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HomeMy WebLinkAbout0040 HIGH STREET - Health 40 High Street West Barnstable A= 133 —028 —002 10/20/2011 THU 15: 36 FAX 5083627103 Barnstable CTY HealthLab - Barnstable Health 2001/001 CERTIFICATE OF ANALYSIS Page: 1 of 1 , Barnstable County Health Laboratory (M-MA009) '�icHv ' Report Prepared For: Report Dated: 10/2012011 Ann Marie McGinn William Raveis, R. E. Order No.: G11'65417 812 Main St. Osterville,. MA 02655 . Laboratory ID#: 1165417-01 Description: Water-Drinking Water Sample#: Sample Location: '40 High St.W.Barnstable,MA Collected: 10/14/2011 - Collected by: John Ross Received: 10/14/2011 - Routine ITEM RESULT UNITS RL MCI METHOD# TESTED Nitrate as Nitrogen 2.4 mg/L 0.10 10 EPA300.0 1011412011 Copper 0.54 mg/L 0.10 1.3 SM 31118 10/20/201 t . Iron ND mg/L 0.10 0.3 SM 3111B 10120011 pH 6.8 PH AT 25C NA 6.5-6.5 SM 4500=H-B 10/1412011 Sodium 16 mg/L 1.0 20 SM 3111 B 1012012011 Total Coliform 0 /1OOmL 0 0 MF-SM9222B 10/14/2011 I Conductance 140 umohs/cm 2.0 EPA 120.1 10/1412011 j Water sample meets the recommended limits for drinking water of all the above tested parameters. 7 Attached.please find the laboratory certified parameter list. Approved By: -.-....... _ _ .. (Lab Director) / z>/ / 1 i ND=None Detected RL = Reporting Limit MCL=Ma)amum Contaminant Level F Superior Court House, PO.Box 427, Barnstable, MA 02630. .Ph:.508.375.6605 ' a TOWN OF BARNSTABLE o LOCATION �L . /�i4�i �f SEWAGE# "Z010 - 0®'g VILLAGE IV. ASSESSOR'S MAP&PARCEL 13 " 2,6®®� INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY l d D® a /y Cie$ %he"i LEACHING FACILITY.(type) (2 A re- 3(a 11, . (size) (v1) 3 K 3 U NO.OF BEDROOMS- 3 OWNER SS C.3 PERMIT DATE: 1 `i-L 2.0 COMPLIANCE DATE: 4 -Louo Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility !✓® o 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 / FURNISHEDBY `—AP'twiap- 0 iVQf SAS LLCM 41, by Al !t! 93.S Yoe _ /tjf . I , No. 2 f D• O OB Fee 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Y—$� PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS es Zipplitation for Misposal *pstrm Coristrurtion VPrmit Application for a Permit to Construct( ) Repair 0() Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 40 4�,�j Sri-(-e Q. gcnsmw _ Owner's Name,Address,and Tel.No. Jo(,,,, (Zos5 Assessor's Map/Parcel 13 Z$-0 2L Pc+3uX�7 z �•'F, 7Y�i Z Installer,'s/Name,Address,and 11el.No.('n i�e Ch k:Ke�,rf Designer's Name,Address,and Tel.No. 5'G•Elit� S S-76? Type of Building: Dwelling No.of Bedrooms Lot Size '�6, t`�`� + sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(_nin.required) 33 0 gpd Design flow provided 344 b .3 gpd Plan Date I- (1 10%0 Number of sheets Revision Date Title, 4O 1 4L STY Size of Septic Tank 10 p p •QJt'.. VIA Type of S.A.S.(2) l(e4^LL-CS Description of Soil Nature of Repairs or Alterations(Answer when applicable) xt5 I t7L, GboO Q y{-t, 1)9- ' Tc. rtZtj D-9,02L- TJ 301L3 0 3,a ew—� 5,-(S --c -t Date last inspected: 7/ 7 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 by this Board of Heal Signed Date Application Approved by ly . Date ZO AD Application Disapproved by Date for the following reasons Permit No. 2 6/O d o 8 Date Issued /2 leo 16 ..../. .rr-nv�viif...:4.� .✓{'Y�M-�Yi....,.r':�i�,•in1f1T* _ .........++w,r ..—............,..._.._.�.-� -.... .. � ..�_ _. ...-......5.�.�t• 4�e.w.{/. rys+,w -.re_.n-'v:w.van� Ru�^--vw�'.y�l' No. 2 Fee O THE COMMONWEALTH OF MASSACHUSETTS Entered inconiputer: / • PUBLIC HEALTH DIVISION - TOWN. OF'BARNSTABLE; MASSACHUSETTS j Yes , f — ftpfication for Misposal 6pstent Construction 9ermit Application for a Permit to Construct( ) Repair OO Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Ho 4�4) S-t s e-er W. Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Po,3�K N7 Z 3 2g-6 2., U� .r Kati>r,•adi e Installer's Name,Address,and Tlel.No.(:�, ,,,rev h KrjG'�i S�f Designers Name,Address,and Tel.No. 42 e '(0 Z � �Po & �-76 Type of Building: Dwelling No.of Bedrooms Lot Size `5 6, 1`I 1 t sq.ft. Garbage Grinder( ) Other Type of Building ����,i�,� i�f�n.,1,y No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3-3 6 gpd, Design flow provided y(n .Tj gpd Plan Date I - 20%0 Number of sheets I Revision Date Title t-�O 1-�_tL. 5N`e-Q Size of Septic Tank ibnn Type of S.A.S.4Z� Lc,4.Lt,;� Description of Soil C r� Zarr #eke �JA,Lq' r ti Nature of Repairs or Alterations(Answer when applicable) X ?f 1 1000 (Al kp4.,2 T_kq w_ 1`Q_0 t t ' Date last inspected: 'Tjp'x7 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 by this Board of Health. / Signed ,�l/\ �G" �•- Date !- 11 - 2 O r O Application Approved by- �_ /�, �/ Date Z0/A Application Disapproved by � Date for the following reasons v Permit No. 2 o /D c.,o H Date Issued / 112 2 loci/n } THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site `Sewage Disposal system Constructed( ) Repaired(q Upgraded( ) Abandoned( )by C�,n��, o rt Ftz 49,1%. %e at `-16 !)�,. S d e —� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No?G I(? - DG dated ///Z 120/O Installer nv c�e �g/)d i t (.C r Designer _' [_ C 7 k 1 LLe.4 A #bedrooms 1 Approved design flow/ .3.� C�.r gpd The issuance of this permit shall not be construed as a guarantee that the system wil rncti�o/n/as designed. f Date �„f(0 Inspector ( ' - _ __-----------------------------.- No. 2 /0 © 0,5 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction 3permit Permission is hereby granted to Construct( ) Repair('�& Upgrade( ) Abandon( ) System located at I 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. Provided:Construc712120 must be completed within three years of the date of this permit. Date iG Approved by L TRANS. NO.: CITY/TOWN: West Barnstable APPLICANT: ADDRESS: 40 High Street, West Barnstable MA DESIGN FLOW: 330 gpd REVIEWED BY: DATE: N/A OK NO GENERAL Legal boundaries denoted [310 CMR 15.220(4)(a)] X Street, Lot, tax parcel number and lot number noted on plan [310 CMR 15.220(4)(u)] X Locus Provided [310 CMR 15.2204(t)] X Plan proper scale? (1"=40' for plot plans, 1 '=20' or fewer for components) [310 CMR 15.220(4)] X Easements shown [310 CMR 15.220(4)(b)] X System located totally on lot served [310 CMR 15.405(1)(a) for— upgrades]- ,,f not, a variance is required [310 CMR 15.412(4)] X Location of'impervious surfaces (driveways, parking areas etc.) [310 CMR 15.220(4)(d)] X Location all buildings existing and proposed 310 CMR 15.220(4)(c)] X Location and dimensions of system components and reserve areas. [310 CMR 15.220(4)(e)] X System Calculations [310 CMR 15.220(4)(f)] X daily flow X septic tank capacity (required and provided) X soil absorption system (required and provided) X whether system designed for garbage grinder X North arrow 1310 CMR 15.220(4)(g)] X Existing and proposed contours [310 CMR 15.220(4)(g)] X Location and log of deep observation holes (existing grade el. on each test) [310 CMR 15.220(4)(h)] X Names of soi- evaluator and BOH representative [310 CMR 15.220(4)(h) and (i)] X Location and date of percolation tests (performed at proper elevation?) [310 CMR 15.220(4)(i)] X Percolation test results match loading rate? [310 CMR 15.242] X Certification statement by Soil Evaluator [310 CMR 15.220(4)0)] X Observed and Adjusted groundwater (method for adjustment given or indicated) [310 CMR 15.103(3) and 310 CMR 15.220(4)(n)] X Address_40 High Street. West Barnstable MA Sheet 1 of 7 Location of every water supply, public and private, [310 CMR N/A OK NO 15.220(4)(k)] X within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water supply X within 250 feet of the proposed system location in the case X within 150 feet of the proposed system location in the case of private water supply wells X Location of all surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310 CMR 15.211 and any catch basins located within 50 ft. [310 CMR 15.220(4)(1)] X Water lines and other subsurface utilities located [310 CMR 15.220(4)(m)] (if water line cross see 310 CMR 15.211(1)[1]) X Profile of system showing invert elevations of all system components and the bottom of the SAS [310 CMR15.220(4)(o)] X Stamp of designer [310 CMR 15.220(1) and 310 CMR 15.220(2)] X Stamp of Registered Land Surveyor(required if construction activities within 5 ft. of lot line) [310 CMR 15.220(3)] X Test Hales adequate (two in each of the primary and reserve unless trenches as permitted in 310 CMR 15.102(2) or as approved for an upgrade under LUA at 310 CMR 15.405(1)(k)] X Test hole adequate to demonstrate four feet of suitable material? [310 CMR 15.103(4)] X Test Holes adequate to confirm adequate groundwater separation? [310 CMR 1.5.103(3)] X Benchmark within 50-75' of system [310 CMR 15.220(4)(q)] X Materials specifications noted? [various sections of 310 CMR 15.000] X System components not > 36" deep (unless Local Upgrade Approval or LUA requested) [310 CMR 15.405(1(b)] X Address 40 High Street, West Barnstable MA Sheet 2 of 7 N/A OK NO SEPTIC TANK Size OK? [310 CMR 15.223(1)] X Inlet tee located ten inches below flow line [310 CMR 15.227(6)] X Outlet tee 14" or 14" + 5" per foot for increase ft depth [310 CMR 15.227(6)] X Outlet tee with gas baffle or approved filter [310 CMR 15.227(4)] X Note regarding installation on stable compacted base [310 CMR 15.228(l)] X Separation between inlet and outlet tees(no less than liquid depth) [310 CMR 15.227(2)] X Inlet/Outlet elevations at least 12" above high groundwater (except as described 310 CMR 15.227(5)) or permitted for upgrades under LUA [310 CMR 15.405(1)(k)] X Minimum cover 9" (Tanks buried more than 9" must have risers on all openings and on the d-box) [310 CMR 15.2228(l) and 310 CMR 15.232(3)(0] X Three access covers (inlet and outlet must be 20" or greater) - middle access at least 8" (by 7/07) [310 CMR 15.228(2)] X Access to within 6 " of grade - one port for systems<I 000gpd, two for systems >1000 gpd [310 CMR 15.228(2)] X All at-grade covers secured to unauthorized access? [310 CMR. 15.228(2)] X > 10 ft from building foundation [310 CMR 15.211(1)] X Buoyancy calculation Required/Done [310 CMR 15.221(8)] X H-20 Where appropriate? [310 CMR 15.226(3)] X Setbacks from resources [310 CMR 15.211] X AA Z Required when other than single-family dwelling or flow>1000 gpd [310 CMR 15.223(1)(b)] X First compartment 200% daily flow; Second compartment 100% daily flow [310 CMR 15.224(2) and (3)] X "U" pipe through or over baffle, outlet of each compartment with gas baffle or approved filter [310 CMR 15.224(4)] X Address 40 Hiah Street, West Barnstable MA Sheet 3 of 7 N/A OK NO BUILDING SEWER ANbY OTHERPIPING `g Located at least ten feet from any water line? [310 CMR 15.222(2)] X Disposal piping at least 18" below water line (when water and sewer cross, see 310 CMR 15.211(1)[1]) X Cleanouts required/provided ? [310 CMR 15.222(8)] X Thrust blocks specified in force mains? 310 CMR 15.221(6)(c)] X Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable [310 CMR 15.222(6)] X Proper pitch on all runs? (.005 within gravity-distributed trenches and beds) [310 CMR 15.251(9) and 310 CMR 15.252(2)(c)] X Siphon problem/ (leachfield below pump chamber) X Endcaps or vent manifold specified? X Size and orientation of discharge holes specified? (not smaller than 3/8" not larger than 5/8") [310 CMR 15.251(8) and 310 CMR 15.252(2)(h)] X Materials specified (310 CMR 15.251(5) specifies various pipe types allowed) X Stable compacted base [310 CMR 15.221(2) and 310 CMR 15.232(2)(a)] X Splash plate or baffle tee required on inlet/provided? (when pressure sewer to d-box or steep pitch of gravity sewer) [310 CMR 15.323(3)(a)] X Riser if deeper than 9" [310 CMR 15.232(3)(0] X Inside minimum dimension 12" [310 CMR 15.232(2)(b)] X Minimum sump 6" [310 CMR15.232(3)(e)] X Watertight cover if<2000gpd); waterproof manhole if>2000gpd [310 CMR 15.232(3)(d)] X PUMP CHAMBERS ` a Capacity (emergency storage above working=design flow)? [310 CMR 23](2)] X Proper setbacks [310 CMR 15.211 (same as septic tanks)] X Watertight 20-in minium access manhole at least 20" MUST BE TO GRADE [310 CMR 15.231(5)] X Service components accessible (not too deep with piping, disconnects accessible) X Alarm floats - alarm on circuit separate from pumps specified? X Exceeds two units must have two pumps operating in lead-lag mode. [310 CMR 15.231(6) and (8)] X Stable Compacted Base [310 CMR 15.221(2)] X Buoyancy calculations needed ? Provided? [310 CMR 15.221(8)] X Address 40 High Street, West Barnstable MA Sheet 4 of 7 r.. �A SOIL ABSORPTION SI'STEVIS(SAS GENERAL N NO Calculations correct? X 4 feet of naturally occurring material demonstrated? [310 CMR 15.240(1)] X Required separation to groundwater? [310 CMR 15.212)] X Aggregate specified as double washed [310 CMR 15.247(2)] X System Venting required/provided? (system under driveway or >36" deep) [310 CMR 15.241] X Inspection ports specified and within 3"final grade? [310 CMR 15.240(13)] X Breakout requirements met? (No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and Guidance Document] X GALLERIES,PITS,CHAMBERS 31fr0 C1VIR152'S3 3 - _..� Chambers and Gal. in trench configuration supplied with inlet�. every 20 ft. [310 CMR 15.253(6)] X Each structure with one inspection manhole (if>2000 gpd must be to grade) [310 CMR 1.5.253(2)] X Aggregate 1' minimum- 4' maximum. [310 CMR 15.253(1)(b)] X 2' sidewall credit maximum [310 CMR 15.253(1)(a)] X In bed configuration, inlet every 40 s . ft. [310 CMR 15.253(6)] X TRENCHES 310 CMR 15�251 , Width 2' minimum 3' maximum [310 CMR 15.251(1)(b)] X 100 feet - maximum length [310 CMR 15.251(1)(a)] X Minimum separation 2x effective depth or width whichever greater(3x if reserve between trenches) [310 CMR 251(1)(d)] X Situated along contours [310 CMR 15.251(2)] X Breakout OK? [310 CMR 15.211(l)[4] and Guidance Document] X BED SAS AZaximum sizeof bed,or field5000 d) " minimum 2 distribution lines [310 CMR 15.252(2)(a)] X Maximum separation between lines 6' [310 CM RI5.252(2)(d)] X Maximum separation between lines and outside of bed 4' [310 CMR 15.252i,2)(e)] X Aggregate depth below discharge pipes 6" minimum, 12" maximum. [310 CMR 15.252(2)(g)] X Separation between beds 10' minimum. [310 CMR 15.252(2)(f)] X Bottom area used in calculations only [310 CMR 15.252(2)(i)] X Address 40 High Street, West Barnstable MA Sheet 5 of 7 N/A OK NO DID"THE PLATONVOLVC, Pressure Dosed System ? Provided pump and piping calculations as required [310 CMR 15.220(4)(r)] X Pressure dosing required on all systems>2000gpd or alternative systems under remedial approval [310 CMR 15.254(2) and I/A Remedial Use Approvals] X If used in gravelless system - make sure jet is directed as not to scour soil interface [Guidance Document] X Inspections once per year(systems<2000 gpd) or quarterly (>2000gpd) good to note on plan [310 CMR 15.254(2)(d)] X Construction in fill - Did the plan specify that the fill shall meet the specification of 310 CMR 15.255(3)? X Impervious barrier and/or retaining wall ? [Guidance Document] X Impervious barrier installation must be supervised by designer [310 CMR 15.255(2)(b)] X Retaining wall must be designed by Registered Professional Engineer [310 CMR 15.255(2)(a)] X Side slope not exceed 3:1 ? [310 CMR 15.255(2)] X Breakout requirements met? [310 CMR 15.252(2) and Guidance Document] X At least 5 ft. from impervious barrier to edge of SAS (10 ft. recommended) [310 CMR 15.255 (2)(e)] X Gr"a,velless Systemffl-.,Approval Letters1 �F" < s , " A Check DEP Approval letters for credits and design conditions X If used with pressure dosing do not allow pressure discharge to scour soil interface X Alternattve;Sephc.System'[I/AE.APProvaZLettersJ Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? X Is the technology being properly applied and does it meet all, DEP Approval Conditions? X Is there a note on the plan regarding the requirement for perpetual maintenance agreement? X Any alarms involved on separate circuits X Did the applicant submit an operation and maintenance manual? X Has applicant submitted a copy of a maintenance X .i ,... r.Ml€,.. ...,. ., .. ...46sfi4As.Po. b....3ea✓"..''. .n... „!.. F, Are the variances listed on the plan ? [310 CMR 15.220 (4)(q)] X RLS Stamp necessary on plan if a component is within five feet of property line [310 CMR 15.412(4)] X New construction or increased flow proposed- [Refer to 310 CMR 15.414] X Address 40 High Street, West Barnstable, MA Sheet 6 of 7 N/A OK NO Nitrogen Sensitive-Areas MT Is the system in a Designated Nitrogen Sensitive Area(Zone 11 for a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and 310 CMR 15.216 - also refer to Policy regarding upgrades of such existing systems] X Is the system proposed on the same lot as served by private well ? [310 CMR 15.214(2)] X Are the nitrogen loads proposed in compliance? [310 CMR 15.216(1)] X Miscellaneous Pumping to septic tank ? [ 310 CMR 15.229] X Shared System [310 CMR 15.290] X Address 40 High Street, West Barnstable,MA Sheet 7 of 7 Town of Barnstable Regulatory Services . Thomas F, Geiler,Director MAMMA :l Public .Health Division k Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 ()t'fix: 5U9-862-4644 Fax: 50&701: 61(14 Date: 11-z 1-1 Q Sewage Pcrtnit# 26W--0ok Assessor's Map/Parcel VS .8 - r .Installer & Desisner Certification Form Designer: C En. t Tint:,- Installer: �.a �k:�d� Lvlfe.f (tStt �t L�-(, Address; Z ,5y Cc �t��S�! 1'(<<��w`'Y._ _ Address: _....P 0 9rox Ensi ujorChF,rh i-(� -�J OJV �` e,�, _was issued a permit to install a (instiller) ' wptic stent at based on a design drawn by __._._......._ (address) �L n tdeeci0C CoC, dated Sc-or? il, 1Ct0 3_ _ (designer) _V 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. Stripout (if requited) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with maior 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 Vlow. Stripout (if req nspected and the soils were found satisfactory. (I tHiler`�- igriatur4j� No f18;7 AL e1igner's igil4hir, (A > est, e s flip Here) 4 PLEASE. RETURN '[U BARNSTABLE PUBLIC I4EALI IVISION, 'E ' ' ' lw ICATE OF _COMPLIANCE WILL NOT BF ISSUED UNTIL 13 YFH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABL,E_PUBLIC�HLALTH DIVISION. 'THANK YOU. FACCrtllid.l mil himi do, T.•a 1 1 --- — 1 — ——r•- 1.1- e! - OM (TTfA7—T'7_11'JN J 1• • � , NCO' n + .BOARd'OF HEALTH ` TOWN OF BARNSTABLE 0pprication-*rVell Coo tructionVermit A plication is hereb made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: - - - -- -_--------- ------- _ Lo ion — Acifire s B Assessors Map and Parcel ------ —----------------—-------— --------------------------------------- er Address Installer — Driller Address Type of Building Dwelling-- -- -- - -- -__---— - Other - Type of Building------- ---------- No. of Persons--------------- ------ Le Type of Well- - - " -- "" ------------------ Capacity----------------------------------- ---- Purpose of Well---- i--� �Y - --- - 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 Certificate of Compliance teas been issued by the Board of Health. Sign _ n ---------- --— ---- date Application Approved By ____—__ ___ _____-_- date Application Disapproved for the following reasons:---------------------------------- ----------- ----- -- - -------------------------------------------- vQ date Permit No.— --� - ---- -- -- Issued——— -E"--J--Z==a)------ ` date BOARD OF HEALTH TOWN OF BARNSTABLE C ertif irate Of Compliance THIS I CE IFY, Tat the Individual ell C tructed Altered ( ), or Repaired ( ) Installer � i a t— �� -- --- - =— - ------ --_—----- —has been installed in accordan a 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. ` =-� ----Dated---THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE —_—---- ------- ----------- Inspector------------------------ No. to--�- --U c ., yr., Fee— -------------- �BOAReOF HEALTH TOWN OF- BARNSTABLE. : i Z)zc6 aC->I- application forVelr Con.5tructionPermit A plication is hereby made for a permit to Construct ( ), Alter ( or Repair.( )an individual Well at: �, � 4 � ..- ---------------------------------------------------------------- Lo lion — A 8r s Assessors Map and Parcel - Address -t — — —— ---------------------- — — Installer — Driller Address Type of Building Dwelling ------- - —- -- -- - Other - Type of Building-------------- ------------------ No. of Persons-------------------------------------------------------- Type of Well- ------ UC -------------------------- '�--�---��----------------------- 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 Certificate of Compliance has been issued by the Board of Health. Signed/ -- -- -___-- - ----date---------------- Application Approved By ---�` -- "-�-- ------------------------- --------- date Application - - -- Application Disapproved for the following reasons:------------------------------—----------------------------- ----------------------------------------------------------------------------------------------------------------------------------- Qdate Permit No.---!- l-f _-- -- - —— — - -- Issued -- �} -'�." �f- - ------------------------- date BOARD OF HEALTH TOWN OF BARNSTABLE- Certifitate Of Compliance THIS I T CE IFY,T�h�at ��th"_e Individual ell C �structed Altered ( ), or,Repaired ( ) '�Y' -w by— � -- =--------------------�1- ----��"-------�---�--�---`-�'1----- - ---�-=�------------------------------;--------- Installer si 'Y '- _ -------------------------------------- has been installed in accordan e 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. 1 ----Dated-------------------------- THE 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 Yell Con5truct ion Permit No. --- _!_ — Fee =----------- Permissioni��, Alter ereby granted,------ - ----------------------------------- - to C°° tut r epai )-an Individual Well : - -- ----------- ------- --- ----- --- --- ------ ------------------------- No. � - Street as shown on the application for a Well Construction Permit No.—------ --- Dated---- --C� - = �- -- --— -- - - --- ----------------------- ------------------------------------------- DATE- ()Board of Health - 1�'-------------- t_ Y19 TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE t/�- -5 ;n/ILLOW STREET 0-;73 INSTALLER'S NAME PHONE NO. SEPTIC TANK CAPACITY1AAA E .E �� 94 c LEACHING FACILITYAtype) (size) r a NO. OF BEDROOM$_ PRIVATE WELL OR PUBLIC WATER)? BUILDER OR OWNER DATE.PERMIT ISSUED: /p - `6 $ 7 DATE COLIPLIANCE ISSUED: " VARIANCE GRANTED: Yes ' No f I - !i ` /. °:•/� �f � P Y�� / r, ',+s t :, h� _ `4 a � ""'L , � � b \ ® ,�� . , �° � .. ` ASSESSORS MAP NO: _w 'ARCEL NO.: A v-l U C1� THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ............. .........OF...� ... Alip irFatinn for Bi"as al Work.5 C omtrnrtion Vamit Application is hereby made for a Permit to Construct (Ll-r or Repair ( ) an Individual Sewage Disposal System at: h�Cl-1 �T• 1�,/L�T R3rlr ,-S- 16T-0 Z ......-•�--i...._-•--------------�.�j..-- .....--•---------.........--•--••-•--•-•----•---.------ .......-•-••--•--•......_.....----•-•---------•---•-------••••--•----•---•------------------•-•-•. ��/�/�}'7✓� /� iotress L.�(�rJr'Tf�7Lj ......�--- ........ ................. . ..•-----.------•----•---....... ....---.--------v-------•-------.--------_.ddre s.......-•_-------------------------•------- Owner Address W •---......_ ._..�. � ............................... •-••-••••-- ...�. �.....--••--••-•-..••- Address S feet � Type of Building Size Lot____.._.__y_______________ q. Dwelling—No. of Bedrooms.............3...........__.___.______._Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons............................ Showers — Cafeteria W Other fixtures ------------------------- ------ - W Design Flow.................t43_.................gallons per person per day. Total daily flow....................... ......................gallons. R: Septic Tank—Liquid capacity-/0a_0gallons Length.__.8�... Width...¢`�`� Diameter................ Depth..A_z9 u Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------/......... Diameter.._... Depth below inlet...-&-S_ ... Total leaching area... o7-Ssq. ft. z Other Distribution box ( ) Dosing tank ( ) `-' Percolation Test Results Performed by------ ____ ..................._...�� Date_._GAT/� Test Pit No. 1....L__Z--minutes per inch Depth of Test Pit----- _.. Depth to ground water_______ _____________ f= Test Pit No. 2...L.Z..minutes per inch Depth of Test Pit.... Depth to ground water.-..�......._... -------------------------- •••----------------••••-•-••-----•-.....----------------•--••--•-------•...-•-••----............-•-••••••-•...................... O Description of Soil........D-!!-''o!! t,A7-7 � SotC_.............`3o .,_cj6 ¢ C��1�� ------ a, C DER- UP1H-vi0r W - =NI TALLATION_.AN�.CERTIFY ItJ R1�i'I x r, U Nature of Repairs or Alterations—Answer when applicable.--_____-:rc+_E..SYSIEK WAS..............INSTALL��_,N STf".. ._ •----------------------------------•-----•---...-----------------•-----------------...........--•-- ="., �^ SANCE TO PLAN Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i 1.L p 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 board of health. Signed -- . ...... ............ •------- .. . .... D to Application Approved By....... `--•--•• • ----•----- ... ••---...:... -••--•---•--••• -••---.. ........ 6 Date Application Disapproved for the following easons:----•••----••................•••----•••••-•--••••-•--••••••...------------•-----------•----•--•-••............-- ---------------------•-......--------......._._.....---•-----•-•......••••••----•----•••....-----•-•-••- - r Date Permit No........ 1 — -------- �-----------. Issued....-- :":.......-�-�-•----•--------------- Date r No.................--....... Fps............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................... _ .............. OF...96 .-....:....T ...............------------------ Appliratiou for Disposal Work, Cfonotrurtion Vvrrmit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: ................-................................................................................ --•---------......-----...-------------•--------------------------------------.................... ? A/Address ;;may ------------------------------ Owner ..............................Address Address Type of Building . Size Lot....SZ 149-----Sq. feet Dwelling—No. of Bedrooms.._.........'-�.•........................Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ..:......................... No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures _________________________________ _ Design Flow................-'Y ,. . ...................__g per p per day. y ............................................g allons. LiuId caac>tylbp_ allons Len�h.... . . w .. �.xSe ticTank— .......... Width__ Diameter_______--__-_ DePth. ... . .. Disposal Trench INTO............ Width................ Total Length............/. Total leaching area.___._ -...---__sq. ft. Seepage Pit No--------/........... Diameter... ....... Depth below ........ Total leaching area..� ?__?.sq• tt. Z Other Distribution box ( ) Dosing tank ^) Percolation Test Results Performed b .......................... Date.._..___.:.__.__.,,-••-...._._--_---_--' 014 Test Pit No. 1._..�.Z._.minutes per inch Depth of Test Pit.._.� ....... Depth to ground water._. Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.__�............. Depth to ground water...."..... . ._.._... ai.......-........--•---...-- ;-.---•---•-•---------•- --....-•-----•--•---------•----•---•----- D Description of Soil D '�� �za.�-mot St�c9-.S€�e(L------------ 'a 'ate e- VGb/YKS... ..1 e.�. 3'/�./_� '. ......--- .U-----.... •--- --....._ .......................................................... --------------- - - -••-••---•--....-•--•-•--•-...._._.......----•-•---••--••--••-••---•------•••......••--........................ 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 T I T 4' 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 board of health. Signed......... ......... ......--•-•...--••-••----•-•-• lu/` Application Approved B N 'C�-------------p......_1':Sz_. ..: .................-- ------PP. PP Y•---•-•--- i Date Application. Disapproved for the following easons:--•-•-------•--•-•--•-•---• ...............................................................D Date --••••-•--•------•---••-......••-•--••••-•-••••-•••••----••••-•-••••-••--j---•-•••-••••--•••••----•...--•-••--•••••-•••••••-•-•-•----•----•----•--••--••......•--•----• --•-•-••------------•-•-•----- 1 , Date Permit No-------= ............... Issued..........:......... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................................... ........... QWrrtifirair of TOmplianrr THIS IS TO C TIFY, Th the Individual Sewage Disposal System constructed (0) or Repaired ( } bY-------------------..................................... •--•-•------....`...-••-•-•---•--•••-•-•-•••--••----...-•-•--•-•-•--••-••-••-•---••._...................•••....----••-•---•---••••-- Installer has been installed in accordance with the provisions of Ti T IE j of The State Sanitary Code as described in the . application for Disposal Works Construction Permit �'oQ. ._.i _�.. ........... dated---- .1�_-'_ _�-' �.�.......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE TkAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE__... 0 ......---• .....-2-•--------------------- Inspector.... --•--•----•-•--.-.---- V 3 Z--�THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _ .. wv oF.......... - TC Jf,h ..........................................:.....:..: tt� FEE........................ DisposalWorks Tonstr ion rrutit Permission i hereby granted.......A...................................1, ' to Construct ( ). or Repair ) an IndivduaI Sevt ge is o System at 1� FIbc ! i`•�` i� Street PP P Works Z- as shown on the application for Disposal Construction Permit No____________________ Dated..__.....::_...?__...'... T—t 7� Board of Health DATE...... 1:.'...`-C'r--.....--�j...........I.................. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - Department of Environmental Management/Division of Water Resources WATER WELL COMPLETION REPORT WELL LOCATION t J Address ��- City/Town + . ••^ o G.S.Quadrangle Map Grid Location Owner Address WELL USE _ CONSOLIDATED WELL Domestic Q Public ❑ Industrial ❑ Type of Water-bearing Rock Other Water-bearing Zones Method Drilled A- t) From To 2) From To Date Drilled 3) From To 4) From To r CASING Depth to Bedrock Length r Diameter Type UNCONSOLIDATED WELL STATIC WATER LEVEL Water-bearing Materials Feet below land surface Sand: fine❑ medium❑ coarse 0 Date measured " Gravel: fine❑ medium❑ coarse❑ GRAVEL PACK WELL Screen: r , l Slot# length •_ from to Yes ❑ No Q- Split Screen (or 2nd screen) WATER QUALITY TESTS MADE Slot# length from to Chemical ❑ Biological ❑ Depth To Bedrock PUMP TEST Drawdown feet after pumping days—� hours at r ��GPM. How measured Recovery 4-feet after hours. LOG of FORMATIONS COMMENTS: (On well or water) Materials From To 0 r Cb m DRILLER m Firm e 0 Address•1 City RegistrationNo. , perators ignature ease print ,rm y BOARD OF HEALTH COPY 15M-2 84-176471 + /7Z-7 Z SI-AeoTS LOCATION SCALE . .���. �. . . DATE BG-:? /G LoT'w Z K. PLAN REFERENCE . . .. . . .. ... . i i l� _ LoT ol 17 Z- /,Z84 4449-S p,..-+ i 'rs /' Zz, Pry°PO�� zo / ..... \ Lo7 3 � 6V POOP � O ' 30� N 32' bF Pr�Pos� ��d \ Jr-51C;iV+PJG ENGINEER M"if nd $��.WRITING INSTALLATION AND C,3,RTIFY I THE SYSTEM WAS INSTAL% D I � I ACCORDANCE TO PLAN N STRICT \ e, / WWK +�1 2 I r DVE RD- KELLEY I No. 26100 34, & r.S�; sflE�`T z �F z Ste/ S 3S.00 TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS • ♦ � z.rs' e e 4' CAST IRON 12"MAX. F3/4 OR SCHEDULE 40 12"MAX.P.V.C. PIPE 4"SCHEDULE 40 PVC.(ONLY) PITCH 1/4"PER.FT. PIPE- MIN. LEACH PITCH 1/4"PER.FT PIT STINVERTINGINVERT INVERT o . RSEPTIC TANK 3z DIST �zo6eIV.INVERT BOX. . .. .. GAL. INVERT 3.5 Q' 11/2INVERT w wEL.�!:s4.. V: ED wEez.z Z3 WDIA. --►� No, `c ♦ /� DIA.---►� w�Nz�o PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG WITNESSED BY : DATE ql T77 .��!�1�> TIME. !! 00 BOARD OF HEALTH TEST HOLE ¢ TEST HOLE 118 -�Az� <CS� /� - ENGINEER ELEV. . . �� . . ELEV. . 38..70_ . 1f 30" !, see so, 30" s a_So,� DESIGN DATA �v a,3Z,io 6z. 3t.zo CC4— NUMBER OF BEDROOMS '. Cor'j.Sbr TOTAL ESTIMATED FLOW `3-�� GALLONS/DAY "sep_ BOTTOM LEACHING AREA �'53�-�, . SO.FT. /PIT/G,P D. 9L �� SIDE LEACHING AREA . . .�53�9 SQ.FT./ PIT/38SG.P.D. s4/D GARBAGE DISPOSAL .!`l4w;5--(50% AREA INCREASE) F'yE' TOTAL LEACHING AREA . . 07 SQ.FT sA,roaG LL�SS 77�� 7Zt/p of �z. 2z.go / �� E2. Zt,70 PERCOLATION RATE . �¢$ • • - . . MIN/INCH /v/O WATER ENCOUNTERED LEACHING AREA PER PERCOLATION RATE NUMBER OF LEACHING PITS APPROVED . .. . . . . . . . . . BOARD OF HEALTH DATE. . . . . . AGENT OR INSPECTOR Jvw o ER'"r G o� / C.3 STET �T Z . . . J.cLLcYNo zicn No. 2u1C3 , W( ST <!�ITiR/,S��J,%GG J/ ��• --_� „$ SANRAP% PETITIONER ' . . . , , !fir-•�. .^!�'. . PROVIDE PRECAST CONCRETE GENERAL NOTE S T.O.F. EL.= 34.7+ EXTENSION RISER WITH CONCRETE INISH GRADE OVER D-BOX= 33.0'± 4"SCHEDULE 40 PVC MIN. SLOPE 1% - ' ~7 COVER TO WITHIN 6"OF F.G.OVER FINISHED GRAIDE OVER DIFFUSERS= 33.0' 33.7 INLET AND OUTLET COVERS. REMOVABLE WATER-TIGHT COVER OVER INSPECTION PORT WITH ACCESS BOX TO SLOPE @ 2% MIN. 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISH GRADE RISER TO WITHIN 6"OF FINISHED GRADE WITHIN 3"OF F.G. (ONE PER TRENCH) METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL @ FND. EL.= 33.3'+- FINISHED GRADE OVER TANK EL. = 33,4'± 5"DIA. OUTLET(S) CODE AND ANY APPLICABLE LOCAL RULES. 1 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE } DESIGN ENGINEER. PROPOSED 4" 9MIN. I 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL ,--EXISTiNC�4" �T __. PVC SEWER PIPE 36"MAX. 9"MIN. SEWER PIPE �[ 36"MAX. TOP OF SAS/B.O. = 30.93' SYSTEM UNLESS OTHERWISE NOTED. --- ---- - s ( « 3"DROP MAX F _-Elip p PROVIDE WATERTIGHT 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 2"DROP MIN 3 9 MIN.SLOPE@ 1% /^"JOINTS(TYP.) ELEVATION =30.93' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A 4"PVC IN FROM .r/ 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF 10" �._ 14" ._� `± SEPTIC TANK 4"PVC OUT TO 1.33' nJWP 6"TYP THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. ------ LEACHING FACILITY 0 90, �P-) 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 12" 6" 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. CONTRACTOR CONTRACTOR SHALL � OUTLET TEE 30.80� MIN. 3Q,Ij3' SHALL VERIFY SIZE 48" VERIFY CONDITION OF 30.50� �29,6Q' (LAID FLAT) 2.875'(34.5")--I----5.75'� 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK AND CONDITION OF EXISTING TEES I 22"ZABEL FILTER 6"CRUSHED STONE 5 0' ((TYP.) FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING SEPTIC AND REPLACE AS MODEL#A1801-4x22 OVER MECHANICALLY NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY (GAS BAFFLE ON BOT.) COMPACTED BASE (TYP j 5'MIN. 11.50 AND DESIGN ENGINEER. 5 OUTLET DISTRIBUTION BOX 30.0'(TYP FOR BOTH TRENCHES) 8. ELEVATIONS BASED ON N.G.V.D. 1929 DATUM 31.90'ESTABLISHED ON A NAIL f TO BE INSTALLED ON A LEVEL STABLE SET IN TIMBER WALL ALONG EDGE OF DRIVEWAY AS SHOWN ON PLAN. BASE. FIRST TWO FEET OF OUTLET GROUND WATER ELEV.= < 21.50' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION EXISTING 1,000 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT CROSS SECTION VIEW BIODIFFUSER (PROFILE) BIODIFFUSER (END VIEW) 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES 12 ARC 36HC #3616BD BIODIFFUS►ERS TO THE DESIGN ENGINEER. *CONTRACTOR TO VERIFY EXISTING ELEVATION PRIOR SEPTIC TANK PROFILE " DISTRIBUTION BOX DETAIL NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. TO ANY WORK& NOTIFY ENGINEER 1F DIFFERENT. NOT TO SCALE NOT TO SCALE C� 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING SWING-TIES SCALE: 1"=20' ` _ - TEST PIT DATA REGULATIONS, OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM #40 .. �- - -.•,-.- APPROPRIATE AUTHORITY. � PERC NO. NOT PROVIDED AT TIME OF PERC w EXISTING DESCRIPTION HC GC � INSPECTOR: David W.Stanton R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS 3-BEDROOM � �, -.. ;*s . � DWELLING ,"y - - LOCATED UNDER PAVEMENT DRIVES OR TRAVELED WAYS IN WHICH CASE TOF= 34.T± BIODIFFUSER CORNER(1) 26.0' 44.7' - -- _. A EVALUATOR: Michael Pimentel, E.I.T. .� THEY SHALL WITHSTAND H-20 LOADING. `AV C.S.E.APPROVAL DATE: Oct. 27, 1999 BIODIFFUSER CORNER(2) 33.1 37.2 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. DATE: January 7,2010 BIODIFFUSER CORNER(3) 58.0' 64.3' C {} ' `� A TEST PIT M 1 14. WHERE REQUIRED,CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE EXISTING BIODIFFUSER CORNER(4) 54.3 68.9 /r MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. ELEV TOP= 32.00 GARAGE '�'�' I REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, ,- �# - <21.50' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). µ D °� * � LOCUSI ELEV WATER- GC "` 4 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN # PERC RATE_ <2 min./inch w w 1) Q '!►N �' SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. a N cy 2 - A y> '. DEPTH OF PERC= 20"-38" 16. PROPOSED PROJECT IS LOCATED WITHIN: M ear" ) a e o C' • + TEXTURAL CLASS: 1 ASSESSORS MAP 133 PARCEL 28-02 Yo Z o ! ' 3 OWNER OF RECORD: JOHN A. &PATRICIA R. ROSS ADDRESS: PO BOX 452 Q Fill WEST BARNSTABLE, MA 02668 4" 31.67' (4 �,•,- +r Loamy Sand . A 10Yr 3/2 }` ,�' .;. +, 10^ 31.17' FEMA FLOOD ZONE C r Loamy Sand COMMUNITY PANEL# 250001 0011 D O� B 10Yr 5/6 17. DEED REFERENCE: DEED BOOK 7454, PAGE 223 1 18. PLAN REFERENCE: PLAN BOOK 408, PAGE 99 tt o Perc -- MAP 133 _ m �' ' s 38 - 28.83' 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. MAP 133, PARCEL 28-02 r I EXIST.WELL a >. � � o ,, '; � ,: � �:�=� 20. .PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY PARCEL 28-01 ASSUME ANY LIABILITY AREA=56,149 S.F.± FOR SEPTIC SYSTEM UPGRADE JC ENGINEERING WILL NOT > Fme Sand FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. 2.5Y 6/6 21. THE FOLLOWING LOCAL VARIANCE IS REQUESTED FROM THE TOWN OF BARNSTABLE 'S CHAPTER 397: WELLS REGULATIONS;SECTION 397-2: w00 (1.) A 18.7'VARIANCE(150.0'- 131.3')FOR THE SETBACK FROM THE PROPOSED LEACHING o LOCUS PLAN FACILITY TO THE EXISTING WELL LOCATED AT 40 HIGH STREET(LOCUS PROPERTY). m #40 a/ SCALE: 1"= 1000' EXISTING / APPROX. LOC. OF EXIST. LEACHING PIT 1 t 3-BEDROOM 126" 21.50' _ TO BE PUMIPED 8; FILLED WITH CLEAN \ DWELLING No Mottling, Standing or Weeping Observed COARSE SAND &ABANDONED- ` TOF- 34.7'± ��'�3 o w� w \ ^o DESIGN DATA TEST PIT DATA LEGEND L F ' 1 \ ` , Z M PERC NO. NOT PROVIDED AT TIME OF PERC SFT r� a INSPECTOR: David W'Stanton, R.S. 50x0 EXISTING SPOT GRADE EXISTING NUMBER OF BEDROOMS(DESIGN) 3 EVALUATOR: Michael Pimentel E.I.T. - - 50 - - EXISTING CONTOUR o j ` i GARAGE DESIGN FLOW 110 GAUDAY/BEDROOM PROPOSED INSPECTION PORT WITH <OT\ I / '\ cC°v� wACk C.S.E.APPROVAL DATE:-Oct.27, 1999 ACCESS BOX TO GRADE (TYP OF 2) J �'p / �, ti ` TOTAL DESIGN FLOW 330 GAUDAY DATE: �� PROPOSED CONTOUR January 7,2010 MAP 133 DESIGN FLOW X 200 % = 660 GAUDAY TEST PIT#: 2 E/T/C EXISTING UNDERGROUND UTILITIES / CID SHRUB(TYP} PARCEL 28-03 USE EXISTING 1,000 GALLON SEPTIC TANK ELEV TOP= 34.00' W W EXISTING WATER LINE 1� TREE�P) / J/ ELEV WATER= <23.50' 6'� \ a �3ti TEST PIT LOCATION PERC RATE_ \ 4` M sa.o' oo / ha Benchmark INSTALL 12 - ARC 36HC (#3616BD) BIODIFFUSERS DEPTH OF PERC= _ EXISTING 1,000 GALLON SEPTIC TANK � / Nail Set in Timber LIGHT Elev. =31.90' SYSTEM CAPACITY TEXTURAL CLASS: 1 PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE TP 7�X 0 \ N.G.V.D. 1929 32/0'\ '--EXISTING 1000 GALLON SEPTIC (TOTAL L.F.OF BIODIFFUSERS)(7.8 SF/LF)(0.74 GPD/SQ.FT.)= GPD ❑ PROPOSED DISTRIBUTION BOX TANK TO BE UTILIZED AS PART (60.0')(7.8 SF/LF)(0.74 GAUSQ.FT.)= 346.3 GAL. LEACHING/DAY 0" 34.00' \ \ STONE DRIVE 0� / Of THIS DESIGN 4^ Fill 33.6T PROPOSED ARC 36HC(#3616BD)BIODIFFUSER A Loamy Sand TOTALS: 10" 33.17' PROPOSED DISTRIBUTION BOX 10Yr3/2 PROP. TOTAL 12 ARC 36HC BIODIFFUSERS Loamy Sand TOTAL NUMBER OF BIODIFFUSERS: 12 B (6 BIODIFFUSERS EACH TRENCH) TOTAL NUMBER OF COUPLINGS: 0 10Yr 516 TOTAL LEACHING AREA: 468.0 SQ.FT. 20" 32.33' TOTAL LEACHING CAPACITY: 346.3 GAL./DAY R� DATE BY APP'D. DESCRIPTION tis3o s'` ?so' wE PROPOSED SEPTIC SYSTEM UPGRADE AqV \ 30� A2 --- 1-_L OFFSET (_LOCUS PREPARED FOR: '�� \ °o• / \ NOTE: C Fine Sand CAPEWIDE ENTERPRISES 2.5Y 616 '7 \ � \ EFFECTIVE LEACHING AREA OF 7.80 SF/LF OBTAINED FROM THE (A \ 's DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER CVy �\28�"/ o!y\ "MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TO LOCATED AT l'j'q y R �` ADVANCED DRAINAGE SYSTEMS, INC.ON OCTOBER 3,2003(LAST <<\ 40 HIGH STREET J MODIFIED JUNE 30,2009). TRANSMITTAL NUMBER=W000052. WEST BARNSTABLE, MA NOTES: o�FAj'F, _ _��o� / NX 9 26 �� 126" SCALE: 1 INCH = 20 FT. DATE: JANUARY 11,2010 j 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE 4 ��� 23.50 0 �0 20 aI so FEET TOP EDGE OF EACH SEPTIC SYSTEM COMPONENT. No Mottling, Standing or Weeping Observed PREPARED BY: uy ,� JOHN L. w� RESERVED FOR BOARD OF HEALTH USE cHu NULL j JC ENGINEERING INC. 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE �0 I ,L 2854 CRANBERRY HIGHWAY LOCATION OF THE PROPOSED LEACHING FACILITY TO ENSURE \\ CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. EAST WAREHAM, MA 02538 I REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS SITE PLAN y 508.273.0377 ARE NOT CONSISTENT WITH TEST PIT DATA. Drawn By: MCP Designed By:MCP Checked By:JLC JOB No.1473 SCALE: 1"=20' I I T_ -- --r GENERAL NOTES. Ta P O S011_ TEST PIT DA TA 1. THIS PLAN IS FOR THE DESIGN AND T.P.-1 evo-b z T.P. -2 O 0 CONSTRUCTION OF THE SEWAGE DISPOSAL INVERT ELEVATIONS. GRND. ELEV. t Of 0 0 GRND. ELEV. 61 1 FACILITY 0NL Y. 11 t7.t7►d l }±l G. W. ELEV, iJd G. W. ELEV. orJ INVERT AT BUILDING 2. ALL CONSTRUCTION METHODS AND MATERIALS INVERT IN AT SEPTIC TANF; - �- C7 S A6 F-s i 5 r� 0417 FOR THE SEPTIC SYSTEM SHAL L CONFORM 1 2• ACCESS COVERS MUST BE WI P!IN 12" OF FINISH GRADE. ' TO MASS. D.E. O.E. TI TL E 5 AND L OCAL INVERT OUT AT SEPTIC TANK 10 BOARD OF HEAL TH REGULA TIONS. °INVERT IN AT DIST. 80X � 'l0$,1 , R 6 11 •vp r INDICATES , C L a 1a A l 1 b p 0 PEW. TEST 3. ALL SEPTIC SYSTEM COMPONENTS 'SUBJECT TO INVERT OUT AT DIST. BOX , _��.&. D 0 110 0(� Ma 5 GL PS` VEHICL E L OADING I.E. UNDER DRIVEWAYS, ETC.) i 0 ��� MIN. 2" OF Ga �ZS INVERT IN AT LEACH PITS '1 •d SHALL BE DESIGNED TO WITHSTAND H 20 LOADING. .~ 0 1/B'-1/2" DIA. S t�; BOTTOM OF LEACH PITS ,04 �O •~°- a 4` MIN. WASHED STONE INDICATES 4. ALL SEWER PIPE SHALL BE SCHEDULE 40 OR L IGUID �' 'ft - OBSERVED DEPTH �., GROUNDWA TER y OBSERVED GROUNDWATER '1'�Oo-�� a �: APPROVED EGUAL. GW �' �• ADJUSTED GROUNDWATER 1-s ��• 10 ' ~ DIST. c 3/4"-1 1/2' DIA. v_ min. 15d b GAL. BOX 4,�* WASHED STONE 5. BEFORE STARTING CONSTRUCTION CALL DIG SAFE { 1-800-322-4B44 FOR LOCATION OF SEPTIC TANK �"�O 9 Q,D D INDICA TES 50 rn i UNDERGROUND UTILITIES. TEST PI T 3, govGr' '� L 6. DA TUM IS Ar 5 3 Uri%% 7. `r q l S 0 1`Ce. AS L.d G-A-TS-D l (H-20 :F BURIED DEEPS t L }5 = ►' -roV_ A? GR00W'm A"tra2 PRd''��C.`fIONFEET.) ;HAN 3 � 101 J. DATE.• � s i7 �EST BY.' �Rt^•1. . aUv } W a9.5 LEGEND 1 d" WITNESSED BY.' 50 = EXISTING CONTOUR i PERC. RA TE _r_ MIN./ IN. -- ....,r50 L PROPOSED CONTOUR ZH ors pt'4)0f__lly��T PAUL 0 = PROPOSED SPOT GRADE N,� .. r3ac�R• MICHNIFWIC'AUL _v No.3 vi�� `,.� DESIGNCRI TER.TA.,DIRECTION OF STORMWATERRUNOFF a�;'������T� • �: DESIGN FL OW BEDROOM Di✓EL:LING � 110 GAL/DAY PER BEDROOM EGUAL S C GALS. PER DA Y. /f ud GPrR5(-) �E GF,) -x7e� T.Z3.q 3 3 SEPTIC TANK RfGUIRE2 i' DA TE PROF SIONAL NGINEER. CIVIL) DA TE PROFES ONAL LAND Si EY R r 550 GPD X 1JOX �2� SAL. / ., �x�s-c; ✓1� " '�:. /z"�'�' . . Ira b"�.4 SEPTIC TANK Pl ,JVIDE.D' - 1 J O� GAl_. v�� '• L ,�?cGHt>JG �. )L)`� f SIZE OF LEACH_ rS FA,�'ILITY REGUIRED L0 (' 3. , d� = hj `� .�� , DESIGN PERC R4, E : : MrNUTE51Il rN s .. V V SIZE OF L EAt�'HINi� 1::"'C1L.I TY r,?0VIDErJ. j �x�S G6c B 1`poo �g �/ C,4,,,-�- Z- C PIT(SJ WITH -� STONE Ile �-! �1�` �\ S'DEWALL � S.F. X •Lo _ I i C? GPD 90TTOM 2'i Cry S.F. X -1 231 .6 ,� �� TOTALS ?a S.F. GPD o_ BREAKOUT CALCULATIONS'' r s r SL OPE X 150 ' - r o K ' - t , I ` > . Q �► b g �.... , ,� w �•�� �i REVISIONS. � 5 .• 14� # ��►* i✓0. DA TE REVISION i .�?' \�o a LOT 2 - _a 47370f. S. �x�s�'. I-LAN SHOWING THE DESIGN OF A PROPOSED �. P�N�.F• I '°9.75 G out, SUBSURFACE SEP7IC DISPOSAL. SYSTEM o A93� 4 L OT 2, HIGH STREET, BARIA/STABLE, MA 21•�9g �.� .0 � SCALE 1 " = 40 ' JUL Y 15,, 1.993 I EAGLE SURV/FYING 6 ENGINFER1 NG, INC. 44.E ROUTE 130, SANDWI. C11, �,,� vA�6'CA i.j`f L 0 3 PROJECT NUMBER 93-086 L O '` 110 L°r Li- ) 6I