Loading...
HomeMy WebLinkAbout0035 BLUE HERON DRIVE - Health (2) 35 Blue IIeron Drive,Osterville A 11� ' VUZ 0 8 j a 9 n :�r 3 TOWN OF BARNSTABLE LOCATION 35 'blab, ,cep .ram SEWAGE# o-IOA 0—23-,�. a'rka-e VILLAGE ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. �� SEPTIC TANK CAPACITY0�\lc� LEACHING FACILITY:(type) 5\C \oZsS eNA (size) 'NO.OFBEDROOMS S �fii�5h C`� OWNER PERMIT DATE:=}(a )b 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) IQ forFeet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) a1 Feet FURNISHED BY Ll � --f T- LI NO. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplitation for �hgpogal *pgtem Cou5tructiou Permit Application for a Permit to Construct( ) Repair( ) Upgrade Abandon( ) Complete System ❑Individual Components 1 Location Address or Lot No. �� 1lTeC�e� ' Owner's Name,Address,and Tel.No. Assessor's Map/Parcel C. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: PsC�6S h Dwelling No.of Bedrooms cc Lot Size `, sq. ft. Garbage Grinder Other Type of Building S�`� A\ No.of Persons Showers Cafeteria Other Fixtures S C3c��r^ Design Flow(min.required) gpd Design flow provided J J� gpd Plan Date + D 1 O Number of sheets I Revision Date Title �U 47t) sj��S—SC— 2_c. t �e� t� Sggs Size of Septic Tank Type of S.A.S. O SAMy\e--m Description of Soil tom\ Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date 27 2r/6 Application Approved by Date —2-7"ICJ Application Disapproved by: Date for the following reasons Permit No. Date Issued C a No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for Oiopogal Qirgte'm Couttructiou Permit Application for a Permit to Construct( ) Repair( ) Upgrade Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 1 � J Owner's Name,Address,and Tel.No. Assessor's Map/Parcel C 1 � �'C��P Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. C+i) cz)w S CCc(1 Esct'� �Jh Type of Building: S h Dwelling No.of Bedrooms Lot Size 1 C E sq. ft. Garbage Grinder Other Type of Building _ C,\ No.of Persons ] Showers( Cafeteria i Other Fixtures LC-Q ,:'�t6-y h S �f C Design Flow(min.required) ` gpd Design flow provided SJ� gpd Plan Date T 1\ 7 ` ��p Number of sheets. ' F Revisio'n�Date Title SC�ll ��: C` ��y —S�GCQ � c-c sS3 Size of Septic Tank Type of S.A.S. Z, �(l,p S?��0em e d Description of Soil =_! 'Nature of Repairs or Alterations(Answer when applicable) �p a r .. Date fast 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. p � i Signed Date - 6 il Application Approved by Date 2-7"10 Application Disapproved by: Date for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that��t}}he On-site Se age Disposal Sy in Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( )by , at '1�C�X ' has been constructed in accordance y with the provisions of Ti(tJle.5 and the for Disposal System Construction Permit No. P 01y' ?-)— dated' T' �7- 1 U Installer " � �'S Designer hR% #bedrooms 5 Approved design flow 7 S C, gpd The issuance of this permit-slid not be e c nstrued as a guarantee that the systA will function a designed. Date ��✓ Inspector" / 1d No. o� V .-, - Fee . THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS Mi5po!gal *pgtem Cougtructiou Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at i and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this 1 . �7 c Date �` _�� Approved by Town of Barnstable OF tHE Tp� Regulatory Services Thomas F. Geiler, Director * BARNSTABLE, y MASS. $ Public Health Division i639• �0 AlED1AA�A Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 7/30/10 Designer: _Shay Environmental Services, Inc. Installer: Manny Barrows Address: .'. P.O. Box 627 Address West Falmouth Hwy. East Falmouth, MA 02536 West Falmouth, MA On_7/27/10 Manny Barrows was issued a permit to install a (date) (installer) septic system at 35 Blue Heron Drive, Osterville , MA based on a design drawn by (address) _Shay Environmental Services, Inc. dated_7/10/10 (designer) F XX 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. 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. A nIuS: 't�Or 1 (Instal er's Signature) No. i;3 }' � IS,T- (Desig gnatur (Affix Dest ` p Here) PLEASE RETURN TO ARNSTABLE 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: Health/Septic/Designer Certification Form ` Town of Barnstable Department of Regulatory Services Public Health Division Hate 1ARNBTAB[E, • G MASS � 1639. ,6�' `. 200 Main Street Hyannis MA 02601 AlEO MAI i 4 Date Scheduled Time Fee Pd. 00 _ Soil suitability Assessment for Sewage D•sposal Performed By:- �A�V 1 1E7.3 e A44i y f \ Witnessed By: LOCATION& GENERAL INFORMATION Location Address 3 J% 'N1e,—Ut--, -oQ1cv1e_ Owner's Name O ski- tl Address cow— Assessor's Map/Parcel: ) F A2N1 iiq 1 I�� /�n� �� �--Engm neer`sName NEW CONSTRUCTION REPAIR -,,, Telephone#'` Land Use Slopes(4'0);• o `Surface Stones IV�t1P Distances from: Open Water Body QQQ ft Possible Wet Area ft Drinking Water Well Km ft Drainage Way W ft _Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands in proximity to holes) 1 r .. Z +VEr t Parent material(geologic)nt�\-wFtS W' Depth to Bedrock. N Depth to Groundwater. Standing Water in Hole: 3a Weeping from Pit Face Tes 6"S Estimated Seasonal'.HighGroundwater �<S' t DETERMINNATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: �J in, Depth to sell mettles: /iS�t'� in Depth to weeping from side of�o�b��s�.hole: 1 t' in, Groundwater Adjustment � ft. ft,_ Index Well# MttJ _j Reading Date:io Index Well level Adl.factor ,# Adj.CJroutidwater Level, J ®m A _ PERCOLATION TEST' Date( vme_j Observation, . V. Hole# . t It' 3 Time at 9" IS _n.�s Depth ofNrc, �"�8 3��yrg Time at6" Start Pre-soak Time @ i O',GO (O �l� . Time(9".6") �'lin Jt�lt f� End Pre-soak 1 o`,O Rate Min./Inch afn^ LaNt.P1 Site Suitability Assessment: Site Passed _ Site Failed: Additional Testing Needed(Y/N) VV v Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the, Barnstable Conservation Division at least one(1) week prior to beginning. Q:\SEPTI6PERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# I _ Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Con istenc % ravel SL 3 "/4 c� p .� LS t:oe tj -e- -5 0 t6 DEEP OBSERVATION HOLE LOG Hole# of Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) .(USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistencv.%Gravel) o 0 IS I v y cZ'5) o-1 o C t1--C.Se'q \ P"S Y -+1 f4 s L La's DEEP OBSERVATION HOLE LOG Hole# 3 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consiste c o G vel 30-13 _ � C� a 5.5 DEEP OBSERVATION HOLE LOG. Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consi ten ° o N A a�R s o - •o M -C «� -5`1 �- CxSti7 Flood Insurance Rate 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 throughout the area proposed for the soil absorption system? -2` If not,what is the depth of naturally occurring pervious material? Certification I certify that on _iL O (date)I have passed the soil evaluator examination approved by the Department of Environ en r ction and that the above analysis was performed by me consistent with the required trainin ,ex tise nd ex p 'ence described in 310 CMR 15.017. Date b 1) Signature I Q:\SEPTICIPERCFORM.DOC 1 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Address of property 35 Blue Heron Drive, Ostervil e Owner's name Joseph Danton [RECEIVED Date of Inspection 4/26/95 PART A MAY 3 1995 CHECKLIST . TOWN ALE . Check if the following have been done: -� X 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. X As built plans have been obtained and examined. Note if they are not available with N/A. 0' _X The facility or dwelling was inspected for signs of sewage back-up. X The site was inspected for signs of breakout. X All system components, excluding the SAS, have been located on the site. NA The 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. X The size and location of the SAS on the site has been determined based on existing information or approximated by non-intrusive methods. X The facility .owner (and occupants, if different from owner) were provided with information on the proper maintenance of SSDS. a f ' 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION i ��dlf FLOW CONDITIONS If residential _3_ number of bedrooms 2 number of current residents yes garbage grinder, yes or no --ye laundry connected to system, yes or no no seasonal use, yes or no If nonresidential , calculated flow: Water meter readings, if available: NA- Sprinkler system involved ongoing Last date of occupancy GENERAL INFORMATION Pumping records and source of information: 1 pit-1992 Routine maintenance of cesspool in backyard yp System pumped as part of inspection, yes or no if yes, volume pumped 11,00 gals Reason for pumping: Cesspools limp ark ac_p Qr DER regs , determine Size and grgb1ndwa-ter candi t ion.2 Type of system Duel system-system1 in backyard-system 2 in front yard nTn Septic tank/distribution box/soil absorption system Single cesspool system 1 Overflow cesspool system 2 Privy np_ Shared system (yes or no) (if yes, attach previous inspection records, if any) Other (explain) .. Approximate age of all components. Date installed, if known. Source of information: system 2 overflow pit 87 system—1 Porto 1-971; Per Owner no Sewage odors detected when arriving at the site, yes or no s f 9 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SEPTIC TANK:_System 2-cesspool acting as septic tank (locate on site plan) depth below grade: 11 material of construction: x concrete metal FRP other(explain) dimensions: ' 6 x8 if sludge sludge depth 51 distance from top of sludge to bottom of outlet tee or baffle _211 scum thickness 18" distance from top of scum to top of outlet tee or baffle 12„ 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 of liquid level in relation to outlet invert, structural integrity, evidence of leakage, recommendations for repairs, etc. ) Liquid from outlet invert-structual integrity sound DISTRIBUTION BOX: NA (locate on site plan) depth of liquid level above outlet invert Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, recommendation for repairs, etc. ) PUMP CHAMBER: NA (locate on site plan) pumps in working order, yes or no Comments: (note condition of pump chamber, condition of pumps and appurtenances, recommendations for maintenance or repairs, etc. ) 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SOIL ABSORPTION SYSTEM (SAS) : VPC system 2 (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: •1 Type leaching pits and number 1precast - b` X 3-- 140o leaching chambers and number leaching galleries and number leaching trenches, number, length leaching fields, number, dimensions overflow cesspool , number Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc. ) CnarsP sand PXrP1 l Pnt condition of leaching p it: CESSPOOLS (locate on site plan) : system 1 system 2 number and configuration I ba-rrel h1 r ak I harr-PI black depth-top of liquid to inlet invert 2 ' All depth of solids layer '" a" depth of scum layer 6" h" dimensions of cesspool 6x8 tiXR materials of construction cf-mcnt hl nr-k rrNmpnt black indication of groundwater inflow (cesspool must be pumped as part of inspection) none Comments: (note condition of soil, . signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc. ) none 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, recommendations for maintenance or repairs,etc. ) clean dry- coarse sand 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100 ' leaching pit-0 —back of garage System II cesspool and overflow pit cesspool— ulkhead chimne A B 25' cesspool 22' B 44' pit 42' B back of house A _bay window 61 3 7' system single cesspool DEPTH TO GROUNDWATER y ' Sys}em a- t4' depth to groundwater method of determination or approximation: Sight and level method, using known ground water level near property i 12 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C FAILURE CRITERIA Indicate yes, no, or not determined (Y, N, or ND) . Describe basis of determination in all instances. If "not determined" , explain why not) N Backup of sewage into facility? N Discharge or ponding of effluent to the surface of the ground or surface waters? NA Static liquid level in the distribution box above outlet invert? Y Liquid depth in cesspool <6" below invert or available volume< 1/2 day flow? N Required pumping 4 times or more in the last year? number of times pumped NA Septic tank is metal? cracked? structurally unsound? substantial infiltration? substantial exfiltration? tank failure imminent? Is any portion of the SAS, cesspool or privy: N below the high groundwater elevation? N within 50 feet of a surface water? N within 100 feet of a surface water supply or tributary to a surface water supply? N within a Zone I of a public well? N within 50 feet of ea bordering vegetated wetland or salt marsh (cesspools and privies only, not the SAS) ? N within 50 feet of a private water supply well? N 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 analysi for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. • t 13 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART D CERTIFICATION Name of Inspector Bruce Macallister Company Name Shoreline Construction Company Address 87 Pond Street Osterville, MA 02655 Certification Statement I certify that I have personally inspected the sewage disposal system at this .address and that the information reported is true, accurate and complete as of the time of inspection. The inspection was performed and any recommendations regarding upgrade, maintenance and repair are consistent with my training and experience in the proper function and manitenance of on-site sewage disposal systems. . Che one: I have not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15. 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. I have determined that the system fails to protect public health and the environment as defined in 310 CMR 15. 303 . The basis for this, determination is provided in the FAILURE CRITERIA section of this form. Inspector ' s Signature �'4� Date May 3, 1995 Original to system owner Copies to: Buyer (if applicable) Approving authority • 1 1 r; TOWN OF BARNSTABLE LOI~_'TION 3S--0ue Oeronl2ue SEWAGE VILLAGE O5 ASSESSOR'S MAP 6z LOT INSTALLER'S NAME & PHONE NO. Gor oo n i vn. vs SEPTIC TANK CAPACITY LEACHING FACILITY:(type) &.f4o� t 7 (size) NO. OF BEDROOMS-,3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER e'?NSA,,, lo©N DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GR TED• Yes No m q Sy5t-,m 1t Ces5000) 4 rouerclow pit' i r It j�j.-b�l Kid 0h,�141_.xT _I as' c�s�nol aa' I 44 p,4 ' Sin91t C�ss`p°°� TOWN OF BARNSTABL:E,. f-p'^ LOCATION .�� 1 u� f cl�„y'" ��/U'� "°` ,SEWAGE # VILLAGE S / i,�.�/e ASSESSOR'S MAP sz LOT INSTALLER'S NAME & PHONE NO-&:- ; CA pip-ol l . SEPTIC TANK CAPACITY LEACHING FACILITY:(type) /Jj]r (size) 2000 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED:�'� 4 a DATE 'COMPLIANCE ISSUED: z: VARIANCE GRANTED: Yes No L� �� f, �� ycS �� 1 i THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH `d fJ'�-�....... ......OF................................ Appliration for Mipatial Workii Toustrurtion Prrutit Application is hereby made for a Permit to Construct ( ) or R=pair,(c-j an Individual Sewage Disposal System at: :......1.MA.s1P.........D.-kL-Q-?......... .... v.s. ---------------------------------------------------------------- /,,, ovation-Address .....--•.............•-•------.._....or-Lot No. ---------•--•----•--------------•---•---------- ----. _ -------•---------------------•-------------------••- Owne � ___----_•••-••-•-•--------------Address �CJ/�i_�.....e�C U.JR lc ... � Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms_____ ___________________________________Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons...Zk—................... Showers — Cafeteria Q' Other fixtures ................................. . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. ,:4 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter-____-_..-_--___ Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. 3 Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ W Test Pit No. 1................_minutes per inch Depth of Test Pit.................... Depth to ground water......................... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 Description of Soil................................................/&,o, ...................................................•........•-•-•- x 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'TT a:, y g g p . y S of the State Sanitary Code—The undersi ned further agrees not to lace the system in operation until a Certificate of Compliance has been i sued by the-board of health. 4 Signed........ _. ........ ................ ................................ Date Application Approved By............� �J --- .- Date Application Disapproved for the following reasons---------------••----•-•---------------------------------------------------------------------------•••........._ ..-------•----------------------------------•-----------------•--•-..........------------......----------••-••-•-•-•--•--•-••••••-•------•-•-------•------•--•-••--------•------------•----•-••--------- Date Permit No....... .7 .................. Issued... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliration for Dhipoiial Works Tontrurtion Permit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal Sys e at: .. :'... « .._ �t_a. ... .. ..�?�-•----.. .t�J..4!C--------- <'`?..._t�v_S..�.�................ : ....................................... . .. Location-Address or Lot No. -. i' d - - .-.-----•--•--------•-------•................. .................•---------------•--------------•--------------•----------•---------- ------- Owner Address aE��G K-C t/l-Ls.►l: r ---------------•---•-•--•--•-------•- ------------------------------- Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms-__•=�....................................Expansion Attic ( ) Garbage Grinder (. ) Other—Type of Building ____________________________ No. of persons..Da:.............._.._.. Showers ( ) — Cafeteria ( ) Q' Other fixtures ..................... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. 3 Seepage Pit No--------------------- Diameter.................... Depth below inlet..........-......... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date....................................... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... �1 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --••-•-•••--------------------•••••. •-••••----•-......:. rf O Description of Soil <�`'�' '"` 1 ----------------------------------------------------------------- x U •--••-••••••••-•••••-•••-••-----•--••-•-•-...._..••••---••-••-••••-•••--•••-•......•••-•••••-•-•-•••••-•••••-•-••.............•••-•--••--•-- 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 T1 -of the State Sanitary Code—The undersigned furti:er agrees not to place the system in operation until a Certificate of Compliance has been ' sued by th board of health. Signed.................. ...... ... �1+..... Date - Application Approved BY........... -If- •-----�� --------------------------•- ........................................ J Date Application i Disapproved for the following reasons-------------•--------------•------•---------------------------••-----------------------••-............•-------•- ......•..-•......................•----------•------•----...-•--------------------•-----------............._.....-...•........----•---------------••-------------------------------...-•-•--•••--••...•--- rr�� Date PermitNo....... -----------------« Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........« `'"..........OF... ... 1(............................... C�rrtif irat e of Tomplianrie THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired �) by----------------------------------...,._.��',;� .------------------- -------------.-------------------------•------ �,t Instal_1€'r y at.................� -------_--pa -- a> :' f' _ .,c':..................................................' ����........-----------.. has been installed in accordance with the provisions of TiTIL j of The State Sanitary Code as described in the application for Disposal Works Construction Permit `o......`2I _7=..6..�.`�?.... dated------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT rHE SYSTEM WILL FU7TION SATISFACTORY. DATE....................... ..... -------- Inspector................. ---------- �D---------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF" HEALTH Q ....... C _..............OF.........�..........._..._ iN" Gl r _ F FEE.. .(,,,,,. Disposal{Works Tonstrnrtion permit Permission is hereby granted.............l .............. `'r `" .....--••--•-•-------------.......--------.............------------ to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo...................... 2>_1...........ii?A ...... ..:: :... ✓!!' ...-•..............._................•..._..._............__._........--•....... Street as shown on the application for Disposal Works Construction Permit No _Z.3.%'d_ Dated.......................................... ......................... - ---- ' ---- - -- ---------------------- Board of Health DATE FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS , J Wildwood N mFinee Trust ] Guile & Judy Wood Trs / U. Area Total 1.93±Acres I i • , \ i \ I i \ Old. \ Approx Septic Leach Pit I \ As Per BOH \ Asbuilt cord \ p .................t I Old Overlay District r \ Cesspool `•.., \ Line CO \ i 1 Sty w/f ° Dwelling - - a Q ° i 1 Holly f \ 1 _ f \ I I Umbrell o ' \ I C Pine �C + Cedor \I J Qua, / f\ Roa( \ I o i �9 I \ 1 f \ 1 f o Nrt BoY , Z. f I ` Propos i� Garag l 1 II `O iR 15 Sideyord N6g40 96.22' N89°39'40"W a 10�ed yeti Ft0 E Notes/Revision: PREPARED FOR: 1.) The structures shown were located on the ground by ni conventional survey methods on or between 07/SEP/2010 Robert & Deborah Colantuo and 07/MAR/2014. 2.) The property line information shown hereon was compiled from available record information. 3.) This.plan is not for recording and is not to be used for construction layout or deed description purposes. 80 20 0 10 20 40 3-20 DIAM. ACCESS MANHOLES VENT PIPE_j�Least 24 inches tall) J � *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. Schedule 40 PVC w/Charcoal Odor Filter 10' min. from ESTABLISHED VEGETATIVE COVER Existing Foundation house to septic tank "` '~ Septic tank covers must be D-BOX ewer must be INLET TOP OF FOUNDATION = ELEV. 100.00 within 6 tn. of covers mu grade within 6 In. of finished grade '• Grade over Septic Tank- 16.50 Grade over D-Box-16.50 a over SAS- 16.50 INLET « I a;,1 rRd',4. +;,» •: ,, .• �..� +`r;• �. �i THE ACCESS COVERS FOR THE SEPTIC TANK, n ,+• �, ,. , ,, '.,' its«,.,,7.•+�+•, 7 � I 4. , ,',�.N • Fi' ;•+ it + ,: ..�t•t„ + z,,,.' r•J' t' '+ ' ,`; + .. . .1 , '. I•. ,.; a;' BACKFILL WITH CLEAN SAND " DISTRIBUTION BOX AND LEACHING COMPONENT .'' y , r 'J,».,.• ';,'r• ++ (NATIVE OR PERC SAND) ��p}' SHALL BE RAISED TO WITHIN 8" OF `! .J,+ r««+ ,:I i'i t',. .,,y. q # r S ,n �+ �`'h' : '•s, .,i.' + ,,�,+ ..�S, �T• S ® 0.02 6 HOLE H-1tl - 4' !"..«s'•.t.. 'p, �;`+a'r:' ^; •t" a... i +�Y�':.„'tJ;�;{i.. .4. but 4i ,•' R T� "�'T,'DTI r:... +r i«.'• . ,• FINISHED GRADE. !!! INSPECTION PORT TOP OF UNIT ELEVATION 13.25 ;• ;+' ." " 'r' ;+' •�"' ,'::. „',., 5.0.01 or Greater 1ST. 90X 3' Maximum Cover ,t•+, + • t' ;,,;} +' ' y„,'., :•+t J '; 'r, STEEL REINFORCED PRECAST CONCRETE INSTALL lUF-111E GAS BAFFLES OR EQUALS p' ON ALL OUTLET TEE ENDS r, A-10' NEW a PVC(CAPPED)INSPECTION PORT TO BE �''a i• 't' ,•. a °': r'1 t' ,, t'"►�::"., ; ` i•f*'" EXISI�am N 8-30' 1500 GAL. $", INSTALLED AND TO BE WITHIN 8"OF GRADE _ v r ':' "," s'Y:v' < ,, ,v •i+ + "+,v,« FROM EXIST,FOUNDATION d u) 70' tl,01 pet foot INV. ELEVATION 12,75 'r ; ,•+, t• PLAN vas-►� +�° � I. rar SEPTIC TANK n 1 a +; y,,• ,.' 1:,, ,- z CONCRETE FULL w- A H-1013, Y:.+i• i;• ,1 1t,' rr �3-24"REMOVABLE COVERS� " q lei BOTTOM ELEVATION - 11.75 1j ; 4 .. W y''J 6 in.of 3le-1 1/2" 11 b '� "' ' r�. > > compacted stone 9 -g 4 ROWS OF 7 UNITS AT 6.2W/UNIT+ 2 END CAPS• 44.00' r p�LET mlti. m2"mrn IMet to outlet ? 1J" z z - c 5 MiN ABOVE BOTTOM OF "- II TEST PIT OR GROUND WATER ¢ "41 IN a" ' ' ,,. 011 1. GENERAL NOTES a m SYSTEM PROFILE m EFF. WIDTH 1.8.701 EXISTING SUITABLE MATERIAL a•_7. a _ e Bottom of Test Hole 1 Elev.- 5.5 PROJECT ADJ. GW TABLE - ELEV 6.2 r ° - 1. Contractor is responsible for Digsafs notification, VERIFICATION Not to Scale 6 rn.of 3/4"-1 1/2" 'y eM ",• depth ; and protection of all underground utilities and pipes. compacted etonaUqmtd NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 8" BELOW GRADE B BOTTOM OF TP-1,: "' "ti 2, The septic tank a distri tion box shall be set " SOIL ABSORPTION ION ,�YSf .,(SECTION) ' level an 6" of 3�4�-1 1�2�' stone. GROUNDWATER OBSERVED 0 132" or ELEV 5.5 GROUNDWATER OBSERVED 132 * 3. Backfill should be clean sand or gravel with no ESHWT - ELEV. 5.5 + 0.7 ADJUSTMENT ELEV 6.2 r '•:.'•., <L • s , y +; .• �'' ...• • ' '''i " HIGH CAPACITY INFILTATRQR (H-20 LOADING)/ GEORGE O'BRIEN 10,_0. a _s« atones over 3 in size. 4. This system is subject to inspection during installation (OR EQUIVALENT) CROSS SECTION END-SECTION by Carmen E. Shay - Environmental Services, Inc. NOTE: EFFECTIVE.DEPTH OF INFILTRATOR IS 12" 5. The contractor shall install this system in accordance NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18" TYPICAL 15,00 GALLON SEPTIC TANK with Title V of the, Massachusetts state code, the approved plan and Local Regulations. NOTEE: PLUMBING TO CESSPOOL TO BE COMBINED IN BASEMENT BY A LICENSED PLUMBER NOT TO SCALE 6. If, during installation the contractor encounters any (H-10 LOADING) soil conditions or site conditions that are different from those shown on the soil log or in our design installation must halt & immediate notification be made to Carmen E. Shay - Environmental Services, Inc. 7. No vehicle or heavy machinery shall drive over the PERCOLATION TEST septic system unless noted as H-20 septic components. 8, install Tuf-Tits gas baffles or equals on all outlet tee ends. NOTEE: PLUMBING TO CESSPOOL TO BE COMBINED IN BASEMENT BY A LICENSED PLUMBER Date Of Percolation Teat: JUNE 9, 2010 9. All Distribution Lines shall be 4" diameter Sch. 40 NSF PVC pipes. Test Performed By: CARMEN E. SHAY, R.S., C.S.E. 10. All solid � Results Witnessed By: DAVID STANTON - BARNSTABLE BOH piping, toes & fittings shall be 4" diameter EXCAVATOR: Shay Env. Svcs. Schedule 40 NSF PVC pipes with water tight joints. Percolation Rate: <2 MPI ® 30" 11. MUNICIPAL WATER IS AVAILABLE TO THE SITE and Surrounding Z Properties. NO PRIVATE WELLS WITHIN 150 FEET of PROPOSED SAS g Test Hole Test Hole Test Hole Test Hole Ca PROJECT BENCH MARK No. 1 No. 2 No. 3 No, 4 ARE PRESENT 1 l� 00 p TOP OF FOUNDATION DEPTH SOILS ELEV. DEPTH SOILS ELEV. DEPTH SOILS ELEV, DEPTH SOILS ELEV. WDM. CB D.H. ELEV. 17,25 (NGVD) 0 16.50 0 16.50 0 18.25 0 18,25 THE PROPERTY LINES ARE APPROXIMATE AND FND \ / I / - Sandy Loam Sandy Loam Sandy Loom Sandy Loam COMPILED FROM LAND COURT PLANS 26772-U, 26772-V SHEET 1 AND PLA10 YR 3/2 10 YR 3/2 10 YR 3/2 10 YR 3/2 AND hIS2NOT INTENDED TO BE A SURVEY PLOT PLAN 0"-8" A, 18.00 0"-8" A, 16,00 0"-8" A, 97,75 0"-8" As 97.75 W �� ► ! / i �' � IT SHOULD BE USED FOR NO PURPOSE OTHER THAN I ! / �.'' \\\ 1 Loamy Sand Loamy Sand Loamy Sand Loamy Sand THE SEPTIC SYSTEM INSTALLATION. I 10 YR 4/8 10 YR 3/6 10 YR 5/6 10 YR 6/6 iOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE � k' I %/ 1 323.96 ,�/ �� \\\ 11 8"- 30" BeB 14.00 6"- 30" BeB 14.00 8"- 30" Be9 13.75 8"- 30" BeB 13.75 FROM THE EXISTING CESSPOOLS AND LEACH FAIT TO BE DISPOSED $ LOTS # 16, #26 & #29 i ! / \ Mod-Coarse Mod-Coarse Mod-Coarse Mod-Coarse OF AS PER BOARD OF HEALTH SPECIFICATIONS. 66 ! i i Sand Sand Sand Sand +, Q( 1.92 ACRES or 82,680 SF t/- ! ,� / / l / f,f \\\C B Ir1 H.• 2,8 Y 7/4 2:6 Y 7/4 2.5 Y 7/4 La Y 7/4 �0 1 O / ,� FND I 30"-132" G, 515 30"-120" G, 5.5 30"-132" c, 5.25 30"-120" G, 6.25 EXISTING CESSPOOLS AND LEACH PiT TO BE PUMPED DRY & 68 IIS / FILLED IN PLACE �� i � TEST HOLE 11 « N o-* ELEV.- 16. 0 �? a' I WETLANDS ARE LOCATED WITHIN A 200 RADIUS OF THE PROPERTY AS SHOWN. CB D.H. C�,� t ! ,' ; ,� ,/ 8 , M M I FND 105.00' Q� I i /� CB D.H. ASSESSORS MAP 117 PARCEL 002 �/ ! FND ' 221.f4' �'� �' i ZONING - RESIDENTIAL � � I N 87D 58' 40" W- / ! i i ,�� I Pere #1-LOCATED ® Test Hole 1 Perc #2- Located ® Test Hole 3 TEST HOLE #2 D-Box I Depth to Perc: 30" to 48" Depth to Perc: 30" to 48" 0 ��, '` ''� ELEV.- 16.50 I Perc Rate- <2 MPI Perc Rate- <2 MPI 6'-'""" CB D H. Groundwater Observed 0132" or Elev 5.5 Groundwater Observed 0129" or Elev 5.5 0 � / / ! ,� ,'' NEW N L S'LfNE' - FND BOTTOM OF TEST HOLE Elev. - 5.5 or 132" ® TP1 BOTTOM OF TEST HOLE Elev. - 5.5 or 132" 0 TP1 5�y. 1500 GALLON I MIW29/ZONE A - INDEX - 6.66 for 5/10 MIW29/ZONE A - INDEX - 6.66 for 5/10 O+ �� ; // �; ��i SEPTIC TANK Failed ,i'' I ADJUSTMENT - 0.7 FEET ADJUSTMENT -0.7 FEET I ADJUSTED H2O Elev. - 10.00' below Grade per Frimpter or ELEV 6.1 ADJUSTED H2O Elev. - 10.00' below Grade per Frimpter or ELEV 6.1 0LEACH/PIT oo, ��� 00 I ALL OUTLET PIPES FROM THE � N 1 DISTRIBUTION BOX SHALL BE „ 6�J i L' 12 CONCRETE COVER I , i Failed p3' ¢4 � I SET LEVEL FOR AT LEAST 2 FT. LEGEND CESSPOOL¢ 6 p i/ /��0 / TEST HOLE #3 5" OUTLET 'y,r.•„••:r«,i,.>N 2 KNOCKOUTS ELEV.- 16.25 M I may' OUTLET + " � w 12" INLET 88X0 DENOTES PROPOSED / 1 SPOT GRADE DENOTES EXISTING Living Bedroom m° Bedroom I 1 2.7' li II t5.5" 4" - scH. 4o r " X 104.46 SPOT GRADE m° m° Room / 10 j EXISTING Pepe "� PLAN-SECTION CROSS SECTION PL PROPERTY LINE Bedroom \ 411% PATIO 3 BEDROOM EXISTING p Dining �\ \ HOUSE GARAGE ► 6 HOLE DISTRIBUTION BOX -[7'- PROPOSED CONTOUR I NOT TO SCALE z\� #sS ! 0 \ ! 97- - -- - -97 EXISTING CONTOUR TEST HOLE #4 � Design Calculations ELEV.- 16.25 1 DEEP TEST HOLE & Kitchen / \ I 1 / PERCOLATION TEST LOCATION W �\ Number of Bedrooms: 3 Equivalent to 330 Gal./Day ! d ! l ! Garbage Grinder: No t ` I ! / Leaching Capacity Proposed: 550 Gal. Da Minimum AT OWNERS REQUEST FENCE 3 BR HOUSE FLOOR SCHEMATIC I 3 �* �` I I ! g p y P / Y ( ) W i ► ; Septic Tank - 2 x 550 Gal. Da - 1100 USE NEW 1,300 GAL. Septic Tank. (Description Provided By Owner) SOIL ABSORPTION AREA: Using Gal./Day rate of <2 min./inch inch P z I 1 , g P / PRIVATE DRINKING WATER WELL GARAGE .. o Failed �� \\ I ! {„(J Bottom Area: 0.74 gal/sq. ft. x 830.72 sq. ft. - 614.73 gallons O CESSPOOL `� I / Sidewall Area: NOT USED REVISIONS r< �I to \ I EXIST. ��� Providing: - 614.73 gallons DRIVEWAY �. ; Ugeo 4 ROM OF 7-HIQH CAPACITY H-20 INFILTRATE SStNITS WITH No N0, DATE. DEFINITION STONE FOR AN SAS HAVING THE DIMENSIONS 12.7' x 44.0' CB D.H. 0 1 7/29Z10 H-20 Units I ` � FND /� Bottom Area: (General Use Approval far 4.72 SF/LF Of INFITRATOR FULL LOT SCHEMATIC i `. ; ,�` �� ,' --_:�. , 27 7 UNITS + 2 END CAPS per ROW - 44.0 FT � 7/30/10 per Dan Desmarais 4 ROWS x 44.0 x 4.72 SF/LF - 830.72 Ir -., DESIGN FLOW PROVIDED: 0.74(830.72 S.F.) - 614.73 GPD I I PROPOSED I , ; o PREPARED F� CRe SUBSURFACE SEWAGE DISPOSAL SYSTEM 16 OF ,i \\\\ ¢O" \\,\ 96,22� ND •H KAREN MCKENNA #35 BLUE HERON DRIVE N 89D 39' 40" w � # 65 PEMBR0KE ROADOSTERVILLE, MA - DARIEN , CT 06820-222 1 PREPARED BY: C.A.• HEY E. SHAY P H 0 N E# 9 - 6 7- 8 8 cJ �_ '�. �,� L''NVIRONAMML SERVICES, INC. 111 THORNBERRY CIRCLE �Fc,s s�� MASHPEE, MA 02649 TEL/FAX : 508-539-7966 ' SCALE: 1"=20' DRAWN BY: CES DATE: JULY 10, 2010 PROJECT#SD-1185 ILENAME: SD1185PP.DWG SHEET 1 OF 1