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135 & 149 ROUTE 149 - Health
135 & 149 RTE 149 ,MARS MILLS A = 078 PARCELS 19 & 20 �J I� h i UPC 12934 Now. 2:15�3LY ' stcor`sr� HASTINGS, MN.' ___ _ !�, ��� J c ,,/l.i�� 1 i i I ,� I S�' T07 OF B��RN TAB E ,�Z Z I6t) LOCATIO0 1t`` 1 �2.� �1J 1J hV_ SEWAGE# 01�• ti � VILLAGES reMj t ASSESSOR'S MAP&PARCE INSTALLER'S NAME&PHONE NO. C-F SEPTIC TANK CAPACITY lFX t t i-j Ot //4 ez� 3506 /C. i?-�f LEACHING FACILITY: (type) �f -tUrr74 Cuff (size) NO.OF BEDROOMS 1`11 oV�: I�C3 - �• i�- S`�CsU c�L Gi�¢Ekl. OWNER t I PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility �/—7• � 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 ion 520 -L, /. 4b 4 r 804 No. i W Fee Lee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 21ppIication for Misposar *pstrm Construction permit Application for a Permit to Construct( ) Repair(,Upgrade( ) Abandon( ) ❑Complete System individual Components Location Address or Lot No.) Q 1K4 l 9 1 V q Owner's Name,Address;a"nd•T"el.No.Jb6'/)3/2-1)34.b (Zobi n Assessor's Map/Parc 1 1X 019 026 AfMs fon 1/15 ©.7, Installer's NamehAddress,ano Tel.No.,S2C-9-7/- 9 Designer's Name,Address,and Tel.No-Of -P9 �1or jo` l ornsd rL��-l�or� g5Z1 �<asc►{ f Type of Building: Dwelling No.of Bedrooms 7 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building> No.of Per,ons 5b Showers( ) Cafeteria( ) Other Fixtures Inc J,-10 Pv(14 v NdMs .{ U ) ;"r Design Flow(min.required) 1?0 3 gpd Design flow provided 19 33 - gpd Plan Date Jl�a.l I(o Number of sheets Revision Date Title PAI 11, :5,7 :C A41 � 1 V> Nam/zws /I/-/�/� Size of Septic Tank " 1� Type of S.A.S.lb Description of Soil 6,ew_aW /0, ' Nature of Repairs or Alterations(Answer when applicable) i 1 -'- ihat, 7 y 1�o�U llrJ 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 place the system in operation until a Certificate of Compliance has been issued by this Bo ealth. Si d Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued No. ✓�./ UUU { sF t Fee � THE COMMONWEALTHEntered in com OF MASSACHUSETTS ' puter: . - Yes PUBLIC HEALTH DIVISIONN TOWN OF BARNSTABLE, MASSACHUSETTS application for Disposal *pstem Construction Permit Application for a Permit to Construct( ) Repair ` grade( ) Abandon( ) ❑Complete System individual Components Up Location Address or Lot No. ....Q Ka 9 4- 1 V 9 Owner's Name,Address,and Tel.No:. ruU6' r_� OWd, t i,obi n Pkkm'(34 al3 Assessor's Map/Parc 1',7g O!9 U,-JU M44l5fvn-, AldIS 0 10Aosy Installer's Name Address,and Tel.No:5 ''2`7!- 9.3`!9 Designer's Name,Address,and Tel.No.f7i ��ohs•�r�G�-lor'+ �{5���x•�o"c.uo}'� rS ns lls A Oaf I Type of Building: } ' Dwelling No.of Bedrooms 7 Lot Size GSf#� S sq.ft. Garbage Grinder Other Type of Building 6_5kttl"g--Ij!{-1 7�n� No.of Persons 5TV a2C n ShQlwers( ) Cafeteria( ) Other Fixtures �Z'f N'" t�) i4`)kUvri� by}�N�/✓'S'� fit' ( J �11G f Design Flow(min.required) 190_3 gpd Design flow provided I?33. $ gpd Plan Date 11'-a,t(. Number of sheets _ s Revision Date r Title P n rv-.Sv i6t 4&,n 41r na)1.( 2 tc f��CC,ro 5 ,�, / �7 /`y 1 Size of Septic Tank eX joS� nc Na0 3t�cc�eeyQ Type of S.A.S. ? p tr J Description of Soil ? � Nature of Repairs or Alterations(Answer when applicable) 3 bo1 &g AIii' +crank/1911 ,,14) A r„ ro ,, ,__/ry m f I aU _5-vo qw, X-Z//- ob ilte Date last inspected: •,,,, Agreement: ,.. The undersigned agrees to ensure the construction and maintenance of the afore described on-site ewage disposal system"""`" accordance with the provisions of Title 5 of the Environmental Code and noYt place the system in,operation until a Certificate of Compliance has been issued by this BBow ealth. Si: d Date k !f C Application Approved by Date Application Disapproved by Date for-the following reasons d� JJ Permit No. /(o Date Issued l0 ----------------------------------------------------------------------------------------.----------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS _ (Certificate of (torn riance / THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(.X) Upgraded( ) Abandoned( )byAf�6�/,7�`� l re(4n5t/( 1' -,L at 13 S a y ig 9 jR a/b /4 9 Nk s It*,S Al,'IIS has been constructed in accordance h with the provisions of Title 5 and the for Disposal System Construction Permit NQ /lp — jdated Installer �r�0�� ��r � Vie_ Designer r)ee rl tl .I s e #bedrooms *7 i 50 �y/!t 5{ ¢ � , Ae� Approved design flow o� gpd The issuance o this ermit shall not be construed as a guarantee that the system will nch des/igned. � Date � / Inspector f/( o $ ---------------------------------/------------------------------------------------------------------------------------------------------ No. -C.�b LJ3 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction Permit ~ Permission is hereby grantedto Construct( ) QRepair(. // Upgrade( ) Abandon( / 1 ) System located at c� a k c. t 14 Q �Yll�C c1 e 4 �7 ! /e Y:S1n in-, r/ 1 and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be co pleted ithin three years of the date of th' permit. Date /, V j (O Approve by T FEe-14-2017 00:39 From: To:1,5087906304 Pa9e:1,'1 Town of Barnstable Regulatory Services �. Richard V.Semi,Iaterlm Director i iuvrQa_Tn,-cc ; Public Health Division �t Thomas McKean,Director 200 Main Strect,Hyannis,M..A 0260.1 Office: 508-462-4644 Fax; 503-79M304 ` Installer&Designer Cgrtifiication Form Date: �i 0610 Sewage Permit# Assessor's MapTareel -7Le —1q E Z Designer: 9 as:.+n e4 r r.sl !ve-•ins 1�� Installer: �c9r'�B��t ��� ��� Address: 12 W, Ccns<rf �eld �1 Address; S� t3SC On A24116 L G. f was issued a permit to iasr-all a (dace) (installer) septic System at.ste 13S(olkh /44) A& / based on a design drawn by (address) Pe- M `6,r►i1-Ce PCW dated _ g! �z 1b l J It�z,- i!r; (designer) '— I certify that the septic system referenced above was insLdled substantially according to the design, which may include minor approved changes such as lateral relocation of the: distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic ,ystem referenced above was installed with major changes (i.e. greater than 10' lat�•al relocattion of the SA.S or any vertical relocation of ony component of the septic system) but in accordance with State&Local Reguiatiorrs. Plan revision or Certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfacto certi the stern referenced above was constructed in c Hance with the terms Of appr al letters{,if applicable) y PETF-R T. ✓, (Installer's tgnature) Mee\q� No. 35109 _toml7STC sr— (Designer's Mature) A 1x. est Mere) PLEASE RETURN TO IIA"STABLC PUBLIC HEALTH DIVISION. CERTIFICATE 0F.COMP]LIANC>E WILI, NOT BE ISSUED tJNTIL BOTH THIS FORM. AND AS- 8TJ[LT CAX ARE RECEIVED EY THE BARNSTABLE PUBLIC HEALTH---. ISX() THANK YOU. Q:13eptk.\Designer(:ertificatiOg Fonn Rev 8-14-13.d6c PLAN REVISION BATH 1 1/22/16 — LABEL CORRECTION RETAIL STORE I OFFICE P � 387 SF RETAIL STORE ENT. ON SYSTEM #3 SERVICE STATION DN 506 SF ON SYSTEM #3 UTILITY & o ENT. ENT. ENT. STORAGE } RESTAURANT KITCHE ti 44 SEATS OFFICE OF � ENT. ENT. ON SYSTEM #1 RETAIL - ON SYSTEM #1 FIRST FLOOR PATRON FLOW ENT. ON SYSTEM #1 KITCHEN FLOW ON SYSTEM #3 APT #201 ON SYSTEM #3 ENT. ENT. BATH BED KIT. RM APT #201 APT #203 HALL 77 SF ON SYSTEM #3 ON SYSTEM #1 _ ENT. APT #202 BED RM BED RM BATH BATH ON SYSTEM #3 D 130 SF LIVING RM DECK 135 SF BED RM OCCUPANT WOULD NOT ALLOW ACCESS + 180 SF BED RM ENT. 240 SF 2 BEDROOMS ON HALL APT #204 LIVING ON SYSTEM #1 RM DECK 2 BEDROOMS 19 KITCHEN KITCHEN LIVING RM ENT. SECOND FLOR APT #205 p ON SYSTEM #1 APT #206 L FLOOR PLAN 1 BEDROOM ON SYSTEM #1 2 BEDROOMS 149 ROUTE 149, MARSTONS MILLS, MA a/k/a 135 Route 149 TIM Town of Barnstable P# Department of Regulatory Services j p z LE� i Public Health Division Date �A t6J9 ,e� 200 Main Street,Hyannis MA 02601 Date Scheduled -c 1 Time U,1 6*71 Fee Pd., Soil Suitability Assessment for Se Performed By: ��l-�.//"a.�`C-'�'L�2.2- �(``-�<5���. Witnessed By;_ ✓ � 11 / � J Location Address LOCATION & GENERAL INFORMATION �-- ��1� Owner's Name Rcb ' / � m G t f RqA q `;S S �c-fJv 12 t! cI L(c1 d / , Address �l< </Iltir� ��crt eJ✓��3c P Assessor's Map/Parcel: CJ (� 3 G' Qr-J-� S� /i� vL rZ c `: Engineer's Name 'UI ' G�.z c t �✓t c NEW CONSTRUCTION d REPAIR' Telephone# v - f 3 Land Use 1"1 V � �-+ �l S-� _�„ •- _--�7 7'S�,� Slopes(30)Z' Surface Stones.— U Distances from; Open Water Body U� ft Possible Wet Area^//h �U ft - Drinking Water Well ,��__ft Drainage Way r J ft Property Line ft Other _.,.ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands fin proximity to kioles) C i - - - r--�' 1`� --1019910i --- - F /77 ------------- LJ Parent material is / 11 (geolo g ) `- Depth to Bedrock�_ U� Depth to Groundwater: Standing Water in Holt!, Weeping from Pit Puce Estimated Seasonal High Groundwater _�' �3 z- ' ' i j DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in, Depth td soll mottles:,,,,-,;_ Depth to weeping from side of obs,hole: In, Groundwater Adjustment.,.,.� f:. Index Well#_ Reading Date: _ Index Well level � AdJ,Actor,,,,,. nd AdJ,drouwater�l`vr—1 PERCOLATION TEST Dille .e 7ilnte, Observation Hole# P.� Time at 9" Depth of Perc Time at 6" Start Pre-soak Time _ Z- I (A /t Time(9"-6") _ End Pre-soak _ n y ram n �, Y �' Rate Min,/Inch. L" Z G 9 ' Site Suitability Assessment: Site Passed � Site Failed: Additional Testing Needed(YM) i Original; Public Health Division Observation Hole Data To Be Completed on Back-------;--- i ***If percolation test is to be conducted within 100' of wetland,you must first:notify the- Barnstable Conservation Division at least one (1) week prior to beginning. Q:\SEPTIC\PERCFORM.DOC ]DEEP.OBSERVATION HOLE LOG Hole#._----- Depth from Soil Horizon Soil Texture .Sdil Color Soil Other SurfaA(in.) (USDA) (Munsell) Mottling '(Structure,Stones;Boulders. —Consistency. 2 Gravel) I . :D1±,EP OBSERVATION HOLE LOG Hole# Depth(from Soil Horizon Soil Texture Soil Color Soil Other Surface(in,) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency.%Graven b �IZ& ]DEEP OBSERVATION HOLE LOG Hole#,r+ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Coisistencv. o Graven DI±,EP OBSERVATION HOLE LOG. Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surfac�(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, o s' en °oQravell_._., t Flood Insurance Ratete IMIa�'. Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No._:.,-4- Yes Depth oaf Natuvally_Occurrine Pervious Material Doeslat least four feet of naturally occurring pervious material exist in all areas observed throughout the �e soil absorption s stem? — ro osed f�r tl Y area 1� p P . of natural) occurring ervious material? If nod, what is the depthy g p Certification I certify.that on 1 _—__�(date) I have passed the soil evaluator examination approved by the Department of I"en analysis was by me consistent withvironmental Protection and that the above y p the rt quired training,expertise and experience described in 310 CMR 15.017. I 5ignllture Date j . Q;\S BPTiCNPERCPORM ZOC 17 7--- D A0 No ✓., L_.® Fps.... .................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF `HEALTH 1..�. .1 .............OF......Jul. NS. . Applirafion for M-4p r i al Work.5 Tonstrnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair (V� an Individual Sewage Disposal System at Y�19�?:S�t�....MI16.. m� ----•-----------------•-...............--- Locat,on•A,.. s or Lot No. 7. .. Ow 0 Address - -..._..... a ... -� � ------ 0 M... ...................................................... Installer Address d Type of Building Size Lot.. ;P..00(2....Sq. feet aDwellin No. of Bedroo Expansion Attic ( ) Garbage Grinder ( ) p, Other2 Type of Building Sao-!�___ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fi tures ..... W Design Flow....I.Q.7.. ..........................gallons per person persday. Total daily flow.___......._? ...................gallons. 04 Septic Tank—Liquid capacity.154-..gallons Length----,j_....... Width...(^......... Diameter__.__-__-____- Depth......__. W Disposal Trench-No. .................... Width ....... Total Length............!__---- Total leaching area....................sq. ft. x Seepage Pit No.......2----------- Diameter...... ®........ Depth below inlet....... ......... Total leaching area.. 2-.....sq. ft. Z Other Distribution box (� Dosing tank ) ~' Percolation Test Results Performed by. .°44e___ _.tV A -'4............................... Date....2��_Ik ••----.-----.. Test Pit No. 1........Z---minutes per inch Depth of Test Pit.....--�_1......... Depth to ground water.. ©I--Q_�s' Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ...........•�-------------- --•--- . -- ------..---- ------ f - � ......... 1 `. I FZio`0Description f Soil_... -L.. ----- . L.. x Qf .----•• --------------••-------------------------•----- W .........................................................•---------------------------------------------------- ----- ----------------- -.......................................... K&C V Nature of Repairs or Alterations—Answer when applicable_____ _____ ___A_Ltr? _________.._..___...Il. rc..-2.___......._.._...__. . .---------- S.1 le.M------------------------------------------------------------------------------------------------------•----- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environ ntal Code—The undersigned further agrees not to place the system in operation until a Certificate of Co c h een issuedl by the board f health. Si ne 1.. .... ^� ----- .. ep....... ......... -..-- ..........--..--.....-.- ..........----..Date................. Application Approved By .. .. .. ... ........ ....... ...... ... ....... ®--f. Dare Application Disapproved for the following reasons- ------------- -- ------ -- - ------- --------- ------------- --------- - --- - .....................-------------- - --- --- --- - _ �j Date Permit No. �------------ Issued .. s.✓ No.c!' 0 2.7 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - R.-t . 1_ .............OF......-: .�2 j�1.-�..L.t.`l Gj Appliratiun for Disposal Works Tonstrurtiun 1hrmit Application is hereby made for a Permit to Construct ( ) or Repair (V� an Individual Sewage Disposal System at: • ............... -------•••••......-- --•------------•-----••-----------------•---------------------------------------_----------------- Locatioddr ss or Lot No. Owner Address .............C.A. R 5.1 --... ���r -�! ---•... ..............•---•----------------••-•-•-••-------•--•----- •---•-------•----•--------•-•-•. t K Address � Ins 1 Type of Building Size Lot._�z4t_OU.... q. feet U Dwellin —No. of Bedroo ....-__-•.-_-------•--•-----------------Expansion Attic ( ) Garbage Grinder ( ) Other T e of Building - ... No. of persons............................ Showers; — Cafeteria _11 g O IOerGfi tures ________________gallons per person per,day. Total daily flow___--_-_..W Desi n Flow.... ll ((�� / WSeptic Tank—Liquid capacity.J5°O.gallons Length....11........ Width---G._______- Diameter________________ Depth-_„........ x Disposal Trench—No..................... Width ....... Total Length............r..____ Total leaching area....................sq. ft. Seepage Pit No-------2_-......... Diameter......1a.__..... Depth below inlet................ Total leaching area..Zt._...sq. ft. Z Other Distribution box (►� Dosing tank ) '-' Percolation Test Results Performed by._K.-. :...._SS¢�l ATLJ .............................. Date___-Z-/_'/�-_ .............. as Test Pit No. 1........Z___minutes per inch Depth of Test Pit...._31......... Depth to ground water.. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -------- ------- . -•.--•• r .1 --- ---- O Description.of Soil-----n rl-------� -}1 2-4...��..i2A.v�%-( r' �'� A21 e.� r1 t 7L S U --------- --- r 17• .� 41 C- l�-.... ------------------------------------------------------------------------------------------------------------••• - --------------------------- ------------------•-----•---------.----.-- U Nature of Repair or Alterations—Answer when applicable____ ...... '_A 2S.....................Kq.-#.4-e.._..............._.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Comp ' c has been issued by the board of health. SignedDat- e /.. Application Approved B � . ................................... -------e--------------- - .. C Date Application Disapprove, 6ll�rea ................................................................................................................;.................................................................................--.......... .............---Date...---..---------- PermitNo./�/J/. -- --------------- Issued ...........:------------ ------ ------------..................... / ate v' )/ _ Via- 9 J THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ----� W..�•......... OF .....'3 :-(2t��STi '3 ----------------------------- C�ex#t�Yrtt#E of C�o��iittn.ce THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) Y ... ........ r - Installer at :. -o.. �-.....{.�.- } O has been insta led in�accore withe isi�ristof �5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No- ----------------------------------------------- dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL N��CQ�1$ UED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. //((�� DATE............................. ...'..... .1.. -7/7.......................................... Inspector ............... - ------------------------------------------------------------- l THE COMMONWEALTH OF MASSACHUSETTS ! BOARD OF HEALTH ......l..Q.wq ...............0F........ -► .C-� -.�.•�._................... No.. ...... ..��..._ FEE.... �� Rupuuul Works Tonstr tiun amit Permission is hereby granted... fd—i �{� -- . ...... ........................................................... Construct ( ) or Repait✓ Q'I iva`1 ewage 1710' y ~"3 1 atNo. - � c------ -------------------------•-......................................... as shown on the application for Disposal Works Construction Permit Dated ........................................ 4DATE.. y =---------------------•FORM 125RREN. INC.,.PUBLISHERS YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for years). A business certificate ONLY REGISTERS YOUR NAME You must do by M.G.L.-it does not give you permission to operate.) Business Certifi in Main Street, Hyannis, MA 02601 (Town Hall) cates are available at the Town Clerk's Office, 1�FL.(367h DATE: '.., ?. .3�;14Lzq 'r APPLICANT'S YOUR NAME/S: 1 '� k + �trn,. t��C. /� Fill in please: zfSA��� FJ;� ,I _ BUSINESS ' C YOUR HOME ADDRESS: V,k VA VLIA TELEPHONE # Home Telephone Number f- �S Z t •� NAME`OF CORPORATION: NAME OF.NEW.BUSINESS L 1S THIS A HOME OCCUPATION? O TYPE F BUSINESS ADDRESS.OF BUSINESS YES NOR. 4v� MAP/PARCEL N U M B ER.:�;"� _[�oZ (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town., 1. BUILDING CO M.ISSIO ER'S O ICE MUST COMPLY WITH HOME OCrU7 ' This indivi ual h- s n itifo;m of yp �mit.requirements that pertain to this RULES AND REGULATIONS. FAIL. . .SON P type of bL-ObI PLY MAY RESULT IN FINES. Aut ocized n OMME TS. 2. BOARD OF HEALTH This individual ha beem�f r d f the permit requirements that pertain to this type of business. T � _ MUST COMPLY WITH ALL Authorized Signature** !HAZARDOUS MATERIALS REGULATIONS COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Si natur g e COMMENTS: j No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for nig;pooar 6pfstem Cougtructio i Permit Application for a Permit to Construct( )Repair O Upgrade()<)Abandon( ) ❑Complete System Pal Individual Components Location Address or Lot No. 14-7 Owner's Name,Address and Tel..No. Assessor's Map/Parcel i 3 � / � fol v£z' _pA? Installer's Name,Add1ress,and Tel.No.A Designer's Name,Address and Tel,No. ��� —tea 5 s- 1� �� l� ��rN _7 P. (IDS °� 1 LL o O Z�48 Type of Building: 5ga 'F�� Dwelling . No.of Bedrooms Lot Size '� �S'�. sq. ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures 5 $T-,-'1 - 5 �7�Nf Z Design Flow 6aR QJ�57£gallons per day. Calculated daily flow 9.D ,Pp . S v� gallons. Plan Date O Number of sheets Revision Date Nb o. F_ Title Se l C .9 g re— Size of Septic Tank pe of S.A.S. Description of Soil 9Xi 5 wic-1 SUS z pjw l Nature of Repairs or Alterations(Answer when applicable) 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- date of Compliance has been issued by 's and of eal Signed �L Date Application Approved by -�1 1 may✓_ Date r -' Application Disapproved for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the n-site Sewage Disposal System Constructed( )Repaired b( )Upgraded(X/ ) Abandoned( )by at E ✓- '' f � >{ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. .?'�,.4/g.Q,6ied tr-, Installer Designer t Ale J� The issuance �f this emit shall not e nstru d as a guazantee that the systerh will fund onCa�Hclesig'��f ` ' ; C Date 11(.-'"�i f �'/ C� Inspector J No. ——- -' f - - - --------------'-------------- Fee COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET,BOSTON MA 02108 (617) 292-5500 TRUDY COXE Secretary ARGEO PAUL CELLUCCI DAVID B. STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: S , �iName of Owner �1 iQ0a���" Address of Owner• �/- o o n - "L , `lc-1i��y Date of Inspection: - Cot f Name of Inspector:(Please Print) 1 am a DEP Wowed syst s or�fsu�to Sections 5.340 of Trde 5(310 CMR I S.000) Company Name: doh H Iv Maliinp Address: Telephone Number: U P Q riat+� 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 sewage disposal systems. The system: �>tasses _ Conditionally Passes T Needs Further Evaluation By the Local Approving Authority Fails Inspectors Signature: Date: Thi System Inspector Kali submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)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. NOTES AND COMMENTS 0��- -1 � 1f1`��TMAB� ea F:a revised 9/2/98 Pagel of11 i'Printed on Recycled Paper r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A ``°CERTiFiCAATION(continueed)) Property Address: Owner: Ch•I v y+- Date of Inspection. INSPECTION SUMMARY: Check A, B, C, o/ A A. : SYSTDA PASSES: " V I have not found any information which indicates that.any of the failure conditions described In 310 CMR 16.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: B. SYSTEM CONDITIONALLY PASSESi 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, will pass. Indicate 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,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection: or the septic tank,whether or not metal,is 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 complying septic tank as approved by the Board of Health.' 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 required 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 t:r ' .•r 'E�7 r revised 9/2/98 Page 2of11 a SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: /3� //�sq /1/�tirs ohS/�'����.✓�a. �f9' �f .s/q/rl� Owner: Date of Ins on. D. SYSTEM FAILS: . You must Indicate either"Yes" or "No" to each of the following: 1 have determined that one or more of the following failure conditions exist as described 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 failure. Yes No 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 l 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. LARGE SYSTEM FAILS: 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: 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: Yes No 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 II of a public water supply well The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further information. revised 9/2/98 Pseeaorll I, 1 r t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 13r i7f/4'q /.1?a f-to,-c 4<//s 11;at Owner: pqH /f fac e.*cfi lrvr Date of 4upec*M: 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 the public health,safety and the environment. II 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH'DETERMINES W ACCORDANCE WITH 310 CUR 15.303(1)(b)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 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 AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and soil absorption system and the SAS 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 war • 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. Method used to determine distance (approximation not valid). 3) OTHER revised 9/2/98 Page 3of11 1 ` ..SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B / CHECKLIST Property Address: /3 S/k/r /vat 6C /�s /T�� �1 S/A/�d e Owner: Qoh &�Acesrc4I.w Date of Inspection: I- �I- 00 Check if the following have been done:You must indicate either"Yes" or"No" as to each of the following: Yes / No _ Pumping information was provided by the owner,occupant, or Board of Health. _ None of the system components have been pumped for at least two weeks and-the system has�beerrreceiving 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 if they are not.available with N/A. _ The facility or dwelling was Inspected for signs of sewage back-up. _ 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. _ The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles or tees,material of construction, dimensions,depth of liquid, depth of sludge,depth of scum. The a)xe and location of the Soil Absorption System on the site has been determined based on: _ Existing information. For example, Plan at B.O.H. Determined In the field(If any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable) � ` 115.30213)(b)1 /•��r _ The facility owner(and occupants,if different from owner) were provided with Information on the proper maintenance.of SubSurface Disposal Systems. revised 9/2/98 Page 5of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: �� Owner: ppn A/Ir, �Q�I'�?Y.'+ Data of Inspection: FLOW CONDITIONS RESIDENTIAL: Design flow: L W g•P•d•fbedroom. Number of bedrooms(design):� ., Number of bedrooms(actual): Total DESIGN flow Number of current residents:_ Garbage grinder(yes or no):,," Laundry(separate system) (yes or n0l-Azo 'if yes, separate inspection required Laundry system inspected '(y�ees or no) Seasonal'use(yes.or not w , ` Water meter readings,if available(last two year's usage(gpd). Sump Pump(yes or no): Last date of occupancy:- COMM-'_RCIAUlNoUSTR1AL: Type of establishment: t a S Ito, Design flow: Qpd ( Based on 15.203) Basis of design flow Grease trap present;(yes or no)_ Industrial Waste Holding Tank present:(yes or no)_ Non-sanitary waste discharged to the Ti system:(yes or no)— 5 • Water meter readings,if available: Last date of occupancy: OTHER:(Describe) Last date of occupancy: OGC e- GENERAL INFORMATION PUNPt!!G RECORDS and source of Information: System pumped as part of inspection:(yes or no) \ gallons , If yes,.volume pumped: 9. Reason for pumping: TYPE,OF SYSTEM system p y tank/distribution boxisoil absorption Septic Single cesspool Overflow cesspool _ Privy Shared system(yes or no) (if yes, attach previous inspection records,if any) UA Technology.etc.Attach copy of up to date operation and maintenance contract Tightof DEP Approval Tank C0PY Other .� ..9'�f YOr/• APPROXIMATE AGE of all components,date installed(if known)and source of information: Sewage odors detected when arriving at the site:(yes or no)�e Page 6 of 11 revised 9/2/98 r t:. SUBSURFACE SEWAGE DISPOSAL SYSTEM.INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: !�js/ �y4 /y/�rf C/Y//�/S /�G, P.7- Owner: •� /v�, Date of Inspe ooi7 Mace,, C4Fr H vo BUILDING SEWER: (Locate on site plan) r Depth below grade:_LS Material of construction:_cast iron �9P _other(explain) Distance from private water supply well or suction line Diameter Comments:(condition of joints,venting, evidence of leakage,etc.) SEPTIC TANK:_ (locate on site plan) r Depth below grade:` Material of construction:: concrete metal_Fiberglass Polyethylene_other(explain) If tank is metal,list ages ls.age confirmed by Certificate of Compliance_ (yes/No) Dimensions: Sludge depth: • Distance from top o sludge to bottom of outlet tee or baffle: `30 Scum thickness: !! Distance from top of scum to top of outlet tee or baffle:_ r Distance from bottom of scum to bottomof-dutret too orbaffle: How dimensions were determined: 43"i e R Sl `._ Comments: 'licommendation for pumping,condition of inlet an outlet toes r ba s, epth of liquid level in relation to outlet invert,structural integrity, ... _ Rvidence of leakage,etc,).. GREASE TRAP: (locate on site plan) 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: (recommendation for pumping,condition of Inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage,etc.) revised 9/2/98 Page 7of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 7. oo °yi ce A.Q. r Inpcb� TIGHT OR HOLDING TANK: (Tank must be pumped prior to, or at time of, inspection) (locate on site plan) Depth below grade: Material of construction:_concrete_metal_Fiberglass_Polyethylene_other(explain) Dimensions: ---......_..__. Capacity:_ gallons Design flow: _. . g gallons/day . Alarm present Alarm level: Alarm in working order:Yes_ No_ Date of previous pumping: Comments: (condition of Inlet tea,condition of alarm and float switches,.etc.) • DISTRIBUTION BOX:_ (locate on site plan) Depth of liquid level above outlet invert: l �� Comments: (pote if level and suiyyution is equal, gvidence of solids Carryover, evidence of leakage into or out of box, etc.) ex Lev.c' Q.rrc,oy�i- 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.) revised 9/2/98 P2ee8OfII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C ,c SYST�EIM INFORMATION(continued) � Property Address: /3�/Q7� �yg girt �C3 PipfQL- Owner: �Ovj �Y/!.c-e4c ok H l/ Date of Inspection. /-//- SOIL ABSORPTION SYSTEM(SAS) (locate on site plan,if possible,excavation not required,location may be approximated by non-intrusive methods) If not located, explain: J Type: leaching pits,number:_ leaching chambers,number: = .sdt7/a Ir leaching galleries;number:_ leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number:_ Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydraulic failure,level pf p nding, damp soil, condition of vegetation, etc.) CESSPOOLS:_ (locate on site plan) Number and configuration: Depth-top of liquid to Inlet invert: Depth of solids layer: Depth of scum layer: Dimansions of cesspool: Materials of construction: IAdication of groundwater: inflow(cesspool must be pumped as part of inspection) Comments: (note'condition of soil,signs of hydraulic failure,level of ponding, condition of vegetation, etc.) PRIVY:_ (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.) revised 9/2/98 Page 9of11 SUBSURFACE•SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART.C `.,;, ,S�Y-S-TEM..INFORMATION(continued) Property Address: /r/may- Ala.---�y9 loh!/J///Ao /�' Owner: PO�'! -` Date of Inspection SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to at least two permanent reference landmarks or benchmarks locate all,wells within 100' (Locate where public.water supply comes Into house) Mod• r , 319094 0 ..-. clKA•,� S/Ovr{ q • Co4.l�s 1 / 77 revised a e 10 of 11 9/2/98 � Pg a SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(confined) Property Address: %3S_l /q4 �lisf�O�s1 /� / p�� 6:7 s Owner: Data of Inspection: NRCS Report name Soil Type_ Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater depth: Shallow Moderate !/ Deep SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to Groundwater Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed Site(Abutting property, observation hole, basement sump etc.) • Determined from local conditions Checked with local Board of health Checked FEMA Maps j Checked pumping records :;.. Checked local excavators,installers (Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) FYou h� 4e 7�/l�evi cw/ u revised 9/2/98 Page 11of11 I Number Fee 206 THE COMMONWEALTH OF MASSACHUSETTS $10o.00 Town of Barnstable Board of Health C� This is to Certify that Village Garage Inc. �0 135 Route 149, Marstons Mills,MA 02648 Is Hereby Granted a License --- FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2012 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2011 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health .F L° —1/ c9 / 1I Town of Barnstable 6MG�j Cp53 p OVP DIME Regulatory Services S p O Thomas F. Geiler,Director BMWSUBLE. ' Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE ( 2,011 L APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT T nO l�l� 1 P-e NAME OF ESTABLISHMENT e Y?2 C �'- ADDRESS OF ESTABLISHMENT x TELEPHONE NUMBER / 4.r d u Ma.1 oi" SOLE OWNER: YES —'NO J `-- a IF APPLICANT IS A PARTNERSHIP,FULL NA AND HO ADDRESS OF AI,L ME ME PARTNERS: ' Al • Q M IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK kz_ SIGNATURE OFF AP IC,A`NT J RESTRICTIONS: HOME ADDRESZ HOME TELEPHONE# Haz.doc/wp/q i SPILL CONTINGENCY PLAN Emergency Coordinator,Name: am Iq Ro'TPE Address: (r Daytime Phone: 'w?'. Evening Phone: ,. /1! 9 Fire Department: Barnstable Public Health Division: 508-862-4644 DEP 24 Hour Spill Hot Line: 888-304-1133 Waste Hauler.: Name: Phone: Building-diagram:indicating hazardous material/waste storage area, location of absorbent scavenger material's,fire extinguishers,fire alarms(if present), and evacuation route (if applicable). *OM ALA9M5 IN 64CH 51 y IN WUN6 VIW N 41 I eE1+tC� ,c�� �C� ��Ft R��, T k ,275 GAS t_8 aSTEEL ED 5I RY t10t W�{7t L !R V SHOP L L- l mARMES o WAM a MkIRCI S M T T 1 A T T 46AC M AK N A 33Ay Actions to be taken to control a spilt or release and preventing it from reaching a catch basin, sewer system or the ground. CON�-.A1Iv 6MV-r &OM :!� FOR EAC4 01L SMRA6C- LMM W I vI RG I N a 75 GL5 o? SS G'AUMS MRk4L.S 90 Poonbs Oe NK10 SP160Y M// /N A 6AM61- Aces 16 511O VaS AA16 Q P11S# &ROPM-5 AOR It755/8L6 CC.�41Y- 11R5 I t oo GENERAL NOTES: Z 04 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCALS C�VF<<S 4N ���' N J O BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF ��e J :2 THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BY VARIANCE. w 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 2 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE Q DESIGN ENGINEER. 40!/ of U) 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING F<<s Z o FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN f'iL n Q ENGINEER BEFORE CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. o (n 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF z THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF bfA/lV Sr HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. LOCUS 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. V) 8. THERE ARE NO PRIVATE WELLS WITHIN 150' OF THE PROPOSED S.A.S. LOCUS MAP 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS NOT TO SCALE AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. U CV 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CL W v CONSTRUCTION. — LiJ ~ o 1 1. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS N 46'13 59 E (n t IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND y1 - - - - - - - - - - - - - - - REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 312.17' � Y 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE '�� UJ rn INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. /,�'� �tK V) Z 13. ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC SYSTEM �p�o 0 Y o COMPONENTS NOT SHOWN ON THE PLAN. 0 o v ASSESSOR MAP 78 I MCL PARCELS 019 & 020 a 65,158±SF co i f 6 z I �; 4- pC1 i 0 p°� Dip N 1�g C) -0- o y 0 a � � (J1 � I �' � w EXIS ING MULTIPLE USE BUILDING °D a O ----------------------------- — m O N Z O n SYSTEM #3 GAS PUMP SYSTEM #1 ___ - _- -- -- (n rn (TO REMAIN) TO BE UPGRADED to ( ____ ) � PARKING LOP-- CONCRETE ----- ------ W 0 1 o i SYSTEM #2 o ___---- I ------------ __ � (TO REMAIN) I < 243.83 110•g4 w S ' JI L---J 49.50' $ N 32 31 4„ S 44'00'10" W S 44'00'10" W S 37'17'23" W �f q ROUTE 149 ° ASS�yG� VARIANCE REQUESTS - - SEE SHEET 2 o o PETER T.E -310 CMR 15.224: TANKS IN SERIES o McENTEE 20 SCALE 0)v N 1. A variance to the 48 hour detention volume required to allow a 38 y to v CIVIL hour detention volume provided in the existing 3000 gallon tank. No. 35109 OWNER OF RECORD L. y LO Rip -310 CMR 15.405(1)(a)&(b): CONTENTS OF LOCAL UPGRADE APPROVAL MAHAIRAS NICK I & ROBIN H TRS o, 0 �SZE 2. Local upgrade approval is being requested for the proposed S.A.S. VERNON REALTY TRUST c to be located 10' from the existing trench of System #2. C/O MARK H BOUDREAU �3 3. A 3' variance to the maximum cover requirement of 3', to allow up PLAN REVISION 1 1/22/16 396 NORTH STREET S1) VARIANCE#2 TO READ SYSTEM#2 HYANNIS, MA 02601 c C 00 N l 5- to 6' of cover over the S.A.S. The S.A.S.. shall be H-20 and vented. j w W v� 00 i LEGEND _ Z M t g " x 99.98 EXISTING SPOT GRADE 7eo— AS N 46'13 59 N a —98 —— EXISTING CONTOUR � — � �� E-6.H.W . OVERHEAD WIRES � 312.1 7'U UNDERGROUND WIRESwGEXISTING GAS SERVICE — _ 52.50W EXISTING WATER SERVICETEST PIT BENCHMARK6-_ ASSESSOR MAP 78 ZPARCELS 019 & 020 _48.15 65,158±SFpF M �� � W Qc -PETER T. PROP- 481 50,31 -----x 50 7�i5 }„McENTEE -_CIVIL - No. 35109 --4-0- N /° 43 ��� �J--- - '� M O 1 2 5, -4 x W C,__ O __5.00 �J36,6 (n36,5636,61 �► ED _ 5WSHED - . .:•...w:, ' Oz STG. 37,3 � • `-`. Qom, ;�� x36,5 cv `_�R P- �� ? 12' PROPOSED 0 o x POD 15 Lam' " _O '�~ VENT 36.61 LO o. STING MUTI USE BUILDING wa U, _OFFICE, RETAIL & RESTAURANT 1st FLOOR . . � .. : ,APARTMENTS 2nd FLOOR11 � 37,38 z 36 zIT1 z0- oT. .F. 45.7 O 5MHr�=- --- o ODECK =6, 3 EXISTING z �VE NT waLOT 36, 0 cvSM N36 TBM PK SET N SYSTEM #2:ri : TO MAIN 4 V. RE � L1=e -r9A N gI , .FaT H A- N 3�6 ` ,0 �" 3535 66 W S❑ 836,43 U ! ''' � ,S- 4'00�6' W — — _ 3O- 3C-- --- �`a 4 .5 PH lA 59. �36.00 ed e Of ,66 36,6 .,::;',R•' S '23 o 9 pavement 44'00 10 3T 17EXISTING SEPTIC TANK CATC BASIN 36 02 I(TO REMAIN) 35.90 36.20 36.42 36.56 -, roINV,(IN) =32.65fINV.(OUT)=32.40f N o i R0UTE4 BENCHMARK NMAGNETIC NAILPROPOSED SEPTIC TANK EXISTING S.A.S. EL.=36.44/PUMP CHAMBER TO BE ABANDONED OR USED c �3 OVERFLOW TO PUMP CHAMBER 00 3500 GALLON CAPACITY C W c ,LO NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:36.5 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. PROPOSED S.A.S. SOIL LOG PROPOSED PUMP CHAMBER PROPOSED D-BOX INSTALL RISERS, FRAMES & COVERS OVER INSTALL H-20 RISERS, FRAMES & COVERS INSTALL WATERTIGHT RISER & 3 CHAMBERS (CENTER & ENDS) AND SET OVER INLET AND OUTLET MANHOLES AND COVER SET TO 6" OF GRADE TO FINISH GRADE. DATE: AUGUST 29, 201 6 (REF.# 15,141) EXISTING SEPTIC TANK SET TO FINISH GRADE. SOIL EVALUATOR: PETER MCENTEE PE, CSE F.G. EL: 43.5t F.G. EL.=38.5 TO 43.1 t WITNESS: DAVID STANTON IRS, CSE MANIFOLD AND VENT F.G. EL.=36.58f F.G. EL.=36.5f CHAMBERS Elev. TP- 1 Depth Elev. TP-2 Depth L = 9o'("K) 41.0 FILL 0„ 39.0 0„ FILL ® s=iq (MIN.) 39.0 24" 37.8 15" C 4"SCH40 PVC „ SCH Room 40 PV a as LOAMY SAND LOAMY SAND aaa aaa 10YR 4/2 1OYR 4/2 _ L 7' S a EMWE30 38.7 28" 37.5 18" 5=1% (MIN.) THRUST BLOCK aaaaaaa B B BENDS 6,11 58" LIQUID I Al ALL _�ROPO�S�D INV.=37.00 4' 4.8' 4' LOAMY SAND LOAMY SAND 4"SCH40 PVC 10 3 FLOATS DD BBOOXX EFFECTIVE WIDTH = 12.8' 38.0 10YR 5/4 36, 36.5 10YR 5/430" Er' - ALARM ON SET © INV.=37.17 C CADD INV.=32.40 OVERRIDE SET @ INV.=36.00 H-20 RATED 0"/4EFFFLLUERNT SYSTEM ON/OFF © 17-500 GALLON LEACHING CHAMBERS 30"/48' EXISTING INV.=32.60t INLET HOLE HT. ® SURROUNDED WITH STONE AS SHOWN (VERIFY) VAULT BASIN RECOMMENDED 2" LAYER OF 1 8" TO 1 2" DOUBLE WASHED STW EXISTING 3000 GALLON -20) SEPTIC TANK (OR APPROVED FILTER FABRIC) MED. SAND MED. SAND PROPOSED 3500 GALLON (H-20) SEPTIC TANK TOP CONC. ELEV.=37.10 2.5Y 6/6 2.5Y 6/6 NOTES: WIGGIN PRECAST CORP 35STKH2O BREAKOUT ELEV.=36.50 INV. ELEV.=36.00 ease 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE PROPOSED DUPLEX PUMP SYSTEM eases aaaaa INVERTS, PRIOR TO INSTALLATION. ease eases 30.0 132" 28.5 126" 1) ORENCO BIO TUBE PROPAK PVU84, S1, BOTTOM ELEV.=34.00 ff 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND FLOATS, & DISCHARGE ASSEMBLY 4' 17 X 8.5'=144.5' 4' PERC RATE <2 MIN/IN. ("C" HORIZON) TRUE TO GRADE ON A MECHANICALLY COMPACTED 2) ORENCO MVP-DAX PANEL, MVP-DAX1 DMHTSA 5' MIN. ABOVE BOTTOM OF EFFECTIVE LENGTH = 152.5' NO GROUNDWATER OBSERVED SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN 3) TWO PF100511 1/2 HP 10 GPM EFF PUMPS T.P. EXCAVATION OR G.W. 10 CMR 15.221(2). 4) ORENCO B1806-CON VAULT BASIN LEACHING SYSTEM SECTION 3) INSTALL INLET & OUTLET TEES AS REQUIRED. SUPPLIED BY: CAPE COD WINWATER COMPANY NO G.W., EL.=28.5 _ 3/4" TO 1-1/2" DOUBLE 4) AN EFFLUENT FILTER SHALL BE INSTALLED ON THE 174 AIRPORT RD, HYANNIS, MA 02601 WASHED STONE OUTLET TEE AND SERVICED QUARTERLY. (508)862-0166 SEPTIC SYSTEM PROFILE N.T.S. DESIGN CRITERIA (SYSTEM #1 ) BUOYANCY CALCULATIONS DAILY FLOW: 1903 GPD BUILDING AND WATER USAGE NOT REQUIRED. PUMP CHAMBER NOT IN GROUNDWATER. DESIGN FLOW: 1903 GPD DOSING & STORAGE REQUIREMENTS SOIL TEXTURAL CLASS: CLASS I DESIGN FLOW OF 1903 GPD DESIGN PERCOLATION RATE: <2 MIN./INCH BUILDING USAGE (310 CMR 15.2031. - APPROVED ON FILE STORAGE PROVIDED PER FT. = 724 6 GALLONS RESTAURANT: (50 SEATS) - 50 SEATS x 20 GPD/SEAT = 1000 GPD INVERT(IN = 61" (5.08') GARBAGE GRINDER: NO APARTMENTS 7 BEDROOMS x 1 10 GPD/BEDROOM = 770 GPD ALARM FLOAT = 26" (2.17') LEACHING AREA REQUIRED: (1903 GPD) = 2572 SF OFFICE: 1770 SF x 75 GPD/1000 SF = 133 GPD STORAGE PROVIDED= (5.08'-2.17')x724.6 GAL/FT.= 2108 GALLONS .74 GPD/SF TOTAL FLOW = 1903 GPD 1) PROPOSED DOSING SHALL BE AT TIME INTERVALS OF 1 HOUR WITH A EXISTING SEPTIC TANK: 3000 GALLON CAPACITY BUILDING USAGE (310 CMR 15.203): -' CURRENT USAGE DOSING VOLUME OF NOT LESS THAN 20 GALLONS PER CYCLE. FLOW STORAGE PROVIDED: 38 HOUR USING DESIGN FLOW - VARIANCE RESTAURANT: (44 SEATS) - 44 SEATS x 20 GPD/SEAT = 880 GPD RATE SHALL BE SET AT 10 GPM PER CYCLE. 72 HOUR USING EST. ACTUAL FLOW-SEE COMMENT APARTMENTS 7 BEDROOMS x 110 GPD/BEDROOM = 770 GPD 2) OVERRIDE FLOAT SHALL BE SET NO HIGHER THAN 24". PROPOSED SEPTIC TANK & PUMP CHAMBER COMBINATION UNDER OFFICE: 387 SF x 75 GPD/1000 SF = 29 GPD 3) THE HIGH WATER ALARM ACTIVATION FLOAT SHALL BE SET AT 26" TO GENERAL APPROVAL TRANSMITTAL NO. X227956: 3500 GALLON TANK RETAIL: 586 SF x 50 GPD/1000 SF = 29 GPD PROVIDE 24 HOUR STORAGE TO THE INLET INVERT (ACTUAL=2108 GALLONS STORAGE PROVIDED: 26.6 HOUR USING DESIGN FLOW TOTAL FLOW = 1708 GPD OR 26.6 HOUR STORAGE). 50.7 HOUR USING EST. ACTUAL FLOW PROPOSED D-BOX: 1 INLET, 9 OUTLETS (MINIMUM), H-20 RATED ACTUAL WATER USAGE FOR 149 ROUTE 149: PROPOSED SOIL ABSORPTION SYSTEM UPGRADE USE 17-500 GALLON LEACHING CHAMBERS IN SERIES 2016 (1ST HALF) - 236,000 GALLONS - AVERAGE DAILY FLOW = 1293 GPD 1 3j(a/k/a 149) ROUTE 149 MARSTONS MILLS MA SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 2015 (ANNUAL) - 484,000 GALLONS - AVERAGE DAILY FLOW = 1326 GPD 2014 (ANNUAL) - 369,000 GALLONS - AVERAGE DAILY FLOW = 1025 GPD Prepared for: Nick Mahairas, 213 Mistic Drive, Marstons Mills, MA 02648 SIDEWALL AREA: 2(12.8' + 152.5') X 2 = 661.2 SF Engineering b Surveying b BOTTOM AREA: 12.8' x 152.5' = 1952.0 SF COMMENT: THE AVERAGE DAILY FLOW IS SHARED BY BOTH SYSTEMS #1 & #2. g 9 Y Y 9 Y: SCALE DRAWN JOB. NO. MAXIMUM WATER USAGE FOR BOTWSYSTEMS SHOWS 1326 GPD (AVE.). Engineering Works WARNER SURVEYING NTS P.T.M. 204-16 TOTAL AREA:..................................... 2613.2 SF EXCLUDING KITCHEN FLOW, THE DAILY FLOW TO SYSTEM #2 IS LIKELY 12 West Crossfield Road 22 Long Road <1000 GPD. THE RECORD DESIGN FLOW, 1903 GPD, WAS USED. DATE """"""""""' Forestdale, MA 02644 Harwich, MA 02645 CHECKED SHEET NO. I TOTAL CAPACITY = 0.74 GPD/SF x 2613.2 SF = 1933.8 GPD (508) 477-5313 (508) 432-8309 1 1/2/16 P.T.M. 3 Of 3 I ACCESS EASEMENT N4 '13'�g'E AS/LOT 18-,2 159. 35 90.15'9 s- 6 ,2: 67 _ l DONALD MACEACHERN, TRS Q DEBORAH SCHILLING, TRS DEED 7449149 11,WCHMARK AREA= 65,158fSQ.FT. \ � TU�OF FLOOR 0 9, 108. 4' 24 O E� V. 50.2' 1 ' MOBIL.- VILLAGE REPAIR 1000 GAL GREASE .TRAP O CAR. s;?EEZE 2 500 GAL GREASE TRAPS VENT C11� 26.8 MILLS F k ,� CONCRETE T 1121YAY To BoTm v E T� I iv BAYS 21. 8 �, REST D D GAo 27 8' 52. 4 ' �? w 0�r- Rlll=49.9 l� 5f f TAr p�yT ; O .. ....o� 6,2.,2. Ri1-43- RIM LINE 1 2 _35_ � � GAS PUMPS YSTEM # WAGE � J 9. 1 A^'� n� 65'LINE � 1 1 3000, GAL CONCRII E \i #2 r PROPOSE YSTEM SEPTIC SEPTIC TANK ° ° zOCATE CO[2�'RS & J . a TANK CONCRETE "" (covERs ® GRADg) G TO GRADE Rlv 49 EXIST G 65 35T 12' D4 52 _ 4 1 1 2-2" PLUGS 60 .A.5. PA VEMENT !s cALLE}',S ° 1—i Rl�/—49.95 / UGS ON ALL S COVERS ® GRADE �, ' 4' of s7t�NE ti f D/B OUTLETS DI B ® D4 — ref PA VEMEA7 GRA VEL PARKING AREA j CATCH — CATCH ' BASIN BASIN _ 110 .45E 234:83 - , S32 31 CATC.!( N44 *0070"'E 59. 99' 49. 50 » 6— 500 GAL BASIN N37°1 723 E LEACH CHAMBERS (INCLUDING STONE) WEST BARNS' . ABLE R��A� SL'PTIC' S_ RO URE 14 PREl SYSTEM #2 Tl� A r A T r, c'77 _ - G INVERT ELEVATIONS — .(TO r BE CHECKED .AND RESET AS: NEG'ESSARY)` LOCATED AT . ? ATION OUT UNK D/B(LINE fl) OUT 47: 64 2 PLUGGED OUTLET - GRAPHIC SCALE MARST( 'L G/T IN . 48.6 D/B(LINE)¢'O) OUT 47: 64 2' PLUGGED OUTLET 30 15 30 60 120.'L G/T -OUT-- 48.23i D/B(LINEf3) -OUT 47. 64 2" PLUGGED OUTLET FEBR� IL G T IN 48.1 LINE 1 IN UNK . IL G/T OUT 4 7..76 LINE #2 IN UNK 7. N 4. 64 LINE jf3 IN UNK ( IN FEET ) 1 inch = 30 f t.