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HomeMy WebLinkAbout0179 PERCIVAL DRIVE - Health 3 PERCIVAL DR�tle A=110-(-10) M P 1 No. 4210 1/3 BLIP Lind(TTSM ESSELT'E 10% 0 0 CERTIFICATE OF ANALYSIS w, Page: 1 . Barnstable County Health Laboratory Report Prepared For: Report Dated: 9/10/2008 Guy Cosgrove Order No.: G0849213 179 Percival Drive W. Barnstable, MA 02668 Laboratory ID#: 0849213-01 Description: Water-Drinking Water Sample#: Sampling Location: 179-PeciVal'Dr.W.Barnstable,MA Collected: 9/9/2008 Collected by: C.Cosgrove Received: 9/9/2008 Routine ITEM RESULT UNITS RL MCL Method# Tested Nitrate as Nitrogen 1,7 mg/L 0.10 10 EPA 300.0 9/9/2008 Copper ND mg/L 0.10 1.3 SM 31 1 1 B 9/10/2008 Iron ND mg/L 0.10 0.3 SM 311113 9/10/2008 Sodium 16 mg/L 1.0 20 SM 311113 9/10/2008 Total Coliform Absent P/A 0 0 SM9223 9/9/2008 Conductance 160 umohs/cm 2.0 EPA 120.1 9/9/2008 pH 6.9 pH-units 0 SM 4500 H-B 9/9/2008 Water sample meets the recommended limits for drinking water of all the above tested parameters. Approved By- - '(Lab ctor) 91 o CD Cn � fTl C: CD :X i!d -i W Ln rn ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 L V `'- TOWN OF BARNSTABLE LOCATION .171q Qcr c i uci) -DR , SEWAGE# a008 - /G 8 �,,ULLAGE W . Zoarrns-1,1,l c- ASSESSOR'S MAP&PARCEL //p INSTALLERS NAME&PHONE NO. B. S3 EX CA VAT=a ej Sod• N'I1-oZ 3 SEPTIC TANK CAPACITY /SOS�al 10�1 LEACHING FACILITY:(type),<1)ooa 1 c,Ao,m_. CZ) (size) /3 x P.T x QL NO.OF BEDROOMS 3 OWNER Gyu C'o59 ro L-j c_ PERMIT DATE: y- 8- O$ COMPLIANCE DATE: S-, - O 8 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 - IC _e2• FRo►� r f�WELLSn1 G A3-S� g 133; S�i A A y-516<z 6 q- AS. l no IA oog- lb� r No. � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: /A`/ Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 0[ppYteatton for �Dtgonl *p6tem Con0tructton Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) El-Complete System ❑Individual Components Location Address or Lot No. /7 Q -pe rL 1 V aj bov e Owner's Name,Address;and Tel.No. W:Bat fable_ C7U , COS4eov47 .509,36z-3(wo Assessor's Map/Parcel 44 a 110 PA-e 1.6 L I-io 179 Pact VAL be -4eLF �gstaller's Name Address,and 1.No S08-4 77-0 6 s3 Designer's Name,Address and Tel.No.`sok-3&z- 4,5 4 K17b�Name. 4 t8 6XLAUfi10A Z>ovjAj LA-PC r—N4j1vL-6oA1& f 4 93 9 A+1 S o _ P 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)�3 n gpd Design flow provided y gpd Plan Date 14-1-o 2 Number of sheets. Revision Date Title `Tille 5 `i&P_? GPI Size of Septic Tank e V I Ej fjq ISQO- Q CO(O C) Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date ApplicationAppioved by �^ Datd Application Disapproved by: Date for the following reasons Permit No. o Date Issued If "L —————————————————————————————————— ——————-- No° µ'2009 � k <ri � Fee a 10 4�x THE COMMONWEALTH OF MASSACHUSETTS N" Entered in computer: �l PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS YeS I 21pprication for �Dfigpogal *pgtem Congtruction Permit, Application for a Permit to Construct O Repair O Upgrade O Abandon O ❑Complete System ❑Individual Components Location Address or Lot No. tt,1 Q �('r(,t vaj Dnme Owner's Name,Address,and Tel.No. VV,B lns-labte, C40y C064eovt 509-31oz-36 0 I Assessor's Map/Parcel ,A4 M P I 10 PAO I E ( 1 -16 P79 PIRG I VAL bP -A Q _Installer's Name Address,and Tel.No. 'So& 4 77-D 6 S3 Designer's Name,Address and Tel.No. Svc-J&z- `-i 5� K0bee1 61�LrO1 - /3t 6 6'u0W T'IOV DOWN IA-PC CN4/1vEF_2inlfr !I Tl' ISC - -� _ 93 ,+/ty 5 \/Apmo aTo n-0 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures i Design Flow(min.required) 3 3n gpd Design flow provided 3 y q gpd Plan Date 14 2y-0 22 Number of sheets Revision Date Title 101e ;On 1Clf) m ' Size of Septic Tank Pu 1c?}jf^4 J55W (�(� Type of S.A.S. t- Description of Soil �3 1 Nature of Repairs or,Alterations(Answer when applicable) Date last inspected: j { Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance wit 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 ErWAJDate 1-f -1J`�( ° {� Application Approved by �^ Date I -1e-d i Application Disapproved by: Date for the following reasons 11 YJ I Permit No. 6 Date Issued t(—'L Fo --------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( �) Upgraded ( ) i' Abandoned( )by unex - -t(2) 'nil at ,fig —Pe( 6-1 y L � 6('C)G4(t b�has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. OZ OU 0 16 dated �. Installer I Designer t #bedrooms Approved design flow � gpd The issuance of this permit shall no e c nssttr�ued as a guarantee that the system\011-function a de'_tied. Date tp Inspector --- ---------- - -.-.p.� ---- — No. aa Fee b THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS' 'Wigpogal *pgtem Congtructton Permit Permission is hereby granted to Construct ( ) Repair ( �) Upgrade ( ) Abandon ( ) System located at I`l 9 -ec( t yn 1 f i v (1 r f� �� \ and as described in the above Application for Disposal System Construction Permit.The applic -recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this e Date �`1� c� Approved by I FROM down cape engineering inc FAX NO. :15083629880 Mal-i, 0 2008 10:42AM P1 Town ®f Barnstable 'Regulatory Services li Thomas F. Geiler, Director NAM Public He afth Division Thom.as McKean,Direetor 200 Maine Street,Hyannis,MA 02601 (9f'd'ic:e: 308-862-4644 Fax: 508-740-6104 Installer & )Designer Certification Form l ate; / �/®� Sewage Perm t{ �G:sil,nc ro w-, i et h Tn%talle]r: Acii in°ess: �../YA , (Y� Address: �_l / _ may' 44,4 YOIVI /00 O _ -.... was issued a permit to install a (date) (installer) �J septic systern at �4�.✓'C�a I /'- �based on a design drawn by (address) p, ��.--d. dated.— °L o o (de goer) .... 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 distribution box and/or septic tank. a 1 certify that the septic system referenced above was installed wi.t.b. i-riajor e;hanges (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. Man revision or certified as-built by designer to follow. SN OF MqS. DANiEL A. I.n.sta ler's Si na rc 0JALA ( g ) CIVIL c No.46502 �. 8T6F��J`,�. Mess ner's Signature) Ailix bes g amp Isere) I'I.;E:,,$ 12F.I j1B8N TO CiAl2NKTABI,E 1'Ulii.iC HEALTH i)I SYON. CEigTIEICATE Of COMPI.ANC1+; WILL NOT BE ISSULD UNTIL BOTH THIS FORM AND AS-13OLT CARD ARE hiss, EWEID BY Ti3.R RARNS'1'ABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:�Jc ailtb/3eplic/Designer Certification Fonn 3-26-04.doc down cape engineering, inc. SIEVE SOILS ANALYSIS BBB.xlsx DATE OF REPORT: 4/21/08 .JOB GRAIN SIZE ANALYSIS-SIEVE TEST SITE: 179 Percival St. West.Barnstable, MA LOCATION: DOWN CAPE ENGINEERING TH .Job# #08-051 SIEVE ANALYSIS Weight Sample(Grams): 609.1 SIZE :WEIGHT RETAINED ; %RETAINED : % PASSED . 1° 0.0: 0.0% 100.0% ____-------- t--------------------------1_____-----------_A-______-..________ 1 3/4' _ 0.0: 0.0%: 100.0% 1%2"---------- ......................0-0,---------- 0-0 100.0% ------------ •.. ............... 0.0:---------- 0 0%: --- 100.0% 0.0: 0.0%: 100.0% 10 52.3� 8.6%j 91.4% ------------- .............,...... .---..:__ ----------------�------------ . -20------- ...179.7: 29.5% 70.5% 387.7; 63.7 36.3°l0 ---------------------------------------.------------------>................ 50 4...... 77.3%; 221% 562.6: 92.40 7.60 y------------------`...-------....... _ 100 562.6; 92,4%; o 00 605.0; 99.3%; 0.7% PAN............................------- - 609.1'---------100 0%;r------------0.0%0 SAMPLE:' ---------609.1; -------- - ---•-------- -- NOTE: TEST ON PASSING#4 ONLY, 15%RETAINED ON#4 <45%O.K. RESULT8: SOIL CLASSIFIED AS AASHTO A-3.(GRANULAR,SAND).(UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING#4 SIEVE MEETS #4 100% (TEST ONLY MATERIAL PASSING#4) #5010%-100% #100 0%-20% #200 0%-5% REQUIREMENT FOR"FILL IN TITLE 5. <5%PASSING#200 SIEVE RESULTS: PERMEABLE MATERIAL-CLASS I<6 MINAN.MATERIAL © ItO�' �S4s�,cti NONCOMPACTED DANIEL,A. SOIL DESCRIPTION: SAND,MEDIFINE OJALA CIVIL No.46502 '" L U'I-.0$ Town of Barnstable P# Department of.Regulatory Services aTAgLK : Public Health Division Date Maas s'� 200 Main Street,.Hyannis MA 02601 //y1 i639• ♦ Date Scheduled j kT Time Fee Pd. Soil Suitability Assessment for Sewage Disp W Performed By: Witnessed By: LOCATION & GENERAL INFORMATION ;: Location Address Owner's Name (LV y C056,eov F 9 �{2rci.�al �rtve Address �7q VeCclva►DCly west 13Ctr'n6+cLbke Assessor's Map/Parcel: I)O DO(O 4 0 ° Engineer's Name / �oV4n Ca.��ngi�ee<<�9 NEW CONSTRUI`TION REPAIR Telephone# 5 OS'3 2.- 5 Land Use Slopes(40) Surface Stones Distances from: Open Water Body ft Passible Wet Area ft Drinking Water Well ft Drainage Way ft. Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) -- II I i it Parent material(geologic) Depth to Bedrock Depth to Groundwaker. Standing Water in Hole: _ Weeping from Pit Face Estimated Seasonal;High Groundwater DUTERMINATION FOR SEASONAL HIGH WATBIt TABLE Method Used: In. Depth Qbserved standing in obs.hole: __In. Depth to Sol]mott193: in, Groundwater Adjustment ft. Depth to weeping from side of obs.hole: Adj.Croundwater Level,, index well# Reading Date Index Well IevCl Add.faCtOr„ .._ liepm trom niou ttonzon you i exture Sat Uaor SON Other Surface(in.). (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture 'Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc ra el Flood Insurance Rate Map:. Above 500 year flood boundary No_ Yes Within 500 year boundary No— Yes„ Within 100 year flood boundary No Yes Depth of Natu6HY Occurrine Pervious Ma terial Does at least fo r feet of naturally occurring pervious material exist in all areas observed throughout the area proposed f6r the soil absorption system? _— If not,what is the depth of naturally occurring pervious material? Certification I certify that on. (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 training,expertise and experience described in 310 CMR 15.017. Signature Date Q:�SEPTICVERCMRM.DOC He-v 5 J2,0-/7 TOWN OF BARNSTABLE q LOCATION P ,e�u . b�f' SEWAGE # • t7 Y/ � 'OLLAGE 1i ASSESSOR'S MAP&LOT 9/b-2 f 610 INSTALLER'S NAME&PHONE NO. V SEPTIC TANK CAPACITY 451r"l� LEACHING FACILITY: (type) (size) NO.OF BEDROOMS -3 BUILDER OR OWNER �w PERMITDATE: 7- 1 f„ - !- _COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by u 1 i Ll (D 3 35 3 331 - o........ PC,L F�s....faa ..................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH q WA_ .............OF..... 6.? Appliration for Dig og al Works Tonotrurtion rnmit Application is hereby made for a Permit to Construct ('�or Repair ( ) an Individual Sewage Disposal System at: h ..�. 2 ...--------- --------�vac..---- ------ -.'w.:� -..----------------.........---------------`�.---------- ............... Locat on-Address or Lot No. Y1!l C.:= 7 `L�g�_- 119 = C11147�1 a � Installer Address dType of Building Size Lot..__.._��.L�&Sq. feet U Dwelling—No. of Bedrooms.............3............__ .Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures -------------------------------- . w Design Flow......................S!.�.............gallons per person per day. Total daily flow........................'330.....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.---____-_k--------- Diameter--------1lD------- Depth below inlet.......... -..... Total leaching area....Ut(,...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.... L�j� �.. '...�.`�:E ....� C--............. Date---- _��0.:: 3__...__.__..- ,aa Test Pit No. 1____ _.__minutes per inch Depth of Test Pit_.....1 __. Depth to ground water_-__! ._.... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...------_----_.-_-.-_-. R+' ----•------------••-----!! _------------------ -•----•-•------------.------••------•--------------------------------------------------------------------- O Description of Soil................ ••--l�d�iAA--'...... �aS. O �.....-------•••------------••------•-------•-------•--•----•-•..................•-- ----------------------------------------------------------------------------------•----•-----------------------------------------------------------•----------------------------------...............-- 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. "t T►4h 37vc C. t- Signedt�>v---- ...... .. .. `.. �:: y� ff ........ .. ..... ...... ApplicationApproved By --- . ......�/ ..... .. .. . ......... -- -- - ..--- --------......-----..........--..... . D Dare .....7� Application Disapproved for the following reasons: ................. ...........................:........--------....--..--- -----•--........------ .................-------- ...............--------------....-......... ... .c -............ .. ..... ......) ............................................................................................ ...... ..................Daze-----'---------- Permit --- - - - ------------ Issued ............ AW-) THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................OF........: ....................................-............................................. Allpfiration for Uhipasaal Works Cnnnitrnrthila Permit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: Lo T— c - ............. Location-Address or Lot No. ........................:......................................................................... ......................•---......................................_................................. Owner Address W a •---•- •----•-- -•----------------•------•'Installers....--------------------------•---^---- ---------...--------•-----.........--•---...Address-•------- ��•----•••----------....... 14 Q Type of Building ( ) Size Lot.__.._..... -c_..... Sq. feet Dwelling No. of Bedrooms...........................................Expansion Attic Garbage e Grinder ( ) p., Other—Type of Building ............................ No. of persons___-_______-_-•--_-.__-____ Showers ( ) — Cafeteria ( ) Ga Other fixtures ;. --. --------------- - W Design Flow.....................S__ _.___._.______.gallons per person per day. Total daily flow__-_----.-_--__--_--__--- + _.....gallons. WSeptic Tank—Liquid capacity_1_� .gallons Length................ Width......._.._.____ Diameter________.___-__. Depth... .._.._..._. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area........_...........sq. ft. Seepage Pit No-----------+......... Diameter........!0------- Depth below inlet..........(?..... Total leaching area..... ft. z Other Distribution box ( ) Dosing tank ( ) '—' Percolation Test Results Performed by.....-' r --._: ___q`1_f='.._.. (. ° --------•---. Date----6•----------- - ±l -•- --------------------- aa Test Pit No. 1-----. -cr_---minutes per inch Depth of Test Pit........2.,... Depth to ground water-----::•. ...... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •--•.............i---------••...-•--....f:........-•---•-----------•...........•••--•---•---......................................................... O Description of Soil---------------- ........ --••-a1AVV--=------ 11 ,t`11 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed ----------------- ---------------f............ f' r �[ J Date'/Application Approved BY ................................................. ............%...................... ....------....--..........-------..-....------------............---...........---................ / ~f - LI Dace Application Disapproved for the following reasons- ---------------------------------------------------------------------------------------------------------------------------------------- ------------- ''n...------.........-......-(/....................................................................................................... ✓..........% .... � ~r { !J s ./'.........../..� Date Permit No. ------------------------------------y- ----- Issued ..............1 f-/ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH s_ of "��/" ------------------------------ ........---.......:.....------- ..................................................... Terttfirate o C�om ltttxcce THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by .......................................:..... ................................. ....------......._.........------------.......... .../ ..---- -- .............................__--------- ----- "J /I ----- -------------------------------------------- has been installed in accordance with the provisions of TITLE 5-of The State Environmental Code as described 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 SATISFACTORY. DATE....................... 71.6714.............................--------------- Inspector ......---------...... .. . ................................... ............ .... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH I - t No....=.................... FEE........................ �i��r�r��1 nrk� �nna�#� uan fermi# Permission is hereby granted.............................................................................................................................................. Construct (' � ) or Repair (-' ) an Individual Sewage Disposal System r t at No......:.....: I' - Y 1 ! -__..:C. = r f -• ------- -..-: ----..-�- ' Street 1 ' !'V / as shown on the application for Disposal Works Construction Permit No. .........::rDated.......................................... ..._...-----•--•••---•-••-------•---••••.....---••-----••--------------•--•--....--•--•-••-••--.....-•--- Board of Health DATE............................................................................... FORM 1255 HOBBS & WARREN, INC., PUBLISHERS No. �— `�----- `�� Fee BOARD OF HEALTH TOWN OF BARNSTABLE Z.pprirat ion-*rWell Con!gtrurt ion Permit Application is hereby made for a permit to 5onstruct ( ), Alter ( ), or Re air ( 'an individual Well at: Location - Address Assessors Map and Parcel -j-------LQ#11IA=5---------Z19r_Mtn- Owner Address Installer - Driller Address Type of Building Dwelling--------------------------------------------------------------- Other - Type of Building----------------------------- No. of Persons-- 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 Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. Signed date '.� Application Approved B --- - ------ ---- --- ------ - �� date Application Disapproved for the following reasons:-------------------------------_�________ - - date Permit No. Issued------- - -- —��--`���---- -- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ), Altered ( ), or RelSaired ( ) bY- - - Ins ller .mac` -� t at----�"�—F--` ------ ----�� 1'1_?4 1 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 lid!", ="12Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------------------------ --------- -------------- Inspector-- - - - - --- ----- — --_ - No- _- ------- Fee ----- _ BOARD OF HEALTH t' Acsf' " TOWN OF BARNSTABLE -°� '7# Applicat ion-*rMelt Congtruct ion Permit Application is hereby made for a permit to construct ( ), Alter( ), or Repair aindividual Well at: At ----------------- Location — Address Assessors Map and Parcel Owner Address Installer,;;LDnll r"� r�`3 w�t� ."�i�* b� � �,.d4 '�!� 1t}t,n a Address� , N, a 4 W a,,,�, .�n Type of Building Dwelling-------—----------------------— — - ---- - Other - Type of Building------------------------------------ No. of Persons-------------------------------------------------------- Typeof Well-------------�--�------------------------------------------ Capacity------------------------ --�----------------- ---- -- Purpose of Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. Signed--= date f Application AP v e d B �^- - --— - i •�L !") - '�_�_� f� `r date Application Disapproved for th/e following reasons:- -= - --=-- -------------------------------------------------------------------- {� t Permit No. --'----_7------- ---- ------- -----,- - t Issued---------- �____""-- date t tf ""Y" 870ARD OF`HEALTH ,TOWN OF BARNSTABLE Certif ate ®f Compliance `` THISf ISSTOrCERTIFY,That..the I d dual,Well Constructed ( ), Altered ( ), oriRepWred ( ) by- �,L Ins Iler at- ? { --��-g - ,�{ S - ---- - r�r -s' '4` ` '`---------------------- has been installed in accordance with,the provisions ofthe Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction-Permit I�eri'�r 4 --��--ef-1--1-17'Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANT- THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. .. , � DATE --`- ' - pe or----------------------------- F BOARD OF HEALTH TOWN OF BARNSTABLE Veil Con5truct ion Permit Fee-- -- --- --�� Permission is hereby granted - _ --- --- -— 0/ -------------------------------------------- to Construct ( Alter ( ), or Repair ( cyan Individual VYell at: / -------- - --- Street as shown on the application for a Well Construction Permit / No.- �i�__� —�- --------------------- Board of Health DATE - '.-- - � �----------------------- I S4EEr `L a1= 2 ";..; , { a. <. p Z Al 28 P. \�•� `\�� �Sc,`�o`s° T �\ ' `` \,tH OF Mgss9c+ PETER ti 4to SULLIVAN `J& "t �1� j� U No. 29733 \ ' f IONAL :.1 Frzcp aq ns.3aACa \ IAXTM Mm►'aa. w�I .9 Department of Environmental Management/Division of Water Resources 3 WATER WELL COMPLETION REPORT WELL LOCATION! GEOGRAPHIC DESCRIPTION. Address v`� N S E W of / (feet) (circle) City/Town fy?.&1`�l �1 1i r/A= Well owner (road) Address ,f� /� /�? N S E W of (mi.in tenths) (circle) Board of Health permit: yes ❑---noa/(❑ intersect. w/ (road) WELL USE WELL DATA 1 i Domestic Public❑ Industrial ❑ Total well deptli�ft. f Monitoring❑ Other Depth to bedrock ft. Water-bearing rock/unconsolidated material: i Method drilled �G t��' Description Date drilled CASING Water-bearing zones: / / /�r� 1) From To Type , Length"2— 2) From To _.f7 ft. Dia1.I.D.) in.. 3) From To . Length into bedrock ft. Gravel pack well: dia. Protective well seal: '�� Screen: dia. Grout_❑. Other Slot#,�length from_to { PUMP TEST Static water level below land surface 2k ft. Date Drawdown_I ft. after pumping /1/ hr.—min.at �, gpm How measured Recovery .C ft. after—hr. t min. 0 LOG of FORMATIONS COMMENTS g Materials From To - )' Driller 1 IV r > Mass. Registrations Firm Address— City/Town r IM NY r 4—_v °Signature o/supervising registered well driller Please print firmljY BOARD OF HEALTH COPY Log Number: 'Bottle # B41C r Date: July 9, 1993 sa BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT ,Z SUPERIOR COURT HOUSE BARNSTABLE, MASSACHUSETTS 02630 J DRINKING WATER LABORATORY ANALYSIS PHONE:362-2511 Ext. 337 Client: Jay Robinson Collector: C Stiefel Mailing Address: Tartan Inc Affiliation: BCHD P 0 Box 1198 Time & Date of West Chatham MA 02669 Collection: 7/1/93 12:45 p.m. Telephone: Type of Supply: well Sample Location: Lot 29 Percival Lane Well Depth: 66 Barnstable MA Date of Analysis: 7/1/93 PARAMETER SAMPLE RESULT RECOMMENDED LIMITS Total Coliform Bacteria/100 ml 0 0 H 6.3 Conductivity (micromhos/cm) 90 500.0 Iron m) <.1 0.3 Nitrate-Nitro en ( m) 0.2 10.0 Sodium m) 4 20.0 Copper (ppm) <.1 1.3 I. XXXX Water sample meets the recommended limits for drinking of all above tested parameters. II. Based only on results of the parameters tested for this sample, the water is suitable for drinking but may present the problems checked below: A. Water sample has higher than average levels of Nitrate. Future monitoring is recommended (2-3 times per year) tolestablish any upward trends. B. The low pH of the water may shorten the useful life of the house's plumbing. C. Water may present aesthetic problems (taste, odor, staining) due to D. Water sample has high levels of sodium. Persons on low sodium diets should consult their doctor. III. Due to one or more of the reasons checked below, this water sample exceeds the recommended maximum contamination level for drinking water: A. High Bacteria B. High Nitrates REMARKS: CC: BoH n CC: Laboratory Director 1 /7/85 3t7.-4-`,�'-A^'`r��.`.i"'F"""N�"":'�,,'iW+,::..A...�'..�Y..r^:"'^;`;yc+ri`r�[..._�.�.� � -��si�` k�ryC`.s:Y'►.,�3YL!�"r�-i1`��. :�1 sL,�+'��Y. �7�' M�rf _ y Explanation of Test Results Total Coliform Bacteria Coliform bacteria are an indicator of the sanitary quality of a water supply. Water supplies may become contaminated from malfunctioning septic systems, cesspools and surface runoff. A total coliform count of zero indicates that your water supply is safe and approved for human consumption. A total coliform count of greater than zero is most often the result of accidental contamination of the sample bottle through improper sampling methods. For this reason, it would be advisable to retest any well water that is not approved. pH is the measure of acidity or alkalinityof the water. On the pH scale, the number 7 is neutral, less than 7 is acidic and more than 7 is alkaline. The pH of water on Cape Cod tends to be acidic in'the range of 5.0 to 6.5. . Conductivity Conductivity is a measure of the dissolved salts in solution. Amounts in excess of 500 micromhos%c:m arc generally considered unacceptable and may have a laxative,effect upon users. Iron The presence of iron in water in concentration of .3 ppm or greater may: give the water-a bittersweet astringent taste, cause an unpleasant.odor, often gives the water a brownish color and cause staining of laundry and porcelain. The average concentration of iron in Cape Cod's water is .2 - .6 ppm. Although the presence of iron in water mad, cause the problems listed above, it is not considered deleterious to health. Iron may be removed by use of an iron removal system. Nitrate-nitrogen The Massachusetts Drinking Water Regulations have set a maximum contaminant level for nitrates at 10 ppm. Excessive concentrations may cause methemoglobinemia (an infant disease) and have been suggested to form potentially carcinogenic nitrosamines. Contamination sources include fertilizers, cesspools and industrial wastes. Copper Due to the acidic nature of the water on Cape Cod, copper tends to leach from pipes. This normally does not present a health hazard; however, concentrations in excess of 1.0 ppm may cause a metallic taste and/or a bluish-green stain on porcelain fixtures. Sodium., A concentration of sodium over 20 ppm is only of concern to people who are on a low sodium diet. If the water supply has more than 20 ppm sodium, it is up to the people who are on such a diet to find another source of drinking water or contact their doctor to--determine if consuming the water is advisable. Concentrations exceeding 50 ppm indicate that there may be ocean water or road salt runoff water getting into the well. u. o BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT LABORATORY REPORT VOLATILE ORGANIC CHEMICAL ANALYTICAL RESULTS Client: JAY ROBINSON Collection Date: 07/01/93 Mailing Address:TARTAN INC Date of Analysis:07/06/93 P O BOX 1198 Type of Supply: WELL WEST CHATHAM MA 02669 Well Depth (FT) : Not Given Telephone: Sample Location: PERCIVAL LANE LAT. (DDMMSS) : Not Given BARNSTABLE LONG. (DDMMSS) : Not Given Collector: C STIEFEL Map/Parcel : LOT 29 Affiliation: BCHD Analytical Method: 502.1=1 , 502 . 2=2 , 503 .1=3 , 504=4 , 524 .1=5, 524 . 2=6, 502.1/503=7 --------------------------------------------------------------------- --------------------------------------------------------------------- Contaminants Anal . Result MCL Detection Detected Meth. ug/l ug/1 Limits (ug/1) --------------------------------------------------------------------- Chloroform 2 58 .0 0 . 5 Only those compounds listed above were detected. Attached is a list of compounds for which this sample was analyzed. NOTE: Contaminant levels equal to or exceeding the Detection Limits are reported. MCL means Maximum Contaminant Level for EPA-regulated compounds. (ug/1 = micrograms per liter = Parts Per Billion) The Environmental Protection Agency has set Maximum Contaminant Levels (MCL) for the following compounds . This sample compares as follows: COMPOUND MCL (in PPB) Benzene 5.0 * level not exceeded * Carbon Tetrachloride 5.0 * level not exceeded * 1 , 2-Dichloroethane 5. 0 * level not exceeded * 1 , 1-Dichloroethene 7 . 0 * level not exceeded * 1 , 4-Dichlorobenzene 75 * level not exceeded * 1 , 1 , 1-Trichloroethane 200 * level not exceeded * Trichloroethene 5.0 * level not exceeded * Vinyl Chloride 2 .0 * level not exceeded * Comments or additional compounds found: + Thomas F. Bourne, Laboratory Director MATA FAt-Y 3 $ Ms �.� _ lc T' 1 OF `Z �. : .....N fl. ear5AGE &QgVS .' pAlL-( Fc.ow .��ctln: 3a IaPD A- SE'FrI C. TAtJv— _Ul5?o5,d :PiT IDoa (AL ' SIDEiNdLL A Cf3g SEE ` LA-A oa BAck 9E¢F-Ct- BOTTOM ARC _ 76 4. T01'AL. DAILY -T?E¢GDLATIoN ¢ATE..=�,II�J2�r�tli� osLeyy /JE6 ' SAV-I�STABLG OF A. �° PETER I ULLI No. 29733. FsS/ONA P s _ f'6a�3 TF-�4 w�T .""ten--' -�n�rn�� �r 7-UK,?:� Co,�MV. (o P C ml 1 Nr �/ GAL �f P�tsmr� iNd Bic `o¢ Gc'�L Sc-�rIC A"Es iNMOW a10L ar si-lAc1. '6E -Za MAI VELoPr� ILA Iro Cez Ir-►® PI.Or FZ I4 LocA'TIot1 : V412T "DA24 STABLe- A4'd�gn&, �ATC— G_ l � pupos PLAN Qc- ERF�JJC.� t C=ry Tn4r T* VwGwN4 l-o4-A'tm -wl t{Iu Tus VEZOD mma, C20SV, fS 4I31,91 '. lK ! O IS Nor ;3A5ESJ oN AN I�JSTGotitE+JT' r ,..; A. V TOE OWEs 44Lx> tiyr "as U� j. o 5TE2vI c L tiA,� ,TD ESTA5U5N C . Pt?oFe=ry U WC-5 1 :�. � TAjz-ra►� ri - Z Lr TAQTAN I NC, l =Zo L-iS q3 n1 .« (,UASTEIZ- PLAN gel ' 000 Y-BaG6 •� x4 tip' Z. OF M PETERSULLIVA o qo \ FSS/ONAL EOil ��'` jrzcp 14, ,yam IAKM jj 2 MATA l OFFL0 2 GRI�J�E2 { ' SE rl.0.- T'AN� �. . XtSp M ,.. use locoT*M54L PIT =' ±. r SIDEiIJdLL AREA Cgg E S2E 't L" oa BA44 9Eeeor- -; VOTTOMSS,A = ?g 5iv 1 ,., . .. , -. 7eQ ,.1V: y �7- GP� -f rAL. VAILY MW a S�3D , I EST T ¢�DLA-(-t oN ATE �'���12 crurJ Os Le55 13A2-fJSTA.'Bt� OF 44 PETER 4 .. SULLIVAN.. . ;.,. No: 29733 � o �' �+ �0�• �C�STEa� ��� . � �SS�ONA ENG�O O P- � 0& 104M j syssa� �, (off PV.d iu✓ 1 PVrrw ` MIT. GAL - (0004. TAN Y LEA 41 ED. GALeA : .,. S4)gD �r - IZ ,I— .: w Wi 9Ea:P T-- ogr • a? --r%7rQT SgALLE KZEo4z z 1 - 3 s�Y MAP 1 to I�ct< i Iv - 'PfZvFI cam- I� Lo�Tlot`i =53 IJ a. SGDL� �A2�► TA-BLS JZ Wa1F2 EL= T 1 CE270'Fy -rkr NS 'D w sew Nlo PLAN Qc-�-E RF�JC,E 5llowN Nmmot4 c0/A'f S Wl'rA TUS 5( UUE L.o-r 29 +tD IS cr'L-ocAT� Dui ({lu WE VZov t.olt; , CP. SKY, (3 4131,91 'aA XTELZ -0 E III `.TA S FtAq 15 NoT' i3A�p oN tiN ., 11STecl�fitE�1T' .SuWC-:y MD OF-rSer" 44m)LD uur -DE- 0STErz-viLc.c MAC , � ! APPLiCA647 ' TAV-TAW NCB f i 74rm I Nc, L-iS a3 .�iw.� � . `• W�\ SPAG� NV y � Y i : T ol OF 4t4 PETER cy� SULLIVAN ..1``1U \\ \\\ . No. 29733 571+7 /ONAL E U A— prRZCF N 1 1 1 - ., guys k�� 3 ns•3a \ 3 �'1 APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS- LOCATION _6\ `Z� C, eC, \jA �" —De,V VILLAGE �.I NO• 6 " APPLICANT DATE 6, _���ca�� �,n,r _._. .FEE ..1 '°o ADDRESS ?b Ct4A1� TELEPHONE NO. (Non-refundable ENGINEER E K-\,c- _TELEPHONE NO. 5-2 DATE SCHEDULED U IU E t(3 Applicants signature tj • • • • • • o e o e e o e • 0 . . . e o 0 0 • • • e o o • o 0 0 • • • • • • o • • • e • • • e • •'• • e o e e • • • • • • •o • e • • • e e • s • • • • • • ASSESSOR'S bt�l�' 6 LOT NO: \ SOIL LOG SUB-DIVISION NAME 11,1 E��� (Zp 1 C� DATE 61C) L�'� TIME �Q �"�^ EXPANSION AREA: YESKNO --v �� �) �t�c ENGINEER TOWN WATER PRIVATE WELL -- BOARD OF HEALTH �L EXCAVATOR SKETCH: (Str t name,etc. ,dimensions of lot, exact location of test holes and pe colation tests, locate wetlands.. in proximity to test holes) NOTES: 2 � 1 GT4 j o j OD La S 5"9 Q ►45 �, . PERCOLATION RATE: 4-2- �I 1J-7(--t, 1-tZO�o y?js� TEST HOLE NO: ELEVATION: TEST HOLE NO: 1 ELEVATION:-3 2 Lt 3 c 4 4 _ Nt�D C � 5 L,EA� 5 6 6 OA G P 7 7 8 8 S /7 9 g 'a 10 10 ' 11 11 12 12 13 Q!) 13 i2 14 .' kk�) WA-T-E9 14 15 15 dam , 16 SUITABLE FOR SUB-SURFACE SEWAGE: LEACHINGIFIELD_&_LEACHING PITS LEACHING TRENCHES LL UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST \; ORIGINAL: COMPLETED N ENT RET Y P APPLICATION COPY: RETAINED BY APPLICANT AN ETURNED TO BOARD OF HEALTH 'tom x i'Ar _ � t I l T ncy, +sue' Ll _ 14 _ - d Fli ti= ;t f ce j s� uaiS 1v3a. e�Ndw� - � `k a �E L DE 10TZ If. $ Sy JO4. Rd IyAy. :.i G Q anw.. pw a y s � f X x� w , f Kati ,S { r i I I - . i - ' t i n E -_.1t--3E INSut; ' 6sI:`7J5�l.R.'=.[31NslR, —p �W_4':TI S.sve•FwoP- r r _.: a.9:.1aDa�rv+:nc�ztascgaYzo• :..-. ,`T`. ,f- --- M17QN-:�:: - �- s�a —---- — 4 s. U: y a uq fists✓d�9:ida�i 508 418 6191` ODD. �Yi�Y,STFtSr.�*L4 f��7�4HE 4T�'aK'. ••\.,:. �"� �v;v�i .� .:',��.:�,Ja�SK�l>R� �t71T& g, .2',: -s3S1a , ` - 2° — Ettsiig5'c1coTERS� st. _ a ` iil 1 V - i kc AmE-C 114 .%� AhFT61+S. \, �a I�UStO '- caC4oEACiilz 2W3 - ? Re a Reserved V. f �F - -r----- --+_--.-- T----- — A3 sEcorir-'��uznC�_p[ t� CC��•=�.�o-•� •:'.:. ,� - 'bv D.C.D..are 1W the use Of their customeri only.Any other use Is strictly Proh?Di;e- - SYSTEM -PROFILE LEGEND TOP FNDN. AT EL. 63.3' NOTES ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) Ar ACCESS COVER TO WITHIN r OF FIN. GRADE : ACCESS COVER (WATERTIGHT) TO 1. -DATUM IS APPROXIMATE NGVD 100:0 PROPOSED- SPOT ELEVATION , WITHIN 6 OF FIN. GRADE >, 63.0 MINIMUM .75 OF COVER OVER PRECAST 2x SLOPE REQUIRED OVER SYSTEM 64.0 (SEE VENT NOTE ON PLAN) 2. MUNICIPAL WATER IS NOT AVAILABLE 100x0 EXISTING SPOT ELEVATION 2 DOUBLE WASHED PEASTONE 61.8 RUN PIPE LEVEL > 1 PROPOSED CONTOUR *EXISTING FOR FIRST 2' OR GEOTEXTILE FABRIC 3. MINIMUM PIPE PITCH TO BE 1/8 PER FOOT. `�� *�ctsTu14_ 5' MAX. 4.- DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS TO GALLON SEPTIC TANK *6 ., 100 EXISTING CONTOUR- EXISTING BE AASHO H-20 y sf GAS 591.96' S. PIPE JOINTS TO BE MADE WATERTIGHT. t - BAFFLE 60.13' 000Q 0C30E3 0 59.7T Q Q Q Q Q Q Q Q Q locus 6" CRUSHED STONE OR MECHANICAL 0 Q 0 0 Q 0 0 0 Q 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE- WITH COMPACTION. (15.221 [2]) _ 4, 2 -Q Q Q Q Q Q Q Q Q � 57.7T MASS: ENVIRONMENTAL CODE TITLE V. TEES SIZES:OF FLOW ( 1 SLOPE) ( 1 -X SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE USED FOR LOT LINE STAKING OR ANY `OTHER PURPOSE: - col �5'INLET DEPTH 10" H-20 CHAMBERS - - *THE INSTALLER SHALL VERIFY THE OUTLET D� = 14" 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40=4" PVC. �P LOCATIONS OF ALL UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS LEACHING ' PRIOR TO INSTALLING ANY PORTION OF FOUNDATION EXISTING SEPTIC TANK 27 D' BOX 21" 6.27 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED sr SEPTIC SYSTEM FACILITY WITHOUT INSPECTION BY BOARD OF HEALTH AND-PERMISSION . LOCUS MAP.. OBTAINED FROM BOARD.-OF HEALTH.., 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING SCALE: 1" = 2,000't �rc�ra� BOTTOM TH-2 -EL. 51.5' OF ALL (1-888-344-7233) AND VERIFYING THE LOCATION . UNDERGROUND & OVERHEAD UTILITIES PRIOR -TO ASSESSORS MAP 110 PARCEL 1-10- _ COMMENCEMENT OF WORK. S THE INSTALLER SHALL CONFIRM MIN. I 11. EXISTING LEACHING FACILITY SHALL BE PUMPED AND LOCUS IS WITHIN -AP OVERLAY DISTRICT SEPTIC TANK SIZE AT 1000 GALLONS AND R=189.75 ITS SUITABILITY FOR RE-USE ABUTTER'S REMOVED OR PUMPED AND FILLED WITH, CLEAN SAND. WELL 12. ANY UNSUITABLE_MATERIAL ENCOUNTERED .SHALL BE TEST HOLE LOGS - - REMOVED 5' BENEATH AND AROUND THE PROPOSED LEACHING FACILITY. DAVID FLAHERTY _ R.S., SE2755 ABUTTER'S ENGINEER: I WELL WITNESS: DONNA MIORANDI, R.S. ALL SYSTEM .COMPONENTS .SHALL BE DATE APRIL 3,.. 2008 PERC. RATE _ < 2 MIN/INCH MARKED WITH MAGNETIC TAPE OR COMPARABLE MEANS. FOR FUTURE LOCATION. ' Aso. CLASS I SOILS P#. 12147 10 SYSTEM DESIGN: " 4 ELEV. " 4 ELEV. o p 64.5 p 64.0 GARBAGE DISPOSER IS NOT ALLOWED A A DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD LS LS a R j r f 12" 10YR 3 " USE A 330 GPE} DESIGN FLOW /2 11 10YR 3/2 L N SEPTIC TANK: 330 GPD (2) = 660 B B **RE-WSE EXISTING 1500 GAL. SEPTIC TANK " LS LS 30_ 10YR 5/6 . 31" 1DYR .5/6 ._ LEACHING: • SIDES: 2 (25 + 12.83) 2 (.74) _ -112 GPD Cl Cl MS MS BOTTOM 25 x 12.83 (.74) 237 GPD • 4 8" 2.5Y 7/4 48," 2.5Y 7/4 r TOfAL• 472 S.F. 349 GPD _ Prmmem OF \� USE (2) 500 GAL. LEACHING GHA.MBERS `(ACME ZaK t(�UAL�"_. r-p. roc: �+ao 2 1 SILT LOAM/ SILT LOAM .WITH 4I STONE ALL AROUND � ♦ � �\ ` ' �.. 94" 2.5Y 7/5� 56.7' 96� 2,5Y 7�5 56.0' . _ \ C3 C3 Sim MCS SAMPLE.. MCS MA-, APPROVED DATE BOARD OF HEALTH PROVIDE VENT WITH CHARCOAL FILTER " 2.5Y 6/4 " 2.5Y 6/4 j TH-2 AND BUGSCREEN (FINAL PLACEMENT WITH 144 52.5 150 51,5 \ \ \ HOMEOWNER CONSULTAITION) Ili-1 \ NO GROUNDWATER ENCOUNTERED \c \ 5' REMOVAL OF UNSUITABLE SOIL .� REQUIRED AROUND PERIMETER OF r LEACHING FACILITY, DOWN TO SUITABLE SOIL LAYER. REPLACE WITH CLEAN MED. SAND. ENGINEER = UNSUITABLE MATERIAL �• n TO INSPECT AND CERTIFY REMOVAL. - - ---- VARIANCES FOR SEPTIC SYSTEM REPAIRS WHICH MAY BE BENCH MARK = .CORN. OF CONCRETE s3� \ � o s5 BY A HEALTH INSPECTORI SPEC OR ATELY GRANTED BY THE BOARD OF HEALTH AGENT OR ' PAD AT GARAGE ELEVATION = 62.7 �"', 0 64 PAPERWORK AND HEARING REDUCTION PROPOSALS APPROVED DRIVE BY THE BOARD OF HEALTH REVISED DURING A PUBLIC 63 HEARING HELD ON NOVEMBER 15, 2005 62TITLE 5. SITE PLAN­ 3 3) FAILED SYSTEMS ONLY - SOIL ABSORPTION :SYSTEM M INSTALLATIONS PROPOSED MORE THAN THREE FEET BELOW D"a� GRADE WITH PROPER VENTIMG (PIPED TO THE ATMOSPHERE) OF AND WITH H-20 LOADING, BUT IN NO CASE SHALL THE SAS DECK BE LOCATED MORE THAN .FINE FEET BELOW GRADE. 1.79 PERCIVAL DR. � h r• DECK (WEST) BARNSTABLE - - MA LOT 29 PREPARE© FOR 40,166t SF 0.9t AC. Q B B EXC./" GUY COSGROVE I r DATE: APRIL 2, 2008 - j LOCUS j WELL p Ts� �,�h• off 508-362-4541 9 fax 508 362-9880 4pySH OF 4%. I 4�N OF NAS 2� qc sq a oA IELA. dO Wl7 C ace e en girl e erin g DANIEL oyGN � o OJALA s� �•: Inc. i A. � " CIVIL y Scale:1"= 30' o OJALA �Na.465 Cl tffL ENGINEERS / Q y I� O I S T �� � 0 15 30 45 60 75 FEETfiEs o� s t hit, EN L AND SUR VE YORS DATE L A. OJALA, P.E., P.L.S. 939 Main Street - YARMOUTHPOR T, MASS. Deb �08-05> r 08-051 B&B_COSGROVE.DWG (DDF) -- -