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HomeMy WebLinkAbout0090 ALTHEA DRIVE - Health 90 ALT-HEA DRIVE Barnstable A = 334 -'045 TOWN OF BARNSTABLE LOCATION 10 SEWAGE# ,.,�. 'VILLAGE lip t} vti,ri.� (�u i ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 1 (3 G 0 LEACHING FACILITY-(type) �� — `j(j`� �, t,..l� (size) NO.OF BEDROOMS 3 OWNER PERMIT DATE: 3 — 7"(� COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of' g facility) Feet FURNISHED BY �� ���� v . _ 1 `� ���: � � J 3 �?` � ,,�� �., 3i3 �l` �-��JK � y �`����. //��,, � No. ly Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION---TOWN OF BARNSTABLE, MASSACHUSETTS 01pplitation fo714-1) 'sposar *pstpm Construction Permit Application for a Permit to Construct(� Re Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. qo Y- Owner's Name,Address,and Tel.No. m Cy Guyr�ai�tu`-�' Assessor's Map/Parcel Installer's Name,Address,and Tel.14o. "rbf%j C.t�.bt;�pf Designer's Name,Address,and Tel.No. T9ye.� icw�scaq,r9 LPL f.068 U,4te- Zg V. Vr*_Wt,%; Er k ki? E\i m- s L5-AsJ 429-" s'a X - -2.. P Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3'p gpd Design flow provided 331 gpd Plan Date ([� 111 Number of sheets I Revision Date Title Size of Septic Tank l ey,— DOM Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) ea Cam; C, Date last inspected: Agreement: The undersigned agrees to ensure the construction aintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 f the Enviro ntal Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boar o alt Signed Inn A Date Application Approved by Date j Application Disapproved by U Date for the following reasons Permit No. gojg—' Date Issued a ��.,.•..-.+'-.� ,� .'.Y.v'''�. X^X�-,_ '' •'� ,^�.F.,f wr tf��''�.h,,• q'r:t.- a},..,,k; . .M ..t #a- 't` '�... .< - ...w. ... ... - ,, _ �No. Fee � �r 7 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: i PUBLIC HEALTH DIVISION 2.7-OWN OF BARNSTABLE, MASSACHUSETTS Yes application for Construction i9ermit Application for a Permit to Construct Repair( ) 'Upgrade( )yAbandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. IAo kVVV e- j 1:`�r�t mw,%.t Owner's Name,Address,and Tel.No. Assessors Map/Parcel I*;� � ��sc- Installer'sName,Address,and Tel.No. on� _ C ° ' Designer's Name,Address,and Tel.No. 'T•7Gt_ \%%birc9Z.r,9 LLC, tot$ kouj e- .Zg 41 ,o Type of Building: Dwelling No.of Bedrooms Lot Size G j sq.ft. Garbage Grinder( ) Other Type of,Building No.of Persons Showers ) Cafeteria( ) Other Fixtures , / Design Flow(min.required) 1�p gpd' Design flow provided, gpd Plan Date Number of sheets ^i Revision Date Title \ Size of Septic Tanki Its oats Type of S.A.S. l \A -\0 oo 6)tk1\e^-,. [`,lia_"Ates- Description of Soil , Nature of Repairs or Alterations(Answer when applicable) �L"I L`►„�,.c„ f-!G\, Daie'lasi inspected: Agreement: The undersigned agrees to ensure the construction aan'd,f aintenance of the afore described on-site sewage disposal system in ` accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has°'been issued by this Boardiof Healtth d Signed P`1 f 11U__ A Date" oA n) l t� Application Approved by ��. _ �L, Date Application Disapproved by U Date for the following reasons Permit No. Date Issued �� THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certific/attA f Compliance — THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded y ( ) Abandoned( )by nc,.. �� t,!a s 1%4r.e_ 1w<Sc.9ty,* at Otto ��ri t �f '-c> has been constructed in accordance with the provisions d Titlerkand the.for"D-igposal System Construction Permit No.t %' dated, Installer # i Desi gner `� (g4ge �� LLC_ 1, e L #bedrooms Approved design flow /\ and The issuance of this permit shall not be construed as a guarantee that the system will•fun tion as'designed. 9 Date �'l� /�' / }' Inspector /Y.f� ��/` • � � v v --------------- ----------------------- -- - --------------------- ---------------------------------------------------/-------.- ------ { No. �t U V�5 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS MispoBal 6pstem Construction permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System,located at no A l4 Q o te. -6yi., y,I( and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction_must be completed within three years of the date of this permit. �l p' 3. ....... Date Approved by Town of Barnstable Regulatory Services Richard V.Scali,Interim Director 1 M Public Health Division i6.s 6n McKean,Thomas M ,Director , M 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification_Form Date: UHI'1� Sewage Permit#')d/F- Assessor's Map\Parcel -J'A'q Designer: _ �� G �4NOV Installer:' d C� Address: -¢-Z �_ Address: On —� ' / ��L/1/ was issued a permit to install a (date) (installer) septic system at �0 A\4-fk 'VP-1 vt - based on a design drawn by / (address) &�►rf ��&nj dated t'z (designer)—•-- - - I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic. tank. ..Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes(i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Local Regulations. Plan revision or certified as-built by.designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed i 1'ance with, the terms of dae I\A approvat letters(if applicable) r �n S C®Y7 A staller's ignature) {Designer's Signature) - (Affix Designers: mp 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:lsep6c\Des1gner Cetiification Form Rev&I4-13.doc Town of Barnstable . P# oFVE Department of Regulatory Services BAIMM nnjA Public Health Division Date t • � i16 200 Main Street,Hyannis MA 02601 ArEU hlld� Date Scheduled Time / Fee Pd._ �lJ Soil Suitability Assessment for S age Disposal Performed By:- �� o r Pf f"/'( C_ (�4 NN Witnessed By: LOCATION&.GENERAL INFORMATION Location Address � c v1� �}�-`�-�tl� " 6s,.r`.e, OwnersName Od'tpAJ —j(.tqG�t� dl 90 (1L:T' -CA- 0r'iv�-- l Address v Assessor's Map/Parcel: ` 33 4 / Engineer's Name rj�Gp�-F AMC &A 1J11) NEW CONSTRUCTIONy REPAIR Telephone# .5,0 13 TY5 • Land Use.— I tZAL!!(il Slopes(96) Surface Stones !� r Distances from: Open Water Body (Ooo ft Possible Wet Area i!�/tic? ft Drinking Water Well _44—ft • 1 Drainage Way AIM ft Property Line Y0 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands fn proximity to holes) -7 •Prf% 4.1 N . / N /[3L7",A- A Parent material(geologic) �'y►fl.✓ZJ Depth to Bedrock ✓ 4 j t� Depth to Groundwater. Standing Water in Hole: 4Z j�. Weeping from Pit Free NO'"tL Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: In. Depth to soli mottles: Ill. Depth to weeping from side of obs.hole: ___- In, Groundwater Adjustment ft. Index Well-# Reading Date: Index Well level Adj,factor AcU.Groundwater Level, PERCOLATION TEST ante rz Z��� xitne �o�� Observation Hole# %P /` Tinto at h" 0 '� /r z Depth of Per tc Time at 6" /�• . Start Pre-soak Time @ 0< Time(V-0) LO End Pre-soak lDr Rate Min./Inch C Z it,I'`� Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) Original: Public Health Division, `F. =` Observation Hole Data To Be Completed on Back`-=-------- ***If percolation test is to be conducted within 100' of wetland,you must first•notify the. Barnstable Conservation Division at least one(1) week prior to beginning. Q:ISEPTIC�PERCFORM.DOC 1 DEEP-OBSERVATION HOLE LOG Hole# / Depth from Soil Horizon Soil Texture Sdil Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. onsistency VOravel) ii DEEP OBSERVATION HOLE LOG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soli Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsisten % Q. 1,0. 2...3,Z �. _I t. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Stricture,Stones,Boulders. Consistency. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No Yes Within 100 year flood boundary No._,_ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally 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 p rvious material? Certification I certify that on r a _(date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training, xpertis and experience described in�10 CMR 15.017. Signature Date 7 QdS•Hl?Tlt1PRRCFORM.DOC 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. must tir�t 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 Ii;w. . . DATE: _ Fill in please: APPLICANT'S YOUR NAME/ S: t5 xti' ��` 3 ° BUSINESS YOUR HOME ADDRESS: ?0 LZe�E,f .. r , TELEPHONE # Home Telephone Number r- RZ-_:I-e. , NAME OFCORPORATION. NAME OF.NEW BUSINESS: _ ": TYPE OF BUSINESS IS THIS A HOME OCCUPATIONS YES NO' ADDRESS OF BUSINESS.- i 9 MAP/PARCEL NUMBER 3 3 Y o tlS (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 COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 2. BOARD OF HEALTH This individual has been ormed of the permit requirements that pertain to this type of business. MUST XMPLY WITH ALL LL d ( V((/) tA2ARD0US MATERIALS REOULATInn�e 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: I-� P tj . Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: C,q nI ELDO eS BUSINESS LOCATION: �FQ 79ii:A I9OC INVENTORY MAILING ADDRESS: a .. /214 TOTAL AMOUNT: TELEPHONE NUMBER: S-6-F 36 z e Vo D CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: gc'S 7 7G 11,07 MSDS ON SITE? TYPE OF BUSINESS: FLO0I4� S /41,JJOEX 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 EfNEW ❑ 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 (9 Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ 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 Z) TOWN OF BARNSTABLE LOCATION,(—a4 " Alliq, Osier SEWAGE # ,f VILLAGE C y�ntweo,i �, ASSESSOR'S MAP & LOT 611. iINSTALLER'S NAME & PHONE NO. Q�-�tdlj -7?1�1a�(� d SEPTIC TANK CAPACITY 11000 cZ��dyhS EACHING FACILITYAtype) (Q 6"c (size) I;OOy �A f ldt i NO. OF BEDROOMS 3 PRIVATE WELL OR`PUBLIC WATER BUILDER OR OWNER �►yssl DATE PERMIT ISSUED: 71 $s-/ q7— DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ✓ ,Q 1� �4%v,.rA i � I 1 � THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Dispuiial Works Tnnstrnrfinn ranfit Application is hereby made for a Permit to Construct (-A or Repair ( ) an Individual Sewage Disposal Syst at ...............7.....az# .......... ................. ........................... ------ ----- ress ........L.. do ...... .. V Lot No ................ -•-•- •••-- ... ....................... ---------- W Ow- a �rt) � Address W .......... .. ........ ........... 5✓�-•• NJ/� �l� Installer Address �L [....S feet d Type of Building Size Lot...... .............. q. U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) `1 Other—T e of Building No. of persons............................ Showers d YP g -..... ( > — Cafeteria ( > Other fixtures ------------------------------------- W Design Flow..................... �2..._._....._._gallons per po s�-per day. Total daily flow..........3.3-Q......................gallons. WSeptic Tank—Liquid*capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing to 0-4 Percolation Test Results Performed bY.___..___.l. ... .. /v .................... Date........................................ a Test Pit No. 1..._��.___._-..minutes per inch Depth of Test Pit.................... Depth to ground water........................ fZ4 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ P4 ----------- --- -------------•-----------------•----------.............-----.-•-••-•-------•-••-•......_._..-----•----••-•---•--••••--.----- ODescription of Soil �ttk�-------------------------------------------------------------•------------•-•------.................................I....................................................................................................................................... 0 ----------------------- ----------- ------------------------------------------------------------------------------------------------------------------------------------W U Nature of Repairs or Alterations—Answer when applicable._____.......................................................................................... -•--------------------------------------------------•-------------------------------.....---------------•---•------------------------------------------•---------------------------------•-----•--••---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—T ndersigned further agrees not to place the system in operation until a Certificate of Compliaril �haas,,b,,een i b thof health. Signed ........- ..--....... ... ............. ........ ......2". 3.... - Dare Application Approved By .... .... .-- G..-. '.;2. ......................................................'-----............ --'---...... Date Application Disapproved for the following reasons: ... ......................... . .__--- ---- ------...--------- ... ------------------....------------:---------------- --------------------------------- ----------- - --- ------------------- ------------------------- -------------- ----------------- ------------- --------------- Dare Permit No. --------I...1.9.1---. L(...................... Issued .............. Date No... :.... .... - t . Fi$........./ ... r THE COMMONWEALTH OF MASSAC9USETTS �'q BOARD ,OF H-EAUTH TOWN OF BARNSTABLE - Appliration for Dislinsal Works Tons rnrtion frrutit Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal 71 Sy __.._ ...... -- - -...........r .------------------ ............................ .................................... Lo io -Address r Lot No. O'!n / /�/�////J Address W _._...._.... . ...............•._._....__._.._._...._....._ ...........--1--=--__. .... Installer Address L/ ___l_I__{ p UType of Building Size Lot_______________ ...Sq. feet 1-1 Dwelling—No. of Bedrooms.-...._._.3____________________•._.......Expansion Attic ( ) Garbage Grinder ( ) �`14 Other—Type T e of Building No. of persons............................ Showers YP g ---------------------------- P ( ) — Cafeteria ( ) POther fixtures -----------------------------------------=.----------.•--•--•---------•-•••-•••------------•-------....----------------- ....._..... W Design Flow--------------------JZU--------------gallons per pe-rsda-per day. Total daily flow...........K�KU..................... WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter.............___ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No----_--------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing ton,( Percolation Test Results Performed by.. ...... ------------------- Date........................................ a Test Pit No. 1_._�_�__ :minutes per inch Depth of Test Pit.................... Depth to ground water...._... ...........__. � f=, Test Pit No. 2................minutes per inch Depth of.Test Pit-------------------- Depth to ground water........................ P4 ------ ------------------------------------------- ---------- ---•----•---------------------------------------- •------------_----- j� --- x . Description of Soil......... ' ../ r_..:. a-+A-----•-----------•---------------------------------------------------------------------------------------------------- t W ,......_.. _ � ----� --------------------------- ------------- -----------------------------------.._..................................... -----------------------------------•-------------------•--•-•----•-----•--------------------•----------•---------------------•---------....-•-•----------------•....------------------...----------... U Nature of Repairs or Alterations—Answer when applicable...............................................•..------------..--------......_._._....._.__... ..__..-..-•-----------------------------------------------------------=----- -- ..........................................................--•------------------------ .........-----------------•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued-by the board/o-f health. Signed �//��1��� �i l; f'11/ .. p�- g ---- -------- ---- ------- ............................ .. ......i--- -----[e A lication Approved B '- PP PP Y (�j -y \J 1....-------------..-...._.. Date Application Disapproved for the following reasons- --------------------------------------------------------------------------------------............................ ---------------- -- -.........----------------------------------------- ---------------------------------------- Date PermitNo. - -` . ' Y ---------------- Issued ................................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (9r>i#ifirate of C90mylia-ure THJS-IS T© CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) by - d, `/1( 1/C,�9---{'� ------..---'-------Installer at ------ Gt --------- - ------------------------------------------------------------------------------------------------------------------------ has been installed in accordance with the provisions of TITLE 5 of he State Environmental Code as described in the application for Disposal Works Construction Permit No. -----------;--- _.-.: .0. L4.-- dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE ---------------.!--�.---------------------------------------------------- Inspector `^�- -------a --•-------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No p TOWN OF BARNSTABLE S 3 tulwn rrntit Permission is hereby granted------------------ __1�_ to Constr ct ( � or Repair ) an Individual Sewage Disposal Systerp at No `� ...... . - .vt1r-�.t�riT ------- Street as shown on the application for Disposal Works Construction Permit No..7�1--30 Dated.......................................... . ----------------------------------------- A__._ ___ ______...______..._______..__...__.__...._ � rd of Health DATE--------------�--- ---------------------------------------- �� tBoa, FORM 36508 HOBBS Q WARREN.INC.•PUBLISHERS 3 ''$E���►�ts,_ y f , , ' . . ��-- I ��•- 6AATA �Ar ? GRI+J�E1Z ' . SAIL _ -raN�-�3ox:lSv�rAqG GPI la- MA !' � F&Oo (,4L / STat i F x6��4 rJr� lye S` 5 F. { �UMAAAQvlt> . ' 'TOT'AL.' PAtLy �$- i a�►ta� ., PE`.TER LL I i -. tao►eaou NO. 29733 ••� •C� 'QQeG� '�ti ,s. , i ( ! ,.._._j ..._y�r. �n�wu� _�_ ua c+✓..-A iJ.�x_c.IJ.Sur.A-Bt,e_ j MATFQIAL 10' kL AepuQL�l Sepnc..S�STTr'1. : . t�oc.� ,ti s6 FG=S� TF = 90 - �_°A°° e ___... Y� - -- .5 .._ Imo- P V. 0. I 1 uv.-84- M;"4 I , DKT B3<{ tnl✓ GAL �3 9 5�WL ado tNv a�.s 'u� Box �� :Sc-�rrc t } GAL e3z TANe- MEN { � i WI '- '-TONE I SA1Jrj { 4 _—.6L ��� r _ .... _t . ..Cezi'IT=t LIYr PCdIJ E IE1vPg3 'Pool-I c r-- _ _+ o ScA1 t - r d .r LoeoTIDt;i : C`M/11AQv�D it f �GQ LE—% 11_�D DATA; lo - c72. C '`SFIOtutJ . NE2F.oN� C;O`N('PL S yV17'i-4:: T1l�� SI�EU�IE ..; � ,. : ter F �345rag� - - E P-:60D, t .ntt l; PL g►G np - i X E 0 ____._.r.p�xr d�-�A►J� YE Su I~/orz5 adt.1 .. 1S NOT' ?A/i© 04 INN i I�l41'0t1�GtVr ' E 1Gi N E�.S Sugvty , AaJD TN E oF::5 e T' 44oaa> u uj' -3E o 5'[t`2v t LLE MA;!, _ uSct� 7o ESTaBt KN FV-CFE2:Ty l�NES rr 4 APPLIC-A WT s �� S I v� V►L�UI � �o 'BUILZWL Co. too� _.. .. \ \97o `pb� \� \ � I ��•Ss 1 a2•A, or 76�t: ` 9, DIU J& OF Aq- A. -per\q rho. 29733 C)o ' AL �• f M1 CONSTRUCTION NOTES MINIMUM 20" DIAMETER CONCRETE CUMMAQUID, MA TOP OF FOUNDATION MINIMUM 20" DIAMETER COVERS COVERS RAISED TO WITHIN 6" OF MWute ee t � 1.) ALL WORK SHALL CONFORM TO THE STATE ENVIRONMENTAL CODE, TITLE 5 (310 CMR 15.000):_ EL=50.5± RAISED TO WITHIN 6" OF FINISH FINISH GRADE (OR AS NOTED) 6A STANDARD REQUIREMENTS FOR THE SITING, CONSTRUCTION, INSPECTION, UPGRADE, AND GRADE (OR AS NOTED) EXPANSION OF ON-SITE SEWAGE TREATMENT AND DISPOSAL SYSTEMS AND FOR THE TRANSPORT EL=49.8± EL=44.3± LOCUS AND DISPOSAL OF SEPTAGE, AND THE LOCAL BOARD OF HEALTH REGULATIONS. o �����/� o o mo 2.) ANY SEPTIC SYSTEM COMPONENT INSTALLED IN A LOCATION WHERE THERE IS POTENTIAL FOR /i��/,� /i /e E �`� J / o VEHICLES OR HEAVY EQUIPMENT TO PASS OVER IT SHALL BE DESIGNED TO WITHSTAND AN H-20 //` //f _ ✓` //\ Ro LOADING. IF UNDER AN IMPERVIOUS SURFACE, SYSTEM SHALL BE VENTED TO THE ATMOSPHERE. c e od 3 Itheo 45.9± 41.3 GEOTEXTILE FABRIC 3.) TO MINIMIZE UNEVEN SETTLING, SEPTIC TANKS AND D-BOX SHALL BE INSTALLED ON A STABLE MECHANICALLY-COMPACTED BASE ON SIX INCHES OF CRUSHED STONE. _ l M Route 6 West M 4.) COVERS OVER THE INLET AND OUTLET TEES OF THE SEPTIC TANK, THE DISTRIBUTION BOX, AND r Route 6 E- ate' THE SOIL ABSORPTION SYSTEM SHALL BE RAISED TO WITHIN 6" OF FINAL GRADE. LEACHING 45.3± 4 44.6 41.27 41.1 FIELDS, TRENCHES, AND OTHER SOIL ABSORPTION SYSTEMS WITHOUT ACCESS MANHOLES SHALL }} \44.4 „ LOCUS HAVE AT LEAST ONE (1) INSPECTION PORT CONSISTING OF PERFORATED 4" PVC PIPE PLACED - 1 " 40.8 iv > 3/4 to NOETO SCALE VERTICALLY TO THE BOTTOM OF THE SOIL ABSORPTION SYSTEM WITH A CAP, TIED WITH MAGNETIC °pro' � DB-3 1-1/2 STONE (Double wash) MARKING TAPE, ACCESSIBLE TO WITHIN 3" OF FINAL GRADE. GAS BAFFLE H-20 Rated D- BOX 38.8 THREE (3) H-10 500 GALLON PRECAST 5.) PIPING SHALL CONSIST OF 4 SCHEDULE 40 PVC OR EQUIVALENT. PIPE SHALL BE LAID ON A CONCRETE LEACH CHAMBERS WITH 2 OF MINIMUM CONTINUOUS GRADE OF NOT LESS THAN 2% FROM THE BUILDING TO THE SEPTIC TANK, 14'±---} f-- 48± -- 20-___ 0�� STONE ON ENDS AND 2.5' ON SIDES AND NOT LESS THAN 1% OTHERWISE. EXISTING 1;000 GALLON Longest Run 6.5 6,) DISTRIBUTION LINES FOR THE SOIL ABSORPTION SYSTEM SHALL BE 4 DIAMETER SCHEDULE 40 SEPTIC TANK LEACH CHAMBERS PVC (OR EQUIVALENT) LAID AT 0.005 FT/FT, UNLESS OTHERWISE NOTED. LINES SHALL BE CAPPED (END VIEW) AT END OR AS NOTED. (To Remain) FLOW PROFILE 7.) LINES FROM THE DISTRIBUTION BOX TO BE LEVEL FOR THE FIRST TWO (2) FEET BEFORE NOT TO SCALE EL=32.3 Bottom Test Hole PITCHING TO THE SOIL ABSORPTION SYSTEM. DISTRIBUTION BOX SHALL BE WATER TESTED TO ASSURE EVEN DISTRIBUTION. S 8528'30" E 8.) GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR LEAVE ALL CONCRETE STRUCTURES 108.78' 1.) Assessor's Map 334 Parcel 45 IN ORDER TO PROVIDE A WATERTIGHT SEAL. 2.) Book 22009 Page 33 9.) HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OVER THE LIMITS OF THE SEWAGE 3.) Plan Book 400 Page 82 DISPOSAL FIELD DURING THE COURSE OF CONSTRUCTION OF THE SYSTEM. 4.) This property is not in a Zone II 10.) IN ACCORDANCE WITH 310 CMR 15.221, ALL SYSTEM COMPONENTS SHALL BE MARKED WITH Lot 7 of a Public Water Supply 5.) This property is not in a Flood Zone MAGNETIC MARKING TAPE. �I.3,61 g± SF 11•) THERE ARE NO KNOWN WELLS WITHIN 100' OF THE PROPOSED SOIL ABSORPTION SYSTEM. 12.) FROM THE DATE OF THE INSTALLATION OF THE SOIL ABSORPTION SYSTEM UNTIL RECEIPT OF Are°� SYSTEM DESIGN CALCULATIONS THE CERTIFICATE OF COMPLIANCE, THE PERIMETER SHALL BE STAKED AND FLAGGED TO PREVENT 6•oo SEWAGE DESIGN FLOW REQUIRED: 3 BEDROOM DWELLING _ USE OF THE AREA THAT MAY CAUSE DAMAGE TO THE SYSTEM. 110 GPD / BEDROOM = 330 GPD REQUIRED 42 13.) THE DESIGNER WILL NOT BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UNLESS -- -` -`- SEWAGE DESIGN FLOW PROVIDED: THREE (3) 500 GALLON LEACH CHAMBERS CONSTRUCTED AS SHOWN ON PLAN. ANY CHANGES SHALL BE APPROVED IN WRITING BY THE ,' WITH 2' STONE ON THE ENDS AND 2.5' STONE ON THE SIDES DESIGNER. �� " Vt = [(29.5 x 9.83) + 2(29.5 + 9.83) (2) x .74 = 331 GPD PROVIDED 14.) THE BOARD OF HEALTH REQUIRES INSPECTION OF ALL CONSTRUCTION BY AN AGENT OF THE E 72.Ook � ) "a 331 GPD PROVIDED > 330 GPD REQUIRED BOARD OF HEALTH AND THE DESIGNER: THE DESIGNER SHALL CERTIFY IN WRITING THAT-THE - - - _ . _, -_ SEWAGE DISPOSAL SYSTEM WAS INSTALLED IN ACCORDANCE WITH THE TERMS OF THE PERMIT / 1�n 985 sAs wooded SEPTIC TANK CAPACITY REQUIRED: 330 GPD X 200 AND THE APPROVED PLANS. 48 HOURS ADVANCE NOTICE IS REQUESTED. "�d � � o s) Are° SEPTIC TANK CAPACITY PROVIDED: EXISTING 1,000 GALLON SEPIC TANK TO REMAIN 15.) LOCATION OF UTILITIES IS APPROXIMATE AND CONTRACTOR SHALL BE RESPONSIBLE FOR r - o '� Doi (42.8) Floor Plan A GARBAGE DISPOSAL IS NOT PERMITTED WITH THIS DESIGN FLOW DETERMINING THE LOCATION OF ALL UNDERGROUND AND OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF ANY WORK. THIS INCLUDES, BUT IS NOT LIMITED TO, REQUESTS TO DIGSAFE, I I! DB o N.T.S. ANY PRIVATE UTILITY COMPANIES, AND THE LOCAL WATER DEPARTMENT. rf �� �� (4I?) _1 29.5' 16.) CONTRACTOR SHALL VERIFY THAT ALL WASTELINES ARE CONNECTED BY WATER TESTING ij i k I shed I Dining Kitchen � WITHIN THE DWELLING PRIOR TO INSTALLATION OF ANY SEPTIC COMPONENTS. 42 �� (4a.k--J 3 Both 2' 8.5' 8.5' 17.) CONTRACTOR SHALL VERIFY EXISTING INVERT ELEVATIONS PRIOR TO INSTALLATION OF ANY �' N .4 -- '- " o SEPTIC SYSTEM COMPONENTS. 2 i' t�, 1(470)�`\ !� Garage ' � Living Bedroom t> N 18.) TEST HOLES COMPLETED PER STATE ENVIRONMENTAL CODE, TITLE 5. SOILS CAN BE �� >/ See Note (46.2) 0) #1 VARIABLE AND TEST HOLE DATA IS NO GUARANTEE OF SOIL CONDITIONS IN OTHER AREAS. IF 46 `�9 �-46 N � � O oo � SOILS DIFFER FROM THOSE SHOWN IN THE SOILS LOGS, DESIGN ENGINEER IS TO INSPECT THE i� � �^^�t 'O �' FiP t Fl `� �s SOILS PRIOR TO PROCEEDING WITH INSTALLATION OF ANY SEPTIC COMPONENTS. !�,V (49•5) sT� ) e.tstut4 vie 48 19.) EXISTING SEPTIC COMPONENTS TO BE LOCATED, PUMPED DRY, FILLED WITH CLEAN SAND AND TOM EL - 50.5 tl ^.i TBM EL - 50.0 p p `V ABANDONED IN PLACE OR REMOVED AS REQUIRED. AREA TO BE COMPACTED TO MINIMIZE SETTLING. (A-�d Ede j peck o� a�e< or �khead Bedroom Assumed Elev.) !t ^o #2 TEST HOLE LOGS " D-Box Test Hole #1 (EL=44°3±) Il (49•9) (49.9) fr I m Depth Elev. Layer Soil Class Soil Color Comments �� House #90 - ' I 3 Bedroom I Note: 0"-12" 43.3 A Loom 10YR 3/2 TOF 50.5= Goro9e I This plan is only valid for current regulations and may 1 12"-38" 45.7 B Loamy Sand 1OYR 5/ I end Floor not be suitable for future regulation changes that may occur. 38"-144" 32.3 C Medium Sand 2.5Y 6/31 (49.9) i Test Hole #2 (EL=44.3±) (49'5) ul - 1 95 GRAPHIC SCALE /( ) Depth Elev. Layer Soil Class Soil Color Comments m I 30 0 15 30 60 tso 0"-12" 43.3 A Loom 10YR 3/2 ( I 3 - ( I 12"-38" 45.7 B Loamy Sand 1OYR 5/6 I ( IN FEET ) 38"-144" 32.3 C Medium Sand 2.5Y 6/3 i I r _ I I qr 1 inch = 30 ft. DATE OF TESTING: 12/18/17 SOIL EVALUATOR: SCOTT MCGANN I I � BOARD OF HEALTH AGENT: DON DEMARIS i I Proposed Sewage Disposal System PERCOLATION RATE: LESS THAN 2 MIN/INCH IN "C" LAYER AT 68" � I � � NO GROUNDWATER ENCOUNTERED 90 Althea Drive C u m m a U I CI MA I CERTIFY THAT I AM CURRENTLY APPROVED BY THE DEPARTMENT OF I + q ENVIRONMENTAL PROTECTION PURSUAMT TO 310 CMR 15.017 TO CONDUCT - R = 774.53' 4 SOIL EVALUATIONS AND THAT THE ABOVE ANALYSIS HAS BEEN PERFORMED - L = ( i Prepared for:Brian Tracy Prepared by: BY ME CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE, AND EXPERIENCE 180•80' All Cape Septic LLC I DESCRIBED IN 310 CMR 15.017. I FURTHER CERTIFY THAT THE RESULTS OF MY _- __ ----_ i �, _ _ _ 90 Althea Drive 618 Route 28 AS INDICATED ON THE ATTACHED SOIL EVALUATION FORM Althea Drive -- ��- West Yarmouth, MA 02673 SOIL EVALUATION, Cummaquid, MA ARE =ACCUR D IN ACCORDANCE WITH 310 CMR 15.100 THROUGH 15.107. 40 Public way (508) 771-4200 allcapeseptic@gmoil.com SCOTT MCW, CERTIFIED SOIL EVALUATOR Date: 12/28/17 S heet 1 of 1 By. MA Check: SM Project No. AC-119