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HomeMy WebLinkAbout0036 HANE ROAD - Health [t36 HaneRoadrstons Mills= 151 008006 % i �a i� I TOWN OF BARNSTABLE LOCATION 14 !i!�/�f°S I2 SEWAGE # 7.00,5 - lY9' VILLAGE !WMe2rGNSAV., l ASSESSOR'S MAP & LOT /.S'/- OOZ-046 INSTALLER'S NAME&PHONE N0. S 09 y 10- 9718 ✓a/s,4 1.2,dd::,oa SEPTIC TANK CAPACITY /000 . LEACHING FACILITY: (type) °A-5-00 641 ZLo, (size) ���l' •�� NO.OF BEDROOMS 3 . BUILDER OR OWNER PERMITDATE: 5�-/f—OS� COMPLIANCE DATE: 'I 10-off 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 f�aci�lity) Feet Furnished,by -. ���-�� , wow - o� 'lk- f ` 4 3 ti Fee U d No. CI. s -"THE COMMONWEALTH OF MASSACHUSETTS .entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Z[ppYitation for Miqual bpetem Cow6truction Permit Application for a Permit to Construct(z,-)Repair( ,TVpgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3 h(IVI I L�w Owner's Name,Address and Tel.No.� /?�Il�r✓1`otiS �'I,!!.3 �/'lTji4N� �jr®r�l Assessor's Map/Parcel IS!— 00 00 r.J� 1/�l Installer's Name,Address,and Tel.No.S"0,`—4/29 —�%3 F Designer's�ame,Address and Tel.No. , .09- R--?8- -7 i Comnw-z-71 /Z/ //,Z, /;g/,,%/- r Y1,9- 6k,e4 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank V tj0 Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) — 6—eO CI/1 i Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been is ued by this oard of Health. Signed _ Date Application Approved by Date Application Disapproved for Yhe following reasons Permit No. 2_0 y!zT —f S Date Issued q1t 17 ' 4,,,y_;H,.� x �r�'.. �Lr�. .r..'{r•`. „i..••�+A"1'I.r..�vi"y'h�fi"'^..`v^ ,rw..�w�•,ryr..w-w....�p.�....-J�}t��"� r� y V o No. o��(�s �� 1ti � 9�� ,..' :' . Fee + = x tek"d in computer: L./.'fiHE COMMONWEALTH OF MASSACHUSETTS Yes PUBLIC HEALTH DIVISION'-TOWN OF BARNSTABLE, MASSACHUSETTS 0 pp for nigogar 6pfte.m Con.5iruction Permit Application for a Permit to Construct Repair( �-IUpgrade( )Abandon{ ) ❑Complete System ❑Individual Components Location Address or Lot•No. 3 H4h,— G 0 --'sNamAAddress �`Noj �/ Assessor's Map/Pareel is-� 90 g � !4 s lJU 6 h�'S xw l�,�rrvtiS !/11i�/ Installer's Name,Address,and Tel.No. �O�"�/2�� Designer'ss�ame,Address and Tel.No. S'aU°" Bee 2177 / Type of Building: Dwelling No.of Bedrooms Lot Size. sq.ft. Garbage.Grinder( ) Other Type of Building No..of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic.Tank V l.f 4V Pw Type of S.A.S. Description of Soil Natur,,e of Repairs or Alteratio s(Answer when applicable) � Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue by this oardof Hea th. Signed -� Date Application Approved by S e,r Date W 9 ks— Application Disapproved for the following reasons Permit No. 2 > Date Issued t o �r THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-sitel�Sewag Disposal System Constructed ( '—',-Repaired ( �-1-Jpgraded ( ) Abandoned( )by ✓aSc FYI 4/-� 6"�"�,$ at 3 /�!4/9�,$ >�[ I�NF°`'Srar�s !�8'J� S has been const jted in accordance with the provisions of Title 5 an��A for Disposal System Construction Permit o. �U IS > `� dated :t�/ 9AT Installer JoS��I'/ -� �y'd_$ Designer kZ/ !I/l�sSO� The issuance of this permit halj,not be construed as a guarantee that the yste ih unc '.on as designed. Date �� 5 Inspector No. 2UUS r(S�/ --------_---=-------------Fee 4 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS lwig ogar Stem �Congtruction Permit � p Permission is hereby granted to Construct(4-fRe air Grade(Abandon( ) System located at .3 6 d7 e5t`✓� c'�Q and as described in the above Application for Disposal System Construction Permit. The applicant recognizes 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. Date:_ �/ �/ S Approved by Town of Barnstable •� Regniatory Services Thomas F."er,Director 1 Public Health Division Thor as McKean,D1reetor 200 Main meet,Hyannis,MA 02601 Fax: 508-790-6304 Office: 508-862-4644 Installer& Des i uer Certification Form Date: �Z Z.Za� 1j0(� Installer: Designer: D Address: /,� (,� (�, 'Q Address: was issued a permit to install a On (� (installer) at 2/ on a deli drawn by 'mod septic system ?'�O _..� (t _ IMAWW darted tiD 1 (designer) I certify that the septic ern referenced above was installed mbstant<ally according to ttm des6op,wbich maY Mclmde minor Wwvcd cbinges such as lateral relocation of the box and/ac septic tank. refereed above was installed`vnth major cbanges (I-e. I cett<fy that tb� �� of the SAS or easy vertical relocation of any component greater than 10' lateral telo Plan revision or of the septic syskm)but in a=xdance wilt State&Focal Regniations- wtified a 4mflt by dew to followko _ 9 er's Si ) L s Si (Affix Designer' tp" ) PLEASE RETURN TO BARI�iSTABLE �BO►TDH TSIS FORM A1�ID AS' WII, N BUII. CAitD ARB RNLD BY 1'SB Bp>liNSrASI.E PTIBLIC SEAL DIVbSION. THANK YOUL, Q:Health/SepticM95iPer Certification Form 9/16/03 Notice: This Form Is To Be Uged Foc-the Repair Of Failed Septic Systems Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM L I hereby certify that the engineered plan signed by me dated ID (9c. concerning the property located at Q0 t4fo U, ' r �fi , all of the following criteria: • This failed system is connected to a residential dwelling only. There are.noo commercial or business uses associated with the dwelling. 0 The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or may conduct deep test holes and percolation tests at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed • The bottom of the proposed leaching facility will-be located no less than five feet above the maximum adjusted groundwater table elevation. (Adjust the groundwater table using the Frimptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation(using GIS information) B) G.W.Elevation +adjustment for high G.W,6►� DIFFERENCE BETWEEN A and B SIGNS DATE: NOTICE Based upon the above information;a repair permit will be issued for bedrooms maximum_ No additional bedrooms are authorized in the future without engineered septic system plans. zQ gASepdc\per=einp.doc TOWN OF BARNSTABLE LOCATION 3G ffr�.�rS /cas SEWAGE # _�DOS' 1,531 VILLAGE 189��'h?dylSG ills ASSESSOR'S /MAP & LOT /,5/- 00$ INSTALLER'S NAME&PHONE NO. 108- 110- 97- F JSti,d� a, 3 SEPTIC TANK CAPACITY l e00 LEACHING FACILITY: (type) —ADO ���G�,���,�-rs (size) /Y X 2S NO.OF BEDROOMS �3 BUILDER OR OWNER PERMTT DATE: 5�— -'O S 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 7� %j rti . „ 164 1 ro� ' .(J �C LIP-°30j v4 a . MAY-26-2005 10:50 BARNS CTY HEALTH 15083622603 P.01 Barnstable County Depemcnt of Health&The Environment Phonc:(508)375-6610; Fax:(508)362-2603 fiicsh, fleLUMISMIttal To: Tom McKean Fax: (508)790-6304 From: Kendall Ayers Data: 5/26/2005 Re: Community Septic Management Pages: 4 Program CC: ❑Urgent V For Review ❑Please Comment ❑Rom Reply ❑Please Recycle Re:36 Hane Road, Marstons Mills MAY-26-2005 10:50 BARNS CTY HEALTH 15083622603 P.02 Notice of Amended Sewer Betterment Assessment Pursuant to M.G.L.. c. 111. s. 127 B 1/2 Commonwealth of Massachusetts Town of Barnstable WHEREAS, Brittney M.Lariviere,the owner(the "Owner")of the property(the "Property")located on the parcel listed in the Schedule of Betterment Assessments annexed hereto entered into a Betterment Agreement with the Town of Barnstable, acting by its Board of Health and Treasurer, pursuant to M.G.L. c. 111, s. 127 91/2,for financial assistance to repair, replace and/or upgrade the failed on-site subsurface sewage disposal system serving the Property; WHEREAS, said Betterment Agreement provided for financial assistance for up to $101150.00,which were the estimated project costs; WHEREAS,Notice of a Betterment Assessment pursuant to said Betterment Agreement was recorded at the Barnstable County Registry of Deeds in Book 19701 Page 47 on April 7, 2005; WHEREAS,said Betterment Agreement has subsequently been amended to provide for additional financial assistance of$1,000.50, for a total of up to $11,150.50 of actual project costs; WHEREAS,this Notice of Amended Betterment Assessment reflects said amendment to the said Betterment Agreement and gives notice that the sum of$11,150.50 shall be assessed by the Town of Barnstable as a betterment in lieu of(and not in addition to)the sum of$10,150.00 designated in the aforementioned Notice of Betterment Assessment recorded in Book 19701 Page 47. NOTICE is hereby given that pursuant to said Betterment Agreement, as amended,and M.G.L. c. 111, s. 127 B1/2,the sums designated below shall be assessed as a betterment for the improvements of the parcel, and shall be subject to the provisions of M.G.L. c. 80 relative to the apportionment, abatement and collections of assessments,and to interest,provided,however, that the lien which shall arise pursuant to M.G.L. c. 111, s. 127 B1/2 shall take effect by operation of law on the day immediately following the due date of such assessment or apportioned part of such assessment and such assessment may bear interest at a rate determined by the Town treasurer by agreement with the Owner. The Betterment Lien, if any, shall be deemed to secure all amounts advanced hereunder,together with interest thereon, and shall include costs of collection and reasonable attorneys' fees. McKean, Thomas From: McKean, Thomas Sent: Friday, May 27, 2005 11:06 AM To: Geiler, Tom Subject: Septic Design/Installation Work at Haes Road Originally two holes were excavated in the rear with an excavator; those soils were poor. The engineer dangerously went down into a deep 16 feet hole and hand-augered down further to 22 feet. The soils continued to be poor. The homeowner was not present for these test holes. Then, a soil evaluation was done in the front. The system could have been installed in that area; "it would fit there" according to the engineer. This would have required relocation of a waterline and excavation of driveway. However, the original plan was not to relocate the waterline and driveway. The intention was to minimize the owner's costs associated with the relocation of utilities and the excavation of the driveway. That is typically what is done. Recall that the original complaint from the homeowner was that"the engineer wasn't there." However, Dave Mason stated to me that he was present more than three times for the soil evaluation/exploratory work. While on vacation in FLA for one week, he was surprised to receive a call from Joey Debarros who was hired to conduct the installation work. Mr. Mason was surprised as he had no knowledge that Mr. DeBarros was hired for this work. Mr. LeBouef was originally hired*(See note below). Immediately after the engineer returned from FLA, he went to the site and dug a tests hole in the same place in the front(original design area) and showed where the good soils were and he did identify the same soils as shown on the original plan. He asked the homeowner whether or not she would allow him to dig a test hole in the back yard by the playset. The homeowner asked why didn't you dig there to begin with? The engineer answered because that is where he was told by the contractor to stay away from -due to the landscaping. He was told several times that the homeowner was "meticulous"about the property. (Also recall at that particular time, the homeowner wasn't there during the original test holes to ask such permission.) In that area in the rear yard, fine sand was found which was only approx. 15 feet away from the poor soils-clay. COSTS Two days ago, I was informed that the construction costs escalated $5,000 above the original bid price. That amount was not ordinary and would be shocking to any homeowner. Howe ever, when I contacted Kendall Ayers the next morning, he informed me that it was an additional $1,000 that was requested by the homeowner due to broken irrigation pipes(not $5,000). At this time we don't know,who broke the irrigation pipes or when. I suggest that this would be something the homeowner should take-up with the contractor. It is possible that Mr. DeBarros failed to plan for this overage within his contract with the homeowner. *NOTE: The homeowner hired Jim LeBouef. Jim LeBouef then hired David Mason as the designer. Mr. Leboeuf relayed communications from the homeowner in regards to the meticulous landscaping and where to stay away from when excavating holes. Mr. Mason does not know who hired Mr. DeBarros. 1 MAY-26-2005 10:51 BARNS CTY HEALTH 15083622603 P.04 306121 T1+oa+as ff.Seliga 25 Helmsman Drive CMtervillk MA 02M2 NN1E Q 8� s SHI To •S 23 �S ADDRESS ADDRE58 CITY.STATE,zip Q , Cm; .aP ORDER NUMBEA aEPAAT�IEjrf �ESPER90N WHEN SwP TERMS HOW SHIP DATE �AkTfM pu 11 DESCRIPTOM Q i n F ran'T r z o,u 1 1 PRIM ourvr la 44 r � �er� lxe ICan. ' a? /an aTAr � S gZ I- rn r I, I CA r, T C �w bir' I� i jai Ar y ok• +our v l! 6— mes 1 C 0.Ir S BWER: Ili il 000 " i(F%P THIS SLIP FOR REFERENCE �+oo f TOTAL P.04 MAY-26-2005 10:51 BARNS CTY HEALTH 15083622603 P.03 - 306122 TI►on�de�.�aliga j2.5 Helmsman D6V9 Centerville, Ma 02632 31�-9117- NAME P ADDRESS ADOREl38 CITY,S ATE.LP CITY STATE.TIP ORDER NUMSER DEPARTMENT SALESPERSON WHEN SHIP TERMS HOW SHIP DATE i aUAWrrf11 DESCRIPTION PRICE AMOUNT I i • A; �; z ..•a � anJ I ra. ' — � — $ '�o �' 41 .Sb �oZ ` Fvnn. i (a bro 5 {A Ne c�cl '• .• fe Pi, o2, funm Z b Y. r ga I— s S 3,5o - i :E11 6100 KEEP THI$SLIP FOR REFERENCE I �. TOWN OF BARNSTABLE LOCATION �� � SEWAGE # 9YY-S 7� VILLAGE Mlcto ASSESSOR'S MAP & LOT/S,Or=U04i INSTALLER'S NAME & PHONE NO. :F'qv —wit CJ � SEPTIC TANK CAPACITY lew LE.:,CHING FACILITY:(type) �i T � - (site) NO. OF BEDROOMS PRIVATE WELL O -tlAi I WA�1 BUILDER OR WNEF1 DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes N� i fog Remy /0A"l 4N _ /S�• oo�. o�� � Fm3.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiuit for Uivj-Vnuttl Work,5 Towitrnrtiun rrrmit Application is hereby made for a Permit to Construct ( ) or Repair (OFF an Individual Sewage Disposal System at: +� C £c su�.s� tJs vyr i a�.s • ---------•-----------•...... -06 ..../ �..........oc ti n- 1- ress --.___.___. -'-'-'-'- ----- ___________ v I "W .__...'.- ......................-�..........................0...--..... Owner Address Gtl....�-�1..,�o�-'--�4 j t^!�-�6�f �`6- ... `1n, 01 sta ----------------------------------- � Installer ddress UType of Building Size Lot............................Sq. feet ., Dwelling— No. of Bedrooms______________c�.-_--.-__--_____-----_Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Other fixtures -- •------.---•---•--------------------------•--- w Design Flow................:5........................gallons per person per day. Total daily flow............Z�?O..................gallons. W Septic Tank—Liquid capacity/ o__gallons Length---------------- Width---------------- Diameter---------------- Depth................ x Disposal Trench—No. .................... Width_..._........_._._ Total Length----__--____-9-___. Total leaching area....................sq. ft. 3 Seepage Pit No.___ ......... Diameter....../.6------- Depth below inlet.......&__....... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ 4 ,a Test Pit No. I----------------minutes per Inch Depth of Test Pit-------------------- Depth to ground water........................ (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ------------------------------- -••••--•'--•-----•'••••"'--•---•-•'•••'•--......'-"--"--'................'-"-"'•'--'--'•"--...-••-"--'-----•-•'---•••. 0 Description of Soil........................................................................................................................................................................ x x ------ - --- - - ------------ --- ----- Nature of Repairs or Alterations—Answer when a llcable._.__ �` 1..laU __ U P PP —0------------------------ ----- -. ¢�i-7- --'---�"J --- �----•--T$-•-----'�9 ---- ��-�.r -•---- Sy.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance h�eeissub e b d of health. Signed == -- --------------------------------------- �....... Application Approved .�s'v,�.i��...�T ..Ll.------------- --------------------------------------------------------- ..... .. ..—..�/ Da ce Application Disapproved for the following reasons: ..................... ... . .. . .... .............................. ...................... . .......................................... ... .... ... -- ....... ...... ... .... .. . ..... ---- ---- ............. .......................... Permit No. ''`` Issued ............ ... --------------- Date /S/ 0 C-6. odd No..............._�.... Fx$............... ............. THE COMMONWEALTH OF MASSACHUSETTS . BOARD OF HEALTH TOWN OF BARNSTABLE , Appliration for Dim mal Worlo Tomitrortion runfit Application is hereby made for a Permit to Construct ( ) or Repair (r<)- an Individual Sewage Disposal System at: �_?C 1-!A"C � �r -- ` . -•--•-------••-•--......---••-••---- --- ----------•-... •---••---------- = --•-•-------•--•---------••---- --- -------------•------------...- �--� otiqu-A ress , ,,or � v ;1 1- ��o a .�� � ......... - r� f �.�,,...._�......•--........w.. ........ . ...... Owner Address U/L`ULo �7 CU>�1s`n u�'r v.1 �GZ. ✓1/j. AA r t l._S IiistalIer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms______________ ............................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons............................ Showers — Cafeteria P'I Other fixtures __________________________________ W Design Flow.......................1.._..........__gallons per person per day. Total daily flow............�Z7®..................gallons. WSeptic Tank—Liquid capacity&P...gallons Length................ Width................ Diameter--.-- .......... Depth................ x Disposal Trench— No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No----r-........... Diameter.._... ------- Depth below inlet-------A......... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R+ ---------------------------------------------...................--................. ..... DDescription of Soil.............-...................................-....................................................................................................................... W U W UNature of Repairs or Alterations Answer when applicable-------A-0 ----- �:_._......1_.00.©._c-a..�_!f� ..-• ---_44 -�-----------•--••--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code —The undersigned further agrees not to place the system in operation until a Certificate of Compliance jjhas ee issu d by he board of health. Signed li....- ri' '``` - ....� �� ...... Application Approved 4 ^---... �.v.------- . -----'�-~� `PP PP Y Application Disapproved for the following reasons- -----------------------------------` ................. . ................................... ........................ .............................................................................................................................................................................................................. . ....................----- Permit No. .................. Issued ...." .�......��.....`....j-------------- . Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Gertifirate of CIImlatianre THIS IS TO CEI�, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) " by ---------------=--------------------------------G/La'_'�T.c-�.rC.-------------------------------------------- �- Insral Irr at ---------------------------------------------------- C°--------------e4�-------4�2.D..__-------------..._..-- 4/7-r 0$ .. ............---------------------------- PP PPermitf he State Environmental Code as described in the application tSonlforlDiscco daWorkstConstu ion rNoI� The __."fr,.�i------._.. dated .... .. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUAI{ANTEE THAT THE SYSTEM WILL FUNCTION SA .'ISFACTORY. DATE.....le/.�y..� _ ._ -------------- Inspec�-. �"f ---------------------- ------ — -------- - — -------------------------------------- ---------- ' D THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH —� TOWN OF BARNSTABLE No... " 71?' FEE_2�. .`....... �io�ro�ttl orla� �oa��#r�rtirrn �rrnttt Permission is hereby granted................... �j/` !�� (,7-)7 ....._____GU_JC7'�/kU/G to Construct ( ) or Repair °(,�) an Individual Sewage e Disposal System atNo. G' �` ��--- ------ -------'�----------(.5--------------------------------- • Str��'f� as shown on the application for Disposal Works Construction Perm t No�__._.____.�� Dated.. �Y /j am ............................. Board of Health DATE....... ------------ ------- FORM 36508 HOBBS✓k WARREN.INC.,PUBLISHERS OF AR BLE LOCATION (a` SEWAGE # g 6 " 8 VILLAGE ASSESSOR'S MAP LOT INSTALLER'S NAME& PHONE NO. �( EPTIC TANK CAP$CITY ,LEACHING FACILITY (type) _ - (size) NO OF BEDROOMS 3 PRIVATE WELL OR<Lii - _ BUILDER OR OWNER — S d O w DATE PERMIT ISSUED: ti.� ^ DATE COUPLIANCE ISSUED• VARIANCE GRANTED: Yes N 9C.r.MC3 4e ` O c1 i CNN r i r. ^ �Vl r 9i7rd �TOW OF,BAR BLE LOCATION (a SEWAGE # `' g 6 yy� I VILLAGE � �°r'(ASSESSOR'S MAP 6� LOT A lj� `�oo 64 INSTALLER'S NAME & PHONE NO.,6 EPTIC TANK CAPACITY l000 LEACHING FACILITY:(type) _(size) . 00 O. OF BEDROOMS 3 PRIVATE WELL OR iRi_iC q1 BUILDER OR OWNER L tj DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No /--' cc,.cm.,3 le C o c1 F \ ���fi�f=� N .... ... ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH bb .....OF.......P.�qj- ....... ....................... . . .Lam---------------- e Appliration for Disposal Works Tonstrartion rrrmi. �d Application is hereby made f9r a Permit to Cons ict Re4�air an Individual S wage Disposal /? -System at: ....................... ............................. . .................... ...................................r Permit Yw e -Location-Ad4prm. .......... 41 I og 4N No...................................... ......... 1 -.P)#t 0 ne VY I e_ Ad ............................................... 9Z .......a .. ........../- ---- -- --------------------------- .............0_5... .. ......................................... � Address nslaller PQ 6 Type of Building Size Lot.... ?-.2Sq. feet — Dwelling—No. of Bedrooms...........3................................Expansion Attip--(--� Garbage Grinder W Other—Type of Building I r fnJkNo. of persons.............(a............ Showers 4----Cafeteri;r-"(Other fixture Design Flow.................... ......................gallons per person per day .............. Total da ......................... gallons. U)lY flow____.... Septic Tank—Liquid*capacityZ.V!N.gallons Length__..:R....!�. Width_...Z..'a_'biameter---------------- Depth Disposal Trench—No. .................... Width ....... Total Length.._........._._..... Total leaching area....................sq. ft. Seepage Pit No--------I----------- Diameter......I. ......... Depth below inlet....3_A_�_.. Total leaching area_.;!.!P.;5..sq. ft. Z Other Distribution box ( Dosing tanjc�� r , -4,Percolation Test Results Performed by ...................... .......S Date..... _` ___ 31 Test Pit No. I----!! .2-.minutes per inch Depth of Test Pit.....b3........ Depth to ground water......V3 44 Test Pit No. 2.... -.2—minutes per inch Depth of Test Pit..... Depth to ground water..... ....0............ P4 ............. ....................:L:;7-----------------/ -----------"--------*------------------------* oil............0 e......j(� Description of S Y =.............................................................................................. -----------------*-----------------------------------*----------- --------------------------------------------------*-------------------------­------I----------- ....................................................................................................................................................................................................._ U Nature of Repairs or Alterations—Answer when applicable..................................................................._......................... ......................... ------q;15------------------------------------------------------------------------------------------------------------------------------------------------- Agreement: C . The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'LITA!Z- 5 of the State Sanitary Code Theundersiggtd further agrees not to place the system in "'u ' 'g ' further iss operation until a Certificate of Compliance has been ss ed b t e b ar o th. Signed_>L-.... ... . .............................. Da ApplicationApproved By.................................................................................................. . ........................................ Date Application Disapproved for the following reasons:.............................................................................................................. .........................................................................................................I.............................................................................................. Permit No._.... �;71-7 Date ..................................... Issued...................................................... Date ---------------- --- FRic THE COMMONWEALTH OF MASSACHUSETTS ` + BOARD OF HEALTH C ..� vV .........OF.......( ..:P. �.:3..J^ t/ /............................. Appliration for Disposal Works Tonotrnr#inn ramit Application is hereby made for a Permit to Construct (V)or Repair ( ) an Individual Sewage Disposal System at: Location-Address or Lot No. ......................__........................................................................ •-•--•-----------------•-----•••-••-•••------------•-..........-•--••............................. Owner Ad•r ss w ............t� / ( : �.�.lZe-----------------------------------------•- Installer Address Type of Building Size Lot.... .2:...?-.-.5.Sq. feet Dwelling—No. of Bedrooms.......... ..............................Expansion Attic -( ) Garbage Grinder (- ) '_l Other—T e of Building ��_ �-� No. of persons............f................ Showers ( ) — Cafeteria-( ) Otherfixtures ------------------------------------•-------•---...---•••-•-----•--•--••-----•-•••---•---•-••--••--••-••------••------••-------•-•--................. WDesign Flow............................................gallons per person per day. Total daily flow........ :?_--=.'---v.................gallons. WSeptic Tank—Liquid capacity!_,'!^c .gallons Length... '.....,.. Width.fl..... Diameter________________ Depth___..._ . x Disposal Trench—No..................... Width.................... Total Length.................... Total,leaching area....................sq. ft. Seepage 'Pit No....... ........... Diameter......a.... . Depth Depth below inlet....'=.....S _... Total leaching area._"?..n�..sq. ft. Z Other Distribution box ( l,.)' Dosing tank.(_ ) _ '-' Percolation Test Results Performed by.... ..".........�?�%-.�..... Date....4='1...:�.�• .... aTest 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-----I-.----------- Depth to ground water------12......y:". Ri ------------------------------------------------------------------------------ ----------- ------- ---- D Description of Soil............. .............n......I= = _. ._S r . % ----------------------------------------•••-----•-•-------------•-----------•-•----------------•-••---------••• V .-------------•-•--..._.....--------------•...--•---••••-----•-----------•----------------------•-•••.....------•-•-------------------------••---...--•----------------------------•••...........-------- W ----••••-•-•----------------••---••-••-•----•-•----•--•••----•-----•--•----•••--•-•--•-•-•-•-•-••••---------•••---•-----••••-----------•-•----•----•----•••-----••••---•-••-•••--•------------...••---- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ------------------------�--------••�•-•------------------------•-•................--••.....-•-•••••----••----•---•-----••--------••--•-----•-•-••••-•-•-••---••-•..._..---•--....---•. Agreement: The under signed agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issue he .6a lth. , Signed-• -2", J f t — -./........ Application Approved By............................. -------------------------------------•--------------------...._..... --• Date Application Disapproved for the following reasons:................................................................................................................ ---------------------------••----------------- ....-------------------------------•--•-----•----------------•••--....._.........•--•---•-•••-•••--..................................................... Date _.� Permit No.------.-4 ..................._�........------.. Issued . ......r Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......../.. 3,•,.v.-I/ OF...... -2 .. ........................ Currtif irate of�Tompliana THIS IS TO gERTIFY, mat the Individual Sewa e D,tsposaj System constructed ([i)or Repaired ( ) by........ .-fir- ' ......... ................................................................................ Installer• has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code. as described in the application for Disposal Works Construction Permit No�.'•� j...." ------------ dated /-�f �------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A U, NTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.........................r) �. �..C(......................... Inspector------------------.. ............................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No......................... FEE............ Raposa ks Tons udion rrntit Permission is hereby ranted.....".. to Construct ( ./--)"or=Repair ( ) an Individual Se.. Tage Disp sal System at No.. /' <_ !. f-= - l a_............................. --...............................r................................ �. Street as shown on the application for Disposal Works Construction Permit No;: r, �� Dated....... /.�/�.................... , .................. •..••-- Board of Health DATEo�...-��-- --- •-----�Q.t.._� FORM 1255 A. M. SULKIN. INC.. BOSTON ASSESSORS MAP: TEST HOLE LOGS PARCEL: =VI`4!2 NOTES: FLOOD ZONE:---- �___!�O SOIL EVALUATOR: �)iWI IVY G7� . WITNESS: ROT, IAC1ilt1 REFERENCE: __- DATE: J - 1) The installation shall comply with Title V and Town of Barnstable Board of 2r�1c yy w b x4ee-y . .� P ERCOLAT 10N RATE c` L ►l bA% I Health Regulations. -7 30 8 57, ^_ ( 'Z 2) The installer shall verify the location of utilities, sewer inverts and septic components prior to installation. 1(L TH- I TH-2 3 All Pavit septic piping to be 4 inch Sch 40 PVC at 1/8) gravity P P P g "per foot. 4) This plan is not to be utilized for property line determination nor any other (O yam,p,� 7i� purpose other than the proposed system installation i� 5) All septic components must meet Title V specifications. 1 6) Parking shall not be constructed over H10 septic components. T I ON MAPS t 7) The property is bounded by property corners and property'lines as depicted. LOCH (� 8) The property owner shall review design considerations to approve of total number of bedrooms to be considered for design. payment for the of� Receipt i plan and installation based on the plan shall be deemed approval of the number of bedrooms. 9) The existing leaching system shall be pumped and backfilled per Title V a l Abandonment Procedures. 0 �ti — v 10)System components to be 10 feet from water line. Low) W 11)Septic tank to be a minimum of 1000 gallons. If tank is less than 1000 gal., -- then replace with 1500GST. 12)Excavate 5' around proposed SAS and to approx. elevation 107.00 to medium SEPTIC SYSTEM DESIGN sand and fill with clean washed sand per Title V specifications. i FLOW EST I MATE BEDROOMS AT GAL/DAY/BEDROOM - W GAL/DAY / A ". ,a S PT I C TANK GAL/DAY x 2 DAYS - GAL \ U`;E 1C)®O GALLON SEPTIC TANK 1WC4)_ o o PCs AORiliG 0 LMOC& Per Au4wre,p ._ SO`L ABSORPTION SYSTEM LJ _ �3Z tr ,3 'IDE AREA: /+ rb/ �� BOTTOM AREA: ' 17�1 �3D, j SEPTIC SYSTEM SECTION tq U "r a As i� tit W . fVPA-VWA 0AL ( ,off ,� .,A( ., ram LJyV�M`{ • w y � <- ` SEPTIC 'TANK 49� ApoLV nil Z Y - NNW i SITE AND SEWAGE PLAN LPVVA LOCAT I ON : A I�0 �n 4 *0 t PREPARED FOR : ju . ` f E �1 �J � W G2 ,f �,� -� SCALE o e4- l��Rt�P CtWfF 't `�� I {� , DAV ID B . MASON DATE: to � p DBC ENVIRONMENtAL DESIGNS - EAST SANDWICH . MA D, DATE HEALTH AGENT 508) 833- 2 177 BENCH MARK : Lff V. 13 3 , 4 n✓,t ,.Yp: TEST HOLE RESULTS P40,5-631 / i 4. 7/ _ ---- DATE : / 4/8'(o � �1 `' L�,y .M WITNESSED BY t T,y4/vti �K �n/ f3. O• N, ,L c 7- 0 P 0 G R-44 P H y I=I2 v M L•4 R G•.� ^ S TZ/�N D U p�� Y , !-I O' r EG 123 O r-- H 4r:2 ; r L J 3 O i o0 0 GA4. n 1.5r n -raP T•o p 8 c L C L A y / .z"f= . 'N C O V iy 7-IF2 D A yr !3 ' L.O v✓ P) PE' I N V ff/z T / s F•//V E' T T o ,e3 2 .w�c�� t.� /3 , G2 L EA l�/ A4 /'Z 4 V ND 4 P rz o v• D P 7- TZ P 1-#9 C VV� Tr+ /� 0 1; F� .► . I GAa. �' �•JC► S�nlD "/ N DwE�.L. F_'L /V(3 W A T,E'R c L 8 �. o 7- /� C U U N TE/Z 1) ?� MANHOLES AND COVER TO BE BUILT TO ELEV. TOP OF 1219 OF FINISHED GRADE WITHIN FOUNDATION s o ' FINISHED GRADE MIN, 2 /o SLOPE 2 /Zo Dr �� P = 4u DIA. _ 4nDIA. PIPE Ni0 F1RS 2M1 of P1 P E MIN.PITCH w FT. 2�LEVE l MIN. 2 LAYER OF • [� E 12 MIN. PITCH ie%v�uv n� ' S T 0 N E - P A �. F . / / T• INVERT 6"stw,P INVERT +•�� y�'INVERT .. GALLON H!o 4 Z 125.Go 12 I 3c' •: EPTIC TANK — DIS r. ., � Q [� '' 1 �2 DIA. ��• F'o O T I M G, To B e P,4,.g � •.! INVERT _ _ INVERT SOX 123,So `.© �,5 W p•.,. WASHED STONE a.v nAiw�� vn-r or= / 8„ ! INVERT . , Q m..' ALL AROUND / a: jlj f- PLA G E ON . ® m m , a V G 1 N �7 NZ] o ► FIRM �j A S L, �r*--�--- l02 L �S IL J st • V !2 F R 5 1Z• ;� 1' BaTTOM AT ELEV. CLo � . . • O MIN — �, p /1/ Co tv)i�� C TEh .SAn/1� NO GARBAGis ( 2 0' MIN ) rr . :�. ; . GRINDER IA. , \ G L A y ari-/C4VN7-6-2EI� -Z} / - PROr i LE OF, D GROUN WTE'- LAY / ,S - COV/V7e RZ'!� �� R TABLE EN - w SANITARY DI C) SAL SYS . ,E M / y / �L 4,9/ _ Ho Le-d TH�"n/ - > �•w5 SNOT 'T0 SCALE ) 0 �, /N c •� '� D��9 A . PEfc'F'oR:�T�Ta DESIGN DATA �° 1DR/ //v Pt P • w NTH 3/�F-I%" Dl9, • CONSTRUCTION OF SANITARY ) I SP 0 SA L BEDROOMS i l / SToN,E � L4 ATZ`oVN� F'oV"D - S YSTEM SHALL CONFORM TO THE MASS. 30 �000 �.4 4 ENVIRONMENTAL CODE TIT (. DESIGN FLOW GAL./DAY LEACH RATE �' �- MIN. INCH iz2 �,o ,' 6• DtzywE'tt.. >=LAcE'a. � n/ sAN� (REVISED • 7- 1-77) AND T-HE '' TOWN OF '_ `�2 L3A�en/srA �3t HEALTH REGULATIONS. REQUIRED LEACHING CAPACITY : 3_ S TIZ >=) T A ;2 CA D , • SEPTIC TANK, DISTRIBUTION s,bX AND LEACH PROPOSED • , 53S GA D - ING UNIT TO BE OF REINFORCED CONCRETE : Q GAL/DAY. 2,S(.3,, --714)t /, Oil-(� - ��y 300 H 0 MIN. CONCRETE STRENGT' P8.1. REQUIRED SEPTIC TANK /000 MIN. STEEL STRENGTH 209000 P. S. I. 9L. MIN. DESIGN LOAD I IN G : f/ /o —•--- PROPOSED SEPTIC TANK: / cool. ..� • DRIVEWAYS NOT TO BE LOCATED OVER SYSTEM UNLESS H2O DESIGN LlOADI� G IS USED L-10 7- 1 • ALL PIPES AND FITTINGS TO , BE WATERTIGHT - ' AND TO BE OF CAST IRON OR APPROVED P.V.C. HEALTH AGENT APPROVAL DATE SITE : PL. AN SHOWING PROPOSED CONSTRUCTION ZONING DATA v� , o L E G E N D LOCATION •_'43 7Z/L/"� 7 A3 4-dEw �rira s?- *vs /YI 04 N FOR : �- .� sca �: 4QVVS � CORP, DATE 2/ • E� ZONE ©per„ sr '�G "_ice/ /2 TEST HOLE LOCATION REFEREN CI_ :_1- 27- AL s Hcv CD REVISIONS */�/a ` REQUIRED AREA _ g1s�C� icy e9a EXISTING - SPOT ELEVATION 17.6 ,.:_ lea) 37,5 at REQUIRED FRONTAGE �' EXISTING CONTOUR 16 - ��, of �� 3O fo�� CRAM �yG / �� G\/ � IC. �Z' ., �G•••!" � REQUIRED FRONT SETBACK : PROPOSED CONTOUR 16 .SHORT ,: SCALE REQUIRED SIDE SETBACK : /o ;' PROPOSED WATER SERVICE W- cl N$ � AE 3 �oG l5 PROPOSED GAS SERVICE G of ^ISM° I� REQUIRED REAR SETBACK : fssrovuEv`G�� PE,v; PL �w.wir✓ ,t3 v �/v r.�' vim/ 9�i.Fj/ 7 PROPOSED ELEC. a T E L E E a T CRAI G R SHORT , P. E . PROFESSIONAL CIVIL EN G I N E E R BUILDING INSPECTOR APPROVAL DATE 131, OLD ROUTE lag •, HYANNIS , -MA. 02601 FILE NO. I -S71 (TFc� ���-7) 3 4. 2 94 SHEET 1 OF 1