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0470 BRAGG'S LANE - Health
470 Braggs Lane Barnstable y A=297-012 TOWN OF BARNSTABLE _ LOCATION t/�f ct ' S tc.� SEWAGE #�� J J VILLAGE �D �2N� ASSSESSOR'S MAP & LOT 0— INSTALLER'S NAME&PHONE.NO SEPTIC TANK CAPACITY - C LEACHING FACILITY: (ty ) size) 1;0 NO.OF BEDROOMS - BUILDER OR OWNER t-��Ck� PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted.Groundwater Table and 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 leaching facility) Feet Furnished by 193, ��► No. �� Fee Y� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Rpplication for ni$pont *potent CCon5truction Permit Application for a Permit to Construct( )Repair(X Upgrade( )Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 41 o LA Owner's Name Address and Tel No. �O"aQd � S,�Sp,,-A V::�16- r Assessor's Map/Parcel ' act SftHs Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. c Sa CS• 5 V CS. tv45 -53\6 SIFT--49(a(e Type of Building: Dwelling No.of Bedrooms T Lot Size I'0}A t. Garbage Grinder(/jl$1 Other Type of Building One- No.of Persons '4 Showers(VI-Cafeteria(✓) Other Fixtures Lwsot� , ktkkur , fink k l�(1r%A �. Design Flow A AVO gallons per day. Calculated daily flow _Vb gallons. Plan Date �O \�'�\b S Number of sheets Revision Date Title SV \ Size of Septic Tank NCL.J l 500 !PQ Type of S.A.S. inl Ft L_Tgta, Rs IQ Description of Soil __ttZ0 ©\�'� IO�jt ��,��Xl, Nature of Repairs or Alterations(Answer when applicable) —Irn Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been i ued b this Board lth. gned Date . /,qr) Application Approve Date Application Disapproved for the following reasons Permit No. Date Issued No. �� L V 5 � r� �` �� Fee e Q .; THE COMMONWEALTH OF MASSiCH SETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE: MASSACHUSETTS ZIpplication for Oigpoal *p$tem Con!5truction Permit Application for a Permit to Construct( )Repair(X Upgrade( )Abandon( )/'.Complete System O Individual Components Location Address or Lot No. 4'73cp Owner's Name,Address and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. SQ \ AC C� . St14aY Ctiu• SACS. CG4e) o 1 -5 39- -4 (pc� Type of-Building: r Dwelling No. of Bedrooms Lot Size t. Garbage Grinder(N/P { Other Type of Building 1, c»e No. of Persons Showers Cafeteria(✓) Other Fixtures a Design Flower; 440 gallons per day. Calculated daily flow 44 :� gallons. Plan Date_fin 1— t,5 Number of sheets Revision Date °i. Title ±. ' �\:c ; y�e�C a`�S. c �r.�o �_ c Y:SP 1I)tS�`�LiSG\ l S�,v M. Size of Septic Tank tsp tom) (:=,G Type of S.A.S. v "� i,J F t i_, 2 i1TU2S Y Description of/Soil! r+�r I Ci X y� 1 p � \c ,r\ Nature of Repairs or Alterations(Answer when applicable) Date last inspected: 5 Y' Agreement:. g 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 A§ued by this Boar=oH h. gned Date 10131 Application Approved. Date Application Disapproved for the following reasons Permit No. Date Issued 0� THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY th t the n-site S wage Disposal System Constructed( ) Repaired ( )Upgraded Abandoned( )by at has been constructed in ccor ance with the pro isionj of Title 5 an the fo is osal System Construction Permit No. -�5 5 S 4'dated �131 ,! Installer .//�(1!�`� � Designer The issuance o this permit shall not pe onstrued as a guarantee that the system ' ,c 'on s designe Date �'���' 1 ��15 Inspector a... , . o�—�^y--- ------ ------- No. �..4J .S �: -------'-------- — _Fee �Q THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS Mi5po5a[ *pgtem Con.5truction Permit Permission is hereby granted to Con ruct( )Repair( )Upgrade( Abandon ) System located at I 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 ust be 7-15 mpleted within three years of the date of this pe it Date:_ d 3 . Approved�by, w -^�`•.. 9/16/03 Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems. Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I, emt4C_ C,• ,hereby certify that the engineered plan signed by me dated concerning the property located at �'�1.0 �Ct��=. �.1�1• , - C-�,b meets. all of the following criteria: • This failed system is connected to'a residential dwelling only. There.are.no commercial or business uses associated with the.dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or.may conduct deep test holes and percolation tests.at the site without a health agent present. • There is no.increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will-be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the. Frimptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation(using GIS information) 1p p B) G.W. Elevation +adjustment for high G.W. �JC _ DIFFERENCE BETWEEN A and B (� SIGNF,D : pocgbn DATE: lo b " NOTICE Based upon the above information;a repair perniit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. H ' �kA i, :� h� er� <-►� 1 a � � X�,.a� OS 01/28 120 16 04:51 FAX _ 9 R0 fl002 Town of Barnstable , " Regulatory Services Thomas F. Geiler,Director � eaRlvet�iau, Public Health Division k Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office_ 5D8-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 11/01/05 Designer: Shay Environmental Services,Inc, Installer: Robert Septic Services. Address: P.O. Box 627 East Falmouth Address: 5 Trenton Street MA 02536 Yarmouth MA On 10/31/05 Robert Septic Service was issued a permit to install a (date) (installer) septic system at 470 Brag she, Barnstable, MA based on a design drawn by (address) Shay Environmental Services Inc. dated October 27,2005 (designer) =XX_ 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. 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. 7 ���tt�OF 4igS�3- 0 o CARMEN talle ' ) E.S�1AY in No. 1181 0 �`'orsys�� SANITAa1A esiper's Signature) (Affix Desig 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 BA_RNSTABLE PUBLIC HEALTH_DIVISION. THANK YOU. . Q:Heakh/Sep6cJDesigner CeriiFication Form ZONING SUMMARY --- ZONING DISTRICT: RF-1 DISTRICT !+� \ f 1 L MIN. LOT SIZE 43:560 S.F. / MIN. LOT FRONTAGE 20' /r MIN. LOT WIDTH 125' y MIN.FRONT SETBACK 30' ,t Il t MIN. SIDE SETBACK 15'. W++rtFf- MIN.REAR SETBACK 75' ...•v,..., ` try .y�. t MAX. BUILDING HEIGHT 30' �] .LI�1N�� 2n5,33 y �. ( '{.S / �•r MAX. LOT COVERAGE SOR 'MIN.NATURAL STATE 30% r -SITE IS LOCATED 'WITHIN THE WELLHEAD PROTECTION J - F OVERLAY DISTRICT TRnJE ; 1 4� Exsnxc LOCUS MAP cT z LJPdLE' 4I.07 k' ,I \!_' SCALE 1"=2000'3 `•.' /' / ` I� q t ELECTRIC ASSESSORS MAP 297 PARCEL 12 / < OPOSED R�` !/ OWNER OF RECORD i s+' x � ..��(' •)'� t / y I STEPHEN F& MICHELLE F KING RQPd$ED P / _ 19 00VER DRIVE ! .,Y f - < j.4RA �.-... WALPOLE, MA 02081 ! REFERENCES REPLACE ~EXISTING WALK - - DEED BOOK 20902 PACE 208 -RO�(UTE PLAN BOOK 213 PAGE 155 _...... ELECTpet-RIC " NOTES t.DATUM IS NAYD 88 2..THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. / 3.CONTRACTOR SMALL BE RESPONSIBLE FOR CALLING OtTHE L CATION OF ALL AND ' EXISTING f -i i t UNDERGR THE LOCATION OF UTILITIES ! / / DWELL/TUG ` / TO COMMENCEMENTMM &OVERHEAD OF WORKUT1UTIES PPopi TOF= 96.0 { LQROPOSEOV �- \ .., j J l /� /i P.eTDd `1 4.EXISTING SEPTIC LOCATION PER PE-CARD ON FILE WITH TOWN , , SITE PLAN OF LAND ---- ..._... _ / •' _i i ... ' N BARV N .'..�)ri I A ', .. � `• i ..., n9' ._ 'L .rtn PREPARED FOR - - 2ozga / STEPHEN KING ' °, ..:�...., „s: DATE: NOV. 20. 2015 11 508- B-362-3B2-98804541 SO DATE DANIEL A.`OJALA, P.E., P.L.S. I ac..nwpe.com down cepe engineering,INC. civil land surveyors yors "...., ,. Scole:l"=20' /O surve}rors ....... ,.,,_. .__.._._,.,,_ 939 Main Street (R(a 6A) 010 -1 3c +.. „U rEET YARAf0U7HP0RT MA 02675 DCE #15-251 TOWN OF BARNSTABLE A UNDERGROUND FUEL AND CHEMICALSTORAGE SYSTEMS ASSESSORS MAP"N0. PARCEL N0. FAC 376 ADDRESS1 1-171) l/ � � VILLAGE NAME'' CONTACT PERSON �` /',�� � � �, PHONE NUMBER ' v LOCATION OF TANKS CAP CITY: .TYPE OF FUEL. AGE: TYPE: LEAK OR CHEMICAL: DETECTION OWS� ,ois SYSTEM' DATE OF PURCHASE OF. EACH: 1. 9 7Z 2. 3. 4. 5. DATE.071 FIRE DEPARTMENT PERMIT: x TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS -5 1 T�- A0 ��� r PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD. r RI:%2 La�� IA C)USel i=1�f�6v'f ' �I1 a .. Date of Percolator Test SEPTEMBER 06, 2005 i Test Perform,ea By: CARMEN E. SHAY, R.S., C.S.E. I Results Witnessed By WPi� J'ev, , q' /i - u►;7O O,,,g�, Lee Excavator: H Construction Percolation Rate Jy ' m'n nch 0,90" *BELOW GRADE. � PROJECT BENCH MARK Test Hoge Tes: Hole Q� \\ `� TOP OF FOUNDATION No. 1 No. 2 i' ELEV. = 100.00 (Assumed) DEPT�I SOILS ELEV. F� 1 \ \ DEPT>a SOILS _,Ev. I \C3 \ `\ `� 0 98.00 0 96 0C Locmy Sand Loam Sand --- _ \ \ \ \ ------------------ l \ \30- 1 V �- -�t4 s 0'-6' A _-------------- � \ \ \ Y Sand Loom C.�:CFru•+IrkaetiScawrwr}'O:roor�c�?.a 10 YR 3 2 0'-6" A 95 SC i t i95 50 \ 1 \ \ Sand Loo-I Y \ RE pli\ �\ 10 YR 5/6 10 YR 5/6 VENERAL_ NOTES 78.87 -- 192.24 \\ \� 6•-32" e �93.33 , contractor is responsib!e for Digsafe rotif;cet or Silt Loam Silt Loom I and protection of aL' underground utd ties and p De.s. \ \ z 2.5 Y 7/4 1 2.5 v 7/4 I eveisonti6" ofk3�4"-'1/2" Stone, x she,! be Set 3 Backfi'l should be clean sand or gravel wnor*.' stones over 3" ;n size. very e•y Fine 4 T-, s system Is sub;ect to Inspection during instailat!or Sand Sonc by Carmen E. Shay - Environmento Services, Inc. 2.5 Y 8/4 2.5 Y 8/6 5. The contractor shop install this system in accordance \ EXISTING GARAGE \ 32"-132' C� 85.00 i ante _aca! Regulations assochusetts state code, the approvec p,e^ 32"-132" C= 85.00 6. f, durng installation the contractor encounters any soil conditions or site conditions that are different EXIST. 1 i from those shown on the soi! log or in our desigr `\ --_ I DRIVEWAY Installation must halt & immediate notification be \ -- made to Carmen E. Shay - Environmental Services, !nc. 7. No vehicle or heavy machinery shall drive over the Pere #1 Depth to Pere: 50" to 68" septic system unless noted as H-20 septic componerts. I EXISTING 0� Pere Rate= 5 min./inch 8. '',stall Tuf-Tite gas baffles or equals on all outlet tee ends. '� `�r / 4 BEDROOM \ Groundwater Not Observed 9. All Distribution Lires shall be 4" diameter Sch. 40 NSF PVC pipes. BOTTOM OF TEST HOLE Elev. = 132 10. All solid piping, tees & fittings shall be 4" diameter A HOUrySE ADJUSTED H2O Elev. = No Adjustment Required. Schedule 40 NSF PVC pipes with water tight joints. � 9 0\ ` ,� \ , 1\ �� --- --- - I11, SIDE and Surrounding Properties are N0. Connected to Municipal Water. PRIVATE WELLS LOCATED AS SHOWN. ALL OUTLET PIPES FROM THE DISTRIBUTION BOX SHALL BE L� '2• CONCRETE COVER SET LEVEL FOR AT LEAST 2 FT. LOT #3 3 - S" OUTLET ? THE PROPERTY LINES ARE APPROXIMATE AND �� / xNocxouTs - I COMPILED FROM THE SURVEY PLAN GENERATED By Failed \ \ /0� - - -,s.b' OUTLET I 2' INLET CHA.RLES SAVARY OF YARMOUTH, MA ENTILTED LOT #1 /,' I / /Cesspool) \\\O \ e' e "PLAN OF LAND OF MEARTINS REALLY TRJST, BARNSTABLE, MA" 1 \ i �Z� r / v\ ' 2 DATED JUKE '9. 967 4" - SCH. 40 Te �3 IT SHOULD BE USED FOR NO PURPOSE CTHER THAN NEW 1500 GAL \` - .� THE SEPTIC SYSTEM iNSTALLATiON, F-� II i �i SEPTIC TANK �� EX!S�. vI PLAN SECTION CROSS-.SEC 2 II / DRIVEWAY �✓ 't ,. / ', i TEST HOLE #2 / �'� ,'l 3 HOLE DISTRIBUTION BOX - H-1 0 LCAD:NG \• , I / I ,' NOT To SCALE EXISTING CESSPOOLS TO BE PUMPED OuT AND LED 'N P'-ACE ELEV.= 96.00 V ,� i7, 10 0 NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE \ � FROM THE EXISTING CESSPOOLS TO BE DISPOSED D-Box OF A PER BOARD OF HEALTHSPECIFICATIONS. S BO EAL !.. . e` , \\ \ T ;,a 'R tF,y• P TEST HOLE #1 ELEV.= 96.00 ASSESSORS MAP 297 PARCEL 012 \ � � i I 4" PV Vent 29� ZONING - RESIDENTIAL \ ` FLOOD ZONE C ..FRt ARE NO WETLANDS LOCATED WITHIN A 200' RADIUS 5316 ` \ 96 - ----- ------ -------- --- -- LOT #2 - - --- - f.07 ACRES+/ DENOTES PROPOSED \ _ _- ` SPOT GRADE \ - --- - y� k DENOTES EXISTING TING�.46 SPOT GRADE ---------------------------- PL PROPERTY LINE ------------------ ---- ------- -- PROPOSED CONTOUR 97-- - - - - -97 EXISTING CONTOUR OLD HYANNIAS' - B� RN,S' TABLE VEEP TEST HOLE & (40 FOOT RIGHT OF WAY) PEPCOLAT!ON TEST �OCAT CIN II I I f-----� ~ENCE PLAN VIEW PRIVATE DRINKING WATER WELL 3-24' DIAM. ACCESS MANHOLES 3-24' REMOVABLE COVERS RE • '��r I _ -min. ck+aance - I tJ'fNLET"T'l - V 6' min. 2• min. inlet to outlet i - ..-- ---- ------------ --- a m►. OUTLET C' DATE: F 'In IN LE 20'mtn. r L � ,�' • DEFINITION INLET .1116 INLET OUT $ quid min. 0.I,.I I�f• b o now Liquid depth STEEL REINFORCED PRECAST CONCRETE t0'-0' s' -B THE ACCESS COVERS FOR THE SEPTIC TANK, CROSS SECTION END-SECTION 20 40 50 - DISTRIBUTION BOX AND LEACHING COMPONENT SHALL BE RAISED To WITHIN 6• of TYPICAL 1500 GALLON SEPTIC TANKir- FINISHED GRADE. INSTALL TUF-T1TE GAS EAFFLES OR EQUALS NOT TO SCALE JLl ON ALL OUTLET TEE ENDS H- , O LOAoING ----- -- PREPARED FOR . _ *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. VENT PIPE (O Least 24 inches tall) SECTION A -A OC S U S A N U C H r 10' min. from Schedule 40 PVC w/Charcoal Odor Filter DeSIQn CaICUlat10nS D O NA L L }+ `A - r ` \I t- j Existing Foundation 1house to septic tank PROFILE VIEW OF ADDITION TO LEACHING SYSTEM __a;' Septic tank covers must be D-BOX cover must be ��`_ V TOP OF FOUNDATION- ELEV. t 00.00 (Assumed) within 8 in. of finished prods within 6 in. o} finished grad. Number of Bedrooms: 4 Equivalent to 440 Got./Day _ Grade over Septic Tank - 97.D0 Grade over D-Box - 96.DO Grade over SAS - 86.00 3' of 1/6• - 1/2• Washed Peastone C LAN \1 3/4" to 1 1/2 washed Cr shed Stone Garbage Grinder: NO 470 B R A G O S LA' V E f r - Leaching Capacity Proposed: 440 Gal./Day 4• PVC (CAPPED) INSPECTION PORT TO BE Septic Tank 2 x 440 Gal. Da 1500 GAL. Septic Tank. - / y 880 USE NEW --------- ---- - - �0-02 3 HOLE H-10 Y Maximum Cover INSTALLED AND TO BE WITHIN 6. OF GRADE SOIL ABSORPTION AREA: Using percolation rate Of <2 min./Inch _ NEW IST. Box Top OF System- Elev. -91.75 0 S-0.01 or Greater Bottom Area: 0.74 gal/sq. ft. x 500 sq, ft, = 370 gallons I (� /) y v EXIST. PIPE N $ 1.500 GAL. ^ 40. S- 0.01, P. foot o" Effective Depth Sidewall Area: 0.74 gal./sq. ft. x 99.6 sq. ft. 73.7 gallons BARNSTABLE V A O 2 6 3 �_J FROM ExIST. FOUNDATION a N SEPTIC TANK Providing: = 443.70 gallons 1 ZN /- �I Y- CONCRETE FULL FOUNDATIO II• H-10 �~� a) r- 5' 0,$3' 1O inches .n s ill 9' 9 ?��� R c v4 R1��i-� 1�� 1' . ��l l A l Co II c) ^ ) I,� 1 1- Use: (7) INFILTRATOR HIGH CAPACITY H-20 UNITS, HAVING A 0.83' (10 INCHES) EFFECTIVE DEPTH, �O E ENITIRONME 'tTTAL SE)UYCES, INC. SYSTEM PROFILE B in.of 3/4•-t 1/z• w 11 0 9 0 3.75' 1 TO BE USED WITH 3.5' OF WASHED STONE ON THE SIDES, AND 1' OF WASHED STONE SHA Cn > compacted stone °' rn "5.75' ON THE ENDS. NO STONE UNDER. 11 P.O. BOX 627 Not to Scale c c d I 4 it Effective Length > 3s-- --35 B �Fcfs1E EAST FALMOUTH, MA 02536 s a F 3 o SOIL ABSORPTION SYSTEM (SAS) 6 in.of 3/4'-1 1/2' 10' compacted stone Effective vktth INFILTATR❑R HIGH CAPACITY CH-20 L❑ADING)/ GE❑RGE ❑'BRIEN NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE �_ S NITAR`P o (OR EQUIVALENT) Not to Scale � TEL/FAX 508-539-7966 ``I Bottom of Test Pit Elevation 85.00 NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18• /EFFECTIVE HEIGHT IS 10" SCALE: 1 "=20' DRAWN BY: CES iDATE: OCTOBER 27, 2005 vObs. Groundwater - Test Hole 1& 2 Elev.- None Observed PROJECT#SD-821 FI.LENAME� SD821 PP.DW'G SHEET 1 OF 1 i I