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HomeMy WebLinkAbout0206 OLD MILL ROAD - Health 206 OLD MILL ROAD, OSTERVILLE A=142-133 i G Y , t.. a v c w � tl1 C-y i T II Id _ Lia nti� G- 5L } 6 E Ccvn uk G � I �I . __....:... 8'....... . .. _.. . I 9 Pad 6m r tam sheet aN I West Yarmouth MA 026T3 Tekphom 60B 775 BOMB 2666 Far,W8Met21 a AprH 2000.. 2666 2666 6Pdroorrl , 13edrocm A sown HA �J2G ! Z'-101 "— 2'-95n Z'-9i" :()6 '-lo-'t 32 � �11 Z'-9yt' ` —2'-98' 2'-142" '�`— 8 2 CAPE REFLECTED 9066 Pr 6 er REFLECTED I RESIDENCE `P N Cl o5et CI o5et, Closet Closel; Second Floor Plan I t -- - ----3'-6 -------5, 1 t — -.. . 32 t �- 5to acle .J�.___— V4�•p t�eee�!leee �lDE�/1�1 * S®les0elAAtl�leEleEIeEJAetli[ e I......_.._..._........_._.__. III._._..__....____ _........_.._..._....____._.... A 10 -2� ---- -T---.._... --- 2 --- - 5'-32 NWT �o 0 =V124 5�56 f35G18 5rc fs5Gla ��� See Man Stoat __._......... _ I/2 Bath --- - we.tY.nnouth 2666 MA 0267a C Ttle�5oe 775 3e ( O =1 F*hoeM8121 ---.. --, Kin/nlnlnq• Porch 3/20 Fo9b ,a6a � Prom 2b66 CL-et �c4 Closet71 _ ......_.._..._ .. 3066 W — 210" Living Tr -- - CAPE -�- 24X28 " REFLECTED A. } 136drooYl RESIDENCE ---------------II'—'fill�-------------------------------- i- ---3'-6211--- Fist Floor Plan _.. —�w 21066 iOba --- . 6' ----- -- 8'— --- —-- 8' -- - ---—6'----� _ ..... _ ... _ . .... ... . _ -- - ----...... ,.. . 28' ............. WYOiM= ' � L1YGICCtltltltDlEtlLIOLG�tl0�Y6LGC7C➢tl/Atl�IO�C� pICE0tltl�00ECtlIB1Y0�tltllOGtlE®1'JGAmlltltltl/tl6GWItl19tl050tltltltlOtlGOtlltltlCmletlEtltltltltltltl�tltltlEtltltlli➢aEEtlYtlAtltll�tltll8ltltltltltltltltl®tltll�EtlOtlCtlEtltltlOCtlNtl ItltlImECC L 'OWN OF BARNSTABLE LOCATION 0� �G� /i���� SEWAGE#dCO8.Xv7 VILLAGE sl�ardl��y ASSESSOR'S MAP&PARCEL '/f�2 INSTALLER'S NAME&PHONE NO. or�S/�e SEPTIC TANK CAPACITY_ ex1 /. /3bO l4 L � /LiG 71e 4 LEACHING FACILITY:(typeLG„ ,) 3�u® (size) /O)l NO.OF BEDROOMS 3 OWNER PERMIT DATE: e 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 Alv©h y 8 Y ✓l 1 "01' No. .140 3 is Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplication for Th5po of *pgtem C0n$trurtioll 'Permit Application for a Permit to Construct( ) Repair(Zpgrade( ) Abandon( ) ❑.Complete System Individual Components Location Address or Lot Noc�0 O 1 t.. Owner's Name,Address,and Tel.No.kjhk 7 Assessor's Map/Parcel i2 1 -V o 3/-`7���✓{� �fJG� � q Installer's Name,Address,and Tel.No-EL7444 Y' 6'0 Designer's Name,Address and Tel.No.D"w", e0l—e 1-Y7 RJ Type of Building: ¢ Dwelling No.of Bedrooms Lot Size /12 t6 sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) J^•� -5d gpd Design flow provided `3 %0 gpd Plan Date �' 0 y Number of sheets Revision Date Title �• �i S- ,j. O� �O�p QLGf •/ /! , �j/`lCi/j��779 Size of.Septic Tank 4r-X#-S V1,lr /D /p /Sa0 Cad Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the co rucf n and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of a En 'ronmental Code and not to place the system in operation until a Certificate of ~` Compliance has been issued by this Boar of He th. Signed Date 00�_ Application Approved by ! Date ff ^ g-C) Application Disapproved by: Date for the following reasons, Permit No. a 0 ^ 33;t— Date Issued U No. oo� - 35�- j rZ. 3F t�-�,a, Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 6 PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes APplication for Ti6pont *p!5tem Congtructiou permit _ Application for a Permit to Corstruct O Repair(t )Upgrade( ) Abandon O ❑.Complete System � Individual Components Location Address or Lot No_.�,);! � G�C' X 11 I5J Owner's Name,Address,and Tel.Noj ib A, I4 ,Assessor's Ma /Parcel ( � 21 Installer's Name,Address,and Tel.No.D l 4,6 C o'�� Designer's Name,Address and Tel.No.�d ��r C�Sr /r7 /t � �7gfti/ ffi. Type of Building: Dwelling No.of Bedrooms Lot Size 4) sq.ft. Garbage Grinder ( #;, A Other Type of Building No.of Persons Showers( ) Cafeteria( ) ( Other Fixtures Design Flow(min.required) 3 -5d gpd Design flow provided 3 yQ gpd Plan Date S -6- p /V Number of sheets / Revision !Date Title 1. �1t S- .t, f+ ��, ._ rJ/- .JG/ 6l C, /ff// /� -) , 0) //,,� Size of.Septic Tank C'xiS ,�� fp,J-/® /57�0 tea( Type of S.A.S. �— v 3e,,U .�sfi Description of Soil .. r J P�G e7 d ' Nature of Repairs or Alterations(Answer when applicable)f�� r.- /^ C��✓/S '/�-�� �/o h Date last inspected: Agreement: i'7 The undersigned agrees to ensure the constr.c�n and maintenance of the afore described on-site sewage disposal system in . accordance with the provisions of Title 5 of e Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board<of Hea(h. Signed Date S? U Application Approved by Date 11 8 'y Application Disapproved by: Date for the following reasons qQr rr Permit No. r�O 0 O^ 3 3)77 ate Issued - X THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance � THIS IS TO CERTIFY,that the/On-sites Sewage Disposal System Constructed ( ) Repaired (�}� Upgraded ( ) Abandoned( )*by ��-/�r,�r]`i�) r Tin C rl n i izr,' 4d at �4 .6)C c(- R,!/ /► �. �S lil/11,Ar- has been c6nstructed in accordance p with the provisions of Title 5 and the for Disposal System Construction Permit No. OC)p-33 9-- dated� � 0' o Installer 131r 4 Designer C .,,a+' #bedrooms Approved design flow n I gpd The issuance of this permipst�alll not be'construed as a guarantee that the system wri fu\tion as designed. U j C9 Date / ( Inspector %((� to -L =p(-y'mmmmr�ca No. ______® - -- -- ___.�. ___--Fee �./r5)c/"'�� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS lwi5po5ar �§p5tem Con truction Permit Permission is hereby granted to Construct ( ) Repai (1,,11) Upgrade ( ) Abandon (• ) System located at /A, and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided Construction must be completed within three years of the date of this perm Date Approved by e U k FROM :down cape engineering inc FAX NO. 15083629880 Aug. 20 2008 12:52PN P1 i 1 Town. of Barnstable E Regulatory Services Thomas F.Geiler, Director A I;AP1V�IAHLE, MAW Publte Health Division 163'A " Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Ofl•ico: 508-862-4(A4 Fax: 508-790-6304 Installer&Designer Certification Form i Dater Sewagc Permit# o2rJO� `�Z Assessor's MaplPareelZ7 Designer: U�ex �. d-�l ��/)"� Tnslaller: f�OP'` J 0/4� (�r�I�tGl{� AddAddress: /��.1 v G Address: ICJo X, .��.. ._ ..... .. � . .....-- On T �/' , was issued a permit to install a (date) (insta et) septic Systein at �J1 1 t - l�c based on it design drawn by (address) j .... I certify that the. septic system r6ortniced above was installed substantially according to the design, which In,ay include mincer approved changes such as lateral relocation of the distribution box and/or septic tank,. I certiry 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 aft. Local Regulations. Plan revision or c:ertifed as-built by designer to follow. o' ARNE OJALA /PqtAer's S 6nt�:lure) � CIVIL No. 30792 (Designer's Signature) (Affix.1)esi.gn.er's Stamp Here) PL ',ASIR RETURN TO BARNSTABLE I'UBLIf' HEALTH DIVISION. CERTjF1('ATE ON COMPLIANC)r WILL NOT RR [,'-'.SUED UNTIL BOTH THiS FORM_ AND AS-RITT.T T CARD ARE 1,tE.CFTVFD BY THE BARNSTABLE PUBLIC HEALTH DIVISION.-THANK YOU. Q:Men.I11itSeptic/Designiz CCTVF1ultion Norm 3-26-04-Jou 1 MY11 O1 .11ii1•IIS Lill 1)le I) -llnent of IIcIIIIII,Safcly, and Eiivironnlenll I-vices Pliblic He"11111 Division Y I�nles law 367 Alain Street,I lymmis MA 0260.1 = UAIUIBTAnIP- - - I,IAB9. . . .. re�39. p2fDµn�� Dale Scheduled l 0L Time Q rcc I'll.— _ , Soil Sliitabilitj) flssessrlieirt.for Se►vage Disposal ` 11crrmilled BY: S-t-lC-'FI t.� Pt V11 L \Vilncsscd ily: N/1 yy),3 g.�Ig1J� sl q LOCATION & GINEMAIL INVOMMA N Locnlion Address ZC)t 01 CQ Mill Q04 Owncr's Nnnlc OS}�r�ll Address Assessor's Ahpr/Parcel: w1°vo 142 A-1 133 I:ngincel's Wine 130 4h,.�QLI-- f HOlrla�Yt►M NMV CONSTRuci-ION Illil'AIR Telephone ll 'JU-1111,51C1144- 1 � I.nod Use r Gnu1i,. L Slopcs(°o) Surroce Slopes_ 70nR. Distances Irom: Open Witter Ilody II Possible Wel Area n R Drinking Writer Well rl Drnionge 1Vny Il lhopclly Line 11 Other fl S1C ETC 1.1: (Slrcel punk,dimensions of'lot,cxncl locnlions oflesl holes&pert:tests,locn(c wcllnnds io proximily to holes) IZ3/ 0 • Tv1 o � G c,'► 94 ` C, c .'C . 183(al- S i I. r - I ' " V r j 11111enl mntcrinl(geologic) Iola•ial 0 I" Depth to Iledrock r Depth to Groundwnlcr: Slnnding Water In hole: Weeping from Ph hnce 1 lislhnnled Sensoonl I ligh Uroundwnler DETERMINATION IOI .S]PAS ONAL III GI1.)VA I'liltMAI1LE `Melirod Osed: Depth Observed stnudiog in obs.hole: in. Depth to soil mollles: in. Depth to fvccping from side of obs.hole: in. Gnnnldwn(er Adjustment Il. Indcx Well N _ Ilr.nding Dnlc: _ _ Index\Vcll level _ Adl,fnclor __ Al,l.UloundwBtcr Level I'CItCOL,A'I'ION'I'CS'I' '' >:ii�i(e i1,11c i0:47 ObscrVlrlion Jule ll ? ' 'fhnc BI 9" Dcplh of I'M 15&4 Time nl 6" . Slnrt Pre-sonk Tinlc rl Time(9"•G") Gncl l'rc•sonk fl At b 4. }% Rule lvlhl./blch 2 NtIK 111C�1 ' Site Sullnbilily Assessment: Site Passed 10e, Site fnlla11l: Addilionnl Tesliug Needed(YIN) 11 j Original: public llcnl►h Division. C)bscrvnlion [Iplc pulp '1'0 13c Con►I►Icicd nn Ilncic Copy: Appllenni �+ 1)I�I�;1' U13S>i�ItVi1'I')iOIV I}i0LL::IJOG. 1[()lc 1t Ueplh hoof Soil lluliwn . Soil Texture Soil Color Soil Olhcr Surlrtcc(in.) (tlSDA) (hAuucll) MoIllioG. (Sltttelttte,Stones,Ilouldcres. ---- — S,(i115151S!]GL1"��U[AYCl) a ^ 4. r, Br, Sa..J1� t•.6awr �-- /Q� V/1 SAI ------ ---------••--•----_._...-_.. i C/ u —Med. Saner° I)I;I,I' 01381 R "Al ION I oLI" IJOG Ilcrlc i'� Depth hoor Soil 1lolizun Suil'I'exhne Soil Color Soil Other Sulface(ill.) (ILSDA) N1o111iog (sit uclurc,.sloocs,Ilouldcres. 3 CIE 311 �pSIIVkdj /oYR 413 ,,--Z O„ n r. 5 h J to IC DEEP OBSKAO"A'11ON IIO.L. I� LOG [Ic)Ic IE Ocplh lion soil I lotitorl Soil•(•cslurc. Roil Color Soil OIhcr Surface(in.) (USDA) (e,lunscll) h•Inlllin G (Slntchne,Blanes,ILnddcres. I.)IJ1JI'. O>jSLItVATION [IOIJIJ LOU 1I()lcP Ucplh Baal Sail I loriian Soil•I•exlurc Soil Color Soil Olhcr Surface(in.) (IISI)A) (Atunscll) Molllin 6 (Shuclurc,Blanes,Iluoldetcs. -- � �1151515'114Y.1�.1!111Y�I) I' olu�II ur-s)ll�c�llc�,7.1>s .. Ahovc 500 car flood bouodarY a N Yes ---- 1Villdo 500 year boundfily No L ' Yes 1VIIhia.101)year flood boundary No Yes r V-pidiI!of Np lLuffl c IlLrlg_ 'c ' 'tL(! �1LI�f'i_!►_I '! Does at Iensl four, feet of nnhil-nlly oc,curril g pervious 111.11CII.al cxisl in all al-C.-Is observed llll'ollgholit Ille areal proposed fur llle soil nbsorptlon sys(c111? If nrl(, what is the depth ormmurnIly occurring perviepis linl(criall'? �cLirl�.tlli nt �. ----------- I certify Iha( oil _ 12S (dale) 1 havepasseti!}hc soil evalualol•examina(ion approval by life 1kparinl ell( of l3nv if-oil ill cnlal Pl-o(ccdoo and Ill.It dic;abovc nonlysis was performed by Inc con5islell will, the required training, e;per(isc and experience(lescril) d in 310 CMI( 15.017. Signallllrc- �— I)allcZJ1Zra�r.� 1) •1111cn( of IIcaldi,Safely, and Environmenh rvices Public Health Division y INIc Via• 367 Mnin Street,I lynnnis MA 02601 S uAhrrerAmY_ MASI p�fn [)ale Scheduled 0L Time Q ice Ill. Soil Suitability Assessment fog• Se►vage Disposal PCrfnrnnned By: I L \Vilnncssed Isy: T:�OrJN A Y'IO-Op O4Qo L�OCA'C`ION & GI�NI,1t�1L INI�ORINA; N Locniion Address ZC)(e 010 mill i2o0 Owners Name Oshl-it I Lt- � Address _ Assessor's f lnp/Parcel: (rvk,p 1.4}Z Il0e,1 33 iangioccr's Wine C3arc4tr IJ�e. f NOIrN�MevM NMV CONS'I-RUCTION It1..1'AIR 'telephone 11 Lnnd Use �, ,&2� H 1 Slopcs(°o) Surfnce Slimes rto/LE_ Disinnces from: Open Water Ilody Il Possible 1Vcl Aren n Drinking Water 1Ve11 fl Dmiange Wily Il I'roperly Line II Other . R S 101,I1CI I: (Street ntuac,dimensions of lot,exncl locations nl'lest hales&pere tests,locnlc wcllmnds in proxinnily lu holes) 0 0 � Q. oT Z4 E,C.C . 183(0(— S lk- r /Z.S � I'nreni mnlcrinl(geologic) Glderji Ouh,.msIi Depth Iu liedrock Depth to Groundwater: Slanging Witter In I tole: Weeping from I'll face Gslimalcd Scosunal I ligh Grrnnndwaler . DETERMINATION FOR.$1111ASONAL IIIGII.)'VA' `ITP ItMA13L1!;' Method t)sed: Depth Observed sinndh,g In ohs.Bile: in. Depth to soil mottles: Inn, Depth to weeping from side of obs.hole: in: Gmondwnter Adjustment Il. Index Well If _ Itendinp Dntc: Index Well level _ _ Atli.Nclor Adj.Grourndwalcr I.cvcl I'CI,ZCOL,A'1'ION'i'8811 <ii:ile s..� line �o:�� Observatimi I lule 11 Z Time at 9" Uch m of I, t' I = _S Time al 6" . Sint[I'rc-sunk Time rr t0;9'7 I'lmc(9"-6") I:nd I'rc-sank U he b ti 4% szb-u_r dk Role Ml1►./Inch Z wrlK IrtC�l , Site Sullnbilily Asscssmcnl: Site Pnssed_�� Site frilled: Addillonnl Testing Necdcd(YIN) Originnl: I'hrbtic Ilenith Divisioh Obsen'll(lo►► f tole Daln To Ile Conlpleled on Brick j Copy: Appilcnnl ' 1 i 1)I;I!;1' 013S1;1tV�1'l'ZUN 11(�LE.iJ,OG 11ole ft I Deplll lium Soil 1lorizun , Soil Texture Soil Color Soil 011mr .Sutfilce(in.) (USDA) (Mollsell) Molding (Slruclule,Slopes,Iloulderes. -- — S.S1115151S11GY i��)l�Y�) o 4/, „a /r /! p N SR�•1 n 5a�y t_paw� /® IlR 5A, �fl"— /3 L" �-Cz ., 'yih�a— .Fiicc /O�2 '7�L ._., -- — •------•-� DI;I,I' OBS1001A I ION 110Ixi LOG hale It Z Ucplh front Soil I lotizml Soil Texlurc Soil Color Sail Oflier Sarfnce(in.) (IISI)A) (Alunscll) Niollling (Siruclutc,Shines,1luiddcres. Cumblum., Omni) Iq p y �o ya /3 _ &J U1t�_9_3^—Z'-._. _—_— L.-� _._ —_ l`�sc/�-✓Cnac1• — __.._---___./�._—. .__--_.__—...._---_—.—____.._..._.___..:..... l 01381FAVA`I'ION 110JAP, LOG I1ole'll Deplil liam Soil I lotizun Soil Texhoc Soil Color Sail Olbct Surface(in:) (OSDA) (hiuttsell) f`inilliog (Sltuclutc,Sluncs,Ilouldues. DI.',N) 01181.e1tVA`I°ION 1I0L8 LOG Holc if l)elub Tropp Soil Ilorium Snil'I•exiole Sail Colot Sail O ltcr Surface(tn.) (.USDA) (t`lunscll) Alollliog (Shuclurc,Sloncs,llonbletcs. — -- �,l11II1514114Y.1tsl111Y.S1) l' isuit 5 111 71�iCC IZI11 7ILi Above 500 year Mond botiodnry No _ Ycs lvilhin 500 yeir buuodmy No ✓ Ycs Wilblo 100 ycnr,flood boundary No ✓ Ycs-- l Uc,ILII clf�l,lsl sll c IL1s1{;_ 'c ' L'1Ll�l•1'I Does al least four. fee( of nalorallyoccurring pervious nimlerial exist in t111 areas observer, throughout Ilse area proposed for the soil absorption system? I f not,what is the (leptl, of naturally occurring.pel violls material? S�Lil�I�'sl!!SLIt 'I cer(ify Thal tilt _ ��� . (date) I have passed the soil evaluatol•exatrlinalion approved by 111c I)cparimcnt of linvnonnlcnlal I'rolcclion and that the above analysis was performed by me consis(enl will, (lie required training, expertise and experience described in 310 CMIZ 15.017. Signature----—-- -- I)alc ���lZafor� TOWN-OF BARNSTABLE �? � CO LOCATION �� 1 L.Ii J'`- � SEWAGE # VILL G I ASSESSOR'S MAP & LOT / ��r 33 INSTALLER'S NAME&PHONE NO. W 0G /�/ "lAv SEPTIC TANK CAPACITY l � �' LEACHING FACILITY: (ty ) (size) NO. OF BEDROOMS c -L11VAA11-n, 1 BUILDER OR OWNER . PERMITDATE: Od COMPLIANCE DATE: Lon 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 l7 �©l� r - 4t -:;kQ' (.0 A I-- 3q`q'' IL No. �� Fee s , THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Af application "V. tgoml bpotem Congtructton Verna Application for a Permit to Construct( pr( )Upgrade( )Abandon( ) Pkomplete System 1:1 Individual Components / Location Address or Lot No. �p'�j � !�1 j& jeVI Owner's NamAddress ajA Tel.NP. f. Assessor's Map/Parcel /1(7-l3 3 oc,fO-t-4-4— Installer's Name,Address,and Tel.No. D igner's Name,Address and Tel.No Type of Building: Dwelling No.of Bedrooms Lot Size �,Tsq. ft. Garbage Grinder( m Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 gallons per day. Calculated daily flow 3 3 ® gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Tvne S.A.S. 12Ir"� Description of Soil 7r �JJ Nature of Repairs or Alterations(Answer when applicable) 1 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss a by is L d of Heal Signed Date Application Approved by Date Application Disapproved for the following reasons el Permit No. Date Issued TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE (� ��TCf��/ C��� ASSESSOR'S MAP & LOT `I � INSTALLER'S NAME&PHONE NO. L,00Gfl. 1 V �V - SEPTIC TANK CAPACITY � � 6 / LEACHING FACILITY: (ty ) (size) NO.OF BEDROOMS / BUII..LE.. it D O..DOWNER LIM11,Ak I I I/ . 1 `/ v r 1 PERMIT DATE: , Od 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 - r Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by V � . 9� ♦k:a-- /�] • "'i_` _,az ,.' r Y � _` s.��'�,i „i...^r'"`,.C9YVWVC L/^/1/// No. Fee _� THE COMMONWEALTH OF MASSACHUSETTS En217 tered in computer: ; PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Yes ?for ig�ogar �p�tent �Con�tructiou �erntit t r' Application for a Permit to Construct{ )Repair( )Upgrade( )Abandon:,( ) Complete System ❑Individual Components f #R Location Address or Lot No. �j Q �i�� Owner's-Name,Address aq4 Tel.N r Assessor's Map/Parcel $(Z` 3-3 �r `f ,— Installer's Name,Address,and Tel.No. D signer's Name,Address and Tel.No 16 a� Type of'Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(• Other Type of Building No.of Persons Showers( ) Cafeteria( ) t .t. Other Fixtures _ Design Flow 3 .3 Q gallons per day. Calculated daily flow .� 0 gallons. ` Plan Date Number of sheets Revision Date Title n -- Size of Septic Tank 1Type f S.A.S. 6 K 17-6 T.- f er-L" Description of Soil 9 7 — Nature of Repairs or Alterations(Answer when applicable) `= ;a Date last inspected: Agreement: a The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system / in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue by L d of Hea . Signed k.- t ~' Date Application Approved by _ Date Application Disapproved for the following reason t 1 \. Permit No. Date Issued ---------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of ComVIiance THIS IS TO CERTIFY.,that the On- 'te Sewage Disposal System Constructed(j/)Repaired( )Upgraded( ) Abandoned( )by at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer J ��j The issuace of this permitt11of b c nstrued as a guarantee that the sys eem will function as dresign�d.Date /./l Inspector i' ! ? �i ,� fl rt� !'7'(C 0 --------— —------------ ----- No Fee—/THE COMMONWEALTH OF MASSACHUSETTS / PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS ;Biope;ar *pgtem ttCon.5truction Permit Permission is hereby granted to C s ct(✓)Re air( U grade( )Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this �7 G✓�_/ Date: /� ���' t�"PS"J Approved bye A� COTUIT BAY Rrr5. 141 , 6 � ---- --- ---- - --- TIMXS COVE ou % 04 ►q 1- _ _ '• „ .. COVE CATS Kou I�r --------------- WEST BAY NORTH BAY Exisum LEGEND PROPOSED _ ZONES Design Schedule ELEVATION Leaching Area Requirements Edge of Pavement -- ZONING DISTRICT R D-1 TOP OF FOUNDATION 43.8 3 BEDROOMS AT 110 GPD/BEDROOM = 330 GPD a9 Sewer Pipe ZONING DISTRICT GP FlNim I�ASEMOVT FL(OR 36•0 — Water Pipe w - FINISHED GARAGE FL NOOi' A MINIMUMS ADDITIONAL 5OX FOR GARBAGE DISPOSAL N.A. Leach Pit CO) AREA = 43,560 S.F. SEWER INVERT AT FOLth)ATION 41.0 SEWER INVERT NTO SF''11C TANK 40.8 PERC RATE = 2 /1 MIN. / INCH (CLASS 1 ) Catch Basins �" FRONTAGE - 20 4 O O Septis Tank • �' WIDTH — 125' SEWER INVERT OUT OF SEPTIC TANK 40.5 LTAR = 0.74 GPD/S.F. FRONT SETBACK = 30' SEWER INVERT wro Dr44BImON Box 40.4 sroNaioRSE ROAD ❑ Distribution Box c OBBINS Light Water GatPolee A SIDE SETBACKS = 10' SEWER INVERT SEWER WVEKr OUT OF Ir+S"iRIBUIION BOX 40.2 MIN. LEACHING AREA OF S.A.S. R INTO LE RING sYSTEM 40.0 STREET --0- Utility Pole �►1 �i+ REAR SETBACK = 10 200 Contours BOTI DM OF LEAt:HING :'YSTEM 38.0 330 GPD/ 0.74 GPD/S.F. = 446 S.F. MIN. 200X00 Spot Grade + WATER TABLE _ MALE sT�r Test Pit PROPOSED SYSTEM SIDEWALL (12+26)(2)(2) = 152 S.F. BOTTOM 12' X 26' = 312 S.F. - TOTAL = 464 S.F. LOCATION MAP HYANNIS QUADRANGLE N.T.S. ASSESSORS 3 TOTAL UNITS: 1 STARTER,1 INTERMEDIATE, & 1 END. GENERAL NOTES : MAP 142 PARCELS 133 1-1.5" WA HF_D ;i'{iNE ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH _ _ TIRE V OF THE STATE SANITARY CODE DATED ° a d. a MARCH 31, 1995 & ANY LOCAL RULES APPLICABLE d - 12' ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING eyg A BY THE DESIGNING ENGINEER. C.BND/DH FND. (HELD DIRC.) LOT 83 a�BM EL-40.66' MANUEL F. & ALJNA T. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFlWNG, NOTIFY THE ENGINEER & BOARD OF HEALTH AGENT i MORGADO FOR INSPECTION. ' MAP 142 26 PARCEL 132 FOUNDATION ELEVATION MUST Or CHECKED WHEN COMPLETED. PLAN OF LEACH CHAMBI I'S � THESE ELEVATIONS MUST NOT BE CHANGED WITHOUT WRITTEN NO SCALE - APPROVAL BY THE DESIGNING ENGINEER. BARNSTABLE ROAD BOUND O—•� �� ��' �' `�' BILL EL-37.48' PROPOSED DRIVEWAY g 12' -- ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4" PVC. A.,;� / % ' VL \�Q;__ LOT 78 _ FINISHED GRADE , UP #17. �/ ' ' % % - '� OF N� I �� COMPACTED FILL EXCAVATE AND REPLACE ALL UNSUITABLE MATERIAL SURROUNDING f � , , TE LE #2 LOT Sy Jl IS;-, M. NESE 36'1VIAX.- 12 IN. { SURROUNDING THE LEACHING FIELD FOR A DISTANCE OP 5, Q ,E 7.3P8 ) ' AREA=12,+�68 S.F. '4AP 142 2 T , PEASrONE PER 310 CMR 15.255. • : I�.3,RCEL 128d' �� . •:, • •• .5" . ' '"' ' ' •: •' 3/4" TO 1 1/2 " r �M '' i l kq \ PRO , �' ,' a.' DOUBLE PRIMARY BENCHMARK N.G.V.D. Nv- r l3EDJ2 DECK �� •' WASHED STONE PROJECT BENCHMARK SEE PLAN TEST HOLE #1 S �/00 TgNkC ���� %/ LOCATION OF UNDERGROUND UTILITIES ARE APPROXIMATE AND SHOULD BE VERIFIED IN THE FIELD BY THE APPROPRIATE i}�/Fr1D 1 , ,spr� SECTION UTILITY COMPANY PRIOR TO ANY CONSTRUCTION. NO SCALE �4 ,� LOT 7 7 /17 Gib MAP 142.y LOT 5 w y �\ o 44' PARCEL 12 F SCOTT W. & LAURA B. 70, LEACH SYSTEM WITH INFILTRATC:DESIGN NICKERSON MAP 142 ALL PIPES TO BE SCHEDULE 4(',, PVC PARCEL 134 USE 1 - 4" DISTRIBUTION LINE IN 3 F ECHARGER UNITS IN A 12'X 26' WASHED STONE TRENCH AS SHOWN (�r/ STEPHEN H of ��ny�N m / -+ r o S LOT 76 Fss 0����, cl�.,c�E�;,;;.. TURNER FAWKES 2001Q i RAMONA FAWKES I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT THE PROPO.�'ED FOUNDATION SHOWN IS MAP 142 IN COMPLIANCE WITH LOCAL ZONING BY-LAWS (WITH RESPECT TO SETBACK REQUIREMENT'S PARCEL 126 ONLY) AND DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD A.REA 206 Old Mill Road SCALE: 1"= 20' THIS PLAN IS NOT TO BE RECORDED OR USED TO ESTABLISH PROPERTY LINE,. Osterville, Massachusetts 0' 20' 40' 60' b—t - /L 2 c _ a o o PREPARED FOR REG STERED P OFESSIONAL LAND SURVEYOR DATE Habitat For Humanity TITLE Septic System Design BAXTER, NYE & HOLMGRF ki, INC. Fintel�ed Grave - 43.o't TYPICAL SYSTEM PROFILE so11, LOGS DATA :S/l6/o0 ENGINEER: BOA'>,D OF HEALTH AGENT: -- COI ,R=AC= NOT TO SCALE Stephen A. Willson,P.E. Dom`a?Vliorandi,Barns. Health Dept. MXTER, NYE & HOLMGREI J INC. Top dw moo a" LEAST Re F _ 'W M V T c�,oE TEST PIT 1 (P-9751) TEST PIT 2 Reg istered Professional G.S.E. = 44.0 G.S.E. = 42.0 Engineers and Land Surveyors GRAL)E OVER TANK • 43.0'f __., WWE °� D. Box + °•� 0 » 0 ° 812 Main Street Osterville Ma. 02655 `.. FlNrsHOD t,,RADE ovER LEAC�FIINt; TRENCH _ +3.of 0 __. 0 — » Phone - (508) 428-9131 Fax - (508)428-3750 » 4 H� ) PVC _ 4" SCH. 40 PVC F1ibr r LEVEL) 12" (min) Cover " » -� " " r� 36 (max) Cover Ap SANDY LOAM Ap SANDY LOAM Rmpowd ,a' a E .r.w 4" SCH .4o PVC » » T 10 YR. 4/3 __ 8. 10 YR. 4/3 Flni W 2"Layer 1/8 to1/2 Boeement :_ . . Fbor � 31i.0 :.; �. ., ..... .�_�::..��: ,.::.s:�•,. - . Peaatone LFi1CFNIrG Slope = 0.005 (min ) "B" SANDY LOAM "B" SANDY LOAM Akdbnoed Concrete 4" PVC 16» 10YR 5/6 20" 1OYR 5/8 F007NG SCALE: 1�= 20' DA c: JUNE 20, 2000 "C1" MEDIUM SAND "C1" MEDIUM SAND » 1OYR. 5/8 " 1OYR. 5/6 REV. DATE: REMARKS earroM ELEV. - 3ao � 66 "C2" FINE MED. "C2" F'1`NE MED. col 1500 GALLON SEPTIC TANK DISTRIBUTION BOX 7' SAND SAND To BE NSTALLM ON A LEVEL STABLE BASE Tip BE NSTALLED ON A LEVEL STABLE BASE 132" 1 OYR. 712 (El 31.0) I'M 33.0) 132" 1 OYR. 8 2 DRAWING NUMBER SEPTIC WX TO BE Nr$W10 & CLEANED ANWALLY Bottom of TH 12; El 31.0 NO WATER ENCOUNTERED H: 2000 2000-35 SURVEY worksht 2000-35WS.dw.LEACHING SYSTEM PERC ® - 56" \ ` \ \ \ 9 RATE= < 2 MIN/IN Job 2000-35 I ALL SHALL OMPONENTS SYSTEM PROFILE MARKED SYSTEM APE OR BE NOTES Ln (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS APPROXIMATE NGVD ACCESS COVERS TO WITHIN 6" OF FIN. GRADE TOP FOUND. EL. 45.6' PROVIDE INSPECTION PORT TO WITHIN 3" OF FINAL GRADE 2. MUNICIPAL WATER IS EXISTING 45.0' ' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQU D OVER SYSTEM 44.0 0 PRECAST H-10 4. DESIGN LOADING FOR ALL PROPOSED PRECAST 7 RISERS (TYP.) I ( UNITS TO BE AASHO H—Q ood�' ) 4 2•0 4.0'f 4"0SCH40 PVC 2" DOUBLE WASHED PEASTONE PIPES LEVEL 1ST 2' LI 5. PIPE JOINTS TO BE MADE WATERTIGHT. rP �' OR GEOTEXTILE FABRIC ocus "EXISTING 1500 GAL 42.67' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE *EXISTING TEE SEPTIC TANK TEE r WITH 310 CMR 15.000 (TITLE V. I- Sou h EXISTING A3 42.6, r GAS BAFFLE:; 00-' oho 2.17' 2.8' AT SIDES 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND 2' 0.8' AT ENDS NOT TO BE USED FOR LOT LINE STAKING OR ANY Main St. 4.2.35 42.18 go OTHER PURPOSE. 000 �� 40.17' 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 9. COMPONENTS NOT TO BE BACKFILLED OR 00 6" CRUSHED STONE OR MECHANICAL 3/4" TO 1 1/2" DOUBLE WASHED STONE CONCEALED WITHOUT INSPECTION BY BOARD OF DEPTH OF FLOW = 40 COMPACTION. (15.221 [21) HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. TEE SIZES: co INLET DEPTH = 10„ 10. CONTRACTOR SHALL BE RESPONSIBLE FOR OUTLET DEPTH = 14" CALLING DIGSAFE (1-888-344-7233) AND LOCUS MAP VERIFYING THE LOCATION OF ALL UNDERGROUND & ( 1 % SLOPE) ( 1 % SLOPE) 34.0' BOTTOM TH-1 OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF SCALE 1"=2000'f NO GROUNDWATER FOUND WORK. FOUNDATION EXISTING SEPTIC TANK 25' D' BOX 3' LEACHING 11. ANY UNSUITABLE MATERIAL ENCOUNTERED ASSESSORS MAP 142 PARCEL 133 FACILITY SHALL BE REMOVED 5' BENEATH AND AROUND THE *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL **THE INSTALLER SHALL CONFIRM MIN. PROPOSED LEACHING FACILITY. LOCUS IS WITHIN ESTUARINE WATERSHED UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS SEPTIC TANK SIZE AT 1000 GALLONS AN EXISTING LEACHING FACILITYAND SHALL BE PUMPED PROTECTION OVERLAY DISTRICT PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM AND ITS SUITABILITY FOR RE—USE AND REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. LOCUS IS WITHIN AP OVERLAY DISTRICT LEGEN D 99— EXISTING CONTOUR X 99.1 EXIST. SPOT ELEV. --[�-- PROPOSED CONTOUR SYSTEM DESIGN: 198•4] PROPOSED SPOT EL. TH1 GARBAGE DISPOSER IS NOT ALLOWED TEST HOLE / Q / DESIGN FLOW: 3 BEDROOMS 0110 GPD = 330 GPD 2� SLOPE OF GROUND / USE A 330 GPD DESIGN FLOW C-Q) UTILITY POLE / tx FIRE HYDRANT 0 // tK� s, - SEPTIC TANK: 330 GPD (2) = 660 WIM NOT 9L SYMMS MAY MPEWt IN °`sA"m+c / �: **RE-USE EXISTING 1500 GAL. SEPTIC TANK � �, a`° � � LEACHING: TEST HOLE LOGS V S// SIDES: 2 (30 + 10) 2 (.74) = 118 GPD GRAVEL BOTTOM 30 x 10 .74 = 222 GPD ENGINEER: DAVID FLAHERTY, R.S., SE2755 O moo/ Iz-� \ DRIVE i WITNESS: DONNA MIORANDI, R.S. TOTAL: 460 S.F. 340 GPD O AUGUST 6, 2008 / � � USE DATE: / o= \ / WITH (0 "3050- ANDINFILTRATORS' AT SIDES � / BENCHMARK PERC. RATE _ < 2 MIN/INCH / COR. CONC. BULKHEAD / ELEV. = 44.94' CLASS I SOILS P# 12311 a ^ / ON EXISTING " MA ELEV. ELEV. / wiRFs DWELLING TOP FND. �40' APPROVED DATE BOARD OF HEALTH ' 0" 41 2 / 44.0' 0" 44.0' / c ELEV. = 45.58' 4 j 2' A A 4r 5� TH-1 LS LS 10YR 3/1 10YR 3/1 ' o ; ' y TH-2 5 5 GAS TITLE 5 SITE PLAN k�B B METER / \� OF LS LS LOT 84 EOEVS.TA43.96' i��. O� .,, o� 206 OLD MILL RD. 18" 10YR 5/6 42 5, 19" 10YR 5/6 42 6, R� 12,469 SFf /; ��_ /� (OSTERVILLE) BARNSTABLE, MA \ j Q __V PREPARED FOR QIo ' BORTOLOTTI CONSTJ c c \ MIKE WILLIAMS PERC DATE: AUGUST 6, 2008 FMS FMS \ \ 2.5Y 7/4 2.5Y 7/4 off 508-362-4541 ��N OF Mg fax 508-362-9ssq �ZN OF Mgss 80 cti� �� qcy I downcape.com DANIEL sm �o DANIELA. G� o A. a OI a down cape efl? eefing� 17C. LA �' � CIVIVILL `o N .40 No.46502 civil engineers 120" 33.5' 120" 34.0' �o ��" A .� � / NO GROUNDWATER ENCOUNTERED "= 6 810 S ti� ���� hand surveyors Scale: 1 20' Na URVE J S ` 939 Main Street Rte 6A YARMOU THPOR T MA 02675 DCE #08— 177 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. 08-177 BORTOLOTTI_WILLIAMS.DWG (DDF)