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Home My WebLink About0078 MEADOW LANE - Health 7'8 Meadow Large West Barnstable Immmmmol", i AUG-24-2005 10 :44 AM JCENGINEERING 508 273 0367 P. 01 - - .FACSIMILE; COVER SHEET j 2 JC Engineering, Inc. Civil & Environmental Services 2854 Cranberry Highway Telephone:508-273-03 77 East Wareham, MA 02538 Facsimile:508-273-0367 'ro: Town of Barnstable—Board of Health FAX 4: (508) 790-6304 FROM: Rebecca Figueroa DATE: August 24, 2005 PAGES (including Cover): 5 RE: 78 Meadow Lane,West Barnstable Soil Evaluator Forms Attached, please find the Soil Suitability Assessment forms for 78 Meadow Lane, West Barnstable. If you have any questions or need any additional information, please contact our office. �Rebecca R Fig 4)a Office Manager cc: Final Touch Landscaping JCE#888 This message Is Intended only for the use of the Individual or entity to which it is addressed,and may contain Information that is privileged, confidential and exempt from disclosure under applIcatle law. It the reader of this message is not the intended recipient,or time employee or agent responsible for delivering the message to the intended recipient,you are hereby notified that dissemination,distribution or copying of INS Communication Is strictly prohibited. 11 you have received this communication In error,please notify us Immediately by telephone,and return the orIgInal message!o us at the above address via the U.S.Postal Service, AUG-24-2005 10 :45 AM JCENGINEERING 508 273 0367 P. 02 FORM .1l -SOIL EVALUATOR FORM Page 1 of 3 No. Date: 8-24-05 Commonwealth of Massachusetts Barnstable , Massachusetts Soil Suitability Assessment for On-site Sewage Disposal Performed By: Michael Pimentel, E.I.T., C.S.E. Date: 7-5-05 ...................._ . Witnessed By: Unwitnessed PropertyLocation: 78 Meadow Lane Owners Name: Richard&Lucinda Parmenter West Barnstable Map: 133 Mailing Address: 78 Meadow Lane Parcel: 22 West Barnstable, MA 02668 Phone Number: New Construction Repair . Office Review Published Soil Survey Available: No Yes , Year Published 1993 Publication Scale 1:25000 Soil Map Unit CcA Drainage Class Excessively Drained Soil Limitations Severe Surficial Geologic Report Available: No , Yes Year Published Publication Scale Geologic Material(Map'unit) Landform Flood Insurance Rate Map: 250001 0011 D Above 500 year flood boundary No . Yes Within 500 year flood boundary No 0 Yes . Within 100 year flood boundary No S Yes Wetland Area: National Wetland Inventory Map(map unit) Wetlands Conservancy Program Map(map unit) Current Water Resource Conditions(USGS): Month July 2005 Range:Above Normal j Normal Below Normal Other References Reviewed: DEP APPROVED FORM-I2197/95 AUG-24-2005 10 :45 AM JCENGINEERING 508 273 0367 P. 03 FORM 11 -SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No. 78 Meadow Lane On-site Review Deep Hole Number 1 Date: 7-5-05 Time: 2:00 PM Weather Sunny, 80F Location (identify on site plan) Land Use Lawn/yard Slope(%) 0-3% Surface Stones None Vegetation Grass Landform Outwash plain Position on landscape (sketch on the back) Distances from: OpenWater Body >150 feet Drainage way feet Possible Wet Area feet Property Line > 10 feet Drinking Water Well >150 feet Other DEEP OBSERVATION HOLE LOG* Depth from Sell Horizon Soil Texture Sell Color Sell Other Surface(Inches) (USDA) (Munsell) Mottling (Structure,Stones,Boulders,Consistency,% Gravel) 0"-2" Stones 2" -8" Fill 8"-74" C1 Clay 2.5 Y 6/6 74"-124" C2 Med. 2.5Y 6/4 Sand 124"- 174" C3 Clay 2.5Y 6/6 MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Parent Material(geologic) Glacial Outwash Depth to Bedrock, 174"BGS DgIgh to Groundwatec Standing Water in the Hole: > 174"BGS Weeping from Pit Face: > 174"BGS Estimated Seasonal High Ground Water: > 174"BGS 001 APPROVED VORM-12197195 AUG-24-2005 10 :46 AM JCENGINEERING 508 273 0367 P. 04 FORM I I -SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No. 78 Meadow Lane Determination for Seasonal High Water Table Method Used; Depth observed standing in observation hole >174 inches Depth weeping from side of observation hole inches ❑ Depth to soil mottles inches ❑ Ground water adjustment feet Index Well Number Reading Date Index well level Adjustment factor Adjusted ground water level Qepth 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? Yes If not, what is the depth of naturally occurring pervious material? Certification I certify that on Oct. 27, 1999 , 1 have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature Date 7 - U_5 ' DEP APPROVYD PORM-12&7195 AUG-24-2005 10 :46 AM JCENGINEERING 508 273 0367 P. 05 FORM 12 -PERCOLATION TEST Location Address or Lot No. 78 Meadow Lane CH COM MONWEALTH OF MASSA USETTS i Barnstable , Massachusetts Percolation Test* Date: 7/5/2005 Time: 2:00 PM Observation Hole# 1 Depth of Perc 74" - 92" Start Pre-soak 2:00 PM End Pre-soak 2:10 PM Time at 12" Time at 9" Time at 6" Time (9"-6") Rate Min./Inch < 2 Min. /In. Minimum of 1 percolation test must be performed in both primary area AND reserve area. Site Passed Site Failed ❑ Performed By: Michael Pimentel E.I.T., C.S.E. Witnessed By: Unwitnessed Comments: Poured 24 gallons, unable to presoak DRY APPROVED FORM-I2N7195 1A I TOWN OF BAR.NSTABLE 1 L7CA',VON >, ('pry' SEWAGE #,ZtQ05 -35 VILLAGE� V�U� `� �\� ASSESSOR'S MAP & LOT INSTALLER'S NAME:&PHONE N0.21z�:v�G\�ouc�Cor.��cvcEicr! SEPTIC TANK CAF ACITY \0UU c-,Cx\ LEACHING FACILM; ((type) N '20 (size) SUO�a, NO.OF BEDROOMS J BUILDER ORt JW R OC�V� VC ` PERMIT DATE: U COMr IANCE DATE: e�c, Separation Distance Between the: ., aximum 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 leaching facility) Feet Furnished by l ,O, A ?OIL p kJ SCALES Lad�o 3 — = 401 3 c t C z c-L -No. Q FEE v C®MI ONWEALT14 ®F MASSAC14US1 TTS Board of Health, MA. APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) RepairxUpgrade( ) Abandon( ) - ❑Complete System ❑Individual Components Location l W Owner's Name ; Map/Parcel# 133 Z- Address g Lot# 2 Telephone# U Q Iw a 's Name ` v Designer's Name c °Y\e d CN Address ` O �� y Address Telephone# Telephone# -G �^- Type of Buildingy�GTCotM�`1.1 Lot Size jk4J sq.ft. Dwelling-No.of Bedrooms Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow(min.required) 3y gpd Calculated design flow '3 5V .-_ Design flow provided gpd Plan: Date 7-2 0 -US- Number of sheets Revision Date Title Description of Soil(s) 1_ Soil Evaluator Form No. Name of Soil Evaluator�t�p4p1 f moftk-6e of Evaluation ESCRIPTION OF REAP•/�AIIRS ORALTERATIONS ' `C'UJ 'B QV-% h 2 r VG e R 000 q. The undersign! agrees to install thpabove clescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further afire dplace th t op tion un' Certificate of Compliance has been issued by the Board of Health. Si 10, gned Date 7�c1b'U� Inspections No. V , 1 �� ! r FEE 0 V-� e re- J Board of Health, A�n�MTGL" MA. ` APPJI�ATION FOR DISPOSAL.. SYSTEM CONSTRUCTION PERMIT v 4. Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location : t� � o Owner's NameR\ `Z U.X Map/Parcel# Mc-7 Q1 ZZ o Address O \ \1 \-Ctx^\�. Lot# Telephone# CRYK. �nsta is Nam 1 \ U vC Designer's Name G relGd`\ Addres ` �/�l Address��H C rG"ble .� 6KJ.' _ rP`n r Telephone# _ 1 Telephone# ' - Fype of Building ��c\ t`�v Vti� t Lot Size S- i`�5 sq.ft. Dwelling-No.of Bedrooms '' Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures 2 - Design Flow (min.required) Jy gpd Calculated design flow 3 57) -1 Design flow provided gpd 7Plan: Date }-2 U 'U Number of sheets Revision Date Title Description of Soil(s) J11' (� ;� Soil Evaluator Form No. Name of Soil Evaluator) %,(6r,"O 1'�m ate of Evaluation 5 I°4 IVA GoQ ESCRIPTION OF REPAIRS OR ALTERATIONS w 1C>C)ac Ct vl �j `eck C N l The undersigne agrees to install above esc 'bed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agre t lot-o place th o ation un a Certificate of Compliance has been issued by the Board of Health. f Signed Date` —G s� Inspections No. CCU S ' � FEE/ UO Board of Health, MA. A w CERTIFICATE Of COMPLIANCE �`Ibescription of Work: Individual Component(s) ❑Complete System s fhe undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repairep ,Upgraded ( ),Abandoned ( ) : (n/ �� s Y at :7 "c-,F"G/ /Get P� has been installed in accordance with the r i�7oPApprovedDesi,,---1-.. � 0 CMR 15.00 (Title 5) and thbapproved design plans/as-built plans relating to application No, VJr�� r , dated 2. �s 71 (gpd) Installer ----- ' Designer: InspAtor: Date: LD 1 The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. GU) �� FEE IOU a Board of Health, 64✓13)z,Pt MA, DISPOSAL. SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair(X) Upgrade( ) Abandon( ) an individual sewage disposal system at -7& lkt 6 f as described in the application for Disposal System Construction Permit No. W J- S , dated `7/ C, i-`- e Provided: Construction shall be completed within three years of the date of-this perrl'1h. All lota1 conditions must be met. /� r Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date 2 fO1#Y Board of Health i ! V AUG-24-2005 11 :2_1--Wi JCENGINEERING 508 273 0367 P.02 �Tc r m i 4- ORM I I -SOIL EVALUATOR FORM Page I of 3 No. Efate: 8-24-05 monwea th of Massachusetts Bemstable , Massachusetts Salt Suitability Assessment for Qn-site Sewaae Disaosst Performed By: Michael Pimentel, EIT., C.S.E. Date: 7-5-05 Witnessed By: Unwitnessed Property Location: 70 Meadow Lane Owner's Name: Richard&Lucinda Parmenter J West Bemstable Map: 133 Mailing Address: 78 Meadow lane Parcel 22 West Bemstable,MA 02888 Phone Number. New Construction Repair Office Rsvlow Published Soil Survey Available: No D Yes Year Published 1993 Publication Scale 1:25000 Soil Map Unit CcA Drainage Class Excessively Drained Soil Limitations Severe Surflcial Geologic Report Available: No Yes Year Published Publication Scale Geologic Material(Map Unit) Landform Flood Insurance Rate Map: 250001 0011 D Above 500 year flood boundary No ® Yes Within 500 year flood boundary No Yes Within 100 year flood boundary No . Yes Wetland Area: National Wetland Inventory Map(map unit) Wetlands Conservancy Program Map(map unit) Current Water Resource Conditions(USGS): Month Jury 2005 Range:Above Normal ® Normal Below Normal D Other References Reviewed_ n�nrrta�vxu ee►aaa-�uq►n AUG-24-2005 11 :22 AM JCENGINEERING 508 273 0367 P. 03 FORM.t 2 -SOIL EVALUATOR NORM Page 2 of 3 Location Address or Lot No. 78 Meadow Lane On`-site Review Deep Hole Number 1 Date: 7-5-05 Time: 2:00 PM Weather Sunny, .80F Location(identify on site plan) Lend Use Lawn 1 yard Slope('!o) 0-3% Surface Stones Norte Vegetation Grass Landform Outwash plain Position on landscape(ske:ci on the back) _. Distances from: OpenWater Body >150 feet Drainage way feet Possible Wet Area feet Property Line > 10 feet Drinking Water Weil >150 feet Other DEEP OBSERVATION HOLE LOG" Depth from Soil Horizon Sell Texture Soil Color Soil Other Surface(inches) (USDA) (Munsell) Mottling (Structure,Stones,Boulders,Consistency,% Gravel) 0"-2" Stones 2"-8" Fill V'-74" C1 Clay 2.5 Y 616 74"-124" C2 Med. 2.5Y 614 Sand 124"-174" C3 Clay 2.5Y 616 L"..------- I ' MINIMUM OF 2 MOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Parent Material(geologic) Glacial Outwash Depth to Bedrock: > 174"BUS Standing Water in the Hale: >174'BGS Weeping from Pit Few, >174"BUS Estimated Seasonal High Ground Water. > 174"BGS olsr a>tvRklveu Pn AUG-24-2005 11 :22 AM JGENGINEERING 508 273 0367 P.04 FORD I I -SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No. 78 Meadow Lane Determination for Seasonal High Water Table Method Used: Depth observed standing in observation hole >174 inches Depth weeping from side of observation hole inches Depth to soil mottles inches Ground water adjustment feet Index Well Number Reading Date Index well level Adjustment factor Adjusted ground water level Depth of Natu,rally Occurring_Pgrtious 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? Yes If not, what is the depth of naturally occurring pervious material? GerttLicatlon I I certify that on Oct. 27, 1999 . I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described In 310 CMR 15.017. Signature Date DKP APPR(WXD FORM.1]I97M AUG-24-2005 11 :23 AM JCENGINEERING 508 273 0367 P.05 s FORM 12-PERCOLATION TEST Location Address or Lot No. 78 Meadow Lane COMMONWEALTH OF MASSACHUSETTS Barnstable, Massachusetts ' I Percolation Test* i Date: 7/5(2005 Time: 2:00 PM Observation Hole# 1 Depth of Perc 74"- 92" Start Pre-soak 2;00 PM End Pre-soak 2:10 PM Time at 12" Time at 9" Time at 6 Time (9"-6") Rate Min.Anch < 2 Min. fin. • Minimum of 1 pemolatlon test must be performed in both primary arcs AND reaerve area. Site Passed ® Site Failed ❑ Performed By: Michael Pimentel, E.I.T., C.S.E. Witnessed By: Unwitnessed Comments: Poured 24 gallons, unable to presoak OU AMOVW FORM.12MI95 Aug 22 05 10:25a Final Touch Co."_ _ __ __ _ __ - __nstruction 5088885549 p.1 f T rs�] 04 U 09.43a Final Touch ror iio slrucn 5088885r,48 P-1 down of Barnstable Regulatory Services Thomas F. Geiler,Director INUAW s Public Health Division 'rhomas NtcKean,Director 200 Main Street,Hyannb,MA 02601 Oitlee. 308-862-4a44 FaK'. 508-790-6304 Ins slier& Designer Certification Form Date. $'"l q'0 CA 1K�Nou Se Designer: '131G 5.(nLe(i n5 .T: Installer. � b 1:i kuLI TO Sj 6h Cd v\S,-svC'1 dO \ ,address: Z 55 c1 CCOA►Oert y Al*Wcy Address: ?.0 '�c)X\1.1C)-- C- W ortmcei h H A o 2 5 3i� On 7 a o o ck��%4 ci�E+f uxa rwas issued a permit to install a (date) - (ire er septic system at_7 Meadow Lone W. 3orvnsFaUe- based ou a desist drawn by ( ess) -Sc ens aneexin nG dated , Y 26, 200 5 1 Cf I certify tl�at the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral reLoeatlon of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with me' changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation otany component of the septic system) but in accordance with State 8t Local Regulations. Plan revisim W certified sr.-built by designer to follow. 'M OR joHN L. C1+IIROtlILL u JR. (Lnstiller's igntlmm CrAL loe 190 sSi ) (A$N iper s tamp e A TAB UBLI AL ' IVIS BE FO R>r VED THE STA :Heelth.'9 hMeaip et Ccrdflcatiw-Form 4 � ',ASSESSOR'S MAP N0. / PARCEL O a Ia0CAT10N SEWAGE PERmI_T NO. YILLAGE ^— _ , INSJA. L ER' NAME & ADDRESS Q 0 t1jul DE R OR OWN R DATE PERMIT ISSUED 4 DATE COMPLIANCE ISSUED D s, '� `\ \ �, � \ � �/� 1 ti � ' `'� � � '� ' / � � � �.��. ,®w � �-. 4 Fxs� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH: ...........OF'....... 1 ..................................•- /A(/P G �� Appliration for Bi_npnsttl Workii Tonotrurtion rrmit olp�a Application is hereby made for a Permit to Construct (r/) or Repair ( ) an Individual Sewage Disposal at,7,system ...M1DQ.lr�/._`9. � .1�✓��.. ✓y ..1.T'_�(.-•-•---------------•------...........----•- Location-Address - or Lot No. ..• i�f/�9r�P.....f''�. t`1�'?�l T� -•---.....--••--•---....... . ............................. -•--.............................................. Owner Address Installer Address dType of Building Size Lot...72.?-...... _._Sq. feet Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria a Other fixtures ................... ------- --- - -- w Design Flow..................—53....................gallons per person per day. Total daily flow...........330_...._.._.______....gallons. WSeptic Tank—Liquid capacity..!�aQ.gallons Length._8.�6."_ Width._ ;6.' Diameter................ Depth..s'8'' x Disposal Trench—No......1............. Width_..,/ ......... Total Length...../8._...... Total leaching area.....-3! ...._.sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) 1 4 Percolation Test Results Performed ............... Date./1/oV_.- •-/ 8¢•-. as Test Pit No. 1..... _..minutes per inch Depth of Test Pit... '¢ Depth to ground water,__�4........... f= Test Pit No. 2....G_._Z'..minutes per inch Depth of Test Pit.... Depth to ground water......'........................ ------------------------------•----------- -----------------------••-------------------------••---•---•--------•--------------- •-�-------..--. tx - 0 Description of Soil..... 8��... '7 �7`Do-`5.0/e- 1 ��- 7Z," 4F.-V -_3�I ............ U •-••••S'(t�T-••-•--•.••--•7Z....=-�Z L" �LL:?4�------1-7 5:.....`-...t...--------- u...............`........----••-----•-••-------------- ...............T�/---- G Est/i7' i�._--•-s --------•--••--•---•-•-------...--•---....-•----•--•-----•--------------•-------•-••---------•-•---------------- 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 TITU 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Comp 'ance has bee issued by the boa,d o lth. �- �► ` Date Application Approved By----•-••-•-•------ ............... ... ..----•----•-- [-a.... �_I_.-. � Date Application Disapproved for the follo 'ng reasons--------------•.....------._.....-----•----------------------------------•-----------••-•--••••••-•.....:. --.......-•--------------------------------------------------•-•-----•--•----•---•------•--•----•----•----•---•-•--------••-•-•-•--••--•••-•••••...••-•••-••-•--•••--•••-•-•••--••••••-•-••-....._.----- Date Permit No.........S ---------------- Issued.-- --•------=.•n�-----------•-------.----------- e � z c THE COMMONWEALTH OF MASSACHUSETTS ^ BOARD OF HEALTH ............-T� .t L'/ /:.-.......:OF........ `."�'/=:Tip/�G� Applirtttilan for Disposal Works Tonstrurtion rani# Application is hereby made for sa Permit to Construct ("I or Repair ( ) an Individual Sewage Disposal System at: MG--r3 o ...." L�►-ivG w�ST n LoT Location-Address or Lot No. - Address a ..........4� 5.......... . ....................:.................... .•-•------•-------.....----------------- --• -.. �.... Installer Address C !!!Type of Building Size Lot....7 ......Sq. feet 1' Dwelling—No. of Bedrooms.......................:....................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building ............... No. of ersons..................... .. Showers — G.I YP g ------------- P ( ) Cafeteria ( ) a' Other fixtures -----•--•--------•..............................•-•............. 17 W Design Flow..................-5�`..................gallons per person per day. Total d il�y flow............ �.�....................gallons Septic Tank—Liquid capacity.2!?ne gallons Length............... Width..._........... Diameter................ De th..........._.... Disposal Trench—No......i............ Width...�¢�........ Total Length.:......�....... Total leaching area....�*........sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft, Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by..��(�.e'..Esrz.ia,U o.T��A.............. Date..N..V. f� /./8¢ ,aa Test Pit No. I....�..�.:minutes per inch Depth of Test Pit... ` ......... Depth to ground water.....L°.`.......... . fi, Test Pit No. 2....5 . ..minutes per inch Depth of Test,Pit....Z�z...... Depth to ground water........................ P4 -••--•--•-•••...••••••••••••--•••...................................................•--..............._-----.............. - D".� " ` 7D Descriptionoo .._-_. ` /P - 7Z iivL SiLT 7.. /..l C Ate/ MC-�. 5.,4-�.r> /,�6"_ zoq�. -------- --••----•-•-----------•---------------------------•------•-----•------------•-----------•--•-•-•-•--•-•------------•--------•-------- 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 TITIS 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Complia ce has been issued by the board o lth. 7Fate........_.... Application Approved BY.................. .. . ----•-.--.... ...... ....................... Application Disapproved for;the f oll ng reasons:........................................................................................................---- ........................................................................................_...--------•---...--------------------•---.....---...................----•--•----------------..............-- Date Permit No.........g-e. - - .............. Issued............. -- ----................_ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �1A/�A/......OF...........lr 7�n/STD/3� Tntifuttie of Tontphana THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (f,'f or Repaired ( ) Y................................... .......M`1 r'OtVMf ....:...- ....._... -- -................... --........_.._...._ ...... Installer at....................................... has been installed in accordance with the provisions of TITLE; 5 of The State Sanitary �dde as described in the application for Disposal Works Construction Permit No......................................... dated..............,................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WIL� FUIV�C�@AI SATISFACTORY. / DATEInspector.......... ... ........................................................... T�EsI(NtNG 'ENV(JfNEE1� THE COMMONWEALTH OF MASSACHUSETTS ' fVK TI"I�' " tAVS'T (�E OrES1EN'T• ON BOARD OF HEALTH Tip! .. 'TIa.2 W(2r stye- AT TN C_ �n� 9.. �' N T.../n/ OF.........�i�7Lis�T�Yr3L.�- Sa1.r.E „.�„ e Disposal Varks Tons#rudiort rjermi# Permission is hereby granted....----.--1,5-c►ip......... ..................................................... .._.._.. to Construct (---iror Repair ( ) an Individual Sewage Disposal System at No............. • T---•-..4-.. .W. Street as shown on the application for Disposal Works Construction Permit N77?n1ge6�.•..... Dated.......................................... ............................... ...•-�� ----:..-•------............ - oar of e DATE....... Z' 1 ....................... FORM I A. M. SULKIN, INC., BOSTON i EDWARD E. KELLEY REG. LAND SURVEYOR CUMMAQUIDI MASS. 02637 TEL : (617) 362-2266 Town of Barnstable Dec. 30 , 1986 Board of Health Hyannis, Mass. Ref: 85-986 Richard Parmenter, Lot #6, Meadow Lane , West Barnstable The sewage system was inspected on Aug. 19 , 1986 with the following results; all impervious material in the leach area and 10 ' beyond was removed and replaced with clean sand, the system was installed in the approximate area and elevation of the approved plans and the system meets all requirements of Title V and the Town. of Barnstable Health regulations. � o ' , SH OF F �1 Arsy� EDWARD GY � ON rpm S'I y o.52 va k L cY �cr Reg Anita Reg.F. Professional Fcss��A� Land FSurve.y or f�,pA SANIIAR\A� I_ LAB I PROVIDE PRECAST CONCRETE EXTENSION FINISH GRADE OVER D-BOX= 29.2'± FINISH GRADE OVER CHAMBERS= 28,5' - 29.5' RISER WITH CONCRETE COVER TO WITHIN 6"OF REMOVABLE CONCRETE COVER o " SLOPE @ /o 2 MIN. OVER SYSTEM FINISH GRADE OVER INLET&OUTLET COVER FINISHED GRADE TO WITHIN 6 OF FINISHED GRADE 4"SCHEDULE 40 PVC MIN SLOPE 1% 3/4"TO 1-1/2"DOUBLE WASHED STONE TO CROWN OF PIPE GENERAL NOTES @ FOUNDATION = 30.8'± FINISH GRADE OVER TANK EL.= 30.7'± 5"DIA. OUTLET(S) 2"OF 1/8"TO 1/2"DOUBLE WASHED STONE 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION 20"MIN. CONTRACTOR SHALL PLACE RISERS ON ALL CHAMBERS METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ACCESS VERIFY SIZE AND CONDITION " TOP OF SAS= 26.83 TO 6"OF FINISHED GRADE ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. EXISTING 4" COVER OF EXISTING SEPTIC TANK 36"MAX. 26.00� 36"MIN.NX- 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD SEWER PIPE 12 MIN. BREAKOUT EL = 26.50 OF HEALTH AND THE DESIGN ENGINEER. 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL 6" 3" 3" 9" BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. " PROVIDE WATERTIGHT o `�� O 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 10 JOINTS(TYP.) 0 = = O 0 0 0 0 o00 14" 28,19'-�- 4 PVC IN FROM o ELEVATION =26.50 FOR A DISTANCE OF 15 AROUND THE PERIMETER OF THE SAS. UNLESS SEPTIC TANK 4"PVC OUT TO 000 o o A 40 MIL GEOMEMBRANE LINER IS PLACED AT LEAST FIVE FEET FROM S.A.S.AND THE TOP LEACHING FACILITY oo OF THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 0 0 CONTRACTOR SHALL 12" 2' o �o� � 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 48" VERIFY CONDITION OF OUTLET TEE 27.57' MIN. 27.40' oo moo 00 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. EXISTING TEES AND REPLACE S 6"CRUSHED STONE ! oo 0 0 _ co 0 = 0 0 0 7- LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO NECESSARY 22"ZABEL FILTER OVER MECHANICALLY 4.0- 4.0' BACK FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR MODEL#A1801 HIP(GAS COMPACTED BASE 8.5' (IYP. FOR 1) 4.0' 4 9' ,; 4.0' INSPECTION. SYSTEM IS NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING BAFFLE ON BOTTOM) 5 OUTLET DISTRIBUTION BOX 25,0' APPROVAL FROM BOARD OF HEALTH AND DESIGN ENGINEER. (NP') 8. ELEVATIONS BASED ON APPROXIMATE USGS DATUM OF 30.00' TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV.= < 15.00' 12.9' OBTAINED FROM A NAIL IN UTILITY POLE 883/5A AS SHOWN ON PLAN. EXISTING 1000 GALLON CONCRETE SEPTIC TANK BASE. FIRST TWO FEET OF OUTLET 24.00 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PIPES TO BE LAID LEVEL. 2 - 500 GAL. CHAMBERS THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE CROSS SECTION VIEW 5 MIN- CHAMBER END VIEW TYPICAL CHAMBER PROFILE AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL CHAMBER DETAILS DISCREPANCIES TO THE DESIGN ENGINEER. NOT TO SCALE NOT TO SCALE NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE STRUCTURES SHALL BE MADE WATERTIGHT. TEST PIT DATA 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. O Unwitnessed NOTE: O ,,._ --- - INSPECTOR: Q' - ..�+a. "`` - - �_ -- - - 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS ENTIRE PROPERTY IS NOT LOCATED WITHIN A DEP APPROVED ZONE 11, BUT IS LOCATED �`� - - ,. - 'a- '- SOIL EVALUATOR: Michael Pimentel, E.LT. WITHIN THE TOWN OF BARNSTABLE'S RESOURCE PROTECTION OVERLAY DISTRICT. _ - -� __ OTHERWISE NOTED ON PLAN. �;u-.� DATE _ �u- -- " 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND TEST PIT#: 1 MAP 133 FINES. LOT 22 is �, i1' i�Et " - `" EL P 2 50' MAP 133 ,= ,, � �- .� Ev To = 9. . I + - * �i = < 15.00' 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND E WATER LOT 005-002 �9 a9L ��, "" UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEV PERC RATE ALL UNSUITABLE MATERIAL WITH CLEAN N/F ORENDA WILDLIFE LAND TRUST, INC. �� 4 <2 MIN/IN LEACHING FACILITY. REPLACE Q w COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN ` - DEPTH OF PERC= 74"-92" WITH 310 CMR 15.255(3). 21 ACCORDANCE I 'O 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN a'� TEXTURAL CLASS: 1 w �'� ' 4� SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. - Q, ( ) 16. PROPOSED PROJECT IS LOCATED WITHIN: PJ�F' %\ CB/DH FND/HLD ' 0" 29.50' Q 29.33 ASSESSORS MAP PARCEL OF 2" tone 133 22 - r Fill r Al- INDEX. PLAN ,� .. OWNER OF RECORD _ �oc`i-ti MAP 133 SCALE: =200' 8 28.83 RICHARD A. PARMENTER LU INDA HOWES PARMENTER <L / N Clay ADDRESS: 78 MEADOW LANE BOX 492 .;r d Y ` u WEST BARNSTABLE, MA 02668 LOT 23 a. .. � , �•� ^` �:;� � G1 2.5 Y 6/6 MAP 133CB/DH(F�O/HLD) N/F KILROY � 23.33' FEMA FLOOD ZONE B&C ww�� P LOT 6 w G� / ' Perc 4 - COMMUNITY PAN r _ '0* / F .� AS SHOWN ON COM EL# 250001 0011 D X IT HESSE Q QJ / / - ( 92' �� Med.Sand 21.83' 17. PLAN REFERENCE: P 6 . 6/4 C2 1. LAND COURT,PLAN NO. 35113-A . ti a, 3 / 124" 19.17' 18. DEED REFERENCE: 1 IF . CERTIFICATE#99104 F " # Clay 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION / C3 2 5Y 6/6 UNLESS OTHERWISE NOTED ON PLAN. °� r� • N roundwater Observed 20. PROPERTY'LINE'INFORMATION IS APPROXIMATE, ONLY. THIS PLAN IS TO BE USED ONLY / '� \ d'� No Mottlit'w Observed FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY O`L $i �o d?o " 174" 15.00' FOR USES OF THIS PLAN OTHER THAN ITS INTENDED'PURPOSE. LOCUS PLAN SCALE: 1"- 1000 " 6. \ REMOVE&REPLACE UNSUITABLE MATERIAL TO C-SOILS WITH CLEAN COARSE SAND(APPROX. ELEV. =23.33') LEGEND / U ` 3) \ - N LEACHING CHAMBERS DESIGN DATA 100 EXISTING CONTOURS / CB/DH c� PROPOSED 2 500 GALLON (FND) = -- ` 102 PROPOSED CONTOURS PROPOSED DISTRIBUTION BOX NUMBER OF BEDROOMS(ASSESSORS) 3 102 PROPOSED SPOT GRADE 298'±TO EXI ING WELL ON MAP 122 LOT 23 �� -y,•f x \ NUMBER OF BEDROOMS(DESIGN) 3 (min per Title V) �•�/ Nj rf O {,' s 4) EXISTING LEACHING FACILITY-TYPE UNKNOWN I✓ l- �f -S ` / DESIGN FLOW 110 GAUDAY/BEDROOM ❑/H/W EXISTING OVERHEAD WIRE UP#88315 `- -Ff� (APPROX. LOC.) JAG \ = TOTAL DESIGN FLOW 330 GAUDAY EXISTING DISTRIBUTION BOX(APPROX. LOC.) DESIGN FLOW X 200 % - 660 GAUDAY TEST PIT LOCATION Pi 29x5 \ EXISTING 1,000 GALLON SEPTIC TANK TO USE EXISTING 1000-GALLON SEPTIC TANK O O EXISTING 1000 GALLON SEPTIC TANK K B.M. I BE UTILIZED AS PART OF THIS DESIGN Nail in UP#883/5A �'� 0 Elev. =30.00' �R o ° EXISTING UNDERGROUND UTILITIES PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE / (Approx. USGS) / � � � INSTALL 2 - 500 GAL. CHAMBERS � . PORCH 0 PROPOSED DISTRIBUTION BOX / NEW EDGE OF GRAVEL DRIVEWAY �o HC-2 SIDEWALL CAPACITY Q PROPOSED 500 GALLON LEACHING CHAMBER HCA GRAVEL DRIVEWAY OVER THE PROPOSED o' #78- (LENGTH +WIDTH)(2)(2'HIGH) (0.74 GPD/S.F-) GAUDAY LEACHING FACILITY, ONLY,TO BE REMOVED '{- (25'+12.9') (2)(2') (0.74 GPD/S.F.)= 112.1 GAUDAY AND REPLACED WITH LOAM&SEED O EXISTING fop � 3-BEDROOM '`� BOTTOM CAPACITY DWELLING C EXISTING PROPANE TANK O��F s°a of (LENGTH x WIDTH ) (.74 GPD/S.F.) = GAIUDAY m (25'x 12.9') (.74 GPD/S.F.) = 238.6 GAUDAY REV. DATE BY APP'D. DESCRIPTION o MAP 133 s �s Z LOT PROPOSED SEPTIC SYSTEM UPGRADE y, 81,457 S.F. t TOTALS. PREPARED FOR: °.o °os � MAP 133 (1.87 Ac±) RICHARD & LUCINDA PARMENTER LOT 21 w TOTAL NUMBER OF CHAMBERS: 2 LOCATED AT N/F CLOUGH p TOTAL LEACHING AREA: 474.1 SQ.FT. -a TOTAL LEACHING CAPACITY: 350.7 GAL-/DAY 78 MEADOW LANE EXISTING WELL(PER 9/26/05 KELLY PLAN; TYPICAL FOR NEIGHBORING WELLS) WEST BARNSTABLE, MA 02668 RESERVED FOR;BOARD OF HEALTH USE SCALE: 1 INCH = 20 FT. DATE: JULY 20, 2005 0 10 20 40 80 FEET DESCRIPTION HCA HC-2 zy'0yjH of ta�c� LEACHING CORNER(1) 39.T 75.8' JUHN L. o� PREPARED BY: CHURCH �� JC ENGINEERING, INC. JR. `° LEACHING CORNER(2) 52.6' 85.9' iv1L 4,Sa, 2854 CRANBERRY HIGHWAY LEACHING CORNER(3) 57.1' 74.1' EAST WAREHAM, MA 02538 SITE PLAN R 508.273.0377 LEACHING CORNER(4) 45.5' 62.1' Z��o� Drawn By: MCP Designed By:MCP Checked By:JLC JOB No.888 SCALE: 1"=20' i r II o _ - L 75 A O TOP OF FOUNDATION _ CONCRETE COVER �y CONCRETE COVERS � s Co' �mmr ' '•; 4"CAST IRON 2"MAX. 12"MAX, OR SCHEDULE 48 4"SCHEDULE 40 PVC.(ONLY) F P.V.C. PIPE PIPE- MIN. [ECNcr� c ' PITCH 1/4-PER. PITCH 1/4 PER,FT ,f•,r/er' oiewr�rsr ett GE r „� w.rN LYiw. q t t' %,e EL Z�.4Q.: INVERT INVERT SEPTIC TANK EL.. ??'o z DI ST. >z T .. r_ ,,• INVERT BOX 6 3r ?9./9 /. . . . . ,.:. GAL INVERT IN t u :N S/4"TOI V2 ez�- •, EL.......... EL �8�8.. ..• .r W � EL.•��Q ;� �;. WASHED O .�� STONE � � K i7-SO •i• T T ` 1 • �. PROFILE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM - Au ��s�,r9c3c NO SCALE � ,e0,,q tiw� ro.00yoovP 7D BE ,e6rvovam 4-tl FERstc¢D wfry -z- Unr SOIL LOG WITNESSED BY \f DATE n/.✓. A/fd•¢ TIME. . .Te qti. Pon/ G.o�o.¢[> X- s,, , , BOARD 'OF HEALTH TEST HOLE I TEST HOLE 2 A,evE 4`,egxPN cl . 9 -q ENGINEER I . ELEV. . 34;oo . , . ELEV. 3?: . . . . LOT Ls�ti ca.^M -. r - ,1• DESIGN DATA . 31 s o �: FINE sgivp r/.vr .54Np NUMBER OF BEDROOMS . 0 "' TOTAL. ESTIMATED FLOW , '!30 GALLONS/DAY N 71 tz.zB o- 78 tL :"ti Y'o 2 L d ^1 BOTTOM LEACHING AREA S0.FT./PIT/G.P, D, - nT l , s9No sq�o SIDE LEACHING AREA : ` SO.FT./ PIT Co C.Yp. �- ' j' Ica Ec.2+sa - - `t. i� sc►V /�, fr .xn 4c� GARBAGE DISPOSAL , ^!e•'!�.. .(80 0/o AREA INCREASE) sua-y m c[Ay cc„y TOTAL LEACHING AREA . 3!6 . SO.FT `� I q �. �• " PERCOLATION RATE . . . . . . . �. MIN/INCH Zof t!2" Et./6.4n [/SS 7,*tq.v < .� _ _ ��. �So ' _�` ►��Z'L' / '� jkm-o ___. _ T LEACHING AREA PER PERCOLATION RATE ..¢�Z.. SO.Ft.J�`P.a WATER ENCOUNTERED NUMBER OF LEACHING PITS a �Ln►,l-P�FFvsoes• i 2 c Wirs/ -7'n�"' -1ToAvE cuv F /r �,7ff { Y i G \ V 1 i. �� • rE�J'r',ib .. ;, ''�,�' �i K -4 _._. , too, CO J e La T :!;!F w4c.6 7—,�s- PZ4 ,ev WZ:5 7 15,41eg 4el Cl" ��T�SrtNG� 3 , 4• PLArJ ,P�=f: GoT '�` LH1�/D �ot..► T % A�1/ 3.S`//3�' �17wA7Lh _ �E SH OF M4s x Rom'.. GsjY..J.> Su.Q ver�/o ON a .52 `�. o p , 9STEP� �� w J ;a u r` SANRARI�� e M07Z-'� EZ�1/�9�►7v�S F�.�S� �9N