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0330 LAKE SHORE DRIVE - Health
330 LAKESHORE DRIVE Marstons Mills A= 030 - 092 TOWN OF BARNSTABLE LOCATION 330 La Xr-5korc. Q#Q SEWAGE# 2018- 1118 r VILLAGE M P`*( ASSESSOR'S MAP&PARCEL 30-49- INSTALLER'S NAME&PHONE NO. -G 4- B EXecwa-,A i o^ qv)')- DL53 SEPTIC TANK CAPACITY 1000 ?j LEACHING FACILITY:(type)Trenel^e5(z.) 3x 14q (size) �e�Q;,per C- NO.OF BEDROOMS Ll OWNER Jea-.Akrj4n }�acrir�o_�or� PERMIT DATE: G-I2. 18 COMPLIANCE DATE: G- I$ • I$ 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 A) - 00'q '' r AZ 613 REAR t v B3'3y ' O �� -y3. 3 y No. ` Fee D THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Zipplication for MispoBal 6pstem Construction 3permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components r Location Address or Lot No.330( o_}1 P wner's Name,Address,and Tel.No.�a�l,r`l� Assessor'sMap/Parcel 30- 92 t � Narr;^-jAcr, . 3.3o L, jec_6,kore-DR Installer's Name,Address,and Tel.No.&+ B EXGox.Va'110 h Designer's Name,Address,and Tel.No,,/ atK F';J►crjy )q-rcasc rrci La forts t.-lc y177.OGS3 P O,BoX $I Yo ran ov31.fbrl 77y 37L0GG Type of Building: Dwelling No.of Bedrooms L4 Lot Size Z0.3 ZO sq.ft. Garbage Grinder( ) Other Type of Building RCS►Jcn 4 i y_ I No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) !q,4o gpd Design flow provided gg3 gpd Plan Date �.- )$ Number of sheets Revision Date Title Size of Septic Tank 1000 94,1 Type of S.A.S. -7-rcn s_1nc S- J?cr-i' V i D c- 54oyl G r Description of Soil Nature of Repairs or Alterations(Answer when applicable) .� SOX ' LCc3lC1. /1Ci 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 b this Board of Health. i ed O_ Date G ' Z Application Approved by - Date Application Disapproved by Z Date for the following reasons A on Pe-mit No. '� D {eAssued r G No. / Fee O THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS i 2pplitation for -Disposal *ps-trm Construttlon Permit Application for a Permit to Construct( ) Repair(✓Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.330 L�xk s Owner's Name,Address,and Tel.No.Kai ry n Assessor's Map/Parcel �ja• �2. 70P� I�t1%�N rr irN110 rN • 330,Lx,Ilc :5AorcAR � Installer's Name,Address,and Tel.No.rj F,. EXCc.-V<:x7l;O ✓� Designer's Name,Address,and,Tel.No-D-L/-- r 44 ly'Tect�crr�l Ln) �resi�a lc_ �'7�•OGS3 �O�aX 81 �� rr,oc�a1•.�c--1 7�N 99�/ IIGG Type of Building: Dwelling No_of Bedrooms L4 Lot Size Z o 3 Z C1 sq.ft. Garbage Grinder( ) Other Type of Building RC 5►jc o f;A j No.of Persons Showers( ) Cafeteria( ) i Other Fixtures Design Flow(min.required) � gpd Design flow provided 4`)3 gpd j f Plan Date (,- / ' Number of sheets 71 Revision Date 4 Title Size of Septic Tank Type of S.A.S. "rrc-n cjnc 5 p r• - p,*O C• .540 ri G �, Description of Soil i Nature of Repairs or Alterations(Answer when applicable) Z J30 X L Ca c h 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. i ed / P Date G Z Application Approved by E Date / Application Disapproved by Date for the following reasons i 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( ) Abandoned( )by 2 �-.2 r - a/� at �?30 L<xkc Shorc- -DR has been cons cted in coo: ce with the provisions of Title 5 and the for Disposal System Construction Permit N . dated Installer B EX Co-L)",4 Designer #bedrooms 14 Approved de ' n flow y`�3 gpd The issuance of this pe it shall,of be construed as a guarantee that the sys em will nc ' de ed�---.�` Date J // Inspecto w_.. -------------------- - - - ------------------------------- No. A y1 d Fee �� ✓' THE COMMONWEALTH OF MASSACHUSETTS v PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstrm Construction permit Permission is hereby granted to Construct( ) Repair(,/f U grade( bandon( System located at a30 j p -DjQO 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. Date Approved by Provided:Constr fiction/ tusp-completed within three years of the date of this permit. j / J i Town of Barnstable P�0*1HE Tp Regulatory Services Thomas F. Geiler, Director > MASS&�. = Public Health Division A � Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: !9-IS- J8 Sewage Permit# Zo18-)'18 Assessor's Map/Parcel 30.92 Installer & Designer Certification Form Designer: f_1o2�Nr_A Et,3.=Refnen'ja Installer: C3 EXec�Va��iol� Address: Address: Jy 'le-L`Jei'rq <rN Foresidal c_ On 6-IZ-)8 S 4 B EXccxV0.-j io r% was issued a permit to install a (date) (installer), septic system at 1:3n L Xc_,Sbore.,Dr' based on a design drawn by (address) dated L_J -1,9 (designer) X I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distri4u ion box and/or septic tank. Stnpout (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' lateraf relocation of the SAS or any vertical relocation of any.component of the septic system) but in accordance with State & Local Regulations. Phan revision or certified as-built by designer to follow. Stripout (if required) was inspected and the soils � N were found satisfactory. • DAVID — �S D. staller's Signat 1:�'HERTy. JR' t�k�. 1a99 OT (Desipe`g Signat. ) (Affix Desig 15WWffip Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. q:\office:forrns\designercertification fonndoc -Fvr,v�5hed �aa`� '-fpnnc •�w�@V' L.0- CATION SEWAGE PERMIT NO.� Mill `VI L. LAG E INSTA LLER'S NAME i ADDRESS �3�~ ogz �P,UfI`� c7 e U.I`L D E R OR OWO ER fir, nz�4R s DATE PERMIT ISSUEDT DATE' COMPLIANCE ISSUED 6-9� lZ . z � v rz<h rc. Town of Barnstable P a is 6 76P , ° ►� Department of Regulatory Services 's Public Health Division Date 200 Main Street,Hyannis MA 02601 �' Date Scheduled Ct/✓ �/ / Time: Fee Pd. AID 'r"'` 1`0 oil Suita ility Assessment for Seya&e Disposal T •e: Performed By: �J Witnessed By: C LO/A�TII®ON1/&9GENERAL INFORMATION 110 Location Address 3 7b LAY -6 5 Owner's Name y�� 'd2,-_ r �(iJ.J Address `3 30 C7V Assessor's Map/Parcel: 030(Z/l^/� l'17 �N�W1 Engineer's Name F�/n NEW CONSTRUCTION REPAIR Telephone# - J S Land Use 4*1_,y yW Slopes(%) 0 Surface Stones N Distances from: Open WatecBody�_ft Possible Wet Area ( ft Drinking Water Well� ft' Dminage Way> Property Lind ft ..Other R. SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) II ` I �1 t Parent material(geologic)&�d V W Depth to Bedrock. '`r Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. :Depth to soil mottles: in.. Depth tomeeping from side ofobs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_ PERCOLATION TEST Date ! Time i "'GGGTTT°°°77T��"��� Observation. Hole# Time et 9" Depth of Pcrc Time at 6" Start Pre-soak Time Q1S Time(9"-6") ]N/,/r End Pre-soak 7 Rate Min./Inch Site Suitability Assessment: Site Passed' Site Failed: Additional Testing Needed(YIN) " Original: Public Health Division Observation,Hole Data To Be Completed on Back---------- ***If percolation test is to be conducted within.1001 of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC ., . 'N� TOP OF FOUNDATION COVERS TO BE WATERTIGHTG IAND NAL GRADE .SEPTIC SYSTEM PROFILE Flaherty Environmental Services BROUGHT TO WITHIN knot to scale) EL. 98.0' EL. 96.0 INSP. PORT W I 3" OF GRADE P.O. BOX 89 2" PEASTONE OR EL.96.0'4: CLEAN SAND Yc?/YI70Uth Port, MA 02675 GEOTEXTILE \ ,I 11LL ALL"Lli :4"CAST IRON or EQUIVALENT FILTER FABRIC ENT-;(3FrREQUIRED)-_ 074.9 . �66 IF I] fill ill]IT 11 . PITCH 1 4" PER FOOT 4^SCHEDULE 40 PVC PIPE 4" SCHEDUL 40 PVC PIPE v FLOW LINE (flist2'to be level) ; _f 20' 2.0% 5' 1,� _�' EL. 92.5' L.EXIST. '.e.'• 14„ '•'' EL,EXIST EL.93.5' 2' Y.• EL.93.03' EL.90.0' EL.93.2' CLEAN, DOUBLE-GA BAFFLE EL.92.0' SOIL ABSORPTION SYSTEM H-2o veox -+---� WASHED " TO 1 " STONE • <� 6"CRUSHED STONE OR (2) TRENCHES 3'W X 44'L X 2'D USING 4.5' - - .�s:.•:+ya,+:; MECHANICALLY COMPACTED PERFORATED PIPE AND SURROUNDED 1000 GALLON SEPTIC TANK a BY DOUBLE-WASHED J" TO 1 a"STONE EL. 85.5' (DATUM: ASSUMED) (EXISTING) BOTTOM OF TEST HOLE EL. 85.5' USGS ADJUSTMENT: N/A LOCATIONMAP S21 oa GROUNDWATER ELEV: N/A N TH ©EXIST, L.P. s Rd, Asa MB�9 GARDEN AREA 1 � 7.1' DECK rho O� LOCUS NC. PORC _ peke Shoes D� c O TH-1 c 35,8' EXIST, S.T. ! 96 � 10' TH-2 PATIO EXISTING NTS 4 BR DWELLING r ����OF M,41 96 S D a GARAGE F BENCHMARK: \ LOT 12 0. 1 TOP OF FNDN ;� GISTS EL. 98.0' ✓� \ 20,320 SFt S d q N I TARS Xmoo_ \\ \ \ 94 DATE.•611112018 REVISED: \ / SITE AND SEWAGE PLAN FOR B & 8 EXCAVATZON ZNC,/ KATHRYN HARRZNGTON 330 LAKE SHORE DRZVE 94 SCALE : 1 n = 3 0' MARSTONS MILLS, MA J o� / ® G �V REF.'PB 249 PG 79 PAGE 1 OF2 , / DES ; ................................................................................................................................ .......................................................................................................................................................................................................................................................... ..................................................... cJ ............................................................... ...................... ......................... .... ............ ........... .................. ...... .......................................... GENERAL NOTES DESIGN CAL CULA TIONS S YS TEM DETAIL Flaherty Environmental Services P. 0 . Box 81 1. ALL PRECAST COMPONENTS TO BE H-1 0 Yarmouth Pod, MA 02675 RATED. ALL COMPONENTS WITH ANY NUMBER OFACTUAL BEDROOMS 4 774.994. 1166 ANTICIPATED VEHICULAR TRAFFIC TO BE OBS, PORT GARBAGE DISPOSAL UNIT NO 31 H-20 RATED. 2. THE DESIGN OF THIS SYSTEM DOES NOT TOTAL ES TIMA TED FLOW ALLOW FOR THE USE OF A GARBAGE (I 10 GA UBRIVA Y X 4 BR) 440 GAL./DAY GRINDER. 61 3. MUNICIPAL WATER IS AVAILABLE. REQUIRED SEPTIC TANK CAPACITY 880 GAL. 4. ALL CONSTRUCTION TO CONFORM WITH 310 CMR 15.000 AND ALL OTHER SIZE OF SEPTIC TANK 1000 GAL. (EXISTING) APPLICABLE LOCAL, STATE AND FEDERAL SOIL CLASSIFICATION 44' CODES AND REGULATIONS. 5. INSTALLERICONTRACTOR TO REVIEW& DESIGN PERCOLATION RATE <5 MIN./INCH VERIFY ALL ELEVATIONS AND DETAILS AND REPORT ANY DISCREPANCIES TO EFFLUENT LOADING RATE 0.74 GAL./DAY/FTC ........... ...... DESIGNER PRIOR TO CONSTRUCTION OR ASSUME ALL RESPONSIBILITY. LEACHING AREA 6. INSTALLER/CONTRACTOR IS BOTTOM: (XX44)X2= 264 FTC 9' MIN, OF SOIL RESPONSIBLE FOR MAINTAINING SAFE SIDES. 2' PEASTONE OR FILTER FABRIC WORK AREA, VERIFYING ALL UTILITIES [(2'X44)X2+(2'X3)X2)X2= 376 FT2 TOTAL 640 FT1 AND NOTIFYING "DIG SAFE" X 0.74 473 GALIVA Y (1-888-344-7233) 72 HOURS PRIOR TO CONSTRUCTION. 7, ANY CHANGES TO OR DEVIATIONS FROM USE(2)TRENCHES OF PERFORATED PIPE SURROUNDED BY THIS PLAN MUST BE APPROVED IN TO I STONE,EACH TRENCH CONFIGURED AS WRITING BY FLAHERTY ENVIRONMENTAL 3'WIDE X 44'LONG AND 2'DEEP SERVICES AND LOCAL BOARD OF HEALTH. RESERVE LEACHING CAPACITY NIA 8. F1N1SffC0VER OVER COMPONENTS IS TRENCH END VIEW NOT TO'EXCEED 3'PER 310 CMR 15.000 (NTS) UNLESS SHOWN PER PLAN 9. ALL ABANDONED SEPTIC SYSTEM COMPONENTS TO BE PUMPED DRY AND FILLED WITH CLEAN SAND OR REMOVED SOIL EVAL UA TION AND REPLACED WITH CLEAN SAND, j�k OF ij%. E#2 TEST TESTHOL gQ Evaluator., David D.Flaherty Jr.,RS,REHS Evaluator. David D Flaherty Jr.,RS,REHS 10.ALL COMPONENTS TO BE PROVIDED SE#2755 SE#2755 DAVI WITH WATERTIGHT ACCESS PORTS BOH Witness. Don Desmarais,RS BOH Witness. Don Desmarais,RS D U) F E WITHIN 6"OF FINISH GRADE. Date., June 1,2018 Date: June 1,2018 11.ALL SEPTIC.TANKS, DISTRIBUTION 0. Y. BOXES AND PIPING TO BE INSTALLED TH-I ELEV.96.0' TH-2 ELEV.96.0' GIs WATERTIGHT. 0"-7" FILL 0%7' FILL 12.NO KNOWN WETLANDS OR WELLS WITHIN 100 FEET OF PROPOSED 7'-23- A LS 10 YR 312 7"-23" A LS 10 YR 312 LEACHING. 13.THIS IS NO T A CERTIFIED PLOT PLAN 23'-41' 8 LS I0YR514 23"-41' B LS 10 YR 514 AND UNDER NO CIRCUMSTANCES IS THIS PLAN TO BE USED FOR ZONING OR 41--47! 'C 1 Silt 10 YR616 r 41'-47" cCl -,,Sift 10YR616 BUILDING PURPOSES. EL.92.01 Loam PERC -C Loam 7 cerW that on November 12,2002,l have passed the examination approved by the Department of SITE AND SEWAGE PLAN FOR 14.LOT IS SHOWN AS ASSESSORS MAP 30 Environmental Protection and that the above analysis has been performed by me consistent with the PARCEL 92. B & 8 EXCAVATION INC./ required training,expertise,and experience described KATHRYN HARRINGTON 15. LOCUS PROPERTY'S PROPOSED SYSTEM 49"-126" C2 MCS 2.5Y614 491-120' C2 MCS 2.5Y 614 In 310 CMR 15.018(2). APPEARS TO BE WITHIN AN AQUIFER 330 LAKE SHORE DRIVE PROTECTION DISTRICT(ZONE II). MARSTONS MILLS, MA G.W.ELEV NIA G.W.ELEV.NIA BOTTOM TH-1 ELEV 85.51 BOTTOM TH-2 ELEV. $6.01 PAGE20F2 .................................... ................. ............. ............................. ................................................................................................................................ .............. .......................... ........................................ .............. .. .......................................................................................................................................... .................................................................................... .... ...... .............................