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0040 WIINIKAINEN ROAD - Health
Roa cd �r17 Spa be �I I 4 '/ TOWN OF BARNSTABLE LOCATION t� Wik 11<AI/ 0j,1 9D SEWAGE# ZDZZ- 0,4(e VILLAGE&3. :bAe,&)�r gr L(_ASSESSOR'S MAP&PARCEL_. (3Z + Z7 INSTALLER'S NAME&PHONE NO. Roe �a -n A?u -gg77 SEPTIC TANK CAPACITY LEACHING FACILITY. (type) LC���q g � (size) rp NO.OF BEDROOMS OWNER'S a+ a XA PERMIT DATE: 21 10 l Z2 COMPLIANCE DATE: 3 1 Z Z Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 41) 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 � _ ,f �� -c�k • S C! �'� � � D G . q 2 � C � A � a ,. 3 ��.8 Zq.B l 22�� 27 9 19 $ q ?.� Z Zq.'(� 20.2 5 Z3.3" ie•8 N Fee THE COMM AWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 4pfication for Misposal 6pstem (Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade N Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 40 VV 1`Io11K4i1,? � Owner's Name,Address,and Tel.No. p Assessor's Map/Parcel 1-3 c,4— W PQ &K Installer's Name,Address,and Tel.No. _q`1.7_�i� Ltgs4 esigner's Name,Address,and Tel.No. 50:2-��73_6 30"1 I2d9eTtrb b ( l 1 ''C ECG I/J6 L��J� a:pc- © -! c.m dcol C. w l Type of Building: Dwelling No.of Bedrooms 3 Lot Size 429,— sq.ft. Garbage Grinder( ) Other Type of Building 0GK't')G-0T l ArL No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided gpd Plan Date t�d-'+` �3 ' , e�6�-( Number of sheets f Revision Date Title 4o W l�i AO 1 ,k1AjE7ICJ ?) WIr 'r -]Z1CI$7866Cl Size of Septic Tank Type of S.A.S/. Description of Soilt Nature of Repairs or Alterations(Answer when applicable) 17tj Sc �i� �Kl� — A� LC'-lam � al� CeJ d Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenanc a afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Enviro tal de an o o place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by Date a �� Application Disapproved by Date for the following reasons Pe rt o�� so Date Issued �� AA �� we u�� ��� ��..^; "' �,,••,r� .,•r'r� x.. ,n ,... ..� „:.—h .�.—•...� i - ,ij a -vim` � � f .• r� } r�� � /Jf -�1 � >�ti '�G% r s No- ' Fee 1P Y `t U ~ sir'" ^j a ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: i r Yes 1 PUBLIC HEALTH DIVISION TO N � F BARNSTABLE, MASSACHUSETTS ,, •• ��iiation =for 4is�osaY��.pst>�ttt• �ons`trULtiOn �,ermit �� Application for a Permit to Construct(I) Repair( ) Upgra& Abandon( ) A Complete System Individual Components • i LLB: t Location Address or Lot No. 40 WIVAI��'j a ` Owner's-Name,Address,and Tel.No. Assessor'sMap/Parcel o" g6X la w�•- w5t ALM Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. .502 ,X73- to (�lNr� SPA-18'9 'SO , Y 400 Sn-t R � ��y l4WV E, 4G AEN Type of Building: 1 f, Dwelling No?of Bedrooms Lot Size . sq.ft. Garbage Grinder( ) r Other Type of Building g 11f970T't A L No.of Persons Showers( Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided ,� �('f' gpd Plan , Date (00,'r 31 , 6X! Number of sheets Revision Date Title 46 W t 11J1 KAIA)L~o Size of Septic Tank Type of S.A.S. ' ( � , 1 Description of Soil hA M)t U Ak „ IY,eipr SoWb G. 0,5Z r� 1 ?yam P 44&j Nature of Repairs or Alterations(Answer when applicable) ZrJ,4;77 .L1 t (AO G. )1 L1 ) LQ�-6cp C. A 16 0 t1` . �=t�"�" U•�• 1�ib�QyC�� Date last inspected:' t Agreement: { y 1 The undersigned agrees to ensure the construction and maintenanc166�,&efore described on-site sewage disposal system in odari e with the provisions of Title 5 of the Envir�nt la Code and,not,too place the,system in operation until a Certificate of y y Compliance has been issued by this Board of�Health. Signed '' Date ~a' Application Approved by' Date ` ( APplicatioii Disapproyed'by „.... Date forme following reasons ' l Pe itNo4%:;L "0 Date Issued "X THE COMMONWEALTH OF MASSACHUSETTS v u .3�I l l BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal.system Constructed( ) Repaired-( `) Upgraded Abandoned(' )by dmJ OuA C!p 1 at `�� /r A}t t" A IU t/V has been constructed in accordance with the provisions of Title 5 arid the for Dis osal System Construction Permit NoX —0g4dated Installer El(1 11 -Designer Cel #bedrooms . ? Approved design flow �._ gpd The issuance of this p//ermit shall not be construed as a guarantee that the system will(tf inctifo�y(as design"d.' 'r Date (� `� .•11,✓ K Inspector - "` No, •,f •- QC f' FeeC� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS goo Misposar 6pstem. Construction J)ermlt ' Permission is hereby granted to Construct( ) Repair( ) Upgrade( Abandon( ) 6 UhtoA!fkAIJU6J b System located at . 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 pe it. k Date �--Approved by EXCERPT FROM BOAD OF HEALTH MEETING MINUTES FOR JANUARY 25, 2022: I. Variance —Septic (Repair): A. Michael Pimentel, JC Engineering, representing Timothy and Grace Pederson, owner —40 Wiinikainen Road, West Barnstable, Map/:Parcel 132-027, 35,422 square feet parcel, septic variance(s) requested. Michael Pimentel presented the plan for the 3 bedroom home and requesting 3 setbacks from leaching to wells and one setback from tank to property line. Location is furthest distance from wetlands and wells. Single cesspool pit will be pumped and removed. Upon a motion duly made by Mr. Lee, seconded by Dr. Guadagnoli, the Board voted to grant the plan as presented and may eliminate. Roll Call: Mr. Lee-Yes, Dr. Guadagnoli- Yes, Mr. Norman-Yes (Unanimously, voted in favor.) Q:\Minutes\ p of Minutes \Escer Excer t t BOH Jan 25 2022 40 Wiinikainen Rd WB \Excer is p p Town of Barnstable Regulatory Services Richard V. Scali, Interim Director MMSTAOLL MAM Public Health Division Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 3-7-22 Sewage Permit# Z0Z2--Q4 pAssessor's Map\Parcel 132/27 Designer: JC Engineering,Inc. Installer: Robert B. Our Co.,Inc. (RBO) Address: 2854 Cranbeiry Highway Address: 363 Whites Path East Wareham,MA 02538 South Yarmouth,MA On 2 1 O 2 RBO was issued a permit to install a (dat ) (installer) septic system at 40 Wiinikainen Road based on a design drawn by (address) JC Engineering, Inc. dated 10-31-21 (designer) X 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. Strip out (if required) was inspected and the soils were found satisfactory. REDUCER REMOVED PER BOH. 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 ppykance with the terms of th I\A approval letters(if applicable) „OF M4ssq Cy JOHN L GSF U CHURCHILL ilt (Instal er s a ur ) CIVIL 41 4 (D ner's Signature (Affix De r 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 8-14-13.doc Town of Barnstable . Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 John Norman,Chaimnan FAX: 508-790-6304 Donald A.Guadagnoli,M.D. F.P.(Thomas)Lee,P.E. Daniel Luczkow,M.D.Alt. March 1, 2022 Mr. Michael Pimental, EIT, CSE 2854 Cranberry Highway E. Wareham, MA 02538 H i , � ,, , r. RE 4p Wiinikainen Road; West Barnstable Dear Mr. Pimental, You are granted variances on behalf of your clients, Timothy and Grace Pederson, to construct an onsite sewage disposal system at 40 Wiinikainen Road, West Barnstable. The variances granted are as follows: 310 CMR 15.211 Setbacks:: To install a septic tank 7.4 feet away from the foundation, in lieu of the ten (10) feet minimum separation distance required. Section 397-2 of the Town of Barnstable Code: To install a soil absorption system 123.2 feet away from the existing onsite well, in lieu of the 150 feet minimum separation distance required. Section 397-2 of the Town of Barnstable Code: To install a soil absorption system 116.7 feet away from the existing well at 27 Wiinikainen Road, in lieu of the 150 feet minimum separation distance required. Section 397-2 of the Town of Barnstable Code: To install a soil absorption system 123.2 feet away from the existing well at 28 Wiinikainen Road, in lieu of the 150 feet minimum separation distance required. The Board of Health granted these variances without conditions. These variances are granted because the physical constraints at the site severely restrict the location of the septic system components due to wetlands and existing private wells in the area. Sincere) yours, ohn Norman Chairman Q:\WPFILEs\40 Wiinikainen Road West Barnstable VariancesGranted 2022.docx Y il��l i f OFF .DATE: $95.00 FEE*: FDMA'Ip,� Town of Barnstable lEc,BY: Board of Health SCHED.DATE: �1 Office: 508-8624644 200 Main Street, Hyannis MA 02601 FAX: 508-790-63041l 1�[�4 e2. John T.Norman Donald A.Guadagnoli,M.D. Paul J.Cannif,D.M.D. F.P.(Thomas)Lee,Alternate VARIANCE REQUEST FORM LOCATION Property Address: 40 Wiinikainen Road 6 o' /7 G 9�, Assessor's Map and Parcel Number: Man 132,Lot 27 Size of Lot: 35.422 s.f._ Wetlands Within 300 Ft. Yes X Business Name: ( ( No Subdivision Name: ' APPLICANT'S NAME: Timothv&Grace Pederson Phone Did the owner of the property authorize you to represent him or her? Yes X No PROPERTY OWNER'S NAME CONTACT PERSON Name: Timothy&Grace Pederson Name: Michael Pimentel EIT CSE Address:PO Box_16.West Barnstable MA Address:2854 Cranberry Highway, E. Wareham MA 02538 Phone: Phone: 508-273-0377 EMAIL: mpimentel@iceng.org VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) See attached Appendix A NATURE OF WORK: House Addition House Renovation Repair of Failed Septic System X Checklist (to be completed by office staff-person receiving variance request application) Please submit first four on list as S collated packets. — Five(5)copies of the completed variance request form — Five(5)copies of engineered plan submitted(e.g.septic system plans)&one electronic version submitted to email:healthntown.bamstable ma us. — Five(5)copies of MA DEP approval letter for Innovative/Altemative septic system(when proposing an I/A system,only). — Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)and one(1)electronic version. A completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian — Signed letter stating that the property or business owner authorized you to represent him/her for this request — Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only). — Full menu—Five(5)copies of full menu submitted(for grease trap variance requests only). *$95.00 for the following variances: 1.)New construction,2.)Septic repairs with increase in flows,and 3.)New owner/new lessee applying for food,pool or body art variances. Exemptions from variance fee: 1.) Septic repair without an increase in flow and variances granted at the counter,2.)Monitoring plans,and 3.)Temporary food(not a"variance"). t Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED John T.Norman NOT APPROVED Donald A.Guadagnoli,M.D. REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D. [Type here] JC ENGINEERING Inc. Civil & Environmental Engineering 2854 Cranberry Highway East Wareham, Massachusetts 02538 Ph. 508-273-0377—Fax 508-273-0367 APPENDIX A Due to the physical constraints of the property and the existence of domestic water wells in the area,the following Local Upgrade Approvals and Local Variances are being requested. In accordance with 310 CMR 15.401 - 15.404,the following Local Upgrade Approval is requested from CMR 310 15.211: (L) A 2.6' waiver(10.0' - 7.4') for the setback from prop. tank to house foundation. The following Local Variances are requested from the town of Barnstable's Chapter 397: Wells Regulations; Section 397-2: (L) A 26.8' variance (150.0' - 1232)for the setback from the proposed SAS to.the existing well located at 40 Wiinikainen Road(Map 132, Lot 27). (2.) A 33.3' variance (150.0' - 1167)for the setback from the proposed SAS to the existing well located at 27 Wiinikainen Road (Map 132, Lot 18). (3.) A 12.8' variance (150.0' - 1232)for the setback from the proposed SAS to the existing well located at 28 Wiinikainen Road (Map 132, Lot 16). e� y � u $ , -7 Room �� � g room roo room 9 �o x ►r dom �I v► jeAro0/ J/ M �Y� 13 EXISTING HOUSE FLOOR PLAN 40 WIINIKAINEN ROAD DATE: 11-11-21 SCALE: N.T.S. r JC ENGINEERING, Inc. Q � Civil & Environmental Engineering nn4 2854 Cranberry Highway East Wareham, Massachusetts 02538 Ph. 508-273-0377—Fax 508-273-0367 MEETING NOTICE Dear Abutter: You are hereby notified that there will be a public meeting on Tuesday, December 21, 2021, at 3:00 PM in the James H. Crocker Jr. Hearing Room on the second floor in the Barnstable Town Hall, which is located at 367 Main Street, Hyannis, MA 02601. This meeting is to present a request for Local Upgrade Approvals and Local Variances associated with a septic system upgrade project located at 40 Wiinikainen Road, West Barnstable, Massachusetts. Due to the physical constraints of the property and the existence of domestic water wells in the area, the following Local Upgrade Approvals and Local Variances are being requested. In accordance with 310 CMR 15.401 - 15.404, the following Local Upgrade Approval is requested from CMR 310 15.211: (L) A 2.6' waiver (I Off - 7.4') for the setback from prop. tank to house foundation. The following Local Variances are requested from the town of Barnstable's Chapter 397: Wells Regulations; Section 397-2: (L) A 26.8' variance (150.0' - 1232) for the setback from the proposed SAS to the existing well located at 40 Wiinikainen Road (Map 132, Lot 27). (2.) A 33.3' variance (150.0' - 1167) for the setback from the proposed SAS to the existing well located at 27 Wiinikainen Road (Map 132, Lot 18). (3.) A 12.8' variance (150.0' - 123.2') for the setback from the proposed SAS to the existing well located at 28 Wiinikainen Road (Map 132, Lot 16). The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis, MA Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. s Board of Health Title V Septic Variance Abutter List for Subject Parcel 132027 Direct abutters(no set distance)and the properties located across the street. Parcel ID Owner 1 Owner 2 Address Line i Address Line 2 City State Zip 132oi6 HALLAM,ROBERT D&SUSANNE N 40 JOSIAH'S PATH WEST BARNSTABLE MA 02668 ......... ............._ 11............................ .-.................... ....................................... _..... . ... ......... _. ..... ............... . ............ ............._..................,........... .......... _....... .. ......... .- . ...._._.. ..... ......... 132018 CHASE,WILLIAM M&MARGARET R P O BOX 502 WEST BARNSTABLE MA 02668 .... ............. .. ...._.... __._... .. . ........._ ............. ............__. ..... ._......_ _........._ . ........ _ _................. ........._.. ......................... ....................._..... ............. ................ .... ..........,.. ....._......... ...__..... 132027 PEDERSEN,TIMOTHY&GRACE L P O BOX 16 WEST BARNSTABLE MA 02668 ._....... .......... ...... ........................,.................................... . ......... ., . ......_ ......... ........... .,............ ............,. 156005 LEARY,JOSEPH F&SUSANNE H %LEARY,JOSEPH F&SUSANNE H 695 MAIN STREET WEST BARNSTABLE MA 02668-ii27 156058 NAGL,SUSAN&PAP,PATRICIA 56 WIINIKAINEN RD WEST BARNSTABLE MA 02668 _.. ......... ... ............ .......... .,..... __...... .,...... .. Page 1 of i Total Number of Abutters:5 Report Generated On: I1/10/2021 9:03 PM This list by itself does NOT constitute a"Certified List of Abutters"and is provided only as an aid to the determination of abutters. If a Certified Abutter List is required,you must contact the Assessing Division to have this list certified. Board of Health Title V Septic Variance Abutter Map for Subject Parcel 132027 Town of Barnstable Direct abutters(no set distance)and the properties located across the street. GIS Unit gis@town.barnstable.ma.us Legend f 156011 Subject Parcel 2013002 :;�/ .,� . 1560T2 Abutters 132026003 �. X X i 156057 Parcels t Town Boundary ' y r Railroad Tracks 166014 Buildings Approx.Buildi ' 132015 -1 Buildings Parking Lots •f 132020 �� Paved Unpaved ram, 026001 1` 4 Roads Paved Road ;. _ 13201'6 t, ., - Unpaved Road Bridge 132021003 13204 156062 13 Paved Median 156005 Water Bodies ..156059002 132021001 132027 156061 tr 132021002 ' N �.. This map is for illustration purposes only.It is not adequate for legal boundary determination or regulatory interpretation.This map does not represent an on-the-ground survey.It may be generalized,may not reflect 156059001 current conditions,and may ._.. ` contain cartographic errors or "✓ �" omissions. 132022 156058 ' "t Parcel lines shown on this map are 156003 only graphic representations of _ ` Assessor's tax parcels.They are not true property boundaries and d-'••- =----: } o not represent accurate relationships to physical objects _. on the map such as building _... ;J _,_ "'� J locations. 156002 O �y 0 88 175 ft. i inch=approx. 175 ft. Printed on: 11/10/2021 Timothy&•Grace,Pederson' PO:Box J61 West Barnstable,MA 02668 November 9,2021 e , -Board'of Health Town of Barnstable 200 Main Street 'Hyannis,MA 02601 Re: Declaration of Authorization 40 Wiinikaineni Road,`West Barnstable,MA Dear Members of the.Board: Iet•it be known that we,Timothy&Grace Pederson�(owners.of 40:Wiinikainen Road); d6hereby authorize JC Engineeringjnc:�of East Wareham,'MA,02538,,to represent our interest regarding the upgrade,ofthe septic system located at 40 Wiinikainen Road.in meetings both�public and private: Sincerely, 6 Timothy Pederson _ :Grace Pederson 4` � �trEr Town of Barnstable PT 4 21-275 Department of Inspectional Services + BABNSPABM MASS Public Health Division t639• �0 OIEpMpI� 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Date Scheduled 10/14/21 Time 10:00 AM Soil Suitability Assessment for Sewage Disposal Performed By: Michael Pimentel, EIT, CSE Witnessed By: David W. Stanton (BOH) LOCATION & GENERAL INFORMATION Location Address: 40 Wiinikainen Road Owner's Name: Timothy & Grace Pederson West Barnstable, MA 02630 Owner's Address: PO Box 16, W. Barnstable, MA 02668 Assessor's Map/Parcel: 132/27 Certified Soil Evaluators Name: Michael Plmentel Certified Soil Evaluators Email: mpimentel@jceng.org New Construction or Repair: Repair Certified Soil Evaluators Telephone# (508) 273-0377 Land Use Single Family Dwelling Slopes(%) 5-10 Surface Stones No Distances from: Open Water Body >100 ft Possible Wet Area >100 ft Drinking Water Well 144 ft Drainage Way >10 ft Property Line >10 ft Other ft Parent material(geologic) Outwash Depth to Bedrock >144" Depth to Groundwater: Standing Water in Hole: >144" Weeping from Pit Face >144" Estimated Seasonal High Groundwater >144" DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Direct Observation Depth Observed standing in obs.hole: >144 in. Depth to soil mottles: >144 in. Depth to weeping from side of obs.hole: >144 in. Groundwater Adjustment N/A ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level PERCOLATION TEST Date 10/14/21 Time 10:00 AM Observation Hole# 1 Time at V 10:24 AM Depth of Perc 18"-36" Time at 6" 10:32 AM Start Pre-soak Time Q 10:05 AM Time(9%6") 8 mins. End Pre-soak 10:20 AM Rate Min./Inch 3 Site Suitability Assessment: Site Passed X Site Failed: Additional Testing Needed(Y/N) N Deep Observation Hole Log Hole#: 1 & 2 Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (in) (USDA) (Munsell) (Structure,Stones,Boulders. Consistency,%Gravel 0" - 18" A Loamy Sand 10Yr 3/1 18" - 48" B Loamy Sand 10Yr 5/6 48" - 108" C-1 M-Fine Sand 2.5Y 6/6 108" - 144" C-2 Silt Loam 2.5Y 7/1 Deep Observation Hole Log Hole#: Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (in) (USDA) (Munsell) (Structure,Stones,Boulders, Consistency,%Gravel Deep Observation Hole Log Hole#: Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (in) (USDA) (Munsell) (Structure,Stones,Boulders, Consistency,%Gravel Deep Observation Hole Log Hole#: Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (in) (USDA) (Munsell) (Structure,Stones,Boulders, Consistency,%Gravel I Flood Insurance Rate May: Above 500 year flood boundary No Yes X Within 500 year boundary No X Yes Within 100 year flood boundary No X Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yes If not,what is the depth of naturally occurring pervious material? N/A Certification I certify that on 10-27-99 (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 310 CMR 15.017. �Gh2e� / Signature f Date 1 0 31/21 SKETCH: (Or you can attach a separate sheet) (Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) SEE ATTACHED PROPOSED SEPTIC SYSTEM UPGRADE PLAN DATED OCTOBER 31, 2021. 7-8---V No.- --- - 15 Fee----;<- ------------ BOARD OF HEALTH TOWN OF BARNSTABLE 0(pp[iration-*rVeil Con6truction3permit Application is hereby made for a permit to Co struct (7), Alter ( ), or Repair ( )an individual Well at: Location —lAddress — — Assessors Map and Parcel /1_A�_ e�'•�.sue - - ----- ------- --s�Ftl� ---------- ------- --- - --------------- Owner Address --------------------------------- ------ - - � `� -5'�` - d •�tov✓� �'' Installer — Driller Address Type of Building J? l3-���-r Dwelling -— -- - ------------------------- Other - Type of Building-------------------------- No. of Persons--- ,-------------------------- -- Type of Well-C&;i - — ---- - Capacity----/�- -9�-/— --------— Purpose of Well--- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation untilla Certificate liance has been issued by the Board of Health. Signed - —---- ------- 1�Ix4l-- date Application Approved By— h _ date Application Disapproved for the following reasons: --------------------------------- ----- -------------- - ----- ------------—---—- date Permit No. Issued----- -- - - — ---— - - date BOARD OF HEALTH TOWN OF BARNSTABLE C ertif irate (Of Compliance THIS IS JO CERTIFY, That the Iytdividual Well Constructed ()<), Altered ( ), or Repaired ( ) by 061;:�C°A --- --- --------— --- ----- - Installer �w� 4 Y—_ -- — at- -- ---------has been installed in accordance with the provisi ns of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No.W g-5"YS-_-Dated----THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE---- - -- Inspector------ - -- - --- —----- I No.- --- - ,.` ;,. Fee---- - ---- BOARD ,OF HEALTH TOWN OF BARNSTABLE Application Ar Vell.Con5tructioni3ermit Application is hereby made for a permit to Co struct (X; Alter ( ), or Repair ( )an individual Well at: ------.......-------------------------- -- -------------- ----- ------------- _� ,Q 4�Location — Address Assessors Map and Parcel -------------------- ---- Owner Address ---------- ------------- - Installer — Driller Address Type of Building 2 �3 �L�9 Dwelling ✓— --- - -- ------- - Type of Building------------------------------- . No. of Persons--------------------------- ---—------- Type of Well�� j - -- - -----_ -- Capacity---- �- -9�-/- -- ---— CCC Purpose of Well---__: L2 1G MeW - Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation unY a Certificate liance has been issued by the Board of Health. Signed ------ ----------- -�6/! date ^ Application Approved By date Application Disapproved for the following reasons:`------- --—-- -- — - - ----------------------------- -------- date Permit No. Issued------ -- - - -- - -— ------------ i date +Twe v!!ev�ssew_«�i+»ei.os�ee�'eo^a�..SaM•at�5.!:2:ei'JoL:esei+6aesaeoe-ee�"e'sysaoeesao?sa4vasa:asa:.fbsa�a2asBe6aae6R6..a=asarei!aeec+acae2eaYe9oaa!e'°e±e�>!aeisoei�i=6-ae,�•4•.:«�qa�a BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance � THIS IS 10 CERTIFY, That the I�Idividual Well Constructed (J�') Altered ( ), or Repaired ( ) by- �d ��F�o,ed---- Installer has been installed in accordance with the provisi s of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit.No.K lff-'--Y,57-Dated=---- ----- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE---- - _ -- Inspector—__--- —-- ------------ •¢!a!a�i!afis:sieasa!aei'»as:liTi4i9alWailitiTiaili9iTird$asafaTGsi'•Sa9isNaliea!fQaOisapiliOaSiRWINisi»39isiliPPPiSa!°i!+�a!:!i°Ti<i!Pi4i'Ni�itla!FiTf.!i!i!a!��iTa!!a!ieafG4iOdt?• BOARD OF HEALTH TOWN OF BARNSTABLE Melt Con$tructionpermit No. --"—" r'U Fee-7 - Permission is hereby granted �" �2"' to Construct (>4 Alter ( ),`or Repair ( ) an Individual Well at: No. V— eel ----------- --------------- - - - Street as shown on the application for a Well Construction Permit No.- -- Dated-- --____--------- - DATE— Gard of Health a� J / \1It- . z . o_ Fo.f�PE-rT l•3 � . E L.q,v�BE.e\ < o \ C 53 ge l s =L i vo¢iL 197' G.2ta.v,gE.p.p y ll �� BaG of � . Q �a o o7 S/E iv .C' 82. 'o W/OE 7.r/o o S.'t SC �EN�/ CENTRAL IRA/L/PO AD T.O.F. EL.= 30.6't FINISH GRADE OVER D-BOX= 28.0'± FINISH GRADE OVER CHAMBERS= 29.4' - 27.5' GENERAL OTES PROVIDE EXTENSION RISER .SLOPE @ 2%MIN OVER SYSTEM REMOVABLE WATER-TIGHT COVER OVER 3/4„TO 11-1/2"DOUBLE WASHED 1_ UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION WITH COVER OVER INLET& FINISH GRADE OVER TANK EL.= RISER TO WITHIN 6"OF FINISHED GRADE STO)NE TO CROWN OF PIPE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL FINISHED GRADE OUTLET TO WITHIN 6' OF F.G. ' 4 SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS CODE AND ANY APPLICABLE LOCAL RULES. ' 28.5 t „ MIN SLOPE 1°10 BOX TO F.G. (SEE NOTE 21) 2"OF 1/8"TO 1/2"DOUBLE WASHED FOUNDATION= 29.0 5 DIA. OUTLET(S) 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE STONE OR GEOTIEXTILE FILTER FABRIC DESIGN ENGINEER.. 21"MIN.ACCESS 9"MIN. � -•--� COVER(3 TYP.) QQ�E MAX. PROP.SCH.40 PLACE RISERS ON „ TOP OF SAS 26.43 ALL 3. 4 SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL PVC SEWER PROP.4"SCH_40 PVC "M!� , 9"MIN. CHAMBERS w/PIPED SYSTEM UNLESS OTHERWISE NOTED. \11, w/4"x6"REDUCER 25.60 36"MAX. BREAKOUT EL 26.10' INLETS TO WITHIN 6" , --1 4. TO PREVENT BREAKOUT THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 2 DROP MIN. 3„ g,, OF FINISHED GRAIDE MIN_SLOPE01% 6" 3" 3"DROP MAX. PROP.s•SCH.ao PVC L=50't ELEVATION=26.10'FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS.'UNLESS A N.SLOPE 0.5% =Z fySemc PROVIDE WATERTIGHT 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF _ 13" 6"PVC IN FROM JOINTS (TYP.) p ��� THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. w_ ..Oi9' 14" 26.33' SEPTIC TANK 4"PVC OUT TO 0 0 0 0 0 0 0 0 0 0 0 o a B- 27.3 LEACHING FACILITY o0 0 0 rb 5. SLOPE ALL SOLID PIPE AT 1.0/o MINIMUM. o 0 0 0 0 6. THIS SYSTEM IS NOT INLET TEE 12" Q 0 0 C�l DESIGNED FOR A GARBAGE DISPOSAL. " oo 48�� OUTLET TEE 26.00' MIN. 25.83' 1' o 0 0 00 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK 26.50 _ 0 � � 0 � � � _ 0 � � � � � 0 � o0 0 0 0 o FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION.SYSTEM IS TEES TO BE CENTERED GAS BAFFLE 6"CRUSHED STONE �-- o 0 0 DIRECTLY UNDER RISERS OVER MECHANICALLY o I o 0 o C� C� C 0 C o NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH 7.4'OFFSET TO FND o AND DESIGN ENGINEER. (SEE GEN. NOTE#24) COMPACTED BASE 2.0' 1 -� 2.0' 6.0'(TYP) 4.0' 4.0' 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. SEE BENCHMARK LOCATION AND 6"CRUSHED STONE 5 OUTLET DISTRIBUTION BOX (TYP.) ELEVATION SHOWN ON PLAN. 34 OVER MECHANICALLY TO BE INSTALLED ON A LEVEL STABLE 0' COMPACTED BASE BASE. FIRST TWO FEET OF OUTLET GROUND WATER E V.= < 15.50' 9.; CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PROPOSED 1,500 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. 24.60 ROU D LE 11.0' THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT , „ , „ , 11 CHAMBERS PROFILE 4'MIN. CIHAMBER END VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES LENGTH 10 -6 WIDTH 5 -8 DEPTH 5 -8 Dimensions r CROSS SECTION VIEW CONTRACTOR TO VERIFY EXISTI,, ( per TO THE DESIGN ENGINEER. M Nt T, n ter tr r sv tn,rr ,LE.A,, ; , ,t0 . ,O AN1, �, ; K�A ACMEIShorey) _ 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC.STRUCTURES SHALL BE MADE WATERTIGHT. .� , ,.. � . SEPTIC TA PROFILE DISTRIBUTION . , TAIL L� t� '11 ►I1�IC��R- DETAILS,AILS t'CTi Y E �C�IIvCFE 11 DIFFERENT. NOT TO SCALE NOT TO SCALE NOT TO SCALE 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM TEST PIT 'DATA f . �, ...,�. � ..... APPROPRIATE AUTHORITY. r, > - 21-275 -_ / .y s_ NOTES: _ .w PERC NO. - s # , .R - 12• ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED rF +0 INSPECTOR: David W. Stanton(BOH) UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT,DRIVES, OR 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF44 `` TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H 20 LOADING. EACH SEPTIC SYSTEM COMPONENT. .� EVALUATOR. Michael Plmentei, EIT, CSE ,-, §" _ - C.S.E.APPROVAL DATE: Oct. 27, 1999 F A DIRT, DUST AND FINES. �. ---- 4 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE O ALL , �, MAP 132 xi: . W 2. CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE -�� �. ,_„ ,.,.,,� -..- - October 14 2021 ~`� LOT 16 DATE. 14. WHERE REQUIRED,CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST PIT` \ ✓� ` C) --- DATA SHOWN ON THIS PLAN AND TO ENSURE 4 FEET OF C-1 SOIL EXISTS TEST PIT#: 1 MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. / ! ,, P N` ARE AND FREE FROM CLAY' - _ . RE LACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE S , BELOW THE BOTTOM OF THE PROPOSED SAS. REPORT TO ENGINEER AND _ `� ELEV TOP 27.50 e .--j" t - FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). LOCAL BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT MAP 132 D i '�-- OQ'V4'ELL C)PFSE�f r ,r • •`- ;" 'x. ✓ WATER = < 15.59 DATA. LOT 18 -� C Vim, . + - . ELEV15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN No G M,0 ,32, LOT 1� g � � /� 1 ,► �, , SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. - -- 3.) PROPERTY IS NOT LOCATED WITHIN ANY AQUIFER PROTECTION Z rvJ Locus ' PERC RATE_ 3 min.�nch DISTRICTS INCLUDING THE ESTUARINE WATERSHEDS. p -� - / 16• PROPOSED PROJECT IS LOCATED WITHIN: w •: ,. r. DEPTH OF PERC= 18"-36EE ._, rn ~� ASSESSOR'S MAP 132 LOT 27 4•) SWING TIES SHOWN ON THIS PLAN ARE PROVIDED ONLY AS A COURTESY n? .. o � I' � TEXTURAL CLASS: i FOR THE INSTALLER. INSTALLER SHALL VERIFY SWING TIE MEASUREMENTS ' O m "" ' ; , '� OWNER OF RECORD: TIMOTHY&GRACE PEDERSEN c �� _ � 23 u, IN THE FIELD PRIOR TO INSTALLING THE SYSTEM. CONTRACTOR SHALL �` -� Z p / Benchmark o- $ =~ �` ADDRESS: PO BOX 16 NOTIFY ENGINEER IF MEASUREMENTS APPEAR TO BE INCORRECT. 7$: 3°r FED / Nail in 36 Tree " • j• EX. WELL ,N t - x • WEST BARNSTABLE,MA 02668 `\, �g1. Elev. 28.90 � � r � ��, � , rr �.. 0 t TP 2 , m1 r h .,9 t� t . « Loam Sand 5. EDGE OF WETLANDS SHOWN ON THIS PLAN WAS DIGITIZED FROM PLAN e / Approx. M.S.L. ' _ 4'' ., A y FEMA FLOOD ZONE X ., ; .Y 28x0 � a �.,r�<���'�, .�w.� ,��' � =: ';:� '. � . EE 10Yr 3/1 , BOOK 247 PAGE 148 AND MA I MAPPING / 2, , `. . a K , J. 1�. 8 26.00 116.7 U.P.#1452 �. { COMMUNITY PANEL# 25001CO534J O SS G S � ! �. � .. �._ l! r;.r �- ----- -:s 7 ' ;1 � � ,,.. ,:. ? '-'.: � ...,,,� Pere PROPOSED(5) LC-6 LEACHING =.Py; �,. • i r 36" Loamy Sand 24 17. DEED REFERENCE BOOK 8577,PAGE 254 t = ca CHAMBERS WITH STONE , .. ♦ 50 GUYWII E EE , ;- ,; ... ,. N r .''' �' �:: ,�""., ._: ♦`t r,�s o ' 10Yr 5/6 _ S06 25 53 E__ t a .� + - B 18. PLAN REFERENCE: PLAN BOOK 247, PAGE 148 25.78' :; r 26!!`� 250 Tp SAS ° > '� v + • �,�. *' 48" 23.50' 4P 156, 1D : -' • '� , ": . 1 g, ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. CHIM/ 27x5 � 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY f PROP. D-BOX ► • >= +► '' riS � FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY "► � � . � •-_.-;� '`� Med. to Fine Sand m / = '+ . ' • �'" C-1 FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. Fl 27.t� i ` 1 , F o 2.5Y 6/6 a 15 - r _ �7$ 21. A 4 PERFORATED SCH.40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A o ?OF 30.6_ .f. ► y, _ , DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3 OF FINISH GRADE. A r NEW \ �, -�' ,.: •DR , , a � O, r !+ ,.v ,., ,. U-,; ,. ,. REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. ! `L BIT / -PROP•6 SCH.40 PVC r • ,. 23 1` p .yip= ....�.........,.�`..t Ir { k. H4� v,w...-.e� a.. .:.: ,: rl if. .. r....w .:1::.a.:.,.. I (0.5 fo IVIIN. S'LOPEj 108 18.50 ' �• OWNER/APPLICANT'/CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL wT os REQUIRED PERMITS AND APPROVALS FOR THIS PROJECT. U4 PROPOSED 1,500 f'�j'�► Silt Loam 23. THE FOLLOWING LOCAL VARIANCES ARE REQUESTED FROM THE TOWN OF BARNSTABLE'S I k'.-2f a' - GAL. SEPTIC TANK LOCUS PLAN C-2 2.5Y 7/1 CHAPTER 397: WELLS REGULATIONS;SECTION 397-2: /! #40 1 x24.6 (1.) A 26.8'VARIANCE(150.0-- 123.2')FOR THE SETBACK FROM THE PROPOSED SAS TO THE m - -vt _----w--"=t ; EXISTING 'O CO SCALE: 1"= 1000' „ EXISTING WELL LOCATED AT 40 WIINIKAINEN ROAD(MAP 132,LOT 27). / CM 144 15.50 0 3-BEDROOM '_" --HAYSALES (2) A33.3'VARIANCE(150.0--116.T)FOR THE SETBACK FROM THE PROPOSED SAS TO THE DUVELLING , No Mottling, Standing or Weeping Observed EXISTING WELL LOCATED AT 27 WIINIKAINEN ROAD(MAP 132,LOT 18). 3. A 12,8 VARIANCE 150.0 123.2 FOR THE SETBACK FROM THE PROPOSED SAS TO THE IC I. 2r,8 j , ,�.. ... AIkID OFFSET f _ �-�-�- ETLDESIGN DATA TEST PIT DATA EXISTING WELL LOCATED AT 28 WIINIKAINEN ROAD(MAP 132,LOT 16). x QF /C/O (TYP) co N f PERC NO. 21-275 24. IN ACCORDANCE WITH 310 CMR 15.401 -15.404,THE FOLLOWING LOCAL UPGRADE NUMBER OF BEDROOMS EXISTING • David W.Stanton BOH APPROVAL(S REQUESTED CMR 310 CMR 15.211: (EXISTING) 3 INSPECTOR. ( ) Q NUMBER OF BEDROOMS(DESIGN) 3 EVALUATOR:Michael Pimentel,ER, CSE p,P I 1.) A 2.6 WAIVER(10.0 -7.4), FOR THE SETBACK FROM PROP.TANK TO HOUSE FOUNDATION. ---.. --___ � _ .....-.- •_.-- �� l � �f 0' -�-(4) E , ,. ti� DESIGN FLOW 110 GAUDAY/BEDROOM C.S.E_APPROVAL DATE: Oct. 27, 1999 LEGEN (5 n �, ✓ / 1 J / TOTAL DESIGN FLOW 330 GAUDAY DATE: October 14,2021 u. I l 1 f 50x0' EXISTING SPOT GRADE x TEST PIT#: 2 DESIGN FLOW x 200 = 660 GAUDAY - 50 = EXISTING CONTOUR ,f 10A ....._./ ELEV TOP= 28.00' (3 / --EXISTIN G C3 SSFOOL TO C USE PROPOSED 1,500 GALLON SEPTIC TANK r� J 0 �*v'?E.r F ELEV WATER= < 16.00'10 PROPOSED CONTOUR (6 tip CHIM. HC-3 J{ / CLEAN SND �� NID-C# _C` � / . _ (APPROX. .,--�- �- OF PERC RATE= ----�- fl,/H'/W EXISTING OVER WIRES HC-4 ' CRAWL .� TREELItlIE `' / /�� DEPTH OF PERC= Wd EXISTING WATER LINE FL=27.0't f . _,2 �� INSTALL FIVE 5 LC-6 CHAMBERS W/ STONE f ( ) - TEXTURAL CLASS: I TEST PIT LOCATION %TOF=30.6'± MAP 156 SIDEWALL CAPACITY f HC-2 LOT 58 MAP 156 (LENGTH + WIDTH) (2 SIDES) (1'HIGH) (0.74 GPD/S.F.) = GAL/DAY oil 28.00' 10001 PROPOSED 1,500 GALLON SEPTIC TANK w / ,-t M (34.0'+ 11.0')(2) ( 1' ) (0.74 GPD/S.F•) = 66.6 GAUDAY A Loamy Sand t _ ��2 LOT 05 kri 10Yr 3/1 PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE '18" 26.50' BOTTOM CAPACITY r 2) P19 MAP 132 N 13 PROPOSED DISTRIBUTION BOX rco (LENGTH x WIDTH) (0.74 GPD/S.F.) GAUDAY Loamy Sand #40 --'' LOT 27 B EXISTING ; O 1) ""� 35,422t S.F. (34.0'x 11.0') (0.74 GPD/S.F.) 276.8 GAUDAY 10Yr 5/6 Li O PROPOSED LC-6 CONCRETE LEACHING CHAMBER 3-BEDROOM / 48" 24.00' DWELLING 7.4' 10.1' EDGE OF WETLAND TOTALS: - REV. DATE BY APP'D. DESCRIPTION f TOTAL NUMBER OF CHAMBERS 5 PROPOSED SEPTIC SYSTEM UPGRADE 'C/O (TYP) N Med.to Fine Sand N TOTAL LEACHING AREA 464.1 SQ•FT. C-1 2.5Y 6/6 f HC-1 TOTAL LEACHING CAPACITY 343.4 GAL./DAY PREPARED FOR: TIMOTHY & GRACE PEDERSEN cn r 1081, 19.00' .�' LOCATED AT Silt Loam 40 WIINIKAINEN ROAD SWING-TIES SCALE. 1 -20E C-2 DESCRIPTION HC-1 HC-2 HC-3 HC-4 I 2.5Y 7/1 WEST BARNSTABLE MA 02630 I 144" 16.017 SCALE: 1 INCH = 20 FT. DATE: OCTOBER 31, 2021 TANK COVER IN(1) 22.2' 26.8' -- - ' 0 5 10 20 40 FEET No Mottling,Standing or Weeping Observed ih TANK COVER OUT(2) 29.8' 19.0' - � JOHN L ��, PREPARED BY: CORNER OF STONE(3) - - 18.3' 34.2' RESERVED FOR BOARD OF HEALTH USE CHURCHChA ILL A. N JC ENGINEERING, INC. CORNER OF STONE(4) - 27.4' 39.0' ` "° 4fs°' 2854 CRANBERRY HIGHWAY CORNER OF STONE(5) - - 32.8' 21.5' I EAST WAREI"IAM, MA 02538 SITE PLAN 5os.273.0377 CORNER OF STONE(6) - - 25.6' 10.5' SCALE: 1"=20' Drawn B)r. MCP Designed By:MCP Checked By:A( JOB No.5938 s A U �r �/ r� �'� G'v. � � �/�/C �V f� �0�✓��.r (r �. �� `/fib �.-Q„� T.O.F. EL.= 30.6't FINISH GRADE OVER D-BOX= 28.0'1 FINISH GRADE OVER CHAMBERS= 29.4' - 27.5' GENERAL NOTES R 0 PROVIDE EXTENSION RISE REMOVABLE WATER-TIGHT COVER OVER �I SLOPE @ 2/o MIN. OVER SYSTEM 33/4"TO 1-1/2"DOUBLE WASHED 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION WITH COVER OVER.INLET& FINISH GRADE OVER TANK EL.= „ "� RISER TO WITHIN 6 OF FINISHED GRADE STONE TO CROWN OF PIPE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL FINISHED GRADE OUTLET TO WITHIN 6 OF F.G. 28.5't 4 SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS CODE AND ANY APPLICABLE LOCAL RULES. f @ FOUNDATION = 29.0'f MIN SLOPE 1% BOX TO F.G. (SEE NOTE 21 2"OF 11/8"TO 1/2"DOUBLE WASHED 5" DIA. OUTLET(S) )21"fv11N.ACCESS STONE OR;GEOTEXTILE FILTER FABRIC 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE ~ � -- COVER(3 TYP.) 9"MIN. DESIGN ENGINEER, PROP. SCH. 40 36 M „� = PLACE RISERS ON ALL 9 MIN TOP OF SAS 26.43 � 3. 4 SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL PVC SEWER PROP. 4"SCH.40 PVC 36"MAX. 9'"MIN. CHAMBERS;wl PIPED SYSTEM UNLESS OTHERWISE NOTED. w/4"x6"RE UC 25.60 36"MAX. BREAKOUT EL= 26.10' INLETS TO'WITHIN 6" �-1 "� 1 4. TO PREVENT BREAKOUT THE PROPOSED FINISHED GRADE SHALL NOT B � - - - 2 DROP MIN. � OF FINISHED GRADE S G E LESS THAN MIN.SLOPE @ 1% 6 3" L=50't 3 DROP MAX. 3" 9'� ELEVATION=26.10' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A PROP,6"SC .40 PVC PROVIDE WATERTIGHT MAN.SLOPE 5% =2 ff/sec 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF 13" �-JOINTS {TYP.} owe THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. _ 6� PVC IN FROM t o 14 p q 26.33 SEPTIC TANK 4 PVC OUT TO �] 0 0 0 0 t= 0 uQ LEACHING FACILITY o0 0 0 5. SLOPE ALL SOLID PIPE AT 1.0°lo MINIMUM. INLET TEE 12„ „ oa o 0 I� 0 0 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 26.50' 48" OUTLET TEE 26.00' MIN. 25,83' 1' 00 � �0 c:> 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK 00 PC o FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION.SYSTEM IS TEES TL BE CENTERED GAS BAFFLE O CRUSHED STONE o 0 0 I� o NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH DIRECTLY UNDER RISERS OVER MECHANICALLY o 7.4' OFFSET TO FND (SEE GEN. NOTE#24) COMPACTED BASE 2,0' � 2,0' AND DESIGN ENGINEER. 6.0 TYP , ' 6"CRUSHED STONE 5 OUTLET DISTRIBUTION BOX ( ) 4.0 3 0, 4.0 $. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. SEE BENCHMARK LOCATION AND ELEVATE N. OVER MECHANICALLY TO BE INSTALLED ON A LEVEL STABLE 34.0' (TYP.) ON SHOWN ON PLAN. COMPACTED BASE BASE. FIRST TWO FEET OF OUTLET , GROUND WATER ELEV.= < 15.50, 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PROPOSED 1 ,500 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. 24.60 11.0' THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT ,� �� ,- ,, CHAMBERS PROFILE 4 MIN. C}-CAMBER END VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES LENGTH 10 -6 WIDTH 5 -8 DEPTH 5 8 ' (Dimensions per CROSS SECTION VIEW TO THE DESIGN ENGINEER. ._ ;A , SEPTIC TAN PROFILE ACME/Shorey) DISTRIBUTION BOX ET CHAMBER10. 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 -�" �-^� REGULATIONS. OWNER/APPLICANT 1S TO OBTAIN SUCH DETERMINATION FROM n • k APPROPRIATE AUTHORITY. _. TEST PIT DATA (fin., ,`+ .... PERC NO. 21-275 NOTES: `� , " v-' °°.1� _ '� '� ° la 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED j * 0 .wN. C / INSPECTOR: David W. Stanton(BOH) UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF '., �` ..' ` r ' - .: ! TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. EACH SEPTIC SYSTEM COMPONENT. •. - r "`�` C SAE. APPROVAL DATE: Oct.i27 i 1999E II �= \ 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE MAP 132 +. '. 'Its �,,: ' '_...� D E , October 14 2021�r`r LOT 16 -;� � a ,��. DATE. 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST PIT , F,._ ° r DATA SHOWN ON THIS PLAN AND TO ENSURE 4 FEET OF C-1 SOIL EXISTS ./ I':'' �f. " ' -• * ` r TEST PIT#: 1 MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. -�� BELOW THE BOTTOM OF THE PROPOSED SAS, REPORT TO ENGINEER AND / � - '' - _ REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, ELEV TOP 27.50 �'" ✓ ° 0 " '.` FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). LOCAL BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT MAP 132 _ _ - 100' WELL OFFSET � ., DATA. LOT 18 NJiA;F ---' �� O t ,`- - t ''":° '�'' •�� ���' *, • ^� :A; �` ,�. " '� ' , ELEV WATER= < 15.50' 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN Ca • : ',. <. . i _ SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. I 'd« r fig' g PERC RATE- 3 min./inch 3.) PROPERTY IS NOT LOCATED WITHIN ANY AQUIFER PROTECTION Z 1 LOCUS `' -'' r'/.. , �S` - '' 16. PROPOSED PROJECT IS LOCATED WITHIN: DISTRICTS INCLUDING THE ESTUARINE WATERSHEDS. - aWa DEPTH OF PERC= 18"-36" co '; ` . w`. ASSESSOR'S MAP 132 LOT 27 4.) SWING TIES SHOWN ON THIS PLAN ARE PROVIDED ONLY AS A COURTESY I - �,, Z {` 1 .. --kn y. r _«- TEXTURAL CLASS: I FOR THE INSTALLER. INSTALLER SHALL VERIFY SWING TIE MEASUREMENTS O fP _ ` �, `�'"� s,__ , ^� •',F23 ,�.>�1 OWNER OF RECORD: TIMOTHY 8 GRACE PEDERSEN rr _y-s • IN THE FIELD PRIOR TO INSTALLING THE SYSTEM, CONTRACTOR SHALL Z / x27.4 Benchmark o- - tr ° 7 05 fr ADDRESS: PO BOX 16 A \ $ 3: ANC Nail in 36"Tree ., .. ,. ; NOTIFY ENGINEER IF MEASUREMENTS APPEAR TO BE INCORRECT il EX WELL �V7 F C� ! - N y* ,� wY - �' / , WEST BARNSTABLE, MA 02668 �� /81.44 Elev. =28.90 ,:•. , t - .,+ ..•. ' • ♦ , �` 5. EDGE OF WETLANDS SHOWN ON THIS PLAN WAS DIGITIZED FROM PLAN TP 2 m �1 ' �F ' rJr ; y x�►' , • A 0 Loamy Sand 27.50 d / r Approx. M.S.L. # r O / 28x0 r _. d p •. E FLOOD ON BOOK 247 PAGE 148 AND MASS GIS MAPPING SYSTEM. 1 °- i*` _ { ✓' "` ' ''' • 1811 10Yr 3/1 F MA F D ZONE X ' 26.00 16.7 � U.P. #14a2� ::;� � �°>�� l , ,�� OMM d l l � 1r "�iJ I, w . . r � � COMMUNITY PANEL# 25001C0534J , ! PROPOSED (5) LC-6 LEACHING Perc c�, CHAMBERS WITH STONE _�`r %�` � � -- ,- 36" Loamy Sand 4.50' 17. DEED REFERENCE: BOOK 8577, PAGE,254 GUYWII�I o N .- t + �`. .'' , �, , : u + + cc 10Yr 5/6 S060 25'53'E_ _ __ '�- ' r $.� ' '` . = 5 t B 18. PLAN REFERENCE: PLAN BOOK 247, PAGE 148 25,78 i l / @MAP 156 AS y� w- i I �, r� • 48" 23.50' TP 1 LOT 5 1�' X ; ` ,►! 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. 1 . kCHIM " 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY `-- + !' + I I `�� arri table ''J' FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY PROP. D-BOX .. crs: <• - _.,._..__-.. o CRAWL .. <- + � p.`�...� Med.`to Fine Sand , • ` __ -; ,FL=27.0 t +..'' ' m ,, ,� M o C-1 FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. 1g W 1 _.._._.- C3 w_- /e. -� � . ., _ 2.5Y 6/6 / 4 ♦ + t 1 0 , g 47 / / X24.4 " S7 . / t � 21. A 4 PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A - `^' TOF=30.6_ �, A.$ s (: y �•� - DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3 OF FINISH GRADE. A f REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS, � 1,L � „� s 32 ByT. ` � / '� '---PROP'. 6"SCH. 40 PVC �= ;v.. „ • r �`, t C �'` � . .4 . � f_' i -'�.� ,_. '! . �i. _. -� 109, 18.50' {0.5% MIN. SLOPE) 4 22. OWNER/APPLICANT/CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL N -�__ REQUIRED PERMITS AND APPROVALS FOR THIS PROJECT. PROPOSED 1,500 Silt Loam 23. THE FOLLOWING LOCAL VARIANCES ARE REQUESTED FROM THE TOWN OF BARNSTABLE'S GAL.. SEPTIC TANK LOCUS PLAN C-2 2.5Y 7/1 CHAPTER 397: WELLS REGULATIONS;SECTION 397-2: ,. #40 1 x24.6 (1,) A 26.8'VARIANCE (150.0'- 123.2') FOR TWSETBACK FROM THE PROPOSED SAS TO THE t�� -"=� - EXISTING 10 SCALE: 1"= 1000' 144" 15. 0' EXISTING WELL LOCATED AT 40 WIINIKAINEN ROAD(MAP 132, LOT 27). (2.) A 33.3 VARIANCE(150.0 116.7) FOR THE SETBACK FROM THE PROPOSED SAS TO THE '�� -� y � �~ �� % DWELLING No Mottling, Standingor Weeping Observed EXISTING WELL LOCATED AT 27 WIINIKAINEN ROAD MAP 132, LOT 18 v� x � � AP EX WELL ,s r ,r i -. + *r, / 100,WEB (3.) A 12.8'VARIANCE(150.0'-123,2')FOR THE SETBACK FROM THE PROPOSED SAS TO THE j LAND T i -- D E j I C N DATA TEST T PIT DATA 1 EXISTING WELL LOCATED AT 28 WIINIKAINEN ROAD(MAP 132, LOT 16). CIO (TYP) PERC NO. 21-275 24. IN ACCORDANCE WITH 310 CMR 15.401 -15.404,THE FOLLOWING LOCAL UPGRADE NUMBER OF BEDROOMS(EXISTING) 3 INSPECTOR: David W. Stanton (BOH) APPROVAL IS REQUESTED FROM CMR 310 CMR 15.211: 1.) A 2.6'WAIVER(10.0'-7.4') FOR THE SETBACK FROM PROP.TANK TO HOUSE FOUNDATION. NUMBER OF BEDROOMS(DESIGN) 3 EVALUATOR: Michael Pimentel; EIT, CSE �- 4) ® cy`b j DESIGN FLOW 110 GAUDAY/BEDROOM C.S.E.APPROVAL DATE: Oct. 27, 1999 LEGEND gq.0 ( �' r October 14 2021 j (5 / ( J / TOTAL DESIGN FLOW 330 GAUDAY DATE: 50x0' EXISTING SPOT GRADE ,„ . . .� 1 TEST PIT#: 2 / +a/ DESIGN FLOW x 200 = 660 GAUDAY .- ELEV TOP= 28.00' 10.0 -- / - - 50 - - EXISTING CONTOUR o s: (3 / / ,I r . 7 `. : # USE PROPOSED 1,500 GALLON SEPTIC TANK r vu-t PROPOSED CONTOUR I ELEV WATER.- < 16.00' (6 0 �: / f Irl - ir- CHIM. HC-3 I -' / / �' rf 1 PERC RATE- O/H/W EXISTING OVER HEAD WIRES w.A.'t. � t._`I _ HC-4 CRAWL a ,,/'� T�E -2� / / ��� DEPTH OF PERC= w w EXISTING WATER LINE FL=27.0'±-, r INSTALL FIVE (5) - LC-6 CHAMBERS w/ STONE J / TEXTURAL CLASS: OF=30.6't TEST PIT LOCATION MAP 156 ,/ SIDEWALL CAPACITY r LOT 58 (LENGTH + WIDTH) (2 SIDES) (1' HIGH) (0.74 GPD/S.F.) = GAUDAY10001 PROPOSED 1,500 GALLON SEPTIC TANK He-2 C N MAP 156 o„ 28.00' IwI / l (34.0 + 11.0} (2 } ( 1 ) ( 0.74 GPD/S.F.) = 66.6 GAUDAY Loamy Sand _ a C O�2 LOT 05 A N 18„ 10Yr 3/1 26 50' PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE r � \' 2) MAP 132 BOTTOM CAPACITY PROPOSED DISTRIBUTION BOX #40 i (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAUDAY B Loamy Sand / / LOT 27 (34.0'x 11.0') (0.74 GPD/S.F.) = 276.8 GAUDAY 10Yr 5/6 O PROPOSED LC-6 CONCRETE LEACHING CHAMBER EXISTING O 1) _ _�. 35,422t S.F. 3-BEDROOM 10.1 f- 48 24.00' DWELLING 7.4' EDGE OF WETLAND TOTALS: REV. DATE BY _ APP'D. DESCRIPTION _. TOTAL NUMBER OF CHAMBERS 5 - PROPOSED SEPTIC SYSTEM Med.to Fine Sand S C S S EM UPGRADE C/O (TYP) N TOTAL LEACHING AREA 464.1 SQ.FT. C-1 HC-1 ° 2.5Y 6/6 TOTAL LEACHING CAPACITY 343.4 GAL,/DAY PREPARED FOR: TIMOTHY & GRACE PEDERSEN f CO, s LOCATED AT SWING-TIES silt Loam 40 WIINIKAINEN ROAD SCALE. 1 20 r' C-2 DESCRIPTION HCA HC-2 HC-3 HC-4 I 2.5Y 7/1 WEST BARNSTABLE, MA 02630 t 144" 16.00' SCALE: 1 INCH = 20 FT. DATE: OCTOBER 31, 2021 TANK COVER IN(1) 22.2' 26.8' -- - No Mottling, Standing or Weeping Observed �� aF 0 5 10 20 40 FEET TANK COVER OUT(2) 29.8' 19.0' -- -- s CORNER OF STONE 3 -- -- 18.3' 34.2' �,, RESERVED FOR BOARD OF HEALTH USE CHURCHILL JR. a JOHN L. y°� _T PREPARED BY: O L JC ENGINEERING, INC. CORNER OF STONE (4) - -- 27.4' 39.0` \ _ NO a1807 2854 CRANBERRY HIGHWAY r EAST WAREHAM, MA 02538 CORNER OF STONE(5) - -- 32.8' 21.5' SITE PLAN- CORNER OF STONE(6) -- -- 25.6' 10.5' 508.273.0377 SCALE: 1"=20' Drawn By: MCP Designed By:MCP Checked By:JLC JOB No.5938 ' ,