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HomeMy WebLinkAbout0061 AMELIA WAY - Health 61 Amelia Way vlarstons Milis A= 149— 033 - 003 II t 1" ,V vl i e= - 3 TOWN OF BARNSTABLE LOCATION} SEWAGE#,�b2'- -/3 9 VILLAGE Meer ,�s ASSESSOR'S MAP&PARCEL 1,Y 1 - `33 -3 INSTALLERS NAME&PHONE NO. mow^. a.QahiAsaA SuP�Ac Serrate SEPTIC TANK CAPACITY 1100e LEACHING FACILITY:(type) 3 KS-b6 (size) )c D NO.OF BEDROOMS �I OWNER ID" y PERMIT DATE: 8/o'7 .COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility j 7 }� 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 TAN�/ f3-1 �p2 0 37 , - 3a No 4..Y �} 1, No. a 604 _ LI�� d /� �b33 -00 3 M00.00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Z(ppfiration for Mtgw6af 6pg;tPm Cottgtrurtton Verna Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. 4 2 0—3 0 3 7 61 Amelia Way, Marstons Mills Fred Dooley Assessor'sMap/Parcel 149/33-3 61 Amelia Way, Marstons Mills Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 8 9 4 Wm E Robinson Sr Septic Eco—Tech PO Box 1089 Centerville 19r- 1 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms 4 Lot Size sq. ft. Garbage Grinder (no) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures To Design Flow(min.required) 3 3 gpd Design flow provided Ll �! gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 leach system to plans off Eco-Tech, ETE-2757 iIVt37E �k. - r'1r�S�mf 4ldo y k.. + it /�/41 �� -4-* ysi. J b? CW lLy 95411V1 S 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 Envir mental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board o ealt ( `D Signed G'!/ Date Application Approved by OVAADate �' ^d Application Disapproved by: Date for the following reasons Permit No. 2-oo "1 3 Date Issued "�°L i� f Yr- No� 6D� t I � /' b 33 OU yje00.00 `a Entered in computer: L,.,/ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplicatfon for Mie;pogar 6pgtem CottE;truction Permit Application for a Permit to Construct O Repair({) Upgrade.( )v Abandon O ❑ Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. 4 2 0—3 0 3 7 61 Amelia Way, Marstons Mills Fred Dooley Assessor'sMap/Parcel 149/33-3 61 Amelia Way, Marstons Mills Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 8 9 4 Wm E Robinson Sr Septic Eco—Tech PO Box -1089, Centerville 43 Triancdle Cir, Sandithh Type of Building: Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder PO) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Tp Z Design Flow(min.required) 330 gpd Design flow provided `7 14 3 gpd Plan Date , Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil , Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 �+F leach system system to `planns offt'1Eco-Tech, ETE(-2 757 14 C.C_ or�5 w�fsr1 �clt �n/iw.�+ CMG,�uC �l ! l/47 4��f� W-0 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 Envi onmental Code and not to'place the system in operation until a Certificate of Compliance has,been issued by thi Board o ealt , Signed /V, Date D Application Approved by � Date •- Application Disapproved by: Date r for the following reasons Permit No. 7�'L Date Issued r -------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Dooley Certificate of Compliance t THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (X ) Upgraded ( ) Abandoned( )by Wm E Robinson Sr Septic at 61 Amelia Way, Marstons Mills has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 200� 7 3 / dated Installer Designer #bedrooms Approved design flow / gpd The issuance of this permit shall not be nstru d as a uarantee that the system 'll unction as desig4d. Date Inspector v lG �`�` —————————————No. o2pp 7_1.�3 /q . FJ OO.00 THE COMMONWEALTH OF MASSACHUSETTS ' PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Dooley Mi!gpogal 6p5tem Con5tructiou Permit Permission is hereby granted to Construct ( ) Repair (X ) Upgrade ( ) Abandon ( ) System located at 61 Amelia Way, Marstons Mills J 5� ,qH and as described in the above Application for Disposal System Construction Permit.The applicant recognizes K14er duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this e�ii.. Date ► _�0�d Approved by �J k Town of Barnstable Regulatory Services Thomas F.Geiler,Director saxxsrABts, TM i6 Public Health Division 9� 39� `0� RFD MAC Thomas McKean,Director 200 Main Street,Hyannis,MA 02601. Office: 508-862-4644 Fax: 508-700=6304. Installer&Designer Certification-Form Date: D Sewage Permit#0 'i i, Assessor's Map\Parcel 149/33=3 Designer:- Eco-Tech Installer: Wm E. Robinson Sr Septic. Address: 43 Triangle Circle Address: PO Box 10.89 - g Sandwich Centerville ..� �,✓) Wm E Robinson Sr Se ti On . . � . '�..� P was issued:a permit to install a (date) (installer) septic system:at 61 Amelia ..Way, . Marstons Mills based on a design drawn by (address) Eco-Tech dated----09-26-07 (designer) I certify that the septic system:referenced above was installed substantially according to the design, which mayindlude:minor approved changes.-such as lateral relocation.of4he- distribution box and/or=septic tank:: .. .. ....... .. I certify that the septic system referenced above was installed with major changes (i.e. greater than..10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Local-Regulations Plan revision or certified as built by designer to follow. �'tH OF Mks DAVID n (Installer's Signature) 9._CAUGHANOwRCA No. 1093 � o �G�STER� TT, (Designer's:Signature) (Affix Design tamp Here) PLEASE :RIETURN::-TO BARNSTABLE- �UBLiC HEALTH DIVISION. CERTIFICATE OF _. . COMPLIANCE WILL NOT.-BE ISSUED.UNTIL BOTH THIS--FORM AND AS-BUILT.CARD .ARE- RECEIVED.BY.THE BARNSTABLE-PUBLIC HEALTH DIVISION- THANK YOU. Q:HealtWSeptic/Designer Certification Four►1.26-04 doc 0. 71 Town of Barnstable P# Department of Regulatory Services Public Health Division Date 'P 200 Main Street,Hyannis MA 02601 Date Scheduled "" Time -1 Fee Pd. - Soil-Suitability Assessment for Sewage Disposal Performed By: If) 4l �V�3H�}�Ot✓✓R L7C Witnessed By: 0600 V►'i�d�°fb)aj -- LOICATION&GENERAL INFORMATION Location Address C, bv�:/ Owner's Name W P y 1*G6*�/�, f��, rnn l I t7S ►I�'I��I�S Address c, tq Q�!-1 W-t r rat N5-f0P 5 �g;16 Assessor's Map/Parcel. L`-q J 3 3 ^3 Engineer's Name {1 �! © 694ofy,e - NEW CONSTRUCTION REPAIR " Telephone# �0&`6 2 6,¢ Land Use S f Gt q l al Slopes(%) Surface Stones D Distances from: Open Water Body cony ft Possible Wet Area l "} ft Drinking Water Well CD6+ ft Drainage Way ® t ft Property Line + ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) — -- 45.28 f ti o 1 W Jm < k I / LO -iZO X ci� (V N Z kl T®2 / � O HMO qX UV to W WO WtDL!tD OZF- W O3W OJ < ZO SOX OW O DO I x LO F- C7 C9 H F 3 (Y ZZcnO / Z ZOa UWZ�O�; -- __ _/ Z) F-OW ZZOWWOO �292.59 F# .�� / 0 U)(n cn Parent material(geologic) IY1 AGiq D✓f W'9 s� Depth to Bedrock Depth to Groundwater. Standing Water in Hole: ho o Weeping from Pit Face Estimated Seasonal High Groundwater _<Zt Z DETFJUMHNATION FOR SEASONAL HIGH WATER TABLE ' Method Used: SW_ e, pi-e C) -O R Depth Observed standing in obs.hole: in. Depth to sell mgttlas: Depth to weeping from side of obs.hole: in, Groundwater Adjustment ft Index Well# Reading Date: Index Well level� Adj.factor— Adj,Groundwater Le ci a cf t r` PERCOLATION TEST We 9/� o,Time 5 M Observation Hole# [ Time atoll A Depth of Perc '✓" t A Time at 6" 00 �/ Start Pre-soak Time @ Time(9"•6") End Pre-soak IS- Y= Rate Min./Inch Site Suitability Assessment: Site Passed�_ Site Failed: Additional Testing Needed(Y/N) N 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 Conseirvation Division at least one(1)week prior to beginning. Q:ISEPTICIPERCFORM.DOC . SOIL TEST ­LOG � DATE OF TEST: SEPTEMBER 25. 200� ti SOIL EVALUATOR: DAVID D: COUGHANOWR. R.S. WITNESSED BY: DONNA MIORANDI. HEALTH DEPT. PERC NUMBER" _ - 11961 NO GROUNDWATER ENCOUNTERED TEST PIT 1 PARENT MATERIAL: PROGLACIAL OUTWASH PERC AT 80 sn - 2 MIN/INCH IN C SOILS ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER 60 90 , (INCHES) HORIZON TEXTURE - (MUNSELL) MOTTLING 1 0-8 AR LOAMY SAND_ _ 10 YR 4/3 NONE FRIABLE 8-30- B LOAMY SAND-- -Y 10 YR-5/6 NONE FRIABLE I. 51140 30-134 C MEDUIM SANG 10 YR 6/4 NONE LOOSE 4_3 NO TEST PIT-2 PAARENOTU MATERIAL: PROGLAC ALO OUTWASH — - PERC' AT 80 in --2 MIN/INCH IN .0 SOILS ELEVATION DEPTH SOIL USDA SOIL - SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 61.15 0-5 AR LOAMY SAND 10 YR 4/3 NONE FRIABLE 5-44 B LOAMY SAND' 10 YR 5/6 NONE FRIABLE 57.48 44-128 C MEDUIM SAND - 10 YR 6/3 NONE LOOSE f ' 50.48 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenev.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes Within 500 year boundary No V ', Yes Within 100 year flood boundary No i/ 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? -lee$ ! If not,what is the depth of naturally occurring pervious material? Certification Nod �R�S 15—f I certify that on (date)I have passed the soil evaluator examination approvedby the Department of Environmental Protection and that the above analysis was performed by me consistent t the required training,experd a and experience described in 310 CNM 15.017. �ySN OF Mess Signature wz LS `Gb Date so+Q,ty►bec 2 d56D 9cy�� St � g o D. o COUGHANOWR u /SENSE�pq- Q:\SEPn0PERCFORM.DOC @ V g L U P 7-w �.- Jvga. Sao - 3�37 1 - . . . . _ MON co , arn&Q, C)O.3 �. wcv�s -40 0,6d, cG. . . .. r ♦ yip ,. : - . � " .. -------------- ,... - - .a 777Sw+;._.�ra.a.+ryu+_ .'"`Yn� Searchfor Map/tParcel 149033003 Town ofBa Zrnstable w ^mow" ,sK✓,. a.. L f ,✓.-. "For Parcdt Number 149033003 R RW,A IN Business Name one�ofCor tnb�ution Y/N i Number Conta i ant Rel /N) V y nl (Y ) Phone 000 0000000 Fuel Storage�Tank hermit F a � a, Cad®n File � D �posal�Works���� a : z Construcbo �Perc TestyWell Permitr� g ' 9b 435 r File/Permit o 8274w tssuappesDate. r , ^03/17/1995 3 � Completion;Date; � •• � 12/24/1997 '�, £ $ize of Septic TypelSize of SAS ' �N �, A. 1000 ST DBOX 8'DIA X 4'DEEP L.P mappar 149033003 l Owner DOOLEY FREDERICK E proploc £61 AMELIA WAY -- Innovative%Alternative Technology Septic Systems �� Srngle o Clustered ,'., Serv�cTipe s / r stk r cw Ladd records = cleleterecords� Sm Ift R' 1, . s..maw. ..,,,.,..._�.✓µ........ .........,,,,,,,,a,,.ea ,.......... .,.,.a.�...,,..... .... ..,.,.. ,,.. .......0 au., .7„ .vcF.� ,,.,......w..,u,?it• Search for;Map/Parcel 149033003a Towno#Bamsab�e s , fi For Parcel Nurnberg 149033003 �, Rentia Property(Y!N)� v - ' ,�, 3 g s a a . `Business Name A I� one` Co (Y Area $Nu"nber Co roan Rel N} h � Phone 000�� 0000000 �FueC St rage Tan Phrmit � � �` � � �,�� ; ,yam �� `�easpoo� O rks �C OnstCUCtI ony �Pere Test � z r� PI�elPermlt NOS P 8274 95 435 d issuance Date-f �° /1995 f ; y 03/1 7Im GompietionDate � y 12/24/1997 ` S¢e of Septic :4fl �;,,,, Type/Sizef'$AS, Tank• E" 1000 ST DBOX 8'DIA.X 4'DEEP L.P. map par 149033003 ®,owner DOOLEY FREDERICK E pro loc 61 AMELIA WAY P � W Mm nno�atiue/Aiternat�ve Technology Se tic�Systems 5�ngleor ; s 1 � ell, z 2 nv 160 2 / °"�`#61 TOWN OF BARNSTABLE LOCATION [>�\ - A 6u I,A UJA/ SEWAGE# VILLAGE rrl.925rta.0 m;Ilt ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NO.C-!Uco z/?,t— SEPTIC TANK CAPACITY IM10 2 AC I LEACHING FACILITY: (type) t-Azle,, PtT (size)_l00d ,!.*L 140.OF BEDROOMS 3 i BUII.DER OR OWNER � fa✓��o-e f3m l crS PERMITDATE: t- 7 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 f I Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by I/ TOWN OF BARNSTABLE - LOCATION br-\ ?n A6ui,,A SEWAGE # VILLAGE ASSESSOR'S MAP&LOT 0: OG• INSTALLER'S NAME&PHONE NO. ec SEPTIC TANK CAPACITY loon SAC LEACHING FACILITY: (type) A6- pit^ (size) )004 462,L J NO.OF BEDROOMS 3 BUILDER OR OWNER 6245i'ke 130-1clI CS J PERMrTDATE: "I l- 7 COMPLIANCE DATE: l`Z/2 z/9 7 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Sup 1 Well and Leaching Facility (If any wells exist on site or within i66Tqet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist. within 300 feet of leaching facility) Feet Furnished by ly Z- � 7 �j �y ° TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY i ?ARCEL ID 149 .033 .003 GEOBASE ID 42607 ADDRESS t6l AMELIA WAY PHONE MARSTONS MILLS ZIP - I �f3T 3 & 3 BOCE LOT SIZE )BA DEVELOPMENT DISTRICT CO I WMIT 29266 DESCRIPTION ?ERMIT TYPE. BCOO TITLE CERTIFICATE OF OCCUP.A fir i 'ONTRACTORS: Department of Health, Safety ARCHITECT.,, and Environmental Services COTAL FEES: 3OND $.00 Ox ON6TRUCTION C OSTS $ 00 101 SINGLE FAM HOME DETACHED 1 PRIVATE � " • � BARN3TABLE, .:# MA83: 039. BUILD k DATE ISSUED 03/06/1998 EXPIR,ATIO ,, DATE 1 , _--------- -------------- -- ---- -- - THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STR;,:ET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE'BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WE(L AS DEPTH AND LOCATION OF PUBLC SEWERS MAY BE OBIf"AINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE C&,,DITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. .MINIMUM OF FOUP/CALL INSPECTIONS REQUIRED FOR ALL CONST CTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND THIS Ch€iD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICA E, SEPARATE 1.FOUNDATIONS OR FOOTINGS PERMITS ARE R UIRED 'FOR 2: PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEER_vADE.WHERE A CERTIFICATE OF OCCU ELECTRICAL,PLFJM NG ADID MECH=.r (READY TO LATH). #. PANCY IS RE>>1�UIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATI S. 3.INSULATIPN. OCCUPIED UNTi FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. •. POST T HIS CARD • IT V�)�ISIBLE FROM STREET UILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS l X 2 7vge .2 e 3 1 I$EATING INS ION kPPROVALS ENGINEERING DEPARTMENT I � r g� �P 2 z �- BARD OF HEALTH �Q l �t d' _K OTHER: SITE PLAN RE W APPR VAL QA WORK'SHALL NOT PROCEED UNTIL ERMIT WILL BECOME NU AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT TARTED WITHIN SIX. CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE,P RMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. Assessor's Office 1st floor Ma / C 1 Lot 3 �J —' (t / Permit# Conservation Office 4th Ly — 3— 5D Date Issued � " - -7— Board of Health Ord floor Q y-3 C /L 3-1 ) S Engineering Dept. (3rd floor) House# /Q/ i � Planning Dept. (Ist floor/School Admin.Bldg.): s �w+areeci, _ tee. DDDgfinitive Plan Approved by Planning Board (Applications processed 8:30-9:30-a.m.&1:00-2:00 p.m.) �^ +��'--^ , �" ll �S PTIC SYSTEM MUST BE INSTALLED IN COMPLIAN ``- WITH'0`nE 5 TOWN OF BARNSTABLE ENVIRONMENTAL CODE AND Building Permit Application T RPSULAMOIC3 3� Proiect Street Address (�,/ Cal t? �✓ Village, A Fire District /14 A (hvncr l Address J Tcicphone � 7` t'o Permit Rguest•� 4 �� � �� L/��icD � l f7f _ Zoning District ° A r {� Flood Plain � Water Protection Lot Size •Z y r 0 It Grandfathered Zoning Board of ApWals Authorization Recorded I Current Use L16� Proposed Use Construction Type wav7/1 Q Eaistina Information Dwelling T e: Single Famil O/ Two family —©© Multi-famil `—' Age of structure /� ? � Basement type Td"Zl/LQC� t1 Historic House Finished / Old Kings Highway ""— Unfinished V Number of Baths o� �� No. of Bedrooms 7' Total Room Count not,including baths e n First Floor I1eat Type and Fuel L U/ " Central Air N � Fireplaces J Garage: Detached Other Detached Structures: Pool ' Attached C'�l/( X Barn None Sheds Other Builder Information 9NameTele hone number �� U Address License# dC`p Home Improvement Contractor# Worker's Compensation # IIJC! 3/2— 2,9-0 C 7 TQ 13 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO a /45 7 5S .603/ Project Cost �? 3 Fee 33-3, 6 7 SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T No....!.. F s...... .�1 U 1211 THE COMMONWEALT H OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratinn for Di-tymial 3Vnr1w Tnnitrnr#inn ramit Application is hereby made for a Permit to Construct (�or Repair ( ) an Individual Sewage Disposal System at: ....1�.l..._._fir % s_.� s ........ ' -3 Loca n d ess or Lot No. -•---•--------- ------•-------------------•-•----•.............. ---........._......_-----.......-.._...__-_---- w C� G G �j� �� Address __.._ � Installer Address U Type of Building Size Lot-_ 1�z ...Sq. feet Dwelling— No. of Bedrooms.--_--_3___________________________-_Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons.........................--- Showers ( ) — Cafeteria ( ) a' Other fixtures ................................. . w Design Flow.................A7� ................gallons per person per day. Total daily flow........ --------------------gallons. WSeptic Tank—Liquid x capacitylDOD.galIons Length._�--------_-_ Width___ { _____ Diameter.---. _._.___.__ Depth___. ---------- Disposal ` Trench—No. .................... Width................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No----/............ Diameter---/0--------- Depth below inlet-----�.......... Total leaching area.OXX,7 z Other Distribution box ( A,01' Dosing tank ( ) Percolation Test Results Performed by..Gt.)0-'4C'96Z . _.:. ___ Date..�� f _._. .---_ re ..... Test Pit No. 1:z. -_-minutes per inch Depth of Test Pit-./YY--_--__- Depth to ground water-.d.:v�-.. (i Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water.................... --------------------------------- ---- ------•------...-------•-•--....-•-----•------- .................................................................... Description of Soil_. e— 9 ----------------------------------................................. x w UNature of Repairs or Alterations—Answer when applicable.---...-_---------------------------------_-__-_-------....................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Enviro mental Code—The undersigned further agrees not to place the system in operation until a Certificate of Corn, i nce as be issued by the board of health. P P Sig ed .. .... --------- -....1/. . w /� `F Date Application.Approved By ----------------------� --- ----r/-------------------------------.......' ----�..A..�.. ------ l� Y -----...... Date Application Disapproved for the following reafonf. --------------------------- -------------------------------------------------------------------- -------------------------- --------------------------------------------------------------------- ........................................ Permit No- --------------g S y3` Issued y .......................................�s Date Date TOWN OF BARNSTABLE LOCATION Lzr ? Ami i;A W AEI SEWAGE# ,.3 y3s VII.LAGE : 2 -tons 1 n�.A S ma S ASSESSORS MAP dt L61�h 03.)J. INSTALL)~R'S NAME&PHONE NO.�ec� zl2d "CS`S SEPTICTANK CAPACITY LEAC IG FACILITY: C¢Ac 1, .911 (type) (size) J oga==.tea C. NO.OF-BEDROOMS x uir�y BUII.DE .OR OWNER _��✓5:0�¢ (3v�IGIceS PERMUDATE: 9 - I L- 1 COMPLIANCE DATE: 2 Distance Between e. ..... �>:. SeparaUort Dis B th Maaiaium:Adjusted Groundwater Table and Bottom of Leaching Facility Fat Private,Wafyr Supply Well and Leaching Facility.(If any wells exist on s fe:or•within 200 feet of leaching facility) Feet j Edge of Wetland and Leaching Facility(If any wetlands exist t. wit in 30.0 feet of leaching facility) Feet .. Furnished.k a o2 g to THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE lirtttiun for Diinpwml lVarkii Tomitrurtiurt ramit Application is hereby made for a Permit to Construct (A"�or Repair ( ) an Individual Sewage Disposal System at: r - - ---........--- ............ Loca�/Xdd' ss // or Lot No. .�.....r.....�' Address Installer Address d Type of Building Size Lot.j'. .Z ...Sq. feet U Dwelling— No. of Bedrooms.-_..._ 3................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures ------------------------------ - - W Design Flow......................5; ................gallons per person per day. Total daily flow--------- -_—�--1...........................gallons. W ,Septic,Tank—Liquid capacity/aOA.galIons Length____.......... Width--- ------ Diameter_.............. Depth...Z-'/....... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area..__................sq. ft. Seepage Pit No.--_-�............ Diameter.../_0�._____ Depth below inlet.....f+'_�....... Total leaching area.J`�..y..hFx 7agd-ft. z Other Distribution box ( v)` Dosing tank Percolation Test.Results Performed ......- �S .g: --••-.---- Date__"." t ..... W7------------- � r . -.. .4 Test Pit No. 1�_Z..minutes per inch Depth of Test Pit.../���`....... Depth to ground water-�-S"--------_ (T Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Description of Soil_. -- -- 7...... Gn-/-------------------------------------------------------------- U ---------•-------------•......---------•--••-------------------•---•-•--------------------------------------------------------------------------------------------------------..._...-•-----••••-------. W UNature of Repairs or Alterations—Answer when applicable._.._........................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Enviro mental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complidnce°leas been issued by the board of health. Signed Y0W /-------- Da re ApplicationApproved By --------------------_-------------- ----------- �-- -------------- .Y�.�_ ............ --- -- e Application Disapproved for the following reasonr- ------------ ---------- --------------------------------------- ------------------------------------------------------------------ Dare Permit No. - g.S.`..-y3 ---------------- Issued 7 S Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C11exttfira e of (110 tplianve TH,--IS-IS-TO CERTIFY�iThat the Individual ewe Ic.D isposal System 7/fco nstructed or Repaired Cf ✓r�TO rby ... ---- ............................. X .............------.--------- ---------------------------(--------- ) ...__.. - -------------------------------------------- at ....... ....3---------------------------------------------.. n �I has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ----- .............._..�'... dated ... -`.... ........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE -...._....._...... --- --------- ---. .... ._...)....._/.............. Inspector ---------------- --- ---- ----------------------------------- -------------------------- ----------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH g5 _ y3s TOWN OF BARNSTABLE ��� w No.-•-••---•-•............. FEE...-._..------•••-•••... Ropmtt1 Norkn Tomitrudiun Profit Permission is hereby granted...----._.-�:.._..__�---------------- -- --- - ---- ---- -- -------------•-----........----•--- to Construct V) or Repair ( ) an Individual Sewage Disposal-System at No. ........................................(1Lt n /, /Ceu ��' / P -----st...... -----------------•---------------- reet as shown on the application for Disposal Works Construction Permit No._�S_-y3----ed..........................................SS •••------••-------•-••-•---------•----------------------------------------------------------------•------ Board of Health FORM 36508 HOBBS&WARREN.INC.,PUBLISHERS TOWN OF BARNSTABLE Z r :,3CATION 1�\ 7• hfYl.z.l�o �,,�% SEWAGE# -WILLAGE AIA0.5-10N.5 MATS ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO.C-De Co SEPTIC TANK CAPACITY 1000- �p�C LEACHING FACILITY: (type) CZACP PCC (size) 1 t?w; �L NO.OF BEDROOMS w BUILDER OR OWNER ✓S�a�e ��IGI��S / PERMIT DATE: "I l- 7 COMPLIANCE DATE: I`z /Z Z I1`7 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by s 3c, a 3 i TEST :BOLE LOG TEST BY:WELLER&ASSOC. WITNESS: ���.._.L3��,e e"- --_-----� \\ PERC RATE: -_-_ ___ _ .. ` �J-#-�� __c.9s��rr! \JAG� ,/ � 8'S� Y8•� u. Mid u DESIGN DATA / DAILY SEPTIC TANK:-53 _x 150%= � � � USE:Ivoo:c�9C,-�/L�c�'s7 i . LEACHING FACILITY: F USE: 6- L.r? wileo 57� v�.. � a -._ --... ... CAPACITY: BOTTOM:=2S---S_s�/ o r_23• PIPE TO BE LAID 2"LAYER OF 3/8"PEASTONE LEVEL FOR 2' OUT OF OVER 3/4"-1 1/2" WASHED DISTRIBUTION BOX STONE ALL AROUND " TOP OF FOUND. @ EL`S8A op ALL PIPE TO BE 4"DIA.SCH 40 PVC Z' G' Z' RAISE ALL APPLICABLE MANHOLE /Ov COVERS' TO WITHIN 6" OF FINISH GRADE THIS SYSTEM IS NOT DESIGNED FOR THE USE OF A GARBAGE DISPOSAL SEWAGE SYSTEM PROFILE SCALE: 1"=10' GENERAL NOTES OTES 1. CONTRACTOR TO BE RESPONSIBLE FOR THE SITE-SEWAGE PLAN ' ,\.^'.,^ r.jn ;� LOCATION OF ALL UTILITIES,ABOVE AND FOR ';'t r `,�+ UNDER GROUND,PRIOR TO ANY CONSTRUCTION 4; ' ' � OR EXCAVATION. 5 2. INSTALLATION OF SEPTIC SYSTEM TO BE IN PREPARED FOR COMPLIANCE WITH 310 CMR 15.00:TITLE V. 3. THIS PLAN IS NOT TO BE USED FOR PROPEFJTY �p�TH OF,y LINE DETERMINATION. SCALE DATE:.---iiJ ,.._. _-/._ �_.. No. rF WELLED & ASSOCIATES P. O. BOX 119 YARMOUTHPORT, MA. 02675 rwrl' .c ocis (508) 362-8131 APPROVED BY: TEST HOLE LOG DATE':-�'�,or TEST BY:WELLER&ASSOC. WITNESS: . .._.S�a. \ •�., PERC RATE::_.�Z�/i►✓,l,irc/�� ... . . Ss .. 3 w ��ul3Soic. S3./ I o WhOL°L°C�S. at�tziNAl�� l ° YB.CP Ki o I DESIGN DATA U DAILY FLOW:7C Y,6C-,0R -'Sw x-IA> 3-36:�er'>. SEPTIC TANK:335pt__:._X 150%= 1/y ! USE: i LEACHING FACILITY: 6-3/Zoe:57�w� .... CAPACITY: r� yS 13z� - SIDEWALL: ... v BOTTOMi.�.�,.„�'.,5._.�t.._!,_03:� PIPE TO BE LAID 2"LAYER OF 3/8"PEASTONE LEVEL FOR 2' OUT OF OVER 314"-1 1/2" WASHED DISTRIBUTION BOX STONE ALL AROUND TOP OF FOUND. @ EI58;"o b Y. "{ ALL PIPE TO BE 4"DL4.SCH 40 PVC RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN 6" OF FINISH GRADE THIS SYSTEM IS NOT DESIGNED FOR THE USE OF A GARBAGE DISPOSAL SEWAGE SYSTEM PROFILE SCALE: 1"=10' t{PQ rR x "yr1` GENERAL., NOTES 1. CONTRACTOR TO BE RESPONSIBLE FOR THE t- 1 SITE-SEWAGE LAN \ �+.. ,, -n/ /¢ LOCATION OF ALL UTILITIES,ABOVE AND �'.', -/� UNDER GROUND,PRIOR TO ANY CONSTRUCTION FOR '' `�` OR EXCAVATION. / . 2. INSTALLATION OF SEPTIC SYSTEM TO BE IN COMPLIANCE WITH 310 CMR 15.00:TITLE V. PREPARED FOR 3. THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE DETERMINATION. DATE:.. WELLER & ASSOCIATES P. 0. BOX 119 YARMOUTHPORT, MA. 02675 (508) 362-8131 APPROVED BY: Y r 60 - BENCH MARK TOP OF CONC BOUND CONTOURS I — --�-- 61 ELEVATION = 63.04 EXISTING - - - - - - - 50 3 `� BARNSTABLE GIS DATUM MINIMAL GRADING PROPOSED LM60�R P� m -- —� 3452E f S _ LOCUS Z I \ \ PRLEt I ' \ MARSTONS 5C ANE MILLS. MA LOCUS MAP Z I 1 NOT TO SCALE r / m I LEACHING GALLERY0 O_ e- / °I TP-2 oRl ew�Y / 62 LEGEND 10-P \ I \ EXISTING 12-P TP-1 / 1000 GALLON ' WATER LINE SEPTIC TANK 1 I Q -0�nXSTING ~' LOT 3 \ i �O Z 1 \ \ / / E LIEACH PIT •AREA = 45028 s +- I ��, ~f Z X / V 3 TEST PIT® D-BOX O Z \ / 61 HYDRANT DECIDUOUS CONIFEROUS TREE TREE Q 12-M 121 L -NUMBER REFERS TO DIAMETER IN \ / INCHES.LETTER DENOTES TYPE. \ \GAS LINE (Q� 41 V O-OAK M-MAPLE P_FINE C-CEDAR J . --- \ F \'� \ / 'E7 A --��—_ � GAS FLAN 1 N \ � _ L �` \ /GATE �It/ � . s2ss f -- —���—_ �\ / �OMgss �yCN of nIAS`s9 30 SCALE. 1 in = 3 30 60 /60 / o��� DAVID gcyG �� DAVID cyG� -� 4 % o� D. �� D. m 0 1e 20 3 60 (D / COUGHANOWR COUGHANOWR co No. 1093 'p S 4/CENSE1 LOW PROFILE ALL PIPE EXPRESSEDLINVATIONS SPECIFIED ARE DECIMAL FEET NOT FEET AND INCHES.INCHES.TIONS GISTS,P 1 V LUP� S a C — GARBAGE GRINDER � RAISE COVE WITH THIS DESIGN.COVERS TO WITHIN SIX INCHES OF FINAL GRADE IS NOT ALLOWED Lpr , �O TOP OF FOUNDATION ONE INSPECTION RISER FOR LEACHING GALLERY TO EL = 63.91+— WITHIN 3 INCHES OF FINAL GRADE AS INSPECTION PORT. 6L20 SEWAGE DISPOSAL SYSTEM PLAN -/D-BOX 3 ft ALL PIPE TO BE -TO SERVE EXISTING DWELLING ?� SCHEDULE 40 PVC �3 FLOW LINE 5820 MAX AN lTO PI MIN. A? EST. o RE DEROF V Ro E. DOOLEY = II I�.. 14 61 AMELIA WAY �ll 48" GAS--' PRECAST ��� 1995 MARSTINS MILLS. MA BAFFLE DRYWELL PROPERTY ADDRESS _ 7im BOTTOM OF ONEXIIS\60.TTING 57.55 LEACHING 17GALLERY YLEACHING 43 TRIANGLE CIRCLE ASSESSORS MAP 149 PARCEL 3 3—3 EXISTING EXISTING BASE GALLERY 1 SANDWICH MA 02563 PLAN BOOK 467 PAGE 66 57.�2 57.45 5f�8 364—(�894 EXISTING 1000 GALLON (END VIEW) 55.45 5.00 FL + DATE, SEPTEMBER 26. 2007 SEE DETAIL ON REVERSE JOB #ETE-2757 PAGE 1 OF 2 1 VERSION: EXISTING SEPTIC TANK 41 ft of 5 ft 16.5 ft THIS PLAN IS BASED ON AN INSTRUMENT SURVEY AND IS INTENDED bl 10 ft SOLELY FOR INSTALLATION OF THE PROPOSED SEPTIC SYSTEM ADJUSTED SEASONAL--Y 3B.5 DEPICTED HEREON. FOR ANY OTHER CHANGES TO PROPERTY INCLUDING HIGH GROUNDWATER PLACEMENT OF ADDITIONS. SHEDS, FENCES OR SWIMMING POOLS. OWNER SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. y SOIL TEST LOG DESIGN CALCULATIONS DATE OF TEST: SEPTEMBER 25. 2007 DESIGN FLOW: 4 BEDROOMS X 110 GPD = 440 GPO SOIL EVALUATOR: DAVID D. COUGHANOWR. R.S. SEPTIC TANK: 440 GPO X 2 DAYS = 880 GALLONS WITNESSED BY: DONNA MIORANDL HEALTH DEPT. USE EXISTING 1000 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL PERC NUMBER: 11961 CONDITION. IF NOT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) NO GROTUNDDWATER ENCOUNTERED OUTWASH DISTRIBUTION BOX: USE 3 OUTLET D-BOX. TEST PIT 1 SOIL ABSORBTION SYSTEM: A 26 ft x 16.5 ft x 2 ft. LEACHING GALLERY CAN LEACH PERC AT 60 in - 2 MIN/INCH IN C SOILS A6ot = ( 26 x 16.5 ) = 429 of ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER Asdw = ( 2s 26 + 16.5 16.5 ) x 2 = 170 of to = 599 of (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING Vt 0 60.90 0.74 x 599 = 443 GPO 0-8 AR LOAMY SAND 10 YR 4/3 NONE FRIABLE USE A 26 ft x 16.5 ft x 2 ft GALLERY. Vt = 443 GPO > 440 GPO REQUIRED B-30 B LOAMY SAND 10 YR 5/6 NONE FRIABLE 5a40 30-134 C MEDUIM SAND 10 YR 6/4 NONE LOOSE L EA CHI NG GA L L ER YNOT 4a73 NO GROUNDWATER ENCOUNTERED LEACHING ORPWELL 500USE SHOREY' S(H-0 LOADINGN SC°E 1000 GALLON SEPTIC TANK TEST PIT 2 PARENT MATERIAL: PROGLACIAL OUTWASH DIMENSIONS AND DETAIL NOT TO PERC AT 80 in - 2 MIN/INCH IN C SOILS CONSTRUCTION DETAIL USE E)QST3hG h'-18 ll*QT SCALE ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER UNIT ELL STON RYWSEPTIC TANK IS TO BE PUMPED DRY (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING AT TIME OF INSTALLATION AND IS TO 61.15 2 6.0 FL 7 BE EXAMINED FOR STRUCTURAL 0-5 AR LOAMY SAND 10 YR 4/3 NONE FRIABLE INTEGRITY. INSTALL NEW PVC OUTLET , TEE EQUIPPED WITH A GAS BAFFLE. 5-44 B LOAMY SAND 10 YR 5/6 NONE FRIABLE m 5?.48 44-126 C MEDUIM SAND 10 YR 6/3 NONE LOOSE -0 � 41 TAPER 50 48 (0 ao (0 c GROUNDWATER ADJUSTMENT m O EXISTING GROUNDWATER LEVEL 3.75 4.83 MEL .$3 2.0 4.83 3.F5 u BASED ON TOWN OF BARNSTABLE 'I-FLft GIS DEPARTMENT RECORDS. ��' —� 26.0 ft- INDICATED GW 35.00 B F£-6 Ire Q INDEX WELL SDW-253 ZONE C 5W GALLON 13RYWELL nq_ET CX rLET READING DATE DEC. 2007 DIMENSIONS AM DETAIL COVER COVER READING 48.4 ADJUSTMENT 3.5 USE H-10 LAJT INSTALL ONE INSPECTION 3 AV DROP ADJUSTED GW 38.5 RISER TO WITHIN THREE FLOW LIFE INCHES OF FINAL GRADE —� AND INDICATE LOCATION �D. 10 In _ 14 TO ON AS-BUILT PLAN ,� D-BOX 46 LJOUDa - LEVEL IaABAFFLE NOT E' S 0p 33 ��o0 00 In 1) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. 0000a000000 O��p00 2) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED �0000000000 0o CROSS SECTION VIEW FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE. o00 pp, 6g 10 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS 1021n OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. CROSS SECTION VIEW SEWAGE DISPOSAL SYSTEM PLAN 5) EXISTING LEACH PIT TO BE PUMPED. COLLAPSED. AND FILLED. 2,n PEASMW 2,n PEASMW 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE. -TO SERVE EXISTING DWELLING 7) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES 2 3/q,n m 16TcrrvE q inro 26FREDERICK E. DOOLEY AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK. ,n L2,n GRAVEL HC i 1/2 in ORA ,,, 8) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT 61 AMELIA WAY MARSTONS MILLS. MA PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. 48 ,n Ie2 ,n 46tn ECO-TECH ENVIRONMENTAL 9) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL 198 in t I t ENVIRONMENTAL Iv I STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH INSTALLER MAY SUBSTITUTE AN APPROVED GEOTEXTILE 43 TRIANGLE CIRCLE SANDWICH MA 02563 SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. FABRIC IN PLACE OF THE 2 in. PEASTONE LAYER SPECIFIED. ETE-27571 SEPTEMBER 26. 20071 , 12121 j - 9'- o Co'- 3o s� 49 LLIOV:), r i '.�C -J i I C-AMI-�. U 1 ti I�/ I_,t i Gt aaT—c C. ............. I � I ' I ' � ' 1 j to I __ -.0-ArL p.r-lr I 0. tn I ; 1 3ow-S-� 3o�r�s'1 3dAe nS'! ( 41. ¢'-tom" I 1 4 O•. I i