Loading...
HomeMy WebLinkAbout0280 ICE VALLEY ROAD - Health 280 Ice Valley Road Marstons Mills J - --- - — - -- -- — A-096_' Ow I; ,r No. we FEE _ COMMONWLUTH OF MASSA 14USETTS Board of Health,_,!?:)a MA. APPLICATION FOR DISPOSE! S "T C NSTRUCTI®N PERMIT Application for a Permit to Construct( ) RepairO Upgrade ) AbandonO - Complete System ❑Individual Components Location p� U4 ,.(V1 M11 e is Owner's Name Map/Parcel# uD -4 (, .S?a5 Address Lot# �� Telephone# Installer's Name N),Q} W Designer's Name Address � "1 CY EUMLI Address 04 �& (4 Telephone# ( 100A Telephone# Sol JAO a6s Type of Building a.Jx`t Lk Lot Size LA sq.ft. Dwelling-No.of Bedrooms Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min.required) gpd Calculated design flow Design flow provided 5WA,%A, gpd Plan: Date �� C C Num1berr of sheets Revision Date Title Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator 1�Date of Evaluation(� aU ' `t� '�DESCRIPTION OF REPAIRS ORALTERATIONS `� � `�`��. ) VQ-Chlgc c �n The and igned agrees to ins 1 the above described Ind' ' ual Sewage Disposal System in accordance with We provisions of TITLE 5 and further ees to not to pla e/ a system in operation u a Certificate of Compliance has been issued by the Board of Health. Sign Date Q Inspections fi .....r... fy No. �M "✓/"� ; �1. ' - FEE 1 C®MM®NWELTK ®F MASSACHUSETTS Board of Health,_ k _ Y)lQ. , . r ��.:.,.�+.,ter, c MA APPLICATION FOR DISP®S .SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct Repair Upgrade ) Abandon - C( ( ( omplete System ❑Individual Components Location p1 Ua.\�L�_k 1\ jOS Owner's Name Wrl �`N Map/Parcel# ` \%t � , t S1a,K 1 Address Lot# Telephone# Id-7 19S 1-1 Installer's NameiG�+ � � � Designer's Name Address l U1 AddressI . , Telephone# (� '� v i . Telephone# SG� Type of Building { Jl law 1k OCA Lot Size ozCY t sq.ft. „ Dwelling-No.of Bedrooms y Garbage grinder ( ) Other-Type of Building 1 No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (mi in required) gpd Calculated design flow Design flow provided SS41,%--k gpd Plan: Date ,�Nfumber of sheets Revision Date Description of Soils) •�`<��- ' Soil Evaluator Form No.Y Name of Soil Evaluator AV Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS f {` The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and fukhe� grees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Sign�fl�al � x'�[/ _. Date Inspections .� l . No.-0"1 q FEE / COMMONWEALT14 OF MASSACHUSETTS Board of Health, "t1`j + %ems ,MA. CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System } The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ((r),Upgraded ( ),Abandoned ( ) by: at bra t llri C o ! . *N/\ J S.'')OK, i,k,I�S has been installed in accordance with the provisio.s of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application N909,51-C9 q/, dated :�/ Ic:3 Approved Design Flow (gpd) Installer Designer: / � P� nspector: Date: r - The issuance of this permit shall not be construed as a guarantee that the system will function as designed. . .. It C '., , /. �i7/, ,Cr. �Cr•.rrbP .._°'4r. �.O �. :Y' ;_t; _. ._ _ .cC�^' c`J:C < ).J i-!,C_ No.AQ:;)/ �� ! FEE COMMONWEALTH Of MASSACHUSETTS C�CteIR Board of Health, &,�j-,q J k`D , MA. DISPOSAL SYSTEM-CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at t rQ 1 d ('1t 1 r4. : Wa kor'R. A'.I V' as described in the application for Disposal System Construction Permit No.� /c" q, dated `3 Provided: Construction shall be completed within twee years of the date of this p mitT�All local conditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Chadd wn,MA Date Aoard of Health h Of a Znp � ana� vzcs �lnrist�ec�; r. Pltbl�a���1�#t 3�xvfsio�r OCR ,50$852.4tyr44 : x 5os=�90 G3tin Installer&Dbsi aerefifilcation�t arm Assesser's i�IatPr: $l Dezf sfnerr 7�s Tt�stall+Er< 1 � G- I� �+ Add777777 ress x _; RS � ' Address : p. On ', .j '1�f. '' a was Issued a�ermzt to rstail a ate.> (.tnstalie�) s based ota ades}gib drawn by h (deli a certify that`the sep�tt; system referenced above was rnstslledubstatattal�y aocordiri to t`he design, wlt7etl lm�y rne�ud� Ynttror appto�ed char��es suer as lateral re ocatian of the distxrtsiztrott 17b `'and(or septic tarry Sir out (if regtr$d) was tnpected and t15e foils' Were:found.susfactr,.y. I certify that:the se tic syst6m referenced abave:was installed,wif r major changes (i,e, greater than l'.0' literal retocat�arlsf tt*SAS or airy vertical reiccatron,of any`cpmlapn�nt of the;§eptrc system);but rn'aecaYd�nce v. ;ii State:roc Lecal I�eptllatyans Plan revrsion or certafred as tur�t by dgstgnei to,>ollow, SCrrp 9uz:{Yf recirecd) Vas Inspectedtrd the soils . were foup8 satrsfactary. I oertcfjt that he system refrmced above visas cnstf acted ipewith the to rms of the I1A ap vai letters(rP appla. le) x s fry w � All n (Inst er s Sr are)° t�rVit r' ry }gtYe s Sgna fe (1f"igxrer s StaYnpier P.LEASE,1tE 13I N. 'Zl!:BARrNgU B ,E S.E CJl 1 t t✓ J EA "1�3 D1G.4VTuX4O1�t.,.,� + 'Ii I.°ATE.: .. OF. :COI1 3?.L " 0�_ . li "NOT" IISM._: °� �TriL:',i ' O. . A ::AS B T}OY , XEBr l�r ATABI; ,>l 'A�IC TI�T;DI' T ItJ'N TH�A7rl'f3I7 >` s 1\sorikfo�T pi�S�HEF�C7MSEWE(t connec�lSEPTI�DesOnerGafflcaloh fiom Rev$(A {7 qOt 11-02-2000 02r22PN CENT OST FIREDEPT 50679023 P.02 ...a.... ..pp..,.,....,., w,vMgi r-liG uv}ia,mielm. Fire Department retains original application -and !issues duplicate as Per it. �Cil/L17'G4�j'LCC�LrriGG�2 ��✓!/�G�:1�ZCiZL �-�� "� !� �P�IcCYIZP/rGC d��!/XE� �rJX�L'LCP.•y— v OCL� �G7�'6 ��P//2•CG4�iG g< <_...� "'� APPLICATION and PERMIT e]Ll 5.ao for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made by: l • Tank Owner Name(please printl Les?_ie Sutherland X l � narure at g for o•rrna Address 280 Ice Valley Road Osterville _ MA 02655 SYear Gry State Z'D I Company Name Advanc—ed Environmental Service Co.or tndividuai Advanced Environmental Services, I i Prnr rvU ? Address P_ n_ 8nx 471 S D -niji s MA Address P P. 0. Box 472 S. Dennis MA PrRr Pnnr i - Signaturs ' apptyin re Signature(if applying for permit) I'FCl Certified Other IFCI Certified = LSP# Other i I Tank Location 280 Ice Ua1ey Road, Osterville MA Sloes AdOw-3 .;.,•y l Tank Capaei'y(gallons) 1QD6 ga11 ons Substance Last Stored #2 fuel oil I Tank Dimensions(diameter x fen l� Remarks i I i trm transporting waste Advanced Fnllironmemtal State Lic.# W5083856100 Hazardous waste manifcs.= E.P.A. Approved t8nk disposal yard Iatneg Grant Tank yard# 008 II Type of inert gas _errant s ng _Tank yard address Readvil le. Mel t I City or Town Osterville FDID# 01920 Permit# Date of issue _ mouamhor ?, 7000 Date of expiration Dig safe approval number. 20004505935 i Dig Safe Toll Free Tel. Number-800.322-4844 Signature!title of Offfcar cranting permit -- r+rtar rwnovsi(s)aana Form P-290A signed by Local Fire Dept. to UST Aegulatery Complianca Unit, One Ashburton Place, Room 1310, Boston, MA 021,C8-1618. TOTAL F.02 i ����� ��// r OF BA BARNSTABLE COUNTY U DEPARTMENT OF HEALTH AND THE ENVIRONMENT SUPERIOR COURT HOUSE POST OFFICE BOX 427 y .tS BARNSTABLE,MASSACHUSETTS 02630 SSACH03 Phone:(508)375-6613 FAX(508)362-4136 FAX(508)362-2603 TDD(508)362-5885 UNDERGROUND TANK TEST RESULTS NAME: LESLIE SUTHERLAND DATE: 8/12/99 TANK LOCATION: 280 ICE VALLEY RD, OSTERVILLE MAP PARCEL: 096-024 TAG#: 874 YEAR INSTALLED: 1981 CAPACITY: 1000 The recent check of the vapor monitoring well(s) near your underground storage tank (UST) did not detect any significant contamination. Because the use of soil vapor monitoring for UST leak detection is a limited technology we cannot,however,guarantee that your tank has not leaked. You should also realize that a "good" result from our test is no indication of how long the tank will remain sound. Due to fiscal constraints,the Barnstable County Department of Health and the Environment has instituted a nominal test fee of$30 for one well and$10 for each additional well at a site. Accordingly, would you please send a check for$ 30 made payable to BARNSTABLE COUNTY to: Charlotte-Stiefel - Barnstable County'Departnient of Health'&the Environment T' P:O; BOX 427 Barnstable, MA;02630' The following items, if checked, also apply to your UST: We encourage the removal of older tanks before the expected leak(s)develop. We encourage the removal of tanks under 300 gallons as they were not made for underground use. Your UST doesn't appear to be registered and tagged as required by your Board of Health. It would be advisable to mark your monitoring well to prevent accidental usage. The soil conditions surrounding your tank are not ideal and may accelerate tank leakage. A copy of this letter has been sent to your Board of Health and the records reflect the results of this tank test. If you have any questions please contact Charlotte Stiefel at(508)-375-6620. cc: Board of Health: BARNSTABLE Whereas,the escape of fuel from an underground storage tank may result in civil and/or criminal liability of the owner,lessee,licensee, licensor, and/or other persons in control of the premises; Whereas,the use of vapor monitoring procedures is only one of several procedures that may be used to detect leaking or escaping fuel; Whereas,the reliability and experience of the testing procedure is limited;and Whereas,from location to location and soil to soil test results may vary due to a number of factors; The County of Barnstable and the Barnstable County Department of Health&the Environment represent that while the test results give a fairly accurate reading of the-vapor content in the well sites at the place and time of the testing,the soil conditions and condition of the tank and connections may bi suci that leeks could occur if tha time of testing or shortly thereafter without detection. Similarly,the equipment is sufficiently sensitive-as to.detect.fumes when,in fact,no actual tank or piping leaks have occurred at all. Therefore,no party shall rely exclusively on the results of the vapor monitoring test. Neither the County of Barnstable nor the Barnstable County Department of Health &the Environment shall be liable to any person either for the failure of the test to detect a leak when such a leak has,in fact,occurred or for the detection of readings which may indicate that vapors are present in the soil when,in fact,no leak has occurred. Neither the County nor any department thereof shall be liable for any faulty or overly sensitive readings resulting from the taking of such test. -:;2,V3 498 574 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent b? St N ber 6 'Z4 h P ate &zip �r 1�n Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee LO Return Receipt Showing to Whom&Date Delivered a Return Receipt Showing to Whom, Q Date,&Addressee's Address QTOTAL Postage&Fees is C* Postmark or Date li �/9/�� Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the 0) return address of the article,date,detach,and retain the receipt,and mail the article. C uO 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the _ gummed ends if space permits.Otherwise,affix to back of article. Endorse front of article CL RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. tl�D 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. 1`o 6. Save this receipt and present it if you make an inquiry. 102595-97-B-0145 �4 i� 1 Z ice- i yHhIURN RECEIPT REQUESTED Public Health 0 h!6S3f)n �All, U.SASUGL Town of Barnstable ` Z 203 498 574 6 Q60/Qc y SEP-9'98 , ;' ' P.O.Oox 534 2 .7 i i - yannis,Massaehusetts 0 � �� � x� � ` 6,38443 V? 1 Eruq �O lo J ER EFT NO LEFT YJr, ©fi"1P^A ORDERli;-�t-�,°�fr-�-, " �;��� � ,`,�, `f ^�,� ;�. �:, • -�;• d f( 1998 `� .«yam .�cd� ;s1�4B,?.i�„a,4s�meam 6) 0INS:t��,� .y ,.� TAN, UCH us -- - - - ---�As- - \J ; SENDER: ,v_ ■Complete items 1 and/or 2 for,additional services. I also wish to receive the w ■Complete items 3,4a,and 4b. following services(for an ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ai j ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address permit. m ■Write'Retum Receipt Requested'on the mailpieos below the article number. 2. ❑ Restricted Delivery N r ■The Return Receipt will show to whom the article was delivered and the date ., delivered. Consult postmaster for fee. a o 3.Article Addressed to: 4a.Article Number d 5 7V Ec E ,, f !� C 4b.Service Type d u ❑ Registered Certified of w o 0/r it/7 ��e—� ❑ Express Mail ❑ Insured c � � � ❑ Return Receipt for Merchandise ❑ COD 7.pate of Delivery , a o i Z a. M 5.Re9eiv y: (Print Name) 8.Addressee's Address(Only if requested 9Z� and fee is paid) t �.e� ��� j•,�--•� g ig 't ressee or Agent) p PS J �Qr7riI8 , December 1994' I i t : i! 102595-97-a-0179 Domestic Return Receipt t i ##i�i!! I s . ��i; • ; ____ � ,,. l✓' _ - .i , .33Arrsrnsta. To wn of Barnstable MASS 039. Department of Health, Safety, and Environmental Services Public Health Division P.O. Box 534, Hyannis MA 02601 Office: 508-790-6265 FAX 508-790-6304 Thomas A.McKean,RS,CHO Director of Public Health August 31, 1998 Seapuit Inc. Main Street Osterville, MA 02635 RE: 280 Ice Valley Rd., Osterville NOTICE TO ABATE VIOLATIONS OF THE TOWN OF BAR ;STABLE REGULATION REGARDING FUEL AND CHEMICAL STORAGE SYSTEMS Our records indicate that you have an old underground fuel oil tank located at 280 Ice Valley Rd., Osterville, MA . This tank is listed on Parcel 096 on Assessor's Map 004 and registered as tank tag 9 132. This tank is located in a critical zone of contribution to our public drinking supply wel_ This tank is 20 years old or older. You must have Your under round tank removed within 30 days from the receipt of this order letter. For the removal of the tank you must first obtain a removal permit from the Fire Department. I have enclosed tank removal information for you. Upon removal of your tank, please return valve tag 9 132 to the Health Department. You may request a hearing before the Board of Health if written petition requesting same is received within seven (7) days of receipt of this notice. Sincerely yours, mas cKean Director of Public Health Enclosure: Tank Removal Information Of sAs� BARNSTABLE COUNTY DEPARTMENT OF HEALTH AND THE ENVIRONMENT VO SUPERIOR COURT HOUSE * POST OFFICE BOX 427 BARNSTABLE,MASSACHUSETTS 02630 9iss+ Phone:(508)362-2511 Ext.330 ACW0 Public Health Administration 333 Environmental Health 383 Water Quality Analysis 337 UNDERGROUND TANK TEST RESULTS FAX(508)362-4136 TDD(508)362-5885 NAME: LESLIE SUTHERLAND TEST DATE: 9/10/97 TANK LOCATION: 280 ICE VALLEY ROAD, OSTERVILLE MAP/PARCEL: 096 024 TAG#: 874 YEAR INSTALLED: 1981 CAPACITY: 1000 The recent check of the vapor monitoring well(s) near your underground storage tank (UST) did not detect any significant contamination. Because the use of soil vapor monitoring for UST leak detection is a recent and limited technology we cannot, however, guarantee that your tank has not leaked. You should also realize that a "good" result from our test is no indication of how long the tank will remain sound. Due to fiscal constraints,the Barnstable County Health and Environmental Department has 'instituted a nominal test fee of$30 for one well and $10 for each additional well at a site. Accordingly, would you please send a check for $ 30 , made payable to BARNSTABLE COUNTY to: Barnstable County Health&Environmental Department Superior Court House, Route 6A Barnstable, MA 02630 Attn. Charlotte Stiefel The following items, if checked, also apply to your UST: We encourage the removal of older tanks before the expected leak(s) develop. We encourage removal of tanks under 300 gallons as they were not designed to be underground. Your UST doesn't appear to be registered and tagged as required by your Board of Health. It would be advisable to mark your monitoring well to prevent accidental usage. The soil conditions surrounding your tank are not ideal and may accelerate tank leakage. A copy of this letter has been sent to your Board of Health and the records reflect the results of this tank test. If you have any questions please contact Charlotte Stiefel at(508)-362-2511 extension 334. cc: Board of Health: BARNSTABLE Whereas,the escape of fuel from an underground storage tank may result in civil and/or criminal liability of the owner,lessee,licensee, licensor, and/or other persons in control of the premises; Whereas,the use of vapor monitoring procedures is only one of several procedures-that may be used to detect leaking or escaping fuel; Whereas,the reliability and experience of the testing procedure is limited;and Whereas, from location to location and soil to soil test results may vary due to a number of factors; The County of Barnstable and the Barnstable County Department of Health&the Environment represent that while the test results give a fairly accurate reading of the vapor content in the well sites at the place and time of the testing,the soil conditions and condition of the tank and connections may be such that leaks could occur at the time of testing or shortly thereafter without detection. Similarly,the equipment is sufficiently sensitive as to detect fumes when, in fact, no actual tank or piping leaks have occurred at all. Therefore, no party shall rely exclusively on the results of the vapor monitoring test. Neither the County of Barnstable nor the Barnstable County Department of Health& the Environment shall be liable to any person either for the failure of the test to detect a leak when such a leak has,in fact,occurred or for the detection of readings which may indicate that vapors are present in the soil when, in fact, no leak has occurred. Neither the County nor any department thereof shall be liable for any faulty or overly sensitive readings resulting from the taking of such test. 2f® 7 L0>CtA- tON f SEWAGE PERMIT NO. . VILLAGE INS . A LLERA NAME & ADDRESS B U It DE R OR OWNER DATE PERMIT ISSUED %A 7 . DATE COMPLIANCE ISSUED Z77 y—. ��c:"`s� �o� t � � �, �� . No.....r...y �` >< Fr$.... ��J_... ........... THE COMMONWEALTH OF MASSACHUSETTS ��(o -07jy BOAR® OF, HEALTH ........... ---.....OF.............. . .... .'----------------------...._............._..._.... Applir�a#inn for 11ii�n,�Fal Works Tonstrurtinn ramit Application is hereby made for a Permit t Construct ( ) or Repair ( ) an Individual Sewage Disposal s'y ........ --- . . ---....... �, /� Location-Address /�"- or Lot No. .......... _,� �!Q ... cc--- ..._.. ._... J. _._._ ....... ........_..... -•-•- Owner Address a .---......eI:..•. . .�..... Installer Address Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms... '.................. .. .....Expansion Attic ( ) Garbage Grinder (�®) U '4 Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ................................. W Design Flow....._....... ..........gallons per person per day. Total daily flow-------- 2.0......................gallons. WSeptic Tank—Liquid capacity ..gallons Length________________ Width................ Diameter................ Depth................ x Disposal Trench—No. ................... Width��.. .. _ Total V&n Total leaching area........____��...sq. ft. See a e Pit No._. .___ p g .. �.__-_--_-- Diameter................... Depth belt..........._........ Total*y area.3q. .-..sq. ft. z Other Distribution box ( Dosing tank ( a ®.h` cc- e' /�� �` Percolation Test Results Performed by.-.'.......+b::._.... B1�tl�. C Date-:7 ® 7 aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ------------------- .................................... Description of Soil ..-.f�.. W ------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------ UNature 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 TITLi, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be�e !issued th oard of health. Sied...G�'...... .... ........c�•---.....................-------•------•----- Y.�---7--7--.....-- Date Application Approved By........ ----� --- ---.a .-,.--------------------•-----.. ------�. ? - 7-7--..---•. Date Application Disapproved for the following reasons-------------------------------------•-------------------------•----------------•-------------------------------- -•--------•--------------------------------------------------------------------------------•---------•----------------•-------•-••••--------•---••--------•-•-•-•••••••---•...•-•---------•--•---------- Date PermitNo......................................................... Issued_....................................................... Date No...ell ................... ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF !+EALTH, jr 0 60 .8 ,00) OF.............. ................... ................................... -49 # J, ........I.......... Appliration for Disposal Works Toustrurtion ratuff Application is hereby made for a Permit t Construct or Repair an Individual Sewage Disposal Syst .................. ..... ............................ ..........................ram ......................................... .............. Vation-Address or Lot No. .4............. .................................................................. ................................................................................................ Owner Addresi" .......... ................................................... ................................................................................................. Installer Address Type of Building Size Lot...........:................Sq. feet a Dwelling—No. of Bedrooms....1�.....I..........................Expansion Attic GarQ-e Grinder 40) Other—Type of Building ............................ No. of persons............................. Showers Cafeteria Other fixtures ------------------------------------------------ -----------------------------------------------------------------*---------------------------- Design Flow._____.......4-0..XX_____._gallons per person per day. Total daily flow..__._.02.4"0., ......................gallons" 9 Septic Tank—Liquid capacityAW....gallons Length________________ Width__.__._.___._.._ DiameterJ.,............. Depth_..____..._..... W 1Z 'o, Disposal Trench-Z No...................... Width......... ... Total n ........... Total leaching area__.__...............sq. f t. Seepage Pit NO........ 0.............. Total areal .sq. ft. See ......... Diameter._ ----------- U�p Z Other Distribution box Dosing tank 7 Percolation Test Results Performed by..'.'_... ...... . ................................ Date" ....................................... Test Pit No. I................minutes per inch Depth of Test P. it.................... Depth to ground water_..__..___.____.._.:.... Test Pit No. 2................minutes per inch Depth of Test Pit______._._._________ Depth to ground water::__.:_.....__.____.__.. wa .................. _4u.�...... •....... ......................................................................................... ...........................................................---------------------....... 0 Description of Soil..-.Z;....a - .......Vo��-- - SJU�47 _�---- A .................... . ...... ..................................... ........... ....................... ---------------*------------------------------ -------------------------- ..... .................-...........................................................................................--------.....--------------------------------------------------I-----.....--I......................... U Nature of Repairs or Alterations—Answer when applicable-----------tX------------------------------------------------------7;............................... ......................................................................................... ............................... ................*------- ------------------*................................. Agreement: The undersigned agrees to install the aforedescribed,Individual Sewage Disposal System in accordancet,with the provisions of TLITAIL- 5 of the State Sanitary Code=The undersigned further agrees not to place the systeml in operation until a Certificate of Cc4liance has beeissued. th oard of health. Signed. ............ .. . ........... .............................................. 4----1---_----------------- Date Application Approved By... . . .. ------ •---? ---7.7---------- ....................................................................................... Date Application Disapproved for the following reasons: -----------*------------ ------------**------------------------------------------------------------------------- -----------------------------------------*"*...................................................... Date PermitNo.......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARDAF HEALT ...........................­1................OF........ ........... Tntifiratr of Tomplialta TWTO C. TIFY, That the Individual Sewage Disposal System constructed ( 1110') I or Repaired 1by......... .. 1. . .. .11 a / . ... ............................ ................ ..................................I.....Install , at..........*...tog .. ..... ...... . ...... .... .......... ............. ----40ew----------- .. .. ......................................... has been installed in accordance with the provisions of T I,K7 f The State Sanitary Cade as described in the -ins., f application.for Disposal Works Construction Permit No• ........14'-•-............ dated-__ff -ft.31................... THE ISSUANCE OF THIS,CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE' SYSTEM WML' FUNCTION SATISFACTORY. DATE....Y../..... ........................... Inspector........ .......t.... . . . . ........................ THE COMMONWEALTH OF MASSACHUSETTS BOARD Qf ,,:H�EAL H ry . . .. ..... ^...............OF.....-.. ......................... No......................... ... . ............. Disposal rk Onstrurtion "amit .... ......................................................................................... Permission ited..!"!�.... to Construct anAOvidil Se Disp em C A/ 0..j... at N ....... ...........• ....... .. ............. .. . ... .....0� ....... ................................... Street. -77 . . .............................. E9 as shown on the application for Disposal,Works Construction Per o...//�..e�l ated.,_ 14- ............ ...Ua Board of Health ............................ DATE.... ................ ........... ----------------- FORM 1255,HOBBS & WARREN, INC., PUBLISHERS 'T LEGEND , PROPERTY LINE OHw ------ OVERHEAD WIRES MIV. �Qa • Pond Route 2 S--- g ---- EXISTING CONTOUR D E S I G N c --- EXISTING GAS SERVICE w EXISTING WATER SERVICE ENGINEERING S 15`23'38" E EXISTING U.G. ELECTRIC �w ' & SURVEYING 400.00 ` S S . WATER EXISTING SEPTIC PIPE °°b0. HANDHO 010•oaK EXISTING TREE cP o ° aI � EXISTING UTILITY POLE �' ce cod 4G"L!'3 w WWW.bssdesign.com W CB 0 CONCRETE BOUND BSS Design, Incorporated ..---- -".._ W32 / �L,rn �,• TEST PIT "'d N 164 Katharine Lee Bates Rd U, W � Falmouth Massachusetts 02640 ^ h ''�;��' EXISTING i l ` �`. ,.� - % 608,540.8805 FAX 508.548.8313 STRUCTURES LOCUS MAP r0I1 1. LOCUS IDENTIFICATION: r--- "" HOUSE No. 280 ICE VALLEY ROAD CBDHFND - ASSESSORS No. 096/024 0h' \ / LOT 72 LAND COURT PLAN 5725-29 32 ..- ,`; ti 2. LOCUS IS WITHIN: (/? ` ` '' \ `\ t / .►� ZONING DISTRICT- FLOOD ZONE: X w W ,,,,' \ :`�';'`\'`\. \ \• \\\,♦ `4h; cal1 BUILDING CODE WIND EXPOSURE CATEGORY: B Ld o 0 `' �, ,M ,,'':ti w\ \ ,;. :' . � ',, . `\'';•;;�'` \, ,:' \ ZONE 11 OF A .PUBLIC WATER SUPPLY (PARTIAL) of ¢ _TT V GROUNDWATER PROTECTION OVERLAY DISTRICT (PARTIAL) D ct C +J \ l , :; \:` , ':' ti:, ,'` `\\ \ ,,`•,, ..; \` / , l DISTRICT 0 ..✓ WATER \ ^.�, , .`, ,, `.;, \ ,\, \ \ � �,► RESOURCE PROTECTION OVERLAYp Q ,� ,`'`•� •, .;�,. ,\ , �\, \ .� , \ �. SALTWATER S METER \\ \ ,;4` \ ti.,\ \ .`\ `\ \ .,ti., ".'' \'' ;''\ / ESTUARY PROTECTION _ (/) 'STtr]G ;' / \ 3. LOCUS IS NOT WITHIN: V) '05 \\ \ ,;'• ,' \ ` ENDANGERED SPECIES HABITAT "Q `' / ,.' '� `•;` .'`,. 4. LOT COVERAGEBY STRUCTURES: u� ``y ' ,. 1,`"\ ♦`'•,, \` , ,, , \ ,, \•'+,, •\ `'\• '\, ,l \ '\,♦'`,' `,, \ •,.'••\ ``''.;•',\`'\ \ `'\; •\, `'\ '',, •\ •, l '`'4. 1 Z / ,\ '', \ ,\\ •\. ••\, ... ,�•\ `, 'ti.` •.`• . \ 4 `'♦r` ',. `- `, •\• \. •s'\ '`'ti >` ', •', \``,^ •, ,.,..,, ,•\ ,\ ♦ '\` \ -•.� CBFl�IDCTR Q• 2.4 , EXISTING: 10,272 SF 8.02% �.'• '�'• *` EXISTING L!J �" / ELEVATIONS ARE FROM ON-THE-GROUND cn '\;• \\ \\;'. \ I `,`• '\;' , ',`,' ` \` ', ' �' ,''.;•, ♦., `. �. ''\ 5. ELEVATI THE ND SURVEY BASED ON W . , \, ',,- •,, ..`�'• ''\ \•,�'•,, HOUSE # 280 \' \, � ``,' '`,,•`., \ � ,, \ \.\ ', `• `'�,••, \. \ ,. `,\ � o J 4 _.GIS MAP DATUM. ELE : 38105.4' .5 \ `, ' 1 ,,; •, \ ,° \ ,, \' !L 4. 1 ,,., ., , ., , \,. �'� ,''•`, , - 6. SEPTIC SYSTEM WAS DRAWN A5 ,. ; ,\ \ ) �\ '�' �'`, \, \ •T1---._ OUR INTERPRETATION GAFF S PROPOSED \`` \`. , ., _3�1 EXISTING X � ,J m \. / CIRCULAR 1 `�` \ •:." \,`\ OF INSTALLERS SKETCH AND HAS NOT BEEN VERIFIED. a `'•, ,., ;� •`.`',. •�' ,•'•,. METER \ l ,' `\,;••��•• ''\• ,.` .�•, ,,,,:'•, ;' '�\, ``,`';'\`'•'\ w "O c / DRIVEWAY 1 ,,,\• \ \'\,``';``,,,`\``a` \'�•♦ ,•',, , 7. EXISTING BUILDING OFFSETS ARE MEASURED TO CORNER �{ J ♦..' 'y\`\\,•`•''•`\ +•\, ',�,+. 1a CEDAR - / I \ •,,+, •\y'' ``r,*1". \ ♦•'•.\`•,,,` ^.,.•\,\4 `,,, , •.,\\,,`•, ., ,. \' _ r .�.. � ,'4 `'�``\ `\ I BOARDS, .NOT FOUNDATION. I Q \\ �,,. ,M INVERT 4 / * , \'\ •° • \ r - ..--- - 3 -- 8. THE CONTRACTOR SHALL BE RESPONSIBLE or *,,ti, �,, I I 1 ., ..:' \ r, ,,. .. _.._. _- \ -� 2- S BLE FOR OBTAIN ING A LU n Lv , ,\,� 34.53 / 1 ` `� r r, TRENCH PERMIT FROM LOCAL MUNICIPALITY IN WHICH. THE Z Z 0 / ELEC. \� EXINNEctrSTING 4 ` �. © I / PROTECT EXIST. � \ �" Q ,, 24 OAK / 32- -- WORK IS BEING PERFORMED IF REQUIRED. Q w '""' J METE(2 ,�•\ \f1771NG , y,•�,. 0 3rOAK# / ;� GAS SERVICE `� ,.,..----- 32�, I // 9. CONTRACTOR SHALL NOTIFY DIG-SAFE AT 1-800-322-4844 J d Q m / N r \ry'h 3�� 41.5 .� -.. AT LEAST 72 HOURS PRIOR TO ANY EXCAVATION. LL. 00 ., ZONE \\;, ,y ,\4 , / \,� ,r. ' =. . ° ' :}r, •„,.1:; GENERAL NOTES o s 11 F \ , \, I�uMP o[a S Pnc 1 o ,• f J WATER A PUBLIC 7 \ m ^ti\' .`''��.`\', \, ,/�"� TANK EMPTY, ' \ S5. fl;.r.;`.,r 'i•,. '' 'D85 l SUPPLY 8,695 SF \\ `,"',•, * ,,,4'ti*`•, ^��' ,CRUSH AND F/[[ , ' \ \ �33` ' 1. All system components shall be installed in accordance with �'"' ¢ �'� ':. ', '° `,'�` w/SAND IN PLACE \ /N ZONE '' "� `` 1,500 CAL. RISER AND 3� the State Environmental Cade Title V: Minimum Requirements (!} • N� Il � '\``\ • '' `' �•`\ 1 I RESERVE .. �- \,GARAGE, `•,` SEP710 TANK COVER (TYP.J / \\ �` ��; for the Subsurface Disposal of Sanitary Sewage, and any local 0 49 3 \ ' � \ � rules which may be applicable. 29 LAMP \ / \ G/o 2 The Barnstable Health Department & BSS Design Engineer NOT IN SF �`„",--.-._. \\,' `.'♦,''` POSTa / 7HREE 500 GALLON LEACHING CHAMBERS P 9 9• ZQ �' '\,\\._�; ,, must be notified when the system is installed and prior to ZONE , �,`, \ / / W17H 4 OF DOUBLE WASHED STONE ALL \ / AROUND AND'4'BETWEEN CHAMBER WALLS backfilling for inspection, \ U 3. The stone around the leaching chambers shall consist of / I WITH 4"DIA. G'ONNECTORS BETWEEN. \ v 9 BOTTOM DIMS- 12.8' x 41.5' \ � � double washed stone ranging from 3/4 to 1-1/2 inches in size 3 \ and be free of iron, fines, and dust in place. The stone shall •j::"�;`. /., \ be covered with at least a 2 inch layer of washed stone L`I i \ \ inch in size, an a free o ranging' from 1/8 to 1/2 ' 'ze d b f iron scale 0) � �, \ � � '• rineS, and dUJt• 1., ;�,ace. 7 - , 4. The-grade above and adjacent to the leaching facility shall slope at least 2% to prevent accumulation of surface water. date PUMP LEACH PIT 33-- N \ \ \ 5. Sewer e• shall be 4" diameter schedule 40 PVC or equal h et• EMPTY AND F/LL / _ - w, c,+ pipe- q \\ \ w/SAND /N / \ at 1/4" per foot .(2%) slope min. NOV 23, 2020 \� 6. Flow equalizers shall be installed on the ends of all outlet drawn PLACE / \ I \ ZONE NE !! OF pipes•,inside the distribution box, A Pug�lc 7. EJP RAR SUPPLY .Contractor shall notify the Engineer if he/she encounters s soil conditions other than those shown on the soil log. checked • CBFNDCTR __------ 5 E�S� ESIGN CRITERIA Job number 20187 �, h \ / 3.---- �- •'' NUMBER OF BEDROOMS 5 bedroom design \ DESIGN FLOW 110 gpd/brm revisions \ TOTAL DAILY FLOW 550 gpd REVISION 12-7-20 \ CHANGED ENTIRE PROPOSED SUB' SOIL LOGS SURFACE SEWAGE DISPOSAL SYSTEM 565 32--- EL. TP #1 EL. . TP #2 TP #3 TP #4 PER OWNER. EL. EL, 35.4 0" 35.2 0" 35.7 0" 35.5 G,1 A LOAM A LOAM A LOAM A LOAM r-30- \ ,'• / 34.1 16" 33.9 15" 34.7 12" 34.7 10" B LOAMY SAND B LOAMY SAND • LOT •72 CBFNDCTR� •yK // \\ ' /\ B LOAMY SAND B LOAMY SAND 128,024 SF a � GDRIVE L // � � � \�3F• ...-- r.•• �� O�W 31.9 42" 31.9 40" 33:0 32" 32.7 34" 2.939 ACRES __� \. � V o�w Lk 30 TEST HOLE DATA �pfOE O�/pP G� MEDIUM MEDIUM MEDIUM MEDIUM C SAND C SAND C SAND C SAND PERC. RATE: 2 min./inch In C layer (assigned) S6i6jt W �� \j� a�,lt ' . TAKEN BY: Jeffrey E. Ryther, P.E. A WITNESSED BY: Don Desmarais, Barnstable Hlealth Dept. N 3 OWN DATE: November 17, 2020 ,•,� '� No Groundwater Encountered 25.0 125" ''24.8 1 1 125 25.7 1 120" 25.5 120" INSTALL H2O CONC. RISER AS / 6 PROFILE IS NOT TO SCALE REQUIRED TO BRING COVERS -/ SEE SITE PLAN FOR ACTUAL ORIENTATION TO WITHIN 6" OF FINISH GRADE CALCULATIONS ' EL. 38.5 CONNECT NEW SCH. 40 PVC PIPE AT HOUSE SEPTIC TANK: / 37.1 EXISTING GRADE 34.3 33.2 33.3 32.8 MIN. rninimum 2X slope FINISH GRADE DESIGN FOR USE WITHOUT A GARBAGE GRINDER ." 550 d .x 200% 33,0 - -GONG.-RISER .FIRST 2' SHALL gp = 1,100 gal/day 1/4" pier '- BE SET LEVEL H CLEAN BACKIFILL USE PRECAST H2O 1,500 GAL. SEPTIC TANK P ft. slope min. ' 29.17 '`� 2 RISERS �N� - LIQUID 1/4" Per ft. min. 1 4" (END CHAMBERS 30.0 LEACHING /�� ' OO CONCRETE - LEVEL a per ft. min. AREA: TITLE V R E G S. FOUNDATION 10� 14 0 0 o[� o �'.•► +•' a°'�•:. w 2"(1/8"-1/2") PEASTONE 31.75 30.35 �, I. ,"/'i• , O • 34.53 r ,.,�a ) +� ".t OR LTER FABRIC LEACHING `AREA PROVIDED: p a VERIFY `} 30.18 .S, �•h:j O 4 .ri .S, INVERT G.B. 31.50 0 • �. c o 0 0 f, . t'.::, d%'�' �P��H Ash a 27.17 :•,; • •�,r. . o Loa o •.0 �a.� ,r..s. THREE 500 GALLON LEACHING 'CHAMBERS WITH 4 OF sheet 4' 4'-10" 4' WASHED STONE, DOUBLE WASHED STONE ALL AROUND AND 4' BETWEEN '( OF 1 ems' JEFFFIEY ��r SEE NOTE 3. CHAMBER WALLS WITH ,/ a Ev H 7T 11' " 4 DIA, CONNECTORS BETWEEN. A -55 2 THREE - 4 PIPES CONNECT.CHAMBERS TOGETHER SIDEWALL: (12.83 + 41.50') 2 X 2.0' x 0.74 = 160.82 d title • WITH 4 DIA. SCHED. 40 PVC_ PIPE 9P q VIL �e (2012' & 104') BOTTOM: 12.83 ft x 41.50 ft x 0.74 gpd/sgft = 394.00 gpd PRECAST SEP11C TANK THREE - 500 GALLON LEACHING CHAMBERS THE BOTTOM OF THE LEACHING CHAMBEFS TOTAL LEACHING VOLUME = 160.82 d + 394.00 SITE PLAN SlONAL DISTRIBUTION BOX ARE >20 ABOVE HIGH GROUNDWATER. gP 9Pd 1,500 GALLON ONE COMPARTMENT 5 HOLE AASHTO - H2O SOIL ABSORPTION SYSTEM LEACHING VOLUME PROVIDED: 554.82 9Pd AND AASHTO - H2O PRECAST SEPTIC TANK PRECAST LEACHING CHAMBER - H2O (DB5) SSDS DETAILS SUBSURFACE SEWAGE DISPOSAL SYSTEM o'. 20' 40' 60' drawing number NOT TO SCALE B28-14 } ' i,� . TYPICAL SYSTEM PROFILE AREA PLAN `` FDN TOP FINISH GRADE=• '1•�-_ NOT TO SCALE ( ► ;' 1�' ;_ N PRL �'!-kl— f 1tO .e4 µ�, ,dl r? r��t`,. FINISH SCALE : I = FINISH GRADE OVER TANK- _ { ?, 00 PLAN 3\? tti"1--# � . r' - -- GRADE OVER PIT �...� k RESIDENCE C. 1. TEES e • • • • e • • ► O `,...........,,r^ •• n. `,y. - . ., B S M T r� r " o• ."''b "*.o.. a r • e e • • • e e e e yoc_o�_, FL12 GAL. 4�� a 1 -46 REINFORCED DIST. BOX CONCRETE8�� E TO B INSTALLED ON'_f - . .;.o:;. .,,.o , . -..�..•. ..: 'b..: _..�."'.:.;'o: :.- A LEVEL STABLE BASE � • � a • • � o o e ► ... SEPTIC TANK e e . . e • ► e `' TO BE INSTALLED ON A • e • • • • • • • e • LEVEL STABLE BASE e. j 2"-1/8'L 1/2 "WASHED PEASTONE ALL r ° ° • • e e e i j` # BRICK Ek,MORTAR COURSES AS AROUND FREE OF IRONS, FINES • ' ' ' • • ` ° ° ' ' REQUIRED TO BRING COVER TO GRADE AND DUST IN PLACE " �'`,fTM LEACHING PIT -. 24 "C.I. MANHOLE COVER & 3/4 TO 1-1/2 "WASH ED CRUSHED - " FRAME - SEE DETAIL STONE ALL AROUND FREE OF BASE TO BE LEVEL IRONS, FINES AND DUST IN PLACE FOR FIN. GRADE SEE SYSTEM PROFILE SOIL AND PERCOLATION 4„ I DATA g' — � 8�- - - — — — PERC. RATE . � " FOR INV.ELEV SEE °T # " Q ; 4 INLET ° ; o , SYSTEM PROFILE TAKEN BY . C. D. SPOHR rL LINE ° 06 WITNESSED BY. 1 { - , ` ° 0 OPENINGS W/4-1/8 ! r o ; o - ° .k II 4 - � � _ � OUTER DIA. B, -3� � o• ,� Yx„ E.' DAT �� 0 ul . o INSIDE DIA. o 1 P 7 6 '. o a T tJ ,�, p p ✓' TEST PIT-GND ELEV. r ;, ,, _ , f., LLI0 3 d l r AAA k `---. W Q , t 0 t{ -{.ram.. �' t� `R.' � Y..n. >. • ' i -`, / �, 0 p d'� . - i — k `S CIO `�� "� � � 4 { ' 01 C [ C. 6 O NA. `x I. EFFECTIVE DIA. LEACHING PIT SECTION a ri W j , y4. NO SCALE DESIGN DATA . k - NOTE: DO NOT RUN HEAVY EQUIPMENT OVER SYSTEM NO. of BEDROOMS DISPOSAL LEACHING PIT NOTES: EST. TOTAL DAILY EFFLUENT GALS. t `r 28 DAYS . I w . � '''�_� I CONC TO BE 4000PS 1 a SEPTIC TANK GAL. 0 - /'� `� 2. R E I N F W 6 x 6 6 GA. W. W. M. LEACHING AREA 1 , SQ.FT/GAL.- �-� SO.FT. , 3. 2 SAND 4 ' SECTIONS ARE AVAILABLE FOR GENERAL NOTES GREATER DEPTH REQUIREMENTS ' 1 . ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN NOTE: --��./.�- � ACCORDANCE WITH ART. XI OF THE STATE SANITARY CODE EXCAVATE TO ELEV. OR LOWER AS (O , p�� (�„�_ '" � - ,� � � DATED AUG. 1571966 a ANY LOCAL RULES APPLICABLE. w `` I REQUIRED TO REMOVE ALL LOAM AND CLAY' CONTAINING ' I ; 2. ANY CHANGE TO THIS PLAN MUST BE APPRD. BY THE it ,. . �; --'' MATERIAL BENEATH PIT. REPLACE EXCAVATED MATERIAL � , �_ „�--''� ,•,-;!`�. - �- �, --- �l B D 0 F HEALTH. -1` r - -' tQ WITH CLEAN CLAY FREE GRAVEL MECHANICALLY L- COMPACTED IN PLACE. 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING, NOTIFY B0. OF HEALTH FOR INSPECTION, 4. FOUNDATION ELEV. MUST BE CHECKED WHEN COMPLETED. -"•-�.. ._.._ _$-,-�' "� ,, 5. THESE ELEVS. MUST NOT BE CHANGED WITHOUT BOARD OF HEALTH APPROVAL. LEGEND 6. BOARD OF HEALTH INSPECTION READ. WHEN EXCAVATED. . ` � 50.0 EXIST. GROUND ELEV. 50.0 FINISH GROUND ELEV.- UNDERLINED REV. DATE DESCRIPTION PIPE INVERT. ELEV. o TEST PIT LOCATION SEWAGE DISPOSAL SYSTEM FOR V) ' o o SEPTIC TANK ❑ DISTRIBUTION BOX s,� I '. s 4 " C. I . PIPE c Charles D, L - 1-N i H it-}- 4 BIT. FIBER PIPE -TIGHT JOINTS SPC)HR "' b -, p fo 71�3 -' �l DESIGNED: C•D.SPOHR DATE: DRAWING N0. - -- - PROPERTY LINE ` ! ��� yT F MIN. CODE DISTANCE \,� t>�" DRAWN: SCALE:ASSHOWN CHECKED: C. D. S .