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HomeMy WebLinkAbout0090 BRIDLE PATH - Health 90 Bridle Path Marstons Mius -- --- --- - - - -- - --- - - A = 149- 135_ \ I I Town of M (wnsta:ble P# 11 '2a5 Department of Regulatory Services • Public Health Division Date )OL / + 200 Main Street,Hyannis MA 02601 . . �CJ !Time_�-- Fee Pd. Date Scheduled i . i ,foil Suitability Assessment for Sewage Disposal Performed By. Witnessed By:si�`"m—am 'to�,c n ) j LOCATION& GENERAL INFORMATION Location Address• () 8 ki i/L i_ PA-r f O,vner's Name D WaG N 14,u S M I 02-(-+� I Address Assessor's Map/P�rcel: �r( Engineer's Name Dikt-itj M. M`-E�/E.e i �i t NEW CONSTRUtt.".T10N REPAIR Teelephone# .S09 362-- 217,1- . Land Use Slopes(96) ! /- Surface Stones N t ��" >S �016 ft Drinking Water Well 7 Z Lo ft Distances from: Open Water Body., ft Possible Wet Area — Drainage Way ft Property Line > ft Other ft SKETCH:(street name,dimensions of lot,exact locations of tot holes&perc tests,locate wetlands in proximity to holes) , ; s 4 S Parent material(geologic) c. a 17 Depth th to Bedrock I Weeping from Pit FACe --- th to Groundwaidr. Standing Water in Hole: P B i . Dep Estimated Seasonal iigh Groundwater D `ERMIN�►TTON FOR SEASONAL HIGH WATE4 R T"LE �i Method Used: � � 3 "` � _In. Depth td sell mottlCs: Depth gb,�erved standing in obs.hole P Depth toiweeping from side of obs.hole itt. proundwatet Adjustment a d� Ad,J.draundwntePit�val.,,.,v -_ .' Index Well# Reading Date: Index Well level ..... A .taOfoC�...T,.r # � V.: PERCOLATION TEST ' Data Time Observation t�i Tinto at 9" Dole# j Time at 6" Depth of Pere .....------ Start Pre-soak Time. it �l 3q i End Pre-soak o/ : Bate MinJInch Site Failed Additional Testing Needed(YIN) Site Suitability Ass0sment: Site Passed_ _ — Original:.Public H41th Division Observation H01e Data To Be Completed on Back--------- ***If percolali(in test is to be conducted within 100' of wetland,,you mint fu'st notify the Usa,-nctahle Cdtdservation Division at least one(1)wedk prior to beginning- DEEP OBSERVATION.HOLE,LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil . Other .Surface(in.) (USDA) (Munsell) Mottling (Stiucture,.Stones,Boulders. onsis enc %Gravel) tl� t, rw 4 lssttn ' 3-7 t�— 132 1 P Eb- n- pd'6- aw 41s DEEP OBSERVATION HOLE LOG Hole# [Depth1bom Soil Horizon Soil Texture Soil Color Soil Other Sace(in.) (USDA) (Munsell) Mottling, (Structure:Stones,Boulders. Consistency.%Gravel) wvw . a Q.p. l� LWA414A� a b DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel DEEP OBSERV TION HOLE LOG Hole# Depth from Soil Horizon Soil xture Soil Color Soil Other Surface(in.) (USD (Munsell) Mottling (Structure,Stones,Boulders. n ist n P i e �,../ Flood Insurance Rate-Man: c Above 500 year flood boundary No— Yes Within 500 year boundary No X Yes Within]00 year flood boundary No X Yes Death of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervi ms�material exist,in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification m I certify that on (date)I have passed the soil evaluator examination approved by the Department of on ental Protection and that the above analysis was performed by me consistent with the required tr ining, p 'se an experie ce described in 3:10-CMR 15.01 Signature Date Q:\SEFTIC1\PERCFORM.DOC No. . .C� `—(/_CCi y.---^-' ' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH.DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS application for �Bigozaf gppztem Cow5tructiun Permit Application for a Permit to Construct( ) Repair(j Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. L (0 1; PFA V\ Owner's Name,Ad ress,and Tel.No. Mr���aN.S 11�I�s �hl�t�Ao�n-1�1r�(i;tet�er�t� -a 0 A l T'6 6. Assessor's Map/Parcel r L/��'C9oZu2 rT�n 1`ca Installer's Name address,and Tel.No. Designer's me,Addr, and Tel.No. F,,a 7r Ct Type of Building: Dwelling No.of Bedrooms 3 Lot Size ,Q5?OZ sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min,required) .3,30 gpd Design flow provided 353 gpd Plan Date 1 o© Number of sheets o2 Revision Date Title Size of Septic Tank /jccc,E3,1 F'X�iC Type of S.A.S. Q- 6®0, 6 4�, C'j`{,O .jlee5 Description of Soil As ,! /of 1 6", 9,1 Nature of Repairs or Alterations(Answer when applicable) n. t �;1 ex�s �0G f O� �t tit C�_ 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,43oard of Health._ o S' ned A Date hA_11L11a00 Application Approved by Date Application Disapprove&by: Date :for the following reasons Permit.No. 1-2 —49-7® Date Issued Feet/ -THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: { PUBLIC HEAUT.H`QI I$- ION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplicattowfor MIgpo-nl *pgtem Congtructton Permit Application for a Permit to Construct( ) Repair(eupgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. 1(')�(�t o A� �i'(�f t� Owner's Name,Address,and Tel.No. ii2STOu5 i l;i�.s �Ph1r.� 1r1n I`1Rtz�e i���A�� 8 Assessor's Map/Parcel O�c-�a fa( i'°t'r�+ to i r>> s,k1I �0?8 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. a ewc M0.CC,_tI-, �DArtcr P-1e e� Type of Building: - Dwelling No.of Bedrooms Lot Size j 6CSt� sq. ft. Garbage Grinder ( 'y Other Type of Building No.of Persons Showers( ) Cafeteria Other Fixtures Design Flow(min.required)+ 330 gpd Design flow provided 353 gpd Plan Date 3.AoG ') Number of sheets Revision Date Title Size of Septic Tank /JOGG c"4 mat��!ne Type of S.A.S. - 500 CA (N&In ,e-S r Description of Soil AS a Cr So, l0(, �A4 Nature of'Repairs or Alterations(Answer when applicable) 1 VrA0 1� ex�si, `er�cN `1 7:n�T i nr ;s'r, t -Soo CA Cf)Am���es i-vx C� 1?z XIS` ie\pi 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 H�eaalth. Signed Date hAyl 061 Application Approved by _ Date y / 7 ' Application Disapproved by: Date for the following reasons - Permit No. 1/__)00 Vo Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS 4 Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( {/)� Upgraded ( ) Abandoned( )by Shored�A Ica n S ( at �(Q t2 i R ��� tl N Ac3%,,_s hi 1�.S has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. c9m'- —D-46 dated Installerz.�,-Qce Hax- ++ ks 1cr Designer "biArt`en heyep #bedrooms Approved design flow — gpd The issuance of this pe .it-hall e construed as a guarantee that the system will nction as designed. ��fl��ah� Date n _ (/' Inspector I�t ®� No. t'1.J L / Fee d THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Digpogat J§pgtem Congtructton Permit Permission is hereby granted to Construct ( ) Repair ( PO) Upgrade ( ) Abandon ( ) System located at CIO ,Ld IP/A7/i and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. r Provided: Construction mus be completed within three years of the date of this perm't. Date t� L Approve by..,_, �> Town of-Barnstable . ., Regulatory Services Thomas F.Geftr,Director Public H W&Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:508-862-4644 Fax:508-790-6304 Installer&Designer Certification Form Date: SW01-09 Sewage PermitQt a40 Assessor's Map\Parcel /`7r 13S' Designer.�A2eE,--r 11-c-fE'e Installer: c�ce a.e i r �o l t S f.,,%( � 1. 0 .0 `�. q 8 <..c Z Address:? � � �* Address: $ 4-.,oo ���ce C'lac c �.s s was issued a permit to install a (date) (installer, . septic system at q y Ze 0a 1 ?A I h �`1. ��l�s based on a design drawn by (address) A rc n ��"c2 dated S - 3 -©''J (designer) —ZI certify 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. 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 accor State&Local Regulations. Plan revision or certified as- ,; to follow. trot - (Installer's Signature) d 14 NITAR\R� I (Designer's Signature), (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION.CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.THANK YOU. Q:xe nrsseptidDesiper certification Foam 3-2&44.doc TOWN OF BAItNSTABLE , LOCATION 9a �(t��'' PO4 SEWAGE # a1407 VILLAGE- 4'A(s s tho S SSESSORi'S -MAP & LOT f r �� INSTALLER'S NAME&PHONE NO. � � �� I I5tr S8s - qx' SEPTIC TANK CAPACITY arse I pw l,, LEACHING FACILITY: (type) 8� C4R1YI CS a (size) NO. OF BEDROOMS BUILDER OR OWNER (i2 PERMTTDATE: I)q 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 We'dand and Leaching Facility(If any wetlands exist s within 300-feet of leaching facility) Feet Furnished.by, 3 6 6 - 3 - 4�, TOWN OF BARNSTABLE LOCATION A. SEWAGE # 'a�51 D VII.LAGElS �(� 1� SSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. Nek ,p SEPTIC TANK CAPACITY 1Wo R/ V'< LEACHING FACILITY: (type) 206,:W CiltRdcL2CS a (size) NO. OF BEDROOMS BUILDER OR OWNER PERMUDATE: —�—/S`] 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 feel of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by Feet I k 3 59�6 " 3 - 6� TOWN O ARNS AB E LOCATION �G SEWAGE # U /ASSESSOR'S MAP & LOT/ � INSTALLER'S NAME PHONE NO. SEPTIC TANK CAPACITY 1600 DCrP St A LEACHING FACILITY:(type) NO. OF BEDROOMS PRIVATE W LL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No � _ _ �� 4 y � ! 3 > ^�1 5G G �S' ;� �dTeY✓ TN D LOCAT'I O � ✓ SEWAGE PERMIT NO. . VILlAGE ., :,I-N,STA LLER'S NAME A ADDRESS 61 yC B U I'L D E R OR OWNER (1A 6v�i y DATE PERMIT 19 SUED DATE C0-MPLIANCE ISSUED -74- 41F PU D i' (� ASSESSORS MAP NO:_Lie ie` F�s ......................_ THE COMMONWE'RWO ACHU ETTS BOARD OF HEALTH TOWN OF BARNSTABLE Applirntion for Diripwinl Workii Towitrnr#ion Fermi# Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: ........... s 5 .. .......................... cstion-Addr• s or Lot No. `�!?/_........... ..... 'R! ' ----------------------------------•- --------------------------------__---- ____---_-------.-------------- W ///�� ''''O+II+ncr �/. dLdre�s : 0; S..... ............ •...... .(.... 'cx�A f ................................ Installer Address dType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building -_------------------------- No. of persons.--.--.--.................... Showers ( ) — Cafeteria ( ) a Other fixtures ................................. . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------gallons Length---------------- Width--..-.---------- Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......... .......... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-, Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pity No. 1----------------minutes per inch Depth of Test Pit......--............ Depth to ground water........................ ( Test Pit No. 2................minutes per inch Depth of Test Pit....--........--.... Depth to ground water........................ R'+ ----•-----•------------------------------------------------•---.....--------._._.....--•--•-----•--.........-----...---••-•-------•--..._......-....•-••-•--- 0 Description of Soil..............•---......-----------•----•---•-----------•-•-........---.....-------------------------------------------------------•----------•-•-------•••-•-•-•-_----- x W _ ..^ ------------------------------------------------ --- /.------------...��1��-- -----•----- U Nature of Repairs or Alterations—rA ;wer he applicable-... ....-. � Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place th system in operation until a Certificate of Compl' iss 4,4y,thOoard of ealth. _ ��� . Signed ------------------------- /... ........ Da Application Approved B --------------------- t. ................ G..- .ch� re Application Disapproved for the following reasons: . .................. ............................................. . ............................................... ...............---..............._...............................................................----..........----------..............---------.......................................................... .................Dare.................. Permit No. ............ .��..- .��.... ............ Issued --------- t -�..�. 5 ....... llare Ft-.,.ik��....,._��.\s--`•��»'"�}`maw:-Y�.x:J.^•w.-e-y.r-�y'\.•�-=J"^'}�s..rr 1,�.;r�.�.�a.-..:w...�•-.s-`�".:i.e�.r....., .�'�.Sz.,J'...,,-.:;r.:w_'".-r.'�-":�.:-_...r-�.-.r"l;-v-Y---'-l.r�.^,r-�6 � 1 0 ......... C� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH F TOWN OF BARNSTABLE Apphratinu for Dirpnsul Vi nrks Tnustrur#inn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ran Individual Sewage Disposal Sy/st2 19 ..em at: / /-----------------•------....----•-----........ ---------- ._ ...---_----•• --•-----•-- ion Address •----- t -Aress or Lot No. _.........-/ �" �- -------------------------_-------- -----------------------------...-.....---...--------__.....-----------------------------....--•--- Owl er Address Installer Address Type of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ---------------------------- No. of persons---..----.--------_------- Showers ( ) — Cafeteria ( ) 0.1 Other fixtures ---------------------------------------------------------------•-••------•----. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacity------------gallons Length................ Width--........------ Diameter--.............. Depth................ Disposal Trench—No. .................... Width....--........----.. Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter------------------.- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit...........--.---... Depth to ground water..................... 44 Test Pit No. 2................minutes per inch Depth of Test Pit..............--.... Depth to ground water........................ 9 --------------------------------••-------•---------------•-••--••------------••.._..........._...---..................................._.... _•--••••--•-,_,.. 0 Description of Soil........................................................................................................................................................................ x - U ....-•-•-•-------------------•.-----------...........-----••---•-•----••---•-......-----------------------•-•---•---•---•-••----•------------•-••-••------------------------._............----•---••-_.. W ---------------------------------------------------------------------------------------------------------------- A -- U Nature of Repairs or Alterations—Answer when applicable ... � ��...�J........................... E �. _........---•----------------------------------------------------------------------------------•••-------......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia-nce as-be 'n'n issuueed.byc thh%c;board of health. / Signed . �' L..'' .// ��I ---------------------- l.....� ----- ,5 t ApplicationApproved By .................... n` .......:--------------------------------------------------------------------- ....4-4,!-1----.-r>� re Application Disapproved for the following reasons: .................... ................ .. ... . ......... . .............................. .......... .................... .. . ......... -- ...... . ........................... ..... ..........................................-- . . ... . . .... ........................................ Dace Permit No. ...........Q 5 �'�....F.................. Issued 1...—. _ t - ...-./��.---------- THE COMMONWEALTH OF MASSACHUSETTS la rI BOARD OF HEALTH TOWN OF BARNSTABLE T THIS S TO CERTIFiKiT'hat the Individual Sewage Disposal System constructed ( ) or Repaired b Z�,� f " I :Ilcr at ........... .0............. -------- -------*--- --- ----------------------------*".................. - - - - ..- ---- ------ -------------- - 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. -------f��r..-..`1�:_ ..... dated ..... _.-.�1-�a_-.�1. .... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. Cam ' DATE `" `+�� ._.../..... _--------------_-------- Inspectory"... t ........ - .�. 1` THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f� TOWN OF BARNSTABLE �� l� No� '..�........ FEg ................... Bisposal/ nrkn Tonotrurtinn "Prrntit Permission is hereby granted...Z ' r!'f --•• ! w�5-----------------------------------------------------------•---...........-- to Construct ( ) or Repair (/< an Individual Sew ge Disposal System l/L 0/ \ / t/l l ( (/ t r l Street as shown on the application for Disposal Works Construction Permit No.-,!I Dated---..�-^ .........---••---•-•------- ------------------------------------------•------•--------- ey Board of Health DATE.............. ' t� �- ............................ FORM 36508 HOBBS&WARREN,INC.,PUBLISHERS y TOWN OF BARNSTABLE J3CATION fi g „ SEWAGE # VILLAGE ,, ,� , /„� �®���� ASSESSOR'S MAP & LOT /S/�/ / y3 INSTALLER'S NAME & PHONE NO. ,Q,ry�a���(,�� SEPTIC TANK CAPACITY JTpd!�,44f LEACHING FACILITY:(type) ( 11 size) NO. OF BEDROOMS .3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No op A �t TOWN OF BARNSTABLE LOCATION L C, !( �,� 1 S SEWAGE # VitLAG �p /YZL/-�SESSOR'S MAP & LOTZA3--&3 INSTALLER'S NAME PHONE NO. �- SEPTIC TANK CAPACITY LEACHING FACILITY:(type) CO NC/4-7d6l /(size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATE !v*j4 BUILDER OR OWNER DATE PERMIT ISSUED:' DATE COMPLIANCE-ISSUED: VARIANCE GRANTED: Yes No / i ` i C J V L ` � li No........ '4 Fps............................. THE COMMONWEALTH OF MASSACHUSETTS (N BOAR® OF HEALTH B. : . .�... I- C......................... Appliration for Uhipaii al l'nrk�i Tomitrnrtinn ` .e mit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System. ..cation-Address or No - tx�Yt .. 5 .t--. iS�st........ .I .1.C1:�%. f,�cl f � Owner �� Addre ... . ................................................ . ...•.............•......•-•-.._.......... rt�.. ..` In Address Type of Building Size Lot_ .......Sq. feet U Dwelling—No. of Bedrooms.....................................Expansion Attic.(' ) Garbage Grinder ( ) Other—T e of Building �- No. of persons............................ Showers — Cafeteria a Other fixtures ...................................................... W Design Flow.........[j..6.........................gallons per person per day. Total daily flow--------�._ _.<j._....._...._..._.._gallons. WSeptic Tank—Liquid capacity.Ia:�__.gallons Length._......?.._. Width__ _____ Diameter________________ Depth................ x Disposal Trench—No.J................ Width....4t.............. Total Length... Total leaching area....------------.---sq. ft. Seepage Pit No---------_---------- Diameter.................... Depth below inlet.................... Total leaching area..�z.6.....sq. ft. Z Other Distribution box ( ) Dosing ank ) a Percolation Test Results Performed by-------- -- I.................... Date....�1.� Test Pit No. 1........ ,____minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ t� • ----•-------------------------------Jt........................... .....•----..................-•-•............• J O Description of Soil----0^--�--.....-- .A..i 4'----` Sd..�a... ef_.Y ---------------�----1. ------. !S-62`-'4...--- x V ----------------------- -------------------------------------------------- -..•------------------------------------------------------------------------- --------------------------•----------- W ----••••---••----._...-•-----•••••-•••--••--------••...-------••••-•---•----•---••-•••••--•••---•--•---••-----••-----••-•......-----•-•--•-. ........................................................... UNature of Repairs or Alterations—Answer when applicable............................................................................................... --•--------------••----------•••-••••-•-••-----•--•••--•••------•••---•••-•--••--••-•--•---------••----••••......••-•--••-•--•----•-•-••-----•-•-------------•••-•----•-•---••......•••--.........••.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisoes of iiT .i. 5 of the Stjntae— The undersigned further agrees not to place the system in operation until a Certificate of Complsued by the iealth...... ............................... .. ............/2--e Date Application Approved BY 2 S`�7.rr Date Application Disapproved for the following reasons;................... --- ---------------------------------------------------------------------------- ......................................•...••••------•--•••-••----•-------------------------•-••----••---'---•-••----••-------------•----••-•-•-•-•---•-•---•............ ............................... Date PermitNo......................................................... Issued_... ............................................. No............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 3 OF.......... ... ... . .......................... Apptirtttinn for Disposal Works Toustrnrtiinn Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System l�:..l: . .? ... "1r p� 1 I -- •--• .. ...--•-------•-. -•................. ............ ......... . •-------•• ..... ocation.-Address - s or Lot No. (� Owner re-^ Add Installer Address dType of Building Size Lot_ .�_. �?.: .......Sq. feet U Dwelling—No. of Bedrooms_._..................................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type T e of Building _..... No. of persons............................ Showers — Cafeteria a YP g ." P ( ) ( ) Otherfixtures --------------------------------------------------•-----------------------------------..---------------------•--------------------------------------- W Design Flow--------J-1_0..........................gallons per person per day. Total daily flow--------:2..2.a....................gallons. W Septic Tank=Liquid capacity_f g gallons Length........ ?.... Width----,------ Diameter................ Depth................ Disposal Trench—No. -.!................ Width..... Total Length. . Total leaching area....................sq. ft. Seepage Pit No-_----------------- Diameter.................... Depth below inlet.................... Total leaching area.. ­.&A.....sq. ft. z Other Distribution box ( ) Dosing tank '~ Percolation Test Results Performed by...._. .._.. ��..v_ ��-- --1..: ..................... Date___. . aTest Pit No. 1.......�L.....minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to',ground water........................ ......................................................=................................................................................... Description of Soil....- _ ............ `.c .r:... �+ U ......-•-------------•--•-------------------------------------------------------•---•-------•-•----................................................ 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 TITLE 5 of the State Sanit?b7n;ssued e— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has by the iealthSignedcl ✓ ---- Date ApplicationApproved BY.....:............................................................................................ ---------------------------------------- Date Application Disapproved for the following reasons:---------------•-------•-------•-•---------------------•---------------------------------- •--•-----........... `�. 7 Date PermitNo......................................................... Issued-..... -•------------•--•-•-•-••• ............ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �....... ................... .............E,�...1 .. ..........OF....... .:... / .-...i......... ...fit, 4�rr#ifirtt�p of �uni�Itttnr�e THIS TO CERTIFY, hat tie Individual Sewage Disposal System constructed ( ) or Repaired ( ) bY---------.-- ......U-Q... Z_ �J _ ...............•••••............-- at x•-�., _�. 1• :installer 7s�i, f -"`--=A- ----------- has been installed in accordance wit�t the provisions "' r 5/�f The State Sanitary Code as described in the application for Disposal Works Construction Permit No...__ ..........+'..................... dated-_7-.X,,r---7f-- ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUN ON SATISFAC O ..............................RY. - -- .. -----------_------- -------------------------------•----•----- DATE..... .... THE COMMONWEALTH OF MASSACHUSETTS Q OF HEALTH O;y�iy' t No.......... . 1 FEE. Dispnai1 Works»Tnn#r inn ami# Permission is hereby granted.......-----------------•• --------.._.....------• •-... --•----------•-------•--•-------------------._............................... ....... to Construct �, ) or, Re ( ) an-I dividu 1 Se Kage Dispo, 1,,S stem .-n atNo......-`-'--v-.l-•--•�i....--.---• ._t.. C............................t� � ..�..( � f .. f........................................t .. -- •---------•-......... Street as shown on the application for Disposal Works Construction Permit No....-_ ............ ...................... r _ A k. DATE------ ----- --//-•----�Cr .� ealt h -- ------ ---•--- )3oard of H •-------•-••---------•-•-------------•-•---• FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS 9 OD r' IT /v /5 I.' 2 oX r ' boo 9, �XPANSi ✓ LFACNIAIC, s D T �o ROBERT yG xl o ` BUNikis 22162 Q 3 , iaL �' LECEN,Diy r ' fE3t,ISTiNG SPOT - ELEVATION OXO CERTIFIED� PL`OT PLAN EXISTING- `'FINISHED SPOT; ELEVATION 0.0 4 FINISHED `CONTOUR';' 0 —:— /�'Ii4Tzs7-0,N_s iN APPROVE® BOARD' OF HEALTH IA ;DATE AGENT SCALE ' DATEs'Klo / SAL ,ENGINEERI CO. l!VG _ �, ___ AIG CLIENT CERTIFY .THAT THE "PROPOSED'-�+ ®PE'OGE Z EGISTEREd _REGISTERED -7 JOB NO 7 BUILDING SHOWN" ON THIS PLAN , < +< " CI IL LAND CONFORMS TO THE ZONING LAWS :.„ a ' DR.BY ,! A:_: ERdGINEER SURVEYOR — OF BARNST LE MASS. 33.'�NO.:_MAIN ST: 712 MAIN. ST. CH. BY S0 YARI+AOtJTH; MASS,* ;HYANNIS,- MASS. -- SHEET C OF �'- . ;—DA E'. RE LAND SU_R.VEY®R`; L5/7 TANS ®f� GEAefriNG P/T ACE MORE ,T�df9N B2°°�El.®�/ M/Nr Co V CA>,iF '.0 CO PW#7 __ �,:. Fes-' •_. : . -0"I-VC PIPZ SWALL 6� 6J�.5A'0&a.V/' 7'® 'A Dom'.�i4N EXTRA COIVCR& 'E /1,6,4VY CA ST be0A/ C®VZ=-J? S,,YA EE USED °;'• :��"DER FT. /F/IV ,DR/vE�9/.4 3� v4GLa CO rEllq� _ CLEAN .SANS CA L ROI'SI1000 ` O ��LAY�I� /BN o M/N. P/TCN D 0 O GAL.. o xD o� g 0 o m 0 0 o o o " A. m40 I4`PAR OT. �g�T/C : T.�/Vf� D/ST, m g g o 0 0 0 0 0 0 0 o n a q d'Y�4 5 HE® S7Y1NE 0 ; ®OX v o ® � 0 .0 000a Qua o. Or eD g o oEFFECTi✓� ° a o o b 314 0 n e o 0 pEPTH ° o o ` 0. o WASHED .STONE - a' A o 0 0O ® i ® p o o a cQ c a o 0 0 0 0 0 0 o p PRECAS 7-SE�Afr E 0 o e o m ® o a 0 o o a a 0 O/T. OR EQlJ/V. /NVeRT el.RVA77®NS m INYZAT A 641/1.0IN& �7 6.O FT. 6 F7" D/AM. I;fN.LET 5.--PT/C .T�NJr 5•S FT•. � F .. D/s4J ;J i SEE WWLUL..4T1 oN> OUTLET SEPTIC 7ANH 95.3 FT, INLET D/5Y�/e�UT/®M SOX 4 S .SECT/O/� OF GROUMD WATER TABLL=. S®lITLETD/STR/®t/T/O/N®OX 4�7FT NLOT LEACHImer oFv-r 4.2fr eSE�/AGE 01S.=4%SAJ- SX-5-r M LRACH Nam =/7' 7��IJL.ATlD/v1 "DE516H CdR TETIA. TCA 10IJD9EJY5I®IV G FT. G-+Re,mGA.a/xs P0.SA4 u v/r, -SOIL, LOG TOTAL E:3TOMfATEO FLObV 3 0 ,G.64L.�0.4,Y SO/L. TEST A/ SOIL T�ST02 S®/L 'TEST JNUMIBER OF 4eACNINa P/TS_. FLEE/_ ELE1! ,DATE OJC SO/L `TEST .0/2 g . S/OF LEACA41A P PEAt PIT ���SQ, FT 72 . 1? $ciN/�iT AES'ULTS 6N/TNESSED SY aOT'TOM 4,94c/ l vc, pEJ?P/T 7 54.:PT L r-:Z Pt/VC0ZA7l/O/V RATO'o 7 M//V'JMCH 2ZEo LOA CIETOTAL L.Ei�CH//YG �4REA SQ. FT. SvE35O✓�- AEJeCOLA''%6N RA7',F MlM.�lNCN REBERVE4Z4CNINGAREASQ. FT. 1 OF ass n T cy A ��L - $o ROBERT a • G � �$'T'0/YS IVI/ LL✓S. . BUNIKIS No.22162.A 16T6\� L �¢ :, y > 712. ST_. 33 NO./o9A N®�s./�®E/ND Wi TL�R. �/VC®lJ/VTLrIC'ED HY�4NN/S M.RS3. ,° 3O. YAR/+9CX/TH'AIA" A. rv. i ELEV. TOP FOUNDATION (Existing) = 68.68 F.G.EL: 67.7 �` FINISH GRADE=67.10 F.G.EL: 67.6 F.G. EL: 67.0 ` MAINTAIN 2% MIN SLOPE OVER LEACHING AREA a• , � COVER OVER LEACHING = 4.75 FT. •'° COVERS TO WITHIN 6 OF GRADE r 2" OF 3/8" DOUBLE 3/4" - 1-1/2" DOUBLE WASHED STONE WASHED STONE%, s" w„• 4" SCH 40 PVC 4" SCH 40 PVIiijeE e 0S=2% 10"I a aa. p ®®®® S= 1% MIN. s A. (MIN.) TEE'S ARE TO BE 14 ( ) ® S= 1% (MIN:) ®®®®®®®®®® INV.64.43 ®®®4 SCH 40 PVC 2 EFF. DEPTH ®®®®®®®®®® INV.64.79 INV.64.23 EXISTING OUTLET BA E PROPOSED DB-3 4' 2 X 8.5' 4' ;l ao ~' H-10 DISTRIBUTION BOX EFFECTIVE LENGTH = 25' INV. 65.04 EXISTING 1 ,000 GALLON SEPTIC TANK INV. ELEV.= 63.75----�/ GAS BAFFLE TO BE INSTALLED ON NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING BREAKOUT OUTLET TEE AS MANUFACTURED BY PIPE INVERTS PRIOR TO CONSTRUCTION ELEV.= 64.5 TUF—TITE, ZABEL, OR EQUAL 2) D-BOX SHALL BE SET LEVEL AND TRUE TO TOP CONC. ELEV.= 64.25 GRADE ON A MECHANICALL COMPACTED SIX INV, ELEV.= 63.75 IrE ~ INCH CRUSHED STONE BASE, AS SPECIFIED IN a a a 0 a 310 CMR 15.221(2) E aE3a 3) REPLACE EXISTING 1,000 GALLON SEPTIC ®®®®® ' BOTTOM EL.= 61 .75 0aTANK WITH 1500 GALLON SEPTIC TANK 4' 5 FT. 4' IF FAILED, DAMAGED, OR UNDERSIZED. 4) INSTALL INLET & OUTLET TEES AS REQUIRED SEPARATION 5.60 FT. EFFECTIVE WIDTH = 13' SEPTIC SYSTEM PROFILE BOTTOM OF TESTHOLE EL: 56.15 SOIL ABSORPTION SYSTEM (SECTION) N.T.S. (500 GALLON LEACH CHAMBER (H-10) LOADING) SOIL LOGS DESIGN CRITERIA NUMBER OF BEDROOMS: 3 BEDROOM DATE: MAY 2, 2007 SOIL TEXTURAL CLASS: CLASS I SOIL EVALUATOR: DARREN MEYER, R.S., CSE DESIGN PERCOLATION RATE: <2 MIN/IN WITNESS: DONNA MIORANDI DAILY FLOW: 110 G.P.D. DESIGN FLOW: 330 G.P.D. HEALTH AGENT GARBAGE GRINDER: NO Elev. TH—1 Depth Elev. TH—2 Depth SEPTIC TANK (VOL. REQUIRED): 330 gpd x 2 = 660 gpd (USE 1,000 EXIST. SEPTIC TANK) 67.15 A 0" 67.0 0" (330) = 445.94 S.F. LOAMY SAND A LOAMY SAND LEACHING AREA REQUIRED: 74 � 66.73 B 10YR 4/1 5" 66.58 B 10YR 4/1 5" USE TWO (2) 500 GALLON PRECAST LEACH CHAMBERS (H-10 LOADING) LOAMY SAND LOAMY SAND WITH 4 FT. ON ALL SIDES: 25'L x 13'W x 2'D r ' 10YR 6/8 10YR 6/8 BOTTOM AREA: 25 X 13 = 325 SF 64.07 C1 37" 63.84 38" SIDE AREA: Cl (25 + 13) X 2 X 2 = 152 SF TOTAL SQUARE FEET PROVIDED = 477 vs. 445.94 REQ'D MED. SAND MED. SAND 2.SY 6/6 PERC ®61.82 2.SY 6/6 I TOTAL G.P.D. PROVIDED: 353 gpd vs. 330 gpd required OF - ----- l PROPOSED SEPTIC SYSTEM UPGRADE PLAN I E 90 BRIDLE PATH, MARSTONS MILLS, MA No. 1140 "' Prepared for: Daniel .Neary 56.15 132" 123" �� Engineering by: Surveying by: SCALE DRAWN JOB. NO. 56.75 NITAR�P� DARRENM.MEYER,R.S. Boo-Tech Enviroamenta! N.T.S. DMM PERC RATE <2 MIN/IN. ("C" HORIZON) PERC RATE <2 MIN/IN. ("C" HORIZON) POBOx8B1 (508) 364-0894 NO GROUNDWATER OBSERVED NO GROUNDWATER OBSERVED .' EAST SANDWICH,MA02537 DATE CHECKED SHEET NO. so8� -2?z2 05/03/07 DMM 2 of 2 r : { LEGEND 40 ~� 2D® LANE PROPOSED CONTOURpR $ 98 PROPOSED SPOT GRADE DE =p \" l F —— 98 —— EXISTING CONTOUR YO R � + 96.52 EXISTING SPOT GRADE T�F RIDGE J H W— EXISTING WATER SERVICE 212. 46 f t I TEST PIT N ' L O T 9 ID mar '' 9 cws O �> - , AREA = 25606 sf Ro oyo o \ — — LOCUS MAP N.T.S. GENERAL NOTES: PAVED DRIVEWAY 6� 20 {� SHED 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL cu // n 66.89 BOARD OF HEALTH AND THE DESIGN ENGINEER. \� Existing Leachpit 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS �\ OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE T (N (Note 10)fl LOCAL RULES AND REGULATIONS. -- 0 67 SJ 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 0 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE m DESIGN ENGINEER. h 66.92 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING O FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN O o 0 IT1 ENGINEER BEFORE CONSTRUCTION CONTINUES.0 X TH-2 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. D wq T i �� O fTl (n 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF Gq TER // 00� 76,4 1 a HEALTH FOR THE CONTRACTOR PROPER INSPECTIONS DOR OWNER TOTURINGHCONST CONSTRULOCAL CTION. OF m i o z Ex' t. 1000 gallon N 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. wi z 8 L Septic Tank 6� 1� 66 TOA CDITTION AGREED UUPON BETWEEN COWNER AND BCONTRACTOR. CT/� 67 j c 20 ft 9 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE D THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 6,44 3¢ i CONSTRUCTION. 13' 10. EXISTING LEACHING PIT TO BE PUMPED, CRUSHED AND FILLED i � 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION Arr 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY 6_' TH-1 6727 AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 6� •0. 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. / Iv 14. NO WETLANDS WITHIN 150' OF PROPOSED LEACHING. BENCH MARk< / N f-r- i TOP CORNER BULKHEf,D o i ELEVATION =68.36 BARNSTABLE GIS DATI-V MAP.• 149 197. 24 ft LOT.' 135 LCPA' 129868 OF �As9G PROPOSED SEPTIC SYSTEM UPGRADE PLAN !' D 90 BRIDLE PATH, MARSTONS MILLS, MA o. 1140 "' Prepared for: Daniel Neary SURVEY REFERENCE: Engineering by: Surveying by: SCALE DRAWN JOB. NO. PLAN OF LAND BY THOMAS E. KELLEY, PLS `.� $TER�� Dc OXEN M.MEYER,R.S. Eco-T'ech Endronmental 1"=20' DMM DATED: APRIL 22, 1974 SgNITAR�P 'l�,v E4srsallowrcH MAo2537 (508) 364-0894 DATE CHECKED SHEET NO. U 5oa3,hz-_�22s . 05/03/07 DMM 1 of 2