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HomeMy WebLinkAbout0068 HUCKLEBERRY LANE - Health 68 Huckleberry Lane Marstons Mills A= 102-140 TOWN OF BARNSTABLE LOCATION SEWAGE#. 9R VILLAGE ASSESSOR'S MAP&PARCEL j U 2 1lJ INSTALLER'S NAME&PHONE NO. 3�14� SEPTIC TANK CAPACITY Innp 1 5Tr w C* LEACHING FACILITY:(type) t+j&p T LJ+ff 4r t} (size) 4 IZOW% NO.OF BEDROOMS 3 OWNER PERMIT DATE: III i0q COMPLIANCE DATE: 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 Al -�� b i v �,q- GP2q V,"s CA- Ll S is Ko IA-1 cap Vk-28 ' � 1 G 7 ' No. pool-a°I3' Fee� � �THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Zfppfication for Ti6po5a[ *pgtem Congtructiou permit Application for a Permit to Construct( ) Repair(/Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. ag llaci CbC err 6.4_`e. Owner's Name,Address,and Tel.No. Assessor's Map/.Parcel 02 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. slys A Btowio .i_Nc 1/7 3! Type of Building: Dwelling No.of Bedrooms ?, Lot Size �/e7 sq. ft. Garbage Grinder ( ) Other Type of Building Aorl5 t! No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 3 y7. j gpd Plan Date -7 '1n5 Number of sheets Revision Date Title Size of Septic Tank .%G00 j&,S4'Ak' Type of S.A.S. Description of Soil -pIc.^3 Nature of Repairs or Alterations(Answer when applicable) 1-nos e-J.) &)eu) S. A . S i Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this rd of Health. Signed Date Application Approved by 4 Date Application Disapproved by: Date for the following reasons q o Permit No. o�� [ (� Date Issued �L�—O No. -/J' _-^ ! FeeG/ �,y) THE c6UMONWEAL'TH�OF MASSACHUSETTS Entered in computer. Yes PUBLIC HEALTH DIVISION,- TOWN OF BARNSTABLE, MASSACHUSETTS Rppgication for Di5pont �&pE;tem Con0truction permit Application for a Permit to Construct( ) Repair(C/Upgrade( ) -Abandon( ) ❑.Complete System ❑Individual Components 3 Location Address or Lot No. G w�kl�br j��, `� Owner's Name,Address,and Tel.No. CC��f9IIy Assessor's Map/Parcel 422 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Z&sle 5 A Type of Building: Dwelling No.of Bedrooms Z `Lot Size C, sq. ft. Garbage Grinder ( ) Other Type of Building A",- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required)=n gpd Design flow provided :3 gpd Plan Date Number of sheets Revision Date 'r Title ) / Size of Septic Tank .yZe= Type of S.A,S. .,,/ �h �5 Description of Soil Q: r r Nature of Repairs or Alterations(Answer when applicable) t nsZ:\r1T0,ow S- A t Date last inspected: t Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date s Application Approved by ( 5 Date ��1— /e(-0 Applicatiori.Disapproved by: Date for the following reasons Permit No. a 0-0 Date Issued -��-/'O�j THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (V7-�Upgraded ( ) Abandoned( )by t .`���' A ,rm , I 1 4)C at has been constructed in accordance q� with the provis' ns of Title 5 nd the for Disposal System Construction Permit No. ; OQ9-a 3 dated 9,/L/-a 1 . Installer 0 Designer r „^>y,. Mr, #bedrooms I Approved design flow ! G/7 S gpd The issuance of this permit shall not be construed as a guarantee that the system will-fh c io as designed. Date Insp (tor _ ,`?�-T.i'r'��.T4- vc�a-rasa.�c7r.$.vial1�'ac-'"'�.acsr�Y9s�B•a.rsr.�da,.9p.7—Qral ��e �l-�w�a o�T��P�iT�w—:�����s�F� No. 0 n ! a�3 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Digoat i§p5tem Con5trUction Permit Permission is hereby granted to Construct ( ) Repair ( Upgrade ( ) Abandon ( ) System located at /C �>��f/� /i��p.�t• 444ef,- . bi1.( Y4 and as described in the,above Application fbr Disposal System Construction Permit.The applicant recognizes his/her duty -to comply with Title S and-the following local proviSions'or speciatconditions:— -- Provided: Construction must be completed within three years of the date of this permit. n Date - t7 Approved by f rj► TRANS. NO.: CITY/TOWN: APPLICANT: �� A • ru �,�. [n c. ADDRESS: Cd8 �e�C`e-�y�-i 1�vw� . R" DESIGN FLOW: gpd REVIEWED BY: j��4 er T� M �.Z DATE: 71 Z6- 0- N/A OK NO Legal boundaries denoted [310 CMR 15.220(4)(a)] Street, Lot, tax parcel number and lot number noted on plan [310 CMR 15.220 4 'u Locus Provided 310 CMR 15.2204(t)] Plan proper scale?(1"=40'for plot plans, 1"=20' or fewer for components) 310 CMR 15.220 4 Easements shown 13.10 CMR.15,220(4)(b)] System located totally on lot served [310 CMR 15.405(1)(a)for upgrades]- if not, a variance is required 310 CMR 15.412(4)] Location of impervious surfaces(driveways, parking areas etc.) [310 CMR 15.220(4)(d)] Location all buildings existing and proposed 310 CMR 15.220(4)(c)] Location and dirpensions of system components and reserve areas. 310 CMR 15.220(4)(e)) System Calculations 310 CMR 15.220 4 day flow ✓ septic tank capacity(required andprovided) soil absorption system(required andprovided) whether system designed for garbage grinder North arrow 310 CMR 15.220(4)(g)] Existing and ro osed contours[310 CMR 15.220(4)(g)] L/ Location and log of deep observation holes(existing grade el. on each test) [310 CMR 1 5.220 4 h Names of soil evaluator and BOH representative [310 CMR 15.220 4 h and i ] Location and date of percolation tests(performed at proper elevation?) [310 CMR 15.220 4 i Percolation test results match load rate? [310 CMR 15.242] Certification statement by Soil Evaluator [310 CMR 15.220(4A)] Observed and Adjusted groundwater(method for adjustment given or indicated) [310 CMR 15.103(3)and 310 CMR 15.220(4)(n)] Address Sheet 1 of 9 N/A OK NO Location of every water supply, public and private, [310 CMR 15.220(4)(k)] within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water supply (/ within 250 feet of the proposed system location in the case within 150 feet of the proposed system location in the case of private water supply was Location of all surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310 CMR 15.211 and any catch basins located within 50 ft. 310 CMR 15.220(4)(1)] Water lines and other subsurface utilities located [310 CMR 15.220(4)(m)] Eater-line cross see 3 i0'CMR 15.211 I 1 Profile of system showing invert elevations of all system components and the bottom of the SAS. 310 CMR1.5.220(4)(o)] Stamp of designer 310 CMR 15.220 1 and 310 CMR 15.220 2 Stamp of Registered Land Surveyor(required if construction activities within 5 ft. of lot line) [310 CMR 15.220(3)] Test Holes adequate(two in each of the primary and reserve unless trenches as permitted in 310 CMR 15.102(2) or as approved for an upgrade under LUA at 310 CMR 15.405 1 k Test hole adequate to demonstrate four feet of suitable material? 310 CMR 15.103 4 ] Test Holes adequate to confirm adequate groundwater separation? 310 CMR 15.103(3)1 Benchmark within 50-75' of system 310 CMR 15.220 4 Materials specifications noted? [various sections of 310 CMR 15.000 System components not> 36" deep (unless Local Upgrade Approval or LUA requested) 310 CMR 15.405 1 Address Sheet 2 of 9 �i N/A OK NO Size OK? 310 Chit 15.223 1 Inlet tee located ten inches below flow line [310 CMR 15.227 6 Outlet tee 14" on 14" + 5" per foot for increase ft depth [310 CMR 15.227 6 Outlet tee with gas baffle or approved filter[310 CMR 15.227(4)] Note regarding installation on stable compacted base [310 CMR 15.228(l)] Tlv� Separation between inlet and outlet tees(no less than liquid depth) 310 CMR 15.227(2)] Inlet/Outlet elevations at least 12" above high groundwater (except as descried 310 CMR 15.227(5)) or permitted for upgrades under LUA[310 CMR 15.405 1 k ] Minimum cover 9 (Tanks.buried more.than 9" must have risers on all openings and on the d-box) [310 CMR 15.2228(1) and 310 CMR 15.232 3 Three access covers(inlet and outlet must be 20" or greater) - middle access at least 8 7/07 310 CMR 15.228(2)] Access to within 6 of grade -one port for systems<1000gpd, two fors stems>1000 gpd 310 CMR 15.228(2)] All at-grade covers secured to unauthorized access? [310 CMR 15.228(2)] > 10 ft from building foundation 310 CMR 15.211 1 Buoyancy calculation Required/Done 310 CMR 15.221(8)] H-20 Where appropriate? [310 CMR 15.226 3 Setbacks from resources 1310 CMR 15.211] Required when gther than single-family dwelling or flow>1000 d 310 CMR 15.223 1 b ] First compartment 200% daily flow; Second compartment 100% A)A�� daily flow 310 CMR.15..224 2 and _3 "U" pipe througli or over bale, outlet of each compartment with as baffle or approved filter [310 CMR 15.224(4)] Address Sheet 3 of 9 N/A OK NO WIN Located at least ten feet from any water line? [310 CMR 15.222(2)] Disposal piping it least 18"below water line(when water and sewer cross, see 310 CMR 15.211 1 1 Cleanouts required/provided ? 310 CMR 15.222(8)] Thrust blocks sppcified in force mains? 3-10 CMR 15.221(6)(c)] Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable . I/ 310 CMR 15.222.6 Proper pitch on all runs? (.005 within gravity-distributed trenches ✓ and beds) [310 CMR 15.251 9 and 310 CMR 15.252(2)(c)] Siphonproblem/ eachfield below pump chamber Endca s or vent manifoldspecified? Size and orientation of discharge holes specified? (not smaller than 3/8" not larger than 5/8") [310 CMR 15.251(8) and 310 CMR 15.252(2)(h)] Materials specified (310 CMR 15.251(5) specifies various pipe / types allowed) l/ Stable compacted base [310 CMR 15.221(2) and 310 CMR 15.232(2)(a)] v Splash plate or b;affie tee required on inlet/provided? (when / pressure sewer to d-box or steep pitch of gravity sewer) [310 CMR 15.323(3)(a)] Riser if deeper than 9 310 CMR 15.232 3 Inside minimum dimension 12" 310 CMR 15.232(2)(b)] Minimum su 310 CMR15.232 3 e Watertight cover if<2000gpd); waterproof manhole if>2000gpd 310 CMR 15.232(3)(d)] Capacity(emergency storage above working=design flow)? [310 CMR 231(2)] //F Proper setbacks [310 CMR 15.211 same as septic tanks Watertight.20-in minium access manhole at least 20"MUST BE TO GRADE 310 CMR 15.231 5 Service components accessible(not too deep with piping, disconnects accessible Alarm floats - alarm on circuit separate from pumps specified? Exceeds two units-must have two pumps operating in lead-lag mode. 310 CMR 15.231 6 and 8 ] Stable Compacted Base[310 CMR15.221 2 . Address Sheet 4 of 9 All lBuoyancy calculations needed ?Provided? 310 GMR 15.221(8)] Address Sheet 5 of 9 • N/A OK NO Calculations correct? 4 feet of naturally occurring material demonstrated? [310 CMR 15.240 1 Required separation togroundwater? 310 CMR 15.212 Aggregate specified as double washed 310 CMR 15.247(2)] System Venting required/provided?-(system under driveway or >36" deep) 310 CMR 15.241 Inspection ports specified and within 3"final grade? [310 CMR 15.240 13 Breakout requirements met? (No violation-of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and Guidance Document] mom Chambers and Gal. in trench configuration supplied with inlet every 20 ft. [310 CMR 15.253(6)] Each structure with one inspection manhole(if>2000 gpd must be tograde) 310 CMR 15.253(2)] O)zl Aggregate P minimum-4'maximum: 310 CMR 15253 1 2' sidewall credit maximum 310 CMR 15.253 1 a In bed configuration,inlet evM 40 N. ft. 310 CMR 15.253(6)] Width 2'minimum 3' maximum 310 CMR 15.251 1 b ] 15 251 1 100 feet -maximum length 310 CMR a ] Minimum separation 2x effective depth or width whichever greater / 3x if reserve between trenches 310 CMR 251 l d �G Situated along cpntours 310 CMR 15.251 2 Breakout OK? 10 CMR 15.211 1 4 and Guidance Document WINm minimum 2 distribution lines 310 CMR 15.252(2)(a)] Maximum separation between lines 6' 310 CM R15252 2 d Maximum separation between lines and outside of bed 4' [310 CMR 15.252(2)(e)] Aggregate depth below discharge pipes 6" minimum, 12" / maximum. 310 CMR 15.252(2)(g)] l/ Separation between beds 10' minimum. 310 CMR 15.252 2 Bottom area used in calculations only 310 CMR 15.252(2)(i)] Address Sheet 6,of 9 N/A OK NO Pressure Dosed System ? Provided pump and piping calculations as required 310 CMR 15.220(4)(r)] Pressure dosing Tequired on all systems>2000gpd or alternative systems under remedial approval [310 CMR 15.254(2) and UA Remedial UseApprovals] If used in gravelless system-make sure jet is directed as not to j n scour soil interface [Guidance Document] c/ U� Inspections once per year(systems<2000 gpd)or quarterly >2000 dgood to note on plan 310 CMR 15.254(2)(d)] Construction in fill -Did the plan specify that the fill shall meet / the s ecification,of 310'CMR 15.255 3 ? Impervious barrier and/or retaining wall? Guidance Document Impervious barrier installation must be supervised by designer 310 CMR 15255 2 b V Retaining wall must be designed by Registered Professional Engineer 310 CMR 15.255 2 a Side slope riot exceed 3:1 ? 310 CMR 15.255 2 Breakout requirements met?[310 CMR 15.252(2)and Guidance Document At least 5 ft. from impervious barrier to edge of SAS (10 ft. recommended 10 CMR 15.255 2 e Check DEP Approval letters for credits and design conditions If used with pressure dosing do not allow pressure discharge / to scour soil interface c/ Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? Is the technology being properly applied and does it meet all DEP Approval Conditions? Is there a q:ote on the plan regarding the requirement for perpetual maintenance eement? Any alarms involved on separate circuits Did the applicant submit an operation and maintenance manual? Has a liwt submitted a cou of a maintenance a eement? Are the variances listed on the plan? [310 CMR 15.220 4 RLS Stamp.-necessary on plan if a component is within five feet of property One 310 CMR 15.412(4)] Address Sheet 7 of 9 New construction or increased flow proposed - [Refer to 310 CNIR 15.414 Address Sheet 8 of 9 r 4 N/A OK NO Is the system in a Designated Nitrogen Sensitive Area(Zone H for a public supply Nell)? [310 CMR 15.214, 310 CMR 15.215 and 310 CMR 15.216 - also refer to Policy regarding upgrades of such existing systems] Is the system proposed on the same lot as served by private well? c� 310 CMR 15.214-2 Are the nitrogen loads proposed in compliance? [310 CMR G b w Pumping to septic tank? [ 310 CUR 15.229] ' Shared System [�i-O CMR 15.290 Address Sheet 9 of 9 I a TerraFilter,LLC. P.O.Box 227 10 Main St. ai. „ Sturbridge,MA 01566 O ���M �a���np Tel: (877)347:7263 !! [�J/ (877)347J263 Fax:(508)347 9857 August 10,2009 Peter McEntee Engineering Works, Inc. 12 W.Crossfield Road Forestdale, MA 02644 RE: Particle Size Analysis (Alternative to Perc Test) 68 Huck Lebeery Lane, Marston Mills, MA Dear Peter. Below are the results of the particle size analysis from the sample submitted for the above referenced property. The analysis was performed utilizing the hydrometer method of Gee & Bauder (1986) in Methods of Soil Analysis, Part 1. Physical and Mineralogical Methods 2nd Edition. Sand Silt Clay (2.00 to.05mm) (.05 to.002mm) (<.002mm) Portion Passing 97.5% 2.3% 0.2% #10 Sieve USDA Soil Textural Classification: Sand MA Section 15.243 Soil Classification: Class 1 ` Based upon the DEP's Title 5 Alternative to Percolation Testing Policy for System Upgrades,the following effluent loading rates apply: Un-compacted Soil 0.74gpolsf Should you need additional information, or require further testing services, please do not hesitate to contact our office. r Sincerely, Mark Farrell, Soil Scientist 6 09/18/2009 04:35 5084775313 ENGINEERING WORKS PAGE 01 Town of Barnstable Regulatory Services Thomas F.Geiler,Director KAM 1 Public Health Division 9 Thomas McKean,Director 200 Main Street, HY88815,MA 02601 Office: 508-862-M44 Fax: 508-79"304 Date: 911-71 01 Sewage Permit# Assessor's Map/Parcel 16 2 0 Installer&Desialr Ce do Designer: In C • Installer: ,I Address: n- W• CM J st k 1 CA C<A Address: M14 zGyy ew �/tk MA-d9 32 On /7,l�r /�2�i1 //I was issued a permit to install a (date) (installer) septic system at HUL, �&ern9 based on a design drawn by (address) dated (designer) I certify that the septic system referenced above was installed substantially according to the desip, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Local Regulations. Plan revision or certified as-built by designer to follow. Stripout(if required)was inspected and the soils were found satisfactory. 1,A OF PETER T. 4018erKsSignature) McENTEE CIVIL N0.35109 C igner'sSignature) (A D ,S ) O HARM—TIAME LUJUM HEALTH a X AU CE WILL 13M B THMK q:�ozFiw fp��deai�oartiiiw�fonoo.doc Town.of.Barnstable r# ( �2,_ ~ • 5 •..� - � Department-of Regulatory Services Public Health:Division Hate" �� Q5 t i679 200 Main Street;Hyannis MA 02601 i Date Scheduled P_10 1 Time � ��M Fee Pd. a Soil Suitability Assessment for Sewage Disposal Performed B :t "trey-MC. �.���,e p� )" Witnessed By: vI'd W:. •�. S LOCATION& GENERAL INFORMATION I ovation Address �,C-L<($ �. Owner's Name ' �� we .. C'o:ro-1 Cava 1\ f—�rs.dzirs V%"kv1 �8 klv�tc to �.v7 LYo.r Address. P•�w�s 4-u✓as l`'l.l\S (''� 0 Assessor s.Map/Parcel.• 16 2/ 1 t-t Q Engineer's Name 2c_�k E,*e NEW"CONSTRUCTION REPAIR Telephone# C 5-08 4 Land Use IDS�` �(-J Slopes(%) 2 ..,Surface Stones A-P, Distances from: Open Water Body -')'15-6 _ft Possible Wet'Area>13-6 _ft Drinking Water Well (. —2J Drainage Way ft Property Line /aS � `� ft .Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands)'n proximity to holes) S �l Q 2 / t C'' 4 Parent material(geologic) �C�Gi 4 �'��-�tJ /j Depth to Bedrock 13Z u+ Depth'to`Oroundwater. Standing Water in Hole: /*-f J�. Weeping from Pit Face Al Estimated Seasonal High Groundwater CLn DETERMINATION FOR.SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in, Depth to soil mottles: Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj,factor�..-� Adj.Groundwater Level m PE TESL' bate. , Time Observation " Hole# �•�,, Time at 4" Depth of Perc `r�``m� Time at 6" Start Pre-soak Time® "t�fD an e Z rime(9110611) " End Pre-soak Rate MinJlnch J ce P Site Suitability Assessment: Site Passed _ Site Failed: Additional Testing Needed(Y/N) . raw original: Public Health Division. Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one (1)week prior to beginning. Q:\SBPTICIPERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil- Other Surface(in.) ----- _(USDA) - ' (Munsegl) Mottling '(Structure,Stones;Boulders. C01106t ,. .v l 23 96 Cz DEEP OBSERVATION HOLE LOG Hole# Z� Depth from Soil Horizon Soil Texture . Soil Color. Soil Other Surface(in.) (USDA) (Munsell) Mottling (Stiucture,.Stones,Boulders.: . ns• 9�iorugn G233 q0 —51' C.L M-C_ Sit DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color. Soil Other n Bo ulders. Surface(in.) (USDA) (Munselq Mottling (Structure,Stones, Consistency. Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon. Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munselq Mottling (Structure„Stones;Boulders. < Consistency. Flood Insurance Rate Man_ Above 500 year flood boundary No_ Yes 4 Within500 year boundary No Yes _ Within l00 year flood boundary No V Yes Depth of Naturally Occurrine'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? e� If not,what is the depth of naturally occurring pervious material? _._ ..... Certification I`cerdfy that on 11 L'IA (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 in g,expertise and experience described in 10 CNJIt 15A17.' Date Signature ----->_`' Q:\SFP'Y MERCFORM.DOC ^ f - TOWN OF BARNSTABLE LO ATION z I1tiG-II�p n.-►�-r L, SEWAGE VILLAGE ASSESSOR'S MAP & LOT/OcC P✓ O NINSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY,/ ,Q LEACHING FACILITY:(type) / r ` (size) ',NO OF BEDROOMS--7_PRIVATE WELL Q�IC WATER BUILDER OR OWNER .fit,!` � DATE PERMIT ISSUED: DATE .COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No I i i i I �G � . - : TOWN OF BARNSTABLE -� Lj' ATION %o"��% l7U�I�lw: n� �/� SEWAGE VILLAGE 10,J11/11 i ASSESSOR'S MAP & LOT/OZ- L) INSTALLER'S NAME & PHONE NO.� C-) uS,d SEPTIC TANK CAPACITY 1 , / LEACHING FACILITY:(type) --Y � � ' 7 (size) QNO. OF BEDROOMS _PRIVATE WELL BLIC WATER BUILDER OR OWNE � �il✓ DATE PERMIT ISSUED: 1 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No y`- Y BAc1<, C?6 4- ASSESSORS MAP NO: L D 2. — p Fes$ No.... ...J..... —PARCEL NO.: ................. THE COMMONWEALTH OF M S JAg BOARD OF HEALTH . .�(� �J!✓ ...............OF.... !7A !'_�,�:`... q.. ................................. Appliration for Ditipmal Works Tiamit.rn.rtiun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: p Ty a/ ... . lc tam �9N� g .? . !�� - �............................................ Locati �Address or No. ..... ... •.. .......... ......"`'�'y' -- ------- J L�.1.. _.. ,( Ow / `� Addre ........... M Installer Address dType of Building Size Lot. .-. .....Sq. feet Dwelling—No. of Bedrooms..........................................Expansion Attic ( ) Zarbage Grinder ( ) Other—Type of Buildinn ..... No. of persons........2................. Showers ( ) — Cafeteria ( ) Q' Other fixtures NJa d -•-----------------------------------------------------------------------••.-.----------•------------ WDesign Flow........./4.........................gallons per person per day. Total daily flow................... ..............gallons. WSeptic Tank—Liquid capacity.g allons Length................ Width................ Diameter................ Depth--..... ---__ x Disposal Trench—No. .................... Width_................... Total Length.................... Total leaching area... a�.6.. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leachin rea ..sq. ft. .e 1 Z� Other Distribution box ( ) Dosi ( ) /� z Percolation Test Results Performed by G. !A3. (.-!P.'!� .:^�--•................ Date�.�'' ..... ........... ,tea Test Pit No. I 4._2_-_minutes per inc Depth of Test Pit.................... Depth to ground water... .AI�[!1 . (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 Description of Soil rl -.... 6-_....�/� 9=�._....- � �oi` '. .....----••----••......-•-•-.......---••-•... -•----------------------• •- W y VNature 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 iITLL 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operatitiion�until a C -ificate of Compliance has been ' ed by the board of lth. Signed----•- -•-. ..Q.lss� t..---.---_�.-•--•-..................... ................................ Date Application Approved By....... - 6.V..- ------•-u •---� ..................... ...... -. i j Date Application Disapproved for the following reasons:...............................•------------•--......_...--•-•--•-------...•....----••......-•-•••••-•-•...... -•-•-•.....................•--•••-•-•--••••----•--••--•-----•---••-----•-•••-------------..._.......-•----•-•-•-•-..........•-----•. Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................:........................O F.................... ................ Allpliratiun for Dispuiittl Works Tonstrurtion Vamit Application is hereby made for a Permit to Construct ) or Repair ( ) an Individual Sewage Disposal System at: ....:...:....._-- .. ............................................... ..... -- ....--- •. ......-- Locate Address 0 ..... r. ...... .... lJ/l !! ......lr . ... %e 2lc Owner Ad���.Z ...... ....... ... / ..... .. f -� ..:— ..r--�--...c./.�.�....d.............,.... Installer ..,..,... Address lr r d Type of Building Size Lot.. .......:.:.............Sq. feet U Dwelling—No. of Bedrooms.........I...............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ..._t'C': '_ %.......... No. of persons........4................ Showers ( ) — Cafeteria ( ) d Other fixtures. .!�1'.f` -------••-----------------------•--- . W Design Flow...............'J___---....-_----_gallons per person per day. Total daily flow............._....?..5.�..............gallons. WSeptic Tank—Liquid capacity./6nn-%'gallons Length................ Width...._........... Diameter................ Depth............. x Disposal Trench—No. .................... Width..................... Total Length.................... Total leaching area............. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching—area,._.............sq. ft. z Other Distribution box ( ) Dosiiigwta}c Percolation Test Results Performed by. --------••-=•-.... •----------- Date_..:--------•--..... ---•- ........... Test Pit No. 1..' ?._7._..mmutes per inch./Depth of Test Pit.................... Depth to ground water...222 1!f1'_`- - ---------- 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P •-----•••••�... ................•-------.................-•-.---- -- D Description of Soil :. �f_ _�C_.j' ' '' 7. J t. ,/->r�'_ �, --....... - --- - .......................................:............................................................... .......---.............__.._.._ .............................................. W .................. J ....... r...f.7�.._..._. . ............... VNature 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 TITLE 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Cex iti to f Compliance has been ed by the board of health. �dU� l� r .r1 Signed ...-.---- ........ z:.: - .....-----•-- =`` --------•-----•--- .......................... - Date d Application Approved BY �. ----------- -----� .------�`1 i r�a/� '-•-----•-----•-•--•-•--...-•-•--- --- ----•-••------------Date.............. Application Disapproved for the following reasons:-------"-------•-----•--•--•-•-------------------------•-----------------------------•--•-•-•••-------•........ ------------------------•----•---.........------...--"---------..............---•----------•------------•............---•------------------••-----•-------------•--•-----------••-•----......------•----- Date PermitNo................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......:.....:............................OF..... `..:.................................................................. (9rrtifiratr of Gampliatta THIS'IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) w• j •t Installer J 00 at =' / ✓✓ , / /, �" /` ,°E, l r� ,-, i{?did ' •``�>r �.... .......... --..._..----------- ......---------...... ......._... ....._...._..__..I...._....... .... .-................... .................... has been install- in accordance with the provisions of TI"' r 5 `he State Sanitary C de a$ de, ibed in the application for Disposal Works Construction Permit No....... � ... :............. dated-... ....�,_(:=:.. ................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM- WILL FUNCTION SZTISF�ORY. DATE..... ........r =- --------- - Inspector -------..--- THE COMMONWEALTH OF MASSACHUSETTS � �� ..� '✓ / BOARD .OF HEALTH N J. .................OF....: . / _ '...------------........................ o.v. J: FEE........................ Disposal ,�o�r (Iunutr�u#iun "prrnttt Permission ' hereb ranted..... t.............. ........ ...'�.....---.......-•--•-----....................---......................Y g .... to Construct ( ) or Repair ,( an Individu .:Sewage Disposal Syst Street as shown on the application for Disposal Works Construction P rmit No. 0._....� !J Dated...............r....................... �1. .---- c:: -----•-----•------------------------------_ DATE. Board of Health FORM 1255 A. M. SULKIN, INC., BOSTON 7 r Iu 3 Lord �oT!/5c3 V 1 D¢ivF I AY 36. 9,moo s P'r I WArF� �Z Li,�� sv.�P p'ww of _._. 00 8 ... Q Tb3LT Fv�v�yFD S�PTjG I OOK SOT y/¢L tl. l i►Z. • � 1� 33 ' � I q — � `IN `C \ �7-A"13o j'o/¢/ I ' NoTg"- �6'✓•g77o�v3 d'�1S'�';V p,V S' LOCATION •!`?'`l!?STowS M/LG S SCALE . / = ' •. . . 3o. . . . DATE .D�;/8 /p�S r•° PLAN REFERENCE LLEY 0. 1�tV I CERTIFY THAT THE SHOWN ON THIS PLAN 19 LOCATED ON THE ()ROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF . . . . . .. WHEN CONSTRUCTED. oBE�T �it/�c/oLG - Oe-7-17-10A/t.;� DATE . . . . . . . . . .. , REGISTERED LAND SURVEYOR I _ TOP OF FOUNDATION CONCRETE COVERSCONCRETE COVER • 3.8i 4 CAST IRO 'ON 2 MAX. ' OR SC HEDULE II 40 V.C. PIPE � 12"MAX. 71 4 SCHEDULE 40 PV.C.(ONLY) • PITCH 1/4"PER.FT. PIPE - MIN. ?;. PITCH 1/4"PER.FT. LEACH INVERT PIT •o EL PRECAST ..iz./�.. SEPTIC TANK INVERT a LEACHING INVERT i/B DI ST, INVERT : w PIT OR /000 .. .. GAL. EL..... .INVERT BOX EL.!/?�. ° >_ EQUIV. ' ELA..7A INVERT 3 wwwo 3/4"TOI /D' .•. W ,'.:• WASHED ;•! '� '� rc.8.3c' STONE .• i4-� DIA. 8.3' PROFI LE OF ZT• _ _ _ _ SEWAGE DISPOSAL GROUND WATER TABLE SYSTEM "'"'� `�/�v& i,v sw.q"1P wE-sT NO SCALE oc �cus P- ¢B36 SOIL LOG WITNESSED BY: DATE 9BS TIME./o:ooq.y Sq,yE3 Ca.vLo�v TEST HOLE I TEST HOLE 2 BOARD OF HEALTH L�Lv�ZD ELEV.. .!4-00„ • ELEV. .!'¢�/� ENGINEER 3L" � Sub Sorb. DESIGN o a DATA : NUMBER OF BEDROOMS SAWD Ptuc. CognS6 3 C�zL 4B r s g TOTAL ESTIMATED MATED FLOW 3 30 9C" B4" C,¢Ati�- GALLONS/DAY ZZ•oc.00 ez• 7.46 BOTTOM LEACHING AREA �-5-�l` . SD.FT./PIT/C.f?D. /lop/ SIDE LEACHING AREA . . . �-�/,• SO.FT./PIT�,�29,9C.RD, GARBAGE DISPOSAL !�AMv (50% AREA INCREASE) -SstNv Sq,vD . a TOTAL LEACHING AREA . . -�8, Sp,FT / PERCOLATION RATE !G-;3S 7'1/.qv Ty�/o /off.. . MIN/INCH •NQ .WATER ENCOUNTERED LEACHING AREA PER PERCOLATION RATE'f, ,8• B S0.FT. /G.RD• NUMBER OF LEACHING .PITS ,y vG� PoT ti/iT,t/ APPROVED . .. . . . . . . • , , BOARD OF HEALTH • Fo`�2. F&Z77. oF,S?a!!�• a,v ,qZ L DATE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S/!jam , . . . . . . . . . . . . . . . . . . . . . . . . . . AGENT OR INSPECTOR :ELLFY iC PETITIONER : '� 7zT• Co.vrvaG�Y. • , ` ''c t;_��', _ d�NnAa►�j E� LEGEND N ® LOCUS —— 98 —— EXISTING CONTOUR x 100.98 EXISTING SPOT GRADE mom OVERHEAD WIRES °j aj PLAN BK 138/PG 25 (Lot 129) EXISTING SHED G EXISTING GAS SERVICE �� o W EXISTING SEPTIC TANK pJ 3 < „ 0 F � " REMOVE & RELOCATE TOP OF TANK, EL.=79.20f 1/1/ EXISTING WATER SERVICE ? D Shubael INV.(OUT)=77.87f TEST PIT A o o ° Pond » EXISTING LEACH PIT TO BE REMOVED BENCHMARK Lakeside Or (SEE NOTE 11) Calvin Hamblin Flint St Road N 03'00'00" E m 0 98.00fq ' -TP-1 I 4 X -88J� LOCUS MAP / SHE 251 a) NOT TO SCALE STRIPOUT r,• T---'t7h 8.0,E �I'' l o SEE NOTE 11 I it-mt =M l l edge'o{ r'_ _IT---7-- 4 " GENERAL NOTES: P OP. .A.S �r_--s--t o �r-`-L-- --1 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 81,53", o BOARD OF HEALTH AND THE DESIGN ENGINEER. \ PATIO 82,00 h 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS Benchmark Set o o - OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE Top of Sono tube(orange) X 79,52 % N ZN LOCAL RULES SAND REGULATIONS. EL.=80.74 (Assumed) ECK 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR __ _ TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE :a 80y�i9 r-- �\ DESIGN ENGINEER. w a `BCD 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 00 O ;o O 0 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. O O Ex�ST�NG O p O p r p p 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 1 r` o :o 0 HOUSE (#68) o 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF rr fOF=82.48f' 81-06 ao THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF Z ;�� fn HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO WELLS WITHIN 100' OF THE PROPOSED S.A.S. /• 80.58 ! CL_"Q_ '� 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS Ix 80.07 AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. -- '� �• � ' 10. IT SHALL BE- THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY Stone, Lot' 129 _ ____--Dritone THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING y /' CONSTRUCTION. MAP t10 'I 1 1. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). PARCEL O "Y 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. N 03'00'00" .E I 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND \_. IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. A 75,87 ^a __-_1� OWNER OF RECORD �9 " Edge of pavement ER 74t CONNOLLY, CAROL A 9 P 74,16 68 HUCKLEBERRY LANE Ag t 0 �P��� �F Mgss9o� MARSTONS MILLS, MA 02648 HU CKL EBERR Y LANE o PETER T. PROPOSED SEPTIC SYSTEM UPGRADE PLAN M EE CINVIL 68 HUCKLEBERRY LANE, MARSTONS MILLS, MA No. 35109 Prepared for: D. A. Brown, Inc., P.0 Box 145, Centerville, MA 02632 o RfGISTE �Q Engineering by: SCALE DRAWN JOB. NO. Engineering Works, Inc. 1"=20' P.T.M. 166-09 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 7/25/09 P.T.M. 1 Of 2 NOTE: TO PREVENT BREAKOUT, THE PROPOSED ' FINISH GRADE ;SHALL NOT BE < EL:77.33 FOR A DISTANCE OF 15' AROUND THE t PERIMETER OF.THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. 21" 5-4" POLYSEAL OUTLETS �. . INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT INSTALL INSPECTION PORT OVER END UNIT 2" 2" 1-4" POLYSEAL INLETS T.O.F. OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE EXISTING7 F.G. EL: 80.3(MAX.) F.G. EL.=80.2t F.G. EL: 80.Ot MAINTAIN 2% GRADE (MIN.) OVER S.A.S. cv • 0 0 N ' INSPECTION 00 ® S=1% (MIN.) ® S=18((MXN) PORT 4"SCH40 PVC 4"SCH40 PVC 6.. , 10.I e" 11.3" TO - 04 Top View Section 14" D-BOX EXISTING 48" UOUID INVERT LEVEL ADD INV.=77.27 PROPOSED INV.=77.10 4 ROWS OF 4 UNITS AT 6.25'/UNIT = 25.0' GAS BAFFLE INV.=77.87t D-BOX INV.=76.94 SOIL ABSORPTION SYSTEM (PROFILE) EXISTING 4 OUTLETS (MIN.) EXISTING SEPTIC TANK ESTABLISH VEGETATIVE COVER BACKFlLL WITH"ftEAN NATIVE OR 75" PERC SAND TO TOP OF CHAMBERS NOTES: 1) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE BREAKOUT EL.=TOP EL. :•.:;•••:' ";,'''1: ,•,:..;.:`•; ON A MECHANICALLY COMPACTED SIX INCH CRUSHED TOP ELEV.=77.33 STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). INV. ELEV.=76.94 FILTER UNITS C 2) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM ELEV.=76.00 (RECOMMENDED) wm 3) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 2.8 AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. 4) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE 5 MIN. ABOVE BOTTOM 76" - INVERTS PRIOR TO CONSTRUCTION. T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=11.3' EXISTING SUITABLE PROFILE NO GROUNDWATER, EL=68.7 z MATERIAL SEPTIC SYSTEM PROFILE 4 ROWS RA 16"ON BETWEEN ADS BIODIFF & N UNITS WITH NO SEPARATION BETWEEN 'EACH ROW & NO STONE TYPICAL SECTION 16" N.T.S. N r.a 11.2" SOIL LOG �-----34 --� DESIGN CRITERIA DATE: JULY 22, 2009 (REF#12,637) SECTION END CAP SOIL EVALUATOR: PETER McENTEE PE(SE#1542) DECK WITNESS: DAVID STANTON R.S. 16"" HIGH CAPACITY (H-20) BIODIFFUSER UNIT NUMBER OF BEDROOMS: 3 BEDROOMS 1� M �� HEALTH AGENT SOIL TEXTURAL CLASS: CLASS 1 �`�2' 66.9, N- � ELEV. TP=A ,IDEPTH ELEV. TP-2 DEPTH cv MODEL 16" HICAP / 89. \�S, 80.2 A 80.2 A LENGTH 76" DESIGN PERCOLATION RATE: <2 MIN IN A �") 0 0 NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT DAILY FLOW: 330 G.P.D. - _ SANDY.LOAM SANDY LOAM TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY T 10YR 3/3 10YR 3/3 EFFECTIVE LENGTH 75 DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. DESIGN FLOW: 330 G.P.D. , '. 78.7 18 78.7 18" PROPOSED �' SIDE WALL HEIGHT 11.2" GARBAGE GRINDER: NO $,A,$, �� SANDY LOAM SANDY LOAM OVERALL HEIGHT 16" LEACHING AREA REQUIRED: (330) = 445.9 S.F. gyp), ____ �1 10YR 5/6 10YR 5/6 4640 TRUEMAN BLVD 75.7 54" •75.7 54' OVERALL WIDTH 34" 74 1 --25..0.' C1 C1 13.6 CF ® HILLIARD, OHIO 43026 EXISTING SEPTIC TANK: 1000 GALLON CAPACITY SILT'LOAM SILT LOAM CAPACITY PROPOSED D-BOX:: 1 INLET, 4 OUTLET (MINIMUM), H-10 RATED (UNSUITABLE) (UNSUITABLE) (101.7 GAL) - ADvANcED DRAINAGE SYSTEMS, INC. 2.5Y 5/3 2.5Y 5/3 72.7 PROPOSED SEPTIC SYSTEM UPGRADE PLAN �� 90" 72.7 90" USE 4 ROWS OF 4 - 16 (H-20) ADS BIODIFFUSER UNITS C2 IL C2 W/ NO STONE FOR AN S.A.S. WITH DIMENSIONS 11.3' x 25.0' M-C SAND M-C SAND 68 HUCKLEBERRY LANE, MARSTONS MILLS, MA (HIGH CAPACITY INFILTRATORS MAY BE SUBSTITUTED) 2.5Y 6/4 2.5Y 6/4 Prepared for: D. A. Brown, Inc., P.0 Box 145, Centerville, MA 02632 SIDEWALL AREA: NOT APPLICABLE SAMPLED FOR. _ - S.A S LAYOUT 5` SIEVE"ANALYSIS Engineering by: SCALE DRAWN JOB. NO. BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.7 SF/LF OF BIODIFFUSER) 138' 68.7 138"470.0 SF Engineering Works, Inc. NTS P.T.M. 166-09 16 UNITS x 6.25 LF x 4.7 SF/LF = g 9 • t SIEVE ANALYSIS RESULTS: 'GLASS I SOILS {SEE ATTACHED) 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 x 470 = 347.8 GPD .* NO GROUNDWATER ENCOUNTERED (508) 477-5313 7/25/09 P.T.M. 2 Of 2