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Home My WebLink About1800 SOUTH COUNTY ROAD - Health 1800 South County Road A = 098 -009 Marstons Mills _ -- --- — - - i II I J�b EX. OSHED EX. 30Q Op. GARAGE �39 6 �ry � 4 N PROPOSED 15'x30' ABOVE GROUND POOL a TANK EX. SHED EX. DWELLING 1Cob S 8 O co ,4 SEPTIC FROM ASBUILT ON FILE A T THE TOWN �N�Y 4.7 HEALTH DEPARTMENT /,po BUILDER TO CONFIRM CERTIFIED PLO T PLAN MBLU 98-009 I CER71FY THAT THE IMPROVEMENTS SHOWN 1800 SO. COUNTY ROAD ARE LOCATED APPROXIMATELY AS SHOWN. OF 14 4 Ss9c OSTERWLLE, MA o�' tiG DATE. JUNE 21, 2018 DRAWN: R8 ROBB # c SYKES ��, SCALE. 1`60' DWG. - S 59 No. 5418 ti EASTBOUND /1�ip� o �.� �a LAND SURYEYINC, INC. G � si N s P.0. BOX 442 ROBB SYKES, P.LS. DATE FORESTDALE, MA 02644 508-477-4511 TOWN OF BARNvTABLE *' UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS ASSESSORS MAP NO. 9 C,� PARCEL NO. . ADD-RESS,' la66 k5ov%H CCtj,,V"fit. A-1r., VILLAGE' a rAg� %t�iia DAME'._.. CONTACT PERSON PHONE NUMBER 'S-� LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: LEAK OR CHEMICAL: DETECTION SYSTEM! ToeL .2.2 L-�,C4. No OVAL DATE OF PURCHASE OF. EACH: 1. 2. 3. 4. S. DATE OF FIRE DEPARTMENT PERMIT: / jf& TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS "PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD. Colo ° °"L3A �`s� BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT Z SUPERIOR COURT HOUSE r' BARNSTABLE, MASSACHUSETTS 02630 f.; o ...-,,,... 0 PHONE: 362-2511 ti�.S", EXT. 330 LAB 337 CLINIC 340 NAME Paul Williams TANK LOCATION 1800 S. County Road, Marstons Mills, MA 02648 TANK AGE 20 CAPACITY 275 DATE TESTED 8/19/87 Thank you very much for participating in our program to test underground storage tanks (UST) . The free test was offered under a grant the Barnstable County Health & Environmental Department received from the Environmental Protection Agency. The main purpose of the extensive- testing we are doing is to develop information regarding percentages of tanks which are leaking, and the ag.e at which s i r;n i f i can t -numbers - of tanks start to leak. The method we used, soil gas analysis, is not the most common, so we are also using our experiences to evaluate it as an UST testing technique. Because of uncertainties inherent in UST testing , we can not guarantee that your tank is not leaking. However, our tests did not indicate any problem. You should also realize that a "good" result fr.om our test is no indication of how long the tank will remain sound. If you ever decide to remove your tank , it would help our research if you notified us so we could take a look at . it after excavation. If you have any questions, please contact Charlotte Stiefel or George Heufelder at 362-2511 extension 334 . CENTERVILLE,- OSTERVILLE FIRE DEPARTMENT ; s PERMIT fOR STORAGE Off FUEL 0 � 1 In 'accordance'with provisions of Chapter 14$t O.:L and Regulations i. made under authority thereof. NameP& lil , Y,lillis ms nt v F.....Nate Name I,lIS1�O.:. (owner or occupa ) (Installer) Address l� St.••x• . ktstons 200 Pend St,, O ter�ille 4 Address Burneir 3torag� . p Make .. .� .aS......Citr. ....`. .... .....Type of r Manufacturer C XlilL..jCO 8!1 ... ....Ca ad or)S(ze Model No or SizU'1.5. X.3 ..,.: ..Locct�on U�dQr c t td Type Grp ass. prove) No 1 2 .� 4 f.' Permit issued. .. /.CLr. ,. ... ..:t (Head of-Fire D Hmenf) By.. ....:. ..... ....... .... .. 4 � Y d tTnr�;PtRMIT)MUST BE CONSPICUOUSLY.POSTED,UPON THIi PREMISES) ' ? i TOWN OF BARNSTABLE LOCATION �/' & SEWAGE# II �U VILLAGE,!ga �S / '�//S ASSESSORR'S MAP&PARCEL —� INSTALLER'S NAME&.PHONE NOs � %/ SEPTIC TANK CAPACITY /:5ZO 6, LEACHING FACILITY:(type),g �j,� (size) FKx SI,/o� NO.OF BEDROOMS OWNER 7COO SS PERMIT DATE: // .�` �/. COMPLIANCE DATE: r/ 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 i. a s5 `y � a9 o 4a �JNo. r --J Fee THE COMMONWEALTH OF MASSACHUSETTS Entered incom uter: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes Rpplitation for Vspo8al *pstrm Construction Permit A lication for a Permit to Construct Repair Upgrade Abandon ❑Complete System ❑Individual Components PP ( ) P ( ) Pg ( ) ( ) P Y Location Address or Lot No.C SrjNy V'� Owner's Name,Address,and Tel.No lD ➢i�;a r, Assessor's Map/Parcelt954 ��a cam® +i ��C+/ q_ Installer's Name,Address,and Tel.Nq )'VA Designer's Name,Address,and Tel.No. Type of Building: 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)2j gpd Design flow provided ? gpd Plan Date Number of sheets / Revision Date Title ,1 Size of Septic Tank ls(>t) �� . Type of S.A.S. ^� �� P-- '1 � c- h?--5<-! Description of Soil Nature of Repairs or Alterations(Answer when applicable) j �Y' Date last inspected: Agreement: The undersigned agrees to ensure the const ction and tenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Envi onmenta Code Ind not to place the system in operation until a Certificate of Compliance has been issued by this Board al Si d Q ate ( /� Application Approved by - / ate Yf Application Disapproved by Date for the following reasons Permit No. Date Issued No. f� . m'9 Fee THE COMMONWEALTH OF MASS, CHUSETTS < Entered in computer: Yes PUBLIC HEALTH.,DIV SION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplitation for Disposal 6pstr tt Construction 3pPrink Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components iE Location Address or Lot No. 300 t�. ' Q-'1_-> Owner's Name,Address,and Tel.No. ' Assessor's Map/Parcelogg--� Installer's Name,Address,and Tel.NcO/vw)'44 (°0r,,-1-, Designer's Name,Address,and Tel.No. Type of Building: Dwelli g �No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtujes Design Flow(min.required)33,� gpd Design flow provided gpd Plan Date /0 Number of sheets / Revision Date Title Size of Septic Tank l'Ybo 9m Type of S.A.S. ., Description of Soil Nature of Repairs or Alterations(Answer when applicable) �� 1. J Date last inspected: - Agreement: r The undersigned agrees to ensure the const ction and tenance of•the afore described on-site sewage disposal system in µ accordance with the provisions.of--Title 5 of the Envi onmenta Code nd not to place the system in operation until a Certificate of. i Compliance has been issued by this Board o al ZG/ Si "ed ^e �' P :Date Application Approved by 1/ _ ate Yf <4 Application Disapproved Date for,the following reasons y Permit No. 401 Date Issued ------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate Of Compliance THIS IS TO TIFY,that the Onewage Disposal system Constructed( � Repaired( � Upgraded( ) Abandoned( )by at ill L has been cons in acc ce with the psions of Title 5 and the r' isposal System Construction Permit No. " ated InstalleriF�LeQ7/v(/ C_7�<�, Designer y #bedrooms Approved design flow gpd The issuance of this permit sh 1 not bk co strued as a guarantee that the system will fu c , a designed. Date- � InspectorD ------ -- ---- - - ------ ------------ ---------------------------------------------------- ---_ _ - - - - Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS r Misposal .pstrin Construction 3p ermit Permission is hereby grant o Construct( ) 1 pair( U•rgr�de / )� rA andon( QZ System located at j 7 ! / 1 �} and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construc io must I o pleted within three years of the date of this permit. Date Approved by Town of Barnstable DIME rqy Regulatory Services ti °,. Thomas F. Geiler,Director lA ft Public Health Division 13 9. A�� Thomas McKean,Director FD MA'S 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: g z1z Sewage Permit#�� -® Assessor's Map/Parcel fsnaq Installer &Designer Certification Form Designer: M'CV! I A � Installer: Address: Address: c `� id On `��c/ � (J�� J` • was issued a permit to install a (da ) (installer) septic system at based on a design drawn by A address) w, dated �' l designer) ZI '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 r an v 1 g o y vertical relocation of any component of the septic system) but in accordance with State & Local F- -Lions. Plan revision or certified as-built by designer to follow. Stripout (if r- �cted and the soils were found satisfact N OF A4 DAVID 'A c B. �- ( n taller s ignature) o MASON v 9 No.1066 0 0; 2A., �S7 P l ne 'gna e) PLEASE RETURN TO BARNSTABLE PUBL._ ��fE OF COMPLIANCE WILL NOT BE ISSUED UN i iL nv i ri i tiib r'URM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. q:\office fonns\designercerti6cation fonn.doc Town of Barnstable P# l 3 �- '' Departiment of Regulatory Services Public Health Division Hate id o rED Nttit�, 200 Main Street,Hyannis MA 02601 Date Scheduled I I I Time ) Fee Pd. / �® Soil Suitability �A^s_se/ssment for S e Disposal Performed By: VI(� C�. ��C ./ Witnessed By: S J,OCATION& GENERAL INFORMATION Location Address/Foo u-�j c' Uti'r/ ,Y kv, Owner's Name %Cv (�fi%�% /h s A44SfooS A,'tlJ • Address/tfLfD(�t?W Cnc,.t.•¢y . Ra. Assessor's Map/Parcel: aft Engineer's Name OV 0 NEW CONSTRUCTION REPAIR Telephone# Land Use:— �� Slopes(%) Surface Stones Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) . I I Parent material(geologic) QU I`NAb4 Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping from Pit Fpee �!7 Estimated Seasonal High Groundwater - 25 &E&D� `f DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: —in, Depth to soil mottles: In, Depth to weeping from side of obs.hole: In, Groundwater Adjustment ft. — Index Well# Reading Date: Index Well-level__, _._:- Adj,tltctor- Adj,Groundwater level, PERCOLATION TEST Date Tlma Observation Hole# I , Time at 9" 4 �r ' Depth of Perc 1 Time at 6" Start Pre-soak Time @ Time(9"-6") 2 End Pre-soak I Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) 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 Consefvation Division at least one(1) week prior to beginning. Q:\SEPTICIPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# _ Depth from Soil Horizon Soil Texture .Sdil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. o i ten�y.96'Gravell DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. nsis en %Grave DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Co ststo cv.%Oravell DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones:Boulders. Consi t n y Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes Within 500 year boundary No+/Yes ' Within 100 year flood boundary No.2"'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? Y?L--4- If not,what is the depth of naturally occurring pervious material? Certification I certify that on /c (date)I have passed the soil evaluator examination approved by the Department of Envirdnmen6LI Protection and that the above analysis was performed by me consistent with . the required training,expertis nd p i ce escn ed in 310 CMR 15.017. / Signature Date Q:1S.EPTICIPERCFORM.DOC FGocf\ D ViA16- F . 1r y K iTCgEAI p,A11NG STEK ! 7 1 � S 57M IRS MAIN D oD R M ARSIDAZ MIUS a 0 U1O 5 5� C� s-tra -�S�. �xrsz"1NG- I lit � l u's ASSESSORS MAP : _ LOGS NOTES: TEST HOLE Z� PARCEL: #00 SOIL EVALUATOR: %'wlfi� 1) The installation shall comply with Title V and Town of JM��oard of FLOOD ZONE: �/� ��'LIC _ WITNESS : > >%Q� �7 Health Regulations. REFERENCE: DATE: Mai i✓ �� 2) The installer shall verify the location of utilities, sewer inverts and septic 10 9 — -- - — - -- - PERCOLATION RA'i E: � Z v✓ll components prior to installation and setting base elevations. o� , k/. 1 Cb� 3) All gravity septic piping to be 4 inch Sch 40 PVC at 1/8"per foot. The first _ L, �'o V I DO V two feet out of the d-box to the leaching shall be level. TW I _ TH-2 4) This plan is not to be utilized for property line determination nor any other SQMy LV purpose other than the proposed system installation. a�� lv�ri�l i l 5) All septic components must meet Title V specifications. 'I Loq►l �0 6) Parking shall not be constructed over H10 septic components. �0 �� i�l �� Id b( (0�1 7) The property is bounded by property comers and property lines. 2� 3 8) The property owner shall.review design considerations to approve of total LOCATION MAP y � ka) iwt-lu design flow and number of bedrooms to be considered for design. Receipt r laI L of payment for the plan and installation based on the plan shall be deemed approval of the design flow by the owner. I 9) The existing leaching or cesspools shall be pumped and filled with material per Title V abandonment procedures. Those within the proposed SAS shall ! be removed along with contaminated soil and replaced with clean sand per Title V specs. V)1 10)System components to be 10 feet from water line. Sewer lines crossing the - - — water line shall be sleeved with 4 inch SCH 40 PVC with ends grouted if applicable. The proposed SAS is being installed below the water service S E P T I f., SYSTEM DESIGN line. The line is to be sleeved as aforementioned and maintained in place. I 11) If a garbage grinder exists it is to be removed and is the responsibility of the owner to ensure such. I FLOW ESTIMATE i 12)The installer is to take caution in excavation around the gas line if such exists. )i BE`)ROOMS AT 1/(7 GAL/DAY/BEDROOM - GAL/DAY ' 13)The installer shall verify the location, quantity and elevation of the sewer lines exiting the dwelling prior to the installation. SEPTIC TANK 14)This plan is representative only that a system can fit on a property meeting ��GAL Title V requirements. O C4L/DAY x 2 DAYS / 1 USE A,WGALLON SEPTIC TANK SOIL ABSORPTION SYSTEM OF 44f4,,s , Ln iF, ;�� ' UjJTi--j �e �l — MASON f r � c .,art ----- - _ +�I(DM Qom, 0 I x f, No. �* zv t2OW� X ��F x �� 5F LF _ 1�.70 c, T �— '� M f �►�►�� T I ('. SYSTEM SECTION 7* OAA"4,,0SOx �� p 0 0 00 �"' \ i I5a(7 GAL �. '( 1 0 0 0 l \ SEPTIC TANK (,�,`r)t,l...W hAhap i 2-7 �n . 3 r. _ SITE AND SEWAGE PLAN LOCATION : I&CO I�) gG W 120►�D • PREPARED FOR : CA2C)1V4K , G0w15T2X110U o I j L SCALE: 1 Z Ce � DAV I D B . MASON,R.S DATE: DBC ENVIRONMENTAL DESIGNS" Z EAST SANDWICH . MA 5 W DATE HEALTH AGENT ( 508 ) 833- 2 177 I