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HomeMy WebLinkAbout0079 PIRATES COVE - Health 79 Pirate Cove Road Osterville A- 051 - 016 1 �, TOWN OF BARNSTABLE LOCATION 77 114 /t C AAA— _ O-A�� SEWAGE # 0701) —90 1 y n VILLAG ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. -A F S- 4 a S- 9 3OQ SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) Q X 5 ;t NO.OF BEDROOMS 5 BUILDER OR OWNER C PERMITDATE: COMPLIANCE DATE: l 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 leachi facility) Feet Furnished by .SAS 6V ra ' G 6-;49 A ;Goo C*R r� \ A - 3 = 33 6- 5 .: 20 LA r ( - 79 P.� �.�-e- b 1 V..No. THE COMMONWEALTH OF MASSACHUSETTS Enteredincomp PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ftplitatiott for Misposal 6pstent Construction Permit \ Application for a Permit to Construct( Repair( ) Upgrade( ) Abandon( ) 2I(omplete System El Individual Components Location Address or Lot No.l j j>jr- 5 C.-v e- ;QY Owner's Name,Address,and Tel.No. Assessor's Map/Parcel O 01(® Installer's Name,Address,and Tel.No. ;X�� signer's Name,Address,and Tel.No. Sv8- .Oa -13� ��q P—o 14 n"� ►i� � 5.AV�Vcv% e^5• ;� A -�s� Sc�a�y2�^ Sri/ o. Type of Building: Dwelling No.of Bedrooms Lot Size 54,3 570 sq.ft. Garbage Grinder`U Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 5 50 gpd Design flow provided SSZ_ gpd Plan Date al'I" 14, Z 1 1 Number of sheets ` Revision Date Title ?rJ?a5c.A Sept;e 57�1e Size of Septic Tank IS(j U Type of S.A.S. �^ reFj(_ !lug'p.��s Description of Soil?k�L t— 13 lJU FLt_L_ I> -3't0q,V7 (uynNcSun4 3 6� '1" ed-wr C-r dY1e_Cl S w4 -a Y 4(.G 6��►na�v�Lcr � EZ Z 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 of the onmental Cod and not to place the system in operation until a Certificate of Compliance has been issued by this$oar f H alth. f� i e 4. Date / Application Approved by Date Application Disapproved by Date for the following reasons —4Z Permit No. Date Issued No. Fee t Entered in comp er: THE COMMONWEALTH'OF MA SACHUSETTS PUBLIC HEALTH DIVISION . TOWN, BARNSTABLE, MASSACHUSETTS Yes 01pplitation forli8t1D85*pSttm'ConstrUttion Permit `1 a � 1.. Application for a Permit to Construct( Repair( ) Upgrade( ) Abandonl }.•;,omplete System ❑Individual Components l. Location Address or Lot No.71� S °Ve•1 pl tt,�� Q ner's Name,Address,and Tel.No. b Assessor's Map/Parcel 05 -- r A � Installer's Name,Address,and Tel-No. l b z2 ' �, jl�esigner's Name,Address'and Tel.No. a vt a 0.0 `8^ Yam/ J Type of Building:? Dwelling No.of Bedrooms Lot Size Sy, rjV sq.ft. Garbage Grinder wo Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fiictures Design Flow•(min.required) gpd Design flow provided 557 gpd Plan Date ajte G d Z 00 Number of sheets ►� �i Revision Date Title ?ro,p a5 C 5 r,&C 5ti 4Q +M r Size of Septic Tank 1<'(1 Type of`S:A.S. t Description of Soil?&!jk (�—ltli �I(M-tea (o (Avr. V 36 t- Nis d Sc.JyC� Z J y 61 �pp C�dJ✓la�a�q�(cl �� Nature of Repairs or Alterations(Answer when applicable) Date-last inspected: f/- Agreement: The undersigned agrees to ensure the.construction and maintenance of the afore described on-site sewage disposal system in7 • Ems.__. accordance with the provisions of Title 5 of the Enwironmental Cod'e)and not to place the system in operation until a Certificate of . Compliance has been issued by this Board of Health. ----- -- i ed Date 9 Application Approved by Date Application Disapproved by Date for the following reasons s Permit No. Date Issued V -.---------_------\-- -_ -.---- -.--- ---__- -_ ------------------------- _ . - gyp`1 S �THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS _- �C Certificate of Corn'PYiance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(,-I Repaired( ) ,rUpgraded( ) Abandoned( )by at 7 9 R f-t 6�) A,� ( 6 r f has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No .► dated r � Installer Designer �p_ ���. , „ -� Designer #bedrooms Approved de igralow "` '�*,. gpd The issuance of this permit shall not be construed as a guarantee that the syste will functio a d si ed Date G�/3�� Inspector - ---- ----------- -- _ - - ----- -_ .�' No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS MispoBat 6pstem Construction 3permit Permission is hereby granted to Construct Repair( ) Upgrade( ) Abandon( ) System located at?1I ?,m-ks Owe , Nlr tr6(:5 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 be completed with n three years of the date of this permit. , j Date );/ Approved b PP Y i I Town of BarnstAble' . Qp(HE Ins.pect>Ior1al Seer cis: 3 : xvara»,X,:r Public Health Division MAes -BA ThomaS Mc Kean,Director t a '200 Main Street,Hyannis,MA 02601. Office: 508-8624644 Fax 508.790-6304 Installer&Designer Certification Form .Date: Selvage Permit# I 1 -Z O t Assessor's 1V1*Parcel ySl Designer: 50%,Av, C v\tVNe u`(\-rt _ Installer; `Address: Address; (� Z Ii �1 J�0 r<_ was ssued.a ermit to mstall;a- On I P (date) (tnstaller) :septic system at ��t trc k5; o e based on design drawn,y (address) �� we dated` 3`I�Q des ner 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. . Y I certify that the septic system-referenced above was installed with major changes (i.0; ' greater than,10' lateral relocation of the SAS or any vertical relocation of ariycomponent.. of the septic system).but in accordance with State.&Local Regulations. Plan revision"or certified as-bui t by designer to follow. Strip out(if required) was inspected and the soils- were found satisfactory.. I c hat he system referenced above constructed �eorpharice 'With.the,terms of e approvalaetters(ifapplicable) NUS 41s�(U:3 (Instal ," s r re) �5.� Gin ` fiT_eslgner's Signature:): (AffiXDesigrier's Stamp Here)' TLEASE RETURN TO BARNSTABLE PUBLIC.'Hit,ALTH DIVISION. CERTIFICATE OF COMPLIANCE 'WILL ,NOT BE ISSUED, UNTIL BOTH THIS FORM AND A&.. BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. :THANK YOU. \\topldeptslHEALTFASEWER connobAS.EPTIM ligner Cehiflcation Form Rev&14-13.DOC " A jeAraias,��aasi�ax•i Ti The II II II or� II Connell Homestea 9.Pir c'sille,Cove illq Ostery Massachusetts O b � x Gmcrel Note: _LLL V�L 06 Breakfast °s: 77-L .�S I— a t Gallery - Entry Hall Gallery I •"�" �16M�"o � Main House- © © u Proposed First Floor Plan z.a It 'EY) , 9 m E vu Guest Bedroom - $ b $ a ° g zcr Gaa� �.� ML�OZW SAUN } $ April 6th,20 o ° Guest Bath r,P rappeed Flret Levei Floar Pia e _ ` A-1.1 r YATBIQK 4 AHHAHN:; P �P� The Connell r Homestead 79iPirate's Cove - Ostetwille,Massachusetts 4 __ � CeneralNINes: § Bedroom 10 B.4 ....11JI — ak `N Bath At I 9 y _ Off.— ®�® a Stair Hall Upper Gallery C Flail House- ® a Proposed Second IonQ - Floor Plan _ p Linen Closet qy Ri a a o Tl A +'ar ey ® Bedroom#3 o April 6th,2017 Bath 2 I I - a 9 11144��JUU�011ll b b Bath#3 4 1�Pro�oeed 5econd Level Floor Pla n A-1.L �PATaIC B-yAHHA&N� _ 8 The Connell •� •� Homestea 79 Pvate's Cove Osterville,Massachusetts q O b O b S N � � Genael Nam .4 I RC E A - N �nm wu�B CvPYa�t avw aw r,Propoeed Lower Level Floor Plan rLopaaed Raof Level Floor Plan Proposed Carriage } - House-Proposed Plans 0 0 0 4 ' 3 CAR G 4 wo ro J 4 - a 4 Apnl 6th,2017 aao.m.� erw� r�P ro posed First Level Floar Plan rlPro posed Foundation Level Floor Ple n S _ 'I 'hwve A-1.5 earaLaag�aas`eax� PP J _. The Connell Homestead 79 Pirate's Cove _ Osterville,Massachusetts I i � I I / Uporl"r"t3'sRecreatia�i Space I— — 2 '® Office © "°°••"°®°'° �, v.na.auuna.®e.m„oiv,ro O • 4 g I Pro need Lower Level Floor Plan rlProppeed Roof Level FloorPle n Proposed Gate House-Proposed Plans I le 11. e r 0 0 o EGarage1 C8r89C Bay#2 0 p O O C 4 4 } � April 6"2017 4 ® ® ® ® 0 nucnow s.aP aey r,P ro posed First Le el Flo rPla � IMP ro posed Fou ndatlon Level Flaor Plan �� A-1.4 r �PA'IHId H➢AHH�AHN.'' a , 1 The Connell Homestead 79 Pirate's Cove osr ille,Massachusetts ('micral Nora: ® ® Dmw�g Copyd�rt^ate 1 Pro oaad RearExtarlorElavatlon r,Proposed Right EzteriorEl¢vatlon rlPropo¢ed Front ExterlorElevatlon rlPropos¢d Left ExterlorElevatlan Proposed Pool Cabana ¢nP ¢xP ------------ s-� scY I I � I ul a I I a I vI I m I II I I s@ vd s� April 6th,2017 rZP ropoead Fou ndatlon Laval Floor Plan ,1-1P ro posed Flret Level Flaor Plan 1-1P ro ooaed Roof Lev¢I Floor Pla a r - - A-1.6 i 1 f , c . Town,of Barnstable : P# 13191 Department ofRegulatory Services . e F Public-Health Division Date N R�' a 2 0 Main Street,Hyannis MA 02601 I X7,� _ Date Scheduled . Time Fee Pd. a, Soil Suitability Assessment for Sewage isposal Performed Ely: .S;1�t�6v' e----IC Y1C2 'L Witnessed By: v i ✓l • LOCATION&GENERAL INFORMATION ' Location Address /) I PS P 3 Owner's Name Tr �0 Y� -_ r=-_- _ K,/yIA iQ.$ C�/^aGF-[per� F• �•,.-�� - .-��v"*'.-' Address. oo Atla r/�j� f}t'e•.� o2if, arfv�L aic. Assessor's Map/Parcel 0.6 D I�p Engineer's Name,6-.1/%V Lc nslJ) J7►��X NEW CONSTRUCTION �' ` REPAIR Telephone# O�--yak 'Land Use �G, bt Slopes(0/9) �a - Surface Stones .�!%'Ve Distances from:, Open Water Body`-5 Q _ ft Possible Wet Area(ZS' _ft Drinking Water Well' s ft Drainage Way CtC� ft Property Line-'( ft -Other VI —V,;e SKETCIi.(Street name,dimensions of lot;exact locations of test holes&perc tests;locate wetlands;n proximity to holes) C% `,V 061010 _ #79 Parent material(geologic) Depth to Bedrock fib. C) Depth to Groundwater Standing Water in Hole:= /�c+ Weeping.from Pit Face A Estimated Seasonal High Groundwater: 1�— �'at✓ �+�1lyloo'1 �*S� i�2 ���c�c DETERMINATION FOR SEASONAL HIGH WATER TABLE; -Method Used.°N •�� �i�U�_ a Depth.Observed standing in obs:hole: in. Depth to soil mottles. in. ..` Deptbto weeping from side of obs_.hole in. Groundwater Adjustment _M Index Well# Read ing Datea Index Well level W+'': Adj.factor Adj.Groundwater Level PERCOLATION TEST Date Time ! . Observation Hole# _ G Time at 9" b ` T. l e w Time it 6— t De�ptlf�of Perc � .. . StartPre=soak Time 2� (1,14�u n Time�9-61) End Pre-soak lvti Rate.Min/Inch` Site Suitability Assessment* Site Passed ✓ Site Failed: Additional Testing Needed(Y/N), Original:.Public Health Division _ Observation Hole Data To Be Completed on Back ------ . ***If percolation test is to be conducted within 100'of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:VSEPTIC\PERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency_.%Gravel) Cr �r DEEP OBSERVATION HOLE.LOG Hole# If `' Depth fiom Soil Horizon Soil Texture Soil Color Soil "Stones Boulders. Surface(in.) (USDA) (Munsell) Mottling (Structure, Consistency:%Gravel) 0.>L`1' FI�� � 6Z DEEP OBSERVATION HOLE, OG Hole# � Depth from Soil Horizon Soil Text Soil Color Soil Other Texture Surface(in.) (USDA) (Munsell) Mottling. (Structure;Stones,Boulders. Consistency.%Gravel) Q-o" ® -7Z • I DEEP OBSERVATION HOLE LOG Hole# L't Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ConsisteQgy,%Graven 50 ' L P HNC Flood Insurance Rate May: Above 500 year flood boundary No✓ :Yes 1_ No .Yes ✓ ef7 e15,t .n VJ? evl�� �Co Within 500 year boundary ` t� 19 w1`r� �jC)C1 Yc within 100 year flood boundary No Yes -TwoDepth of Natura) OccurDine Pervious Material •al exist in all areas observed throughout.the Does at least four feet of naturally occumng pervious meter) area proposed for the soil adsorption system? iC6 If not,what is the depth'of naturally occurring pervious material? i Certification I certify on tS (date)I have passed.the soil evaluator examination approved by the ion and that the above analysis was performed by me consistent with Department of Environmental Protect the required training peruse and experience described in 310 CMR 15.017. " Signature Date Q:\SEPnC\PERCFORM.MC TOWN OF BARNSTABLE LOCATION�� SEWAGE it 77 ? VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.�'�(1ek`moJ SEPTIC TANK CAPACITY LEACHING FACILITY:(type) +lhw (size)3- lf � NO. OF BEDROOMSPRIVATE WELL OR PUBLIC _ ER BUILDER OR OWNER Cc 0 c kce I DATE PERMIT ISSUED: \MTZI i DATE . COMPLIANCE ISSUED: VARIANCE GRANTED: Yes is-- No �� ly -� e �!c � �, a � x � c� �. ro �'� � � L �:� .. _. L0 CAT I SEWAGE PERMIT NO. �fVILLAGE I N S T A LLER'S NAME g ADDRESS a R E OW ER DATE PERMIT ISSUED DATE COMPLIANCE ISSU It D s. { e 1 n S �- THE CO TH OF MASSACHUSETTS BOAR® OF HEALTH .......:.......OF. AZiLI .Tl ......................................... Appliration for Uhip r ial Works Tnnitrurtinn Vamit Application is hereby made for a Permit to Construct ( ) or Repair (<) an Individual Sewage Disposal System at: E Location-Address ® t��� o�I�t ......--- .E&A >��.. .. ... .... �s�s�........ - �v� .... ....................................... Owner S Addre ,c g r . ---- . ... --- -�=k `. v �,=�-��1. .. kae'?5a........ Installer Addre s d Type of Building Size Lot.40). -----Sq. feet U Dwelling—No. of Bedrooms...• ?...................................Expansion Attic (qb Garbage Grinder "d) '4 Other—T e of Building No. of persons--------------•--•---.------ Showers — Cafeteria a Other fixtures ............................ W Design Flow.......55.............................gallons per person pier day. Total daily flow.._.....�1i.5C�......................gallons. WSeptic Tank—Liquid capacity'X.Ci gallons Length ~:fit?... Width'4'-!_0. Diameter':- .... Depth...S�_8.1 x Disposal Trench—No.--__--•----•----._ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.................. .. Diameter.................... De th below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (Y65 Dosin tank NO `" Percolation Test Results Performed by � .__41 ... -L.............. Date..RC4\`.... ,_l Test Pit No. 1...G_Z....minutes per inch Depth of Test Pit.....JB........... Depth to ground water______ _______________ Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R' ---•-•••••-••----------------------•----•---------•-•--•..............._.._........................................................... ----.--- O Description of Soil......0?_:`_�__�----G!-�Ar&.1 4.crc.LSIF D)----.-`-00-W-�=s--LQP ......QZzn iL- W ---•••••---•.....................•••••••-•--•---.........••--------•-----••.......•--••-•-•••----••--•-••-•----•••---•----------....--•.....••--.......•••-•••--•-•-••-••......•••-•-•••-•.....---...._. UNature of Repairs or Alterations—Answer when applicable............................................................................................... ---------------------------•-----..........--------------.......-------------------•-•-•-•--•-•------•-----•--------•--------------•--------------------------------------•--•••••-••-•-•----••••--•••. 'Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has Pee-513§u by the d lth. ( Signed _..._ ..... --••--•-•-•----•--------------• ........... ............D.•................ t APPlication Approved BY _. ----•----- -- Date Application Disapproved for the following reasons:-.............................................................................................................- ----••---•-•--••-•.......--•--•••...-•---....-•-•---•--••-•--------••-•-••--•-•-••.............•--...•---••••-••••--••-•••-•--•---•-•--•----••-••-•-••••--••-••-•••-••••-••--••-•-•-•-•-•-•-......------ 1 Date" Permit No................. . .�.� . Issued....5 ".�1& Date 1\ C • 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1.. .� .................OF.... ApplirFa#ion for Disposal Works Tonstrurtion Viernfit Application is hereby made for a Permit to Construct ( ) or Repair (<) an Individual Sewage Disposal System at: 1 ................___...._...................................................................... --•-'.......-------•-•._...........----'•'•-......----'-'---•--'-'...'-""---•---.....-'-......•- Location•Address f _ q tS (s �1 iJ.k.Y� c1 "}'�=k �f 1 C o4aLot \No. ( fir-•---• Owner �................................re d s� ' `..... .. V� W ---•_. _ _. .......... . .s` t !— ..:..._.: r� I� 1� i t ISM- � C. Installer Address Type of Building Size Lot__�.......................Sq. +fe,et 1—� Dwelling—No. of Bedrooms...._. ..................................Expansion Attic (IQ},� Garbage Grinder (tit 0 Other—T e of Building No. of persons............................ Showers a YP g --------•------------------- P ( ) — Cafeteria ( ) Otherfixtures •••••••••---•-•-•--••-•-•••••••••••-•••••••••-••--••••.•-•••-••.._..-••-----••••-•-•----...•-••-••••••-•••••-----•--...••••-•---•---••.............•-•- _ W Design Flow.......Sfi.�?.............................gallons per person.-per day. Total daily flow........ Q......................gallons. WSeptic Tank—Liquid capaclty..�CkQallons Length. ?.-ja.. Width..^1 U Diameter................ Depth•-_ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (YC)--5 Dosintank (�y ) ' 1 Percolation Test Results Performed b .._r�!? � .f t'`t`f - ` Test Pit No. I....4.��....-_..minutes per inch Depth of Test Pit..... .......... Depth to ground water........................ G14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------•----------------------------------------•----.------.-------•--- --------••-•-------_----------______-•----------,---_-_-_____------ O Description of Soil ,= ' ••C-��:`_` ....-t-- 4 t �4� �t�,��1 �'� -�=� t=� �`-" ,f� ..0 _ .............. = i�±. ._-----•----- W -------------------------------•---------------------•---•-------------•---•------------•--------------•-------------------------------------------------•------.....-•----------......•---...--•---••- U Nature 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 TIT?,sj. 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has Is by the . d 91th. _ \� igned....... .............. .... -�-` ------•-------•-=•----- ........... ................................ Vj Appl>cation Approved By.................-. .............. ...^'Z..� �� '"" Date Application Disapproved for the following reasons----------------------------------------------------------------------------------••-•-•••-......•••••••••-----'- ...........•-•••••-•---•------•••---•••-•-....__...--••-•-•....•---•-•-••....-•••----•••-----•-••-••------•••••-•----••-•-•-•--- -•-•••••••-••••••••••-•••----•-•••-•-••-••--••••---•-••--••••-•-....--- ti Date { a� Permit No. ���`--�T-- .. Issued-------=--------•------•- --••-....---------------•--- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Sl— v "r`` ......OF........ ^r.s......................................... �rrtifiratr of Toutplianrr TH TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by � ?�" ..........................................--� . , •5-----•---•--•---------------•�•---------•-•--.........._...... alter __ ....................... has been installed in accordance with the provisions of TITIE of The to Sanitary Coe s described in h P 5 y the application for Disposal Works Construction Permit No..__��-•---._ _�:.�_�........... dated-- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE ..^1 :..`1f."7 Inspector .�, (� ----------------- J6a THE COMMONWEALTH OF MASSACHUSETTS CARD OF EALTH .............. FEE.:Z. gisvnsa l nrk,o amit Permission is hereby granted............ Q..................... •----.............==' �CS `._._.. to Construep—(� ) or Repair ( �, an Individual Sewage D' osal S stem ._ ......------•-••---- .........................LA ..........- --------------- as shown on the application for Disposal Works Construction Permit No - _3Dated_.____` �.................. a� �� Board of Health DATE........... .........-------................................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS No. -------- --- - Fee BOARD OF HEALTH TOWN OF BARNSTABLE Application.*rVell Confitruct ion Permit Application is hefreby made for a permit to Construct (V' , Alter ( ), or Repair ( )an individual Well at: [e S Cv,,9 C O S d�c� J.l`d van n • • Location — Address Assessors Map land Parcel Z .0 0\ C/o(- �c/ -----_--__—— Y"c?�c— p d U S TtI h 4 vi S , K Owner Address jQ S ccLN•.� /- - ---- - '-_►�v`'-°1`----------`------` -v -��a�e dL`c Installer Driller Address Type of Building Dwelling-----—---------------------------------------------------- Other - Type of Building No. of Persons-----------------------—______--______ Type of Well_Y C —--- — r---—---- Capacity------------------- --- —- ---------------- Purpose of Well---- Agreement:The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certifica .o Compliance has been issued by the Board of Health. Signed _— date Application Approved By �2 _ date Application Disapproved for the following reasons: -------,VV/------=-------------_______—__ ___-__ ------------ — -- ------------------------------------------------------ date Permit No.-� — -- Issued----`�-�f — ---— - - date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( "j Altered ( ), or Repaired ( ) by ---------(------------------------------------------------------- ------ staller at - 77 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 f—?Y VDated-z i THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------ — -- Inspector--------- ----- —------ • •-' "" _ ..<.ya-_r .nx .�.. ey �;rot., :.:,; ..,1. , w'��A...rrs`r•w. .-+r:.K, 1Vo.-ram - r_ {� Fee--�--�--- BOARD OF HEALTH F TOWN OF BARNSTABLE Zippiicat on-*rVe[t Cwtructionpermit Application is hereby made for a permit to Construct (✓, :Alter ( ), or":Repair ( )an individual Well at: " 60 J j y,"Location 4ddress. - `-Assessors.Map and Parcel z c/( - •----- -- - --y - ------------- Owner TAddress ----- ---- --m----. ----------------- . Installer - Dri Address Type of Building" Dwelling--- = -- - - -------------------------- Other Type of Building ----------------------- No: of Persons---- -------- ------------ -- Type of Well- �-p, -- - - --- __ Capacity-- ----------- --— ---- - -—— Purpose of Well t".' - ----- .Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the:provisions of The Town of Barnstable Board of-Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certifica o Compliance has been issued by the Board of Health. Signed -- -- ------ -- -� date' Application Approved By � �� ! � .date Application Disapproved for the following reasons:=-=--=----- —___- --------------_-- __1---- date Permit No. J��!'"' --f --- Issued date 'i4d!e±e!a!a!i!eletc!a±6ldlm±i!V+i'9i±eOiaf-e?i9elie!u9o%4.eR.ets!i.,1Yc•}d^i40%9d34sJIMle1Fi08RiTi.litbdi[il2ae6adli!it6l�VlSlbfS'K'.9olrf:.liti4alc'Linm48lifitiPiol64i2.19i2alili9G!!ilil6Ta4 BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO: ERTIFY, That/the Individual.Well Constructed ( �, Altered ( ), or Repaired ( ) by - ----- --- --=---- -- --- --- ---- — Installer --— ----- — has been installed in.accordance with the.pcovisions_of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the"application for Well Construction Permit No.l -�ZYDated_AZ l " � THE ISSUANCE OF THIS-CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL., SYSTEM WILL FUNCTION SATISFACTORY. {' DATE-----=- -- - Inspector-- - --- - --- ------- a±i±a!a9Yili%!Ye!AiN9eeGs�9:.-�iloli±i!iTilili!eyKl2iti±i2aP,i ed�a0i�f sla4aaAiTasY9sT.aS6+l67aK%vOf6!i-:lalGlafS±+li�' }a!aNK!iNnV.IK!iti!M_iTa'!+±i±Na!i!f!i!!4"e±i!G!iliY 1 BOARD OF HEALTH TOWN OF BARNSTABLE Vet[ Con.9truct ion Permit No. -=—` Fes _ Permission is hereby granted D A S6& ------ to Construct ( "f, Alter ( ), or Repair-c ),an Individual Well at: Street as shown ��onn the application for a Well Construction Permit p No.- yy— " 1-91_ 1 Dated- " �7 __ ---: DATE-- C ' Board of Health ALL PLANS ARE PROPERTY OF SUDBURY DESIGN - _ - . GROUP.UNAUTHORIZED USE OR DUPLICATION OF PLANS WITHOUT PRIOR WRITTEN CONSENT IS STRICTLY PROHIBITED. COPYRIGHT O 19 W-2017 BY SUDBURY DESIGN GROUP - r r X x , - . % x x % X _-__�\�'- - -\\\`_ �3 `1, I �'""fir e c --� -/• _ _---- --- _._ • n r. x > A \• I � I I _ __ __ _ x x�X •x % x • 0 M10 n P 4 — \•,X EJ $°j I GAIGE x GAI I I � R x 1 x x x x i x , x % •`InwN '�\ _ // i ===---3 k / ••/� cxmcPOOL r � x ED r — e x. �� i 1 r . / k� Y r tr, ❑ _ . ___ x % x / _ - __ / ~ GAGE FI / / / - x x x FF:-- - i % `uw / _ , RA / 1 e e w ----------------------------------------- �u H a .,.+ : : L` SITE PLAN 04 ONNELL RESIDENCE W%—M4 S UDBURY C s•,xe � - PIRKrE'S COVE DESIGN G RouP �f OSTERVILL.F..MA `1. 74013.m Poss Rd.Sudbury,MA 01776 - SCALE:1'-10'-0' 978.443.3638 MA I sudbu ydesig-.mm 1 401.789.5889 RI ., 05.10.17 MDP 40 SCALE:1•=10'.-0' _ _ ,� _ • .. PERC TEST: 13,181 ri PERFORMED BY:JOHN ODEA,PE- SULLIVAN ENGINEERING SOIL EVALUATOR NO.2911 WITNESSED BY:DAVID STANTON,R.S.-TOWN OF BARNSTABLE rrCAAFLOOD ZONE: FEBRUARY 18,2011 TEST HOLE- I TEST HOLE-2 TEST HOLE-3 TEST HOLE-4 " AE(EL 12) & VE(EL 14) EL.8.3 EL.7.9 EL.7.1 EL.6.6 Based on Ma z v 1 P FILL FILL.... FILL FILL: 25001 CO756J 19" 6.7 14" 6.7 18" 5.6 14" 5.4 July 16, 2014 0 YELLOWISH BROWN YELLOWISH BROWN YELLOWISH BROWN.. ._. YELLOWISH BROWN- 34" 5.5 28' 5.6 36" 4.1 32" 3.9 LOAMY SAND LOAMY SAND LOAMY SAND LOAMY.SAND 4 � LIGHT OLIVE BROWN LIGHT OLIVE BROWN LIGHT OLIVE BROWN LIGHT OLIVE BROWN ZONE. MED.SAND MED.SAND MED.SAND MED.SAND i RF-1 38" 5.1 40" 3.3 25 GALLONS GONE IN 12 MIN. 25 GALLONS GONE IN 12 MIN. Area (min.) 87,120 SF (RPOD) PERC RATE<2 MIN/IN(LTAR=0.74) PERC RATE<2 MIN/IN(LTAR=0.74) [3$a ��� � Frontage (min) 20' FULL MOON HIGH TIDE CYCLE 86" 1.1 8 1.1 72" 1.1 66" 1.1 >, Width (min) 125 98" 0.1 91° 0.13 ss' 0.0 so" 0.1 fi X3Y \ S Setbacks: Fron t 30 s n. Side 15' - ' - SITE PASSED b a Rear 15 LOCATION MAP OVERLAY DISTRICT. 1"=2,000f' AP - Aquifer Protection District ASSESSORS REF.: Map 51, Parcel 016 DIRECTIONS: From Hyannis take Route 28 toward Osterville. Take a left onto Osterville West Barnstable Road and follow to the end. Take a left onto Main Street. Take a right onto Parker Road. Take a right onto West Bay Road p N/F and continue as it bears to the left and becomes �. Zenas Crocker w Bridge Street. Follow over the drawer bridge to Oyster ��,�. Susan J Crocker 1 Sty w/f "J 1I l^ Harbors Gatehouse. Go left on Oyster Way and follow •� Lawn ; Poolhouse to Seapuit River Road and left on Pirates Cove and house / lot is straight ahead. 1 IN, V3 (15' wfde ; / O / ° 30 o� ) Easement Buffer Zone Calculations 1 ��CJ Existing x pRopo Zk 022 0-50' Coastal = 1,001 SF �, x 97 ��Fo o Ea, `: * �,� V. ____ _ _ - � � x Rr�F; R�2 0-50 Inland - 0 SF O 0-50" Total = 1,001 SF \ x k 6• Qw� x kkx \ l I Existing ) �o x / 50-100 Coastal = 4,033 SF X x x x 50-100' Inland = 0 SF 50-100 Total = 4,033 SF x O(v z x Proposed i 10 wo. x zx o i f 0-50 Coastal = D SF (-1,001 SF) x 0-50 Inland - 240 SF (+240 SF) �; x x x x,� 0-50" Total 82 SF -761 SF) O x x x x p, Proposed 5o Q� o 0 0 _ 50-100' Coastal = 5,590 SF +1,557 SF x x " ,. x x 50-100 Inland = 4,555 SF (+4,555) x x x 2 x x Q� 2 50-100 Total = 10, 145 SF (+6, 112) , Mitigation Required l f (-761 SF) X4 = -3,044SF (6, 112 SF) X 3 = 18,336 SF ;y'.• f o Jo Total Required - 15,292 SF � Lawn j O V / Ci f Mitigation Provided Coastal = 2,582 SF Buffer Enhancement 2,911 SF Buffer Enhancement Inland = 1,550 SF Buffer Enhancement j, Total = 7,043 SF RR Roos C/ Additional Restoration Area - 1,691 SF Z GF (PE ING SEPTIC (PER I T UNKNOWN) TO BE REMOVED Lean 'oo' SEPTIC NOTES iQ l 00 _ �L' �R Q Logan 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours 0�� - '/y f O I Prior to Any Excavation For This Project the Contractor Shall Make Zr ti ` i • . \ the Required Notification to Dig Safe(1-888-344-7233). pROp _ 2.The Contractor is Required to Secure Appropriate Permits From Town / a Igo Q Agencies For Construction Defined by This Plan. 3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall co % : /"' �T / t:F7 O O qp ro Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to 4.� Poo &7mOte Assure Watertightness. In General,Water Lines Shall be Constructed in O 4O Pa With a Shall be in Accordance CMR 00 7.00&310 CMR 15.00. x a RQpO g E 4.A Minimum of 9"of Cover is Required for All Components. x m x x p -' 3 _, 5.All Structures Buried Three Fat or More or Subject x x / F�, , ty If f 7�/ l #81 to Vehicular Traffic to be H-20 Loading.It is the Engineer's x O EXISTING SE Recommendation that H-20 Always be Used �' �9pp ZON �lling t 2 Sty w�f R (PERMIT 87-1 Dwelling 6.Install Watertight Risers and Covent to Finished Grade x +r y ye y _r �VF OR S - Over Septic Tank Inlet's,U,Outlets,and D-Box,and to Within 6" Qi x D ^ TO BE REMOVED to Finished Grade Over One Leaching Chamber. V. 7.Septic System to be Installed in Accordance With 310 CMR 15.00& iii x ,� y .v l' ^ 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable X x y. y y y y " y k ec / cr O Board of Health Regulations. x •z• y y`, yA'r'/�RrC y,�j/o� o tl `` 8.All Piping to be Seh.40 PVC, f' y A/� e�q�F/ y 9.D-Box Shall Have a Minimum Inside Dimension of 12",and a Minimum x y l y y x k x k x D� +}, Sump of 6". q \J y y y °ood D 10.The Separation Distance Between the Septic Tank Inlets and x7 k x x x Qa �,` Yv y y r�` y y y y y z \ a utlets Shall Minimum of 10"Below th No Less e Flow Line.Outlet the Liquid Depth.Inlet les Shall Extend 14""d y • y Lek x k z z x �'Tf� � ,/ yy y y-y y ' k / Below the Flow Line,and Shall be Equipped With a Gas Baffle. \ y y x x y I I.Septic Tank Shall be a 2,000 Gallon,with 2 Compartments. irlogpgle z k x rQ / - Yy y y ����//�� x k a The First Compartment Shall Have a Volume of Not Less Than x x x x z x �/ "-`y • ik z x 1,100 Gallons and the Second of Not Less than 550 Gallons. 1- FEMA Zone Lines - wQpd z x z x z owes y y y ' ryx..,x z z x•:-x z z as Shown on Map The Compartments Shall be Interconnected by a Minimum 4"0 •St�l�s„ y z x z z x/1� z x '„ z x s x Vented Inverted U-Shaped Pipe with a Gas Baffle on the Outlet. r _ x z x y z. z z x z # 25001 CO756C LQq�' x z x z x z z "7 x ax z" x; z z x k .k. z x Effective July 16, 2014 \ i��A•T x k k k•..k p x k x k.k Fst46 . �q� �y /ishsd v �qND E qC D r er E fl � � O�/7g8 a \ coastal Bepc/, SC9pF lop e_w I'Vps J �o Finish Grade ♦ lt)ry auk BUS Filter 0 \ O r '��•.,. j Compacted Fill AND/OR - 4k x \\ \ 1/8- _ 1/2- ® B ® B B B Pea Stone ® ® ®sail \ .. \ \ 4' Double Washed \ Stone CROSS SECTION OF FLOW DIFFUSOR NOT TO SCALE Cabana \\ DESIGN DATA F.F. EL. 16.00 Single Famil Dwelling -5 Bedroom @ 110 GPD F.F. EL. 15.00 No Garbage Grinder \ See Note 6 (typ.) Total Daily Flow=550 GPD F:G. EL. 13.50 F.G. EL. 9.5 MIN. Use a 1500 Gal H-20 Septic Tank Flow Equilizers LEACHING AREA Invert - As Required 550 GPD/0.74(LTAR)=743 SF Required EL. 11.50 E 2,000 Gallon EXISTING GRADE VARIES Sidewall=(12'+35'+3F+12'+19'+12))XO.96'=117SF 2 Comportment EL. 9.50 Bottom Area=12'x 35'+12'x 19'=648 SF Installer Septic Tank EL H-20 Confirm Allll Prior H-20 D-Box EL. 8.68 Top EL. 8.75 - 765 SF Total Provided To Any Work SEE NOTE 11Ma P1°lid¢ d v� LEACHING CHAMBER DESIGN To Be Installed On_1 EL. 8.20 Flow Dif ar �J 15 to be Schedule 40. Use a e Compacted dose �,�-Z r All Pipes (D -a 6 Concrete H-20 Flow Diffusors in a Bedding,"T"s, s� Inspection Port, 1f Encoacitered Rerrlove &:Replace:, 48188 Double Washed Stone Field as Shown. El. 2.00& Boffels All Unsu,ta6la .Sots w,.tl5ia 5' a€ o t0 as Per Title 5 The Outer:Penmatsr. of The Sysferli: �pFGISTt�� �`< Fs`/ONAL�Lyv DEVELOPED PROFILE OF SYSTEM -Update Building Footprint 03IJ1/17 NOT TO SCALE REVISION: Shift Wall 5' Off PL 01127116 TITLE. Site Plan PREPARED BY. PREPARED FOR: NOTES: \� 1.) The property line information shown was _ Proposed ImprolVementsfliVan En�neerinCapes Y compiled from available record information. rri g At Su consulting'Inc. west Boy Rd, suite. G. 2.) The topographic information was obtained �,III Margot C. Connell Osterville MA 02655 V Pirates Covu ` '�' PO B°0`�''�'wr�d'O Iom (508) 420-3994 / 420-3995fox from an on the ground survey performed on sed®wlllvanengin.can•www.suiltvanw*n.com or between 171JUL103 and 28/AUG/15. Barnstable (Oyster Harbors)Mass. Draft: JOO Field: RRL MLL 3.) The datum used is NA VD '88, a fixed mean 20 0 10 20 40 80 sea level datum. L DATE: December 15, 2015 SCALE: 1 „=20� Review: JOD Review: RRL Project: 98012 Drawing # C430_3Ag 1 EWE 903 : ' � /z •5 I L. \ F y •3 � I �,�� �•v /! s.. EEL l 6 ,(A T 7®3 Lli \ Q4 � �..l:'s_T��;�.�E�:�Z..C.�c�JtY; -.,s t..�,'�" 9m.t.""•' �:-� � �, Iti \ I 4 .1!.I) A,/i"' c —�I-ocP;NI0 t MAI(ei 1�i7��25i za Mitt �kuTlkdG� iN�i�('�i PtP . -5 t 4c,"KA -F 15 t..,t 6 d��c._.r•s`�-� �+� �t�..l i=t c?�..'�,'�-ice:. , t .mom` . T l �_ 9 ; { i f r l/ - f i Y - s TEST ,�c All- a L=Le IS' 1 a. I 2• SULLIVAN. ,o Pq. 2.;7s"3 s , Sv�.S c�/L � �i�o✓�"4L,L- iJ,t/,S�/�G�' • ,o �� �fo `a"_s'' r, �d ,��'`�� 143 M r,4-�a •�-r� � �cl�-r�tz_. i _ - � ---; 1 " �„LE4-C.� ��Lr� = LJ c�-: .� �L.cx..✓ �/,����,2.5 , ,�' °. _ .� S7� l-�-r1h��C'f��-7 �7 E30 TT"D^-1 A-,���4 ✓2 F' —' -✓i i�xl ' o 3 "T ` ,/�• /��_= L� �--� o �k 2 Ica 7�4 E /6-%,./ w _ t I r F