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HomeMy WebLinkAbout0025 KNOWLTON LANE - Health 25 Knowlton Lane �t Marstons Mills A = 103 092002 �i TOWN OF BARNSTABLE LOCATION %nlOr v�Ta� ^L/4l�//- '•SEWAGE# VILLAGE M,41AS rO rIS iMe fJS ASSESSOR'S MAP&PARCEL 0& INSTALLER'S NAME&PHONE NO.S6g'-e-12D-97 22 ✓os�/oLi /fie�av�oS SEPTIC TANK CAPACITY /DDU �s LEACHING FACILITY:(type) ,2 -S71U L/�j1�i19 a/-/S(size) ,�S�jC / 3 NO.OF BEDROOMS OWNER J0 a J,'-- PERMIT DATE: 9-20 —/ 7 COMPLIANCE DATE: 9-20-17 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 2,00 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY Le C3 33.. 1�3o �. s 1 No /31 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered mcomputer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for Misposal 6pstem Construction permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address //or Lot No. 60L r h 1-401-5 Owner's N/me,Address,and Tel.No. Assessor's Map/ParceldHf 4f;11j' 014✓Gf �6A9 c/R/C- kl Installer's Name Adckess,and Tel.Nod,'08-Z/:ZO-,j J38 Designer's Namje,Address,and Tel.No. 744 / Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ® gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Or / , re filoe 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 Board of Health. Signed . rr;L Date Application Approved by Date 9 Application Disapproved by Date for the following reasons Permit No. " ` Date Issued 31� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS application for Disposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair((i)''Upgrade( ) (Abandon( ) ❑Complete System ❑Individual Components Location Address/or Lot No.,°2 f k�f/©cvz /1 rJf; Owner's Name,Address,and Tel.No. Assessor's Ma /Parce pl - p � L7 .',00 /!' 1 Installer's Name Address,and Tel.No SQ$^!/�?p-�j7.�8 Designer's Name,Address,and Tel.No. �oS /Jh f.a 601-P43 // , W,54y,F/ • 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(min.required) �5 ® gpd Design flow provided �j gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil +` r // Nature of Repairs or Alterations(Answer when applicable) Te_5rj1/ t9Gdt"'W/ ra Pxwe Date last inspected: :, - Agreement: r 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 R Compliance has been issued by this Board of Health. Signed ,r,9 �1-�r Date ' Application Approved by- _ Date Application Disapproved by Date for the following reasons Permit No. / , Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance � THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(4-), Abandoned( )by at ltCl{,Q WZ T011/ Z. if/M dA1,4!^,5TU!?Sij/11as been constructed in accordance q with the provisions of Title 5 and the for Disposal System Construction Permit'No. .-el7 316 dated 'i Installer.�,o s /� 9 , ty: 0_5 Designerje rlyK #bedrooms 3 Approved design flo r 3 a() gpd The issuance of this permit shall not be construed as a guarantee that the system will functio as, esi ed. Date f / ! / Inspect _ . .----"No. C,/"'+�/--I----- 1lb---------------------------------------------------------------------------------Fee------------------- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( Lr" Abandon( ) System located at MIN and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction mfist be completed within three years of the date of this pe 1 it. Date t ,l �7 Approved by, Z)-Ay�� From: 04!04i2018 10:48 #389 P.001l00i t Town of Barnstable Regulatory Services l; Richard V. Scali, Interim Director ��% sexxgrsst.e, • 10� Public He •a, Health Division ate/ Thomas McKean, Director - 200 Main Street, Hyannis, N A 02601 Ut':tce. 508-302.4644 Fax: ° 'ti-790.6304 i Installer & Designer Certification Form Date: i ' Assessor's _�_j Sewage Permit#Z+��—j/�v 1ap�Parccl Designer: Installer Address: ? Address: -J----------..__ � On comas issued a pear„it to install a (date) (installer) septic system at L' c1i`v i`i `i` �v 'i�.�,based on a design drawn by ^(address) ~ D,, ```r (�✓` Ay � _ dated _ �ner(lest �. g ) I certify tha the septic system referenced above was installed substantially- according to the design, whichmay include minor approved charges such as lateral relocation of the distribution box and,kor septic tank. Strip out (if required) was inspected and the soils were found satisfactory. 1 cet-tify that the septic systern referenced above was installed with major ;Ranges (i.e. greater than 1 L1' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State&. Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(ifrequired) was inspected and the soils were found satisfactory. I certify that the system referenced above was constrict •e with the terms of the r,A approval letters(if applicable) (iit-talier s Signature) Io. 1(A (Designer's Signature)- - '� (Affix L?esi.gner amp Here) PLEASE RETI;RN TO BARS ABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CART? ARE RECEIVED BY THE BARNSTA:BLE PUBLIC HENLTH DIVISION. THANK YOU. Q.tSeptic,.Desienet C.enification rare Fev 8.14-1?aloe Town of Barnstable P -44�5 # Department of Regulatory Services i annrtar�t�a Public Health Division Date7 s,�P 200 Main Street,Hyannis MA 02601 jFll µKt� p, Date Scheduled �l -1 Jr;7 Time�_ Fee Pd. Soil Suitability Assessment for age Disposal ., Performed•By: Witnessed By: LOCH &.GENERAL INFORMATION Location Address Owriees Name Address Assessor's Map/Parcel: ` /6 3 cq 3t— Engineer's Name NEW CONSTRUCTaION� , (�)(REPAIR Tole hone# c ri33 Innd Use• ke; `.�[�y�` l9, Slopcs(96) V Surfhco Stones f Distances from: Open Water Body_ ft Possible Wot Aiea0 ft Drinking Water Welr>_ -y Dmlhaga Way 2 1 ft Property Une _ 2 R Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pare tests,locate wetlands in proximity to holes) Parent material(geologic) JMwoli a Depth to Bedrock • /• Depth to Groundwater. Standing Water In Hole: Weeping from Pit Faca iv Estimated Seasonal High Oroundwater � DET RM NATION FOR SEASONALMIGtH WATER TABLE Method Used: -- h) De th Obsor4d standing in obs:hole: In, Depth to soil mottles. In., . Do�th to weeping from side of obs.hole: bf. Groundwater Adjustment Index Welt# Rending I)ato:_ index Well Imvol Acj,thCtbr.,,,_,,r Adj.Groundwater•-Leval,,_ PERCOLATION TEST bate _._ Time Observation Hole# - 1 qq Tlme at 9" Depth of Pero je-. �✓t Z�it ' Time at 6" Start Pro-soak Time @ Time(9"•6") End Pre-soak ) Rate Mln.11noh poy GG�i� Site Suitability Assessment: Sitd Passed _ Site Failed: Additional Testing Needed(YIN)__J_d 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 (I week prior to beginning. Q:\SBPTI0PERCF6RM.D0C . - fW t R, DEEP.OBSERVAiTION HOLE LOG Hole# _ Depth from Soil Horizon Sall Texture Shcl Color Sall• Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stoned;Boulders. Consistency,%'Oravell LOCI a VIJ :b -� 101D- OEM DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) ii (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Q 1— ylM7 1.oa rl-t ki J Itl'-d l t 6 16" 6/. JaZ' �tt:D `2� DEEP OBSERVATION HOLE LOG Role# Depth from Soil Horizon Soil Texture Soil Color Sall Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders., Consistency,S Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soll Texture Soil Color Sall Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders, Flood Insurance Rate Map: Above 500 year f lood boundary No— .Yes Within 500 year boundary No Yes„_ Within 100 year flood boundary No .,� Yes Denth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious m rial exist in all areas observed thrpughout the area proposed for the soil absorptibn system? If not,what is the depth of naturally occurring per Ious material? ..--- Certl.fication I certify that on (date)I have passed the soil evaluator examination approved by the Department of Enviroi Mental Protection and that the above analysis was performed by me consistent with the required aIn , xportise nd experIonce described in 10 CNIIt 15.017. t4 l Signature Date , QAaEFT1MBRCPORM.DOC down cape engineering, incSIEVE SOILS ANALYSIS 25 KNOWLTON LANE MARSTONS MILLS, MA DATE OF REPORT: 8/17/17 JOB : GRAIN SIZE ANALYSIS-SIEVE TEST SITE: 25 Knowlton Lane, MarstOns Mills LOCATION: DARREN MEYER TEST HOLE SIEVE ANALYSIS Weight Sample(Grams): 162.1 SIZE ;WEIGHT RETAINED % RETAINED % PASSED --------- - -- sum)- ------ ------------ ----- 1" 0.0: 0.0%: 100.0% -------------•----------------------- - •---------------------I------------------ 3/4" : 0.0: 0.0%: 100.0% -------------- ------------------ --A----------------------------------------- 1/2" 0.0: 0.0%: 100.0% -------------}--- ............. r--------------- - 3/8" 0.0; 0.0%; 100.0% -------------- ------------------------ ------------------ #4 0.0: 0.0%: 100.0% #10 : 9.5: 5.9%: 94.1 0 ------------- ------•--------------- - -a---------------------...---------------- #20 56.7: 35.0% 65.0% -------------; - ---- t ---------------------------------- - #40 109.3; 67.4%; 32.6% •_____________...........................Y---------_---_______-f.................. #50 129.8' 80.1%: 19.9% ------------- -------------------- -- --------------------- ------------------ #80 145 89.9%: 10.1% ------------- --•---------------------- ---------------------• - - •- ---- - #100 148.0: 91.3% 8.7% #200 152.1: 93.8%,' 6.2% ------------ ...........................r---------------------r------------------ PAN: 155.0: 100.0%; 0.0% SAMPLE: : 162.1: NOTE:TEST ON PASSING#4 ONLY, 3.8% RETAINED ON#4<45%O.K. RESULTS: SOIL CLASSIFIED AS AASHTO A-1-b (GRAVEL AND SAND) (UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING#4 SIEVE : #4 100% (TEST ONLY MATERIAL PASSING#4) OK #5010%-100% OK #100 0%-20% OK #200 0%-5% CLOSE SAMPLE IS CLOSE TO MEETING TITLE 5 FILL SPECIFICATION >93%SAND RESULTS: PERMEABLE MATERIAL-CLASS 1<2 MIN./IN. MATERIAL(0.74 GPM/SF) NONCOMPACTED ��H OFMgS SOIL DESCRIPTION: MEDIUM SAND DANIELA yfs o OJALA CIVIL y o No.465027/)7 L i LAY No.__ o�Gos 6.26 Fee----- :-- --`------ BOARD OF HEALTH TOWN OF BARNSTABLE 0(pplicat ion,for Vell Con4truct ion permit A lication i hereb Tade fop a permit to Construct (k), Alter ( ), or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel A f& 4 Owner Address Installer — Driller A ress Type of Building / Dwelling -- -- --- — Other - Type of Building------------------ No. of Persons---------------------------- ,��,� G �7 Type of Well�"-�%�-�=----- -------- Capacity------/ ----- -- --------- Purpose of Well----- -----`� — ----- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Wel Protection Regulation — The undersigned further agrees not to place the well in operation unti rtif' ate ce has been issued by the Board of Health�.g �� -- Signed ------ --- - -- date Application Approved By ---- ------ date Application.Disapproved for the following reasons: -------- - - —-- -- - -------- --------- -- -------------------------------- date Permit No. -- --- Issued----------___ _----_—__-- -- ___-- date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate Of Compliance THIS IS �E�TIFY, f aA Individual Well Constructed ( "1, Altered ( ), or Repaired ( ) by---------n/k ------- — — —---- - --- - - -- - -- -- ----- - �. / Installer --------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ---------------Dated-------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE---------- ---- --- -- Inspector--------------------------- --——------ _ _ . W rr No.------------ Gos G�b Fee----- ---=----`------ BOARD OF HEALTH TOWN ' OF BARNSTABLE Applicat ion,for Vell Con5truct ion 3permit A lication 's hereb ade for a permit to Construct ( 4 , Alter ( ), or Repair ( )an individual Well at: Location - Address / Assessors Map and Parcel iQGiGrocG - - - — /rr� Gs��_ O ner Address Installer — Driller Ad_ dress Type of Building / Dwelling , 2 ------— - --- — Other - Type of Building--__—__________ No. of Persons-------------- ----- Type of Well Capacity----�----- ---- - Purpose of Well----��' -'-Cioti`--------- Agreement: _ The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Wei Protection Regulation — The undersigned further agrees not to place the well in operation until a C rtif'cate xC i ce has been issued by the Board of Health. Si ned .2 - - — t — $ --------— date Application Approved By --—— ———— ----- - date Application Disapproved for the following reasons: 3;--------------- - -- -- date Permit No. ---- — Issued---—_--—— -- -- - -- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f (Compliance THIS IS T CE TIFY, That the Individual Well Constructed ( Altered ( ), or Repaired ( ) by-- ��.Go --- -- ----- -- --- - -- - --- --- ----- -- Installer has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection 4 Regulations d s ril5ed iri the applicati n,fo WellrConstru t of n'Per�mit No THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------- --- = K Inspector-- ----- -- -- - ---------- BOARD OF HEALTH TOWN OF BARNSTABLE Ive[C �on�tructionermit No. -1'-=- —�v� Fee Permission is hereby granted to Construct ''') er ( �, or Repair ( ) an Individual Well at: Street as shown on the application for a Well Construction Permit No.-- ——___ Dated- -—— —- - --------------------- � t Board of Health DATE— I i TOWN OF BARNSTABLE - g 6 _9gg LOCATION t o/ ' r1v0 wL.7bA1 C.,v. SEWAGE # VILLAGE ,/4 . /t4;LL 5 ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. /,//,a/Cp, aro S &wl-. r- SEPTIC TANK CAPACITY /0 o a e- LEACHING FACILITY:(type)� / (size) 4/.X 6 113��„� NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER �n BUILDER OR OWNER A//GkUl-A S DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: �� t VARIANCE GRANTED: Yes No J /Z �2 iSSESSORS MAP NO: -c3 ��_q5� PARCEL NO.: - ay ®� *I'- ...... No. --..._---- �" Fss............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH i .OF....... �✓ -.. ....... ----------------------------- Appliratinn for Disposal Works Ton,strnrtinn Prrmit Application is hereby made for a Permit to Construct ( or Repair (. ) an Individual Sewage Disposal System at: t - ---••---- l ........ � _.- zP_... ._. ... �._�._ ...--- ocatio ddres or No. ` - j e W ner re w •••• ,!ti'.(....................� r�..... -- � ,2�.:c.. ...��®® �� f._.._. .. ..�Z.'? a Install r Address .. Pa d Q Type of Building � Size Lot-._��__4�_�__..Sq. feet Dwelling—No. of Bedrooms.......... ..........................Expansion Attic ( ) Garage Grinder -6- Other—T e of Building ............................ No. of ersons...................., .. Showers — a yp g p ..... ( ) Cafeteria ( ) Otherfixtures -----------•---------------------------•---•----------.-••-•----•--••--•-•-••_•......•---- ......-•••••-•--•--•-••-. ------ w Design Flow............................................gallons per person per day. Total daily float..................... ---------gallons. WSeptic Tank—Liquid capacity---/.0..gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No--------------------- Diameter....----.---........ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.....................+ ✓. Date...__ / a Test Pit No. l...... ----minutes per inch Depth of Test it.................... Depth to ground water.--.....--.........----. Gz, Test Pit No. 2.k__._...... per inch Depth of Test Pit.................... Depth to ground water----........---......... a -•---•••••--•••-----••-••-••••-••-•--•-------•-•----•••-•--••-----•-••--•-----------------------•-•-......................................................... 0 Description of Soil.......................................... p - x c . w U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ----------------------------•---...............................-........................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'T'IE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issu d by the hQar, of 1 ealth: / Signed �.:`.. = . .......... Dat� Application Approved BY •• ..............--'--� Date Application Disapproved for the following reason :-•-•---••...............................•-•------•-•-----••••-------•-----•----•---•--•--•..................••-- .. ... ..... .......••-•-••---------•--••-----•......•-- ------------------ Date PermitNo......................................................... Issued....................................................... Date Nol.b....-4 J r Fps..Y�.:�•...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH '? ._.......OF...... _.r,., Allp irFa#inn for MsVosFal Works (foust.rnrtion ramit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: ................__ O.C.; ..- . . ...... /� 7 c .;t � t-fit. _ ......-- f ` iott/-,Address a sCA-t eff� d<� 2 'i Installer t22� Y Address // U Type of Building Size Lo�`_1'__/f R.._..Sq. feet 1., Dwelling—No. of Bedrooms-__---•--�:............................Expansion Attic ( ) GaAage Grinder `4 Other—Type e of Building ............... No. of ersons._._.................__.____ Showers — Cafeteria a YP g ------------- P ( ) ( ) a' Other fixtures ..................... W Design Flow............................................gallons per person per day. Total daily flow.................... "--.........gallons. WSeptic Tank—Liquid capacity._l? ...gallons Length................ Width................ Diameter---------------- Depth............. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.................... ...---�?'y __ Date..__..._ a � r------------------------ ,� Test Pit No. 1...... per inch Depth of Tes It.................... Depth to ground water_.___.__________._.____. 44 Test Pit No. 2_'�___''�l_.......minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 •••••••----••---••••--••--•-•--•-••••.......-••-••••----•-•-••.......-•-•--......•-•-•---------••••.......................................................... O _... --—------- U Description o - ------------------•----------<✓ --- -� :?i — .- ---------------------------------------------•-- -- ---- 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 T '7-2 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by thebboard of health. C/ Wiz. Signed........ -- ----- ..�!.: ✓._ C Date Application Approved BY l ' .• � ---- Date Application Disapproved for the following reaso s:-•-••-•------•••----••••••-••-••••••-•••••--•-••-•--•-•••-•--••••--••-•-•-•-•-----•-----•--•-•••-•---••••...-- --••••-••...--••-••.._......--•••---••••••-•-••.......-•-•••••••---••••--•-----••-...._..--•---•--•........ Date PermitNo......................................................... Issued....................................................... Date i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / -tOt OF. � . ......................... .................... ............T..,.......................... Trr#ifiratr of Tomlifianrr THIS IS TO CERTIFY-Y That the Individual Sewage isposal System constructed,O or Repaired ( ) bye%"a�.. ...._._..` �. �-_...:.ffxt' ii�t. .� ....... - . • .-- Installer at........�� �!1`?'� '17.fi ,?� 7� . ----- z ------. has been instaZin accordance with the provisions of T!TIE 5-of The State Sanitary Code as described in the application for Disposal Works Construction Permit No �_.�1_��.................... dated... CC.':_Z��_-.�(-a..._._........ TIME ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE................... '. 0 .................................. Inspector.......... -_.L A :. W j THE COMMONWEALTH OF MASSACHUSETTS ►�� o�(� �. BOARD OF HEALTH �' l �) 1....: Ci. �......OF........-•>_ :j7. k , �' 1._ 1 -....... ............................ V NO.•••6...............••. FEE. ...............--- Rupuual Workii Permission is hereby granted........ .(------.. g•• .........e`'Z---------.-` '-:-'...--•......................... to Construuct ' ) or Repair ( ) an Individual Sewage Dispos System 47 Street �!_... / _ as shown on the application for Disposal Works Constructs _.Permit No 6`..__ . Dated..__! J-._5.4•.......... --------------------------••-•-••••.•... .�� q�., ealth .. DATE / ....................................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS ' �pv n� M 61-0 , � � r I 4-0oJ.;► �` y�y to V*5 -� - N \ /y © U 5 Sort 7 V St N r7sr, 6p� L©4 N Lot ►►3 " r1l \ �S �-o 8-2 . � (2- Cd sG s-y��1 Iq A OF DAVID P. Py L/3, $J& NIARIANQ /p`�,�tlC M.4jr �` CIVIL .e ,A No.31115 � pAUL A. �, , D µ 40�QI/ T LEVY No. 10617 H <= 1 F LEGEND EXISTING SPOT ELEVATION Ox0 CERTIFIED PLOT PLAN EXISTING CONTOUR -- 0 -- - FINISHED SPOT ELEVATION - -- FINISHED CONTOUR 0 NOTE: The location of any existing underground sewerage, -- --- — . wells, or other utilities shown on t;is plan is approx- imate only as determined from records and/or verbal d A Jl kl tt T .\ � I A ASS* information. The contractor is responsibl.e .for the •d .71 .ia J \.A verification of the existing locations in the field. SCALE, / ": t/0 ' DATE' 6A1 LEVY & ELDREDGE ASSOCIATES, INC. CLIENT,12'c s I CERTIFY THAT THE PROPOSED ENGINEERS-LANDSCAPE ARCHITECTS JOB NO. BUILDING SHOWN ON THIS PLAN PLANNERS-LAND SURVEYORS DR.BY, fZrTPJ CONFORMS TO THE: 20N1 0 LAWS " OF r3Q f.,s tc M A S 712 MAIN STREET CH. BY$ �Z�� f" HY'ANNIS, MASS. SHEET OF -: DA E LAND SURVEYO �O FT. M/A/. /1lOTE /F EITHER 7-,qe SFPT/C TAN.4C OR %EfFCH//VG P/T ARE MORE 7X.9,f,/ /Z►"BELO.4,V /O �! I"IN JRAOE� � 24 "O/AM ETER CO/yCR ETE COVER _ So4ALL 8E B.PDUGNT TO GRAZ> 6AN EXTRA COIVCRG'TE 9 PYC P/PF fi+EAVY CA ST /RO/Y Co k/4W L L !3E USz17 MIN- P/TCN IF IN DR/VIEWAY . G•OYERS - . 2 J n9oiN. CO/VC.eL`TE elf �4z"I COVER CLEA/V SAND LIQUID LEVEL 4; 4"C/IS� - .;�, ; . 2�LAYER IRON f�/PE 1pOt7 GAL. • ' p o /�8 -'��B" ~'b MIN.P/TC/f► • ° • ' ' • ' • 04 WA SHFD STi�NE V4"Pox PT. SEPTIC 'TANfC D/sT, o •o� • • . . . . . r r , e ° ° ". BOX tY • • a • • • • • r .�. �+ " / N X. • - /N�.r. • � • •EFiECTIVE r � • • •3�4 /, �sr • e i • • DEpTN • • r ► • p WASNED STaNE ;�;s //SXL.S = 39� 5 Cyst•/�- • • v • • • • • • • • r 3 X •o = 3 ° i e i • r • s • • • • • r D PRECpAS T SEE_PAGE INYPI�T C'LEYAT/ONS P'1.(Ol;4.�:� : t�yo•: G.IF!_./�«�, a : v, r • • • • • • r r ;a � F/9v.7 g,L) EQU/V. INYEItT AT OVILD/NG By FT. 6 FT 83 Z /2- FT D/AM. �C(SEE TABULATION, INLET SE Ti PTIC 4NK FT . OUTLET SEPTIC TANK e5- FT. INLET D/STR/B!lT1DN BOX FT. SECT/ON. OF• GROUND WATER' TABLE OUT4ETDI5TR/I3UTI0IV BOX z- FT S �f/AGE �'I�lAS•A L .Si�S7'EM INLET LEACHING f>/T 82P FT. E1 / Ti4j!✓LATID/V L EACHIIVCv P/T SCALE DIMENS/ON A `D FT. D,F,T16X CRITERIA o/.tiF/vs/a/v $ -FT• N[II+/.:.==/t OFBEOROOMS 3 D/HENS/ON C—AFT. (7ARaA6E®ISPO.SAL UNIT moo»� SOIL LOG. 15,40/1- :EST' TOTAL E37/MA7-ED FLOW 3ly G.gL.1DAY SOIL TEST 10�/ SOIL TEST 2 NUMBER OF cEacXlNO P/rs_.� f-Fce°�! 6s. ,DATE OF 501L TEST T/2-TA- SIDE L,EACHlNG PER P/7' 1/57 SCq RESULTS BYW)Qd- 1h<16.11 BOTTOM LEr9GN/NG PER P/T //3 $Q. pT. L� PeAtCOLAT/ON RATE Af/ L -2- AJ//V1/NCH TOTAL LEACHING AREA _'?6-Z SQ, FT. 3t '.''; G/_y PfRCOLAT/ON RATE 2 /'7/N.�INCH RESERYELEACN/NGAREA SQ.. FT. moo; L C7Q \(H� OFDAVID Mq ss ;r c MARIAN0 O 7 ICh Atc)/ "Dh a.,tic CIVIL 4- �t. ,p No.31115 " LEVY & ELDREDGE ASSOCIATES INC. s - � E l- _�3.3 ' 2. _ 7/2 MAIN ST. yYA,Vw/S, M,gss, .A 0 NO G RO O/V o YY,4 r&R ENCO UIV 7 4 CL/ENT:/V,��C,t.I�s DATE ro�Vr'+ Q GROUND Yv<►TER AT ELLcv - .IO BSHEET?-OF 2 LEGEND MARSTONS MILLS PROPOSED CONTOUR 1 ® PROPOSED SPOT GRADE EXISTING CONTOUR I O Rqc" .� + 96.52 EXISTING SPOT GRADE - W— APPROX WATER SERVICE TEST PIT 9� SCALE: 1"=30. . I ; 2� 0� cc f cgoo % 84 �/�C/Mq BENCH MARKkNowC �T/� oR ® rON PAINT SPOT ON i 4AI DRIVEWAY CORNER - 8 5.6 9 , , Locus USGS DATUM ASSUMED 86 PA�� DRIVEWAY LOCUS MAP S D LOCUS INFORMATION y ` PLAN REF: 442/011 TITLE REF: 24121/093 PARCEL ID: MAP 103 PAR. 92/002 o Q �� \ o. FLOOD ZONE: „ ' Ov �� S� COMMUNITY PANEL: 25001CO542J DATED:07/16/14 �.� V o�<<, '� . ` SEPTIC SYSTEM . 87, •�- ®� 2 �\ \� ,��, ti�cc •��,:-'''� REPAIR PLAN VENT ,2h \\ \\ \� \\� 040� '�, LOCATED AT: \� 25 KNOWLTON LANE s. O MARSTONS MILLS, MA. sa PREPARED FOR PROP. 5 FT 85 D A V I D & L A U R I E F O G E L SOIL REMOVAL EXIST. 1,OO �\ �`�� SEPTIC TANK ° SEPTEMBER 4, 2017 O °. 1 � 1 �� OF SAS $a - � .. sq�ti DA EN M. ✓+ ` N 1 i 87. SANI TAR\P� MEYER & SONS INC. i P. O. Box 981 PLAN 88 E. SANDWICH, MA 02537 I SCALE: 1 in = 30 ft PH. (508)360-3311 LOT 0 30 60 fax (774)413-9468 ' - _ ° 0 lb zo 30 60 meyerandsonstitle5@gmail.com AREA 43560 sf+ ry PLAN BOOK 442 PAGE 11 - '10 ASSR MAP103 PCL 92-2 SHEET 1 OF 2 J 1680 , T.O.F. NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS EL: 86.0 NOTE: PLACE RISERS OVER ALL COVERS W/IN 6" OF GRADE FINISHED GRADE (86.2) , n�F.GEL: 85.4 F.G.EL: 86.0 - F.G. EL: 86.20 � , VENT } MAINTAIN 2% MIN SLOPE OVER LEACHING AREA A OF 3/8" " DOUBLE WASHED 2 TOP TANK=EL. 83.18 ;• 3/4" - 1-1/2" STONE OR FILTER FABRIC DOUBLE WASHED STONE 6" 4" SCH 40 PVC 10' I i �6' ®®®®- Q ®®®® 14" Ca? S= 1� (MIN. ®®®®®I®®®®®® A: TEE'S ARE TO BE INV ) ®®®®®®®®®®® 4' scH 4o PVC 2 EFF. DEPTH ®®®®®®®®®®® INV.81 .85 f I NV.81 .101 4 2 X 8.5' 4' EXIST. INVERT GAS J PROPOSED DB-3 , BAFFLE EFFECTIVE LENGTH = 25 �•. ., •.:..•. . DISTRIBUTION BOX INV. 82.10 - (H-20) INV. ELEV.= 80.90 EXIST. 1 ,000 GALLON SEPTIC TANK GAS BAFFLE TO BE INSTALLED ON . ���' OF Mgssq� BREAKOUT OUTLET TEE AS MANUFACTURED BY DAR N ys ELEV.= 81 .90 TUF-TITE, ZABEL, OR EQUAL M R TOP CONC. ELEV.= 81 .90 NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING 0. A 0 i INV. ELEV.= 80.90 �®®' ®® ®®®®® . PIPE INVERTS PRIOR TO CONSTRUCTION ®®®®®®® 2) D-BOX SHALL BE SET LEVEL AND TRUE TO6/S1E � Em®®®®®®® GRADE ON A MECHANICALLY COMPACTED SIX SANITAR�1`� BOTTOM EL.= 78.90 INCH CRUSHED STONE BASE, AS SPECIFIED IN 3.75 5 FT. 3.75' 310 CMR 15.221(2) 3) REPLACE EXISTING 1,000 GALLON SEPTIC TANK V '! SEPARATION 5.35 FT. EFFECTIVE WIDTH = 12.5' WITH 150 GALLON SEPTIC TANK IF FAILED, 0 G LLO SE DAMAGED, OR UNDERSIZED. SEPTIC SYSTEM PROFILE ? SOIL ABSORPTION SYSTEM SECTION 4) INSTALL INLET & OUTLET TEES W/ BOTTOM OF TESTHOLE EL: 73.65 _ ( GAS BAFFLE AS REQUIRED (500 GALLON H-20 LEACH CHAMBER) GENERAL NOTES: **NO PROPOSED INCREASE IN FLOW** SOIL LOGS # DESIGN CRITERIA 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL P 15444 BOARD OF HEALTH AND THE DESIGN ENGINEER. NUMBER OF BEDROOMS: 3 BEDROOM DESIGN 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DATE: AUGUST 9 SOIL TEXTURAL CLASS: - CLASS 1 (034 GPD/SF) , 2017 ; OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE DESIGN PERCOLATION RATE: <2 MIN/IN LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: SOIL EVALUATOR: DARREN MEYER, CSE 1614 - 310 CMR 15.405 (1) (B): WITNESS: DON DESMARAIS, BARNSTABLE HEALTH DAILY FLOW: 110 G.P.D. X 3 BR = DESIGN FLOW: 330 G.P.D. 1) A 1.3 FT. VARIANCE FROM 15.221(7) 70 ALLOW LEACHING ; GARBAGE GRINDER: NO (not designed for garbage grinder) 70 BE 4.30 FT (MAX) BELOWW GRADE DE VS REQ'D 3 FT. (H20/VENT PROVIDED) 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR Elev. TP- 1 Depth Elev. TP-2 Depth SEPTIC TANK: 330 gpd x 200% = 660 gpd, USE EXIST. 1,000 GAL. SEPTIC TANK TONSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE i DESIGN ENGINEER. 86.20 0" 1 86.15 0" A LOAMY SAND A LOAMY SAND (330)' = 445.94 S.F. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING LEACHING AREA REQUIRED: 10YR 4/1 tOYR 4/1 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN .74 ENGINEER BEFORE CONSTRUCTION CONTINUES. 85.53 8" 85.48 8" 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. B LOAMY SAND B LOAMY SAND USE TWO (2) 500 GALLON H-20 PRECAST LEACH CHAMBERS W/ 4' 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 10YR 6/6 l 10YR 6/6 + + + THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 83.62 31" 83.65 30" STONE ON ENDS & 3.75 STONE ON SIDES: 25 L.-x 12.5 W x 2 D HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. C SANDY LOAM C SANDY LOAM BOTTOM AREA: 25' x 12.5'= 312.50 SF 7. WATER SUPPLY PROVIDED BY MUNICIPAL WATER. 10YR 6/4 10YR 6/4 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED SIDE AREA: (25 + 12.5) X 2 X 2 = 150 SF TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 77.70 C2 C2 TOTAL SQUARE FEET PROVIDED = 462.50 vs. 445.94 REQ'D 102" 77.65 102" �. 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE MEDIUM MEDIUM I DESIGN FLOW PROVIDED: 0.7446 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING SIEVE SAMPLE ( 2.50 S.F.) = 342.25 G.P.D. vs: 330 G.P.D. req'd CONSTRUCTION. ® EL. 75.70 SAND SAND 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND FILLED PER TITLE 5. 2.5Y 6/4 2.5Y 6/4 PROPOSED SEPTIC SYSTEM UPGRADE PLAN I 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 73.70 -- 150" 73.65 150" 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY 25 KNOWLTON LANE, M. MILLS, MA r Z AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY PERC RATE-<2 MIN/IN. ("Q2" HORIZON) PER SIEVE TEST 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. NO GROUNDWATER OBSERVED Prepared for: Fogel 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. f System Design and Topography Plan by: SCALE DRAWN 15. ALL PIPING TO BE 4" SCH 40 0 1/8"/FT (UNLESS SPECIFIED) • I, Darren M. Meyer. R.S.,'CSE, hereby certify that 1 am current) o MEYER&SONS,INC. N.T.S. DMM Ye y y y approved by MADEP pursuant to 310 CMR 15.017 - 16. REMOVE UNSUITABLE SOILS 5 FEET AROUND LEACHING TO EL. 77.65 to conduct soil evaluations and that the above analysis has been performed by me consistent with the PO BOX9B1 DATE CHECKED SHEET NO. OR TOP OF C2 LAYER AND REPLACE WITH CLEAN MEDIUM SAND PER requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Evol. Exam in October, 1999. EASTSANDW/CH,A4A02537 TITLE 5. 508-362_2922 09/04/17 DMM 2 of 2 ..ac,;'I • n sr, { ._ , ..•� . �. : e.M1 .T n -` YI, '► .f6. :+-�Ji%lw ^i►S wr',fiH'M+bNp.�V�FY.-+W..ils. �r �Ir:liief +il,lW* 'd..-�Rr dW. ,w� r r±1G.'. - • - .NY,. . .w .pow rw .— e . �. - ' �• �� � �`���T Sri „4 _'y s 6�i �?Va �,., e., � MAP - ' PARCEL. 06 2. LOT f i el— `4y` Y � - � 1. __., 'y^. l�ter.,, 1 S , i • - , 1 1 1 , i w:• ,,' ) a to ,. a •"t! J z 4.. C} "•t: 4 1 J LY � � C• '�� R �; 4 ` S 'l { }r` , iY �•:� � �!J �t�i f' Y � Z+ .a � � j- -....�- i - ' ' i j 5 d.. a roi._ ',. ...,.:F,. i _r -. - -J..., ...x^�R-n -w•,r w K-•r r '.• .+F.w.r.,#1. •K•k. 4w,yF+4�`MR .aP•.: - w.+ » tia .... 1 AMrY-.w!¢yµ:vtA'ai'nn qs AWtK x.-' p• : REVISIONS ZONE REV DESCRIPTION DATE APPROVED A 14' 6 6'Frc rh Dow Door 3�8"Dow 5'Goxd opcniiq lO6" 24"x96"9—h/c{,v—day G Frcro'+ Pockd dow 18'Odogon 5.(yligld dip 'S'Goxd opcniiq window 48"x36"Goxrtrrdwidow �"� �,_1 „ V 'S'Slido 24' I 6„.B"Fii Dcoro 24"a9G"d hlclurgwindow 24"xX"dwhkhwgwind— ore to be used for dimensioning purposes only. 5lruclural analysis to be performed by an archdccl. V 51ida Z5 Knowlton Ln. I Marslons Mi//s, Ma. �00� /on C 22 o 02645 SIZE FSCM NU. Druwii BY: RFV 27 Ma ZO Gary P. 51ubbins SCALE l�4ii-li SHEET