HomeMy WebLinkAbout0102 TURTLEBACK ROAD - Health 102 Turtleback Road
Marstons Mills
A= 046-093
f
I
i
i
i
I
i
i
TOWN OF BARNSTABLE
LOCATION�� /�✓'" � C SEWAGE #oW'7317
VII.LAG)i J,V,C56 aJ �/�lls ASSESSOR'S MAP & LOT'
INSTALLER'S NAME&PHONE NO./"2. X®>4J ,45r 40- wo-/qZ93-
SEPTIC TANK CAPACITY MUO dA/a
-fie.inC
LEACHING FACILITY: (type) , 0075 (size) aV k
NO. OF BEDROOMS
BUILDER oRF6 �� aii 1ii,4f"'t (vf/A1eA
PERMITDATE: COMPLIANCE DATE: /� ®I
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
r
4
LO CATION SEWAGE PERMIT NO.
VILLAGE
I N S T A LLER'S NAME A DRESS
C �
�3F�pz-s 3;�
W
d U I L D E R OR OWNER
DATE PERMIT ISSUED
� S
DATE COMPLIANCE ISSUED a� ��
too(-) G0 Gv°�
ITV
i
t
No. T IE"COMMONWEALTH OF MASSACHUSETTS FEE
BOARD OF HEALTH f"rAf-to "^'
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components
e� Location 4 ea1�
Map/Parcel# �f Address
C4,f°JI1 �Te ephoge#
(/d4� G Li�GG�i � �`� _ &
Installer's Name ` Designer's Na
i °, A*1 A IV
Ir�1., &60s
Address Address
Telephone# Telephone#
Type of Building: - Lot Size. 406 Sq.feet
Dwelling—No. Bedrooms _f Garbage Grinder ( )
Other—Type of Building No.of persons Showers ( ), Cafeteria ( )
Other fixtures
Design Flow in.re uired gpd Calculated design flow gpd Design flow provideZV gpd
Plan: Date "�� Number bf sheets Revision Date
Title
Description of Soil(s)
Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation
DESCRIPTION QF REPAIRS OR ALT RATIONS G —1
The undersigned agr s to install the above described Individual Sewage Disposal System in accordance with the provisions of
TITLE 5 and furth ag s not lace the system in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed Date
Inspections
FORM I - APPLICATION FOR DSCP DEP APPROVED FORM 5/96
If
NO. OMMONWEALTH OF MASSACHUSETTS'- > FEE ILfO
�- BOARDS O F HEALTH r �
,f4,e 10 t'
eu
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct ( ) Repair ( ) Upgrade ( +) Abandon ( ) ❑Complete System ❑Individual Components
Location Owner),Name
Map/Parcel# Address
Lot# Telephone#
Installers Dame / Designer's Na e
A dress Address
Telephone# Telephone#
Type of Building:�/.�P� 29 Lot Size.' / Sq.feet
Dwelling—No.of Bedrooms 3 Garbage Grinder ( )
Other—Type of Building No.of persons Showers ( ), Cafeteria ( )
Other fixtures
Design Flow min.required gpd Calculated design flow gpd Design flow provideZW--gpd
J Plan: Date -ZZ-- Number of sheets Revision Date
Title's
i
Description of Soil(s)
Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation
DESCRIPTION OF REPAIRS OR ALTERATIONS s4w/i
i A.- All OM on
The undersigned agr es to install the above described Individual Sewage Disposal System in accordance with the provisions of
TITLE 5 and furthe afire s not TO;
o lace the system in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed Date
I
Inspections
FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96
r, ,- ------,-,--^------- _..--------------___-__..-_,-------.-_---_.--_-_-:_,._ - ___ - ,__-- _,__-
i
No. S1-1 THE COMMONWEALTH OF MASSACHUSETTS FEE /Dd
' BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
Description of Work: ❑ Individual Component(s) ❑Complete System jzz. of R.
The undersigned hereby certify that the Sewage Disposal ystem;Constructed( ),Repaired( *),Upgraded( ),Abandoned( )
4,C�Gu
b �.�CF.�T`l � DSc..t..
Y�
at -'t La"Z �C.�(L�t� '&AC C. 1'�-t�. MA P-5,"ton+S M I LL.S
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 applicationnJJNo7ADal �? dated �Z SS Or1 Approved Design Flow (gPd)
„f Installer ISCOI-T (A V-1 Tz>IrLt._
z
Designer: 'NASD tJ Insp�cte�or �L — Date
The issuance of this certificate shall not be construed as a guarantee that the system will function as designed.
4
FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96
THE COMMONWEALTH OF MASSACHUSETTS FEE
�AZ*A-14RLC_ BOARD OF HEALTH
DISPOSAL SYSTEM CONS UCTION PERMIT
Permission is hereby granted to Construct ( ) Repair (grade ( ) Abandon ( ) an individual sewage
g
disposal system at /!I 7� �rJ/L7/ �� ��• /"7 14 Ae7/GAG C as described
in the application for Disposal System Construction Permit No. 2 ea- / .3/r dated - 2S- O-t .
Provided: Construction shall be completed within three years of the date of this perm't't ll local con iun, ust be met.
Date `'/ L �'- Board of Health 1
FORM 2 - DSCP DEP APPROVED FORM 5/96
FORM 1255 (REV 5/96) H&W HOBBSB WARREN TM PUBLISHERS- BOSTON
I
Town of Barnstable
pFSHE 1pw
NAP.. �;� Regulatory Services
Thomas F. Geiler,Director
• BARMSIABLE.
q Public Health Division
MASS. a
�a t639- `0ro
a�Epti+A ,, Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office:.508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date: 1-i-
Designer:�1 VI T� � ��c��� Instaler:
Address: . Address:
On 7—62 Sri was issued a permit to install a
(date) (installer)
septic system at based on a design drawn by
—� (address)
1 dated Ve?�/W
(designer)
I certify that the septic system referenced above was installed substantially according-to
X ie design, which may include minor approved-changes such as Is relocation of the
di-stribution box and/or septic tank.
K
I certifyr'.1hat the septic system referenced above was installed with''.�a}or changes 01e.
greater than 10' lateral relocation of the SAS or any vertical'relooation of any component
of the septic:;system)but in accordance with State&Local:Regdlations. Plan revision or
ce: ed as-bartt by designer to follow.
t��FYMgS I'
ID
AIns
taller' ignature) WSON
B• cGn
v. No.1{166
. 9���STE�� •
SgNITAR�P� .
(D er s Signature) (Affix- ; � er'.s.Stamp Here)
C
PLEASE RETURN TO BAMSTAIkIt-PUBLIC.HEALTH DIVISION. 'CIERTII+'ICA:TE
OF COMPILIANCE WII.L NOT $E SSUED TN,, M 'BOTH= T$I�QFORM
BUILT CARD ARE RECEIVED BY—THE.BARNSTABLE PUBLIC,IiE ' H DIyISION
THANK YOU.
Q: HealWept c/Designer Certification Font
No. eL---333 Fee AV✓'
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS YeS
ftplitation for Misposal bpstem Construrtion Vermit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ndividual Components
Location Address or Lot No. 0277 a � (_c,v A0, Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel ar7 (_A_ON� O-)
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
�C 6 S�
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) 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)V
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.
0 d ��� Date_ 6 VS c)
Application Approved by j Date O"
Application Disapproved by Date
for the following reasons
Permit No. Date Issued
----------------------- - --------------
koNo. Fee
THE COMMONWEALTH OF'MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ftpYitation for Misposal *pstem Construttion Vermit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ndividual Components
Location Address or Lot No. 6277 d L� 4_-� (.e v.@ Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel Ar7? —0 O 6 etL �e fs',e�-s ov)
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder
Other f Type of Building No.of Persons Showers( ) Cafeteria(
Other Fixtures'
Design Elow,(min.required)": y` ,, gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
;Title m„ ' rfi
�t('Size of Septic Tank Type of S.A.S.
Descr�pthon of oil 4W--
gwi �
Nature of Repairs or Alterations(Answer`when applicable)
•Y..�2�(1�C C.-- C�y�e T t
4 v.
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.
ft,;—
_,S�_,� /J Date to U
Application Approved by � Date O
(i'� (/
Application Disapproved by Date
for the following reasons
Permit Is Date Issued I
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
0 (Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( )" Upgraded( )
Abandoned( )by ��,c VQl (��,;,eQ"r�c-tcn)
at A'f O\c Aj _1 Wa`s & cted in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. ted
Installer e�� y C{a��4' Designer
#bedrooms 9 Approved design flow� --' gpd
The issuance of this ermit hall not be construed as a guarantee that the system will f nc Li as on design 1.
Date i ! 3�U _ Inspector ,J ' (t ry ,
V ,
_ ,-_--__-_- -_--� j -- - -- - - -- - - -—-
No. FZZ
ee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS _
Misposal *pstem Construction 3permit
Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( )
System located at �Z77 Q
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:Construct' nust be om ted within three years of the date of this permit.Date J Approved by
Town of Barnstable P# l 27 b z
Department of Regulatory services
i
Public Health Division
Date
.200 Main Street,Hyannis MA 02601
Date scheduled . (O C I ' 1/� i , A b b�
` Time_WA- "` Fee�d,- �� ,
Soil Suitability Assessment for .di
Sewage '
Performed By: 11./ �k� fe� g Disposal
- Witnessed By � �✓��./
LO CATION & GENE12 A T, INFORMATION
Location Addres
Owner's Name ),)
Address
Assessor's Map/Parcel:
Engineer's Nam 'V L y
NEW CONSTRUCTION REPAIR
Telephone#
Land Use. '� '
Slopes(%) Surface Stones
Distances from: Open Water Body ft Possible Wet Area
—T�ft Drinking Water Well ft
Drainage Way ft Property Line
-- ft Other ft
SI TE (Street name,dimensions of lot,exact locations of test holes&.perc tests,locate wetlands in Proximity ty to holes)
�I
4�
Parent material(geologic)
Depth to Bedrock. —ACc)/
Depth to Groundwater. Standing Water in Hole: �,
7 Weeping ffom Pit Race
Estimated Seasonal High Groundwater
Method Used: DETERMINATION FOR SEASONAL HIGH WATER TABLE
Depth Observed standing in obs.hole:
Depth to weeping from side of obs.hole: in, Depth td sgll mottles:
index Well# Readi in, ClroundwuterAdjostment in,
ng Date: Index Well level Ad,factor ft.
_ Adj.Groundwater Lrvel
Observation PERCOLATION TEST' bate Time
Hole#
,y Time at 9"
Depth of Perc _--
2 Time at 6"
Start Pre-soak Time @
Time(9" G")
End Pre-soak
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 1003 of wetland, you must first notify the.
Barnstable Conservation Division at least one (1) week prior to beginning.
Q:\SEPTIC\PERCFORM.DOC
DEEP-OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil
Surface(in.) Other
(USDA) (Munsell) Mottling (Structure,Stones,Boulders.
V—2: LLI on i tene % ravel
- z GL k "f.) 7
b
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) ti
(USDA) (Munsell) Mottling (Structure,Stones,Boulders.
.b— �� Consistenc 90 Gravel)
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil
t Horizon Soil Texture
: Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling
(Structure,Stones,Boulders.
Co 5i9tency,c/ Gravell.
DEEP OBSERVATION HOLE LOG Hole#.
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) MottlingStructu e r Stones-Boulders.
( dens.
' Co si ten I
-)
Flood Insurance Rate Map:
Above 500 year flood boundary No_ Yes ._✓-_ Y — —-
Within 500 year boundary No z Yes
Within 100 year flood boundary Noz Yes
• i _
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious aterial exist in all'areas observed throughout the
area proposed for the soil absorption system?
If not,what is the depth o naturally occurring per ious material?
Certification
I Gerd D
, fy that on l � (date)I have passed the soil evaluator examination aAPpT by b the
Department of.Environ ental Protection and that the above-analysis was performed by me consistent with .
the requir aining,exp e an ex e n described in 310 CMR 15.01
Signature Date
Q:\SEPT1C\PERCF0RM.D0C
No....2. -! Fs$....a:..�....
THE COMMONWEALTH OF MASSACHUSETTS
®.A R® F H -L-T
OF..... .' . , . .......... .... . ......... ......................
pphratinn for Biiipniial Workli Tonstrurtiun Vautit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
'� 4 o r=- ` G "_.-.. , '..� .tt c :. = .............��...----...------------------------........-•--•...
.--•-- --•--
Location-Address or Lot No.
............... .l1.Q..:. �....... :�..._ j9 a uT
.......................................................A, I..!�u .11. ..............: `lam
Owner .Oea A ess
a ...............�. T�..........��r..r.-7Z4L.........,................... ........................... .... ................................................
.._
L4 Installer Address
Q Type of Building Size Lot............................Sq. feet
U DwellingZ No. of Bedrooms......................... .Expansion Attic ( ) Garbage Grinder ( )
`04 4 Other—T e of Building No. of persons............................ Showers — Cafeteria
Q' Other fixtures ----------------------------------
W Design Flow.........�.�.......t..................gallons per person per day. Total daily flow.........3..a.a-----_................gallons.
WSeptic Tank—Liquid capacity./4 U.Ogallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No. -------------------- W' th.................... Total Length.................... Total leaching area-----_..............sq. ft.
Seepage Pit No.. ��DG►._. .ALDiamAer�:.............. Depth.below inlet.-.................. Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water---___-______._-____-__.
f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
--------• ----------------------••----•-•-•--••--•-••-•••...................._..:..................••••••••-•••-•--•-----••--••-•---......._............- --
O Description of Soil--------------------- ....................................................... ------------------------------------------------------------
-----------
W ------------------------------------------------------------------------------------•----•-•-----•-•----------------------------....................••---.........--••••--•-----•---._..................
UNature 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 Article XI 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.
Si d �.'_�D....7.2--
/ ate
Application Approved By........ ----- .- ✓l> ---------•...................... � a�
Dace
Application Disapproved for the following reasons----------------- - --•--------•-------.._..............--•---•-•-------••-•-•-••--•----••-••--•-•••--••._.....
------------------•-----------•-....:------------------------------------------------••--•--•------..._....................................-...........
. Date
PermitNo......................................................... Issued._.. ..................
Date
4
fi
No..... ............. °:......................
THE COMMONWEALTH OF MASSACHUSETTS
POARD,OF HE-ALTH
r
-'' - `
J... . . s... ....:.... OF J . ... �¢y.....�..................................
Applira$ion for Disposal Works Tonstrurtion amit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at: ,
.'
................... .....,..... .............._......--••--•---... ---............ .... . ....... .-• ---••-•-•--•---
Location Address or Lot ATo•
Owner Adgr6s
...>%...f J
� ............................................+- ... .......,.........,,......... ................_........................................-........................................
Installer Address
UType of Building Size Lot............................Sq. feet
Dwelling r"'-No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
04 Other—Type of Building ....... No. of persons.,.......................... Showers Cafeteria
Otherfixtures ._... ..............................••-•-...... •••••...-••••-•-•••-............•••............. ---•••......•-•-----••--......•-----.
W _ Design Flow. ...... ................. gallons per person per day. Total daily flow...........................................gallons.
04 Septic 'Tank—Liquid capacity.!.' _..'-.gallons Length................ Width................ Diameter................ Depth................
W Disposal Trench—No..................... Wj'4th.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No...%: ::. ±Diamett r:................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box (` ) Dosing tank ( )
Percolation Test Results Performed by................•-•••---•--•--••.......................................... Date.....................................
W
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.......................
r14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water................._......
...................
-•------------•.. ...................................... ..........
..............................................................................
O Description of Soil.....................: - a
f
W
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 Article XI 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.
..Slaned.. � r r � :r. .� ' rr. y,.a••. t-F. ..F i.;'+ .... r' -,�,�
.............................................................. .........
,, ate
Application Approved By r ':..`a.-4: t, l '--------------••-------------• /....�.
f ...........
}_.. Da e
Application Disapproved for the following reasons:................
t
.................................•-•--••----••-•--•-•-••-•-.......-•••••----••---...............-••••_....-------•-•--....._•......................................... .......----•••••--•• _ ..--.......--••••-•----...
Date
Permit No......................................................... - Issued............L_,/ _r � ?!�
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH•
... .. �.............. ..... -
w ,.
y may: OF. .
rdifirate of Tontphaurr
THf.j ISI 0 CEI'Tj1F,j th Individual Sewage Disposal System constructed ( ) or Repaired { )
b . .. k.. 1 a �$ ... .. .._...... ................ ` ......
y I.,,• t'£ ✓ (Y 6 �•`-# I stalle� I/ T �f:._ ..
( �,y! 1 J' .9j�$. ...J �
at._. ntc}+L... . $.---. �4 �Ar c_.�rr.G �i✓� /.' x ++
has been installed in accordance with the provisions of Article XI of The Mate Sanitary Code a scri d itk the
J
application for Disposal Works Construction Permit No......................................... dated_:_-�r___-_�=. .`�_. ....�__._...__....
THE ISSUANCE OF THIS CERTIFICATE SHALL"NOT BE CONSTRUED AS A.GUAR NTE THAT THE
SYSTEM WILL FUNC ON S SFACTORY.
� F -� r
r
J, :.................DATE.................•• ' - - ----- ector..... /..A ------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD Of HEALTH '� "' �` e'`
.... .. .dt.. ....4!P.a(.. �.+... .OF........ '.;.?� :.,....`'.�:!!✓...f .............................
:......... " d FEE......q:..............
alk y rnr$ion Errant
Permission is herebyranted... -�••••.. ............................................. ...........
to Construct (�✓ ,,or Repair ( ) an,1ndly duA Sewage Disposal st i r
1
at No...-tea ,:..1.......... r'..!�'.......................r... :... ..__ :..".::. ' :.: ...,:.....` .:: �'r r'... ' %..... .i�'
Street
as shown on the application for Disposal Works Construction Pfnmit No......... i Dated....... Zr!�..............
r o� Board of Iiealth'-
DATE............ ... ...�f�'�r a` ................. ........................
FORM 1255 HOBBS.?&-;:WARREN. INC.. PUBLISHERS
ASSESSORS MAP:
� .._._.___..__..__. TEST HOLE L o t s NOTES:
PARCEL:
FLOOD ZONE: f�,/�� f�l�G rCL SOIL EVALUATOR : �vI 1 The installation shall comply with Title V and Town of Barnstable Board of
-� � ---''�...__._._. WI 7NESS : 1 k..l 1(' 1M « ) P Y .
l(/ Health Regulations.
REFERENCE: C'�,rj�'rCu}T /3�j�� _ -- DATE: 1 ► l C.� 2) The installer shall verify the location of utilities, sewer inverts and septic
PERCOLATION RATE: G -Z MlvqI components prior to installation and setting base elevations.
f�• M ��j , UD f' 3) All gravity septic piping to be 4 inch Sch 40 PVC at 1/8"per foot. The first
TH- 1 TH-2 two feet out of the d-box to the leaching shall be level.
_••_1 97l� 4) This plan is not to be utilized for'property line determination nor any other-
v� purpose other than the proposed system installation.
ZZ L -J14%.k 2 �40 5) All septic components must meet Title V specifications.
\ q 'J ,. to
`(p 6) Parking shall not be constructed over H10 septic components.
Ao +t Gl�o 7) The property is bounded by property corners and property lines.
LOCATION MAP �� 8) The property owner shall review design considerations to approve of total
Ate, 6NAI 2 . 6two design flow and number of bedrooms to be considered for design. Receipt
2of payment for the plan and installation based on the plan shall be deemed
11 z' j' `� 2,9�� approval of the design flow by the owner.
` 9) The existing leaching or cesspools shall be pumped and filled with material
d per Title V abandonment procedures. Those within the proposed SAS shall
o i Z Q be removed along with contaminated soil and replaced with clean sand per
r ZZ 2 l �1 J l2.Wf� __ lrlQ YLlrl(J, Title V specs.
wwrvz
� 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 C SYSTEM DES I G N line. The line is to be sleeved as aforementioned and maintained in place.
11) If a garbage grinder exists it is to be removed and is the responsibility of the
FLOW ESTIMATE owner to ensure such.
12)The installer is to take caution in excavation around the gas line if such
BEDROOMS AT I ID GAL/DAY/BEDROOM -F; 0 GAL/DAY exists.
C> """ 13)The installer shall verify the location, quantity and elevation of the sewer
SEPTIC TANK lines exiting the dwelling prior to the installation.
Jai GAL/DAY x 2 DAYS - (6&'0 GAL
USE 1000 GALLON SEPTIC TANK
SOIL ABSORPTION SYSTEM
Of AW
UJ _
.��,'� �•.
S E ARE : �� �'� 13 1C 2..�( �� = (�(,��- DAVID
BOTTOM AREA. MA SON
ew ���CC� \� PT I C SYSTEM SECTION
4.
00
641
ID
oDSIOD
z 0� o c.
(�, 1) "'�5 Vt� Q. Te"Q' Meal(-
ell
(02,09) (off W1E t �o1ca E� 7bo
o
o, QQ GAL ld t ,� -1 = I T� =SEPTIC TANK �--- .. • 7 _-t.��_ Poor
_r 10
SITE AND SEWAGE PLAN
LOCAT I ON : - /OZ. 01 -72-E&q� ;Q��D
PREPARED FOR : A06 "AJ<6
SCALE:
DAV I D B . MASON ''t DATE: z
DBC ENVIRONMEN AL DESIGNS
EAST SANDWICH . MA
W DATE HEALTH AGENT ( 508 ) 833- 2 1 77
Z