Loading...
HomeMy WebLinkAbout0178 TURTLEBACK ROAD - Health 178 TURTLE BACK R]`�' octC A= GN(, �o)Ns vn5 )n LlS t \ r TOWN OF BARNSTABLE LOCATION ��/�"T���q /2c� SEWAGE# 2DIl—2J 7 VILLAGE ASSESSOR'S MAP&PARRCEL Oelw INSTALLER'S NAME&PHONE NO. S08—5'24'97��' VOS-Q04 Q.e 90AMVS L: SEPTIC TANK CAPACITY /,S'DO _ LEACHING FACILITY:(type) Y ROul OF S 00S 8/(size) 32 x 11,3 2 NO.OF BEDROOMS y OWNER gr-rA tjr H19p:°l9�'l PERMIT DATE: 7— —I/ COMPLIANCE DATE: 7- 157" 11 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 .y u II j 5,71 %j 37,�i: { 3z 7 UENI- J No. Fee w THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftphratlon for Misposal 6pstem Construction Permit Application for a Permit to Construct Repair(�pgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No./79 TUrrrL i!5'01j4k /Zo>' Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 04111S Arrtidr yor g5n4�e Xwe In taller's Name,Add ess,and Tel.No.sW-2gO- ;177s' Designer's Name,Address,and Tel.No. ley Type of Building: u¢ G Dwelling No.of Bedrooms Lot Size —t U 0 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) j0 gpd Design flow provided 7 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank S� Type of S.A.S. Description of Soil —f Nature of Repairs or Alterations(Answer when applicable) 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. Signed Date '1 � ' Application Approved by Date �s 7- f Application Disapproved by Date for the following reasons Permit No. J 1— f Date Issued r 1 _ --- ——_—--_------- --. � No. F 1 � � ee T! (6� HE COMMONWEALTH OF MASSACHU-'E•T_T_S Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ppliLdIo�or bispoSal 6pstem ConBtrUttlon Vermit Application for a Permit to Construct(1�)'Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No./79 TUo'rL F e441< a O ner's Name,Address,and Tel.No. �I,�rSroHs ems-/.//s H,ape."711 y Assessor's Map/Parcel yG _/4 _5 /4,W zf In taller's Nam Adaa��ess,and Tel.No.�O$-190 S`� Designer's Name Address and Tel No. �osi<�ph -eU�prr�:: Type of Building: } Dwelling No.of Bedrooms Lot Size �V t sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures u . Design Flow(min.required) gpd Design flow provided 7 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil 'I7 ' O I— Nature of Repairs or Alterations(Answer when applicable) 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 Bo rd of Health. I Signed ��'y .Date 7'� 7 I Application Approved by Date �" Application Disapproved by Date for the following reasons Perriit No' ` _ Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certifirate of Compliante THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by - TIJL 5 a r c at 178 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.1q01 r 1 T dated Installer Designer #bedrooms 3 Approved design flow '3 3 y gpd The issuance of this permits all not a onstrued as a guarantee that the system will tic, s- si ed.' � r /� - Date Inspector No aO l �t Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Bisposal �&pstem Construction i3ermit Permission is hereby granted tto Co truct( ) 'Pair( ,U grade( ) Abandon( ) System located at 17 2S fJ'e�t (W, 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:Construction must be completed within three years of the date of this permit. Date Approved by Darren Meyer, R. S. 17815850293 P. 1 Town of Barnstable Regulatory Services Thomas F. Geiler,Director 1639. Public Health Division r sa Thomas McKean,Director 200 Main Street, Hyannis,NIA 02601 Oiuc: 508-352-11644 ;ax: 503-1,90-630 t Installer &Designer Certification Form Date: f L' d� Setiva;e Permit-4 Assessor's MapiParcel t Z Designer: /.Y I'1/j V "t :1�1 r'•� Tnstaller: Add:ess: Pr-) Address: On was issued a permit tc install a (date) (installer) septic system at �l(�, C>r�l (�G.fi-� based on a desizri drawn. by �;<zddress) dated (designer; [ certify that the septic system referenced above was installed substantial:y according to the design. which -rx, include minor approved chaog?s such as 1we:al reiocau'ur. o ?c. distribution box and,`or septic tank. l certify that the septic system referenced above was installed with major changes greater than 10' lateral rclocaHon of the SAS or any ve.-tical relocatioti of any component of the septic system) but in accorcance with State& Local Regulations. Plan revision or certified as-built by desi-ner to follow. OF So DAB E M . G� o H (lnstal'er's Signature) " 140 l r `u( IJ _ I TAR�1' ( esigner's Signature) (_�ff:N Designer's Stamq Here) PLEASE RETURN TO BAR. STABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF CONIPLIkNCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARi~iST.ABLE PUBLIC HEALTH DIVISION. THANK YOU. Q: Heal tivS:pric:Designer Cer67=60n Form 3-264dec: �3 Town of Ba -nstable P# . of� • Department of Regtilatory Services Public Health Division Bate �,AIWSIA9L& • I . XAS& IL6 tee$ 200 Main Street,Hyannis MA 02601 3 ,/1 0 / � Date Scheduled ((� / ( I Time _ 1__ Fee Pd. I - i oil ,Suitability Assessment'fop Sewage Disposal Performed By: Witnessed By: i LOCATION & GENE_ RAL INFORMATION �yl Location Address .t-7$ �U� � 9 h Owner's Name7't�l/� � to k1,,STv P-S MI LU S AAk I Address Assessor's Map/P4rcel: Q q6/`0 j. Engineer's Name '�c�r'l AA .t./ NEW CONSTRUlI;jON REPAIR Telephone# 0 eY 36/7— I�^ 15 f � Land Use 1(� Slopes(%) b J Surface Stones wl 7 b I 00 ft Drinking Water Well LUd ft Distances from: Open Water Body ft Possible Wet i Area y ft Drainage Way ft Property Line ft Other SKETCH:(Street name,dimcnsiods'of lot,exact locations of test holes&perc tests,locate wetlands in proxitnity to holes) I I lb J /1 1178 N t.J � , I' vent I / , t� 1,P i I tnsp Port 1 •1`�-' ' t s OOG. N' D EXIST. I 0 G `` 4H 3 B Sjy (to be TANK S; i I-p6'-W BECK ' A(L t�be removed) %\ FIRE PROP. I TANK � � ,` ,PIT � 5E IC TANK / ` ,�� ,`� ``� r ( see o � '� a� o" E � \ SPHAL co co I ) Parent material(geologic) Depth to Bedrock Al!p Depth to Groundwaker. Standing Water in Hole:' N 4 Weeping from Pit Face r _ Estimated Seasonal Y-Iigh Groundwater 1,4A i DINE ATION FOR SEASONAL HIGH WATER T"LE Method Used: L 1 jn• Depth dbserved standing' obs.hole: in. Depth to sail mottles: Depth to weeping from sidc of obs.hole: ! in. Groundwater Adjustment ! _ A .{tetor.� ____ AdJ,drpundwaterlevel Level— Index Index Well# Reading Date Index Well levdl - ' i PERCOLATION TEST . D$tp-a— Thu" Observation f Time at 9" N ...__.._ Nole# llr 4 Time at G" Depth of Perc a ' Time(9"-6" Start Pre-soak Time.@ ) ro I End Pre-soak O/Z I ' Rate Mi,:l,ch Site Suitability Assessment Site Passed X Site Failed: Additional Testing Needcd(Y/N) Original:.Public kle lth Division Observation Hole Data To D e Completed on Back— ***If percola#On test is to be conducted within 100' of wetland,you must first notify the Barnstable C41riservation Division at least one (1) wedk prior to beginning. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel Q`, lL3w a "— Loo MU 5411 4 2�S"�1�2 C WI �� 2• �� DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gra el 2` C 2 �l DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel r I I i DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consisten ra I Flood Insurance Rate Map: — Above 500 year flood boundary No— Yes __ + Within 500 year boundary No X Yes Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pe v'ou material exist.in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring p rvious material? ' Certification I certify that on a (date)I have passed the soil evaluator examination approved by the Department of Environ enta!i Protection and that the above analysis was performed by me consistent with the required ing, xpertise and experience described in 3.10 CUR 15.017. Stgnature Date Q:ISEPTICIPERCFORM.DOC 0 / A —UP— LIVING AREA --- ----- ------ -, 64 sq ft I I I I I i I I I DECK I I I 110 I 72 97 II �—' i o l�_l 55 I o — I I I I � I I fV I I I 57 65 I I. I � I I 2 I I I I ?Lblic Health Division I N I Town of Bamstable iin PO Box 534 I i Hyannis, Massachusetts 02601 I FAMILY II F Fax �50R �� )775-B344 I � Phone(508)790-6265 - I i I IL I ---------------------------- - - W .._PERMIT NO. L0'CAT�ON I SE AG ,7LWrIt , VILLAGE - / 113 3 1 �,1 �'ST0k=:5 INSTALLER'S' 1 NAME & ADDRESS- -"-U� /�/.�.�� s7/'0� lit- �- - •- BUILDER OR OWNER p - I-/NF - , DA T E" P ERMIT I S S U ED DAT E ' COMPLIANCE ISSUED 7 i i t r� f3`6" No.------•---� ' FEs....... ... .......... THE COMMONWEALTH OF MASSACHUSETTS . - BOARD OF HEALTH ,t'1 ........ OF.... .............................................. :a. App iration for Disposal Works Tonstrnrtiun Frrmit r Application is hereby made for a Permit to, construct ( ) or Repair ( ) an Individual Sewage Disposal System at: / 7$� : �3 1...... .® f�'!ll`��............... �.."J��'P.r G�i --.1�!gi� 7acs,�F - -..�.( ..... Location-Address or Lot No. ��. f Address a ..-- ' . rsF _ ... . ......./� _ffdw l.S'------------------------- a Installer AddrAs UType of Building Size LotZU ........Sq. feet Dwelling—No. of Bedrooms..........3;!...........................Expansion Attic (d4� Garbage Grinder oVa Other—Type T e of Building No. of persons............. ... yP g ---------------------------- P �`-.------- Showers (/ ) — Cafeteria ( ) a' Other fixtures --------------- ------•-------• ... W Design Flow:..... ........................gallons per person per day. Total daily flow............L%'13 .................gallons. WSeptic Tank—Liquid capacityl&d,5?.gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area........c...........Sq. ft. Seepage Pit No.../°............. Diameter...a®._.....-....... Depth below inlet_..._._....... Total leaching area..................sq. ft. Z Other Distribution box (/' ) Dosing tank ( ) ��_ '— ��`}� a Percolation Test Results Performed by..................................................................... Date---------------•••-•.--•-- ------ J... l Test Pit No. 1................mmutes per inch Depth of Test Pit.................... Depth to ground water...... ....... GTq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water---.................---. Rr .......... ---- - .... . ...-•--- x y '1 �Description of Syil e)�` } W ------------------------------------------------------------------------------------ --------•--------------------------------------•----------------------•••-----•----------•----------•----••-...... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ..-----•--------•---•-••-------...-•--•----•--•---------•--•------------•--•... ... ..........................•••---••-•-•••-------•--•-----------------•---•-------•--------------••-•--••••••.... Agreement: The undersigned agrees to install the a,."J�redescribed Individual Sewage Disposal System in accordance with the provisions of TITLL, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beegisStled by the and �ie /.2 P Date Application Approved By......•--...... � . . ....... ..... 1 ' Date Application Disapproved for the following reasons:----•--------------•---•---.....-------•---------------•----••-------------------------•--------------........ ......................................................................................................................................................................................................... PermitNo......................................................... Issued--•=`.....•--• .......... -- ate...... Date l THE COMMONWEALTH OF MASSACHUSETTS ._ BOARD OF HEALTH ................OF.... ........................................ Appliratinn for Uiipniial Works Tomtrnr#inn ramit GI Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Lo anon Address or Lot No. ...... ..40 .................. ner QAddress ... .................• ..... ....................... Installer Addr ss d Type of Building ; Size Lot.....4.. .......Sq. feet Dwelling—No. of Bedrooms........ .......................... Expansion Attica' Garbage Grinder 40 '4 Other—Type e of Building _...._....__ No: o'f persons.._.._._.___+�'�_'---------- Showers (/f ) — Cafeteria ( ) P4 YP g ---------------- p Other fixtures --------------- --------------- . W Design Flow......t,4.0ZP70.........................gallons per person per day. Total daily flow..._....... .......:.........gallons. WSeptic Tank—Liquid*capacit !d.gallons Length ............... Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width..._.___:::.._._._..Total Length.................... Total leaching area------..............sq. ft. Seepage Pit No..Z------------- Diameter•_ -+_-------------- Depth below inlet._____ Total leaching area..................sq. ft. Z Other Distribution box (/ ) Dosing tank ( ) '0004 Percolation 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.......................... o __ of , Description of S it- _"" t1 x :.. .... --------•------------------------•------•----------•----•----••.-.------ W ---•-------•---------------------------•---•-------...-•----......--•------------------•-•---••---•-------------------------•--------------------•-.---•-----•-------------••-----•-•---•-••-......•-_-- UNature of Repairs or Alterations—Answer when applicable............................................................................................... •--------------------------•--------------•-----•-•-------•-----------------------------------------------------------------------------------•-------•-------------...----•---•-•-................_... Agreement i The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee tied by the and d o i Date Application Approved By............... ...... .- ------ --- :_------------------- --... ..'� ` Date Application Disapproved for the following reasons:-----•-•------------------------------------•-•--------•--------------------------------•-......--••-------..._ ....................................................---------------------------------.........._..----....----•------------------------------------------------------.....--------------------....._._.. Date Permit No. -=-••-=-------------------- Issued - Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............. Q... 4�:... ..OF............ ......................................... r Tntifiratr of Tout0liFanrr T IS C ' That the ividual Se age Dis ystem constructed ( r Repaired ( ) bx ;Y -------_-•--- _..-- y .... ,� `� �y / Installer at. -- ----•- has been installed in accordance with the provisions of T T 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit NO..... o dated_... "'!__, .- ............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.` DATE................•-•-----•------------.....--_---------=---•---------•••---_... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD 9F HEALTH AV 4V ,. ......OF....... �+�'' . /C No.......................... FEE.. ................. . i �rn nrk a nit' n rmit Permission i hereby granted_____ to Const . (� , or qpai - an Indiv u =a e Dis o at No.--R - '. d_ .. .. � '�1 `- ►�T r '•................ Street as shown on the application for Disposal Works Construction Pe • No.• / _ ated f 7_- ....__--.--. ........... � t; --•--------------. o Board of ealth " - DATE-----=' ......... •----- .......................................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS No..W._y FEs......... d.. THE COMMONWEALTH OF •M.&SSA-CHUSETTS BOAR® OF HEALTH -�✓-. f1�-- -------------OF.........�0.91C..N!;�FT -_-_ ....:... Appliration for Bis#naal Workii Toutitrurtion ramit Application is hereby made fora Permit to Construct (x) or Repair ( ) an Inndividuall,Sew ge Disposal System at: C.�r1 U( .............................•-•...... .. .---.............................------• l .......... ............................ ---_.----Loc do -Address t No. .................... --•------------- F=.. ......Y 1' .------ �...................... Owner Address ,Wa /'-li,llJ.h. -................�J�. ............... -T fir.7— � Installer ....A d_,d_r,ess U Type of Building Size Lote4.&.00.._..Sq. feet -- �-, Dwelling L No. of Bedrooms............. .........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons.---..-_________-___-___-___ Showers ( ) — Cafeteria ( ) a' Other fixtures .................................. W Design Flow.........6j 6.......................gallons per person per day. Total daily flow............ ............gallons. WSeptic Tank—Liquid capacity/094.gallons Length___-........ Width................ Diameter-_--_-__-._..... Depth_--`�------- x Disposal"Trench—No. .................... Width.................... Total Length.................... Total leaching area------_.............sq. ft. If Seepage Pit No........�..____.... Diameter....../10..._.. Depth below inlet_.�r.__s .... Total leaching area...%R ...sq. ft. Z Other Distribution box ()<) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. L . _._minutes per inch Depth of Test Pit_J14 .. Depth to ground water/":_7.—_..�V— rZ4 Test Pit No. 2.:<4.._minutes per inch Depth of Test Pit.... .... Depth to ground water.Wl V_A'—'E.0 ----------------------------------••---.....---...--------------------..........--••................-•--•-•-•-•---•--•--•-•••--------•-...---......---------- O :Description of Soil---•-•:0-Po /e......--L'Q'�jf'1------ ���SO/Z' � 14_ev - 144 /� U -•-•-...... ............-c .... �� °......................................................... ..-•------------------------------------............. -- UW --------------------------------------------------------------------------------------•-•-- ----------------------------------------------------------............................................ J 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 i TT� p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance hftbeensued.biy the board of hlth4:�lr �_gn � � �/. ---- --- ------ ---- - •-••--•-----•----....-•--------- Date Application Approved By-•-------• F 7' s ? ....•.... L / Date Application Disapproved for the following reasons-----------------------------•-------•-----------------------------------....................................... •-----•-•--•-•-•-••---••-•--••••-----•-••-•--•-•••-•-•••-•--......--•--••-----•--•---•-•--••••--------•--........................----------------------------------------------------------------------- Date Permit No..................... JJ � = Issued. l '�•- ••-`••--••----•----- Date 07W17, Y,7-5 No................_....... FRs.............. ........... THE COMMONWEALTH OF IMASSRCHUSETTS r BOARD OF HEALTH � 1 .................OF......... .19.te...A.J-•'`-..:...19..�.-.......�...................... . liraiion for Dig oaal Works Tow1rnrtion Prrutit Application is hereby made for 4 Permit to Construct ( ) or Repair ( ) an Individual Sewyage Disposal System at: ,,.... /A •�v �o� /�'y' �<,�./��� C,4r/ v! ` : � ��� e� ....... . • .................................. .......................................... • -•-............. Location•Address or Lot No. ....... ��:L. ...........: .t t"?_ .................... .............��-�f l! .......1`"�t l�l ....... .,...........---- W Owner CA &/24 / Address Installer Address d Type of Build�g „gym;"`"`°�- Size Lot:�c6:.&.�s�'......Sq. feet — U Dwelling No. of Bedrooms.............:•+'-_.........................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building .......... No. of persons.,.......................... Showers — Cafeteria P4Other fixtures ...........................:....:.............................. ............:...............................-•-•--......................-_._......... d W Design Flow......... .......................gallons per person per day.;.Total daily flow............3.!;;L0.................gallons. WSeptic Tank—Liquid capacity/dUG.gallons Length............. Width................ Diameter.._............. Depth............ xDisposal Trench—No. .................... Width.................... Total Length..........:_..:..... Total leaching area......................sq. ft. Seepage Pit No........f........... Diameter......14.�.... Depth below inlet..::�f..i-� ...... Total leaching area...la.6!...sq. ft. Z Other Distribution box (X) Dosing tank ( ) `'' Percolation Test Results Performed by........................:................................................ Date....................................... ,.a Test Pit No. 1.. = . '...minutes per inch Depth of Test Pit..�` ` .��.. Depth to ground water t/r_77'... Test Pit No. 2. '..�- ...minutes per inch Depth of Test Pit....: ` :5�...... Depth to ground water" ax t".✓`i. , ..................•I.---....;;••�---- .....�. .............•. O Description of Soil......r ' /. u�f� � �v -S o/L. mo / ........................ V ........... ? .•---....................................................._..............................--_-•-••....._......r... W ....................................................................................•-.............................._.._......................._..........................................._............ U 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 TITLE 5 of the State Sanitary Code— The undersigned further agrees not to glace the system in operation until a Certificate of Compliance has be sued by the board of 1 . lth /fl ign ::... ..............................k...K.... :. ry r Date�' Application Approved By--•••.••..- .....•••: .. ................-• - 'E'.'�'. .:..... ................. ..: -.....`.... :...... Date Application Disapproved for the following reasons:........... ................................................................................................... .....................•-...__....._---••....._•-•--•••--........._..--...•--•--....._....................................._••••-••.....--•-_...........-•.............-----•-----•--•-•-••-•---...._...--- _ r2,�.��a � Date 0 Permit No ....... ::. ...... Issued...... _/.....• ,.�................. Date' 4 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................�. .......OF...........k.................. f�'��,••'-�'•••.................. Tntifirate of Tlimplianrr THIS IS TO CERTIFY That he Individual Sewage Disposal System constructed ( or epaired ( ) -- I 1stal Cf ................••---..._ /!t-fJ + _.'.. .......�9`...`',�. ............................. �... ...•__......_..'................................................................ has been installed in ac rdance with the provisions of T r o Pe State Sanitary Cjode s. described in the application for Disposal Works Construction Permit No.L ..r''... ''.............. da.ted..-.!.. ._ .. PP P I' THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................. Inspector............................................................. THE COMMONWEALTH OF MASSACHUSETTS t BOARD Q49 - HEAL - . .... ... . G ......... �07f '�,? FEE....:................... �i��o��al ork� Cnon��rion rrant� C A f2 �. Permission�' eby granted.. -, :.:,_... f:._.. .. .....-•••••--••-•- to Consi t ) ARepair ri•Individual gage Di os at as shown on the application for Disposal Works Construction Pe No._-•• _./"ted•-•••�'-----------•....-.//..-........ Board of Health DATE...... ..............................} FORM 1255 HOBBS & WARREN, INC., PUBLISHERS - 40 -r 110 LO•CAT� NN SEWAG PERMIT NO. ( -,� Z ILA )/w t VILLAGE �'S7Di� / INSTALLER'S NAME & ADDRESS BUILDER OR '� OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED Q f `4,� 1 rr GENERAL NOTES: MARSTONS MILLS w I. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER.2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS O Q� LOCUS PO Q OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE O ?'0 LOCAL RULES AND 15.405 REGULATIONS,) EXCEPT AS 11EQUESTED BELOW: O�Q Ri J 1) A 2.11 FT. VARIANCE FROM 310CMR15.221(7) TO ALLOW LEACHING TO BE G �j 5.11 FT (MAX) BELOW GRADE VS REQ'D 3 FT. (H20/VENT PROVIDED) SCHppL S'T 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR Z �y- 0.9� DESIGNPENGINEEAND DAPPROVAL BY THE BOARD OF HEALTH AND THE O � O y0� PARCEL I D: 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING O O 'A (� HEREON SHALL BE 046/1 03 ENGINEER BEFOREFROM THOSEWCONSTRUCTION CONTINUES.REPORTED TO THE DESIGN O� AREA=48,894f S.F. 5. ALL ELEVATIONS BASED ON ASSUMED DATUM, O O 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF R CC) Q Vjo HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. Qgo J t" 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. �s 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY LOCUS MAP �\ THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING '�- 10. EXISTING CONSTRUCTION. TO BE PUMPED AND FILLED W/ CLEAN MED. SAND LOCUS INFORMATION -7 6 Q 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION PLAN REF: LC 30751F SH1 \ I Q U O n- 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY TITLE REF: CTF# 179604 V AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY PARCEL ID: MAP 046 PAR. 103 13. NO PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING PROPERTY IS IN ZONE II/NITROGEN SENSITIVE AREA 0\0 % /' .14. ALL PIPE TO BE 4" SCH 40 0 1/8"/FT (UNLESS SPEC. OTHERWISE) FLOOD ZONE: C" 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW COMMUNITY PANEL: 250015-0015-C DATED:08/19/85 FOR THE USE OF A GARBAGE GRINDER JN 1 r' .32~ %� „' #1 78 "�'�� 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING SEPTIC SYSTEM 17. INSTALL 6" SLEEVE 10 FEET ON EITHER SIDE OF WATER LINE. vent 1� ,. .,, �' REPAIR PLAN ,� '�'n{J i i ` �lnsp Port 1 �TH-1 i I „ .. .,, „ , l ,i, ��iii,.. LOCATED AT: t o, TWI U % � 178 TURTLEBACK ROAD 0-) \ \ OAK �.a1� ::.,,;' 0 0) ` `.`, �H , 3` ,,,, 2/Vp EX15T. I ,000G r'� M AR STON S MILLS, MA. ? i Q 1 S` 1\, \ tans —� FCk _ eq Ty SEPTIC TANK PREPARED FOR cA ; FI R EQ C (to be removed) A R TH U R J. III 8c K A R E N A. ,PIT r-- � � _ �` PROP: I,500G %� o s o 5EPTIC TANK H AP EN N Y PARCEL ID: i /� \1 __ JUNE 28, 2011 W046/104 OF 0 GNP DRE IUdr 00 Cp T CA 60 , ORS VF P 8 SNcI sl AR 12 �� l1 \` BENCHMARK: LEACH PITOOOG �SS TOP OF NAIL (to be removed) N �A6, ELEV=80.00' GISt DARREN M. MEYER, R.S. GRAPHIC SCALE '6'_, ��°2 N P.O. Box 981 40 o zo 40 ARC ID: 7 063/021 EAST SANDWICH, MA. 02537 �7 � ��� J (508)362- 2922 ( IN FEET } d 1 inch = 30 ft. SHEET 1 OF 2 J 1334 •.j t - NOTE: TO PREVENT BREAKOUT, THE PROPOSED " NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS FINISH GRADE SHALL NOT BE < EL:76.89 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL A 4" DIAMETER INSPECTION PORT OVER OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE ONE CHAMBER (MIN.) AND SET TO 3" OF F.G. �� �ASJ' • F.G. EL.=86.5t F.G. EL.=85.6f F.G. EL: 81.0t F.G. EL: 79.0-82.0(MAX.) VENT R L9cy� M R 9" MIN COVER/ N0. 1140 L = 17't 36" MAX COVER +' L = 60' L = 10'(MAX) INSTALL TWO INSPECTION PORTS (MIN.) C/ E ® SCH4 (MIN.) EL. = 26.70 0 S=1X (MIN.) ® S=1X (MIN.) 4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC 10" " - - S4NITAR\L-L1'� 14" a 11.2" TO +n INVERT INV.=78.55 48" LWID INV.= 78.30 LEVEL PROPOSED INV.=77.5 GAS BAFFLE D-BOX 4 ROWS OF 5 UNITS AT 6.25'/UNIT + 0.75' WEDGE = 32.0'/ROW AM INV.=77.7 DB-5 INV.= 76.50 SOIL ABSORPTION SYSTEM (PROFILE) PROPOSED 1.500 GALLON (H20 LOAD) SEPTIC TANK RESTORE VEGETATIVE COVER EXISTING SEWER OUTLET BACKFILL WITH CLEAN PERC SAND 75" TO TOP OF CHAMBERS NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR TO CONSTRUCTION BREAKOUT=TOP ELEV.=76.89 2) TANK AND D-BOX SHALL BE SET LEVEL AND INV. ELEV.= 76.50 TRUE TO GRADE ON A MECHANICALL COMPACTED BOTTOM ELEV.= 75.56 SIX INCH CRUSHED STONE BASE, AS SPECIFIED EXISTING SUITABLE IN 310 CMR 15.221(2) 2.83' MATERIAL 3 INSTALL INLET & OUTLET TEES 5' MIN. ABOVE BOTTOM OF EFFECTIVE WIDTH = 4 x 2.83' = 11.32 r' 76" - ) T.P. EXCAVATION OR G.W. AND GAS BAFFLE AS REQUIRED (8.36' PROVIDED) USE 4 ROWS OF 5 16"-HIGH CAPACITY PROFILE ADJ. GROUNDWATER EL.=68.00 - ADS BIODIFFUSER UNITS-NO STONE W/CONTOURED WEDGE SEPTIC SYSTEM PROFILE TYPICAL SECTION AN N.T.S. N.T.S. 16' 1ALI DESIGN CRITERIA SOIL LOG P#:133 -- NUMBER OF BEDROOMS: 3 BEDROOM EXISTING/4 BEDROOM DESIGN DATE: JUNE 14, 2011 34"- � SOIL TEXTURAL CLASS: CLASS I SOIL EVALUATOR: DARREN M. MEYER, R.S., CSE #1614 SECTION END CAP DESIGN PERCOLATION RATE: <2 MIN/IN WITNESS: DON DESMARAIS, BARNSTABLE BOH 16" 160OBD ADS Depth H- DAILY FLOW: 440 G.P.D. Elev. TP-1 Depth Elev. TP-2 De ( 20) BIODIFFUSER UNIT DESIGN FLOW: 440 G.P.D. 79.10 0" 79.00 0" GARBAGE GRINDER: NO (NOT DESIGNED FOR GARBAGE GRINDER) A LOAMY SAND A LOAMY SANo MODEL 16" H2O 78.60 10YR 3 2 6" 78.50 10YR 3 2 6" LENGTH 76" PROPOSED SEPTIC TANK: 440gpd x 200% = 880 gpd (USE PROP. 1,50OG CAPACITY B ! B NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT EFFECTIVE LENGTH 75" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY LEACHING AREA REQUIRED: (440) = 594.59 S.F. LOAMY SAND LOAMY SAND DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. 10YR 5/8 IOYR 5/8 SIDE WALL HEIGHT 11.2" •74 76.77 C 28" 76.67 C 28" OVERALL HEIGHT 16" DISTRIBUTION BOX: DB-5 (5 OUTLETS (MINIMUM)) ffiflifffff"WOVERALL WIDTH 34" 4640 TRUEMAN BLVD MEDIUM - MEDIUM - PRIMARY S.A.S. HILLIARD, OHIO 43026 �� COARSE SAND COARSE SAND 13.6 CF - USE 4 ROWS OF 5- 16 1600BD ADS BIODIFFUSER H-20 UNITS-NO STONE 2.5Y 7/4 2.5Y 7/4 CAPACITY (101.7 GAL) ADVANCED oRA1NAce srsrEMs, INC. AND EXTENDED WITH 0.75' W/ CONTOURED WEDGE BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.73 SF/LF OF BIODIFFUSER) PERC ® 75.102 PROPOSED SEPTIC SYSTEM/SITE PLAN (BIODIFFUSERS) 20 UNITS x 6.25 LF x 4.73 SF/LF = 591.25 SF 68.10 132" 68.00 132 178 TURTLEBACK ROAD, M. MILLS, MA (WEDGES) 4 UNITS x 0.75 LF x 4.73 SF/LF = 14.19 SF TOTAL AREA = 605.44 SF PERC RATE <2 MIN/IN. (*Cl" HORIZON) Prepared for: Arthur Hopenny DESIGN FLOW PROVIDED: 0.74GPD/SF(605.44SF) = 448.02 GPD > 440 GPD req'd NO GROUNDWATER OBSERVED Engineering by: Surveying by: SCALE DRAWN DARRENM.MEYER,R.S. A/ecDouBefl Survey NTS D.M.M. • I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 PO BOX981 (508) 419-1086 to conduct soil evaluations and that the above analysis has been performed by me consistent with the EASTSANDW/CH,MA 02537 DATE: CHECKED SHEET NO. requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Eval. Exam In October, 1999. 5M-M22922 06/28/11 D.M.M. 2 of 2 .COT � p ..z7 - l �t Ile c7� X �, � \ `, "' EAU/L,p 2 0• ,.?�'S i t�- � 1 ,` A� A V,4f F'o 10 TES T Ho,-E Rf-,5 UL T5 PER 7-oWIV R E CORDS DATE : /1-1/1V1MUA 6ull-DII/(,7 .5E7-,6f9C A< R45 (z) v/ ,ems Pk? .5E CD 3ED Q4:00 `1,5 5e'Pr1(2 .S Y,5 C O:AJ-5 T)e U C T'f 0 N sp 9 L.4 C O JIA7 o RM 7-0L.- " 19 !./D 7'"O WAJ O E• B�k.� 1Av/'/. /C, 46 A L T f-/ ,Q5 j' G U L ,9 7-/ U IV S C O 0 F 7"/ 7"e r S I L L F 1/ 7-0 6,-= > --- -j F 7- ,,49,e OPT ,PQ T"4P a P2oposEp T Y f""" 14 A L PROFILE ,F4 GlNL3 "/Dlv' = //8.a Al O s C 19 L AE Z-4. C.y r 109AeE, MffNH OLEO COVER. 7?�0 EX7",EN13 Td f/"1PERt//oU5 CovrR TG F1'RE'VENT' F/NE,S lN1M(lM FR01—f 1NF/LTRATIN G ; �2Y•.GOVRA? `o, p%ST. 3 , STONE 2" O,ce.'TC�/o" �f C0VF•R J�l�i9.S.�ECO s72..3 Box i 21'AV1 -- .91- t r9,z:,,r-?u,1/p �` CAST/ROAI x`-. _ _ �e =�"MIA/. - /`ttv/M t/Nf - � .�....�. �,�c g-•H..�. 4 avq. 111.07E,4 Q'o vzzzu P/7'CH �^FLOW xL,i ME M/N. P/TCN �6�$ FOoT �p M/N. 14' / 000 i W _r_ MWGo no-r jam""�E (5; �QLL0."v '�wA5KEO //.$ 0 /a4po -° INt�ERT/ . 2Z �, p, L EFi I--All P� STE�NE 619LL0N IA, R/7- Wv427- CA PA C /TY / �WRTERT/GH7� i,vVE-,¢T /NVERT ,1�_'� ALL GARaA6Er-+RINDEk 107 4r/ rf` AflD PROPOSED PLO RAI �r.�QU�'.© ARTNLIR 0' C /97'/ &,gRArS?qJ0415- `' GIFFORD ti oAz/Yc-'A1,4,` /l eOr —s, $ C A L. 4' : / „z D/9 TW'• a177 7 E� �rC/ST£� , B E/.�16 LOT Oill f9S Sf-10WA/ S�h/ir'AEttP �.�,5 e1-- -0 O A/ f3 F�L�? n.f ,� E' e 0,2 D 6,0 //�l "NE B f�,E',J - J .5.7' BI— CfO U N Ty .E"C / S,T�2 y OF` o E E DS i! !J/9 11t'�/` l• f./.S "� O/✓ A- 1911C C'0 Al.-*Ael'� 076-/ SEPT/ C TANk 7-0 B E 9 ^.I , /rev/�lt d F. /o' )I:r R o/Nj �o v/v D"g-- ,�/•�/t/ I /7"/ .A/ • 'r/ o AJ A A D L E fq C H P / 77s . r� L E,9 C H J N G P/ 7-.5 T"O 6 E fq JN- Q Ili OF,y��L �� /M u M OF ! v' F �', o M �,C'• o P,E,27y U � +, '��, o�� s, L //V iS"S R hJ D s E P T"/ C 7-i� AY k C E R l F y' 7-Hr9 T 7`H E e U/L CO j Al C, c� GEORGE A/V D O F Q O. F 0 K.J/V 0,4) T'/ON LOW,JR. H ; ,SHOW— co/v TH J S R4,-9 N /.S .57-,49,<Lr D C. ^/ T H G R U U" ZJ' f3 5 .5 H O t\/N t-1 R E"O.'�! `y�Q/STE ,tl tJ 7"/-/tq T / 7" O O,V,=C?,e M 3 Vti -•- "! ?'L ..�. .� _ _ 7-0 T//E B U/L D G -5E 7` B.9c x REQuIPE /N'1 E Al 7--5 o F 7-14 E 'r" 4-/N p�= 373 43 , 4 .3 Z. 114, .3Z. 7 .40• l 36 41 - 1 f O /Z 40 Or 0 28 goo -7- TEST- POLE 34 RE S UL TS 38 i /4.b 2Z G `�• O y PEP TOW RECO)eDS 30 -.- 8 .- SCALE o w A,' t,�%ti?`E tz A T3 L E /A/S P P. /-1 t,/2 /Z��Y n/i .7 C;';'7 L%i L � ,�JV G 5 5 T;B/9 C 7"S T O DOSE D E 7J20OMS' D,e , v.E w�v �L o To l3E oc� TEv . c? ✓E s /✓C � ?GE Sy'-5 -T-E � .ti' E-S'S FZ- oi-✓ .330 GAL� �.9y N _ z'T!C SYSTE /"I COn�S7'� UCTi SF O ^✓ Sff�? LL a�OPOSED LEACN F��EF� > � C O L T/O N 7-ES T 01 e�SCJLT� f7 O F Y D r9 z-E D J"UL y /, /9 7 7 q Z) 7-0 of B E'�.l�`TF� 13 E N��1LTlN �'EGULFIT/ ONS + r S/LL ELEV° TO BE � Fi' �r3G`v'� ems. TY P 1C ,49 /L /.'� / O / L... 1 nJ. S N�D . Tl./f CJF �iG�L/.po's C" f+Y�. V/C.�C.IG �"7'Yo �....r_.A`.!7 .f, FG U n!D RTi oN f4 O S C E�9 x MA NO/- E. C0VE2, T o. EX END TO / 1-77=>E2V/0U,5 0VE2 Tp Pe EVENT' r= v E S OF F//V/S/-/E G,eADf- /p' i"IIAJI 1 UN'1 STONE i t � �24„C'OV ERS �' Cif' �8 -To D l S'7 %G✓,95 i f E D STO.n1E_ J04 coVEZ Boxe0 C/n/D '¢ —AL WA-reems - — —- — f'r M;N �t z JGFIT Cf G�}L /O p/Cf r'I -FLOli �L7ni.E i`1 �(. r-'�TC -=. ,� „ 71.,Ef�. �N1✓✓ �� � - /FQOT /O"M/n!. yIFOCTr , 1 Z. � O� D �,¢`!,/FOOT Glg4- L O/v r Y //�/yr 9� `� _� �, p, cC � /NVER_T C/3 PHC /TY \ � r9 �oUND ' SEAT/C' Ti9NK 28.�0 � <WATE,2T/GNT� /nlVEe7 /NVE/zT La �� 1 L C�?C N�,l �lD�Qe�4- /z /n/vEeT ti/O GF3,28AGE G�✓NDE,2 �,�� � � f/ E'. rq 48'MF�x. I Q w • ► � < ZQ D/ 4-•.NI / N 577 TO /`'/I4 X. / o 7"' ,e o un1 z� AT ,e ESE v. eO-T-v/ 7- 2 �/.s 5�'G /�-r RONALDAr c: S C A L E , .• _ .3 O t7F�T-E: G F50 R E r. �_,e c n/C E : b E ;n1 G Z-O 7- S, O G✓ti/ c tc Fur33 D EE,L €' "E C O ;e D E. D /N. Tf l �Fa�/-1 A 3 Z E e o U ti Tv A E G /STD- y O.F D E ` S� DEAD goo GE 4 do6 16,t vim'' Cd SEP7 TF� n/K Tp BE /-� M/w'- 76t'P,,, /`' . `r , . 7 r/ 8Ul L>/AjG !- .ti E s -� -5 L= Tom? J,t ' �� , S ` F3 n: S /320,�O.SElc> Riq\ 9.�i� ��" e 0,A? —O �J��J D ' ? / :. .� c� L: i,l -.�' D /- :i I'w Y�/ :� r I C� _U�j �?4V .•'�'-�'�i,�t'-' 1 - .�: f \ y f�,> D ,�' -- ��o ES C ,t,, 0 ,^-� c.t�a�� c D�� -7- L _ T/ 7_1 - -- -- --- - - - ��, i.owf lx. r --- -- - -- - - -- -- % �j^�FCIST&w r`