HomeMy WebLinkAbout0136 WATERFIELD ROAD - Health 136 Waterfield Road
Osterville
A= 1.19— 020
s
Town of Barnstable r# /3,(oa
---T
Department of Regulatory Services
B ' ! Public Health Division! Date D �/waaravet,�.
200 Main Street,Hyannis MA 02601
Date Scheduled Time �MFee Pd. ` ZOO• 06
Soil Suitailty Assessment for Sewage Disposal
q
performed By:�f e(.�J ut'�/f'7 :.G �f'1� �°rl ."��[�•WitnessedBy:l�vk�fil 1(f'. lur
:ENE
RAL IlOR1VtATION
Location Address �' 0VmWs 14an16(lnct.4he-1 o,
/Af o Gclzf er�i�� kd
V/Il' Address 05{tayi/lf, /��.O�G
Assessor's"Map/Parcel. //9 /9 ngineer'-:N-t 6d1i t j7 Ct n e �
NEW CONSTRUCTION \ REPAIR Telephone# Jr O�. �i g -3 3.
Land Use. S1,pos(° ) 3 `.G 76. Surface Stones �
.:Distances ftom Open Water Body '—ft Possible Wet Area I OLft Drinking Water Well(05 ft .
Drainage Way Z.S. ft Property Line It Other".!" ft
SKETCH:(Street name;dimensions of lot;Exact locations of test holes&perc tests,locate wetlands in proximity to holes)
�A
� ®
1+
Parent material(geo�ogicj UJ�.vt� Depth to Bedrock
Depth to Groundwater Standing ,Water in Hole: " on-% r Weeping from Pit Face /Vw�
Estimated Seasonal High Groundwater �(� S (EL-7:s
D '1`EAO F R S ASi)IIAI ffiCH WATER' AELE
Method Used: ilL�_5 Ike+"
Depth.Observed standing hi obs ho e: in De�dr to soil,mottiesju.st in
Depth to weeping from side of obs.hole: in: Grbundwater Adjustment
Index Well# Reading Date,': " in lex Weil level Adj.fhctor Adj.Groundwater bevel'_
P +RCOLATION TES Date 13 Time 11
Observation
F Time at 9'
Hole# — --
Depth of Perc"
Torre at Ir
Start Pre-soak Time® Time(9-6")
End Pro-soak. " S�
Rate MinJlnch
Site Suitebiliry Assessment 'SttC Passed Site Faded: Addruonal Testing Needed(Y/t�
original: Public Health Division i Observation Hole Datafo Be Completed on Back ------
If percolation test is to bb conducted within 100'of wetland,you must first notify the
*** p
Barnstable Conservation Division at least one(1)week,prior to beginning.
i`
Q:4SEPTIC\PERCFORM.DOC
DEEP OBSE1tVAT 0 HOLD')G. > Hole#
Depth from Soil Horizon Boll'Texture Soit Co16r - Soil Other.
Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders.
I Consistency %Onivell
- U-� (�
z 171. lug
•
At i,; !
;, .
i DEEP U$S It�Win
Depth from Soil lit, n Soi�texture Soil Color Soil Other
Surface(in.) DA).. : (Munsell) Mottling .(Structure;Stones,Boulders.
Consistency.%GmcD
Z" �� .
7-1
3 3:
33 Z u C I_
DEEP bBS) Ritor A`Tt01�HOEE L0( $ole.#
Depth from Soil Hoi n ' Sbil texture. Soil Color. son:. Other
Surface in. (USDA) (Mansell) Mottling (Structure,Stones,Boulders:
( ) Consist gyi"Lo Graven
I
DEI �BSERVA'I`ION)�OLE LOB Holy#
Depth from Sod Honzon Soil T'xture. Soil Color. Soil
Other
Surface(in.) �iJSDA) (Munsell) Mottling (Structure;Stones,Boulders.
Consistency °�Ciravell
Iis. I?
Flood Insura�ce hate i
Above�j 00 year l'Obd bojln�tlry 1V0 : Yes .
Wtthid 500 year boundary No Yes -
WlthLi 100 year flood bopn�aty.PIo Ye§
De th of iVaturall 'it)cculriilti Petvlo' s Material
Does at lettst four feet o1`na a1Ly bcC g p
e lous.material exits'}in all areas observed throughout the
area,proposedifor the soil ab'o i iofi m? Ell
Ifwhat ts,the dtrpth tyt� ally;b P. rvious matertal7
n cc
Gertifi►cation ,�i e
date bays se
the soil eyal atot examination approved by
the
certify that on 4 )� p
D artmi r t a Envl[onmenta�I'iotectlo and th t the above analyAs iaso 7 ormed by me consist nt with
the requited trag,exrhse end+ex�b ence d scn ed tti 310 ;
G ; ! Date Ib i
Signature
Al
Q:\SEPTIC\PERCFORM.DOC
TOWN OF BARNSTABLE
LOCATION �3 Corm ,AAc) SEWAGE# ZOoC(- 30'
VILLAGE C7.S\-Qc�-k ASSESSOR'S MAP&PARCEL Z o
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY 15-e o
LEACHING FACILITY:(type) ql2 Are 3tn (size) (�) 3 -o 3 o
NO.OF BEDROOMS ,3
OWNER
PERMIT DATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the.Bottom of Leaching Facility 0Feet
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 leachingfacility)ty) pp Feet
FURNISHED BY �4 j�Qult GHQ/l �S �L.
A �6a o 'CIS
A7. ieeS gZ is
44 yo s 4Y 53.0
a
No ~3 C�5 Fee CVv
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
2pplicatiou for �N,5poar �&pgtem Cow6tructiou permit
Application for a Permit to Construct( ) Repair(V)-Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 1 3(O L.344-�r C�a tt- Owner's Name,Address,and Tel.No. A LLz c -0 o
Assessor's Map/Parcel 1\9 �2
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. g
�,D�;c�.o. �Hs-�n�..e5 �u .��,�.'s L�`t�-��-s.. '3(��,1' _. ��c�G� 53►n,,,, cx.t,
Type of Building:
Dwelling No.of Bedrooms -3 Lot Size 3 t�]70 sq.ft. Garbage Grinder ( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 330 gpd Design flow provided 3(0�) gpd
Plan Date 1 t(o-2001 Number of sheets 1-2, Revision Date
Title l3(o c, Wtr_.
Size of Septic Tank Type of S.A.S. rL
Description of Soil C l
Nature of Repairs or Alterations(Answer when applicable) Q l o
Date last inspected: IZW9
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Boarqq Health. Q
ne Date 1 t 1
Application Approve by Date !�'-y
Application Disapproved y: Date
for the following reasons
Permit No. �"" d Date Issued
r -�.3
No: � ;��`, , - '� .--=��'""`�S" Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Rpplitation for Migogar *p.5tem Con.5truction Permit
Application for a Permit to Construct( ) Repair 01—Upgrade( ) Abandon O ❑ Complete System ❑Individual Components
Location Address or Lot No. 1 3 b Owner's,Name,Address,and Tel.No. . (,'`-4,.f.
Assessor's.Map/Parcel t,11 (O�
Installer's Name,Address,and Tel.No. t `�uj- Designer's Name,Address and Tel.No. tco-'IT
Type of Building:
Dwelling k No:of Bedrooms(, Lot Size 31 b 0 sq. ft. Garbage Grinder. ( )
f � 1 f
Other Type of Building 5,�,G ,.,.�-,ti No.of Persons Showers( ) Cafeteria( )
Other Fixtures ti
Design Flow(min.required) 330 gpd Design flow provided '34a� gpd
Plan Date q e t(,' uc1 r 'Number of sheets ��..- Revision Date
y Title 13 b l sA�-4 f-e d
Size of Septic Tank (SO t> q ftl, 4-1 o Type of S.A.S. (,�- L'O -3 i(.--)r 1t�G`;"v 2
Description of Soil
Dim C. tq
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 Certificate of
Compliance has been issued by this BoardA Health.
,Si ne / Date
Application Approved.by ' r Date cis j y
Application Disapproved by: Date 1, 1/,
for the following reasons
Permit No. Date Issued '.
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERT Y,that the On-site Sewa4e Disposal System Constructed ( ) Repaired (A Upgraded ( )
Abandoned( )by U44 t YN&-p- 0*1 �-
at 131� l.J A�rCl � 4� �A c� O 5 KI V 1(C`P has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. _305 dated
Installer Co-y".d, 7'1�-� p'�3 �� Designer ��( - 1-ir C
#bedrooms j Approved design flow �r��d gpd
The issuance of this permit shall not be construed as a guarantee that the system wi 1 nc 'o'p as designed. n
Date !, �v Inspector i/� E,l�%'',-- - '► /C f
No: `Y�' " / Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS
• 'Wi5po5al *p,5tem Construction Permit
Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( )
System located at 3 t.t) 1 r�t�(�., Q S -�y 11!*
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: Constructi n must be completed within three years of the date fti pe��
Date G Approvedby
FL
OTES � _ CONTOURS ---- - __.
�r fiit
N Li FR.SNA!L FIND/1ND CQN;vIK1J Ti1F r�lC.ATlI7P! EXISTING - - 'j_-.� GnR:ierc GRIN'IFR
C L :;LIV k UNCJ 3 NHI--RF THE, EXIT -11✓!: OWE-1 r1 r: MINIMAL GRA171rdC . 50 r JS NO ALLOh'CO q�
.'I!HJST fiG TO Ll'trf: TAftit.rynrT 8cNU5 1N T't- CFOSLJ 'f^ Wllit IYfS UESICIJ �1`r - }�
1 1t "" FFThrtiN D,,I Lf,\'C'Ar,U rANx �NAt_L NAVE ANULiT:=+LLlii TO D1 iU1.:'-�IL'E, /'^LLER MAY 1anvL'SEPTIC 'J•ArvX 10 A 1!(,I•';E ADVANiArf �^y`�J��� I tnT Q
LOCAit0a1 R!i1' TAlvlt MAY NOT BE CLOSP;� a_OUS e, r��
Fn,!N'fiATlI7,AI I$AI.t. lyi>!Y i8 FL T,fJ Ti!E !ter A,✓ -�` _
INSTALLER SHALL I:1C:ATE AN.0 rLL 9LI. fF55P0'lL97
NOT�;HUWh1 OV Tr/r,FLAN G:J.a;it-"JJL 1•�!(mvFIVAY `Ir�)
SHAI.! HJ- Fl1 LEC AND AttANt70N-U 1"!FLAf_L. ��
11 NEEUE''I TO ACYIEVL (;"AV1TY rL(rW "` �r�^ o•-r°t1._E, MA
Lc) INS F A L L MAY INS rA l L CO.Mf'ONlrI1TL t �.-r 1�I ,J
cH �" / L__f V u
C7 Lll' l'O 2 FEET�.:rl-h'CR HAN G'IJIJN Cta � -''� -
Cfl THIS FLAN ANY CQt<rUNENT PLALLIJ /�~ / _a NOl"'f0 SCALE
1 RATE R THAN 11 FEET S7fAL(. EF H 2d i =S'(/iL /HS:RPT;UlJ 5'YSTE!•1 t iz RATEO AN7,5r)I7. AB�O?Pi"It7V SYSTF'M y s9 It:.
CV SHALL 0E
r�t LENTEU i , � tm / .' -SEE 0ETA,L'UN RE✓ RSE
1. 1 Eao 2TraL BENCH MARK TAN
(d ❑ (7�( tixsiart: [YI;���
v (� J s, I I G?�1N7 ^0T ONn rn.tEocL
�� AVEU DifVtWAY G1. a urn.rrrv,.y.e o
E- EVAT10V -32,62 1
mY CG
IJnTezr-trs rii �..�i1
'F' � QC3 ! I - e EiARN5TAELr GiS QATIIII esrprr(�
o, rsa t.rf._ X I _ 1^
tF FL L'rrA NIFFR-,x:c
1 / - EE .
i V 1l i I sAR-hG£
'✓ARIA L RE ST D
w,•„Ira...:..,.,�,m.m.,c.r,.nrr..,..A,r�ir,r,rarrr,n. - -- __ -- -
}� ;
?A1'FU 17RIV♦:'NAY i, ..—.�_r-
,rrC C�EMIi
310 CNJ2 1Ge27f71- Cr..,1^OC:IIJ*=7VT ��..---"1"'��_�-•--
GI__1-'1H TO FJNI&H GtL?e1r11= 36
POK Rc(11Jy_&0 VAPIANCC To - '_�•^ p 6 h
00 1- Or COVER, MECLIESTEIJ. / 11! Y
34
SEAL=. rL ,
�
H M
J�(���I � --- 1DAVID
j �r I f Ct__J I��_ r t F Yt Lt.V.lTICJN�'SPrtIFlEU 4Rr I�JVCRI l LL`rAf fY r to �t --- D. N u ` ORIf) \\
E$a _J IN C0L7IMAL F et T Ni7T FEE t Ar'�Il`ILl-d-fi: - " COU(3FJSJOWR� A ,Nl
y I
r
I N
No. 09J/ 1 COUG CIA J
RAI E:COVFRS IU Wl HIV SIX lfJLHEB Cr F1t,AL GRADE _ y
v�.Tr�N
cp o= 1 cuv�,tirinv �r I,nrn < qua
T Cl_. i FP - r j✓ / ANDU'L 4 ui rl+r to F ar PYL F PF.
f AND SLUYI- AT �;1 F+:/f MtN '
�03 O �Pp JL e m b e r
-- --
y r -,—I_ rice lr,lSpFl Ju` n r t�Q�Tt SEWAGE DISPOSAL �YS I kN FLAN
f�FnA Hum 1LN � � � �/,.r
MAX IZR rrFr.r.tr p <G 4\° -TO SERVE EXIcTfN D�J✓L_l-(Nf
�nx
1 L1_ t, LIrJ —� ALICE ❑FMCLQ
1 lg.
r `)
I eAf�� , j.111 1 WATERrTELD ROAD
LE L I � ��,�1 5,���i OSTERVIt I.r. ILIA
. 1`•- ' Tnitc •s -~ fW0Pl_RTY ACORi S
r_xis;rim `y S �GpPdt�4�
�i�f��vt��t��{ ,EaA.,E - t?77TON�
C t., 1UNI nA$C u�.y a nu ARsO ?r,nn' 43 TRIANGI.f_UIRCI F•. Irs Ynr Q- rAlecr.L
_� j I ..EACHING �YSTCM SANDWICH MA 9 ,C,i P.At"HICK lla PACE Ve
L.�J�(��Taf31t..E_OI\J 29.[il A .
Gf1l__LF!ZY �aci r - `1I�B 31��}—CE���I VATi -I -I.I-MFII-R 1Ci. ?PJO�
`a * PIE& SEPTIC�L TANK , i -GEF UF•Tnr ON PLVERU= _�13°E TE-32?F ,-A,E I -
N - - 35 F'1_ 0 2 VEti IC1'h
N' -1 - - -•� - Lj--1(a 4 FL
k26,6? �- IHS rLAN IS fIASc0 CN a'Y IV'-TRI UdFNT SLGJ!![V a^IU!; IWTENCED
AO,.'U•�*t0- a_f'1 Y hurt ifJSTALLATI(1J Of Tl E F'RUP01ZO SCFTIC(JVSitN
O CASI NA_. II';f SIC 1 h0 wnrcrl r rorl AN) Mh-li QiAMGF-S TO I'OD rti'"V;L LiIDIhG
G�WND�:VhTER PLArFMFNT OF Ag01I[INS RH=US I-"rJrFS rYi LY•J.NMING PG(Y 5 2JVJt tW
O -- -- S IJLL0(;OV1..r WA-1 A WS5ACHJ9FTT5 PEGLIFREO LAND'jURVEYOR.
CD
0
i
Town of Barnstable
Regulatory Services
_ Thomas F. Geiler,Director
• • �axsr�eis, i
Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
0ffice: 508-862-4644 Fax: 508-790-6304
Installer-& Designer Certification Form
Date: -t -3 D 20Uct
Desigfi'er: Q Ay�>a (� C4vLf =hNG1rwQ _ G��:. InsI1r::
Address: 4.3 TRi Av LC- CIRCLC Address: PQ 7 t,3
S&WOWteN, MA �A
�-
On 9-i1 -O �+� C�� ✓ �t� was issued a permit to install a
(date) (installer)
septic system at LA)%P/�A-C,l J f mJ DS�'�cJu(�, based on a design drawn by
(address)
dated mot-cc�-zdo�
(designer)
I certify that the`septic system referenced above was installed subsfattially according to
the design, which'may include minor approved changes such as lateral relocation of he
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 wtth State'& Local Regulations. P1an revision or
certified as-built by designer to follow.
-pN oF�A��
DAVIDN
D. CA
( taller' Ct-JaHANO
s Signae)
VVR
No. 1093
(BTER�
SgNITAR�P� li
(Designer's Signature) (Affix.Designer's Stamp 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:Health/Septic/Designer Certification Form
Town of Barnstable P# / 2
of
�Yy Department of Regulatory Services
_ • ��� Public-Health Division - - '
t, areas Date
�ATFo �A,6� :200 Main Street,Hyannis MA 02601
Date Scheduled / 0
Time It),f Fee Pd. '0 d
Soil Suitability AssessmMt or Sewage ge .disposal
Performed By: q V t A
Witnessed By: D0110 d
- LOCATION'&GENERAI; pTION "
Location Address t, a=.a.
13 b W Atl-f- e VI r ., Owner's Name AL'•
' �2 .mel
Address -
Assessor s Map/Parcel: 9 la2 1
Engineer's Name-NEW CONSTRUCTION REPAIR 1 ,
` _Telephoned
Land Use@SiG4p('j� IC9,
Slopes(%) �D. 1..6�C
too
{ - Surface Stones
Distances from: Open Water Body r 0 t
--�_ft Possible Wet Area __ft 1 Drinking Water Well
V t
-50 ft .
Drai-nage Way ft }Property Line r _.
C--_.!._ft Other ft
SKE"TCH: (Street name,dimensions of lot,exact locations of test holes&perc tests;locate wetlands'to proximity to holes)
y7F�i 1 �.3• Z W [
5
� W JJ m t
W m 0
/ m W 1- N
j JZ ®TP-1 1 LL LL I N (JI WQO IOn
I T® - ❑ U 0'/ V��m
rTj ' < 3lJOJ0- t��U�JIAVN
mI N ❑ Il w
'~ R jai W O3W 0 J < zO E
r I r • I— O0OW pW ❑ WO i
J O c�o� uXwoo» I.
w w
D _ 272.39fG ~OW 00OWWO❑
0' 0 cr) .N10Y<< `
CD W m(D
t-
Parent material(geologic) ro ���I q
Depth to Bedrock 0 P1
Depth to Groundwater. Standing Water in Hole:
Weeping from Pit Face VLO Yl e
Estimated Seasonal High Groundwater SC�e- ptV/p r"
f-
DETERWNATION FOR SEAS
Method Used: ONAL HIGH WATER TABLE
S e� � 0 p('
Depth Observed standing in obs.hole:
Depth to weeping from side of obs.hole: in. Depth to soil mottles:
Index Well In, OrdundwnterAdJtistment in;
_ ,-Reading Date:. .- - Index`lvell level -_- _ ft
- AdJ.factor _ Adj.Groundwater'Level
PERCOLATION TEST
Observation bate 13.01 T1me 10`W
Hole#
Time at 9" L 1
Depth of pen
►h
Time at G"
Start Pre-soak Timc @
l = I S Time(9°•6") I
End Pre-soak
Rate Min./Inch
Site Suitability Assessment: Site
passed Failed:
Passedw '•,MAdditional Testing Needed(Y/N) `V .
'Y / Original Public.Health Division
Observation Hole Data To Be Completed on Back-----------
,, 1
e ***If percolation testis to be conducted within 1005 of wetland, you must first notify the. .
Barnstable Conservation Division at least one (1) week prior to beginning,
} QASEPTIC�PERCFORM.DOC
�`'' DATE "OF TEST: SEPTEMBER 37 2009
1 TEST L 0 G' r SOIL EVALUATOR DAVID D. •COUGHANOWR. R.S.
WITNESSED BY: - DONALD DESMARAIS. HEALTH DEPT.
PERC NUMBER: 12693
aNO GROUNDWATER ENCOUNTERED
TEST PIT 1 1 _ r
PARENT MATERIAL: PROGLACIAL OUTWASH — E —
PERC AT 64 in — 2 MIN/INCH IN C SOILS
ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER
33.00
(INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING
•
0-12 Ap SANDY LOAM 10 YR-3/1 NONE FRIABLE
29.83
12-36 B - LOAMY-SAND _. 10 YR 4/6 NONE FRIABLE
36-136 C MEDIUM SAND 10 YR 5/6 NONE LOOSE
21.50
NO'IGROUNDWATER ENCOUNTERED
TEST PIT 2 " ,,
PARENT MATERIAL: PROGLACIAL OUTWASH
2 MIN/INCH IN C SOILS'. - _ (f 7r,t -
ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER
33.00 (INCHES) HORIZON TEXTURE -(MUNSELL) - MOTTLING
0-12 Apr-- - SANDY LOAM._ 10 YR 2/,1 NONE_. _ FRIABLE
30.00 12-36 B ___ LOAMY.SAND_ _ 10 YR 4/6 NONE_ FRIABLE
36-136 C MEDIUM SAND 10 YR 5/6 NONE LOOSE
21.67
I
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling
(Structure,Stones,Boulders.
Conaigtency.3' Gravel
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Sail Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
F
Consistency, I
t
Flood Insurance Rate Ma
Above 500 year flood boundary No— Yes
Within 500 year boundary No ✓� Yes
Within 100 year flood boundary No Yes .
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? __1(P5____
If not,what is the depth of naturally occurring pervious material'?
Certification
I certify that on NOJ S (date)I have passed the soil evaluator examination approved by the
Department of.Environmental Protection and that the above analysis was performed by me consist
the required training,expertise and experience described in 310 CMR 15.017. ZH OFMAS
Signature tw� "i'D l�'�"'`�— �-SC #¢G� Date Sepi 3, ZO DAVID cG�
o D.
" COUGHANOWIR
0O /CENS�� pQ'
Q:\SBPTIC` ERCFORM.DOC �� CENS �
NOTES CONT URS LOCUS
• �� GARBAGE GRINDER � W -
i �� IS NOT ALLOWED
INSTALLER SHALL FIND AND CONFIRM THE LOCATION EXISTING - - - - - - - 5l7 /� WITH THIS DESIGN. ~
OF ALL SEWER LINES WHERE THEY EXIT THE DWELLING. MINIMAL GRADING PROPOSED \ N 3 0
ALL FLOW MUST GO TO SEPTIC TANK. ANY BENDS IN THE ��/ \ 0 z RO TOWER
SEWER LINES BETWEEN DWELLING AND TANK SHALL HAVE ��/ ` o rn HILL ROAD
A CLEANOUT PLUG TO THE SURFACE. 53 {t��/ LDT 9
INSTALLER MAY MOVE SEPTIC TANK TO A MORE ADVANTAGEOUS 34 Z/ AREA = 31780 of +- \
LOCATION BUT TANK MAY NOT BE CLOSER THAN 10 Ft TO THE
FOUNDATION WALL.
INSTALLER SHALL LOCATE AND FILL ALL CESSPOOLS
NOT SHOWN ON THIS PLAN. CESSPOOL IN DRIVEWAY 34 \ `� �� OSTERVILLE. MA
SHALL BE FILLED AND ABANDONED IN PLACE. 36
IF NEEDED. TO ACHIEVE GRAVITY FLOW, ��� RHE LOCUS MAP .
INSTALLER MAY INSTALL COMPONENTS 3H�/ / \ NOT TO SCALE
UP TO 2 FEET DEEPER THAN SHOWN ON
- \
THIS PLAN. ANY COMPONENT PLACED / SOIL A SORPTION SYSTEM
DEEPER THAN 3 FEET SHALL BE H-20 33 rP-
RATED AND SOIL ABSORPTION SYSTEM, / -SEE DTAIL ON REVERSE
I
SHALL BE VENTED.. � I I t LEGEND
1 1500 GALLON
10 Pt J \ SEPTIC TANK
I T�, -
rn o m� r p � PO MIN o BENCH MARK
L7 m I r O EXISTING LEACH
TT ''I t •
/V. m ro � rn PAINT SPOT ON PIT/CESSPOOL
PAVED DRIVEWAY L \m UTILITY POLE
ti m,9 TT ELEVATION 32.82
I m 2 N ti _ o- m TEST.PIT® D-BOX❑ _
M WATER LIN
+o O B,ARNSTABLE GIS DATUM
rn E
' 1 Z
I DECIDUOUS CONIFEROUS
I
3 �- 3 SHED �p/s���{ \ TREE o-r TREE
Z d Hz-M ¢-P GAS LINE
6 \
O GARAGE ('( �`I ,�//� /� l -NUMBERES. REFERS TO DIAMETER IN
_ Z 1111YYY"' INCHES.LETTER DENOTES TYPE.
3B I o O-OAK M-MAPLE P-PINE C-CEDAR
I
I
v
_ �-
N E REQUESTED _VARIA C _— —
33. Gi. Q- —i
r �.r
MAY BE GRANTED IMMEDIATELY 8Y HEALTH AGENT OR HEALTH INSPECTOR. - PAVED DRIVEWAY �
310 CMR 15.221(7) - COMPONENT d —
DEPTH TO FINISH GRADE. 36 1n O 1,
272.39 Ft
I
MAX REQUIRED - VARIANCE TO / -- 3 I Q
60 1n OF COVER REOUESTED. O ���3 - FDL� \N ����N OF 44,jS jH OF Mess
36 SCALE: 1 In = 30 Ff- DAVID yG Oaf DAVID 9CyG
30 0 30 60 0� D. �-4 o`er D m
COUGHANOWR
0 1e 20 30 No. 1093 COUGHANOWR
ALL PIPE SPECIFIED ARE
E L-O W PROFILE EXPRESSEDLATIONS INV DECIMAL FEET NOT FEET ANDT INCHES.ELEVATIONS ; 'PFCIS T E �O 0 Z'C E N SER
ITAR\P V LUP� c
RAISE COVERS TO WITHIN SIX INCHES OF FINAL GRADE I 7C
TOP OF FOUNDATION USE 4 in SCHEDULE 40 PVC PIPE,
EL = 37.00+- AND SLOPE AT .01 Ft/Ft MIN
33.00
®> p� SEWAGE DISPOSAL SYSTEM PLAN
O INSPECTION -TO. SERVE EXISTING DWELLING
/ X 5. PORT;(ONE
�3" DROP i� MAX PER 71RENCH) EST. AL_ICE OEMEL_O
T -FLOW LIN -- -- -- -- -- -- -- -- _�-- _- -- -- OWNER OF RECORD
1� 14 136 WATERFIELD ROAD
48" GAS�� _ - ��� 1995 ��� OSTERVILLE. MA
BAFFLE G i n ---__-_--_------== ------ �Q PROPERTY ADDRESS
------ -----
30.25 STONE ASSESSORS MAP 119 PARCEL 2 0
2g.�3 BOTTOM O 43 TRIANGLE CIRCLE
EXISTING BASE � SOIL ABSORPTION
30.50 6 in STONE BASE 29.90 L_EACHIf "]G SYSTEM 5�8W364A�8g4 PLAN BOOK 11J PAGE g�
1Sf�0 GALLON 29.61 GAL_L_ER�Y 5.00 ft+ OATS: SEPTEMBER 16. 2pm�J
JOB #E T E-3 2 2 PAGE 1 O F 2 VERSION: Pl
-SEE DETAIL ON 'REVERSE THIS PLAN IS BASED ON AN INSTRUMENT SURVEY AND IS INTENDED
VARIES SEPTIC TANK 35 Ft_ of 4 FL 26.67 � 12.0 7 ADJUSTED SOLELY FOR INSTALLATION OF THE PROPOSED SEPTIC SYSTEM
6l 11 ft SEASONAL HIGH DEPICTED HEREON. FOR ANY OTHER CHANGES TO PROPERTY INCLUDING
GROUNDWATER PLACEMENT OF ADDITIONS. SHEDS, FENCES OR SWIMMING POOLS, OWNER
1 SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR.
SOIL TEST .BOG DATE TEST: SEPTEMBER 3. 2009 DESIGN• CALCULATIONS . ,
SOIL EVALUATOR: DAVID D. COUGHANOWR. R.S. �
WITNESSED BY: DONA'LD DESMARAIS. HEALTH DEPT.
PERC NUMBER: 12693
1 DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD
TEST PIT 1 PARENT GROTUNDDWATER ENCOUNTER LD OUTWASH SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS
PERC AT 64 in - 2 MIN/INCH IN C SOILS INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED)
ELEVATION DISTRIBUTION BOX: USE 3 OUTLET D-BOX.
DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER(INCHES) HORIZON TEXTURE (MUNSELU MOTTLING SOIL ABSORBTION SYSTEM: INSTALL 10 ADS HIGH CAPACITY BIODIFFUSERS (1600BD)
33.00 10 UNITS x 6.25 Ft / UNIT = 62.50 L.F.
0-12 Ap SANDY LOAM 10 YR 3/1 NONE FRIABLE 62.5 L.F. x 7.90 S.F./L.F = 493.75 S.F.
12-38 B LOAMY SAND 10 YR 4/6 NONE FRIABLE 493.75 S.F x .74 G.P.D. / S.F. = 365+ GPD
29.63 USE 10 HIGH CAPACITY BIODIFFUSERS AS CONFIGURED BELOW
3B-138 C MEDIUM SAND 10 YR 5/6 NONE LOOSE - Vt = 365+ GPD > 330 GPD REQUIRED
21.50
REFER TO DEP APPROVAL LETTER TRANSMITTAL # W000052 FOR CERTIFICATION
NO GROUNDWATER ENCOUNTERED OF ADANCED DRAINAGE SYSTEMS BIODIFFUSER SYSTEMS.
TEST PIT 2 PARENT MATERIAL: PROGLACIAL OUTWASH
2 MIN/INCH IN C SOILS
ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER LEA\ CHI NG GALLERY NOT TO
E
(INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING SCALE
33.00 CONSTRUCTION DETAIL
0-12 Ap SANDY LOAM 10 YR 2/1 NONE FRIABLE USE ADS HIGH CAPACITY BIODIFFUSERS (#1600BD). GRAVELLESS
12-36 B LOAMY SAND 10 YR 4/6 NONE FRIABLE INSTALLATION - USE DEP APPROVED INSTALLATION PROCEDURES.
30.00
36-136 C MEDIUM SAND 10 YR 5/6 NONE LOOSE 37.50 FL
21.67 �+
CD
� N
1500 GALLON SEPTIC TANK
DIMENSIONS AND DETAIL NOT TO CCD
D
GROUNDWATER ADJUSTMENT USE SHOREY ST-1500-H-10 SCALE
OR EQUIVALENT +
EXISTING GROUNDWATER LEVEL
BASED ON TOWN OF BARNSTABLE INLET CENTER OUTLET m
GIS DEPARTMENT RECORDS. 1 In END COVER END
TAPER 43.75 Ft N
INDICATED GW,�8.00' 3 IN DROP
INDEX-WELL M1W-29 t• I� FLOW LINE
FR
ZONE - C ` �Tt o BUILDING :;
r ;READING DATE AUGUST.'2009 0 5 f t- 10
In 14 + D BOX CROSS SECTION VIEW
READING - 6.7 o 8 in
ADJUSTMENT 4.0 ,A„ r*� L QUID GAs�
!'AD l USTED GW 12.0 LEVEL BAFFLE USE H-20
t,. 4 1n
O
:1 �,.. -' �� 16 RATED UNITS
11.3 in
In EFFECTIVE
�.,,o 10 f'£-61ij 6 CROSS SECTION VIEW DEPTH
4• 34 in l2.83 f tJ 68 in (5.66 F0 34 in (2.83 f t) ]�
N O T E S DISTRIBUTION BOX
1) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. DIMENSIONS AND DETAIL USE SHOREY D8-3 H-10
2) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL
STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH
SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING.
3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS NOT TO 12 in SEWAGE DISPOSAL SYSTEM PLAN
OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). SCALE MIN —TO SERVE EXISTING DWELLING
41 INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES FROM —'
BEFORE EXCAVATING FOR SYSTEM. O 01)
[ TANK TO ALICE DEMELO
5) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE. O c� SAS
6) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES
O co 136 WATERFIELD ROAD OSTERVILLE. MA
AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK. 1�, 6 1n STONE BASE ECO-TECH ENVIRONMENTAL
7) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT o_:7,
10 CROSS SECTION VIEW 43 TRIANGLE CIRCLE SANDWICH MA 02563
PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. 1n
ETE-26041 SEPTEMBER 16, 20091 1212 ,