HomeMy WebLinkAbout0558 SANTUIT-NEWTOWN ROAD - Health 558 �Santuit-Newtown Road
Marstons Mills _
A= 044-012-001 j
C
Hazardous Materials Inventory Sheet Checklist
a V Date
hysical Street Address-Check database to ensure it exists
Working Phone Number
Actual Amounts -( ie. gas being used to fuel machines,thinner to
clean brushes all count as hazardous materials-no blanks)
Storage Information - location of storage, how long is storage for?
If none, note that.
isposal Information -where and who? If none, note that.
Applicant Signature- understand what is listed and noted
Staff Initial -any questions, know who to ask-
ehicib Washing/Rinsing7 give a vehicle washing policy and
explain it
Attach the Business Certificate with your sign off and comments
wentory form should explain what the business consists of and the procedures
ping. Notes need to be left to explain what you discussed with them.
YOU WISH TO OPEN A BUSNESS?
For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which
you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367
Main Street, Hyannis, MA 02601 (Town Hall)
DATE: c _ Fill in lease:
s APPLICANT'S YOUR NAME/S: �hev J e r �f� AV
BUSINES YOUR HOME ADDRESS: lVeaj�oIeJ
p
TELEPHONE # Home Telephone Number
r
NAME OF CORPORATION:
NAME OF NEW BUSINESS _ TYPE OF BUSINESS
IS THIS A HOME OCCUPATION? NO
ADDRESS OF BUSINES m" 01/'�ARCEL NUMBER ® '0-/-C�Ja "AV (Assessing)
5
When starting a new business tnerre a eiseveral things you must do ih 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. I)UILDING COMMISSIONER'S OFFICE
This individual has been informed of any permit requirements that pertain to this type of business.
- ' Authorized Signature**
COM E T M N S.
2. BOARD OF HEALTH
This individual hasp beeMmVTf the permit requirements that pertain to this type of business. � .:- 1IIUSTCOMPLYW MALL
Imo. KAZARDOUS MATERIALS REGULATIONS
Authorized Signature**
COMMENTS:
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
Date::�
TOWN OF BARNSTABLE
TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY
NAME OF BUSINESS: Q�dA) �hN V d00e M
BUSINESS LOCATION: ��lt) llJK� �� INVENTORY
MAILING ADDRESS.-121 -115f6 k,9 /rll,Lls rl"I/)- 1011�MM p TOTAL AMOUNT:
TELEPHONE NUMBER:
CONTACT PERSON: hly j` ylo�xh/z)
EMERGENCY CONTACT TELEPHONE NUMBER: ,.�,09 ' tllalg' 2�E' 39 MSDS ON SITE?
TYPE OF BUSINESS:
INFORMATION/RECOMMENDATIONS: Fire District:
Zo ZD Sic NP/us
Waste Transportation: Last shipment of hazardous waste:
Name of Hauler: Destination:
Waste Product: Licensed? Yes No
NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use,
storage and disposal of 111 gallons or more a month requires a license from the Public Health Division.
LIST OF TOXIC AND HAZARDOUS MATERIALS
The Board of Health and the Public Health Division have determined that the following products exhibit toxic
or hazardous characteristics and must be registered regardless of volume.
Observed/Maximum Observed/Maximum
Antifreeze (for gasoline or coolant systems) "`•-T Misc. Corrosive
f ..._
,X` NEW USED Cesspool cleaners
4cv o99 Automatic transmission fluid Disinfectants
c
'a
Engine and radiator flushes Road Salts (Halite) _
Hydraulic fluid (including brake fluid) g - Refrigerants
Motor Oils Pesticides
NEW USED insecticides, herbicides, rodenticides)
Gasoline, Jet fuel, Aviation gas12 Photochemicals (Fixers)
Diesel Fuel, kerosene, #2 heating oil NEW USED
Misc. petroleum products: grease, Photochemicals (Developer)
lubricants, gear oil NEW USED
Degreasers for engines and metal Printing ink
Degreasers for driveways & garages Wood preservatives (creosote)
Caulk/Grout - '"""" Swimming pool chlorine
Battery acid (electro1lyte)/Batteries Lye or caustic soda
' Rustproofers - -' Misc. Combustible
Car wash detergents -- m Leather dyes
Car waxes and polishes Fertilizers
Asphalt & roofing tar PCB's
Paints, varnishes, stains, dyes = Other chlorinated hydrocarbons,
--- Lacquer thinners (inc. carbon tetrachloride)
NEW USED '-"""" Any other products with "poison" labels
Paint &varnish removers, deglossers (including chloroform, formaldehyde,
Misc. Flammables hydrochloric acid, other acids)
Floor & furniture strippers Other products not listed which you feel
Metal polishes y e toxic o hazardy�Zt):
Laundry soil & stain removers
(including bleach) ` r /V
Spot removers,& cleaning fluids '
/ (dry cleaners)
t�3! Other cleaningsolvents
rr
T Bug and tar removers
Windshield wash
Al-
r`✓ WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
-��No. _J 3 .
Fee
THE COMMONWEA ITH OF MAS ACHUSETTS Entered in co uteri
PUBLIC HEALTH DIVISION -TOWN OF`3ARNSTABLE, MASSACHUSETTS Yes
��\\n 2pplitotion for VsposkiiW_ Rsirm ConstCUttion Wrmit
Application for a Permit to Construct(� Re air( �Upgrade� Aba;don( ) ❑Complete System ❑Individual Components
r
Location Address or Lot No.S'Y capper's Nam ,Add e s,and Tel.No.
Assessor's Map/Parcel OVZ1, 1,✓, o Op! a
Insta]ler's Name,Address,and el.No.�$^4'2U-zl��g Designer's Name,Address,and Tel.No.plr_103,11 54/-91
0�evll? L7� �i"+�0 % S' .SAP//^f�/ � /ale,
Type of Building: � f
Dwelling No.of Bedrooms 1Z Lot Size B 1 m N-t!' Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) 7X.YtA& A4F4K, 42-.f,ox �-Mel
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.
s
ed �, Date
Application Approved by Date
Application Disapproved by Date
for the following reasons
'I Permit No. Date Issued
Mir
� i
No. v l Fee
THE COMMONWEALTH �F MA S ACHUSETTS
Entered in co uter: {
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ilicatiou for isosa p teat Construction permit
Application for a Permit to Construct Repair( iJpgrade( ) Ajdon( ) [:]Complete System ❑Individual Components
Location Address or Lot No.S"S'g S prjU/r A/.ui 1v�� wner's Name,Address and Tel.No.
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No.fd$'4�2 0- f I-I C Designer's Name,Address,and Tel.No.�'��
4,W W-e 4t ziW e rah s ow,A t
Type of Building: A5
Dwelling No.of Bedrooms 2 Lot Size ®(�A sq. ,- Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided ry gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
t
Nature of Repairs or Alterations(Answer when applicable) Lh 5'04L/�
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.
r1jigned Date
Application Approved by Date
Application Disapproved by �` V Date j
for the following reasons "
Permit No. Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(4.4- Repaired(G�)- Upgraded( )
Abandoned( )by L.T,1I0o 1).e-
at I�tlru/r &A%Lvyuit!1 �� /!ft� een constructed in aje
with the provisions of Title 5 and the for Disposal System Construction Permit No d
Installer „(a eJ4 �,� l��"t"l� Designer f 45' 5,a
i
#bedrooms ; Approved design flow gpd
The issuance of this permit shall of be construed as a guarantee that the system wi.1'functio desi ed.
Date 6 f��� �. Inspector
--------------------------- -------------- ---------------- -------- ------------------ -- ------ ------- -_--------V- lr)
- ---------------
r f -
No. � ! � Fee —��
V IV THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
MispoSal 6pstem Construction Permit
Permission is hereby granted to Construct Repair 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:Construotion must be completed within three years of the date of this permit. �
Date Approved by
Town of Barnstable
Regulatory Services
Thomas F. Geiler,Director
............ . .
• BARNSTABM
MASS. Public Health Division
Thomas McKean,Director
200 Main'Street,'Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date: 6 -
Designer: C4 S Syride Installer: Jos-r'vl? 17 oWr
�o/y ! 72
Address: dk Address:
-h d zy,c
On a:;�/_ Sr was issued a permit to install a
(date) (installer)
septic system at �S� fti,f /yBu/�dut � based on a design drawn by
(address)
Z) �� dated
(designer) / ,
I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank.
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State & Local Regulations. Plan revision or
certified as-built by designer to follow.
�,IN OF IKq S
� S q
DAVID cti�
(Installer's Signature) o D. a
FIAHERTY, JR. N
No. 1211
O
7,
GISTEp� G SAIJI R\P� .
(Designer's Srpatioy (Affix DesiWr-St p ere)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTIRI THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
Q: Health/Sepdc/Designer Certification Form
Town of Barnstable P#
Department of Regulatory Services
�(rwwareer� i Public Health Division NABS
Date i_x I_1
rEo text�,� 200 Main Street,Hyannis MA 02601
Date Scheduled
!V Time Fee
Soil Suitability Assessment for Sew 'Disposal
¢/
Performed By:_ U�}7�0 Witnessed By:
L i�CATIQN& GENERAL ORMATION
Location Address S58 C�„ (�•t` �Y1n INFOwner's Name
�'\ `Lf lC►s�\ Address
4 4 �
Assessor's Map/Parcel: �T_p(Z oe, Engineer's Name ziojq).J eL4 r It-t A.o2SL3
NEW CONSTRUCTION REPAIR Telephone#c6-QQ-We-- 2'j _ 3 e.c)o
/ v po. c.+m1
Land Use t' eS�s►h �t 362 E�1C(G�t Slo es % ` /fl �`
P ( ) Surface Stones
Distances from: 0,��,Vj(a r o _ft Possible Wet�Area�� ft Drinking Water Well �•r' ='�ftlf/lB
Drainage Way "V140` ft Property Line ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands I!n proximity to holes)
vw►
1 -Prr
7,-e.
L
✓t, c
Parent material(geologic v y� epth t0 Bedrocks f ' Q
Depth to Groundwater. Standing Water in Hole: Weeping from Pit FaceNO
Estimated Seasonal High Groundwater Z -
t:PD
DETEDLO
�A�[ ON FQR SEASONAL HILT WATER TABLE
N
`n
Method Used: �J � /
Depth Observed standing in obs.hole: /l /V �In, Depth to soil mottles: 'v ,, ,_In.V-01
Depth to weeping from side of obs.hole: In, Groundwater Adjustment
Index Well# "--IeadingDate: "t- �Index Well level ---�Adj,factor Groundwnterlevel'> (Z�
PERCOLATION TEST matt 2L/ZThne
Observation
Hole# ''!A++ Time at 9" —_
Depth of Perc Time at 6"
Start Pre-soak Time @ I �� Time(9"-6")
End Pre-soak
Rate Min./Inch
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) 'r
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 Conservation Division at least one(1)week prior to beginning.
Q:\SEPTIC\PERCFORM.DOC
> a
DEEP•OBSERVATION HOLE LOG Hole# X 6U.9,
Depth from Soil Horizon Soil Texture .Snil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,,Boulders.
ConsistenCy.%Gravel)
AV 40
' Cf
V.5 11,f-Ti � es
/� / D e yam+Ile .
(,Ir l�t/z ✓ GDGnv tea
DEEP OBSERVATION HOLE LOG Hole# Z X
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell). Mottling (Structure,Stones,Boulders.
Consistency.%Grave
,t
C 2' 'l¢, �. /D �o vim✓
v 4ft�>4 740ed
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,%G
' I
' _ t
]DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones',Boulders.
Consistency,
Flood Insurance Rate Mat►:
_ Above 500 year flood boundary No— Yes
Within 500 year boundary No Yes
Within 100 year flood boundary No.T.._. Yes..:,_.,,,_
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil absorption system? Lvs
If not,what is the depth of naturally occurring pervious material?
Certification '' '
I certify that on g� (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me consistent with .
the required training,ex ertise pqpptrience described in 310 CMR 15.017.
Signature f
Datt:
Q:\S.EPTICIPERCFORM.DOC
LO CATION SEWAGE PERMIT NO.
gn
V I L- AG E / d
INST_A LLER'S NAM-E & ADDRESS
S U I L D E R OR nOWNER /
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
1 Fd7v2� �An�S-�,
1
_ryr e
a
6 -
�00
No..... .. FEs.......
/0 HE COMMONWEALTH OF MASSACHUSETTS
BOARD OF .HEALTH -'
................OF....f3f4.2_JV 57i4.! .. ......................................
Appliration for Riiipusttl Works Tontitrortion jrrmi#
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at
L6- g pF E w� ASSx►v5 M I l(,S
� ----••----._...-•-•---•o.rNLocation-Address
.................:........................ .MA. 10
O
Address
.....................�. ........1
Installer Address (-
Type of Building Size Lot.. U,?AM__ .._Sq. feet
U _ Dwelling—No. of Bedrooms.......... .Expansion Attic ( ) Garbage Grinder ( )
`4 Other—T e of Building No. of persons............................ Showers — Cafeteria
04
Q Other fixtures ..--.....--•-•--•---•--••..............•-------•--••--.-------•---------- ----•---•....------•----•--..........•---................---••-•-••-•.......
W Design Flow.............5->' ............::.......gallons per person er day. Total daily flow..._.... -��J ....................,..gallons.
WSeptic Tank—Liquid capacity.1 ..gallons Length.A.'?-_- Width:..`. �Z:... Diameter................ Depth...`.I:'.CF.r;
x Disposal Trench—No. .................... Width: ................ Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No.................:... Diameter....._ .......... Depth below inlet......6........... Total leaching area._I?�7......st f t.6/D
z Other Distribution box{ . ) Dosing tank ( -
Percolation Test Result` Performed by.-.N...F=Al.e6 ►�&....._P
... .............. Date--•-:��I 18:5................ '
,,.a Test Pit No. 1..... z-...minutes per inch Depth of Test Pit.... Depth to ground water...AA ......
Test Pit No. 2..... ...minutes per inch Depth of Test Pit....J 54....... Depth to ground water....n!� _
a ................ .................
••-•-----.... ••--••••-•-..._............*. .........
O Description of Soil.. -I...__._0-.Z4��..-. ...... - ��.— I5 G�-E/Z►v_.Co YZn�e i 1✓► D S Iwr
•...............
U _ Z..._._ 9 n A1!?'1 l!�Q-.......................................
......-•-•-•----------------••-----•---•-•-•-----•------------------•-----------•-•-----•---------------•---•-- --------------
VNature 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 IITLZZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance hasVeenissuthe b rd of h lth.
Signed ...... •. ---...... r�._".�1.-. ....
-- . •• ... Date
ApplicationApproved BY--------------- - ............................. ........................................
Date
Application Disapproved for the o lowing reasons:.................•-••-•-•-----•-•-•-•-----•-•-•---•---•------••---------------.........--•--•----..............
---•-•-•-•...................................•-•--•....... ..............-----------••....•----•--•••....._. .......---------------•-.....................................-- ........._..
Date _
PermitNo......................................................... Issued.......................................................
Data
No.,F,-7... 1rQ.....!]T FE...............z:5.............. ...... .
A,./,,L,` THE COMMONWEALT-It-OF MASSACHUSETTS
BOARD OF HEALTH
. .................. . ........I.......OF.....f3A(Z-N5.T6.(Z...............
....................... ...............
X41vliraftvu .for Uisvviial Workg Towitrurtion Permit k
Application is hereby made for a Permit t( Co tract or Repair an Individual Sewage Disposal
system at: •
......Lz T AZ (`FF ......... HNSTotvs...MiLLS......................................................
Location*-Address _9,�6 r Lot No..
M,R L�l ) .. ..... M A 2-S TO r-4 S M I t,(,S
...... .............A............................................ ..........0 er Address
ag, ........ L.4 .................................................................. .). mj�.............................. ..."................ -----------------
Installer Address .-r
Type of Building Size Lot..).�4 10........Sq. feet
U
Dwelling—No. of Bedrooms...........3------------------------------Expansion Attic Garbage Grinder
' ; a Other—Type of Building ............................ No. of persons............................ Showers Cafeteria
Otherfixtures ......................................................................................................................................................
Design Flow.............55.......................gallons per person er day.,�Total daily flow... 3'3p.........................gallons..........................
M4 Septic Tank—Liquid capacity XOngallons LengthJf ... Diameter:............... Depth... ClEr
Disposal Trench— .................... Total Length_............f------ Total leaching area....................sq. f t.
Seepage Pit No.............. ....A.D,i a�i"ete'r. ........... Depth below inlet......6........... Total leaching area.:I...y......Sq,Xf t.6/0
_Z Other Distribution box ,Dosing tank
:� OW4 Percolation Test Results '-Performed by...&...FA&CSA k�....... .......... -Date....:�4 A 618
0.4 7.............................Test Pit No. I.....!��...minutes per inch Depth of Test Pit.... Depth to ground water....A)WE
7 ................
fi Test Pit No. 2.... ...-....minutes per inch Depth of Test Pit....J.��6 Depth to ground water....1�'Orlc
.............
----------------*.......... .............*-*"*,*,*...............................................................................
0 Description of Soil....:W-..!........ 9_154r-0........................
....... .............................................. ............... ........................................
...................................................................................................................... ......1........................................................................
U Nature of Repairs or Alterations-Answer when applicable..................................
.................................................................................................... ...................................................................................................
Agreement:
The, undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
IL A. -: Sanitary Code— The undersigned further agrees not to place the system in
the provisions of TITL� 5 of the State S.
operation until a Certificate of Compliance has een issu he b rd of 11 Ith.u eenissu he b rd of I.th... ....... . ....................
Signed.... ... ........ . ......................... .......................... ojt.-
Date
Application Approved By............./ ......
......... . ....... . ............................... ......................................
Date
Application Disapproved for the o lowing
reasons:.....................................................................------- .................................
...............................................................................................................................w............................................................
Date
PermitNo........................................................... 111;k*�C, Issued_.......................................................
Date
......... .............. .................... ------- -----
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
........................._7..............OF............................................... ...... .........(I ntifirate of TomplittUrr
THIS IS TO_CERTIFY, That the Ind
by............................. .......P..M61.I.Individual..Sewage.Disposal.. _System..constructed I or Repaired
.............. ............. ... .......... ............ ............................................................
Installer
at................................j Of P
..
.. ................................. .......... raw........................................................................................................
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No......TI-A4.............. dated---- L --!•t-- sue ............
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
•
DATE................... if;77%:7e,-------- -..7. Inspector.............e......................................................................
.......... ......
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF- HEALTH
, -4 OF............................................... .
5offNoA:S. Fn.. ................
Disposal World Tonstrudian Hermit
Permission is hereby granted............ m........0.1,�- :IE-------------------------------------
. ............................................
to Construct or Repair an Individual 4ewa e Disposal System
7 f ... .......M;j. .... ..... .t....................................................................
........... Of ...at No:-.�....................... 0.t
AStreet
Q.
as shown y on the application for Disposal Works Construction Permit No.-Is...i45_ Dated..........................................
.................................. ---------------------------------
DATE-----------.. 5P �Zh.,,2 .......
t _&
LOCUS DATA
CURRENT OWNER JOHN & JEANNETTE NOTE:
HAMBLIN THERE ARE OTHER ACCESSORY BUILDING ON THE
• LOCUS PROPERTY THAT ARE NOT DEPICTED ON
PLAN REFERENCE PB 430-9 THIS PLAN AS THEY ARE NOT IN THE VICINITY OF N/F
THE DWELLING OR THE PROPOSED SEPTIC SYSTEM. BRAMAN
DEED REFERENCE DB. 2632-191 ASSESSORS MAP 044
� PARCEL 017-003
ZONING DISTRICT RF
S 63'14'13" E 365't
OVERLAY DISTRICT GP s 63'35 52' E 337.62'
339.65' 3
SHED PROPOSED NdW B0 ,
FLOOD ZONE "C" 250001
25' x 11.33' .A.S. 00
o �
ASSESSORS MAP 044
PARCEL 012-001 ! PARKING EXISTING !EPTIC
TANK TO rEMAIN 65.71'
LOT AREA 179,781f S.F. ( #558 239.47 335't
4.12f ACRES i N �6•49'19" W
SITE & SEWAGE i 151
} I o
REPAIR PLAN w SEE DETAIL — — — -----� o
, 558 N/F o PAGE 2 `� Q.
Sal N TUl T NE W TO WV RD. ASSESSORS LACASSE MAP 044 M Q
IN PARCEL 001
MARSTONS MILLS BOG
.tip
DATE: 5-11 -12 �,� �Q'
APPLICANT:
JOHN & JEANNETTE
HAMBLIN
S 62'34'39" E 209.66' � �$�•�6�0
#558 �
SANTUIT-NEWTOWN RD.
MARSTONS MILLS 02648 -p9 N 63.17'00" W 280.00'
SHEET 1 OF 3 too
o�
0 0
PREPARED BY: �Z.-A 0�' ° OHO ����NOF M SSN/FgCyG
EAS SURVEY, INC. G �� BOG HAMBLIN °� ED A. s�
141 R T. 6 A ASSESSORS MAP 044 ST::NE
O Z PARCEL 012-002 + P o '- j 0 80 120 160
P. O. BOX 1729 �" F /ST
( ,'`-`= •
SANDWICH , MA 02563 �
0 1 (� GRAPHIC SCALE:
PH. (508) 888-3619 z �j ' 1 INCH = 80 FEET
CELL )508) 527-3600
C
p
t t
t'
R��ER RO N/F
BRAMAN
Z ASSESSORS MAP 044
PARCEL 017-003 67\ S 63.35'52" E 337.62' V S 63.14'13" E 339.65'
> CONCRETE BOUND
� \� \�. FOUND & HELD i
� LOCUS — _ --
_� MUDDY —
a
Z POND — —
LONG 6' PROPOSED
POND o N VENT
x Z 5
o M PRS-�O O Po \\
D S R HED
„"� S
\ _ _ f #2
OLD POS ROAD 89 � PUMP, SANDFILL & CRUSH
EXIST \ _
ACCORDANCE LEACHING PIT IN
2S pTM #1 WITH TITLE 5.
LOCUS MAP: NOT TO SCALE \ �, /I ' -
' BULKHEAD BENCHMARK
SITE & SEWAGE
CORNER ELEV
REPAIR PLAN \ ` � � , � � 61.46 MSL± 29,
558 \\ \ \ \ \ \ EXISTING \ 28' / /EXISTING 1000 GAL
\\ \ / SEPTIC TANK TO
s,�N rur r NEwro wry PARKING REMAIN
RD. AREA
F \ - -
\
IN
MARSTONS MILLS � � — % ' — — — — — — — - 56
r DATE: 5-11-12 \`\ \ \\ DECK
APPLICANT: \ \ \\ \ \ \ #558
JOHN & JEANNETTE \ EXISTING
\ \ \
\ � � \ W � 2 BEDROOM
HAMBLIN� � DWELLING
s
° #558 \ �� �� °� �
1 N 66'49#19" W 239.4T
SANTUIT—NEWTOWN RD.
MARSTONS MILLS 02648 \ / NCRETE BOUND
\ I FOUND & HELD
SHEET 2 OF 3
PREPARED BY: N/F
HAMBLIN
EAS SURVEY, INC. ASSESSORS MAP 044
PARCEL 012-002
141 R T. t
A EXISTING \
P. O. BOX 1729 DRIVEWAY \ \ 3 �o� EDWARD ti�N o
r g A. a 20 30 40
SANDWICH, MA 02563 �� �� _ _ _ _ — �°` STb c
e No. 28 8 .
PH. (508) 888-3619 41' � �F � S GRAPHIC SCALE:
CELL )508) 527-3600 67 � LAND � 1 INCH = 20 FEET
9 r`
SYSTEM DESIGN
RAISE COVERS TO WITHIN 6" OF FINISH GRADE "'
1
OBSERVATION i DESIGN FLOW
SILL ELEV. =r.Z•09 FINISH GRADE PORTS TO GRADE 3 BEDROOMS AT 110 GPB/D Q GPD
GRADE ELEV. (PS-0 r ELEV. 60.5 FINISH GRADE
ELEV. 60.7 ELEV. 60.9 REQUIRED SEPTIC TANK
///,�� //,�� /- //(�� \� GROUND ELEVATION 61.3
;>. 3.5' OF COVER '3:'9' OF COVER 330 x_2__ = 660 GAL.
22'®S=0.02 TOP ELEV 57.41;:• a . SEPTIC TANK REQUIRED = _1L500__GAL.
4" PVCSCH 40 2 MIN- MAX 4" PVC SC
40 5'OS= 0.01 EXISTING S.T. TO REMAIN = 1 920�__GAL.
M�y
INV.=
NV= XISTING 57.83 10"TEE 14'TEE INV.= R TIE ENDS SIZE OF LEACHING FACILITY REQUIRED
57.66 & VENT
7INV.=
DESIGN PERC RATE __ <2____Jv11N./INCH
GAS BAFFLE 3 LIN5T7.00
E CHAMBERS LEVEL LONG TERM APPL. RATE_9•74_GPD/S.F.
f: 4'-1" LIQUID LEVEL
2 0 w SIZE OF LEACHING SYSTEM PROVIDED:
"T" REQ. INV.=57.05 CL
56.08
25.0' N b 330 0.74 SF/GPD = 446 S.F. MIN. REQ.
USE (16) HI-CAP INFILTRATOR 211° r 'n USING 16 HIGH CAPICITY
DATUM : EXISTING 1,000 GAL TANK TO REMAIN CHAMBERS TOTALING 100 LINEAR FEET ELEV, 48.9 INFILTRATOR -
75"x34"x16" STONELESS BED FORMATION NO GROUNDWATER TPIT#1 4.73 SF / LF X (6.25' x 16) = 473 S.F
VERTICAL DATUM: BARN. GIS - MSL± CONSTRUCTION NOTES: ( FOUR ROWS OF FOUR PANELS )
BENCH MARK USED: CORNER OF CONCRETE 473 S.F. x 0.74 G/SF = 350 GPD
BULKHEAD ELEVATION 61.46 1. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND 2 OBSERVATION PORTS
ELEVATIONS AND SITE CONDITIONS PRIOR TO COMMENCING / SCREW CAP TO GRADE 350 GPD PROV > 330 GPD REQ. = 20 GPD RES.
WORK ON THE SITE.
SITE SEWAGE 2• NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE SAND FILL NO (GARBAGE DISPOSAL / GRINDER ALLOWED)
WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT
REPAIR PLAN IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY.
3. VEHICULAR TRAFFIC, PARKING OF VEHICLES AND PLACING N
MATERIALS OVER THE SEPTIC TANK IS PROHIBITED. °' 7' 77 "7
77
,7558
GENERAL NOTES: �
sAN rvi r NEwrowN Ro. 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. --2.83' +--2.83'--+-2.83'-�--2.83-- D.T.H. #1 ib D.T.H. #2 ib
TITLE V AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS DATE: 4-2-12 DATE: 4-2-12
N FOR SUBSURFACE DISPOSAL OF SEWERAGE. 11.33' GROUND ELEV. 60.9 GROUND ELEV. 61.3
2• AT LEAST ONE ACCESS POINT OVER TANK TEES SHALL BE END VIEW NO GROUNDWATER NO GROUNDWATER
M A R S TO N S MILLS
ACCESSIBLE WITHIN 6" OF FINISH GRADE, WITH ANY REMAINING
ACCESS PORTS BROUGHT TO WITHIN 12" OF FINISH GRADE. I CERTIFY THAT I AM CURRENTLY APPROVED BY THE
DATE: 5-11 -12 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE DEPARTMENT OF ENVIRONMENTAL PROTECTION TO A A
CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE CONDUCT SOIL EVALUATIONS AND THAT THE LOAMY SAND LOAMY SAND
APPLICANT: UNDER OR WITHIN 10' OF DRIVES OR PARKING AREAS THEY RESULTS OF MY SOIL EVALUATION ARE ACCURATE 10YR 4/3 10YR 4/3
MUST WITHSTAND H-20 LOADING. AND IN ACCORDANCE WITH 310 5.100 6" 6"
J O H N & J E A N N E TTE 4. THE EXCAVATION CONTRACTOR SHALL VERIFY THE LOCATION THROUGH 15.1 B B
OF ALL UTILITIES PRIOR TO ANY EXCAVATION. ` LOAMY SAND LOAMY SAND
__ _ _ ___ _ _ __ _ ___________ 7.5YR 5/6 7.5YR 5 6
H AM B LI N 5. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE EDWARD K STONE, CER F-- S EVALUATOR 28 26"
OR WITHIN 6 OF GRADE SHALL BE MORTARED IN PLACE. ELEV =58.6 ELEV =59.1
#558 6. FINISH GRADE SHALL HAVE A MINIMUM OF 0.02 FEET PER GROUNDWATER ADJUSTMENT
FOOT OVER THE S.A.S. AND DISTRIBUTION BOX.
S A N TU I T-N E WTO WN R D. 7. SEPTIC TANK SANITARY TEE'S SHALL BE CONSTRUCTED OF _
SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM OF 6" ABOVE NO OBSERVED GROUNDWATER COARSE 1SAND 50 COARSE 1SAND
M A R S TO N S MILLS 02648 THE FLOW LINE AND SHALL BE ON THE CENTERLINE AND DEPTH TO BOTTOM OF HOLE 12' 2.5Y 7/4 ` ' 3�Z 2.5Y 7/4
LOCATED DIRECTLY UNDER THE CLEAN OUT MANHOLES. VARIANCE REQUESTED 10% GRAVEL 10% GRAVEL
SHEET 3 OF 3 8. THE INLET PIPE INVERT ELEVATION SHALL BE NO LESS THAN
2 INCHES NOR MORE THAN 3 INCHES ABOVE THE INVERT TITLE 5.
ELEVATION OF THE OUTLET PIPE. TO ALLOW 4' OF COVER IN LIEU PREPARED BY: 9. THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES . THE MAXIMUM WED NO G. WATER 144" NO G. WATER 144"
�4
10. THE OUTLET SANITARY TEE SHALL BE EQUIPPED WITH A GAS ELEV =48.9 ELEV =49.3
E A S SURVEY, INC. BAFFLE, 4 INCHES IN DIAMETER AND CONSTRUCTED OF 4" PVC �'_ZH OF MgSs
11, ALL PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE AND o`'� c INDICATES DEEP B.O.H.
141 R T. 6 A SHALL BE SLOPED 1/4 INCH PER FOOT MIN. EXCEPT FOR THE AVI 9 g� DTH #1 TEST HOLE DON DESMARAIS
FIRST TWO FEET OUT OF THE DISTRIBUTION BOX WHICH SHALL i o SOIL EVALUATOR
P. O. B O X 1729 BE LEVEL LA R INDICATES ED. STONE
J .
12. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION 1 P-1 50" PERC TEST BACKHOE OPERATOR.
SANDWICH MA 02563 TO EAS SURVEY INC. FOR B.O.H. AND DESIGN ENGINEERS REVIEW �o GUS DeBARROS
AND APPROVAL. G/sT0k NO MOTTLING SOIL TYPE:
PH. (508) 888-3619 13. MAGNETIC TAPE OVER ALL COMPONENTS. SgNI7 R\ NO WEEPING PERC RATE: <2 MIN. PER INCH
LOADING RATE: 0_74 GAL/SF/MIN
CELL (508) 527-3600 'Z 144" INDICATES ADJ. GROUNDWATER
• SECTION - SEWAGE
LOT 17 3
N .L Tf,I TT
SEPTIC TANK- S —"D"BOX LEACH
TOP OF FON : 3 MA25T�) L(_S
(MSL)u •2"OF:/aT0 4i"
6ZG4g
WASHED STONE lam- z-
� ----- ---- ram.
sz
�• -�
IN• OUT•. IN• \
OUT• IN-
ELEV. ` \.
-
Co0•� `.��t uzel SEPT C
TANK
ELEV. ELEV �P o 8� I 5 �
ELEV. {
ELEV. . ELEV. Ei_G�/
81 1: ��..� .�sir '••,.-• �J � 4
.WASHEDSTONE
TEST HOLE LOG
TEST
i?.j .. WITNESS
✓y l
TEST DATE C"� f DESIGN
BEDROOM HOUSE \ \„'� �` {J \` j ✓ / �Z
T.H.- #► l �o.-I" T-H. +� 2
00--u EL V. ad ELEV. NO d8
I
(a..., ;I I«�•Y, I - PERC RATE - MIIV/iN: OlSPOSER OI$POSER � j �� �50 8�
' `�' -
Z�-„ sP�.� 5 •3 FLOW RATES(GAL./DAY) 3= �M / / t
SEPTIC TANK 3�> 1
REQ"D SEPTIC TANK SIZE �� N \\ - HAY►3ALi s TO 3
�BE STP:.KE� RO
rb LEACH FACILITY Etc+� of ROAD k
SIDE WALL •_8� .G/D. _/� t�• \ r� 47�
BOTTOM -3 G[D.
TOTAL Zd: _i . S.-£ ._ �1-Z'i
�{Z .c, �S� h83 USE: 6i-4 LEACHING
v� i ^--
'z3 g.*=r- - 7�e� .
WATER ENCOUNTERED
NOTES: LUNLESS OTHERWISE NOTED) `p4
WORK LIMIT I INS CWLL) -Ta
I.DATUM(MSL);TAKEN FROM CA I QUADRANGLE MAP ... ` ►
2.'MUNICIPAL WATER I AVAILABLE " �>aR® '
3.PIPE PITCH:Ui"PER FOOT
4.DESIGN LOADING FOR ALL PRE-CAST UNITS:AASHO- -44
5.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES:(1)FT. w FAI4F3AIVIC
6.PIPE JOINTS SRALL BE MADE WATERTIGHT No 202 1 -
7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS.
STATE ENVIRONMENTAL CODE TITLES SITE PLAN
$. TytS p:.At.J Ic4L 7��7tY�ca wx�CJC �``! L�►�V 7+-I�J� -p �r �Ga ►711s��
LOCUS:
R G.PROFESSIONAL ENGINEER ,, .(. _•''� � }� �� ' g ��
REF:.
K r
WOW cape engineeringk �e_ - i c f PREPARED FOR: " *
_ CIVIL ENGINEERS `
LAND SURVEYORS yw
BOARD OF HEALTH RE�G:'L14ND StSRVEYO
926 Main at. . ! =Cp c5 S 2I 5
CONTOURS (PROPOSED) .- APPROVED ��JS�A�c� MA SCALE _
DATE '' REVISED 9-19 85 DATE ��.-I