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HomeMy WebLinkAbout0160 POINT HILL ROAD - Health -- -._ .,--_- 160 POINT HILL RED f A= 135 005 o w 0 o Fee ✓ �� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 1,e-1 Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppliCatlon for Misposal 6pstem Cone-trUrtion permit Application for a Permit to Construct( ) Repair( ) Upgrade( Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 160 et9w7 SIC.- d2'D Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 3 5 & 51 G-FU(!" *UE RUA C— pN f-"'T X4- Installer's Name,Address,and Tel.No. ��_�77 � 71 Designer's Name,Address,and Tel.No. YcV 4X73-43-77 Roaa, CT , OLra, do .TG l r ZAJC- 34231 WkZTES EWMI5 ®r f 4&4 Type of Building: t Dwelling No.of Bedrooms Lot Size 9 sq.ft. Garbage Grinder( ) Other Type of Building RC-5l & No.of Persons Showers( ) Cafeteria( ) Other Fixtures `` I Design Flow(min.required) 4go gpd Design flow provided 2,Q gpd Plan Date I A'919—,Lp;;ko Number of sheets i Revision Date Title Size of Septic Tank t o©o )VS— Type of S.A.S.�� L O-(a C Cif/�C-G 4fU�DLL� Description of Soil imeb l yw�a�Z��7j cl",45cz� ACAty Nature of Repairs or Alterations(Answer when applicable) tl S G Ef!!�77eu G (z( —0{L,0xj SN?ZI�L -T"UJ,- '�—�� 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 f He ed Date Application Approved by Date " Application Disapproved by Date for the following reasons Permit No. �l C, Date Issued i Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes,' PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplitation for ]Disposal 6pstem Construction 3perm.it Application for a Permit to Construct( ) Repair( ) Upgrade( Abandon( ) El Complete System El Individual Components r7- Location Address or Lot No. 1400 J?O/.u'r k40Z1., AD ,i Owner's Name,Address,and Tel.No. - We$7 0,4ZW' C- IDEA/ 14ENG Assessor's Map/Parcel 3 5 Q.4Fu42[.1 AUAJE-70 HT5 Z'L Installer's Name,Address,and Tel.No. Og_�T7-gZ-� Designer's Name,Address,and Tel.No. 3�7 7 Roiz 0 Pam- O UA cv SG 11 xrA•Cr -Tn1C 3 w Type of Building: Dwelling No.of Bedrooms Lot Size 119 14$- sq.ft. Garbage Grinder( ) Other Type of Building RC50 MA-(,, ' No.of Persons Showers( ) Cafeteria( ) 'V. Other Fixtures ' I Design Flow(min.required) gpd Design flow providedg gpd Plan Date 01' -; o;j0 Number of sheets ! Revision Date Title ?C�/ /LL. OJ4� G1/tS l �j�f�1$TL�S Size of Septic Tank I , 0 00 55Zi44jeZA1S Type of S.A.S. L C� (n 49k,#W-G 94A0464 Description of Soil Nl--Di u" 5-4- D7 Nature of Repairs or Alterations(Answer when applicable) ':M t,1(5k-1 (,000 C-,7kL4 V H-1 t4 !%�C.1l�C��.�ur1?�Y17D N d� Gf� tc"1� LC—(A �a�sm-.tea-gun 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 Bo d_ of Healt Signed Date I //";ZO -AOD Application Aoved ppr by Date // Application Disapproved by Date for the following reasons 'h. Permit No. ' O � Date Issued == =---------------------------------------------------------------------------------------------------------------------------------- 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 Ro gazr— A n 0 a—d o at L(pD Pn k.T f{ 1 LJ_ Ab W has been constructed in accordance / with the provisions of Title 5 and the for Disposal System Construction Permit N - /-C dated Installer 90AeKT-a no-p clip Designer ?C. ez .#bedrooms Approved design flow /1 gpd The issuance of this'permi shall not be construed as a guarantee that the system will or as design ll Date � d � 1 Inspector ��� . , � _ xd Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction Vermit Permission is hereby granted to Construct( ) Repair( ) Upgrade(X) Abandon( ) System located at ( oo PDl&a14l(.,<_ RCM I.t)r✓r S`1_ S 7 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 co 'pleted wit `n-three years of the date of this,.' ermit. Date Approved by r , TOWN OF BARNSTABLE LOCATION �(e0 POINT_ 41 LL 2Z SEWAGE# Z 7- O?.Z VILLAGEW.IAW57--AS LE ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. e0t ' B. OWL- l%83-41] 881, SEPTIC TANK CAPACITY LEACHING FACILITY:(type) C.MiN1$ S .(size) Ipf �C SOS NO.OF BEDROOMS OWNER E 4E PERMIT DATE: l Z$ 21 COMPLIANCE DATE: Z.ZZ 21 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Cp. Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist.within 300 feet of leaching facility) 100-'q Feet FURNISHED BY K-o ecA4 Cp, } A. L9 No 8 Z II.5 3o.5 42 3S 3 t8 �q z 44 � 9 t3 21 � 3 1 Z 3 Town of Barnstable of �artio Regulatory Services. fib; Richard V. Scali,Interim'Director • a►wsreBM Public Health Division ;' �b sesa .e g.. Thomas McKean,Director 200 Main Street,Hyannis,;MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: Sewage Permit#ID74 —OZZ Assessor's Map\Parcel 135/3 S.0 En Me_er0 vnc., Designer: _9 ,05; .� Installer: QQber� F3.. Uur CO- lnc. CQt�v� Address. 2 85'1 CrcWoepry. N(�1WCk Address: 3G3 Wh►IGS pa•!k EQsE warenaNn 4t} d2.5c3$ SowlL. Vcrrw,��Ut, iV111 On l v 204a r 3. Oag- was issued a permit.to install a (date) (installer) septic system at 140 pa v►� Wil Roca based on a design drawn by (address) C TY 6. dated OeceMbP-r, (designer) I certify that the septic,system referenced above was, installed substantially according fo the design, which may include minor approved.changes such.as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils. were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS.or any vertical relocation of any component of the septic system) but in accordance with State& Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory: I certify that:the system referenced above was constructed i lance with the terms of the 1\A approval letters(if applicable) N OF1ygss qc �? y r g� OOHH>r. G°t� CHt1RCHILL JR. N Installer's ture) CIVIL. .41 .p (D ner's Signature (Affix De t p Here) PL SE RETURN TO ARNSTABLE'PUBLIC HEALTH D SION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.. THANK-YOU. Q:\Septic\Designer Certification Form Rev 8-1443.doc I T CERTIFICATE OF ANALYSIS Page. 1 .� s Ah�P�S Barnstable County Healt�ABlh LEaboratory cs Report Prepared For: U�R9�C NtEg, '�tell:7 5/ 053; 15 Order No.: G0529914 Eileen Heng y --- �ts��� 160 Point Hill Road W. Barnstable, MA 02668 Laboratory ID#: 0529914-01 Description: Water-Drinking Water Sample#: 29914 Samplbig Location: 160 Point Hill Rd.West Banistable,MAC Collected: 4/27/2005 Collected by: E.Heng Map 135 Parcel 005� Received: 4/27/2005 Test Parameters ITEM RESULT UNITS RL MCL Method# Tested LAB: Metals Manganese 0.28 mg/L 0.01 SM 3111B 5/5/2005 Routine ITEM RESULT UNITS RL MCL Method# Tested LAB: Inorganics Nitrate as Nitrogen BRL mg/L 0.10 10 EPA 300.0 4/27/2005 LAB. Metals Copper BRL mg/L 0.10 1.3 SM 311113 5/4/2005 Iron 2.5 mg/L 0.10 0.3 SM 3111B 5/4/2005 Sodium 11 mg/L 1.0 20 SM3111B 5/4/2005 LAB: Microbiology Total Coliform Absent P/A 0 0 307 4/27/2005 LAB: Physical Chemistry Conductance 120 umohs/cm 1.0 EPA 120.1 4/27/2005 pH 6,7 pH-units 0 EPA 150.1 4/27/2005 Based on the results of the parameters tested, the water is suitable for drinking,but may present aesthetic problems (taste, odor,staining) due to Iron and Manganese. — Approved By: b Director) i _ - . RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 1 TROY WILLIAMS F SEPTIC INSPECTIONS Certified by MA Department of Environmental Protection ,�,-j 2 (5' 760-1819 40 Old Bass River Road °®to. 199� South Dennis,MA 02660 r' conynOMM th of Mossochusem Executive Office of EMofxnerNcd Affoils U Department of Environmental Protection *d Trudy(:ozra Mastery,EOEl1 Oavldoom�. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A I CERTIFICATION-�w�Je of Property Address: /G 1�v h 141 1� S �� 3�.�s�``'1lddre Owner. STo. c �� l s c `�c✓ Date of Inspection: a/6 /y 6 of different) Name of Inspector:— /j.7; a µ, g Company Name,Address axd Telephone Number: , 10, C a o o � Gl V V '/ e- . CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of inspection..The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. The system: Passes _ Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority _ Fails Inspector's Signature: Date: a/� /�/ The System Inspector shall submit a of this inspection report to the Approving Authority within thirty(30)days of completing this inspection. If the system is a shared system or has a design flow of 10,000 proving or greater,'the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. INSPECTION SUMMARY: Check A,B,C,or D: A) SYSTEM PASSES: 1 have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any.failure criteria not evaluated are indicated below. B) SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system,upon completion of the replacement or,repair, passes inspection. Indicate yes,no,or not determined(Y,N,or ND). Describe basis of determination in all instances. If'not determined',explain why not) _ The septic tank a metal,cracked, structurally unsound,shows substantial infiltration or exfiluatio i,or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised r/is/9s) 1 _ _ _ __ .. __.__ _ �• ..w ... •w.w � T.I�wMw�fR1T1 909JCSM SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Owner: S G Date of Inspection: a b B] SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: 1-11,19 Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: the wstern has a septic tank ano soli absorption system and is within 100 feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and sail absorption system and is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm• DI SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined in 310 CnMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. revised 8/15/95) 2 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 16 O S Owner: f i S C e✓ Date of Inspection: DI SYSTEM FAILS(continued): Static liquid level in the distribution box above outlet invert due to an overloaded or dogged SAS or cesspool. Liquid depth in cesspool is less than 6' below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to dogged or obstructed pipe(s). Number of times pumped Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of.a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. _ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E( LARGE SYSTEM FAILS: IV1/9 The following criteria apply to large systems in addition to the criteria above: The design flow of system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area(IWPA) or a mapped Zone II of a public water supply.well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 6/15/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: Owner: Date of Inspection: Check'if the following have been done: Pumping information was requested of the owner, occupant, and Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. �As built plans have been obtained and examined. Note if they are not available with WA. ZThe facility or dwelling was inspected for signs of sewage back-up. ZThe system does not receive non-sanitary or industrial waste flow ZThe site was inspected for signs of breakout. _ZA11 system components, excluding the Soil Absorption System, have been located on the site. ZThe septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on existing information or Z oximated by non-intrusive methods. facility owne- (and occupants. if different from owner) were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 8/15/95) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: O l 6 Pv 4- '4��S Owner: s L.�, c Date of Inspection: 02 �� FLOW CONDITIONS RESIDENTIAL: Design flow: 3 j U gallons Number of bedrooms: Number of current residents: O Garbage grinder(yes or no):_" Laundry connected to system (yes or no):-�Z 5 Seasonal use (yes or no): N o Water meter readings, if available: �- Last date of occupancy: COMMERCIAL/INDUSTRIAL: X//5i Type of establishment: Design flow:_gallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: / Ll /G-S � a✓H, •G. U`` /1 /i 4 /7 r/t�/� �U /�.G d L.c_.,7 1�1 ,lJ•C.r / '1T7J �Q 1L. �L!/` y System pu ped as pan of inspecti n: (ye or no)-.,n�(O �^cr- If yes, volume pumped Rallons Reason for pumping: TYPE OF SYSTEM Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) Other (explain) APPROXIMATE AGE of all components, date installed (if known) and source of information: �- / 1=� �_� s - S : I-1-, Sewage odors detected when arriving at the site: (yes or no) h/° (revised B/15/95) 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: /y;/� S Owner: Date of Inspection: �/ SEPTIC TANK: (locate on site plan) Depth below grade: Material of construction: Vconcrete _metal _FRP other(explain) Dimensions: S x- 6 Sludge depth: i Distance from top of sludge to bottom of outlet tee or baffle:� Scum thickness: v N Distance from top of scum to top of outlet tee or baffle: /✓° Distance from bottom of scum to bottom of outlet tee or baffle: /V- 5 L 1-b" Comments: (recommendation for pumping, condition of inlet and outle tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) �✓C- 7_1 - % ' I ��-- ��� <-z'h �y� b r i 7� v .✓L o u W v F— �-- V i 00 d 7' u ✓✓1 a S C•_ •'� /i✓:.e [ !!'f O- - /of h G L!/�_ L1 ,�2_✓k"7'�o h . GREASE TRAP: l/ (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP —other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of rio- f-t?onorr of ou!fe! tee or bame, Comments: teecommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) :revised 8/15/95) 6 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued Property Address: �'O p� "'4- �s Owner. ri s c✓ Date of Inspection: d/G /y TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: Material of construction: concrete metal_FRP other(explain) Dimensions: Capacity: gallons Design flow: gallons/day Alarm level: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX:A (locate on site plan) Depth of liquid level above outlet invert: t Comments: :note if level and distribution is equal, evidence of solids carryover, evidence of leakage intof or out of box, etc.) 0—/3 a x 1..1 A S -,�,� H d( �G✓G � c1t ., � r v+ GJ o✓ �i• �, 5 �rcJ� ems✓ PUMP CHAMBER: ]a//V (locate on site plan) Pumps in working order:(yes or no) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (revised 6/15/95) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: / C O P° J h 1L /47 1 1 S Owner: /=i 5 CA -"- Date of Inspection: g/6 /!/b SOIL ABSORPTION SYSTEM (SAS): ✓/ (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number:_ i leaching chambers, number:,ZF/v �� s t✓ s 3 .S h . leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Comments: (note condition of soil, signs of hydraulic failure, level o ponding, condition of vegetation,etc.) lJ S 07" a ( l �i^� ✓ CESSPOOLS: �h (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: indication of groundwater: inflow (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) ,revised 8/15/95) 8 ir SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued Property Address: 160 Owner. s C- Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' y3 0-"by 'I DEPTH TO GROUNDWATER Depth to groundwater. feet adjusted high groundwater level method of determination or ap,(prroximaticn: /,,%. c �J1 a (revised 6/iS/9S) 9 TOWN OF BARNSTABLE i J LOCATION / 0 �d i l� �- ' S SEWAGE # VILLXGE (�, ��/h S ASSESSS^OR'SfM/AP &LOT 3 ®o-j INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY J o o LEACHING FACILITY: (type) rya 5 (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: �/ �Z COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by ill .\:-\ r 6 11 ' e ,� h/ �i LOCATION 0 SEWAGE PERMIT NO. V I SL L A G E 160 A -- j'35 00-5 J INSTALLER'S NAME a ADDRESS Q M B U I L D E R OR OWNER r DATE PERMIT ISSUED DATE COMPLIANCE ISSUED Seger permit No. Name Location /�oU y'" �-�-�•� �-3�/q Installer's'Name and Address anivgmr-a n _QAW"Rv crware 451 ROUTE 6A P. O. BOX 4.38 aear �enanwanN, MA n� a7 -BnlideeRs Name and Address Date Permit Issued: Date Compliance Issued: Any gor. ° v No. ...f...:� F� ...... THE COMMONWEALTH OF MASSA 14USETTS SOAR® HEALTH o /. ............0F.... ( . Applirativat for Uhipmtal Works Tuatutrurtivat Prrutit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: ................_/aT . !....._.. ,r ...r �,C . o 1�! -l�A..!�i '% ,r .......----....---- Location-Address or Lot No. ----- L, �., ........ .... .. /D .1!?, R'��lf!L-/V - -.. Owner � Address -- a .019i4t/L....... .................................. •-••---••- 'F�®G�d. l,�. s6'......... Installer Address__ /®+ t AZZS Type of Building Size Lot:...........................Sq. feet Dwelling—No. of Bedrooms...............?_______________________Expansion Attic ( ) Garbage Grinder W43 a Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria Other fixtures d ..................................... � W Design Flow...................IeD................gallons per l n per day. Total daily flow..._....._.._+�7.Q_.._............gallons. WSeptic Tank—Liquid capacity/!?Qagallons Length__ .. Width..'..._ Diameter................ Depth..%.!9 7..__. x Disposal Trench—No......./_........... Width....1.0........ Total Length..-.7.0._..... Total leaching area--_y49 _....Sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( Dosing _ ( ) '—' Percolation Test Results Performed by...... _�_...r.A. !�i..<......:at...... Date___--41i�-4 ���_._...... minutes per inch Depth of Test Pit....../�__....... Depth to round water--____ Test Pit No. 1....... --- - P P •- � P g �--�--------.--. (Tq Test Pit No. 2................minutes per inch Depth of Test Pit....../„ . Depth to ground water......-,�----........... ............ ............ D ;c,�iption of Soil T / 1 t- ii_24 .`:�...liwR _..� y.�'_ `dAN �'�� ' '�;} W F. `L'a ... CFI!✓ �"? - x U Nature of Repairs or Alterations—Answer when applicable.__............................................................................................. ------------------------------------------••------------------------------------------•-•-•--...--•-----------••------------------------------------•----------...-------------------•--•-----••••••---. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL LE 5 of the State�Sanit y Code—The undersigned further agrees not to place the system in operation un ' Certifica of Co liance s een issued b the board of health. Applic � �/ / ation Approved BY ... ate =�"�yy!- 6 �:"--------------- �S" Date Application Disapproved for the following reasons----------------•----------------------------•---...---•-----------------------•-----.----.........----•-•-----. --•-•---------------------------•-••----------•---•-•--------•- --•--" -----••------- Date -•-- ---- ermit ,i� - - .. Date P M tOX �� as „M F-Y--Sy�['sM IS INs7-4-u_ - A� ��G� �- -vf+- -.00tJ--- - --- ---_-------_-_------- 4----- - - /Fx THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .s Appitrtttion for Disp sal- orks Tonstrnrt' nn amit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at ................. .!9 � /, . ,<�L,� _.. 0,2.. o _� I�r��.f...� 1... ..... ....................... Location-Address �r '*,wyel dW .• / I`+r / ------ ........L..!^:. Q!` /� .../G, ...........1................ ............................ w PA41 of d '�N�Gs/✓G. installer Address Type of Building Size Lot.................... ......Sq. feet Dwelling—No. of Bedrooms....................................Expansion Attic ( ) Garbage Grinder 4/0) Other—Type e of Building p., yp g ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ---------------------------------------- w Design Flow................... _/C7-................gallons per on per day. Total daily flow..._.._...... - ................gallons. x Septic Tank—Liquid capacity�QOa.gallons Length.��_. Width..:_...._'Diameter________________ Depth / _.. Disposal Trench—No. .._... ...::...._.. Width... ...___._ Total Length.�Q:'-_.:_.:Total leaching area_.'l�� ____.sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet..........:......... Total leaching area..................sq. ft. Z Other Distribution box Dosing. nk ( ) _ a Percolation Test Results Performed by..........................�_. ...._.._.___......._ :-'........ Date----- -----_-----•---------..--...... Test Pit No. 1......<_:!.minutes per inch Depth of Test Pit ��._�:...___ Depth to ground water--___(-,, ............... 4.1 Test Pit No. 2................minutes per inch Depth of Test Pit...._ =:__._.. Depth to ground-water......7............. ..................•..........----- ,... ------- D Description of SoiL_7 __ _f...: ,- -Lc� rn- , - ' f``�1, � ......6..-------:F..... ..��?_�':�/ 0 ---------------------------------------------------------- ------------------------- U Nature of Repairs or Alterations—Answer when applicable...........................fI----------------------------------------------------------------- ----------------------------------------------------------------------------•---•.-•----•-•-••-•-------.......--••••--------••••••-••-•-•--•-----•-••-•-••--•-•••-•-...••-•••---••---•-••------......... Agreement :. The undersigned agrees to install the 'aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE4 5 of the State Sanitary Code_The undersigned further agrees not to place the system in operation un -a Certificate rf Com.liance h ' een ' ed by the board of ealt A , 45. d --------- ------- -_ ' /-� D e Application Approved By........_ Date Application Disapproved for the•4 f ollowing reasons------------------------------- Date fo Ii4 � �7 - .. Z.JrA7' /nr t'r .c.e., _ ! l` �'j.,G?r � - 6. vm reps; THE COMMONWEALTH OF MASSACHUSETTS BOARD '?OF HEALTH OF.. ..................... ...... �rrttftrtttr `of f�nnt�ftttnrie THIS IW C TIFI' Tha e I i al Sewage Disposal System constructed ( ) or Repaired ( ) by ....- Inst ------- --- •-•-•------------- •-•.._.......__...................-•-•-•-•--•-••-•----••- L .ot 36 �d/�T~ JL.. D /#2 . at---•-•--•----- ---•-•----•--------- -----------------•-----------•--------------- 4,-...:.- has been installed in accordance with the provisions of TITLE 5 of Tie State Sanitary Code as described in the application for Disposal Works Construction Permit No....._..................`.....:....... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE C®NSTRUED AS A GUARANTEE THAT THE SYSTEM MILL FUNCTIOk SATISFACTORY. DATE. Inspector -• • .......- { .... THE COMMONWEALTH OF MASSACHUSETTS N�C�tr__.�i.� t BOARD OF HEALTH G .........................................OF......................................................_........ :._...._ ........ No............................ ........................ '� t rr ttf ( nnntrt dion Vrrntit Permission is hereby granted : ------------------------------------------------------••----...•.................••- to Construct/(� or R �' 1,a) an Inividual SeZ ge Disposal System_ atNo. ---•--•-•---------................................. -----<Z � 2� 7 ._...... StreeY�, as shown on the application for Disposal Works Construction Per�mhtNo.yR _ c,T;&Iaated �p `z - n„r-rW ift,�a. DATE.:_.. '1.". 3 j 'daFd_.f�I-4-eealt °C l FORM 1235 A'N4'SULKING INC., BOSTON i/ 1 V LOCATIOty'"" 7. 36 'VILLAGE /� jQ,P/sj /�',(L-� DATE APPLICANT -:I;,✓.� ' ?32i�U� FEE ADDRESS TELEPHONE NO. (Non-refundal ;ENGINEER _TELEPHONE NO. - DATE SCHEDULED_ rg R 1 0,00 a f Appl icant*s -signat e) _ sH �x ;.: , � :�.k• .. . . � 4 x :, ,�£ `SOIL_ LOG � "� � - 'H r��[' L� is� �--;w-,s, �• z.- ,..� SUB-DIVISION NAME DATE ;q>i?-% TIME '-'�� EXPPUSION AREA: YES(,-'NO . �-j>t �' ��, �� _'` • ENGIN R ' TOWN WATER PRIVATE WELL Tea w BOARD`,F HE --j ke w mac{ EXCAV R -=SKETCR.* =(Stree-t-name,i�!tc.-;dimensions.-of -lot- .-exact-.location _of_ -test:hole.and y= --pdreolation--tests---_locate -wetlands.in -proximity to-test holes) \ 1- - NOTES: - - - IL Gyr m �0 4 • C !fi- � —�--'fin 341 6 ±• �At PERCOLATION_ RATE: . " I b S5 sac , '" � 3 3 6/�`�-/``'� <A TEST HOLE - N_ O: - ELEVATION: /Z - TEST --HOLE NO: 2- -'f ELEVATION: - � 5 - fisa c,�- r. 6 4� w 6 p_ 7 8 GLe 8 _. 10 yea/. . 10 - ' 11 -- -I1 • 12 12 13 13 • 14 _ 14 15 15 16 16 = SUITABLE FOR SUB-SURFACE SEWAGE:• . LEACHING FIELDb--" LEAC MG PI . - LEACHING TRENCHES r UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON E C TEST APPLICATION , ORIGINAL: COMPLETED IN ENTIRETY BY Pt E. AND RETURNED O BOARD OF HEALTH COPY: RETAINED BY APPLICANT Permit Number: Dat6: - e Completed by IG - EL COMPUTA H H GROUND WATER LEV TION Site Location: Lot No. _ Owner: Address: Contractor: Address: Notes: F STEP 1 Measure depth .to water table tonearest 1/1.0 ft. . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. date STEP 2 Using Water-Level Range Zone ' and Index Well Map locate . site and determine: s --�5 A) Appropriate index well _I7. tat. . . . B) Water-level. range zone .��Q. �. ?�'. O _a I STEP 3 Using monthly report"Current Water Resources Conditions" r � - 4 ' determine current depth to S , water level for index well . . . . ..�= mo_yr Water-level o Table of 4 Using 1 Adjustments for' index well STEP 2A , current d&pth to water level for- index well' i (STEP 3) ,-and wate,r-1 evel i zone (STEP' 29) determine Cjr Q " water-level adjustment . . . . . . .... . . ... . . . . . . . . . . . . . . . . . . . . . . . . STEP 5 Estinate depth to -high water by subtracting- the-water- , level adjustment (STEP 4) from measured depth to water , level at site (STEP 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 E , • r • .n r r .7 i... November 25, 1985 Barnstable Board of Health Hyannis, MA I hereby certify that the septic system which I designed for Clyde B. Doolittle, Jr. , Lot 36A, Point Hill Road, West Barnstable, MA has been installed and located on the ground in accordance with the Title 5 plan for said lot. The elevations (mean sea level) of the septic system as determined by Edward E. Kelley, Registered Land Surveyor, are listed as follows ; Foundation invert prop. 11 . 56 ' actual 11 . 52 ' Septic tank- inlet prop. 11 . 02' actual 11 . 17 ' Dist. box - inlet prop. 10.43 ' actual 10. 27' Dist. box - outlet prop. 10. 26 ' actual 10. 10 , Flow diffusors - inlet inv. prop. 10. 10 , actual 10. 06 ' Flow diffusors - end inv. prop. 9. 98 ' actual 9. 94' a Stetson R. Hall R.S. a 2'-0 1/4" 2'-0 3/4' 6 I=Tii,W 1�� $� r N r e5 IUD tile floo �WwFTy iq 0) vault ceiling � coCV N - zl 1 LEFT 51DE PERSPECTIVE RIGHT 51DE PERSPECTIVE FLOOR PLAN QCC WINDOW SCHEDULE L NUMBER MY R/O DESCRIPTION CODE MANUFACTURER S W01 2 361/2X653/8 FIKEDGLA55 CXM55 ANDER5ENO W02 1 56WX653/8 SNGLCASEMENT-HL CXM55 ANDERSENO Lij O O W03 1 361/2X653/8 5NGLCASEMENT-HR CXM55 ANDER5ENO Q W04 3 287/8X65318 SNGLCA5EMENT-HL CWI55 ANDER5ENO W05 3 287/8X653/8 5NGL CASEMENT-HR CWI55 ANDER5EN(D woo 1 287/8X653/8 FVEDGLA55 CM55 ANDER5ENO Z O_ line of new 9-2" 7-6" 1A GENERAL NOTES construction above LU 1.ALL DETAILS,5ECTION5 AND NOTES SHOWN ON DRAWINGS ARE TYPICAL Asphalt roof shingles 21/2 AND SHALL APPLYTO SIMILAR Snow and ice b P 51TUATION5 ELSEWHERE OTHER 1/2"CDX Ply 12 Demo existing 2x1016"O.C. WISE NOTED. I structure above 'dog- C 9"FG Insul.w/Prop-R 2.THE CONTRACTOR SHALL VERIFY ALL I _ N Vent'or equal baffles DIMENSIONS AND CONDITIONS AT SITE PRIOR TO �Q = COMMENCEMENT OF CONSTRUCTION. o < O 1/2x6 bev cedar siding o I N CRAWL 5PAGE w n� \ Typar House Wrap 3.BLOCK OVER ALL CARRYING BEAMS,BEARING o I 1/2"CDX PLY WALLS,AT ALL STAIRWAYS,&WHEREVER ELSE 2 0 Q NEEDED FOR FIRE STOP OR NAILING m h 2x416"O.0 TT > I o = t3 Q R11 F Glass insul zj I 'a 4.A MIN.OF TWO JOISTS UNDER ALL LONG 3I w Remove existing PARALLEL WALLS z °� —I---- monlithic slab 5.PROVIDE SIMPSON#H2.5 HURRICANE TIES® ALL RAFTERS THAT DO NOT ABUTCEILING J015T ----------------------------------_ J 6X6 PT 5YP Post 2x1016'OC AND AT ALL TRUSS LOCALS 5impsonTM A13U66 ---------------- . 6.ALL STAIR RISERS TO BE EQUAL,+/-tn6"&ARE FD U N DATION PLAN post base __--__ NOT TO EXEED&�'A" evi Simpson' LU5210, --_- - Scale:l/4' 12"poured concrete metal hangers, 7.ALL FINISHED STAIR TREADS ARE TO BE 10 W' column both ends oo O 9.MIN.FINISHED STAIR WIDTH 15 36" gf install Vz" Iv. g Bi ant concrete tube ga lags "10.CONTRACTOR TO VERIFY ALL ENGINEERED t0 co ,Na anchor and footing 2'OC,stagger LUMBER WITH REGARD TO SIZE AND APPLICATON e4 O WITH THEIR RESPECTIVE MANUFACTURER AND o SUPPLIER." C1z055 SECTION U stela V4"=1'a' i PROP. VENT VMTH CHARCOAL FILTER TO ABOVE GRADE PROVD H.D.P.E.30"DtA.RISER TOP OF FOUNDATION= 13.7"1 W/REMOVABLE,SECURED, FINISH GRADE OVER D-BOX 14.0'± FINISH GRADE OVER CHAMBERS 13.8' - 13.6' 3/4"TO 1-1/2"DOUBL WASHED GENERAL NOTES WATER-TIGHT COVER TO F.G.- REMOVABLE WATERTIGHT RISER SLOPE @ 2% MIN. OVER SYSTEM E FINISH GRADE PROVIDE RISER WITHIN 6" PROVIDE RISER TO WITHIN 6"OF FINISHED GRADE STONE TO CROWN OF PIPE UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION @ FND. EL.= OF F.G. (7YP OF 2) WITHIN WOF F.G. 5" DIA. OUTLET(S) 4"SCHEDULE 40 PVC INSPECTION PORT w/ACCESS BOX WITH METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL F.G. OVER P.C. EL. 11.51± 2"OF I/WTO 1/2" DOUBLE WASHED CODE AND ANY APPLICABLE LOCAL RULES, 12.6 ± F.G. OVER TANK EL.= 12.0'± MIN SLOPE 1% COVER TO GRADE (SEE NOTE#20) STONE OR GEOTEXTILE FILTER FABRIC 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE CONTRACTOR TO DESIGN ENGINEER. VERIFY EXISTI!`4G PLACE RISERS ON ALL DISCONNECT �JA I VAVLE 9"MIN. TOP OF SAS 12.83' CHAMBERS WITH ELEVATIONS PRIOR 91'MIN. 9"MIN. 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL 36" MAX. 2"SCH.40 36"MAX. INLET PIPES TO 6"OF j 12.00' 36" MAX. SYSTEM UNLESS OTHERWISE NOTED. TO ANY WORK& 1 30"MIN. TO D-BOX BREAKOUT EL 12.50' FINISHED GRADE--' NOTIFY ENGINEEP IF EXIST ING 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN I OPEN DIFFERIENT, 411 k. 1 4" PVC OUT ELEVATION= 12.50' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A 40 V __1 2" PVC TEE----, 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF ��-TEE 911 TO SAS 00 0 THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. SLOP 21"MIN. E 90 1%min. -T OPENING 0 CONTRACTOR 1411 1091 5. SLOPE ALL SOLID PIPE AT 1.0%MINIMUM. CDC) 00 4811 C:) SHALL VERIFY INV, OUT 00= 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. SIZE AND i LIQUID 9.50' j La CONDITION OF LEVEL 1 0.0'± 12.501-/ 12"MIN.---T-771 12.33' 00 C>C CD LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK EXISTING TANK TEE TEE 00 D C>C) FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS C> 6"CRUSHED STONE EL.=4.92' I I C I OO"_ C>- NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH CONTRACTOR SHALL VERIFY GAS BAFFLE tQ Pd OVER MECHANICALLY AND DESIGN ENGINEER. CONDITION OF EXISTING TEES 6" CRUSHED STONE 9.25' COMPACTED BASE 6.0, (TYP) 3.5' 3.0' (TYP)- 3.5' 8. ELEVATIONS BASED ON N.A.V.D. 88 DATUM. SEE BENCHMARKS SHOWN ON PLAN FOR ELEVATIONS. TO BE INSTALLED ON A LEVEL STABLE 50.0' 10.01 AND REPLACE AS NECESSARY OVER MECHANICALLY 5 OUTLET DISTRIBUTION BOX COMPACTED BASE LENGT 8-6' WIDTH 4'-117' DEPTH Ell GROUND WATER ELEV. 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION 1 000 GALLON SEPTIC TANK 1 ,000 GALLON PUMP CHAMBER BASE. FIRST TWO FEET OF OUTLET 11 .00, 5.83' (adjusted) THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT PIPES TO BE LAID LEVEL. LC-6 LEACHING CHAMBERS 5' MIN.-/ CHAMBER END VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES EXISTING 1 000 GALLON SEPTIC TANK & CROSS SECTION VIEW TYPICAL CHAMBER PROFILE TO THE DESIGN ENGINEER. PROPOSED 1 000 GALLON H-1 0 PUMP CHAMBER DISTRIBUTION BOX DETAIL CHAMBER DETAILS 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. NOT TO SCALE NOT TO SCALE NOT TO SCALE 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM NOTES: -��O,, 4 APPROPRIATE AUTHORITY. PERC NO. TPT-20-225 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS A", 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE Is INSPECTOR: David W. Stanton(BOH) LOCATED UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, TOP EDGE OF EACH SEPTIC SYSTEM COMPONENT. MAP 136 0 Zz/" LOT 23 DRIVES, OR TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. EVALUATOR: Michael Pimentel, EIT, CSE 7 ­ " 11 (11� , I'll # 6 ­ � , fq�c_l 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE C.S.E.APPROVAL DATE: Oct. 27, 1999 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. 23 LOCATION OF THE PROPOSED LEACHING SYSTEM TO 2U0 E DATE: October 27, 2020 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE ENSURE CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS EX. CBN HIILL ROAD MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. PLAN. REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH POINT TEST PIT#: PROPOSED 4" SCH. 40 PVC VENT PIPE; E-P 1,4p, _wxy) MAP 136 L EPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. (4V VVID LOT 50 R EXACT LOCATION PER OWNER ELEV TOP 11.50, FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). W)i! ELEV WATER 5.83* 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN -10 7 W 3.) PROPERTY IS NOT LOCATED WITHIN A DEP APPROVED 1B IBDW-1 I ZONE 11, BARNSTABLE DESIGNATED ZONE OF CONTRIBUTION, PROPOSED SEVEN (7)LC-6 LEACHING SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. X4 ,�- -.1 4- E opo PERC RATE <2 min./inch OR THE ESTUARINE WATERSHEDS. CHAMBERS WITH AGGREGAT 12 EX. 6RN IBDW-12 Per$ PROPOSED PROJECT IS LOCATED WITHIN: 16. WET-01 I DEPTH 4.) SWING TIES SHOWN ON THIS PLAN ARE PROVIDED ONLY '1001 OF PERC 72"-9(Y' PROPOSED 40 MIL. IMPERVIOUS ASSESSOR'SMAP 135 LOT 5 AS A COURTESY FOR THE INSTALLER. INSTALLER SHALL GEOMEMBRANE LINER; '0 (6 1 1272'- TEXTURAL CLASS: I VERIFY SWING TIE MEASUREMENTS IN THE FIELD PRIOR TO TOP EL.=12.50'; SOT. El_�=8,50' OWNER OF RECORD: EILEEN L. HENG, TRUSTEE OF THE EILEEN L. HENG TRUST INSTALLING THE SYSTEM. CONTRACTOR SHALL NOTIFY IBDW-09 ADDRESS: 9 E EUCLID AVENUE ENGINEER IF MEASUREMENTS APPEAR TO BE INCORRECT. WET-02 2xT _�105.00 to REMOVE ALL UNSUITABLE I-, ARLINGTON HEIGHTS, IL 60004-5534 16 oil C IBDW-08 LOC 4,4�- S 11.50' MATERIAL DOWN TO"C"SOIL& 12x6' REPLACE w/CLEAN COARSE Fill FEMA FLOOD ZONE AE(EL.13) SAND PER 310 C1.11,M5�3)- __c IBD��07 1811 10.00, COMMUNITYPANEL# 25001CO532J Sandy Loam r A -03 I OYr 3/1 WET ioo.A! 2U' 9.83' 17. DEED REFERENCE: BOOK 12527, PAGE 207 12x4' 0 -06 IBDW 12x5' \ r_ 1­1 - 1%�n PLAN REFERENCES: 1.) PLAN BOOK 351, PAGE 51 2.) PLAN BOOK 249, PAGE 107 E" T �tMAW"WE S Silt Loam 18. B 14AT W (j) 1 OYr 5/6 A, 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. OD Adjusted GW 681Z 0) 68" 5.83' WET-04 12 IBDW-05 20. A 4"PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A T4 x5/ 77 5.50, 0 DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3"OF FINISH GRADE. A & PROP. -4.,tv- Perc REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECT ONS. Mot I!E�q 7 k WET / \ Z 0* /Y % 0 "D-o!30x" LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY 7 7611 5.17' 3) LANDSCAPEDI 4 00' FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY x/ (4 90#1 vLeepia��Lwz­, 7 - AREA rny 12x9' 92ft 183' FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. -�06 HC-3 Wl� 4tg Medium Sand 22. OWNER APPLICANT CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL L rl 2.5Y 6/6 Z_ If/ '0 IBDW-04 C REQUIRED PERMITS AND APPROVALS FOR THIS PROJECT. 23. IN ACCORDANCE WITH 310 CMR 15.401 -15.404,THE FOLLOWING LOCAL UPGRADE 0 9 Standing qW HC-4 7 IBDW-03 __Q 11 2Z 2.17- APPROVAL IS REQUESTED FROM CMR 310 CMR 15.211: A-L�K 11 2v TPI TP 2� IBDW-02 LOCUS PLAN (I.) A 9.3"WAIVER (20.0'- 10.7') FOR THE SETBACK FROM SAS TO THE HOUSE FOUNDATION. �A 1.50' 121Y Benchmark#2 #160 24 '41- "� "1 11 . 11 11x5' . THE FOLLOWING LOCAL VARIANCE IS REQUESTED FROM ARTICLE 1,SECTION 360-1: WET X6, SCALE: 1 1000' 4 Comer of Step EXISTING (I.) A 3.4'VARIANCE(100.0'-96.6') FOR THE SETBACK FROM PUMP CHAMBER TO THE BVw. Elev. = 13.60' 4-BEDROOM TEST PIT DATA ' N.A.V.D. 88 (P DWELLING I LEGEND TOF--13.7'± DESIGN DATA PERC NO. TPT-20-225 7 -TIES L V1 77, INSPECTOR: David W. Stanton jBOH) --- 50 - --- EXISTING CONTOUR SWING 12, 61,11 EVALUATOR: Michael Pimentel, EIT, CSE '4� NUMBER OF BEDROOMS (EXISTING) 4 PROPOSED CONTOUR DESCRIPTION HCA HC-2 HC-3 HC-4 W. NUMBER OF BEDROOMS (DESIGN) 4 C.S.E. APPROVAL'DATE: Oct. 27, 1999 ALK Cl>- 7 DESIGN FLOW 110 GALIDAYIBEDROOM PUMP COVER IN(1) 18.3' 24.2' WET-081 IN-GROUND POOL HC I-J� DATE: October 27,2020 _w_w_ EXISTING WATERLINE (2 tk. 440 2 TOTAL DESIGN FLOW GAUDAY PUMP COVER OUT(2) 23.1' 20.81 V AREA& PATIO 0 �,4, / TEST PIT W /i-,, __ - - - - - - -11- C -C EXISTING UNDER-GROUND CABLE w w W DESIGN FLOW x 200 % 880 GALfDAY ELEV TOP 11.50' CORNER OF STONE(3) 28.4' 34.4' Benchmark#1' (1 WELL WATER SERVICE LINE V_� j 77 \,Z, - If E/T EXISTING UNDER-GROUND ELECTRIC&TELEPHONE Comer of Bulkhead 14" --/-0 : USE PRO ED 140 GALLON SEPTIC TANK ELEV WATER 5.83! CORNER OF STONE(4) - 36.0' 24.8' 2� 1 7 Elev. = 12.67' PERC RATE N.A.V.D. 88 14" 7 o�l CORNER OF STONE(5) - 76.5' 62.6' TEST PIT LOCATION 7_'X I S T I N G 1,00 0 G A I-L C!"t PROPOSED DEPTH OF PERC CORNER OF STONE(6) 73.2' 66.9' EXISTING 1,000 GALLON SEPTIC TANK T 11� 1,000 GAL. H-10 7�"�SLEEVE NEW FORCEMAIN WITH TEXTURAL CLASS: I WE .7 SEPTIC TANKTO RE UTILIZED IN DFSiGrl_j_�,/�'_ PUMP CHAMBER 0 INSTALL SEVEN (7) LC-6 LEACHING CHAMBERS 4" DIA. SCH. 40 PVC PIPE WITHIN - - - - --- '10 1 YOF EXISTING WATER LINE SIDEWALL CAPACITY PROPOSED 1,000 GALLON H-10 PUMP CHAMBER EXISTINIGTHREE (31) FLOVIDIFFUSOF"S ED 'PER A,.-3-61,ff_T CARD(approx- loc, only�, off 11.50, 9, -9- (LENGTH + WIDTH) (2 SIDES) (11 HIGH) (0.74 GPDIS.F.) = GAUDAY GPD/S.F.) 88.8 GAUDAY PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE TO SE AT31ANDONED IN PLAICI� (50.0'+ 10.0')(2) ( 1' ) (0.74 Fill 1811 10.00, PROPOSED 2"SOLID SCHEDULE 40 PVC FORCEMAIN Sandy Loam FM-FU- BOTTOM CAPACITY A I OYr 3/1 NOTE: PUMP MUST BE EQUIPPED WET-22 (LENGTH x WIDTH) (0.74 GPD/S.F.) GAUDAY 29' 9.83' INSTALL 1-1/4" PVC TO HOUSE. JOINTS TO BE MADE WITH A HIGH LEVEL ALARM LOCATED WET-23 (50.0'x 100) (0.74 GPD/S.F.) 370.0 GAUDAY [3 PROPOSED DISTRIBUTION BOX Silt Loam 13 WATERTIGHT.WIRE PUMP AND FLOATS TO SIMPLEX IN THE BUILDING SERVED WHICH IS 1 OYr 5/6 WET-24 PROPOSED LC-6 H-10 LEACHING CHAMBER CONTROL PANEL No. I-CC2 NEMA-1 MFG. HOOVER POWERED BY A CIRCUIT SEPARATE HAYBALE LINE %_%'_ .--� -Io­ - - - - _!�djusted GW L.2.j > 68" 5.83' INSTRUMENTS. FROM THE CIRCUIT TO THE PUMP. TOTALS: 7211 5.50" NEMA 4 JUNCTION BOX CORROSION RESISTANT& 2"BALL VALVE w/UNIONS SCH. 80 PVC TOTAL NUMBER OF CHAMBERS 7 REV. DATE APPD. DESCRIPTION LIQUID-TIGHT CABLE CONNECTORS SUPPORTED FISHER CO. MODEL NO. 560 EXISTING D-5OX PER AS-RUILT CARD WET-21 GEORGE TOTAL LEACHING AREA 620.0 SQ-FT- Motttnq Q CONNECTORS SUPPORTED BY 1-1/4"PVC CONDUIT, (,appro�,,_ !oc cink) T(D BE AiSANDONFD 76#1 5.171 JOINTS TO BE MADE WATERTIGHT TOTAL LEACHING CAPACITY 458.8 GAL./DAY PROPOSED SEPTIC SYSTEM UPGRADE 2"SCH. 40 TEE w/CLEAN-OUT CAP OF N4xr PREPARED FOR M .2" 3.83' x I JOHN 40 TO D-BOX 2"SCH. > I -JR. 1311 CHURCHIIL EILEEN L. HENG, TRUSTEE OF 311 Medium Sand CIML MAP 135 C 2.5Y 6/6 N 41807 THE EILEEN L. HENG TRUST T LOT5 1/4"WEEP HOLE IN DISCHARGE PIPE ro WET-20 ALARM N 4.0' Q 18.3±Ac. Standni GW 112��L to -HOISTING CABLE 7 x 19 STAINLESS STEEL DOSING & STORAGE REQUIREMENTS 11211 2.17' LOCATED AT LIQUID - L ON 0 1/8"DIA./ 1,760 LB. STRENGTH 0� �N LEVEL z,�­Pum oil 160 POINT HILL ROAD IT 12 C14 DESIGN FLOW- 440 GPD 1.50' 2" BALL CHECK VALVE SCH. 80 PVC 100 WET-14 WEST BARNSTABLE, MA 02668 �Kq I P.S.I. FLOWMATIC MODEL No. 208S DOSING REQUIRED: 4 CYCLES /DAY WET-15 440 GPD/4= 110 GALS/CYCLE SCALE: I INCH 20 FT. DATE: DECEMBER 28, 2020 0 10 20 40 80 FEET WET-19 I I "llft *" NI-1 UF 1/41'WEEP HOLE IN DISCHARGE PIPE (2)WIDE ANGLE CONTROL FLOATS--/ DISTANCE REQUIRED BETWEEN PUMP WET-16 ON AND PUMP OFF FLOATS: (BARNES 073618) 211 SCH. 40 PVC DISCHARGE PIPE HN L PREPARED BY: 1: PUMP ON/OFF 120 ACTIVATION ba CH CHILL JR. 110 GALS/CYCLE 250 GALSIFT = 0.44 FT/CYCLE *BASED ON THE CAPE COD JC ENGINEERING, INC. 2: ALARM ACTIVATION BARNES SE411 PUMP 0.4 H.P., 115,V, 2" COMMISSION METHOD CIVIL DISCHARGE PASSING 1-1/2"SOLIDS OR (USE 0.56-TO PROVIDE FOR BACKFLOW) NO, 48066 WET-1 7 INDEX WELL: SQW._-25 2854 CRANBERRY HIGHWAY APPROVED EQUAL WET-18 STORAGE REQUIRED ABOVE WORKING LEVEL: 440 GAL. WATER-LEVEL RANGE ZONE: A EAST WAREHAM, MA 02538 I /\ STORAGE PROVIDED ABOVE WORKING LEVEL: 500 GAL. WATER DEPTH READING: AIM SITE PLAN WATERDEPTHREADING DATE: OCT.2020 508.273.0377 1 000 GALLON H-1 0 PUMP CHAMBER WATER-LEVELADJUSTEMENT: 2.OU 7. NOT TO SCALE SCALE: 1 20' Drawn By: MCP Designed.By: MCP I Chedced-By:J 40. S PRIr"R )RK EP IFffl �L�y LENGTH_4�-W� I N "J l � c'2C ,7 p • � � I G� �Op JI— l� a / Ja� Y \ 1 / - - - ' j 4 I TOP OFFOUNpAT10N Q � i --r-- CONCRETE COVERS 4,, CAST IRON PiPE(oR 12 MAX„ 4" SCH. 40 P.V.C. (OR raulv,) fault') a MIN, PIPE MIN, Z. �sraw r P I T C H "PER pir K^lAk� r To�E 4 17, .o PITCH /4" PER FT a INVEttT 1 ' EL -41,_U l —IN'1ERT i INVERT T SEP` EL � io S._ ) BIOX' E �, I NVE iC TANK RT /OoJ_ _ GAL E T ------• - - F!OI \ �.\ '`�/ x I B -`"� .1 '___... >,':' J e E L 1l. 1—=- - EL 14:97 / i,✓�ct_ i • i` v � f N� ---r'—— PRO F±L E O F.\ -fv[�r A.•Pr,� f9^/J is '� £cs dr e 6 { To s_- y �r SEWAGE D I S P C S A L SYSTEM 'o,vo'- ✓orr.. ,,.fi� so� 2sz NO SCALE ZG,.� .f - .v �.r•< 93 SOIL LOG WITNESSED BY r DATE __9./.2X104_ T 1 M E ».:aC-/1 p c.vM _ /. :R w�3 i _�yyrt^•+cr�AQ�� 8,G� f o TEST HOLE I TEST HOLE 2 _%a ?c3�,�.•C ENGINcER . 11 _ — ;`" raAa�:✓ � J..! l _ Eira:-- ,/ E v Q/ C� �. CL.9Y LO�`� .�•vRv .�� 2 �' DESIGN DATA : 76.5 t ; NUMBER OF BEDROOMS - - - _. - -—— - - O r T c r•/ _ i .SRr.IG /�A++O - L, Jet `� d sera GARBAGE DISPOSAL UNIT- - - - --✓o_ _ �tl �. � �' 4,65 wwTr�t t• •,..,"I . ------ . _._ ... __ TOTAL EST. FLOW -y 7!' W"'olt ( _GAL/BP/DAY x 3 BR.)_ - MFp - .I REQ. SEPTIC TANK CAP (x 150'fo). _ '45L5• r:L ftar4rvp ACTUAL SIZE OF SEPTIC TANK _ _ _ /00P- G_QL_ LEACHING AREA REQUIREMENTS i SIDE `HALL AREA ZQ GAL,/S,F,BpxrK�,o = /60 SG�T __ _ BOTTOM AREA. _ GAL/S,F.,, r.,a� x . g e-,y -c Fr "4"vl/evcW LEACHING CAP (BOTTOM-, SIDE WALL) _9G � � � � �1 A /� APIROV _ _ _ BOARD OF HEALTH RESERVE LEACHING CAP. _ 9p9 •G?o _ _ _ _ _ _ _ _ S / Tc PLAN WEST 8ARvST� r � �, S ED - - FOR DArE- - - - - - - - - - - - - - - - - - - - - AGENT OR INSPECTOR ("' LYDI�- DOOLI -TTLC, JP ED 440 r J6, Qffil� y i �St.9G G i / 4c 'A� f�Di-v r /V e-e- r?!o �GA� .•�'�"'� d=r..v� GC T .�6h' .s�/�„i.✓ o.y is /°G�.✓ �'urc ,R�,-v: ` �/-�pb°s u�av�, 1+1 K/9�tiCS'TAdc+c /Y'3A T��'�� '�f9IAR+►1 T / FTITIONER CC �pc B GocGrr�GE , _ , - 4 �Y , ti a 1 Y ` yyyi • a. { 1 f , e _ v • � � is 3"` LrGQ�� �-9.:�'S7� � ',,;€,. � t r f , y , iy .1 5 ..r � L w ea 441, -77 r' / ) 4>L 1Y _ , 4 1 - _ r . rF. �w e J w