HomeMy WebLinkAbout0064 ASA MEIGS ROAD - Health 641Asa Meigs_�R6dd"
_ Marstons Mills
r ` A = 031 001008
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E Astable Assessing Search Results Page 1 of 2
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Home: Departments:Assessors Division: Property Assessment Search Results � t
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Owner:
POIRE, ROGER A& Property biketch Legend
µr. 1.
Map/Parcel/Parcel Extension
031. /001/008
Mailing Address
POIRE, ROGER A&
a
POIRE, KATHERINE J
64 ASA MEIGS RD
MARSTONS MILLS, MA. 02648
3 Yaf
2.005 Assessed Values: 1 � � ^
Appraised Value Assessed Value
Building Value: $ 143,600 $ 143,600 .}
Extra Features: $0 $0
4.
Outbuildings: $ 14,300 $ 1.4,300
Land Value: $ 101,300 $ 101,300 Interactive Property:Map: Ma requires Plug in:
Totals:$259,200 $259,200 I have visited the maps before
Show Me The Map , ` ,
April 2001'photos evadable
x
Sales History:
h
Owner: ;Sale Date Book/Page: Sale,Prce
POIRE, ROGER A& 6/15/1983 3772/338 $11,200, h
2005 REAL. ESTATE Tax Information- Tax Rates: (per$1,000 cif v lbati*
Land Bank Tax $47.04 Town Fire District Rates .. Other F
$6.05 Barnstable Residential $2.12 Land B
Barnstable-Comme-cial $2.80
C.O.M.M. FD Tax(Residential) $261.79 C.0.M.M.-All Classes $1.01
Cotuit FD-,All Classes $1.28
Town Tax(Residential) $ 1,568.16 Hyannis"Residential1 $1.52
Hyannis-,Commercial $2.39
R
W Barnstable--Residential $1.44
a.
W Barnstable-Commercial $2.10
Total: $ 1,876.99r Due to rounding differences these values,may vary
http://www.town.barnstable.ma.us/tob02/Depts/A`dmini strativeS ervices/Finance/Assessing... 9/27/2005
Barnstable Assessing Search Results h; °�` Page 2 of 2
Land and Building Information
Land Building `.
Lot Size(Acres) 0.97 Year Built .1983.
Appraised Value $101,300 Living Area 1638
Assessed Value $ 101,300 Replacement Cost$ 157,808
Depreciation 9'
:Y
Building Value,. 1;43�;600
Construction Details
Style Cape Cod Interior Floors CarpetHardwood $
Model Residential Interior Walls Drywall
Grade Average Heat Fuel Gas
Stories 1 1/2 Stories Heat Type Hot Water w
Exterior Walls .Wood ShingleClapboard AC Type None
Roof Structure Gable/Hip Bedrooms 4 Bedrooms
Roof Cover Asph/F GIs/Cmp Bathrooms 1 Bathroom ,
Total Rooms 6 Rooms
Extra Building Features
Code Description Units/SQ ft Appraised Value. '__ Assessed Value
SPL2 Pool Vinyl 512 $ 12,300 $12,300
F
SHED Shed 120 $•1,000 $'T'000
SHED Shed 120 $ 1,000 i'$1,000
Property Sketch Legend
BAS First Floor, Living Area FST Utility Area (Finished Interior) ,, °UAT-J'Atfie•-Area(Unfinished)
BMT Basement Area(Unfinished) FTS Third Story Living Area'(Finished) UHS,,Half Story(Unfinished)
CAN Canopy FUS Second Story Living Area (Finished) . UST Utility.Afea(Unfinished)
FAT Attic Area(Finished) GAR Garage ,'U:T.Q Three'..Quarters Story(Unfinished)
FCP Carport GRN Greenhouse UUA 'Unfinished Utility Attic
FEP Enclosed Porch PTO Patio UUS Full^Upper 2nd Story(Unfinished)
FHS Half Story(Finished) SFB Semi.Finished Living Area WOK Wood Deck
FOP Open or Screened in Porch TQS Three Quarters Story(Finished)
• i,
http://w-ww.town.barnstable.ma.us/tob02/Depts/AdministrativeS ervices/Finance/Assessing... 9/27/2005
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i TOWN OF BARNSTABLE
Lb)CATION L `� �1Pt M C GTE �i A� SEWAGE #
VIII. ;GE �Ysu�S , ASSESS R'S MAP.& LOT
INSTALLER'S NAME&PHONE NO. ✓
SEPTIC TANK CAPACITY
i
LEACHING FACILITY: (type) lf CSas (/`-fit l— (size) JZ r ��
NO. OF BEDROOMS
BUILDER OR OWNER
PERMTTDATE: Z l;I�J COMPLIANCE DATE:
r �
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
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No. FEE
I
COMMONWEALTH Of MASSACHUSETTS
Board of Health, BAQ4 S'TA-fSLC ,MA.
APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct( ) Repair)< Upgrade( ) Abandon( ) - ❑Complete System Individual Components
Location 04 A \ S Owner's Name l
Map/Parcel# MAP o 31 Chi Qo I_ Q Address 4
Lot# -7t�8 Telephone#
Installer's Name Designer's Name
Address Address
Telephone# Q _(D0 531 Z) Telephone# yt—® 9lP
Type of Building of ize 4a 4- sq.ft.
Dwelling-No.of Bedrooms Garbage grinder WrA
Other-Type of Building �t�t1Q. No.of persons howers (s<Cafeteria (Vr
Other Fixtures LAV prTOR'1 , ISM TCb15 �er.1�C LRys�1��11
Design Flow (min.required) A4® gpd Calculated design flow Q Design flow provided 454,3 gpd
Plan: Date 1 `� Number of sheets Revision Date f A
Title SL,-�M
Description of Soil(s) '�C� C'�,ChSzC� �j
Soil Evaluator Form No. 1 o� Name of Soil Evaluator of Evaluation
DESCRIPTION OF REPAIRS OR ALTERATIONS 'Zr Ap c;&C.&Q6\ t; Zj 6
DESIGNING ENGINEER M T 1PFRUISE
INSTALLATION AND CERTIFY IN WRITING
THE SYSTEM WAS INSTALLED Iff STRICT
ACCORDANCE TO PLAN.
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 iand "
further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed T) Date
� C
Inspections / -�
No. L , 61 y FEE
COMMONWEALTH Of
Board of Health, ?AQ0 ST14rst_E MA.
_-- _ APPLICATION FOR-DISPOSAIL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct( ) RepairX Upgrade(' )Abandon( ) - ❑Complete System Individual Components
LrlAdde
4 (�Et�S �� M� I' Owner's Name
r 1_
M�Q O-1 �Q, �O1 _ c3 Address 4 {p M$
i� Telephone#
me s f oe Designer's Name
Address
C} _(ou 8_S a Telephone# L} — 9
Type of Building rot$izc.4Q , sq.ft.
Dwelling-No.of Bedrooms Garbage grinder WIN
...t. Other-Type of Building No.of persons howers (<Cafeteria (►r
Other Fixtures Lia-,1 -rc Kcal �„lk . L auMOR"Y
Desigu Flow (min.required) !440 gpd Calculated design flow q.?�D Design flow provided 454 3(Dgpd
.Plana Date J 1 b 3 Number of sheets Revision Date Nil A
Title �Cf�C7CsSf2� �y�n4lx GCQ SQs, C(z SQ \J\`> >` .�ZZ" �t
Description of Soil(s) O GC wC h4.�
tTa3
Soil Evaluator Form No. � � �- � a� Name of Soil Evaluator CARMTY,) JKA1'Date of Evaluation
DESCRIPTION.OF REPAIRS OR ALTERATIONS 4 . C—,,-�C.CV�Qc\
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board-df Health.
Signed r leAA Date 2.— A-,
Inspections AA
.��>� �/�
/ "-3
LI/
No. C � FEE�Y'
COMMONWEALTH LTH OF MASSANCHUSETTS
Board of Health, A lLtuG.�II MA.
CERTIFICATE OF COMPLIANCE
Description of Work: V Individual Component(s) ❑Complete System
The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded (✓f Abandoned ( )
by:
at 1 y p!i F t L,.; '-+c
has been installed in accordance with the p ovi ions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to
application No. flZ '.�7�7, dated P3� Approved Design Flow / (gpd)
Installer /
Designer: Inspector: _ Date: /) Sr'
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
No. aV FEE�3
COMMONWEAILT14 OF MASSACHUSETTS
Board of Health, YA,r"S`t , MA.
DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permission is hereby granted to; Construct( ) Repair(✓7 Upgrade( ) Abandon( ) an indiN4dual sewage disposal system
at to Lk A4, Vh e,i C . ���1� as described in the application for
Disposal System Construction Permit No. ted /�j
Provided: Construction shall be completed this three years of the date o• this in f. , 'I/local c6hditijons must be met.
Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Dat e )/ Board of Health
v v
TOWN OF BARNSTABLE
1 LOCATION �� �i � V S �,n -- SEWAGE # l,7�� ��
ASSESSOR'S MAP & LOT
VILLAGE ASS
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITYy s� '"'� L(TV
c
LEACHING FACILITY: (type) _7 '5 `FW j L— (size)
NO.OF BEDROOMS —Z 4
BUII.DER OR O72-
R l�v"
PERMIT DATE: l/L� 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
Feet
on site or within 200 feet of leaching facility)
Edge of Wetland and Leaching Facility(If any wetlands exist . Feet
within 300 feet of leaching facility)
i
Furnished by
i
0
D
I f ,
(`�Us M CARMEN E. 1J Y (508)-548-0796
ENVIRONMENTAL SERVICES, INC. P.O. Box 627, East Falmouth, MA
02536
February,5, 2003
RE: Certification of Title V Septic System Installation:
Residential Property—64 Asa Meigs Road, Marstons Mills, MA
Dear Sir or Madam:
On February 3, 2003, Roger Roberts, Inc. was issued a permit to install a Title V Septic System at
64 Asa Meigs Road, Marstons Mills, MA, based on a design drawn by Shay Environmental Services, Inc,
dated, January 31, 2003.
I
XX I Certify That The Septic System Referenced Was Installed Substantially According to the Plan
I Certify That the Referenced Above Septic System Was Installed With Changes but in
Accordance With State and Local Regulations, Revisions or As-Built Plans/Sketch will Follow.
The Septic System Was Not Installed Per State and Local Regulations and Corrective Action is
Required.
If you have any questions, please do not hesitate to call the undersigned at (508)-548-0796.
Sincerely,
CARMEN E. SHAY
ENVIRONMENTAL SERVICES,INC.
CARMEtJ c
SHAY
No. 1181
Carmen E. Shay, R.S., C.S. �Fc1 s;EeEc Y
a,
President , APr
Vll'1111
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FORM 11 - SOIL EVALUATOR FORK
Page 1 of
No.: Date: 1/28/03
COMMONWEALTH OF MASSACHUSETTS
Sandwich , Massachusetts j
Performed By: Carmen E. Shay Date: 1/28/03
Witnessed By: Waiver
Location Address or#64 Asa Meigs Road Owners Name: Roger Poire
Marstons Mills,MA Address and #64 Asa Meigs Road,Marstons Mills
Lot# Map 31,Parcel 001-08 Telephone Number:
New Construction : Repair : X
OFFICE REVIEW:
Published Soil Survey Available: No ❑ Yes ❑
Year Published: Publication Scale: Soil Map Unit:
Drainage Class: Soil Limitations:
Surficial Geologic Report Available: No❑ Yes❑
Year Published: Publication Scale:
Geologic Material: (Map Unit):
Landform: Glacial Outwash
Flood Insurance Rate Map:
Above 500 Year Flood Boundary: No ❑ Yes
Within 500 Year Flood Boundary: No ❑ Yes ❑
Within 100 Year Flood Boundary: No FX I Yes ❑
Wetland Area: None
National Wetland Inventory Map (map Unit):
Wetlands Conservancy Program Map (map unit):
Current Water Resource Conditions (USGS): Month
Range: Above Normal El Normal ❑ Below Normal ❑
Other References Reviewed: USGS Topographic Map
DEP APPROVED FORM 12/7/95
. I
FORM 11' . SOIL EVALUATOR FORM
Page 2 of 3
Location Address or Lot No.: #64 Asa Meigs Road, Marstons Mills, MA
On -Site Review
Deep Hole Number: #1 Date: 1/28/03 Time: 9:30 AM Weather: Sunny, Cool
Location (identify on site ,plan): Refer to Sketch
Landform: Outwash Plane
Position on Landscape (sketch on back): Refer to Sketch
Distances From:
Open Water Body N/A feet Drainage Way N/A feet
Possible Wet Area N/A feet Property Line 25' feet
Drinking Water Well N/A feet Other
DEEP OBSERVATION HOLE LOG
Depth From Soil Soil Soil Soil Other
Surface Horizon Texture Color Mottling Structure, Stones,
(inches) (USDA) (Munsel) Boulders, Consistency,
% Gravel
0" — 6" A P Sandy 10 YR None <5% Gravel, Friable
Loam 3/2 Friable
6" — 28" Bw Loamy 10 YR 5/6 None <5% Gravel, Friable
Sand Friable
28" — 156" C' Med. - 2.5 Y 7/4 None Medium Sand, 15%
Coarse gravel, Loose
Sand
Parent Material (Geologic): Glacial Outwash Depth to Bedrock:None encountered
Depth to Groundwater: Standing Water in the Hole: None Weeping From Face: None
Estimated Seasonal High Water Table 156" Assumed — No groundwater Observed
DEP APPROVED FORM 12/7/95
` ` FORM 11 - SOIL EVALUATOR FORM
Page 3 of 3
Location Address or Lot No.: #64 Asa Meias Road, Marstons Mills, MA
Determination of Seasonal High Water Table
Method Used:
❑ Depth observed standing in Observation Hole: N/A inches
❑ Depth weeping from side of Observation Hole: 156 inches (assumed)
❑ Depth to Soil Mottles: None inches
❑ Groundwater Adjustment: None feet
Index Well Number: Reading Date: Index Well Level:
Adjustment Factor: Adjusted Groundwater Level: N/A
DEPTH OF NATURALLY OCCURING 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: Yes
CERTIFICATION:
I Certify That on September 17, 2000, (date), I have passed the soil evaluators 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: uz,ma Date:
FORM 12 - PERCOLATION TEST
Location Address or Lot No.: #64 Asa Meips Road
COMMONWEALTH OF MASSACHUSETTS
Marstons Mills Massachusetts
Percolation Test
Date: 1/28/03 Time: 9:30 AM
Observation Hole #: #1
Depth of Perc 30" — 48"
Start Pre-soak
End Pre-soak
Time at 12"
Time at 9
Time at 6"
Time (9-6")
Rate Min./inch <2MP1
* Minimum of 1 percolation test must be performed in both the primary area AND reserve
area.
Performed By: Carmen E. Shay
Witnessed By: Waiver
Comments: Would Not Hold 24 Gallon Presoak - <2 MPI
Site Passed X Site Failed
DEP APPROVED FORM 12/7/95
Sep - 20- 01 13 : 52 6ARNSTABLE HEALTH DEPT 5087906304 v�
• r
sn.�roi
INOTICE: This Form Is To Be Used For the Repair Of Failed
Septic Systems Only. _
PERCOLATION 'TEST AND SOIL EVALUATION EXEMPTION
FORM
CA2M 1 `� hereby certify that the engineered pian signed by me
c a;ec t 3jo� concerning the property located at
6A MruGS T M� _ meets all of the
r:l:ow ing c-^.tena
• This failed system is connected to a residential dwelling only. There are no
.ommercia.! or business uses associated with the dwelling.
T1.e soil is class!"ed as CLASS l and the percolation race is less than or equai to
-ri nutes pet +rich. The applicant may use historical data to conclude this fac: or may
._or:duct are:trr.wary tests at the sire without a health agent present.
• There :s no Increase to flow and/or change in use proposed
• There are no vanances requested or needed.
• The bottom of the proposed leaching facility will not be located less than fourteen
1 4,, feet aoove the maximum adjusted groundwater table elevation. (Adjust the
;round yver cable using the Frimptor method when applicablel
Please complete the following:
fOp J! Gr011nU Surface Elevation (using GIS information)
Vv' EIC V31:011 ,515_ :.d;uscment for high G.W. D,t ,., _ ..(03 -4
I
FRFNCF BETWEEN .\ and 4a'
O,-CS.(.,ED — DATE: 31 �
t,
NQTIC
asec ^on the aCove information, a repair permit will be issued for �edt^ores
td�w)na[ bedrooms ue authorized to (h, Future wi:houc en,cneerec
plans ---.--
�c_un tr,:Oc, Pc,ccam9
r i
r
I
Permit Number: Date:
Completed by:
HIGH GROUND-WATER LEVEL COMPUTATION
Site Location: k-,, 4)5A MFXc,s '�Aj M•M t��`� Lot No. g
Owner: 2,cgc2es � Address: �'jRpt 7 c
Contractor: �418�� tc�ett-Uc�cri¢11�?1,Address: �bX (��� C• �MLtin. (�j}
Notes: Q� (o
STEP 1 Measure depth to water table
tonearest 1/10 ft............................................................................... Date
nth/da /Year
STEP 2 Using Water-Level Range Zone
and Index Well Map locate
site and determine: QQ
OA Appropriate index well............................................_...... �O13
I
OWater-level range zone.....................................................
STEP 3 Using monthly report"Current
Water Resources Conditions"
determine current depth to y.
water level for index well........................... . month/year
STEP 4 Using Table of Water-level Adjustments
for index well(STEP 2A),current depth
to water level for index well(STEP 3),
and water-level zone(STEP 2B)
determine water-level adjustment...................................................::.....................................
STEP 5 Estimate depth to high water
by subtracting the water•
level adjustment(STEP 4)
from measured depth to water
levelat site(STEP 1)............................................................................................................. (011
6
Figure 5.--Computation form,step 1.
7
Cape Cod Commission: USGS ,Well Data - December 2002 Page 1 oi'2
United States Geological Survey
Observation Wells
As a service to Cape officials, engineers and other interested parties, the Cape Cod Commission
publishes monthly groundwater data gathered by its Water Resources Office.
The water level measurements shown below are taken monthly from United States Geological Survey
(USGS) observation wells and compiled during the last week of each month. They are published as soon
as possible.thereafter.
Listed below are nine out of the 61 wells measured across Cape Cod by the Commission's Water
Resources Office. These nine are employed as index wells to be used with Technical Bulletin 92-001 to
predict high groundwater levels.
For your convenience, we've also provided links to USGS national and state data. See the last column in
the table and the footnotes below.
For funher information, please contact Hy
drologistfjbrile_B..lfil at the Commission offices (508-362-
3828).
December 2002
L.!S(:;S Site
Departure from iN'umhei`;
Location Well No. Water Record Record Average" (links to L S(:,'S
Level* High* Low* Monthly gOverall u,,ttioinil w mer-le\ 0
(latabase)
Barnstable 230 24.9 20.5 26.6 -0.7 �L-1.2 4J.395�6070.164'.01
Barnstable AI 26.9 20.5 28.6 -1.8 -2.4 4,1415.4070165001
Brewster BMW 21 13.2*** 6.9 13.6 -2.6 -3.0 4�4�18070020301
Chatham CGW138 24.7 20.9 26.6 -0.3 -0.8 4_14 10 Q7 0011101
Mashpee 413525070291904
Sandwich 2D2 47.6 45.9 48.2 -0.1 L-0.3 414418070?41601
a.
Sandwich �D53 54.2 45.8 55.1 -3.6 -4.0 4.1.4)_?�1070?6>90_I
Truro 4202060L00459QI
��'ellfleet W 17W 11.7 7.3 12.8 -0.7 -1.3 41.5_'53069585401
imp //�vww.capecodcommission.org/wells.htm 1/13/2003
- 3 5 CAI
L,10 G-A T ION S E W A 6'E.',''PE RMIT NO.
VILLAGE
I N S T A LLER'S NAME i ADDRESS
;OYR .. N ER
DATE PERMIT ISSUED /,z 7 A-Y
'
f
DATE COMPLIANCE ISSUED `
"
0
. y i
-3a go
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F HEALT
- /. ✓................OF............... "%/�X7&e— .
........................................................
Apoiratuan for Disposal Works Tonshvdinn rprmit
Application is hereby made fora mit to Construct ( ) o pair ( ) an Indivi Sewage Disposal
Systay at:
101/2
Z. 02- d_
. _ ....Locatio Add •ress �� .. Address
t.N..
»..»_.._».. ---......» _1.. 1».��%Yl7'G_: " -- l'_ '/ ........
.. e!-
Installer Address
Type of Building e Lot............................Sq. feet
U Dwelling—No. of Bedrooms....... ...............................Expansion Attic (41-1* Garbage Grinder ( )
►-�
04 Other—T e of Building .............. No. of persons____.__._...._............. Showers — Cafeteria
04 Other fixtures y .............T;i ...._......._ga ..gallons.
WW Design Flow............:. ..(._........____..._.....gallons per person er y. Total daily flow............... gallons.
Od Septic Tank—Liq id ca�ac' _et".gallons Length ? . Width________________ Diameter...._-___....... Depth....... '—_�
Disposal Trench—No. .f�......_.. Width....__--T_..__..Total Length.....:c-t....... Total leaching area__......_..sq. ft.
3 Seepage Pit No......../...._...... Diameter....._/-,�...... Depth below inlet.... Total leaching area... .-...sq. ft.
z Other Distribution box ( ) Dosing tank ( )
a
Percolation Test Results Performed by..........................................•---......-•---....----------... Date........................................
,.1 Test Pit No. 1___,Z-d_...minutes per inch Depth of Test Pit......./2Z... Depth to ground water________________________
fi Test Pit No. 2................minutes per inch. Depth of Test Pit.................... Depth to ground water........................
O Description of Soil....... = ..-..... P/...... .... ---•--•----•.................•----.............._..
w - 2�---'-1.. h. .� rc .� .. ............»....�
.................•--------•--------------........---------.._.....--•---....._..._-...--------......---.......................---------...._............_._....._........------.._.__....••-•--------•--
U Nature 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 Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has •ssued a board of h--------------------------
D
ApplicationApproved By......:.. ........... ----------•-------•-•----_-»_-•---__-•----•-•••---•-•_---•-•-•--•-•» ..-= = _.. .. _....
Date
Application Disapproved f o the lowing reosons:.....................................
----••---••---•-••---•...............................•--------.......-•---............»»....---......—•---------------------------...------•-----......--------•-------..._...._Date
Permit No............................. Issued.---........................ ......._...».......
_
No._. 3... � F$s ...
THE,;COMMONWEALTH OF MASSACHUSETTS- i
BOARD F HEALT F -
.�:�..
Appluati ari for Bispnstt1 W arks T.unstrurtion- Permit
Application is hereby made for a P_e mit-to,C nstruct ( ) o R pair ( ) an Individual- Sewage Disposal
-Systegi at: _
ner Address
............ _..............
1.................. .ws -Z......................---•---•---.... ..:��-!.. ................
Installer x Address
S Type of ng "Size Lot......................•-- . q. feet
U Dwdlling—No. of Bedrooms........ .....Expansion ttic (`) Garbage Grinder ( )
.m.- —
'4 Other—T e of Building ...... No. of persons........................... Showers
pl YP g .........-•----•----... P ( ) Cafeteria ( )
04 Other fixtures .....................••••• • ...•... ->............-•..............
Design Flow.._.......:/ ........ gallons per person er day. Total daily flow.............r ..................gallons.
Septic Tank—Li > d ca a AIl�� lons Len i Width..y-� Diameter...-"......_. D th..,.. ..."'.!5
P q $,... > "...... ep
Disposal Trench—No.. f�...._.. Width....^-.""'....-. Total Length.......... Total leaching area._- ........sq. ft.
3 --
Seepage ..... Depth below inlet.... :... g sq.
---.._-
Se a Pit No..._....�.._._.... Diameter.....:�,�. ..---Total leaching area.__. .�:-.9. ft.
z Other Distribution box ( ) Dosing tank ( ) --
Percolation Test Results Performed by......................:.................................................. _Date::-:....... -
...:...................
^,aa Test Pit No. I...X ...minutes per inch Depth of Test Pit....... .`la_.. Depth to ground water.........
Li. Test Pit No. 2................minutes per inch. Depth of. Test Pit.................... Depth to ground water.......0................
Q- ..... . -.�- .... •�.� .
Description of Soil.........6.... .. a _.. .....................
f2 — .r �'-......;4.AAK.:....................................-................................
...................................•-•-•-•---••---........................................------••--•-.....................---......----••---•-----•----•-------•----------•-•........-••........6......
U Nature 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 Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has issued Y,4he board of h�lt•h.
---
D e
Application Approved BY j. . ---------------------------•.................................. ... -� ...;;..........
ate
Application Disapproved f o the llozving reasons:................7..... ....... ---------------..........-------------"
•.....................................................••---........-•----..._.........__.._........... •----••----••---•--•-•-••--•-•••-•••-••-••-•.....---•-•-•••--•••--....-----•-••-••.........._
Date
PermitNo.....................................:._...._.._..... Issued.....................................................---
f. ce
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF.....................................................................................
-- Trrtif ratr of Tompliana
TWS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( )
by....... .......................................... -----•----------------- -- -------------------
-----------
.._....................
•------
....._...-------------
-
Installer
has been installed in accordance with the�bvisions of TIT F 5 The State Sanitary Code s de ed in the
application for Disposal Works Construction Permit No.. - A�.............. dated... .. ._. �� k1...............
THE ISSUAN OF THIS CERTIFICATE SHALL NOT BE CONSTRUED S A GUARA TEE THAT THE
NSYSTEM 7WAIF CTION SATISFACTORY.
DATE..... ..d.. .................................................
...... Inspector......... ---- ----••------...---------.....................-----.................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Ncif 1� ... OF..... FEzA;.-0.............
Disposal 10orks Tontrurtion Permit
t
Permission is hereby granted......... !.J'..
to Construct r R r an u ewa al a Disposal System,
g P. Y
atNo..... �. .`--.... ...... ............_...................................................................... ------.... ...............
Street
as shown on the application for-Disposal W s Construction Permit No.. __. ..... ........ Dated. .,l . ., ,...T............. o
------------ - ------------ .......................... ......---•--•••••.............
Board of Health
DATE............... ..... . ... ..1.!..
.............
FORM 1255 H BBS & WARREN. INC.. PUBLISHERS
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130 .9
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41 OF
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LEGEND.. r _
} EXISTING SPOT ELEVATIONI ' p,�0 oF�y� ` CERTIFIED PLOT PLAN
, EXISTING CONTOUR ......... 0 ''G'° �aA y�� ,� x s .�-r �.
FINISHED SPOT ELEVATION Q ] /v�� s�c�n/-5 I fi //-G _S
# xFINISHED CONTOUR - ~— 0 ' RSA y
,o ;A No 1095 �Q�w IN
c -
APPROVED i BOARD OF. H A'LtN 90 FG�sT ' .�
�SSlONA1.°��6 `J A "
, D�►TE. AGENTyd DATES
"""""""" $�1N S a -
TLDREDGE ENG/N+E'k'R/NG Ca !N Nous�rr
s: ''F.. CLIEN*r` ' , I CERTIFY. .THAT THE' PROPOSED
EGISTERE REGISTERED JOG.NO. 83� o ff, BUILDING SHOWN ON HIS PLAN
CIVIL: :LAND .p r CONFORMS - TO THE ZONING 'LAWS
ENGINEER EY " OR.''SY� ' OF 8ARNST�8 E MASS. 4,
LA
Y
719 MAIN STREET
NYANN 15; MASS.'. ' OEM:' OFs. A E G LAND SURVEYOR
- /1lOTP /F E/TiYeR Tt/E-SEP_ T/C TA"I< OR
2Q F7. NlAI. i F,4 G.aiinrG P/T AR.E MORE TN A:•/ l2"SELO w
!® h/N 1RA OEM 24'O/A M E TER CoNCR E T CO YE.e'
SNALL BE BROUGHT TO GRADE. `-;,v EXT.4.4
GONCI•te1't� 40 m.,Icw ' P/PW &je,4Vy CA ST /.PO/Y COv�—R Shr.4 L L �E USED
A?1N- P/TCN /F/N DR/VEW,4 Y
Q • MtN.
"Al CLE,gN SA.YO
L6iUeD LEYEL - - '�
_ _ �• j- � 2�LAYER
•• • WA Sfr®lf CIAL. teD 57iNE
M/M PfrCW
•• • • • • • • • e s a•
`PL R PT slepr/c TA/6/OC ®DX e o • • t e • • • • • .•• •
t! e • • • •` 31�`- � �2
# • •EFfEC7 • .
• •• • r WASh+ED STONE
7 PREG',AS T SEWAP17 OR GE£ n.;. i � 7�- • e. • • • e s • • • i � •SA
.
��r CIF�/f G/T}! 5 4 " G.P4 �O F j� s . • • • • e • • • • e y y. o
ti +L/VY,�K7" L'LEYATOOAI g - _ _ s E 4--
AT SE&7;4jVLar7fXYET C / f. Oiv�
TRAP/ L ,8
-
�> • � •--` GhsOuNfl tt�iTER TALE �
114o6�7" 5Arc7'ION OF''
l�LEr LEA ! �f SE' AGE........
TAdllLATIC
ti
x r Y � �: �' �� ap1!•fE/YSION A 3 1�7r
p�+� s .$S:o4L@r f� f 0!J•lEl�f$l0110 � Fp r
j lNi
>zIdlMBER Of®E1Ju�®oM+s 3 _ F Da"fFwSI®N C 4 FT
tOG
GA.�O.aG.E'aisP6s��.vw/r
TOTAL EJT/MAT�® FLOM/ 3 GAt�aBY SOIL TEST Al SOIL TEST4�F r
/s!t/MBER QF L,�.tCNfN6 ®/T3 1_ trLEY. la3 2 ELVY. CA7'Lw OX SOIL TEST
PT. /�tFsuLrs wirw&sszo BY
S/DE LPAGH/NG PER P/T .51�1 � _ 2 ,- _
OorToM Lz4CNINCr POR®IT 7.Fr may- Gvl �'1 PERCOLATiD/v RATS jt/ _ S S M!/vylltVLK
. 5v35� AE NCOATION �4TE
T07AZ. LEACH/NG ARE/ S41 FT. rf��n✓
y,v MIN jINGN
a ESBRVE LE.;G'MlN6 AREA 54 PT. r ,
P�(N 4 cs S d}�v>>
ZN OF tU �'`` ,� � /'-�! r�.a TC7 fifes' .
R " pNo.095SE
t E���D ELOREf.�GE PI�GlVEER/XG CO,IeYC:
o:a8874 o A9o� ,G/S-r sl?- �/ U.
EL , 9 /,� 7.12 J►A llY ST•
c�STS�yo� FSS�ONAI�a ® N0 6/gOt/Nv yY,47&M ENC'OUIVTEREO CL/EJvr: tiv t�arim'.G. DATE: 6 a.? T-3
SUR14
a r [] oGjt0UVD. -YvATER AT FL.ff&. JOB ND: �3 21-_. SHEET Qir _�
VENT PIPE o 4 inches
� Least 2 c es tall)
Schedule 4
0 PVC w/Chorcool Odor Filter
2 S IDIAM. ACCESS
cc s MANHOLES
LOCUS MA
_ 8
_ P
*NOTE: A PIPES S SECTION 0 P AR T 4 4A A E ALL ES E 0 BE SCHEDULE 0 P.V. .
I r
C
10 min. from
n t 0
ne s
A
k
S A
[house to se n •.. r
• _.. .. , .•. ...._. _ . .. ,. . , ..,..
t to
Existing Foundation
P PROFILE VIEW OF LEACHING SYSTEM �.�.•.=.,r�.� - .�......�,� ... .. - . �, �
A , 2 \
Septic tank covers must be ..I -1 . C
to.F. dcv. - ,00.oD .p. . . Not to Scale .. b � �
within 6 In. of finished rode o 3
g ;, - •� SITE 3
_ .:1 f. o
(;rode over Septic Tank 99.00 Grade over D Box 99 00 ale over SAS � 99.00 s• o , • - r ' •asAed!Peweam
- - / THE ACCESS COVERS FOR THE SEPTIC TANK, t St,
.• a/. to , l/Y Iadad c+w.h.d s'ao.v �? T LA SCI',00
INLET .__..` __._ _:_._ DISTRIBUTION BOX AN LEACHING
D L C G COMPONENT 4 4 AD W
$ ROAD
i� ," � SET DEEPER THAN 6 INCHES BELOW FINISHED •} A MEIG Z >;
` � OU ET AS d o
1 .i GRADE SHALL BE RAISED TO WITHIN'6' �' N r0 t..,
S m 0.02 _.. '- FINISHEDGRADE. ! 3
3 HOLE H-10 1yy f. I M >
T r
DIST. BOX . M To of SAS-Elev.=92.00 1 s a
S_O 3 ox,m Cover P �.. INSTAL TVF-TITE GAS BAFFLES OR EQUALS Z _
.. to
tp EXIST. 01 or Greater , �- �..} ;,- ,- .- T - -k:, 1�. 2
EXIST. PIPE - to 1,000 GAL. 1 " per foot _` ,...:�. :,.. -.,. 4 0
1,
t\ O 50' S 0.0 0 P 24 Effective �� o
FROM FOUNDATION SEPTIC TANK SidSTEEL REINFORCED PRECAST CONCRETE
tCi Eff ectivwall rn Har blm5
11 H-10 tp � 2 • O z Effeet�e Depth e / _
j Gas Bo,M � O
00 0 ,D �- s untt, a rases 31.2s P LAN VIEW I 2000 +i-
a, Il O to to 31.25
CONCRETE FULL FOUNDATIO - 11 Cn 07 0 3.5 3.5 3-244' REMOVABLE COVERS
4V > - .•.. to r • , O W
II fl s s _ 38r 1 GENERAL NOTES
„ II ^ -
6 In.o( 3/4 1 1/2 > > Effective Length -
SYSTEM PROFILE a s " . 4 - , . 1. Contractor is responsible for Di f notification
> coin acted stone > - 11 a - p gsa e
and protection of oil underground utilities andpipes.
p > N ry Effecth•e Width II - --3 main. clearance ! P- - - to _ l •. t3 INLEt T ... 9
Not to Scale _ a SOIL ABSORPTION SYSTEM CSAS> INLET 8 mm.T- --ma. inlet to outlet ;, 2. The septic tank and distribution xshall
> -- ----- is Min, _ ovnET ,; „ .. t box be set
j > : level on 6 of 4 -1 1
j c e a _ �- Lpuid level 3/ /2 stone.
_ _ INFILTRATOR MODEL 3050 CH 2O .LOADING)/ SUMMER & DUNBAR to inn.
c - } .. 3. Bockflll should be clean sand or ravel with no
- ° 5' -7- ----1 f--- : 5. -7- stones over " i i g
2" (OR EQUIVALENT) e es o e 3 n size.
6 rn.of 3/4 1 1/� ...
compacted stone
o E 4'-0- rnm 4. This system is subject to inspection duringinstallation
CD NOTE: OVERALL HEIGHT OF INFILTRATOR IS 30' EFFECTIVE HEIGHT IS 24' %°°B°'"° Liquid depth _ i
/ o .,. ._ by Carmen E. Shay Environmental Services, Inc.
a 5. The contractor shall install this system in accordance
attain of Te t Hole 1 Iev.=$5. 4 Y
with Title V of the Massachusetts state code the approved
- PP plan
.• •. .. - ., --• i lotions
. :. .....,.._ ., •_. .. .... and Local Regulations.
NOTE: All COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE •_ - q• _i0^ ,
--- X •" I 8 0 6. If, during installation the contractor encounters an
FOUNDATION( 1' - SEPTIC TANK -►•---SQ D-SOX ZQ--i.- LEACHING FACILITY
soil conditions or site conditions that ore different
y
CROSS SECTION END-SECTION
from those shown on the soil log or in our design
installation m . h I i .
Iust halt & immediate notification be
OPEN SPACE
, „ f made to Carmen E. Shay - Environmental Services; Inc.
N 86d 15 00 E USE EXISTING 1 000 GALLON H- 1 O SEPTIC TANK 7 h i
No vehicle or heavy machinery shall drive over the
septic system unless noted as H-20 septic components
130.52' NOT TO SCALE
& Install Tuf-Tlte as baffle r I e
g s o equals on al outlet tee ends.
9. AllDistribution In "
Lines shall be 4 diameter Sch. 40 NSF PVC pipes.
„ 1 All I. „
0 solid piping; tees & fittings shall be 4 diameter
Schedule 40 NSF PVC pipes with water tight joints.
PERCOLATION TEST
11 SITE and Surrounding Properties W in 2 F r n
. 9 P / 00 Feet are Connected
Dote of Percolation Test: JANUARY 28, 2003 Municipal
Test (Performed By. CARMEN E. SHAY;_;R.S., C.S.E.
toe Water-
Test
Witnessed By 'N/A
Excovotor: Roberts Septic Services
Percolation Rate: 2 min./inch
NOTE:
THE PROPERTY LINES ARE APPROXIMATE AND
Test Hole COMPILED FROM THE SURVEY PLAN GENERATED BY
N 1 ELDRIDGE ENGINEERING COMPANY, INC. I
LOT # 8 0 0 C. 0 HYANN S, MA
42 443 Square Feet + DEPTH . SOILS ELEv
ENTITLED " CERTIFIED PLOT PLAN OF LOT #8 ASA MEIGS ROAD.
q / -- - -T------- - MARSTON MILLS, MA", DATED JULY, 19, 1983.
0 99,10 AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN
� I
Loomy Sand T SHOULD BE USED FOR NO PURPOSE OTHER THAN.
,R THE SEPTIC SYSTEM INSTALLATION.
0 3/z
0 6 A 9860
THERE ARE N WETLANDS
I Loam Sand E 0 ELANDS LOCATED WITHIN A 200 .RADIUS
Y OF THE PROPERTY
i f0 YR 5/e
- B .75
6 28 96
Mel Coarse
T NO ANY ST
RIPPED RIPP N S ED T I CONTAINING
OUT SOIL C AININ A H
n
0 G LE C ATE
i
i
Sand
FROM THE EXISTING SEPTIC SYSTEM TO BE DISPOSED
as Y 7/4 OF AS PER BOARD OF HEALTH SPECIFICATIONS.
!28'-156 C, 85.10
I
EXISTING LEACH PIT TO BE PUMPED DRY &
I I
FILLED IN PLACE
I
o {
1 _ � LOT �{ 9
I
ASSESSORS MAP 031 SEC.- 001 PARCEL - 008
a ZONING - RESIDENTIAL
. p r .1 FLOOD ZONE C
ec
_ :
� P r R - min:ate 2 n h
ec I P N PA c E S E 0 C
r n wv t r a e o bbse ed r_..
I
-
A -
DJU T H EI v N Adjustment S ED 20 e . o Required q THERE ARE NO WETLANDS LOCATED WITHIN A RADIUS 0 200 D US
o F THE PROPERTY
: 0 E
ko
l O
"-----------
•� '---_... '�O ALL OUTLET PIPES FROM M LEGEND
-.--_-_-'-_--'-_-.----- DISTRIBUTION R A L ALL BE Q _. SET LEVEL FOR AT LEAST 2 FL ^.tY CONCRETE COVER
..1� �•
`'..� •r KNOdcoij tSnET
\ ! DENOTES PROPOSED
8X0
O ,ss OUTLET ;
{ 12 INLET SPOT GRADE
DENOTES EXISTING
X 104.46
--Is's -- SCH. 40 SPOT GRADE
t.75
PLAN SECTION CROSS-SECTION
M pL
TEST HOLE #1
o PROPERTY LINE
ELEV.= 99.10
3 HOLE DISTRIBUTION BOX H-10 LOADING - 97 . PROPOSED CONTOUR
PROJECT BENCH MARK NOT To SCALE
TOP OF FOUNDATION 97- - - - - - 7 EXISTING CONTOUR
:. D-Box9
_ ,
ELEV. ,00.00 (Assumed) :
DEEP TEST HOLE &
i n r-- Des n Calculations PERCOLATION TEST LOCATION
Failed Numb r f r u b o Berdrooms- 4 Equivalent to 440 "Gal:/Day (440 G01 /pay Min. per Title V)
t Leach Pit Garbage Grindeer: No �-
• Leaching Capoacity Proposed: 330 Gol./Doy Minimum (Min. Per Title v)'
-- FENCE
Septic Tank '. 2 x 440 Gal./Day = 88 1 A
ExtsT. t000 gal. P 0 USE .500 GAL. Septic Tank.
Septic o SOIL ABSORPTIION AREA. . Using percolation rote of <2 min. Inch• PRIVATE DRINKING WATER WELL
9 /
• O Bottom 'Are_a. 0.74 o!/sq 1t. is '418s` ft. - 309 32 gallons
15 f1 �. / I 9 R
Sidewall Area: 0.74 got/sq, ft. x 196 sq. ft. 145.04 gallons
Providing: - 454.36 gallons
'
REVISIONS
4'
n AT
PATIO N0. DATE. I 1 DECK H H DEFINITION
TION
/ Use. . 5 HIGH CAPACITY INFILTRATOR CHAMBERS HAVING A 2 EFFECTIVE P
\ ( ) E C E DEPTH,
- (3' W x & 25' L) TO BE USED WITH 3' OF WASHED STONE ON THE SIDES AND
O 3.75 OF WASHED"STONE ON THE ENDS.
O EXISTING
O
BEDROOM
>�
N �
HOUSE
M ,
19 \
8, ` #43
UL-1
PREPARED FOR .
PROPOSED 2.
SUBSURFACE SEWAGE DISPOSAL SYSTEM
4 �, of
0 20
40 so C/ #64 ASA MEIGS ROAD
ROC ER A. POIRE MARSTONS MILLS MA
9 19
54 ASA MEIGS ROAD
PREPARED BY:
MARSTO N S MILLS , - M t _ r._.,- NGrC,q. ..,•
e PHEY , E. SHA Y
-96
fV
111000,
. I 8 ,
L'NG IRONMENTAL SERVICES,
.0
INC.
-- 100.52 PL
.�I c
9 h 4 THAT yy 3 THATCHERS LANE
S 86d 15 00 W ----___ S 86d 15 00
_ orsTe< 4
• EAST FALMOUTH MA 02536
�...
0 Yy r
TEL FAX 50 - 4 = 7 8 5 8 0 9 6
is �50 FOOT RIGHT OF WAY SCALE: 1 -2 0
DRAWN BY. CES DATE:
TE-
ARY AN J U 31 2003
PR0JEC T#S D 388 FIL
ENAME:NA M E SD388P P. W G SHEET 1 0 F 1
I i