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0214 SWIFT AVENUE - Health
214 Swift Avenue. Osterville A = 166 038 �µ f iM TOWN OF - � { LOCATION: SM -1 X l� VILLAGE:-T pS'���1✓/�c�� LOT # : PERMIT # : t,003-3y2 INSTALLER' S NAME• ld--,ro i S� INSTALLER' S PHONE # : LEACHING FACILITY;: (type) (size) NO. OF BEDROOMS: - S BUILDER `OR OWNER: J7a�G�l�J PERMIT DATE: COMPLIANCE DATE: i DRAW DIAGRAM ON BACK A G *v;c , 1 c `4 4q YI� V I No. ! fee 7HEE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,, MASSACHUSETTS 1 01ppYication for Mizpooar *pztem Construction Permit Application for a Permit to Construct( . )Repair( )Upgrade iKX)Abandon(X)o )v Complete System O Individual Components Location Address or Lot No. 214 Swift Avenue Owner's Name,Address and Tel.No. Mary E. Doo 1 in Osterville 214 Swift Ave. , Osterville, MA 02665 Assessor'sMap/Pazcel Map 166, Parcel 038 (508) 420-5015 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Ronald Buko sk i CGE Engineering, Inc. , POB 456 Sagamore, MA 02561 (508) 833-2250 Type of Building: Dwelling No.of Bedrooms 5 Lot Size 3 0 , 0 5 6 sq.ft. No Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 550 gallons per day. Calculated daily flow 550 gallons. Plan Date 7/21/0 3 Number of sheets 1 Revision Date Title Septic System Upgrade Design Size of Septic Tank 11 500-gal Type of S.A.S: Standard H10 Infiltrators Description of Soil 0-7" O A & E - Loamy Sand• 7-24" Cl table. 24-44" C2/B - Loamy Sand not suitable. 44-156" C Sand OK. No groundwater or mottling above 156" . LD Fyc BUKOSKI . Nature of Repairs or Alterations(Answer when applicable) New septic to DIJMkx, absorption system, � No.32024 lb Fo, Ear SIO N EN Date last inspected: y y/fkgreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system rfl accordance with the provisions of Title 5 of E vlealt nmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue this . Sign Date Application Approved by ® Date Application Disapproved for the following rea ns Permit No. Date Issued 4 \ HE COMMONWEALTH OF MASSACHUSETTS Entered m computer: Yes PUBLIC HEALTH.DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ott$tructiol� Permit 1 --•.0�1^ R rtcatton for oar item Application for a Permit toConstructt Repair Upgrade X)Abandon�X ]EI Complete System ❑Individual Components Location Address or Lot No. 214 Swift Avenue Owner's Name,Address and Tel.No. Mary E. DOA 1 in Osterville 214 Swift Ave. , Osterville, MA 02665 Assessor's Map/Parcel Map 166, Parcel 038 (5 0 8) 4 2 0-5 015 Installer's Name,Address,and Tel.No. Designee's Name,Address and Tel.No. Ronald' Buko ski CGE Engineering, Inca ,r, POB 456 Sagamore, MA 02561 (508) 833-2250 Type of Building: t Dwelling No.of Bedrooms 5 Lot Size 3 0 ,0 5 6 sq.ft. No Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 550 gallons per day. Calculated daily flow 550 rM gallons. F Plan Date 7/21/0 3 Number of sheets 1 Revision Date Title Septic \S)rstem Upgrade Desiqn 500— Size of Septic Tank 1, gal ,.Ty �.;pe of S.A.S�,ke Standard H10 Infiltrators Description of Soil 0-7" O,A, & E — Loamy Sand;xf71.24" C1/A Loamy Sand, not suitable. 24-44" C2/B - Loamy Sand, not suitable. 0A4-156" C3 - Gravelly Sand OK. No groundwater or mottling above 156"`. `Nature of Repairs or Alterations(Answ&4hen applicable) New septic tank;l 9—'$oX, nd absorption iy system Date last inspected: Agreement: ' 9�t ylaS 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 E v', nmental Code and not to place the system in operation until a Certifi- `x Cate of Compliance has been issue this ealt . 'j Sign / Date Application Approved b Date Application Disapproved for the following rea ns ~l Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,.that the On-site Sewage Disposal System Constructed( ) Repaired (, )Upgraded(XX) Abandoned(XX)by - at 214 Swift Avenue, Osterville has been.constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit NA�.q- ated Installer 1 Designer The issuance of 's e t shall not be construed as a guarantee that the system wil f cti I as/des' dd Date 63 Inspector f No. QMFee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS lwi000af *pztem Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade�X)Abandon(X)� Systemlocatedat 214 Swift Avenue, Osterville, MA 02665 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 conditio Provided:Constructi n must be completed within three years of the da e of this p Date:___ - 0 Approved by TOWN OF BW LOCATION: _ VILLAGE- LOT # • U 3 PERMIT INSTALLER' S NAME: INSTALLER' S PHONE # : LEACHING FACILI:T)_: (type) *A/1-79Y70� (size) NO, OF BEDROOR9 S BUILDER OR OWNER: 74i�� �Oc7Gl� PERMIT DATE• a=06 ` COMPLIANCE DATE: DRAW DIAGRAM ON BACK I ' I Ile 09 \ %\0 N \ of 5' 4q� ' Town of Barnstable r# I 0 2 Department of Regulatory Services 3 D3 Public Health Division Date �u►aa el� y•`�� 200 Main Street,Hyannis MA 02601 Date Scheduled U 3 Time I Fee Pd. 'l Suitabili Asessment for Sewage Disposal Soil t s y � . ,��.,.�- s • Witnessed By: � Performed By: 'µ1 01 DO � y . *� �aRy E Pocation Address ,[ s W t f A-l/� Owner's Name M Db ! �1� Address 2l� .�WiFf Av�'�uF OOZGf,P' T�o -_ D 3 Engineer's Name 7a 440 BtAKo ! Assessor's M arcel: l0 NEW CONSTRUCTION REPAIR Telephone Slopes % 3% Sw Surface Stones AJd61r es Land Use il' r�LrB�rya4 P ( ) TOGJ,+' WA7L� Distances from: Open Water Body >/o 0 ft Possible Wet Area___yO0 ft Drinking Water Well �fd ft fro Ruic o- 2 g W ft Other ft Drainage Way >/0° ft Broperty Line — SKETCH:(Street name,dimensions of lot,exact�Qcations of test holes&pert tests,locate wetlands in proximity to holes) 2,? . 0 b E�x/rT..v G 0 - SEPT/G JyrrtM PROPoS'EO • ADOiriarl� E X/ST/NG NOur� / — Parent material(geologic) qt a4iii Ou_rj0ACN Depth toBedro r� iyee "JITOFP yet J� 7I�1 - Depth to Groundwater: Standing Water in Hale: Weeping from Pit Face_ _ Estimated seasonal High Groundwater N. Method Used: ' N 'to soil mottles• y /S�6 a in, Depth Observed standing inobs.hole: /�f'.f in. Depth L De tli to weeping from side'of obs.hole: in.,•Groundwater Adjustment - p P •g Ad' Groundwater Level Index Well# Reading Date: Index Well level 'Adj.factor J . y 4 .• k DUN.. Observation Time'at 9" •`�r ' Hole# .,c Time at 6" Depth of Pere Time(9"-6") Start Pre-soak Time k1:0 2 — End Pre-soak Rate MinAnch 4 Z �. Site Suitability Assessment: Site Passed d Site Failed: Additional Testing Needed(Y" n.L.;"at• Pahtie Health Division Observation Hole Data To Be Completed on Back------- .9''''9". a ( •t. woman Depth from Soil Horizon Soil Texture Soil Color Soil Other. Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistenc "/°Gravel u �carr✓r 4 07r'f,,TDAMA 2 al E •at 0-7 O,A � 16aµy �'aa•p to vR o - Mir ��pa�r✓car ra,ry 9-d"6'o00,WX n/or ru. u reg A0.2 rJ A, ?Bi/ort/fej R'Me'v 0A 41 A w y C A.JD 1,0y)91 d- 6 Co6112. r/vr J A 6 E. 44/S6 C3 llAd� f'A�ty 6 �& rrm� �`YGpdAT/a✓• G pf Two A.�D .C.fad r..�% e..f'ruvnauWvry�aa�di 1)eptlr from Soil Horizon Soil Texture Soil Color' Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. • •' '+ Consistency.%Gravel Depth from of HoMon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistency,%Gravel :m01. 1 +p Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Molding Structure,Stones,Boulders. Consisten %Gravel Flood Insurance Rate Ma : 2S'00/ Gt�/6 •�' Above 500 year flood boundary No_ Yes Within 500 year boundary No /L' Yes ' Within 100 year flood boundary No Yes Depth of Naturally Occurrint:Pervious Material. Does at least four feet of naturally occurring pervious material exist in all azeas observed throughout the -area proposed for the soil absorption system? yes If not,what is the depth of naturally occurring pervious material? Certification I certify that on 9- (date)Y have passed the soil evaluator examination approved by the Department of Environmental Protection and that the.above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. mate' �fl 101 SZ 7 FORK it.• SOIL EVALUATOR FORhi Page 1 No.. ... Date........?/11/03......... Commonwealth of Massachusetts Osterville-Barnstable , Massachusetts .Soil Suitability Assessment bor On-site Sewage Disgosal Performed By: Ronald F. Bukoski, P.E., L.S.P. Witnessed By: Samuel H. White, R.S.- Barnstable,Health.lnspector...:. �:.,.. ......:. .. . ....................................................................... ..............................................................................._._...._......._................................................................................ Lamm,d,n„or 214 Swift Avenue to . Mary E. Doolin t.a, Osterville Admeu.ma 214 Swift Avenue Map 166, Parcel 038 T`k°nw°, Osterville, MA 02665 Title Ref.: Book 10,543, Page 242 (508) 420-5015 0.69 Acres (30,056 s.f.) New construction C Repair © /Upgrade Office Review Published Soil Survey Available: No ❑ .Yes Map 28 Year Published 1993 Publication Scale .....'1. 25,000 Soil Map Unit ..... dg.... Drainage Class Exc./Rapid Soil Limitations svazic.sxstamp............................. ............ Surficial Geologic Report Available: No 0 Yes ❑ Year Published Publication Scale .................. Geologic Material (Map Unit) ......... .... ... ......................................................................................................... . Landform . ... ......... .... .............. I......... ............................................. Flood Insurance Rate Map: 250001 0016 D, July 2, 1992, Zone C Above 500 year flood boundary No ❑ Yes Within 500 year flood boundary No.- ❑ Yes ❑ Within 100 year flood boundary No ® Yes ❑ Wetland Area: N/A National Wetland Inventory Map (map unit) ...................... Wetlands Conservancy Program Map (map unit)..................._.............................................................................. Current Water Resource Conditions (USGS): Month ......June.2003 . Range : Above Normal ® Normal ❑ Below Normal ❑ Other References Reviewed: Hyannis USGS Quadrangle Map 1979 FORM 11- SOIL EVALUATOR FORM Page 2 On-site Review Deep Hole Number HA-1 Date: 7/11/03 Time: 1000 Weather Shwrs,70s F Location(identify on site plan) Land Use Residential Slope(%) 3% SW Surface Stones None Vegetation Wooded-Forest Litter. Landform Glacial Outwash Plain Position on landscape(sketch on the back) Distance from: Open Water Body >100 feet Drainage way >100 feet Possible Wet Area >100 feet Property Line 23 feet W Drinking Water Well >150* feet Other *Town water. Surface Elevation: 92.5 ft-Assumed datum. DEEP OBSERVATION HOLE LOG Depth from Surface Soil Soil Texture Soil Color Soil Other (inches) Horizon (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency,%Gravel 0-7" O,A,&E Loamy Sand 10YR2/1 None Forest litter,Topsoil, overlying E layer. 7-24" Cl Loamy Sand 10YR4/4 None This stratum may represent an unusually thick sandy topsoil horizon. Several 3- 6" cobbles. Not suitable for absorption system. 24-44" C2 Loamy Sand 10YR5/6 None This stratum may represent the original B Horizon, based on color. Not suitable for absorption system. 44- 156" C3 Gravelly 10YR6/4 None Stratified outwash. Sand Gravelly Sand,c-f Sand, 5- 15%c-f subrounded Gravel, <2%nonplastic Fines, damp,light brown to tan_. Uunstable in open excavation. Bottom of TP(in.) 156" Dimensions: Length(ft) 2.5" Width(ft) 2.5" Parent Material(geologic) Glacial Outwash Depth to Bedrock: Not Encountered Depth to Groundwater: Standing Water in Hole: None Weeping from Pit Face: None Estimated Seasonal High Ground Water: >156" FORM ll�;SOIL.EVALUATOR FOIM Page 3 Determination for Seasonal High— Water Table Method Used: Depth observed standing in observation hole...>_156. inches ® Depth weeping from side of observation hole...?.?5—.. inches Depth to soil mottles ?.156.... inches . ❑ Ground water adjustment feet Index Well Number Reading Date .................. Index well level .................. Adjustment factor Adjusted ground water level ........................................................ Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? YES If not, what is the depth of naturally occurring pervious material? Certification I certify that on 4/95 . (date) I have passed the examination approved by the- Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. 0. Signature Date 7/11/03 Ronald F. Bukoski, PE, LSP CGE Engineering, Inc. (508) 833-2250 FORM 12 - PERCOLATION TEST Location Address or Lot No. 214 Swift Avenue - COM MONWEALTH OF MASSACHUSETTS Osterville-Barnstable , Massachusetts Percolation Test` Date: _._ 11.1/03.. , .. Time% 1002 hrs Observation Hole # TP-1/P-1 Depth of Perc 36 to 54"- Start Pre-soak 1002 hrs End Pre-soak 1.009 hrs (24 gals) Time at 12" Time at 9" Time at 6" Time W-61 Rate Min./Inch < 2 min/in. " Minimum of 1 percolation test r�iust be performed in both the primary area AND reserve area. Site Passed Site Failed ❑ Performed By: Ronald F. Bukoski P.E.. LS.P_ Witnessed By: Samuel H. White, R.S. - Barnstable Health Inspector Comments' w.. Design for <2 min/in. .......,. DEP APPROVED FORM-12WIPS ' PARCEL 166038 .69 ACRES 1 C.M. 00 \ VENT W/C/I mm FILTER - I - I OBSEWWOM PORT _ 4 ROWS W - . STA►IDARD HIO WTRTRATORS :, h W/8 ¢ 66 PARC044003 is'�commumm x 5W LONG I: - 1 D-DDx HEW 1,SDD-(:AL •i -- _--- _R �� °Off" i' SEPTIC.TANK ElasnNo SEPTIC SYSTEM O (LOCATION SHOWN IS FROM r J � AS-BUILT FIELD MEASUREMENTS ON RECORD dI o- AND NOT FIELD LOCATED) EXISTING SEPTIC TANK AND LEACHING PIT TO BE - g PUMPED AND ABANDONED PURSUANT TO TITLE 5. B."z.zo _--AnnrnoN:.- PARCE 16603 EXIST= IIpINERGRORM -" EXIS11NG HOUSE No. 214 PIPES F.F. ELEV= 100.00 ASSUMED CAS C.V. l �M• 144.0' m GV. C.M. EDGE OF PAVEMENT SWIFT AVENUE OBSERVATION HOLE & PERCOLATION TEST LOCATION 214 SWIFT AVENUE OSTERVILLE-BARNSTABLE, MA 02665 JULY 11, 2003 NOT TO SCALE fife �a 1 fW"00 c�ovsc� Uttl- -17 C'AOjetr 1p4fv A aAj 46C 'PW ?w Cl NJ � rn Jan 11 03 01 :51p Dr. Joseph Dooli.n 508-420-9807 p. 1 BARNSTABLE TOWN OF �\ LOCATION / t�i SEWAGE VILLAGE ASSESSOR'S MAP & LOT_ .� c INSTALLER'S NAME & PHONE NO: SEPTIC TANK CAPACITY LEACHING FACILITY-.(type (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC ATER BUILDER OR OWNER DATE PERMIT ISSUED: gCJ G DATE CObIPLLANCE ISSUED; � 4 • `J VARIANCE GRANTED: Yes No-. THE COMMONWEALTH OF MASSACHUSET 5 BOA RD OF HEALTH TOWN OF BARNSTABLE 3�i�}insttl �1ut Icy �tnii,�f�ut#inlc �Irrutt# ' - . Permission is hereby granted.............J.•p..,-.M...a......comber........ r ... .......----........................................................... r to Construct ( .). or Re air KX) an Indivi uai Sewage Disposal System w at No.... . 4 Swift• pAve....Ostervile....._....__...:_..... S....treet....... as shown on the application for Disposal Works Construction PfRk NO..J� ••� a•••-••• _. .. f�.Q._....... . . . ..... ..... / �.o • IItuad of Heal - FORM 36506 HOBBS b WARREN,INC."PU8UBHER6 Z (qf � John P.Holland,AIA _- M.HOLLAND&SONS CONSTRUCTION,INC. Design&Construction 38 Fogg Rd Weymouth,MA 02190 t 781.335.4275 f.781.340.0077 e:jholland@holland-construction.com F© � - 1V/VALi � 'A�:L LF�\ Ll o t AWNOF BARNSTABLE (!LOCATION a1 q Sk 119Ue- SEWAGE M Lf7 VII.LAGE,�SI�/U/�12 ASSESSOR'S MAP & LOT INSTALLS NAME&PHONE NO. Y/�QL477�/32� S�� C' ER' SEPTIC TANK CAPACITY l/000 tJ LEACHING FACILITY: (type) `/DUO (size) �SDD NO.OF BEDROOMS —3 BUILDER OR OWNER D�D�I PERMTTDATE: /D,29-490 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 v.... _ .. _ _.... . _ _.. . . . ... . . _ ._. .. . ._......,. .; _,�.,..._. .,. .�.,, S � .. r �b�t :,, 71e'Z! �l� �" ._.�...... Fizz ...30.00 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Riivastal Workg Tu'ustrnrfian ramit Application is hereby made for a Permit to Construct (- ) or Repair F) an Individual Sewage Disposal System at: 214 Swift Ave. Osterville _ ....................«.......---...... ..... -•--••--•-•---••---••-•---•..._._•._.. ...........I..................................................................................... John Odell Location-Address or Lot No. ....................... ... - - •- .................................................. ....................................................... -------------------- --- --- ---- Owner Address W J.P.Macomber Jr. Installer Address Type of Building . Size Lot............................Sq. feet U DwellingXXNo. of Bedroom's............3.............................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons---.--..----•-----_------.- Showers — Cafeteria 04 Other fixtures ............................................................... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ 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 ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ 1.4 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water:.------.-..----.------. a ------•---•---•------•••••----•----------------•-------------------•----------------•-------•---------------------------------------------......------...--- ` 0 Description of Soil...............................................................................------------------------------------------------------------------------------------.... v .........................................SAND. .... RAVEL------------------------------•••---------------••-----•••------•-------------....------------------------......._._...... W Z -------------------------•-----------------------•-------------•--- ---•---------•----.....------•-----•------••-••-•-------••------•••-----•---•----------------•---................................. U Nature of Repairs or Alterations-Answer when applicable............................................................................................... -------------------•----...---.........-----•.1-10 0 a l lom....le a c h i n p i t Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has eeplissued by the oar0of health. Signed - ----- 1�� 2 �9D ---- Application .......... i ApplicationApproved By ..--. -- --L%----------- --------------------------------------------- -------- ........ ---------...........---------- [ Application Disapproved for the following reasons- -------------------------- ---------------------------------------------------------------------------------- ------ ------- -- ................... Dale _ Permit No. -------------- ....... . ....... .................. ..................... Issued ----l Q._-..��..-------�- e $ _ .00 No.. _ THE _............_ f- F`s THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Disposal Works Tonstrnrtiun Itnutit Application is hereby made for a Permit to Construct ( ) or Repair (XX) an. Individual Sewage Disposal System at: f 214 Swift Ave,. Osterville ................_-- -_...........--•• -....__....---•-•------------------........._..... ...••-•-----------•----------------••--........-------._...---•--.._..._..---------------••-__-•-- John Odell `Location-Address or Lot No: ! .... ................•-------------•----•-----------------..........---------•----------...........---- J Owner Address a J j..Macomber Jr. -___ Tnstaller Address Q Type of Building Size Lot_______ __________________Sq. feet Dwelling XXNo. of Bedrooms.............3............................Expansion'Attic ( ) ; Garbage Grinder ( ) '4 Other—T e'of Building ............................ No. of persons____________________________ Showers — Cafeteria Q' Other fixtures -------------------------------- - ---------------------------------- •--------- _................. _------ .__...... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ 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 ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water_..--.-.-_----_--_--,... Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ............................ ----•-------•--------•----•---------••......------•---...-----•................................................................ 0 Description of Soil...............................................................................:----------------------------........ ------------------------------•---........._------ x SA-�TA--`��-...-.GR �TEI, r .. .. f W ---------------------------------------•----- •-------•------------•-----•--------------•-----------------------------•------------•-•------•-------••----....---••-•----•----•--..----.............. U Nature of Repairs or Alterations—Answer when applicable............................................................................................... .................................................. -1000--gallom_..ieachinK--pit --------------------------------------------------- Agreement: The undersigted agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee7is�sued by the board f health. 1 Signed /� . 1 ,...-. 10/ / rJ Dace /� Application Approved BY -----�./�f.1.�J ---------------r;/ -�.......---- --<-------...----------------- h19w.. ..1.. Application Disapproved for the following reasons- -----------------------------------------------------------------------------------------.............................................. ...................................................'-----------------...... ......-.�. ...........................................................................--- - - --- ----"Dace.................. -- -- Permit No. .......... Issued ....... --- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cner#Yftrate of C�untyliattre THIS IS TO CERTIFY, .. That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX) J.P.Macomber Jr. . by.. ----------------_----- .........................................--- ----------------------------- ................................................... .............................. at .......214 Swift Ave Osterville Installer ....................................................................................................................................................................... ................. ........................... has been installed in accordance with the provisions of TITLE 5,of�The Sta rE--y,�i-ronmental Code as described-in the application for Disposal Works Construction Permit No. ....--- .'' `� '- ��F dated ..........1 n -.�?. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.. - � I.. . /V(I / y a4) ..................................................... Inspector :. : ' z `' t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.....".'......... FEE... ...�0._00• Disposal Works TDunstrnrtion rantit Permission is hereby granted............ .P•Ma c omb e r Jr. to Construct ( ) or Repair (KX) an Individual Sewage Disposal System at No......21? ••Swift__Ave. Osterville. ........ ....... ._.............A._._=•--._......... �.. Street LLff �y� //� /f //// as shown on the application for Disposal Works Construction Permit. No.,!_�__-� Dated__.--110/•2(.................0 Board of Health , DATE ..•-----.....; •---F"-,?Aw .......................... FORM 36508 HOBBS 6 WARREN,INC..PUBLISHERS WN OF BARMTABLE _ .... LOCATION c>7�L/Scyl� . U� SEWAGE.N VILLAGE S Ie/U��I2 ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO.. ��/ClL07YJ/ 2� SUYI-41?C SEP IC TANK CAPACITY LEACHING FACILTrY: (type) /—/DUD (size) oqSDD NO.OF BEDROOMS-- i � BUILDER OR OWNER. / 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 I on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands czist. within 300 feet of leaching facility) Feet .! Furnished by ' I H Q - — � Cc_— .7 iZ ~ O ��C 07 - - - _ - i v3 Fel lit l rj . • .\ { W 1 r I i i rr a SHEET NO:, r ' z ` O o 4 � co K 1 � I i 'ilk I 31 aL � .t•• _. � _ - 1 SJ ��\i I � �("�' � Ica • +° ) { , lJ 72 e I I f W ( SHEET NO: j I ear � O rr O U o c � q V 1� � U i � • ' 1 � r N O Ell � LA 0 •\ . SHEET NO: v o U o a 07 P b cv r. z ,.7 O N o r i v72 m _ •• Ln W i __..._.__... i -.......... SHEET NO: I + t e ^,o PARCEL 166044004 PARCEL 166044004 .69 ACRES \ \ \ cp M \\ \ p \\ \ i to \ PARCEL 166044003 jto 1 / / 1 EXISTING SEPTIC SYTEM tSEE NOTE) I � 1 2(1 5 134. _ 27' I PARCEL 166039 79 I ,A T1.ON 6 I S X � EI TING HOUSE No. 214 — F.F. ELEV = 100.00 ASSUMED 28.2. 144.0 C•M' edge o pavement P .... SWIFT Avt- NUE f H_-OF Mq PETEA �z ` ton PLAN SHOWING PROPOSED ADDITION IN OSTERVILLE MA. ` DATE' PETER HOYT P.L.S PROPERTY ADDRESS 214 SWIFT A VENUE SCALE 1" = 20' MA Y 14, 2003 OWNER. MARY E. DOOLIN ASSESSORS PARCEL ID : MAP 166 038 HOYT LAND SURVEYING TITLE REF BOOK 10543 PAGE 242 166 RIVER ST. THE EXISTING SEPTIC SYSTEM AS SHOWN ON THIS PLAN WAS REPRODUCED WEYMOUTH MA. 02191 FROM AS—BUIL T FIELD MEASUREMENTS ON RECORD & IS NOT FIELD LOCA TED 781-682-9192 SEPTIC SYSTEM DESIGN CRITERIA `, 18" WATER TIGHT RISER TO PROPOSED FLOW LINE GRADES N � v WITHIN 6" OF FINISH GRADE 1) Soil evaluation - refer to soil evaluation and percolation test report prepared by CGE DISTRIBUTION BOX 4" OBSERVATION MATCH " PORT TO WITHIN 5- EXISTING n r� cC Fn�MovrH ' Engineering, Inc., Jut. 1 1 , 2003, performed b Ronald Bukoski, PE, LSP and witnessed by TOP OF _ " RISER WITHIN NN6CES FRNISH OF FINISH GRADE SGRADE URFACE TO PROPOSED Row Y y FOUNDATION Mr. Samuel H. White, Health Inspector, of the Town of Barnstable Board of Health. FG-s3.ot F.G.=92.0•f 4 DIA. scH. 4o PVC GRADE BE LOAM & A INV: AT FOUNDATION (2) 90.25 F:G.=92.0'1 VENT SEEDED tib 2) General soil profile at HA-1. Surface elevation 92.5 ft, based on assumed Bench Mark - FG-92•0'-s1s' z�_SLOP MIN- To sourHwEsr B INV. INTO SEPTIC TANK - 89.65 (BM). FF(100.00 ft), as shown on the Site Plan. I �tio C INV. OUT OF SEPTIC TANK 89.40 =F�= 2' LEVEL MIN. ORDINARY FILL STANDARD H10 D INV. INTO DISTRIBUTION BOX 89.20 �� HA- 1 Soil Profile 4" DIA, SCH. 40 PVC INFILTRATOR Depth Soil Bottom Elev. Soil Color Notes 1 in. Horizon (Surface Description / M,, /RVp�Pf 6 CHAMBERS E 03 ( ) 92.5') A NEW N INV. OUT OF DISTRIBUTION BO}. 89 � �y ,Q 1,500-GALLON a ° F INV. INTO CHAI`ABER 88.54 S� 0_7'� O,A,E 91 91° Loamy Sand 10YR2/1 Wooded with forest litter. Color varies B SEPTIC TANK o ° , o°,D E a„ O from brown to dark brown/black to C a �� —� G BOTTOM OF CHAMBER 88.00 OSTERVILLE tan, CLEAN GRANULAR / o /� SAND FILL PER 310 j o This stratum may represent an CMR 15.CHAMB TO / / / 1 G H HIGH WATER TABLE NO WATER/MOTTLES ENCOUNTERED ABOVE 79.50 " 90.50' y P o TOP OF CHAMBERS %�//,, / � \\..\\.\ L) 7-24' C1 Loamy Sand 1OYR4/4 unusually thick sandy topsoil horizon. 10' MIN. - I°>°�Ov vDO 7O v ��'> ° Several 3-6". cobbles. Not suitable for 6" OF 3/4"-1.5" F UNDISTURBED C3 J C2 SOIL HORIZON (MAX. DEPTIA ESTIMATED) 88.33± LOCUS MAP absorption. system. CRUSHED STONE ON A NOT TO SCALE COMPACTED BASE 24-44" 88.83' This stratum may represent the LEGEND C2 Loamy Sand 1OYR5/6 origianl B horizon, based on color. Nct suitable for absorption system. H 90 PROPOSED CONTOUR Stratified outwash. Gravelly Sand, c-f SYSTEM PROFILE --- --9 -- -- EXISTING CONTOUR C3 Gravelly Sand 10YR6/4 Sand, 5-15% c-f subrounded Gravel, NOT TO SCALE W.G.E— UTILITIES 44-156" 79.50' <2% nonplastic Fines, damp, light brown to tan. Very unstable in open excavation. __� HAND-AUGERED TEST No groundwater or mottling was encountered to 13.0 ft below grade. Percolation rate in C3 BORING LOCATION � ZABEL FILTER layer from• 36�-,54", <2 min./in. A A A A1oo A W/SUPPORT I•�._� PERCOLATION TEST LOCATION r ZLEG 3 Estimated Hydraulic Loading: CHAMBER CROSS-SECTION O °•_e- 4 y g' STANDARD CHAMBER BED 10 ' Type ,of Establishment: Residence. NOT To SCALE — — — — — — — — — — - o'-e" 6" �- REVISIONS Design Flow: Five Bedrooms ESTABLISH VEGETATIVE ui+.zoe 2"-3" 5" OUTLET Loading rate per bedroom - 110 gallons/day per Title 5, 310 CMR 15.203. COVER FINISH GRADE I '1 I 10, MIN 1'-z" No. Revision Date TO MATCHL 4'-0" I ; 5'-7" CLEAN GRANULAR SAND FILL EXISTING °� I �4" INLET UOUID PER 310 CMR°15.255(3) GRADE I 4'-6" ': 5 bedrooms x 1 10 gpd = 550 god. 2% SLOPE - I ( �E EL WALL, —TYP. - - A L — — — — — — — — — — — - "T 3 4) Septic Tank: Existing 1 ,000-gallon concrete septic tank to to be replaced with new o . o osp v 1 ,500-gal septic tank. li. PLAN SECTION A-A' PLACE ON MIN. 6' 34" _I� , it-, '�Tj TWO SANITARY LINES NOTES: 3/4_1 1/2- 5) Soil: Class I, perc. rate <2 min./inch. nP STONE BASE FROM HOME 1. PROVIDE INLET AND OUTLET ?EF' STANDARD 1 22' (TYP) INFILTRATOR 2. PRECAST 1,500-GAL. SEPTIC TANK (TYP.) CONCRETE - 5,000 PSI MINIMU' STRENGTH ® 28 DAYS 6) Proposed primary leaching area: Infiltrator system, pursuant to Massachusetts INSPECTION PORT 1500-GALLON Department of Environmental Protection's DEP's Certification for General Use, Transmittal TOP VIEW STEEL GAL.REINFORCEMENT - ASTM >S" WI GRADE 60 P ( ) NOMINAL CHAMBER SPECIFICATIONS SEPTIC TANK (TYPICAL) 3. 1,500 GAL. = 10'6" LONG X 5'-8" WIDE No. W023699, February 21 , 2003. This design uses the Standard Infiltrator Chamber in a NOT TO SCALE Bed configuration. The System uses an open-bottom leaching structure which has been SIZE (WXLXH) 24"x75"x12" approved by the DEP for installation without aggregate or distribution pipes as in an absorption trench, bed or field. 12 ° EFFECTIVE LEACHING AREA i �aPOW 6.5' INVERT BED 4.72 SF/LF 7) This system is not designed for a garbage disposal. I I TRENCH...................6.53 SF/LF PARCEL 166044004 r 75' 8) Total leaching area: Bottom: 50'L x 15.0' W = 750 sq. ft. (EFFECTIVE LENGTH) INVERT ELEVATION 6.5" 000 Sidewall: 130 LF x 0 = 0 sq. ft. SIDE VIEW POSILOCK END PLATES BOARD OF HEALTH STAMPS Total Area: 750 sq. ft. OPEN .... PART STDEO 6038 -••---•-----•-•- PARCEL 6 CLOSED.................. PART STDE 9)Leaching capacity: State Environmental Code, Title 5, 310i CMR 15.242 Effluent Loading 69 A(:RES ._ Rate fora Class I soil with a percolation rate of <2 min/in is 0.74 gpd/sq.ft. 34" -I STANDARD H10 INFILTRATOR CHAMBER CIM. \moo o Leaching capacity: 750 sq. ft.x 0.74 = 555 gpd and is greater than the requires design NOT TO SALE \ \ o flow of 550 gpd. CROSS SECTION VIEW VENT w/ CARBON FILTER :0 According to DEP's certification for General Use of the Infiltrator Systems, Section II - Design Standards, Paragraph 9, the effective leaching area for the Standard Chamber is \ OBSERVATION PORT 4.72 sq. ft./lineal ft. when used in a bed configuration. This provides an equivalent total r / leaching area of 29.5 sq. ft./Standard chamber, with a total of 32 Chambers proposed, this ENGINEER'S CERTIFICATION equals 944 sq. ft. of absorption area, or a maximum design flow capacity of 698 gpd. This F a 3, 5" DIA. INLET STANDARD H10 INFILTRATORS additional theoretical absorption capacityshould extend the Working life of the absorption ° '�2' W/8 END PLATES �, r P, °j I HEREBY CERTIFY THAT THE SUBSURFACE SEWAGE DISPOSAL CONFIGURATION: SYSTEM SHOWN HEREON HAS BEEN DESIGNED IN SUBSTANTIAL PARCEL 15 WIDE X 50' LONG .' i ,•` Q o system with added protection to the environment and public health. WEATHER CAP 166044003 ��' �� `Q\ CONFORMANCE WITH THE STATE ENVIRONMENTAL CODE, TITLE 5.j" �� -v 5, AND TOWN OF BARNSTABLE BOARD OF HEALTH RULES AND / REGULATIONS. 10) No public wells are located within 500 ft. No known private wells are located within 200 ft. There are no inland banks within 200 ft.; surface waters within 200 ft; nor surface 15 1/2 INLET / q, drains within 100 ft. of the septic system. THREADED PLUG 000 7 1/2" ; s° RONALD F. U D-Box 1 1) All system components and construction shall be performed in accordance with the ACTIVATED CARBON o000 + � u' !` �, BUKOSKI Massachusetts SanitaryCode Title 5, 310 CMR 15.000 and Barnstable Board of Health ° ° 12.5 5, 5" OUTLETS 'I 2" WALLS NEW 1,500-GAL i _ CIVIL �' W/SPEED LEVELER I � SEPTIC TANK ,, � 7_ Ill No.32024Regulations. Any change to this plan must be approved by the Barnstable Board of Health. SCREEN PLATE +sTSThe Barnstable Board of Health must be notified a minimum of five working days, or as °°°°°° 2 EXISTING SEPTIC SYSTEM - ' `\ ,,G�� �,. `'�'` 7 2&)0_3 required, prior to the start of construction. To obtain the Barnstable Board of Health o 0 0 a (LOCATION SHOWN IS FROM i z' — INLET AS-BUILT FIELD :�,; RONALD F. BUKOSKI, P.E., L DATE certification, the following inspections must be Completed: % O MEASUREMENTS ON RECORD yo°� } (absorption 15 AND NOT FIELD LOCATED) o� I a) Excavation unsuitable le materials absor tion system bottom 4 5" 6" ° '! 8" EXISTING SEPTIC TANK S .:: 34, ( P b U on com letion of lacin backfill materials, and AND LEACHING PIT TO BE t 22.5 � °, c) Upon installation of the system with all components exposed for inspection and 000000000°00000°0, 2 PUPURSUANMPED DT OATITLOE 5 preparation of the "as-built" Plan by the design engineer. NOTE: o 0 0 0 0 0 0 0 0, o SEPTIC SYSTEM UPGRADE DESIGN a PROPOSED c� PARCEL NED USE ENGINEERED SPECIALTIES CORP. �_ „ ' , 1 01 COMMERCIAL WAY, EAST PROVIDENCE, R.I. BASE SET ON 6 OF 3f 4 STONE �9 B.MIs2.2o ADDITION,.'.:.' ' 166039 214 SWIFT AVENUE, 12) The contractor shall notify Dig Safe prior to start of any excavation work in order to OR EQUIVALENT VENT CAP. t verifythe locations of existing underground utilities. Underground utilities as shown on the PRECAST DISTRIBUTION BOX DB-5 OR EQUAL W/BAFFLE OR INLET TEE g5 `..` OSTERVILLE, MA 02665 9 9 9 CONCRETE MINIMUM STRENGTH - 4,000 P.S.I ® 28 DAYS \ Site Plan should be considered approximate locations and verified in the field at the time of VENT CAP DETAIL STEEL REINFORCEMENT - ASTM A-615 GRADE 60, 1' MIN. COVER EXISTING DESIGN LOADING - LIGHT DUTY UNDERGROUND SEWER PIPES construction. NOT TO SCALE 4` OWNER: DISTRIBUTION BOX DETAIL -= , EXISTING HOUSE ASSUMED 214 \ F.F. ELEV = 100.00 ASSUMED 13) Maximum excavation of unsuitable soil within the footprint area of the absorption NOT TO SCALE / MS. MARY E. DOOLIN system is only anticipated to elevation 88.30. Any other unsuitable soils below this elevation _ 214 SWIFT AVENUE, should be removed and replaced with soil consisting of clean granular Sand, free from - OSTERVILLE, MA 02665 _ za.2• organic matter and deleterious substances. Mixtures and layers of different Classes of soil shall not be used as Fill, The Fill shall not contain any material larger than 2 inches. A ;,`z, sieve analysis, using a #4 sieve, shall be performed on a representative sample of the Fill. ENGINEERING FIRM. Fill sample may be retained on the 4 sieve- Sieve analysis Up to 45% by weight of the FI sa p e y # y also shall be performed on the fraction of the fill sample passing the #4 sieve, such I„ analyses must demonstrate that the material meets each of the following specifications: VARIANCE REQUESTSr' CGE Engineering , Inc , No variances are requested from the State Environmental Code Tittle 5. Seive Effective Particle % That Must Size Size mm Pass Seive c0 G.V. 4 4.75 10o M• 144.0' ATER G.V. IVII ♦ Geotechnical ♦ Environmental 50 0.30 10-100 C 100 1.15 0-20 200 0.075 0_5 DATE: 7/21/03 SUGGESTED SYSTEM MAINTENANCE EDGE OF PAVEMENT GENERAL NOTES: 1 ) Provide a permanent septic system chart/plan at a location near the building sewer exit CONTACT PERSON: RONALD F. BUKOSKI, P.E., L.S.P. Record Owner: Ms. Mary E. Doolin which shows the as-built location on the . lot of the septic tank, pump chamber, I AVENUE ADDRESS: 21 HILLTOP DRIVE, P.O. BOX 456 214 Swift Avenue distribution-box and the rimar leachin area. SWSAGAMORE, MASSACHUSETTS 02561 p y g TELEPHONE: Osterville, MA 02665 (508) 833-2250 (508) 420-5015 2) Suggested System Inspection: At a minimum, an annual inspection of the septic tank and NCTE: Assessors Reference Map 166, Parcel 038 pump chamber should be performed by a qualified person. The septic tank should be pumped Title Reference: Book 10543, Page 242 PLAI SITE PLAN BASED ON SURVEY PLAN LEI 9 at the owner's expense every one to three years, subject to use or when the combined depth SITE PREPARED BY HOYT LAND SURVEYING DR. BY: DRAWING N0. 1 of the sludge at the bottom of the tank plus the depth of scum at the top of the tank is CKD. BY: RFB 2) Flood Zone: FEUA Zone C, Property located outside 500-yr flood zone, greater than 1 .0-foot. SCALE 1 = 20 1 65 RIVER ST,, WEYMOUTH MA CAD FILE NO: 030711 Barnstable Map 250001 0016 D, July 2, 1992. 02191 , DATED MAY 14, 2003 PROJECT NO: 030711 SHEET 1 OF