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HomeMy WebLinkAbout0011 MINTON LANE - Health 11 Minton Lane --- _ _ Marstons Mills A= 174 033 r Town of Barnstable P# ' Departitnent of Regulatory.services "WisfrAerr r Public Health Division Date J Ay 61 2-0 2-MA 200 Main Street,Hyannis MA 02601 Date Scheduled Time�� )Fee Pd. ,coil Suitabilltv .Assessment for ►fie e Lisp®sal � 0. Performed By:�Q I ®- lJ ��/ lir�►� Witnessed By: V - a LOCATION&GENERAL INFORMATION Location Address i 1 44sh ! _ l e Owner's Name r S - Address t( lMlVlhd� Gh [7q- l3 3 -ants Assessor's Map/Parcel: Engineer's Name , / 1��1 d!�Q �'d✓ 1�1a a,rr ' v NEW CONST�RUnCGPIONQ r/�[ REPAIR Telephone# !'�C Land Use: 1 /IG1 QY1I`f `Z C Slopes(`�) 0 Surface Stoaes O Distances from: Open Water Body P`�oo � it possible Wet.Area j 6 0 + ft Drinking Water Well f[ 57O f Dcai'na /� _ ge K'sY ft property Une 6 ft Other ft y� SKETCH:(Street name,dimensions of lot,exact locations of test holes&Pere tests,locate wetlands tin proximity to holes) l- � TP-1 11 s 2g f 'C QP �c3; Parent material(geologic) PYtdg CI°-1I otl+ +5 h Depth to Bedrock h 0 he Depth to Groundwater. Standing Water in Hole: �0 n Weeping from Pit Face Estimated Seasonal Hlgh Oroundwater DETEMMINATION FOR SEASONAL HIGH WATER TABLE Method Used: yhoi't't 1 110 Depth Observed standing in obs.hole: In, Depth to soll mottles:In o ne cif t 3$ In 1 h T P-Z Depth to weeping from side of obs.hole, In. Groundwater Adjustment B. Index Well# Reading Date: Index Well loyal _ Adj.factor— Adj.Groundwater Level , Observation PERCOLATION TEST pate 7 t l 11-zT�e t t A n i ' Hole# - Time at 9" —Al9 _ Depth of Pere .70 t h Time at G. k/ Start Pre-soak Time @ 11d ` 60 Time(9" Bud Pre soak Y i• —D d Rate Min./Iuch 2_m P I Site Suitability Assessment: Sitc Passed Sitq Failed: N Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back---------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Consefvation Division at least one(1)week prior to beginning. Q:1S EPTICIPERCFO RM.D O C DEEP•OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Still Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders, i tcn'y.96't,ravel) 0 —� �1LL /� ha, coyr►t to r� 4/z Loewy S,4y4 (o� z 5/6 I t s e ed �i o4 IO��R (o a tI Leo 5 Q DEEP OBSERVATION HOLE LOG Hole 2 Depth from Sall Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, - onsis en, '%Orave 0 -6 PI L G �� nd I Loq," to - Z Nvme PrAle 6 LO-1 vn Sync J.0 Yk 5l0 - t' Leo se . -1�8 Fled '�r MR &A h LOOS E DEEP OBSERVATION HOLE LOG Hole# Depth from Sol[Horizon Soil Texture Soil Color Soil Other' Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. con5i5tracy,%(IrAyrn DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stotte9;Boulders, Consistency. y Flood Insurance Rate Map: --- Above 500 year flood boundary No— Yes Within 500 year boundary No V Yes Within 100 year flood boundary Nay Vds Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? e,5 _ If not,what is the depth of naturally occurring pervious material? Certification I certify that on�ay 7 (date)I have passed the soil evaluator examination approved by t Department of Environmental Protection and that the above analysis was performed by me co �Jitibq the required training,expertise and experience described in 10 CMR 15.017. o`'� DAUID ssgc�G �-61 Tom\ lG Z D: -4 Signature Date y `� COUGHANOWR `� top 0�4/CENS�p 0� • � FVAI.�P� Q:\S.RPT1C\PRRCr0RM.D0C TOWN OF BARNSTABLE LOCATION 11 /�I��1�(�tn Lave. SEWAGE# 'Zfl 1a-Z 3q VILLAGE/f�3-ton5 Al s ASSESSOR'S MAP&PARCEL LOf R 6 INSTALLER'S NAME&PHONE NO e.LC, . 6W477-n77 SEPTIC TANK CAPACITY /00 Gal LEACHING FACILITY:(type)aQ ARG 3E,HC., i H-d0 (size)X'X /*,37�( NO.OF BEDROOMS 3 OWNER re_ G, SS PERMIT DATE: COMPLIANCE DATE: /oZ Separation Distance Between the: A-V f�` Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility e nlk~�Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) ✓tom Feet Edge of Wetland,and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY C A. e,,�a'C- Cwf 'Q' 'WS LUL (e - A O� 13-4=46 r 6 No. Fee 00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS application for Disposal 6pstem Construction permit Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. f_1 L tj 14 fz,( Owner's Name,Address,and Tel.No. LOR&TrA Ross i Assessor's Map/Parcel 1 '7 33 i t ix a'_ Installer's Name,Address,and Tel.No.509-417°-$9T`7 Designer's Name,Address,and Tel.No. 506Y -Cfft (tAtORAAPE GA/1ZW9919i67S "C Gev -Ter<4 rs- J tL2oN , . . v Type of Building: Dwelling No.of Bedrooms _Lot Size 4:3 i fybU"sq.ft. Garbage Grinder( ) Other Type of Building Rt=S`DajTi No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided ��5 c v-L gpd Plan Date ZJ U(,�i 17, a8 i - Number of sheets I Revision Date Title—it i t M wToo LA06 MAFZSTZ>tJS WILLS Size of Septic Tank l.y 00 " 00 Type of S.A.S. Description of Soil TL:3 10tr 44I &U-M 5AWID 4_404 "IZZT PIT#0, Pe SAV C_ C" 5di pOW Nature of Repairs or Alterations(Answer when applicable) USE L4%15TIK.,(, 10M C , S*YTIG -rXWV- bo Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of alth. Signed Date '7 a D 1 a-- Application Approved by Kc, Date Application Disapproved by Date for the following reasons Permit No. '�-0 �3 Date Issued 7-2 Y!a v 12 - - - f Of 00 ' No. Fee t .r-r �» Entered in computer: THE COMMONWEALTH OF MASSACHUSETTS Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 4plitation for Dispsal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) ❑Complete System Vndividual Components T Location Address or Lot No. I I Phi N)IVO 4.&) AW Owner's Name,Address,and Tel.No. L0ik&7- 4 RvsS i Assessor's Map/Parcel 1 '7413.3 Ijut hm$jAqs Installer's Name,Address,and Tel.No.5 pg-4* 1_a g-r-j Designer's Name,Address,and Tel.No. C14d"(Ps u.0 CCv--Tcu4 GAjk/taoNAI&_ib+1_ Type of Building: Dwelling No.of Bedrooms - Lot Size ''//-- 4-,� "�3 E 660" sq.ft. Garbage Grinder( ) Other Type of Building P eK j l>&xj 7t A.( No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) Jan gpd Design flow provided - 35 S e gpd Plan Date ZS U(N l 7. a01 Z Number of sheets Revision Date Title U to wToi110E JM, 4PSTZ>IU S W 11-LS Size of Septic Tank o p(:) "L&�Ogj Type of S.A.S. Description of Soil '1'(-ST Q(r # +_ Sl4Q1n H '1p�T p,T' Nature of Repairs or Alterations(Answer when applicable) USE ('%1 STtju[-g 10M C-044--St!TiC, -m4)V_ 1-0 If' Date last inspected: Agreement: i i 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 alth. Signed Date 01 1.. Application Approved by Date Application Disapproved by Date for the following reasons j Permit A 0 1 Date Issued -7_2 Y-2 0/2 - - - -- - _ -- - - --• :- - - - -- ------- _ - - :----------- 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 CAMAJ iDS; 811rm(A(ISC at 11 A4 f N7t)(AN l�-W'M IUs K{i LLC has been constructed in accordance I� with the provisions of Title 5 and the for Disposal System Construction Permit No. 2 -2 3!dated 7- 2 y - I Installer 0-14 PA.uaG f1N2weg l< (•,L e_ Designer 6C 4_ T&:n( #bedrooms _� Approved design flow 33i] gpd The issuance of this permit shall not be construed as a guarantee that the system wi 77S oDate Z:9- �,. Inspector .In . .-------------- -- ----------------------------------------- ---- ----------- - --------------------------- ------------------- No. U(� -2 3 / Fee /Ou - THE COMMONWEALTH OF MASSACHUSETTS - PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS misposal *pstrm* construction 'pefmit Permission is hereby granted to Construct( ) Repair( A Upgrade( ) Abandon( ) System located at It 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 mus be completed within three years of the date of this permit. Date Approved by Town'of Barnstable oF1MME� Regulatory Services ti Thomas F. Geiler, Director MA&& •` Public Health Division v�Ar Thomas McKean, Director fD MA'S 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: ��'Z§�'1-012-- Sewage Permit# 201a-2 Assessor'sMap/Parcel (7q ^33 Installer & Designer Certification Form Designer: TN U; 4 b• �DU��/NOwr Installer: �Q��rc� �✓L'�P�'Q�iS�'� Address: �3 rr 0 n6 e fdf Address: 'f o (,2`,x 7(,� ,ncl9cnrr"cU► , � 02S63 026%-L_ On /- 4 .("L C VeW-4 C_h,bPk� Ses was issued a permit to install a (date) (installer) septic system at NA ,n 'h �_Ct �1(f based on a design drawn by (address) l 00004 Wr ZS dated :��IY � 7� �0 12. (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major 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. Stripout (if requir i ected and the soils were found satisfactory. ��N OF mIq �` sq DAVID cyG� o D. COUGHANOWR n (In 0 er's Signat ) No. 1093 S T e.FR O SgNI TAR�P� (Designer's Signature) (Affix Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. 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. gAoffice fonnsWesignercertification form.doc . TOWN OF BARNSTABLE LOCATION �� /-/'1Ne- SEWAGE # o' 6� VILLAGE— ASSESSOR'S MAP& LOT -4 INSTAL &PHONE NO. INSTALLER'S NAME SEPTIC TANK CAPACITY 4 ao LEACHING FACILITY: (type) L-f (size) Cam( NO.OF BEDROOMS BUILDER OR OWNER ' M PERMIT DATE: dL - 1 i - ! _COMPLIANCE DATE: 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 30 - 32 yi" yv y l; 30 TOWN OF BARNSTABLE,�ss�s Y LOCH i ION SEWAGE # Vlb,AGE ( ' -- ASSESSOR'S MAP &LOT D INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY I ©o0 L��� W 3`.St eve LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER R + PERMITDATE: I'J i t - 1 _COMPLIANCE DATE: 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 "4 �P 31, yi yv Diu' 30 t i No. /�s �J r Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: V Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,, MASSACHUSETTS /q/�A Zo, plicatton for 3Di9;po!6a1 *pftem Congtructton Vermtt Application for a Permit to Construct( )Repair(j Upgrade( )Abandon( ) ❑Complete System ❑Individual Components /(A Location Address or Lot No. 10 A Owner's Name,Address and Tel.No. . Assessor's Map/Parcel ]� 0 QCZA, f V '�A rtp— \ i �Jrl Installer's Name,A�d7dress,,and Tel.No. s an e. o. Af6 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow -330 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil 'Per a ✓ Nature of Repairs or Alterations(Answer when applicable) 1.h AO I f'e GL/'e o— !— 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 Environme tal Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Boo,Wd H)lth. Signed ,J Date Application Approved by Date. Application Disapproved for theYbllow14 reasons Permit No. Date Issued its n. 4. 3 � k No. .�ltu !} Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes j` PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS Z.,01tplication for Mioozal *pgtem Conztruction Permit Application for a Permit to Construct( )Repair(V lUpgrade( )Abandon( ) O Complete System 0 Individual Components Location Address or Lot No. +p^�' a(P 0'1 t n 0 y-� FAfLp Owner's Name,Address and Tel.No. Assessor's Map/Parcel I,a►-tz. a r Installer's Name,Address,and Tel.No. usrgner's-NM A"red ss and d "Te. o. Fu Type of Building: Dwelling No.of Bedrooms v Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow hJ3o gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. j Description of Soil ye d' A 14N Nature of Repairs or Alterations(Answer when applicable) -L h3 �A j� �P S e�dt a lr'Lt. /o o IJ 3 ' 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 Environme tal Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Boaj d H lth. ! Signed Date Application Approved by Date Application Disapproved for the olloA reasons Permit No. Date Issued ---------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS 1 (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired(✓f Upgraded( ) Abandoned( )by D at /2 ) A has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. _/ dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system function as designed. Date Inspector - ZZ40 —————/——l———————————————————————————————— No. G��'/ Fee /763 { THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mi5po5ar *p5tem Construction Permit Permission is hereby granted to Construct( )Repair( �pgrade( )Abap4gn System located at 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: Approved by 1 { i i zoN� � N Sv FloA/ GE qcj 9 ° • N � 1 CN 0 1 IT v o '✓� ,� ,) OF l . A , -�N 2 23d, 0 / q N o ORSE ti .o p N .� 0 L.o T 2-7 hoc 21 S T E • L E G E N oNAL Ea6 EXISTING SPOT ELEVATION OxO �i � !4,a CERTIFIED PLOT PLAN EXISTING CONTOUR --- 0 --- /�`�/ '�:k�>:�a. L07 Z Mi��7d i !Ais/F_ FINISHED SPOT ELEVATION ; ROSERT F"+ FINISHED CONTOUR 0 a ELUREU y IN APPROVED BOARD OF HEALTH 'J� /f\,�No suRy�iy ,/ a kl ST ` S i 2,M ASS* DATE AGENT SCALE, I n `�� DATEIrL CR�"EN/gRIE� DREDGE ENGINEER/NG CO. IN CLIENT._......_ I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JOB N0.83n9 BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS DR BY� �I'�' ENGINEER RV Y OF BARNSTABLE MAS;lj n 712 MAIN STREET. CH. 8Ya HYANNIS, MASS• SHEET- OF Z D TE REG. LAND SURVEYOR Ld`CAT10 SEWAGE PERMIT NO. V L L A C E INSTA LE 'S MAAA A ADDRESS R U I L D E R 0 OWNER DATE PERMIT IS UE DATE COMPLIANCE ISSUED /�4�� �.. W . .` � �_ � � � �� r _,c� I� No....................... Fmc ........... -rHr—, COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . .............[0-P.1. .......OF................ ............... Appliratiou for Uispaoal Works Tomitrurtion Prrutit Application is hereby made for a Permit to Construct or Repair an Individual Sewage DisposPl System at: — ..............................................'/....0../................. V......... ........4:2� -...................... ----- Locat*pn Address r Lot No. ......................................... 6 ...- Owner ................................ Address ............................. �; ........... - ----------------------.-.-..-.-- s. Installer Address Type of Building Size Lot...q1ijk0_0...Sq. feet oms............ Garbage Grinder Old)— U Dwelling—No. of Bedrooms____________ __..........................Expansion Attic '_l P4 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures ...................................................................................................................................................... Design Flow......................57,r............gallons per person per day. Total daily flow...............I.T.0..............gallons. 1:4 Septic Tank—Liquid capacity-1.0-0-Lgallons Length................ Width................ Diameter-.--..-.-------- Depth................ 14 Disposal Trench—No. .................... Width.................... Total Length............_._..... Total leaching area......-------------sq. f t. I Seepage Pit No----------------_-- Diameter.................... Depth below inlet.............._.._.. Total leaching area..................sq. f t. 1ZOther Distribution box Dosing tank ( ) ­4 'C Percolation Test Results Performed by------------------------I .................... Date---------S Test Pit No. 1_*;e.5�!�ninutes per inch Depth of test i4t *. Depth to ground water.......-.-..__Z� Test Pit No. 2. /W11,winutes per inch Depth of Test Pit------------------- Depth to ground water........................ .............................................. ....... _/--------------------------------------- 0 Description of Soil ' ---------:3 ............................................................S-ef...........T................ ........ .......... U ..........................................................................................�.. .......r 'e........ Y............................. ................................................ ............................................................................. ............. 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 TL I'L TIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board 6oheal.th......... .. .... ..... Signed.............. 1110-------------- Date Application Approved By................... --------- ...... ......_- - Date Application Disapproved for the following reasons:............................................................................................................... ......................................................................................................................................................................................................... Date PermitIssued...................................................... Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A- m /- J -IL DATA -r-1 No....ql................... FEB .......... _THF_ COMMONWEALTH OF MASSACHUSETTS BOARD OF 'HEALTH H_.!_ - 171 OF................. ", k. "4.1; — ........... -------.............. ........:...... ........................­......................... Appliration for Uispaaal Works -Towitrurtion Famit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: Ile ..............................................—11LI......................... ............ ........ ..............04��(..... .......... ......................................... ........................................L.o..c.a,.,t.j.on.. Address � ............. or Lot No. . i,: ..... �n............A .......................al Lr.-1........../.................................... Owner Address ........................................................................ ............................................. ........ .................................... Installer �Xddress Type of Building Size Lot..L ...Sq. feet Dwelling—No. of Bedrooms...............2...........................Expansion Attic (ram)-- Garbage Grinder (Au)~ Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Other fixtures Design Flow......................s..-e ..............gallons per person per day. Total daily flow................. -------_--------gallons. Septic Tank—Liquid capacity.i.!.!.!�!.gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—�o..................... Width....._._....._..._.. Total Length............_._..... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Other Distribution box Dosing tank C .... Percolation Test Results Performed by......................... .................... .. Date.......... ........................1.4 Test Pit No. I.... !:J�*Atninutes per inch Depth of Test Pit_-_--_.'.._.....__.. Depth to ground water--------------- Test Pit No. 2. minutes per inch Depth of Test Pit ......L!n. Depth to ground water........................ -------------------------------------i�................. ...................................................................................... ip ti f Sil 0 Descron oo .......................I...................................................................... .................. ....................... ............. U ...................................................... ... --f..................;.....................................;,*,*............*--------------- ........................ q?- ............................................................................. -------------------------- ................................... U Nature of Repairs or Alterations—Answer when applicable...........:.................................................................................... _1 ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I T112 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of,health. fr Signed................. ......................... .......................... Date Application Approved By.................... . ........................... ------- Date Application Disapproved for the following reasons:........ p .................................................................................------------------ ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............... OF.......... ............;..................................... Tatifiratr of Tomplitturr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (mote or Repaired V by-----------------------------------:1... ......."---I :—,A r") / , 1i7 -----------i......F.;... ----�T..../Z................................................................. llnsltaffer lzv/ at.................................................41.. ............................................................................................................................... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the .---Y/..a application for Disposal Works Construction Permit No..__...Q.Y - ........ dated------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTO)tY. DATE.............................................. Z,; a........... Inspector..........&1_11�.......................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF.............. FEE...... No...... .................. Disposal Works Tonotrurtion "jnmit,2 Permission is hereby granted_______________._._.._.. L. -----------1.7­... ......................................................../ to Construct � or Repair an Individual"S'ewage Disposal System A;r �7 at No............................................r-------7.......—J�........... ..........I............. ......................e..................... .....L........ Street as shown on the application for Disposal Works Construction Permit No..................... Dated............_.............._._............ o. .................. ..................................................................... Board of Health DATE--------------- ................................................................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS - - • 4 tad r1 T x R 1 NOTE %sue.girX�R 77/f:SfP AAlosC LE.4CK/�o/G .F'/T �OFd� MORE THI!}1/ �'° �OJW •r,MA Vfir,A .J4 V1 A4 J=E 7 M C'B1yG'Re�T� COYWIP SHALL &A: ,9JW04lSAI7* TO 4 JTADE.q.A V A.. aF •q'oYC P/PE t►E�4Yy Cam+S T/RON C o✓LgR Sisri4 L L �.€.USZ EL lO./ YE/ -� CORS M/N. P/YCN !F/N DR/VEWAY • — O, `gptr CoYER CLEAN -SA/VO _ eACICF!LL. — L1QL//O L EVFL � 2'LAYER �r t4flN..PlYG'/d G.•iL. s • • • • •• • a • WASH" 5300 CNE' • DIST. t 4�P it/"T. SUE-P -/C Tip t4//� o e s • e • • • • • • o s a e / ` Bay Or f D.v lY�4SI��F 3'T�h� j, o , • s o • e ®°s � oo • 2Z-6 X z.r=_ 56s •�oo s e o s o s s • I, • PREI 4.5 YSE.w w, E. b. &7 8 q4L/PAY m o • • o o 'a o • • s a .m P/7 OR MU01 - lNY. 98 D FY. 3; - �7:�is�M. lXLET. '::T��IK. 978 Py' 4W7ZeT SEPrIC TANK 97 A Fr - /AILET DI�TR'l�IT/®!d SOX 74 �p GROUND•Ill�'E� T�Lg , - D�ZETD�STRI,®�dT/®!4f�C1X 9 7.z .5'ECT"/®N OF . lNd�r LE�BCIs!/AEG f�/T 97.0 F SEWA 6"= VISAOSAL S�.S7"&�! "�,/�WLAT1®1V I-EACHIlVa P/T D1j%fEN.Y/®AI A 3 �- DRS15Ar CNITERIA ssA�E : %` _ /�.oP —I-T- wu.�sE.� aF�ELaRa�s •3 .moaP��S'I®!� G 4' RT: M Al - �a.gaAG,CAP/.SPo�SL IJiylr AI0A,1E SO/dC. LOG ?"��T TOTAL E•Srm, 4nco FLAK/ 3 3 o G,44.1,4A r . SOIL. TEST AI SO/L 7i�ST02 NUMBER.OF Z.-ACNI G P/TS 99.9 T/ 4 2� f HS/DZ LPACHlN6 PER IP/T 3 / XESUL.TS v7 Gir- ov z: eorroi+r�ee�/wG ,a�R Pir / 3 Ld� Hr &_ �e-s.s so. ,r. P�/�CCdRT/ON R'.�Ti / TOYA[ L.E4CX//vG AREA 3 s fT. _4- FWA'C0��•"/GA/RA J 2 T ���'fl1V J111/C/I 4. en• .QESERVE LE.4C'N/N6 AREA 3 3 Sq, tt T. t .` OF t•s , of fi�/E s��U LOT 2 M/n/TO h( ROBE 9G BRUCE s� ALB �X T/Z/l i ELDRE H o RSE n �L 0 RED 64F ENGI/V,WIFING 07,IMC i 7tZ MAIN .ST.� NYANNIS, MASS- - - T O 9 GISTS '�D so" ��FSS/ONA�E�G Q NGCrf{OUNt7 YYA�R ENc04/NTER.cO Ct/ENG2�Cn/6R/E�2 _Zr!D�t ��,: f� G/ToUVO i-VA &W JOB Nro: 83 z-� EgT_zo�' Z - s ACAS .. / 5 ci G 9 �„ Loa z�H \' �A o p G -41 IT t -�- ••t ZH OF M o OF ti .off pN .�Vg51�O LJ T Z7 LEGEN F�S�ONAL���\ EXISTING- SPOT ELEVATION OxO 'A OFF, CERTIFIED PLOT cPLAN EXOSTINA CONTOUR --- 0 -- LvT z 1j V7d1V L11N� FINISHED SPOT ELEVATION � �� ROEU ,�,.� Cff7A/T*E-1(,VIZ Z FINISHED CONTOUR ® EWREQ % IN aPPRovEO + BOARD OF HEALTH � `su ��'�'..�i�lo.��. .��5�� DAT E AGENT SCALE+ I"- `/o ' DATE+ ( ZI €-0- 4XREDGE ENGINEERING CO. NO ''F. CLIENT.' I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JOB N0.83 Z BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS DR.®Y ENG NEER RV OF SARNSTABLE , MAS n 712 MAIN STREET' CH. " ` HYANN I S, MASS. .. SHEET,. 0F 2 0 TE REG. LAND SURVEYOR Nor M/D TO s �ApF W s SCALE F9vrF h�Gh J M, 9p4o ►►,AY kn _ O ILL oZ RBAGE ' A/ t —�� too BENCH MARK LOCUS O // PAINT SPOT ON O¢ O ER �`o f LARGE ROCK e -0 M 98 ELEVATION = 97.59 � Q � 0 L coN ALLOWED / �� BARNSTABLE GIS DATUM + ;3 OO�S 00 NO 4 ��` 'OG 38 A'E'F Z N 96 4Q u IIIIII I IIIII = W �0 - (9 MARSTONS MILLS. MA IIIIIIIIIIIIIIIIIIIIIIIII O Q W c(/(„ / O 111 l l lllllllllluu O W Q Q \\���� ' / 18-F `.�,�94 L O p _ I S MAP P 3 W 2/ �� 15-0 /�� lL �L�J U V U PP•1�1 11 Z 2 lllllllllll A � w p co co w Illllllllllllillllllluu lug W 2 Z �� / mo_ 92 MINIMAL cr_ �= a IIIIIIIIIIIIIIIIIIIIIIIII o , � CONTOURS GRADING w Z d 4 4®_�PROPOSED �' L a unu I III O O O Z a� ►oo / \GAs� a D-BOX CPO,z o \� 90 > w 4, ""IIIIIIIIIIIIIIIIIIIIII � WATER / EXISTING —40 Z w Illllllllllllllunmu LL Z Illllllllllllluunuul J n GA TE / \S?q w (V - • �` f TH15 PLAN 15 INTENDED SOLELY FOR INSTALLATION i11111111111I IIIII �/(/ ` OF THE SEPTIC SYSTEM DEPICTED ON IT. FOR ANY J nnnulnlllllllllll � O Q Q IIIIIIIIIIIIIIIIIIIIIIIII luul Z p �/ / s-JM / 48B OTHER CHANGES TO THE PROPERTY INCLUDING O IIIIIIIIIIIIIIIIIIIIIIIII O �' / / / PLACEMENT OF ADDITIONS. SHEDS. FENCES OR iiiI IIIIII IIIII III III III /fin p�' /\ 2`5 f SWIMMING POOLS. OWNER SHOULD CONSULT WITH `VJ� � �I A MASSACHUSET TS REGISTERED LAND SURVEYOR. LLJIIIIIIIIIIIIIIIIIIIIIIIII � IIIIIIIIIIIIIIIIIIIIIIIII � ^ � \ W Z XbW IIIIIIIII III o / �Illlllllllllllllull • a Q / \R'q rF,q ®�:>,� ®® TP 2 / ADS BIOD FUSER l; £ Illlllllllllllluuwlll 0 v✓ ® �' / � / ��NF z - 11 / LEACHING SYSTEMle Illlllllllllllllluuuu f� CD /� \ / Illlluwuu IIIIII III OFF -USE ARC 36 HC UNITS LEGEND z nunlullllllllll �''4 98 q/%D/V P Z Lu X O ' VFp / I P -SEE D,�TAII ON PAGE 2 / Oa O U r- EXISTING Q W N 0 f; y 1000 GALLON E L>u 0 O I ® / / \ / SEPTIC TANK Q \ S GAO / EXISTING LEACH w Q w7M U/Vp PIT/CESSPOOL a CL W LLB / O / / 100 Min/G I l / TES T PI T DRAIN — w I w04 _-a 0 U-) / / / /a DECIDUOUS CONIFEROUS Q W Q �'c° / / p� TREE Qoao TREE Q �� 'y3 a$,I2M 12F -NUMBER REFERS TO DIAMETER IN INCHES. LETTER DENOTES TYPE. 0 Q + � ' O \ �\ / O-OAK lM-IAPANESE MAPLE P-PINE 88 VI Z O / D 1 \ W Q TT LOT 26 � � ��tSHOFMgss�c �NOFMAssq�y nn >U- ` o \ I o`er DAVID tiG o DAVID �N % /� REA e 4�3600 af �� � � �� N� o� D. o V � 90 O D. c� vi c \\ \ 0 COUGHANOWR COUGHANOWR w \ vs No. 1093 Q'0 z `�� \ ole �F �� `s0 'CENSER pQ O � � 0 � \\ ``� \ \ �94 G► TARS ,� EVALup' 96 le 98 FOR SURVEYOR'S CERTIFICATION. REFER TO -CERTIFIED PLOT PLAN` SIGNED & STAMPED BY ROBERT B. ELDREDGE RLS ON FILE WITH THE BARNSTABLE BUILDING DEPARTMENT.I Q� \\\� ����� p ®� Te SEWAGE DISPOSAL SYSTEM PLAN O �LAN � � O SERVE EX/S / G DWELLING u_ 0 0 0 0 EST LORETTA J. RUSSI 0WN R Z Z O ERlS1 OF RECORD SCALE: I in = 30 f t 11 MINTON LANE O O w W W W O �'[ 30 0 3o eo ��i 1995 ,tom MARSTONS MILLS. MA INSTALLER MAY MOVE SOIL ABSORPTION SYSTEIVT' O 10 20 30 RON � PROPERTY ADDRESS LATERALLY UP TO FIVE FEET IN ANY DIRECTION. IASSESSORS MAP 174 PARCEL 33 PROPOSED ELEVATIONS MUST BE MAINTAINED, 43 TRIANGLE CIRCLE SANDWICH MA 02563 DATE: JULY 17, 2012 508 364-0894 -los ,ETE-3634 Pel/2 IVERSIONA - DATE -TEST: JULY 2012 6. Oo O TEST L O G SOIL EOVALUATOR: DAVIDI D. COUGHANOWR, R.S. DD E S M N C A L C U L A T [O N S WITfME'SStD BY: DONALD DESMARAIS, HEALTH DEPT. PERC NUMBER: 13693 DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS TEST PIT I PAOREN GROUNT MATDERIAL: P OGLAC ALRED OUTWASH USE EXISTING 1000 GALLON SEPTIC TANK IF IN PERC AT .70 in - 2 MIN/INCH IN C SOILS SOUND STRUCTURAL CONDITION. IF NOT, INSTALL NEW 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING DISTRIBUTION BOX: USE 3 INLET 5 OUTLET D-BOX. 0-8 FILL SOIL ABSORBTION SYSTEM: 8-12 Ap SANDY LOAM 10 YR 4/2 NONE FRIABLE INSTALL 20 ADS ARC 36 HIGH CAPACITY BIODIFFUSERS 12-40 B LOAMY SAND 10 YR 5/6 NONE LOOSE 20 UNITS x 5.0 ft / UNIT = 100 L.F. 90.87 100.0 L.F. x 4.80 S.F./L.F = 480.0 S.F. 40-138 82.50 C MEDIUM SAND 10 YR 6/4 NONE LOOSE 480.0 S.F x .74 G.P.D. I S.F. = 355.2 GPD USE 20 ARC 36 HC BIODIFFUSERS AS CONFIGURED BELOW - Vt = 355.2 GPD > 330 GPD REQUIRED GROUNDWATR ENCOUNTERED TEST PIT 2 PAORENT MATERIAL: PROGLACIAL OUTWASH REFER TO DEP APPROVAL LETTER TRANSMITTAL 2 MIN/INCH IN C SOILS # W000052 FOR CERTIFICATION OF ADANCED DRAINAGE SYSTEMS BIODIFFUSER SYSTEMS. ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 93.80 0-6 FILL 6-10 Ap SANDY LOAM 10 YR 3/2 NONE FRIABLE 1000 GALLON SEPTIC TANK 10-36 B LOAMY SAND 10 YR 5/6 NONE LOOSE LS OV 90.78 36-138 C MEDIUM SAND 10 YR 6/3 NONE LOOSE DIMUSENSIO EXITING UNITNS AND DETAIL S O L ET O S O�nlI A O S O R P T§O v n n 82.30 CONSTRUCTION l SEPTIC TANK IS TO BE PUMPED DRY SYSTEM DETAIL OTES AT TIME OF INSTALLATION AND IS TO USE ADS ARC 36 HC BIODIFFUSERS BE EXAMINED FOR STRUCTURAL GRAVEL FREE INSTALLATION - USE DEP INTEGRITY. INSTALL NEW PVC OUTLET APPROVED INSTALLATION PROCEDURES, 1) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. TEE EQUIPPED WITH A GAS BAFFLE. INSPECTION 20.0 ft 2) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES PORT BEFORE EXCAVATING FOR SYSTEM.- in INSTALL � TAP R ..E 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS Two AN OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). SHOW ON 4) ECO-TECH,ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES Q AS BUIL r Lo AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK. CARD r� 0 5) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL 0 1 STABLE 'BASE THAT. HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH o SIX INCHES OF CRUSHED STONE HAS- BEEN PLACED TO MINIMIZE UNEVEN SETTLING. 6) SYSTEM IS NOT 'DESIGNED .TO; WITHSTAND VEHICULAR LOADING. DO NOT L0 PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. 20 UNITS TOTAL - 5.0 ft PER UNIT 7) EXISTING'LEACH PIT TO BE PUMPED: COLLAPSED, AND REMOVED OR FILLED. \O �. �- a ft_6 a Ft CROSS SECTION VIEW RESTORE VEGETATIVE COVER o M INLET OUTLET BACKFILL WITH CLEAN PERC DISTRO ��OUVQODQ NOT COVER COVER SAND TO TOP OF CHAMBERS USE SHOREY PRECAST H-10 RATED TO 3 INLET 5 OUTLET DISTRIBUTION BOX SCALE WITH SPLASH BAFFLE OR EQUIVALENT. �3 IN DROP FLOW LINE DISTRIBUTION BOX TO BE - -� FROM - PLACED ON A STABLE ID in ►q TO COMPACTED BASE ONTO BUILDING in D-BOX 10.75 in HI-CAP WHICH 6 in OF STONE HAVE BEEN PLACED TO 48 in EFF DEPTH UNITS REDUCE SETTLING. I I L OU D I -SEWAGE DISPOSAL SYSTEM PLAN GAS EX IS TING LEVEL LINES EXITING D-BOX TO BAFFLE Z 2.875* SUITABLE PAGE 2 OF 2 RUN LEVEL FOR 2 FEET Q 0 MATERIAL BEFORE PITCHING DOWN g EFFECTIVE WIDTH = 5 x 2.875' = 14.375' T O LEACHING FACILITY.G 0 LORETTA J. RUSSI � O 0 �, INSTALL RISER TO WITHIN 0 0 USE S ROWS OF 4-ARC-36 MINTON LANE r 6 in OF FINAL GRADE SEPARATION OF INLET AND OUTLET' TEES _ ADS < BIODIFFUSER UNITS-NO STONE 6 in MINIMUM SUMP off` SHALL BE NO LESS THAN LIQUID DEPTH 6 MARSTONS MILLS. MA 12 in MINIMUM 3�5 o� ��• CROSS SECTION VIEW INTERIOR DIMENSION DULY V. 201E ETE-3634