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HomeMy WebLinkAbout0207 AUDREYS LANE - Health 207 Audrey's Lane 027-086 Marstons Mills � 1 TOWN OF BARNSTABLE LOCATION ZO rc S L fJ SEWAGE# Z O 7-1 311 VILLAGE to, J►�` , ) ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. $ EXGo�Va�A,0 n- q 7171- 0653 SEPTIC TANK CAPACITY �500 JO©O Z TANK 5 LEACHING FACILITY:(type) (size) ►3 x 25 x 2 NO.OF BEDROOMS OWNER r-- PERMIT DATE: 'S-ZO- Z I 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 Al -- Zy AS-gO' 82" 21 A3-34' B2�_ 19 Apt- ys 84- I5 a5' 411' (35' 13•1, A&b>ys BZ- -yo'G O OO S a REAR No. 0 Fee 100- THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: '- PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS es 2ppliLation for Misposal &pstem Construction Permit Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) Complete System ®Individual Components Location Address or Lot No. 201 Aua re.4% Lmt1o. Owner's Name,Address,and Tel.No.1�v:d �.4d2t- Assessor's Map/Parcel *L'4 I v. P- 1vt 11 pp� 1.0-4 A V dre •S Lan t, Installer's Name,Address,and Tel.No.63 4acCAvok(ue% Designer's Name,Address,and Tel.No. *Y44 Rw4-t 130 Sand%j%01 150%•4-41-O6S3 I)G)A Type of Building: Dwelling No.of Bedrooms 3 Lot Size 2�r U 0o sq.ft+% Garbage Grinder(WO) Other Type of Building- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 310 gpd Design flow provided q gpd Plan Date a 1 I;! 'L% Number of sheets I Revision Date Title Size of Septic Tank `t166ki r1-1r Id0I) Qa1• Type of S.A.S. (2) SOO An.110n G�f1o.a+�000S Description of Soil Nature of Repairs or Alterations(Answer when applicable) VNskoll SAS L' 50U chp mbt(S) C,onnnchMY "4U ex+S�tnv �as�lc. 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. Signe Date 12 2 Application Approved by Date in 2 Application Disapproved by Date for the following reasons Permit No. ( 3 Date Issued J - f ' No. Fee Fee Entered in computer: THE COMMONWEALTH OF MASSACHUSETTS , PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppYication. for Misposar 6pstetn construction 3permit _ Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon(a ) [916omplete System [7 Individual Components Location Address or Lot No. 0_1 Au c,1 r e tj'; fi,o,(Ne,. Owner's Name,Address,and Tel.No. �i c+ Y C1 c r M' Assessor's Map/Parcel '�, !gy(Q to - Milli "j,,. A o ct.rg,. '� Lc n�_ i Installer's Name,Address,and Tel.No. lc,x (n.\�)c\t bn Designer's Name,Address,and Tel.No. 7))14 (,ovl e 1'?O )c\ndww - S0V'1*:7'7'0(-,�3 n4?,11 I nd,�o sccll .s - Type of Building: Dwelling No.of Bedrooms Lot Size 4T) 0 0 U sq.ft.", Garbage Grinder(too) Other Type of Building FR No.of Persons Showers( ) Cafeteria( ) a Other Fixtures - Design Flow(min.required) O gpd Design flow provided Ci gpd Plan Date $1 G Z t Number of sheets 4 Revision Date 0 j"./ Title Size of Septic Tank `Ly I SA n k 1000 u,', Type of S.A.S. (2) Description of Soil 1�,e e fj c n Imo, ; C-40 Apr-"I � � fi����►. ,:, �: M, ;, 3 \ •, r y.,. Nature of Repairs or Alterations(Answer when applicable) t1St all �1 t,t SAS.,", t. 50c) cy tI o­ ( 1.�00VCV,nV k v . 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(off Health. ..� Signed-� Date g Z Z i �{ Application Approved by _ ... d? ( Date /xv ff?., Application Disapproved by Date for the following reasons Permit No.'` J`'o;1- Date Issued r '!.�o(� l THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance M THIS IS TO CERTIFY,that the On site Sewage Disposal system Constructed( ) Repaired( X) Upgraded Abandoned( )by r• t -~a ) (. at has been constructed in accordance J with the provisions of Title 5 and the for Disposal System Construction Permit No.��' (-311 dated 1Pb1 �r Installer L,XCtoWAio^ !nc Designer DtPA �,no\Carr,4r._1' #bedrooms Approved design flow 330 gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. ! .�,4 j/ r. Date /per Inspector a d` .f V �a C/! - fj{ - - ----- -- = - - / No. -----t1 Z( ¢( Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal *pstrm Construction i3ermit Permission is hereby granted to Construct( ) Repair( 7i.) Upgrade( ) Abandon( ) System located at 101 Auk{e, ,y Lca cn_ and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction,must be completed within three years of the date of this permit. i Date P/„ 0./ r Approved by 1 ✓ Y e <1 Town of Barnstable IM l ti Regulatory Services Thomas F. Geiler, Director r r Public Health Division �DrF1 Mp Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508- 62 644 Fax: 508-790-6304 Dater Sewage Permit# 10Z1 - TL Assessor's Map/Parcel 21- Installer &Designer Certification Form Designer: Installer: ��[w � Address:! (��''`�c� "� Address: On g Z,0 2l 6 as issued a permit to install a (date) AA (installer) septic system at based on a design drawn by ,A� (addr ss) MO( �Qb dated g $ 21 (designer) �ertify that the septic system referenced above was installed substantially according to the design, which may,include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was. inspected and the soils were=found,satisfactory.•" 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 u 'motions. Plan revision or certified as-built by.designer to follow. Stripout (if r- acted and the soils were found satisfactory. kk OF 4f . v DAVID- 9y\`;. D 6.: r ' �.�-�C�Q�•-- �(Insaller's Sib ) MASON o m�I _r .No..1066 I c esi er s Signature) \ .1 PLEASE RETURN TO BARNSTABLE PUBL. � ��fE OF COMPLIANCE WILL NOT BE ISSUED UN i iL asks a ri s iiI,, t ORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. a:\office forms\designercertification fonn.doc N. 9f S�vR L 0 CAT IONU�2�`ys SEWAGE PERMIT NO. VILL/AAGE M l ' ►0.Y'S�o�'� 9 1 � ��S . I N S T A LLER'S NAME & ADDRESS q�Ok�5 M 3 R U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �0�5� � y G �, 3�$ 'i i � '' o � 6'' °' `�'�'I c��" ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ®� .....-.il... ....................OF...` 0,V05 ... Q� Appliration for Disposal Works C onstrudivit rrrntit Applicatio is hereby made for a Permit to Construct ( >� or Repair ( ) an Individual Sewage Disposal System at: D�f�#2-o`7 !4 ............. ._..o. .. ...4..�E.....................................oc ihn-Address r I of No. ..�R�c. ....... . _ ..�:� :e.�,.._.1�q�Qa...��: ..�S�l a'JRS_��cA ....... _�.��?_�....................................... W .. Owner Address Installer Address Type ui ing Size .... er ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q Other fixtures ................... WW Design Flow..... ...... 5......................... per person per day. Total daily flow.,....:5.3..x2........................gallons. WSeptic Tank—Liquid capacity..LCDT,?.gallons Length....�i.5... Width:.A.r.57 Diameter................ Depth....'�-�®.. x Disposal Trench—No. .................... Width.................... Total Length..................... Total leaching area....................sq. ft. 3 Seepage Pit No......... .......... Diameter.....1.......... Depth below inlet................ Total leaching area.'Z-Q.1......sq. ft. Z Other Distribution box ( ) Dosing enk ( ) �" Percolation Test Results Performed by.........�. i.Sf 1 Yl.p......... :.. .,........... Date.... �..y.�. 'a---,--...... Test Pit No. 1----.Z.....minutes per inch Depth of Test Pit....W........ Depth to ground water........................ Gj. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x ................................................. .............. .---•.................................... O Description of Soil............ %?A-S'.A............ CfA!-----=--------- -------- --- • ----•.•. ......................................................... V .......... --------------------------------------------- .------............••• --.. . .. . .._............... .......... . ...............------ W 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.:ITL; 5 of the State Sanitary Code— The undersigned further agrees not to place the system in ope .on until Cer fica of Compliance has bee d b the board of 119h1th. • • -- -. .. ---------------- ApplicationApproved --- ---- ---- -•-------- ----------••-•---.......-----......-•--------•---•• �- Date Application Disapproved. r th ollowin reasons:...................:.........•..............._.__..........._......................... ............ ........ ...............................................•...................._..... ......... Date PermitNo......................................................... Issued.....................................................- Daft FRic THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r/1 ..� .Cl. . ....................OF...' Cx c-tq�a a.. .. f /,_'X 1 lv Applirttfion for Uiiposal Varks Tonifrudion Prrutif Application is hereby(made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 1 a `"' . tr$� �f1Qks 4a 91115 M•mt -�Q- . .... ...�s.. .... .................... C ocation_Address r or Lot No. ....... fir. - •-..t t'G ! g...;t �A�.rn "p ra.r,1 _ _g_ l4 V V.cx 4 .. .,. - - . ..•-----••- ---••--••---........_•-.....__-•---___...... Owner d Address w ---- - M o uInstaller Address l Q7i Type iring Size Lot_T-4, v•���_....Sq. feet U Dw n No. of Bedrooms_-_......_ ...........................Ex Expansion Attic g— p ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ._._.._.. WW Design Flow...........__�?_5._-.......................gallons per person per day. Total daily flow..... .._.-....._ _......_..._gallons. WSeptic Tank—Liquid capacity_tom?.gallons Length____ �. . Width:._'�.> �___ Diameter________________ Depth..__' ::a-. x Disposal Trench—No..................... Width.................... Total Length..................... Total leaching area....................sq. ft. 3 Seepage Pit No......... .......... Diameter....".��........... Depth below inlet..--.....G....... Total leaching area.7.:r?--l_......sq. ft. z Other Distribution box ( ) Dosing-tank ( ) � aPercolation Test Results Performed by..__le-._T-�?_ J kQKA-k__......� ....r__...__.... Date.........5_..--'-`f 1 %3.__....._... Test Pit No. I.....I.......minutes per inch Depth of Test Pit....L�+�_.�........ Depth to ground water........................ Lt. Test-Pit-,No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --•••-••--•-••••••-••-••--••••--__....._.. :..--•---•-•.:`.....................•-•-•--................................................................ D Description of Soil......._-_�':0?p-� �-A Wy.................. ._...._.. .......... •--•----�._.._._......-----••._....._.....:....._....... --..._.........---•--•—-- VNature 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 MALL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation,until a Certificate of Compliance has bee s-ed thdbo- d of 1 lth. ApplicationApproved y. •-•- ---- •------- ...............................................................•- j- - Date Application Disapproved `r th ollowin reasons:_"'••___ ____________________________________________________________________________________________________ ... ...........•---.._.......------•--•...-•---•----..._....._.._..-------••--•-••-•----.....__..-..----••---_... .......-•-•--- Date PermitNo......................................................... Issued.------...-----...-------............. ....... Date THE COMMONWEALTH OF MASSACHUSETTS I BOARD OF HEALTH .......................................OF..................................................................................... CIrrfif irttfr of Tomplitturr THI S TO.,ERTIFY, That the Individual Sewage Disposal System constructed or Repaired by....:�-•-- . ---•- -•-• - ••• ...... ...... - -- alter at-........ ....---` ..: . .. .- has been installed in accordance with the pr s' ns of-Tl^ F 5 f The State Sanitary e a woribed in the application for Disposal Works Constr on ermit No.__�'"�� .--•--•--- dated_�� ...�_1-T........................ THE ISSUANCE OF THIS CE ATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. _ --_•_•-_--•••--_-•------------•-•-_••••- // DATE...................................................... Inspector -'r l � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7 N •---•-•........ F ....... �t��ro � �onofrttrfiun �rrmif Permissionis rib: gr" to •- ---- ----•- •••-• -•--•......... ... .... •. ....... --•- ............................................................. to Construct n v►� e�7 oral atNo.............. ........... ..---`-== ........................ . ...... .......... ` ... Street as shown on the application for Disposal Works Construc Permit No.. Dated.......................................... ...............• --------- ..................................................... DATE.......................................•C«-//J---///---.....---....:..---------/---..... - Board of Health Massachusetts Water Resources Commission/Division of Water Resources WATER WELL COMPLETION REPORT WELL LOCATION Address LO+ Cyr 8 A QC1r t!'S i-�0r- LA. SN City/Town YYl IA4LJ A }vv-,S ``l►1 I S tZ G.S.Quadrangle Map l7' Grid Location 4L��.5 �f ��laYt Owner C NA-1 yat �2 Address c17 -TSL--n1.MS , g WELL USE CONSOLIDATED WELL Domestic 0 Public ❑ Industrial❑ Type of Water-bearing Rock Other Water-bearing Zones METHOD DRILLED 1) From -To Rotary(type) Au�Cable ❑ 2) From To Other 3) From To 4) From To CASING Depth to Bedrock Length J4 d r Diameter �r Type -may�. UNCONSOLIDATED WELL STATIC WATER LEVEL Water-bearing Materials Feet below land surface r-4 0 Sand: fine❑ medium❑ coarse M, Date measured it _ a — 14 Gravel: fine❑ medium❑ coarse[-]. Screen: GRAVEL PACK WELL g �_ 4 Slot* D len th 3 from ® to Yes [l No fvf Split Screen(or 2nd screen) WATER QUALITY TESTS MADE Slot# length from to Chemical A Biological ❑ Depth To Bedrock PUMP TEST Drawdown feet after pumping days hours at GPM. How measured Recovery feet after hours. LOG of FORMATIONS COMMENTS: (On well or water) Materials From To 0 OAM 4-d 6 S 0 d 3 Firm 65 91 Rock Road Addres A ` r city Registration No. c � Operator's Signature Please print firmly 10M-8/81.164843 APPLICATION FOR PER OLAT ON TEST AND OBSERVATION PITS ,OCATION­,j�4 _ NO. )-2 3�a TILLAGE DATE PPLICANT FEE L S _ DDRESS -r-- TELEPHONE NO. (Non-refundable) ENGINEER TELEPHONE NO. )ATE SCHEDULED (Applicant' s signature) • • • . • • o • e o • e • o • o 0 o e m • e e • • • • o e o e o • • • • • • • e o e • • e • e e m • • • • o • • • • • • • • • e o • • • • • o • o o • • • • • • SOIL LOG 'UB-DIVISION NAME PATE_6vG- 4 ` ) M'j , TIME (7i ;XPANSION AREA: YES NOir,-r5 &Q (G_ ENGINEER ') 'OWN WATER PRIVATE. WELL - - 7"%' �� BOARD OF HEALTH EXCAVATOR KETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes) NOTES: - r C La+ ''9- 1 r tip °z PERCOLATION RATE: PEST HOLE NO: l ELEVATION: TEST HOLE NO: ELEVATION: 2 31 3 4 0 4 5 'ti' 5 6 6 7 7 8 8 9 9 10 10 11 11 12 12 13 1 13 14 �0 /�U� 7 °`� 14 15 15 16 16 SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEACHING PITS__ LEACHING TRENCHES JNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: 10TE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TESJ'7" ICATION ORIGINAL: COMPLETED IN ENTIRETY BY P. E. AND RETURNED TO BOARHEALTH 'OPY: RETAINED BY APPLICANT alb- cAj &WT. r$ Alb COAL r-je . ! i I f5poP FN6TQ, �o'' oPE�rHGS i f `o � ! i -�511NV FULL- 85r9NT• - - � N I I 4''(,o it. stag _ I I Gf�Rv�L_�fiCq _ ,� —Gvt NEa1 IkE55 rI� �t� E E T� C�+WI, �A I I @ 300o Ps! i 2'`_ous .�A r' Gc 1 i 2W' � Z -- _ DROP FNATN! W/1.6L !ore bPENiidLS _ $ENN�If S_ I�UOL��•NS GUSrvi•� 6vrLfl1ltl� � s=Er;�O%Li•�d(, SCAtE: �I[t�J�t'b!J APPROY®BY: DRAW BV U GA— ID-ry -0 nEv�o 11-11-04 04VL s eO5E QYOb2 Au026Ys LAIVC fi q--S70NS plif-LC, 1-04. ' OIiAWINO NU`+'6EN Fuunt��rr5a�� PL�:�,f 2 274i" 4TEO��D-JAI p ►+1 R— /� may"x 1/7/d" M►tIOt qi+1_ fYi)&k 60- HOS WiZVCT.) 40 -elf e 4" oKME2 AG7�_k- �•� •• � -- -- -4- . f YrEs /J IZ OJRi►m Ai*tc e"fG'a. • �/ �'� /}Rcy►TF�tT�R�4t.,�,QJ44E RooF S.4lNbLE5 CDX•PRYwv p` oF�phe4-µad �t // ,''s w SoGr7 w�Ggl+7• 5i�r7 VENr _3�T61r YLYv►oop.__QECKING =6FvE- _-- — - �"+g`-�AS�fR $A: 1sf0 GL, 3-4 6 JG" O.G. WUN 1'r9' @ to'"v.c. f'f3 I"Or 4-r'cry N13'IJE fCw 34IA4105 5"-r.vv- TrYvFrr. go#SC �2�_�,x_ PG•f+unp Syg97JatNG _PovRO (ON(!E'►"E CC• T"rG'':_P.T SftL g"x 4'-D" Pooteb I#MI -6 wgt.L I'-4"x f'-o" CavT, twutRE;IE CrNb. _DRat -fNDTr1_ +u"�_.cPeMiNr,S_ -'- - - -- -- --- —-- --------= -- �CNNFT 5 1400 k I N5 CV57oM 6VILDING 049 ELfN Ca - SCALX.+ Ate..I!—D!J w♦'L;ROVBD By DRAWN LW _ T y2 A I DATE' I D L J REV ISEO - . l 04W t aosE XOER !#vORE�(S �N• ++1�RSToNS MILLIS „S � DRAWL NUMBER � SE�rIo Z r lot— 6 490 z442. nNo 1442 ;. CL- racy Fn 14 341 A�1� G�35 c . ®5r i�- ...kcc• � .ry . V(A560 ov. coMPurER R,�i_ _ (- I h zGa(l I I' ANn _.a441 ANO 14¢2 7' _f�fu�I 5 1-F00GKIN5 dS O� 6vic iN(i rCEMUIJE�-:'a-� SCALE: r/ Q/I APPROYEDBY: Q DRAY.a BY DATE: �v-Z4�C4 REYIScD O�+vF E05E KYo fM'oAcT5 L. M ,0-rO.N S MILLS M DRAWING NUMBER zto Ft, LIVINL A-RFA PI.A�J � I 1 - N I � _ ' � I iWTE OIMAE5._..MOE -10 EX-157. lSTT 11__ Pt4 - 3Z�—o•, T. RAM VE.,(W+ 1.-A10 000K--M 5TV6r1.C-MP, RA, i� 1j ,4oVE GGo5&r@ Fj4o or- i+4LLwA-Y — 1Nstku- NEW 30&� STL � - . ENTr�- Ofl. 'to tJi;►�BLQEE2E'N +LAK. I I _ D + 6� SfdpY�loiyP. (CI�� O —�I�li Pfi- i/ K1TG - N I • 1 � i fl — — — — — — - N 1 uP GJS7orn 6✓a-6/NG t RED` ubf/-IN(. 1 SGLE:I��I16/I APPROVED BY: OR�WNm q 2 O6p 1 OATE: REVKED i1�Zz-�T 13'-uI'l -7 U ! �qr raj` Dg_vEeosE AroEIL ii` qv o R E S u+►. , MAgi roN E�1$*T, p5mN7.11641St, /5T Fl-, DRA(p�E��ER O .f -- ! I ti O GNP of FULL cE�L. i yT�._ 0 M k(, r- CZ44G i � 9- 13 r-113/ ! 3 / r q a 7 11 r ;/4 it J -�� �4z .._ G-6 � - _ijcnow 5, glQa ll'6 GvsTuw� �,dl�oln►c� E REMa0EL1n(i,--------- - SGLE: I4f' �f APPROVEDSY: DRAWNSY DATE: 1'-y'b4 REVLSED AuaaYs 1,N- . (1MUSTOM) n�lccSf M4. C lS_r/NG �N!✓ FLOOR p 41q ORAWM.N..SER I r'— i i1 f LL FTTI _ I MC-P i, `Q - - -— - --- - is��rr s �9ct�r�as GuSTeh� l�olL4lM� F REr^oOEL/KG APPROVED BY: DRAWN BY DATE:/��ZZ� REVLSED /�q-VF � @OSE, R'fOER o A-�p2EY5 vJ. ,M�25rbF(< {a�tLS. �A-• ORAWMG NUMBER �RbNT�LEJ, NEuJ 8�W f 61}!cA'G� 9 - 30-k- 'go— _AWI�T_RooF.. — v _ r. 14. FEcf PAveEzse.g � POK Pl4vi-o 1, 6TL ENrAY OR 2 zLiPFaWl.T�L- IEFJRG �oo.FlST. 11J.. rd!v ..GaZZ -T1 C5_ o IaSuC _ (3a:zi Dom a crNG i ES 14 L PL-(woo� TAP a r Z,l7a. — R-3a lNSoLQYoN ��LeoR� � { `o �• fI— I O Ti. QR. + x fib GRns� - sFC�'�oi�l CIE -- --- - - ---- - - ----- _)wogErr 5 �1o8GJe//1.15- Gv}rJ WA (30(1.DING f REltOQEG/!d(c scaLr:J/ N—r1 6st APPHovm er: DRAWN ogre: 1 2 2-044 RFVMM D+vC i P-0sc- -KYp 2 - Z07 AV 6 K&TS vN. ,MAR ST A r+ a s,or A E ORAWM � v� SECTION - SEWAGE ""' " r _ ' (10 _ qy - SEPTIC TANK - t - "D"BOX - (� t -LEACH I TOP OF FDN Q I O , ISM 'T H (MSL)* Z..OFtISTO 4z" V WASHED STONE \ F�T'v DtiScK IN OUT IN- 1Upp-G 0.1-UT _ IN. \ 6. � z3-as.�,� Q �� ��•�� SEPTIC TANK ��.l03 T •4 Y ` b ELEV. ELEV.�Ct (lj-1 ELEV. ELEV. ELEV. _ _'• _ \ �` J) 00TF�I . 6Ld3V. — WASHEOSTONE TEST HOLE LOG TEST BY �R?�A.t..�,ttA;—r 1. �L.+�a � \ O , ~`\ �'---•• \ I TEST DATE 'uc"' 4, t`1�'� WITNESS �\ DESIGN BEDROOM HOUSE # —� -- 1 T.H. * 1 9 t.p T.H. 2 4p' ELEV. ELEV. own y soy` PERC RATE <"� MIN/IN. DIS OSER DISPOSER �I FLOW RATE 33Q (GAL./DAY) 33c� I SEPTIC'TANK 3-2�� (t.5)= 49 S ! { I REO'D SEPTIC TANK SIZE LEACH FACILITY ` I ��� Y' s rr `^'�' • I p `I. o q. l t SIDE WALL Gk IET (Z..S) = G/D. $ a BOTTOM 4 'Tr = xs'o.w s A.3 G/D. TOTAL 144" `I9 o USE: 1 c'r"�' LEACHING �( WATER ENCOUNTERED NOTES: (UNLESS OTHERWISE NOTED) 1. DATUM �~ IQ ,(MSL)+TAKEN FROM ---- GcaTu�T._. �( '^'S t _.._..QUADRANGLE MAP v�'. 5� n •. 2.MUNICIPAL WATER._ \� NOT' . ti r 3. PIPE PITCH: 4i"PER FOOT N • l O c, RICItARD p 4. DESIGN LOADING FOR ALL PRE-CAST UNITS: AASHO - 44 C p 5. MIN.GROUND COVER OVER ALL SEWAGE FACILITIES: (1)PT. it C_ R- o---DISTANCE AS CERTIFIED G.PIPE JOINTS SHALL BE MADE WATER TIGHT �y TAIRGANK I "' t 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. 1 I`l0. 20204 SITE PLAN STATE ENVIRONMENTAL CODE TITLE 5 �� Q I nr-tlfi: L T 4fS- `wP.r�cT3Y E 'T'ATES" �* � _ t3A�_.t..t S 4 At31...C• ; tom!AS�a . � 1 09. PROFES 15 AL.ENGINEER REF: mil. I�{C.. Z•�2. t. �� ,/ �GW/! Cape @/1►8'id@@/�/1g PREPARED FOR: CIVIL ENGINEERS BOARD OF HEALTH LAND SURVEYORS ---_--_---_- CONTOURS (EXISTING) ------------- ^�" �B REG. LAND SURVEYOR (PROPOSED);0-0-0-0— APPROVED DATE PRN ' MA d Yarmouth ,MA SCALE f ! DATE 4.:' y — HOLE LOGS T 1) The installation shall comply with the State Environmental Code Title V and Town of ASSESSORS MAP: ( TEST' H V L Board of Health Regulations. PARCEL: SOIL EVALUATOR^ �� �'�` 2) The septic system as proposed on this plan shall not be installed until a licensed town installer receives approval and an installation permit from the applicable town.' REFERENCE: 1 1NITNESS: %'"'w A�'� -PM� ! 3) Prior to installation,the installer shall verify the location of utilities ,sewer inverts, DATE: v 61 R i �''"t sewer lines and existing septic components prior to installation. 4) All gravity sewer piping is to be 4 inch schedule 40 PVC at 1 r r/ per foot. The first 2 LO—T �'` ------- PERCOLATION RATE: "'� ,�` feet out of the distribution box shall be level. All piping connections to be glued. S) This septic design plan is not to be utilized for property line determination or for any --� T.H.#1 ELEV. _ ��� T.H.#2 ELEV. 1217 _c!�V� ?� 4 _'Z� - _I L _ OIAJ1 r other purpose other than the proposed septic system installation. LOCATION MAP - s) All Title V components are to meet Title V specifications. 7) Parking shall be prohibited over Title V components unless components are H2O t! -'7�, �..�4!�� �--t�.l�?--- --1�-` `��=-��%' `° loaded. i �l 8) The existing LCA fl 1� �a i g leaching or cesspools shall be pumped and filled with material per Title V _ 7 (__ 1 _•Q _ I1 ` abandonment procedures. Leaching and cesspool(s)and contaminated soils within - - -' -. - 777�_ ?C)-__ _ '�?� �� i� the proposed SAS shall be removed and replaced with clean sand per Title V specifications. 9) Septic components are to be 10'from a water service line.Sewer lines crossing a 60C? # �-i water line shall be sleeved with an appropriately sized schedule 40 PVC with ends 1 P"7/� grouted. The water service line or the septic line can be sleeved with the sleeve being o , c ( ,�, a distance of 1(Y on both sides of crossing the line. o 10)If a garbage grinder exists in the structure, it is to be removed if the septic system is Id not designed to accommodate a garbage grinder. 11)The installer is responsible for care of excavation around all utilities on the property SEPTIC SYSTEM DESIGN CALCULATIONS and protecting the structural integrity of all structures during the installation process �0 O of the septic system. FLOW ESTIMATE: 12 This Ian only represents that a septic stem can be installed on the pro ert ) P V P P � Y P Y r-� meeting Title V requirements. BEDROOMS AT �GAL/DAY/BDRM GAL/DAY 13)The property owner shall review design criteria to approve the total number of � 1 � SEPTIC TANK: bedrooms and design flow.installation of the septic system as proposed and receipt GAL DAY BDRM X 2 DAYS- of payment for the design shall b d� ' 1 � �`�, _ �e�� / / t� GALLONS P Y g Il a deemed approval of the design criteria by the c1 `r t `� �2. f USE ( ' property owner or agent of. �.n ,. 14 The validity of this Ian shall expire with the expiration of the town installation ON 1�--- N� ._, � ..-__�'__. .C>_�_-__ __'�."•_� ../ ) tY P P P permit o o 7 (GARBAGE GRINDER IS PROHIBI TED)) issued for this plan or the validity of this plan shall expire on the expiration of the Certificate of Compliance issued for the installation of the proposed system on this SOIL ABSORPTION SYSTEM: plan. 11�01t711 � •+ , DAVID _ W ' - SIDEWALL AREA: 8, .14 G BOTTOM AREA: 1 267 5" No.1066a SEPTIC SYSTEM SECTIONIt - BENCHMARK k I(o` TOP OF FOUNDATION �� -� ,� br t .Q _ .«.� _.. ELEV. �7,2� �, [DATUM ASSUMED) Gp�S � F�uE 6"STONE BASE 1, �" „ - 4' S,C�.� ri2a D-Box X !Z. ` 6"STONE BASE OR COMPACTED BASE I�ZZ'� 0 4 j WATER TEST FOR LEVELNESS /'5 �-� GALLONS / �� ' SEPTIC TANK -- - - - / SITE AND SEWAGE PLAN LOCATION: L-D PREPARED: 1 L=� f� SCALE: DATE: g � (ZQ7— ytc-:, l i I