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HomeMy WebLinkAbout0080 WIANNO CIRCLE - Health 80 Wianno Circle Osterville A= 140 - 212 TOWN OF BARNSTABLE L()CATION 0 � � r �G- SEWAGE Ll 97� VILLAGE ULIr V�I 1 L� - ASSESSOR'S MAP & LOT '�/ INSTALLER'S NAME&PHONE NO. •T / uo- n u Y 1 So-z- FS33•NS99 SEPTIC TANK CAPACITYrJ `f` LEACHING FACILITY: (type) (size ,Vaalloo NO. OF BEDROOMS - BUILDER OR OWNER PERMITDATE: I I'I_ ,)-OIQ COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Well and Leaching Facility If an wells.exist Private Water Supply l g ty ( y 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 ll i _ y 5 53 s o to s� r .Nt : i� / Fee Q THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipprication for Bigozal i§p5tem Construction Permit Application for a Permit to Construct(V� Repair( ) )Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address orLo N 1AV IJ�b elide, Owner's Name,Address,and Tel.No. Oster✓!/C 4-P44,or44 14 *k Assessor's Map/Parcel !A1 D ��� � � 1 �� 01,D, Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 6e V 1114-C A)EAR!A) Type of Building: Dwelling No.of Bedrooms Lot Size 2 7 ? sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min, equ red) _��/, gpd Design flow provided „�'/„ gpd Plan Date !/ �1d{c Number of sheets Revision Date Title Size of Septic Tank 16-p D Type of S.A.S. Description of Soil 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 Boar Hea th. Si2ne Date Application Approved15y Date 1 3 t Application Disapprovedby: Date 'for the following reasons Permit No. (cl qQ Date Issued13 ,:,:, :y" r-.-. ., .W -: .yJ....�..r .. ,- +..:�...w-"'" +�_ "-""^"r.:..- -,sX^yr•r,.,.r..+ - —..:, Fee C THE COMMONWEALTH OF MASSACHUS.tTTS Entered in computer:- Yes - PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZippYication fory�Ngpogal 4pgtem Con5tructiori Vermit Application for a Permif to Construct(J) Repair( ) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or.Lot N Owner's Name,'Address,and Tel.No. Pie#4 Assessor's Map/Parcel Q / —?#Zd /.5 tJ f D., / �u i7, Q✓/ /� Installer's Name,Address,and Tel.No, Designer's Name,Address and Tel.No. `Type of Building: Dwelling No of Bedrooms Lot Size _23 7 74 sq.ft. Garbage Grinder ( ) Other Typ�of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(4.requ red)�T/� gpd Design flow provided gpd Plan Date //�7 'p�o Number of sheets Revision Date Title Size of Septic Tank 15 b ig Type of S.A.S. . /, �^ ✓y� Description of Soil 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.of Health. �gned Date SS Application Approved l0y Date f 1 1 Application Disapproved by: ,r ` 1 Date for the following reasons Permit No. .(� 8 y� •t�,r, Date Issued THE COMMONWEALTH OF MASSACHUSETTS — BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed (� Repaired ( ) Upgraded;,( Abandoned( )by '/• tl I l�4 C ck- r, ~ ~V y at 9Q V/*^ ),2crS ( _i�s r __c° rU/�!x has been constructed in accordance j c�c n. '7�7 dated C 1 3 ),6 . . with the provisions of Title 5 and theffor Disposal System Construction Permit No. Installer� %% 4 �_a'C,.t L4A Designer #bedrooms Approved design flow gpd The issuance of this permit shall n t be construed as a guarantee that the system will function�a.,_Mesivn(d. Date , ,. r" �.N 'Y� :r/ 'i Inspector \ I -- No. b Fee 54 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Mnigw5at �&pgtem Congtruction Vermit Permission is hereby granted to Construct ( A Repair ( ) Upgrade ( ) Abandon ( ) System located at ` � / N,tJ s7`�aP I//_Ze and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditio.ii _ Provided: Construction must be completed within three years of the date of permi,. Date b Approved bb A Town of Barnstable Regulatory Services $ Thomas F. Geller,Director $ Public Health Division-'-- Thomas McKean,Director 200 Main Street,'Hyannis;-MA 02601, Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: I o s O Designer: �i Installer: it n � hh ' Address: Address: POE go ✓�� g101 � a� Y On '� .was issued a permit to install a te) lQY septi system at ® , based on a design drawn by ( dress) ,. . ``' dated ' (designer) cer*that the septic system referenced above was installed substantially according to th 3design, which may include minor approved changes such as lateral relocation of the �- distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral.relocation of the SAS or any vertical relocation of any component of We septa yste )but�� acccrd?�ce with State &Local Regulations. Plan revision or certified - uilt by designer to follow. jH OF 4/,�e, Cy JOHN L. ow CHURCHILL er's Si tire) ML 41807 i (Designer's gnature) x Des7MSION. s Stamp Here) 4 PLEASE RETURN TO BARNSTABLE-PUBLIC. . ALTH CERTIFICATE OF COMPLIANCE WII,L NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. TT3A.NK YOU. , Q:Heaith/septicoesiper Certification Form ly r •i - t co Fee I E—C�O�111�MONN ALTH OF MASSACHUSETTS Entered in computer: - ..PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIppYication for �Digpogal �&yaem Con.5truction Permit Application for a Permit to Construct(✓Repair O Upgrade O Abandon O ❑Complete System ❑Individual Components Location A dress qj of No. �O t"����� G 0\�w er'�N�am`e,Address,and T I.No Assessor's Map/Parcel l oZ a l-,6 L7Q l S (U�1tJlt^ r`v Ircp� 1�) MI a. !" Installer's Name,Addre s,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: L Dwelling No.of Bedrooms Lot Size 3 / / T sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures , Design Flow(min.req ired) SSS(� gpd Design flow provided S [) . 7 gpd Plan Dated 16 46 Number of sheets Revision Date Title Size of Septic Tank IE0-0 Type of S.A.S. y�S� _0 944 6 ink S Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the constructi9ji and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the En biipsntal Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of t Signed s° Date Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. 0 '`( Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ('�) Repaired ( ) Upgraded ( ) Abandoned( )by C U at 0 Q W 1 A IA0 C(CC 2c. 1 U j e has been.constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No._�)p 6 0�7 dated Installer R J L✓l Designer J•C• b (.� #bedrooms Approved design flow 5--6 3,.y gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. ( 7 Fee _ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS iOgaY; pstem COn$trUction permit Permission is hereby granted to Construct ( ) Repair ( )L Up rade ( ) Abandon ( ) System located at 8�' �1 a M� Cam-Q e o �S'�'li' 1(c, 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: Construction must be completed within three years of the date of this permit. Date Approved by r L ?/0 CM 15220: Renaranon of Pian's.ana Specifications A�-C-4 0 c�S The plans and specifications for every on-site system shall be prepared.as follows: 0 aYl AC s (1) -Every system shall be designed by a Massachusetts Registered Professional Engineer or�Massachusetts Registered Sanitarian provided that such Sanitarian shall not design a system designed to discharge more than 2,000 gallons per day pursuant to 310 CMR 15.203. Any other agent of the owner..may prepare plans for the repair of a system.designed to discharge not more than than 2,000 gallons per day pursuant to 310 CMR 15.203 provided they,are reviewed by a Massachusetts Registered Sanitarian and.approved by the approving {hority; n (2) Every.plan submitted for approval must be dated and bear the stamp and signature of the designer, " Every plan for a new system or plan for the upgrade or expansion of an existing system (� which requires a variance to a property line setback distance;'must.also reference a plan which bears the stamp and signature of a Massachusetts. Licensed Land Surveyor in cordance with M.O.L. c: 112, § 811); (4) Every plan for a system shall be of suitable scale(one inch=40 feet or fewer for plot plans and one inch = 20 feet or fewer for details of system components) ind shall include depiction of: (a) the legal boundaries of the facility to be served: /(b) the holder and location of any easements appurtenant to or which could impact the 1/ system; .(c) the location of the all dwelling(s)or building(s)existing and proposed on the facility and identification of those to be served by the system; (d) •-the"lacation of existing or proposed impervious areas, including driveways and l/ ,sparking areas; i (e) location and dimensions of the system (including reserve area); (f). system design calculations,including design daily sewage flow, septic tank capacity required and provided); soil absorption system capacity (required and provided); and i hether system is designed for garbage grinder, i (g) North arrow and existing and proposed contours; Iodation and log of deep*observation Bole tests including the date of test, existing grade elevations marked on each test, and the names of the representative of the approving authority and soil evaluator; 1/ (i) location and results of percolation tests including the sate of test and the names of the representative of the approving authority and soil evaluator, �✓/ W name and certification number of the Soil Evaluator of record; (k) location of every water supply,public and private, I. within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water supply wells, 2. within 250 feet of the proposed system location in the case;of tubular public . water supply wells, and ' /V/ 3. within 150 feet of the .proposed system location in the case of private water �/ supply wells. 1) location of any surface waters of the Commonwealth, rivers, bordering vegetated wetlands, salt marshes, inland or coastal banks, regulatory floodway, velocity zone, surface water supplies,tributaries to surface water supplies,certified vernal pools,private water supplies or suction lines, gravel packed or tubular public water supply wells, A J� subsurface drains, leaching catch basins, or dry wells; and the location of any nitrogen sensitive area identified'in 310 CMR 15.215 within which portions of the proposed SV&tem are located. m) location of water lines and other subsurface utilities on the facility; (n) observed and adjusted ground-water elevation in the vicinity of the system; o a complete profile of the system; a note on the plan listing all variances to the provisions of 310 CMR 15.000 sought r in conjunction with the plan; the location and.elevation of one benchmark.within 50 to 75 feet of the facility which is not stibject to dislocation or loss:during construction on the facility; TO when dosing is-proposed, complete design and specification of the dosing system f/� proposed including.but hoi limited to dosing chamber capacity (required and:provider!), -/ pump curves and specifications,number of dosing cycles and depth per cycle; /" A (s) when a Recirculating Sand Filter or equivalent alternative technology is required or roposed, a complete plan and specification for the system.including a hydraulic profile; a locus plan,to show the location of the facility including the nearest existing street; u the street number and lot number,if any, of*the facility; and �— v) the materials of construction.and the specifications of the system. Town of Barnstable Y# EVE Tpk� �P p Department of Regulatory Services BARN9TABLE. Public Health Division . Date Muse.39• mom" 200 Main Street,Hyannis MA 02601 i6 pTFD MAt0.1 } Date Scheduled �� 1. Time U Fee Pd. Soil Suitability Assessment for S4wage Disposal f (� Z'� CSC Witnessed By: Pertbrmed By: (ck%C,Ck 'C l 2�1 t �® �OCATION & GENERAL INFORMAT�ON6 ' Location Address 1,, _1�f n.(� n Q Owner's Name ,e Mn,, CY �' -i (/_l l L4.l 141`L _ 3'( Addresses L�.� ` L�/�ll qq Q ' Ot1�lti,MC oyio5l / Engineer's am;-ZA� tYl Assessor's Map/Parcel• ` �G�� n2 i Tele hone 3 6377 NEW CONSTRUCTION REPAIR p Land Use Ssn!�e, F Crrit y (tbidaAa t Slopes(%) ' 2 _ Surface Stones Distances from: Open Water Body (0 0 ft Possible wet Area `7 10 0 tt Drinking Water Well '7le p ft Drainage Way 7 25 ft Property Line t o ft Other ft m SKETCH:(Street nae,dimensions of lot,exact locations of test holes&pere tests,locate wetlands in proximity to.holes) See- 'aOtcC,M1e� i• Qro(105eU Stl2._ Q10(1 a . f6O Uf011vtp CtrcI .ill4 l .dU �d ,, '1�o�em�e C '7 ZUU Q Q Parent material(geologic) lacta� tlu Depth to Bedrock 7 ( 52 u 6(r 5 � Depth to Groundwater: Standing Water in Hole: 7 t 5 2,1 6(r5 Weeping from Pit Face 7 1 521 6r3 S Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Dtfeck 7 (52- in. Depth Observed standing in obs.hole: ?152- in. Depth to soil mottles: Depth to e:to weeping from at of obs hole: w ll 1 52 in. Groundwater Adjustment Ail A ft Adj.factor .Groundwater Level= .- Index Well level _.�...,.,.. Adj ,.. .,_ . ��--:,-..x --. --•�-�•-�-t. - ,.—.�, PERCOLATION TEST Date 11 b-o Time io_ouAM Observation Hole# 1 Z Time at 9" Depth of Perc alp+, ! Tiine at 6" — Start Pre-soak Time a do:1S Time(9"-6") _ End Pre-soak 10:14 10st9 + i Rate Min./Inch LZ MV1 47- `/ Additional Testing Needed(Y/N) N Site Suitability Assessment: Site Passed Site Failed: — original: Public Health 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 Conservation Division at least one(1)week prior to beginning. Q:HEALTH/W P/PERCFORM DEEP OBSERVATION HOLE LOG Hole # Depth from Soil Horizon Soil Texture Soil Color Soil Other 5urfacG(hl.) (USDA) (Mansell) Mottling {Structure,Stones,'Boulders. Oomisteney.°le Orsveh.._..__._.. 10 312 i 0- yt9 l?j LS 16 i r s//o _ L!©- 132„ MS 2,5 i t01b ^, DEEP OBSERVATION HOLE LOG Hole # 2 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) 11 - t3' (a CS jot 3/2 e, 13- 3b DEEP OBSERVATION HOLE LOG Hole#�3 ' Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency`y//.%Gravel) 63 0 312 10 - 39 (3 - �S icy` M. - 3 DEEP OBSERVATION HOLE LOG Hole# L/ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) l`o`- lt1 " A LS 1�IS 3�2 Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes ✓ Within 500 year boundary No ✓ Yes Within 100 year flood boundary No Yes Depth of Naturally Occurrinz 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? %�eS If not what is the depth of naturally occurring pervious material? Certification I certify that on 10-27-9 q (date)I have passed the soil evaluator examination,approved by the Department of Enviromnental Protection and that the above analysis was performed by me consistent with the required trainuag,expertise Ad experience described in 310 CMR 1.5'.oil. Signature Date ' 11-07-06 V Q:11EALTH/W P/PERCFO.RM t�- TOWN OF BARNSTABLE LOCATION ft.)la`Y\►lQ C� z. SEWAGE # ,, VILLAGE ASSESSOR'S MAP & LOT/4 INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY 1,;60 y II, LEACHING FACILITY:(type) 0�+ (size) 00 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER R OR OWNER l sw DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 2 n L VARIANCE GRANTED: Yes No r v 09 Ac�- 14 d Y $ 30 .00 No.. ate '_�a�9� Fxs.............................. APPROVEOHE COMMONWEALTH OF MASSACHUSETTS SMS"ble Cor'""600 R D OF HEALTH G5' o. at eC�B BARNSTABLE Signed ,� ppliratiott for Bhrip 1 ml Workii Tomitrurtion rFt`mit Application is hereby made for a Permit to Construct ( ) or Repair)tX ) an Individual Sewage Disposal System at: 80 Wianno Circle Osterville ............................................•--......---.....--------•---...-••................... ----•---••----•--------•---------------------------------•----------------•-------•-•-----•------- Neal Location-Address or Lot No. W J. P.Macomber Jr. Owner Address Installer Address Type of Building Size Lot............................Sq. feet DwellingXX No. of Bedrooms..............3----------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ............................... . . W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid capacity------------gallons Length................ Width................ Diameter................ Depth............... x Disposal Trench—No- -------------------- Width.................... Total Length-------------------- Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by-------------------------------------------------------------------------- Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit-.-----------.------ Depth to ground water-.-----------.--_------ f% Test Pit No. 2................minutes per inch Depth of Test Pit.-..--.---------_ - Depth to ground water........................ R+ --------------------------------------------------------------- ---------------------------- --•---------------------------------------------...._......... ... 0 Description of Soil----------------------•-----------------------••----.....-•-•---••-•---......--------.....------------------------------.......------------------------................. W Sand & Gravel V ........................................................-------•--•------•----------•--•......•---•--------•----•---•-••----------••--------------..................................................... W _ Uit cesspools . Install NaIIatlu6b garis or Alter tiol s— nswer,whetig�lic box 1—I0 ga11on 1eac pit. .• .. on tan istri. u Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b em issu by the, ar of health. Signed P�J' ............................. 7/5/94 Dace Application Approved By ..............f ..... .7....�-.�...—. Dace Application Disapproved for the following reasons: ................................ ....................... . .......... ..._.... . .. .. ............................ .......... ......................................... ....... ................ ...... . ............... ................................. ........................................ Dare Permit No. �c"� — .�..g-. Issued .......................... ... --- ........ Dare ; $ 30.00 No.... Fr�s.............................. J le �' THE COMMONWEALTH OF MASSACHUSE—TS r BOARD OF HEALTH -V6W N OF BARNSTABLE Appliration for Diti-Vniittl Workii Tomitrnrtinn Famit Application is hereby made for a Permit to Construct ( ) or Repair)(X ) an Individual Sewage Disposal System at: 80 Wianno Circle Osterville .............•---------------••----•"--"--....._....----....----"---...__..._._....-••....-------• --•--•---•-------•••............................................................................ Nea 1-,, Location-Address or Lot No. •-•--------•..................•---------------------------------•-•--- •------•-•----•-••-•-•------•------•-•----•-••--•.........-•--••----•.................-•-.....-•-- W J A.Macomber Jr. Owner Address Installer Address PQ VType of Building Size Lot............................Sq. feet Dwellings No. of Bedrooms..............3.......................-----Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons______-__-____________.._._- Showers ( ) — Cafeteria ( ) Other fixtures ---------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity____________gallons Length________________ Width---------------- Diameter--..------------ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area.........._.........sq. ft. Seepage Pit No_____________________ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1________________minutes per inch Depth of Test Pit-------------------- Depth to ground water..................... f1 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ r4 ....•-----------------------------------------------------------••••---------------••--•-•---...._............................................. "-•----_------ 0 Description of Soil....................................................................................................................................................................... x Sand & Gravel U .....-•--••-•••••-----••-•--- W U Omit cesspools. Install Tatlu�e0�f Re �irlon lter do s—AAi sr ihu i lie le... _-_- _ g _ _ _ p- _ ___ g tank — d- fox 1-7 D00--_--_allori Teach i�:_________________ ..........--r---------------------------------------------------------------------------------------------------------------------------------------------------------------------- ...................... Agreement: -The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b en issu by the oard of health. I� . ��._Signed ...:. ........ .......1. ...........-........- `j f- 7/5�94-.... Date Application Approved By ...........-e �...-.g�- -.fir Application Disapproved for the following reasons: ......... .......................................................... ....... - ......................... - -- - . . - ........................................ �p Date Permit No- ------..(... �- ---.--- .-S-- -------------- Issued Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TT TOWN OF BARNSTABLE Certificate of uIImplianre TJHI�!�TOoQ&TIF JY,r That the Individual Sewage Disposal System constructed ( ) or Repaired JCXXX) by --------------------- -- ----------------------------------------------------------------- ----------------------------------------------------------- .........................................................---------------- --- 80 Wianno Circle Osterville Installer ----------------- ------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 f The State Environmental Code as described in the application for Disposal Works Construction Permit No. .... ) f.�.._�� _ 3........ dated ..._........................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. D /.....' ............ .... ... - - ........_ Inspector ..- -----------------------_-- ATE THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _ TOWN OF BARNSTABLE 30.00 No. FEE................•_--_.. ...��...�� Uispwiat comb TowArtution "permit J . aerPermission is hereby granted---------------------------------------------------------------------------------------------------------•----------------------••••••--_•--_ to Const�t�ct ) or R6p�i c�e)&SnIndividual edivi 11 Sewage Disposal System anno atNo......................................................................---•••--•-...-••--••-----....---------------------------------------•-•------------ ------------........................ Street Q as shown on the application for Disposal Works Construction Permit No.1-y-<,(F_ Dated________ .:...... ......... ` . Q`Aoard of Health DATE.............. ...(_.� FORM 36508 HOBBS a!t WARREN,INC..PUBLISHERS iE _ 16 O" cuECKEo er-. �Ec 4 :. 24 1,6„ -0„ i FAMILY ROOM p ° SCREENED PORGr-II n •I• - _________________ _ _ _ __ �- , 1� _______ ______.___.___.__ __ _ _ __ _L , III r.---------------------------- --------------------------------------- r DINING ROOM Wl-LLB REi'IDYEG _ � . Q KITGPEN -- 0 ---' .a E �p - :• � �' a i.•.� tt p�m O'Wmya rn I �?,ZUp f.) O O pY PO N •--------- C� 0 In 43 In zi �* BATS � �, •n � o ------------- W L4K-I 4 0 E J 5`31 PANT Y 1 s TH` - AUND s ROOM _ r MASTER BEDROOM 2 GAR CzARAC3E ° } z w `n MUD U N _ _ Z O L r O M Z J OFFICE a ® - m LL -1 .4 _o m FOYER N . cw lU j,l ]'-SS-x d•-B4• ]•-5}••d'-Bly' - - B O (1 Ox 5,_0, 6'O, B,_O" � � II/2/O6 38-0° SCALE: r PROJECT NO. 2006052 SHEET NO. IST FLOOR PLAN 1 6GGLE Vd'.r-0" e w--� COPYRIGHT r OLDE GAPE BUILDING CO.,INC.2004 NO. I OF'I l 4 TOP OF FOUNDATION= 33.21' FINISH GRADE OVER D BOX= 30.4' ± FINISH GRADE OVER CHAMBERS= 30,5' - 29,8' FINISHED GRADE PROVIDE PRECAST CONCRETE EXTENSION REMOVABLE CONCRETE COVER " ° FOUNDATION = VARIES RISER OVER INLET AND OUTLET WITH " 4 SCHEDULE 40 PVC MIN SLOPE 1 /° ��N E RAL NOTE S CONCRETE COVER TO WITHIN 6"OF F.G. TO WITHIN 6 OF FINISHED GRADE UTILITY BOX AT GRADE 4" PERFORATED PVC PIPE FINISH GRADE OVER TANK EL.= 31 .0 ' S"DIA. OUTLET(S) WITH SCREW TYPE CAP TO 3/4"TO 1-1/2"DOUBLE WASHED STONE TO CROWN OF PIPE 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION .-_-____._.__ __.___-_____._________._ _..______._-_ _.________-_____ __ ___.._ __. WITHIN 3"OF FINISHED GRADE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE 1 2" F 1/ "TO 1/2"DOUBLE WASHED STONE ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. 20" MIN.ACCESS COVER _ .__--- --_ .- ___. _. _______.----_--__--_...__�.._�_�.__.�________-- TING " (TYPICAL FOR 3) 36" MAX. 36 MAX. 27.00' TOP OF SAS = 27.83' PLACE RISERS ON ALL 2• ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD " 9"MIN OF HEALTH AND THE DESIGN ENGINEER. PROPOSED 4" 12"MIN. 36"MAX. , CHAMBERS WITH PIPED 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL SCHEDULE 40 PVC BREAKOUT EL = 27.50 INLETS TO WITHIN 6 OF BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. FINISHED GRADE MIN.SLOPE tQ 1% 6" 3" 3" DROP MIN. 3" 9„ 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN PROVIDE WATERTIGHT ELEVATION =27.50' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS * 10" 14" 28.25' 4" PVC IN FROM JOINTS(TYP.) O �4'� O ao A 40 MIL GEOMEMBRANE LINER IS PLACED AT LEAST FIVE FEET FROM S.A.S.AND THE TOP 29,00 , SEPTIC TANK O 4 PVC OUT TO T oo o �o OF THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. LEACHING FACILITY I o0 0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 0 .5 OUTLET TEE � 12" � 2' oo � � � � � � � � � CDC: � � � � � o0 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 48 28.00 MIN. 27,83 000 00 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO 12 7' � � � � � � � � � � o o � � � � � oo BACK FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR 22"ZABEL FILTER 6"CRUSHED STONE o0 0 o INSPECTION. SYSTEM IS NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING MODEL#A1801-4x22 OVER MECHANICALLY - APPROVAL FROM BOARD OF HEALTH AND DESIGN ENGINEER. (GAS BAFFLE ON BOTTOM) COMPACTED BASE 4.0 8.5 I 4.0 4.0' 4.0' 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 30.00' 6"CRUSHED STONE 5 OUTLET DISTRIBUTION BOX (TYP) 4.9 - 42.0' (TYP.) ESTABLISHED ON A NAIL IN UTILITY POLE#690 AS SHOWN ON PLAN. TO BE INSTALLED ON A LEVEL STABLE <17.90 OVER MECHANICALLY � 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION COMPACTED BASE BASE. FIRST TWO FEET OF OUTLET Z25.00' GROUND WATER ELEV.= 12 9' THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE PIPES TO BE LAID LEVEL. PROPOSED 1500 GALLON CONCRETE SEPTIC TANK 4 - 500 GAL. LEACHING CHAMBERS , CHAMBER END VIEW AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY LENGTH 10.5' WIDTH 5.67' DEPTH 5.67' CROSS SECTION VIEW 5 MIN. DISCREPANCIES TO THE DESIGN ENGINEER. *CONTRACTOR TO REPIPE TYPICAL CHAMBER PROFILE i 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE EXISTING BASESMENT PLUMBING SEPTIC TANK PROFILE (Dimensions per Wiggins DISTRIBUTION BOX DETAIL CHAMBER DETAILS STRUCTURES SHALL BE MADE WATERTIGHT. Pr P MA NOT TO SCALE NOT TO SCALE Precast Corp., ocasset, ) NOT TO SCALE ----- ---------- - --._. - -._- -- -..- - ---- 11 -_______. ---____-- ____-- __-___.--_-.__ _._. ______.___ _._... ___.__._ ___a-_ _ ___.__-------- -_.___-.-____-_ ___.____.._._._ .__._---__-_-- -- _ _--_.------._-----___-. _ ---___.______-- NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR « •• ' I - TEST PIT DATA TA T � PIT DATA TA ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH • i A /-'� DETERMINATION FROM APPROPRIATE AUTHORITY. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS Donald Desmarais, R.S. Donald Desmarais, R.S. OTHERWISE NOTED ON PLAN. + INSPECTOR: INSPECTOR: MAP 140 •. •___ �; •` « ♦, . �'' SOIL EVALUATOR: Michael Pimentel, E.I.T.` SOIL EVALUATOR: Michael Pimentel, E.I.T. i 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND ` • `• " *�• ' DATE: November 6, 2006 1 FINES. PARCEL 213 , � +� � • ��� � « « � , ', DATE: November 6, 2006 " • �\ • " r '* ► # • • TEST T 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND ES PI #. 1 TEST PIT#: 4 • . t `,� •�* « •. * • • - UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF t�+ • ; �+ ! . +►+ ELEV TOP= 30.70 ELEV TOP= 30.80 LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN DERGROUND INVISIBLE FENCE MAP 140 '. , \1 • �' � ♦ COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN RE(APPROX. LOCATION) PAR EL 1 7 '«' I�. / ' " ' ELEV WATER= <19.70 ELEV WATER= <18.13 STK-TK fid ° \ * * * .* * • •s * • �' « PERC RATE _ <2 MIN/IN PERC RATE _ <2 MIN/IN ACCORDANCE WITH 310 CMR 15.255(3). (� STK-TK(fid) C 0 « ( ) ZZ' 891 , O 11 STK-TK fid ),!I . \ j� ' • . ** * ., `~ s 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN 131.23' - \ N04°56'40"W d' 4 * p . • • • * ! ' SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. I 14.11' �y� /" �. ' •' : * • « • DEPTH OF PERC= 40"-58" DEPTH OF PERC = 36"-54" :• ya ' + * • s . 16. PROPOSED PROJECT IS LOCATED WITHIN: TREELINE 1 `i . « • TEXTURAL CLASS: 1 TEXTURAL CLASS: 1 MAP 140 ASSESSORS MAP PARCEL • • � � «, • 140 212&216 � d IP(fid) �. i ,, y� I __._--,�, • T1jPARCELS 212&216 I " i Sock • 00 " 0" - 30.70' 0" 30.80' OWNER OF RECORD: STEPHEN K. & DEBORAH A. MEAHL .�C \ 23,776t S.F. ��,r ► `$. s. Litter Fill ADDRESS: 34 WAITES LANDING ROAD -- 8" 30.03' 11" 29.88' FALMOUTH, ME 04105 r) 1 • A Loamy Sand A Loamy Sand FEMA FLOOD ZONE C PAVED a s J u, -_ se * 10YR 3/2 1OYR 3/2 �I ' w N ' , / 10" 29.87' 13" 29.72' AS SHOWN ON COMMUNITY PANEL# 250001 0016 D a DRIVEWAY M GARAGE o PROPOSED ADDITION "� '� ,+ , -- B Loamy Sand B Loamy Sand s� • ` rr b O 10YR 5/6 10YR 5/6 C14Y� G * 17. PLAN REFERENCE: 40" 27.37' 36" .:;_ 27.80' 1. L.C. PLAN#2664-83(Sheet 1) �j B ICK --EXISTING 1000 GALLON SEPTIC TANK ,,, ' • � r3 �` Pere = Pere 2. L.C. PLAN#2664-88 ! :;.a All PROPOSED 1500 GAL. '' `' ATIO TO BE PUMPED, AND REMOVED iN « s ,�*� f.�p ' ' 58" ' 25.87' 54" 27.30' DEED REFERENCE: ACCORDANCE WITH TITLE V. +"`�" �� -''`^` "•��� .--' 18. 1. L.C.C. #133920 SEPTIC TANK 21' - 1 �w,� + - o,/ I ` \ d �a � ,� ♦� 4 b 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. \ ' z '�'�;''` • ! t: , .r f� Medium Sand Medium Sand C C 20. PROPERTY LINE INFORMATION IS APPROXIMATE, ONLY. THIS PLAN IS TO BE USED ONLY #80 r r o 8 r t o 2.5Y 6/6 2.1.r 6/6 �� 3� 8' to FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY \ ' ' EXISTING 6.33' !1 10 , FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. - o o MAP 140 3-BEDROOM t ► Cl) DWELLING PARCEL 106 \ TOF =33.21' BH , m oc°s' N \ -- -PROPOSED 16' x 17' SCREENED PORCH w/ 10'x 8' " " 132 19.70 152 18.13 LANDING CONSTRUCTED ON SONOTUBES � LOCUS PLAN J m D O u __---u I N 1 -EXISTING DISTRIBUTION BOX TO 8E REMOVED No Standing,Weeping, or No Standing, Weeping, or m Z � \ _ w �� - a - I ,�� co SCALE: 1"= 1000' Mottliing Observed Mottliing Observed CO3 O m o / M �, PROPOSED DISTRIBUTION BOX TEST PIT DATA TEST PIT DATA LEGEND r / -4 O N 17' / 5 z 1 P (FNQ� I y -� �' ,�- TP2 I (fnd) Donald Desmarais, R.S. INSPECTOR: Donald Desmarais, R.S. 100 -- EXISTING CONTOURS o n DESIGN DATA INSPECTOR: r { SOIL EVALUATOR: Michael Pimentel, E.I.T. SOIL EVALUATOR: Michael Pimentel, E.I.T. 102 PROPOSED CONTOURS m N K o = \ O a EXISTING LEACHING PIT TO BE PUMPED AND ' a REMOVED IN ACCORDANCE WITH TITLE V DATE: November 6, 2006 DATE: November 6. 2006 (ASSESSOR'S) 102 PROPOSED SPOT GRADE `- NUMBER OF BEDROOMS ASSESSOR'S 3 TEST PIT#: 3 B.M. i� r \ o~i NUMBER OF BEDROOMS (DESIGN) 5 TEST PIT#:_ 2 Nail in U.P. #690 ' ( C:) \ �'zti, ' MAP 140 DESIGN FLOW 110 GAUDAY/BEDROOM ELEV TOP= 30.50 ELEV TOP=_ 30.40 oiHiw EXISTING OVERHEAD WIRES Elev. =30.0 l�/ I :Y O 1 TOTAL DESIGN FLOW 550 GAUDAY - - w w ---- EXISTING WATERLINE ELEV WATER- <19.50' ELEV WATER- <17.90 Approx. M.S.L. �I� I X PARCEL 105 - `_ = /- ! DESIGN FLOW X 200 % 1100 GAUDAY / PERC RATE= N/A PERC RATE= NIA EXISTING FENCE LINE X IP(fnd) USE PROPOSED 1500-GALLON SEPTIC TANK DEPTH OF PERC= N/A DEPTH OF PERC= N/A -X-X-X-X- / J o 12.9' -� � � TEXTURAL CLASS: 1 TEXTURAL CLASS: 1 EXISTING UNDERGROUND INVISIBLE FENCE WIRE * TEST PIT LOCATION S88°50'00"E INSTALL 4 - 500 GAL. CHAMBERS o" 30.50' o" 30.40' C \ CB/DH S fi�K/ '' STK-TK 150.78' CB/DH (fid) Litter Fill 0001 PROPOSED 1500 GALLON SEPTIC TANK (fnd) ( ) x (fid) PROPOSED 42'x 12.9' x SIDEWALL CAPACITY 6" 30.00' 10" 29.57' / x RESERVE AREA A Loamy Sand A Loamy Sand \ \ X 10YR 3/2 10YR 3/2 PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE PROPOSED 4-500 GALLON � (LENGTH +WIDTH)(2)(2 HIGH) (0.74 GPD/S.F.) = GAUDAY 10" 29.67' 14" 29.23' LEACHING CHAMBERS (42' + 12.9') (2)(2') (0.74 GPD/S.F.)= 162.5 GAUDAY B Loamy Sand B Loamy Sand \ 1oYR 5/6 10YR 5/6 Q PROPOSED DISTRIBUTION BOX MAP 139 BOTTOM CAPACITY 38" 27.33' 36" 27.40' 0 PROPOSED 500 GALLON LEACHING CHAMBER PARCEL 24 ( LENGTH x WIDTH ) (.74 GPD/S.F.) = GAUDAY HC 2 (42'x 12.9') (.74 GPD/S.F.) = 400.9 GAUDAY C 215Y 6/6um nd REV. DATE BY APP'D. DESCRIPTION Medium Sand --- -- ---.�HC 1 ��� C 2.5Y6/6 PROPOSED SITE PLAN TOTALS: PREPARED FOR: OLDE CAPE BUILDERS TOTAL NUMBER OF CHAMBERS: 4 (2) O (1) SWING TIES TOTAL LEACHING AREA: 761.4 SQ.FT. LOCATED AT (3) s SCALE: 1" =20' TOTAL LEACHING CAPACITY: 563.4 GAL./DAY 134" 19.33' 150" 17.90' 80 WIANNO CIRCLE - No Standing,Weeping,or No Standing,Weeping,or O � DESCRIPTION HC 1 HC 2 Mottliing Observed Mottliing Observed OSTERVILLE, MA 02655 =' INLET COVER 1 32.0' 17.7' O RESERVED FOR BOARD OF HEALTH USE SCALE: 1 ;NCH = 2�0 FT. 40 DATE: NOVEMBER 7�, F006 OUTLET COVER(2) 25.7 22.6 `M OF yA._ O I LEACHING CORNER(3) 25.6' 38.4' JOHN!. cyG��� PREPARED BY: LEACHING CORNER(4) 67.2' 72.2' 8 cHURR Hn.L m JC ENGINEERING INC. o CIVIL1 2854 CRANBERRY HIGHWAY LEACHING CORNER(5) 69.5' 67.9' ZONING DISTRICT: RC o a1ao� (4) FRONT YARD = 20' EAST WAREHAM, MA 02538 LEACHING CORNER(6) 31.3' 29.3' SIDE YARD = 10' (5, SITE PLAN- _ - 508.273.0377 -- _- " R AR AR = 1 E YARD 0 Drawn B : BSM Designed B :MCP Checked B :JLC JOB No.1091 ra SCALE: 1 -20 - YY Y