Loading...
HomeMy WebLinkAbout0081 REDBERRY LANE - Health WRedberry Lane -- Marstons Mills P A = 047 012005 i i { TOWN OF BARNSTABLE ; .. � G C r Lc::�.:ATION � Pal `�„yf a� �:�:�_ SEWAGE #dCQ a ! Ci 5 VILLAGE A?uA d6,- L V E' ASSESSOR'S MAP & LOT -UI2- INSTALLER'S NAME&PHONE NO. `�o I�c+%f�S•(/bc-��-�� S �% E/s a is 5 003r SEPTIC TANK CAPACITY /a U LEACHING FACILITY: (type) (size) 5'q�z q ,ev . 0 NO. OF BEDROOMS BUILDER OR OWNER - PERMITDATE: _S�f�lel COMPLIANCE DATE: U 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 gAl," u 60y o_ J �®_► e � F'� ' dd E9 �r A NO. �v —J—� + Fee Jv THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: + Yes PUBLIC HEALTH DIVISION —TOWN OF BARNSTABLE, MASSACHUSETTS Yfcation for 30fg ozal 6potem Con!5truction Permit Application for a Permit to Construct( )Repair( 4/upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. , �2e d r Owner's Name,Address and Tel.No. r"r) � Assessor's Map/Parcel 1Yla..P 4-7 (2h_A, P 1 m A, ' I�� c Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 1� t O` LJcs r� ✓ t A- oc4-G+5 cL .t a row Type of Building: Dwelling No.of Bedrooms Lot Size �-��' e sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons. Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 3 1 y P D 30 gallons per day. Calculated daily flow L) gallons. Plan Date 4 -D-� d - Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Try, �(., +��, 4 ,r;a Description of Soil f�kc� . c 4 Nature of Re airs or Alterations(Answer when applicable) V_e_—cc l U GCS —6-e-n ck 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 Board of Health. _ Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued \+/► 0. f 4s 9 Fee , s•t -7 THE C�MMONWEALTH 4 MASSACHUSETTS Entered in computer:PUBLIC HEAL�TH'DIVISION -.TOWN OF BARNSTABLE,. MASSACHUSETTSV,_ V s Z(ppYication for 30igoml *pgtem Congtruction Permit Application for ayPermido Construct( )Repair( v4upgrade( )Abandon( ) ❑Complete System ❑Individual Components u Location Address or Loi No. 61 �2e cl 6e_r r`'t rt Owner's Name,Address and Tel.No. ' Th+o Y^r act w Y'Y1c- r' tY1a� 4'7 (2axcet 1� "`� l l�� c1��.rr m Assessor's Map/Parcel P m f ' t ; Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. C� �'r c l.iVt-4�<X n ✓� ,� �Co C� G✓Cr-1"� tl 1 l-k�✓ etc oa�4S C�✓ a 5 =J Type of Building: r i Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 331'S G l� 33�a gallons per day. Calculated daily flow 3 3 U gallons. Plan Date 4 ���d R^ Number of sheets I Revision Date - Title a Size of Septic Tank e,ct5�-%r-,P; Type of S.A.S. T�---t-, c(-I Description of Soil j F f Nature of Repairs or Alterations(Answer when applicable) �e--c`xc_� !F�' 47D L t � cu4n, r -.5.-Or c t_le4 L t (r"\0- ) -VV C-+1 C X\ ' j V 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 Board of Health. Signed C�� 'i��'...� Date Application Approved by Date Application Disapproved for the following reasons Permit No. C7(��-`�i 1 Date Issued 7° C 2. ———————————-- ———————————————————————— ti THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage,Disposal System Constructed( )Repaired V)Upgraded( ) Abandoned( )by r # � at epcl t<v C f u t • M ((� - ' f has been constructed/in ac ordance with the provisions of Title 5 and the for Disposal System Construction Permit No. _ 2 - dated ( ' U i Installer Designer i The issuance of this pemil hall not be construed as a guarantee that the s stem will fu on as del kg j Date 1 Inspector i j ♦ I ——————— ————————————— ———————————————— f � No. � > Fee �U I - THE COMMONWEALTH OF MASSACHUSETTS ,x PUBLIC HEALTH DIVISION - BARNSTABLE,, MASSACHUSETTS lwigpogal bpgtem Congtructton Permit Permission is hereby granted to Construct( )Repair )Upgrade( )Abandon( ) System located at c Q QCA�-t3 l_IV. t1_d . 1Ik,k Cl and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this pe it. // n 1 Date: �`� Z. Approved by l Y C I TOWN OF BARNSTABLE LOCATION sy I Pal R-am.,, SEWAGE #q10U_ — 19 Sr VILLAGE /emu.a�a�. ��s ASSESSOR'S MAP &LOT_,104'7 -UIY INSTALLER'S NAME&PHONE NO. `e.I 4,,;(FS.0J'-�-'c`���. s d�; y s U 003r SEPTIC TANK CAPACITY /O U LEACk NG FACILITY: (type). ! 41 x t� (size) 5-q Z I NO.OF BEDROOMS I BUILDER OR OWNER PERMIT DATE: COMPLIANCE DATE: 1 ' 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 C ,,st_gAt Ak 1!' � J `n t: Q r. A, f 05/03/02 FRI 13:06 FATL 508 255 6700 Coastal Engineering Q 002 TouS /t'/,A/45 Appendix 4 Page 2A On-site Review (1,1VA/V 4441C2,) Deep Hole Number. D ate:—J fZ" Zr Time: �/� Weather: --5�WAJ fj �1 6` D DEEP OBSERVATION HOLE LOG Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (Inches) (USDA) (Mansell) (Structure,Stones,Boulders, Consistency,%Gravel) - ��o v.9w0 Parent Material(geologic) Depth to Bedrock: ' Depth to Groundwater: Standing Water in the Hole: iCJD Weeping$from Pit Face: Estimated Seasonal High Ground Water: : / Z) Appendix 4 Page 2B 5/25/01 Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I, Rd6a-I' FjfItZAe &Z ,hereby certify that the engineered plan signed by me dated ZS OZ , concerning the property located at 14Aec NX-6 M,twS meets all of the following criteria: • This failed system.is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or may conduct preliminary tests at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation(using GIS information) 1C7 •y B) G.W. Elevation 5(0 +adjustment for high G.W. o 'P,ta.fz� G,tu�►r�►��k'fUA, Mote (CIC Z) � DIFFERENCE BETWEEN A and B SIGNED : DATE: �2f oz a L NOTICE Based upon the above information, a repair permit will be issued for J' bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. q:health folder:percckmp ,�. can Zl � (J )�Q , � r �l � May 16,2002 C 15700 t_ ` Town of Barnstable _TAL= Health Department GIN -RING 200 Main Street COMPANY,INC. Hyannis,MA 02601 260 Cranberry Highway Route dA Orleans,M.a.C42-653 RE:Sewage Disposal System Repair,J�Redberry Lane,Marstons Mills PHONE 508.255.6511 Orleans 508.487.9600 Coastal Engineering Co.,Inc.has inspected the repair of the sewage disposal system at the above referenced locus and found it to be in substantial conformance with the Provincetown 508.778.9600 approved plan. An as-built plan is enclosed for your records. � Hyannis FAX 508.255.6700 Very truly yours, &mow. info@ceccapecndcom COASTAL ENGINEERING CO.,INC. WEE sure www ceccapecc i mm .YA Robert M.Fitzgerald P.E. ENGna MUNG Civil Cc:William McMahon—Robert B.Our Co.,Inc. Sanitary Thomas McMahon— Redberry Lane Structural Environmenta: Marine Site LAND SUMMT%-G TECHNICAL SKATM CONSULTANTS COASTAL ENGD-MNG exists to help ocr clients achieve._ goals.We do th understanding our clients'needs,br understanding the' issues that imp<<c -:heir prom;and by' , providing apprcpriaoe consulting,engi-eeting i and surveying -= solutions. LZ Commonwealth of Massachusetts REC711 1r, Executive Office of EnvironmentaFa' r. Department of RECEIVE ' Environmental Prion 1 9 1997William F.WId Trudy Coxe ALTF:DCPT. s'"'""Argeo Paul Ceiluccl F SAMSTABLE °a c U.Caoremor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A _ CERTIFICATION propertyAddreas: 81 Redberry Lin, Marstons Mills MAAddressofOwner.. Peggy Cirillo Date of Inspection: ---q '/ (If different) 1 5 3 Beach l e a f Lin Name of Inspector. W.E. Robinson SR Centerville,MA Company Name,Address and Telephone Number. ( 5 0 8) 7 7 5-8 7 7 6 W.E. Robinson Septic Service P.O. Box 1089 Centerville MA 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site disposal systems. The system: _ Passes _ Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority _ Fails � Inspector's Signature: f,T(�.f - Date: ��p,- The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A,B, C,or D: A) SYS PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. BJ SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system,upon completion of the replacement or repair,passes inspection. to yes,no,or not determined(Y,N,or ND). Describe basis of determination in all instances. If"not determined",explain why not) The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration,.or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 11/03/95) 1 One Winter Street • Boston,Massachusetts 02108 • FAX(617)556-1049 • Telephone(617)292-5500 40?Printed on Recycled Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) PropertyAddrew 81 Redberry Ln, Marstons Mills, MA Owner. C i r i l l o Date of Inspection 4/-7 L _04- r BJ SYSTEM CONDITIONALLY PASSES(continued) Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken,settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ` distribution box is levelled or replaced The system regxred pumping more than four 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 C1 THER 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 the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND 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. SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER,IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system and is within 100 feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a.septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis 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 5 ppm. OTHER '' (revised 11/03/95) 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) PropertyAddrees: 81 Redberry Ln, Marstons Mills MA Owner. C i r i l l o Date of Inspection: L1_�4 —1 f D] SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the Backup of sewage into facility or system component due to an 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. Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 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 Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. 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. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E]LARG SYSTEM FAILS: e following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply _ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area(IWPA)or a mapped Zone U of a public water supply well) The r or operator of any such system shall bring the system and facility into Rill compliance with the groundwater treatment program meats of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information.. (revised 11/03/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST pnopertyAddre" 81 Redberry Ln, Marstons Mills MA Owner. C i r i l l o Date of Inspection: Check if the/following have been done: V Pumping information was requested of the owner,occupant,and Board of Health. „Tone of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. jAs built plans have been obtained and examined. Note if they are not available with N/A. /The facility or dwelling was inspected for signs of sewage back-up. 1/ The system does not receive non-sanitary or industrial waste flow The site was inspected for signs of breakout. All system components,excluding the Soil Absorption System, have been located on the site. _;/�he septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of bales or tees,material of construction,dimensions, depth of liquid,depth of sludge,depth of scum. 41fhe size and location of the Soil Absorption System on the site has been determined based on existing information or ` /approximated by non-intrusive methods. V The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub- surface Disposal System. (revised 11/03/95) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 81 Redberry Ln, Marstons Mills MA Owner. Cirillo Date of Inspection: FLOW CONDITIONS RESIDENTIAL: Design flow:�b lions Number of bedrooms:_I—A/ Number of current residents: i Garbage grinder(yes or no): Laundry connected to system(yes or no): s Seasonal use(yes or no):k C) 1996 — 93 , 000 gals. Water meter readings,if available: 1995 — 99 , 000 gals . Last date of occupancy:L L—q 7 COMMERCIAL/INDUSTRIAL: Type of establishment: Design flow:_ gallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non4anitary waste discharged to the Title 6 system: (yes or no)_ Water meter readings, if available: Last date of occupancy: OTHER(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: syste pumped as part of inspection: (yes or no) " If yea,volume pumped: gallons Reason for pumping: TYPE OF SYSTEM L/Septic tank/distribution box/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)and source of information: r Sewage odors detected when arriving at the site: (yes or no) lfo 0 (revised 11/03/95) b SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(oontinued) Property Add,,= 81 Redberry Ln, Marstons Mills MA Owner. Cirillo Date of Inspection: SEPTIC TANK_ (locate on site plan) ) 1 Depth below grader Material of construction:✓concrete_metal_FRP_other(esplain) Dimensions: Sludge depth: a` Distance from top of shuige to bottom of outlet tee or baffle: Scum thickness: T•, 1 Distance from top of scum to top of outlet tee or baffle: R! -i6 D � Distance from bottom of scum to bottom of outlet tee or baffle:_ Comments: (recommendation for pumping,condition of}nlet and outlet tees or baffles, depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage,etc.) d s e L" GFLII�SE TRAP: (lots on site plan) Depth ow grade: Material f construction:_concrete_metal_FRP_other(e:plain) Dimensio Scum ass: from top of scum to top of outlet tee or baffle: from bottom of scum to bottom of outlet tee or baffle: Commen ,(recomn tion for pumping,condition of inlet and outlet tees or baines,depth of liquid level in relation to outlet invert,structural integrity, evidence f leakage,etc.) (revised 11/03/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 81 Redberry Ln, Marstons Mills MA Owner. Cirillo Date of Inspection: 41- :L ®� GHT OR HOLDING TANK:_ ( on site plan) Depth low grade: Ma of construction:concrete_metal_ U_other(e:plain) - Dime ns: Capacity: "Done Design► ow: Gallons/day Alarm 1 1: Commen : (oonditio of inlet tee,condition of alarm and!lost switches,etc.) DISTRIBUTION BOX: (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,etc.) PUMP HAMBIER:_ (locate site plan) Pumps' working order:(yes or no) ts: (note co tion of pump chamber,condition of pumps and appurtenances,etc.) (revised 11/03/95) 7 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 81 Redberry Ln, Marstons Millis, "MA Owner. Cirillo Date of Inspection: -7 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,number:_ leaching chambers,number:_ leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: Comments:(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.) !`� Q-0 Q V/ j0/1 G A ,� s t� b CITS POOLS:_ ( to on site plan) N r and configuration: Depth- p of liquid to inlet invert: Depth o solids layer. Depth o scum layer: ns of cesspool: Mate ' of constnuion: Indira ' of groundwater: inflow(cesspool must be pumped as part of inspection) Cowmen (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.) PRIVY: j (locate on plan) Materialsonstruction: Dimensions Depth of so Comments: ( condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.) (revised 11/03/95) g i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(oontinued) PropbrtyAddrese: 81 Redberry Ln, Marstons Mills MA Owner. Cirillo Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all.yells within 100' , r y ` ij DEPTH TO GROUNDWATER Depth to Voundwater:/�feet method of determination or approximation: k7 G �T�1 (revised 11/03/95) 9 i �b 13 3 � 69 19 d^� 20 i 1 lacy /3 ;y � COASTAL ENGINEERING CO., INC. 260 Cranberry Highway,Route 6A Orleans,MA 02653 s� Phone: 508-255-6511/Fax:508-255-6700 Transmittal Web Site: www.ceccapecod.com To: Bill McMahon Date: 05/02/02 Project No. c15700 R.B. Our Co. Via: ❑1st Class Mail ❑Pick up ®Delivery❑Fed Ex Fax: Phone: Subject: Thomas McMahon, 81 Redberry Lane, No.of pages to follow: Marstons Mills ®Plans ❑ Copy of Letter ❑Specifications ❑Other We are sending the following items: Copies Date No. Description 6 4/25/02 SS-1 Sewage Disposal System Repair Plan 1 05/02/02 Percolation Test and Soil Evaluation Exemption Form These are transmitted as checked below: ❑for approval ®for your use ®as requested ❑for review & comment ❑ Remarks: Cc: By: Bob Fitzgerald C� NOTE: IF ENCLOSURES ARE NOT AS NOTED, PLEASE CONTACT US AT (508) 255-6511. TOWN OF BARNSTABLE LOCATION ,p J.. SEWAGE J 2 VILL.AGEJ,- ,,,r ASSESSOR'S MAP & LOT ® a INSTALLER'S NAME & PHONE NO.�� SEPTIC TANK CAPACITY f00v LEACHING FACILITY:(type) f�I e Cc.s (Size) C'o," NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER S AaJ� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: �- VARIANCE GRANTED: Yes No �� 1= It�- N 7. q Fps.......Zs._�...... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ------Tc�w!✓...._0F........ ,3t}�-�v .............................................. Appliratinn for R-sposal Works Tonstrurtinn rautit Application is hereby made for a Permit to Construct ( k1l"Or Repair ( ) an Individual Sewage Disposal System at: ,g f/3 .... ..... z.•-..............•--------.......�.a�.z....r.-...= ............................................................. Location-Address or Lot No. ^�..........A �- .......•QrN----•-.....•---c ...'g`S�ni'� .5 T x.----- �o...1... Owner Address c f �`....C 4�✓�s T .......... 4�s T,c it ✓�/'c. 1.,�......--M ........... --------- -- ------ -- � Installer Address d Type of Building Size Lot_ " .. 3.QSq. feet Dwelling—No. of Bedrooms.................3................_.__..Expansion Attic„_( Garbage Grinders—t" `04 Other—Type of Building ._1.....F a.!^'!. No. of persons-_---__ ................ Showers,(�=Cafeteria dOther fixtures .... Design Flow.....................�.p?r�`�...........gallons per persone any. Total daily flow._..........3...�....d..............gallons. Septic Tank—Liquid capacity!O G Og gt t' �"' "allons Len h................ Width._ ...�� Diameter________.__..... Depth...r?......._ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No----------1---------- Diameter.................... Depth below inlet.......V......... Total leaching area..Z 9.±.sq. ft. Z Other Distribution box (✓1 Dosing ta04—r—~ '-' Percolation Test Results Performed by.... .�?_.!.. 2.1...� a......�...... ._..9 -.►� � ... Date.-----•------ -- Test Pit No. 1....-...?-__minutes per inch Depth of est Pit...f- d Depth to ground water........ ..." G%4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water................... 04 ----•-----------------------------------------------------------------------------------------------•-----------------------------..P ...R.7 Description of Soil......................... 1-1-- ......... 40o-90 5.,E S�3� Z> x W UNature of Repairs or Alterations—Answer when applicable--------------------•----_-----_-------------.................................................. --------------------------------------------------------•--------------------....----------------••----------------------------------•----------•--------------......---------•---•----.......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board health. d ,� Signed--n n�.,�... 1 ems.................. ............,...-•---• Date Application Approved By---•-.........�...... ---•-----------------------•---•----- -------- Date Application Disapproved for the following reasons:............................................................................................................... ................•---•--••--•--•••--•------...--•...•--••---...------•-•----•--••----••--••-•---•...-----•-•••--•-----•--•----•-•---•-----•--------•--•-------•---••-•-•-•-•----•----•••••-•-•---•-----•- Date Permit No..... .Fl.:a:��------------------•----. Issued_....................................................... Date f J - <7 a FRB..... ....�.a. t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -----..�...� .�'!`....✓......._OF......•'��-•3. -9..... 1/ �5 I, -?c� 4..r.,a ..-----------•----------------------------------•--•. Appliration for Disposal Works Tonstrnrtiun Prrutit Application is hereby made for a Permit to Construct ( t--')'Or Repair ( ) an Individual Sewage Disposal System at: �K�2 Location-Address or Lot No.� ...................... -----" A7 ---------- ------ ---------------------------- -- --•-• -- --- Owner Address ...... f ......................... Insstalltall*er•----------------------•---..._............ .----•- Address •----- -------------- � d Type of Building Size Lot` .. _ Sq. feet Dwelling—No. of Bedrooms................... *...._......_..__..__.._..Expansion Attu Garbage Grinde Other—Type e of Building ! 1- S° ".. No. of persons ................ Showers P� YP g J...... P Showers,(---)-- Cafeteria (--7- P4Other fixtures ........................... .......----- -------------------------------------------------------------•--••----------....------.........---- W Design Flow•...................�...�`'_____......•._gallons per person per day. Total daily flow____-__•-_-+ ....... .. .........•__g_allons. O U.Septic Tank—Liquid capacity P gallons Length?'-.- Width. `'{Q"Diameter................ Depth__ ` �0_. -.. W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------L---------- Diameter.................... Depth below inlet...... ....•..... Total leaching area..;Lq. ...sq. ft. Z Other Distribution box (Vo Dosing tank-F--r-'- Percolation Test Results Performed b ._.... ...f`. ?..... .. .....:-� .�? ......_. `' / Y Date tom ... Test Pit No. 1___-_._.-..minutes per inch Depth of Test Pit._;- 9.�-_.. Depth to ground water_.__�_...?7 _ �w Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..................... `� x Description of Soil--------------••---•----. 4 -JD./ �-_' :" 2. - <c7�n °= -°5-r-9--n!'/� V •--•--•--- -----------••---...----------•-•-----------------------------.........--------------------...--------------..._-•-•--•----••--••---- W x ....................••----••----••••-•••--•----•-•-----••--------•--•-••-•••---•---•••-•--••....••---•-••-••-••----------•••-••-•--••••-•--•-•-•-••••••--•-•-••-•••••-••............•-••............... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ----------------------------•-------------------.....------•---•-------------------•--...------•--...---....-----------------------------------•----------------------------------------...--•-•-..-•••- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITA 1E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of1liealth. Signed...?-S 1k........... r e� ......................=' ---------••---------•-- Dat Application Approved By......... ..................................... ............ Date Application Disapproved for the following reasons---------------•--•--------------------------------......------•-----------------•----•----••••-•••._....__....._ --•-------•----------•-----------•--•-------•------------------------------------------------------------...---•--....---•--------------•-----............------......-•..........._. ..............-- Date Permit No........2. --=--:)j-----------•---•- -----.. IssuecL....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................ff :..:.:............OF..... ?...A. ............................................. Trdifiratr of Toutpliaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) bY----•---0'--•-• ----=-` ..�...-- =---5=..' ------------------------------•-•-•-------•---.................------••----....---•-------................ _ _ Installer at......--• 5� -r"7-- ...................... -� .. .�f u`re - . . 7 ` has been installed in accordance with the provisions of TI T IF 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No........ ........ dated__________________________________•-----___._... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEDATE.--VIIILL F1. 1 O SATES CTORY. ------ Inspector............... ....1 .............................................. }}' THE COMMONWEALTH OF MASSACHUSETTS aJ' k BOARD OF HEALTH ................./� .........................?..° `'--Y....................... „�•• / FEE.... Disposal Works Tuonirur tion pautit . � 7 Y g ...................................... Permission is hereby ranted.. to Construct or Repair ( ) • n Individual Sewage Disposal System ........................................................••.......................... Street as shown on the application for Disposal Works Construction Permit No.-RR-_).?�1.._ Dat d............................. .........._ r r �•'L ------ ------------•---•- l �r �/ % Board of Health DATE : •............•••••....... ....... FORM 125 A. M. SULKIN, INC., BOSTON BENCH MARK : TEST HOLEL DATE : , d/7161 7 W{ T N E S 5 E D B Y ��l�. J'� ;r' � �r„i.�+''s •��''�,;•y . C J. f a�• - N L 7-- o r - ® TEST HOLE TEST HOLE c�' L .= ✓' so 4- c AV _ 3 8.ra Ik _ i4 _ NS.F. *us ' GROUND WATER — GROUND WATER z.40:'-44 ENCOUNTERED ENCOUNTERED .l3hF T�isy- � 7 I-,q c ox3 `5 � C. ,MANHOLES AND COVER TO BE BUI LT TO ELEV• TOP OF WITHIN 12 OF FINISHED GRADE k FOUNDATION / MIN. 2 % SLOPE FIN SHED GRADE / .y • 4°° DIA. DIA. PIPE FIRS _ 'PI P 2" E I MIN , 2 LAYER OF E —u ;h,rN. MIN . PITCH 1 - L VE! ' �°� FT. •_,,t � " _ f/B-•.�� PEASTONE MIN. � • � I N• PITCH ° ` r•\ ! N V E R T a . / GALLON N I N J T� 6'"lump l N V E R T. r cn C `�, I i ��.? _� DIST. , < c � / CIA, / FOOTING TO BE PLACED SEPTIC TANK. ' INVERT '4 •`` I BOX } WASHED STONE . � INVERT �� INVERT , �„� �' ON F I8' OF PLA C`E oN +� a . A MINIMUM 0 r ,�-. •.: . • - e c� w ALL ROUND �A VIRGIN OR COMPACTED /2 FIRM BASE �--- '� �=--1�� - � � �4 � BOTTOM A"T' ELEV. 42, �' Lq7-- Q, SAND o' MIN.) � �.. -- - c � O GARBAGE - r° "� �, C20 MIN.) =' GRIN D E R ---- _ • R T -p 1307 7"ll��� � ELEV. .3 8 . '�D PIS 0 P I L E OF GROUND WATER TABLE" )3,5'k caw SANITA-RY DISPOSAL SYSTE ( NOT To scdLE ) DESIGN DATA 0 CONSTRUCTION OF SANITARY DISPOSAL - 3' BEDROOMS y SYSTEM SHALL CONFORM TO THE MASS. DESIGN FLOW 53� GAL /DAYENVIRONMENTAL CODE TITLE ' < REVISED 7— I-77 ) AND THE TOWN LEACH RATE MIN./INCH HEALTH DEPARTMENT REGULATIONS REQUIRED LEACHING CAPACITY : I7 IT ,.v N 0 SEPTIC TANK, DISTRIBUTION BOX AND LEACH - PROPOSED Z7 GAL/DAY ING UNIT TO BE OF REINFORCED CONCRETE ', C MIN. CONCRETE STRENGTH = 5000P. SA REQUIRED SEPTIC TANK 1000 GAL. MIN. STEEL STRENGTH 1 20, 000 PS. 1. MIN. DESIGN LOADING : // // 0 PROPOSED SEPTIC TANK : /000GAL. DRIVEWAYS NOT TO BE LOCATED OVER SYSTEM UNLESS H2O DESIGN LOADING IS USED o ALL PIPES AND FITTINGS TO BE WATERTIGHT AND TO BE OF CAST IRON OR APPROVED P.V.C. HEALTH AGENT APPROVAL DATE S I T E L AN SHOWING PROPOSED CONSTRUCTION ZONING DATA LEGEND L0 CAT 10 �IQ 1 6 i,Q-3 ..,. -�FOR . LDATE : ZONE : — -- — — � TEST HOLE LOCATION REFERENCE .—LOT � ' �f �� AS SHOWN ON REVISIONS : REQUIRED AREA _ EXISTING SPOT ELEVATION 176 .%ykOf RoiSiN vV. V< 14rza>, .L.S REQUIRED FRONTAGE J © E X I S T I N G CONTOUR ~•-- IG �a 1 Ca of SHOM L`� r T €�3 7REQUIRED FRONT SETBACK PROPOSED CONTOUR IG SCALE � � 40 " REQUIRED SIDE SETBACK : PROPOSED WATER SERVICE —W--- --- REQUIRED REAR SETBACK . PROPOSED GAS SERVICE roNAL PROPOSED ELEC. Ek TELE E T 6" j9i�8 C AR PRO FESS10 N AL C I V I L 'EN G I N E E R DUf LDI NG INSPECTOR APPROVAL DATE 131 OLD ROUTE 132 HYANNIS , MA. 02601 FILE NO. I — (o� `� TELE . (617 ) 362 ` 9411 ) SHEET / OF � L I _ _ , i 1 o J PLAN REFERENCE: COURT N LAND PLAN 385346 ASSESSORS MAP 47 PARCEL 12-5 RgcF� 3 BEDROOM DESIGN CALCULA TIONS = BEDROOM SUBDIVISION PLAN APP-6-109 BARN.ENG. DEPT. DESIGN FLOW. 3 BEDROOMS AT 110 GAL PER DAY PER BEDROOM = 330 GPD KITCHEN/DINING DEED BOOK 10928 PAGE 150 REPLACEMENT OF FAILING LEACHING PIT PERCOLATION RATE < 5 MIN/INCH (CLASS 1 SOILS) 0 A 54 L x 4 W. x 2 D. LEACHING TRENCH CAN LEACH: ATH Vt = € 54( 2 ) 21x .74 + € 54( 4) 1x .74 + 1 4( 2 ) 2jx .74 = 331.5GPD W � UTILIZE: EXISTING 1000 GAL SEPTIC TANK, RELOCATE EXISTING D—BOX F— INSTALL: ONE ( 1 ) — 54 L x 4 W. x 2 D. LEACHING TRENCH Vt = 331.5 GPD > 330 GPD REQ D. Q W LIVING BEDROOM MARSTONS MILLS, MASS. ABANDON: EXISTING LEACH PIT (PUMP AND FILL WITH SAND) KEY MAP # NO SCALE FLOOR PLAN DIAGRAM (NTS) ESTIMATED GROUNDWATER CALCULATION GROUNDWATER ELEVATION FROM TOWN OF BARNSTABLE GROUNDWATER CONTOUR MAP (1992) 56.0 GROUND SURFACE ELEVATION FROM BARNSTABLE GIS DEPARTMENT 108.0 BOTTOM OF LEACHING SYSTEM 101.9 DEPTH TO GROUNDWATER > 45' Lot 125 Lot 12 - 4 LEGEND ssQo EXISTING CATCH BASIN ® DRAIN MANHOLE IO , 0 Ol 41 S SOIL REMOVA L OT TELEPHONE MANHOLE AREA SEE NOTE ti OO SEWER MANHOLE Lot 12 - 5A� 1 31S — MONITORING WELL NOTES — 1 A c h e REL❑CA D-BOX SOIL REMOVAL NOTEGV C DC GAS VALVE 1) GARBAGE GRINDERS ARE NOT ALLOWED WITH THIS:DESIGN. + C L E A I��I❑U T T❑ 108�9 _ t 2 THE INSTALLER IS RESPONSIBLE FOR ASSURING THAT COMPONENTS OF REMOVE TOPSOIL AND SUBSOIL WITHIN 5 of LEACHING RESERVE AREA Q / 6 ❑F GRADE wv TRENCH DOWN TO SAND LAYER t 40" BELOW GROUND SURFACE AND �/ THE SEWAGE DISPOSAL SYSTEM ARE DESIGNED WITH SUFFICIENT � '� � Da WATER VALVE REPLACE WITH SAND FILL TO THE TOP OF THE LEACHING TRENCH STRENGTH TO SUSTAIN ALL LOADS TO BE IMPOSED ON THEM. ANY IN ACCORDANCE WITH NOTE #9. J� 20' L)X 8" DIA PVC S L E V E COMPONENT OF THE SYSTEM SUBJECT TO VEHICULAR TRAFFIC MUST 54'L X 4'W X 2'D 6/.+ CENTERED WATER MISC. SIGN COMPLY WITH A MINIMUM STANDARD OF A.A.S.H.T.O. H-20 WHEEL LOADS. x LINE LEACHING TRENCH i � GUY WIRE , 3 PRIOR TO SETTING ANY SEWAGE DISPOSAL SYSTEM COMPONENT, INSTALLER C> . _ ) TE E S �, � _- --_. � s SHALL VERIFY EXISTING CONDITIONS, INCLUDING ELEVATIONS OF EXIT INVERTS, GUY POLE - =,', �, - VENT �- v 'AND REPORT-ANY DISCREPANCIES TO .THE DESIGN ENGINEER. r r 1- _ �� UTILITY POLE _.. � 4 ALL 'GRAVITY SEINER:PIPE SHALL`BE 4 DIA. SCH 40 PVC UNLESS OTHERWISE 20 MIN C� " ' - -STEEL GUARD RAIL _ — I ti II ti � SEPTIC NOTED. THE MINIMUM .SLOPE OF 4", DIA. SCH`40 PVC SHALL BE 0.01 FT FT. , ; � p� XIS SE I , � I ti t �F TA T❑ REM TELEPHONE LINE 5 NO PART OF :THIS DESIGN SHALL.BE ALTERED WITHOUT PRIOR'APPROVAL 6 -�- 'O FROM THE DESIGN ENGINEER AND THE AGENT OF. THE LOCAL BOARD OF �s '6 � 7's. Q �~ , , _ .� — � — GAS MAIN _ i O o_ HEALTH. ALL REQUESTS .FOR CHANGES SHALL BE MADE IN WRITING PRIOR TO CONSTRUCTION. �J7 4 — w — WATER LINE O (C:-1 t0 6 THE USE OF ALTERNATE MANUFACTURERS FOR SYSTEM COMPONENTS) E S E �i 1' `� �, CONTOUR • SHALL NOT BE APPROVED IF THE USE OF;THEIR EQUIPMENT,REQUIRES fi CHANGES IN DESIGN. TREE t 7) THE INSTALLER SHALL ASCERTAIN THE LOCATION OF EXISTING UNDERGROUND U1ILITIES PRIOR TO EXCAVATION, AND SHALL PROTECT UTILITIES WITHIN THE EX G LEA r Lot 12 - 6 � poox WORK AREA DURING CONSTRUCTION. PIT TO B AB DONED 8 THE EXISTING SEWAGE DISPOSAL SYSTEM INCLUDING CESSPOOLS SHALL BE V;F_� PUMPED, FILLED WITH SAND, AND ABANDONED; OR SHALL BE REMOVED r. WITH SURROUNDING CONTAMINATED SOILS AND BACKFILLED WITH CLEAN 1.G` ' COARSE SAND. IF APPLICABLE: 30 9) FILL MATERIAL FOR SYSTEMS CONSTRUCTED IN FILL SHALL BE CLEAN \ QJ GRANULAR SAND, FREE OF ORGANIC MATTER AND OTHER DELETERIOUS MATERIALS.' THE SAND SHALL BE GRADED SUCH THAT NOT MORE THAN 45% OF THE SAMPLE, BY WEIGHT, SHALL BE RETAINED ON THE #4 SIEVE. r " THE FILL SHALL NOT CONTAIN ANY MATERIAL LARGER THAN 2 INCHES. o SZ a THE MATERIAL THAT PASSES THE SIEVE SHALL MEET THE PLAN FOLLOWING GRADATION REQUIREMENTS: SIEVE PERCENT SCALE: 1"= 30' SIZE PASSING (THIS AREA IS SERVED BY MUNICIPAL WATER) 4 100% 0 1510%-100% € 00 07o-20% .0%-5% - ' TOP OF FOUNDATION VENT 30' ABOVE Ix FINISHED GRADE RAISE COVER TO WITHIN 6• OF FINISH GRADE FINISH QRADF 9' MIN. 3 MAX. D BOX [LP NIMUM D'BOX INSIDE , Z:DROP. MENSIONS 12 x123 MAX. INCREASE PEASTONE THICKNESS4' OIA SCH 40 PVC PIPE2" MIN - 3' MAX. TO MAINTAIN 3' MAXIMUM DEPTH FLOW LINE 4" DIA SCH 40 PVC PIPE 2' LAYER MINIMUM OF 5' �v,�� T►'L��c�b-� �� 4' DIA SCH 40 PVC PIPE 1/8' TO 1/2' STONE No. DATE aEv�sIoN BY • _ UT SHEET TITLE PROJECT N0. L10A MIN.) E OR FLOW 2-0EXIST EXISTELER INVERTEFFECTIVE D—BOX C15700.00 'EXIST 1000 GAL SCALESEPTIC TANK �05.6 ,04:5 4.2 " DEPTH SEWAGE DISPOSAL SYSTEM REPAIR PLAN 1"=30' W/SANITARY TEES (VERIFY) EXIST VERIFY) 104.2 3/4 TO 1 1/2 STONE DATE " COMPACTED BASE 04/25/02 W/ 6" LAYER OF I� 54' I PROJECT DRAWN BY CRUSHED STONE 101.9 RMF CHECKED BY UNE(S) EXITING D'BOX MUST REMAIN THOMASMcMAHON DETAIL OF LEACHING TRENCH LEVEL FOR 2'-0' BEFORE PITCHING DRAWING NO. DOWN TO LEACHING FACIUTY NO SCALE 81 REDBERRY LANE LOT 5 MARSTONS MILLS, MA C15700. 110' 2' ESTIMATED DEPTH j • To GROUNDWATER IS > 45 FT COASTAL ENGINEERING ` THE MINIMUM SLOPE FOR rm,. _ 4 DIA SCH 40 PVC . ,,, COMPANY INC. - PIPE IS 1/8" PER FT. PROFESSIONAL ENGINEERS & LAND SURVEYORS SS- 1 SCHEMA TI C FLO W PROFILE �� ., 260 CRANBERRY HIGHWAY ORLEANS MASS. 02653 r . RM T MINIMUM REQUIREMENTS OF T1TLE 5 A INSTALLATIONS MUST-CONFORM 0 THE M ALL 508 255 6 11 5 1 1 .. _of _SHEETS - - C CEC 2002 7 C15 00. 00 i I