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0086 WEST BAY ROAD - Health
86 West Bay Road Osterville i A= 117-134 I TOWN OF BARNSTABLE LOCATION Q G _LUGS r ,/,v l Rif-Q SEWAGE# 2 0// ZY8 VILLAGE 03rC-A'0 11l' ASSESSOR'S MAP&PARCEL /-,�9i�/F19 ,�207-2 INSTALLER'S NAME&PHONE NO-502- e1219 —1/73$ �O�f e/�Li�✓��/gP`O SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 'AO�iS aF^ (size) 3 7 X /e7' ,� NO.OF BEDROOMS OWNER_O 'Dew4 PERMIT DATE: 7-• 2 J' —// 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 S 0 :Y i c�i, �, ��• '} s �, 5� b .,,, „ ��/=l9/'1 ovT — lc� - -- ,- - --- --- - - p''Gr�aN �nv'T3 f v7.Y No. lC1 Fee V V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. PUBLIC HEALTWDIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppYtcattou for Mt5po5a[ *pgtem Con5tructtou Vermtt Application for a Permit to Construct(,O)—Repair(/)� Upgrade( ) Abandon O 2J Complete System ❑Individual Components Location Address or Lot No.�6 ��JrT v�7 K�� Owner's Name,Address,and Tel.No. 0,5rrr,rKi//•_ ✓ d Donn e!/ Assessor's Map/Parcel / — / 'e z°- q7.3 8 Installer's Name Addre s,and Tel.No.5108- y Designer's Name,Address and Tel.No. ✓oseph �- V,41-eas / eooio%f-e-At X1 . PA4, ol, /�S Type of Building: Dwelling No.of Bedrooms Sr Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) `5-y gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) _�f?5r*11 ar0 ,AVTYG "OGtk a- 13ox .�7 r—v vg e r s-, ti; - trial ci4ox-cI� #fls aldmirla p- ui e tti^ cm�n u r,�--D 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 Board of Health. Signed Date / Application Approved by Datea�' Application Disapproved by: Date for the following reasons Permit No. D=p' Date Issued 77—;2 j 7-- `� No. C)I I 1 f t ?. g. Fee U + a i ' Entered in computer: , THE°,COMMONWEALTH OF MASISAE,HUSETTS p Yes w PUBLIC HEALTI 1ION - TOWN OF BARNSTABLE, MASSACHUSETTS a, Replication-for Oi5po5al,,6p5tem Cott5truction Permit iApplication for a Permit to Construct(/,r Repair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. pp ����r Bj4 QU64 'wv OG 7 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel /17_ 1341 J,6 Sv8- 2,0= y73 8 Installer's Name Addre s,and Tel.No. y Designer's Name,Address and Tel.No. Joseph l�-� y; 14 Type of Building: Dwelling No.of Bedrooms 1 i Lot Size i I I ;sq.It Garbage Grinder ( ) t_ Other Type of Building No.of Persons l Showers( ) Cafeteria( ) Other Fixtures ! Design Flow(min.required) ���� gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title 9 Size of Septic Tank Type of S.A..S`y Description of Soil / r / Nature of Repairs or Alterations(Answer when applicable) �5lT �� / S O(% [�'�� SEA rl'G 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 Board of Health. Signed �� �,p Date / Application Approved by /1n Date 77--2J— Application Disapproved by: ! Date for the following reasons — - Permit No. �o ) l f Date Issued "` f " THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( �. Repaired ( ) Upgraded ( Z--)— Abandoned( )by US -�Li [/r- /s�!"!�'O S at w ((//= T /�d¢G/ ��1gGl �STj%Y�//��= has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ?o 1 — 7 dated 7 Installer JaS,IJ04 12C /�f?y%US Designer 0,-Zr12,k7 114 #bedrooms . tea¢z � # Approved design flow gpd The issuance of,fhis permit shall not bt'e construed as a guarantee that the system wi`ll'fu. ti as esigned. Date �/ / Inspector No. Fee U U V THE COMMONWEALTH OF MASSACHUSETTS- - PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS &5 poga l *p5tem Construction Permit Permission is hereby granted to Construct ( /,)—Repair ( --)--Upgrade ( ) Abandon ( ) System located at S/- and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this p mit. D Date �. 2 j"` 1 ( Approved by. \ �' l`�, AUS/01/2011/MCN 09:25 AM SandwichTownOffices FAX No, 1 5C8 833 OC18 P, 001/OOl Town of Barnstaible Regulatory Services y Thomas F.Ceiler,Director ," 9. Public Health Division Thomas McKean,Director - ' 200 Main Street,Hyannis,MA 02601 Office: 108-362-464 4 Fax: 508-790-6304 Installer&Designer certification Form �y Date. �i i t l Sewage Permit# �d!/— �4'gssess©r's bia�IParcel Designer: Vem er Installer. A)t/��i ,Address: _ ��( �[�� Address: On �/j �J—T ��" Hp� was issued a permit to install a (date) (installer) septic system at es -q Pn based on a design drawn by (addres5) dated 11 (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 andlor 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. DAR Y (Ins(ller's Sis mature) NO. 1140 } S1 t l (Designer's Signature) (AffL�Designer's Stamp Here) PLEASE RETURN TO B ARNST� LE PUBLIC HEALTH ]DIVISION. CERTIFICATE .QI!. CONIP_LIAINCE WILL NOT BE ISSUED UNTIL BOTH THIS FO"l .AND .AS-BUILT CARD ARE RECEIVED 8Y TJ4, aARNSTABLZ PIU-B ETC HEALTT{DIVISION. THANK YOU, Q:HealthiSeplic/Designer Certiftcatiun Form 3-26-0dac _ I Town:of B�--nstable. r# i> Department of Regulatory Services - " • Public health Division Bate nlact+ ' 200 Main Stree4 Hyannis MA 02601 s lED IMF � 1. Date.St<heduled _ Fee Pd. / T soil Su tabaZity Assess eni ford Sewage,Disposar y a Y f qwi M V_. 4 i Witnessed By Performed By: i LOCATION&GENERAL INFORMATION .. Location Address 1 R' I Owner's Name `c Q D b rf N F (�L Address' �•[�iv v 1/�� �1d Z�S� Assessor's Map/P$rcel: (All13l 1 I Engineer's Name �aYY�✓1 M, I Y NEWCONSTRUtTION REPAIR �' j -Telephone# SOb Land Used�� ► r�'I Slopes(90) J ; Surface Stones Distances from: Open Water Body 2(x ft .Possible Wet Area '�2O b ft Drinking Water Well L ±: ft i breinage Way ft.� Properly Line ft (Other ft' SKr t�+�Yip EX15TING CE55POOL5 1t01es) r'JL I, H:I (NOTE 1 O) j 20 n ' G EXISTINr," A - - -; c/eoI out 05 BEDROOM . DWELLING j w 10 ft s. 1 \ TOP OF FNDN�, - �l' \ EL = 35.98 • „�. screen po h o' I IY 0�, .D /nsp Ports - < TH 1 -30.84 14.15I / \\ I' j , 33 '34 143 ft 35 ' - ` r _ _ K PROP. 11,500 GAL T 5EPTIC TANK'EDGE OF.PAVEMENT n t ,. .WEST ; BAY ROAD Parent material(geglAgic) at bar j A5 s' Depth to Bedrock Depth to Groundwardr: Standing Water in Hole ' I > _ I_ Weeping from Pit Face Estimated Seasonal?ogh Groundwater I ' DtTERM NATION FOR SEASONAL HIGHCATER TAl�LE Method Used: ' j in. Depth to snll;mottles: Depth Cjbperved standing in obs.hole: i in. ©x0undwater Adjuettnetlt Depth toiweeping from side of obs.hole I AtlJ.:BraunAw[1ter1 eVnl.,,. Index Well# Reading Date Index Well level__.moo__ A :fa�tar.�._.. PERCOLATr0 1 TEST <r°Dlite 'Plt>je Observation '•:f:Tiltlt:ttt9 Bole# Time at 6'.' •___�._�..,'/ ---- • Depth of Pere. Time 9"-6") # Start Pre-soak Tune.@ End Pre-soak �. I Rate MmJlnch Site Suitability Asscssment 'Site Passed' x Site Failed: Adddional Testing Needed(YM) Original: Public I:e'�lth Division Observation Hole Data To Be Completed on Back ***If percolation test is to be conducted within 100' of wetland,,you must first notify the Barnstable C4.#servation Diizsion at least one (1)week PAOt to beginning. DEEP OBSERVATION HOLELOG Hole#. Depth from Soil HorizonSoil-Texture Soil Color . Soil ' Other .Surface(in.) (USDA) (Munsell) Mottling (Structure;Stones,Boulders. Consistency,96 Gravel G '�IZI /7- DEEP OBSERVATION•HOIELOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from' Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc 96 Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Ml Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consisten ra I F Flood Insurance Rate Mahe Above 500 year flood boundaiq 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 pervio s material exist.in all areas observed throughout the area proposed for the soil absorption'system? If not,what is the depth of naturally occurring pervious material? Certification 6 I certify that on 7 (date)I have passed the soil evaluator examination approved by the Department of Enviro ental Protection and that the above analysis was performed by me consistent with the requir t i .expertis and experience described in 3.10 CUR 15.01,7 ,�. Signature Date Q:X.SEPTICVERCFORM.DOC ILA 71 t l 34 315 143 ft \ I 2 \�\ ' PARCEL 1 AREA = 22022 sf +- 3 GARAGE i \ � I 1 i PAVED DRIVEWAY I � \ I EXISTING CESSPOOLS I' 20 ft ® �' (NOTE 10) cue' out EXISTING j �. 85 BEDROOM i DWELLING j � ` W • 1 \ 10 ft clean ouIN I �` \\ TOP OF FNDN \ EL = 35.98 I 1 \\ I \\ screen porch I I D o I / o _ N 1 1 } I I✓ O-0� —Insp..Ports j � I D H- j 30.84 � 14.15'I l \ l -o / \ i 143 ft 35 33 34 - BENCH MARK PROP. 1 ,500 GAL TOP OF SEPTIC TANK BULKHEAD CORNER ELEVATION = 34.76 BARNSTABLE GIS DATUM EDGE OF PAVEMENT WE S T ' BAY ROAD ' LEGEND PROPOSED CONTOUR PROPOSED SPOT GRADE -- gg -- EXISTING CONTOUR + 96.52 EXISTING SPOT GRADE W— EXISTING WATER SERVICE 1 TEST PIT GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL LOCUS MAP N.T.S. BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS , OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR ' TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE,, DESIGN ENGINEER. OF Mq 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING s9 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN P MAIN SIRE ENGINEER BEFORE CONSTRUCTION CONTINUES. DA � 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. Ad 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF NO. 1140 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. OPQ 9�.2 7.1' TER SUPPLY PROVIDED BY TOWN WATER SERVICE.'/ E � PA � LOCUS � 8. AL AREAS DISTURBED DURING CONSTRUCTION SHALL BE 'RESTORED NITAR��` S� 8 p 9L TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING Y CONSTRUCTION. 10. EXISTING CESSPOOLS TO BE PUMPED AND FILLED W/ CLEAN MED. SAND OSTERVILLE 0- 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY PROPOSED SEPTIC SYSTEM UPGRADE PLAN AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 13. NO PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING 86 WEST BAY ROAD, OSTERVILLE, MA 14. ALL PIPE TO BE 4" SCH 40 ® 1/8"/FT (UNLESS SPEC. OTHERWISE) Prepared for: O'Donnell 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A GARBAGE GRINDER Engineering by: Surveying by: SCALE DRAWN 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING Meyer&Sons,Inc. Bco—Tech Ahvir»amental 1"=20' DMM 17. CONNECT ALL PROPOSED PVC TO EXISTING CAST FITTINGS. PO BOX Net EAST SANDWICH,MA 02537 508 364-0894 DATE: CHECKED SHEET NO. 508-W22922 07/20/11 DMM 1 of 2 NOTE: TO PREVENT BREAKOUT, THE PROPOSED NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS FINISH GRADE SHALL NOT BE < EL:30.00 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. T.O.F. EL=35.98 INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL A 4" DIAMETER INSPECTION PORT OVER �� OF Mqs F.G. EL. OfET AND SET TO 6' OF FINISH GRADE SET TO 6" OF GRADE ONE CHAMBER (MIN.) AND SET TO 3" OF F.G. DA R N Ms���s F.G. EL.=33.80t F.G. EL: 33.0t F.G. EL: 33.0(MAX.) { 9" MIN COVER/ '•o:�1140 L = 17't ' 36" MAX COVER ` L = 15' L = 10'(MAX) INSTALL TWO INSPECTION PORTS (MIN.) 0 S=1% (MIN.) EL = 18.50 0 S=1% (MIN.) ® 5=1% (MIN.) RFC/$TE 4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC SgNITAR�a� Za �ll 10" 6 1 JINV.= 11.2" 75ROWS INV.=30.75 48" uouio INVER ��L 30.50 PROPOSED INV.=29.75 GAS D-BOX OF 5 UNITS AT 6.251YUNIT + 0.75' WEDGE = 32.0'/ROW INV.=29.9 DB-6 INV.= 29.61 SOIL ABSORPTION SYSTEM (PROFILE) PROPOSED 1,500 GALLON SEPTIC TANK RESTORE VEGETATIVE COVER EXISTING SEWER OUTLET t BACKFILL WITH CLEAN PERC SAND nA ELEV. 32.19 TO TOP OF CHAMBERS �- 75" ELEV. 31.66 ELEV. 31.58 ,'•.', BREAKOUT=TOP ELEV.=30.0 NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING INV. ELEV.= 29.61 PIPE INVERTS PRIOR TO CONSTRUCTION BOTTOM ELEV.= 28.67 EXISTING SUITABLE 2) TANK AND D-BOX SHALL BE SET LEVEL AND 2.83 MATERIAL TRUE TO GRADE ON A MECHANICALLY COMPACTED 5' MIN. ABOVE BOTTOM OF EFFECTIVE WIDTH = 5 x 2.83' = 14.15 76•' SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN T.P. EXCAVATION OR G.W. (7.07' PROVIDED) USE 5 ROWS OF 5 16"-HIGH CAPACITY 310 CMR 15.221(2) ADJ. GROUNDWATER EL.=21.60 - ADS BIODIFFUSER UNITS-NO STONE PROFILE 3) INSTALL INLET & OUTLET TEES AS REQUIRED - W/CONTOURED WEDGE SEPTIC SYSTEM PROFILE TYPICAL SECTION N.T.S. 1.2" 16„ N.T.S.N.T.S DESIGN CRITERIA SOIL LOG P#: 13347 - -� NUMBER OF BEDROOMS: 5 EXISTING BEDROOM - NO INCREASE IN FLOW PROPOSED DATE: JULY 15, 2011 34" -•-I SOIL TEXTURAL CLASS: CLASS I SOIL EVALUATOR: DARREN M. MEYER, .R.S., CSE #1614 SECTION END CAP WITNESS: DONALD DESMARAIS, BARNSTABLE BOH DESIGN PERCOLATION RATE: <2 MIN/IN -. • DAILY FLOW: 550 G.P.D. TP-2 Depth 16" ADS 160OBD (H•-20) BIODIFFUSER UNIT Elev. TP- 1 Depth I FJe": DESIGN FLOW: 550 G.P.D. 32.60 0" 33.0 0" GARBAGE GRINDER: NO (NOT DESIGNED FOR GARBAGE GRINDER) A LOAMY SAND A LOAMY SAND MODEL 16" 160OBD PROPOSED SEPTIC TANK: 550gpd x 200% = 1,100 gpd (USE NEW 1,50OG CAPACITY) 10YR 3/2 10YR 3/2 LENGTH 76" NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT 3Y.60 12 32.0 12" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY LEACHING AREA REQUIRED: (550) = 743.24 S.F. B B EFFECTIVE LENGTH 75"SANDY LOAM SANDY LOAM SIDE WALL HEIGHT 11.2 DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. " 74 toYR s/e 1oYR 6/8 OVERALL HEIGHT 16° DISTRIBUTION BOX: DB-6 (5 OUTLETS (MINIMUM)) PRIMARY S.A.S. 29.77 C 34" )1 30.17 C 34" ' OVERALL WIDTH 34" Iff 0 4640 TRUEMAN BLVD 13.6 CIFWILLIARD, UHlO 4302E USE 5 ROWS OF 5- 16" ADS BIODIFFUSER H-20 UNITS-NO STONE CAPACITY ADVANCED DRAINAGE SYSTEMS, INC. 2.5Y 2.5Y AND EXTENDED WITH 0.75' W/ CONTOURED WEDGE M SAND M SAND (101.7 GAL) BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.73 SF/LF OF BIODIFFUSER) PERC 0 28.27 z.sY 5/a i 2.sY 5/a PROPOSED SEPTIC SYSTEM SITE PLAN (BIODIFFUSERS) 25 UNITS x 6.25 LF x 4.73 SF/LF = 739.06 SF 2160 132" 22.0 132" 86 WEST BAY ROAD, OSTERVILLE, MA (WEDGES) 5 UNITS x 0.75 LF x 4.73 SF/LF = 17.74 SF Prepared for: O'Donnell TOTAL AREA = 756.80 SF PERC RATE <2 MIN/IN. ("C" HORIZON) p DESIGN FLOW PROVIDED: 0.7"0.•sPD/SF(756.8OSF) = 560.03 GPD > 550 GPD req'd NO GROUNDWATER OBSERVED Engineering by: Surveying by: SCALE � i DRAWN • I, Darren M. Meyer&Sons,Inc. Eco-Tech Environmental NTS D.M.M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 Po BOX98, 02537 -'� (508) 364-0894 EAST SANDWICH,M to conduct soil evaluations and that the above analysis has been performed by me consistent with the �A DATE: CHECKED SHEET NO. _ requirements of 310 CMR 15.017. 1 further certify that 1 have passed the Soil Eval. Exam in October; 1999. 0720 1 1 508-362-2922 / / D.M.M. 2 of 2