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0072 BRIAR PATCH ROAD - Health
EABriar Patch Road, Osterville 0 TOWN OF RAMSTABLE '7CATION� +��ieir�� c� SEWAGE # �_'TLLAGE y;f/,e ASSESSOR'S MAP & LOT YJ e INSTALLER'S NAME&PHONE NO. t;dqk -1,31 SEPTIC TANK CAPACITY /000 CAI- LEACHING FACILITY: (type)&?k4V^l;u- Cki ft6--r (size) 'D 41M NO.OF BEDROOMS BUILDER OR OWNER ,-4* PERMITDATE: ," b COMPLIANCE DATE: 1 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 641 Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within200 feet of leaching facility) O"" Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Nye Feet Furnished byiCl ot Ll ?Ae a �� f4cose � t t t®� ---- C s .31 14] o t gal Town of Barnstable VFW- Regulatory Services co0 Thomas F.Geiler,Director p ...g. Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: Lt Z Sewage Permit#&2��' S�' Assessor's Map\Parcel Designer: �j�►� l.�v� �,uc.�rl t►•1� Installer: ��6 f -�- Sdj reCIS Address: 7P, 42g2!rH Sr_ 3r4 rrwn�-, Address: -2d Zrke Pkkk /Zcf l�Tae.Ltilr4T Ac 0%,U0I A1..4 • 0 2ay'J On /l X J� �°a¢i ` 411 to 1'/s .was issued a permit to install a r(date) (installer) septic system at 7 7- -A"06r based on a design drawn by (address)LIU 0- - e dated O 2 (definer) 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 (Le. . 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 Re ations. Plan revision or certified as-built by designer to,follow. N of �� MATTHEW 9�y o W. N s EDDY CML - o (Installer's Signature) !433183 .Q 9FGIST�``� r e 01 esi er's Si e) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE .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 3-26-04.doc it I I No. b Fee THE COMMONWEALTH OF M ASS ACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,MASSACHUSETTS 01ppYication for Milpont Opgtem Cott!5truction Permit Application for a Permit to Construct epair(' Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. 1'Z Orqkr,fA" F&IP• Owner's Name,Address and Tel.No. O� Et►�1�wF. .59 "S, Assessor's Map/Parcel � ®� 251ru AT- rAl uset Installer's Name,Address,and Tel.No. ll Desi ner's Name,Address and Tel.No. HPI SC� red &^ S r P•t ;t gzt c�sIlst "Pr Type of Building: Dwelling No.of Bedrooms �J Lot Size �_sq.ft. Garbage Grinder((l�� Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 753110 gallons per day. Calculated daily flow gallons. Plan Date 0 f ) Number of sheets 01 Revision Date Title Size of Septic Tank "S JX)Q (tiM- 1.4L--) Type of S.A.S. (P c� CIA Description of SoilQ .� Nature of Repairs or Alterations(Answer when applicable) 7.P_pkaAg_ b 4,.1x SAS 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 iss d by this Board f alth Signe e Date Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued ' Z Fee Entered in com ute�� THE COMMONWEALTH OF MASSACHUSETTS p Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Tipprication for Mzpolal *p.5tem Congtruttion Permit Application for a Permit to Construct <Repair )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot Nol Z Vxz!NT_PAS Owner's Name,Address and Tel.No. 05 j*"%" �Sk1e,," Assessor's Map/Parcel � Q 3 Z '�Z /c1r. rA" rZo,1 VS"114WI%A•+E Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ' p,.*%N J eciA 1 P.F.. 6m air t�s�-�rlr�ilt� MPr 452A- z8-ql-1 Type of Building: Dwelling No.of Bedrooms _ Lot Size Vbj.09 I sq.ft. Garbage Grinder 00) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures - Design Flow �J�✓� gallons per day. Calculated daily flow gallons. Plan Date 0 1 Z41nG Number of sheets r Revision Date Title`-� Size of Septic Tank (CX)rD (A,A-- (�x�st�►w G .. C ►c.1 Type of S.A.S. � " �f.�lk'S'1 et4 A 1Mtf tit?4i Description of Soil _t v1 Q.&1UjnC� Sov�cj 21 \ Nature of Repairs or Alterations(Answer when applicable) AG. A b- QA dtvA SAS 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 iss ed by this Board of Health. - Signed K Date Application"Appr`oved by Date / 7 Application Disapproved for the following reasons Permit No. '� _ S 9�, Date Issued / Z- ,... _----"--'--------- -- --------ram----.-.-----y. THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Eertificate of QCompliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded( ) Abandoned( )by at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.;7_096���' dated //��/.S Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector --------------------------------------— . No. �l J �g Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS igtJOgaf ��? t Con!5truCtion Permit Permission is hereby granted to Construe: Repair j )Upgrade( )Abandon/( ) System located at Q60 j D �( 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: Cons ruction must be completed within three years of the date of this permit. Approved by 9 1 Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I, l"1ny ,�„PQ!V;he,, hereby certify that the engineered plan signed by me dated 0 8a ,concerning the property located at Z&rL4,noye meets all of the following criteria: • Two soil evaluations excavated for detailed examination(no hand augering) and two percolation tests shall be conducted.. • This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. . i • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The'bottom of the proposed leaching facility will be located no less than five feet above the. maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] Please complete the following: i A) Top of Ground Surface Elevation(using GIS information) t PC C4MOV4 DW Keft B) G.W.Elevation +adjustment for high G.W. w,S 01;5"Y&2 Per J CV4 7, r^1U%VM0VJ CANS ") 1 � DIFFERENCE BETWEEN A and B ( � p SIGNED : DATE: NOTICE Based upon the above information,a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. gASeptic\percexemp.doc United States Oe"ologcal Survey Observation Wells As a service to Cape officials,engineers and other interested parties,the Cape Cod Commission publishes monthly groundwater data gathered by its Water Resources Office. The water level measurements shown below are taken monthly.from United States Geological Survey (USES)observation wells and compiled during the last week of each month. They are published as soon as possible thereafter. Listed below are nine out of the 61 wells measured across Cape Cod by the Commission's Water Resources Office. These nine are employed as index wells to be used.with Technical Bulletin 92-001 to predict high groundwater levels. For your convenience,we've also provided links to USGS national and state data. See the last column in the table and the footnotes below. To see what's happening in real time at a separate well in Brewster,visit the USGS site: USGS 414630070014901 MA-BMW 22 BREWSTER- MA For further information about any of.the data or links on this page, please contact Hydrologist Gabrielle Belfit at the Commission offices(508-362-3828). September 2005 USGS Site Departure from Number**** Location Well No. Water Record Record g Avera e" links to USGS Level* High* Via'* Monthly Overall national water-level database) Barnstable 230 23.8 20.5 26.6 0.5 -0.2 413956070164301 Barnstable 24W 23.6 20.5 28:6 1.3 1.0 414154070165001 Brewster BMW 21 8.7 6.9 13.6 1.6 1.5 11 414518070020301 Chatham CGW 138 23.7 20.9 26.6 0.7 0.2 11 414100070011101 Mashpee MIW 29 8.9 5:6 10.0 0.2 -0.4 413525070291904 Sandwich SDW 47.3 45.8 48:2 0.2 0.0 414418070241601 Sandwich SDW , 49.7 45.8 55.1 0.5 0.4 414124070265901 Truro TSW 89 12.2 10.2 13.0 0.2 -0.2 420206070045901 http://www.vsa.cape.com/-cccom/wells.htm 10/24/2005 r Permit Number: Date:— `—tIP4_ Completed by: aoL HIGH GROUND-WATER LEVEL COMPUTATION Site Location: 7 Z S"At-r. rAVR & KcD. 05 q:� /I Lot No. Owner: 15tA n' .51.{-1 Address: Contractor: Address: Notes: STEP 1 Measure depth to water table to nearest 1/10 ft. .......:..:.......... ..... ......... ......_..........:... .Date 0 OLi t`l� W mo h/day/Year 0 cbj STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: OAppropriate index well.................................................. OWater-level range zone_. ...... ........ ........ G STEP 3 Using monthly report"Current Water Resources Conditions" determine current depth to, water level for index well ............... S ' - mo th/year STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 2B) �I 3 determine water-level adjustment .......:::......:......................:....:............................................. STEP 5 Estimate depth to high water by subtracting the water level adjustment (STEP 4) from measured depth to water levelat site (STEP 1) ..................:..........................................................:............................... aO fAC CAVJ 01N IZ tA 0� �.. tvAV1> t Figure 13,7Reproducble computation form. LA2)m to MAC 15 �wL., Town of Barnstable Regulatory Services . . Thomas F.Geiler,Director g Public Health Division _"9 Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Z Cf Sewage Permit##-"f-- SY 9 Assessor's Map�Parcel .la30uj Designer: Qyp- Eiuc M1EMNIc, Installer: 6 e 4IS Address: 3?r4 V 1,-Y� Address:, 7d J646- PA-kk /2cf On /� o'Z ef f' �e o¢i s.S'fi e/-/-S was issued a permit to install a (date) (installer) septic system at 7z- 6YA06' ' n ®S�.2eua<<sz based on a design drawn by (address) �. dated O Z 6C (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank_ 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 Rezflations. Plan revision or certified as-built by designer to,follow_ OF MATTHEW qcy o W. EDDY tzy (111� oCML ti taller's Signature) v 043183 esi er's Si e) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE 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 3-26-04.doc �.e.\ CONINIONWEALTH OF N ASSACHt•SETTS r' EXECUTIVE OFFICE OF ENVIRONMENTAL AF 1R% 12 DEPARTMENT OF EN-VIRONNIE�TAL PROTECTION ONE WINTER STREET. BOSTON. StA 02105 Pi' _29:'A- 'ii �T cFG ttz U-ILLIA"F WELD tiF914*41,� -is, W'DY COX Govcmc lF Sc:rcta ARGEO PAUL CELLUC.CI 6' DA 1D B STRUF Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM . 9 5 Commissiorr PART A CERTIFICATION Property Address:I? ¢.i Pa+ ��VV77 �4 �` Address of Owner: 121.h3312- '3+- �'h�r�� Date of Inspection: 10 Ct v j Of different) C1,0 QACar'eee_d C,at r a Name of Inspector: _H,"a o _ E� �o SVI Mwmt.�sznxtC I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR}15b�i y^ Tt K"'' 24`r11' Company Name: e 6 ^ rr'i+,-, P Mailing Address: 3?Q Aenx e 32?5i H AS6, 4eZ H /9-0 2-C44' Telephone Number: rSG42 �— //,6 ZO 7 CERTIFICATION STATEME\T I cerj� that I have personalh inspected the selvage disposal system at this address and tha: the information reported beio� is true. accurate and cor!ole!e as o`the time of inspectoo-. The inspection was performed based on m% training and experience in the proper functior, and maintenance of on-site sev�age dssposa• systems The s\,•stem: 4 Passes _ Conc,t.o-.aii\, Passes 4%eecs Furthe• Eva!uaton 9,, the Local Approving Author^ Fa 's Inspector's Signature Date: 10 The S\,•ste r Inspec-,o• sha" submit a cop\, of this inspection report to the Aporoving Authority within thin (30, days of completing this inspector.. It the system is a shared ss•stem o• ha; a design flow of 10,000 god or greater, the inspector and the system owner shall submit the repo^ to the a:orooriate revor.al office of the Department o,' Environmental Prote::ior The orsg:na! snould be sent to the system owne-. and copies sent to the buver, if applicable. and the approving authonr% INSPECTIO% SUMMARY: Check A, B, C, or D: A] SYSTEM 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. COMMENTS: e] SYSTEM CONDITIONALLY PASSES: One or more system components as described in the 'Conditional Pass' secuon need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Indicate yes, no, or not determined (Y, N. or ND:. Describe basis of determination in all instances. If'not determined-, explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (anached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection; o the septic tank, whether or not metal, is 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. l trevis•d 04/2S!9') Page 1 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTIO% FORM PART A CERTIFICATION (continued) Property Address: Owner: ,r Date of Inspection: f B] SYSTEM CONDITIONALLY PASSES tconunj-d _ Sewage backup or breakout or high static water level observed in the distri i t= box is due to broken or obstructed pipets) or due to a broken, settled or uneven distribution box. The syste will pass inspection if(with approval of-the Board of Healthi. Describe observations 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 t broken or obstructed pipe(s). The system will pass inspection if.tw•ith approval of the Board of Health): broken pipetsi are replaced obstruction is removed C) FURTHER EVALUATIO% IS REQUIRED BY THE BOARD OF HEALT : Conditions exist which require further evaluation by the So d of Health in order to dewrmine if the system is failing to protect the public health. safer`•and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH D RMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: c I n ,Cesspool or �� is within 50 iee. of a s ace water _ P _ Cesspoo' or pri%, is N ithin 50 feet of a ordering vegetated wetland or a sah marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPI18t, IF APPROPRIATE) DETERMINES THA. THE SYSTEM IS FUNCTIONING IN A MA ER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONME%T: The systerr has a septic tank d soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or tributary to a surface water pply. The systerr, has a septic to and soil absorption system and the SAS is within a Zone I of a public water sup. v well. The system has a septic t nk and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septi ank and soil absorption system and the SAS is less tfar. 100 fee! but 50 feet or more from a private water supply ell, uniess a well water analysis for coliform bacteria and volatile organic compounds indicates tha the well is free from ollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, ethod used to determine distance (approximation not valid). 3) OTHER (zwaeed 0�:75/!') sage 2 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTIOti FORM PART A CERTIFICATION (continued) Property Address: Owner: Date of Inspection: DJ SYSTEM FAILS: You must indicate either "1•es" or "No' as to each of the following - I have determined that the system violates one or more of the following failure criteria as deft ed in 310 CMR 15.303 The bans for this determination is identified below. The Board of Health should be contacted to dete ine what will be necessar• to correct the failure. Yes No Backyp of sewage into facility or system component due to an overloaded or logged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface w ors due to an overloaded or clogged SAS or cesspool. Sta:ic hce.;id level in the dis;ribj;ion boa above outlet invert due to an erloaded or clogged S4S or cesspoo! Licuid death it cesspoo! is less than 6•' below invert or available vol me is less than 112 day floe. Recu,re- pumping more than 4 times in the last year NOT due to logged or obstructed pipe s Number p�times pumped Any poi,:on o'the So:! Absorption System• cesspool or privy is 'low the high groundwater eieyanor, . An por::or, of a cesspool or prnv is ;thin 100 feet of a su ace water supply or tributar to a suriace µate• supply. And por:ior, of a cesspoo' or pri,) is N ithir, a Zone I of a ublic well. An, pe^,c•- e-'a cesspoo' or pr;,ti is ,+:;hin 50 feet of private water supph wel! Any po^.o-. o:a cesspool or prig- is less than 100 f t but greater than 50 feet from a private water supoh, well with no acceotable wave, quahr% analvs s if the w•e!1 has n analyzed to be acceptable, anach cop, of well water analvsis for col;iorr-. baaer;z yo!a:ile organic co-•pounds, am onia nitrogen and nitrate nitrogen. E) LARGE SYSTEM FAILS: You must indicate either "f'es' or "No" as to each of the followin � The io!iov,:r•g cri:er.a app;% to large systems in additio to the criteria above: The system serves a iacilit\ with a design fio„ of 10 00 gpd or greater (Large System; and the system is a significant threat to public hea!th and safer) and the environment beta se one or more of the following conditions exist: Yes No the system is within 400 feet of a su ace drinking water supply the system is within 200 feet of a ibutary to a surface drinking water supply the system is located in a nitr n sensitive area (Interim.Wellhead Protection Area- IWPA) or a mapped Zone II of a public water supply well) The owner or operator of and such system sha bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 3.00 and 6.00. PI ase consult the local regional office of the Department for further iniormation. (revised 04/25/97) Page 3 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: Owner: 5�- jk5 Date of Inspection: IV1q�C' Check if the following have been done: You must indicate either "Yes" or "No"as to each of the following: Yes No Pumping information was provided by the owner, occupant, or 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 recentl., or as pan of this inspection As bull. plans have been oota:ned and examined. Note if they are not available with N/A The fac:lm or d%+ellrng %%as inspected for signs o�sewage back-up. The system does not receive non-sanitarn or industrial waste flow. _ The site %%as inspected for signs of breakout All sv sterr. components. excluding the So-1 Aosorption System, have been located on the site. The septic tank rnanho;es Here uncovered. opened. and the interior of the septic tank was inspected for cond-tior: of bafiies or tees. matera; o- co^s:ruction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Sol' Absorption Svstern on the site has been determined based on The iacdit� o,ne• tano occupants. ifdifteren: trom owneri were provided with information on the proper4A. maintenance of Sub-Suriace Disposal \,stem. Exivir,g information Ex Plan a' 6.0 H _ Determined in the field °r an% of the failure criteria related to Part C is at issue, approximation of distance is unaccea:ab,e (t 5.302.3;:b? (roviaod 04/25/5?r Pago 4 of 10 r SL:BSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: Z ealfra— Owner: 5 �S Date of Inspection: �OI�197 BUILDING SEWER: (Locate on site plan) Depth below grade. Material of construction. _cast iron _40 PVC _other (explain Distance from private water supply well or suction Ire Diameter Comments: (condition of joints, venting, evidence of leakage, etc.( SEPTIC TANK: (locate on site pla.. Depth belo% grade Material of construction, Aconcre:e _me:a _Fiberglass _Polyethvlene _othenexplarn If tank_ is me:a;. Iis: age _ Is age conf,rmec b� Cen:fica:e of Compirance _(les.-No Dimens;or.s Sludge depth 3` Disiance from top o: s?um to bono-n of outie: tee o• ba~e 3� Scum thickness Distance from top of scum to top o' outle: tee or bade I i _ (r Distance from bonorn of scorn to bo-. c*-. o;outie: tee c• ba*.e How dimensions Here dete•minec ��l4ddlt.l�A(, Comments trecommendation for pumping condition o; inlet and outlet tees or baffles, depth of liquid level in reiation.to outlet invert, structural integrity, a idenc of leakage. a:c I w T2 G GREASE TRAP: --d (locate on site plan; Depth below grade. Material of construction. concrete _metal Fiberglass _Polyethylene —other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle. Distance from bottom of scum to bosom of outlet tee or baffie: Date of last pumping: Comments: (recommendation' for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural tntegrit}-, evidence of leakage, a.c.; (rev:ssd 04/75:17) Page 6 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOR..m PART C SYSTEM INFORMATION Properh Address: '? BGIr►^Q.. bl4TA—,, Owner: 51IG(45 Date of Inspection: 7 FLOW CONDITIONS RESIDENTIAL: Design floN '?sue e.p.d./bedroorr. for Number of bedrooms o!p, Number o:current residents Garbage g,.:der (yes or no.—4 Laundry co-•^ected to system (,yes or no' Seasonal use ryes or no,.Ll `r Water meter readings. if available (last two .2 year usage (gpd): � Sump Pump (ves or not_1 Las date o occupancy COMMERCIA 1NDUSTRIAL: Type of establtshmen; Design fio%% _ gahonsca� Grease trap present Ives or no Indus;rna! %%ante Holding Tani; oresen; -ves or no_ Non•sanita,, Naste d,scnargec to the T!;,e 5 system ;ves or no_ eater meter readings if availabie -•Las:Fa:e o: o -panc, OTHER. De_cnbe last pate or occucanc. GENERAL INFORMATION PUMPING RECORDS and source of iniormation ��� System pumped as par, of inspection. Ives or no.,L,o If yes, volume pumped _ gallons Reason for pumping TYPE OF SYSTEM Septic tank/distribution boxrsoil absorption system Single cesspool Overflow cesspool Prn� Shared system (yes or no; (if yes, attach previous inspection records, if any) I/A Technologv etc. Copy of up to date contract? Other APPROXIMATE AGE of all components, date installed (if known) and source of information: i o V Q Q Sewage odors detected when arriving at the site. (yes or not (revised 01/25/911 Page 5 of 10 4, h .SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 7Z ft p,l, ewkxA% Owner: $t\V_kAs Date of Inspection: (4 I 97 SOIL ABSORPTION SYSTEM (SAS): t...,�,,5 (locate on site.plan, if possible, exca,.ation not required, but may be approximated by non-intrusive methodsi If not determined to be present, explain: Type . . leaching pits. number.l, leaching chambers, number._ leaching galleries, number. leaching trenches. nu:mbe%length: leaching fieids, numbe,, dime-isions over9ow cesspool, number Alternative system Name of Tecnr.oiogv Comments. in to condition of soii. signs of hydraulic failure, leve`: of pondin . condition of getation, etc., S O — CESSPOOLS: (locate on site plar Numbe, and co^1i9::r2:.0n Depth-top of liquid to inlet Inver, Depth of solids lave- Depth of scum laver Dimensions of cesspoo! Maten,,ls of constructior Indication of groundwate- inflow tcesspoo, must De pumper as par, of inSpe[tiOn. Comments: N (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 o'hydraulic failure, level of ponding, condition of vegetation, etc.) (revised 04/25/97) page I o1 10 V SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Propert% Address: OM ner: Date of Inspection: TIGHT OR HOLDING TANK: 'Tank must be pumped prior to, or at time, of inspection: (locate on site plan, Depth below grade Material of construction. _concrete _metal _Fiberglass _Polyethylene —other(explain) Dimensions. Capacm galions Deng^ flow gal;ons-da. Alarm level Alarm :n v.ork:ng order_ Yes. _ No Dace of previous pumping Comments (condition of inlet tee. condition, o• a'a,m and float switches. etc.) DISTRIBUT10% BOX: tjec iioca;e on site p a- Dec:6, w howd le e' aoove outie: in,e" d-►� ooTte_T TWusa2,t Comr^e-ls (note (eve' and dac :b�; o^ :s eo ,a' evidence of solids carno.er, evidence of leakage into or out of box, etc.) $e x ..!:4 V.u.e4 11.E 1t_ uo& 4 o aru T T�ua_1e ..T. �c 3 OkI3 C Z, PUMP CHAMBER:46 (locate on site plan. Pumps in working order: (Yes or No' Alarms in working order (Yes or No Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.)' (rev:eed 04/25/9") Page 7 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM NFORMATION (continuedi Propert,6 Address(s:n�L g� - Owner: C,64CLS Date of Inspection:,bl9 f47 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reverences landmarks or benchmarks locate all wells within 100 (locate where public water supply comes into house) I i i 3 LZ I t Pf Q3 A • .�' c' — .3s' fsw2.86d 04125!5"1 Pago 9 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Propert% Addrgs: Owner% Date of Inspection: Depth to Groundwater 20 Fee: Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observation of Site (Abutting property. observation hole, basement sump etc.) Determine it from local conditions a Cnec� %+rth loca! Board o• -iea::r- Chec'k FE.NAA maps Check pumping records Check Ioca! excavato•s irs:alle•s L se L KS Da--a r, Describe in %ox o%.- v.o,os ro•.+ \o- esao;-s=ec the 6iig�' Cround\,%ater Elevation.. (Must be completed To fo o f q vtt� 5'1 e>)Pam a r`► a%J ate\\AL*j L% (revised 24,2519-. Page 10 of 10 lam)' iy3 -3.), `7 L-O CATION 2' SEWAGE PERMIT NO. � YI3LLACE 14 3 ,S-- L A 1 INSTALLER'S NAME A ADDRESS 1 �® U I L D E R OR dWNER DATE PERMIT ISSUED _-31a2-)Qy D A T E COMPLIANCE ISSUED �fl�bt. L� 3 3C) 3+ YO- ........................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH t_PJA/ ------...........OF........ ..........;........... Appliration for Disposal Works Tonstrurtion runtit Application is hereby made for a Permit to Construct (V/) or Repair an Individual Sewage Disposal System at: Loc ti0 -Address ... i51A . .....AEN.� T........ ......... oPr L4ot.NA .At A Owner Address ......................................................................................r........... ................................................................................................. Installer Address Type of Building Size Lot____ _*41, ��.Sq. feet U Dwelling—No. of Bedrooms_._..._.._. ...........................Expansion Attic Garbage Grinder Other—Type of Building ...V-0�-t............ No., of persons..........__.__.........___. Showers ( ) — Cafeteria Otherfixtures ................................................. ....................................................................................... '5,r ------------- Design Flow..................;;' .......................gallons per person per day. Total daily fl'ow......................... W 3:� ...................gallons. 1:4 Septic Tank—Liquid capacity. eO?gallons Length.�P.... Width................ Diameter____.....___.... Depth............._.. Disposal Trench—No. ........ ..... Width..................... Total Length.............)..... Total leaching area....................sq. ft. Seepage Pit No.........I.......... Diameter..'_12, Depth below inlet........5.. Total leaching area.,R_4?1_.rkQsq. ft. Z Other Distribution box Dosing tank Percolation Test Results Performed by...W-M.-.W_k.V-W.LCV_A &".Z76............. Date..... .......... I--- - I ---------- Test Pit No. 1......v---minutes per inch Depth of Test Pit.....17'.!........ Depth to ground water.... ...P-t-'J r 2.&za Test Pit No. 2.......:7-.-niinutes per inch Depth of Test Pit._....12-- Depth to ground water..----N..'Pf.je_ ................ ................It................................................... ....1i......... --- -------". ------------- 0 Description of Soil.................................... ...LOP........ sZ �4 - ij U ....................................................................................................................................................................................................... W ..............................................I........................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable-------- ........................................................................................ ......................................................I................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with I i the provisions of'ITIZ- 5 of the State Sanitary Code— The dersigned further agrees not to piace the system in operation until a Certificate of Compliance has b Wissue b Wte, ard of.1,eallh- . .......... Signed-- ........ .................. a te ApplicationApproved By.................................................................................................. ........................................ Date Application Disapproved for the following reasons:................................................................................................................ ....................................................................................................................................................................................................... Date PermitNo........._...............•---..........-•................ Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH V_1)..V M-------- --------OF........ �`�.' Appliratiun for Bhnpoii al Workii Tongtrnrtiun Prrmit Application is hereby made for a Permit to Construct (V/) or Repair ( ) an Individual Sewage Disposal System at: ...__ ......... .... .... •__. ..T... ..+....... Location-Address or Lot No. Owner Address W Installer Address d Type of Building Size Lot_.__�w�_LU`�_��___Sq. feet Dwelling—No. of Bedrooms............ ...........................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Buildin `� No. of persons-----------------------_---- Showers — Cafeteria Otherfixtures --------------- -------------•-•---•-••--•••-•-----------••......--------------•------ ----•--•-----•-•••••--•-••--••-•-••••-------••-----•---••--•- W Design Flow............. . %.......................gallons per person per day. Total daily flow--------��.��...........................gallons. WSeptic Tank—Liquid capacity. .e.?.U�gallons Length.L>-EP-•__ Width--------------__ Diameter_............. Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area.....................sq. ft. 3 Seepage Pit No...........}---------- Diameter--____1.2_..._.... Depth below inlet.... `Z........ Total leaching area_: d:.f�Jsq. ft. z Other Distribution box ( ✓) Dosing tank ( ) aPercolation Test Results Performed by-----W..._�y r . L�/!_[.IL ����L�G.............. Date......0:-.)q..:_ --------------- Test Pit No. 1.......: __minutes per inch Depth of Test Pit--- 1 .......... Depth to ground water.... _L_N G. (_, i'zk 7_vTest Pit No. 2........Z._niinute.s per inch Depth of Test Pit-------12 ....... Depth to ground water......N.L E. C4 ••--•-••• -------------------- -•------- ---------------- -------------------------- .._.....----------------------------- -------------------- ..... Description of Soil....................----------------- 1 ........ = x W -------------------------------------------------------------- ----------- ------•--•-•------...--------------•-----------------------------•--•------------------------------------••-••-..._.......-- U Nature 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 TITLE 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. Signed...................................................................................... .......................... Date ApplicationApproved By.................................................................................................. Date Application Disapproved for the following reasons----------------•------------•-------•----------------------------------------------------------------...••------ •............................•---••••--•-•---•--•-•--------•-----•----•------------------...---------•--•------------------------------------------•----------------------------•----------------------- Date PermitNo----•----•-------------------------•--------------------- Issued....................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF..................................................................................... TWrtifiratr of (Soai ph aurr THIS IS TQ C pEy,TIFY, That t Individual ewa e Disposal System constructed ( ) or Repaired ( ) by---------------------_--- .��--------------•- .�ArM =---------------._..........--•-•--------------•------....._ ..................•-------•----------,Installer has been installed in accordance with the provisions of TIT" 5 of The State Sanitary Code as described in the ��f 0�application for Disposal Works Construction Permit No.__ ___________ __............... dated------------------------.....-.................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......................................................7......................... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS «< BOARD OF HEALTH .....OF......:........---------........................................................... No...................... FEE........................ Q uu�a1 urk� C�onutrnrtUar� �tit Permission is hereby granted uti ------------------••-- -----------....---..... to Construct ( ) or Repair ( ) an In ividual Sewage Disposal System atNo................�---•-•----•-- -�+ Street p� + as shown hT applitgon for I%$v� '%erks�(Br s ion mit No4� _.t Dated.......................................... >. -----••-•----------------- Board of Health DATE ; k ---------------------------------- ------ FORM 1255 - ks EN. INC., PUBLISHERS - YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for-4 years). A business certificate ONLY REGISTERS YOUR N AME in YOU must do by M.G.L. it does not give you permission to'operate.) Business Certificates are,available at the Town Clerk's Off Office, 10 FL., (which Main Street,Hyannis, MA 02601 (Town Hall) L., 367 r,wt `arr ' DATE:GC % 2G lG " APPLICANT'S Fill in please: n1 ;�a,7 ' .YOUR NAM 'c 6 4c Igmezf�avel,YT BUSINESS C�(, YOUR HOME ADDRESS: a f , E wrs k TELEPHONE # Home Telephone Number, o 20 NAME'OF CORPORATION: .NAME OF NEW BUSINESS IS THIS A HOME OCCUPA ION?- TYPE OF.BUSINESS . t� 13ai ;.� YES NO ADDRESS,OF BUSINES9 Ton 3 1 IGrt rP�14c"G. 12ou�� MAP/PARCEL NUMBER, :- G -�' (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations.of the Town of Barnstable. This form"is intended to assist you in obtaining the information you,may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. Main Street) to make sure you have then appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of-any permit requirements that pertain to this type of.businessf. Authorized Signature** COMMENTS: - i a 2. BOARD OF HEALTH This individual had, e n inform d pert eckuirem that pertain to this type of business. Authorized Sig Lure** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized.Signature COMMENTS: n TYPICAL P,��JF" E f. .�._.._.�... . SITE PL A�1/ 4 � . k NOT TO SCA L E SCALE :* y hB"STD. L T WO C.I. MH CC VEn' t 4"'C.I. PIPE �_ 48/.'. FIBER PIPE TIGHT JG)INTS - FLOW LINE ! I. OUTLET LEVEL TO f/.R_57 JOINT oWE j`dG 3_4.F�' to ---•-- -! --I ` 0 o 7 r. .. C.I. TEE C./. TEE , , f STANDARD PRECAST 3 4� f4"�— j�- _.. ....� �. �. CONCRETE t00l064LL.ON SEPTIC "ANA _ I81, n.Is rR/ev rioly a(-,)x i TO BE INSTAL L EO ON L.E vEt , .S;Q BL E BA SE. SEPTIC TANK ' TO BE INSTALLED ON - LEVEL , STABLE BASE ,f //8" TO I/2" WASHED oEA5TONE L EACHING PI T ALL AROUND FREE OF IRONS, FINES BASE TO BE LEVEL AND DUST IN PLACE MURTAR COURES C 3/4" rO !-//2" WASHED CRUSHED AS i_0UIRFD TO, BRING STONE ALL AROUND FREE OF G'OVt TO GRADE 24 C.I. MH COVER IRONS, FINES AND DUST IN PLACE AND FRAME — hT V. PI-'V--6A'vf i �b. A� a / t - - - - - - , L EACHING Pi T SECTION-- 8 FLOW L 1N£ PIPE I. CONCRETE TO BE 4000 PSI 28 DAYS c 2. REINFORCED WITH 6" x 6"' NO. 6 GA. W.W M. h j q. tt IF G lx hT L O IU G• '�` �,. d 6 =i• ` � 3. ?_' AND 4' SECTIONS ARE AVAILABLE FOR GREATER toav c. �L , hP1"1< j"ANfCr ° DEPTH REQUIREMENTS. ' + ; OPENING WITH 4 I,1B" I i 4 NUMBER OF PITS REQUIRED ,� �?j OUTER DIAMETER 8 NOTE. EXCAVATE TO ELEVATION z�' OR LONER AS I-3/4„ INSIDE DIAMETER i T 3 REQUIRED 0 REMOVE ALL LOAM AND CLHf BENEATH PIT REPLACE EXCAVATED MATERIAL WITH CLEA •i 11 - I� / "� �' ' I ( GRAVEL TO DESIGNED GRADE . O v 6'- � i -_�► MIN ' EFFECTIVE DIAMETER 12 '-v � / / �� � , I (NOT TD EXCEED 3 TIMES EFFE-CTIVE DEPTH) ; WATE.R TABL E G7vI:L) h q r t Ao ��. SOIL A ND f�En�' '�f i 7"� GENERAL NO TES (� PERC. RATS ' ?�`N. /IN NO HEAVE EQUIPMENT TO RUN OVER SYSTEM SEPTIC TANK, DISTRIBUTION BOX , LEACHING PITS TJ BE STANDARD TEST BY: 1.S A. z.vt.( I(. 4L. '!< hgJL, I N4 x' + ---- PRECAST REINFORCED CONCRETE UNITS. !� WITNESSED 3y J � tV to A �_ Pam, I+ , ALL SYSTEM COMPONENTS SHALL BE INSTALLEC IN ACCORDANCE j frL ��'y TC' REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE , .x` TEST PIT GR, EL.' 4L74? V-L. �Q"`fiATE t ,14 ' MINIMUM REQUIREMENTS FOR THE SUBSUFACE DISPOSAL OF ' TEST PIT NC.I? Zv ( 1.- TEST PIT NO SANITARY SEWAGE EFFECTIVE I JUL Y 1977. p" ANY CHANGES TO THIS PLAN MUST BE APPROVED By' THE h. ,rye _ _. yg BOAR OF HEALTH AT COMPLETION OF CONSTRUCTION , PRIOR TO BACKF,LLING, THE BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. gAN[� ��AND PITCH ALL SEWER LINES !/4" / FT. UNLESS INDICATED OTHERWISE, DESIGN DATA -- BEDROOMS__ %_ DISPOSAL. —L4 L �G EST. TO?'AL DAILY EFF. ? _._GALS LEGEND �" SEPTiC '-ANK _(rG� GAL SIDEWALL APEA ? _�_____GAL /Sid. FT ' Oxon EXISTING GRADE BOTTOM AREA _ —_- �._'_�__GAL. 'SO. FT SEWAGE DISPOSAL SY TEM LEACHINi; REQUIRED.—!'� emu' SQ FT S ZONE � _ 4 v o� FI1�41$ME© GRADE ACTUAL LEACHING AREA _ �' �� _SQ.FT FOR 'DOMESTIC WATER SOURCE INVERT ELEVATION ' r�J �� - _— PROPERTY LINE 1 "� PLAN, REFERENCE SCALE 4S INDICATED DATE MEAN HIGH WATER BENCH MARK DATUM ��i �� Lam+ �_ ._��l. �'.� — � �- �`- � MAR � - /01 SH WAf. M. iWARWICK a ASSOCIATES BOX 801 - NORTH FALMOUTH Yx:S SA L'17 Htl SE T FS 02556 ----------- ------------ ---- SOIL LOW DATE 10/04/2= GENERAL NOTES 1. PRIMARY BENCHMARK APPROXIMATE (NGVD 1929) SOIL EVALUATOR: X I ,1 PER TOWN OF BARNSTABLE GIS STEPHEN A. WILSON, P.E. PROJECT BENCHMARK xxx TEST PIT TP-I TEST PIT TP-2 G.S.E. = 35.2 G.S.E. = 33.5 LOT 8 2. LOCATION OF UNDERGROUND UTIUTIES ARE APPROXIMATE AND SHALL 40 r BE VERIFIED IN THE FIELD BY THE CONTRACTOR AND APPROPRIATE UTILITY AP, IOYR 212 SANDY LOAM O�p; IOYR 211 SANDY LOAM PLAN BOOK 283 PAGE 66 < COMPANY PRIOR TO ANY CONSTRUCTION. N/F RHONDA L. GRACILIERI 12" ELEV �4.2 o 6 co NDETERMINED TO BE NECESSARY A TITLE SEARCH SHALL BE PERFORMED BY B ; 1 OYR 5/6 SANDY LOAM B 7-5YR 416 SANDY LOAM ( ) g ELEV 32.75) 3. A TITLE SEARCH HAS NOT BEEN PERFORMED FOR THIS SITE. IF 0 OTHERS. M 26" (ELEV 33.02) 24" (tLEV 31.5) z 4. THE PROPERTY UNE INFORMATION SHOWN IS BASED ON CURRENT AVAILABLE AV (y) C, WITH COBBLES '000,; IOYR 5/8 ; MEDIUM SAND C iOYR 516 MEDIUM SAND 9L JOSI/ RECORD INFORMATION CONSISTING OF PLANS AND DEEDS. THE EXISTING FEATURES SHOWN HEREON WERE OBTAINED FROM TOWN OF BARNSTABLE GIS. 56" (ELEV 30.53) 156" (ELEV 20.5) C I OYR 614 MEDIUM SAND CONSTRUCTION NOTES, 2; • 41b. 1. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH LOT 9 156" (ELEV 22.2) Cb I TITLE V OF THE STATE SANITARY CODE DATED MARCH 31, 1995, AS AMENDED LOCUS MAP Scale; 1 2000' PLAN BOOK 283PAGE 66 THROUGH THE DATE OF THIS PLAN, & MY LOCAL RULES & REGULATIONS N/F ARSHAK A. YEREMYAJ4 , APPLICABLE. LOCUS AREA IS COMPRISED OF de 2. MY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING BY THE ASSESSOR'S MAP 143 PARCEL 032 LOT 10 0 PLAN BOOK 283 PAGE 66 w00% ENGINEER. ELEVATION INFORMATION MUST NOT BE CHANGED WITHOUT WRITTEN DEED BOOK: IZ574 PAGE 116 NO WATER AT 156" (ELEV 22.2) NO WATER AT 156" (ELEV 20.5) PRIOR APPROVAL BY THE ENGINEER. (ELEV 28.9) PERC 0 78" (ELEV 27.0) TP-1 PERC 0 76 1 2 2 OWNER: SCOTT S. SHEILDS & ERIN M. SHIELDS RATE= MIN IN RATE= MIN IN EMSTING LEACH PIT 72 BRIAR PATCH ROAD UNABLE TO SOAK TO BE PUMPED AND rP-2 110, OSTERVILL& MA 02655 3. WHEN CONSTRUCTION IS COMPLETED NOTIFY THE BOARD OF HEALTH AGENT FI= NTH CLEM AND DESIGN ENGINEER FOR INSPECTION AT LEAST 48 HOURS PRIOR TO ZONING INFORMATION CLASS I SOIL CLASS I SOIL BACKFIWNG. THE SYSTEM SHALL NOT BE BACKFILLED UNTIL INSPECTED AND ZONING DISTRICTS. RC APPROVED. RPOD RESOURCE PROTECTION OVERLAY DISTRICT t0a I LF e PVC WP WELL HEAD PROTECTION OVERLAY DISTRICT S- 2.OX 4. ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4* SCHED 40 PVC. UNLESS 0 LF 40 PVC CK OTHERWISE NOTED HEREIN. MINIMUM CURRENT ZONING REQUIREMENTS - ZONE RC EYJs-nN6 D-BOX S_ 6.3xDE MIN. LOT AREA = 2 ACRES (RPOD) TO BE REMOVED EYJSTING 1.000 GAL 5. IF UNSUITABLE MATERIAL IS ENCOUNTERED BELOW THE TOP OF SAS REPLACED SEPTIC TANK (PEASTONE ELEV), EXCAVATE AS NOTED TO THE -C HORIZON", FOR A HORIZ. MIN. LOT FRONTAGE = 20' MIN. LOT WIDTH = 100' TO REMAIN "..# DISTANCE OF 5' SURROUNDING THE LEACHING FIELD, AND REPLACE WITH MAXIMUM BUILDING HEIGHT 30' _3 - -------------- •Ar. CLEAN SAND PER 310 CMR 15.255 TO THE TOP ELEVATION OF THE SAS. PLAN 26 PAGE 66 51 FRON T YARD = 20' SIDE REAR YARD = 10' 6. INSULATE ALL PIPES AGAINST FREEZING AS REQUIRED WHEN LESS THAN 3' N/F ALDO CASTEL!LANI TRUST r ✓JOSEPHINE CASTELLANI TR. 0001 V/ 7 ,72 OF COVER. COMMUNITY PANEL NUMBER: 250001 0016 D tjo. THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONE C. 7. THE SEPTIC SYSTEM DESIGN DOES NOT INCLUDE GARBAGE GRINDER DISPOSALS. + r, , , \ ` LOT 10 PLAN BOOK 283 PAGE 66 8. CAUTION THE CONTRACTOR SHALL CONTACT DIG SAFE (AT TOTAL PARCEL-AREA__ 1-888-DIG-SAFE) AND UTILITY COMPANIES TO LOCATE ALL EXISTING UTILITIES, 10iti SO. FT. AT LEAST 72 HOURS BEFORE THE START OF CONSTRUCTION. THE CONTRACTOR 0.43:k ACRES SHALL DETERMINE THE EXACT LOCATION, BOTH HORIZONTALLY AND VERTICALLY, jAV OF ALL EXISTING UTILITIES BEFORE THE START OF ANY WORK. THE LOCATION OF EXISTING UNDERGROUND UTILITIES ARE SHOWN IN AN APPROXIMATE WAY ONLY, MAY NOT BE LIMITED TO THOSE SHOWN HEREON AND HAVE NOT BEEN INDEPENDENTLY VERIFIED BY THE OWNER OR ITS REPRESENTATIVE. THE CONTRACTOR AGREES TO BE FULLY RESPONSIBLE FOR ANY AND ALL DAMAGES 0 WHICH MIGHT BE OCCASIONED BY THE CONTRACTORS FAILURE TO LOCATE THE UTILITIES EXACTLY. IF ELEVATION INFORMATION DIFFERS FROM PLAN INFORMATION, THE CONTRACTOR SHALL NOTIFY THE ENGINEER IMMEDIATELY FOR POSSIBLE REDESIGN. AT CROSSINGS, VERIFY IN FIELD THE LOCATION 0 L INVERTS OF ELECTRIC, GAS, TELEPHONE & DATA/COMM AND RELOCATE IF #00 CONFLICTING WITH PROPOSED,INVERTS PER,THE .ENGINEERS DIRECTION. THE CDNIRACTOR � SPIAL�' PRUMViE -,A 194N' 1 ES`AS REQUIRE b 000e 9. THE EXISTING SEPTIC SYSTEM LOCATION SHOWN HEREON IS APPROXIMATE MY PER INSTALLER'S TIES PERMIT #83-985. CERTIFICATE OF COMPLIANCE DATED \ 4*2 5 5-16-84 ON RECORD AT THE TOWN OF BARNSTABLE BOARD OF HEALTH. LEACHING AREA REQUIREMENTS NITROGEN LOADING UMITA71ON: GRANDFATHERED SYSTEM RESIDENTIAL: 3 BEDROOMS x 110 GPD/BEDROOM TOTAL DESIGN FLOW = 330 GPO GARBAGE GRINDER (NOT INCLUDED) = NIA PERC RATE = <5 MIN, I INCH (CLASS 1) LIAR = 0.74 GPD/S-F MIN, LEACHING AREA OF SAS, REQUIRED 330 GPD/ 0.74 GPD/S.F. = 446 S.F. MIN. PROPOSED SYSTEM: 6 - ADS-BIODIFFUSER 1600BO PLASTIC LEACHING CHAMBER UNITS WITH 3.6' OF STONE ON SIDE, 1.0' OF STONE AT ENDS, 1.1' STONE BASE SIDEWALL AREA: (40' + 10')2 x 2' DEPTH = 200 SF BOTTOM AREA: (40 x 10') = 400 SF TOTAL EFFECTIVE LEACHING AREA = 600 SF SEPTIC TANK SIZING: 330 GPD x 200% = 660 GAL SYSTEM DESIGN CAPACITY = 600 SF x 0.74 GPD/SF 444 GPD I A 72 Briar Patch Road USE EXISTING 1000' GALLON TANK Osterville, Massachusetts U PREPARED FOR 5 3 '!-1-112* Scoff Sheilds TYPICAL SYSTEM PROFILE DOUBLE WASHED STONE L1_ I ly y I-IY-Y I x C14 NOT, TO SCALE 6 BIODIFFUSER 16008D (OR EQUAL) Tru 0 NOTES. V_ LEACHING CHAMBERSBERS Ln 0 1. SYSTEM COMPONENTS`ARE NOT DESIGNED FOR VEHICULAR (H20) LOADING. Proposed Septic System Repair TOP OF FOUNDATION - 41.5 Ln 0 0 E FRAME CN FINISHED GRADE 36.5 SEr MANHOL CM TO WITHIN r OF FINISH GRAM 38'- BAXTER NYE ENGINEERING & SURVEYING RISERS & COVERS SHALL BE WAIER'1W 40' o FINWED GRADE OVER TAW 35.75 z PLAN VIEW z Registered Professional j, hlk A Aq FINISHED GRADE OVER D. BOX = 35.5 NOT TO SCALE 5. Engineers and Land Surveyors MA7VLWW FINSHED GRADE OVER LEXHING TRE14CH 35.5 - 34.5 . 812 Main Street, Ostervifle, Massachusetts 02655 W rn COMPACTED FILL INSTALL ONE INSPECTION PORT IN V) 6 LF-e SCH 40 PVC 0 S-6.3% 9- (min) cow ACCORDANCE WITH r-� lot Phone - (508)428-9131 Fax - (508)428-3750 % FIRST 2' (110 BE LEVEL) 36- (max) Cow MANUFACTURERS W OUT-32.84 RECOMMENDATIONS �r LAYER 1/8101/2" FINISHED GRADE 4- SCH. 40 PVC DOUBLE WASHED STONE 6 BIODIFFUSER 16008D (OR EQUAL) LO e%I 2* P% -V L�_ ,\ /'\\V, 0 __�Dl CHAMBER TOP LEACHING CHAMBERS 36"MAX.-9 N. COMPACTED A 20 0 20 40 L) P 0 USE EXISTING TANK IW IN-n4&--� 4* SCH 40 PVC ELEV-32.5 J6' SUMP W OUT-3229 CHAMBER WV IN- 32.11 2* LAYER DOUBLE WASHED TOP OF CHAMBER (al � STONE 1/8" TO 1/2" -.--PIPE INVERT SCALE IN FEET Y k- BOT. 3/4" TO 1-1/2" 24" SCALE.I n- 209 DATE: 10/24/05 L 6* CRUSHED DOUBLE WASHED EFFECTIVE STONE BASE TO 1-1/2 DOUBLE STONE DEPTH w N > 6' Elf D cn 5' MIN 3.6'- 2.8'- 3.6' P C14 NO GROUNDWATER OBSERVED 0 ELEV 20.5 SECTION I NOT TO SCALE NO. BY DATE REMARKS DRAWING NUMBER 0 Ln 0 EMTM tOW GMION ONE-COWARTMW 88)TIC TAW MTF03UTM BOX SM ABSORPTION SYSTEM (SAS) ILEACHM CHAMM cnMAU PLASTIC LEACHING CHAMBER DETAIL M BE INSTAUED ON A LM STABLE BASE NTS ADS-BIODIFFUSER 160OBD (OR EQUAL) 0:\2005\05-213\SURVEY wrksht\2005-213sp.dwg Ln 3 OUMU REQUIRED 0 LAYUP LENGTH 760 PER UNIT 0 2005-213 N 6"