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HomeMy WebLinkAbout0278 SANTUIT-NEWTOWN ROAD - Health 278 Santuit-Newtown Road Marstons Mills A= 030-037 - - - t ' Vtg T®wn ®f Barnstable P# � Department of Regulatory Services " • .AnNarnerK r Public Health Division Date �O - MAR4 .63 q 200 Main Street,H annis MA 02601 �ArfU AhA't A Date Scheduled Time Fee Pd. t b d �f Foil 'Suitability Assessment fog- Sewa"issPerformed By: �—�= �V Y,� Witnessed By:LOCATION 8j GENERAL INFORMATIO Location Address ZZ �J �1�(�Puhbr,,��-NGL%)�1?2�0 Owner's Name usn Address Assessor's Map/Parcel: �t��� 3 r Engineer's Name OL4 L C- NEW CONSTRUCTION REPAIR Telephone# Land Use Slopes(%) z !� Surface Stones.-1�—GPI✓ Distances from: Open Water Body G—T—ft Possible Wet Area_eo—ft Drinking Water Well N/ ft Drainage Way ft Property Line QV ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) C� �!T a g(j Parent material(geologic) `"` y/`6✓!/ � Depth to Bedrock �/� Depth to Groundwater. Standing Water in Hold: a �Q Weeping from Pit Ned P Estimated Seasonal High Groundwater 7 DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: In. Depth to Sall mottles:_ � /'� In. Dep weeping from OVA side OVA s.hole: �'✓__—_�In, Groundwater Adjustment fr. Index Well# Reading Date: Index Well le:�et,A Adj,factor Atj.Groundwater Level X1 Z� PERCOLATION TEST Data/ 7 nwe Observation ,�( �� ' Hole# !tl I )G T •`�J__ - Time at h" Depth of Perc � �q� Time at 6" J Start Pre-soak Time 2-- End Pre-soak lJ Qc� Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) l9 Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conseirvation Division at least one(1) week prior to beginning. Q:\SEPTIC%PERCFORM.DOC DEEP-OBSERVATION H6LE LOG Hole# - 79..�e . Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. onsistency.%Gravel) DEEP OBSERVATION BOLE LOG Dole# , Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Bo dens. onsisten % a 7 '� Q S v ��bl �-✓re a >1 4eo �e DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Muusell) Mottling (Structure,Stones,Boulders. Consistency.%O ]DEEP OBSERVATION DOLE LOG Mole# Depth from Soil Horizon Soil Texture Soil Color Sall Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Cons' ten Flooa Insurance Rate Map: Above 500 year flood boundary No— Yes/1_._____ / Within 500 year boundary No= Yes Within l00 year flood boundary No.T_ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring per i us material exist in all areas observed throughout the area proposed for the soil absorption system? e If not,what is the depth of naturally occurring Kervious material's Ceftii;cation I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required tr ' ' g, xpertise ani4AVrience described in 10 CUR 15.017. Sign aturfr�'—/-Z'7' Date • Q:ISEPTIC\PERCFORM.DOC TOWN OF BARNS;T B /r® LOCATION 7�4 W,(r SEWAGE# �� D VILLAGE 5 ASSESSOR'S MAP&/ PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) ize) NO. OF BEDROOMS OWNER PERMIT DATE:/Z J- ZO/y COMPLIANCE DATE: Z " 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 r32 A 3� o - I 0 0 u/ No. l 1 Fee od� THEM Entered in computer: 0-1 COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 9ppliLatlon for 0 "a' *pstrm Construrtion Permit Application for a Permit to Construct( )!Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. . Owner's Name,Address,and Tel.No. Assessor's Map/Parcel i //1 Installer's Name,A dress,and Tel.No. A p„k Designer's Name,Address,and Tel.N . Type of Buil g: Dwelling No.of Bedrooms 2 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 2 20 gpd Design flow provided �, 7 �j gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank/0010 0 Type of S.A.S. 2 �j Q[o Description of Soil Nature of Repairs or Alterations(Answer when applicable) r Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si 041'1 zl���-� DateI AVA- 7. Application Approved by Date y Application Disapprove y Date for the following reasons Permit No. � 1 — Ll q Date Issued k No. C�' I 1 Fee �Vv THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS application for his oral *pstrm Construction Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. a=-fU �r1u // Owner's Name,Address,and Tel.No. aj Assessor's Map/Parcel `N? Wei 11 Installer's Name,A•dress,and Tel.No. Designer's Name,Address,and Tel.N . s�� aY(,_moo G-f LIK VC Type of Buil4 g: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 2 LD gpd Design flow provided 1 7 gpd - Plan Date Number of sheets Revision Date Title Size of Septic Tank !�0(� Type of S.A.S. Qo 'Description of Soil �I Nature of Repairs or Alterations(Answer when applicable) /i(LJ (� �jiq-a� iy►�y r 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 Iand not to place the system in/�operation until a„Certificate of Compliance has been issued by this Board of Health. !r S• b 4 �b/` — Date �12` J� Application Approved by — Date i7,11q1,A71q Application Disapprove y Date for the following reasons Permit No. 0,c),( — Ll 9 f Date Issued --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Comptiance THIS IS TO CERTIF that the On-site Sewage Disposal system Constructed Repaired Upgrad ed( ) Abandoned( )by s'!G SGI at has been constructed in accordance with the provisions of Title 5 an th.for Disposal System Construction Permit No.2,oit(' Lf�9 dated /Z//9/2o iy i Installer � Designer (� �U/Z y #bedrooms Approved design flow O gpd The issuance of this permit Jalll not be construed as a guarantee that the system wil o as des ed. ` Date _ / L�' Inspector ------------------------------------------------------------------------------------------------------------------------------------ No. Ll Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS t Misposal 6pstem/Construction Permit Permission is hereby granted to Construct( ) Repair(Z Upgrade( ) Abandon( ) System located,at 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 completed within three years of the date of this permit. Date /Z/ 9 12,/y Approved b Town of Barnstable Regulatory Services Thomas F. Geiler,Director 'M ' Public Health Division - Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: Sewage Permit#2P11—YJq AS8030r's Map/Parcel =37 !y! P Installer&Designer Certificatiobbbs Designer: .5 �'t'� Installer: Address: /4) fix �729 Address:�,���/ �Ivtl&vie* 4W ellICIlt On �d��� was issued a permit to install a (date) (installer) / septic system at V40 based on a design drawn by _S✓�X/-S (address) iLCS kwyl�-H#hi-14zq dated !Z-�?j — 2�l¢ (designer) 41 certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic stem' but in accordance with State &.Local Regulations. Plan revision or. certified as ilt by designer to follow. Stripout(if required) was inspected and the soils A(Inmqt un atisfactory. - DAVID D. s(Signature) FLAHERTY,JR. w. No. 121ZLA15�_ 1 q .AC'STERN �7i 7iJ (Designer's Signature (Affix Desi n t� p Her ) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoffice fonwdesipemertification fonn.doc Bk 28583 Ps 164 4-59074 12-19-2014 - & 10 _ 43u DEED RESTRICTION WHEREAS, LAURIE M.GRADY OF 278 SANTUIT NEWTOWN ROAD,MARSTONS MILLS, MA IS THE OWNER OF 278 SANTUIT NEWTOWN ROAD LOCATED IN MARSTONS MILLS,BARNSTABLE, MA (HEREIN REFERRED TO AS LOT 7) AND BEING SHOWN ON A PLAN ENTITLED"SUBDIVISION PLAN OF LAND IN BARNSTABLE, PROPERTY OF HARVERD TRUST COMPANY, DATED AUGUST 12,1967. DULY RECORDED IN THE BARNSTABLE REGISTRY OF DEEDS IN PLAN BOOK 222,PAGE 157. WHEREAS, LAURIE M.GRADY,AS THE OWNER OF SAID LOT 7 HAS AGREED WITH THE TOWN OF BARNSTABLE BOARD OF HEALTH TO A RESTRICTION AS TO THE NUMBER OF BEDROOMS WHICH CAN BE INCLUDED IN ANY HOME BUILT ON SAID LOT AS A PRE-CONDITION TO OBTAINING A DISPOSAL WORKS PERMIT IN COMPLIANCE WITH 310 CMR 15.000 STATE ENVIRONMENTAL CODE,TITLE V,MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF SANITARY SEWAGE. WHEREAS,THE TOWN OF BARNSTABLE BOARD OF HEALTH,AS A PRE-CONDITION TO GRANTING A DISPOSAL WORKS CONSTRUCTION PERMIT FOR A SEPTIC SYSTEM IN COMPLIANCE WITH 310 CMR 15.200,STATE ENVIRONMENTAL CODE,TITLE V, MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF SANITARY SEWAGE,AND AUTHORIZING THE ISSUANCE OF A BUILDING PERMIT FOR THE CONSTRUCTION OF A SINGLE FAMILY HOME ON THIS PROPERTY, IS REQUIRED THAT THE AGREEMENT FOR THE RESTRICTION ON THE NUMBER OF BEDROOMS IN ANY HOUSE CONSTRUCTED ON THE LOT BE PUT ON THE RECORD WITH THE BARNSTABLE COUNTY REGISTRY OF DEEDS BY RECORDING THIS DOCUMENT. 4 NOW,THEREFORE, LAURIE M.GRADY DOES HEREBY PLACE THE FOLLOWING RESTRICTION ON HER ABOVE REFERENCED LAND IN ACCORDANCE WITH HER AGREEMENT WITH THE TOWN OF BARNSTABLE BOARD OF HEALTH,WHICH RESTRICTION,SHALL RUN WITH THE LAND AND BE BINDING UPON ALL SUCCESSORS IN TITLE. 1. 278 SAWUIT NEWTOWN ROAD MAY HAVE CONSTRUCTED UPON THE LOT A HOUSE CONTMOING NO MORE THAN TWO (2) BEDROOMS. LAURIE M.GRADY AGREES THAT THIS SHALL BE A PERMANENT DEED RESTRICTION AFFECTING 278 $ANTUIT NEWTOWN ROAD AND BEING SHOWN AS LOT 7 ON THE PLAN RECORDED IN PLAN BOOK 222; 'it 157 FOR TITLE OF LAURIE M.GRADY SEE THE FOLLOWING DEED: BOOK 16176, PAGE 48. EXECUTED AS A SEALED INSTRUMENT DAY OF OWNERS SIGNATURE COMMONWEALTH OF MASSACHUSETTS */0 �(1S ,SS X� —� `/ .20 /� THEN PERSONALLY APPEARED THE ABOVE-NAMED KNOWN TO ME TO BE THE PERSON WHO EXECUTED THE FOREGOING INSTRUMENT AND ACKNOWLEDGED THE SAME TO BE ff FREE ACT AND DEED,BEFORE ME, 601PU... �'' NOTARY A Q�.• Y p MY COMMISSION EXPIRES: { tl SAI tA E, WH Notary Public DATE ires Commonwealth o{ MassashuseHs J o� •, cy �Com Commiss;on Exp December 25, 2020 , BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register NOTE /F E/THE/? THE SFPT/C TAN/C OR 20 FT. M/N. z—=, cHllvG P/T ARE MORE THAN /2l,BELow /D FT. M/�/ rRAOF, A 24"O/AM ETER C'ONCeE7'.E COMER SHALL eE aRDuGyT To 614AOE.(�AN ,EX 7-RA CONCRETE M/N. P/TCH ! h+EAYy CAST /RO/Y Co{�ER Sh/.4LL !3E USED COYERS r • /F/N ,OR/VEJIVA Y ! a. y �.S �B EL• PFR tT 2ff�.i iyiN. CONCRL�TE f :I - / Ci7GefDE CC)✓Efz CLEAN SAND f BACkF/LL 4 D/A . _ . 2 LAYER SCHEO&A40 ..�. { my .. � a o� �✓= /�8•_'T�8"' f O GAL L. o •o o • • • • • e • r e °c' WA SHED 572�1YE M/N.OITCnI D/ST. • • • • e • r e A T/ TANK o y r • ► •4 Ron—r. SEP C pay` • , $ . . . • • • • P P o t ' •� ECT/V j4 0— • • r r •EFFE r . '� • v , • • DEFT!/ • • • • • o 0 WAS//ED S740NE _ • O r • • • f • • • ► 0 0 • 7g s a. • r • . • • • • r p •�v PRECAST SEE.P�iGE 78' x /a O/7 OR EQL//✓. lNY�/nr.BLEYA77 Fi-r cs�PAC/r/ -s � � �+� a i• ► • • • • • e r e o y 6 FT D/AM. /NY,ERT AT QU/LD/NG 9�.o FT D FT O/Al+'!• C SEE 7)9BUL ATJOA�) ;INLET: .SERT/C Ti4NK 6, FT, OUTLET SEP7.1C TANK AFT Y GRO�No 1 ,47--Eg TABLE. hVLET D/ ml'a!!T/ON BD)C 901FT SECT/ON OF' OlITL�TD/STR9®tJT/ON®OX 6.2 FT. /1vLEr tEACN/IVG oiT 0,6 FT. SEN/AGE O/SB�f�Lo.SY.�7�/�'f 7AXILAT!®N LEACf IM6 P/T D/MENs/oN g- �T.. • R/T�ROA SCALE DFS1GN C D/HENS/ON G�._FT. /k,t �• , NUM9F.� OF 6EDI�OOMS 3 GARe.�GEo/sP05AL uN/T vh/L' SO/L. LOG Solt TE:rT' TOTAL EST//y1�tTEO FLOpt/ 3 3 ° G.4L./DA.�' S01 L TEST #/ SO/1- TEST#2. NUMBER OF tEACN/NG P/TS l f^E[E✓. 69 Ss -ELEY. DATE OJ=" SOIL TEST' 9 /fig S/DE LeACH1 NCr P.-At P/T U_ ' ' RESULTS id1TNESS.ED BY n G— JA GO 3)' BOTTOM LE.ACN/NG PER P/T 7 k SQ. FT PERt COL e�?/ON RATE '1 I-�S MI IV�II NCH ' Fy L O A- ? R f1 fi f/ ! 1 Zb b PfJeCOLAT/ON RATE A2 M1-Y.1/JVCH TOTAL LEACH/NG AREA SQ. FT. _G S N�� i RESERI�EGE.4G'HlNGAREA ZV' SQ. FT. . 5Ul35n rC Z D i n�ro� v � LoT- 7 s��U tr .OF MAS ���CN OFM�ss Tv Gj!)A Sri �S D/vs /1?/LLS s NIA}/2 7` � •9 � N D N 0 � � ! o� ROBERT G m BRt;CE. ; o bRSE <P/1.VE-L ELORE o `� ELD/RED6�EArr/N /�TIA/G CO�,lNG. 10951 o. - N O �' !9 MASS. N 7/2 MAl/V S , NYAN , 90 f STE? ���• L/.FNT : , -r S T DATE=7 Z /s7E�y0� �FSSTONAI.��6 ® Na GRO0,VD yr, reM AcNCOUIVTI�REO C GIRO UAIL> F AT Z=Z- - ✓O� NQ $`/� SHEET_-OF � 01 c L) - (V\ �- \00`d GP G cacA % - (A Z� a �' �T r' �t j V) �� r A8 o�N, nt OX �\ _ rV. 1 OF Mks s� ANo.r109 1 O �?�; j� 7 ice. �Yi.�.. r� .fir c7.ZZ 9o�FSSONA�a�\�``' Ili rtC)SERT J\. GEND �� : BRUCE ELDRE � .EXISTING SPOT ELEVATION OxO /� " �rsrE�` a, CERTIFIED PLOT PLAN EXISTIO CONTOUR --- 0 --- �y FINISHED SPOT ELEVATION � ern sum 7)�' 7; yz� FIN]SHED CONTOUR ® M 11,-57-1 s X)-j L t.S NOTE: The location of any existing und__er&Tound sewerage, 1N wells, or other utilities shown on this plan is approx- imate only as determined from records and/or verbal information. The contractor is responsible for .the verification of the existing locations in the field. SCALE / � D DATE 7�2 ��'9 4DREDGE ENGINEERING Ca INC) CLIENT.!`'`OG��^'� I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED �Og N0, 40SV BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS ENO NEER RV iDR.BY1 f� OF BARNSTABLE , 712 MAIN STREET CH- By' :� 4: HYANNIS, MASS. SHEET_LOF DATE REG. LAND SURVEYOR Health Nfaster Detail Page 1 of 1 TA, 41 fFi.:fi�llY�� itc.3.i gg._ e Logged In As: TOWN\parvinl Health Master Detail Tuesday, October 28 2014 Application Center Parcel Lookup Selection Items Reports Parcel Septic Perc Well Fuel Tank Parcel: 030-037 Location: 278 SANTUIT-NEWTOWN ROAD, MARSTONS MILLS Owner: GRADY, LAURIE M � j i Business name: Business phone: Rental property: Deed restricted: FJ Number of bedrooms : j Contaminant released: rj— Fuel storage tank permit: Save Parcel Changes Return to LookupLi _-,—_—_ _Parcel Info Parcel ID: 030-037 Developer lot:LOT 7 Location:278 SANTUIT-NEWTOWN ROAD Primary frontage: 125 Secondary road: Secondary frontage: Village:MARSTONS MILLS Fire district:C-O-MM Town sewer exists at this address:No Road index: 1425 g Asbuilt Septic Scan: 030037_1 Interactive map �.. GP (Groundwater Protection Overlay Town zone of contribution: District) State zone of contribution:IN Owner Info Owner: GRADY, LAURIE M Co-Owner: Streetl:278 SANTUIT-NEWTOWN RD Street2: City: MARSTONS MILLS State:MA Zip: 02648 Country: Deed date: 12/31/2002 Deed reference: 16176/048 Land Info Acres: 0.54 Use: Single Fam MDL-01 Zoning:RF Neighborhood: 0105 Topography: Level Road: Paved Utilities:Septic,Gas,Public Water Location: Construction Info Building No ear Buil Gross Area Living Area Bedrooms Bathrooms 1 1984 1763 864 12 Bedrooms 1 Full Buildings value:$71,600.00 Extra features: $24,900.00 Land value: $112,600.00 http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=030037 10/28/2014 dap Page 1 of 1 Town of Barnstable Geographic Information System New Search Home I Help Parcel Viewer Custom Map F Abutters Map Size 13 E] zoom Out In <�p' a ;R y '< J +(� �' ]PG Map: 030 Parcel: 037 Full Property 030032 Location: 278 SANTUIT-NEWTOWN ROAD Info 030035 423� Owner: GRADY,LAURIE M k 250 ' 030033 k 37 Location Information 030036 Map&Parcel 030037 N264 Location 278 SANTUIT-NEWTOWN ROAD Acreage 0.54 acres 030040 030034 k 99 q 51 Current Owner Mailing Address GRADY,LAURIE M J�iCf� 278 SANTUIT-NEWTOWN RD 8pp 0N300387 MARSTONS MILLS, MA 02648 (jr Appraised Value(FY 2014) �+ 030016 Extra Features $24,900 4 10 #83 � Out Buildings $0 Land $112,600 r ° o3oo3s Buildings $71,600 a tot Total Appraised $209,100 ®J013,0119 89 0A00Y Assessed Value(FY 2014) p184IN� Extra Features $24,900 030046 Out Buildings $0 03 7 9 et a 104 046024 N8 ' 7 q92 Land $112,600 — S �„_ Buildings $71,600 Total Assessed $209,100 Set Scale 1 = g9 I rAerial Photos L=J, I MAP DISCLAIMER Copyright 2005-2010 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS BarnstableMA v1.2.5122[Production] http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=030037 10/28/2014 LOCATION d7 SEWAGE PERMIT NO. VILLAGS SINS A LLER'S NAME & ADDRES � 0• Q, Bill DER on OWNER 0 DATE PERMIT ISSY E D DATE COMPLIANCE ISSUED �7/v � � Fps..........................._ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...........................................O F.......................... .-........ ApplirFa#ion for Uiipnaal Workii Tutuitrn.rtiun 1hrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal S st at Wa . . - ... . .----- Loca N ti ....... -------•OG ---o.......... .... . ............... Address ...............Z.; .............. ......•-•---------------•------........................._....••.------------.....................°.cam Installer Address _ UType of Building Size Lot.... _41: _ _U Sq. feet �-, Dwelling—No. of Bedrooms-------- .................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons__-_--_:__-__•-__•-__-_-__ Showers — Cafeteria W Other fixtures .............................................. W Design Flow.......... '��........................gallons per person r y. Total daily flow_____ .U..-....................gallons_.n WSeptic Tank—Liquid capacity.�!'v'`?gallons Length_ .�- Width._L!-Zo Diameter________________ Depth... .....0 x Disposal Trench—No..................... Width.................... Total Length.............. Total leaching area.............jj-_� ft. Seepage Pit No......l----------- Diameter.._..l.V...... Depth below inlet.................... Total leachi area..... ft. z Other Distribution box ( ) Dosing t ( ) '-' Percolation Test Results Performed by.... � 1_t ?f'....__ �'`�,�-%"1w1� ate..... . . .. .....�....L �J, W Test Pit No. 1...,2_._U...minutes per inch Depth of Test Pit.................... Depth to ground wate ........................ (T., Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---------- ------- •- ..-- . Description of Soil------.0- �.. g�----------���� ........�r1 ��' � - - -- .._.. x _ -------------- (� ---•------•---------•-----------------•-- ------ . "'7--•--------•---G-�.4.- ?----•-----•��-?...... ------ W U Nature of Repairs or Alterations—Answer when applicable........................................................... .................................... ------------------------------------------••--•----•-----•----------•------.....----•---••--•.......----•....---------•------------------------------------------------'..-----------.........---...----- Agreement: *pfication undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with TITLL f the State Sanitary Code—The undersigned further agrees not to place the system in unt' ifi of Compliance has n ' sue y the board of heal Signed �L1��! ` ' "-s-- ---- --- �f nApproved By...... --•-- ------•----•-------------------------------••---._....-•----•--.................-- . rl Date Disapproved f the ollowing reasons-------------•------------------------------------------------•--•---------------•---------•----•------••-------- =........................................................................................................................................................................................................ Date PermitNo......................................................... Issued..................................................... �����W���----------------- Da=te---------------- --- - --- 000 No o...' ��_ Fizz. ......................._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........................................OF....................... ........._..... . ppliration for Dispoaut Works To urtion Frrutit Application is hereby made for a Permit to Construct ( ^ ) or Repair ( ) an Individual Sewage Disposal Sst at:....... . .....UP41.... .................... ........................................................... yry f Loca on" Address orw No ner Address .• ........ _.. Installer Address U Type of Building Size Lot.._ ' __ __ «r- __Sq. feet Dwelling—No. of Bedrooms....... .................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q Other fixtures . W Design Flow.......... ...... 7 .''!'.............. _..gallons per person, er,, ay. Total daily flow.....'-, .. ....................gallons WSeptic Tank—Liquid capacity/4'to"o.gallons Length_«""-:-�.�.... Width_'! '�_e� Diameter________________ Depth..' .:.. ` x Disposal Trench—No...................:: Width ....... Total Length....... rr......... Total leaching area..... q. ft. Seepage Pit No------/........... Diameter.....' .�?.:.....,Depth below inlet,.. �.............. Total leach area . q. ft. Z Other Distribution box ( ) Dosing t ( ) '—' Percolation Test Results, Performed b .. ........................& .$r .. ��" � W Y �--------- ----------- ----••----�.-�-Date--- - ------12 �...--- Test Pit No. 1.._ ...minutes per inch Depth of Test Pit.................... Depth to ground wat ........................ 44 Test Pit No. 2......... L....minutes per inch Depth of Test Pit.................... Depth to ground water........................ a' ° ------------ O Description of Soil " ;,i ! .3 W P r , W UNature of Repairs or Alterations—Answer when applicable.........................................................::.................................... .. -----•--•-------------•-------------------------------------------•---------------...------••--••-------•--•-••-•••--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with prov r TITLE If the State Sanitary Code— The undersigned further agrees not to place the system in o ati un C tifi e of Compliance has eeln'! sued,1y the board of heal 00 ,+ Signed ....C............. �"' ............... ----... fp tion Approved BY ................................................... ...------ _...................... Date plication Disapproved f r th following reasons:.................... ................. -•-------•-•--•---------------------------•--•-----------------------•-- ------ -----------------------------------------------------------------------------•-------- Date PermitNo...............•---•-•...----••......----•-•----•. Issued--•------------•---•-•--...... -----• ....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....................................I....OF..................................................................................... Trtifiratr of Tomplittnrr TI CIS TO CERTIFY, That the Individual Sewa e Disposal System constructed (..- or Repaired ( ) by........ --•.-----..... ............. - -.---- . ..- _. .............-f taller -- ---------------------------•--•---------- has been installed in accordance with the provisions of TIT!--F.y j�o e State Sanitary Cods de 0ed in the �� ------------- dated--. `�' application for Disposal Works Construction Permit No............................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY. DATE................................................. .� Inspector A" THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - OF........ ..... .......:.4 .......................... t No ................•..... FEE. i �rontt� ork Tonntr ion amii Permission is hereby gra ted-----•--• ----.------• ----- . to Construct ( ) or ( an In, v' a Di ystem at No.... �''� ------------------ ;Y..... _... — Street as shown on the application for Disposal Works Construction Permit No ............. Dated.......................................... --------•------------- Board of Health pp �O✓ a DATE...................-----------------------------------••-------•--•-------=--- FORM 1255 A. M. SULKIN, INC., BOSTON iafD gg Y Maximum Wastewater Discharge Allowed Based Upon Lot Size . *if one parcel is within multiple zones, use the more strict limitation for parcel (bolded below) State 1+ 1/3 1+2/3 Defined True Acres Acres 2 Acres Acre Acre 10 000 13,333 20,000 30,000 =33,334 =40,000 =43,560 50,000 58,080 60,000 =72,599 80,000 =87;120 S S.F. S.F. S.F. S.F. S.F. S.F S.F. S.F. S.F. S.F. S.F. S.F. STATE Red Title V: 310 CMR 15.214 110 110 220 330 330 440 440 550 550 660 710 880 880 Drag• � Lines *applicant can apply for a - variance. STATE Red With I/A Lines Technology 110 220 330 440 550 660 660 770 880 990 1100 1320 1430 [I/A with 660/acre Credit] (+not in town ordinance) TOWN ORDINANCE Green Regulation of 330 330 330 330 330 330 330 330 440 440 550 550 660 +Red Wastewater Zones Discharge *can not apply for variance and doesn't allow I/A. BOI-I-Interim Blue Saltwater Estuary- 330 330 330 330 330 440 440 550 550 660 770 880 880 Protection Regulation *cab apply for variance, lit' QAOFFICI FORMS\Charffable ListingW WDISC-IARGE MAXIMUMS3.doc 4� MARSTONS MILLS LOT 13 MEIGS ROAD LOT 8 p LOT 7 o"3F. LOCUS N 1p0� AREA=23,704t S.F. � �� RIVER ROAD m N Je N N N LOT 14 LOCUS MAP 'ems LOCUS INFORMATION �1 BENCHMARK: 0 PLAN REF: 222/157 �hh TOP OF PATIO TITLE REF: 16176/48 ELEV.=81.86 PARCEL ID: MAP 30 PAR. 37 v\ IN ZONE II, ZONING: "RF"/ "GP" FLOOD .ZONE: "X" 81 86 / LEACHPIT TO BE COMMUNITY PANEL: 25001CO537J DATED:07/16/14 / 85 PUMPED, FILLED cp ^ // AND ABANDONED SEPTIC SYSTEM o �' / �> r '_ __� 84 \ PER TITLE V I I / � \ \©oPc P\� REPAIR PLAN ( _ �� LOCATED AT: �� ` // \ 1 =__ ==�`�o� 83 278 SANTUIT—NEWTOWN RD. LP , 82 MARSTONS MILLS, MA. #278 \ PREPARED FOR 2—BEDROOM — P��°o LAURIE M . GRADY W = Q ti TOF=89.31 2 DECEMBER 3, 2014 _ 27. 4S EDWARD 79.4 \ Co / pc ' I 80 ` Flz471 1Fi � STO NE Cnn ` 5' 2 98 � 30 - Q/sr�a ��' iS LOT 6 �00 E . A. S. �J \ `� —GRAPHIC SCALE SURVEY, INC. \\ 20 0 +0 20 ao so P.O. BOX 1729SANDWICH, MA. 02563 \ 1 1 1 1 1 1 ( IN FEET ) BUS:(508)888-3619 CELL:(508)527-3600 1 inch = 20 ft. SHEET 1 OF 2 J 1714C TOP OF FOUNDATION EL=89.31 2" LAYER OF I- 10 7' 4" SCHEDULE 40 P.V.C. _(10' MIN.) MIN. PITCH 1/8" PER FOOT DOUBLE„WASHED STONE OR FILTER FABRIC EL=82.5 EL= 82.4 ::. .................. ::.,. EL= 81.5 EL= 81.3 . ,,..... ...a»............ ::�: EL= 81.0 ;; ; 6" MAX. 8 FVIMA. .,.,..,.6 MAX.' ...:::........ s" MAX. 9" MIN. .,,,.... .., .................................... A RISERN EDE COVER A RISER EEDE CONC. INVERT CLEAN SAND FILL EL= 81.47 RISER & LEVEL LONGEST EL= 77.3 3.0 �� PER 310 CMR 15.255 2.7 EXISTING PIPE 31' S= ;E7 COVER FOR 2' RUN FLOW LINE "r' s' s=.o1 EL= 78.3 EXIST. 10" " TIE VERT o 0 0 0 0 °�° o o 0 INVERT 14INVERT [� [� [� 0 0 O C� o p (TO REMAIN) EL=80.37 t MIN. L= 80.07 .61 „ 0 po 00 o po 115" INVERT 4' GAS 6" SUMP EL=77.36 24 % .0 o � 0 0 rp o op BAFFLE 6" BASE OF MECHANICALLY p p 0 p Oct) COMPACTED SAND PROP. (H-20)DB3 DISTRIBUTION 8.5' EXISTING BOX W/"T" 2.25' (TYP.) 21 .5' 2.25' > 1 ,000 GALLON TANK 3/4" TO 1-1/2" oz DOUBLE WASHED STONE 2-500 GAL. (H-20) DRY WELLS (5' X 8'-6" X 3'-0") (TO REMAIN) SOIL ABSORBTION (TRENCH FORMATION) PROFILE OF SEWAGE DISPOSAL SYSTEM SYSTEM (S.A.S.) 9.5 X 21 .5 ,� (NOT TO SCALE) GENERAL NOTES BOTTOM OF TEST HOLE #1 ELEV.= 67.9' (NO GROUND WATER) 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. I CERTIFY THAT I AM CURRENTLY APPROVED BY THE DEPARTMENT OF TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS ENVIRONMENTAL PROTECTION PURSUANT TO 310 CMR 15.017 TO CONDUCT FOR SUBSURFACE DISPOSAL OF SEWERAGE. SOIL EVALUATIONS AND THAT THE ABOVE ANALYSIS HAS BEEN PERFORMED DESIGN DATA 2. ALL ACCESS PORTS OVER TANK TEES SHALL BE ACCESSIBLE WITHIN 3" OF FINISH GRADE, WITH ANY REMAINING BY ME CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE, AND EXPERIENCE ACCESS PORTS BROUGHT TO WITHIN 3" OF FINISH GRADE. DESCRIBED IN 310 CMR 15.017. 1 FURTHER CERTIFY THAT THE RESULTS OF MY NUMBER OF BEDROOMS.........EXIST. 2 DESIGN 3 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE SOIL EVALUATION, AS INDICATED ON THE ATTACHED SOIL EVALUATION FORM, CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE ARE ACCURATE AND IN ACCO ANCE WITH 310 CMR 15.100 THROUGH 15.107. GARBAGE DISPOSAL................. UNDER OR WITHIN 10' OF DRIVES OR PARKING AREAS THEN THEY TOTAL ESTIMATED FLOW MUST WITHSTAND H-20 LOADING. )/DAY X 3 BR _ /BR. . 4. THE EXCAVATION CONTRACTOR SHALL VERIFY THE LOCATION (110 GAL. _330330 OF ALL UTILITIES PRIOR TO ANY EXCAVATION. EDWARD A. STONE, 'CERTIFIItD SOIL EVALUATOR 330GPD X 200% = 660 GAL 5. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE USE EXIST. 1000 GAL. SEPTIC TANK OR WITHIN 6" OF GRADE SHALL BE MORTARED IN PLACE. TEST PIT RESULTS. I D 14565 INSTALL 6. FINISH GRADE SHALL HAVE A MINIMUM OF 2% GRADE : 2-500 GAL. DRY WELLS (W/2.25' CRUSHED STONE OVER THE S.A.S. AND DISTRIBUTION BOX. ON THE SIDES, 2.25' ON THE ENDS) AND BACKFILL 7. SEPTIC TANK SANITARY TEES SHALL BE CONSTRUCTED OF SOIL TEST DATE: NOVEMBER 4, 2014 SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM OF 6" ABOVE WITH CLEAN SAND FILL PER 310 CMR 15.255 THE7�FLOW LINE AND SHALL BE ON THE CENTERLINE AND B.O.H. AGENT: DONNA MIORANDI, R.S. LOCATED DIRECTLY UNDER THE CLEANOUT MANHOLES. SOIL CLASSIFICATION................ 8: THE­INLET PIPE INVERT ELEVATION SHALL BE NO LESS THAN SOIL EVALUATOR: EDWARD A. STONE, PLS 2:.INCHES NOR MORE THAN 3 INCHES ABOVE THE INVERT BACKHOE: RODNEY FISHER DESIGN PERCOLATION RATE..... <2-MIL LLN. ELEVATION of THE OUTLET PIPE. EFFLUENT LOADING RATE.........___74___ 9. THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES. TH#1 EL.=79.4 P ER C RATE<2M I N./I N. @ B OT 54 REQUIRED LEACHING CAPACITY.....220 GAIDAY 10. THE OUTLET SANITARY TEE SHALL BE EQUIPPED WITH A GAS LEACHING CAPACITY PROVIDED.....24_3 GAj/DAY BAFFLE, 4 INCHES IN DIAMETER AND CONTRUCTED OF 4" PVC. ELEV. DEPTH (IN.) HORIZON TEXTURE COLOR MOTTLING OTHER 11. ALL PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE AND SIDEWALL: (9.5'+ 21.5')X2X(2 SIDES)(.74)= 91.8 GAL/DAY FIRST TWO FEET OUT OF THE DISTRIBUTION BOX SHALL 78.4 0 -12 A LOAMY SAND 10YR4 1 --- ---- , BE LEVEL. 76.9 12"-30" B LOAMY SAND 7.5YR5/8 --- 10% GRAV BOTTOM: (9.5 x 21.5 )(.74)= 151 GAL/DAY 12. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION TO EAS SURVEY, INC. FOR B.O.H. AND DESIGN 67.9 30 -138 ___ TOTAL= 243 GAL/DAY C MED COARSE SAND 10YR5/6 PERC ENGINEERS REVIEW AND APPROVAL. NO GROUNDWATER/NO MOTTLES 243 GPD PROVIDED - 220 GPD REQUIRED = 23 GPD RESERVE 13. PROPOSED SEPTIC SYSTEM IS WITHIN STATE APPROVED ZONE II CONSTRUCTION NOTES: TH 2 EL.=80.4 �\`"OF MASs # a q`y SEPTIC SYSTEM DETAIL PAGE 1. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND ELEV. DEPTH (IN.) HORIZON TEXTURE COLOR MOTTLING OTHER s� DAV D �s ELEVATIONS AND SITE CONDITIONS PRIOR TO COMMENCING /J 278 SANTUIT-NEWTOWN ROAD WORK ON THE SITE. 79.4 0"-12" A LOAMY SAND 10YR4/1 --- ---- H R. ((�/ MARSTONS MILLS, MA. 2. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE 78.0 12"-28" B LOAMY SAND 7.5YR5/8 --- 10% GRAV. N 21 WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT 68.4 28"-144" C MED COARSE SAND 10YR5/6 --- ---- �F �� DECEMBER 3, 2014 IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. cfSTER 3. ALL SYSTEM COMPONENTS SHALL BE MARKED WITH MAGNETIC MARKING NO GROUNDWATER/NO MOTTLES 64OVITA SHEET 2 OF 2 J# 1714C TAPE OR A COMPARABLE MEANS. 3