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HomeMy WebLinkAbout0077 PIRATES COVE - Health 77 PIRATES COVE _ T OSTERVILLE A = 051 006 II I i TOWN OF BARNSTABLE LOCATION `?.� � G�•s ors SEWAGE#. - VILLAGFJ -z_TZ ASSESSOR'S MAP.&PARCEL INSTALLER'S NAME&PHONE NO._. G - vim-77(-1- SEPTIC TANK CAPACITY C4,4_,g46L4E tLk i t rL E4- z 4+- LO t5� yj -9 A-y— LEACHING FACILITY:(type)' -% 4-41(size) NO.OF BEDROOMS I OWNER PERMIT DATE: 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 j � o � Q 0 a p �..s9 1 � r �t rJo. Fee too THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: �N 1'Y PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS es 0(pprication for Miglatal *pttem Construction Permit Application for a Permit to Construct(lk')Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address Lot No. I Al pE7 01t Owner's Name,Address and Tel.No. P 1 rzAI�S c�vE �/5`i�1Z i�rc S -zE W As Assessor's Map/P ce' ('L5 W OODLA LU k! AUE .._.. . AA P 51 emsLG jtt4k _..... .. Installer's Name,Address,and Tel.No. AA r PjQ Designer's Name,Address and Tel.No. Q0\0` 7.�� Type of Building: Dwelling No.of Bedrooms _ Lot Size sift. Garbage Grinder( +� Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per'day. Calculated daily flow Id.0- gallons. Plan_Date 1 L !'Z 1 9C1 Number of sheets Revision Date Title FtAt� DF lFOW05GE) C ls7rridcTtal Ar �kAM CojE, 01/ 'L� AesDas Fat 7_6:u14s Cpoe*j_--w_ .4 Size of Septic Tank 1500 60-e- - 'L co—f Type of S.A.S. LZIV-410& 41_'8lA%4E;e7L5 17' x 53 Description of Soil Co A25E SALAD 10 y e 5/4- Nature of Repairs or Alterations(Answer when applicable) 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 tIdronmental Code and not to place the system iti operation until a Certifi- cate of Compliance has been' sue b thi B Signed 4Z Date Application Approved by Date -�-�" Application Disapproved for the f9lowiJ9 reasons Permit No.T _°�- Date Issued r p 6 � R Fee THE COMMONWEALTH OF MASSACHUSETTS . Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF'BARNSTABLE.,MASSACHUSETTS �- 01pprication-for %mi5po5al *pgtem Congttuction 3permit Application for a Permit to Construct(�e)Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 2 A 01Nb Owner's Name,Address and Tel.No P I ZATE5 c oVF_ 0-1hV .iA� V W AS C lzq %se Je Assessor's Map/Parcel 11.5 WooDLA W 4 A116 AAAR SI pGe Cv WtrUAI eig L MA. Installer's Name,Address,and Tel.No Designer's Name,Address and Tel.No. t �rh�A(S S 1JV1;\\S DIZ nMal6 Type of Building: Dwelling No.of Bedrooms A_ Lot Size Garbage Grinder( ✓f Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow A440 gallons per day. Calculated daily flower gallons. Plan Date AI%L 12, 19gg Number of sheets ( Revision Date Title FLA IJ aF ` 009c,56D CO STRUCi'N AT- ►� AM CoV&, bySri•AAe8DRS Fat ZamAs CQouC6m 4L Size of Septic Tank ISQQ 44, - IL Gow^P Type of S.A.S. L&V,I41U& 696*18614 17' x 53' Description of Soil COA"F_ SAWD 10gZ S/4- I Nature of Repairs or Alterations(Answer when applicable) t ( 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 Title15the29. �p ironmental Code and not to place the system in operation until a Certifi- cate of Compliance has been ' sue b hnal �• Signed Date Application Approved by Date U- I Application Disapproved for the Mowinyreasons Permit No. 'a� Date Issued'- --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS k BARNSTABLE, MASSACHUSETTS Certificate of Compliance �~ ft THIS IS TO CERTIFY,that the On-site Sewage Pispbsal System Constructed( 9C )Repaired( )Upgraded Abandoned( )by at let 2A ReATM 4CV6 O S It has been constructed in accordance with the provisions of Title 5.and,the for Disposal System Construction Permit No. dated Installer Designer The issuance of 's perput shall not be construed as a guarantee that the system will function as designed. Date AO I aq _ Inspector _FYKLn�sy No, 7 Fee 100 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migpogar *pgtem Congtructton permit Permission is hereby granted to Construct(1>e)Repair( )Upgrade( )Abandon( ) System located at I. �� „ d t`-.,4 2 4 L, 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 permit. Date: ) � �t,� Approved by J TOWN OF BARNSTABLE LOi+ ON y �`��►�c�� CQJ-2) SEWAGE# VILLLAGE ®S�-SZ.�%'Ik (0 1 5 1SSESSOR'S MAP&LOT 6SI -Db fo INSTALLER'S NAME&PHONE NO 6f I-L i� �� SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 5�b \ L (size) iQ 1 (57 L X r� NO.OF BEDROOMS `� M0t�!A BUILDER OR O( W R) o-ooc � PERMIT DATE: tL-I f-9S 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 h Yt 1 ?,Ore c3C--, � _. P,/���),l //yam//y// (^•J/�//� J , ..... TOWN OF BARNSTABLE LOCATION -7? l,/'4142 1 t`®!! 1" SEWAGE # '�` 2'3 Z IVILL,AGE ®S, l�/> ASSESSOR'S.MAP & LOT IA INSTALLER'S NAME&PHONE NO. /r t®CD /1 SEPTIC TANK CAPACITY LEACHING FACILITY: (type)Q3� 0)j n V&-4" (size) J- l 2 NO.OF BEDROOMS BUILDER OR OWNER J'-Oe PERMITDATE: COMPLIANCE DATE 3jaC2 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`oi within 200 feet of leaching facility) Feet Edge.of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet f Furnished by a A N io r e f, 'N No. A01Z Fee E COMMONWEALTH OF MASSACHUSETTS Entered in c 'p r: s Ye PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2ppliLation for Miisposat6pstem CDnstrurtion Permit Application for a Permit to Construct( ) Repair(A) Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. 99 R na)k,5 WLL-, Pj Owner's Name,Address,and Tel. Zee. Cro<Xer— PtS• Dr»C sofa Assessor's Map/Parcelc'i s0a D5 6+I�, e> a d r s Installer's Name,Address,and Tel.No. 9 3?5� Designer's Name,Address,and Tel.No. ,S n 14—�y��'n�vsffy Type of Building: e Dwelling No.of Bedrooms 1 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 JSWType of S.A.S. .�I; r X /�' Description of Soil r Nature of Repairs or Alterations(Answer when applicable) Aln 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 C no to place the system in operation until a Certificate of Compliance has been issued b this Board of Health. i ed Date V XV/1/5� Application Approved by Date Application Disapproved y Date for the following reasons Permit No. r Date Issued ZU No. Fee tE COMMONWEALTH OF MASSACHUSETTS Entered in c p t r: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Nplication for Bisposal *pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. / J Pj(,a`e,$ �� pj Owner's Name,Address,and Tel.No.&11> _(?5- 0/O t J ++ Zee. C ro�{�er- F.b• �?C .1 o/2. Assessor's Map/ParceWl. �, 05`�,�P,& 1 I�e D u D o9G !S- Installer's Name,Address,and Tel.No.5 �-`7'�/'9�� Designer's Name,Address,and Tel.No. i ` Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) _ i .---Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date i Number of sheets Revision Date ` _. Title , //J 1 P Type of S.A.S. C f 57'i Y14 �5 /X (D. - �✓0 LA& ke V aZ `. Size of Septic ��(,��� � — � � _j Description of Soil cz Nature,of Repairs or Alterations(Answer when applicable) Date last inspected: t Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued b"Boardth.,- ` t �r Date //v//,;,J( Application Approved by ALL> Date 1 Application Disapproved y Date for the following-'reasons r Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site S-ewagr`er Disposal system Constructed( ) Repaired(� Upgraded( ) Abandoned )by �_+G(y�� C6n4 __T' l at ,.,yd,�t,A, �j(J� UVskn t_- �5 has been const cte i acc with the provisions of Title 5 and the for Disposal System Construction Permit No da d Installer ar �+, �VC�tGY�,.I.n� Designer —� #bedrooms Approved desiow J gpd The issuance of this pe i shall not be construed as a guarantee that the system wil func"on designe14A, . ` ~ Date '/ /t1 —Inspector // � r t 4�t.1�i --------- -- -------------------------------------------------- ------------------------- ----------------- --._------ - No. �/D - Fee �`�~ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal &pstem Construction permit Permission is hereby granted to Construct( ) Repair(Z) Upgrade(`` ) Abandon( ) System located at r 7 ► 1 r n4c5 / ,„p 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:Cons c ion gi sthe mpleted within three years of the date of this permit. Date Approved by 1 � No (b Fee Y', BOARD OF HEALTH TOWN OF BARNSTABLE 21ppYication ff or Vern Construction Permit Application is hereby made for a permit to Construct(,�), Alter( ), or Repair( ) an individual well at: Cz Location-Address Assessors Map and Parcel Avg,#20$ , $ash•,f R 02-210 Owner Address �crWNtaAd, 2U, 1�si��;rw`>nr` y'�o Z183,Ocorn TVIA 02653 Installer-Driller Address Type of Building Dwelling J Other-Type of Building No. of Persons Type of Well Capacity t ° tir Purpose of Well 54Jr-"Ih , 14 Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Cer 'ficate of Compliance has been issued by the Board of Health. Signed Date (�Application ApprovedB� r � Date Application Disapproved for the Vowing reasons: Date Permit No. Issued Date -------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well 1 Constructed(✓), Altered( ), or Repaired( ) by S1M®Y1�. VVQ-11 �):o nA lY1L Installer at has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. W 0f6 Dated ^30 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector No. t J16 Z� Fee ��� w° -`• BOARD OF HEALTH TOWN OF BARNSTABLE 01pprication jfor Yell Con.5truction Permit Application is hereby made for a permit to Construct(J), Alter( ), or Repair( ) an individual well at: "1�1 �';cc��eSC�tle. � OS�cJ�11� Location-Address Assessors Map and Parcel -T-CY-No.s C- oc-u (- 50 o &,K,14 Zo 3 , Baa�+},r,, � 02210 Owner k Address CJQM ,r�,�pf 01� bfIM ;nPi�hL R()-'14ok-L-Isl0(c�Yx MA 9Z653 Installer-Driller Address Type of Building Dwelling Other-Type of Building No. of Persons Type of Well y Capacity 10 ± �etir Purpose of Well v Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. l Signed ./� �r� In I I 6 Date Application Approved B ( �/� q/ �b Date Application Disapproved for the owing reasons: Date Permit No. Issued Date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that lthe individual well Constructed(✓), Altered( ), or Repaired( ) by t C. VhoYlc� VVP_\� �Y (- Installer at C-k),A- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. W,,2016- 02/2- Dated �� 3d THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector BOARD OF HEALTH TOWN OF BARNSTABLE �G Ga Vern Construction permit No. � Fee Permission is hereby granted to IJ('_,Slrr hL Installer to Construct(1, Alter( ), or Repair( an individual well at: No. Street ' l as shown on the application for a Well Construction Permit No.V v Date 3 — Date / /o I�C/ Approved By �— r:. i 77 �� fZ �,� • 4 ., �. ., existing: Y+ DESMON ELL DRiLUNG, PC-: . f Z.. 5 BEi ROAp,BOX 278 garage ORLEAiV$,MA 0265 TO>BE.'REM��V, (508)240 100 , - k it 1 ` 11 o o� c� YYpk<ti >� - EN 16 4 { V s � PROPOSE fi E METER IA . 10. \� - PL 4 A o (Ij :IV in ■I' . T Cl COARSE SAND SAND 10 1(R 5/4C...; MEDIUM 'SAND -36 -46" PERC. TEST 6' TEST C2 C2 MEDIUM SAND & LIGHT GRAVEL COARSE 8 , SAND - MEDIUM TO FINE SAND r 10 YR 6/2 C3 NO .WATER -132" NO WATER::.. EL. _ 1.5' A7ER EL, 6.3' UNABLE TO SATURATE 1M IN 2 MIN. -- ASSUMED ; N` RMEDIATE PLAN Q . )oS CQNSTR;. %TION 2 AT PIRATE S fiRS t.;�/E QY.. ER MAR Q (t�STERVILLE)' )RO. tA c DER MASS ►OM ESIGN BARS: ► F' LE ! 1�►� 3 G.P.D. PORT 95 G.P.D. TA K Z�-NAS' G: � KE R i R. ... J1, DESIGN -M- I SCALE: AS N01 I: 1) DATE. APRIL 12,1998 130F� _ _ PV PERFORATED IDS � . 1N 3 RECHARGER UNITS $AX1-ER.. & NYE INC. IE FI _.D AS SHOWN REGISTERE1.). LAND S.URVEYORS REoul�zEq CIVIL ENGINEERS = 441, S.F. pSTE_RVILLE; MASS• .F* SI 'EWALL AREA r mrvn*rNul AREA 1 S S��! ► O ' TOWN OF BARNSTABLE LOCATION 6MAe Aw. SEWAGE # 23 VILLAGE D 5'7e-IVI'Ile ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. r rdzc /, e�w,5r: 7 W 1W SEPTIC TANK CAPACITY LEACHING FACILITY: (type)Q) (size) �— NO. OF BEDROOMS j BUILDER OR OWNER � � PERMITDATE: COMPLIANCE DATE Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (Lf any wetlands exist within 300 feet of leaching facility) Feet - Furnished by i I i . 1 d � S r C SMM TOWN OF BARNSTABLE LOCATION 2 Co` Q� SEWAGE # VILLAGE O� ISSESSOR'S MAP& LOT 65"/ OA in INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /BOG LEACHING FACILITY: (type) C J�;C7CA\ C Wj6tt (size) L X (� NO.OF BEDROOMS -S"TSk-2M BUILDER OR W`NER Cly 1 Q, PERMTTDATE:_ ' - /. .y$ COMPLIANCE DATE: �� t -� �►y 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 f Aa ' 34; 1� ,q t�Ln1 Ca Aj� i_ Sidi 1 / 3- 7 ' I J .. i q I 12 Q I v o - l � I i •.t A Page: of 1 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory (M-MA009) Report Prepared For: Report Dated: 10/27/2016 Sally Desmond Desmond Well Drilling Order NO.: G1697179 P O Box 2783 Orleans, MA 02553 ----- .. ... .. ----- .._. ......__......... .....-__. --.-.-.. .. . ...— ..........._...._.. Laboratory ID#: 1697179-01 Description: Water-Drinking Water Sample#: Sample Location: 77 Pirates Cove, Osterville MA J Collected: 10/25/2016 Received: 10/26/2016 Collected by: DWD Routine_M ITEM RESULT UNITS . RL MCL METHOD# ANALYST TESTED NOTE i Nitrate as Nitrogen 0,23 mg/L 0.10 10 EPA 300.0 LAP 10/26/2016 I Iron 0,16 mglL 0.10 0.3 SM 31118 LAP "10/27/2015 Manganese 0.96 mg/L 0.025 0.050 SM 3111B LAP 10/27/2016 I pH 5,2 PH AT 25C NA 6.5-8.5 SM 4500-1-1-13 DCB 10/26/2016 Sodium 33 mg/L 2.5 20 SM 3111E LAP 10/2712016 Total Coliform Absent P/A 0 0 SM9223 RG 10/26/2016 Conductance 300 umohs/cm 2.0 SM 2510B DCB 10/26l20 Sodium level is above the maxium contaminant level. Those on a low sodium diet may wish to consult a physician. Attached please find the laboratory certified parameter list. . Approved B ' {Lab Director} ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level 3195 Main Street, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 Massachusetts Department of Environmental Protection y Bureau of Resource Protection s • Well Completion Reports Well Driller Please specify work performed: Address at well location: New Well Street Number: Street Name: 77 -PIRATES COVE j Please specify well type: Building Lot#: Assessor's Map#: Irrigation � � •� ����� � � Assessor's Lot#: ZIP Code: Number Of Wells: 02668 City/Town: Well Location BARNSTABLE In public right-of-way: GPS I" Yes `°No North: West: 41.61201 70.42018 Subdivision/Property/Description: OSTERVILLE Mailing Address: click here if same as well location address; ................................................................................................................................................. Property Owner: Street Number: Street Name: ZENAS CROCKER 77 PIRATES COVE City/Town: State: Engineering Firm: BARNSTABLE MASSACHUSETTS ZIP Code: 02668 Board of health permit obtained: t:Yes f° Not Required Permit Number: Date Issued: W2016 027 '09/30/2016. ........................................................... ................... k Massachusetts Department of Environmental Protection ;_.. t"a Bureau of Resource Protection-Well Driller Program Well Completion Reports(General) `Well Driller - General Well Form ' DRILLING METHOD ,-,Overburden Bedrock A u er Choose Bedrock-- .I WELL LOG OVERBURDEN LITHOLOGY [Fr,-(ft), To(ft) Code Color Comment Drop in drill Extra fast or slow Loss or addition stem drill rate of fluid F0 f20 (Fine To Coarse S Brown • ([ t Fast Slow L,,.,-.� l L — -- -- ` YES NO.,.... L Loss Addition 20 125 Fine To Coarse S • Brown ' (7 Fast i�Slow �— — —m �— YES NO =� Ad WELL LOG BEDROCK LITHOLOGY _ _ s Drop in Extra fast or j Loss or i Extra From(ft) Visible Rust ?Large To(ft) Code Comment i addition of drill stem slow drill rate fluid Staining Chips : .................................................i..........................................................................................................I........................................... € f r II f' i" - � � Choose Code ES NO Fast Slow L C� Yes Yes I:: Loss Addition ADDITIONAL WELL INFORMATION ................................... Developed ( Yes! No Disinfected (:Yes(`No Total Well Depth 25 Depth to Bedrock Surface Seal Type None _ racture Enhancement __-__'Yes t:No I ._ _ CASING IF Is Casing above ground?: From To Type Thickness Diameter Driveshoe .. .. .. .. ...................................................... (Polyvinyl Chlonde • Schedule 40 • 4 �.Yes SCREEN r No Screen From !To Type Slot Size Diameter Stainless Steel WeIL Point0.012 4 w WATER-BEARING ZONES r DRY WELL From To Yield(gpm) j PERMANENT PUMP(IF AVAILABLE) ,3 Wire Variable Speed 1 Pump Description Horsepower !Submersible................................................. 1/2 ................. ............ Pump Intake Depth(ft) 20 Nominal Pump Capacity(gpm) 20 ANNULAR SEAL/FILTER PACK Water Batches Method Of [From To Material 1 ",",Weight]Material 2 I Weight �g al) (count Placement l Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) �� Choose Material Choose Material 3 Choose One WELL TEST DATA Time Pumped Pumping Level(ft Time To Recover Recovery(ft Date Method :Yield m (gp ) (HH:MM) BGS) (HH:MM) BGS) __ ..................__ ... __ __ _...__ .. .. _............................ 10/25I2016 Constant Rate Pump 12 1 30 9 0:01 8 ii _„ ... I _. WATER LEVEL Date Static Depth BGS(ft) Flowing Rate(gpm) " Measured 1O/25/2016 8 12 COMMENTS WELL DRILLERS STATEMENT This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report is complete and accurate to the best of my knowledge. JOSHUA Monitoring[M Supervising Driller DESMOND, ) DrillerBROOKS Registration# 299 Signature THOMAS,E DESMOND WELL Firm DRILLING,INC. RigPermit# 024 Date Job Complete 11/03/2016 NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion. y, �If2.�WOCC hTCF�• ,,.. ------ .....-_...... .--- �; II i - Up 15 j I r i d I � U I G Ap, EJ • �LDO I -Got.�o, Apo .. Vill -- fS i I E _ I cr - r I I• i r J.n I S I � II I Town of Barnstable P# Department of Health,Safety,and Environmental Services Public Health Division Date 367 Main Street,Hyannis MA 02601 eAHMMBM MAP& 16?q.� Date Scheduled / IJ Time M�t m Fee Pd. �O y FD MKS� -r-'�-�-L1- Soil Suitability Assessment for Sewage Disposal Performed By: t1to lift a./-T19?t— Witnessed By: J `0 w( LOCATION & GENERAL INFORMATION / . Location Address p Owner's Name 2Eu1K t t'fjl �� T I rCps� 4oV€ �n ar,) �S �L aA4-ZCFF-5 Address Assessor's Map/Parcel: N(AP SA PGt_ (v Engineer's Name --3 ,1 I'le— INEW CONSTRUCTION �c REPAIR Telephone# 4-V�R 13 f Land Use V16) Slopes Surface Stones Distances from: Open Water Body boo ft Possible Wet Area 3c>o ft Drinking Water Well ft Drainage Way - ft Property Line ft Other_ ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 52,ov a� 3�4z1 �uaU.., 72, �(/ �9 Parent material(geologic) OU71u,ISb4 19c4,1t1 Depth to Bedrock Depth to Groundwater:-Standing Water in Hole: /✓ran/& Weeping from Pit Face Alo.49 /� r ESiioSaicd Seasonal Higl�Groundwater I^ - �V +y D TE NA `TOl i 'OWSEASONAI 01GH WATEWTABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level._.___ Adj.factor Adj.Groundwater Level PERCOLATIONTEST bate.3;5 Time /oa is Observation Hole# _ Time at 9" Depth of Perc 4S„" Time at 6" Start Pre-soak Time @ /o'i S Time(9"-6") End Pre-soak U��Be� r� f 7lrzvoTt� Rate Min./Inch 1;10 2M 1A1 - SSvvn S-b Site Suitability Assessment: Site Passed V11", Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back---j Copy: Applicant DEEI' Ol3SEItVATION IIOLE LOG hole# l Soil Texture Soil Color Soil Other Depth from Soil I lorizon (USDA) (Munsell) Mottling (Structure,Stones,Iloulderes. Surface(in.) ° ,l.i g � Lnn•� fain 3�' 3 eo�e SA4-9 10 2. 2 y � ! a===-- Dto .eEP OBSERVATION HOLE LOG::: Hole# 2 So;l other Depth from Soil Ilorizon Soil Texture Soil Color Mottling (Structure,Stones,Doulderes. Surface(in.) (USDA) (Munse ) o DEEp'OBSERVA`I'ION HOLE LOG Hole# Soil Other Depth from Soil Ilorizon Soil Texture Soil r Mottling (Structure,Stones,Boulderes. Surface(in.) (USDA) tMunsell) o DEEP OBSERVATION HOLE LOG :. hole# Depth from Soil I lorizon soil Texture Soil Color Soil Other (USDA) (Munsell) Mottling (Structure,Stones,Doulderes. Surface(in.) I Flood Insurance R to aa' Above 500 year flood boundary No_�( Yes boundary X• Within 500 year bo ry No_ Yes Within 100 year flood boundary No X Yes Depth of Naturally Occurring Pervious Ma erial Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? if not,what is the depth of naturally occurring pervious material? C ertification - I certify that on M4&1 lft� (date)I have passed the soil evaluator examination approved by the ,_.,•,� L. .,,� ..n.fnrme�t by mP COnsistert.with Department of Environmentai 101CCt1011 allU ill2ii iilc a`uu r.,un w)o.o the required training,expertise and experience described in 310 CMR 15.017. ��" -Ce ' �3 ca G� Date�n GRAND ELEVATIONS ARE BASED ON N.G,V.D. ISLAND N0TW COVERS LOCATED OF O F.G. THIN TRq/ (1) REMOVE UNSUITABLE SOILS BENEATH PROPOSED SYSTEM, BACKFILL - NQQ;N WITH CLEAN GRANULAR MATERIAL FILL TO BE GRADED AS FOLLOWS: NOT ELEV.- 15.5 F G. 15 t MORE THAN 157o RETAINED ON No. 4 SIEVE, NOT MORE THAN 90% RETAINED 15.1 = BENCHMARK TOP OF . ' COTUIT LOCUS ON No. 50 SIEVE, QF FRACTION PASSING No. 4, 10% OR LESS TO PASS No. I FOUNDATION F.G. 15.0 ®AY 100 SIEVE AND 5% OR LESS TO PASS No. 200 SIEVE, SOIL TO BE APPROVED " BY ENGINEER FOR COMPLIANCE PRIOR TO PLACING ON SITE. INV. - IrjfXJ GAL a DIAMETER LEVEL FOR 2' ' 7y"�- 11.cn a12.5 INV. - I --- F'V•Q. PIPT(2) LOCATION OF UTILITIES NOT SHOWN ON THIS PLAN, AT LEAST 72 HOURS \ 12.3 2 COMPARTMENT INV.PRIOR TO ANY EXCAVATION FOR THIS PROJECT CONTRACTOR SHALL MAKE 0` o SEP11C TANK 12.1 SST• -0 PVC LEACHING CHAMBERVER THE REQUIRED NOTIFICATION TO DIG SAFE (1-800-322-4844) AND APPRO°RIATE INV -11.9,_WATER pISTRICT TO DETERMINE UTILITY LOCATIONS. BOX • INV. -11.7 INV. - 5 O O O O O O O O 0 o ODEAD NECK / �, rn 1a,00' STONE EIASE--- ---- 0 0 0 0 0 0 0 0 o O o (3) FOR ALL ASPECTS OF THE SEPTIC SYSTEM THE CONTRACTOR / /'�� - ` \ MIN, 0 0 0 0 0 0 0 0 0 0 0 SHALL COMPLY WITH ALL GOVERNING CODES AND REGULATIONS. �/ r' IN PARTICULAR 31OCMR 15.000 THE STATE ENVIRONMENTAL CODE TITLE 5, BOTTOM ELEV. EL = 9.5 THE TOWN OF BARNSTABLE BOARD OF HEALTH REGULATIONS PART VIII: SYSTEM #1 \LOCUS MAR ON-SITE SEWAGE DISPOSAL, REGULATIONS' AND THE BOARD OF HEALTH / PG�'/� � TT/17�T /1 ATT�1 RECOMMENDATIONS FOR ACCEPTED PRACTICE. ��j I .l - \ alEC J,I1./11 F ►41 �J VA7 .+) o SCALE 1 25,000 / ff �� \ \ (4) TWO COMPARTMENT SEPTIC TANK REQUIRES 2 WEEKS OF LEAD TIME NO SCALE op ASSESSORS TO ORDER FROM SUPPLIER. __.. a9 MAP 51 PARCEL THE SECONDTIC TANK'S COMPARTMENT ST COMPARTMENT SHALL BE SIZED SHALL BE SIZED FOR 440 GAS / MIN 880 GALS./MIN. / ,•., / ' "\ �° EL. 1.5' a RESIDENCE F-1 ALL IN ACCORDANCE WITH 310CMR 15.224 MULTIPLE COMPARTMENT TANK. �gEO 6 \~ � �. MINIMUMS TWO TANKS IN SERIES MAY BE SUBSTITUTED SUCH THAT THE FIRST TANK •�" -.-- ""f �!'ROP p IS 1500 GALLONS & THE SECOND TANK IS 1000 GALLONS AS PER 15:225. / / ! GF• \ I \ �� COVERS LOCATED TO WITHIN AREA = 43,560 S.F. / �/`_"' ' / GPIF N 11,00` ! ��° o\ ELEV.- 17.0 12 OF F.CI FRONTAGE = 20 / s EV. I, �o �c�. TOP OF \�' � r Y'" FOUNDATON , WIDTH = 125' / !` v pg E� �' \ FRONT SETBACK 30' / / r /�° err 51. I I 9 ?� F.G.- 1fi f I•.G.-1 0' SIDE SETBACKS = 15' � _ ,�` �� ,., ,. -+ , \ � ,... �_ � �` �. Y' GARAGE FL00 - - I " 6. REAR SETBACK 15 E FOR 2 ' i , / I ' , _......,. \ i INV. =14.2 aP pIaMETER LEVEL BUILDING HEIGHT = 30' �' \ ,"� 1500 GAL P.V 'r _ t ,h ,j `` \ � •: '�' INV. - SEPTIC TANK T DIST. MEDULE LEACHING CHAMBERS N- °O� �- IIv - INV. •13.7 BOX P.V.C. AQUIFER PROTECTION /. i` 14,2 �` d G A.P. 1 / 2 ,1. , �,� I *.\ °s3.9 •:......... .r INV. -13.5 INV. - 13.3 0 0 0 0 0 o O o 0 0 0 0 FLOOD INSURANCE RATE MAP ' r......__w.., r 8 r 10.00 .,,.,. ; � •: ::. .. 6 STONE BASE COMMUNITY PANEL 2500010018p ' MIN. •'••S••S•":ee•�:::•:•`• �- MAP REVISED: JULY 2,1992 rO O O O O O O b O O O *� Lo o �r BOTTOM ELEV. EL 11.3 SYSTEM © o1G 00 &8CTION FROM GARAGE _ / 1 .00 g' �` �, / NO SCALE"p ap 25J00 / \moo O 3 6 , / EL = t � / 1 L HQLE #2 ,T, OLE 1 y Z ! 7 S MARCH- 5'1998 DEC. 51096 ARC 5,1 : 8 48,f25 S.F. / BAXTER & NYE INC. BAXTER & NYE INC. / I �- ► / / BAXTEP-9109 INC. P-9109 P-8817 Acl �G'} f ELEV. = 17.3' ELEV. = 12.5' ELEV. _ •7.3' . ND AM 0 QRGANIC / 0 QRGANIC 0 „S existing / / _ -__ / E2LOAMY ;AND E2LOAMY SAND _ -2 REMOV D garage , �/ r `-�. / _ 108�YR 6/ - 10"YR 6/2 -10" A -LOAMY SAND BOX• / � / f ,I� B SANDY �.+3AM I B SANDY LOAM [I B -LOAMY,'SAND / 10 .YR YR -I / 17. , 4" r," N r1 rf C1 COARS SAND 10 YR 5 COARSE4 SAND 10 'YR 5J _ " / ` •��' `'�¢ _ � f' Ca�� `/ 1��K � -4 8" PER(, TEST -48" PERC TEST C-I MEDIUM SAND • A COARSE MEDIUM SAND & LIGHT GRAVEL p COARSE SAND SAND -g' 10 YR 6/: 10 YR 6/2 `: C3- MEDIUM TO FINE SAND � w M --132" NO`,'VATER -132 NO WATER ` `-11 NO WATER ,., / EL. 6:'.' EL. = 6.3' EL. = 1.5' U UNABLE TO SATURATE oaLVAOVs ,» `y� 1" IN 2 MIN. - ASSUMED 6 26/ _ - P TN c,10R a: "�'►.� /00001, 8 TOTAL UNITS 1 STARTER 1 END, & 6 INTERMEDIATES. 3 TOTAL UNITS 1 STPJZTIER,1 END, & 1 IN*,RMEDIATE PROPOSED I 330S TYP. 3301 330E 33OS3301330E METER PI`'f / .88' 7.5' 6.25 6.25'.87' 2.5' 7.5'6 25 6.25 2.5' P, et(�/ 1-1.5" WASHED STONE 1-1.5" WASHED STONE 10.6. � a 31 6o a� i' a a o l , � �•�s22o.5,�, ea��/ ��, : � 'a. .t ,y; �. . .. • .'.y• �;'r„ .�•.•:,' N N 00 .SOT 1A �, / �`? f - 51.25' f-20.00' 10.1 53.00' / / PLAIN' at`� / NO SCALE I1<<:) SCALE ``�`� / PLAN R=�241.28 r PLAN OF PROPOSED CONSTRUCTION L=g0.21'� -A �o�oa X PLAN, T M 1 w.7 a.� # AT PIRATES C VE OYSTER HARBORS / 20 40 DESIGN DATA DESIGN DATA, Zojq7 m /ICY / SINGLE FAMILY 4 BEDROOMS SINGLE FAMILY- 1 BEDROPvi �Oa7ERVILLE) WITH GARBAGE GRINDER NO GARBAGE GRINDER SCALE: 1 = 20 DAILY FLOW = 110 X 4 = 440 G.P.D. MINIMUM SYSTEM 3 BEDROOM ?ESIGN Q •, SEPTIC TANK = 440 X 200% = 880 G.P.D. DAILY FLOW 110 X 3 = 34 G.P.D. RL MA . / USE 1500 GAL. TWO COMPARTMENT SEPTIC TANK SEPTIC TANK 330 X 150% = 195 G.P.D. rOR COMPARTMENT #1 = 880 G.P.D. MIN. USE 1500 GAL.SEPTIC TAiK COMPARTMENT #2 = 440 G.P.D. MIN. ZENAS J R. CULTEC LS,ACHING C -' DESIGN CIJLTSC LEACI 'G CAI :, DESIGN FINISHED GRADE 3WR ` S1VIM WOR SCALE: AS NOT[-,-) DATE: APRIL 12,1998 DEC. 5,1996 36"MAX.- 12"MIN. //�/j�//�/j // / /j\/j��,i�//�//�// // /j�/ COMPACTED FILL ALL PIPES TO BE SCHEDULE 40 PVC PERFORATED ALL PIPES TO BE :SCHEDULE 40 PVC PERFORATED I 2„ _� \ \ \ \ \ \ \ \ \ \ \ \ \ \ WITH CAPPED ENDS WITH CAPPED ENDS PEASTONE p- 6 1-7 4 , . <' ' USE 1 - 4" DISTRIBUTION LINE IN 8 RECHARGER UNITS USE 1 - 4" DISTRIBUTION LINE IN 3RECHARGER UNITS SAXR & NYE INC, Or 4. � p 3/4" TO 1 1/2 " IN A 12'X 53' WASHED STONE FIELD AS SHOWN IN A 12'X 25' WA`41"'IED STONE FIELD AS SHOWN REGISTERED LAND SURVEYORS I CERTIFY THAT THE PROPOSED FOUNDATION �""�,F ��'��r, 30.5" C SHOWN HEREON COMPLYS WITH THE SIDELINE � ' �\wr STEPHeN �. 4 a DOUBLE LEACHING AREA REQUIRED LEACHING AREA REQUZED CIVIL ENGINEERS AND SETBACK REQUIREMENTS OF THE TOWN a^R� ALLYaI 4 WASHED STONE 440 G.P.D./.74 + 50% = 892 S.F. 330 C:' ,D,/.74 44f S.F. OF BARNSTABLE, AND. IS NOT LOCATED WITHIN BAXTM N WfLsa�a b 2(53 + 12) X 2 = 260 S.F. SIDEWALL AREA 2(25 + 12) z,e = 148 S.F. SIIEWALL AREA �S T��R V I L L.�, MASS, SPECIAL FLOOD HAZARD ZONE. VO > ®.�n}� 1 - S.F. BOTTOM AREA 12 X 25� 300 S.F. BOTOM AREA �F*Is CROSS SECTION ( 2 X 53) - 636 S. Boo E 896 S.F. TOTAL PROVIDED 44' `i.. TOTAL PRO�)ED L. 4113I�Q/ NO SCALE #97080A