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Home My WebLink About0050 ACADIA DRIVE - Health 50 ACADIA A=058-013 a-s _n s _ f JL 4 g 0 6(7 jqCq D1(j 'D(L TOWN OF BARNSTABLE LOCATION SEWAGE # ,'A�,,-n^J / VILLAGE ,�l A�5�®�S X; 61 ASSESSOR'S MAP & LOTa 2 D 0 �J � INSTALLER'S NAME&PHONE NO. 9C SEPTIC TANK CAPACITY LEACHING FACILITY: (type) ' (size) yya�S NO.OF BEDROOMS BUILDER OR OWNER & t Pe- &; 4i u PERMITDATE: 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 use �"�" ��,� No.c+ 11J� �"r / Fe / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pprication for Migpogar *pgtem Construction Verntit Application for a Permit to Construct(✓)Repair( )Upgrade( )Abandon( ) YComplete System ❑Individual Components Location Address or Lot No. 5� - Owner's Name,Address and Tel.No. ✓11 , �`!'1 !�-LS 7-7`'a She Assessor's Map/Parcel �C /3: �y/0 Installer's Name,Address,and Tel.No. G _G �vL/f Designer's Name,Address and Tel.No. P,qAIDY 1474AW B !'$ 7 Type of Building:Dwelling No.of Bedrooms_� Lot Size V356/ sq.ft. Garbage Grinder(A0 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow l"� �Q gallons per day. Calculated daily flow gallons. Plan Date �— Number of sheets Revision Date Title --� Size of Septic Tank 9v Type of S.A.S. :E---ADd 6-4 " V06— Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maint lance of the afore described on-site sewage disposal system in accordance with the pro ' ' ns o i e t e nvironmen ode and not to place the system in operation until a Certifi- cate of Compliance has a sued b f r S ned Date Q Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued N e � x r x6 zz k .yam TOWN OF B'ARNSTABLE' ` LOCAUON 3ge ri �LA ►s `'SEWAGE #� . VIILI AGE ` r "1 o u S �ff ASSESSOR'S MAP & LOT .INSTALLER S.NAME_&PHONE NO. C_Dri�S r C 0 r a _ SEPTIC TANK.CAPA(i= LEACHING,FACIL=: (type) (size) ywr d"S NO.OFBEDROOMSeAC C'�st+h�zr> . BUII:DER,OR OWNER: A..,., t.�e . :/6.y Al PERMITDATE: COMPLLALNCE 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'ezist Feet on site or within 200 feet of leaching facility) - Edge of Wetland and Leaf'ching Facility(If any wetlands exist. � 00 feet of leaching facility) Feet within 3 Furnished. by . . r Ao. Fee*[0 R THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: V Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE} MASSACHUSETTS Zipprfcation for Migogal *p.5tem Construction Permit ' Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) LiComplete_System ❑Individual Components Location Address or Lot No. ')�� /9C Dj 2• Owner's Name,Address and Tel.No. Assessor's MapmP el 5� D/J 2,0/U Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. PAND1 y HQZVd !4 k Type of Building: i Y� S(p/ Dwelling No.of Bedrooms Lot Size Y sq.ft. Garbage Grinder( AV Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow Lio gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title _ Size of Septic Tank 5vo Type of S.A.S. 5 ri Description of Soil (MCA & :0 1 Nature of Repairs or Alterations(Answer when'applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and mainte nce of the afore described on-site sewage disposal system in accordance with the pro ns o it e t vironment ode and not to place the system in operation until a Certifi-. cate of Compliance has ee ued b Si ed Date 0 Application Approved by - Date t Application Disapproved for the following reasons Permit No. 30M ^-7U7 Date Issued ----------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS 0_0nx ✓�S BARNSTABLE, MASSACHUSETTS C 4 owe Ia.e� •-i Sot Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( Repaired,( )Upgraded( ) �° .. Abandoned( )by f't at SO /9y,4 d l f! / /2 ((/k , M fj d TQw S In/J_" has been constructed_ ln acc rdance with the provisions of Title 5 and the for Disposal System Construction Permit No. 2V0" 7 y 7dated 415 0 Installer Designer The issuance of this p shall not be construed as a guarantee that the syste 1 func Lesigy . Date b � Q Inspector ,1 ---------------------------- No. 4LU—24 7 Fee Jim THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS x1h5pozar *pgtem Construction Permit Permission is hereby granted to Construct(Repair( )Upgrade( )Abandon( ) System located at S 0 11C.4 b 14 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 thi ut. Date: Z' � Approved by./' Town of Barnstable P# �� I Department of Health,Safety,and Environmental Services �•t+E Public Health Division Date t/Q Q, 367 Main Street,Hyannis MA 02601 Date Scheduled �u rje 13� -,o0a Time t0 Fee Pd. 0/&V-D D �Z N OO N f-= '. Soil-Suitability Assessment for Sewage Disposal. . , Performed By:�� /7 9 �� Witnessed By: ko 12A N D 1 . L4C�TQI'�& GENERAL INFQRMATIQN Location Address Owner's Name ,574 � AD, . �Z oT/v) /r/ /?/, lsL Taoy 192Qi5&115 M///S Address /0 Atl&4 G Qs�ea'dl// J- Assessor's Map/Parcel: n2 �0 �(�r - O/3"4/� Engineer's Name d^ /'�/�n P� NEW CONSTRUCTION REPAIR Telephone# �0,0" d` 33 y Land Use "` tz,/d-J,4C tf4it'+_ Slopes(%o) 6�~3 D Surface Stones /Ij o eC) Distances from: Open Water Body�.3 DD t ft Possible Wet Are6 &' 8 Drinking Water Well Drainage Way Q ft Property Line d ft Other N�i ft 1 SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlan nAPo o holes) 67O� IiSO Aca D 1A DRIVE Parent material(geologic) Depth to Bedrock Depth to Groundwater: Standing Water in Hole. A Weeping from Pit Face ' - Estimated Seasonal High Groundwater -F L 2Q &QQ eo x- •4 l7 Fed-: <—Z Method Used: t l t-<✓ - Depth Observed standing in obs.hole: 1 in. Depth to soil mottles: A in. Depth to weeping from side of obs.hole. in. Groundwater Adjustment ft. Index Well#__._.-_._. .Reading Date: Index Well level....---- Adj.factor Adj.Groundwater Level ..... . _J,. PER+GDLATItI�N TEST '`: >''? Dte:' 'xime ............ Observation TR_ I Hole# Time at 9" Depth of Perc r Time at 6" Start Pre-soak Time @ Z 5-G^"t.c6"S I t.A Time(9"-6") End Pre-soak 13 vu,-,v"3 008 Err Rate Min./inch 2 vA ,,u tPI=R- 1 A-Y-4 Site Suitability Assessment: Site Passed _ Site Failed: Additional Testing Needed(YN) JJ.D Original: Public Health Division Observation Hole Data To Be Completed on Back-� Copy: Applicant N DEEP dBSFRVAT ION HOLE LOG Hole.. 1 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Co sistency.° 0 -5 �2.Co tc- MATT' �— s 6 57 120 'L CoASSESAMP 2� .S/q �►,.�.�� aa,N I;�EEPOBSERVATION HOLE LOG Hole# � Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency-%Gravel) b _ A LoAV Y lO'4►2 5A0 q— 3g .5pst-A0 'F',"c-SA"D 2.5`( S/ hrr.ti +boo;-s 62- l2� COtAL5E SAt.o 7.5�( 57/5- 4 51 G L 6 DEEP OBSERA'TtON HO�.E LOB Hole# :.' Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.° Gravel) DEEPOBSERVA'TxON HO1,E LOG . Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in J (USDA) (Munsell) Mottling (Structure,.Stones,Boulderes. Consistency.° Gravel) Flood Insurance Rate Maa• Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? C-5 If not,what is the depth of naturally occurring pervious material? Certification _. I certify that on 6- (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017.. Signature ...-- -o .— ------ Date C-/ k 2.000 TEST HOLE LOG DATE: .---4,v /3, zoom M, a SOIL EVALUATOR:"p WITNESS: ,o. ,�lio2•A .oi PERC RATE: C' 2•yi.�/.�,t/G�4/ O✓ �,-(( o O ~QD Y G•3, --, z,-s/�, vv 1Zay y 120 a ( //o uJ.9TF.v2 EicJ�c�v.J T ��. �A G -y3 Ste✓sF I , i DESIGN DATA ,�m 20� (v�•3 i n , DAILY FLOW: (y)BDRMS.z 110 GPD=Yl/o GPD SEPTIC TANK: VV0 GPD 1200%= ag a GPD USE: /Soa GALLON PRECAST SEPTIC TANK LEACHING FACILITY USE: S x a.SX Z '�• Soo G /cvEcGS coo w� CAPACITY: M��✓. SIDEWALL: Y3 X Zx4>,,7y:. BOTTOM: r ye x TOTAL: P`pk OF MA 10 BRAMAN CIVIL y —N lcr.E -16-�" — --- ONAL / NOTES: I. ALL PIPE TO BE 4"DIA.SCIi 40 PVC. 11-" 2. PIPE TO BE LAID LEVEL FOR 2.OUT OF DISTRIBUTION BOX. 3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN 6"OF FINISH GRADE. 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A GARBAGE DISPOSAL. 5. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED ON A 6"LAYER OF STONE. 6. INSTALL GAS BAFFLE IN OUTLET TEE. 3"LAYER OF31B"PEASTONE OVER 3/1•-1 i/Y WASHED STONE ALL AROUND TOP OF FOUND. 6f! o (;/4/ zoo GS S� �oS� ZS L`.vo SEPTIC SYSTEM PROFILE SITE SEWAGE PLAN GENERAL NOTES FOR 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION OF ALL UTILITIES,ABOVE AND UNDERGROUND,PRIOR O G,q,D/fl fJ2, ST•t1S"/C /LC-S TO ANY EXCAVATION OR CONSTRUCTION. 2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH PREPARED FOR 310 CMR 1&00:TITLE V. t9�11.VC 0�`C-,QW �• Ao�� 3, THIS PLAN A NOT TO BE USED FOR PROPERTY LINE oi7 r.' / c�i"� DETERMINATION. R 4. ALL DISTURBED AREAS TO LOAMED AND SEEDED. DATE: ;44 C, !S Zoaz> SCALE: / = o' 5. CONTRACTOR TO PROVIDE 14 HOUR NOTICE FOR ANY REQUI INSPECTIONS. P�SN OF TEVEN RU?A 791 E ELLER & ASSOCIATESMOUTH ROAD CENTERVILLE, MA. 02632(508)775-0735 FAX: (508)775-0754 APPROVED BY: