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HomeMy WebLinkAbout0595 CEDAR STREET - Health 595 CEDAR'a1�rt�,1r WEST BARNSTABLE A = 109 081 TOWN OF BARNSTABLE / -- LOCATION S1S �P�9,p SEWAGE # j VILLAGE ! 1. /Qe/1e►c� ASSESSOR'S MAP & LOT 1 . II! INSTALLER'S NAME&PHONE NO. 1 SEPTIC TANK CAPACITY 1 SaOg q K(O - y LEACHING FACILITY: (type) W 1 ,-, og (size) 7' i NO.OF BEDROOMS o2 BUILDER OR OWNER e — — PERMTTDATE: COMPLIANCE DATE: r �� Separation Distance Between the: / Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Q Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) A14 Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) . A Feet Furnished by A -F Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS + ZIppricatfon for �Digaar *pgtem Construction permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. —5-?l C 6,0,41—- Owner's Name,Address and Tel.No. Assessor's Map/Parcel J-t t3A RNS7A i3 L 1 m A 6U 6� Se_-tf f J�A-Mr14 A2,VE Al 4P /0 % A2zfL k l M $UX 67q t• ,60R-ISt, 61. M4Or-d6�s Installer's Name,Addresses and Tel,,No_ 36ar,3;a Designer's Name,Address and Tel.No. 6?/1,5A 1.5 - ?,6,& �, AP..rKouR.p 244 939 A14,4 Type of Building: t� Dwelling No.of Bedrooms Lot Size • d, �/ sq.ft. Garbage Grinder( ) Other Type of Buil`�ing 44F 7TAL_ No. of Persons Showers( / ) Cafeteria( ) Other Fixtures / 154 h1A r fit, Design Flow gallons per day. Calculated daily flow 1712-d gallons. Plan Date�2-?-/q Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) PE 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 provision of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been ass ed b this Board=fl Signed Date Application Approved by Date /tIP--1, Application Disapproved forte following reasons Permit No. T9 Date Issued h k No. _.. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS Rpprication for Migozaf *p5tem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3 Owner's Name,Address and Tel.No. wt mil s-rAru- /MA OU6� Sc-.tf f�AtC 14At1,VEy Assessor's Map/Parcel %N A Z(0P lv g ARC�"C I f� �X 67�i !,�-,&JGV ff46j M A p Installer's Name,Address and Tel.No. 36 — / Designer's Name,Address and Tel.No. Cns� s ir1V 1ti AR LoIt)fs-r 1 939 iel i3O YAc2. 02.6,;5 Type of Building: Dwelling No.of Bedrooms Z Lot Size �� �� sq.ft. Garbage Grinder( ) ,. Other Type of Building /t, SY/IEN TTAL No. of Persons Showers( /) Cafeteria(` ) Other Fixtures / /3A M WA.SAE I -- Design Flow O gallons per day. Calculated daily flow 'ZZ-d gallons. Plan Date 7 .7- 9 9 Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil as PEn PLAT/ S116M gt D Natures of Repairs or Alterations(Answer when applicable) As PEn PLA 0 ry 6 AA X�-r-t"a D 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 provision of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been s ed by,this Board of Health., Signed 0 Lf. L— % Date Application'Approved by Date _ /�� -- Es 'Application Disapproved for Me following reasons Permit No. 79, '14 eb-91 Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CE , t at th Fn-site al S tem Constructed Repaired Upgraded g 1P I Y � ( P ( ) ( ) Abandoned( )by _ INC,- at � S c 6/9 3 / 6AXN. tMM"` OW f has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 7f- dated Installer Designer f r The issuance of thi ermi shall-n be construed as a guarantee that thIss m �ijlun t'o s delsigDate /7 Inspecto . _ I!. v v v tt' No. / / � C� � C� ---------------------- Fee t� THE COMMONWEALTH OF MASSACHUSETTS PUBCI ,,HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Migooaf *pgtem Conotruction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at 5'9 S C I OAX S Iv ESt 8AAHV4,31E MA 0Z66 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 musts be completed within three years of the date of this permit. Date: is - •1 Y Approved by ]. . NOV?___ -�- BOARD OF HEALTH Fee----- -------------- TOWN OF BARNSTABLE 2pplication-*r Well Congtructionpermit Application is hereby made for a permit to Construct (,"T, Alter ( ), or Repair ( )an individual Well at: . k1T. Location - Address Assessors Map and Parcel C caner Address -- - ox 91 U -/14-----------_.Q.�a. Installer - Driller —— .Address Type of Building Dwelling- w-Ue------------------------------------------------ Other - Type of Building------------------------- No. of Persons---------------------------- Type of Well���� ---- -------- Capacity---— - --——---- ——— Purpose of Well-�".�ec_ 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 Certificate .of Compliance has been issued by the Board of Health. Signe ' l.' - ------ — a 7/��---__ Q ���� - date Application Approved Byn�gdU01 --- -- --------- date Application Disapproved for the following rea s: ---------------------------------------------- ------------ ---- ---------------------------- --------- - - ------ ---------- g10� date —� ------- Issued---- -- Permit No. - �-- da - ---------- ----- BOARD OF HEALTH TOWN OF BARNSTABLE (tertificate ®f (Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (4,1, Altered ( ), or Repaired ( ) - ----------------------- ------------ Installer at_-5� � — ----- ----- ----------- ---- --- ------- has been installed in accordance with the provisions of the Town of Barnstable Boarlalt 'vate Well Protection Regulation as described in the application for Well Construction Permit No. -- ated----THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE—------- - -- Inspector-- - —-- - ---------- No. -- --- ------ Fee------ -------------- t BOARD OF HEALTH TOWN OF BAR,NSTAB E y, A.pp[icationArVell Construct ion A9ermit "Application is hereby,made or a permit to Construct (✓S, Alter ( ), or Repair ( )an individual Well at: Location. -Address —-- --— i Assessors Map and Parcel , Address F N SCG iufrf o� r_ __%'_lo r ,at iw a s t+1 �U.CUX �JLSU�//t2�5� r.4: /U A, 0,) (1 r ------------------ - --- -- - - - - '- - --- -------- - _------- Installer = Driller Address Type of Building f Dwelling v Other - .Type of Building ----- -------==------ No. of Persons------------------------------- ' Type of Well—`� `': ----- - --------= Capacity-- Purpose of Well_/)t�,, Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The i Town of Barnstable Board-of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate .of Compliance has been issued by the Board of Health. A ; date 4 Application Approved By ----- Ialit 4 date k' Application Disapproved for the following rea s- ......... =-----------=---------- ---- --- t _ e, ' Permit No.' OR -- -- Issued-=-- __^ ------ - -- a ---- t � -- - ---—dat da ri!11_i!:e.f.e:►i?i�ae:�iTs4i�:'K9&li�ati!►!1tie:�IGTi�6i8r'a1eHS3isG+6.iatKitaTia'd$'si`M�i4slYYS.satinO�G4AN!CS+ICY",I�R�NWi�S�?k!PltiBieotilldtc�:!a�GI�K'ff696TeTHi?i�!fe6.:�i+.46liTi ., .t.d.,.BOARD..OtF HEALTH + . TOWN OF BARNSTABLE C.ert'if irate Of Compliance If THIS ISnT�O�CERTIFY, That the Individual Well Constructed (✓), Altered ( ), or Repaired ( ) b u n -- Installer at__S`f S C e,J, i S T ��------ — - -- --— -- hasbeen installed in accordance with the provisions of the Town of Barnstable Boar ealt vate Well Protection Regulation as described'iii;the application for Well Construction Permit No. - --- ated -=--- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY: •' DATE Inspector— --- -. -- —- --- �f ak+.a:�.w:+.oas.s:esras:es�.+w-aeserrasYea+ecca.ce+:w.aa�s�asseass.:va�irarst�«rsgea�aa:tisea�asa.anr.Hr-rr �s-zetrseawa.ssswiv9atfads.._a4arsw.:rsar:�aea4��.:�mr:.s+�s��es..�. BOARD OF HEALTH TOWN OF BARNSTABLE Mel, Con!gtructionermit No. �— FeeOA Permission is hereby granted --_— to Construct ( ''j, Alter ( ), or Repair ( ) an Individual Well at: r` -----------------------------------=---------------No. �—_��e J 0/! S T� !. Street as shown on the application for a Well Construction Permit No.- ----— D e — ----=- - --- Boar Healtlh DATE.' qq I* r r , �w R.I. Analytical Specialists in Environmental Services CERTIFICATE OF ANALYSIS Envirotech Laboratories, Inc. Date Received: 9/29/99 Attn: Mr. Ron Saari Date Reported: 10/05/99 449 Route 130 P.O. #: Sandwich, MA 02563 Work Order #: 9909-09326 DESCRIPTION: SCOTT HARVEY (ONE DRINKING WATER SAMPLE) Subject sample(s) has/have been analyzed by our laboratory with the attached results. Reference: All parameters wire analyzed by U.S. EPA approved methodologies. The specific methodologies are listed in the methods column of the Certificate Of Analysis. If you e ques ons regarding this work, or if we may be of further assistance, please co t us. Apbr e Jam' s Mic in Vice Presi nt Qua 'ty o trol Coord' a r enc: hain f Custody 41 Illinois Avenue, Warwick, RI 02888 950 Boylston Street, Unit 102, Newton Highlands, MA 02461 Tel: (401) 737-8500 Fax: (401) 738-1970 Tel: (617) 965-5133 Fax: (617) 965-5624 ENVIROTECHLABORATORIES,INC. MA CERT.NO.:M-MA 063 449 Rte.130 Sandwich, MA 02963 908(888-6460) 1-800 339-6460 FAX(508)888-6446 CLIENT: Scott Harvey LOCATION: 595 Cedar St. ADDRESS: PO Box 679 W. Barnstable, MA 02668 W. Barnstable, MA 02668 COLLECTED BY. DA Scannell SAMPLE DATE: 9-27-99 SAMPLE TIME. 3:OOPM WATER SAMPLE TYPE. New Well DATE RECEIVED:9-28-99 LAB I.D. #. 999590 WELL SPECS.: 112' RESULTS OF ANALYSIS: Parameters Units Recommended Results Method Date Analyzed Limits Coliform bacteria /100ml 0 0 9222 B 9/28/99 pH pH units 6.5-8.5 6.24 4500 H+ 9/28/99 Conductance umhos/cm 500 134 120.1 9/28/99 Nitrate-N mg/L 10.0 1.04 300.0 9/28/99 Sodium mg/L 28.0 13.0 200.7 9/28/99 Iron mg/L 0.3 < 0.05 200.7 9/28/99 Manganese mg/L 0.05 < 0.003 200.7 9/28/99 Volatile Organics ug/L See Report. None detected. EPA 524.2 10/4/99 COMMENTS: pH is below recommended limit and may have corrosive characteristics. WATER MEETS EPA STANDARDS AND IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. DateZ�L �J� Ro J. Sa Laboratory Y for i <=less than >=greater than TNTC=too numerous to count Page 2 of 3 R.I. Analytical Laboratories, Inc. CERTIFICATE OF ANALYSIS Envirotech Laboratories, Inc. Date Received: 9/29/99 Approved by: Work Order# 9909-09326 R.I. Anal Sample#: 001 SAMPLE DESCRIPTION: 999590 595 CEDAR STREET GRAB 09/27/99 SAMPLE DET. ANALYZED PARAMETER RESULTS LIMIT UNITS METHOD DATE/TIME ANALYST Volatile Organic Compounds Bromodichloromethane <0.5 0.5 ug/I EPA 524.2 10/04/99 18:47 JRN Bromoform <0.5 0.5 ug/1 EPA 524.2 10/04/99 18:47 JRN Dibromochloromethane <0.5 0.5 ug/1 EPA 524.2 10/04/99 18:47 JRN Chloroform <0.5 0.5 ug/l EPA 524.2 10/04/99 18:47 JRN 1,2-Dibromoethane(EDB) <0.5 0.5 ug/l EPA 524.2 10/04/99 18:47 JRN Benzene <0.5 0.5 ug/1 EPA 524.2 10/04/99 18:47 JRN Carbon Tetrachloride <0.5 0.5 ug/l EPA 524.2 10/04/99 18:47 JRN 1,2-Dichloroethane <0.5 0.5 ug/l EPA 524.2 10/04/99 18:47 JRN Trichloroethene <0.5 0.5 ug/l EPA 524.2 10/04/99 18:47 JRN 1,4-Dichlorobenzene <0.5 0.5 ug/l EPA 524.2 10/04/99 18:47 JRN 1,1-Dichloro.-thane <0.5 0.5 ug/1 EPA 524.2 10/04/99 18:47 JRN 1,1,1-Trcchloroethane <0.5 0.5 ug/1 EPA 524.2 10/04/99 18:47 JRN Vinyl Chloride <0.5 0.5 ug/1 EPA 524.2 10/04/99 18:47 JRN Bromobenzene <0.5 0.5 ug/l EPA 524.2 10/04/99 18:47 JRN Bromomethane <10 10 ug/1 EPA 524.2 10/04/99 18:47 JRN Chlorobenzene <0.5 0.5 ug/l EPA 524.2 10/04/99 18:47 JRN Chloroethane <5 5 ug/l EPA 524.2 10/04/99 18:47 JRN Chloromethane <5 5 ug/l EPA 524.2 10/04/99 18:47 JRN 2-Chlorotoluene <0.5 0.5 ug/l EPA 524.2 10/04/99 18:47 JRN Ch:orto?„ene �0.5 0.5 - ug/l EPA 524.2 10/04/99 18:47 JRN Dibromome-thane <2 2 ug/1 EPA 524.2 10/04/99 18:47 JRN 1,3-Dichlorobenzene <0.5 0.5 ug/l EPA 524.2 10/04/99 18:47 JRN 1,2-Dichlorobenzene <0.5 0.5 ug/l EPA 524.2 10/04/99 18:47 JRN trans-1,2-Dichloroethene <0.5 0.5 ug/1 EPA 524.2 10/04/99 18:47 JRN cis-1,2-Dichloroethene <0.5 0.5 ug/l EPA 524.2 10/04/99 18:47 JRN Methylene Chloride <0.5 0.5 ug/1 EPA 524.2 10/04/99 18:47 JRN 1,1-Dichloroethene <0.5 0.5 ug/1 EPA 524.2 10/04/99 18:47 JRN 1,1-Dichloropropene <0.5 0.5 ug/l EPA 524.2 10/04/99 18:47 JRN 1,2-Dichloropropane <0.5 0.5 ug/1 EPA 524.2 10/04/99 18:47 JRN 1,3-Dichloropropane <0.5 0.5 ug/l EPA 524.2 10/04/99 18:47 JRN 1.3-Dichloropropene <0.5 0.5 ug/1 EPA 524.2 10/04/99 18:47 JRN 2,2-Dichloropropane <0.5 0.5 ug/I EPA 524.2 10/04/99 18:47 JRN Ethylbenzene <0.5 0.5 ug/l EPA 524.2 10/04/99 18:47 JRN Styrene <0.5 0.5 ug/l EPA 524.2 10/04/99 18:47 JRN 1,1,2-Trichloroethane <0.5 0.5 ug/1 EPA 524.2 10/04/99 18:47 JRN 1,1,1,2-Tetrachloroethane <0.5 0.5 ug/1 EPA 524.2 10/04/99 18:47 JRN 1,1,2,2-Tetrachloroethane <0.5 0.5 ug/l EPA 524.2 10/04/99 18:47 JRN Tetrachloroethene <0.5 0.5 ug/1 EPA 524.2 10/04/99 18:47 JRN in Page 3 of 3 R.I. Analytical Laboratories, Inc. CERTIFICATE OF ANALYSIS Envirotech Laboratories, Inc. Date Received: 9/29/99 Approved by: Work Order# 9909-09326 R.I. An i Sample#: 001 999590 595 CEDAR STREET GRAB 09/27/99 SAMPLE DET. ANALYZED PARAMETER RESULTS LIMIT UNITS METHOD VDATE/TIME ANALYST 1,2,3-Trichtoropropane <0.5 0.5 ug/l EPA 5?,a:.2 10/04/99 18:47 JRN Toluene <0.5 0.5 ug/1 EPA 524.2 10/04/99 18:47 JRN Xylenes <0.5 0.5 ug/1 EPA 524.2 10/04/99 18:47 JRN 1,2-Dibromo-3-Chloropropane <10 10 ug/l EPA 524.2 10/04/99 18:47 JRN Bromochloromethane <1 1 ug/I EPA 524.2 10/04/99 18:47 JRN n-Butylbenzene <0.5 0.5 ug/I EPA 524.2 10/04/99 18:47 JRN Dichlorodifluoromethane <0.5 0.5 ug/1 EPA 524.2 10/04/99 18:47 JRN Trichlorofluoromethane <0.5 0.5 ug/1 EPA 524.2 10/04/99 18:47 JRN Hexachlorobutadiene <0.5 0.5 ug/1 EPA 524.2 10/04/99 18:47 JRN Isopropylbenzene <0.5 0.5 ug/I EPA 524.2 10/04/99 18:47 JRN p-Isopropyltoluene <0.5 0.5 ug/l EPA 524.2 10/04/99 18:47 JRN Naphthalene <0.5 0.5 ug/I EPA 524.2 10/04/99 18:47 JRN n-Propylbenzene <0.5 0.5 ug/1 EPA 524.2 10/04/99 18:47 JRN sec-Butylbenzene <0.5 0.5 ug/1 EPA 524.2 10/04/99 18:47 JRN tert-Butylbenzene <0.5 0.5 ug/I EPA 524.2 10/04/99 18:47 JRN 1,2,3-Trichlorobenzene <0.5 0.5 ug/I EPA 524.2 10/04/99 18:47 JRN 1,2,4-Trichlorobenzene <0.5 0.5 ug/I EPA 524.2 10/04/99 18:47 JRN 1,2,4-Trimethylbenzene <0.5 0.5 ug/l EPA 524.2 10/04/99 18:47 JRN 1,3,5-Trimethylbenzene <0.5 0.5 ug/1 EPA 524.2 10/04/99 18:47 JRN Methyl Tertiary Butyl Ether <1 1 ug/1 EPA 524.2 10/04/99 18:47 JRN n-Hexane <10 10 ug/I EPA 524.2 10/04/99 18:47 JRN SURROGATES RANGE EPA 524.2• 10/04/99 18:47 JRN 4-Bromofluorobenzene 111 80-120% EPA 524.2 10r04/99 18:47 JRN 1,2-Dichlorobenzene-d4 109 80-120% EPA 524.2 10/04/99 18:47 JRN TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE. 11, &R U ZA/ lie ASSESSOR'S MAP &LOT U� INSTALLER'S NAME&PHONE NO. C,5 .g l�Pt" .Zwc. JA0-,=1 SEPTIC TANK CAPACITY l SOo9_A K LO, LEACHING FACIL=: (type) 141 Ch P 132'j krbJks (size) NO. OF BEDROOMS 4 BUILDER OR OWNER. llelo PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: / Q Feet Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist A/gyp on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist A within 300 feet of leaching facility) Feet Furnished by s Z v4k� ��� �y BOO' A- V / A F AoU.S,4- oo f � FORN9 I I - SOIL EVALUATOR FORM Page 1 of ins No. Date: Commonwealth of Massachusetts Massachusetts Soil Suitability Assessment for On-site Sewage ,DZSDOW Performed By: Date: .................... Witnessed By: _ . ...... _..._............... L=a:con Addmss or /a SS�SsaR /"Ifff' /f/`���flk��L 8( 0—r'N--- S[ i'T f 1f1 R V£ Y Ux t C r D i7 p S rRlrl f Address,and p,0. $dX 6 9 SivEST fjy�^/ST19BlE /yfJ TelephomI WEST 8SRAVS'74f3cF, "If 02-669 pew Construction Repair ❑ Office Review N Published Soil Survey Available: No ❑ Yes E Year Published IVReff ..�3?3... Publication Scale �s'.�.D83.. Soil Map Unit Drainage Class f1............. Soil Limitations P_ D Q C ... BC Surficial Geologic Report Available: No Q Yes ❑ Year Published lv/!� Publication Scale 101f.:..... GeologicMaterial (Map.Unit) N�� ......................__................................................................_..........._._... ... ... ................... .. Landform G..��9.�t. .. ...� f.l ... . .. .GG..l9 .1... .. .. ,� St� . ................ Flood Insurance Rate Map: ;q Above 500 year flood boundary No []Yes Within 500 year flood boundary No ZYes ❑ Within 100 year flood boundary No ©Yes ❑ Wetland Area: 0 National Wetland Inventory Map (map unit) �'�'�.--. .. -- --- Wetlands Conservancy Program Map (map unit) �114 ................. .... ................... ._ .. _.. Current Water Resource Conditions (USGS): Month 1N/h Range :Above Normal ❑Normal ❑Belcw Normal ❑ Other References Reviewed: Al -- DEP AHRON'ED FOF-%l.1:10,!95 e FOWN1 11 • SOIL EVALUATOR F 01ZNJ Tage 2 of S Location Address or Lot too. C1 C;�I�61k STJP� 011-she Rev eK' Deep Hole Number T 1. Date:. . 5 f��f�q Time: 10 ' aw' Weather F`f hl� Location (identify on site plant Land Use R r.9I pl-&Tjrc Slope M 33 Surface Stones y r5 Vegetation woo pc g f:vS f/ C,� Landform G L of C l/9.G T 9 16 Position on landscape (sketch on the back) Distances from: Open Water Body feet Drainage way /VO feet `'° POSE Possible Wet Area N�� feet Property line 804/0afeet Drinking Water Well 15-a �L feet Other M// `c69rr' 7-N iI DEEP OBSERVATION HOLE -OG" depth from Soil Horizon Soil Tenure SO COIDr Soil other Surface (Inches) (USDA) (Munsell) Mottling (Structure.Stones.Boulders.Consistency. 'k Gravel) D 12 t,d/1Af do 12 — 96 C, Z-01fAY foYR / Nd sToMF5 gavl- Df;ts S#1✓D •q6 �(—l$6 � '�2 /9rl)II//t? /aY 6 coIffPsE k /6 IVY .511 NO •.� •1 .v L 1 t I l Ste/ �Y n dro V k% n0 u t �j Parent Material (geologic) S DcpthtoBeck: /V A/ll QeothtoGroundwatrr: Standing Water in the Hole: 1V Weeping from titFace: N�� Estimated Seasonal High Ground Water: /V fA, Mr ATP %v)roll%t•IJrvw v FOWNI I I - SOIL EVALUATOR FORM Fagc 3,of 3- Local ion Address Or Lot No. $°l� CEfI/fi� STI�Ef 1 Oar-site Reviem b FI�,IQ. Deep Hole Number T 02 Date:. . _-S--. Time: ..I 0 . OOctrN Weather Location (identify on site plan) see _ PfC,-F 2 OF.S. .. . , ._.. . Land Use RES1 0f-/UT%ff G Slope M / 0 Surface Stones N� Vegetsticn k/0 005 Bf(/S j/ Landform (� t Position on landscape (sketch on the back) 5,c e 6:T 2 Of✓r Distances from: Open Water Body N/A Droini ge way N�� feet Possible Wet Area (Vl q feet, Property LineSd f 65 feet Drinking Water Well f SO t feet Other T H Z DEEP OBSERVATION HOLE -OG* Depth from Soil Horizon Soil Terrture Soil Color Soil Other Surface (Inches) (USDA) (Munsell) Monling (St►ucture.Stones.Boulders.Consistency. 9� • Gravel) 0A— 12It 'f113 1-0f¢i`i 110 /Z,r_ /56 " C, LO%/,�� ja rR . Sf1�D NO , CZ MED1(/l" 10 rR 6 Na s�91v� . •; .v .. L l t I V .1 n�J u E Parent Material(peolopicl ��NP DepthtoBedrock: N 4 DecthtoGroundwater- Standing water in the Hole: 11 Weeping trornPitFace: /V ZI— Estimated Seasonal Hips G,ound Water. /V 14 nLr ArPFo%in rokV-3vvw I-'ORM I I - SOIL LVALUATOR FORRi Page a"or-a- Location Address or Lot No. .7 of 5- MW .92L / Determination for Seasonal HhYh Water Table Method Used: ❑ Depth observed standing in observation hole . N14. inches ❑ Depth weeping from side of observation hole .t�/�� inches ElDepth to soil mottles A//A inches ❑ Ground water adjustment ...Nf1.. feet - Index Well Number ....jv/'. Reading Date 1100 Index well level . . /V/� Adjustment factor Adjusted ground water level Nfr. ... . .. .. Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? f S If not, what is the depth of naturally occurring pervious material? Certification I certify that on WZ q7 (date) I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.013. Signature Date UEP APPROVED MIRM-1210763 i FORM 12 -FERCOLATION TEST Location Address or Lot No. COMMONWEALTH OF MASSACHUSETTS Massachusetts Percolation Test` ' Date: .: ..... ..�r� fy q y ' Time: ... Observation Hole # T T fJ 2 Depth of Perc 6 0 // Start Pre-soak 1 q 6 End Pre-soak P Time at 12" O/ Time at 9" { i 10 Time at 6" ' , 21 Time (9%6") 1 I /�1 p✓ Rate Min./Inch 3, 7 PPI (� I'mP- Dre 2 ' Minimum of 1 percolation test mnst hp nerfmrmori in hoth the pr;rrle-�/ E.r.° AND area. r Site Passed ID Site Failed ❑ ......................................................................................................................_......._..........._....... Performed By: /`� C r%1�F� S, Fhle I/� Witnessed By: POjVN11 ly 161,P# (/ PJ Comments: /1,1 PI T-n 2 �D 61 LIf DEF APPROVED FORM-12M7/95 T,O.F. AT EL. 127.5 ACCESS COVER WITHIN 6' TO FIN. GRADE ACCESS COVER (WATERTIGHT) LEGEND T.O.S. AT EL. 120f WITHIN 6" TO FIN. GRADE 2" DOUBLE WASHED PEASTUNE� ` T EL.118.5t 2% SLOPE REQUIRED OVER'SYS.EM L.118.0 MAX UTILITY POLE ` EL. MINIMUM .75' OF COVER OVER PRECAST - RUN PIPE LEVEL -� GUY WIRE 'If FOR FIRST 2'PROPOSED 1,500 3' MAX. " -12a- EXISTING CONTOUR LOCUS • 18A0 GALLON SEPTIC 7 TEE 7 _ 18 MIN (H-20 LOADING) L. 17.7 TANK H- 10 H-10 EL.115.00 fie-- PROPOSED CONTOUR ( ) GAS � EL.114.52 x 1290 L BAFFLE EL•114.6 ��� o LOW LINE PROPOSED SPOT GRADE E .114.50 16" +128,0 EXISTING SPOT GRADE �6" CRUSHED STONE OR MECHANICAL PROPOSED & EXISTING DEPTH OF FLOW = 4' COMPACTION. (15.221 [21) 3.5' @ SIDES 3.5' @ SIDES ® WELL LOCATION 3' @ ENDS 10 -I f3' @ ENDS EL.113.67 REQUIRED TEE SIZES: v I - - I IINLET DEPTH = 10" MIN. BELOW FLOW LINE _w_ APPROXIMATE LOCATION BARNSTABLE OUTLET DEPTH = 14" MIN. BELOW THE FLOW LINE H-2O 14" 14" $w,k� PROPOSED SWALE EL•112.50 STORM WATER FLOWAGE ( 2 SLOPE) (S 2±% SLOPE) ( 1 % SLOPE) 3/4" TO 1 1 /2" DOUBLE WASHED STONE LOCUS MAP FOUNDATION 11' SEPTIC TANK 55' D' BOX LEACHING FACILITY 4.5' SCALE I" = 1000' SEPTIC PROFILE ASSESSORS MAP 109, PARCEL 81, LOT 85 NOT TO SCALE SEE OTTOIVI OF HOLEL0.108.0 ZONING DISTRICT: RF FLOODZONE: ZONE C, BARNSTABLE PANEL # 11 14.5' ZONING DISTRICT: RF & GP FRONT: 30' SIDE: 15, ®27.66 REAR: 15' EXISTING WELL ti PROPOSED BOTTOM OF TH2 EL.98.0 WELL LOCATION DOLE Y 12s.8s SEE- TEST HOLE LOG ,NOTES: GUY `\\ 1. THE LOCATION OF EXISTING UNDERGROUND UTILITIES SHOWN ON THIS PLAN IS APPROXIMATE. PRIOR TO ANY EXCAVATION ON THIS SITE, THE EXCAVATING 124.86 CONTRACTOR SHALL MAKE THE REQUIRED 72 HOUR NOTIFICATION TO DIG SAFE i3 °�� (1-888-344-7233) AND ANY OTHER UTILITIES WHICH MAY HAVE CABLE, PIPE OR , o 3 2 ya.71 PAVED EQUIPMENT IN THE CONSTRUCTION AREA FOR VERIFICATION OF LOCATIONS. LOT 86 ¢, SIDEWALK SEPTIC DESIGN: (GARWE DISPOSER IS NOT AUOWED) 2. ALL SEPTIC WORK AND MATERIALS TO CONFORM TO 310 CMR 15.00 TITLE 5 �26 ,1 r 3.47 NUMBER OF BEDROOMS: 3 AND BARNSTABLE HEALTH REGULATIONS. 0 25 �O 0, BENCHMARK DESIGN FLOW: 3 BR x 110 G/D/BR = 330 G/D PROPOSED 1 GF FQ USE A 330 G/P REQUIRED DESIGN FLOW 3. VERTICAL DATUM IS NGVD, ELEVATION ASSUMED. ' 500 GALLON SEPTIC TANK-, �, -y CONCRETE BOUND SEPTIC TANK: 4. DESIGN LOADING FOR ALL PRECAST UNITS 10' MINIMUM SEPARATION �� r 1� 6 S� E`er -= 122.8� - 330 c/D (2) = sso c/D vr TO BE AASHTO-H10 & H2O. FROM FOUNDATION 2 •71 ASSUMED USE PROPOSED 1,500 GALLON SEPTIC TANK 5. THIS PLAN IS FOR PROPOSED WORK ONLY AND IS NOT TO 22 LEACHING: PE USED FOR PROPERTY LINE STAKING ONfZCrNC F 6. PIPE JOINTS TO BE MADE WATERTIGHT. r + 1.3 120.63 SIDE AREA: 2 x 2' x (9.83'+31') = 163.3 SF 5-2,' F= 12 � 7. ALL SEPTIC PIPING SCH-40-4` PVC UNLESS NOTED. 1 L.r2>5 .92 BOTTOM AREA: 9.83' x 31' = 304.7 SF 8. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT SIDES: 163.3 SF INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 1 E ABOf 11 1 \� N FROM BOARD OF HEALTH. + BOTTOM: 304.7 SF - 9. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. f9 5 TOTAL 468 SF 10. NO EXISTING OR PROPOSED WELLS WITHIN 150' FROM EXISTING OR PROPOSED ROPO 119 29� PROPOSED CAPACITY: 468 SF x 0.74 G/D/SF = 346.3 G/D O.K. SE TI CONFIRMED (EXISTING WELL TO BE LOCATED IN L07 83 >9 11. INSTALL EROSION CONTROL NETTING ON ALL SLOPES GREATER THAN 10%. SEPTIC SYSTEM DESIGN DATA �^ S 5.19 J ,\ - Ty ilk. 7 117TEL 116.31 RISER THI SOIL CLASS: I (SANDS, LOAMY SANDS) OT 5 � _ f09.96� �� � RISER P#: AT TH1 4 , 6 SF 11 33 -114 DEPTH ELEV. AYER SOIL TYPE COLOR NOTES 1 _ T 2 + 4 '� .76 0' 121.0 PERC. RATE 3.7± MPI <5 MPI DESIGN) ' 15.2 . /A 1 23f 5 0'-12' 1200 / LOAM UNS PRESOAK: 0:00:00-0:11:01 `.,rS 11 . 0 12'-96' 113.0 LOAMY SAND 10 YR 6/4 G&B 12': 0:11:01 +41.18 + '18 12 ` '-156 108.0 C2 M/C SAND 2.5 Y 6/6 6's 0:11d0 UTILITY 96 113.95 04L2] POLE NO WATER OBSERVED BOTTOM PERC AT 60` EL.116.0 UNS: UNSUITABLE SOIL PERC. RATE, < 2 MPI (5 MPI DESIGN) MAINTAIN EL.115.00 FOR'''15' FROM TOP OF SOIL ABSORPTION SYSTEM. M: MEDIUM ASSIGNED IN C2 LAYER C, COARSE G&B: GRAVEL & BOULDERS ,FA 1 74 1 j6--+115.51 TH2 DEPTH ELEV. AYER SOIL TYPE COLOR NOTES SOIL CLASS: AT TH2 S, LOAMY SANDS) LOT 82 >12 119,8. PROPOSED 0' 112.0 PERC. RATE < 2 MPI (5 MPI DESIGN) 0 r 0'-12' 111.0 /A/ LOAM UNS 12D.18 SOIL ABSORPTION SY TEM 12'-156 99.0 C1 LOAMY SAND 10 YR 6/4 ASSIGNED IN Cl LAYER \ 122.30 4 HIGH CAPACITY INFIL TRA TORS H-20 A � s \ LEACH PIT 156'-168' 98.0 C2 M/C SAND 2.5 •Y 6/6 PERC. RATE: < 2 MPI (5 MPI DESIGN) PER OWNER WITH 3.5' OF STONE ALONG THE SIDES, NO WATER OBSERVED ASSIGNED IN C2 LAYER >�'�o 3' OF STONE AT THE- ENDS DATE: 6/1/99 ASSIGNED PERC RATES TO BE W A LA -4 ' PROPOSED LOT 84 AND 14' OF STONE BELOW. ENGINEER: MICHAEL S. FARIA, SE IC[ONFILRLMLEEED BY THE SYSTEM 4- tlk� 36.67 D-BOX (DOWN CAPE ENGINEERING) ❑FS SEPTIC SRIOEM 0 INSTALLATION WITNESS: DONNA MIORANDI �141.14 EXCAVATOR! J.E. KENNEDY & SON LOT 83 TEST HOLE LOG (SEE NOTE 12) SITE PLAN SITE PLAN off. 508-362-4541 SCALE: 1 "=40' �11.51 OF LAND IN � fox 508-362-9880 ' " EXISTING _ � WEST BARNSTABLE, MA down cape engineering, inc. PREPARED FOR SCOTT HARVEY ��1H Of MRs1M of LOCATED AT 595 CEDAR STREET CIVIL ENGINEERS ,: �.� ��, ,�� _a..tit� �� „�c. O.JB�ANE tiGJ" M _ EST BARNSTABLE, MA 02668 .� p ,,_ r 3 LA y Gv^ SCALE 1" 40' 939 main st. yarmouth, Ina 026'75 - �0. s34e � REVISED: 7-- -- BOARD OF HEALTH � o +��f� Q A $ 9 a F `� 40 0 40 80 120 Feet 99- 1 APPROVED DATE DATE ARNE H. OJ , . ., P.L.S.