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HomeMy WebLinkAbout0146 MAPLE STREET - Health r 146 Maple Street A;= 132,—022 . West Barnstable i CERTIFICATE OF ANALYSIS Page: 1 of 1 x 10 Barnstable County Health Laboratory (M-MA009) LS Report Prepared For: Report Dated: 4/28/2016 Diane Philos-Jensen Cape Cod Howe Realty Order No.: G1692656 353 Willow St. t!1 West Barnstable, MA 02668 Laboratory ID#: 1692656-01 Description: Water'-Drinking Water F Sample#: Sample Location: 146 Maple St.,W.Barnstable Collected: I/25/2016 Collected by: Customer m 132 p 022 Received: 04/26/2016 Routine J ITEM RESULT UNITS RL MCL METHOD# ANALYST_ TESTED NOTE Nitrate as.Nitrogen 0.45 mg/L 0.10 10 EPA 300.0 LAP 4/26/2016 Copper ND mg/L 0.10 1.3 SM 3111 B LAP 4/27/2016 Iron ND mg/L 0.10 0.3 SM 3111B LAP 4/27/2016 pH .6.3 PH AT 25C NA 6.5-8.5 SM 4500-H-13 DCB 4/26/2016 l Sodium 23 mg/L 2.5 20 SM 3111 B LAP 4/27/2016 i Total Coliform Present PIA 0 0 SM 9223 RG 4/26/2016 Conductance 170 umohs/cm 2.0 EPA 120.1 DCB 4/26/2016 Recommended maximum contamination level exceeded due to Coliform Bacteria. Tested negative for E.coli. Retesting is recommended.Sodium level is above the maxium contaminant level. Those on a low sodium diet may wish to consult a physician. Attached please find the laboratory certified parameter list. Approved By: _ (Lab Director) 1, ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level 3196 Main Street, PO. Box 4274 .Barnstable, MA 02630 Ph: 508-375-6605 CERTIFICATE OF ANALYSIS �3 M Barnstable County Health Laboratory (M-MA009) Recipient: Diane Philos-Jensen Matrix: Water-Drinking Water Cape Cod Howe Realty Sampled: 04/25/2016 16:30 353 Willow St. Received: 04/26/2016 12:57 VI West Barnstable, MA 02668 Collection Address: 146 Maple St.,W.Barnstable r Order#: G1692656 Sample Location: m 132 p 022 Lab ID: 1692656-01 Description: routine,voc Date Analyzed: 4/26/2016 @ 15:39 Sample#: Analyst: yn Method: EPA 524.2 Dilution Factor: 1 Comment: Recommended maximum contamination level exceeded due to Coliform Bacteria.Tested negative for E.coli. Retesting is recommended.Sodium level is above the maxium contaminant level.Those on a low sodium diet may wish to consult a EPA 524.2 - Volatile Organics by GC/MS Result MCL MDL Result MCL MDL Parameter ug/L ug/L ug/L Parameter ug/L ug/L ug/L Dichlorodifluoromethane ND 0.50 Chloroform ND 80 0.50 Chloromethane ND 0.50 cis-1,2-Dichloroethene ND 70 0.50 Vinyl chloride ND 2.0 0.50 cis-1,3-Dichloropropene ND 0.50 Bromomethane ND 0.50 Dibromochloromethane ND 0.50 1,1,1,2-Tetrachloroethane ND 0.50 Dibromomethane ND 0.50 1,1,1-Trichloroethane ND 200 0.50 Ethylbenzene ND 700 0.50 1,1,2,2-Tetrachloroethane ND 0.50 Hexachlorobutadiene ND 0.50 1,1,2-Trichloroethane ND 5.0 0.50 Isopropyl benzene ND 0.50 1,1-Dichloroethane ND 0.50 Methylene chloride ND 5.0 0.50 1,1-Dichloroethene. ND 7.0 0.50 Methyl-tert-butyl ether ND 0.50 1,1-Dichloropropene ND 0.50 Naphthalene ND 0.50 1,2,3-Trichlorobenzene ND 0.50 n-Butylbenzene ND 0.50 1,2,3-Trichloropropane ND 0.50 n-Propylbenzene ND 0.50 1,2,4-Trichlorobenzene ND 70 0.50 p-Isopropyltoluene ND 0.50 1,2,4-Tri methyl benzene ND 0.50 sec-Butyl benzene ND 0.50 1,2-Dibromo-3-chloropropane ND 0.50 Styrene ND 100 0.50 1,2-Dibromoethane(EDB) ND 0.50 tert-Butyl benzene ND 0.50 1,2-Dichlorobenzene ND 600 0.50 Tetrachloroethene ND 5.0 0.50 1,2-Dichloroethane ND 5.0 0.50 Toluene ND 1000 0.50 1,2-Dichloropropane ND 0.50 Total xylenes ND 10000 0.50 1,3,5-Trimethylbenzene ND 0.50 trans-1,2-Dichloroethene ND 100 0.50 1,3-Dichlorobenzene ND 0.50 trans-l,3-Dichloropropene ND 0.56 1,3-Dichloropropane ND 0.50 Trichloroethene ND 5.0 0.50 1,4-Dichlorobenzene ND 5.0 0.50 Trichlorofluoromethane ND 0.50 2,2-Dichloropropane ND 0.50 'Surrogates % Recovered QC Limits(%) 2-Chlorotoluene ND 0.50 p-Bromofluorobenzene 94% 70 130 4-Chlorotoluene ND 0.50 1,2-Dichlorobenzene-d4 86% 70 1 130 Benzene ND 5.0 0.50 Bromobenzene ND 0.50 Bromochloromethane ND 0.50 Bromodichloromethane ND o.5o Bromoform ND 0.50 Carbon tetrachloride ND 5:o 0.50 Chlorobenzene ND 100 0.50 Chloroethane ND 0.50 ?4 Attached please find the laboratory certified parameter list. Approved B (Lab Director) ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level 3195 Main Street, PO. Box 427, Barnstable, MA 02630 Ph: 5M375-6605 Page 1 of 1 TOWN OF BARNSTABLE LOCATION lq61416Lpfe. ,S°': SEWAGE# 7-01.5"'O�� ,VILLAGE 0&f 5"nS 1e ASSESSOR'S MAP&PARCEL 13 2 2 2 INSTALLER'S NAME&PHONE NO. g6 Dom'la,OUr Cap J) C, S5 y[r-932-0-'V® SEPTIC TANK CAPACITY /,Say LEACHING FACILITY:(type) 2- SOOUO Ch&M6'j (size) 25 ',,C I?,9'X 2 i NO.OF BEDROOMS 3 OWNER b&VrJ A4(-Car¢Gk PERMIT DATE:, COMPLIANCE DATE: Separation Distance Between the: o Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 40 Wltta'r r I`/ Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) 14 2 Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) pp �Z O Feet FURNISHED BY(,kn5 Ouc, & Ovr do- T6C, I A-2 = �lt�` ►3-2: 2S,7� Cd 2�4o° Frc^-r a � 0-3= ye.2 j3-3 Gp�'� A, 3°5 A- � A4-: 2,71 i3'6 = 23 No.' �l/ D (G�g Fee'Y 100-L - THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS appliLatlon for Vsposal 6pstem Construction permit Application for a Permit to Construct( ) Repair Upgrade X Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. I y6 1416L p I(r s j U j. &rr\ Owner's Name,Address,and Tel.No. D0.V iC!Al C&-fd eo^ Assessor's Ma /Parcel I p 132 — ZZ j3- -2-3i5 Installer's Name,Address,and Tel.No.AberT 13,cvr(v.=K. Designer's Name,Address,and Tel.No:S6�'3 p,o,30XL43q 1444-01Q","O .a26els 1'3a s5 9,verX^q A0.8vK 1163 So - 32-053D De_r%A,j AAa. 0Z6N1 Type of Building: ���/ Dwelling No.of Bedrooms 3 Lot Size 7, ZS ACre-S sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided y9 gpd Plan Date 2 a-j's- Number of sheets � Revision Date Title A& ^"Ie 6 I- W► '3s-m54aM 2 Size of Septic Tank ���j(�Q Type of S.A.S./U,-ye'rJ , Z'c�t9��tf C p�c� GriT�e{�-�gV► Description of Soil A= 1 Z�`�Q�O�N��, a= /� L-®Q--, [- 1 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 Enviro ntal Code and t to place the system in operation until a Certificate of Compliance has been issued by this Board eal .. , S /! Date 3`� -"�S'� Application Approved by , Date 7- r' Application Disapproved b Date for the following reasons Permit No. Z&5- Oy8 Date Issued �.. _ (jQ ' w No. �l D /�/ i Feel ILO,U THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 0[pplicatlon for Disposal *pstem Construction 3permit y Application for a Permit to Construct( ) Repair()� Upgrade& Abandon( ) ❑Complete System ❑Individual Components r Location Address or Lot No. %/I16L P)e S7- W, F64-n Owner's Name,Address,and Tel.No. Da v id/�I<<v f GI►eon Assessor's Map/Parcel 13 2 — Z Z Z4 3 54 vim'-' Rd. `l o(eilcelAia oapo z W�3-S63-23)5 Installe 's Name,Address,and Tel.No. bex-T 3.Ov-r(v•_ Designer's Name Address,and Tel.No,..So7-.3 6 V 90 {�,o, 6oXlS3R GIs-tW�C{., ,?c�2GyS Designer's ko.,t3on 1143 S05-y32-a530 �'. DQr`nts AAA. 0ZGq Type of Building: ' Dwelling No.of Bedrooms 3 Lot Size '/, ZS ACc'e$ sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 33 0 gpd Design flow provided 3 LI7a gpd Plan Date Z-13-"115- Number of sheets Revision Date Title ILI& ^LpieST Size of Septic Tank /eJ—a(0 T pe of S.A.S.IP'wer&q tJ)7A y 5-19r►.e Description of Soil Q ' I Z' Sa��o��L A^r A= /$y, � Loa.- C-17yi '',j r If 1-06-^'� Nature of Repairs or Alterations(Answer when applicable) Date_last inspected:' i 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, of to place the system in operation until a Certificate of Compliance has been issued by this Board<efHealthf� / ed �/ C t/� (/ ° Date Application Approved by �71 _ Date Z ZO/_ Application Disapproved b� Date for the following reasons las- 0 8 2 Permit No. Date Issued / 33 �/5 - --------------=---- - - = -------------------------------------- . 01 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE MASSACHUSETTS, ; (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired A) Upgraded(�-) Abandoned( )by go6,rr o y ur (o, rr c at J yb A�p)e 51 has been constructed in accordance with-the provisions of Title 5 and the for Disposal System Construction Permit No.70 l- 08 dated 3/a 3�aoj� Installer Designer #bedrooms 3 Approved des' flow 330 gpd n The issuance �f this permit shall not be construed as a guarantee that the system wi�fianc on as des,11 ed. Date e ( �1 Inspector t ---- ----=-- -- ------- ----- No.0`-I Q Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem (Construction permit Permission is hereby granted to Construct( ) Repair(,Y) Upgrade(K) Abandon( ) System located at I N10 /140-pJ e 5T- 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: onststruction muse completed within three years of the date of this permi. Date 2 J 19 Approved by �� f Town of Barnstable r .o Regulatory Services Richard V. Scatii,Interim Director RAIMSTAMM �� Public Health Division &639. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: f 0'1'S Sewage Permit# `2013-OH 19 Assessor's Map\Parcel Designer: fl AA-5 M t' -ELLA . P.E• Installer: R0be4- r s, ev-r 69,Z;AL Address: ?0/ 110 Address: 2g6rea,4L9e,5+&,, a• On 3`23- 2v l,5 '$ r Ca, was issued a permit to install a (date) (installer) septic system at 1 q4 MA Rt 5-'P-ECT based on a design drawn by (address) M Q,l.e�,_VN- P.�E• dated 2- 13•- 1 5' / (designer) V I certifythat the septic stem referenced above w p y as installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (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 Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed ' fiance with the terms of the IAA approval letters(if applicable) �r ,t. It�Q,EiL Installe s Signature) f d (Designer's Si nature) (Affix Design tamp 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. Q:1Septic0esigner Cerfification Form Rev 8-14-1 3.doc JA. 'Reify & Associates, Inc® Sheet F7 of Fi- 1573 Main Street 508-896-6601 PHONE P.O.Box 1773 508-896-6602 FAX Brewster,MA 02631 Sieve Analysis Data & Computation Sheet Job#: JMO-7060 1 Date: 03-17-15 i Job Name: 1. BASS RIVER ENG. Notes: Sample#: MAPLE ST, BARNSTABLE 1 i Collected By: TOM McLELLAN Tested By: GMB Sieve Opening Weight Percent Cumulative Project Sieve Retained Retained Percent Manual In Mesh In Grams Millimeters (Cumulative) (Cumulative) Finer Specification -o) .,' 1. 4.75 4 0.0 (0.0) M. GRAVEL0 . 0 ' 2.0 10 Fog (0.9) ! 0.22 (0.22). 99.78% F.GRAVEL .. ....... ! 0.425 40 F68.5 (69.4) . 16.47 (16.68) 83.32% M. SAND 0.075 200 F 40.1 (409.5)!I 81.75 (98.44) 1.56% F. SAND PAN PAN 5.2 (414.7) 1.25 (99.69) ? 0.31% SILT/CLAY ; ._• Passed Mesh Sieve Total . 414.7g 99.69% Sample Weight Wet: 456.4g Notes: Sample Weight Dry: 416.Og Percent Moisture: 8.8% Sample Weight Passed 414.7g Through Sieves: f `-' DA Natural Resources Conservation Service About Us I Sail Survey Releases I NattonalCenters I StateWebsites . Soils United States Department of Agriculture Topics Soil Survey Soil Health Contact Us Browse By Audience A-Z Index I Advanced Search 1 Help You are Here:Home/Soil Survey /Soil Texture Calculator rj Stay Connected JJ t Soil Texture Calculator Soil Survey Sail Survey-Home J download Excel Version(XLS;155 KB) si Sol[Surveys by State '`• Partnerships Percent Sand: Percent Clay: ;3 199.69 1 0.31 Publications Soil Classification *Very Coarse Sand: Graph Color; Soil Geography 10 Tools *Coarse Sand: _ Soil Survey Regional Offices 0'22 Get Type._ Reset. *Medium Sand: Percent Slit; Soil Climate Research Statloris -__481 .. 16.47 ; i2.275957200481571e-15 } *Fine Sand: Texture: 181.75-- ;Fine Sand ----------. _........_ *Very Fine Sand: 1.25 j Clear Graph *Optional 100 10 90 nQ /80 ,moo 01 70 clay G0 so VVV silty R� chi G~ sandy Y- e4" 40 -- clay -- clay loam QIty ^b 30 -- sandy cloy loam clay loaln o l0altl silt sandy loam qb 10 loam loamy , silt o° }A ~and ~anti �o Ao do' -o 70 'o o "o 80 ro 0 4 Sand Separate, % —�- Town of Barnstable �r+g P#. Department of Regulatory Services Public Health]Division Date "`r1 MAR4 �p 1'bgg 200 Main Street,Hyannis MA 02601 I rm1 ��• M AM Date Scheduled— ��<' ' ,': �` Time . ]Fee Pd. 17 Soil Suitability .Assessment for Se Dis os . Performed By:. H LE;L /J & Witnessed By: LOCATION& GENERAL INFORMATION Location Address � C 0 �Q Owner's Name /�CGUTCNir4l� (� �P 5�AL7� Address I G MIR-f 5-f Assessor'sMaQ/Parcel: Engineer's NameTHOMA� )0CL6(_U J NEW CONSTRUCTION / REPAIR ✓ c�� ?/ a _ Telephone# 590 Land Use KE Slopes(96) n Surface Stones_—�JI •J l� Distances from: Open Water Body)b� 1 ft Possible Wet Area>O 0 Drinking Water Well �15to' ft Drainage Way ft Property Line 111 ft Other ft SHE TCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands in proximity to holes) MAPS S-O_z� Exl�� Dt4)ll; ' 100 Parent material(geologic) 6 It4mig Depth to Bedrock Depth to Groundwater. Standing Water in Hole: NoN6' Weeping froin Pit FAce All) _ Estimated Seasonal High Groundwater /YA DETERAHNATION FOR SEASONAL kIIOH WATER TABLE Method Used: Depth Observed standing in ohs.hole: lu, Deptii(o soil mottles: III, Depth to weeping from side of obs.hole: in, Groundwater Adjuntment ft. Index Well#1 Reading Datc: . Index Well lcvol Adj,factor Art.(Groundwater Level _ PERCOLATION VEST bate nme Observation Hole# Time at 9" Depth of Perc Time sit 6" Start Pre-soak Time @ Time(9"-6") End Pre-soak �,�vE Alvnv�lSiS Rate Min.Anch Site Suitability Assessment: Site Passed_� Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------= ***lf 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:\S EPTIC\PERCFORM.DOC DE �P. OBSERVATION HOLE LOG Hole# �_ Depth from Soil Horizon Soil Texture Sdil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. onsistency %(3rayel) 30 12d C I I LIT LOT mev, ;Am . 2,t5 -r DEEP 013SERVATION HOLE LOG Dole# 2 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. on isten % ra I o a Aga 2- q i � 5 1?10 G l Ul L4 ArA S .0 I tog DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (MuUSCII) Mottling (Structure,Stones,Boulders. Consistency.%r3 DEEP OBSERVATION DOLE LOG Dole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones',Boulders, Consistency, F lood Insurance Rate Map: Above 500 year flood boundary No— Yes . Within 500 year boundary No Yes Within 100 year flood boundary No yes.',— Depth _ . 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? If not,what is the depth of naturally occurring pervious material? Certification I certify that on. I�Q (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 tra' ing,expertise and a erience described in�10 CUR 15.017. Signature Date Vt QAS EPTiCTERCPORM.DOC LO AT ION � �StWAr, E PERMIT NO VILLAGE I N S T A ILER'S NAME IE A00RESS 8 U I L 0 E It OR OWNER t-kg DATE PERMIT ISSUED 0 o D A T E C 0 M P L I A N C E ISSUED �a���� i Mi t_L P©►•�� Q— To1' cic 2z q- To 130 X 4o ' A _ -foViT _ 6.7 - -ro -ram lc. Zs' To Sox L3- To PlT ,2=� a 0 o Q'T- 100 1p 'l3oK L------ "T - - J Nov. . _.... ^ .. _............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® -�aOE HEALTH Q, �W :...O F.......C .................. A pliration for Diipnsal Worbi (foutitruction rautit a Application is hereby made for a Permit to Construct (V) or Repair ( ) an Individual Sewage Disposal System at: ffyses 41,,-IP /.3Z Mi9PG E 517Z�7_ Gts�i 6�T 1V '�� �i�,., ._..�2- ................_--......-...................................................................... ----•------------------------------- •--....--- -•-------------- -Location-Address lzo Z?' ::.... �.. vTc. _5oAJ 3 9q6 G� .%n � z7>_--f-�v£nr?v� ............. ---• -•-...-•-••-••... ..... off Address W F Instal er Address Type of Building Size Lot..__�..`.1_�............S ee, Dwelling—No. of Bedrooms............--..............................Expansion Attic ( ) Garbage Grinde aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeter Otherfixtures ......................... -•••-•-•-••--•----••-•-••...••-•••--•--•-•--•-•-•-•••---•------••-•••--•-•-•-•-•-•-•••••......•............................ W Design Flow..............5.5.....................gallons per person per day. Total daily flow......;a.! ........................gallons. WSeptic Tank—Liquid capacitOf 4 .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 areaZe&.......sq. ft. Z Other Distribution box (✓) Dosing tank ( ) _ Percolation Test Results Performed by._..��__�,1"c?..��._•..6'1-1D f... 8- I l l`.Y�� -------- Date----- a Test Pit No. I...L Z-____minutes per inch Depth of Test Pit___!;3........... Depth to ground water-__ . � P P P g'r' �0A.4�e---.-- �, (s, Test Pit No. 2.. . •...minutes per inch Depth of Test Pit__�4 't Depth to ground water OVA�� a 3 Z 3 h h h ,I �� ------------•.................. _ G O scri tion of Soil # p-/L--G�Yrvi 6 `T¢ v` r7Uf� An a Zx-/6F.i � ....................... _�/ ..... l nrD..............f 'r ............. Ga -S% .......................................................... 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 4 operation until a Certificate of Compliance has been issued by the board of health. Sig -•-------------••-------------.....------......................--....._.........•..... /.. .........APPlication Approved By-• •--•--•••••••--.....•--•--•-••-••-•-••••......-•-••••••..........--•--- -------._._ .......... Date Application Disapprove or he following reasons------------------------------------------------------------------•--------------------------.:----••.....•--- -• Date PermitNo......................................................... Issued....................................................... Datc NO. '_. .� Fss............_............... THE COMMONWEALTH OF MASSACHUSETTS -�- BOARD OF HEALTH ........-�iU..............OF........ `� ..vs .. .......... ............. Appliration for DhipmFal Works Tomitrurtinu Prrutit Application is hereby made for a Permit to Construct ( V) or Repair ( ) an Individual Sewage Disposal System at: f)SSn 4414-P /3 2- /4 Rpt E 5'-)-)ZC67" &it/_S/` 61�VNS iY)Q Ge�_ F1j-n'-EL ZZ ................_................................................................................ _....-----••...._...----•-...-----------•-•------•-------------------------••-----............---- Location-Address or Lot No. !zo z EOAJ 3 99G Q��� 3p�z �z� l �fn ------------ Owner !�30�� .. --------- ------------------• -••--•--.-•--- .......... Address a ..................;'�2�44t----- -- --------------------------••------------------ ..........------•...... ...........•-••-••--.._...._.............. Installer Address /���� Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.............3...........................Expansion Attic ( ) Garbage Grinder (/vim Other—Type of Building No. of persons............................ Showers — Cafeteria G-I Other fixtures .........-•--•• ••----••---...._...-•-•-----•-•-- W Design Flow................5.5................•_.gallons per person per day. Total daily flow........-�-30:;�-!3---0 ....... WSeptic Tank—Liquid'capacity. UdUgallons. Length................ Width................ Diameter................ Depth....._......___. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area.Af e......sq. ft. Z Other Distribution box ( ✓f Dosing tank ( ) '-' Percolation Test Results Performed by.....0 Z!- ...�:... .zT �------_....... Date..-��.� ..!�4�..-3. . .... a Test Pit No. 1....... _2-...minutes per inch Depth of Test Pit..... .-'........... Depth to ground water..... � e�,r�_,__. fs, Test Pit No. 2....�._2...minutes xper inch Depth� �of Test Pit---- Depth to ground water_ '._t v_�;� /ZED 3 C....-------------------------- ----------------------------•---....-------- � O cri tion of Soil Z :/)"/� 3��-6 P _ _- x �: /2 3b"�i.d�SfJrfiyS�CSayc �' '' St�3SrJYZ CGsi/ 7 t fit.: n -- -----------•.... 4f• ------ . . Wit_ .��......._ .36'72 g� �2 k"'D G /7�/ yin/ES -- -ff�� ------------------••--••---- U Nth � �e i )a )--An4 a"a ib&-------------------- ----•-----------------------•-----.... .............. ............ •y C 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 been issued by the board of health. ign _....•••-•------•-------•.............•-----...._...-••-•-----•----.............•••... •-•-••••• •• -------- 00 ApplicationApproved By---y e.. ......--••-----------•----.....-•-•----•......................•..---•- �. . Date Application Disapproved fpr e following reasons:.............................................................................................................. -••-•••------•---••••-•-••••--------•-----••---------••---•--••-----•--••--------------------•--•--------•--•-••••••--•-•--•---- •••----•-...---•-••••----•••-•-----••-••------••-••---••---......---•-- Date PermitNo....................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........1...��...�N...........O F...........�J✓�:/�'NS7 �G- ...................................... Trrtifir ab ,af ToutpliFaurr y TH�I .T ERTIFY, That the Individual Sewage Disposal Syst m constructed ( repaired ( ) �� r9 ,./( b ... .il� .... �.- tall .. .. '........................................... . .. ... .... ...... .................. -•--•---- ---------------- has been ins sled in accordance with the provisions of TITLE T L 5 of The State Sanitary Code s ib in the application for Disposal Works Construction Permit No.-___�'"„ '": /............... da.ted_.... .__.y _._.. _._._._...... THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUE®AS A GUARA TEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....................•---•--••-----------•---•--............------........._..... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TO M,11V Z3 /)le n/S r�3L E ...........................................OF....----• ---........_..._......_............_........_............................ V No.... ..... ._ FEE........................ Elispo /i'- k$ Tonotrudivit rrauit Permission is h eby;,grant d ..._..... to Construct or ep Srwage Disposal Systemat No.- .� _:. .... .. .... -------.......---•. Street as shown on t application for Disposal Works Construction Permit No.__._._... r`ate ......... ............................... -•-------- - --------------------•---------•-•----•-------- (/? Board o�'ealth DATE.....• -• ................................................. FORM 1255 HOBBS & WARREN. INC., PUBLISHERS AsBuilt Page 1 of 1 LO 5 ATION A i, r' rSEWACI PERMIT NO. %44 1,(&r71�� VILLACE INSTA LLER'S NAME L A00OfSS KtC 9 U I L 0 E R. OR OWNER OATE PERMIT ISSUED O o OA.TE COMPLIANCE ISSUED �lz ' IU l Ll� Po rJ fl A-- To a-- ro Sox 4o l A - To V i T • g- To �x.. 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O N CL M -0 '- rD 3 p - ^ (V 0 o m n { d :3 a - - _ - CL o _ ° _ - Lo 0 < m r o _ ° n ' - - - - N N ! - - La - - - -- - - P�vP ® ;�� s �+ M A?LE sT — � Y 1 f LA 0\ : S • It ..._.. .. m . i j O n•�C _. J } a t I i J C _ eD o I t h vie �0Al � - r a _. 36 �3 a -- J 4 1p gyp+ �p �}. 1� 7 o — fD LA _ ._ i Koo o r p A� _ j c to —. rn a ` e + d 3 141— j .. z roCL M m CL _. j... i - m o < ro 1 _ r 1 }._..�+ i. t oCD - __ i P K-1 s _rF�_o. 14 b MAPLE ST a LOCUS ' KEY: LOCUS ---- SEPTIC SYSTEM DESIGN SEPTIC SYSTEM SECTION N 6'9 PROPOSED CONTOUR: -••-------•-• 2"PEASTONE OR FILTER FABRIC 4 EXISTING SPOT ELEVATION: 25.5 FLOW ESTIMATE: 3/4" Q��'l�,� PROPOSED SPOT ELEVATION: 25.5 89.24 COVERS WITHIN 6° WA-1 1/2" 0 3 BEDROOMS AT 110 GAL/DAY= 330 GAL/DAY OF FINISHED GRADE WASHED STONE Q��' TEST HOLE: a TOP OF \\ �5� UTILITY POLE: FOUNDATION f m,. „ INSPECTION PORT a� �, R�.�mom. Tom^SEPTIC TANK: t/ m ELEV.=88,0 4"FENCE LINE: - �b 'Q914 HYDRANT: 330 GAL/DAY x 2 DAYS= 660 GAL \� �5 Oqp RETAINING WALL: ® er 1/8„ 3'MAX. USE 1500 GALLON SEPTIC TANK (REPLACE EXISTING 1000 GAL.) 88.24 erg COVER P� MILL ELEV. a 85.7� 1/8 (1'MIN) POND LEACHING AREA: ELEV. erft, o EXISTING, 85.48 85.31 USE 2-500 GALLON CHAMBERS(8.5'x 4.8'x 2'EFF.DEPTH)WITH 86.0 TO BE REPLACED ELEV. ELEV. 83.0 LOCATION MAP a ELEV. D-BOX H " " H ELEV, 4.25 ACRES 4'OF STONE ALL AROUND (25'x 12.8'x 2'DEEP) (6"STONE UNDER) 4' 4' ASSESSORS MAP:132 PARCEL:22 1500 GAL 25'x 12.8' PLAN BOOK:292, PAGE:75 SIDE AREA: (25'+12.8')x 2 x 2=151 SF (0.74)=112 GAL/DAY SEPTIC TANK EXISTING TEE SIZES: 85.0 2-500 GALLON CHAMBERS WITH BOTTOM AREA: 25'x 12.8'=320 SF (0.74)=237 GAL/DAY PIPE INVERT=84.5. INLET:6"UP,13"DOWN ELEV. 4'OF STONE ALL AROUND PIPE TO BE RAISED. OUTLET:6"UP,14"DOWN (25'x 1 "'2 ) DEEP) CAPACITY=349 GAL/DAY SET AT 36"BELOW (6,OF STONE UNDER OR GAS BAFFLE (TO B VEO)N,TED) TOP OF FOUNDATION 6,OF COMPACTED) AT OUTLET TEE REQUIRED VARIANCES FROM TITLE FIVE: 1.SECTION 15.211 (1):LEACH AREA TO BE LESS THAN 20'FROM CELLAR WALL(VARIANCE OF 9'). TH-1 88.0 TH-2 88.0 2.SECTION 15.211 (7):PORTION OF LEACH AREA TO BE GREATER THAN T BELOW GRADE,(VARIANCE OF 1'). TEST HOLE LOGS O/A HORIZON ELEV. O/A HORIZON ELEV. bed bed living N SANDY LOAM SANDY LOAM room room room REQUIRED VARIANCE FROM TOWN OF BARNSTABLE HEALTH REGULATIONS: ENGINEER: THOMAS McLELLAN,P.E. 12" 10YR 4/3 87•0 10" 10YR 4/3 87.2 1.LEACH AREA TO BE LESS THAN 150'FROM OWNERS EXISTING WELL(VARIANCE OF 8'). WITNESS: DONNA MIORANDI,R.S. B HORIZON B HORIZON a SANDY LOAM SANDY LOAM dining garage DATE: 2-12-15 30" 10YR 518 85•5 36" 10YR 5/8 85.0 bed bath kitchen room room bath PERCOLATION RATE: <2 MIN/IN C1 HORIZON C1 HORIZON SILT LOAM SILT LOAM deck 120" 2.5Y 5/4 78.0 120" 2.5Y 5/4 78.0 C2 HORIZON C2 HORIZON MEDIUM SAND MEDIUM SAND 168" 2.5Y 7/4 74.0 168" 2.5Y 7/4 74.0 EXISTING FLOOR PLAN NO GROUND WATER ENCOUNTERED BENCHMARK AT LEFT CORNER OF BOTTOM STEP Basin ELEVATION=88.89 ® _ A NOTES: ^- 1.VERTICAL DATUM: ASSUMED 2.MUNICAPAL WATER IS AVAILABLE. -92fyT 3.SCHEDULE 40-4"PVC PIPE TO BE.USED THROUGHOUT SEPTIC SYSTEM. _ _90 ------__ 4.ALL PRECAST UNITS SUBJECT TO TRAFFIC LOADS TO CONFORM WITH AASHTO H-20 SPECIFICATIONS. 5.PIPE PITCH= 1/8"&1/4" PER FOOT(UNLESS NOTED OTHERWISE). //���/ `be, 6.FIRST 2'OF PIPE OUT OF D-BOX TO BE SET LEVEL. Q �9 / _ O 7.THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE USE OF A GARBAGE DISPOSAL. -'"-86 S 8•ALL CONSTRUC CODE(TITLE FIVTE�AND LOCALHEALN DETAILS ARE OTH BE REGULATIONS.IN ANCE WITH THE STATE OF MASS.ENVIRONMENTAL �a e �g6 / d e C 36„ . 84 SBCIs, 9.CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR TO CONSTRUCTION. �� oak 10.GROUND COVER OVER ALL SEPTIC SYSTEM COMPONENTS NOT TO EXCEED 3,(WHEN POSSIBLE). ' _ 00� i i1� CO C� 86/ -- -I - f 82 11.FIELD SURVEY PROVIDED BY TERRY A.WARNER,P.L.S.,HARWICH,MA. 12" 1' 01 12.THIS PLAN REQUIRES THE REVIEW AND APPROVAL OF ONE OR MORE TOWN DEPARTMENTS AND e /- vgb IS SUBJECT TO CHANGE,UNTIL SUCH TIME. E/ ey do 84' / '- �J '- 30 13.EXISTING LEACH PIT IS TO BE PUMPED AND REMOVED. 14.D-BOX TO BE WATER TESTED TO ENSURE LEVELNESS AND EQUAL FLOW. lG���,��,ar,0°�`L / / / -/ EXISTING WELL 15.ALL UNSUITABLE SOIL SILT LOAM,APPROX. 10'DEEP)WITHIN 5'OF PROPOSED LEACH Q•1`�r�. / (142'TO PROPOSED LEACH AREA) AREA IS TO BE REMOVED AND REPLACED WITH CLEAN MEDIUM SAND. Y`� 16.NEW 4"PVC SEWER PIPE FROM HOUSE TO SEPTIC TANK TO BE ENCASED WITHIN A 6"SECTION / 8 cedar / i OF PVC PIPE. 01 SITE PEAW w/ O?° LOCATION: i o Q P om ., ,-0 146 MAPLE ST., W. BARNSTABLE, MA PREPARED FOR: a� 64s w DAVID MCCUTCHEON 40 MIL POLY LINER SCALE: 1"=30' 60 x 4 DEEP 198� t DATE:2-13-15 TOP OF LINER=86.0 BOTTOM ELEVATION=82.0 (BASEMENT FLOOR=82.0) _ BASS RIVER ENGINEERING J TH MAS J. McLEL N, P.E. P.O.BOX 1163, EAST DENNIS,MA 02641 508-385-3426 OR 508-364-9048 M 15-03 i ----------------------- - - -- .- s e r - 00 P f 584 1 /3 3 _7n c z 79577-h4G6 A/ TEST y�L,E .,,, �L. 2f� sZ. . , Go.q•7 LoA y r 6 - ;! EG.Zi.S iz„ z.a fa 7?o .. �z. z9,90 1� � SUBSO/L /i � Firv� v(G,NEASr YAJ 3z 5Z. L?jo S r -.- uf3�So rL , �t8 EL.24 'cL M A f� w, f � P1177Z ez.zZ.�Q 7 z Wiz.��o \ 27r / FiN S vo Z IVD- --- / 00 JE. /` / 'j.s ) 1 Bccx E7.1 - \ G /4.0 R' �ov 27.G sao E1.EV. 7r'o off'•CowC. ,� ! r t -.-�. 7»Ww � , � 7�,(?!t/G' 2 Cm .4 '—� N D 1, 7o x o Ov 22 o 9 0 ov flA �o , , CsaAt ., 2 /a ✓' r 2 .bC, im E `FO T OF FIP.t tSN GRAVP OVER LEACH , AREA t�L W tTt 01�, 2 of p6A ST Ne Fa , ._._ , ,, ptssQlalra� Mt I u vw. innPEFtvtO� s -� -m 1 vg Evem"1 IFI l.11 5 f�ZOM /4 lr1Fi L11MATf� NE p MI 2�t IIJ 1 P CH T i✓ 12rrNu�. , v 7rC.44-T WOW A� .. , lx` dd .y4 FGbp s� / OtA STONE .- !2 itdVt;RT 1N ar P -' GALLO.N i ! ctT At-t- i Mlt4. 7 4 CAP�q tT .9'7 �. AIZOLkjv 11C7 � 4 e�+a. . .c, tyy _ t�T G 'CAN K i I WATE 1N�E Pli'>� 2Z. s RSA yt#Z C76 ' ,,. _ .- ..._ r _... ._.. _nip_GARB�E Gt7►t�1DER . � �z./F.�- : -ti Y � � r i�a t-1 CtPS TA".t.l -- s�P-r!G 5y6TEM CoNS-rpuc-nart s� -- 5 ALL CONFORAA Td THE MASS, ;� ` UMP� of 07slo CAMS. aw-IiRONMENTAL COPS -r1Tt.EY 'ET , o Q /� 1J OVt/ G'.4c�8z312e� y -�Ty`:T E 'TOWNS D�51 • H f� r,<, _ F1- o µ t.. U T1on15 : o � 13��R O� � T��` �� fhA . 7I/�....z:s•>'.,! i.1t ACt4 I 6a RATt� tr 40 SO / 5 t:PTi G'TAN iC D l STR t f3�Tio N Oo�l ., 10. `L CW. CAPACITY R EQ E,A AN C7 LEACN t�ll�`P't T 'r0 B� dt=12E,►t�Fot �v GcaNGRE 3S3.C,!?25. e ►' PQDPoS v LEACH CApac1N _. ._._. 6'�c. 2000r�Pst OA t P4 N 14 I. U r as r yy��yy [[�� ,gym � �. . ....mow I * b114. y♦ ......_:. '... o Lo .� Tj tzt� y �IoT T BE c�a�D ,� " . Pon�DCRAIG !o �+o4f , A r a , y 22;0 �4, K l 1DEytraN LaADLNc� 1_ls :: �,•e3 3 kip . ._ t t � _At-�- P1 Pt r� v�aT .T�a f �7yD 30 . --'. 3a ex�srr�v Corrrvr.,e i, � . _—_.. .._..._ _. . ..._ ,_. � R�FER�NG� � , x .` � F.c�. OF fl' E�t75 {�� � �'�1+�1 �5 i �j o esr al . cCv 1. . . �' �" �'`�" P�Ga ` s Lr'z> G�az'A��" ,, x 2.. ...— o i' r _ fir ) "r` . : • P s Q _ ♦ z . ''fE�,s. • GAS opt P�t>: CAyT .� . s��;-�� s � _ _ z - I CIS G!H/7 0 N ENGINEERING G NEERING _ a b •vc -7 CDESIGNING BUILDING , k m.r:: f _ EN SS.; 4 r . ,_. A LTA ��"t"�► __ - NOR�,,',DENNIS385­2831 AGrt xTHBW'WPM ISAB-16E r . . :