HomeMy WebLinkAbout0073 GARRISON LANE - Health 73 tARRISON LANE, OSTERVILLE
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DOWN OF BARNSTABLE
Isl l +
LOCATION �e SEWAGE #
VILLAGE ASSESSOR'S MAP & LOT
O :212
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY0
LEACHING FACILITY (ty ) (size)
NO. OF BEDROOMS
BUILDER OR OWNER D
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
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TOWN OF B STABLE
LOCATION e- SEWAGE#
VILLAGE t' ASSESS 'S MAP&P4RCE _
INSTALLER'S NAME&PHONE NO. o
SEPTIC TANK CAPACITY , -
� IILEACHING FACILITY:(type) (size) �5 b® a�
NO.OF BEDROOMS
OWNER
PERMIT DATE: 3 e COMPLIANCE DATE: CS I.5
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 faci' ) t. Feet
FURNISHED BY 0
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No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
j Yes
/ PUBLIC HEALTH DIVISION - TOMIN OF BARNSTABLE, MASSACHUSETTS
ftpliLotion for bisposoY *pstrm Construction 'Permit
Application for a Permit to Construct( Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 7,3 6}1Q�&s01v G Al Owner's Name,Address,and Tel.No.
&S7X40-V1CI-C S,H*44V Oct?,3PA7-4t/G
Assessor's p/Parcel 73 73 4049/6on/ LN of.7, 826 35
P? &X7 Designer's Name,Address,and Tel.No.J,:/J —
QJ v �11c-/W01.7 / 9iva//VEEE e A,Cc
t(d— tas) �49-s=/22s-
Type of Building: pit S
Dwelling No.of Bedrooms Lot Size 3540 sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) .�.�D gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title G O r -f 5"77C /JLf}Al 7 3 S 0 h/ �/t-, O-C GC.-,�
Size of Septic Tank / o Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) 1204N 6V"o 4132 S f -4 7W
R"t-/35-AE G// 5- /3/2 S 115
Date last inspected:
Agreement:
The undersigned agrees to ensur r m ' ten of the afore described on-site sewage disposal system in
accordance with the provisions of e 5 of the Envi nm ode t to a operation until a Certificate of
TICompliance has been issued by t is Boa lth.
3 i d. Date
Application Approved by Date
Application Disapproved by Date IT
for the following reasons
Fn
Permit No. -- Date Issued
2Mr , / ����.:! A tf•..ilk /J+ �
J
No.
� Fee �
1 THE COMMONWEALTH.OF MASSACHUSETTS Entered in computer: u�
Ye PUBLIC HEALTH DIVISION - TO S
2iprication for Mispos"aMpmem Construction Permit
Application for a Permit to Construct Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Locatio"n-Address or Lot No. 7 3 GA/12rs'ti L AlOwner's Name,Address,and Tel.No.
(js77G-2c/ic`E. S/IA96V jC17ZAe7.121C/c
Assessor's Map/Parcel .. Q 7 G N bST• b 2 6 55'
ill s �a Addr, 6a d,TeL- -. - Designer's Name,Address,and Tel.No.
��� ( C)-� , �2'pthovn+ EicliiiL e E-.�iit Cf
" z� / I(QJ( lt~s 4,/r-/Z 2 s
Type of Building: s�L/rJ
ra° Dwelling No.of Bedrooms Lot Size 43 j v�O sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures N "
Design Flow(min.required) gpd Design flow provided �'`S gpd
Plan Date /-/�-)j Number of sheets 71 Revision Date
Title / tOT I-)IAN 73 65/1221sary ps7�I'P,
Size of Septic Tank /�o Type of S.A.S.
Ir
Description of Soil -~
Nature of Repairs or Alterations(Answer when applicable) es'/G y ,c '/�9
-� Date last inspected:
Agreement:
The undersigned agrees to ensure the-construe;on�and-Tn ten�c of the afore described on-site sewage disposal system in,
i accordance with the provisions of it eI 5 of the Envi nme ode a d of to la e4he'syslemiji operation until a Certificate of
j Compliance has been issued by t is Bo o `ealth.
/ i ed' q Date
Application Approved by �! , ii Date
Application Disapproved by // / 1. v Date
for the following reasons '•,
t
Permit No. Date Issued
------------------------ - -- ------------------------------------------------ - -----------------------------------------------
�_ THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of (Compliance
THIS IS TO C Y,that the On-site Sewage Disposal system Constructed ) Repaired( ) Upgraded( )
Abandoned( )by_ 4
at 7 3 G /2// 5 6,v A7,L d S7X;�,OC`Ehas been constructed in accord
7—'
with the provisions of Title 5 and the for Disposal System Construction Permit No. ",d
Installer Designer
#bedrooms Approved dpsjgn o l ) gpd
The issuance of this ermit shall not be construed as a-guarantee that the system wi 1 of on as djne�.
Date �( �,tl I Inspector v
--------
---- -------------------r------------------I- -------------=----------------- -------
No. /� `r Fee
1, THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS
Misposat 6pstem Construction 3permit
Permission is hereby granted to Construct�k-) Repair( ) Upgrade( ) Abandon( )
System located at 7 3 G M A/. S
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:Constru j on ust b com feted within three years of the date of this permit.
Date Approved by
Town of Barnstable
oF 'oyy Regulatory Services
Rickard V+Scali,Director
eaxxsr LE,
MAS&
Public Health Division
9$ sb3q. �
Thomas McKean,Director
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Date: Sewage Permit# n/.�_ 029 Assessor's Map/Parcel 14—73
Installer&Designer Certification Form
Designer: )GA16 7i/XAMIA1tFRWv 4+6 Installer: 12 Y# (-On��w JA,C
Address: /7 f}cfr"40W lfirvf_ ;+'2od Address: /"11 )6D SL
�ftLM /� 6�1q- a 2Stfa /Y�/A2STJ'rv5 l�/6 GS ����8
/Z 2 S (52W):n9— 6r73
On 2 /o /S 12- 'p- was issued a permit to install a
(da e) (installer)
septic system at 73 GAiQIelSO 11/ /11f ` based on a design drawn by
(address)
(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. Stripout (if required) was inspected and the soils
were found satisfactory.
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State&Local Regulations. Plan revision or
certified as-built by designer to follow. Stripout (if required) was inspected and the soils
were found satisfactory.
fy that the sy tem referenced above was constructed in compliance with the terms of
the U roval ers(if applicable).
I" OF M9S
`r9
MICHAEL J.
i e) 80RSELLI cGn
CIVIL ~
No.35054
A�'O 6! STE��
( esi Signatur (Affix Here)
PLEASE URN 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',office formmdesignercertification form.doc
CIVIL ENGINEERING O WETLANDS PERMITTING
fi.
WASTEWATER DESIGN ;. COASTAL ENGINEERING
£ m
TITLE 5 PLOT PLANS ' PIERS AND DOCKS
LAND USE PLANNING o COMMERCIAL/RESIDENTIAL
Serving Cape Cod and Southeastern Massachusetts
August 12, 2015
Town of Barnstable Health Department
Hand Delivered
RE: 73 Garrison Road, Osterville, Assessor's Number 114-73
To Whom It May Concern,
On August 11, 2015 we observed the installation of the new septic system at the
above referenced property.
We determined that the septic system was installed in substantial compliance with
the plans and associated details prepared by our office and approved by the Health
Department.
OF MAssq
per' MICHAEL J. �y
BORSELLI cGn
o CIVILm
Sincerel , 9 No.35054 O
F0.1,z
�FFSS/pNALEN�'���
Michael J. Borselli, P.E.
President, Falmouth Engineering, Inc.
Cc: David Parrella
17 Academy Lane, Suite 200 • Falmouth, MA 02540 • 508.495.1225 •www.falmouthengineering.com
Town of Barnstable. i
Department of Regulatory ServicesPublic Health DivisionDate
MAW
200 Main Street Hyartdis MA 6 1
Date Scheduled f Ttme Fee Pd. �' i
Soil Suitability Assessment for Sew e D s o
Performed By: - « rt Witnessed By: 0
LOCATION&GENERAL INFORMATION
Location Address 73 Cs'3Lrison Lane •1 —4i,.-Owner'sNamesharoni Fitzpatr _
Osterville, MA = yes
' �
oad
r , , 0 1
52 Ha
mik0falmouthengineering.com i tervill_e, R
'� MA 02632 6h�'L Ciw►1t'RSftP
AsseseoesMap/Parcel:114 073 ce5aefe Borselli, Falmout
NEW CONSTRUCTION REPAIR _ _ ng, . .. ' _^ 12 2 S
Land use Residential slopes("�,)
f Distances from: Open Water Body 7 2 ft Possible Wet Area�ZOU ft Drinking Water Well 7 DO ft
Drainage Way 7 200 ft ^Property Line 5fe� ft Other ^. .•— fty r
r
t SKETCH:(Street name,dimensions of lot,exec[locations of test holes&pert tests;locate wetlands in proximity to holes)
r
' Q
Gs
95
7,11
C"7 F CZSZ1 O iJ -7_l-=f�>\1 l✓ "`_ i . - j
Patent material(geologic) SpttJXZ�' DepthtoBedrock
t Depth to Groundwater: Standing Water mi Hole: u 01.�r3— Weeping from Pit Face N
{
Estimated Seasonal High Groundwater 7 1.O rT.
_ 4
�' =DETERMINATION FOR SEASONAL HIGIi_WATERTABLE �� � '
Method Used: �Tn41{ -
Depth Observed standing in obs.hole: - in. Depth to soil mottles' `�'•'� _...in
Depth to weeping from side of obs.hole: •in. ,Groundwater Adjustment ft.
Index Well# Reading Date: Index Well level t Adj.factor Adj.Groundwater Level_
r `a
PERCO_LATIONpTE5T _wuate Time
Observation
Hole#
`\ �1--� itneat
Depth of Pere- y.t. ..::•t•t}.g flr; '1$ ... ,t..sr. -r( r 1;y; ':Time at 6"• (, ! :pr� l - ;,..
Start Pre-soak Time Q ft.I , tr•°Y ' ,
End Pre-soak Y
Rate MinAnch,rr ,: :. L!57 .✓ -�•.....t+•.._ T;:rw z•' 't _ "tJ rct t.4 r;i
rC:+ i.W.W -d tad^ 27%.'7,ol, -lv? -t,t 7sj•i �tfd?r7 .}rt.,. 'PSI C.•r. T;. :rl.*'^. t ° .at, „fit. S� ..:.+ {. -
Site Suitability Assessment: Site Passed Site Failed. Additional Testing Needed(Y/N)
Original: Public Health Division'' Observation Hole Data To Be Completed on Back + ?
***If percolation test is to be conducted within 100'of wetland,you must first notify the
Barnstable Conservation Division at least one(1)week prior to beginning.
I
Q:\SEPTIC\PERCFORM.DOC
e
,_ .:
-DEEP'OBSERVATION HOLE LOG Hole
Depth from Soil Horizon - -Soil Texture ' ^s Soil Color •• r Soil 'Other
Surface(in.) (USDA) ,,,,Tunsell)..r. Mottling (Structure;Stones,Boulders.
rFi .. %, Pi I '' . .�' o i tency%Gravel)
N
L 5 -\6
30t R Lr S 10 tZ 6 h
30'- 137.` C" CoAf,.S% z 5
DEEP OBSERVATION HOLE LOG „ _•_.. Hole_# Z.
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel)
DEEP OBSERVATION HOLE LOG _, ,Hole#- 3
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders.
Consists%Gravel)
S+ yV
DEEP OBSERVATION HOLE LOG ,.:-,_ Hole# _
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Cyravcll
Flood Insurance Rate May: / /
Above 500 year flood boundary No �1 Yes V
Within 500 year boundary No.
//yam r
Within Y �9 100 year flood boon No V 'Yest
—
i Depth of Naturally Occurring Pervious Material
ASH OF M Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
Q q area S proposed for the soil absorption stem?
P P rP Y
MICHAEL If not,what is the depth of naturally occurring pervious material?
o
BORSELLI Cn Certification I� j
v CIVIL certify �11. 1 J�t�a ) passed PP y
I certi that on to I have assed the soil evaluator examination approved b the
No.35054 r i Department of Environmental Protection and that the above analysis was performed by me consistent with
ADO�C�S T EP�O Q the required training,expertise and�erience described in 310 CMR 15.017.
�F`SS�ONALEN Signal.Y i r Date — 9`�
Q:\SEPTIC\PERCFORM.DOC
Town of Barnstable6 Barnstable
° Regulatory Services Dep■( artment
i R y
Public Health Division.,..
639
200 Main Street, Hyannis.MA 02601 2007 .
Office: 508-862-4644 Richard V.'Scali,'Director
FAX: 508-790-6304 Thomas A.McKean,CHO
J k •
CERTIFIED MAIL# 7012 1010 0000 2851 3870
Octoberl6, 2014
Donald M. ORourke w `
73 Garrison Lane -
Osterville, MA 02655
The septic system located at 73 Garrison Lane`, Osterville, MA was last inspected on r
9/21/2014 by Trevor Kellett, a certified septic inspector for the State of Massachusetts. ^, '
The inspection of the septic system showed that the system ".Conditionally Passes"
under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
• The distribution-box needs to be replaced.
Septic Tank outlet tee must be replaced. - °
You are ordered to repair or replace the septic systern*within sixty (60) days from the
date you receive this notification.
Failure to repair/replace the septic system".within the,deadline period will result in future ..
enforcement action.
PER ORDER OF THE BOARD OF HEALTH °
Thomas McKean, R'S. CHO _
Agent of the Board of Health
I �
iI
Q:\SEPTIC\Conditionally Passes Ltr\73 Garrison Ln Ost Oct 2014.doc
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iLoggedTuesday,October 71
i
Parcel'! Detail 2014
Parcel Lookup
M
G
e Parcel Info f
Parcel Developer
ID 11�-073 dot LOT 212 ,
Location 173 GARRISON LANE Pn 213
Frontage
it Sec� I Sec(�
Road I Frontage
Village JOSTEMILLE Fire( District u MM I ► I'
Town sewer exists at this
address No Road Index 10591 ----�I
Asbuilt Septic Scan:
Interactive
114073_1
Map
• Owner Info
Owner OROURKE,DONALD M I Co-Owneri. ( '
Streets 173 GARRISON LANE Street2
City FOSTERVILLE I State Zip Country
i Land Info
I ,
Acres 1.00 Use Single Fam MDL 01 Zaning RF-1 Nghbd 0116 ='
�•
' start ��r 4;1SEPTIC1Conditionaily 73 Garrison Ln Ost Oct 2... Documentl-Microsoft... Parcel Detail-Windows L..
BORTOLOTTI CONSTRUCTION, INC.
P. O. BOX 704, MARSTONS MILLS, MA 02648
508-771-9399 508-428-8926 508-428-93991FAX
SEWAGE DISPOSAL SYSTEM EVALUATION
Inspected By: Date:
Property Address: Map & Lot#: j/S/ 073
Owne Buyer:
ailing Address: / �t./�1 7
NOTE: A satisfactory evaluation does not guarantee that the system will continue to function.
A Sketch of the property and sewage disposal components must accompany this form.
RESIDENTIAL COMMERCIAL USE
Lot Size: Lot Size:
No. of a rooms: y Type o Business:
Garbage Grinder: a er tener: Sq. Ft. of Bldg.:
Other Water Use: Appliances) No. of Employees:
Water Use Activity: C
Year Round: , Seasonal.
Water Source: Water Source:
Septic System Installed(Date): / Title V Yes ( No ( )
No. Size Length Type Ft. to Ft. to Condition
Well Wetland
Building Sewer
Septic Tank / b ,4 ,,)/a \
Effluent Pipe
Dist. Box o q IA /A
Dist. Pipe
Leach Pit / /000 A ,4 �2'
Flow Diffussor
Leach Trench
Stone
Cesspool
Pump/Chamber
Evidence of Ground Stain Yes ( ) No Unknown ( )
Evidence of Breakout/Overload Yes ( ) No Unknown ( )
Evidence of Overflow to Surface Yes ( ) No Unknown ( )
Evidence of Lush Growth around Pit/Cesspool Yes ( ) No (V) Unknown ( )
Standing Liquid in Pit 112 or More Full Yes ( ) No (V) Unknown ( )
Evidence of Excessive Pumping Required Yes ( ) No Unknown ( )
nunents:
/D
i
ysC/,,
CPO' 8
Fps5...................
THE COMMONWEALTH OF MASSACHUSETTS ;
BOAR® OF HEALTH
.................OF......cs� .......---...............---------.....----•----.............--........
Cst 4.......
Appfuattun for Uhipugai urk�i Tuustru.rttun Vamit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at: i
..... I Y..l...f a�.!.............. yt.. ...... .... r - .... - - - ..................._.._................
Lo do Address
. ....... _rk4---------------------------- ..2(;.7.... _x.._..f-1�
O ne I Address
a .�_ ...-.. 1. ... 4.
f...........
Installer Address
dType of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms.....................................Expansion Attic ( ) Garbage Grinder (,Xj
Other—T e of Building No. of persons............................ Showers — Cafeteria
Pa Other fixtures .---.._..---•----------------------------•-••-
W Design Flow.....X�...........................gallons per person per day. Total daily flow........... ...................gallons.
WSeptic Tank—Liquid capacity/S_Mons Length................ Width................ Diameter---------------- Depth................
x Disposal Trench—No. .................... Width.................... Total Length............................. Total leaching area....................sq. ft.
3 Seepage Pit No.../................ Diameter.... &......... Depth below inlet....._...........
Total leaching area-_-(A_....sq. ft.
Z Other Distribution box ( ) Dosing tank )
Percolation Test Results Performed by.....4. 1-f Y.......� ._�.......................... Date...``.�5P/��_.........
aTest Pit No. 1/."�..2-.minutes per inch Depth of Test Pit.................... Depth to ground water....................--.
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
-
O Description of Soil----------- C ,'v` _-----• ' ----••-
x
M
W --------•--••------------- .................................................---------•••-•--••--...---•-•-•-------•------•-----------•-----------------•-----------•••--••--•----------._...--•-•-•----
UNature of Repairs or Alterations—Answer when applicable...............................................................................................
--•-------------------------------------------•--------------•--------••-------...............-•----•---=-•-•-----------•------------•-•----•------•-----------...--•------------•----•--••--•--..
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of HTTI-. 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...� 0...�6r- - _................................ �
.�-Z-
D t_o
DAPPlication Approved BY ----------------- V �aApplication Disapprovedfor the following reasons:---------•------------------•-------------•--------•--•---------------------------------•_. Ye
s......-•-••-
••••••--••---------------•-------•---•--.....-•••-----•----------••----•-••--•-•-..._........---------•••-----------------------•-------••-------------•----•••-------•-----------••.
Date
PermitNo......................................................... Issued_.......................................................
Date
t _ %6 3S
No.-- t�::._ .� L�, Fps .................
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
r�a� / OF......4Zr:...............
Appliration for llispwi al Works Tomitrnrtiun ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at
� P
..... .$.L'1'.l..S.d .!.........!: 4Y1..?c:...._....�,5:!- " ��!.�.I. c •>
........................................................
Loc do Address / .o or t N
Owne � Address
t
.� Installer Address
Q Type of Building Size Lot............................Sq. feet t
U Dwelling—No. of Bedrooms............. .__._Expansion Attic ( ) Garbage Grinder (Xf
p4 Other—Type„of..Building ....,F•._;.__.A.....__.... No. of persons...... .:.................. Showers ( ) Cafeteria ( )
sr Other�fixtures `` _-------•--
yDesigri Flow g P P .P y yr' �---- . gallons.
W , i7 F*."%�__.. ,gallons per erson er da Total dall �fiow....... _ __ lons.
WSeptic Tank—Liquld capacity/�P4'allons Length°_.._ ..WWidth.:. .......... Diameter __.___........ Depth................
x -,'Disposal Trench—No. ......__ ..... Width.................... Totdi;!% gth............I...... Total leaching area_._......,_...__._.sq. ft.
Seepage Pit No._./.......:.. .... Diameter.._. Z,........ Depth below inlet......4........... Total leaching area.-r�a-�s,�_......sq. ft.
z Other Distribution box ( ) Dosing�t nk )
~' Percolation Test Results Performed by...... �c}�__.4 ___d^____ �... Date..........................
,.a
�.!'-_Test Pit No. 1.� , :.minutes per inch Depth of Test Pit____________________ Depth to ground water..___________.___...,._.
G% Test)9,'t No. 2................minutes per inch Depth of Test Pit.................... D"epth to ground water........................
iiJr ..............
Descriptionof Soil....... { ✓ .......... ------•----------•-----------------•--•---••-•--.--•---•. -• --------------------------------------
U .....-•---------•---...-•------------•--•--•---------••-----------•-----•-••--•--••-----------•..............�......--•----•--------------•--••_-•-• !
W ............................................ '� ...................................
U Nature of Repairs or Alterations—Answer when applicable................................................... ..........................................
...4--•------•--------•--------------•-------------••-•---------------•---•-•-----•---------------•-•--------------•-••---•....
Agreement:
The undersigned agrees to in.Vs6ll the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of T I Q,TZw 1- 5.of.tom State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been-issued by
the boa�rdof h lth.
Signed--- 0.. - -------•-•-••----------. ��
... < �,,/ Date
Application Approved By............... ... /= %/ �
p t Date
Application Disapproved for the following reasons:-----•------------------------------------------•-----•---------------------•--•---------------•------........_
--------•-----•------•--...•----•......................................•-•----•--•-------•-•-........_.._-------------•----•--•-•--------•--•-----•---------------------...............................
Date
�r
Permit'No....... 1 as ; . Issued--------•- --- r .
-•••--••-•----•--•----
--- r.% ` ' ^""r••°` 1Y Date
u -
THE COMMONWEALTH OF MASSACHUSETTS
f .
BOARD OF HEALTH
..........................................OF.....................................................................................
�rrtifirttt�e ,af f��aan�li�anrr '�
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by..... it 7-f -......... ......................------------------------------------------------------------------------------------------------------------•---------
Installer
at.._... Q. .2 .gl_P,av' ��9.�t .._._._..... �St_lff�(r"-•-----------------------------•--•--.........------------
has been installed in accordance with the provisions of TIT IEp r of The State Sanitary 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 SA IS CTORY.
�� � n1
DATE. ....... =t •--•--......... ll.. ------------- Inspee or.... 1 Y ...................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF.....................................................................................
No.... ,,�_...._.....G.d' 7 Y. ev FEE.....3. .........
"Viopm al Works Tnnotrudion ranfit
/� r
Permission is hereby granted......1.ao •-rel ......--.IrW-14................................................................................
to Construct( or Repair ( an Individual Sewage Disposal System
atNo.........- p ....... .r . ..............�5: ''i 2' s ✓?------•-•---.. ..................................................
Street
as shown on the application for Disposal Works Construction Permit No..................... D'ated..........................................
�B?, ]'%ah
DATE............................ •-•- --
FORM 1255 HOBBS & WARREN, INC.; PUBLISHERS -
t �S 4�=rf•l C�L�TA
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- - - DATE: 01/09/15•: �:. .: -
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PRCPOSED
ELEVATIONS
PROPOSED REAR ELEVATION
5GALE:1/4" = 1'-0"
. A_�
g
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10' 55' a'-8 1/2" N a
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BATH 35'-0"
N
MASTER
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a
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Lu
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U, GREAT ROOM J lool 57oRwE GARAG�J RootsLINEN
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DN
0
/; PROJECT a 1402
GUESTR BEDOOM
11'-6"x t8'-6" $ L11 J___--_-_ _-____ ❑ __ __ ____ DATE: 01/09/15
ID
3 _
, _ REVISED:
7 0
o�
,�•(� € COVERED
3 DINING ROOM PORCH KEG,
CATHEDRAL G 11'-0"x
ABOVE
EXISTING
SCALE:A5 NOTED
PROPOSED
FIRST
FLOOR
COVERED
PORCH PLAN
Y
g_2^ 27 26'-711/2" 2' 20'- i/2" 28'-9"
25' A-2
PROPOSED 1ST FLOOR PLAN
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DATE: 01/09/15
I11
REVISED:
i
SCALE:A5 NOTED
34 PROPOSED 2nd FLOOR PLAN SECOND
FLOOR
SCALE: 1/4" = 1'-0" PLAN
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LOT 201 GOLF CLUB qa
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JANE L. BODELL, TR. �..
fARKER NECK
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O
20.8
of STAKE
PROJECT w
SET +z,.� ,ti2t 4 Wp
1.7N71'12'29"E pOs FOUND
LOCATION aA
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AVENUE BLALW t9NY1 CHq/N L/NK FENCE 2,.2 205.52' STAKE �w
21.1
WOODED O MULTI SET 6" LECTRIC
TRUNK 14" 120.9 PINED SERVICE
DECID. PINE �+z1.0 ,'Is
OAK .-- '
0+21.3 O 2' , t 2" 20.4 - NAN77lCKET
OAK ,� PINE
1.0 � 20.9 SOUND
co W'
CRUSHED COBBLESTONE , CRUSHED
21.40�0v STONE ORANGE STONE Z LOCUS
LOT 212 N FLAG C� NOT TO SCALE
43,560t S.F. 21.2 (TYPICAL) v ---�
r. �L0.7 O 18"5
k21.5 1.1 /,� OAK 000
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, 20.1
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MITTEMORE, o ,li
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2 gR�
TR. ET AL a _ 3 BRICK ``E� 20. J I
l� 20.3
OR/!2'l 4A - o/
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NEw Pqn 2 22 ` 2,ONCE iMULTI COBB LEST NE- " IEDCE i 0 LEGEND
O BULK TRUNK ' ' - 20.1
STONE OVIDECID
18" O OR i wS �� LAWN TH
THE CGYV7RAC7L74 Q _14 _ t3" ---20-- EXISTING 10' CONTOUR
-WALL L0047 �� R � 21.0 - PINE 020.5 � 19.8
VRPEMot� E PORCH 15" 16" z +21.5 EXISTING SPOT ELEVATION
yl W EL CEDAR +21.1 PINE Z w
ESYSTEAl TS P 22.47 21.5 12" O x21.0
Y ts' io w I a^ PROPOSED SPOT ELEVATION
Z E/V77RE7Y Q PINE PINE cp ^ -
Q A a. "
k 3 OAK NElY � a --- ___.r OAK EXISTING TREE
o 21.2 HOUSE 11
"G3 O /W'4L PINE O v, � CB/DH CONCRETE BOUND WITH I 0 FOUND H DRILL HOLE
40' �` � F.F. 23.06 � 12" ``
m 81 PINE cn O
WOODED � `�
h NE#1 PA770 TE WALK 82.5' w
� NEfY BR/ � o
w 16" ___ _ STEPS 21. t 4" 01 p w
12'21.1 THH 12" O N . w
OAK 21.0 OAK
21.2 NE,j, 2" PINE ; GENERAL NOTES. ��j" °�
>.SGID GALL aV . � q r
.SEPAL TANK »• F.F. 22.93 G'D!�RED O � �
PINE p MICHP,EL J. x
POROV 14"O THE 20.1 I C°RSELLI m "
--- 5.2' OAK Doug 1. HOUSE NUMBER: 73 v 9 No. a
TRUNK 2. ASSESSORS NUMBER: MAP 114, PARCEL 73, LOT 212 s �`
I 21.0 GAS 13" 19.8 � ' -
`�- METER
_ PINE Q � . . 21.. S
I GATE PiQGyvO,� h Z �fDN 1
2,.4� e GPy OAK O 3. ZONING DISTRICT. RF-1 N
120.3 LAWN BULK HEAD �G 1) t^
�9L4/ 211 21.20 CEDAR qs� \s220.s. . 201 4. FLOOD HAZARD ZONE: X (FEMA MAP #25001CO757J)
1.2 IRESER�-I
OB-5 TRUNK 15" 5. TOPOGRAPHIC INFORMATION COMPILED FROM AN ON THE GROUND SURVEY.
AREA ��� � O+
20 0 LAWN LAG J PINE OAK ofDECID.
2O 6. ELEVATIONS SHOWN ARE BASED ON NORTH AMERICAN VERTICAL DATUM.
-- - -- -- (TYPICAL) 7. LOT COVERAGE BY EXISTING STRUCTURES: 3,568 S.F./43,560 S.F. = 8.2%
12»
» i O O ,� LAWN PINE 8. LOT COVERAGE BY EXISTING & PROPOSED STRUCTURES: 5,218 S.F./43,560 S.F. = 12.0%
n +21.0
-20. 4/.5' I 12" O
PINE
FOND CB/DH WOODED EDGE STAKE O OAK
2,.4 s72
FOUND SET STAKE " i;20 21
STOCKADE FEN PLOT PLAN
ro8'45"w 30" SET °° ,5" FOR 73 GARRISON LANE
CE 21.2 OAK C� 2°205.49' PINE
OF w o Cr /DH PREPARED FOR
207 LEAC �2 °U"° BARNSTABLE HARBOR BUILDERS
M GALLa1/ H/NG ELECTRIC 19.4
5
LOT 210 BLACK NN12 aVAMBERS of 4'a SMWE SERVICE
IN
N/F CHA/N L/NK FENCE AZ ARaIN,0 AND 4'a-STOVE LOT 213 OSTER VI LLE MA
ALI & MARIA MOTAMED N/F PLAN DATE: JANUARY 19, 2015 PLAN SCALE: 1"=20'
JORDAN & BARBARA A. BIRGER
CIVIL ENGINEERING �j * O T T WETLANDS PERMITTING
WASTEWATER DESIGN L 1Vl (J r COASTAL ENGINEERING
TITLE 5 PLOT PLANS �, ` PIERS AND DOCKS
20 0 10 20 40 LAND USE PLANNING GINEERI COMMERCIAL/RESIDENTIAL
Ste- Wg Cope Cod and Southeastffn Massachusetts
SCALE: 1 INCH = 20 FEET 29 SIMPSON LANE UNIT 1 - FALMOUTH, MA - 02540 - 508.495.1225
PROJECT NUMBER: 14110 CAD FILE NAME: 14110SP DRAWN BY. L.M. SHEET 1 OF 2
SOIL TEST FINISH GRADE SHALL BE 2X N/N1N!/N OkER ALL SEP770 SYSTEM COMPONENTS USE 4'01,a SCHEDULE 40 PVC OR CAST IRON P1E
20'A11N1A&1Y SETBACK f)?6W EDGE OF STONE TO CELLAR WALL
Date of sail test: November 21, 2014
Test taken by: M. Borselli 10'N/N/MUN SETBACK REMOVABLE COVERS SET TO WHIN REMOVABLE COVERS SET
Results witnessed by: D. Desmarais 9'Or)W-9H GRADE(TOTAL OF J.) TO WHIN 9'OF FINISH
Percolation rate: < 5 M1N> / Inch 7GRADE(A!/N. OF ELEY. = 2t;Ot ELEY. = 20.5t 7ELE. = 2Q 5�
Ground water None Encountered �� •� �`` `` :
PERC TEST #14559
S 02 INVERT ELEV 3' MAX.
TEST HOLE #1 TEST HALE #2 2"LAYER OF 118 TO 1/2"
WASHED STONE
0" EL. 20.5 0" EL. 20.5 = ! 1500 GALLON SET F/RST SLOPE VARIES
A/E - A/E 2'LEVEL S = .01 NIN ELEY
4_ h SEPTIC TANK " O ®®®�
LOAMY SAND LOAMY SAND t
9" 10 YR 4 2 EL. = 19.8 9" 10 YR 4/2 EL. 19.8 N.
B B q I II ry D/ST. BOX -
LOAMY SAND LOAMY SAND NOTEA.• {FEET/ = J4.67
THE CONTRACTOR SHALL V£R/FY THAT 71c 1 W `t J, -� W N� �o
30" 10 YR 6/6 EL. = 18.Q 3O" 10 YR 6/6 EL. = 1$.0 R 191E ALPROPOSED INVERT O<'ELEKO 17.r9 E W I
h O W SET SEPTC TANK AND O/SIR191/TION BOX h I INSTALL J144 TO t 112'OW&C
AT rh'E FOUNDA17ON WALL LOCATION SHOINU ON Li"LAYER OF CRUSHED STONE , , 5.5t
WWAS7i'E9, CRUS/1ED STAKE ALL
AROUND G95'AMBERS AND DOxv
�., TO THE 60T70V OF 7H£CHAMBER
C C f p V��i C SYSTE,N REFER TO LAYOUT OF
COAR§E SAND COARSE SAND PROFILE
L.C. � SY3IFM FOR MORE D£TA/LS
Z ELEY. = 9.0(B07-7W OF TEST Ila,J
2.5 Y 7/4 2.5 Y 7/4 NOT TO SCALE
i
9 - REMOVABLE 24'O1A. W kERS REMOVABLE 24f 01A. COVER
132" IEL. = 9.5 132" EL = 9.5
77-7
{ 'r---�..,7FL OPEN AT 70P,SET !' - z"
MIN. FROM TANK 610WR 2 OUTLETS 1 3/4„
INLET KNOCKOUT ID LI t£lgZ OUTLET KNOCKOUT a OUTLET Q F INLET
INLET TEE'_wr OUTLET TEE SET ui !MEET TYPICAL OF 5 0
TEST HOLE 3 TEST HOLE 4 10 MIN. BELOW 14'BELOW - �„# # LIQUID Li -PEL L/QU/D LEVFL O `:7-77 � 6, 3�
O" EL. = 20.5 0" EL. = 20.5 GAS 9AFF1£ -
A/E A/E ^ = i 2 - OUTLETS '
LOAMY SAND LOAMY SAND
9 10 YR 4 2 El = 19.8 9" 10 YR 4 2 El = 19.8
19.5"
,I r
LOAMY SAND LOAM SAND PLAN VIEW CROSS-SECTION
30" 10 YR 6/6 EL. = 1$.0 30" 10 YR 6/s EL. = 18.0 I ,
DB-5 DISTRIBUTION BOX CH--10WADING)
=' N TO SCALE
C C 10' 4- 00 5'- 2'
COARSE SAND COARSE SAND JO' - 6' 5' - 8'
2.5Y7/4 2.5Y7/4
BASIS FOR DESIGN;
1500 GALLON SEPTIC TANK (H-10 LOADING) s
TI7TAL DA/L Y fZOiY 1S BASED ON 5 BED ROOMS, NO GARBAGE 0/SPOSAL
132" EL. = 9.5 132" EL. = 9.5 NOT TO SCALE �� MICHAEL J. ��
Z Q CIVI" ! m TOTAL OA/L Y FL OW= 110 GP0/SEDROOM.Y 5 BEOR00MS = 550 GPD
.4 a C!V!L -+
9#da ssosa a BOTTOM AREA PROPOSED = "2 S.F.
4 1 2" 1 1
("'� fi�s SIDE AREA PROPOSED s 217 Sr
® ® ® ® �r./ ® ® ® ®
2'-9" TOTAL LEACH/NG AREA PROPOSEO = 749S.F.
24" ® ® ® ® ® � � � ® ® ® ® ® 4PPLICAnlNRA7E= 0.74GP0/SF.
DESIGN LEACHING CAPACITY= 5540/0D,> 550GPD
CONSTRUCTION NOTES:
L 11VSTALLAT70V Cc 7HEPR000SE0 SEPTIC SYSTEM SHALL AW/N ACCORDANCE O17H TITLE 5 CROSS-SECTION 2-4--15 REVISIONS REQUESTED BY HEALTH AGENT
AND THE BOARD OF HEAL TH REGULAAONS.
2. A CCJPY 6F THE PLANS SHALL BE AVAILABLE ON 57TF FAR REFERENCE AT ALL ITNE"S $' - 6" DATE REVISION
OUR/YG THE 1NSTALLA770N OF THE SEPTIC SYSTEM. q _ _ SEPTIC SYSTEM DETAILS
a
J NO CHANCES TO THE DESIGN.S71ALL BE PERFOR0429 K17HOUr THE APPROVAL OF BOTH A 5" KNOCKOUT FOR #73 GARRISON LANE
FAL&011TH ENGINEERING, INC' AND NE BOARD OF 11S,4L N
PREPARED FOR
4. 771ES£PT7CSYST£MISSUB�.f 770INS�01VA01VBYFALMOUTf110NO)NE£R1NG, INC. 4 21" DIAMETER COVER BARNSTABLE HARBOR BUILDERS
AND 7HE'BOARD At-HEAL Th! z IN
OSTERVILLE MA
5. THE 6W7RAC70R SHALL N0771-YFALMOUTN ENGINEERING INC: AND 7HE904RD OF HEALTH # 5" KNOCKOUT - 5" KNOCKOUT
TO NSPECr THE SEPTIC SYSTEM PRIOR TO BACARLL. N SOME INSTANCES MORE THAN ONE PLAN DATE: JAN U ARY 19, 2015 PLAN SCALE: AS SHOWN
1NSPEC170V MAY BE NEEDED. THE CONTRACTOR SHALL ONL Y BA6,Y1&L TH£PORTIONS A`- Tti'E ' a
SYSTEM TIIAr 114W BEEN INSPECTED AND APPROVED BY FALMOU71V ENGINEERING INC. AND n
THE BOARD AV'HEALTH.
• CIVIL ENGINEERING �O�� WETLANDS PERMITTING
6. IF THE CYNTRACTOR ENC0l1N7FRS ANY VARIAITA'VS IN SITE CONL7ITIAV/S, SUCH AS DIFFERING 5" KNOCKOUT
SOW$ TOPOGRAPHY, W&ANOS OR OTHER CONVIAONS 7HArMAYREOtlIRER£-EVALUATION OF WASTEWATER DESIGN � � COASTAL ENGINEERING
THE DESIGN, 771E CaV7RACTOR SHALL INN£DIATEL Y CONTACT FALMO11IN ENGINEERING, INC. ,
PLAN VIEYI�'/�► TITLE 5 PLOT PLANS �x ._ PIERS AND DOCKS
GINEER�
LAND USE PLANNING COMMERCIAL/RESIDENTIAL
500 GALLON LEACHING CHAMBER -H-10 LOADINGS Serving Cape Cod and Southeastern Massachusetts
SCALE: 1' W 2' 29 SIMPSON LANE UNIT 1 -- FALMOUTH, MA - 02540 - 508.495.1225
PROJECT NUMBER: 14110 CAD FILE NAME: 1411ODT DRAWN BY: L.M. SHEET 2 OF 2