HomeMy WebLinkAbout0145 BRACKEN FERN ROAD - Health 145 BRACKEN FERN ROAD
Marstons Mills
A = 042 - 032
i
TOWN OF BARNSTABLE
LOCATION / 1��i"4 dk15W r r1J /2 SEWAGE#
V-:ILLAGEbj/f r,V�jyjs ASSESSOR'S MAP&PARCEL/'y2 -03ZL
INSTALLER'S NAME&PHONE NO.SOFS�/2U—973Ft/OS-ChG� Dt�j�9l�l�U S
SEPTIC TANK CAPACITY 1pGO
' LEACHING FACILITY.(type) ���00 ���/;/�f (size) 1'5
NO.OF BEDROOMS
OWNER_/C/4R6i(/
PERMIT DATE: COMPLIANCE DATE: - /6 -AT
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 reaching facility) Feet u:
FURNISHED BY
1
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No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
fitation for Mis osar stem Co
�l�l YCstrUttlOtt erlttlt
� p �
Application for a Permit to Construct(z-<Repair( ) Upgrade("Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No./5j, 40 jr e/}/g wner's Name,Address,and Tel.}�0,
Assessor's Map/Parcel p 1-p3 �����hs ///S' /¢�f`/V #P/O&�V S`_1111
Installer's Name,Address,and Tel No.�tt�'S/2C--q- Desi er's Name,Address,and Tel.No.Sbg—yj4
dI ` c�rcL!
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 330 gpd Design flow provided 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) %�l g On' /,,l G' 16,
FYI
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. C (j
Si t Date — ✓ a _
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. 9 C) Date Issued
.. ..�-...rr ..,.-,.. .•vr,-�;sr-^.a,_.+v.-^th�..,yc.vr'i., n ... .Y n�' .-. ,Y.-y:..'cv,`G'.trr -:a.,y -..,iti:.. .%•=j :•w -r^C ::,'Ir. ,. ..3
dig - 6q�-
No. Fee ,
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
01pplitation for -Misposal *pstrm Construction Vermit
Application for Permit to,Construct(Repair( ) Upgrade(L)--Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No./y s i�4 C k=��� �/l/g wner's Name,Address,and Tel.No.
Assessors Map/Parcel p y;j-03
iistaller' >Name,'Address,and Tel.No.,,f"d$'y/f 0-q f 3 X Designer's Name,Address,and Tel.No.,�-ag-4-.3,?_j5/j
yS��'.:li�r'�c�
Type of Building:
1 Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 3 3 a gpd Design flow provided -3 q n gpd
Plan Date Number of sheets Revision Date
f
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) 1 j'/rd >l� / p/ �/!/!//CI /o e/,-.44
y
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. ,
Si ,,{� Date r�
Application Approved by Date v S"
Application Disapproved by Date
for the following reasons
r
t
Permit No. V Date Issued - e t'
-
---------------•------ -------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( L),.- Repaired(�_ Upgraded( )
Abandoned(
at /y )a- M;ly1j has been constructed in accordance
with the provisions of Title 5 /and the for Disposal System Construction Permit No. dated
Installer< FjS",0l// 19e /3,9,r"OS Designer i [f/=l'" �� ����'r/�.-•f'
#bedrooms �J; Approved design flow �j`/i— gpd
The issuance of this permit
shall not be construed as a guarantee that the system w''function as designed.
Date �((01{ X Inspector � 1�,, e
- - ------------------7---------r_____-------------
,,/ ------------------------------------------------------------ ------ -t ------------
No. Vl (� Z Fee /
THE COMMONWEALTH OF MASSACHUSETTS `
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
]Disposal Opstetn Construction permit
Permission is hereby granted to Construct( ) Repair Upgrade(G-p''' Abandon( )
System located at /�/ /"�} r�'/�n� l--/ l-Al r,2
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.
---+ f
Provided:Construction must be completed w'thin three years of the date of this permit. ^j6
Date Approved by (A.tJ
r
04/12/2018 08:01PM 17744139468 MEYER AND SONS PAGE 01/01
Town'd Bamstable
aF�
Regulatory Services
aw,st�r� t
Richard V.Scall,Interim Director
AS& Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA,02601
Office: 508-862-4644 Fax: 508-790-6304
Installer&Designer Certification Form
Date: i t 1 Sewage Permit# Assessor's Ma ae 3
g p�P rc1
Designer: 0_ L Installer:
Address: �� 1 Address:
On (date) was issued a permit to install a
��
septic system at l `t V based on a design drawn by
address
&, e _er dated
(designer) � ��,tacty,
stem referenced above was installed substantially according to
I certify r., tvL
the design, which may include ,minor approved changes such as lateral relocation of the
distribution box and/or septic tank. Strip out (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 Regulations. Plan revision or
certified as-built by designer to follow. Strip out(" required)was inspected and the soils
were found satisfactory.
I certify that the system referenced above was construct a with the tennis
of the 11A approval letters(if applicablc)
Ali
st t ature) 1
esigner's Signature) (Affix Designe p Here)
XLEASE BATURN T0 'RARU, ,TABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNM BOTH THIS FORM AND AS-
BUILT CARD AMERECEMD JBY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
QASejptic\Des9jmer Certification Form Rev 8-14-13.doc
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p Certified Mail Fee tt
$rU
Extra Services 8 Fees(checkbox,add fee as appropdate)
❑Return Receipt(hardcopy) $
ru` [IReturn Receipt(electronic) $ Postmark
O
I`O ❑Certified Mail Restricted Delivery $ Here
M ❑Adult Signature Required $
❑Adult Signature Restricted Delivery$
p Postage
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� Total Postage and Fees
IS
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Certified Mail service provides the following benefits:
■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
■Electronic verification of delivery or attempted return receipt for no additional fee,present this.
delivery. USPS®-postmarked Certified Mail receipt to the
■A record of deliveryg p retail associate.
(including the recipient's -U
signature)that is retained by the Postal Service- Restricted delivery service,which provides ,}
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
Important Reminders. to
signature service,which requires the
•You may purchase Certified Mail service with signee to be at least 21 years of age(not j
First-Class Mail®,First-Class Package Service®, available at retail).
or Priority Mail®service. Adult signature restricted delivery service,which
■Certified Mail service is not available for requires the signee to be at least 21 years of age
international mail. and provides delivery to the addressee specifiedI
■Insurance coverage is not available for purchase by name,or to the addressee's authorized agent.
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear a,
certain Priority Mail items. USPS postmark If you would like a postmark on;,
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the following services: postmarking.If you don't need a postmark on this"
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipients signature). of this label,affix it to the mailpiece,apply, e
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt, ,.
complete PS Form 3811,Domestic Return
Receipt attach PS Form 3811 to your mailpiece; IMPORTAi1T.Save this receipt for your records.
is
Form 3800,April 2015(Reverse)PSN 7530-02.000-9047 - -
J ��S TOWN OF BARNSTABLE
L. CATIONZ01' ESQ SEWAGE # C C �S
VILLAGES' /�S@ ASSESSOR'S MAP & LOT Q y?43 z
INSTALLER'S NAME St PHONE NO.
SEPTIC TANK CAPACITY 401mig,
Ile
LEACHING FACILITY:(type) 7" (size) OOt�
'R,NO. OF BEDROOMS �.3 PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER U6L C ��rn� 7A
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No l�
t
fibs a-r Z7 v/ ,
fi
No.. �. Fxs... ✓ ...-'...
THE COMMONWEALTH OF MASSACHUSETTS pn
BOAR® Off` HEALTH �Y�
............1oc ,7...............OF.... �n ��--....----------------------------------.......---------• O
' Appliration for Dispvii al Works Tontrnrtion ramit
Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal
System at:
...� �✓,�.P - �b •---......__. sue•-------'•-•-------
^T Location-Address or Lot No.
� /�
•.-^......................` c;:�K]...? i.. i'?J 1........................•..... �..... Cr.2—<n z-.l CL'Y.-_.....•.--
Owner Address
= � �c� ns ..? :%/r........................................
Installer Address
Type of Building Size Lot...... feet
Dwelling—No. of Bedrooms_._.-hr`.c.........................Expansion Attic W.) Garbage Grinder Wa)
Other—T e of Building No. of persons............................ Showers — Cafeteria
a' Other fixtures ..................................
W Design Flow.................................... �.gallons per person per day. Total daily flow...............................3�kO..gallons.
WSeptic Tank—Liquid capacity.ZO-0 2.gallons Length..9.-d.._.. Width.4_-Cl'_._.__ Diameter................ Depth.;5_� .._.
x Disposal Trench—No..................... Width....__......._.._... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.....v_�z.¢ ....... Diameter......LQ..___..._ Depth below inlet_._..._.4�......... Total leaching area.._?--�7.....sq. ft.
Z Other Distribution box (X ) Dosing tank (^)
Percolation Test Results Performed by.--___- �..Aa__2. l............................................................................. Date.. zS�F ................
Test Pit No. I.._...�.------minutes per inch Depth of Test Pit------a......... Depth to ground water..,._.:::.,: *::.-
fi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground wa e�_ 9F,i;
Description of Soil..... j SATELLPYHNE N
Ts ... . .......
U ...........................•--•• --�c!U� s�en S ••--•-•---------•--•-•-•---------•------•-------•---•-------•--.........--
W --•-••••.--------------•---•----------------------------------...............__.....-•-----------•------•-----------------------------•----------------------------- -No:3B�tF
UNature of Repairs or Alterations—Answer when applicable.______________________________________________•____-__-__-__-_- i09Q��t4
'----------------------------------------------------------•---•--------•-----•-----........-•-•--•-----••----------------------------------------------------------------• �'�
Agreement:
CI'U(a+
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in ao ordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in opera ' nun ' a Certificate of Compliance has been issued by the board of health.
�J ph
Signed ................... ....... ............... '-
..-........
/r Dace
Application Approved By ................. .. .. ....: . /!..-: _e ..7.8'QP............ ...............
Application Disapproved for the following reasons- ---------------------------------------------------------------------------------------------------------------- ---................
................... . . .. .. .......... .........!.......----...-.....-...--------------------------------------------------........-------------------------------...------------------------------- .----..................................
/ Dace
PermitNo. .......... :- (a.��j�c�.--------_----------- Issued ----- -- -------------------------------- --------- --
Date
a_?
v
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............. ................OF...... .........................................................
Allp iration for Wspaaal Workii Tonstrnrtion Phrutit
Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal
System at:
,.
_ Location-ACddress o�.r^-Lot No.^
.............................`SJ..........i.........✓i>7f ...................... , ...... ......................./rY, ClG2'✓7 /Z.✓.a.....< $'_.................................
Owner Address
--.. ...................
Installer Address
dType of Building Size Lot......! r= -5 ..Sq. feet
Dwelling—No. of Bedrooms..., .......•...............Expansion Attic Garbage Grinder (416)
Other—Type of Building No. of persons............................ Showers — Cafeteria
P l Other fixtures ------------------------•..--••- .....
W Design Flow....................................4i- .gallons per person per day. Total daily flow...............................Z!- .gallons.
WSeptic Tank—Liquid capacity..L!20agallons Length...9.�..._... Width.A`6o.r..._ Diameter................ Depth_.:_-$.:..
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.....0'�---__-- Diameter......i.U........ Depth below inlet........ ....... Total leaching area.....; 7.....sq. ft.
Z Other Distribution box (X ) Dosing tank ( )
Percolation Test Results Performed by.......... ___ _ _t....................................... Date...& L ` .... _
Test Pit No. 1-------4------minutes per inch Depth of Test Pit...... ......... Depth to ground water. .
fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground wa . ........... .
04 ----•-••---•------------- ................................................................................................. STERNEAL••-
O Description of Soil----0-.Z a�._.�..T�a,�.,.h�, c .. 6?�- •.E ............• ......ALLYN ,;
(xj -------••••--••--••... ...--•--•-Z ..... ...�-� ) Y Ztc �'�'°7 S n ---- . -WILSON--•--
. ------
No.30216
W ----------•-----------------•----.......-•-•--•----..................................................................................................................... �e �¢
U Nature of Repairs or Alterations—Answer when applicable....................................................................
-------------------r--••---••--•---........................... NAL 6
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in a cordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operat' ti Certificate of Compliance has been issued by the board of heath.
/ Signed ............ . ....................................................... .................M
Date
Application Approved BY - ---- -.cam,..+ 5 J......... --------------------- ---------IV,.----.7------
Date
Application Disapproved for the following reasons- --------------'------------.... ---- -- . --'.' ---'----......._..----- .......... .....-. ..----.....--..........
........ --. .... ...................... ...............'--'-----........--------...---..... -- ---'-------- -- --- .....----'---'-------------------------------------. ----......------- ----- ---- ----
c� Date
Permit No- ------------ ---/ - t Issued ..........................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.............. OF ----- .............................................................
Tertif ra e of 0.1141utpliartrE
THIS IS TO CERTIFY�y That the Indivl ual Sewage Disposal System constructed ( 4, ) or Repaired ( )
by ,"'�r of f n," S"' ......................... ------. ..--' ------------- ---- . --------- ----------
Installer
..... .... -- -..-•.-
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. ............ r"_. 7.e. ...._ dated ................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTIOU fD AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE,............fiI...----------..'------------- ------.. ................................ Inspect
THE COMMONWEALTH OF MASSACHUSETTS
BOARQ_OF HEALTH
No.... FEE 2 ...�....
Disposal Workii 0.11n tr Uan. rrntit
Permission is ereby granted------Jn
..;.-.- :...... .:::.:.. ..........................................................
�"to Construct (Lor Repair ( ) adivldual Sewage Disposal System
at No l,�?`�_ ..s, -'� %' W.r M J�a. � ✓,�....................................
Street
as shown on the application for Disposal Works Construction Permit No.. . 1 = Dated..........................................
�n -'•--.... ...----
/G Board of Health
DATE...........7.-.r..Q.----•-- ......................................
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
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Town of Barnstable Barnstable
AFAmedcaCity
Regulatory Services_ Department , 1
MRNSTAE3LE, �
Y MASS. A
9�p i6�9 Pub.licMealth Division
rfD MAC 200 Main Street, Hyannis MA 02601 7 i
Approved: C32 /2 b ,
MLD Cert:
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 aoo Thomas A.McKean,CHO
CERTIFIED MAIL 7007 2680 0002 6701 8431
Karen Hayden Q r u', ID Jv
P.O. Box 1062 v `�° c�a ,-e-r,
Marstons Mills,MA 02648
NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY 17
CODE-H—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION
AND THE TOWN OF BARNSTABLE CODE CHAPTER 170.
The property owned by you located at 145 Braken Fern Road,Marstons Mills was 91
inspected on September 9, 2008,by Jaime Cabot, Health Inspector for the Town of L 16 ,0�
Barnstable. /V OV-
This inspection was conducted on the basis of the rental registration in accordance with
Chatter 170 of the Town of Barnstable Code.
The following violations of the State Sanitary Code were observed:
105 CMR 410.500—Owner's Responsibility to Maintain Structural Elements:
Downspouts have not been provided for the gutters. The trim of the closet door in the
second floor hallway has been damaged.
105 CMR 410.552- Screens for Doors: No screen or storm door was provided for the
front entry.
105 CMR 410.503(A) -Protective Railings and Walls: Railing on the stairway was not
properly secured to the wall.
You are directed to correct the violations listed above within thirty (30) days of your
receipt of this notice. '
You may request a hearing before the Board of Health if written petition requesting same
is received within ten (10) days after the date-the order is served.
Non-compliance will result in a fine of$100.00 per violation. Each day's failure to
comply with an order shall constitute a separate violation.
Should you have any questions regarding the above violations, please contact the Town
Health Division and ask to speak with the inspector who performed the inspection.
ZomabA.
RDER OF TjHE BOARD OF HEALTH
s McKean,R. ., CHO
Director of Public Health
Town of Barnstable
I
_ I
Town of M-nstable P# I✓��
Department of Regulatory Services
Public Health Division mate
I i6J9 �e 200 Main Street;Hyannis MA 02601 s ;,
• Date Scheduled f.G" i e r
Time Fee Pd.
i oil Suitability Assessment for S e Disposal k
Performed By: Witnessed By:
LOCATION&
� S G IL�INFORMATION
- 9 1I✓ V\ i nOwnce%.NameLoation Address (i� u 1Addrtss
60,� ,v M M c ,V►�1
Assessor's Map/P4tcel: O /o I Engineer's Namee A ty� 4 OT-A S YZ v
NEW CONS7RU�'IYON telephone# Jut REPAIIt IU b 3 31 1
Land Us c 6 I�� i Slopes(46) ' -- Surface Stones
Distances from: Open Water Body >Zino ft Possible Wet Area �20C� ft Drinldng Water Well ?��ft
l I
Drainage Way >1 ^6--ft Property Lini _� b ft OtFer ft
SKETCH:($treet name,dimensiods'of lot,exact locations of test holes&percJests,locate wetlands in proxitnity to holes)
i
,�0 o
3 � ,z �
l
,
,
? s I
a
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i
i
Parent material(geologic
) av�r/ I Depth to Bedrock
A/Zq-
Depth to GroundwaWr, in Hole: I Weeping from Pit Face N
hO
Estimated Seasonal i fth Groundwater A A i
Dt` TION FOR SEASOJaL HIGH WATER TABLE
Method Used:
Depth 04ervcd standing obs.hole: _ _in. Depth to soil mottles" !n.
! Depth toiweeping from side of obs.hole: i in, omundwhter Adjustment $.
index Well#_ Reading Date Index Well level. e.._.., Adj.factor,,._,-_- Adj.0mundwaterl evel,,,_,
PERCOLATION T'ESY. Date Tltne•
Observation ` I Tittte at 9"
Hole#
Depth of Perc Time at 6"
!0 16 I Time(9"-169")
Start Pre-soakTime.@ /h
End Pre-soak
RateMinAnch
Site Suitability Asse$sment Site Passed_ Site Failed: Additional Testing Needed IY/N)
Originak.;Public Health Division Observation Hole Data To Be Completed on Back
***If percolal�ipn test is to be conducted within 100' of wetland,.-You must first notify the
Barnstable C44servation Division at least one (1) wedk prior to beginning.
,
DEEP OBSERVATION HOLE LOG Hole#
Soil other
Depth from Soil Horizon Soil Texture Soil Color Mottling Structure,Stones,Boulders.
Surface(in.) (USDA) (Mansell) g ( onsistenc %Gravel
�3
56' C �'
SD"-t35" ClIz
DEEP OBSERVA'TION.HOLE LOG Hole
Other
Depth from Soil Horizon Soil Texture Soil Color Soil
ttlin (structure,Stones,Boulders.
Surface(in.) (USDA) (Mansell) g
nsistenc 3'o Gra el
y ►4 (D
- ,� �
DEEP OBSERVATION HOLE LOG Hole#
Soil Other
Soil Clor
Depth from Soil Horizon S(USDA)oil Texture (Muosell) Mottling (Structure,Stones,Boulders.
Surface(in.) onsistenc o Gravel
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
o isten
Flood Insurance Rate May:
Above 500 year flood boundary No^ Yes --
Within 500 year boundary No x Yes
Within 100 year flood boundary No_ Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring per to s material exist,in all areas observed throughout the
area proposed for the soil absorption system?
If not,what is the depth of naturally occurring per ious material? .
Certification
I certify that on 10 1 1 - (date)I have passed the soil evaluator examination approved by the
Department of EnvirAnmental Protection and that the above analysis was performed by me consistent with
the required ain g, pertise nd experience described in 3.10 CMR 15.017. .
Signature Date
Q:\SEPT10PERCFORM.DOC
LEGEND
MARSTONS MILLS
PROPOSED CONTOUR � k�
® PROPOSED SPOT GRADE
—— 98 —— EXISTING CONTOUR
+ 96.52 EXISTING SPOT GRADE 3
W— EXISTING WATER SERVICE 4 3
19 TEST PIT W WAKEBY R
SCALE: 1"=20'
Z040 p �
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`A 81 82 148.83' BRACKEN
DRIVEWAY . FERN LOCUS MAP
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15 ft= � '°° ,' GAS ti SINE $� LANE LOCUS INFORMATION
' WATER 01 PLAN REF: 448/84-88
TP-1 R SINE w ,
GATE TITLE REF: 23092/254
0 / W ATE 1 \ _ PARCEL ID: MAP 042 PAR. 032
' 1—)40.00'
2 FLOOD ZONE: "X"
8�3 COMMUNITY PANEL: 25001CO541J DATED:07/16/14
o � -- SEPTIC SYSTEM
REPAIR PLAN
Z — I
81- `�� 11 11 i'/ //' \82 LOCATED AT:
145 BRACKEN FERN RD.
1 83
20 ft 1 o MARSTONS MILLS, MA
\ ' PREPARED FOR
KAREN E. HAYDEN
0 /
Q
MARCH 28, 2018
OF #4n,
o D REN G
LOT 50 6h Nb' 11 .0
AREA = 14395 sf+—
A PLAN BOOS: 448 PAGES 84-88
ASSF MAP 42 PCL 32 �NITA��p�
BENCH MARK
PAINT SPOT 01"'
BULKHEAD CORNER
MEYER & SONS, INC.
/ DATUM A
PLAN
USGS DATUM ASSUMED P.O. BOX 981
.i EAST SANDWICH SCALE: 1. in. = 20 ft � MA. 02537
0 20 40 PH: (508)360-3311
FAX: (774)413-9468
a lb Zo 40 meyerands.onstitle5@gmoil.com -
SHEET 1 OF 2 - J 1894
� e
ELEV. TOP
FOUNDATION NOTE: PLACE MAGNETIC MARKING TAPE OVER ALL COVERS
(Existing) BRING ALL COVERS TO WITHIN 3" OF FINISH GRADE FINISHED GRADE (81.5)
= 84.55�. �F.G.EL• 83.0 F.G.EL• 82.50 F.G. EL• 8;1.80 VENT
a
MAINTAIN 2% MIN SLOPE OVER LEACHING AREA
F.G.EL: 81.17 2" OF 3/8" DOUBLE WASHED 3/4" - 1-1/2"
" STONE OR FILTER FABRIC DOUBLE WASHED STONE
"• 4" SCH 40 PVC
10" ®a®� ®aaa
TEE'S ARE TO BE 14 U 1 8 ® S= 1% (MIN.) ®®®®® ®®®a®
;r 4" SCH 40 PVC INV.790 2' EFF. DEPTH ®®®®a®®a®®®
(x
INV.79.85 INV. 78.80
.1 j : 4' 2 X 8.5' 4'
;� GASTMW
;PROPOSED DB-3 _
EXISTING OUTLET BAFFLE DISTRIBUTION BOX EFFECTIVE LENGTH = 25'
INV. 80.10 _ (H20) INV. ELEV.= 76.60
EXISTING 1,000 GALLON SEPTIC TANK
GAS BAFFLE TO BE INSTALLED ON ��`� OF '�sr
OUTLET TEE AS MANUFACTURED BY �``� 9�y ELEV.=BREAKOUT
NOTES: 7.60
11) CONTRACTOR SHALL VERIFY ALL EXISTING TUF-TITE, ZABEL, OR EQUAL DARK M. �, TOP CONC. ELEV.= 77.60
PIPE INVERTS PRIOR TO CONSTRUCTION N . 1 0 INV. ELEV.= 76.60 as
.2) D-BOX SHALL BE SET LEVEL AND TRUE TO aEM
aaaaaaa
GRADE ON A MECHANICALLY COMPACTED SIX aaaaaaa
INCH CRUSHED STONE BASE, AS SPECIFIED IN ` �NITAR�a� BOTTOM EL.= 74.60 aaaaaaa
310 CMR 15.221(2) 3.75' S FT. 3.75'
3) REPLACE EXISTING 1,000 GALLON SEPTIC TANK r
WITH 1500 GALLON SEPTIC TANK IF FAILED, I 1� EFFECTIVE WIDTH = 12.5 DAMAGED OR UNDERSIZED. SEPARATION 5.05 FT.
4) INSTALL INLET & OUTLET TEES W/ SEPTIC SYSTEM PROFILE
. GAS BAFFLE AS REQUIRED BOTTOM OF TESTHOLE EL: 69.55 SOIL ABSORPTION SYSTEM (SECTION
5) PLACE SANITARY TEE IN D-Box (500 GALLON H-20 LEACH CHAMBER)
GENERAL NOTES: -
SOIL LOGS P#: 15621 DESIGN CRITERIA
1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. NUMBER of BEDROOMS: 3 BEDROOOMDATE: MARCH 22, 2018 2. ALL WORK AND MATERIALS SHAD. CONFORM TO THE REQUIREMENTS SOIL TEXTURAL CLASS: CLASS I (0.74 GPD/SF)
OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE SOIL EVALUATOR: DARREN MEYER, R.S., CSE 1614
LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: # DESIGN PERCOLATION RATE: <2 MIN/IN
- 310 CMR 15.405 (1) (B): WITNESS: DON DESMARAIS, BARNSTABLE HEALTH DEPT.
1) A 0.9 FT. VARIANCE FROM 310CMR15.221(7) TO ALLOW LEACHM DAILY FLOW: 110 G.P.D. X 3 BR = DESIGN FLOW: 330 G.P.D.
TO 9E 3.9 Fr (MAX) BELOW CRUDE VS REWD 3 Fr. (H20/VENT PROVIDED). pe,, TP-1 I GARBAGE GRINDER: NO not designed for garbage rinder
3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 80.80 0 �� TP-2 Depth SEPTIC TANK: 330 d ( g g g grinder)
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE A LOAMY SAND 81.50 A �, SAND O" 9P x 2OO9b = 66D gpd, USE EXIST. 1,000 GAL SEPTIC TANK
DESIGN ENGINEER. 80.30 1OYR 3 2 6 # 81.00 1OYR 3 2 6" LEACHING AREA REQUIRED: (330)/0.74 = '445.94 S.F.
4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING B LOAMY SAND B LOAMY SAND
t"t FROM THOSE SHOWN HEREON ONALL TI REPORTED TO THE DESIGN 1oYR 5/8 1 USE TWO (2) 500 GALLON H-20 PRECAST LEACH CHAMBERS W/ 4
ENGINEER BEFORE CONSTRUCTION CONTINUES. 78.13 32" 78.75 10YR 5/8 33" , '
5. ALL ELEVATIONS BASED ON ASSUMED DATUM. C1 C1 STONE ON ENDS & 3.75 STONE ON SIDES: 25' L x 12.5' W x 2'D
8 THE CONTRACTORDINEEROR WNER NOT
TOR NOTTIFYY�THE LOCAL BOARD O FOR THE F OF LOAMY1 gD
HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 1OYR rD BOTTOM AREA: 25 x 12.5= 312.5 SF
7. WATER'SUPPLY PROVIDED BY TOWN WATER SERVICE. 76.62 C2 50" ! 77.34 C2 50" SIDE AREA: (25 + 12.5) X 2 X 2 = 150 SF
8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED PERC TEST MEDIUM O EL 75.30 SAND
TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. MEDIUM TOTAL SQUARE FEET PROVIDED = 462 vs. 445.94 REQ'D
-
9 _ BE THE LOCATION E RE PILrrYOF THE UNDERGROUND UTILITIES.CONTRACORR To TO BEGINNING E 2.5Y 6/4 2.SAND
D DESIGN FLOW PROVIDED: 0.74(462 S.F.) = 342.25 G.P.D. vs. 330 G.P.D. req'd
CONSTRUCTION.
10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND FILLED PER TITLE 5. 69.55 135`
11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION y `7u.25 135- PROPOSED SEPTIC SYSTEM UPGRADE P LA N
12. THIS PLAN IS TO BE USED.FOR SEPTIC SYSTEM PURPOSES ONLY PERC RATE <2 MIN/IN. (*Cl' HORIZON) 145 BRACKEN FERN. RD MARSTONS MILLS, MA
AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY ,
NO GROUNDWATER OBSERVED
13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. Prepared for: Ha den
14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. Design and Site Plan by: SCALE DRAWN DATE
15. ALL PIPING TO BE 4` SCH 40 O 1/8`/FT (UNLESS SPECIFIED) s 1, Darren M. Meyer, R.S., CSE, hereby certify that I am currentlyMEYER&SONS,INC. N.T.S. 03/28/18
approved by MADEP pursuant to 310 CMR. 15.017 OMM
to conduct soil evaluations and that the above analysis has been performed by me consistent with the PO BOX 981
requirements of 310 CMR 15.017. 1 further cerft that I have passed the Soil Evol. Exam in October, 1999. EASTSANDWICH,MA02537 REV DATE CHECKED SHEET NO.
508-3622922 DMM . 2 of 2