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HomeMy WebLinkAbout0185 CEDAR TREE NECK ROAD - Health 185•Cedar Tree-Neck.R®ad Marstons Mills q ,_-_076 069 - --- - � 1 I s TOWN OF BARNSTABLE p LOCATION �S ('le4W OeCk �Z� SEWAGE#001O U.3� y� VILLAGE h'I r' ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO:1�0 ;5c;��GLrx-:- &AV SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 3 S�Uy G (size) �• X L k /�� NO.OF BEDROOMS l OWNER > PERMIT DATE: _'COMPLIANCE DATE: d Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY t V ��- .. k�P�-C� ;, oi, �� � . . ii���'� � � _ / h�/ � � � � . �, .� .,� ��' � � ���.� ��� No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS YeS ftplitation for -Disposal *pstem Const union permit Application for a Permit to Construct(Lr-�Repair( ) Upgrade( ) Abandon( ) ❑Complete System ndividual Components Location Address or Lot No. l� C e r "(H-2 4wr O e�'s Name,Addres, sjand el.No. Assessor's Map/Parcel 1176 111 Installer's Name,Address,and Tel.No. jam+ t j!� Designer's dame,Address,and Tel No. Type of Building: s/ �j` F'ie,- Dwelling No.of Bedrooms "f Lot Size t.122 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures L/ Design Flow(min.re uired) I Z gpd Design flow provided S�.`�-e gpd Plan Date 7 2 // Number of sheets I Revision Date Title S;te 9h to Zi AYE di{S Size of Septic Tank 15-41 f.% lcrxo> T pe of S.A.S. 3^900 ri.t C' C it ky , .S6r7W_ Description of Soil -,L. qjr` o OF G Y L li t� .e�lo ti-•�S Nature of Repairs or Alterations(Answer when appli able) AAm&nOf, JFt<i -/"4 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 Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Heal e Date 7" 1 - f Application Approved by Date '7 La7 Application Disapproved by Date for the following reasons Permit No. De It' 3 Date Issued '� l.. r r"b•i "iY' .'..�. � - r .T. .5�r•,w-. _ 7X JNI ! No. c' /� "" Feed THE CO`,MM9NWEALTH OF MASSACHUSETTS. Entered in computer:� PUBLIC HEALTH DIVISION- TOWN OF BARNSTABLE, MASSACHUSETTS Yes ^17l']r" Iicatiorr.#o ]�osal p stem Permit ermit '- 71' Application for a Permit to Construct(l.)'Repair( ) Upgrade( ) Abandon( ) ❑Complete System ®individual Components Location Address or Lot No. f (-Fq,�p r ;'{'itte qsk-/e i Owner's Name,Address,and Tel No. Assessor's Map/Parcel Q 7G ,('j Installer's Name,Address,and cT.�el.No. jP, Designer's Name,Address,and Tel.No. i+fia- 17�2 iqeer W- Type of Building: Dwelling No.of Bedrooms f Lot Size .Tj sq.ft. Garbage Grinder( a Other Type of Building l2�$, �. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided r^/� .;�..� gpd Plan Date Number of sheets I Revision Date Title s: �2 Size of Septic Tank K� Sty„�r !CW Type of S.A.S. 3-.SGG 6a 111 G ,*,ke s w/t/Q Description of Soil 7- - 0- 1 a � f�,�/ d/ ��ro� �-27, %�4✓ �Qs�/ /o kl? Y& rc4q-e 5qngl. ,� Nature of Repairs or Alterations(Answer when applicable) A or keel woe Y l�iS�,'yc L zf'S /,?'l 4*V :ssr s/l -D-T3 X G rev &f4 ""`i Date last`inspected: low i Agreemeni: . The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in e 'accordance with the provisions of Title 5 of�the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Healthl _ Signed Date Application Approved by \ � r...,., . ,•r' `� Date -7 ,> VS Application Disapproved by Date for the following reasons Permit No. / '" d. Date Issued rJ 4 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance ' l THIS IS TO CERTIFY,that the On.site.Sewage Disposal system Constructed( w)r Repaired( ) Upgraded( ) Abandoned( )by .. j_J at - � � ( E'G�C+r "/`C'C �i�c� - yi o - has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No-,J016_-W.dated Installer Designer ��rKJ� nS�'�lr','ft� #bedrooms ''{ Approved deslgri flo��w� f (,� (� PQ gpd The issuance of this permit shall not be construed as a guarantee that the sy stem will function design-d. Date OQ Ll ( - Inspectors _ r ___________ , ______ __ __.__._._________._-_-_-.--_._- No. t�-33 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction Permit Permission is hereby granted to Construct($oo' Repair( ) Upgrade( ) Abandon(L•) System located at / C r and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit], Date 75 /Jl Approved by �"'`� ,_T Yawn o -Ba-r-nst-a-ble Regulatory Services Richard V. Scali, Interim Director saxrrsTnsta, 9 M'� Public Health Division ,FD Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Sewage Permit# akI b - 0 33 Assessor's Map\Parcel D11 Up 1 Designer: &MW &1AjYr,U(tmj > yVW�jv�nstaIler: • �� 71 t J Address. yi c,�'C._ �6k , Address: F114 Si , On g e Lc ►-\ was issued a permit to install a (date) (insta er) • septic system at U `� C-ec6f Try.- Ne��-but, based on a design drawn by (address) ated 1 2511 b (d igner) I 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. 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(if required) was inspected and the soils were found satisfactory. I certify that the-sysfem referenced above was constructe coon liar with the terms of the I\�Aapproval letters(if applicable) l JOHN 0'DC=/aCIVIL K, l P1 NG.48168 to 1 (Installer's Signature) /STEAti° 15Q s�ONAL LNG (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:\Septic\Designer Certification Forn.Rev 8-14-13.doc Tow n of Barnstable P# Department of Regulatory Services I • Public Health Division Date / s"nrMARLI. °r"S' , 200 Main Street,Hyannis MA 02601 , b99 p1� Date Scheduled ,l I Time I I Fee Pd. Soil Suitability Assessmentffor Sea a Disposal Performed By: 7 ��itnessed By: i LOCATION&GENERAL.INFORMATION Location Address p� r ��/, Owner's Name 1` 5 ,ir(ja +"re 1 V G'( �,, 'w"t. Address tqtv Assessor's Map/Parcel: CQ( (� Engineer's Name I1�GL qv► � n{Cr i l {a NEW CONSTRUCTION REPAIR Telephone# Land Use �esr�ti ti k/ _ Slopes(%) (D^G s Surface Stones Distances from: Open Water Body 1 ft Possible Wet Area /Od t ft Drinking Water Well ft Drainage Way ft Property Line f�ft Other ft SKETCH:(Street time,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) i rarer ,,...�. ... .. . 11185 { r ' r Parent material(geologic) �GS Li Depth to Bedrock ©r fi Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face 4,AC Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL,HIGH WATER TABLE Method Used: in. Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Groundwater Adjustment ft .Depth to weeping from side of obs.hole: i Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level— PERCOLATION TEST Date Observation Time at 9" Hole# , Depth of Perc z Time at 6" O Time(9"-6") Start Pre-soak Time @ End Pre-soak S►� h RateMin./Inch Site Suitability Assessment,Site Passed �— Site Failed: Additional Testing Needed(Y/l� Original: Public Health Division Observation Hole Data To,Be Completed on Back----------- ***If percolation test is to be conducted within 100'of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consigma.%Gravel 0 -3 6' -4 3 - zz - S.?.Id 2,SY e141 k DEEP OBSERVATION HOLE LOG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Stones,Boulders. (Munsell) Mottling Structure,Sto , (USDA) ) tthng ( Surface in. � ) (M C ( ) Consistency.° ve1 0-3 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Sort Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) 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) I Flood Insurance Rate Mau: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No Yes Deuth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? SZC S If not,what is the depth of naturally occurring p rvious material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required tr i ,expertise and a pe 'ence described in 310 CMR 15.017. n Signature L� Date QASEPTIOPERUORKDOC THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA Massachusetts epar ental Manage entREGEIVED Office of Water Resources 11 416 TYPE OR PRINT ONLY Well Completion Report p 3 - 2002 1.WELL LOCATION GPPqS (OPTIONAL) LATITUDE LO ITUDE Address at Well Location;J0S J,04 4" £�k/14,o nnperty Owner: f` 410-r HEW4 ap Subdivision Name: Mailing Address:/d/6- City/Town: //�•S'T O.tl✓ i.L�.l City/Town: Assessors Map 67k - Assessors Lot#: 661 NOTE: Assessors Map and Lot#mandatory if no;street,address available Board of Health permit obtained: Yes Not Required ❑ Permit Number boa -� Date e �` ,P � q ;lssued 2.WORK PERFORMED 3. PROPOSED USE 4..DRILLING METHOD ew Well ❑ Abandon ❑ Domestic igation ❑ Cable ger ❑ Deepen ❑ Recondition ❑ Monitoring ❑ Municipal El Air Ha mm er ` Direct Push ❑ 'Replace ❑ Other ❑ Industrial ❑ Other ❑ Mud:Rota ,, ;❑ Other 5:WELL LOG oC Unconsolidated Consolidated 6. SITE SKETCH (use permanent landmarks with distances) W Permeability From (ft). To (ft) High Low U m Other Rock Type {i O` 1t 7.WELL CONSTRUCTION & CASING Total Depth Drilled a From (ft) To (ft) Casing Type and Material Size O.D. (in) Well Seal Type Date.D 'fling Complete 9. SCREEN From (ft) To (ft) Slot Size Screen.Type and Material Screen Diameter, c 10,}FILTER PACK/GROUT/ABANDONMENT MATERIAL 11. ADDITIONAL WELL D INFORMATION o evelped? es ❑ No From (ft) To (ft) Material Description ~ Purpose e hancement? ❑ Yes o _ .I v ; Disinfected? ❑ Yes o 12.WELL TEST DATA(PRODUCTION WELLS) 13. STATIC WATER LEVEL(ALL WELLS) Yield,, Nine Pumped Drawdown to Time Recovery to Depth Below Date Method (GF'Nf) (hrs"&min) (Ft. BGS) (hrs& min) (Ft. BGS) Date Measured Ground Surface (FT) 14. PERMANENT PUMP(IF AVAILABLE) 15.NAMEJADDRESS OF PUMP INSTALLATION COMPANY Pump Description v I. = 's/O Horse p wer 6 A40A( WE�_4 Pump Intake Depth "� /- (ft) Nominal Pump Capacity (gpm) ��� �,�L�a,t(J "�4 Gd� ^3 16.COMMENTS 17.WELL DRILLEWS STATEMENT This well was drilled and/or a,andoned under my supervision, according to applicable rules V, and regulations, and this rep fft is comp and orrect to the best of my knowledge. Drill 4 ?14 iLC V�tlrJ GyM� 7 upervising Driller Signature: Registration #: Firm: E L..L �.�! ! e. f Date: - 0�, Rig Permit#: I a © 171 NOTE. Well Completion Reports must be filed by the registered well driller within 30 days of well completion. �Y..Y } "Z'f_i..♦ } } y.} i..p ..}. .4 t !'C'.3 ro i i Y -.f f-.r.. . .tb`K 1 i'1.i F �1. �,,; -.•-�r, vas; is�: :.:.,,< �t�,- h�' j $OARDOF.HEALTHCOPY e }r ::k>, _�t r���> ��-;"tss.c.i' =� No. 2C�---- Fee A-------------- BOARD OF HEALTH TOWN OF BARNSTABLE Application for)PeCi Con5truction3perrnit Application is hereby made for a permit to Construct ( V(Alter ( ), or Repair ( )an individual Well at: Location — Address /fj j77 Assessors ap and Parcel — � caner Address� Installer — Driller Address avt�s� Type of Building ✓ Dwelling --- --- —--- -- Other - Type of Building-= ____ --------- No. of Persons------------------- -____ Type of Well 4/L5-5�A V0�U�- Capacity VIh :5 ----- Purpose of Well-T old 7 i0 A) Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate .of ompliance has been issued by the Board of Health. Signe — �� G` to Application Approved By - Q V�"� 1� -7�S O l date Application Disapproved for the following reasons: - --- ----p- 1 ----- date _ Permit No. W2C �2-S�- — Issued------d - date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS I TO CERTIFY, That the jndividuaLWell Constructed (✓), Altered ( ), or Repaired ( ) /J Inds r �� c- �'I✓�-ram eE 7Zi:v at _---- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well gro�ction Regulation as described in the application for Well Construction Permit No� -5-�ated- -I1 1—�---- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE Inspector--_-------------___—_____—_—_-----___- NO. Fee -=------------- 'i BOARD OF HEALTH TOWN OF BARNSTABLE Rpplicat ion,forVell Cootruct ion Permit Application is hereby made for a permit to Construct ( V, Alter ( ), or Repair ( )an individual Well at: C'E 2 i� F� �P�c ems. _ ��-1 - )CO- Location — Address 1j7/y) Assessors Map and Parcel -- �/y/S — - — /Y(5- la,e- /2 E� '41 c/c /mac _�9,PisTb�J — wner Address GCS Installer — Driller Address 4�G S3 Type of Building �. Dwelling ____--- -------- - Other - Type of Building-=-------------- No. of Persons-----------------------------______ Type of Well 41��� ��" Capacity— /�; - 5-------- Purpose of Well <- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. 4 Signed Application Approved B PP PP rove Y � date Application Disapproved for the following reasons: ' date Permit No. W�C,�s Issued -&-I-!L� ---- - ---- date BOARD OF HEALTH TOWN OF BARNSTABLE \ Certificate& Compliance THIS IS TO CERTIFY, That the}ndividual Well Constructed (w; Altered ( ), or Repaired ( ) by---CASJC J oG� Install r ` �, <:.�=---------- ---------- ----- at__ ltlGck. \t G l,�— Z _ (� has been installed in accordance with the provisions of the Town of B stable Board of H,ealthlPrivate Well Pro ection Regulation as described in the application for Well ConstructioKPermit No ated---- 1� �A� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUI D­AS A GU `RANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--- - Inspector BOARD OF HEALTH TOWN OF BARNSTABLE lVell Congtruct ion Permit No. - Fee - --- Permission is hereby ranted �C.S/��d/74 )V E"u- <=�)Qto Construct! Alter ( ), or Repair ( ) an Individual Well at: No. --—f .�- &E 16 A 2 Ila EE ✓✓e[ c_ kk_ —12iA R-57;�Xj— 1)116C - Street as shown on the application for a Well Construction Permit / p No.-- �=�2 Dated-- _ -o ( U—------------------- - ( � Board of Health DATE ((( — _ Fxs. THE COMMONWEALTH OF MASSACHUSETTS BOARD F F-iEALT� � Ll --- -.OF...... .. ... ...... Applira#iou for +Bitipofi l Worko Tonstrurtiou rrrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an ` dividual Sewage Disp s I Sys a --�� ` r Zae.4.11e A/ (?31 01 .. ... ocat' n-Address................................... or .......... wner •.ddress W ✓.... /............................ .......... .. .. ..(.ri..+ ............................................................ a Installer Address ,r.►• Q Type of Buildi g Size Lot--- l .' ...........Sq. feet V Dwelling No. of Bedrooms........., -- ----------.._.__-•.---••Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building ' .. No. of persons............................ Showers — Cafeteria Q' Other fixtures ................................. W Design Flow....... ....tom' --.___.. gallons per person per day. Total daily flow--- .__....�._ -._-gallons. Septic Tank—Liquid capacity ....._...gallons Length................ Width................ Diameter................ Depth................ W Disposal Trench—No..................... Width-------- _.. Total Length_.._..._/..�........ Total leaching area....... _...... _ q. ft. Seepage Pit Nol........._... Diameter ....... Depth below inlet..-.-La--.,...... Total leaching area_ _d. q. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by.......................................................................... Date........................................ 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___-_-____-___•-__.-__-. • w' -•--•.......--•---.... O Description of Soil............`-"'_•....... V ..-•-•...............••-•-•-•-----••••---•-------••••.......•--•-•-•-•-••-•••••--••-••••...--•••----•-•--...•--•••----••......•--•-....---•--••-•-•--•-•••-••-•-•••-••--.............................. W ••-•---•-•••-------------------------- •-•-•-----••-----•----...----•••--....._.. ...................................................................................................................... VNature of Repairs or Alterations—Answer when applicable................................................................................................ ----••---------------------------------------•--•••-•-•-•.......,.....•-••-........................•---•-•••--------_.._..----•-••-------------••------•------------------•-----------••-•••••••-----•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sined.......... ••-•••---•--••-•---•-•-•-----•-•-•-•••--•-••-•---••-•---•-•-•-•••----••• -••-�--•-------•---•.....-•...... Application Approved BY D o 7�Z � : ..... Date Application Disapproved for the following reasons:....... .............. •-•••---•••••--••---•-----•••••-••--•----••-••-•••-•••......-••••-......-•-.......... ..---•--•----••--•-------------------•-•----•--------.......----....-----..._...•--•-•--•-------•-----•---••••----•-••••••----•-••-------•----•----•----------•-----•---•••-•-••-•-•••••••--........... Date PermitNo.........................................•-•--........... Issued.........x.............................................. Date .................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE LTH V. , . Appliratioo for Diapooa1 aarkfi 'Tonotrurtioo Pumit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an dividual Sewage Disp-s Sys at v 40 .. ............. ...0A42111W_ ocat' n•Address or w vnet {. .ddress •. .. Installer Address 3 acarr*- Type of Build�No. Size Lot... t....................Sq. feet Dwelling of Bedrooms..........,,,a.,: ......................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a'' Other fixtures W Design Flow....... ........ gallons per person per day. Total daily flow._..._.... p g � ,�j. g P P P Y Y --- gallons. WSeptic Tank—Liquid capacityl --gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No..................... Width_.... .f.. ... Total Length..:....._ ._....... Total leaching area.._., q. ft. x Seepage Pit No " ............. Diameter , . Depth below inlet.__............ Total leaching area.. q. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results " Performed by........................................................................... Date........................................ Test Pit No. 1................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........................ �. ................ .. .. Description of Soil...........>-�-":- -•--•• - '-• .. .::...---•-----•----------------------------------------- :.... 0 x W .. VNature of Repairs or Alterations—Answer when applicable................................................................................................ --- -- --------------------------------•---......•..----- Agreement: t The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed. ._ ................................. ....•--- -t-o•-• •......_ D Application Approved By... 4w YV*._. Date Application Disapproved for the following reasons:.................:_... ..._....__........_...._..........._---_-•---•------........_........._....... .........................................•-------•-•---.....••------............, Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH V Oz.�., ..............OF........ «: ................................... T prtifiratae of Tottiplianre T "TOGERTIFY, at the ndiv ual Sewage Disposal System constructed ( ) or Repairedby....... - ..._ . - ;V .............. •... —Via .........Z I .. ancr A� ..... has been installed in"accordance with the provisions of Article XI of The State Sanitary odp,,as escrl ed in the A f, application for Disposal Works Construction Permit No.......................� ..� .. dated-------- .._ _. ----- __. . ...... THE ISSUANCE, OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE ... .:. .... ... .... Inspector...... .. SYSTEM WI F !�TIOIJTISFACTORY. DATE:..... p THE COMMONWEALTH OF MASSACHUSETTS BOARD CHEALT ...O F...... -. No ..��,��...... ... FEE. :.........--• , -EispoliNr',,"A Tort rtio wit - Permission is ereby granted.. .. .. . •- .................... ............ to Cons jr 'Re airs ) n lndi idual swage spo yste 1 m � ' Street as shown on the application for Disposal Works Construction mit N .... f., Kam. ' . = DATE.- --r� /7_. ,nt t FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS " 3.' ASSESSORS REF. : Map 076 Parcel 069 ; Qn OVERLAY DISTRICT. .� �, Tr N k 1-1 AP - Aquifer Protection District Ceda ee ec oad • Edge of Paveg I � � / f FLOOD ZONE: 4 I t 170.00 ' i Zones AE Elev. 12 & S46. 5 OO"W / X (Min Flood Hazard) " ,X ' Community Panel No. , July 16 1 20143 J LOCATION MAP: Scale: 1" = 2000'± Co // a, ZONE: RF + , Area n � 1SF PO Frontage ( n) 150'O � I \I i 1 �' ; n/f Width (min) --' Evan S. & Geraniotis Setbacks: Evongelos G. Cohen Front 30' %�0) Side 15' "Lot, 1 ` Rear 15' 1 I 4 1 .i t' `\ Lot Size 1.32 Acres I I Per TOB CIS Approx. Location t of Water Pit 3 t ` 1 1 1 Proposed Prop sed SAS REFERENCES. D-Boy` Deed: Book 4130 P. 23 Plan: Book 259 P. 95 t I t I Lot: 3 t t ' Easement: Book 4112 P. 60 Easement Plan: Book 348 P. 56 Restriction: Book 1524 P. 253 n/f I t l Gordon D. & Lorri S. Owades Trustees I t Ld 4 ;Bench Mark , 1 , o j t i i Spike '+ ` , , o �n I (Paved Drive � � � bev. 31.d' t 'l •t t, cv� LEGEND LQ / J` •t t It t t N i b t t (n 0 CDT Cedar Tree HT Holly Tree DT Deciduous Tree CT Coniferous Tree �\ #185 r Garage 100' t t 2 Sty. t it ' Mi�' ' �� Utility Pole l J /f Dwelling rI' l j 4 -E- Electric w -G- Wetland Wetland Flag i Light Post / E isting Lgach Pit shall be l � 1 � 6°Serrjer't � � � / Removed or, t � 0 CB/DH i aO j pumped filled OHW- Overhead Wires o 32 E stir% and at(andonedl / 25 Elevation Contour / g , o M , S tic Tank t to be n N 1 \ Deck w/ inspected_4 Walkout Below /� /./ & Rem _ _ / i " - Top of Coastal Bank i i Prince Cove B APproi°tta,t °; - � r - i Garage i C°X Site Plan Prince Cove Ba Scale 1 = 20� Bedroom PERC TEST: 15,726 Bedroom Kitchen PERFORMED BY:CHARLES ROWLAND,PE- SULLIVAN ENGINEERING &CONSULTING,INC. SOIL EVALUATOR NO. 13586 Bedroom WITNESSED BY:DONNALDDESMARAIS,R.S.-TOWN OFBARNSTABLE Living Room JULY20,2018 Dining Room ea SITE PASSED TEST HOLE - 1 EL.26.4 TEST HOLE-2 EL.26.4 First Floor Plan O/A.LAYER*l0YR5/4...-...... ..OLA.LAYER I0YR5/4......... .................................. .......................................... YELLOWISHBROWN........ YELLowIsxBROwN........ NOT TO SCALE ...................................... 3 LOAMY.SAND............. 26.1 3'..............LOAMY.SAND............. 26.1 D-Box . ..Bw LAYER-lOYR.5L6 BwLAYER I.OYR.516......... YELLOWISHBROWN......... YELLOWISHBROWN......... 22' . ..L.OA Y-SAND 24.5 24 .... L.OVIW'SAND 24.4 C LAYER 2.5Y 6/4 C LAYER 2.5Y 6/4 LIGHT YELLOWISHBROWN LIGHT YELLOWISH BROWN 144� COARSE SAND 14.4 132' COARSE SAND 15.4 12.8' 500 Gall. Charms NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED v 1 4' of Stone SEPTIC NOTES 33.5' DESIGN DATA 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours Site Plan Single Family Prior to Any Excavation For This Project the Contractor Shall Make -4 Bedroom @ 110 GPD the Required Notification to Dig Safe(1-888-344-7233)and contact No Garbage Grinder Sullivan Engineering&Consulting Inc.(508-428-3344). Scale 1 10 Total Daily Flow=440 GPD 2.The Contractor is Required to Secure Appropriate Permits From Town 44Ox200%=880 Gallons Agencies For Construction Defined by This Plan. Use Existing Septic Tank 1000 Gal.Min 3. Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall Storage To be confirmed prior to installation of Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to Storage Piping,D-Box,and SAS. Assure Watertightness. In General,Water Lines Shall be Constructed in Coordination With COMM Water,and Shall be in Accordance LEACHING AREA with 248 cMR 1.00-7.00&310 cMR 15.00. Bedroom Living Room 440 GPD/0.74(LIAR)=594.6 SF Required 4.A Minimum of 9"of Cover is Required for All Components. Sidewall=2(12.83'+33.5)2'=185.3 SF 5.All Structures Buried Three Feet or More or Subject Bo Storage Bottom Area=(12.83'x 33.59=429.8 SF to Vehicular Traffic to be H-20 Loading.It is the Engineer's Total Provided=615.1 SF(455.2 GPD) Recommendation that H-20 Always be Used. Assumed the Tank is 1000 Gallons.Prior to installation confirmation LEACHING CHAMBER DESIGN that tank is at lest 1000 Gallons is required.Tee&Gas Baffel to be installed on the Tank outlet during construction. All Pipes to Schedule Use 6.Install Watertight Risers and Covers to Within 6"of Finished Grade 3-500 Gal.Leaching ching Chambers in a Over Septic Tank Inlet and Outlet,D-Box,and One Leaching Chamber. 12. x Double Washed All covers are to be maximum 18"for concrete or 24"Cast Iron. Basement Floor Plan Stonnee Fieeldld a as Shown. 7.Septic System to be Installed in Accordance With 310 CMR 15.00& 248 CMR 1.00-ZOO Latest Revision and the Town of Barnstable Board of Health Regulations. NOT TO SCALE 8.All Piping to be Sch.40 PVC. 9.D-Box Shall Have a Minimum Inside Dimension of 12,and a Minimum Sump of 6". See Note 6 (typ.) 15' F.G. EL. 32.5± F.G. EL. 27.7± F.G. EL. 26-271 Min. 3.75' Complies EL. 31.92 With Flow Equilizers 1 Breakout Finish Grade As Required 3' Max. EL. 30.76 1000 Gallon 9" Min Compacted Fill Filter Existing Septic EL. 30.51 Top EL. 24.00 Fabric Tank to Remain 4.1 (See Note 5) D-Box EL. 24..00 2„ 1/g nd/�/2„ 23.00 ° ' Pea Stone Leaching 3' To Be Installed On Chamber 3/4" - 1 1/2" table Com Compacted ase Bof. EL. 21.00 LEACHING Double Washed p CHAMBER Stone Bedding,"T"s, Inspection Port, l€:Ercauril:eredemawe::& Repla.ce::.:. I & Baffels All UdStritable Sb�ls Wrthm: 5' o1. :::; co : r 4' - 10'� as Per Title 5 The.Doter .Perimeter::.of The. System -� 12' - 10" .... ...._. . .. __. tAs EL. No Groundwater 14.4 CROSS SECTION OF CHAMBER `Sq No nNkLES T. �? Per Test Hole 1 C11 '° �� DEVELOPED PROFILE OF SYSTEM NOT TO SCALE 1`' o. .2s9s `" P ,�T� NOT TO SCALE IONAIL TITLE: Site Plan PREPARED BY. PREPARED FOR: NOTES: • • EngineeringlX 1) The property line information shown was compiled from =Proposed Sept►c Elinor H. Adams Trustee available record information. rri Fri At Consulting, Inc. Elinor H. Adams Nominee Trust theTground°surveyhe topgraphicperformed°oninformatinwJuly 23,1 2018. 185 Cedar Tree Neck Road (508)428.3344 as obtaned froman on 185 Cedar Tree Neck Road 3) The datum used is an assumed TOB GIS Datum. P.O. Box 659 . 7 Parker Road, Osterville, MA 02655 seci@sullivanengin.com www.suilivanengin.com Marstons Mills MA 02648 4) Structures shown are approximate and should be Barnstable (Marstons Mills) Mass. confirmed prior to construction of additions or work to the structure. Draft: CTR Field: WHK/CTR 20 0 10 20 40 80 5) Utility location is approximate and should be confirmed DATE: SCALE: Review: CTR Comp./Review: CTR/JOD prior to septic installation. July 23, 2018 1 = 20 Project: 380015 Project: Adams