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HomeMy WebLinkAbout0037 FLEETWOOD PATH - Health 37. Fleetwood-:Path Marstons Mills f A = 046 071 - - - - TOWN OF BARNSTABLE ATION 37 YiT—j►J SEWAGE # ,It.AGE ASS SOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACII.TTY: (type) �y��5 �' �` `` (size) NO.OF BEDROOMS �` BUILDER OR OWNER r-.Yvy� G 6^2 PERMTTDATE:_ — COMPLIANCE .DATE: (U—7— \ Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist ? on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by V� . rQN, 1� f dw, y �� D� �� COY ��'�f���� FEE r j 'COMMONWEALTH Of MASSAC14USETTS Board of Health, KrA4W , MA. APPLICATION FOP, DISPOSAL SYSHM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair( " Upgrade( ) Abandon( ) - ❑Complete System individual Components Location / , Mo 1l` Owner's Nam 8 RN Map/Parcel# MPrP J + 'cex 11,+ Address Z) w 0 Lot# "-+\ Telephone# Installer's Name ® ` Designer's Name V Address 7ce-i-A-oc, O fl + Address Telephone# (0q(3.-�j k Telephone# Type of Building hC�`�id�c11 '�Gl Lot Size y�3��'�� sq.ft. Dwelling-No.of Bedrooms ,V7�)OR CA Garbage grinder (n�/A Other-Type of Building No.of persons Showers (►r,Cafeteria (� Other Fixtures U-1.rC\ %A Design Flow (min.required) AA0 gpd Calculated design flow � Design flow provided�gpd Plan: Date f D12Ae)� Number of sheets k Revision Date Title `\ � C� ����1��a� l�, yp�nc Uie y Description of Soils) ` IQ 10A Soil Evaluator Form No. �. ��- Name of Soil Evaluator �Y Date of Evaluation !® DESCRIPTION OF PAIRS OR ALTERATIONS s juvo 6A it s- The unde igned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agr s to of o place the t in p ation until a Certificate of C m 'ance as been issued by the Board of Health. Signed Date IMd 0190NVCM007/xl� ''\\ U .; 10:BIAS N1 CT3l'1 J.SN1 SVM W31SAS 3 1 60 H S ( 0M1MUM NI MUM30 CIMV N01-LV91V-LC3Ni1 Inspections = !,w4= nq i Sra M=mNj nia nnii nit-, >r_ Z1111Z,° - �ti - ' r FEE / #,0 1 T* M­0NWT,ALTH OF MAS' ACHUSETTS lgrVA7 MA.Board of Health, _ i APPLICATION FOP DISPOSAL SYSTEM CONSTRUCTION PERMIT C Application for a Permit to Construct( Repair(( Upgrade( ) Abandon( ❑Complete System Individual Components Location M. M J,s Owner's Name d Map/Parcel# Mrs 4 Cu C2 Address Lot# -, Telephone# M. M;WS M 0 Installer's Name Ck Lam,J� Desiop— gner's Name �� . L V � \Z&D Address " S'l n`• Address Telephone# (aCJt {—�9�� 1 Telephone# f 1 w 9C �j 7)b Type of Building P,P`3\ C Lot Size y�?JI �"�lo sq.ft. Dwelling-No.of Bedrooms I st?R (A, ) Garbage grinder (WA Other`-Type of Building I)n'- No.of persons 3 Showers (trrCafeteria (y� Other Fixtures LF+Jta"'m" k\Ar C\gy-\ 'Sl(�k e (.C,vcye�C(LL Design Flow (min.required) 440 gpd Calculated design`flow At QCO Design flow provided�gpd Plan: Date (� Number of sheets \ Revision Date Title t� V�',Q6 6 SC ,C- SKsNefr VpPc QC\,e Description of Soil(s) _ Soil Evaluator Form No. E �� Name of Soil Evaluator %AgiME c SPY Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS `C� t �'rj lino r ,-Vie } The unde signed agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place the syy�tei/n in operation until a Certificate o(f�C/o/mpf'ance as been issued by the Board of Health. Signed # A17 i ' I / ! Dale I l{L, 69 Inspections '. No. UCI aZ^ 9 FEE Board of Health, MA. ti CERTIFICATE Of COMPLIANCE Description of Work: �YAndividual Component(s) ❑Complete System Th ndersigned her •y certify that the Sewage Disposal System; Constructed ( ),Repaired (�/Upgraded ( ),Abandoned ( ) by: rI6K U has been installed in accordance with the provi ion of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. e20.022-y/ W, dated /0 U,Z . Approved Design Flow (gpd) � l�.L Installer i Designer: Inspector: Date: 1) „ The issuance of this permit shall not be construed as a guaranteOthat the system unction as designed. No. f� a— FEE J COMMONWLA,5T,14 OF MA SAIC USETTS Board of Health, 1/�Ilt � t t t1 'e MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair(A) Upgrade( ) Abandon( ) an individual sewage disposal system at 3 / -Ft.j �"/,L)npl.(_ 7P�h , YM (Y). ( � as described in the application for Disposal System Construction Permit No. �00.2- qy/q , dated Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date �v� /U Board of Health �. V TOWN OF BARNSTABLE �c LOCATION tip— SEWAGE VILLAGE ASS SOR'S MAP& LOT `7 . INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY �:�S _ ice,. (o LEACHING FACILITY: (size) JS�2= NO.OF BEDROOMS `I ` BUILDER OR OWNER N e.Kam•�A7C v PERMTTDATE: '`�`�� COMPLIANCE DATE: 40- 7' Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist j 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 a, -------------------- � 5 FORM 11 - SOIL EVALUATOR FORN Page 1 of No.: Date: 4/26/02 COMMONWEALTH OF MASSACHUSETTS Barnstable , Massachusetts Performed By: Carmen E. Shay Date: 4/26/02 Witnessed By: Waiver— Per Barnstable BOH Location Address or #37 Fleetwood Path, Owners Name: Donald Chamberlain Marston Mills,MA Address: 37 Fleetwood Path,Marston Mills Lot# Map 46 Lot 71 MA 02648 New Construction : • Repair : X Telephone Number: 508-648-5310 OFFICE REVIEW: Published Soil Survey Available: No ❑ Yes ❑ Year Published: Publication Scale: Soil Map Unit: Drainage Class: Soil Limitations: Surficial Geologic Report Available: No❑ Yes❑ Year Published: Publication Scale: Geologic Material: (Map Unit): Landform: Glacial Outwash Flood Insurance Rate Map: Above 500 Year Flood Boundary: No ❑ Yes ❑X Within 500 Year Flood Boundary: No F 7x Yes ❑ Within 100 Year Flood Boundary: No a Yes ❑ Wetland Area: None Observed National Wetland Inventory Map (map Unit): Wetlands Consercancy Program Map (map unit): Current Water Resource Conditions (USGS): Month Range: Above Normal E Normal 1�1 Below Normal ❑ Other References Reviewed:. USGS Topographic Map DEP APPROVED FORM 12/7/95 FORM 11 — SOIL ' EVALUATOR FORM Page 2 of 3 Location Address or Lot No.: #37 Fleetwood Path, Marston Mills, MA On -Site Review Deep Hole Number: #1 Date: 10/2/02 Time: 3:00 PM Weather: Sunny, Warm, 55OF Location (identify on site plan): Refer to Sketch Landform: Outwash Plane Position on Landscape (sketch on back): Refer to Sketch Distances From: Open Water Body N/A feet Drainage Way N/A feet Possible Wet Area N/A feet Property Line 45' feet Drinking Water Well N/A feet Other N/A feet DEEP OBSERVATION HOLE LOG Depth From Soil Soil Soil Soil Other Surface Horizon Texture Color Mottling Structure, Stones, (inches) (USDA) (Munsel) Boulders, Consistency, % Gravel 0" — 6" A Sandy 10 YR 3/2 None Friable Loam 6" - 40" BW Sandy 10 YR 5/6 None - Friable Loam 15% Gravel 40" — 54" C1 Sand 2.5 Y 6/6 None Fine Silty Sand, 5% gravel/cobbles, Loose 54" — 168" Cz Sand 2.5 Y 7/4 None Med. - Coarse Sand, 5% gravel/cobbles, Loose Parent Material (Geologic): Glacial Outwash Depth to Bedrock: N/A Depth to Groundwater: Standing Water in the Hole: None Weeping From Face: N/A Estimated Seasonal High Water Table 168"Assumed r FORM 11 - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No.: #37 Fleetwood Path, Marston Mills, MA Method Used: Determination of Seasonal High Water Table ❑ Depth observed standing in Observation Hole: inches ❑ Depth weeping from side of Observation Hole: 168" inches assumed ❑ Depth to Soil Mottles: inches ❑ Groundwater Adjustment: None feet Index Well Number: Reading Date: Index Well Level: Adjustment Factor: Adjusted Groundwater Level: N/A DEPTH OF NATURALLY OCCURING 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 CERTIFICATION: I Certify That on September 17, 2000, (date), I have passed the soil evaluators examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature: Date: DEP APPROVED FORM 12/7/95 f FORM 12 - PERCOLATION TEST Location Address or Lot No.: #37 Fleetwood Path COMMONWEALTH OF MASSACHUSETTS Marston Mills , Massachusetts Percolation Test Date: 1/14/02 Time: 3:15 PM Observation Hole #: #1 #1 Depth of Perc 60" Start Pre-soak 3:20 End Pre-soak 3:28 Time at 12" Will Not Hold 24 Gallon Presoak Same Time at 9 Time at 6" Time (9-611) Rate Min./inch < 2MP1 Assumed @ 60 " Same * Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Performed By: Carmen E. Shay Witnessed. By: Waiver per BOH Comments: Would Not Hold 24 Gallon Presoak - <2 MPI Assumed as 60" Site Passed X Site Failed DEP APPROVED FORM 12/7/95 Sep- 20-01 13 %52 BARNSTABLE HEALTH DEPT 5087906304 P . 02 sns;o� NOTICE: This Form Is To Be Used For da.e Repair Of Failed Septic Systems Only. PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM L C hereby certify that the engineered pian signed by me dateC 6 concerning the property located at meets all of the ict'ow;n; cr,tena: • Th;s failed system is connected to a residential dwelling only. There are no :ornmercia! or business uses associated with the dwelling. • The soil is 6ass:ced as.CLASS 1 and the percolation rate is less than or equal to 5 -ri: ,utes per rich. The applicant may use historical data to conclude Ns fact or may conduct pre!imir,ary tests at the site without a health agent present • There ,s no incr:ase in now and/or change in use proposed • There are no vanances requested or needed. • The bottcm of the proposed leaching facility will not be located less char fourteen l feet aonve the m?ximum adjusted groundwater table elevation. (Ad)ust :he nunc!•vater table using the Frimptor method when applicablel Please complete the following: •�.l `Grip of Ground Surface Elevation (using GIS inforrnation) G.W 4;zvat;or, 11 50-- + adjustmen( for high G.W..��� _... _ �1• !)-T EREtNCF 6ETWEE,q .\ and B S'(3'VED _ DATE: 101 ;A0 NOTICE asec Jr()n to abo%e .r.formation, a repair permit will be issued for bedrooms dCi.uc,.nat bedrooms tie authorized in ttie future without engtneerec 91 .ter, pi... plans. _ -- — — ,:11n!r,:aci Pc1ccim9 Permit Number: Date: Completed by: I HIGH GROUND-WATER LEVEL COMPUTATION I a� oacln Site 1 e Location: Lot No. ! � Owner: C G ddress: Contractor Address: '-boy. Cody,-" i i Notes. i I STEP I Measure depth to water table tonearest 1/10 h. .............................................................................. Date —� month/doy/Y6ar STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: j OAAppropriate index well.................................................... 5D4 i © Water-level range zone ..................................................... STEP 3 Using monthly report "Current Water Resources Conditions" I I determine current depth to water level for index well........................... th mo vur STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A),current depth to water level for index well (STEP 3), and water-level zone (STEP 28) determine water level adjustment .......................................................................................... STEP 5 Estimate depth to high water by subtracting the water. I level adjustment (STEP 4) from measured depth to water i levelat site (STEP 1) ............................................................................................................. I � i r i ( i I I L r 10/07/2002 14:46 5085480796 CARMEN E SHAY ENVIRO PAGE 01 s CARMEN E. SHAY (508)-548-0796 ENVIRONMENTAL,SERVICES, INC. P.O. Box 627,East Falmouth,MA 02536 Facsimile Transmittal Cover Sheet Please deliver the following as soon as possible to the person(s) listed. Please remember that all or some of this information may be confidential. DATE:— a TO: FAX NUMBER; 2.3 FROM: NUMBER OF PAGES INCLUDING COVER SHEET: ADDITIONAL COMMENTS: If there are any problems with this transmittal, please call (508) 548-0796. 10/ `./2002 14:46 5085480796 CARMEN E SHAY ENVIRO PAGE 02 r ; C ARMEN.E. ,,SHAY c � Soe -548-0796 ENVIRONMENTAL SERVICES,INC. P.O.Box 627,East Falmouth,MA 02536 October 7, 2002 RE: Certification of Title V Septic System Installation: Residential Property—37 Fleetwood Path,Marston Mills, MA Dear Sir or Madam: On October 4, 2002, Roger Roberts, Inc. was issued a permit to install a Title V Septic System at 37 Fleetwood Path, Marston Mills, MA, based on a design drawn by Shay Environmental Services, Inc, dated, October 3, 2002. XX I Certify That The Septic System Referenced Was Installed Substantially According to the Plan _1 Certify That the Referenced Above Septic System Was Installed With Changes but in Accordance With State and Local Regulations, Revisions or As-Built Plans/Sketch will Follow. The Septic System, Was Not Installed Per State and Local Regulations and Corrective Action is Required. If you have any questions, please do not hesitate to call the undersigned at(508)-548-0796. Sincerely, CARMEN E. SHAY ENVIRONMENTAL SERVICES,INC. CARMEN cyGN E. SHAY N Carmen E. Shay, R.S., C.S.E. F No. t181 o President ersTE�� S�Ni7aa�P�' r TOWN OF BARNSTABLE LOCATION 37 �/��7�rso��l�sS SEWAGE # F'7 33 -57 tL' LAGE I/ASSESSOR'S MAP St LOT INSTALLER'S NAME & PHONE NO./e ��J SEPTIC TANK CAPACITY / fib e) LEACHING FACILITY:(type) Ile YS ��/—(size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER Al "r. A DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: / — VARIANCE GRANTED: Yes_ No �� _ h� �1 '�o D ��3 /� � �� �� �' r �� y jw— No..Vci . . 29� ... j Fiz$�..�.�..-................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ....I....................OF..�� IZ IVs7-44�le -------------------------------------------- Appliration for Dispaii al Works rrutit Application is hereby made for a Permit to Construct ( or Repair an Individual Sewage Disposal System at: .....................•--....................---•--................-----............------ -•-•-••----------------------.------••------•----•---_---•----•-------•---•----------------------- drC®/✓!� /� � ocat �Address 000 � 1......•----or Lot No...... ... � �� �� Address -------- _/.,�`•--• -•--•. ...- -.•-•••=-.--•.............................. .•-••......._..••••-------------------•-----..........••--•-•-----.....--••-•.............-•-••--- Installer Address UType of Building Size Lot............................Sq. feet Dwelling=No. of Bedrooms....... ...................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building -_____•--.................... No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures -----------•-------------------•----------------•------•------------------•-•---------- ............................................................. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width---------------- Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water---------------------- Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -------------------------------------------------- .--------------- ---------------------------------- ----------- •-------------------------- --•---•--•--------- 0 Description of Soil.................................................................•...................................................................................................... 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 TH'I iE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ss by the d o iealt Date Application Approved By----------------..................................... :_=:.:.: ----1 '` Date Application Disapproved for the following reasons:---•----------•--•-------------•------------------------------•---------------------........................... ........ .-• •-----------------------•---••------------•--------•---••-------••------------------------•---- -••--•--•-------•---•---••-•-------------------------••------- Va J Date PermitNo....... -----------------------•--•--•----•....... Issued_--•-------------------------...........----•-•••..-•--- Date NO. .. '5:1 .................. _.; THE COMMONWEALTH OF MASSACHUSETTS BOA RD�OF HEALTH ................OF...- .r... L..:'.v.s....-.I �/{.............................. Appliration for Disposal Works Tonitrurtion rranit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: ,o 1 i (� /Location-Address f �'� j or Lot No. 1 r wrier Address a ti /f /ion j 7 Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling' No. of Bedrooms------ ----------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No, of persons............................ Showers — Cafeteria a' Other fixtures -----•---------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. x Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ r%4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 94 ...-......................................................................................................................................................... 0 Description of Soil........................................................................................................................................................................ x V '---------•------------------------'---.....----•------'......__....._._.......--•-•-----•------._......••----......-------•-------------------•-----•---•-'--------------......-•-'--'-'-----------_.--- W -------------------•-• -----------•------------••-•------------------------•---------------------•----- --------------- - 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 TIT id, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be .ssued by the and o iealt Date l Application Approved By....... ....:`......................... Date Application Disapproved for the following reasons---------------------•------------------------------------------------------------------------------------.••.... ---------------------'---------------•--...._......------'---.....------.....----•-------------._........----------------------------------------------------------------------------------------------- Date Permit No........::::....: �.... . Issued......... ..... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...... ..........................I.......OF...................................................................................... Trr ifirtttr of Tomplianrr THIS PW CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) f. r by--'•--•--"................•----•`--`-.............-•-•--•----••--•-------•--------------•- ...................................................._................................................. Installer at...................................................................................................................................................................................................... has been installed in accordance with the provisions of w'17a 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated----------------------------.................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT TIME SYSTEM WILL FUNCTION SATISFACTORY. DATE... /.--..1.. .~ .............. Inspector_... d �-•--� ................................. THE COMMONWEALTH OF MASSACHUSETTS r^^ � ---- BOARD OF HEALTH i .q•. f3 r OF................... r U� .............. :......... ... '-' .�_-_. No---------........................... —' FEE........................ DiopooFal , orko Cwonotrnrtion unfit t , ; Permission is hereby granted............... !:.^ ........................................................------............................................... to Construct ( ) or Repair ( ) an Individual�Sewage Disposal .System d ^G ! .i � x a e,1 at No._ = -V...e ...._:. .•........_..... ....................................'•-.--- Street PPli f Disposal r _ __ Dated..___... % _ , v cation or Dis osal `'Forks Construction Permit No ' �►'a�.c�`1__.._._.... as shown on the a r� Ah. .................................. ..................................................... ..._.__. -----------------------•. Board of Health DATE'-............�-=- --�--------.........-- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS ,,�� / , �_ L v _ 'r �- - _ - ��.. � 1�-L� LL �' .` :: � , . r _ � _� /J 0 r r� No....... _ ... - F.Hic ZA0.................. THE COMMONWEALTH OF MASSACHUSETTS z BOARD O H EA T ...... ..O F...... Xpli iration -for Ditymial 3 nrkii Cnnni#rnrtinn Prrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an- Individual Sewage Disposal system --� % y� ion-Address or Lot No. -/-"�t� ` caner ----•--••---•-------------------Address Installer Address UType of Buildin / Size Lot____________________________Sq. feet Dwelling No. of Bedrooms-.--_-_-- ___________________Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ____________________________ No. of persons-........................... Showers ( ) — Cafeteria ( ) Otherfixttt es ----------------------------------------------•------------ --------------------------------- Design Flow______________ _ allons per person per day. Total daily flow___.. .re,, gallon~ •---------------_------ 9 Septic Tank Liquid capacity gallons Length................ Width--------- iameter---------------- Depth...... Disposal Trench— o_____________________ Wid h_.___.__...._�__ Len ytal leaching area--------------------sq. ft. Seepage Pit No______ ___________ Diameter _.__ elo •n e ____._.____ T al leaching< ea_.__.____-__•_sq. it. Z Other Distribution box ( ) Dosing tank ( ) ,� _C • / � &L Percolation Test Results Performed by------------.--__--.._-__.J_____-__G __________________________ Date_________---_._-__ ......... a Test Pit No. 1-----------_....minutes per inch Depth of Test Pit..............__;,_ Depth to ground water--------._--.-----.---- r=, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ P4 ---••---•• ----- -------- -- ---•---- Description of Soil �f ��' x W 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has 14Rk issued bv the board of h. ned----. - ----- -• - Date A Approved PP roved By---------- 7 �Fl Z Application Disapproved for the following reasons-------------=----------------------------- ----------------=---------------------- ---------- ---------------•- ------------------------------------------------ ----------------------------------------------------------------------------------------------------------------------- ------- ----------------•- D yv Permit No......................................................... Issued.---... .. •--•----- y: Date I a. No....... Fizic ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD O I-9EAT � .- -------.OF......... . . Appliration -for l!ipasal Works Tomitrurtion Vrrufil Application is hereby made fora Permit to Construct ( or Repair ( ) an Individual Sewage Disposal syst Mti• az­ Labeva ion-Address or Lot No. .... ?� - !'+..__.L. ...._..----A,,,.,............................ .............•----------••-----•------...-•-----------------••----•----------...__.........--•---. caner Address Installer Address Q Type of Buildin Size Lot____________________________Sq. feet U ;Dwelling No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons____________________________ Showers — Cafeteria Other fixtures ______________ W Design Flow___________________�_ _.._ .________ Mons per person per day. Total daily flow_______ ---------gallons. 04 Septic Tank Liquid capacity// ('gallons Length---------------- Width---------.------ lameter.:.----.-------- Depth.---------.----. Disposal Trench—No --------- Width_.._._.. . �ita, Len , otal leaching area-.-.---___--.-.--_._sq. ft. x / rb a ' f _. De th below nlet--------=------ --- Total leachinyea Seepage Pit No Diameter P g ----------sq. ft. Z Other Distribution box ( ) Dosing tank W Percolation Test Results Performed by.......................................................................... Date---------------.__.--------------------. Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water..-.----.-_--..------_- G14 Test Pit No. 2................minutes per inch Depth of Test Pit---_---------------- Depth ground water__._-__________--_-_---- fi.__ -------------------------------------------------- D Description of Soil--------- ----------------•'`+ _- fir' % - `. ''-- ` I t_.._ U .________________________________________________________________________________________________________________________________________________________________________________________________________ W _______________________________________________________________________________________________________________________________________________________________________________________________________ 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ben issued by_thertboard of he 1th. Signed _. . �t.s-'- • ----•--------------------- c; ` i Dater Application Approved B _:-''�__ r ..... ate Application Disapproved for the following reasons:.................••-----...------------...-----------------------------------------------------••-•-••--•------- ----•--•-••-••-••-••------•-----•----•-••--•-•_..._...---•-----•----•-----••••-••--••-------••--•••---...•-----•-----•-•--••----•-•--•--••-------•-•------•••••-•••-••--•-............................. Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH , .............. .. .......OF............,:/ . ....Gib.. . ..........................................fit CIrrtifiratr of T ormpliatta THPj IS ( T That the Individual Sewage Disposal System constructed ( or Repaired ( ) f I 1,aller y has been installed in accordance with the provisions of Article X1 of Ule State Sanitary CoAe a describe in the application for Disposal Works Construction Permit No...................7.:_.,_._.__...._. dated_._._ 3 J' '�Y-. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON ` RANTEE THAT THE SYSTEM WILL FU TION SAT FACTORY. DATE__.... (... G THE COMMONWEALTH OF- MASSACHUSETTS BOARD OF HEALTH OF FEE---r={' ......... Permission is hereby granted___•-- ��jj ---- -- ___`..__��.............................................. to Cnt `t or Repair sal Syts ; 7� P P � .�-�-------- Dated.... --------••--•-�-•---•----- Street as shown/the lication for Dis osal Works Construction P'er It No�__._ ____---•-••-• ----•-•-------Board of Health DATE,-- •- ---- -----FORM IZ5 & WARREN, 1 C.. PUBLISHERS C p R+` �� e j.. li t-`�j`°�`3� .. .. f ..Ar� Rp •cyp. q :-+h. or xx• x .x.:yzs. >'y'� fez 3`' ,..� r r - .y, r�, -rX. :� •W.. ,.- .. .�,. *♦ �p t��f..Yn .r"^f-A ?V �'s J � ,�,��' � }� �i�.�.� �'Y` t A��'w't„>' yy s• ,r' - � ;cam ^ }. s � a r�� � �.� At�7X 4'*��.�"a" -01 .�����'"S " #rcay�J"F`��r �.�1�§.{� ����' `1' ��1�p //•�jGC.�I'ISiI: ilk t _ tok �� �'��.'��•�t��*� ..ems*�{�:�#^�^} �;� M oax j "S yr, s,,,y,'•�i.-�`-��C r�Der ��rzs X�T�.%a g i'r _. a.� : _ _ - . R � F 44 �` fLT• �•• [ q 1 4^/y INC - ,x Ve w.. �.r l 40 zr .13230EVE - f7: „�. +a% 4 _.,_ _ ��ti• ©� P� fit`'. 71.*p x y"�S '3'?"y �� .'`af .r s .tom {�s'4� s .� -} � °�+-r°`-r"4"r• $i' ,JL'�sy-' -- S t•XAr t `yy.;_ �•+ r u+i� ���..k:+"�-�.�k ��k_-_t,J� �"'t�'� t'F .:. �- �-`'art'� � ��°_i'� �-.`�,o- ns�t� �� �...,�`. .rr''-._�c ,.j.`",cc«=' -zi�`�,�#'^3s w '` ... .x,'4t 'i" 'S.- �-, '`a ,ci- ,�},_ .e�•-T. '. ;0+"oil a � rir z1.}'7 �" kT a't.4'���'�'�i�!4' �`s�^"��r�"� ��"K.aY`• +:.F� "',`�, f .�,k'' « '� ,E. 'tlact"•Sv. '* - ?Ri '. S'--y� 'X' � t. - � +.7►: 9✓` P G ��� s 4T u J y BARNSTAULE (70TLTNTY I EA16TH DEPARTMENT BATtMTABLE, MASS. o2oso TaI.aPHO14a6 f 362-2511 Fact. 331 Date: February 26, 104 To: Oman Construction 5200 Building West Yarmouth, Mass. 02673 On the basis of a sanitary survey and a laboratory examination on the sample of water taken from a Vie ,. . ... . : ....,.. ... . ... located on the premises of.. . .:Oman ..Construction_. . . ....... .._. .... . . . . . . .. . located at ,. . ,_.TAt,.3 7 .r F§tiq _T .. .k'ebxuc 25,:.1.9.74_.. . . (Place) (Date this supply is approved for domestic purposes at the time the examination was made. If you wish further information regarding this supply, please contact us at the County Court House, Barnstable) Hassachusetts (Tel: 36.2-2511. Ext. 331),, and we will be glad to assist you in any way possible. Signed:.. lic Health Sanitarian - 2000' VENT PIPE {{O Leost 24 inches toil) SECTION A -A +!- Schedule 4Q PVC W/Chorcool Odor filter r �- 10 min from 4 P.V.C. 31E t r+ h e? Existing Foundation [house to septic tank NOTE: ALL PIPES ARE TO BE 4 SCHEDULE 0 PROFILE VIER' OF LEACHING SYSTEM ALL OUTLET NPES FROM THE SITE Is septic tordc cover* must De SEDIST LEVEL F Sox SHALL S BE o r0 x. within 6 in. of finished grade - ode over SAS - LEV- Varies from 98.50 to 97.00 Not t0 Scale SET LEVEL FOR AT LEAST 2 FT. i2 CONCRETE COVE a9- o \`QQ Grade over Septic Tons - 96.50 /-lode over 0-Bo - 95.50 I/t' r A J Mefau KNOCKOUTS �_-;::.jr. 2' -10 s/e•.tor r/s ' rook" c►veAe1 St~ \� •t `} '� • S a 0-02 6 HOLE H-10 DIST. BOX 3' Moximum Cover OUTLET 12' M+LET O� O �i 12' EXISTING S-0.10 A FROxist. PIPE .1,000 Gal. - O.OtO" toot I!• , 2� SEPTIC TANK 75 p 15 �7Etfe-cti" Deptn -_ I15.5" t.75'CONCRETE FULL FOIn+oATK)M—' o q H-10 II z4~ Eflecidve PLAN SECTION CROSS SECTION �, T`'rt`p�II e 5 5 _�u , Ssdewail6 in.ot 3/4"-1 t 2" . 8 Units 2 6.25' = 50' Whist(Pbprr SYSTEM PROFILE emnpocted stone v o 3 rn so' 6 HOLE DISTRIBUTION BOX y Not to Scale - p 4 4' NOT TO SCALE L.❑C US 1'I A P i i Effective width c c 8' 6 in.oi 3/4•-t 1/2' ° Effective Length compacted stone 9¢lt2ra_cf Utst_Hsic-1-ElZc T-.4i.59 - m SOIL ABSORPTION SYSTEM (SAS) GENERAL NOTES INFILTRATOR MODEL 3050 (H-20 LOADING)/ SUMNER & DUNBAR 1. Contractor is responsible for Oigsafe notification l� '��OR EQUIVALENT) and protection of all underground utilities and pipes. 2. The septic tank and distribution box shall be set NOTE: OVERALL HEIGHT OF INFILTRATOR IS 30" /EFFECTtVE HEIGHT IS 24" level on 6 of 3/4"-1 1/2" stone. � � u' 3. Backfill should be clean sand or grovel with no NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE �.� SKi��� S� stones over 3' in size. 2-18' NAM ACCESS MANHOLES N7 t7 �.10 4. This system is subject to inspection during installation FROM THE EXISTING LEACH PIT TO BE DISPOSED i trr�� V,-, Sit S> by Cormen E. Shay Environmental Services, Inc. 8, �3ff 301 5. The contractor shall install this system in accordance OF AS PER BOARD OF HEALTH SPECIFICATIONS. co+k + Meer, with Title V of the Massachusetts state code, the approved plan + to A` _ lvj. 10 1,6�. ���yUA)Nnd / 20 and Local Regulations. Gars I, a t „ ok 6. If, during installation the contractor encounters any ' EXISTING LEACH TRENCH TO BE PUMPED DRY & bA ��"� `�' ! S S�Cr" THE ACCESS COVERS FOR THE SEPTIC TANK, ` (iQ� 0 n soil conditions or site conditions that ore different INLET -__ ( DISTRIBUTION BOX AND LEACHING COMPONENT v341 �° 4� 2 , $ from those shown On the soil log Or in our design pU ET SET DEEPER THAN 6 INCHES BELOW FINISHED REMOVED TO FACILITATE INSTALLATION, OF NEW SAS. WI �, Cr<(�+ , 1�' 1 installation must halt & immediate notification be GRADE SHALL BE RAISED TO THIN 6- OF mode mode to Carmen E. Shay - Environmental Services, Inc. _ FINISHED GRADE. i] Inc- FINISHED GRADE. GAS BAFFLES OR EQUALS , �, / 7. No vehicle or heavy machinery shall drive over the 154,64 / / 1 1 6 septic system unless noted as H-20 septic components. _ 8. Install Tuf-Tite gas baffles or equals on all outlet tee ends. STEEL REINFORCED PRECAST CONCRETE _ _ 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. PLAN VIEW — _ — — 4 10. All Solid piping, tees & fittings shall be 4" diameter 3-24' REMOVABLE COVERS — ` Schedule 40 NSF PVC pipes with water tight joints. 11. Municipal Water is Connected to The Residence and Abutting 4• Properties 50 Feet, 3 ruin deoronce t3• NiLET Pr r i Within 1 INLET 8- min.}-!2" m-r,. inlet to outlet 6' min. OUTLET 1no / / / '- - _ r - "' - —/ / •� / / / NOTE: Lwu d iewl f� 1 1 0 THE PROPERTY LINES ARE APPROXIMATE AND ' COMPILED FROM THE SURVEY PLAN GENERATED BY +: E " 4'-0' min. liquid depth / ` / BARNSTABLE SURVEY CONSULTANTS OF HYANNIS, MA 0� OS ENTITLED " SUBDIVISION PLAN OF LAND IN MASRSTON MILLS, MA" es �1 LOT #317 (OCTOBER 1969) AND IS NOT INTENDED TO BE A SURVEY � ' PLOT PLAN. IT SHOULD BE USED FOR NO PURPOSE OTHER THAN H e_a" 4' -10' / / 23,r OIS S.F, +/-- — 06 THE SEPTIC SYSTEM INSTALLATION. CROSS SECTION END—SECTION 04 USE EXISTING 1000 GALLON H- 10 SEPTIC TANK LEGEND NOT TO GALE - _ — "'� ' — 0 PERCOLATION TEST 98 04)(7 _--- � � i0 DENOTES PROPOSED �/ �/ / `- - - - - - -— _ SPOT GRADE Date of Percolation Test: OCT. 2, 2002 / / i ' _ _ ' — — _ — — _ — x 104.46 DENOTES EXISTING SPOT GRADE Test Performed By CARMEN E. SHAY, R.S., C.S.E. / / i ' — — -- — 6' Results Witnessed By WAIVER ( for Barnstable B O.H.) 10.2g' Excavator: Shay Environmental Services, INc �0 c� PL PROPERTY LINE Percolation Rate: Less Than 2 min./inch / O O ,•„ � �96p PROPOSED CONTOUR / VENT PIPE Test Hole 10 / / EXISTING 97 — 97 EXISTING CONTOUR No. 1 , / GARAGE Failed , DEPTH SOILS ELEV O6 #37 (SLAB) I Leach Trench -.—__—._-.-- ----_-_____-- 1 / DEEP TEST HOLE & ° 98,50 / I I PERCOLATION TEST LOCATION EXISTING 4 Sandy / / / f �� , / BEDROOM 15 10 YR 3/2 HOUSE A 9Boo i EL .= 98.50 Loom 6 FOOT STOCKADE FENCE / TDF= ELEV. I00 �O TE T HOLE #1 I, ! - / Sandy 0 10 YR 5/6 )} 6"- 40• B. 95 25 9$ E Fine Silty PROJE T BENCH MARK-- Sand PLOT PLAN 15 r 6/3 TOP O. FOUNDATION z I ao'-sa" C, 94.00 ELEV. 100 (assumed) _ — — — — _ — _ 98 V)Me-CorseSand -- - - _Q - - OF PROPOSED SEPTIC SYSTEM UPGRADE Perc1 D - 1 Depth to Perc: 60" to 78' 54"-t68" Gi 4 00 _ — — — — — — — — _ -- -� — 20T (far breakout — —96 PREPARED FOR Perc Rote=<2 min./inch _ _ _ - _ D 0 N A L D M . CHAMBERLAIN Groundwater Not Observed qF/ — — — — — — — -9.1 No Observed ESHWT AT ADJUSTED H2O Elev. = None Col, Q� O0ii # 37 F L E ETW O O D PATH I CID D.H. P T MARSTON 'MILLS , MA FND Design Calculations FL� E7 rzr 7' a Number of Bedrooms: 4 Equivalent to 440 Gal./Day (440 Gal./Day Min. per Title V) (40 FOOT RIGHT OF WAY) V�NOFMti�. ^�: PREPARED BY: Garbage Grinder: No Leaching Capacity Proposed 330 Got /Day Minimum (Min. Per.,Title>V) � C N G' „ CA.h'HE Y E. SHA 1 " Septic Tank - 2 x 440 Gol./Doy = 880 USE 1,500 GAt.Septic T•onk.. h - SOIL ABSORPTION AREA: Using percolation rote of <2 mn'7,inch r11 w '� S Y °' ENVIRONMENTAL SERVICES, INC. Bottom Area. 0.74 gol/sq. ft. x 348 sq. ft. _ .257.52'`gollons a 1 Sidewoll Area: 0.74 gal./sq. ft. x 256 sq. ft, = 189.44 gallons 0 20 40 0 1STE� 34 THATCHERS LANE �1 Providing: _ .446.96 gollons SgNITARIP� EAST FALMOUTH, MA 02536 TEL/FAX 508-548-0796 Use: (8) HIGH CAPACITY INFILTRATOR CHAMBERS, HAVING A 2' EFFECTIVE DEPTH, (3' W x 6 25' L) To BE USED WITH 1.5' OF WASHED STONE ON THE SIDES AND THERE ARE NO WETLANDS LOCATED WITHIN A 200' RADIUS SCALE: 1 "=20', DRAWN BY: CES DATE: OCT, 3, 2002 a' of WASHED STONE ON THE ENDS. OF THE PROPERTY SCALE: 1 =20' PROJECTSD345 FILENAME: 'SD345PP.DWG SHEET 1 OF 1