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1825 OLD STAGE ROAD - Health
1819 Old Stage Road A= 152—036, Lot 1 W. Barnstable 9 No. o �� i Fee 7 v THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIppliLation for Disposal 6pstem Constl'urtion 3pPrmit Application for a Permit to Construct ) Repair ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Y6' 6 /'I Owner's N e,Address,and Tel.No. ^� Assessor's Map/Parcel ® 6-oo LOT 2— "�>W —�( Itmgdt Ca (d :1 Vc_ Installer's Name,Address,and Tel.No Designer's Name,Address,Vd Tel.No. Type of Building: Dwelling No.of Bedrooms .. Lot Size :�2 7 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) a , gpd Design flow provided gpd Plan Date Number of sheets Revi ion Date Title 1WV40441 KN 0[d *4 Size of Septic Tank ISM 9Q\ Type of S.A.S. Description of Soil 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 Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this q �7 Signed Date Application Approved by ItoDate , (� t-5 Application Disapproved by ( Date for the following reasons Permit No. OL I r7 + Date Issued ,. — t Z— f' No.C"�1`5 / Fee V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION --TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for -misposal 6pstem r Colts ULtIDI� permit Application for a Permit to Con ct ) Repair( ) Upgrade ) Abandon( ) Complete System ❑Individual Components Location Address or Lot 14. l p 6� C 0 Q� Owner's Name,Address,and Tel No. Assessor's Map/Parcel , _® Wi y C� Installer's Name,Address,and Tel.No.f,Z obw S Designer's Name,Address,and Tel.to. cove � - 0� �e�� Type of Building: Dwelling No.of Bedrooms �t ' 'Lot Size �� sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date —9 — d,v\ Number of sheets Revision Date Title L � — •� wa, 1L�� �u �' G e Size of Septic Tank O® �\C\\ Type of S.A.S. 5 Description of Soil 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 Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Date 8 o?? ZO(S — Application Approved by Date Jr✓ c5-h 5 Application Disapproved by Date for the following reasons Permit No. � 5 Date Issued a- Q � - a3 ell No Fee 150 T.HE COMMONWEALTH OF Entered incompter. Yes PUBLICaHEALTH DIVISION ;TOWN OF`BARNSTABLE, MASSACHUSETTS y� ftpYication for Dis�posal'6pstern Cons Trtion Permit - Application for-a`Permit to Cons uct ) Repair( ) Upgra ) Abandon( ) ©`Complete System ❑Individual Components I Location Address or Lot -, U` Owner's Name,Address,and Tel.No. p o Assessor's Ma /Parcel d` ( ,( s w$ h -tG� vVl ( �� Installer's Name,Address,and Tel.No.g obic v,� S .T� Designer's Name,Address,and Tel.140. - Type of Building: ; Dwelling No.of Bedrooms Lot Size 2. U J sq.ft. Garbage Grinder(t ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date - 1 — o Number of sheets Revision Date p 1 Title. L - 4 u I Q C i1� /U IQO� � U C' 1 Size of Septic Tank S rJO �U� Type of S.A.S. s Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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. Date 8 1?V1 eo 1 ) Application Approved by Date f Application Disapproved by �' Date for the following reasons PermitNo. (5 3 Date Issued ZZ--------------------------------------------------------------------------------------------------------------------------------------- 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 t at S has been constructed in accor ance with the provisions of Title 5 and the fo Disposal System Construction Permit NPj�! c?dated Installer 1�2 11 or �„ , Designer #bedrooms Approved desig�lto —71 gpd The issuance c this p`rmit shall not be construed as a guarantee that the system will i� cf n as designed. Date C Inspector G 7pes --------------------------------------------------------------------------------------------------------------------------------------- No. �r 3 1. Fee ��d THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS ,w Disposal 6pstem Construction Permit Permission is hereby ranted to Construct( Re air( ) Upgrade ) Abandon( ) /^ System located at f &r i r' and as described in the above Application for Disposal System Constructior6ermit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. ' F l Provided:Construction must be co pleted within three years of the date oft ' permit. Date Q� �5 Approv by '1 Bk 28861 PS 188 T20928 05-12-2015 a 1 1 r 12u DEED RESTRICTION WHEREAS,Habitat for Humanity of Cape Cod,Inc. ("Habitat"), a Massachusetts non- profit corporation with an address located at of 411 Main Street, Route 6a, Suite 6,Yarmouthport, Massachusetts, is the owner of 1825 Old Stage Road, West Barnstable, Massachusetts and being shown as Lot 1 (the"Property")on a plan entitled "Plan of Land in West Barnstable, Massachusetts as surveyed and prepared for Habitat for Humanity of Cape Cod,Inc.,"dated March 9,2015 ,made by J.M. O'Reilly&Associates,Inc., recorded with the Barnstable County Registry of Deeds in Plan Book 657 Page 63 (the"Plan"); WHEREAS, Habitat for Humanity of Cape Cod,Inc. as the owner of said lot has agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said 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; WHEREAS,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, State Environmental Code,Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, NOW, THEREFORE, Habitat for Humanity of Cape Cod, Inc. does hereby place the following restriction on his above-referenced land in accordance with his agreement with the Town of Barnstable Board of Health,which restriction shall run with the land and be binding upon all successors in title: 1. The property may have constructed upon it a house containing no more than two (2)bedrooms. Habitat agrees that this shall be a permanent deed restriction affecting the property; For title see deed from James A.Jenkins and Susan L. Jenkins to Grantor, dated April 29, 2015, and recorded with the Barnstable County Registry of Deeds in Book 28831, Page 335. Executed as a sealed instrument,this day of n 6- 1825 Old Stage Road, West Barnstable,MA HABITAT FOR HUMANITY OF CAPE COD,INC. By: Its President By: L G` its Tie surer COMMONWEALTH OF MASSACHUSETTS COUNTY OF Q -JA b� On this_���day of ,20 1 before me,the undersigned notary public, personally appeared Qo v'N I A s I? j r-AVS ,proved to me through satisfactory evidence of identification,which were p./z 11 to be the person whose name is signed on the preceding document,as J k c-s v&t— of the Habitat for Humanity of Cape Cod, :,, Inc.,and acknowledged to me that he/she signed it voluntarily for its stated purpose. MARY E. CAMPBELL Notary Pu 1 c-Print N e: Notary Public Commonwealth of Massachusetts d-`� ry w My Commission Expires: 1,{I My Commission Expires '' ; 4 November 14, 2019 '• COMMONWEALTH OF MASSAC1 USETTS b�Y COUNTY OF uAlt�►J On this l 2 day of /1'lg 1 ,201 before me,the undersigned notary public, personally appeared w; . IZ 1, ,�.�e� ,pro d to me through satisfactory evidence of identification,which were p R�a���J I I+�, be the person whose name is signed on the preceding document, as P,.a s of the Habitat for Humanity of Cape Cod,Inc.,and acknowledged to me that he/she signed it voluntarily for its stated purpose. Notary Publ' -Print Name: u. My Commis ion Expires: 1-1 1 -1 ry .�' r � ► r4 MARY E. CAMPBELL Notary Public rCommonwealth of Massachusetts ` My Commission Expires F" November 14, 2019 %d co •'. �. BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register � I 9' No. VV ao t JC—00 Fee �. ✓ BOARD OF HEALTH TOWN OF BARNSTABLE 0(ppYtcatton _for Vern Con5truction Permit Application is hereby made for a permit to Construct Alter( ), or Repair( an individual well at: L I - I o� ©1a 5- ��. R1 152.E oat, LEI- 1 Location-Address '' Assessors Map and Parcel OZ(815 C&vner J Address Installer-Driller Address Type of Building Dwelling Other-Type of Building No. of Persons Type of Well W .S%Lt V (C Capacity I d qp rv. 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 Certi c to of Compliance has been issued by the Board of Health. Signed 3 2y Date Application Approved By �L S Date Application Disapproved for the following reasons: Date Permit No. Issued Date -------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed( ), Altered( ), or Repaired( ) by 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. IDated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector No. � () t 7 OV Fee �. BOARD OF HEALTH TOWN OF BARNSTABLE 01pprication _for Yell Construction permit La iis+ hereby made for a permit to Construct(�), Alter( ), or Repair( ) r ann individual well at: La i — I 0 s O,A , "65 t \\� a rv.e+r��-�.n � 7 I O- Location-Address Q -rT Assessors Map and Parcel P�n��rc � ��,=�r tat i�w.n�: ► ! (`�C�l�l � _S+� yrn , sr � o2.(815 Owner' Address Installer-Driller' Address Type of Building Dwelling J Other-Type of Building No. of Persons Type of Well 4" S G{u u V�jC Capacity161ul— 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 Certi cate off Compliance has been issued by the Board of Health. Signed y 3 Zy Date Application Approved By y)-\� S Date Application Disapproved for the following reasons: Date Permit No. Issued Date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed( ), Altered( ), or Repaired( by 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. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector - BOARD OF HEALTH TOWN OF BARNSTABLE Vern Construction Permit No. �o D ( � s O 0`� Fee 1, Permission is hereby granted to T�!,p s:ifnCtA WR ; (ItA �l - Installer to Construct(�, Alter( ), or Repair( an individual well at: No. EAco. Scree as shown on the application for a Well Construction Permit No. Dated 0�Date 3 -`pp7 / ( �2 Approved By In 4 l- , .S BARNSTABIE. GENERAL NOTE5: LOT#150IL TE5T LOG5: LOT#15Y5TEM DE51GN CALCULATION5: m IA CONSTRUCTION NOTES: � ma. ;w� a � �W NOfE: 25'WELL SPIBPCK RANT GED BY THE ZONING BOARD Of APPEALS 2'y .sw+� A5 PART OF THE 40D CAMPREMEN5NE PERMR 1 APPROVAL 'q w��/• ��-ixo amee�n>umm Yrm.moerw. '6 niw,rrcmr- rr-ca mm w•mm ury vaawwn¢na✓r��c Of T09GIL uws*rr•¢m wamniuwoa.rrs _ ra Rmb,C UYcmrr[nwu¢avu Ha>. rp/�gtJ.n-.nAe R ,Jraau[,oMmnr•wHr�avumm.,uaraC .�wtii�giei� Nu�'ofiu.c mrt m nw we/>rrt amc ruv,wo ruu x emwm w na ND »..aTW.aea.,R>�T.x.,•oa,�e.ew>m,a� ' / I ......... wNlam omnN s owc 1 B55 OLD STAGE ROAD ., eRMe rRorosm sror canoe PLAN ,awM�. tiK^�••..•.>o.w,�a>e> 4.".1".&m"�8d�7� 2Shc� .. .� pa _ __ 9eR�o: smw.vYraTmcn�noi I ® '( � � 9W[I'-ZO 1O T6L MDI[/BIXUNG ICC nP! ��TnNK raCiM-awrr0ourpJ. I �. 4 9glnb^dVfKN 9MlilA �N�} RBEhID HM HfRate wrv[vwe rraxw,w-.. Kl..�mcurtmo.x w¢m]m.rc,..m MlBrnr RM�1�.�u � ��.�" / �� .� r+' •.�, ® GT01 MSiN mn�n® 1 ® P1R M'DRnHr � � • DR/JN/t uANnIX[ xm.w>.ra•>a• rw®rmrYivan.smr.��^u�� \ / ��' t _�� • ANC�RCOUrID.RMlrm 1 p \ T L / LOT#I w•wrrtar uamu n.amarwvNa h Y / .w 5A5 DETAIL ID 1845OLD 5TAG EROPD x J OO FLOOR PLAN I � DINING Y .., ...._♦- WING �w�w.r ",ami .ti aT i O B® Y zcz. 55�— 1 , ny, PR0P05ED WELL VAULT: FLOW PROFILE: o surr 5 COVERS TOTAL > �ers i rb sT�wRra„� Tne u+our arm oRevaowame FIABITAT FOR HUMANITY OF CAPE COD,INC. P�, ,�i Na�StTn.9urte 4.Y>•o.JpwC Nn D3G'!5 T oo ,/ LOT#I-51 TE 4 SEWAGE DI5PO5AL 5Y5TEM PLAN5 w ermJ � Tn.[N ,�m' T®� .RH4/5 PROPDRY-1819 OID 5TnGe ROM.EVtKaiAB1E.Ala lgikX J.M.O'ReEZY&ASSOCIATES.INCo SEPTIC TANK D-BOX LEACHING CHAMBER —n-«.ss mnw,wmrmrs oa wrtr�m SGte,_p _ yazois nm Message Page 1 of l Wadlington, Ellen From: Schlegel, Frank Sent: Monday, March 30, 2015 9:40 AM To: Wadlington, Ellen Subject: RE: 1819 Old Stage Road, Barnstable Hi Ellen, I discussed this new subdivision with the Housing Group and Assessors. Apparently, the new plan hasn't been recorded at the Registry of Deeds yet! Since the subdivision isn't recorded, we can't work with it. So, until further notice, the prime Map/Parcel must be used. Let me know if you need more on this. Frank -----Original Message----- From: Wadlington, Ellen Sent: Wednesday, March 25, 2015 11:26 AM To: Schlegel, Frank Subject: 1819 Old Stage Road, Barnstable A well driller came in today to pull a file. The lot has apparently been broken up into two lots (Lot 1 and Lot 2). Are these two lots going to share the same parcel number of 036? rEffen]. Wadrington 3/30/2015 y KE �10� Town of Barnstable • BARNSTABM • Board of Health t,S. �a 1639. � � 200 Main Street,Hyannis MA 02601 �erfD MA't Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul J.Cannif&D.M.D. January 29,2015 Mr. Craig Larson Chapter 40B Chairman, Zoning Board of Appeals 1819 Old Stage Road, Two Lots. w b 200 Main Street Petitioner: Habitat for Humanity Hyannis, MA 02601 c/o Ms. Leedara Zola 9gp--d31? !J Dear Mr. Larson: n a ke' During the public meeting of the Board of Health held on January 13, 2015, the Board reviewed the above referenced Chapter 40B and submits the following comments: (1) Separate private well construction permits are required for each lot. Each well shall be sampled for the following chemical and bacteriological standards: total coliform, nitrate-nitrogen, pH, conductivity, sodium, iron, and EPA methods 502.1/503 or 502,2 or 524.1 or 524.2. These tests include analyses for purgeable halocarbons and purgeable aromatics, as well as analyses for petroleum hydrocarbons or pesticides. (2) Separate disposal works construction permits are required for each individual lot. Detailed engineering plans shall be provided for each of the proposed septic systems. (3) No more than two (2) bedrooms are authorized on each parcel. Floor plans shall be submitted to the Health Division prior to the approval of building permits and prior to the issuance of disposal works construction permits. (4) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting each lot to two bedrooms maximum. Copies of the recorded deed restrictions shall be submitted to the Health Agent prior to obtaining disposal works construction permits. St* rly, Wayn °Mlifer,M.D. —� Chaiiinan,Board of Health Q:\WPFILES\1819 Old Stage Rd Cent 40B-Habitat Jan2015.doc EXCERPT FROM THE BOARD OF HEALTH MEETING MINUTES ON 1/13/2015: I. Chapter 40B Review: Leadara Zola, Habitat for Humanity of Cape Cod-- discussion of donated Parcel at 1819 Old Stage Road, West Barnstable (Map/Parcel 152-036). Leedara Zola and Keith Fernandez, engineer with J.M. O'Reilly Co., were present. Leedara said this was a land donation and they are trying to use it in the best possible way and are proposing two lots. Zoning will make the final determinations. Keith Fernandez explained not the neighboring lots had septic information on file so they chose locations for their septic systems and wells which would still allow the neighboring vacant lots to be built upon. Upon a motion duly made by Dr. Miller, seconded by Dr. Canniff, the Board said they will sent a letter to the Zoning Board stating that they reviewed the proposed plan and accept it with Mr. Mc Kean's recommendations: 1) each lot is limited to 2 bedrooms and a deed restriction is recorded at the Barnstable County Registry of Deeds, and 2) plan must be revised to have individual plans for each lot in order to apply for a septic permit, along with their individual well analysis and well permits for each lot, and 3) label the test holes properly on the plan. (Unanimously, voted in favor.) (-,h4„mc^ -Gw o►G L.AW--ON , Page 1 of 1 7 %~ Crocker, Sharon I� 1 From: Leedara Zola [Izola@habitatcapecod.org] Sent: Friday, December 19, 2014 3:21 PM To: Crocker, Sharon Cc: McKean, Thomas; Jenkins, Elizabeth; 'Keith Fernandes'; Vicki Goldsmith; Warren H Brodie �t Subject: Habitat-,1819 Old Stage Road Hi Sharon—Habitat for Humanity has been working with Tom on a proposed project at 1819 Old Stage Road. He suggested we go before the Board of Health for an."Informal Discussion". He offered Jan 13 as a date, and asked that I get you materials in advance. Please see attached letter and sketch plan. Do electronic versions work for you, or would you like me to provide full size print outs?We are happy to drop off hard copies if this is easier for your board. Please e-mail or call if you have any questions. Thanks;we appreciate your help and are looking forward to another great Barnstable build. Habitat is on a roll in Barnstable; we had a great project on Ginger Lane that was a donated parcel, we are currently building on Sesame Street that was a land purchase funded by Community Preservation, and now we have this amazing land donation at Old Stage. - leedara Leedara Zola Land Acquisition and Permitting Habitat for Humanity of Cape Cod Izola@habitatcapecod.org cell: 508-280-6144 Building Homes, Hope, Lives and Community 12/19/2014 c • • • Habitat for Humanity of Cape Cod 4 411 Main Street Suite 6 • Yarmouthport, MA 02675 • 508-362-3559 www.habitatcapecod.org Barnstable Board of Health 200 Main Street Hyannis, MA 02601 December 19, 2014 Dear Board: Habitat for Humanity has received a very generous donation of a 44,811 square foot parcel of land located at 1819 Old Stage Road, Barnstable. We are in the process of permitting two affordable community homes on this property under Massachusetts General Law Chapter 40B. We would use the 40B Comprehensive Permit process to request certain waivers to local by-laws so that we could create two separate lots. We have received the support of the Local Housing Partnership, the Town Manger has signed our Department of Housing and Community Development (DHCD) Local Initiative Program (LIP) Comprehensive Permit application, and the state has performed their site visit. We expect to receive our Comprehensive Permit Project Eligibility Letter either late December or early January, and look forward to submitting to the Barnstable Zoning Board of Appeals. As part of this process, we will be requesting waivers to Chapter 397, Wells. Specifically we will be Requesting a waiver from the requirement of 40,000 square feet of buildable land for the installation of a private water supply and private sewage disposal system and we will be requesting a waiver from the requirement that a private water supply and a septic leaching facility be located with at least 150' separation (Section 397-2 and Section 397-8). See attached "Preliminary Well &Septic Sketch Plan". In speaking with the Health Director, he recommended an "informal discussion" before the Board. We will be reserving our rights under MGL Chapter 40b, and it is the Zoning Board in this process that grants the waivers, but are happy to present our proposed plan for discussion, and appreciate the input we will receive. We were told there could be availability on the January 13t" 3 pm meeting, and had asked to be placed on that agenda. Habitat is known for our "sweat equity" program where our buyers work on their own homes. We also partners with our communities, seeking donations of materials, professional services, and labor. Habitat works to create a collaborative spirit where a whole community can be actively involved in helping to address the affordable housing crisis. We are an experienced developer, having created 86 affordable Cape homes since our founding as an affiliate of Habitat for Humanity International in 1988. We are well on our way to 100, and hope that the two Old Stage Road homes will be part of this number Sincerely, L_w a Leedara Zola, Land Acquisition and Permitting RESIDENTIAL(RF) UIFER PROTECTION DISTRICT(AP) / CTION OVERLAY D15TPJCT(RPOD) I 1855 OLD STAGE ROAD / 87,120 5F-t Exn / PLAN 150 FEET W"4I, 30 FEET / SCALE 1-30 15 FEET 30 FEET OR 2.5 5TORIE5 G / �P 5 A SPECIAL FLOOD HAZARD ZONE 1'�y 3URANCE MAP#25001 C0534J ZAL HERITAGE AND ENDANGERED / \ :AS OF ESTIMATED HABITAT5 OF \ /� ,13ITAT5 OF RARE SPECIES UP#138 \\ / LOT#1 0 \ / Ar-22,039 SF± Q \ :SIGN CALCULATIONS: LOT #2 SYSTEM DESIGN CALCULATIONS: /� SEWAGE DESIGN FLOW: 2 BED M I G®I I O GPD-220 GFD LEACHING CAPACITY REQUID: tEQUIRED BEDROOMS E (MAX.).)@)1 GPD-220 GPD REQUIRED DEED RE5TRICDON WILL Sr REQUIRED SEPTIC TANK CAPACITY REQUIRED: \ �/ f ADO" O SQUIRED DAILY =22 PD o -440 GAL REQUIRED SEPTIC TANK CAPACITY PROVIDED: ,,n �Ot'NYr PROPOSED ZA S� I 1500 GALLON SEPTICTAN MIN.ALLOWED) e"� NG __WELL LEACHING CAPACITY PROVIDED: -K CAN H ONE(1) X 1 X . LEACHING CHAMBER CAN LEACH' 1845 OLD 5TAGE ROAD I /� ))21 X 0.56 GP05F-264.36 GPD Vt=)(25 X 12,83)+(25 X 2.0)2+(12.63 X 2.0)21 X 0.56 GPD5P=264.36 GPD TO S, �9•� ' 264 GPD>220 GPD REQUIRED VACANT I WITH THIS DESIGN. NOTE:A GARBAGE DISPOSAL 15 NOT PERMITTED WITH TH15 DESIGN. I I Z5 tls INSTALL: E—(1)--1500 GALLON SEPTIC TANK \ Z ID2 .T `^ 1800 OLD 5-1ted) ONE(1).3 OUTLET DI5TR)BUTION BOX(H-20 Rated) Z 2 4'OF STONE ALL AROUND TWO(2)-500 GALLON LEACH CHAMBERS WITH 4'OF STONE ALL AROUND - R „pNS_5 ZG LOT#2 N A-22,773 5F3 m 1 / {{ C"In NG NG Rcn IN i 14 _OG5: LOT #2 SOIL TEST LOGS: \ \ \ �Q\`' TEST HOLE I:EL-57.0z /�,9. 501L 501L OTHER DEPTH FROM SOIL SOIL SOIL SOIL OTHER \ �64-• TO PRIVATE COLOR MOTTLING SURFACE HORIZON TENURE COLOR MOTTUNG (MUN5EW (INCHES) NSDN (MUN5EW \ ONE 0.' A ND NONE IGYR NONE 6-2 LOAMY FI AND NON `) \ I OYR 2 NONE 25-121' 1 LOAMY FINE SAND NONE TIGHT N r� TF�fe{ 2/0 2 O POSED DRIVEWAY NONE PE 6T TEST HOLE 2:EL-570S \ %w �.` '� ' fd IN /CCC/// BE ROOM a DEPRi FROM SOIL 501E $OIL SOIL OTHER \ �� '!.� DWELLING SURFACE HORIZON TEXTURE COLOR MOTTLING yP-I` ny (INCHE51 (U5DN (M.&_U CCOOLOR MOTTLING OTHER O-6' AMYSAND NONE \ p L_,� (MUNlLU - SAND NONE IDntl NONE 25-121' 1 AMY FIN AN I NONE N TEST HOLE3:El-57.0 398 WOOD51DE ROAD 612 NONE DEPTH FROM 50(L 501L SOIL SOIL OTHER PRO 05ED NONE PE M SURFACE HORIZON TIXfI1RE COLOR OTRING NONE (INCt1ES) NSDN (MUNSEW ' 0-6- A SOIL SOIL OTHER 2-32' B LOAMY FINESAND NONE COLOR MOTTLING 32-132' 1 AMY FIN AND 1 NON TIGHTIN I / (MUN5EW ` OYR 3 NONE TEST HOLE 4:EL-5CIL 0± NONE SDEIRFA[PM Q"t HOPJZON 70 IRE COLOR MOITNNG OTHER / GK o / -YR NIL IAJC (INCHES) NSDN IMUNSEW LL�jE(0A I 1 785 OLD STAGE ROAD UP#zs-136 IOYR 610 NONE 0.6" A OAMY AN I NON / \Sa I \ VACANT / NONE I G32' 1 13 1 LOAMY FINE SAND I IGYR NONE - 32-132' 1 Cl IIOAMYFINF5AND I I CYR NONE TIGHT IN PLACE 501L SOIL OTHER DATE OF TESTING: 11/25/14 Existing COLOR MOTTLING PERCOLATION RATE: I5 MIN/INCH IN'C2'LAYERS. W411 / (MUNSEw WRNF55ED BY:KEITH E.FERNANDE5,PE,J.M.OREILLY{ASSOCIATES,INC. / \ m NONETER N a \ DONNA MIORANDI,AGENT,BARNSTABLE HEALTH DEPARTMENT I NONE NO DONNA RATE I OYR NONE USE A LOADING RATE OF 0.56 DUE TO SOILS FOUND IN TEST PITS FOR LOT#2 / NONE \ O NONE 3 YER5. / )'REILLY{ASSOCIATES,INC. W5TABLE HEALTH DEPARTMENT )UND IN TEST PITS FOR LOT#2 1 F� r�ti Town of Barnstable. Growth Management Department a BARNSTABLE, Zoning Board of Appeals BAMSTABLE i63q ♦0 �fO MAC a 1535-io,a www.town.barnstable.ma.us/zoningboard January 5, 2015 Wayne Miller, Chair Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Re: Comprehensive Permit (40B) for Habitat for Humanity: 1819.JOld Stage Road, West Barnstable Dear Mr. Miller: Enclosed is a copy of a Comprehensive Permit request (No. 2015-006) filed with the Zoning Board of Appeals by Habitat of Humanity of Cape Cod, Inc. The request is to construct two, single-family, two bedroom dwellings, each on an approximately half-acre lot. The affordability of the two units will be preserved in perpetuity via a Department of Housing and Community Development Deed Rider. The Applicant is requesting waivers from the minimum lot area requirements of the Zoning Ordinance to divide the existing parcel into two lots. The Comprehensive Permit process designates the Zoning Board of Appeals as the local permitting board. In accordance with 760 CMR §56.05(3) you are invited to participate in the Board's review of this permit. Should you find you need more information, please don't hesitate to contact me. The public hearing is scheduled to be opened on January 28, 2015 at 7:00 PM in the Hearing Room located at Town Hall, Second Floor, 367 Main Street, Hyannis, MA. Comments may be provided to the Board and will.be read into the record at the hearing. Please submit comments to me by January•14, 2015. On behalf of the Board, thank you for your participation and assistance.. Respectfully, Elizabe Je i ICP - Principal planner Growth Management Department elizabeth.jenkins@town.barnstable.ma.us 508-862-4736 cc: Thomas McKean, Public Health Director • • Habitat for Humanity p of Cape Cod 4 411 Main Street Suite 6 • Yarmouthport, MA 02675 • 508-362-3559 www.habitatcapecod.org Barnstable Board of Health 200 Main Street Hyannis, MA 02601 December 19, 2014 Dear Board: Habitat for Humanity has received a very generous donation of a 44,811 square foot parcel of land located at 1819 Old Stage Road, Barnstable. We are in the process of permitting two affordable community homes on this property under Massachusetts General Law Chapter 40B. We would use the 40B Comprehensive Permit process to request certain waivers to local by-laws so that we could create two separate lots. We have received the support of the Local Housing Partnership,the Town Manger has signed our Department of Housing and Community Development (DHCD) Local Initiative Program (LIP) Comprehensive Permit application, and the state has performed their site visit. We expect to receive our Comprehensive Permit Project Eligibility Letter either late December or early January, and look forward to submitting to the Barnstable Zoning Board of Appeals. As part of this process, we will be requesting waivers to Chapter 397, Wells. Specifically we will be Requesting a waiver from the requirement of 40,000 square feet of buildable land for the installation of a private water supply and private sewage disposal system and we will be requesting a waiver from the requirement that a private water supply and a septic leaching facility be located with at least 150' separation (Section 397-2 and Section 397-8). See attached "Preliminary Well &Septic Sketch Plan". In speaking with the Health Director, he recommended an "informal discussion" before the Board. We will be reserving our rights under MGL Chapter 40b, and it is the Zoning Board in this process that grants the waivers, but are happy to present our proposed plan for discussion, and appreciate the input we will receive. We were told there could be availability on the January 13th 3 pm meeting, and had asked to be placed on that agenda. Habitat is known for our "sweat equity" program where our buyers work on their own homes. We also partners with our communities, seeking donations of materials, professional services, and labor. Habitat works to create a collaborative spirit where a whole community can be actively involved in helping to address the affordable housing crisis. We are an experienced developer, having created 86 affordable Cape homes since our founding as an affiliate of Habitat for Humanity International in 1988. We are well on our way to 100, and hope that the two Old Stage Road homes will be part of this number Sincerely, L_wt 0_1 Leedara Zola, Land Acquisition and Permitting APPLICATION FOR A COMPREHENSIVE PERMIT MGL Chapter 40B, Sections 20-23 and 760 CMR 56.00 Applicant: Habitat for Humanity of Cape Cod, Inc. Site: 1819 Old Stage Road, Barnstable Project Name: Old Stage Road Community Housing Date: December 23, 2014 WAIVERS REQUESTED: Habitat for Humanity of Cape Cod, Inc. requests the following waivers from local code and regulations in order to promote the creation of affordable housing. Code of the Town of.Barnstable, Chapter 240, Zoning §240-7Application of district regulation: request waiver from the requirement of conformance to district regulations. Request waiver from one-acre minimum lot area requirement of the RF District and the two acre minimum lot area requirement of the Resource Protection Overlay District. Request waiver from lot shape factor requirement of 22 or less. §240-14 RC-1 and RF Residential Districts: request waiver from the requirement subsection E, Bulk Regulations, Minimum Lot Area. Code of the Town of Barnstable, Chapter 397, Wells §397-2 Building Prohibited; location restrictions: request waiver from the requirement of 40,000 square feet of buildable land for the installation of a private water supply and private sewage disposal system. Request waiver from the requirement that a private water supply and a private sewage disposal system be located with at least 150' separation §397-8 Requirements for wells intended for human consumption; well location: request waiver from the requirement that a private water supply and a septic leaching facility be located with at least 150' separation I` , MT- r a ` S i y _ a _ + ` _ ::t 9` -•w' F4'lyf �` ir' �w'T� T-_�."s...R $jii•¢ �j ' .e+' �S.^�.M�Lwd�.� .�5 �r ""'I'.:ia'!�ri trrvL ."•.4_ �� � } y�Yj � 5 7 � Ay+N• .t w�.�gy+F'��:'P �S .� �tli .aql+� .�T .. ..1...r .. f 4YoFi�ii2ys. . Page: 1 of 1 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory (M-MA009) Report Prepared For: Report Dated: 4110/2015 Sally Desmond Desmond Well Drilling Order No.: G1586169 P O Box 2783 Orleans, MA 02653 i Laboratory ID#: 1586169-01 Description: Water-Drinking Water Sample#: Sample.Location: 1819 Old Stage Rd,W Barnstable Collected: 04/09/2015 Collected by: customer Lot 1 Received: 0 4/0 912 0 1 5 Routine_M { ITEM RESULT UNITS RL MCL METHOD# ANALYST TESTED NOTE Nitrate as Nitrogen 1.5 mg/L 0.10 10 EPA 300.0 LAP 4/9/2015 i Iron 0.23 mg/L 0.10 0.3 EPA 200.8 KK 4/10/2015 j Manganese 0.0082 mg/L 0.0030 0.050 EPA 200.8 KK 4/10/2015 i pH 6.2 PH AT 25C NA 6.5-8.5 SM 4500-1-1-13 DCB 411012015 i Sodium 15 mg/L 0.10 20 EPA 200.8 KK 4/10/2015 Total Coliform Absent P/A 0 0 SM 9223 RG 4/9/2015 Conductance 120 umohs/cm 2.0 SM 2510E DCB 4/10/2015 Water sample meets the recommended limits for drinking wafer of all the above tested parameters. Attached please find the laboratory certified parameter list. Approved By: (Lab Manager) �S/? C:) J I i } ii ` A 3 ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6606 'O��pFligk�r�.1 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory ,(M-MA009) Recipient: Sally Desmond Matrix;' Water-Drinking Water I Desmond Well Drilling Sampled: 04/09/2015 11:00 E P O Box 2783 Received: 04/09/2015 16:29 f Orleans, MA 02653 Collection Address: 1819 Old Stage Rd,W Barnstable Order#• GIS86169 Sample Location: Lot 1 Description: Contract#: Month Lab ID: 1586169-01 Date Analyzed: 4/10/201S @ 14:44 Sample#: Analyst: yn Method: EPA 524.2 Dilution Factor: 1 Comment: Water sample meets the recommended limits for drinking water of all the above tested parameters. 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 IChloroform 2.1 80i 0.50 Chloromethane ND ' 0.50 ,(cis-1,2-Dfchloroethene ND 70 I 0.50 _ _L_. ..-._-.- Vinyl chloride ND i 2.0 0.50 v�.cis-1,3-Dlchloropropene ND 0.50 Bromomethane ND 0.50 1Dibromochioromethane ND I 0.50 1,1,1,2-Tetrachioroethane ND 0.50 I l Dibromomethane ND 0.50 1,1,1-Trichloroethane ND zoo 0.50 Ethylbenzene ND 700 0.50 1,1,2,2-Tetrachioroethane j ND 0.50 Hexachlorobutadiene ND I 0.50 1,1,2-Tdchloroethane i ND s.o 0.50 lIsopropyibernzene ND 0.50 1,1-Dichloroethane ND 0.50 (Methylene chloride ND j 5.0 0.50 1,1-Dichloroethene ND 7.0 0.50 Methyl-tert-butyl ether 5.7 0.50 l,i Dlchloropropene ND 0.50 Naphthalene ND 0.50 1,2,3-Tdchlorobenzene ND 0.50 n-Butylbenzene ND 0.50 1,2,3-Tdchloropropane ND 0.50 n-Propylbenzene NO 0.50 1,2,4-Tdchlorobenzene ND 70 0.50 p-Isopropyltoluene ND 0.50 1,2,4-Trimethylbenzene ND 0.50 sec-Butyl benzene ND 0.50 1,2-Dibromo-3-chloropropane NO 0.50 Styrene ND 100 0.50 1,2-Dibromoethane(EDB) NO o•5o tert-Duty]benzene ND Mo 1,2-Dichlorobenzene ND 600 0.50 Tetrachloroethene ND 5.0 0150 1,2-Dichloroethane ND 5.0 0.50 IToluene ND 1000 0150 1,2-Dichloropropane ND 1 0.50 Total xylenes ND 10000 0.50 1,3,5-Trimethylbenzene NO 0.50 trans-1,2-Dichloroethene ND 100 0.50 1,3-Dichlorobenzene ND^ 0.50_ trans-1,3-Dlchloropropene ND o.50� 1,3-Dichloropropane ND 0.50 Trichloroethene ND 5.0 0:50 1,4-Dichiorobenzene ND 5.0 0.50 Trichlorofluoromethane ND 1 0.50 2,2-Dichloropropane ND 0.50 0 0 Surrogates /o Recovered C Limits /o 9 Q 2-Chlorotoluene ND 0.50 - ----- 4-Chlorotoluene NO 0.50 p BromoFluorobenzene _ 8_90% 70 1 130 1,2-Dichlorobenzene-d4 79�/a i 70 130 Benzene ND Bromobenzene ND 0.50 Bromochloromethane ND 0.50 Bromodichloromethane ND 0.50 Bromoform ND 0.50 Carbon tetrachloride _ ND 5.0 0.50 Chlorobenzene NO 100 0.50 Chloroethane NO 0.50 GJ/LGr7 Attached please find the laboratory certified parameter list. Approved By. (Lab Director) ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 Page 1 of 1 Town of Barnstable P# I Y S T5__ TIN Department of Regaiatory Services Public health Division Date ;> MAE& 039. 200 Main Street,H unnis MA 02601 10- �ATfI)Mh'1 A r .�� jff Date Scheduled— 9 Tune Fee Pd, I Soil Suitability Assessment,for Se is ® a Performed By:. I� (�I/\ �r 1��eS Witnessed By: LOCATION& GENERAL INFORMATION Location Address Owner's Name 11619 014 V_Q�j _ � l� Wer-f"641 5leX /Vtq` Address q11 Ma-,n %o { 5(Alp- Assessor's Map/Parcel: l$. Engineer's Name��lM Fi PG(T��� 0 ZG7 ;Y i. Fe one..,Gle S NEW CONST`RU'CTION 2C REPAIR Telephone# �`U�-v% O.i Land Use V t CC,,1 t' Slopes(3'0) Surface Stones .. Distances from: Open Water Body ?J(C ft possible Wet Area 1-1�ft Drinking Water Well'716Z) ft Drainage Way > / mot/ ft Property Line / ,. ft Other_. /A- ft SICETCH:(Street name,dimensions of lot,exact locations of test holes Pere tests,locate metlands in proximity to holes) SJ�iJi sio�/A Per c, NS67 C �TP3 Parent material(geologic) &1t CIG. / Depth to Bedrock /A- Depth to Groundwater. Standing Water in Hole: Weeping froin Pit Fpce Imo/ Estimated Seasonal High,Groundwater N�j(G,.,n�t,/t;-�� P Gsy��►Cl�� DETERMINATION FOR SEASONAL-HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole! In. Deptli to soil mottle[: ]tj, Depth to weeping from side of obs.hole: in. ©roundwater Adjustment ft. Index Well# Reading Date: Index Well levol Adj,}hctor. e Adj.Croundwilter Level _ PERCOLATION TEST >nate,l"Z 1,X%n0 'L-...�.0 Observation -7� Hole# Time at 9" Z�-�Z c b-�Z tr �� r C� Depth of'2erc -7o / _� The at 6" (0 -S S C3 Start Pre-soak Time @ G Time(9"-6") .�`S 3 J• 7 End Pre-soak f I S l Rate Min.fluch l�Pin�n [�d�_ Site Suitability Assessment: Site Passed _ Site Failed: Additional Testing Needed(Y/N) --_ Original: Public Health Division Observtition 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:\S EPTIC\PBRCFORM.DOC ,4 s DEEP-OBSERVATION DOLE LOG Hole# Depth from Soil Horizon Soil Texture .Sdit Color Soil - Other Surface(in:) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. onsistency.%aravel)_ o 3% _t Z 5,n4 jo DEEP OBSERVATION HOLE LOG hole#_ — Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in_) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsisten % ra Z S-l ��►`"'' `r"e� d � � -��- ,n ate., S DE OBSERVATION HOLE LOG Hole,# _ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) --�o ..4 .VIV (o`3Z S4'i C' Sl Wt DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency. • � Sup � 1 3 2 - L� Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary NoK Yes Within 100 year flood boundary No.x Yes ]Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervio s matertaI 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 101 Z J (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 training,expertise and experience described in 10 CMR 15.017. v Signature Date 12 z 3 1 Q:\SEPTICkPERCPORM.DOC June f, Town of Barnstable Geographic Information System 153025 15303G #134 153023 153Q15 #1095 #1 G4 153014 #238. 129004002 153028 #220 r #188 163016 153035 #1051 153037 153019 �� #24G .129012 #10G5 #0 #153 153001 ? 41 #1881 v Fes^ # 513 153D3^o $t� �: 152015i #1126 f(r #227 128039 &�#60 152033001 #250 152033002 #1135 152035001 � #1855 ® 15201G 122004010 152033003 e n #275 #82 #0 �i 152058 �- 162035002 _ #94 #184� �x 128004009 ° 15218 001 152059001 152035003 © #180D JEN #240 #G 49 162019 152036 128004011 #376 #1819 152020#67° 152018 1^a19 V #360 #398 1 152010230508 1#G QO r o0Q4012 152059 £ply 'Sg 152038 152003009 #45 #225 ! o g�gg #1784 #1301 162031 A 71 152032 152004001 152608 o #36 1 #389 #1770 #1347 152�021 � • 12SOD4017 #332 152004002 #1754 1 # #0 152029�r �� 152030 � 12^o004D14 #329 #170 1520D4003 1 412 a, c 162009 #91 1.4. 1�39 #174A #0 128004016 #304 162002WOO #1753 #p 41 �� #1785 152005 152010 152056 152428 152027 #159 #0 #1650 #28 128006 #307 152013W00 #1640 #.286 152055 152004004 152026 152041 152040 #1720 #29, 128007 -44 0 #291 #24 #8 152054 # % I A 152006 0 G 15104 #23 1�?8S�• 152025�' 152042 0 J #0 #264 #275 #42 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:152 Parcel:036 Selected Parcel ® h� boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:JENKINS,JAMES A Total Assessed Value:$136000 ? 1"=100'may not meet established map accuracy standards. The parcel lines on this map Acreage:1.21 acres Abutters Co-Owner: Abutters :.+•. are only graphic representations of Assessor's tax parcels. They are not true property 4 boundaries and do not represent accurate relationships to physical features on the map Location:1819 OLD STAGE ROAD Buffer " such as building locations. J z Island • ` °� A gro �9 � e lSF7--P 4Sf Ct Creek I \� Imo` . P� icls'' Ua ^AV gco'� �•J �� Isla'Ifd �� AV VISTA 14 Creek L 9 S'ith P Great Marshes 3 40SCORTON �y HILL 6A w _ o 4 W h �,� �j _ t eeceec 9NwAY cp<pNy V ANG� '�pMP QOQ°°s ®PAPS W S F BE) �- eV `� ✓DS/qH �Q ��`�9 0 ��j0 0�°2 � �2F �� Qso =���Po =�? -- pAl S 11h, y T J wpGpH O� Q�� lo�B Ce r •NP��`0��y'� �P oQ``� °ogpo� � �o Q ti �'�° �� 9 , OCT CRTfB O �o 149 a s _ 4 �HD�e 4VI co WEST 200ARNSTABLE '0OU ®�OOfC�p4q o m �� � West arm h �� 6A c ®�oAv Y �y� Meetin use QA4 �® `IY CROOVCED titi RD ARTWp CyUycy HOUTE P yooTF kF y � ��a yy F � A QP oG P St McCORMICK pR = e 011. A� En No q 0� a 6D0 Q �SF�G p�rF Pond. ®� Q VN 6 Bj ��0I Sp T�,Hill POND 0D moo 149 11014 01TINGB Q°QO OP7p 4`°PATH y�c w LA Q E Y °oe e DR ° N CLAY HILL Cape Cod r y�o RD QQ �pV } Airportc 6 0 AY ,L � pDD TALLION OLISA� t•T,IV . � C NRERRY U \off P� WAY WAY o e Olde Barnstable oy �\� a - A e a tl�n yr spy Fairgrounds m °° °°P° 0 �KNESS HOLDEq LA yo ftD g c Q o Q Golf Course N GHa\�Q� NpNE 9�wA 3y .rHON yoF R�QF o 5 JOINS PAGE 17 OARROW MAP,INC Town of Barnstable �pINE r Regulatory Services Richard V. Scali,Director * BARNSTABLE. : Public Health Division y MASS. �bAr�p �am Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-962-4644 Fax: 508-790-6304 Date:. 7— g`(-1 Sewage Permit# &65-/3 Z Assessor's Map/Parcel L 6-7- Installer , Installer& Designer Certification Form 40 -6� e�cAgt S,lac, Installer: Designer: 1 K ' 1 Address: ! D . �x 1775 Address: PC Go .13 ir U c• _ 1 On 2 o 5 &xti 1214wzi,Was issued a permit to install a (date) installer) ti septic system atL a� s e goo based on a design drawn by (address) �� �"" 4 kSz� dated —3 —,f-Za/6- (designer) fl A 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, I certify that the septic system referenced above was installed with major changes (i.e. i 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. I certify that the system referenced above was constructed in compliance with the terms of the UA approval le rs(if applicable). CAI ,'�-44 I u F IVA, kA�. o JOHN M. cGr>` (Installer's Signature) O R`ILLY h c� CIVIL NO. 36200 �t�� U//��'esigner's Sig (Affix Desi NA PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISI�O� CRTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAofce formsWesignercertification form.doc i Town of Barnstable Board of Health 200 Main Street,Hyannis MA 02601 Once: 508-8624644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi January 29,2015 Mr. Craig Larson Chapter 40B Chairman,Zoning Board of Appeals 1819 Old Stage Road, Two Lots 200 Main Street Petitioner: Habitat for Humanity Hyannis,MA 02601 c/o Ms. Leedara Zola Dear Mr. Larson: During the public meeting of the Board of Health held on January 13, 2015, the Board reviewed the above referenced Chapter 40B and submits the following comments: (1) Separate private well construction permits are required for each lot. Each well shall be sampled for the following chemical and bacteriological standards: total coliform, nitrate-nitrogen,pH, conductivity, sodium, iron and EPA methods 502.1/503 or 502.2 or 524.1 or 524.2. These tests include analyses for purgeable halocarbons and purgeable aromatics,as well as analyses for petroleum hydrocarbons or pesticides. (2) Separate disposal works construction permits are required for each individual lot. Detailed engineering plans shall be provided for each of the proposed septic systems. (3) No more than two (2)bedrooms have authorized on each parcel. Floor plans shall be submitted to the Health Division prior to the approval of building permits and prior to the issuance of disposal works construction permits. (4) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting each lot to two bedrooms maximum. Copies of the recorded deed restrictions shall be submitted to the Health Agent prior to obtaining disposal works construction permits. Sincerely, Wayne Miller, M.D. Chairman,Board of Health QAWPFILES11819 Old Stage Rd Cent 40B-Habitat 1an2015.doc r s Town of Barnstable P a � ¢*' �.KKE. Department of Regulatory Services �r ! : BARNSI'A13M: Public Health Division pp�� Date 10/28/2014 WFA 9 MAS3. .67q. �e 200 Mai Street,Hya nis MA 02601 °rEo M(i1 Date Scheduled �'J Time Fee Pd. 0 n Soil Suitability Assessment fog'S iS V�. Performed By: ►.�!A% �/�(M. a Witnessed By: 0 LOCATION&c GENERAL INFORMATION Location Address Owner's Name Habitat for Humanity C co 1819 Old Stage Road 411 Main Street,Suite 6 West Barnstable,MA Address Yarmouthport,MA 02675 Assessor's Map/Parcel: 152/36 Engineer's Name Keith Fernandes NEW CONSTRUCTION X REPAIR Telephone# 508-896-6601 Land Use C-c-c-'147 1 Slopes(%) Surface Stones � . ` Distances from: Open Water Body > w ft Possible Wet Area !a n Drinking Water Well G�ft I Drainage Way /(CV ft Property Line >10 ft Other_ -/14 —ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) PC0963(4 See rN # �r s� hole on4q Lk.0 w� a pi LC4- 4Q, LCAV Parent material(geologic) 610C'CA 1 Depth to Bedrock Depth to Groundwater: Standing Water in Hole: /"C Weeping from Pit Face X1 Estimated Seasonal High Groundwater J)U G(L�.1n�1�G / EA Cc, M4f rQcl, DETERMINATION FOR SEASONAL'.HIGH WATER TABLE is Method Used: ? Depth Observed standing in obs.hole: in. Depth to soil mottles: in t'&9 Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_ PERCOLATION TEST DateIf ZS Time �3fJ Observation 1. /�� q r 3 1 Hole# Time at 9" r r Depth of Perc 7 Time.1 1" 2.2 �� J, Start Pre-soak Time @ 0 Time(9"-6") End Pre-soak 1 RateMin./Inch �c � Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) • TT 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:\SEPTIC\PERCFORM.DOC DEEPOBSERVATION HOLE LOG Hole Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel 6 R Log.0 1yy23 y _y- G 6 z 6 (2c C, r DEEP OBSERVATION HOLE LOG Hole'# Depth from Soil.Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel G �. �. d _1042-7191, 33- C S' c'v e o 40-6 z DEEP OBSERVATION HOLE LOG Hole# Depth from Sol Horizon Soil Texture Soil Color Soil Other Surface in.) (USDA�Vjj (Munsel) q3f ottling (Structure,Stones,Boulders. YL' Consistency,% ravel 6-ZG lnAA ,d 2�� G- co,v-1 16A2�Z yZ-f� c� [mac,^y ��caY� 7 10 Y� I +DEEP„OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel (9-6 La ZG C'Me 2v—N2 tc-pybe" cyt2 36-►LT (_-7 C=,ne S f Gym Flood Insurance Rate Man: Above 500 year flood boundary No [IYes Within 500 year boundary No L� Yes - Within 100 year flood boundary No/� Yes g Death of Naturally Occurring Pervidus 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? Xes If not,what is the depth of naturally occurring pervious material? Certification , I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environ ntal Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. / ) SignatureoL Date i 311 Q:\SEPTIC\PERCFORM.DOC Town of Barnstable Geographic Information System June`r 153036 153025 � #1095 #134 153023 153015 129004002 #1 153014 #238 153028 #55'� 153035 hj� �� #188 #,�0 153016 129D12 41051 153037#1065 1 #019 ®C„?� ��s� #246 #153 `79"40 153001 129013 #1881 0"Q,�y #151 153038eSr �� #1125 G ����s ��r�s 1#?27� 128039 #60 162033001 -4 #250 152433002 #1135 152035001 M ® #1855 0 128002 152033003 m #82 •#p 152016 #275 152058 #94 152035002 #1845 128004009 #66' 152059001 152003001 JEN #240 152035003 0 �#1800 152019 #6 128004011 #376 152036 152020 152018 #1819 ® �yF #360 #398 '1V152003008 152007 2S004012 152059 ®0 #1285 #630 #45 #225 A m eSibFRp # 784 152038 152003009 +Q� #1301 152031 152032 ® o #361 #389 V152004001 #1770 152008 16220021 #1347 128004017 #332 152004002 / #Y 152029 $ 152030 W54 1�0011 128004014 #329 f #1�='� 152004003 152012 #91 o 152022 Z 15'42039 #1740 # 1#0009 -#0 128004016 #304 152002WOO #1753 1 #1785 152028 O 152005 152010 162027 #159 #0 #1650 15205G 128006 #307 #28 #,28G 152013W'00 1520�6 #1640 � 152004004 152055 #291 152041 152840 #172i) #29, 12#8007 � id�111"'� #24 #8 152006 152054 1��,� 152025® 152042 = l #0 151047UVQ0 #23 #264 #275 #42 #0 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:152 Parcel:036 boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel 1"=100'may not meet established ma accuracy standards. The parcel lines on this mapOwner:JENKINS,JAMES A Total Assessed Value:$136000' Y P Y P �!� � :fa are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:1.21 acres � Abutters boundaries and do not represent accurate relationships to physical features on the map Location:1819 OLD STAGE ROAD ' such as building locations. Buffer s PIONRD11's Island iQFish tPe, slar>Td k�AV W/CKSL/a Islan All VISTA Lq Creek S, zth . Great Marshes 0 0 SCORT n' ON /9 o o ao -,�, e 0 = HILL 6A w 9 w ' Z a20p poC p rT p hj 6 SlD4 E CNAL �' > ST o � f7� creek ) 3- /�' 9O RISH GP cl o NP Cp Q� o� B EY WAY <oNy ANGF, SUMP oQ°3 PA W RO o ' s�o ✓p Al. �� v2 FT AZ SrgH, p i Pq� q9 99i ,kill 5 SH o � �� cgOFS PGY� 5 Wet aP � sfiable`°�Oo °O c�T9 U�NRp9ogyy4 $ OQ��y OQpypp 9ggp CB O OCT R C��k ®moo MPQ�E �� CR S G Qa® ��v �• 149 s® Q 5 s -zoo po e cRooKEo 0 o WEST °TF SARNS i ABLE West ari h �w 6A o Meetin use °o ® �� qY CROOKED yti RD P ARTW 9 cHpHC H ROUTE SP g� MCCORMICK ST < s f � ff 5 Q DR ond. � NO ,JL``Op A`p� �� �®e� oo �sFq A'tiF P 6� ST =L ®� e p'YF Mao Sap4,Hill POND ® ®®0 149 �S °qo roe Hod OTTINGS �® Q�QO Opp �°�pATH �P w � LA E Y DR Cape Cod ,® �o y�o°°e RD �QPc°�� em CLAY HILL y Airport ° _ W c�� 6 0 pp0 TALLION ODS C NBE V� p Q0 WAY WAY 9 r oOfl 4� Olde Barnstable 0°° N o�� ° Fairgrounds y�o GOP o EAKHESS HOLDER LA ° q o 5 Golf Course w EE Go°P 5 6 JOINS PAGE 17 8 ©ARROW MAP,INC WINDOW SCHEDULE NUMBER QTY CODE MANUFACTURER COMMENTS 36'-0" W01 7 244DH2449 ANDERSEN U.30 S.29 7'-10" 8'-9 3/4" 4'-8 1/4" 10'-3" E 4'-5" W02 1 A21 ANDERSEN U.28 S.31 0 W04L Wp W03 2 AN41 ANDERSEN U.28 S.31 W04 1 CN235 ANDERSEN U.28 S.31 DOOR SCHEDULE -7 4' 6 1/2" 5'-4" - 8' 10 1/2" NUMBER'QTY WIDTH HEIGHT CODE COMMENTS 13'-8" 2'-1 D01 1 32 " 80 " S210 U.16 _ D02 1 36 " 80 " S262 U.28 CO D03 1 36 " 80 " S296 U.17 00 N (V 03 T Bedroom , T 160 sq ftffi p p= 18'-9" 1 V-7 1/2" 9'-0" -15'-4 1/2" 7'-7 1!4" 21068 4'-0 X 8'-0 o • N I r DO o WOOD STOOP w D N T C° T N - p CD O rn COo I N M - N (O O N �J M 0 bo 0 V-7" 7'-0" N 3'-7" 7'-6 1/2" 14'-2 1/2" 22"X3o°Scy� b ° Livi439Kq fthen l 5'-6" 0 1468 21068 S r _ co Ch N zo (O 2'-3 1/2" °o 5'-0" 7'-5" 2'-1" 03 (V 03 M Bedroom C N WO 0 165 sq ft o0 2'4' 5'-7" 6'-10" 3'-7" Porch ED (n 108 sq ft NON STRUCTURAL POST to—) CONTINUOUS STEP 9'-0" 18'-0" 36'-0" PROPOSED 2 BEDROOM RANCH FOR: HABITAT FOR HUMANITY OF CAPE COD FIRST FLOOR PLAN IN: SCALE: DRAWN BY: West Banstable 1/8"= l'ORNOTED DAVIDFALTEN 114 ON:n = DATE PRINTED: SHEET# 3 1825 Old Stage Road 0410212015 DROP BULKHEAD TOP 8" - 36'-0" 7'-10" 14'-9" I I 5'-0" I 8'-5" - - - - - - - - - - - - - - - - L - - - - - - - - BASE WIN I I - �o CP zLu Z 8"X 7'9"CONC. FND. 3: t- 8"X 16" RIBBON FTG. m cwn " 2'-6"X 2'6"X 1'-0"COL. FTG. m 3.5" LALLY COLUMNS 3.5" BASE FLOOR 4 BASE WINDOWS I I O a 11'-7 1/2" 9'-0" 15'-4 1/2" l a l S I I T (combo) 3.5"X 9.5"VERSA-LAM GIRT I UP I I I N 9.5 AJS 140 1 JOIST SEE ENG. PLANE 4P p o I co 4"X8"GIRT POCKET 4"X8"GIRT POCKET 9'-0" E 9'-0" 9'-0" E 9'-0" I I l o 0 ® I — — — r- - - - - -- - - - - - - - - - - - - NO TUBS Lu MIN.S 408" BELOW GRADE m I I o SET ON UNDISTURBED SOIL o I I I I TOP HEIGHT SET IN FIELD 9 9 5'-10" 5'-10" 5'-10"� BASE WIN L- - - - - - -- - T. -- - - - - - - J L- - - - - - - - -- - -- - - - - - - - -�� 9'-0" 9'-0" 18'-0" L 36' 0" PROPOSED 2 BEDROOM RANCH FOR; BASEMENT PLAN*- HABITAT FOR HUMANITY OF CAPE COD IN: SCALE: DRAWN BY: 114 _ 1 l , West Barnstable 118"= 1'ORNOTED DAVIDFALTEN — ON: DATE PRINTED: SHEET# 1825 Old Stage Road 0410212015 4 � -, . I ------- _____ � I——________1_------1--_____�1 -_________-- __--1_____ ____-- __-- ------- I I ___- -- _____ III--- I I - � ___________--_.____1�-------------_-.-_----,-------_--,-I-I ----I I--_-I-____ --- 1. I I � I I I I I I I � I I� I� . I I I �I I I I I - I I I I . I I I � . I �I � . I � I . I � I I " I I . I �� � I I I I . � � I I . I I I I � I � I � . I I . I . , . I I I � , 11� I.. I.. I I I I I I I I I I I I I I I I � I I % ,, � .I I I � I � � n � I I I I I I . I � I �, I I . I I � � I � I I I I I I � I I .I I I I I I I� � � I I I I � � I I I I I � I , � I I I . I � I I I I I . . .� I � I I I I - I I I I i i � � I I . I I I I I �.. I ��I I I I . I I I I I I I I ,I I � I I I I I I I I . I � I I 1. I I I I I I I I � I I . . �I . I I I I I I . I I. I I I ! � I I� . . . � I . . . I r � � . � I I I I I I I I I I I I � � I � I I i I I . I I � I I. I � I I . � I � I I . � . I I I I I . . I I � I I I I I I I I I . I I I I I I I I I 11 I � I I . I I . .I I I I I I I � I I� � I � I � I I I I I I I I I I I I � I I � 11 . . I I I 11 I 1, I I � I I � I � I 1, I I I I ,� I I I I . i i . I � I .� i I I. I.I .I � I . � I I I I I I I I � I I I I. �, ,, �. I I� I I I I � I I I I � I I 11 I I � � . I I I I I I I I I � I . I � I I � �I I �I I I I I I I I I . I I I I I I I I I I I � I I �I . I . � i iI I I . .� . . . I I I I I I I. . I . � I 11 � I I � I I i I . . I I I I I I . - I�. I �I I I I I I I I I I. �I I I I I I I I . I I I � I I � I . I I � I n . I � � � .I I � I I � I I I . I . I � � I I . � � . I I I I 11 I I � I I I . I �I I I I I I I 1. I I I I I I I I I I � �� I I � I I . I � I : . I I I . I I I � I I . � � : . I . I � � I I � I � .I : I I I I . 1� . I I I � I . I I I - � � . I . I - . I I I I� I I I . I � I � � I I I I I I . � I I . � I � I I ,� 11 I I I � I . I � I I I - I I I I � � . 1 .1 i �I . . - � I I � I I I � � � I I I . � . . . I I I 11 � ,. I I I I I - I I � . I . I � i I I � i � I . I I ,I I I . I . � I I 1. . . I I I � I � I I I I 11 I I I I I I . � � � � . � I I , I . � I . � I iI I I I I � I- I I. I . I . I . I - I I . I . I I .1 . I ..1 I � I I I I I I . � I . I I I � : iI I I I I � I I I I I � . I .I . I � I I. I I ; I . I I I � I I .11 . I . I I . I I - ., , � I I I I I . I I I � I I I --- - I . I I I I � I .I I 11 � : .I � , I I I . I . � I 1. I I . � � I . I I I I. I . I I I I I I I I I I I . I I I �� I I I . � I I � I I � . I � I . I I . I � I � I I I I I I I I I . I .� I I I . I I . I I .1. I I � I I I I . I . � I . I I I I I I I I I I I I � I . I I I I I . I I � I � I I I . � � . ' 'I .� � � I I I I . I I I � � I I�. 1 . I I I . . . I I I � I � I I I I I I I I I � � . 1 � . I � I ; I . . I I 1. I . I I I � I I � � I I . . . � I I I . 11 � I � .� , ,� . 11 I I . I I I I . . I .1 I . I I . I � . I � . � I I 11 � � � I 0 .�i 11 I I I I I I I I - I . � � I 11 '' I I - I � I I .. . I I � I I I . 4�1 MA i i I � GENERAL NOTE5 , I I �. I 11 LOT # I 501L TESIT LOG5 : � 11 � I I �, . I I � I � . I � I 11 � -_ I � � I I . � � I I I . 5Y5TEM DE51GN CALCULATIONSI : I I I I I I I I � I I : I . , : � � " . � I I . I I I I � I I I I I .� I I . � I I ]� I 10 1, I . ! iI . � I � , I I � I I I � I I ; . 1 I . � " � I ts . � cl� . � i � � I � I - I I I I -_� � I 1 . I I I I . I I . I I I SEWAGE DE51GN FLOW: I . I . � � - I I I I I I I I 11A�l TEST HOLE 1: EL=57.0 I I . � I I 1 . I . I . I I I � I ! I 1 . I I I I I I I I I 11 I I I - I I I I I I I I - I : i � � A,) NEITHER DRIVEWAYS NOR PARKING AREAS ARE ALLOWED OVER SEPTIC SYSTEM 1 I I I I I I . �, I � I I I I I I. I . I I I I 1 2 BEDROOM DWELLING @ I I 0 GPD = 220 GFD I I I I I � I I .,� � I � I I - I . . I I I I I � I I � . . I i � I I UNLESS M-20 COMPONENTS ARE USED. I " . I I � DEPTH FROM SOIL 501L SOIL I SOIL OTHER . � I I I I - � I I I . I � I I . I I � I . I I � � . . I I I I I - I I I I I I 11 I I . ,. � I I . 1.� � I 11 � I I . I I I I I I I 1. I � - 1. I � I . I SURFACE ,! HORIZON TEXTURE I COLOR MOTTLING , . I 11 I � I I 1, . I � I I � � . I � 11 ,� � . � 111. I . . I . �: - I � I I I I I I LEACHING CAPACITY REQUIRED: � . 1. I I . � 11 . I I I I I I . � � 11 11 � I I I I .. �_ 11 30 1 1 1 . � 1. �. I I I � � I I I I I I I i I. 1. I �B.)THE DESIGNER WILL NOT BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UN- : (INCHE5) , (U5DA) 1 . � I I I (MUN5ffLj � . 11 � . I I � I I I I , 11 I � . � I I I I I I � I � . - I I . � � I � I I .1 . I I I . � ; I , � . I I I - � I � � I I � I "I I I 1�0 I -11 - - . � � 2 BEDROOMS (MAX.) @ I To GPD = 220 GPD REQUIRED �� I I I I � I I ��1,�.. �. ' 'I I I 1, I I I � I I I I I I - I � I I I I I 1 . �, ,� I I . I I I! � 1. I �. � LESS CON5TPUCTED AS SHOWN; 'ANY CHANGES SMALL,BE'APPROVED IN WRITING� _� , I ,� 0_�, I O/A LOAMY SAND I 11 � I I I QYP 3/4 NONE - . - , I I ; I I I I I I I I I I .� I I . I I I I I I .I I I I I 11��, I i I I I 1. I I � � I . 11 I I ,�� .1 � I 11 I I I I - . . DEED RESTRICTION WILL 13E REQUIRED I I 11 11 I I I I I I . I I I I . I I . � I I I I I I I I I I � I I .1 � . . . " I G, I � I ,. i I I I I . " 3" 5 LOAMY FINE SAND � , I I CYR 5/8 1 . � � I . I I I . � I I I I I � I I I I I I � . . : �� �/,: � . I � I ; ! 1 . . I � 1, ' I I I I I � I� � � .I . . I . I I I . ,. �� i C.) CONTP SIDLE FOP,VMfYINGTHE LOCATION OF ALL 1. I;- I � I . I I - I . . � I , i . I I . ,ACTOR SHALL BE RESPON 1, . � . I 10- "I KI-11. I- � � I, 1.5EPTIC TANK CAPACITY REQUIRED; - I I . I � I �I I - . I -, I � �� .% I I I . . I I � I � I I I I 11 I .1 .1 I � I I I I I I � � . I I � . I � � � I � I . � � � � � i i I . ". UNDERGROUND AND OVERHEAD UTILITIES PRIOR TO COMMENCEMENT of WORK. � � , T31 -45" Cf SILT LOAM . . I I I I I - � I - I I I I I 11 I �I I I 11 � I I I � I I I I ,� I . . . I � I � 11 . I . I I I � � I I I I 0 .! i I I I . . I 1, I I I . I I DAILY FLOW = 220 GPD @ 2757o -- 440 GAL, REQUIRED . , I I . . I I � I I . � . � I I ! I I � � 1. , - I I I I I I I I 11 I I I 1 . I I I I I I I � I I� I . . . � . I � � I � .. E : i . � � 11 � . I � I � I 11 .1 I 11 � I � - .1 11 5-90 LOAMY SAND I I - I I 1 in I I . ..'' I I I I I .. I I . I I I . I I � . 11 � I .. . . � I I I� - I I . .1 . �I �. I I - . I � I. I � I I I I � : � I I I I � I I � I I I � . I I I . I � , . I I . � I I I I . � I ,:� LOCU3 I I I I � I I I � I I I I I I I ___ I I I , I 1�1 I i 11 � I � , I � I ' 11' I I -12G - - - 1. SEPTIC TANK CAPACITY PROVIDE[): � I � 11 I . I ,� I � I ''I I , I 1. I I . I 11 I � I I . ,�. - I _4 i . . 1 . � . I . . � , I Ed I I I I I 1,I .1 I I � � 11 � . � I I ;1 i I I : CONSITRUCTION NOTES . 1. .,I I .1 I I I I .. I I I, � ''I I . I . . I . I 11 I I . I I I I I 1500 GALLON SEPTIC TANK(MIN, ALLOWED) I I � I I I I � . 1 I I I - I I I� I I . I I . I � I I I I I I - I � � I I I I � I . I � I 11 -115 �_ . I � � . I . .1. � � I - � ,� I I I TEST HOLE,2: EL=57.0± :� . I I I I I . I i .1 I ! , I I I I I I I � I I I I . . I I I I � I I I 11 I . I 1� � I I I I : . I I 11 I I I 11 I , �A � � � . � I i . I . � I I I I � I I I I I �I , � i I �.. I I . . � I� I I I I: I � I � � , I . I I I . . I . I I . LEACHING CAPACITY PROVIDED: . 11 I . NOTF: I 25' WELL 5ET5ACK GRANTEE) By T11 If ZONIN&BOARD Off AP�EAI_5 I I I , I I 11 I 1 1�71� 1 � 11 1 . : . I . I I I I I I , I : I � � I I I I . I .1 I . . I I . I I I I . - DEPTH 7 OM OIL I 501L ' I I 1. 501L , 501L OTHER � I I � . 11 . . � I I � '' 11 I � . I I . I I I I I . I 11 � I � I I . I ;1� I� . I .. I I 11 I . : � . � I I I I I � , I � I ONE (1) 25'X 12,83'X 2.0' LEACMING CHAMBER CAN LEACH; I � I . . I : I I � I . . . � I � � I .� I � . ,dDE1 -, I � SUPFACR . % COLOR . MOTTLING I I �, I I . � I � , A5, IPART OF THE 405 COMPREMEN51VE PERMIT APPROVAL I . I j,I I 1P, '�� . I . 1 .) ALL CONSTRUCTION SHALL CONFORM TO,THE STATE ENVIP,ONMffNTAL.c P 15MORIZON TEXTURE, I I 1, . � I � 1. I I 11 I . , I I I . I I . . I I Vt=[(25 X 12,53) + (25,X 2.0)2 + (12,83 X 2.0)21 X 0.5G GPC)/5f=2G4.3G GPD I � . I 11 I I � � I I I I � I . I I . � 11 I I I . I I I � � JITLE 5, AND THE REQUIREMENTS OF THE.LOCAL 13OARDOF HEALTH EXCEPT'r-OK . :� " 11 I (INCHE5) � 11 (1-151DA)�� I . . I (MUNSI!LL) 11 : ��.. . - I �I I I 11 I I I I I I . I I i 11 I . I . � I I I e I � I I I I I 11 I I I I 0 . I � I I . . . I � ''I � I . I�1, 11 . I I 2G4 GPD>220 GPD REQUIRED , . I I � I I I . I 11� 11 I I __ - I I 1, I I ''I I �� ,I I I I I I I � I 11 I � I I � . I I I .I 1� I Tb I.. 11 I . 1(0 I I I I ; I UIREMENT5 WAIVED BY THE ZONING BOARD,OF APPEALS, :,, ' ' � I I � . 11 I � I . I . I I I I . - . I I ; I I I THOSE REQ � 0-r Cl/ LOAMY SAND � I ., I I . 1 I . I - - - -, I I . . � I . . i � I � I I'll I " � 1141 I I I 11 1.11 � I 1. I I - I� � ,� I I -, _ I I- I CYR 3/4 NONE , .1 I . 1. I T -,5AGE DISPOSAL 15 NOT PERMITTED WITH TH15 DESIGN, I I I I I I I I . I I I I � I �I � I . I � I ,� I I I I ,� I I I I I I . I I . I : I I I I I 11 I I I I I . . I I I i ! . I . . . . . . I I I . � I . ., . NOI : A GAR - I I I I I � ,. I . . . : , � i , , .1 - . � . I I � � 11 I I . I 11 I I I I I . I . I � I I I I I . � I I .1 I I I I I I 11 . I . I I . I I I I . I I I i I I � 12,)SEPTIC TANK(5L GREASE TRAP(5), DOSING CHAMBER(5), DISTRIBUTION BOX*I I �I I G-33" - B LOAMY MOE SAND � I OYR 5/8 NONE , I 11 I NSTALL: I - I �I I 11 I . I I I I I �I i '' 11 I . � � I I : I I � I I � I I I � I I I 11 "I I . I i . . I . I I I I . .. 11 I I . I - I I 11 I . I I I I 11 I . . ., I 11 i 11 . � I I I 11 � I 11 - , � 11 I I I I � I . 11 I I I I I I I I ''I I I I I I i I I . � ,WELL VAULT SMALL BE SET ON ALEVEL 5TAbLEJ15ASE WHICH HAS,BEEN MECHANICALLY � .�. 33-45" -CI , SILT LOAM , I It I I - I I CYR G/2 I NONE I I I� I I I I I . I I � I I I j I I I� k 11 � .1 I � I . . I . " , - I I . I . I� � . I � . I I � I i I � I . I I I . 121. 1 1 1 1 . I . I I ONE01 1500 GALLON 5EFTICTANK, , I I � I I I I 1. . 1. I .11 11 I I I I I . 11� - I � I . . . .. I I I � I I I � I � I I � � I � : I I . - I - I . _ON AG INCH-CRU5MED5TONE BASE., ,I: , - , . I I I .. I PERC 4 G7 � ONE (1) - 3 OUTLET DISTRIBUTION.BOX(H-20 Katea) . I 11 -. I 11 � . I I I . I I I I I I I I I I I I I I % . I� � COMPACTED, OR , . � I �. I I I � 45-9G" C2 LOA Y SAND : I I I 0YR G/81 NONE � � I I I � . I �I � . I I I I I I ,� I .1 I I I I . I . I I , I . � I � " I � . . I I I I I I I � � I � I I ,. I I I � I I I I �, 11 , . � ,� .1:1 , � . I I , I I I � I I I I I I I I I � . I � � I I I "I I I I I. I I . I � I � I � I I � I . I I I I - I I 1 I I . I I I I TWO(2) - 500 GALLON LEACH CHAMBERS WITH 4' Off STONE ALL AROUND L I I � I I .11 I I ,�. � 11 I I I I I I I I I . I I r I I .1 I � I i I I 9G-12r. I C3 FINE SAND � I I � : I I CYR 7/4 1 NONE I : , I I I I I I I I . I I I i i I . 13,)SEPTIC TANK(5)SMALL MEET ASTM STANDARD C 1,1 27-93 AND SMALL HAVE ,, � � I I I I I . . I I I I . . I I I . � � I .. � I 11 I � . � I . .11 I I I I 1 __ I I . 1. I I I I I I I I I I I . � � . I I I I . 11 I � I � I � % . �I I I I . , � 1i I I I I 11 .1 - I � . I � 1 I I I . I FIVE (5) - COVERS AND RISERS BUILT UP AS SHOWN ON THE FLOW PROFILE I - I I . . I - I I . I I .1 � ; 1. AT LEAST THREE 20" DIAMETER MANHOLES, THE MINIMUM DEPTH FROM THE BOT- � I I I I . I � I . - I , I I . I: ,. . 11 � I I I � . � I I I- I I I I I � I i I I � I 1, TEST HOLE 3: EL=57.0± ,�. 11 11 . I I�� I I I I I I � I I I � I I 11 I � � � I . I . I I I I I � � I � 1. 11 ;- . . I I I I �, � 1. . I I I I I .1 � � . I 11 I NOT TO SCALE � ii "I I ; TOM OF THE SEPTIC TANK TO THE FLOW LINE SHALL 15E 48"1 � I I I ` 11 . I I � I � . I I IL I - I I - I I I I I I . I ,� I I I I � I I� 11 11 I I I � 11 I � 11� ,: 11 I I I I I . I . ''I I � I ,� I �I . � .1 I I I I �I I I I I � I I I , . I I � I . . I I I . I I � � I � . - . i I I I I I I IL I I � . . I � . I _ 1 ,� . 1 . - I I I DEPTH FROM 501L , I 501L 501L � SOIL , OTHER I . I . I I I I . I I I . . 11 11 I 1. I I I I I . I I I I . I I . " 11 � - . I � I I .1 I 1 � , 1� I I I I � I I 1 . � . I I I SURFACE HORIZON TEXTURE , I I COLOR MOTTLING I 11 I I � I I . I I � I I I . I I I I . � 11 � . � . 11 I I . . I I � I I � �. I I � � I I I � � I � 11 � I I . : i � AND OUTLET TEES SHALL EXTEND A MINIMLIMOr G" � I I I I I � � I I 11 I I I � . ; 4,)SCHEDULE 40 PVC INLET I I I � I I I . I . I I � I I � � I I . - I I I I I I : I I I I � � I . I . . I I I I I I � �. � I I I ; . 11 I I I � . . . (INCHE5) , , .. , (U5DA) . . . I . 11 I (MUN5ELQ I � . 1 .11 - . 1 I I I� � � - I I � 11 I I . I I � � I I I I I . I I I I � . � I I � I le I- I I �I � I I I I I I . I � . 1 I I , I I I . . . ! I ABOVE THE FLOW LINE OF THE SEPTIC TANK AND SHALL BE INSTALLED ON THE , , I I I I . I . . I I � � I I � I I I I I . I I I I I I I � . . � I - �� 0-0, I % I I � I . I I I 11 I I � I : / : , �� �. I I I I . � . 11 I I . � 11� I LEGFND � . : . 1, I I I CENTERLINE Of THE TANK DIRECTLY UNDER THE CLEANOUT MANHOLE.- � JI I ., � O/A I LOAMY 5AND I CYR 3/4 NONE , � , � I � I I I I . I . � I I . . .." I I I I I � . I 11 1 I I . I � I : iI � . I I I � . ,� � r I . I � I I I I I I I � I I I I � I I I I I I I I I � I i i I � I I 11 I I I I �. I I . .1. I 1 'P_20�1 E3, : LOAMY FINE SAND - . . I � � . 1 � I I I � � � I � I � . I - , I I'll I I I � I I I I - . 372 EX15TING CONTOUR � I ; I I I I . . I CY 5/8 NONE I I I I � 11 I I I I . I � I � � 1-1-1-1- --F I , � I � I I I � . ., � . � . I I I . I i ; 5.) RA15ECOVER5 OF THE SEPTIC TANK AND DISTRIBUTION E30X WITH.PRECAST � I I I I I I I / I I I I . I I - I I � I --- � ' . ! I I � I . 1 2042�� 1 .1 . � �, I I I I I I I I I I . I I I � I 11 I I . � - I . I .1 - � I I � . I .I I � e Cl I SILT LOAM � I I 0YR Gi2 I NONE . I . I I . I I I I 1 . I I I 11 I I I I I I I '_ I � I I I 1 � I . � I � I I . . I . � 11 I . I I I j . . � I I CONCRETE WATER TIGHT P15ER5 OVER INLET AND OUTLET TEES TO WITHIN'G"Of, I . 42-9G I C2 I LOAMY SAND ; . . I I QYP G18 I NONE I ; � I I I I I I . % I I .. I I I i ,I I � . � � 1, I . I I . 1 - I I I I I I I . I 1 -32 PROPO5ED.CONTOUR � .1 I � I fINIS11 GRADE, ORA5APPROVED BYTHE LOCALBOARDOf HEALTH AGENT. . I - I'll I i . . � - I I ,. I I 11 1� I 11 I I I � I 1 -45 OLD 5TAGE ROAD I I 11 I I 11 .1 I .1 I . I . I I � I - � I I I � . � I I'll , I'll , I ' I . .�, . I i I . I I I I I 11 I I 11 I I ,� . - � I I I 1 -122" ,I ,C3 I FINE SAND I I I I CYR 7/4 1 NONE � . : I I I I . I 11 . . 11 � �, I 1 16 1 1 , 11 I I I I I I I I � � I � I I I I X 12.3-4 EXISTING SPOT GRADE � 11 I � ! I� I e. I I I � I I. I . � . �� I I . IOG . I I I I I . � I I I � I I I I 11 . � I I / 1 54,7 , I I . I . . I � I I I I .. . 1 . I � I . I I I I I � � I � I I G,) PIPING SHALL CONSIST df.4"5CHEDULE 40 PVC OR EQUIVALENT. PIPE SHALL I ., , I I I I I . I I I � . � I I 11 I � I I I . I I - � I I I . . I I : 11 I I I . � � I I � I . . I I I X 5 1 1 1 � . � �I I � I. I � . .1 I I � I I I � i 1 1 . I � 1. 11 � I I. I I . I . I I .,I I ,� I � I� I I . . I I I I I I I I � I I I . I I . 5� 1 1 � 11 . I I I I 1. I� I I I I 24x5 . : .1 I I ; I . .: TEST HOLE 4� EL�57.0± : . . I I . � I - I I . I I I � I I I I ,,, 1, � I . . I � 1. I I I I I I PROPOSED SPOT GRADE I I � : I I . . I .1 � I . I I I .1 . �I . . I . . I I . I I � 11 . . I I I I I I � I I I� I I I . . . i i I 5E.LAID ON A MINIMUM CONTINUOUS GRADE,Off NOT,LE55,THAN I Toi . , I I I I � I � I I I I I ./ � <�> i� I I . I . I I I i . 1 - * � � I i I I �. 11 "I I I I 11 . ,. I . - I � I 1� .1 � I � I ,, : DEPTH FROM 501L , SOIL 501L -901L OTHER I I I I 11 I I I I I I I . I � I � - I I - I� I , ' I' . I � � " . . I I I I I I I ,� . -w- 1 WATEP, SERVICE LINE I � . ; I I I I I � . I I I � I . . I I � I . X 59.5 ., I I : I � � I I I . .i � 1 7.) DISTRIBUTION LINES FOR SOIL AB50RPTION SY5TEM,(AS REQUIRED)SHALL BE � I I . I SURFACE HORIZON TEXTURE , .1 COLOR MOTTLING . I � I � � I I I 11 I I I � I I / . .,I i . I . I , � � . I . I I . I : � � .I . I � I � I I � � I " I I I I I � I . I I I I I Exi5tincj I I I � � I.11 I .V . I I I I ' ' I . ���I I I . I I .. -0- OVERHEAD UTIL17Y SERVICE -� I � I � I . . (INCHE5) , I I (U5DA) , , . �� � . , , (MUN5ELL) I I I I I I , I I � . . . I � I I I 1, . I I . . 4" DIAMETER SCHEDULE 40 PVC LAID AT 0.005 FT/IFT, LINE SHALL BE CAPPED . ��, , , � I �� 11 I I I I . I I I I I . � I I 0- I I I I I I I .1 I I I I . I I I . . I i I . . I I I . I I I I . 1; I I , I I I I , , I I \ , I . 1. U- ' I �i i � I . � . I I . . ' I I I I I 1;I� � I � I I I I I � � . , I I I , I � I , L I I � 3 1 PLAN . 11 I - I iI - . I � I ! ., - I I I � I - : I I � . . .1 . I . � I I I I � Well I " � , . .1 � I I . . � I � I I � . AT END OR AS NOTED, � I I 1. I � I � 11 I .1 : , 0-0, ,� CIA LOAMY SAND I 0YR 3/4 NONE , �. I � I I I I � � I . 1 . I I I I - 11 1, , I ,.UNDERGROUND UTILITY SERVICE � I . I I I I I I - . 1 . 1 . _ I 1 .� ,� I ,�� 11 I I I I � I I I I I I G � I I \ �! , , , � , I � I I � I � I . . I I � . I � �L . 10YR I � I . , I I 11 I I . � I I � �I I I I I I I ., . - N � � I I � I I I � 1 I I I - I I I I - _G- GAS SERVICE LINE , I I I I 1. 8.) OUTLET PIPES FROM DI5TRI5UTION BOX SHALL REMAIN LEVEL OR AT L � G-20" i LOAMY FINE SAND , 1 5/8 NONE � I I I I � I . . I I " : - I I . I I I I I . I I . I � I . f I EAST �. ,, .� � - ,B I I � � I I I I I I . I I I � I I I . I I I / - . I , 3 I . I � � I I i . . '. I � .1 � I TP . I : i � . I I � I � I I � I I I . I I I . � I-- \ I , I I . I I I I � I I � 21 BEFORE,PITCHING TO 501L ABSORPTION SYSTEM. WATER TEST DISTRIBUTION L . 20-42" I C1 SILT LOAM I I I I I CYR G/21 N NE' I 1. 11 .1 � I . � I I I . � I , � , , SCALE 1 11=20' � I I I I I I I . I � TEST HOLE / BORING LOCATION ! . � I . ., . I � I I I I I � I I I . I I I I I I � I � I � '11, I , I I . 11 . I I I . I � I � I . I I I � � I - I � i � �_N Y SAND . � _ I I , I I I I � I I I i . I .I I I I I . 11 I � . . I � . 1 I I I 42-90" I TL I I I I I I i I . ; I . . � . . I I 0 , I i i I BOX TO ASSURE EVEN DISTRIBUTION. , , � . I . I ., . C2 � I I I QYR C.151 NONE I I I � I . I � � I I 1, I I I I I I I � , 5T SEPTIC TANr\ - . I � A i1 . ..I I I I 1. I . I I .1 � I � � I� I � I I �I I I I� � I �� I I - � �I I I I I I I I . I I .1 . . I I 1. I I I I . I I- � i � . . ei.) DISTP I� I I . - , � � I I 9r.-1 22" 1 C3 I FINE SAND � � I I CYR 7/4 1 NONE I : � __1 �I I I� � � � I I I I . I I I . . � I I I., I 11 ' 'I I. I I � I I I _1�111' 1, I � I . I I I I I I � I I � I 1� I � � I . I . i ! I I I -A5up I I I . � I I 11 i ; � I ,IBUTION E30X 51HALL HAVE A MINIMUM SUMP off G,,.mE ,ED BELOW , , I I I I I I I I I I � � � I I I . I I I I I I I � I I \ I � I I � I � I I I., � DB , , DISTRIBUTION BOX L I . . �� I . � 11 I 11 I . . : I I . I I I 1. . I I I . . , I � . I I I I I I . � I � � I I I I 11 I 11 . I I � I � I ! � I I 11 I I I . % � I I , , I I I 1. � , I I � I I I I . I I I I X�60�2 I I I . I . � I . . � THE OUTLET INVERT, : - , . I % , .I . Il- I I . � DATE 0 1/25/14 , , � � i � . I � . I , I I I I 11 . I I I I I I I (�� \ I I . � I . . I . I I . � I � . I � ,� � I i 11 . I I . . I I I I � I F TESTING: I I I I I I 11 I . I ,, � I i I I I �I � � I I I I I I I I I I I I I I � � I � � I I � I .I I I I I . � ! I I I I I� � - � I I I , , I I I I I . I I I . 0 1 1 1 1 . I I I � . I 15A5 _ , 501L AB50RPTION SYSTEM � I L I 601\151ST Of' I I PERCOLATION RATE; < 5 MIN/INCH "C2 * C3" 11AYE I I I 1, 1. I I . . I � � I I � I - � I I � .� . I ,� I �, . I I I ." �I I I I I 1�1�'Vl � I I X I 1�\ I I I I ., � . I I I I 1: . I � � I I . I I . � I 11 0.) BASE AGGREGATE FOR THE LEACHING FACILITY SHALL 314"TO , ' IRS, (PERC OF C2 LAYER- MORE RESTRICTIVE-QUALIFIES C3 LAYER). : I . I I I I I � � . � I � � � ''I � . .1 , .1 . I I � � I I I I I I . I I :, � I I � - � 11 I 11 I . I � ; � I I 11 I I I I � � � ' '� ' r I I I-1/2" DOUBLE WASHED STONE FREE OF IRON FINES AND DUST AND SHALL BE : - WITNESSED By. KEITH E;�FERNAN[Jff5, PE, J.Mi.10'REILLY*ASSOCIATES, INC. . I I � I I I L, � I I I I 11 � I I .I . . X 5 9\ , 1519 , . � I I, I, . � Re5crve � RF5ERVED FOP, FUTURE , � � I I I � 11 I � I . I I I I I I I I � I I I I I I � � ,, . I 1. I �I I . I I I � . . � - I 1. I I I I I DONNA MIORANDI� AGENT, 15A�RN5TABLE HEALTH DEP I I 1 I I . I I I I I I I . , I . I . . I I I I � I � I I I . 'I'll I .1 I �� I � I I I I � I I I .. .I I 11 . I I I I � � i I .INSTALLED BELOW THE CROWN Of THE DISTRIBUTION LINE TO THE BOTTOM OF THE I � I . � � I � I I I 1, I , I 11 � I I I I I I I I I I I I I I . I - ca, � � UTILITY POLE � . I . I . NO WATER ENCOUNTERED I I - t I . 11 I . I 11 I � I I . . 11 11 .1 I I � I I I .. 11 . . I � I . � I- I 11 - . . 11 I I I I I . . I.. 11 �,: I , I . i � . I 11 ,� 1. I I J I . I . I I I I I I I . I I I - . I- I 11 : !� , I I I 1. � I . I SOIL ABSORPTION SYSTEM, BASE AGGREGATE SMALL BE COVERED WITH A 211 1 1 � I . 11 11 t I I . I � I I I % I , I I . I � � � . .� I I� I 11 � 1� I I I � � I � I I , , � , , , � . 1 . I % , �� �� �__ ��, ,:, �: � I . I I I . I . I I I I � 11 I I I 11 � � I I i ., I I I USE A LOADING PATE OF 3 DUE TO 90ILS f'OUND IN TEE, I I � I I I I I I . I � � . 11 � I I � I I . .1 � I I � 0 , I .11 � 1. . I - .I I . I - � I I I E9 : - ,CATCI� BASIN I I . . I, I . ,0.5C T FITS fO LOT#2 ( 5 m I? � I � I I . I I I\1 I I I I I I I I I � I � 11 I � . I I I LAYER Of. 118(l TO 1/2" DOUBLE WASHED STONE FREE Of IRON FINES AND DUST, . I �, . Winch) I I I I � I - I . . � I I I I . I . I I � � I - I I I 11 I I I I . I / I I -I� I I I . I I r ,� I 1: I I � I . \1 I 1. I 1 11 I I . � � U I I 1, I � � I I I I . 1 . ,; I .1 I ., : %0. : I I I I . I I 1. . I I �. I � � I - I I � I � I I I 11 � . % i . . � � . I , � , I� I . I I � ,�A I,I � I I I I I � / I I x 61,6 1 � I I � . I ,� I � - I I I �. I . I I , I . 11, I � I I I I . � I ; � � � � I I". I� .1 � I . 11 . I 11 � I. � I I � 11 I I � I t, � � _. - .1 :'', I �� .111, ., I I . I I � - I . I . � I � I . I I I f IRE HYDRANT I . I I , I I I I I .. I I . I . � 1 . � . I .1 I . I I . I I I I ., . I I I I I I � � . 11 I I 1 I I 11 . � I I . . I I � I I I . I I I I I I I I I .1 I � . - I I 1 . . I - I , . . . � I ! I �� I I I I I I � � I I � I I I I I � I � I I I . I 1,1 .)VENT 501L ABSORPTION 5Y5TEM WHEN DISTRIBUTION LINE5' 'EXCEED 50 FEET; . I Certification, r � I � I I I I I I I I � I I I : I � � I � 1., I � / I - I � .1 � I - - �, � 11 i %, \ I I � 0 , WELL � I � I � � I � � . I I I I 11 I I <P I I I . I , I ''I � I I I I I I . I WHEN LOCATED EITHER IN WHOLE OR IN PART UNDER DRIVEWAYS, PARKING AREAS, I� . I I I-- _____ I I I . . 11 I I I I I I I I I � . I I I � � I I I . � . 11 . I I I - I . I w� � � I . I I I I � I 1 . , I . � 11 I I � . - I � I \ I I I - , - � . I I . I � I I I I . i I I � . I I 11 11 I I � . I I . t � . I i � I 11 I I .1 I � . I � I I � . I I 1 . I I � � I I I I . I I . I ._.� _� - � - 1W 1__� I I I � . . � I � , I 0 , DRAINAGE MANHOLE I I I t I I TURNING AREAS OR OTHER IMPERVIOUS MATERIAL; OR WHEN PRESSURE Dbqm.,. I I I � I I certify that on 10/24/05 1 (Keith E,Fen;andes)passed the examination 1 I I I . I I I I I I . � I 11 I I . . � I I . __� � �� 0 %_... � 1 . . I I I I I I . I I I I . I I I I I I . 11 I I � I I I I 11 I I I I . I 1 I I I I I I � I I I I I � I � 1� . I I I � . - I . , I . � I 00 , I I N I �, T� . � . � 11 . I .. I I I I � I . . I � � I I � I ironmerital Pr �, I I � . I I I I I 0__1 � . ft..,..% - � I 11 I - I : . . 12.)501L A5sbp,P,TiON SYSTEM SHALL BE COVERED WITH A MINIMUM Of a,OF I I I approved by the Department ofEnv otection.and that the above - . � � I . I I I I . 1 1. � � I . 9�, � E CONCRETE BOUND, FOUND I : I 11 I� . I I . 11 � I � I . I .1 � I I I I I I . . 11 I I I � \ .,,.- I . \ I I I . � I . I � I I 1 1 . I I I I I I I iistentwiih the required training,expertise I I �� I � 11 � _ � I I I I . . , � %%-... I I -T-- TOP OF BANK ! I . � 1. I I I analysis was performed by me cons I I I � , I I � I I I . � : I I CLEAN MEDIUM SAND (EXCLUDING TOP5011j. , , I I 1, 11 I I I I I . 11 � I / , � I . , . I I � I . . . . : I I � I � I - I I I I - I I I I I � I 11 - I I I . I � I I I � � I I I � I I I � I I � � � I . � I I . I I 1, � � � 1 . I � I . I I I . I . I I . 141� 11 I I . I I . i � i 1 . ' and experience described in 3 10 CMR 15.0'7, . I I I � I 1 . � I � , � -X_ LIMIT Off WORK , - i i 1 13.) FINISH GRADE SMALL BE A MAXIMUM Off 3G`OVER THE TOP Of ALL SYSTEM , , I I I I � � � I I I X 565 1 1 1 , . I . I � I I I . � I I . . . �I I� I I � I �I I .. . I . I I. I I . I 11 I I I � � I . I \ I I � � I I I I � " i� 11 . I I I I I� I I I I I. I � �I I I I � I I I I I I : � I COMPONENTS, INCLUDING THE SEPTIC TANK, DISTRIBUTION BOX, D05ING CHAMBER � I I . . I I 11 . I I� I I . � � I ., I I I I I I , I I . I I I � � � I I 11 . 1 I � __0_____0_ - I I � � � � . I I I I 11 I . I I I I I I 11 . IF ENCE - I i ,PTION SYSTEM., 5EPTIC.TANK-9 SHALL HAVE A MINIMUM COVER - I- I �I � I � I I I I I I � . I q I I . I / 11-11 I I i I . I . . . . � . I I i I I I I I I I . - � 7 - I . . I I . I I I I I 1_', " M-644 1 1 � I 11 I � � � I � N1.1 � .I I.1 --�^- I . . � I . I I I x 5 .6 � i : I Of 911, . I I . I .1 I I I 11 ,� I I I I - - � � . I I � I � I I I � � 01-101* I / � � I I . I I I - I 11 I � . I I . I ! AND SOIL AB50P � �, ___1.0 DATIf 1 4��, \ � , EDGE OF CLEARING I I NAM - �7,�- .1 I I . . � I I ! I I I . -�_�� - Z-,-- V/ I ,� I � . I � . I I I I 1. � I � - L � I I� I "I I I I I � � I � I - L eo /,,. , �6,9 � N-.. I I I I I � iI . � I . I I I � � � . I I I . � � I I I I I _____1 --- I I � I � I I � I I I . . . � I I � I I I � f ! I 1 14.) FROM THE DATE OF INSTALLATION Of THE 501L AB50RPTION SYSTEM UNTIL , , I I I I I I � . I . . I I I � I -_ X(60.1 1 1 � � . I I I I I .1 I I I �! : I I I . � I I I I . �, � ,� � I . I I I 11 . . i . I I � � � I I I ',_ I k � I � I I I . I 11 � . I I I , i RECEIPT Of A CERTIFICATE Of THE 501L A55ORF- ' I I I - I I ,t X I I I I '*� � - I . I . I � I � / � I, I i Of COMPLIANCE, THE PERIMETER . I � \ 5 9 1 1 1 1 1 . I I I � I � , � I I � I I I I ! I TION SYSTEM SHALL BE STAKED AND FLAGGED TO PREVENT THE USE Of SUCH . I � I I I. I ' 'I � I ,� I I . _,_� � 3 0 1 1 � . . I I I � I I I I I I . I / I . V I . I I I . I . I I i i � I I I � I I 11 . I I I � I I . : I AREA FOR ALL ACTIVITIES THAT MIGHT DAMAGE THE SYSTEM. , I � . I � I I I . 11 I . I I � / .'', I � �, � I � . . ,� \ I � . I I I � I ; I I I I . I % � I � I I I I I I . �, I I I I . I ; � . � I . . I I � \ I . � I ' I . / I . I I I . . � � I . I i I � . 15.)THE BOARD Of HEALTH SHALL REQUIRE INSPECTION OF ALL CONSTRUCTION �I I I I I . ,� � I 11 �_ " 11 I �. I I � � I I I . ,� I I I � I I I I . . � iI I I I . . . 11 � � � F, ."I I i/1. 11 � � , ,r , '. � . . I I � IQ�749 I , - I . I . . I . I 11 � I I I I � � I I I I I I ! . � � I I / i�, ,/, � , � I . i�, i�, i�, � i�, I I � i�, ,/,�1, " / �: I . I I I I . I � � ,/, ,/, ,/, ,/, I . ,/, - , � 1 � I I I t I I . �15, , ,e I I � I I . I I 11 I I I � . � BY AN AGENT Of THE BOARD Of HEALTH (OR THE DESIGNER If TH15 SYSTEM,RE- I I� I �) . ,111 � . ,/ 1 I . \ I / . . . I . : I ''I I "I ',�",, . ,11 /I I �/ I �"I I � . I I I I 11 - I I I .I I � . I I I I . � � I � I : � QUIRES A VARIANCE) AND MAY REQUIRE SUCH PERSON TO CERTIFY IN WRITING � � I I 11 " /� / �, , I .11__ I 0 , I I I .V 1� I \ I I � . . i i PF SOIL P � � " /, � ,� / /" / I' ' �, I I I I ; I I I . �1. I I I THAT ALL WORK HAS BEEN COMPLETED IN ACCORDANCE WITH THE TERMS OF THE ,OP05EE) ' ,EMOVAL- . ..6- / / - I � � I I � I I- - I I � ; . �i � I . I I . I I - I I I .I . I I 75UP#1 38 � I �, , . ,��� o ,�, --,,�,,z � � I - i I 11 I � � I I : I (SEE NOTE, #I G), I 1 -;,,�4-�,101,� ,i �,�ril � ; / I , I � � I I ,;`�,:, -,"'A' ,,z..... -.n,,,,�,��,�;i,, I I . 1'��, . � � I -r , - ,i ",i�, ��, '�,, I I I i I PERMIT AND APPROVED PLANS. 48 HOURS ADVANCE NOTICE 1-9 REQUE5 ED I 11 I I � , ��,�,,,,�_,,�,,I,i��,A, j�,,, 1:�'1�,v�111��',��,', , r [ � . I x 5 8 � I . I i I I . . I . ! 11 , ,",-" I I I I . . i! I , " , ,,. I I � .1 � � I . I I I I I "��',��,�",,,"�l.��",,�f�,,e,,,,�.��,�['12�,�.� �111,11,�`� , "r-,,", ,,, ;r / . , �, I I 11 : - I ' I � I � �,��,jl',. 1 1/ ,�rl ! � � I I . I . i I �, � I I I I I � I -, I I I i I I G,)50ILREMOVAL: ALL TOPSOIL, SUBSOIL, AND 5U55TRAT,UM (C I '*C2)SHALL , � .,V4" � 1.�I a�---? , , I I . I I / I" � I . I I I � I I. I : - V ,, � I I � i - . � I I ", I I � ,,,��:, i I I I � �t,�,,,,V, 4 �, . I I I I ,_ ._�,,�," , ,;,., , � " C) N � � ;�,, ,�, , � -1`,,,,�,,%N,�-`��, : 13E REMOVE FOR A D15TANCE Off 5' FROM THE 501L ABSORPTION SYSTEM D W '�",!�S_ _ - 1 �,�V"r','1 1 ��,,,� � ! _r ! I . I I J�,��i�,""�,- 1� 1111� I I I I I ,�1�__'. ,� I �,�. 11 � I - ____ , � , ; I 1. . I i I I � "",, " I �) co I I 11 I ,�� �,. _1 , � TO THE CLEAN SAND LAYEP,' LAYEP C3 (FINE SAND), APPROX. 6BELOW GRADE, AREA I ., I I I E p (2.N I I � , . I _0 - , i 11 �'i*"'�'��'_` ,�,, I I I � I I . : I I -- ��;I -1 " "0"', ,e . � / / I . � I I I ,:" AA� -11, � -, , ,,��7�il"��MI� �. I � I I , , 11, � � I my 2 4 "I ,�....�� � 7 , � I . I I I 'MI . ..... ,,� "I... ,� I I I : TO BE BA I �,:"`,��',-,,�TM "I ,"I'll,� 1. . �,� �P-� p M I .4 N . I I � : CKfILLED WITH CLEAN SAND AND COMPACTED TO MINIMIZE 5ETTLING.(SEE I 1211'-;�_ I I A ,039 _91'+ . I . I I � 4*' "', 11 � 14 � , I I I I I , - " 2, I rea=22 ���,'_, � 11 I I - ,� I U., I / / _�- , '� - ! I ,,,��_,y,!',`,�,i�"` � f I I � : SOIL LOGS). ALL FILL MATERIAL SMALL MEET.THE SPECIFICATIONS Of 3 1 0 C'MR 15,2�5(3), 1 � "'T"__', � , I i ; � � � ,i " , , , , I " , � 11 I 1 I I I I I � i I I I I , , ""' , , "'� ,- , ----",, , ,-"' ", I \ I I I � . 41 I E 57,3 1 1 1 � 17.)OWNER/CONTRACTOR SHALL REVIEW . I �,- � " . � I I 11, ,8 is . : � I � I I I . /, � x/4.4 x 54.3 1 1 ."'P �� � CONTRACTORSHALL NOT DISTURB � � ! I I I I I I 11 . , , - � 11 . I 11 I I I , , "' _["r, ", -"'� '11'1� '�__I , I I I 0 1 1 e I 1 4 , 1,- �_ � I - .11 - - I - ; � HOUSE t DR . I � � I 11--I- - - I �_ ;�_ / 6 I X 57 6 I ,IVEWAY LOCATION, GRADING, I I--��_� 11 -.11 1_1 11 �11_ ",-1-1-1 " I \ I �_ �_ I - ,_`_� I"I �r�__ I ,11- 11 ,I,,-,-,-,,--,' � I I I I _� I� I CY �� . CP I i I I I . , I ,��._____ - -"",�,�, ,-".-,�,,�"l'-��,-�,-,"",-,"�M j 01 , . i ! AND DRIVEWAY MATERIAL PRIOR TO EXCAVATION, M I 'I�,���"*"�ll"�,.-,�,�',�"I","",",�, ", I I I I . 11 I i I � � � I � " 1 I I , �\, �n � � EXISTING SIDEWALK. DRIVEWAY SHALL BE , i � � . I �, "I I I ,�, � � 11 ,�� :�t 1� , I I 1. 1(5,)CONTRACTOR SHALL VERIFY BUILDING,5ETBAcK5, BUILDING HEIGHT, AND BUILDING I I , � , r / , '/ / I � " 0� ., I " .,_ I I I PAVED UP TO EXISTING SIDEWALK I � I I I I . .1/ 11" , I 1 �� . � - )f�5 8 I I . I i � COVERAGE; COMPLIANCE WITH ZONING SETBACKS 15 NOT EXPRESSED OR IMPLIED HEREON, : I I "I 1-1 / �,,� / r ,� �, \ I I f <1 U X 59.6 �.D "I I I I : I I . I � I I (n I . - I I I . I . � /. I/ '� . \ (. � I ,/ , . e, "I I 1 I � I ,LN �t ��N_ iI I I I , , ,� , : � /" I . - I I -1 I � - , I I I � . . I I I " , , � I // / � 1) I ,___� \ , / / � I � �? �, 0 1 -- � . I I I I . . � I � / 11 �/ 1. I � . I I . � � I I .1 '. ,. "", I� I, .-. I I I I:—"_ 1_' I ,_ � � I I j s . - _-� � , - . � I I I � I � I 11 . I / I I /_ . � �, �1 �.I _-_ , �1� I � I I __ I I ; ,�� 7��_' � 1: 1 - �)_ � 11 - , - " 11 � I . I � 9 1 1 1 1 . / 9 ------7/ e . 9 1 1 1 � ��,1 9 1 /, I I ! 9 1�� 9 ('� .I � iI I I I � � . 1 9 1 1 9 , I I . 1 9 ! 1 9 9 1 � � .11 I I ! . 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I . , , \ IRM _-I I ;1�11,, 11 _ ... : 11 : � I �(SEE NOTE#5) . � .. , , I, *ft.--..__ , R 9 - -� I -, - I - , �:� �'..�, 11 , I I 1 9 . � . � �7 -�9 1",��111 � 9 1 9 1 1 � 9 � I , I I - , -�I�__ �� I - . . I � I I I I I. - _�_ , I, : � � . . � 1 9 �. - . __, ., - .,,�,; �9 ! I C) ,1',i"". I � � � . � - � 7':�� � � I � I I � 9 : . � 1 9 9 - 9 1 � � z X W11 .� 777, ��M.l -; I � I � I I I 1 9 1 : . I U-i , __ Proro5ecl EL= 58.3 (max) I . .1 ,,,�,Propo5ecl EL=5G,5t I ,_-Prnro5cc� EL=5G,5--+- . � I X X.0 -, �� _..: I I I � I � . I . : ,-i"� - � _____ --_ - . � , X 56,13 0 1 58X2 � � 9 , xo I I / - I . / : �., � .1 � : I I/ 11 I � I "/,,'//"1� 1 9 91 . ,�,<< I " I , � , ., �' - � I , ,,::�� I � 9 , ---,,,,, ,� � � I . I I . ! � ., - "�� '4�Z- .. 111.I .... ."I ,i� � . I .11,11,_,,�11 I �, , . PROPOSED5EPTIC 9 . � 1 ,9 � � 1 9 . I � � I I� 9 . I I . 1 9 � : 8 - �9 1 . I ft- -,i�,:� \ ,�� � . . i 1 91, 1 �.� 1,�,�,� I . I I I I - 9 1 1 1 1 11 I I . 9 1 . I . � (D 9 1: I I, � � I 1 9 1 .1 I I 11 I SYSTEM FOR LOT#2 9 9 � I � I I - I I � I I I : � I 0z �-i.� , �; , -I.- I I 0 - � I � �. . 1 9 � 9 9 . � � 9 . I � 9 .1 9� - . - � I I I � � I 1 9 1 . I 0- 11 I .1 � I I , � � . I � . . I � I � � I 1 9 . 19 1 � 9 . 1 9 � � . � 1 99 9 1 . I � 9. . 1 9 1 1 9 � . 9 1 1 i I P I . �� � �, I I ,. I I I 11 1 9 1 . 1 9 1 1 1 1 i : . I �I � . I � � � 9 55.3± 1 i I I . � 35" Propoe,ea � . I I I I � � 1 9 1 1 9 ., I I I . � I �� I � "I . .9 1 9 1 1 1 i 4 1 � . I I I � . . � � I I . I I . � 1 9 9 1 � � I � 9 . I I I . . � . i : I � I � I ;' � I 1 9 � 1 (9" Min - 3G".Max) I � 9 � I I 1 9 1 . I I I � 1 9 . I. 11 � I I . 9 9 : I I . 1_� I � �: � . . , � ,9 � 1 53. 1 9 � 9 1 11 � � I I � I .� . 9 1 1 � . 9 �t,A,4AW-I��,� I � 1q_ 9 . 6 I/ � 9� : I ,.,-4 1� I � - .1 � I.� � 9 . � I � . 9 1 ,,, '4, 9 9 1 1 9 1 1 1 . ! E � I #!-::�_�I.,�& : I � HAE31TAT 17OR HUMANITY O� CAPF= COD, INC. . , . I I '�'�_�:, I . J,,Z . : � I _-�� - � 19 1 1 1 9 . ,�-,�N.,.4.4 .0"�,iyo f ir-41,Z_ . 9 1 1 1 9 99 . i . . I )� - ,��'4ik 9 1 � �. I I . 11.111 .1-11L - � I . A, 1. 1 , * . 9 1 + 9 : I"'I . 2" LAYER Of 1/8" - 112"STONE OR FILTER FABRIC #,I I I THF LAYCUT AND 9 � � . I I � 11 . : . , .W, +!! I �� . 1 . I I . � I � , . : , � 9 '. � i � I ;. 9 1 1 1 1 - I ---� _�-�, " I � b_A�,��- 1��_ t, e� DIMENSIONS Of TtIE 9 � I �� . � -' _- -'-�,fS., 'I, - 11 � I ,J��,�.,�A 0 F!14,1��,�,�, � �� \' . 9 1 1 1 ; - - I I I 11q I J-1, "':N, 411 Main Stre t, 5ute G, 011 , �" , ,� I ,� " -, I I I I I I � I I � . � , I11 - 11 ; � -il I�,,, I" , / , h I ,� ! I . 'm;,<,.�r�-;;-, .q � I , r ft'.� I -. �. 9 1 9 . . . " 1 9 1 _�, � ..iTF? - � 54.7t �5�4,1�O I � -\,�_5385 - I-1/2"STONE . � 7 . :� 'll I . 9 1 � I I t e 52 75' , I I ,, � - 314" 1 I V,'.V,--I , I , I I : I I I �� 9 1 1 . !. 11 � �, I I �,, �; I I 1`1� , ,/ , " , I I � 9 1 1 � - 1 9 41 I .1 I I . . 9 1 1 1 1 . 9 1 1 � : I I . ,/ � I" I" ," I I 1 9 1 9 9 � �,�, 9 - "' I � - . 1 9 i : , I , , N I . I I p :, , 1� I I �� i , . � 11 � 9 1 1 � I � 11 I � I -- , � /, ,�w, I, I , ,, " � I � � I . I 1114, . � - --,-,-, 9 '\P LOT# 19 - 51TE *15EWAGE D151`05AL 5Y5TEM PLAN5 I : � . � 9 9 2" DROP I , _Z___ � I I '9 I I 1 _w��� PREP �ED 5Y DAVID f. ALTEN. � I I � 3,05 1 e, ','� '�/171111 iz CT) � PLAN DATED 212GI 1 5 � I � , 7,n, 21 3" 1 53�22 N . � 9 " j,e�-��+It I ZT -F " TAr,EN FR M T �: T I I , ,,, �, �",,/ �� ', I "I , I I . I , , � g F,R.NAP�i rT' I 1 41011 9 T , / / I- - . � I .. . . 1 9 . 9. 9 9 � 9 INSPECTION NOTE: 9 1 1 1 1 � 9 1 1 1 _�/ Y _4 , , � � .1.11 �I", 9 . � 9 � I I . I I i � � . I I I I CYRE11.1- ;Z� I 11 I I . 91 9 JENKIN5 PROPERTY - 151 9 OLD 5TAGF ROAD, BARN5TA13LE, MA ; I � � GAS BAFFLE 50.75/ . � )` � , L - 9 _ I I I I 1,>/;,�!�, 11 9 - ____ I I I � I , : I I � ___ I I I "� - - 1 .11 I � _ - � I ! 9 � . I 11 �0"i� /!11T, ,9, " ! � , I 1 9 ;�� t, � I . I � � 9 1 � � �0 NQ�4'�R.33 �:,;�,�, t .1 - ,�,,7 -, I . i . 9 1 1 . 1 9 1 1 1 1 � . I , 1�11 _. . 9 . I , : 9 1 1 . SYSTEM 9 9 . � .1 I � ...... 9 . . � . I � I I I � I . � I I I I USE (2) 5HOREY PRECA PRIOR TO FINAL INSPECTION BY THE ENGINEER, , . I .- ,- � �i. .- � 9 9 � 9 1 I.�1''..4-..� .� I " '_ . �. � I I I - 11 ,,.�"z,,ir I I��, -,99 1 1 9 9 � I � I . t I - ..""', �,�, ".1 I I f -,7 1 "" � . [ I 'I- - -.1- 9 i 9 . � � � I 5dO GALLON LEAC�l CHAMBERS 4.2± NEEDS TO BE COMPLETE INCLUDING BUILDUP FOR COVERS,, � I I �� Z "., , � � I . I I I J.M. OTEILLY & AsSOCIATES, INC. � . : 9 9 1 1 1 1. . .1 .." �..'.'7 � 1 9 1 11 . � 11 � -_ . 9 . 9 1 Lon'3e5l; Pu . 9 N,/ 1. I I I ' '. . � ! I I I n . 9WITH 4'CF STONE AROUND I .- - __ - ." - 1 91 1 � : 9 , ; I I . . I I I I : I � � � � 01± � 1) � 11 I � .. I i,±__� I 1 3 _� � 1 5± I . 9 9 1 1 1.1� I 1 9 Professional Engineering & Land Surveying Services I � � � 9 : � 9 � � 1 1500 GALLON , I I D5-3 I I I 1 9 (END VIEW) , 1 9 1 9 1 9 11 I I I I .. I�, �0 1 � 20 I � 9 1 ; . � � 1 9 . I I I I 1 9 i - El.=4G.5± BOTTOM OF TEST PIT#2 � I I . I I I!= I - "0010011 9 1 11 � I � I : I � I . 9 1 � � 5EPTIC TANK I I D-E3OX . I I . I I LEACHING CHAM5EF, � I . 1 91 9 1 1 9 1 9 1 �I � . I I I I I I I. I � 1573 Main Street - Route 6A� . i 9 1 1 9 1 1 9 r I . I � � 9 9 1 1 � � 25.0'x I 2.83'x 2,01 . I I I I SCALE 1 "=20' 9 i I - I I I I I I I � i I I � 9 9 . � I I I I � � 1 9 FH-20� � I I 1 9 1 1 1 9 9 1 9 � � I 9 � I 11 1 9 � I P.O. Box 1773 1 1 9 : : . 9 1 �, .9 .. 9.1 � .. I 1 9 . 1 1 1 . I � . I . I � I � 9 - 1 (508)896-6601 Office . Brewster, MA 02631 (508)896-8602 Fax � : � 9 1 � I � - i 9 1 � 1 9 1 . ! I I I � 1,1 9 � 9 � I I � � � . � 9 1 . 9 1 . I DATE: 5 ALE: by; CHECK: JOB NUMBER: � I . I . 9 1 i I I 1 . 19 1 1 i � 1 9 9 1 � I 1, 9 . 1 9 1 9 1 1 1 1 1 9 1 1 9 i : I 1 9 . . 1 9 � : : 1 9 1 . I I 1 9 9.1 1 � 19 1 � � 1 9 1 � 9 . 1 9 1 � � . -1 I 1 9 9 � I I . 1 G:\AAJob5\Habitat\Habitat 1819 Oij 5tac oad 4G�G\ciw,�j\G4GG5ite*5a5(L,oth lot5,1.dw,�j 3/5)/2015 A5 Ndted KEf JIVO JMO_G4GG : - ,�e � ! I I I 0"' - 1 9 1 9 - NONE ' .: Not 9 1 1 qE I . I ,t O 4 I C - N NE P PC (;7" . I %� NONE I. I T _/0 A I ,,�� / _,****� , /'"I.,/, , , : �- , I 1�, 11 J� � , . i I , : - � I 'N I 9 : � tN 1� I—- V" \ i � I � , , I , � I I � � . I I - . 9 1 1 1 1 � 9 � I I I I ! I - I . I � I � � I I . . I I I I 1 9 . 1 9 9 � I 1 9 1 � I � � I I 1 9 9 ! I . I . I I I I I I � � 9 1 9 . I I I I I ! I I I I I I I I � I . 9 � I . I ; 1 9 . I I � � . : ; I I I � I � . � i9 � I . I I I I . 9 I I I . � i11 I . I � . I I I � I � I I . I I 1 91 1 1 . 9 1 , , � . ! 11 - 1 9 11 � I I I � , 11. 1 9 1------- --------,---�__________________ - _ _ - - I-----,----1.1_._1__1.__1 __ - --9 --I --,---,-,-" ,---- _,__,___________________ ------I--- 99-- -- 11-1 ____ � , - - -I-------- -_ - ____________------_______9-------- -------_--__-- , - I : I - - _ I I � i I ; I I i : ! �� � I � : I � , � : � i ; i : : ! : I I : ! I , � ! ; ; ! I � � i i� � � I I I I I � � : I BARNSTABLE, Rio MA C" REFERENCES: ���F q��y/Gym 1 .) PLAN BOOK G35 PAGE G7 00 MAP 152 PARCEL 3G 0 6 2.) OWNER: L00O3 JAMES A. JENKIN5 rn SUSAN L. JENKIN5 �Z DEED BOOK G73 I PAGE 323 /0 S o 3.) TOTAL AREA 44,81 1 S.F.± vow 4.) ZONING CLASSIFICATION ZONE RESIDENTIAL (RF) NOT TO SCALE/ _ AQUIFER PROTECTION DISTRICT (AP) RESOURCE PROTECTION OVERLAY DISTRICT (RPOD) 1855 OLD STAGE ROAD / LEGEN D MINIMUM LOT 51ZE FEET • -•.....-030 EXISTING CONTOUR MINIMUM FRONTAGE 150 rn 87, 120 FEE Existing 0o PLAN 32 32 FROF 05ED CONTOUR Well o z x / v SCALE I "=30' sa EX15T1 NG SPOT GRADE FRONT YARD SETBACK 30 FEET SIDE AND REAR YARD SETBACK 15 FEET 24x5 PROPOSED SPOT GRADE/ 3 MAXIMUM BUILDING HEIGHT 30 FEET OR 2.5 STORIES G� —w— WATER SERVICE LINE —o— OVERHEAD UTILITY SERVICE 5.) LOCU5 DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE 0���� _U— UNDI=RGROUND UTILITY SERVICE AS SHOWN ON FEMA FLOOD INSURANCE MAP # 25001 C0534J GAS SERVICE LINE EFFECTIVE DATE JULY I G, 2014 �� / �,,. ` TEST HOLE/ BORING LOCATION / - sT 51=PTIC TANK ° DB DISTRIBUTION BOX G.) LOCUS FALLS WITHIN THE NATURAL HERITAGE AND ENDANGERED / 03sac SOIL ABSORPTION SYSTEM SPECIES PROGRAM (NHE5P) AREAS OF ESTIMATED HABITAT5 OF / ReSer�e SOIRE5L ABSORPTION FOR FUTURE 1�T1L#TY POLE RARE SPECIES AND PRIORITY HABITATS OF ,ARE SPECIES \ EEI CATCH BASIN (HYDRANT UP#138 0 WELL ® DRAINAGE MANHOLE LOT # 1 O ■ CONCRETE BOUND, FOUND ` — I — TOP' +OP BANK Are�a�=L_2,039 SF_± c� —x—x— LIMIT- OF WORK LOT # I SYSTEM DE51GN CALCULATIONS : LOT #2 5Y5TEM DESIGN CALCULATIONS: \ -o --'� `^^^-^� EDGE OF CLEARING SEWAGE DESIGN FLOW: SEWAGE DESIGN FLOW: 2 BEDROOM DWELLING @ 110 GPD = 220 GPD 2 BEDROOM DWELLING @ I 10 GPD = 220 GPD LEACHING CAPACITY REQUIRED: LEACHING CAPACITY REQUIRED: / 2 BEDROOMS (MAX.) @ 110 GPD = 220 GPD REQUIRED 2 BEDROOMS (MAX.) @ I 10 GPD = 220 GPD REQUIRED DEED RESTRICTION WILL BE REQUIRED DEED RESTRICTION WILL BE REQUIRED ( c- SEPTIC TANK CAPACITY REQUIRED: SEPTIC TANK CAPACITY REQUIRED: °� �O I DAILY FLOW= 220 GPD @ 200% = 440 GAL. REQUIRED DAILY FLOW= 220 GPD @ 200% = 440 GAL. REQUIRED 'O� 0��00 SEPTIC TANK CAPACITY PROVIDED: SEPTIC TANK CAPACITY PROVIDED: DOE ` �� PROPOSED 1 500 GALLON SEPTIC TANK(MIN. ALLOWED) 1 500 GALLON SEPTIC TANK(MIN. ALLOWED) " Qyfa WELL LEACHING CAPACITY PROVIDED: LEACHING CAPACITY PROVIDED. ONE(1) 33.5'X 1 2.83'X 2.0' LEACHING CHAMBER CAN LEACH: ONE(1) 33.5'X 1 2.63'X 2.0' LEACHING CHAMBER CAN LEACH: 184 rJ OLD STAGE ROAD I s Vt=[(25 X 12.83) + (25 X 2.0)2 + (12.83 X 2.0)2]X 0.56 GPDl5F=264.36 GPD Vt=[(25;X 12.83) + (25 X 2.0)2 + (12.83 X 2.0)2]X 0.56 GPD/5F=264.36 GPD X� 264 GPD>220 GPD REQUIRED 264 GPD>220 GPD REQUIRED VACANT 20'\ NOTE: A GARBAGE DISPOSAL IS NOT PERMITTED WITH THIS DESIGN. NOTE: A GARBAGE DISPOSAL 15 NOT PERMITTED WITH TH15 DESIGN. INSTALL: INSTALL: / ONE(1) - 1 500 GALLON SEPTIC TANK ONE (1)- 1 500 GALLON SEPTIC TANK X Z5 ONE(1) - 3 OUTLET DISTRIBUTION BOX(H-20 Rated) ONE(1)-3 OUTLET DISTRIBUTION BOX(H-20 Rated) , �50 2' �O\ G� �(` 1 800 OLD STAGE ROAD TWO(2) - 500 GALLON LEACH CHAMBERS WITH 4 OF STONE ALL AROUND TWO (2)- 500 GALLON LEACH CHAMBERS WITH 4'OF STONE ALL AROUND .000100, Tp&2 Q�p ���� 262 LOT #2 N �� Area=22,773 SF± 6> ` LEACHING CATC} h ASIN _ -- k LEACHING PIT ` LOT # 1 501 L TEST LOGS: LOT #2 501L TE5T LOGS: TEST HOLE 1 : EL=57.0-} TEST HOLE 1: EL=57.0± /09 Rs> DEPTH FROM SOIL SOIL SOIL SOIL OTHER DEPTH FROM SOIL SOIL 501L 501L OTHER ` SURFACE HORIZON TEXTURE COLOR MOTTLING SURFACE HORIZON TEXTURE COLOR MOTTLING ` i 264' TO PRIVATE WELL (INCHES) (USDA) (MUN5ELL) (INCHES) (USDA) (MUN5ELL) 0-6" O/A LOAMY SAND I OYR 3 4 NONE 0-6" O/A LOAMY SAND I OYR NONE 6-33" B LOAMY FINE SAND I OYR 5 8 NONE 6-25" B LOAMY FINE SAND I OYR NONE 33-45" 1 C 1 151LT LOAM I I OYR G/21 NONE I 1 1 25-12 I" C I I LOAMY FINE SAND I OYR NONE TIGHT IN PLACE PERC 0 70" 1 �\ \ r�. Tp &4 p PROPOSED DIZIVEWgy 45-9G' C2 LOAMY SAND I OYR.6 8 NONE PERC 67" 2 + TEST HOLE 2: EL=57.0± ' 0— B flS ~ 9G-I26 C3 FINE SAND I OYR 74 NONE C) D"2 ° DEPTH FROM SOIL SOIL 501L SOIL OTHER \ ` u� O W1 / BOOM TEST HOLE 2: EL=57.0± SURFACE HORIZON TEXTURE COLOR MOTTLING (INCHES) (USDA) (MUN5ELL) DEPTH FROM SOIL SOIL SOIL SOIL OTHER +i _ SURFACE HORIZON TEXTURE COLOR MOTTLING 0-6" C/A LOAMY SAND I OYR NONE (INCHES) (USDA) (MUN5ELL) 6-25" B LOAMY FINE SAND I OYR NONE ` ", 0-G" O/A LOAMY SAND I OYR 3/4 NONE 25-1 2 I" Cl I LOAMY FINE SAND I I OYR INONE TIGHT IN PLACE PERC 70" -P#1&2 m 152.1' I 6-33" B LOAMY FINE SAND I OYR 5 8 NONE ± 33-45" ClSILT LOAM I OYR 6 2 NONE TEST HOLE DEPTH FROM M EL=57.0± 398 WOOD51 DE ROAD 45-96" C2 LOAMY SAND I OYR,6 8 NONE PERC G7" SOIL SOIL SOIL SOIL OTHER PRO 05ED SURFACE HORIZON TEXTURE COLOR MOTTLING \ 96-126 C3 I FINE SAND I OYR 7 4 1 NONE (INCHE5) (USDA) (MUN5ELU / Ll- TEST HOLE 3: EL=57.0± O-E" O/A LOAMY SAND I OYR NONE DEPTH FROM SOIL SOIL 501L 501L OTHER G-32" B LOAMY FINE SAND I OYR NONE SURFACE HORIZON TEXTURE COLOR MOTTLING 1 32-1 32" 1 C I LOAMY FINE SAND 1IOYR, INONE I TIGHT IN PLACE (INCHES) (USDA) (MUN5ELL) 0-6" O/A LOAMY SAND OYR 3 4 NONE TEST HOLE 4: EL=57.0± l 6-20" B LOAMY FINE SAND I OYR 5 8 NONE DEPTH fE SOIL- SOIL SOIL SOIL OTHER a SURFACE HORIZON TEXTURE COLOR MOTTLING 20-42" Cl SILT LOAM I OYR 6 2 NONE (INCHES) (USDA) (MUN5ELL) 5��� ' ` 1785 OLD STA(GE ROAD v'P#29-1 36 _ 42-96 C2 LOAMY SAND I OYR G/81 NONE O-6" O/A LOAMY SAND I OYR NONE / \5� w VACANT I' 96 122' C3 FINE SAND I I OYR 7141 NONE 1 6-32" B LOAMY FINE SAND I OYR NONE TEST HOLE 4: EL=57.0_ I 32-1 32" C 1 LOAMY FINE SAND I OYR NONE TIGHT IN PLACE+ DEPTH FROM SOIL SOIL SOIL 501L OTHER DATE OF TEST]NG: 1 1/25/14 Existing SURFACE HORIZON TEXTURE COLOR MOTTLING PERCOLATION RATE: 15 MIN/INCH IN "C2" LAYERS. Well (INCHES) (USDA) (MUN5ELL) WITNESSED BY: KEITH E. FERNANDES, PE, J.M. O'REILLY�-ASSOCIATES, INC. N 0-6' C/A LOAMY SAND I OYR 3 4 NONE DONNA MIORANDI, AGENT, DARN5TABLE HEALTH DEPARTMENT — Q G-20" B LOAMY FINE SAND I OYR 5 8 NONE NO WATER ENCOUNTERED o m / 20-42" C I SILT LOAM I OYR 6 2 NONE USE A LOADING RATE OF 0.5G DUE TO SOILS FOUND IN TEST PITS FOR LOT#2 cn 42-96" C2 I LOAMY SAND I OYR 6 8 NONE \ LU J / 96-1 22" C3 I FINE SAND I OYR 7 4 NONE IL DATE OF TESTING: 1 1/25/14 PERCOLATION RATE: < 5 MIN/INCH "C2 *C3" LAYERS WITNESSED BY: KEITH E. FERNANDE5, PE, J.M. O'REILLY*ASSOCIATES, INC. DONNA MIORANDI, AGENT, BARN5TABLE HEALTH DEPARTMENT NO WATER ENCOUNTERED USE A LOADING RATE OF 0.56 DUE TO 501LS FOUND IN TEST P75 FOR LOT#2 \\ HABITAT FOR HUMANITY OF CAPE COD, INC. 41 1 Main Street, Suite G, Yarmouthport, MA 02G75 PRELIMINARY WELL *- SEPTIC SKETCH PLAN JENKIN5 PROPERTY - 161 9 OLD STAGE ('ROAD, BARN5TABLE, MA J.M. OTEILLY & ASSOCIATES, INC. Professional Engineering & Land Surveying Services 0 30 GO 90 1573 Main Street — Route 6A P.O. Bog 177:3 (508)896-6601 Office Brewster, MA 02631 (508)896-6602 Fax SCALE I"=30' DATE: SCALE: By: CHECK: JOB NUMBER: GA\AAJobe\Habitat\Habitat 1819 Old Stage Road 6466\6Iwg\G4GG5ite*5D5-5ketch 1 2/1 9/1 4 A5 Noted KEF KEF JMO-G4GG j, NOTE: 33" FROM TOP OF CHAMBER TO BOTTOM H-1 0 f ... 13ARN5TABLE, MA SF C'$1 �p'r5���cF'Pp tich�q REFERENCES: qo 1 .) PLAN BOOK G35 PAGE G7 0, TFs I MAP 152 PARCEL 3G O 6 ' 2.) OWNER: z� LOCUS JAME5 A. JENKINS �Z m110, 5U5AN L. JENKINS a DEED BOOK G73 1 PAGE 323 a 3.) TOTAL AREA 44,81 1 5.F.± 4.) ZONING CLA551FICATION ZONE RESIDENTIAL (RF) / NOT TO SCALE AQUIFER PROTECTION D15TRICT (AP) RESOURCE PROTECTION OVERLAY D15TRICT (RPOD) I 855 OLD STAGE ROAD � / S ,.:. 6 LEGEND Q° s --M EXISTING CONTOUR MINIMUM LOT 51ZE 87, 120 5F+ .- Existing 0 PLAN —32 PROPOSED CONTOUR MINIMUM FRONTAGE 150 FEET well o ��. FRONT YARD SETBACK 30 FEET , / v SCALE l"=30' x 12.34 EXISTING SPOT GRADE 51DE AND REAR YARD SETBACK 15 FEET 6a 24x5 PROPOSED SPOT GRADE MAXIMUM BUILDING HEIGHT 30 FEET OR 2.5 STORIES �PG� o.. —w— WATER SERVICE LINE IS � —o— OVERHEAD UTILITY SERVICE LOT SHAPE FACTOR 22 —U— UNDERGROUND UTILITY 5ERVICE CP G— GA5 SERVICE LINE 5.) LOCUS DOES NOT FALL WITHIN A 5PECIAL FLOOD HAZARD ZONE \43 / �- -' ;� \ TEST HOLE/ BORING LOCATION A5 5HOWN ON FEMA FLOOD INSURANCE MAP # 25001 C0534J / i a, - sT SEPTIC TANK EFFECTIVE DATE JULY i G, 2014 / `° \ DB DISTRIBUTION BOX >• 5A5 501L A1550RPTION SYSTEM G.) LOCUS FALL5 WITHIN THE NATURAL HERITAGE AND ENDANGERED S8 ' ;� Reserve RESERVED FOR FUTURE 5PECIE5 PROGRAM (NHE5P) AREA5 OF ESTIMATED HABITAT5 OF / - COD UTILITY POLE RARE SPECIES AND PRIORITY HABITATS OF RARE SPECIES .... E m ® CATCH BASIN ., �,... 'Cr FIRE HYDRANT ' WELL + UP#138 ® DRAINAGE MANHOLE C .. LOT # I .; ■ CONCRETE BOUND, FOUND %/ Area=22, x 1 — TOP OF BANK ` -x—x- 039 SF± LIMIT OF WORK FEN s �' E OF CLEARING LOT # 15Y5TEM DE51GN CALCULATIONS. LOT #2 5Y5TEM DESIGN CALCULATIONS . / Q SEWAGE DE51GN FLOW: SEWAGE DESIGN FLOW: < 2 BEDROOM DWELLING @ I 10 GPD = 220 GPD 2 BEDROOM DWELLING @ 110 GPD= 220 GPD ` O a LEACHING CAPACITY REQUIRED: LEACHING:CAPACITY REQUIRED: \� 2 BEDROOMS (MAX.) @ I 10 GPD = 220 GPD REQUIRED 2 BEDROOMS (MAX.) @ 110 GPD = 220 GPD REQUIRED DEED RESTRICTION WILL BE REQUIRED DEED RESTRICTION WILL BE REQUIRED j 2 ' �� 0 SEPTIC TANK CAPACITY REQUIRED: SEPTIC TANK CAPACITY REQUIRED: , �\ 0 n �� 0 tip DAILY FLOW= 220 GPD @ 200% = 440 GAL. REQUIRED DAILY FLOW= 220 GPD @ 200% = 440 GAL. REQUIRED °PD 3 A+ -Ao Q 6 SEPTIC TANK CAPACITY PROVIDED: SEPTIC TANK CAPACITY PROVIDED: A 5' I 1500 GALLON SEPTIC TANK(MIN. ALLOWED) 1 500 GALLON SEPTIC TANK(MIN. ALLOWED) p 2 LEACHING CAPACITY PROVIDED: LEACHING CAPACITY PROVIDED: 60X F� y O ROPOS.E ONE I 33.5'X 12.83'X 2.0' LEACHING CHAMBER CAN LEACH: ONE(1)33.5'X 1 2.83'X 2.0' LEACHING CHAMBER CAN LEACH: 845 OLD STAGE ROAD PROPOSE) O Vt=((25 X 12.83) + (25 X 2.0)2 + (I 2.83 X 2.0)2]X 0.5G GPD/SF=2G4.3G GPD Vt=((25 X 12.83) + (25 X 2.0)2 + (12.53 X 2.0)21 X 0.5G GPD/5F=264.36 GPD VACANT 5HFD 0— 2G4 GPD>220 GPD REQUIRED 2G4 GPD>220 GPD REQUIRED 2 9�x NOTE: A GARBAGE DISPOSAL 15 NOT PERMITTED WITH THIS DESIGN. NOTE: A`GARBAGE DISPOSAL IS NOT PERMITTED WITH THIS DESIGN: G 0�2 INSTALL: INSTALL ONE(I)- 1500 GALLON SEPTIC TANK ONE (1) - 1 500 GALLON SEPTIC TANK �� 1800 OLD STAGE ROAD ONE(I)-3 OUTLET DISTRIBUTION LEACH CHAMBERS ERS WITH 4-OF STONE ALL AROUND TWO(2)- 500 GALLON LEACH CHAMBERS WITH W OF STONE ALL -20 ONE(I) - 3 OUTLET DISTRIBUTION BOX(H-20 Rated) kX� `a N`� ? TWO (2) - 500 GALLON LEACH C B i AROUNR ,.�az G3 f LOT #2 N �i. F. - _ _ �ArPa=2?,773 SF± m R LEACHING CATCH ASIN , ec 1—r',CEi1i'vU I.>IT. .. m ) LOT # 150I L TEST LOGS: LOT #2 501L TEST LOGS TEST HOLE 1 : EL=57.0± TEST HOLE 1 : EL=57.0± `a a /99.x i DEPTH FROM 501L 501L 501L 501E OTHER DEPTH FROM SOIL' SOIL _ SQIL SOIL OTHER ! SURFACE HORIZON TEXTURE COLOR MOTTLING SURFACF HORIZON TEXTURE COLOR MOTTLING �, �k 5p;8'- 264'± TO PRIVATE WELL (INCHES) (USDA) (MUNSELL) (INCHES) (USDA) (MUNSELL) IO NONE 5 , LOAMY SAND YR ..,;...._ • O CI A LO _ NONE E. OYR 3 4 � .._ G A LOAMY SAND 8 G-33" B LOAMY FINE SAND I OYR 5 8 NONE G-25" B LOAMY FINE SAND I OYR NONE 33-45" C I SILT LOAM I OYR G 2 NONE 25-1 2 I" Cl LOAMY FINE SAND I OYR NONE TIGHT IN PLACE PERC 0" �� r— 4 p �'ROPOSED pRIVEWAY 1 2 .:... �j 0'± W 'N7 'JP . 45-90 C2 LOAMY SAND I OYR G S NONE PERC G7 TEST HOLE 2: EL=57.0± FINE SAND I OYR 7 4 NONE 9G-1 2G C3 \ � .u, i �O '4 u' f BECI1�0�7�j` � y �'•'� i. DEPTH FROM SOIL SOIL 501L SOIL OTHER I SURFACE HORIZON TEXTURE COLOR MOTTLING 15 TEST HOLE 2: EL=57.0± (INCHES) (USDA) (MUN5ELL) DEPTH FROM SOIL SOIL SOIL 501L OTHER I SURFACE HORIZON TEXTURE COLOR MOTTLING 0-G" O A LOAMY SAND I OYR. NONE n (INCHE5) (USDA) (MUN5ELL) TP#1&2 +l O-G" O A LOAMY SAND I OYR 3 4 NONE 25-12 1' I IL C I LOAMY FINE SAND I OYR NONE TIGHT IN PLACE PERC O" G ��" B LOAMY FINE SAND I OYR NONE / I i.O G-33" B LOAMY FINE SAND I OYR 5 8 NONE n TEST HOLE 3: EL=57.0± 398 11NOODSIDE ROAD _ 33-45" Cl 51LT LOAM I OYR G 2 NONE I e \ FRSHODED N m mr PRO OSED -9 " C2- LOAMY SAND I OYR G 8 NONE PERC G7" SSURFACROM HORIZON SOIL COLOR OITTLING OTHER / 5 ' P 45 G 9G-12G C3 FINE SAND I OYR 4 NONE (INCHES) (USDA) (MUN5ELL) / v LL ; O-G" O A LOAMY SAND I OYR NONE TEST HOLE 3: EL=57.0± f DEPTH FROM SOIL SOIL SOIL SOIL OTHER G-3211 B LOAMY FINE SAND I OYR NONE SURFACE HORIZON TEXTURE COLOR MOTTLING 32" ClLOAMY FINE SAND I OYR NONE TIGHT IN PLACE �� A (INCHE5) (USDA) (MUNSELU 32-I= , on, TEST HOLE 4: EL=57.0± 6) O A LOAMY SAND I OYR 3 4 NONE 0 G 501E SOIL OTHER DEPTH FROM 501E SOIL OYR 5 8 NONE E l TEXTURE COLOR MOTTLING / PCB'' „� j A UP#29-1 36 G-20 B LOAMY FINE SAND SURFAC� HORIZON ' \ Y / 85 OLD S AGE ROAD 20-42" CI 51LT LOAM I OYR G 2 NONE (INCHE5) (USDA) (MUNSELL) W��L 3/ 42-9G" C2 LOAMY SAND I OYR G 8 NONE O-G" C/A LOAMY SAND I OYR NONE 1 5 \ VAC/ANT / / 0 9G-1 22" C3 I FINE SAND I OYR 7 4 NONE G-32" B LOAMY FINE SAND I OYR NONE TEST HOLE 4: EL=57.0+ C I LOAMY FINE SAND I OYR NONE TIGHT IN PLACE H I I I Existm DEPTH FROM 501L SOIL 501L SOIL OTHER DATE Of /25/ 4 9 1 / 5U"FACE HORIZON TEXTURE COLOR MOTTLING PERCOLATION RATE: 15 MIN/INCH IN "C2"LAYERS. Well N ,� (INCHES) (USDA) (MUN5ELL) WITNESSED BY: KEITH E. FERNANDES, PE,J.M. O'REILLY*ASSOCIATES, INC. / e v 0-G" O A LOAMY SAND I OYR 3 4 NONE DONNA MIORANDI, AGENT, BARNSTABLE HEALTH DEPARTMENT _ Q G-20" B LOAMY FINE SAND I OYR 5 8 NONE NO WATER ENCOUNTERED ` 20-42" C I 51LT LOAM I OYR G 2 G NONE USE A LOADING RATE OF 0.5G DUE TO SOILS FOUND IN TEST PITS FOR LOT#2 42-9G" C2 LOAMY SAND I OYR 8 NONE o LU J / C3 FINE SAND I OYR 7 4 NONE fL DATE OF TESTING: 1 1/25/14 PERCOLATION RATE: < 5 MIN/INCH "C2 *C3" LAYERS. WITNESSED BY: KEITH E. FERNANDES, PE, J.M. O'REILLY*ASSOCIATES, INC. 1 DONNA MIORANDI, AGENT, BARNSTABLE HEALTH DEPARTMENT NO WATER ENCOUNTERED USE A LOADING RATE OF 0.5G DUE TO S OILS FOUND IN TEST PITS FOR LOT#2 L NOT FOR CONSTRUCTION HABITAT FOR HUMANITY OF CAPE COD, INC. 41 1 Main Street, Suite G, Yarmouthport, MA 02G75 ZONING BOARD OF APPEALS 5KETCH PLAN JENKINS PROPERTY - 181 9 OLD STAGE ROAD, BARNSTABLE, MA 3 .e' J.M. OTEILLY & ASSOCIATES, INC. Professional Engineering & Land Surveying Services 0 30 GO 90 1573 Main Street - Route 6A P.O. Box 1773 (508)896-6601 Office Brewster, MA 02631 (506)896-6602 Fax 5CALF 1"=30' DATE: SCALE: BY: CHECK: JOB NUMBER: G:\AAJobs\Habitat\Habitat 1519 Old Stage Road G4GG\dwg\G4GGZBA 5KETCH.dwg 12/22/14 As Noted KEF KEF JMO-G4GG i I I No. go S J 3 •i ' Fee �j v O.F�MASSACHUSETTS THE COMMONWEALTH EAtered in compulter: PUBLIC HEALTH-DIVISION - TOWN-OF BARNSTABLE, MASSACHUSETTS Yes' Rpplicatiolu for Disposal �&pstem (Construction Permit Application for a Permit to Construct ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Loo Lion Address or Lot No. '( 1 C Owner's Name,Address,and Tel.No. / ^� —� Assessor's Map/Parcel oo Y I �Gtn► ((� . (C)� rG(1�(.. Installer's Name,Address,and Tel.Not. (2�52.' "�����L Designer's Name,Address, nd Tel.No. U Type of Building: C} Dwelling No.of Bedrooms q s Lot Size .ft. Garbage Grinder - ►— g ( ) Other Type of Building No.of Persons Showers( ' ) Cafeteria( ) Other Fixtures c^� Design Flow(min.required) d Design flow provided �j4 gpd Plan Date — Number. f o sheets Revision Date Title I A I oo ' G 4 G Size of Septic Tank , Type of S.A.S. Description of Soil i Nature of Repairs or Alterations(Answer when applicable) i Date last inspected: Agreement: " r 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 B-oard-af_Health 9— } �= ' Signed Date —Z 2 0, Application Approved by Date 57'12' J 1 Application Disapproved by r` Date `Y for the following reasons Permit No O �l _ 33 Date Issued d I . _________________________ ___________________________________________________ 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 at t rJ d � has been cons cted in a�cc anc�e T 2 w'th the provisions of Title 5 and the for Disposal System Construction Permit No.a01 S -,t�7or dated 1�( ed ooms Approved desig w P gpd `; The issuance oft s pe 't shall not be construed as a guarantee that the system will ctio as esigned. Date Inspector ---------------------------------------------- ------------------------------------------------------ No. aOIS� Fee_��� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposar *pstem (Construction permit Permission is hereby granted to CP ct( ) Repair( ) Upgrade( ) Abandon( ) System located at 1 Sf -it I 1 D L A C19,,X6-7- 1 ( 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 permit.c''j_r Date � Approved by Town of Barnstable �FIME t Regulatory Services Richard V. Scali,Director ` BA ' Public Health Division 9 ass. MASS, $ q'Ar�1639. Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: 7/9-1C Sewage Permit# 20�S - 13 3 Assessor's Map/Parcel G?2— Installer& Designer Certification Form Designer: `_� /�S�sCi✓�rsCS Installer• -rr�ir - . � 1 Address: R0-46 l Z7-3 Address: P U 19Cc 9-3 SAMA -3 t y II On 2 v/i W,6n 5-r 64t5rdac,2&r'( was issued a permit to install a (date) (installer) septic system at Lr 4EP based on a design drawn by (address) o4ae,—m t *r dated -3 -9-ZO 15" (designer) B 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, �t 1 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 i. were found satisfactory. I certify that the system referenced above was constructed in compliance with the terms of 3 th I/A approval le ers(if applicable). l B. Instal is ignature) V"IZZ JOHN M. O'REtL LY c_:a 1eA ens cf CIVIL NO. 36200 (D- ignature) (Affix Designer's Stamp k. PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIC` 'h 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:lof ice formsWesignercertification form.doc { k E;Ic 28861 Ps 186 �213 9 27 i 0 —12—`2015 1 1 12ct 0 b DEED RESTRICTION WHEREAS,Habitat for Humanity of Cape Cod,Inc. ("Habitat"), a Massachusetts non- profit corporation with an address located at 411 Main Street,Route 6a, Suite 6,Yarmouthport, Massachusetts 02675, is the owner of 1815 Old Stage Road, West Barnstable,Massachusetts and being shown as Lot 2 (the"Property")on a plan entitled"Plan of Land in West Barnstable, Massachusetts as surveyed and prepared for Habitat for Humanity of Cape Cod, Inc.,"dated March 9, 2015 ,made by J. M. O'Reilly&Associates,Inc., recorded with the Barnstable County Registry of Deeds in Plan Book 657 Page 63 (the"Plan"); WHEREAS,Habitat as the owner of said property has agreed with the Town of Barnstable Board of Health to a restriction as to the number-of bedrooms which can be included in any home built on said lot as a pre-condition to obtaining a disposal works construction pen-nit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS,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, State Environmental Code,Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document; NOW, THEREFORE,Habitat for Humanity of Cape Cod, Inc. does hereby place the following restriction on his above-referenced land in accordance with his agreement with the Town of Barnstable Board of Health,which restriction shall run with the land and be binding upon all successors in title: 1. The property may have constructed upon it a house containing no more than two (2)bedrooms. Habitat agrees that this shall be a permanent deed restriction affecting the property; For title see deed from James A.Jenkins and Susan L. Jenkins to Grantor, dated April 29, 2015, and recorded with the Barnstable County Registry of Deeds in Book 28831,Page 335. Executed as a sealed instrument this day Gl�. y of � 15 1815 Old Stage Road, West Barnstable, MA Y V HABITAT FOR HUMANITY OF CAPE COD,INC. By: Its President By: its Treasurer COMMONWEALTH OF MASSACHUSETTS COUNTY OF n Of ss. On this���` day of MA i ,201�'before me,the undersigned notary public, personally appeared_ 0� --� I a s &-,e,^W.r ,proved to me through satisfactory evidence of identification,which were i�SoN.I) -_Fw--�-,Jto be the person whose name is signed on the preceding document,as,pow s R� nthA Habitat for Humanity of Cape„Cbd, , Inc.,and acknowledged to me that he/she igned it voluntarily oor�ts stated purpose: r � J MARY I. CAMPBELL 'L�f; „suit" •„ r;r L * Notary Public mmonwealth of Massachusetts Notary blie-P ' t Name: :w'� ,a, My Commission Expires Q :.cc My Commission Expires:i 14 November 14, 2019 ��•. �,y rowio COMMONWEALTH OF MASSACHUSETTS COUNTY OF 3AtNs}om b�U. On this day of_n'1 ,20 4 rbefore me,the undersigned notary public, personally appeared_ p�ved to me through satisfactory evidence of identification,which were r°4/c,r�,r�ll to be the person whose name is signed on the preceding document, as Prt x t ;A e�✓ of the Habitat for Humanity of Cape Cod,Inc.,and acknowledged to me that he/she'signie voluntarily oluntarily for its stated purpose. i �,)„ Notary lic-P t Name: F i. My Co fission Expires: I I-1 -l 9 w�`' li Nays .4` O d ij MARY E. CAM > 'o' Notary PBELL ,,. o� * ry Public 4�Commonwealth of Massochuse ✓d . eo �� My Commission Expires !v November 14, 2019 ` BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register I °P11A' CERTIFICATE OF ANALYSIS Page: 1 of 1 Barnstable County Health Laboratory (M-MA009) Report Prepared For: Report Dated: 4/10/2015 Sally Desmond Desmond Well Drilling Order No.: G1686169 P O Box 2783 Orleans, MA 02653 Laboratory ID # 1586169-01 Description: Water`-Drinking Watery �} Sample#: Sample Location: 1819 Old Stage-Rd,W Barnstable Collected: 04/09/2015 Collected by: customer Lot 1 Received: 04/09/2015 Routine_M ITEM RESULT UNITS RL MCL METHOD# ANALYST TESTED NOTE Nitrate as Nitrogen 1.5 mg/L 0.10 10 EPA 300.0 LAP 4/9/2015 Iron 0.23 mg/L 0.10 0.3 EPA 200.8 KK 4/10/2015 t Manganese 0.0082 mg/L 0.0030 0.050 EPA 200.8 KK 4/10/2015 pH 6.2 PH AT 25C NA 6.5-8.5 SM 4500-H-B DCB 4/10/2015 Sodium _ 15 mg/L 0.10 20 EPA 200.8 KK 4/10/2015 Total Coliform Absent - PIA 0 0 SM 9223 RG 4/912015 Conductance 120 umohs/cm 2.0 SM 2510E DCB 4/10/2015 Water sample meets the recommended limits for drinking water of all the above tested parameters. Attached please find the laboratory certified parameter list. Approved By: _._......_.-.?�2_ � (Lab Manager) - -�S/_�2_ 0 ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 r ; �aFnr CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory (M-MA009) Recipient: Sally Desmond _ Matrix: Water-Drinking Water Desmond Well Drilling Sampled: 04/09/2015 11:00 P O Box 2783 Received. 04/09/2015 16:29- Orleans, MA 02653 Collection Address: 1819 Old Stage Rd,W Barnstable Order#:` G1586169 Sample Location: Lot i Lab ID: 1586169 01 Description: Contract#: Month "` Date Analyzed: 4/10/2015 @ 14:44 Sample#: Analyst: yn Method: EPA 524.2 Dilution Factor: 1 Comment: Water sample meets the recommended limits for drinking water of all the above tested parameters. EPA 524.2- Volatile Organics by GC/MS Result JACk MIX - - Result+ _MCL .._._...MDL Parameter ug/L ug/L ug/L Parameter ug/L ug/L ug/L Dichlorodifluoromethane ND 0.50 .Chloroform 2.1 80 0.50 ._ __ Chloromethane ND 0.50 Icis-1,2-Dichloroethene ND 70 0.50 Vinyl chloride ND 2.0 0.50 cis-1,3-Dichlor_opropene 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-Trichloroethane4 ND 200 0.50 Ethylbenzene ND 700 0.50 1,1,2,2-Tetrachloroethane., ND 0.50 Hexachlorobutadlene ND 0.50 1,1,2-Trichloroethane:. ND 5.0 0.50 Isopropyibenzene ND 0.50 _...._._-...__. .._............. ....._ ._..-.__.._.-._..-- 1,1-Dichloroethane L ND 0.50 Methylene chloride ND 5.0 0.50 1,1-Dichloroethene ND 7.0 0.50 Methyl-tert-butyl ether _ 5.7 0.50 1,1-Dichioropropene 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 0150 1,2,4-Trichlorobenzene ND 70 0.50 p-Isopropyltoluene _ ND 0.50 1,2,4-Trlmethylbenzene ND 0.50 sec-Butyl benzene T ND 0.50 1,2-Dibromo-3-chloropropane ND _ 0.50 Styrene ND 100 0.50 1,2-Dibromoethane(EDB) ND 0.50 tert-Butylbenzene 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-Dlchloropropane -ND 0.50 Total xylenes _ ND 10000 0.50 1,3,5-Trimethyibenzene ND 0.50 trans-1,2-Dichloroethene ND 100 0.50 1,3-Dichlorobenzene ND. 0.50 trans-1,3-Dichioropropene ND 0.50 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 _ _ _ -89% 70 130_ 4-Chlorotoluene NO 0.50 1,2-Dichlorobenzene-d4 790/a 70 130 Benzene ND 5.0 0.50 ------- Bromobenzene ND 0.50 Bromochloromethane _ND 0.50 Bromodichloromethane Bromoform _ ND 0.50 Carbon tetrachloride _ ND 5.0 0.50 Chlorobenzene ND 100 0.50 Chioroethane ND 0.50 1 Attached please find the laboratory certified parameter list. Approved(Lab Dirree By. r ctor) ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, P0.Box 427, Barnstable, MA 02630 Ph: 508-375-6606 Page 1 of 1 fsti.°�"� CERTIFICATE OF ANALYSIS Page: 1 of 1,;, Barnstable County Health Laboratory (M-MA009) Report Prepared For: Report Dated: 4/10/2015 Sally Desmond Desmond Well Drilling Order No.: G1586170 P O Box 2783 Orleans, MA 02653 Laboratory ID#: 1586170-01 Description: Water-Drinking Water Sample#: Sample Lo a ty on: 1819 Old Stage Road,W Barnstable Collected: 04/09/2015 Collected by: customer ��—Lot 2 Received: 04/09/2015 Routine_M ITEM RESULT UNITS RL MCL METHOD# ANALYST TESTED NOTE Nitrate as Nitrogen 0.85 mg/L 0.10 10 EPA 300.0 LAP 4/9/2015 Iron 0.16 mg/L 0.10 0.3 EPA 200.8 KK 4/10/2015 Manganese 0.0038 mg/L 0.0030 0.050 EPA 200.8 KK 4/10/2015 pH 6.5 PH AT 25C NA 6.5-8.5 SM 4500-11-13 DCB 4/10/2015 Sodium 11 mg/L 0.10 20 EPA 200.8 KK 4/10/2015 Total Coliform Absent P/A 0 0 SM 9223 RG 4/9/2015 onductance 85 umohs/cm 2.0 SM 2510B DCB 4/10/2015 Water sample meets the recommended limits for drinking water of all the above tested parameters. Attached please fend the laboratory certified parameter list. Approved By: (Lab Manage V r ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 � aF1i9R,k� CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory (M-MA009) Recipient: Sally Desmond Matrix: Water-Drinking Water - Desmond Well Drilling Sampled: 04/09/2015 4:00 P 0 Box 2783 Received: 04/09/2015 16:35 Collection Address: 1819 Old Stage Road,W Barnstable Orleans, MA 026531 Order#: _G1586170 Sample Location: Lot 2 Description: - Contract#: Month Lab ID: -1586170-01 Date Analyzed:. 4/10/2015 @ 15:06 Sample#: Analyst: yn Method: EPA 524.2 Dilution Factor: 1 Comment: Water sample meets the recommended limits for drinking water of all the above tested parameters. - - -- -- --- ---- -- -..------ EPA 524.2- Volatile Organics by GC/MS Result MCL MQL Result MCL MDL Parameter ug/L ug/L ug/L Parameter ug/L ug/L I ug/L Dlchlorodifluoromethane ND 0.50 Chloroform 110 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 11,1,1,2-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 Hexachlorobutadlene ND _ 0.50 1,1,2-Trichloroethane• ND 5.0 0.50 Isopropylbenzene 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 NO 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 0150 p-Isopropyltoluene ND 0.50 1,2,4-Trimethylbenzene ND 0.50. sec-Butylbenzene ND 0.50 1,2-Dibromo-3-chloropropane ND 0.50 Styrene ND 100 0.50 - --- -- -- ---.................... - ..-_.. 1,2-Dibromoethane(EDB) ND 0.50 tert-Butylbenzene 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 NO 1000 0.50 1,2-Dichloropropane ND 0.50 Total xylenes ND 10000 0.50 1,3,5-Trimethylbenzene _ ND 0.5o trans-1,2-Dichloroethene ND 100 0.50 1,3-Dichlorobenzene - ND -0.50 trans-1,3-Dichloropropene ND 0.50 1,3-Dichloropropane ND 0.50 Trichloroethene ND 5.0 0.50 1,4-Dichlorobenzene ND 5.0 0.'50 Trichlorofluoromethane ND_ 0.5o 2,2-Dichloropropane ND 0.50 Surrogates %Recovered QC Limits(%) 2-Chlorotoluene E ND 0.50 p-Bromofluorobenzene 100% 70 1 130 4-Chlorotoluene ND 0.50 1,2 Dlchiorobenzene-d4 87% 70 13 Benzene _ ND 5.0 0.50 0"- Bromobenzene ND 0.50 Bromochloromethane ND 0.50 Bromodichloromethane ND 0.50 Bromoform ND 0.50 Carbon tetrachloride ND 5.0 0.50 Chlorobenzene ND 100 0.50 Chloroethane ND 0.50 -7 Attached please find the laboratory certified parameter list. Approved By: _._-_.._------_._ r (Lab Director) ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Lever Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 Page i of 1 I s Massachusetts Department of Environmental Protection Bureau of Resource Protection Well Completion Reports Well Driller Please specify work performed: Address at well location: ;New Well mm Street Number: Street Name: 1819 OLD STAGE ROAD Please specify well type: Building Lot#: Assessor's Map#: Domestic 1 152 Assessor's Lot#: ZIP Code: Number Of Wells: 036 02668 3 City/Town: Well Location BARNSTABLE In public right-of-way: GPS I Yes r No North: West: I......................................................... 41.68993 70.37795 Subdivision/Property/Description: Mailing Address: r click here if same as well location addres Property Owner: Street Number: Street Name: HABITAT FOR HUMANITY 1819 OLD STAGE ROAD City/Town: State: Engineering Firm: BARNSTABLE MASSACHUSETTS ZIP Code: 02668 Board of health permit obtained: Yes C} Not Required Permit Number: Date Issued: W2015 008 03/25/2015 ...................................................................................... Or d ( Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program ` Well Completion Reports(General) Well Driller -General Well Form DRILLING METHOD Overburden Bedrock Auger f--Choose Bedrock-- WELL LOG OVERBURDEN LITHOLOGY From(ft) To(ft) Code Color Comment Drop in drill Extra fast or Loss or addition stem slow drill rate fluid 0 F2_6 _j Silty Sand G YES�OND � Fast t' Slow (' Loss t"`,'Addi 20 25 Silty Sand ► Brown 3 C,, YES NO (`- Fast f', Slow {`j Loss t`Addi K Ci Loss t 3 Addi 25 45 Silty Clay g� Brown YES C NpE�� 45 65 Fme To Coarse S ;' Brown Fast ` Slow r' Loss'' Addi r 65 85 ` Fine To Coarse S �, Brown + t YES f'i NO r Fast=rSlow Loss (' Addi — I: y � . ..... ... ..... ...................................... .. . ....................... 85 95 Fine To Coarse S � �B''r"o''wn } � YES �'- NO f' Fast r Slow r Loss C'Addi WELL LOG BEDROCK LITHOLOGY Visible Extra From(ft) To(ft) Code Comment Drop in drill Extra fast or Loss or addition of Rust Large stem slow drill rate fluid Staining Chips (�` Choose Code �': t YES r NO Fast t;Slo Loss `Addition Y w (`I ........... . _r Ye I Ye . .... ADDITIONAL WELL INFORMATION Developed (;Yes (' No Disinfected f!'Yes C} No Total Well Depth 95 Depth to Bedrock _ Fracture Surface Seal Type None Enhancement. C3 Yes t - No CASINGS Is Casing above ground. From: 1 To: 0 r From To Type Thickness Diameter Driveshoe 7 92 Pol y vin ........................... r Ye y I Chloride �, Schedule40 � � ................................:....... .:. SCREEN r No Scree i Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program Cl Well Completion Reports(General) From To Type Slot Size Diameter (92 (95 Stainless Steel Well Point ij+? 0.012 4 WATER-BEARING ZONES C DRY WELL From To Yield(gpm) PERMANENT PUMP(IF AVAILABLE) --Choose Pump Choose ' Pump Description Horsepower Description--- Horsepower--- Pump Intake Depth(ft) Nominal Pump Capacity(gpm) ANNULAR SEAL I FILTER PACK Water Batches Method Of From To Material Weight Material Weight (gal) (count) Placement m se Material oaf; Choose Material WELL TEST DATA Date Method Yield(gpm) Time Pumped Pumping Level(ft Time To Recover Recovery(ft (HH:MM) BGS) (HH:MM) BGS) 04/09/2015 Constant Rate Pump ►! 12_ 130 � 45 0;01 44 WATER LEVEL Date .Static Depth BGS(ft) Flowing Rate(gpm) Measured- ........... _. 04/09/2015� .44.... _................. � _12_ _............ COMMENTS ( .o Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) WELL DRILLERS STATEMENT This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report is complete and accurate to the best of my knowledge. DESMON THOMAS E Monitoring(M] Supervising Driller III, Driller DESMOND III Signature Registration# 764 THOMAS, DESMOND WELL Date.Job Complete Firm DRILLING INC. Rig Permit# 023 04/09/2015 NOTE:Well'Completion Reports must be filed by the registered well driller within 30 days of well completion. = ` Massachusetts Department of Environmental Protection Bureau of Resource Protection Well Completion Reports Well Driller _----- ------ - Please specify work performed: Address at well location: [New Well _ Street Number: Street Name: / 1 1819 OLD STAGE ROAD Please specify well type: Building Lot#: Assessor's Map#: Domestic 2 152 Assessor's Lot#: M ZIP Code.'- Number Of Wells: 036 02668 CitylTown: Well Location BARNSTABLE f In public right-of-way: GPS iC,Yes re No North: West: ............_.................._................. 41.68978 70.37780 Subdivision/Property/Description: Mailing Address: click here if same as well location addres Property Owner: Street Number: Street Name: HABITAT FOR HUMANITY 1819 OLD STAGE ROAD City/Town: State: Engineering Firm: BARNSTABLE MASSACHUSETTS ZIP Code: 02668 Board of health permit obtained: r. Yes ! Not Required Permit Number: Date Issued: W2015 007 03/25/2015 � .............................._..._...._.........._............................. Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program ` Well Completion Reports(General) Well,Driller - General Well Form , DRILLING METHOD Overburden Bedrock ......................... ,....:..._...._......-..-......................-..................... ......... .. Auger --Choose Bedrock-- WELL LOG OVERBURDEN LITHOLOGY From(ft) To(ft) Code Color Comment Drop in drill Extra fast or Loss or addition stem slow drill rate fluid i 20 Cfay Light Gray a+r Ci YES C' N0. t'�astr = Loss r'Addi 20 25 Clay 3 Light Gray C YES NO (" Fast f�;Slow t^, Loss r Addi - _.. .. ............. 25 45 Silty Sand Flo Light Gra _ r!'YES (' NO Fast �''Slow r Loss r Addi 45 65 Fine To Coarse S ; Brown d t=YES (- t =sC ('' Loss t' Addi M .._ 65 85 r Fine To Coarse S ' Brown + ( g L =YES t; NO t Fast {' Slow t Loss t ;Addi ......... ... .. YES (` NO r Fast r Slow ........ . r Loss C?Addi ..... "" .......... ......... C7e B ' rown .. WELL LOG BEDROCK LITHOLOGY Drop in drill Extra fast or Loss or addition of Visible Extra From(ft) To(ft) Code Comment Rust Large stem slow drill rate fluid Staining Chips Choose Code �, (7 YES r NO r' Fast t Slow r Loss t Addition r Ye _ — Ye ADDITIONAL WELL INFORMATION Developed [�!'Ye, r No Disinfected t =Yes C No Total Well Depth 95 Depth to Bedrock Fracture _.__...._............................... Surface Seal Type None Enhancement t Yes No CASING (r`! Is Casing above ground. From: 1 To: 0 From To Type Thickness Diameter Driveshoe 0 92 Polyvinyl Chloride Schedule 40 4 r I Ye ..............._.............................................;-......... ........................................:::::::::: �� SCREEN r No Scree Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) ............................ From To Type Slot Size Diameter 92 95 Stainless Steel Well Point 0.012 4 WATER-BEARING ZONES 1 J DRY VVEL From To Yield(gpm) PERMANENT PUMP(IF AVAILABLE) --Choose Pump ---Choose Pump Description Horsepower Description--- 'Horsepower--- Pump Intake Depth(ft) Nominal Pump Capacity(gpm) ANNULAR SEAL I FILTER PACK Water Batches Method Of From To Material Weight Material Weight (gal) (count) Placement Choose Material Choose Material r7? Choose One WELL TEST DATA Date Method Yield(gpm) Time Pumped Pumping Level(ft Time To Recover Recovery(ft (HH:MM) BGS) (HH:MM) BGS) 04l09/201� Constant Rate Pump ;j 12 1:30 41 0:01 40 WATER LEVEL Date Measured Static Depth BGS(ft) Flowing Rate(gpm) 04/09/2015 40 12 COMMENTS Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) WELL DRILLERS STATEMENT _ { This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report is complete and accurate to the best of my knowledge. DESMON THOMAS E Monitoring[M] Supervising Driller III, Signature Driller DESMOND III Registration# 764 THOMAS, DESMOND WELL Firm DRILLING INC. Rig Permit# 023 Date Job Complete 04/09/2015 NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion. .e ^ No. �`� ��` 5 - o� / Fee c 6� BOARD OF HEALTH TOWN OF BARNSTABLE Zipprication _for Yell Cow6truction Permit Application is hereby made for a permit to Construct(�, Alter( ), or Repair( an individual well at: 0j Location-Address i f - Assessors Map and Parcel yer4-,YES pSc�w-ey� — �o�U`t tac lDvv�Ah yi .ir+. , �'�e�O l i0.Crvw park'NUi C3Z6�5 ((�� Owner y Address QS 'M �Qjk Uj4kto a��L �.b tb�Oy. 7.,-In .0Ct9wY�s �® 02- 53 Installer-Driller Address Type of Building Dwelling V Other-Type of Building No. of Persons Type of Well 1-{t�pS lCM 40 N C— Capacity 16 T jqV— Purpose of Well C dT 00u— 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 Certi to of Compliance has been issued by the Board of Health. Signed Date Application Approved By 31 OZ Date Application Disapproved for the following reasons: Date Permit No. Issued Date -------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed( ), Altered( ), or Repaired( ) by 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. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector � �� No. W auk `'O Fee BOARD OF HEALTH TOWN OF BARNSTABLE 2pprication -for Yell Construction Permit --- Application is hereby made for a permit to Construct M, Alter( ), or Repair( ) an individual well at: 01 S ,O gL ?'0,( 2-1 O 3b I uc� Z Location-Address ` ` l l ��1 Assessors Map and Parcel 0c(3c&6 H ' �la�U�t� taC � hT`� �II� k4 y a,��2�41 OlCm.aa��, tsar MllnZ6�S Owner 01 j Address k,k !IN b-1 x z-123 ,06i.Y-\ MA OZh53 Installer-Driller Address Type of Building Dwelling r Other-Type of Building No. of Persons Type of Well H��pS C\\L{0 NC_ Capacity t Purpose of Well ` dV 0.0u 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 has been issued by the Board of Health. Signed 3 ILA — Date Application Approved By 3-5- Date Application Disapproved for the following reasons: Date Permit No. Issued w Date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of (Compliance THIS IS TO CERTIFY,that the individual well Constructed( ), Altered( ), or Repaired( ) by 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. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector - BOARD OF HEALTH TOWN OF BARNSTABLE Yell Construction Permit No. ll Fee Permission is hereby granted to Oes)'Yl� 411 6,��,nj Installer to Construct(Jj, Alter( ),l or Repair( an individual well at: No. LC� 1' ( y I l `� .�1 Q (0S4 4 Stree � as shown on the application for a Well Construction Permit No. Dated Date L Approved By i BARNSTABIP. GENERAL NOTE5: LOT#2 501L TEST LOG5: LOT#15Y5TEM DE51GN CALCULATION5: e "" ,w•.�wsoousrrcsrnw `,w.&'$`nw �. '�. °"e` �e��000-:,ow �, a4 LOCUS CONSTRUCTION NOTES: Aga �^^^m�^'+' NOIE:125'V/P11 SETBACK GRANTED BY THE ZONING BOARD OP AP A .wwa � �:awwa>e:cnn,x�nm A5 PART Or THE 40D COMPREHENSIVE PERMB APPROVAL nmu maa. me 61 mea un xeac eLLrie nxiwv wax navlmrxr roSGNL LEGEND vvvrosm mwouz //\i 10` r '='t� � f ovw.aAo umms�vla _ � NceRCRouNo unurcsocna ras,.wuo�'a«iumroe,venwri "'�ac°m"�.w ..rmm ese*.0 Se im muamx - 1845 OD 5TAGE ROAD\\ __ •T,ddNIW u cn99ocLn¢ua 11l ✓. O ,6rnueTeow,�lnonw mo r�EH.o.AaR Mm.weas�osar �'� 262:1 .m `I Q T 1�O.wu ,ID 5A5 DETAIL: LOIT I 2 z FLOOR PLAN m BEn uvING aAm I \\\ �� VKIN� TI\ DINING \ 1785 OLD 5TAGE ROAD \\ T FLOW PROFILE' Nor ro suit 5 COVER5 TOTAL AR1A.m.,w ,s HABITAT FOR HUMANITY OF CAPE COD,INC. wNdslo�or�s sll u..s�.s.s:w.c.r..wroa..Mn ozns It LOT82-SITE t SEWAGE DISPOSAL SYSTEM RAIDS w n.,ria � NHl �®�� JB1rJN5 PROPERTY-1819 OID STAGE ROM.BMN4rABIE.I.IA J.M.O'REUY&ASSOCIATES,INC. 0 20 40 60 w�a R.w.ulr.Im a...o�cewa SEPTIC TANK D-BOY LEACHING-CHAMBER Lnrc:m'w a>m mn waEl-p _ 9/Y2015 N9• JMDU66 Town of Barnstable Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-8624644 Wayne Miller,M.D. FAX: 508-790-6304 Paul CanniH;D.M.D. lunichi Sawayanagi January 29,2015 Mr. Craig Larson Chapter 40B Chairman,Zoning Board of Appeals 1819 Old Stage Road, Two Lots 200 Main Street Petitioner: Habitat for Humanity Hyannis, MA 02601 c/o Ms. Leedara Zola Dear Mr. Larson: During the public meeting of the Board of Health held on January 13, 2015,the Board reviewed the above referenced Chapter 40B and submits the following comments: (1) Separate private well construction permits are required for each lot. Each well shall be sampled for the following chemical and bacteriological standards: total coliform, nitrate-nitrogen,pH,conductivity, sodium, iron and EPA methods 502.1/503 or 502.2 or 524.1 or 524.2. These tests include analyses for purgeable halocarbons and purgeable aromatics,as well as analyses for petroleum hydrocarbons or pesticides. (2) Separate disposal works construction permits are required for each individual lot. Detailed engineering plans shall be provided for each of the proposed septic systems. (3) No more than two (2)bedrooms have authorized on each parcel. Floor plans shall be submitted to the Health Division prior to the approval of building permits and prior to the issuance of disposal works construction permits. (4) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting each lot to two bedrooms maximum. Copies of the recorded deed restrictions shall be submitted to the Health Agent prior to obtaining disposal works construction permits. Sincerely, Wayne Miller,M.D. Chairman,Board of Health QAWPFILES11819 Old Stage Rd Cent 40B-Habitat lan2015.doc Health Master Detail Page 1 of 1 r, erHaltMa t - - Logged In As: TOWN\stantond Health Master Detail Tuesday,July 19 2016 Application Center Parcel Lookup Selection Items Reports Parcel Septic Perc Well Fuel Tank E.Parcel: 152-036-001 Location: 1815 OLD STAGE ROAD,West Barnstable Owner: HABITAT FOR HUMANITY OF CAPE COD INC Business name: Business phone: . Rental property: ❑ Deed restricted: ❑ Number of bedrooms i Contaminant released: ❑ Fuel storage tank permit: ❑ S — ave Parcel Changes Return to Lookup Parcel Info Parcel ID: 152-036-001 Developer lot:LOT 2 Location:1815 OLD STAGE ROAD Primary frontage:180 Secondary road: Secondary frontage: village:West Barnstable Fire district:W BARNSTABLE Town sewer exists at this address: NO Road index:1Em 174 Interactive map Town zone of contribution: State zone of contribution: Owner Info Owner: HABITAT FOR HUMANITY OF CAPE COD INC Co-Owner: Streetl:411 MAIN ST SUITE 6 Street2: City:YARMOUTH PORT State:MA Zip: 02675 Country: Deed date:4/29/2015 Deed reference:28831/335 Land Info Acres: 3.52 Use: Single Fam MDL-01 Zoning:RF Neighborhood: 0105 Topography: Road: Utilities: Location: Construction Info Building No Year Buil Gross AreE Living Area Bedrooms Bathrooms 1 20'_6 2052 972 12 Bedroomsl Full-1 Half Buildings value: Extra.features: Land value: http:Hissgl2/intranet/healthMaster/He althMasterDetail.aspx?ID=I 52036001 7/19/2016 , 1 CERTIFICATE OF h1�NALYSIS Page. 1 of 1 3° M; Barnstable County Health Laboratory (M-MA009) Report Prepared For: Report Dated: 4/10/2016 Sally Desmond Desmond Well Drilling Order No.: G1586170 P O Box 2783 Orleans, MA 02653 Laboratory ID#: 1586170-01 Descriptlon: Water-Drinking Water Sample#: Sample Location: 1819 Old Stage Road,W Barnstable Collected: 04/09/2015 Collected by: customer Lot 2 Received: 04109/2 0 1 5 I Routine M ITEM RESULT UNITS RL MCL METHOD# ANALYST TESTED NOTE Nitrate as Nitrogen 0.85 mg/L 0.10 10 EPA 300.0 LAP 4/9/2015 Iron 0.16 mg/L 0.10 0.3 EPA 200.8 KK 4/10/2015 Manganese 0.0038 mg/L 0.0030 0.050 EPA 200.8 KK 4/10/2015 pH 6.5 PH AT 25C NA 6.5-8.5 SM 4500-H-B DCB 4/10/2015 Sodium 11 mg/L 0.10 20 EPA 200.8 KK 4/10/2015 Total Coliform Absent P/A 0 0 SM 9223 RG 4/9/2015 Conductance 85 umohs/cm 2.0 SM 2510B DCB 4/10/2015 Water sample meets the recommended limits for drinking water of all the above tested parameters. i Attached please find the laboratory certified parameter list. Approved By: ^�— (Lab Manage / i X-3 i I 1 I F J 'f ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level ? Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 f ' x t l OF.�gR; CERTIFICATE■T E OF ANALYSIS 10 i Barnstable County Health Laboratory (M-MA009) I Recipient: Sally Desmond Matrix: Water-Drinking Water Desmond Weil Drilling Sampled: 04/09/2015 4:00 P 0 Box 2783 Received: 04/09/2015 16:35 Orleans, MA 02653 Collection Address: 1819 Old Stage Road,W Barnstable Order#: G1586170 Sample Location: Lot 2 Description: Contract#: Month Lab ID: 1586170 01 Date Analyzed: 4/10/2015 @ 15:06 Sample#: Analyst: yn Method: EPA 524.2 Dilution Factor: 1 Comment: Water sample meets the recommended limits for drinking water of all the above tested parameters. i EPA 524.2- Volatile Organics by GC/MS ! Result MCL` MDL Result M LC MDL i Parameter ug/L ug/L ug/L Parameter ug/L ug/L ug/L Dichlorodifluoromethane ND 0.50 Chloroform 1.0 80 0.5o Chloromethane ND 0.50 cis-1,2-Dichloroe_thene _ 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-Trichlaroethane ND 200 0.50 Ethylbenzene ND 700 0.50 11,1,2,2-Tetrachlorcethane i ND 0.50 Hexachlorobutadlene ND _ 0.50 1,1,2 Trichloroethane j ND 5.0 0.50 Isopropylbenzene ND 0.50 1,1-Dichloroethane ND j 0.50 Methylene chloride ND I 5.0 0.50 1,1-Dichioroethene ND 7.0 I 0.50 Methyl-tert-butyl ether ND 0.50 1,1-Dichloropropene ND i 0.50 Naphthalene ND 0.50 �f_..... 1,2,3-Trichlorobenzene ND 0.50 n-Butylbenzene ND I j 0.50 1,2,3-Tnchloropropane ND 0.50 n-Propylbenzene ND 0.50 1,2,4-Trichlorobenzene ND 70 0.50 p-lsopropyltoluene j ND 0.50 1,2,4-Tflmethylbenzene ND 0.50, sec-Butylbenzene i ND 0.50 1,2-Dibromo-3-chloropropane ND I 0.50 Styrene ND 100 I 0.50 1,2-D€bromoethane(ED8) ND 0.50 tert-Butylbenzene 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 i 1,3-Dichlorobenzene ND 0.50 I(trans-1 3-Dich loropropene_- ND 1 oso 1,3-D€chloropropane ND 0.50 1trichloroethene ND 5.0 0.5o 1,4-Dlchlorobenzene ND 5.0 0.50 Trichlorofluoromethane ND 0.50 12,2-Dichloropropane I ND 0.50 Surrogates %Recovered ° g I QC Limits(/o) 1.2 Chlorotoluene f ND 0.50 p-Bromofluorobenzene 3000/0 70 130 ±Chlorotoluene ND ( 0.50 1,2-Dichlorobenzene-d4 87% 70 131) 'Benzene ND 5.0 0.50 - !Bromobenzene ND 0.50 IBromochloromethane ND 0.50 �Bromodichforomethane ND 0.50 IBrcmoform ND 0.50 !Carbon tetrachloride ND 5.0 0.50 'Chiorobenzene ND 100 i 0.50 lChioroethane T ND _ _ - 1.50-� 1 - Approved By: _...-.-__ _ -......_ Attached please find the laboratory certified parameter list. pp - �I (Lab Director) ND=None Detected RL = Reporting Limit MCL=Maximum`Contaminant LeVe Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6606 Page 1 of 1 WINDOW SCHEDULE NUMBER QTY CODE IMANUFACTURER ICOMMENTS W01 9 244DH2449 ANDERSEN U.30 S.29 W02 1 C185 JANDERSEN U.28 S.32 36'-0" W03 1 CN235 JANDERSEN U.28 S.31 4'-5" 10'-3" 4'-8 1/4" 8'79 3/4" T-10" DOOR SCHEDULE 01 03 01 NUMBER QTY WIDTH HEIGHT CODE COMMENTS D01 1 32 " 80 " S210 U.16 D02 1 36 " 80 " S262 U.28 8'-11 1 " -5'-3" 4'-6 1/2" D03 1 36 " 80 " S296 U.17 _� ��- 2' 1 13'-8" w N. CV 00 ' co0 Bedroom T WOO - 160 sq ft 01, o in 34" v 18'-9" C° 15'-4 1/2" " 9'-0" 1 V-7 1/2" 7'-7 1/4" 4'-0 X 8'-0 4-0 21068 WOOD STOOP o �— co O ao N r � I a � DN DO C O M N I O N - (O 00 9 _� V-7" 0 co 14'-2 1/2" 7'-6 1/2" T-7"N T-0" Livinn39 g//Kit fthen co �COImb30" SCUTTLE - N 011 IE '-6" T 1468 cD C 21068 co S � r N M (D 2'-3 1/2" 2'-1 7�_5" 5._0, co D03 N 01 o N co Bedroom o T-7" 6'-10" 5'-7" 2'-0" � 165 sq ft Porch o 108 sq ft NON STRUCTURAL POST CONTINUOUS STEP WO 18'-0" 9' 0" 9'-0" 36'-0" PROPOSED 2 BEDROOM RANCH FOR: HABITAT FOR HUMANITY OF CAPE COD FIRST FLOOR PLAN IN: SCALE: DRAWN BY: West Barnstable 118"= VOR NOTED DAVIDFALTEN 114 „ = 1 r ON: DATE PRINTED: SHEET# 3 1815 Old Stage Road 412612015 DROP BULKHEAD TOP 8" 36'-0" 8'-5" I I 5'-0" I I 14'-9" — 7'-10" L I4 p r— — — — — —— — — — - - - - - - - - - - - - - -- - -- - - - - - -� BASE WIN co 6 8"X 7'9"CONIC. FND. N ? m 8"X 16" RIBBON FTG. T a M wl 2'-6"X 2'6"X 1'-0" COL. FTG. m l 3.5" LALLY COLUMNS 3.5" BASE FLOOR O I I 4 BASE WINDOWS co I 15'-4 1/2" 9'-0" 1 V-7 1/2" T (combo) N r P U I 3.5"X 9.5"VERSA-LAM GIRT .5 AJS 140 1 JOIST oSEE ENG. PLANE 0 4"X8"GIRT POCKET I 4"X8"GIRT POCKET �-I< 9'-0" >k 9'-0" 9'-0" a o o L- - - - - - - - - - - - - - - - - - - � II I o p o o ZI � 10"SONO TUBS I < MIN.48"BELOW GRADE i— — t i l SET ON UNDISTURBED SOIL coo m TOP HEIGHT SET IN FIELD I I I I o �5'-10"� 5'-10" 5'-10" — — v BASE WIN pT 18'-0" T 9'-0" 9'-0., 36'-0" PROPOSED 2 BEDROOM RANCH FOR: BASEMENT PLAN HABITAT FOR HUMANITY OF CAPE COD IN: SCALE: DRAWN BY: — West Barnstable 1/8"= 1'ORNOTED DAVIDFALTEN 114 ON: DATE PRINTED: SHEET# /� 1815 Old Stage Road 412612015 'T I I I 1� ___ I ____________-�- ________- "---__-_____�, ___-__-----------__-__________ _____- ----.-.- , ____ -,--- -_ - ____ I I ----I---------- -- 11 _. � � . I I I .I I I I I I I I I I � I I I I I I I � I I I� I I � I . I � ,1-1 I I . . . I I I I I � I I I I � I I I, I I I I I . 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I I �. . � I I I � I I 11 . .� I I I I I . � . I " . � . � � I I� . I I I I I I I I I I � � � I I � I I .I I � � � . I � I I I I . I � 1. , I � I I I I . I I .I . I I I I I I I � I I I ! I I I I I I � I I � � I I � I . I � I �� I I I . I � I I I 1. � , I I � I � . � I . ., �I . I . I � I I I . I 11 I I I �I I I � I � . I I �, . I . � � I I I I I I . � I I � .1 . � I I I 11 I � I I I I � � I I I I I .I . I I I I I I I I � I I � I � ,� I I I � I I I I I I I I . �,� I I I I I � I . I I I I . I I I I . I I I I II I . I � : I � � ' I I I I . . I I I I I I . I I � I I . �� I I I I I I � ,� I I � I 11 � I I . I - I I I I I I � 1 . � . I I I I 11 � � I I .I . I � I I . I .. I . � . I I I � � I I . I I I I I I. I I I I . . � � I I I I I I 0 1 , I I . I . I I I I I � - I . I I I � I I I I I I I � � I I I I 1 . I I .11 11 I : GENERAL NOTESI : 0 . I I .5Y5TEM DE51GN CALCULATIONSI : I I I I - I i I 11 501L TESIT LOG5 I � � I ! I I .Ww� . . � . I I I . I I � I I mown.." I � I � I I I I I . � � . � � I I I � I � . . I 1 41 MA I I I I I 1 : � V6 : . . I � I I � I I � I I . . I I I 11 � I I I I I 1 I . � - � I I I 11 11 I � . I � . . I. � � I I � -1 I I 11 I � I I . , I I I , I I I . I : � I I � ' � � � I TEST HOLE ,I : EL=57,0± .I . I I . I I I I . I I � I I � � I I SEWAGE DESIGN FLOW: , , , I � I � I I ,� I � . I I I I I I . I � I I . I I .1 I I i . 1,A I'll, �� 11 C_11_�, I I . I. � . I I I I � . � I I I � I I I A.) NEITHER DRIVEWAYS NOR PARKING AREAS ARE ALLOWED OVER SEPTIC SYSTEM I - I I � � � . � I . � I I I � I . I . � � I I �� I . .1 I I � I . � I /%, I I I � . I ': � � 1. I ,� I I I I �1, � I DEPTH FROM SOIL SOIL I I I , SOIL SOIL OTH I 1 2 BEDROOM DWEI @ I I 0 GPD = 2.20 GPID I I I . � I I � � I I . I UNLE55 11�20,COMPONENT5 ARE USED. , , , � .� . � .1 I I I I I I I �� , MOTTLING I � I ; I I . I . I I I I I I . . I I I I I . I . - I I I I �, I'll� .. I� I . I I I � 11 11 � I I I � 1. I I I I I I I I I .1 � I � I 5URfACE ER COLOR : 11 . I I I I I .1 I � I I I . I I , I I I 11 I I I I I � I � I � � �1� .1 I � I 0 11 *11� � I I . , � : I I .. . - I I (NCHE5) � , , (L15DA) - ,I - ,(MUN5ELL) I I I I I � I I LEACHING CAPACITY REQUIRE[): I . I I I . . I � I I I . I � � . � I � .1 I I . I . � I I .1 11 I ....�\) . � . � I � I I . - . ,� I . . I I I I I I � I .. I I I I � . I I I ..I . I I I - � I I I I I I I I ' '.., .11 - I I \_ t, I I I LESS.CONSTRUCTED AS SHOWN. ANY ILL BE APPROVED IN WRITING. � � : I I 0_G11 - I . O/A LOAMY SAND � . I I I I I OYR � NONE I I � I I I I - . I I I I I I I . � I I � I I 1. . I � I I I - I I 1. � I I I I i � I I I . .. I � I . . I . . I I - I I . .I 15,)THE DESIGNER W I ILL NOT BE RESPON.51BLE FOR THIff6y5TItm I AS-DE51GNED UN-,.,I - - I . I I I I . I . I DEED RESTRICTION WILL BE REQUIRED , . I � I I 11 1. 11 I I I , I ,. I 1_�O&)Z� I I � � � 2�BEDROOMS (MAX.) @ I I 0 GPD = 220 GPD REQUIRED I � I . � . CHANGES 5MA I I � I I I : I I I � . � � , I I . �� I � I I I . I I I I . I I I I � I I I I I I � I - .1 � � I I - ., I I I : I I �� I � . I � I I I 11 BE RES�PONSI�BLE FOP,V�ERIFYING THE LOCATION Of ALL, . , , I I � 1 G-25" � 5 LOAMY FINE SAND , , I 0YR, , NONE . I I I i I ,, .I I I I � I I I� SEPTIC TANK C I AFA I CITY REQUIRED:. I I I 1. � I I I� I � I I � I I I 1. - I . 11 I . 1 I ''I � . I - I� �. I � I I � I I' ll .1 I I � I 11 I I . I I I I : _,11",� I . I I 0 1 . I C,) CONTRACTOR SMALL I � 1, � I I I . I I .. .. .. . I I . I I . 11 . I � ! I . I I I � I I I I I e � I I I I I 11: E � 1. I I � , I I I I I � I ,. I I . , , I� 25-12 1" t � C1 : I LOAMY FIN' SAND- , w %, I I CYR I NONE ITIGHT IN PLACE, PERC C5 70" , q - . I I I . I I � � I I � . I I I I I I; I I � : I. � � I I � . I . I � . I . I I I . I I 0 � I I 11 . I I UNDERGROUND AND OVERHEAD UTILITIES PRIOR TO.COMMENCEMENT,Or�WORKI I � I I I I � I DAILY FLOW = 220 GPD @ 2�500% -- 440 GAL. REQUIRED ,. I I . � I I I I I I I I I - � � I I I . I . - I I I I I I , I I . 11 � I I I'll . I I 1: . .11 11 - - I I .1 1� I .1 I . 11 I I � � 1- 1 . I I I I . I . � I I I 1 11, "I I � I . I � I I I I I . I I I 11 I I � I I - I I I I . � I I � I � I.: I � I � I 11 . I . �5 I I I . . I. . � 1� 'I'. . .1 . � I 11 - � I I I � I . .11 �. 11 - � I - I � I I I I I I I I I I I I . � I � �� I I � . I I I I I 11 I I I . I . I I I I I I I - I I � I - I I I � e I 1. I � I .11 , 11 .- .1 . I � I I ''. � I . � . i TEST HOLE 2: EL"57.0± � 11 � I I - I . 11 ,� � I . . I 11 I I � I I I I � I . I I . . I � I - I I � I I . � � I I � : ,>, - I .�I I I � ' I I I I . 11 I I - � SEPTIC TANK CAPACITY PROVIDE[):' � I � I I . I I I � . I I - . . 11 I I I " I' '. 11 I I I I I . I I . . � LOGU5 �P I. � I 11 � . I , I I I I , I . � I � I I I . . � I I I I I I � I . I I . . I I I I - � � 11 . I ;4 I I I 11 0 1 . . 111..11 , I� I I I I I I .1 I I ' ' I I I I I I - I . I I I I I I � . � I I , I I I I � I I . I I I I I I I I 1.� ,. � 1- 1 I I . I 1.1 I `� � I I � � I . CONSITRUCTION NOTF5 #, �,,' , - �� I I .1 I DEPTH FROM 501L , -901L � I 1, 1 1. ,� 501L SOIL , OTHER . � � � � 1 500 GALLON SEPTI,C TANK(MIN. ALLOWED) I I I - I I I I � I � . 1, � . I 11 I . . o . '' I �p I I I I I . . I ": � I I . , I I I I I I I I � .1 I I . I I � � . I I I . I I � � � . I I It I . � I � � I I . I I . � � 1, I . I . I . SURFACE � HORIZON TEXTURE - I I I I I COLOR MOTTLING , I .I I, .,,- I I I I I I I �.. I I � I � I 11 �, I I I . . I " . I - I � I I I I . � I I � 11 I . 11 I 11 I . I I I I ::_ 1� i I , I � . I 11 I I : I � . � . I I � I I I I .1 . I � I I I I � I I , I I . �� , I 1 I . � I � I I I I I . � I I . I . � I � I I I I I . I . I I I I I I I I � I . I 11 I .� I I I I 1 . I I I ., . 11 �' I I ., I I 4" 1� I _ (INCHE5) .. - I I (L15DA) , ,, , � � (MUN5ELQ �� : I I� I � I I I . 1: I I I . LEACHING CAPACITY PROVIDED: I I � I . I � I I I I . I I I . . I I I - I I . I - I � . I I '' I I 1�1, � I � I I I I . . I I I I I I . I I .I 11 I . I I I I I I . . I � I � � I � I " � I 1 I I I � . ��- � . � I - I - I I I I . I � I I �_ � . �� I �I I I �I I e .1. I.- I - I I _kj . I . I . � � I I I I� - . � -G" ; � O/A LOAMY SAND I 0YR , NONE I I . I 1. . . 11 I � � I I I I I I I - I � ,�I I I . � I . I I I .1 �� I I I I I I "I I 11 � � I I ., I - I I I I I . � I I 1. I � I _Z�- � I . . �. I . I - ,. I I I 1, I . -THE STATE ENVIP � � . 10 I � I , I I I . I I - . I I I I , I I I � I .1 ,.. � .. . I I . I .I I � I . I I I I I I I '' �� : , I I I I ' I .1 . I . � ''I ,� 11� �, . � I I - � ONE (1),251 X 12.83�X 2,0' LEACHING CHAMBER CAN LEACH: I . � � I . . I � .I - I 1� , I I .� � 1 .)ALL CONSTRUCTION sHALL CONFORM TO \ONMENTAL CODE . � � . , I I., . . 11 . , � � 11 � � I . I I I I I � . . I I I . � . . � � I . I I I I I I �11 TITLE 5 AND THE REQUIREMENTS OF THE LOCAL.BOARD Off HEALTH EXCEPT,FOR I I �� . I I I - I . � I �.� 11. I Vt=[(25 X 12.83) + (25 X 2.0)2 + (12i63X 2,0.)21Y O,5G GPD/5f=2G4.3G GPb � I I I I I I I I I 11 � I I I I . - I : , ,�,,� - 1. 11 � 11 ,� I I e I 11 I 111. I I 11 I I - �1. :.1� �� 11 I ,� 1. - � I I I 1 �5. '' I I I . I 11 I I ; I I .I , G-2511 . 5 � LOAMY FINE SAND I 0YR ,I � . � I I I I I I I I I I . � I I I � � I . � I I I � - - I I I I I I I I, I I I I . I PO � I .. I I I . I I I I I . I NONE , I � � . I I : . I . I . - I I I I I I � � I I . . I . 11 I I I I . I I I I I I I I I . � 1 . I I . 11 I � � � I I I . . . 1 . 1 2G4 GPD>220 GFD REQUIRED . I I, I I I I I 11 .1 . 11 � 1. I 1. ,�, I 1. I I 11 I I . . . . 1. ., - � I I I . I �. I . I I I � I I 1 T , - I . . .-Co - I � 1 � I I I I , I TH05E REQUIREMENTS WAIVED BY THE ZONING BOARD OF.AP,PtAL.5_� � I � �' ,. , � I : � -1 2 1"� I , C I r I LOAMY FINE SAND ' , I I CYR J, I TIGHT IN PLACE, FERC (a 70" I �I � I I I I I � � I I I I I I I � I I . � I I I I I I � I I. .11, . I I I I ., I e ,� I I � I ,n 11 I . I I 11 . : � I . I I I I . , 1 25 NONE � I NOTE: A GARBAGE DISPOSAL 15 NOT PERMITTED WITH THIS DESIGN, I I I I � . I I 1, � I I I I I I , I I I I � : I � I I I I I � ; I I 11 . I. I ., � . . . I I I I 1W . : I �I . I I . . . I I I I . . I I I I . I � I� �� . �I I I . I . I I I 11 I �, I , I - 11 I . -I I I , e I I I I �I .I I , I I I � .1 I I 'GRANTED E3\r THE ZONING BOARD Of APPffAL5 � � I � . 1. �� : I I 1.1 . 'E . . I I I . I . TRIBUTION I . I , � I . � I . �. I - : I I � , � �.I '11 I I I . I I I I 11, I � I I 1. 1, 11 - � I I . � . I I . . . I . I � I NOTE:, 1 215' WELL 5 ET5AC K I . ! I I � I I� "I' , I I . I - � I . . � I I ., . � � . . � 2.)_'�, PTIC TANK(5), GREASE TRAP(S), D05ING CHAM5ER(5)AND 015 1 -1, , �TEST HOLE 3: E L-_5 7.0-± , , , , , . I I I'll I � I I I I I I I I �� INSTALL: I I I � , 1. � . I I I � � . I . I I I � I I . 1 . I 11 4 . 1. . I . I I I I I . � I � I I I � I . ." � I . 11 , � I . I . I 1. I I I - � I I I I �, . I I . I I I I I � I I I � . 11 ' I . 1 . � I . i � � . I .1 . I I I I I I I I 1 . . I 1 � 1. I . I I I I - . I I , 1.11 . � I I I � I . I I I I I � , I �� � . .1 . I I I . I I I I I � ��� I I I I I I , I I BOX(E5) SMALL BE SET ON A LEVEL STABLE BASE WHICH HAS BEEN MECHANICALLY � �:� ,,, � - 1500 GA � . . I . � � � I ., , A5 PART Of THE 405 COMPREI-111;%51VE PERMIT APPROVAL I I . I .� I I I . . I .1 . . I I I . , I ! ONE (1) LLON ,SEPTIC TANK I I . I I I I I 1. I 1. � 1 - - I 11 . I I I 11 11 � , "� , 11 ., - I � . I . . I � I I I . I � I I DEPTH FROM 501L � SOIL 1 . 1, I 501L SOIL - .1 I . I I I . I I � . I I I . � I � I I I . � � I � . 11 I . � . . I . I I 11 � I I I - I 1 . I � . I 1. , I I I I I I , . I I . � � . I I I � :_ - 11 I : I ONE (1) - 3 OUTLET D15TR15UTION E30X(M-20 Rker,i) I I I I I . I I . I . . I � . I I . . I I I I COMPACTED, op,ON A'G. INCH CRUSHED STONE BASE. . '' � . I I , I SURFACE , HORIZON TEXTURE . - I � COLOR � MOTTLING I I ' I I . I I� I . � � I I . I � - . I I I I � � � I I I .1. . I I I � I I I � I I .. . . I , I . - I 1� I . � 11 I 11 I i. I I ,� I I I � , � . � � .I 1, I I 1 I I I I I .. � 1. . I 11 . I t I I I .1 � � I � 1. I I I � I .- I . I 1, I I . I I . � . . I I I I 1 : I I 1, I .1 � I I I I I I " : I 1. .. I 11 I I � I-, I (1,NCME5) I . 1 I (05DA) , I I I I I (MUN5ELQ I I . I . I - I I I TWO (2) - 500 GALLON LEACH CHAMBERS WITM 4'OF STONE ALL AROUND I � I I 1. . I � . .1 .. I I . I I I I I I 11 .I 11 I ,� I �,� I 1 �.I I . I I I I I .� .� I I I I I I .1 I I I % I I I - I � I � I I I 1. � I I . . I I I � I I I � - I � I I I . I � � I I . . �- � , 3.) SEPTIC TANK(5)SMALL MEET A6Tm STANDARD C 1 127-93 AND SHALL HAVE, � ''I __ - � ,� , , ffIVF (5) - COVERS AND R15ERS BUILT UP AS 51-1OWN ON THE FLOW PROFILE , I I I I I I I I I . . I � � .1 I I I � . I I . � 1. I I � - 1. I .I I I . .,� . . I � I , � I I I . i � i . I - I AT LEAST THREP 20" ' - . THE MINIMUM DEPTH FIR -' , � I I 0-01.1 , . I O/A � LOAMYSAND . 11 I OYR , NQNE , . . � 1 . � I I I � I I I I I . I I � .1 I I I 11 �1. - 1.� , , � � I I . �. � � I I I I . I I I I I I .� ...I I 11� .. � I . 1 .,� I I . . I I I 1. I - I I � I I I I I I I . I . I I . I . I , DIAMETER MANHOLES I ,OM THE 150T I I - . I � I I I ,� I I I I I I . � I � I � I �I I I I I I . . I I I . . . I � I I 1-1 .11 � . I I I I. . I I I 11 I I I I I I. , .1 - � :, I I I . I I I I I I - - I . I . � � 11 11 11 I . I ,%11 I �I I � 1, , . I � . . NOT TO SCALE . � . TOM OF THE 5EIPTIC TANK TO THE FLOW LINE SHALL 51!�461,,� : - ' I �, : , � �,, � I I G-32" ,� , 5 LOAMY FINE SAND :� I= - NONE , , � I 11 � ., � I I I � � I - � I I � . I � .1 I I I I - �1, .I .1 I I I I I � I I I I I I I I . I I - � I I I .1 I ., I . � � 11 I � . . I . I I I I I I I � I I I I I. , I I I . I I I I � I � .�.I � I I I I 1 I I I 1� I . I I I I 1. 11 � I I I . . . . I - . . I I . I I I . I � � . 1 - L I I - - � I � I ' I I I . . � � � I . I - I I I - �. I .I I I I . . I I .� � I I � I � I I I I I � � I I I . � 4.)SCH I I I I 3a-1 32" 1 Cf� , I LOAMY FINE SAND I , I I LT�k - I NONE I TIGHT IN PLACE : , 1 1 1 1 1 1 11 I I I I I I � �. 11 I � I I � I � I I I � . . - � I . I I I L I I. I � . I " , I� I I� I � . . 11 I �I .. I I., . . . I I I . ,� I I � . I I I � I I I EDULE 40 PVC INLET AND OUTLET TEES SHALL EXTEND A MINIMUM Of 91, ,, , , , - . I I I I � I I I - I I i . . I � I I . I I I . I I I . I I � . � I . . . I I . . I I I . I I I L I I I I . . I I PROPOSED DWELLI NG LOT#1, . � I � I I . . I I � I I I . 1. ' I � . I I I I I I � . I I I I I� . I � I � I I 11 I 1, I ,� I ; I I � I I I � I . I I . PROP05ED DRIVEWAY LOT#I' I I � I 11 � . I ,� I I I . I 1. . I . I � I 1, . I .1 I I I I I I � I I . i L 1. I AE30VE THETLOW LINE OF THE SEPTIC,TANK AND SMALL BE INSTALLED ON THE � . TEST HOLE 4: I!L=57�0± . , . I. -I I - . I . I I I . I . I I � I 11 � I I I. , � I I I � I i I i . , ,� I I . � I � I I � � I ,� I I I I I I I .1 I I � . � I � I I I � . ,� I I � I 11 I � I � � I I I I I ' , I I I � : - I I I I I I � . I q I I I I I I � :, . I I I � � . � I � I . I I . I � I � I I � I I . I - . I I . I I . � I I I ,� . I I .. CENTERLINE OF THE TANK DIRECTLY UNDERTHE CLEANOUT MANHOLE, I " I .1 1 . I � 1. I �� - I . . 1 . I I I I I I .. I 1. � I 11 . I 1 I—. � � -11 I I . I � I I I I - 11 I I . - . - 1� ' ' I - LEGEND . . �. . � � . I 11 1, 1 . � I � I I I I I I ". . li � � I � .. I � I DEPTH FROM SOIL , 501L , � I � I SOIL , 501L OTHER I - . � . . I I I I I � I . I I � I I I � I-, I I I I I I . I I . .1 I I I I I I I I I . � I I I ,�, I I � � . � I I I I .1 I . 11 I , I I �. I I I I I I � I I I I I I . I I I I I � � I I I I 11 - I - I .1 I 11 I . I I I . I I I I I I I I � I 1, . . � I I I . I I I I I � 1, I � SURFACE : HORIZON TEXTURE ' . I COLOR MOTTLING I I I I I � ., I . I I I �.� � I I I I I I I � I I �I . � � - I I � � .1 � I I 11 ,�. � . I I I I 11 I I I I .I 1. , I I � � 1, I � . I I , I . �. I I I I � I I I I . I I I I � � I I - I I I I I I . . . � I I I I I , --= EY15TING CONTOUR : I � . 1 15.) RA15E COVERS OFTHt SEPTIC TANKAND DISTRIBUTION BOX WITM.PRECA5T , � � . (INCHE5) I I . � : I I �, I . I I � I � � I I . I . I 1. I I I - I . � I I I I I 11 I I � � I I I � I I I I I .. . 11 . I I I I . � I I � I I "0 1 ' � 1. I � I (LISDA) . I (MUN5ELL) .1 � I I 11 . I I I 1.�� I � I I I I � I . I I I I I . I . I I . . I I 1. I I 1 I ,I I � . �''.I 1. � � . I � . I � 11, I I I I . I ,� 11 � I 11 11 11 . I � I I . 1� � CONCRETE WATERTIGHT RISERS OVER INLET AND OUTLET TEES TO WITHIN r. .Iff I 11 . .� I I . I I I I � I I I I � . I I I I I I I I � I . 11 � .. I I � . I I 11 . � - I . 1. , � � I � .1. I � I I 1 � - � I I . . . . . " fI.N15H GRADE, .OR AS APPROVED BY I THE LOCAL BOA.Rl�Of HEALTH AGENT. I �� . I I Q-G" OJA LOAMY SAND , ,, � I CYR NONE I � I . I - � 1. . 11:1 I I I � I I I I I I I , . I I , . .� I I I I I � .�, I I I I I I � . I I I . I . I � I 1, I � I I . �I .11 11 ,� 32 1 . PROPOSED CONTOUR � I .1 I I I I 11 I - , I I I "I . � . I I � "� I I I I I I � . � I I � � I .� , I � - I 1 �� I I I I I I � I.* I . I I I I . I . I � I I I I I I 11 I I . I I . I I . I 1 I I � .I I , 11 I I . I , I I I I I� I I I I I 11� I I � � . X 1 2.34 , I . . � . I � I � I I . I� , : , G-32" : � 5 LOAMY FINE SAND . � I CYR � NONE , . I . . I I I I � . � . � I -1 I I I I I I I � I I I . 1. I 1� I � � , I 11 . I I � I I I . I I 1, EX15TING SPOT GRADE , . � - - I I , I I . . '55 .. 3 ,54, . I I \ I . ) - � I . I I I I 11 11 ,� I I � *!5CHE L 0 V � , - . I � � I � I I . � . I I I : I ! , I I I I I � I I I � I I I I I I I I � 11 I � 11 .. � � I � ., I .I � d I ft, 5k , I __� �< I (9.) PIPING SMALL CONSIST F DU E 4 P C OR I! IVA N� 4 P1 ALL� � I - I � I I � I / I / , /y, ��, >Ix I I � / X 59 1 � I I I . I . I . I . . I I I. I � I I � � . I 1, 32-132" C I I LOAMY FIN E,5M D .,��.I I CYR NONE ITfGHT IN PLACE I I I I . I . I I I I I I I � I I �, I . / , � I I . � 11 I .11 11 I I � 1 � I � I . � I I I � . . � � I � I. I I I I. I . I I � I . . . . . I BE LAID ON A MINIMUM CONTINUOUS GRADE Of NOT LE55.THAN I 016. - � ', t I, : . I I 1, I � I I __ - I I � . I I I . I I / -,--,, � I � I I I . I � � .I I - I 24x5 . PROPOSED SPOT ,GRADE . I� - � I I .1 . . I I I ,. I I . . . . I I 11 I I � � I I I , I It 11 I I I I . . I I I . I __ . ,�b,�G '-,,,, -3 1 I� .I - I I I � I '. I 1, I I I I � � I . . . I I I - - I . I "I � �W_ I I . .1 I I I . I I I � � I 11 1 . . I . ' : � � It:, (k , I I . ", I 11 . I I I I I . . I � I .. 1. � I I �. I . � I I I I I � W",,',`,�rll�� ',�. , � I � I I . : I I . I I I � � . . I I . I . ., . I � I I It w I I VVM I I I . , - I . I � I �,w I I 1, 1. I � - 11 I I .. 1. I _. . I � . I . WATER SERVICE LINE � I I I I : L 7,) DISTRIBUTION LINES FOP 501L ABSORPTION 5Y5TEM (A5.REQUIRED)SMALL BE . I . - I . I I I � � � . 1, I I � I . I . I I 1 . I . I � n � I I . . . I � . � . I I I. I . 1, I I I � I I . . . I , , I . � . I � I I I I - I �, I � - I RVICE , . 'j I� "' I . I I . PERCOLATION RATE: 15 MIN/INC e', ERS, I . . . . I � I � , �01 ZR 1i -_ . I . I 1. I � . I I 0 1 � . . 11 1. �- I I I I I DATE OF TESTING-., � 1 /25/14 �M . I - (-(Nl C , 0 �Q. 1, L ' I �,A& �4, I , . � � I I I I I I I__� � � ig ,g i " 1� I � I � I � 11 I , I I -� OVERHEAD UTILITY 5 1 . I I yerf - . I � I I I � I 1 i 'N,, I �_ I � I I I . I I I I � 4" DIAMETER SCHEDULE 4d PVC,LAID AT o.605 FT/fT, LINE SMALL BE CAPPED ,/ � . I � � �k"* ., I � � I . F1 ' I I � _ , . I I I I I � I I � . I � . � I I . I � . � � � ,I I I I, - C, � L I I � � I I , t� �, � , � 1, I � I 11 1 I �� . . � I I � .1� I I I I . I I . - L I I . I I I . I I I. , I I ,� I I � I I . I . . I � I , I I I. I � . I i � I� � � : I . I. , I I � L L , t ,� I I I I I . . � I I / I ,� -.\ I I . I I . I I I I I I I. . � I I I q � I � i I � , I - � I I 1 . I I . I .� . 1 . I I U , I UNDERGROUND UTILITY SERVICE I I � I . . I .I I I % , , . I I I . I � . WITNE55ED BY: KEITH E, FERNAND J.M. &,�,EILLY+A55OCIATES, IN I�j t4cl , 5.d 1 � I I I I 11 . I . I � I / � "%_E1441, -0 1. '' , � , I I I - . AT END ORAS NOTED.� I 1; � I . I I � ------ � , , � , .� I � � I I I . I I �I . I I � � � DONNA MIORANDI, A NT, 5ARI`I,5TA5LIf HEALTH DEPARTMENT I I I . I I . I I. . � I I I i *�V,U�,�,� � I '' I � :zl , � I I . I � I I I I � I I I . .. . 1. 11 . � L .. ,� , " I I I I I I I � I � , � I I I I I . I I I � I I I I I I . j I I I I �� 11 / 11 I I I I I . - 0 1 � - � � , , � I � I - � I L . I � I I I � - I I I I , 8.)OUTLET PIPES FROM DISTRIBUTION BOX SMALL REMAIN LEVEL FOP,ATLEA5T , I �I I I � I I I 11 1. � ��,g-zw, I - I � . I I . . I I . 11 11 . ..., I. ,�, 1�. I�.. I .I G7 GAS 5ERVICIF LINE , - ,� ,� I I . I � � I � I , . ,g, " , : I I . � I 0 � I I I I I 11 � � I I I I � NO WATER ENCOUNTERED _ I I . �� I . I � I � I . � I I I I - - , , , 1 17 1. I I . , � , I I I �-11, - �n -1-0 t k I I I I �, 11 ..I . I � I � � I � . � . I G JUDYS LAN E . � ,% ,�_� I , I I : . I � I I � USE A LOADING RATE Of 0,5G I .11 � I I � I I I I i � 1. I I � I I . I I I 1\ - - , 11.1-1- �53.9 1 -11 ,� , , ., � I � � . I I I I � I I I I � . . I � - I I I I� I I I . 12' BEFOP 501L A550P . I I � 11 I I I I �S") N.- , I . � . I 11 � -.1111- I- , �, - � I � 57.9 . i � I . . 11 I . � "I TEST MOLE/ E30KING LOCATION , � � I I ,E PITCHING TO, ,PTION SYSTEM. WATER:TE5T DISTRIBUTION ' I I I I I I I . - . � I I I I 1, . I I . I I I 1 4, � - I ' BOX TO ASSURE EVEND15TRI15UTIOW . z I� . I I I I .I I 1, I . � I � I � I 11 I I 1-1 11 I I � I � � . I � I I � I I I I � I I I I . I MO-16"',,I-, I . . � I is I .1. I . � I I I I I . . I I I I I. I - . I I I - . I I . I 11 � MM�44, I � I . , I I . : I . I I I I . . I . I . I I I . I I -,, ), . I � V_ I .1 � ,. I I I I � . I I I � � , � I . I I I I . . � I I I I I V�\(.�kl\l I I I I . I I I i I ; I I I � I *4 � I I I , I 1, � i I . � I I � I I I Certification: I � I - I . I I I 1. � I I I 1 4 11 I 'Ji4_ .I I � I I 111. � , I . 5T SEPTIC TANK I I � I � � � I I . I I I . I � I I � � I I I � I I � .1 I -) . ' . . ,� � . I I . I I . � e : I I I � I I I � I . I I I I ,. I I I I � � . 0 k 54,8 a3. - I , . I I �_ �. . I � . I 1 9.) DISTRI130TION BOX SHALL HAVE A MINIMUM SUMP OF G." MEA5URED BELOW . I I I I � I I I . I . I I � I . � I � � 1. . I 11 I I 1 I I I � . I I I I 1� �. 1� L � I . ���� . �I I .. . I� . � I � I I I I I _. ,. I I I L . i I I L 11. 1 i I . I . I . I I I I . . I I I I . I I 1, I I I 11 '19", I�I,__ . - 10 . I I 11 . . ,�� I I I I 1. I I I z I �. DB D15TRIBUTION 5OX ,9", ,9", I I I . � .I � ,9", ,, .1 . �� I I I I � . I C - � ", ,� I . I ' I I I . 1 5� - -1 � , � I , � i I THE OUTLET INVERT; , -� � I � I . � . 11 . %� I 1, � . � � � . I I . � � . I �� . I I . I I � I "I N � I cjt - 1� � � I I � I .1 I 11 � 11 . L ; . � I I I . I I � . I � � 11 I I 11 "I I . � I . . � I I I I I I I I 11 I . . 1. . I I . i �149 1 1 . , ' ! I I I I . . I I I �I I 1 I . r . . I . 1 ; 11 - I I 1 . I I � I I I certify that on 10/24/05 1 (Keith E.Fernandes)rassed the examination I I r I .I . : . 11 I � 11 . I . . I I � �I 1�1 I � I . L � I I o'O PROPOSED 110, I � I � I I I I I .1 I I I I I I I "' I ,4 . � � I I�, , � rFACI I 11 i 1 approved by the Department of Environmental Protwtion and that the above � I � I I � I � I I I 11 � . I . I :1 11 � I 11 1 __11._., .1 �'� , � I . I— � . I I I . � 1. I � SAS I � 501 L ABSORPTION 15YSTEM � : I � I I r � I I � I �,�� - � I I I I ........�\ :. 11 � � I I I I . I I I 11 0) BASE AGGREGATE FOR THE LEACHING L TY.SMALL CON51ST OF:3/41'TO I . , I I I I I I . I I 1, . I . - I -1-.1.- ,�G .31 t: i 4 . � � � . � - 1. � I.. - . I .1 I I - I I I � I I I I I I I I I I I - I . I � 1. I -� . I � � � . I I � . I j . � � . 55 �0 1 . ..� � 1�,O `11 I - - WELL r I � I I 1. � , , . I I �I I Re5erve . . I I I I I . ' ' - � I I analysis was performed by me consistent with the rolvired training,expertise I I .� " I I I � � I . I �. . I I I I I � .. I I I � I � I I I � I� I I I I - I . 1 6'?�\. � 10, I � , I I r . lj . I RESERVED FOP, FUTURE' I I I � I' I-1/2" DOU5LE,WASMED STONE FREE Of IRON, PINES AND DUST AND. SMALL BE -, .. � I I . I I � I I I I �MED ( � � I I .� � . . . . . I 1 . . I I I I � . I . I I . I I I I I . I I I - � � I . I � I L � and experience described in 31 0 CMR 15,017. , . I I I r I � I . . I I I x 54,9 - I \k I - 7 1 . I � . �I "..INSTALLED BELOW THE CROWN OF,TME. DISTRIBUTION LINE TO THE 150TTOM OFTHE': � I I I I I I I . I I I��, � 11 I I L I 11 . 11 I' ll I � I . I I � I I I 1 . �, I I I I I I I I � I : . 'I ,� 58�G I �. "I'll, I . 1 � , .., I " � ' 'I I I . q . � ,� . I.. 1�_ I I I .. I ; 11, . I I CU., L . UTI LITY:POLE� I I I 1 . I � I I , I ` I � I I I % � I I � 11 i I 1. I , � I : . I .1 , I I 11 . I � I .1 I . I I I - . I I I . , � . r .: I I r , I I � I.. ' ' � � I I I 11 � 11.1 1 . I I . I � .11 11.1 I � I . I I 501L AE35ORPTION SYSTEM, BASE AGGREGATE SMALL 13E COVEREDWITH A 2" 1 . � I I� I . I 11 . .1 I I . . I .1 I . � ,� I I -11 I � I � I - I 1, I � I I � . I . I ,_ N-_ , � . I I I. - I I I I 1 . . I 11 . '� L � � I . I . I � . I . . I I I , I I I. - .1 1. 11 I , � I , . M - CATCH 13A51N . ! �. I I . I I I I �, . � 15 1 0 I � � I - � I I � . I ,� . I I � I . : I ''I I I . - 11 I . . 1. I I . I I � 11 . I I . I I � I 11� ! 1 � " , I I > I I I I . I � . I I ! . I � � � I . I , I," I . � � � I . I I � � � I I I - % 11 I . I ; . I I I I - .1 �. I I A"b, . " I � . I I I I -, . I . ,�I � , .1 � � I I I I . � I . - I � 11 I I / I I I . I I . �I I I li I 1 . : � � I I . I - I I '_?'_� - . I �I . � I 11 I . I I .r I � . I � 11 I - �, ,�',I � I I I . 1 1 i .. I I . , I � . 11 I 1>-"Y- � � I . . 1 I � q l:, "�� I. 11 "''.I I I - � I,,11 .V � , , : I � I I � � I I ,, I - I I 11 I (9 5 , r I � I � � - I I I � I I � I I _�11 . I � - � I I 11 I I 1. I .1 I I . I I I : . �, FIRE L I . I . � � : I � I LAYER OF 1/8"TO 1/21' DOUBLE WASHED STONE FREE OF�IRON, FINES AND DUST. I I . ___52-__ ' I I I� I I I � �� I� - I I I 1. � � � I , � I I 19 '15�1�,� , � --,---__ , I I � . 11 . X 59. � Ir�\ , I , ,r I I i:" , � . � �. I . I - I I I I . / ol . : - 5-'-- ' '- I � I I � , I I 11 t � . - � I , I I __� - .1 . I M WHEN DISTRIBUTION LINES EXCEED 50 FEET; . � NA�����DA�TE, �,' . . I I . � : 11 1.I .) VENT 501 L ABSORPTION 5Y5TE ,7, 1 � I I I I . I I I 1:�I .1 � I I I I I I � 11 I I I I . I I .1 . .� , - I , I - 11 I I I � I � . I � I I . � I I I 1� I 1. I 11 � � 11 . � �1 , I I i: 1. I 11 . � 1:�. `�'�.. . ''. I � - I .1 I . I I I . n � � I . I . . . � � . I . . I WHEN LOCATED EITHER IN WHOLE OR IN PART UNDER DRIVEWAYS.,I PARKING AREAS, , � ., . I I I I I - . I I 11� I � I I I I I . I � I I I I . I I . I I I I I � � .. � I I � 11 I I �.I I I � I I I I � I . 1". �I 1. .\k- I L, I ,� ,., � .1 � I I 1. , I � r , -P_ . 'L � 1. I . -, : 0 1 -1, WeL.e I I I � I I I I I .. � . . . I I I I. I .I I . I I � . � . I I I I � I I I I I I I I ., I , I 11 � � . ,�I C 1, I �L� I I .1, I I. � . � .I I: 1.r I . � I 11. .: : I�' I � I 1. . I - I I I I I � , - � �, I I I I I I � � � I I I I �I I - I I I I � I I I . I I , � � � I 11 I I . .1 � , � . I . � I. 11 I ,� . I- � I - - : � � I TURNING AREAS OR OTHER IMPERVIOUS MATERIAL; OR WHEN PRESSURE DO5ED_ � . I � - . 11 I . I . I I I � 1, � 1. I I I I � I � I I I i I I I I I I � I � ''I I .1, I I I 11 1 . . - � -11 I . � I. 0 , DRAINAGE MANHOLE I . . � I � . I . � . �- I I I. � . I - I . �.. I I . I I � � I - I I I I I I I I . "I ,I I � .I 0 1 . I � � I . � I i - . I . . � � 11 � � I . I Ir I I 11 I I � x 55,0 1 1, I . I I I I 1. .I � � I . I I I . I . � I � � I I . I I I � I � � . I .11 ., � r - I I I I � i . z . I I . I I � � . 1 � I I I I . I � L� I I � I . 11 11 11 � I �. . ,� .1 �� , 0 1 CONCRETE 15OUND,�I`OUND . . , I I I ' . . � I � � . I I I . I � '' I .. I I-I I I I � , �, , I I I I . � 1 _R � I � I .. I � I . � I � I . 1, � I . I- I . I . I I I � � � I I I " I . i 12.)501L ABSORPTION 5Y5TEM SMALL BE COVERED WITH A MINIMUM Of 9"Off I I I I I I : � I I I I I I I . �", . .1 � I I X 552 � . I I I U� . � 11 I I � I I I I r I . I I I I I I r 11 / � ,DB -1, I 11 �, I I X 5 1 r I . I � I I . . � , � I .1 I I I . I . . . I I I � � � � I I 1�1 I I I ,. � I I I . I I I . PROPOSED 501L REMOVAL � , . I � I I I I I I :e� . � . I I 1. I . I � � 1. CLEAN MEDIUM 5ANDI(EXCLUDING TOF'50[Q,. . 11 � I I � I 1. � � I I I 11 I - I � . � 1. ''I 11 I . � I I I . . I . 1. .1 I I I I I / - �,��� , I I I � -, I I - I I, � . I 11 I . I I I X 5815 � I I '� _�/ �, . r C) I � L I . I I I I I I I I 1� � TOP OF 5ANK I I 1 . I I I I I I I I � I . I I � I I I - I I I I . , . I I � I I � . I I I � I I . I � I . I I I I I I � I I �I I I I (SEE NOTE #I G) I I - i . I I ' I I I I � I I. I I . I I . I . n I I j, / I � I . � I � -11. I _X_ I . . I . I � I I � I I I . I I I . - I I I �I I r I I � I � . I I 1!�7�/ I I . . .111, .. � I 11 .1 1. ,�, I I . I I � I � 59, � � I I I I . . I I I I I . . WORK I I . 13.) FINISH GRADE SMALL BE A MAXIMUM Of 36"OVER THE TOP Of ALL SYSTEM , , I I I 0_10 I I � I�N'� I I � . .I I I . - I I � COMPONENTS, INCLUDING THE SEPTIC TANK, DISTRIBUTION BOX, D05ING CHAMBER I ' � I I I I . I'll � I . � I . 11 I � � � � I , �� I I r I I , I 11 I ., . I 1, . I I I I ' ll I I � � . I I .I � / � , I � �� � I I I .1 11 � I I LIMIT Of . L 11 I � I . I 11 I I �I - � I TION SYSTEM, SEPTIC TANKS SMALL HAVE A MINIMUM COVER ' 11 i I I I I I ''I I I I I I I I � r I � � I I I I I � . . � I I . I . I � .1 . .L I � I I . 7P#1&2 � � r I I I 1 I I I I .1 I I 11 I r,,.1 - � I . . I 11 � I � I . N � LEACHING � .1� I . .,�: ., .1 I I----o- I I f ENCE � 11 I I I . 1 � . - I AND SOIL ABSOPP . . I � I I I I _� I DE3 I I I I I � 1 � I I I // I I . I - 59.2 : � � I I I I. , � � : CATCH BASIN I I I I I 1. . I. . � I I . � I I I I � I I . . � I � I I rA . I I . I I I I 11 I I I � il �13 1 . I I � I I �, - . EDGEOF CLEARING I I � I U�3 � 0 �77 11 �Of,911, � I 1. I I I .1 . I I I I I I I I I I � I � I I I I I � I I � I � . . "I ", // > . I "I .1 � I. I . � . I LEACHING PIT I . I 11 I I I I . I . . I 11 I I � I I I I � I . I 1. I I � I � I I I I � I � . . I I I I I . I . I / X 55.6 . I - K", . I . I I . I . I I I � I I I . I I I � � __ �, x 58,6 c�P, I . � I .� I 1 14.) FROM THE DATE Off INSTALLATION OF THE 501L AE35ORPTION SYSTEM UNTIL � � I I , ,, 12, 1 _� �,'�C,, ;� I . � -I-� I//' I I I � . . I I I I � I - " I I I � I I I .I I I I : , " - . I . PR 1`05ED SEPTIC -, . I I I . I I I . , 8�� � i� � - I I � � ... . I .. . � 11 I I I � , ,�',.'',3'1'111_"' L 'r � I I � I I I I I I I I - - -,I - � I I I 111 __ \ . � I I � ioi,k, �,_,.� , I \k /' � . RECEIPT Of A CERTIFICATE Of COMPLIANCE, THE PERIMETER OF THE 501L A135ORP- , , � I � � /' 1i I ., I / 56 � <' I I I - I - �1�1 - / I 1. I � I I . "I- 'I r I I I � I I . I I � � , , �, , ;��'k I L '- � SYSTEM LOT#I I U_ , --l-, I I I o��"""�,i,"Llf�-�,,,�,,��"--, I � I . / I I I � I I I I I ���-i,�',�_,,,,,���,,�",�",Ll�,-�,,,,�,�,,�,,4, -�! I I � I __ I % I I I I I \1 . � I . 11 I I I I . i I I , -, ,�i�� e , I I I I I I TION SYSTEM SHALL BE STAKED AND FLAGGED TO PREVENT THE USE OF SUCH 1 � . I i�."�i-��"",)�,,�,,�,,,,�-��",��.� , , � . � I . I I � , -I I I I�' I . I - - 4,111 - I �. I . I � I I I . I I I I � I � � I � � I I � I , "' I ,, I I I I � I I 1`-." , . . , � I I I I TP#3&4 .0.1 , I I I 11 I I . I I 0 1 1 1 1 � AREA FOR ALL ACTIVITIES THAT MIGHT DAMAGE THE SYSTEM. , I I lli 1 "i, , `.� I � I I � , I I I I . I I � � i I r � I f'fir`�,'��,,;,� � . I I I I � - I I I I \ - /. I I . I I - � I . I I I ; I �" I I . 000 I - I , � I I I � I I _,,TLRt_, . I � ,�t I I I I / \1. � I . I I I ; I I I I I I � I � I `�_`N,'�-N,,,'�`- ", . I M M . %% . . \ , - I I I I � A, n 1. I I I I I I I - tl?� 000 . \ � 1. ,� I I ; � 15.)TME 60AP I ��,__ ,G.�,'�i 1� � � . � I I . 11 I � � 11 � !uq,,�,7; co 1� � I �� I Cl?. � . ,D Of HEALTH SMALL REQUIRE INSPECTION Off ALL CON I I 1�1,!11`211_ I I X 56.5 1, �,-,L`L��,'I"-�' -1 - . . I I �, -'-g'lplk,"�� I I I I � I . I . I STPUCTION � ��.,,�,��,,:� - I \ ?&��.00 , I I I �,,�,,11�_-, I�L� **� � I I k \ 11� . � I ' r I . I I � i I _ � � CU I I � x 81 1 . 1, \ I I 11 I I � � I I I ,BY AN AGENT OF THE BOARD OF HEALTH (OR THE DESIGNER If THIS SYSTEM RE- I I I �� N " 11111 111 It I � I . I I � 1, I "I I �. . � . I :� . � I � . :� I � I I �I ,� � ....11',LL, . I I I � ". I I I, ") I . I 11,, I I I I 11 � I I I I . I I I � I I I , , - , �� I I I � I I . I � I I - � . I , , �� � �, � �\ � ,�! . I JV I � I . I I I QUIRES A VARIANCE) AND MAY REQUIRE SUCH PERSON TO CERTIFY IN WRITING . I . - -fi��,,,,�, I �***� - 1,13D \ - . \ I ,. . � � q I"I'll, ., , � I I .I . \ . � � I I . I ,` , - �__1 `�t,--r,--,�,1, .�, � , I . . I I � . . . I" . I �'",�i'�E� ��,,�:� -, _11,11-1 �;����-�,����".-",,i""--�;,-"-,��, I I � I . � L . . I I I I . I � I - I 4 � . - I I I - I I - I � (�, / I I I � I I , I I I . I I I I . ,� ,11.1 r .1,.1, ,"', �,'_'�ji I - I , � � I I I ',, , 0� I I I I I THAT ALL WORK HAS BEEN COMPLETED IN ACCORDANCE WITH THE TERMS Of THE ' I I I � I I . _";�1171��, � % 1�_ I I I \ 'VI � I PROF,6 \ , - . � � I I I I " f��� I � 1%., VN I I .'' E50,6��, � , I I � I ", ,':!� - I . ,, , . � ,�� 111-,",_"v:0"',,�,�,,',�,��'r,�T N-S � 57A \k ----- r I 5ED, , . 1 1 1 1 1. , � . '! .11, � I . 11. I I I I PERMIT AND,APPROVED PLANS. 48 HOURS ADVANCE NOTICE 15 REQUESTED. 11 �40_ ,,---�, I I 1, I *0, 55 1, I . I � I � I I I . I � � . � I I j 1, I, , I I I . X 57,7 �,�11, I I \� I D,PIIVEWA�, \ - . p . I I 1. \ I �, I � I. 1� I 1. I -.11 ,1,i �11 I I 11� �I I 11 � I I I � I . I . I G,) OWNER/CONTRACTOR SMALL REVIEW HOUSE t DRIVEWAY LOCATION, GRADING, � I I I . I I � I ***\ . � I I I I .- - 1 . I 1� I I I I . I I � r I I I I � I I I I I I I . I � . � I. � � G 11 � - I I I �k I � I I I I � I I I . � I I I I � I I I I I � I I � � �,f�;--"j��k," 58 ; � I � I I � I � � . I I � I I I L I I I I I I AND DRIVEWAY MATERIAL PRIOR TO EXCAVATION, � � I I 1. I r I I . I I . I I 1, � \ � 0� ;," -1 .1 � I I - . I � , X 5 5\ 1 1 . I 11 I I � I I I - I � ,�, ,��11_ �15 1 � I , � � � I � . � I I � . I I I I � �� I I 11 /\ I I *0 I .. 8x2 I . I I I I I I . I I I . I 1 7.) CONTRACTOR SMALL VERIFY BUILDING SETBACKS, BUILDING HEIGHT, AND BUILDING I . I I � I I � � � I . _�_ 1 58 " .__,_-r- ..., I . ,,I�__. . � �I . . I . I X 51, . I � I . � � I � I 1. I I I I I I I � `1_1 I \� 58x2 I I . � I I . x 56,9 1 �, r. � I I I . I I � I COVERAGE; COMPLIANCE WITH ZONING SETBACKS 15 NOT EXPRESSED OR IMPLIED HEREON, I � I I I I � I I I . I I � I I � 11 I I I � . I I I I I I 11 i . I I t 4'--7�--8.5' 71' 55----7�--417" I � � "I I I I I . 1--_ I 10 ; I ; .1 I � <1 � \ I I CONTRACTOR SMALL NOT D15TURB I k I � . I I I . 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