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HomeMy WebLinkAbout0190 BRIDLE PATH - Health 190 BRIDLE P,4%11, R,4RS%ONS MILLS A= 125-047 TOWN OF BARNSTABLE rLOCATION (q U klc ��� �k�t,t SEWAGE# O? " 31 S- L'�VILLAGE /'ijarS j,n At11.S ASSESSOR'S MAP&PARCEL /o?C — 4/'7 INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY ,p d y Q a\ LEACHING FACILITY:(type) SOU C k 1 V (size) k"t, Y a J NO.OF BEDROOMS 3 , OWNER �- PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility N• 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 At 14.7 14;� A5 q,. a [3j 5 y� 33 y3.� No. I Fee too THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for nigooal *pztenn Conotruction Permit Application for a.Permit to Construct( )Repair( )Upgrade(V'rAbandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. I Q C igAj le Parr( ijW!��/Yf d L��/, Owner's Name,Address and Tel.No. 5 01-%r, Z-���M rt 7�u�.sT Assessor's Map/Parcel P2 s�� 7 1 97D Installer's Name,Address,and Tel.No.Cr9P¢w�r�e �-� �/�jg3 Designer's Name,Address and Tel.No. qag L 070) WA c.c�..,,S ' Hwy o�,._73 031-7 Type of Building: Dwelling No.of Bedrooms Lot Size Z2,129:— sq.ft. Garbage Grinder( ) Other Type of Building 1,APv-j� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 3 gallons per day. Calculated daily flow 3 - gallons. Plan Date 7-1q--Loa-) Number of sheets Revision Date Title IqD 13nJCv_ f is Size of Septic Tank Cl��� Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when/applicable) �SC�c�llwt P 0,0 Tb 0ov"., 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 Certifi- cate of Compliance has been issued by thi and ealth. Signed Date -7-Z4 Application Approved by V. Date 7 ''2a--�La d 7 Application Disapproved for the follow g reasons Permit No. 9-00 -3 1 Date Issued 7 A O No. '2 co-7 I S Fee r� ;THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: l Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pprication for Migogar bp5tem Congtruction Permit Application for a Permit to Construct( )Repair( )Upgrade( V)Abandon( ) ❑•Complete System ❑Individual Components Location Address or Lot No. 19 U 3(;d Ie p*Tf4 ✓�V9 runs d'1e(1J Owner's Name,Address and Tel.No. St)>^n 0 4,->l 7 u i yT- Assessor's Map/Parcel Z 5/Y 7r5(a�� ►t l� Installer's Name,Address,and Tel.No. 4,az,,j,u(e Designer's Name,Address and Tel.No. �. .(— ism i+ux z..r O,t3�r 7C.3 2ES4 O'C goat C pert,;l(e rk A o2w) wee �,,�,y, rtii 7 5 a'7 Type of Building: ! i Dwelling No.of Bedrooms *� Lot Size sq.ft. Garbage Grinder( ) Other Type of Building 5;" No.of Persons Showers( ) Cafeteria( ) Other Fixtures _ Design Flow 3 gallons per day. Calculated daily flow 3 3 S gallons. Plan..Date 7—5 — op Number of sheets ( Revision Date Title I q o *,-,A(,e Q5N Size of Septic Tank 000 Type of S.A.S. Description of Soil p F " Nature of Repairs or Alterations(Answer when p licable) �k5r l 1 w� l°vo lb vUts 3 x,_. Cam.> >o� �►wt ( •c. t.4��� �. Date last inspected: Agreement: f The undersigned agrees to ensure the construction and maintenance of the afore described on-sitle-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 Certifi- cate of Compliance has been issued by th's--Beard f-Health. Signed Date -7 Application Approved by Date 7 f' `C; Application Disapproved for the follow g reasons Permit No. Date Issued - to — ®y THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance = THIS IS TO CE IFY, that the On-site Sewage Disposal System Constructed( ) Repaired ( ) Upgraded ( ) Abandon d( )bye at �RO 15s KkVN AW5ICSC^) nkitl h 1 s ben constructed in accordance with the provisions of Title,5 and the for Disposal System Construction Permit 155 /- dated 7 Installer _e) 41c(- Designer 5 C= 01\1 The issuance of tlu tf"hall t be construed as a guarantee that the s to .w,ial function a esid. d Date Inspector F lit �bNo. dU7,,_ 3 15-------- ------- -- —_" Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Xi9;pogal &p$tem Cougtrurtion Permit Permission is hereby granted C to Con ruc )Repai�•( )Up rade Abandon System located at t-tD (/ and as described in the above Application for Disposal System Construction Permit The applican ecognizes his/ier duty to comply with Title 5 and the following local p visions or special conditions. Provided: Construction must be c m leted °within three ears of the date of this ' t-, ��-p y Date:_ 't-� Approved by \ v q C i5 21TT 1'•i"Daration of eians anQ SDecinc®nuiaa r7 Q-1 r• , r� •. 1 —. . The plans and specifications for every on-site system shall be prepared as follows: (1) every system shall be designed by a Massachusetts Registered Professional Engineer "t"Zi an provided that such Sanitarian shall not-design a. or a Massachusetts Registered Sant p stem designed to discharge more than 2,000 gallons per day pursuant to 310 CMR 15.203. Any other agent of the o%vner.may prepare plans for the repair of a system.designed to discharge not more.than than 2,000 gallons per day pursuant to 310 CMR 15.203 provided are reviewed by:a Massachusetts Registered Sanitarian and approved by the approving uthority; ndsm nature of , (2). .Every..:plaa..submitted for appr be dated and liar the scamoval must-be p a the designer, (3} Every plan fora new systern or plan for the upgrade or expansion of an a istng:system �- which requires a variance to a property lino sctbacic distance, must;also reference a plan which bears the stamp and signature of a Massachusetts: Licensed Land Surveyor in accordance with M.t .L. c: 112, § S 10; system shall be of suitable scale(one inch=40 feet or fewer for plot ✓plans and ono inch(4) Every plan for a Z0 feet or fewer for derails of system components). Igd.shall include. : depieti.on of: (a) the legal bonndar'es of the facility to be served: (b) the holder and location of any casements appurtenant to or which could impact the .system; _.. . (c) the locatiort-of the all dwelIing(s) or building. existing and proposed on the facility d identifieaaati of those to be served by the system; '(d) '=the'iacarion of ekistuig of proposed irimper�tious areas; incluaing:driveways and pn g areas; _ - - : e) location and-dimensionscf th'e system (including resetsre area); /- -,(f), system design calculations, iitcIading design daily sewage flow, septic rank eapaadrequired and provided); soil absorption, system capacity (required andprovided);Nether system is dcsignca for garbage grinder; {g) North arrow and existing and proposed contours; (h);,Iodation andlog of deep'observation hole tests including the dale of test, existing grade elevations marked on each test, and he names of the representative of the roving authority and soil evaluator; • :,�,e. lotation and results of percolzdon tests including the aatc of test and the.names of 7. representative of the approving authority and sal evaluator; . } name and certilicatlomi number-of-the-S-or7-E-valuatoz of record.- (k) location.of every water supply,public and private, 1. within 400 feet of the proposed system location in the case of surface water supplies-and gravel packed public water supply wells, 2. within 250 feet of the proposed system location in the case;of tubular public water supply wells, and Lr 3. within 130' feet of thc.proposed system•location iri the case of private water supply wells: 1) location tsf-any surface waters of the Camrrmonweaitha rivers, bordering-vegetated wetlands, snit marshes, inland or coastal banks, regulatory floodway, velocity zonS, surface water supplies, tributaries to surface water Supplies,certified vernal pools,private water supplies or Suction lines, gravel packed or tubular public water supply wells, subsurface .drains, leaching catch basins, or dry wells; and the location of any nitrogen sensitive area identified'in 310 CNS 15_115 within which portions of the proposed •stem aro located. location of water lines and-otl:er subsurface utilities on the facility; observed and adjusted ground-wirer elevation in the vicinity of the system; o) a complete prof*.Ie of the system; (p) -a note on the plan listing all variances to the provisions of 310 CMR 15.000 sought i on}unction with the plan.; the location and.elevation of one be.^•c..�rzaark.within 50 to 75 feet of the facility which is not subject to dislocation or loss.di eing construct! * lity; on the fac"i (r) ystem when dosing is proposed, 'complete design and'speeificztion of the,dosing sided proposed including.but hot limitad to dosing,c:tamber capacity (required and"provides),' f� pump curves and specif:•eations, number .of d'osmg cycles and depth per cycle; (s) : when a Rcczculatii,, Sand Filter or equivalent altrmari" technology is requited or -posed, a complete plan and specificatior.for the syste ,including a}tydraglia profile; a locus plan,to show the iaca*on of the 1"acil'ity including the nearest existing street, Elie street number and lot number, if an the fility-, and, e�ifcations of the system. _ v) the materals of construetion.and the sp ji EQ 2R/199G U2: 26 508-790-1570, .3,P.MACOMEER & SON Pat;- 03 ` T6wn 0 grim stable *giotory Services ' { Tbomaa F.GeHere bireictor - Public Heeitt D:iv*slou r Thomas Maw,Director i `. 200 Mafa S&GA ay■Anb,MA 0360 tfce: 308461.464 Fan: $08.790.6304 �sear CertilYcaf�nn Form, � r Dnle1 i 8-1 W-0 F: nm�er j �L ��n�tr�ee.ri To C Ime�ller: .�. _���rPt�s•e5 AdareA.� z .sc�_ Grc'Abore WWj Addreeat On was issued a pewit to in"AU a serptio M at baste om a destp drawn by t- c:V1c �►e�ci� nC . �Ql 9 Zoo 7 t/ i'c+er* tl the septic syetam refea+ ad abovo was nsta Had substantiallyy award'u�g tv j i tlttI`deb�.;which may f delude for approved climtge sub* latest rola oU of the dLg11 ibtttior box W/O septic.taik. � �.� I re,rdl ► float ttus sap o rM zeferameed Gbor a Wets.�Gowled with or chenge�s {i,e. ger r th�o► 10 )attexal rtion of the SAS or WiY vertleel telocaition Of any eomppneat of the septic syetOM)but in accordance with State&Local Regttlitions. Plan revision or certlfled M-built by designer to follow. I j ! t14 Or i lop--IN 4Ic '.! Stmup Him) IBM=. i } q;�O, Fir c4rditma Farm Z0 -d Z9i0 2LZ 806 ; DNIN33NIDN30t Wd iv: ZI Z00Z—vV—nn" i �4 TOWN O BARNSTABLE LOCATION (%jAQS6,NS mi I l S SEWAGE # g5-1773 � tir ' ? V.tLLAGE 1 g(� 13R 1 IF _I 1��� ASSESSOR'S MAP & LOT f g� 044 I INSTALLER'S NAME & PHONE NO. ujE, RoLianon) -7-2 54774 SEPTIC TANK CAPACITY o®© qtq S(- LEACHING FACILITY:(type) ,(J�'-�-5 (size) (o 00 Coo j NO. OF BEDROOMS Z PRIVATE WELL OR EUBL1C WATER OR OWNER DATE PERMIT ISSUED: I o 1 /g /G 5 —7� DATE COMPLIANCE ISSUED: 10(19 95 VARIANCE GRANTED: Yes No X Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Private Water Supply Well and Leaching Facility Edge of Wetland and Leaching Facility Op ®v A ' O A yvEtsJ nn�� � No. V .� �'° ~ -'Fee 3 0 .0 0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for Migool *p$tem Con!5truction Permit Application is hereby made for a Permit to Construct( )or Repair( x)an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. 190 Bridle Path Mr. Hamquist Marstons Mills 428-3373 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. W.E. Robinson Septic Service P.O. Box 1089 Centerville7 /b-8 / 76 Type of Building: Dwelling No.of Bedrooms 3 Garbage Grinder( nb Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Description of Soil gravel Nature of Repairs or Alterations(Answer when a/pplicabie) 19Bxx�1� &x�x.1492[; ht976PI791� precast leachp.it `; �/ L� 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 En ironmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this and 1dkalth. q Signed Date !?—6 Application Approved by qZk4Adft4 Application Disapproved for the ollowi g reasons' i Permit No. 7 7 Date Issued 10-- � I —— t 0. No. Fee 300 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplication for Miqo5a[ *p!5temCpn!5truction permit Application is hereby made for a Permit to Construct or Repair( X)an On-site Sewage Disposal;S em at: Location Address or Lot No. Owner's Name,i Address and Tel.No. 190 Bridle Path Mr. Hamquist Marstons Mills 428-3373 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. W.E. Robinson Septic Service P.O. Box 1089 CelfteKVille 775-8776 Type of Building: Dwelling No.of Bedrooms 3 Garbage Grinder nb Other Type of Building No.of Persons Showers Cafeteria( Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Description of Soil gravel Nature of'Re i tio rs or Alterans(Answer when applicable)ga 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 En ironmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this I�oarXdliealth. Signed ► Date x_1 Application Approved by -6-14 Application Disapproved for the lAig reasons Permit No 1 77 !� Date Isued s (/0—. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Certificate of Complia-pre THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed or repaired/replaced X)on by W.E. Robinson Septic .forHamquist as 190 Tr-idle Path has been constructed in acodidance with the provisions of Title 5 and the for Disposal System Construction Permit No. 1773 dated Use of this system is conditioned on compliance with the provisions set forth below: 4<12 30 .00 No. 25'- 17 Z3 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS J =111k9po5al *p5tem Construction Permit Permission is hereby granted to W.E. Robinson septic Service to construct( )repair(x )an On-site Sewage System located at 190 Bridle Path Marstons Mills and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. All construction must be completed within two years of the date below. Date: 10 -Approved by CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) v hereby certify that the application for disposal works construction permit signed by me dated concerning the property located at�� O x Oa4�e F, .t ; / meets all of the following criteria: • There are no wetlands within 300 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. SIGNED :Li(/ DATE: 16 d LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. a � v 6 � ' F 137�' / D2- PAIw I,N / f /2.S'i00 N3 "1s$D2 2 `� C } SP�'�rcN o t, `� •Rt•.V•r.r N OX 90 0 EXPAAoS10d OOv GAL. V EA[NNfi .� Z_o-r l 7' ZoT r G DF ?o? ROBERT i c4i BUNIKIS p No.22162�O 90 CliT LEGEND CERTIFIED PLOT- � PLAN .EXISTING SPOT ELEVATION Ox0 L p T J ! 7 ��l.D�, p; T EXISTING CONTOUR --- 0 - - FINISHED SPOT ELEVATION 0.0 /Y/,1 /2S TO/✓S - ..M �/- FINISHED CONTOUR 0 APPROVED BOARD OF HEALTH SA ��,StA 'A DATE AGENT SCA E: / ' = 4'0. DATES t! LOREDGE ENGINEER/NG CO. INFCLIENTU/�K I CERTIFY THAT THE PROPOSED . -70 6 BUILDING SHOWN ON THIS PLANEGISTERE REGISTERED �--�-- - CONFORMS TO THE ZONING LAWS CIVIL LAND D . . .: '� ` ENGINEER SURVEYOR OF BARNST BL � MA38. n 33 NO MAIN ST 712 MAIN ST. CH. BY ' P.73• = Ass. - LAND SURVEY .R SO. YARMOUTH, MASS. HYANNIS, M SHEET-L OF �- DAT.E RE F J } J e7 gat4 N c lc� t. LOCATION SEWAGE PER IT NO. Y1[,, LAGE IN.STA LLER'S NAME & ADDRESS GUM 'B U I;L-D E.R OR OWNER DATE PERMIT I U E D -7�� /'. ;3 DAT E CO-MPLIANCE ISSUED ������o �'�l'� �'� ; � �� �� � � �.l�a .. �T � , ' �O i � ..� 4�... W. r y ^ .. No........` •..... F>s.............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...... .........oF.. . � .V.4 -1..-L_.......................-- Applirntion for Uiililana1 workii Tontrnrtinn ranfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Syst �. ........nma_/Aylk .... .. _ o ation-Address `, -ram Lot No. ---- t!";���1r .�..Zc�: ...t. v... ..P.....---•� ^lJY,� iner Installer Address s?'�,�1 --�.......Sq. feet Type of Building Size Lot__ __ Dwelling—No. of Bedrooms._....•__._..-__ __-_--...•Expansion Attic (rJ) Garbage Grinder V Other—T e of Building t .._ No. of ersons... ................... Showers — Cafeteria Ga Other fixtures -------------------------------- - W Design Flow.......�_�.0...........................gallons per person per day. Total daily flow-----------321-v-....................gallons. W Septic Tank—Liquid capacityb_#.gallons //Length... ?-........ Width----F....... Diameter________________ Depth................ Disposal Trench—No..................... Width.... --------- Total Length...... Total leaching area'Z, .4......sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.-.. ....,Total Total leaching area..................sq. ft. Other Distribution box ( ) Dosin to ( ��'� �� / aPercolation Test Results Performed by...111—t-_-- ? x��. ._T______________________________ Date.... -1-- .- �I1'--e_-•.... ,.1 Test Pit No. 1....�� .._._.minutes per inch Depth of Test Pit...J.�j........... Depth to ground water_._.N�p'[r�...__. G Test Pit No. 2•-•-_____.__•___minutes per inch Depth of Test Pit.................... Depth to ground water........................ --------------------------------•---------------------------------------------...._..._...................................................................... O Descri,Ption of Soil...- " ....... `.1.1.........� ....... •--•--•-•----- W ..........................................•--•••-------•--•-••---•----------••----•--•••••-•-•-•-•--••••-•---•-•-•-•-•••......•---••......-----_.... UNature of Repairs or Alterations—Answer when applicable_________________ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iI I'�.s=. 5 of the State Sanitary de—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has e issued by Aboard o health. Sig ed . • • •-•--•- ._... �' % Date Application Approved B '..____.___ PP PP Y -_. ... . I-------------------- �,�' ��� Date Application Disapproved for the following reasons-------------------------------------•----------------------------------------------.....--••••......--........-- _..........-•-•-•--•...-•••--------•-----------••--•---•......----•••••-•-•••-••-•-•-•-----•-••--•••--•-. --•-••---•-•-----•----•-------••••• ------•---•---•-•---------------•----- -•-••--------- n /1 — Date Permit No......................................................... Issued_._ Z A� -. yam'. --•----------Date- .... ...... ..... 'i 1 Fux THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH h ...................OF.... ..J. Appliration for Dhiposa1 10orkii Tontitrurtiun Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Syst t ...... �:� . .............�-��... i ..------. . ------------- ------.--------- ......:.._ --- - ---- --- --�--� 1 L9catian-Address ........... ----•• ----- �.s �eJti f........ .... ....a r Owner rt i dre � ♦ I U�..................•--••. ••••..__.......... ..... _-lZ�: -1:....... .eJ/4;.k........../ ,/---.._ ' Insialler Address d Type of Building Size Lot.;2j.#!1_1-----•-Sq. feet aDwelling—No. of Bedrooms._..__ Expansion Attic ((J) Garbage Grinder pa Other—Type of Building ._I'_._t.................... No. of person ............. Showers ( ) — Cafeteria ( ) QI Other fixtures ------------------------•---•-...- ---•-- W Design Flow......r.Lu............................gallons per person per day. Total daily flow------------3_�--f• .....................gallons. WSeptic Tank—Liquid capacity!?_ !_gallons Length___ ......... Width---S:!........ Diameter________________ Depth................ x Disposal Trench—No. .................... Width......6.......... Total'Length._... ......... Total leaching area2.la_.l„-____.__sq. ft. 3 Seepage Pit No-_------------------ Diameter.................... Depth below inlet_.. ....__________ Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by......:. ._._.:` _ . .`lf .'. ............................... Date............:.......�1 1.4 0.4 Test Pit No. 1....41,........minutes per inch Depth of Test Pit_._'. : ............ Depth to ground water.._A A-1-!w_"`____-_. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R'+ ••••-•--•-•--•--------------•---•----•--•.........-•----•••-•-•.....••••------•:........................------........--•---.............••........-----•••-- O Description of Soil---- ......... _+V` ..... _ = .......... - ' ....... A.:.I=....G'&4 Z rJ1 . ._.L.� r, 1.=9 =�-���c'----------------•-•----------------------------.....................--•.---------------........................ W ._ UNature of Repairs or Alterations—Answer when applicable............................................................................................... -------------------------------------------•-------------------•----------------------..............----.....------------....-------------- ............................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I T 1E 5 of the State Sanitary de—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has e issued by the board o health. 4 Sig ed !' _::.. .. '�?.•••..............•--•-•......•--•-••-•••--•-•-• ---•• •-••-�1. Date Application Approved B 71. .......:...:. ... . ... ....:_..__ .....Z� _ Date Application Disapproved for the following reasons-----------------------------•----_------------------------------------------•--•-------•... _...._.__-_-•- .....................................................•.................................... ...................................... ..................... ----------•-•-•-•------7. ............ .......No............................. .__ Issued.._-E -- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .6)..i,A ... ....................... Trrtifiratr of Toutphatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by............ ............. -t.1...%—----------------------- _ Installer has been installed in accordance with the provisions of 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit ,C .... .,, .............. dated_ -- T••: �_.f".-...��`.`.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WIL FIJNCa'I�N � ACTORY. o�� DATE............ .......................... ..... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH'- 7� _...._ FEE........................ Disposal nrkg �nnitrnrtion amit Permission is hereby granted...° �:°._.:-4= I12— ............... i to Construct or Re. ) an Individual Sewage Dis osaL system ._ atNo........ 0 ------ A..l..... ----- ..... r ...... ............ tom.....----- ...-'- Street r. ry J— »� — as shown on the application for Disposal Works Construction Per o.._..r ....... ted..... ................................. (� J,� ?�/• L.%Boa d of Health c DATE..... - -•-•••--•-•-••-----••--•-•--••......-••••-..--•- . FORM 1255 HOBBS & WARREN, .INC.. PUBLISHERS J J. LE fill N 0(3 o ExP�NSianl � , /00.0 GAL. •; L T S K �L N F At � e / Z ,S`O / 9 9.1� o`' ROBERT, o o BUN IKI$ t p -o ,p fVo:22162 G/ST�H a s LEGEND ' EXISTING SPOT ELEVATION 00... CERTIFIED' ':: ':PLOT ` .P,LAN . EXISTING. CONTOUR =- - 0'- - '- Lo 7 / 7 T3P,lvLam. 7>.4 r . - FINA SHE DSPOT .ELEVATION ` O -2,STO�S FINISHED CO,NTOl9R : O -- — - . APPROVED : BOAR® OF HEALTH DATE"' AGENT -- SCALE / et-. U DATE"j', 6,;0A ' . G p, R c N e I CERTIFY . THAT THE PR®POSEQ EGISTERE REGISTERED JOB NO. -77tJ (� BUILDING; SHOWN ON. TOTS , PLAN C1�9IL LAND 'CONFORLls" TO THE 'ZONING LAWS;' , EI�GINEEI� SURVEYOR Off . ®AROdST ®L , 'MASS 33 NO. MAIN ST - 712 MAIN ST`:. CIS. BY' ����c/ - . 'SO: YARMOUTH, MASS. HYANNIS, MASS. /' /- -- i SO�EET_ OF OdTE RE LAN® SURYEY R K P N0-rE /F TAA1A< OR LE�FCa/ni .�i'T .4PE ®R� T'�dAN /a°'OELOW C0VC'R, C®6✓ZAP _CoNcRere �'PO�L` P/PEA CAST //T01V COVeR USE% coveRsI�9/A/. P/TGN I�%N DR/VEde/.4�' A �- OAOE CU NER CLEAN .SANG d`' �••CAST J a tlLAYER /IQOA/ f9/PE' i / O b 0 0 0 0 p Q Q /�a"_S " �► /�//0/. P/7PC/1 ('/9�4L. n D o o ® n o 0 o D D 0,o SEPTIC, 7AIV DIST, ® 'Po D o ® o 0 0 o.a o 0 o s d a WASMPD S72'JNE C �FECT/V�' 0 0 op i o ° v o DEPTH ® ® ® o o °� o WASHED sTONE ruv p ;.: v' v000 0 8 ..moD1 you o p o o aD u v o o ® m a o D o p °6 y, PRECAST.SE.EPA6E' /MVZ/r ZrZ RVAT/O/V 5 o e op /WYZX'T A7 64914,DlAIG 17.0 �FT D/AM. .. SEPT/C T�N/t F7 C 6sEE -'— a1 av Z- szpT/e BAN do 3 FT. /NL.ET®/ST/�/a�IAT/®A1 SOX 5 R_,e'T OROu/VD.14ATER Ti4BLE _ OUTLETD/STD'/Dl/T'/OIN®O.K 95,7 FT SECT/®/V OF r" V4. LEACHIIVa_A 7 LEACHING ,0/T ' T�QIJLAT/®/�/ o/MEN51 ON A3 FT. OF 46E®RooA9.S 3'': O/HENS/OAl C _FT. - ` � - T®T.4L EsTIA1AreZ> F1.ObV 33 o ®®� '���� G.�lL.�0.�4 S O/L TEST �/ Sa/L TE'ST#2 NUA<1BER Wr 4eACN/N6.P/T.S__..�_ _ E"LEd! 9 7" O.4 TE ®F .SOIL 7`E57", b .S/®E 4.eACH/A/6 PER P/T .,5`Q .r a; y R ' P.$yA//K I S U.._ Z TESUJ_rS AV.1rNESSE® 'E OOTTOM L,94CA///VG PLSIR P/T_7$Q. F7 LO�t-/�%+ �� PL�RC®LA7Y0!✓ RAt0. / /�91fVyI/NCH TOTAL LEACH//VCr. AREA. .26�S FT - $v /3 _Sp �t- XWPCOLAT/®A/R.�T'E J*2 MIN. /NCH 4 QR5RXVE4_=ACN/NCS AREA '2.--(0 bsS FT, z F Z•-R— No � C I�i1 E L OrMass9� DL..c7WTH r. /o T. c /D — /3 P. G O sr 2 S r �1.4'P ROBER �5 7-0/1/S. c o BUNIKIS �, U/h}IT�. m .o p No.22162 �Q S!}rV D: r 51 DiREDCE E/ &I MMV/NC 09,//9/C: :=,} ���• C'�STE?6\��. - EL.'S¢ 712 ►/Alit/Sr. -33'/NO.MAIN ST N®crITO/JN0,,YB;4TER FNCOl1NTL�Rt�� e H'Y4NN/J,:;MASS.. SO. Yi1 RMOUT.�I�MASS / TAR.A __ ... GIGO UNO yi - i FINISHED GRADE OVER TANK EL. = 58,6± PROVIDE PRECAST CONCRETE FINISH GRADE OVER D-BOX= 58.9' EXTENSION RISER WITH CONCRETE i FINISH GRADE OVER CHAMBERS= 5$5 - rj$,$' GENERAL NOTES TOP OF FOUNDATION COVER TO WITHIN 6"OF FINISH GRADE SLOPE @ 2% MIN. OVER SYSTEM ELEV= 59,6± CONCRETE RISER AND COVER 3/4"TO 1-1/2"DOUBLE WASHED STONE TO 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION OVER INLET AND OUTLET COVERS. TO WITHIN 6"OF GRADE 4"SCHEDULE 40 PVC MIN SLOPE 1% ACCESS BOX WITH COVER TO GRADE CROWN OF PIPE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL FINISH GRADE 5"DIA. OUTLET(S) (SEE NOTE#21) 2"OF 1/8"TO 1/2"DOUBLE WASHED STONE CODE AND ANY APPLICABLE LOCAL RULES. @ FND. EL.= VARIES PLACE RISERS ON ALL 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE TOP OF SAS = 56,13' CHAMBERS WITH DESIGN ENGINEER. /-EXISTING 4" PROPOSED 4" , 9"MIN. INLET PIPES TO 6"OF 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL SEWER PIPE PVC SEWER PIPE 55.30 36"MAX. BREAKOUT EL = 55.80' FINISHED GRADE SYSTEM UNLESS OTHERWISE NOTED. 3"DROP MAX " " PROVIDE WATERTIGHT 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 2"DROP MIN 3 9 JOINTS(TYP.) ELEVATION =55.80' FOR A DISTANCE OF 15''AROUND THE PERIMETER OF THE SAS. UNLESS A " ��� 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF 10" " * + SEPTIC TANK 4 PVC OUT TO 0 0 O 0 0 0 0 0 0 0 0 O oo THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 1 14 � 56.2 ± LEACHING FACILITY o O o0 0 0 0 5. SLOPE ALL SOLID PIPE AT 1.0%MINIMUM. T o o 0 0 � 0 0 0 0 0 � ODOD CONTRACTOR CONTRACTOR SHALL � 55.67� MIN. 55.50' 2' o0 0 � � � � � 0 � � o 0 00 000 � � � � � 000Q 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. SHALL VERIFY SIZE 48" VERIFY CONDITION OF OUTLET TEE 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK 00 AND CONDITION OF EXISTING TEES 22"ZABEL FILTER 6"CRUSHED STONE o 0 0 0 0 0 0 0 00 0 0 0 0 0o FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING SEPTIC AND REPLACE AS MODEL#A1801-4x22 OVER MECHANICALLY o NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY COMPACTED BASE AND DESIGN ENGINEER. 8.5'(TYP) 4.0' 3.55' 3.55' 5 OUTLET DISTRIBUTION BOX n'F 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 60.00'ESTABLISHED TO BE INSTALLED ON A LEVEL STABLE 25.0 < 47.87' ( ) ON A NAIL SET IN TREE AS SHOWN ON PLAN. BASE. FIRST TWO FEET OF OUTLET 53.30� GROUND WATER ELEV.= 12' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION EXISTING 1000 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. CHAMBER END VIEW THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT � CROSS SECTION VIEW 2 - 500 GAL. CHAMBERS 5'MIN. - - , LL 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES SEPTIC TANK PROFILE ' * DISTRIBUTION BOX DETAIL TYPICAL CHAMBER PROFILE TO DETAILS 10 TO THE DESIGN ENGINEER. , NOT TO SCALE CONTRACTOR TO VERIFY NOT TO SCALE NOT TO SCALE ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE STRUCTURES SHALL BE MADE WATERTIGHT. 11 ZONING u NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR PROPERTY IS LOCATED WITHIN THE WATER SUPPLY PROTECTION DISTRICT. U r n TEST{PIT- DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM '� APPROPRIATE AUTHORITY. #{ + + INSPECTOR: Donna Miorandi 12 ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED UNDER EVALUATOR: Michael Pimentel, E.I.T. THEY SHALL WITHSTANDENT, DRIVES OR TRAVELED WAYS IN WHICH CASE H-20 LOADING. SWING-TIES C� ■ '�' �` DATE: July 6, 2007 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. HC1 HC2 ��,�� �' -�; �.� Q a , �� � • �, '� --r TEST SIT#: 1 DESCRIPTION 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE ELEV TOP= 58.80 LEACHING CORNER(1) 40.4' 45.8' MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. ELEV WATER= <47.97' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, r `, FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). j LEACHING CORNER(2) 52.1 54.2 k:. PERC RATE_ <2 Min/In { ... m !! r ,,l r - 15. NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN LEACHING CORNER(3) 53.4' 42.4' � CONTRACTOR SHALL # DEPTH OF PERC= 30"-48" + SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. LEACHING CORNER(4) 42.1' 30.9' M ! �' - � 16. PROPOSED PROJECT IS LOCATED WITHIN: I, 00 TEXTURAL CLASS: 1 DISTRIBUTION BOX(5) 38.8' 33.7' r ASSESSOR'S MAP 125 PARCEL 47 EXISTING WATERLINE / z (APPROXIMATE LOCATION} / I z OWNER OF RECORD: JON E. &DONNA L. HAMNQUIST IL * on Fill 58.80, ADDRESS: 190 BRIDLE PATH V �� � � r Q 4 58.47 MARSTON MILLS, MA 02648 �i s � FEMA FLOOD ZONE C B Sandy Loam COMMUNITY PANEL# 250001 0015C �•� 10 Yr 5/6 O <� 17. DEED REFERENCE: MAP 125 �! ," � � x"� � 30" 56.30' LAND COURT CERTIFICATE NO. 75630 � Perc 4 0 / \ PARCEL 46 54.80' 18. PLAN REFERENCE: D� / l 48 LAND COURT PLAN NO. 38325-B �� . 4 4 , Y ZONE I I x- _ •p°' <" s r _ 19_ ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. / ro \ DRIVEWAYBr-- - - ,g O EXISTING SEPTIC TANK r O UTILIZES ,z - ,� Q , 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY AS PART OF THIS DESIGN �L ..'. E AN � • � ::�� F `:,_ , Coarse Sand FOR SEPTIC SYSTEMUPGRADE. JC ENGINEERING WILL NOT ASSUME `"Y LIABILITY EXISTING DISTRIBUTION BOX TO BE:ABANDONED '- t C 2.5Y 6/6 FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. ,611 / / �' i� 7 .0, (10-20%Gravel) p 61 �i, EXISTING LEACHING PIT TO BE PUIMPED AND 21. A 4 PERFORATED SCH.40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A FILLED WITH CLEAN, COARSE SAN1D{TYP} DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3 OF FINISH GRADE. A /�Q V� LOCUS PLAN REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. 0 Gd` QOQ- SCALE: 1"= 1000' # 190 130" 47.9T LEGEND EXISTING HC 2 L No Mottling, Standing or Weeping Observed / 3-BEDROOM ` / - - 50 - - EXISTING CONTOUR / DWELLING Nail in Tree TOF =59.6'± Elev.=60.00' DESIGN DATA TEST P f T DATA 50 - PROPOSED CONTOUR '`LEC +9 LP ( Approx. M.S.L. � ELEC / ELEC EXISTING UNDERGROUND ELECTRIC ® o NUMBER OF BEDROOMS 3 INSPECTOR: Donna Miorandi TELE EXISTING UNDERGROUND TELEPHONE PATIO co EVALUATOR: Michael Pimentel, E.I.T. f HC 1 o Cq d DESIGN FLOW 110 GAUDAY/BEDROOM I r LP �� DATE: July 6;2007 W W EXISTING WATERLINE (4) l W TOTAL DESIGN FLOW 330 GAUDAY TEST PIT#: 2 1 5$8' Qi �- DESIGN FLOW X 200 % = 660 GAUDAY EXISTING FENCELINE ( ~ (5 ELEV TOP= 58.7' -X-X-X-X-X- ��, (3) J¢ USE EXISTING 1000 GALLON SEPTIC TANK _ �1 MAP 149 ELEV WATER= <47.87' TEST PIT LOCATION o. L 2 S'v PARCEL 46 PERC RATE- ( (1 . p T wl` LP EXISTING LEACHING PIT moo- DEPTH OF PERC= ��• / TEXTURAL CLASS: 1 INSTALL 2 - 500 GALLON CHAMBERS o O� EXISTING 10CI0 GALLON SEPTIC TANK (2 SIDEWALL CAPACITY 0" 58_70' PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE PROPOSED DISTRIBUTION BOX (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (0.74 GPD/S.F.) = GAUDAY 4" Fill 58.3T (25'+ 12')(2) (2') (0.74 GPD/S.F.) = 109.5 GAUDAY ❑ PROPOSED DISTRIBUTION BOX I 3 r PROPOSED 2-500 GALLON oh o� ' B Sandy Loam O PROPOSED 500 GAL. LEACHING CHAMBER LEACHING CHAMBERS MAP 125 ��0 ��� ' BOTTOM CAPACITY 10 Yr 5/6 PARCEL 47 (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAUDAY (25'x 12') (0.74 GPD/S.F.) = 222.0 GAUDAY 22,928 S.F+ 30" 56.20' REV. DATE BY APP'D. DESCRIPTION F F s= _ _ \ TOTALS: MAP 125 �P�1 9=A R E L 4 -___ TOTAL NUMBER OF CHAMBERS 2 PROPOSED SEPTIC SYSTEM UPGRADE PARCEL 48 M P TOTAL LEACHING AREA 448.0 SQ.FT. PREPARED FOR. / TOTAL LEACHING CAPACITY 331.5 GAL./DAY coarse Sand CAPEWIDE ENTERPRISES i C 2.5Y 616 (10-20%Gravel) LOCATED AT i MAP 149 190 BRIDLE PATH PARCEL 45 MARSTON MILLS, MA 02648 130" 47.87' SCALE: 1 INCH = 20 FT. DATE: JULY 9, 2007 0 10 20 40 80 FEET No Mottling, Standing or Weeping Observed VA OF k,,���y JOH, L, u PREPARED BY: RESERVED FOR BOARD OF HEALTH USE U cwuRc:"ILL JC ENGINEERING, INC. JR. °0 NoC'a 8C� 2854 CRANBERRY HIGHWAY NOTE: EAST WAREHAM, MA 02538 1.) MAGNETIC MARKING TAPE SHALL BE SITE PLAN PLACED ALONG THE TOP EDGE OF EACH 508.273.0377 SCALE: 1"=20' SEPTIC SYSTEM COMPONENT. Drawn By- BSM Designed By:BSM Checked By-MCP JOB No.1253