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HomeMy WebLinkAbout0410 FLINT STREET - Health 410 FLINT STREET Marstons Mills A = 102 - 215 _ l r_ No. Fee "P THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes UBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Zippritation for -Misposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(/Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. WO r-h v1-5,- AAcrfs ho;J Owner's Name,Address,and Tel.No. Assessor's Map/Parcel f Q 5 cc.(QUA F Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. S1Gs fow,.) 1.NC NS P�rgrr/-�f G�,G//GS Type of Building: Dwelling No.of Bedrooms Lot Size 1—C'� /(, sq.ft. Garbage Grinder( ) Other Type of Building 1/\00%Z- No.of Persons Z Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 3$ 7, `?j gpd Plan Date l 2 125 1 1` Number of sheets Revision Date Title \- Size of Septic Tank EY(S i-cry S Type of S.A.S. 5`00 ct c. a-rJ C�ncant�Jt°/[ Description of Soil Nature of Repairs or Alterations(Answer when applicable) t iV5 Vli A N C W S . Q 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 o Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued b this oard of alth. i e Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. .w Date Issued r 0 No. Fee ,. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplicatIon for ]DIsposal�*pstem Construction 3permit j Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. IWO �- 6—i 9- a/s Owner's Name,Address,and Tel.No. } Assessor's Map/Parcel 10 a, �1 S Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. �Ot9S�G S � ��Cq�.t/�J �NC �NS r.✓r r/r-JS (�l,G��CS' Type of Building: I Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building V 1OV S t- No.of Persons Z Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) '3 3 U gpd Design flow provided 367. 3 gpd Plan Date 2 '2 I 1 Number of sheets Revision Date Title Size of Septic Tank Y f 5 f cry.S Type of S.A.S. Op q G He o Cynt F/T Description of Soil Nature of Repairs or Alterations(Answer when applicable) t 5 t G AV C c,.) I Date last inspected: +I Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions o \itle 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued b this Board o alth. ed Date / Application Approved by / D Date j� Application Disapproved by r Date for the following reasons v " Date Issued ------ --------rt No--------------------- -------------------- -------------------- - ---------------------- THE t E COMMONWEALTH OF MASSACHUSETTS ' 4 BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(1 Upgraded( ) Abandoned( )by at /(-fo i5 Grog /ji(, S has been con tt d'n cor ance t' with the provisions of Title 5 and the for Disposal System Construction Permit N . / aid Installer Designer .v iN-C��"�^' (.Yei✓lG #bedrooms Approved desi n ow gpd The issuance of this permit shall not be construed as a guarantee that the system will fun hb as ig e 1. Date�/-L_. Inspector I --------- --L - - -------------------------------------------- No. v �C%� - Fee-- -fG �/~ �I THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS MispoSal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair( �- Upgrade( ) Abandon( ) System located at 6/uo q`r,--�5 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:Cons ctio ippq I orrp leted within three years of the date of this permit,/ j t/ r Date Approved by t I 14 02/01/2012 16: 13 5064775313 ENGINEERING WORKS PAGE 01 Town of Barnstable Regulatory Services Thomas F.Geiler,Director # Pubic Health Division NAM Thames McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-962 4644 Fax: 508-790-6304 Date. Ili j Sewage Permit# Ass+essor's MaptPareel ( 6 2 r Zt Y— Installer&Deshma Cerfifimtlon Form Designer: ,:n.cw.�,_ Wer1�s� lnc . Installer: 1%A � �►`� ` �V`.t Address: )z W. Crb_a s ;C let vzw• Address: On /Qk . v ..�✓r. inc- was issued a permit to install a (date) (installer) septic system at k- St I 1�M based on a design drawn by a' r ds) dated ) 7-- (designer) 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. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major ehanges (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 prevision or certified as-built by designer to follow. Stripout(if required)w ' ted and the soils were-found satisfactory. �H Y I of PETER T. NkENTEE et s Signature) CIVIL ,� H0.951D9 C T (Mesigner-'s Signature) (Affix Design ) „LEASE RETURN TO BARNSTABLE PUBLIC MALTH DIVISIOlYt 'IFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTII. BOTH AND AS- BIII[LT CARD ARE 12ECEIVED BY THE BARMY§TABLE PUBLIC HE DIVISION. THANK YOU, gAoffloa tb=Xd*v�5nmwdficzon f=.doc C No....... 0 FicB ................ ....................... `i'HE COMMONWEALTH OF MASSACHUSETTS o BOARD OF HEALTH ............OF....... ............I....................................................... VVIlration for MoVasal orho Tonotrurtion ramit OApplication!is!hereby made for a Permit to Construct or Repair an Individual Sewage Disposal Application System at: ............... ........ .I........... ......------#�Cs mxs..... cation-Add,". or Lot No. ................... ........ Ak _a.. ....................... 0 Add 4L.................. r4 .. ...... . ... ................. Installer Address Type of Building Size Lot..4. ,_ 7.0-0......Sq. feet Dwelling—No. of Bedrooms....... ..............................Expansion Attic Ga age Grinder P.1 Other—Type of Building ............................ No. of persons._.___.__.__.______..__..._. Showers Cafeteria Otherfixtures ......................................................................................... ............................................................. Design Flow._..._' __....1.1.0.........gallons per person per day. Total d 11 flow_____:7.110........................011ans. 9 Septic Tank—Liquid*capacity-/4?0t%allons Length.../0...... Width__ -------- Diameter................ Depthf........... Disposal Trench—No_ .................... Width______..__._.___._.. Total Length___.___.._._____.._. Total leaching area....................sq. ft. Seepage Pit No_____________________ Diameter._..._.._.....__.... Depth below inlet_._._._._____.___._. Total leaching area..................sq. f t. Z Other Distribution box Dosing tank Percolation Test Results Performed by.._. ...... ............................ Date..... #AF /...�/P.�-.-. Test Pit No. I......�),....Minutes per inch Depth of Test Pil................... Depth to ground water_...:.7;............. (T-4 Test Pit No. 2................minutes per inch Depth of Test Pit____._.._...____.__. Depth to ground water__..__..._..____.._____. .................. ............................................................................................................................................................. 0 Description of Soil................................................................................................................................ (xj114 L--------------------- ..........*----------------------0", t......./10-own............. ............. ----------------­------- ...........................................m.......................................................................................................................m.................................... U Nature of Repairs or Alterations—Answer when applicable'................................................................................. -------- ........................................................................................................................................................................................................ Agreement: The-undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate 7 of Cgmpliance has beg,issued by the board of healt . .......... ......... ... ..................... ...... Da issued by he board of heal t...... ...... . ....................... .......... _�4proved By..................... ............... .................. Signedl:Z.. /ApplicatOnr . ............................ T ate A .... . ... .................................... pplication Disapproved for the following reasons:........ .................................................................................................... ......................................................................................................................................... ............................................................. Date PermitNo...............................I.......................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............:.OF...... .......I...................... Trdifiratr of Tompliana Tffls IS TO CERTIFY That the ;ndividuql Sewage Disposal System constructed (i_�or Repaired by.......Ve.k.,).4 c2 w44..........0--art... ................................................................................................ .../,l ...... .........Flz, ..........5A_r.:��4.......I.nstaller 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..1-fLe-I...—...."_'�1_0.............. dated................................................ THE.ISSYANCE OF_T"IS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL'.4UNPTION SATISFACTORY. BCORop/Vt ✓i� C i v/ �., ua GA.ct�*G1� {�cZ�o6cz. ,c.E O �•�•� PAIL F1.ow a 110 Y. 3 = 'Z30,6. SEPTIC TAWK = 33oXl5C>%�97b.R � 9 I/ •%i uss- t000 GAL: a o%gPOSAtr PIT usC- 4000 GAL. �, .. 5%Pr&WALL ARU t50 6. 375 BOTTOM AV-CA r . Inc 41=. yo S.F x t.0 AL5p G.Po� -T COT AI.- DC51 +: . . L�{ FI-OW = 330 G,Po, .. PE2COLATION RATEi t''IN 2M1N o�LF�SS OF 14,1c PLTER SULLIVAN N A. � r A No. 291;s3 BAx rEN 7-r1HQ 5 T ill ol �sS/ONALLr� 4r, To P FNO• A:3Z.,r' No LFr a;3e9 moo. ��� ;°y7" ����� .• '� t►N•y�''.8 - " 'ZoAoy J1.0, loov IN14. .Si��p%cam Dt6T. : INd. �iCaT G •li BOA f iflE�. �cacu PIT INV. INY. � ,Sa•+� wl TW �•� y�z •I%. vJPSKcD 6ToN6r l o C-eRTI1=Iro p1-oT PL.A.W /Z ::ZS.e PRoFII.� LOCATION o. SCP•LE - N SCALE �'.�p • VATS PJ_AW REF6IZE C•E t GERT►FY ?NAT Iv f�-� f=N]. 5Now,w gLQ-7.oN C.OMPV?6 1n11'rN'TN1r S1oEL%WG— AWP Sr=TevaG C R.GQV►R.EMENT� DF 'tNE- �U� . TowN pF �� TdL c' ANU 15 l�lUT LOCATED WITHIN TN'6 F1.00p PLAIN D AT L-12--Lf%�* LP 7-E6IS'r6.Q6.'D uA►1 cis urwrmYoe'S Tu15 PL &I'J 15 NaT E'sn�,�p oa A N os—rQp-vILLEs - Mi�sS• Iw,5-q•uMENT 5uev1:Y �- -THE nl-t'SETS Suo�� 1 TOWN OF BARNSTABLE LOCATION Li 10 r i l t 5 T'Q is F 'r- SEWAGE 0� VILLAGE o ASSESSOR'S MAP&PARCEL t, INSTALLER'S NAME&PHONE NO T)_,as .A A-� nn&2 pj -L-ir SEPTIC TANK CAPACITY 6$1 15 In G LEACHING FACILITY: (type) .5p0 r4e,11o,) C 1�J&yS (size) ,3,9.y-2,S-- X 2. NO.OF BEDROOMS OWNER -� oj f't t PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: �q � � Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ./lLC+�^l�czI' le<C 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] ( Ca L of J I A Ifi - l i •�� oC� i'�l 1� aCl 121 1 O 101 Q - I ,�tac e �c'c K T 'B Ac ►< �TME Town of Barnstable ' $ Department of Regulatory Services Public Health Division Date .610.��� 200 Main Street,Hyannis MA 02601 M1d Date Scheduled � �/� Time _ Fee Pd. 4 C) ` Soil Suitability Assessment for Sewage Disposal Performed By: �"� `r `C E'^ P Witnessed By: LOCATION&GENERAL INFORMATION �-�-- Location Address 4 i G n Owner's Name S q d r'r �J a✓h Q l E �q M Address 4\d Acr54v"J Nl (l:v UZ6 y Assessor's Map/Parcel: 'Q Z —Z I`� Engineer's Name d(-',f� NEW CONSTRUCTION REPAIR ( Telephone# 50o'—23-7—Y -7 G Land Use S`��''��� Slopes(%) �� Surface Stones Distances from: Open Water Body->3 CJD ft Possible Wet Area'�7ZXV ft Drinking Water Well Drainage Way 1- r/6"- ft Property Line- ft Other ft Y SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) I 2 i --,A 1 (Jat/ay� 1 Q r)N?_ SY Parent material(geologic) ®`� � Depth to Bedrock Depth to Groundwater: Standing Water in Hole:^J/ Weeping from Pit Face!_��/7 Estimated Seasonal High Groundwater y' 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 �. FEE COLLATION_TEST T Observation Hole# Time at 9" Depth of Perc Time at 6" Start Pre-soak Time @ Time(9"-6") r End Pre-soak Rate Min./Inch z Z rJ V UZ S d� 1-s Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) 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 Barnsta ble Conservation Drv><s><on at least one(1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole# I Depth from Soil Horizon Soil Texture - Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel 16 7'01Z so L ' �►—� Sow` 2� 6�� DEEP OBSERVATION HOLE LOG Ho le# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) _ Mottling (Structure,Swi-ies,Boulders Consistency,%Gravel) © ^g A s Q to y c. z� DEEP OBSERVATION HOLE LOG Hole# k Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel 83 s � 3 z/_Z0 K-c 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) ti Flood Insurance Rate May: it Above 500 year flood boundary No Yes— Within 500 year boundary No Yes Within 100 year flood boundary No Yes Depth 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? (f-3 If not,what is the depth of naturally occurring pervIous material? Certification."' 0 I certify that on I (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 tra' ' expertise and experience described in 310 CMR 15.017. Signature Date l Q:\SEPTIC\PERCFORM.DOC LO CAT ION Lot Zt ^7 S77 S E W A G E PE RMIT NO.� VILLAGE IN5T '� L`�ER'S NAME i ADDRESS J�KiV A TO �,Vi KHOE SERVICE i Sr) walnut StFoet West Barnstable., Mass.,02668 BUILDER OR OWNER ef A Alf DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �_� � r i .�- '���E1r' \ 1 I ! S1 \` � 0 Q \ 'h ® '�,.� � � \ � � ,. / ,� , � ���� � � � _�� \ � �F \ 1 � � � � \� f No..- _:.�.-?! Fps....... v................ 'THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ------....--�i � ���--.--.......of...... �------------------------------------------------------------------------- f ba-a) Appliration for UiipuaFal Works Tonstrurtiun Prrutit Application is hereby made for a Permit to Construct ( �or Repair ( ) an Individual Sewage Disposal System at -- --.............*I;Af........ ---------- ............. --- s. s..... ... .. 9���. -........_..._ cation-Address ------------------------------------------ ---..._.& M....__ d IA S own JA Addr w _,p � /Itrrc ' Installer Address Q Type of Building Size Lot__`,7,r ______Sq. feet aDwelling—No. of Bedrooms....... ...............................Expansion Attic ( ) Garbage Grinder ( ) a, Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Pa Other fixtures ------------••• ••-----•-•-•--• - - w Design Flow...... ._..1_M.........gallons per person per day. Total dail flow____._'alf�........................ s: WSeptic Tank—Liquid capacity-/000gallons Length.../0...... Width___�e yam._ 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 (v� Dosing tank ( ) ~" Percolation Test Results Performed by.... --------••••--------•--•--• Date---•--.*A�/.c.. Test Pit No. 1.____°�-----minutes per inch Depth of Test Pi ____________________ Depth to ground water___?_.............. .. (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......_................. ( ---------------------------------------------------------------•-------.._................-•--_...._......................................................... 0 Description of Soil-•-------------------•---------------•-----------------•--........••••------•-••------•---- M ---------- -------___ ° ------------- �!...>`Z,-----------�' � :. - 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 TITALE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beej&issued by the board of healt Signed- •_.. ......... ......... -•- -----•-•••-------•-- Apphcat' n Approved By...................... •.a ........................... Date Application Disapproved for the following reasons:----•--- --•-•---•---•--------•--•-------••-•------•---•---••--•-•------•••-•-••-•-••------•••--••••••••--•--- •-••••••-------•--------•--•----•..._..•-•-•-•••---•----•--...---•-•-•---•....•---------------------•-••-----•-•--•--•---•--•---•-----•----._._....••----•--•-•--••-•---••--•••---------••••-----....-•- Date . � Permit No......................................................... Issued_....................................................... Date FpsNo...... ...... V................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............O F..........................._.._........ Appliration for Disposal Works Tons rnrtiun rrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ti .1. :......_7...._........., ;a.� :.....---. c..: :............. :- ............ '_,5jx�PA.- ......... ..... ..••------... ocation-Address or Lot No. Own // Add �.FZ � "�S ............................. ---------- .... ......A.Iqt.5 . ....Installer Address //�� . U Type of Building Size Lot.�,Ta_- �0_.._...Sq. feet Dwelling—No. of Bedrooms......p ................................Expansion Attic ( ) Garbage Grinder ( ) p.I Other—Type of Building ............................ No, of persons......... Showers ( ) — Cafeteria ( ) Otherfixtures -------••-----------------------•----•-••-------------.....-----------------•------------------..._.....------------------......_•-----......._••----.. w Design Flow........................Jj*..........gallons per person per day. Total da'I flow------7-30.........................gallons. WSeptic Tank—Liquid capacity/0040.gallons Length../d....... 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 ( ), Dosin ta;;k�( )`-' Percolation Test Results Performed b .._ ,, Y /�•----#'�. ._.�-----==------------------�`-,� Date-----��.-1-�--- -... ,.� Test Pit No. I.....�,------minutes per inch Depth of Test P'.................... Depth to ground water...................... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Ix --------------------------------- ••--••---•---•••-----------•----•------------- ..................... .......... .............. --------------- -...... •........... 0 Description of Soil.......................... . . w U Nature of Repairs or Alterations—Answer when.applicable............................................:................................................... .........................................-....................... ---------------------------------------------------•--••--•..........•---•------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance'with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in oper ri it a C ficate of Compliance has be issued by the b if&oard of healt Signed__ _t.� _ !-- ---k ... ' � Da t A plication Approved BY ,. -a-/ ---------- Date Application Disapproved for the following reasons:....... ....................................... -- ___ •-----------------------------•--......--••--------.....-•--------••------•--------...------....--••---------•........•-•----••------------------•-•-••--•-----•----••---------•----•--•-------- Date PermitNo.......................................................- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................OF...... . .� . ............................. Trrtifirate of Tuntplianre TH S IS TO CERTIFY That the ndividu Sewage Disposal System constructed ('_. or Repaired ( ) L ✓ � Installer / ..........5 -r--4--•-•=•--------------•--•-----44-KAn-1--------�•�f 5---'.............................. 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. .....�_... �.............. dated_.....-___._.___-._.__---,---------------------- THE,ISSUANCE OF'T�IS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM'WILL §UNrTION SATISFACTORY. DATE... Inspector _ ---------- 1✓ ... T94E COMMONWEALTH C7F MASSACHUSETTS BOARD OF HEALTH ©(!!�r.. !...................OF..--- .SIC&a <- ----------••----••--•-•........ No.............. .� f FEE...................... Disposal Works (tons pr Itif Permission is hereby granted--•- _ _( ",�eebl�q__________ C=V.....:.. ............................................ to Construct ( or Re fir ) anndividu Sewage. Dis sal S stem / at No...fL!. 1.6.�-------. +` �' - --- --- ------ Street as shoviwn-on the application for Disposal Works Construction Permit No................•.... Dated.......................................... Board of Health :s:"�kDATE................--•--- ................... FORM .1255 A. M. SULKIN, INC., BOSTON ,r i + ` Zi 11L�r /qo.� \ t ,.S�iLCc.• / '=G0 ' GAT, ',lS��f� PITER SULLIVAN No. 29733 RAX i ; Ap ' s T E. to bra " ?n., 1• �', 1 ` ��FSSIONA ICI _,►+.t-G.I.C� E A M►�Y ':� 8�..0 o M _ �; IJO GACtgAGEi {jiLIJD6R. ,SCE e V r n�►LY ..FLOW a i 10 A 3 = � ca.G.P•��t:. J �'.�G� /y GG. ` •�EPTIG TASK 330wl5 1- .49 Uste• 1000 �sAL.. r:.. k.._4. o►SPoSAL PIT u4E I v c0 GAL. ,,•. 5►DGWALt. ARCl t go 5.r 5 5 50T TOM AR-EA r . �� �F• 50 .o •L 5p b•Po• S.F x -ToTA►>_ b EStGtJ • .¢2 S G.P a t:' . a. P�2co�.ATtoN RATES 1''tN 2NUN ov-Lr=SS • 4:' a OF Of l� PETER o SULLIVAN H x A. No. 297;s3 BAX fER H APp ���5T6P� fsSIONAI��� q 1e TOP FIND IB Al Z,s- 6: -Tra,,T � I t7 t ST. GAL. BvK INS.; f+CPTG •C , 1000 INV, �/' / TANK t ! L.6 AL u PIT INV. INV. ! .St•Iry w/lTu Sq o yj�Z ;41 1e/31 •I Yu ,�a.✓c= WPI.E.KG.D 6Ta N 6r e G.�cz.T!F 1�D P 1.oT P 1,.A►J e a� 1 /Z .e P R F I LIr L o 4•T 1 O 1.JE� �I/L I I 1� LJO• SGALE Sc_E �';� • SATE /G? '�T '� PL.APJ REFra CE QT w N6.RGOW C oMFU?6 1nlITN"LH6• 'SIO�LIN fc Q AWD 4rx-tb ►GK RAW Q0►tLEM1:— 0r- -V J I TOWN Or- j31&j5-r A,tL t:- A N D I I., lllllT— yG�✓,�.C, .� �6 ._. LOGfsTED WITNIW TN6 GLOoD Pt.AIIJ DATE ,Q <. (�; - ti 6AXTCzcLa WY6 INC. 6k,4 o S u 2.Y isycic� Tuls PLa►.I ►5 NClT E'sn`,r t� ole AIJ os'rFct.VILLFs • 'ss• INSTR.uMeNT Sv2vGy �'rNF n. I-FSETS Suo� —_.A ,1r__,_--T- , IUL' �. APPLIGA►JT /t. N --150-- EXISTING CONTOUR ® x 100.98 EXISTING SPOT GRADE W EXISTING WATER SERVICE U UNDERGROUND WIRES ra TEST PIT O� � m n OJ BENCHMARK Cr o r Pond I LEGEND 0 r o 0 0 N 1 Q Lakeside Dr v U1 Calvin Hamblin Road Flint $t LOCUS - F LOCUS MAP NOT TO SCALE ---------------------8&_ akY x 79.52 x 79.g0 x 9.35 x 78.33 i x 78.41 A EXISTING LEACH PIT - CONTRACTOR SHALL PUMP, FILL W/ SAND AND ABANDON. 76.14 --- -- x 76.81 ---- _- TP-1 EXIS77NG SEPTIC TANK ;", \ TP-2 x 76.98 (TO REMAIN) 25 BENCHMARK TOP OF TANK, EL.=74.71 f 74`9 _ i.PROP. S.A:S_'`I T INV.(OUT)=73.38f(VERIFY) _ O w OUTSIDE COR. BOTT. STEP l~ _\� i N, EL.=75.88' (Assumed) x 76.54 • 74.43 0 7' Ste. W - : +74.43 x 74.96 x 75.10 to N 75.18 1 1117 ,!0 !�`"�� DECK i d !� 0) r `� M � x 75.11 F 73.23 HOUSE(1410) T 0.F.=75.85f I I � 1 I :.0 74.38 � 4.44 u GARAGE \ SO K `74,42 _•,r''.` _ : x 75.11 01:. 73.95 - rq:1s x. G "< v ' J_- .fir '. 74.46...... ......................•4 75.0 r +73.06 74.17 .:'. a +.74;53••.... HED 74.68 t 73.63 , �{ r Lot 9 APN 102-215 60,916±S.F. 75.61 ' 1.4f Ac. %" o PETER T. ---a-6_ - MCENTEE o CIVIL i .76.24:. 76.36 o. 35109 r 53.89' x 76. 7 3 0ffp .00 7ss1 x L��96. 12' x 76s1 -S.8 .44_ '55 E. P ` 7.01 ' 76.00 R=3 I � 76.45 75.06 edge of pavement 76.64 75.56 76.14 1 TREE T OWNER OF RECORD � SABOURIN. JAMES A JEAN L FLINT 410 FLINT STREET MARSTONS MILLS, MA 02648 Engineering by: SCALE DRAWN JOB. NO. PROPOSED SEPTIC SYSTEM UPGRADE PLAN Engineering Works, Inc. 1"=20' P.T.M. 265-11 410 FLINT STREET MARSTONS MILLS MA 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 12/28/11 P.T.M. 1 of 2 Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 r .y r G� NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL: 73.8 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET INSTALL WATERTIGHT RISER & PROVIDE TWO ACCESS MANHOLES TO WITHIN 3" AND SET TO 6" OF FINISH GRADE. COVER SET TO 6" OF GRADE OF FINISH GRADE FOR INSPECTION PURPOSES T.O.F. PROVIDE ACCESS TO GRADE OVER OUTLET COVER EXISTING �F.G. EL.=74.9t � F.G. EL: 75.5t F.G. EL: 76.0f /MAINTAIN 2% GRADE (MIN.) OVER S.A.S. L - 11' L = 5 ® S-1% (MIN.) ® S=1% (MIN.) fl 6" 4"SCH40 PVC 4"SCH40 PVC pp 10"I 6 BBBaaBB 14" a6aaaaa EXISTING 48" LIQUID - aBaBaaa LEVEL ADD P!4 5.2' 4' Gas RAFFLEINV.=73.27 PROPOSED INV.=73.10 INV.=73.38t D-BOX EFFECTIVE WIDTH = 13.2' EXISTING INV.=73.00 EXISTING SEPTIC TANKS (FIELD VERIFY) 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN H-=10 RATED TOP CONC. ELEV.=73.8t BREAKOUT ELEV.=73.5 NOTES: INV. ELEV.=73.00 a aaaa Baas ROOM 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE aaaa eases INVERTS, PRIOR TO INSTALLATION. BOTTOM ELEV.=71.00 4' 2 X 8.5'=17.0' 4' 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE 5' MIN. ABOVE BOTTOM OF EFFECTIVE LENGTH = 25.0' ON A MECHANICALLY COMPACTED SIX INCH CRUSHED T.P. EXCAVATION OR G.W. STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). LEACHING SYSTEM SECTION 3) INSTALL INLET & OUTLET TEES AS REQUIRED. NO GROUNDWATER, EL.=66.0 - 4) CONTRACTOR SHALL INSPECT EFFLUENT FILTER ON 3/4" TO 1-1/2" DOUBLE OUTLET TEE AND REPLACE IF NECESSARY. WASHED STONE SEPTIC SYSTEM PROFILE 3" LAYER OF 1/8" TO 1/2" DOUBLE WASHED STONE N.T.S. (OR APPROVED FILTER FABRIC) GENERAL NOTES: SOIL LOG 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL DATE: DECEMBER 22, 2011 (P#13,492) BOARD OF HEALTH AND THE DESIGN ENGINEER. SOIL EVALUATOR: PETER McENTEE (SE#1542) 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS WITNESS: DONALD DESMARAIS R.S. OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE HEALTH AGENT LOCAL RULES AND REGULATIONS. ELEV. TP-1 DEPTH ELEv. TP-2 DEPTH 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR ' - TO INSPECTION- ND APPROVAL BY THE BOARD OF-HEALTH AND THE 76.0 A. 0 76.5 A 0' DESIGN ENGINEER. SANDY LOAM SANDY LOAM 3 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 75. B 10YR 4/2 8" 75.8 B 10YR 4/2 8„ FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. SANDY LOAM SANDY LOAM 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 73.5 10YR 5/4 30" 73.8 10YR 5/4 32" 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF C C THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY,TOWN WATER SERVICE. 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. M-C SAND M-C SAND 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 2.5Y 6/4 2.5Y 6/4 AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 66.0 120" 66.5 120" THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. PERC RATE <2 MIN/IN. IN SAND (ON FILE) 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS NO GROUNDWATER ENCOUNTERED IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE , INSPECTED BY THE DESIGN ENGINEER PRIOR TO BACKFILL. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND ®®®® 0 E3 Ea Ea a IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. ®®®®®® ® ®®®® 33" ®W DESIGN CRITERIA N Z ® ®®® ® ®®®® NUMBER OF BEDROOMS: 3 BEDROOMS SOIL TEXTURAL CLASS: CLASS 1 102" DESIGN PERCOLATION RATE: <5 MIN/IN III I DAILY FLOW: 330 G.P.D. DESIGN FLOW: 330 G.P.D. 4" KNOCKOUT GARBAGE GRINDER: NO 20" DIA. COVER EXISTING SEPTIC TANK: 1000 GALLON CAPACITY 4" KNOCKOUT / 4" KNOCKOUT 62" LEACHING AREA REQUIRED: (330) = 445.9 S.F. 0 .74 USE 2-500 GALLON LEACHING CHAMBERS IN SERIES 4" KNOCKOUT SURROUNDED BY DOUBLE WASHED STONE-ALL SIDES SIDEWALL AREA: 2(13.2' + 25.0') X 2 = 152.8 S.F. BOTTOM AREA: 13.2' X 25.0' = 330.0 S.F. 500 GALLON CAPACITY, H-10 LOADING TOTAL AREA:..............................................................482.8 S.F. CHAMBERS DESIGN FLOW PROVIDED: 0.74(482.8) = 357.3 G.P.D. N.T.S. Engineering by: SCALE DRAWN JOB. NO. PROPOSED SEPTIC SYSTEM UPGRADE PLAN Engineering Works, Inc. NTS P.T.M. 265-11 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. 410 FLINT STREET MARSTONS MILLS MA (508) 477-5313 12/28/11 P.T.M. 2 of 2 Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632