Loading...
HomeMy WebLinkAbout0012 KRISTI WAY - Health 12 Kristi. Way West Barnstable A= 128 — 008 F .r , TOWN OF BARNSTABLE LOCAT ON i Z IC r t S �' i4 SEWAGE# a0®� VILLAGE D A4 A STA a i m ASSESSOR'S MAP&PARCEL 1'Z 0% INSTALLER'S NAME&PHONE NO. C A p eA4 e CL SEPTIC TANK CAPACITY (5 LEACHING FACILITY.(type) (size) �� w NO.OF BEDROOMS OWNER ,pUOKt= PERMIT DATE: O' Z ro- Og COMPLIANCE DATE: 1 O T 1Z. — ZO Oq Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility © �26 e i Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY C„A�&2t C6 LJL 43 w t r z vlbU ,0 z1 No. '26A " Fee (/�THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4phratiou for disposal 6pstem Construction 3oefmit Application for a Permit to Construct( ) Repair7ps;) Upgrade( ) Abandon( ) stem Complete Sy stem y ❑Individual Components Location Address or Lot No. I oZ f�c;S►; lj A41 Owner's Name,Address,and Tel.No. R-r.h gw 0 W QS`. prnszArgL-� � h�Assessor's Map/Parcel /2�, Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. SC 07 )ta t. 1G k f LS r°ivv �u b�°e �7-3,o 31 4 �Xvh �Y ZK_ 02 Type of Building: Dwelling No.of Bedrooms c Lot Size ��,Z�(?. - sq.$. Garbage Grinder( ) Other Type of Building `)��,IC No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 5 s® gpd Design flow provided J gpd Plan Date S"Z k —2.®o c( Number of sheets Revision Date Title 1 J. k- C t S-C i `Size of Septic Tank Type of S.A.S.CZ, S t yw_t e.5, 1✓e_44_k zr Description of Soil Nature of Repairs or Alterations(Answer when applicable) 4-to i_�60 r,rK 1y m f� ThyGS �C73c�1 ca�J j� ' � 1 SOif i Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si _ Date 2 Application Approved by Date Application Disapproved by Date for the following reasons Permit No. o,UO�-2 7 ( Date Issued ��a 'd G► �p.+}`,....-,_.-.:v..,r•..-,�ww".'�r.,{�AI�"ica..�+.'r•-.-"H.....'�"`." .. � ,.. ..,,.�,„ -,,,,.-, r. .. .�a+...:rrfi:-a.-,K^e.ssv.:..,.:....xw...�'.w.—{' .+...�.;. ....-.1,-rz� LI" .�.. ^.. .m-. �No. qt)o" - •? ! tT Fee /UU- _ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF'BARNSTABLE, MASSACHUSETTS Yes ftPficatiori for disposal 6pstetn Construction Permit Application for a Permit to Construct Repair-)() Upgrade Abandon Complete System [I Individual Components Location Address or Lot No. Q k r.ST*, WA., Owner's Name,Address,and Tel.No. We-�T 3pen�tA$/ i Assessor'sMap/Parcel 12g aS Siff;( Installer's Name,Address,and Tel.No. t%p 8 aK F,3 Designer's Name,Address,and Tel.No. SC I�SCS Cj'2K-�t � �t� 2`73�-0 3-1 l wqi� �r 1 �,Y Type of Building: LL� Dwelling No.of Bedrooms J Lot Size 3(4o,2-4Z - sq.ft. Garbage Grinder( ) 1 Other Type of Building j#%,Ae No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 5 S O gpd Design flow provided gpd Plan Date %-2-� -10 a 4 Number of sheets Revision Date Title 1 a 1- C i 5-V+ r Size of Septic Tank �.sOc7 �OC Type of S.A.S.(Z) Description of Soil rr I r Nature of Repairs or Alterations(Answer when applicable) l v C,.) y4-(D I.5bo f,K1-L -11F1'Y4l i��u rtb (2� �nhe.�rsr JP�►c.l,r� ! Zo v _ Date last inspected: 7-eoo 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. q ,f• Si L C Date p �•-Z'a'� Application Approved by 0 Date Application Disapproved by Date for the following reasons Permit No. oZ UU l I- .?? ( Date Issued a Gr - -- - - - --- - - --- -- -- - ------ -- -- ---------------`--------- --------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that # the On-site Sewage Disposal system Constructed( ) Repaired(X) Upgraded( ) Abandoned( )by G L�v A 0 �t CJ-9 E't �X of a e) L k,c at -2 I eG 5 i r W has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.?Q a -17 dated %'07 6-p 5 Installer (�A0I CL �,�- (`/ti �{) (,� L Designer . �.. C1 I 1Uj,1,h 5 #bedrooms 5 Approved design floWA gpd The issuance o this permit shall not be construed as a guarantee that the system will fun�ctiori as designed. Date 1 01.�� i 6 cl Inspector (✓ - >• ! 'v No. U,I°1- 71 Fee /UU THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS bisposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair 01-) Upgrade( ) Abandon( ) System located at ( 'd le r 15T, LA-) %-Alt')"r -�A(n 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 imust be completed within three years of the date of this permit. Date / (; /y a Approved by _• Y ��" /� Town of Barnstable Regulatory Services 'I'tiotnas P. Cciler, Director t MA 6t.lS, � Public Health Division — - 'Thomas McKean, Director 200 Main Street,Hyannis, MA,02601 ( MCO: 508.862.4644 F;zx 5B-7901•6 5G4 Installer & Designer Qgrtiflgatlon ,orm Date., 10• L 8 -0 1 ' Installer; ewe Address; 2-8 ' e(cxA,od;r tli•hwc, ....a. 't �..,,.....�__ .�..3 --- ' Addre _ 0 Si Address; c _Erik_Woc eh r�m-4 H( 61 5 ?, o1, � Z� � 09 C� ((`:�- - �2�3 z was issued `t_� ...�„i�i a permit :o install a ( ) , {installer)_ septic systettr at �1 Z_1< tv0y based on a design drawn by dated ust 2t ZOOy V!, I certify that the septic system referenced above was installed subtftantially according t , the desip, which may include minor approved changes such as lateral relocation of the distribution box, and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.c greater than 10' lateral relocation of the SAS or any vertical relocation of any compor•jeri; of the septic system) but in accordance with State & Local Regulations."P]m revisior, (T certified as.-built by designer to.follow, 'JOHN 1. N„ _ QFII;N(:�,Ill. ........�In er's Signa _;e--.._..__._---- ry . (ljesiPcr's Sig e) (A 1 eslgner's tamp Here). y "TU TO BARNs" LE PUBLIC HEA IVISION. CE ' "IFI ''ATT- IIUI .IAAREJ N B S B X, I 'V SID1V� THANK U, IRA ._.. Q: Health/5epuc/Designer Certification Fonn } 1 TRANS. NO.: CITY/TOWN: West Barnstable APPLICANT: Capewide Enterprises ADDRESS: 12 Kristi Wu, West Barnstable,MA DESIGN FLOW: 550 gpd REVIEWED BY: DATE: N/A OK NO Legal boundaries denoted [310 CMR 15.220(4)(a)] 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]- if not, a variance is required [310 CMR 15.412(4)] X Location of impervious surfaces (driveways,parking areas etc.) X [310 CMR 15.220(4)(d)] Location all buildings existing and proposed 310 CMR X 15.220(4)(c)] Location and dimensions of system components and reserve areas. [310 CMR 15.220(4)(e)] X System Calculations [310 CMR 15.220(4)(fl] X X daily flow se tic tank ca acity(required and rovided X soil abso tion system re uired and rovided) X whether system designed for garbage grinder X North arrow [310 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 soil 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 15.2421 X Certification statement by Soil Evaluator [310 CMR 15.220(4)(j ] 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 12 mri Wav West Barnstable,M Sheet 1 of 7 f N/A OK NO Location of every water supply,public and private, [310 CMR X 15.220(4)(k)] within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water su ly X within 250 feet of the roposed system location in the case X within 150 feet of the proposed system location in the case of rivate 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 X 15.220 4)(m)] (if water line cross see 310 CMR 15.211 1)[1]) Profile of system showing invert elevations of all system X components and the bottom of the SAS [310 CMR15.220(4)(o)] X St am of designer [310 CMR 15.220(1) and 310 CMR 15.220(2)] Stamp of Registered Land Surveyor(required if construction activities within 5 ft. of lot line) [310 CMR 15.220(3)] X Test Holes adequate (two in each of the primary and reserve unless trenches as permitted in 310 CMR 15.102(2) or as X a roved for an upgrade under LUA at 310 CMR 15.405(1)(k)] Test hole adequate to demonstrate four feet of suitable material? :: X [310 CMR 15.103(4)] Test Holes adequate to confirm adequate groundwater separation? X [310 CMR 15.103(3)] X Benchmark within 50-75' of system [310 CMR 15.220(4)(q)] Materials specifications noted? [various sections of 310 CMR X 15.0001 System components not> 36" deep (unless Local Upgrade X A roval or LUA requested) [310 CMR 15.405(1(b)] Sheet 2 of 7 Address 12 Kristi Way West Barnstable,MA �+ N/A OK NO Size OK? [310 CMR 15.223(l)] 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(1) and 310 CMR 15.232(3)(f)] 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<1 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 ON u1tiConpartinen Talks ,,, � a 5 ., 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 12 Kristi Way,West Barnstable,MA Sheet 3 of 7 N/A OK NO B �. „DISC'1� L AID OW�RIp%I� ` 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 Siphonproblem/(leachfield below pum chamber) X Endca s or vent manifoldspecified? 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)(01 X Inside minimum dimension 12" [310 CMR 15.232(2)(b)] X Minimum sum 6" [310 CMR15.232(3)(e)] X Watertight cover if<2000gpd); waterproof manhole if>2000gpd [310 CMR 15.232(3)(d)] X Capacity(emergency storage above working=design flow)? [310 CMR 231(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 12 Kristi Way,West Barnstable,MA Sheet 4 of 7 N/A OK NO SOI �ABS® SI "E�I � SS)i�CNEIt Calculations correct? X 4 feet of naturally occurring material demonstrated? [310 CMR 15.240(l)] X Required separation to groundwater? [310 CMR 15.212)] X Aggregatespecified as double washed [310 CMR 15.247(2)] X System Venting required/provided? (system under driveway or >36" deep) [310 CMR 15.2411 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 G�ALLE�RIE�SPIT�SCHA �B# R O��C�, �1�� �S:�S�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 15.253(2)] X Aggregate 1'minimum-4'maximum. [310 CMR 15.253(1)(b)] X 2' sidewall credit maxim-um [310 CMR 15.253(1)(a)] X In bed configuration, inlet CCevery 40 s . ft. [310 CMR 15.253(6)] X 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(1)[4] and Guidance Document] X BED�SAS„� aximumsize'of�be or fel°cI�a000�gp ) � � � ��� r minimum 2 distribution lines [310 CMR 15.252(2)(a)] XP Maximum separation between fines 6 [310 CM R15.252(2)(d)] X Maximum separation between lines and outside of bed 4' [310 CMR 15.252(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)(01 X Bottom area used in calculations only [310 CMR 15.252(2)(i)] X Address 12 Kristi Way,West Barnstable,MA Sheet 5 of 7 N/A OK NO 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 °Gravelless�,SystQm�.�AAP�r'ovl Le, s�' ``�� 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 Al ernatcyeSepic System[Ili prpvaC Letters ; 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 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 12 Kristi Way, West Barnstable,MA Sheet 6 of 7 N/A OK NO z Is the system in a Designated Nitrogen Sensitive Area(Zone Il 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(l)] X lt%Itscell'aneus � - f Pum ing to septic tank ? [ 310 CMR 15.229] X Shared System [310 CMR 15.290] X Address 12 Kristi Way,West Barnstable,MA Sheet 7 of 7 Town of Barnstable Pit_ I / G 2 Department of Regulatory Services tuutxarnat,e, Public Health Division Hate 7 2- o ram. i8.19 �� 200 Main Street,Hyannis MA 02601 Date Scheduled 0 Time_�_Iin'� / O o— Fee Pd, Soil Suitability Assessment for S e ,disposal Performed By: 3'c1nv, L. Gfnurctn�ll ��. Q.L. Pt,, C16 Witnessed By: r LOCATION& GENERAL INFORMATION Location Address 'a le,,f`sr.% t o A-1 Owner's Name R GL►,gr� Tv we5'- —dew--a-'T-✓a (5 I-e Address CD►4�rwe Assessor's Map/Parcel: 2,q/00 Engineer's Name c a,,� k Sc &njeoeere') NEW CONSTRUCTION REPAIR ✓ Telephone# L4 2,�i ;40-Li .508-273-0 9 77 Land Use -- stn6le Fame re 5 v(e n Ita I ,5-1 U�' Slopes(%) Surface Stones i Distances from: . Open Water Body ft Possible Wet Area ft Drinking Water Well —LY—Of ft Drainage Way _ ft Property Line "Z r ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&.pere tests,locate wetlands in proximity to holds) e_ a c� (�lcv� c�lcl e e� Atsys� 2 t 200 1 Parent material(geologic) 0U i Depth to Bedrock 7 i 5o bSS Depth to Groundwater. Standing Water in Hole: 715"_5 Weeping from Pit Face 5'0" �OSf Estimated Seasonal High Groundwater 71 50,103.3 DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: D tree( o(vseroakcyl Depth Observed standing in obs.hole: 7 1 56 in, Depth to sell mottles: �0 In, Depth to weeping from side of obs.hole: 7 f 5G in, Groundwater Adjustment ft. Index Well# — Reading Date: Index Well level Adj,factor — Adj.Groundwater Level„ Observation PERCOLATION TEST Date : a9 Time Hole# Time at4" i1e30 Depth of Perc 3 21.5b Time at 6" lI 3S Start Pre-soak Time @ 11 1 2 All Time(9"•6") End Pre-soak i 1::Z 7 A)-4 Rate Min./Inch 1 Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) A/ Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the, Barnstable Conservation Division at least one (1) week prior to beginning. Q:\SEPTICIPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole It l Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. onsistencv %Graven b{i' A LS /UYr 6 - 32 `5 /U S�6 32'-I5-0 G LS 2.5Ye/y - 20 DEEP OBSERVATION HOLE LOG Hole# 2- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. C nsisten %Gravel `UY,S16 - 37--(50 C- y 5 u DEEP OBSERV ATION TION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Co sistency, Gravell DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, Flood Insurance Rate Man: Above 500 year flood boundary No' Yes-_ : _ Within 500 year boundary No - t- Yes Within 100 year flood boundary No - ✓ Yes 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? re-S If not,what is the depth of naturally occurring pervious material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required Atr * ing,a pertise xpenenc cribed in 310 CMR 15.017. Signature Date Q:4S.EPTICIPF-RCFORM.DOC w Health Complaints 30-Sep-98 Time: 12:44:00 PM Dee: 9/22/98 Complaint Number: 1569 Referred To: GLEN HARRINGTON Taken By: LS Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: Business Name: Number: 12 Street: christie way Village: WEST BARNSTABLE Assessors Map_Parcel: Complaint Description: GH - Call came in as radon detector going off. It was actually a carbon monoxide detector. I went to house and found that out when I got there. Owner present was Trucia Tucker. Sam Richards and Ed Kelley from W.B. FD respoded. They came in with there CO detector to double check. FD said that humidity makes the detectors go off. I recommended that owner call heating service :o check furnaces, Plus and chimneys. Actions Taken/Results: Investigation Date: 9/22/98 Investigation Time: 12:44:00 PM 1 14 Ovi AP S •w r ._____r .�.�--� ��G aL�.�� - f f,. vv�_� Cam._JG✓v a`� e•G.e G(� c�'-��-o Gem a✓�� ��f �� J G 1 _ _..� — --..-.�-.bid. �.� - __ .�� � - — --- -, . . - _ _ .._..__�- __^•_' __-^-- — -�—�__ _ . f e 1 f 1 • f f l>4 TOWN OF BARNSTABLE C,f y 1 tuijr Y`o 5`C 5 �C"'P' 1 `� SEWAGE # � NSTALLLAGE y W� �v�ai 'ti ASSESSOR'S MAP & LOT IER'S NAME&PHONE NO. SEPTIC.TANK CAPACITY i LEACHING FACILrrY: (type)1001- lk la Cc�()L��mo o,- (size) NO.OF BEDROOMS 5 BUILDER OR OWNER C, PERMPTDATE: °' �'9�1. COMPLIANCE DATE:T9� Separation Distance Between the: Maximum Adjusted Groundwater.Table to the Bottom of Leaching Facility Feet k Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) - Feet Furnished by 4 C iet t �P 3 - C33� =i3q t. 44 TOWN OF BARNSTABLE LOCAcT1�QN Y'o5'C S SEWAGE # • .:. VII I A.G'E w��j�.rw`�SYti � ASSESSOR'S MAP& LOT Y - U, _ INSTALLER'S NAME&PHONE NO. Z SEM- C',.TANK CAPACITY LEACHING FACILITY: (type)0��.t� Cc�(�1-rr-6 L (size) Ij NO.QF;BEDROOMS s BUILDER?OR OWNER GU GC/G PERMrr-GATE: COMPLIANCE DATE: Sepg4bn-Distance Between the: MaximumAdjusted Groundwater Table to the Bottom of Leaching Facility Feet Private:Water Supply Well and Leaching Facility.(If any wells exist w on'site?cii•within 200 feet of leaching facility) Feet Edge-.of-Wetland and Leaching Facility(If any wetlands.exist WUW000 feet of leaching facility) Feet Furnist ed.by 1 f ' J IVU L;O- CrAj ION SEWAGE PERMIT NO. l� kn,si woy VILLAGE I N S T A LLER'S NAME i ADDRESS LoSc P 6 ,?vr9 T r, Z o_vlil/s AANC- /f,#f-rlo,v AMor /,tlg. 6UILDER OR OWNER RR x /Gjgal /✓ DATE PERMIT ISSUED, DATE COMPLIANCE ISSUED - 30 � �� �fl�k OVs� US G Ito 3 ' D E pi VI) O L—D No. � �Z Y � � (/ Fee y �� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ys PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0(pprication for Migo Y *p!5tem Con!truction Permit Application for a Permit to Construct( )Repair )Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. 1C + �.(.� Owner's Name,Address and Tel.No. Assessor's M Ip 'e�' I s q J�l/IIJI 4 `�8 " 6eorq61AIct, Installer's Name,Address,and Tel.No. FYI j Designeer'sp Nare,Address and Tell.No. rn f C� �T-96. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 5-Sc? �-r gallons per day. Calculated daily flow U E gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 5 Type of S.A.S. �i U Description of Soil -W_ej2_5WN.9 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environment 1 Co and not to place the system in operation until a Certifi- cate of Compliance has been issued by this B d 41, Sine - � g Date Application Approved by ' y Date --9- Application Disapproved for the following reasons ——Permit Date Issued ----?—�� —---- ------_ _— __ `--------- - - -- --------- -- - - - .ii. ._y, ...,V+.—...•.:/'...m.t ...ra.-e. r•-•.-n�. +t+i....f .Y.i'ae.ea. .-_..il`h.,..�+.w.k1�..'w�.Tws.n r'+.,t.a�. _ t -f !.- .F .-. •VW .riff- No. �Z i F7 Fee r� i THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS - 01pprication for Mi��o aY 6peum (Con!5truction j3ermit Application for a Permit-to Construct( )Repair Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. fe �2 ► +�� lad-«�� �org�;W/Ur�C ., Assessor's Map/PXel rnsla ` Installer's Name,Address,and Tel.No. r I� J Desiggnn77er's Name,Address and Tel.No. s erQober4 , nnf-S, . H�qjli C a �X"s pk-)+I c-,­0 g-0,0 g Type of Building: /' Dwelling No. of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building wr No. of Persons Showers( ) Cafeteria( ) Other Fixtures a t Design Flow 'D�� gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 5 t Type of S.A.S. !�►_ < �1 � v1�?r t n ` t Description of Soil Ugh- 5 K Nature of Repairs or Alterations(Answer when applicable) S V— �. V`-' o L' t �("mG w� v`SYtac_. or�rn�S +- (y Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Cod and not to place the system in operation until a Certifi- cate of Compliance has been issued by this B d Akt . r Signed Date Application Approved by f Date -9- 01 Application Disapproved for the following reasons Permit No. "ZY Date Issued THE COMMONWEALTH OF MASSACHUSETTS k r` 14- BARNSTABL'E, MASSACHUSETTS 1 (tertificate of QCompliance THIS IS TO CERTIFY, that t On-site ewage Disposal System Constructed( ) Repaired )Upgraded Abandoned( )by Rod 0 e-K 0 h r 4-5 0 f h-rr)PC Sr P T I C�� at IZ K 1lArIL.4 WA54 has been constructed in accordance with the provisions of Title-5 knd the for Dis osal System Construction Permit No. - ZZ dated 9.j�'" C' - Installer ��O e✓ , ) C4-_� Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. ,Date c Inspector No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS 1wigw6ar t!ple�)�Upgrade(t n-5ruction Vermit Permission is hereby granted to Construct( )Abandon( ) System located at /e,9 Wr;� , W0AJ Nj' I-no (I and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: G/ " / /O Approved b PP Y le2 ItG9191 e stir.Of Failed TICS: This Form Is To Be Used For the R p NO . Septic Systems Only. ; • OF SKETCH AND APPLICATION FOR A CERTIFICATION WORKS CONSTRUCTION PERMIT (WITHOUT DISPOSAL W ENGINEERED PLANS) ' I hereby certify that the application for disposal works j l construction permit signed by me dated f-z concerning the . meets all of the property located at . following criteria: ' • •Mere ere no wetlands located within 100 reet of the proposed leeching flnetlity Theis are eo private wells within ISO ket of the proposed septie system 1 44 ' There is no incase innowand/or change in use proposed I Theta ere no d or needed. �f the proposed leaching ftncility will be located within 250 feet of any wetlands,the bottom of the leaching facility will tr4s�looted less then fourteen(14)feet above the maximum adjusted ' E roposed B , groundwater table elevation• please eemplete the following. 0 A)Top or Ground Elevation(according to the Engineering Division 0-I.S:'map) j evatton according to Health Division well map) B)Observed Groandwater Table EI ( ` 0V DATE: ; SIGNED: : LICENSED SEPT1 SYS" RWALLER M THB TOWN OF BARNSTABLE NUMBER Idn sl't1N prepeW�y •Abs ItAa Ile�nwd InMh11K pelf eKtlMd plat pla�� j IAUMA a*0 p � t � this plan should be submitted). AaMn Ib1Aet:eat i 1� --. d v No.--A. .125 5................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF H .................._.. ........_..._.......OF...........d .:.'..... ------------------------•--------------------. Appliration for Dispuaa1 Works Tomitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Location-Address or Lot No. •-----------•t� !�° ........-7.:�.`t. e. ...................................... --•--•-•-•---------------.... ..............._.. s � ................................Address Installer Address dType of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms................................ .Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons............................ Showers — Cafeteria Other fixtures ................................. . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-, Percolation Test Results Performed by------- ------------------------------------------------------------------ Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.---................ Depth to ground water...--.-.-----.---_----- fi Test Pit No. 2................minutes per inch Depth of Test Pit:................... Depth to ground water.....................--. a ----------------------------------••------------------....--------•-------------..........................----..--------------•------•-•--•-•------•----..... 0 Description of Soil.................................................................... ---.....--------------------------------------....-•-....................................,......... x U ---------------•--•--------.....................-----------•---•-------------------------------------------------------------------•------------•-------•---------------......------•----...----•------- W ------------------------------------------------------------------------------------------------------------------------------- ------....... � � �/� ------ ----- U Nature of Repairs or Alterations—Answer when applicable...... �... e° tz e.�►.�'a...... 411-.4....... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance hasjbDe issued by the board of health. Signed.. .::. -- -----•----- ------- --.�d..._. Date Application Approved By...................... .ems-.... .. . . .... ....................•-•------ Date Application Disapproved for the following reasons--------------------------------•-----------------------------.................................................. ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued-....................................................... — ------- - Date J' No....!'5.. `_l.?. -FEB....... ................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE T�� ...........---------------- .........OF............� ........................ .............................. Appliration for Uhipos al Works Tontitrurtion rantit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: --------�'` .`............:�..q.7s_..sus ......... ..=------------------------•---------.........------------------------------------.... Location-Address or Lot No. .... d1 y....... :` . /.'!2..................................... .......-•---..............--------•---•---.....----........------........_................---•---- - er �- -•••••..........................Address Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms....................._......................Expansion Attic .( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) QI Other fixtures --------------•••-•--•••......•--- - ---- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth__..._.....__.. x Disposal Trench—No..................... Width.................... Total Length_.__._.............• Total leachingarea....................s ft. Seepage Pit No_____________________ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit----................ Depth to ground water........................ a •-••-•••-••••-••••-••••-•----•••••••••.......................•-••-•-•-••-•-•-•••....._..•-•--............................................................... 0 Description of Soil........................................................................................................................................................................ W - - ---- .._.. x Nature of Repairs or Alterations—Answer when applicable________.__ . .P' ....... ---------------- ` ........o ....... �-�-"•------ at ..... ;.7............................................ ................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beep,issued by the board of health. . Signed------=---•••••-- .........I f /� Cr✓ Date Application Approved By--••-•-••-•-••-•--•�...Y, .:.... o Date Application Disapproved for the following reasons:................................................................................................................. ......................................••••••-••••-••--••••••-•-••••••••-••--••--•-•-••-••••••----•-•-•--•....••---••••••-•••••••••------•-•-•-••-------------•--•-•--•••----••----••-••--••......----- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF'-H- EALTH ..........................................OF..... ........................ Trr#ifirate of TontpliFanrr THIS IS TO CE �IFY, That to`Individual Sewage Disposal System constructed ( ) or Repaired ( ) Installer , , at.........421-........r !Ali......IJ.A.�-............. Rs , ------'=��11tr.-----••-----....-•--.................................... has been installed in accordance with the provisions of TIT J 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.__......_z`.`?S............... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................................... .. ���. .--..._.. Inspector............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.... .......................................OF.................._....-.. �2�c���. FEE........................ Disposal Workii 011nntra ion amit Permission is hereby grante . `!"' ` ..................... •••-•••••--••.........................................•••..............---••- to Construct ( ) or Repair ( an Individual Sewage Disposal System at No........... 2......... ✓f Gv -- AI. /d1 ,.e s s' -•----------------------------------•--.--•-•-•-------• --••••••-•-••--•-••-•-••-••••••••--•--•••••••••••-••-•••----•••--........... Street as shown on the application for Disposal Works Construction Permit No.___•--- ---- Dated.......................................... ........�...._....A:.... ..-------------------------------------------------- Board of Health DATE.............................. ?1::. FORM 1255 HOBBS & WARREN, INC., PUBLISHERS LEGEND = NEW CONSTRUCT = -XISTING MNSTf B 1 20'-4„ 2 6- 0.1 4'-2„ i I I I I N 1 I 1 I446 i 2-2 46 2-2446 24 59I 13/16" iX 57 1/4" 59 13/16" X 57 1/4" 59 13/16', X 57 1/4" °= Lr' NEW DECK i K 18, X .12' N NEW FAMILY ROOMch I _ °O 20' X 14' I I I � A STEP p.t -Fes---- I -- <t X I ,Nli I I • • • ° FAN ABOVE CLIPPED CEILING LINE I GJ IM I I I •.. I I B • ARE PUNT,r1""a'�~s: j - ' I 3E •. ®too��p0 P&�.N"�'TO •s� _ 1 � • °F tNiS PEP•< !^p ' EM E WINDOW I CEGA V EXISTING 2 CAR G_ REMOVE C00R ARAGE . EXISTING' BREAKFAST EXISTING ' AREA KITCHEN .r FIRST FLOOR PLAN �I /0s e d F! i SCALE: DATE: FIRST FLOOR PLAN PROJ. #: 1 �4„_ 1 �_0» 11 -IAY-2004 15: ADDITIONS AND RENOVATIONS SHEET #. BENNETT RESIDENCE - ED MOGAN BUI © LIVING DESIGNS2004 . �' K N OW LTO N / LD.E R LIVING DESIGNS HEREBY EXPRESSLY P'SERqlTSLANE COMMON LAW COPYRIGHT. THESE PLANS TO BE REPRODUCED, CHANGED 0 COPIEDMARSTONS MILLS MA. ANY ERRORS OR DISCREPANCIES FOUND OI PLANS ARE TO BE BROUGHT TO THE. ATTELIVING OE'SIONS PRIOR TO THE START & 0 G /� +- PROP.VENT WITH CHARCOAL GENERAL NOTE S TOP OF FOUNDATION - 103.6_ WISH GRADE OVER D-BOX= 104.2-�' 4"SCHEDULE 40 PVC MIN.SLOPE 1 % FILTER ' ER TO ABOVE GRADE _ PROVIDE CONC. RISER WITH F.G. OVER BIODIFFUSERS - I 99.20 104.03 COVER OVER INLET&OUTLET FINISH GRADE OVER TANK EL.= SLOPE 2'% MIN. 1, REMOVABLE WATER-TIGHT COVER OVER � UNLESS OTHERWISE NOTED ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISHED GRADE TO WITHIN 6"OF F.G. 103.0�, RISER TO WITHIN 6"OF FINISHED GRADE INSPECTION PORT WITH ACCESS BOX TO ' FOUNDATION = VARIES " WITHIN 3"OF F.G. DONE PER TRENCH) METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL 5 DIA. OUTLET(S) CODE AND ANY APPLICABLE LOCAL RULES. 20"MIN.ACCESS 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE 36"MAX. COVER(3 TYP.) 9"MIN. . } DESIGN ENGINEER. S MAX. 9 MIN. 3. 4 SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL EXIST. SE'v'�'IrR PIPE ,• „ PROP. PVC SEE NOTE 21 " ^m _ SEWER PIPE SEE NOTE 21 TOP OF SAS/B.O. _ 98.4.3' SYSTEM UNLESS OTHERWISE NOTED. MIN SLOPE@1% 6" 3" 2� DROP MIN. 3" 9" PROVIDE WATERTIGHT 4. TO PREVENT BREAKOUT THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN -- - - ------ 3 DROP MAX. JOINTS (TYP.) ELEVATION =98.43' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A PROP. PVC 10" 4"PVC IN FROM _ 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF SEWER PIPE 14" -98.75' SEPTIC TANK 4"PVC OUT TO 1.33' > THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION, 16 TYP _ LEACHING FACILITY (TYP.) " 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 1-i- 0.90Imm, w LIE 0 75 TYP TEE )99.00, ko� ' 12 6 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. OUTLET 498.37 MIN. 8 �� 98.20 98.00� \-97.10' LAID FLAT 2.875'(;34.5")--I---5.75' 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER T BE NOTIFIED PRIG T( ) O I R O BACK 22"ZABEL FILTER MODEL �` 6"CRUSHED STONE 5 0' (TYIP.) STONELESS FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS #A1801-4x22(GAS OVER MECHANICALLY (1 YP) NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH 12.0'TO FND 11.50 BAFFLE ON BOTTOM) � � COMPACTED BASE 5'MIN. AND DESIGN ENGINEER. 50.0 TYP FOR BOTH TRENCHES " 5 H 6 CRUSHED STONE � � � OUTLET DISTRIBUTION BOX 8. ELEVATIONS BASED ON ASSUMED DATUM OF 102.00 ESTABLISHED ON A MECHANICALLY \ TO BE INSTALLED ON A LEVEL STABLE NAIL SET IN A TREE AS SHOWN ON PLAN. OVER MECH �� BASE. FIRST TWO FEET OF OUTLET COMPACTED BASE C C GROUNI? WATER ELEV.= 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. , v�� PROPOSED H-10 1500 GALLON CO _ 2-� THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT " ' " " Dimensions erWi in BIODIFFUSER PROFILE A !�,1 ' 3 BIIODIFFUSER END VIEW 1_ s _ I _ A N LENGTH 10 6 WIDTH 5 $ DEPTH 5 8 ( p sg CROSS SECTION VIEW � � { 8 8 D G S FE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES SEPTIC TANK PROFILE Precast Corp.,Pocasset,MA) 20 ARC 3 C #361 I O D I F F U S E RS TO THE DESIGN ENGINEER. *CONTRACTOR TO VERIFY LEVATI H-20 DISTRIBUTION BOX DETAIL { i REPORT TO Fi��C�iNI�?�R IF DIFFERENT NOT TO SCALE. NOT TO SCALE NCO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC.STRUCTURES SHALL BE MADE WATERTIGHT. NOTES: ,� 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING I TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM e , 4 APPROPRIATE AUTHORITY. MARKING TAPE SHALL BE PLACED ALONG THE TOP PERC No. 12662 1.) MAGNETIC M 21 r k. INSPECTOR: Donald Desmarais, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS EDGE OF EACH SEPTIC SYSTEM COMPONENT. EXIST. WELIL x` =` � "' EVALUATOR: John L.Chu LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE Churchill Jr.iffA , P.E.,P.L.S. t Nov. 1997 THEY SHALL WITHSTAND H-20 LOADING. 2. CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE ; `� �T C.S.E.APPROVAL DATE: \ 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. LOCATION OF THE PROPOSED LEACHING FACILITY TO ENSURE ` DATE; August 11, 2009 r CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. t " c�,. TEST PIT#: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE I - a •� � ... MATERIAL IN AREA BENEATH AND FOR 5 FT.ON ALL SIDES OF LEACHING FACILITY. REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS ® ., ELEV TOP= 97.50' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY ARE NOT CONSISTENT WITH TEST PIT DATA. �a �� ' m ELEV WATERco = <85.00' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). MAP 128 'l�� M ? ; I PERC RATE_ <2 min./inch 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN ' SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. cn o�oh o MAP 128 MAP 12$ W ' \'T,.. '' 2i K DEPTH OF PERC= 32"-50"LOT 4X01 h`L cs . LOT 7 ¢ ' � �* ' 16• PROPOSED PROJECT 15 LOCATED WITHIN: EXISTING SOIL ABORPTION SYSTEM � �`92.-, (VACANT) Z LOT 8 t � a O (ON WELL WATER) 3 TEXTURAL CLASS: 1 ASSESSOR'S MAP 128 PARCEL 08 (HIGH CAPACITY INFILT'�ATORS)(LO€�'ATItON PER � 36,292 S.F.± �c� sz� cm AS-BUILT CARD O FILE E illTl I THE EAFU OF 4'E ,►Tip) o � ', OWNER OF RECORD: RICHARD H. &PATRICIA L.TUCKER + ,.. m �` ,` = 12 KRISTI WAY PIPE; EXACT LOCATION PER OWNER �9\ \ z t � LOCU�7 �' ', �'` 0" 97.50' ADDRESS: PROP.VENT P 6 ( "�f y WEST BARNSTABLE, MA 02668 PROPOSED IMPERVIOUS 40 MIL. q Loam Sand t \ . csO 1 OYr 5/2 GEOMEMBRANE LINER(TOP EL.=98.43') A \ �- " ° 6" 97.00' FEMA FLOOD ZONE C 150' ' , COMMUNITY PANEL# 250001 0015 C { PROPOSED INSPECTION PORT WITH \� WELL OFFSET B Loamy Sand ACCESS BOX TO GRADE(TYP OF 2} 98\� \ 6 5 f - MAP 12s, LOT 8 �. - t 10Yr 5/6 17. DEED REFERENCE: DEED BOOK 11459, PAGE 149 Benchmark /I -,g0 32" 94.83' 18. PLAN REFERENCES: 1.) PLAN BOOK 239, PAGE 137 2.)LAND COURT PLAN 37368-A Nail Set in Tree 1 ,` TP-1� \9 \ \ \ +' Pere Elev. = 102.00' TDO 98.8 8$ 7. \ „ ,� 19, ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. Assumed & 50 93.33 ~ \ \ 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY i 5 © \ \ \8 "' FOR SEPTIC SYSTEM UPGRADE'. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY REMOVE ALL UNSUITABLE.MATERIAL DOWN TO"C" = , \ .i j \ R . ', ' Y FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE." R AND o \ 00� SOIL AND REPLACE WITH CLEAN COARSE S saX � ;,y .> ;, ,.,;;.� Loamy Sand _ \ g 21. IN ACCORDANCE WITH 310 CMR 15.401 - 15.405 THE FOLLOWING LOCAL UPGRADE 64 (20/o gravel) PROP. TOTAL 20 ARC 36HC BIODIFFUSERS APPROVALS ARE REQUESTED FROM 310 CMR 15.221 (7): (10 BIODIFFUSERS EACH TRENCH) (1.) A 2.6 WAIVER(3.0 5.6)FOR THE MAXIMUM COVER OVER THE LEACHING FACILITY. '° Y STONF GARAGE (2.) A 1.9'WAIVER( .0-4s')FOR THE MAXIMUM COVER OVER THE DISTRIBUTION BOX. 0� ��K 22. THE FOLLOWING LOCAL VARIANCE IS REQUESTED FROM THE TOWN OF BARNSTABLE'S o �w \ LOCUS PLAN k LL OF \ � / CHAPTER 397: WELLS REGULATIONS- SECTION 397-2: O� �� MAP l2 L®FS'ST P (1.) A 20.5'VARIANCE (150.0-- 129.5')FOR THE SETBACK FROM THE PROPOSED LEACHING 1a / 1 T g���\ \ \ SCALE: 1"= 1000' FACILITY TO THE EXISTING WELL LOCATED AT 12 KRISTI WAY. 15011. 85.00 e FT M o \ 8 o NTp yFD Np UT O J pRDp p��cSF LFT \ l , \ \ No Mottling, Standing or Weeping Observed 1 / r, s /� O 0TggNGF �q<L �\ DESIGN DATA TEST PIT DATA LEGEND VGAZEBO OQ h SFMT _ -- -' ` PERC NO. 12662 AREA v © ��k� / �/ ' INSPECTOR: Donald Desmarais, R.S_Cb 50x0 EXISTING SPOT GRADE _ P.E.,P.L.S.I � rn I � k �„ � � � � M o^ EVALUATOR: John L.Churchill Jr., - � > . q NUMBER OF BEDROOMS(DESIGN) 5 - 50 - - EXISTING CONTOUR �' / EXISTING �� / t( \ /� v DESIGN FLOW 110 C.S.E.APPROVAL DATE: Nov. 1997 / GAUDAY/BEDROOM / August 11,2009 50 PROPOSED CONTOUR PROP. H-20 DISTRIBUTION BOX � � m/� 5-BEDROOM ��FO � TOTAL DESIGN FLOW 550 GAUDAY DATE: I S>-� ( 1 OR/!i TEST PIT#: 2 / C�� DWELLING 1 F ' DESIGN FLOW X 200 % = 1,100 GAUDAY E/T/C EXISTING UNDERGROUND UTILITIES l I m TOF = 103.6± i ELEV TOP= 98.50' � ` \ USE PROPOSED 1,500 GALLON SEPTIC TANK TANK F� .s -- GAS Gq W W EXISTING WATER LINE PROP. H 10 1,500 GALLON SEPTIC i GAS s ELEV WATER= <86.00 ti O GAS � P ti = GAS EXISTING GAS LINE GAS �G GAS �Q PERC RATE i _ \ q � DEPTH OF PERC l o S I .� � �. N F � o Q � ' INSTALL 20 -ARC 36HC (#3616BD) BIODIFFUSERS -�' TEST PIT LOCATION EXIST.. SEPTIC IC TANK �O BE ABANDONED DONED (i.e. PUk,`Y QED, � �' \ � ' \ \� � 0, TEXTURAL CLASS: 1 i Q i BOTTOM OPENED/ RUPTURED ' COrn �, /�. � SYSTEM CAPACITY PROPOSED H-10 1,500 GALLON SEPTIC TANK AND FILLED w/CLEAN SANG o PER 3.1 �:NIR `15.354) `S'S \� \ " PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE (TOTAL L.F. OF BIODIFFUSERS)(7.8 SF/LF)(0.74 GPD/SQ.FT.)= GPD O 98.50 (100.0')(7.8 SF/LF)(0.74 GAUSQ.FT.)= 577.2 GAL. LEACHING/DAY A Loamy Sand 6" IOYr 5/2 98.00' ❑ PROPOSED H-20 DISTRIBUTION BOX " EXIST. WELL ' Q <" PROPOSED ARC 36HC #3616BD BIODIFFUSER Loam Sand US - ( ) 5 ( � Y 1 ,, � o � TOTALS. B 1OYr /6 HC-3 /� 5 6) ' MAP 128 \ /ho TOTAL NUMBER OF BIODIFFUSERS: 20 32" 95.83' TOTAL NUMBER OF COUPLINGS: 0 LOT 9 / TOTAL LEACHING AREA: 780.0 SQ.FT. REV. DATE BY APP'D. DESCRIPTION (ON TOWN WATER) c ' TOTAL LEACHING CAPACITY: 577.2 GAL./DAY PROPOSED SEPTIC SYSTEM UPGRADE co GARAGE o HC- c� ti PREPARED FOR: C Loamy Sand 2.51'6/4 CAPEWIDE ENTERPRISES >` s I c, / NOTE: (20%gravel) aL9g \ Q' (4 s'�e`® I `~' EFFECTIVE LEACHING AREA OF 7.80 SF/LF OBTAINED FROM THE �= DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER LOCATED AT (3 0 SWING-TIES SCALE: 1"=20' 0 "MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TO 12 KRISTI WAY (2 �5 / ADVANCED DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003(LAST WEST BARNSTABLE, MA s�& HCA HC-2 HC-3 I �' / MODIFIED OCTOBER 30, 2008). TRANSMITTAL NUMBER=W000052. DESCRIPTION SCALE: 1 INCH = 20 FT. DATE: AUGUST 21 2009 SEPTIC COVER IN (1) 27.2' 30.4" -- �' 150" 86.00' 0 10 20 40 80 FEET SEPTIC COVER OUT(2) 32.1' 31.7'1 No Mottling, Standing or Weeping Observed ,,OF #12 J JOHNS PREPARED BY: EXISTING BIODIFFUSER CORNER(3) 38.1' 39.5' -- I c, / RESERVED FOR BOARD OF HEALTH USE g GHUR ILL HC-1 QJ�g 5-BEDROOM BIODIFFUSER 49.4' 43.8' -- L JC ENGINEERING, INC. DWELLING. /� 2854 CRANBERRY HIGHWAY m� TOF= 103.6'± BIODIFFUSER CORNER(5) -- 24.4'., 28.0' EAST WAREHAM, MA 02538 BIODIFFUSER CORNER(6) -- 15.4' 21.9' SITE PLAN 508.273.0377 /*1 n I SCALE: 1"=20' Drawn By: MCP Designed By:MCP Checked By:JLC JIB No.1668 _ -