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HomeMy WebLinkAbout0041 COACHMAN LANE - Health 41 Coachman Lane West Barnstable, MA a " A = 152-045-001 , a iL M; CERTIFICATE OF ANALYSIS Page: 1 tssAr,tv���`l Barnstable County Health Laboratory Report Dated: 2/9/2006 Report Prepared For: Order No.: G0634490 Debbi Cross 41 Coachman Lane W Barnstable, MA 02668 Laboratory ID# 1 " 0634490-01 Description: Water-Drinking Water Sample#: 34490 Sampling Location 41 CoachmanZn.W.Barnstable,MA r Collected: 2/6/2006 Collected by: D.Cross Map 152 Parcel 045 Received: 2/6/2006 Routine ITEM RESULT UNITS RL MCL Method# Tested LAE: Inorganics Nitrate as Nitrogen BRL mg/L 0.10 10 EPA 300.0 2/7/2006 LAB: Metals Copper 0.13 mg/L 0.10 1.3 SM 3111B 2/8/2006 Iron BRL mg/L 0.10 0.3 SM 3111 B 2/8/2006 Sodium 8.1 mg/L 1.0 20 SM 3111B 2/8/2006 LAB: Microbiology Total Coliform Absent P/A 0 0 309 2/6/2006 LAB': Physical Chemistry Conductance 74 umohs/cm 2.0 EPA 120.1 2/6/2006 pH 6.3 pH-units 0 EPA 150.1 2/6/2006 Water sample meets the recommended'limits for d-rinkitig water oof all the above tested parameters. Approved By: (Lab I ector) M J. RL = Reporting Limit C r— MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-66 5 TOWN OF BARNSTABLE !� LOCATION g1�L6ZGL A�t4cti� SEWAGE SESSOR'S MAP & LOT_ 9 INS'I`ALLER'S NAME&PHONE N6. SEPTIC TANK CAPACITY LEACHING FACILITY: 0 J O C nS (type) s f (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: —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' 1 - f l e J3, No. Fee l THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Z(ppYication for 30i5pogal 6pgtem Con!Wurtion Permit Application for a Permit to Construct( . )Repair X Upgrade( )Abandon( ) ❑Complete System .5itidividual Components Location Address or Lot No. 41 Owner's Name,Address and Tel.No. l� • 4�ct��-1c���i� �j0b% kcacixei Crass Assessor's Map/Parcel /5a10455 +� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 5 2>9- ?l�(a Type of Building: Dwelling No.of Bedrooms Lot Size 41) 6�3 sq.ft. Garbage Grinder(AAq- Other Type of Building Noc-& No. of Persons 4= Showers(v1 Cafeteria Other Fixtures C Design Flow A4o gallons per day. Calculated daily flow 449 09 gallons. Plan Date U OS Number of sheets I Revision Date Title _VM M l� �Sv��c e� �S �W J)ISQ�M ' Size of Septic Tank C l Ace r. 3 Type of Description of Soil -�M � 1 V 1,3 — SD Nature of Repairs or Alterations(Answer when applicable) An QAQC� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance witli the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has thi and of Healt . Signed 120 Date Application Approved by 7 Date Application Disapproved fo the following reaso s Permit No. 7 Date Issued cp,' 01 No. "� � _ Fee/00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: - Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS ZIppricaf on f-a ri.5pool Orotem Con.5truction'Vermit Application for a Permit to-Construct( . )Repair><)Upgrade( )Abandon( ) O Complete System Individual Components P' Location Address or Lot No. 41 COACH N1 Ar4 IAA AJ E Owner's Name,Address and Tel.No. W • C n S�Gb\e e lab �t O Cl �c2�SS Assessor's Map/Parcel !sa 1045 'SP*46 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Enl V. Sd CS , S3\c) 539- 9-9b( Type of Building Dwelling No:of Bedrooms Lot Size 4 6!(o 6.3 sq.ft. Garbage Grinder(Ail'*-+ Other I)rpe of Building NOc1ca No.of Persons 4 Showers(✓) Cafeteria( >� Other Fixtures v� M 1 lC 4 Can 4,S,r>k- , La"YSrh- Design Flow '440 gallons per day. Calculated daily flow 449 .9 gallons. Plan Date to OS Number of sheets Revision Date Title RM 5UbSIX CCC[ 'SOca1C CQ 0IS�CL StaSAIYi Size of Septic Tank s C OO CA C-rt o s;. Type of S.A.S. l X' X 35 X 3' 7h�cri CH Description of Soily Nature of Repairs or Alterations(Answer when applicable) r,�1)0 Q.,C- `\-o Cl\cl(\ Dat-.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 ha en-is uud_b thi�B and of Healt - S, Signed � Date _ Application Approved by 111e ,[, Date Application Disapproved& the following reasops_ Permit No. `. fX', S �S Date Issued _ le, THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded(VII-N111 Abandoned( )by �� �n � S n4t c_ ._ o ems.. at ` �/7 A N1 Q�. n�'. /Al. .x r A i 1 A h o has been constructed inf ccordance with the provis' s of Title 5 and the for Disposal System Construction Permit No ` � dated to 4 Installer d e 4-", Designer fi The issuance of this permit s I all not be construed as a guarantee that the sy e ' 1 function as designed. Date Inspector\ A5 'Fee 1 THE COMMONWEALTH OF MASSACHUSETTS r ((i PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS /j J� Zi000af *raem Con!gtruction Permit Permission is hereby granted to Construct( )Repair( )Upgrade(!."Abandon( ) System located at a RAMP- 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:Constrilctiod must be completed within three years of the date of thM--' Date:--- %�-� 1 Approved by / V L 9/16103 Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems.Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM A ay ,hereby certify that the engineered plan signed by me dated 3 05 ,concerning the property located at $l ran rri c Lc<-,Q . (PJ�wtf.Z.'-A--meets all of the following criteria: • This failed system is connected to a residential dwelling only. There.are.no.commercial or business.uses.associated with the.dwelling. • The soil is.classified as.CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact orr may conduct deep test holes and percolation tests.at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The.bottom of the proposed leaching facility will be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the. Frimptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation(using GIS information) 4- B) G.W.Elevation 40 +adjustment for high G.W. 0_1,�= A-0, DIFFERENCE BETWEEN A and B SIGNED : DATE: �g NOTICE Based upon the above information;a repair permit will be issued for bedrooms maximum.. No additional bedrooms are authorized in the future without engineered septic system plans. gASeptic\percexemp.doc I r Town of Barnstable OFtHE r��o Regulatory Services Thomas F. Geiler, Director = BA FrABLE, » MAS& Public Health Division 1639. Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Designer: ShU Environmental Services, Inc. Installer: a kS �C_S C_s Address: P.O. Box 627 Address: _East Falmouth, MA 02536 L 'br a On c was issued a permit to install a d (date) (installer) septic system at AA l ram,c Z j, (- based on a design drawn by (address) Shay Environmental Services, Inc. dated (designer)' I 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. SS. CARMEN ��, ( t re) 0 E. 0 SHAY No. 1181 �sS-T '4NITAR\ (Designer's Signature (Affix De i tamp 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 /Z of AA�s,` ;z 'A CERTIFICATE OF ANALYSIS Page: 1 Barnstable County Health Laboratory Report Dated: 5/26/2005 Report Prepared For: Order No.: G0530305 Debbi Cross 41 Coachman Lane W Barnstable, MA 02668 Laboratory ID#: 0530305-01 Description: Water-Drinking Water _ Sample#: 30305 Sampling Location,41 Coachman'Cn.W.Barnstable,MA Collected: 5/23/2005 Collected by: D.Cross Map 152 Parcel 045 ®lz Z/ Received: 5/23/2005 Routine ITEM RESULT UNITS RL MCL Method# Analyst Tested Note LAB: Inorganics Nitrate as Nitrogen BRL mg/L 0.10 10 EPA 300.0 LAP 5/23/2005 LAB: Aletals , Copper BRL mg/L 0.10 1.3 SM 31 1 1 B LAP 5/25/2005 Iron BRL mg/L 0.10 0.3 SM 3111 B LAP 5/25/2005 Sodium 8.2 mg/L 1.0 20 SM3111B LAP 5/25/2005 LAB: Microbiology Total Coliform ABSENT P/A 0 0 309 AF 5/23/2005 LAB: Physical Chemistry Conductance 80 umohs/cm 1.0 EPA 120.1 DCB 5/23/2005 pH 6.6 pH-units 0 EPA 150.1 DCB 5/23/2005 Water sample meets the recommended limits for drinking water of all the above tested parameters. Approved By. (La hector) t - RL Reporting Limit MCL=Maximum Contaminant Level Superior Court Douse, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 cw � LOCATION SEWAGE PERMIT NO. VILLAGE SE 41 I N S T A LLER'S NAME A ADDRESS I U I L D E R OR OW N N ER DATE PERMIT ISSUED J - DAT E COMPLIANCE ISSUED Ave I r6t 33 ' t,©nal rn R N �lU No.._ . _.�+.::�� Fxs... ............ THE F Ts BOARD OF HEALTH vsZ- o�5 ................O F.......................................---------------.........--------................... Appliration for Uaipnsaal Workii Tonstrur#iun Prrutit Applicati n is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at:�'P _. G��_� e ./?J�!J° �.h� .......!�' .�l�R.t.. �� -- � ........................................... Loc io -Address or Lot N Owner Address 1 Installer Address Type of Building Size Lot._.l.�_3_,. aa_ �Sq. feet Dwelling—No. of Bedrooms........3,...... . ............Expansion Attic ( ) Garbage Grinder ( TQ pa, Other—Type of Building ................:........... No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ............................................................. W Design Flow............ ..................gallons per person per day. Total daily flow.................. .........gallons. yin ' �1 � Septic Tank—Liquid capacity.f..__..__._o gallons Length__�t..__IP'__ Width__._...._�._.�_.... D>ameter________________ Depth................ x Disposal Trench—No..................... Width.................... Total Length' ''F� ___ Total leaching area....................sq. ft. Seepage Pit No.........I----------- Diameter................. Depth below inlet_._..`......_.._. Total leaching area__ 3.111.sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by................................................... .................... Date...!4..�.�) 9............ Test Pit No. 1...�.Z....minutes per inch Depth of Test Pit.....1.2.......... Depth to ground water....l ......... G%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ .......................................................................................--- ................................................ Description of Soil �] � �Q_ _....._ .L4-t� '� ----------- �•" _..� ;S --••--....0 alsn�!.D !±cZ 'A !� .....------. ` 1 ��------------ �� StrN 1. .Q._.-_._1.4 _.._._ eD S4.......-it---- ................................................ 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 iI'LU 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation untkA Certificate of Compliance ha bee issued by t e bo iealt . /x Sgne . .. ..... 0. U APF'licatron Approved By.......... ----JlAd ---- �......0 !!� L at ate Application Disapproved for the f ollog reasons-------------•------------------------------------------------•---------...................................... ......................................................-.................................................................................................................................................. Date Permit No. �...`� 3 _2 Issued.--------•------------------------••---••••-•------•... Date yi THE COMMONWEALTH OF MASSACHUSETTS I BOARD OF HEALTH ..................... ...............OF..................................... . Allpfiration for % nsttf Works Tonstrurtion Urrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .............. ......................... ............................................ Location•Address • or Lof No. > a{�sV Owner Address 3+' ' Installer Address Q Type of Building Size Lot feet Dwelling—No. of Bedrooms..__.' .....:e.Rj...............Expansion Attic ( ) 'arbage Grinder 1010 a'4 Other—T e of Building No. of ersons____________________________ Showers ( ) YP g ---------------•-----------• P ( )--- Cafeteria Otherfixtures --------------------------•----------........---•-•---.---------•-••••••----•----•----•-----•---------•---.....•---- . Design Flow......... ....................gallons per person per day. Total daily flow---------------_ Ions. WSeptic Tank—Liquid capacity1WO..gallons Length aqp.__. Width .:.6_._..__. Diameter________________ Depth..................... x Disposal Trench—No. .................... Width.................... Total Length -11 '-. Total leaching area_.____._..•------_ sq ft; 3 Seepage Pit No...____ __________ Diameter... Depth below`inlet .I......._.... Total leaching area.3. ....sq. ft.' Z Other Distribution bbx ( ) Dosing tank ( ) '-' Percolation Test Results Performed by ......... �.._. -•-•- ------------ ----- Date1nwat)r._y1-,t__ -- •- `�4'=-- _ a Test Pit No. 1._ minutes er inch 'Depth of Test Pit_____ _f ..... Depth-to ou _ ►a ,: P G� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil-----. ------•-- Tqf------t.-L?-A��-------------- -{ ..-.g........... xc,WC• 4 .......... .......- o - _s............S:7 l W---- --------- w,�Et------��i0....-----I---Z� 1 '4 ` lh�� 2 C nIa-A - 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 TITLE 5 of the State Sanitary. Code—The undersigned further agrees not to,place the system.in. operation until a Certificate of Compliance has been issued by the bo heal s A --. -, Sign ..• Appation Approved By................... .•--•• .........................••-- ----� •2 l �:�-------- / Date "--,,,Application Disapproved for the f oll ing reasons--------------------------------------------------------•-----------------------•----•-•••-•-•-•-.......•......_ ....-•.......................•---•----------•------...------•----------------------------------•------------•---------=-------------------------------------------•------------------------••......•.--- Date PermitNo...... . ..�-------------------_ Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH (Ird firatr of Tompfinnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (� or Repaired ` by �!y1 l�N a�l.L.)I......C..01't4>1---------------------------------------------------------------------------------•--------------..........---------------- Installer at......4.,e.. G ..........e44..- ._ ..........4- .4L AR------- A't- - —W-\----•--�---t-------- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit.No......................................... dated_-......--------------------- .................. THE ISSUANCE OF THIS .CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FU CTION SATISFACTORY. DATE......--••--..... .... .�. � Inspector X'�5 .. 3 --- A NPf-D L:A7TE$� I! I THE COMMONWEALTH OF MASSACHUSETTS'� ��,/S�'''� (��AA(JV� /•, r ry BOARD OF HEALTH^ h76 XtIL_ to OF No. -,�`� FEE.......:................ Bis rvsal Warns Tnnstr ion rrutit Permission is hereby-granted ....2 tl•� -1? F', .----••-------•----------------------------------•------:......---....--•- :. to Construct ( ) or Repair ( ) an Indivldual Sewage Disposal System s at No............ 4 J• 4----------- ti".0-•-.."..L ...: Street as shown on the application for Disposal Works Construction Permit No<?5=.__.' 4_ Dated.....5.'•'----2'-'--r g:�...... . : .. %Al r b Ic........................................... Mss FORM 1255 A. M. SULKIN, INC.. BOSTON LAND SURVEY AND CIVIL ENGINEER114G ASSOCIATES ALL CAPE SURVEY CONSULTANT . LAND SURVEY AND LAND USE DESIGNS 172 EAST FALMOUTH HIGHWAY EAST FALMOUTH. MASSACHUSETTS 02536 PHONE 546-4255 CHRISTOPHER COSTA P.L.S. March 17 , 1986 Barnstable Board of Health 367 Main Street Hyannis, MA 02601 ; Gentlemen: RE: Lot 21 Coachman Lane Barnstable L & M Builders Enclosed . is an as-build septic plan of the above referenced lot. The system was inspected prior to back-filling and everything indicates that the system should function properly. If you have any 'questions do not hesitate to call me. SH OF.� ^ Sincerely, O� � John Jacobi, R.S. t SH OF 1 - f O o� RIS N V S H Christopher Costa, P. URVE��Q� CC:ko C.C. : L&M Builders E 4 4 Fee--Z'12=�-------- BOARD OF HEALTH TOWN OF BARNSTABLE Application-*rVef[ Cootruction Permit A Lcation is hereby made or a permit f to Construct ( ), Alter ( ), or Repair (. an individual Well at: PP ------------------- ------ Location — Address Assessors Map and Parcel Owner Address — �— --------—------—------- --_---— — - — -- _ Installer — Driller Address Type of Building Dwelling------------------------------------------------------ Other - Type of Building----------------------- No. of Persons---------------------------------------------- ' Type of Well-------`��------------------------------- Capacity--------------------- --------------------------------------- Purpose of Well _________-_____ 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. Signed------------------------------------------------------------------------ -------------------------------- date O/ Application Approved — ^date �f Application Disapproved for the following reasons:-------=----------------------------------------=------ - — — -___—____ date Permit No.-- — ` x --- -- —-- Issued ---—-- --—--__---------—- ---—— date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) Y -- Installer at— --- -1/ - -14 ----L-4n----------------------------------------------------- - - - -- —------------- .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 No. _P7 --1-��---Dated----—---------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE---------------------------------------------------------------------------------- Inspector---------------------------------------------------------------------------------- _ � .. �,.+� � �-:,,, <� �.�.,� .r' *ins"'-"^,� _ .r; •,..v..v.._,. No.%l.l �_— __ Fee--01---4----� BOARD OF HEALTH TOWN OF BARNSTABLLE *PhrationArlVell Con5trurtionpermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair (,-)an d dual Well at: Location — Address Assessors Map and Parcel Owner Address - -!— - ' .S-- -- - - — — — ———— — —-------------------------- — -_- Installer — Driller Address r` Type of Building Dwelling---------------------------------------==------------------ Other - Type of Building---------------------------------- No. of Persons---------------------- ----------- j� Type of Well--`'=!'�--1-1 -- - - ------------------- Capacity---------------------------------- __— Purpose of Well-----------©t._S c L js—---------------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Tovantof,Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not toy--- place the well in operation until a Certificate of Compliance has been issued by the Board of Health. Signed--------------------------------_-_-_------__—___ � ___________�_ date Application Approved By---__— V date Application Disapproved for the following reasons:------------------- - ---------- ---- --- ---- -- --------------------------------------------------------------- Q date Permit No. - -�'�� -z -�- -- ------------------ Issued__—------------------------- —__-------_----- date BOARD OF HEALTH TOWN OF BARNSTABLE Certifirate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by- - --f:- - � - -- ------------------------------------ -- ---------- - Installer at------------- 1— — - — e ---------- — 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 No. c� - -�'--Dated--------------- T1=E ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY.' DATE-----------------------------------------—- ----- -- Inspector-----------------------— - ----- --- -- -_ BOARD OF HEALTH TOWN, OF BARNSTABLE lVerr Con5trurtionftmit No. - v-_7-/---- -? Fee--�--'- --------- Permission is hereby granted---------�-! !x ------�� 1 y�� to Construct ( ), Alter ( ), or Repair (�.<) an Individual Well at: No- ----------- k�,- -------------------------- - ------------- Street as shown on the application for a Well Construction Permit No.----------------------------------------------------------------------------- Dated- - -- - ------------------------------ -------------------------------------- �4oard of Health DATE--------------------------------------------------- - -- -- `NL FT KNOCKOUT �' _•"""' `'. \ 4 till v / � 2[�„ •• rI y\ Ql1TLI r tv . .+.._..• _.,.._ ., r.... ..r yr n-.0 -_-v. .. n ... �.,"«,°4 • J� 1 \� % i V� , a a } i pL 00000 ' 0 OQ 00 1� ice• 40.erA. /1.5 , '" l.. C11 �.. " 10 0 I o o0�� - ; - n o cRAQ t eo , � 0 � 0Q � � O Q00 f�c'�X �L 4 %r '"� ' 1 Y•...! b � Mr"` [^"' � "� � L jl y ---✓ _� _.-✓ ._. o/ji Ji''. ,/l'".1 -/fiL- — .!'' ---f` i�i_../'/�'! -y a C) © i _r ` f 400 1*3 Py u0 a '""� ,,7�r 2 JI I 00 ,01 LL E t/,aT'OfVS SN!'W'iV , x7 J 4 n \\ � ' . /VIA^ i h+/.s71^' • ' J _ a,r_ ��2 1'�� � � \ ,, �.. � \�\ ,� ,! _..�„��..�,��c C� '!'" GOJv.3.t'3S«lCk�7`�"� � `�.` C} �M` J `.� {� ~ k✓ 0 TO ` 1 . ALL USE A _ SfQgr R17 C:A57--.�'-.RDN 62A 4OR; C .�r,� AlC;e1TER/A, 3. ,-C—rM2)412F ZZ UAL�//7, L AI TZW Az'�s�...N�t� 7 - \ �/�' B�V6f�T 4 7 /N�-25gT EL�,%47`1LW ,r,�-,, , 1 6 � �/C/M !T t.�.� �EL�F1'G71���1� ..'.__. r `v .? A /� ' =',�" 1 '�,(1- �'4 h' l�'.' �'ER�C�fVS �El�'B:,f- J- Z 6`L�,4 At/ C'�-,a .__ L;f-',4,IV61Z AR IVA L3,A I,L. Y/"'.C...4/PV PL._,_l P�•� Sf�lV �- \ 'LG C91AC .SwU w.6' 7r4)xG1LTAI+V •--+1-�--r i Y• Bf � r�� f�E�1Tf7AC� ! \ /Va 1120 r / !pQ T� / CALCC/L A TI01,15 . 1N. -.�.FR cAT/afvs qo �orT f,.a • _ _4 /-�A.L T.4-I'' ��zo - �, 1 S YST�iif CAL? s ' c:1iL�E,tlT�S Sh'4. / T c qv A�A AT A,1, ?_ ',•`"tom"' '_:'.: .� a._. 5AIV j' f'' e\ �_ �.cr—'i� - .`"r. ! /i�'� i`liv C_ c.�_. t.... �L5 r ` - r W , r . _ _ ASL 1 I � S YEZo� aT/ ,v SAC,r �.�A/N T, 1,: L O7- .��t/N Tl, f C f f �" { A 6AR,r-3ACE G '/EV ER t /� �t►`e�' Est , f '. C � n.y' ; , /AVSTf4 !E4 QfV 7-,,L/E S�S TEM. 5 5. 4C/ �� -IF -- .. t ti. _ � ! ... ' R '� �..../1 it 4'• � ?" � f, ,4 L L CA�f= �j 7.�R G�;c Y C'01V-5C/L 7:4/V T c Y �CTE ALL PIPES ARE -0 BE 4" SCHEDULE 40 P V.C. VENT- PIPE (® Least 24 inches T 0' nir;r) from Schedule 40 PVC w/Charcoal Odor Filter � SECTION ON A -A _. house to septc D-BOX cover must be T 2-18' DAM. ACCESS MANHOLES j Ex st:r Foundation within 6 in. of finished grade I ! T.G.F. � - ,cc no JEprc tank COVE'9 must GE a !, j PROFILE blEif' OF LEAGHIIVG SYSTEM I ; . ­ir, 6 of finished grade _ —Grade over Septic Tank - 98.00� —Grade over D-Box - 98.00 - ---8rode over SAS 98.DC. NCt ro SCCIe `' '-� —' - —' - I T• I = 0 1 I \ 3/4" to I M 112 Wwhfd CMnd Stout I ' � 1 3 HOLE 3' Maximum Cover —TOP Load - Eiev. =94.50 \ INLET R / \; -.--.- < .41 coaiii Ln S-0 04 (H-t0) QIST BOX /r \ 4' PVC (CAPPED' INSP CTION POR? T- .� OU ET ,7! E a BE y r t l- op of SAS-Elev=9400 ` �NCTALL£D AND 9c WITHIN g' OF -GRADE // \ T - EXIST PIPE--' `—� !c. '..' I,G00 •'T '' = u.G10" er foot 4—.,,�, n .? ti _ J� Depth 'HE ACCESS CO,1ERS FOR THE SEPTIC j :ROM FQVNDATION a rK ! , �I. �- r-2' Etfectivs a to f r > f l ;� —'- _ti \�..J ---- �- ^ 4 PER THAN 8 INCHES BELOW FINISHED I ?- a t CON,.RE'E .T __-���_-`_ � f DISTTt!6UTION BOX AND LEACHING COMPONENT -- vLL FOUNDATION,— Ii a� ,� T " •- * t-�r •- .- „RApE $HALL BE RAISEDETo WTHIN 8" OF NT m u7 _ — 24 Effective - F YSHED GRADE. d 4 -"'`__ QN I It Ill '01 ___._I �, (Sideauall STEEL REINFORCED PRECAST CONCRETE j YS E RIU CF I �a>i I a-4�.. irn 4 Units @ T' _ ?6 A G I i - It P N VIEW S' LL F- LE AS BAFFLES OR EQUALS I T > —c 8' y I - icc h Not to Sco e �c y' ?2'—.--- i II r . !3,S' �..-. .-�.5' j lSl "aan� rtttacr S C�lcnpo W2004 NsvTff0 EFFective v,atn i� � /i- 3-24' REMOVABLE COVERS - 3 5' � I .._� 6 in.of 3/4-- .�2- y Effective Length c. `, I F- q I j GEN�RAL NOTES compacted stone �', p ( "'s- ...r \� I� - 3 min. clearance I S-1IL ABSORPTIGN SYSTEM (SAS) I J - r'rl Contractor is responsible for Di safe notification INLE? 8" minT 1Q'_min. INat to outlet p Dig safe A­ CC'r.'pONENrS MUSTaVE RISERS TO W' SIN 6" BELOW GRADE I W Bottom of rest Ho+e t Eiev-86.00 Fr T T n _ i E R LiTevei I C `E i i�- and protection of all underground utilities and pipes. L RA DR MODEL 305� (H i0 LEA ING)/ SUMN�R & uJNBA . I o.lm� } aaI I 2. The septic tank an distribution box shall be set No Groundwater observed a teal 71i (OR EQUIVALENT) 5' -7" -- f I + y �.; s' -r" evel on 6" of 3/4"-1 1/2" stone. N - - t _ 3_ Backfiil should be clean sand or ravel with no NOTE: OVERALL HEIGHT OF INFILTRATOR IS 30" /EFFECTIVE HEIGHT IS 24' i E g 9 j a b Get,am. _. d d3pth stones over 3" in size. 4 This system ,s subject to inspection during Installation by Carmen E. Shay - Environmento Services, Inc. ,74 5. The contractor shall install this system In accordance a-o' a o-e- —{ with Title V of the Massachusetts state code, the approved plan CROSS SECTION �'w SF�TUN and Local Regulations. ,-76 5. if, during installation the contractor encounters any n { c l soil conditions or site conditions that are different PICAI 1 000 CAI LL �v �t �. Niv ! from those shown on the so�i tog or In our_deslgn NOT TG SCALE nstcilation must halt & irnrrediate notification be '- r mode to Carmen E. Shay - Environmental Ser-vices, Inc. F 7_ No vehicle or heavy machinery shall drive over the PERCO' aTiC y p J L; septic system unless noted as K-20 septic components. / L 8 install Tuf-Tits gas baffles or equals on all sutler. tee ends. Date of Percolatio❑ est �? ? g A aD s+ b tion Lines shall be 4" diameter Sch. 40 NSF PVC pipes. Test Performed By R+1Ev c 5 Y. B IL, A;i solid piping, tees & fittings shall be 4" diam.eter Results Witnessed By: A AI'•r R , Per 64-Y_ A.B_E B.O.- 1 EXCA✓A.70R: Shay Envirc_- e, , ervice nc. c Schedule 40 NSF PVC pipes with water tight tolnts. Percolation Rate: Less Thu' 2 Ma! 0 48" 11. Municipal Water is Connected to ALL OF The Residence and Abutting IS,r 76 -86 Properties Within 150 Feet. Test HQIe TZ Cie L_ No. 1 o. 2 I r DEPTH SOILS ELEv_ DEPTI- soils THE PROPERTY LINES ARE APPROXIMATE AND j y PI. r f COM LED FROM `i-iE PLAN BY ALL CAPE SIiRVE`! ('OfVS11<TAhTS gamy corny f ENTITLED " CERTIFIED PLOT PLAN - LOT 21 COACHMAN LANE Y _ Sand Sand BARNSTABLE, MA" DATED JUNE 9, 1985 i -- ! o Y 3/2 -_ 2 { AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN - 88 0� a.• A t s 2E SHOULD BE USED FOR NO PURPOSE OTHER THAN \ '/J Loamy _oa y THE SEPTIC SYSTEM INSTALLATION. Sand ! Send --' -- PQ� NA' - - ------------- -- 0" 36*! 8. 91 10 g'- z B. g�g0 �q Silt—t—Loam + -- Si,t _oa n l — NOTE. ANY STRIPPED OUT SOIL CONTAINING LEACHATE f ) - Sand Sand FROM THE EXISTING SEPTIC SYSTEM TO BE DISPOSED 2.5 Y 8/ I 2.5 Y 8/6 ' i i OF AS PER BOARD OF HEALTH SPECIFICATIONS. 36"-48" C, i94 C0 3�`,.-a2" C 1.94,50, I IMed to mine ` --- Med to Finej I EXISTING LEACH PIT TO BE PUMPED DRY & - Sand I Sand E WITH C EAN FILL MATERIAL. 714 � � tJE - 86 C 42"- a4' r., ab .C, �J �o � 48" '44"I � —r Ott r tyq ol 4 k.. ti r� r r- Deot �e -_ ND 1.I ^' �1'r H'� .._���,^'�T_L. rr �'-Ii... Jt= r OBSER D '-2 , AJuS oOeP2,. Elev - U Y i.A pp �. ALA Ol."lE? PIPES FROM THE t - w c�,rv,,.e '`' F F -- - rONt:RETf GVER DI�rRiBunON Box SHAD BE SE- iF DEL FOR A EAST 2 - =.P7 .•r.`Tr'—,` Inc- ;y �NocKa s DENOTES PROP"SE: ' I. X . - c CI x'. EXISTI 88 �a L— Septic Tank i-{ t+5.5" �- N'F SPOT GRADE �(o 98, 3 BEDROOM ��; �- — \k on % . X ^04.46 T ,'�` �'�• HOUSE �� � I t` i ' 3 � ., DENOTE EXISTING 4 ✓ each Pit x�, -=� #4� 4" - SCI 4C, Tee 45 I p v SPOT GRADE x E N' �� / ✓ PLAN SE �'. �'G�S �c� �' � � '� ', � + "� PL PROPERTY LINE zo` HOLE D � `�1 �..�_-'�2�� 5"X, '- - >_, wa_� . ' T �_q��--- PROPOSED CONTOUR NO' 0 SCALE 97- - - - - -g e' er ~ EXISTING OON TOUR 41 \ — ;��� ; I DEEP TEST HOLE & OL x' A / aR �t '� ; DeS'gn Ca�Cuiat ohs PERCOLATION TEST LOCATION TFS- E ' amber of Bedrooms:4 Equivalent to 440 Gal./'Day (330 �a1 j`�'cy Mir.. per Title v) I 98 00 Number Grinder: No _� FENCE Leaching Capacity Proposed: 330 Got./Dov M:nimam `Min. Per 7 tie v) S Tank - x 44 Gal. = 880 l,',SE EX:S.. 1,0001' ;,AL Septic Tork Septic n 2 0 /DayP of <2r m n Bch SOIL ABSORPTION AREA: Using percolation rate j PRIVATE DRINKING WATER WELL I Bottom Area. 0.74 gal sq, f` x 420 sq. ft, = 3.0,8 cllons *r. B / \� S dewall Area: 0-74 ol. s ft. x 188 s ft. 39 2 alions L r r 9 / 4 q - i IR �J� � � O+ vim Providing' 449.92 gc''ons !, DEFINITION NI �ATF, Use: (4) 3050 H-10 INFILTRATOR CHAMBERS, HAVING A 2' ELrECTI✓E CEPTh, (4' W x 7' L) TO BE USED 'NTH 4' OF WASHED STONE Ct, THE SIDES AND 0 = 3.5' OF WASHED STONE ON THE ENDS. — I I f I i Fr t BLS ! ;--1 --1 �"� ,r` '•. i'— '-"� LOT # 21 l I 43,60;J Square Feet � WI, i' SCBSRPACE SEWAGE DISPOSAL_ S'Y S E j OF o DEBBi BRAD ORD CRCSS #41 COACHMAN LANE r v a I o I o �, A WEST BARNSTABLE, MA # 4 ; COAC ,I r,I , { �\ R N S T A B L_E , I;a, 2 66 8 --- � I ��NOF PREPARED BY: E. SffA Y sNA ENVIRONMENTAL SERVICES INC. o P.O. BOX 627 I 1' 40 50 I 1 1 ! 20 SAN TAR P� EAST FALMOUTH, MA 02536 TEL/FAX : 508-539-7966 / SCALE: 1 "=20' DRAWN BY: CES DATE: JUNE 3, 2005 PROJECT#SD-754 FILENAME: SD754PP.DWG SHEET 1 OF 1