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HomeMy WebLinkAbout0020 LINKS LANE - Health 20 Links .Lane Marstons Mills. P A = 083. 018003 No. ��/ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppYitatiou for Disposal *pstrm Construction Permit Application for a Permit to Construct( ) Repair X Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. ;k0 UM K5 4 M M Owner's Name,Address,and Tel.No. p-a Dokj4L > E MAI_G kc-:T- -'QC(Mao fix/ Assessor's Map/Parcel O J g '�� 'Ro (,1tjk5 LAkjc— /. Installer's Name,Address,and Tel.No. J0:9 ZZ-.69 7`] Designer's Name,Address and Tel No.56 C-1T3 —O 3771 71 RAC C) OoDL GU 3C+ XJ UCz luL Type of Building: -/ Dwelling No.of Bedrooms Lot Size ;2911 VL13 —sq.ft. Garbage Grinder( ) Other Type of Building R 6%C�bGPV444., No.of Persons Showers( ) Cafeteria( ) Other Fixtures EE'' ` / Design Flow(min.required) -3 3 0 gpd Design flow provided ��P'�o `f' gpd Plan Date t)C"r 5..�1.0 3-1 Number cofsheets I Revision Date Title (16j`z< 4ACV& P,517DOS H(4XIS Size of Septic Tank t 1 50Q &)S Type of S.A.S. (;Z) ZOO C-VV- CHikkA6 Description of Soil 1�� �A asF :SWZ? w r'a Is'AC3'2:3 Cy4ru� Q? t/_pi, 56 Nature of Repairs or Alterations(Answer when applicable) Lf 5 G t 5;y 0 EFT C Ct+ , Leal. �"T bF 3VA2Z&y1U6aC— 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 th;Zth. e and not t place the system in operation until a Certificate of Compliance has been issued by this Board o G Signed Date Application Approved by Date `3 Application Disapproved by Date for the following reasons Permit No. Cam' l Date Issued „rah 1W.f ry+.a .'•} �,dp� .7�” 3 � �. .—. _ �, No. Fee ti THE COMMONWEALTH OF�MASSACHUSETTS Entered in computer: V PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zfppfltatio� for Disposal 6pstem Construction Permit Application for a Permit to Construct(-..:). Repair(K Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. a�o (,JIJKS 4AAZ,'�M � Owner's Name,Address,and Tel.No. } Assessor's Map/Parcel 93 1$ 'Q3 �(� (,tdJltS (,Ad,,j� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.508r 1,T3 -0 37"t imic 2G� M5 P/'c - stdY o cw7 a8s4 V E, Zt, dAAi Type of Building: Dwelling ' No.of Bedrooms Lot Size o?SSl 0143{sq.ft. Garbage Grinder( ) Other Type of Building ;t5%CbGPZ'1) , No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided 3�f'�, gpd Plan Date i , e1U Number of sheets Revision Date Title 4� sNAP.�� M Size of Septic Tank f 5;0Q ClclJ s Type of S.A.S. Zoo GAA Description of Soil Me) 0A4M&754 V? W M4 VT`aO 'rA4U5L (W 42.11 SEA'RA Nature of Repairs or Alterations(Answer when applicable) U 5 C ex s—t X.11 r 15;o cJ Date last inspected:., Agreement: s- The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal'system in ment accordance with the provisions of Title 5 of the Environ ''te�Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of,Health. r Signed /f Date Application Approved by "^A Date Application Disapproved by Date for the following reasons Permit No. 3 Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( Upgraded( ) r Abandoned( )by at QQ U K$ LkAE M M has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.:_'4�/'37/dated Installer Rom T 6 60,L do Designer #bedrooms Approved design flov\ 1-3 30 gpd The issuance of this permit'shall not be construed as a guarantee that the system�functi'on as designed. Date (0 P-1 Inspector s - + � I J -- ' - - - - - --- - ' - - ------------------------------------------------'--------------------------------------------------------------------------- . No j 5 Fee led THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Bisposal ,pstem Construction Permit Permission.is hereby granted to Construct( ) Repair(X) Upgrade( ) Abandon( ) System located at 2o Ll o<S Lkl and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this perm Date 16f '3 f a � Approved by-_ Town of Barnstable °BIKE Regulatory Services o� Richard V. Scali, Interim Director BAMSrABM NAM Public Health Division eo►,��° Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 10-25-21 Sewage Permit# ZOZ 1 —.311 Assessor's Map\Parcel 83/18-03 Designer: JC Engineering,Inc. Installer: Robert B. Our Co.,Inc. (RBO) Address: 2854 Cranberry Highway Address: 363 Whites Path East Wareham, MA 02538 South Yarmouth,MA On lO i3 �zl RBO was issued a permit to install a (date) (installer) Sep is system at 20 Links Lane based on a design drawn by (address) JC Engineering,_ Inc. dated 10-05-21 (designer) X I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. II certify that the system referenced above was constructed i fiance with the terms of the I\A approval letters (if applicable) 6 OF S. cGm 0 JOHN L ICJ � CHURCHILL JR On-sta er' nature) CIVIL .41 O (D ner's Signature (Affix De t p Here) PL SE RETURN TO ARNSTABLE PUBLIC HEALTH D SION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc +I, Y pp yAy A x \ U0WM0N W t AL I�v� i1fi E3a7aKLAt3+Js.1 A r Expo' ` vE OFFICE OF ENVITROINNMN 9L-AIEAIRS Y DEI.'�.R TmEN T OF E-IN"t7Zz�f?��?V�`�1.L PROTECTION RECEIVED, F#� . )V 2 1 2002 ti s s= jVVN OF BARNSTABLE s��ry 4-!5 .. T T .E S HEALTH DEPT. 1, �rs OMLC� WSPECnON FORM--NOT FOR VOLUNTARY ASSESSMENTS SIMSURFACE SEWAGE DISPOSAL SYSTEM FORM �} P'AR T A CERTIMCATION Yr 4tq k Property Address: a o C, +•l A b a OR rj 2 s Ownees Name_ OwaWs Address: all MAP of Inspe��ion- o� PARCEL - - � (pleaie print) LOT ,Jame of Inspector•. Company Dance: Aar sLeh a � a Mailing Address: "p ® $e�� Q t— Telephone Number: - e CERTMCATION STATEMMN' ' , that the inf i cestifl+that I have pemnaiiy iaspecte-tee sewage�s�system at ttus address;and orm2�it remwd L below is trne,accurate and complete as of the time of the hi spectoa The 'was p� bsa id cam`my r_ _ �g and e�m the proper function and roainteenance of on site sewage disposal systems.I atn a:D£P- aYp 4„: approved system inspector pursuant to Section 15-340 o;Title:S(310 CMR 15_00€3). The system.. Passes Coadti-tionally Passes Needs Further Evaluation by the Locai Approving Ausiaority Fails LA nspec#or's Signc�t3xrsr- , The system ins :sball submit a copy of this inspection i'e€+ t to the App:o� A rTtY of I�ealt�or i�E?)within 30 days of co letiiq this inspeztion,.If the system is a shared system or has a design flow of 14,0 regional off br ice of gpd or greater,the inspector the System owner shall submit the report to`die appropriate DEP.The original sh ald be sent to the system owner and.copses sea' to the buyer,if applicable_and the 2pptovmoriginal audiority. Motes and Comments 4" is rt"only describes conditions at=_be time of izis�ion and under the cum of s�at that F _ :5 inspection does not address stow#lie systenc aoriL perfatrtn in the future under the same or dif; t time.This inspe 611532WO pag- l PFFICLALL INSPECTION FORM—1TO T FOR WEENTARY ASSESS "I'S ,.. SUBSURFACE S AG, DISPOSAL Si�� t3�fi FORM 3� 3E"ART A ` ' . 'Date of Win: fi Insgeceu Summary: Check t AC D or E f_ WAYS compleft so afS ID A. System Passes: .5c1^.c.`rf•h• X I have not fob any mformadon wbx indicates tha{any of the failure amna.descnbed in 3I0 CNN ` x F t :`. 15303 or in M Cf a 15.304 exist Any-Aflu:re arm not evaluated we kkdicated below, Comments; ii. System Conditionally Passes: One or more sysoern components as ctesenbed in the"Conditional P 'on need to be rem or repaired-The sys:=4 upon completion of the r+enlacemertt or repair,as ved by The Board of Health,MR pm Answer yes,no or not determined(Y,N ND)is the for allowing saamements_If'not dewrmineC piem explain LL The septic to k is mew and over 20 years o or the septic tank(whether metal or not)is saucusaily r unsound,e:dmbits substantial in5itration or orb IiWure is hurninem System wHi pass ins if'the exists tank is replacer-with a cwrtpty:ng tank as approved by the Board of HeaML *A meta I septic tatslc wiII pass iorr= is structurally sound,not leaking and if a Cmii&m of C -' indicating dirat the zm*is less dean 20 old is avaa`lable. ND explain Observation of sewage kup or b.eak out or high static water level in the distribution box due to.btkt of obstructed pipe(s)or due to settled or mev=TzsvmbF=m box System wffl pass mmmectim Jf(WM approval of Board of Heal broken p4ke(s;zs--rcpb'd obstntction is.removed &aribution box is ICve�or replaced ND glair' Th required pumping more ti3amA tiYESc ayr d m broken or obstroctedpiipe(S). I he system will# t w pass if(with approval of the Board oreahh): y A, brokep pTeWj are rephced 4 k •" obsumcrion t5 removed- ;s , �,,,�,,, `•sue { �: f ::' .� ,, { Erx` � + n wY > ` Page 3 of I I �fi• r, ®�"F CML JNSPECnO FORM-NOT Falt'{7€DL�3N�'�4►R Y ASSESSI�2�I TS �, SUBSURFACE SEWAGE DISPOSALSYS3 E INSPECTION FORM PART A . .,, CERT CATION(continued) * Add c� aye Date of In�on:' �F C Farther£valuation is�.teavired by tbe$amrd of Heakh. 3 s Condidons exist which require f other evasion by the Board of Health in order determine if cue system :Y is y;i;ng to protect public heSW Safes or the a viionment. R 1. System wai pass ua Board of Health determines in s=or&nce 310 Ci1R 15—MX1p(b)that the system not functioning in a manner which will protect public safety and rise envimnamesz: Cesspool oc privy is within 50 feet of a surfaccee wa= Cesspool or privy is withk 50 ioeet of a bordcriqg ve wztland or a salt mash a z. System will fail unless the Bayard of l ea (sod Public Water Sunp;.ter,if nay)determines t#rat the system is functioning in a manner that errs the pubic health.,safety and environment: The system has a sepzis:tank- soil absorption system(SAS}and the SAS is within I04 feet of a stre'iace water supply or trt nary a surface;eater supply. ' The system has a septic and SAS and the SAS is within a Zone I of a public water supply. j The system has a se c tank and SAS and the SAS is within 50 feet of a private waxer supply well. The system has septic tank and SAS and the SAS�less tla� i 00 feet but 50 feet or more fr�a � s; private water suppl ell".Method used to determine distance ¢.This system es if the water analysis,performed at a DEP certified laboratory,for colifotia bacteria and le organic compoundskdicates the well is free from polludon£tom that f�ity and the presence ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure trite are triggered—A copy of the analysis mimt be amached to this form. P yA [M1g S y f , 3 � pr O �+ � SESSM FORK— r r SUBSURFACE SEWAGE DM n PART A CERTMCATION sb... 5 ~ / s Lou ps; �, �� 12 .:� 4rt f Daft Ofb5peakm a YesBacimp of sawage inm&Cair or System campmaem due w t�SAS Cr "�� � � �. r .r�•• kve,m� -�r� 'o=a o=a �w a.ovate or c .S C!, .." in ceapeol a Iess#m e'below k or a��vaimm is Iess fWa%my flow Req �mgparefts4=es.in The km year N"dUCZOdOggedOro i {s� raa€ p f y ft SAS.cmqool of Pnvy 2s below hip gmwmd water dewdom , Any poi a= 'svyiswboas supply cuibusaw. g wamsmPply- Any pCFdM ofa CM90W Or envy is v a Of P'Ob€c wry. Any ca of a cesspool Or PdVY is Wf 50 fem Of pdvaze waxer s491y r-TIL 4 "L An O 8 `WOO; j,r:V3i L5 ASS' 1 Si t 12� flTim a t[tYdc ; VMS-[Thi pesf=-owd at a DEP cardfied bdxwawry.E'tx;fiferm batuxia and vahtfle organic camponaft aftragm aid �'�8 is ft or s ���a�that$� L83�{�3+LTt�:3FR ,- 8i'z trim, I�..A ,of"��'�'dC�535 must beTa�C�^�c s�Z3 this�fC3S 33i i ' 7� �Yesl-sj ems. r. +e� o or more of',1te above s Heal&to detaume what vPXa be mcessmy w -+e To be coaskkred a Ia se system fbe sum mast a _ F3es*a v` fanowing C aY:�'�7 tohrv. $ 7EO the��'Tz may. vel Yes no ihe system is wkhin 400 a s drmxiL—. �.ZWiy r�x` �• {� �� I�y� _ may"p� � - - �ofamd 'rSTT X ylS �SYSMM is iFF� LSC wVJ. � TG�wi F 5 y If�r{ -Yee to any Ii s�in .:r--beSYS=is cwsi a s4pi or *e e s � .'die arc or-�cx o -;e sys cow a .�E or�� shall LT-vam=_)�sv-s��ze��`j�,��a�c aerate with s li3 C$�R. ,',.. . ��W�� .M � S offj5 �Vi '..wV�I�.V�.�L{�1.�L. - I3J a Tf.�.at ass z r Page 5 of I I OMOA�. PEMON FORM—NOT FOR VOLUNTARY ASSESSM[EN .f« SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPE ON FORRNM PART B ,� 4 CEIECELIST Paroperty Address: S . y 0 Owner: f 610 lS" - Bate of bmspection: 0 Check if tine Mowing have been done. You must�e`Yes"or"aao-as f v _ j �.�a >�foliova�_ �h4 a Al nl­ No n Pumping information was provided by the owner,occupant,or Board of Health � x ,4 x Were any of the systern components pumped out in the previous Two weela k Has tine system received normal flows in the previous two week period? Have large volumes of water beezt innO htce I to the system recently or as?par,of this inspection? Were as built plans of the system obtain a and exam ed?(if they were not available note as h!A) t. Was the facility or dwelling inspected for signs of sewage back up N Was the site inspected for signs ofbreak out? Were ail sy5telL+components,excluding the SAS,located on site? _ Were the septic tank manholes tr:acovered opened,and the iiaterior of the rank inspected for the condition O�Tjhof the baffles or material off construction,dimensions.depth of liquid,depth of sludge and d ? ems, ., _. ep cz~. depth of s�nm _ Was the facility owner(anti occupants if different horn owner)provided wah irfor�,ation on the proper -atenaace of subsurface a disposal systems? � t The size and location of the Soil Absorption System(SAS)on the site has been deumnined based on- no Existing information.For example,a plats at the Board of Health. 1 Detetrrsined in the field if( any of the iaih;re cziteriz�related to Part C is a.issue approximation of distance t is M acceptable)r III C.M R 15.303(3)(b)j a . r } � r ;p s w.Y > f� k r.J'j t t Po 6 afll rz a • O3'S'14.r$L"lL�' �� Vi.iiWM-�N �1�i9►1 a aS U%-Q?ECnOw FORM PARTSySMMMORMAXWN { Propwq �. Address: 1r 5 F-TOWCONDRI M , Ybw of DEMLiN ca310 L' 35. #( a 315 x A Of �=s� S); sysa= tw no)-- s U=tyworno)� 00 fla 4 sMP PMV(YM or no)- Lastdaw ofocew-aley:aweo—k+� COMMMMMUINDUSTRUL Type ofembffskmem Desip flow(based an 310 CMR IS tr of desism&MOMM{ � CIMB=u2p pesem for `t, lim iral�ra�e ito Cya or no}: l a y 'to&tndesSyr-am(yes orW)C Vfawr Last date of Ards s o /V6 ��Cc�! f'�: 1 was sysm p=sped as pat of (Y=Or DO.- How yRgaswfor TYPEOFSYSTEM Sq=war,&w5urion box.so a =Ordss If 20y)shy �or no)(if yes, abumed fm Sv5Mt ) Ott task AUKh a rev, Of the Odw(fie): e� anoz aocio�e5"/ ��C� f3 TS UF�'I iAL II�jSPECTI43�F4RL1+4--NOT FOR VOLUNTARY ASS]ESSWN •Fr ;� , SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOR>� F� K PART C �f SYSTEM INFO CATION(continued) Property Address: C.i wlCS P P Owuer: Rate of bispeet€ l_ a � BUILDING SEWER(ioea a on site filar} Depth below gade; aIffiFs O QI3- C2SE II L 40 PVC ot�a t J~- s r DastaaGe from private water supply well or suction line: o etc_l: ConimentS(on condition of3ciiiais,venting,evidence of leakage, _3 .. tr- SEF11C TAI (locate site plan) sc DM��iaal of consauczi •(concrete metal fiberglass Bolyetl yieoe �otbef{explain} attach a copy y of If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(ves or no): ( cer0cate) �b gal( Sludge depth: a~ (` Dism=from toga of s tudge to bottom of oildet tee or brfse: Sams daickness: Distance fFom top of scum to tap of oudet ter or baffle:__jjr_____ or i3istaace bottom of scum to bottom of outlet tee or baffle: !6 How were diary sions -;neri :.; Conssnents(on pumping recormn endations,inlet and outlet tee or baffle conettlon,structtual iln-griry.i uid keels t. as rem mdet invert,evidence off r_ C,x .7h GREASE WRAP- (locale on site pine) k .; > e Depdt below —of cons �cOUc=W____uleral ytene outer Material ttuctia=l: ( p )= ` DIttensIQBS: Scum..thickness: Distznce from tog of scum to top of ex tee or baffle: Distance frota bottom oft WWI- levels of ?et ice of lime: aunpltlg: ( l? P of nendazioas,inlet and outlet tee of baffle condition,Stnlcturai integrity,tic}tlid levels "Date of last p as re1.�to outlet itt evidc-ice of 4y OFF cuL PiSPT ON FORM— 3' 3)t, Y ASSESSA�E�TTS { .: SUBSURFACE SEWAGE MSPOSAL SYS TM IN 'FEMON FORM 3� PART O }, ., SYSTEM MORMATION( ) u Property Address: O ( t k k,s Dale Of Inspection: y TIGHT or HOLDING TANK: (tank must be� ti m e� II an site pert} L _ polyetylene atl E �8II1): Matuial of town: coax m 5*1 # �Y4 }(��u`pj _ '�` Ahum l Or� ffi worldog order Cyes or.no� Date of last per& CoM3329M falarm and Boaz switcb.es,=3: DISTRIBI#nON Box-_jL_(if present must be openedXlowe on site plan) Depth of liquid level above outlet invert Z✓P�1 arm evince of solids carryover,any evidence of , f (note if box is level and dis��to wets equal,any leakage into out of box,�)= J'Qti � e PUMPCTAaMBI+R: (locate on sne plan) order f y DO): pwq)p in workm Alas in working o or no}: CGDwDV0fP=wP3MdapPwu=wCM s =C.o (UM paW ' r .y s'3 y v Page got It U C .INSPECTION FORM-NOT FOR VOLUNTARY ASSESSINMNTS S S "RF iL`IE SEWAGE DISPOSAL SYSTEM 31'4SFFCrIO?�FORM rs� PART C SYSTEM RiFORI TIOIN Econdnu�l} L PropserV Address: owner.Date of Utspecdo P +v ' tcate OU site plan excavatzon n9t required) SUI.p-WO�PON S��M(SAS) I ' If SAS'not located explain why_ s X ^!� �e .yy7 Type kaching galleries t unber: teaching U=ches,number,length- y(wJ o?off- leaching fields,number,dimensions: Overflow cesspool,number ` kMovativ6%herna3ive Sys= I:Y" "ne Of ieCtnl018w_ S:?Il,cocci lion o€Vegecaroa. C (note cocaition of soil sass of3sydmutae fail,level of gondin dzmp etc.): CESSPO©LS- E� � arl}Mt be p as Para of OnXl�e on site plan) ' - Number and coufigugariou: Depth-top Of iititid to icier iriv " . Depth of solids; ixgth of scrim Dimensions Of �9 Manias of co .. m�CYes or nor_ Doti Of Comments(n �Of soil,signs Of ily&ai:tic failure,tevei of pflndiz�.condition of v ��' �� PRIVY. 00cam 11+jSSe.'id 4 Of C EYR: k Dimensions. DepthOf SOS Comments condttzOn Of sort,Si?Zi5 o ft.;y*ZLUlic faittue level of pfm¢ui;,condition.7I V��eL3tI0t?,etc p S. }K loaf i t ; • - O � b � 7 I � F.. XION FORM PART C �« 1 �YMASJ r, z'` . . Zz Axe y � . �"5,,x� nil • t.����; .. At RMK� I#9,�� " y . ro _ F x aet% ' i Page 11 0€11 OFFICLAL BiSPECTION FORMI -NOT FOR VOLUNTARY AS,S MXN-fS SUBSURFACE SEWAGE MSPOSAL SYSTEM. SPE €3N FORM PART C SYSTEM INFORMATION(continued) Y Address: kx u t owner. Bate of SM EXAM $Tope.bSit SMfore wa=17 Check cellar . k F Sha33ow wells 010 z � depth to groad water 30' feet Please M icate(check)ail methods used to determine the hip g m=wager elevation: Obtained from system design plans on re=d-if checked.date of design plan reviewed: (bsrved site(abutting pro m*0bservatioa hole within 1.50 feet of SAS) Chocked with local Board of'Heal£n-� : Checked with focal excaymots,v tallem-(attach docamenta M) OF Accessed USGS dazabase-explain: You trust descnbe how you established the high ground water elevation: O S (�S V-s t .e 4K 'No:'{ THE COMMONWEALTH OF MASSACHUSETTS•• - -,•. -FEE —e-62 BOARR OF HEALTH 70LA) N OF APPLICATION FOR,DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct (" ) Repair ( ) Upgmdc ( ) Ahandon ( ) - ❑Complete System ❑Individual Components V W m k 9-3 - 3 /7- — Locall l P V li 90(A s Mm T I Z—/"LT/ 09 Lot q clepho >i ka�mt Installer's Name sign is Na Address del ss Telephone A Telephone# p Type of Building: /` &s i jDr,N r1 19 L Lot Size 90 D Sq.feet Dwelling—No. of Bedrooms Garbage Grinder PCB Other—Type of Building No.of persons /) Showers ( ), Cafeteria ( ) Other fixtures MA _ Design Flow min. required) ' 0 gpd Calculated design flow 333 gpd Design flow provided333 gpd Plan: Date 1_ -q q Number of sheets Revision Date TiticS I M PLAN 9ke.fl!'RSD FDR RWAT 85kkP- ®F LOr 6 YNkS I-AN� Description of Soil(s) Kob- 1 / NZ) Al 1 QM S / o Soil Evaluator Form No. Name of Soil Evaluator • - I-Tvaluation 7_ q DESCRIPTION OF REPAIRS OR ALTERATIONS NI� i The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. f Signed C- D tip FORM I - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 t H.' THE COMMOV E?A LTH+OF:MASSACHUSETTS, .4n-- 'Fee BOA'Rg OF, HEALTH f ,' TQL� OF APPLICATION F04 DISPOSAL SYSTEM CONSTRUCTION PERMIT ;r"i Application for a Pcrliiil tii Construct ( ) Rip nr ( ) Upradc ( ) Ahandon.'( )':- ❑Colnpl�tc Sys,�m ❑IndlvldualhComponents rt Mali/ itcel If on �o '..4'A Jres /O Lot rcicphuiy it Insallcfs Namc Design r Na ,Ts �Z� P o• l Opt 3 (Sl. u.I,M0��H,�j oa57y e r Address 5 o— „? J��s Telephone 8 Telephone If WR;r S-:� 4'... .� ., Lo 'Size OO)qy S . feet •~ Dwelling No.of Bedrooms Garbage Grinder _ Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures MA Design Flow lmin.required) 330 gpd Calculated.design flow ."3- gpd Design flow provided-333 gpd '* Plan: Date I"q — Number of sheets Revision Date Titl6 I rp- N ntj PteMRPO _ QT AffP G of 407°' 6 0AJ/rS JL Description of,Soil(s) AND S Soil Evaluator Form No.a Name of Soil Evaluator -& wW(!!L"Lj5fTvaluation i� DESCRIPTION OF REPAIRS OR�ALTERATIONS f The undersigned agrees.to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE S and further agrees not to,place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed` D Aft 1 ,;r FORMfl APPLICATION FOR DSCP . DEP APPROVED FORM 5/96 -- No. �� THE COMMONWEALTH OF MASSACHUSETTS FEE «� 4 BOARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work-*,,_ ❑ Individual Component(s) ❑Complete System The undersig(n� hereby /certify �that the Sewage/Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) by: at 0 /7 has'been"installed in accordance with!the'.provisions"of 310 CMR 15.00 (Title�5) and the approved'design plans/as-built plans relating to application No: dated approved Design Flow r (gpd) j Installer V ) _ /� Designer: Inspector Date �L/l/ ! The issuance of this certificate shall not be construed as a guarantee that th sv�stem will'function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVE�D'FORM 5/96 i No. THE COMMONW ALTH OF MASSACHUSETTS FEE ✓ e eff BOARD OF HEALTH DISPOSAU SYSTEM CONSTRUCTION PERMIT.-4b^ ;r Permission is herebyra ed o Construct �> air U grade • qd4:,i a ind vi ual sews e )� �P ) Pg ) S disposal-system at _ �r', �described' in the application for Disposal System Construction Permit No. ? ','dated' Provided: Constru ion.9h be-completed within three years of the date of this vomit. I IoF I onditions must be met. T---r V? _ 01 U > Date Board of Health / o O r f - FOR1jy2 - DS 9 ; DEP APPROVED FORM 5/96 1255 (REV-�5/961 H&W A HOBBS&WARREN PUBLISHERS PUBLISHERS- BOSTON all TOWN OF BARNSTABLE p LOCATION L io k1 L,4 SEWAGE # o y� VILLAGE Ar S � !� I!1 ASSESSOR'S MAP & LOT Z3- - 66 0 j INSTALLER'S NAME&PHONE NO. 1-S �XL%i �u Q, (L S),-w �3.�-V,?qg SEPTIC TANK CAPACITY _�S UG 6,V/c I LEACHING FACILITY: (type) l d (size) 20 1 Z?•s' / j NO.OF BEDROOMS / BUILDER OR OWNER PERMUDATE: 9 9 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist I on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by i t � 1 i r4 / 1 t teelra pf �1 i L,h2 ' Z - - f Department of Ilealtll,Safety,and Environmental Services ,oF'"�►�x,� Public Health Division 71 p� o 367 Main Shccl,Hyannis NIA 02601 nnnNstnn_,g 7 TIAC9. 1639. ti—,+ Dale Scheduled �_< �� _ Tillie Fee I'd._ d2:2, � SUIT Suitability Assess»>ent,/or Sewage Disposal n I'erli, n `�'cd Ily t 4 /(S4� zj 4-- Witnessed l•AIe-- LUCA`��IUN & GENERAL INFORMATION I,ocalion Address eZ�� (vn Ocr's Name 1hY Address Assessor's N1np/I'arccl:. lingin,cr's Namc ��C.�L NEiV CONS IIMC-IION ✓ lilil'AIR IelcphoncI! 15Cj—SAC)—3oLZ, band Use l D Slopes("/)_ d— Surface Slopes 1 ®�S✓��17;� Dislances from: Opcn\Viler Dody LA Il Possihlc Wcl Arca_* __It Thinking\Vntcr Vcll A/ A, Il Drainage 1Vay it I'roperly Line 8KE I'CI1: (Street name,(Iimensioils of lot,exact locations of(eSt holes R:pert(ests,locale„cdands in proximity to holes) +L— Parent n_alerial(geologic) �n'V x Ucpth to Bedrock Depth to Groun(hvaler. Standing Watcr in I lole: Ll pr,, oakt"tp Weeping from I'il face hslin_aled Seasonal I Iigh Groundwater I)L' 'LltriZINA' IUN:FOR SE ASUNA L 1UG"II WA'ITX{'I'AI31�L Method Use(!: Depth Observed standing in obs.hole: d0012 in. Depth to soil mottles:_l..lh in. Depth to(viceping from side crobs.hole: _ in. Groundwater Adjustment _ft. —I odex Well//— Rrnding Dale: _ _ lodex Well level — Adj. factor Adj.(iroond,valcr I,c,cl Z'.CZtCOLA'I'I(7IV `X'�;S`I' ii�ie _�"1` Observation l tole It �F ' I imc a1 T, Depth of Pere , J, l imc al G' Start Pre-sonk I imc @ L4� 4{r I imc(9"-6') — — — Gut Pre-soak Rate Min./Inch 11rn�� T, Site Suilabilily Assessment: Site Pnssc(l Site Pailcd: Additional Tcsling Needed(YIN) Original: Poblic health Divisiml Observation hole Daly To He Completed on Bacic j Copy: Applicatnt I � f�La.9& •f llEEP 013SE1ZvATION I-IOLI:LO Hole # ... Depth from Soil horizon Soil Texturc Soil Color Soil Other Surface(in.) (USDA) (MmISell) Mottling (Structure,Stones,Boulderes. Consistent °°Gravel a A IAdM st z U0_to Cz M•SA,11 W e 3 -t'''t.5w g (' 0 DEEP` I*BSERVATION HOLE LOG:' Hole.# . Depth from Soil Horizon Soil Texture Soil Color .Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulderes. Consistent %Gravel (o- 7-0 S m 0 12. N 2A-a,," lO13 F ZVAMN 110LIr LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. C nsi tent %Gravel DEEP UI3SERVATION MOLE;LOG Hole# Depth from Soil horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistent % 'ravel l Flood Insurance Rate Map. Above 500 year flood boundary No - Yes Within 500 year bounds No ✓ Yes Y boundary 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 systern? y.� If not, what is the depth of naturally occurring pervious material? Certification I-certify that on 04-U4 ,cj (date)I have passed the soil evaluator examination approved by the Department of Enviro imental Protection and that the above analysis was performed by me consistent with the required training xpertise and experience described in 310 CMR 15.017. Signature Date /,,, TOWN OF BARNSTABLE ��✓ w ' LOCATI N 6 L ill kS 4 A,)e SEWAGE # q ' ' F-y_S VILLAGE :1'76-AUN `� r I LA ASSESSOR'S MAP& L 23-0f 0 INSTALLER'S NAME&PHONE NO. ice. cite Ct L'c�.nucc+P. Y3 ,? SEPTIC TANK CAPACITY LEACHING FACIL17I'Y: (type) (size) 4-0f 'p NO.OF BEDROOMS 3 BUILDER OR OWNER PERMITDATE: /Z _ /V' 99 1 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by S At. i loo ZVI � . 13 y o 10 ,/ _ - LOT 5 J • N851441"W ' 173 54 on • ,' I' -116- / uj ' . � � �`� / LOT 6 m , a �� AREA=28,043f SF 6119 0, c• ► � l O' ,' / ''100 0 e0 5 �pE G ol X� jar• •� 0�� TP 14 TP co 0�` \ ► '' 0 ��� `s'o• SITE PLAN PLAN REF• 31511 �00 11'00 , , PREPARED FOR 0 ROBERT -BERKE DEED REF• 25491319 & 25491329 tiOF RES. ZONE.- "RF" '' _ LOT 6 LINKS LANE j91 / ,-,0�0 MARSTONS MILLS, MA FLOOD ZONE.- "C" 9� � �0 y J.E.CIVIL ENVIRONMENTAL P. E. ENVIRONMENTAL ENGINEERING � // P.O. BOX 364 WEST FALMOUTH, MA 02574 O hE'RLA Y DISTRICT.• VP" OPEN ' / � \ � _ — — _ _ — , � ' (508) 540-7733 ph. (508) 540-3022 ph. 508 540 — 3344 fax ASSESSORS MAP 83 LOT 4 & 18 SPACE i ASS.#83-4&18 DATE: Ol 03 00 ' 0' THE BENCHMARK SHALL BE SET AT THE TIME OF STAKING SCALE: 1" = 2 DRAWN BY: JDR . . ' REV.02 16 00 JDR JOB NO. 837-6 SHEET: 1 OF 2 F.F. ELEV.=116.00 ELEV.= 113_0 O'min. 4" CAST IRON OR �CONCRETE COVERS ELEV.= 111_0 SCHEDULE 40 P.V.C. 4" DIA. SCHEDULE 40 PERFORATED PLASTIC PIPE 4" CAST EDU IRON OR END CAPS ON ALL PIPES DIST.=14.1' SCHEDULE 40 P.V.C. SLP.= 0..0_2 SLP.= 0 005 5' ON CENTER 12"min A " LAYER OF INVERT DIST.=25.5' CONCRETE COVER DIST.=1 ___ WASHED STONE ELEV.= 110.00 109.7 FLOW LINE — SLP.=O.02- INVERT o"c"o"c" °v°"°�°"°�°v°�o"o"o"o"o"o"o"o o"o"o"o"o"o o"o"o"o"o"o"o"o"o"o"o ---- ELEV.=__-- 19. ELEV.= 108.7 °o°00000 °o°o°o°o°o°000°o°o°o°o°o°o°o°000°o°000°o° °o°o°o°o°000°o°oo°o°o 10" MIN. 109.47 0_0_0_0 0_o_o_o_o_o_o_o_o_o_o_o_o_o_o_o_o_o_o_o_o_ _o_o_o_o_o_o_o_o_o_o_ ELEV._____ 108. _ u 6" LAYER OF GAS e�F� ELEV.= 9 �"' ELEV.= 108.79 � °o° /a" To 1-1/2 4" CAST IRON OR 00%OuO�OvOvOvOvOvOVOVOVO�'. OOOOV VO0 000OU000C�►ASHED STONE SCHEDULE 40 P.V.C. DISTRIBUTION BOX 0, 0 0 0 0 o 0 0 0 o; o ;o ;o� 1 ono o„o 0 0„0„0� ELEV.=108.1 USE STONE A �- 1500 GALLON SEPTIC TANK TO BE WET ! TESTED IF TO LEVEL THE TO BE PLACED ON MORE THAN ONE OUTLET. 7.1± BED AS NEEDED. 6" OF STONE OR TO BE PLACED ON MECHANICALLY COMPACTED SOIL 6" OF STONE OR USE A TANK WITH THREE COVERS. MECHANICALLY COMPACTED SOIL BOTTOM OF TEST HOLE OR USCS PROBABLE WATER TABLE ELEV SOIL TEST DONE BY: J.E. LANDERS-CAULEY P.E. WITNESSED BY: EDWARD BARRY_____________ PERCOLATION RATE: 2___MIN/INCH P# 9487 TEST HOLE 1 DATE: 7 27 99_ �o�o:o�o�o�o "o�o�o�o�o� xe' sroNe _.,L_1__ ELEV._111�Q PROFILE OF DEPTH HORIZON TEXTURE COLOR MOTT. OTHER SEWAGE DISPOSAL SYSTEM 4 PERFORATED PIPES NOT TO SCALE 0"-6" O/A/E SECTION A—A 1 HEREBY ATTEETI'FIA '1-5 M a►c +Y 6"-30" B LOAM lOYR 7/4 CERTIFIED SOIL EV,AL R�� COMMONWEAL H2OF, Jp GENERAL NOTES: AND THAT I A$" ,, R SOIL TEST A :EVk 1ft1� - �sf�U E ` ' 30"-78" Cl MED. SAND lOYR 5/6 GRAVEL -'"' c-i vc1��f 1. THIS PLAN IS FOR THE CONSTRUCTION OF A NEW SEWAGE DISPOSAL SYSTEM. --------ATE 2. PLAN REFERENCE Bk 315 Pg 1 LOT 6 BARNSTABLE REG. OF DEEDS. 3. THIS PLAN IS FOR THE INSTALLATION /REPAIR OF SEPTIC SYSTEM 0� � �i . 78"-120' C2 MED. SAND 2.5Y 6/4 GRAVEL DESIGN? A: AND NOT TO BE USED FOR SURVEYING AND ZONING PURPOSES. 4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. NO H2O TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS ENC'D FOR THE SUBSURFACE DISPOSAL OF SEWAGE. NUMBER OF BEDROOMS SHgEE_13)_ 5. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN TEST HOLE 2 DATE: J27199_ ELEV._ .0___ 12" OF THE FINISHED GRADE. DEPTH HORIZON TEXTURE COLOR MOTT. OTHER GARBAGE DISPOSAL NO _(9j,_____ 6. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE NE 7 TOTAL ESTIMATED FLOW ,3Q_____ GPD . SAME, UNLESS NOTED BY FINAL CONTOURS. 0"-6" O/A/E ( 11St___ GAL/BR./DAY X �---- BR. ) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR SEPTIC TANK CAPACITY -150Q G-AL-- WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING 6"-30" B LOAM lOYR 7/4 SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING AREAS UNLESS NOTED. LEACHING AREA REQUIREMENTS 8. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED IN PLACE. 30"-60" C1 MED. SAND lOYR 5/6 GRAVEL SIDEWALL AREA Q____ GAL/S.F. 9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH BOTTOM AREA _4�Q GAL/S.F. DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 60"-120" C2 MED. SAND 2.5Y 6/4 GRAVEL LEACHING CAP.(BOT. & SIDEWALL)_ 3S3 _ GAL 10. THE EXCAVATOR/CONTRACTOR SHALL VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES PRIOR TO ANY EXCAVATION. NO H2O RESERVE LEACHING CAPACITY _333 GAL ENC'D -- APPLICANT: ROBERT BERKE DATE: O1/03/00 SHEET 2 OF 2 IJOB # 837-6 1' I 16'-0• -- ---' ._ 16'-6' \\ rrurcFnlNGUN[ \ c �IR I rrnPG L1.E NWEc oETNL l� AS1L`i� I 11• �� f �\; •t L/,� Q n a r- --- -• R P "'- _ : In 6 , 17' , 16' kcH IWO t ----- *0 WARD EILING- 1 15'-4" x 19'-7.. �' i m lM N-a LS 17, E M[W II =r6 `/ / \ 1:� O 'NEAT-N-GLO' C3 Q O •C �.. . *�. -DD L 6000 o'..i , _o a 6�. GAS MELAcc i. A p O T ExD � R I ^ ^/ -lo• LL- 6--To• 2'-o• 1_6• O "BEDROOM 2 — ---- 11' x 12'-9,1 6-� 6'-)' 7'-a• 1_11' I'-7- a x a PINE TRq ro woo0 POST 1 n_ NKT ALL 7'-o•NIcN 19 _wL 1 x 6 PME G6P - — (� _ "#( 6oxEo TR..c[nRlc I s[[sLCTWrI 6 I I l 7; d 1 DINING 17•_6-'i v Q , a i1 PR"DE 5/6'nRUDDE GIPSUY 1 12•-4•• IO'-6•' 1 I I 1T a'-1I' ..7•-a•, . 671FRC WAGE•6-rfS OKLL11.G- 1 0. Y-7- -10.-- -7.-6. 16 l,Elw-'� •Y s•-o•.r-6• .• .. _ 1. -_-_____ a1Rp 6o. 1 .. q GARAGE ENTRY 19'-4` x COV.POP, 'a�F• .;�rr,7�`� ,l A`• !1' �• i.n j. ,T ,2 �): "+.. tf i,: \.:+.'i� �� \ .l tt{ �' TO ABOVE GRADE -.,... , PROP.VENT WITH CHARCOAL FILTER FINISH GRADE OVER D-BOX= 95.0 ± FINISH GRADE OVER CHAMBERS= 93.0' - 95.0' „ GENERAL NOTES T.O.F. EL.- 01.3 t SLOPE @ 2/o MIN. OVER SYSTEM TO 1-1/2 DOUBLE WASHED o PROVIDE EXTENSION RISER REMOVABLE WATER TIGHT COVER OVER 31/4 'STONE TO CROWN OF PIPE 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION WITH COVER OVER INLET& RISER TO WITHIN 6"OF FINISHED GRADE ,V SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS ,,, „ I METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL OUTLET TO WITHIN 6"OF F.G. 2 OF 118 TO 1/2 DOUBLE WASHED FINISH GRADE � EL-! ► 5"DIA. OUTLET(S) � MIN SLOPE 1% BOX TO F.G. (SEE NOTE 21) STONE OR GEOTEXTILE FILTER FABRIC CODE AND ANY APPLICABLE LOCAL RULES. FND. EL.= '100.0 t F.G. OVER TANK 99.5 t ------- THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE � .___... ,�.. 2. ANY CHANGES TO S LA + PLACE RISERS ON ALL DESIGN ENGINEER. PROPOSED 4" 4.2'MAX. TOP OF SAS= 90.50 I „ 4.6 MAX CHAMBERS wv/PIPED i 3. ` 4 SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL SEE NOTE 23 , • •, SCH.40 PVC 4"'PVC TEE 89.50 SEE NOTE 23 INLETS TO WIITHlN 6" SYSTEM UNLESS OTHERWISE NOTED. BREAKOUT EL= 90.00 Lt _L 1'1!° - --_.,_.' Lw_ F INISHEDI GRADE SEWER PIPE O F s , 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 6„ 3„ 3 DROP MAX 3„ g„ L_54 f ELEVATION=90.00 FOR A DISTANCE OF IV AROUND THE PERIMETER OF THE SAS. UNLESS A _. 2 DROP MIN Mw.s�o ��% PROVIDE WATERTIGHT o T k, „ 11-�-JOINTS(TYR) � 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF I 13' ' , a 4 PVC IN FROM �y -� �' THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. iE 14,i SEPTIC TANK 4 PVC OUT TO 0 o CI-0 LEACHING FACILITY (-} �-`I o o 1-] f--'1 O 5• SLOPE ALL SOLID PIPE AT 1.0°l0 MINIMUM. CONTRACTOR TO PROVIDE i oa 0 i t I 1-I 1 SPECIFIED DROP BETWEEN ( 12" �� 00 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. INLET AND OUTLET a CONTRACTOR CONTRACTOR SHALL ( + 2' o 0 0 ,0 p I OUTLET TEE 89.80 MIN. 89.63 oo 0- 0 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK I SHALL VERIFY SIZE 48 VERIFY CONDITION OF EXISTING TEES °° o �`�---� o� FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION.'SYSTEM IS AND CONDITION OF ( GAS BAFFLE 6 CRUSHED STONE t 1 o EXISTING SEPTIC AND REPLACE AS k a °° o NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH , OVER MECHANICALLY o TANK NECESSARY COMPACTED BASE I 4.83` AND DESIGN ENGINEER. BENCHMARK ELEVATION SHOWN € 4.0' 8.5'{TYP) --� 4A' 4 0' 40' ' 5 OUTLET DISTRIBUTION BOX 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. SEE B INSTALLED ON A LEVEL STABLE 25 0` P) ON PLAN. BASE. FIRST TWO FEET OF OUTLET , GROUND WATER ELEV.= < 8 1.00' 87.50 12.$3' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PIPES TO BE LAID LEVEL. THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT - 5 MIN. CHAMBER END 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES EXISTING 1500 GALLON CONCRETE SEPTIC TANK S SECTION VIEW 4 2 50a GALLON! CHAMBERS - _. n, :. CROS ICI{`/�_{/y� CHAMBER PROFILE _ �: � � � TO THE DESIGN ENGINEER. „<•f'.R ,'. >.. e � 1.���.ci-. .. b._ a.., f"a _ +� : TYPICAL i t`.JY iL 'V# it ii✓tL-. CHAMBER *'.*,: - DETAILS ._ ._ .. ,�. .. .. DISTRIBUTION .� l � ES SHALL BE MADE WATERTIGHT. r , :V�:TICJ� 1, P TI N Y ��,, y�o PT TANK PROFILE HI L �ry NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC.STRUCTURES r t . . PPE NOT TO SCALE NOT TO SCALE _ - �- .. _ _.__,. _ ---_u_ �.I�_aIII• � ,..�,.�I.#�.�,, IF .,.,ifr, .... .Iv,aT - � _A. i 1. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING FROM OBTAIN SUCH DETERM INATION RO �°- REGULATIONS. OWNER/APPLtCANT IS TO OB TEST T REGULA S - - APPROPRIATE AUTHORITY. PERC NO. TPT 21 266 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED INSPECTOR: David W. Stanton „� a UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT,DRIVES,OR / EVALUATOR: Michael Pimentel, EIT, CSE MAP 83 TRAVELED WAYS iN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. a. ' C.S.E.APPROVAL DATE: Oct. 27, 1999 LOT 18-02 P ,r. 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. 1 K DATE: September 28,2021 �� 14. WHERE REQUIRED CONTRACTOR SHALL REMOVE ALL LOAM,SUBSOIL AND UNSUITABLE .. s TEST PIT#: 1 { i � �; MATERIAL IN AREA BENEATH AND FOR 5 FT.ON ALL SIDES OF LEACHING FACILITY. 173.54 '`` REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, ' y , N ELEV TOP 93.00 berg / ' 1 N85° 14' � ��' � FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). , 49'W .. �� ELEV WATER- Ca a Od `� 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN I!2 ' ► .a. ! � -'' PERC RATE SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. � J�Ir rt !' v / � 1 ��.t,f I �, ���till ,�.t,� �w_ t ', ("`; , �`. .. I,...,,r . .. _. � o . - 16. PROPOSED PROJECT IS LOCATED WITHIN. C_ � � DEPTH OF PERC= .%.fir ' ;� ASSESSOR'S MAP 83 LOT 18-03 / // �• ,, g4� / / r" ,` , r TEXTURAL CLASS. f `" >=� .� .'` ' �� • rr� OWNER OF RECORD: DONALD&MARGARET TREIMANN MAP 83 ,_ !J/ LOT 18-03 If 'y ' F7 ' Qd y ✓! f., 28,043±S.F. of 93.00 ADDRESS: 20 LfNKS LANE LOCUS► Fill / _b_' �R �, • 18" 91.50' 'MARSTONSMILLS, MA 02648 j'� / t 770 B Loamy Sand //' / �` ,� / ,��---•, , ;' '' ° � FEMA FLOOD ZONE X 10Yr5/6 COMMUNITY PANEL# 25001CO541J 90 / (gb / / err_-----•.,� / �, ,,:_ �- ,// � �i.{ , 17. DEED REFERENCE: BOOK 16046, PAGE 344 s / S' TP 1 Ile 18. PLAN REFERENCE: PLAN BOOK 541,PAGE 96 / / , / �,� \ - L1 • 93x0/ / :1C _ �. - �'' 19. ALL DISTURBED AREAS SHALL'BE RESTORED TO ORIGINAL CONDITION. / 9 / / �./ a :. ... -:. / � Y / USED ONLY� N IS TO BE US O. . THIS PLAN `� ONLY APPROX IMATE. T S{, PROPERTY R LINE INFORMATION IS L h 44 _.� 20. O E TY i . .. > LIABILITY 5 ME ANY L A / � P JC ENGINEERI NG WILL NOT AS U ,2� ,� ` ""�. .. FOR SEPTIC SYSTEM UPGRADE.r THAN ITS INTENDED PURPOSE. FOR USES OF THIS PLAN OTHER w Sand ( � ,, � Med. to Coarse , ✓' # 0 rr , G , ,O . T A I POSITION O / EXISTING 2.5Y 616 21.- A 4 PERFORATED SCH.40 PVC PIPE SHALL BE PLACED IN AVERT CAL , r �1 ; i ,- . a , . _ . FINISH_ DE. A IN OF RA / �` ,/ `' � _ _ �r � �� ;. 1 20% ravel BOTTOM OF THE SAND EXTEND TO 3G A / / / , ,�-.� ;; . � � :�� >..� .. Ic ,, .,a ( 5- gravel) DEPTH OF THE 80 O SA �; �- REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. / 2> (►� / I V-/ DWELLING a / p0 ",,f i / � ./ / / ;• 4 CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL �O 1 F- I ! 22. OWNER/APPLICANT!CONTRAC O TLC. 'I01,�t 4 1 REQUIRED PER MITS AND AP PROVALS FOR THIS PROJECT. g M LOCUS PLAN a a. 23, IN ACCORDANCE WITH 310 CMR 15.401 -15.405,THE FOLLOWING LOCAL UPGRADE A RE VESTED FROM 310 CMR 15.221 r ! �, MAP 83 � SCALE. 1 1000 � APPROVALS RE Q � � � 5 ,` 144" oa � A , Gp. t j °, t LOT 4 81.00' / ( {1.) A 1.2,WAIVER (3.0 •-4.2)FOR THE MAXIMUM COVER OVER THE H 20 D-BOX. 1 i I Weeping Observed (2.) A 1.5'WAIVER(3.0'-4.5) FOR THE MAXIMUM COVER OVER THE H-20 SAS. No Mottling, Standing or eep ng I' ,; SIGN DATA 420 TEST PIT DATA LEGEND `"SCH.40 PVC VENT \ \ ( PERC NO. TPT-21-266 PROPOSED 4 1 \ 50x0' EXISTING SPOT GRADE EXACT LOCATION PER OWNER ' INSPECTOR: David W.Stanton(BOH) PROD. ' NUMBER OF BEDROOMS(EXISTING) 3 ' H-20 1 y � ' 110 ROOM EVALUATOR: Michael Pimentel,EIT,CSE - - 50 - - EXISTING CONTOUR PROPOSED TWO(2)500 „D-$OX" ' DESIGN FLOW GAUDAYBED GALLON H-20 LEACHINGct.27, 1999 C.S.E.C.S.E:APPROVAL DATE: Y 50 PROPOSED CONTOUR UDA CHAMBERS wl STONE TOTAL DESIGN FLOW 330 GA DATE: September 28,`2021 0 50 PROPOSED SPOT GRADE � EXISTING L Ia�!�I�-lI'.�:� I* ��l.D ,� 1 DESIGN FLAW x 200 to = 660 GAUDAY TEST PIT 2 ^ y i .-..._..- ....� ...-...-.-.....�.a.. { �` Benchmark 1 S�0° USE EXISTING 1,500 GALLON SEPTIC TANK ELEV TOP= 93.00 CAS EXISTING GAS LINE . .1S r k7ttN i CA. ,�'Ll _J Comer of Arc slab 13'4ory SWING-TIES SCALE: "=20' g 84 E ELEV WATER= <81,00' Elev. = 100.00' 1 � _ E,r�T}`C _ EXISTING OVERHEAD UTILITIES Approx. M.S.L. - DESCRIPTION HC-1 HC-2 ' PERC RATE= <2min./inch* ,� 1 ' _...�. _. - 4, 1`J EXISTING WATER LINE MAP 83 CORNER OF STONE(1) 64.8' 90.3' INSTALL 2 500 GAL. CHAMBERS W/ STONE DEPTH OF PERC= C soil LOT 4 TEST PIT LOCATION CORNER OF STONE(2) 76.4' 99.7 SIDEWAL CAPACITY TEXTURAL CLASS: 1 (LENGTH + WIDTH) (2 SIDES) (Z HIGH) (0.74 GPD/S.F.) = GAUDAY t CORNER OF STONE(3) 70.6 84.0' EXISTING 1,500 GALLON SEPTIC TANK (25.0'+ 12.83')(2) (T) (0.74 GPD/S.F.) =112.0 GAUDAY jo .�.._ CORNER OF STONE{4) 57.T 73.3 --- 0,i 93.00' PROPOSED C SOLID SCHEDULE 40 PVC PIPE BOTTOM CAPACITY Fill (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAUDAY 18" 91.50' PROPOSED H-20 DISTRIBUTION BOX (25.0'x 12.83') (0.74 GPD/S.F.) = 237.4 GALIDAY B Loamy Sand 10Yr 5/6> 4 PROPOSED 500 GALLON H-20 LEACHING CHAMBER TOTALS: 42 89.50! � 2 TOTAL NUMBER OF CHAMBERS REV. DATE BY APP`D. DESCRIPTION TOTAL LEACHING AREA 472.2 SQ.FT. p T UPGRADE _ - TOTAL LEACHING CAPACITY 349.4 GAL./DAY PROPOSED SEPTIC SYSTEM EM ., PREPARED FOR: ``� ,, '' Med.t2:5 Coarse Sand ROBERT B. OUR CO., INC. NOTES: (15-20%grav+el) 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF 4) HC-2 O LOCATED AT EACH SEPTIC SYSTEM COMPONENT. ro• G 20 LINKS LANE 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE #�` 0 MARSTONS MILLS, MA 02648 T PIT O PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TES EXISTING ER AND LOCAL BOARD OF DATA SHOWN ON THIS PLAN. REPORT TO ENGINE 2 3-EICRt ?v"= ( � ,� ,.` 144'" $1.00' SCALE: 1 INCH = 20 FT. DATE: OCTOBER 5,2021 ? ; 6 10 20 40 80 F1=Er HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. C}Wi*LLIICi •8 1 No Mottling, Standing or Weeping ObservedK IN A MASS DEP ZONE 11 PREPARED BY: 3.)ENTIRE PROPERTY IS LOCATED WITH , JOHN L GROUNDWATER PROTECTION OVERLAY DISTRICT AND THE ESTUARINE ' tIIG1 RESERVED FOR BOARD OF HEALTH USE *PerC rate taken#rom original permit file U �u HI JR N JC ENGINEERING, INC. WATERSHEDS. with the Barnstable Board of Hearth records. No- IW7 2854 CRANBERRY HIGHWAY 4. SWING TIES SHOWN ON THIS PLAN ARE PROVIDED ONLY AS A COURTESY EAST WAREHAM, MA 02538 FOR THE INSTALLER.- INSTALLER SHALL VERIFY SWING TIE MEASUREMENTS IN THE PRIOR TO INSTALLING THE SYSTEM. CONTRACTOR SHALL PLAN SITE 508273.0377 NOTIFY ENGINEER IF MEASUREMENTS APPEAR TO BE INCORRECT. SCALE: 1"=20' Drawn By.,MCP Designed By:MCP � Checked By:JLC JOB No.5906 i - - -----