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Home My WebLink About2751 FALMOUTH ROAD/RTE 28 - Health 2751 FALMOUTH RWr OSTFRV.T,I,I,F _ - F - - - A=121=012.002 TOWN OF BARNSTABLE LOCATION �G.�rnw� SEWAGE # VILLAGE ASSESSOR'S MAP & LOT/21 04 00-1— INSTALLER'S NAME&PHONE NO. S � � SEPTIC TANK CAPACITY LEACHING FACILTrYY: (type) C6)nbZA.6 (size) i2' X X I L•'� �� NO.OF BEDROOMS '-/ BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by p � �- � a J, N i J' l" � � � � �, AJ `r C � W � , � ! I � . � . v X r 'ram s� � r+\ { �. r r / N �.. ^� c � '. ti � 5 . y � � a -- ., ��. ,,,� , . TOWN OF BARNSTABLE LOCATION —�eel IRc!J � '� SEWAGE# 0 (0 VILLAGE /3 j ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. + SEPTIC TANK CAPACITY J�� /f LEACHING FACILITY:(type) 1, d (size)_f 3 3 '7 NO. OF BEDROOMS 4-1 OWNER A-g 4 PERMIT DATE: ,S„; COMPLIANCE DATE: S� Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY s. s_ Q t No. ''o Fe$1 0 0.0 0 THE COMMONWEALTH OF MASsACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplication for Wgpont 6pftem Cowgtruction Permit Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) ❑Complete System 91ndividual Components Location Address or Lot No. Owner's Name,Address and Tel No. 5 0 8—7 3 7—0 8 9 0 2751 Falmouth Rd, Osterville Mian & Asifa Saeed Assessor'sMap/parcel 1 21 /1 2-2 2751 Falmouth Rd, Osterville Installer's Name,Address,and Tel.No. 775-8776 Designer's Name,Address and Tel.No. 364-0894 Wm E Robinson Sr Septic Eco-Tech 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms 4 Lot Size �� 3 5A/r t sq.ft. Garbage Grinder (no) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures V Design Flow(min_.required)_ /YT gpd Design flow provided ` gpd Plan Date Number of sheets Revision Date Title A Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 leach system to plans of Eco-Tech, ETE-' . (3 ,�e �„ y-r 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 Envir9wriental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board o alt . 1 v� Signe�6i� Date Application Approved by Date Application Disapproved Date for the following reasons Permit No. :2 IV 6 r.2 rl /• Date Issued No. n " Fee 10 0.0 0 T E*COMMONWEALTH OF MASSAd'hbSETTS Entered in computer: - I PUBLIC HEALTH DIVISION, TOWN OF BARNSTABLE, MASSACHUSETTS Yes Rpprication for 0*oiar �&p5tem Con5t0ction permit ; Application for a Permit to Construct O Repair(X) Upgrade O Abandon O �� Complete System 5471ndividual Components Location Address or Lot No. Owner's-Name,Address and Tel.No. 5 0 8—7 3 7—0 8 9 " 2751 .Falmouth Rd, Osterville Mian &) AsiTa Saeed Assessor'sMap/Parcel 121 12-2 2751 Falmouth Rd, Osterville Installer's Name,Address,and Tel.No. 775-8776 Designer's Name 364=0894 ,Address and Tel.No. 3�— s Wm E Robinson Sr SepticDo Box Eco—Tech a 43 Triangle Cir, Sandwich Type of Building: -- --- _ �, (-fr( y Dwelling No.of Bedrooms 4 Lot Size 3S sq.fr. Garbage Grinde�: Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures 's Design Flow(min.re aired) y/'� gpd Design flow provided y�, gp Number of sheets Revision Date d ' Plan Date �! (��(�(p Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 leach system to plans of Eco-Tech, y`k �� c 1....ti 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 Envir mental Code and not to place the system in operation until a Certificate of Compliance has been issued by this j�Board o alt . L � Signee /� Date Application Approved by 1 )r/ nv- R.f Date. 1.2 li. Application Disapproved Date a for the following reasons /f� 11q r Permit No.?/X}(� ' T� /. Date Issued S U THE COMMONWEALTH OF MASSACHUSETTS Saeed BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( X) Upgraded ( ) Abandoned(( b Wm E Robinson Sr Septic Service 2751 by a mout Road, Osterville at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 2Oo6 ?11 dated S 12)6 Installer 90 b iPSyn Designer C cry ,cr..\` r�,caa., #bedrooms Approved design flow\ gpd The issuance of this permit shall not be construed as a guarantee that the system will function , es'gned. " Date �% /tom' Inspector J�. ----.�..'�----7 5 No. ?006 - Pel00.00 Saee '` THE COMMONWEALTH OF MASSACHUSETTS PVJBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Migonl �&p.5temY Construction Permit Permission is hereby granted to Construct ( ) Repair (X ) Upgrade ( ) Abandon ( ) System located at 2751 Falmouth Road, Osterville and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. � Provided: Construcn must be completed within three years of the date of t i§—De 'tf! � I Date �)K2706 Apprcvedby )/ ,% Ily L. F Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I, :J R V i t) D , Coo HA-J OW f�hereby certify that the engineered plan signed by me dated �� f� concerning the property located at V 7 S I Eq 11 .0U E4 k oad meets all of the 9 {9 following criteria: a 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. 0 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: A) Top of Ground Surface Elevation (using GIS information) ' 3 T -2-7 B) G.W. Elevation `23 V +adjustment for high G.W.3. 5 = 2� So DIFFERENCE BETWEEN A and B f 0.. fl SIGNED : �• S DATE: V ul(i 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. q ASeptic\percexemp.doc Torvu of Barnstable OF 1HE } ;Regulatory Services ' �. Thomas F. Geilcr, Director • BARNSfABI.E, • - - t 9 MASS. i63919' Public health Division p�fD N1°�a Thomas I\IcKeati;'Director 200 Main'Sth•eet, llvanois, NIA 02601 Office: 508-862-4644 t Fax: 508-790-6304 Installer & Desiener Certification Form i s Date: —I 1 d Sei�•age Permit# U U, Assessor's >\'Iap\Parcel 121 /1 2-2 Design`e Ecc�—TPc-h Installer-. Wm E Robinson .Sr Septic -Address: , Trinale circle I Address: PO Box 1 089 Sandwich l Centerville On Wm E Robinson Sr SeptiFaS issued a permit to install a (date) (installer) septic system at 2751 Falmouth Rd, Osterville P ) based on a design drawn by (address) t -.Eco—Tech dated 5—, 1 1 -06 �- `:!(designer) .'�" � �• •.�I certify that the septic system referenced above was. installed substantially accord' to the-desi which may include minor a roved changes such. �1, ) pp a lateral g s 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`rel'ocation of the SAS or any vetlic -elocation of any component of the septic system) but in accordance with State or,s. Plan rc,.;ision 01' certified as-built by designer to follow. DAVID y�N o D. a 'ti . COUGHANOWR No. 1093 (hls aller's Signatrirc) �`�GI's S SgNI TART (Designer's Si maturc) (Affix Designer's. Stamp 1lere) PLEASE RETURiN TO BA10"STABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTII TI-IIS FORM RIND AS-BUILT CARD ARE RECEINTD BY T1LE BARNSTABLE PUBLIC 11EALT1-I DIVISION. TI1AN] l 0t. t Q: Heal th,Septic/Desiener Certification Form 26-O4.doc r ;..-rY,.....,.r.:,.3v, :� ......-. ti:.{�r:b n., ,,.. ..� .� ,-r.-...;- -r_ z�.,.•..,�. -r;:4,-..,�•:�•;T •— n-'-' -'^--y-`-.., � ,y:: y...a..--s :.�..r -. .. TOWN OF BARNSTABLE BAR-W � " 3793 Ordinance or Regulation WARNING NOTICE 0 Name of Offender/Manager IM11 1 A "'�7- r Address of Offender / ll _O MV/MB Reg.# Village/State/Zip `) v/- 19r910_6.b Business Name '` � - -� /pmf on 204_.1 14 Business Address Signature of Enforcing "Officer Village/State/Zip Location of Offense , Enforcing Dept/>'Divi°sion ' Of -'4 Facts MANY Aaff 7 r- F',AAC , i1�1, r-r .0 � Pr rx?/ F�Ax-)A/_r JV, V MAJ This will serve only as'a warning. At this -time no lega`1 actioon has" been taken. • It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by .the Town. . WHITE-OFFENDER CANARY-ORD./REG--PROG. ' PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. .-.. x1 r. >v — # 3'a„ x�a:,m € r ,c TOWN OF BARNSTABLE f BAR—W 152 3793 ' j Ordinance or Regulation WARNING NOTICE Name of Offender/Manager A "`"� Address of Offender ? ��'"` € f � , .` MV/MB Reg # Village/State/Zip �I 1 # rf - ' Business Name >- J /tpm; on ,"s , 2Q -� Business Address § s Signature ofV,'Enforcitng Officer' ` Village/State/Zip Location of Offensef w Enforcing Dept/,%Divi`sion ¢C Offense JAI[.! aye "'I Facts � �. •�.:{ � ! � �`� '`� ��' s �t ;�¢ V 41dil This will serve only as ` a warning. At this time no—le' a'1 action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules. and Regulations. Education efforts and warning notices are attempts to gain wvoluntary_ compliance. Subsequent violations will result in appropriate legal action by the Town. ,. WHITE-gFFENDER CANARY-ORD/REG-PROG PINK ENFORCING OFFICER GOLD ENFORCING DEPT. / - \ . ®a w= >�T \ < \ p"�. k § ) . 1 No. --------------- PAF �3>.� �'ASSSSORSMAP 0 Z Fee--�g-=----------- BOARD OF HEALTH TOWN OF BARNSTABLE AppliTtion- orlVell �Con6tructionPermit Go v II-Lc . Application is here ma - for a permit to Co struct ( ), Alter ( ), or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel Owner — Address Installer — Driller Address Type of Building Dwelling ----- ------ Other - Type of Building--- ---- - No. of Persons------------------------- T e of Well C/6-6' °L Capacity Purpose of Well Agreerr.ent: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation un! Certificate of Compliance has been issued by the Board of Health. P�(�) �j C3 Signed wz. _ -- _—d— date—�—_ Application Approved —-— -✓ �✓ �1 - date Application Disapproved for the following reasons: -------------------------=---------- -- date Permit No.- — Issued - -_ __��I _------------ date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate ®f Compliance THIS IS TO CERTIFY That the Individual Well Constructed (ii/), Altered ( ), or Repaired ( ) 1 z J�J o". Sxt 1!►i-L ------------------------------ y C"e,at----a73-1 / / a-v �Zj , -- e".4,rl Ihas been installed in accordance with the'provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit NcfY -r�d��[7ated ::2- 4V' THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE—----- - Inspector------------- —------ !>It - No. '"24l�----- �3: Fee- = -' ------''" mil BOARD OF HEALTH TOWN tOF BARNSTABLE zip Cir�at ton for eir Con5tructionPrrttit Ap icaton is here ma f r a permit to C sti•uct ( ), Alter ( ), or Repair ( )an individual Well at: 4 '" j _ _-- — — —-- Location — Address Assessors Map and Parcel /Vleeh-eri 5 } eed. /l_ Owner Address 1 ITO r-C/ t "s IV, ---------------------------- - - - -- --------------------------------- Installer — Driller Address Type of Building Dwelling _—--- -- --- -- Other - Type of Building-------------- No. of Persons-------- Type of Well - Capacity------1�- -- _ Purpose of Well /L tz A Z'a7n Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation un -a Certificate of Compliance has been issued by the Board of Health. Signed — --- date Application Approved -- ---- ---- ` -F- a/ - 1. date Application Disapproved for the following reasons: ---------- - -- --- --- date Permit No. _� 6t� ___�_— Issued=-- __ - _ -------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS T CERTIFY, That the Indiv'dual Well Constructed (I/), Altered ( ), or Repaired ( ) by—_ I /r d 1j't. 1 / Z>9-/ //►K -- �nstaller a�5. ------ ------- i - ---- / at- - ---- - -- --- -- --- - ----has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection -If/-ZOO/-.�� ov-�-a l- Regulation as described in the application for Well Construction Permit N ated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-- -- - - Inspector-------- - - --- —____---- BOARD OF HEALTH TOWN OF BARNSTABLE Ivell Con$truct ion Permit NO. Fee Permission is hereby grantedDto Construct ( ), Alter ( ) or Repair ( ) an Individual Well at: No. ___ -7J .�.+ /-ab�lei?�'y _ !! �_ a�`�- < Street as shown on the application for a Well Construction Permit No.- '' GG/-� z '( --—___ Dated,----- � ti - _�S_ f.IN Board of Health DATE— --- __ No. Fee ------ BOARD OF HEALTH TOWN OF BARNSTABLE Zipplicat ion-for)Vrll Cootruct ion Permit Application is hereby made for a permit to Construct Alter or Repair ( )an individual Well at: -z-- Location Address Assessors Map and Parcel Owner Address Installer — Driller Address Type of Building Dwelling Other - Type of Building- No. of Persons-------------------_______ Type of Well -,/ Vo "'Ovc Capacity- 01:�'-6 Purpose of Well--- Agreement: The undersigned agrees to install the aforidescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until Certificate .of Compliance has been issued by the Board of Health. Sig - ,�! g, ?.2-6/ Signed Ow A date Application Approved BV to I/a I da Application Disapproved for the following reasons: date Permit No. Issued—_--- -- - ----- ---- ----------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate (Of (Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (✓ , Altered or Repaired by ;06-1127 OAlb AI&U- -D&I D Installer at 6?,76-1 has been.installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protect'7 n Regulation as described in the application for Well Construction Permit No. Dated , 7 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE Inspector . '{. �,'FSN�'Rv.,1,R a - 4 Jd F�rTM�•Y: ....' _ E ' '7 pi)/ems_ sus 5�� CYi t �No.-------/-------- d Fee-- -------------- BOARD OF HEALTH TOWN - Of BARNSTABLE pprication fiorVell Con5truct ion Permit Application is hereby made for a permit to Construct ( Alter ( ) or Repair ( )an individual Well at: 704,71", Location — Address r Asse6sors Map and Parcel f,�IGrri_o_c,_fi_S led_- 4967-er-V/64C Owner Address .Slri vn.� -� El c. 4 is c.isv 014 L C-,r1NS A14 - ---- --- ---------- -- - - -— — - Installer_ Driller Address Type of Building Dwelling _—--- -- —---------- Other - Type of Building-=-- ------- No. of Persons---------------------=-------- c� �a ��G /hS • Type of Well'; , -- — Capacity- ------------- Purpose of Well---1.��'Q J T�vA1 --- G� Z-1 Agreement: The undersigned agrees to install the aforedescribed individual well in accordance .with the provisions of The Town of Barnstable Board of Health Private Well.Protection Regulation - The undersigned further agrees not to 'place the well in operation until Certificate of Compliance has been issued by the Board of Health. R Signed r---- date Application Approved By-,� — - -—-— Z J P/ ate Application Disapproved for the following reasons: ---------- . ---- -------- —i -- ------ ---------------- date Permit No.' -- — Issued----- -----__ date i BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (✓g, Altered ( ), or Repaired ( ) by �i'l ------------------- p Installer at � L�ouT �i o gp 067e-R P/G 4 6"_- --has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private W61 Protecti n Regulation as described in the application for Well Construction Permit No. -�3--Dated-AZj--Q THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--- - -- Inspector-- ------ _---__----- ------ BOARD OF HEALTH TOWN OF BARNSTABLE loell Con5truct ion Permit No. 1 �i��-s�� Fee-ff D�---- �ES/�/Ofv Permission is hereby granted 4 L/N,�------ ------- to Construct (v�, Alter ( ), or Repair ( ) an Individual Well at:. No. 117751 6-f?4n-7oq,-/-1 Q6,46 05ZZERV 6L(F- --------------------------------- Street as shown on the application for a Well Construction Permit No. —__ �_ _ Dated--- �23 1 — - -- ----------------------- G/Z3�� -- Board f Health DATE Q — r _ frZA ROAD d 5A 52, Lnf 1. 50 10 C)5 02 L-any R --M TOWN OF BARNSTABL-t lip, LO CATION SEWAGE # VILLAGE, ASSESSOR'S MAP -INSTALLER'S NAME&PHONE No. SEPTIC TANK CAPACITY CC> -LEACHING FACILITY:,(type) (size) NO.OF BEDROOMS DE OR OWNER PERMIT DATE: L.COMPLIANCE DATE: D 7 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom,of Leaching Facility Feet Private'Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility);:: Fee t i Edge of Wetland and Leaching Facility(If any wetlands exist... within; 300 feet of leaching facility) Feet '.'Furnish6&bv.�:- TOWN OF BARNSTABLE y. LOC'.TION Al SEWAGE# -VILLAGE. (5S4, J-VI//'f ASSESSOR'S MAP INSTALLER'S NAME&PHONE NO. 6/e-ft'(/f-C 2 UA Coeu- 3 �� SEPTIC TANK CAPACITY i S'ctn, g�" LEACHING FACILITY: (type)� (size) NO.OF BEDROOMS UTI DE R OWNER PERMITDATE: -2--3 ! COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility, Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by �' C� V� � � � Va � ut e� � � 'h � � � � � � � c� c� �� ._ G �, N � � I . �.__ � _ , w_ �_ w V No. �� .._ THE COMMONWEALTH OF MASSACHUSETTS FEE 0-0 Q BOARD OF HEALTH ar V 7 ��,� OF J� /U1.1 CLLJ >� Apphration for Ui,spwi 1 �y,strnt Ton,strnrtinn runtit Application is hereb made fora Permit to I stall ( 4) or Repair/Replace ( ) an Individual Sewage Disposal System at: ucaliuiit-Address or LottNo. ddress Q Jr4 Designer or Installer Address Type of Building Size Lot 11. 5 adf e'S Sq-feet Dwelling—No.of Bedrooms -3 Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No.of persons CP Showers ( )—Cafeteria ( ) Other fixtures Design Flow a 5 gallons per person per day.Calculated_daily flow gallons. Septic Tank—Liquid capacity I 5bD gallons Length Q I(t. Width l °� Diameter Depth 5 I " Disposal Trench—No. I Width 131 Z,'t Total Length >Sf Total leaching area sq.ft. Seepage Pit No. Diameter Depth below inlet Total leaching area sq.ft. Other Distribution box ( V< Dosing tank ( )Percolation Test•Results Performed by ac. 4, b_6, tti C Date 117-.1,0`6 1. � Test Pit No. 1 26 minutes per inch epth of Test Pit 137-" Depth to ground water —1 Test Pit No.2 4'/ minutes per inch Depth of Test Pit (LW" Depth to round water y J) y it i t_ /.i G_ H Description f it ° - Z cr L l e cL,j 0 o So�} Z �r� tt C L 3 � �-/1 � `rr�lU•`�j't Yc�Gt U °` : YYietL�xr. / J r_ ;r Z,t r rr u � 1 cL ��Utt - ilZ 1 " tb v Nature of Repairs or Alterations—Answer when applicable Date Last Inspected Agreement:—The undersigned agrees to install the aforedescribed Indivi al Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code.The unde ig further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of 1 Signed Date Application Approved By �00�Z 'fl 7�'a 3 - 51r Date Application Disapproved for the following reasons: Date Permit No. -.--% 377 Issued : Date ti _ t ...ye- NO. ? ? ..y- -THE COMMONWEALTH OF MASSACHUSETTS µ YFE�E OO BOARD OF HEALTH I , t OF Avviiratiou for D i,s.po,sat gtgstrm Toustrurtion Pamit A plicauon is hereb made for a.Permit to Install ( Vor Repair/Replace ( ) an Individual Sewage Disposal System at: Locatiol / -Address - or Lol o. Owrier Address lct.e ®�A C'U t� ��- kl ea �� Designer or Installer Address Type of Building Size Lot ( 35 a res Sq-€eet Dwelling=No.of Bedrooms Expansion Attic ( ) Garbage Grinder ( ) Other f Type of Building No.of persons CO Showers ( )—Cafeteria ( ) Other fixtures Design Flow ` 5_5 gallons per person per day Calculated daily flow 3 gallons. Septic Tank—Liquid capacity UO gallons Length t Q'&'� Width .l 'f Diameter Depth S 1 'f Disposal Trench—No. I Width 13 f 2- '1 Total Length Total leaching areaLsq.ft. Seepage Pit No. Diameter Depth below'inlet Total leaching area sq.ft. Other Distribution box ( Dosing tank ( ) .} t!ti ', Percolation Test Results Performed by twat- 4, �)t, .. Date �ZU=Cjto 1�.= Test Pit No. 1 minutes per inch I p of Test'Pit 137-4 jDepth to ground water 0— Test Pit No.2 _minutes per in Depth of Test Pit '....• ': Depth to rppround water Za-' Description of Soil a ,f6 t' Z''- Zt Z''3( `f' o s aft.f3. t`- '' C Sctn-d, 3 u tl 1..Z v G Z f UCt (Z fl 1/ Id. t_ Z- fir,,;L..L I f,cI� Nature of Repairs or Alterations—Answer when applicable Date Last Inspected ' Ag-eement:—The undersigned agrees to install the aforedescribed Indivi al Sewage�bisposal System in accordance with the provisions of TITLE 5 of the State Environmental Code.The under ig further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of at Signed f y Date Application Approved By -�_ !) Da e Application Disapproved for the following reasons: .. Date �> - Permit NO. �3 3: " issued \ l o Date .t + THE COMMONWEALTH OF MASSACHUSETTS n BOARD OF HEALTH Trrtifiratr of Tomphunrr THIS IS TO CERTIFY, That the On-Site Sewage Disposal System installed (` r ) or Repaired/Replaced ( ) On A ` / by 111201 for Rt .1 B eA.,A+l 6,0,- i&, at has begin constructed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal System Construction Permit No. dated I Use of this system is conditioned on compliance with the provisions set forth below: THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION AS DESIGNED. This Certificate expires on Date DATE - - Inspector „ �,�� .� NO. rA-� .; THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH l Dispruial ftiitrm Tomitrurtiou f rrmit Permission is hereby granted to to Construct �'Z or Repair/Replace ( ) an On- 1te Sewage Disposal System located ato /) street 11 --.was described on the application for Disposal System Construction Permit.The Applicant recognizes his/her duty to comply witi3 tle 5 and the following local provisions or special conditions. All construction must be completed within three years of the date below. , Board of Health DATE FORM 1255 (REV.4/95) H&W HOBBS&WARREN"' PUBLISHERS - BOSTON THIS FORM APPROVED BY THE MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION P P— t C— TOWN OF BARNSTABLE LOCATION .��/�� 11 �� SEWAGE # 6_ .33 7 VILLAGE. C-2 Life ASSESSOR'S MAP&Q63 INSTALLER'S NAME&PHONE NO. Ar 82 u'i I a a ( A COS 3?3 S qp V, SEPTIC TANK CAPACITY )S'CC, g A, LEACHING FACILITY: (type) U t (size) NO.OF BEDROOMS !JI DE OR OWNER PERMIT DATE: :Z 3 / 7--COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by t C—► TOWN OF BARNSTABLE LOCATION !�__J �� Li G�� SEWAGE# 4y-1L i- VII.LAGE. e ASSESSOR'S > GS � SSOR S MAP �� 3;� INSTALLER'S NAME&PHONE NO. (,,A COa't/ SEPTIC TANK CAPACITY LEACHING FACILITY: (type) IM (size) n .�) NO.OF BEDROOMS n fJII.DE OR OWNER PERMITDATE: / 7 COMPLIANCE DATE:— / — 9,.7 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by r� 'F N Q I I w All Q ��- he r Desmond Well Drilling, Inc. Cape Cod Test Boring 5 Rayber Road P.O. BOX 2783 ORLEANS,MASSACHUSETTS 02653 (508)240-1000 September 5, 2001 Glen Harrington Barnstable Board of Health 4 367 Main Street Hyannis, Na 02601 Re.: Well permit# W2001-53 @ 2751 Falmouth Road, Osterville Dear Mr. Harrington: This letter is to inform the Board of Health that the well installed at the above mentioned location was completed, but has been removed. We wanted to inform you of this fact because by now you would have already received the water analysis report. Thank you and if you have any questions, do not hesitate to call upon us. Sinc ely, ADesmtond Desmond Well Drilling Inc. Desmond Well Drilling, Inc. Cape Cod Test Boring 5 Rayber Road P.O. BOX 2783 ORLEANS, MASSACHUSETTS 02653 (508)240-1000 , BOARD OF HEALTH,. . TOWN OF BA'RNST'A'BL'E` �errrtit No. Fee- �—D�---- ------ E.S%�JUfVd Permission is hereby granted to Construct (✓), Alter ( ), or Repair ( ): an Individual Well at:- No. — Street --- --------------------------------------- as shown on the application for a Well Construction Permit No.- f� Dated - ----------- - Board f Health DATE L� T { SO1 � TEST L• 0 G DATE OF TEST: APRIL 28. 2006 ` '•SOIL EVALUATOR: DAVID D. COUGHANOWR. R.S. DESIGN CALCULATIONS WITNESS REOUIREMENT WAIVED - NO VARIANCES SOUGHT NO TEST PIT 1 PAARENOTUNDWATE MAATERIA ENCOUNTE PROGLACA LED OUTWASH DESIGN FLOW: 4 BEDROOMS X 110 GPD = 440 GPD 2 MIN/INCH IN C SOILS ELEVATION = 40.49 +- SEPTIC TANK: 440 GPD X 2 DAYS = 880 GALLONS DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER USE EXISTING 1500 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING CONDITION. IF NOT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) 40.49 0-22 FILL DISTRIBUTION BOX: USE 3 OUTLET D-BOX. 22-24 O WOOD LOAM 10 YR 2/1 NONE FRIABLE SOIL ABSORBTION SYSTEM: A 33.5 Ft- x 12.5 FL x 2 Ft LEACHING GALLERY CAN LEACH 24-26 E LOAMY SAND 10 YR 3/1 NONE FRIABLE A 6 o t = (33.5 x 12.5 ) = 418.75 s f 28-34 A LOAMY SAND 10 YR 3/3 NONE FRIABLE A s d w = ( 3 3.5 + 3 3.5 + 12.5 + 12.5 ) x 2. = 18 4.0 s f Attot = 602.75 sf 34.99 34-66 B LOAMY SAND 10 YR 4/6 NONE LOOSE V t 0.74 x 602.75 = 446.03 G P D 66-78 Cl LOAMY 10 YR 5/6 NONE LOOSE MEDIUM SAND USE A 33.5 Ft. x 12.5 Ft- x 2 Ft. GALLERY. Vt = 446.03 GPD > 440 GPD REDUIRED 7B-144 C2 MEDIUM SAND 10 YR 6/4 NONE LOOSE 28.49 NO TEST PIT 2 PAARENTUNDWATE MAATERIA ENCOUNTE PROGLACALD OUTWASH ELEVATION = 37.27 PERC AT 72 In - 2 MIN/INCH IN C SOILS +- LEACHING GALLERY CONSTRUCTION F PTH SOIL USDA SOIL SOIL COLOR SOIL OTHER DETAIL 500 GALLON DRYWELL CHES) HORIZON TEXTURE (MUNSELLI MOTTLING SHOREY PRECAST CONCRETE DIMENSIONS AND DETAIL 37.27 500 GALLON DRYWELL USE H-10 UNIT LEACHING UNIT OR 0-15 FILL EQUIVALENT S T 07 INSTALL ONE INSPECTION RISER TO WITHIN S 15-18 O WOOD LOAM 10 YR 2/1 NONE FRIABLE INCHES OF FINAL GIRADE AND INDICATE LOCATION 18-20 E LOAMY SAND 10 YR 4/1 NONE FRIABLE 33.5 f t ON AS-BUILT CARD. m 20-24 A LOAMY SAND 10 YR 3/3 NONE FRIABLE 4J 34.77 24-30 B LOAMY SAND 10 YR 4/6 NONE LOOSE O O O Q 33 pp 30-76 Cl LOAMY 10 YR 5/6 NONE LOOSE N v N ��ppp0 pp QQQQ in MEDIUM SAND m D��aOoo�oaa ��Q 76-132 C2 MEDIUM SAND 10 YR 6/4 NONE LOOSE L � ppppp Q 1� 26.27 p 8.5" 8.5 8.5' 3 3.5 F t laz try NOTES 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN - 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. 5) EXISTING LEACHING GALLERY TO BE PUMPED. COLLAPSED, AND FILLED. OR REMOVED GROUNDWATER ADJUSTMENT 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE EXISTING GROUNDWATER LEVEL , s 7) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0" BEFOREr" 'ITOH'IN,G DOWN BASED ON TOWN .OF BARNSTABLE GIS DEPARTMENT RECORDS. SEWAGE DISPOSAL SYSTEM PLAN 8) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLA-TION OF LOW FLOW FIXTURES* INDICATED GW 23.00 AND APPLIANCES. AND BIANNUAL PUMPING OF THE .SEPTIC TANK I INDEX WELL SDW-253 -TO SERVE EXISTING DWELLING 9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR.-«L' Oi�DING: DO"'NOT ZONE C PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM "` a°E - RREADING EADING DATE 48.4CH. 2006 MIAN AND ASIFA SAEED 10) INSTALLER TO OBTAIN DISPOSAL .WORKS PERMIT BEFORE IS,T1.ARTIN,G WORK. ADJUSTMENT 3. 2751 FALMOUTH ROAD OSTERVILLE, MA ADJUSTED GW 26.5 11) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND :TRUE TO `GRADE..-ON .A LEVEL EEO ENVIRONMENTAL STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED`�'A'ND ON` TO WHICH SIX INCHES OF CRUSHED ST,QNE HAS BEEN PLACED .TO MINIMIZE UNEVEN SETTLING `. v 121 SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM 'REPA"IR AND CHECKED - 43 TRIANGLE CIRCLE SANDWICH MA 02563 FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE. ETE-23231 MAY 11, 20061 12 EL O W PROFILE ALL PIPE ELEVATIONS SPECIFIED ARE INVERT ELEVATIONS VENT PIPE TOP OF FOUNDATION RAISE COVERS TO WITHIN EL 41.88 6 in OF FINAL GRADE --- r = +- ONE INSPECTION RISER FOR LEACHING GALLERY 37.50 /D-BOX MAX 2"112YST ONE I/8" �3" DROP FLOW LINE TEE 34.50 1B" - 14' 48" �As� PRECAST 3/4"-11/4" BAFFLE DRYWELL STONE 38.11 +- 6 in " BOTTOM OF EXISTING STONE 33.88 LEACHING SOSTEM SIL SORPTION EXISTING BASE EXISTING 34.05 GALLERY EXISTING 33.75 5.00 Ft, + 1500 GALLON (END VIEW) 31.75 EXISTING SEPTIC TANK 46.5 ft" a) 5 ft 12.5 f t b) 14 ft ADJUSTED y 26.50 SEASONAL HIGH GROUNDWATER cpvc)g N1now 1N3�d -�o 3 03 a rT 1 A �n� A mm- CD 1 ��z zm� m cn<z Z � w 1 1 -I>- n m m y r 1 Coon I mZ z m � 1 ® N „ 0 3 m 1 v1 e'EI 1 >m m � m u I Cm> J'> A�, r V\ > -u w 1 �2 o rn I CO D �k mI F oo z yN r�1 I ;7C Ul F- M �x r� rnrn� 0�-0 rn p coM N 1 �� I N ...c o Motif 1 N 1-0 1 ry-z .tl �z 1 NNw m - yam Des ZOO O z a � -.�� < ► Z °° I m A, '= m coo 0 o 1 m 3 CA) I nl a r (-1 n c� �136ONOO G sil�S� � OIl dd 1 °� (n 3ovavo I co rn rn I zx oa11 moU= � N cf) 1 r� �rnnmU' �� FC' LIl 1 1 Z 0 o3mr _ p rn �1 o�s�A m �cnm G� z (-)ZO-<D cO ID M �� W �mm��l U1 CO -dm� O�=0z 3 —� —I 3oAAm y y�y l � -i 7 � � C FZ �Q' O �� 1 C �Ozu)U Q rn i-405.mo rn 1-T C ,-per mm I >z>.a0z rn (� = z m(f) � ®o � C3 >(n-�{> N O O T m I Ln >OOOz N cn Q XD mm n�A 0� c' � Z m a y 0 COcnU) OD mzan: > Z >rn y _ m o cmn o z _ �� O T,gNG<F�O z Z 0 0 5j�ooc m a m C o m O o < cf) ° a �3�Drn 19 CD n m l J O p m z O -< 0� (D N �_ o0zMmz O > Z FTI O < >o'mm OF- - � 0 3 r n Zo c� co 3 F V J C-`J)��2 Z m � 3 a � o�d� 0-10 mor rn y o m z�z \ �T �1'II��ySO "3 0 N I— Z V pd0 e ! ' e 1 r !, r {0 4r f. F ALMU UTH ROAD i 54 IIfGCL 39.30' 5 k =__===- 0 _ ________ _--- 52 ♦y Ell V 51 LO Ln . 50 J o �5 0� v 106 10 05 0b 102. o 101 . 09� 00. �� .. R L NOT 7 E TOP FNDN. ".:N.Y Sl-/ ORADE OVER FINISH GRADE ��, c� -- 7 J c, E'L . �-5"• S FTN?SH GFIADE ?->=. FINrSH GRADE OVER i.�. ST. SOX OVER TRENCHES %a a',o SEPTIC TANS 34 •a.p :q aA r ^ 12" MAX. v',+. s� Clo'R `i"�J"CC /TitC '; rtA �' f7Ti�"CC�711,trR1�fiT ��TT.�Vl7 �l3ficCC'Tlit�P% �Y/i,�Cy a o. .4. a....q,.,•�•, p. p.e•??' ,4 •q•.e>• .q-aa #c.'�0•..+r .3'. t7-.A-�.b(3,p .� G^'2, / • o..r. : TOTAL LENGTH OF TRENCH ca o. p,pe a a °� . OUTLET PIPE LEVEL , , M� FOR 2 FT. M°YN. �.O�O� it •e "o b r.p0o(S O.. �• d ?+�d .,....... .,,,tl•a+: a !c$ .. �. r •, ha w,' 'w r 'yi O°0 A ,m. o,0,::p� ° as •� �' �� ., _..,. ..b ., �.•�, :,�, : ,• Q�,q •r,•••, ••. # '� .a,a-„ ,.,, .... q.t Q<r" RIka!' "• - •� .rp" K• /c•SU 0� •Q, � ;,r. k'�tY ��.,ma ,._�� _ er s,•8 �• Op-p,y. 17 q �} q w�-•••^•=^^� � .',04 • E7/ G' L". .T. OR ,'�Vi. TEE.ci •�-$ ". �� . ,.� i !!.gip��'"� �'�, c>� ("}�� ; �`....� ��— �p00 r _ C• 0 0I6 r 00 pi � °J. rill, EL sr o a:BSMT FL . l 7 s:�T L L ON L E VEL BASE °° OGALLON YAIEL L S ,•oo �e mow } )mow ` PC.+ a.1 T l.d t�d.r PE— d :4. ,A,..cD e,l.•. �.• sy 0 —7/0 REINFOPCE—D 10 b ° "+ G —C TION TPEAI:L• y t$ fk �a CAS; G 's ,A �S Q 9 M:' /t'" r-:.• ."•ate"..,.. .,.,„„. „. m,.,,... .,,,,.,rr... ,, ,,'M ...'.'.' .., ,,,,•,y„,.w+a.*w••dN" r �, t/v!r" l� r Fi/y cx -T lr`NJ+TLL a LEVEL BASE L9 a SBdNo,(E.- EXCAVATE T,SLLLIPE ✓.GS 1-11 µ.. . REMOVE 7T�fi�UIiCs"rt7 t11� AM TERIA L LE NEA TH" THE L EA�'HI APE � 4� DIAM. 12" ITN. REPLAOE E/CA VA TED I TEJ=�IAL WI TH � 3" OF 1/g"-1/2' CL E: N® CLA ' FFEE SAND .4; `� � ' ru MASHED PEASTONE WAS _-T.1S' .►-�c $ F � � �,� `~~ _ „ 3/4�« _ 1-5 /�:�" il 9�lED �® ,�a �'•` ��<� .,.•., � � ,� i CRc�S�IED .�TONE' . , =W . 77 3 .r�',R - E - r ., ., ,/� �r��1"N i�a'�L �.�AuSED ON yk�...>U,�'ED ,hulas OF � 4 � ,�:L� �°�� RE R TRENCHES �? I :�^y y� y �,��g y� �w �• �y�rq 2 L f"'°-.. 'i'"x vJ `� . Sd�'� TW t1e� 0 BE CAS I .a��f 6"�YN I _ rJl BE F CIF DP YWEL L S 2 - — , T�,/�:` D ��a�" O� �•a�'�- Td�'r� W�.,�a T DE NOT.�F rie�� R , \ 1 l/°/EA' D�/W'.�T�aUC:,�'.�1•' C a/ L ETE PRIOa� �' �..g _ � § PERCOL A TION RA TE' r TO SA CI F IL LING _ _ N. �4. ANY CHANGE IN "�'1'..' PLAN MUST BE APPROVED <^TNESSED� /�"N„�/a�8 Y SY THE �CIA, ;�D O«��°" _,-;EAL TH AND CA PE G ISLANDS N.�✓// lls,., ^/• 1 7 m.. EDd"Yi`iPD UARPJ SURVEYING C'O., a y' _ ,,° :✓. i A T�.R.� L S ANdO „.,TALLAa TION 50HALL BE IN C,O, PLI,ANCE : .7 Ti-,' Ttda�.� S TA TE , ANI TARP FFAPN5 FJRD: OF HEALTH •.�G D, T� pia ti h° " ,� DA TE:° ✓UNf- 2®,_•1996 CODE — TITLE V AND L OC,4 L APPL ICABL E K- C14R'OLE:.5 A D �TE�7UL IONS _ __. . 7 2 NUi�Ela OF ,�ED�®®MS3 � $ �,�� = �!. NOR T/�°/ ARRO .�•a� ROB/ �/E CORD PLANS ANO " �r � a ; �`� � � .,2 __ _. POSALIS NO'T TO S w �S D FOr , � � URPO SA �/ „ '' � ra. GA�1�At�°�' D�S NO ��AR P _ GAL . 7. FL GOD /`//r�„ � . `p. , c (NON HA.bra PD) da.,oy _ , LEAIL Y FLOW330ca oNo , � ' \ S. A TER SBP Y 7'dO�IN ,�.� TEP ' �` �jy^a �' ,may ry ' 1500 GAL . � _.. IoY�i ��,t� i ��`/- T�L.r �AN�� 1��t9/ D.I'M ; �, �6 SEP T.I`C TA1VK PPO VIDED ?500 GAL . c� ,�, W sod pr+. //y p�{� g/./gpp�� /y�y��/qp/+�.r EA 4.�J ING ( li...�A Ui7 /i.D® 330GPD. e e4 a%aety — �= SIDE ALL AREA -152 S.F. 2S.F. . 74 G/S.F. 112 GPD. BOTTOMAREA -329 S.F. c' _/m a ct a u e" 3�29 74 243rk5 F G/S.F. _355i� iV4__ LEAC/-/.77�G P6�0S/IDED GPD yyr,I .� _.!�iSD ELE�'A TION � ,�� 4;?. ;e,�Il"G CONTO /�°CE RVA TI4��N P,/'7 LRIBUT. �� BOXP P E ,5Ed d I P ', . S YS TEM REPA PEED FOP SEA ; TANS° 5—, ONSTPUCTI N L 2—5 (H U�: E 751) IT•E. FALMOUTH PD. Ci ST H '.� L I F , �NSTALPL MA5�". 7� P°�'P"i INVEF'T EL EV'A TION � a � J� e'DA TL• �/ '� �` ° PE G ISLANDS ENGINEEPING 19 PLOT PLAN AS NOTE 1,�3 F'AL,' 'OUTH ROAD SUITE 2E SCALE. 1MA SHPEE, MA SS. t/ A at,