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HomeMy WebLinkAbout0475 WILLOW STREET - Health 475 Willow Street ..: W. Barnstable _ A = 130 004 ` i -. a .. �- < ., � - _ • ASS LOT 5 SNED i h� ASS LOT 4 SNL'D �75 n,' tiro 120 O s- ASS LOT' 3 i RES ZONE "R—�'" This MORTGAGE INSPECTION Plan is For T011'\' — i1 -BankUse n FLOOD ZONEE- � _ - — -- REGISTRY 0ti4'NER: MAIM11,G_.6 Vic OR1.4 D ET,D Ii E F _10 1 1.>.5 -- EP,EBI' CERTIFY' TO ' PLAN REF: I �'._2,/ "1.; ,5 _ SHOS4`?�' Olr` THIS PLAN IS LOCATED ON THE G.OUND ASG `4 Of SHOWN AND THAT ITS POSITION DOES CONFORM PAS `�' Y ANKEE S �,R l� l TO THE ZONING LAW SETBACK REQUIREMENTS OF THE rY �;` CONSULTANTS TOtt'N OF BgRNST434E �, 40B INDUSTRY I'i' "10ES 1`OT LIE % ---------- ..._.__AND TtIAT �d0. ROAD SHOWNLA A�i ITN1\' Tf{F' fiPF.C'I,1I. I'1.001) fi 1'T.,11�1) ,{; �fAR6T4NS A4R.1 !tA. 0:6 iji "`,yin,: utt� �...j •�.. � AP D,Vj,E:1)_i;._ � �/S1iR��� 'I EL I�E3 r}(i">; 50ool �ITJI! t� - F? T111S PLAN AN 1N:•TRUMENT SURVEY, NOT TO BE USED FOR FENCES, ETC. I �,:flJ iJ ciy YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. -it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St.;, Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: Z Fill in please: r , APPLICANT'S YOUR NAME/S: M, 2.✓tSu�i BUSINESS YOUR HOME ADDRESS: SI7Fz S�6-oZ577 i..j. TELEPHONE # Home Telephone Number Svg -34,Z- it-39Y. NAME OF CORPORATION: NAME OF NEW BUSINESS DoLn Ile-a-ison GI o- S s e�i.4 TYPE OF BUSINESS a IS THIS A HOME OCCUPATION? X YES NO ADDRESS OF BUSINESS 426 L.':►10Ld S a--•u kl c mel uub MAP/PARCEL NUMBER J�D [Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &'Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COVAhllo-Nzed R'S OF I�E This indivin i—i a apy er ire it merit hat pertain to this type of busineI&ST COMPLY WITH HOME OCCUPATION RULES ANC REGULATIONS. FAILURE TO igrat COMPLY MAY RESULT IN FINES. MMEN S• ' j 2. BOA OF HEALTH This individual has een-inf rrr� d of the permit requirements that pertain to this type of business. . r . -�I'V T) MUST„OMPLY WITH ALL Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: 1 Date:12/ 13 /Z l 2j TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE NAME OF BUSINESS: Dot "0611 81a A�Ia4;, 5"s P4 tt4lKh BUSINESS LOCATION: ;/75- &-143 4 0,e m►i 011.e b INVENTORY MAILING ADDRESS: go. fox /oaf w, (3a��s-{�b� �►� ozaa� TOTAL AMOUNT: TELEPHONE NUMBER: .509 36oz- 71S9f CONTACT PERSON: '&K t��A_s ovl EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: 011_1'V%A1ny INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The board of health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's 20 ._ Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Ig Lacquer thinners (including carbon tetrachloride) "EW O'USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials No. �_GO`� O it Fee---- = V --- BOARD OF HEALTH TOWN OF BARNSTABLE Application-*r Melt "cong ru �r J�ctionpermit SUm� (o cc. „ . Wi cr.-c� V � d kj q, ig94 b ath k Cq-s-b,,� 2 � Application is hereby made for a permit to Const ct K, Alter ( ), or Repair ( ) n individual Well at: -----7- --- r_ --4s-�,--- - ---- — 1 �"°------------- ---------- Location — Address Assessors Map and Parcel /� Owne n c� Address A -���w �---�iS- -C CLf^1�r s- �'�� �`-�` - �' (f e- Z "-�M�"�1 0285/ Installer Driller Address Type of Building • / Dwelling----------—V— - ----------------------- Other - Type of Building ------ No. of Persons-------------------------__--______ Type of Well—— �-r:- - ----——- Capacity---��s-` — --- - —-- 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 He Private Well Protection Regulation — The undersigned further agrees not to place the well in operation i rti ' ate .of Compliance has been issued by the Board of Health. It Signed jz- - ax (Sv-)�Wp _ ate Application Approved By --- __ — -------____-- date Application Disapproved for the following reasons:---------------------------------___—------------_--------_—__—____—______—_ ---------------------------------------------- ------------------------------------------------- ------------------------------------- date PermitNo. _1J G' -8'�'�-- --------------- Issued — ------------------------------------- —----------- date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate ®f Compliance 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----------------------------------------------------------------------- �I I II' UO V. VNo:-------------------- ,. Fee----T------------ BOARD OF HEALTH TOWN OF BARNSTABLE I Zpplicat ion-*r V ell Co0 ruct ion Prrmit Application is hereby made for a permit to Constr ct (K Alter ( ), or Repair ( )an individual Well at: 4P S f1 S tion — Assessors ca/�yy dress ------ --- (�•�f��-_`v���(J w i P and Parcel c Owner i~L Ad resd s ��/ D q o�66d- �l l c4--- Q lC.(nl6 6 -itX , �� �v -�' ! � M l� 026 / Installer — Driller Address Type of Building / Dwelling — --V------------------------------------------- Other - Type of Building------------------------------- No. of -- -------P---e rsCon s------ --t--------------------------- TYPe of Well- Capacity Purpose of ------ -- -__--____-- , I I Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of He rivate Well Protection Regulation - The undersigned further agrees not to place the well in operation ?rff i a rti ' ate .of Compliance has been issued by the Board of Health. � I Signed --uG-'------- — -��-� � --- date Application Approved By ___ A ...... — � date ----------- Application Disapproved for the following reasons:---------------------__________________________________________—___—__________ -----------=---------------------- ---------------------------------------------------- ---------- - - --------------------- date 11 W 42'7 ---____-- Issued— / �G- --------Permit No. ----------- --- ------------------- - - - - — --- date I '------------------------------ ------------------------------------------------------------------------i BOARD OF HEALTH TOWN OF BARNSTABLE i Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by--------------------------------------------------------- ------------------------------------------------------------------------------- Installer i 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------------------------- i THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --- —- -------------------------- ---- Inspector---------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------- BOARD OF HEALTH I TOWN OF BARNSTABLE lVell Con5truct ion Permit No. —W?__gJ 7 Gc?7 Fee---y ---- - Permission is hereby granted- ---------�---------------------------------------------------------------- to Construct Y), Alter ( ), or Repair ( ) an Individual Well at: (,, No. Street ------------------------------------------ as shown on the application for a Well Construction Permit C Of G-7 No. - - - - - - -- --- -- - - Dated -------------------------------------------------------- 2- Board of Health DATE-- -- ,4 Ma sachusetts Department of Conservation and Recreation Office of Water Resources Well Completion Report 30-AUG-07 21:50:57 WELL LOCATION 250517 GPS North: 410 42.094' GPS West: 7.0° 23.342' Addr ess: , Willow St. Property Owner/Client: Dan Henson nSubdivision Name: Mailing Address: 475 Willow St. City/Toms:Barnstable City/Town, State.-W. Barnstable MA Assessors Map: 130 Assessors Lot #: 004 Permit Number:W2007-027 Board of Health permit obtained: Y Date Issued: 08/20/2007 Work Performed Proposed use Drilling Method overburden Drilling Method Bedrock Replacement Domestic Mud Rotary CASING From (ft) To (ft) Type Thickness Diameter _00 -89.00 Certa-Lok Schedule 40 4.00 SCREEN From (ft) To (ft) Type Slot Size Diameter -89.00 -92.00 Stainless Steel flee Wire .015 4.00 WELL SEAL /- FILTER PACK / ABANDONMENT MATERIAL From (ft) To (f0 Material Description Purpose .00 -39 Native Material Fill ..jam 4ii. F WELL TEST DATA- (ALL- SECTIONS MikbA RY FOR PRODUCTION Date Method Yield--'-Time Pumped Pumping Level Time to ecover Recovery rri (GPM) (hrs & min) (Ft. BGS) (Bra & Min) (Ft. BGS) 08/29/2007 Air .Blow with Drill Stem 7.5.0000 00:30 70.0000 00: 3 full 08/30/2007 Constant Rate Pump 16.0000 00:30 46.0000 00:02 full STATIC WATER LEVEL (ALL WELLS) PERMANENT PUMP (IF AVAILABLE) Date Depth Below Ground Pump Description:Grundfos 'Measured Surface (ft) Type: 3 Wire Variable Speed Submersible Intake Depth: 54.0000 08/29/2007 39 final Pump Capacity: 1S.0000 Horsepower: 1.0000 oe/3o/2007 39 ADDITIONAL WELL INFORM WELL DRILLERS STATEMENTATION Driller: Brad Anderson Developed: Yes Fracture Enhancement:No Supervisor: Ronald Peterson Rig #: 33 Disinfected:Yes We11 :Seal Type:None Firm: Atlantic Well Drilling, Inc. Total Well Depth. 103.000 Depth to Bedrock: Registration 4: 786 Date Complete:08/30/2007 Comments: Completed well depth is 92' Bore hole drilled to 103' y ; OVERBURDEN From To Description Color Cent Water Loss/Acid Drill Drill (ft) (ft) Zone of Fluid Stem Drop Rate .00 2.00 Fine Sand Brown No N/A 2.00 40.00 Silty Clay Brown w/ rocks No N/A _ Slow 40.00 48.00 Silty Sand Brown Yes , ._N/A.- 48.00 70.00 Silty Clay'— 'Brown w/ rocks No N/A Slow 70.00 103.00 Fine to Coarse Sand Brown Yes N/A 1/2 `f Massachusetts Department of Conservation and Recreation C Office of Water Resources Well Completion Report 30-AUG-07 21:50:57 WELL LOCATION 250517 GPS- North: 41 42.0941 GPS West: 70 23.342' Address: 475 Willow St. Property Owner/Client: Dan Henson Subdivision Name: Mailing Address: 475 Willow St. City/Town:Barnstable City/Town, State:W. Barnstable MA Assessors Map: 130 Assessors Lot #: 004 Permit Number:W2007-027 Board of Health permit obtained: Y Date Issued: 08/20/2007 BEDROCK From -_To-'Code Comment Water Drill Extra Drill Rust Loss/ # of (ft) (ft) Zone Stem Large Rote Stain Add of Frac DroD per ft 2/2 _ ENVIROTECH LABORATORIES,INC. - MA CERT. NO.:M-MA 063 8 Jan Sebastian Drive Unit 12 Sandwich,MA 02563 (508)888-6460 1-800-339-6460 FAX(508)888-6446 Client Name Atlantic Well Drilling Location #475 Willow Street Address PO Box 339 West Barnstable MA No.Eastham MA � 02651 Sample Date 08/29/07 Collected By B Silva/Atlantic Wells Sample Time 2:30 Sample Type New Well Date Received 08/30/07 Lab Order Number DW-72687 Well Specs 92'Deep 39'Static Location Source- Date Collected Time Collected, Comments A 8129/07 2:30 '*New England Chromadliein Analysis follows. " Analysis Requested Units Recommended Limits Analysis Result Method Date Analyzed Analyzed.By Total Coliform !100ml 0 4 9222 B 8/30/2007 RS pH pH units 6.5-8.5 7.13 4500-H-B 8/30/2007 LL Specific Conductance umhos/cm 500 121 120.1 8/30/2007 LL — Nitrite-N mg/L 1.00 <0.004 300.0 8/30/2007 LL Nitrate-N mg/L 10.0 <0.01 300.0 8/30/2007 LL Sodium mg/L 20.0 11.3 200.7 8/30/2007 MC Total Iron mg/L 0.3 0.31 200.7 8/30/2007 MC Manganese mg/L 0.05 <0.008 200.7 8/30/2007 MC Volatile Organic Compounds* ug/L See comment. . "2 524.2 9/6/2007 NEC' Comments: Coliform exceeds maximum contaminant level. Suggest retest. Iron level is not a health hazard. *'Chloroform limit=70. No-Water is not suitable for swimming for parameters tested. Date /o onald J.Saari Laboratory Di ctor BRL=Below Reportable Limits Page 1 of 1 a ENVIROTECH LABORATORIES,INC. MA CERT. NO.:M—MA 063 8 Jan Sebastian Drive Unit 12 Sandwich,MA 02563 (508)888-6460 1-800-339-6460 FAX(508)888-6446 Client Name Atlantic Well Drilling Location #475 Willow Street Address PO Box 339 W.Barnstable,MA No.Eastham MA 02651 Sample Date 09/05/07 Collected By R Peterson Sample Time 9:30 Sample Type New Well Date Received 09/06/07 Lab Order Number DW-72779 Well Specs 92'Deep 39'Static Lt2c11unk Source _:___�_ ,Date Collected Time Collected Comments Analysis Requested Units Recommended Limits Analysis Result Method Date Analyzed Analyzed By Total Coliform /100m1 0 0 9222 B 9/6/2007 RS_ Comments: —------_-- Water meets EPA standards an s itable for drinking for parameters tested. Date Ronald J. ari Laboratory Director BRL=Below Reportable Limits Page 1 of 1 'See Attached r new nnwlanu 6 Nichols Street Salem,MA 01970 y 978-744-6600 Sample Information EPA Method 524.2 Volatile Organic compounds in Water Client: Envirotech Laboratory,Inc. Lab ID: 709005 Client ID: DW-72687 State: Li uid DateReceived: 09/05/07 Date Analyzed: 09/06/07 Date Sampled: 08/29/07 Analytical Results Parameter Results u Parameter Results u L Acetone ND Trans-12-dichloroethene ND Benzene ND 1 2-Dichloro ro ane ND romobenzene ND 1,3-Dichbro ro ane ND --- mmochloromethane - D- - 2=Dichloro ro ane Bromodichloromethane ND 1 1-Dichloro ro ene ND Bromoform ND Ethylbenzene ND Bromomethane ND Hexachlorobutadlene ND 2-Butanone ND Iso ro benzene ND . N-B benzene ND P-Iso rp toluene ND Sec-Su (benzene ND Methylene Chloride ND Tert-Butylbenzene ND Methyl-tert-butyl ether ND Carbon Tetrachloride ND Naphthalene ND Chlorobenzene ND N-Pro benzene ND Chloroethane ND S ene ND Chloroform 2 1,1,1,2-Tetrachloroethane ND CNoromethane ND 1,1,2,2 Tetrachloroethane ND 2-Chlorotoluene ND Tetrachloroethene ND 4-Chlorotoluene ND Toluene ND Dibromochloromethane ND 1,2,3-Tdchlombenzene ND 9 2-Dibromo-3-chloro ro ne ND 1 2 4-Trichlombenzene ND 1,2-Dibromoethane ND 1,1,1-Trichloroethane N Dibromomethane ND 1,1,2-Trichloroethane ND 12-Dichlorobenzene ND Trichloroethene ND 1,3-Dichlorobenzene ND Trichlorofluoromethane ND 1,4-Dichlorobenzene ND 1,2,3-Trichloro ro ne ND Dichlorodifluoromethane ND 1,2 4-Trimeth (benzene N 1,1-Dichloroethane ND 1,3,5-Trimeth benzene ND 1,2-Dichloroethane ND Vinyl Chloride ND 1 1-Dichloroethene ND M&P-X lene NO Cis412-dichloroethene IND O-X lene EEJND Recoveries of Internal Standards % Benzene-d6 111 4-Bromofluorobenzene 92 1 -Dichlorobenzene-d4 94 Method Detection Limit=0.5 ugIL Electronically signed and approved by Mr.Bruce A.Bornstein,Lab Director Date:9/7/2007 McKean, Thomas From: McKean, Thomas Sent: Monday, January 26, 2004 9:12 AM To: Mcauliffe, Paulette Cc: Health Office Subject: 475 Willow Street received floor plans for an amnesty application regarding the above referenced address. I'm writing to inform you that the plans show five bedrooms (four bedrooms and one enclosed "office") but the property is limited to four bedrooms based upon a disposal works construction permit issued years ago. There is a private well on this site which consists of only 34,314 square feet. Under today's standards, only a three bedroom dwelling could be built there. The applicant does have the option of removing a bedroom or office (by permanently removing a door and opening-up a wall area a minimum of five feet wide) in order.to proceed with the program. Paulette- I have been unable to reach the applicant by telephone so if you see the applicant, please let him/her know. In the meantime, the file will be kept in the Health Division rejection/hold box. i 1 McKean, Thomas From: McKean, Thomas Sent: Wednesday, February 04, 2004 11:00 AM To: Mcauliffe, Paulette Subject: 475 Willow/Daniel Henson Please change the status of this application to"disapproved." I will keep the application and associated paperwork in our rejection box until this issued is resolved. -----Original Message----- From: McKean,Thomas Sent: Wednesday, February 04, 2004 10:48 AM To: McKean, Thomas; Mcauliffe, Paulette Subject: 475 Willow Hi Paulette: You expressed some concern that the owner did not sound as if he/she is going to follow-thorough with the required doorway renovation- Is this the property that you were concerned about in this regard? -----Original Message----- From: McKean,Thomas Sent: Wednesday, February 04, 2004 8:51 AM To: Mcauliffe, Paulette Cc: Weil, Ruth Subject: RE: 475 Willow Answer That would not be consistent with how we normally handle this issue. Would there be a deed restriction recorded at the Registry of Deeds limiting the number of bedrooms to the maximum allowed? -----Original Message----- From: Mcauliffe, Paulette Sent: Tuesday, February 03, 2004 11:13 AM To: McKean,Thomas Subject: 475 Willow Answer Dear Tom, believe Kevin has come up with a good plan regarding that"office" room at this property. We would like to know if you would be okay with the idea. Would you be willing to provisionally approve this for the program IF in the written ZBA Decision we state that the Town will inspect their property every year, and specifically the "office"to ensure it's continual use is office use only. Gail Nightingale would also take notice to point it out to the Hansens at the hearing before ruling on their application. Once this agreement is entered into public record, they would be bound to comply with it. What do you think? PT 1 r3,TA-a C- C�J ec a { wad cAoy� {, C Crcia ) t fi r; E ('OUw1 . ' 1 S Firsf Floor roo dv'\ 0 s,-o _ -}�1�moo vv-\ eV,\ Ground Floor Fq �' $ E Z Px Mews f It) � T i ? FA 01 elec+. F 1. ,E s �A Ei0 f: a i• � Av►'';y co, ! `) O SBearoca� ,I F13�j l hta� F�o•�poor U.1u..do�,! �W.�nc�uM,r W...dev On : CICCA, o-Me-i- `FIT Y Ft�t !�1 brn�/ SMOKe c�a�cc.7ar _ ` McKean, Thomas From: McKean, Thomas Sent: Monday, February 02, 2004 9:53 AM To: Mcauliffe, Paulette Subject: 475 Willow Street The septic questionnaire application regarding the above-referenced address was approved with one condition: -The`office" room doorway shall be renovated with a minimum five feet opening and removal of the door. 1 y�T � �tt� � ,� �r �'_ ;a x ,� tl } F � � �K�- _� �� ;� + . it �� � :� �, ^� �£ D R � �; � , r .. �'� n ` � �. "� � a t �-.�` 1 � "�. � i V � .-1 �• � :� .� �' ca, ���� - ,� �3 " — �> � h � �yty' �3 asp— � j� .. ' 'y. II Town of Barnstable Health Inspector of t ._ . Office Hours do Regulatory Services 8:00—9:30 .1:00-2:00 Thomas F.Geiler,-Director * sAxivsTABt a Only " ,0� Public Health, Division Thomas McKean,Director 200 Main Street,Hyannis,M�(A 02601 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT- SEPTIC QUESTIONNAIRE 1. General Information: r � Address: H-75 Lj'L 1 t a tAJ Si' (1✓ L�.'*<y��S�tr �� Map 130 Parcel 00 Name: Phone#: -'30S 3W,- � yy 2a. How many bedrooms exist at your property now -3���- 2b. Are you planning to add any bedrooms? /\/Q If yes, how many? 2c. How many bedrooms total are proposed at this property(including the amnesty umt) �� 2d. Please include a copy of the floor plans for the entire property - showing the existing rooms in the home plus the proposed amnesty apartment and/or addition. Please label each room clearly on the plans. 3. Is the dwelling connected to public sewer? YES or NO if the dwelling is connected to public sewer,skip questions 4-9 below 4. Location of dwelling is INSIDE or OUTSIDE a Zone of Contribution to public supply wells? 5. Is the dwelling connected to an ONSITE WELL or to PUBLIC WATER? 6. Is a disposal works construction permit on file? YES or NO - 6a .If yes,how many bedrooms were approved according to this permit? Bedrooms. 7. Were any building permits obtained for construction of additional bedrooms? YES or NO 8. Is there an engineered septic system plan on file at the Health Division? YES or NO 9. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or --------------------------------------------------------------------------------------------------------------Ct---r'7'�-+ FOR OFFICE USE ONLY Pd� TO BE SIGNED BY A HEALTH INSPECTOR/AGENT ONLY _.NO __1 The Public Health Division has n objection to J 3j�drooms at this roe utl�Co� J p p Aal- hate. Signed: Date: % �7 v'1 -7 tom,) Inspector(Print): � ��,�� M 51 0'y A 100V Q;/health/wpftles/amnestyapp A CERTIFICATE OF ANALYSIS Page. Barnstable County Health Laboratory Report Prepared For: Report Dated: 12/20/2000 Order Number: G0008540 Victoria Henson 475 Willow Street West Barnstable, MA 02668 Laboratory ID#: 0008540-01 Description: Water-Drinking Water Sample#: 08540 E226 227 228 Sampling Location: 475 Willow Street W Barnstable MA Collected: 12/05/2000 ollected by: V Henson Received: 12/06/2000 Routine+Ammonia ITEM RESULT UNITS MDL MCL Method# Tested LAB: IC Lab Ammonia <0.1 mg/L 0.1 EPA 350.1 12/08/2000 Nitrates 1.3 mg/L 0.1 10 EPA 300.0 12/07/2000 LAB: Metals -Copper ' 0.5 mg/L 0A 1.3 SM 3111B 12/07/2000 'iron ';= <0:1 tngiL "0:1 0.3 SM 31 i 1B 12/07/2000 Sodium '25 'mg/L `:0 '20 -SM 3111B 12/07i2000 LAB:-Microbiology'r Total Coliform Absent P/A 0 Absent P/A 12i06/2000 LAB: Physical Chemistry Conductance 262 umohs/cm 1 EPA 120.1 12/07/2000 PH 6.7 pH-units 0 EPA 150.1 12/07/2000 EPA 502.2- Volatile Organics by PID/ECLD ITEM RESULT UNITS MDL MCL Method# Tested LAB: GC LAB 1,1,1,2-Tetrachloroethane BRL ug/L 0.5 EPA 502.2 12/19/2000 1,1,1-Trichloroethane BRL ug/L 0.5 200 EPA 502.2 12/19/2000 '1,1,2,2-Tetrachloroethane BRL ug/L 0.5 EPA 502.2 12/19/2000 1;T,2=Trichloroethane BRL ug/L 0.55.0 EPA 502.2 12/19/2000 ' _;1,1-Dichl6r.`oethane BRL ug/L 0.5 EPA 502.2 12/19/2000 1:1=Dichloroethene BRL a i' 0a, 7.0' EPA 502:2 t2i19/2000 V,1-Dichloropropene BRI.;. qiu 0 5 EPA 502.2, 12/19/2000 1;2;3-Trichlorobenzene BRL ug/L 0:5 EPA 502.2 12/19/2000 1,2,3-Trichloropropane BRL ug/L 0.5 EPA 502.2 12/19/2000 Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 ' Page. z CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory Ct�l Report Prepared For: Report Dated: 12/20/2000 Order Number: G0008540 Victoria Henson 475 Willow Street West Barnstable, MA 02668 Laboratory ID#: 0008540-01 Description: Water-Drinking Water Sample#: 08540 E226 227 228 Sampling Location: 475 Willow Street W Barnstable MA Collected: 12/05/2000 ollected by: V Henson Received: 12/06/2000 1,2,4-Trichlorobenzene BRL ug/L 0.5 70 EPA 502.2 12/19/2000 1,2,4-Trimethylbenzene BRL ug/L 0.5 EPA 502.2 12/19/2000 1,2-Dibromo-3-chloropropan BRL ug/L 0.5. EPA 502.2 12/19/2000 1,2-Dibromoethane(EDB) BRL ug/L 0.5 EPA 502.2 12/19/2000 1,2-Dichlorobenzene BRL ug/L 0.5 600 EPA 502.2 12/19/2000 1,2-Dichloroethane BRL ug/L 0.5 5.0 EPA 502.2 12/19/2000 1,2-Dichloropropane BRL ug/L 0.5 EPA 502.2 12/19/2000 1,3,5-Trimethylbenzene BRL ug/L 0.5 EPA 502.2 12/19/2000 1,3-Dichlorobenzene BRL ug/L 0.5 EPA 502.2 12/19/2000 1,3-Dichloropropane BRL ug/L 0.5 EPA 502.2 12/19/2000 1,4-Dichlorobenzene BRL ug/L 0.5 5.0 EPA 502.2 12/19/2000 2,2-Dichloropropane BRL ug/L 0.5 EPA 502.2 12/19/2000 2-Chlorotoluene BRL ug/L 0.5 EPA 502.2 12/19/2000 4-Chlorotoluene BRL ug/L 0.5 EPA 502.2 12/19/2000 Benzene BRL ug/L 0.5 5.0 EPA 502.2 12/19/2000 Bromobenzene BRL ug/L 0.5 EPA 502.2 12/19/2000 Bromochloromethane BRL ug/L 0.5 EPA 502.2 12/19/2000 Bromodichloromethane BRL ug/L 0.5 EPA 502.2 12/19/2000 Bromoform BRL ug/L 0.5 EPA 502.2 12/19/2000 Bromomethane BRL ug/L 0.5 EPA 502.2 12/19/2000 Carbon tetrachloride BRL ug/L 0.5 5.0 EPA 502.2 12/19/2000 Chlorobenzene BRL ug/L 0.5 100 EPA 502.2 12/19/2000 Chloroethane BRL ug/L 0.5 EPA 502.2 12/19/2000 Chloroform 0.9 ug/L 0.5 EPA 502.2 12/19/2000 Chloromethane BRL ug/L 0.5 EPA 502.2 12/19/2000 cis-1,2-Dichloroethene BRL ug/L 0.5 70 EPA 502.2 12/19/2000 cis-1,3-Dichloropropene BRL ug/L 0.5 EPA 502.2 12/19/2000 Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-37576605 Sr of�1T fU M' page. 3 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory Report Prepared For: Report Dated: 12/20/2000 Order Number: G0008540 Victoria Henson 475 Willow Street West Barnstable, MA 02668 Laboratory ID#: 0008540-01 Description: Water-Drinking Water Sample#: 08540 E226 227 228 Sampling Location: 475 Willow Street W Barnstable MA Collected: 12/05/2000 ollected by: V Henson Received: 12/06/2000 Dibromochloromethane. BRL ug/L 0.5 EPA 502.2 12/19/2000 Dibromomethane BRL ug/L 0.5 EPA 502.2 12/19/2000 Dichlorodifluoromethane BRL ug/L 0.5 EPA 502.2 12/19/2000 Ethylbenzene BRL ug/L 0.5 700 EPA 502.2 12/19/2000 Hexachlorobutadiene BRL ug/L 0.5 EPA 502.2 12/19/2000 Isopropylbenzene BRL ug/L 0.5 EPA 502.2 12/19/2000 Methyl-tert-butyl ether BRL ug/L 2.0 EPA 502.2 12/19/2000 Methylene chloride BRL ug/L 0.5 5.0 EPA 502.2 12/19/2000 n-Butylbenzene BRL ug/L 0.5 EPA 502.2 12/19/2000 n-Propylbenzene BRL ug/L 0.5 EPA 502.2 12/19/2000 Naphthalene BRL ug/L 0.5 EPA 502.2 12/19/2000 p-Isopropyltoluene BRL ug/L 0.5 EPA 502.2 12/19/2000 sec-Butylbenzene BRL ug/L 0.5 EPA 502.2 12/19/2000 Styrene BRL ug/L 0.5 100 EPA 502.2 12/19/2000 tert-Butylbenzene BRL ug/L 0.5 EPA 502.2 12/19/2000 Tetrachloroethene BRL ug/L 0.5 5.0 EPA 502.2 12/19/2000 Toluene BRL ug/L 0.5 200 EPA 502.2 12/19/2000 Total xylenes BRL ug/L 0.5 10000 EPA 502.2 12/19/2000 trans-1,2-Dichloroethene BRL ug/L 0.5 100 EPA 502.2 12/19/2000 trans-1,3-Dichloropropene BRL ug/L 0.5 EPA 502.2 12/19/2000 Trichloroethene BRL ug/L 0.5 5.0 EPA 502.2 12/19/2000 Trichlorofluoromethane BRL ug/L 0.5 EPA 502.2 12/19/2000 Vinyl chloride BRL ug/L 0.5 2.0 EPA 502.2 12/19/2000 Superior Court House, PO.Box 427, Barnstable, NU .02630. ,Ph: 508-3757-6605 Page: 4 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory Report Prepared For: Report Dated: 12/20/2000 Order Number: G0008540 Victoria Henson 475 Willow Street West Barnstable, MA 02668 Laboratory ID#: 0008540-01 Description: Water-Drinking Water Sample#: 08540 E226 227 228 Sampling Location: -475 Willow Street W Barnstable MA Collected: 12/05/2000 ollected by: V Henson Received: 12/06/2000 Note: The water sample has high levels of sodium;persons on a low sodium diet may wish to consult their physician. Approved By: i (Lab Director) l Z/Z /1100v Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 I , TOWN OF BARNSTABLE LOCATION ��� �y '\�ow S�.rc e� SEWAGE # VILLAGE W � �usSb'<. ASSESSOR'S MAP & LOTn�-1 F INSTALLER'S NAME & PHONE NO.Ca_ek\,, \xdv°°.c S , LM-�(g3S SEPTIC TANK CAPACITY (S OL C,Ao"5 LEACHING FACILITY:(type) Lt:zg -�, �,,ill (size) A0 X 0 NO. OF BEDROOMS _PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED; VARIANCE GRANTED: Yes No �Qy No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pprication for Miqual *pgtem Construction Permit Application is hereby made for a Permit to Construct( )or Repair(�an On-site Sewage Disposal System at: Location Address or Lot No. Ow er's Name,Address and Tel. -7 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. t � Type of Building: Dwelling No.of Bedrooms Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Description of Soil k,.5 Nature of Repairs or Alterations(Answer when applicable) S auo Date last inspected: Agreement: J The undersigned agrees to ensure the construction and maintenance of the afore described oh-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 Certifi- cate of Compliance has been is su ypp th�ii��Boaar�rd of Health. SignedZlk9-�ti. Date Application Approved by Application Disapproved for the ollowi g reasons _ 4 Permit No. 7 ILi Date Issued , 6 .t xri�'yr e<L„ t' .,+iA'#�M'.r~:t7" r'+�t '' '.hi z_e�{.t.-� *. ..(`'.'9,�./' . .-;'s'.,' ^�«'",i,_._. I' ... -. ,.- -,.�'"i �t-:F.f• ..{yl�v:`r .,5,"� Fee f t a THE COMMONWEALTH OF MASSACHUSETTS ` PUBLIC HEALTH DIVISION -;TOWN of BARNSTABLE., MASSACHUSETTS Z(Pprication for Migoar *pgtem Cow5tructiou permit I Application is hereby made for a Permit to Construct( )or Repair(J`)an On-site Sewage Disposal System at: Location Address or Lot No. Ow er's Name,Address and Tel. 41, ' CAN \ C.O►Y �e]� • rw • Ms4 7 1vvw SA . W &.f03 yuc-, Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 4 S: k YKC+ ©Z�uk i Type of Building: Dwelling No.of Bedrooms ;'" garbage Grinder( ) F Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow _,gallons. Plan Date Number of sheets Revision Date Title 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 ofETitle 5 of the Environmental Code and not to place the system in operation until a.Certifi- cate of Compliance has been issuy thi Board of Health: Signed Date Application Approved by ' Application Disapproved for the ollowi g reasons d T Permit No. r y Date Issued THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS (Certificate of (Compli ice `` THIS IS TO C TI� that the On-site Sewage Disposal System in talled( l Ar repat d/replaced( )on W i�VO�J S� by oL'r\�o.� vAr,c.. (— for g� C r ` C.a cb $ j as W W ti-r- 'due..• has been constructed in accordance with the provisions of Title 5 and the for Dispos l System Con truction Permit No Ll dated Use of this system is conditioned on compliance with the provisi set forth below: h No. �3 � �- Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS . t mig gar *pgtem cow6tructiou permit Permission is hereby granted to c-k�w to construct(J.,or )an Ori-site Sewage System located at 11�.1 e S CL�r C, and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. All construction must be coin leted within two years of the date below. Date: W Approved by TOWN OF BARNSTABLE *THE taw OFFICE OF Z DA"STABL i BOARD OF HEALTH ����t MASS. ,, V 16J9' \� 367 MAIN STREET CFO MPY k. HYANNIS, MASS.02601 JUL 2 1996 7oWN O B OCP1' a�1v�r;�6� July 9, 1996 Richard Picard 475 Willow Street West Barnstable, MA 02668 Dear Mr. Picard: You are granted variances to install an onsite soil absorption system 119 feet to a neighbor's well and 110 feet from an onsite well at 475 Willow Street, West Barnstable with the following conditions: (1) The septic system shall be installed in strict accordance with the submitted plans dated June 10, 1996. (2) The health inspector shall certify in writing that the system was installed in the designed location shown on the plan dated June 10, 1996. If the system is not installed in the designed location,the health inspector shall order the installer to relocate the system. (3) The existing cesspools shall be disconnected, pumped, and filled as described on the submitted plan. The variances are granted because the existing cesspools which are malfunctioning are located only 88 feet from the onsite well. Therefore, the new soil absorption system will be located further away from the onsite well. Also, the groundwater flows in a northerly direction in this area, from the wells toward the septic system. Sincerely yours, sou,=4�rj- Susan G. Rask, R.S. Chairman Board of Health Town of Barnstable SGILbcs cc: Edward Barry it picard 0 NOTE.- LOT LINE b17FOP.A94TI02V SHOTI"\r hr,EST ` r IS DERIVED FROM DEED 2643,101.a a.4Rrv;r.4DtE f 0 ADD .4BL'TTL1%G PLANS 180 739 R 249;Y25. SEE 2nd PAGE FOR STRIPO UT " j '' 'I c I a ` / P.E. ZOAE ""P.F" INFORMATION. FLOOD ZOVE.- `C"' ASSESSOPS A14P 130 LOT 5 --BY A--_s- av �- � LOCL'S�= .�`' /1% S0 JATO:Z 1 -_c r. a 3iJ o:N! - I4 p \I I 4 % r �\,3 \ )` ND V.,5 ' S n 0R fl Alo ., FHED �� � r � � \\ � \• � _ �A j it / 5 '_4,4EA=34,314- t F G r I L• \\ i 1' I \ \:� �% \\ � r._ � I\ PEE- ) [TOLE I inch = 30 ... LL 4 75 TI7LLO T17 STREET 100 -=-"=--=-=- TIE'ST B_4P.-A%ST_4BLE, .114. j SEPTIC PIPE/ i ELEV.= 98.65' _=______-n`. :� �_IC (dT: 'J SHED 0 / r P`\\\1 . SIJR'.% :ON i X-:N%S V! 5, 4G3 l,'\ USI;^; RJ.iJ �ApO //,4RSTONS l/lLl C, MZ'.'0264:j' ;i ASSESSORS ^�Ffl l� c+sr ; $� G 3y�Fss�` _N�Se _�,-,'.(508)428-00-5 - ,-4X( 114 3 5✓ iL%- 5JJ LOT 3 _ 1'=30' J.-':Tc: 6,110/96 TOP OF FOUND.4TIOA% ; �� ✓ j REV.' ELEV= 100.80' (ASSIGNED) _ l JOB /VO. 50970 SHEET I Or 2 F.F. ELEV.=101_8f 20' ELEV.= 100.D 4" CAST IRON OR ELEV.= 94_5f SCHEDULE 40 P.V.C. CONCRETE COVERS f 4" CAST IRON OR 4"DIA. SCHEDULE 40 PERFORATED PLASTIC PIPE j SCHEDULE 40 P.V.C. END CAPS ON ALL PIPES q 3"LAYER OF DIST.=NZA- SLP.=NLA_ SLP.=0.00_ s' ON CENTER 12" 1/5'-1/z' INVERT DIST.=115_5' CONCRETE COVER DIST.=38__ WASHED STONE FLOW LINE SLP.=_Q65 INVERT 90 8 oaoQoo o" o00000000000"0`000"00000`0`c0 00000"op."o q-o 000000WASHED STONE ELEV.=N1A- ELEV.= 98_60 ELEV.=--=- 00000.000 o0000000 o000 o0000o�,°°o o° 000000°°°00000?oo o.00000°°000000000000 10' MIN. 7g• _ _ _ _ _ _ _ _ _ _ _ _ _ j ELEV.= 98_35 91.0 90.83 OVO< 6" LAYER OF ELEV.=__ _ ELEV.=____ < o • /4• TO 1-1/2" 4'CAST IRON OR OO�O�O�OVOVOVOVO00VOVOVO`. o0°O°oVOOo°oC WASHED STONE '�1 SCHEDULE 40 P.V.C. DISTRIBUTION BOX n,o 0 0 0 0 0 0 0 0 0�0 0 o 0 0 0 0 0 0 o ELEV.= 89.8 IF MORE THAN 4' OF COVER. USE H-20 LOADING USE STONE STRIPOUT ALL SILTY MATERIAL DIRECTLY 1500 GALLON SEPTIC TANK TO BE WET TESTED IF TO LEVEL THE TO BE PLACED ON MORE THAN ONE OUTLET. N BELOW N A DEPTH OF EIGHT O FEET AND 6.9' BED AS NEEDED. U THE PERIMETER OF THE SYS M.1' AROUND TE � 6" OF STONE OR TO BE PLACED ON ' MECHANICALLY COMPACTED SOIL. 6' OF STONE OR ------------------------------------------_ MECHANICALLY COMPACTED SOIL. BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV USE A TANK WITH THREE COVERS. =82.4 USE H-20 LOADING SOIL TEST DONE BY: J.E. LANDERS-CAULEY P.E. FI MORE THAN 4' OF COVER. WITNESSED BY:_EI2 BARR1'____________ ___ PERCOLATION RATE:--2--MIN/INCH P# 8707 '; 11 TEST HOLE 1 DATE:-9 5=23=56 ELEV._94.5___ 1 ° °_°"°"o ° ° ° ° ° o wns e°s.1 PROFILE OF °0°9°0 o°e°0° DEPTH HORIZON TEXTURE COLOR MOTT. OTHER V SEWAGE DISPOSAL SYSTEM? 4 PERFORATED PIPES NOT TO SCALE SECIPON'-i_A.. 0 - 6" A NONE t. 6 - 36" B S LOAM NONE I E GENERAL NOTES: [ 36'" - 96" CI S SILT NONE f 1. THIS PLAN IS FOR THE UPGRADING OF AN EXISTING SEWAGE DISPOSAL SYSTEM. 2. PLAN REFERENCE 108/139 LOT 4 BARNSTABLE REG. OF DEEDS._::, ' 3. THIS PLAN IS FOR THE INSTALLATION /REPAIR OF SEPTIC SYSTEM 96" - 155" C2 M-C SAN NONE AND NOT TO BE USED FOR SURVEYING AND ZONING PURPOSES. DESIGN DATA: 4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. OS-23-96 NUMBER OF BEDROOMS _EQlL1L.-,?-- 5. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN TEST HOLE 2 DATE: ELEV.__9__0_-_ GARBAGE DISPOSAL _yQdL1Q)_____ 12' OF THE FINISHED GRADE. DEPTH HORIZON TEXTURE COLOR MOTT. OTHER 6. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE TOTAL ESTIMATED FLOW _44Q---_ GPD SAME, UNLESS NOTED BY FINAL CONTOURS. I 7. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE O - 12" Ap NONE ( 11Q-- GAL./BR./DAY X BR. ) OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR SEPTIC TANK CAPACITY r150.fLD2L- WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING 12 - 36" B S. LOAAi NONE AREAS UNLESS NOTED. LEACHING AREA REQUIREMENTS 6. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED IN PLACE. 36" - 96" C] S SILT NONE $IOEWALL AREA _Q___ GAL./S.F. 9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH BOTTOM AREA _ -QQ--- GAL./S.F. DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO 96" - 155'" C2 M SAND NONE LEACHING CAP.(BOT. & SIDEWALL 444 OBTAIN SUCH DETERMINATION FROM APPROPIATE AUTHORITY. )---_- GAL. 10. THE EXCAVATOR/CONTRACTOR SHALL VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES PRIOR TO ANY EXCAVATION. RESERVE LEACHING CAPACITY __444_- GAL. i APPLICANT: PICARD, RICHARD DATE: 06/10/96 i SHEET 2 OF 2 JOB # 50970 f. :S r No. ®O Fee THE COMMONWEALTH OF MASSACHUSETTS j PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS . 0[pprication for Migpogal *proem Construction Permit Application is hereby made for a Permit to Construct( )or Repair(V an On-site Sewage Disposal System at: Location Address or Lot No. Ow er's Name,Address and Tel. `t 7,W ,1,u.Aa S�. tag. vim; yVl<. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms _ Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title 1 Description of Soil Nature of Repairs or Alterations(Answer when applicable) C7 SE 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 Certifi- cate of Compliance has been issu y thiVBo�ard of Health. Signed k4-�•�. � nr ..•-�.� Date Application Approved by Application Disapproved for the ollowi g reasons Permit No... r h Date Issued_ ,�� \i 1 b \" Y^ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION,.- BARNSTABLE, MASSACHUSETTS Certificate of QComrar�ceOP -. THIS.IS TO C T ,that the On-site Sewage Disposal System in ta'lled ..r _ (Pj�qrrepakqd) replaced( )on __ , for G�r :C-AL r�as t-v :1 GLa has been_constructed m accordance with the provisions of Title 5 and the for Dispos l System.Co truction Permit No. 02 Use of this system is conditioned on compliance with the provisi set forth below: dated 41 No. I �- Fee. 1 .. THE COMMONWEALTH OF MASSACHUSETTS E PUBLIC HEALTH DIVISION -.BARNSTABLE MASSACHUSETTS i gar dip.9tent Construction Permit Permission is hereby granted to �. to construct(�epair )an.On-site Sewage System located at- and as described in the above Application for Disposal"System Construction Permit. The*applicant recognizes his/her"duty to" comply with Title 5 and the following local provisions or special.conditions. . All construction must be com leted within two years of the date below. . Date: So a Approved by TOWN OF BARNSTABLE �pF TH E OFFICE OF Heaa9TABL i BOARD OF HEALTH MA88. 0o i639• `em 367 MAIN STREET HYANNIS, MASS.02601 July 9, 1996 Richard Picard 475 Willow Street West Barnstable, MA 02668 Dear Mr. Picard: You are granted variances to install an onsite soil absorption system 119 feet to a neighbor's well and 110 feet from an onsite well at 475 Willow Street, West Barnstable with the following conditions: (1) The septic system shall be installed in strict accordance with the submitted plans dated June 10, 1996. (2) The health inspector shall certify in writing that the system was installed in the designed location shown on the plan dated June 10, 1996. If the system is not installed in the designed location,the health inspector shall order the installer to relocate the system. (3) The existing cesspools shall be disconnected, pumped, and filled as described on the submitted plan. The variances are granted because the existing cesspools which are malfunctioning are located only 88 feet from the onsite well. Therefore, the new soil absorption system will be located further away from the onsite well. Also, the groundwater flows in a northerly direction in this area, from the wells toward the septic system. Sincerely yours, Susan G. Raskk,, R.S. Chairman Board of Health Town of Barnstable SGR/bcs cc: Edward Barry picard NO. _ TOWN OF BARNSTABLE DATE " /y — 96 ` Bpi THE Tp� OFFICE OF FEE DAUST„Asp, i BOARD OF HEALTH RECEIVED BY MASS.w 0 °o 1639' .�. 367 MAIN STREET OM�Y�' ( 57 HYANNIS, MASS.02601 VARIANCE REQUEST FORM ALL VARIANCES MUST BE SUBMITTED FIFTEEN (15) DAYS PRIOR TO THE SCHEDULED BOARD OF HEALTH MEETING. NAME OF APPLICANT Zt"4;j?—y 1 1GA>�D TEL. NO. 2Z-00 S ADDRESS OF APPLICANT $t . NAME OF OWNER OF PROPERTY . A. N6 133 ; 24�) tZr' SUBDIVISION NAME__JjlA DATE APPROVED ASSESSORS MAP AND PARCEL NUMBER �30" LOCATION OF REQUEST �-'iS k tuaty �T SIZE OF LOT " SQ.FT WETLANDS WITHIN 200 FT.YEs A r NO VARIANCE FROM REGULATION(List Regulation) �-od►L- w w�. To sg�►e. Now�owre t_ Se.(��,�.�►`t�D� . REASON FOR VARIANCE(May attach if more space is needed) PLAN - FOUR COPIES OF PLAN MUST BE SUBMITTED CLEARLY OUTLINING VARIANCE REQUEST. VARIANCE APPROVED . NOT APPROVED REASON FOR DISAPPROVAL BRIAN R. GRADY, R.S. , CHAIRMAN SUSAN G. RASK, R.S. �• . 6ck Z�ocJ JOSEPH C. SNOW, M.D. 0 1�D. � . BOARD OF HEALTH "�vT 6) TOWN OF BARNSTABLE BOARD OF HEALTH TOWN OF BARNSTABLE ZppYitat ion-*r!Dell Cootruct ion Permit Application is hereby made for a permit to Construct ( ), Alter (el or Repair Xan individual Well at: Ztiono— Add Assessors Ma and Parcel - Owner Address � loal� `� -L(///�y11 -n tk----------`--------.�-------lax, - -- --- -- ---------------------------- InstalLgr — 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 anti a Certificate of Compliance has bees} issued.,by the Board of Health. Signed— — -------- ----- —- date Application Approved By - J- -- — -- ----- '------ =�a date Application Disapproved for the following reasons:----_--------_--------—______---------------------_ __—_____:_____.____________--------- date Permit No. -( � ------— ---- Issued------------16=P7� _.&----__ __— date BOARD OF HEALTH TOWN OF BARNSTABLE C ertif irate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired (jN - y----- -1- -j _ ice Installer has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No.UAII-24?-Dated =—? THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE__________ - : - Inspector--------------------------------------------------------------------------- GcJq� - - as No.--------------'- --- Fee— =------------ BOARD OF HEALTH TOWN OF BARNSTABLE 1 0(ppYitat ion-*rVell ctCon5trutt ion Permit Application is hereby made for a permit to Construct ( ), Alter ( , or Repair ( an individual Well at: ep —Location.— Address Assessors Map and Parcel �, ! �l --- Cc l�/1// z) z1— V. Owner Address Installer — Driller Address Type of Building Dwelling ------------------------ Other - Type.of Building------------------------------- No. of Persons- Type of Well----- -------- ----��_-- ----��' Capacity—_________—___--- - - Purpose of Well— ��'--��� -----' h----- 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 unti J�ertificate of Compliance has been issuedby-the Board of Health. Signed date j Application Approved By--- / date Application Disapproved for the following reasons:-------- — -- -- --_ date Permit No. - ^— =� - —-- ----- � __ b - Issued —- - _ — - te - -------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certifitate ®f Com0liante THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired (A) Installer - ---------------------- - —— has been installed in accordance with the provisions of the f Barnstable p e Town o Boa�rdJ of Health Private Well Protection Regulation as described in the application for Well Construction Permit No.�!u��- Dated ZU-2 L"72 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 Very Com5truct ion Permit r --/---)- --= ------ No.G -- --- Fee ----- — _ -- Permissionis hereby granted----------------------------------------------------------------------------------------------------------------------------------- to Construct ( ), Alter ( ), or Repair an Individual Well at: No. -----------—--------------------------------------------____ _ -- -- - — - --- — --- --- - -------- —--------- Street as shown on the application for a Well Construction Permit = - No. ----- Dated— —Zl�� ------------ ------------------------------ --------- --- 2-6-- Board of Health DATE----------------------------------------------------------------------------- l NOTE. LOT LIATE INFORMATION SHOWN 0"EST IS DERI T ED FROM DEED 26431012, 13ARNSTABLE v _-_--_-_ AND ABUTTING PLANS 1801139 & 2491125, Ro 6q SEE _-nd PAGE FOR STRIPOUT \ l� INFORMATION. RES. ZONE.- 'RF' / FLOOD ZONE. C ASSESSORS MAP 130 9 / o /l VENT ASSESSORS- LOT 5 1 ,HEREBY ATTEST THAT I AM A LOCUS\ CERTIFIED SOIL EVALUATOR IN THE /J COMMONWEALTH OF MASSACHUSETTS, 3 AND. THAT I WAS PRESENT FOR THE ./o SOIL TEST AND EVALUATION. Uri ATE��- i- NAN ---- - � ) SHED \ cr \ LOCUSJOHN LANCERS-ACI ASSESSORS // GRAPHIC S 4 ����S�OSTE / ?1 LO'�' 4 / 30 p ',5 30 60 ,y AREA=44314- SF I1TE'LL (� / % UPOLE ( IN FEET ) 1 inch = 30 ft. a � 99 I \ �� 2 LL '/ > PROJEC T L OCA TION iTP 00 \ _________-___ ,/ 475 T1jILLOW STREET i s� 1 WEST B_ARNSTABLE, MA. I _- -------__- SEPTIC PIPE _=_#4 75 lb / ' ELEV.= 98.65' a4 ,:�� �/ ,APPLICANT.- 1 I _-_____ SHED - RICI- ARD PICA RD --_=_-_ - i/ � i AI 0 � I -yA of �qs YAWEE SUR VE Y CONSUL TA N TS PAUL P. O. BOX 265 I � UNIT 5� 40B INDUSTRY ROAD � AD � ( MARSTONS MILLS, MA. 02548 g� rl ems, PH. (508)4�8-0055 — FAQ 508)420-5553 i F TO F FGISTE� �i I I. ASSESSORS 1 ��p��1A �� LOT 3 , f 1 =30 DA TE. 6110196 TOP OF �/ REV. REV. FO UNDATION ' ELEV.= 100.80' (ASSIGNED) _ NO. 50970 SHEET I OF 2 F.F. ELEV.= 101.8f 20' ELEV.= 100.0 4" CAST IRON OR CONCRETE COVERS ELEV.= 94.5E SCHEDULE 40 P.V.C. 4" CAST IRON OR 7DACHEDULE 40 PERFORATED PLASTIC PIPE SCHEDULE 40 P.V.C. S ON ALL PIPES SLP.-0 005 ENTER 12" A 3" LAYER OF DIST.=IVLA_' SLP.= NLA - 1INVERT IST.= 115_5 CONCRETE COVERDIST.=38__ WASHED STONE1FLOW LINE ' SELEV.= " "0"0"0"o"o"o"o"o"o"o"o"o"0"0"oo"o o"o o"o 0 0"0"0"0"0"0 0 0"0 0" N A_ ELEV.= 98_60 =_065 INVERT ELEV.= 90.8 0 000000000000000000000000000000000000000000 000000000000000000000c 10" MIN. 19" 98 35 — o o_o_o_o_o_o_o_o_o_o_o_o_o_o_o_o_o_o_o_o_o_ _o_o_o_o_o_o_o_o_o_o_< v < 6" LAYER OF ELEV.=- - ELEV.= 91.0 ELEV.= 90.83 ( _ - °00 /4" TO 1-1/2" 4" CAST IRON OR �O�OvOvOvOvOVOVOVOVOVOVOci 0O0O0 VOVOVO0 0 00CWASHED STONE SCHEDULE 40 P.v.c. DISTRIBUTION BOX 0-0 0 0 0 0 0 o o,o�0�0�0� � o0 0„0_0_0�0 - ELEV.- 89.8 px IF MORE THAN 4' OF COVER. A USE H­20 LOADING USE STONE 1500 GALLON SEPTIC TANK TO BE WET TESTED IF 6.9' STRIPOUT ALL SILTY MATERIAL DIRECTLY MORE THAN ONE OUTLET. TO LEVEL THE BELOW TO A DEPTH OF EIGHT FEET AND TO BE PLACED ON BED AS NEEDED. 1' AROUND THE PERIMETER OF THE SYSTEM. 6" OF STONE OR TO BE PLACED ON MECHANICALLY COMPACTED SOIL. 6" OF STONE OR ------------------------------ MECHANICALLY COMPACTED SOIL. BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV =82_4 USE H-20 USE A TANK WITH THREE COVERS. SOIL TEST DONE BY: J.E. LANDERS-CAULEY P.E. FI MORE THAN LOADING4' OF COVER. WITNESSED BY: _ ED BARRY --------------- _ PERCOLATION RATE: _ 2 __MIN/INCH P# 8707 s- �rER of TEST HOLE 1 DATE: 05=23=96 ELEV._94.5___ o 0 0 0 0 0 0 0 0 0 0 0 —WASHED STONE v v v v v v PROFILE OF - DEPTH HORIZON TEXTURE COLOR MOTT. OTHER _ WASHE� STONE SEWAGE DISPOSAL SYSTEM 4 PERFORATED PIPES SE61FI NOT TO SCALE 0 — 6" A NONE ��t! GF7`v4 <� ova c. 1OHN v 6 - 36" R S LOAM NONE A1 ANDE€:s'CAULEY GENERAL NOTES: e� TES: f� CIVIL No.35101 I 36" — 96" CI S. SILT NONE e , P 1. THIS PLAN IS FOR THE UPGRADING OF AN EXISTING SEWAGE DISPOSAL SYSTEM. "® 41®NAB 2. PLAN REFERENCE 108/139 LOT 4 BARNSTABLE REG. OF DEEDS. � 3. THIS PLAN IS FOR THE INSTALLATION /REPAIR OF SEPTIC SYSTEM 96 ' — 155' C2 M—C SAND NONE AND NOT TO BE USED FOR SURVEYING AND ZONING PURPOSES. DESIGN DATA: 4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS NUMBER OF BEDROOMS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 5. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO. WITHIN TEST HOLE 2 DATE: 05=23=96 ELEV._ 94.0 12' OF THE FINISHED GRADE. DEPTH HORIZON TEXTURE COLOR MOTT. OTHER GARBAGE DISPOSAL _NQ�.�Q)____ 6. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE TOTAL ESTIMATED FLOW ---- GPD SAME, UNLESS NOTED BY FINAL CONTOURS. ( 1LQ___ GAL./BR./DAY X _4___ BR. ) 7. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE 0 — 12" Ap NONE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR SEPTIC TANK CAPACITY _1f02Q6L_ WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING 12 — 36" E S. LOAAA NONE LEACHING AREA REQUIREMENTS AREAS UNLESS NOTED. eo 8. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL SIDEWALL AREA —a--- GAL./S.F. BE MORTARED IN PLACE. 36" — 96" CI S. SILT NONE BOTTOM AREA _�00___ GAL./S.F. 9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO " C 96" — 1552 M. SAND NONE LEACHING CAP.(BOT. & SIDEWALL)__ 444 GAL. OBTAIN SUCH DETERMINATION FROM �APPROPIATE AUTHORITY. I 10. THE EXCAVATOR/CONTRACTOR SHALL VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES PRIOR TO ANY EXCAVATION. RESERVE LEACHING CAPACITY __444 __ GAL. APPLICANT: PICARD, RICHARD DATE. 06/10/96 SHEET 2 OF 2 JOB # 50970 E. LOT LIN INE'p MATZO 1V SHO N WEST NOT E R 1Y - IS DERI tiTD FROM DEED 2643/012 BARNSTABLE ! AND ABUTTING PLANS 180 139 & 2491125. -RO T SEE 2nd PAGE FOR STRIPOUT ,�' � 3C� INFORMATION. `� RE'S. ZONE.. ' F' ' 'Y \� j FLOOD ZONE. + 'C" � Y j ASSESSORS MA 130 VENT ASSESSORS moo' L07' S P, ` LO CUS, I HEREBY` ATT HA EST T T I AN A / / \ CERTIFIED SOIL EVALUATOR IN THE / \ \ COMMONWEALTH OF MASSAC�--USETTS, ° 3 AN'J THAT ;! WAS PRESET FOR THE h, j I / / \ SOIL TEST AND EVALUA ION. - �� ` DATE E NAME j SHED \ LOCUS =M i • 1L�� / ��. \ + � _ `�\ / F,r .�, r nub �c� NDER 7-1 :r/ No, GRAPHIC A PHIC SCA E j F L V T 4 ' 30 0 15 30 60 I l' \ 120 ARE`1=34 314- S.F. / IN FEET j UPOL 1 inch = 30 ft. 1-3 � I ! � s ) —= s \ z8 `✓ PROJEC T L 0 CA T/ON TP _ ._ ➢�`� : r III -==_==_=�" ��� ,71 � = _ WEST EARNSTABLE,TREE���IA. - - _..._ . SEPTIC- PIPE 4 75 g — /ELEV-= 98.65' _==__=___=�� 00 �r APPLICANT. � ___--_-= SHED = - RICHA R D P •� - ICARD I - i! ti.0 1.4s< YANKEE SUR VEY CONSUL, TAN TS P. O.. BOX 265 =A 5; IN USTR y s D RO Vm-• .. 4. 4 M,4 RST N S r ... . r.. 508 . Q �16-1 w ... .. _ -.. , . Mo� �r ., .. t _ .. .,..x „ .. .. ,. .... _. _r - --•tee -._ � _ ,_ _ y: >.. ..... , .- �as. ._� v�•,c Y.. , .. ... __4. - r �.. 5 w _ .. .< -.. �,ty.,...tom •.� .��.<Y.._ ... „-.m._. , ....._.. ,.. :•...da „»v. .a:.^`�"�,. -�`. . ter.. >• •� �'.ts��_-r.- ....3,c.:� ..F ,.., 1 .- -... �.......,. ..... .. ..c, .. � - - �o� ��d'-1.. e. _x"..., ..r,. � _r---... _,. - d� .- �. .. - .F=�*`„ �`at.,. �`� S. ^��i � - r�.o- - _ .,..xr. -. � _ .ieOiiw o :. w. .. ._:� .,. � s...._3 i, .: 1. .:,.� _.. ,. - '. .. 4�y a - '�:y L ?..!�],,,�• }!, F y� • .- r �A, n.,,.,�!. .,- � a'° ., .. 3 .: ,. :: .-4_. ♦ : 1. ➢ 4.�.. . ._ .rJ,,{i„+�£.5.. .7��,.. E . ., _ .. .� :.. .�.,ox .. , ,a r - y 3sx<-n ah _.,.a.....m.-. �.,.,,_�.___�M.-.<....w..a�; .�.. . r_...�.71�:4'�_.�.�e.,• r.� �,zu"'�;::n >+ ?s�rr _ .,;.''9,:'�:ilL`: - 4 oe•�:� -;fsg�e= f.+. .3,w- _ .:..'..r s � .: _..-...�s., ......:,,c+,..-�_.r:::..3=- .._-,-5.•r..�'v - o !_.0.. .-.a.__..+Mh..._., ...._. w ...x., �L�..x6� - - .__ I ' F.F. ELEV.= 301.8E - 2Q° J - ELEV.-: 1 ? ELEV.= 94.5E ' "4" CAST IRON OR CONCRETE COVERS 4" DIA. SCHEDULE 40 PERFORATED PLASTIC PIPE SCHEDULE 40 P.V.C. 4" CAST IRON OR /F SCHEDULE 40 P.V.C. END CAPS ON ALL PIPES z" 5' 'ON CENTER A LAYER 0 SLP._�.005 12 /2" DIST.=NGA_ SLP.=NZA- CONCRETE COVER WASHED STONE ,..<` . - INVERT DIST= 115_5',_ DIST.=38__ - FLOW LINE SLP._•06S — 00000000000000 000000000000000000000� INVERT 90.8 °°°0°°°oggv°°°°°o°°°000000�oo°�bo00000 ELtV.=_NIA— ELEV.= 9��60 ---- ELEV.- --- °0- -—090°0°0°0°0°0°0�°_0°o°o°o°o0o° _ - - - - - - - -0; - < 6" LAYER OF 10" WIN. ie" o Z c< 33 _ - - o 0 0 /4" T :-1/2" FELa=�8_�5 ELEV. 91.Q ELLV.=90 - o� v v v1 c, o 0 0 0 0 0 o o cvrAsh�� STONE o O. O o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4" CAST IRON OR �)-O,�O O O O O O O,-,O"O,on0� 7�00 O-'o-0n0�0 0 - ELE\/=3°_8 SCHEDULE 40 P.V.C. DISTRIBUTION BOX - i I IF MORE THAN 4' OF c OVER. k A USE H-20 LOADING USE STONE STRIPOL'T ALL SILTY AfATERIAL DIRECTLY �00 GALLON SEPTIC TANK' TO BE WET TESTED IF TO LEVEL THE BELov To A DEPTH, OF EIGHT FEET AND 6,9' TO BE PLACED ON MORE THAN ONE OUTL_I- � BED AS NEEDED. 1' ^Rou.ND T7E PEP.I.�tETER. OF THE SY_--T VL E. OF STONE OR TO BE PLACED ON ----------------------------------------=-) - /, �— �/ Col,'PACmE SOIL. 6" OF STONE O_ - - T r-, I TCh 0 `EST OL° R USGS .l:,.,E__ 'r;.-,-cR I;- iECr'.A?`iICAILY COI'IPACIE,D SOIL. U�F A T ,NK WI TI: iHRFE r"r� 'FRS• - - DONE i , LDS-C^ r S 0 1 L ES � I. J.�. `1rV�' .� nUL i R.E. SE Tr-20 LOADING � _�cr� C... - cp Fc,r;,-y------ --------- 4 r ITN��.-._ -- I — FI M-0=E T_a'_ T =� LF �Or -- E?CO!.``,TIOIJ R,-.T�: — 2 _—P�iIN /!\C- rr L'rt r ;;`, - __ ;EST rL:I_'- I - '- - = IELE-Y - ( / J1IGTl G :(O� p ! --� _ ^I T -�L ( XT,l�1 1. I LiT iJ 4 I \ ♦ t I�, v t t�G ^� `-• DEPT`: I .�OrL�ZOti ITF_x_�UFE � C0�0 _ .� FIERFOR-ATED PIPES, I —DISS — — t N f Iv ;C -- ._,. TEE Go" CI I S. Sl LOALY T VGVE `I,r".!`RA'D'l ♦G Cc: r�1� _X!S ;SIG J�'!'rlr.�= ✓ice '. �I � �C jE\r�. I i ; --_.'_ ✓' ` v.`si L t _ t'�wl^rl A I__ Its... vlr—��. I I <(�' "rl 4 n �;,'z"NS 'C 1��:7 C! I 1�.{O S,;�Vn lYoAl- }. I I I I � A C ati IS _v_F —: Ir l:J I \ -,--A.IIL t✓: JLr IIC i I_ivl x ' .. � �•, -� � r\, r t il` � n liON �R— I" I iL� ^l\� I �I­' I ^ C iJCC.D Flag 51.RV_ il'IG �\�;� Z I li 'v I I �. �„ )/�'OiK�l,.-\S:;!P AND fit A TEI\;., .LS Si!ALL CO,IFCiI�" TC C._.?. � I � 1 ( I I iV ll v,3 'VI c�VRu J�VIJ -l-Jl_' i«Lr ;`- - "Ni T ;WN .OF BARNS T ABLE RIJL E� AND -=GUL a-!OI�'S - - --- IILL ��;D ,;,c C '� .�._` FOR THE S��SURFACE D!5-CSAL OF SEWAGE. c- DATE: pG—�3-°` ELEV._ Q4.0 AL! COVERS 1"1:� Sr;NITAI Y U�!I T S SHALL BE BROUCHT T O `,'i! TE�I HCL_ 2 , ,�L -LY-�T C` r I �REAGE DISPOSAL Ur N, (� 12" OF THE INISHF D GRADE. ^^ - DEPTH I HORIZON ( TEXTURE COLOR ' i�IOTP. OTHER I -CZ-, _ EXISTING AND FINAL GRADES SHALL RE\'1AIN EJJE ! ;IALLY 174E I uTAL c !MATED _04V _ cG�-__-- G=� Sr''.IME; UNLESS NOTED BY FINAL CONTOURS. I I ( s_n -- GAL./BR./DAY X -�'_-- BR. ; ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE 0 - .12" Ap NONE OF WITHSTANDING _H-10 LOADING UNLESS THEY ARE UNDER OR SEPTIC TANK CAPACITY _i;�Qs2�A!_ .WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING 12 - 36" E S. LOAN. NONE SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING { LEACHING AREA, REQUIREMENTS AREAS UNLESS NOTED. - SIDEWALL AREA _0___ GAL./S.F. ,J ANY, MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL 36" - OsN S. �'�LT' NONE 0 BE MORTARED .IN PLACE: _. Cl I B - --- NO DETERMINATION HAS BEEN. MADE AS TO COMPLIANCE. WITH 444 BOTTOM AREA ��CQ GAL: S DEEDED. OR ZONING REGULATIONS. OWNER/APPLICANT IS TO G N T & SIDEWALL)----- AL P AUTHORITY. ..--. M: SAN ONE AP (BO ION.' FROP�4. A P.20PIATE A...._ - SUCH DETERMINAT ._ . _ - .. .. - :� .: --.:.. :-,:: -=: --, - _;�-- -, . ..:: - OBTAIN. ' -, I, OF �� .:: RESERVE. LEACHI O CAP.ACITY 444:- G.At SHALL .VE I Y...THE. LOCATION .. . _ , _.. _. >.._..,.,•N EXCAVATOR CONTRACTOR R F } .. Q 1. ',.-, .'V,. T _ K» <r W T VA 10 :..,.:.. �.] ALL ESP _ .. Y E - .- .. .. ,�.. .,. � l I _ G OUND TILIT -_ -. .:_ - 'T F:vL?-t n4 - v. ..._. - -G. - _ - . + A CA , 'a +,,�,�,��� s�`�j� _ -..�.e+ ... -.. ... .-..- __ ,. ,- ,•- > . . _ -.+ .: r_. �. .,.... . , , .,^. ., :_ �.. .,axis-! -'�. ,��r -7 ,.+, •'- ...c, ,> -:4.... .<v. is�f,._ `+ash 'lti`'a,.:. Y. .i._,-1:f2' +�5'i -_.�,-...�-- :xs-.it-"•c-,- d '= ,'d" .>�. :` -Ts• -- '£*. �I+ � � .. a w, --a n......t `,.- .. .s • .; at v ♦u, ..�..- .'a4 -c: - - , , • r. .J v - -�� - F _ s x - -. w � �. .: ...: -: ,'s ..-'-ar^,�•`t - .. - `!� -+r:--''�,'-.'k.]t-t. � '�,:t;s� .�i- '"T°�,`!� - _ -4_'g�+„nr.-�'r..� -z _