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HomeMy WebLinkAbout0061 DEBORAH DRIVE - Health 61 Deborah Drive Marstons Mills R 1 A Town of Barnstable PT# Department of Inspectional Services EARNSTAMA f Public Health Division gFD M� 200 Main Street,Hyannis MA 02601 Office: 508-8624644 Date Scheduled 6hY/zoz' Time �oV Soil Suit ili Assessment for ran DisposalPerformed By: 1�/ Witnessed By: LOCATION &GENERAL INFORMATION Location Address: Owner's Name: L j-4:L/ Kali &5&�V 5 V Owner's Address: " i Assessor's Map/Parcel: 55 "' 3 Certified Soil Evaluators Nam )4-VII Certified Soil Evaluators Email:A1�4—ry"`' ✓I/�Y New Construction or Repair: Certified Soil Evaluators Telephone# Land Use Aliwu/1'I Slopes(%) _ Surface Stones ; Distances from: Open Water Body>/ 6 ft Possible Wet Are I ft Drinking Water Wel r�_ 6 Drainage Way t> S1 ft Property Line /ft Other ft Parent material(geologic) Depth to Bedrock A r V Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level PERCOLATION TEST Date �/ Time Observation Hole# Time at 9" /}� Depth of Perc Time at 6" A 1 Start Pre-soak Time @ Time(9"-6") End Pre-soak 1112, Rate MinAnch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Deep Observation Hole Log Hole#: Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (in) (USDA) (Munsell) (Structure,Stones,Boulders, Consistenc %Gravel Dr LS ,U ►� Z C 1h (15 Deep Observation Hole Log Hole M Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (in) (USDA) (Munsell) (Structure,Stones,Boulders, Consistency,%Gravel r.3 pv S 2 Deep Observation Hole Log Hole#: Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (in) (USDA) (Munsell) (Structure,Stones,Boulders, Consistency,%Gravel Deep Observation Hole Log Hole M Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (in) (USDA) (Munsell) (Structure,Stones,Boulders, Consistency,%Gravel i Flood Insurance Rate Map: Above 500 year flood boundary No Yes Within 500 year boundary No Yes Within 100 year flood boundary No Yes ti Depth of Naturally Occurring Pervious Material Does at least four feet ofInaa1 occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Ifnot,what isthe depth ally occurring pervious material? J Certification ! I certify that on (t (Z d Z (date)I have passed the soil evaluator examination approved by the Department of Environmental Pro cti n and that the above analysis was performed by me consistent with the required training,expertise and experience describ d in 310 CMR 15.017. Signature Date SKETCH: (Or you can attach a separate sheet) (Street name,dimensions'of lot,eX3ct locations of test holes&perc tests,locate wetlands in proximity to holes) S i _ 1 i 1 1 W t TOWN OF BARNSTABLE LOCATION n—J)V— SEWAGE# ZOZO- 198 VILLAGE {1�_ M;��S ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /oo O LEACHING FACILITY:(type) Soo g4r— 3' } ZO (size) 13 x 33 x 2 NO.OF BEDROOMS L4 OWNER ' ck PERMIT DATE: ']-G- Z > COMPLIANCE DATE: aL0 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 r Ai- A AZ- Zy ► 13Z.-LZ A43• 49 Frori� 35 5 A4 •s� � 13y - y2" Or. O TOWN OF BARNSTABLE LOCATION 1.1 or_S.,r_a�(fir SEWAGE# ZOZp, �qR VILLAGE _ �,r1;i�S ASSESSOR'S MAP&PARCEL_e y INSTALLER'S NAME&PHONE NO. _JRA,C�• CQy�A n� i SEPTIC TANK CAPACITY /ppp I LEACHING FACILITY. (hype) ,SQo q_g_ (sue) 13 x 33 x 2 NO.OF BEDROOMS t4 OWNER ' PERMIT DAr : n-G.2 > COMPLIANCE DATE: �O 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 i i 131 ' ISM Az' Zy ' A d3Z-zz ' A3- 14,11 AS- 35 ' A4 •S6 ' i3 O 'N. -d /t/ �• 1 1 too o No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplitation for Disposal *pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.61 bebcco.t, t)r�vo Owner's Name,Address,and Tel.No. Do i& Knoth MQrs}ons MILLS Assessor's Map/Parcel V/q-3 (at Deboro•%,. Dr;vL M. M�11s Installer's Name,Address,and Tel.No.e)�Pj Fx caJaAio c, Designer's Name,Address,and Tel.No. F IGLhe(41 `(no"Co. 3-+y P,oc,*c 13o So,�dw;c,�, SOB•g31.0(053 PO box 33t 140arw'�o►+ N1o,. 02045 Type of Building: Dwelling No.of Bedrooms Lot Size 1.0% h crec sq--& Garbage Grinder(No) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) j y 0 gpd Design flow provided y S t} gpd Plan Date Co 30 120 20 Number of sheets Revision Date Title Size of Septic Tank 1000 Type of S.A.S. (3) 5-00 qp k. on teACh%n!% Gho.M6er3 Description of Soil Se L pko nS. Nature of Repairs or Alterations(Answer when applicable) _I nA--A n as N-ZO DR3 o�n d t 3) 500 ac.\\On t20.0k,no Ca-�Wpa cc Connect- in \000 Qa\\0n :5,epi -L +-ar\k• Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date -7 I Z4 ZO 1� Application Approved by ` Date Application Disapproved by 0 Date for the following reasons Permit No. arto— 1 Date Issued —6--- - - --------------- - --- -------------------------------------------------- - - too No. - Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: v' ' PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplication for Misposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.61 T)21aoc r..�-, C�c,v� Owner's Name,Address,and Tel.No. (ac w ci K r>cart ff`CSC,:A o n: M',W, Assessor's Map/Parcel C05 '3 T)eboc c,1, 1Jc,4, -_T Installer's Name,Address,and Tel.No. hj `-x cm uc••t;o n Designer's Name,Address,and Tel.No. F In 3-;') RdcAc i3o c,a�c+w.c�� .<)�7 oc_<3 P0$ 9pox '33t �Aor­wa o, pAN- O2(o'1 Type of Building: Dwelling No.of Bedrooms `J Lot Size 0� A cce r sq-& Garbage Grinder(No) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) y 0 gpd Design flow provided gpd Plan Date 2 U Number of sheets �- Revision Date Title Size of Septic Tank j0oo TypeofS.A.S. SUG, no,\1orl �ec,,Cll,nq chram6ir; Description of Soil _'w e Pl a n c. ` Nature of Repairs or Alterations(Answer when applicable) 1'1,CA g11 So G I �Q<* ConnccF Ao wu= ,1,nc \OUC) Date last inspected: Agreement: _r The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. ' Signed L' Date '7� l Lo ZU Application Approved by � _. / V Date Application Disapproved by 0 Date for the following reasons q Permit No. ?d '" ( 1 Date Issued —6^ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(�) Upgraded( ) Abandoned( )by at (o t De 6 o r o,h Dr, ,_ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. s�c�.20- �q dated w-6 Ao Installer 11" Z,X-1aQr,A=V,, k0c . Designer FIG1iec'c,4 #bedrooms "i Approveddesigm.flow.---..:,��L q o gpd The issuance of this permit shalln/ot be construed as a guarantee that the syste\\m will funs ion as de igne z. Date / ' / Inspectoii - -- -- _ -- -------- --- - ----- -------------- -- --- -------- --------._ N ao o. �a - - Fee ► — _ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction i3ermit Permission is hereby granted to Construct( ) Repair(�) Upgrade( ) Abandon( ) System located at (01 r_)2 x,f cxxk Dr,y e, 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 permitr'--"'"!` Date 77 " 2-0 Approved by 1.,.±i'.� 4 `��J' , I'-C, Town of Barnstable Inspectional Services Public Health Division ennrrsrnaLe. KAM Thomas McKean,Director 1639. .� 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 71-1S• TO Sewage Permit# ZoZO . 19$ Assessor's Map\Parcel LS t-0.3 Designer: tom.0e TA ,_)Ncr- M Installer: Q E X=U1:A i o n Address: P.Q. Goy, 3741 Address: 14 -T'cx&SerrM L-v,) On `1-L- 20 was issued a permit to install a (date) (installer) septic system at 1,1 Dw` or-O.V, Dr based on a design drawn by (address) _Douce 'Fto.\e.,rAu dated L-30. 2 o (designer) �— X_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 system referenced above was constructed i c with the to rms of the RA approval letters(if applicable) a`�` s9n 'JAB' VID D. FLAHERT',JR. (I taller's i r ) No. 1211 7,4 x. esigner's Signatur (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. WoAdeptAHEALTMSEWER connecASEPTICOesigner Certification Form Rev 11.14-13.DOC _ - J CERTIFICATE OF ANALYSIS Page: 1 of 1 L M Barnstable County Health Laboratory (M-MA009) Report Prepared For: Report Dated: 5/5/2016 Ann & David Knott Order No.: G1692798 P O Box 65 Marstons Mills, MA 02648-2115 Laboratory ID#: 1692798-01 Description: Water-Drinking Water Sample#: Sample Loc ion: `61 Deborah-Dr—Ma'rs�ons i s, Collected: 05/04/2016 Collected by: Received: 05/04/2016 I Routine ITEM RESULT UNITS RL MCL METHOD# ANALYST TESTED NOTE I Nitrate as Nitrogen 0.15 mg/L 0.10 10 EPA 300.0 LAP 5/4/2016 Copper 0.14 mg/L 0.10 1.3 SM 3111 B LAP 5/4/2016 Iron ND mg/L 0.10 0.3 SM 3111B LAP 5/4/2016 pH 6.3 PH AT 25C NA 6.5-8.5 SM 4500-1-1-13 DCB 5/4/2016 Sodium 6.3. mg/L 2.5 20 SM 3111E LAP 5/4/2016 Total Coliform Absent P/A 0 0 SM 9223 RG 5/4/2016 C hductance 53 umohs/cm 2.0 EPA 120.1 DCB 5/4/2016 Water sample meets the recommended limits,fordrinkidg:water of all the above tested parameters. Attached please find the laboratory certified parameter list. Approved By: , n/Q� (Lab Director) ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level 3195 Main Street, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6606 4�1 j,.Parcel Detail Page I of 2 d Logged In As: Friday, A Robin Giangregono Parcel eta I Home Application Center Parcel Lookup Parcellnfo . ...... ............ ... ......... _......__ ......... .. ......__ ........................ ......... ............ Parcel ID 065-004-003 Developer Lot jLOT 11 . Location 161 DEBORAH DRIVE Frontage Sec Road Frontage Village MARSTONS MILLS Fire District t-O-MM Owner Info ......... ....... .. .._ ................ , . _ Owner;KNOTT, ANN M TR Co-Owner ANN M KNOTT REVOCABLE TRUST Streets 161 DEBORAH DR Street2' ...,. _......... ... ,,,,,. _ _„ City €MARSTONS MILLS State';MA Zip 102648 Country Land Info ... .. ......... ......... ......... . __. ......... ........ ......... .......... Acres?1.08 Use SINGLE FAM Zoning y I Nghbd ?0104 :. _, . Topography=LEVEL Road 'PAVED Utilities ISEPTIC,WELIL,PUBLIC WATER Location Construction Info .............. Building 1 of Year 1985 Roof Gable/Hip AC None Built Struct Type, Effect 1241 Roof`Asph/F GIs/Cm Bed 13 Bedrooms Area Cover; Rooms Int Bath style Cape Cod Drywall ;2 Bathrooms Wall Rooms Model Residential Total 6 Rooms Rooms Pnt Bath _,,,, ads ✓ r Grade jAverage Carpet ,3� � Floor. Style „ Stones ":,1 1/2 Stories :Vinyl/Asphalt Kitchen 113 Style Bat Wall ;Wood Shingle Fuel ,Electric spit 2 Full ... ;Clapboard Heat=Flee Baseboard Found- ,Poured Conc. Type ation http://issql/intranet/parcelinfo/ParcelDetail.aspx?ID=4284 4/9/2004 Parcel Detail Page 2 of 2 Permit History ......... Issue Cate Purpose Permit# Amount lnsp Cate Comments 2002-10-02 Out Building 64159 2003-06-24 1985-10-02 B28584 $0 1986-01-15 MM 11/2ST 1985-10=01 B28584 $0 1986-01-15 MM 11/2 S Visit History Sales History Assessment History Photos http://issql/intranet/parcelinfo/ParcelDetail.aspx?ID=4284 4/9/2004 -y -riot 9,2004 _ New Barnsta ble C0rpora. ion �� March ackhorse Excavation, Inc. Jr.,same; president and treasurer; Pamela . community horticultural and agricultural 109 Angela Way,W. Barnstable.Timothy J. McKenzie, same, clerk. To sell and ser- values; etc: Williams,same, president,treasurer and vice heating, "ventilation, air conditioning, NK Properties Inc. irk. To construct, restore,, remodel, etc., refrigeration equipment and systems.' '" .90 Hickory Hill Cit.-Osterville. Kenneth mde' ntiai,and commercial property. 'J..J'E Construction,Inc. Joseph Anketell, same, president and trea- 100 W. Main St.,Ste.10,Hyannis Joel F surer;Alyson Anketell, same,secretary.To ipe' Cod Chapter Military Officers ;soCia ion'o(America, Inc: Almeida.800 Bearse's Way,Hyannis,presi deal in real estate. 167.lyannough`Rd., Hyannis. Leslie H. dent: Elia Santos Silva, 12 Carleton Ln , . Pa.rker_Mill Sand & Gravel, Inc.. . kalson, 700 So. Main St., Centerville; Centerville, treasurer; Jairo:Chaves Assis, 45 Industry Rd.; Marstons Mills. Robert ;sident "George Lingenfelter, 13 Bass 12 Carleton Ln.;Centerville,'clerk.Resides ` Bortolotti;39 Redwood Cir:;.Mashpee,presi- ✓er Rd.,So.Yarmouth;treasurer,:Doris E. tial housing frame construction, etc dent;treasurer and clerk. To sell sand an1. d radon 2AO Pinewood'Cr.,.Wellfleet,clerk. Knott Enterprise, gravel. onprofit)To make distributions to prgani- �61 Deborah Dr, Marstons Mills Ann M� Sparkle Food Corp. Knott;"same;president Knott,same, 66'Pondside Ci.r., Centerville. Ernest M Lions.qualified as exempt. i Ad Enterprises, Inc. tieasurer.and cler ,_ Welding. Smily,same,president,treasurer and clerk 325 lyannough Rd., Hyannis. Robert K Meetinghouse Fa nc.. T1�own.and operate restaurants.: �Id;"15 Forest Glen Rd., Hyannis, pre 330. Willow St., W. Barnstable. `Judith Tri-S Development Corp. nt;:treasi.irer and clerk. To run food and Desrochers, 1525 Main St.,W..Barn�table, 72: Briar .Patch Rd., Osterville.. Scott S. verage service businesses, etc. president: Diane Walsh; 573 Main .St.' W" " Shields same,president,treasurer and clerk. ry's Refrigeration Co:, Inc.. Barnstable, treasurer; Ellen Merritt,`61 To carry on the business of builders and 10 Pram Rd:,:Hyannis.Guylan McKenzie; Main St.; W. Barnstable, clerk o. 'f Toster contractors. 65 - 4 LOCATION SEWAGE PERMIT NO.44 VILLAGE hl"4Z,-�, 1*444.-�v INSTALLER'S NAME&ADDRESS —( c4 . =L CA BUILDER OR OWNER o . DATE PERMIT ISSUED DATE COMPLIANCE ISSUED v - � v`s __� /S� 1'� c ri� � w w � ^ r14s cowowpNvvEALr* OF mAssAcHussrrs .� BOARDHEALTH x0 , Fca��� 19. Application is hereby made for a Permit to P t t or. ir an Individual Sewage Disposal Instal Address Type of Building Size Lot.t. .. feet Other—Type of Building ms------ ---- No. of persons......ISJ................ Showers Cafeteria Z Other Distribution box Dosing t Percolation Test Results Performed by-----A.�_, �e�Moe, -ve-ow- Date _,;�ys,e�m a P4 0 Description of ��.��-'r----------.------. ....................................... '— ..........---.............------..................................................................................................... '--'----------_------''--------.'..--'----'—'_._—'—''--.'—_'-'''''---.-_-_—.. U Nature of Repairs or Alterations--Answer when applicable.--------------------------'—___. ---- - -- --- '-'- ---''------ --- T1 tinder *gned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with e p - " so 5o tate Sanitary Code— The undersignek�ftirther agrees not to place the system in 01 ompliance has e 'ss .by the board of Pa th ate-00 Date uate PermitNo......................................................... Issued....................................................... F � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................OF.- Appliration for Disposal Works Tonstrurti.nn 11nmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: f ocauon-Addr /°rs ✓ r r of Lot No. p r r �+ L - •� �,.. ...........................f 3 . i. �..,.. � Owner Address W ...........................t� J �✓ .... /. f FI rs as' /'�/f °'' 6�/:J; s �1� s= d,.%� {� Installer / Address Type of Building Size Lot.._:-.:,1...:._2Z..Sq. feet Dwelling—No. of Bedrooms........_Z...---------_-_---_--__-__-.Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building ... .:..-.1...._..... No. of persons......4. ................. Showers ( ) — Cafeteria ( ) Other fixtures ..__... W Design Flow.........+ :..3 ...•..................gallons per person per day. Total daily flow........._.. ......................gallons. WSeptic Tank—Liquid capacity/4,te: gallons Length................ Width................ Diameter__. Depth................ x Disposal Trench—No..................... Width.............._..... Total Length.................... Total leaching area...,._ _<�!__sq. ft. Seepage Pit No.......... ......... Diameter...._.�'.e......... Depth below inlet....._ ........... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank `-' Percolation Test Results Performed by..._ 1r1Z1f1. c r~ .....,: ' ,���. rr.P• ,___. Date..... ....:1, ` .M...._. Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water.:__.._........_........ 04 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 O Description of Soil.......z .. = 2............Z'2 ofl......---- ------ � . � f ............................................... ..0 w UNature of Repairs or Alterations—Answer when applicable................................................................................................ ------------------------------------------------------------------••---------------•----•---.......---------...---------------------------...-------------------------------------••••-.....--•••-••••-. A e ent: . T e unde igned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the is' is,& m 'f= 5 State Sanitary Code—The undersigned-,further agrees not to place the system in do ompliance has beessued by the board of h lth. Signed _ - ` '. ..c r /r^ ^ Dte a / •r3 A li ion Approved BY•--•--•. ..; . - .4.N G :. r .. ...............•------ DV5... ate PPliea.tion Disapproved for the following reasons---------------•••-•--•-••-••----•••-•-----•-•-•--••••......•--...--------••-••-••-•-••--•--•--••--••••........_ --......----••----•-•••••-----•-•.............•••....•--•-•-••---••---•--•--•-----•--------........-•-••••••--•-•-•••-••-•---------••••-••-•••-•••••-----•••---•-------•-•----•----••----•--•--•.....--- Date Permit No......................................................... Issued.................................... - = Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........._OF....... � <.. Tnrtifirate of Toutpliattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by......... :. rK. !.�s.- :.. r ''r'-- ......................................................................................................................... {� -- .I y e Installer-, ............ ------------------------------------------------------------- has been installed in accordance with the provisions of TITIy 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.-___- 0y"+.. :: - y PP P -tom ---� --. �-'�...� dated--------------- - -��-�---�'�•--•-THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARA TEE THAT THE SYSTEM WILL FUNCrTI N SATISFACTORY. DATE ............••---•--=•-------•---..... Inspector....__, Uri THE COMMONWEALTH OF MASSACHUSETTS • �"'� BOARD OF HEALTH X / N _-� ---- . ... ............................. Disposal Vorks Tonstrudion '[rrmit ` r Permissionis hereby granted......................................•...----.•-•-•-•-•••----••...----••---••--•----........................................................ to Construct ) orf: epa', ( ) an Individual Sewage Disposal Sys em at No -•••-•---- -- >. Street as shown on the application for Disposal Works Construction Permit No.__-. . `" Board of Health DATE.- t.. ------•••-- FORM 1255 A. M. SULKIN, INC.. BOSTON - WAN r r. <<� OT 47, /7 / s Aj Ry. # M M I a M 3 N SW 9-73 yi r r u \ h ; Er . L 3 OF ALBERT y^ L C - A. 2 F k 3 Z (P&)L T MORSE cn) �f J S La�s►;on 10951 +.•t' v } Y �FFS'IONAL�a �° pIT r-• �U! o�yY� CCt �� �� Loop c p /'; C-�/57 LEGEND CERTIFIED PLOT LA ' EX,ISTINO SPOT ELEVATION Ox0 of EXISTING,.lCONTOUR --- 0 G07 6 VE ' FINISHED SPOT ELEVATION LQ.O R'OBERr FINISHED. CONTOUR 0 - -- ELD3 EDGE xAPPM ED, BOARD OF HEALTH N . �93,� IN �L DATE AGENT �. / SCALE: / "_ �� DATE ' 7 CO. IN ' DREDGE ENGINEERING CLIENT����!�� JOB NO. I CERTIFY THAT THE PROPOSED � EGISTERE REGISTERED 91,_6o � BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS ENGINEERS SURVEYOR DR.BY A•A•P7 OF BARNSTABLE , MASS t 712. MAIN STREET CH- BY: x '�•E ' /S/�3s ���r 'HYANN I S, MASS. f Z f . , SHEET— OF DATE 4RE . LAND SURVEYOR .. ,�'� •';•..�., ;. *+,s,4"isp� .: w t^. _a`re ,.. ��. ,yefi-; s..' . ..+.*er� 'r";Ra`+�i-r.`.�tr'Ed'""tY:���`,�,a'J+.�"�F.y�"�'e''sr�fy:?: *3a"�',�r.A<,:i;# :�;,,i • •:. 1 C,YY�. S"n.+�i•r +(„+. �nU�f:'�4. .:_'�rv=',C I�'?,•' i rs'�i.-,�xJ{ r: �i.Yx�Nt'':"c �-2'K �:h f'c'R« Q .}:r>Fj' a ..l,„, .l•. '�. . "`sal: a.,�� �t'Y+" ,� ', ✓{�. = .w�f .:�' &�� �'k� Ya`r• � ::�'g -wa„�o-�a-�3:Y.T �" �" ;�.. -.`n„'�,' �e �i .a .�C��17''�-t.lam � y�#p:.,. ���xT} I"rI "`�:, .,a����..:. �X�; ,t'4r..�-,a+'. -%'J- .�.RG �T��7 N 2.:;� •t s,:, - t ^+l..c .n „$ _Xis',a'x�- .oy5 r.w....r ,:��..C.., ,, - s,.'.JV.I �%f.�F:T.E. -.•C'. 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WASNEO 577.0 J5/ h p Z = 377 ' • . •o'' REG45 T SEE�l4 a t13 x I_o = /t3 • ar. l • • . • • • • • • � a� P/70RL�iUl1,! 1MV&CT c`,4EVATIGNS PIT C,nPACary 490 GAG%Ar /NG 7 o v,o F _ _ - L tT. D/Alrf. •, /INVERT AT O/1/LD T. ` 3 SEE n°Bt/1..4 r/DA ! LET .SEPTIs< TANK 998 ><T. _ 17 O/A1►f. C C N OtJ7LET SEPTIC 7ANK _99•6 FT. /INLET DISTR/DIITIDN BOX SEG'TION pF GROu/V� I�fTE�t TitQL E OVTLETO/STR/BLJT/ON B[aX 99 Z TEM . A is Y.S AGE vis/alas SEWAGE N _ /NLF'T tfACNllvlr P/T 99.0_ fT. _ Ti'161JLATlO LEACHING P/T oI/►fEnrsloN A D,ES/6N CRITERIA : Y4 _ /=o' D!I•llelvslo/v — fT- Nu.HQER OF dEORoOMS _ DIMENSION: AR�rtGE DISPOSAL UNIT niv yE SOIL LOG SD/t TEST TaTi4t EST/M�T'ED FLow- 33 0 aAj../oAY . SOIL TEST AE! . SOIL TFST0*2 i(UMiP OPc L,r`AGM/Nl PITS / f FLEY. 0 Zr 4 _ 1~ELlY. DATE OF SOIL 'TEST 6 / 4/�f S/�ELf•4CHlNGPER.PlT /S/ S�, FT. i f RESULTSh/ITNESSED ArPM Al JOTTOM Ltr•IGN/NG PER P/T l 3 _ ^rACOLAT/O!V.IlAT / Ess M//VfINCI! TOTAL LEACHING AREA _Z� 4 SQ, fT LO sl �-'i �c GFJI'CDLAT/DN RATE A2 L Tt/AN MIN.�INCN �ESE�tYE�:EACNlN6AREA_zL�9-S� Sfv/L 7`C-STLs- ROEERT C`90 '4E REBaE ELDREP49.E No 19367Crvr��� S '9,FCISTE��`� �" �\r�cc 'f=Y c 9� 71Z MAIN -STs . AWANN/9, MA s�U�L A���`,�c. � , ���;. fir~ • Tl•R !r/yCOC!/yTF/eE0 tl/E/VT: KS•T< q,•T6 7. BS L r ® NO_GROUND WA yUMl >�] GRa uliro w.oTER ,�r Ete:! ,lOd _gS 0:114 . E —z- s x,1�t...w.v�4.*-�n.. ...R,r..-�'+.'�p»r-a..as Wsa4+nkmrs ..vw•st�.A:keae9». 'T A'y�rtF"'Mcll�tir+x:s�^.tit+»+eNX:wc�t,#;..'4i�" l`E's � +sbk.:�r-aw'�!'�'•. \I V Ln`` IN ` V I NO f Li '-� 4-d s � `� m l I J. Certified .Plot Plan in Barnstable, MA Address : 61 DEBORAH DRIVE Prepared For : DAVID KNOTT Assessor's Map: 065 Lot: 004-003 Baxter Nye Engineering & Surveying Community Panel Number 250001 0533 J, Effective Date. July 16, 2014 F.I.R.M. Map Zone: X (un—shaded) Registered Professional Plan Reference: Land Court Plan 38973—E Engineers and Land Surveyors Certificate of Title: #208615 78 North Street, 3rd Floor Owner.-Heather A. Wicckham, Trustee of the David A. Knott Irrevocable Hyannis, MA 02601 Family Trust Heather A. Wicckham, Trustee of the Ann M.. Knott Irrevocable Phone (508) 771-7502 Fax — (508)-771-7622 Family Trust Scale : 1" = 40' Date : 06-14-2016 \ Job Number. 2016-024 Notes: 1. ZONING DISTRICT : RF \ OVERLAY DISTRICTS: WP, ZONE II, RPOD ZONE OF CONTRIBUTION SALTWATER EASTUARY \ 2. A TITLE SEARCH HAS NOT BEEN PERFORMED FOR THIS SITE. THERE MAY \ BE RIGHTS BY OTHERS, EASEMENT, TAKINGS, MORTGAGES, RIGHT OF WAYS ETC. NOT DEPICTED. IF DETERMINED TO BE NECESSARY, A TITLE SEARCH yam 044#�FR SHALL BE ENGINEERING &OS RVEYINGRMED BY OTHERS AND SUPPLIED TO BAXTER NYE 3 PROPERTY LE RECORD I F RMATION CON STING OF PLANS A BASED NDDEEDS. THE EXISTING FEATURES '�tia AD SHOWN HEREON WERE OBTAINED FROM AN ON THE GROUND FIELD SURVEY , $8 qO PERFORMED BY BAXTER NYE ENGINEERING & SURVEYING ON MAY 23, 2016. 00 A \ N/F RICHARD C. & VANESSA \ GUMBERT CERTIFICATE 141570 \ PARCEL 065-004-008 \ z PARCEL 065-004-003 Ln 47,171 f S.F. ,^'S' N/F DANIEL M. MOLENKAMP - - v W. CERTIFICATE 105147 WO .._. �� - -PARCEL 065-00.4.-005 . W � . iA Lo t 00 P U! J s (TI APPROXIMATE EXISTING EXISTING SEPTIC DWELLING 151 #61ZO w PORCH V)� J 5.3' 74.8 t Oy w 0 2_ PROPOSED GARAGE 10.8 ADDITION _ U 1 W EASEMENT o EDFF U µ L.C. PLAN Fa /F DAVID G. & DAREN V. SH 38973—G 9 0 EATON _ CERTIFICATE 150897 ^' 145" Ez o PARCEL 065-004-004 194.97' °' N 31'58 N/F MARY M. & BRUCE T ESTRELLA, p C pipe S 31 58 45 W TRUSTEES FAtD NSKI KUBI N/F KATHLEEN H. z OF THE-ESTRELLA REALTY TRUST CERTIFICATE KUBI CERTIFICATE 204661 I 7904 PARCEL 065-006 PARCEL 065-007 I m� �Vj I 1 I � I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE EXISTING STRUCTURES SHOWN HEREON IS © iyqrl � ' H LOCATED IN RELATION TO THE MONUMENTS SHOWN AND IS NOT LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA. o��' SHANEM. , THIS PLAN IS NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. a MALLLON L) Nio.46807 s M li REGISTERED PROFESSIONAL LAND SURVEYOR BAXTER NYE ENGINEERING & SURVEYING DATE TOP OF FOUNDATION COVERS TO BE WATERTIGHT AND SEPTIC SYSTEM PROFILE BROUGHT TO WITHIN 6" OF FINAL GRADE Flaherty Environmental Services EL._58.0' EL. 56,0' jnot to cale� INSP. PORT W I 3" OF GRADE CLEAN SAND P.O. Box 331 2" of to z" DOUBLE WASHED EL. 56.0' Harwich, MA 02645 4" CAST IRON or EQUIVALENT PEASTONE OR GEOTEXTILE —'�� 774.994. 1166 MIN..PITCH 1/4" PER FOOT FILTER FABRIC 4"SCHEDULE 40 PVC PIPE 4" SCHEDULE 40 PVC PIPE l VENT IF REQUIRED FLOW LINE (&st2'tobelevel) 31' 1.3 ..'•: L. EXIST. 14 : O® . 0°0°000°c EL. EXIST EL.53.6' 0000000 0 ° 0000 000°0°0°c ' EL.53.03' 000 0 0 00000000 �® ®� � °°°°°°°°a E .53 ° o°o°o°o°o°o° o°o°o°o°c 2.0' GAS BAFFLE EL 53.0' 0°0°0°0°00°000000 ® ®� o°o°o°o°c— ':..�� (H2OD-BOX) 000000000° 000000 • ' ;a' �' ®..00000000C a o 0 0 0 EL.51.0' 6"CRUSH D STONE OR SOIL ABSORPTION SYSTEM .S •'° �;,"`�• MECHANICALLY COMPACTED (3) 500 GALLON H-20 CHAMBERS 1000 GALLON SEPTIC TANK (DATUM: ASSUMED) (EXISTING) WITH 4'STONE AROUND IN A 3i to 13" DOUBLE WASHED STONE 4 2 12.83'X 33.5'X 2' CONFIGURATION BOTTOM OF TEST HOLE EL. 45.5' EL. 45.5' c'1g8s, USGS ADJUSTMENT: N/A LOCATIONMAP ® GROUNDWATER.ELEV: N/A N TH LOT 11 °� WORKSHOP � 56 Deborah Or 52 1,08 ACRES± MAP 65 LOT 4-3 _ LOCUS v DECK Rye Ln. BENCHMARK: DRIVEWAY DEBORAH DRIVE TOP OF FNDN a EL. 58.0' EXISTING g 4 BR DWELLING QO�v2 \ NTS EXIST S.T. SHED O o� F 54 \ 42.0' ti ye BgNITAW�`� b I LP \ 150' TO WELL DATE.6/30/2020 REVISED: T -1 LEGEND `Y;° TH-2 SITE AND SEWAGE PLAN FOR 6 6 6 6 GAS LINE 39 0' B& B EXCAVATION, INC./ W W W 4F WATER.LINE 56 DAVID KNOTT -6 6-6-6 E EXIST. ELECTRIC 61 DEBORAH DRIVE 99 EXIST. CONTOURS 99 PROP. CONTOURS SCALE : 1 - 3 0' . MARSTONS MILLS, MA ——--—— • w"G N'C N�E UNDERGROUND UTIL. REF.•LCP38973-E PAGE 1 OF2 ............ .......... ........... ....... ............. ............... ............ ...........- GENERAL NOTES DESIGN CALCULATIONS Flaherty Environmental Services S YS TEM DE TA IL 16 P 0 . Box 331 1. ALL PRECAST COMPONENTS TO BE H-1 0 Harwich, MA 02645 RATED UNLESS OTHER WISE SPECIFIED. NUMBER OFACTUAL BEDROOMS 4 774.994. 1166 DISTRIBUTION BOX AND ANY COMPONENTS WITH ANYANTICIPATED VEHICULAR GARBAGE DISPOSAL UNIT NO TRAFFIC TO BE H-20 RATED. 2. THE DESIGN OF THIS SYSTEM DOES NOT TO TA L ES TIMA TED FL 0 W ALLOW FOR THE USE OF A GARBAGE (I 10 GA LIBRIDA Y X 4 BR) 440 GAL./DAY GRINDER. REQUIRED SEPTIC TANK CAPACITY 880 GAL. 3. MUNICIPAL WATER IS NOTAVAILABLE. 4. ALL CONSTRUCTION TO CONFORM WITH SIZE OF SEPTIC TANK 1000 GAL. (EXISTING) 310 CMR 15.000 AND ALL OTHER APPLICABLE LOCAL, STATE AND FEDERAL 12.83' SOIL CLASSIFICATION CODES AND REGULATIONS. 5. INSTALLERICONTRACTOR TO REVIEW& DESIGN PERCOLATION RATE <2 M/N.11NCH VERIFY ALL ELEVATIONS AND DETAILS AND EFFLUENT LOADING RATE 0.74 GA L.IDA YIF T2 33.5' REPORT ANY DISCREPANCIES TO DESIGNER PRIOR TO CONSTRUCTION OR LEACHINGAREA ASSUME ALL RESPONSIBILITY (2)x(33.5'+ 12.83 7(2 185 SF 6. INSTALLER/CONTRACTOR IS RESPONSIBLE 33.5'x 12.83' 429 SF FOR MAINTAINING SAFE WORK AREA, 614 SF x 0.74 454 GPD VERIFYING ALL UTILITIES AND NOTIFYING "DIG SAFE"(1-888-344-7233) 72 HOURS USE(3)500 GALLON H-20 CHAMBERS WITH 4'STONE PRIOR TO CONSTRUCTION. INA 12.83'X 33.5'CONFIGUP.4TIONAS DIAGRAMMED Z ANY CHANGES TO OR DEVIATIONS FROM THIS PLAN MUST BE APPROVED IN RESER VE L EA CHING CA PA Cl TY NIA WRITING BY FLAHERTY ENVIRONMENTAL SER VICES A ND LOCA L BOA RD OF HEA LTH. 8. FINISH COVER OVER COMPONENTS IS NOT TO EXCEED 3'PER 310 CMR 15,000 UNLESS SHOWN PER PLAN (NTS) 9. ALL ABANDONED SEPTIC SYSTEM COMPONENTS TO BE PUMPED DRY AND FILLED WITH CLEAN SAND OR REMOVED AND REPLACED WITH CLEAN SAND. SOIL EVALUATION 1 O.ALL COMPONENTS TO BE PROVIDED WITH TESTHOLE#1 TPT#20-114 TESTHOLE#1 TPT#20-114 WA TER TIGH T A CCESS POR TS WITHIN 6 OF Evaluator: David D.Flaherty Jr.,RS,REHS Evaluator- David D Flaherty Jr,RS,REHS FINISH GRADE. SE#2755 SE#2755 BOH Witness: Don Desmarais,RS BOH Witness: Don Desmarais,RS 1 1.ALL SEPTIC TANKS, DISTRIBUTION BOXES Date: June 16,2020 Date: June 16,2020 AND PIPING TO BE INSTALLED WATERTIGHT 12.NO KNOWN WETLANDS OR WELLS WITHIN TH-1 ELEV 56.0' TH-1 ELEV 56.0' F 150 FEET OF PROPOSED LEACHING. 0.-911 A LS 10YR 312 0.-9. A LS IOYR312 4t- 13.THIS IS NO T A CER TIFIED PL 0 T PLA N A ND I'S T f- UNDER NO CIRCUMSTANCES IS THIS PLAN TO BE USED FOR ZONING OR BUILDING 9"-31 B LS IOYR516 9"-31" B LS IOYR516 PURPOSES. 14.LOT IS SHOWN AS ASSESSOR'S MAP 65 7 cei*that on November 12,2002, have passed LOT 4-3 . (49-) Perc SITE AND SEWAGE PLAN the examination approved by the Department of 15.LOCUS PROPERTY IS LOCATED WITHIN AN Environmental Protection and that the above analysis FOR has been performed by me consistant with the AQUIFER PROTECTION DISTRICT(ZONE 11). 31"-126" C MCS 2.5Y616 31"- 120" C MCS 2.5Y616 required training,expertise,and experience described B & B EXCAVATZON, ZNC.1 in 3 10 CMR 15.018(2). DA VZD KNOTT 61 DEBORAH DRIVE MARSTONS MILLS, MA G.W ELEV NIA G.W ELEV NIA BOTTOM TH-1 ELEV 45.5' BOTTOM TH-1 ELEV 46.0' . PAGE20F2 DATE.-613012020 .......... .......... ............. .............