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HomeMy WebLinkAbout0071 LOTHROP'S LANE - Health (2) 71 Lorthrop's Lane,West Barnstable A= j Barnstable Electric - i h ° ,° I k t 4 79 �j a j �! _3/ __ -�" ���Fsvoa3 it 1 — - -- -- -- ----- - / NAl4T;or� I SC�L.er Jasr k��tab��.s 1 I � l � f i � I i x !, t Town of Barnstable P# I t SL/ Department of Regulatory Services Public Health Division Date 5 Z/ n tIAM t63u Nua� 200 Main Street,Hyannis MA 02601 g Date Scheduled to Time I , Pam d. °' , Fee. — t . �* Soil Suitability'Assessment forSewage isposal; d Performed By:11r)dt-T; Vrof o Witnessed By: '�1 it ,, LOCATION& GENERAL INFORMATION , Location Address t /u j tS j/ / Owner's Name �)j/U- �'/�(I1l�d-+�DLN Address 7( �O d�v�tS �-�!,• Assessor's Map/Parcel: p T Engineer's Name i 'L �U 005 0 si c s,�/� �.✓ . NEW CONSTRUCTION REPAIR Telephone#'' ,'SO i-^7 3 7-/7 717 Land Use �P gl(�eri�ra� Slopes(%) � rfl�ly Surface Stones. y�S , Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft , Drainage Way ft Property Line ft Other A SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands In proximity to holes) 15 1 _tom 3a TP 0 o Pe,'J S�rac-2.. Parent material(geologic) Depth to Bedrock t'"q y Depth to Groundwater. Standing Water in Hole: /`� I.1 ► Weeping from Pit Face N 1 A ` ' Estimated Seasonal High Groundwater _ DETERMINATION FOR SEASONAL HIGH WATER TABLE C Method Used: Depth Observed standing in obs.hole: in. Depth to Soil mottles: in. Depth to weeping from side of obs.hole: _ in. Groundwater Adjustment tt. Index'Well# Reading Date: Index Well level ., Adj,factor Adj.Groundwater level„ a PERCOLATION TEST Ditto ?���� '):Yme Observation /5 Hole# Time at 9" oo Depth of Perc _76 Time at 6" ' So Start Pre-soak Time @ y' Time(9"-6") End Pre-soak lsl":00 Rate MinJlnch G to tnC� Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Divisicn Observation Hole Data To Be Completed on Back----------- ***If percolation testis to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC ,� DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. si tengy,%Gravel) - 12 1 l) • 3 8�� �hs SC C.AM i b YX 5 (p n 38 914 a �i 1 f�•t r7ar 10`i!a 6 3 Zo'o G R��.0 -71 Z DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon . Soil Texture Soil Color Sail i Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,% 0� —1 bleb10 Y/L Z U- 6M G DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA). (Munsell) Mottling (Structure,Stones,Boulders. Consistency, DEEP OBSERVATIOMHOLE LOG Hole# Depth from Soil Horizon Soil Texture ' Sojl,Color Soil Other Surface(in.) (USDA)' , (Munsell) a Mottling (Structure,Stones,Boulders. Consistency, s Flood Insurance Rate Man: / Above 500 year flood boundary No_ Yes ._._✓__ Within 500 year boundary No= 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? N Q13 If not,what is the depth of naturally occurring pervious material? -- Certification I certify that on ijUOV26D I (date)I have passed the soil evaluator examination approved by the DeP aq ent of Environmental Protection and that the above analysis was performed by me consistent with . the required trainin ,expertise and experience described in 310 CMR 15.017. Signature Date D Q:%w nC1%PERCFORM DOC TOWN OF BARNSTABLE LOCATION 11 � _ �c�� SEWAGE ? ` VILLAGE �� ASSESSOR'S MAP&PARCEL ID Dd�-9 INSTALLERS NAME&PHONE NO.YmAt C D SEPTIC TANK CAPACITY LEACHING FACILITY:(type)405 A" ���(size)AI `6�8 � Pb NO.OF BEDROOMS_ - OWNER PERMIT DATE: 0 COMPLIANCE DATE: ` v Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachingfacility) Feet 4 FURNISHED BY �, & Ems, n J �q.a_ yyo n-s:yq� a to-- � (-7- t� No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION — TOWN OF BARNSTABLE, MASSACHUSETTS Yes A .. 21ppYicatiou for Migogal *pgtem Cougtructiou 30ermit Application for a Permit to Construct t- j Repair( ) Upgrade( ) Abandon O6 ❑ Complete System ❑Individual Components Location Address or Lot No. 1`7 1 L D-r 144-pP S L A sO& Owner's Name,Address,and Tel.No. C_t. AZ_L t T(LO,sS k. —7-7 tl—175 Ll^b1 Assessor's Map/Parcel 1U9 Ob SO L,0.1k-�PS i-A-N C,J 8 A2N S7-A-b Installep�' Name,Address,and Tel.No.�L{� / Designer's Name,Address and Tel.No. �1�9-roc o�'� Jt^A O (nls Type of Building: Dwelling No. of Bedrooms j Lot Size J35)2-4S sq. ft. Garbage Grinder Other Type of Build_ng CMG S"4- #,Z No.of Persons. Showers(?j) Cafeteria( ) Other Fixtures Design Flow(min.required) FJb0 gpd Design flow provided S(oV gpd Plan Date 7I 191Zp!b Number of sheets Revision Date Title Size of Septic Tank Se0 Ir--kt S7; Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) -1P STA-t N Le^!!L K F t`L Date last inspected: Agreement: The undersigned a o ensure the construction and maintenance f the afore described on-site sewage disposal system in accordance with the isions of Title 5 of t en o p ac"T e tie system in operation until a Certificate of Compliance has be issued by t and Signed Date /6 Application Approved by Date 7 a d V Application Disapproved by: Date for the following reasons Permit No. Date Issued No. elk z I lFee •" THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUKIC HEAM+DIVISION - TOWN OF BARNSTABLE,,MASSACHUSETTS Yes 01ppYicatfon for Migofsal *V!5tem Construction Permit Application for a Permit to Construc-(- ') Repair( ) Upgrade( ) Abandon(J( ❑ Complete System ❑Individual Components Location Address or Lot No. r L VT R4 OP'71 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel I 109 D�f�5 6 q 9 1 L0-, S L-A'Ne L , AR-NS7nI� Installe ' Name,Address,and el.No. Yll - -c f'4v4/ J Desiver's Name,Address and Tel.No. !macU r5j l /�11 /' f!r AP�el Sep -cS '>cJc�/n s7 �a �wt�uT+ �L.,q CZ�scnl� Type of Building: Dwelling No.of Bedrooms rJ Lot Size 35,-LHS sq. ft. Garbage Grinder Other Type of Building No.of Persons K Showers(?j) Cafeteria( ) Other Fixtures T Design Flow(min.required) gpd Design flow provided gpd Plan Date 7'19 IZDI D Number of sheets Revision Date Title Size of Septic Tank SCC) 4cY,i S-7 NCr Type of S.A.S. Description of Soil e Nature of Repairs or Alterations(Answer when applicable) -t N STA-I t E LE R L K F i G L Date last inspected: r Agreement: The undersigned a to ensure the construction and maintenance f the afore described on-site sewage"disposal system in accordance with the isions of Ti-le 5 of the.-Envirb entaLGod o p aced theme system in operation until a Certificate of Compliance has be n issued by this-Board He Si ed Date P'� Application Approved by Date 7" — 0 Application Disapproved by:, Date for the following reasons 1 � I Permit No. — — —�Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CE IFY that t-ie On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( )by �.J- r-r at I 1 L-U't�+�z�P`S L Pi-1v e' W �f(Q-v>� ,4 has been constructed in accordance with the provisions of Title 5,and the for Disposal System Construction Permit No. a b 1 b^oc dated 7—77 _1 b Installer 19,q 5 t,o t&- Designer #bedrooms Approved design flow �s(� gpd The issuance of this perm'k shall not be construed as a guarantee that the system will f �esig d. Date /�� r�l o Inspector f. .NO. �/� J 71' �FeeLfI THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION,— BARNSTABLE, MASSACHUSETTS lwigpoal 6pfstem Construction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at A 40 and as described in the above Applicafion 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 pew Date 0 Approved by Town of Barnstable Regulatory Services Thomas F. Geiler,Director & Public Health Division 39. Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: �L Ito Sewage Permit# �'�� Assessor's Map/Parcel Installer& Designer Certification Form Designer: Loa.a. P,n�- ki,,1 �. Installer: Address: 2 u. 6 O r 2-030 Address: e.+ ,dL-e+. MA 02�3L On ° �'d �i� � was issued a permit to install a (date) (installer) r septic system at 7I - based on a design drawn by (address) Lruo Q►A�v dated 7/6/Ir. 64y-. 7/7A.ho / (designer) V I certify that the septic system referenced above was installed substantial) according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local ns. Plan revision or certified a b ' t by designer to follow. Stripout (if re( u* W ted and the soils re fo at' factory. LINDA J. yGN PINTO CIVIL /(fin er's Signature) �No. 46504 V N (Designer'k Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoffice formsWesignercertification form.doc s { LO LOT 9 ASSESSORS w�' 109-005-003 c O U1 Soles o; tn WEST BAR_TABLE LOCUS MAP PLAN REP 418-55 DEED REF. 11450-217 sii 108'B ZONING. Rr SETBACKS.• 30-15'-15' LOT 7 � FLOOD ZONE C" ASSESSORS •:EA7ST%/VC i z z PANEL NUMBER 250001 0015 C 108-005-002 "' '£iIHOUSE? DATED. 08-19-85 ..... PLOT LAN'__• OF LAND 9 AT ..LOT 9 0• LOC MD AT. 'l ASSESSORS 2 71 LOTHROPS LANE 109-005S004 ASPHALT WEST BARNSTABLE,, MA. AREA=35245tS.F. DRIVE PREPARED FOR- w- EXISTING / 6 ��,:`: �� ® MIKE OSTRO WSKI y SHED PROPOSED LOT 10 g pH N GARAGE �2 ASSESSORS J SEPTEMBER 27, 2007 os 5 109-005-005 Vw REI~ � v REIA �y�HlOSu:y, ems REVA ®y YANKEE LAND SURVEYORS -7 & CONSULTANTS GRAPHIC SCALE P.a BOX 265 �a o za �o ro UNIT 4 40 INDUSTRY ROAD MARS70NS N/LLS, NA 02848 M 508-428-OOHS FAX SOB-420-55" 1 Inch = 40 M SHEET J OF-]---]I JOB/.' S4288 JF Y � a I LOT 8 ASSESSORS w `� 109-005-003 0 O Ll1 06 3� o �bv �W � 108.E LOT 7 ASSESSORS i �y�0 'EXISTING: 'sJYOUSE "'.'.'z'z• 109—005—002 LOT 9 ASSESSO 109- -004 ASPHALT AREA=3 45tS.F DRIVE Nip LOT 10 FOUNDATION — t£= ASSESSORS �4 �9 109-005-005 ° I FLOOD ZONE "C" FOUNDATION CERTIFICATION RES ZONE: "RF" rOWN.• W.BARNSTABLE SCALE' 1-=50' PL REF` 418-55 ELEV N/A SETBACKS- 30'-15'-15' f YANKEE LAND SURVEYORS I CERTIFY THAT THE ss4 0 . & CONSULTANTS "FOUNDATION" IS SHOWN ova �G"_`R,- `'G, : P. 0. BOX 265 ON THE PLAN AS IT EXISTS PSTEPHEN N UNIT 1, 40 INDUSTRY ROAD ON THE GROUND. ponE MARSTONS MILLS, MA 02648 q #37-wo � TM 508—428—0055 FAX 508—420—5553 r � e p JOB �' ► �� DATE.•Il-20-2007 NUMBER 54288FND a°'. ... Deparbnent of Environmental Managernent/Division of Water Resources WELL COMPLETION REPORT . WELL LO ATION GEOGRAPHIC DESCRIPTION Address N S E 1411)of r earl r�i City/Town Well owner 11— 0A& road Address �_ N S E W of (ofirin tenths! (circle) Board of Health permit obtained: yes El no El Intersect. w/ "TFUad) WELL USE WELL DATA Domestic Public❑ h Industrial ❑ Total well depth ft. Monitoring❑ Other Depth to bedrock_ /i�1 ft. Water-bearing rockAinc solidaled material: Method drilled Date drilled Description CASING Water-bearing zones: �/ 1) From To Z — Type— / Length�_ft, Dia�.I.D.)_�—in. 2) From To 3) From To Length into bedrock_Aft. Gravel pack well: dia. Protective well seal:jq , l - y Screen: dia. Grout-El Other Slot lengt ll frorry��toW STATIC WATER LEVEL(all wells) Static water level below land surface ' ft. Date WELL TEST(production wells) Drawdown ft. attar pumping 1 J-4—min.at� _gpm How measure Recovery�ft. after—hr. min. 0 LOG of FORMATIONS COMMENTS c >8 Materials From To - fl t Drille Firm Address ,_ `�E� City/Town Supervising Driller eg.# /nature o/.tttper6sin re istered well dr!ller ?lease print firmly CARD OF HEALTH COPY 9 / Date: / 5 e, TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: cT-& BUSINESS LOCATION: 7/ L0 c Nwe a P`S. LA-v19_ IL2. BAR-oca-Z-9-61ef M� MAILING ADDRESS: Sz e_tK_6- Mail To: TELEPHONE NUMBER: Board of Health Town of Barnstable CONTACT PERSON: P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: Hyannis, MA 02601 TYPEOFBUSINESS: E-LC-cTFLtc8=j _ Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. -.. If you answered YES above, please indicate if the materials are stored at a site other than our mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity i C A-u q Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners 1 C,4'0 Automatic transmission fluid Disinfectants 1 C Pew Engine and radiator flushes Road Salt (Halite) I CA-t-, Hydraulic fluid (including brake fluid) Refrigerants 1 CA-SR-Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Ciml. Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED 4n> Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda 1 cA*-) Car wash detergents Jewelry cleaners 1 CAio Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or qzardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Ciw Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS .. I No. ------ ----------- Fee--- - --------- BOARD OF HEALTH TOWN Off' BARNSTABLE Zipp[icationArVell Con! tructionpermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( ���atr L®�---!- 0► S L NE. GU. l�Cc i4 / _/�_ �`o0 o0 -------- lf,�° — _ - - -�3�� 53 - -_Q� _P 2r, ---s—y-- ---- Location — Address Assessors Map and Parcel Of Owner r Address S � L►C.� ?o x z_3 L`j To,� 3l,✓ �--t °-- ---------8 -------- Installer — Driller Ad ress Type of Building Dwelling - -------------------------------- Other - Type of Building---------------------------------- No. of Persons- Type of Well_15[-------------'-�----- Capacity ----------- ----------------------- Purpose of Well----9Es�l? N__TL ?-__ _ Agreement: (( The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Fle,,alth Private Well Protection Regulation - The undersigned further agrees not to place the well in operation untiIfla Certificate .of Compliance has been issued by the Board of Health. Signe - �*a"4----- B -- ---- ------- date Application Approved By -- -- - -- ---- - --- ____ - ------------- date Application Disapproved for the following reasons: ------------------------------------_______—__—___—______—_ -------------------------------------- - --------------------------------------------------------------------------------------------- 'W Permit No. date-—__— Issued----- - - --- ---— -- - -- date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate (Of (Compliance THIS IS TO C R t.TIF , That Individual Well nstructed ( �, Altered,(( ), or Repaired ( ) by- -� - (�----- Gcc. - ---�s✓^�-'- - - - -- - - ------ --- Installer t _# 1�UZl�P-v-��--��=- n�S 1�( 1W-----oa�v�sY --------------------------------- at--- has been installed in accordance with the provisions of the Town of Barnstable BVaof eat nvate Well Protection Regulation as described in the application for Well Construction Permit No) --Dated------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --- ----—— —-- —--- Inspector--------------------------------------——- --- r�' .t5 ` ' "� "■'_� � ,�,�<�--"rrl-'•' *•:-Ca7"�.. �1..-.+•�� �y,/-,s�rr' s.-".'ryFf',,.,,..•`�w�a-y-�,"r,. r7.r:�,���-.�.-.---�y, .w�.....,,'5.,.. �'••' No.i� Fee--- - --e --------- BOARD OF HEALTH TOWN OF BARNSTABLE ApplicationArIV61 Con0ruct ion Permit Application is hereby made for a permit to Construct (X), Alter ( ), or Repair Oi�xdvidual- ll-at:- -�o 9 L I_HsiQS_ I: NE_LU_ R� S-f�I liCGA - P_92 L `* cao� oo`/ S s`--------— --- ---- Location — Address Assessors Map and Parcel n Owner Address -- '= F -5-SO l�__ L I C-'-----Q �-U.- -11 Installer — Drfller Address Type of Building Dwelling ---------- Other - Type of Building------------------------------------ No. of Persons------�-------------------------------------- /A Type of Well- 2 T Sl.�.ry -------------- - -- - Capacity-- / P�jZ------------ - —--- -—— Purpose of Well---� S l� r��^i L `_vAir&le-s f f t Agreement: 'The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of H lth Private Well Protection Regulation - The undersigned further agrees not to place the well in operation unti Certificate .of Compliance has been issued by the Board of Health. Signe ../ date --- -- Application Approved By ------------------- date Application Disapproved for the following reasons:------------------------------------------------- ------------ --------=----— --- - - ==-- - - - -- - - --- - - ----- -------------------- date Permit No. -—--- Issued------------------------------ --- -------------------- ---- -- date r � m.e,mns aceac�w���r. — aae•�a+�.ramu�w�.o�acs �w�wawsas-+�a�.s��....v...-�s�s�aeaa•cus�ar�+mrn�tea,��..+.�.�•...m..-aa�a�® BOARD OF HEALTH `M t TOWN OF BARNSTABLE Certificate Of Compliance `T'HIS IS°T C'ERTI That-�th `Individual Well nstructed ( Altered( ), or Repaired � /� /- by ------ - ------ -- " - --- -- - -- --- -Y Installer t aT 1 # nth---- M- 4------- _---- has been installed in accordance with the provisions of the Town of Barnstable B a f mit ea?Tated vate Well Protection � � Regulation as described in the application for Well Construction Per No. .-- -- ----------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. i DATE-------------------—- ----- ----------:- - - - Inspector------------------------------------------------------------------------- BOARD OF HEALTH r TOWN OF BARNSTABLE met[ �Lontruct ion Permit No. - ---- ,j Fee--------------- Permission is hereby granted- =-U- - --- l to Construct ( ), Alter ( : ), 'or Repair ( ) an Individual Well at: No. - r _ 7LaS__-Lra�_-- L-v-�-'H•217"�/ f -� ' Street as shol o th e lication T Well Construction Permit { .�-- No.- ___-� __- _----—--- - Date• -- - --- - ----------------------------- r - { - / — Board of Heale DATE----- --- � -------- , t { I ` C` �/ TOWN OF BARNSTABLE DU ��0 LOC SEWAGE # ATION �1 �- J� VILLAGE�� � ASSESSOR'S MAP & LOTz4n INSTALLER'S NAME & PHONE NO. da_gad 5 SEPTIC TANK CAPACITY Qf LEACHING FACILITY:(type) (size) NO. OF BEDROOMS RIVATE WEL OR PUBLIC WATER BUILDER OR OWNER :G►�,P ®, o-[J DATE PERMIT ISSUED: O 4-1 DATE COMPLIANCE ISSUED: Q - / 2, ✓ 43 VARIANCE GRANTED: Yes (No'1 a Zf- M q 1 e .1 51n 008�-0 Fps... ...... THE COMMONWEALTH OF MASSACHUSETTS O'lBOAR® OF HEALTH VC s I� Applirativn for Di,spuiittl Wurkii Ton,strnrtiun tirrmit Application is hereby made for a Permit to Construct , ) or Repair ( ) an Individual Sewage Disposal System at: ..............._-M,4P. .1 q. ...----.�.�.1......----�.-- ............................. -----------------.........---------------------....-------------- Leeati n-Address Lot N Owner - Address y F So TR----- ny f Gxcv�A-71 N �' s% ,� Installer Address U Type of Building Size Lot.35j--� 3...Sq. feet Dwelling—No. of Bedrooms.......... ......_. ...__....Expansion Attic ( ) Garbage Grinder Other—T e of Building No. of persons............................ Showers YP g --------••-----------------• ( ) — Cafeteria ( ) Otherfixtures -------------------------------•-----------------------•-•------•-•-••--•-•-••......--- ••-•••-•••---•-----••------••-----•--•••---••------------•--- w Design Flow............Y.,,,?6 ......................gallons per person peg jay. Total j jagy ._... 'tea..................... lons�� WSeptic Tank—Liquid capacityf5'gallons Length__l.)-._'6.... Width.. Diameter________________ Depth_ ..__.�. x Disposal Trench—No. .................... Width................... Total Length.................... Total leaching area............__._____sq. ft. Seepage Pit No....2...._._.... Diameter----)..0.......... Depth below inlet....P.............. Total leaching area_. ... ft. z Other Distribution box ( ) Dosing tank ) � ~" Percolation Test Results . Performed by.. -a �L�_....,��G__�................... Date...�_Q .._.__.. Test Pit No. 1.....Z-----minutes per inch Depth of Test Pit....L`l......... Depth to ground water_____-N17 .� 4q Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_-_-.-__--______-.--_--- O Description of Soil 3----------(.lP f � �IkI.S.7-28,J-5�J2L - - -- - - - - - - w ---------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ..-- -•.....-•-••---•---•-----•---•-•••••-----------•-•-••--•----•••---•-••--•.--•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with '^ the provisions of TT.Ir1.IE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has en issu by the o rd of h h. Sign •..F--_ --- _.. . .. •------•----••--••-•-----•---• ---------- Application Approved By...... � te Date Application Disapproved for the following reasons--------------------------------------------------------•--------------------------------------------------•--•- I Date Permit No...q.3••--._........... ..._--•. -. Issued _ .. N. No... . ' �� 1 / , (. �; c, o Fes$.. ...........:..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - , - --------------OF.... ' ,8- - .- ' '•--------..-------•-----•-•-- Applira#ion for Biipnaal Workii Totwunrtiun tirrmit Application is hereby made for a Permit to Construct � ) or Repair ( - ) an Individual Sewage Disposal System at ............••. •. •----•-- ......... '... .. ..... •-••...._...!q. ._.... .._ ... -•.--•----•-•------- I!�! L `ion................ t Owner Address W � Installer Address Type of Building ti� Size Lot_. 5.:.. �1�. ___Sq. feet Dwelling—No. of Bedrooms___-. .�..............................Expansion Attic ( ) Garage Grinder ( Other—Type T e of Building No. of persons............................ Showers Q, YP lg ---•----------------------•- P ( ) — Cafeteria ( ) a' 'e Other fixtures . d W Design Flow............. ....... gallons per person per day. Total dryly flow....... 3 ................... low.,/ WSeptic Tank—Liquid capacity./,5{_..gallons Length-__ Width._.`.::. Diameter________________ Depth__ .._...-. x Disposal Trench No. .................... Width.................... Total Length ............... Total leaching area....................sq. fI. Seepage Pit No ....- .._.._... Diameter 11 :r...... Depth below inlet ........... Total leaching area..�� ...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1 �+ aPercolation Test Results Performed by L-� _ x:. .:__: z _ ..........•........ Date__ �Q/01V „a Test Pit No. 1...... _....minutes per inch Depth of Test Pit.....Ls:.... Depth to ground water______________ (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-------.:.:----___-_____ D Description of Soil -------•--_-- ------------------- 3. ^ ____________________________________________________•__-----________--_-.._..__-._...._..___........___.._......_____________________.....•.___.___........_............................................ ..___..._....___..._______......_.._.__4. U Nature of Repairs or Alterations—Answer when applicable------------------------------------------------------------------------------------------------ ............................................................................................................ - •--- •----------•--•-----------•--••--•••........................•. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TILL 1— 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued by the board o health. Signed. . 01 ------------------ � / t Datp Application Approved B ............................. �t .,1.- �.... .�1 ..i� _....----- . PP PP Y �. _ H w _- .. -- Application Disapproved for the following reasons:-•-------•-•---------•-•----•----------------•-----•------•---•-----•----•-----•--------•-----•-•---•----------- ....................................................��............_.---•--•--.........------........--------------•----•--_........................_r____.... r ( ,j f r.� Date Permit No. t+ �,•"--------==�---------•-------- Issued:_.. -'J-��_[___-l_/7111,---— _ ------------------- Date / THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �1�' OF..A i r. �......-........ ...... .. ................................................. Trtifiratr of Toutplitturr T 1) JTO ERTI Y Th t ,t�h Individual Sewage Disposal System constructed ) or Repaired ( ) by....` ...---- ...!�.E.._.1 .............................................................. -- ------•--.....---•----------------------------- _f at----- ......,---_�..-_t� 'i . ......-�}E_1' strru �� � `l r . has been installed in accordance with the provisions of TI. 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No._ l'_.._.....":" ...... ...... dated------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE �,�.......�. --•t..- Inspector............. , THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OV )d� i - .............. �.......I.......... ®F.. ... .�. ... ........................ - • FEE--- •............... Disp aiial Works Tonstrudion ramit Permission is hereby granted...N:.. r._._..... _Ij� �.(- %. to Const uct ( ) oz Repair ( .an Individual Sewage Disposal System ' � � fr'" � � � ✓_ at No.... f .`! b � 'r7 � 1 rc cif ?�..3- ff \ .. tree as shown on the application for Disposal Works Construction Permit tNo�1_�`_�.-�.�Datepd..... ................�._".......... .------ { � �,__ / `� Board of Ilealtli, DATE. J.J{.. .... ----- ----------------- ........ FORM 1255 1OBBS 1 WARREN. INC.. PUBLISHERS ENVIROTECH LABORATORIES Mass. Cert. #:MA063 449 Route 130 Sandwich, MA 02563 • (508) 888-6460 CLIENT: Mike Ostrowski LOCATION: Lot 9 Lothrop's Lane ADDRESS: W. Barnstable, MA COLLECTED BY: L. Wile SAMPLE DATE: 3-19-93 TIME: 1:30PM DATE RECEIVED: 3-19-93 SAMPLE ID:Z903 JOB #: New well WELL DEPTH: 4" PVC 140'/98' static 15 a in. RESULTS OF ANALYSIS: Parameter Units Recommended limit Result Coliform bacteria/100 ml (MF Method) 0 0 pH pH units 6.0-8.5 6.78 Conductance umhos/cm 500 100 Sodium mg/L 20.0 10.4 Nitrate-N mg/L 10.0 0.06 Iron mg/L 0.3 <0.05 Manganese mg/L 0.05 <0.01 Hardness mg/L as CaCO3 500 20.5 Sulfate mg/L 250 1.14 Potassium mg/L 20.0 0.5 Alkalinity mg/L 200 15.2 Chloride mg/L 250 10.3 Turbidity NTU 5.0 1.06 Color APC units 15.0 <1.0 Background bacteria VOC 601/602 x ug/L 100 13 COMMENT: Trace levels of chloroform are occasionally detected in groundwater in coastline areas. # See attached report. ''ES NO WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAM TERS TESTED. qX DATE I GROUNDWATER ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) Field ID: Z903 Lab ID: 4802-01 Project: M Ostrowski Batch ID: VHA-1174-W Client: Envirotech Sampled: 03-19-93 Cont/Prsv: 40ml VOA Vial/NaHSO4 Cool Received: 03-19-93 Matrix: Aqueous Analyzed: 03-25-93 PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (ug/L) Dichlorodifluoromethane BRL 5 Chloromethane BRL 1 Vinyl Chloride BRL 1 Bromomethane BRL 5 Chloroethane BRL 1 Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL 1 Methylene Chloride BRL 1 trans-1,2-Dichloroethene BRL 1 1,1-Dichloroethane BRL 1 cis-1,2-Dichloroetihene * BRL 1 Chloroform 13 1 1,1,1-Trichloroethane BRL 1 Carbon Tetrachloride BRL 1 . Benzene BRL 1 1,2-Dichloroethane BRL 1 Trichloroethene BRL 1 1,2-Dichloropropene BRL 1 Bromodichloromethane BRL 1 2-Chloroethylvinyl Ether BRL 1 trans-1,3-Dichloropropene BRL 1 Toluene BRL 1 cis-1,3-Dichloropropene BRL 1 1,1,2-Trichloroethane BRL 1 Tetrachloroethene BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL 1 Ethylbenzene BRL 1 m+p-Xylene * BRL 1 o-Xylene * BRL 1 Bromoform BRL 1 1,1,2,2-Tetrachloroethane BRL 1 1,37Dichlorobenzene BRL 1 1,4-Dichloroberzene BRL 1 1,2-Dichlorobenzene - BRL 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS Bromochloromethane 30 27 90 % 83 - 117 Fluorobenzene 30 30 101 % 87 - 113 BRL = Below Reporting Limit. * Non-target compound. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). TOP OF FOUNDATION 24"dia smeter concrete cover LJAI\I V STALJ LE EL=50,5± rased to w,thrn 6"of finleh grade MA (or as noted) ins ection Port and ca wth ma netic G /' 9 market toe to wthn 3"of rode I 9 G 9 8 u rs/ me e Exstn L= t EL= 2+ EL=44.5 min-46.7max Pth g E 49 3 48. ( ) ( ) Bdrm#2 w l 4 .4± Kitchen Bath °n � � LOCUS i I _ Bdrm#5 6 45.5_ Bath L r ,n ara o East G e 9 3 9 Dmin Bath 43.7_ 9 a ,o, m , V Existm 411 46.0+ 44.l7 _ 44.00 43.30 O - - Existm N 9 - Existing Gas eaffre 42.40 Fir5t Floor Second Floor Ln Ln B rm#I Bdrm #3 Bdrm#4 C� B 2 d THIRTY TWO 32 AD5 ARC36 36/6 D Congest Run LEACH CHAMBERS IN BED g•5+ Living w 3/+ -'#. } /22' 9' CONFIGURATION WITH FOUR(4)ROWS Existing - DB 6 OF EIGHT(8)CHAMBERS c0 EXISTING 1500 GALLON H-20 Rated r L=32.9*bottom of Test Hole F LOOK PLAN 5EPTIC TANK 0-BOX LEACH C-�AMBERS o NOT TO SCALE �o' � to F P F1 LE LOW RO 51TE LOCUS I NOT TO SCALE G G / NOT TO SCALE G F. 0 I G Existm Well I .) Assessors Map 109 Parcel 005/004 G g 2.) Deed Book 1 1450 Page 217 THIRTY TWO(3 2))ADS ARC36 (36 16BD2)LEACH / p CHAMBERS IN BED CONFIGURATION WITH FOUR 3.) Plan Book 4 18 Page 55 3 (4) ROWS OF EIGHT(8)CHAMBERS / h° 4.) ThiS property is not in a Zone II of a Public 0 Water Supply G pP Y 40 No Wells within 1 50' / "0 5.) Flood Zone. C 5 5 5 5 5 5 5 5 `L ... G � � 1 e ova 5e # 9 3 G Z 17 +, +w r ✓� I • 4S � 3 ,f F t :0 � � e LEGEND d �,`� F,`; ©-BOX e ° {:; ° w :) EXISTING SPOT GRADE - m f14 0 0 ;�x.. bz ..•., -", - p.� °a , �1 24x5 PROPOSED SPOT GRADE Kro ' °'• '(s� x, e � : ;.� �� �- .� ; `, '` ' �i ' "� °. •-4 EXISTING CONTOUR �/� 24- PROPOSED CONTOUR rv. .. 0 w WATER SERVICE LINE - - o 0°e AD a OVERHE UTILITY LINES / o ° LOT 9 u UNDERGROUND UTILITY LINES _ + Area 2 .F._I 35 45 S 4 e I g e ° a G GAS SERVICE LINE - - ins ection Ports(See Note#4) l �, � P \ TOP OF BANK h 1 - -o-o-- LIMIT OF WORK BENCHMARK w� EDGE OF CLEARING PLAN VIEW _ Garage Slab (4 ---- -- FENCE CO N ST pp U CT I O N NOTES _ EL=50.00 Assumed DatumTp Imo` SCALE: I = 10 ( ) (� TEST HOLE LOCATION I.)ALL WORK SHALL CONFORM TO THE5TATEENV/RONMENTAL CODE, T17LE5(3 10 CMR ` a ST SEPTIC TANK DB DISTRIBUTION BOX l 5.000):STANDARD REQUIREMENTS FOR THE 5/TING, CONSTRUCTION, INSPECTION, UPGRADE / / i AND EXPANSION OF ON-SITE SEWAGE TREATMENT AND DISPOSAL SYSTEMS AND FOR THE SAS SOIL ABSORPTION SYSTEM TRANSPORT AND D13F05AL OF EPTAGE AND THE LOCAL BOARD OF HEAL TH REGULAT/O; 5. 1 } � ° ° ' Reserve RESERVED FOR FUTURE USE / o� g0 / m �° `� UTILITY POLE 2.) ANY5EPRC SYSTEM COMPONENT 111/5TALLED IN A LOCATION WHERE THERE 15 POTENTIAL FORco r VEHlCLE5 09 HEAVYEQUIPMENT TO PA55 OVER IT 5HALL BEDE5IGNED TO WITHSTAND AN H-20 No Wells within 1 50' / / �/ 5 a�`or�� / o;. CATCH BASIN LOADING. lF UNDER AN IMPERI/IOUS SURFACE SYSTEM SHALL BE VENTED TO THEATMO5PHERE , �ti�� o��d a `��`m�° FI RE HYDRANT lke 3.) TOMINIMIZEUNEVENSETTLING, ALL SY5TEM'COMPONENT55HALLBEINSTALLEDONA DRINKING WATER WELL STABLE MECHANICALLY-COMPACTED BASE ON 5/X INCHES OF CRUSHED STONE / ! Garage / ■ CONCRETE BOUND 4.)COVERS OVER THE INLET AND OUTLET TEES OF THE SEPTIC TANK, THE Dl5TRlBUTION BOX, "<}�. d. AND THE 50/L ABSORPTION 5Y5TEM 5HALL BE RA/55D TO WITHIN 6"OFF/NAL GRADE LEACHING / Prop �l�oof i e a e F1ELD5, TRENCHES, AND OTHER SOIL ABSORPTION 5Y5T5M5 WITHOUT ACCE55 MANHOLE5 SHALL HAVE AT LEA5T ONE 0)INSPECTION PORT CON515TIN6 OF PERFORATED 4"PVC PIPE PLACED ,5 Structure °a �\ a / ° ° TH e ' 1/E TICALLY TO THE BOTTOM OF THE SOIL ABSORPTION SYSTEM WITH A CAP, TIED W/ e R e MAGNETIC MARKING TAPE ACCESSIBLE TO WITHIN 3"OF FINAL GRADE / I CERTIFY THAT 1 AM CURRENTLY APPROVED BY THE 5.)PIPING SHALL CON5IST OF 4"SCHEDULE 4C PVC OR EQUIVALENT• PIPE 5HALL BE LAID ON A E7e Re Se tic Com teems to r0 05 e be Removed(See Note#2/) / � P tl d>, , . ° ��.� / °- a DEPARTMENT OF ENVIRONMENTAL PROTECTION PURSUANT TO M/N/MUMCOAITINUOL15 GRADE OF NOTLES5 THAN 2%FROM THEBU/LD/NG TO THE5EPTlC No Wells within 1 50 3 10 CMR 15.017 TO CONDUCT SOIL EVALUATIONS AND THAT d:• . � � ���� a e ° THE ABOVE AN�ALY515 HAS BEEN PERFORMED BY ME TANK, AND NOT LESS THAN l%`OTHL�2l�lSE ` ` rop �-= y THE REQUIRED TRAINING, EXPERTISE, AND 6.)D/5TR/BUT/ON LINE5 FOR THE 50/L ABSORPTION 5Y5TEM SHALL BE 4"DIAMCTER SCHEDULE �L�) ,\ Proposed pa `g, e EXPERIENCE DESCRIBED IN 310 Cl 15.017. I FURTHER 40 PVC(OR EQUIVALENT)LAID AT 0.005 FT/FT. UNLESS OTHERWISE NOTED. LINE5 SHALL BE (4 TO) i POO/ c% -" a ° ° CERTIFY THAT THE RESULTS OF MY SOIL EVALUATION AS CAPPED AT END ORA5 NOTEO• �' ') �� e °° INDICATED ON THE ATTACHED 501L EVALUATION FORM, ARE e e d e ACCURATE AND IN ACCORDANCE WITH 310 CMR 15.100 7.)LINE5 FROM THE D15TRIBUTION BOX TO BE LEVEL FOR THE FIRST TWO(2)FEET BEFORE THROUGH 15.107 PITCHING TO THE 50/L ABSORPTION SYSTEM. DI5TRlBUTION BOX SHALL BE WATER TE5TED TD �� ��> / .44. a , A55URE EVEN D15TRIBUTION �� ° a c' (15.2) ° °` e ° Existing Septic T9n,7k to be 6.)GROUT TO BE USED AT ALL POINTS WHERE FIFES ENTER OR LEAVE ALL CONCRETE ( .U) ���� / Utilized(See Note #20) 0'� STRUCTURES!N ORDER TO PROVIDE A WATERTIGHTSEAL. ° ° 0 TP-2 ''" / ° °e , ° ° Lil J. Pinto, C&rtified Soil Evaluator 5.)HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OVER THE LIMITS OF THE 55WAGE �So �GP / Q ' 1e v °. ° pJ�7 DISPOSAL FIELD DURING THE COURSE OF CONSTRUCTION OF THE SYSTEM. '1' .� c% 5Y5TEM DESIGN CALCULATIONS ;6 2 0� n ,� e 10.)IN ACCORDANCE WITH 310 CMR 15.221, ALL SYSTEM COMPONENTS SHALL BE MARKED O j q ° °(0� WITH MAGNETIC MARKING TAPE SEWAGE DE516N FLOW REQUIRED:5 BEDROOM DWELLING @ �� k ll'' h e 44 e 2 I/J THERE ARE NO KNOWN WELL5 WITHIN !50'OF THE PROPOSED SOIL ABSORPTION 5Y5TEM. l 10 GPD/BEDROOM=550 GPD REQUIRED °'"i' \0 r% ,f I I a ° a 5 I T E P LA N 12.)FROM THE DATE OF THE INSTALLATION OF THE SOIL ABSORPTION SYSTEM UNTIL RECEIPT 55WAGE DE5/GN FLOW PROVIDED: TWENTY FIVE(25)AD5 UNITS IN BED ti 1 I a ' CONFIGURATION IN FIVE(5)ROWS OF FIVE(5)UNITS EACH. �_ SCALE: I " = 20' a��ySH OFs9 v�_ 5'Soil Removal ° f, i OF THE CERTIF/GATE OF COMPLIANCE THE PERIMETER SHALL BE STAKED AND FLAGGED TO O ' p C' PREVENT U5E OF THE AREA THAT MAYCAUSE DAMAGE TO THE SYSTEM (See Note#1 9) I ( e L�NUA Vt =!(550/0.74)/(4,8 FT-'/Ff)/5.0 Lr7 =31 AD5 UNITS Q PINTQ REQUIRED(32 PRO VIDED) Y 6 Gara e CIVIL ego. !3.) THE DESIGNER WILL NOT BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UNLESS Proposed SAS O n r.:3; 9 v CONSTRUCTED A5 SHOWN ON PLAN. ANYCHANGES 5HALL REAPPROVED!IV WR/TING BY THE (See Plan Vew) I No.465Q4 566 GPD PROVIDED> 550 CPO REQUIRED � Si �O 4E` O � 14J THE BOARD OF HEAL TH REQUIRES INSPECTION OF ALL CONSTRUCT/ON BYAN AGENT OF SEPTIC TANK CAPACITY REQUIRED: 550 GPO X 200% = I 100 GPD REQUIRED �U) 1 �F Cf s r�R� THE BOARD OF HEALTH AND THE DESIGNER, THE DESIGNER 5HALL CERTIFY IN WRITING THAT THE SEPTIC TANK CAPACITYPROVIDED. EXISTING I500 GALLON SEPTIC TANK 5EWA6ED/5P05AL 5Y5TEM WAS INSTALLED IN ACCORDANCE WITH THE TERM5 OF7HEPERM/T A 6ARBA6ED/5P05AL /5 NOT PERM/7TED W/TH TH/5 OE5/6N FLOW If- AND THE APPROVED PLANS. 46 HOURS ADVANCE NOTICE 15 REQUESTED. - (4 7.5) l5.)CONTRACTOR5HALLBERE5PON51BLE FOR DETERMIN/NGTHELOCATIONOFALL No We115 within 150' UNDERGROUND AND OVERHEAD UTILIT/E5 PRIOR TO COMMENCEMENT OF ANY WORK. THIS INCLUDES, BUT 15 NOT L!M/TED TO, REQUESTS TO D/G5AFE ANYPR/VATY UTlLI7YCOMPAN/E5, I AND THE LOCAL WATER DEPARTMENT. //O Survey Work b^y.- l CONTRACTOR 5HALL VERIFY THAT ALL WA5TELINE5 ARE CONNECTED BY WATER TE57/NG C, -{ C, 0 \ W!T INTH5DWELLINGPRIORTOINSTALLATIONOFANY55PTICCOMPONENTS. TE✓T HOLE LOG.J O A & M Land Services 618 Main Street 17,)CONTRACTOR SHALL VER/FYEX/STING/Al ELEVATIONS PR/OR TO/NSTALLAT/ON OFANY Test Hole#I (EL=45.8+) SOZIth Yarmouth, MA 02664 SEPTIC SYSTEM COMPONENTS. Pb. (508) 737-1 777 Email.• ann2land®oomeast.net Depth Layer Soil Soil Color Comments 16.)INSTRUMENT 5URVEYCONDUCTED FOR PROP05ED WORK ONLY, 51TEPLAN SHALL NOF'5f USED FOR 5TAK/N6, OR ANYOTHER PURP05E5. 0"-1 2" Fill 1 2"-14" A Fine-Medium Sandy Loam I OYR 3/2 j 19•) SOIL REMOVAL: ALL TOP501L('A"LAYER)AND SU8501L ('B"LAYER)5HALL BE REMOVED FOR 14"-38" B Fine Sandy Loam I CYR SIG A DISTANCE OF FIVE(5)FEET LATERALLYFROM THE 50/L ABSORPTION 5Y5TEM DOWN TO THE 38"-91" C I Fine Loamy Sand I OYR G/3 20%Gravel - Perc @ 70 REVISION 07/2 1/10: Added Underground Utility Lines and Sewer'Line - CLEAN 5AND LAYER(EL=42.l+). AREA TO BE BACKF/LLED WITH CLEAN SAND AND COMPACTED 91"-1 54" C2 Medium Sand 2.5Y 7/2 TO MINIM/ZE5ETTLlN6, Prepared for: 20.)EXIST/NG 1500 GALLON 5EPT/C TANK TO BE UTILIZED, PVC TEE5 TO BE/N5TALLE9 ON Test Hole#2 (EL=45.8+) INLETANDOUTLETPIPE5IFNZCE55ARY, ANDA GAS BAFFLElN5TALLEOIN THE OUTLET TEE Michael Donna O5trowskl 2/.)EXISTING SEPTIC COMPONENTS TO BEREMOVED, ANYCONTAMINATEO 50/L SHALL BE Depth Layer Soil Class Soil Color Comments 7( Lothrap's Ln., West Barnstable, MA 02668 REMOVED FOR A DISTANCE OF FIl(5)FEET LATERALL Y FROM THE 50/L ABSORPTION SYSTEM 0"-10" Fill AND REPLACED W/TH CLEAN 5AND. AREA TO BE COMPACTED TO MlN/M/ZE5fTTLING. I O"-1 2" A Fine-Medium Sandy Loam I OYR 3/2 Proposed Sewage DlspoSa) Jystem b s 1 2"-44" B Fine Sandy Loam I OYR 5/G 7 1 LOthrOp's Ll West Barnstable, MA 44"-78" C I Fine Loamy Sand I OYR G13 20%Gravel I 78"-139" C2 Medium Sand 2.5Y 7/2 Prepared by: DATE OF TESTING: 07/OG/10 SOIL EVALUATOR: LINDA J. PINTO, P.E., C5N ENGINEERING INSPECTION NOTE: BOARD OF HEALTH AGENT: DAVID STANTON, BARNSTABLE HEALTH DEPARTMENT PERCOLATION RATE: LE55 THAN 3 MIN/INCH IN "C I" LAYER do PERC PRIOR TO FINAL INSPECTION BY THE ENGINEER, SYSTEM � Engineering NEEDS TO BE COMPLETE INCLUDING BUILDUP FOR COVERS. NO GROUNDWATER ENCOUNTERED 2 4 6O P.O.Box 2030 Phone:(508)274-7347 1 Teaticket,AMMM 02636 Fax:(508)548-5478 SCALE 1 "=20' C:\CSN\AM-Lothrop\AM-Lothrop-SD5 Plan.dwg Date: 07/15/10 Scale: As Shown By: LJP Check: GSP Protect No. CSN0106 DES 1 GN CR I T ER I A : INVERT EL E VA T 1 ONS: GENERAL NOTES., DESIGN FLOW: \ INVERT AT BUILDING: �� • $2 S BEDROOMS A T G. P. D. PER. INVERT I N SEPTIC TANK: q 2' SO I . THIS PLAN IS FOR THE DESIGN AND I-Ij0® ACCESS COVERS MUST , CONSTRUCTION OF THE SEWAGE DISPOSAL f9i-I r t7Q FIRST 2' To „ BEDROOM EQUAL S �G. P. D INVERT OUT SEPT l C TANK; 2 BE LEVEL BE WITHIN J 2 of iy GARBAGE GR/NDER � ` ' �5 ® INVERT I N DJ ST. BOX; FACILITY ONLY. FINISH GRADE INVERT OUT DIST. BOX; 11 ,28 4 " PVC —MIN. 2' OF SEPTIC TANK REOU I RED: go- Go 2. ALL CONSTRUCTION METHODS AND PCHEDULE 40 o v- PEASTONE INVERT IN LEACH PIT: MATERIALS FOR THE SEPTIC SYSTEM 1 GAL. '� 41.2 �• 3/4 ' - lI/2' S5b G. P. D. X I50°a = GAL. BOTTOM OF LEACH PIT: C1 � So 0 SEPTIC TANK ��! + t u DIA. WASHED SEPTIC TANK PROVIDED; 1500 GAL. ---- SHALL CONFORM TO MASS. D. E. P. 4 OUTLET �„ STONE 0 � ADJUSTED GROUND WATER: TITLE 5 AND LOCAL BOARD OF HEALTH l o` MIN. 14 -10 D-90X � W _ OBSERVED GROUND WA TER: to 0 N�- ' 2, SIZE OF LEACHING FACILITY REGUL A T I ONS. `J'WOLEACH -PITg REQUIRED: 560 G. P. D. 3. ALL SEPTIC SYSTEM COMPONENTS LOCATED PROF I L E: NOT TO SCALE - DESIGN PERC RATE = MINI INCH REVISIONS: UNDER PAVEMENT SHALL BE DESIGNED TO PROVIDED:-rWQ, A 'PIT(S) WI _A 'STN. NO. DATE- REVISION WITHSTAND H-20 LCAD/NG. SIDEWALL: __�3'�2- S. F. X = 8 � LSA 130 GPD I 7-'ZG'a5 9EJ%5G14 FITS �• c.�e EXISTING WELL BOTTOM: 3°` S. F. X t 07 = ✓ GPD 4. ALL SEWER PIPE SHALL BE SCHEDULE 4 0 — OR APPROVED EQUAL, TOTAL: �4' S. F. i l $ GPD 5. BEFORE CONSTRUCTION CALL "DIG-SAFE" SOIL TEST PIT DATA � -80Q-322-4 84 4 FOR LOCATION OF INDICATES INDICATES UNDERGROUND UTILITIES-. PERCOLATION = OBSERVED TEST GROUNDWATER 6. VERTICAL DATUM lS l�S�vM�I� LEGEND .F 7. � BENCH MARK. USED: -- _ TP= TPA 1 50 - EXISTING CONTOUR GRND EL�0: GRND EL G. W. EL. G. W. EL. B. FOR BENCH MARKS SET. SEE SITE PLAN. _ 50 = PROPOSED CONTOUR TO PS o 1L � P �Rov/� 9 TH15 Lb T' 1.5 l,0CA-rr p ,,a -,...-'-.�.�-' PROPOSED SPOT GRADE ' I�v�.R7'C9 �''a'c3�' ��""/�1�1 a!5 T1z!G`1''� O -'+► = DIRECTION OF STORM IA TER 3 L 0 i RUNOFF �F'�'��lJuG 4C)L )T- rz i—i 4 ,� �- t o� ► tl DATE: 4 O/ia 77 T E S T B Y: O— '�!- _ EV3G, �} ♦.. 5 d 104XOO WITNESSED BY:_",_1 °G r. ' N "r PERC. RATE: "'IN/INCH y,�Get��'SE'�Y,� �,���„ ♦'-- �, � �� � .A f PROPOSED � _ • •t,. WELL f \-Two 5�{r2b'PC�Si"c�V r �<Al`v �r`'pQ �, y r� � 0cli � ,} . N.. V✓'V I � (�� :+ j�• . r y'JE(`z °.,�qv \ i . �' F + qp l v l T?- n / • Nw ti 5 DA TE PROVS10MLI ENGINEER CIVIL DA TE PROFESSIONAL LAND-SIJ,Tr`yE"O 'ran k L O T rl> N 10 ASSESSORS MAP 10 J LOT 5- ti V�0 5 ' -` PLAN SHOWING T r-IEE DESIGN OF A PRE")POSED �'° •�� t�3'' ,. �^ i SUBSURFACE SEPTIC DISPOSAL S �STEN LOT 9, L OTI-IROP 'S LANE; DARNSTArS�' MA SCALE 1 " = 40 ' JANUARY 29, fgg f 1 f EAGLE SU9l1EYING G ENGINEER-TNI �- aNC. ` . 41 ROUTE 130, SANDWICl- N1, PROJECT NUMBER 93-009 f e i