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0200 INDIAN TRAIL - Health
200 INDIAN, TRAIL Osterville A= 020 — 069 t TOWN OF BARNSTABLE LOCATION p2 0 O SEWAGE# 26 VILLAGE ASSESSOR'S MAP&PARCEL 07 - O 00.2 INSTALLER'S NAME&PHONE NO. P g-,01;?a-J 3 G 75 SEPTIC TANK CAPACITY / O n un v J,r n,e LEACHING FACILITY: (type) S&0 4�.J (size) NO.OF BEDROOMS it/A 4 I A OWNER (� GP,,,Q - ✓ PERMIT DATE: l0/oZ 9 /S COMPLIANCE DATE: S /6 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- �I _ - F 200 C 1r7CIi4�4r1 7reA- c� r y F o u l Qu tlw"9 A 2 — t3 . 6 p - 3 - 2u.10 q �- u- 5a • 5 Plo.t�y ✓ Fee 15 - THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2ppYitation for Vsposal 6pstrm Constru>Ltion 3pPrrnit Application for a Permit to Construct Repair( ) Upgrade( ) Abandon( ) [Complete System ❑Individual Components Location Address or Lot No. Z ' s T,^- Own is N e,Address,and TelbNo. Assessor'sMap/Parcel o-n Clog-007 OS 11 Installer's N e,Address,and Tel.No. Degtgner's Name,Address,and Tel.No. ►-y�/ Ci'+1`�v`h E�. Type of Building: Dwelling No.of Bedrooms � a O Lot Size sq.ft. Garbage Grinder(.vie} Other Type of Building No.of Persons Z Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 'Scab gpd Design flow provided r7C ' gpd Plan Date 17 r Zo\V Number of sheets Z Revision Date 7130117 Title ?,V-,e,k Size of Septic Tank 'ZSOu OW-Z lv^.Qa.�1r►�'t Type of S.A.S. y-500 k,'-IZ 1 Description of Soil Pc,, A-1y JG(p O"Zo" F\L` Zt -36'* 4 cmeK mK 31L CAYA\f yyvO Nature of Repairs or Alterations(Answer whe pplicab)e 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 E nmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board a Signed . '^ Date c Application Approved by Date ` �J Application Disapproved by Date for the following reasons Permit No. 90115 70 Date Issued r o I� o y Fee TH ,,COMMONWEAL'�TH OF MASSACHUSE�,TTS- Entered in comp-uteri PUBLIC HEALTH DIVISION - TIOWWOF tBARI STABLE, MASSACHUSETTS Yes Nplication-for Disposal 6pst>em Construction Permit" , Application for a Permit to Construct( Repair( ) Upgrade( ) Abandon( ) ErComplete System ❑Individual Components Location Address or Lot No. Z°° `���°"� T' Owner's Name,Address and T 1.No. Assessor's Map/Parcel U-71-- o U`{-v 07 05 Y A Installer's N,���J[T1e,Address,and Tel.No. Designer's Name,Address,and Tel.No. S� J �rv•� tea, oZbS� SuK"42�-33y`I y Type of Building: Dwelling No.of Bedrooms 02 Lot Size (Iz,51, sq.ft. Garbage Grinder(N 0) " Other Type of Building No.of Persons Zo Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) `5-6 b gpd `Design flow provided 5!a gpd Plan Date h-e_ 17 ,Z \7 Number of sheets Revision Date 71'AI S Title , Size of Septic.Tank 'Z5(3u Type of S.A.S. 4-jW (,y (1H,,.�be-5 �LI 1 - { Description of Soil I'-1 Me(o Or Zo% F\ls_ Zn-36 A (m R 1 AY(Z "'��L !UAYhY �N0 i 36"06" C v\-t 9, (a)l9,, S J b' Conroy S►q v0 `IY)—J32. C L \Ic.r�_ N`I� 7�I Co(\CSC Nature of Repairs or Alterations(Answer whe pplicab e) 4 - { I 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 Enui nmental Code and not to place the system in operation until a Certificate of Compliance has been issued b this Board2ofeal tki P Y Signed / Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. C`0 15 0 Date Issued ------------------------------------------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CER - Y,t at the On-site Sewage Disposal system Constructed(✓) Repaired( ) Upgraded( ) Abandoned( at 0 _�Ad,u.. \,•,, has been constructed in accordance.. with the provisions of Title 5 and the for Disposal System Construction Permit No. aD 15-°-5adated u r� ✓ Installer Designer #bedrooms 'Z o Approved design flow j!o b gpd The issuance of t is pe t shall not be construed as a guarantee that the system will nc n as design Y i g Date (��.�� / Inspector (i M-�� I ------------------------------------------------ -------- ---------------------------------------------------------------------- No. V t ✓ v Fee S U THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION —BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction Permit Permission is hereby granted to Construct Repair( ) Upgrade( ) Abandon( ) System located at 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 m t be co leted within three years of the date of this permit. � R Date % , Approved by ,- A No. )L t 7 � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: tz/ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftpIitation for Disposal 6pstem tructiou 3permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ❑Complete System ❑Individual Components Location Address or Lot No. 2p 0�� ���`a� rti� Ow er's Name,Address,and Tel.No. o y XW( t oG a T Assessor's Ma /Parcel Cj l`� �Va b p — Op _ 00 Gs�n 1�-S\,nri Tj O C r Installer's Name,Address,and Tel.No.j-Q n� C-, Designer's Name,Address,and Tel.No. S@ Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations( iswer when a plicable) (�+ Ate.' Al 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 Environmenta(.Code,-&Zf not to place the system in operation until a Certificate of Compliance has been issued by this Bo c�o altlr`1,Y S' ed ! l �' Date c� Application Approved by Date Application Disapproved by Date for the following reasons Permit No. / Date Issued nnb��__� 5 No.�`l-� ©� � Fee' 10 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS S ftpliration-for 33isposal 6pstem �0 trurtion permit Application for a Permit to Construct(') Repair( ) Upgrade( ) Abandon. ❑Complete System ❑Individual Components Location Address or Lot No. LC:RC't�,I \ ��i A� }C.6� \ �per,'ls Name,Address,and Tel.No. o`j�cC.(` n4 s is Assessor's Map/Parcel O \ _ p� — p O 1- Installer's Name,Address,and Tel.No.1-0 n� L1 b�r I Designer's Name,Address,and Tel.No. Type of Building: ► Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( Other Fixtures S Design Flow(min.required) rs gpd Design flow provided gpd Plan Date " Number of sheets Revision Date F . Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations( swer when a_pl* ble) C e�p/� Sc,�•i-c r�, -� n (� e CQ ,m Date last inspected: Agreement: The undersigned agrees to ensure the construction'and maintenance of the afore described on-site sewage disposal system in i accordance with the provisions of Title 5 of the Environment Xi de ff no p ce the system in operation until a Certificate of Compliance has been issued by this Bo o e igned Date Q Application Approved by Date Application Disapproved by Date for the following reasons Permit No. ( � ( Date Issued ---------------------------------------------------- -`------- ------ ------------------------------------------------------------- r.,THE COMM9 WEALTH OF MASSACHUSETTS, BARNSTABLE,MASSACHUSETTS Certificate of Cornpiianre S THI?)b, TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgradedey ( ) Abandoned C-. — L r.�- _ cg 1 ' rTC c� at o has been constructed in accordance ) f with the prbvis' n 1 Title the for Disposal System Construction Permit N-.- J/7 Gc7 dated / J / k Installer 1) Designer n #bedroo s / i Approved desi flow�/-,— ►V gpd ' The issuance of thiNp e it shall not be construed as a guarantee that the system will fianctio 1as I estgned. E Date I ( Inspector `✓ /� t'� - ------------------------- ---s--�-_-�----------- No. C,c Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal *psteltt Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at_�2c)0 ✓4 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 a completed within three years of the date of this pe it. Date , Approved by `J K Town of Barnstable t"E "o Regulatory Services Richard V. Scali, Interim Director BARNSfABLE, 9 MASS. $ Public Health Division 1639• �0 Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Sewage Permit# 2c,r5-z50 Assessor's Map\Parcel 07 ,4 ca,Z Designer: . LA1,'VRh �`k r Installer: eq s-(or-e_ E )eca110-/-,, Address: 7 Fnrk-,, col /Pc Z3,x T a S-T Address: I $ o h 10171 On 9 3 20/5— 124 s4 o r-r— r-re4 va-(poA.- was issued a permit to install a 16 (date) (installer) septic system at 1W ILA41h 1-4,S,,I f based on a design drawn by (address) dated -7ZZa/ designer) 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. Strip out (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. Strip out(if required)was inspected and the soils were found satisfactory. I Q 1T that the system referenced above was constructed in compliance with the terms f the 1 approval letters(if applicable) ! G e gnature) F`sS/ONAI ENS\ (Designer's Signature) (Affix Designer's tainfl4ere) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QASeptic\Designer Certification Form Rev 8-14-13.doc Town of Barnstable r# 7C� (P Department of Regulatory Services RMWSTA13 E : Public Health Division Date 16JQ ems$ 200 Main Street,Hyannis MA 02601 Date Scheduled a rX r' AM !/U Time-t r-��— Fee rd. Soil Suitability Assessment for Sew ge isposal Performed By: L% T Witnessed By: } IN, '�/�/°�, R S . LO.CATI6N+& GENERAL-AFORMT-10 Location Address Owner's Name e / Q boo . h�`4vc T'ra p r C e— mil`&i S 0'(S4 e, 6k, BS�.vtG.`ffq A A Address r�rX� Assessor's Map/Parcel: o 0 2 Engineer's Name c)7/- ooY— Svll,Nq h F� iyP�c�'S NEW CONSTRUCTION i! REPAIR Telephone# gee— —3"j yy Land Use 6 ""l f w(//SC Se('vice Slopes(%) 0 ^S Surface Stones �h Distances from: Open Water Body Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line t' ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 1� ( ' 10_q . v� 4r w, FT a t" r., Ov►+PS CQ,` \ Parent material(geologic)04 r,, 5"' Depth to Bedrock S70c Depth to Groundwater: Standing Water in Hole: ti6h Weeping from Pit Face Estimated Seasonal High Groundwater MU NATION FOR SrAS.ONA-L.MGH WATE-R:T'A-tlLE" Method Used: Depth Observed standing in obs.hole: irk. Depth to sell mottles: __. .-,,. _ _. In. Depth to weeping from side of obs.hole: In. Groundwater Adjustment___.________.ft• Index Well# Reading Date: Index Well level —. Adj.factor Adj.Groundwater bevel I'ER-COLATtC*N.TEST Observation Hole# 2 Time at 9" Depth of Pere / Time at 6" Start Pre-soak Time @ Time(9"-61 End Pre-soak RateMin./Inch Site Suitability Assessment: .Site Passed !r Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- e ***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. n-\.gF.vn \PF.RCF0RM.DOC idi6BSERVATION ROLE LOG Hole# j Depth from Soil Horizon Soil Texture Soil Color Soil Other -47 Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel 20 F.l �� M-V Sn f�sYR 3l2 V la YR ply 6Pgn041- Z.0Se AEEP OBSERVATION HOLE`.LOG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel Lc'aAt/ JaAJ to YR 3�~ ln0 C Coarf c �ane �C Zvi? �/ lr✓17n;;1u- �o�s e A-1 DEEP OBSERVATION HOLE:.EOG We:# T Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel "s 32 d ,4- C Co�2 3l2 3 — co 42Z4 Ca-!ZG C coact SFJ. l0Y2 7�Y DEEVOBSERVATION DOLE LOG Mole Depth from Soil Horizon Soil Texture Soil Color: Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, o Gravel) a 2 el -,yll Gam,i. l t�lawh 2 3 z 62'—!Z(o k C 4:51a St Soy /0 C/? / 6lq 4 v(l/' G v l7' p Flood Insurance Rate Mau: _ Above 500 year flood boundary No_ Yes _ Within 500 year boundary No Yes Within 100 year flood boundary No �! Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Jey If not,what is the depth of naturally occurring pervious material? Certification I certify that on 7 !/ 2 (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:trainin ,expertise and experience described in 310 CMR 15.017. Signature Date 2 Q:\SEPTICVERCFORM.DOC I ASS ESSU'R*MAP fVO. I PARCEL-A - LO _CAT10N SEWAGE PERMIT NO. LD-r I-32 )OPIA4d 7Y&i L VIUlAGE OY5�2 l...la�13c�S I'NSTA LLER'.S NAME ADDRESS B. �VYP, I �4.c D 2yU i G H Ma a S BUILDER OR OWNER SIWV® i U- r DATE PERMIT IS UED DATE COMPLIANCE' ISSUED 1 � � � :FeA)4i7 (SO vr'41 D ,ANO l0 1w 1 Rk9 7 ...........................-No.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................OF... .T&e,Le f ....................I........................ Appliration for Uhiposal Works Tomitrurtion ramit Application is hereby made for a Permit to Construct ()() or Repair an Individual Sewage Disposal System at: <71 14 C- 1.L...................................................... Location-Address of-Lot No. ...................................... ,,�w.ner .... .... . . ............................................. ........ .........Address........................................... ............Q—a"__ -1,"---------------------------**------------------------ - -------- ---------- Installer Address Type of Building Size U Dwelling—No. of Bedrootns-_------------ ...Expansion Attic Garbage Grinder Ze:....****............. PL, Other—Type of Building"�=........ No. of persons...(e-MAO.......... Showers 0,0 — Cafeteria (*ko Otherfixtures ..................................................................................................................................................... Design Flow...........1.15............................gallons per person per day. Total daily flow-----C).0...............................gallons. WSeptic Tank—Liquid capacity..).=.gallons LengthS....(L 1.. ....1... Width. -wo" . .... Diameter.-.--........ Depth��A----- Disposal Trench—No.................... Width.................... Total Length........_........... Total leaching area..............T.....sq. f t. Seepage Pit No..........A......... Diameter................. Depth below inlet.....I............ Total leaching area.ZZ�'.....sq. f t. y, Other Distribution box ( albDosin tank (a):) ...IML................. Date....f3.'?Ti_8A?............. Percolation Test Results Perfornied Test Pit No. I.....43,.---minute's per inch Depth of Test Pit...k3n.......... Depth to ground wate......................� NMZFA 44 Test Pit No. 2-----47......minutes per inch Depth of Test Pit...V............. Depth to ground water.-.'<.................. ........................................................... ------------- • --lui�..... -----------"...................... 0 Description of Soil........ .................... *---------- ................................................. W U ........................................................................................................................................................................................................ ........................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable,----j.......................................................................................... ....................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TL I T1 IE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance hascbeep issued the board of health. Signed-----.. ....... . .. . . ... . . . .. ..... ..... ................................ ate _A_ Application Approved By............4 - ....... I. .. . .. . ... ................... ...... ----------- 0 Date""' " �W ................................................................ Application Disapproved for the following teons:............................... ----------------- ........................................................................................................................................................................................................ Date Permit No........U....... I (A ................................. Issued L....................................................... Date k9 7 ! ` No.- ............. Fmc..............�.5................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...`..�`!r�.�...................OF.. k'.-..?J %�1� ?. - =......._... ................. Appliration for Disposal Works Tonotrurtinn thrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: 2 ts _i: r 2, 1 N.G LE:-?CRt.I t L3,?I:=+_,a• 1_?a,._L.. ................................. ............... Location-Address or Lot No. ...... ..... .... �..1._...ner ........ .... .........................A Addr ss ......... .. ...... -..........._.... rl ( !l.111. ....................... ........ (! ---_-.... o.............. Installer Address Type of Building Size Lot.. .. ...kG:_..&': et=- Dwelling—No. of Bedrooms...........................__.......__.._..Expansion Attic ( ) Garbage Grinder ( ) per, Other—Type of Building .. is ._..... No. of persons_._.4?..A.4 ........ Showers (1-\O) — Cafeteria ('i,1)u Q' Other fixtures ............................ W Design Flow...........1-...........................gallons per person per day. Total daily flow.._..` 0..............................gallons. WSeptic Tank—Liquid capacity..!SXX?gallons Length_$:'(Z._.. Width..�.'!u... Diameter.......... Depth_S`g..... xDisposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter................. Depth below inlet.......3........... Total leaching area..���?.....sq. ft. Z Other Distribution box (Y� Dosin"ank ( �. o � `` I aPercolation Test Results Performed by......_. --iz- ..1....I F=.__I&AK.................. ,._ --�_._-____-__.. Test Pit No. 1...._4�-___minutes per inch Depth of Test Pit----- r_........_ Depth to ground water....... 3- 44 Test Pit No. 2.....GZ....minutes per inch Depth of Test Pit----v............ Depth to ground water...... ............... 9 ----------------------------------------•--•-----•--------.......-----...-------•--••....... ------•------------- ------------- ----•-- ----•-------•- O Description of Soil......... >! !L1� x ---------------------------------------------- w x ..........................................................---........................................................................................................................................... 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 TITIZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has J5eeq issued by the board of health. Signed................. S fl.._S�I J l I_�l�� f!t ti` .. Application Approved B 'v / J Da — Date Application Disapproved for the following a ons:-----------••---------------•---------•-•--•-----------•----------------------------------•.....-----••-•.----- -------------- •---------------------------------- ---------------- •-------------------•-------- ...------------------------ •---------------------------------- ----------------•---•--- Date PermitNo...... .............. )+__2 .........__._.. Issued----------•------------------------•......----..._•••... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _..".:. .................OF...... 1.`..!`........................ ............................... Trrtifirtttr of TnutpliFanre THIS IS W CERTIFY That the Individual Sewage Disposal System constructed (/') or Repaired ( ) by..................... —\Q.1�.._......`---------•---•----•--..._-----•--------- ---•---•--........ ...... ........................................•.................•... I ,`1 +� �In tall at..--•---- � V..........am.....-----••------•---- _.. �•- - j has been installed in accordance with the provisions o TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No....�..=: ......-. ............. dated_......./1)....... .._•._._. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................... �!•• �1� ..... Inspector.................................................................................... �. 7 1 THE COMMONWEALTH OF MASSACHUSETTS )\h/ A� BOARD OF HEALTH �) � (, .. Oq3 ...`�.h '" ..OF............ !.�'S.�••.� 1.Ci SU No.:....................... FEE........ Disposa, Works Tunutrttrtion amit Permission is hereby granted.......J�- '........0 -�. -1------•-,----•------...--•-•---------------------------------------•-•-=---......---._..._..............---•--- to Construct ( or Repair ( ) an Individual Sewage Disposal Syst at N -.l .. U = Street as shown on the application for Disposal Works Construction Per it No.��.............. Dated.................... ....................! e ---••------•------------------ Board of Health DATE <, A 7. FORM;, 1255 HOBBS & WARREN. INC., PUBLISHERS .. v� t r !, `` M1 TOWN OF BARNSTABLE I io 44 '" P LOCATION AJD,,.,a TrA.`l SEWAGE# 7T' VILLAGE- S�ew ��Jr Iooy'S ASSESSOR'S MAP & LOT —0� INSTALLER'S NAME&PHONE NO. .Iit�S�r c� c,v .1 vc. -'SEPTIC TANK CAPACITY k. -/D LEACHING FACILITY: (typed (size) NO.OF BEDROOMS ��✓jN.t'1��Q,twA�.GC9 BUILDER OR OWNER PERMTTDATE: 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 - - ;r �!' � �• ��t�rr s •/v s p 1 �7 j %j N ' 31131t. bol 1. _ . .�. .:_. .�.. . .: _ - _ w.�r ��:u..ati._ -ANae....w..A�-...e:.._�v�l.ntl': ..� .r .' .. ;:..ter. Rl"• • M�6�4.( .- '-� .. .... ... ,. .. _ _ '_ e—�miBw r 1; Number Fee 1167 THE COMMONWEALTH OF MASSACHUSETTS $15o.00 Town of Barnstable Board of Health This is to Certify that OYSTER HARBORS GOLF CLUB 200Indian Trail, OS TER VILLE, MA Is Hereby Granted a License + For: Storing or Handling 500.gallons or more of Hazardous Materials. .................................................................................................................................................................... .Restrictions: This license is granted in conformity with the Statutes and ordinances relating there to, and expires . 06/30/2021 unless sooner suspended or revoked. -------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN, R.S.,CHO Director of Public Health I Town of Barnstable Inspectional Services BARNSTABLE •(EC`'1EtNLLE•CNR•NYRn'<;15 1639-2014 Public Health Division p Sg15Hry5.95RY L•:.FS&'R :` enarosrnsr.E. : Thomas McKean, Director KASM rY; o so. "� 200 Main Street, Hyannis,MA 02601 1, Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1 st—JUNE 30th). ' APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: - $125.00 ❑/ CATEGORY 3 PERMIT._500 or more Gallons: ` $150.00 *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? j\ 'YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 71 6 Ryan 7-. 5. NAME OF ESTABLISHMENT: 0 YS T�C N�4l r b0fS 6. ADDRESS OF ESTABLISHMENT: Z ��f qK �u 't 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 170 G rO 1-51an �t 8. TELEPHONE NUMBER OF ESTABLISHMENT: S qZy— 710� 9. EMAIL ADDRESS: �Y�tir C��S�-G� OYS����a� fats ( lob 0 _ _ _ _. 10. SOLEOWNER:, ES NO IF NO,NAME OF PARTNER: _ 11. FULL NAME,HOME ADDRESS,AND r TEL PHONE#OF- CORPORATION NAME 0 y 'PRESIDENT T i M 064 TREASURER ,I O��� N►v r (��' CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: R Y a,11 C TELEPHONE#: S COMPANY ADDRESS Zod ,�d,`�h'i�4 r EMAIL: SIGNATURE OF APPLICANT DATE Q: (—Zo �Application Forms\Haz Mat Appli Draft Jan2019.docx Number Fee 1167 THE COMMONWEALTH OF MASSACHUSETTS $15o.00 Town. of Barnstable Board of Health This is to Certify that OYSTER HARBORS GOLF CLUB 200Indian Trail, OSTERVILLE, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ------------------------------------------ ------------------------------------- - - This license is granted in conformity with the Statutes'and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable Inspectional Seavices BARNSTABLE Public Health Division 1 nnnrsr. es�ss, 1 Thomas McKean,Director � �. `I'prF1 s°.,16 200 Main Street,Hyannis,NA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE Olt STORE HAZARDOUS MATERIALS GREATER T1-IAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY Ist—!UNE 30111), APPLICATION FEES CATEGORY I PERINUT 26— 110 Gallons: $ 50.00 ❑ ` CATEGORY 2 PERMIT 111 499 Gallons: - $125.00 ❑ _ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 kavu *A late charge of$10 00.will be assessed if payment is not received by July 1st. & 1. ASSESSOR'S MAI'AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? %� 1'13S,NO. IF YES,SKIP,QUESTION 3. 3. FOR ALL NEW PERA'iIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. . . i 4. FULL NAME OF APPLICANT: K7��� C C��i•$ 5. NAME OF ESTABLISHMENT: ��I �� E ! Ci" C..I U18 6. ADDRESS OF ESTABLISHMENT:: i l 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: � B. TELEPI•IONE NUMBER OIL ESTABLISHMENT: 9. EMAIL ADDRESS:._ K Y 6"�1 Gl t a C'(�J a7 S'��� 1,Gi Fv/S C.I u11 10. SOLEOWNER: . ES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE 0 OF: CORPORATION NAME OY�T'e (�i41 vas G/v1 PRESIDENT T o Y b Gar6iv TREASURER 3%K) MuJ'Ml CLERIC 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT"'/ Z_' !�`�---.DATE ICl Q.\Application Forms\Hat dint App Revised 09-10.1 d.410 i I ' C Number Fee 1167 THE COMMONWEALTH. OF MASSACHUSETTS $15o.00 Town of Barnstable Board of Health This is to Certify that OYSTER HARBORS GOLF CLUB S 200Indian Trail, OSTER VILLE,,MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. - ---------------------------------------------------------------------;------------------------------------------------------------------------------------------- N N This license is granted inconformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health z F S ;� �TIll L � CS1�UP--S �v �v _ '�owrT�of Barnstable O,�� egu atory ervlces �3J Richard V. Scali,DirectorIRE 1 ; Public Health Division BARNSTABLE r � M SYAI.al^C.t e[a tall-C:Ptlf Ln 5 ppqq phiSfA+SY;(t5•$STepl't1E•efSfAAz'.k5lkSC i0 �MAW.�• • Thomas McKean Director MAW. ) lYrfi9-St1i9 �� '°rfn Mop a039. 200 Main Street,Hyannis,MA 02601 110 Office: 508-862-4644 Fax: 508-790-6304 T APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE C> HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS;ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JU.LY 1 st-JUNE 30th). , APPLICATION FEES CATEGORY 1 PERMIT 26— 1 i0 Gallons: $ 50.00 C CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 C CATEGORY 3 PERMIT 500 or more Gallons: $150.00I *A late char a of$10.00 will be ass sed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. D I /01100 j �1�0?__ 2. IS THIS A PERMIT RENEWAL?X YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)?T YES NO. 4. FULL NAME OF APPLICANT: /JCbAk 5. NAME OF ESTABLISHMENT: c� 6. ADDRESS OF ESTABLISHMENT: WO-7i- 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 5c ` 9. EMAIL ADDRESS: r VapChw o !/ ha tho c/x, Lg 10. SOLEOWNER: YES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRE S,AND T=EPHONE#OF �- //__CORPORATION NAME C G(�YJ PRESIDENT t D 1/Teto (0 12 TREASURER WOZla3 NOT — '2-17 CLERK -#6 i, eptor 7 )�53- jam 12. IF PREPARED BY OU IDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE g 2y/ 7 �G C:\Users\Decollik\AppData\Local\Microsoft\Windows\lgmporary Internet Files\Content.0utlook\BMQD49H2\HAZMAT APP 2017 REVISED.docx r 1Q, ' MAIL-IN REQUESTS Please mail the completed application form to the address below. In addition, please include the required fee. Make check payable to: Town of Barnstable. Allow five to seven (7) working days for in-house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. In addition, please mail the required fee amount. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in-house processing. For further assistance on any item above, call (508) 862-4644 C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook\BMQD49H2\HAZMAT APP 2017 REVISED.docx 4 �o el aW St.rQ.i �j Gt,`f a�- (Vee rs r °*IKE � Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMAqR. . • 200 Main Street• Hyannis, MA 02601 rEDMAyp`0$ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: d S bo s Go C u Date: Location/Mailin Ad res : oo "w -.� ,.. 1 T , PD 20 Contact Name/Phone: eE - 1 c --57 8- o xG " Inventory Total Amount: 12 1,9/°oSb�b MSDS: X &<l o k ADS License#: 1 b-f Coct Tier II : c.sol -' Labeling: ko Wa-1 uJGseN,�o��l &�s�ill Plan:_� } S Oil/WaterSeparator: Avg 6 Floor Drains: % - �kWLmergency Numbers: Storage Areas/Tanks: lu o t ASGaK �I�wt cab 0 1� Emergency/Containment Equig ent:4.<,e,A*k. vZe- k� }� ,Il I�• w �vcl� I?P� fo� � Waste Generator ID: 16 Waste Pro uct: s c 4cw ,M� Date&Amount of Last Shipment/Frequency: !3 110 I a 1 Licensed Waste Hauler&Destination: 44 avtako Oth r Waste Dis osal Methods: WhAtt o -�r o{�t� o hn i ti -�jC f y �k��t �a�►J1nold2,��wk. LIST OF TOXIC �'D HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids /fl Automatic transmission fluid tD Other cleaning solvents&spot removers Engine and radiator flushes �� Bug and tar removers ��ass Hydraulic fluid (including brake fluid) G Windshield wash 6 iSX(PN Motor oils <ko►buy wmkJ.b.k Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants f+� „veAi7 )I D Miscellaneous petroleum products: Road salts grease, lubricants,gear oil 'L,� Refrigerants Degreasers for engines&garages Pesticides: � a+�ktlj JAIJI241CITy Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible IPV,-? Paint&varnish removers, deglossers Leather dyes '` " ') Miscellaneous Flammables Fertilizers:5pZ p Jk4A J Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: n '3 ��� c-ov��� � e�."v`" � RDERS: vLv C - INFORMATION/RF:QOM E DTI NS: J, 0 2c.or 5 o vt - 1 aA (. M. $ old 6A Q1 \J NAV1 V,vt k��VL�Co uc�. 10� I S V) v�ok C+10A� v �' y`I'�""'j" I �Lpp�� S�s `v �tSyfl '14,e� ow Inspector: trC Facility R pres ntative: I/ ANARY WHITE COPY-HEALTH DEPARTMENT COPY- BUSINESS 6+&c'a-V- a� . Number fee 1167 THE COMMONWEALTH OF .MASSACHUSETTS $15o.o0 , Town of Barnstable Board of Health This is to Certify that OYSTER HARBORS GOLF CLUB • 200Indian Trail, OSTERVIL-LE, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------- -------- ------ ---- ----- ---- - — ---- - -------- -------- -------- --- - -------- This license is granted in conformity with the Statutes and ordinances.relating there to, and .a and expires 06/30/2017 unless sooner suspended or revoked. ry a 4 -- ------- ------ -- WAYNE MILLER,M.D.,CHAIRMAN - PAUL J.CANNIFF,D.M.D. tyi 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R:S.,CHO - Director of Public Health r Town of Barnstable Regulatory Services ti Richard V. Scah,Director ` MMSTABLK MAE& Public Health Division BARNSTABLE I` '9 � sawrosao •�cawue•mrvrt•xranxs 3.6;q. DO Thomas McKean,Director ��` � 139-2- 200 Main Street, Hyannis,MA 02601 I �� Office: 508-862-464-4 QO'I Fax: 508-790-6304 a+. APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE ; t HAZARDOUS MATERIALS IN ACCORDANCE.WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS , MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY.Ist-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111—499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. DATE �l0/mil FULL NAME OF APPLICANT: O C(S��' lb4,bcys club . NAME OF ESTABLISHMENT: ADDRESS OF ESTABLISHMENT: MAILING ADDRESS (IF DIFFERENT): o?© `7 0L/ 1 g�l_b j TELEPHONE NUMBER OF ESTABLISHMENT: 5D t 4-1078. 3 10(a EMAIL ADDRESS: m 0j jS SOLE OWNER: YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME (1 PRESIDENT TREASURER U CLERK IF PREPARED BY OUTSIDE PARTY: S PPLICANT Name: XCompany Address Telephone#: Email: Q:Wpplication Forms\HAZZAPP Revl6.docx y_ _ Page 1 of2.._ _ IME*oyti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 + BARNSTABLE. 9 MASS, y, 200 Main Street• Hyannis, MA 02601 059. �A'FDMP�a`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: 0` -e"K a as 41K Date: Location/M ailing Address: FCC a 20 Contact Name/Phone: utiasl--L _220- V 2S - `a NeNo , q-7A -!7 8-S?67 le ge t"r l) Inventory Total Amount: ` MSDS: License#: 116-7 Tier II : K0 Labeling: ) KA.6�e,. Spill Plan: YLS Oil/WaterSeparator: I.A Floor Drains: Emergency Numbers: Ye-S Storage Areas/Tanks:,1 -VA,I�L oca - o lb\0 ��. S-lor el Flavk<.6ft1O « Pvvs, Emergency/Co i rQi�n" " quiprien : f� �� l��s to #a 2-SS 41 i•M,,, C."` Waste Generator ID: Wastb Product. 1AK441-1. 1 \QM4-1 V L4 o.Al W taIuA4�1 Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: ' Other Waste Disposal Methods: QG 4,0 oi I � I(1' 4SG1vt6 o& a �Q W<-yj - cleGoc eo0- LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. 2 Antifreeze 7- Dry cleaning fluids 3 Automatic transmission fluid 3 Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers 6D Hydraulic fluid (including brake fluid) loA7-D 6 Windshield wash i l�3 Motor oils �kO-t \0 oik443kl, -%r 410 5-- Miscellaneous Corrosives f Qf SO Gasoline,jet fuel, aviation gas �'`�a`��' Cesspool cleaners i�fuel, kerosene, #2 heating oil Disinfectants 1iscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants to Degreasers for engines&garages S°0 Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda ,�3 Lacquer thinners Miscellaneous Combustible 1-7 0-1 O'S`- a s Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables 6�& Fertilizers t i3O(, loop\b b0ce> 1� Floor&furniture strippers PCB's IK�O� L<t��'�C OJwfiy Metal polishes Other chlorinated hydrocarbons / Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMEN TION 6 eevg a v �vl or S s I , \ a e5 ��- a c1 C cA . r NQq-A 6e0L2 4-9- A5fe 0, 1 Inspector: 2 Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS �{ / TOWN OF BARNSTABLE Date: 7 TOXIC AND HAZARDOUS MATERIALS R FORM NAME OF BUSINESS: 054e,r ,ac" 6o) ML BUSINESS LOCATION: b 0 ' .oQ►a,�r, Os e��,' e� INVENTORY MAILING ADDRESS: Q0 VjO)( IDG01 TOTAL AMOUNT: TELEPHONE NUMBER: 3�b$ -• (p CONTACT PERSON: k1let L I , INg� • w� �iz� EMERGENCY CONTACT TELEPHONE NUMBER: 97$� ?f3- ���`l MSDS ON SITE? TYPE OF BUSINESS: o1( '/Lo-5 INFORMATION / RECO MENDATIONS: ` e:VfQ qa.(,kG"k- Q Fire District: ova uJ Ceto< k1 , �Ce� vv x �.\ « ,,^, C0VQ-CQX9- — evK M 11 C 0-M 3� WLo &'kk U\kkoq 1VA-<6 cov ,,n o ve \e t t,�- Ww ot,(- �) W Ltkv,1%xW%Q9,iN6 6K,51�� Waste T(?exa�o oil n. Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: p&e. o Jro Licensed? Yes No 1nw,kn-s- c�c,o� g NOTE: Under the rovlslo o h. 111, ection 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners i S Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) �p Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEWS \ USED ���r (insecticides, herbicides, rodenticides) \5 Photochemicals (Fixers) Gasoline, Jet fuel,Aviation gas Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) to lubricants, gear oil ❑ NEW ❑ USED p Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers I�X Miscellaneous Combustible ",—j4 Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison"labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes R �� e -15 Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials Number Fee 1167 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that OYSTER HARBORS GOLF CLUB 200 INDIAN TRAIL, OSTERVILLE, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2015 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health �r r.w S Town of Barnstable °F�NE,n,�ti Regulatory Services Richard V. Scali,Director 9 M. Public Health Division 1639. ♦� '0lfo N,v�" Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee; $100.00 ASSESSORS MAP AND PARCEL NO. 01 W04 00'2' DATE ' g & I APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT C NAME OF ESTABLISHMENT 0qj/bo P5 CJI u-4b MA"I i h�� Zot�'� o�She� v�yS, O,s o i A aZ-cap( " ADDRESS OF ESTABLISHMENT .ZQV JV)GU6� -`irot.ik (95�evV1ULt- M 02tp5S TELEPHONE NUMBER SOLE OWNER: YES NO -F IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION:• FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION 54zA M(7— i FULL NAME AND HOME ADDRESS OF: PRESIDENT m �Wn MA Z-3 4'vi 5f-. ee h kwl A(A 0 2� Z TREASURER 64 QkmlaAA , kff+ d 1-7'1$' CLERK wv h 1WOW Rup N ' (LL 01-1p32— i GN E OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Q:Application T0rms\HAZAPP.D0C s MAIL-IN REQUESTS Please mail the completed application form: to the address below: Also include a copy of your contingency plan(to handle hazardous waste spills, ete)..In addition,please include the required fee of$100. Make:check payable to: Town of Barnstable: Allow five to seven (7)working days for in- house processing. Our mailing address is:. + s Town of Barnstable Public Health Division 200 Main.Street. Hyannis,,MA 02601 FOR FAXED REQUESTS Our fax number is'(508)7790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan'(to handle hazardous waste spills; etc). In addition, please mail the required fee amount of:$100.00..Please make the check payable to:Town,of Barnstable.,:The check must be mailed to the address listed above. Allow up"to four days for in-house processing. For further assistance on any item above, call (508) 862-4644 i Back to Main-Public.Health Division Paae I Q; PE A Iica ionlForms\HAZAPP...DOC L; i + Oyster Harbors Club Golf Maintenance "Hazardous Material Contingency Plan" In the Case Of a Spill Notify Ryan T.Chase, Golf Course Superintendent (508)428-8106 *For a Spill less than 10-gallons T 1. Proceed to "Spill Response Kit." 2. Put on Tyvek Suit, Nitrile Gloves, Boots and Safety Glasses. 3. Administer Chemsorb Diking Tubes and apply "speedy dry" to spill. 4. Place contaminated Tubes and speedy dry in Haz Mat Plastic Bags. S. Place Haz Mat Bags into "Spill Response Drum". 6. For Haz Material pick up call Clean Harbors at (800) 444-4244. *For a Spill Greater than 10-gallons 1. Call C.O.M.M Fire Department (508) 790-2375 and CHEMTREC (800) 424-9300 2. Follow Steps Above s M E A 2-1 S31_ MADE IN USA �a`T nprANIZ D AT SAAF_an.rN r _ :.. ....... �..:.._.. ._.:..�:�....z._..,..�.:�._.:.r:..�....:a:::�»�n,.:..:._.�._ - ...Y_-,.._....._.._ ......... ___.�. - - «.r.:a;�:a.b....�v.�„�... ._ .r,.�n� - — —'•��.�:... _�,�,:e,..:. ra'w :.._ ,: ,a..x+�,.::u*a� 7 7� iL 1 z3� J i ��Na�laE W O i i i L L.0 A APLOW ; A 11-Y FL W z i�iU l�x � __ 9 o blSppa41_ IT -,_ USE= C� ). moo 6,6, r 2. 5 . __._. �c�" r'ro M. qKa A z l I� 5-F . U.R D. TDwr� wATtz -`f0 Y� TOTA1_ D_SII!rN- 3�G 6,p, b, T�►L- L7dILY FLOW 90 Cam. V.D w� ? OLT t ON "C; " 1 t.l Z j1rL!N OR LESS f�Z F'�M��,%nV�l�.• To G•iz�E P F z 3.4z LIP 010 23.5 -z,o zl•5 _ GOO bl S,T. I NV !CY�U I}J v La z M GAL• GA1-. ilk )TTly� wrr N 3 ' vr-F-rw INV. INv, � - -- 1►VA.SH o I 4 V,TV( 5 STOtiII: Vol �1 L E �long - � � "OF Mgss LG.G. (�j �7r74- ..PETER �(ej f I�.IG. o: SULLI��APt; - I S-TL�b l._s.N C� 5 'L.� rG.`_� U1YO �.. ... . ti Gi-STk--P VJ LLE �- MA•55. No.29733 �•:b '• ON Li TIC t5 CLAN 15 l�;uT' SOU ON AM I t�STIZ- UMEIJ1 5UIzVt`r/SJQP .T(4r= .OFFSET S 540V-JQ kt-7_Ec)w 540ut-b tJOT ISE (_1 t) To rTAf?>USH LOT L_IIVCS, eG t S-4 Ai*- "ONE HOUR FIRE RATED PARTITION (ANSI/UL- U3 14), 2X4 STUDS @ I G" OC, 5/8" GYPSUM DRYWALL BOTH SIDES AROUND UTILITY AND AROUND ENTRY. G" PARTITION AT COLUMN LINE 5 IS FULL HEIGHT FIRE RATED U4G5, FIRE SEAL PERIMETER AND ALL PENETRATIONS. 2 3 4 5 91 G 7 24'-4" 2 5-0" 2 5'-0" 2 5'-0" 2 5'-0" 24'-4" 21_p�� I 0'-8" 1. 7'-5" 7'-5" 7'-5" 7'-51I -O" —1 2'-O"3 8'-0" 12'-O" 41 gll 1 7'-4" 1 2'-0"��4' 5"g 1 2'-0 G'-8"� © I --� --�-- O OI OI A EFI FE 6 O' FE 9 8 G o , P4MWFZPP 7'-721 R 13 .UNFACED 91 911 EtATH P� -O" O EQUIPMENT MAINTENANCE FG BATT INSULATION UTILI MENS I G'-O" 43'-2" IN ENTRY PARTITIONS. 14-I' I PI3 woMENs MENSHE 17-I O �I 51I BATH BATH LOCKER GKINDI� g 'o LOCKER I I'-1O" VEHICLE LIFT I 40' O" L a ® ENTRY E P 2 PI EQUIPMENT STORAGE © A O I-- D p 6 0 1 7'-42" B 4'-011 ® G" 20 GA.@ I G" OC METAL STUD 33'-G" 5-0" FIRE PARTITION (UL-U4G5), ASST. 5/8" GYPSUM EA. SIDE FULL HEIGHT, FLOOR DRAI ' " O FLOOR DRAIN 23/32" UNDERLAYENT GRADE WNTE 14'-4" SUPT. ze 'I G'-8" ALCOVE 1 2'-I I" PLYWOOD TO 8' ON OFFICE 8-O 50-0" p, p„ EQUIPMENT STORAGE SIDE I a < P3 R19 UNFACED PG BATT INSULATION BREAK/TRAINING OO IFG' 0"yl G 4 O AIR PARTS m m Z © ® 18'-O" 33-8° 2.9 . CL. T e� CL. - a G% 20 GA. METAL STUDS @ I G" OC PARTITION o TO UNDERSIDE OF OOF, @ © SMALL TOOL 23/32" UNDERLAYEN) GRADE PLYWOOD BOTH SID S, I SUPT. STORAGE 1 7-4 I 1 4'-9" I G'-O" 01- RI 9 UNFACED FG BATT INSULATION I 16-7 OFFICE ze O MECHANIC 8'-2" COMPRE550R I� 7'-7— I II FACT] O FE O 21— " B 7-4" 1 2'-0" 9 4' 8" 2'—O" �G'-8"� © I_ II� © I II ZB I_ II ZB I II ZB -I II I II O-88 8-10 1 5 I -5 9-I 0-8 z 2-O'I 1_iI II t73 'Y 50'-0" NOTE: CEILING FRAMING FOR PARTS,MECHANIC, SMALL TOOL STORAGE, GRINDING, NOTE: DIMENSIONS ARE TO FACE OF'FRAMING OR CENTER OF PARTITION. - ENTRY AND UTILITY ROOM TO BE 2X8@ I G" OC, WOOD STRAPPING @ I G" OC AND GYPSUM DRYWALL CEILING AT 9'-0" AFF. FIRE RATED IN ENTRY AND UTILITY. ' Rl—R W G mu NA.a' y of lSrfµf'�tz' a -i G' r nnspl—thesoreR,Fay GO5t ...Altemt—(G5A),a REV.# DATE PEV1510N _ TURF CARE MAINTENANCE FACILITY dm m of A1160N,Ine.All ideas.desrgre t amroaemeNe CLIENT: OYSTER HARBORS CLUB C O N ST RU CT I O N A represented p df document are owned by GSA aM was I • I lA"CNRE treated{develepedforuse on LM1is spmhe pr GSA None of the LOCATION: OSTERVILLE, MA dress,designs♦arrangements shall be used or dxly to arty person,F.—or corporaaon for ary purpose whatsoever wthoet the TITLE: FLOOR PLAN , ET LiERrvAnVEs wnt[en pemm-on or G5A , 5CALE:3 16"=I'-O" T DATE: I.I4.201 5 DRAWN BY:RWM LOT 171 / Fnd" PARKING REQUIREMENTS �k " h rn N 78'38 46 G LOT 125 Industrial/Warehouse Use LOT 196 288.40' 2pQ 1 Space for 700 SF or, p o 1 Space for 1.3 Employees " x i Existing sept ic 7500+6668+7500=21668 SF o I Concrete Storage BgYs r a: 7r f as per TOB Tie Card 21668 SF 700=30.9 Space !:: Permitf99-291 .� � �1� � Sl• / � r, Ti ma F 31 Spaces Required k. �, �M ' 1 28 Employees Max. Per Shift � MA � .� PPY /1.3(Employees/Space)=21.5 m r ? Su 1 �. x. a 2 A I 1 Green 22 Spaces Required � f„ y f Nrs : o p0 f CB DH =} „ , warehouse � PSpaces I 1 y f1 37 Proposed Fnd o{ � ,, �.. gld/ Including 2 Handicap C ^ �x 21.7® m <3` i I Fla, Lotovera a #du I $ : 0 11 Concrete �� 0 9` S J l9t * $ r Pole fog No Lot Coverage Requirements + iz ¢ LOT 132 N t N I boo x $ , I , 34 �� o 0 t e In AP Zane. �� u '" ' , .,.v, `� r„,..,..., N o j 3 -,EMeter `e OH 192,517fSF 3��0 21.a µme'' '�� Building Coverage , 1 Screening ........ -, _ Existing- � 1ant to be 217 E e ing BLD Coverage o µ 7,500 SF Warehouse Building LOCATION MAP: -Proposed Relocated n Leach Pit For 1 i l pavement Edg Q Roof Runoff 26.6 E z, '� �\ 6,668 SF Old w/f Building Scale: 1" = 2000'f a-.. Attach to Gutter System. t ?� \ N 240 SF Wood Sheds O 1 0 171 SF Storage BLD LOT 195 M m' c 19.5 r J =X ® I N 14,579 SF Total ASSESSORS REF.: Concrete O J Proposed Building Coverage 25. ® I _ P 9 9 Map 071, Parcel 004-002 j Concrete 1 I m 7,500 SF Proposed BLD Metal Pasts',, _ I 14,579 SF Existing Coverage 0 2 79 Ton `o I I 2,0 SF Total ZONE: Proposed i © 10.0 ® C R, 1 1 H-20 Non-Hazardous Q "� a Bit: Parking area I I 21.5Xp� RF-1 1000 Gallon Industrial o � 4 8 1 ' Area (min.) 87 120SF (RPOD) Wastewater Holding Tank Frontage (min)' 20' oposed #200 g I Width (min) 125 Fire ® 34.3 '"-4 10 0 Gallon Existt 9 ,I , Setbacks: Hydrant ® Pro''psed Leac Pit w 4' Bench Mark 1 sty < 1 <I Fron t 30 II 2 P. / SLAB D. = 21.7' warehouse , 1 , OVERLAY DISTRICT: ' p 1H-3 1 $tyt S/f Bit. Parking rea of S one Typ. 1 al I Side 15 ® v � Maintenance �, See heet 2 ICI AP i- Aquifer Protection District Rear 15 s © � Facility °> ; Concrete r 7500'SF 1 \ I To Be.,_ m....... Str Out I I FLOOD ZONE: � Removed i Existing Pove T' B R moved... Proposed .\ 31 61 I I I I Zone X (Minimal Flood Hazard) 3 Slag El e v. ® 3 ' Approx. 22.0' `� - Pr osed Septic A I � Map # 250001CO756J e Sheet 2 3 I l Dn�o ss , 1 I i July 16, 2014 R o amp n:. � 2 • O j I \ t a �To Be 1109 Proposed € Removed„ 21.a s ................ia,,,.,..,AF �,. 1\ { k LOT 194 Pave me 1 w Pro�.osed concrete Pad I end: \ Dumpste 1 1 b Saw Cut w Overhang Above / 9 Existing I Le. I 22.6x -- — -.L - 9 Storag i e I 1 � Q Misc Manhole Building � 1 29.6111 1< Pavement f' 1 l ® Catch Basin _ l Basin Proposed �- _.. �n Edge 1 Catch 8 ( ) W Rom M-1 0 Concrets l 1 � ..c_ Pove e t i 1 round 21.t I . Q 6-8CY Dum sters 1 Hydrant . i Ven t _ z 21.4 1 ii he for Organic waste 1 El CB/DH Shed \; ro on Concrete Pad Guy ??? I I -+ 40 CY Dumpster` Oca`" 21.7x 1 1\ Utility Pole o i O on Concrete Podgy y / `�-8-0-0 22.0 s \ \ Stockade.Fenc`e• Coolers \ --o- Sign 21.4 \ \ 9 Bit. Drive I To Be \ \\ OHW— Overhead Wires / Removed \ \ — ` Elevation Contour CB/DH a f Fnd r External Door ade Fence O \ 1 Stock O \ \ t \ Proposed f J .1 0 11 11 '� Propane Tank j ` 1 1 "` `12' Wide Overhead Door Q Abandoned Water O O 1 i 00 1 with 6"0 Steel Bollard I Cleaning Station I i f _ for equipment i I LOT 193 - -- - Cleaning de Fence _ Io 1 O Stocks 23 6 I`" f 1 1 Nj L ASS4 Water Pit �, t 1 c 1 Lighting Legend: `G J©HN G. tiG � \�otiw� � i Planted Buffer Area Locaton � e ` wcv i 1\ nr ® L = 363.`91' i 20.9� CB/DH e R = 6121.12' I e Wall Mounted Weather Proof L I _ -- --.? >nd ee Incandescent Light Fixture a .�.48168 � 1 ,, s 50.36 �' ,., a� a % ~•.�.., � I � 25 Watt Compact Fluorescent _. o �G/STERN � J .... Pavement g _... _ _.... Die Cast Aluminum Ed e _____ . _ da FSSIONAL ENS'\ _.___.w •-• (40ft Private Way) r F 1 ..... __... Lithonio Lighting, Die Cast Aluminum �" '� W �_ R Pavement Edge 9 9 .... ...._.._..__...... ...... ....... ...,...-.._._...._- ._ __...-. . �' Wall Pack, 2-42 Watt Compact Fire Fluorescent, Motion Sensor. 260 to Hydrant Revision: Add Septic Notes 7130/2015 Drivewp Approx. Revision: Dimensions & Notes Added to plan 71812b15 �"�y Location Title: PREPARED BY. PREPARED FOR: Notes/Revision: 'Proposed Improvements Plan .) This topographic information shown was obtained /',' ' Engineering CapeSury Oyster Harbors Club, Inc.I n C by ..on the ground by conventional survey methods on 2oO Indian TrailSuillVall 5a Grand Isle Rood (or between) 31/MAR/98 and l l/MAY/15. (b CONUIUng,Inc. 23 West Bay Rd, Suite G M/��� csas>aze as• raearr •g Rud,O"WI�,MA02655 osterville MA 02655 Oyster Harbors MA 2.) The property Line information shown hereon was BARNSTABLE (Oyster Harbors) "`�i01 n.coin'www.si°""�In.COM (508) 420-3994 / 420-3995fox compiled from available record information. � www.copesurv.com O 3.) The elevations are based on NAVD '88, a fixed 40 0 20 40 80 160 mean sea level datum. �v Date: June 17, 2L/ Scale: 1 rr_ 01 Field: WHK/KAR Review: RRL �F Comp/Draft. KAR/RRL Drawing # C285G3 ..- Locat�on ..... __._,.-_ __,__. _ _._9__ . ., .., . ____ _ ____ _,..__ __ __a_ _ _-___� __.._. �� __ _. _ _ ._..,_ . _ M._ Design Storm 25 Year Event Design Storm 25 Year Event Design Storm 25 Year Event Run off 1 1000 gallon leaching basin with 4 foot stone I Run-off 2 1000 gallon leaching basin with 4 foot ston 1 Run-off 2 1000 gallon leaching basin with 4 foot ston .._..-.,.._ ._...____ ..m._ Area Total 0.172 27.9 Leaching Capacity 27.9 cfm Area Total 0.436 27 9 Leaching Capacity 55 8,cfm Area Total 0.390 i 27.9 Leaching Capacity 85.Scfm _.. .,. .__ ._Tota. €Runoff C 1.000 482 � ��. Storage Capacity. � 482 cf Runoff C 0.950 . 482 Storage Capacity. F 964;cf Runoff C � 0 950 482 Storage Capacity. 964(cf Time Rainfall 1 CxA Time Volume 1Nolume 2: Storage NET Time Rainfall CxA Time (Volume 1,Volume 2 Storage 1 NET Time Rarnfall , CxA Time Volume 1=Volume 2F Stora a NET _ - __ __� _ ---'-'-'--es ._,_,.-_ _ 9 a _ _ _ g Minutes Intensit Minutes Intensity ( Seconds Inflow�f €iZechar a cf+ R .Cf 1 Seconds I Inflow cf ;► char e-cf. Re .cf i Minutes ' Intensit Seconds Inflow cf Bechar a cf? R �f 5mm 0:17 300 372 140 232 250 !_,_.__..__ 5.._. 7.2 _ 0.41 300 _895 1 279 616 I 348 i 5 i 7.2 0.37 300 801 279 522 442 10 5 7 0 17 600 589 279 1 310 172 € - _„( 10_. 5.7„-' 0.41 - 600 1 1417 558 859 105 ! 0.37 600 1268 558 710 254 _...w_.. ,..,,,,,,_,,. _ r 15 4.7 41 15 4.7 0.17 900 728 '> 419 € 310 1 172 0 900 1753 837 1€ 916 48 I 5 4.7 0.37 900 1568 837 731 233 E20 4 1 0 17 1200 847 I 558 289 193 ( _ 20 4.1 0.41 1200 < 2039 € 1116 923 ; 41 1 > 20 4.1 0.37 1200 i 1824 1116 { 708 = 256 30 3 3 1 0.17 1800 1023 837 186 296 i 30 3.3 0.41 1800 2461 1674 787 177 30 3.3 0.37 1800 2202 , 1674 528 436 ____ .. ..._ ,,_,____._-__. . ._ ,.,,, .._,-..._ __._-.. _...._...._... _ ... __..,.,.,. _ ______ _.. .t- __.._._,.._..._ ___ _ _.___...._ _ ......... . ....,._. 45 2.55 0.17 2700 1185 ; 1256 € 70 552 1 45� 2.55 0.41 2700 2853 2511 34_2 622_ 45 2.55 0.37 2700 2553 ' 2511 42 922 _ l _ _ _._.__._ _.___L . .._ _ _ _ I 60 2.1 017 3600 1 1302 1 1674 372 854 1_....... 60 2.1 0.41 3600 3133 3348 M-215m 1 179 3 1 60 - 2.1 0.37 1 3600 2803 3348 -545 m m1,509 ..... ....... ......._ ......._E.. ... .... ... _...... ......... ..... ......... 90 1.6 0.17 5400 1488 1 2511 1 -1023 1,505 1 i 90 1 6 0 41 5400 3580 1 5022 -1442 2,406 �� 9�,,...._....1 6 0.37�-5400 1 3203 € 5022 -1819 2,783 F 4 _ _ .__. -__. .. r__- . .. __- _ _..._..._._ ..,.... ._ Le Boron Model L 2 8-2 120 1.3 0.17 7200 1612 3348 1736 2,218 1 120 1.3 0 41 7200 1 3879 6696 -2817 3,781 120 1.30.37 9 See PavingDetail ( 0 37 7200 3470 6696 -3226 4,190 _.v,,..._.. ...,a...._.... _.,___._ ._._._...,..,_ _._.._ �.._..__._ w__ , __ _.,. ...-,.-. _ _ . -__..- ....__ _.............._...._._.. Frame & Grade Typ. _..._,. 1, ,_-_,._..-., ._ L..,,.w...,,...__ 180 1 0.17 10800 1860 3348 1488 1,970 s I 180 1 0.41 10800 4475 6696 -2221 3,185 180 I 1 0.37 10800 9 4004 i 6696 } -2692 3,656 . .....................................,,.,.,.,..,......,,............ ,..,...>. .................. ..........,.. .,.a......._ ....,..:.....E.__...�,._._.......... ........,.... ,.,..,,...,,..,,, .,.,.,. , ,............,,,.....,:,...,.,..,...,,. 240 0 2 0 17 14400 2033 6696 -4663 5,145 1 240 0.82 0.41 14400 4893 13392 -8499 9,463 240 0.82 i 0.37 14400 ; 4378 i 13392 ? -9014 I 9,978 E �� 300 0.72 ( 0.17 18000 2231 8370 �139 6,621 300 0 72 0.41 18000 5370 16740 -11370 12,334 300 0 72 0.37 18000 4 0 16740 -11935 12,899 Mortar Shim as Required �________. _ _ - ._ _ 8 -, ...._.._. .�..__ _:.._ �._ __.._._..____._ _ Precast Conc. Riser 360 0.64 �0 17 21600 2380 10044 7664 8 146 [ 360 0.64 0.41 21600 5728 20088 -14360 15 324 360 0 64 0.37 �21600 '' 5125 20088 -14963 h 15,927 2' Typ or Brick & Mortar Shim __.._._� __ �..... __.. ) _. ._. __. __..._ _.._._ Mortar Joints _ � i As Required Typ. _ _.....: __� __._..._. _... _..._ ......._.__ Area 1= ; Ci sf(Pave) € C1->0.95 _.,..mmm ,Area l= 19000ysf(Pare) C1 0.95 =Area 1 17000 sf(Pa%e) c1 ?0 95 1 17. _y _...... Area 2= i 7,500 sf(BLDH)�C2= 1 _.. Area 2- 0 sf(BLD) C2-:1 _„_ ,Area 2= ? O;sf(BLD) 12 s _.W.. .. ( .... ........ _ PE Pie T 1 _.._.,... ......... 4' T T. ,� Om m m m0 Filter Fabric Runoff C= 7 500 7,500 € 1 000 ; Runoff C= 18,050 19,000; 0.950€ !Runoff C=i I 16 150 17 000 0.950� YP t__.,_ _,_..... _,..,,_,.-._ .. ....... .. ..._.. .__..,. ,._.._.,,..,..,,,.,J.._. , , ._._.. __. __ _ _..._ _ _._. ...___ , .,._ Holes Typ. � om o mo Drainage Calculations 2-1 1/2'0 93 Typ 6" of Crushed � m O Curb Stone Typ. Catch basin Om m 0 m mC Tra 1000 Gallon Drywell �3/4" To 1 1/2" All Components Double Washed Crushed SEPTIC NOTES To Be H-20 Stone Typ. 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours 2 Asphalt Surface Load Capacity Prior to Any Excavation For This Project the Contractor Shall Make 3" Asphalt Base D RA 1 NA G E SYSTEM the Required Notifications to Dig Safe(1-888-344-7233)and contact Sullivan Engineering&Consulting Inc.(508-428-3344). DEVELOPED SCHEMATIC 2.The Contractor is Required to Secure Appropriate Permits From Town 6" Dense Sub Grade Aggrigate Agencies For Construction Defined by This Plan. 3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall NOT TO SCALE Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to Assure Watertightness. In General,Water Lines Shall be Constructed in Coordination With COMM Water,and Shall be in Accordance With 248 CAM 1.00-7.00&310 CAM 15.00. Scale 1 Finish Grade 4.A Minimum of9"of Cover is Required for All Components. 5.All Structures Buried Three Feet or More or Subject � � �"' - to Vehicular Traffic to be H-20 Loading.It is the Engineer's 3' MOX. � - -- € --,� -� � E l=f 11 -= 1 -- 1 - DESIGN DATA Recommendation that H-20 Always be Used. 9" Min Compacted Fill 6 Install Watertight Risers and Covers to Finished Grade Filter Industrial/Warehouse Flow Fabric Space with cafeteria Over Septic Tank Inlet U,and Outlet,D-Box,and Leaching Chamber. An d1or -28 Employees @ 20 GPD All covers are to be maximum 18"for concrete or 24"Cast Iron. PERC TEST: 14,766 2" 1/8" - 1/2" No Garbage Grinder 7.Septic System to be Installed in Accordance With 310 CAM I5.00& PERFORMED BY:CHARLES ROWLAND,EIT- SULLIVAN Pea Stone Total Daily Plow=560 GPD 248 CUR 1.00-7.00 Latest Revision and the Town ofBamstable ENGROERiNG ; Use a 2500 Gal Boarri ofHealth Regulations. m SOIL EVALUATOR NO.13586 314" - 1 112 8.All Piping to be Sch.40 PVC. WITNESSED BY.,DAVID W.STANTON,R.S.-TOWN OF BARNSTABLE LEACHING Double Washed SeeNotartmentSepticTank ' 9.D-Box Shall Have a Minimum Inside Dimension of 12;and a Minimum IDLY28,2015 CHAMBER Stone See Note to sump of6". SITE PASSED 10.Septic Tank Shall be a 2 Compartment Z500 Gallon Tank or 2 tanks in LEACHING AREA ' series. The Fast Compartment Shall Have a Volume of 1500 Gallons �- _4' - '10" 560 GPD/0.74,(LTAR)=756.8 SF Required and the Second a volume of1000 Gallons. TEST HOLE- 1 EL.22.o TEST HOLE-2 EL.21.0 Sidewall=2 12.83'+42'2'=219'SF 12'-10 - ( ) The Compartments Shall be Interconnected by a Minimum 4"0 FILL: FIIi:::: :: :: f Bottom Area=(12.83'x 42)=538.9 SF Vented Inverted U-Shaped Pi with a Gas Baffle on the Outlet. 20' .P� 1� 21.3 10"' 20.2 Total Provided=757.9 SF 560.9GPD IL The Separation Distance Between the Septic Tank Inlets and Outlets Shall be No Less than the Liquid Depth.Inlet Tees Shall Extend VEKYDARK.GRAY7SH BitOFY1V::: VERI AABKGRA YISH BROW+W... CROSS SECTION OF CHAMBER LEACHING CHAMBER DESIGN 36" ........ .. .L.OAMYSANb.. 19.0 20"................o: s :: •: : 20.3 a Minimum of 10"Below the Flow Line.Outlet Tees Shall Extend 14" :bwLA 10YR 5f8. >3w aY 0YR Sf8 All Pipes to be Schedule 40. Use Below the Flow Line,and Shall be Equiped With a Gas Baffle. YL f bQWI$IIBRGWN .. OWXSf79R(1FCrN NOT TO SCALE 4-500 Gal.Leaching Chambers in a 48" :LOAMYSAND 18.0 36 LOAMYSAND :.. 18.0 12.83'x 42'Washed Stone Field as Shown. C LAYER 10YR 714 C LAYER 10YR 714 VERYPALE BROWN VERYPALE BROWN Proposed COARSE SAND COARSE SAND FF Elevation 22.0' PERC TEST 178 PERC TEST ]8.0 See Note 6 (typ.) 25 GALLONS GONE IN 10 MIN 25 GALLONS GONE IN 10 MIN. F.G. EL. 21 t F.G 132" PERC RATE<2 MINAN(LTAR=0.74) 11.0 60" PERC RATE<2 MIN/IN(LTAR=0.74) 16.0 Flow Equalizers No uROV1M5WATT1rMW6MMWD NO UROUNDWATER ENCOUNTERED EL. 19.45 As Required Installer To Con firm Prior EL IF To Any Work 2500 Gallon EL. 18.90 Top EL. 19.oo TEST HOLE-3 EL.21.0 TEST HOLE-4 EL.20.5 Septic Tank EL .6 D-Box UT H-20 Required H-20 EL. 18.44 FILL.....'.'..'.. .'.. .' . FbL S., (See Note 5) JOiEi"49 18.00 Leaching 24' 19.0 24' .. 18.5 }+ �'i To Be Installed On Chamber ALAYERI0YR.3/2 ALAYERIOYR.3/2 ARK GRAYISH BROWN C H-20 "VERY'D.. .. . .. . BROWN VERYD U, Stable ompocted ase ot. . 16.0 Bedding,„T„g BwLAYER.10i'RDS/8 183 30" BwLAYER.IOYR�S/8: '..,. 32" 18.0 O Inspection Port, lt::Errca..... red::Rei..iove::&:;R�' la..... P :: . :._.: :::::::::: ;;;: YELLOWrsIIBROWN....,... YELLOWtsxBROWN....-.... c;rF` Q`` ................... & Boffels All''C1n'suitable SDi13'aVitliin' S tzf 60" ..': .. .. LOA14fY.SAND..... 16.0 62" :'. '.'.." LOAWSAND.:.. 15.3 DEVELOPED EPTI PROFILE as Per Title 5 The Outer Perimeter of.:The Sys(erri CLAYERIOYR7/4 C LAYER 10YR7/4 _.... BROWN VERYPALE BROWN ...... . ........ ....................... RYPALE NOT TO SCALE EL. 10' 1 " COARSE SAND 10.5 1 6" COARSE SAND 10.0 Revision: Add Septic Notes 7/30/2015 No Groundwater NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED as per TH-4 Revision Dimensions & Notes Added to plan 71812015 Title: �+ } QQ PREPARED BY.• PREPARED FOR: Notes/Revision: Septic, Drainage & Paving Details 1.) This topographic information shown was obtained At Engineering CapeSury Oyster Harbors Club, Inc. by on the ground by conventional survey methods on " Su gi,, Grand Isle Road (or between) 31/MAR/98 and l l/MAY/15. c� lVanC0.01thg,ill� 23 West Bay Rd, Site G Oyster Harbors M 200 Indian Trail . , �,.7o„ar�,,1 Osterville MA 02655 y A 2.) The property line information shown hereon was "�i0 n.emn -wwwAallkarw n.co ' (508) 420-3994 / 420-3995fox compiled from available record information. ARNSTABLE (Oyster Harbors) MASS www.copesurv.com O 3.) The elevations are based on NAVD '88, a fixed _ 40 0 20 40 80 160 mean sea level datum. 1 3 Date: Scale: �� Field: WHK/KAR Review: RRL June 17, 2015 1 =40 Comp/Draft: KAR/RRL Drawing # C285G3 771