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HomeMy WebLinkAbout0057 SPRUCE STREET - Health 57+ Spruce-Street .G W. Barnstable A = 216 053 i ° t TOWN OF BARNSTABLE LOCATION g�7��U SEWAGE# _�-,,1-1- VILLAGE 6)._�tiZN9_ ASSESSOR'S MAP&PARCEL =4/.-S3 INSTALLER'S NAME&PHONE NO. 3C- 1- �O�•ZZ I�� `�`� SEPTIC TANK CAPACITY 6X-1ni a i LEACHING FACILITY.(type) (size) _33 e�_J o� NO.OF BEDROOMS 1-00 4 At_ e � OWNER L�tZ �-to PERMIT DATE: -'1- 1*-1'7 COMPLIANCE DATE: / "2 Separation Distance Between the: . Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility t'LG Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) too Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facilityy))- PL ,4 Feet FURNISHED BY///] C—�t ✓�2,csc�v-r�-�r1� 'l9�` b V' 30 O No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes' PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 21pplitatlon for Dispi BAY06pstem Coustrurtion Permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) El Complete System �dividual Components Lc cation Address or Lot No.6-9J��r �� 's e,Address,and Tel.No. �-7� d C� AEsessor's Map/Parcel � 3 3 (—'�`` t-r � 115 W., `4 a Srt- I staller's Name,Address,and Tel.No. 6Z76-)9i-91399 Designer' Name, ddress,and Tel.No. - PA o��s Type of Building: _ Dwelling No.of Bedrooms -3 Lot Size o71/ 'SS sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures ?? Design Flow(min.required) 3y gpd Design flow provided gpd Plan Date -44 0-0 o-6 l 0 Number of sheets / Revision Date Title 1`` S J�• " Size of Septic Tank nAj._n f'( :Q Type of S.A.S.�aR a4alf&Rb aX$•$3� Description of Soil 0 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and ce of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the En ' ental C and not to place the system in operation until a Certificate of Compliance has been issued by this Bo ealth. Sig Date ? l• v-2 Application Approved by Date �y Application Disapproved by Date for the following reasons Permit No. J , Date Issued No. Fee �D THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppliration for 04osiljpstem Co trUrtion Permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System []'Individual Components Location Address or Lot No. FQ ' C0 4 1 C�.�..'f 6,.k�.wrier's Name,Address,and Tel.No.��.`73�- © '�C��> Assessor's Map/Parcel g1&l '?/ (_ �`"—•�11,5 4 Gcfl 2-0 241 feT&6 1'( 114 6-ae"", Installer's/Name,Address,and Tel.No. sv'�-�')/-9�9`� Designer's-Name,Address,'and Tel.No. 3Z R Gr•4v(� , \ fJ1?J�'�rC..''�'�1G�}'l 1-� i tit, +l�i �} v1�1it v �� '1 t r '� L//nti' il(7�AL del'(/4 4a�7S Type of Building: Dwelling No.of Bedrooms Lot Size a// S`� sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided � gpd Plan Date ',.6 Lge, ;2 b(n Number of sheets 1 Revision Date / Title 1 '3 tc �tren�re #.s'3�� C1 > �c�� Le��c F � viSl�otn7 v Size of Septic Tank tlXt.n m� ((. �.C' Type of S.A.S. o? JrXJ4rr( Ct�YrnUAte�n 4?'k6 831 Description of Soil J Nature of Repairs or Alterations(Answer when applicable) i Date last inspected: Agreement: The undersigned agrees to ensure the;construction and maintenance of the afore described on-site sewage disposal system in acccrdance with the provisions of Title 5 of the Envirenme�Code and to place the system in operation until a Certificate of �- �✓ ;4 Compliance has been issued by this Board•ofTIealth. Signed; Date 7 /3 /7, Application Approved by _ Date ����/// 2 Application Disapproved by Date for the following reasons Permit No. "' LQ Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of (tomprianre THIS IS TO CERTIFY,that the On-siteSewage Disposal system Constructed( ) Repaired( Upgraded( ) Abandoned b [' Wit i ' /� �' ' _ .-�_ ( ) Y J L ni�.� a II_Ad ern t1L at 50 SD rat-Q `S�. 11) J�t�py�i �r��4 has been constructed in accordance with the provisions tof Title 5 and the for Disposal System Construction Permit NQ,�/7 — dated /J� Installer I � i�� (� �►{�iLl���a�i7t Designer�k(J)'?����i���lr�� l�C #bedrooms Approved design flow gpd The issuance of this permit shall no a construed as a guarantee that the system/011l func n signe . Date Inspector c --------------------------------------------------------------------------------------------------------------------------------------- No. 0/ .` C;)-oryoo Fee V THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS MispoBat *.pstem Construction Permit Permission is hereby granted to Cons uct( ) Repair( Upgrade( ) Abandon.(- ) System located at �j t 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 myst be completed within three years of the date of this perm Date Approved by JUL-29-2017 02:05 From: To:15087906304 Pa9e:111 Town of Barnstable a Regulatory Services Thomas F.Geiler,Director AUM Public Health Divisloa its T�o.?A e&aia,Director 00 Main St *t,Hyannb,MA,02601 Office: 568462-4644 Fax: 509-790-6304 Installer&Designer Cerjflficatitoa Form Date: 7 °28 /7 Sewage Permit# ZVJ.7 7 7-6 Assessor's MAPTarce! Z16 t Designer: 0 ul nCya rnae n,4 bastallear: Address: l3 l`�a+� � Address: 10, X �D y on -71147 Za C.a was issued a t to install a I (date) �7 n (installer septic system V at / 1,v cA based on a design dxa-Am by (address) dated s .I'W -.,671Q (des Baer) ctrdfy that the septic systems referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relaratian of the distributim box and/or septic tank. I certify that the septic system referenced above; was installed with m or changes (i.e. greater than 10' lateral xclocation of the SAS or any vertical relocation of any cocuponent Of the septic systenALbL&i4 accordance with State&Local)tegolatiolas, Plan MISIon Or certified a - y des' et to follow. L1r�SdIlLl.f1�;��� WAL!k c: CIVIL an er's Sim) . U' `te,5V. ewgner's Signature , x esrgner's Stamp Hem) rreSE O-k MILMAIN O CO L1ANCE WILL NOT By, I UID *, '** OTH TMS A r—RLTMIC CARD AR& n f,= ED By nM$ARNSTA.BM UC HRAL't'H IDIMION, TBANW y0 Q:F[ealth/sept 4owigner Ctztlfloation Pow 3-26-Udoc I �a.� ' �n 7�eiara>L&iaaent o�'7�eganl<ataAy.Se�iees > ar,ENA A Public Reafth-Davlslon Date 1 ,I& • ,, na,�p. �� 2017 Ivlaln 5lrcet,Hyannis MA 02601 ' -� [,� l / X Date Sei�eduiad �Q �"-I r ,Timo Fe'e Pd. Soil Sultah Assessmen 'f"or Sew Twal PerForme413Y. Goy su V Q C Il / Witnessed By. JG0CAT�0I�T .�G .y '`gypW 4.�''.."'�71�I��1 Location Address Oyvner's Nanne Address Assessor's Map/Parcel: 741-A) Enginocr's Name J0 �' Gy e NEW CONSTRUCTION REPAIR Telephone# V� �6 oZ— `� Land Use: L o,,,,r-i Slopes(%) S Surface Stones / Distances fzom: open water.Hody >/OG #t Passiblo Wet•Aroa DrlWc!ng Water Well 4:5, ft D alhage Way ft Proparty Line 7 5 ft Other ft ' o(Shoe-name,dimensions of lot,exact locations of test holes&.pert tests;locate wetlands to pxoxiznity to 11010s) 1✓2ll . . , O . Parent material(geologic) 6 jq_C;Q ' l Depth tv l3edrgr.% '2--0 01 - DepthloGroundwatet: StandingWatcrinHoie: weeping from;JtFpaa' -/ Estimated Seasonal High Groundwater--EL, �0l,U(NAV bzf Method Used: Pere e wafer Depth Observed standing in obs.hole; — ____lu, Gapth�tb,s411 mQtfl� . iU, Depth to wcepingfram sida of obs.halo: ln, Groundwater.Adf ushmai[lk fc. Index Well# Reading late: Index Well 1pval Ad Itdr.�r,_„_M.:C VU11 wilterLavol— IEST Observation Nola# TiAno•at.9" ,.. _ . DepthofPere• � (el/e Gz TlxneatG" -Start'i�xi�-soalc'['izna,@: _ _ _ _ 'l'im�(9"-G") ..�--_----•-- ivnd lore-soalc ' Rate Mindluch SitoSultabiIityAssessmenr SitoFasscd SitgFailed:T_ Additional Testing Needed(:1'Y�1)� Original: Public health Dlvislan Obse6a1ion Holp Data To Be Completed oia Back—__<--•-_- **"If percolataban test is to be coladaxeted with 100' of wetland,you must first notary the ! Barnstable Conse> iaffm Division at least one(1)week prior to baagia»g. Qi 3EPTICTF,RCFORM,DOC t Dcpthfrom SallHarizon Sail.Texture Sdil Color Soil Ot'0cr Surface(in.) (U5b'A) •(Munsell) Mottling (Structuro,5toncff;Boulders, o i'tcn:;Y'%,(jravel) 9-�o Q LJ-s Y to z � Fs -),Sy s/3 �c�Kefs Si Depth from Sall horizon Sail Texture Soil Color Soil Other Sueacc(in.) (USDA) (Munsell) Mottling (structure,Stancs,)3ouldets, ansis en 9'o Grave S&-f'o �� ,S-Y 25ys/3 Depthfrotrt Sollfforizon Son Texturo Sail Color Soil Olhor' Surface(iu.) CUSDA) (Mansell) Mottling (Structnzo,Stones,53ouldom Conul.5toncy,%.Qrgvt5l) DEEP OBSERVATION ROLE LOG Depth from Sail l nd=n SoilToxturc Sall dolor gall Other Surface(in.) (USDA) (Munsell) Mottling (Structure,stones"souldars, Co si Edtt 6 F Too d Yrlsuxant date 1V�mp;. / _ _ Above 500 year;flood boundary No— , Yes Within 600 ycarhaundary. No v y Yen 'M " r. Within 100 year flood boundary XOIV.... YeS Death of Xabirall.,0cmrxyng•.Pervrroyrs m Pdor! Does at least four feet of naturally occurring pervious lriaterial exist in all aretis obsal,ved thrpughtjut thEy area proposed.far the soil.absorptl'on system'? Y e y -- If not,what is the dopth of naturally occurring jrervious Lnaterlal't C�er�ti'.�xca$iexs , x cortlfy that On / �� (date)r have passed the soil evaluator oycaminatlon approved by the Depaitmont OfEnvirorimmtal Protection and tllarthr, above analysis Was porfbnned by me consistent With . 'the required training,exportise and experience described in�10 C1VIR 15.017. Signature D atb �•• Q.�",�t'"ClCtl'L�IZ.CpOT�.YJf.T�OC • Fee------------------- No. BOARD OF HEALTH TOWN OF BARNSTABLE Zpp[icat ion-for Vell Con0ruttionVemit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( an ' dividual Well at: Location — Address Assessors Map and Parcel A— 0/.-� -- --- —--- ----Address — ---— t�— Owner �! p ----—--------------------------------- ——----- --- -- -- — Installer — Driller Address Type of Building Dwelling ----- --- -- -- Other - Type of Building--------------- No. of Persons- Type of Well l.� �k— 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 Certificate .of Compliance has been issued by the Board of Health. Signed ----- — da �e Application lication Approved: PP ` / date Application Disapproved for the following reasons: ------- —--- -- -- — date Permit No. Issued----------------- --- ---- -------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f COMPhante THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by------- ---------- ---— - ---- -- --- -- - ---- --- ----- -- Installer at- --- -- ---------- -- ------------- ------- -- ---- --- 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----- - - -- -- —----- 1 No. _ _ V�J � Fee------------------- BOARD OF HEALTH TOWN OF BARNSTABLE ApplicationArlVell Con5tructiodDermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( in dividual ndividual ell at: arc el —-- Location Address Assessors Map and P i Owner 0 Address Installer — Driller Address Type of Building Dwelling-- --- -—-- --- — Other - Type of Building No. of Persons--------------=------------ t�1 Type of Well — — ------ Capacity---- - -------- Purpose of Well----- - i_l�r- --------- 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 pla--e the well in operation until a Certificate .of Compliance has been issued by the Board of Health. y Signed /�--� ��— - ----- _ Application Approved By - 1 date' Application Disapproved for the following reasons:-------------------- - --- -- f V I `. date Permit No. ---- Issued--- ---------- ---- --- - ----- date Xt, BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of COMPhance THIS IS TO CERTIFY, That the Individual Well Constructed ( .), Altered (, ), or Repaired ( ) ---- ------ go y Installet��.. has been installed In accordanc�Wt 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'li CONSTRUED AS A,GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. ' � �' DATE------------- ---- —-- Inspector-- - -- - - ------------ BOARD OF HEALTH TOWN OF BARNSTABLE Ivell Construct ion permit No. 0 Fee Permission is hereby granted to Construct ( ), tern{ ), o.1,t pair ( ) an dividuaI Well.at: No. � / a `/ - i Street as shown on the pplication for a Well Construction Permit � t 11?10-51 ..,1 �t, :Jl / �_—______ Dated- ----------------------------- NO.--a-- � e Board of Health DATE r I�t \' p. -. 6' � TOWN OF mBARNSTABLE LUG A`110N J-7 S' le9eUce "SZ' ` SEWAGE AS-SESSOR'S MAP - INSTALLER'S NAME &.P-HONE NO. J, /m 4 C p dee SEPTIC TANK CAPACITY D 0 0 LEACHING FACILITY;(type)_ �� (size) NO. OF BEDROOMS. PRIVATE WELL OR PUBLIC WATER 4-V�- OR OWNER } ¢ g/ DATE PERMIT ISSUED: DATE COZI•PLIA.NCE ISSUED: '`.- ^ i 7 j3 itn ' CERTIFICATE OF ANALYSIS • .: Page: . <.. ` Barnstable County Health Laboratory Report Dated: 3/18/2005 Report Prepared For: Order No.: G0529451 ik Corinne Savery '+ 57 Spruce Street , W Barnstable,- MA 02668 { Laboratory ED#: 0529451-01 Description: Water-Drhilang Water Sample#: 29451' j.. ; $�. ' ,Sampling Location: 57 Spruce St.,W',Barnstable,MA Collected: 3/16/2005 i. Collected by: C.Savery Map 216 Parcel 0534 Received: 3/16/2005 Test Parrinteters ITEM RESULT UNITS RL • MCL Method# Tested LAB: Inorganics Nitrite as Nitrogen BRL mg/L 0.05 1.0 EPA300.0 3/16/2005 LAB: Metals Lead BRL mg/L 0.001 0.015 EPA 200.9 3/17/2005 LAB: Microbiology - - Fecal.Colifol'ma ; MF 3/16/2605 s Routine ITEivI RESULT UNITS RL MCL Method`# Tested' LAB: Inorganics Nitrate as Nitrogen 1.7 -9/L 0.1 10 EPA300.0 3/16/2005 LAB: Metals Copper 0.22 mg/L 0.1 1.3 SM 3111B 3/17/2005 Iron BRL mg/L 0.1 0.3 SM 3111B 3/17/2005 Sodium 18 mg/L 1.0 20 SM3111B 3/17/2005 LAB: Microbiology Total Coliform 0 CFU/100mL 0 0 303 3/16/2005 LAB: Physical.Chemistry COnduCtance 180 umohs/cm 1 EPA 126.f 3/16/2005 5.8 pH-units 0 EPA 150.1 3/16/2005 1 � -Water sample meets the recommended limits for drinking,Water.:for all above tested parameters.;,, Approved By: b Director) RL = Reporting Limit MCL=Maximum Contaminant Level MSuperior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 I t TOWN OF BARNSTABLE r LUCA`f10N -1-7 S��P!/ce Sr' SEWAGE VILLAGE 4 c-5r/3A I'46le AS'S'ESS0R'S MAP & L0T���'"��� INSTALLER'S NAME & PHONE NO. o ± /jet -firai� SEPTIC TANK CAPACITY /, o o o LEACHING FACILITY:(tppei / (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER Ds .S,z E-R OR OWNER DATE PERMIT ISSUED: DATE COIIPLI.A14CE ISSUED: -j 7Aj 0 �; �,,. ��� 0 \ r \ � ���, � ,� ��� `� ,pF � 1 9� 'I c-- ©j . x ` ,,e THE COMMONWEALTH OF MASSACHUSETTS `BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Di-nVw3al Workii Tomitrurtion i"rutit Application is hereby made for a Permit to Construct ( ) or Repair AX)� an Individual Sewage Disposal System at: ....................5.7....Spruce...Stre t...West Barnstable ,,, r .--------- -•---------•---•---•--•------------- -----------------•-----------..---- Location-Address or Lot No. --------------------Edwar.d...Sc1uEr�t.....------------------------------------- ----------_------•------•------•------•-••-----------•-----------•-------------------------------- Owner Address a ....................J._P._Macomber...J.x'................................... ------------......--------------------•------•-----------•--------•-----------------.............. Installer Address Type of Building Size Lot............................Sq. feet Dwelling-X No. of Bedrooms-----------3---------------------------_Expansion Attic ( ) Garbage Grinder ( ) '4 Other—Type T e of Building No. of persons---------- Showers a YP g ---------------------------- P ( ) — Cafeteria ( ) a' Other fixtures _______________________________ _ _ W Design Flow............................................gallons per person per day. Total daily flow_...........................................gallons. WSeptic Tank—Liquid capa6tv------------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 ( ) aPercolation Test Results Performed bY----•-------------- ...................................................... Date........................................ .1 Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water______...-_.____--___._. (14 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ 0 ----------------------------------- •-------------------------------------------------------..... .--- ----- .-------------------------- •... ........... .--------- 0 Description of Soil........................................................................................................................................................................ v : Clay to fine granular sand. .......................... ----------------•••---••---•-----------------------------•-•-------------------•--•-----•-•----..........--------•-••-------- W Add an additional 1 -1000 gallon U Nature of Repairs or Alterations—Answer when applicable......................................................................... ___-__..._......_--. •-------------------leach---pit---to--an---existing---tank---& pit.-----------...._...---------------...-------------------------•----........... 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 be n i sued by the b , r of health. � ..Signed - - - - ....... /24/.g5 .... DFw Application.Approved B .......... ......................... - ... '= ---- � Date Application Disapproved for the following rearons: ......................................... .................................................._.......----------------------- � � Permit No. /® .............. Issued ... /.1..._._....J............... —--- Due l _ F No............._.. Ea.. . . .fit. ... THE-COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Alip iratiun for Bi-npa!3al Work,i Towitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair IX an Individual Sewage Disposal System at: .................... street---West Barnstable...............................�A.........I.C7..................................... Location-Address or Lot No. F c, r &a-me r� Owner Address 7_ �P.mM C�mk�er. jr..-•------------------•----•------ ------•----------------------------------------------•-•-•--------•---•-----------••-•--••-•-•---- -------------••---••-- Installer Address UType of Building Size Lot............................Sq. feet Dwelling-Y-No. of Bedrooms._-________3______________________________Expansion'Attic ( ) Garbage Grinder ( ) `04 4 Other—Type of Building ---------------------------- No. of persons---------- ________________ Showers — Cafeteria Q' Other fixtures .-_---------------------_.._ _ _ W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. R' Septic Tank—Liquid capacity------------gallons Length---_------_----- Width---------------- Diameter---------------- Depth_____________... W Disposal Trench— No. .................... Width-------------------- Total Length.................... Total leaching area....................sq. ft. x > Seepage Pit No----..-_-._.-_._.__ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed,by........ ----------•----•••--•----•-----•-----••-•---•-••-•----•----- Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water------------------------- Li, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water.................... •--••-----------------------•------••---•--•-------•-------•------••----•----•-------------____.._........................................................... O Description of Soil - fine- granular r sand. - - - -- - .....; ��/ ^ µ x Clay to fine ranular sand. u -----------------------------•-•--............................................................................................................ x Add an additional 1 -1000 gallon U Nature of Repairs or Alterations—Answer when applicable- ______________-------------------------------------------------------------------------------- leach pit to an existing tank & pit. 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 boar of health. Signed -- . ..6 / ..........+.i.,.. . -9. .:...... Dace r rApplication.`Approvedl B --------- ------------------- ----- -------------- ------------- --------------------- -- -------------------------------['=-��.4..- ,5 Dace Application Disapproved for the following reasons: ....._-----------------------------/------------------------------------------------------------------------------- - .........................................-------------------.........----------------------------------------......... - ----------..........--------....----- ..... . ........ Dare Permit No. �...��.�� Issued ..- ---- ------�­,_-_-;_0 -- Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH I TOWN OF BARNSTABLE C'Iertifi ate of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX)A by ...... .._...d.<.P-Ma cQtrner_----Jr.,......................-------.---.- - ------- ---------------------._-....------------------........---..-------------------------......------------ atIn tall er ....... .._.._5.7....Spruce Street West. Barns-table.. - __.................................... ............ ------------ has been installed in accordance with the provisions of TITI. 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No.�0,�..�'J1,�r -._. dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO=DASUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. „ . - ------ -------- --------- Inspector DATE ------ ---.. --J..... .......... .....��7. _..._._L' .. i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH gg TOWN OF BARNSTABLE No1.... �tu�r,auttl urk� �nn,�tr�tiun �rrntit Permission is hereby granted_.. ,p.._MAsol bje—x- _Jr----------------------------------------------------------------------------------------------- to Construct or Repairy(XX) an Individual Sewage Disposal System at No 57 S?pruce Street Wes-t RarnStable -------•--------�................•••--•---------------...........-•..... ..�._. as shown on the application for Disposal Works Construction Perm' _ _ __________ __ Dated .,._.. Board of Health DATE...........�_ d FORM 36508 HOBBS Q WARREN,INC.,PUBLISHERS SYSTEM STEM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES MARKED WITH MAGNETIC TAPE OR PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT T SCALE)0 COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS NAVD 88 - ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3 GRADE 2. MUNICIPAL WATER ISEXISTING' Railroad o 2" PEASTONE OR GEOTEXTILE i� \ TOP FOUND. EL. 81.6' FILTER FABRIC OVER STONE 3. MINIMUM PIPE PITCH TO BE 1/'8" PER FOOT. o er9ate o o MINIMUM .75' OF COVER OVER PRECAST F 2% SLOPE REQUIRED OVER SYSTEM 74.0 4. DESIGN LOADING FOR ALL PROPOSED PRECAST W bane '. PRECAST H-10 UNITS TO BE AASHO H-LQ RISERS (TYP.) MORTAR ALL BLOCKS OR Locus .• 2'0 74.0 4"0SCH40 PVC COMPONENTS PRECAST RISERS Cape Cod H-10 5. PIPE JOINTS TO BE MADE WATERTIGHT. Community i-.'':; 6" MIN. SUMP PIPES LEVEL 1ST 2' (TYP.)12" MIN. INT. DIM. �ENDS BET. SIDES 6. CONSTRUCTION DETAILS`TO BE IN ACCORDANCE Ga7Te College , EXISTING " 10" 14" ' WITH Pond' •.. TEE SEPTIC TANK** TEE ,* o o 0 0 0 0 °°o o$o ���0 -®�®® o o r 310 R 0 (TI E 5.) 7 2.6 l]��� �00(] °° ° ° ° o ° ° CM 15 00 TITLE °°°°°°o° °°°°°o 000000�0�0�o WATERTEST D'BOx. >o°°°°°°° a�Oo�O®®a�00 °°°o°o ®®amaa0ma�0 °o°000°o°o°o ° -� 'o°o°o°o° O D O O O O oo°o°o O O O O O O O D 'o°o°o°o° C GAS BAFFLE::• +_o 0 o_ o FOR LEVELNESS ° ° ° ° oao®®®�oao� o°°°° ®0��000���0 ° ° ° ° 7. THIS PLAN IS FOR PROPOSED 'WORK ONLY AND 'M0°° c� N >000000go �Doaa�aDa�� 000000 ®Do�aDa�a�� ;0000g000 3 °pd NOT TO BE USED FOR LOT LINE STAKING OR ANY r .. 72.27 72.10 °°°°°°°o o °o°0°0°0 70.0 OTHER PURPOSE. O ... 6.. MIN. SUMP 12" MIN. INT. DIM. 1 8: PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. Exit LH=10 500 GAL. LEACHING CHAMBER BY ACME: PRECAST,OR EQUAL 16 3/4"-1-1/2",DOUBLE WASHED,STONE (2) UNITS REQUIRED 9. COMPONENTS NOT TO BE BACKFILLED OR 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE:,'33' X 8.83' r CONCEALED WITHOUT INSPECTION IBY BOARD OF Ser ice Rd COMPACTION. (15.221 [2]) o HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. (1 .5 % SLOPE) ( 1 % SLOPE) 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LOCUS MAP A r,IVIA p LEACHING CALLING DIGSAFE (1-888-344-7233) AND V S _ FOUNDATION- EXIST. SEPTIC TANK 22' D' BOX 12' VERIFYING THE LOCATION OF ALL UNDERGROUND & FACILITY OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF SCALE 1"=2000't 66.0' PERCHED GROUNDWATER FOUND WORK. 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL ASSESSORS MAP 216 PARCEL 53- , VARIANCES REQUESTED: BE REMOVED BENEATH AND 5' AROUND THE *THE INSTALLER SHALL VERIFY THE UNDER MAX. FEASIBLE COMPLIANCE 15.405: PROPOSED LEACHING FACILITY. LOCATIONS OF ALL UTILITIES AND ALL 1 h: REDUCTION IN GROUNDWATER SEPARATION, 5' TO _4' BUILDING SEWER OUTLETS AND 12. EXISTING LEACHING FACILITY SHALL BE PUMPED LEGEND PORTION PRIOR TO INSTALLING ANY GVARIANCES RANTED BY FOR SEPTIC SYSTEM WHICH M AND REMOVED OR PUMPED AND FILLED WITH CLEAN ON OF SEPTIC SYSTEM THE BOARD OF HEALTH AGENT OR BY HEALTH INSPECTOR SAND. PAPERWORK AND HEARING REDUCTION PROPOSALS APPROVED BY THE 99- EXISTING CONTOUR **INSTALLER SHALL EXIST. SPOT ELEV. CONFIRM MINIMUM SEPTIC BOARD OF HEALTH REVISED DURING A PUBLIC HEARING HELD ON DEC. SYSTEM DESIGN. X 99.E TANK SIZE AT 1000 GALLONS AND ITS SUITABILITY 10, 2013 [99]- PROPOSED CONTOUR FOR RE-USE. REPLACE WITH 1500 GALLON 3) FAILED SYSTEMS ONLY SAS TO PRIVATE WELL SEPARATION DISTANCE GARBAGE DISPOSER IS NOT ALLOWED SEPTIC TANK APPROPRIATE TO SITE CONDITIONS IF VARIANCES, IF LOCATED IN THE SAME GENERAL LOCATION AS THE OLD NOT SUITABLE SAS AND MORE THAN 100 FEET SEPARATION IS PROPOSED BOTH FROM t ` 198•41 PROPOSED SPOT EL. ON-SITE WELL AND ANY AND ALL WELLS ON ADJACENT AND EXISTING 3 BEDROOM -DWELLING TH1 NEIGHBORING PARCELS. s DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GP-D TEST HOLE USE A 330 GPD DESIGN FLOW SLOPE OF GROUND I � 10„W SEPTIC TANK: 330 GPD (2) = 660 Q� UTILITY POLE • r FIRE HYDRANT 160.39 **RE-USE EXISTING 1000 GAL. SEPTIC TANK NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING / " \ � 11 jl LEACHING: SIDES: 2 (33 + 8.83), 2 (.74) = 123 GPD 74 BOTTOM 33 x 8.83 (.74) = 215 GPD TEST HOLE LOGS 1 ____� I TOTAL: 458 S.F. 338 GPD DANIEL E. GONSALVES, SE #13587 / �5 USIE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) ENGINEER. DON DESMARAIS, RS 4 WITH 2' STONE AT SIDES, '4' AT. ENDS AND 8' WITNESS: `3)• C�, BETWEEN UNITS DATE: 6/19/15 LOT 78 \ PERC. RATE _ < 5 MIN/INCH 21 ,155 S.F. 19 74 PAVED MA CLASS I SOILS P# 15382 DRIVE a 2 APPROVED DATE BOARD OF HEALTH ELEV. ELEV. O„ 4 74.0' O„ 74.0' \ EXISTING FILL " FILL DWELLING / s.0 '� TITLE 5 SITE PLAN 42 40 TOF = 1.6 <� .� TH2 75 BENCHMARK: OF q A o \ DECK , 00.6 cn MAG NAIL LS jLs o _ o s , =77.9' NAVD88 #57 SPRUCE STREET 48" 10YR 3/2 70.0' 46" 10YR 3/2 70.2 m 101 0 76 WEST BARNSTABLE, MA / / F S - 5' REMOVAL OF UNSUITABLE SOIL REQUIRE m PREPARED FOR L B /� \ AROUND PERIMETER OF LEACHING FACILITY, \ I I 60" 10YR 4/4 69.0' 56" 10YR 4/4 69.3 \ DOWN TO SUITABLE-SOIL LAYER (C2 . REPLACE �N� _ J/ BORTOLOTTI CONSTRUCTION WITH CLEAN MED. SAND, TO ME C C - SPECIFI F 10 CMR 255(3) �6 SAVER Y y_ e SL SL \ 77 7 2 J 5Y 6/2 660' .0 2.5Y 6/2 66 ' �� 75 1 �g g F DATE: JUULY 14, 2017 (REMOVAL NOTE) 96 . 96 UNSUITABLE y .. SIEVE C2 C2 SOIL 81 � off 508-362-4541/ / :`POCKETS OF POCKETS OF 86 0» 3 �I"OFpfA ��cNaEMAssq fax 508-362-9880 ��� s9� o�� cy� I downcope.com s, SiL SiL .60 / ab, ��� DANIELA. yGm DAAfEL 2.5Y 5/3 2.5Y 5/3 _ ,o OJ VIL OJALA Own cope engineering, MC. „ , VIL No. 0980 192 58.0 192„ 58.0 - �No.465 civil engineers Scale: 1 20' _p ge° °Fes land Surveyors PERCHED GROUNDWATER ENCOUNTERED AT 96" EL. 66.0 DATE 1 939 Main Street ( Rte 6A) 0 10 20 30 40 50 FEET DATE IDA. OJALA, P.L.S. YARMOUTHPORT MA 02675 DICE # ' 7- > 55 17-155