Loading...
HomeMy WebLinkAbout0395 EEL RIVER ROAD - Health 395 Eel River Road, Osterville j A=114-055 a 3 4 b e d` t V q 1 u TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAME V P,. Y ADDRESS 3Ct S ��� 1��J�.Y �Zc;L VILLAGE 05 le- LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL r—to (Give - ac �novse !Oo a� ve o�.� U�.ky�oeta � �a x.� W d S �� �Y t�y� � evt o>��t'� W aS u K�►�_l (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: \3%6*„ -A 1. 2. 3. 4. DATE OF FIRE DEPARTMENT PERMIT: viMOi�'Yl TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS No. 'Z �-S— / v FeeTHE COMMONWEALTH OF MASSACHUSETTS Entered in computer: y PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for Vsposal 6pstem Construttion i3ermit Application for a Permit to Construct( ) Repair( ) Upgrade(W"Abandon( ) Wmplete System ❑Individual Components Location Address or Lot No. ,3 c?5- Ec!/ /Z,'ve/ R-,d Owner's Name,Address,and Tel.No. ®SYCrci,'lle M.4 1 39s7 del R Roewl R ew/6 72�1'r Assessor's Map/Parcel 2Z Ins Name,Address,and Tel.No. --77 1 ^ Designer's Name,Address,and Tel.No. dtlocu w to 1 CA-A®-t- 9 3 vs Type of Building: .5,iiS/e �c7itir°� r^�dn Dwelling No.of Bedrooms Lot Size ] 6,�O� sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3t/ gpd Design flow provided �y gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Jt�.� �a61h S Type of S.A.S. 3 — SoO C-a`4--, CZ ,ec F�Fzlt Ar+r Zr'tl� Description of Soil Y*fo S t^l/t/ "ed t`'y"" ,ra h Z �� Stern ��u��1. Sew 10"4- Me S7- "t�; 4'�3 13�70 Nature of Repairs or Alterations(Answer when applicable) -Y/�' ///�Z<� •$'/��/�1/a'[ S'e�0 1� C// l. Date last inspected: Agreement: The undersigned agrees to ensure the construction and maint ce of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environme ode not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. ed A _....._..Date Application Approved by JA,jDate 2 Application Disapproved Date for the following reasons Permit No. 1 o (°2 — :2 7 Date Issued / ram.. �k � .,-� .ru -.'• � . �- ""�` No. s� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN-OF BARNSTABLE, MASSACHUSETTS - r f ftplication for Disposal *pstem Construction Permit Application for a Permit to Construct( ) .Repair( ) Upgrade(kAAbandon( ) Complete System ❑Individual Components Location Address or Lot No. .3Q S' Cc/ 12,'VC r f�� Owner's Name,Address,and Tel.No. - 0srerv,'!le M,4 .-- �. 39S l-er` R�'vGr Road 2-eA/b 1'2�f t Assessor's Map/Parcel !l4/ Z2 ;I' y Installer's Name,Address,and Tel.No. —77 ' — Designer's Name,Address,and Tel.No. N S`�o�D wo_yly lL J Type of Building:'. n5 le P4' I � I Dwelling No.of Bedrooms R� a 1w Lot Size t„ g G wo_ sq.ft. Garbage Grinder( ) Other Type of Building J, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets {f Revision Date + 1!TitleWz,/• Size of Septic Tank 1�d 0 GG ©A)s 1 Type of S.A.S. 3 _ 5'00 Gu/rmH �� f s E%d3 ��• r� Description of Soil /`��S 7��1/ �i9E'ctl 1 ys,� Sa y�f t.,�,'r/l Fri,, ,C yes GYs, Sar4 e .91a 1006 Ste, 10C r•C-. T eS 7" �'+3; 1 1307/0 Nature of Repairs or Alterations(Answer when applicable) .� �cs�roa.., c•� C�see ,6�. 5 1? icrai,i F1�GFr� t�+t �� �"' 1":co�/G�`rt .�£��.'� 'L® /^cmg.it . CQ/•/',`c,�'C �oaSC ,f�'.�G�C i' Date last inspected: a,t 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 r�not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. nie / / Date L� Application Approved by nL�2 Date r Application Disapproved 15 Date for the following reasons Permit No. o o 2-5- 7 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 J f-?q'A t-C! 77 (�;-)j /,.I �;-_-. at 3 7 5 E&/ R;114-r Qo a r( has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ty�� - r7 dated Ctlj 2- Installer Designer #bedrooms p Pr L d S VIA M 4r lh a.e, 4 w4c Approved design flow 3 3 U gpd The issuance of this permit .all oft be construed asa guarantee that the system will furft ti he`s designed. Date /� / ` -- Inspector No. U a 7 _.. Fee — -. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade(L< Abandon( ) System located at �`� 1~r /F';vPr af'¢-e-eV.'/le iAj and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction'must)be completed within three years of the date of this permit. p Date O /1_ -Z U /2 Approved by "jj/ 1AA t1`. r OCT-05-2012 09:37 From:BORTOLOTTI COLT 50e4289399 To:15087906304 P.1/1 10105/2012 10:34 5064269617 SULLIVAN,E:NG INC PAGE 01 Fawn of Barnstable Reulstory Services �.,,. Th*Maa F.Geiler,DhWtar Public health Division i Thom"McKean,Dbvdor 200 Main Street.HYG=iti MA M"I. Off:SM-862-4"4 Pa:. 508-790-6304 1[ xWW&DWpw CerdAM&P Form Iv S rt— Smsp Fermh* 13.—Z5"7 Asse M05 MOPTA ed Address: V.L 5`� O r �1 .Addremt V.V,�dX Itty On T arse was hand a pcmit to install a - s tic system at 'k based on a design dr&"by (awns) (d��) I cartifjr that the sepdc system re£emnced above was idled sahstantially according to the de6M whicb may include minor approved clmges such as latcral relocation offt distribudon box and/or septic tank. I Certify that'the septic sy em refaunced above waa installed with mVJor chat F3 — o'is relocation of the SAS or any vertical rdocat*n of say • than 1 teal �i.e.graater em but in accordaace with State&Local coulpat�t of the c ayst ) o Plan,rwAdon or catifiptl wbuRt by designer to fahorwr. (Installer's Sigtuv) No.QIPali '��I��V is Tor+ '`���• M/0 AL 's Signaturo) (Afx Demipes Stamp ROM) RAW"" �'�Ai.TR li]Y�t�tela_C�ICATf�ICA ll�l:Qp, CO11 ANCZ WILD.NCrr Bm>SSIIZB ENM BOTH'1m YOBM��YU'r CA RDAM IMCZMD BY THE Ba►SI'Q'3'TASLZ PUAWC HZAILTH DIMI4aN. Q:HmwsqdarwdPw Ce2d&jfadYo m 9-26*4.dw TOWN OF BARNSTABLE LOCATION �� C=�120 e��s,` a1. SEWAGE# .58 E VYLLAGE ;71,1 -Ua Lt L7 ASSESSOR'S MAP&PARCEL J'qL •_Q_ INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY i!'_gO 4.,E 11 LEACHING FACILITY:(type) i 12AEI-Ace-4— (size) 'i®'jam NO OF BEDROOMS OWNER__- 20 ale- Rlh_ Rcr_ PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 4__/I. Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY �� ///� � � 1 �\ s A�l=�� ,; . . fir_ 3 9�, i w' '�,' ,, � i 9� 3=�'� 9 �3 d�= y= �° U .� s Fxs....3o.•Dd... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiuit for Bijapitiat 'lVarks Towitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ((Xan Individual Sewage Disposal System at: j n n ............. 1 KCAL �l/r /.... t . ... e�....r.1 g .�... i.........s.e Location-:\ddr•ss ( or Lot No. T. � tom. ---------------------•--•• ---•........---------------•-•---•- •--......--••-•---••--••------...----------.......-- �,� ) L owner Address ,W1 ._-•-••-•...!i-�/--��`I. 4�r �=Ef,--•�•....-----•.......................... �S�C��l/r_j l e 'T OZ� _oZ�d - L? Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—Type of Building No. of ersons-------------------------_- Showers g ---------------------------- P ( ) — Cafeteria ( ) dOther fixtures ----------------------------------------------------------------------- -•------------- ---------•--....•••-•-•---•-••-•---•----•-•••---••-......•--• W Design Flow--------------------------------------------gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid capacity....._.._._gallons Length---------------- Width---------------- Diameter-----.---------- Depth................ x Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.............._----- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ....-•-------------------------------------•----•-------------------•---•--•---••-----•-•--•--.-----......................................................... ODescription of Soil........................................................................................................................................................................ x U •--•--•---------------------------•----------------.....--•----•---------------•--------------------- ------------...------------------------...--------------------------------------•--••-••••......-- W ------•----------------------------------------------------------------------•-------•-•....---------------------------------------••-•---•-------••-•--•-_:r-•----••••••-------•---•--•----•----•-- U Nature of Repairs or Alterations—Answer when applicable._.__._.� � _�--------------- f::1 E? ---.�._............... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental 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 .--- /. .......... C ................................................ .... e ��,� Application.Approved By . Application Disapproved for the following reasons: ............................................................... . ................... ........... . ------------------------------------ -- -------------------------------- -- ------------ ------------------ ------------------------------------------------------------------------------- ........................................ Permit No. .............. ,j.-..fib .J�------------------ Issued ................. .:.-- -Qf e .� _ Dale Ftn$....�J .:CG.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE , pphratinn for Divji.pnuttl Wur1w Towitrnr#inn Frrutit (� ��Application is hereby made for a Permit to Construct ( ) or Repair ( C,4- an Individual Sewage Disposal System at Location-Address f or Lot No. ....................... Owner Address �� Installer Address Q Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms-------------�_:,___-_______-____-_.----Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Pa Other fixtures ------------------------------------------------------ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Wx Dis osal Trench—No. .................... Width-------------------- Total Length.................... Total leachingarea_- Depth----_---__..._.. Septic Tank—Liquid capacity______._---gallons Length____________ __ Width---------------- Diameter_.._ --....... 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. I---------__.......minutes per inch Depth of Test Pit_____________-_-_- Depth to ground water........................ f1 Test Pit No. 2................minutes per inch Depth of Test Pit--------_........... Depth to ground water........................ 04 -----------------------------•-----...-------------•----------......-•-•----•---•-•-----•------•----........................--••••---..........._......•----- 0 Description of Soil........................................................................................................................................................................ x U ..............................-............................................................................................................................................................................ W UNature of Repairs or Alterations—Answer when applicable.-___--�kp..... r {_'.........T�..:�b. ........?T............. -----•.................•---------•--•---------•-----------•----------------------------•-----.•----------------•---------------------------------------------------------------------...........--.•---- Agreement. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental 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 .......��./.......... ..._`�... ._:_.�.•� .............. .......:�...DateG�,_-�^'_/�.,.��✓... FFFfff C Application.Approved By ---- .<-.. ....-z.::.........::.._ ::............................ - .............. .-----.. ..- , - 75 Application Disapproved for the foll5w ing reasons: ................J................................. .......... .---........... .. ......... ------------------ --------------------------------------------------------------------------- ---------- ------------------------------------------------------------------------------------------------------ --------------------------------------- Date Permit No. ............... .. Y--_5: ------------------ Issued .................. :....-. .�� _ ...... Date V THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE U erti irate of Complianrie THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by .... W.CA-I--e-r------ - "'' f 5--------------------------------------- -----------..--------...----------.....---------- ---------------...----------------........_..------- idl er at .. ...._... ._.. ----------0.5..+P./.vr..l..--.t--- ....CQ.(/_..lilC_p------- ---.e.....j ..... has been installed in accordance with the provisions of TITLE 5 of The State Environme tal Code as described in the application for Disposal Works Construction Permit No. -------v- ,.?. .._. .'.Lf dated ....� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE----------------- �--------------1.----------�.. �.------------------------ - Inspector --------------------------------..................... .. - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No....�7f = ��� u/5 FEE.---•-.U:UG.. - J' Permission is hereby granted------- �a.1.......................'- !---5------------------------------------ ---------------------------•-.......•--_.. to Construct` ) or Repair ( t-j an Individual Sewage Disposal System Ee t --•----2.g;;l....... ------- Street CC,� C as shown on the application for Disposal Works Construction Permit No.lel.... 5-- Date'_---.` --_ 5.-.-........ .....•-- ••...-= .- ....................................................... QjBoard of Health DATE == -c1.....- --•h------------------------------- FORM 36508 HOBBS&WARREN.INC..PUBLISHERS TOWN IF BARNSTABLE LOCATION l! i✓ /? /' SE�AGE# . :VILLAGE ASSESSOR'S'MAP& LOT :INSTALLER'S NAME&PHONE NO€ ZFCV =a. SEPTIC TANK CAPACITY ^ �D LEACHING FACILITY: (type) .ov ✓ (S'e) 1 f NO.OF BEDROOM§ �. BUILDER OR OWNER cJ P EERMTTDATE: COMPLIANCE.DATE:: ;Separation Distance Between the: Maiumum Adjusted Groundwater Table and Bottom of Leaching Facility. Feet Private Water Supply Welland Leaching Facility (If any wells exist ' on site of within 200 feet:of leaching facility)' Feet Edge of Wetland and Leaching Facility(If any,wetlands exist within 300 feet.of:leaching facility) Feet Furnished by ` �` TOWN, F BA_RNSTABLE UX-'ATT:OIti R3� l� �/1 :✓ �1 �' SEWAGE # �%I .LAGE ®5 ho,—V; ASSESSOR'S MAP & LOT .l 4 2 INSTALLER'S NAME&PHONE N0,1 SEP71C TANK CAPACITY LEACHING FACILITY: (type) ze k NO.OF BEDROOMS , BUILDER OR OWNER 15k PERMI'TDATE: COMPLIANCE DATE: - Imel r� Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet 4 Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) ''rFeet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by j 4: ZL _ *; 7r._ 1. � d � / I C� 1 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE ApplirFation for Diipugtai Works C�uaa�� tjrffja*&_1444-9 am A Application is hereby made for a Permit to Co -uct ( ) or Repair J/ n Individual Sewage Disposal System at t . ...�... .f 0-5 !' Lq`cation-Address l or Lot No. / t 1 c�Css . ----»--.5✓-_ P .�f �re.. ......... ..... • .............................................. Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms............................................Ex Expansion Attic � g— p ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter...----......... Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) `-, Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ a ..--•-•-------------•--•----•---•---------•-------•••---•-••-•.............---•-•--•--•-•-•---•---••........................................................ 0 Description of Soil........................................................................................................................................................................ W U ................................................................................•-----........•--------------------------------------•-•--•------•----•-••-------•-------............--....---•-------- W U Nature of Repay or Alterations—l�nsw J wh n applicable.. ...kA.=--5- 5 .�'-._.... .. ..1.._ Q .. ........................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance 4has n issued the board of health. Si ned .. ����— g G � ` ----------------------------- ApplicationApproved By ... ........................ .. ................ ................................---- -- --....------------ ................ --..........................------ Date Application Disapproved for the following reasons- -- -------------- ------------------------------------------------------------------------------------- -- -------------- ------------------ ---- -----------------------------.......................................... ----------------------.............................. � -►�• Permit No. r ..---. -.5- .j...................... Issued --, / ..��_------------- Dve f fUt `"f1 N2_21......��CZ FE THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Disposal parks Tonstrnrtinn �rnttt �° �6 - 96), Application is hereby made for a Permit to Construct ( ) or Repair Individual Sewage Disposal System at .���................ ................. -..._. ....- ........................... _ "a. / /� CJ/, ... -Address Lot No. •................. '..................... t 14 / .. .�» ............................................... ................. . /4C res......-•----------.......................... Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a9k Other—T e of Building No. of persons............................ Showers YP g ---------------------------- P ( ) — Cafeteria ( ) dOther fixtures .........................---------------------------..•..----------------------------------------------------------_..... ...-------- W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by, Date---------------------------------------- Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........:.............. P4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 •-•--- -------------- .................................................................................................................................... 0 Description of Soil....................................................................---------------------------------•------------------------------------------....Y....-•---••-- x W x ------------•--- s U Nature of Repairs or Alterations—Answ when applicable.,_____ ..:-J_�Y -_ ' .-__-__..��.... ............ Q- .. _ // �-------- _ ---•------ -----•--------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ben issued by the board of health. Z Signed 'X �/ �� / -- / '-v- :i_.�,. ............ .../......-Date ..._..-------- ApplicationApproved BY ---------------- ---------- ------- ------------------------------------- --------------------------------------------------------------- ------------------------------------ Date Application Disapproved for the following reasons- ------------------------------ ................ ----------------------------------------.......................-------------- ....... ..................,._........... ----------------------------- ---------------------------------------.,..---/--------------- �P / Date ermitN � . 5! Issued�- ........... ..... . .�_---------- ------- ....... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired ( !� by - tf `-. .. `�CJ .S....... _ ....- ------------------------------ ....... - .....--------- � has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the 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 ... .. . IV ' ;!J---------------------------------------------------- ------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH j TOWN OF BARNSTABLE p, No. ............ .... FEE----•-••---•--.......... Disposal Works Tontrmtion Prrmit Permission is hereby granted.... ��./p v�/2-l?_J_._1._5.................._....._.........---------------- .........................._.. to Construct ( ) or Repair (�)an Indiv•dual Sewage Disposal System atNo.---•-`•Z-r4� i / ...�...,...�: - �: ��•-' Street-•----•- --•�-•--------••-••------•------•--•----••-•---•-- as shown on the application for Disposal Works Construction Permit No�'..... ... 2Dated... /........................... �.. ✓ ............................ V Board of Health DATE ��•......... ...�a... FORM 36508 HOBBS 6 WARREN,INC..PUBLISHERS TOWN OF BARNSTABLE LOCAnON /;. � ✓fin n� SEWAGE #,9.? VILLAGE ' P // ry' f ASSESSOR'S MAP & LOT - INSTALLER'S NAME & PHONE NO,4! �J--' rC(ftrS °� CV,-aYo SEPTIC TANK CAPACITY .- S'0.0 fit. -1 l LEACHING FACILITY:(type) 1--e/(//__ NO. OF BEDROOMS PRIVATE WELL OR UBLIC WATE BUILDER OR OWNER - DATE PERMIT ISSUED: DATE COMPLIANCE ISSUE : � VARIANCE GRANTED: Yes No TorS V G i Lb C'A•T ION SEWAGE PERMIT NO. Ile INSTA LLER'S NAME i ADDRESS f U I L D E R OR '\ OWWN,ER /_.off P 4 DATE PERMIT ISSUED DATE COMPLIANCE ISSUED P 4r Cal 0 r C U wu ROOF - - p � L s+v D BeoaoaM rn a ! g Y D S , 6 w o c o II II q 289n�i�9lY2Y7ldllH - " aao'oeue 3 - IIE«a S�II e ROOF D2CK' -A V ¢ n ci WatIt - o I1 n p_W - II I I W Z 7 O I Q - ''�' _---_ - __'--' __—_ '• .:.I I -,. I I ". � _ � �.'. to q BEDROOM 010 25 ram• .. .. :WALL KEY '40 woY' w°'rTu a�u.n,w PAT1TH 0 �MMI . _____ ______ _ _ _ ______ _____ ___ C F w ��q PORCH rvi I yGGGGGG 8a p h F0 IIBII Y E II $ pp11 I I aa Q nns ra• , Ball De 41 QQ Q "I LAYe atw� nm w�roM. G uw� , i.a�L" nuo an 1 6 ' - WALL KEY T'u ob".�u°Ir eao c`o�'`�iuiw ie`HoOeau"' - y �.•, ,e°eurt L____] ruw*o �.,p1ro�1B1ON° I Town of Barnstable : P# Depaitiment of Regulatory Services : Public Health Division Date 200 Main Street,Hyannis MA 02601 Date Scheduled I /f Time Fee Pd. 4 :0 0— do Soil Suitability Assessment for S le Disposal Performed•By,1tt t V4," In t✓e-!i Witnessed By: - - LOCATION&GENERAL INFORMATION Location Address Owner's Name A FS4� 0I Tr .>9 ,( c� /e,'vei' /eoa.{ 3 9�L e/ ,`Per/&C R/�r1-• Qsfe/"✓�II,P ; Address 7S d/ W�SeOns�h /�Ne /6Gv� . •/1�} �a/'`C�. Oa•a . �e�hesdo,md,o"1o8'iy Assessor's Ma /Parcel: /A ! i P - Engineer's Name, �r►V&» L ir�een �. c NEW CONSTRUCTION a REPAIR f Telephone TeleP ��8" a8'� 3 3 yy n r y- . Land Use 2�'.r,�d�.h ��'p �+ Slopes(`�) ova Surface Stones./Vo/� Distances from: Open Water Bodye ' S° ft Possible Wet Area 250 ft Drinking Water Well /VG ft Drainage Way 4- ft Property Line 3 ft Other ft SKETCH':(Street name,dimensions of lot,exact+ovations of test holes&Pere tests,locate wetlands Jn proximity to holes) I 11-022 I Pr Parent materia[(geologic)01/ L"Q.l4. Depth to Bedrock : ©� Depth to Groundwater. Standing Water in Hole: — 'Weeping from PI Face -' I Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE` Method Used: Depth Observed standing in obs.hole: - _- In, Depth to soli mottles: Depth to weeping from side of obs.hole: In, Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.&ctor— Adj.Groundwater Leval , PERCOLATION TEST . bate- 71me____ ` Observation Hole# 2 Time at 9" Depth of Perc Time at 6" Start Pre-soak Timb @ WOO ((�-I� Time(g-0) _ End Pre-soak Rete Min./Inch Site Suitability Assessment: Site Passed Sitd Failed: Additional Testing Needed(YIN) Original: Pubic 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 Consefvation Division at least one(1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Sdil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. (./ C o i ten y 96 Gravel) Saone Oc�s7 Gi�SAtiD N .R yG-12, AA'Z) (oYR /2, Y DEEP OBSERVATION HOLE LOG Hole# 2- Depth from Soil Horizon Soil Texture Soil Color Soil- Other Surface(in.). (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, Grave - S .S.4ko to �l 2(( S AN A 10 Y 2y-YO C1 5,,4)VD 10KIZ '/6 la-ZD o S-AIV b DEEP OBSERVA TION HOLE LOG Hole Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistencv.%G yS7b AC w (3 A. sA)VO . to YR alto 10-20;n G',,a lo't/ 2YJYo .SA&D 1 716 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA). (Munsell) Mottling (Structure,Stones',Boulders. Con si t cg S A p to K'l? 3 2 Or'Or's 0A "C _ R Z r- to ZY=C/B Ct lo•Yk 71C tv-20 oGrovel. Flood Insurance Rate Map: , Above 500 year flood boundary No Yes _ Within 500 year boundary No. Yes ' Within IM 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? If not,what is the depth of naturally occurring pervious matorial? Certification I certify that on 7�l 20 t 7 (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 15.0.17. Signature C--1a/t�y ��/�� Date 3 2olZ Q:45.EPTlaPERCF0RM.DOC DIRECTIONS: FROM HYANNIS - TAKE ROUTE 28 TOWARDS a end e F ASSESSORS REF. . OSTERViLLE; TAKE A LEFT ONTO OSTERViLLE WEST BARNSTABLE ROAD; TAKE A LEFT ONTO MAIN STREET,• TAKE A RIGHT ONTO ` Map 114, Parcel 22 PARKER RD; TAKE A RIGHT ONTO WEST BAY ROAD AT THE STOP SIGHN. TAKE LEFT ONTO EEL RIVER ROAD; PROPERTY IS ON THE RIGHT #395. s srnG ' FLOOD ZONE: c , r Y d -• Zone All, B & C (see plan) Community Panel No. OVERLAY DISTRICT. #250001 0016 D AP - A uifer Protection District ©�� July 2, 1992 9 � ti� t !,s �•xw 0 M • �- - ,p jai i Estuaries Watershed ZONE: 5 RF-1 (RPOD) A Area (min.) 87,120 SF Fronts e (min) 20' TB El=18.8' NGVD LOCATION MAP: Width (min) 12s Tap of Mag Nail Scale: 1" = 2000' Setbacks: O o Front 30 I Side 15' Rear 15' - 19- \ / Stone 9>� / prlye 4' 2' ; fko 1 33'-6„ _1 P6 ement +gxg �K Edge Of 1 f � i A � PLAN VIEW OF SAS NOT TO SCALE 40 L=1 VV _ t Orl 75.05' Orl�wa• Of Poven R=230. 12' As Fen Ed e °e ° p°`��@,/ VARIANCE, LOCAL UPGRADE ef ON ce LCB lg Post atRaml . . ,•-. -''18- '"' "` '-- ~ \ FO9° APPROVAL(15.405) Fnd '`- 3 •_ . ON I / Fnd f - _ ..- - !P [ I d Wetlands/Water Course Setback Oriv ° + , i . eve y 4 S17 Required: 100' f +g •N I j 6 01 OD Provided: 83' �o I _ Allowed: 1 Less Than 100 „� - ...,.,,.. ........ ._. ... ... . _--__mow --- -- -'- - --- More Than 75 feet. _-- - d98 � ,. nn \. -- - - _ but - e559 -v Depth of Required;6S ......... // Provided 72"with Vent do t ON l CB/C \\\ \\\ O / Fnd 0 \ i ..... PERC TEST:13,710 I C \ \ .........................•. .......... PERFORMED BY. SULLIVAN ENGINEERING - I I V, EXISTING SEP \ \\ BY: EVALUATORNO.13596 V 2D.7 O PERMIT NO 95- Mq \ \ J ...............................................:................................................: / soaEVALDAToxxo 3ss6 �'1 WITNESSED BY:DONALD DESMARIS,R.S.-TOWN OF BARNSTABLE II To REMAINROMs B zone\ \\ \\\ J / // AUGU313,20I2 I I 1 \ \ TEST HOLE-1 TEST HOLE-2 1 EL.16.0 EL.16.0 Chain Lin Fence Enclosure :,- I \ •::..TIT::::.::::::::..:: :::aurnR{mlean:::::::: 1 1 \ / ................................BLFWA ...... E7AY- 71tY.DABIC(RlY6TIBRDWN..... 1 I ...-- '"- \ \ 4:•:c:'::i7:::::.:�::::•:::::::.�:::::::r:-:}r us 6 ::•1:::::.•S:iNri:mi.oHGili+IicS::::::. 15.5 1 \ \ \•I i�Ij i I1 11 \11 1 \\\\ 3 (^I1�f{�,^�`` /l / '::.i:�'.r-.rr.ri:.:i.•Y.r'..:.:e....c'...IL.'In.G..W..A...Tl.s..G..l.r..R..a..AR.Y.D..:.:e.:.N..:..._:t..::..::....i...r.:•.:':.:'i... '..:.r:......::{...:::..r':.:E.:e..cl..t.-.....LRr.w.'CJ.LD.it.uY'B.SR.On2.S.Mi'.WB.t..• .P{....:_.N.'..:E. 1as6" .3Text Hole ::r:_: r:':::............................'...: .... za •sTnyrEzMsa•Ia20%isRxxEL:la za•.:MEDBMsAm.NText Hole #2 o CI LAYER IOYR7/6 CI LAYER IOYR7/6 / I N I-" YELLOW YELLOW ! It 1 -- - - -`__- J l I J MEDIUM SAND&10-20%GRAVEL 1 7 48 MEDIUM SAND&10-20%GRAVEL 12.0 / 1 i ,\ i \ - \ / O cx LAYER 10YR R'2 LAYER VERY PALE BROWN VERY PALE BROWN I I (0 -- ,,1 Q) SAND SAND f '1p I_ 25 GALLONS IN<15 MIN 25 GALLONS IN<IS MIN O I \\ / __ \ 1D09 E antion `zz 40�C RATE MIIN OTAR-0.746.0 10" RC RATE MINIM 1 6.0 GROUNDWATER ENOOLNTERED CO L_(o TEST HOLE-3 EL.16.0 TEST HOLE-4 EL.16.0 f I I1 I V I Stone Drive \ . 1 s 6 '�:?:E•K::ag..D.A..R. o ::' :: : [.wi/'rR'A79YYatKli9kaRHcR.!D..::W::t.:T:.:::•u.s / I \ a� :-:-CSl"YEIC{OYA:I7Frs:r:"r 5.9' I r \ \\ �, ............ ...A, r:a1» tz4:::::::::: ........ ::.T, RAY':.::.�:.:�: :.�:.1.iGiLl'GRXY::........... irr:'.:' : 15.3 8" ':r:::ii.:c:MBD[taATSANa.:{ri:.i i:'.15.3 I I c I \\ \\ FEMA Flood Zone Lines LATEROYR3/d::.. ::.B'taYPxlazR xr::I v , / 1 \\ "X from FIRM Panel N� : '=:`:-:-::vslimvisq.wcoviei;::`.•: : AMWsieoiviv:::'&7 , --------- , \ \ za.-:saxaawPirmser.la:2ae«ortaysc'14,0 za:::-:MEDIDMSh7VD'Wr.S067EPRaBS-::14.0 ` \\ \ # 250001 0016 D cluvERlovRv6 c1 LAYER Iovav6 1 \\ \ rev. July Z 1998 \ YELLOW YELLOW MEDIUM SAND&10-20%GRAVEL 12.0 48 MEDIUM SAND&10-20W.GRAVEL 12.0 //� ��' \ J �_ \\ ` C2 LAYER IOYR 8r2 C2 LAYER IOYR&2 1 +1' \ 1 VERY PALE BROWN VERY PALE BROWN \\ 12" SAND 6.0 1 SAND NOGROUNDWATER ENCOUNTERED PROP ED TEST HOLE-5 EL s.o Lawn \\\ \ VENT 5.6' _ __ ,'Ln / / �� ` � `\ Lot 146 \\ 41. - UNWnNESSED TEST PIT 1.6 I i �� / // \ l i ` 126,400E SF To ML W ` - - X \I I 3 2.90±AC \ \ J SITE PASSED Tast \ SEPTIC NOTES / I 1 j t �" J 7" `� / , / :� 1 j\ PROPOSED of�\# \ 1.Location of Utilities Shown on This Plan Are x.At Least 72 Hours 1 I � Approx./ ai j nI �� J J �\J�`� / ( i i \ J SA \ Prior to Any Excavation For This Project the Contractor Shall Make // I LL i 141 PR ED I I Test 3 the Required Notification to Dig Safe(1-888-344-7233). D 0 j Hole #3 J 2.The Contractor is Required to Secure Appropriate Permits From Town Agencies For Construction Defined by This Plan. PROP SED J I p 3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall l ) \ TIC TANK / O I � ` Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to L4 co co +I Assure Watertightness. In General,Water Lines Shall be Constructed in d. r Coordination With COMM Water,and Shall be in Accordance I j p Lawn / j \ f5 \ 00' BUFFER v 1 With 248 CMR 1.00-7.00&310 CMR 15.00. �� 4.A Minimum of 9"of Cover is Required for All Components. U__ I I / / �3j 1 �r \\ Lawn � ,\ J / 1 5.All Structures Buried Three Feet or More or Subject I to Vehicular Traffic to be H-20 Loading.It is the Engineer's O Recommendation that H-20 Always be Used. --- l ------i4xs ------- i d 6.Install Watertight Risers and Covers to Finished Grade Over Septic Tank I , I CO Inlets and Outlets,D-Box,and Leaching Chamber. Stone Drive / I I 7.Septic System m be Ep�� ��'- •• ..,\ � 2 8 CMR 1.0000��est Revisioand � 00& the Tovc of Barnstable '`-•,, PERMIT NO. 7 522 --_ I � I I / \ 5 BEDROOM 1\y --�-- - - -1 ------- / I ( J r d of Health Regulations. -f -----�- ^ Boar I J TO REMAIN /. _ 1 a�j' / 8.All Piping to be Sch.40 PVC. 1'1 - ----- - I } X 9.D-Box Shall Have a Minimum Inside Dimension of 12",and a Minimum /^ I I �� / // (- / \ tockode e \ 1 / / YY&US FOR' L Sump of 6 . l I n r�. Box oc R OFF i 15 PROPOSED wOI TyP. 1 O.The Separation Distance Between the Septic Tank Inlets and / I i / / ` ' ,\Q PATIO 1 r Outlets Shall be No Less than the Liquid Depth.Inlet Tees Shall Extend l X" X \ a Minimum of 10"Below the Flow Line.Outlet Tees Shall Extend 14" C �� \ \ �� 's9, Below the Flow Line,and Shall be Equiped With Gas Baffles. ❑ �, r ��� / ,i j / ^� ; 50 BUFFER I - �'� / ✓ .- ' l J J� $� ��ti� DESIGN DATA: �`JV� f r �/, �l/ ^ :\ / /�/`/ y �y y \ I� PROPOSED Yt 39 PP �-� \/ " ADDITION 2 S W F 1 UPGRADE NO GRINDER I I I /\ --„�- y y y 1 Location off sting ) /' Single Family:Multiple Systems on e y Q /. Dwelling �1 SLotic Unkno R TO as i l ( g Y P Y Property, J \ This System Suports: 3 Bedrooms @ 110 GPD X ce�- ` / 56.3' Total Daily Flow=330 GPD Hay ea ' PATIO ❑ - , .��/ /,. / t ` 3� - PROPOSEDON TANK SIZEequired_ 330 Zon /���'� J� / J \ y y y FND. PLANTINGS y y y SAY Use aRl'500 Gal TankGallons •/ I , i C `// �'\ / / '� /•. ` J \ RIW 6P,4SED 40� yyr' FLAGS EPA 1 - `"1� LEACHING AREA : o = o y TREE' T E X ` ce ''J X 330 GPD/0.74(LTAR}-445.9 SF Required 1 " O /1 y Existing S'fi 1ri REMOVE uu_ I I 1 0 & Iv - X� Sidewall=2 84.6 =169.2 SF 1 y TA+ y / ���- Bottom Area=(8.83'x 33.5)=295.8 SF 1�_B U FFF� " :/ y y of y �Nma+ ( (•J Provided=465.03 SF 7.�: -- STATE Xt \ y1 --w •I --- I i ��� t L �"f [- ' .I .1.--- NIIDtxI LEACHING CHAMBER DESIGN P S LC Doc 73),142 R rictfola-L AP ' a All Pipes to be Schedule 40. Use ' 72 I C �� r / \ \ J y y pRyppBSE@ MIAGAL r '�'ROPO y_MI G = "" 0L � /��\ � � � f ` � y) � J .1 "<. � �' ! �. y y y y y o• y �,yi '1-- �V'" - .f - � I �� �"12._. .�G��J >[/ � � � 1l ` i -� •� 1 � EXl- , y�l....'y" "` - y y y ��5-. .__. - � •X�•-- -8- -_.,, CK WALL i SEE NOTE ,- Le end \ . J # Text Hole 5 _ Perc Text Pits D--- ✓ / / 1 '' - NOTE 1: . .- _ Non tial Invasive Species. � �!- 5- \\ a Cedar Tree O Iron Pipe Rerr�oval & Controi SO UFFER in Consult with .� Beach Area -, 0 CB/DH - Concrete Bound _ / Con CdtZT Staff Total A q7t a 18 S.F. i �' 0 0 LCB - Land Court Bound /0 Holly Tree -{i Guy O Utility Pole st .5o -4- WetldFla f��I __ _ _ '' '/ �-' '"f \ ;� r :• � Deciduous Tree an g CB r III 1 Fnd o.ss ff) o J _ ® Water Gate (round) - " �- _ 3 E- - - © Gas Gate (round) Edge Of Salt Marsh �, _- _ _ _._ __ -3- o ' I As Flagged August, 2011 r i ', A + Hydrant r i 99 9 _ Coniferous Tree Irrigation Valve I i J J ..� _ _ - - AL _ - _ _ _ - OHW= Overhead Wires AL tour � / .- ._.... _.- _..-- l r- ,..•-. L -•_. _ .•..•..-25 Underground Utility Line T - � I / / A Salt Marsh _ � - ADDIAONS_AREA (HARDSCAPE)'-_ ndergound y - _ 8 1IIIs 0-50' OF COASTAL BANK J 4 S.F. 50'-10 s -_.__ �,. •.''' � ..-- �,.. 0' OF COASTAL BANK '� ! 450 S.F. AL AL AL ���,� ��.\ REQUIRED MITIGATION AREA CALCULATIONS: 426•4=1704 \� AL 450*3-1350 \ \ 1 ' / 1 i o 1704+1350=3055 AIL / I \'\ silk ti PROPOSED M17iGATION AREA: \ - 1 r -1- 3103 S.F. \ / JAIL AIL A See DEQE File SE 3-1117 vent-Find Loaatotion to be \ ••"`•--•� /� .•' m Determined at 7kns of Installation so Doc # 334,119 as to be as Inconspicuous as Possb/e & License # 1127 Doc #347,211 err 1s. �•� AL ..---•1'""" •. / F.G. EL 14.0 t L F.C.EL. 13.00 tREp7ADE AS REQUIRED F.G.EL 15.00t F.G. EL 15.56E / s LYost Space Basement C ow •\ \ /Finish Grade SEE NOTE a(TYP.) SEE NOTE 6(TYP.) .-- \•�- �� - - -------- 11.9 See Note a(typ.) REGRADI' NEEDED InstaOer To IWO C�ton Flow E ilizers Compacted Flit Filter Confirm Prior Septic Tank 9u Fabric _ To Any Nark H-20 - s Requksd T,EL 11.0a M d/Or _ 1/8 _- 112" C # + Y " `.; Looming LEACHING Pea Stone ; chamber 314"- 1 1/2" • H-20 Eel River a .t CHAMBER Double Washed BsddingYs &Boffel If Encountered Remove d Replace H-2D Stone Tidal' S�s1 an Per ntle 3 All unsuitable Sots N►thM 3'of hoot � r 10. The Outer Perimeter of The System 10' 4'- 10' ^ra 4 M -Slob i -I .sri m3 d 20'Min. -Foundation 7n -a,- 10" DEVELOPED PROFILE OF SYSTEM CROSS SECTION OF CHAMBER NOT ro SCALE See Mass State Permit #841 c,«,,,d Naeer NOT TO SCALE For Dredging of Eel"River '. 9 g at lost it'15 s see LC Doc #3,051 Revision: Add Septic Plan 811012012 TITLE: PREPARED BY: PREPARED FOR: VOTESIREVISIONS. SITEPLAN 1.) The property line information shown was (o Sullivan Engineering, Inc. compiled from available record information. PROPOSED IMPROVEMENTS Po Box 659 u V The 395 Eel River Road Realty Trust r-q AE Rev r R Osterville, MA 02655 7 Parker Road 2.) The topographic information was obtained '--i t395 e e Road (508)428-3344 (508)428-9617 fax Osterville MA 02655 from an on the ground survey performed on (508) 420-3994 / 420-3995fox Or between 21/AUG/02 and 21IFE8112 Barnstable,(Ostervill e)Mass o 3.) The datum used is NGVD '29, a fixed mean FIELD: MDH/WHK/RRL REVIEWRRL/WHK zo o 10 20 40 so sea level datum. DATE: APRIL 9,2012 SCALE: ��_20e COMP.: CTR PROJ. # 21037 Saul-Lotuff DRAFT: RRL/CTR DRAWING # C329_3gl