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HomeMy WebLinkAbout1564 MAIN ST./RTE 6A(W.BARN.) - Health 15 .4 Main Street West Barnstable I A= 197-018 7 u _ I' { o i l� t � No a f S — _ `� Fee q-5— BOARD OF HEALTH TOWN OF BARNSTABLE 2pprication jfor Yell Congtruction Permit Application is hereby made for a permit to Construct Alter( ), or Repair( ) an individual well at: �L �t l� --?- — 01 Location-Address Assessors Map and Parcel Owner Address Installer-Driller Address Type of Building Dwelling / Other-Type of Building No. of Persons Type of Well Capacity Purpose of Well Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate of Compli nce h been issued by the Board of Health. Signed L Date Application Approved By Date Application Disapproved for the following reasons: Date / Permit No. d-v ` � r- �/� I Issued ( 6 Date ------------------------------------------------- - --------- --------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed(Altered( ), or Repaired( ) by All ( ,iij,lZ Installer at has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. aG 1,� —0 3I Dated 1 V 1 2— THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector LA/ No. d ' Fee BOARD OF HEALTH TOWN OF BARNSTABLE 0[ppYicatiou _for Yell Cou.5tructiou Permit Application is hereby made for a permit to Construct Alter( ), or Repair( ) an individual well at: Location-Address Assessors Map and Parcel / Owner � Address -4 Installer-Driller Address Type of Building Dwelling /•j l/",u Other-Type of Building No. of Persons Type of Well t /( Capacity Purpose of Well Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate of Compliance h s been issued by the Board of Health. /D-- Signed Date Application Approved By /a—/ — 1 y Date Application Disapproved for the following reasons: Date Permit No. �G Issued Date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed Altered( ), or Repaired( ) by 4 I 1 Installer at J S/Q 4/ W _l has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. aG► —0 3 Dated 1 V �— THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. r Date _ Inspector BOARD OF HEALTH TOWN OF BARNSTABLE Vern Cou5truction Permit ( � 5 I No.""I,,,aa�� -�3 Fee Permission is hereby granted to Al /L"12 t U)J, & 7~— Installer to Construct , Alter( ), or Repair( an individual well at: No. Sew ��: / ,�'� ✓'tom/ Street as shown on the application for a Well Construction Permit No.W)a 1 a " 6 3 ted 16 f— ><y Date 16— f Approved By l� '� �n TnSST AIUv S OQ Uv PO. 143 EDGE O PAVEM— ENT \ �� — �— RELOCATE \ — 44 _ LOCUS WELL p 41.86 ft 46 — -- _" �7� \ HERE C'94p0 m \ \ AREA _ 25700 of \ b 463 \ ASSR MAP 197 Pa 18 q 42 WELL A11560 6A1 Q o BENCH MARK F C9 \ E� PAINT SPT ON is 'C \ CONCRETE STEP E � �� �� \A ELEVATION = 43.24 V• of l �, \.w BARNSTABLE GIS DATUM 44 \ 'f®�� �} ETE cn N\ EX WELIING TO BE ABANDONED TP-2 42 D-BOX ;/34 BIODIFFUSER LEACHING SYSTEM - SEE DETAIL t / / \ 32 ON REVERSE 40 \ / 30/ E��SSP�L/ / \ PLAN SCALE: 1 in = 30 ft O 30 60 \ 28 NO OTHER WELLS WITHIN 150 f E Or- THE PROPOSED LEACHING GALLERY VARIAN 34 CES REQUESTED \ TOWN OF BARNSTABLE LOCAL BEGS SEPARATION OF WELL FROM SOIL ABSORPTION SYSTEM. 150 FOOT SEPARATION REQUIRED N / CO /- VARIANCE TO A 108 ft SEPARATION � � o \ (PROPOSED LOCUS WELL) REQUEST E Z°' �/ / GARBAGE GRINDER - VARIANCE TO A 107 FT SEPARATION (EXISTING ABUTTOR WELL) REQUESTED 0 / IS NOT ALLOWED WITH THIS DESIGN. O �PtJ THIS PROPERTY IS NOT IN A WELLHEAD o Ej DR GROUNDWATER PROTECTION DISTRICT O a `N /� NOTE ER BARNSTABLE GIS DEPT. RECORDS. m 2 \ pE 0 / FLOW FROM EXISTING BATHROOM IN FLW O O zF � LEms \E� //�` BIEDEMENT INTO, EXISTING CAST IRONSHALL BEDSEWER ,� LINE BY MEANS OF EJECTOR PUMP. -TOP OF FOUNDATION RAISE COVERS TO WITHIN I I ALL PIPE TO BE SCH. 40 PVC EL = 44.81 +- 6 in OF FINAL GRADE IAND TO PITCH AT 1/8 In/ft MIN 41.0 7 40.0 ®_BO INSPECTION MAX PORT USE TEE 37.00 HIGH 41.81 �1500 GALLON EXISTING 39.00 WPM TANK 36.65 39.25 SEE DETAIL ON BACK STONE SOUL ABSORPMN -o 36.82 BASE 36.57 4 SYSTEM -SEE DETAIL � 22 ft 6 in STONE BASE 7 ft 3-10 ft ON BACK Ln 35.67 ADJUSTED SEASONAL BELOW WEST BARNSTABLE. MA HIGH GROUNDWATER _ 30.60 z� LOCUS �1, ESN OF MAs0 ESN DFM DAVID �yG� o�' DAVIDs cy� c0-T$ SEWAGE DISPOSAL IRKER N � D. �, �, y SYSTEM PLAN gOAD ,, c COUGHANOWR N D. N EST. -TO SERVE EXISTING DWELLING a 9p N°. 1093 COUGHANOWR A GrF MARY DUTRA a p O 0 E N SE OWNERISI OF RECORD cl ER 1995 e ni NOT 4 �" `41 �P s ���� `�RoNM��~ 1564���MAIN STREET (ROUTE 6A) sc�E �P°�oQ Z Z, 2U 1 43 TRIANGLE CIRCLE PROPERTY ADDRESABLE, MA ` U - DEPICTEDTHIS N 15 ON ITMFOR ANY OTHERENDED SOLELY POR CHANGES TOT THE OF THE SPTIC PROPERTY INCLUDING SYSTEM SANDWICH MA 02563 DATE. JUNE 22, 2012 O �'` M/Id PLACEMENT OF ADDITIONS,SHEDS.FENCES OR SWIMMING POOLS.OWNER 508 3 6 4—0 8 9 (� SHOULD CONSILT WITH A MASSACHUSETTS REGISTERED LAM SURVEYOR. PG.1/2 joa* E T E-3 6 2 2 a ek 26591 Ps60 �47033 I)EED RESTRICTION Whereas, Steven J. Agostinelli and Jo-Ann M. Agostinelli,Trustees of Jo-Ann M. Agostinelli Revocable Living Trust u/d/t dated 12/13/01, an abstract of which is recorded with the Barnstable County Registry of Deeds in Book 20345,page 224, of 1720 J & C Boulevard, Suite 6,Naples,Florida 34109, are the owners of the land and dwelling located at 1564 Math. Street, West Barnstable,Massachusetts, and being more particularly described in deed to said . owners recorded Azth said Registry of Deeds in Book 26546,Page 170 (hereinafter,the"Lot"); and Whereas,Steven J. Agostinelli and Jo-Ann M. Agostinelli,Trustees of Jo-Ann M. Agostinelli Revocable.Living Trust u/d/t dated 12/13/01,a the tithe number ers of theo bedrooms whit have agreed ch with the Town of Barnstable Board of Health to a restn can be included in any home built on the Lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; and i VNereas,the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200, for the Subsurface Disposal of State Environmental Code,Title V,Minimum Requirements Sanitary Sewage,is requiring that the agreement for the restriction on the number of bedrooms in any house constru ted on the Lot be put on recorded with the Barnstable County Registry of Deeds and/or the Barnstable Registry District of the Land Court, as applicable,by recording this document. Now,therefore, Steven J. Agostinelli and Jo-Ann M. Agostinelli,Trustees of Jo-Ann M. Agostinelli Revocable Living Trust u/d/t dated 12/13/01, do hereby place and impose the following restriction upon the Lot in accordance with their agreement with the Town of Barnstable Board of Health,which said restriction shall run with the land and be Nriding upon all successors in title: The dwelling constructed upon the Lot shall contain no more than two (2)bedrooms unless and until it is connected to the municipal sewer or the Board of Health of the Town of B ble permits otherwise. Property Address: 1564 Main Street,West Barnstable,Massachusetts For title, see deed recorded with said Registry of Deeds in Book 26546,Page 170. Executed as a sealed instrument this day of August, 2012. Jo-Ann M. Agostinelli Revocable Living Trust, u/d/t dated 12/13/01 . By: U Steven rAgostinelli, Trustee By: Cal o J -Ann M. Agostinelli, Trustee COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. l�n On this day of August, 2012,before me,the undersigned notary public, personally appeared Steven J. Agostinelli and Jo-Ann M. Agostinelli, Trustees of Jo-Ann M. Agostinelli Revocable Living Trust u/d/t dated 12/13/01,personally known to me to be the persons whose names are signed on the preceding or attached document, and acknowledged to me that they signed it voluntarily for its stated purpose. �f p pliOAEL BOU REN fjotvy Public Philip Michael Boudreau,Notary Public MMMMth o U u UARY o f My Commission Expires:January 12, 2018- My Commission Exp i TOWN OF BARNSTABLE LOCATION /y�i ST SEWAGE # �7LLAGE� 12aRNSTvRLe ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. j"0M ��C.ovA �✓ �� 365' 6�Sa SEPTIC TANK CAPACITY LEACHING FACILITY: (type) CAA Aryl t (size) NO. OF BEDROOMS 2 , / BUILDER OR OWNER S AW,6 PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: GAeATPR -rinAw_ Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility �< Feet Private Water Supply Well and Leaching Facility (If any wells exist VAR,,ANcv on site or within 200 feet of leaching facility) l bf3' Feet Edge of Wetland and Leaching Facility(If any wetlands exist VARi/wCe, within 300 feet of leaching facility) ! 1-0 Feet Furnished by 4 ►1��� ©`� House f 1 0 — -+ � D 5 �'N$'p¢cf�oJ po�ct TOWN OF BARNSTABLE LCCATION � � A`i `J STZ-� SEWAGE # 20VZ 3.$b VILLAGE") f?/ "2NS 3k— ASSESSOR'S MAP & LOT .�q /g INSTALLER'S NAME&PHONE NO. zvol SEPTIC TANK CAPACITY S'()0 LEACHINGYFACILITY: (type) C A4M 6 J (size) NO. OF BEDROOMS p 2 BUILDER OR OWNER S't Pie ,c}a 8'g PERMITDATE: 6' a� �2 COMPLIANCE DATE: Separation Distance Between the: !r1�$�A C/Z _t4Ai-) .,Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility C Feet Private Water Supply Well and Leaching Facility (If any wells exist, VARiANt� on site or within 2(p /O feet of leaching facility) `a Feet Edge of Wetland and Leaching Facility(If any wetlands exist i/A�iawC2. within 300 feet of leaching facili ) 1 b Feet Furnished by s • - t.. 'r: • � � •. � Y � . . ._ . ,. 3 � � • � - 1 �;. - �. ' , � . . • ' �_ 1. -_ I '� ,� No. I 0 Fee too THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes fiplitation for Disposal *pstem Construction Permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot NoI-SIO 6't'4 Owner's Name,Address and Tel.No. a3q-7?7 Assessor's Map/Parcel t Q 7 - / S7 ✓4(�' ! SAv'DL��G� (�6 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. $ I CRItF;/!� -30 dK 2 66ur,9 4P owr� /SP,9-z 0cL,1 6y, qsq q Type of Building: Dwelling No.of Bedrooms Lot Size 7013 sq.ft. Garbage Grinder(Yo Other Type of Building FAWWI No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) w gpd Design flow provided � gpd Plan Date �� Number of sheets Revision Date Title Size of Septic Tank 1 : _Q0 C f I Type of S.A.S. (T J�W- sL o 6)0"�� Description of Soil See Nature of Repairs or Alterations(Answer when applicable) Co np I Z e Sy jJ&-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. Sig ne Date Application Approved by Date 1C Application Disapproved by Date for the following reasons Permit No. oq d 1 6 Date Issued 6" No. k ``. 4 Fee •THE,C6khA ONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWWOF BARNSTABLE, MASSACHUSETTS 4plitation for bigosal *pstrm Cone.trUttion-Permit Application for a Permit to Construct( ) Repair Upgrade( Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. Assessor's Map/Parcel i' Q / 5 � 2(�° / Sid '�W C / 4,16 b Gj Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. :57j8 S—FORREY �A, bw�c� SV'3 0?Z Cou&N4,UvW� ac`^� pg Type of Building: Dwelling No.of Bedrooms Lot Size '� 70'J sq.ft. Garbage Grinder(M# Other Type of Building /�/ynvl No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) '1 gpd Design flow provided J S 2 gpd Plan Date G- 15� 1 2 Number of sheets Revision Date Title Size of Septic Tank t Q� G, g3; Type of S.A.S. W i P� -0.Z) 1&0 Description of Soil Nature of Repairs or Alterations(Answer when applicable) Zo M,jo Date last inspected: Agreement: - The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in .s accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed A1 Date' 10 ' �2 Y. /2 Application Approved by Date r Application Disapproved by Date for the following reasons 2 Permit No. a o I? z b Date Issued l U a S I Z --------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(� Upgraded( ) -Abandoned( )by ii' (AVA-r eod � 1 at � � 2 A f 7' � /-� has been constructed in accordance 1k,S fl with the provisions of Title 5and the for Disposal System Construction Permit No.,�O 1 - 3tr U dated Installer -; o H" /Tnn -'"O2R F'Y Designer C V 4/AI OW #bedrooms Approved design flow V gpd The issuance of this ermit s of be%nstrued as a guarantee that the system will nc5owas-des}�'"ed. Date p / Inspector � ( --------------------------------------------------------------------------------------------------------------------------------------- No. t�G 2- —3 1 ) Fee 1J V THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Mieposaf 6p$tem ConstrUttion 3pefmit Permission is hereby granted to`Construct( ) Repair(* Upgrade( ) Abandon System located at 6 II A t'J S%ez e e.r (A and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permitz. --" <5 Date 1b• 9'1� �v Approved b pP Y EXCERPT FROM BOARD OF HEALTH MEETING MINUTES 7/10/2012: A. David Coughanowr, Eco Tech, representing Mary Dutra, owner— 1564 Main Street, West Barnstable, Map/Parcel 197-018, 0.59 acre parcel, variances for setback to wells. The Board voted to approve the septic plan dated 6/22/12 (B) with the following conditions: 1) a 2-bedroom deed restriction be registered at the Barnstable County Registry of Deeds, and 2) a proper copy of the deed restriction be submitted to the Public Health Division. 00 S `n �O TE BA PL. BK..134 �f' � PG. 143 EDGE OF PAVEMENT .` � 7��RELOCATE 9pG \ - 44 - LO CUS WELL iO tip 41.86 ft 46 HERE LOOT B 46"` \ ASSR MAP 197 Pa 18 / y 42 WELL (1560 6A) BENCH MARK \ 0 PAINT SPOT ON �` ,o�ON� ®� CONCRETE STEP ELEVATION = 43.24 of BARNSTABLE GIS DATUM N EXING V N\ WELL1 T gO�O BE s /P� OK/ � ABANDONED r � P / 36 \ TP-2 42 D-BOX / O 34 BIODIFFUSER LEACHING / \ SYSTEM - SEE DETAIL 4� / \ 32 ON REVERSE �Z. / • 4e \ / / EX15 PLAN � 30 SCALE: I in = 30 ft 38 \ 0 30 60 \ / \ 28 . . _ . . .• NO OTHER WELLS WITHIN 150 Pt O 0. _.10- 20 ...30 F 36 THE PROPOSED LEACHING GALLERY e / / vQO��i VARIANCES REQUESTEDdo 34 �`l�l QUO \ TOWN OF BARNSTABLE LOCAL BEGS SEPARATION OF WELL FROM SOIL 32 / ��r1�JQ, 03 ABSORPTION SYSTEM. 150 FOOT / SEPARATION REQUIRED \ �C�'�O��o - VARIANCE TO A 108 ft SEPARATION o (PROPOSED LOCUS WELL) REQUEST E yZ°' / / GARBAGE THIS DESIGN. GRINDER - VARIANCE TO A 107 FT SEPARATION p 30 \ i� NOT ALLOWED (EXISTING ABUTTOR WELL) REQUESTED o^ s� LP 0 O \ N THIS PROPERTY IS NOT IN A WELLHEAD / NOTE OR GROUNDWATER PROTECTION DISTRICT a �( OF 01� FLOW FROM EXISTING BATHROOM IN PER BARNSTABLE GIS DEPT. RECORDS. � � 2 BBB � ,m E00 i '� BASEMENT SHALL BE ABANDONED OR TIEDFLOW P R O� F O L E km ,� LINE BYT MEANS T OING F EJECTORCASTOUMP WER TOP OF FOUNDATION RAISE COVERS TO WITHIN ALL PIPE TO BE SCH. 4t) PVC EL = 44.81 +- 6 in OF FINAL GRADE— RADE AND TO PITCH AT 1/8 In/ft MIN A. 41.0 40.0 ®-9®� 3 INSPECTION TEE 37.00 -- Im AX• - PORT CIG 41.81 1500 GALLON AP UNITS ,EXISTING SEP��� TANK 39.00 39.25 SEE DETAIL ON BACK STONE SM ABSORPTT ON 36.82 BASE 36.57 �- SYS-r'E l -SEE DETAIL � 22 ft 6 in STONE BASE 7 ft 3-10 ft ON BACK 35.67 ADJUSTED SEASONAL BELOW WEST BARNSTABLE, MA„ HIGH GROUNDWATER _ 30.60 2 LOCUS �. N OF gSS9 �ZH OF Mgss9 �� � DADVID �yG� ���2� DAVID cyG� oo.Tlk SEWAGE DISPOSAL N SYSTEM PLAN PARKER L) COUGHANOWIR COUG ANOWR N EST. y -TO SERVE EXISTING DWELLING ROAD W QEo _ No. 1093 .b *6Gl o_ r` s t, o MARY DUTRA a4 FG 1 S T E�� 0/ CE N SE O� v OWNERS) OF RECORD a NOT 'k TO �ry SgN1 y`� 1995���' 564 MAIN STREET (ROUTE 6A) _ RONIA� °�`� WEST BARNSTABLE, MA SCALE �o Q ure 2�, Z01 Z v;;• ;43 TRIANGLE CIRCLE PROPERTY ADDRESS 0 \ THIS PLAN IS DEPICTED ON 1�FOREANY OTHER CHANGES TTOD SOLELY FOR ^THE PROPERTYTION OF THE ENC CLUNG'SYSTEM SANDWICH MA 02563 a+rE: DUNE 22, 2012 PLACEMENT OF DASSTS OR RE LNSUROL 0C U S M Af SHOULLLTWITH MASAACCHUSEETS REGISTERED R. 508 '364-089 pr,•1/2 1 -03, ETE7622 r _ SOUL TEST LOG PERC # ,13665 D EV G N CALCULATIONS DATE OF TEST: JUNE 12. 2012 DESIGN FLOW: 2 BEDROOMS X 110 GPD = 220 GPD SOIL EVALUATOR: DAVID D. COUGHANOMIR. LSE-461 WITNESSED BY: DONALD DESMARAIS. HEALTH DEPT. SEPTIC TANK: 220 GPD X 2 DAYS = 440 GALLONS NO GROUNDWATER ENCOUNTERED TEST PIT 1 INSTALL NEW 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) PERC AT 70 in - 2 MIN/INCH IN C SOILS DISTRIBUTION BOX: USE 3 INLET — 5 OUTLET D—BOX. ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR R SOIL OTHeQ;� SOIL ABSORBTION SYSTEM: (FEET) (INCHES) HORIZON TEXTURE (MUNSELU MOTTLING INSTALL 20 ADS ARC 36 BIODIFFUSERS 41.55 0-10 FILL 20 UNITS x 5.0 ft / UNIT = 100 L.F. 100.0 L.F. x 4.80 S.F./L.F = 480.0 S.F. 10-18 Ap LOAM 10 YR 3/3 NONE FRIABLE 480.0 S.F x .74 G.P.D. / S.F. = 355.2 GPD 18-42 B LOAMY-SAND 10 YR 4/6 NONE LOOSE USE 20 ARC 36 BIODIFFUSERS AS CONFIGURED BELOW 38.05 — Vt = 355.2 GPD ) 220 GPD REQUIRED 30.55 42-1321 C I MEDIUM SAND 110 YR 6/3 1 NONE LOOSE REFER TO DEP APPROVAL LETTER TRANSMITTAL # X235253 FOR CERTIFICATION OF ADANCED NO GROUNDWATER ENCOUNTERED DRAINAGE SYSTEMS BIODIFFUSER SYSTEMS. TEST PIT 22 MIN/INCH IN C SOILS ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (FEET) (INCHES) HORIZON TEXTURE (MUNSELU) MOTTLING 40.90 D§S T R§B ly/ T§O nM B O X NOT 0-6 FILL USE SHOREY PRECAST H-10 RATED TO 3 INLET 5 OUTLET DISTRIBUTION BOX SCALE 6-12 Ap LOAM 10 YR 3/2 NONE FRIABLE WITH SPLASH BAFFLE OR EQUIVALENT. 37.90 12-36 B LOAMY SAND 10 YR 4/6 NONE FRIABLE p�ACEDUT I A BOX TO BE 36-138 C 60LM SAND 10 YR 6/4 NONE LOOSE COMPACTED BASE ONTO rl 29.40 WHICH b In OF STONE HAVE BEEN PLACED TO REDUCE SETTLING. LINES EXITING D-BOX TO 91500 GALL ON SEPT§lam,�a TANK RUN LEVEL FOR 2 FEET Q O BEFORE PITCHING DOWN Di I NSIOl S AND ®ZETA§(L TO LEACHING FACILITY. O O RISER TO W USE SHOREY ST-1500-H-10 6 InALL OF FINAL GRADEH/N O b in MINIMUM SUMP b� NOT 12 in MINIMUM INTERIOR DIMENSION TAPER (D SCALE E LEACHING GALLERY B !„ CONSTRUCTION DETAIL USE ADS ARC 36—HC BIODIFFUSERS GRAVEL FREE INSTALLATION — USE DEP Lo APPROVED INSTALLATION PROCEDURES. ko1 I0 —6 try INSPECTION 20.0 ft PORT INSTALL 0 INLET CENTER OUTLET TWO AND COVER COVER COVER SHOW ON +• AS BUILT 4- IN DROP Lo FLOW LINE CARD FROM = BUILDING 10 jn 14 TO jn D-BOX 46 to LIOUID O LEVEL BAFFLE 20 UNITS TOTAL — 5.0 ft PER UNIT ------------- 61„ STONE BASE CROSS SECTION VIEW SEPARATION BETWEEN INLET AND RESTORE VEGETATIVE COVER OUTLET TEES SHALL NOT EXCEED BACKFILL WITH CLEAN PERC LIQUID DEPTH SAND TO TOP OF CHAMBERS CROSS SECTION VIEW 0.75 in EFF DEPT EXISTING GROUNDWATER ADJUSTIIAENT 2.s75' � SUITABLE EXISTING GROUNDWATER LEVEL BASED MATERIAL ON SOIL TEST DATA FOR PIT 02 EFFECTIVE WIDTH = 5 x 2.875' = 14.375' OBSERVED OW NONE AT 29.40 USE 5 ROWS OF 4 ADS ARC-36 HC INDEX WELL SDW-252 — BIODIFFUSER UNITS—NO STONE ZONE A READING DATE JUNE 2012 READING 47.2 NOTES ADJUSTMENT 1.3 ' ADJUSTED GW BELOW 30.60 1) INSTALLER TO`OBTAIN DISPOSAL WORKS PERMIT'BEFORE STARTING WORK. 2) ALL COMPONENTS-INSTALLED-"'SHALL MEET THE MINIMUM REQUIREMENTS OF MASSACHUSETTS TITLE.`,5 SEPTIC .CODE (310 CMR 15). SEWAGE DISPOSAL SYSTEM PLAN 3) INSTALLER TO, VERI'FYl,LOCATIONS OF ALL "UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. PAGE 2 OF 2 4) PIPES EXITING D-BOX.,TO RUN. LEVEL FOR 2 FEET4BE0ORE PITCHING DOWN, x 5) ECO-TECH ENVIRONMENTAL RECOMMENDS, THE INSTALLATION OF LOW FLOW M A R Y D U T R A FIXTURES;A..APPLIANCES,, AND BIANNU,AL.PUMPING OF THE SEPTIC TANK. IS 'NOT1564 MAIN STREET (ROUTE 6A) 6) S PARKMESIGNED OR DRIVE DVEHICLES OVER,ISEPTICNSYSTEM.ULAR LOADING. DO NOT WEST BARNSTABLE. MA 7) SEPTIC TANKS TO`BE INSTALLED'LEVEL.'AND TRUE TO GRADE ON A LEVEL STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH JUNE 22, 2012 ETE-3-- SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. Town of Barnstable °FtHE t Regulatory Services Thomas F. Geiler, Director MASS.` Public Health Division 9� 16.39. ArFpMp'lA Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: %k 30 t'L Sewage Permit# Assessor's Map/Parcel /17.-0/P Installer & Designer Certification Form Designer: �,`� �' iJe; qn QtA, fL Installer: Address: fr < < G C" Address: On was issued a permit to install a )(date (installer) septic system at 141 , le based on a design drawn by (address) dated (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include.minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. VL g 1 Ve I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Stripout (if required) was inspected and the soils were found satisfactory. H of rMss9c: n o EDWIN ti (Installer's Signature) N. N� 0 GLESS, .R. -4 CIVIL No.41294 (Des�g -Signature) , fI�� $tamp Here) /.1sP�ru�Z S�ONAL Ea PLEASE RETURN TO BARNSTABLE PUBLIC HE VISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. q:\office forms\designercertification form.doc pF1149E lqq, Barnstable Town of Barnstable AHntWcaCft MAS& ' Board of Health 6 10� 1659. i 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi November 26, 2012 Mr. David Coughanowr, R.S. 43 Triangle Circle Sandwich, MA 02563 V ,�RE ,. 1564 Main Streef; West Barnstable;; __ `r_ , r.. A=197=018 Dear Mr. Coughanowr, You are granted variances, on behalf of your client, Mary Dutra, to construct a replacement onsite sewage disposal system at 1564 Main Street, Barnstable. The variances granted are as follows: Section 397-8(E) of the Town of Barnstable Code: To install the proposed private well 108 feet away from a proposed soil absorption system, in lieu of the minimum 150 feet separation distance required. Section 397-8(E) of the Town of Barnstable Code: To install the proposed soil absorption system 107 feet away from an abuttor's well, in lieu of the minimum 100 feet separation distance required. The variances are granted with the following conditions: (1) No more than two (2) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts; and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to two bedrooms maximum. A copy of the Q:\VvTFILES\CoughanowrDutra2Ol2.doc 1_ recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) An abandonment permit shall be obtained to prior to abandonment of the existing cesspool. (4) The septic system shall be installed in strict accordance with the submitted plans dated June 22, 2012. (5) The designing engineer or registered sanitarian shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the submitted plans dated June 22, 2012. These variances are granted because physical constraints at the site severely restrict the location of the septic system components due to the locations of the abuttor's private well and wetlands adjacent to this property. The proposed new septic system appears to be designed to meet the maximum feasible compliance standards contained within the State Environmental Code, Title V. Since r I yours, Wayne M I er, M.D. Chairman i Q:\WPFILES\CoughanowrDutra20t2.doe J I k Page 1 of 1 6 file://C:\DOCUME-1\Owner\LOCALSMI\Temp\P90TU18X.htm 6�/25/WI2 ac a j 1 Page 1 of 1 file://C:\DOCUME-1\Owner\LOCALSMl\Temp\P90TU18X.htm 1 /25/2012 O STREET ~ M DO MAIN U�'/� L BK 134OITS BA) PG. 143 EDGE OF PAVEMENT I/ i \\ 8 ' REL OCA TE \ 41.86 ft 46 44— LOCUS WELL C'9 HERE �O ♦ '4p� ♦\ LOOT B �\ ♦ ctl,T 9 AREA _ 25700 of o \ 415V\ ASSR MAP 197 Pa 18 ♦ y`�q\ Rre� / ��Q 42 WELL A (1560 6A) BENCH MARK 1.0 � / ♦ 0 PAINT SPOT ON ♦ 0 t 61. ft ' CONCRETE STEP ♦ \1 ���Afjt� fNrl a / ♦o ELEVATION = 43.24 0 611 l �y ♦w 44 �®?� � BARNSTABLE GIS DATUM ♦ � EZE � cp ♦ 1G�' `0 P P ��� ♦ 36 tk EXING�N♦ WELL-TO BE a /P� ABANDONED 36 TP-2 42� D-BOX / / /O �34 BIODIFFUSER LEACHING SYSTEM - SEE DETAIL £� / ♦ 32 ON REVERSE / PLAN 40 s?0O 30 SCALE. I in = 30 ft 313 O 30 60 ♦ / ` 28 0 10 20 30 NO OTHER WELLS WITHIN 150 Ff. OF 36 ♦ C;�' Q THE PROPOSED LEACHING GALLERY VARIANCES REQUESTED 34 ♦ ���go ♦ TOWN OF BARNSTABLE LOCAL BEGS l��Ql � k SEPARATION OF WELL FROM SOIL • 32 / r1GJQ ,`03 ABSORPTION SYSTEM. 150 FOOT SEPARATION REQUIRED �a�O - VARIANCE TO A 108 ft SEPARATION o / d (PROPOSED LOCUS WELL) REQUEST E ZCA �/ GARBAGE GRINDER - VARIANCE TO A 107 FT SEPARATION � 0 (EXISTING ABUTTOR WELL) REQUESTED o 9 IS NOT ALLOWED o�^ O t�P WITH THIS DESIGN. THIS PROPERTY IS NOT IN A WELLHEAD O> Y�� NOTE OR GROUNDWATER PROTECTION DISTRICT OF FLOW FROM EXISTING BATHROOM IN PER BARNSTABLE GIS DEPT. RECORDS. ` m 2 ♦ O� FLOW p p p 2 p 2 m m ♦E� , '� BASEMENT SHALL BE ABANDONED OR TIED l!- L� O V V P R O Il- � L� E m9 ,� LINE BY MEANS OF OF EJECTOR PUMING CAST IRON P SEWER TOP OF FOUNDATION RAISE COVERS TO WITHIN ALL PIPE TO BE SCH. 40 =MIN ;i� EL = 44.81 +— b in OF FINAL GRADE AND TO PITCH AT 1/8 In/ 41.0 40.0 ®-B0 3 INSPECTION MAX PORT USE TEE 37.00 HIGH tjSEE 1500 GALLON ___= --_- _ — CAP _ _ _ UNITS 39.00 -  - - — _- SC�I�= TANK 6 in �36.65 -= - = -_= __ = + DETAIL ON BACK STONE ®�L ABS®RPT�ON -0 36.82 BASE 36.57 ������ -SEE DETAIL 4. 22 ft 6 in STONE BASE 7 ft 3-10 ft ON BACK 35.67 ADJUSTED SEASONAL LO BELOW WEST BARNSTABLE. MA HIGH GROUNDWATER _ 30.60 N9 LOCUS ASH OF MASS O N OF M S9 SEWAGE „ �o DAVIDDAVIDS ctic TF�'y C C�D�ISPOS�AL PARKER N p D. o� a EST. -TO SERVE EXISTING PLAN E LING ROAD W � COUGHANOWR N " COUGHANOWR A owl No. 1093 MARY DUTR F 64 Q G PLO S 1 �'� 1995 �' OWNER(S) OF RECORD NOT �;�� 1sil TAR1.P ,�� `�R�NM��� 564 MAIN STREET (ROUTE ) TO �°�`� WEST BARNSTABLE, MA SCALE POy0 1 43 TRIANGLE CIRCLE PROPERTY ADDRESS THIS PLAN IS\ 6 DEPICTED ON IIT..TFORED SOLELY ANY OTHERFOR CHANGES TO THE OF THE SEPTIC PROPERTY INCLUDINGTEM SANDWICH MA 02563 DATE.. .DUNE 22• 2012 PLACEMENT ANCSTSREEE � S RVY�L_0_c U S M A P CONSULTAHETT �STRRDAND SURVEYOR. 364-089 pG.1/2 1 Joer ETE-3622 �3 SOIL TEST LOCH PERC # 13665 DEMGN C ALCULATT NS DATE OF TEST: JUNE 12. 2012 DESIGN FLOW: 2 BEDROOMS X 110 GPD = 220 GPD I SOIL EVALUATOR: DAVID D. COUGHANOWR. LSE-461 WITNESSED BY: DONALD DESMARAIS. HEALTH DEPT. SEPTIC TANK: 220 GPD X 2 DAYS = 440 GALLONS TEST PIT 1 NO GROUNDWATER ENCOUNTERED , INSTALL NEW 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) PERC AT 70 in - 2 MIN/INCH IN C SOILS DISTRIBUTION BOX: USE 3 INLET - 5 OUTLET D-BOX. ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER SOIL ABSORBTION SYSTEM: (FEET) (INCHES) HORIZON TEXTURE (MUNSELL) MOTRW INSTALL 20 ADS ARC 36 BIODIFFUSERS 41.55 0-10 FILL 20 UNITS x 5.0 ft / UNIT = 100 L.F. 100.0 L.F. x 4.80 S.F./L.F = 480.0 S.F. 10-18 Ap LOAM 10 YR 3/3 NONE FRIABLE 480.0 S.F x .74 G.P.D. / S.F. = 355.2 GPD 18-42 B LOAMY SAND 10 YR 4/6 NONE LOOSE USE 20 ARC 36 BIODIFFUSERS AS CONFIGURED BELOW 38.05 - Vt = 355.2 GPD ) 220 GPD REQUIRED 30.55 1 42-132 C MEDILIM SAND 10 YR 6/3 NONE LOOSE j REFER TO DEP APPROVAL LETTER TRANSMITTAL # X235253 FOR CERTIFICATION OF ADANCED NO GROUNDWATER ENCOUNTERED DRAINAGE SYSTEMS BIODIFFUSER SYSTEMS. TEST PIT 22 MIN/INCH IN C SOILS ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER 40.90 (INCHES) HORIZC)IV TEXTURE (MUNSELL) MO DISTRIBUTDOnN BOX NOT 0-6 FILL USE SHOREY PRECAST H-10 RATED TO 3 INLET 5 OUTLET DISTRIBUTION BOX SCALE 6-12 Ap LOAM 10 YR 3/2 NONE FRIABLE WITH SPLASH BAFFLE OR EQUIVALENT. 12-36 B LOAMY SAND 10 YR 4/6 NONE FRIABLE DISTRIBUTION BOX TO BE 37.90 PLACED ON A STABLE 36-138 C MEDIUM SAND 10 YR 6/4 NONE LOOSE COMPACTED BASE ONTO rl 29.40 WHICH b in OF STONE HAVE BEEN PLACED TO REDUCE SETTLING. LINES EXITING D-BOX TO RUN LEVEL FOR 2 FEET O 11500 GALLON SEPTIC TANK BEFORE PITCHING DOWN O � D§MEINS§ONS AND ®ETA§L TO LEACHING FACILITY. 00 RISER TO W USE SHOREY ST-1500-H-10 b InALL OF FINAL GRADEHIN O O b in MINIMUM SUMP V� NOT 12 In MINIMUM 60� 0 1 in (D TO INTERIOR DIMENSION TAPER SCALE s t— LEACHING GALLERY e 1n CONSTRUCTION DETAIL USE ADS ARC 36-HC BIODIFFUSERS GRAVEL FREE INSTALLATION - USE DEP APPROVED INSTALLATION PROCEDURES. le '`�E'6 1ij INSPECTION 20.0 ft PORT INSTALL O INLET CENTER OUTLET TWO AND COVER COVER COVER SHOW ON 4J AS BUILT w 3 IN DROP CARD —► /! FLOW LINE FROM = M BUILDING la in 14JF7 TO D BOX 48 in LIOUID O LEVEL BAFFLE 20 UNITS TOTAL - 5.0 ft PER UNIT 6 jr) STONE BASE CROSS SECTION VIEW SEPARATION BETWEEN INLET AND RESTORE VEGETATIVE COVER OUTLET TEES SHALL NOT EXCEED BACKFILL WITH CLEAN PER( LIQUID DEPTH SAND TO TOP OF CHAMBERS CROSS SECTION VIEW - _ 0.7.5 in - Ef'F DEPT GROUNDWATER ADJUSTMENT 2.875' SUITABLE EXISTING GROUNDWATER LEVEL BASED MATERIAL ON SOIL TEST DATA FOR PIT #2 EFFECTIVE WIDTH = 5 x 2.875' - 14.375' OBSERVED GIN NONE AT 29.40 _ USE 5 ROWS OF 4 ADS ARC-36 HC INDEX WELL SDW-252 _ BIODIFFUSER UNITS-NO STONE ZONE A READING DATE JUNE 2012 READING 47.2 NOTES ,. . �A a , ADJUSTMENT 1.3 - ADJUSTED GIN BELOW 30.60 1 40 S.1) INSTALLER''TO`TO OBTAIN DISPOSAL` 11 PERMIT•BEFORE STARTING WORK. 2) ALL COMPONENTS-INSTALL`ED•SHALL MEET THE MINIMUM REQUIREMENTS OF .MASSACHUSETTS TITLE;;5^SEPTIC CODE (310 CMR 15). SEWAGE DISPOSAL SYSTEM PLAN 3) INSTALLER TO,VERIF.Y,10.CA'TIONSi�6FVALL��UNDEflGROUND UTILITIES PAGE 2 OF 2 BEFORE,EXCA`:VkTING,FOR<.:SYSTEM 4) PIPES EXITING D-BOX TO RUN, LEVEL FOR 2, EET�BEFORE PITCHING DOWN, 5) ECO-TECH ENVIRONMENTAL RECOMMENDS MHE INSTALLATION OF LOW FLOW M A R Y D U T R A FIXTURES &-APPUANU-S':..AND^,>,BIANNUAL PUMPING OF THE SEPTIC TANK. 1564 MAIN STREET (ROUTE 6A) 6) SYSTEM PRK IS OR DRIVEDVEH CLES OVER SPGNED TO ISEPTICN5YTE,VEHICULAR LOADING. DO NOT WEST BARNSTABLE. MA 7) SEPTIC TANKS TO BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH JUNE 22. 2012 ETE-3622 SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. I F* ti STREET 0T �0 ►N�I Ln it OUT '� B A) PL. 8K. 134 PG. 143 EDGE OF PAVEMENT RELOCATE c90 \�— \ 41.86 ft 46 44 — LOCUS WELL HERE fpp 9piF� 9>F9 OT B AREA = 25700 of 46'` \ AS MAP 197 Pa 18 / \ 0 fir\2 56L 6A) r� QOQ / BENCH MARK 0 \ 0 PAINT SPOT ON /0�t� ���A�0140 ® CONCRETE STEP o ELEVATION = 43.24 44 0�0? ® A v� A BARNSTABLE GIS DATUM 1rG%, pNC1\ E \X 38 EXISTING 0 N\ WELL-TO BE Ns 0 P', •� / � ABANDONED r �500 IC P ® SEP 36 2+0 TP-2 / 42� D-BOX / / O ;/34 BIODIFFUSER LEACHING SYSTEM - SEE DETAIL z `ON REVERSE 32F / 40 PLAN �\30 SCALE: I in = 30 ft 0 30 60 O /0 20 30 NO OTHER WELLS WITHIN 150 FE OF THE PROPOSED LEACHING GALLERY v 0 VARIANCES REQUESTED 34 \ r �1���� \ TOWN OF BARNSTABLE LOCAL REGS �yel it SEPARATION OF WELL FROM SOIL 32�— / �\5� P /i�3q ABSORPTION SYSTEM. 150 FOOT SEPARATION REQUIRED \ co - VARIANCE TO A 108 ft SEPARATION o (PROPOSED LOCUS WELL) REQUEST E z_ / GARBAGE GRINDER - VARIANCE TO A 107 FT SEPARATION „9 30 i o -�+ \ i IS NOT ALLOWED (EXISTING ABUTTOR WELL) REQUESTED o �. \ a0 THIS PROPERTY IS NOT IN A WELLHEAD c a Y�E��P NOTE WITH THIS DESIGN. OR GROUNDWATER PROTECTION DISTRICT > F i� PER BARNSTABLE GIS DEPT. RECORDS. m 2 \ G�0 �/ FLOW FROM EXISTING BATHROOM IN FLOW O n Zm9 r \to BASEMENT TIED INTO EXISTING CAST IRON DS�ER �L m y� LINE BY MEANS OF EJECTOR PUMP. TOP OF FOUNDATION RAISE COVERS TO WITHIN ALL PIPE IT BE SCH. 40 PVC EL = 44.81 +- 6 in OF FINAL GRADE AND TO PITCH AT 1/8 In/ft MIN 41.0 40.0 D-90 3 INSPECTION MAX PORT __ USE TEE 37.00r4 HIGH __ CAP -;�� � --� UNITS EXISTING 39.00 S&TIC TA�lII� 6 in 36.65 39.25 SEE DETAIL ON BACK STONE SM ABSORPTM 36.82 BASE 36.57 �+ ������ -SEE DETAIL m 22 ft 6 in STONE BASE 7 ft 3-10 ft ON BACK TED ��77 WEST BARNSTABLE, MA 35.67 HIGH ADJUSGROUNDWATER Y 30.60W s LOCUS ZN OF IN OF hfIS DAVID �yGN o�� DAVID 9cti�� GO-TFC SEWAGE DISPOSAL D. D �, `� y SYSTEM PLAN PARKER N o ROAD COUGHANOWR EST. -TO SERVE EXISTING DWELLING No. 1093 COLIGHANOWR MARY DUTRA F a4 c I ST Ea�o O �)CE N S 0� �y v OWNER(S) OF RECORD 4 NOT ;,ry a� V `iR�N1A���� 564 MAIN STREET (ROUTE 6A) '° WEST BARNSTABLE, MA SCALE Poo T tic 43 TRIANGLE CIRCLE PROPERTY ADDRESS THIS PLAN IS INTENDED SOLELY FOR INSTALLATION OF THE SEPTIC SYSTEM SANDWICH MA 02563 DEPICTED ON IT.FOR ANY OTHER CHANGES TO THE PROPERTY INCLUDING DArE: J U N E 22. 2012 LO C SODTDSSC SWIMMING S M A P SHOULD AA MASSAAHUSETTS REGISTERED LAND R. 508 364-089 pG 1i2 1 -CB- ETE-3622 C� SUL TEST LOG PERC # 13665 DEWGN CALCULATOONt DATE OF TEST: JUNE 12. 2012' `., ' ,� ' ' ' DESIGN FLOW: 2 BEDROOMS' X 110 GPD = 220 GPD SOIL EVALUATOR: DAVID D. COUGHANOWR._ LSE-461 tr WITNESSED BY: DONALD DESMARAIS, HEALTH"DEPT. ;;,SEPTIC TANK: 220 GPD X 2 DAYS = 440 GALLONS a ="" INSTALL NEW 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) TEST PIT 1 NO GROUNDWATER'ENCOUNTERED PERC AT 70%in'7 2 MIN/INCH,IN°C SOILS DISTRIBUTION BOX: USE 3 INLET - 5 OUTLET D-BOX. ELEVATION DEPTH SOIL USDA SOIL ' SOIL`COLOR' ' SOIL OTHER . SOIL ABSORBTION SYSTEM: (FEET) (INCHES) HORIZC)N TEXTURE (MUNRLL) MOTRMINSTALL 20 ADS ARC 36 BIODIFFUSERS 41.55 0-10 FILL `'t ' 20 UNITS x 5.0 ft / UNIT = 100 L.F. 100.0 L.F. x 4.80 S.F./L.F = 480.0 S.F. D-18 Ap LOAM 10 YR 3/3' NONE FRIABLE 480.0 S.F x .74 G.P.D. / S.F. = 355.2 GPD 18-42 B LOAMY SAND 10 YR 4/6 NONE LOOSE USE 20 ARC 36 BIODIFFUSERS AS CONFIGURED BELOW 38.05 - Vt = 355.2 GPD > 220 GPD REQUIRED 30.55 142-132 C MEDIUM SAND 10 YR b/3 NONE LOOSE REFER TO DEP APPROVAL LETTER TRANSMITTAL # X235253 FOR CERTIFICATION OF ADANCED NO GROUNDWATER ENCOUNTERED DRAINAGE SYSTEMS BIODIFFUSER SYSTEMS. TEST PIT 2 2 MIN/INCH IN C SOILS ELEVATION DEPTH SOIL I USDA SOIL SOIL COLOR SOIL OTHER _ _ _ (FEET)- (INCHES) H0IlZ0N 'TEXTURE (MUNSELL) MOTT 40.90 DiSTRIBUTUcc N BOX NOT 0-6 FILL USE SHOREY PRECAST H-10 RATED TO 3 INLET 5 OUTLET DISTRIBUTION BOX SCALE 6-12 Ap LOAM 10 YR 3/2 NONE FRIABLE WITH SPLASH BAFFLE OR EQUIVALENT. 37.90 12-36 B LOAMY SAND 10 YR 4/6 NONE FRIABLE p ACEBUT I A BOX TO BE ABLE 36-138 C NW UM SAND 10 YR 6/4 NONE LOOSE COMPACTED BASE ONTO 29.40 WHICH 6 In OF STONE HAVE BEEN PLACED TO REDUCE SETTLING. LINES EXITING D-BOX TO 1500 GA ON SEPTIC TANK RUN LEVEL FOR 2 FEET LlL O O BEFORE PITCHING DOWN g D#MEN §ONS AND DETA§L TO LEACHING FACILITY. R TO W USE SHOREY ST-1500-H-10 6 InALL OF FINAL GRADEHIN O O O b in MINIMUM SUMP V� NOT 12 In MINIMUM I In 1D TO I INTERIOR DIMENSION TAPER SCALE (D 0 0 5 LEACHING GALLERY � B 1n CONSTRUCTION DETAIL USE ADS ARC 36-HC BIODIFFUSERS GRAVEL FREE INSTALLATION - USE DEP APPROVED INSTALLATION PROCEDURES. to INSPECTION 20.0 ft PORT INSTALL O INLET CENTER OUTLET TWO AND COVER COVER COVER SHOW ON +1 AS BUIL T 3 IN DROP CARD —� /( FLOW LINE 1� FROM _ M BUILDING L ^ In To � 49 In LIOUI GAS 0 LEVEL BAFFLE 20 UNITS TOTAL - 5.0 ft PER UNIT lamaxam 6 In STONE BASE CROSS SECTION VIEW SEPARATION BETWEEN INLET AND RESTORE VEGETATIVE COVER OUTLET TEES SHALL NOT EXCEED BACKFILL WITH CLEAN PER( LIQUID DEPTH SAND TO TOP OF CHAMBERS CROSS SECTION VIEW 0.75 in EFF DEPT GROUNDWATER ADJUSTMENT 2.875' SUITAIBLE EXISTING GROUNDWATER LEVEL BASED MATERIAL ON SOIL TEST DATA FOR PIT 02 EFFECTIVE WIDTH = 5 x 2.875' = 14.375' OBSERVED GIN NONE AT 29.40 _ USE 5 ROWS OF 4 ADS ARC-36 HC INDEX WELL SDW-252 - BIODIFFUSER UNITS-NO STONE ZONE A READING DATE JUNE 2012 READING 47.2 NOTES ADJUSTMENT 1.3 ADJUSTED GIN BELOW 30.60 1) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. 2) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). SEWAGE DISPOSAL SYSTEM PLAN 3) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES PAGE 2 OF 2 BEFORE EXCAVATING FOR SYSTEM. 4) PIPES EXITING D-BOX TO RUN LEVEL FOR 2 FEET BEFORE PITCHING DOWN. M A R Y D U T R A 5) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES & APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK. 1564 MAIN STREET (ROUTE 6A) 6) SYSTEM PARK IS NOT OR DRIVE DESIGNED VEH VEHICLES OVER WITHSTAND SYSTEM ULAR LOADING. DO NOT WEST BARNSTABLE. MA 7) SEPTIC TANKS TO BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH JUNE. 22, '2012 ETE-3622 SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. Town.of Barnstable P 3 . o+i►ta ' Department of Regulatory Services u j Public Health Division Date j v x e �, Zd t 2 •rho �� 200 Main Street,Hyannis MA 02601 Date Scheduled t It (Time (60 , Fee Pd. J ' Soil Suitability .A.ssessmentfor Sewage Disposal Performed By:_ DG1v1�1 1J = �oy l� Gjy101�rr Witnessed By: IJO11a1` �l e5i LOCATION&GENERAL I"ORNIATION Location Address 1 rj(y(r e MAC'n Owner's Name Address 1��� Assessor's Map/Parcel: J q 7— (, �e5 t / Engineer's amc� t NEW CONSTRUCTION REPAIR V 9 pt f D 6,✓�e7NoWr Telephone# �(� — Land Use: ReS'Ctenl/A( /y Slopes(96) ( DI Surface Stones �O►1� Distances from: Open Water Body[ V ft Possible Wet Area l00 f< Drinking Water Well i(00 t ft Drainage Way JD t ft Property Line D `::ft Other ft 8I0TCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 2D4. `3 0 `. v TP-Z Z /� 2Z3 a 24> Parent material(geologic)- 1 �O�dq l t I Ot,4 5"1 Depth to Bedrock �0 It C. Depth to Groundwater. Standing Water in Hole: ih• Weeping from PitFace Estimated Seasonal Hlgh Groundwater 01©� f rty 11 l® ft- 40M S vY^Pie DETERMINATION FOR SEASONAL HIGH WATER TAI�LE _ Method Used: -ri Ma*pr Gi cf�f d5`t wtph1' �. 40 "Y-er- c3fi 1316, 14 Depth Observed standing in obs.hole: in. Depth to soil mottles: ht, Depth to weeping from side of ob hole: In, Groundwater Adjustment R. Index Well#5Aw-2SZRcadiug Date:6 'LI t L index Well lrycl� Adj,tltctor 1� ;� Adj.Groundwater Level i 0..7- -�t Zo he A PERCOLATION TEST iDatec i Iz11212 sty m ld 4m Observation Hole# __I _— Tinto at 9" A& G Depth of Pere '70 Time at 6" n ` t/ Start Pre-soak Time @ G_0 U Time(9"-6") End Presoak U-0 D Rate Min.anch 2m R 1� Site Suitability Assessment Site Passed `e/ 5itq Failed: 0 _ Additional Testing Needed(Y/N) D 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:IS EPTIC\PERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# I Depth from Soil Horizon Soil Texture .Soil Color Soil• Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones;Boulders, onsistcn;ay,% raved p —10 co l 4S A P �a w� t D:�(R-3/3 �>�e �`(`i Cl�J�� Gaa yt CA-ew i 1* Z- 1�iZ C Mod. 13C4flo . (0 °jiZ 6l3 oV1 bos D + P OBSERVATION HOLE LOG Hole# 2. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Ora e Fi 1.1 I2- 36 L6auK ih i0 ` 'P- 4-4 W 0V, cl 36 - \3� C Nkc,4 c,.cin, to ui�- 614 uori f f _ DEEP OBSERVATION HOLE LOG Mole#. Depth from Soil Horizon Soil Texture Soil Color 'Sell Other Surface(in.) (USDA) (Munsell) Mottling (Stricture,Stones,Boulders. Co i to r, O e ` DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Cositn ` e Flood Insurance Rate Map: Above 500 year flood boundary No_ yes- Within 500 year boundary No—/ Yes, Within 100 year flood boundary No.—,Z 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? q C 5 If not,what is the depth of naturally occurring pervious material'? Certification I certify that on N 8 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consisten the required training,expertise and experience described in�10 CNM 15.017. ���ySN of Mgssq v nC (Z �� Z ID Signature Grk G��71/t— (t-� L�JE -4 Datt 3 o� D. g U COUGHANOWR " �'CENSE� Q o QASEPTlaPERCF0RM.D0C �� EVALUP� p - -- No.�--/--�=�� Fee---- BOARD OF OF HEALTH TOWN OF BARNSTABLE ZIpplication-for Vell ConotructionAermit Application is hereby made for a permit to Construct ( ), Alter ( , or Re it ( )an individual Well at: 5--------- ---------- - C4tuu -- - - - �a��+� T-----—--------------------------- Location — Address Assessors Map and Parcel caner Address -- — Installer Driller Address Type of Building Dwelling ---------------------------------------------------------- Other - Type of Building ----------- No. of Persons------------------------------------------------ PC Typeof Well- --2 -- ------------------------- - -- - Capacity------------------------------ -- ------------------------------ Purpose of Well--lon-A- 1-1-e°cis,:7------------------------------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until aCertificate .of lCompliance has been issued by the Board of Health. Signeddate Application Application Approved By ---�- ----- ----- — -= � �--- qu date Application Disapproved for the following reasons:------------------------------------------------------------------------------------------- ------------- ------------------------------------------------------------------------------------------ Cr date PermitNo / -- —__--- - - Issued--------------------------------------------------------------------------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS CERTIFY, That the Individual Well C nstructed ( ), tered ( ), Repaired ( ) -------------- -2� _- ............. — -- - ----- ------ ------------ ----------------------- Installer at- �` -1 7/1�7�' —-- '1d"' ---------------------------------------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Dated----------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-------- ------ -- -- - — --—- Inspector-------- r - •� W.r ., .. +'• ,. p. w ,. �Z-..-... . ._rfawo^^F-'1� ,y°4tr-r.-��r�^.�.s+W'x-y„�C+t•,.-�yt'".r�:r�,w.-'.,.5�•.„,�,��xge,,,r,..,•�7� No. ---- --6- � r Fee---------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Application-lorVell Con5truct ion Permit Application is hereby made for a permit to Construct ( ), Alter ( or Re it ( )an individual Well at: y 5�. ' --------------- ��-01--- --- -- - -- Location Address Assessors Map and Parcel r _ T wner Address Installer — Driller - Address '•Type of Building , Dwelling----------------------------------------------------------------- Other - Type of Building------------------------------------- No. of Persons-------------------------------------------------- �r Type of Well--=-2----------------------------------------------- Capacity------------------------------------------------------------------- Purpose of Well-- '! _ _ate= -- --- --------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate .of Compliance has been issued by the Board of Health. Signed -- ------- ------------ date Application Approved By8 - - - ^.'�. - --- -— — date Application Disapproved for the following reasons:---,----------------------------------------------------------------------------- ------------------ ---- - ---------------------------- - -- ------------------------------------ �j �y date Permit NAT- Issued ---- -- - - - - --- —---------------- fi date BOARD OF HEALTH ` TOW:N OF BARNSTABLE Certificate Of Compliance THIS IS CERTIFY, That the Individual Well C nstructed ( ), tered (' ), Repaired ( ) Installer has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulati-'&'4sztdescribed in the application for Well Construction Permit No. W F' ---Dated----------------------- ITHE ISSUANCE-OR-THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL �,.. SYSTEM WILL FUNCTION4SATISFACTORY. f DATE= --- —- — - -- - - Ifiipictor- �aaer -axe'ao-�rs�a�ra=a�a�reessa�:.sar::a�3raca.sr�.c�. : BOARD OF HEALTH TOWN OF BARNSTABLE Veil Construct ion permit Yo. {-� ' � Fee -- Permission is hereby granted---- - -- P---------- - - - ---------------------------------- to Construct ( ), Alter ( ), or Repair ( ) an Individual Well at: No. --—wr -�ti<-- te a - `��T ------- ---- ....n$:, 1 - -------------------------------------------- street as shown on the application for a Well Construction Permit No. }- "- Q -----------—------- - Dated--- ( ____Z----------------------------------- ------------- r`r3��--------------------------------------- Board of Health DATE-----— -------- -- - - --—