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HomeMy WebLinkAbout0067 COACHMAN LANE - Health 77 Coachman Lane W. Barnstable r •. „t TOWN OF BA/RNSTABLE { LOCATION 67 60^--4 gqhW L xgi—e SEWAGE# 2 0// — 9 9S� VILLAGE (,U, ��9y'hSll4li�/: ASSESSOR'S MAP&PARCEL 1,5 INSTALLER'S NAME&PHONE NO. �S�S-y20-973g VlOScl'Li ��/3?QHNOS 'SEPTIC TANK CAPACITY /000 // LEACHING FACILITY:(type) ,2���(� 44r; 4O I—'klsize) NO.OF BEDROOMS 3 OWNER TVST PERMIT DATE: 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 .tG' t ��qr� . t�rvhT �$:; �� ,� ,s"�,�,. ���. a �`ti'` �� F -� Co����,��� L�h� .J No. '— . Fee THE COMMONWEALTH OF MASSACHUSETTTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes Z[ppritation for Misposal 6pstem Construrtion 3permit Application for a Permit to Construct(.�.�Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.41 T C 09 X~ 4,406 Owner'$Name,Address,apd Tel.No. Assessor's Map/Parcel SI,16!14 14 VL—:&(114"! T-yYiJT Installer's Name,Address,and Tel.No.Sp$—Z gp-77 rl Designer's Name,Address and T;l.No.Sdg—3G y— �o.�,ei��I d-� /��rry S E�O —T!�'cti t%/cos-f��n9'.�,L Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date 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) ZNSr If Ab!&, f9—IfOX Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issuednbh,*,s Board of Health. Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued Z —C No. c`G: .T '"A., Fee THE COMMONWEALTH OF MASSAdh1jSET`'TS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS,. Yes { riratioH for Misposal 6pst'm �oHstrurtior errztit Application for a Permit to Construct(/,)--Repair( ) Upgrade'( ) Abandon( ) 0 Complete System ❑Individual Components Location Address or Lot No. &7 4'_J14C,I1V 144 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 15Z _ Installer's Name,Address,and Tel.No. SOa,- 2 2'0- 77 S Designer's Name,Address,.and Tel.No. S C 2�y Jo.��r�'� l,-� 13��v vs `•�;C O - T/-�� � �.-6-�r/./'vr-.%�i=�ram/ Type of Building: Dwelling No.of Bedrooms j Lot Size sq.ft. Garbage,,Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures l Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title ~-Size of Septic Tank : t i i d' ?. ± �'. 'Type of S.A.S. Description of Soil J Nature of Repairs or Alterations(Answer when applicable) Li=r<tc�1� l�iG'a�,�i�i-� uf1 i�7 � `�'�v��i= �1Ya���9��• Date last inspected- Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued b his Board of Health. D �.. i Dates`'';. Application Approved by Date Application Disapproved by Date for the following reasons r..— Permit No. ! Date Issued ------------ -- ----------- ------------------------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS - b Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( t-)-'' Repaired( t) Upgraded( ) Abandoned( )by ` os f/� l -e ��tQ/�/U S ` at (fO 14t_ 7 t�71 �f�s�/= 6,/./5,14-A ,7j-t1 s4Q on t - in a tatedPe with the provisions of Title 5 and the for Disposal System Construction Permit N . -� Installer ,l0?�s©l t/I/ ���OS Designer #bedrooms Approved design flow j gpd The issuance of this permit shall not be construed as a guarantee that the system wit i, as esigrfed. Date ( Inspector --------- - J ------------------------------=--- -=---- --= -=- ==-_--=-`---_---_--------------- No. D �� �5_ Fee �� THE COMMONWEALTH OF MASSACHUSETTS ` PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS misposal .patent Construction Permit Permission is hereby granted to Construct( G)-- Repair( /) Upgrade( ) Abandon( ) System located at 7 �1014CU/�IiI/�b! >� �3• Y�sTk,14 Lam^ and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. i� Provided:Constructi n sta om/leted within three years of the date of this permit. Date U Approved by - / Town of Barnstable Regulatory Services Thomas F.Geler,Director • :enrtsr�. • HAU Public Heath Division Thomas Mckean,Director 200 Main Street,14yannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 1 11 Sewage Permit# `tall �2 9S� Assessor's Map\Parcel q 7 y � �l f Designer: �W � �y. Installer: �0.5���i Address: " l3 ���I®vG�-� „ Address: /Z ,0EV On ,L S was issued a permit to install a (date) // (installer) septic system at &RC I CI Y7 1 hC based on a design drawn by (address) dated g I� (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. Of y P I D M (Installer's Signature) " 1140 Dlk A MNIT_. 4 L AR�1' ���g I S, nature) (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/Septia`Designer Certification Form 3-26.4doc Town of Barnstable P# 19 Department of Regulatory Services 2A34 M m8, Public Health Division Date s 200 Main Sirect,Hyannis MA 02601 Date Scheduled Time Fee Pd. D C/ Soil Suitability Assessment for Sewage Disposal S , Performed By: `J n t u t ✓g-� a 14o w r Witnessed IIy LOCATION&GrENERALINFORMATXON Ucafionm&= G7 Cd4GA "'I I aName 1,eilH /TvNdiah WE$T - i3grn5+qWe Add= 6;7 &gc-hWiah L n /,�/l woe (fit Ks+a► �, Assessor's Map/Parcel: Cj Z l 44 Engineer's Namc NEW CONSTRUCTION REPAIR Y .,Telepp�hone N *� — e Land Use IN�n rl a I Slepea m) (5 ' �`0 Surfacc Stones Sd Wle Distances from: Open Water Body 100+ tt Possible Wet Arco (00 R Driniting Water Well 104 It Drainago Way ?d t n Propedy Lino 1 0{ It Other R SKETCH:(Street name.dimensions of lot,coact locations of test holes dl.Pero[eats,locale wetlands in proximity to holes) 164.5o Ft- v 'u to r� — —t 4- L M m �C C c) via he Parent rnaterial(geologic) � Depth to Bedrock Depth to Groundwater: Standing Water in Hole: w y lie Weeping from Pit Face k6 K le Estimated seasonal Nigh Groundwater dep-Q e r +kzi h I OA I h DE 'NATION FOR SEASONAL-HIGH'DVATER Whod Used: IYkl i1 ►1� Depth Observed standing in obs.hole: in. Depth to Soil monks: 144+ in. —t4.o KC Depth to weeping from side of obs.hole: in. Groundwater Adjustment It o hewrvM Index Well y Reading Dale: Index Well love] Adj.factor Adj.Groundwater Level_ PERCOLATION TEST Date TUnc Obsav4cn Hole 1 Time at9" ZZy�O Depth of Pero �Z�h Tune at 6" R-00 Stall Pre-so*Timc® 0—00 Tune(9".G) 6h1 h End Pmsoak RateMk&ch Site Suitability Assessment: Site Passed V Silo Failed: 1y Additional Testing Needed(Y/N) JU Original: Public Health Division Observation Hole Data To Be Completed on Back ***If percolation test is to be conducted within too'of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:ISEPTICiPERCFORM.DOC I t DEEP OBSERVATIONHOLE_LOG Hale# Depth Svm Soil Horizon Soil TcdL= Sore Color Soil Other Surface(in.), (USDA) (Mrmacll) Moulins (Structure,Stones,Boulders. Co�i4isteney.%Cfirve)) 0 --1O Ft Lt_ (;D -( Z LOAM tOkR'Z/, �JonP P= ,4ble t,Z - 1`f' L-opml S m,11) to`S 011 fir+obl (q - 15 SONDE LORM (0K1-��/¢ pr'Olble v;- 40 SWo", LOAM lotiR `?4 4p.. t44 Mt:;DIVM SA.tJ)-) lU iZ,� 3 000�e Depth fvm Soil Horizon Soil Text= Sod Color Sea Other Surface(im) (USDA) (Mansell) Mottling {Structure,Stones,Boulders. Comistcney,%Gravel) D-q R I L L, - - - -r' --J— IU - 1 Z L M, S ti) tp k rz /, N� bl 15 1 S--w 54,twY it) `f R Fo Aq 01 3 -f35 L "%AeDty M SWD to kR 19 Coo .. . DEEP OBSERVATIONR6LEZOG Hole Depth from Soil Horizon Soil Tcxtro Soil Color Soil Other Surface(iri) (USDA) (Nausea) Moulins (Structure,Stores,Boulders. Consistcncv, Gmel) DEEP OBSERVA�'IOX HOSE LOG Hote# Depth Exam Soil Horizon Sun Teaturs Soa Color Soil, Other Surboe(in.) (USDA) (Mansell) Moulins (Structure,Stones,Boulders. Comistencv.%Gmych Uood Insurance Rate:Man: f P!K*vlSrin;caifle�+d.lwur±_t ;t No_ Yam+ V Within 500 year boundary No V Yes_ Within 100.year flood boundary No V Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious materiel exist in all areas observed throughout the area proposed for the soil absorption system?' If not,what is the depth of naturally occurring pervious material? Certificationl o la 5 I certify that on (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 3110,CUR 15.01.7. Signature (, /�-� C 7t= Date ��� ef, �t i'� r N OF MASsq DAVID cyGN o D. Q:%SEP 0PE.RCF0MD0C U COUGHANOWR 'CENSE'0 OQ l e AIUp,K CERTIFICATE OF ANALYSIS g ..t 7. S Page: 1 Barnstable County Health Laboratory Report Prepared For: Report Dated: 8/28/2007 E. F. Winslow Plumbing&Heating Order No.: G0742967 8 Reardon Circle South Yarmouth, MA 02664 Laborator y ID# 074.2967-01 Description: Water-Drinking Water Sample#: Sampling Location: ti7 Coachmen Ln.West_Barnstab M Collected: 8/21/2007 Collected by: G.Raymond Kitchen Sink Faucet Received: 8/21/2007 Test Parameters ITEM RESULT UNITS RL MCL Method# Analyst Tested Note Hardness 13 mg/L as CaCO 0.1 SM 2340B LAP 8/22/2007 Iron ND mg/L 0.1 SM 311113 LAP 8/22/2007 Manganese ND mg/L 0.0010 EPA 200.8 LAP 8/24/2007 Sodium 9.3 mg/L 1 20 SM 3111B LAP 8/22/2007 o—H 6.3 pH-units 0 SM 4500 H-B DCB 8/21/2007 Water sample meets the recommended limits for drinking water of all the above tested parameters. Approved By: (Lab�to,) B�9 /D7 ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 °F A� CERTIFICATE OF ANALYSIS Page: 1 Barnstable County Health Laboratory Report Prepared For: Report Dated: 8/28/2007 E. F. Winslow Plumbing&Heating Order No.: G0742967 8 Reardon Circle South Yarmouth, MA 02664 Laboratory ID#: 0742967-01 Description: Water-Drinking Water Sample#: Sampling p p g Location: 67 Coachmen Ln.West Barnstable,MA Collected: 8/21/2007 Collected by: G.Raymond Kitchen Sink Faucet Received: 8/21/2007 Test Parameters ITEM RESULT UNITS RL MCL Method# Analyst Tested Note Tannin& Lignin ND mg/L 0.1 SM 5550B yn 8/22/2007 Water sample meets the recommended limits for drinking water of all the above tested parameters. l ' Approved By:� (Lab ctor)i 1°7 ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 No.—.W?o�v� p --- Fee----- -------------- BOARD OF HEALTH TOWN OF BARNSTABLE Application for Veil Con!5truct ion Permit Application is hereby V rpade for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel Owner Address Installer — Driller Address .Type of Bui ' welling— ----------------------------- Other - Type of Building No. of Persons-------------------------------------- Type of Well �Z- Z/ ----- 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 — TA Application Approved By e ---_— 3 6 U date Application Disapproved for the following reasons: ------- - - ------ - --------- date -.--- Permit No. �' S -- Issued — U -- date-- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Off COMPliance THIS IS TO CERTIFY That the Individual Well Constrructe (/- ,A� a�or Repaired ( ) Installer at— � �� Yam' ze)'-=--�- �°-�---=- -- --___— ------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Yrotection Regulation as described in the application for Well Construction Permit No. Dated— THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE -- Ins pector —----—-- ---- ._ — —__----__------------ No.-- Z U da BOARD OF HEALTH TOWN OF BARNSTABLE zip rication,f'orlverr Con.5tructiou erruit Application is hereby rpade for a permit to Construct ( ), Alter ( ); or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel Owner _ Address Installer Driller Address Type of Bui --- -------- -- welling CthFr=.Type.of=Builu':zg 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 7 fi �R J b 0 ;� Application Approved By — ------— - ---- date x; Application Disapproved for the following reasons: ----------- - -- - ` -------------date------ Permit No. w'� , 0-5 S — Issued-- �v �- --- - ---------- date c • f t� BOARD OF HEALTH TOWN' OF BARNSTABLE y C ertif irate ®f Compliance / THIS IS TO CERTIFY That the Individual Well C6iistructe ( );-Altered.( ),.'or Repaired by _ � f�/t� C/� �,'G�D� = -- — — - -- Sl: �, - ,- ''*:.Installer ,: � - •. r at has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well rotection W aUv) -U Dated - Regulation as described in the application for Well Construction Permit No. ---------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE---- --- — Inspector--------------------_—__—_—_—_—_ ___-- b ' BOARD OF HEALTH J TOWN OF BARNSTABLE 1prCf Con$truct ion Permit Fee-- --- Permission is hereby granted w &E114 i//N to Construct ( . ),:Alter'( ),.or Repair ( ) an Individual Well at: No. 7 6�C' 9,Q/1/ X-4 street 1" r} as shown on the application for a Well Construction Permit No.- -----------------I'j - f r � - --- .- ------- -- Board of Health DATE l r .1 Awls �Qc nl�n S l/9 TOWN OF BARNSTABLE r j `� LOCATION ,C gg7- 2.o �6yej iZ/ SEWAGE # VILLAGE AJ,. ,�� ��/� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.&) `l Zfi= -rfi2 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) ,/T (size) x NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER e'o �,A2& (as,o/��r_;,z 5� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No d Lv � +� 3 1 1 THE COMMONWEALTH OF MASSACHUSETTS BOAR OF HEALTH Appliratinn for Uiipusal Works Tonstrndiun ramit Application is hereby made for a Permit to Construct (� ) or Rep it ( ) an Individual Sewage Disposal System at: ------------------------- ............................................ lion- d re s or Lot No. •---- ----------------------------------------- ---------- - .............�. Ow er Address .. .._� ---------------•-•---.........--............. Inller Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic () Garbage Grinder (� Other—Type of Building ............... No. of persons............................ Showers a YP g ------------------•------•----------------•P--- ( ) — Cafeteria ( ) dOther fixtures ..--••••......•••• •••---•••••••••••-••••••••--••-•----••--•.......••-----•••...-••-•-......-•-•--••-••---..••_.. W Design Flow.......110.....................•.....gallons per person per day. Total daily flow--------_2.3_0.....................gallons. WSeptic Tank—Liquid capacityf. allons LengthS'.��..': Width�'f.e.". Diameter---1 :..... Depth...C.--........ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......... ........ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ) Dosing tank ( ) Percolation Test Results Performed by•-•••---•••••••-••••••-••••••-•--.....••••••.............••-••-•...•••... Date........................................ 4 Test Pit No. 1_-�._minutes per inch Depth of Test Pit.. . ..:.._ Depth to ground water........................ 44 Test Pit No. 2....._... ..minutes per inch Depth of Test Pit--- _._.:"_.. Depth to ground water........................ • •-••••••-•••-••-•••-•••••---•••.....-•••._...••-••-.._...---•..............................••-•--......------.._..---...._... O Description of Soil'....... =. N-�o k�u._�t � - � 5. 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 iIHE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has en i d by he boa d of health. Ifoing ig •• �lacc-1 66/. . qUe Application Approved By-••.- ••••--•-....•--•- •-•--•.......................................... C9 '¢� .......... — —y Date Application Disapproved for t reasons:............................................................................................Da.t.e------------- ...•••••-•---••--•-•..........••••-----••........-•-•••.•--••-••-••••-•-•-...-•••-----•-••••••---........._................................................••••••••••••••••••-----...Date PermitNo....................................................... Issued...................................................... - Date �-t No...�.)`3-:;�;Z F B...�` C�c THE COMMONWEALTH OF MASSACHUSETTS BOARD- OF HEALTH }------------------OF.........-.-..` �4 )<.a. -- ..!_�_�,...e:.................. Applutttion for Disposal Works Tomit.rn.rtion Prrutit Application is hereby made for a Permit to Construct ) or Repair ( ) an Individual Sewage Disposal System at: �- _\,_; E ... .......................... .� ......................................... Location-Ad ress or Lot No. ...........7,,,,Ow : : _:..,. ---•--------------• _------------.-•------____ / er AddressVa ! . � . -!fit ........................................ ...................................... In. taller Address e. Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms____...._`--�____________________________Expansion Attic (—) Garbage Grinder �--� Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures -----•-••--••------------•---------•.......................__.._...- -- W Design Flow....... '_________________--_____._gallons per person per day. Total daily flow-------- _ ......................gallons. R; Septic Tank—Liquid capacity�t_ k__.gallons Length�_ C__ Width f In-._ Diameter---12-...... Depth__ W Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No_________ _______ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ' ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ W Test Pit No. 1 -` ___minutes per inch Depth of Test .__. Depth to ground water________________________ Gt, Test Pit No. 2..­�-_Z__minutes per inch Depth of Test Depth to ground water........................ ---------------------------••--•-••-----•-•-------•---.._.................------•--•---•---......................................................... 0 Description of Soil' 0 . --.V "".......C,Ic. '�# { 't ,, c,. ,��'�t r�.-----•--- V rr:r,4. i� -{ �, Y �^ n _.�v': Jam•!_. S �� W ..T.�.? .� -4a>.7�'_�lf _ :1 4.1- \Y1 _ti<l a...7=Lj� 4 �� t ' �`\C' \[ Y tl_y�s _.�tC�._�4 . .......... _-___,_._...�_ ._ f UNature of Repairs or Alterations—Answer when applicable____________________ _________ ___________________________________________________________ •-------•--------------•--•----------------•------•----------....--•----•-••---•••••---••----------•----........--------••---------------------------------------•_-•-•••••-------...._••--•-••--•-_.... Agreement The undersignrd 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 Certificaat'e� of Compliance has been issued b4_:VA y the board of health. r Sig _:\f _;?Y 1 44=-4.1--;�G R - ...__.... a-,...,-C� Date r ApplicationApprovedY -------- �"-- ------------�--------------------•-..._...•---------.._..._......-- ---••-••- ' 1 7 Date Application Disapproved�or the f of Iwing reasons----------------------------•---•----•--------•---------•------••----------------- __------- -------•.............•----••-•-•-----;`..--•--....-•--••---...-•--•-•--------------------•---............._...._..-------------•-----•-------•-------•-----•-------------------•--Date-•--------._.. PermitNo......................................................... Issued--------=----------•--................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... 05atifirtt#r of Trrntpltanrr THIS IS TO CERTIFY, That the ndividual Sewage Disposal System constructed ) or Repaired ( ) bY-•-•--------•-•--•----Y--------•---• ____. � �nstall ,c �� AC fl t�1A - nst. at................. l----------.:-..................`�--r----•--••---••---- ---- -----4----t�-------••--•--------------•--•--......... has been installed iniaccordance with the provisions of TITLE 5 of The State Sanitary Code a des ribed in the application for Disposal Works Construction Permit No w _ ems Q��.......... dated---._-___6 __!___- _--��............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUA ANT E THAT THE SYSTEM WIL FUN TION SATISFACTORY. DATE 1 Inspector. _______--- ; -----------------------------------•-----•----- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 0F.- &I .e........................................... No......................... FEE........................ t' �r�a 1 nrk Tonstrnr#ion rrntit Permissionis hereby granted.............................................................................................................................................. to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo............................................................................................................................................................................................... Street as shown on the application for Disposal World.Construction Permit No..................... Dated.......................................... ...............•------------••-....._...••-••_----- 4 Board of Health DATE------O-V-•-------- ---•-•- F 1255 HOSES & WARREN, INC.. PUBLISHERS ENVIROTECHLABORATORMS,INC. MA CERT.NO.:M-MA 063 RECEIVED 449 Me.130 Sandwich, MA 02963 MAR 1 8 2002 908(888-6460) 1-800-339-6460 FAX(908)888-6446 Tu4'V'N OF BARNSTABLE HEALTH DEPT. CLIENT. Vaughn Avedian LOCATION. 67.Coachman Ln ADDRESS: 67 Coachman Lane W Barnstable MA 02668 W Barnstable MA 02668 COLLECTED BY: Meehan Well Drilling SAMPLE DATE: 3/11/2002 SAMPLE TIME. N/A WATER SAMPLE TYPE. New Well- Replacement DATE RECEIVED: 3/11/2002 LAB I.D. #. 0203122 WELL SPECS.: 114 RESULTS OFANALYSIS: Parameters Units Recommended Results Method Date Analyzed Limits Coliform bacteria /100ml 0 0 9222 B 3/11/2002 pH pH units 6.5-8.5 6.24 4500 H+ 3/11/2002 Conductance umhos/cm 500 96 120.1 3/11/2002 Nitrate-N mg/L 10.0 0.10 300.0 3/11/2002 Nitrite-N mg/L 1.00 < 0.004 300.0 3/11/2002 Sodium mg/L 28.0 9.3 200.7 3/12/2002 Iron mg/L. 0:3=.: - < 0.1 200.7- 3/12/2002 Manganese mg/L. 0.05 < 0.008 200.7• 3/12/2002 COMMENTS: pH is below recommended limit and may have corrosive characteristics. WATER MEETS EPA STANDARDS AND IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. <=less than Date 311 >=greater than toratory ald J. SaarA TNTC=too numerous to count Dikhctor OATE OF TEST:, AUGUST 9. 11 SOIL EVALUATOR: , '. -DAVID D. COUGHANOWR. R.S. D E S O 3 N . C Q L CkU A,T U 0 N S SOIL TEST LOG WITNESSED BY.' DON DESMARAIS. HEALTH DEPT. - • PERC NUMBER: 11763 DESOG,N FLOW: 3 BEDROOMS X 110 GPD = 330 OPD SEPTIC TANG: 330 G9PD X 2 DAYS = 860 GALLONS NO NDWATER ALLON ANK F ON -SOUND STRUCTURAL TEST PIT 1 PARENT UMATERIAL:ENCOUNTERED OUTWASH CONDITION. OF NOT, OO STALL 51800 O LOOM OSEPTIC TANK (OAf N MUM ALLOWED) PERC AT 80 ►n - 4 MIN/INCH IN C SOILS DOSTROBUTOON BOX: USE 3 OUTLET D-)BOX. ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER SOOL ABSORBTOON SYSTEM): A 24 fftt x 12.8 fft as 2 ffit LEACH NG GALLERY CAN LEACH (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING Abot = ( 24 x 12.5 ) = 300 eff 130.10 Aadw = Q 24 + 24 + 12.8 + 12.5 y x 2 = 146 of 0-10 FILL At®tt = 448 aff 10-12 O LOAM 10 YR 2/1 NONE FRIABLE Vts 0.74 as 446 = 330.04 OPD 12-14 E LOAMY SAND 10 YR 4/1 NONE FRIABLE USE A 24 fft x 12.5 ff4 x 2 fft GALLERY. Vt = 330.04 GPD > 330 OPD RIEQUORED 14-15 A SANDY LOAM 10 YR 3/4 NONE FRIABLE ®®� GALLON SEPTIC. TANK B SANDY LOAM 10 YR 5/6 NONE FRIABLE 128.77 USE EX STIING H 10 UNITL' SCALE LEA CHING GA L L ER Y 40-144 C MEOIUIM SAND 10 YR 6/3 NONE LOOSE 118.10 USE SHOREY PRECAST 500 GALLON NOT T NO GROUNDWATER ENCOUNTERED SEPTIC TAMS IS TO BE PUPAPLED DRY LEACHING DRYWELL !H-10 LOADING! SCALE TEST PIT 2 PARENT MATERIAL: PROGLACIAL OUTWASH AT 7TWE OF INSTALLATION AND IS TO PERC AT 72 In - 4 MIN/INCH IN C SOILS DE EXAPAINED FOR STRUCTURAL CONSTRUCTION DETAIL INTEGRITY. INSTALL NEW PVC OUTLET ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER TEE EQUIPPED WITH A GAS BAFFLE. DRYWELL UNIT STON 7 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING I in (D 24.0 It 130.00 TAPER 0-6 FILL w 8-10 O LOAM 10 YR 2/1 NONE FRIABLE a 10-12 E LOAMY SAND 10 YR 3/1 NONE FRIABLE o S, 0 o- N 12-15 A SANDY LOAM 10 YR 4/4 NONE FRIABLE o 0 �o en 128.83 15-36 B SANDY LOAM 10 YR 5/6 NONE FRIABLE 38-138 C MEDIUIM SAND 10 YR 6/4 NONE LOOSE ff4 8.8 It s oe 118.50 ® �� 24.0 It re ate, NOTES 500 GALLON DRYWELL INLET OUTLET DIMENSIONS AND DETAIL COVER COVER 1) INSTALLER, TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. :•• ..:• -'� ..;: USE H-10 UNIT INSTALL ONE INSPECTION 3 IN DROP RISER TO WITHIN THREE 2) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED —► FLOW LINE —► RISER OF FINAL TRADE FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE. FROM 9® In = 94 TO AND INDICATE LOCATION 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS BUILDING in. D-BOX ON As-BUILT PLAN OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). 48 In 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND,UTILITIES LIQUID BAs� BEFORE EXCAVATING FOR SYSTEM. r LEVEL AFFLE p 33 p0 5) EXISTING LEACH PIT TO BE PUMPED. COLLAPSED. AND FILLED OR REMOVED. - 0000000 00o p0 � In 6) ALL STONE TO BE DOUBLE WASHED AND FREE -OF IRON. FINES AND DUST IN PLACE. �oo�000�000 pOp SEPARATION OF INLET AND OUTLET TEES o000000ao Op `� 7) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES SHALL BE NO LESS THAN LIQUID DEPTH o �� AND APPLIANCES. AND BIANNUAL PUMPING OF-.THE SEPTIC TANK. CROSS SECTION VIEW Spa l� 81 SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. D0' 'NOT _ R . PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM, ` : i " DISTRIBUTION BOX CROSS SECTION VIEW 9) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON' A LEVEL DIMENSIONS AND DETAIL USE SHOREY DO-3 H-10 2In PEASTONE 2In PEASTUr,E STABLE BASE THAT HAS BEEN MECHANICALLY. COMPACTED, AND ON TO WHICH SIX INCHES OF CRUSHED STONE HAS BEEN PCACEO' TO MINIMIZE UNEVEN SETTLING. 0 NOT TO24 SEWAGE DISPOSAL SYSTEM PLAN SCALE t,jMI„;" 28 I I� EFFECTIVE �4 ?6 Ini�GRAVEL DEPTH I-1/2 p+GRAVEL OPAGE 2 OF 2 FROM 46 In TO 46 In 58 In SHEILA M. AVEDIAN TRUST 0 0 TANK a TO 0 in 67 COACHMAN LANE '- ' E A WEST BARNSTABLE. MA ��` In STONE BASE F INSTALLER IN LAV SUBSTITUTE AN APPROVED OEOTEXrILE � FABRIC IN PLACE ol= ra�aE 2 /n. PEAsroNE LAYER SPECIFIED fes,g !D q�. CROSS SECTION VIEW AUGUST 9. 2011 ETE-3507 z � 9' < (1 Z < Lou J�Z0 0 z JCS E z°d ' < o��� O j p O 0 a Z Q W v 0� o< .E � � ?=���� • x O Woo 3 CO E J F— Z v �.� no �, a 0,4; O� t* I-; i W o o � w � J . 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TOP OF FOUND. _)3L{, 10 FT MIN. } CONCRETE 4" SCH, 40 PVC CLEAN SAND _. COVERS PIPE- MIN. PITCH CONCRETE f 1/8" PER FT. COVER f 4" CAST IRON /8"�-AI/2" WASHED PIPE - MIN. PITCP I2 MAX, _ �.. � STONE 1/4" PER FT o ' FLOW LINE a .,' •.. Z r� L 0l� , � EL. 10 MIN. /` 4 .:. •, " � _ Si EL.- ..i ., 6 ~ t EL _4.(f EL.- i ' EL.- 1 . IY DIST "L BOX G e 0 LOCATION MAP [ 3/411- 11/2' _-_ WASHED STONE Lit a UG _ PRECAST LEACHING _ �vU� ^—EL= //.3,y GAL. y� BASIN OR EQUIV. j SEPT I C .j TANK I PROFILE OF BOTTOM OF TEST HOLE � EL. � A L SYSTEM GROUND WATER TABLE( / / ) E.L. _ SEWAGE DISPOS NOT TO SCALE ' DESIGN CALCULATIONS SOIL TEST NUMBER F BEDROOMS .- — - S TEST DATE OF 1L 0 E t '" GARBAGE DISPOSAL UNIT.. . . . �` ' r 0 " WITNESSED BY TOTAL ESTIMATED FLOW P RGOLATION RATE -`� MIN./INCH/ z, � - ' = ..GAL DAY//� GAL_ /BR./DAY x ? BR ) , . . . . . . �� OBSERVATION HOLE I OBSERVATION HOLE 2 ELEVATION - ,F`. -- /CCO� .SII Ti` � REQUIRED SEPTIC TANK �APACI?Y.. . . _e GAL. � ACTUAL SIZE OF SEPTIC TANK GAL �* 393 I ## ATI - 12q ' LEACHING AREA REQUIREMENTS C n c0,,,, S q,-701 [ SIDEWALL AREA Z,oti7 GAL./S.F./pAI/ BOTTOM AREA s?.R3 GAL./S.F,ib/{'/ '' �----I '� LEACHING CAPACITY ( BOTTOM + SIDEWALL). GAL/may } i C,� Y I rn t h I G :_ n tv, SAti4 ` A _ i A \l '� � ,� RESERVE LEACHING CAPA ITY ............... ... � GAL ?--� ' I x p z .4 , � M w i [, ALES NOTESas 1 MATERIALS SHALL CONFORM . ALL WORKMANSHIP AND TE LS L R Rr1h�NSTfi►r3L� I TO D.E.Q.E. TITLE 5 AND THE TOWN OF RULES AND REGULATIONS FOR SUBSURFACE DISPOSAL OF SANITARY SE WAGE 'r 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO ✓ r WITHIN 12 OF FINISHED GRADE. s'r 3. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY MIN. FRONT SETBACK THE SAME. MIN.. REAR SETBACK 4 N HAS BEEN MADE BY THIS OFFICE AS TO MI SIDE SETBACK NO DETERMINATION N. COMPLIANCE WITH TOWN ZONING REGULATIONS. OWNER/APPLICANT I2 - _ - APPROVED BOARD OF HEALTH I I IS TO OBTAIN SUCH DETERMINATION FROM APPROPR{ATE AUTHORfTY. ems t DATE AGENT rD iil 1pP { T- , a F PROJECT LOCATION l sw` I t22 APPLICANT : ,i:....... ... t '.-. LEGEND SCALE 1 r�11 DR. @Y ;;y DATE EXISTING SPOT ELEVATIONS OOxO p` Hsu J06 N0 { _� APPb. BY REV. EXISTING CONTOUR - -- - - - 00 - - - , RICHARE 1 a ' FINAL SPOT ELEVATIONS OO.O JA,�nfs , I FINAL CONTOUR I a I O'HEARN �� x R. J. O'HEARN /NC. DRAWING v0 ;� t r Na 594 7 2� 1 SOIL TEST LOCATION \ �� '; �� r .� REG, LAND SURVEYORS- REa SANITARIANS NO. SITE PLAN ! t � -�%'` 35 ROUTE 134 — UN1 T 2 ,��•�� SOUTH DENNIS MASS. OF Alm L f _ a -