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HomeMy WebLinkAbout0240 JOE THOMPSON ROAD - Health 240 Joe Thompson Road Marstons Mills M 4 i I ON,. ! �(I/ 4 FeeV NOT THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes � PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS vti/rs f" 01pplication for Mtopogal bpztem Con6truction Permit Application for a Permit to Construct( _ )Repair(k)Upgrade( )Abandon( ) O Complete System Individual Components Location Address or Lot No. 'Z`FO ,0- 1C -M", joi2 Owner's ame,Address and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. a X (o G J-411 a 0 (� -mod�f �— �r Z/7 7 Type of Building: Dwellitig No.of Bedrooms Lot Size sq.ft. Garbage Grinder(Aly Other ' Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design.Flowl 6 7 gallons per day. Calculated daily flow w`G���'� gallons. Plan Date /0—/0 -- 07 Number of sheets -/ Revision Date /1/Viv- Title Size of Septic Tank x 0 j7,4 9 1 ndc3 Type of S.A.S. t� 1' Description of Soil �/ kr Nature of Repairs or Alterations(Answer when applicable) ! /4,tx— A4.,.&0c 4-to 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 b s Bo a th. Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued r q No. ! �TIA� � - _�. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2pprication for Zie;pogal *p.5tem Construction 3permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System X6 Individual Components r Location Address or Lot No.-2 (o ,4v t! 7h aA4,0 f o/1 Owner's.Name,Address and Tel.No. A c%Gem Assessor'sMap/Patcel 1-7t-/ Installer's Name,Address,,and Tel.No. ^I Y Designer's Name,Address and Tel.No. 1j oP5�/t �d SAi)I '"� 7 ��rc/� "1�/C IIQG .6W!ice 4 o X& fv �, f4--ki v a z s�,3 4 0/—,G*�-1 cl_ r''?,? Z /7 7 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(N Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 4 L//' 6 y gallons per day. Calculated daily flow 4 --gallons. ` Plan Date /o-f0 - o Number of sheets ! Revision Date N0A-1-C Title Size of Septic Tank ° k e� 7,4 i ovc) Type of S.A.S. J C C+}•r+ f t Description of Soil �/4'yt r ��e /J Nature of Repairs or Alterations(Answer when applicable) 4_ram( 1/— 4-1 t 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-t,is Boaf PH alth. Signed _ Date Application Approved by Date Application Disapproved for the following reasons k" Permit No. U a Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( ) Repaired (X )Upgraded( ) Abandoned( )by jjou5 at . yo 70`e- T�►o /1So^ /� - �.� �h s been constructed'in accordance with the provisions of Title 5 and the for Disposal System Construction Permit N© l�`7-" ".6 dated Installer Designer 6 eV The issuance of this pe h 1�not°be�1°•nstrued as a guarantee that the sys e �will function as dv/s��gnedf °� G Date /� / Inspector No. /,l .l 1� ��jj� -------------------------Fee / 0��THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Zi5po5a[ *pgtem Congtruction permit Permission is hereby granted to Construct( )Repair(k )Upgrade( )Abandon( ) System located at a L/v �76-0- 7-1-7 ,.,.,11Su--7 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 must be completed within three years of the date of-this.permit. Date: 1 15 Approved by Town of Barnstable, Regulatory Services Thomas F. Geiler,Director • sn%r►sras�e, , 9NAM a Public Health Division TFp Thomas McKean,Director 200 fain Street,Hyannis,MA 02601 Office:.508-862-4644 -Fax: 508-790-6304 Installer &Designer Certification Form Date: �� Z Designer: ->VI P � ��� ��� Installer:.�c et_D 66mG Address. . 5 � M Address: On X9 5 0 7 �� �� ►G was issued a permit to install a •. (bate) (installer) septic system at ��' �� �� based on a design drawn by AVID 1E>• myT� ,�S dated l 0 —/0 -- 0 7 (designer) certify that the septic system referenced above was installed substantially according'to :lie design, which may include minor approved changes such as lat "at telocation of the distribution box and/or septic tank. I cerrtify`_that the septic system referenced above was installed with".mar:changes,' greater than 4 0' lateral relocation of the SAS or any vertical' elooation of any component of the.sepft6 system)but in accordance with State &LgeA Regulations. Plan revision or certified as-1 i t by designer to follow. o AbAVID.: �G (Ins ller's Signature) g. Cn MASON: m y. ' No 106, o,. STD. SgN�TAa1Pd (D er s Signature) (Affix lgner's Stamp Here) PLEASE RETURN TO BARN8, :ABI IV PUBLIC I EALTR DM; SION, CERTIF C TE OF COMPLIANCE WRL. N®fi E SSUED . � BOTH°:T'ffl&*FORIVI< D'M, BZJII.T CAttD ARE RECEIVED]fly THE.BAKt STA$I;E PUBLIG SALT DIVISION THANK YOU. 1 ' ' Q:Health/Septic/Designer Certificahon.Forri e , 7 -7 F THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Diopooal Works, Tontrnr#inn ramit Application o' her b laiade for a Permit to Construct (V1)" or Repair ( ) an Individual Sewage Disposal Sy t: ................. . .........De .... . ..._. ...------..,r.�l _...........�...............•-.. .. .--........---•----- Locati i- dW ess n,w or Lot No. ... ... ................•-•---•--•- Address V �/f -•------------------------------------•-------•- ........./.:I....------------•-----------....------...--------•---------...................... Installer Address UType of Building y Size Lot....02Z.--.3_._..Sq. feet Dwelling—No. of Bedrooms______ _.__..Expansion Attic ( ) Garbage Grinder ( ) a yp � ✓ID! No. of persons............................ Showers ( ) — Cafeteria ( ) Other—T e of Buildin _.____._.. d Other fixtures ------------------------------------- ro62!e------------------------------------------------------- w Design Flow...............1_._...............�._...gallons per p424 per day. Total daily flow......... .............................gallons. WSeptic Tank—Liquid capacity./5 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 nk `-' Percolation Test Results Performed by . .. ••-- -•----------------------- Date...//'�..... F°7 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (X4 Test Pit No. 2................minutes per inch Depth of Test Pit---................. Depth to ground water........................ O Description of Soil--- -- . ....................................•• x 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 Environme tall de—The undersigned further agrees not to place the system in operation until a Certificate of Complianc e fI issaed by t oard of health. Signed .... ....... ' -- -- ---=------- - ------ ---C*-----------------........ ...------ A Application Approved B ---- --- -- ---- ------ ----------------------------- - ---fib...........-- ... ...------- .. e - PP PP Y { / Application Disapproved for the following reasons: . .................................. .............. ......... . ............................................------- ..----- --- ................ Dare Permit No. ................... Issued ---- - ------------ - ---------- -C)o No.. ... 1 7 'FEB ........- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE* Appliration for Disposal Works Tonstrnrtion ramit Application is hereby made for a Permit to Construct (�or Repair ( ) an Individual Sewage Disposal \-4%...... kP11W Locatio -Address or Lot No. - ------....._ �.�� .--_.k.. ..e... ��_ ............. ........... ...------...................... . Owner � Address Installer Address UType of Building y Size Lot... U./Q 3....Sq. feet Dwelling—No. of Bedrooms...............................•...._______Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons............................ Showers a g -------------= ----- P ( ) — Cafeteria ( ) Otherfixtures ---------------------------------------------------------.....-------------------------------- w Design Flow...............//0....................gallons per per-son-per day. Total daily flow............? y�..._.................gallons. WSeptic Tank—Liquid capacity./_? llons 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 b Y -----------------••......•... Date._.??.. �/ .� --------- �7 aY-------- ... 0 - Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ D Description of Soil--- x c., 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of CompliancelJhas/�beer issued by the oard of health. Signed -- -..- 1 /.fi 1........; - /----------- Application Approved B , :�.Z�� � aC O 9 ! /1 ,�'� --------- ---- - I?P PP Y .:................ ....---... .... .----=�_...... • ........ ... . f Date Application Disapproved for the following reasons: .-------- -- -------------- ------=--------------------------------------------------- ----------------------------------- ....... .....................................� � -------------..............-..---.....-..----...---...----------I-----....---------- .-.-..............�.. Date �1............................. Permit No. � ------------------ Issued ....- .. ..,./...Sm Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE JHIS I TO CERTIFY, That the Individual Sewage Disposal System constructed ( ✓ ) or Repaired ( ) by d 2�GQ�C.!J at . /. G2 !.� ..............<-..--... -- ----------- has been installed in accordance with the provisions of TITLE 5 f�-he State Etvironmental Code as described in the application for Disposal Works Construction Permit No. .......-���. --------- dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT Bt CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...----................5. . y- /=�-------------------------- Inspector .............n THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE `f No.......... ..... .... FEE.....(..�......... �i��oo nrk� �nn��r�trtion lernti� Permission is hereby granted.......T l _......-•----•----.---•-••-••--•••---•-------••••-••--•--•--•---•--••••-•-•-•-••---••............................. to Construct ) or Repair ( ) an Ind vidual Sewa e Displa�al System at No.... � 7�Lt17jv%1 �U_ �"���-1k, /J�GZ.�'`' ... •-- ••---•---• .......... v r ------------ -------------41 Street �' as shown on the application for Disposal Works Construction ermit No.- ��� ated.... .................../.0..._.... ,� A�'�' �L - --------- ...................................Board of -- •.- -- Board of Helth DATE 3 -- •.---••---------- FORM 36508 HOBBS Q WARREN,INC.,PUBLISHERS .l �. 4:1 t 1. ''•'... 1 E Y,Q'�Q r �' ' �:t (, 7 .J-_.L.� r j I 1 1 I I (,"1_•:21 ' �w\ �..��/] I-7 t 1�, r } I Aw ";; .YJ7�/��, •`,SEYfI CTAIJk.-1jdb, L �- r. ` { 'VJa (A700JA­ �L.:+- ��:�_. U.J �.C1 1�p� ► fi. ��el �:� .1�[_��i`Y'V�-{..yl'•ji1��.����`� i- , . 1 '� �i 1[ S�b111 � '^t E.: _�-.I_.:'f�� r T --�•`+- — ---l--�-�--i-`- '-�_; � ��.�4 -�---' I 'S:7'� �i�'(ffrt- , P I 7411 ; I i 1 Z �.." H.—.i--. g. .,. —, BOTTOM All rv._ ( ;� sC. ,`�+' t , 1 � , , t .: :,. : -1bTAL�ilbhl` � ''�Q.��;1�_.t � ' ' � C�+�T��✓ } s ' ( , � �. :TOTAL DAIt_�L]/ PEQG�C.A ON IrFCJ , . -- +, r r OF , I r RwFIAFFD ' A:. LO No.2494� LL I f } I i i ' r , .. �. t i G ' � t 11 1 1.I a j ITf/ir�+ .: (•F�i'•� -::. ' r--�t ..'-! 1 '''i�'`4 �-'i.�; TF g,V,.1'TF­ ff +LO�V► i , -t r ;l r•. { I�I,-1 J' i =.(. 1 -' �',i r L 1", a 4 Su8501(r t T1 _ ZJ7. t r t 1 r a , '.�� �... -t -!�\,�,t �.� �-.I r {` t.,�M ` f'� �,1 � 1 :1•�. a -� �'-a -"{ �--j—i '� �..I t.-. -I-' t' ,_E. _ _,+ 1.., i / 41 ......1 -`,�,. I � t 1 � wltLL , WEP I = 1 i lt ' I��.l. r- v_.1.!._ ti.' i 1 � i,:'I i ].i-� i. �; ,.-r 1 , �Itsly f ' ,..���i •'.F 1 , 4. �•� �, - >"j i r , 1., t t ' 1 4GAL.lii-( tl'- �; 7 , DA'(�s ' 1.21..93; Nf�. t}r. _I tppfs6� fii 777 it - - , h l R QeF'ERF�ICE 1 1 5 r /,— 1. . w:I� aN_-4 `�!!�+►.{��e 5 7v�.1.A`(q ,t' ' r ( ¢ '.7 _ -..1 -• t t 1 �_. s 1 .I;J. Q.:.-' 9 I..T. ' 1 �P/ It .- v�qr r TT I f 1 1 - T r•>, i F•-- ,. ,..-I I 1 � t J �� • •�+' ! 1 } r i :a r I I 1.. 1 ?Y 1• i:.,. ,:_, �...;�;.,._►..` �; �r p�� 10 JdL, l A�,hb su�/�yG¢S _ l�N ;I5 -fJOi" _�$A►�jg�,...1� 1 � , t�i;lY-ONIlE�1Tr; � , 11_���.LL. � .C-�JGI IJ�S� . ' . MASS . uSLh ,ToSTaB�-i5N tR�apTY ;l.�►J�S' N m a d -r; oysl PP�iCA �►�i�J�, i;t ``:. a� t ( t �`1�, , a a r c 1'4 x ysth/r' l�v!�{Ji?G•G.c f 1 1 a77* v� 7.1 Im- 1 t/ I n k qIs i bPEu ,. i 1 " S 49 T. 1449 { —A4 � 11 I f r i t 4 .Q4 i s . . JaE Toy €TER ` R A.4- LLiVAN (- , a r• 9' .Y.:r, .l 't(0. 9733' 30 Town of Barnstab le of me P# Department of Regulatory Services .n.MARM i Public Health Division Date 200 Main Street,Hyannis MA 0260 .4 Date Scheduled Time Fee Pd. Soil Suitability Assessment for Sewage Disposal ® 9 Performed By: n-42--- � - Witnessed By: � ( lILY� � LOCATION& GENERAL INFORMATION _Z& A Location Address .2 e rm,,-,,og o j . Z��`t o- Owner's Name P q u('F A C`[(e v- 1`• 7,lOQ� X L{S Address S�✓hR_. Assessor's Map/Parcel: ] Q 0 1 X 4 tar r 39 T A,� Engineer's Name_DAut)�Ae o� NEW CONSTR CTION REPAIR �` Telephone# F 3 3 2 1 7? Land Use Slopes(9b) 5 Surface Stones ' Distances from: Open Water Body, ft Possible Wet Area / ft thinking Water Well / ft Drainage Way ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,a loca�ns of test holes&perc tests,locate wetlands In proximity to holes) V 0 i CD �41C� o Dr W) _ � v> Lj7w w Parent material(geologic) Depth to Bedrock v ' �� "� Depth to Groundwater. Standing Water in Hole: �� Weeping from Pit Face A' v�" Estimated Seasonal High Groundwater JaD 0 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 Adl,factor Adj.Groundwater level,, e PEE�RCOLATION TEST vets Time Observation .�...._. — Hole# Time at 9" Depth of Perc fYW, Time at 6" Start Pre-soak Time Time(9"-6") End Pre-soak Rate MinJlnch �. Site Suitability Assessment: Site Passed Site Failed: Additional"Testing Needed(YM) Original: Public Health Division Observation Hole Data`To Be Completed on Back--------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conseirvation Division at.least one(1) week prior to beginning. Q:ISEPTICIPERCFORKDOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency,% rave A Z C-' ,moo c, v14TCre-' DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. hh Consistency,% ray V`. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soif Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Cons' teri IOU li fy Flood Insurance Rate Ma : Above 500 year flood boundary No— /Yes Within 500 year boundary No L�Ves esWithin L00 year flood boundary No ., ? Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervio s • 'al exist in all areas observed throughout the area proposed for the soil absorption system? y� If not,what is the depth of natura y occurring pervious material? `� Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environinental Protection and that the above analysis was performed by me consistent with . the requir ning,expertise ex nc d cri ed in 310 CMR 15W Signature Date60 Q:\SEVnC\PERCFORM.DOC FROM :down cape engineering inc FAX NO. :15093629K-1 ^ Oct. 10 2007 12:52PM P1 down cape engineering, inc. SIEVE SOILS ANALYSIS_MASON.xls DATE OF REPORT: 1 0101/2007 JOB : GRAIN SIZE ANALYSIS-SIEVE TEST SITE: 240 Joe Thompson Rd. West Barnstable LOCATION: "C" HORIZON SIEVE ANALYSIS Weight Sample(Grams): 329.5 SIZE : RETAINED WT. RET. % RETAINED; % PASSED (wt on.. .... .......( y!r)_ ___-_-__- ----- --- 0.0; -0.0%7 .........100.0% 3/4" 0.0: 0.0, 100.0% _--___-___•'-J-----------------•1................... -----------•--.•-----------------•'-- 1/2" &0: 0.0 0.0%: 100.0% ------------- 3/8" 0.0 0.0; 100.0% ..-------,�------------—a-6---------o.6-----------o.o ioo:o i° -------------J---------------- --- ......------�----------------_.....----............. 20 60.4 81.5: 24.7%: 75.3% --�--------i-------------103^4 .....184.94------- 56.1%;- -..............43.9% -50-•------ ------------- 40.7,....-•225.6r--------68.5%'................. 31.5% .80----------------------- 58-7 100------ - ------------1.... ....301.1: ------. ...3%: ............. .13 7% -_..-..-•-.._.J-------------- - -i..... .... -•----...-__ ---�--&r----------•---- _ . .. 200 26.0: 327,1: 99.3%: 0.7% PAN------- ---------------2_.4+....-329.5�-------100.0%4---------------- 0.0% SAMPLE ------ -329 5;..............--------------------------------- ---- NOTE: TEST ON PASSING#4 ONLY, 12.6% RETAINED ON#4 <45%O.K. _ RESULTS: SOIL CLASSIFIED AS AASNTO A-3(GRANULAR,SAND)(UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING 94 SIEVE MEETS : #4 100% (TEST ONLY MATERIAL PASSING#4) #6010%-100% #100 0%-20% #200 0%-5% REQUIREMENT FOR"FILL"IN TITLE 5. <5%PASSING#200 SIEVE RESULTS:PERMEABLE MATERIAL-CLASS 1<S MINAN.MATERIAL NONCOMPACTED i SOIL DESCRIPTION: MEDIUM SILTY SAND TOWN OF BARNSTABLE LOCATION Lo+ V � �� v TIO Ii.c,ac� SEWAGE VILLAGE_ M. ASSESSOR'S MAP & LOT f&,06I. &,INSTALLER'S NAME & PHONE NO. 450\1 771-160 4 EPTIC TANK CAPACITY I ii-00 ya��cin 5 1 Z_ Le�c�• �?��S LEACHING FACILITY:(type) (size)loODq01�lo�s O. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER N,/5i4 Rug a'ems DATE PERMIT ISSUED: S— z 1 -9,3 DATE COMPLIANCE ISSUED: `' - '1 y! •�� / VARIANCE GRANTED: Yes No /� t Al' 3 TOWN OF BARNSTABLE ` LOCATION 0 5'10, jA 00:' DT tyz d, SEWAGE # VILLAGE P1`-� �M_(44 ASSESSOR'S MAP &LOTS A19'I INSTALLER'S NAME&PHONENO. D SEPTIC TANK CAPACITY 1 SO0 LEACHING FACILITY: (type) SOS (size) 347113-�k1 mar NO.OF BEDROOMS y BUILDER OR OWNER Fackjar PERMITDATE: �� —�S' ` COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ON Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) RA. Feet Edge of Wetland and Leaching Facility(If any wetlands exist M within 300 feet ea ng faci ' 1 Feet Furnished by ji r C2 3s o� i - ASSESSORS MAP: _ !? TEST HOLE LOGS NOTES: PARCELS /V � w� SOIL EVALUATOR : J'j��� �l' � ���`,�1e�4 Chi FLOOD ZONE: �O�- f� G1C�4C., F M v, 1) The installation shall comply with Title V and Town of Barnstable Board of .. - _ WITNESS : �"1 16'33..1�1 Health Regulations. REFERENCE: ,,fe �"�` `�' y�,C�-Tt ` pG.t} epja_ . �`3� DATE: c5`�i� Z 2) The installer shall verify the location of utilities, sewer inverts and septic - s*. ..._._y.._-,_�. .. _..._ _ 3. , .. .v _..M..... _r.._.__ PERCOLATION RATE: -� G / , 1 p P p _,c�Ax7iEf� � �/ � ��/G r3�/! 3 components prior to installation and setting base elevations. 14.2 `� ) All gravity septic piping to be 4 inch Sch 40 P "P P g VC at 1/8 per foot. The first TH- 1 TH-2 two feet out of the d-box to the leaching shall be level. Al — 60 , 4) This plan is not to be utilized for property line determination nor any other l0 purpose other than the proposed system installation. ,S,L, ,�,�,,, 5) All septic components must meet Title V specifications. '36. >��0-7/✓$ V /Ca ��- 7� K 6) Parking shall not be constructed over H10 septic components. 4 3G ;�,, 7) The property is bounded by property corners and property lines. LOCATION MAP ? G�„ /3 7� r jor ,�� 8) The property owner shall review design considerations to approve of total design flow and number of bedrooms to be considered for design. Receipt of F* ' AfCO)U Af 1 E1 ,s)c. payment for the plan and installation based on the plan shall be deemed r� approval of the design flow by the owner. Z �6 9) The existing leaching or cesspools shall be pumped and filled with material b per Title V abandonment procedures. Those within the proposed SAS shall be removed along with contaminated soil and replaced with clean washed sand per Title V specs. 62- . a 41NO. rFAZ 10)System components to be 10 feet from water line. Sewer lines crossing the �Oo \ water line shall be sleeved with 4 inch SCH 40 PVC with ends grouted if �5 SEPT I C� SYSTEM DES I GN applicable. ^: t , S 11) If a garbage grinder exists it is to be removed and is the responsibility of the ��, owner to ensure such. FLOW -ESTIMATE 12)The installer is to take caution in excavation around the gas line if applicable. 13)The installer shall verify the location, quantity and elevation of the sewer lines J $EDit00MS AT /�l7 GAL/DAY/BEDROOM - 7�GAL/DAY exiting the dwelling prior to the installation. l ` 14)Excavate 5 around the SAS and below to approx. elevation 152.96 and fill & r SEPTIC 'TANK with clean sand per Title V specifications. IN, GA!./DAY x 2 DAYS - 680 GAL USE /COOGALLON SEPTIC TANK__�K?X_f T�! _ ,� b� I 61.��W74C /�jc, 06(L h/eT" J4[,,l..Css�aw��_._. S01 AB00RPT1_0N__SVSTEW'__ � � a J� l\SIDE AREA: � / BOTTOM AREA: 3e. X )'M k G`? �'' J07+ �u sT I C SYSTEM SECTIONram�r , . . \. r /' "1ff •, !/ o IObb GAL �' i I ��b ST "r / SEPT I C TANK —_ � f , /�5�• i � Pt P at �4 e. s4 I µ€ r SEWAGE SITE AND I E PLAN LOCATION . 10,//0 :5e 77-/ , N 1 �` Ys PREPARED FOR : :k)t, SCALE: � v W DATE:DAV I D B . MASON C Z DBC ENVIRONMEN AL DESIGNS z EAST SANDWICH . MA W DATE HEALTH AGENT ( SOS ) 833- 2 177 zil