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HomeMy WebLinkAbout0811 SANTUIT-NEWTOWN ROAD - Health 811 Santuit-Newtown Road Marstons Mills A = 028 030 / TOWN OF BARNSTABLE LOCATION �I�� �h fuc�'i(/� cr/o✓ X Z SEWAGE # aAZ V S-Y VILLAGE / ASSESSOR'S MAP & LOT-0 D O INSTALLER'S NAME&PHONE NO. f�/7A��J�c` CO�uJ���t�o4/ S��T.yid SEPTIC TANK CAPACITY /S'®O Gc�- LEACHING FACILITY: (type) fda G l tXow,� -j ( 3�(size) /3 �e ,77( S 2 NO.OF BEDROOMS-- BUILDER O �e �✓ PERMTTDATE: 60 o COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 454or .ac����ti�r�+�w14 �-v�l� ��� � 2�' �3`b" �� O s, �� � �0 �. 1 No. THE COMMONWEALTH OF MASSACHUSETTS FEE Av<�O, E BOARD �OF HE/AL/TH APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct (k) Repair ( ) Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components V466 _ spy /n /6 Location wner's Name fiq i/�fw 7'a w.a /Z Cl Map/Parcel# Address ✓v/lir.S7�v a fit',!!,j L'o t# Telephone# D• W � ��J V�` � /7 t &'�S�C!<1G� .0 H S2/— t e�u•!s.�.G' �+� T t taller's Name -—/ Designer's Name '7 Rd a /moo✓ 1261 .6'/�J, v--e- Address Address 7/ `ec� f77-9Z 7 z_ Telephone# Telephone# Type of Building: '�e's. Lot Size of 2F Z Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) 4�10 gpd Calculated design flow 4,Vo gpd Design flow provided-,�/6—? gpd Plan: Date 1011 9 Number of sheets Revision Date Title c Sys AAe W-e Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS G✓ �` 'ST(69� The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further rees not place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed 1A A,i Date P FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 {,..,.:.4. � - -F . F ,,L ."wr.a ,wy ,1s+"'�_ aj � et �r .._.. ':..�: r��-at• -• •y.�.�._ �,:�K�- ,: -y, 1a No.. >� THE COMMONWEALTH OF MASSACHUSETTS ° ! FEE BOARD OF, HEALTH f 1" ©L. r!'? OF 13 _74-4 4 AL APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT YApplication for a Permit to Construct Repair:( ) Upgrade ( ) Abandon ( ) ❑Complete System ❑Individual Components y ' -s9 tiv�f+Ivtc d�cx✓a �� �.�i � a c 7Lo ti Location owner's Name Rd Z. Map/Parcel# 1� Address [# / Telephone# Cc7�� Chi tf t I!!Mc'/J /•OP 00.-V§talle a� l Name � jirJrr� y �YJ7 " ! �DC /'��hr�✓ /fi / D.esAl Name A ress 1 Address 7 7/ 3 Telephone# Telephone# Type of Building: -?cS, r;Vn, 'Lot Size Za.,?,F Z. Sq.feet ` Dwelling ' No.of Bedrooms '1l Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) j; Other fixtures �']C'lan: esign Flow(min.required).��0 gpd Calculated design flow gpd Design flow provided6� gpd Date /O�/�ZC2# Number of sheets Revision Date Title SP A e w.s#4«. G Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS MX -' The undersigned agrees to install the above described_Individual Sewage Disposal System in accordance with the provisions of y TITLE 5 and further rees not place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed � �] � J Date F • seLttspeeti�� � �/ � �� /f / � �, a. FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 NO. ( THE COMMONWE LTH OF MASSACHUSETTS FEE BOARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) ®Complete System The undersigned hereby certify that the Sewage Disposal System;Constructed(I<Repaired( ),Upgraded( ),Abandoned( ) y by: f � has been installed in accordance with ovisions of 3 0 C ti1R 15.00 (Title 5) and the approved design�ans/as-built plans relating to application No. 011 dated ,01 2" oW Approved Design Flow yD (gpd) Installer pp Designer: Inspector fsDate ll� /J oy I The issuance of this certificate shall not be construed as a gua ntee that the system will function as designed. FORM 3 CERTIFICATE OF COMPLIANCE DEP APPROVED FQRM 5/96 toNo. THE COMMONWEALTH OF MASSACHUSETTS FEE �....--- BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby ranted to Construct Re air ( ) Upgrade ( ) Abandon ( ) an indi idual sewage disposal system at �� �Q'/1 6///``��/�kJ ©�� ✓� �, 'ee' /�as described f in the application for Disposal System Construction Permit No. dated Provided: Construction shall be coynpleted within three years of the date o this per cal nditions must be met. Date* / " 7 Board of Healt FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W H06BS&WARREN TM PUBLISHERS- BOSTON s I I i TOWN OF BARNSTABLE LOCATION SEWAGE #aiz y TSY VILLAGE AYS ASSESSOR'S MAP & LOT ' INSTALLER'S NAME&PHONE NO. i'�i SEPTIC TANK CAPACITY w LEACHING FACILITY: (type) VO C l IrA6ei r (size) 4X.2 j NO.OF BEDROO BUILDER O PERMITDATE: /D i o COMPLIANCE DATE: Separation Distance Between the: f Maximum Adjusted Groundwater Table and 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 Feet within 300 feet of leaching facility) '�— Furnished by grvr t-nAmZ of ►w� i �� )3 e OCT.19.2004 7:56RM BARNSTABLE BOARD OF HEALTH NO.138 P.2i3 ' 9/16l03 Notice: This Form Is To Be Used For the Repak Of Failed Septic Systems.Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM hereby certify that the engineered plan signed by me dated 9671.9., concerning the*property located at meets all of the iyq,2s'Ta,us r-!lGLS following criteria: • This failed system is connected to a residential dwelling only. There are no conunercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is Ices than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or may conduct dee p test holes and percolation tests at the site without a health agent present. • There is no increase in flow and/or change in use proposed a There are no variances requested or needed. e The bottom of the proposed leaching facility will be located no less than five feet above the maximum adjusted groundwater table elevation. [adjust the groundwater table using the Mmptor method when applicable] Please complete the following: A) Top of Oround Surface Elevation(using GIS information). °) Z N� v D) B) G.W.Elevation -4 2 +adjustment for high ON, 5' _ mj- vD, DIFFE11 NCE BETWEEIJ. d 1Y rs� R1CH?RD slow Dit DATE: OCT,,19. 20&* 29894 'ICE Based upon the above inf permit will be issued fog 4 bcdroo_m maximum.. No additional bedrooms are authorized in the future without engineered septic system plane. I q,�4ePtio\PereexcRp.doc i CAPE & ISLANDS ENGINEERING SUMMERFIELD PARK 800 FA"LMOUTH ROAD,SUITE 301 C . MASHPEE,MA 02649 (508)477-7172 FAX(508)477 9072 November 15, 2004 RE: Map,028 parcel 030,811 Santuit-Newtown Road, Marstons Mills,MA Soil tested for: Blaise Stapleton A soil evaluation was performed on,the above referenced lot on November 15, 2004 with the following results: A deep observation pit was dug on the lot to a depth of 132". 0"-6"'A Loam 10 yr 2/2 6"-32 B Sandy Loam 10 yr 5/4 32"-48" C1 Coarse Sand 10 yr 5/6 48"-132" C2 Medium Sand 10 yr 5/4 The soil evaluation was obtained in the C stratum:. No groundwater was observed in the pit: ' These soils are suitable for the installation of a subsurface sewage disposal system designed in accordance with the minimum standards of Title V of the State Environmental Code. g DAVID c .CHARDS T David Sanicki, P SANICKi Cl) DEP Certified So' u6985 R fG/STER�� � �p L LAND SV� Town of Barnstable ��"E Regulatory Services �. ,Thomas F. Geiler,.D.irector HAPJWABM f e A� Public Health Division 1639. - - - - ---- ---Thomas-McKean- Director- -- 200 Main Street,Hyannis,MA_02601 Office. ' 08=8624644 r,. Fax: 508-790-6304 Installer�& Designer Certification Form Date: 1d�151D�f Sewage-Permit#: .2�VY7;53_ Assessor's Map\ParcelC1L 030 Designer-: g ua4t 4 Lei Installer: �- Address: �1��Fg�Qr,.�. 3C Address: M shApe- : A44 Quo L f. _ �r fC� On /0� p -bV✓ /p 6 was issued a permit to install a (date) (installer) septic syste&>ACS O �.Aui 1- N2 fi urn (,L-4 based on a design drawn by(address) _ ,dated.,. (designer) ;U y I-cer*`that-the septic system referenced above was;installed substantially according to the:desrgn,_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 oru certified as-built by designer to follow. e ,-(Installer's Signature) ` =? RIC A.r D 29894 rn (Designer's Signature) (A I fid e`s"fO s Stamp Here) PLEASE. RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION: CERTIFICATE OF COMPLIANCE WILL NOT BE. ISSUED. UNTIL BOTH. THIS. FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. n T=TPnIth/9antinIF)PRienaf r.of6finatinn F M&W rinr No.... Fz$...rT ...... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH --•------"-------------- --- ---- ---OF............................._........ Appliration for Uiipuual Works Tons Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal ystemat: ....--•-----------------•------...------------.._......_..........----- ..... ----•- 9 ocation•Ad r s or Lot No. ---------------------� LEM --------------- ................................................................................................. i Ow r Address .................• -•--•-......----•-................ ---•----•••-•..........__.........•..... Installer Address Type of Building Size Lot............................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............................................gallons per person per day. Total daily flow.............................._.............gallons. 9 Septic Tank—Liquid"capacity jOCOgallons Length................ Width................ Diameter---------------- Depth................ W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. x Seepage Pit No............I------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ r%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-._______-_-____-_-____. a -------- •---------------------------------- •-------------------------- ••-------- -•------------------ ---------------------- -------------- -•------------------- 0 Description of Soil........................................................................................................................................................................ x c, W ------•--••-----•--•----••-----------------------••-----------..........•---......-•-•••-•-•••--•-------•- UNature of Repairs or Alterat' —answer when applicable..__ A� ---------------- ------------------------------------- ------------ glli_-............... F.................................................................................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iiT�; ;of the State SanitartCode—T' eundersigned further agrees not to place the system in operation until a Certificate of Compliance has b " theo th. _Signed _ --- - ---------• _ ........ Y-..... Date Application Approved By.............. �`'� ... ----------------------------- ....................Da--- Date , Application Disapproved for the following reasons:.............................................................•.._ ......---._ --------------------------= 4 Date PermitNo........ Z �.y-•-•--••---........ Issued....................................................... Date o ..A .n..i ,.y. A6 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -------------------- - ------------------OF.........---------........._._.........------------------.............................................................. Appliration for Disposal Works Toustrurpu Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage Disposal System at: e ocatio _A r s �I M or Lot '�o. -----------• .. ................ ............ O y�A +! Address •-•-••-••----•------••-- ••. . -. 1 -------•-•--..... ... Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms...........q--------------- -----Expansion Attic ( ) Garbage Grinder ( ) ~ Other—Type T e of Building ............................ No. of ersons....._...._................_ Showers — a yp g p ( ) Cafeteria ( ) al Other fixtures ................................. . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacity40.06.gallons Length................ Width................ Diameter................ Depth___••_•.•___-__. Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area____•-_.______•----•sq. ft. Seepage Pit No.--_____-__I________ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water...__________-_______._. Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-. --_____-___•-._-____ a ---------------------------------------------------------- •-••--•--•------------............ •----------------------... ...-------- -------------------- 0 Description of Soil........................................................................................................................................................................ "W V UW ----------------------------------------------------------------------------------------------•••• -----•-• .----------------------------------------.............. Nature of Repairs or Altera ' s—Answer when applicable__ '� .. ..XQ_..____ R�GSM �_.. � ---••------- �� i ---------•----------------••------.......--•---•--------------------•----- ' _ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITt� p 5 of the State Sanitary Code—T' e undersigned further agrees not to place the system in i operation until a Certificate of Compliance has b issu b the 7 th. / Signed..... .. ---• ......... - Date Application Approved By............. ..... --4'`-^ ............................. ........................................ Date Application Disapproved for the following reasons----------------•------•---------------------------------------••----------.........-----------------••-•--•••- ..-•---•....--•••••-•••-•-----•----------------•-----••-•--•.._..•--•-•----------...-•-•••-•------.....-----------------------------•-•-----•-•-------•------------•---•--••-•----•---•---•••......•---- Date Permit No.......F 7---`'---_y................... Issued-...................................................... Date r THE COMMONWEALTH OF MASSACHUSETTS BOARD yO..�F HEALTH '�-......OF..........I..ct ........................... T&rrfifiratr of f ompliFanr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by............... .......'.............. ..... --------------•----------------------------------------•------------...------------....------------------....-••••------•--------- st at............... ....�........C". 4 t�?lri4= t~= alley j1' -- ......................M...... ................................................... has been installed in accordance with the provisions of T��$'IE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No....le__2........� .... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................1...0....- -------. ................. Inspector................. --...-•--------.....-•-•----•---.......-----•--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7 6-.. r/` (.....__OF..---.....l.:l��- ��. -7 �. ............. ......` --.............................. / BYO....................... FEE.......5.D........... Disposal Works TonstrationDprrutit Permission is hereby granted.........--l?!4. ........ --•------------------------------•-------..............-•-•------- to Construct ( ) or Repair (�4 an Individual Sewage �Disposal System Street ppez as shown on the application for Disposal Works Construction Permit oF -�° .. Dated................................................ Board of Health DATE �------•�.....r-�7 --------- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS i P N W A PERMIT RMlT .0 LOCATION ATION. SEWAGE VILLAGE a OWs�W-157 i�iOGls I N S T A LEIt's NAME i ADDRESS t UILDE OR , OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED r .r,Mwy--:neW.• w-h�:+s.+r.X4 w' ':.:�.Y ,; , t -1 i �V6 k jol No...._.....1...._------ Fims. ......... ... THE COMMONWEALTH OF MASSACHUSETTS BOAR® ®E 'H EALTI-1 .. .......-W-._..�'.��d ...................... « ,r ROBERT tt 1 !fi GORDON rn Allpfiration for Uh4p gal orkii Towitrurtlun Prr HARRISON ss� No.17493�p Q Application is hereby made for a Permit to Construct (/1) or Repair ( ) an Individual', t System at: ' ........--•---••-•..........................................`..........--•---. .... .. . . '. �r 6 Loca ion-Addre �p or / o. ...................... •...... .... ..... ._. f!........ ..... ..._ _ �� _ .._ ��.,1 CSC.?l��lC �'�•X C C ner -------•----•.............................Address :..----- -- ---- s ...... Installer Address (� -. •- Type of Building Size Lot............................� Dwelling—No. of Bedrooms._..__... ?____________________________Expansio Attic ( ) Garbage Grinder ( ) 4Other—T e of BuildingV 9 No. of persons............................ Showers — Cafeteria a Other fixtures ------------------------------- - W Design Flow.....:r = .......................gallons per person per day. Total daily flow------------- ..............gallons. WSeptic Tank—Liquid capacity./$6egallons Length_ ........ Width.- _`----- Diameter---------------- Depth...�4... x Disposal Trench— No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...... . _ Diameter..../A0.1....... Depth below inlet.... Total leaching area... z Other Distribution box ( DosingC ,nk .( ) .Lrr '"' Percolation Test Results Performed b ._�/ �,fi__ :..���f.=����-------------- Date__������._.__..___.... ys '�"i aTest Pit No. 1__ .. ....minutes per inch Depth of Test Pit---- ........ Depth to ground water....AtA?)r-'-�_��z .- (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ __._ 4_. ...�...._.. Description of Soil ---- - -- 1--•••--•-••......•-- j `'i . _......._T._. ..r_._ ._a. i_......._.. �....... ... ........%........._._. ____._ .__..____....._.____------_ _....______.___.__ < M •--•-•----•--•--...- �- •-•�------------l- -- -'--- -- - •-- .-- W ------ � �-►�►--L Icy--- ---�` � �p •-------------- -='� V Nature of Repairs or Alterations—Answer when applicable----------------------------------------------------........................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TTI p of the State Sanitary Code— The undersigned further agrees not to place the system in � operation until a Certificate of Compliance has been iss ed by th oar of li Date Application Approved By........ -- ��'' + �jr ..................... �� �------------------ Date _......_..__ _..__ 4 Application Disapproved for the following reasons-......:.................: ---•-----•-----•---------•-----•............................•...... ••-------•---- ...-•---•-•---•------•-------------------••-------------------------------------------.......---------------------------•---•---------------•---••---•-----------------••-•-----••--•-----••---......__. y� Date PermitNo......................................................... Issued.....:t....................... ��v......-------------- Date P No.---------6... Fss. ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f _ O F� .................. ............OF........ f i�f �. .---•--••-----•------•--- ��QJyN Mgss9c per' ROBERT yG Appliration for UWpoiiaal nrkii (�nntitrur#inn r H RROISOON U 0 17493 O Application is'hereby made fora Permit to Construct O 'or Repair ( ) an Individual 5G�so ��w� System at: ..............• ---•............. ...................•-•---............ ..........--•--••--••••-•••...... ....... ............ O Locdd or Lo o - Lam...•.--•••. ner ddress a !... r - ..............•---..._.............. ....._..•••-•••--•-••-----................._...............---•--..__....................•........ Installer , Address Pal - ram"' d Type of Building, Size Lot___________________________Slit Dwelling—No. of Bedrooms--- ........._____......................Expansion} Attic ( ) Garbage Grinder ( ) a A 6. Other—Type of Building _______ __________________ No. of persons.__.________._._______._____ Showers ( ) — Cafeteria ( ) Otherfixtures .----•----------------------•--••-------------------...-•---•-----._...-----------=--•------------•----•---------•--------------•-••-•-•-••••----•-•-- W Design Flow.... ________________________gallons per person,.per day. Total daily flow..............�� ..............gallons. (� Septic Tank—Liquid capacity l �,gallons Length _,r Width_: Diameter________________ Depth-.. P .. Disposal Trench No_ ____________________ Width.................... Total Length----- _______.�,._ Total leaching area....................sq. ft: � Seepage Pit No _ __.._-__.__.. Diameter �__._______ Depth below Inlet Total leaching area__. � � ft. 'Z Other Distribution box ( Dosing nk ( ~' Percolation Test Results Performed by.. - -_s__aV_" .Z _............. Date_.f9-MVz __,7e:�............... Test Pit No. 1.__'-`:. .__minutes per Inch Depth of Test Pit____nj _______ Depth to ground water....At 1010K Test Pit No. 2................minutes per inch Depth of Test Pit___ __._._________. Depth to ground water........................ - - ,--•--- - O Description of Soil ' -a r'J`�.......................................- -••••--•--• ..._ �} •-- - UNature of Repairs or Alterations—Answer when applicable.--________________________________________________________________________*___________-_____. ---------------------••---•--•••••...•-•-•••••--------••-••-•--•-•--•---•--•••=•-------------------•-•-•••-----•------------•---•--•--•• .............................................................. Agreement: 1. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TiT L_ 5 of the State Sanitary Code— The undersigned further agrees not to puce the system in operation until a Certificate of Compliance has been iss ed by th oa ofaihe Si -•--••- Date Application Approved By...... +--••-••--••-----------•--------- r. `-k -D `� --- ate Application Disapproved for the.f ollowing reasons-----------------=---------=-•------------- --------- ............................................................ ..........................................=.............................................................................................................................................................. Date PermitNo......................................................... Issued....................................................... Date THE•COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH"_ .....:::..OF........... r _. (It -firFa of Tompti anrr THIS IS C RTIFY T t t divid al Sewage Disposal System constructed ( or Repaired ( ) by............. _.... . j�Jj tf� J// /�. �.�./. Insta ! N fe�J f(�' 6!' has been installed in accordance with the provisions of T m 5 of The StatXanitary de,,as described 'n he application for Disposal Works Construction Permit No. :___-!j-___________________ dated. X4ARANTEE �:�_--__��_Z__ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A G THAT TIME SYSTEM WILL UNCTION SATISFACTORY `DATE._________• Inspector-•-•--•-•- p -- •- ---------------------- --•--•----•--•--------- THE COMMONWEALTH OF MASSACHUSETTS "BOARD CV HEALTH ........ � ...... ..OF:_.`:. 1. .`................................. ? No ----- FEE.,V.e?................ Mop rk n� �a`Ilat# Permission,is by granted-•--•-- `--•--- ------_r_ - -- ---- •-------- - --: ........................ to Constr or Re ;r an di 'dual rage isposal fystem at No. r� f -=... •+, •r .rs f Street / as shown on the application for Disposal Works Construction mit N ----- . ._ Dated ..1:.1.'..04 ......... <. 'rd of Healt DATE-- ...: lf� ... ............................. FORppM, 1255 HOBBS & WARREN, INC., PUBLISHERS x f r , TOWN OF BARNSTABLE _ '/ LOCATION SEWAGE # 2�7�2 VILLAGE • �! ► '(L S ASSESSOR'S MAP LOT =07,� -(33d INSTALLER'S NAME& PHONE NO SEPTIC TANK CAPACITY f LEACHING FACILITY:(type) (sizeYY,Q'�, 5 NO. OF BEDROOMS_ IVATE WEJ)L OR PUBLIC WATER ILDER O OWNER DATE PERMIT ISSUED: ��-1 T-7 DATE COMPLIANCE ISSUED: t t9 7 VARIANCE GRANTED: Yes No -/ i 0 � L0C^ATION SEWAGE PERMIT NO. V I L e A C E INSTA LER'S 2AME i ADDRESS S U I l D E OR OWNER DATE PERMIT ISSUED � _ � Sd DATE COMPLIANCE ISSUED � 'a7- r � a - - - - - -- I00 00 --- u Np I IN T�1 �`Ou-5E 4n h I � ZZ`x 4.0, I r 7- i a.G' g•LI r t Q U .0 a7 . 'te-.Kq SOIL LOGN O E S h .. # ! `T`.W Q ! I. SEWAGE Ft_J _ �� 3 d c_ ✓ ( l - 1 ! 2. LEACY.IING AREA - SdC 5:- �� 5 J p . 3. SEPTIC TANK r"✓s y5.7 -ry5.7 y5,5 4: ALL WORK MUST CONIPLY WITH MASS.ENVIRCNMENI C.i_ I{ t +r REGULATIONS. 5. BRICK TANK, GIST BOX R PIT COVERS •rn !;THIN 6. THERE ARE NO WELLS ''WITHIri IOV OF THIS PIT. 7. THERE IS NO SEWAGE LEACHING WITHIN lLQ` OF THIS 1 I lto +-•+ ,1.I' n PERC RATE - rz (- GRADE s ra, n »�2t!j �AIranp�7z+11 97. 7 r, PE r?" S.../— I ZS �_ 4' P:� PIPE ,2�� I$' ��„�fG =s' — _ 2,:_1/S'-1/2"WASH91) 1i ►`:' PITGH !/4/FT.MIf�I. f'(�� T"' PITCH =�» y PIPE PEASTONE: a.. _ - PITCH I/6'TFT.M- MIN. T i `p - i ' _ _ 3/4"-I 1/2"� WASHED c.4 3� r S.la ! `�O ;I I STONE FREE OF 9550� 1 1� f FINES DUST IPON CI TEE it I��$ } a t °� 1 t N O.ON I LETS- 3 , [ 6 DIAM. PRECAST FOUNDATION SEPTIC TANK Li LENGTH - 3 a.7 �- �. s ' LEACHING PIT S EVERAOE SYSTEM PROFILE r(A),m;e-- G 84,7 (NOT T4 SCALE) ---^""^ WATER TABLE 7 ROBERT G. HARRISOM SCALE " �� r. �_ SEWERAGE N6-W70WA' 1tv ---- E r -PROFESSIONAL ENGINEER DATE / Qr PLOT PLAN WITH SYS�+.--I� AT FLINT LOCKE DRIVE '� PLY#40UTH,MASS. 02360 �PROJ. � Q �' FCF� lV/L4 1,4/�f 7 f;rR,4 UL r' — 42 /-!C1 c.'T SYSTEM PROFILE: TOP OF NOT TO SCALE FOUNDATION FINISH GRADE FINISH GRADE OVER EL. 78.4 FINISH GRADE OVER EL. 76.5 SEPTIC TANK 76.7 DISTRIBUTION BOX 77.0 FINISH GRADE OVER TRENCHES 77.2 RISERS TO 6r� -Q ` �F FINI GRADE�� , Y =0 1 PRECAST CONCRETE or. . •r 500 GALLON DRYWELLS RISERS TO 6" ��,• , OUTLET PIPES LEVEL 3"MIN. H-10 REINFORCED LOADING MIN.SLOPE 1% _ 13" r OF FINISH GRADE' FOR 2'(MIN.1%SLOPE 6 - MIN.SLOPE 1 r6 ° BEYOND yx TRENCH LENGTH = 33'-6" MIN. O DRYWELL LENGTH= 8'-6" 13"MIN. 141 1 =75.30 75.10 MIN. E74AA3 - :6-SUMP •., ,oa �` ' �: •4 .t0,:1 �:: , q' v,a •.1 •.oa Sri, .'a ,o 85 PVC OR CAST IRON TEES- :� ti: ./ ° 0 1 74.26 r; *ao ,., °:�,�,, r *,� 1 o°t� :r o,•�' 'b GAS BAFFLE— 'b w `.r - -'�;• °��',r `_�+-o° .�° ;• - �6 DISTRIBUTION BOX 3.50 '' ' , V. : > ': MINIMUM INSIDE DIMENSION 12" 3/4"- 1-1/2"DOUBLE 1500 GALLON W - " 3/4"- 1-1/2" DOUBLE , -� :a OUTLET INVERTS 2 BELOW INLET INVERT WASHED CRUSHED 4 PRECAST CONCRETE' '4 MINIMUM CONCRETE WALL THICKNESS 2" STONE WASHED CRUSHED _ !' INSTALL ON COMPACTED LEVEL BASE STONE BSMT.FLR. y H-10 REINFORCED a :-� ELEV. 70.9 TRENCH SECTION r. �• r. r ,T ,, ,l br•.;11,o0 • `r.•� °r. �, �' •,''`c \' ° r'\ r 'IQ� r•/ �rl. _ r mot+ fie' ° `� " . , p ` T T =C= STRATUM IN ORDER TO , Z, NOTE. EXCAVATE 0 SEPTIC TANK REMOVE ALL =A=&=6= IMPERVIOUS MATERIAL INSTALL ON COMPACTED LEVEL BASE WITHIN 5'OF THE SAS. REPLACE WITH CLEAN •. o 'e� �' CLAY-FREE SAND "MIN. 3"OF 1/8"- 1/2" 4 DIAM. 36 MAX. DOUBLE WASHED PEASTONE M �� I z �.• 6' '�.r, Q•1 6.''0•r ''.''D 1 r•' .�0 kit +. ;:�E �. r'� �.. of. 3/4"- 1-1/2" DOUBLE 5'_2" " WASHED CRUSHED 8111 N2 8 56 45. E 1 4 �.r . STONE 100.00' \ u.. ,, , . o d o TRENCH WIDTH Nock 13'-2" }• •" o a+aa 9& NUMBER OF TRENCHES 1 OD ' �. �., /i1 .orw.l+rirW.nw__..r Q.w r.u.r,u �!/� ���-��-�-�e-� NUMBER OF DRYWELLS 3 �, ti� = .• � "9.�- _ GENERAL NOTES: � o � ��., �. _ 1 ELEVATIONS SHOWN ARE BASED OW ASS IUIED —-— v� 2.ALL PIPES IN THE SYSTEM MUST BE CAS IRON r _-33.��_— r— OR SCHEDULE 40 PVC. RESERVE �� �o 3. HEALTH AGENT/CAPE & ISLANDS ENGINEERING '9O MUST BE NOTIFIED WHEN CONSTRUCTION IS —— J L COMPLETE PRIOR TO BACKFILLING. 18' 4.ANY CHANGES IN THIS PLAN MUST BE API ROVED BY CAPE& ISLANDS ENGINEERING AND THE BOARDOF HEALTH. DESIGN DATA x' �\ 5. MATERIALS AND INSTALLATION SHALL BE IN o FILL EXISTING COMPLIANCE WITH THE STATE SANITARY ODE NUMBER OF BEDROOMS o LEACHING PITS [TITLE Vj AND LOCAL APPLICABLE RULES AND Z REGULATIONS. GARBAGE DISPOSAL .� y i---- �`� \ 6. NORTH ARROW IS FROM RECORD PLANS ND IS DAILY FLOW 440 GPD. N '' ' ' NOT INTENDED FOR SOLAR ENERGY PUR OSES. SEPTIC TANK REQUIRED 1500 GAL. N o m 7.WATER SUPPLY: MUNICIPAL WATER SYSTEM. SEPTIC TANK PROVIDED 1500 GAL, DECK 8. FLOOD ZONE C[NON-HAZARD] LEACHING REQUIRED 440 GPD. HSE.NO.811 9. THIS PROJECT DOES NOT INVOLVE ANY PHYSICAL GROUND DISTURBANCE OR VEGETATION(REMOVAL SOIL ABSORPTION SYSTEM CALCULATIONS: x �_____- 4 BD EXISTING oUSE 20'382 SF. WITHIN 100'OF WETLANDS,INLAND OR COASTAL BANKS OR FLOOD HAZARD ZONES. SIDEWALL AREA= 186 SE._ NOTE: 186 SF. X .74 G/SF. -37 G_PD. INSTALLERS L BE RESPONSIBLE BOTTOM AREA= 441 SE ^J� 441 SF. X 0.74 G/SF. =326-G!?n G x j_EGEND TO NOTHT C E�ISLANDS ENGINEERING 52 'PROPOSED CONTOUR R SOIL EV UATIONAT THE TIME LEACHING PROVIDED = 463 c;pn FO OFSEPTICEXC VATION.- SEPTIC SYSTEM UPGRADE DRIVEWAY u ___•52-=-• EXISTING CONTOUR w% ✓'° c M'"�+, PROPOSED SEWAGE DISPOSAL SYSTEM 46' ' oo° to OBSERVATION PIT �J' .��� j,.gcy: . d� c Rar,F .�� ,��. PREPARED FOR 144.78' a. Jn.� s �^a�► ❑ DISTRIBUTION BOX � ` a P.7�"`��o `� C 1 29°36'35"W / Z, 94 BLAISE STAPLETON Y C� SEPTIC TANK AFCI q� w � HSE.NO. 811 SANTUIT - NEWTOWN ROAD ° ° ° sc'-' MARSTONS MILLS,MASS. r /✓ -� SOIL ABSORPTION SYSTEM .-- — — PLAN NO. 101804 SCALE:AS NOTED > SANTU IT-NEWTOWN ROAD RESERVE RESERVE AREA ���N of , FILE NO. 144BA DATE: OCT.18,2004 `'�I SEPTIC FILE NO. 75 PCS FILE: 22.26 PIPE INVERT ELEVATION o : CH RLES SA 'cK' =! CAPE & ISLANDS ENGINEERING z z z 2� 28 30 0 0 N, a�° 800 FALMOUTH ROAD, SUITE 301C PLOT PLAN > > > NO MASHPEE,MA 02649 (508)477-7272 SCALE: 1"= 20' MAP, SEC PCL LOT HSE uJ L" uJ M � -