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HomeMy WebLinkAbout0079 ALTHEA DRIVE - Health 79 Althea r*v"e d020 " _ r ^ - o c TOWN OF BARNSTABLE LOCATION ����r�� d?)/?/✓IC SEWAGE # ms�o VILLAGE �I�✓ ����'� ASSESSOR'S MAP & LOT.n/rLE'C X_ ®o?O INstALLER'S NAME&PHONE NO. R4✓/A49 so?--198-LY7 SEPTIC TANK CAPACITY 15,00 GA,-1- LEACHING FACILITY: (type) (size) K 3-3 NO. OF BEDROOMS__ BUILDER OR OWNER �� /✓� L'/,�R�� PERMITDATE: ��� D COMPLIANCE.DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 6 of Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by AM7AFIZA1 �/�✓Oil/� No Al, 14 s�a s 33 661 /��7,A1409 ae a No. 0 Fee ACHU THE COMMONWEALTH OF MA ETTS Entered in computer: , SS S Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,, MASSACHUSETTS Zipplication for Zigooar *pgtem Con!6truction Permit Application for a Permit to Construct( , )Repair(X )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Addressor Lot No. 79 Althea Drive owner's Name,Address and Tel.No. Diane Cabral Assessor's Map/Parcel C umm a q u i d . 7.9 Althea Drive Map 333 / Parcel 020 Cumma uid Installer's Name,Address,and Tel.No. 9 (?j r-is-i V^j o Designer's Name,Address and Tel.No. 8 9 6—4 8 61 Northern Sealcoating & Paving, Inc P.O . Box 995 , Dennisport Cape Cod Engineering 50 Leland Rd Brewster Type of Building: Dwelling No.of Bedrooms 4 Lot Size 4 3 )0 0 0 sq.ft. Garbage Grinder( ) Other Type of Building House No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 447 . 8 gallons per day. Calculated daily flow 440 gallons. Plan Date 4/9/0 4 Number of sheets 1 Revision Date Title Subsurface swage disposal system for existing dwelling Size of Septic Tank 11500 Type of S.A.S. (3) 500 gallon d r yw e 11 s Description of Soil , 7" 32" B , 32" 84" C1 . 84" - 132" C2 p 0-7 A - - 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 Certifi- cate of Compliance has been issued by this ard.of s Signed vw _ Date S Z.��U Application Approved by JJQ Date 0 Application Disapproved for a following reasons Permit No. 20 O V — 3 Date Issued S 2 � Fee r THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:LYes � PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zipprication for Miopool *pztem tow5t�ructiou Permit Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) O Comply estem O Individual Components Location Address or Lot No. 79 Althea Drive owner's Name,Address and Tel.No. Dune C-a b r a l i Assessor's Map/ParcelC u m m a q u i d 79 Althea Drive Map 333 / Parcel 020 Cummaquid Installer's Name,Address,and Tel.No. 1RA�-) CA i=d -,r+• Designer's Name,Address and Tel.No. 8 9 h—4 8 61 Nortiiern Sealcoating & Paving, Inc , P.O. Box 995 , Dennisport Cape Cod Engineering 50 Leland Rd, Brewster Type of Building: Dwelling No.of Bedrooms 4 Lot Size 43000 , sq.ft. Garbage Grinder( ) Other ' Type of Building it o u s e No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 447 .8 gallons per day. Calculated daily flow 440 gallons. Plan Date 4/9/04 Number of sheets 1 Revision Date TitfeJ Subsurface swage disposal system for existing; dwelling Size of.Sepdc Tank 1 , 500 Type of&A.S. 3 500 gallon drywells Description of Soil1 0-7" A, 71" - 32" B , 32" - 84" C1 , 84" - 132" C2 Nature of Repairs or Alterations(Answer when applicable) It r 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 issued by this Board of Health. Signed "--, ,` - 1d2" -� Date -S /Z) / � q Application Approved by �.�_�. , ��,�_ _� ,n��S Date Application Disapproved forYhe following reasons Permit No. 20 0 L/ - o��r � Date Issued s- o --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( Upgraded( ) Abandoned(. )by Lw at t� ��?n r^.',m� f cM�D�_e has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated <"'-J,;,v�,,C Installer ( A cq�, ;i r) Designer V_ f (-e r, The issuance��f d is permit shall not be construed as a guarantee that the,ssysst,m will functionas designed. Date l� in, 2t? )V Inspector�C 1.��107(J� a No. Doe, q o?6 3 Fee � t THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS liqu ar *pg;tem Cottgtruction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at -2c/ A W„�, 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. Provided:Construction/must be completed within three years of the date of this'permin Date: �� /!) L/ Approved b PP Y TOWN OF BARNSTABLE LOCATION 7?141-rllCW -2>R/✓C SEWAGE # .1a1-4943 VILLAGE ASSESSOR'S MAP & LOTP 3t'.L �0'l0 INSTALLER'S NAME&PHONE NO. P4✓IWC S09-398-2 5W SEPTIC TANK CAPACM 16 00 6 AZ LEACHING FACILITY: (type) 0a' (size) 3-3 NO.OF BEDROOMS _ BUILDER OR OWNER ���/✓� � �R�� PERMITDATE: � D COMPLIANCE DATE: O Separation Distance Between the:. • , Maximum Adjusted GroundwateC sable to the Bottom of Leaching Facility 6 0 f Feet Private Water Supply Well and Lea�.hing 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 WOZZf IZAI/t-4�,T ��✓dil/� 01 4,41- D'i3ok �® 0.0 6• �C,4 rcfr d r0a iN Jun 10 04 08: 29a Robert Michael Perry 508-896-4861 P. 1 CAPE COD ENGINEERING, INC. er Robert M. Perry.) P.E. 50 Leland Road Brewster, MA 02631 Tel./Fax 508-896-4861 hobpera@caatcod.net June 10, 2004 Town of Barnstable Regulatory Services Public Health Division 200 Main Street Hyannis, MA 02601 Att: Thomas McKean, Director Re: 79 Althea Drive, Cummaquid Dear Tom, Pursuant to our discussion yesterday, June 9 the system installation crew returned to the site and provided pre-cast concrete risers and covers on the `D' Box and on the SAS to provide access within 1 ft, of the finished grade surface at each pipe inlet location. f hereby certify that the necessary work to accomplish the riser installation is completed and the system is ready to be covered over. In accordance with our discussion, upon my inspection and approval the crew will proceed to backfill and cover the new system. The owners are seeking the Certificate of Compliance copy early this morning so that they can proceed with a scheduled real estate conveyance. Thank you for your assistance. Sincerely, tr+OFq � cs Cape Cod Engineering, I ROBERT c. M PERRY CIVIL p No.35880 Q Robert M. Perry, P. /STE �aa��NAL E�G�� Town of Barnstable �FtHE ram, Regulatory Services �O Thomas F. Geiler,Director • BARNSfABLE, MASS. � Public Health Division 163,9. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Desi;ner Certification Form Date: G 0 . Designer: Installer: �S. iD,��Of/T//�6' -` PA✓/�G Address: -0 t E"IAA(b AZOA,b Address: R0• 00)( W.6' .g•�.��.���,e �rrr o� ��r�i�rsPo,e/' IV 4 oa4v On ��d5 O C'y/f;rlWa r PFi✓iAta was issued a permit to install a (da e) (installer) septic system at 79 ��CTy.E� )R/✓,E- based on a design drawn by (address) R0&,CK7' In. P.E�.ey, lc�6' 0AP.E 0oa z1%(a1A1,6k/r/^6 JIVO dated 9 O� (designer) V I 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. 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. t,A of�s�c ROBERT �G (Installer's Signature) o PERRY CIVIL No.35880 STE`' .. (Desi s Signature) (Affix De u- s Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form Jun 10 04 08: 18a Robert Michael Perry 508-896-4861 P. 1 CAPE COD ENGINEERING, INC. Robert M. Perry, P.E. 50 Leland Road Brewster, MA 02631 Tel./Fax 509-896-4861 bob pe�.@ apecod.net June 10, 2004 Town of Barnstable Regulatory Services Public Health Division 200 Main Street Hyannis, MA 02601 Att: Thomas McKean, Director Re: 79 Althea Drive, Cummaquid Dear Tom, Pursuant to our discussion yesterday, June 9 the system installation crew returned to the site and provided pre-cast concrete risers and covers on the `D' Box and on the SAS to provide access within 1 ft. of the finished grade surface at each pipe inlet location. I hereby certify that the necessary work to accomplish the riser installation is completed and the system is ready to be covered over. In accordance with our discussion, upon my inspection and approval the crew will proceed to backfill and cover the new system. The owners are seeking the Certificate of Compliance copy early this morning so that they can proceed with a scheduled real estate conveyance. Thank you for your assistance. 'SH OF 447 Sincerely, ROBERTcs Cape Coil Engineering, I c. M. PERRY � 358� 9 o,35880Q Robert M. Perry, P. °�F�Q18TEa as�ONAI ECG r CAPE COD ENGINEERING, INC. Robert M. Perry, P.E. 50 Leland Road Brewster, MA 02631 Tel./Fax 508-896-4861 bobperiy@capecod.net June 10, 2004 Town of Barnstable Regulatory Services Public Health Division 200 Main Street Hyannis, MA 02601 Aft: Thomas McKean, Director Re: 79 Althea Drive, Cummaquid Dear Tom, Pursuant to our discussion yesterday, June 9 the system installation crew returned to the site and provided pre-cast concrete risers and covers on the `D' Box and on the SAS to provide access within 1 ft. of the finished grade surface at each pipe inlet location. I hereby certify that the necessary work to accomplish the riser installation is completed and the system is ready to be covered over. In accordance with our discussion, upon my inspection and approval the crew will proceed to backfill and cover the new system. The owners are seeking the Certificate of Compliance copy early this morning so that they can proceed with a scheduled real estate conveyance. Thank you for your assistance. w - Sincerely, tN OF Cape Cool Engineering, I c. g°� ROBERTM. PERRY CIVIL No.3588Q e--obert M. Perry, P. N A LEE�6�d� 'y i Town of 13arnstab b Department of Regulatory Services °* Date Public Health Division aAaxNA] mAM 200 Main Street,Hyannis MA 02601 1639 �0 Time I o Am .. Fee Pd. w Date Scheduled 1 • ' ' Assessment for Sewage Disposal Soil Suitabi. y S Witnessed By: Performed By: LOC TION&GENERAL INFORMATION Owner's Name Location Address -7 1 4 I�, r ire _ (( Address �Hrn>t��'• Q Engineer's Name Z.6"F ! f r Assessor's Map/Parcel: 3 3 3 `0 z v REPAIR Telephone# NEW CONSTRUCTION Surface Stones slopes Land Use RE f/D�/YT �_._' /o CO ft Possible Wet Area /ado ft Drinking Water Well N�°► ft Distances from: Open Water Body______— ft /v Drainage Way ,q ft Property Line Other Street name,dimensions of lot,exact locations of test holes&pert roximity to•holes) tests,locate wetlands in p SKETCH:( AL 7#4--'9 ,vR v.' E S5 TE S Nd vs s�F � G l�illaL O(/TwAs� Depth to Bedrock 3 0 Parent material(geologic) �d Water in Hole: Weeping from Pit Face Depth to Groundwater: Standing y /N f�pEGTC�? OF vSG'S bV'QD. Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE in. Method Used' in. Depth to soil mottles: ft Depth Observed standing in obs.hole: in. Groundwater Adjustment Depth to weeping from side of obs.hole: Ad factor —Adj.Groundwater Level._ Index Well# Reading Date: Index Well level PERCOLATION TEST Date rime Observation Time at 9" T-- Hole# Time at 6" Depth of Pere — Time(9"-61 — Start Pre-soak Time Q — End Pre-soak Rate Min./Inch Site Failed: Additional Testing Needed(YIN) — y Site Suitability Assessment Site Passed Hole Data TO Be Completed on Back- original: Public Health Division Observation to be conducted within 100' of wetland,you must first notify the ***If percolation test is toprior to beginning- Barnstable Conservation Division at least one(1)wee l Q:HEALTH1WP/PERCFORM DEEP OBSERVATION HOLE LOG 1Elole#_ Depth.from Soil Horizon Soil Texture, Soil Color Soil Other Surfce(I.n,) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ,411 A---I 3Z S� 0-F 51>—F NE �d3B«Sl�aEe9LES = /32 '�f L ' DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (M.unsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consis e cy.°°Gravel) DEEP*OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. on istenc °°G ve Flood Insurance Rate May: Above 500 year flood boundary No_ Yes '` Within 500 year boundary No_ Yes W Y Within 100 year flood boundary No_ Yes Depth of Naturally Occurrinir Pervious Material Does at least four feet ofnaturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification I certify that on/P Y /9`1 (dateassed the soil evaluator examination approved by e Department of Environmental Protectt the above analysis was performed by me consithe required training,ex ertise an exescribed in 310 CUR 1.5.017. ROBERT c M. Date ZG PERRY Signature CIVIL •e� No,351L00 S/ONAL Q'i-IEALTH/W MERCFORM s No....... 2-6 q Fes .. .®.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....................l...........OF....107 .................................. AVVftrafiou for Diopniitt1 Workii Tomitrurtiun ramit Application is hereby made for a Permit to Construct (&.-I or Repair ( ) an Individual Sewage Disposal System at: #f-T7 �} T/� Drz- �M, ,i -v�. Z45 .. ...._.................... - �..�.............. .... ... .....- ._...........---- ......... ....... •----........ . Location- ddress or Lot No. ... .............. ................. Ss........._.............. Owner Address ...............................................•---- . ..... .------. 3 l� Installer Address Type of Building Size ......Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Q, Other fixtures -----------------------------------------•••-- w Design Flow..............:��.................._..gallons per person per day. Total daily flow--..........�-T30 .............................. WSeptic Tank—Liquid capacity.&;i6..gallons Length.-K....... Width..¢.`.._*".. Diameter................ Depth.4�..... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No............ Diameter....ZQ.'-..... Depth below inlet.....A.......... Total leaching area._;?4 ......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by......PY� �• .. Date..1-14X 4 98 a Test Pit No. 1_.G_.Z....minutes per inch Depth of Test Pit.... '¢ y__ Depth to ground water........................ (i, Test Pit No. 2---L.Z..minutes per inch Depth of Test Pit..... ` ¢ ... Depth to ground water.....--............. 9 ------------------------------------------------------------------------------------------•••--..•••..................................................... O Description of Soil----....... _�S'c,8--SO/L-------.30'-- 7Z` `IG Fir ............. w UNature of Repairs or Alterations—Answer when applicable............................................................................................... -----------------------------------------------•----------•--------------....----------..._.........---•--------------.....-•------•------------------•--............................................. Agreement: The undersigned agrees to install the aforedescribed Individual Se age Disposal System in accordance with the provisions of TITA IE 5 of the State Sanitary Code— The undersi urther agrees not to place the system in operation until a Certificate of Compliance has be i ed by th r of he th. Signe .... ..•-•-•---••-----••- _.. Date Application Approved BY �. -Z" 4 Dat Application Disapproved for the following re sons---------------------------------------------•-----------------•---------------............................... ..........................................................:.............................................................................................................................................. Date PermitNo...................--•-•-•-•-•---•-•--------------------- Issued....................................................... Date No......................... - t -- ` Fimic �U. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................... .. I..........oF... --------------------------------------------------- ,c ppliration for Uispaa l Works Tomitrurtion amit Application is hereby made for a Permit to Construct (� or Repair ( ) an Individual Sewage Disposal System at: ••..............—•---•... •-•--........- ..........- .......................... ......---•---------•----......-------•-------•-•------.........---............................--•- Location-Address Ior Lot No. •- .............................. ----•-------- .l................... ........�............. ............•................................. -- / Owner_ � ` J/ ,./e-f /r.,'__7Ays' / /} Address ..........................................••---.........._....--------------•--••-•••-•--........_ ----•----------......._........_...... = ....... .. . - .... Installer Address d Type of Building Size Lot 4.......Cf.......:3......5q: feet Dwelling—No. of Bedrooms..........y...............................Expansion Attic ( ) Garbage Grinder ( ) aa Other—T e of Buildin YP g ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures W Design Flow............................................gallons per person per day. Total daily flow.............. _---------_.-.------_--gallons. WSeptic Tank—Liquid capacity�_i.��..gallons Length. ._..... Width.`"�. Diameter________________ Depth 5..... .... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....._...._.._...__.sq. ft. Seepage Pit No.........E...._.... Diameter.__-� _,...... Depth below inlet..... ......... Total leaching area..-?S .....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.....G?�.'^! .... ���/�L� ........ Date....y `�... /d W --... ,.a Test Pit No. l..G...�...minutes per inch Depth of Test Pit.... `r ._�.. Depth to ground water.................... rZo Test Pit No. 2...�..-..----minutes per inch Depth of Test Pit..... Depth to ground water................... a ........................................................... -- " -------------.O Description of Soil..---...... S11-' V/00 _/L_- ------- -- -------------------------------r----�-.-.-.;-.-i.-.v---E---------•----_-- v ....._-•--____. -•-------------------------------------------------------•------......--------...........--•----•-----_- W ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ------------------------------------------------------•-----------------------------------•----------••--•------•----------------------------------------•--------------........------_-•-•-._.......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—.The undersi r&further agrees not to place the system in operation until a Certificate of Com fiance has been ' sued by the,board of li�ralth. Slgd Jam'�....._:_.. .-1,... s.... \ d ,. �w t. 7 Date ! - — Application Approved BY ..` ? :...........I.......---•• .�. .. g�..... Application Disapproved for the following re j ons---------------------•-----------------------•---------------_................................................Date - .....................•-.......__-••-•__---...._-----____----_-•-••_--------_•-----_...-•---------------•.-----___..........-------_-__-___••_-_-•--_----_-----------__----------_----_----_•------•-•-•. Date PermitNo........................................................ Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..].n/l•/........OF.......I'/-}�.... .. . ..................................................... Tntif irtttr of farrmphartrr THIS IS TO CERTIFY, That the Individu 1 Sewage Di posal System constructed (�.or Repaired ( ) by.............•-••-•--.........-------------•--••......•............. :..d�c+. : ------- -- t- 1 F Installer has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.......... . z___------- ..q...... dated_.___,__..`?�._`.� :� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNC ION ATISFACTORY. DATE................. , . 5.............................. Inspector............7-'--------------------------------------.......................... ��v��OV� �►,y THE COMMONWEALTH OF MASSACHUSETTS e� BOARD OF HEALTH ...OF..... �}-/ it/.STi'�✓�6. . ............................. F vim. ........................................ �- EZ 0 Disposal Marko Tunotrurnott "prrritif Permission is hereby granted------------- -- �-�r- = ?^------_. -------------------------------................................... ..... to Construct (L,-) or Repair ( ) an Individual Sewage Disposal System Street as shown on the application for Disposal Works Construction Permit No... Dated......... ��.... Board of Hal DATE.....-......... ---- Z-] -� FORM 1255 A. M. SULKIN, INC., OSTON fl ' ► SHC-L / � L slq&G Ts FIGTNE� �j,Q/VE /oL BRJ/N q' I oz . h t�stcN o 9,9 , I aw137/NGOO \ !/ d f, LpT Z7 a Lo7- 'z8 EQjy70 yG $ �/YKELLEY t' No. 26100 0 gfGI ST E'��O .S/TE /°Z,19Al LOCATION SCALE . . DATE PLAN REFERENCE .,BwG Lc?7 s1'ZB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (CERTIFY THAT THEt�sy !�✓G �c...uC�A7?or� SHOWN ON THIS PLAN 19 LOCATED ON THE GROUND Na7Z- EZE'YRT�oNs e45e'D ON AS SHOWN HEREON AND THAT IT CONFORMS TO THE S'E�9 4"eZZ. SETBACK REQUIREMENTS OF THE TOWN OF Agin !:r'( .4 1.6 . . . . . WHEN CONSTRUCTED. DATE 770-V ewe RE GISTERED LAND SURVEYOR a .. Z r-EL. TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS l7n7T17j Fr 7.00 ,�• 4� CAST IRON II2 MAX. . 12"MAX. "",1XV e . OR SCHEDULE 4!) 4"SCHEDULE 40 PV.C.(ONLY) , . P•V.C. PIPE PIPE- MIN. LEACH ' PITCH 1/4"PER. PITCH 1/4"PER.FT. PIT H. PRECAST I� -� LEACHING •'� NVERT • '•• EL..S�:fib.. INVERT INVERT w �.: PIT OR SEPTIC TANK DIST. ; EOUIV. INVERT EL..9.7. `f9.. BOX ELl7°¢. >x :•: '• /moo GAL. INVERT q� z/ INVERT 6 WW 0' :;:: 3/4"TOIVf EL..74. WAS �,9G S4? �� STONE 14 W �•� • • 3Z 6'DIA. NONE DIA--•+•�s'"�eo,.wse•�e*►� PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG WITNESSED BY : DATE TIME.!!'*. " " _ T HIS A• /7c/lro.v BOARD OF HEALTH TEST HOLE 1 TEST HOLE 2 �� � ;��• .�'TG , , , • ENGINEER ELEV. ..9g,Bc. . . ELEV. .92,9�. .: . . . . . . . . . . . . i U/vaDLnL►r•7 �/ WooDGd,¢r7 . . . . . . DESIGN DATA : Ez.97 3v _&c,9Syo Flow. NE H". NUMBER OF BEDROOMS . . . . :3. . . . . . . . . . . 48 s<rro MR, —rz.9¢.¢o TOTAL ESTIMATED FLOW . . 330 ... , GALLONS/DAY 7t" 9¢" CLAY BOTTOM LEACHING AREA 78:S". . SO.FT./PIT/G.RD, 93.Bo Ft. —r2.9/4-'0 nED SIDE LEACHING AREA • ,/BB,So , , , SO.FT./PIT/47/ c•P.D. F.vc �f%v�• GARBAGE DISPOSAL (50% AREA INCREASE) TOTAL LEACHING AREA . . 47. . . . SO.FT / &Z B7,Bo i`1�" EZ.BG,-Jv PERCOLATION RATE Liss ??/!�''. O. , MIN/INCH LEACHING AREA PER PERCOLATION RATE .!! ..SOFT./c,�v. .No. •WATER ENCOUNTERED O�/� f3T• WiT.+/ NUMBER OF LEACHING PITS . . . . . . . . . APPROVED . .. : . . . . . . . BOARD OF HEALTH ° • .��.�`?-. oF,sr�✓ o�!!9� �!Z�� DATE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AGENT OR INSPECTOR OF \,SN OF o`er EDV�"j�F, �.• � �e N `47- © 0 OELLEY a. 527 •/-1Z7x/c� <I • . . . . y FJo. 28100 i �o . . . . . . . A�'. . d 1-)4ss: NRA PETITIONER . . . . . . . . . . . . . . . . . . . . . L� FABLE INSPECT10�1 � ION �7/9 1 SEWAGE PE RM T NO. VILLAGE INSTA ll R' NAME i ADDRESS rn .� D B U I L D E R OR OWNER �i M � DATE PERMIT I S S U E D DATE COMPLIANCE ISSUED C .0 � LN® / k, L+ ���r. I� s . AILED INSPECTION 19 � F COMMONWEALTH OF MASSACHUSEM EXECUTIVE OFFICE OF ENVIRONMENTAL A,FFAM DEPARTUBNT OF ENVIRONUZjVTAL pROT$C'1`ION b. MAP -- ��MAP33 3 PARCEL ; LOT PhRLLi ® 2 LOT 3 OFFICIAL INSPECTION FORM NOT SUBSURFACE SEWAGE DISPOSA�I.3Y31�'EM FOESSMENTS i PART A RM CERTMCAnolq Property Additiax Owner's Name: 014 rc, CE��Ep Owner's Address: 9 cam, ���✓�. RE H ►^� . Date of Inspection: a, fir,. plol print) r. companyspector. _ o Ae OF BAR�STXBLE lease Name. 'd - C. '[OWHEALTH DQT. Mailing Address: D /ol Telephone Number: CERTIFICATION STATEMENT I certify that I have below is true,aocurate0d*��the sewage l System at this and that experience in theme as of the time of the inspection The ins;wion wa the won reported tm 'a'ng p�function andsma �ornled based on my approved system inspector pursuant to Section 13 tle S(3 0 CM1g V disposal 1100). ms.I am a DEP system: passes Conditionally passes Further Evaluation by the Local Approving AWzfty Inspector's Signature: Date: The�m i shall submit copy of this' repo DEF)within 30 days of completing thus inspection rt to the ApprovingAuthority(Board of Health or SPd m greater,the inspector and the system owner chap is a shared system or has a design flow of 10,000 DEP.The original should be sent to the system owner and t��°rt to the appropriate��office of the authority copies sent to the buyer,if appbpbk and�wag Notes and Comments ""This report only describes conditions at the time of inspection time This inspection does not address how the system w71 perfrm io the futareth uco n diti of use at that conditions of use. same or different Pap 2of11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARy ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SySTEM INSPECTION FORM PART A CERTIFICATION(conanued) Property Address: /� 41,Qr7 ,Ofi�-� ✓t'1✓�1 ► Owner. �, 1 Date of Inspection: 3 p Inspection Summary: Check AAC,D or E/AL_WAS complete aD Of Section D A• S Passes 13.303 arm 310 CWR 1 u on which mdicatee that any of the W=a teria� in 310 CUR Any hffm criteria not evaluated am hdcated below. Comm aft & System Conditionally Passes: 1.L One or more system components as gybed in the"Conditional pase r'eipa"VA Zhe system,upon Completion of the rq*oemeft or zq= as ed by the Board H pass Answer yes,no or not determined(Y N,ND)in the for the f " explain. on8 stateme+nts:lf �.Please MW sePtic lank is metal and ova 20 years exhibits substantial i aftation or ex61 atio or the septic tank(whether metal or not)is existing tank is replaced with a tras* or tank failure is imtnineot,Sys Wdl 1�r�on if the 'A metal septic tank will008c tank as appsoov�by the Board of Health indicating that the tank i8 trss inspection if it is strucpaally s�not leaking and if a C,er itipte of years old is avar7abla Compliance ND explain; obstructed pkw(s)or due to a Obom'don of sewage bacicop or break out or high static wales level m the distribution box clue to appal of Board of Health)• ,settled or uneven drstr� box.System will Pass won if(withbrokea or broken pipe(s)are replaced Ob&wdm is removed distnbotion box is leveled or replaced ND explain; POSS�vect.y�� ned P�8 more than 4 times a year due to b ok en or obstnxted th approval of the Board of Health): p'pe(s)•I'm system win broken pipe(:)are replaced obstruction is removed ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continual) Property Address: 7L Owner. 6i ras /9 tab-G g Date of Inspection: G Further Evaluation is Required by the Bawd of Health: -1/— Cenditions exist which require further evaluation by the Board of Health is failing to protect public health,safety or the environment. in order to determine if the system 1. System wa past umkss Board of Health determines is atco system is not lhnctionhug hr a manner which wu71 tic bC w�31e t and the15_env ron that the Protect public hesitlt,safety sari the environment: — Cesspool or privy is within 50 feet ofa suface water — Cesspool or privy is within 50 feet of a bordering vegetated wedand or a salt marsh Z. System will fail anieas the Board of Health(and Public Water Supplier,if any)determines that the system is fimrttordng is a moaner that protects the pabHc health,safely sad environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water Supply or tributary to a surfaoe water supply►, _ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water suPPl3'• — The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply welL has aseptic tank and SAS and the SAS is less than 100 hoer but 50 feet or more from private water a �PPiy w method used to determine distance s system pmes if the well water analysis,performed at a DEP certified bac�ia and vow Organic impounds indicates that the well is fi+oe from �,for coliform the Pt' of ammonia nitrogen and nitrate intro pollution from that�h'and failure criteria are triggers A copy of the to or less than 5 ppm,provided that no otheranalysis must be attached to this form. 3. Other: Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ORM PART A 90 CERTIFICATION(continued)PropertL ss: / Y-1�y l,�'/e✓� Owner. �r�, A N. v�0-y- Date of on: / p D. System Failure Criteria appikabk to an systems: You most u iodic ate"Yee or`ne to each of the following for an inspections: sewage into sty or �c1�p system 1/ - Component due to overlo aded or cl — — pig of etlluent to dogged,SAS or the surface of the cesspool o mar ggal SAS or l surface waters due to an on'erloaded� — = ' • t�l is the won box above outlet invert due to as Overloaded or clogs SAS or depth in°wool is less than 6"below invert or apuinpedvailable vohim a is less am Re g more than 4 times in the last year�cke to clogged or %�'Bow — portion of the �prpe(s).Nnrnber cesspool or privy is below high gad water elevatiolL �1 cesspool or privy is within 100 feet of a=&ce water supply or tn'b tM to a surface portion of a cesspool or privy is within a Zone 1 of a —. — portion of a 1 ARYPOftionotamspoolor pm y is within 50 feet of a �c y u supply well with abk ess lily ual feet> than SO feet fmm a private water performed at a DEP certified laboratory, 'sia M115 system passes if the well water,mat indlca that the weH ii ft+ee 6+oru ry'for coliforn bacteria and volatile organic compounds . nitrogen and niq ate nitrogea is pollution t}nm that tacr7ity and Ilse presence of ammonia are Wired.A copy of the and to or lea than S ppim,provided that no other failure criteria analysis mast be attached to this form.] (Ye"O)The system tL I have determined that one or more of Me above describe cri e m 310 CMR 15.303,therefore the system fails.T!m m a��as e determine what will be necessary to correctthe owner should contact the Hoard of E. Large Systems To considered a larpe system the system must serve a facility with a design eargis flow ofgP& 10,000 gpd to 15,000 You must indicate that`yes"or"no"to each of the following: (The following terra aP*to LMV systems in addition to the criteria above) f yes no the system is within 400 feet of a surface dmilang water supply -_ the system is within 200 feet of a tributary to a surface ding water supply theZone�aMW w d in a nitrogensensitive area(Interim Wellhead protection Area—IWP supply well A)Ora mapped IfYou have answered"yes"to arty Question in Section E the "Yee"in Section D above the large system has failed �ner�is considered a sigoiticant threat or significant threat under Section E or failed under Section D shall or oP�tor of any UM&the �� m considered 15.304.The system owner should contact the appropriate regional 015ceof �with 310 CMR f Pa®e S of i i OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address Gi e ti L2'/ i Daft of Inspecdon: Check if the fallOwmit have been done.You most hxucate es"or"no"as to each of the&Howie Z��—;112r g was Provided by the owner,oo qm#,or Board of Henan — er+e any dthe system P *A m the.pmoos twq wftb —//— Has the systm received normal Bows in the previous two week period Have Xlarpama�voles of water been inbudumd to the system necemly or as put of this iuq)wdon _ were as built plans of the system obtained and examined?(If they were not avagable we as NIA) was the facility or dwelling inspected far signs of sewage back up was the site inspocted Eor signs of break out were all system cam,awluding the SAA located an site v were the septic tank manhoks of the baffles air tees,malarial o[co ° and the intedaz of the tank inspected for the condition on,dimensions,depth of liquid;depth Of Sludge and dqA of scam Was the taaiity owner(and occupants if diffeneffi from owner)provided with teaanoe of sewage as the proper The size and kcadon of the SM Absorption System(SAS)on the site has been dime based on: y no information.Far example,a Plea at the Board of Health, DeWraflaW in the fidd(if any of the failure criteria related to put Cis at issue approximation�'distance is�)P 10 CMR 15.302(3)(b)} • Palle 6 of 11 ,. OFFICAL INSP ECT'" _ NOT FOR OLUNTARy SUBSURFACE SEWAGE DLSpOSAL SYSTEM INSPE ASSESSlIiEN� C PART C TION FORM SYSTEM INFORMATION Property Address: W / Owner: Cl. O,e V Date of Insp 3 � RFSIDENTIAj, w CONDiTION3 number of bake,oms(deal p). DESIGN floor based on 310 CMJ 15.203�(for example,; 110 g -fb,&..): Number of conag mdden L. ----____ Does residence have a�rbage l (yes or no): qslgm(Yes or not Evrifyes separate bvecsio, wbm Seasonal usa�ar no):� n4X � WaW naft=duAMif naftle(last 2 years usa$9e(�): SUUIP1Uu'P On orno):,.,( D Last date ofoaaopanay; COMA IISTBIAL Design flow(baud an 310 C1bIIt 15.203) t� Basis of design Soar(seatstersonslsgtt,e�c.}: pe em(yes oar no): waste holdingtankp �=--6(Sm or no)- WAW avai JfcbafPd to the Txls1 3 system(yes or no):readkqX — WL Last date of occupancy/ . OTHER(&sml e): PuntDhiB Records GENERAL MpOn"nON Source ofiufarmafion: �vy Waff system pcunped as pact of the' '7 L7C,Aw g o-� �Go✓Ne�' �yvelaulepunWa (y orno). Reason for p SAM—How was quantity pumped, 1 8 SYSTEM _SePbc tank&Strom box,soil absorption WSW= cUvod —Oversaw cesspod —pdW — d SYstem(yes or no)(if yes,attach previous mspecti� obtained "Day. Attach a cop,of t1e=n if any) be operation and —Tight tank _Attach a copy of the DEP approval _Other(descnbe): Approximate age of all compu>i 4 date' zf Were sewapo odom dery W when al*�ing at the site(yes or no): /�� Pmm 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(contiinwo Property Address: � r. �Owner. .�� Date otlnspect ; BUILDING SEWER(locate on ske per) Depth below grade: Materials of con ion: Pbast �C Distance 5om pEivah water supply weII ar suction lice:other( )� Comments(on oo ca of jaintk VOWD&evidence afleakagq SEPTIC TANIG.._(locate an site plan) Depth below grads Material of cu — / concrete ° —otha(a0ain) N tank is metal list �c�te) is age con6aaed by a i of a(yes or no):_(attach a copy of Dimensions: J( /0 ShAv sepia,: Distance ftm top orto bottom of Outlet tee or baffle-. ca,9 Distance fma top of scam to top of outlet tee or baffie: Distance from bottom of to bottom old Q " How were Laos !'a/� Comments as N oak inlet and t000r ba MUL Of hal etc j: ffie Condition,stiuc M40y ligmd levels ►,n o / "Oe Jr � lei G GREASE TBAP.&('JoC e on site plan) Depth below Srift Matuial of (09lam): _conCnete metal_sberg[ass--])O*dwcoe—otter mom: scam thus; Distance f om W f0 top Of outlet tee or bate: Distance from bottom of scum to bottom of o�tee ar ba$lba$le: — Date afloat punnping Commems(on Pumpng vewMmuWWWu4 inlet and ouflet tee or as related to �,evidence 0(leakage;etc.): baffle Condition, 1 ifteg*mid levels Pale 8 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSEMUMS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM_ INFORMATION(cond=4 Property Addreae / �� ti r/6Y� ✓''tom �� Owner. Date of Uvectim TIGHT or HOLDING TANK;i (tank mnst be pumped at bm cf' )Qmw as site plan) Depth below grade: Material a[oousbroction: coacrde metal °—p° e. othwtex0ft moons: Design Flow: Atanm level. ��nor Dft at laenst pump&& -Abrmm 8° oe no)•— Commts(Cwif n—of m and fiod m t tM ft.): DISTA Uno •N B07iG„�,--i =M must be opmw*loc ft on site plan) Depth of liquid lewd above outlet invert 0 D Comnwo(node ifbb is and tO artlets ca ryover,any ev denee of loge! out of y �,�evidenx of solids So� Cs �v z PUMP CHAMBZX-& caw on site per) Pump in wing ceder(yes or no): Alaf=m woddogmler(yes orno). Comments("e man atpump chamber,condition of pumps aced 4palwances,etc.). . PagF 9 of l l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(Condrswd) Property Adder T fie Owner. 4�.(64 Date of Inspection: / 8 SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavadm not required) Ff SAS not located explain why: lambing cbambers,ffimber: �s lambing pna*um*w- -lambing benches, rimber, l: lambing fields,number,dimensions: overflow cesspool,nombea: ir:n0v8hvelaltan8tive system Typetharne of technoloj: Comments(note con�im of soil,signs of hydrauk failuM level of ponding.damp soil,condition of vegetation, etc.): 490.c�(_,r CESSPOOLS-- (cesspool must be as of p� t� orate on onXt site Dian) Number and configuration: Depth—top of ligWd to inlet invert: Depth of solids la w Depth of scam layer: Dimensions of cesspool• Materials of consavcdon: Iadi�n of groundwater inflow(yes or no): Comments(note conditim of sail,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note Condition of soil,signs of hydraulic failure,level of pon&,&Condition of vegetation,etc.): r 100t11 `.. _ OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(cendaoad) property Address: / /1 ez owner: ��^ moo* Date of bLqxcdom > SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sleet&otthe sewaW disposal system including ties to at least two pmmmncm refuenoe landmarks at benchmarks Locate an wells within 100 feet Locate where public water supply enters the b"Mg, I i d /41/ 01 D r % Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(comtim4 Property Address: �J' � )/,/ yr --- //-- — ✓✓!✓`t Gj to �� (/�� S�� Daft of ho dlom S1TZ EXAM Slope surface water Check cellar Shallow wells Fstimeted depth to yound water 1-2 feet Please m&ft(cm*)A me&&used to detemute the high vound water elowdam: Obtained fr=system ded p plum onrecord-Z checked,date of design plan reviewed Observed site(abutin8 property/observation hale within 150 feet of SAS) Qedmd with local Barad of Health-esplai�n: Checlmd with local excavators,installers-(attach docame on) Accessed USGS daiabaae-explain: You must dwmUJiow PS yq�t j the high gr�nd water f" �• �/�H Q, T / D P S-,- OF o Gi /b u w N c r �— r �y .i ct Ct zt 56 13- 2-61g� e w�eQ I�2 i 26 /00 . .E•ATef/ G rZ r-i T 1 ,�r 1 %AW1 � �E�cN � L i ► '1_2 a y I 1 � I f 1 i f LOCUS MAP /00 c.a r�s� TZ I 9Z A 1 �Rr�k 1 ! DEEP OBSERI'ATION HOLE k I EG%E o� PAvf�tFiv T 1 est Date: APRIL 1,2004; 01 - 114 fitness: DAOID STANTON,RS. Barnstable Health Dept. ^� PERFORMED BY Robert M.Perry,P.E. / ,t t/yIDRRNT elevation depth(in.) horizon texture color mottling: other �J -��- i I —T 94.0-93.4 0-7 A loam.sand IOYR 3'2 VEQ/ F Y 13 sH� vb' 93.4 -91.3 7-32 B loam. sand ION R 5/8 �AkMvni T 91.3 -87.0 32-84 Cl med.sand 2.51 6/6 F< - 7- cC 8,.0 830 ' 84- 132 Cz m-f sand --- — � ! � � _ ---_- -- _- LEGENt� ` q Parent material. Glacial Outwash C c�N7bvR U�yL _._..__.._... Pf1oPOSEsD �R �KpF�y�t� / � �` 1>eplh to Groundwater: NOT FOl' RtSGRYG i >, NU ---+x— �xi�71 N Co (e n ? G N7bU 2. eXI STTNQI SPOT CC t EivCN T �\ Perc. test data: 24 Gallons passed thru the test hole in less than 15 gin'68 inch depth _w XK K C L6VA71Utv`3 �oZ p/T ��.. 1 \ PFR( RA14 LFSSIHINSNIPI WAT�IZ LIA1L` (9 HaOLM LOCG,770N I E, X t S T")N6 i SJ.^...,SEP11C Teat C-Ft .�` p�OWSE S LpGT 61x VAnO A( A� qb j Pr30005e0 ols7u•,launo� Box xr QT] Ps20 P1o6 C P S AS u a: O 0 —*— �UNca9R�rznuN>a GA5 L✓ivE 1•' _ <TE.elvcrE ACvrr ; GENERAI, NOTES I. ELEVATIONS REFER TO APPROX. NGVD. ELEVATION BENCHMARK IS THE CAST IRON CATCH BASIN GRATE IN STREET ELEV.=98.5. 0,,,rl)C.7- E.vG/NCf/? Ore 2. PLAN REFERENCE: PLAN BOOK 400,PG.82;CERTIFIED PLOT PLAN FOR LOCUS PREPARED BY EDWARD E.KELLEY,PLS. 3. ALL SEPTIC SYSTEM CONSTRUCTION MATERIALS AND PROCFDURFS SH A.LL i CONFORM TO THE STATE SANITARY CODE,TITLE 5 AND TOWN OF i BARNSTABLE HEALTH DEPT.REGULATIONS. } ST 4. THE EXISTING 1500 GAL.SEPTIC TANK SHALL REMAIN IN SERVICE AND x �i �F/L�N SHALL BE FITTED WITH NEW PVC'INLET AND OUTLET TEES WITH A GAS FL EX/ /o` BAFFLE ON THE OUTLET TEE. EXISTING "D"BOX SHALL BE ENTIRELY E /STD/�G REMOVED;EXISTING LEACH PIT SHALL BE FILLED WITH SAND. Fn/D/'✓, - /n S• O 5. AN ALTERNATE PIPE ROUTE IS PERMITTED TO AVOID DAMAGE TO THE ' Q 7-0� of ------ EXISTING OAKS AND SHRUBS. THE ROUTE SHALL MAINATAIN A MINIMUM OF — ; 1 %PIPE SLOPE AND BE APPROVED BY CAPE COD ENGINEERING,INC. M , I 6. A 5 FT.PERIMETER EXCAVATION IS REQUIRED IF UNSUITABLE SOIL. IS Q ENCOUNTERED DURING THE EXCAVATION WORK.FILL ANY OVER- EXCAVATION WITH CLEAN SAND FILL CONSISTENT WITH TITLE 5 FILL SPECIFICATION. CONSTRUCT THE SAS IN THE NEW MATERIAL. r ^ 7. INSTALLER SHALL CONTACT ENG INEER AT TIME OF SYSTEM COMPLETION f C FOR SYSTEM CERTIFICATION IF REQUIRED BY THE TOWN. CONTACT ENGINEER IF ANY QUESTIONS OR DOUBTS ARISE REGARDING SOIL ! E CONDITIONS ENCOUNTERED DURING CONSTRUCTION, 8. NO KNOWN POTABLE WELLS EXIST WITHIN 200 FT.OF THE PROPOSED SEPTI( SYSTEM THE SITF,IS SFRVFf)111 TOWN WATER. j ( ! y All STONE USED IN THE:SAS SHALL BE OF THE:CLFANF'S'L VARIETY,Dot O 7- V ) I 11 Ati1iEU S!NBJECT TO IN�SPEC TION. 10 PRESERVATION OF EXISTING LANDSCAPE: FEATURES St'CH AS TREES AND 4 3, G S 3 SHRUBS SHALL BE REVIEWED WITH THE OWNER OR THE OWNER'S l } REPRESENTATIVE PRIOR TO ANY WORK BEING DONE.. r t DESIGN DATA HYDRAULIC LOADING 4 BEDROOMS n 110 GPD/BR=440 GPD SEPTIC TANK S17.F-330.0 X 200%=660 GAL. EXISTING 1500 GAL SEPTIC TANK SHALL REMAIN (NOTE 4 ABOVE) PERCOLATION N RATE-LESS THAN 5 MPI IN C t s C'a LAYER BOTTOM AND SIDEW ALI,LOAD RATE-0.74E ID SIDEWALL AREA=(2) 2' ( 12.8' +33')= 183.2 S.F. BOTTOM AREA =33' X 12.8'-422.4 S.F. TO 1 11, HI DRAt LIC LOADING=(183.2 S.F.+422.0 S.F.)(0.74 GPD/S.F.)=447.8 GPD TOTAL SYSTEM CAPACITY = 447.8 GPD THE DESIGN IS NOT SUI I ABI E FOR USE.WITH A GARBAGE DISPOSAL UNIT go 1 I r PLAN SHOWING PROPOSED ! VANWO LL tl COV w tz- nn'.N.DIA-7 A• e•%�MANH4DLE W 1T14 CONC2tTE 2• LA SUBSURFACE SEWAGE DISPOSAL SYSTEM O*' 1/6F? %�i- b• -<� �rJVCR 1' F1�Atvt6 T3RUtX�NT Ftsit9lt*t D 62A WAS"15D* s N� _ r W!Tt+N' G"OF Flh11sHGD v2AD(� FOR AN EXISTING DWELLING AT 100,12 I 79 ALTIIEA DRIVE, CUMMAQUID, MA IE =9z .so i 12„MN CLEAN ____ __. ,,� -" •�r, lt„L BARNSTABLE ASSESSORS' MAP 333, PARCEL 020 Eat 3 _ PREPARED FOR ,It4V.• c0.� . : on on a C)� n Ej n o aon ono o ❑ DIANE CABRAL _ � oocr� � ac1, oc� c� � c�a� Qcior� r� 79AI.TIlE.4DRIVE C'ti!�iMA AID Qt , MA 02642 4 p,. F!L L� o 2. 7 ,1 i L7 Q Q C� Q Q C j Q Q ��Q--}} 0� �i Q Q Q r7 E Q Q 0 CD Q _e a_1�� Q Q �rl l ��C:L EVE ?�l6T�i1141,1T10A1 �lOX \ 1 e _ _ 0 !Yf 0 -DCXJe3-L%r tH-� of 11,9. 2004 SCALE - I" =20' �' _?Vvtirz* ��CVATt�v� A�sHTs'7 S'Tt'►1C g.Eb07"7bM ' ---- _ W �O 4 1,% •. ° F _ - - - - z.�•s - _ -- — — sY5 rt✓n/t ROFiRT F_ y°�r CAPE COD ENG1.VEERI,VG INC: k4orft c • - •! • • u3fls 17caT•Ar*ral; w,bR __--- _. 3�' __-- __ _ -- -___-- --___-_ oCn ROBE:RTM. PERRV, PE - �" '•` r T'�^'-(" n. (To t ) PICAL Le/X`.-1 5 _rent ccz -SecTlor� SO I,ELAND ROAD CAlf-poGlT.r • �oN N �,JTLET P1 P'ES ko 4iG.``___._ — ,s(Vo.35Eg80 �,�Q $REWSTER, MA 02631 t7L" AK'z T QG 11y 0 iZG!S� *1G R T t _G'✓e'_ �FZ AT L RA mT Ttivo Re�T s� pL,� TEL- 508-896-4961