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HomeMy WebLinkAbout0110 PRINCE AVENUE - Health 110 Prince Avenue Marstons Mills F A 077 048 -_ ,I 'i I,I i� No. FeeVs THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZIppritation for Miopogat *pit m Cots.5truction Perron Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. ,p �Q `�e Pw`nner's Name,Address and Tel.No. Assessor's M�p(Pacc I [t® f on C l� ► I �/i I// l LC S/ PjJ tl 2 '7 i V S //11 Installer's 7�1Name, Address/sue,,and Tel.tN✓o Designer's Nyarne,,Address and Tel.No. ��4 ���n/'/ •n Type of Building: / Dwelling No. of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building 1-00 if No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 30 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank /000 Type of S.A.S. 51320 6;9Z Description of Soil: ` Nature of Repairs or Alterations(Answer when applicable) A/Cy/ S Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this B' of H Signe Date- / o s— Application Approved by Date 52 Application Disapproved for the following reasons Permit No. aCpo 5 4AOO r Date Issued No `� J` }..r Fee THE COMMONWEALTH OF MASSACHUSETTS4. Entere5 d` mputer: .. s PUBLIC HEALTH DIVISION - TOWN-OF BARNSTABLE, MASSACHUSETTS ZWprication forl0i.5pogal *pgtem Congtruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandol.( ) O Complete System ❑Individual Components Location Address or Lot No. t`' Owner's Name,Address and Tel.No. 'Assessor's Nay/Parcel 110 r0{l� �/I?71e—�- l3W�g f7J2� CJ �r s U Installer's Name,Address,and Tel.No Designer's Name,Address and Tel.No. Type of Building:_ / Dwelling No.of Bedrooms .3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building dwvSe No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design-Flow T 1.0 gallons per day. Calculated daily flow gallons. Plan Date r Number of sheets Revision Date Title Size of Septic Tank i ao 0 Type of S.A.S. -2- Description of Soil Y Nature of Repairs or Alterations(Answer when applicable) /K" �i9s Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this B-oard of H a[lfK. Sign t` Date 1 0 d v Application Approved by Date Application Disapproved for the following reasons Permit No. ;:DC Q S CU Date Issued 1 4 ---------------------------------------- THE COMMONWEALTH'OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( graded( ) Abandoned( )by 9 �e 64 <� at ii !/ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No,002 5 YO 'Y, dated- 2��q Installer d _,_KA -,- Des' The issuance of is nit sh l not be cons rued as a guarantee�Iat the sy nc 'onas-desi�gttedDate � � Inpector l „ �� ——— —--------------------- No. DCX�S Fee UG r __ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Zigpogar *pgtem Congtruction Permit fi Permission is hereby granted to Construct( )Repair(,K).Upgrade( )Abandon( ) System located at 1)(0 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 da Cofhis pe it Date:_." 2; hs1!5 Approved Tg 7; N OF BARNSTABLE v �r LOCATION / /� SEWAGE# 4 V�ILLAGE' �f ASSESSOR'S MAP LOT INSTALLER'S NAME&PHONE NO. � SEPTIC TANK CAPACITY DD LEACHING FACILITY: (type) Z � (size) NO.OF BEDROOMS BUILDER OR OWNER. J h-12aY:� PERMITDATE: 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 • J 3 3 33 / o �� �Y Eck 1.9752 Pa347 g26678 DEED RESTRICTION i ' WHEREAS, Kox c( L y)f of J (owners name) � /l0 l�rtn �� �2 �,f�1��s�tzm5, � � l�s _MA _ (address) located is the owner of (address) at Gas Foy s I(h t l� LA !` �r�'�« e� �.Q&As�f w' Y1 s �� (' MA (hereinafter referred to as q P and being shown on a plan entitled "Subdiv,sion of Lan in sy re. t� Vi-e. R,�IaS _" 'a a x S 1 jL MA, Property of ��el rJ duly recorded in Barnstable County Registry et al, of Deeds in Plan Book , Page Or on Land Court Plan Number (� WHEREAS, �20as the ownersof said lot has �V`9— (owners name) agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compiance with 310 CMR 15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, deedr _y Gt S NOW, THEREFORE to Pl SC� fo re dog hereby place the (owner's nam } following restriction on his above-referenced land in accordance with his agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: t/0 ,___P1_ may have constructed (address) _; p +_ p�3) upon the lot a hous containin no more than 2`� bedrooms. agrees that this sh l� I be permanent deed (owne s name) j" '� ;g restriction affecting ,located on MA, and being shown on the plan recorded in Plan Book , Paged Or on Land Court Plan For title of _ _ see the following deed: Book , Page Or Land Court Certificate of Title Number E ecuted a sealed instrument c7� day of ;Z005 t� is igna ure Owner's i ture Owner's signature COMMONWEALTH OF MASSACHUSETTS i , ss 5 , 20.09 Then perT10i ally appeared the above-named X 6 E �P PVA� known to me to be the person5who executed the foregoing instrument and acknowledged the same to be free act and deed, before me, Notary My commission expires: ` 4. (date) ® dq Y P BARNSTABLE REGISTRY OF DEEDS ®�, town of u;arnstaute P# u�' artlt�slt:of<Iealth,Safety,aA� l �)tl services �I►ME Public Health Division , Date ti 67 Main Street,Hyannis MA 02 01 3 S y s 6 11ABNSUBL4 ♦ - _ _ 059. /00 rFo r Date Scheduled �,c-we-nn f�e�2. 4 ►�t9C) Time I o A-" Fee Pd. Soil Suitability Assessment for Sewage Disposal: Performed By: f�a�rr_Q -�' 1-t�rE i1rG. • Witnessed-By: �>~,.A LOCATION &.;GENERAL I1�TF(Qt211!IATO.N..:.. . ...:.: . Location Address I j I p Q I�.cE A:,e1.vC— q Owner's Name. PhUL GeR SrrKow�T2,T� MA-r-STI=-4S " MILLS MA• ,' b264S hR'Hci: AtiE. QCA1A'I TINT Address 5 m A-o sH v� w LA Mit -"-Tcl— M\�Le AAA, eQu}5f Assessor's Map/Parcel: -7 r /3 co. Engineer's Name NEW CONSTRUCTION ✓ REPAIR Telephone# (sco) Land Use 2CStbe%_4,nPCL Slopes(%) 3-$ � i5-'�5 SurfaceStonest Distances from: Open Water Body 190 ft Possible Wet Area 1 Se ft" Drinking Water Well ft Drainage Way 150 ft Property Line ft Other ft SKETCH:.(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) L e, s-i P ��>42°f tN . LaT � � LPL oT 2 p /III P sDr�'aF'.c'T rxN 5 n♦ 94 G`l Parent material(geologic) Q v ;P Depth to Bedrock _ 3�S' �°CP Depth to Groundwater: Standing Water in Hole: Weeping from.Pit Face G� p Estimated Seasonal High Groundwater G p D TERMINATION FOR;SEASONAL T3ICH WATER TABLE ° Method Used: Dsac=r atS�c0.knr� Depth Observed standing in obs.hole: gc ' in. Depth to-soil mottles:-- �/A in. Depth to weeping from side of obs.hole: 9:0" in. Groundwater Adjustment ft. EL= o c. +_ Index Well#sat,.4 3 Reading Date: of 9 9:__ Index Well level 5o.3 Adj.factor p Adj.Groundwater Level 16.05 PERCOLATION T +'ST: uate Fi: �9:r:. Observation I) , 6.c Hole# l Time.at� O . > $.S Depth of Pere 4 lm" C -mP - ': Dee-� Time at 2 M 49 Ste: Start Pre-soak Time chi l o t oQ Time(9" ") 2 M Q 5 5� t.IUT'E Scp1LEA Tl�- EL � I,L„del y F QoM 'C+'I S End Ire-soak �rlEeT " Rate MinAnch txs5 ,-,+trN M I1_. Trs De-Q- I tee(4 Site Suitability Assessment: Site Passed ✓ Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division. Observation Hole Data To Be Completed on Back j Copy: Applicant ► I VAN e t Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in:) (USDA) (Munsell) Ivioftling (Structure,Stones,Boulderes.. Consistency,%Gravel FoRsvr be#P Q,s % % PA-Rr DecoMP a" a.&T . 1. A C• 5 : o Y R .4/(n w//� M E p.-). Fi E- pp 'l/o" d. C,S: oIiR: Sf 3 N/AS' F tZoO TS 41' (31 C,S: 2,S t�/ I r /A. coisenc 54" ID 42 °16 C C. SIIV6LE'C.L*,W' -LOosc • DEEP OBSERVATION HOLE LOG Hole Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(m.)' (USDA). (Munsell) Mottling (Structure,Stones,Boulderes. Con istenc %&avel Q Fo k-'T Cic-bo S - / - - Pi t-�C r+ECo L T 2 fir A c•.5 ioy24/c, L/A /u D=? F;�e.Loo4r c 4 0 /R.S/4 M. E.Qoor'j I 2I"- 1.0$r, CI G'. 5.�;� �2,5:Y ,(./.4- _ M/A ,Sgvc.-L.C- c.a�iH �oo,3C (O �.2.�.5 y 05 MIA' SrNGL-C f�Q•s5'+1.L,LooSa _ - DEE;P OBSERVATION HOLE LO;G Hale# <;. Depth.from Soil Horizon Soil Texture Soil Color _ Soil' Other i Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistenc % ,ravel DEEP OBSERVATION HOLE LQG H'0Xe .. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA)< (Munsell) Mottling_ (Structure,Stones,Bonlderes. Consistenc %Gravel I Flood Insurance Rate Map: �J 4=00 ► Above 500 year flood boundary. No Yes —i,/i/9't Within 500 year boundary No ✓ Yes 0o rS,C Within 106 year flood boundary No ✓ Yes: Depth of Naturally Occurring Pervious Material Does at.least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? 1f not,what is the depth of naturally occurring pervious material? Certification 1 certify that on 5. 9`5 (date)I have passed,the soil evaluator examination approved by.the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in.310 CMR 15.017. . Signatu (Date 1104 A pl BAXTER & NYE, iNc. Professional Land Surveyors and Civil Engineers 812 Main Street•Osterville, MA 02655 Tel. (508)428-9131 Fax. (508) 428-3750 WILLIAM C. NYE, R.P.L.S., President STEPHEN A.WILSON, P.E.,Vice President- Engineering RICHARD A. BAXTER, R.P.L.S.,Vice President JOHN R. ELLIS, R.P.L.S. November 4, 1999 Patrick L. Wiseman 92 Prince Avenue Marstons Mills, MA., 02648 Re: Barnstable Assessors Map ?6 Parcel 36 at 111 .Prince Avenue, Marstons Mills, MA., Soil Test P-9565 P-9566 Dear Mr. Wiseman: This is to inform you that on November 4, 1999 two deep test holes were dug and a percolation test performed on the reference lot. The test was witnessed by Donna Miorandi, Agent for the Town of Barnstable Board of Health. Based upon current regulations, the test showed that where the soil was tested it was acceptable for the installation of a subsurface sewage disposal system. A copy of the soil test form is enclosed for your records, Very truly yours (!Jo n R. Ellis, PLS er & Nye, Inc. copy: Donna Miorandi, Town of Barnstable Board of Health MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS Town of Barnstable °F'THE r Regulatory Services Thomas F. Geiler, Director + BARNSCABLE. MASS. Public Health Division rEDN1°�A Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Designer: Shay Environmental Services, Inc. Installer: Rodney Fisher Address: P.O. Box 627 East Falmouth Address: 476 Main Street MA 02536 Harwich, MA On 8/19/05 Rodney Fisher was issued a permit to install a (date) (installer) ki M septic system at 110 Prince Avenue, GoWit, MA`based on a design drawn by (address) Shay Environmental Services, Inc. dated 04/28/05 (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. 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. OF MgSS 9 CARMEN16T o nsta is ignature) SHE. No. 1181 c/STER�O • S,� N Designer's Signature) (Affix Desi p 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. Q:Health/Septic/Designer Certification Form I Town of Barnstable Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,RS. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. March 7, 2005 Mr. Carmen Shay, R.S. Box 627 East Falmouth, MA 02536 RE: 110 Prince Avenue, Marstons Mills 1 A= 077 - 048 Dear Mr. Shay, You are granted conditional variances on behalf of your client, Daniel Salvatore, to construct a replacement soil absorption system at 110 Prince Avenue, Marstons Mills. The variances granted are as follows: Section 360-1: The soil absorption system will be 82 feet away from the bordering vegetated wetland, in lieu of the.100 feet setback separation distance required. These variances are granted with the following conditions: (1) No more than three (3) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to three (3) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The septic system shall be installed in strict accordance with the revised engineered plans dated revised March 1, 2005. ShaySalvatore (4) The designing sanitarian shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the revised plans dated March 1, 2005. These variances are granted because the physical constraints at the site severely restrict the location of the soil absorption system due to the close proximity wetlands. The proposed soil absorption system appears to meet the maximum feasible compliance standards contained within the State Environmental Code, Title 5. Since r I yours, Wayn6 MO ler, M.D. Chairman IE I ShaySalvatore - CARMEN E. SHAY (508)-548-0796 ENVIRONMENTAL SERVICES,INC. P.O.Box 627,East Falmouth,MA 02536 February 1,2005 Town of Barnstable Board of Health 200 Main Street Hyannis,MA 02601 RE: REQUEST FOR VARIANCE HEARING FOR TITLE V SYSTEM: Residential Property 110 Prince Avenue, Marstons Mills, MA Dear Sir or Madam: In accordance with MGL 310 CMR 15.00, CARMENE. SHAY- ENVIRONMENTAL SERVICES, INC.(CES) request a local variance for the proposed Title V septic system for the residential property located at 110 Prince Avenue, Marstons Mills, MA. The following details the type of variance requested, technical justification of the variance and evidence that the granting of the variance will not pose a risk the environment as defined in 310 CMR 15.410 (1) (b). The following details the type of variance requested, technical justification of the variance and evidence that the granting of the variance will not pose a risk the environment as defined in 310 CMR 15.410 (1) (b). Type of Variance: 1. A variance is requested to install a SAS 82 feet from the BVW associated with the Marstons Mills River. If you have any questions, please do not hesitate to call the undersigned at (508)-548-0796. Sincerely, CARMEN E.SHAY ENVIRONMENTAL SERVICES,INC. Carmen E. Shay, R.S., C.S.E. President L.,�►�c4, Itu SAT N g 2 N t) p COMMONWEALTH OF MASSACHUSETTS. EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS C DEPARTMENT OF ENVIRONMENTAL PROTECTION t FAILED INSPECTION TITLE 5 OFFICIAL INSPECTION:FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: � RAC 0� Owner's Name: 3 Ownej-'s Address: F4 OC9 Date of Inspection: QnQ 3OFgP p�P�' Name of Inspector• lease.p int) finlo'` ' Company Name: C� MAR Mailing Address: PARCEL . O Telephone Number: - LOT CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: / ,l Date: ' y fw3 i The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a.shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP..The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments S _ t e ****This report only describes conditions at the time of inspection and under the conditions of"use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 5/1.5/2000 pa ce ace 1 V. Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS T SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A GERTIFICATyION (continued) Property Address: / !/ Owner: . Date of Inspects : �� Inspection Summary: Check A,B;C;D or E/ALWAYS complete.alfof Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CPR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: i B. 'System .Conditionally Passes: One or more system components as described in the"Conditional!Pass"section need to be replaced or --repaired The system, upon completion of the replacement or repair;as approved by the Board of Health, veil]pass. Answer yes,no or not determined(Y,N;ND) in the for the following statements. If"not determined"please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or.not)is structurally unsound, exhibits substantial infiltration or exfiltration or:tank failure is imminent:System_will pass inspection if the existing tank is-replaced with a complying septic tank as approved by the;Board of Health. *A metal septic tank will pass inspection if it is structurally sound,.not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup"or break out or high static-water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if:(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is.leveled or replaced ND explain: The system required pumping.more than'4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 1 I OFFICIAL IN T SPECTION FORM..-.NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 10 1 Owner. Date of InspectiR: C. Further Evaluation is Required by the Board.of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is.failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any).determines that the system is functioning in a manner that protects the public health,safety and.environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of surface water supply or tributary to a surface water supply. The system.has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. _ The system has a septic tank and SAS and the SAS is within 50 feet of a private.water supply welL _ The system has a septic tank and SAS and the SAS is less than 100:feet but 50 feet or more from a. private water supply well"..Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and_volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less'tha65 ppm,provided that no other failure criteria are.triggered. A copy of.the analysis must be attached to this form. 3. Other: 3 b _ Pa e 4 of 11 OFFICIAL INSPECTION:FORM—.NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A. CERTIFICATION(continued) Property Address: 0 �ce69101e2. UA Owner: )Z'� Date of Inspectio . D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool — .Discharge or.ponding of effluent to the.surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or / cesspool V Liquid depth in cesspool is less than 6"below invert or available volume is less than'/2 day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number / of times pumped / Any portion of the SAS,cesspool or privy is below high ground water elevation. — _ Any portion of cesspool or privy is within 100 feet of.a surface water supply or tributary to a surface water supply. l /. Any portion of a cesspool or privy is within a Zone 1 of a:public well. V/Any portion of a cesspool or privy is within 50 feet ofa.private water supply well. V Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. (This system passes if the well water analysis, performed at a DEP certified.laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than$.ppm,:provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] �1e5 (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system(fails. The system owner should contact the Board of Health to determine what will be necessary to correct`the failure. E. Large Systems: To be considered a large system the.system must serve a facility with a design flow of 10;000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no _ the system is within 400 feet of a.surface drinking water supply the system is within 200 feet of a tributaryto a surface drinking water supply — the system is located in a nitrogen sensitive area`(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have:answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under.Section D shall upgrade the system in accordance with 310 CMR ]5.304.The system owner should contact the appropriate regional office of the Department. 4 Page 5 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION.FORM PART B CHECKLIST Property Address: Owner: Date of Inspectio C2Q Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No jeL' _ Pumping.information was provided by the owner,occupant,or Board of Health. Were.any of the system components pumped out in the previous two weeks? Has the system received normal flows in the previous two week period? Have large.volumes of water been introduced to the system recently or as part of this inspection? Were as built plans of the system obtained and examined?(If they were not available note.as N/A) Was the facility or dwelling inspected for signs of sewage back up Was the site inspectedd for signs of break.out? Were all system components,excluding the SAS, located on site (J _ Were the septic tank manholes uncovered,opened, and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions, depth of liquid, depth.of sludge and depth of scum?. Was.the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no __ Existing information.For example,a plan-at the Board of Health. _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)] 5 i Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: Owner: Date of hnspection: Cc FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): ) DESIGN`flow based on 310 Cv1R 15.203(for example: 11:0 gpd x#of bedrooms): Number of current residents: Does residence have a garbage grinder(yes or no);',660— Is laundry on a separate sewage system (yes or nol:/1_ [if yes separate inspection required] Laundry system inspected(yes or no — %% '�``b�` Seasonal use: es or no . (Y Water meter readings, ff able(last 2 years usage(gpd)): Sump pump(yes or no �" � La iaA�st date of occupan y: L�: Y AM& COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR.15.203): gpd Basis of design.flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to the Title 5 system(yes or no):_ Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records / Source of information: Was system pumped as part of the inspection(yes oryo, If yes, volume pumped: _ gallons--How was.quantity pumped determined? Reason for pumping: ` TYPE OF SYSTEM optic tank, distribution box,soil absorption system _Single cesspool _Overflow cesspool _:Privy _Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _.Tight tank Attach a copy of the DEP approval —Other'(describe): Approximate age of all components, date installed(if known)and source of information: 0 Were_sewage.odors detected when arriving at the site(yes or no)��- 6 Page 7 of 1 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM:INSPECTION FORM PART C SYSTEM.INFORMATION(continued) Property Address: 1/0 � 1 CQ Owner Date of Inspecti 0 BUILDING SEWER(locate on site plan)✓X& Depth.below grade: Materials of construction:_cast iron 40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,:renting; evidence of leakage,etc.): SEPTIC TANK:Zoocate on site plan) Depth below grade: Material of construction: Zconcrete_metal_fiber-lass polyethylene _other(explain). If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) 1 Dimensions: X&` k Sludge depth: o �� Distance from top of sludge to bottom of outlet tee.or baffle: Scum thickness: r� Distance from top of scum to top of outlet tee or baffle: Distance.from bottom of scum to bottom Pf outlet tee or baffle:4 How were dimensions determined: Comments(on pumping recommen tionnd outlet tee or baffle condition,structural integrity, liquid levels r--4s related to outlet invert, evidence of leakage,etc.) -1 r 2��i�(� GREASE TRAlocate on site plan) �' P/JL Depth below grade:_ Material of construction:_concrete_metal fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments.(on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 . Page 8 of 11 OFFICIAL INSPECTION FORM NOT FOR"VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: �Cp 11 A Owner61j?'etr,'e, Date of Inspection: 0 3 TIGHT or HOLDING TANK: tank must pumped at time of ins ection locate on site plan) ( P P P )( P ) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain):. . Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarrim in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: (if present must be opened)(locaie on site.plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover,any evidence of leakage into or out of box, etc.): PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition"of pump`chamber,condition of pumps and appurtenances,etc:): { 8 Pa-e 9 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: LO P /} 0'wy'Ald e4 - Owner OzLft&�-_ Date of Inspecti SOIL ABSORPTION SYSTEM (SAS): ,,i (locate on site plan,excavation not required) If SAS not located explain:why: Type aching pits,number: leaching chambers,.number: leaching galleries,number: leaching trenches, number,..ength: leaching fields,number, dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil,condition of vegetation, *ey. ,.� CESSPOOL(cesspool.must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth'-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of.groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic-failure, level of ponding, condition of vegetation,etc.): PRIV)4- L�—(locate on site plan) Materials of construction:. Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.): 9 Page 10 of l l OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM.INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: / D A/9" Owner: Date of Inspecti • SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. W O 10 f ' Page 11 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE,SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) ` i Property Address: �J� a4q/ (,Q Owner: • � I Date of Inspection. SITE EXAM Slope Surface water Check cellar Shallow wells Estimated.depth to ground water .`Jr feet Please indicate(check),all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with.local Board of Health-explain: Checked with.local excavators, installers--(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: A � % 11 f , Permit Number: Date: Completed Completed by: HIGH.GROUND-WATER LEVEL COMPUTATION Site Location: /�� �'m�('Ef C� /"r Lot No. Owner: r �G° 1�r✓ Address: Contractor:_— Oi'IiT ,t L�NNw'� Address: A/ Notes: ,'Z�/�.J idi.J AIMS STEP 1 Measure depth to water table to nearest 1/10. it. ...........................................................................:.,., .Date month/day/Year STEP 2 Using Water-Level Range Zone and.Index WeII'Map locate site and determine: ' OAppropriate index well................................ ..... I-7 t7 OgWater-level range zone ................................................ .... G STEP 3 Using monthly report "Current Water Resources Conditions" determine current depth to a��� water level for index Well ............_.............. `e, month/year STEP 4 Using Table of.Water-Ievel.Adjustments for index well (STEP 2A), current depth to Water level for index well (STEP 3)., and water-level zone (STEP 21 ) determine water-level adjustment-............................ .............................................................. STEP 5 . Estimate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water n•� level at site (STEP 1 .................................................. ................................................................ J Figure 13.--Reproducible computation form. 15 I Ma Mir y cf., 1fe,�/ J TOWN OF BARNSTABL .`I��-Sfl �`��^ LOCATION �/g, ICJ 'r2iuC-6 Pr&'-MfXA'SEWAGE # �J ,f VILLAGE 1"19A-L-4 s "VIII AS �$�Qt?, r P & LOT 72pg;-T -7� INSTALLER'S NAME & PHONE NO.A,e cis�.�sTd � SEPTIC TANK CAPACITY /O G D C� LEACHING FACILITYAtype) g'X y LE�e wA/ (size) 6Oo Gq� NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER OR OWNER C��i� /�oc <r 4�oa� DATE PERMIT ISSUED: DATE . COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No !b 13 ASSESSORS MAP NO: 7 � { No................_....... Fes$ ........... �.'..._..._._ ` {� THE COMMONWEALTH OF MASSACHUSETTS { / DESIGNING, 'LNIGINEER MUST SUPERVISE BOAR® Off' HEALTH ...---LC...w ..._..............OF......a .-- N;STALLATJON AND CERTIFY IN WRITING THE SYSTE WAS,,I,�STALLED IN STRICT Applir�ation for Biiqvug�al WorksC�iy$a'� r 1 a�1 le oN. Application is hereby made for a Permit to Construct ( r Repair ( /an Individual Sewage Disposal System at: .� ..... ..... .._... . . .......... ---- 6. : .r------------------------------------------------------------- ------ --------- Location-Address or Lot fib J ldlf�. f No 4 ...---.:&�..&/�t�-------------------- --------� . --------------------------.-----.-- Owner Address ?h�-----------------------------------•-- ........ ''�Gc` £ 1�-----•------•-----•-----•-----------•------= a Insta:ier Address ...Sq. feet U Type of Building Size Lot ./YP g 1- Z lid %3 ..S f Dwelling—No. of Bedrooms___....I.....-t._•__•_ __ _ Expansion Attic ( ) Garbage Grinder ( ' ) a _ aOther—Type of Building No. of persons......Z'................ Showers ( � ) — Cafeteria ( ) dOther fix s ------------------------------------------------•-----•--•-------------••------------------------•---•-•----••----•-------------•-------------------- W Design Flow............................................gallons per person per day. Total daily flow............._S__'�_0•----_____------ gallons. WSeptic Tank—Liquid'capacity__�l1�?..gallons Length................ Width................ Diameter__-____--___..._ Depth.._.___.__..._.. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area--------__....._.__sq. ft. Seepage Pit No-----------[-------- Diameter.__...I.D._.._.. Depth below inlet........,.. ... Total leaching area....... ?_...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) _ Percolation Test Results Performed by.....t h;-.CK x._LV Y6... '.S?! 1 __ Date..._g..'t. ___'_ .._____-. Test Pit No. 1...GZ-____minutes per inch Depth of Test Pit....... 0...__... Depth to ground water....0�/i�C-�O rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Ix -------------t••---••....L�--•----••------•--------------..........-•--•-------•-•--i 7t...--•-----------^----------------------•---------...----- --•----------------- ------ �'1 -- 5 ..O Description of Soil--•••-D--^•--- ............ � !�' __..... Uf �b)l.. ---------------------------•--------•---•----...---•--------------------•----------.._._...-•----.....•. W U Nature of Repairs or Alterations—Answer when applicable.__.... 40-®------ 4RW.'!0�_-____4�s 'f.G.._.. -----------------------------------------------------------------------------------------------••--•--•-•••----•---------_.__...----••••-----••-•--•--------••-•--•-------•-----•--•-••-------....•-•-•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT LE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ben is -by eth Za. of hc�aa�ltSigned-----r�.. .�--•••.... .... ..•--- ......... ........... �1 O Date Application Approved By.._••~y ----•--. -------------------•---....---•-------.....-•-•--•------- ----- .----a4............. Date Application Disapproved for the following reasons:-------•...............•-------------------------------•-------------•---------•-------............_.......... ---------------------•........---...----...--------•-----------------•--...------•---------•----....---..._.........-----•-----------------------•------------------------------------------------------ Date PermitNo......................................................... Issued....................................................... Date Nog�'6..._..7_ FEs..... ..'...c� THE COMMONWEALTH OF MASSACHUSETTS �1 BOARD OF HEALTH Appliration for Uiopooal Works Tonotrurtion Vrrmi# Application is hereby made for a Permit to Construct (1/�or Repair ( I✓�an Individual Sewage Disposal System at: ................................G1 .E .....« ;W , ------------- Location-Address or Lot No. .......:5;,-7,-Vx.-.----•-----------------------------------------------•-------------------- /y Owner Address Installer Address f d Type of Building Size Lot?Z.3.!_ S f----Sq. feet g— I .Expansion Attic ( ) Garbage Grinder ( ) U Dwelling No. of Bedrooms...... .......t__.z.!ur a`4 Other—T e of Building lhDiriu,v— y5 p ( ) ( ) Other—Type g j_________________ _______ No. of ersons....__......_.........._._.. Showers � — Cafeteria dOther fixtures -----------------------------------•------------••----.--•-•-------•-••••-•••••......---............................................................. W Design Flow...............: . ......................gallons per person per day. Total daily flow.............. ..........gallons. 1:4 Septic Tank—Liquid capacity_lQ.��"..gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No----------- Diameter......1./1........ Depth below inlet....... ...... Total leaching area....... ...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-----.._;\-x�+ lG._a...N.�L-:.... •.5`?S 4!11137v._. Date.__ _..:J` ...... �......_._. �_l Test Pit No. I........:......minutes per inch Depth of Test Pit......j.�.......... Depth to ground water____.:_::.:>�.%CJ y (z, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a' ----•-•---- i-------------------•-•-----.----------•-•--------------------- p _ L'D !�"yv1 `r 5 u i �5 6 i l_. Descri tion of Soil.....).._._..'l._.... �2� '.. o ' = C - ----------------- -------•-.----•- W UNature of Repairs or Alterations—Answer when applicable......APO-....... 7RP/tiQ:v..._._r��___N'ew_..::* <C---__. -•-------------------------------------------------------- Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with A the provisions of'T'LiE 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?t ,�,- oad of healt i. '" ......................... Date Application Approved BY �.-�Ct ==�.. A .. 7_/_/! 1Z u Date Application Disapproved for the following reasons-------------•--------------------------------------------------•--------------------------------------•---..._.. ....................•--......----•-----------------•----------------------...----------.....------------•..-----......--••-----•-•------------------------------•---------------------------••----------- Date PermitNo....................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................OF.........B �fV.�...! -5L .W N ................................. T.Lrr#ifiratr of Tontplionrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) by-------E\Lk Lk -----------------------------------•------------------•---'------•..........------......•...----•-------•----.........------ at. ........................... IJ Jv G( . il�' Instal7er�.. .-r ^.'' ^^......................................................•••-- has been installed in accordance with the provisions of TiT%. of The State Sanitary Code a described in the application for Disposal Works Construction Permit No.___....... `Z. dated___________ ___/.. G/ ��� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUN. TION SATISFACTORY. DATE ----....... Inspector-----------------..�...................................................... THE COMMONWEALTH OF MASSACHUSETTS 4 = BOARD OF HEALTH w , . No......................... FEE Kiopoo,p_a,�1�-Works Tonotr ion amit Permission is ereby granted._.. .�......�Y�& .......--•--------•-----------•--•------------------••---•----....--.............. to Construct (!/ or Repair ) an Individual Sewage Disposal System at No.......a.o--------r�i= `�•--------�'� = .�C�4.v_ ................ ••-------------- -----::......------ f a Street r as shown on ._the application for Disposal Works Construction Permit No. ?5. Dated.........-_ ............ .......................................: (� �`�oard of Hie it a.. .. ............... DATE .................................................................... V- FORM 1255 HOBBS & WARREN. mq'�•PUBLISHERS ` - BAXTER & NYE, INC. Registered Land Surveyors and Civil Engineers 7 Parker Road/Osterville, Massachusetts 02655/Tel. (617)428-9131 o WILLIAM C.NYE,R.L.S.-President RICHARD A.BAXTER,R.L.S.-Vice President PETER SULLIVAN,P.E.-Vice President-Engineering October 9 , 1986 Town of Barnstable Board of Health P .O. Box 534 Hyannis, MA 02601 RE: Craig T . Rockwood 110 Prince Avenue Job Number , 8680 Gentlemen: On October 8 , 1986 I inspected the septic system at 110 Prince Avenue. As far as components , location and grade the system has been installed as per the approved plan. At the time of my inspection, the con- tractor had not motared the joints nor made the house connection . I trust that this meets your present needs . Very truly yours , Peter Sullivan, P . E . Bax'Ler & Nye, inc. PS/fmj jHrOF S PATER SULLIVAN No. 29733 lvv Fss/Ch'Al l MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS!AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS pU : .DATE: .. . n•,FEE .._ABLE,_ . . . MARS i639 �� REC. BY Town of Barnstable "'!'S CHED.; Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,KS. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION Property Address: Rnr� op— \V; F'l� Assessor's Map and Parcel Number: 7iN Size of Lot: �7 Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: ' APPLICANT'S NAME: I iCL r }ia�Yf� IU2 t Phone / r ` `A tq Did the owner of the property authorize you to represent him or her? Yes V No PROPERTY OWNER'S NAME CONTACT PERSON Name: —poa ta-'E Name: C;,V-M 5vtA`C q u- SilC.S. Address: XAt�1ty � Address: `?.1J Z o x (L,9--+ Phone Phone: "��"�' "�1-6 m} �. V' : VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) NATURE OF WORK House Addition 0 ????? House Renovation 0 Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. ✓ Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) �� / Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) C:\Documents and Settings\decollik\Local Settings\Temporary Internet Files\OLK3\VARIREQ.DOC DATE w ► 71 FEE ✓,)^ /J � BARNSTABIE, + 1KA8S.'. A A6;¢ REC. BY Town of Barnstable-- -- SGHED { DATE Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION Property Address: �� �Y-tRCP � 0�, 1�tC �r� t\V; Assessor's Map and Parcel Number: _ Size of Lot: Wetlands Within 300 Ft. Yes Business Name: MJ I- No Subdivision Name: V IQ APPLICANT'S NAME: �lrl N i CL c-?#�LYR1UQr E Phone Z Did the owner of the property authorize you to represent him or her? Yes fit° No PROPERTY OWNER'S NAME CONTACT PERSON Name: —OpotELE ��Ldt��brL� Name: 0� I�Ei�-ni.ZCa3�--+_��taf�.t'dJLS S.1CS Address: XArJt�l� „S Address: G� x (2 9-'7f Phone: -V-4'S "466-1 Phone: 15 J1" VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) 11 �� rj,*ra L A f3 t �i-asp r� (sse+le�r-��4 NATURE OF WORK House Addition 0 ????? House Renovation 0 Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. ✓ Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) C:\Documents and Settings\decollik\Local Settings\Temporary Internet Fi1es\0LK3\VARIREQ.D0C DATE. FEE � lARNSrASLE. * ? V J i u MA83, REC. BY AMA Town of Barnstable - --� SCH_ED.....DATE_ _ Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION Property Address: Assessor's Map and Parcel Number: Size of Lot: �, Wetlands Within 300 Ft. Yes Business Name: /J } No Subdivision Name: ea APPLICANT'S NAME: Ira N I CL A1L-YR1U2 i E Phone � r+ — A tQ p Did the owner of the property authorize you to represent him or her? Yes fit° No PROPERTY OWNER'S NAME CONTACT PERSON Name: —DP J CUE Name: O cpmj jG LA��t.fiaJN[S Address: xp"K1 c S Address: C2 x � p Phone: '�'� 46 6-:� Phone: VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space neede d) NATURE OF WORK House Addition 0 ????? House Renovation 0 Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) l Please submit copies in 4 separate completed sets. ✓ Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Mpl Full menu submitted(for grease trap variance requests only) C:\Documents and Settings\decollik\Local Settings\Temporary Internet Fi1es\0LK3\VARIREQ.D0C >v-oom q CARMEN E. SHAY (508)-548-0796 Environmental Services, Inc. P.O.Box 627,East Falmouth,MA 02536 Authorization Agreement DATE: February 8,2005 Adress: 110 Prince Lane, Marstons Mills, MA Authorized By: Daniel Salvatore/Roxanne Pappas—Property Owner I Authorize Carmen E. Shay Environmental Services, Inc. to represent me before the Town of Barnstable Board of Health for the Variance request relative to repair of the Title V Septic System at property known as 110 Prince Avenue, Marstons Mills, MA. Agreed and Accepted By: 02 O S Name D te: CARMEN E. S"HA Y (508)-548-0796 ENVIRONMENTAL SERVICES,INC. P.O.Box 627,East Falmouth,MA 02536 February 1,2005 Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 RE: REQUEST FOR VARIANCE HEARING FOR TITLE V SYSTEM: Residential Property 110 Prince Avenue, Marstons Mills,MA Dear Sir or Madam: In accordance with MGL 310 CMR 15.00, CARMEN E. SHAY- ENVIRONMENTAL SERVICES, INC.(CES) request a local variance for the proposed Title V septic system for the residential property located at 110 Prince Avenue, Marstons Mills, MA. The following details the type of variance requested, technical justification of the variance and evidence that the granting of the variance will not pose a risk the environment as defined in 310 CMR 15.410 (1) (b). The following details the type of variance requested, technical justification of the variance and evidence that the granting of the variance will not pose a risk the environment as defined in 310 CMR 15.410 (1) (b). Type of Variance: 1. A variance is requested to install a SAS 82 feet from the BVW associated with the Marstons Mills River. If you have any questions, please do not hesitate to call the undersigned at(508)-548-0796. Sincerely, CARMEN E.SHAY ENVIRONMENTAL SERVICES,INC. Carmen E. Shay, R.S., C.S.E. President �I CARMEN E. SHAY (508)-548-0796 Environmental Services, Inc. P.O.Box 627,East Falmouth,MA 02536 Authorization Agreement DATE: February 8,2005 Adress: 110 Prince Lane, Marstons Mills, MA Authorized By: Daniel Salvatore/Roxanne Pappas—Property Owner I Authorize Carmen E. Shay Environmental Services, Inc. to represent me before the Town of Barnstable Board of Health for the Variance request relative to repair of the Title V Septic System at property known as 110 Prince Avenue, Marstons Mills, MA. Agreed and Accepted By: /-2— S� Nam r Nate/ L CARMEN E. SHAY (508)-548-0796 Environmental Services,Inc. P.O.Box 627,East Falmouth,MA 02536 Authorization Agreement DATE: February 8, 2005 Adress: 110 Prince Lane, Marstons Mills,MA Authorized By: Daniel Salvatore/Roxanne Pappas—Property Owner I Authorize Carmen E. Shay Environmental Services, Inc. to represent me before the Town of Barnstable Board of Health for the Variance request relative to repair of the Title V Septic System at property known as 110 Prince Avenue, Marstons Mills, MA. I Agreed and Accepted By: Name Dat it I CARMEN E. SHAY (508)-548-0796 ENVIRONMENTAL SERVICES,INC. P.O.Box 627,East Falmouth,MA 02536 February 1,2005 Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 RE: REQUEST FOR VARIANCE HEARING FOR TITLE V SYSTEM: Residential Property 110 Prince Avenue, Marstons Mills,MA Dear Sir or Madam: In accordance with MGL 310 CMR 15.00, CARMENE. SHAY- ENVIRONMENTAL SERVICES,INC.(CES) request a local variance for the proposed Title V septic system for the residential property located at 110 Prince Avenue, Marstons Mills, MA. The following details the type of variance requested, technical justification of the variance and evidence that the granting of the variance will not pose a risk the environment as defined in 310 CMR 15.410 (1) (b). The following details the type of variance requested, technical justification of the variance and evidence that the granting of the variance will not pose a risk the environment as defined in 310 CMR 15.410 (1) (b). Type of Variance: 1. A variance is requested to install a SAS 82 feet from the BVW associated with the Marstons Mills River. If you have any questions, please do not hesitate to call the undersigned at (508)-548-0796. Sincerely, CARMEN E.SHAY ENVIRONMENTAL SERVICES,INC. Carmen E. Shay, R.S., C.S.E. President Ltdlri(, N'1€�s�TE� �.c�o►� 't3 CDP-boti► ex c4O5Gr y zw �, � r C-e F7 No. f3o ".- if Fee r THE COMMONWEALTH OF MASSACHUSf Entered in computer: �'� Yes . PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplication for Oigpozar Opoem Congtruction Permit Application for a Permit to Construct( . j Repair( )Upgrade( )Abandon( .9 D Complete System El Individual Components Location Address or Lot No. Zfijr,4A0- ' l Yl(�,P� Owner's Name,Address and Tel. o. / U a/a �' Bolt=n'q a I f as �h t?A 1 GU U Assessor's Map/Parcel © -77 0 Y 1-7 C f a-&U I Installer's Name,Address,and,Tel.No. Designer's Name,Addres and Tel.No. Ca�ecacnl� ►�Ses �� t aS3 � Type of Building: !Crmd�e Dwelling No.of Bedrooms Lot Size -1 sq.ft. Garbage Grinder( ) Other Type of Building S No. of Persons Showers( '014 Cafeteria( ) Other Fixtures Design.Flow &6 0 gallons per day. Calculated daily flow 33 V gallons. Plan Date 'S+ Number of sheets Revision Date y� Title r0 o d-i. t-� —:�Al v a r^e __ 1 ID /t� Size of Septic Tank 16 7 Q r,. Type of S.A.S. Xd o —C /t—[O k-e_CLCC_ht v1 (>Y1 t Description of Soil b °"' I 'off d - t►'t 5 re CLr S�` o10 f` Nature of Repairs or Alterations(Answer when applicable) Date last inspected: 5h 0 Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site wage disposal system in accordance with,the provisions of Title 5 of the Environmental Code and not to place the system in o ration until a Certifi- cate of Compliance has been is a this Bo d of Health. Signed Da Application Approved by Dat Application Disapproved for the following reasons Permit No. 2UQ,5- 7C ate Issued f THE C MMONWEALTH F M SSACHU El BA NSTABLE, MA S CHUS S ertif irate of �Pji Ce IS IS TO CERTIFY, thatth On-site Sewage Disposal Sy Constructed ( )Repaired ( �)Upgraded( ) Abandon ( )by at has been construct d in 7ccordance with the provis ns of Title 5 and the for isposal System Construction Permit No. 90ti =l W dated Installer Designer The issuance of tht permit shall not construed as a guarantee that the system will function as designed. Date Inspector N Fee o. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Bigogar *pgtem COngtruction permit Permission is hereby granted to Construct( )Repair(x)Upgrade( )Abandon( ) System located at r! ` 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 t ' erm' . ^ Date: 4 Approved by /(� yfr �.": �` .fie•'' ,A —•wRi "",,.. f{,' _,lt.,.e,a, ''� �- _ ++ .f 3+": »+ �• '`,, `+J.� i:"- ``fir. —T" , ^4 1 /, +� No. I 1 t/ rf N ` Fee' IZ THE COMMONWEALTH OF MASSACHUSETTS . Entered in computer:vZ_ . ► Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Zfppriratiun for 30i5pooaf by.5tem Congtrurtton Permit Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. // p y� Owner's Name,Address and Tel.No. - ✓� 1 z l UaY a& oAonrl Assessor's Map/Parcel o G - rKe .h o alov l Installer's Name,Address;and Tel o. Designer's Name,Address and Tel.No. Ca P�w�de �n rfnsPs C'a � sly OS���c(� I� Pv � �. � Ft (�..(►�, . ors 3 � Type of Building: Dwelling No.of Bedrooms Lot Size t sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers(;,) Cafeteria( ) Other Fixtures Design Flow & n gallons per day. Calculated daily flow gallons. Plan Date '7�Aj f - Number of sheets / Revision Date ,Title 1 r M Size of Septi Tank g5 n C2 Q Type of S.A.S. e. A(.,1,n 1.47a r (f III n 'Description of Soil — I I a j a 0 p i Nature of Repairs or Alterations(Answer when applicable) Date last inspected: CLA _ Agreement: k The undersigned agrees to ensure the construction and maintenance of the afore described on-sit\Dare age disposal system in accordance with.the provisions of Title 5 of the Environmental Code and not to place the system intion until a Certifi- cate of Compliance has been issuedrby this Bc6d of Health. Signed Application Approved by ! S Date/ a Application Disapproved fo the following reasons Permit No.200 -70 Date Issued _ o THE C MMONWEALTH F MASACHU ETTS BA NSTABLE, MA/S�SACHUS S /t ertiflrate of �l, milli , re ��HIS IS TO CERTIFY,that the'On-site Sewage Disposal Sys Constructed( )Repaired ( �()Upgraded( ) Abandone, ( )by �rl,no A AV, at 11) AA. k1Ar' has been construc`ed in accordance with the provisions of Title 5 and the for isposal System Construction Permit No. '2 Do<=t-7U dated Installer Designer The issuance of As permit shall not a construed as a guarantee that the system will function as designed. Date Inspector No. ) — 0 Fee _ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS ;h5pozat 6pgtem Construction Permit Permission is hereby granted to Construct( )Repair(X )Upgrade( )Abandon( ) System located at 1 1 1) 0 r^, o ,4 v�TAn�Lk^ _ 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. r Provided: Construction must be completed within three years of the date of tJaisperm't. Date:— Approved by � r r i I_.. ._ - nn / V °l IQo' U; �Ill� _ f L17 _ -fvlit,Po op i i '*o f I L p� T,N• q� �� i 1 t I P2NE QP: Iry - Xp " , A AV1 t PLC N IE _ T ! �X S b ti _1 1 — 1 4o' NOTE .:1 1�\S.p L}4N; 1SLR uT:.L`P•5 '` o� AtN_,I►�15T IZ•'IY��tfC_SV.2y� � � I � � " �_ t ' \ --- , : ` i t i I , P G , No. 29233'SULLF A' i F1- _ ' � l 1 , :.� . I s 4 r i [ff IQ L.Q�' •C\v i!• _ - � _.l j ' _�__.. ... i � , u �.�U�+�jl.t,,,� : ld�. OLD �1 D •3 �z : ,w S � � f T ' 1S 6 A X ak NL NO ;WA.rc jAiNotLLF.S1 _EL, Z, , 77 1 '_ 4I.E: -� I- - '-- ' _ : � ��.t; DEti�����=. 3(gZ f����C' 1�►•-t �i , T L . _. � PLv Lr- _ -t -I bTA _.... __ _ No Gsep��c�G or K- ►` UG_.._ , , 1 h tip . x�4,� C:F1. 1T ��� a x r au I��AL s o L.� KG 1 ?� � z�5.= 2�5_.��• � � , 130rrac = .. ilz SF. ►�o -7 Fp '-1-o-T`P, lam_' r ( N• ��� ; .�. 3 5 ;3 U��: � ' c �c�_v ��.�� - ���,ss _ � I -Tcn,A i 1V I� `1l1 1 Lr I 1, 1 2446, 2446 1 2446 �J WINDOW BY 3 OWNER LL 2� I STORAGE b a�l �2Q dI! ul \l \� I FIRE c { z 9 RATED DINING S STEP I� PDOWN I I 5TAI RS � q EXISTING FOOTPRINT 9'_a va• 2'-4' 4'-9 B/4° 1/2 aATN 24 I I I _ III GAR�GE��. JI (n Ilia i �, LIN I i L LAUNDRY 17 .I m l z 0 446-2 2g _� nv'I NEW � N 8.9 OH DOOR - � � e19 OH DOOR ' I PORTICO 1 lu Q ' ------- CWPAT COACHMAN _ I CP12/Cl2 501I11 ARCH I z _ STEP Q CL 26,_pii 16'-O' 22'-0° Q LlJ z 0 FIRST FLOOR PLAN SCALE: 1/4" n I'-0" SHEET 2 OF A JOB: 0512 - - DRAWN BY: KW DATE: 5/23/06 L T F rI� , u esi -.I'-9'CONCRETE WALL o s 10'.Ib'CONTINUOUS FOOTING CREATE 1 ACCESS J I J BASEMENT I R(--------- -- — - {� I I ���S In'CONCRETE SLAB . 22_q• b MIL VAPOR BARRIER EXISTING FOOTPRINT w b wosa sreeL GIRT I I I{ I I 6•x46 CONCRETE W I '1 �`- i 10'X'6'CONTINUOUS FOOTING I I I `Oa—J� GARAGE I 4•CONCRETE SLAB p Q I y I PITCH TOWARD DOORS I V I I a, I I (f} ET I4 . - 10'zls'OONTINUDU6 FOQTI I s I TO F ALIGN, I"� I J I WALLS I DROP WALL 10' DROP WALL 10° AT DDORS AT DOORS I 1 I-- — — ----------� L—------- --- -------- JYI U Z — - —24 lZ o . 0 to Q IW-4' 22'-O° lL . Q _qn o Q FOUNDATION PLAN U SCALE: 1/4' 0 1'-0' Z < jy CL 0 SHEET 3 OF 4 JOB: Rt, DRAWN BY: KW DATE: 6/23/06 fT aa� I I I La i ' F 'IJ ADJUST PITCH OF RAFTERS 'BUILD OVER'VALLEYS - TO MAKE RIDGE EQUAL TO 2x12 GARAGE RIDGE RIDGE VENT2X1 RD AS RIDGE I LES I ASPHALT SHINGLES - 8/O°CD%SHEATHING C a°32 O.C. 14 _�' 'q 12 EXISTING 10, ®Ib'O.C- SECOND FLOOR I I bO` UNFINISHED 'm ; (� R30 F. INSUL c 9/4'OSB 2xl0'a @ Ib°O.O. CONT.VENTING DRIP EDGE 2 9 1/4°LVL REAM k-9TEF1 BEAM Ix0 FASCIA 1.6 SECOND MEMBER ALUMINUM GUTTERS AND DOWN SPOUTS FRIEZE BmRD AND MOULDINGS 0 I GARAGE 2' TOD&FGC'EXISTING 1 IXWOIATNIt I T RE RATED FIRST FLOOR /.I.-FIWRAP GYP.BOARD c - WmE9NINGLEB(OR EQUAL) i f BETWEEN GARAGE � AND CONIC. S SPACE i PITW TO DOORS _ MATCFI EXISTING FIRST FLOOR A _V . I MATW EXIS _._____ TING TOP OF FOUNDATION j STEEL GIRT I ___.,__.___—__—______® T I F.G.MSUL FULL COMPACT FILL BASEMENT S; ExIcrING 6-o n'-n• _j BASEMENT 3 1/2'CONCRETE SLAB ' j 6 MIL VAPOR BARRIER (1 ' Z I Q GROSS SECTION ? 111 Q w u l Lu Q w Q U � z < „ n' V 7 OL i I SHEET 4 OF 4 I j i JOB: 0612 DRAWN BY: KW I DATE: 5/23/06 1 ' r SECTION A -A " -.. • D-BOX cover must be - ALL OUTLET PIPES FROM THE 10' min. from *NOTE. ALL PIPES ARE TO BE 4 SCHEDULE 40,P.V.C. within 6 in. of finished grade DISTRIBUTION Box SHALL BE f Existing Foundation house to septic tank PROFILE YIER OF LEACHING SYSTEM ,2" ICONCRETE covFR F ' SET LEVEL FOR AT LEAST 2 FT. TOP OF FOUNDATION _ ELEV. 100.00 (Assumed) septic tank coven mast be _ within 6 in. of finished grade ade over SAS - ELEV- 17,50 3 5•OUTLET �' ; ' 2 { Grade over Septic Tank - 18.1)0 Rode over D-Box 17.50 �-c� /�•a• f r/9••r..A.a crwa..a San. • d f/a•- f/i" ,ren.a r...ae+ / - �,`. xNOCKWTs ,'�i INSPECTION cover must be 5'S• OUTLET , I ) 12 WI.ET ic'" „ Pd /y j within 6 in. of finished grade ,- -„•- 11 �� 6. B S- 0.02 3 HOLE H-10 T e Are DIST. BOX 3' Maximum Cover Top of SAS-Elev.=15.75 ; `y 11 rind EXIST. S=0.01 or Greater S- 0.010" per foot • _--155• ft FxICT:PPP a 16' 1,000 GAL o 0 o p o 0 Co 4'.- SCH. 40 Te t.7s' FROM EXIST, FEN1t1DATD]N r SEPTIC TANK ,n - 20' o Effective Depth o 0 0 0 PLAN SECTION CROSS-SECTION.. H-10 Ln L 0 o o O 4 2 Units ,? 8.5' = 17. 0 o 0 CONCRETE FULL FOUNDA o 11 _ N .'y n n 3. *J5' 3.5, 1 _f 1 tin,, 6 n.of 3/4"-1 1/2' 12, P) 1TI 1 z5' 3 HOLE H-10 DISTRIBUTION BOX SYSTEM PROFILE ; compacted stone T i Effective Length NOT To SCALE S > o Effective Width ; m.9C•,Rind M:l4W Sravmy`®:9t�FlAJ[E0 - - c Not to Scale - - ; m S❑11L ABS❑RPTI❑N SYSTEM (SAS) 6 in.of 3/4"-1 1/2' o 500 - C H-IO LEACHING UNITS / WIGGINS PRECAST GENERAL NOTES compacted stone 03 NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE Bottom of Test Hole 1_Elev.= 7.00 Not to Scale 1. and protection is responsible for Dindafe notification ♦Obs. Groundwater Test HOIe 1 Elev.= NONE OBSERVED and protection of all underground utilities and pipes_ 2. The septic,tank and distribution box shall be set level on 6 of 3/4"-1 112" stone. 3. Backfiil should be clean sand or gravel with no stones over 3" in size. NGVD BENCHMARK: 4. This system is subject to inspection during installation PERCOLATION TEST � by Carmen E. Shay r Environmental Services, Inc. J HYDRANT - S.W. SIDE OF 5. The contractor shall install this system in accordance with Title V of the Massachusetts state code, the approved plan Date of Percolation Test: MAY 15, 1986 PRINCE AVENUE (N.G.V.D) and Local Regulations. Test Performed By. PETER SULLIVAN, P.E. NGVD ELEV. = 1 8.18 6. If, during installation the contractor encounters any Results Witnessed By. BARNSTABLE B.O.H. 1 soil conditions or site conditions that are different Percolation Rate: Less Than 2 MPI ® 24" ' from those shown on the soil log or in our design installation must halt & immediate notification be made to Carmen E. Shay - Environmental Services,,Inc. Test Hole �i\ 7. No vehicle or heavy machinery shall drive over the No. 1 ��� septic system unless noted as H-20 septic components. DEPTH SOILS ELEv. L5 8. Install Tuf-Tite gas baffles or equals on all outlet tee ends. 0 17.DO ` �1 ' 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. Sandy 0�1 J ��' Loom \, 10. All solid piping, tees & fittings shall be 4" diameter PnF5 0 Schedule 40 NSF PVC pipes with water tight joints. 0"-6" A 17.50 �1 r' A� 11. Municipal Water is Connected to The Residence and Abutting MARSTONS MILLS RIVER P CB D.H. Properties Within 15o Feet. Sandy v �C- _ - ' loam i o ¢ 'r� j E' D- -'a THE PROPERTY LINES ARE APPROXIMATE AND s"- 12" n.00 COMPILED FROM THE SURVEY PLAN GENERATED BY -BOG BAXTER & NYE, INC. of OSTERVILLE, MA, ENTITLED Coarse _ " PLOT PLAN OF llo PRINCE AVENUE, MARSTONS MILLS, MA" Sand 6_ - --- --- _____ ___ ___ - / DATED 06/13/86 _- _ & THE DEED DESCRIPTION ( BOOK 19068 PAGE 1 12"-120" G 7.0o EDGE OF UPLAND -� � ransect B _ IT SHOULD BE USED FOR NO PURPOSE OTHER THAN �, Location RIVER THE SEPTIC SYSTEM INSTALLATION. PROJECT BENCH MARK Transect A'---- --------------' �,' -- 1 TOP OF FOUNDATION Location �GF'._ __- EXISTING LEACH PIT TO BE PUMPED OUT ELEV. = 18.00 (NGVD) PARCEL #2 � _ ��� REMOVED TO FACILITATE NEW SEPTIC SYSTEM INSTALLATION - -- _ ��' NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE 22,313 Square Feet t/- �2 8__ _ FLOOD ZONE A �� FROM THE EXISTING LEACH PIT TO BE DISPOSED - -- -------------------- --- G��' �� OF AS PER BOARD OF HEALTH SPECIFICATIONS. --__ / Pere #1 - - --- - - - - FRO � O WETLANDS ARE PRESENT WITHIN 200' OF THE PROPERTY AS SHOWN Depth to Pere: 24" to 42" RIVER _ , - - Pere Rate= Less Than 2 MPI _ ASSESSURS MAP 77, PARCEL' ,048 Groundwater Not Observed -- DECK �/ ��------'--_ _ � + No Observed ESHWT ���� ���� o LEGEND ADJUSTED H2O Elev. = None ------ ------ 83' ---- EXISTING /RETAININ��'AIALL EXIST• 'n DENOTES PROPOSED 3 BEDRootil `" 104X 1 2-18" DIAM. ACCESS MANHOLES 12-- ---- \\ Q `� - SPOT GRADE _-- --------- HOUSE ' \\ N 6. 14-- _ ---- -- - #110 \ X 104.46 DENOTES EXISTING R SPOT GRADE I-- - ------ FLOOD ZONE C �\ PL _ PROPERTY LINE INLET \ ou o EXIST. 1000 gal. ' \\\ /�O \`� --196P - PROPOSED CONTOUR v o Septic Tank \ 1 - - - - - �? T}� ACCESS COVERS FOR THE SEPTIC TANK, t O I \ / O� \ - EXISTING CONTOUR DISTRIBUTION BOX AND LEACHING COMPONENT 18- �- - - --- 97 SET DEEPER THAN 6 INCHES BELOW FINISHED - ••< ." •.' �'': '-+ ' -� GRADE SHALL BE RAISED TO IMTHIN 6" OF '� O O A A_ F �.�1 \` `C•_ OOP/ ^\ \ \ . STEEL REINFORCED PRECAST CONCRETE FINISHED GRADE. iW - y \1 R I V1 , ; a- 11 \ ® DEEP TEST HOLE & INSTALL TUF-TITE GAS BAFFLES OR EQUALS ---_ b 1 \ PLAN VIEW 16_� r -- F i \ \ PERCOLATION TEST LOCATION 3-24• REMOVABLE COVERS - , I;-• :•• _•..'._''1, r ( \ \ \ I• FACHfNG 6 FOOT STOCKADE FENCE I \ 1 \ •� 3�min. clearance - . '" GRAVEL ', \\, REV. : 3 1 05 per BOH teleconf. INLET 6" min.T�2" min. inlet to outlet e-mti. OUTLET 79'62� `,\ ' f I DRIVEWAY _ _ I i \ �- j-- Liquid level TEST HOLE #1 f0 f I j 10• min_ tl = f I I f I 5' -7" __� {_ 5 -7" I ELEV.- 17.00 1 r 93.58 , I 1 PLOT P LAN I 00 ?•• Liquid depth ao OF PROPOSED SEPTIC SYSTEM UPGRADE 1 J �� CB D-H. PREPARED FOR "6.-0. 4 -10•.. C- -- !' H� F �4 Y FN CI � FIND CROSS SECTION END-SECTION DAN I E L SALVATO R E (33 FOOT RIGHT OF WAY) AT TYPICAL 1000 GALLON SEPTIC TANK # 110 PRINCE AVENUE NOT TO SCALE MARSTONS MILLS , MA Design Calculations M SSq PREPARED BY: Number of Bedrooms: 3 Equivalent to 330 Gal./Day (330 Gal./Day Min. per Title V) /'f� D /�/f�j nT E. S��e Y Garbage Grinder: No (� 1 L1�!l.i 1 Y 1.+ .! Leaching Capacity Proposed: 330 Gal./Day Minimum (Min. Per Title V) n NVIRONMENTAL SERVICES, INC. Septic Tank - 2 x 330 Gal./Day = 660 USE EXIST. 1,000 GAL. Septic Tank_ SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch N ' Bottom Area: 0.74 gal/sq. ft. x 300sq. ft. = 222.00 gallons P.O. BOX 627 Sidewall Area: 0.74 gal-/sq. ftt. x 148 sq. ft. = 109.50 gallons 0 20 40 50 �SarSTER EAST FALMOUTH, MA 02536 Providing: = 331.50 gallons q iTARIP TEL/FAX 508-539-7966 Use: (2) PRECAST 500-C UNITS, HAVING A 2' EFFECTIVE DEPTH, VARIANCE REQUESTED: TO BE USED WITH 3.5' OF WASHED STONE ON THE SIDES AND 1. REQUEST AVARIANCE TO INSTALL AN SAS 83' FROM A WETLAND. - SCALE: 1 "=20' DRAWN BY: CES DATE: FEBRUARY 4, 2005 4' OF WASHED STONE ON THE ENDS. 2. REQUEST AVARIANCE TO INSTALL AN SAS w/in 200' of a River. SCALE' 1"-20' PROJECT#SD689 FILENAME• SD689PP_DWG _ SHEET 1 OF 1 -_ "T ­'W 4, ................. 777777777 A _e 4 y, -A % a. ... .... qe- X "PIPES ARE� 0 BE�4 SCHEDI If D be ALL OUTLET PM fRW "',"SECTION 4� i , . '�:DIS7FAIL"M BOX SHALL K j*NOTE.,7 _'Box cow must tHE OM wiNn 6 in. of finished Wode 't7EW OF'L 40 P.V. . ,., e I in.0 nn Existing foundation -thoLise,'to septic ton q, PROFILE CACHING S YS CONCRETE COVER SET LEVEL FOR AT LEAST 2 FT,: /41 '100,00 (A�swned) coveni,must be TOP OF SepUd tank ier 2 P FOUNDATION EUEV_� :I OUTLET Within 6 in. of firilshed grod. Grads "&O�TS Grods,over Sep tic Tank- 18,00 ___G'ada over SAS ELEV- 17.50 of I/w, fA* 0 over D-Box '17.50 K� INSPECTION cover rnue be 6 OUTLET p is --- --- within 6 in. of finished grod S- 0.02, HOLE H-10 .3 DIST. BOX 'T Maximum Cover SAS-Elev.=15.75 Top of lie Pybee Are t z 16' S-0-01 or Greater S_ 0.010' per toot A . - I � 4 1 c:1 C3 ca 0 I= C:J EXIST.PME 9 1000 GAL 4" SCH. 40 T 9wh FROM EXIST. FIRLINDA1:1 '2 1`1 s6m TANK 0 10, C3 M C-3 M C3 EJ C3 ao 20' Effective Depth M /-\ ED Q Q /-\ C3 • C3 PLAN SECTION CROSS-SECTION 0 2 Units @ 8_5' - 17' fl H-10 s"I"'" I ; . ' CONCRETE FULL r0UNDA 4) 5 1 9-LL--J 4' 7rD 4' 3.5, 3.5 a) > 4� q V I- - 11. H. I A 3 HOLE H-10 DISTRI13UTION Box 6 in.of 3/4--1 112- > > :2 Sri' 4) 2' Effective Length NOT TO SCALE SYSTEM PROFILE compacted o" Effective Width 2W4 Rj�Not to Scale S ip wmaw�Cvnvmy;(I)XkA HAVTEQ > SOIL ABSORPTION SYSTEM (SAS) -1C H-10 LEACHING UNITS WIGGINS PRECAST GENERAL NOTES 6 in.of 3/4"-1 1/2 5i00 I NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE compacted stone Bottom of Test Hole 1 Elev.= 7.00 M Not to Scale 1. Contractor is responsible for Digsafe notification and protection of all underground utilities and pipes. t v Obs. Groundwater - Test Hole 1 Elev.= NONE OBSERVED, 2. The septic tank and distril;iLition box shall be set level on 6" of 3/4" 1/2' stone. 3. Bockfill should be clean sand or gravel with no J stones over 3" in size. NGVD BENCHMARK: 4. This system is subject to inspection during installation by Carmen E. Shay Environmental Services, Inc. PERCOLATION TEST HYDRANT - S.W. SIDE OF 5. The contractor shall install this system in accordance with Title V of the Massachusetts state code, the approved plan Date of Percolation Test: MAY 15, 1986 PRINCE AVENUE (N,G.V.D) and Local Regulations. Test Performed By. PETER SULILIVAN, P.E. NGVD ELEV. 18.18 6. If, during installation the contractor encounters any Results Witnessed By. BARNSTABLE B.O.H. soil conditions or site conditions that are different Percolation Rate: Less Than' 2 MPI 0 24- from those shown on the soil tog or in our design installation must halt &1mmediate notification be Test Hole made 'to Carmen E. Shay - Environmental Services, Inc. No. 1 7. No vehicle or heavy machinery shall drive over the septic system unless noted as H-20 septic components. DEPTH SO4LS ELEV. -T*8. Install Tuf ite gas baffles or equals on all outlet tee ends. 0 17.00 Sandy 9. All Distribution Lines. . ..shall be 4* diameter Schedule 40 NSF PVC pipes. Loom 10. All solid piping, tees & fittings shall be,14" diameter Schedule 40 NSF PVC pipes with water tight joints. 1 0 -6" A. 17,50 11. Municipal Water is Connected to The Residence and Abutting Sandy "A R3 TONS MILLS LS RI V�-R 0 CB D.H. -3- Properties Within A 50 Feet. Loom THE PROPERTY LINES ARE APPROXIMATE AND 1 6"- 12" 17.00 COMPILED FROM �THE SURVEY PLAN GENERATED BY BAXTER & NYE, INC. of OSTERVILLE, MA, ENTITLED Coarse PLOT PLAN OF 110 PRINCE AVENUE, MARSTONS MILLS, MA" Sand DATED 06/13/86 12'-120-1 C, 7.00 & THE DEED DESCRIPTION BOOK 19068 PACE 1) LAN 0 Location RIVER EDGE OF UP IT SHOULD BE USED FOR NO PURPOSE OTHER THAN THE SEPTIC SYSTEM INSTALLATION. ---------------- PROJECT BENCH MARK Tronsect TOP OF FOUNDATION Location ------- EXISTING LEACH PIT TO BE PUMPED OUT ELEV. 18.00 (NGVD) PARCEL #2 REMOVED TO FACILITATE NEW SEPTIC SYSTEM INSTALLATION o� < �/o 22,313 Square FeeU+"I /11 NOTE. ANY STRIPPED OUT SOIL CONTAINING LEACHATE 8-- FLOOD ZONE A FROM THE EXISTING LEACH PIT TO BE DISPOSED ----- --------------- OF AS PER BOARD OF HEALTH SPECIFICATIONS. LL_ 5 01 ----WERANDs-'ARE-'PRESEN7"wrmiN Depth to Perc: 24" to 42 OF ASSESSORS MAP 77, PARCEL---049-- Perc #1 -FRO RIVER Ri I AS �5iuvv �io E Perc Rate= Less Than 2 MPI DECK--- ----------- Groundwater Not,Observed + No Observed ES14410VT LEGEND ADJUSTED H2O Elev. = None 10-- ----------- -------- 8 EXISrING ko DENOTES PROPOSED 2-Ir DIAM. I ACCESS MANHOLES 12-- ------------------------- 3 BED)I?OOM .0 1704X11 SPOT GRADE , HO U,�E DENOTES EXISTING X 104.46 #f 1.0 --------- SPOT GRADE FLOOD ZONE C O'� �Zl PL PROPERTY LINE 7 INLET -1= - -.1 OUT ET 0 EXIST. 1000 al. 49_6­P�- PROPOSED CONTOUR r 0 Septic Tank THE ACCESS COVERS FOR THE SEPTIC TANK. i CNI i DISTRIBUTION BOX AND LEACHING COMPONENT 2 - - - -- -97 EXISTING CONTOUR SET DEEPER THAN 6 INCHES Bmow FINISHED 0 GRADE SHALL BE RAISED TO WTHIN 6*OF 00, FINISHED GRADE. I . STEEL REINFORCED PRECAST CONCRETE F F RIV 1 0 DEEP TEST HOLE & INSTALL IUF-TITE GAS BAFFLES OR EQUALS PLAN VIEW 4- PERCOLATION TEST LOCATION 3-24' R EIAOVABLE COVERS f 6 FOOT STOCKADE FENCE % It 4- /05 per BOH teleconf. 3" min. clearance GRAVEL REV.: 3/1 _T­12- min. tni 113, MET min. et cnL.ITL-. 4� INLET - of to outlet 9.6Z _:���a OUTLET !DRIVEWAY1 0�5w- -_ -TEST OLE, 1 0' min- 14'u 7- 5' -7- 93.58' ELEV 7. 1 E t 4'-0" min. P LOT P LA N . -a a-2.-% Liquid depth ol OF PROPOSED SEPTIC SYSTEM UPGRADE N, CB D H., N '\T PREPARED FOR 4' -10" PRINCE' -4 V7_,U_Z FND SECTION END-SECTION CROSS DANIEL SALVATORE AT (.33 FOOT RIG14,_ OF WAY) TYPICAL 1000 GALLON SEPTIC TANK Ali # 110 PRINCE AVENUE NOT TO SCALE MARSTONS MILLS , MA Design Calculations (PREPARED BY. Number of Bedrooms: 3 Equivalent to 330 Gal./Day (330 Gal./Day Min. per Title V) M N Garbage Grinder: No- -A )CARHET E. SffA Y 'Leaching Capacity Proposed: 330 Gal./Day Minimum (Min. Per Title V) H co Septic Tank 2 x 330 Gal./Day = 660 USE EXIST, 1,000 GAL. Septic Tank. ENVIRONMENTAL SERVICES, INC. 0 SOIL,ABSORPTION AREA: Using percolation rate of <2 min./inch Bottom Area: 0.74 gal/sq. ft. x 300sq. ft. -_ 222.00 gallons do P.O. BOX �627 0 20 40 50 T� Sidewall Area: 0.74 gal./sq. ft. x 14-8 sq. ft. = 109.50 gallonsNI EAST FALMOUTH, MA 02536 Providing: = 331.50 gallons VARIANCE REQUESTED: -539-7966, P -ITEL/ X 508 Use: (2) PRECAST 500-C UNITS, HAVING A 2' EFFECTIVE DEPTH, SCALE: 1"=20' DRAWN BY: CES DATE: FEBRUARY 4, 2005 FROM A WETLAND. TO BE USED WITH 3.5' OF WASHED STONE ON THE SIDES AND 1. REQUEST AVARIANCE TO INSTALL,AN SAS 83 SCALE: .:1 �20' �- PROJECT#SD689 FILENAME: SD689PP.DWG SHEET 1 OF 1 ' 4' OF WASHED STONE ON THE ENDS. 2. REQUEST AVARIANCE TO INSTALL AN SAS w/in 200' of a River.' A tank r f CC7" covet' *;'o'thin 6 1.. of d grade r,2 U,1t. 01 r SECTION A -A -----___------ - _ *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. D-Box cover must be AIJ. OUTLET PWES FROM THE 10' min. from within 8 in. of finished grade PROFILE VIEW OF LEACBINC SYSTEM Existing Foundation house to septic tank DISTRIBUTION aax sHAIi e� SET LEVEL.FOR AT LEAST 2 FT. _ ic" (CONCRETE COVER TOP OF FOUNDATION ELEV. 100.00 (Assumed) Septic tank covers must be within 6 in. of finished grade Grade over Septic Tonk-- 1&00 Grade over 0-Box - 17.50 ode over SAS - ELEV- 17.50 i � -'r--.- :r�: �•' /4'i,e 1 r/f:` ReeMd B,•.h d S%- -f!/e'- r/?' F-h-d P"a t- /r. '�� ( KNOCKOUTS INSPECTION cover must De + within 6 in. of finished grade OUTLET I i 11 INLET e I 3 HOLE H-10 S - 0.02 DIST. BOX 3 Maximum Cover Top of SAS-Elev.=15J5 �� 2, F -~ 110 Prince Are O 76' EXIST. S=O.ot or Greater S- 0-Oro' per toot ,A // - . D. Fx1c_T, Pig .1,000 GAL. - a o o C, � o o ~,ss'� 4" - SCH. 40 T t ; FRU4 EXIST.FOUNDATION `O - SEPTIC TANK t0 00 20' ..o n ' Effective Depth o o 0 0 -.o o' t• �"-- PLAN SECTION CROSS-SECTION � �`{`'' 011 e, ..•• H-10 a..ere. M o 0 2 Units B 8.5' = 1T _ N9 A f 6 CONCRETE FULL FouNDA u > - - - % • ` 4' 9" 4' - d 3 5; 3.5 3 HOLE H-10 DISTRIBUTION BOX SYSTEM PROFILE 6 In.af 3/a•-1 ,/z" 25' j : _ 12' % I 1% Effective Length } I compacted stone j Effective Width I �6 NOT TO SCALE lie 41 f Not to Scale c Boas'•, v:` S c > m SOIL ABSORPTIDN SYSTEM (SAS) o:W4ft�q�iMaly eorp ::v4NA',TEQ - 8 h.of 3/4"-1 t/2' m 500 fk C"�N-10 LEACHING UNITS / WIGGINS PRECAST compacted *tans - rr GENERAL NOTES NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW,GRADE Bottom of Test Hole 41 Elev- 7_00 I Not to Scale 1. Contractor is responsible for Digsafe notification V Obs. Groundwater - Test.Hole 1 Elev.= NONE OBSERVED I and protection of all underground utilities and pipes. 2. The septic tank and distribution box shelf be set level on 6" of 3/4"-1 1/2" stone. 3. Backfill should be clean sand or gravel with no I stones over 3" in size. NGVD BENCHMARK: 4. This system is subject to inspection during installation by Carmen E. Shay - Environmental Services, Inc. PERCOLATION TEST HYDRANT S.W. SIDE OF 5. The contractor shall install this system in accordance Date of Percolation Test: MAY 15, 1986 PRINCE AVENUE (N.G.V.D) with Title V of the Massachusetts state code, the approved plan and Local Regulations. Test Performed By. ,PETER SULLIVAN, P.E. NGVD ELEV. _ 18.18 6. If; during installation the contractor encounters any Results Witnessed By. BARNSTABLE B.O.H.` soil conditions or site conditions that are different Percolation Rate: Less Than 2 MPI ® 24" - from those shown on the soil jog or in our design installation must halt & immediate notification be made to Carmen E. Shay - Environmental Services, Inc. I Test Hole 7. No vehicle or heavy machinery shall drive over the No. 1_ septic system unless noted as H-20 septic components. P P DEPTH SOILS ELEV. !� Iv',���7 8. Install Tuf-Tite gas baffles or equals on all outlet tee ends. 0 17.00 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. I Sandy l ^`s .� Loam �(01 ' ��� 10. All solid piping, tees & fittings shall be 4" diameter Schedule 40 NSF PVC pipes with water tight joints. i 0"-6' A 17.50 MARST�NS �J1 P 11. Municipal Water is Connected to The Residence and Abutting ^mY MILLS RI I P�_-- CB D.H. `,6 Properties Within `150 Feet. LooTHE PROPERTY Be ¢ „ . ' �' ,-' COMPILED ROMLINES ARE THE SURVEYPPLANMGENERATTED BY TE AND s"- 12- n.00 _ - Coarse _- JE� _ - BAXTER & NYE, INC. of OSTERVILLE, MA, ENTITLED Sand 6,` ___-_ - - " PLOT PLAN OF 110 PRINCE AVENUE, MARSTONS MILLS, MA" IT2 -t2o' C, 7.00 _ ---------------------- l _ __ DATED 06/13/86 EDGE OF UPLAND !-�= ~ fransect B ( ) _ & THE DEED DESCRIPTION BOOK 19068 PAGE 1 -E Location��� RIVER IT SHOULD BE USED FOR NO PURPOSE. OTHER THAN PROJECT BENCH MARK Transect A"--- _-- - pF /- - THE SEPTIC SYSTEM INSTALLATION. r TOP OF FOUNDATION Location - G ,_-------� EXISTING LEACH PIT TO BE PUMPED OUT ELEV. = 18.00 (NGVD) PARCEL REMOVED TO FACILITATE NEW SEPTIC SYSTEM INSTALLATION 22,313 Square Feeif -_____-- __ NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE 8 -` ----- FLOOD-ZONE A ' FROM THE EXISTING LEACH PIT TO BE DISPOSED � OF AS PER BOARD OF HEALTH SPECIFICATIONS. I Uerc O i erC: L4 O L u+.: i -_ .<___� _ _ _- WETtANDC-APF_PR S N"T:WITHIN>200' F F P OP P C POW, Perc Rate= Less Than 2 MPI -.._- `_ '-- --.__O� RIVES �--�� f _. E E _ __ 0. TH_ R-- E TY .� S _..N Groundwater Not Observed -- DECK" �� ______ F- \ ASSESSORS MAP 77, PARCEL 048 No Observed ESHWT /�i �i' + LEGEND ADJUSTED H2O Ele'v. = None : O 10-- ---- - o--------------- 83' ---- E-aTINC ExrsT. RETArN�N�`' :LL �- tri �� DENOTES PROPOSED 2-18"DIAM. ACCESS MANHOLES - 12-- - 3 11ROov \� 104X1 ------------- S RA �• - I� F `� � � SPOT GRADE r u, 14-- ` N '- r10 ` DENOTES EXISTING - ``--------- ---- �FZ X 104.46 SPOT GRADE INLET FLOOD ZONE C t r / ou o ------ �.\ OF PL PROPERTY LINE � OIEXIST. 100 al. \\ ��O �..\1 t-P PROPOSED CONTOUR THE ACCESS COVERS FOR THE SEPTIC TANK. O Septic Tank' \ ` n DISTRIBUTION BOX AND LEACHING COMPONENT 18 O \ �O\v' 1\\ - e - =� T' SET DEEPER THAN 6 INCHES BELOW FINISHED -g EXISTING CONTOUR . •... ..�-. 1 ;• •_ GRADE SHALL BE RAISED TO 1MTHIN 6" OF _`� �-- -"- -- - - - - STEEL REINFORCED PRECAST CONCRETE FINISHED GRADE, O O' F - y \ _-Ep� _- F 16 RIv -- - - A_ gip° ` PLAN VIEW INSTALL TUF-nTE cas Bnf>tEs OR EQUALS �\ �• i t \ j _ DEEP TEST HOLE & 3-24' REMOVABLE COVERS PERCOLATION TEST LOCATION .. _ _ l _ ,-�- ,- '- `\` F` • 6 .FOOT STOCKADE FENCE 3- min•clearance l l77 INLfT 8- min..T- r min. Inlet to outlet e.m,� i,r _ _ 5` ' ',GRAVEL 'I \, REV.: 3 1 05 per BOH teleconf.. ---- • Liquidle ' ouTLEr = .• �9.6,2 r ��1 1 -_;.� �i 5 -,- ,- ,4- ` TEST MID ; IDRIVEWAYI '\ i_ 5' -7" ( I E ' I p p T -' 4'-0' min. _ ELEV.=r: 1.7�,t1. ` ( I 9J.58' I___ P LAN oa Liquid depth s L I \ *a ' -- ---- OF PROPOSED SEPTIC SYSTEM UPGRADE -8'-0' a'--10" I� CB D.H. GROSS SECTION END-SECTION PRINU-.� A TTE'NUE' FND PARED FOR PRE - i DANIEL SALVATORE TYPICAL 1000 GALLON SEPTIC TANK (33 FOOT Ric�C. of WAY) AT . . NOT T0.SCALE ( I\ # 110 PRINCE AVENUE - M.ARSTON' S MILLS , MA • Desig t�Calculations j Number of Bedrooms- 3 Equivalent to 330 Gal. Da 330 Gal. Da Min. i H Mq PREPARED BY: Garbage Grinder: No / Y ( / Y Per Title V) Leaching Capacity Proposed: 330 Gal./Day Minimum(Min: Per Title V) A N v )CARNEY �j �/� y Li i 11jj l Septic Tank 2 x 330 Gal./Day 660 USE EXIST 1,000 GAL. Septic Tank o SOIL ABSORPTION AREA:. Using percolation'rate of <2 min../inch ' _ I " Cn ENVIRONMENTAL SERVICES, INC. Bottom Area: 0.74gal/sq.-ft. x 300sq. ft. = 222.00 allons I 0.1 1 Sidewall Area: 0,74gal./sq. ft. >x 148 s 9 I q. ft. 109:50 gallons /P p P.O. BOX 627 , 0 20 40 5Q c, R� Providing: 331.50 gallons E EAST FALMOUTH, MA 02536 Use: (2) PRECAST 500-C UNITS. HAVING A 2' VARIANCE RE U i /TAR\PN. EFFECTIVE DEPTH, Q ESTED � TEL/FAX 508--539-7966, TO BE USED WITH 3.5' OF WASHED STONE ON THE SIDES AND .. 1. REQUEST AVARIANCE TO INSTALL AN SAS 83' FROM A WETLAND. CALE: 1 -20 DRAWN BY: CES DATE. FEBRUARY 4, 2005 4' OF WASHED STONE ON THE ENDS. I 2. REQUEST AVARIANCE TO INSTALL AN SAS w/in 200' of a River. SCALE: 1"=20' PROJECT#SD689 FILENAME: ,SD689PP.DWG SHEET 1 OF 1