HomeMy WebLinkAbout0949 PITCHER'S WAY - Health 949 Pitchcr, s Way, Hyannis
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TOWN OF BARNSTABLE
LOCATION QeI4 ;-tom SEWAGE# 401 -_ �t
VILLAGE ASSESSOR'S MAP&PARCELS..= f�3
INSTALLER'S NAME& HONE NO.,� j � `E19:'7 7(•�34� i
SEPTIC TANK CAPACITY
LEACHING FACILITY.(type (size) 33• K/�••�3� �
NO.OF BEDROOMS '
OWNER �G
PERMIT DATE: COMPLIANCE DATE: :7b
kIf
_ =-Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility d— Feet
Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) h( Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leachingfacility) �- �( �, Feet
FURNISHED BY -JGw✓ f. 4�r !�f?)i ✓�r•�ia1
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No. I Fee_
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
0[ppYitatiou for Vsposal *pstrm Coustruttion permit
Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon(. ) [ complete System ❑Individual Components
Location Address or Lot No. 9(/ [ ' ei-s ( wne 's Name,Address,and Tel.No.3v 4
9-1Z-1 5-b9
J cla_#X is 5«�� 11bVj136 /�oGh� s/`
Assessor's Map/Parcel -3 14 i ® y
Installer's Name,Address,and Tel.No 3v8- s/ D gner's N e,Ad�ss,and Tel.No. X�` ,�
vq
Type of Building:
Dwelling No.of Bedrooms Lot Size a�lS'7S�^- sq.fl. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) ��U gpd Design flow provided g/U gpd
Plan Date Ifs, Number of sheets I Revision Date
Title%� y
Size of Septic Tank �/ � Type of S.A.S.
Description of Soilp`(Q
Nature of Repairs or Alterations(Answer when applicable)' r
Won
Da a 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 and t to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health. /
Signed Datel�—
Application Approved by 1Z Date
Application Disapproved by Date
for the following reasons
Permit No. d- �' Date Issued
i
No. ' ' * -j^ �. Fee —
( THE COMMONWEALTH OF MASSACHUSETTS ' Entered in computer: j
PUBLIC tHEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
2pplication for Disposal 6pstem Construction Permit
Application for a Permit to Construct( ) Repair(.. Upgrade( ) Abandon( ) ['�Complete System El Individual Components
Location Address or Lot No. g ( Owner's Name,Address,and Tel.No.,"v 8
J Ct�/�j/ic sac/a/ .SC( bgb
Assessor's Map/Parcel / [/_3 1A `cam fMA a
Installer's Name,Address,and Tel.No. L1 ya& - i�,(p D,esigner's Name,Add ess,and Tel.No..�U�J'
r4"(ett. C{�rsf rv�{-r'c�r, t,,c r�ii
d Milli v, ' / . Q11OX '
Type of Building: -
Dwelling No.of Bedrooms Lot Size c� sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures c3
Design Flow(min.required) a FSo gpd Design flow provided gpd
Plan Date Ald 0 /185,2G 1!wry CNumber of sheets ` Revision Date
Title /i d /alt��_-f ��,/ s�,4 l_�
Size of Septic Tank Type of S.A.S. 07- 9 �( �i P yP �'3 5-.
Description of Soil .060 6
Nature of Repairs or Alterations(Answer when applicable)Vp I/ ,-C 141 6 rls46 14,6p
.r {
nn rJ X !�
t- �- 4n -
Da a 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 andnat to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed Date
Application Approved by �� '� Dade-.
1
Application Disapproved by ;' Date
for the following reasons r'
Permit No. ( � - ) L� Date Issued /
---------------------------------------------------------------------------------------------------------------------------------------
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 132(40 d���L ( a� 1;nG
at q q l R� OAA U-11 144 4a n l s has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. v/j-�I Vdated -7// // (—
Installer &r4o,1o�%, ains t lq)f C_wl lev • Designer , �c
#bedrooms p Approved des/i flow/) s and
The issuance of 's permit shall not be construed as a guarantee that the system w 11 func o/ as design
Date / 1 InspectorJA
i
---------------------------------------------------------------------------------------------------------------------------------------
No. G I - ,2 /l/ Fee /U U -
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Disposal &pstem Construction Permit
Permission is hereby granted to Construct( ) Repair(1/< Upgrade( ) Abandon( )
System located at yq d��ecs
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 muse completed within three years of the date of this permit.
Date -7 (,/ / ) Approved by n
f
- I
JUL-16-2015 20:16 From: To:15087906304 Pa9e:1,11
FROM :down cape engineering inc FAX NO. :15083629880 Jul. 15 2015 0e:13M Pi
9
'own of Fsinistable
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4 �' 'I`fllmnrnaa . G-C&r,Director
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200IW tI ft t,RFAUW9,M?k 026OA
oMzo, $0?,9624644
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Date-
Dean
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'�/�S r • C vmq issued a peamitto instag a
(die) (in.stallt3)
A.da:i1ga Owen by
Rvi, 5)
dated P
cu7rd1r
T eerli�y tle,el'Ctte..^,eptio Sysi(�ul refe,,eatc��l gbrnre�wt�s:insEi+lled xu,bstartti.e�Ily. �totlii: duigrl,vbiohmny iucinde iil'l,lor RPIMUved.cbnngs such le.VxP,1..rai0r,4Qn of-the
distril.m6im box=dN uvptic tans.
I certify that the supCin Ryaj=vefesenmd above Vw M. Stalled rhr�gcs
—- gteatex than 10, 1pte ti rc;kc�r Lieu of thQ Ag oe arty ve�.t eetl 1hlnea ti m cif auuy t~o on-�nt
Oftbe ;:t+ptir.$yylrm)hu# in accilrclti+su c with. LucaJ.Rsr�al,�imo- P't"I rcvikm ox
�e.Aed as 4iuvlt b, es to.follow;
jk4 OF
t?ANIELA.
OJALA =1
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lit�� e7.'.; i�t1�1t1IiF:} N0.46502 4
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Town of Barnstable
1Departi rent of Regulatory.Services
Public Health Division Date
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Pin a1 200 Main Street,Hyannis MA 02601
Date Scheduled Time Fe*e&'d, &/00. 00
,Soil tSaitabilio .Assessment f or ,Sew �e -Osal
Performed-By: �17: von>d t�� 5 Witnessed By: [x v t(.f �_
LO CATION&GENER A T,IN ORMA TION�
Location Address 9 j��/j� /����G f Owner's Name c a l(C cJ� 'I CCU
lC y Q I el.(O 7 - Address
Assessor's Map/Parcel: �j' Engineer's Na
NEW CONSTRUCTION REPAIR Telephone# Zs_oe �(p
Land Use: �V'0(/`e Slopes(%) Surface Stones IVOA e/
Distance's from: Open Water Body /�r yG tt Possible Wat•Area �/�� ft Drinking Water Well �(� ft
Drainage Way �(�� ft Property Line r O ft Other
ft
SIMTCR:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands-In proximity, to holes)
20
• 0� Dwtll,� •.
ul �
Parent material(geologic).L(4C a, O 4 wa S'/ -Depth to Bedroelt
Depth to Groundwater. Standing Water in Hole: /lam/ Weeping from p1t FA'ce /" /A
Estimated Seasonal High Groundwater
Method Used:
iE ATION FOR.SEASONAL HIGHWATER TABLE
t'(.V
Depth Observed standing in obs.hole: in. Daptli to soil mottles., hl,
Depth to weeping from side of obs.hole: in, Groundwater Adjustment ttic.
Index Well# Reading Date: Index Well]eYel _ Adj.factor- Adj.Groundwater Level,•,,,,,
PERCOLA.TION TEST Daie � Time _
Observation j
Hole# ` Time at 9" �
Depth of Perc. ! Q Tlme at G" ,
} Start Pre-soak Time @ Time(9"-G")
End Pro-soak Rate Min./Inch L 7/1_4 0/h
Site Suitability Assessment. Site Passed, f/ Sitg Failed: Addidonal 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,J you must first notify the � r
Barnstable Colasqvatioza Division at least one(1) week prior to beginning. V
Q:1S EPTIC\PBR CF0'RM.D O C
DEEP.OBSER VATION HOLE LOG. Hoye
Depth from Soil Horizon Soil Texture .Sdil Color Soil• Other
Surface(in.) (USDA) (Munsell) Mottling (Structure, Stoned;Boulders,
o i ten��3'a't3ravell
�-3SS- g ,�Y
DEEP OBSERVATION HOLE LOG Hoye# 2
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders•
Consistmay,co Grave
-7/
DEEP OBSERVATION HOLE LOG. Hole 4'.` .
Depthfrom Soil Horizon Sail Texture Soil Color Soil Other'
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
ConsistmoL Irp Gravril
DEEP OBSERVATION HOLE LOG. ]ffole
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders.
CaY
jsigrnry,
a
y
Flood InsuranceRate Map:
Above 500 year flood boundary No_/ Yes
'Within 500 year boundary No `/, 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 thrpughout the
area proposed for the soil absorption system' Y
If not,what is the depth of naturally occurring pervious matdrlall
CcftTfication
I certify that on (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�10 CMR 15.017.
Signature '✓ Dato-5_/ S
Q:MP 1'laPERCF0RM.DOC
LOCATIO /Z ` SEWkG E PERMIT N 0.
1
VILLAGE
IIfSTA LYER'S, NAME i ADDRESS
y
t U I'L D E R OR OWNER
DATE PERMIT ISSUED'
0ATE COMPLIANCE, ISSUED _ ��L
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THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
�j
. ........OF..... i /...rT .---_--•-------------•----
Appliration for Mipwial Mirky Tontitrurtion Urrmit
Application is hereby made for a Permit to Construct I) or Repair ( ) an Individual Sewage Disposal
System at.1._ 1.... •--��' , --•---- .....c./� -.
ation-A ess r Lot No, l
O er ddress �j /�
W - i4- hey
Installer Address
Type of Building <77 Size Lot--- feet
U Dwelling—No. of Bedrooms--------- -Expansion Attic ( ) Garbage Grinder ( )
'404 Other—T e of Building No. of persons-•______________•__--__-__._ Showers — Cafeteria
Other fixtures ------------------------------••--
- --•••-••-------------•------
W Design Flow.....................5.•-5._��U.gallons per person per day. Total daily`flow--------..______ 2_.. -�__-_--.__- o s.
WSeptic Tank—Liquid capacitv....._..._.gallons Length----........ Width-__---- -4----- Diameter________________ Depth____ __........
x Disposal Trench—No. _VII........ Width.................... Total Length.............j,____ Total leaching area___....._____.. sq. ft.
Seepage Pit No..____.---/-------- Diameter...... Depth below inlet....... Total leaching area.s2j ..sq. ft.
Other Distribution box ( Dosing tank ( )
Percolation Test Results Performed by------------ ,h'� ..... � �...... Date____lv._.-�.�.....®."....__..
aTest Pit No. 1.....'�.�minutes per inch Depth of Test Pit-------A6r_ 0 _ Depth to ground water.__,
-9._ .. _._.
Test Pit No. 2...__� .�minutes per inch Depth of Test Pit--------6 -D---_ Depth to ground water--------------
P4x --••-------•----•-------•---------•-----••--••••--.•... •--••--•---•-•....................•-•_..._..._....•-•• •.
cDescription of Soil � - �= ' - ------------
----•--••-------------•-----------------------------------------------._..--------------------------------------------------------
v
W -----•----------
UNature of Repairs or Alterations—Answer when applicable------------------------------------------------------------------------------------------------
..........................................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
T/•1�
the provisions of .l'1TILE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been iss�thhe �ofllealtSigned---------•-•-- -•- --_. ..-• ......./74RY/
Application Approved By.........
��t1
Date
Application Disapproved for the following reasons---------------------------------------------------------------------------------------------------------•-_-•---
......................................•--•-••--------------••---•-•---•--•••-••-•--••---••••-•-••-••-••--•--•----•-----•---•---•------•••-----•••-••-----------•--------------•-----•--•------...•-•---
Date
PermitNo......................................................... Issued.......................................................
Date
No FE$..... .v. ' ......
-�.,-?HE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...............OF...... iis"T ..............................
Appliration for Disposal Works Tonstrurtion tirrmit
Application is hereby made for a Permit to Construct X) or Repair ( ) an Individual Sewage Disposal
System at: eV ,,J l cl),`�/5.• f r.... _ �✓ .........................................................................
�--
t�
y lG�
Owner,n ^.Address ��i
•--•......••-•-•-...-. ' ... ....... '� _...--•••-••••-•-•-••--•-... ..........-•-•-••• ' �j =
Installer Address ]
d jJ ..S feet
Type of Building Size Lot___'_•:.____••.•________. q.
U
_________
Dwelling—No. of Bedrooms.......... _________________________Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons____________________________ Showers ( ) — Cafeteria ( )
aOther fixtures ••----------------------------------------------------------------------------------------------- --- z '=jr,,
W Design Flow...................................f j.._gallons per person per`day. Total dai�,flow____._._________._____________.____.__._____g9 ins.
WSeptic Tank—Liquid'capacitv,__'________gallons Length____________ Width________________ Diameter---------------- Depth................
x Disposal Trench—No. .M ______ Width__.._.._.._,.,...... Total Length_________ ___ Total leaching area______ �.sq. ft.
Seepage Pit No___________ ______ Diameter.____._r�_f? Depth below inlet........_--_--___... Total leaching area.__.._.__.____.___sq. ft.
Z Other Distribution box ( Dosing tank ( ) r
Percolation Test Results Performed by_____________ __��� �PS
._.____•___..__... ............. Date.........................-___._._..
Test Pit No. 1...... per inch Depth of Test Pit......... �:Depth to ground water........
c� _
�� b
�+ Test Pit No. 2________________minutes per inch Depth of Test Pit_____...-__.____-_.. Depth to ground water........................
------------- -----O
Description of Soil......... .-s! � -- ..1 K ------- `---.1� .•------t .....................
"
W ••••---•---•. L----- jl t t = a
rxj Nature of Repairs or Alterations—Answer when applicable._.___________________t,,..,_!..,_____.rxfi_,r..�"x��_+�_...............................
..•------•-----•--••-•••-••___________________•--•••-_.___•----•-----------_.__.__._-_----.---_-__--__.----••••••••--------•----•..__--••--••--•---•••••._.--•-•----••••-•-••-•••------_...-•••---_-___.
Agreement:
The undersigned agrees to install tHe� aforedescribed Individual Sewage Disposal System in accordance with
the provisions of'TTLE, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issu 'by the board f)11.ealth.
Signed---•...................•-l --• .•-`•'= ....... .
/- Date
Application Approved BY -!' 3leez
�i' ------------------------------------------
�= y
Date
Application Disapproved for the following reasons:.............................................................-................................................
_
-....._.._..•-••••--•..__....-•••-•--•••••••••••••••••-•••-•--•-•-•------•--•----•---•---•-••--•----•-.....•••-••-------..--••--•-••--------•.---•••....................................................
Date
PermitNo......................................................... Issued.......................................................
Date
'f THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
l l ..... . OF............. ...r'�... c.. .. / `..:............................
.......... ... �............ . 1
Turrtifiratr of Tontplt-nrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
byfz. 'w ; _c>♦.� ............... -•-•••••-••-- •---------•••-•••••-----..._.....••••------....-•-•-•••••-•--••--••----••-•-------•---••-•--•--......_
Instiller
��• J �✓ �"��.
at. X' 1 1��{ 5�"� -`.. --•-'S••-----•- /_ !'e _z.�-a._-•-s'`"_t±`.---•--=-- -- ------•--------------------------- .
f -
has been installed in accordance"with the provisions of j of The State Sanitary Code as described in the
application for Disposal Works Construction Permit N`�/_�.__ .............. da.ted_......... _____________________________________
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.. - '....-3? L-•-•----•---......... J Inspector.......... ��••••••-••••••••••-•-•--•..
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OE HEALTH
.......................f..!'...........OF..--•---.............:...._ .. ._. .. .. _ .. -�
0..�� ...1�-..._. 4 FEE....�.�...........
Disposal orksp_Tonotrurf ion r rntit•
//ff_
Permission is hereby granted ' tT 1r .. t...%...... .!: ._..•......
to Constructs( X or R air, ) I div ual Sewage Disposal System
at No
-- ��� �
`Street
as shown on the application for Disposal Works Construction Permit No____________________ Dated..........................................
_:------------------------•. _-------_-------
f_ Board of Health
DATE.....1•• '�;................................................
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
i
- APPLIICATION FOR PERCOLATION TEST AND OBSERVATION PITS
LOCATION ` �
NO. P .
VILLAGE 'J _ DATE ,
APPLICANT :,, (1 �1- f- FEE
ADDRESS TELEPHONE NO. (Non-refundable)
ENGINEER C��, k TELEPHONE NO.
DATE SCHEDULED /�By _
(Applicant' s signature)
SOIL LOG
SUB-DIVISION NAME 1-^✓tea DATE 1 2 - 24 TIME /O,
EXPANSION AREA: YES 2"N0 • O, ''�.d ENGINEER
TOWN WATERI-PRIVATE WELL BOARD OF HEALTH
EXCAVATOR
SKETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and
per olation tests, locate wetlands in proximity to test holes)
\' NOTES:
1�
4
LOT'#2.9_ R
S7 A
0
CAPE ° Q
7' �� Q
9a
�.. M_T 14
PERCOLATION RATE.
TEST HOLE NO: I ELEVATION: TEST HOLE NO: PLEIATI
2 . g'S 2
3 3
4 4
5 5
6 6 �� of MASS,
� cyG�
7 7
Charles
8 8 SPOIi / N
9 9 No. 7468 /
10 10 'O��C�s T E,_9L
11 D 11
12 12
13 13
z 14 14
15 15
16 16
.- SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEACHING PITS Z__
7
- LEACHING-TRENCHES
UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS:
NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION
- ORIGINAL: COMPLETED IN ENTIRETY BY P. E. AND RETURNED TO BOARD OF HEALTH
COPY: RETAINED. BY APPLICANT
Engineering Dept.(3rd floor) Map -2,7,2- Parcel
Permit
House# ', Date Issued
Board of Health,(3r o )(or 8:15='9:30/1:00-4:30) .;"' " Fee
..
Conservation Office(4th floor)(8:30-9:30/1:00 7 2:00)'
SEPTIC SYSTE T BE
Planning Dept.(1st floor/School Admin.Bldg.) NSTAL.LED IN CE
Definitive proved by Planning Board 19 WITH
ENVIRONMEN AN®
TOWN OF BARNSTABLVEOWN � ,
Build' g Permit Application
� G G�
Pro t treet dress'
Village
Owner
Address i l7
r Telephone 6 - - 6 � �� - 919 7-
,.Per Request
First Floor square feet Second Floor square feet
;•Construction Type f
Estimated Project Cost $
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing New Half: Existing New
No.of Bedrooms: Existing New
Total Room Count(not including baths):Existing New First Floor Room Count
Heat Type and Fuel: ❑Gas ElOil Electric ❑Other
Central Air ❑Yes ❑No Fireplaces:Existing New Existing wood/coal stove ❑Yes ❑No
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
u ❑Shed(size)
.. ❑Other(size)
Roberta L. Tuttle
Gift of the Heart Recorded❑
HIV/AIDS Volunteer`Coordinator
HIV/AIDS Advocate eview#
Catholic Social Services I Proposed Use
Diocese of Fall River k I
59 Rockland Street New Bedford,MA 02740 I Builder Information
Ph:508-997-7337 Fx:508-984-1667 I Telephone Number
i
Address r License#
r.,
Home Improvement Contractor#
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS,BUILT)SHOWING EXISTING,AS WELLAS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE �/ �' DATE �` q,
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
Noose
TOWN OF BARNSTABLE
BOARD OF HEALTH
ARTICLE 11:MINIMUM STANDARDS FOR HUMAN HABITATION
Date I
Owner � ✓ Te nt
5 I�, t �y fly
Address UL" ress _
Compliance Remarks or
Regulation# Yes No Recommendations
2. Kitchen Facilities
3. Bathroom Facilities
4. Water Supply
5. Hot Water Facilities
6. Heating Facilities Vol
7. Lighting and Electrical Facilities
8. Ventilation
9. Installation and Maintenance of Facilities
10. Curtailment of Service
11. Space and Use
12. Exits vy
13. Installation and Maintenance of Structural
Elements
14. Insects and Rodents
15. Garbage and Rubbish Storage and Disposal
16. Sewage Disposal �--
17. Temporary Housing
PART II
37. Placarding of Condemned Dwelling;
Removal of Occupants; olition
11 _
Person(s)Interviewed - _ �` G.,r nspector
If Public Building such as Store or HotellMotel specify here
HOBBS$WARREN.INC.
TOWN OF BARNSTABLE
BOARD OF HEALTH yj
ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION
Date 1 ) 2)
f
Owner Tenant
t= I
Address ` Address
Compliance Remarks or
Regulation# Yes No Recommendations
2. Kitchen Facilities
3. Bathroom Facilities
4. Water Supply
5. Hot Water Facilities ��11
6. Heating Facilities
7. Lighting and Electrical Facilities
8. Ventilation
9. Installation and Maintenance of Facilities
10. Curtailment of Service
11. Space and Use
12. Exits
13. Installation and Maintenance of Structural
Elements V,
14. Insects and Rodents
I I/
�� / I
15. Garbage and Rubbish Storage and Disposal `�Aj Sp
16. Sewage Disposal
17. Temporary Housing
PART II
37. Placarding of Condemned Dwelling;
Removal of Occupants; Demolition
Person(s) Interviewed nspector
If Public Building such as Store or Hotel/Motel specify here
HoBBB$WARREN,INC.
t �
8 9
A 1p
Commonweatthh of Massachusetts
Executive Office of Environmental Affairs m RECE�1VEO
Department of MAY 2 7 097
■
Environmental rotes'i ion ip •TOWNOF'BARNSTABLE
HEALTH DEPT.
William F.Weld A
Governor
Trudy Coxe
Secretary,EOEA
David B. Struhs
Commissioner
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION
Property Address: 9`-1 ck P¢Tr1��„ �, 1{�� ;,,<< Address of Owner:
Date of-inspection: y (If different) y
Name of Inspector �� .- ,���T�S
Company Name, Address annelephone Number:
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported belov,, is true, accurate
and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and
maintenance of on-site s age disposal systems. The system:
Passes
1 Conditionally Passes
_ Needs Further Evaluation By the Local Approving Authority
Fails
Inspector's Signat w.ems--f Date: �_ �._y
.�/� �/
" The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (30) days of completing this
inspection. If the system Is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit
the repot. to the appropriate regional office of the Department of Environmental Protection.
The original should Lie sen; ;L ine system owner and copies sent to the buyer, if applicable and the appru�ing au
INSPECTION SUMMARY:
Check A, B, C, or D.
A) SYST PASSES:.
I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303.
Any failure criteria not evaluated are indicated below.
B) SYSTEM CONDITIONALLY PASSES:
One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair,
passes inspection.
{
Indicate yes, no, or not determined (Y, N, or ND), Describe basis of determination in all instances: If-"not-determined .explain wh.y not)
The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is
imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as
approved by the Board of Health.
(revised 8/15/95) 1
One Winter Street • Boston, Massachusetts 02108 0 FAX(617)556-1049 • Telephone(617)292-5500
" Printed on Recycled Paper
r
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: i, )
Owner:
Date of Inspection: 7
B) SYSTEM CONDITIONALLY PASSES (continued)
Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed
pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the
Board of Health):
broken pipe(s) are replaced
obstruction is removed
distribution box is levelled or replaced
_ The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass
inspection if(with approval of the Board of Health):
broken pipe(s) are replaced
obstruction is removed
C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH:
Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the
public health, safety and the environment.
1) SYSTEM WILL PASS UNLESS BOARD Or HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER
WHICH WILL PROTECT THE PUBLIC HEALIH AND SAELIY AND 11-IL ENVIKONMENI:
Cesspool or privy is within 50 feet of a surface water
Cesspool or privy is within 50 feet of a bordering,vegetated wetland or a salt marsh.
2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND'PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT
THE SYSTEM IS FUNCTIONING IN A MANNER TH
AT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE
ENVIRONMENT: _. ._
the wsien? nas a septic tanK anu soli absorption sytreni and ID wrllmi iw ircl to i+ su�u�c YGici SujJfJ � or trlliuta )' t0 a
surface water supply.
The system ha• a septic tank and soil absorption system and is within a Zone I of a public water supply well.
_ The s�-stem has a septic tank and soil absorption system and is within 50 feet of a private water supply well.
_ The systen-, lii,!, a septic tank and sod absorption system and is less than 100 feet but 50 feet or more from a private water
supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is
free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5
ppm•
D) SYSTEM FAILS:
1 have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis
for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct
the failure.
Backup of sewage into facility..or system component due to an overloaded or clogged SAS or cesspool.
Discharge or ponding of effluent to the surface of the ground or surface waters.due to an overloaded, or clogged SAS or
cesspool.
(zevised 8/15/95) 2
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Properly Address:
Owner: ���•��,� : T
Date of Inspection:
j '. 7-1 7
D) SYSTEM FAILS (continued):
7 Static liquid level in the distribution box aboveoutlet invert due to an overloaded or clogged SAS or cesspool.
Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow.
Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Number of times pumped
SAny portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation.
:-Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply.
Any portion of a cesspool,,.or privy is.within a Zone I of a public well.
Any portion of a cesspool or privy is within 50 feet of a private water supply well.
Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from.a private water supply well with no
acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for
coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen.
El LARGE SYSTEM FAILS:
The following criteria apply to large systems in addition to the criteria above:
The design flm% of system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety
and the environment because one or more of the following conditions exist:
the system is within 400 feet of a surface drinking water supply
the system is within 200 feet of a tributary to a surface drinking water supply
the system is located in a nitrogen sensitive area (interim Wellhead Protection Area (IWPA) or a mapped Zone II of a
public water supply well
The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program
requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information.
(revised 8/15/95) 3
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: l k'/•
Owner:
Date of Inspection:
Check if the following have been done:
•
Pumping information,was requested of the owner, occupant, and Board-of Health, - ........
_ None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates
during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection.
/``1 s built plans have been obtaine&and examined. Note if they are not available with N/A.
�f"The facility or dwelling was inspected for signs of sewage back-up.
_The system does not receive non-sanitary or industrial waste flow
fThe site was inspected for signs of breakout.
�lCl�l sysivin componelWS, ex(A cling; ;the Soil Absoi pion System, have bevo locawd on the site.
✓fhe septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or
tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum.
The size and location of the Soil Absorption System on the site has been determined based on existing information or
approximated by nun-intrusive methods.
_ ThE faci;i;, a•,:,, .:! occupan; , i(di'+.erg (rn ov.nc7i were provided \vith information on the proper maintenance of Sub-
Surface Disposal System.
Kr.
(revised 8/15/95; 4
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
11SYSTEM INFORMATION
Property Address: q L1Cl
Owner: �'•`�.�.,. �I
Date of Inspection: /
FLOW CONDITIONS
RESIDENTIAL:
Design flow. Qallons
Number of bedrooms: 2
Number of current residents:
Garbage grinder (yes or no):�
Laundry connected,to system (yes or no):�
Seasonal use (yes or no):�
Water meter readings, if available: N I l*
Last date of occupancy:
COMMERCIAUINDUSTRIAL:
Type of establishment:
Design flow: gallons%day
Grease trap present: (yes or no)_
Industrial Waste Holding Tank present: (yes,orno)_
Non-sanitary waste discharged to the Title 5 system: (yes or no)_
Water meter readings, if available:
Last date of occupancy:
OTHER: (Describe)
Last date of occupancy:
GENERAL INFORMATION
PUMPING RECORDS and source of information: _
System pumped as pan of inspection: (yes or no)_
If yes, volume pompod gallons
Reason for pumping.
TYPE OF SYSTEM
Septic tank/distribution box/soil absorption system
Single cesspool
Overflow cesspool
Privy
Shared system (yes or no) (if yes, attach previous inspection records, if any)
Other (explain)...,
6
APPROXIMATE AGE of all components, date installed (if known) and source of information: 1/
Sewage odors detected when arriving at the site: (yes or no) '
(revised 8/15/95) 5
I
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
— _Property Ad ress:
Owner: V. «`r�
Date of Inspection:
SEPTIC TANK:
(locate on site plan)
d(
Depth below grade: O
Material of construction: 1_/Concrete _metal _FRP —other(explain)
Dimensions: �-6,
Sludge depth:_ y/
Distance from top of slydge to bottom of outlet tee or baffle:
Scum thickness: 0e j
Distance from top of scum to top of outlet tee or,baffle: /
<r
Distance from bottom of scum to bottom of outlet tee or baffle:
Comments:
(recommendation for pumping, condition of inlet and outlet tees or baffles, depth liquid level in relation to outlet invert, structural
integrity, evidence of leakage, etc.) ✓� 7—C r d
GREASE TRAP: I
(locate on site plan)
Depth below grade:
Material of construction: _concrete _metal _FRP _other(explain)
Dimensions:
-Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom n, criem V, hn!(nrr of otj!iPt (pe or ha!lle-
Comments:
(recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural
integrity, evidence of leakage, etc,i
(revised 8/15/95) 6
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address•. 9�t� 7 �c.��•�a t, �._f 4 ���
Owner: {___A.A\e.I'
Date of Inspection:
TIGHT,OR HOLDING TANK1
(Locate on site plan)
Depth below grade:
Material of construction: _concrete _metal _FRP —other(explain)
Dimensions:
Capacity: gallons
Design flow: gallons/day
Alarm level:
Comments:
(condition of inlet tee, condition of alarm and float switches, etc.)•.,
DISTRIBUTION BOX: \i
(Locate on site plan;
Depth of liquid level above outlet invert:�'� -k,C
Comments:
mote n levei and distribuiwl, 1, r4-1 , e ucncf of sukd� ca;i)u�,ei, evidence of leakage into or out of box, etc.)
PUMP CHAMBER:
(locate on site plan)
Pumps in working order.(yes or no)
Comments:
(note condition of pump chamber, condition of pumps and appurtenances, etc.)
,(revised 8/15/95) 7
..S
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Properly Address: I
Owner:
Date of Inspection:\
SOIL ABSORPTION SYSTEM (SAS):_
(locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods)
If not determined to be present, explain:
Type:
leaching pits, number:
leaching chambers, number:_
leaching galleries, number:
leaching trenches, number,length:
leaching fields, number, dimensions:
overflow cesspool, number:
Comments: (note condition of soil, signs of hydraulic failure, level of p ding, condition of vegetation,etc.)
CESSPOOLS:
(locate on site plan)
Number and configuration:
Depth-top of liquid to inlet invert:
Depth of solids layer:
--Depth of scum layer:
Dimensions of cesspool:
Materials of construction:
Indication of ground+ate:.
inflow (cesspool must be pumped as part of inspection)
Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
-PRIVY:
(locate on site plan)
Materials of construction: Dimensions:
Depth of solids:
Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
(revised 8/15/95) 8
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 91 y,"I
Owner:
Dale of Inspection: y
5�3�`i-7
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent references landmarks or benchmarks
locate all wells within 100'
DEPTH TO GROUNDWATER
Depth to groundwater: IA7' feet _
method of determination or approximation: —�c,";`�c'��ri- V �``Y S�"�'�W� i S ('�,.�Y -- 5 r� f�•'' r'' '�'"
trevised 8/15/95) 9.
-- TYPICAL SYSTEM PROF h
8/ l� FDN TOP FINISH GRADE::: G(' �
AREA PLAN NOT To �C�1E
00
'_.. �I FINISH GRADE OVER TANK- FINISH
SCALE ' i = _ .�- T= 5 . C)�^, '
Vv, � � �. / J 7 ~. �• I GRADE OVER PI
/ r �\�• `...-+.-� f� I•..w. /`"'°T L.+'. 'V !\i Y `.! i..... �'' �^i✓ "7G',r.' �C. 1 . TEES -. .. e J 1 1 • • • 1 1 1 0
_7_r� -T- T o C /7- B S MIT 7 8
"
�,.. - •r.o.r.�......... C� FLR GAL. 4 '( � 25 f e 1 o a e • e o e e
r: _ _ �X REINFORCED DIST. BOX • 1 ° • • a o a e e `'
•�»-� CONCRETE -8 TO BE INSTALLED ON a ' ' • ' ' ° 1
A LEVEL STABLE BASE 1 s 1 • e e / • 1 °
l e a • • • • 0 1 • a e
SEPTIC TANK l� �fp'+,� S' E'x -9, A
TO BE INSTALLED ON A I-10TQ "o ST 1500 / / • • 1 / 1 1 e
C� f af-_
LEVEL STABLE BASE 1 0 1 • ' • 1 • ° r.
- 2"-I/B'� 1/2 "WASHED PEASTONE ALL ' ► ' • • . • 1 1 -
r BRICK a MORTAR COURSES AS
� AROUND FREE OF IRONS, FINES ' ' •T_• ° ° e
REQUIRED TO BRING COVER TO GRADE AND DUST IN PLACE
LEACHING PIT
24 "C.I . MANHOLE COVER a 3/4 TO 1 -1/2 WASHED CRUSHED
t FRAME - SEE DETAIL STONE ALL AROUND FREE OF BASE TO BE LEVEL
IRONS, FINES AND DUST IN
Q „ �-- --,r ,,• , t ` PLACE
�► �9� .P„s� •• +_�' I FOR FIN. GRADE
0"7'�� ' (� �� SEE SYSTEM PROFILE SOIL A PERCOLATION
29 �_O`T-' 1 21,575 5,F,.... `"
4„ DATA
PERC. RATr
�- 0 L. - � ° FOR INV. ELEV SEE � .- N
iKnr, ..�t.�.. ~a�.' c�:. u-:1:= -. :• - --r._ z.-sr-,,_:.: W - ; 4 ° a • C . D. SPOHR
~f- """ ,"'_ 4 LET - SYSTEM PROFILE TAKEN BY .
LINE = -6 ° i+ WITNESSED B' lJt! //1!'J�'! '.�>>' �.�5 fi.
srect+ px - `-_. _. 5�1�� _ �- _ O! OPENINGS W/4_I/8" ° L1 DATE . . _
cc. �^5r,, e' �.. '.�l I O OUTER DIA 8, I 3/40 °
»� ��T f3' \ .� o I DIA TWO TEST PIT -GND ELEV. f 75
- 7 ' .• A L 5
2 I I o 0 o AREA o 3_, s .� ; 'o _ ,� Ye-U, L UG Al
o _ A
G T � M I /n iLE 4� ` • ` , i o ; , 0 0 0 0 S 2.9 , 0 0 ` ( �T°t �y.y.�r-
\! IVY / / �i' 1 ��+w. o Ok WI'7! Gl�'
o x; € f3�h?1N'dv
6 _ 6 ; DIA . 4
/ 07
k /4 � cn" EFFECTIVE DIA. BOT. PERC. HOLE
DOWN
LEACHING PIT - SECTION ! / �.� _
v !!
Y7
NO SCALE I DESIGN DATA :
NOTE: DO NOT RUN HEAVY EQUIPMENT OVER SYSTEM N0. OF BEDROOMS
DISPOSAL
LEACHING PIT NOTES: EST. TOTAL DAILY EFFLUENT _fr- t2 GALS. i
Y.a7','�1v� � � 0A1 PCIYE44EA17' ��` I I . CONC. TO BE 4000 P.S.1 a 28 DAYS . SEPTIC TANK 3(3C`� GAL,
C- F L/`II 1 k E F. 2 . REINS W 611 x 611 At6 GA. W. W. M.
71 3. 2 AND 4 SECTIONS ARE AVAILABLE FOR GENERAL NOTES
GREATER DEPTH REQUIREMENTS
1 . ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN
NOTE : EXCAVATE TO ELEV. � � ° + OR LOWER AS ACCORDANCE WITH TITLE of THE STATE SANITARY CODE
DATED JULY 111977 8, ANY LOCAL RULES APPLICABLE.
REQUIRED TO REMOVE ALL LOAM AND CLAY CONTAINING 2. ANY CHANGE TO THIS PLAN MUST BE APPR.D. IN
MATERIAL BENEATH PIT. REPLACE EXCAVATED MATERIAL WRITING BY MR. CHARLES D. SPOHR.
WITH CLEAN,CLAY FREE GRAVEL, MECHANICALLY
COMPACTED_IN PLACE. 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING,
SIDE AREA - � `+ S. F.� . w S.F./GAL t'�` GALS NOTIFY THE ENGINEER AND BO�+kJ OF HEALTH FOR INSPECTION.
BOTTOM AREA= I G S. F.� S. F./GAL �-'r GALS 4. FOUNDATION ELEV. MUST BE CHECKED WHEN COMPLETED.
� �— �
TOTAL AREA =—,f=-`-� S. F. TOTAL I 1 =' GALS 5• THESE ELEVS. MUST NOT BE CHANGED WITHOUT WRITTEN
APPROVAL BY CHARLES D. SPOHR.
LEGEND 6. FOUNDATION INSPECTION R_-QD. WHEN EXCAVATED.
0W� F S EU I LD7- kS: AREA PLAN : + 50.0' EXIST. GROUND ELEV.
^�...,,,..--...w..--®*_-� 50.0' FINISH GROUND ELEV.2UNDERLINED�i ate" t� - 2 +��
C LA t `y`^'j/,: j 1,Jf L U ti �'k' "F .�-//c' "1: iC'c �l-,� F�L C%T' F`' R r` — _
BC�}C 3 0� CE :{-/ Tr:je �/'�'LL �' �` ! l3l1/ /A/ f-/}-' /',�„1.3; /lrf�, 47 50 PIPE INVERT. ELEV. REv. DATE DESCRIPTION
�/ov /� �,, 0 TEST PIT LOCATION SEWAGE DISPOSAL SYSTEM
SEPTIC TANK FOR
e0, Fi__1 , r�. 0 I L �r
��
ID DISTRIBUTION BOX ,��y \ � ' JT F.� I cl I R J WAY
4 " C.I . PIPE
it+tt+it�- 4"BIT. FIBER PIPE - TIGHT JOINTS �
No. 7abb
� _ '-I % -- -- - PROPERTY LINE
sTE", DESIGNED C D.SPOHR DATED':: lrc`� DRAWING NO.
9 �� �FfS,3CNP� DRAWN . SCALE:ASSHOWN I I F
a. J l._
MAP SEC P CL LO i HCUSf=_ MIN. CODE DISTANCE
CHECKED: C. D. S
ALL SYSTE
SHALL
SYSTEM DESIGN: SYSTEM PROFILE MARKED WITHCMAGNETICTTAPE OR BE
PROVIDE MIN. 20" DIAM. WATERTIGHT
(NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION.
Ge <:p
GARBAGE DISPOSER IS NOT ALLOWED ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE ca�c C-1 �
TOP FOUND. EL. 64.9' FILTER FABRIC OVER STONE
EXISTING 8 BEDROOM DWELLING \ 64.2 MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM
DESIGN FLOW: 8 BEDROOMS @ 110 GPD = 880 GPD NOTE: 2" MIN. WALL
PRECAST H-10 a THICKNESS REQUIRED BLOCKS OR
USE A 880 GPD DESIGN FLOW RISERS (TYP.) J� ( PRECAST RISERS
,y.. 2'0 ` \i�1 4"0SCH49 PVC MORTAR ALL H-10 2
t, PIPES LEVEL 1ST 2' COMPONENTS
zz
SEPTIC TANK: 880 GPD 2 = 1760 * - 4 v
2000 GAL H 10 ENDSJ (nP') 7 SIDES 61.0 o ,
( ) 61 .9 f 10', 14"
..� � o000 0000 � 000 0000 °'°o°o°o, Locu
61 .08 TEE SEPTIC TANK TEE o000 oaao maoo- -ammo ° ° ° o
0 0 0 `0 0 0 b J�In.Suw�� �00®Mmmmmm® oa000aao�oo :�0,000.0 �--
USE A 2000 GAL. SEPTIC TANK 60.83 o
c a'
GAS BAFFLE . ����� 0 lZ 1(;n. 1n1,D .N. N aooa�oaooao oa000000aoo ° ° ° °
0�0�000�0�0 0� 00°0°0°0
LEACHING: °°°°°°° o
4' LIQ. LEVEL (ACME OR EQUAL) . 60.54 60.37 ° ° 58.17
SIDES: 2 (2 (33.5 + 12.83) 2) (.74) = 274 GPD ;... 1TII r�
J0000000000000000000000000000000000000000000, -1_._ 3 `L
BOTTOM 2 (33.5 x 12.83) (.74) = 636 GPD 3/4 1-1/2" DOUBLE WASHED STONE 4' MIN. H-10 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. Q Route 28
6" CRUSHED STONE OR MECHANICAL ALL AROUND PRECAST STRUCTURES (3) UNITS REQUIRED
TOTAL: 1,230 S.F. 910 GPD COMPACTION. (15.221 [2]) OVER,'LL DIMENSIONS TO OUTSIDE OF STONE: 33.5' X 12.83'
s
USE 2 FOUR BEDROOM LEACHING FIELDS ( 2.5% SLOPE) ( 1 % SLOPE) ( 1 % SLOPE) o
CONSISTING OF (3) 500 GAL. LEACHING MIN. LEACHING
FOUNDATION- 26' SEPTIC TANK 29' D' BOX 22' NO BOTTOM TH-1 LOCUS MAP
CHAMBERS (ACME OR EQUAL) WITH 4' STONE FACILITY No GROUNDWATER FOUND
ALL AROUND EACH (MINIMUM 25.66' BETWEEN
SYSTEMS) *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL CONCRETE COVERS TO WITHIN T GRADE NOT TO SCALE
UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS F2% SLOPE REQUIRED OVER SYSTEM 63.0
PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM 2" PEASTONE OR GEOTEXTILE BLOCKS OR ASSESSORS MAP 272 PARCEL 143
FILTER FABRIC OVER STONE PRECAST RISERS
' MA MORTAR ALL COMPONENTS H-10
APPROVED DATE BOARD OF HEALTH 4' (T,P ) 4
ENDS SIDES 60.53 NOTES
mmm0 0 1. DATUM IS ASSUMED
�a00000000a oaoo�ooa000
LEGEND ��o�ooa0000 o�ooa000aoo 00000000
° ° ° ° 57.7 2. MUNICIPAL WATER IS EXISTING
°°°°°°
3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT.
99 --- EXISTING CONTOUR LH-10
� 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL.
X 991 3/4"-1-1/2" DOUBLE WASHED STONE 4 MIN. (3) UNITS REQUIRED 4. DESIGN LOADING FOR ALL PROPOSED PRECAST
EXIST. SPOT ELEV. ALL AROUND PRECAST STRUCTURES UNITS TO BE AASHO H-Q
-[99]- PROPOSED CONTOUR OVERALL DIMENSIONS TO OUTSIDE OF STONE: 33.5' X 12.83'
3 05. PIPE JOINTS TO BE MADE WATERTIGHT.
( % SLOPE) ,ri
[98.4] PROPOSED SPOT EL.
6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE
LEACHING NTH 310 CMR 15.000 TITLE 5.
TH1 D' BOX 22' FACILITY WI ( )
TEST HOLE 52.7' BOTTOM TH-1 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND
YY 207. 7, No GROUNDWATER FOUND NOT TO BE USED FOR LOT LINE STAKING OR ANY
22% SLOPE OF GROUND x J3 t, OTHER PURPOSE.
71) UTILITY POLE LOT 15 63.78 S. PIPE' cOq SEP'lr cvcTEM Tn S(-H. 4()-4" PVC.
FIRE HYDRANT 21,574f S.F. TWIN 12" x
9. COMPONENTS NOT TO BE BACKFILLED OR
OAK CONCEALED WITHOUT INSPECTION BY BOARD OF
00
NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING > o HEALTH AND PERMISSION OBTAINED FROM BOARD
■ F' OF HEALTH.
O� x
TEST HOLE LOG
�7 O+ 10. CONTRACTOR SHALL BE RESPONSIBLE FOR
20.1- 25'� CALLING DIGSAFE (1-888-344-7233) AND
VERIFYING THE LOCATION OF ALL UNDERGROUND &
LW TWIN 14" OAK O OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF
ENGINEER: DANIEL E. GONSALVES, SE 13587 TOP FND�LL / SLEEVESWITHIN ER '- / WORK.
WITNESS: DAVID STANTON, RS EL. 64.9' OF ANY WATER 3 / 11. ANY UNSUITABLE MATERIAL ENCOUNTERED
/ SERVICE ,3 a - � SHALL BE REMOVED 5' BENEATH AND AROUND THE
DATE: 5/1 1/15 _ ( 14" 14" / PROPOSED LEACHING FACILITY.
i PPIN PPINE
< 2 MIN/INCH 12. EXISTING LEACHING FACILITY SHALL BE PUMPED
PERC. RATE _ INVERT our EL. / I `'" � _ /
61.9' J TWIN 14" OA' ■ .3 ?�3' / ANDSAN REMOVED OR PUMPED AND FILLED WITH CLEAN
CLASS I SOILS P# _ 14675 Q
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ELEV. ELEV. x / z �� 6 7,.76 /
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p" 63.7' 0" 63.7' w
/ cy � 18" PPINE /
x 14" /
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T „ 12" OAK (IV , y TITLE 5 SITE PLAN
6' 1 OYR 4/2 5,� 1 OYR 4/2 x ,_ 1 O J
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xI_,-14I 949 PITCHERS WAY
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9ti xv x / HYANNIS, MA
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35 60.8 34" 60.9'
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PREPARED FOR
- -
4.0
EXISTING SEPTIC TANK (PUMP AND BORTOLOTTI CONSTRUCTION
REMOVE) - \ � \ �� ; 3.49
G PERC CATHOLIC SERVICES
M/CS M/CS \ DATE: MAY 18, 2015
[BENCH MARK - CORNER OF \ / _ _4541
off 508
2.5Y 7/6 2.5Y 7/6 NC. WALK HERE. EL. = 64.6 c1viW 0F MA$ ey zH of MgsS9c 2�``��DANIEL sq�yG� fax 508-362 9880
ANIE DANIEL A. DANIEL A � I downcope.com
o OJALA� OJALA A w OJALA •
CIVIL CIVIL L0 OJALA "' No,40980 down cape engineering inc.
No.46502 No.46502 q No.40980
132" 52.7' 132" 52.7' �Oc�Fct a`�° �c� ° °F o�P ` e C%V%/ engineers
Scale: 1 = 20 i sTE �� �S8 ONAL UNG\ `q" ti� "` 4��p land surveyors
NO GROUNDWATER ENCOUNTERED
�� 1� / 939 Main Street ( R to 6A)
_ DATE DANIEL A. OJALA, P. P.L.S. YARMOUTHPORT MA 02675
LICE # 15-079 F
15-079 BORTO_CATHOLICS.DWG