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Home My WebLink About0023 TRANQUILITY LANE - Health 23 Tranquility La e''" A = 120 - 135 o n Fir , > 7� 11 7 7 ,710 -rj - a r y i s r . pp y 4 4 i r G . y � i w c v G , 2 V TOWN OF BARNSTABLE LOCATION 3 roin Q u Jt b SEWAGE# VILLAGE cD 5 fe�Oi ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. YQ9 YVoV SEPTIC TANK CAPACITY t oUC� h-1 p LEACHING FACILITY- (type,) 5b0 (}ao Lc- (size) ZZ c/ NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility !f 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 r i �5 as•� CCJ No. � �7— ��J Fee .em THE COMMONWEALTH OF MASSAGHU*ETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 0[ppYtration for �Di5po!ar *pftem Cottgtruction Permit Application for a Permit to Construct O Repair O Upgrade(Abandon O ❑.Complete System Individual Components Location Address or Lot No. Z 3 7r 2.�� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel )LO r i 'S j Installer's Name,Address,and Tel.No.C�P�,1,lAt tn3es Designer's Name,Address and Tel. cro No. ;(1 ^ � 2 o. aox ?to3 1Z a.1 p,� S� 3 t6 Type of Building: Dwelling No.of Bedrooms Lot Size 3�� sq.ft. Garbage Grinder ( ) Other Type of Building 1 6�'►"� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required �J gpd Design flow provided 3 3 1 gpd Plan Date 2 2 d Number of sheets �21 Revision Date Title v) Size of Septic Tank /SDO Type of S.A.S. (�") S� ° pytC. '20 a� [� 14, Description of Soil G Nature of Repairs or Alterations(Answer when applicable) l' tw b -3 ay-. R p C 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 EnvironmentalC?de and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by Date =.2Y-0 7 Application Disapproved : i Date PP PP b Y for the following reasons Permit No. 2 W-7— p5'_ Date Issued k—_ZY-0—7 f' No I �Y 11 _ t@/ ! Fee Uo ` t Entered in computer: 4; THE COIMMONWEALTH OF MASSAUSTT . H -�. Yes PUBLIC HEALTH DIVISION.;TOWN OF BARNSTABLE, MASSACHUSETTS 2volicatio'n for � gpoga[ *pgtem Cougtructiou" Permit ` Application for a Permit to Construct O Repair O Upgrade(Abandon O ❑.Complete System M Individual Components Location.Address or Lot No. 3 T lPh 4,(+4-, DSO kle Owner's Name,Address,and Tel.No. 5 (I.,kAr Assessor's Map/Parcel Installer's Name,Address,and Tel.No. if iq pZ, ),de Designer's Name,Address and Tel.No. y. f (� ,'or o. ,3JX 7b3 r �l r^1 0�, c(O s) tK ,Od A6- �!�O `-t Z8 "l V .�b C G��F'c/�.�l�e . ' ! '� 3 13 Type of Building: _ Dwelling No.of Bedrooms / Lot Size 3�� 5� + sq.ft. Garbage Grinder ( ) Other Type of Building Sr h No.of Persons Showers( ) Cafeteria F Other Fixtures Design Flo' (min.required) �J 0 gpd Design flow provided 9j 3 gpd Plan Date ?/11/0-7 Number of sheets Revision Date Title ; 11` V. I", Size of Septic Tank /fO0 Type of S.A.S. C > S�� w2 C•C• /�" Q wf s�'^� Description of Soil i Nature of Repairs or Alterations(Answer when applicable) i -•i3 ay loo. o � Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of theafore described on-site sewage disposal system in, f 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 by this Board of Health. °*r Signed Date s. Ion i Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. (� �� („ % Date Issued k--.2 t/—U- P. THE COMMONWEALTH OF MASSACHUSETTS j BARNSTABLE MASSACHUSETTS lqt v1 rnt �l CFST i ,n (o�r (�� f ,r' J �+� �f sy Certificate of Compliance f THIS-IS TO CERTIFY,that the On-siteSew ge Disposal System Constructed ( ) Repaired ( ) Upgraded Abandoned( )byes) ,11� 1'1 Q✓i��) �� f at rt. ,I*d otcr W� l( a has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 2W"7 dated —^ y— Installer,�..e6-7.0,WtC& i ,t1,1 0/�3e (,U Designer aAl #bedrooms Approved design ow gpd The issuance of this permii shall of be cdnstruued as aT �arantee that the system w' fu on�Jas�dyejsigned C Date (/ f 1I Inspector �i'�/ � �_i��7llfJ�� / V - W r r J ., : y v vY No. 2u,1�%� `! Fee C� / r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS lwigogal 6pgtem Construction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ) Abandon ( ) System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Constructs n must be completed within three years of the date oft ' Date. .._. .. '� Approved by �' 1/ll .Town of Barnstable , Regulatory Services Thomas F. Geiler,Director • &AursreeM K+SS Public Health Division rater►+° Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 . Fax: 508-790-6304 Installer&Designer Certification Form Date: `Z Sewage Permit# - 3-7 5 Assessor's Map\Parcel Zd _ Designer: Installer: Address: )Z � ��`-� a C� 1 Address: do,d LLex 763 On "Zy Zoos eA.JUW4,4 �h (�C was issued a permit to install a (date) (installer) septic system at 2� ) CC\v`C1"I �l �� QS+ = based on a design drawn by (address) 1 , Mc-ski dated . (designer) I 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. I certify that.the septic.system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Local Regulations. Plan revision or certified as-built by designer to follow. ��P��N OF Mgss9c� � G PETER T• s� staller's Si ture) o McENTEE c� CIVIL No.35109,4D Q A9 �FGISTEP� o�FSSION AL (Designer's Signature) (Affix Des tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL- BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:HealtWSeptiic/Designer Certification Form 3-26-04.doc TOWN OF BARNSTABLE LOCATION c2 3 U, u u i , SEWAGE# o r VILLAGE 5 fv-U\ ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. �` nQ. �� Yaa yo 3 SEPTIC TANK CAPACITY p I LEACHING FACILITY:(type) SRO (}a (size) NO.OF BEDROOMS 3 1 OWNER PERMIT DATE: COMPLIANCE DATE- t Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ,Nd (f Feet Private Water Supply Well and Leaching Facility.(If any wells exist l 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 1 (�5 �s•� 5� r t j 3,0 a .0 17. ct5�� Y3• a fff TOWN OF BARNSTABLE v LOCATION L[' SEWAGE # /5Z VILLAGE �SESSOR'S MAP 6z LOT INSTALLER'S NAME & PHONE NO. 7 S, SEPTIC TANK CAPACITY LEACHING FACILITY:(type) L (size) _NO. OF BEDROOMSPRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER V(6241-T-(41 o — DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No i � � r 7 I {;, ' _� �' �� ' o � --'-��— s� - v �� TOWN OF BARNSTABLE -, LOCATION SEWAGE # �eb -� U` VILLAGE {�� ASSESSOR'S MAP & LOTIV _ ' 6 INSTALLER'S NAME & PHONE No. / SEPTIC TANK CAPACITY LEACHING FACILITY:(type) l lC (size)_ v NO. OF BEDROOMS PRIVATE WE L OR PUBLIC WATER �t/ BUILDER OR OWNER �C� DATE PERMIT ISSUED: — 1 5 6 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes.//� � o� N0.22� -.. Fxs.. �r.�..�.�..... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOW/4..............OF................�t Appliration for 11iopooal Works Tonitrnrtion ramit Application is hereby made for a Permit to Construct (,4r Repair ( ) an Individual Sewage Disposal System at: ..T2 .—:!, !!x?u..� T�A O � 1. ............i.-..._'Z ....- ..... _ -- ... ._....rl /fo-- . or Lot `Dr� .. .......... �'t"..... E Owner d ress Installer Address 3-1 Q Type of Building Size Lot........ .Sq. feet Dwelling—No. of Bedrooms........................- ..--.........Expansion Attic ( ) Garbage Grinder ( rJ� Other—Type of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures .................................. W Design Flow....................... ... ......gallons per person per day. Total daily flow..--.--......--............2�.-gallons. WSeptic Tank—Liquid capacityl,.0o.gallons Length................ Width................ Diameter-..------.---.-- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No----------I.......... Diameter--------1_a....... Depth below inlet................. Total leaching area.......2&.4.sq. ft. Z Other Distribution box ( Dosing tank ( ) Percolation Test Results Performed by.... ...................................... Date...... ....... ,aa Test Pit No. 1------:!-!ffT..minutes per inch Depth of Test Pit...-..--t-7 Depth to ground water..................... (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ..................................... ....................................................................................................................... 0 Description of Soil...................................................... -..... ---•------------------------------------------- ---------------------..................... ...................................................... f+;b�------- � •-----------------------------....---------------•---------------•----------•-------.....---•---- 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 Environmental Code The undersiglwd further agrees not to place the system in operation until a Certificate of Compliances s sue b a d of health. Signed -.... ---------------------------------------- D m Application Approved BY ....`...... :.....:...... v----- ---- .--------------------------------------------- ..��..� Application Disapproved for the following reasons- ---------------------------------------------------------------------------------------------------------------------------------------- -------------------- ----------------- ------------------------------------------- ------- --- ---.......................... Dare Permit No Issued ......... � � .-..... ---------- THE COMMONWEALTH OF MASSACHUSETTS BOAR®TF HEALTH .cr ..............oF............:.. ................................. Appliration for Disposal Works Tontrurtion Prrmit Application is hereby made for a Permit to Construct ( V�or Repair ( ) an Individual Sewage Disposal System at,..................... j .....I...... ............. . ................................... ....................................... 7 7 E"'2 io A dresyP, - (g' or Lot No Owner d f Address { . W .................... -L..............................................r. .......f/✓xt .✓..L._........ < �.�it>rLr - .......... ... a '•�,. / Installer Address d Type of Building Size Lot____U,_44.3..Sq. feet U Dwelling—No. of Bedrooms.....................eL.................Expansion Attic ( ) Garbage Grinder ( Other—T e of Building No. of persons............................ Showers — Cafeteria P 1 Other fixtures -------•---•--•-•--•------------ . W Design Flow....................... ._. ......gallons per person per day. Total daily flow............................. ._gallons. WSeptic Tank—Liquid capacity__1_"_ias.gallons Length................ Width---------------- Diameter................ Depth................ x P ...._.I_--__� Diameter ...... Depth below nlet.._......4t....... Total leaching area____________________sq. ft. Disposal Trench—No. .................. -- Width------••--•-------._ Total Length-------•----------.. Total � Seepage Pit No . p leaching area....... sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '~ Percolation Test Results Performed by._ A3C1`8L--- ...................................... Date........................._?�—....__.. ,aa Test Pit No. I......_ :.minutes per inch Depth of Test Pit---------1 .. Depth to ground water--------- --__-- Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------------------------------- --...................................-........................................................................................ 0 Description of Soil..................................................... U ----------•- 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b 's ued by thetd of health. . � . I ned ............ ' Dare Application Approved BY ..1:.....:.... ...............� ..... ..... Date Application Disapproved for the following reasons- ------- ------------------------ - - ----------------- --- --------- -------------- -- ---- -------------- ............................... .___--__ - - - ............__....__....._...._...__..------------...._....__.....................ate...... ......._...... ................___ .... . ...... Uare Permit No. +� .................. ... .. .. ........................ Issued .... !/ D THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH DJls�l/ -------- OF .�°��Yt --_----------------------- (gP1CtifiratE Df Qlara Jttance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) bY.....---------------------------------------4a..-/r1 '.. ...........-----.�r .. _�............... -- {'� Inst er ' at ........... ..... ..'I-...----- �' ', .,rl/. .6/t..,h.. `' '......... /Il ..------ .. .......... has been installed in accordance with the pro�Isions of TILT LE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ...�.. -_..,/� " .. dated -- - .._ •,. . ....,---e - THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTT D GUARANTEE THAT THE SYSTEM WILL FUNC 10 ATISFACTORY. DATE--------------------------- ..._�.....--------- --..................... .. Inspector ...._... THE COMMONWEALTH OF MASSACHUSETTS ,,. BOARD OF HEALTH o.........oF......i:- -l�`1^r .T.:x ,,...................... Disposal Works ons#.rudion rrmit Permission is hereby granted------...�i .f ....... f x. ...............•--...._......----..................---•---•----..........-•---- to Construct GW) or Repair ( ) an Individual Sewage Disposal System at No...--�0 ` �' --� •-• " lrl�l.. "` : ..., 1/Y ---- - /. ;,s-`............................ Street as shown on the application for Disposal Works Construction Permit No &'X Dated.-_ � .a'.. .... -------------------•••-----.....-----------.--•---•.-----•--•-•----------....--•--------....••--•-....... Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS , lFen_a �} L1 .! - -I +,- f1?Qr�C�U! 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I � — I. ; (_ 1, .RCGIS't'ERE�`1. �1-,��1�.' -��. \_nv /� ~M Y S a a :! ., +��SC'pU�J prr�J 1 r -r r - . .- O,STE�VI"-�--�-� I� :�,.�... �-� r;�- +1-�-L•a ! �-?=,� J�- �u # t. ;.s - � r �d.• M�.S�:r• . I . . '_ S.Tit .V.MEt�IT, S,c�[Z\/ICY{ T1-161 jr�IF} 'ISET` +5 ,pv�,p i STi48 SNtea r(: I AN dam,,I/ d'� QL7 I,' •t rG?_ _ �I l/G.vOI 'f , .IIL /.ti LANtz 0 1500 GAL, dI- . .. .. -- fiT TK N ?LSPOSAL r->tT USE t!f70U Gad.. Z SC)UWAt.L Ar�EA z leg �: F � lag 5 � 2.S•, 8r1T��Vl d2EA* 7 13 ; . .. v ?6 c•,.PD. �I � T TOTAL -D t_S1G1J H ;a 2G0 L&TIO Q LZaTE OF MQS,� 1 p ! I I MER. `n SULLIVAN ._:...._;.. 1 Yorwb'i'��.p. `x�P,fiait.. r 20 2, -� SOX• 3'Z•G Sc-onc Ic '�' Me P�T C-Ez'�`I�IED pLo-I-- Pczo�i L_� — P L'_Q VI o t L'oU r l' -1 f f ,2 �:d.z u o Sct�,t.�0 SL , . ----- •��5 Maus N o l(Ja'tER.. . R. ( � A.'r C- 1 GGIZTIF Tt-( ' 'KE{J IZ- `! C C- UF.�l�oi.l Ccxv`�L�15 W tYK Tl�t�:: SIDE.t•.ttiJ� .—"'_ �uD ScYL��cK cq�ts;E�cr�TS of T �T 2� owW of BAUJ- d3�.t AHD Is �lo-t✓•,.. r r-oG/�TEb w,r�tu pc.rc At RCGlS'1"ERED 1-il.NG Su`JE�(��S Tt-�l5 C7t-A1-t le, Ljo`r� t✓aSC10 C)v-.4 pW OS'Cr--Zvj . Lr- ter_ t "iST•IZVMe',IT SuMVEY 4.Tl c- 'OFFSETS Suocllp o• M ' 1'oT $E' SED Ta p eSTABUGH L-oT LI.WC-5 �(PPL.I GAtJ`f' . �2�6(I�3dca ��.tr�° In,xT Q �IGl� �t`�TA _ -fs?Q),IQUIUT` VrrN G,Arz-aAa r 6;;Z11.IDtLz- to t5o = 49 ( : . USE I S OO 6 A L. ! Pi w aal _ T TK -215POSA.L PtT usE 1f7042A SC�WAL L At'GG1►. _ (fig �.�• 18�T�Nt" A22•mA* "L -715 AW7g •G.RD. r 14 arA L V E.SIGIJ G.P.D.... �R r �� TH 't ;O Tt>TA t:: �-rZGD I-d.TlO U GZATE ; `��IU.2�4t t 1.J�O1Z �Y; . . N( •.� 1 ;ZH OF - No.�.243: 33 No. to ,. ....:. - : ,. • .•v o -BoX f I,t' Sc-vnc I o oc�p 52 l Tra IV. ►c Gnu. 52 Z FIT ' W t TLI j STONh 44 s. CEC''Ct1=IaD pLo'i" I2 EL=,� Uo Sca,L� LOUTFO� 6 /�rt:1S N o u1�TER- I. OQi n M('l4tZC61. •2�,Iq 2, 1 GGIZTIR`l T4•IAT . THE Vz v wE ca �t:.Qt::,plJ CCvV1Pl.�15 W t'l'4-� TI--I�: �jI.DE.I..tti-ice quo Sc:-rLNAc►G GQUIQEME-.QTS 01± TµE:—� 'OWt:I OF AND 1-5 Wc> -•,' r . t Gc�-r-+✓o wtrt�tti! F't�c�op TLAIH 7oNE. RcGIS'rlz�RED t-ti.Nc, Y S I T -ll5 C7Llati-1 I ., t-1oT ZA.SCo t NST tZvtitewr 6umvcY 4-•T�4C- 'oFFSETS SUoul p - h:oT "SE V SED 70 eST-ABUS-q LoT LI-KIE•S PPLI GA1�!`i- APZ6I 113dLZ 2EALT`7o' I¢txT THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH J9 4" .......•...1.4�(V/.4..............0F................JA h. f7.�/g. C ................................ Apitliration for 3Awp000l Works C>rou�trixrtion hermit �. Application is hereby made for a Permit to Construct ( 4r Repair ( ) an Individual Sewage Disposal System at, TZ, ------- ------ 2 / or f %wncr a Cf .G .............. ,f�dress ................� ................................................ ... ...<.�./� / - .... ` _..... Installer Address Type of Building Size Lot.... j �i,. . ..Sq. feet Dwelling—No. of Bedrooms..................... L.................Expansion Attic ( ) Garbage Grinder 114� Other—Type of Building .............No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ..Q ...:............................................................. W Design Flow.......... �.�.... . ......gallons per person per day. Total daily flow..................................... ..........................z�7...gallons. WSeptic "Tank—I_igttid capacity.I..Z�s?.gallons Length................ Width:............... Diameter................ Depth................ xDisposal Trench—No..................... Width...................�1'otal Length.................... Total leaching area.......�.....sq. ft. 3 Seepage Pit No..........I.......... Diameter........1.0...... Depth below inlet......-.".4'** ...... Total leaching area.......... ..G.t.sq. ft. Z Other Distribution box ( � Dosin tank ( ) Percolation Test Results Performed by... j - - ' a .A14T.�i.,:f.L�d1...................................... Date......m:...?::.?:....��...---.. Test Pit No. 1.......2--..minutes per inch Depth of Test Pit........ Z Depth to ground water.............!........ CT.i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 ..................................................... O Description of Soil.................................................... ...................:..............................:....................................................... v ...............................................•-••••..--•- UW .........................................................................................................................................................••••-•••....................................... 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has sue b a d of h. ...... Signed .......... L to Application A pproved B �� •0 . ?!!"2 / f Date Application Disapproved for the following reasons: ........................................................................................................................................ ........................................................ � Date Permit No. ��. .�........... I9sued .........t�� . ...A01.� gate THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH '' ', r..../..�........ OF ... ... �4.?° .5'p.4,d ........................ ( rdifirnte of (1 awyli�r�>re THIS 1S TO CERTIFY, That the Individua Sewage Disposal System constructed ( ) or Repaired ( ) by .............................................. ......:e4.�Z . ................ f?. 11 ...... ................................................................................................ Ina' e at .......... ?..rf+..... .. ......... .y.� ...1/L. ...7-1 ............ 1 �Y.t.......... ..1. 1�..�� ....................... has been installed in accordance with the pro% sions of TI E 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ... ...Q.�-r.../..-., .. dated .�r�..^ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........................................................................................................ Inspector .......................................................................................--------.... No.2' THE COMMONWEALTH OF MASSACHUSETTS D ...............OF........... BOARD 9F HEALTH ......T ..............OF...........!, .A.iZ bTA ............................... ApItfirativit for Diopaual Vlodw Tons trurtion 11nmit Application is hereby made for a Permit to Construct ( 4r Repair an Individual Sewage Disposal System at, ev,zNq V I L .................................... .r.....t i ft. .... .. ........... Owner dress .. CA... .r-six- ..i " ............. . .... .... n,ja Address Type of Building Size Lot....�j feet U Dwelling—No. of Bedrooms........ ...........L ....Expansion Attic Garbage Grinder Other—Type of Building ............•..........0.... No. of persons............................ Showers Cafeteria Other fixtures ........0...0................. Design Flow................I......5..c...;=......gallons per person per day. Total daily flow............................q��..gallons. Septic Tank—Liquid*capacity.f.'IcUgal Ions Length................ Width................ Diameter...........-.... Depth...-............ Disposal Trench—No..................... Width.................... Total Length.......-............ Total leaching area......o............sq. ft. Seepage Pit No...........I.......... Diameter........LP...... Depth below inlet......_J(e....... Total leaching area.......2..&.4!.sq. f t. Other Distribution box ( v� DositICtank Percolation Test Results Performed by....f5AX.T.-M.I.1�.a...................................... Date......I JYG?.... Test Pit No. I......:3r:t-:--minutes per inch Depth of Test Pit........ Depth to ground water.......7:77-_...... Test Pit No. 2................minutes per inch Depth of Test Pit............-....... Depth to ground water...-.................... ...................................................................0.......................0...........0..................................................... 0 Description of Soil.................................................... W - .. ............0.................................0............................0..............................U ....................................................0........... .........................0.......................................................0................. ..................................................................................................................0........................................0.............................0............ U Nature of Repairs or Alterations—Answer when applicable.............................................................0............................... ....................0........................0............................................................................................. ............................................... 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 undersi d further a es not t place the system in operation until a Certificate,of Compliance has sue o bV a d q alth Signed .......... .... .................................. ......... ..... .... ..... ................. ...... 1w A-r!4-it;on ApmrovedL f..1 . te ..... yy ....A......................................... :V ........ ... .... te Application Disapproved for the following reasons: ........................................................................................................................................ .................................................... .............. .............. te Permit No. .14 ;0 ................................................. l9sued ......... tote THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ OF .. ................. ........................ Tertifirate of (gompliance T141S IS TO Ch'RTIFY, That the Individual Sewage Disposal System constructed or Repaired by .............................................. .........110" Z................ .... ....................................................................................................................... at .......... .............42 row' '0"W/ '30, ............................j��............................ has been installed in accordance with the pro�'isions of '41,i 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ...RVf7:t...X'5.Z.77. dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........................................................................................................ Inspector .................................................................................................. �.!jt��S`��' ��1,. r r 1-�TJ� �� f I •1 �--..__ ` p �•�� .y j + �_" Sic qIr r 28 �42n � P p 1 / 4ISE .Ito ti rg� G p . ' 7 f � -�-� ; •r ;� _ } `T_� 1 ft�i s I f \ TH r. • EE.rS !J�-I--t {�G p D�� 1_i'�' j , �- �. � .. " IGDt-l�Tl6�l { ` t = Gd3 Y r , � `'tom �� 1 . � � �D� � ' y 1 Ir'` � f . ,1\ • y TIn�Z � ' + 1 L-�..��j7�{ T ' I:.} II. YO'r h:►1F. _ , ,tom „Q �•--�- ' i.t^� �7�' ;-_'"E'�•-�"_'*�..'f"S"i."•�-t.1,..i �:1 �.w .i_�� .- r ,��._.7 .4_i/'"i��..e. 'v:�:.. � .._ ` ! r , - ' I -�-1 S 1 �r !P• ' �L7tST _i I I W. �G A rO i_'�' Jrj f�' � 'r ' , '. -1-+ j i 1 iI .., ' J .h r-•, I _.� �4 -{ _ 1 -�_._i.._r"-�K{-'i f..j f L_:� f t Z 1 1__t 4 i l �!';: t •�, 'li I• i` I t v F,. I 1 LJ ' §q !f i _..7 11._ t ` I , ' _ t I P ? ,. F r M. y § �i�I fa &it-14 - i P 7 4 f 3 - fiId j� r E�TlrF1EDl i PLbZ WWI, '`, A 7- -�� -+•-.. I 1 7 thL,� +_I .i-..� '1.' r ' ., J •'�Tv!•� i � rti+J - 1. I �t � d ; r �- i r 1 �..I'. Gc c>-j- ' l C-G tZ'C.I F`( �Tkt-17AT4 Y'l �. ; �-y,�..' 7 t f t" a<J R C E t\I i , - auv �c�Yr��ck-t c_q c E uT4 of rt ; 1 LOT ,� r�► '{ I I , I I 1 _I I r l s � Al" -f 1 -7-�f} f j 1__` _ 4, —7 t� �-' l+0 S U i I —1 —r s 1-Ji.4-1 t) , U L V f7— �S �.J_ ._'�i_ , , �' Q U� j A4.J OSTE �\/tl.lG �._ ..,•,.,,, .. . j- lIN.SYI�V.ME�iT EY T1{'E dFSET�S'S{1ot1�.p` { { 1 1�5tA8usy1 L C NOTE: TO PREVENT BREAKOUT, THE PROPOSED F.G. EL: 104.03 FINISH GRADE SHALL NOT BE < EL:101.5 T'.O.F E FOR A DISTANCE OF 15' AROUND THE EXISTING F.G. EL: 104.2t(E:XISTING) (EXISTING) F.G. EL: 104.01: (IFREO'D) PERIMETER OF THE S.A.S. MAINTAIN 2% MIN SLOPE OVER S,A.S. 4" SCH 40 PVC PERFORATED PIPE WITH - SCREW CAP SET TO WITHIN 3" OF FINISH INSTALL RISERS OVER INLET & OUTLET INSTALL RISER OVER D—BOX TO 2-500 GALLON LEACHI► G CHAMBERS GRADE TO SERVE AS INSPECTION PORT. TO WITHIN 6" OF FINISH GRADE WITHIN 6" OF FINISH GRADE JN SERIES WITH STONE ALL SIDES INSTALL RISER OVER CHAMBER, 41, L=S' L=5' SHOWN ON PLAN AND SET COVER WITHIN 6" OF FINISH GRADE 4" SCH 40 PVC �— � a• 5= 1% (MIN.) _�_ 6 j �..5 CHI(MIN.) EXISTING ORLAYER OF 1/8.. TO-�/Z„ -7 • �o" DOUBLE WASHED STONE EXISTING T. — ( APPROVED, FILTER FABRIC) 2' EFF. DEPTH am®®®®®® a 4e�E.!E�1D INV.=101.70 INV.=101.53 EXISTING ADD GAS D—BOX 4' S.2' 4' DOUBLE WASHED BAFFLE TO BE PLACED OUTSIDE EFFECTIVE WIDTH = 13.2' STONE ..., NV.=101.90t EXISTING GALLQjy EPTICTANK 1 EXISTING THE DI�IvE!NAY FOOTPRINT 1NV.=101.0 TOP CONC. ELEV.=102.2 —BREAKOUT ELEV,=101.5 NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING INV. ELEV.=101.00 ®®a®® PIPE INVERTS PRIOR TO CONSTRUCTION. 2) D—BOX SHALL BE SET LEVEL AND TRUE TO BOTTOM ELEV.=99.00 GRADE ON A MECHANICALLY COMPACTED SIX 3' 2 x 8.5' 17.0' �+ 3' INCH CRUSHED STONE BASE, AS SPECIFIED IN 5' MIN. ABOVE BOTTOM OF EFFECTIVE LENGTH = 23.0' 310 CMR 15.221(2). f T.P. EXCAVATION OR G.W, --- 3) INSTALL INLET & OUTLET TEES AS REQUIRED. LEACHING SYSTEM SECTION 4•) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE. NO G.W. ENCOUNTERED AT EL.=93.0-- SEPT I C SYSTEM PROFILE N.T.S. (3) 5" DIA.OUTLETS 2• ; f;;1 � , i�� 'f - I DESIGN CRITERIA El SOIL LOG NUMBER OF BEDROOMS: 3 BEDROOMS 12" j { rrrr>'f ff /,f f` / ' -1 1 1 SOIL TYPE: CLASS I r f DATE: 7 REF P 90 r AUGUST '17 200 ,,.•-.�. r f`+ ,'' r `�, �` � ! ,� ,r � � .i �; ,, � DESIGN.PERCOLATION RATE. 5 MIN,/IN. SOIL EVALUATOR: VERONICA WARDEN C.S.E. T � ,, ,, f DAILY,FLOW. 330 G.P.D. . H-10 LOADING 2' f f`r,'r / { !, f\ ��` 'f�i f ,f WITNESS: DONNA,MIORANDI - HEALTH AGENT DESIGN F 330 G.P.D D•-BOX f fi/ ff ! `off fr 3� RBAGE GRINDER: N mm f�f f� � /� �Od � �� TP Depth LEACHING AREA R45.9 S.F. I Elev. EQUIR . = 4 FILL .74 r /� f j 104.0 0 EXISTING SEPTIC TANK: 1000 GALLON CAPACITY (ESTIMATED) , r8a 4 ®®®® ' ' f.' ` ! �, ' �' 102.8 15" " Ab o� ®®®®®®® 31 - I�' � f / f •` W � LOAMY SAND USE 2-500 GALLON LEACHING CHAMBERS IN SERIES ®®�®w 10YR2 2 /®® r 1.8 SIDEWALL AREA: 2 13.2' + 2 3.0 X 2 144.8 S.F. / i 102.5 c1 ( 13.2' x 23.0' = 303.6 S.F. t ,rr o a i BOTTOM AREA: 102' / /r, i % ,,), 36 TOTAL AREA: 448.4 S.F. • it / r . PERC 4" KNOCKOUT 048" DESIGN FLOW PROVIDED: 0.74(448.4) = 331.8 G.P.D. � � � 20"OIA. COVER \.�1 7 �� KNOCKOUT O�4" KNOCKOUT 62" , I ` 9• ► 2ESYs ° PROPOSED SEPTIC SYSTEM UPGRADE PROP. 'A.S. I ' 4" KNOCKOUT I 23 TRANQUILITY LANE, OSTERVILLE, MA 1 II I ' Prepared for: James Costello, 23 tranquility Lane, Osterville, MA 02655 93.0 132" 6 9, Engineering by: Surveying by: SCALE DRAWN JOB. NO. 500 GALLON CAPACITY, H-20 LOADING NO GROUNDWATER OBSERVED Engin+eringWorJkc HOOD SURVEY GROUP N.T.S.. P.T.M. 199-07 CHAMBERS PERC RATE <2 MIN/IN. ("C" HORIZON) 12 West Crossfield Road 18 Route 6A S.A.S. LAYOUT i, Forestdale. MA 02644 Sandwich, MA 02563 DATE CHECKED SHEET NO. „.Ts 8 22 P.T.M. 2 of 2 (508) 477-5313 (508) 888-1090 � �07 ROUTE 28 N - N LEGEND a APN 1 20- 1 35 x 76.95 EXISTING SPOT GRADE fGalleon wy Tan91e.k y '97 EXISTING CONTOUR (37,587±5F) �. - .... ., � r � TEST PIT o � W EXISTING WATER SERVICE r Z i 0 /f Rolm G EXISTING GAS SERVICE a / f 3f /� f� � /f W U EXISTING UNDERGROUND WIRES90 fNO,�i ,`,�/t J f tJ f ftjf J t 104,4� ` N BENCHMARK411 ep/ Sa` JJf / JJfJf `O� ' " N o`'yv'�'o"or TranQuilily LOCUSCM FLAGPOI F �^ Z l t, f f fir:f fr f t + �.. - �� ) LOCUS MAP N.T.S. f � .1 G SET DISTRIBUTION BOX OUTSIDE t t t THE DRIVEWAY FOOTPRINT d'- EXISTING SEPTIC TANK i o TOP OF TANK EL.=103.25t GENERAL NOTES: 1 4.52 �., Yk :r, t l,} INV.(OUT)=101.90t ,` ` �j. ,' ' 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL Z / ;' PROVIDE VENT IF REQUIRED BY TOWN ... I I , BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS \ 104.56 I ` 1 /� f J t M OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE Q0 I VEN ./ ,' k cis t'd't LOCAL, RULES AND REGULATIONS. PR P-' 5��$� /;�/ ,..q ' � C a ' . THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR x 104.96 23' -=--� I21i� { f�^� tom` TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE EXISTING S.A . DESIGN ENGINEER. , ��ONE %� _ mm TO BE PUMED AND FILLED 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING f DRiV AY t ! , WITH SAND. STRIPOUT SOILS FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ASSOCIATED WITH THE EXISTING ENGINEER BEFORE CONSTRUCTION CONTINUES. F ft � i —' S.A.S. (SEE NOTE 11) 5—ALL ELEVATIONS BASED ON ASSUMED DATUM. G / 1 6, THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF GCS G]C THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 0 ��, HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. j i I �P� 9��G 8. THERE ARE T. NO ABUTTING WELLS LOCATED WITHIN 150' OF THE S.A.S. j j ! METE ENT EE 9• ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED r o CIVIL I TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. CI No. VIL 10, IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY O t � .,� IQ§.�0' \ 9' RfGIS•(ETHE LOCATION OF .ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING ,Nr 1 - �G CONSTRUCTION. N � N85',3 XE ' S NA 1.1. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS rr f` IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. Z N F s ; GIZLr� AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). l 4 O J CONTRACTOR SHALL CONTACT THE BOARD OF HEALTH FOR INSPECTION N N { ; w ——' 99 �69 OF STRIPOUT HOLE PRIOR TO BACKFILL WITH SAND. �a 68 g 12. CONTRACTOR SHALL EVALUATE STUCTURAL INTEGRITY OF EXISTING U7 SEPTIC TANK PRIOR TO CONSTRUCTION. �— 40.84' z 105.88 9 585034'33"W ,� x 10�.96 PROPOSED SEPTIC SYSTEM UPGRADE r BENCHMARK: PK NAIL 5ET 23 TRANQUILITY LANE, OSTERVILLE, MA TRANQUILITY LANE E,.�/. I OO.00 (ASSUMED) Prepared for: James Costello, 23 tranquility Lane, Osterville, MA 02655 Engineering by: Surveying by: SCALE DRAWN JOB. NO. Engineering Works HOOD SURVEY CROUP 1"_20' P.T.M. 199-07 12 West Crossfield Road 18 Route 6A Forestdole, MA 02644 Sandwich, MA 02563 DATE CHECKED SHEET NO. (508) 477-5313 (508) 888-1090 8/22/07 P.T.M. 1 Of 2