Loading...
HomeMy WebLinkAbout0090 RASPBERRY LANE - Health 90 RASPBERRY LANE, MARSTON MILLS ___ A= 102 094 TOWN OF BARNSTABLE -LOCATION 9® L&J SEWAGE# a0 12 -l VILLAGE t1AR5ToNS M(LLS ASSESSOR'S MAP&PARCEL >I®,'X Ct INSTALLER'S NAME&PHONE NOA6WeDL- LT1U �F5,e .� 4�o SEPTIC TANK CAPACITY ,bFDo a ykLpm LEACHING FACILITY:(type�a, S®o CABS (size) NO.OF BEDROOMS . OWNER Q �SAPM QAKVAQ-40 PERMIT DATE: -;L01 2 COMPLIANCE DATE: (C Separation Distance Between the: IMaximum Adjusted Groundwater Table to the Bottom of Leaching Facility NIA Feet Private Water Supply Well and Leaching Facility(If any wells exist on A site or within 200 feet of leaching facility) A Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY L:�� 0 I ;- A6 f3a ( = 15 � ' A all Ca O Li No. t 91 Fee I THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4plitation for -Misposal *pstr m Construction permit Application for a Permit to Construct( ) Repair(X Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. C�© �q5�f $ iZy LA-1✓� Owner's Name,address,and Tel.No. A ;L �E©'z� � SRC C4tZV/4L O Assessor's Map/Parcel �� _ LAI I L.L Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.$v 8-`f'7 7- 53(7j C4oCcvcBC �`ZM� S r'(VGrIJ�" rc t,_jol'KS 7r&e(_ Type of Building: Dwelling 'No.of Bedrooms Lot Size t of L1 0® sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) a gpd Design flow provided 38 a 7 gpd Plan Date e(,-;L d 1 li' Number of sheets a Revision Date Title 90 RAS 13(Ek2Lf L4iy&- K 4iZ5'7Mx.,S` MILLS" Size of Septic Tank I, Cb©a nJ Type of S.A.S. (a) SQ0 Gpo CffA41<06X( .f Description of Soil MCA(t�rwt C04aa S yi) (p 3�T5'EL- "Re-4,A/ Nature of Repairs or Alterations(Answer when applicable) U:5C ExI S t i"C t `0oo C.4cL-zlV "rn IV 6ky H- to 0 -Ov0 jL -t3 (2) S 2en cmg_ _CxJ 14.-,L o .k-i bed «7C- 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 Health. Signed Date-6- 8 -o O L� Application Approved by �1,L' Date Application Disapproved by Date for the following reasons Permit No. �'� Date Issued ' No. .-o i - 1 -7 4 Fee 0 Dc THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Y PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Zipplicatlon for Bisposal *pstem Construction Permit Application for a Permit to Construct( ) Repair()() 'Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.QO $QA'1j 4-Ar?Jt r ; Owner's Name,Mdress,and Tel.No. 0EnRGvG s: SADAi4 CARVAL O Assessor's Map/Parcel Installer's Name,Address,and Tel:"No. 5402-'+7.7-$2'7 Designer's Name,Address,and Tel.No?4 Sr-V 7 7- 53(3j C�4pFc�tDC E�-Vk(S� Crv�r�J��uock k1a S, rwc(.X W cs-r 4 4+� f 5 3 Co ots.�afa�Cetot� S�` l y yt t G�.�Sc r� Type of Building: -6 Dwelling No.of Bedrooms Lot Size 101(400 � sq.ft. Garbage Grinder( ) Other- " Type of Building Q E$6A&uYfA-(.. No.of Persons Showers( ) Cafeteria( ) Other, ixtures _ s Design Flow(min.required) gpd Design flow provided 3 $.7j gpd Plan Date 6'-•(,-.10 t Q Number of sheets Revision Date Title 90 RA•S A e- a 4 I. AJ 6 "AR57W.$' M14-4 S' Size'of Septic Tank f, 000 Cc"'14 u_a rQ Type of S.A.S. Ca Sob Gr� Chfi 41f R6 _C Description of Soil tit rs "u 4 Cr_A 1 6 SKUD • I Nature of Repairs r Alterations(Answer when appliAfe) L:Xt S'T i&4 1�o oo C 4cL..oc`J StA-ic_, Date last inspected: Agreement: a The undersigned agrees to enstue 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 ealt c Q Signed Date Application Approved by"fir U Date Application Disapproved by Date for the following reasons Permit No. k)1 t J] Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal s-ys�tem Constructed( ) Repaired(y) Upgraded( ) Abandoned( )by CA PC-k.)l7)G at QCj�� L„ has been constructed in accordance 1 with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer C.kPgcgft)E E71.!Tci0&LSC--c Designer ,luc,. #bedrooms Approved design floww�.n/" .Q gpd The issuance of this p/ermi/V Jshall not be construed as a guarantee that the system will functfo a d"signed. Date Inspector l �"`�•.-...,�' /� No.0 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS -Misposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair(J�) Upgrade( ) Abandon © ( ) System located at 1 R_Q LANCE A4 w S M I e..4_ 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:Const5uction must be completed within three years of the date of this permit. Date ApprovedbyVI-S Town of Barnstable �0_F'fHE T tiT Regulatory Services BARNSTABLE Richard V. Scali; Interim Director 9� MASS. Public Health Division �FDr"p�a Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: S--(s Sewage Permit# aD l 0 Assessor's Map\Parcel L Designer: wee�; Wa r{,tS n C . Installer: } Address: I W, Cmsst e `I�cl Address: T resecolat,o MA 6z�4y �A On�,' (�' a101�S cm���l$ �vas issued a permit to install a (date) (installer) septic system at j ld'-jr M,f based on a design drawn by ,?L (address) Gnj near,"nq WO„rQl /4 C , dated.. .-6, aO( TS / (designer) V I certify that the septic system referenced above was installed substantial) according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral. relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructe ncc with the terms of the IIA approval letters (if applicable) �tnOF PETER T �NTEE � CIVIL taller's Sign ire) NO.36109 �FafsrER (Designer's Signature) (Affix Designer tamp 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:1Septic\Designer Certification Form Rev 8-14-13.doc Town d Barnstable P#_ lz.7q Department of Regulatory Services I Public Health Division Date 200 Main Streat,Hyannis MA 02601 � F.s Date Scheduled � / • Ti'me Fee Pd._ ( 5b — CP Soil Suitability Assessment for S e Disposal . t�� � 'P6s- �isy�t Performed By: tnessad By: LOCATION&.GENERAL INFORMATION , "don Address c) R A _A� y� (2 Owner's Name caR� R/t�0-6�6ApV t/-E`tfs`i Address q O AAC? ,>,\.(.L J . 1AA-1 Assessor's Ma /Parcel• • �a/(DqE Pngineer's Name NEW CONSTRUCTION REPAIR Tole hone# S©g r "'7 — 3( Land Use i Slo es 3urFacm 5toncs /LR Distances from: Open Water Body possible Wet,Area --f Drinking Water Well 2��ft Dralhago Way ft Property Line �d f — R Other ft SICETCHC(Street name,dimensions of lot,exact locations of test holes&pore tests,locate wetlands in proximity, to holes) I Is L� Parent material(geologic) Depth to Bedrock ..T.tj Depth to Groundwater. Standing Water In Hole: A-)Q t I Weeping Rain Pit Fnco /Vcr/L-e Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL'HIGH WATER TABLE Method Used: De th Observed standing In obs.hole: In. Depth to sell mottleet In.' Do �th to weeping from side of obs.hole: In, 0mundwater Adjustment !h. Index Woll4 Reading Date:_ Index Well Imvol Adj4hotor,, ._„_Adj.Groundwator•Levol.. PERCOLATION TEST bate,,, Time,_____, Observation Hole# -�-�2 Time at 9" Depth of Para ` Time at 6" Start Pro-soak Time 0 f•� A Timo(9"•6") End Pro-soak Rate Mtn./Inch Site Suitability Assessment: Slid Passed _ Sltp Fallod: Additional Testing Noeded(Y/N) Original-. Public Health Division Observation Hole Data To Ba Completed on Back-------- ' ***If percolation testis to be conducted within 100' of wetland,you must first notify the Barnstable Conseirvation Division at least one(1)week prior to beginning. Q:ISBPTIC\PBRCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Shcl Color Soil• Other Surface(in.) (USDA) (Munsell) Mottling (Stnueture,Stonet;Boulders. tslatoncy.96 t3rriven DEEP OBSERVATION HOLE LOG Hole# Z Depth ftum Soil Horizon Soil Texture Soil Color Soil Other ` Surface(in.) (USDA) (M•unsell) a Mottling (Structure,Stones,Boulders. to 6 --Zy l� ° ►„ C tie `1✓r2 ��F Z t3 1 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Muusell) Mottling (Structure,Stones,Boulders, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Slottes;Boulders. Consistency, GMVII)— Flood InsuranceRate Map: Above 500 year f lood boundary No— Yes Within 500 year boundary No Yes Within 100 year flood boundary No. Yes ))egth of Naturally Occurrine Pervious Material Does at least four feet of naturally occurring pervious material oxlst in all areas observed thrpughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material?,._. . . Cer•N--fication I certify that on �. � � (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 Ming,expertise and experience described in 4 10 CMR 15.017. / Signature Datts :S �D1 1 Q:M TlLVB1tCPORM.DOC • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Address of property P Y 0 9 Qa jeli'llp, Lh /filu�s � Owner's name .. � s /y; Date of Inspection I-re�r 7 IS/qs PART A CHECKLIST Check if the following have been done: Pumping information was requested of the owner Health. , occupant, and Board of .� None of the system components have been and the system has been Pumped for at least two w Y n receiving weeks ivinq normal flow rates during that Period. Large volumes of water have not been introduced into the system recently or as part of this inspection. As built plans have been obtained and examined. Note available with N/A. if they are not The facility or dwelling was inspected for signs of g sewage back-up. ✓ The site was inspected for signs of breakout. A1"1 system components, excluding the SAS, have been located site. on the The septic tank manholes were uncovered, opened,the septic tank was inspected for condition of baffleshorinteritees, of material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the SAS on the site has been determined on existing information or approximated by non-intrusive methods..based The facility owner (and occupants, if different from owner) we provided with information on the proper maintenance of' SSDS.11� re T- 7' r ec ✓04 c zi�. 1996 !<' S �► E SUBSURFACE SEWAGE DISPOSAL SYSTEH 'INSPECTION FORM PART B SYSTEM INFORMATION / FLOW CONDITIONS If residential _ number of bedrooms number of current residents garbage grinder, yes or no, ES laundry connected to system, yes or no Na seasonal use, yes or no If nonresidential, calculated flow: Water meter readings, if available: 9y ^ 010'j Oo O f 4 - 93 = 76 00o �.�. � Last date of occupancy GENERAL INFORMATION Pumping records and source of information: {N CA V System pumped as part of inspection, yes or no if yes, volume pumped Reason for pumping: Vof system Septic tank/ /soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if, yes, attach previous inspection records, if any) " Other (explain) Approximate age of all components. Date installed, if known. Source of infor-matiorL, a A 6 u s - �� ; /-� ova ' t-, cd G moo.✓c. c ,�. �, /t /Z lam/ d Sewage odors detected when arriving at the site, yes or no f a 9 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SEPTIC TANK: (locate on site plan) depth below. grade: material of construction: concrete metal _____FRp other(exPlain) dimensions: sludge depth ' distance from top of sludge to bottom of outlet tee or baffle 77 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 Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakag ,✓ recommendation for repair , etc.) Co t►r t I t Ttt L14- t ) .+ -,d / G�L . 0. i (�o✓ , k 6'�^v<<v 7T AL u. ` CJl N1. � A H L1' / t •Gn oR DISTRIBUTION .BOX: Q- joy (locate on 'site plan) depth of liquid level above outlet invert Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of- leakage into or out of box, recommendation for repairs, etc..) PUMP CHAMBER: N /� (locate on site plan) pumps in working order, yes or no Comments: (note condition of pump chamber, condition of pumps and appurtenances, recommendations for maintenance or repairs, etc. ) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SOIL ABSORPTION SYSTEM (SAS) :_ (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: --------------- Type. leaching pits and number leaching chambers and number leaching galleries and number .leaching trenches, number, length leaching fields, number, dimensions overflow cesspool, number Comments: (note condition of soil, signs of hydraulic failure, level of ponding, cond'ti n of vegetation, rec mmendations for maintenance or repairs etc.) �c "-i'_ CA, .� ro � � S -b.L r^(5oC/L '?�' Ip o.��o cr/ a c«S fv<� CESSPOOLS (locate on site plan) : w "' �"-� e_.A 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 (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of and condition of vegetation, recommendations for maintenance or repondinetc. ) PRIVY: (locate on site plan) materials of construction dimensions depth of solids Comments : i (note condition of soil , signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc. ) • 11 SUBSURFACE SEWAGE DISPOSAL 'SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION Continued SKETCH OF SEWAGE E=SPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 1001 k P���Ap • O O G6s'' _ • M t X6' /0}- w a's��� DEPTH TO GROUNDWATER depth to groundwater method of determination or approxi� ion: 'SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORK PART C FAILURE CRITERIA t Indicate yes, no, or not determined (Y, N, or ND) . Describe basis of determination in all instances. If "not determined", explain why not) Backup of sewage into facility? —At Discharge or ponding of effluent to the surface of the round surface waters? g or E_ Static liquid level in the distribution box above outlet invert? Liquid depth in cesspool <6" below .invert or available volufae< 1 2 da flow? / l ..� Required pumping 4 times or more in the last year? number of times pumped Septic tank is metal? cracked? structurally unsound? substantial infiltration? substantial exfiltration? tank failure imminent? Is any portion of the SAS, cesspool or privy below.. the high groundwater elevation? -Al within 50 feet of a surface water? .�� within 100 feet of a surface water supply or tributary to a surface water supply? _f within a Zone I of a public well? / within 50 feet of a bordering vegetated wetland or salt marsh (cesspools and privies only, not the SAS) ? �Y within 50 feet of a private water supply well? .� less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis? If the well has been analyzed to be acceptable, attach copy of well -water anaiyz. for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. i 13 SUBSURFACE SEWAGE DISPOSAL SYSTEX INSPECTION FORH PART D CERTIFICATION Name of Inspector " 13 i �/ ; o, [.N S roy • Company Name -J' / Company Address / Sa J l/e ✓1 S a, . !� c� CCdrt' - cation Statement I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true, accurate and complete as of the time of inspection. The inspection was performed and any recommendations regarding upgrade, maintenance and repair are consistent with my training and experience in the proper function and manitenance of on-site sewage disposal systems. Cherk one: I have not found any information which indicates that the sstem to adequately protect public health or the environment as defined finls 310 CMR 15.303 . Any failure criteria not evaluated are As stated in the FAILURE CRITERIA section of this form. I have. determined that the system fails to protect public health and the environment as defined in 310 CMR 15.303.. . The basis for this determination is provided in the FAILURE CRITERIA section of this form. Inspector's Signature S ' Date L5 Original to system owner, Copies to: Buyer (if applicable) Approving authority ,lc,,-Ps 7LrA )0 / 13o-1�' qo Rc, 5,.9 L IOCQTION , 5EW&C4E PERMIT k10. �OT '7S S 8F2R� �-77 �l'I<rL E ill TQLLF-R�5 ► &NAE ADDRESS — M Are --oN Ill I L. - S - - - - - - BUILDER 5 Q MA E ADDRESS A - - -- 1_i1�Z D.lTE PERMIT ISSUED - `TE COMPLI &MCE ISSUED : 2 w76 V. 'r> A >Id S Q-'`� 1� -G 4�5 TOWN OF BARNSTABLE LOCKfION 910 SEWAGE # VILLAGE All /�-.:,� g ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY / 6 0 0 LEACHING FACILITY:(type) L cu `4, ,w�- (size) X 6 NO. OF BEDROOMS pZ PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER / ` NU //t.-, s DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No J of a '� 1*;e �� I LGC&TION ' SEWW:;E PERMIT UO. ITS5�8�2R� NitLL AGE A► W5TALLER'S ►J&ME 6 ADDRESS -4F L_MF-M>FS- - - - - - - - - BUILDER5 Q & E &DDRESS -f- _ ��x �'s� duo• �M��K_�' N��sS DQTE PERMIT ISSUED =- D ATE COMPLI W-ACE ISSUED : 1 *?� iai r" r1 Rim�n 5►'�t� l S L. J.C" o . e THE COMMONWEALTH OF MASSACHUSETTS --t— BOARD OF HEALTH ��. 1.. .. /U...........OF.... ..... /US. ` .. Py® 6/ '�••", , pphration -for Ubipviitt1 Works Tutuitrtution Vlermtit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal • o - System at L=e. T --7. --------- j5P. ?3.E"e '_/�__---- i '-"•--/" SJaiU /(I/LCS _.cf4c/ ,SJ13 o ati n Address or Igt No- i Owner ddr ss• a. ',._L,-�►'��'.lIl r_S AV. %Ws wit/ / i�c,S- Installer Address Type of Building Size Lot............................Sq. feet U U Dwelling—No. of Bedrooms------__-.__-2�---------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons---------,------------------ Showers ( ) — Cafeteria ( ) a' Other fixture d -------------------------------------------------------------------------------------- ----------------- ., W Design Flow................_........_.....____gallons per person per day. Total daily flow....._.._.. v-.-E�____'_. ---gallons. � Septic Tank/_Liquid capacity_APPgallons Length................ Width..__............ Diameter................ Depth................ xDisposal Trench—No- -------------------- Width__r � - ot th__._ otal leaching arca_.____._____..___._.sq. ft. Seepage Pit No--------1........... Diameter---�t..........ADepth be �v -----------------�fTotal leaching area------------------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) /0- a f-�``7��► - Percolation Test Results Performed by!!TuVS�k-D-_�q---PAU 1! v e rnl........_ Date------------------k.---.-__-_----.--- 0 wV4 ` - Test Pit No. 1________________mtnutes per inch Depth of "Pest Pit_.______._______.... Depth to ground water__...._.__.._._____..... (l� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground ����water -........................ :_____._... �... ----- O Description of Soil7 /� -f :.:_ r+t-t = �_.: 1 .. ... --------- U -------------"'- •------- J-0t'� "- ��------- - ----�--- -�- 444 I i x - U Nature of Repairs 9f All erations—Answer wen applicable._.--_-_-----_--.A----1--.----�............... ------/--_�--__--.._-_----.._.. ----------------------------C ----•----• ----• ..y. �ii'w-�c-'d-- eCc Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance witli the provisions of Article YI of the State Sanitary Code— The undersigned further agrees not to place the system in i. operation until a Certificate of Compliance has been by the board 4(� f healfjl` �/ 76 Signed - .................••.... ----------'•Date....... �,/ /f Application Approved By----- ...�_ �- -�___.��� � -�°� ;- m. .7 Date Application Disapproved for the following reas -----------------:.. _______________ _ _ . ...._..... -- ---------� F�1� A- C Date Permit No. 1�� i J Issued.... D Al A4_1 C^_L_d r ff � 4l 1�r �� T Flzic.... .� .." -- ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........} O.ukj IfQ...........OF... Rt--4 ..i .3t---------------_- AvAiratiorc -for Di,ivoottl Workii Tattstrurtiott Prrinit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ---7 f�.. jq ..... �f1tc_ �,�v._�`� l_ __:_.J�kz� �...E/k4_ r"S _ Location-Address or Lot N.. Vj.j Vol Owner Address r ----........ ............... Installer Address UType of Building Size Lot----------------------------Sq. feet Dwelling—No. of Bedrooms------------__/. ----------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ___--_.--_________________ No. of persons--__________-_____-_-_--__- Showers ( ) — Cafeteria ( ) Otherfixtures ---- --------- ----•-•------•-----------••-• •------............................... ................ -----------•-•---••-•--------------•--•------- W Design Flow___________ -_--___-____-.gallons per person per day. Total daily flow-----------4:2.._&*_V----r"'_....gallons. 9 Septic Tank t Liquid capacitv.j_C�20gallons Length................ Width................ Diameter---------------- Depth................ xDisposal Trench—No_ ____________________ Width...... of ngth_____ ------ otal leaching area--------------------sq. ft. Seepage Pit No........I------------ Diameter._. _ -______-.,bepth elow ie _r__.__...__.Total leaching area------- ----------sq. tt. Z Other Distribution box ( ) Dosing tank ( ) > - 7,_- '-' Percolation Test Results Performed b M_�__.I:z�- -�. � Y�1t t.._�.yiL _ 1 � .... Date--------------------------------------- Test Pit No. 1----------------minutes per inch Depth of "Pest Pit-------------------- Depth to ground water-.?a_kt,7-4 i_' 1 (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water__.__-_--�-c1(1vv�/ ---------------- — -----•----------------------................... ......-•=...................... ' ......... E•-----•---•------ O Description of SoiL..__C »> - i, n ; ` `. �1- --__ t U Lr ><i" ;------ Fir.z_ c -lL ' Imo. �.z ( - :rr-- W _---•------- x Nature of Repairs-o---Ai 'rations�Answ� whencable_-. � �. -�--t-------------------U -- PP = ` Agreement: �1,1 � The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance withf the provisions of Article XI 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. ,r / j:gtied.... ' i !'Lig, ,4,!- ._s_... f f Date Application Approved BY `� iT �'� �_ 2,-9 r - - ------------ .te � - Date Application Disapproved for the following reasons--------------------------------- ---------------------------_--- .-.-•.--.---.........._.._.________..... ..---•--....---•-•----------------------------------------------------------•-------------------•-------.-----------------•---------•-•------------------•-••---•---------•--•--•---•-------••-••------- Date PermitNo......................................................... Issued..................... .................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH n -- - ..............o F............. .. .. -- ............. Tu ifiratr of Tantpluturr THI IS WT C TIFY, T at the Individual Sewage Disposal System constructed ( or Repaired ( ) aller at__:>-..�..� l � � ; , __A...._ A `fp' \ ` mot- �:'y ,� r has been installed in accordance viith the pro lions of Ar `gym XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No---- - ..../_7-------------------- dated.-.J:"'e-2-1 Ia..`... __........... THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM (WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH No............ � . T �i��o,�ttl ' ;or � �ott,� rttrtiott �rrntit Permission is hereby granted_....; to Constru t ( or Rep r ( ) an Individual Sew e Dispos System V. at No..— ir !: :. ?i!d - = '� ... � 't, ��`/�� { Street as shown on the application for Disposal Wo�l s'Construction P,e mit N .........:. _. --- --------------------------------- FORM -• , ........ Dated ed___k--A- -----------^---------------•-•----.--- BP2— D ATE--- _(. f.`-- .._.-.-_.. 1255 HOBBS & WARREN. INC.. PUBLISHERS ( j /00�' F!/. _TURF_.. t RESERVE;:Nar -EXI57-/N6 ILQ -To ,gam/N_SrAuF15) 1LVELC_ Ci yy p -le)-I-- ,33 Mo.QrH MA_/.-V /OOOGq i I119C.4n% T' 2, i` R i �OO.00 k LO..T'. 76 1/i9CANT . W � , i9PPRQX _ f c.or7� Ar S,9wrD �}r��,re� 'Rj�er�q py�� S.v�,eE E S r.�`,'� i R� �� ® /�� ° T-A41 S P I.A Al IS .o2oPO SEn 07 eKuC[ V��t O /v THE GRO✓il/O Jq _n ,_ . $T. !NO/C.4T�L� �4Nj� CC�lVFOt?M . .i TO T'NE ZoAl/NQ L,4w J ; ol OF ,,`3.9r2n�sr�9.t3G•� ti p'a CI .a�' ' ' �.. rt„ct•-•_ _ .+'t.." .x�-u;�t'ti+'a}S" +sue ,-�:,�,r.�r,rt• .��k,€- Yr.�c«a;;;s+wo.�,. =x,.8 1`t,�...�, ...e, 'S-r aF.�:« - � - .. �`i°��'a. ..��.fau"°v. x- .. � -. ."__;,�, ,g.sYy-,!*Y, .... �it, '� �.y�+•.».. •l'�`2A��,;,-` E•'t`'e�"�:.iC'><,+i�...�`.5.4 �� a,:.�• +r.:�. y,,�.:{., TOP_ FO(/NO r co vCRt r` C1O✓rRII cO.? (D pao/A.) 4 on r . l4-CAs r I/Mw/ A/PLC-w�/N (� ORioiv000t/R@ Pnocw er Laogc*%%00 If I/v✓ORT /w✓ER� I„wa�a� Art. IuQ d@a~✓- rs. _ ��.o • EZ.z�6.� /AlWrAVr Dior. -9s.� a 3/s'x " :+ SEPTIC TANK EL `�6 COX /wvEwr , : wAa/+ro srowir is //V✓LRT , EL. r 96. i • II BRO(/A/O WATER rA494 r f�RO/�ILE OF S E wA o4E t isjo os 4L .. S Y S Tem w, NO SCALE h TOTgL 'SST/.v//p72?D RLOW.. +a ZO .0A"aNW�� t . • ,r. _ _ Nt/.NEf1F�iZ OJT �l TS s� � / ,. SOIL TEST ,f/OIP LBAf/Y/wb ARd.4 iY �1►t oto✓ v .. TOT/4L L�i9C,vi v6 A.eEq a .fB . 2� 3 �i�fOtl4TiaN owra' So/c, TEST oat teats }n//T N ES5 E D t/wIO /rprv�/s� T3 Y �/�U L /QIDTQ was�,we�/ �/fU,eT�/9yl ryiTivdSSED By 13,0- Fog �E/gcH/I✓C " .. . EL DREDGE Sl1RVLgyiwe CO. woad TN MA/AI ST- ' P �i. •`.:'``�T� �� SONTN YARA�DO�IYId�asAS$. ' ivq T dR dNC Ot/NTORCO. SHOE a O- z • _ ,4 .Nye - ` - •. • .,. .. `{ . M. - „ . _ _ w c': a r•,. c. .. r I LOT: 93 M 1: 9 � y: x LQT7 MT. Lo Tg/ _.. CERTIFIED PLOT PL.AN LOT75 AT a _ S/qA/0 r SCACZr ��� �O� ,DATe. 2 11126 SHEET / OF / ' 2' CERTIFY 7*s7I.9T T.tiE EL IRED Off SUR /EY// !G. FOUN 0e2 TOsHoww oN THIS PLAN /S L.GC.97ED RMERT COMP/' Al ! p Al rHE 6R0VAID AS h fWUCE g ` &DREDGE 33 WORTH MAIN -ST.,, /ND/CATEO ANQ CONFORM . TO rHE ZOAII"G LAWS SOUTH YARMOUTI°�/aMASS. of P�9lZNSTi9I3C��MAS$ . i ¢ LEGEND N ® LOCUS — 98 —— EXISTING CONTOUR PB 138/PG 25 X 100.98, EXISTING SPOT GRADE a, H.W OVERHEAD WIRES ° 0 °o ° c o G EXISTING GAS SERCD VICE W EXISTING WATER SERVICE =' z Shubael EXISTING SEPTIC TANK TEST PIT Pond (TO REMAIN) BENCHMARK Lakeside or TOP OF TANK, EL.=107.41 t Ha lin Flint St IN (OUT)=106.05f Calvin VENT o° �2 g • S 03'00'00"-1W"1 � LOCUS MAP fonc? •. line o NOT 70 SCALE. -34 25 10/f,40 __ —————-1'2—X 111,28 r PROP. S A. 10— f J 09,89 GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL EXISTING LEACH PIT V BOARD OF HEALTH AND THE DESIGN ENGINEER. TO BE PUMPED, FILLED WITH `�� log/ o / TP-2 SAND & ABANDONED 1pS?,56 109. 00 109720 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE —————— x O ✓ 107.05 x BENCHMARK —3O AL RULES 15 4AND REGULATIONS, EXCEPT AS REQUESTED BELOW: 109,28 x D CONC. LANDING w � 1) A 3' variance to the 3' maximum cover requirement, for up to EL.=109.20 6' of max, cover. S.A.S. shall be H-20 and vented. 0 0 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR s TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 0 O / DESIGN ENGINEER. 0 00 / /EXISTING x o o RING HOUSE(#90) 105.39 0 0 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING p FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN rn T.O.F.=1 10.3t o o CONSTRUCTION CONTINUES. cn ENGINEER BEFORE CONSTRUC 0 o I 111,64 � n �l 0 00 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. Z 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 106,D9 ( i x 10 84 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF x HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. wAl 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. x 8. THERE ARE NO WELLS WITHIN 100' OF THE PROPOSED S.A.S. o D Z � 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS i AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 109.21 `aa, 104,42 �� 02• ' DIRECTED BY THE APPROVING AUTHORITIES. 91/04,83 101,65 ." 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY � 101, THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING ;. . :; ..... CONSTRUCTION. x 104.00 PA VED:. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 105.35 + r103,16 03'00 00 E �' ORl1/EWA IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND WS� / 100,60 REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 102.65 edge of pavement 100.45 INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. 104.85 101.00 CATCH BASIN 100.32 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. of Mgss9�yG i PETER T. RASPBERRY LANE PROPOSED SEPTIC SYSTEM UPGRADE PLAN M CIVIL E N ! 90 RASPBERRY LANE, MARSTONS MILLS, MA No. 35109 Prepared for: Capewide Enterprises, 153 Commercial St., Mashpee, MA 02649 F E i O. OWNER OF RECORD Engineering by: SCALE DRAWN JOB. G CARVALHO, GEORGE & SARAH Engineering Works, Inc. 1"=20' P.T.M. 173-18 90 RASPBERRY LANE 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. MARSTONS MILLS, MA 02648 (508) 477-5313 5/6/18 P.T.M. 1 Of 2 4 . s ( NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=105.7 FOR A DISTANCE OF 15' FROM THE EDGES — SEPTIC TANK PROPOSED D—BOX OF THE PROPOSED S.A.S. ` INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT PROPOSED S.A.S. f �/ OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND / / /CXISTING SET TO S" OF F.G. TO SERVE AS INSPECTION PORT /1L )�/ T.O.F.=1 10.3t HOUSE11190 F.G. EL.=109.4E F.G. EL.=109.3 / %;/ O.F.=1 0.3E fF.G. EL.=109.3E F.G. EL.=108.2E VENT IF OVER 3' OF COVER f MAINTAIN 2% SLOPE OVER S.A.S. ���/// j L = 22' L = 13' / ® S=1% (MIN.) ® S=1% (MIN.) 2" LAYER OF 1/8" TO 1/2" DECK 4'SCH40 PVC 4"SCH40 PVC s" DOUBLE WASHED STONE �• 10.,1 asI{1P, Af'}FfVED FILTEfi FPRIC)14" 6 a8 00100000 EXISTING 48" LIQUID ---3/4" TO 1-1/2" DOUBLEQ6LEVEL Mj 4' WASHED STONE ������W c/ °DD INV.=105.50 PROPOSED INV.=105.3 T GAS �� INV.=106.05t D—BOX H = 12.8' N EXISTING INV.=105.20 �I PROP. S.A.S. � 2-500 GALLON LEACHING CHAMBERS 1 EXISTING SEPTIC TANK 1L_____ SURROUNDED WITH STONE AS SHOWN I---25' —I NOTES: H-20 RATED 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE TOP CONC. ELEV.=106.3t INVERTS, PRIOR TO INSTALLATION. BREAKOUT ELEV.=105.70 NV. ELEv.=105.20 SEPTIC LAYOUT aaaB 2) D-BOX SHALL BE SET LEVEL AND TRUE TO ✓ aaaaa GRADE ON A MECHANICALLY COMPACTED SIX aBaaaaaaaaB aaaaaaaaaaa INCH CRUSHED STONE BASE, AS SPECIFIED IN BOTTOM ELEV.=103.20 4' 2 x 8.5' = 17.0' 4' 310 CMR 15.221(2). 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0' 3) INSTALL INLET & OUTLET TEES AS REQUIRED. PERVIOUS MATERIAL 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 5' (MIN.) ABOVE G.W. AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. / LEACHING SYSTEM SECTION ®®®Ea NO G.W., EL=96.8 z \/ ®®®®®® ® ®®®® 37" SEPTIC SYSTEM PROFILE N ; ®®®®®® ® ®®®® Z ®LTE3®®® ® ®®®® N.T.S. DESIGN CRITERIA SOIL LOG 102" NUMBER OF BEDROOMS: 2 BEDROOMS DATE: MAY 30, 2018 (REF#15,679) 4" KNOCKOUT SOIL EVALUATOR: PETER McENTEE PE SOIL TEXTURAL CLASS: CLASS I WITNESS: DONALD DESMARAIS R.S. HEALTH AGENT 20" DDIIA. COVER T P— � DEPTH ELEv. T P-2 DEPTH DESIGN PERCOLATION RATE: <2 MIN/IN ELEV. 4" KNOCKOUT0 4" KNOCKOUT 58 DAILY FLOW: 220 G.P.D. 108.0 A 0" 107.8 A 0" DESIGN FLOW: 330 G.P.D. SANDY YDR /2M SANDY M 0YR 4/2 GARBAGE GRINDER: NO—not allowed with design 107.5 B 6" 107.3 e s" 4" KNOCKOUT SANDY LOAM SANDY LOAM LEACHING AREA REQUIRED: (330) = 445.9 S.F. 1OYR 5/8 1OYR 5/8 74 ✓ 105.2 C 34" 105.8 C 24" 500 GALLON CAPACITY, H-20 LOADING EXISTING SEPTIC TANK: 1000 GALLON CAPACITY PERC 0l `1 CHAMBERS PROPOSED D—BOX: 1 INLET, 3 OUTLETS, H-10 RATED 36"/54" M-C SAND I M-C SAND USE 2-500 GALLON LEACHING CHAMBERS IN SERIES 2.5Y 6/6 2.5Y 6/6 PROPOSED SEPTIC SYSTEM UPGRADE PLAN SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 5% GRAVEL 5% GRAVEL 90 RASPBERRY LANE, MARSTONS MILLS, MA SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. Prepared for: Capewide Enterprises, 153 Commercial St., Mashpee, MA 02649 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:.............................................................. 471.2 S.F. 97.0 132" 96.8 132" Engineering Works, Inc. N.T.S. P.T.M. 173-18 PERC RATE' 2 MIN/IN. 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD NO GROUNDWATER ENCOUNTERED (508) 477-5313 5/6/18 P.T.M. 2 Of 2