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HomeMy WebLinkAbout0116 WHEELER ROAD - Health 116 WHEELER Rlb,a- C� f- A= 103 109.011 yyJ��S!®rig ` hl- _-- TOWN OF BARNSTABLE LOCATION 1160 Gt OM-69- • SEWAGE # LOOS " 035_ VILLAGE L.LS ASSESSOR'S MAP & LOTP3*4/ INSTALLER'S NAME&PHONE NO. �� � �XCa� � ►�?.� SEPTIC TANK CAPACITY I&W I LEACHING FACILITY: (type) CA Am Fj b® (size) �� # '� NO.OF BEDROOMS Ll BUILDER OR OWNER M p'Z S N Y D GI t OF PERMIT DATE: J-3I _0 COMPLIANCE,DATE: 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, i Al 2-8 IA Z 3 A 3 7,5 2 jA �© Sz 30 A3 q7S <� 94 5(,.5 3 No. �U i Fee �U THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pplication for �Digpozar *pttem Con6tructton Permit Application for a Permit to Construct('i- /)Repair( )Upgrade( )Abandon( ) ❑Complete System 'Individual Components Location Address or Lot No. `/ (�/ j �j 12j? Owner's Name,Address and Tel'No. ��,,fir 1(.f,V tC, Assessor's Map/Parcel U Installer's Name,Address,and Tel.No. 1 Designer's Name,Address and Tel.No. A 1- P,ASCdYLS 'GXC�V)l6l`j (5®�J rrl- -LS uNtT 3 P. 013 W i Zb9 Poxis r Da is c(Ls-.q L>D 5 0 g 7 71 - LAND " Type of Building: y� A um S Dwelling No.of Bedrooms _ Lot Size sn—A- Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures /' ` Design Flow `Y y 6 gallons per day. Calculated daily flow ) gallons. Plan Date '"� Number of sheets Revision Date Title Size of Septic Tank % Type of S.A.S. CNAMt3b�LS 50� Description of Soil s }PLAM JOl IL L06 Nature of Repairs or Alterations(Answer when applicable) Rt PLACz FA}t_$p P 1 r' Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been i and of Health. ue ts Signed aAS� LX CA V AM PP Date I- 3 6 -y Application Approved by Date , O-V Application Disapproved fo a following rea ons EA TO . 1 2 fl0 Permit No. l: Date Issued F `*n`! 4s. n No. {� t 1 , - Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: i , Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS s , "ZIPPlication for �Oigozal 6p$tem Con$truction permit Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) O Complete System Individual Components Location Address or Lot No. /� (s// �j-Z�n /ZO Owner's Name,Address and Tel.No. Assessor's Map/Parcel rJ s Installer's Name,Address,and Tel.No. D Designer's Name,Address and Tel.No. A t-M -At.�Y� S�f�I Cz PAW dYV6 Gx cA V/1 i 1 Z U U N",-,r 3 P, v13w_ r�oz, (5-08) 771 - LAN o Type of Building: A w c S Dwelling No.of Bedrooms_ Lot Size Z• 47 ..S.q_A-- Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria Other Fixtures Design Flow 11116 gallons per day. Calculated daily flow I gallons. Plan Date 'U� Number of sheets Revision Date Title Size of Septic Tank /hU?) 9 f' (Type of S.A.S. 3 C1419M/3-oft C �V Description of Soil 751,15 PLAN SUI L- L-66 t Nature of Repairs or Alterations(Answer when applicable) Rt PLACT FA _-60 PIT � Y Date last inspected: + - t 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 Certifi- cate of Compliance has been s ue t s i and of Health. Signed.` aA31� 'EX CA V A Z* Date Application Approved byt V.4 Date I—T r—U Application Disapproved for following reasons A o�P, ��. o t�CP�Pry�n Poi 4`Ur s✓ Permit No. 2.01)k-0 3 S� Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS ( (Certificate of (UmpYionce THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed(Repaired( )Upgraded ( ) Abandoned( )by }PAST0126 Cx CAv iVri M-1 at I 10 w h-ZT1-702 11b "PRS i tsN has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 20-&�-(/3 dated /`-?�-U Installer PASToft _C;xC 1\xr►\r1 GN Designer A �-M 1-.A NO S—�(L\/t C-6 The issuance of this pe t s all/ y?e construed as a guarantee that the syste �1 tion as designed. Date ll L (l Inspector r ---------------------------------------- No. 00k' f? _S-- Fee /(/U r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS lwigo al *proem Construction Vermit Permission is hereby granted to Construct( V)Repair( )Upgrade( )Abandon( ) System located at 11(0 W w6z1 ,L Rb . M N R-VON and as described in the above Application for Disposal System Construction Permit. The applicant recognizes 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 tl�sfspermiit. Date:_ r 0 Approved by Town of Barnstable Regulatory Services Thomas F. Geiler,Director RAMSTAMM NAMpeg Public Health Division �' Thomas McKean;Director 200 Main Street,Hyannis,MA 02601 Office:.508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: Sewage Permit# AFAssessor's Map\Parcel f o 3 0?�C- Designer: A404e(�6" Installer: rfLI-s/ K/- Address: Address: On was issued a permit to install a tl (date) installer) septic ste at I/ G� e.le based on a design drawn by (address) dated ° (designer) �/ .I certifythat the septic stem referenced above was installed according to p y a ed substantially acco ding the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. /�— f ,-'� 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. Stripout (if required) was inspected and the soils were found satisfactory. �+OF-Aififtft ' s is Signature) ,°` �© HINSLOW G SPOFFORD 41z- e *20363 (Designers igna (Affix Desf` A ere) 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:\Septic\Designer Certification Form Rev 03-09-06.doc CERTIFIED SEPTIC SYSTEM REPORT LOCATION 116 WHEELER RD. MARSTONS MILLS, MA MAP 103 PARCEL 109 . 001 LOT 9 PREPARED FOR SELLER MR. PAUL A. MAllEO 116 WHEELER RD MARSTONS MILLS, MA 02648 BUYER MS . GAIL P . SNYDER 11 l 3 DEERWOOD DR. a E . SANDWICH, MA 02537 1� 1 n[ EO AUG 8 1996 ap 100FRY ametE w *AMOK PREPARED BY 4 HILLIARD HILLER, JR. P .O. BOX 250 CENTERVILLE, MA 02632 508-778-1472 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Address of property 116 owner's name /tip 146,-6 Date of Inspection -2119yhj),- PART A CHECKLIST Check if the following have been done: Pumping information was requested of the owner, occupant, and Board of Health. t-`_ , None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. As built plans have been obtained and examined. Note if they are not available with N/A. l/ The facility or dwelling was inspected for signs of sewage back-up. L/The site was inspected for signs of breakout. All system components, excluding the SAS, have been located on the site. y The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the SAS on the site has been determined based on existing information or approximated by non-intrusive methods. The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of SSDS. i - - g SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION FLOW CONDITIONS If residential 3 number of bedrooms _ number of current residents --41a garbage grinder, yes or no. . YCS laundry connected to system, yes or no _If/O seasonal use, yes or no If nonresidential, calculated flow: Water meter readings, if available: laiy3 �yr�oOD G�y� SYsr,�i n y Last date of occupancy GENERAL INFORMATION Pumping records and source of information: 1e�IGc. of i993 P�1 d��E� _ System pumped as part of inspection, yes or no if yes, volume pumped Reason for .pumping: Type of system Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) Other (explain) Approximate age of all components. Date installed, if known. Source of informatn�oion• i Sewage odors detected when arriving at the site, yes or no 9 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SEPTIC TANK: (locate on site plan) depth below grade: 7` 27 material of construction: t-," concrete metal FRP other(explain) dimensions: /Ole sludge depth a3" distance from top of sludge to bottom of outlet tee or baffle scum thickness distance from top of scum to top of outlet tee or baffle /y%.- distance from bottom of scum to bottom of outlet tee or baffle Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, recommendations for repairs, etc. ) K/o 616.� or- /.3V le- DISTRIBUTION BOX: (locate on site plan) O depth of liquid level above outlet invert Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, recommendation for repairs, etc. ) "4 ° gdX w/9� L2r/�e L (,.i1 Tt/ �sGd�� �S�L.o/I�i9T/o.�/ d,C PUMP CHAMBER: (locate on site plan) pumps in working order, yes or no x Comments: (note condition of pump chamber, condition of pumps and appurtenances, recommendations for maintenance or repairs,etc. ) 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SOIL ABSORPTION SYSTEM (SAS) :_ (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type leaching pits and number / G� leaching chambers and. number leaching galleries and number leaching trenches, number,. length leaching fields, number, dimensions overflow cesspool, number Comments: - (note .condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc. ) G a G /✓1l'e a ' of Tivvx- W, s. 7,tJ Yd_ .2S ,vQ T11.�/1,E Gvrfs o.�l' go�i.�s iv �;p�ti /3oX number and configuration depth-top of liquid to inlet invert depth of solids layer depth of scum layer dimensions of cesspool materials of construction indication of groundwater inflow (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level" of ponding, condition of vegetation, recommendations for maintenance or repairs,etc. ) PRIVY: (locate on site plan) materials of construction dimensions depth of solids Comments: (note condition of soil, . signs of hydraulic failure,- level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc. ) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' � U i t w DEPTH TO GROUNDWATER g depth to" groundwater P method of determination or approximation: /,�i9.{,ySTI3/�Gr G/S S NOGvS 7-H/Z r Ge�AT7vti I2> /9,1' W . fI SS�i yd �iT /S /O .OEM To 1v64f/1T e G' F/l r /l/Ut/ r To Gk'ovc o Gtif'f' ttT z-#x �5�s co�t�a c rim is 7'p 9R - id - Y3 - 7 32' 12 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C FAILURE CRITERIA Indicate yes, no, or not determined (Y, N, or ND) . Describe basis of determination in all instances. If "not determined", explain why not) Backup of sewage into facility? Discharge or ponding of effluent to the surface of the ground or surface waters? /VD Static liquid level in the distribution box above outlet invert? NA Liquid depth in cesspool <6" below invert or available volume< 1/2 day flow? Required pumping 4 times or more in the last year? number of times pumped A,O Septic tank is metal? cracked? structurally unsound? substantial infiltration? substantial exfiltration? tank failure imminent? Is .any portion of the SAS, cesspool or privy: W below the. high groundwater elevation? Nam , within 50 feet of a surface water? A,10 within. 100 feet of a surface water supply or tributary to a surface water supply? 1/0 within a Zone I of a public well? V within 50 feet of a bordering vegetated wetland or salt marsh (cesspools and privies only, not the SAS) ? x .b within 50 feet of a private water supply well? less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis? If the well has been analyzed to be acceptable, attach copy of well water analysi for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. TOWN OF ,(3i11&_;5173KZ, ' BOARD OF HEALTH SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D - CERTIFICATION — -TYPE OR PRINT CLEARLY- PROPERTY INSPECTED STREET ADDRESS ASSESSORS MAP, BLOCK AND PARCEL # /03 Z/1 ,ewe Go? OWNER's NAME �f�'U�- /1 ~222, 'a PART D - CERTIFICATION NAME OF INSPECTOR 1-1&4 �PLeiJ Y4Z-G," COMPANY NAME '— COMPANY .ADDRESS �i/� Street Town or City State ZIP COMPANY TELEPHONE FAX CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate , and complete as of the time of inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper. function and maintenance of on- site sewage disposal systems . Check one l/ System PASSED The inspection which I have conducted has"' not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. System FAILED* The inspection which I have conducted has found that the system fails to protect the public health and the environment in accordance with Title 5 , 310 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form. Inspector Signature 7 % Date &l a r"5 One copy of this certification must be provided to the OWNER, the BUYER (where applicable ) and the BOARD OF HEALTH. * If the inspection FAILED, the owner or operator shall upgrade the system within one year of the date of the inspection, unless allowed or required otherwise as provided in 310 CMR 15 . 305 . partd.doc KEY NUMBER <7500 > NAME <MAZZEO, PAUL A > B-C 1 B-C 2 B-C 3 B-C 4 STREET 116 WHEELER ROAD CITY MARSTONS MILLS ST MA ZIP 02648-1110 . REF 1 REF 2 PHONE ( ) REF 3 REF 4 METER NO. < 7209> DATE READING CONS STREET <WHEELER RD NO. 116> 06/30/95 426 105 CITY MM C L9 ST LOC 12/31/94 321 184- PHONE (508) 428-6902 06/30/94 137 91 75 12/31/93 46 46 ROUTE NUMBER 07 08/26/93 0 0 - SERVICE DATE 05/06/83 08�26/93 37 0 METER DATE 08/26/93 06�30/93 37 95 CAPACITY 7 01/20/93 0 STYLE T10F SIZE 2 RATE SCHEDULE KEY PIT X PLASTIC NOTE ADDITIONAL CONS 0 ALTERNATE MIN 0 o. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T w.''�............OF....... �.T.1��3L��r............................ Appliratiott for Uiovooui Works Tonotrurtion Permit Application is hereby made for a Permit to Construct (+/jor Repair ( ) an Individual Sewage Disposal System at: .. or �10�. .1. .!�.5.�11� �. .i :: " ` Lot No .................1....................Lat on-Address j ................. ............................................ --_........--------------..........--------- Address ..__._..........._....�c�. ..1�.------.,..-••......--•--•................................•. -•--•----•--.....--•------.........................---. sInstaller Address of Building Size Lot.?.¢7............Sq. feet U Dwelling—No. of Bedrooms.__...a* ................................Expansion Attic (c� Garbage Grinder (A6) Other—T e of Building No. of persons...-...................... Showers ( ) — Cafeteria (f�o) Otherfixtures ----n.....--•---------••-•----•-------------••--•.------.....------....--••-----•-•-•---•------..............•----..............__.----......---• d Design Flow..........-..--••--•..... •-•--gallons per person er day. Total daily flow...........33o dons. W Scptic "Tank—Liquid capacity..(_4�4'.galIons Length..�_'K"_. Width.4���'... Diameter......... . .... 8 v_. Depth---------------- x Disposal Trench—No..................... Width.................. Total Length.................. Total leaching area....................sq. ft. Seepage Pit No......./............. Diameter....../P...._.... Depth below inlet....... ........... Total leaching area_. L.7....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) S C /Z S 2 •• E'•_ .. Date 3 Percolation Test Results Performed bY._.__..-_....:_....e5! .___a?�__.....P.---.-•---•-•-••----- W ✓ Test Pit No. 1.4----Z....minutes per inch Depth of Test Pit..... ____ Depth to ground water........................ Test Pit No. 2._L...?`...minutes per inch Depth of Test Pit..... .... Depth to ground water........................ c� -••--------------------------------------------------------------------------------• ..-..--........_... -----••----....---------............_...---_---- O Description of Soil" ,. .__ .. s`'�—Sc,� t. hs�D ----•s�'--`'�_.----- •------- UWin.....---.. i � ---------------••-••--•••---------•-•-••-•....-•--•-----•------•---•••......-•-••------ ...................................................... 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.IHE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation til a Certocate of Comp • nce has been ued by the board of health. C..e-./ ---•- ---- Signc .._.. .. ... _ -- r/� Applicion Approved BY . •--... l�. Daatt........................................................................... .g /_. . ............._._ e Application Disappro ed or_t following reasons:..............................................................................................................-- ................................ ..... ....... •-................................................................................................................................................... Date Permito-------------------------------------------------------- Issued....................................................... i a' ^J I I I.' r .• rrl p �f. � /ter /: A 1 j') - 1 t r' ' - lo __ ..._ t l F©°d''1" / OFF1PJt9,4.4 4t�% 0 DUN. COvVt 9141-91LIA.,tnCW of Y4 0ox IMP �2/L.IrWL R I~ Oft S".40 I F- ew IRofJ — --�►�M F I� now I tN Till ? qp F r• I►JV�IZT ��.Z�Q., I ! �� ` GALLON �'nnf� I 1K RY' j% c I AqPA { y I QT I PT{(- TT"f�* K 11 IOVSRT -- —--— --- - 20/m i r.l. -_—- -- S E PYI G SYSTEM CD 'w�'• �. - SF ALL CON O N 5TR v�-ncaN ,._... �w F FZM -M THE MSS. .V, . ; E MI RONME.NTAL CODE OF DvvRoC R v 15ED 7- I-77 THE T0\,V AL: f cT -ri0fj vv0aAR0 OF N S E1P.Tf G '(ANK DISTIIZI eSj-r,0►J (�� RATS TOWN OF BARNSTABLE LIXATION SEWAGE # VILLAGE ASSESSOR'S MAP &LOT /413 I-e_> INSTALLER'S NAME&PHONE NO. .3�fi/.!/ iF f/ftG?� 5'a8-9S9 s SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 411- (size) /c4-10 C,�C NO.OF BEDROOMS 3 BUMDER-OR OWNER /0Av[- PERMITDATE: 6'`1Y-e3 COMPLIANCE DATE: >/ArM Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility 3a 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 /7 &IZIZ 6? ,Id— M Lot ,? L'O' C.4 T10 ul,��I,ry /Pa{ SEWAGE PERMIT NO. VILLAGE � a� INSTALLER'S NAME i ADDRESS Thy A 4mo wr"s�•vyi✓ { BUILDER OR OWNER DATE PERMIT ISSUED :. - QDAT E COM ►IIANCE ISSUED ,- r _ � s \ i ,�yl �� i ., , � � � � � �_ � ��� �� �� � 3 J N0.91-27.9 Fps............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ....---.....T.�-'``-�..----.....OF....... G ----•--•..............•----- ApplirFatiun for Diipuuaal Works Tunitrnrtiun ramit Application is hereby made for-a Permit to Construct (411<or Repair ( ) an Individual Sewage Disposal System at . ... h `�C� Qom. t�61�. _ ...��.. .................... Lo a'on-Address 1 or Lot No. Address a r................... ............................... .....................v Installer Address d Type of Building Size Lot..? -7 ....................... feet V Dwelling No. of Bedrooms---... --------------------------------Expansion Attic Garbage Grinder 06) PL4 Other—Type of Building ............. No. of persons.._....................... Showers ( ) — Cafeteria (,o) Pa Other fixtures .. .... W Design Flow...........�3'_.�'.....................gallons per.person per day. Total daily flow............`...'®........._.___._____gallons. WSeptic Tank—Liquid capacity-f®®®.gallons Length.. .k`.... Width.!!K��.. Diameter................ Depth.s.c6 4. x Disposal Trench—No. .................... Width.................... Total Length..................:_ Total leaching area....................sq. ft. Seepage Pit No......./........... Diameter......L .... Depth below inlet....... __......... Total leaching area.., 4.7....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by....4 eZ:_St�i00�:........�.e................... Date....._..'.X/-, � � 0.4 Test Pit No. 1.4....Z.-....minutes per inch Depth of Test Pit.... y. Depth to ground water......`•.--.-•..-- 44 Test Pit No. 2__G...Z...minutes per inch Depth of Test Pit..--.C`'¢~... Depth to ground water.-----..............--.. P4 •••----••-••---•••--•---•........... ........•-•-•-----....----....................... ................-••--..........•••.._.........--._---- Q e' �� '7... __was'—S®t � 'f-/�" M&D/v.�j._...'Description of Soil �- �6 •. ---------------- v --- ^' � .... ------------------------•--•--•-. 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 iITL-E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation til a Cert sate of Comp ' nce has been ' ued by the board of health. Signe •-- .....-........ ... ..... ...... ._ APplic ion Approved By .......-•---• .---•--•---•....................•••-•-•----•----.....---•--------------------• ��•.... ...._.._..-- Date Application Disappro ed or t following reasons:-------•-----------------•--•-•-----------------------...--------------------------------------------........._ ................................ ............. ---•-------...-•--••------••----......------------•.... Date Permito.......................................................- Issued_........................................................ Date T�.1 r• ,-!3 -,2 7? FHz.. ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7-b!�i n!..------..OF........�'t7'4 ,`S?:!'a 1-5f&C"- .........................................•. A110 irtttion. for Dispnsttl Works Tnn,ilrnrtiun Prrutit Application is hereby made for a Permit to Construct (✓f or Repair ( ) an Individual Sewage Disposal System at: ..............:.................................................. ........._..-•-•--------........•-------------•--........................ dt�oation-Address or Lot No. • ---- ,........,............................................ ....................•-•----•-•---............-....-........................................-......Owner Address W C. Installer Address /?c4eC_' Type of.Building Size Lot......:.....................Sq. feet U Dwelling—No. of Bedrooms..........................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures . co -------- _ W Design Flow............ ....................gallons per person per day. Total daily flow.............".............................gallons. WSeptic Tank—Liquid capacity..Z.�2'�tgallons Length•.......G.... Width...".......... Diameter................ Depth................ a x Disposal Trench—No..................... Width.................... TotalLength.................... Total leaching area....................sq. ft. Seepage Pit No.........1.......... Diameter.......�p.._..... Depth below inlet................ Total leaching area... 4.7...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) j '~ Percolation Test Results Performed by..... ....................:................. Date...........I :"` aTest Pit No. 1.Z-----7.---minutes per inch Depth of Test Pit......�.`1._11._'. Depth to ground water.................... Test Pit No. 2---!..._L.minutes per inch Depth of Test Pit------ ............. Depth to ground water........................ --------------------•---------•---------......._............---.......................-•------............................................................... D Description of Soil_.. a` -.......e"I""' P, �'&- �a`�' C_ 6 r�_/ �e . •••-•--••-•••......-•••••............••••......--••-----...... •'----!.-?.-------------------------------------------- "Z.. .. 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 AIT LEE 5 of the State Sanitary Code— The undersigned further agrees not to place the syst m in operation •1 a rti' o Comp lance has a b� ,bor he n. sign, -----•............................................. ... - --- Applica on Approved y... r f' ` ' ! 7 Date Application Disapproved for he following reasons:-----•--------------------------------------------------------------------------•---••....-. ................. ------.....1 = ----••----•------- Date PermitNo.......................................................-- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH L`f. .........O F.......... �3iZIV 97`�I'e ................. ....... ................................................................. � T IS �T y _a-IFY, That the Individual Se. age Disposal System constructed ( �r Repaired ( )' P( t.... ---- -'••••-•--••••---------------•-•-----•-•-----•---•-••--••-••---•--••-•••---............ --•--•----•-. ' Installer .....................•••••• --� `------, -----6L------�------------.------------------------------------------------------------ -_---------.------------- Chas been installed in acbordance with the provisions of T e State Sa.nitar scribed in the ' application for Disposal Works Construction Permit No......................................... dated-............................................... THE ISSU C0 OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WI L FU CTION SATISFACTORY. DATE....l .... 2..,1 ................................................... Inspector... . .-----------------------•------................................----•-•-- THE COMMONWEALTH OF MASSACHUSETTS ' BOARD OF HEALTH . ' ` IaP'DA . T/� J.......OF....... /LS -��^�£"........... � No........................... FEE........................ �i�� ��tl ,y .� �nn��r�.rtUan rrntit Permis ',oft, hereby gran.ed.......... .._............... -- ------------------------------------•-------------------•--........-------•....................-----•--- to Con u� r Repair,�') fig,Ir 'id ,� .wage Disposal System e ,- atNo..................................•---•--•-••-••--.........--••-•-•--.......-•-•-•-----•---•••.-•-•-•••--...--•................................. . • ... ••.......................... Street as shown on the application for Disposal Works Construction Permit No.:A._�r^':.._. iDated .............................................................................................................................................. oard of Health s DATE................---------------•- MM FORM 1255 HOBBS & WARREN. INC.. PUBLISRS TOP OF Raise covers to within 6" of FOUNDATION finish grade install risers as needed Raise two covers to within 6" of EL 100.00 finish grade install risers as needed OL Grade 97.6 GROUND SURFACE EL _95.8_ R = 1520.00' - -- ; L = 59.93' Proposed D - Box MIN 2' LAYER DOUBLE WASHED Top 94. 74 1/8'- 112' STONE C _ Install MIN 2' LAYER DOUBLE WASHED `F.'3 MIN 2' LAYER D❑UBLE WASHED 95.0E 1 '- 1/2' STONE 1/8'- 1/2' STONE �U��/// 2"MIN-3"AIAX Tee JI- - Top El = 91.50 7 INVERT EL 93. 7 / 10" Existing 14" ��7�93 �_ - - - - - - - - 24 „ 36" INVL'RT EL EL T - - - I EFFECTIVE q INSTALL / \ STDEWA L.L r _ GAS 90.83 6"S,'TONE BASE 4 8.5 4.25" 6.5' 4.25' 6.5' 4' BAFFLE 90.66 1 Hot EI INV EL 90.50 1 _Three 500 Gal Cone (H-20) h b WASHED STONE O 89.16 INV EL 3/4'- 1 1/2' DOUBLE 5 Q 6"" STONE BASE INV EL Chambers with _4'_ stone all around S180 6� 3/4"- 1 1/2" D❑UBLE (4'-10" x 8'-6" x 3'-0') 0. 88.50 Q5' I WASHED STONE ti L Existing (H-10) - o 0 BOTTOM EL 1,000 Gal Septic Tank S - 0.04 S = 0.13 To Remain S = 0.062 S = 0.01 t I 10' 43' 11 0a) 4' I \ 2 0 16 SAS (12'-10" x 42'-0') EL 5 Bot Test No Ground Wa ter Encountered 42 0' /77 \ \ Konary Middle Pond STANDARD NOTES \, Map 103 Parcel 108 Elev 4s.o \ Property serviced by 1) THIS PLAN IS FOR THE / .REPAIR OF A SEPTIC SYSTEM. Town Water 2) ALL INSTALLATION PROCEDURES AND MAIERI:4LS SHALL CONFORM TO 310 CMR 15. 000, THE STATE ENVIRONMENTAL CODE, _ _\` TITLE 5, AND THE 1!'OWN OF _ Barnstaple SUBSURFACE DISPOSAL REGULATIONS. `\ 3) NO DETERMINATION .HAS BEEN MADE AS_TO COMPLIANCE OF AVAILABLE PROPERTY INFORMATION WITH RECORDED DEEDS OR ZONING REGULA ZIONS. 4) THIS PROPERTY IS SER VICED BY TO WN WATER 5) THERE ARE NO KNO►WN WELLS WITHIN 150' OF THE PROPOSED SOIL ABSORPTION SYSTEM. '-\ \ c�j 6) ALL COVERS OF SYSTEM COMPONENTS SHALL BE BROUGHT TO WITHIN 6" OF FINISHED GRADE Lo t � 7) ALL SYSTEM COMPON.TENTS SHALL REMAIN ACCESSIBLE FOR INSPECTION. NO STRUCTURES SHALL BE LOCATED DIRECTLY 0.1 UPON OR ABOVE THH COMPONENT ACCESS LOCATIONS, WHICH WOULD INTERFERE WITH THE PERFORMANCE, ACCESS, INSPECTION 2. -7- A cre e 96.e) 0. PUMPING OR REPAIR.: 8) NO DRIVEWAY, PARKING OR TURNING AREA, OR OTHER IMPERVIOUS AREA SHALL BE LOCATED ABOVE A SOIL ABSORPTION \ \ 0 SYSTEM, EXCEPT WHEN VENTING HAS BEEV PROVIDED. \ \ C>J 9) SEPTIC TANKS, GREASE TRAPS, DOSING CHAMBERS AND DISTRIBUTION BOXES SHALL BE PLACED ON A 6" STONE BASE \ TO ENSURE STABILITY AND PREVENT SETTLING. ' Proposed SAS \ \ 10) OUTLET DISTRIBUTION LINES SHALL REMAIN 1,EVEL FOR A MINIMUM OF THE FIRST TWO FEET OF THEIR LENGTH Three 500 Gal Cone \ 11) ALL SYSTEM COMPONENTS SHALL BE CAFABLZ OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10' h a m b erS (See d e to 1l) \ `- OF DRIVEWAYS OR PARKING OR TURNING ..ARC AS, IN WHICH CASE H-20 COMPONENTS SHALL BE USED. Area __ '42,-0 „ x 12'_10 \ . , 12) ALL `BUILDING SEWER LINES SHALL HA VE AN INNER DIAMETER OF 4" AND SHALL'L3E''CAST-IRON OR SCHEDULE 40 PVC. 13) THE DEPTH OF .THE TOP OF ALL SYSTEM COMPONENTS SHALL NOT EXCEED 36" UNLESS VENTING HAS;BEEN PROVIDED. t 1 N -T F,' ,4R n ,.4V T �..,ING JFtf;i�F. �.L4LI, BE F.FE.STAz3LL>I-� . 7.. , . F. �. ..,.ar��F' �nA:T�� �� r i-, _ . 14, I H_ ---...�_4., _ E'�X..__ A__ON _� 1 .FD UN_ ...5 �, .,,'J <._ � ._:. -..�»P ..,. :._ _ d..S .- Pr d r 2S r 15) IF SOILS ARE ENCObINTERED DURING THE EX. NATION OF THE SOIL ABSORPTION SYSTEM, THAT DIFFER NOTABLY .FROM 103 109//001 # D BC� ASSESSORS MAP LOT THE DEEP OBS,ERVATIOM HOLE LOG, CONTACT A M LAND SERVICES AND TOWN BOH BEFORE PROCEEDING. (9 T P 0 \� #1A p bs Existing16) CONTRACTOR TO VERIFY LOCATION OF ALL UNDERGROUND UTILITIES. PRIOR TO CONSTRUCTION r D De e d .1 i.eferen c e s �' 6 s) 17) CHANGES OR REVISIONS TO SEPTIC DESIGN REQ DIRE NOTIFICATION )',T/ a��J (96• (g6. °A o 1, 000 Gal TO A & M LAND SERVICES AND TOWN BOH FOR REI/IEW AND APPROVAL. Bk 9824 Pg 185 Wh =1 er s \ \ S Tank�_ To Remain 18) CONTRACTOR SHALL NOTIFY TOWN AND DESIGN nNGINEER AT LEAST 20 Map 103 1",?rc el 109002 !y 24 - 48 HOURS PRIOR TO INSPECTION(S). 0 o No kn o wn F ell within f 1 t 4 ► INSLO Plan Reference 150' of P-oposed SAS D �?'��° � � fi lle 1 g7,6)� ' o (97.6) At � � INSLO 4 FFM. At P1 Bk 348 P 88 Lo t 9 a 4 �� S��FFO�o w � f TBM E/ 100.5 (gg.l) e A S NW Gor Step--,,_ TEME� (97. (9 fONAt 8.7 39.0) �98 ) (98.5) DESIGN IAA TA Bldg ��1s � Number of Bedrooms: sSe bC UD �ra d e e a jr Plan 4 � 4 Sir 2 Car Garage cS�., P p Garbage Grinder: NO TCF' EL = 100.0 ��� -- III Design Flow: 440 Ba rrls to ,bl e MA Gal/BR/Day x Number of BR) / I Septic Tank: (To Remain) 1000 (Minimum = Design Flow x 200%) Gal �i' Exrsting jyate'-- - ._�_� LOC'a ted A t Leaching Area: N/ Sidewall: Merithew a 116 Wheeler. Road (2 Sidewalls x 42_Ft x -2-Ft) + Map 103 Parcel 109004 (2 Endwalls x 12.8`FT x _2__Ft) 538.86 Ma rs t on s Mills, MA 02648 Bottom: 219.32 _4_2__Ft x 12.83 Ft) 758.18 ��'-YY�1n(�-YY1!� - Long Term Acceptance Rate (LTAR): x 0. 74' Property serviced by Appheant/Owner Town Water Leaching Area Design Capacity: 561 GPDMark E C.D, � Gail P Snyder (Sidewall Area + Bottom Area) x LTAR 116 Wheeler Road 561 - GPD Provided - 440 GPD Required = 12'_ Reserve - DEEP OBSER ATION DEEP OB SERVATION Marstons M lls, MA 02648 HOLE L0(` HOLE LOG o SCALE- 1 " = 20 ' � DATE. Jamnary 24, 2008 2nd Floor0, Test Holdf Test Hole #2 �l O �s (EL - 96.Of, (EL = 95.5--) -- PREPARED n DV D pp h lev Soil Soil Soil D p h lev Soil Soil Soil � PIT��PA1 L�1/ L�1. gfnt} ft) Horizon 7 axtur.: Color �m� ft) Horizon Texture Color Bdr 3 ,,USDA) (Munsell) (USDA) (Munsell) Bdr #1 D - 98" 94.5 Fill 0 12" 94.5 Fill ' i Bdr , 4 ,�,,, A G�' M Land d SE'r'TTI e,s I f8" - 36" 93.0 B LOAMY SAND fOYR5/6 12" - 20" 93.7 B LOAMY SAND f0YR5/6 \ ti 618 Route 28 Unit 3 ��j1Lo rrO 36" - 60" 91.0 Cf SIL'" iOAM f0YR616 20" - 42" Cl SILT SAND IOYR6/6 Bdr �(2 West Yarmouth, MA 02673 V 60" - 120" 86.0 C2 COA RSE ;SAND f0YR716 42" - 144" 83.5 C2 COARSE SAND 10YR7/6 - - - 16% Grzvel 3% Gravel � o (508) 771-LAND (5263) Deep Obs Hole Date: 1/17108 Deep Obs Hole Date: 11f7108 GRAPHIC SCALE Soil Evaluator: ED STONE Soil Evaluator: ED STONE Din ePi 1, Witnessed By. Donna horandi Witnessed By. Donna Miorandi, Pere Rate: < 2 ltVIIN ® 72" Pere Rate: 20 0 10 20 40 1, 2 Car 80 Q Q O Soil Survey Desc,iption: CARVEti Soil Survey Description: CARVER j" Geologic Material: GLACIAL OUTNASH YORRAINE Geologic Material: GLACIAL 0UrWASH XORRAINE Kjt LOCHS Depth to Standing Water: NA Depth to Standing Water: NA Depth to Weeping Water: Nye Depth to Weeping Water: NA Depth to Mottling(Color): NA Depth to Mottling(Color): NA Est Seasonal High GW: NA Est Seasonal High GW: NA L1 V ( IN FEET ) _ USGS Observation Well: NA USGS Observation Well: NA 1 inch = 20 ft. Date of Last Measurement: NA Date of Last Measurement: NA 4086.d Wg Middle \ Comments: IL � Comments: Pond - -- - ---- --- 1st Floo r_V - -- --- -- t ?T x ) r97 0 •`' / lQQ,� 1``' � � �J,'ry, � �.-'` Apo ' �'^ s r'i \ C —20 M1 7. , GOT �' � �' �� 3 � v � ,• ���'9 .r .�? 4-7 '1_ •. !-f.C�S' ^D,+.r"44`.y.%"^.i F '-.+. yP '. ... .. ... �'� f :i✓ N , -.�'... <.I:' f .. i. .- . :',u a^:'x saw,.•.c...4,+L.^j.'..i..".'^ay 4yi;�y" f,.'i. 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Nt�JV�t3 DF �lf✓DuovMS- _ _ . s IrN�I190NMENTAL COPE TITI-s-Y '`, Gf�I -Owl. � SED '7- I-77 'THE 'RoWt4 e , r D�51 �1 � BQAR,a OF NEAL*4 REcac.li.,ATtarJS t�= - , G _ LEA E-i 1lJCa RA"i'�- !{+.li"✓`nf"i T �r-��lf• [- �- S E Prt G't'A N IC, t71�aTiR i B�'f v�.i �� �L 1t r - -;'j �V�'1 ♦ VSAVW• CA PA C,I T - L. � ' ' AN C7 l-EAG�-i 1r•!!a P�T To aE o f r,�;F.1.. Y � M!N . GortcRi.'fE �?�N�a?�-t �a►caoPS� PROPoS��D LXAr.N CA►PAGcTY -- � �3TF.Et. 2oc'x70 P51 s �-� • /ti o yv,S f /�; x� f�;, _ oT o e LOGA►rmo �-fYC'�L'l,:.-'"t;,,'�- -/� ,�'JI/i� a tf/`.• ��"/c:''f. .G' �R E:�14� IJ �t�l�1...�i5�� � ovER /ST"�Vl N- 9I✓yiUN LaAMWra USED i`' pR - ALL Pr�To C� WAT�'rta N'T' -m �S O ;�R �R . Qom. VESQS GAS l o� t�RE-CAST �, � # JJ � ENGINEERING C.R. DESIGNING BUILDING INC. }-} ALTi4 Aa&J-r APP90Vd►i. -SHORT DENNIS, MASS. 385o283 MADE IN U,S.A:_; ., � ALRA14ENE®10 545e� ARCHITECTS'STANDARD FORM i