 as applica -------------- �� \�or�o Construction peruz� �o� dat�6-' THE ISSUANCE CERTIFICATE CONSTRUSP ASj4 GUARANTEE THAT THE SYSTEM WILI.,,FUNCTION SATISFACTORY. DATE.............7.,_�... ... ............................ Inspector... _--------_- -------------------------------------------------- ' . ' THE oomwOwvvsALr* OF MAssmz*uscrrs BOARD OF HEALTH � r ' ~ .....--..OF--. ................................................ 'WO~*~ � . N , to Construp�q o rN p di idual, Sewage Disposal System Z ). an i1n iv Street as shown on the application for XspOsal Works Construction Per Z 7ated.... Board of Health FORM 1255 HOBBS & WARREN. INC., PUBLISHERS V.. ' essor's'Office'(lst_ fly) Map. Parcel emu t ��onservatjon Office(4th floor)(8:30-9:30/1:00= 2:00) � R,h � a e Issued //J '` >ZO q5 /nineefr Health^ 3rd floor 8 15 - 9:30/1:00-4:45)( Fee. ��' G C) d gng Dept; 3rd floo House#' the Planning Dept.(1st floor/School Admin..Bldg.). SEP.� =�� Definitive anAp - ed by Planning Board 19 INSTAL ' PLIANCZ TOWN OF BARNSTABLFFMV9 ONMENTAL co sE AND Building Permit Application 4 /Project Street Address Tillage 'FU Owner d(.�T� Address ,_5oL4Yl. /'Telephone Permit Request First Floor square feet 511 Second Floor square feet Estimated Project Cost $ 0 d Zoning District /Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authoritiation Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished f z> 22'2 r 12'10 9'4 2' T6 37 3'9 4'8 4'8 IE i• i i I o I 20 N � BATH I sp I No t FAMILY ou M V) N N O I O WH LAUNDRY o 0 UTILITY 4' 8'1 1'11 6'10- 101 5'4 22'2 LIVING AREA 517 sq ft LINDA MOULTON J.P.CAMEROTA& PROPOSED INTERIOR FOR ASSOCIATES EXISTING GARAGE 508-420-0272 CD Engineering Dept.(3rd`Jloor) 'Map 001 Parcel Permit#" House# Date Issued g �I - Z_9, 9 Board of Health(3rd floor)(8:15=�9:30/1:00-4:30) Z, q� Fee: �` r Conservation Office(4h floor)(8:30- 9:30/ 1:00 2:00) / Planning Dept.(1st floor/School Admin. Bldg.) IME / $ aaf Definitive.Plan A Planning Board 19 ]ACE W1 DE AND TOWN OF BARNSTABLvviR® E Building Perm T0 it Application 1NN REGULATIONS Project Street Address '�U T` - .j�•� ` VillageC Owner L I eU b":k A oo t` J w l Address L J!!1W r, PS i6Q/mil .:Telephone Permit Request O u C-T U, i,p :. XQ �� , ._First Floor �- . square'feet Second Floor cf ( S7D(�( (7 square feet Construction Type wr i`- Estimated Project Cost $ 3 CO, (arb Zoning District Flood Plain Water Protection Lot Size - C fL Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes �Lo On Old King's Highway ❑Yes bA_No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 6 Number of Baths: Full: Existing / New ® Half: Existing / New No. of Bedrooms: Existing New O Total Room Count(not including baths): Existing New (. First Floor Room Count y Heat Type and Fuel: Aj G s ❑Oil ❑Electric ❑Other Central Air ❑Yes '�RNo Fireplaces: Existing New. Existing wood/coal stove ❑Yes No Garage:°Detached(size) r� Y_1 y Other Detached Structures: ❑Pool(size) ._ 4 - r LEGEND COTUIT t PROPOSED CONTOUR 9® PROPOSED SPOT GRADE — 98 -- EXISTING CONTOUR LOT J a I i I + 96.52 EXISTING SPOT GRADE Z$ ?o W— EXISTING WATER SERVICE I� RO z 3:1 EXIST. LEACH a w IS TEST PIT (TO BE �6+ LOT 6 1 5' radius ��� z REMOVED) �s GAR W� LOCUS: v BEDROOM 80 TY—DEE Z .7 moo\ well LANE 9�2 slab ® 47. S GAS �o EXIST. SEPTIC �, pk,G� not use TANK (TO BE I i for drinkin water � PARCEL ID- . C.O. y, G\ per ner 009/008 REMOVED) TP-1 ,T _2 o N' ' iy \ PROP. WATER LOCUS MAP o < \ LINE TO GARAGE PROP. 150OG �` LOCUS INFORMATION SEPTIC TANK 1 TP- T -4 p g� 1 �,\ I G v PLAN REF: 129/147 TITLE REF: 9600 227 ® '. I 1 \ �/ ��` PARCEL ID: MAP 009 PAR. 32 •.1 11, —� I /O �/ ZONING: "RF" 1 FLOOD ZONE: "C" COMMUNITY PANEL: 250001-0021 D DATEQ:07 02/92 v 0 /4 , PI E \ J W s, O w / �• OAK 4 4 � s SEPTIC SYSTEM REPAIR PLAN • �' EXIST. DWELLING \ •J'`•••" 'i�S• / LOCATED AT: 1 TOF=41.67 '� \� ......... _ . ' / 80 TY-DEE LANE #80 g� UPOLE' C O TU I T, M A. poi '"• PREPARED FOR --- ' -�' '-- PARCEL D• LI N D A A. M OU LTON - P R I .A 009/006-002 LOT 8 JANUARY 9, 2015 REV. JULY 22, 2015 PARCEL ID: _ q BM-42.0 N AR A= 71 ACRES OF O r SHED TOP POP OF BRICK ���� rX 4y 'o 4 PROP. 1 OOOG DA EN M ,r SEP TIC IC TANK o. 114iB 'AEG/SiE �9c i QSIT00�'� w F Z 1 Ci tgc�F gyp/ �eye� i MEYER & SONS INC. P. O. Box 981 T E. SANDWICH , MA 02537 PH. (508)360-3311 fax 774 413-9468 WF meyerandsonstitle5@)gmail.com SCALE: 1"=30' SHEET 1 OF 2 J#1626 ELEV. TOP NOTE: ,y,AGNET!C TAPE TO BE PLACED OVER ALL COVERS FOUNDATION - A (Existing) INSTALL RISERS W/IN 6"rOF FINISH GRADE = 41.67 F.G.EL: 41.2 F.G.EL: 41.75' FINISHED GRADE (42.5) F.G:EL• 42.0 - F.G. EL: `42.5 INSTALL RISERS W/IN 3'.OF FINISH GRADE , f f ! MAINTAIN 2% MIN SLOPE OVER LEACHING AREA a• BRING ALL COVERS TO GRADE r 2" OF 3/8" DOUBLE WASHED 3/4" - 1-1/2" EL= 40.70 `'' STONE OR FILTER FABRIC DOUBLE WASHED STONE 10'I 6" w , 4" SCH 40 PVC ' a TEE'S ARE TO BE 14 10" OW ®®• ®®®® V. EL.= 3 .97' 4" SCH 40 PVC INV. 14" 6 a; EL.= 39.66 TEE'S ARE TO BE E3 E3 E3 E3 E3 E3®® INV. 4' SCH 40 PVC ®®®®®®®®®GAS E .= 3 .72INV• 2 EFF. DEPTH ®®®®®®®®® BAFFLE 1 ' EL 39.41 INV. PROP. ELEV. »" BAFFLE EL= 39.31 EL= 39.11 3.7 S X 8.5' 3.75' (HOUSE) PROPOSED DB-5 INV. 40.17 PROP. 1,500 GALLON SEPTIC TANK H-20 DISTRIBUTION Box EFFECTIVE LENGTH 50' EXIST. ELEV. GAS BAFFLE TO BE INSTALLED ON PROPOSED 1,000 GALLON SEPTIC TANK (GARAGE) OUTLET TEE AS MANUFACTURED BY GAS BAFFLE TO BE INSTALLED ON INV. ELEV.= 38.50 INV. 43.40 TUF-TITE, ZABEL, OR EQUAL OUTLET TEE AS MANUFACTURED BY BREAKOUT (APPROX.) TUF-TITE, ZABEL, OR EQUAL ELEV.= 39.50 of ss TOP CONC. ELEV.= 39.50 EXIST. INV. ELEV.= 38.50 ®®® ®E313 011113 D R E ®®®®®®® •. NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING ®®®®®®® 11 BOTTOM EL.= 3750 ®®®®®®® PIPE INVERTS PRIOR TO CONSTRUCTION . 4' 5 FT. 4' 2) TANKS AND D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE ON A MECHANICALLY COMPACTED Sf��"" SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN ` NITAR0a� SEPARATION 8.00 FT. EFFECTIVE WIDTH = 13' 310 CMR 15.221(2) SEPTIC SYSTEM PROFILE 3) INSTALL INLET & OUTLET TEES W/ BOTTOM, OF TESTHOLE EL: 29.50 SOIL ABSORPTION SYSTEM (SECTION) GAS BAFFLE AS REQUIRED (500 GALLON H2O LEACH CHAMBER) .GENERAL NOTES: SOIL LOGS P#: 14284 DESIGN CRITERIA 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL NUMBER OF BEDROOMS: 6 BR DESIGN (MULTI-FAMILY) BOARD OF HEALTH AND THE DESIGN ENGINEER. DESIGN PERCOLATION RATE: <2 MIN/IN SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DATE: FEBRUARY 12, 2014 DAILY FLOW: 110 G.P.D. X 6 BR DESIGN FLOW: 660 G.P.D. OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE SOIL EVALUATOR: DARREN MEYER, R.S., CSE 1614 LOCAL RULES AND REGULATIONS. GARBAGE GRINDER: NO (not designed for garbage grinder) WITNESS: DONNA MIORANDI, BARNSTABLE'HEALTH SEPTIC TANK: 660 gpd x 200% = 1,320 gpd, USE PROP. 1,500 GAL. SEPTIC TANK 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE W/1,000 GAL 2ND SEPTIC TANK, (MEETS 2-COMP REQUIREMENT) DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING Elev. TP-1 Depth Elev. TP-2 Depth Elev. TP-3 Depth Elev.' TP-4 Depth DISTRIBTUTION BOX: ADD DB-5 (H20) FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 41,50 0" 42.0 0" LEACHING AREA REQUIRED: (660)/0.74 = 891.89 S.F. ENGINEER BEFORE CONSTRUCTION CONTINUES. A A 41.50 0" 42.0 0" 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. LOAMY SAND LOAMY SAND A LOAMY SAND A LOAMY SAND USE, FIVE (5) 500 GALLON H2O PRECAST. LEACH CHAMBERS 6 THE CTHE O INTRACTORGN NORROWNER IS TTOEN01IFY THESPONSIBLE FLOCAL BOARD OF OR THE FAILURE OF 40.75 10YR 3/2 9" 41.18 10YR 3�2 10" 40.75 10YR 3/2 9" 41.18 10YR 3/2 10" W/ 4' STONE ON SIDES & 3.75 ON ENDS - 50.5'L X 3'W X 2'D HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. B B B B 7. WATER SUPPLY PROVIDED SY MUNICIPAL WATER SUPPLY. LOAMY11 R 5D LOAMY 55A/N8D LOAMY �D LOAMY �D BOTTOM AREA: 50' x 13'= 650 SF WATER SUPPLY LINE TO GARAGE TO BE RE-LOCATED AS SHOWN. 38.75 C 33" 39.0 C 36" 38.75 C 33" 39.0 C 36" 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED SIDE AREA (50 + 13) X 2 X 2 = 252 SF TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. MEDIUM MEDIUM MEDIUM MEDIUM 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE SAND SAND _ SAND SAND TOTAL SQUARE FEET PROVIDED = 902 vs. 891.89 REQ'D THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 2 5Y 7/4 2.5Y 7 4 DESIGN FLOW PROVIDED: 0.74(902 S.F.) = 667.5 G.P.D. vs. 660 G.P.D. req'd CONSTRUCTION. / 2.SY 7/4 2.SY 7/4' 10. EXISTING LEACHING O BE REMOVED AND REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5. PROPOSED SEPTIC SYSTEM UPGRADE PLAN 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 29.50 144" 30.0 144" 29.50 144" 30.0 144" 80 TY-D EE LANE, COTU IT, MA 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY PERC RATE <2 MIN/IN. (-C".HORIZON) PERC RATE <2 MIN/IN. ('C" HORIZON) _ Prepared for: Moulton 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. NO GROUNDWATER OBSERVED NO GROUNDWATER OBSERVED 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. System Design and Topography Pion by: SCALE DRAWN DATE 15. ALL PIPING TO BE 4' SCH 40 01/8"/FT (UNLESS SPECIFIED) MEYER&SONS,INC. N.T.S. DMM 01/09/15PO BOX981 16. INTERIOR PLUMBING OF MAIN HOUSE TO BE CONNECTED TO EJECTOR EAST SANDWICH,MA02537 REV DATE CHECKED SHEET NO. PUMP, PLUMBING PERMIT REQUIRED,_ _ 50"2--2922 07/22/15 DMM 2 Of 2 COTUIT LEGEND PROPOSED CONTOUR ® PROPOSED SPOT GRADE 0 --98 -- EXISTING CONTOUR LOT 5 c h f + 96.52 EXISTING SPOT GRADE ,Lg I W— EXISTING WATER SERVICE o EXIST. LEACH sz RO Z� 19 TEST PIT (TO BE 6+ LOT 6 a 5' radius s-� z REMOVED) GAR W/ LOCUS: BEDROOM 80 TY—DEE Z �9 } well LANE i2 slob ® 47. GAS EXIST. SEPTIC Q 1> O0G not use F TANK (TO BE I for drinkin water PARCEL ID: REMOV C.O. o rn G per er 009/008 ) TP-1 \ I . PROP. WATER LOCUS MAP ED T -2 0 � ' : , \ LINE TO GARAGE LOCUS INFORMATION PROP. 1,500G `, rn I \ I SEPTIC TANK �'► TP—o T -4 p G v PLAN REF: 129/147 �O ® ® 11 I i l /O� TITLE REF: 9600/227 `�/ PARCEL ID: MAP 009 PAR. 32 _ __ ` �`�'> —I T 1 ` /O / ZONING: "RF" �I :•'�• •:� �� /- FLOOD ZONE: "C" COMMUNITY PANEL: 250001-0021—D DATED:07/02/92 OAK ~~���, Q� - SEPTIC SYSTEM a W " \ �s ,/ REPAIR PLAN O� EXIST. DWELLING \•`.,�'� • • S ' �\..•• •-/ LOCATED AT: 1 TOF=41.67 A.. _ ••"'•• >l 80 TY—DEE LANE #80 Q UPOLIf C O TU I T, MA. PREPARED FOR • LINDA A. MOULTON W '`• - .��C S PARCEL ID: '•-.............. _ 009/006-002 LOT 8 JANUARY 9, 2015 REV. JULY 22, 2015 PARCEL ID: �Zgyo BM=42.0 OF AR009 703ACRES ''•.•,••.` SHED POP TOPOF BRICK PROP. 1,000G DAR M. SEPTIC TANK ME 0 o. 0 RfG/STEED W csNITAR� F Ci/,, <gccFo MEYER & SONS INC. P.O. Box 981 E: SANDWICH , MA 02537 PH. (508)360-3311 fax (774)413-9468 WF meyerandsonstitle5©gm ail.com SCALE: 1"=30' SHEET 1 OF 2 J 1626 ELEV. TOP NOTE: MAGNETIC TAPE,TO BE PLACED OVER ALL COVERS FOUNDATiOti " INSTALL RISERS W/IN 6" OF FINISH GRADE (Existing) = 41.67 � FINISHED GRADE (42.5) F G EL: 41.2 F.G.EL: 41.75 � F.G.EL• 42.0 F.G. EL; 42.5 INSTALL RISERS W/IN 3" OF FINISH GRADE MAINTAIN 2% MIN SLOPE OVER LEACHING AREA BRING ALL COVERS TO GRADE 41.0 2 3/4" - 1-1/2- " OF 3/8" DOUBLE WASHED EL.= 40.70 STONE OR . FILTER FABRIC DOUBLE WASHED STONE 4" SCH 40 PVC LLJ10" " e a TEE'SINV. ARE TO BE t 4' 10" - VE ®®®• E Ea EL.= 97 4" SCH 40 PVC INV. 14 6 ®® a; EL= 39.66 TEE'S ARE TO BE ®®®®®®®®®® _T INV. 4" SCH 40 PVC ®®®®®®®®®®GAS = 3 .72 If 2 EFF. DEPTH ®®®®®®®®®® BAFFLE EL.= 39.41 INV. PROP. ELEV. GAS EL= 39.31 INV. , , (HOUSE) BAFFLE EL.= 39.11 , 3.7 5 X 8.5 3.75 INV. 40.17 PROP. 1,500 GALLON SEPTIC TANK H-200DISTRIBUTON BOX EFFECTIVE LENGTH = 50' EXIST. ELEV. GAS BAFFLE TO BE INSTALLED ON PROPOSED 1,000 GALLON SEPTIC TANK INV. ELEV.= 38.50 (GARAGE) OUTLET TEE AS MANUFACTURED BY GAS BAFFLE TO BE INSTALLED ON INV. 43.40 TUF-TITE, ZABEL, OR EQUAL OUTLET TEE AS MANUFACTURED BY BREAKOUT (APPROX.) TUF-TITE, ZABEL, OR EQUAL ELEV.= 39.50 of Mqs TOP -CONC. ELEV.= 39.50 EXIST. INV. ELEV.= 38.50rEFFECTIVE ®M R N ®® ®®NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING 0. 1140 "' BOTTOM EL.= 37.50 ®® PIPE INVERTS PRIOR TO CONSTRUCTION 4' T. 4' 2) TANKS AND D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE ON A MECHANICALLY COMPACTED 6/$TF SIX INCH CRUSHED- STONE BASE, AS SPECIFIED IN �NITA?0' SEPARATION 8.00 FT. IDTH• = 13' 310 CMR 15.221(2) SEPTIC SYSTEM PROFILE SOIL ABSORPTION SYSTEM SECTION 3) INSTALL INLET & OUTLET TEES W/ I� BOTTOM OF•- TESTHOLE EL: 29.50 = (SECTION) GAS BAFFLE AS REQUIRED ( (500 GALLON H2O LEACH CHAMBER) GENERAL NOTES: SOIL LOGS P#: 14284 DESIGN CRITERIA 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL NUMBER OF BEDROOMS: 6 BR DESIGN (MULTI-FAMILY) BOARD OF HEALTH AND THE DESIGN ENGINEER. DESIGN PERCOLATION RATE: <2 MIN/IN SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DATE: FEBRUARY 12, 2014 DAILY FLOW: 110 G.P.D. X 6 BR DESIGN Flow: 660 G.P.D. OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE SOIL EVALUATOR: DARREN MEYER, R.S., CSE 1614 LOCAL RULES AND REGULATIONS. GARBAGE GRINDER: NO (not designed for garbage grinder) WITNESS: DONNA MIORANDI, BARNSTABLE HEALTH, SEPTIC TANK: 660 gpd x 200% = 1,320 gpd, USE PROP. 1,500 GAL. SEPTIC TANK 3. TOEINS ECTION1APNOAPPROVAL BY THE SHALL BOARD OFCHEALLTH A PRIOR D THE � / (MEETS 2-COMP REQUIREMENT W 1,000 GAL 2N0 SEPTIC TANK, M ) DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING Bev. TP-1 Depth Bev. TP-2 Depth Bey. TP-3 Depth Elev. TP-4 Depth OISTRIBTUTION BOX: ADD DB-5 (H20) FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 41,50 A 0" 42.0 A 0" ENGINEER BEFORE CONSTRUCTION CONTINUES. A 41.50 0" 42.0 0" LEACHING AREA REQUIRED: (660)/0.74 = 891.89 S.F. 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. LOAMY SAND LOAMY SAND,' LOAMY SAND A LOAMY SAND : USE FIVE (5) 500 GALLON H2O PRECAST LEACH CHAMBERS 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 1OYR 3/2 1OYR 3/2 THE CONTRACTOR OR OWNER-TO NOTIFY THE LOCAL BOARD OF 40.75 tOYR 3/2 tOYR 3/2 1ryl 4' STONE ON SIDES & 3.75 ON ENDS 50.5'L x 13'W x 2'D " HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. B B 7. WATER SUPPLY PROVIDED BY MUNICIPAL WATER SUPPLY. LOAD SAND 9" 41.18 LOAD SAND 10" 40.75 B LOAMY SAND 9 LOAMY SAND 41.18 B 10" WATER SUPPLY LINE TO GARAGE TO BE RE-LOCATE) AS SHOWN. 38.75 C C 5/8 C 33" 39.0 36" 38.75 OYR 5/8 33" 39.0 10YR 5/8 C 36" BOTTOM AREA: 50' x 13 = 650 SF 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED SIDE AREA: (50 + 13) X 2 X 2 = 252 SF TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. MEDIUM MEDIUM MEDIUM MEDIUM TOTAL SQUARE FEET PROVIDED = 902 vs. 891.89 REQ'D 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE SAND SAND SAND SANG THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 2.5Y 7/4 2.5Y 7 4 DESIGN FLOW PROVIDED: 0.74(902 S.F.) = 667.5 G.P.D. vs. 660 G.P.D. req'd CONSTRUCTION. / 2.5Y 7/4 2.SY 7/4 10 EXISTING LEACHING T 9 REMOVED AND REPLACE WITH CLEAN MEDIUM SAND PER TITLE PROPOSED SEPTIC SYSTEM UPGRADE PLAN 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 29.50 144" 30.0 144" 29.50 144" 30.0 144" 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY SO TY-D EE LANE, COTU IT, MA AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY PERC RATE <2 MIN/IN. ("C" HORIZON) PERC RATE <2 MIN/IN. ("C" HORIZON) Prepared for: Moulton 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. NO GROUNDWATER OBSERVED NO GROUNDWATER OBSERVED System Design and Topography Plan by: SCALE DRAWN DATE 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. MEYER&SONS,INC. N.T.S. DMM 01/09/15 15. ALL PIPING TO BE 4" SCH 40 ® 1/8"/FT (UNLESS SPECIFIED) PO BOX 981 16. INTERIOR PLUMBING OF MAIN HOUSE TO BE CONNECTED TO EJECTOR EAST SANDWICH,MA02537 REV DATE CHECKED SHEET N0. PUMP, PLUMBING PERMIT REQUIRED. 508-362--2922 07/22/15 DMM 2 of 2 56'-117/e' i 22'-9Ys" 31'2r�° 4'-2" 13'-1' -3% 6'-0'/i 6'-1' 6'-8'/.' 13'-0'/," - LH iOi i0i iO'r i0i U-NEALIA'C Ah�xi}eis4 41vn►air P.O BOX Ilia q Barnstable, MA 02630 iV Consultants: T• r � - \_ N NEW DOOR 00 R O Q KRCHF.N TO REMAIN' REPAIR AS NEEDED DINING t 0 1, : ji 04 == BEDROOto M 3 +4 CHE CU R.O. BATH to ti 8'-10F/e" l LIVING 0 12'4Ys 11'-5'/a' ia( I I ti rtDi rn G= O , t BATH SitLAUNDRY --- ------------- --------9L- - AC r. ---- ---�NE, no V _ - _ —.d. \ € �:' ,ft �.�•':' Lf_� - N - SIFINISHED FAMILY #; g l ,� f_'...e o jvv r+ M Y L� ^, 0 12'-4'/a" 5'-4%" '4 W NEW CLOSETS c C i _ O ^' \ —Gym 3,1s/ R 6'-6Ys �\ ` O W --:- - - - ---- ----- '1 e!--J. It ;. , , . •. , , , 11i •9 q , l�. . , - -, ncmmw,rananw.ui ------ --------------------- Scope of work lower level , Remove sidegghte and satvage for re use upstairs 24'0%° Raise celgng of femHy room(flvmg roan above) New Boor and trim In faintly rover,remove sheetrork and trreWellan to the studs 57'-3F/e" r New Boor in gym and slab lending,he" New door into Cw dining pain area t New mold n o the paint M entire unit floors wags and trim 1 fv�.� �- 80 Ty-Dee ��na� Moulton LEVEL FLOOD,PLAN Centerville, MA SCALE 1/4"= 1'-0" 'F �F r 'A,4 )j Document Histor : Rev Date 1pumose 34•-2 2T-1X" T-3'/!" '-3'/." 6'-03: 6'-1" 9'-3'/." I V LINEALINC • ARINttglTq��qn»dq P'O BOX 1118 Barnstable, MA 02630 Consultants: vo"i" I 9 I ? 00 Au o 00 T 1°'mT O � MUD ROOM N N ZVI PINING ROOM I n MASTER BATH � R.O.2'-6 KITCHEN � o 4'-101, 3qR M I ' O O iL10 Pe MASTER BEDROOM 0'/.' T-1'rS" , R.O.4'-0" 0 2 0 - , CU V O OT ( 6,3 FAMILY ROOM 9 ------------------ -- - ----• Z (� J 'e °' l , ?' io -------- ---------------- --- --- - K- 4 U c ,----- `�6'-015116' 5-11 3116" 11'-10'. O CIL 0 C a O w o o °rr�1Rtt It rPal��, O m s AE LIVING ROOM .� �, `? rn �� �0.✓�� (oill�iL� in eo 0 '• N a iN a7 N N 3 3'7Y." 5'-1'/.' t 2'-10'''A" U (4"'si l`�l �C-�--d� O ���/•� O OPEN RAIL V� R N{ LL � fn a --------- ---- - -- 0 mlxm.w.! BEDROOM#1 BEDROOM#2 c Notes: CUT OPENINGS IN EXISTING CK 7'-71l4—CEILING HEIGHT AT EDGE t.New Interior trim on all windows Z New floor paint and base board throughout aI New Interior doora,Lemieux 5 panel ar equivalent {y 4.Existing men to remain m 5.Re configure electrical and plumbing es required for new layout 12'-0'A• 12'-0" n vx�m.,.wo ,�xurxea xaoure as wow WIDEN EXISTING WINDOW OPENING i � ' w,00,. �1' d AND ADD NEW HEADER FOR ALL REFRA E THIS WALE NEEDED F R NEW WIND WS y a..m l.xu ucevenwms® wwow = „ NEW UNIT TYPES ' 4) -"-�"�•� - ° F,1x °u 80 Ty-Dee �y,�.W .Dooryp„Kl,YoOWlD Oo�Ln o00a Sd FmbYsfa,•Y ixaOo,lTd, Linda Moulton s_,,,• 3-0" °•°°° "°" Centerville, MA 6 0" 41-0° W-OW 4'O' 6'-0' 3,-0' 4,_0 4'-4• 4<2' 3'-0• 5-7�• .! ..e.o.,rr"r a®caaMral, Dour = 16-0' 1T-3%' w weo—ea'+, ,.uo�wu Dux 33'-3'/.° 24'0%° 5T-3x/!• I AI-3 FIRST FLOOR PLAN t SCALE 1/4"= 1'-0"