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HomeMy WebLinkAbout0035 SOFTSHELL LANE - Health 35 SOFTSHELL LANE P West Bamstable - A= 156 - 029 - 002 i d No. 4210 1/3 BLU ESSELTE 10%(a o 0 0 0 No. — `�-� Fee / �® THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpliration for Die-posaf 6pstem Construction Permit Application for a Permit to Construct( ) Repair(i,<Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3 5-S c4l 56i e-11 L N Owner's Name,Address,and Tel.No. GV �rvs�dlr' f 1 Assessor's Map/Parcel _ Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. V�A ,T610,0N ANC Gv ` G Gr✓ Type of Building: Dwelling No.of Bedrooms Lot Size y5'�(,�G sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons / Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3,0 gpd Design flow provided I//I gpd Plan Date �/�/��! Number of sheets / Revision Date T Title Size of Septic Tank _Ivl Type of S.A.S. �670 9 G��" 11A.4`i1-/t 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. Si Date / Z� Application Approved by Date 4 Application Disapproved by Date for the following reasons Permit No. �� rL� Date Issued l / / «, No. 1 y-3 Fee ,::�)o THE COMMONWEA.. H OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN BARNSTABLE, MASSACHUSETTS Yes 4plitation for Disposal *pstem Construction Permit Application for a Permit to Construct( ) Repair(6,<Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address�]or Lot No. 3`S Sd'6 5,4 G ti Owner's Name,Address,and Tel.No. W l)G,NS*Gb Assessor's Map/Parcel Cl Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Y i TJ(0W N Type of Building: Dwelling No.of Bedrooms Lot Size 4j<56( sq.ft. Garbage Grinder( ) Other Type of Building y iijo,✓�/c. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 ?yO gpd Design flow provided 3 yq gpd Plan Date p�/y�/y Number of sheets Revision Date 7 Title Size of Septic Tank C �r�gT� 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. / Si a Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. r q r� 4 Date Issued // S THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,�MASSACHUSETTS_ CPrtif irate'Af-Compli i-ir .� THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(Upgraded( ) Abandoned( )by �)V r at 31: , 1 G r I,),• '�, Vj� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No." d-/"/3 dated Installer`D,h ,E c,.f 3 'C ��s Designer j ,;, )A s c) , #bedrooms Approved design flow 3 jC) gpd The issuance of this permit shall no be construed as a guarantee that the system 17 llAinc'on as`signed. Date Inspector : -- -------------------------------------------------------------------------------------------------------------------------------------- No. � J9� /��/3 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstrm Construction permit - Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at f C,� 1 P c ✓n /) r f 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 must be icon pleeted within three years of the date of this permit Date /jl c� 7r�1 Approved by _ 1 { Town of Barnstable Regulatory Services Richard V. Scali, Interim Director * BAMSraet.e, MAn Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: 17 I l Sewage Permit# a«-4/y j Assessor's Map\Parcel Designer: I✓ , IME114 2S Installer: j6(AA L Address: Address: Address: On was issued a permirto install a (date) (installer) septic system at %tZ2 �20P based on a design drawn by (address) dated (designer) fi 1 Certifythat the septic stem referenced above was installed substantial) according to P Y Y g the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in co nIiance with the terms of the IAA approval letters (if applicable) UAVIU �y r ( staller s Signature) 2— M ON v No.1066 a . /s T rr. ` s'IN1 AR\� . (Desi s Signature) (Affix Des ;, p 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. QASeptic\Desiper Certification Form Rev 8-14-13.doc t Pr IPA � F�S......;� :a.......... THE COMMONWEALT�.IH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Uiopo ial Work,i Tonotrnrtion ramit Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal System at: .ems•---- Location-Address or Lot No. �dc�... ................�lC�_ca-`��.... -•-------------------�_.1-�.e:': ...�..._......................................... Owner Address a ��"_.,... Installer Address Type of Building 2 Size Lot---456:.C".SP'...Sq. feet Dwelling—No. of Bedrooms_______________J-__________________-__-.__-Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons____________________________ Showers — Cafeteria a' Other fixtures ________________________________ _ W Design Flow................�~.�__._____......____gallons per person er day. Total daily flow.._.......�_✓.rJ.__.__....__._._.._...gallons. WSeptic Tank—Liquid capacity.1_0_0-0-gallons Length_____?" Width--_ Diameter________________ Depth....5......... x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No--------(............ Diameter-----12-�.......... Depth below inlet----- •.......... Total leaching area_._22._3_j.,3sq. ft. Z Other Distribution box ( ) Dosing t nk Percolation Test Results Performed b _� ..... E...�� ___. Date_._...S.' = ��`� Y Test Pit No. I----�4 .minutes per inch Depth of Test Pit...... .3 ------- Depth to ground water.......!-__--- 44 Test Pit No. 2................minutes per inch Depth of Test Pit-------`(-......... Depth to ground water....... " a -------------------------------------- -•-•------•-----•---------/--------•-•-•-•---•-----.......t..:........-•-•----•---•---••---••-•••.................---- O Description of Soil---'tD....... .. (:_5......T t.5---------(.:S - L�... l�l►JE..`��-+-+!� `"��..�i.!-c!_............................ x (� - .. y-�..5...................................................... C?.�......_.T_'1 ..........__.. .-'_.. ._.... �-. UW ........................ ....•----......------------._.._...--------------------•----•----•---------------------------------••••----...-••-----------...... .......................................... Nature of Repairs or Alterations—Answer when applicable._______________________________________________________________________________________________ Agreement: 1. - 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 ---------------------- --------------------------------------------------------------------------------- ------------------- - ------ Dare Application Approved BY -----.. .... - ....... - � - - Application Disapproved for the following reasons- ---------------------------------------------------------------------------------------------------------------------------------------- -----...............--------... ..........----- .----..............------ ...............F...-------� ...---------------------------------------- Date Permit No. ...... .. L�/------- 7 -------------- ---- Issued �- ...�.��...------ Permit �� No..!.'/ FFs..... 1 .......... THE COMMONWEALTH OF MASSACHUSETTS i BOARD OF HEALTH TOWN OF BARNSTABLE , VVIirtttia,t for DtnVinial Workii Tonitrnrtion Frrntit Application is hereby made for a Permit to Construct O or Rep it ( ) an Individual Sewage Disposal System at: -� �� ST ......... '.-'-- :. �'r'j ram. L '.: �z-ati D ......... ---------------------•---------------....-------•••--....... Location-Address or Lot No. �J W i _C1 � Owner Yis Address` -- / ....----- ----------------------------------------- .......--------••-----------••-'•---••.....----------•• ---•--------------.......-••--..........a nstaller Address d Type of Building Size Lot.. S.................Sq. feet U Dwelling—No. of Bedrooms-----------------------------------------.-_Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures -------------------------------------------------- ----------------------------............--------•-•------------------•-------------------------- W Design Flow___________________ '- _____-_--__-___----gallons per person per day. Total daily flow._-.------�j_-�>__.___.____.........__gallon-s; W Septic Tank—Liquid capacity_1-nt20gallons Length____ ____ _ Width... ._t��_ Di ameter---------------- Depth................ x Disposal Trench—No- -------------------- Width_.-........_._.___._ Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No--------1............ Diameter-----!_� Depth below inlet.___.��._._._..._. Total leaching area.7-� _3sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '~ Percolation Test Results Performed by....... `+:".fit.....� ,;....�.f`:':..'`�.... Date._.....L_.oc. 1- �`..._..... I �a Test Pit No. I....41. _minutes per inch Depth of Test Pit:_____ _ ........ Depth to ground water-.____--^Y./ fZ Test Pit No. 2................minutes per inch Depth of Test Pit_w....-1..._.__.. Depth to ground water.......!.,! a -------•---------------------•--•----•---------........---•-----------•---------•-----------'-...............-----------------------•--•-------'-"----.--•-- Description of Sol ......-5------�..... v ............................................................ UW -•--------------------------•----------------------------------------------------------------------------------- -------------•--------------------------------------------•-•-------•--------..1...... '_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 -------------------------------------- ----------------------------------------------------------------- ------------ ----:------ Dace -�..._. .r.ws-s '�--- ..................................... -Application Approved By ...... ate ..-..` � Application Disapproved for the following rearonf- ------------------------------------------------------------------------------------------------------------------------------------ ........ . ... ................................................... ........ ..............._.................................. . ........................................ Date Permit No 9 �/ --- ^...................... Issued �... ...".- --r-------- /----------- Dace r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE �� ''1TT-E1Ctifi ate of v����TT empliaare THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed or Repaired ( ) by -------------------- .. =--------------_---------------.......-----------------------_-------------------__............ ..... - ........................ ..... mst:d et /j 1 at ..-------�r;T--- .r_x:---- - � : �� �-------------------- -------------------------------------------------- has been installed in accorfl'ance with the provisions of TITLE 5 f The State Environmental Code as described in the application for Disposal Works Construction Permit No. .... dated ----- ...V....... �.�_. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SAT SFACTORY. DATE...../.... - Inspector`..... ��-�' ------- Y THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / TOWN OF BARNSTABLE ) �l-1 FEE..-- ...... DispogatLLf nrkii Tonotrur#Uan "unfit Permissionis hereby granted............ .............. --------------------------------------------------------------•-•----••---.-------------- to Construct or Repair ( ) an Individual Sewjge Disposal Syste�mp. Street qq� as shown on the application for Disposal Works Construction t No._./__�-��_ Dated.__..__ _ .-..9-�-�..C/....... ... ..... �� " ... Board of Health DATE--- FORM 36308 HOBBS&WARREN.INC..PUBLISHERS S ' Bot': 4�8% ; `per: 564901 Date: 10/11/94 e BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT V, `GF�� SUPERIOR COURT HOUSE BARNSTABLE, MASSACHUSETTS 02630 AlA SE) PHONE: 362-2511 LAB 337 Client: NICKULAS BLDG. Collector: CHARLOTTE STIEFEL Mailing P 0 BOX 507 Affiliation: COUNTY Address : WEST BARNSTABLE MA 02668 Type of Supply: W Telephone: 888-5458 Well Depth: 80 FT Sample Location: SOFTSHELL LANE Date of Collection: 10/05/94 Town: W BARNSTABLE Date of Analysis : 10/05/94 PARAMETER SAMPLE RESULT RECOMMENDED LIMITS Total Coliform Bar_teria/100 mL 0 U pH 6. 8 Conductivity (micromhos/cm) 105 500 Iron (ppm) 0.6 0.3 Nitrate-Nitrogen (ppm) 0 .2 10.0 Sodium (ppm) ll 20.0 Copper (ppm) < 0.1 1 .3 BASED ON THE ANALYSES PERFORMED, THE FOLLOWING ADVISORIES ARE GIVEN: I * Based on the results of the parameters tested, the water is suitable for drinking but may present aesthetic. problems � (taste, odor, staining) due to iron. i I Thomas F. Bourne, Laboratory Director I Barnstable County Health and Environmental Laboratory Superior Court House , Route 6A P.O. Box 427 Barnstable, MA 02630 (508) 362-2511 ext. 337 Volatile Organic Analysis Analytical Method: 502.2 Collection Date: 10/05/94 Date Received: 10/05/94 Analysis Date: 10/12/94 Client: NICKULAS BU-LDING COMPANY Mailing NICKULAS BU=LDING COMPANY Sample Location: LOT 2 Address: P 0 BOX 507 SOFTSHELL LANE WEST BARNSTABLE MA 02668 WEST BARNSTABLE Sample ID: 564902 Laboratory ID: 564902 Sample Description: PRIVATE WELL Compound Amount Detected (ug/L) Detection Limit (ug/L) Benzene BDL 0. 5 Bromobenzene BDL 0. 5 Bromochloromethane BDL 0. 5 Bromodichloromethane BDL 0. 5 Bromoform BDL 0. 5 Bromomethane BDL 0 . 5 n-Butylbenzene BDL 0.5 sec-Butylbenzene BDL 0 . 5 tert-Butylbenzene BDL 0. 5 Carbon tetrachloride BDL 0 . 5 Chlorobenzene BDL 0. 5 Chloroethane BDL 0. 5 Chloroform 3.9 0. 5 Chloromethane BDL 0 . 5 . 2-Chlorotoluene BDL 0. 5 4-Chlorotoluene BDL 0. 5 Dibromochloromethane BDL 0. 5 1 , 2-Dibromo-3-chloropropane. BDL 0. 5 1 , 2-Dibromoethane BDL 0. 5 Dibromomethane BDL 0.5 1 , 2-Dichlorobenzene BDL 0. 5 1 , 3-Dichlorobenzene BDL 0. 5 1 , 4-Dichlorobenzene BDL 0. 5 Dichlorodifluoromethane BDL 0. 5 1 , 1-Dichloroethane BDL 0. 5 1 , 2-Dichloroethane BDL 0 . 5 1 , 1-Dichloroethene BDL 0 . 5 cis-1 , 2-Dichloroethene BDL 0 . 5 trans-1 , 2-Dichloroethene BDL 0 . 5 , 1 , 2-Dichloropropane BDL 0 . 5 1 , 3-Dichloropropane BDL 0. 5 2 , 2-Dichloropropane BDL 0 . 5 1 , 1-Dichloropropene BDL 0. 5 cis-1 ,.3-Dichloropropene BDL 0 . 5 trans-1 , 3-Dichloropropene BDL 0. 5 Ettylbenzene BDL 0 . 5 Hexachlorobutadiene BDL 0. 5 Isopropylbenzene . BDL 0. 5 4-Isopropyltoluene BDL 0. 5 BDL: Below Detection Limit page 2 Sample ID: 564902 Laboratory ID: 564902 Compound Amount Detected (ug/L) Detection Limit (ug/L) Methvlene chloride BDL 0 . 5 Naphthalene BDL 0. 5 Propylbenzene BDL 0. 5 Stvrene BDL 0 . 5 1 , 1 , 1 , 2-Tetrachloroethane , BDL 0 . 5 1 , 1 , 2 , 2-Tetrachloroethane BDL 0.. 5 Tetrachloroethene BDL 0. 5 Toluene BDL 0 . 5 1 , 2 , 3-Trichlorobenzene BDL 0 . 5 1 , 2 , 4-Trichlorobenzene BDL 0. 5 1 , 1 , 1-T~ichloroethane BDL 0 . 5 1 , 1 , 2-Trichloroethane BDL 0 . 5 Trichloroethene BDL 0. 5 Trichlorofluoromethane BDL 0. 5 1 , 2, 3-Trichloropropane BDL 0 . 5 1 , 2 , 4-Trimethvlbenzene BDL 0.5 1 , 3 , 5-Trimethylbenzene BDL 0.5 Vinyl chloride BDL 0. 5 Total Xylenes BDL 0. 5 " BDL: Below Detection Limit Thomas F. Bourne, Laboratory Director x J. 1 1 , i� TOWN OF BARNSTABLE 'J OCATION 52ell ,GN SEWAGE# VILLAGE X/09- n/ ASSESSOR'S MAP&PARCEL k,0 INSTALLER'S NAME&PHONE NO.r,A , OW-r `-A SEPTIC TANK CAPACITY - LEACHING FACILITY:(type) 1 V00 �/�Q(l Pd 7�R'S (size) NO.OF BEDROOMS OWNER CAf/�S ' PERMIT DATE: COMPLIANCE DATE: SeparationDistance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well 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 ,�1 r 9/0y✓'-- 35' LEI Sa�� _yz � ,.y0 1l0 rr No. �- y_=�� Fee--D-=�---------- BOARD OF HEALTH TOWN OF BARNSTABLE Application-for lVell Congtruct ion Permit Ap icatio is hereby mad fora permit to Construct Alter ( or Repair ( )an individual Well at: z----------------- ca ion — Address Assessors Map and Parcel Owner Address r Installer — Driller Address Type of Building Dwelling-------—------------------------------------------------------- Other - Type of Building ----------- No. of Persons------------------------------_—_____ Cam. Type of Well-------------;----�------------� - - Capacity--------------------------1� -------------- 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 P otection Regulation — The undersigned further agrees not to place the well in operation until a Certificate .o on as n is ued by the Board of Health. Signed - - ----------- �,, --Zate — Application Approved By '-- ------------ _—_ - _ __tr date Application Disapproved for the following reasons:--------------------------------------------------------------- ---------------------- -- - ------ date Permit No. Issued--- -- - - - - — ---- ------ date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the I ividual Well Constructed�Altered ( ), or Repaired ( ) bY--------- �C% -r'� - �---- --- - --- - — -- - ----- - --------- //Installer at-..... G- 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 No. —WZ=, 17--Dated— --------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------------------——--- — -- ------ Inspector--- - —----------------------------- - ---- y,��.sti-./'�r►'*'1 ; ,yy,Py.r'.�v�+.vY��� i�i, Yrl1JY"�1rr"'ro "i'tir+6y,j°i7�"Q' °e9i�a 4,'Yyr'•'Y'+.'��+ ii`i�s`C!rW.'i[w,L�`•�•.y- t No Au--- '- � Fee---9-v-7----------- ,+ :E BOARD OF HEALTH TOWN . OF BARNSTABLE ApplicatioRAr Melt Con5truct ion Permit Ap; 'ratio is hereby yad for a permit o Construct Alter ( or Repair ( )an individual Well at: ---------------------- �" - ��' T - - Address Assessors Map and Parcel/calion.— r - -���_�%_ � __ �-'� --- --- -- �✓gd - lit_ Owner Address -------- � ----- - ------------------------- Installer — Driller Address Type of Building Dwelling------------------- -------------------------------- Other - Type of Building----------------------------- No. of Persons----------------------------------------- l' — �G Type of Well--------------- ----------- - Capacity---------------------- ----- �------- Purpose of Well------ - --------- --- '------ Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Tcwn of Barnstable Board of Health Private Well P otection Regulation - The undersigned further agrees not to place the well in operation until a Certificate .o ompli as b aen issued by the Board of Health. oe Signed Y Y date Application Approved By = -------- ----- date `'Application Disapproved for the following reasons:- ------------------------------------ -------.=---.--- - - ----- _ ----- ---------------------------------------------------------------------- date Permit No. �`�- _ - - - -- Issued--------------------------date-------------------y -T-- ------ ----- -- - BOARD OF HEALTH TOWN OF BARNSTABLE C ertif irate ®f Compliance - -THIS IS TO CE TIFY, That Ahe 1pdividual Well Constructedy)1�ltered ( ), or Repaired ( ) -by-------- =----- ------ - -- -- --- -------- _- " �Installef z ; . apt has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection {r Regulation.as described in the application for Well Construction Permit No. Dated ----------- t THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--------------------- -- - -- - ------ Inspector----------------------------------------— -= ------------ BOARD OF HEALTH TOWN OF BARNSTABLE Ivell Con5truct ion Permit No. V-1_ � Fee- -�--- Permission is hereby granted- -------------- - - - ---------------------- - to Construct (} Alter ( ), or Repair ( ) an Individual Well at: No. _- 1io--7--�: ----���---- --- � - -- Street as shown on the application for a Well Construction Permit No. - ----- ----- ------__- __ - Dated / -- - - ------—-----—-------- i — ---------—----------------------- .-. ..... — q, ----t-' � Board of Health DATE t4 � ®2g-oOZj TOWN OF BARNSTABLE LC CATION L SEWAGE # VILLAGE_ ,a/,S aal( ASSESSOR'S MAP & LOTZ�� �� INSTALLER'S NAME & PHONE NO. I SEPTIC TANK CAPACITY / n LEACHING FACILITY:(type) ©�O c5 f ; (size) NO. OF BEDROOMS_ PRIVATE WELL O PUB Z✓Z1l BUILDER OR OWNERyi��/� ,. DATE-PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ,l/ y /`_ �,� . /�/ P a �'� �z -3� ; �� �� .. , r .3 x fi _ " � DSO �, ,d Au 4F TEST .HOLE LOGS ENGINEER: JAMES C. JODICE a PARCEL 30 �� ; x0 °k%; ` - �' V'� ` WITNESS: JERRY DUNNING - O,� DATE: AUGUST 15, 1994 LUCILLE B. MCCALLUM �.3 ; � .-, ' PERC. RATE = < 2 MIN/INCH Locus AI j' DEED BOOK 5174 !I PAGE 218 0' EL. 35.0 0' EL. 35.2 Q \ ; . TOP AND; TOP AND N p) SUBSOIL SUBSOIL M �1 1.5' ---1 EL. 33.5 1 11 '2 f---- I EL. 332[ RACE LAME i 1 ;cP �� ,,.� �, PINE SWITHAND j pYER ' < LOCATION MAP (NOT TO SCALE) ` �`` =- `'� ; i SILT ----- __ 6' ------i EL. 2s.o j j ASSESSORS MAP 156, PARCEL 29 Rp 39 lvO �'. gyp\ w ZONING DISTRICT: RF BENCHMARK o L= 2 � w I IL WOOD STAKE SET ��° O R.25, 0 `, �, CLEAN I NO EL. 28.2 S FRONT = 30' / :. ' ~' /" _.4 \ `. f SAND TAN I WATER REAR = 1 ' AT EL. 35.57 0 p � 5 p � � `, - �, O FINE ; FOUND SIDE 1 55' _ f MAXIMUM BUILDING HEIGHT: 30' FLOOD ZONE C, PANEL 250001 0011 D PROP, 6'x6' 13 EL. 22.0 ,'" LEACH PTi NO y PARCEL 34 <` p4 ;'' WITH 3' OF WATER 3 STONE �� FOUND i JAMES F. ROBICHAUD I DIANNE L. BARTER J4 { DEED BOOK 7694 x. I a PAGE 23 o° ., G TH2 ,� NOTES: cv PROP, WELL - i F"� //A �°��' ° 1. DATUM IS ASSUMED FROM SANDWICH QUACK. MAP. IS 215' FROM -�, �'o �`'�3J a4 �c, a3 2. MUNICIPAL WATER IS I10T AVAILABLE:. SEPTIC 'v'� /� �J��fi�psa \ Q� 0 RES. ��H1 !`7�.' �_, F �p�o , � -y. - � �sroNE WALL 3. MINIMUM P1Pc PITCH TO BE 1/8 rER FOOT. F/I C%p I 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H10. I�( PERC. 5. PIPE JOINTS TO BE MADE WATERTIGHT. 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. PROP. `, , ENVIRONMENTAL CODE TITLE V. WELL ' PROP. l000``�_ 7. THIS PLAN FOR PROPOSED WORK ONLY AND NOT TO BE USED 32 \_GALLON SEPTIC `'-- 1\ FOR LOT LINE STAKING,TANK 51 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4a PVC. 9. 10' REMOVAL OF ALL UNSUITABLE SOIL DOWN TO EL. 29.0 C - - w Ss�r y�� --��------- IF ENCOUNTERED. i cm SEPTIC PROFILE (NOT TO SCALE) ~ LNG COVER TO WITHIN 2 T.O.F. AT EL. 34.5 B' OF FINISH GRADE. F' 1 BRING COVER TO WITHIN t 45,660 S.F. / '-1' OF FINISH GRADE PROPOSED 1� 1.05 ACRES INVERT AT �r(EXIST. EL. 32.5) MINIMUM 1' OF COVER OVER PRECAST (EXIST. EL 34.5 EL. 30.5 - -- -- - -_ �( OO •. `� 30.50 31.30 H10 DB3 LAY PIPE LEVEL i�� 2" PEASTONE Al - - FOR FIRST 2' A0 m J) ..\\ I 1% SLOPE `( ) / (H10) A_ EL. 30.09 J O , PROPOSED 10100 TE�� 1% SLOPE _ C� , ` 30.22 GALLON SEPTIC IFJ�23.97 d -- --T�r_ 000 1 r7 --1 TANK (H10)I l pO a °000 �T i.,p� 5GatL_29.53 i °aooa 6'x6' o°p° �<f 70___� n o n� o a o° ! LEACH °o°a° 2% SLOPE ppOo !� PIT Qo°°�ao 0) PARCEL 28 aao ° {H10} °°p0 DEPTH OF FLOW - 4' ^29.09 ' ao o 0000 �fO \., JOHN P. OWEN TEE SIZES: c op4 ; °u°a°0 ,90 INLET DEPTH 10" IN. C' CRUSHED 0ao° t i °p° DEED BOOK 7812 OUTLET DEPTH = 19" ��-STONE UNDER o00 EL 23.09 PAGE 20 D' BOX 3/4" TO 1-1/2" 1 - CLEAN WASHE a 4' \''<p OWNERS ENGINEER TO CERTIFY SUITABLE SOIL STONE j AND NO GROUNDWATER TO ELEV. 19.09 1 off 508-362-4541 _- LEACHING fax 508 362-9880 FOUNDATION 14' -- SEPTIC lT•ANK ------ 27'---_ D' BOX ----� 44' FACILITY f a down cape engineering, Inc. KEY SEPTIC DESIGN: (NO GARBAGE DISPOSER ALLOWED) SITE AND SEWAGE PLAN CIVIL ENGINEERS EXIST. CONTOUR - - DESIGN FLOW: 3 BEDROOMS (110 GPD) = 330 GPD T PROP. CONTOUR -'� ----'--'--'- -'-- SEPTIC TANK: 330 GPD {1 .5) = 495 GPD FOR PROPOSED DWELLING ON LOT 2 SOFTSHELL LANE IN: LAND SURVEYORS EXIST. ELEV. ............ 32.50 -- USE A 1000 GALLON SEPTIC TANK �KT - BARNS TABLE , MA 939main st. Yarmouth, maPROP. ELEV. .....,...... 3250PROP. WATER LINE w w LEACHING: PREPARED FOR: STONE WALL (DQ(DC)C)C) SIDES: 12'-rr 6' (2.5) = 565.5 GPD BOTTTOTAL OM 339.3 S.F. 678.6 GPD LARRY NICKULAS�___ l' 01 USE AN H 10 6'x6' PRECAST CONCRETE LEACHING PIT 30 0 30 60 90 Feet I fr BOARD of aa.Lrx WITH 3' OF STONE ALL AROUND. BARNSTABLE MA SCALE: 1 =30 DATE: SEP. 12, 1994 _ Y .�M - A � P. DATE APPROVED DATE 93-203 v. . +'e�+,'Y:1n._a�Atjs:4C.", -.129.T�E-�ro4::3`�' M1@`Fek•#1k. .X:2,'i:46�b#WU t.3xa"..f. , ..',ec: .. •,-mz:..i.Y1Co-:':., ..�»'^i.::1..IC�Td+�'[�.tL:.....'." d1"A" RK�kli' •Y4'ft:Sez.M°�s'•,Y.da'- '%Aek�lia2"?'.�.f�':".bB{ C;q!<: . ai :�;SSEI,'SORS MAP : ' l r The installation shall comply with the State Environmental Code Title V and Town cafe .'v:.++�sp. _.. € ARC _ --- ~� Beard of Health Regulations, J TM'€ O l L �.'�?L A`?Ot a�!:fi7 Vlr.%' c�, � 2'� The septic system as proposed can this plan shaEl not be installed until a licensed town installer ~ �.7 ri 4{ l_ , z. 1 `` ` ^- receives approval and an installation permit fr•orn the applicable town, 3{ Prier to installation,the installer shad verify the ,ovation of utilities, sewer inverts, sewer lines . P '7 ERCOLAT l ON RA ' ��1!1/vw�+ / and existing septic components prior to installation;, - ` a 4) All gravity sewer piping is to be 4 inch schedule 40 PVC at 1/8" per foot. The first 2 feet out of TH I Tfi9 2 the distribution faux shall be level. Ail ;piping connections to be glued, �• _ . , 5) This septic design plan is not to be utilized for property line determination or for any other purpose other then the proposed septic system installation, h? Ali'Title V components are to meet'Title V specifications, Parking shall be prohibiter}over Title V components unie;,s components are H2O loaded. r ON MAP _..___ � ,' _, ' ' ) The existing leaching or cesspools shall be purnped and filled with material per Title V abandonment procedures, leaching and cesspool(s) and contaminated soils within the 70 a proposed SAS shall be removed and replaced with clean sand per Title V specifications. �r /t�1 e 'r`✓ 9 Septic components are to be, 10'from a water service line. Sewer lines crossing a water line shoo be sleeved with an appropriately Sized schedule 40 PVC with ends grouted. The water servfckt 1 i ,,✓ line or the septic line can be sleeved with the sleeve being a distance of 10'or) - }, crossing the line. L) 7� i 1,I)) If a garbage grinder exists in the structure, it is to be. removed if the septic system is not S'4,2'06 aQ - ' r designed to accommodate a garbage grinder. i 44 _ lil The installer is responsible for care of excavation around all utilities on the propertyand i r I' t I a F E M i `r i protecting the structural integrity of all structures during the installation process of the septic f � ,,, `'• ,� ,+,� .,.-... .�.....�...,.�. .,.�.�. ...,.�..��... .. ..,�_.,. �.r. .,..........,.� system. y �' =�� _... __ —ems.. ��' pLOW �'..1 t,r} S'42V18ao"�+ �� tt b - r ants that a pis system can l installed on the property r7 eeti the V �. tb ,� i 2} This p only epres� �• t set s s e t a emeeting ng I d25. ?' �;� ..._ ._� �. requirements. ' _�T] f�{ d�} ap*�.�pmw)y.,§iy��s�'a F�''a`{�,�� �r � }4{ k ppM; ppp {yy� .(� IjJ s�k ty.� r 9 2 7 .w �. , i * .v l�sw. `�!},1 1 BEDROOMS a �,:F 1'�'' f'df�' V . .rA v Ff S< R s..M �,Jd�"AL R�0;3 4 k , o ` ` a- �. `-)AL/113 The property owner shall review design criteria to approve the total number of bedrooms ant! `s¢��8 5'Q' ��`3 .� i design flow, Installation of the septic system as proposed and receipt of payment for the design 40.' 00' h -- � `� t, n3 pia"PTIC TANK .g y property er or agent of. '�? �' �- , .„ w,.,a..,,, shall be deemed approval of the design criteria b theown n?,nt t M, �,I t 141 The validity of this plan shall expire with the expiration of the town installation permit issued for AL/LnA'� x ; DABS r7 L n; this pla or the validity of this plan shall ex:oire on the expiration of the Certificate of Compliance j1,� � !J 'GALLON � PTlC TANK,` 1:. 44 h� a j f, .4.3 '';;' ._, ` issued for the iostahatior, of the proposed wstera-i on this pier, �`. ipa+ #q"y r € y#� ^}' � M�V "✓� J i .! � ''�d�'�''dr A'''i����'�' a�� i � � °a1 D� AT. �4�5't`� �f � �t � ssBU'S' '�^ . tv 41* . 1 �i ._ t,1' __ ......,.,.,._.......;,....._....,.....-•...i:..�..ro...w...,�. ..�....�_.......«..�:.+�:,�..�».w..�.. .._...-._ •.....w...-.-�..•..- ...._._.._.�.._.-._...._.�.- ! V _ �.�r,,��g k ,q�'�j ,��.,�, � i �/1 p t q t 'VOL ' 1 :' + '�' i#,4� t+'"a � �yak 0 t✓ �� �4 V 1,� ��C��a 4�`tT� yL 1 s= lQd s BOTTOM ARSE ._t �.. A&U, , �- i SO 14 I ! < � g ;uCli - ' � n 1 °r"7 R...e:..,.....,..«..,k 5 `..'�"# "� .c , t; � .�j�' r`�, � f•�' ,�a t�,.,;� F l�68 y� l�^^a€: 1 / ! SAL - t , -, SEPTIC TAN u.: 1. � � %�� �'� � � ��t�% '?' L� __ ,� +� IV _ € y�L � ' , F d 10 52 49 Ol E r i ---.�� U � 1" DAVID ROAD f . Q. L _ ° PENN �`ENTRAL RAI I 6 MASON S � � � ,� �; , �� at �. i{ i� , No.106 - P�1 0..' "* ;...i. , h a 4t.,.� ,.+''...e''4.n..¢'' 14 ` . —43 ABC ENV l Q0 fir N T A L. DES 1 NSS ,' . D AV DATE J } l II fly .�� .��...�........ �.�..��.. HEA 1-TH AGENT r - _ .. J:Gvr S*F;^W'aAtip"i 1N..�.'n"Y.Ms�`.:t¢SGeIAtdMLIT:. a ...F ID�'Yi'�11:::5'.tlf.!*:'Y+P.. •• - .. 9a1 S:.a'S'.Y;3a^.Fie� SNYs§�dA2 'StiwC.e':Fxf BEb=keeCY- '�fN\#�,r'. a