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HomeMy WebLinkAbout0432 WIANNO AVENUE - Health 432 WIANNO AVENUE, OSTERVILLE A= 163 025.001 I o Town of Barnstable P# Dephrtment of Regulatory Services p ; Public Heath Divisiolu DateREAM Main Stiff Hyannis MA 02601. Date Scheduled Tone'. Fee Pd.. SO I.St itabil tY Assessment for e Pisposq . , 1?etfon�ed ,.Witnessed By: LOCAT16N&G NEHAL INFOR1VtA ON ^1 Location Address �/ � to Owher's Name j S �'�.a, l a 01 ph� S �f'1✓E �`� Address L/ndsot.e�,ref)V'G. . AsseasdesMap/Parcel �� t'a�J 6b f N�gmeer'sNetrre .. �� NEW CON$TRUChON REPAIR. !✓ Telephone# 5 Dr-. 8 \/33 y Land Use n \��� . s. Slopes(°!o){ 3ft. Surface Stones n?o f ' Distances ftom: Open Water Body 0 ft >Possible Wet Area r ' ft Drinking Water Well.WA- R' Drainage Way NIA It Property Line Z ft Other. ft SKETCH.(Street name,dimensions of lot;enact locations of test holes&pert tests,locate wetlands in proximity to holes) . . Z WIANNO'AVE Parent material(geologic]�Jt t Depth to i�edrock 366 Depth to Groundwater:"Standing Water in Hole: �✓� Weeping from Pit Face' Ah Estimated Seasonal high'(iroundw' t L ': ti t- , DE'I`E�A��fI01 'Ott`StASOM HIGH WATER TABLE Method Used. 1X-. <b .. Depth Observed standing .hoe.... m: De tit to soil mottles in Depth to weeping from side bf obs`hole`. io: .Groundwater Adjustment ..: ft. Index Well# . '• Reading Date:I i In ex Well level Adj.rector Adj.Groundwater Leven_ I P COIJATION TES Observation Hole# Time at 9" /U:z ti"3c ,1 I D plf of Pere.< I I a Time at 6" 10.1 Start Pte-soak Time® /®.. Time End Pre-soak _ RateMhL&ch Site Suitability As Srtd Pas%d Site Failed Add dional Testing Needed(YAM Original: Public Health Division I. Obsdrvation Hole Data`TO Be Cotnpleted on Back --- -- If percolation test is to be conducted w�thin.100'.of wetland,you must first notify'the Barnstable Conservation Division at least One(1)Week prior to beginning. Q:�SEPTIC\PERCFORM.DOC DEEP OBSERYkhQN HOL-')BOG Hole# Depth from Soil Horizon SoillTodare. Soil Color Soil Other Surface(in.) (USDA);.: _(Munsell) Mottling (Sttuctirre,$tones,Boulders. ! ". Consistency %Giayell 1 RNA Sly I : _,DEEP OBS $OLE Depth 1Fom Soil Horrzon. Sort Texture Soil Color Soil er, Surface(in.) (C�517A) :: (Mansell) Mottling (Structure,Stones,Boulders Consistency /a Graven Ro. en iDEE;t'b$S R E1'1'tOI `MOLL.E LOt mole# Depth from Soil Iionzon: Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mattlmg (Structure,Stones,BouldOts. Consistency."/o Graven------------------- . 1 . i t DE) ; OBSERVATION SOLE LOB I Hole# Textue Soil Color Soil Other Dept from Soil Horizon Sbit �iJS)jA) (Mansell) Mottling: ; (Structure;Stones,Boulders. Surface(in.) C^ns`ten %Graven , I I Flood Insura�►ce Irate IViap�i i ;. II i Above 500 year liobd Yes N ihft�506 year boturdary No Yes Within 100 year flood lro*Iary.No Yes De th oCNatiurall`Occur cllti IPervlo Is Material Does at least dour meet of;nattViEally``bcc ' g perbious material nisi in a1T areas observed throughout the area proposed for the soil:ab b tioii sy em? _ If not;what ls;the depthally!bcc Mg p4vious n►atenal? Certification i, I.certify'tliat od::�.. d (a&te) have p sed the soil Oal,' attic examination approved by.ahe Department En lrodidetit �P'iiioteetto add th t the above analy'ts wasp e7 ormed by me consistent with the required ti<aining,expertise and�xpe 'end e d scEnbed ur<310 Cri1iR l •. ate Signature Q:\SEP-nmERCFORM.DOC / TOWN OF BARNSTABLE LOCATION 21.vJ/ , //e. SEWAGE#070//—J VILLAGE O /eo-�17L ASSESSOR'S MAP&PARCEL 3 INSTALLER'S NAME&PHONE NOT c, J,sV — SEPTIC TANK CAPACITY 00 o 6oj( i LEACHING FACILITY:(type) 0 6A C6(A#, f 8 (size) /.2 /O 4 X NO.OF BEDROOMS U ill OWNER ��sc�I C PERMIT DATE: //- -// 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 0 W Q' . � o 0, �\ a y w � (r7 1 � `W TOWN OF BARNSTABLE v LOCATION 3a w t A^n e Au e, SEWAGE #1-0- ec 11v` VELLAGE C�5 le��� 1�c ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. l rij c e tjO SEPTIC TANK CAPACITY /f Ce,SS ob 6 size LEACHING FACILITY: (type) (size) NO.OF BEDROOMS /a BUILDER OR OWNER S�mcSdr��hy PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility aZ 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 �00 Feet within 300 fee of leachin facility Furnished by v-3 S Znevaf 11S_r a f�o �44 a No. V J C V ' 4� Fee A tco THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Tippl[tatlon for Disposal *pstem Cotts"ttlon APrmit ' Application for a Permit to Construct( ) Repair( ) Upgrade Y X Abandon( ) Vomplete System ❑Individual Components Location Address or Lot No. L''3a U0(,LLAA-6 A v Owner's Name,Address,and Tel.No. 06` l��isc�ltc -1ogL Assessor's Map/Parcel /6 3 —02 fj 41. `(3 L V LCL-X D nK, O S 1• _ Installer's N e,Add re s,and Tel.No. 5b 6-L/od8- Designer's Name,Address,and Tel.No. -y8 CO ST' o l, �`t�Ar � 1z C)ST. Type of Building: Dwelling No.of Bedrooms 6E:'0a106 OAS Lot Size 6 sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 9 O!A gpd Plan Date QG- 11 2-01 1- Number of sheets Revision Date Title 5 t T-c— ?(-A'i t (W em 6�) Seem C 12-1 C7 //X��'�'�"�T.r Size of Septic Tank `2.0 M GA".U� Type of S.A.S. — �O G AL>, C..0 &4 Description of Soil PEQG Mo, 13, 4 k 6 Q—9 r( LoA.wA 5" N77 V-S 11 —�'4 (, S" `0� 51� A, �g C1 � �v�tL�+4a�7 1®Y �'& �, 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 Board Heal th. Ved � Date Application Approved by wm Date Application Disapproved by Date for the fallowing reasons i Permit No. Z o 1 ' 207 e) Date Issued ax No. 2 a ` ' C e4 1 ate` ��.t� OQ >:,,ice�COMMONWEALTH tw. W Fee THE OF MASSACHUSETTS Entered in computer: ,4 Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS- 0(pplitation for bisposal 6pBtem Construction permit 4 Application for a Permit to Construct( ) Repair( ) Upgrade(� Abandon( ) Dt omplete System ❑Individual Components Location Address or Lot No. (� 3a ( � tl�a a , ` Owner's Name,Address,and Tel.No. Assessor's Ma /Parcel 1 `�c _h u, p /6 3 — Installer's Name,Address,and Tel.No. 8.y z 6- Designer's Name,Address,and Tel.No. (C.CIC, P^1'IJ 4, �` �-s� s Type of Building: Dwelling No.of Bedrooms g 3E101ZC6`5 Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 5yQeo gpd Design flow provided 9 OA gpd Plan Date (��_�- �� �Number of sheets f Revision Date Title �j—` �tr4,J �? Size of Septic Tank 20M GAt,064 Type of S.A.S. g�— `,- AL.L D&_Q Description of Soil QFD c_M a t �'3. A t P) n—�" LO a..wt "s— \ '� ,� -)0', 0 5A_ t� re—4 (� — kD3 Sal i - q� ►n /r_ ✓ ee '7v1A.tV �c� 1J�y crV 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 Board f Health. 5i ed fV, b Date Application Approved by Date v Application Disapproved by Date for the following reasons Permit No. Date Issued ------------------------7----------------------------7--------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(X) Abandoned( )by ti►,r c' ,�t C�,.,, n� at_��7ias been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No:ZA\1-378 dated Installe _ ��,c c ��(C.CG�I \ 1 Designers #bedrooms r(`i l C.1 1 Approved design flow J r gp The issuance of this ermit shall not be construed as a guarantee that the system wi ction/as/,df igned. 1 j Date / -�n�1 Inspector r --------------- ------------------------------------------------------------------- - -------- ---- ---------- ------ No. ZO I 1 '" Zj��j Fee THE COMMONWEALTH OF MASSACHUSETTS ` PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS -Mispos-AY �pBtent Construction Vermit Permission is hereby granted to Construct( ) Repair( ) Upgrade(X ) Abandon( ) System located at �?�2 \vJ i t-k,u ,�s"�.y C_ X,de�, 1 C1_C and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction st be co pleted within three years of the date of this permit. / Date Approved b PP Y v � - Town of Barn stable Regulatory Semces • Thous F.Geiler,Director • UAS8 Public Heidth Division ' Thomas McKean,Director - - 100 Main Street,Hyannis,iVIA 02602 Office: 508-.562-464.1 Fax: 508-790-6304 Installer& Designer Certification Form - Date: isu.t S'dOtt Sewage Pe' o� /�-5�8 Assessor's M*Parcel /6?J c 6S- / Designer: 2` ,\j Lylf4iY es(V Installer: Q cUr_r MA,�a L e i cr Address; l�.U,,, l3 (0,Sc1 " Address: £3'1 'Pa nd STcl On was issued a permit to install a (date) (installer) septic system at Y�a f•�r�rw Pe _ -o s crxUL based on a design drawn by, (address) �\jCr, Vyeerr-NCL, dated U , !/ar�01/ -/l certify that the's:ptic system referenced above was installed substantially according t.o the design. which maV include minor approved changes such as`lateral relocation_ of the distribution box ands r 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 rer-sion or certified as-built by designer to follow. I"OF M4SS9 J07i :A �m (installer's Signature)` No.48168 90� �F6/STER��\��`� SS/pAIAL EN6 (Designer's Signature) {ARK Design." Sianip Here) PLEASE RETURN TO BAiLNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLUNCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNI STABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/SepticrDesiener Certification Form 3-2"kdoc G � CD CTI a ' llZ 1 i r , �T j. p Vv ' rL' • fj\ • t _ I j Lt k f E N � No. Fee 16 C m uter: THE COMMONWEALTH OF MASSACHUSETTS Entered in coP PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Ye 01ppYicatiou for ]Disposal *pstrm Construction 3p ermit Application for a Permit to Construct( ) Repair( ) Upgrade(4 Abandon( ) [E<omplete System ❑Individual Components Location Address or Lot No. 4. Z Owner's Name Ad ress,and Tel.No. Assessor's Map/Parcel —bc) Installer's Nam'Addres ,and Tel.NQ. 5 Desi ner's Na e,Addresg,and Tel.No. Type of Building: l� �- �f�• deft, 16 t'' _9,,. 1( Dwelling No.of Bedrooms ra&b g�w.S Lot Si e 3 , 10(, sq.ft. Garbage Grin er l�C Other Type of Buil ' I RCF 5 o.of Persons Showers( ) Cafeteria( ) Other Fixture Design Flow(min.r`eq�u"_ir ) gpd Design flow provided q©y gpd Plan Date oc^ b Number of sheets 1 Revision Date Title Sk 7L-, 0P!%ra,v _ Size of Septic Tank 2,000 (-c�, , Type of S.A.S. ©0' e, (Z-1c1 iRZG� Description of Soil`Perc 1,6, 13,y"I$ r u kt~1 9—ni1% Pt Lc,-,A Cu t I�u 713 1� 6,t, 15 LA"It3e,__ L*LA7 5 q�� I�sgL5 (P i((a 6`1v C k lc� c� ��N�S h i�yR51Ce °i-13Z'� Cz lA-iCIX, M�q S `1 2•5't . Nature of Repairs or Alterations(Answer when applicable) Q4_-eL &OWE 1%h r 3 LONL, 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 Co e d not to place the system in operation until a Certificate of Compliance has been issued by this Board Health gned Date Application Approved by L Date jj Application Disapproved by Date for the following reasons Permit No. Date Issued No. Fee b U THE COMMONWEALTH OF MASSACHUSETTS Entered in`omputer: Ye PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ; application for Disposal 6pstem Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade(/f Abandon( ) Complete System ❑Individual Components Location Address or Lot No. O v� hno ,Ownne`'s Name Ad ess,and Tel.No. \ 'may Assessor's Map/Parcel �V' p Installer's Name,Address,and Tel.No. ' Deg� ner's Name,Address,and Tel.No. p , ` 6 Type of Building: Dwelling No.of Bedrooms fabt- m Lot SE (.4,(3yi 'My sq.ft. Garbage Grinder(NL� dd(W i. ! Other Type of Bu' _ (� „ o:'of Persons / Showers( ) Cafeteria( ) Other Fixtures t i Design Flow(min.requir d) gpd Design flow provided �(� gpd Plan Date O(A6 Dew 1 Number of sheets Revision Date Title Si ?r.,P,)Se-4 �P(A%t up°1 ,k.- Size of Septic Tank W .G�1 • o Type of S.A.S. Description of Soil 016-C. Qe• (3,4 1s (�'�1" Ldf\n Ito-�9V �:� <<, �- F1NES�cNj to SO Co t39-1�Z,•� CZ lny� ►� t�ri� 2•�`t(Q(3 _:� 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 d not to place the system in operation until a Certificate of Compliance has been issued by this Boarrdd`ofsHealth., 'gned ,�' e, / �.r-. Date rt ' Application Approved by Date Application Disapproved by Date for the following reasons I Permit No. v Date Issued . 1 t. - ---------------------------e�---#--- --' J--------------------=-,----------- , THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance J THIS IS TO CERTIFY,that the On-site Sewage Disposal syst&ni Constructed( ) Repaired( ) Upgraded Abandoned( )by J I t G it t 1. 1 �= i at l�� UkIkNIO � C �\ ! has been coXt m arc with the provisions of Title 5 and the for Disposal System Construction Permit N ted Installer ` i c C c_�r`1 • ��` Designer edreo Approved emg floi ��U .µ gpd The issuance Ifth i permit shall not be construed as a guarantee that the system w 1 fu uon as de.'gned. Date I I 0 l 1 Inspector �r! -- - --------------------------------------------------------------------------------------- No. � .„,,. Fee--- ---------- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS - Misposal 6pstem Construction Vermit Permission is hereby/lgranted to Construct( ) Repair( ) Upgrade 5 Abandon( ) System,located at 7 �;L W"'VVz ow" t r JI I-f and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construct /41eted within three years of the date of this permit. 0 / Date �� Approved by / Z y 1� x5 F 77 -u•"\ r r. fA ------------------ � , e fj k .. y y i y } h r _ f ITN y Mn r M TRANS. NO.: CITY/TOWN: 067 E'2�11 lrl� APPLICANT: ,"l C)yz.P ADDRESS: A 5 2 vet 1 A ooy'o a v DESIGN FLOW: BBC) gPd REVIEWED BY: LL\yAe.-k DATE: OCT 0 , 2C�\ N/A OK . .NO Legal.boundaries denoted [310 CMR 15.220(4)(a)] �C Street,Lot,tax parcel number and lot number noted on plan[310 CUR 15.220(4)(u) Locus Provided 310 CMR 15.2204(t) K Plan proper scale? (1"=40'for plot plans, l"=20'or fewer for components) [310 CMR 15.220(4)1 Easements shown [310 CMR 15.220(4)(b)] p( System located totally on lot served [310 CMR 15.405(1)(a) for upgrades] if not, a variance is required.[310 CMR 15.412(4) Location of impervious surfaces (driveways,parldng areas etc.) [310 CMR 15.220(4)(d)] Location all buildings existing and proposed 310 CMR 15.220(4)(c Location and dimensions of system components and reserve areas. [310 CMR 15.220(4)(e)] System Calculations [3 10 CMR 15.220(4)(fl] daily flow septic tank capacity(required andprovided) soil absorption system(required andprovided) whether system designed for garbage grinder North arrow 310 CMR 15.220(4)(g)] Existing and ro osed contours [310 CMR 15.220(4)(g)] Location and log of deep observation holes (existing grade el. on each test) [310 CMR 15.220(4)(h Names of soil evaluator and BOH representative [310 CMR 15.220(4)(h) and(i)] Location and date of percolation tests(performed at proper elevation?) 310 CMR 15.220(4)(i)]. Percolation test results match loading rate? 310 CMR 15.242] ✓ Certification statement by Soil Evaluator 310 CMR 15.220(4)0)] Observed and Adjusted groundwater(method for adjustment given or indicated) [310 CMR 15.103(3) and 310 CMR 15.220(4)(n) Address L'A,,�w ry a kV ry _ Sheet 1 of 7 D5�121 LLB N/A OK NO Location of every water supply,public and private, [310 CMR 15.220(4)(k)) within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water suppIy within 250 feet of the proposed system location in the case within 150 feet of the proposed system location in the case of private water supply wells Location of all surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310 CMR 15.211 and any catch basins located within 50-ft. 310 C1VIlt 15:220(4 )) Water lines and other.subsurface utilities located[310 CMR 15.220(4)(m if water line cross see 310 CMR 15.211(1 1]), x Profile of system showing invert elevations of all system components and the bottom of the SAS [310 CMR15.220(4)(o Stamp of designer [3.10 CMR 15:220 1 and 310 CMR 15.220(2)] IC . Stamp,of Registered Land Surveyor(required if construction activities within 5 ft. of lot line). ,310 CMR 15.220(3 Test Holes adequate(two in each of the primary and reserve unless trenches as permitted in.310 CMR 15.102(2)or as approved for an upgrade under LUA at 310 CMR 15.405 1 ) Test hole adequate to demonstrate'four feet of suitable material? 310 CMR 1'5.103 4 Test Holes.adequate to confirm adequate groundwater separation? 310 CMR 15.103(3)] Benchmark within 50-75'of system [3.10 CMR 15.220(4)(g)] Materials specifications noted? [various sections of 310 MR 15.000. System components not>36 de ,(unless Local Upgrade Approval or LUA requested) [310 Address Sheet 2 of 7 N/A OK NO Site:OK? 310 CUR 15.223 77=7 Inlet tee located ten inches,belowOutlet tee 14" or 14"+5"per increase ft d th 3�10 15.227(6) [ Outlet tee with gas baffle or approved filter 310 CMR 15.227 4) Note regarding installation on stable compacted base [310 CMR 15.228(1)] Separation between inlet.and outlet tees no less than liquid - ( de th [310 CMR 15.227 2 Inlet/Outlet elevations at least 12 above high groundwater (except as described 310 CMR 15.227(5)) or permitted: . u grades under LUA 310 CMR 15.405 iWj Minimum cover?" (Tanks buried more than 9"must have risers - on all openings and o n the d-box) [310 CMR 15.2228(1) and 310 CMR 15.232(3)(f)] Three access covers (inlet.and outlet must.be 20" or greater) middle access.at least"8 y 7/07 [310 CMR 15.228 2) Access to within 6" ofgrade one port for system s<1000gpd, two for systems>1000` d 3'1:0 CMR 15228(2) All at-grade covers secured to unauthorized access? -[3'10 CMR 15.228(2 ] >10$from building foundation 310 [ CMR 15.211G Buoyanc calculation Required/Done 310 CMR 15.221(8)) H=20 Where appropriate? [3.10 CMR 15.226(3)] Setbacks fromresources [310 CNM 1.5.211] Required when other than single-family dwelling or flow>1000 x" d 310 CMR 15.223(1} First compartment 200%daily flow; Second compartment 100% fluff Pipe flew 310'CMR 15,224(2 and(3 p p through or.over.baffle, Outlet.,of each compartment with gas baffle or approved filter[310 CMR 15.224(4 ] Address, c�c 1y1 k ko"A /,A. Sheet 3 of 7 N/A. OK NO Located at least ten feet from any water line? [310 CMR 15.222(2)] Disposal piping at least 18"below water line(when water and sewer cross, see 310 CMR 15.211 1 1 Cleanouts required/provided? 310 CMR 15.222 8 X -� Thrust blocks specified.in force mains?310 CMR 15.221(6)(c)] Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable i 310 CMR 15.222(6)] Proper pitch on all runs? (.005 within gravity-distributed trenches and beds) 310 CMR 15.251(9) and 310 CMR 15.252(2)(c)] Siphon roblem/ leachfield below pum chamber DC Endca s or vent manifoldspecified? er Size and orientation of discharge holes specified. not small than 3/8"not larger than 5/8") [310.CMR 15.251(8)and 310 CMR 15.252(2)(h Materials specified (310 CMR 15.251(5) specifies various pipe types allowed - Stable compacted base [310 CMR 15.221'(2) and 310 CMR ; 15.232 2 a Splash plate or baffle tee required on inlet/provided?(when • pressure sewer to d-box or steep pitch of gravity sewer) [310 CMR 15.323(3)(a Riser if deeper than 9" [310 CMR 15.232(3)(f) Inside minimum dimension'12"[310 CMR 15 232(2 Minimum sum 6" [310 CMR15.232(3)(e)] Watertight cover.if<2000gpd);waterproof manhole if>2000gpd 310 CMR 15.232(3)(d)] Capacity (emergency storage above working=design flow)? [310 CMR 231 2 Proper setbacks 310 CMR 15.211 (same as septic tanks Watertight 20-in mmium access manhole at least 20" MUST BE TO GRADE [310 CMR 15.231 5 ] Service components accessible(not too deep with piping, disconnects accessible Alarm floats - alarm on circuit separate from pumps specified? Exceeds two units must have two pumps operating in lead-lag mode. 310 CMR 15.231(6) and 8 Stable Compacted Base [310 CMR 15.221(2) Buoyancy calculations needed?Provided? 310 CMR 15.221(8)] Address J �u I All 7Q � Sheet 4 of 7 4I LL I , N/A.. OK NO Calculations correct? 1C 4 feet of naturally occurring material demonstrated? [310 CMR 15.240(1 Required separation to groundwater? [31.0 CMR 15.212)] Aggregate specified as double washed 310 CMR 15.247 2 ] �( System Venting required/provided? (system under driveway or m"_. >36" deep) [310 CMR 15.241 Inspection ports specified and within 3"finatgrade? [310 CMR 15.240(13)] K Breakout requirements met?-(No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15:211(1)[4] and Guidance Document 3WN Chambers and Gal. in trench configuration supplied with inlet every 20 f t. [310 CMR 15.253(6) Each structure with one inspection manhole(if>2000 gpd must be to grade) [310 CMR 15.253(2)] Aggregate l'minimum-4'maximum. 310 CMR 15.253(1)(b)] 2' sidewall credit.maximum [310 CMR.15.253 1 a In--bed configuration,inlet eve 40 s fl [310 CMR 15:253(6)] Rin..ro _.......,;u y Width-2'minimum 3'maximum` 310.CMR.15.251(1) ] IAA 100,feet maximum length 310 CMR 15 25l(1)(a)] Minimum separation.2x effective depth or width whichever eater 3x if reserve between.trenches [310.CMR 251 1) d Situated along contours [310:CM]k.1.5.251'(2)] Breakout OK?,.[310 CMR 15.211 1)[4] and Guidance Document] a ..00 . ... � minimum 2 distribution lines 310 CMR 15.252(2)(a) - N Maximums aration:between lines 6' [310 CM R15.252(2)(d)] Maximum separation between lines and outside of bed 4' [310 CMR 1.5.252(2)(e Aggregate depth below discharge pipes 6" minimum, 12" maximum: [310 CMR 15.252(2)(g)] --� Separation between beds 10'minimum. 310 CMR 15.252(2) Bottom area used in calculations,only 310 CMR 15.252(2)(i)] Address I A-IAJt h1. O ( Sheet 5 of 7 1 LL N/A .OK NO NMI Pressure Dosed System 7 Provided pump and piping calculations as re aired [310 CMR 15.220 4) r). _ Pressure dosing required on all systems>2000gpd or alternative systems under remedial approval[310 CMR 15.254(2) and I/A Remedial Use Approvals) If used in gravelless system--make sure jet is directed as not to scour soil interface FGuidance Document Inspections once per year(systems<2000 gpd) or quarterly (>2000 d ood to note o n g . plan 310 CMR 15.254(2) 2( d Constructs on m fill -.Did the plan specify that the fill shall meet the specification of 310 CMR 15.255(3)? Impervious barrier and/or retaining wall ? Guidance Document Impervious barrier installation must be supervised by designer 310 CMR 15.255 2 (b)) Retaining wall must be designed by Registered Professional Engineer 310 CMR 15.255 2 (a)) - Side slo a not exceed 3:1 ? [310 CMR 15.255(2)] Breakout requirements met? [310 CMR 15.252(2) and Guidance Document At least 5 ft. from impervious harrier to edge of SAS (10 ft. recommended) 310 CMR 15.255 r Check DEP Approval letters for credits and design conditions . If used with pressure dosing do not allow pressure discharge to scour soil interface Was DEP Approval Letter provided and/or have you u reviewed'the letter for.eonditions? Is the technology being properly applied and does it meet.all DEP A roval Conditions? Is there a note on the plan regarding the requirement for 2erpetual maintenance agreement? Any alarms involved on separate circuits Did the applicant submit an operation and maintenance manual? Has licant submitted a co y of a maintenance Are the variances listed on the plan? [310 CMR 15.220 (4 RLS Stamp necessary on plan if a component is within five feet of ro erty line 310 CMR 15.412(4 New construction or increased flow proposed- [Refer to 310 CMR 15.414 Address Sheet 6 of 7 I �u M N/A OK NO T� system 'fix Tkr Is th,e s stem in a Yesi Y gnated Nitrogen Sensitive Area(Zone II for a public.supply well)?[310 CUR 15.214, 310 CMR 15.215 and 310 CMR 15.216 - also refer to Policy regarding upgrades of.such p( existing systems] �\ Is the system proposed on the same.lot as served by private well [31.0 CMR 15.214(2)] �y Are the nitrogen loads proposed in compliance? [310 CMR "\ 15.216(l) r . Pum in to s tic tank 310 CMR 15.229 Shared System [310 CMR 15.290 i } Address A Sheet 7 of 7 w 4i No.1 -------0 08-2 K Fee ------------ BOARD OF HEALTH TOWN OF BARNSTABLE Application At Veil Construction Permit Application is hereby made for a permit to Constructerer ), Alter ( ), or Repair ( )an individual Well at: -w —-- --— -- - ?°v Lo+ (y Location — Address Assessors Map and Parcel Owner Address --ALL__C-i�_FD�----W-- ,(.L Installer — Driller Address Type Dwelling -------------------------------------------------------- Other - Type of Building ---------------------------- No. of Persons------------------------ Type of Well--- 1_lC_L_ _ Y_1__- V(!�'Ca acit ------___--- Purpose of Well--tea[-V LV. --- --------------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protectip,Regulation — The undersigned further agrees not to place the well in operation until a Certificat ' .of C mplia has been issued by the Board of Health. Signed -- ate Application Approved By-- — ---- -------------------- / date Application Disapproved for the followi reasons:---------------------------------------------------------—----- ---------------------------- ----------------------------------------------- date Permit No. ------------- —---— -- - Issued ---- -- - ---- ---— -------------- date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate (Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed- Altered ( ), or Repaired ( ) b f—)X_—C-ef' -----YU-EU--_D T LI 5_K ------------------------------------- Installer at----------1--� �----—1 -------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. -------------------------Dated------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------— - -------------------------- — -- Inspector------------------------------------------------------------------------ No. Z o o ---Z r Fee----1--------w--- BOARD OF HEALTH TOWN OF BARNSTABLE Applicat ion-*r Melt Con!gtructionpermit Application is here y made for a permit to Constructl� ), Alter ( ), or Repair ( )an individual Well at.- Location — Address J Assessors Map and Parcel — Jcc m2s I"Iov I�/ 13Z Owner Address 2`) . - Installer — Driller Address fTYPe Dwelling --- —---- ---------------- ------------- ---- ------------- Other - Type of Building-------------- ----------- No. of Persons----------------------- i Type of Well Capacity-- — —CJ ----— Purpose of Well VV------ i J Agreement: f The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protecti n Regulation - The undersigned further agrees not to place the well in operation until a Certificate .o C mpli has been issued by the Board of Health. Signed '/�� �- � -- ate — __-_ �o �i �.. Application Approved By— ________----------__-__— ___l____ — date Application Disapproved for the followi reasons:------_---__------------------ ----------—-- - —-- -—---__-__---- ------------------------------------------------------ date PermitNo. =------'="=------------- -- - Issued-------------------------------------------------------------------- date ----------------------------------------------------------------------------------------------- J BOARD OF HEALTH Y TOWN OF BARNSTABLE C ertif icate (Of Compliance ,r j f THIS IS TO CERTIFY, That the Individual Well Constructed Altered ( ), or.�.Repaired ( ) ` by--------- \A,t� �---�Y'�___L__L__�`�_)e_ p t,� -—- - - ---—-- Installer ------- ---------- at- -- �`- � - i ttY1 --1 1 V ._ 1 t .(It i` t 6 1 f _ has been installed in accordance with the provisions of the Town of Barns t ble.B,,oard of Health Private Well Protection Regulation as described in the application for We Co nstruction Permit No. J-----------------------Dated------------------------ ' THE ISSUANCE OF THIS CERTIFICATE SHALL NO TJ .,�ON RUED`AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY.# r DATE---------------------------------------------- 4 - Inspector--- - ------------------------- • f/'�J,f` - - --- 1 BOARD OF HEALTH TOWN OF BARNSTABLE Vell 5t uc =� ion r t ion Permit. No. -,------ -- Fee--------------- 1 Permission i�he y granted—� �—�.L]�_ ----- --to Construct ( ), or Repair ( ) an Individual Well at: -'� No. - - - - -�--�J Z—— Lsi` Y — ---------------------------------- i Street as shown on the application for a Well Construction Permit l.v ZOo�— Z 2cx, No. - ------------------- — -- ------------- - Dated---- ----------------------------------t------------------------- r - Board of Health DATE t Jack Olive Landscape Design 19 Great Bay Road, Osterville, MA 02655 (508)428-9081 * (646) 765-3627 iackolive23@aol.com commonwealth of Massachusetts { R ECEIVED Executive Office of Environmental_Affairs Department ®f 99.6;Envir®m ental P�tecti®n TA12311LE William F.Weld O ' Governor ! Trudy Coxe Secrettry,ECEA David B.Struhs t Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM \ PART A ^ AYv�t i ki" (J` CERTIFICATION Property Address: 4 3a W, t>�r�0 A,L e S r.;` kc_ Address of Owriei:'��m Date of Inspection: �vs. �11\c;e�� (If different) Name of Inspector: j�, ouCC "o_cc.. .• Vcr, Company Name Address and Telephone Number: �wc2J`o CT v6 , i p y , P (� ) o •7 p CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.' The system: Passes _ Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority .. Fails r . Inspector's Signature: Date: 3 �i C �P/G6GC`�2� �L� Approving Authority within thirty (30) days of completing this The System Inspector shall submit a copy of this inspection report to the. pp g Y Inspection li the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Depanment of Environmental Protection. The original should be sent tc: the system owner and copies sent to the buyer, if applicable and (he approving authority. INSPECTION SUMMARY:' Check A, B, C, or D: . A] SYSTEM PASSES: have not found any information which indicates that the system violates any of the failure criteria as defined in•310 CMR 15.303, Any failure criteria not evaluated are indicated below. r 61'SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, ; passes inspection. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not) _ The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 8/15/95) 1 One Winter Street • Boston, Massachusetts 02108 a FAX(617)556-1049 a Telephone(617)292-55M Printed on Recycled Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: y3o1 (av�`� A'j P—t d S t er`�'\'c Owner: C, . Date of Inspection: B) SYSTEM CONDITIONALLY PASSES (continued) _ Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced _ The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed Cl FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL fAll UNLESSE BOARD MANONEREALTH (AND THAT PROTECTBLIC WATER SUPPLIER, IF APPROPRIATE)THE PUBLIC HEALTH AND SAFETY AND T'HEERMINES THAT THE SYSTEM IS FUNCTIONING INA ENVIRONMENT: _ The system has a septic tank and soli absorption system and is within 100 feel lU d surface wale' supply or y io a surface water supply. _ The wstem ha, a septic tank and soil absorption system and is within a Zone I of a public water supply well. _ The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. _ The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm• D) SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. _ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. 2 (revised 8/15/95) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) , Property Address: Owner: Date of Inspection: QvS o7 t,1c"R D] SYSTEM FAILS (continued): Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume;is less than 1/2 day flow. Required pumping more than 4 times-in the last year NOT'due to.clogged or obstructed pipe(s). Number of times pumped Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of.a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. _ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above: The design flow of system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: _ the system his within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area (IWPA) or a mapped Zone II of a public water supply wells The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 8/15/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address:t-13o1 hlt(w�n �.,�.° O S Owner: Stem YJ ��to rOn ; Date of Inspection: Q"S a.13��Q� f Check if the following have been done: VI-pumping information was requested Hof the owner, occupant, and Board of Health'. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow-rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection:' WA As built plans have been obtained and,examined. Note if they are not available with N/A. Zhe facility or dwelling was inspected for signs of sewage back-up. }/The system does not receive non-sanitary or industrial waste flow Zhe site was inspected for signs of breakout. ZAII system components,`excluding the-Soil Absorption System, have been located on the site. The septic tank manholes'were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum: LThe size and location of the Soil Absorption System on the site has been determined based on existing information:or approximated by non-intrusive methods A. ✓The (acilit�` o�ncr (a d.occupants; if different from owner!.were provided ++•ith information on the proper maintenance of Sub- ` Surface Disposal System.' (revised 8/15/95) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address:y 3a (-.)t izhv\No Owner: Date of Inspection: F��S• `�1)lci�t FLOW CONDITIONS RESIDENTIAL: Design flow: Qallons Number of bedrooms: Number of current residents:_ Garbage grinder (yes or no): ND Laundry connected to system ( es or no):Z,/Q Seasonal use (yes or no):�£ Water meter readings, if available: 0600i5 Last date of occupancy: `' I COMMERCIAUINDUSTRIAL Type of establishment: Design flow: Rallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if.available: Last date of occupancy: OTHER: (Describe) $ _ Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System pumped as pan of inspection: (yes or no)_ If yes, volume pumped. _ ooc) allons Reason for pumping.' CS- �r"��cCl o5q —�_ -eS-k0VTiu -" , TYPE OF SYSTEM Septic tank/distribution box/soil absorption system Single cesspool iervi - A ,' ' Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) Other (explain) APPROXIMATE AGE of all components, date installed(if known) and source of information: ��OE Sewage odors detected when arriving at the site: (yes or no) �✓� (revised 8/15/95) 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: y 3a t�^^� �"�\\' d�T e e Owner: Date of Inspection: \ SEPTIC TANK: 'ctSs�oo (locate on site plan) //n S7 Depth below grade: _6r/401� Material of construction: jlf---Concrete _metal _FRP —other(explain) / I Dimensions: 6 Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: y Ei Scum thickness: oZTr✓. �;, Distance from top of scum to top of outlet tee or baffle:__ Distance from bottom of scum to bottom of outlet tee or baffle: /Z1A1. Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) GREASE TRAP:_ (locate on site plan) Depth belo%� grade: Material of construction: _concrete _metal _FRP __other(explain) Dimensions: Scum thickness. Distance from top of scum to top of outlet tee or baffle: Distance from bottom nt <rlvn - b0110m UI O"Oet tee Pr ballie Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, elc.i (revised 6/!5/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: L' U4VII Af 0 &C— C)5/e,-v,f Jr- . Owner: ernes hor�V.� " Date of Inspection: TIGHT OR HOLDING TANK:_ (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP —other(explain) Dimensions: Capacity: gallons Design flow: gallons/dad Alarm level: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX:_/V//�- t (locate on site plan) Depth of liquid level above outlet invert: a Comments: (note if leve! and distribu:-- e•.,de^ce o soLd< C- -\,ever;evidence of leakage into or out of box etc t PUMP CHAMBER:= (locate on site plan) , Pumps in working order:(yes or no) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (revised 8/15/95) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 43"Z Owner: Date of Inspection: SOIL ABSORPTION SYSTEM (SAS):_ (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number:_ leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: 1 ,^,2 Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) S/O �2tC/z L'c5S1Jac9 CESSPOOLS: — (locate on site plan) Number and configuration: 3 Depth-top of liquid to inlet invert: c/'1 9 Depth of solids layer: SxsT«n1 /49 2/2. Depth of scum layer:_—",—� "—'-2 Dimensions of cesspool: Materials of construction: e r- ('v�iC/'�Tc/t Indication of groundwate!. S inflow (cesspool must be pumped as pan of inspection) No 'Sk�Aka l r l t-va w Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY: _ (locate on site plan) w Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (revised 8/15/95) B SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: Owner: Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' pj Fs ZA6 rc_T�� A 1 6 X (csJDos� 6 b rsSDov/ l Y� DEPTH TO GROUNDWATEReF c,a\ cesscoOI Depth to groundwater: Q feet - l method of determination or approximation: MPlh✓OC/� ex,31�'n (revised 8/15/95) 9 HY / tJ R I,V Fi .fir. - i •'E 1 " F�do-:, x � o- � I BLuESTONE. A-J)D 5 C lHE N )'M 6RAGCl3RicK b T�tiJER RROUN r`f. C •'A; +�- • i aye' �,�`P, 5� - �y`' p A 7 '" REGULATI .• 1 � ; e err a � -� �- " d _ 1 . .� N a w4wLi R I�4 S L: / / 5 .f, ADD V)NEI'F IL FI L I A\4Y' / - l- _ - 1 - ' i _ � J 4A. � • � t' •sue ' • Y ' T/W f#_� -7:� `hf E +R���. >�F _ X �- .. • y,;. � F� ��F�r�� �'�� � •a ��. rz� EFUR I ,,. � PDX I-IEDGC, PDN LILIES zS rA i �- h= D LARGE sty D CAA N SAS o P , F3OT-TO M 13DTla S TA 1 RS J^•TEN D ND 41 u � NR 4 i +#�v% .-; �,n,['vr+pT✓f,�, i''.eta t� 3 x ' �t OWN t DIRECTIONS: ZONE: From Hyannis - Follow Main Street to the West End RF-1 Rotary, and then take Scudder Avenue; At the stop y oA Area (min.) 87.120 SF (RPOD) d sign take a right onto Smith Street, which turns into Frontsga ((min)) 20' Grolgw7le Beach Road, At the stap light take a left WWI (min) 125' « + onto South Main Street, which turns Into Main Street k after the bridge; Take a left onto West Boy Road, and Seth t 30' e r then take a left onto Weano Aveune, Site wilt be on the left, #'432 Side � eer 15'R � i O / rpJc FLOOD ZONE. �eerp� SB H Community Pan plan). Panel No +� oF��Pig Fn - #250001 0016 D p'0 July 2. 1992 pve p�0 e QD �y�5r00. OVERLAY DISTRICT: AP - Aquifer Protection District D it d A •s i W 41p^ \Any \ DESIGN DATA LOCATION MAP: SEPTIC NOTES 1' - 2000'.* Single Family ASSESSORS REF.: 1.Location of Utilities shown on This Plan Are Approx At Least 72 Hauls 138erleeeesa iZ. 1 nrj Prior too Any Excavation For This Project the Contractor shall Mate \ \ \ 16Rooms Map 163, Parcel 25-1 ` No Garbage Grinder the Required Notification to Dig Safe(1-888.344-7233). \ \ Total Daily Flow= GPD 2.The Contractor is Required to Secure Appropriate Permits From Town \ \ ` (16 Rooms/2-8 X 110 GPD) Agencies For Construction Defined by This Plan. 99Dc�4Ct, \ \ ?O \ \ \ 2000 Gal Septic Tank 3.wherever Sewer Linea Must Chose water Supply Lines BothLines Shall Be Constructed of Class 150 Pressure Pipe and Shall be water Tested to PROVIDE? \ l Assume W In Genetal,water Lines shaft be Constructed in 1.EANOU \ \ LEACHING AREA Coordhwion With COMM water,and shaft be in Accordance 880 GPD/0.68(LTAR)-1,294 SF Required Wi h249 CMR 1.00-7.00 fit 310 CMR 15.00. `r S ?\ Sidewall-2(12.83'+76)2'-355 SF 4.A Wmhom of 9"of Cover is Required for All Components. \ Bottom Area-(12.83'x 76)-975 SF S.All Structures Buried Three Peet or Mon or Subject �.� PROPOSED w Total Provided=1,330 SF to Vehicular Traffic its be H-20 Loading It is the Engineers TIC TAN► Recommendation dent H 20 Always be Used. �' \ LEACHING CHAMBER DESIGN 6•Install watertight Risers and Covers to within 6-of bablied Grade U+ \ \ ` 10 Over septic Tank Inlet and Ontiek D•Box,and One Leaching Chamber. ?R \ \ \ All Pipes to be Schedule 40.Use 7.Septic System to be Installed in AeooMance with 310 CUR 15.00 dt 8-500 Gal.Leaching Chambers to a 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable O H-20 12'-10"x 76 washed Stone Field as Shown Board of Health Regulations. REQUIR &All Piping to be Soh.40 PVC. FOR 1 S , 9.D-Box Shall Have a Minimum Inside Dimension of 12".and a Minimum / O? \ CHAMBE Sumlp of 6-. ' p (MiN EX STING 10.The separation Distance Between the Septic Tank Inlets and 3 ' R� \i ' CESSPOOLS TO Outlets Shall be No Leas ihm the Liquid Depdr.Inlet Tees Shell Extend BE AND ONE a Minimum of 10"Below the Flow Line.outlet Tees Shan Extend 14" SB/DN / / ��O// /fir �} l ,�h OR REMOVED / / Below the Flow Line,and shall be Equiped with a Gas Baffle. Fnd coy Z \ ? PERC TEST: 13,418 i i \ br! ^oars.• (.• o y�p'`� PEwORNMBv:iolmransa.rB.suutvwxm40nMmtnro �O ? i 5' SOIL BVALVATORNO.2911 wnwEsseD By.1)oxALDM AkAMR.&-TOWN OFBARMADU � - pre4F CLEANOUT D-ItOX •� � 6g sErl >Rso zon \ - ` /- j TEST HOLE-1 m 1ss TEST HOLE-2 EL 1S.0 flnien dads { \IN, \ PROPOSED ;uox \ S.A.S. :; ``.:`: ibu4�z:: :{ ::: �' Mn \ \ -ef ed Fit filter \ > t/j�! �. • 1A t:14.3 Fabric" \ b ✓ .•:.KTA_Y>I1C10xR.3Jl:.:�:.:'.•:.• :•,.7lYA"YJRC10'•• And/Or :t8B091iNi::........... ^:ti:ti i:: Y.9BO�Vli::{:.::::..... 1/b•_ 1/2• T:' .*1:6 tie St�iil!{:::z:rrr:: U :{fiiaAl�t lllrr:i ':::::c .3 Pao Stone �� �F,� 6y B LAYER 10YR SM B IAYER IOYR 3/4'- 1 IA' ti q YELLOWIMBROWN YELLOWISHBROWN LEACHING Doable Retuned VDAMY SAND LOAMY PSRCTA CHAMBER Stone 129"14.SMKIWISMW. 4•- 10- \ Lot 1 V 117 PIDtCRAQ LATER ICY TAR_ 1 i Ci16YRS/6 CI LAYERIOYRS/6 �-- 12'- 10' --•� \ ` YELLOWISHBROwN YBLLOw19HBROWN \ 64,006 S.F. I'°tB� &' AYERPINESA'� 7'8 CROSS SECTION OF CHAMBER \ \ UGUYEiLOWISHBROWN LKNITYELLOWISH BROWN 132- 1=ffiD.SAND 43 tw" IWD.SAtm so NOT TO SCALE NUIUROUMWATIMMODUMBED NoaaouNowwrtmmNcourrlmm WE PASSED AK O 1 r,0 0` f�sO, t ' " �ry• '\� OJ .� See Note 6(typ.) ;7 .r•O F.G E1 24.60 F.G EL iQ50 F G EL. 14.80 F.C. EL 16.3 �C 6O F.G!Z 13.3 pC now EquA&ere A intoner To As Required G6/• I ( g Confirm Prior 2000 caftan ran EL1250 C I I �O To Any Work Septic rank EL oyJ I I �o To Be katetled on / -'Sto'6fei'.avocTed-arose OFMgss9c ( 1 tleadif�'I's yfsl "r'; ;-1 •sn�i:�ti;_-�Yak•:••:a_ inspection Port Keia�BO N JO C. as Per Me 5 ANO/ / zsc rxrrzar..ez::•.r. ra.c"'"s••«xr.:zazz.. .,, 0. 168 / DEVELOPED PROFILE OF SYSTEM - EL 2.5 Pisa; 9 /STER �Q ( Approx c.w. FFss/ONAL E � SB NOT TO SCALE Per r.0.e.crap. TI TLE. PREPARED BY PREPARED FOR. NOTES: Site Plan • 1.) The structures shown were located on the Proposed Septic Upgrade Sullivan Engineering, Inc. Priscilla P. Morphy ground by conventional survey methods. m PO Box 659 4 Lindsay Drive At Osterville, MA 02655 2.) The property line information shown hereon was 432 Wianno Avenue (508)428-3344 (508)428-9617 fax Greenwich, CT. 06830 compiled from available record information. 3.) The contours shown are from an on the ground Barnstable (Osterville) , Mass. survey performed in October 2011. Draft: JOD 30 0 15 30 60 120 4.) The datum is N.G.V.D. 29. SOON DATE: October 11, 2011 SCALE: 1 = 30' Review: PS 1 Pro jec f: 29021