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Home My WebLink About0055 THATCHER HOLWAY ROAD - Health Thatcher Holway Road N4arstons Mills A= 148 082 l I TOWN OF BARNSTABLE �• LOC I-knON h 15 f/`- SEWAGE # 06-�d V QLAGE PI STD j 61- ASSESSOR'S MAP & LOT INS' ALLER'S NAME&PHONE NO. �JG SEPTIC TANK CAPACITY �r�rd LEACHING FACILITY: (type) (size) &-agar 'x NO. OF BEDROOMS BUILDER OR OWNER!4 PERMTTDATE:_d5 3 COMPLIANCE DATE: 3� " 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 f e e NO. THE.COMMONWEALTH OF MASSACHUSETTS FEE TowA , BOARD OF -H E�ALTH I~L APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair ( Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components it 55 Pllwlp A me-F lj low 9 /o? Location Owner's Name �T /V Map/Parcel# 4RO— a t� s Ay ✓•/G �0 o�V617701V AAA95 awd A't?'i hone# J ACC Installer's me - _al 8* F �Lvn vM , A O Thet✓ �nP Cam 7s /.�.s O6 � j -//_�/� SV$ 4QO y �4-,A` JM 4r4y 55 ,561 dress a� Telephone# Telephone# Type of Building: Lot Size 071 l Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures _ Design Flow(min.required)-33 gpd Calculated design flow 3�6 gpd Design flow provided .356 gpd Plan: D tewC. 617. 86� Number of sheets �_ Revision Date Title tt fop PP.13^,5eD 5e-priC b1-57€w VF15* 47)(F AP Description of Soil(s) 7 W ` ��p y o��`r 6A17'I"'�°� Soil Evaluator Form No. Name of Soil Evaluator 1.1 d i "�ate of Evaluation (D/PL2 DESCRIPTION OF REPAIRS O ALTERATIONS �� n S ` � ' 3f 8�is zO . dw,The undersigned agrees to install the above d ribed Individual Sewage Disposal System in accordance with the visions of J TITLE 5 and further ogre of to pl yste eration until a Certificate of Compliance has been issued by the Board of Health. ed 1pectio,,��tw Date 6 I FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 'No.- U��n ' �J`� T?H.EICJ?MMONWEALTH OF MASSACHUSETTS FEE l�G� - •�^ k fi{w- �,5 �BOARD OF H E'AUT =I J� r ow&) OF 84,001 ABLE APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair ( Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components 'r SS a, r o I y 10H/L/P /�o�C' � $c /t '/4 G/WPI 1 w 9 1O9 Location Owner's Name j !•t Map/Parcel,# dd s � �oT /o sas - Sao- �l i,.� n Lot# Ty�phone# - - C�Instale Nam/( gners mod02o Treeorc s7aW5 /Yiccs ? 61 cl >, h. ' i, Addr s Address 5-08 4a0 4-,5* �� 54�00 3564 Telephone# Telephone# ?) Type of Building: S/NQ1E �i�: �Il/E(.t;/�fl� Lot Size ! Sq.feet Dwelhri -N0.of*Bed"rooms- - - - - Garba e;Grinder g— g _. Other—Type of Building No.of persons Showers (T ), Cafeteria ( ) - Other fixtures Design Flow min.required) d Calculated design flow 33 d Design flow provided ✓-56 d g ( q ) gp gp g p gP Plan: Date-Tuuw- t�7, 900(n "" ^ Number of sheets 2Revision Date Title. Al Oiz PXOR05,6-D APT/C 5X57LeW UP&R,4Dt I Description ofSoil(s)`10 —y* e s8 "o1sh sas,,��"�� - Soil Evaluator Form No. Z Name of Soil Evaluator IJ-6y"s tu&-cDate of Evaluation 6/0,9/0&- DESCRIPTION OF REPAIRS OR ALTERATIONS 5 S k Ua Q rCL-Je en/5f I 1 ea a 1L k 10 , -w X Tf Y ' " ,' � The undersigned agrees to install the above de cribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agree of to plawe enyste eration until a Certificate of Compliance has been issued by the Board of Health. Signed Date Isn pections � cj / i FORM I - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 a� No. 00 THE COMMONWEALTH OF MASSACHUSETTS F> E` BOG. BOARD OF HEALTH ` CERTIFICATE OF COMPLIANCE s Description of Work: Individual Component(s)onent p p ( ) ❑Complete System The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired((Upgraded( ),Abandoned( ) by: �>1�U19ya at _ r��A7"Cfif� OG Cv9 has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated R-g-e3�C Approved Design Flow' 3:�Q (gpd) Installer OTr Designer:#Om� i -&5� —z4C, Inspec ar Date t- The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 No. U�h J� THE COMMONWEALTH OF MASSACHUSETTS FEE „r/ r7�v7 BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( )�Reepair (&) Upgrade ( ) Abandon ( ) an individual sewage disposal system at .S. I r/ tK �4�y as described in the application for Disposal System Construction Permit No. -20 6( 3 Sy dated �Ic� Provided: Construction shall be completed within three years of the date of this per .'t. l�hocal conditions must be met. Date Board of Health FORM 2 - DSCP DEP APPROVED FORM 5/96 n FORM 1255 (REV 5/96) ( H&'W Homs&WA ENrM PUBLISHERS- BOSTON ( U NJ t��✓� (, L rPV,�Sr, � e,(," ! S R � uw Dl , CP'cV�� r � E Town of Barnstable Regulatory Services Thomas F. Geiler,Director � BABNSfABLE, + M6 9 ��$ Public Health Division A'For+► ° Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Sewage Permit# Assessor's Map\Parcel 14 5 o$a Designer: Holmes cLAd &61-a. Inc. Installer: Brica.►) iqyo4e limns �„c�-Co� Address: 3�:a G,F-6rd Address: ao Tr-ee+oe CrcA. Fo.imvu_h HA oar 40 Hills', itZit as(o+& On A-Q6 anligly,� �e was issued a permit to install a (date) (installer) septic system at SS Ttia-+cber Holwo_N RDQ based on a design drawn by (address) Holmps 0.rd He6/-a+A0 Inc dated Some 7, RWI. , reVised e/q/61, (designer) STATE I Y 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. 5MTE - I y 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. �P�t tiSs,� ? TIMOTHY M. R nstaller's re a AN Is No.4S-M t✓IVIt (Designers ignature) (Affix Desig 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. Q:Health/Septic/Designer Certification Form 3-26-04.doc holmes and mcgrath, inc. civil engineers and land surveyors IM L!V[EQ W V E ° OBWOV,9 - 1 362 gifford street falmouth, ma 02540 email: �mcgrath@holmesandmcgrath.com DATE JOB NO. phone (508) 548-3564 1 800 874-7373 ATTENTION fax (508) 548-9672 �or�. � g`S �- �? c To ry p�dlSr0N RE: — I oN Wof VA�NSTIg-L�C.� �o6C. sw7Y441c.1`1"Y kiCWN-C� � 00 /�a,�� c5�. 5 T1204CAe. 1�01 i��►. �?bo I �° 33a WE ARE SENDING YOU Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION ago 50(e- SU c F5 Mt C6b9-T0,uT_r -s r`7 THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑, Resubmit copies for approval' v CIA- 0 For your use ❑ Approved as noted ❑ Submit copies for dis-tribution:. As requested ❑ Returned for corrections ❑ Return corrected prints_ a) ❑ For review and comment ❑ CD ❑ FOR BIDS DUE ❑ PRINTS RETURNED AFTER L N TO US REMARKS r r 7 QD �. j-T. COPY TO _ SIGNED: If enclosures are not as noted,kindly notify us at once. 1 C Massachusetts Department of Environmental Protection #55 Thatcher Holway Rd. Marstons Mills,MA Bureau of Resource Protection —Wastewater Permitting Program Site Address or Map/Lot Number Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal P#11332 A. Facility Information 1. Facility Information Raul Lizardi-Rivera& Philip D. Moree Owner Name #55 Thatcher Holwav Road Map/Lot Lot 10, 148-082 (assessors) Street Address Marstons Mills MA 02648 City State Zip Code B. Site Information 1. (Check one) New Construction ❑ Upgrade ❑ Repair ❑ 2. Published Soil Survey available? Yes ® No ❑ If yes: 1993 1:25,000 EaB/EaC Year Published Publication Scale Soil Map Unit Eastchop loamy fine sand Soil Name Soil limitations 3. Surficial Geological Report available? Yes ® No ❑ If yes: 1986 1:100,000 QMP Year Published Publication Scale Map Unit Glacial Outwash Outwash Plain Geologic Material Landform 4. Flood Rate Insurance Map: Above the 500 year flood boundary? Yes ® No ❑ Within the 100 year flood boundary? Yes ❑ No Within the 500 year flood boundary? Yes ❑ No ® Within a Velocity Zone? Yes ❑ No 5. Wetland Area: National Wetland Inventory Map Map Unit Name Wetlands Conservancy Program Map Map Unit Name 6. Current Water Resource Conditions (USGS) 5/2006 Range: Above Normal ❑ Normal ® Below Normal ❑ Month/Year 7. Other references reviewed:Town Assessors Map Fema Maps Town Topography Maps, Cape Cod Groundwater Map file: ...\Lizardi-sf.doc DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal - Page 1 of 7 t r Massachusetts Department of Environmental Protection #55 Thatcher Holway Rd, Marstons Mills,MA ILIBureau of Resource Protection —Wastewater Permitting Program Site Address or Map/Lot Number Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal P#11332 C. On-Site Review (minimum of two holes required at every proposed disposal area) Deep Observation Hole: 6/22/2006 12:00 PM sunny s0°F Date Time Weather 1. Deep Observation Hole Logs Deep Hole Number #1 Ground Elevation at Surface of Hole 63+/- Location (Identify on Plan ) (refer to sketch) 2. Land Use: residential (developed) No 4% (e.g.woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) grass, oaks, pitch pines outwash plain (refer to sketch) Vegetation Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body 150+/-ft. Drainage Way Possible Wet Area 150+/-ft. feet feet feet Property Line 15 ft.+/- Drinking Water Well Other feet feet 4. Parent Material: Glacial Outwash Unsuitable Materials Present: Yes ❑ No If Yes: Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock❑ Bedrock❑ 5. Groundwater Observed: Yes ❑ No If Yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: >200 +/- elev.45 per plans assigned elevation (Elev. 30: Cape Cod Groundwater Map) inches elevation file: ...\Lizardi-sf.doc DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 2 of 7 LlMassachusetts Department of Environmental Protection #55 Thatcher Holway Rd. Marstons Mills,MA Bureau of Resource Protection —Wastewater Permitting Program Site Address or Map/Lot Number Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal P#11332 Deep Observation Hole: Deep Hole Number: #1 Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Structure Soil Depth Horizon/ Color-Moist (mottles) Texture % by Volume Consistence Other Layer (Munsell) (USDA) (Moist) (In.) Depth Color Percent Gravel Cobbles &Stones 0 0-4 A 7.5 YR 3/2 Sandy Loam 4-8 E 7.5 YR 4/1 Loamy sand 8-21 B 7.5 YR 5/8 Loamy Friable sand 21-43 C1 7.5 YR 5/6 None Sand Medium 20 0 Structureless Single grain Loose 43-120 C2 7.5 YR 6/4 None Sand Medium 5 0 Structureless Single grain Loose Additional Notes file: ...\Lizardi-sf.doc DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 3 of 7 Massachusetts Department of Environmental Protection #55 Thatcher Holway Rd, Marstons Mills,MA Bureau of Resource Protection —Wastewater Permitting Program Site Address or Map/Lot Number Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal P#11332 C. On-Site Review (minimum of two holes required at every proposed disposal area) Deep Observation Hole: 6/22/2006 12:30 PM sunny 80°F Date Time Weather 1. Deep Observation Hole Logs Deep Hole Number #2 Ground Elevation at Surface of Hole 66+/- Location (Identify on Plan ) (refer to sketch) 2. Land Use: residential (developed) No 2% (e.g.woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) grass, oaks, pitch pines outwash plain (refer to sketch) Vegetation Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body 180+/-ft. Drainage Way Possible Wet Area 180+/-ft. feet feet feet Property Line 20 ft.+/- Drinking Water Well Other feet feet 4. Parent Material: Glacial Outwash Unsuitable Materials Present: Yes ❑ No If Yes: Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock❑ Bedrock ❑ 5. Groundwater Observed: Yes ❑ No If Yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: >200 +/- elev.45 per plans assigned elevation (Elev. 30: Cape Cod Groundwater Map) inches elevation file: ...\Lizardi-sf.doc DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 4 of 7 Massachusetts Department of Environmental Protection #55 Thatcher Holwav Rd, Marstons Mills,MA Bureau of Resource Protection —Wastewater Permitting Program Site Address or Map/Lot Number Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal P#11332 Deep Observation Hole: Deep Hole Number: #2 Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Structure Soil Depth Horizon/ Color-Moist (mottles) Texture % by Volume Consistence Other Layer (Munsell) (USDA) (Moist) (In.) Depth Color Percent Gravel Cobbles &Stones 0 0-4 A 7.5 YR 3/2 Sandy Loam 4-8 E 7.5 YR 4/1 Loamy sand 8-25 B 7.5 YR 5/8 Loamy Friable sand 25-52 C1 7.5 YR 5/6 None Medium 20 0 Structureless Loose Sand Single grain 52-120 C2 7.5 YR 6/4 None Sand Medium 5 0 Structureless Single grain Loose Additional Notes file: ...\Lizardi-sf.doc DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 5 of 7 Massachusetts Department of Environmental Protection #55 Thatcher Holway Rd, Marstons Mills,MA Bureau of Resource Protection —Wastewater Permitting Program Site Address or Map/Lot Number Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal P#11332 D. Determination of High Groundwater Elevation 1. Method used: ❑ Depth observed standing water in observation hole A. B. inches inches ❑ Depth weeping from side of observation A. B. inches inches ❑ Depth to soil redoximorphic features (mottles) A. B. inches inches ❑ Groundwater adjustment(USGS methodology) A. B. inches inches ® Other Projects and Cape Cod Groundwater Map A. Elev 30+/- 2. Index Well Number Reading Date Index Well Level Adjustment Factor Adjusted Groundwater Level E. Depth of Pervious Material 1. Depth of Naturally Occurring Pervious Material a. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yes ® No ❑ b. If yes, at what depth was it observed? Upper boundary: 21 Lower boundary: 120 inches inches F. Certification I certify that 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, expertise and experience described in 310 CMR 15.017. Signature of S valuator D to Raul Lizardi-Rivera November 2002 Typed or Printed Name of Soil Evaluator "Date of Soil Evaluator Exam Donald Desmarais, RS Town of Barnstable Name of Board of Health Witness Board of Health Note: This form must be submitted to the approving authority with Percolation Test Form 12 file: ...\L.izardi-sf.doc DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 6 of 7 Massachusetts Department of Environmental Protection #55 Thatcher Holway Rd, Marstons Mills,MA' Bureau of Resource Protection —Wastewater Permitting Program Site Address or Map/Lot Number Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal P#11332 Use this sheet for field diagrams: — q.00_c� Tho A cb or ��.Nr✓ VI 2 ul sH� T?V-1 tP IP C4 file: ...Tizardi-sf.doc DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 7 of 7 Commonwealth of Massachusetts City/Town of Barnstable P#11332 Percolation Test Form 12 4�M Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with i the local Board of Health to determine the form they use. Important: When filling out A. Site Information forms on the computer, use Philip D. Moree& RaOl Lizardi-Rivera only the tab key Owner Name to move your #55 Thatcher Holway Road cursor-do not Street Address or Lot# use the return key. Marstons Mills MA 02648 City/Town State Zip Code 508-420-8155 Contact Person(if different from Owner) Telephone Number B. Test Results 6/2206 1:30 PM 6/22/06 1:30 PM Date Time Date Time Observation Hole# #1 #2 Depth of Perc Start Pre-Soak 1:37 PM End Pre-Soak 1:47 PM Tame at 12" Time at 9" Time at 6" Time (9"-6") Rate(Min./Inch) Less than 2 mpi Less than 2 mpi Test Passed: ® Test Passed: Test Failed: ❑ Test Failed: ❑ Raul Lizardi-Rivera Test Performed By: Donald Desmarais, RS Witnessed By: Comments: Percolation rate of less than 2 minutes per inch assign to the sand layers C1 and C2. Percolation test completed after 25 gallons of water were poured in 10 minutes during pre-soak stage 310 CMR 15.105(6). Lizardi-pf.doc Perc Test•Page 1 of 1 Z- o7- /o � � T 10N 441 S-EW A G E PERMIT NO. VILLAGE /,/ -0 1 - INSTA LLER'S NAME & ADDRESS a r / B U fLD E R OR OW ER :DATE PERMIT ISSUED � 7„ . DAT E COMPLIANCE ISSUED �` /1 , -, � 1 �. �.,. � � � ��. �� No..9�? THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH �- /� ._........OF...... ._ Appliration -fur Uispuial Morks Cnowitrurtiott Pr utit Application is hereby'made for a Permit to Construct ( a) or Repair ( ) an Individual ewage Disposal System at: cNF•2 ..._/(,1L �"'R�............................FF L uM6j-rT A, �7` id .................................. Location-Address ,y p{+� 3 D yU S M i Lo4—At No. -.--•-------------•-------•------•---•--••---•-•••--•--....----•--•-•-- ........................ Owner Address ' a I=QWA2D CAe Installer Address UType of Building Size,Lot_-a- y_ .:'f_8____Sq. feet Dwelling—No. of Bedrooms------------3-------•---•--•-•--•-----------Expansion Attic ( ) Garbage Grinder 04 Other—Type of Building 4_T_j%n_F- No. of persons,3..................... Showers Cafeteria ( ) QOther fixtures ---- ------------------••--•------------------------- -----•--_________-----••--------------------•-•--•------ W Design Flow--------------------------- -gallons per -person per day. Total daily flow__._._____._..__._:.._3O0___--_-_-_gallons. WSeptic Tank—Liquid capacity allons Length________________ Width......----...... Diameter---------.------ Deptli---------------- W Disposal Trench—No___________ Width-------------------- Total Length-------------------- Total leaching area--------------------sq. ft. Seepage Pit No---- eter____________________ Depth below 'nlet______._____________ Total leaching area-___-__________sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 0 , A 44- •/- 'Y- 7 7, Percolation Test Results Performed by------ ------------------------------------------------------------------- Date__------------------------------------- a Test Pit No. 1................minutes per inch Depth of Test Pit...----------------- Depth to ground water_--___-__________--_---- (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water__-_--_________-_-__---- P4 ----------- -------------------•-•-........... ------f •- ••-•••---......................... •-------._-----1---•--•----- O Description of Soil------------_- � ------CO--- " ,� s -� -ram#_._._ - - lV -•- ---- ............~--p---------------------------------------------------------------------------- W U Nature of Repairs or Alterations—Answer when applicable.--______________-______-_-__________-_-_--__-_-_-__________-__--------__------___-_______---- t -------------------------------•--------------...................................................... •--- --------•-----------••-----------------•-------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article YI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. �� Signed' ...... ----- ` �' � 1-------- Date Application Approved E By---------- --------------'-.... -------- Dateate 7 Application Disapproved for the following reasons____________________________________________________________________________ ---•---------- ---•---------- ..-----•-•-----------------•-----------------------------------------------------------------------•-•-•------------------------------------------------------------ --------------------------------- Date PermitNo......................................................... -•--------•------- Issued---. ------R'77--V----..___._--------.. � .-.;.:• k:t Date .................... THE-COMMONWEALTH OF MASSACHUSETTS s � BOARD PF HEALTH f Appliratiun -for 13ii olial Workii Towitrurtion Vlermit Application is hereby made for a Permit to Construct (� or Repair ( ) an Individual Sewage Disposal System at: SSTTH/4c0C2 ::�-fcL,L%f � RD gfiF Lu�C3E�T M!L!- ��- j—aT /O ........................................ •-__-•-•-----••• ........................... •-••-••- ................... Location-Address M R 2Src KS M 1"S or Lot No. /�� fLfP Lri+ rT% _Y S Srr ^R/ --_-•---------------= -••---••--••••-•---•----•-•-------•---.._..••••-------------•---•-•-_____.__.__••-•----------__.-- Owner Address aCa u.A!i b-----1-'4•C -•••-....-•__-_-__•_--•--•--••--._•------ --------------------•--------•-•---•-----•--•----------------------------------------------•------ Ins aller Address UType of Building Size Lot_.a z_A_K_ff-------Sq. feet Dwelling—No. of Bedrooms---------3......._........................Expansion Attic ( ) Garbage Grinder 44C.., Other—Type of Building .Xg_r�.�______________ No. of persons---__.-_---___-_____--___--_ Showers ( /) - Cafeteria ( ) dOther fixtures -------a--- ------------ - -- - ------------------ -------------------------------------------------------- W Design Flow0 __ gallons per person per day. Total daily flow-------------_________�_o�..._.....gallons. P4 Septic Tank—Liquid capacity_----'�__ allons Length________________ Width..._.....-...-_ Diameter-------.-------- Depth---------.------ xDisposal Trench—No- _-__-____. Width-------------------- Total Length---------.---------- Total leaching area--------------------sq. ft. 3 Seepage Pit No---- .................... Depth below inlet-______________..__-Total 'leaching area------- ----------sq. ft. Z Other Distribution box ( ) Dosing tank aPercolation Test Results Performed by------------------------------------------- --------------------------- Date--------------------------------------- Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water..---_-----.---.-_.-__-- (� Test Pit No. 2................minutes per inch Depth of Test Pit____________________ Depth to ground water._._-.--.---_-.____----- �+ ----_... ------------------------•--•--- . i ----------->--------- --• --_... Description of Soil---------------4—` .)___._��_.... __ .`� �4r�aedet,�} �� • x c.� --------------0.........................................----------------------------------------- -------------------------------------W U Nature of P.epzirs or Alterations—Answer.;w,hen applicable.__-------------------_-.-.____-.--_-----..__._----____--____.---__....._.-----------......... . ---------------------------------------------------------`-=------------------------------------------------------------------------------------------------------------------------------------------.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code The undersigned further agrees not to place the system in o bee issued by the board of health. operation until aCertificate of Compliance as b ne � •- _- � . ...... �f•7�- •• • P g - ---------_------ Date Application Approved B • Date Application Disapproved for the following reasons:........................................................... ------------------------------------------------------ -•-•------•------------------••-----••---__-------------•-•-----•-••---------+----------_-______---_:-------------------------•----•--- Date Permit No...............................:---•----•---------------- Issued.__.. . 7 1•••••-••--•••--•---••- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH •O F.... ... .. (�'L/L s,.r-w.........: �rrttf tr�tr of Tlintliliat le Te�� TO RTIFY, That the Individual Sewage Disposal System constructed ( r Repaired ( ) . Installer/�_ has been installed in accordance with the provisions oV r ' 1pm of We State Sanitary Code as described in the L application for,Disposal,Works Construction Permit No--- _------AZ.___�'�'_______..___ dated._...�9'�._j_0�__r_7.7............. ;s THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM YiILL FUNCTION SATISFACTO�Tµ DATE...................................-.......................................... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS f/� BOARD x HEALTH '�.,if ......O F.......�/ C ...................... ........................ No. --`3V.. --�-_ ........... FEE...e.0.............. Dinvolial lVorhoTxmitrurtion Vamit Permission is hereby ranted---- - ---`••... -- ------- / . ---,-------------------------------------------------------------- - ----••------ to Cqnstrujit epair ) n idual tod / /f / atNo... :f• ....... 6-. .... ------ .....0i ------E 4. ................. str t as shown on the application for Disposal Works Construction Permit __________ _________ ted--.- _.."'l --- ------------ r Board'of ealth _ .. DATE------ -;-... _._...J_ � •� "` ' FORM 1255 HOBBS &WARREN. INC.. PUBLISHERS 4 p A, C> a � i -7 �2 00 1I 1� UG O CwAI-. F/.umt)`, a6.PrlC- "/ TA/V K /+Q 1� V licco GAL Ifl t "CAc-H FsT t� . rs s N 4 Ex P, `- so LO -Z Z C) . •� 1 ' __ CSQT1FlED 'PLO-r PI-A" I •�. '�' a;rye , LOGATIO" M^P-6-r&tAS Htt_t..s. C- .SZTit=-4 T"A-r TAG— F'OUfAD^Tle1?45QOwU �--AF''1 RI✓FcQ>=�.iG� Wr_-eEa&4 GorAPLY-G W tTN "rWG Lo -r I O A>va SET$AC-4 V =QU1ReAlAE: tTS ot= TNe 7a w U off , P.1, ) �-t �,, L.. P L p� r� 8 1-,.. 2-& -7 Pam. Z--7 • REGiS t-�..Z�D 1...At..it� SUr`VcYotzS tJOT BASE' OW AN 0STE2V1t_Lr-- o MASS, it isTeU E�� Suc�v�Y TtaE= oF�S�rS 5ttowt a APpt_t CAST PH I L L I P W H 1 r E Ly t bT 8r-- USED 'ro oc:TCZMtN& LO-t' l.tN�S " Finish grade obovw and adjacent to system shall slope away at a min. of 2% DEEP OBSERVATION HOLE LOG NO. 1 : P#11332 4" diam. cost iron or Schedule 40 PVC pipe (tight joints). OTHER 10' min- distance (building slob foundation to edge of leaching system) SOIL SOIL TEXTURE SOIL COLOR SOIL 70 _ DEPTH ELEV. HORIZON (USDA) (Munsell) MOTTLING SrONM BINUM . . . . . . . . . . . . . . . . . . . . . . - CONSISTENCY, S GRAVEl 0" 63.0 First Floor 0"-4" 62.7 A SANDY LOAM 7.5 YR 3/2 Contractor shall pump tank 4"-8" 62.3 E LOAMY SAND 7.5 YR 4/1 down and out/et tee and 10.83 Install gas bofi9e. 8=21" 61.2 B SANDY LOAM 7.5 YR 5/8 l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . — 65 y.. Existing Ground 4.0' 34" 4.0' 21=43" 59.4 C1 MEDIUM SAND 7.5 YR 5/6 NONE loose, structureless w Basement ` ' ' ' ' '" ' '� �" �';/' ' % % , , 43"-120" 53.0 C2 MEDIUM SAND 7.5 YR 6/4 NONE loose, structureless (walkout) s \ \ ,\ \ �\ elev.=67- 4" PVC Pipe 2. 4" PVC Pipe . 7 L.F. s=aO5 level length varies x �''- Inv.elev.=60.00 Geotextile fabric or ——— Liquid Level—— O _ 2" layer of 1/8" to NO GROUNDWATER ENCOUNTERED 60 ; . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1/2„ ouble. washed . . . . . _ Elev. 60.17 Existing 1,500 Gallon septic Tank 6c%�f o Elev.=58.17 DEEP OBSERVATION HOLE LOG NO. 2: P 11332 p p compacted q p F-iew�iffttssdf 77 stone a4 ft. of " to " ,y�C.' SOIL SOIL TEXTURE SOIL COLOR SOIL (OTHER s uHc1u REs, Qo double washed stone all c DEPTH ELEV. HORIZON (USDA) (Munsell) MOTTLING S11014 .Bouts, rz c around infiltrator an E CONSISTENCY, z GRAVEL 55 h� . I I inches beneath. _. .LO _ 0" 66.0 Sep tic Tank 7' D—Box 8-24' $O�rySysemt1on 0=4" 65.7 A SANDY LOAM 7.5 YR .3/2 11/07Z-.- Bottom of test hole 4-8" 65.3 E LOAMY SAND 7.5 YR 4/1 Contr=tOr shall verify invert elevation 8=25" 63.9 B SANDY LOAM 7.5 YR 5/8 prior to construction of 176W soil absorption system 25-52" 61.7 C1 MEDIUM SAND 7.5 YR 5/6 NONE loose, structureless SEPTIC PROFILE 52=120" 56.0 C2 MEDIUM SAND 7.5 YR 6/4 NONE loose, structureless SCALE: 1/4" = 1' rNO GR0UNDWA TER ENCOUNTERED INLET HOLE DESIGN CRITERIA P#11332 SOIL TEST Num er of bedrooms: 3 Equivalent to 330 gal.'s/day Garbage disposal unit: No Date of soil test: 06/22/06 16" Leaching area — capacity required: 330 gal.'s/day Test taken by. R. LIZARDI—RIVERA Side area proposed: 124 sq. ft. Results witnessed by. D. DESMARAIS Bottom area proposed: 357 sq. ft. Percolation rate: < 2 MIN./IN. Total area proposed: 481 sq. ft. Ground water NONE ENCOUNTERED Proposed leaching capacity. 356 gal.'s/day Water supply: Town 34" ( 6'— " Precast concrete units: H-20 loading design TYPICAL HIGH CAPACITY INFILTRATOR (H-20 LOADING), NO Unless and until such t TICS as the original (red) stamp of the SCALE: 1" = 1' responsible Professional Engineer, or Professional Land Surveyor appears on this plan: (A) no person or persons, including any municipal or other public officials, may rely upon the information contained herein; and (8) this plan remains the property of Holmes & McGrath, Inc. GENERAL NOTES 1) No change to this system sholll be made unless approved in writing by holmes and mcgrath, inc. DATE DESCRIPTION JDrawn hecked 2) Subject to inspection during construction by the Board of Health and holmes and mcgrath, inc. R E V I S 1 0 N S 4" CLEANOUT CAP WITHIN 3) Heavy construction equipment shall not travel „ �� MAX. INSTALL POLYLOK FLOW EQUILIZERS over disposal system during or after construction. - 3 OF FI SHED—GFZ�AEl ALL OUTLET. PIPES FROM THE CONSTRUCTION DETAILS DISTRIBUTION BOX SHALL BE ON ALL OUTLET PIPES 4) Disposal system to be constructed in accordance SET LEVEL FOR AT LEAST 2 FT. CONCRETE COVER with Title 5 of the State Environmental Code. OF PROPOSED SEPTIC SYSTEM UPGRADE Proposed 1/2" rebar 4" SOLID PVC PIPE 5) A copy of these plans must be kept on the site PREPARED FOR - -, to locate in future 9 — 5" OUTLET during the time of construction. RAUL LIZARDI—RIVERA KNOCKOUTS 6) A copy of these plans must be furnished to the ' contractor constructing the disposal system. FOR LOT 10, #55 THATCHER HOLWAY ROAD OUTLET INLET 28" 7) Before backfilling, the contractor shall notify IN 4" SOUD PVC TEE " holmes and mcgrath, inc., and the Board of Health MARSTONS MILLS BARNSTABLE, MA 10" 12 Agent to inspect the system as constructed. 8) If the contractor encounters any variation between the existing conditions shown on the plan and the SCALE: 1" = 20' DATE: JUNE 27, 2006 � {nF conditions encountered on the site, or any soil PLAN SECTION CROSS—SECTION condition different than shown on the soil log, or holmes and mcgrath, inc. �r S9 ; . r;h?oTHY MO. any adverse soil, the contractor shall immediately civil engineers and land surveyors N^.n oie contact holmes and mcgrath, iinc. Holmes and TYPICAL MONITORING PORT HOLE DISTRIBUTION BO H-2 LOADING g 362 gifford street 208 ob 548-3564(PHONE ;� �ti, mcgrath, inc. will examine the soil condition "\�> g falmouth, ma. 02540 548-9672 (FAX) \<; SCALE: 1/2" = 1' SCALE: 1/2" = 1' and report to the owner any suggested revisions. DRAWN: RLR CHECKED: L Lizardi lizardi.dw JOB NO: — DWG. NO.: 87-2-8 SHEET 2 OF 2 I l ..JBOUAV ... Sf >,500 GALLON ... r _ SEPTIC TANK J �S� TO REMAIN. POAD J � If J �A ........... J PROPOSED 4 INFIL TRA TORS L WITH 4 FT. OF DOUBLE F -� WASHED CRUSHED STONE ALL q OLD LOCUS AROUND AND 6 N BENEA 774 g� D—BOX P�� `G� LOT 8 0 � l��T 4 Iab 40 . o. LOT 9 O I Jj 0' `r — O LOCUS MAP MONITORING PORT LOT 7 Q P NOT TO SCALE SEPTIC SYSTEM PLAN Q�E-� 0,010 SCALE: 1" = 10' H �o F NOTES GNQRwP 1. HOUSE NUMBER: 55 �� •�o E L*� o oo• 2. ASSESSORS NUMBER: MAP 148 PARCEL 082 �g•�5 , : 3. ZONING DISTRICT. RF N_ 195� 4. FLOOD HAZARD ZONES: C 5. BENCHMARK: SEE PLAN oo, u-POLE 6. TOPOGRAPHIC INFORMATION COMPILED FROM % AN ON THE GROUND INSTRUMENT SURVEY. i \ 7. ELEVATIONS SHOWN ARE BASED ON , 'OTC - AN ASSIGNED ELEVATION. Qo' 8. REFERENCE: PLAN BOOK 287 PAGE 27 APPROXIMATE LOCATION 5`:� �� 9. THIS PROPERTY IS LOCATED IN A DEP APPROVED OF UTILITY SERVICES S .o ZONE II AND THE TOWN OF BARNSTABLE ��.,. -�f1Tr;�T�f1A1 � I.— 1 &%f _•'Y1R+ I R111•cT _. 'lV I Lii i 1VIV V YC..RIL/1 i ui,3 I li✓ 1. CB W/ DISC r FOUND \ �� N/F ��t�,��FR�� GRAPHIC SCALE N DANA S. HORNIG �o�` hu 0 10 0 20 60 Mo 2.: . \s 9FClTER� ( IN FEET ) �S s~ w 1 inch 20 !t 9ps LOT 11 N/F LOT 10 �s I DECK L JOHN F. & —--�_ WEATHERVANE JANET L. ORTHMANN 28,249t S.F. I I POND Z 0.65f ACRES 1 1 ST FLOOR I I �^ NOTICE NI OVERHANG 1 I Unless and until such time as the original (red) stomp of the y N v 1 responsible Professional Engineer, or Professional Land Surveyor OD appears on this plan: a r___---__—_ it 1 Y 1 S (A) no person or persons, including any municipal or other o it EXISTING I w a 1 �, public officials, may rely upon the information contained herein; and I a I1 HOUSE (B) this plan remains the property of Holmes & McGrath, Inc. � CARPORT i1 WALKOUT (ELEV=62.0) 1 I �O•`SF / Io = II I 1 QOi i�// BENCHMARK 1 `� II I I o� DATE DESCRIPTION jDrawn hecked TOP CORNER OF ------r EpG� R E V I S I O N S CONCRETE PAD Zy �a —— FR��% / " / 7 o ELEV. = 65.96 i w I PLAN (-------- � w 12� 16'� RE � SERVE 6 ,� I OF PROPOSED SEPTIC SYSTEM UPGRADE AREA J "�I PREPARED FOR ��J o RAUL LIZARDI—RIVERA e#2 FOR LOT 10, #55 THATCHER HOLWAY ROAD G I,Soo GAL. IN SER77C TANK MARSTONS MILLS BARNSTABLE MA SEPTIC EXIS771VG LEACHING PIT BE PUMPED DRY, SHED TO „ , %� of �.� --T �3aP N' �. FILLED WITH CLEAN SAND PROPOSED 4 INFILTRATORS v SCALE: 1 = 20 DATE: JUNE 27, 2006 �0,. AND ABANDONED. WITH 4 FT OF DOUBLE #�� z !;' `ti WASHED CRUSHED STONE ALL �I ( / holmes and mcgrath, Inc. ,IL , <<s AROUND AND 6 BENEATH. I C 22� 41, civil engineers and land surveyors ` N. 78 S 57.4T50 W 362 gifford street 508 548-3564(PHONE) N/F p�SG falmouth, ma. 02540 508 548-9672 (FAX) BRIAN J. & BOG TOWN OF BARNSTABLE G8 `NO�Np DRAWN: RLR CHECKED: macs }` �,L114 Pt✓ MARIAPAZ H. WALLACE �O CONSERVATION COMIMISION F L Lizardi Iizardi.dw JOB NO: — DWG. NO.: 87-2-8 SHEET 1 OF 2 k, i