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0111 STURBRIDGE DRIVE - Health
S'riURBRIDGE DRIGSTERVILLE A=165.103 i f TOWN OF BARNS,TABLE LOCATION fU r c/ SEWAGE # VILLAGE 0,b4e-rolllf ASSESSOR'S MAP & LOT .• � INSTALLER'S NAME&PHONE NO. _,�11+f✓t 191-7-0 SEPTIC TANK CAPACITY /S ay 66L-. LEACHING FACILITY: (type)_ dv\6 L c rr�!��� (size) A)-- Z NO.OF BEDROOMS BUILDER OR OWNER PERM TDATE: 9 61t���i�' COMPLIANCE DATE: - 1 tl -`I = Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 33 I No. ��✓` !/ � ` Fee THE COMMONWEALTH OF MASSACHUSE S Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 21ppYication for Migpogal 6pgtem Congtruction i3ermit Application for a Permit to Construct( �)Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �_O T'9aj Owner's Name,Address`and�1.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. j'o'I/ IV 1-%U �.2 —jS%S� `v�i.����1 Cl Type of Building: Dwelling No.of Bedrooms _ Lot Size 0'7- Garbage Grinder( � Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 33c) gallons per day. Calculated daily flow 313® gallons. Plan Date C:V* ZG ( Number of sheets Revision Date 1�• Title ,e.6i'map SeP� LOT 93 S-rL) PGrG Size of Septic Tank l Type of S.A.S. CkSAVK -,MS Description of Soil C o-2" 3 �" ' 7 T''°- VV 5r..l. VV— 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 Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by t s d of lth. Signed Date Application Approved b Date Application Disapproved for the following reasons Permit No. Date Issued r f 9 i / [ ' u�No. •1 >, :.,�-���"' 1 Fee � o THE COMONWEAH OF MASSACHUSE S Entered in computer: M PUBLIC HEALTH [GIs' SIGN -TOWN OF BARNSTABLES MASSACHUSETTS Yes 01pprication for Mi5pozar *pgtem Con9truction Permit Application for a Permit to Construct( K)Repair( )Upgrade( )Abandon( ) O Co Mplete System El Individual Components Location Address or Lot No. 1^DT 9-j Owner's Name,Address and Tel.No. 5Ty�216OLNoCk�. 'Dt2. ��/f9. '•L'6'S /�1�1<�r Assessor's Map/Pazcel !�'j TIS.4v t L'('G_ 5— \Gs l03 y Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Pczr_z 'Z5vLt_\,jovv fit, -AZb 3344 .5 U I-"\v Aa,Y,- ��C, Type of Building: Dwelling No.of Bedrooms Lot Size 0'zG1 Garbage Grinder(RP Other Type of Building No.of Persons . Showers( ) Cafeteria( ) Other Fixtures Design Flow 33� gallons per day. Calculated daily flow 33 Q gallons. Plan Date MAc6-Lt-1, ZG 19g8 Number of sheets l Revision Date 1, Title Q0GCsEd.'s SenP—nG 'J st�'vtii t1� 1�t_/ ti..) tT 93 STi) P�C Size of Septic Tank 1 1!�_Cpp Type of S.A.S. YZ. Z S' L�a�ht�G CNA�u(3f.QS Description of Soil _U 2." C� ' . Z _ 7 �- 1?t t ,1 . \_7 32 gwL 7 r� �_'1C7N Gt ' 8 f, `27! C7 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 Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by fto of H lth. Signed � Date Application Approved b Date App igation Disapproved for the following reasons- - k J� "�Pernut No. L7 Date Issued ----- =----------------- ————— -----_ - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( A�Repaired ( )Upgraded( ) Abandoned( )by Pq P74 at i n �j''� v` . _Z C oohas been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. �� ��6 dated V5'- Installer nWAI .44 tr4 Designer . _RF-r" Laiwa.,;a4w Per- The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date G . i t Gf S? Inspector y THE COMMONWEALTH OF MASSACHUSETTS 1 PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Mis paal 6potem Con5truction Permit Permission is hereby granted to Construct( Y)Repair( )Upgrade-( )Abandon �.-� System located at !e Z,/,!, 4,01 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 permit. Date: �� ,�75 Approved by THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A , m / �C(�J LI DATA TOWN OF BARNSTABLE j-- --. LOCATION ©f ,2 S7`U r�i�i cA� SEWAGE # VILLAGE er Ar ASSESSOR'S MAP & LOT IL;__ INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACII.TTY: 1 ct; r>,` i, (type) -% r�! (size) i'.Z i;. NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: i Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 17 cX _ 33 L. I uNJu ul "aruslaLAC F 71 P I /4 /1 Department of Health,Safety,and Environmental Services l/ Public Health Division Date dtw •t� 367 Main Street,Hyannis MA 02601 l l A VA I t° r� Date Scheduled �Q Lk� i Time Ind Fee pd. d l m a Disposal oiSuitabilit sses Witnessed By:LLB t v Performed By: LOCATION & GENERAY Yo O$R11�IA NameCI(�N Fro P-ca��-�( Location Address Lo T S-rue- 9'J t6IZ►D Grp ��. dgTE2.v (��.G Address Englneer'sName ET�2 •� �-�v arJ�(� . Assessor's Map/Parcel: �. .. NEW CONSTRUCTION 0( REPAIR TelephoneA $�� r non_ �s/DEt/�GoPEA Slopes a✓�� Surface Stones MDA�t Land Use •1 , - ft �_ft Possible Wet Area�_ft .Drinking Water Well Distances from: Open Water Body ft Drainage Way _ft Property Line ft . Other N�� ocatlons of test holes dt pare tests,locate wetlands in proximity to hot SKETCH:(Street name,dimensions of lot,ezect l el) 3 c ��S 19 / L 0-t` Cl 3 t _ , A04NA46CIVDepth to Bedrock Parent material(geologic) Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL:Wail vVATER TAME r Method Used: In. •Depth to soli mottles: in. Depth Observed standing in obs.hole: in. Groundwater Adjustment ft• Depth to weeping from side of obs.hole: Ad factor Adj.Groundwater Level Index Well#_ •Reading Date:_ index Well level...__,_ j• �.� �iTlar 1 =3bA PERCOLATION TEST brte9 1—_ 10 rA .365Ec-/z r G)4 L L O IvS Observation lime at 9" Hole p — ,yg r I Time at 6" Depth of Pere Start Pre-soak Time 2S-C-4[LaNs 1-6ss7A.4A"I s/✓J Time(9"-6") -- End Pre-soak Rate Min./Inch 2 M I Al QEr 1 N.G h� Site Suitability Assessment: Site Passed y ES Site Failed: Additional Testing Needed(Y/N) Original: Public:Health Division Observation Hole Data To Be Completed on Back--� Copy: Applicant L =I'�S�"11o1e#�r UI;CP O115LItVA'1'IUN 1[OLC�LOG Soil nonlderos. 5oi1'Icxlure ( l Color Munsell) Mottling (Slructurc,Stones, Ikpth from Soil I Iorizun (USDA) • Surface,(in.) 6eP. C5, 10 N O—Z- 3fOu'NSA ' IOyIZ S ''— 7 of CO4r9E rAIVAI S G 13 7,6yR d w t CpArS6 SANS 7- 1-7 -4— 6Wvarw IOYR S I� 3Z Co�rsE �0YRI, " Gt 3-z-yam " 2- co�rsESANn {o yR ya-12� P— WATION 110" soil other p'EP OBSCI Soil Color structure,Stones,Douldercs. Solt I lorizon Solt Texture (Munsell) Mottling ( • Ueplh from (USDA) Surface(in.) �1 O O-2 Z-7 —17 17 =3 2.t Z l .C 32' 0 yv'I zoi G ,' lliile# _ UII;1' (�135CItVL(USDA) T101Y IIOLC LGG > soil Other xture Soil Color Mottling (Structure,Stones,Doutdercs. I)cpth from Soil ilorizon (Munsell) • Surface(in.) Hole# llCGI) OBSr.10ATION IIOU LOG soil other Soil'texture Soil Color Mottling (Structure,Stones,noulderes. Ikpth fm ro Soil1iorizon (USDA) (Munsell) • Surfacc(in.) r Above 500 year flood boundary No Yes �. Within Soo year boundary No X Yes — Within 100 year flood boundary No A- Yes — Mep urrin pervious M 11 occurring pervious material exist in all areas observed throughout the Does at least four feet of naturally area proposed for the soil absorption system? E-5� If not,what is the depth of naturally occurring pervious material?------ -- the examination approved Y • evaluator examin pp oil ev dale I have passed the s consistent will certify that on ' �` �- � � Department of Environmental ['rotection and that the ubed in 310ve aCMR 1 SS017.owed by me I ..,,,i �vn. .ir.. . ._S - - • p Finish p\ Grade '� �_ � X • ' o F . $rU iA Compacted FII1 Filter Fabric ' R ' R4 _ a C) M 0G N 1/8'= 1/2�� o „' " A Pea Stone : Leaching d Chamber 3/4 - 1 1/2 Double �• 3s. 9, N Washed �East B y ; .: ox \ ` C tellochln I� " 4'-10 •" . I 3 • ha))be g 10,' 12,-0" LOCUS PLAN SCALE: I =2000' oNe CROSS SECTION OF CHAMBERASSESSORS MAP 165 PARCEL 103 eptic 2S -®- -'0 NOT TO SCALE Tank _Perk Test o 151 �tK — tK Proposed 3 Bedroom o House — _. 0 M . to � o co 1 F30 FG=53.0 ` 50 49.0 ® -, �� 49.8 1500 Gallon N 84 47 40 W 151.02 49.6 CB - — Septic Tank 49.4 Sot.E1.47.0 49.2 Bedding as PLAN VIEW �••f• ••.. .�:. •, , Per Title 5 - 4 Scale I =20' 10 10.5 10 10 12 Bottom of Test Hole For Property Line Information See LC- 31373E E1.43 No Ground Water DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM Not to Scale H OF PETER SULtNAtt R CIVIL °A NOTES DESIGN DATA 1.Water Supply ForThis Lot is Single Family-3 Bedroom t PP Y 'fH-l E l ev 53.0 With no Garbage Grinder ' 2.Location of Utilities Shown on This Plan Are A PProx. Daily Flow-I10 x 3=330 GPD 0 Pine Needles _ At Least 72 Hours Prior to Any Excavation ForThis Septic Tank••330 GPO x 200 =600GPD 2�� Organic Mat. Project The ContractorSha l Make The Required Use 1500 Gallon Septic Tank" • Notification to Dig Safe(I-800-322-4844) E Brown-Coarse Sand LEACHING AREA 7�� 3: The Contractor is Required to Secure Appropriate Strong Brown Permits From Town Agencies For Construction ' 330 GPD/0.74=446 SF Required 17' Bwl Coarse Sand PROPOSED SEPTIC SYSTEM Defined byThis Plan. SidewalI = 2(12'+2 6)2=148 S.F. YeI lowish Brown 4. Install Risers as Required to Within 12 Bw 2 �'of Bottom Area= 1;�x25' = 300 S.F. 32 ..Course Sand - SITE PLAN 448 S.F.Total Provided Finished Grade. 'LEACHING CHAMBER DESIGN 40,, Cl Coarse Sand � / AT 5;Ai1 Structures Buiied Fo r FeetorMart or Subject' - 48�+ Perk Test LOT 93- STURBRIDGE DRIVE to Vehicular Traffic tob H-20 Loading. All Pipes to be Schedule 40 PVC 3-500 GaI,Leaching Chambers ind C2 ...Coarse Sand OSTERVILLE MA 6. Septic System to be Installed in Accordance With 12 x 25 Washed Stone Field as Shown. 122 ' 310 CMR 15.00 Latest Revision And The Town of No Water Encounted -- FOR Barnstable Board of Health Regulations. Dote: 03/26/98 C LI F FWAR D REALTY 7.. All Piping to beSch.40 PVC. ---- ----- No.P-9119 Engineer:Sullivan Engineering Inc. SCALE:AS NOTED DATE:MAR. 2611998 Barnstable B.O.H.: J. Dunning SULLIVAN ENGINEERING INC. Perbolation Test 7 PARKER ROAD a Class I Material OSTERVI LLE MA 02655 Depth of =48 Less Than 2 Min/Inch (508) 428-3344 98040