HomeMy WebLinkAbout0136 CEDAR STREET - Health 136 Cedar Street
13U-UU9 West Barnstable
i
e
No.C� J to 4 Fee
e
THE COWAONWEALTH OF MASSACHUSETTS. Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS S
ftplitation for 30ilpozal *potem ComAruction 3permit
Application for a Permit to Construct( . )Repair(<Upg C rade( )Abandon( ) omplete System ❑Individual Components
Location Address or Lot No. 1 3(o U4aXA JRf, 104jt- Owner's Name,Address and Tel.No. VAS
/�7`As1 d
Assessor's Map/Parcel l30 -oo ON"N b/e
Ins is Name,Address,and Tel.No. -•4oe•7/sy Designer's Name,Address and Tel.No.
G4J (&� �l�r ate{ G� �jV✓r � �^pH� �• .Sr
Roq(.,x itis i-efjt)FAJ I S P Y Z7--3oF(Z
Type of Building:
Dwelling No.of Bedrooms 3-/ Lot Size 2 7,, 300*sq.ft. Garbage Grinder eclo
�td'
Other Type of Building /•a;CQ No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 370 gallons per day. Calculated daily flow 7rr -gallons.
Plan Date_!/ 7 of _ Number of sheets / Revision Date
Title
Size of Septic Tank /C/P.a.. /10 0 9 a/ ill�t!D-ype of S.A.S. 2 —SVO.> c/ f/-/U /CAaLle~4-J
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) // /aGt a K.
-/0 -W VW/%7YW2 P % S' AL-
W X Z ' /e-'C6 *C*14/7 (/a• :A�u� 9 �„{ld//oY /?0 /L�/
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 issued by t 's Board of
Signe Date,/Vh�p z GS—
Application Approved by Date 1
Application Disapproved for the following reasons
Permit No.�r� �J Date Issued E
No:(T)— J b Ll ! Fee
THE COMMONWEALTH OF MASSACHUSETTS _ Entered in computer: V
S PUBLIC HEALTI-VISION -TOWN OF BARNSTABLE' MA&ACHUSETTS Ii„D
ZIppYfcation for 30f2;poga1 bpgtem Construction Permit
Application for a Permit to Construct( . )Repair( Upgrade( )Abandon( ) Complete System ❑Individual Components
Location Address or Lot No. 1 3 G &A(t, Owner's Name,Address and Tel.No. /Avsj U
(�/�ctMk S
Assessor's Map/Parcel
l30 - 00°
Installer's Name,Address,and Tel.No. $OF3-y00 7/SSS Designer's Name,Address and Tel.No.
" 51Gs A 1�rnc,,�nJ G . f/a , - ,,hSeoff/
1.C)7k o� 19S A �oF- y z 7--SF
Type of Building:
F Dwelling No.of Bedrooms 3 Lot Size 2 1 , 300-t sq.ft. Garbage Grinder.(
Other Type of Building 1,(Io cP No.of Persons Showers( ) Cafeteria( )
Other Fixtures
a
Design Flow 3 ? 0 gallons per day. Calculated daily flow 7 r r gallons:
Plan Date /� /��os` Number of sheets / * Revision Date aI�
Title s
Size of Septic Tank /J-0 C' 5 / /IA cgy0/4,!EI'ype of S.A.S. z -»U 5 / f�/U /fL�IX,,4e J
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) 4 U e Y p lJgea ti ee-
o /�vHD/, fG,<< (' % 5— 1?Qe //- /G D -ZTo X cti• L - J v y,5 a/ /� 1 U Ile,-e 1,//
I X Y /?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 Certifi-
cate of Compliance has been issued by this Board of ea h. aa
Signe r i Date J'J. )-;File,
Application Approved by Date c3 1
Application Disapproved for the following reasons
5
Permit No. �CX9 `-� `7 Date-Issued
THE COMMONWEALTH OF MASSACHUSETTS
/ -7 0- OD 9 BARNSTABLE, MASSACHUSETTS
(Certificate of (Compliance
THIS IS TO CERTIFY, that the On-siteSewage Disposal System Constructed ( )Repaired ( )Upgraded(�
Abandoned( )by
at has been constructed in �ccordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.)U of- I q-7 dated i W 11) u r
Installe-�_./; .11 7l' ... .. / Designer / r G�< < N
The issuane2of this pe t shall not be construed as a guarantee that the syste),J
ywy-ZVwill function�as.designed.
Date I o t h Inspector _
- - ---yy---=1-p----------------------------- - —
No.C'7l�LJ 5 17 Fee
THE COMMONWEALTH OF MASSACHUSETTS
?0-007 PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Disposer 6p5tem Construction Permit
Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( )
System located at / 7 6
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 m�us be completedr
' within three years of the to of this emit.
Date: ' , o'b I J Approved b
f
Bk 20568 P:9347 4`87343
i
DEED RESTRICTION
We, NANCY RUSSO and SUSAN OIKELMUS, as Administratrices with the will
annexed of the Estate of Joseph K. Oikelmus, late of West Barnstable, Massachusetts, Barnstable
County Probate Docket No. 05P0853AA-1, and individually do hereby place the following
restriction on the land of the late Joseph K. Oikelmus located at 136 Cedar Street, West
Barnstable, Barnstable County,Massachusetts,more particularly described in a deed dated April
3, 1946, recorded at Barnstable County Registry of Deeds in Book 645, Page 311, in accordance
with an agreement with the Town of Barnstable Board of Health dated December 13, 2005,
which restriction shall run with the land and be binding upon all successors in title:
(1) The house located upon this property shall contain no more than three(3)
bedrooms.
(2) We agree that this shall be a permanent deed restriction affecting the premises
located at 136 Cedar Street, West Barnstable, Massachusetts described in the
aforesaid deed dated April 3, 1946,recorded at Barnstable County Registry of
Deeds, Book 645, Page 311.
EXECUTED as a sealed instrument this 14`h day of December 2005.
Nancy Rus o Nancy Russ
a G, �
Susan Oikelmus 'Susan Oikelmus
Administratrices with the will annexed
of the Estate of Joseph Oikelmus
COMMONWEALTH OF MASSACHUSETTS
Barnstable, ss
On this 141h day of December 2005, before me personally appeared NANCY RUSSO and
SUSAN OIKELMUS, to me known to be the persons described in and who executed the
foregoing instrument, and acknowledged the same as their free act and deed.
avid B. Cole Notary Public
My commission expires: March 22, 2007
ENVIROTECH LABORATORIES,INC.
MA CERT.JVO.:M-MA 063
8Jab Sebastian Dr-Unit#12
Sandwich, MA 02963
(908)888-6460 1-800-339-6460
FAX(908)888-6446
CLIENT: Nancy Russo LOCATION: 136 Ceder
ADDRESS: PO Box 74 W Barnstable MA
Westford MA 01886
COLLECTED BY. Ed Meehan Wells SAMPLE DATE: 12/23/2005
SAMPLE TIME: N/A
WATER SAMPLE TYPE: New Well DATE RECEIVED: 12/23/2005
LAB I.D. #: 0512310
WELL SPECS.: 36' 79'
RESULTS OF ANALYSIS:
Parameters Units Recommended Results Method Date Analyzed
Limits
Coliform bacteria /100ml 0 0 9222 B 12/23/2005
pH pH units 6.5-8.5 6.31 4500 H+ 12/23/2005
Conductance umhos/cm 500 125 120.1 12/23/2005
Nitrate-N mg/L 10.0 1.03 300.0 12/23/2005
Nitrite-N mg/L 1.00 <0.004 300.0 12/23/2005
Sodium mg/L 20.0 14.9 200.7 12/27/2005.
Iron mg/L 0.3 0.1 200.7 12/27/2005
Manganese mg/L 0.05 0.238 200.7 12/27/2005
COMMENTS: Low pH indicates high corrosive characteristics.
Manganese is not a health hazard, but may cause staining and/or give
water an odor or taste.
WATER MEETS EPA STANDARDS AND IS SUITABLE FOR DRINKING PURPOSES
FOR PARAMETERS TESTED.
ND= None Detected.
<= Less than
>=Greater than
TNTC=Too numerous to count
Date*VA'
� �'�4l
Ronald J. Sa i
Laboratory it ector
e
To" of Barnstable
Regulatory Services
Thomas F. Geiler, Director
BARKWABLE
M� 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: f /0 4 Sewage Permit# 20of- � C/7 Assessor's Map\Parcel ./7 0-001
Designer: G./ak- E, t{a,•.� ry���7 .S. Installer: Jo. ,J
Address: LQ.olc. ,�Oj�L.y Address: a0t �( 1 L!s
dQ G 3 °L
On S-Iri 9 Cj was issued a permit to install a
(date) (installer)
septic system at (4dAt-.1—0 6.1. -ITA -y J-64/e_ based.on a design drawn by
(add ess)
G-• f fa,,•.,h5 -6 S, dated 1r/7 PJ_ rG V. 11/j t/t
(designer)
V 1 certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank.
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State & Local Regulations. Plan revision or
certified as-built by designer to follow. _
„���H 4F brass
f � GLEN
ERIC r�
Installer's Signature) a HARRINGTON
Na. 1070
1AV-/S-JS
/TAR\
esigner' ign re) (Affix Designer's Stamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF
COMPLIANCE WELL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE
RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU.
Q:Health/Septic/Designer Certification Form 3-26-04.doc
Town of Barnstable �O
Regulatory Services ll
Thomas F. Geiler, Director
MAAq�� snjwstaa�.
Public Healtb Division
t o Thomas McKean, Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer& Designer Certification Form
Date: 1 /Q Sewage Permit# 20of" � Y? Assessor's Map\Parcel /7 0—001
Designer: G/ar.. E, t{ar.� y�o�,�.S, Installer: rtn I Nam/
Address: L e olc�. 1-0J�Gy Address: P o f (,
On 12. 11r lc�� kzpcp u 9 r.) was issued a permit to install a
(date (installer)
septic system at C4410-c 17 6,1. ZAeti /e based on a design drawn by
(add ess)
G.. f fV e01rh516o h; ,e. 5t dated 11�I0J' rC,V, l,�j I�r
(designer)
V 1 certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank.
1 certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State & Local Regulations. Plan revision or
certified as-built by designer to follow.
H OF ass
GLEN 9�yG
ERICn
Installer's Signature) HRRINGT0N
Ne. 1070
esigner' ign re) (Affix Designer's Stamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF
COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE
RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU.
Q:Health/Septic/Designer Certification Form 3-26-04.doc
TOWN OF BARNSTABLE61
LOC TIO �9 f to � � t SEWAGE # 2 UD�- 6 q?
VII.LAGE 7.
ASSESSOR'S MAP & LOT B a~
INSTALLER'S NAME&PHONE NO. "� � &0t";ro
SEPTIC TANK CAPACITY ySon ^hm3milink t
LEACHING FACILITY: (type) f 1 X 2 K" 9» SDQ4J (size) 9 X �
NO. OF BEDROOMS
BUILDER OR OWNER
PERMTTDATE: 2 a O COMPLIANCE DATE: 0 2.00
,r
Separation Distance Between the:
_Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Sc-F ple.lu Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Sc-e QJ" Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Spec� � Feet
Furnished by
o , cam
3 e 7S ,
14
�Aa�
� I
t
3
���ZHE T°{yti
Town of Barnstable
+ BARNS-rABLL
MASS.1639. Board of Health
�0
A 200 Main Street, Hyannis MA 02601
Office: 508-862-4644 Wayne Miller,M.D..
FAX: 508-790-6304 Sumner Kaufman,MSPH
Paul J.Canniff,D.M.D..
December 19, 2005
Mr. Glen Harrington, R.S.
9 Leda Rose Lane
Marstons Mills, MA 02648
RE: 136_Cedar Street, West Barnstable, MA _ _ _ A A= 130-009
Dear Mr. Harrington,
You are granted conditional variances, on behalf of your client, Nancy Russo, to
construct an onsite sewage disposal system at 136 Cedar Street, Hyannis, MA.
The variances granted are as follows:
SECTION 397-2: The soil absorption system will be located 100 feet away from
an onsite well, in lieu of the one-hundred fifty (150) feet minimum
separation distance required.
SECTION 397-2: The septic tank will be located less than 100 feet away from the
onsite well, in lieu of the one-hundred (100) feet minimum separation
distance required.
This variances are granted with the following conditions:
(1) No more than three (3) bedrooms maximum are authorized at this
property. Dens, study rooms, offices, finished attics, sleeping lofts, and
similar-type rooms are considered "bedrooms" according to the MA
Department of Environmental Protection.
(2) The applicant shall record a properly worded deed restriction, signed by
the owner of the property, at the Barnstable County Registry of Deeds
restricting the property to three (3) bedrooms maximum. A copy of the
recorded deed restriction shall be submitted to the Health Agent prior to
obtaining a disposal works construction permit.
Q:\WPFILES\HarringtonRusso2OO5.doc
i
i
(3) The engineer's plans shall be revised to show 100 feet separation
between the abutter's well and the onsite septic tank.
(4) The septic system plans shall be installed in substantial compliance with
the revised engineered plans.
(5) The designing sanitarian shall supervise the construction of the onsite
sewage disposal system and shall certify in writing to the Board of Health
that the system was installed in substantial compliance with the revised
plans.
These variances are granted because the physical constraints at the site
severely restrict the location of the soil absorption system due to the close
proximity of private wells and wetlands in the area. It is the opinion of this Board
that the proposed new septic system is designed to meet the maximum feasible
compliance standards contained within the State Environmental Code, Title V.
Sincerely yours,
Wayne A. Miller, M.D.
Chairman
Q:\WPFILES\HarringtonRusso2OO5.doc
T ..
Town of Barnstable
• un�uvsrnSLE,
9� 6 9 ,��' Board of Health
h/�AtE4 A'I a,
200 Main Street, Hyannis MA 02601
Office: 508-8624644 Wayne Miller,M.D..
FAX: 508-790-6304 Sumner Kaufrnan,MSPH
Paul I Canniff,.D.M.D..
December 19, 2005
Mr. Glen Harrington, R.S.
9 Leda Rose Lane
Marstons Mills, MA 02648
RE: 136 Cedar,Street; his, MA ,_- m A 130 009� n
Dear Mr. Harrington,
You are granted conditional variances, on behalf of your client, Nancy Russo, to
construct an onsite sewage disposal system at 136 Cedar Street, Hyannis, MA.
The variances granted are as follows:
SECTION 397-2: The soil absorption system will be located 100 feet away from
an onsite well, in lieu of the one-hundred fifty (150) feet minimum
separation distance required.
SECTION 397-2: The septic tank will be located less than 100 feet away from the
onsite well, in lieu of the one-hundred (100) feet minimum separation
distance required.
'This variances are granted with the following conditions:
(1) No more than three (3) bedrooms maximum are authorized at this
property. Dens, study rooms, offices, finished attics, sleeping lofts, and
similar-type rooms are considered "bedrooms" according to the MA
Department of Environmental Protection.
(2) The applicant shall record a properly worded deed restriction, signed by
the owner of the property, at the Barnstable County Registry of Deeds
restricting the property to three (3) bedrooms maximum. A copy of the
recorded deed restriction shall be submitted to the Health Agent prior to
obtaining a disposal works construction permit.
Q:\WPFILES\HarringtonRusso2005.doc
(3) The engineer's plans shall be revised to show 100 feet separation
between the abutter's well and the onsite septic tank.
(4) The septic system plans shall be installed in substantial compliance with
the revised engineered plans.
(5) The designing sanitarian shall supervise the construction of the onsite
sewage disposal system and shall certify in writing to the Board of Health
that the system was installed in substantial compliance with the revised
plans.
These variances are granted because the physical constraints at the site
severely restrict the location of the soil absorption system due to the close
proximity of private wells and wetlands in the area. It is the opinion of this Board
that the proposed new septic system is designed to meet the maximum feasible
compliance standards contained within the State Environmental Code, Title V.
Sin ely yours
yne . Miller, M.D.
Chair n
Q:\WPFILES\I-IarringtonRusso2OO5.doe
r
�SF1E Tp� DATE: 111ZIOZ2
FEE:
IiARNSTABI.E.
VA
MASS.
REC. BY ��fij
�E° ,�► Town of Barnstable
SCHED. DATE:
Board of Health liw�/06
200 Main Street, Hyannis MA 02601
Office: 508-862-4644 Susan G.Rask,R.S.
FAX: 508-790-6304 Sumner Kaufman,M.S.P.H.
Wayne A. Miller,M.D.
VARIANCE REQUEST FORM
LOCATION / /J
Property Address: �� lR0'� S pa` , We�t Fa" w6�e
Assessor's Map and Parcel Number: i To-00 9 Size of Lot:
Wetlands Within 306 Ft. Yes Business Name:
No
Subdivision Name:
APPLICANT'S NAME: /`'�^^-Lj' (Z,,5J y Phone §7 T'sl ? - 6 z z y
Did the owner of the property authorize you to represent him or her? Yes -- No
PROPERTY OWNER'S NAME CONTACT PERSON
Name: To 7y A Q, ke Name: 66C411
Address: Address: 0' L aka Z-k Lam►
/t4a"JfC--j /0/ A °Lryr
Phone: Phone: po 9%Ci ZF- 39GZ-
VARI4,NCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed)
397 - 2 we,!l fo T. r ^ 9/' LdaF F.a,o � 6
al,.,*4--- e /Zz Goer Lod ,'s r ya f
Z 97- 2, (-la/ h� S/f S-f 1. r. (�A.� r e)�t-i"o,.,� of wt v6 Si 2 t .
uLt Si{� /oo'f
NATURE OF WORK House Addition 0 ????? House Renovation 0 Repair of Failed Septic System 0
Checklist (to be completed by office staff-person receiving variance request application)
Please submit copies in 4 separate completed sets.
_ Four(4)copies of the completed variance request form
_ Four(4)copies of engineered plan submitted(e.g.septic system plans)
_ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)
_ Signed letter stating that the property owner authorized you to represent him/her for this request
— Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense
(for Title V and/or local sewage regulation variances only)
Full menu submitted(for grease trap variance requests only)
C:\Documents and Settings\decollik\Local Settings\Temporary Internet Fi1es\0LK3\VARIREQ.D0C
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Town of Barnstable P# )W 0
Department of Regulatory Services 1
Public Health Division Date la 6
169. 200 Main Street,Hyannis MA 02601
'°rtbta "u e Y
d L,�; � 0.+ram•.
Date Scheduled Time `1 Fee Pd. d t
s L.P.
y
Soil Suitability Assessment for Sewage Disposal
Performed B,&' lG � ✓%rl S 1il. K S• Witnessed By: ,
LOCATION&GENERAL INFORMATION
Location Address `:� 3(y C Z.eta f- ,•�.� Owner'sName�(ja.�,Gy I V00
• �r'�f tie Address
Assessor's Map/Parcel: ,?p/00 Engineer's Name G. �it,rrr ru �OH� S•
NEW CONSTRUCTION4 REPAIR ` ! •` Telephone# Sb 0 — L 9-
c� ti_. `,
s]2n�Use'1'�'i1"X( / Yi�r"^'''`,Slopes(%) Surface Stones f` yG 1
Distances from: Open Water Body 2 ft Possible Wet Area eft Drinking Water Well
Drainage Way ft Property line r ft Other. ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands 3n proximity to holes)
n�5
F-1
a S�
N t
n1 Z
z
• 1,
30t36
G eArAl S�
Parent material(geologic)
Qlu 1aJ,4,JyOS;4) Depth to Bedrock > .700
'
Depth to Groundwater. Standing Water in Hole: Weeping P g from Pit Race
Estimated Seasonal High Groundwater
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: in. Depth to soil mottles:
Depth to weeping from side of obs.hole: in, Groundwater Adjustment ft
Index Well# Reading Date: Index Well) Vel� Adj.thetor,• r�� Adj.Groundwater Level
PERCOLATION TEST �atr Tlttte,��'l
HoObservation
e#tion / 'Z Time at 9"
Depth of Perc
s- -7 �.lG yu. _ Time at 6"
Time(9"-6'7 --
Start Pre-soak Time @ t`-_ '•� `.
End Pre-soak
Rate Min./Inch
Site Suitability Assessment: Site Passed V/ Site Failed: Additional Testing Needed(Y/N)
Original: Health
Observation Hole Data To Be Completed on Back-
� ' , ,
***If percolation test is to be conducted within 100' of wetland,you must&§tnotify 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 .Sbil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders.
Consistenc% Gravel)
l
G — /o
` DEEP'O1SERVATION HOLE LOG 1% c..,.,,.rw. Hole#
Depth from Soil Horizon Soil Texture Soil Color•..0,t•_:: ;,Soil, `W. ! Other
Surface in. (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel)
V ti l v"r `4 FS� •• '•
10- Z� fit,✓ G S �� - f p �P.s'/6 �vv , ��
7,l.?.6 G
p,r5
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)
1
1
's
DEEP,OBSERVATION HOLE LOG Hole#
Depth from SGil Horizon— Soil Texture Soil Color Soil Other
Surface(in. t t': ; (USDA) (Munsell) Mottling (Structure,Stones;Boulders.
i .•c.�S f' .1,l�
F\ «5�
r iood Insurance Rate Mgg:
Above 500 year flood boundary No_ Yes v__
,,•. 'Within SOU year boundary No `� Yes
Within l00 year flood boundary No ✓ Yes �'s`;. 1y'
Depth of Naturally Occurring Pervious Material `zW'
naturally occurring pervious material exist In all areas observed throughout the
Does at least four feet of na y g p v� � ,{ ,•
area proposed for the soil absorption system? --f—�=
If not,what is the�deptli of.naturally occurring.pervious�material? . ,
C
e
rti
fi
c
a
t
i
o
n
-`'
V �9��date I have assed the soil evaluator examination approved by the
I certify that on ) P
Department of Environmental Protection and that the above analysis,was performed by me consistent with
the required training,expertise an xpe 'ence described in 110 CMR 15.017.
/ Date
Signature ,
Q:\SEPTIOPERCFORM.DOC
No.-Ws----0- Fee---- ---- ----------
BOARD OF HEALTH
TOWN. OF BARNSTABLE
Zipplication-forlVell Con0ructionpermit
Application is hereby made for a permit to 0 r c Alter or Repair ( )an individual Well at:
Location — Address f Assessors Map and Parcel
A
Owner Address
-a
(9
Installer r, Address
Type of Building
Dwelling
Other - Type of Building- No. of Persons------ ---
tI p A-
Type of Well —-----
Purpose of Well oO
Agreement:
The undersigned agrees to install the aforidescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to
place the well in operation until a ertificateof Compliance has been issued by the Board of Health.
Signe le
0AApplication Approved By� date
Application Disapproved for the followinLZns:
date
Permit No.
Issued ——-------
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certif irate Of Compliance
THIS IS TO_5E5TIFY, That the Individual Well Constructed Altered or Repaired
by— Z-J--
Installer
a ------- JA---41z�-------has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection
Regulation as described in the application for Well Construction Permit NA)V�Oated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE.WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE Inspector—-------
h 0- 25
No.--W�� Fee---- --- -------.;,_
BOARD OF HEALTH
TOWN OF BARNSTABLE
appricat on,f'or lVell Construct on Permit
Application is hereby made for' a permit to Con r ct ( Alter ( ), or Repair ( )an individual Well at:
- --� F-�A S � � ---------- -- ---- — ---
Location — Address Y Assessors Map and Parcel
Owner Address
-fi r F -- - j - � y- ��
---------------------- ------------ ----------
Installer — Dnl er Address
Type of Building
Dwelling -- ---17- -- - -- -
Other - Type of Building----•---------_______ No. of Persons----------------•--------------------
H
Type of Well ----
Purpose of Well �_------___--
' r
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to
place the well in operation until a ertificate .of Compliance has been issued by the Board of Health.
Signed U —_ ____
A&/Ie
Application Approved By. _ . . �
date
Application Disapproved for the following a ns:---------------------
date
Permit No. -a) Issued-- �� --0 --------------------
date
!wrM�IMrww�rswgisww.!Iw Marwrr�rwlrwww.w►+Y�r'•w!i►w.�►�i.ww+VN►.w'r Nrr.w+lYa�wlr.l.r.M.l�w�►w11d�r:+�+l..+IMlMw W—a"s 0,Ma No mom w.--------------.
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate Of Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered { ), or Repaired
Installer—
at
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection
Regulation as described in the application for Well Construction Permit G----------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE--_-- — - -- Inspector--- - ------------------ ------ --
>wwwwwwi�siwwif�w���w�i�i���w��w1��w��wwJOw wwlMwi+�.w�I�wiwwsw�ww�w�r�p#w���wiiwww�ww Ow w�w0 wwa0 Q'�.�.LE Ou-m acs� -
BOARD OF HEALTH
TOWN OF BARNSTABLE
well Conmruct ion Permit � ✓-
No. Fee �----
We
Permission is hereby granted _'____________________
to Construct ( Alter ( ), or,Re ' ( a I div' ual Well at: f
No. - �� �1�j -} -�- ---�!4�--� t--� ---------------
Street N�
as sho on the applicati_o..n�f�r a ,ell Construction Permit
No.- -E ��r --- ----- Dated- £� -----------------------------------
__-------'---�� — �_/L —Boards of Health
DATE __ "
SITE PLAN rnan---rnade -1- N
SCALE: 1"=20' .
}} 0 CIa
`� a'l�r ('�C I -4- AL -4 �- S I 1 �_ W Streetil
BENCH MARK ON TOP OF MAIN DWELLING vv FLAGt-
FOUNDATION ELEV.=100.00' ASSUMED AL ,/ 0
/ W
LEGEND 'L 44' �` -1`' � �k cedar Street
[ ] DEED DISTANCE FLAG � � � �
fir¢
a o o PROPOSED 1500 GAL ti� x e9.4Lr `1 Ir _
H-10 SEPTIC TANK x ,w ROUTE 6 EXIT 5
X 104.46 DENOTES EXISTING
SPOT GRADE N/F`JO DAVID x 83,W ROS, Service
95- EXISTING CONTOUR
l- � #0 WATER HOLE ROAD Road
DEEP TEST HOLE �P® 130/008
APPROX. LOCATION Design Calculations LOCUS
SCALE: AS SHOWN
s
PROPOSED WATER LINEE
�Q` Number of Bedrooms: 'W Existing 3
Q� x%M' az' 1 Garbage Grinder: NO, GRINDER NOT ALLOWED WITH THIS DESIGN
Septic Tank Capacity Required: 220 gpd X 200% = 440 gpd
TN na X Septic Tank Provided: 1,500 gallon PROPOSED
Leaching Capacity Required: 330 Gal./Day (MIN. PER TITLE V)
Leaching Area Required: 330 Gal./(0.74 Gal./Sq.Ft.)=446 Sq.Ft.
4, Proposed Leaching Area Provided: 25' X 13' X 2.0' 479 SQ.FT.
> ��r ���,�, < �•��, s►lEn �,� Total Leaching Capacity: 355 gpd > 330 gpd. req'd.
TN #2 GENERAL NOTES
4 � 1. ADDRESS. 136 C ST BARNSTABLE /
00
' a rr 2. ASSESSOR NUM R: 13Q-009 Ajl
1-25 L X 13 W X 2.0 D �� .�� �' °mr
leachingtrench using 2 � ��ex. AREA - 2`),. 00± `SQ.FT. 3. DEVELOPER'S LOT:
`0 4. TOPOGRAPHIC INFORMATION WAS COMPILED FROM AN
H-10 500-gallon chcarnbers� :`v:' O 94.T9' ON THE GROUND INSTRUMENT SURVEY.
with 4 of stone all around.
O TO BE 5. WELL WATER IS PROVIDED TO SITE & SURROUNDING PROPERTIES.
EXISTING CESSPOOL
PUMPED AND POOL TO
6. REFERENCE PLAN: PLAN BOOK 362 PAGE 30
"�'=:•....::; /` REFERENCE PLAN: "PLAN SHOWING A PROPOSED REPAIR TO AN EXISTING SUBSURFACE
re SEPTIC DISPOSAL SYSTEM, 122 CEDAR STREET, WEST BARNSTABLE, MA." SCALE 1"=30',
DATED JUNE 6, 2005 BY CANAL LAND SURVEYING SAGAMORE BEACH, ILiE4.
7. WETLANDS ARE LOCATED AS DEPICTED ON THE Sh PLAN.
x 98.6a x e7a7� 8. NO POTABLE WELLS ARE LOCATED WITHIN 150 FEET OF SAS.
CAR" a,Jce 9. UNDERGROUND UTILITIES LOCATED PER DIGSAFE NOTIFICATION #20054006456.
9I.9I- CONSTRUCTION NOTES
c9 1. Contractor is responsible for Digsafe notification
97AS, and protection of all underground utilities and pipes.
9912 II �` X �� 2. The septic tank glistrlbu.jon box shall be set
X a l I level on 6 of 3�4 -11/2 stone.
94Z7 3. Backfill should be clean sand or gravel with no
X 9A,49' EXISTING MOUNDED SAS
stones over 3e in size.
4. This system is`subject to inspection during installation
Dint- DRIVE x 97.911 by Glen E. Harrington, 'R.S.
97 O X 92eLr 5. The contractor shall install this system in accordance
with Title V of the Massachusetts Environmental Code
TIE IN TO EXISTING LINE
�, _ and the !Regulations of the Town of BARNSTABLE.
�
6. Provids on Acme Precast- H-10 1 500 GAL. SEPTIC TANK
an H 10 distribution box and 2-400 gallon H-10 leachng chambers or equal.
x 9o,s4 �Q Iry 7. No vehicle or heavy machinery shall drive over the
0 u; septic system unless noted as H-20 septic components.
E)(IS WELL TO BE 8. Install gas baffle or equal on septic tank outlet tee end.
Gy,(�{�'j,;,�,� D►SCONT EDQ �O'fi�Q 9. All existing inverts and site conditions shall be verified by contractor.
�A ( .M. 'i '. ', 10. DESIGNER IS TO INSPECT AND CERTIFY INSTALLATION.
0-1
) �� `y`� " 11. The existing cesspool shall be pumped and bockfilled.
off,, III �
C Imm, BOARD OF HEALTH VARIANCE
6 Section 397-2. A variance is requested to allow a proposed :SAS and a
proposed 1,500 gallon septic tank to be installed
100 feet and 59 feet, resectively, from the proposed on-site potable well.
Section 397-2. A variance is requested to allow a proposed 1,500 gallon septic tank
Pi 1 1 19 a _-- --e_s• - 5, be installed 91 feet from the existing potable well at #122 Cedar Street.
Perk Test PROPOSED WELL F
1-21r p,uL.Nxess Maeananc
Depth to perk hole- 58" - 76"
24 gals added in less than 15 minute soak period ® " it
Use <2 minutes per inch for design purposes ` 24" 34
t P 9 P P .,
1 I � �i
PERK TEST CSC SOIL EVALUATION REINFORCER PREc,N.sl CONCRETE ��' g �����°° �� PROPOSED SEPTA„ SYSTEM UPGRADE ;
2 H•-10 500 aL ctaarribers ���� �£'p�,�
DATE OF PERC TEST & SOIL EVAL..: OCTOBER 3, 2005 9 � F t VIF `' Pf:° °FOR
,FEND-�E('TION o E
TEST PERFORMED BY: G. HARRINGTON, R.S. X fnd, ERI o- t NANCY RUSSO
WITNESSED BY: DONALD DESMARAIS. R.S., HEALTH INSPECTOR HH-10 50C G��1-L�ON CIHgNiBE R .
EXCAVATED BY: SCOTT FRANK, MASS CAPE CONSTRUCTION EXISTING WELL RRIN r"' AT
#122 CEDAR STREET NOT TO SCALE � 1 7
USE ACME PRECAST OR EQUAL .� �® #136 CEDAR STREET
Test Hole Test Hole
'9tV1TA"1� BARNSTABLE (WEST BARNSTABLE), MA
101 NO. 1 NO. 2 'TOTE: ALL PIPES ARE TO BE 4" DIA, SCHEDULE 40 P.V.C.
DEPTH SOILS ELEV. DEPTHSOILS ELEV. _.._ e o s from tank
�
0 a house to septic tank q!(7TE: INSTALL GAS BAFFLE OR EQUAL ON SF.PIIIC TANK OiiTL.ET 1T_t:,
" °�� must be Finished QR+ads wer ryntsmm= slope. away PREPARED BY:
Existing House S¢ ,2 o ffnlnhod grctdaa
a
f otiftaja roma/X iX L Box whin flnIched$dace E x i s t I Tl Grade E l e v.=
,a" LMuaMY sALo a• LM>wr sAw -7l2Elt1slR: ,... , -. : �1 aa2 _ .,�,. GLEN E. HAR I�I N GTO N, R.S.
Bw Bw D-BOX ccytr rne,be
r,m„v fQL,te/, La S® tr.ti2' within V of fH,,hmd j&"_/ ,m�x. 9 LE DA ROSE LAN E
9 AL(n. 2"-1 1 2"
3$* LOAMY�WLG 8 28" LOAMY�!M® ` - - 5®,O,f�"P�- for 2' woshed sttmn s - a
cellar 97;--- PROPOSED--�------ L �-��= T�-�.�one Eliv�r.=�2.0 MARSTONS MILLS, MA 02648
c1 CI --------- SEPTIC 00 TANK 1`3
LW-wrae.E H-10 _ '✓!►�IEMA�L .�4 �:91,67 - . i�a C Leach TEL: 508-428-38i�2
a sad ewed cas e
- P a - ,- LEACH 2TRENGH -Trench Elev.= 89.54' FAX: 508-428-38132
2 eme/4 aLLY�/4 E X i S t i B� p 2. 7 a ' /�' �j �y p
6"OF'8j4"-11 jz"STONE _ ' �y - �0 ± (� L\E bt D
a SCALE: 1"=20' DRAWN BY: GEH NOV. 7, 2005
NO GROUNDWATER ENCOUNTERED SY5JE PPF;C7F'I E a" CF 31W'-11/2" MINE , FILE: RUSSO SHEET 1 OF 1
Not to Scale BOTTOM OF T.H. #�1 ELEV,=79.23 DATUM: ASSUMED
`I
it II l i L i -
SITE PLAN 3 N
man-made �. �
SCALE: 1"=20' water hole A` �. ALI AL ,L SITE `t sChurch
BENCH MARK ON Top OF MAIN DwEwNG FLM ,L
FOUNDATION ELEV.-100.00' ASSUMED AL
ZL
ALAL 'I` - � AL � AL Cedar Street �
�
LEGEND
[ ] DEED DISTANCE M '� AL AL � AL
�
r
GAL
0-0 o H-1R 100 SEPTICOSEDI�TAW x --- ROUTE 6 EXIT 5
X 104.48 DENOTES EXISTING
SPOT GRADE a0(\ x 93W NIF DAVID MI. ROSS Service
-95 EXISTING CONTOUR `• '�'-�--..,,,,.,,,� ° W 13E(} HOLE ROAD Road
DEEP TEST HOLE �oP �'°° Design Calculations LOCUS
PROPOSED
LOCATIOONUNE J Number of Bedrooms: 3 Existing SCALE: AS SHOWN
Garbage Grinder:
�, GRINDER A-- XH DESIGN
x Septic Tank Capacity Required: gpd 2009 = 4� gPd
x O Septic Tank Provided: 1,500 gallon PROPOSED
�d � Leaching Capacity Required: 330 Gal./Day
�Q �. Leaching Area Required: 330 Gal./(0.74 Gal,/Sq.Ft.)=446 Sq.Ft.
Proposed Leaching Area Provided: 25' X 13' X 2.0' = 479 SQ.FT.
Total Leaching Capacity. 355 gpd > 330 gpd. req d.
GENERAL NOTES
1.PROPOSED Gec �� �ti 2. ASSESSORS, NUMBER:: 130-00S: #136 CEDAR 9 W EST BARNSTABLE
1--25'L X 13-W X 2.0' D �&� A R q =- , ® r�`�-�-. 3. DEVELOPERS LOT:
L A ��( 4. TOPOGRAPHIC INFORMATION WAS COMPILED FROM AN
leaching trench using 2 �{' , •' �' ON THE GROUND INSTRUMENT SURVEY.
H-10 500-gallon chambers :'L ' '0 SK71Y 5. WELL WATER IS PROVIDED TO SITE & SURROUNDING PROPERTIES.
with 4` of stone all around, 6. REFERENCE PLAN: PLAN BOOK 362 PAGE 30 SUBSURFACE
O EXISTING CESSPOOL TO BE REFERENCE PLAN: "PLAN SHOWING A PROPOSED REPAIR TO AN EXISTING SUBS
/PUMPED AND BACKFILLED SEPTIC DISPOSAL SYSTEM 122 CEDAR STREET WEST BARNSTABLE, MA." SCALE 1"=30'.
s �c' DATED DUNE 6, 2005 BY CANAL LAND SURVVING SAGAMORE BEACH, lik
o Q) �. x 87Z, 8. WETLANDS
O�PO ABLERWELLLS ARE LOC AS ATED DEPICTED ON
1 THE
FEET OFF SAS.
x 97oy ° x", 9. UNDERGROUND UTILITIES LOCATED PER DIGSAFE NOTIFICATION #20054006456.
GNU0" ` � CONSTRUCTION NOTES
1. Contractor is responsible for Digsafe notification
Cq� and protection of all underground utilities and pipes.
2. The septic"tank $ Oistrib 'on box shall be set
1 ievel on 6 of 3 4 -11 2 stone.
(I x Sam 3. Backfill should be clean sand or gravel with no
x * L` stones over 3" in size.
r
EXISTING MOUNDED SAS 4. This system is subject to inspection during installation
by Glen E. Harrington, R.S.
DIRT DRIVE x 9791, 5. The contractor shall install this system in accordance
with
99•+z' �•�+' 0 x seed a d the e Regulations of the Town Environmental V of the Massachusetts ode
of BARNSTABLE.
9&7' 6. Provide an Acme Precast H-10 1 500 GAL. SEPTIC TANKr
rtE IN To EXU'r ;� q� an H-10 distribution box and 2-500 gallon H-10 leaching chambers or equal.
k� � 7. No vehicle or heavy machinery shall drive over the
x 95m. 3, septic system unless noted as H-20 septic components.
8. Install gas baffle or equal on septic tank outlet tee end.
�c 9. All existing inverts and site conditions shall be verified by contractor.
y G' T a WELL QQ` 10. BOARD OF HEALTH AND DESIGNER ARE TO INSPECT AND CERTIFY INSTALLATION.
r� C7. ��LFP��.!�� y�Q �t� ,�,� �,a. 11. The existing cesspool shall be pumped and backfilled.
�,��- ��,��i,��Aal ���R�ti ,t" ° " " • • .. ,. BOARD OF HEALTH VARIANCES
I-W*WA AMENS
•,.. ' Section 397-2. A variance is requested to allow a proposed SAS--and a proposed 1,500
gallon septic tank to be installed 100 feet and 59 feet, resectively, from
1 the proposed on-site potable well in lieu of the required 150 feet.
Section 397-2. A variance is requested to allow a proposed 1,500 gallon septic tank
.�J •� �� be installed 91 feet from the existing potable well at #122 Cedar Street
9ML RONFMM PRECAST COWRIM in lieu of the required 150 feet.
k� PLAN VIEW Section 397-8. A variance is requested to oil9w a proposed 1,500 gallon septic tank
P 1 1119 � ` 51 be installed 91 feet froM the existing potable well at #122 Cedar Street
In lieu of the required 100 feet.
Perk Test
PROPOSED WELL Section 397-8. A variance is requested to allow a proposed 1,500 gallon septic tank
- D bn lieu of the required 1000 feet.talled 9 feet from the site existing potable well
Depth to perk hole- 58" 76"
24 gals added in less than 15 minute soak period ® C3 C2 ® Z 34"
Use C2 minutes per Inch for design purposes C3 C3 `1® 24' i REVISED 11/13/2005: ADDED VARIANCE PER BOH, THREE BEDROOM DESIGN.
PERK TEST & SOIL EVALUATION 2 H-10 500 gal. chambers
sL� o®F ss PROPOSED SEPTIC SYSTEM UPGRADE
AW
DATE OF PERC TEST & SOIL EVAL: OCTOBER 3, 2005 END-SECTIONc�' M°' Fog
TEST PERFORMED BY: G. HARRINGTON, R.S. 3 fnd e N ®ER! NANCY RUSSO
WITNESSED BY: DONALD DESMARAIS, R.S., HEALTH INSPECTOR WELL H--10 500 GALLON CHAMBER HA AT
EXCAVATED BY: SCOTT FRANK. MASS CAPE CONSTRUCTION EXISTING
#122 CEDAR STREET NOT TO SCALE 1 74® 136 CEDAR STREET
S�(i 1ST��''��
Test Hole lest Hole USE ACME PRECAST OR EQUAL
No. 1 No. 2 qI l T A� BARNSTABLE (WEST BARNSTABLE), MA
DEPTH --10' min. from *NOTE: ALL PIPES ARE To BE 4" DLA. SCHEDULE 40 P.V.C.
SOILS ELEV; SOILS EtE1/ houise to septic tank *NOTE. INSTALL GAS BAFFLE OR EQUAL ON SEPTIC TANK OUTLET TEE.
O o
& h Existing Hauer =1n a'a`%**wd g Ftnh*md grade ""�• 'yrtm-2z via" away ! PREPARED BY:
„,�„„sM ,,,,,,,,x,,,,, ,�, S"M of "W Existing Grade Elev.=95 GLEN E. HARRINGTON, R.S.
' ' " finWwd 9 LEDA ROSE LANE
alffinfraft
S &L ---�' '-" �"� astone Elev=92.0' MARSTONS MILLS, MA 02648
ate=
' cellar ��Y PROPOSED 51
15W GAL
cl c1 3 SEPTIC TANK 13 , 4 ;9 p �, �.•+ Leach TEL: 508-428-3862
p"Mill � H-'c� - �---� --�Z 2V Trench Elev.= 89.54' FAX: 508-428-3862
4.VM/4 senW4 , > LEACH TRENCH , , ,
Existin =92.27' I '
r of 3!4"_1 _,111r•s,txiE P= ;ram 10 ± (5 REQ D) SCALE: 1"=20' DRAWN BY: GEH NOV. 7, 2005
F'=� '
NO GROUNDWATER ENCOUNTERED SYSTEM PEQEILE s•a`314"-,1/x sra� FILE: RUSSO SHEET 1 OF 1
Not to swi. BOTTOM OF T.H. 1 ELEV.=79.23 DATUM: ASSUMED
�' N
N SITE PLAN man—made AL AL SCALE: 1 =20 ,� water hole S I T E - Church
W Street
BENCH MARK ON TOP OF MAIN DWEwNc
Flea
FOUNDATION EL•EV.-100.00' ASSUMED � � �
\
� � � � o
-4-
LEGEND AL AG � Cedar Street
�
�k AL ,k -
( ] DEED DISTANCE FLAG AL
x s9Aa•
O 070 PROPOSED 1500 GAL "MONOLITHIC" y1`
H-10 SEPTIC TANK tiQ x sb• ROUTE 6 EXIT 5
DENOTES EXISTING -�
X 104.4t3 SPOT GRADE �Z`o �' x es.3a• N/F DAVID M. ROSS L O C U,D Service
—ss EXISTING CONTOUR L 10 WATER HOLE ROAD D e s i can Calculations SCALE: AS SHOWN Road
DEEP TEST HOLE �pQ� 13%08 Number of Bedrooms: 3 Existing
APPROX. LOCATION w Garbage Grinder: NO, GRINDER NOT ALLOWED WITH THIS DESIGN
PROPOSED WATER LINE Q� Septic Tank Capacity Required: 330 gpd X 200�,6 = 440 gpd
Q� x%�w 157.51' Septic Tank Provided: 1,500 gallon PROPOSED
Leaching Capacity Required: 330 Gal./Day
x U Leaching Area Required: 330 Gal./(0.74 Gal./Sq.Ft.)=446 Sq.Ft.
THE .,, ' Ca Proposed Leaching Area Provided: 25' X 1 X 2.0' = 479 SQ.FT.
Total Leaching Capacity. 355 gpd > 330 gpd. req'd.
ENERAL NOTES
1. ADDRESS: 136 CEDAR STREET, WEST BARNSTABLE
TH M2 2. ASSESSORS NUMBER: 130-009
3. DEVELOPER'S LOT:
P�OPOS D SAS `C/ 4. TOPOGRAPHIC INFORMATION WAS COMPILED FROM AN
ON THE GROUND INSTRUMENT SURVEY.
1-25 L X 13'W x 2.0 D — 4
leachingtrench using 2 AREA 23 300± SQ.FT• 5. WELL WATER IS PROVIDED TO SITE & SURROUNDING PROPERTIES.
g ' 6. REFERENCE PLAN: PLAN BOOK 362 PAGE 30
H-10 500-gallon chambers .::`ti. O REFERENCE PLAN: "PLAN SHOWING A PROPOSED REPAIR TO AN EXISTING SUBSURFACE
with 4' of stone all around. SEPTIC DISPOSAL SYSTEM, 122 CEDAR STREET WEST BARNSTABLE MA SCALE 1 =30,
O EXISTING CESSPOOL,TO BE DATED JUNE 6, 2005 BY CANAL LAND SURVEITING SAGAMORE BEdCH, t�A.
PUMPED AND BACKFff1ID 7. WETLANDS ARE LOCATED AS DEPICTED ON THE Sh PLAN.
:;: 8. NO POTABLE WELLS ARE LOCATED WITHIN 150 FEET OF SAS.
4 9. UNDERGROUND UTILITIES LOCATED PER DIGSAFE NOTIFICATION #2005.4006456,
ohPjn (] �' x e7a7•
x " rAFMl eye 0' CONSTRUCTION NOTES
1. Contractor is responsible for Digsafe notification
9L91• and protection of all underground utilities and pipes.
2. level on56"tofk3�4O�11/2�ostonex shall be set
9�.4e• 3. Backfill should"be clean sand or gravel with no
atones over 3 in size.
I x 9
4. This system is subject to inspection during installotion
I
wa 9• . I
I , by Glen E. Harrington, R.S.
I
x � O EXISTING MOUNDED SAS 5. The contractor shall install this system in accordance
With Title V of the Massachusetts Environmental_Code
DIRT DRIVE x��` and the Regulations of the Town of BARNSTABLE.
99AV 97.94' x 9"W 6. Provide an Acme Precast H-10 "MONOLITHIC" 1,500 GAL. SEPTIC TANK,
9G7r an H-10 distribution box and 2-500 gallon H-10 ,leaching chambers or equal.
7.;No vehicle or heavy-machinery shalt drive Over the
IN To Ex TVM t n1E t`1� septic system unless noted as H-20 septic "components.
I� x 93.96• 8. Install gas baffle or equal on septic tank ou�`et tee end.
.� ® ) 9. All existing inverts and site conditions shall be verged by contractor.
10. BOARD OF HEALTH AND DESIGNER ARE TO INSPECT AND CERTIFY INSTALLATION. {
DSCONi BE
WELL To fig, �Q 11. The existing cesspool shall be pumped and backfilled.
0� B.M +� y�4 , ;.:. .. . . M..
BOARD OF HEALTH VARIANCES
Section 397-2. A variance is requested to allow a proposed !,AS and a proposed 1,500
gallon septic tank to be installed 100 feet and 59 feet, resectively, from
—
learn• -� 1 the proposed on-site potable well in lieu of the required 150 feet.
98.34•
Section 397-2. A variance is requested to allow a proposed 1„500 gallon septic tank
be installed 91 feet from the existing potable well at #122 Cedar Street
Q. v srm ROPtAN V EW CONCRMin lieu of the required 150 feet.
Section 397-8. A variance is requested to allow a proposed 1„500 gallon septic tank
�� 5, be installed 59 feet from the on-site existing potable well
P 9 in lieu of the required 100 feet.
Perk Test PROPOSED WELL
�a
Depth to perk hole= 58" - 76" REVISED 12/14/2005: BOH COMMENTS — S.T. TO MONOLITHIC TANK
24 gala added in less than 15 minute Book period C3 CM � 124" I34" REVISED 11 13 2005: ADDED VARIANCE PER BOH, THREE BEDROOM DESIGN
Use C2 minutes per inch for design purposes I� / /
6
N aF MF1 PROPOSED SEPTIC SYSTEM UPGRADE
2 H-10 500 gal. chambers �P
PERK TEST & SOIL EVALUATION
P END-SECTION a�� EH y A+ FOR
DATE 'OF PERC TEST dt SOIL EVAL.: OCTOBER 3, 2005 c!T
TEST PERFORMED BY: G. HARRINGTON, R.S.I n vr>cl IG NANC:Y RUSSO
WITNESSED BY: DONALD DESMARAIS, R.S.. HEALTH INSPECTOR H-1 O 500 GALI•CN CHAB�R
iu
EXCAVATED BY: SCOTT FRANK, MASS CAPE CONSTRUCTION EXISTING WELL o' �'
� #122 CEDAR STREET NOT TO SCALE N . 107 AT j
USE ACME PRECAST OR EQUAL #136 CEDAR STREET
Test Hole Test Hole
,� STABLE WEST BARNSTABLE MA
No. 1 No. 2 Existing House /i �' BARN ( ),
*NOTE: ALL PIPES ARE TO BE 4" DIA. SCHEDULE 40 P.V.C.
SOILS ELEV. TI SOILS ELEV. 10' min. from *NOTE INSTALL GAS BAFFLE OR EQUAL ON SEPTIC TANK OUTLET TEE.
0 0 house to septic tank s tank caner, musk be PREPARED BY: '
fu wfthin tr of entahsd grads Finished grade aver eyiOLE slaps away
�, WMrrsive t " cellar �T"Box thi 6 ��° Existin Grade Elev.=95't GLEN E. HAF;RINGTON, R.S.
fs-wx cover mist be min.
J LEDA ROSE LANE
Bw ew S-O.M. within C of "thed grads M4�.2•-1/6°-1/2• ,
, , �p �p �° � ++�� � �c^e a one Elev.=92.0 ± MARSTONS MILLS, MA 02648
19000GAL _
"MON01lIC" 13'
CI mom
C1 SEP c ANK o ® S+aw. Leach TEL: 508-428-31362
" -0 E �- e Trench EliI 89.33' FAX: 508-428-3862
�ewlei+ WW/4 Exist in =92.77' - _ , LEACH TRENCH 10'f 5' REQ'D
e°aF 3/4•-11/2'smHE P= — t ) SCALE: 1"=20' DRAWN BY: GEH NOV. 7, 2005
• P— '
UNTERED 5YST.E ILE.M PROF e•of 31-e-IlIr FILE: RUSSO SHEET 1 OF 1
NO GROUNDWATER ENCO I,
Not to Scale BOTTOM-OF T.H. 1 ELEV.=79.23' DATUM: ASSUMED