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HomeMy WebLinkAbout0057 FAIRHAVEN LANE - Health '57 Fairhaven Lane Marstons Mills A = 149 153 - r , H ar ous Materials Inventory Sheet CheCKIISt Date lPhysical Street Address-Check database to ensure it exists l/ Working Phone Number Actual Amounts -.( ie. gas being used to fuel machines, thinner to clean brushes all count as hazardous materials-no blanks) Storage Information - location of storage, how long is storage for? If none, note that. Disposal Information -.where and who? If none, note that. (�_— Applicant Signature - understand what is listed and noted Q � Staff Initial -any questions, know who to ask Vehicle Washing/Rinsing? -give a vehicle washing policy and explain it Attach the Business Certificate with your sign off and comments The inventory form should explain what the business consists of and the procedures they are doing. Notes need to be left to explain what you discussed with them. YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates [cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town [which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office,.1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. 110ftwlu'§4t 0 DATE:��- � � ` /J�. Fill in please: $ ' ^ e� t APPLICANT'S YOUR NAME/S: �il/LF -,G�yy ay 17,4 �/�J � �cla" � Gri BUSINESS YOUR HOME ADDRESS: TELEPHONE # Home Telephone Number 5bg NAIViE QF CORpOt�ATION ,° NAi1/16 OF I- 01, ES S /� j/ TYPE OF'BUSINESS i� % `i�r/t. 1S THIS A HOME OCCUP.4�IpN9' YES a�pbl�0S5 CDC�U511\IESS�= ..�� .. 00 MAP%PAR,CEL KII IMBER t '. [Assessi.ngJ When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1.a BUILDING COMMISSIONER'S OFFICE This individual has been informed of'any permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 2. BOARD OF HEALTH This individual his an in o. ad of the permit rc Oren,bi its that pertain to this type of business. Authorize sTatl L�WITj_l LL COMMENTS: 1.'r-ZAS21DOUS M T�In� I;S RE 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: v Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE - - NAME OF BUSINESS: 1*111/7«5 t/C BUSINESS LOCATION: `Z2 ,Za�,o/�,��.v ,liv it//�2tTa� a-lei/S° INVENTORY MAILING ADDRESS: UZ�yR dL4 _ TOTAL AMOUNT: TELEPHONE NUMBER: $ - �ZO 0/ oG/. CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: 2 MSDS ON SITE? TYPE OF BUSINESS: INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: /,//,D i\ P/ Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The board of health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) 0 Miscellaneous Corrosive Q ❑ NEW ❑ USED Cesspool cleaners 62 Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants /v Motor Oils Pesticides ❑ NEW .BUSED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) ,l Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine C�2 Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt&roofing tar _ PCB's Paint , �- , � Other chlorinated hydrocarbons, /v Lacquer thinners 0 (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers ay be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids V (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash e WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS pplicant's Signature Staff's Initials I TOWN OF BARNSTABLE 197C ✓ 07CATION 0 1'-A Z/f 11A V 2A/ Le SEWAGE # I QCY1 V`,LLAGE A4 A2 S7`O�/S /�/LL S ASSESSOR'S MAP & LOT � S ` n INSTALLER'S NAME&PHONE NO. /" ,-Yf o 14 {5 e/T 1 S A/ SEPTIC TANK CAPACM 142 h 0L,O LEACHING FACILITY: (type) A—0 w e/L.S (size) NO.OF BEDROOMS 3 BUILDER OR OWNER u�'eW3 r PERMUDATE: 6 d COMPLIANCE DATE: Ia 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 w Qb a s� ra No. / „ V Fee A S V i THE COMMONWEALTH OF MASSACFr1SETT$ Entered in computer: Ye�t� PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Migooal bpgtem Conztruction Permit Application for a Permit to Construct( )Repair(;( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location ddEess or Lot No. Owner's Name,Address and Tel. o. _ ULWhWD Assessor'sMap/Parcel y'�y '57 we— { W4,,8ns ft�#s Ins er's Name,Address,`ndl,Tgl.No. �� � ~�J 33 Designer's Name,Address and Tel.No. 4G'D% A)3, ©3n O� TJ� Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Rep irs or Alterations(Answer when applicable) aA 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 i ued by t 's B94 of Health. Signed Date Oe Application Approved by I Date Application Disapproved for t9following reasons Permit No. G(i���� Date Issued S i/ 'No:` () / 0261� 1 } Fee ... k r`E- Entered in computer: ` THE COMMONWEALTH OF MASSAC14USE'�f'S p Ye—�s'''t„/ PUBLIC HEALTH DIVISION -,TOWN OF BARNSTABLE., MASSACHUSETTS :_. ,jr Zlpprication for Miopoar *pgtem Congtruction Permit Application for a Permit to Construct( . )Repair(� )Upgrade( )Abandon( ) O Complete System' .El Individual Components Location Address or Lot No. I Owner's Name,Address and Tel No. 15-) P�iWhWPn Ong r�i1115 ��ePh 33�wsht- Assessor'sMap/Parcel I'� S'� �Q,f�Q. {Yr4png.0j`5 Installer's Name,Address,and T I.No. SD�i ��—aj�j�j� Designer's Name,Address and Tel.No.(SO`$) `A?3- 0377 A to t� Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building.N.mejl i Y1 pt No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 3 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Q rA Le 0 L( f� JO a I r—NVV4 c,`1 ouej(_. �� 11 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 this Board of Health. Signed° / tk�' Date 04 Application Approved by v Date r L/ Application Disapproved for thTfollowing reasons / Permit No. Oa V. Date Issued T6 16 L/ —————————————— --- ——— —————— s. —————— THE.COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO_CERTIFY,,that the On-site Sew ge Disposal System Constructed( )Repaired (Y )Upgraded( ) Abandoned )by t at ' has been constructed in cccrdance with the provisions of Title 5 and the for Disposal System Construction Permit No. ?Ooq-a?f 'dated Installer Designer The issuance of this veraht shall pot be ponstrued as a guarantee that t e system R fu,c ion as designed. Date �� � Inspector No.---r/=�—--------------------w-----Fee Y THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS migogar *pgtem Congtruction Permit Permission is hereby granted to Construct( )Repair(X)U grader( )Abando{�t( ) / System located at s7 �CILt}1CA�RX1 �!?!jig, L 'IOYI6 '� 1 t�, 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. Provided: Construction ' ust be completed within three years of the date of tlrispermi . p Date:_ J`�/��/Ucl Approved by 1 � t,, Ors I' TOWN OF BARNSTABLE LOCATION ? /`A ZZ 11 A V e-Al 1->/ SEWAGE # Q• �� VILLAGE A4 A f 516il s 10/LL-S ASSESSOR'S MAP & LOT G f INSTALLER'S NAME&PHONE NO._ .� J +fA c O apt /3 e/r i- .i oA1 SEPTIC TANK CAPACITY /'&,6 d ®L D LEACHING FACILITY: (type) d X V &U e/L.S (size) As--13 d V, NO.OF BEDROOMS , BUILDER OR OWNER PERMITDATE: d COMPLIANCE DATE: Srla. 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 Q It / � _T1 � a f JUN-02-2004 01 :23 PM JCENGINEERING 508 273 0367 P. 02 Town of Barnstable Regulatory Services { Thomas F.G dier,Director Public Health Division Thomas MaKsan,Director 200 Main Street,zMais,MA 02601 Ofte: 506-862.404 Fax: 509-790-6304 Date: M RN a%.,i Dedgoer: Sc fi W-i E E CA tio- 1 � Installer: :SP�l�c o M 6�r� Address. 3254 Ce�,�����,kk-jkwA'1 Address; P O 3&: 112(6 f \WA9-,V- m A DL5'� C NT eYtiu �"� i�2.�v3 2 on rj OZj: - t�LctAZC4was'issued a permit to install a septic aystesn at 1 van) + based on a dcaip drawn by s SG �t •INE (r OL dated kAM IA., ?.off I oerdf� that the septic system referenced above was installed substantially aeo+or to the aate�,,whic h may include minor approved changes such as lateral relocation of the distribution box andlor septic tank. I certify that the septic system referenced above was installed with In or ohanges (i.e. gr eater tl�an 10, lateral relocation of the SAS or any vertical relocation o1 any component of the septic s�+stena)but in accordance with State &Local Regulations, Plan revision or ed as-bwlt by designer to follow. oI iN L. N u CrliFiCHiU. JR. s ernsftr' CIVIL No 41601 � bys�s tiro s i e signers staxnp Q;Heelt�sep��ti�'�atQloo Faete ;L671' /q9-i53 O CAT ION hCvvse #-.52 SEWA E PERMIT NO. r 4 1 L L A G E ISTA LLER'S NAME i ADDRESS S U1 L D E R OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED ti , • 4t, LG A r f ' � �w...... F - - x ..... � No.--- ._-- THE COMMONWEALTH OF MASSACHUSETTS BOARDF HEA TH _Iec( 7..............oF.......:. .....-r../� c�/(...................... Appliratiun for Uiupnuttl Works Cnunutriir#'inn Frrutit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at, ............ ....../ ............................... Location-A ess Lot No e z:n.... .- . f���� .1...�?.-.... e -Alf ................. /. `0 sneer.-./- G ---_- -------Address L—V 1...•.•..•............................. .•...�vY�Y.=.4.�0.. ............... Installer Address UType of Building Size Lot ,04_-/-......Sq. feet ,., Dwelling—No. of Bedrooms.......................................-----Expansion Attic,(1lI) Garbage Grinder V) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures .-----...--••••......••-••••--•- W Design Flow.........�6 _6....:...................gallons per person per day. Total daily flow........ d.__.................gallons. WSeptic Tank—Liquid capacit?�QO-?.gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by...� �i�..-_Z!�_lL?Z P..... Date....��`�r_. �{ } Test Pit No. 1pf�........minutes per inch Depth of Test Pi .__._.. ,_.. I3 p to ground Test Pit No. water.._ _ (i � ��� 2�l��.t.�._niinutes per Inch Depth of Test Pit.................... Depth to ground water........................ 9 ......................••-•••. ••......0......_.......... 0 Description of Soil.... $0 SA6.;.Q,,fC... (`4j ---------------------------------�..---/� ��?r_�_...,so ems°..�'G��'e�--------------------._...--------------------•------------- w x •-•-••••--------------------•--••--•---••••-•••-•••••-•-•••••••••••••••••••••••••-•-••....•-••-•••••-•-•--••......---•---•-•-••••••-•••••--•••--•••.........•••••••••.................................. U Nature of Repairs or Alterations—Answer when applicable............................................................................................... .. ..••. •••-•••••-••••••••••-•••--•••-•...•-•••••••----••••-•----•••••-•............•-•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iI'L U 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' sued by the rd of healt S' ned- • -•----................................... 3?•--___... .._...._6 ate Application Approved By................... •.............. ...... 1 3-�g ... Date Application Disapproved for the folio ' g reasons:.............................................................................................................. - Date PermitNo....................................................... Issued_....................................................... Date .�. ------------------------------------------- - - No........................ Fizz.......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD qF HEATH, -5/A ............. ..............OF.... Apphration for Uhipaaal Workii Tomitrurtion Frrutit Application is hereby made for a Permit to Construct '111) Or Repair an Individual Sewage Disposal System at*, I.- , -'Z2-a----------------�r... c �4. ........... .......... .29................................. j* Location-AAre t No/............ e ..Q� ........ .. Z ....... r................. Own, - ------ Address �✓...... ................................. . ........................................................................ Installer Address Type of Building Size ........Sq. feet U Dwelling—No. of Bedrooms.._...` .................................Expansion Attic "` ) Garbage Grinder Z) Other—Type of Building ............................ No. of persons_..._..._..._._____..__.___. Showers Cafeteria <A4 Other fixtures ................................................................................. ..................... -------- Design Flow......... ........................gallons per person per day. Total daily flow.._._.___ ....................gallons. 1:4 Septic Tank—Liquid capacity��A!-�1Qgallons Length................ Width........_._..... Diameter__-_.._......._. Depth................ Disposal Trench—No---------------_--- Width.....__......_...... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.........___.__..... Depth below inlet......._...._....... Total leaching area..................sq. ft. Z Other Distribution box Dosing tank Percolation Test Results Performed by...25,: `e Date........... ..........e.,............... Test Pit No. lj!:�. .......minutesperinch Depth O-f/Test Pit,...... ... Depth to ground water',/,,,-,7 Test Pit No. I l!'-�:�1.2­niinutes per inch Depth of Test Pit... Yj .... ........ Depth to ground water._._._..............._.. .............................................................-------------------------------------------------------------------------- -------------------- f 0 Description of Soil..... 10 e.,� �> .... .... ........ .......... ................................................................. ---- ----------- 4,b.� , ----------*-""""-,",--"",-1111111*1*-"",,-"I------------- ..................... ... U ....... ............... --------------------- --------------------------------------------------------------------------------------------------*------------- ------------------------*-------------------U Nature of Repairs or Alterations.—Answer when applicable............................................................................................... .................................................................................................................... ................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T IT IS 5 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 heal h e_-t Si 1W_ Z .............................. ... . .............. Date ­1 Application Approved By......................... 4 .......... Date Application Disapproved for the followig reasons:_k .................................................................................................... , .................................................................................................................................................................I....................................... Date PermitNo........................................................ IssuedL........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............OF..... er.'y 5-Z ..................... (Infifiratr of Tompliaurr THIS IS To CE!ITFr That the Individual Sewage Disposal System constructed Repaired by..... ................. ....... .................................................. .... ...../� . .......................................... Inst ter at... .............................. .... . . ................................................................. has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.._._... 6.__14'. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL I OU , �- TION SATISFACTORY. "'I" W DATE...—'.'. -------------------------------------------- Inspector.------ "AIR----- ------- -------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAL-T ..?..............OF..... ................................... No.....451D.... .5.4 FEE.... .�'�......... 14sposal Murka if ,,Tonotr Win ramit _Es.......... .. , - '�:c /- 7r Permission is hereby granted......17s el-t.e.'a _12i L...... LJ............................................................................ to Cofisti�uqt ( or Repair ( )_aji Indiv%du Sewag Disposal S stem `j s........... - -------t ................................................................ at No...... .1.....FZsi.� Street as shown on the application for Disposal Works Construction Permit ....... D a t e d.... ....... 2 .......... ........................ Board of Health 1�21)DATE.........A.............=�--- ----I_L_2............... FORM 1255 A. M. dULKIN, INC., BOSTON -.N 2,0 -T 3 0 3-s" 1 a^ 1 �c IZ' 2Z C)IR I V45WA y ` I q. `1 c K� o M N P/ o 20 12' , 50 3 o�/S��S 70 J 8ox a a /OZ� o � N a7 � ;�� SU/L &.P > - . ' _ iL . Q O /)�T,/ SSG i �6 . /v o -90 Q ti 7-&�J -TOl vN 13Y,4A ws R�stKVE1� o° Q � l Q°r rr � a A� t`. CIL/ LEGEND - EXISTING SPOT ELEVATION OAO 4 CERTIFIED PLOT PLAN EXISTING CONTOUR---- 0 ^-- FIN13HED SPOT ELEVATION Lv 7- 1 .. FINISHED CONTOUR 0 — /vjo4. Rs�vw /'lic_Ls NOTE: The location of any existing unde�;'ound sewerage, ------- --- wells, or other utilities shown on this plan is approx- IN imate only as determined from records and/or verbal SAJlkl -\ information. .The contractor is responsible for the r.�1 �� ASS* verification of the existing locations in the field. SCALE, l "= 40 DATE , J _24/9 6 MLDREDGE �E'NGINEERINGC4. IN CLIENT..._ I CERTIFY THAT THE PROPOSED ERE REGISTERED JOB NO. BUILDING SHOWN ON THIS PLAN CONFORMS TO THE ZONING LAWS CGIVILE RAND DR.BY, �1 ' �� OF BARNSTABLE MASS. MKXQ 712 MAIN STREET CN. BY `G /D13 /� iNYANNIS, MA88.. SHEETL OF E REG. LA D SURVEYOR 20 FT. M/N. n !1(O?E : /F E/TNER 7-NE.S.EPTIC TANK OR / --FACi,//NG PIT ARE MORE TNAN /2"SE40yV /D FT. M/�!• _:A'AOE� A 24"O/AM ETER GONC'RETE COi�E.� SJ,rALL BE BROUGN7' TO GMAD,E.(�fiN EXTRA 4 PYC P/PE f CONCRCTE MIN. P/TCN f�EAYy CAST /RON Co{/ER S/1.4LL I3E USE17 C—L /0 Z D COVERS �B pPFR f7. \ /F//V OR/VEyt/.4 Y fA CCU I�ER CLEAN SANS LL .,�"• ., L/Q[/ID LEVEL } _ - •• - . . f � BAC,leF I r 4. SCNED u[b 40 "T'•n - ,�.%z:z 2LAYER t p,V. PIPE t a o 0 0 I/8. J/8 /-I J N•P/TCN —L---- GAL. o • • • . • • • • • e p,o� WA SHE& SMNE /T $APT/C T D/ST. PER ANK o s • • • . e • • • • • o to $ • • • • • r .►/ •EfFECr/VL ' • . •� 3�4'- �2~ .?'�_ • a r • • DEPTi/ • • • • v o 1V.4SHED STOiYE 3�7to x /. o _ //3 a v. • • • • • • • • • D o o PREG45T SEEPAGE a • /NVL'R'T 2°LEVAT/DNS.PI 7- 4�.61>,t cirYe 490 GA[_./DA� a :on r • • • • Otis ' psi 0 . EL 3 ,0 OR EQUIV._ 1NYER7- AT BU/LD/NG 9L9,0 FT. _ :f initET SEPTic T.4/YK 97 8 F7 I 2- FT O/fJM. ? C SSE TABULATION. -- .. ..0 OV74E7-SERT/C TAk. -_7 A FT. /HEFT DlSTi4/BUjJON BOX ;17•'9 FT. SEG'T/aN OF GROUND NI,ATER TABLE OUTLETD/ST/7/,�(lT/0J1f��D,1� 7. § Z 7.0 FT, SEWAGE L7/SP�AL SYS7WIW%HEFT LEACH/ T .7A494,11-AT10N E.; LEACH//VG PJ'T SCALE : %4- = /-o" D/MENSION A. FT. DES/GN CA TEN1A DJM.EN510 N 8 FT'- NtlMBER OF BEDROOMS 3 OJMENS/O/Y C `� FT, Jrr i✓ . GA RBA GEDISPOSAI. (/NIT'_ffONE SD/L LOG STIMATED FLO,vV 3 3•0 SO/L TEST TOTAL E G.4L.`AAY SOIL TEST �/ SO/t TEST#2 / NUMBER QV=.LOACN/NG P/TSw__L_ Ir-ELEK 98• �-EtE�Y, .0A7-E OF SO/L TEST S/OE LEACHING PEJ2 P/T s/ SQ, PT. v _. RESULTS N/ITNBSSED BY PD>,ZE- Alt Crej��7 TZ-s I BOTTOM L---,aCH/NG PER PJT / J 3 SQ, FT o Loy} M PERCOAAWOW RATE#I LOSS. MJN•IJNCH i TOTAL 4eACH11VCr AREA Z64 So. Su3 5o,t- PE>CCOLATlON RATE>�2 J^'`IA' MJN.1INCN .?ESERfiE LE.4C.4J/NG AREA Z6� SQ. FT. a �_ Z zD f f..• �;z `t JZ AVE L /YlA �5 To /V-S' ,M-/L4S i A. EL OREDGE EAW NZAFRING Co J/Vc.. _ `} 7/2 MAIN -5 T, P>ANAlf$, MASS. v NO GROUND ;-VAI 7 L0R EIVCOJU/VT1r:qLNElU CL/E// �E i✓g�2iE2. DATE Cl . (wzo UNO Lv/�TER AT EL E�/ l JOB NO: cv N S INC.DOYLE ENG INEERING G ASSOCIATES,C E 47 MORIN AVENUE FALMOUTH,MASSACHUSETT'S 02536 TELEPHONE 617.540-4411 4; JOHN P.DOYLE,RLS. JOHN P.DOYLE III -; STEPHEN J.DQYLE *PERCOLATION TESTS RESULTS* Location on: VN Lh7v L Date: -�Z�yT^ T*vnAillage: lM To— Ins"ctor: C� Applicant: N/5 Back Hoe : . . Doyle Engineering Represenatives x t Deep Observation Holes-Soils Characteristics Observation Hole No: �� Observation Hole Nei- I l Percolation Rate S L- � ° - - C �2 m�n,p��z i oo I oo�c� 0,Q.0ri 0.0.Di .q Based on the abwe data, suitable installation of a subsurface sewage disposal system can F, or carnet = be designed in accordance with the adnimur standards of Title 5 of the States Envirowntal Code. Reason for unsuitable results if applicable: • : ZH OF MgS��y o MUM _TES Q 1 * WEy� I , i FINISH GRADE OVER D-BOX= 97.80' PROVIDE PRECAST CONCRETE EXTENSION FINISH GRADE OVER CHAMBERS= 97•80' - 98•30' GENERAL NOTES RISER WITH CONCRETE COVER TO WITHIN 6" REMOVABLE"COVER TO SLOPE @ 2% MIN. OVER SYSTEM OF FINISHED GRADE OVER OUTLET COVER WITHIN 6"OF GRADE 4"SCHEDULE 40 PVC MIN SLOPE 1% 3/4"TO 1-1/2"DOUBLE WASHEDi STONE TO CROWN OF PIPE I. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND ANY FINISH GRADE @ FND. EL.= 99.00, FINISH GRADE OVER TANK EL.= 98.90' 5"DIA. OUTLET(S) APPLICABLE LOCAL RULES. 2"OF 1/8"TO 1/2"DOiUBLE WASHED STONE 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE CONTRACTOR SHALL VERIFY SIZE AND ' PLACE RISERS ON ALL CHAMBERS DESIGN ENGINEER. CONDITION OF EXISTING SEPTIC TANK 36 MAX. TOP OF SAS= 95.33 TO 6"OF FINISHED GRADE 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL EXIST „ rn 9"MIN. PVC PIIPE NG 4 94.50' 36"MAX. BREAKOUT EL = 95.00� SYSTEM UNLESS OTHERWISE NOTED. f- 4. TO PREVENT BREAKOUT,THE PROPOSED FINISH GRADE SHALL NOT BE LESS THAN PROVIDE WATERTIGHT ELEVATION =95.00'FOR A DISTANCE OF 15 FEET AROUND THE PERIMETER OF THE S.A.S., 6" 3" 3"DROP MIN. 3" 9" i JOINTS(TYP.) UNLESS A 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST 5 FEET FROM S.A.S.AND THE 4"PVC IN O oo TOP OF THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. T110" " � ,+ SEPT C TANK OM 4"PVC OUT TO o � � � Q 0 0 0 0 � 0 000 �� o 14 95,13 _ LEACHING FACILITY 5. SLOPE ALL SOLID PIPE AT 1.0 /o MINIMUM. T oo 0 o 0 0 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 94.7T 1" 94.60� 2' o0 00 0 7. LOCAL BOARD OF HEALTH TO BE NOTIFIED PRIOR TO BACK FILLING WHEN SYSTEM IS OUTLET TLE 0 0 0 0 0 0 oo NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS NOT TO BE BACK FILLED * CONTRACTOR SHALL 48 " o 0 o WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH AND DESIGN ENGINEER. 6 CRUSHED STONE o 0 0 C VERIFY CONDITION OF *EXISTING OUTLET TO " o 0 0 0 0 0 0 0 0 0 8. ELEVATIONS BASED ON ASSUMED DATUM OF 100.00 MSL OBTAINED FROM A NAIL IN A TREE EXISTING TEES BE SEALED WATERTIGHT 22 ZABEL FILTER OVER MECHANICALLY o - AS SHOWN ON PLAN. AND REPLACE AS BY CONTRACTOR MODEL#Al801 HIP(GAS COMPACTED BASE NECESSARY BAFFLE ON BOTTOM) 5 4'0� $ 5' 4.0' 4.0' 4.0' s. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION THROUGH OUTLET DISTRIBUTION BOX 4'9 DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT 1-888-DIG-SAFE TO BE INSTALLED ON A LEVEL STABLE 25.0 (TYP-) €' BASE. FIRST TWO FEET OF OUTLET GROUND WATER ELEV.= 86.29� ; AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES TO THE DESIGN EXISTING 1000 GALLON CONCRETE SEPTIC TANK - 92.50 ENGINEER. PIPES TO BE LAID LEVEL. 12•9 rr 1_ 1� 1_ O 2 - 500 GAL. CHAMBERS 10• ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE STRUCTURES SHALL BE MADE LENGTH 8 -6 WIDTH 4 10 DEPTHS CROSS SECTION VIEW TYPICAL CHAMBER PROFILE 5'MIN. CHAMBER END VIEW 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL CHAMBER DETAILS REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM NOT TO SCALE NOT TO SCALE NOT TO SCALE APPROPRIATE AUTHORITY. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED �' ; TEST PIT DATA UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. r a l3 r f AF ` • AGENT: Unwitnessed 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. „' ' "` ' • A E " SOIL EVALUATOR: Bradley M.Bertolo DATE: MAY 6, 2004 ` 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE MAP 149 PIT SIDES OF / REPLACE ALL UNSUITABLE MATERIAL IN AREA TMATER AL WITH CLEAN LCOA SE SAND CFREE FROM CLAY, TEST # 1 PARCEL 033-002 FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3)- / ELEV TOP: 98.79 N/F SULLIVAN ' ' ELEV WATER: <86.29' ° 15 FOUND IN SITE CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES S �r • CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. PERC RATE: <2 Min./In. �. + 16. PROPOSED PROJECT IS LOCATED WITHIN: �► :. - DEPTH OF PERC: 36"-54" ASSESSORS MAP 149 PARCEL 153 TEXTURAL CLASS: 11 TU SS: 1 OWNER OF RECORD: JOSEPH M. 8�DIANE R. BREWSTER CB/FND �" _ O 11 ADDRESS: 57 FAIRHAVEN LANE o MAP 149 (HLD) " t. V- MARSTON MILLS, MA 02648 PARCEL 152 a . �k � \1 8.79 r 0 9 FEMA FLOOD ZONE C 1 A Sandy Loam 10YR 3/2 `' -� AS SHOWN ON COMMUNITY PANEL# 250001 0015 C � N/F KELLEY UP � °^, � �E 12" 97-79' Y ` B Sand Loam 10YR 5/6 17. PLAN REFERENCE: 36" 95.79' 1. PLAN BOOK 362, PAGE 80. ��, :- 2. PLAN BOOK 487, PAGE 66. p� ® Pere. Y_ tot •is , 54" 94.29' O * 18. D EED REFERENCE: � -o 1 OK 5 4..y f8 80, PAGE 0 Jd � � n t'f�/°} BOOK 5 1 �3 os g'1 3a3y � ". ••� �: .. � 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. 1 � , MAP 149 2 .n II 20. PROPERTY LINE INFORMATION IS APPROXIMATE, ONLY. THIS PLAN IS TO BE USED ONLY u . - : 1 ENGINEERING N WILL NOT ASSUME ANY LIABILITY r PARCEL 153 FOR SEPTIC UPGRADE. JC E GINE I G O U FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. 20,004 SF�± 98.5� o MAP 149 + C M-C Sand 2.5Y 6/4 �f`� 11 ,r 30/o Gravel B.M. • �G PARCEL 033-003 `� " , Nail in Pine Tree E �Sq �' N/F DOOLEY Elev. = 100.00' .�REEL�N .50 2 LOCUS PLAN Assumed 3 yc � ° J �Q�EORO� 2 SCALE: 1"= 1000' No Groundwater, S (� 99.13 � � Weeping or Mottling .22 cp, Observed (P DESIGN DATA LEGEND EXISTING LEACHING PIT TO o �X 99.23 GARAGE o_ BE PUMPED AND FILLED � �,-, � ''X J \ ---- 50 ---- EXISTING CONTOUR WITH CLEAN SAND m �� , 150" 86.29' 50 PROPOSED SPOT GRADES PATIO EXISTING 1000 GALLON rn ` Z PROPOSED CONTOUR o) \ a� \ NUMBER OF BEDROOMS(ASSESSORS) 3 SEPTIC TANK, EXISTING LP x 99.1 #57 NUMBER OF BEDROOMS(DESIGN) 3 OUTLET TO BE SEALED \ I STONE [.RIVE GP DESIGN FLOW 110 GAUDAY/BEDROOM E/T/C EXISTING OVERHEAD UTILITIES EXISTING "D"-BOX ` EXISTING I TOTAL DESIGN FLOW 330 GAUDAY TO BE ABANDONED _ 3-BEDROOM �j \ to DESIGN FLOW X 200 % = 660 GAUDAY W EXISTING WATERLINE DWELLING �� p Gp,S ' GAS EXISTING GASLINE " USE EXISTING 1000 GALLON SEPTIC TANK MAP 149 19 6 ° DECK Gp, E/T/ \ TEST PIT LOCATION 98.3 7G INSTALL 2 500 GAL. CHAMBERS PARCEL 35 29• _ _$7 x 98.96 /T/C O O EXISTING 1000 GALLON SEPTIC TANK N/F ELLIS 6"OAK :, 69• TP 1 x 98.60 �� e/T/C `� • 63 98x79 `�� MAP 148 SIDEWALL CAPACITY " PROPOSED DI OLID SCHEDULE 40 PVC PIPE r r PROPOSED 4 S �C 98.48 ��- - UP PARCEL 161 ❑ DISTRIBUTION BOX 10" PINE N/F MCINNES (LENGTH+WIDTH)(2)(2'HIGH) (.74 GPD/S.F.) = GAUDAY �O� PROPOSED 500 GAL.LEACHING CHAMBER ..• .10 (25.0''+ 12s') (2)(2') (.74 GPD/S.F.) = 112.2 GAUDAY , 7. ' 98. 'PINE o4g,�9"�N PROPOSED"D"-BOX 120` N� s��AXV x BOTTOM CAPACITY PROPOSED 2-500 GALLON (LENGTH x WIDTH) (.74 GPD/S.F.) = GAUDAY LEACHING CHAMBERS (25.0'x 12.9') (.74 GPD/S.F.) = 238.7 GAUDAY REV. DATE BY APP'D. DESCRIPTION PROPOSED SEPTIC SYSTEM UPGRADE MAP 148 TOTALS: PREPARED FOR: PARCEL 157 JOSEPH BREWSTER N/F WOOD TOTAL NUMBER OF CHAMBERS: 2 TOTAL LEACHING AREA: 474.2 SQ.FT. LOCATED AT TOTAL LEACHING CAPACITY`. 350.9 GAL./DAY 57 FAIRHAVEN LANE MARSTONS MILLS, MA 02648 SCALE: 1 INCH = 20 FT. DATE: MAY 14,2004 �ytH OF 0 10 20 40 80 FEET a° JOHN L Gym CHURCH1 L PREPARED BY: CNIL JC ENGINEERING, INC. 4,�, 2854 CRANBERRY HIGHWAY SITE PLAN ' FR EAST WAREHAM, MA 02538 scALE: 1"=20' 508.273.0377 J�Y�t rD,awn By: MCP Designed By:MCP Checked By:JLC JOB No 672