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0180 KETTLEHOLE ROAD - Health
180 KETTLEHOLE ROAD -- West Barnstable u A= 109 - 038 i �j Lam- No. of/V — to� Fee 4 , THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftphration for Misposal 6pstrm Construction 3pErmit Application for a Permit to Construct Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components . Location Address or Lot No. �6e�,q.�V2 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel nq 0 (e� Rc,r �I����'ll Ne✓��+P; CoSit� S`d� •��jQ 5lCoQ Installer's Name,Address,and Tel No.Z Designer's Name,Address,and Tel.No. r►� .� Ty WV, Cri . Sow- Type of Building: /r Dwelling No.of Bedrooms Lot'Size '7� 060 sq.ft. Garbage Grinder C� h ( .) Other Type of Building Q e 5 � c� No.of Persons Showers( ) Cafeteria( ) Other Fixtures lt� Design Flow(min.required) �/�® gpd Design flow provided VVQ gpd Plan Date //201 S6 Number of sheets C Revision Date Title O e_ - I r? 6 P /\X At,- i 5 Size of Septic Tank 1'5-dd r"'Ild V) Type of S.A.S. S`!= C L,C Description of Soil �f c'� �o L O /C a°"- ?d 11 15 1- e^ / .moo"— � `/ C L e 2 ri Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: :G sII 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 an of to place the system in operation until a Certificate of Compliance has been issued by this Board of Signed Date Application Approved by Date ' Application Disapproved by Date for the following reasons Permit No. ; ©Oj k - Date Issued ®r� • No. Ol T ( k, t td Fee THE COMMONWEALTH OF MASSACHUSETTS 'Enteredincomputer: �� 4 PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppliLatlon for,Vsp6sal 6pstem Construction 3permit Application for a Permit to Construct(� Repair O Upgrade( ). Abandon( ) ❑Complete System ❑Individual Components , Location Address or Lot No. I�� �/Q}-}(e W Q J.nOwner's Name,Address,and Tel.No. Assessor's Map/Parcel M# j / ,_ peo f — d Installer's Name,Address,and Tel.No. '?7 '�-7 Designer's Name,Address,and Tel.No.. Type of Building: r r Dwelling No.of Bedrooms Lot Size 7�,�d0 sq.ft. Garbage Grinder( ) Other Type of Building Q e 5 i C�4 No.of Persons Showers( ) Cafeteria( ) Other Fixtures t Design Flow(min.required) �O gpd Design flow provided 010 gpd Plan Date 3 "�J�d �C3/ Number of sheets i Revision Date Title �►��t�cfi NP-l it 'Size of Septic Tank y f IJ 66 C411Q t/1 Type of S.A.S. Pre C_ctg Do'crip�tioiCof Soil#' .7Y0[L 0- G n CS AoliR -V��? Nature of Repairs or Alterations(Answer when applicable) v Date last inspected- Agreement: '" h�l�! 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 anA, of to place the system in operation until a Certificate of Compliance has been issued by this Board of ealfl Signed Date Application Approved by '��� , Date v r� Application Disapproved by w ! r Date for the following reasons Permit No. /(07 Date Issued s" THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(24) Repaired( ) Upgraded( ) Abandoned( )by `" _ at 160 _ �� . `lp�� �� has been constructed in accordance with the p�r°ov�is_ions of Title 5 and the for Disposal System Construction Permit No. o%/pdp`/6 7 dated Ins�tal_ler t; )Ar, N A Designer #bedrooms f ff Approved design flow �(•� gpd The issuance of this pe wit}shrall not-be construed as a guarantee that the system\wictionas signed. Date 17 J 11 Inspector No. ��J� ,�" Fee �) THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction 3permit , Permission is hereby granted to Constru4(t ) Repair( ) Upgrade( ) Abandon( ) r a System located at 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:Construction must be completed within three years of the date of this permit. Jam. n Date "` Approved by No. t)W , �-- 0 C� Fee BOARD OF HEALTH TOWN OF BARNSTABLE ZippYication -for Yell Construction 30ermit Application is hereby made for a permit to Construct Alter( ), or Repair( ) an individual well at: Location-Address Assessors Map and Parcel Owner Address �(C,�NZcc c.���r ccc��_�JC e ��D , �oac �3Gt ���fZ��>E�(r •�-(�- a�� Installer-Driller Address Type of Building Dwelling Other-Type of Building No. of Persons Type of Well U f�G Capacity l® 6AI Purpose of Well `ljG-��cG C?Oil ) Agreement: 1 C11 �aforedes The undersigned agrees to insd individual well in accordance with the provisions of the Town of Barnstable Board of Healt _ . 'vate Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Ce I cate Co ' nce has been issued by the Board of Health. Signed Date Application Approved By Date Application Disapproved for the following reasons: Date Permit No. Issued Date -------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed( ), Altered( ), or Repaired( ) by Installer at has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector l _ - No.CM , O ($' Feer'— BOARD OF HEALTH TOWN OF BARNSTABLE ZIpplication jfor Vern Cou5truction Permit Application is hereby made for a permit to Construct Alter( ), or Repair( ) an individual well at: Location-Address Assessors Map and Parcel H A) 0)o �k cl< Owner Address3 .i LA02C L,6-6c- 14 (Cc 0 , 7SgK 33q , /J,6�Pt' f Installer-Driller Address Type of Building / Dwelling y z t Other-Type of Building No. of Persons Type of Well v t VC- Capacity /0 Purpose of We11 60/L/ez�s7CC Agreement: -' The undersigned agrees to install the afore des6fibed 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 Cer IficateAof Compliance has been issued by the Board of Health. Signed Date j Application Approved By Date Application Disapproved for the following reasons: Date Permit No. Issued Date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance ',THIS IS TO CERTIFY,that the individual well Constructed( ), Altered( ), or Repaired( ) by Installer at has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector BOARD OF HEALTH TOWN OF BARNSTABLE tp /� Yell Cou5truction Permit Nd! (� ' o Fee V 5, s� Permission is hereby granted to o,Q It Installer to Construct(4), Alter( ), or Repair( an individual well at: No. l00 Street as shown on the application for a Well Construction Permit N�Ad Dated f Date ! Approved By ►� G L -� :�+Fyrr n^v..s�vi...n y.:...�.•*.ak'l�r:.9m-FLN..w-+.er-: .w...mv xn ....••.-•,•,•w ...�.•..... - Z Y11Af>�K lArlA tl tl6T�Vin Wle. . en-w1at11'Anus. .. _ ... _..;... ... �--. X.:^+ -^'..«+.-n.�..•.,.�e,W�..:!4cv*r.-.:rw.w«.^ _ ELEVATIONS PRIOR TO WSTAlJ.171G ANY .. .SYSTEM- lAiLE All LY'Q1En'mar�76 Slelt fF'PORTION OF SEPTIC SYSTEM PoF A CaqGE9CF Lamw Full AkL iWWftW RENSIsr U W rlsa OUK AA91e I Ia FAF. A ypy�mx2 Amrrs m a Wac cl 0"mi. IL a sao[IlminEDfi1.0 4.cu7sIRlIC7iaN oiTwLsro 9E d AAW3:61.4' Y _ oC mom(7111E).T1K RAK tl FOR 1�A1Hdf. M,TO " o q�pit¢nrDnAnr t .eA -ftOrA.) INVS 59 F1H lll I PSt° t#ANr 5093' Pp BOA 6 RPE FOR 9]TC SYSTII i8 9di1 40a'WC F9.tATElnE59 �. :- >_. ¢LY>I�arm7rs NOT ro W BACkRILtC liR IAHIENID 5924' S9.08' ti"'-�_ wTMwi wmFirinl IP e0Ai0 INF tt£p;v1 q� i .,. .� 57.P PFAI®W aerAneo TROY e0.1A8 AF IE/11H. E><I tN0 '•(•ti'`^• •' 1 /.•_I-1 ralo sm rx vAnex In CO.' sNALL ec REs:o7l�Bti fv0.CAuwG I B INO/ •:;• I ulwwo rpcc°GVisr ray •• 0)IVG OEG kD PKGLT 11@ F_Me1 ocsAFE 0-eea-sla-rut)ANn cEiltvWd lr¢ At s taco m.c oA'B x LocA7wN o<Au°AornaloaG a aL�lacw Plwnrs LOCUS MAP I 2000'3 � m!P!�II��tl=1(]D °�"`oAamsmL:W W74GC er 91CNC Slb'[liAl' PAroA ro COeIOi[:p1PIT 6 wlRnt. SCALE 1"' . _ \I / - II.AMY IlN9ATAC4E WrOAK_E7(Cq)AtOIEp 91ALL Be 8 AO10FID BF?IFAIH A1O S AAOGM9 THE geGFO3m ASSESSORS MAP 109 PARCEL 38 t (._z sORO t,A- x�) lEAalwG FAmm. LOCUS IS W MAP FEMA iL000 ZONE FOUNDATION— 10Y SEPTIC TANK-- 17' D'BOX LEACHING ^A�1c�i two^ (AREA OF SHOWN ON YWIYAL FLPBD HAgdRB)/ 10 FACILITY COMMUNITY 0A)1EL fAgD DATED 7/16/2014 / SYSTEM DESIGN: ZONWG SUMMARY EARBAI:E DISPOSER IS NOT ALLOWED ZONING DISTRICT- RF RES6ENTIAL DIE LEC/TEL ' �i `• )- 1 '_! OESIGN FLDM! BEDROOMS O 110 GPD-44D CPD MIN.LOT SIRE 43,581 NIN.LOT FRONTACE 1'"• USE A 44D Ift DESIGN FLOW MIN.FRONT SETBACK 70. �, \ MIN.SIDE SETBAIX r SEPTIC I5 UAL SE GPO AN 880 MIN'REAR$7B HEIGHT 15 M M. BUILDING HpC•NT 19 Ug 1500 OAL SEP71C TANK 30' 1 / tEAN NG: 1 SIDES 2(3J:6+1")2(.74) TEST pp =137 GPD HOLE.LO�_ TEST HOSE LOGE TOTAL: ARNE OTTON 33.5 i 128(.71)=377 GPD ENGINEER: ENGINNIEL E:�NSALVES.SE \ l � . • ` I T 614 SF. 454 CPD EER M' OJAU FEP45 -- • WITNESS:JERRY DUNNING WITNESS: 00NALD OFAUARAIS RS I. 115_E(d 500'OAL LEACHING CHAMBERS ACME OR Eou 7-23-1993 /� 1 \\\))) / ' 1' i f N77H 4 STONE ALL AROUND -0 DATE: 1-19-2018 PERC.RATE m G 2 MIN/INCH `f` vRp Oe 9 oT.0 JK[Tt AT S PERC.RATE_ <2 MIN�INCN P7iEA AT ff CUSS 1 SOILS PO_9109 CLASS I SOUS R/ `'•4' / ` ^ ELEV. ELEV. VA 70 Q 7D Q 4 84, S t 1 3' JA A C, l0YRL4/6 LSlOYR 4/2 LS/ on T L' 36" 25Y 6 6 �. J6' lOYR 5/6 61' 3E" 10YR II o \ FS C, nresj F[1PPDsEO A -1._ U'NELUI y 0 X L Aa FS TPP OFNL��NDN S 2.6Y 5 4 72.5( ( \) \�.\ 66' 2.SY 7/4 64.5' 60' / 04' C C 1K fjD ,li w \ LOAMY C2 FS 2.5Y 7/4 / / GARACE� Cam= COARSE SAND LOAMY �.SY 9E °10 diA 7 ) `\ .� 251'S/4 COARSE RAND _ LCT AL `�7' ns I 69-, 1"" 52' 144' cooNO GROUNDWATER ENCOUNTERED WAZ'B NO GROUND o+eouNTEBED PRIMARY / , > t \ $,r � ELIC SITE Pl.AN N ate( / OF PROPOSED 180 KETTLEHOLE Fib WEST BARNS.'TAHLE 43S t� \ PREPARED FOR LOT•22 �� , , �� HENDRIGO C7QS'TA DATE: MARCH 1'4• g418 ' J R;TRCDE wEct� /US � v w3SE 25.� Nie o vEXIST o` i WELL tw awq egype eq civit DANIEL A.OJALA,P.F.P:LS 949.RY M S7,eet( 110E �17-.182 DATE and vAR,YG4TYPORr TOWN OF BARNSTABLE LOCATION J q0 641f1 -O)e 'aD SEWAGE# VILLAGE L.LJ aka ASSESSOR'S MAP&PARCEL`` INSTALLER'S NAME&PHONE NO. Qec)a W (*n ct7 SEPTIC TANK CAPACITY ®O LEACHING FACILITY: (type) i�►�es`,g o}I S4,1C(size) ?3 X I NO.OF BEDROOMS 4 OWNER { r: O CCD\--s Vv>, PERMIT DATE: COMPLIANCE DATE: `7 I Separation Distance Between the: J Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ON P- qu VX 4�Feet Private Water Supply Well and Leaching Facility(If any wells exist on PP r site or within 200 feet of leaching facility) �(O� Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) (� Feet FURNISHED BY T �oG y-�NN-A 1`1�� ,391 33 3v Q ENVIROTECHLABORATORIES, INC. MA CERT. NO.:M-MA 063 t 8 Jan Sebastian Drive Unit 12 Sandwich,.11A 02563 (508)888-6460 1-800-339-6460 01 FAX(508)888-6446 Client Name: Atlantic TMell Drilling Location : 180 Kettle Holt Rd Address: PO Box 339 W Barnstable,MA No.Eastham MA t� 02651 Lab Number: DW-182001 Collected By : RP Date Received: 07/09/18 Sample Type: New Well Well Specs: 52'Deep 18'Static Locatron Source Date Golleded''' Trine Collected _ Comments ,_ Anal}n•is Requested Units Recommended Limits Anallsis Result Method Date Analyze Analyzed By Total Coliform CFU/100mL _ 0 9 BG>200 SM9222B 07/06/2018 IRS pH _ pH units _ 6.5-8.5 5.38 SM 4500-H-B 07/10/2018 LL Specific Conductanceo umhoslcm 500 345 EPA 120.1 07/09/2018 LL Nitrite-N_ mg/L 1.00 5.28 EPA 300.0 07/09/2018 LL Nitrate-N mg/L_ _ 10.0 <0.006 EPA 300.0 07/09/2018 LL Sodium mg/L _ 20.0 50 EPA 200.7 07/13/2018 NEC Total Iron mg/L Y 0.3 _ 0.67 EPA 200.7 07/13/2018 NEC Manganese` mg/L 0.05 0.050 EPA 200.7 07/13/2018 NEC volatile Organic Compounds* ug/L See comment. ND* EPA 524.2 07/10/2018 NEC* Comments: Collform exceeds maximum contaminant level. BG=Background Bacteria.Should not exceed 200. Suggest retest. Sodium level is not a health hazard. Iron level is not a health hazard,but may cause taste and staining problems. t Low pH indicates high corrosive characteristics. ! Water is not Suitable for drinking purposes for parameters tested. i Date 7/13/2018 Ronald J. SP Laboratory k BRL=Below Reportable Limits +SeeAltached Pagel of 1 OCertification is not avoilable for this onalyte for potable water samples.. k W New England ChromaChem 6 Nichols Street Salem,MA 01970 978-744.6600 Massachusetts DEP Lab.M-MA072 Sample Information EPA Method 524.2 Rev 4.1 Volatile Organic Compounds in Water Lab ID: 807091 Client: IEnvir2tech Laboratory,Inc. Client ID: DW-182001 State: Liquid Date Sampled: 07/06/18 Date Received: 07/10/18 Date Analyzed: 07/10/18 MCL Regulated VOC's Results(ug/L) (ug/L) Unregulated VOC's Results(ug/L) Benzene IND 5 Acetone IND Carbon Tetrachloride ND 5 Bromobenzene IND 11-Dichloroethene ND 7 Bromochloromethane IND 1,2-Dichloroethane ND 5 1 Bromodichloromethane IND 12-Dichlorobenzene ND 600 Bromoform IND 14-Dichlorobenzene ND 5 Bromomethane ND Trichloroethene ND 5 2-Butanone ND 1 1,1-Trichloroethane ND 200 N-But ibenzene ND Vin I Chloride ND 2 Sec-But (benzene ND Chlorobenzene ND 100 Tert-But ibenzene ND cis-12-dichloroethene ND 70 Chloroelhane ND trans-12-dichloroethene IND 100 Chloroform ND 1 2-Dichloro ro ane IND 5 Chloromethane ND Eth (benzene IND 700 2-Chlorotoluene ND Styrene IND 100 4-Chlorotoluene ND Tetrachloroethene IND 5 Dibromochloromethane ND Toluene IND 1 1000 1 12-Dibromo-3-Chloro ro ane ND X lenes Total) ND 1100001 1 2-Dibromoethane IND Methylene Chloride ND 5 Dibromomethane IND 1 2 4-Trichlorobenzene ND 70 1 3-Dichlorobenzene IND f 112-Trichloroethane ND 5 Dichlorodifluoromethane IND i 11-Dichloroethane IND 1 3-Dichloro ro ane IND 2,2-Dichloro ro ane IND 1 1-Dichloro ro ene ND IHexachiorobutadiene ND lsopropylbenzene ND I P-lsopropylto!uene ND i Methyl-tert-butyl ether ND Naphthalene ND t N-Prn ulbenzene KIn 1,1,1 2-Tetrachloroethane IND t 1 1 2 2-Tetrachloroethane IND 1,2 3-Trichlorobenzene IND Trichlorofluoromethane ND 1 2 3-Trichloro ro ane ND 1 2 4-Trimeth (benzene ND 1 3,5-Trimeth (benzene ND Method Detection Limit=0.5 u /L Recoveries of Internal Standards % Benzene-d6 100 4-Bromofluorobenzene 94 MCL TTHM's=80 ug/L 1 2-Dichlorobenzene-d4 1105 Method Detection Limit=0.5 ug/L Analysis performed per 310CMR42 Electronically signed and approved by Mr.Bruce A.Bornstein,Lab Director Date: 7/11/2018 i= L: r t< gb�oal CHAIN OF CUSTODY FORM ENVIROTECH LABS,INC. NE Chromachem 8 Jan Sebastian Dr.,Unit 12 PWS: Project Name: Atlantic Well Drilling Sandwich,MA 02563 Address 6 Nichols St (608)888.6460 Salem, MA 01970 Sampler: Cl 1.800.339.6460 Phone# 1.978-74-6600 FAX(608)888-6446 Per# 206 984 2474 Lab ID# Date Time 2omi Grab Station location DEP ID# Container Pros. Sample type Analysis requested DW-182001 07106118 1330 X 180 Kettle Hola Road 2VOA HCl Drinking EPA 624 610q W Barnstable MA I irwin I i i d, B , i 01pJ Contact lab with any exceeded MCL I f RaeeNed; - -1 1l0 i l r ENVIROTECH LABORATORIES,INC. MA CERT.NO.:M-MA 063 8 Jan Sebastian Drive Unit 12 Sa►ulwich,MA 02563 (508)888-6460 1-800-339-6460 FAX(508)888-6446 Client Name: Atlantic IVell Drilling Location : 180 Kettle Hole Road Address: PO Box 339 W Barnstable,MA No.Eastham MA 02651 Lab Number: DW-182096 Collected By: R Peterson Date Received: 07/13/18 Sample Type: New Well Well Specs: 52-Deep i �� �Locrrlion Source '�Date Cnllec[ert=� Tare Cptleeted� �� � � Cotnntents��-"��� ���`� � Analysis Requested Units Recomntended Limits Analysis Result I Method jDateAnalwill Analyzed By Total Coliform CFU/100ml- 0 0 SM9222B 07/12/2018 RS ---- ---..— ............... i Comments: Water meets EPA standards and Is suitable for drinking for parameters tested. { f I R 1 F f f li Date„ 7/16/2018 - - Ronald aarl Laboratory Director !` BRL=Below Reportable Limits *See Attached Page 1 of 1 ❑Certification is not available for this analyte for potable water samples.. Town of Barnstable 7�_-7� y' De art�n out of Re p Regulatory,S@ryACCS / 4, ]Public Health Division Date 12-MAM Sol ^� 200 Main Street,Hyannis MA 02601 {. Date Scheduled Time _ F.JoePd, lOQ' v 0 3 Soil Suitabilio ,A.ssesSment for ,S e �zs��sal Performed•By:`Otl"`e l Qn>a I V e 5 Witnessed By:_ J� LOCATION& ENERAL INFORMATION LocationAddre�s /�'U Owner's Name, w �o,h o 6�Q I/���((( Address Assessor's Map/Parcel: Engineer's Name, 0,- .49 NEW CONSTRUCTION ` 1 l REPAIR Telephone 11 S 34 4` L� Land Use: V�a[�\0 / Slopes(%) `/a Surface Stones 7Fe W Distances from: Open Water Body �` - ft possible Wet Area > �/v ft Drinking Water Well Drainage Way >l UU ft Property Line y ft Other ft SFTCH.,(Street name,dimensions of lot,exact locations of test holes&pare tests,locate wetlands in proximity to holes) Well ' ry ry aQ / 3 • / �H - ASP O�7 I I well Parent material(geologic) V f��a l u-I ,va S Depth to Bedrock Depth to Groundwater. Standing Water in Hole:1" / Weeping from Pit Face Estimated mated Seasonal High Groundwater / DbTEI' ATION FOR SEASONAL HIGH WATER TABLE Method Used: _ (.7 W _ Depth Observed standing in obs.hole: In. Depth to Soil mQttics: '�• ItL 111 Depth to weeping from side of obs.hole: In, Groundwater Adjustment fr. Index Well# Rcading Date: Index Well leYol � AdJ,t'xetbr �. .. At�j,dtxauitdwnter 1.eYal , Observation PERCOLATION TEST Date— '1 hoe '�•� . Hole# j Tlma at 9" Depth of Pere. ` Time at G" Start Pre-soak Time @ _— Timo(9"-6") End Pro-soak Rate Min./Iuch Site Suitability Assessment: Site Passed Sitg Failed: Additional Testing Naedcd(Y/N) A Original: Public Health Division Observation Hole Data To Be Completed on Back------ ***If pelrcoiati®n test is to be conducted within 100' of wetland,you;must first aaotify the Barnstable Consgvation Division at least one(1) week prior to beghwitng. Q:\S EPTICIPBRCFORM.D O C DEEROBSERVATION HOLE LOG Hole# _ Depth from Soil Horizon Soil Texture .Sdil Color Soil• Other Surface(in.) (USDA) (Munsell) Mottling (Structure, Stones;Boulders, o i ten m%'Gravel) L S 3 �-M G r ' 25- "7/ DRIP OBSERVATION RO LV LOG Hole it Depth from Soil horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. o sis en co Grave Ll to-3a B � S IorRs/d 30-M C �S Z ,5 7 DEEP OBSERVATION IfOLE LOG )-Tole . Depth from Soil Horizon Sall Texture Soil Color Soil Other• Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Co i to c e IbEEP OBSERVATION HOLE LOG. Hole� Depth from Soil horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Coylsistrricy, • a Flood InsuranceRate MU: Above 500 year flood boundary No_ Yes ` Within 500 year boundary No 'Yes y Within too year flood boundary No. Yes.•.;_•.� Depth of Naturally Occurring Pervious Materiel Does at least four feet of naturally occurring pervious mtiterial exist in all areas observed thrpughout the area proposed for the soil absorption systemfi 5 If not,what is the depth of naturally occurring pervious matoriall Certification I certify that on s�� / (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�10 CUR 15.017. Signature `��•-�—Datb � /99l f� • Q:MPTICIP RC17ORKDOC Tow of Barnstable Vle,,�, P Regulatory Services Thomas F. Geiler,Director Bt112 IsTABLE Public Health Division R& Thomas McKean,Director 200 Main Street,11yaunis,MA 02601 Office: 50$,86274644 Fax: 508-790-6304 bstaller&Dfsigner Gerd iicatiau Forpar Date- Sewage Permit# Assessor's leap\Parcel 109 7e Designer 110WN CkF�� Installer: Address; ��� l��N ���(ZQt�T�G ln� Address: _ On was issued a permit to install a (date) (installer) se tics stem g at p y ��h n�c. reot based on a design drawn.by (address) ALVIIJ cc(off �t 5 dated /-e V. 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. a y 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 j of the septic system)but in accordance with State&Local-Regulations. Plan.revision or certified as t by d signer to follow. iAt (Installer's Si. ,-ature) 'IL 4 k (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC. HEALTH DM.SION. CEIITIFICATE OF COWLLA.NCE WILL NOT BE ISSUEYD UNTJEL BOTH TWS FORM AND AS-BUILT CARD ARE IaCEfV ED BY THE BARlN\TSTABLE PUBLIC REALTH DMSION. THAW YOU. a Q:Health/Septic/Designer Certification Form 3-26-04.doe . Massachusetts Department of Environmental Protection F-- Bureau of Resource Protection Well Completion Reports Well Driller Please specify work performed: Address at well location: New Well Street Number: Street Name: 180 KETTLEHOLE RD. Please specify well type: Building Lot#: Assessor's Map#: Domestic 109 Assessor's Lot#: ZIP Code: Number Of Wells: 38 02668 Cityrrown: Well Location BARNSTABLE In public right-of-way: GPS Yes f'No North: West: 41.71337 70.39529 Subdivision/Property/Description: Mailing Address: click here if same as well location address Property Owner: Street Number: Street Name: MARCELA COSTA 286 SUDBURYLANE City/Town: State: Engineering Firm: BARNSTABLE MASSACHUSETTS ZIP Code: 02601 Board of health permit obtained: t:Yes r Not Required Permit Number: Date Issued: 201818 05/25/2018 —� 0� I v ° Z�7 T Massachusetts Department of Environmental Protection ^� Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) Well Driller - General Well Form DRILLING METHOD Overburden Bedrock uger Choose Bedrock— WELL LOG OVERBURDEN LITHOLOGY Drop in drill Extra fast or slow Loss or addition From(ft) To(ft) Code Color Comment stem drill rate of fluid Loss l' 0 5 I Silty ClayBrown T`Fast�"Slow YES NO Loss Addition Brown�� W/BOULDERS ' C Lo r5 10 Silt • Fast 'Slow YES NO Loss Addition 10 20 Lo Silty Sand Brown Fast f Slow YES NO Loss Addition 20 35 Gay -TJ Light Gray N�. 11 Fast Slow YES Loss Addition 35 43 Silty Gay -J1 Brown YES t O Fast t"Slow Loss Addition 43 47 Silty Sand �! Brown �¶ WlMS ( Fast(Slow Loss Addition 47 52 Medium Sand Brown W/FS r Fast r Slow r r YES NO Loss Addition WELL LOG BEDROCK LITHOLOGY Drop in Extra fast or Loss or Visible Rust Extra From(ft) To(ft) Code Comment addition of Large drill stem slow drill rate fluid Staining Chips Choose Code r (" t� (" f� Yes Yes il YES NO Fast —sr, low Loss Addition ADDITIONAL WELL INFORMATION Developed I (:Yes r No Disinfected Yes t"No Total Well Depth 52 Depth to Bedrock Surface Seal Type None racture'Enhancement Yes l:No CASING Is Casing above ground? From To Type Thickness Diameter Driveshoe 48 Certa Lok 'Jl Schedule 40 L Ye SCREEN r No Screen From To Type Slot Size Diameter 48 52 Stainless Steel Well Point • 0.010 4 WATER43EAPING ZONES Fr DRY WELL Massachusetts Department of Environmental Protection ~ Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) From To Yield(gpm) 47 52 50 PERMANENT PUMP(IF AVAILABLE) Choose Pump Description Choose Pump Horsepower Description— Horsepower— Pump Intake Depth(ft) Nominal Pump Capacity(gpm) ANNULAR SEAL I FILTER PACK From To Material 1 Weight Material 2 Weight Water Batches Method Of (gal) (count) Placement 20 A Gravtty—i� WELL TEST DATA Date Method Yield m Time Pumped Pumping Level(ft Time To Recover Recovery(ft (gpm) (HH:MM) BGS) (HH:MR BGS) 7/5/18 Constant Rate Pump 27 0:30 28.3 0:02 17.5 WATER LEVEL Date Measured Static Depth BGS(ft) Flowing Rate(gpm) 7/5/18 17.5 COMM M's WELL DRILLERS STATEMENT This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report is complete and accurate to the best of my knowledge. Monitoring[Mj Supervising Driller PETERSON: DrilberC.ILIF:FE Reg tratfton# 786 Slgmtwuae RONALD,C ATt TA rC WELL Firm DRILLING,INC. Rig Permit# 477 Date Job Complete 7/12/2018 NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion. EN 117ROTECH LABORATORIES,11VC MA CERT. NO.:M-MA 063 8 Jan Sebastiart Drive Unit 12 Sanduich,AM 02S63 (508)889-6460 1.800-339-6460 FILY(SM)M-6446 Client Name: Adwific Mell Aiffing Location 180 ReftHoft Rd Address �Po(Box 3M W%yP%1abla,.MA No.Eastham MA Lab Nmmber: pw-1826i01; Collected B RP Date Received: 07/09/1.8 Sample hype: New. Well Well Specs 62'Deep I&State to ed Co rteir : Analysis Requested Units Recoututended Limits Analysis Resultj Udhod-15ale AnalyztAnalirxd By Total Colifloffn CIFUITCOML 0 9 BG>200 SM92228 07106MB RS PH.: jHW�z_iW_ 6.5 .6 5.3a, SK45MR-B 0711IM04& 6pac1ficC�nduc1_ance_a___ umhos/cm 345 EPA-120.1 07/09/2018 LL Nitrite-N mg/L 1.00 5.28 4 EPA 300.0 07/09/2018 LL Nitrate-N mg/L __TO.00_6 EPA 30-0.0 07/09/2018 LL Sodium ml;lL 20.0 so EPA 200.7 07/13/2018 NEC --fotal—Iron mg/L 0.3 0.67 EPA 200.7 07/13/2018 NEC Manganese_-- M91L 0.05 0.050 EPA 200.7 07/1312018 NEC Volatile Organic Compounds' qYL See connend. NO* -EPA 524.2 07/10/20V NEC* Collform exceeds maximum contaminant level. BG=Backgraw nd Bacteria-Should not exceed 200 Suggest retest, Sodlern'levetisirmt wbeafth;hazard. _kw1evelJs,rtot"edith-,hazard,�W, may cause paste and Mabing prdMems. tow OR indicates Ngh corrosive characterisfics. Water is nof Suffilb1b for drk*kg purposes for paremeftm tested Date 7/131204,8F eRon"J jF BRL=BelosvReportableLimits *SeeAnached Page f of 1: uCwtificafton is not available for this analyre for potable upat4w samples.. New England ChromaChem 6 Nichols Street Salem,MA 01970 978-744-6600 Massachusetts DEP Lab.M-MA072 Sample rhformad'on: _ EPIA MethW,524.2 Rev 4.t.Veiable& ONiv CaM M nds in-Water Lab CD: 207091 Client: Envirotech Laboratory,Inc. Client ID: DW-182001 State: Liquid Date Sampled: 07/06/18 Date Received: 07/10/18 Date zed: 07/.0/ 8 AR•L ---- Re u d UfJC`s �aa�alle q. lea,dated VOC% esu tst jUS/L) Benzene No 5. Acetone ND Caftri TOWaCWFWA9 ND 5 Rrm. ,zerte. Nil. 11-0ichloroethene AND 7 Bronoohlorornethane ND 1,2-Dichloroelhane NO :5 Bromodichloromethane ND 9 2,D' iarn�bsnz NO 600 Wofnofer, ND 14-Dichlorobenzene NO 5 Bromomethane ND Trichloroetilene 3. 2 Bularrmare NfT 1 11-TrichwCe4w-e Nth 200 "WbenzergeNil Vinyl Chloride NO 2. SeGsut (benzene ND Chloroben ene NO i00 "Gert B !benzene D cis-l2-dichloroethene ND 70 Chloroethane ND trans-l2-dichloroethene ND 100 Chloroform NO 1 2-Dichloro ro ane NO 5 Chioromethane ND Eth (benzene NO 700 2-Chlorotoluene ND St rene I NO 100 4-Chlorotoluene .ND 7etrachleroethane ND 5 Dibriomochlown-v pane NO To:ltaene 1 2-t nts:rsan,3 trilor ' 0 Rma X13 Tom ND 1000 1 ;Dibwmu oti kmw ND i Met• fene Chloride IND 5 Dibromorrtflane NO 1 2 4-T-ichforobeozene I&D 7'0 1 3-Dichlorobenzene ND I 112-Trichloroethane IND 5 Dichlorodifluoromethane ND l 11-Dichloroelhane ND j 1 3-Dichloro ro ane ND i 2 2-Dichloro ro ane ND 9 1-Dichloro ro ene ND i Hexadilorobutadlene ND r f terse ND+ ' o-ice:, ,tw41u ND Me +1-tert-bv etber ND- Ne hlhatene NO F N-Pm, lbenzene ND 1112-Telrachloroethane ND i 1 2 2-Tetrachloroethane ND 1 2 3-Trichiorobenzene ND Tflchlorofluoromethane ND 1` °3-Trichlero re arse ND ') 4-TrierPMhy.Ibsnzwv _ ND McChod'Detection Limit=0.5 ug/L _ Recoveries of Internal Standards % Benzene-d8 1100 4-Bromofluorobenzene 194 MCL TTHM's=80 ug/L ; 1 2-Dichiorobenzene-d4 1105 Method Detection Limit=0.5 ug/L Y Analysis performed per 39CMR42 j i. EleciYondcalty sfgrted and aWovedt by Mt'.BYuce A Boonstep,Lab Direcfof Tate: 7I11: 8, 3 ENVIROTECH LABORATORIES,INC. MA CERT.NO.:M-MA 063 8 Ja►i Sebastla►i Drive Unit 12 Sandwich,MA 02563 (508)888-6460 1.800-339-6460 F ( -6446 Client Nat%ne: Atlantic Mell Drilling Location: 180 Ketfre Hole Road Address: PO Box 339 W Barnstable,MA No.Eastham MA 02651 Lab Number: DW-182096 Caldected By: R Petersop Dade ReCeiverd: 07/13/18 Sa:Avpk °: NeW MA-0 Well M t 52'Deep t`#n'� { �, � .�t�i,. .'�„ �. o � +x'k ;ixF ; .Y� ��€��"`9�� �.� �` �•N�'D�i��� �r�� Analysis Requested Units Reconunended Limits Analysis Result Method Date Analyzedl Analyzed By Total.Colifoirm: CFFtiIMmL a 0 SM92228 0711421201+8 RS Continents: Water meets EPA standards and is suitable for drinking for parameters tested. i a i i s i Y 4 h Date 7116/2016 Ifotaaht aarrh Laborefory Ahleetaa s BA=Below Reportable Units *See Attached Page 1 of 1 '> O erfoTcartron.is not."xriwe•or this andyte for potarble.ttkuter stawks. F K Town of Barnstable P# Department of Health,Safety,and Environmental Services EVE Public Health Division Date Q„ 367 Main Street,Hyannis MA 02601 • wwareeM rED MAt�`� Date Scheduled :7 .-1-3 Time Fee Pd. /D a Soil Suitability Assessment for Sewage Disposal Performed By:� �_O � -- Witnessed By:.V- . LOCAMON& GENERAL INFORMATION , Location Address 407- a'1j Owner's Name 1�rt A/YWC il� AddressY- log y Assessor's Map/Parcel: f('CJ `lj Engineer's Namen enr y A' NEW CONSTRUCTION !! REPAIR Telephone# Z-4 57 o Land Use d-�' Slopes(%)/e Surface Stones Distances from: Open Water Body ft Possible Wet Area Z VO ft Drinking Water Well 1� ft Drainage Way 170 ft Property Line Z d ft Other SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) , ^ ZZA- Lod-�P-3 pep ,?_htifwaL 3�l 911 Parent material(geologic) S Depth to Bedrock Depth to Groundwater: Standing Water in Hole: A10A/L Weeping from Pit Face /A Estimated Seasonal High Groundwater =2 IAA P_ 9L= 70 _49417 ....................................................:...:..,.....::..,.........::..:..:::...:.:.:.::;:::....::......:.....,......... .....:....:............:.:::>;....:...:....:::..... ...::........;:.;:::..::::::.,-::::::::. A AU1r1AlJ WATht lr Method Used: NU (.Ucc/ R4 ��tt�L Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level..,--- Adj.factor Adj.Groundwater Level_ PERCUL,ATIEI�N TEST >nal T,r ;: Observation Hole# / / g--� Time at 9" D r � Depth of Perc °�_ 76 / Time at 6" t Start Pre-soak Time @ �/./a 1 +3� Time(9"-6") 0 •3 �`� End Pre-soak V 2� /• Rate Min./Inch .�Zw lat �20 of Site Suitability Assessment: Site Passed — Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back—� Copy: Applicant DEEP UBS-t— TION�I(aLE LCIG Hole:# .. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistenev.%Gravel) o to s , z.sy44 36-6G G, Sit 7/11 Sce��• a 1 DEEP OBSER'�ATIOI HALE LOG Hale#; . ... Depth from, Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,%Gravel) v 7j o C"Z 3 E /v 0 C, T L;�e S" Z.5% 7X . DEEP OBSERVATION H©LE LO, Hole# ..: ... . Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA] (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,%Gravel) DEEP OBSERVATION HOLE LOB Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,%Gravel) Flood Insurance Rate Maa: Above 500 year flood boundary No= Yes Within 500 year boundary No_ Yes kiGl( C.aA Within 100 year flood boundary No_ Yes Q /0�• aOk Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? y If not,what is the depth of naturally occurring pervious material?- Certification I certify that on b/zG T (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: d experience descri in 310 CMR 15.017. Signatu Date 7LA3LO TOP FOUND. EL. 72.5 NOTES LEGEND 1. DATUM IS NAVD 88 °c *THE INSTALLER SHALL VERIFY THE 99- EXISTING CONTOUR LOCATIONS OF ALL UTILITIES AND ALL 2. MUNICIPAL WATER IS NOT AVAILABLE. BUILDING SEWER OUTLETS AND SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE Locus X 99 EXIST. SPOT ELEV. MARKED WITH MAGNETIC TAPE OR 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. - ELEVATIONS PRIOR TO INSTALLING ANY -[991- PROPOSED CONTOUR PORTION OF SEPTIC SYSTEM PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS " ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE TO BE AASHO H-10 0 �98 4 1. 2" PEASTONE OR GEOTEXTILE °� ] PROPOSED SPOT EL. � a FILTER FABRIC OVER STONE 5. PIPE JOINTS TO BE MADE WATERTIGHT. 64.7 t e� r eQ TH1 63.4 MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 61 .0 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH 0 5e TEST HOLE NOTE: 2" MIN. WALL 310 CMR 15.000 (TITLE 5.) �0 ill YY PRECAST H-to THICKNESS REQUIRED BLOCKS OR s 2% SLOPE OF GROUND RISERS (TYP.) , Ond r� 61 .4 4"OSCH40 PVC PRECAST RISERS 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO(( MORTAR ALL f'% oVV PIPES LEVEL 1ST 2' COMPONENTS H-10 BE USED FOR LOT LINE STAKING OR ANY OTHER t W et UTILITY POLE ~� - �ENDS ( ) INVS EL. 59.0 4' PURPOSE. 5 12" MIN. INT. DIM. TYP. G6" MIN. SUMP 4• , ,Q tree Stye SIDES 59.83 li 61 .1 4' 1D" 14" ro�o�o Yao Sr° 6' MaP e FIRE HYDRANT is o GA > o 0 0 0 o�o��o� 0 GAL t 8. PIPE F o ° OR SEPTIC SYSTEM - ° o� TEM TO yv� .:a'` 60,34 TEE TEE O��o 0 0 0 0 0 o o 0 0 0 SCH. 40 4" PVC. I� I�I� LED > o 0 0 0 .< SEPTIC TANK 60.09 >°o°oo °° �0�� --000 o 0 0 0 O O o 0 0 0 NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING + :' o 0 0 0 ° °°°°°°o° OD®O®D��OO� ��O��DOO�O� ° 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED 4' LIQ. LEVEL o°o°o°o°o°o° WATERTEST D'BOX 0 >00000°°° o 0 0 0 0 0 0 0 0 o o o 0 0 0° ° ° ° ° °• ° ° ° ° ODD®0®0�Mn Q ��0®I]��(]�C�� WITHOUT INSPECTION BY BOARD OF HEALTH AND ACME OR EQUAL GAS BAFFLE :• �_o�o„o 0 0_ FOR LEVELNESS `" ;oo°o°o°o ��L���OD®��O O�OO����O�O °°O000°° 0 0 0 OHO O � OO � OO � OOO 'o°o°o°oo f f �00000°oo goo°o°o°o 59.24 59.08 °0000°°° °o°°° 57.0 PERMISSION OBTAINED-FROM BOARD OF HEALTH. V°p0000000°0°0°0°°°0°0°o�o+pO�C�o;o; ODOR) 1L 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING 0000 ° 00000000000000000o LOCUS MAP �0000000�o�ono,,o,,00000000000vo�o�o„o„o�00000. 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. H-10 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. DIGSAFE (1-888-344-7233) AND VERIFYING THE EXI ING ALL AROUND PRECAST STRUCTURES (3) UNITS REQUIRED LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES BU DING 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 33.50' X 12.83' PRIOR TO COMMENCEMENT OF WORK. SCALE 1"=2000't COMPACTION. (15.221 [21) 0 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE ASSESSORS MAP 109 PARCEL 38 REMOVED BENEATH AND 5' AROUND THE PROPOSED LEACHING FACILITY. LOCUS IS WITHIN FEMA FLOOD ZONE X I \\ 8 � 5 I \ ( SLOPE) ( SLOPE) ( 1 7. SLOPE) AREA OF MINIMAL FLOOD HAZARD AS 52.0' BOTTOM TH-4 ) NO GROUNDWATER FOUND SHOWN ON COMMUNITY PANEL #25001 C0534J FOUNDATION- 10' SEPTIC TANK 17' D' BOX 10, LEACHING FACILITY DATED 7/16/2014 _ ZONING SUMMARY i SYSTEM DESIGN: ZONING DISTRICT: RF RESIDENTIAL DISTRICT GARBAGE DISPOSER IS NOT ALLOWED MIN. LOT SIZE 43,560 S.F. ELEC/TEL DESIGN FLOW: 4 BEDROOMS @ 110 GPD = 440 GPD MIN. LOT FRONTAGE 150' , RI ER / , ; - MIN. FRONT SETBACK 30 USE A 440 GPD DESIGN FLOW MIN. SIDE SETBACK 15" MIN. REAR SETBACK 15" / SEPTIC TANK: 440 GPD (2) = 880 MAX. BUILDING HEIGHT 30' _ USE 1500 GAL. SEPTIC TANK LEACHING: SIDES: 2 (33.5 + 12.8) 2 (.74) = 137 GPD TEST HOLE LOGS TEST HOLE LOGS BOTTOM 33.5 x 12.8 (.74) = 317 GPD ARNE OJALA PE, PLS q / ENGINEER. D NIEL E. GONSALVES, SE 13587 ENGINEER: # TOTAL: 614 S.F. 454 GPD JERRY DUNNING o WITNESS: I WITNESS: DONALD DESMARAIS RS USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) DATE: 7-23-1998 1 -19-2018 DATE: WITH 4' '.STONE ALL AROUND PERC. RATE _ / < 2 MIN INCH r / TH < 2 MIN NCH• PERC. RATE _ / 10CPRO DE 6 OF 40 MI LINER AT 5' CLASS I SOILS P 9199 1 15576 r � OFF SAS AREA OWN. TO AT CLASS SOILS P# / ELE 59. ', BO T AT EL. 5 .8'f { [79 31 / O T 3 '4F0---, g \\ -- C\1� ELEV. 2 ELEV. 3 ELEV. ELEV. r FR V ' 4 4 Q / !r / 0 70 p 70 p,f 64' pf' 64 rn `ro H4 �� A 3" 0 A' A Z / SL LS LS in oa o,0 ( 10YR 4/6 A 0 10YR 4/2 10YR 4/2 B 10YR 4/6 B B o \ ✓ �3) O,pO� ,I, LS B LS LS \ ✓ �p 2.5Y 6/6 z 10YR 56 36 67 LS 36 10YR 56/ 61 30" / 61 .5' ...... 36„ 2.5Y 6/6 67' w \ 0 [72� ,� �, C 1 _ C 1 0 FS PERC v FS O ` �F 2.5Y 7/4 C C O - �712 PROPOS r7 p N \ ��� 66" 64.5 „ 2.5Y 7/4 , I DWELLIING i ) O I�0 64 FS FS 33.p TOP OF NDN PERC C2 EL. 72.5 �22,0 TH 5' RE VAL OF NSUI BILE SO RE UIRED C2 2.5Y 7 4 2.5Y 7 4 D K AR D PE IM ER OF LEACHI FA LITY, �`•, \ ` COARSE SAND / / OWN TO S ITA LE S01 LAYER. EP ACE LOAMY COVE D TH LEA ME SAND, TO ME _ \ COARSE SAND LL D C / SPEC ICA ONS F 310 CMR 15. 55( 2.5Y 5/4 1 GARAGE \ \ ,,I•ii 13 2.5Y 5/4 156 57' 2" Y 69' 144" 52' 144 52 LOT 23 w 49,000± S.F. NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED S°�0•0J w `�' ` j00; ESITE � \ PRIMARY / Z, '�~ - PLAN 6J j ' ELEC P w L�y� ) 1� '` OF EL.G=S7T.1' w w \ \ 180 HOLE RAD O \w� PROPOSED � \ w STAB L E, MA \ \ PREPARED FOR / HEENDRIG " COED" TA LOT 22 DATE: MARCH 14, 2018 \ REV: JUNE 1 , 2018 (WATER LINE) v / ,! 4"OFAfAss9 ���� ASS9C /SQ' o�y DANIELA. cy� �0' DANIEL yes � I ` E ISING OJALA A. T/VE OJAL A OUSE IVIL N No.46502 q No. ,0380 off 508-362-4541 R a o I • - qD/ I P •P o ��, o �P fax 508-362-9880 US A'ATE NC'\� lgN�ess� SURVEyO� I downcape.com TONAL E 1 EXISTING down cape engineering, inc. WELL Scale. l"= 20' G• ` 1 civil engineers land surveyors .Y DATE DANIEL A. OJALA, P.E., P.L.S. 939 Main Street ( Rte 6A) 0 10 20 30 40 50 FEET DCE # > 7-482 YARMOUTHPORT MA 02675 - -- �I I I B COVERED 1 1 1 DECK ABOVE OPEN ' DECK I , ------ -, ABOVE LATERAL I A UPLIFT C --------- ANCHOR------, I ANCHOR BOLT AND 3"X3"X1/4" PLATE WASHER i I I 3�-0 I� O �4T (o'_O" 9'-O" ; 111-10" -I1-2n 1 ; lO'-4u r✓- -8u MAIN HOUSE SPACING2X 6 PT PL E SHEA - ' GARAGE SPACING , , ------ '----------------------------------------- ------ ° ° .- -----------a- --- ------------------ ------- (n J ' ' I O ' 4 aT 26� ---?W264�o-------�- --- - -' V-4" DOOR UNIT; 1 1 ; O -, ; - TYP. 2X6 EXTERIOR'WALL 1 n M t 11 °D )Dp 'c D ��, °D , u -I° MIN. D 10 ••1 1 1 OI 1 1 I I ^Cr ° 4 °.. 4 4 ° e 4 c• �1 U , �' 1 U 1 1 b D b D D D TY . 4" THiG 1 1 1 , p n p ° p a 4 n p ° V �1 1 1 Q , , , = e 4 e 4 e 4 e tl e 4 ° Q 1 CONC. SLAB 1 1 1 cA ° 1 1 - -, I °-. D ° D ° D °, D n ° D ° D ° D ° . , D ° ---- - W/ 6MILL POLY , , , W , , , D. D c" D D' D'. D.,. 4 �D. 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DETAILS .I i 11 i all ONCRETE 1 ---------------------------'-------------------- ----'� ,�X��-0u---vi ; 1 3 1 1 1 _.. 77777 1 1 4I_011 ;_ 20'-Olt 24' 011 ; _ I 20, D ------ , UI JOS ADDRESS DESIGN D� REVISION DRAWN eY PEE S® � COSTA RESIDENCE PROPOSED FOUR 5EDROOM, 0 4 24 18 � J5 _OF1] 1/4 1 0 18OQ J� I TWO CAR GARAGE HOME z � a D , 0 9 o n 7 � a s 16 1`�TT��r'fOJ.�� ROAD J,�j lU PURCHASE OF DRAWINGS LEAVES PURCHASER RESPONSIBLE FOR COMPLIANCE WITH ALL l2) EXACT SIZE AND REINFORCEMENT OF ALL CONCRETE FOOTINGS l3) ALL FOOTINGS SHALL EXTEND BELOW FROSTLIKE VERIFY DEPTH. .f WEST �I C� LOCAL BUILDING CODES AND ORDINANCES, JB DESIGNS MAY NOT BE HELD RESPONSIBLE MUST BE DETERMINED BY LOCAL SOIL CONDITIONS AND ACCEPTABLE (4) VERIFY STRUCTURAL ELEMENTS FOR DESIGN t SIZE P.O, BOX 285 rj�8,) 494 9�f�, 4 U1 ST AR' `��/ f`j�� � A� FOR SITE CONDITIONS OR FOR THE USE OF THESE DRAWINGS DURING CONSTRUCTION. PRACTICES OF CONSTRUCTION, VERIFY DESIGN WITH LOCAL ENGINEER. WITH LOCAL ENGINEER AND BUILDING OFFICIALS. (UFBT BARNSrA04E MA 026" III \ rs? TOP FOUND. EL. 72.5 NOTES � e o �p� LEGEND 1. DATUM IS NAVD 88 *THE INSTALLER SHALL VERIFY THE 2. eo 99 - EXISTING CONTOUR LOCATIONS OF ALL UTILITIES AND ALL MUNICIPAL WATER IS NOT AVAILABLE. Locus ALL SYSTEM COMPONENTS SHALL BE 3. MINIMUM PIPE PITCH TO BE 1 8 PER FOOT. X 99 BUILDING SEWER OUTLETS AND ,. . SYSTEM PROFILE " EXIST. SPOT ELEV. MARKED WITH MAGNETIC TAPE OR ELEVATIONS PRIOR TO INSTALLING ANY (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS PORTION OF SEPTIC SYSTEM PROVIDE MIN. 20" DIAM. WATERTIGHT TO BE AASHO H-10 -[99]- PROPOSED CONTOUR ACCESS COVERS TO WITHIN 6' OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE o pa a {98.4] PROPOSED SPOT EL. 64.7't FILTER FABRIC OVER STONE 5. PIPE JOINTS TO BE MADE WATERTIGHT. eel r eQ �e re TH1 63.4 MINIMUM .75 OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 61 .0 6. CONSTRUCTION DETAILS To BE IN ACCORDANCE WITH TEST HOLE NOTE: 2" MIN. WALL Y PRECAST H-10 BLOCKS OR 310 CMR 15.000 (TITLE 5.) �s,o� �o_� and THICKNESS REQUIRED w RISERS (TYP.) , PRECAST RISERS 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO WIIio 2� SLOPE OF GROUND i 2'0 61 .4 4"OSCH40 PVC MORTAR ALL H-10 BE USED FOR LOT LINE STAKING OR ANY OTHER Q eet Sheet ,• 6" MIN. SUMP PIPES LEVEL 1ST 2' WEND COMPONENTS , oG�P Sty �Q> UTILITY POLE �� - 12" MIN. INT. DIM. (NP) 6 OP INV S EL. 59.0 4' PURPOSE. le SIDES 59.83' M 6 1 .1 4' �o" i4" ° 'o°°o`o°°o°° 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. FIRE HYDRANT 60.34 1500 GAL H-10 TEE TEE 60.09 ° OO�� 00�0 I��mI� OEnomti o SEPTIC TANK QQOQQ�®0�0®®Q �����0����09. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED ° ° ° ° ° WATERTEST D'B0X o ooNOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING 4' LIQ. LEVEL °o°o°o°o°o°oo ����Q������ ���Q��®®Q�� ,°o°o°o°oACME OR EQUAL GAS BAFFLE :.; o�o�o 0 0_ FOR LEVELNESS 0 �����0�o��oDOo DOO���E=E 0= ;�o�o�o�o WITHOUT INSPECTION BY BOARD OF HEALTH AND 59.24' 59.08' °° °o°o°o°° 57,0 PERMISSION OBTAINED FROM BOARD OF HEALTH.°o °o°o°o°o ':,.• ^'_... c " ` ^` 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING '°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°° °° °°` DIGSAFE 1-888-344-7233 AND VERIFYING THE LOCUS MAP °°0°0°000°0°.°,°°O°o�0000°o°,°O°O°O°O°O°O;°000°° H-10 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. ( ) 3 4"-1-1 2" DOUBLE WASHED STONE 4' MIN. (3) UNITS REQUIRED LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES EXI - ING ALL AROUND PRECAST STRUCTURES PRIOR TO COMMENCEMENT OF WORK. SCALE 1"=2000'f BU DING 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 33.50' X 12.83' COMPACTION. (15.221 [21) 0 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED BENEATH AND 5' AROUND THE PROPOSED ASSESSORS MAP 109 PARCEL 38 LEACHING FACILITY. LOCUS IS WITHIN FEMA FLOOD ZONE X_ 8 - 5 (AREA _OF MINIMAL-FLOOD HAZARD ( % SLOPE) ( % SLOPE) ( 1 % SLOPE) ( ) AS _ 52.0' BOTTOM TH-4 SHOWN ON COMMUNITY PANEL #25001 C0534J NO GROUNDWATER FOUND f 10' SEPTIC TANK 17' D' BOX 10' LEACHING DATED 7/16/2014 FOUNDATION- 'FACILITY I ZONING SUMMARY �`' SYSTEM DESIGN. ZONING DISTRICT: RF RESIDENTIAL DISTRICT I IMIN./ GARBAGE DISPOSER IS NOT ALLOWED MIN. LOT FRONTAGE 43, 60 S.F. LOT SIZE DESIGN FLOW: 4 BEDROOMS @ 110 GPD = 440 GPD MIN. FRONT SETBACK 30' ELEC/TEL - RI ER / / `, % USE A 440 GPD DESIGN FLOW MIN. SIDE SETBACK 15' p / i MIN. REAR SETBACK 15' � SEPTIC TANK: 440 GPD (2) = 880 MAX. BUILDING HEIGHT 30' - USE 1500 GAL. SEPTIC TANK LEACHING: SIDES: 2 (33.5 + 12.8) 2 (.74) = 137 GPD TEST HOLE LOGS TEST HOLE LOGS BOTTOM 33.5 x 12.8 (.74) = 317 GPD ARNE OJALA PE, PLS DANIEL E. GONSALVES, SE #13587 o ENGINEER: ENGINEER: / TOTAL: 614 S.F. 454 GPD WITNESS: JERKY DUNNING WITNESS: DONALD DESMARAIS RS / USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) DATE: 7-23-1998 DATE: 1 -19-2018 WITH 4' STONE ALL AROUND PERC. RATE _ < 2 MIN/INCH PERC. RATE _ < 2 MIN/INCH / TH, N PRO IDE 6 OF 40 M LINER AT 5' CLASS I SOILS P# 9199 CLASS SOILS P# 15576 ! OFF AS AREA OWN. TO AT - - • ELE 59. ', BO T AT EL. 5 .8'f Z (79 31 / \ C) T 3 700 \ 1 ELEV. 2 ELEV. s ELEV. 4 ELEV. \ 9 „�. o„ 4 70' 0» Q 70' 0» Q 64' 000 4 64' A 3„ 0 A A H4 � SL LS LS / A �o ( 10YR 4/6 10YR 4/2 10YR 4/2 / o I 6 SL 7 6 / N cc \N 0' I �\ - B 8» 10YR 4/6 B B ✓ rn O,p . LS LS LS J \ ✓ �3j O B V \ ✓ ��'%,''� 36" 2.5Y 6/6 67' LS 36" 10YR 5/6 61' 30" 10YR 5/6 61.5' 36" 2.5Y 6/6 67' 1111b � 1 ` IIX C 1 [72] 2 O FQ FS PERC O ITS C C 2.5Y 7/4 ' I C9� 66 64.5 2.5Y 7/4 ,� > PROPOSES O N �� p'' 60 64[71 FS FS 2] ._. DWELLIING� '0 �, \ 33 , TOP OF FNDN ° ro \ PEERc C2 0 ' 1/4 EL. 72.5� �' \ LOAMY C2 2.5Y 7/4 2.5Y 7/4 D K 5' RE OVAL OF NSUI BLE SO RE UIRED l `' 172.O]TH AR D PE IME ER OF LEACHI FA LITY, COARSE SAND LOAMY r , � OWN TO S ITA LE S01 LAYER. EP ACE COARSE SAND v ` nN / ITH LEA ME SAND, 2.5 /0 ME ~ \' 2.5Y 5/4 Y 5 4 COVER D ' D C SPEC ICA ONS F 310 CMR 15. 55( GARAGE 156" 57' 132> 69, 144" 52 144 52' LOT 23 NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED w 49,000± S.F. o / Iy `SO� E' w O __ (0 ,�`�, SITE PLAN PRIMARY J / �G .\ 10 OF ELEC P w w BENCHMARK -- H, 180 KETTLEH(ODLE ROAD E�G=S�T.1' w\ PROPOSED \ \' /C wWEST BARN ABLE MA \ PREPARED FOR 43 HENDRIGO DATE. MARCH 14, 2018 LOT 22 REV: JUNE 1 , 2018 (WATER LINE) OF 1�FG ASs� i DAIVIELA. �s A. -� si Cy o D,4NIEL SG 750, ' OJALA C IVILRoE No.�4 098o ' I off 508-362-4 541E ISTING No.�6a02 o o�'Q fax 508-362-9880OUSE fEssRq0SUS ! ) downca e.comT '/ONALdown cape an inee n nc . \ - I (' 3 WELLING , _ 1 _� �o civil engineers Scale. 1 - 20 land Surveyors DATE DANIEL A. OJALA, P.E., P.L.S. 939 Main Street ( Rte 5A) 0 10 20 30 40 50 FEET YARMOU THPOR T MA 02675 DCE # > 7-482 I 1 I I IE TARS DOWN 1 1 I I I I 1 I I I I I HEADER DIM. 11'-O" I i iL 11 H) SIZED LVL's BEAM ' N I 1 OPEN COVERED ECK DECK 11'X12' 11'X12' tuII d t II w 34-O 1 1 1 1 J -oil 9'-411 1'-211 i� FWN5468APLR- � CW235 TW2646 TW2646 = TW263 TW12646 T1112646 ---- -- — 1 II N I� 81' n ��QI.• 1r ItI 6 -oil W4I-f-0 CI -I _1 121-O 11 TW26 6 W2646 W2646 BATHM w 14 -34 101-104 _N _ II BEDROOM *2 -' 2-0 _I p Q � 2X10 s � 16 O.G, o o O � w BEDROOM 3 11 11 4 4 -054 ^ O O 1 II / \ (ASO V E) —� 16 -O X sHowER LIVING >� N C,, � r- TW26310 TW26310 1 ^d- CUSTOM �. SHOWERin s E T 1 _ L cll _. 1 B ATH _ O 0 ER f TW20310 tW2646 TW2646 = , 1 0 II I N 2 4 _ _2 6 _ SIZED V,L s ' I E) ZED L ITC -�4 K H N _ E � I _ -(o 1. --- - - ---- -- - - I 1 1 11 LAN INCH 61 - N �Q LAND INC S POST -G. _ 1 tYP. � P L P 2XlO s l�o O 1 tt _ 1 I _ _ , ATH aD B _ N nl (ABOVE) 4 3E OOM 4 _ O 1 _ DR ^ � I ,< O AILING - �t u ^ — I _ r LAUNDRY _ b -- -- - 3 6 1 m . _, _ O X M COLUMN - I N TYP. CUSTOM GOL _ u I u 1 � N _ _ N R I 11 m z O '�t dJ _ cv 6 2 2 4 - --- � g 1 ^ 2X10 s 16 O.C. _ ' U � O I � O - -- 1 N o >Q - 2X10 G-J- (A OV ) -- B E ---------- ------- --- - -, �t oil O.C. tll ^ tt N - fA - LINEN N ^ N — O _ 1 - -- --- } OVER _ �4 _ O _ 1 O FOYER N 1 O ER ----- -- O 2 s C.O.c.o. OW -=-•---=--^ --- BEL O fQ � _ 1 U o (CATHEDRAL) _ _ m O 1 ,Q - r N 2 8 i r tt1 Q w _ U I _ I _ O 3 wm _ - n - I "' N N �p :i. _ 1 1 -all W.I. 2 8 1,_ I Q _ SITING 4 8 4 6 O d) I I 1 , N ('� in 'Q _ 5-allAREA X - i N 43 I N DINING D _ I 1 1 I _ - 1 o I 0 2_8 �4 _ 1 1 N 0 VI I V r T IRE U , ' 11 1 II :: 1 � I � 4 -8 ,� 0 141-10 11 -8 C4 - -- MUDROOM2-6 0 AV- U I I O 41�fl1 Y LCNI -' LANDING a' t TW2646 TW2646 TW2646� T1112646 � II I 112652 T1112652 T1112652 TW 52 2X 10 C-J —� - ' DECK— COVEREDO i n t u , „ f ii ,` „ I n I i II =^ r U = W-LC- 4 -4 (o -O (o -8 6 -8 6 -0 4 -4 I PORCH w 2X10 s01 1�� 16 O-C. 0 Q r - 1 1_ 11 ; -oil E- (ABOVE) -� �tt 2OVERED y 34 0 I I 11 I II N 1 11 I II I II I II 1 II II , _1 NTRY = 4-6 5-6 = 4-4 6 -O 6 -8 6 -8 �o -O 4'-4 U cn 34'-0" w --------1--------- 4� -' 11 U N - N HALL _ --------- El� SECOND FLOOR FLAN 1 n STEPS - 5 O tt I GARAGE I ' FIRST FLOOR = , TW26210 , � n �-4u 1 n r- p 0 -O - -oil _ - - 4 (0 8 -i1 O lu O _ ^ > _ cv 1 N Q m I p X ,II/ 04 N N r 't l Q i 11 N N - MASTER ? U = �- p - t _ BEDROOM _ -- --------- -- lA� SIZED W1O SEAM tt - Q CNI N O ^ O O - - ^d TY . STEEL COLUMN 'N� N --------------- z 3� o � I U U , _N LU I O q I Cat I p �- TW26210 TW26210 N W - ' - p N TW2442 NIS 4 -0 12-O 4-0 6 21-0" 201-O 11 I O u 4'-O" - i 24I-O" 24'-O ll I I, OB ADDRESS DESIGN DATE REVISION DRAWN BY PACE I COSTA RESIDENCE PROPOSED FOUR B�Di�00M 4-24-18 J5 «�or- 11 1i4"=1'-0" ,t7�si �s Q J/ J� 1 1 3 4 B b l B 9 13 b II 1] µ IB W 18O KET 1t LEHOLE ROAD TWO CAR GARAGE HOME JU (1) PURCHASE OF DRAWINGS LEAVES PURCHASER RESPONSIBLE FOR COMPLIANCE WITH ALL (2) EXACT SIZE AND REINFORCEMENT OF ALL CONCRETE FOOTINGS (3) ALL FOOTINGS SHALL EXTEND BELOW FROSTLINE VERIFY DEPTH. WESTII t I(�* M I- LOCAL BUILDING CODES AND ORDINANCES,JB DESIGNS MAY NOT BE HELD RESPONSIBLE MUST BE DETERMINED BY LOCAL SOIL CONDITIONS AND ACCEPTABLE (4) VERIFY STRUCTURAL ELEMENTS FOR DESIGN t SIZE P.O. BOX"5 W S I �AR 1 `IV I A � I I A� p FOR SITE CONDITIONS OR FOR THE USE OF THESE DRAWINGS DURING CONSTRUCTION. PRACTICES OF CONSTRUCTION. VERIFY DESIGN WITH LOCAL ENGINEER. WITH LOCAL ENGINEER AND BUILDING OFFICIALS. U66r.6ARN,6rAaLE MA 02"0 (`08, 494 953 w. ---- ---