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HomeMy WebLinkAbout0114 GOOSEBERRY LANE - Health L 114 GOOSEBERRYjjWW,MARSTONS MILLS_ A= 102-069 1� I i �I 9 TOWN OF BARNS LE 11'� /. LOCATION ®®�C.I?it�2'�V,� 4M G SEWAGE# 'A®VA 3 'h LLAGE HARQU9 MILLS ASSESSOR'S MAP&PARCEL 03. INSTALLER'S NAME&PHONE NO.CAaewtD Lz 647eXP410S /P86 SEPTIC TANK CAPACITY 11006 ('—y-{�&2 LEACHING FACILITY:(type)C3.)500 q^,- C*(pt D%S i4 (size) 13 V 9-S f NO.OF BEDROOMS .� OWNER R ooepT C-O"-VIZD5 PERMIT DATE: S`4-A®t2 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater.Table to the Bottom of Leaching Facility N LA Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) NIA Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) 01A Feet FURNISHED BYOA'EWr'06— �AfSCT LOO k 2 i' `3 ' 2-0 t r i O`,6. �CCBC 5 . 2 30' 3 i 2 30 .2 0 o g.3: 46•3i s w B.q-. U A •s. 55 N / 30 Fee D THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipplitation for Misposal *pstrm Construction 'Permit Application for a Permit to Construct( ) Repair(4pgrade( ),Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 114 %nef's N�,Addres and Tel.No. 50� t,r a uJO��✓ ' Assessor's Map/Parcel ($ 0&9 1 1 4 Ins er s Nam , dres and Tel. o e igner s Nam ddr s, 1.N . Vie= �rel; w ry l� �on >. ® K t'8f �t cv(C� Sk 4 3.1-655o E5vP + Szrl ic{ m O::1557 Type of Building: o �2,5rgrp(� Wi 7 Dwelling No.of Bedrooms 2J Lot Size Vat sq,8. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) _1W gpd Design flow provided jl-� °�J gpd Plan Date a Number of sheets / Revision Date Title ✓0 po 1 S L1�►c.+T U pq a& ( lat n r_ Size of Septic Tank �' � Type of S.A.S. Z.em � gd6-n �C1o4e4S Description of Soil 1 / I ) Ann Lf Nature of Repairs or Alterations(Answer when applicable) 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 the system in operation until a Certificate of Compliance has been issued by this Board of Hea Signed ��iL—� Date 5,4 J L5 Application Approved by �`�✓ a'�-S� Date Applicationapproved by Date for the following reasons Permit No. d Date Issued N / Fee ,THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Yes appYitation for Disposal *pstem Construction Permit Application for a Permit to Construct( ) Repair(l►jUpgre.(. "Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 114 O ner's Name,Address and Tel.No. 5U�3 3 311 r bob, l_C(L,_,5L Assessor's Map/Parcel C) 0 t� ', , 1 _ ( c Installer's Vot2Name, and Tel.No. . De ignerls Name,-Address d Tel.N . �- (� '' 3 6"CS Ak t� e r n S,'�nG °tom (�)• � 'u,�r h �t�v 4 �- G� o � F�c��-? �:�n�-1t,vc<h m` �a 53� Type of Building: Oe 7 J Dwelling No.of Bedrooms Lot Size 4 6 r 5 77 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ?Z3 gpd Design flow provided 3 4-a •a S gpd Plan Date 4 Number of sheets Revision Date Title R✓G 120-)e /,e '.4ms_ 7 C �ti M �i i i cdc ( (a fi Size of Septic Tank 1.( X� '`�' J Type of S.A.S. k Description of Sod i 1 l_G Gc rrl�—/ A Nature of Repairs or Alterations(Answer when applicable) 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 Hea Signed i Date E G� Application Approved by 'S VU - re Date Applications approved by Date for the following reasons Permit No. 3 Date Issued b ------------------------------------------------------------- ---------------------- -----------------------------------------------;-- 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 —e+ 5 Ci i. , !AC, at ( 14 rr, IT yam¢. has been constructed in accordance" with the provisions of Title 5 and the for Disposal System Construction Permit No;;Z/8-`I _36 dated S Al �) Installer Designer and"(_,( r\' 1jprf:�, 11G #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system--will functib ads desi�gned.W Date G /J Inspector,. --------------------------------------------------------------------------------------------------------------------------------------- No. / c) Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS -isposal *pstrm construrtion j3Prmit Permission is hereby granted to Construct( ) Repair(✓) Upgrade( ) Abandon System located at ( Q- e er L C G , �� ✓ '� l i and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with d Title 5 and the following local provisions or special conditions. Provided:Construction must be c mpleted within three years of the date of this permit. Date ���l-� � Approved by 06/19/2018 16:42 5082730367 06020 P. 001/001 Town of Barnstable ' Regulatory Services �y Richard V.Scali,Interim Director rnerteTaaw = Public Health Division r. t6Jg• '+n► '" Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 M. Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Sewage Permit# 30 Assessor's Map\Parcel lOZ Designer: Me yew A. Savis, Tv�[.. Installer: Ca t"J& EvrEer rise Address: e Qox 981 Address: 153 Comoittrcial S4ce+ Eat Sa»Xrtc�, N A 61537 Nast^pee, N A- 62_(6111 On 'J-4-- OLD Ca pewL& Eh 45e-5 was issued a permit to install a (date) (installer) septic system at l 1 N 6-005tAoWt Lai` based on a design drawn by (address) ,Sav►S i 'TAC. dated Petri 23, M8 (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. Strip out (if required) was inspected and the soils were found satisfactory. 1 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 lnzoMY with the terms of the IAA approval letters (if applicable) �No� ( ns a 's ign ure esigner's Sig e) (Affix DZT7--irnm e) P EASE RETURN TO BARNSTABLE PUBLIC HEAL' . CERTIFICATE OF COMPLUNCE 'WILT. NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QASepticTesisncr Certification Form Rev 8.14-I3.doc Town of Barnstable. P# Department of Regtilatory Services l /ire s Public Realth.Division - - Bate_ .�. 200 Main Street,Hyannis MA 02601 .3•a Date Scheduled ' time Fee Pd. ' Soils Suitability Assessmentfor Se ` e Disposaty' Performed By: JVJ Witnessed By: i LOCATION&GENERAL INFORMATION Location Address•. l /�,,nSe(, t L�� Owner's Name b0 rl,V�is ✓ Address Assessor's Map/P�rcel: 1 O �.� w I Engineers Name MG y ¢� '� ���S l•►l lam: NEW CONSIRU�'1 fON REPAIR Telephone# � Land Use Slopes( r� ��L , " 1 Surface Stones N�, ,}�,�, 96) ��py� i Distances from: Open Water Body� �� _fit Possible Wee Area. ft Drinking Water Wet A. Drainage Way �106 ft Property Lini; _ft ^ Other. -ft SKETCH:(Street name,dimcnsiods'of lot.exact locations of test holes&pere tests,locate wetlands in proximity to holes) SPY'C) Pos-P--j J ;U _ • S sly 0,P i i a � Parent material(gedlegic) r U J� Depth to Bedrock Depth to Groundwakdr. tending Water in Role:' A/)A- .Weeping from Pit Face Estimated Seasonal?F#,lgh Groundwater DtT 1ffl1 .TION FOR SEASONAL HIGH WATr.R TA-DLE Method Used: i Depth dbperved standing,,in obs.hole. in. Depth to Sall mottles, In. Depth toiweeping from side of obs.hole: in. (iroundwater Ad)ustment ft. Index Well#_,� Reading Date index Well level Act.factor,..._ Adj.Groundwater Level,,.,. PERCOLATION.TEST • Date Observation I I n ? Hole t� tI i 75tneot9 7r Depth of Pere Time at 6" Start Pre-soak Time.@ j 'lime(9"-6") 7 End Pre-soak 33 Rite MinJlnch Ra I • Site Suitability Assessment Site Passed x Site Failed: Additional Testing Needed(Y/N) Original:.Public lie'�ith Division Observadot Hole Data To Be Completed on.Back— -- ***If percolation test is to be conducted within 100' of wetland,you must first notify the tyk pizoi-to beginning. Barnstable C4#servation Division at least one(1) we ;t a : DEEP OBSERVATION HOLE LOG Hole# ' Soil Texture Soil Color Soil Other Depth from Soil Horizon Surface(in.) (USDA), (Munsell) Mottling (Structure,Stones,Boulders. onsistenc 9a Gravel =17 ............................................ ,, � 3q DEEP OBSERVATION HOLE LOG Hole#_ De [h from - Soil Horizon Soil Texture Soil Color Soil Other Boulders. P re Stone s,• Surface(in.)" ;� (USDA)'... (Munsell) . Mottling (Struc ture,of Consistenc %Gra el o - 12t1 l l�=1-1/, • I,% —1ti a Ala ` HOL E E LOG Hole# A TION BSERV DEEP O Depth from,' Soil Horizon Soil Texture Soil Color. Soil Other Surface(in.) (USDA) (Munsell) Mottling' (Structure,Stones,Boulders.. onsiste c v Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in:) (USDA) (Munselq Mottling (Structure,Stones,Boulders. nsisten i Flood Insurance Rate Map. Above 500 ear,flood boundary No, Yes ,' Y 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 pervio s material exist,in all,areas observed throughout the area proposed for.the soil absorption system? VeS If not,what is the depth of naturally occurring pe vious material?.....,.._.:..,_,_._.. Certification I certifythat on 1 0 (date)I have passed the Soil evaluator examination approved by the Department of Envtron ental Protection and that the.above analysis was,performed by me consistent with the required ing xpertise and experience described in 3..10 CMR 15 01 Signature Date Q:\SEPTIC\PERCFORM.DOC TOWN OF BARNSTABLE LOCATION fit ag-sloNs im c SEWAGE # 4S- 17go VILLAGE sly G� 12f= 2y �t�NC— ASSESSOR'S MAP&LOT C� INSTALLER'S NAME&PHONE NO. W15: f 06y uSwh3 SEPTIC TANK CAPACITY lT c ep( s "LEACHING FAciLrrY: (type) koiw-k 4�—.U (size) #1 Z K GAO� NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: COMPLIANCE DATE:_1© � Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 4Rck o oS pe-5 a A y=`X 6®' IC-ACk Cc&tc�, (0,'a (0 No. Fee 30 . 00 THE COMMONWEALTH OF MASSAC USETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZIppCication for �Digogal *pgtem Com5truction Vermit Application is hereby made for a Permit to Construct( )or Repair( xl an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. 114 Gooseberry Lane - Bob Edwards - Marstons Mills Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. W.E. Robinson Septic Service P.O. Box 1089 Centerville Type of Building: Dwelling No.of Bedrooms 3 Garbage Grinder(nq Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Description of Soil sand Nature o€Reppirs or Alterations(Answer when applicable) Re-locate d-box and install a 60 x4 x2 leachtrench 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 B d Oealth. Signed Date 7—al- Application Approved by Application Disapproved for the following reasons n Permit No. 7 Date Issued No. I Fee 3 00 0 THE COMMONWEALTH OF MASSAC USETTS - PUBLIC HEALTH DIVISION-TOWN OF BARNSTABLE. MASSACHUSETTS 2pprtcatton for Miopozal bpotem Cowaructton Permit 11 Application is hereby made for a Permit to Construct( )or Repair( X)an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. 114 Gooseberry Lane - Bob Edwards Marstons Mills + 'Installer Name,Address,and Tel.No. Designer's Name,Address and Tel.No. W.E. Robinson Septic Service P.O. Box 1089 Centerville Type of Building: Dwelling No.of Bedrooms 3 Garbage Grinder(ncj Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Description of Soil sand ` Natu )fR Sai QrAlterat'o s(Ans er when applicable) Re—locate d-box and install a 0 A x� leac'h�renc 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 B d ealth. / n 4 Signed r Date .I Application Approved by Application Disapproved for the following reasons Permit No. Date'Issued �v -------=_ �_---_--- --- -- -_ —_——______ * . THE COMMONWEALTH OF MASSACHUSETTS F PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Certificate of (Compliance - THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( )or repaired/replaced(x )on by W.E. Robinson Septic Seryic4or as 114 Gooseberry _ a b onstructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ated Use of this system is conditioned on compliance with the provisions set forth b AM: /may, do r i 30.00 No. p Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS 1Wt9;po!6ar *p!tem Cons&uctton Permit Permission is hereby granted to W.E. Robinson Septic Service to construct( )repair( X)an On-site Sewage System located at 114 Gooseberry Lane Marstons Mills and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. All construction fnust be om d within two years of the date below. d Q Date: Approved by L r ` ♦ yti, a CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) hereby certify that the application for disposal works ' construction permit signed by me dated HoZ '-' , concerning the property located at /I 41 6-& -0 5 Oe-A P V A b meets all of the following criteria: • There are no wetlands within 300 feet of the proposed septic system • There are norprivate wells within 156feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. SIGNED: DATE: LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. 1 E:v r � � G a � I'0 C A T IO� � l ' . � SEWAGE PERMIT NO. VILLAGE C3 r INST'A LLER'S NAME i ADDRESS OR OWNER DATE PERMIT ISSUED D A T E COMPLIANCE ISSUED , a No... /D Fps..... .® ........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............OF............................................-............................................. Appliratinn for Uiipniittl Works Tnntrur#inn Famit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at .. - 7...... r1Y..1 ... .1�1 0 •�1��..�&....................................................... �^ Q �r �Jion�Ad ress n or j qt�No. .........fig ;!.?�1..�..... .......'vY��:...................................... �� J[�e/�.i ,flor�/5...��.�2fi�w.................. Owner :.................................................. �..1.._l�i�j A.... ................ Installer Address It) A J_7 d Type of BuildingSize Lot..__....-....................Sq. feet U Dwelling—No. of Bedrooms.... ...................................Expansion Attic ( ) Garbage Grinder ( � Other—Type of Building ............................ No. of persons..............._............ Showers ( ) — Cafeteria ( ) Pa Other fixtures ....-•------...--•----••-------- - W Design Flow......... .........................gallons per person per day. Total daily flow......_JS0...........................gallons. WSeptic Tank—Liquid capacitye0a.....gallons Length................ Width..............f Mameter................. 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 to ( ) Percolation Test Results Performed by_.........�'-��5�_..�:_.f,�. ......................... Date....-.ff..��....�d� --... � Test Pit No. 1................minutes per inch Depth of Test Pit....... ....... Depth to ground water..................... (% Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •-•------------------•---•---•-•....-••-----•-•--•••--..............--•...._.......----•-------....._:....................................................... 0 Description of Soil............................................................................................................._.......------.....--•-----------•-•-------...........---•- x c, ------------------------------------------------------------------------------- � .......... _. wQ� --------_- ----�✓� - �._._......------. 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 iIHE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been 'slued ttoarNhalth.-- .. �. t�1 Date Application Approved By--------- = . ................................. ......... ........ Application Disapproved for the following reasons:............................................................................................................... - .................•-•••-•......---••-...._............-•----.....----•••--••••---••............--•----•-••-.........:..............-•-•-•-------•---••--•-•••---••••••-----------•--•--••......•--•--•. tt�� `` Date PermitNo.......5�.�..1..1.l.03........................ Issued....................................................... Date ` --- _ -_ - No..-)?3— Fm3 ................... ............... THE COMMONWEALTH OF MASSACHUSETTS" BOARD OF HEALTH., ..".".".......OF.................................................. - ------------- for Kltqviial Workii C�pmitrurfton "amit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ............. ....... /Ok................ ....................................................... ion-Ad ess or I No, ..................................... .............LL ...... Owner Addr .............................................. .................. 147;11...../,k............................... Installer Address Type of Building Size Lot./OACZ.........Sq. feet U Dwelling—No. of Bedrooms......j................................Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures ..................................................................................................................................................... < Design Flow.........X .... .............gallons per person per day. Total daily flow......310...........................gallons. P4 Septic Tank—Liquid capacityZO4A.gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No. .................... Width.................... Total Length...........)r-...... Total leaching area....................sq. f t. > .......... Depth below inlet_____.___.:._._..Ca........... Total leaching area. Seepage-Pit.No--------------------- Diameter...&V.. 20......sq. f t. Z Other Distribution box Dosing to P ercolation"Test Results Performed by......_. ............................ Date...... ?9 /Fe,3 .......................... Test Pit No. I................minutesperinch Depth of Test Pit.......13....... Depth to-ground water.......................... Test Pit No. 2................minutes per inch Depth of Test Pit..._...._...-.._.... Depth to ground water............._.......... ............................................................................................................................................................. P4 ........................................................................................................ 0 Description of Soil................................................................ 4, W .................I..................................I......... ..........................I......................... ....................................................................................... U ......... .../P 0 et..4 e..444.....1,141�- - ..................................................................................................... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ..........I............................................................................................................................................................................................. Agreement: The undersigned- agrees to install the aforedescribed. Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitalry Code= The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been *ssued ttoarn health. ... ..... .. ............... C . ............ ................................ I Date Application Approved By......... ... .... .... .... .... .. . .. ................................ :L 10 "........Vlea Application Disapproved for the following reasons:................................................................................................................. ......................................................................................................................................................................................................... Date PermitNo......................................................... IssuedL....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BbARD, 4PF HEALTH ..........................................OF......... .................................................................... THIS IS TO CERTYY, That the Individual Sewage Disposal System constructed or Repaired by....................1:57.�t........e��_ec-Z4.................................A_1,w...................................:2................................................................ %IN Installer at....................... ........... )1.o�------271,,6-_/A ........... ----------------------- ...............................................................:............ 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._.02_:!.Z1104......... dated....._....:' THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A'GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. I . I ., . DATE............................................................................... "Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.................................................................................... No. ..... FEE.... ............ OWpasal Works To str ton prrmft "1.1 1!��.! ............................................................................... Permission is hereby granted.------.....A............ . . ..... ....... to Construct Repair an Individual Sewage Disposal System atNo................... ............ . . .................... ---------;2.�. .. ................................................. Street as shown on the application for Disposal Works Construction Permit No.....................�,Dated.......................................... X *, ,%, ............................................................ 000, Board of Healtli DATE..............................:................................................ FORM 1255 A. M. SULKIN, INC., BOSTON ,%w6L.G FAM1•,_�{ - 3 Bcoa�oM N I I`= l_Y PLOW : I10 x 3 = !t 5EPTtG TANK = 330xl5c''/% =�9%G.P. I u51= %000 GAL. 7 6 o15Po5AL P►'r v4E I v o0 GAL. PSWALL_ ARCA. = 1505.E 15o S.F. X 2.5 r 3?5 G.P� � � \ .n/ �,. ( � •= .,*�... « ' i 50TTOM AREA= 1co 5F• I �'G `�?L �``�`~ . R G.P. o . 5o S.F x I O 5O 11,, 407- V7 5 -TOTAL. r.>V-51GM v 42-5 G.PD• , I -Tp'rAL_ DA►►-Y F�•-ov,! - 33o G.Po, AG S',ZS-ry JI3.3 PaZCOL_ATIOW RATES I''IN 2MIN o� t_�:55 111 I Q �✓` '"sT �'aQt' d , ;�ea,Ae4a �11N AfgSS i u� AIAN q`G` LP 7 RICAARD ,! c J NES kn V BAXTER No.2'03a CISTEp Cy um , l ,eE- rJ.eecs Y.r,e�.a �- �. 'p�r�iw,•ca��' . ,��G.Go�/G. .Q/ScE.. /so QTou�.✓ M�.d/.c7u.Y/ �ZG97L 9-S o TOP FWD { ►oov INS• giST. INV. C, q/Q sU1Sd/L BOX q 56PrIc / / �� • I Oao IN.( /�7 Tr,NK j LEAGu PIT �IINV. INV.//.3 ' Iy3I4 I Yz WA,KGD .4 M ' CEStTIFIGD PL-07 PLAN ' / PRUFILf� ' .i N O• �wl � P�-At`I REPS EN GE L CEczTLFY 'THAT TNE�,o�o` D NowN NEREow GOMPL*(5 YJ1TN"CNE -!/` ' A►J� 56-t2AGK 9-6001u.EMENT�l of ZN� -TOWN OF: BAZ NL5,Ta3(� A N'D I S MOT' .TE LOC, D -WITNI T .s GLo0D PL11.IN BAXTa V_ IJ`(E INS• REG 1.5-T f-Z6D-LAW 6,5 u 7-Y E�(oZS i !� Tu15 PL&KI t5 NOrT BnSc P ob AIJ os-rc-v_V1L.LZ- - ass• �I IW51-?,uMENT 5Q9-VeY � 'r 4E 01=FSETS Suo�I,D No-t D� uSED TO D1`TER/r1lNE �.cT �_INE.�j APPLICA,►�T Cy�.ST�,� ' 'S1wG FAM.sL`( F%.Ow s 110 X 3 = Z,3[cpiC�.P. 5Ei7TIG TAQIG = Z3oxl5o"/. ' �49�G.P. R I Jj USE— %00o GAL. tvoo GAL. - � -99;7 � y7.3 ,. D15P05AL PIT Qsc- 3 !I 5►D�WAt.1_ A'2L-ts = t�0 5.c� r S�x . ,� ' BOTTOM AREA s . �0 5 F•_ I ` L �rrz [Hciv SO S.tr x 1. 0 >a ryl f� 'ToTA1- DESIGN * .425 t�.PD. /b�.�'`w3 i -TOTAL- 'PA I t-Y F`-OY�! = 33o G.Po r N , II h ; PE2COLATION RATE = I"IN 2M1N o���55 w 9S L I /' ivsT DQ9'y Q �q. _p, •.a ,, ` \A OF ALAN FiICHARD .n o rVE I - !: r^ U ^ A V A. s y/:3 It ` B AXTER. Hi o. 7si ; , ,' p.10 Q 4 STE i.0��6 --. "'rrev4°'Ko� ��/-L.GGNG. �/SE� /SQ� TDL✓i✓ M/mod/.�f�J/y dy ` TE`�T �ZG97 � 9S To P FND=' -Q 1000 •., NOL� 9 �� -� n Df•6T. INS. G4L. q/Q �I -SUI�SO/L 5fiP7sG / / �' 3i • 0uX q �7 I Dp0 INS( /�/ TANK I LEAGN PIT INV. INV. 3 S . Nb WASUGD r "11•� CERTIFIGP P1_cT P1..A1.1 1' PRUFIL� ; r /��8/./ .I, 1.o L 4'T 10 N NO• 5C.A.LL- SCALE p L.p.r, R E E tz E►J GE ' '1 ` G E �T 1 F Y THAT 'T N E��►�OSi=D l '. 1d0 bYN KIMRSo►•1 GOtA?L\?5 YJITN'CNE S1DE►-I� ,L�7-- Auer SET?�AGK R:.6Q�ItL>✓MENT> of �N� .y -Tc>W N o r— BA?K5-r-A--R� A N-D I S MO Tr LOG�TED 'WITH1F�.00D PLAIN BAXTEQ.e P.l`(6 INC. R.EG I's'c rr-Q6►'D'I..Aw D i -rw5 P'Vo.r l 15 NoT (3nSc D 40d AN os'rE2.Vll_l.� - MASS. it IN5TR.VMENT 5V2vey �--TNE o1=F•SETS 6 SULD No-T Dec V5EDTO DE-I•ER,t^114G L.cT -iN'E< APF?LICArJT LEGEND MARSTONS MILLS PROPOSED CONTOUR l ® IAKESIDE DR. PROPOSED SPOT GRADE EXISTING CONTOUR srrE + 96.52 EXISTING SPOT GRADE w = W— EXISTING WATER .SERVICE TEST PIT SHUB D N � EL � � � � � POND • 2 LAKESIDE DR. _ 84 / I LOCUS MAP PAVED /DRIVEWAY LOCUS INFORMATION CA OR r �� -PLAN REF: 138/025 TITLE REF: 28738/081 LOT 47 PARCEL ID: MAP 102 PAR. 069 / AREA = 10575 Sf+- FLOOD ZONE: PROPERTY NOT IN FLOOD ZONE / PLAN BOOK 138 PAGE 25 / ASSR MAP102 PCL 69 82 ti SEPTIC SYSTEM z REPAIR PLAN LOCATED AT:70 �J o zz a ft ' 114 GOOSEBERRY LANE � _j 8O MARSTONS MILLS, MA � co (o ST NE // C'- �` wq � / PREPARED FOR (n � � 0 LJ _ ROBERT EDWARDS l 8 4' Q " / r� ' APRIL 23, 2018 o i' 78 A E M. , Mai 77 0. 1 4 � J / 0 +� 'AEG/sfE TP-4 $NITAR�1`� 82 �_ / -76 PLAN 80 ``' � 0, vents 78 -2 O SHE MEYER & SONS, INC. SCALE: 1 in = 20 ft 77 100.00. ' D/ 0 20 40 BENCH MARK 76 P.O. BOX 981 o l0 20 40 PAINT O PT°ue°N EAST SANDWICH, MA. 02537 77. 76 PH: (508)360-3311 BARNSTABLE GIS DATU ' f. �a FAX: (774)413-9468 20 40 meyerandsonstitle5®gmail.com 20 4° SHEET 1 OF 2 J 1894 I ELEV. TOP FOUNDATION NOTE: PLACE MAGNETIC MARKING TAPE OVER ALL COVERS (Existing) BRING ALL COVERS To WITHIN 3" OF FINISH GRADE t FINISHED GRADE (77.0-76.0) = 83.91 F.G.EL: 78.0 F.G.EL: 77.7 F.G. EL: 77.3 VENT a MAINTAIN 2% MIN SLOPE OVER LEACHING AREA " F.G.EL 76.41 ;; 2" OF 3/8" DOUBLE WASHED 3/4" - 1-1/2" .• . ;; STONE OR FILTER FABRIC DOUBLE WASHED STONE 4" SCH 40 PVC 1o"I 141 U 6 ® S= 1 (MIN. ®®®®®®®maa TEE'S ARE TO BE INV.74.O ) ®®®®®®®®®®® 4" SCH 40 PVC 2 EFF. DEPTH ®®®®®®®®®®® INV.75.15 AF INV. 73.80 4' 2 X 8.5' 4' EXISTING OUTLET BAFFLE PROPOSED DB-3 ., . • . . _• DISTRIBUTION BOX EFFECTIVE LENGTH = 25' INV. 75.40 (1-120) INV. ELEV.= 72.15 EXISTING 1,000 GALLON SEPTIC TANK O GAS BAFFLE TO BE INSTALLED ON P��`� F '�ss9 BREAKOUT ' OUTLET TEE AS MANUFACTURED BY NOTES: o DARREN M. ELEV.= 73.15 1) CONTRACTOR SHALL VERIFY ALL EXISTING TUF-TITE, ZABEL, OR EQUAL MEYER TOP CONC. ELEV.= 73.15 PIPE INVERTS PRIOR TO CONSTRUCTION " No., 1140 "' INV. ELEV.= 72.15 ®� ®® 2) D-BOX SHALL BE SET LEVEL AND TRUE To ®®® ®®®®®®® GRADE ON A MECHANICALLY COMPACTED SIX /� ®®I®®®®® INCH CRUSHED STONE BASE, AS SPECIFIED IN NITAR�p� BOTTOM EL.= 70.15 ® 3E3 310 CMR 15.221(2) 3.75' S FT. 3.75' 3) REPLACE EXISTING 1,000 GALLON SEPTIC TANK WITH 1500 GALLON SEPTIC TANK IF FAILED, EFFECTIVE WIDTH = 12.5' 4) NSTALLDAMAGED OR INLET & OUTLET TEES W/ SEPTIC SYSTEM PROFILE SEPARATION 5.15 FT. GAS BAFFLE AS REQUIRED BOTTOM OF TESTHOLE EL: 65.0 _ SOIL ABSORPTION SYSTEM (SECTION) 5) PLACE SANITARY TEE IN D-BOX (500 GALLON H2O LEACH CHAMBER) GENERAL NOTES: I. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL SOIL LOGS P#: 15647 DESIGN CRITERIA BOARD of HEALTH AND THE DESIGN ENGINEER. NUMBER OF BEDROOMS: 2 BEDROOM DWELLING/3 BEDROOM DESIGN 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DATE: APRIL 17, 2018 SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE SOIL EVALUATOR: DARREN MEYER, R.S., CSE #1614 LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: DESIGN PERCOLATION RATE: <2 MIN/IN - 310 CMR 15.405 (1) (8): WITNESS: DON DESMARAIS, BARNSTABLE HEALTH DEPT. DAILY FLOW: 110 G.P.D. X 3 BR = 330 G.P.D. 1) A 0.85 Fr. VARIANCE FROM 310CMR1S.221(7) TO ALLOW LEACHING To BE 3.85 Fr (MAX) BELOW GRADE VS REWD 3 FT. (H20/VENr PROVIDED) Elea. TP--1 Depth Elev. TP-2 Depth GARBAGE GRINDER: NO (not designed for garbage grinder) 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 77.80 0" 77.00 0" SEPTIC TANK: 330 gpd x 200% = 660 gpd, USE EXIST. 1,000 GAL. SEPTIC TANK TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE A LOAMY SAND A LOAMY SAND DESIGN ENGINEER. 10YR 4/2 10YR 4/2 LEACHING AREA REQUIRED: (330)/0.74 = 445.94 S.F. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 76.80 12" 76.00 12" FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN B LOAMY SAND B LOAMY SAND ,.. ENGINEER BEFORE CONSTRUCTION CONTINUES. 10YR 6/6 1OYR 6/6 USE TWO (2) 500 GALLON H2O PRECAST LEACH CHAMBERS W/ 4 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 74.55 39" 73.83 38" STONE ON ENDS & 3.75' STONE ON SIDES: 25' L x 12.5' W x 2'D 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF C MEDIUM C MEDIUM THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF PERC TEST SAND SAND BOTTOM AREA: 25 x 12.5= 312.5 SF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. O EL 72.80 2.5Y 6/4 2.5Y 6/4 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. M Poaws) (w'/LOAW ems) SIDE AREA: (25 + 12.5) X 2 X 2 = 150 SF 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED 70.80 84" 70.17 82" TOTAL SQUARE FEET PROVIDED = 462 vs. 445.94 REQ'D TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. C2 MEDIUM/ I C2 MEDIUM/ 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE COARSE I COARSE DESIGN FLOW PROVIDED: 0.74(462 S.F.) = 342.25 G.P.D. vs. 330 G.P.D. req'd THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING SAND SAND CONSTRUCTION. 2.5Y 7/3 2.5Y 7/3 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND FILLED PER TITLE 5. 65.80 144" 165.00 144" PROPOSED SEPTIC SYSTEM UPGRADE P LA N 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY Pp� RATE <2 MIN/IN. CC1" HORIZON) 114 GOOSEBERRY LANE MARSTONS MILLS, MA AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY NO GROUNDWATER OBSERVED ' 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. I Prepared for: Edwards 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. I Design_and Site Plan by: SCALE DRAWN DATE 15. ALL PIPING TO BE 4" SCH 40 O 1/8"/FT (UNLESS SPECIFIED) MEYER&SONS,INC. • I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 N.T.S. DMM 04/23/18 16. REMOVE UNSUITABLE SOIL POCKETS AT NECESSARY, 5 FT AROUND PROPOSED PO BOX 981 LEACHING TO TOP OF "C2' LAYER AND REPLACE WITH CLEAN MEDIUM SAND to conduct soil evaluations and that the above analysis has been performed by Ev consistent with the requirements.of 310 CMR 15.017. I further certifythat"1 have EAST SANDWICH,MA 02537 REV DATE CHECKED SHEET NO. PER TITLE 5 REQUIREMENTS, SOIL EVALUATOR TO INSPECT SOILS AT TIME OF INSTALL Passed the Soil Eval. Exam in October, 1989. I 50e-362-2922 DMM 2 of 2